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INSTALLATION

and
MAINTENANCE MANUAL
(PrestoDR 4143 and
PrestoDR Portable 3543)

P/N 96AR100100
Revision 02
The information contained in this manual is confidential and proprietary to THALES
ELECTRON DEVICES S.A (“THALES”)

This information is provided only to authorized representatives of Thales’ customers solely for the
purpose of facilitating the use of Thales’ products.
No information contained herein may be disclosed to any unauthorized person for any purpose
whatsoever without the prior written consent of Thales.
The information in this document is subject to change without notice.
Copyright 2011 by THALES ELECTRON DEVICES S.A.
All rights reserved.

For all countries except US For United States only


E-mail x-rayimaging.support@ E-mail x-rayimaging.support@
address address tccus.com
thalesgroup.com
Phone +33 4 76 57 52 80 Phone +1 973 812 4328
Fax +33 4 76 57 40 85 Fax +1 973 812 9050
Address Thales Electron Devices S.A. Address Thales Components Corp.
X-Ray Imaging Solutions 40G Commerce Way,
460 rue du Pommarin – BP122 Totowa, New Jersey 07512
38346 Moirans - France

Windows XP is a registered trademark of Microsoft Corporation.

is a trademark of THALES ELECTRON DEVICES S.A.

Manufactured by CMT for THALES


WARNING

Failure to follow the procedures in this manual may result in an electrical and/or
mechanical safety hazard and failure to meet government requirements, as well as
damage to the PrestoDR.

The FDA (CDRH) requires that manufactures must include a specific requirement that the
assembler perform all applicable tests at the time of installation. A thorough explanation of the
equipment required and step-by-step instructions must provide by the manufacturer. The
instructions include a requirement to record key data to demonstrate at alliterative that all test were
performed and that the equipment was left in full compliance with the standards.

As an assembler you must perform these tests for the applicable requirements at the time of
installation and following any repairs, which could alter the performance.

PrestoDR is not suitable for fluoroscopy, angiography and mammography applications.

Attention: Installer Service Personnel and Technician

It is necessary for the assembler to verify compliance of the series of tests. A series of tests, when
performed at the time of installation, with 21 CFR, sub–chapter J, part 1020, performance
standards.

These tests are described in chapter 10 - Acceptance Test and must be performed before releasing
PrestoDR for use. An Installation evaluation report at the end of chapter 10 and should be
completed by the installer. In order to facilitate a timely installation and ensure compliance, it is
recommended that the installer review this manual and its entirety and then start at the beginning,
following all procedures in each section according to the displayed order.
This manual is part of the PrestoDR system

Rev. Date Description Chapter


1.0 JUL 2011 First Release All
02 DEC 2011 Adding PrestoDR Portable 3543, detailed instructions All
and SW changes
TABLE of CONTENTS

1 INTRODUCTION SAFETY AND REGULATORY INFORMATION.............. 1


1.1 WHO SHOULD USE THIS MANUAL ............................................................................. 1
1.2 SAFETY........................................................................................................................ 1
1.2.1 General Guidelines...................................................................................................... 1
1.2.2 General Safety Guidelines .......................................................................................... 3
1.2.3 Safety Definition and IEC Symbols............................................................................ 4
1.2.4 Specific Safety Guidelines.......................................................................................... 6
1.2.5 Regulatory Information............................................................................................... 10
1.2.6 Recycling .................................................................................................................... 12

2 SYSTEM DESCRIPTION ....................................................................................... 13


2.1 X-RAY SYSTEM ........................................................................................................... 14
2.2 OPTIMUM AND COMPACT CONFIGURATIONS ............................................................ 14
2.2.1 PrestoDR 4143 Optimum Configuration .................................................................... 14
2.2.2 PrestoDR 4143 Compact Configuration ..................................................................... 14
2.3 DETECTOR AND HOUSING .......................................................................................... 15
2.3.1 Pixium RAD 4143 Flat Panel Detector....................................................................... 15
2.3.2 Pixium Portable 3543 Flat Panel Detector.................................................................. 16
2.3.3 Bucky .......................................................................................................................... 17
2.3.4 AEC............................................................................................................................. 18
2.3.5 Grid ............................................................................................................................. 18
2.4 MAJOR PRESTODR SYSTEM COMPONENTS .............................................................. 19
2.4.1 PC (Main Processing Unit) ......................................................................................... 19
2.4.2 Workstation Monitor................................................................................................... 19
2.4.3 mPDU (mini Power Distribution Unit)....................................................................... 19
2.4.4 Options........................................................................................................................ 19
2.5 X-RAY TECHNIQUE FACTORS .................................................................................... 20
2.6 DICOM COMPATIBILITY........................................................................................... 20
2.6.1 DICOM PROTOCOL ................................................................................................. 20
2.6.2 DICOM Store.............................................................................................................. 20
2.6.3 DICOM Print .............................................................................................................. 20
2.6.4 DICOM Modality Worklist Management (MWL) ..................................................... 21
2.6.5 DICOM MPPS ............................................................................................................ 21

Table of Contents i
2.6.6 CD/DVD Burn............................................................................................................. 21

3 PREPARATIONS FOR INSTALLATION ............................................................ 23


3.1 ROOM REQUIREMENTS ............................................................................................... 23
3.1.1 Installation Warnings .................................................................................................. 23
3.1.2 Power Requirements ................................................................................................... 23
3.1.3 Grounding Requirements ............................................................................................ 24
3.2 OVERVIEW OF THE INSTALLATION PROCEDURE ....................................................... 24
3.2.1 Sequential Procedure................................................................................................... 24
3.2.2 Generators ................................................................................................................... 24
3.2.3 Optimum Configuration .............................................................................................. 24
3.2.4 Compact Configuration ............................................................................................... 24
3.2.5 First Installation Stages ............................................................................................... 24
3.2.6 System Cable Interconnection..................................................................................... 25
3.3 RECOMMENDED TOOLS AND MEASUREMENT DEVICES ............................................ 34
3.3.1 Tools and Materials for Pixium 4143 Bucky Assembly ............................................. 34
3.3.2 Tools and Materials for Mounting the PrestoDR system ............................................ 34
3.3.3 Metric Tools ................................................................................................................ 34
3.3.4 Hand Tools .................................................................................................................. 34
3.3.5 Electrical Tools ........................................................................................................... 36
3.3.6 Test Equipment ........................................................................................................... 36
3.4 INSTALLATION FLOW CHART .................................................................................... 37

4 INSTALLATION OF THE OPTIMUM CONFIGURATION ............................. 41


4.1 EXAMINING THE CONTENTS AND UNPACKING THE BUCKY ...................................... 41
4.1.1 Verify and Examine Contents ..................................................................................... 41
4.1.2 Recording Equipment Information.............................................................................. 41
4.1.3 Unpacking the Bucky .................................................................................................. 41
4.2 PRESTODR 4143 BUCKY INSTALLATION ................................................................... 45
4.2.1 Detector Installation .................................................................................................... 45
4.3 PRESTODR PORTABLE BUCKY AND DOCKING STATION INSTALLATION ................. 57
4.3.1 Mounting the Portable Bucky to the Gantry ............................................................... 57
4.3.2 SAPM .......................................................................................................................... 58
4.3.3 Portable Docking Station Information ........................................................................ 66
4.3.4 Portable Docking Station Installation ......................................................................... 72

ii Table of Contents
4.4 MPDU INSTALLATION ................................................................................................ 74

4.5 OPTIMUM CONFIGURATION ELECTRICAL CONNECTIONS........................................ 76


4.5.1 PC Electrical Connections .......................................................................................... 76
4.5.2 mPDU Electrical Connections .................................................................................... 79
4.5.3 Portable Docking Station Connections ...................................................................... 79
4.5.4 Bucky Electrical Connections..................................................................................... 80
4.5.5 Monitor Connection .................................................................................................... 81
4.6 INSTALLATION OF OPTIONS ....................................................................................... 83

5 INSTALLATION OF THE PRESTODR COMPACT CONFIGURATION ..... 85


5.1 PREPARING PRESTODR COMPONENTS ..................................................................... 85
5.1.1 Items Supplied by Thales............................................................................................ 85
5.1.2 Items Supplied by the Integrator................................................................................. 85
5.2 PREPARATION OF THE WORKSTATION PC................................................................ 93
5.3 4143 FPD BUCKY INSTALLATION .............................................................................. 95
5.4 PORTABLE FPD BUCKY AND DOCKING STATION INSTALLATION ............................ 95
5.5 24V POWER SUPPLY INSTALLATION ......................................................................... 96
5.6 COMPACT CONFIGURATION ELECTRICAL CONNECTIONS ....................................... 97
5.6.1 PC Electrical Connections .......................................................................................... 98
5.6.2 24V Power Supply Unit Electrical Connections......................................................... 99
5.6.3 Portable Docking Station Connections ....................................................................... 99
5.6.4 Bucky Electrical Connections..................................................................................... 100

6 CONNECTING AND PREPARING THE SEDECAL GENERATOR .............. 101


6.1 CONNECTING THE GENERATOR ................................................................................. 101
6.2 OPERATING THE GENERATOR FOR THE FIRST TIME ................................................ 104
6.2.1 Power-on Sequence..................................................................................................... 104
6.2.2 Operating the Tech Service Program .......................................................................... 105

7 CONNECTING AND PREPARING THE CPI GENERATOR .......................... 107


7.1 CONNECTING THE CPI GENERATOR ......................................................................... 107
7.1.1 Connecting the Indico 100 Generator ......................................................................... 107
7.1.2 Connecting the CMP 200DR Generator ..................................................................... 107
7.1.3 Generator to AEC Connection .................................................................................... 108
7.1.4 AEC Board (Ion Chambers)........................................................................................ 109

Table of Contents iii


7.1.5 Connecting Serial Communications to the Generator................................................. 110
7.2 GENWARE GENERATOR UTILITIES ......................................................................... 111
7.2.1 Introduction ................................................................................................................. 111
7.2.2 Accessing the GenWare Generator Utility.................................................................. 111
7.2.3 Default Window .......................................................................................................... 112
7.2.4 Date and Time Utility.................................................................................................. 113
7.2.5 GenWare SW Working Mode for PrestoDR............................................................... 114
7.2.6 Tube Selection............................................................................................................. 115
7.2.7 Generator Limits ......................................................................................................... 116
7.2.8 Operating the Generator for the First Time................................................................. 116

8 CONNECTING TO GENERATOR IN ADD ON MODE .................................... 118


8.1 DESCRIPTION OF GIF I/OS ......................................................................................... 119
8.1.1 PREP_REQ, EXP_REQ: Digital Inputs...................................................................... 119
8.1.2 PREP_ACK, EXP_ACK: Digital Outputs .................................................................. 120

9 SETTING AND CALIBRATING THE PRESTODR SYSTEM .......................... 121


9.1 PREREQUISITES ........................................................................................................... 121
9.2 USER PASSWORD......................................................................................................... 121
9.3 FIRST TIME POWER UP .............................................................................................. 122
9.3.1 Switching from PrestoDR to Any Other Application ................................................. 123
9.4 ENABLING OPTIONS .................................................................................................... 124
9.4.1 System Configuration.................................................................................................. 124
9.4.2 Enabling an Option...................................................................................................... 124
9.5 WINDOWS XP SETTINGS ............................................................................................ 126
9.5.1 Date and Time Setting................................................................................................. 126
9.6 COMPACT SYSTEM SETTINGS..................................................................................... 126
9.6.1 System General Setting ............................................................................................... 126
9.6.2 Regional Settings......................................................................................................... 134
9.6.3 Serial COM Port Number Setting ............................................................................... 141
9.7 MONITOR ADJUSTMENT ............................................................................................. 144
9.7.1 Scan Rate and Resolution Setting ............................................................................... 144
9.7.2 Monitor Calibration using the Colorimeter device ..................................................... 145
9.7.3 Monitor Test Pattern (SMPTE) ................................................................................... 170
9.7.4 Touch Screen Activation ............................................................................................. 171

iv Table of Contents
9.8 TEMPORARY NETWORK DISABLING .......................................................................... 173
9.9 PC AND DETECTOR IP ADDRESS SETUP .................................................................... 173
9.9.1 Single Pixium 4143 Detector ...................................................................................... 173
9.9.2 Single Pixium Portable 3543 Detector........................................................................ 178
9.9.3 One Pixium 4143 Detector Plus one Pixium Portable 3543 Detector ........................ 182
9.9.4 Two Pixium 4143 Detectors ....................................................................................... 182
9.10 FPD LICENSE INSTALLATION .................................................................................... 187
9.11 WIFI FREQUENCY SETTING FOR PORTABLE FPD .................................................... 188
9.12 DETECTOR CALIBRATION SEQUENCE ....................................................................... 189
9.12.1 General Guidelines...................................................................................................... 189
9.12.2 Optimal Temperature Setting...................................................................................... 191
9.12.3 Detector Offset............................................................................................................ 191
9.12.4 Defect List Creation.................................................................................................... 191
9.12.5 Defect List Verification .............................................................................................. 195
9.12.6 Creating Gain Correction Matrices ............................................................................. 196
9.13 AEC CALIBRATION – SEDECAL GENERATOR ........................................................... 200
9.14 AEC CALIBRATION CPI GENERATOR ...................................................................... 207
9.15 AEC CALIBRATION ADD-ON GENERATOR ............................................................. 214
9.16 NETWORK CONNECTIVITY RESTORE ........................................................................ 217
9.17 DICOM CONNECTIVITY CONFIGURATION ............................................................... 217

10 ACCEPTANCE TEST.............................................................................................. 218


10.1 ACCEPTANCE TEST PROCEDURE ............................................................................... 218
10.2 TEST LIST ................................................................................................................... 222
10.3 ACCEPTANCE TEST FORM ......................................................................................... 223
10.3.1 General Information.................................................................................................... 223
10.3.2 Visual Inspection ........................................................................................................ 224
10.3.3 System Movements Control........................................................................................ 224
10.3.4 Filtration Check .......................................................................................................... 225
10.3.5 Generator Calibration.................................................................................................. 226
10.3.6 Tube – Bucky - Collimator Orientation ...................................................................... 226
10.3.7 X- Ray Beam Test....................................................................................................... 228
10.3.8 Tube – Bucky Perpendicularity .................................................................................. 228
10.3.9 Collimator Visible Light Orientation.......................................................................... 229
10.3.10 Collimator – Bucky Orientation ............................................................................ 231

Table of Contents v
10.3.11 Half Value Layer.................................................................................................... 233
10.3.12 Temperature Monitoring ........................................................................................ 233
10.3.13 Detector Offset ....................................................................................................... 234
10.3.14 Defect Map............................................................................................................. 234
10.3.15 Gain Flatness and Calibration Error....................................................................... 234
10.3.16 FPD Sensitivity Test .............................................................................................. 238
10.3.17 Spatial Resolution and Contrast Resolution........................................................... 238
10.3.18 Grid Micro Switches .............................................................................................. 240
10.3.19 Automatic Collimator............................................................................................. 240
10.3.20 AEC........................................................................................................................ 240
10.3.21 Peripheral Equipment Connectivity Test ............................................................... 242
10.3.22 Monitor calibration................................................................................................. 244
10.3.23 Test Report Files .................................................................................................... 244

11 MAINTENANCE ...................................................................................................... 250


11.1 PERIODIC SYSTEM CALIBRATION .............................................................................. 250
11.2 COMPACT DATABASE ................................................................................................. 250
11.3 ANTIVIRUS SOFTWARE ............................................................................................... 250
11.4 DAYLIGHT SAVING UTILITY ........................................................................................ 251
11.5 PIXIUM PORTABLE DETECTOR MAINTENANCE ........................................ 253
11.5.1 Front End Battery Calibration ..................................................................................... 253
11.5.2 Front End Battery Exchange ....................................................................................... 253
11.5.3 Charging module (SAPM) contact pins replacement.................................................. 254
11.5.4 FE's contact plate replacement .................................................................................... 256
11.5.5 Attachment of the recharging plate ............................................................................. 259
11.5.6 Storage and transport conditions ................................................................................. 259
11.5.7 Portable FPD Cleaning, Sterilization and Disinfection Instructions........................... 259
11.6 PC MOTHERBOARD BATTERY REPLACEMENT ......................................................... 260
11.7 SYSTEM RE-CALIBRATION AFTER GRID REPLACEMENT ............................................ 260

12 TROUBLESHOOTING AND SYSTEM DIAGNOSTICS ................................... 262


12.1 EQUIPMENT PROTECTION .......................................................................................... 262
12.1.1 Static Electricity .......................................................................................................... 262
12.2 TROUBLESHOOTING.................................................................................................... 262
12.2.1 Capture ........................................................................................................................ 262

vi Table of Contents
12.2.2 System Errors.............................................................................................................. 268
12.2.3 Error Codes List.......................................................................................................... 269
12.2.4 Generator Not Communicating................................................................................... 270
12.2.5 X-ray Ready Icon Does Not Turn Green in PrestoDR ............................................... 271
12.2.6 X-ray Ready Icon Does Not Turn Green in Calibration ............................................. 272
12.2.7 Abnormal FPD Temperature....................................................................................... 273
12.2.8 Poor Image Quality: Image Too Bright or Too Dark ................................................. 274
12.2.9 Poor Image Quality: Grid artifacts:............................................................................. 275
12.2.10 Poor Image Quality: artifacts................................................................................. 276
12.2.11 Serial Communication Generator is not Functioning ............................................ 279
12.2.12 MPU is not booting................................................................................................ 280
12.3 SYSTEM DIAGNOSTICS ............................................................................................... 281
12.3.1 Touch Screen Test (USB) ........................................................................................... 281
12.3.2 COM 4 Test (Generator Communication) .................................................................. 281
12.3.3 Grid Switch test........................................................................................................... 281
12.3.4 Disk tool diagnostics................................................................................................... 282
12.3.5 HDD Replacement ...................................................................................................... 288
12.3.6 PC (MPU) Replacement ............................................................................................. 293

13 SYSTEM UTILITIES............................................................................................... 296


13.1 RESET SYSTEM ........................................................................................................... 297
13.2 EXAMINATION NAMES................................................................................................ 298
13.2.1 To Assign a Hospital Examination Name to a Body Part in Settings......................... 299
13.2.2 To Update a Hospital Examination Name Assigned to a Body Part .......................... 301
13.2.3 To Delete a Hospital Examination Name Assigned to a Body Part ........................... 302
13.3 BMP CONVERT .......................................................................................................... 303
13.4 HARDWARE DIAGNOSTICS ......................................................................................... 304
13.5 DICOM CONFIGURATION ......................................................................................... 305
13.5.1 General Parameters ..................................................................................................... 306
13.5.2 Storage SCU Tab ........................................................................................................ 307
13.5.3 Print Tab...................................................................................................................... 308
13.5.4 MWM Tab .................................................................................................................. 309
13.5.5 MPPS Tab ................................................................................................................... 310
13.6 TECHNICAL LOG ........................................................................................................ 311
13.7 COMPACT DATABASE ................................................................................................. 311

Table of Contents vii


13.8 USERS CONFIGURATION ............................................................................................. 312
13.8.1 To Define a User and User Rights .............................................................................. 313
13.8.2 To Update a User......................................................................................................... 314
13.8.3 To Remove a User from the List ................................................................................. 315
13.9 SYSTEM CONFIGURATION .......................................................................................... 317
13.10 SYSTEM PARAMETERS (SSPM).................................................................................. 318
13.11 BACKUP & RESTORE .................................................................................................. 319

APPENDIX A FRU (FIELD REPLACEABLE UNITS) ............................................... 321

APPENDIX B PRESTO DR CABLES ............................................................................ 323

APPENDIX C CPI GENERATOR ERROR CODES .................................................... 325

APPENDIX D DICOM CONNECTIVITY ..................................................................... 329

APPENDIX E PHYSICAL DIMENSIONS & SPECIFICATIONS ............................. 333

APPENDIX F REMOTE ACCESS TO SYSTEM ......................................................... 335


F.1 Needed IT Support ...................................................................................................... 335
F.2 On Demand Connection .............................................................................................. 335
F.2.1 Setup............................................................................................................................ 335
F.2.2 Operation ..................................................................................................................... 335
F.2.2.1 Starting ........................................................................................................................ 335
F.2.3 Ending ......................................................................................................................... 336
F.3 Unattended .................................................................................................................. 337
F.3.1 Setup............................................................................................................................ 337
F.3.2 Operation ..................................................................................................................... 337

viii Table of Contents


1 Introduction Safety and Regulatory Information

1.1 Who Should Use this Manual


Personnel operating and maintaining the equipment should receive System technical training
course with all aspects of its operation and maintenance.
To ensure personnel safety and correct equipment operation, all users should read this manual
carefully before installing and using the system.
Additionally, to promote safety awareness, Service Engineers should periodically review the
basic precautions outlined in this chapter.

1.2 Safety
The safety precautions and regulatory information included in this Safety manual are provided
in the following sub-sections:
1.2.1 General Guidelines
1.2.2 General Safety Guidelines
1.2.3 Safety Definitions and IEC Symbols
1.2.4 Specific Safety Guidelines
1.2.5 Regulatory Information

1.2.1 General Guidelines


This product was designed and manufactured to ensure maximum safety of operation and to
meet all the safety requirements applicable to electronic medical equipment. However,
anyone attempting to operate the system must be fully aware of potential safety hazards. This
product should be operated and maintained in strict compliance with the following safety
precautions and operating instructions contained herein instructions contained herein:
1. Thisproduct should be installed, maintained and serviced according to Thales’
maintenance procedures and by Thales personnel or other qualified maintenance personnel
approved in writing by Thales. Operation and maintenance should be done in strict
compliance with the operation instructions contained in the operation and maintenance
manuals.
2. PrestoDR must be operated in strict compliance with the safety precautions and operating
instructions contained in its Operation Manual.
3. The system,in whole or in part, cannot be modified in any way without written approval
from Thales. Do not to connect items, which are not specified as part of the system.
4. The manufacturer or vendor of the equipment makes no representation however that the act
of reading this manual renders the reader qualified to operate, test or calibrate the system.
5. Prevent unauthorized personnel from accessing the system.
6. It
is important that this operation manual should be kept at hand, studied carefully and
reviewed periodically by the authorized operators.

Introduction Safety and Regulatory Information 1


7. System needs special precautions regarding EMC and needs to be installed and put into
service according to the EMC information provided in the accompanying documents.
8. Portable and mobile RF communications equipment can affect the system.
9. ESD mitigation procedure should address the following items:
a. Access to the work surface must be controlled at all times to limit access to
trained personnel only.
b. ESD protective work surfaces must measure <1000 MOhm from work surface
to ground (RG).
c. ESD protective flooring (mats or permanent installed ESD flooring) must have
a 25 KOhm < RG < 10 MOhm for 115 VAC work environments and 50 KOhm
< RG < 10 MOhm for 230 VAC work environments.
d. Personnel grounding requirements shall include either wrist strap or footwear
heel straps (or conductive shoes).
1. A continuous wrist strap monitoring system is recommended, with a dual-
conductor resistance. Operator must wear approved wrist straps or other
approved personnel grounding systems that are compatible with the
monitoring system in use. Resistance to ground of personnel shall be < 10
MOhm.
2. ESD protective footwear heel straps or conductive shoes shall:
i) Provide a continuous electrical path from the user directly to ESD
protective flooring or floor mat.
ii) Be worn on both feet.
iii) Limit current to less than 0.5mA at the highest power supply voltage
that may be encountered.
iv) Not be relied upon for grounding of seated personnel.
v) Resistance to ground as measured through the floor shall be < 35 MOhm
when the floor and foot wear are used as the primary grounding system
for personnel.
10. Do not use the system if unsafe conditions are known to exist. In the event of
hardware failure that could cause hazardous condition (smoke, fire, etc.), turn the power off
and unplug the main power cords.
11. If the product does not function properly, or if it fails to respond to the controls
described in this manual, stop operation, contact the nearest Thales field service
representative immediately, report the incident and wait for further instructions.
12. The owner must verify that only properly trained, Thales qualified service
personnel undertake the installation, maintenance, calibration and repair of the system.

2 Introduction Safety and Regulatory Information


• PC is intended for use only as part of PrestoDR system. Any other use of PC
(as usual PC, etc.) is strictly forbidden.
• The computer’s rear panel is an ESD sensitive area.
Access is permitted for maintenance purpose only and should be performed in
accordance with special mitigation procedure.
• Hand tools used at static-safe work surface should be evaluated and approved
for use.
• All test equipment used at or in close proximity to static-safe work surface
shall be verified for suitability of use from an ESD perspective
• Should any of the PrestoDR cabinets need to be moved, the user is requested
to ask for a qualified service engineer to perform the disconnection and
reconnection of all cables involved. There are no interchangeable or
detachable parts that are to be replaced by the user.
• Before opening any system unit, the complete system must be shut off.

1.2.2 General Safety Guidelines


1.2.2.1 Electrical Shock Hazard
Equipment Classification
• According to type of protection against electric shock: CLASS I EQUIPMENT
• According to the degree of protection against ingress of water.
Ordinary Equipment
• According to the degree of safety application in the presence of a flammable
anesthetic mixture with air or with oxygen or nitrous oxide: EQUIPMENT NOT
SUITABLE FOR USE IN THE PRESENCE OF A FLAMMABLE ANESTHETIC
MIXTURE WITH AIR OR WITH OXYGEN OR NITROUS OXIDE.
• According to the mode of operation: CONTINUOUS OPERATION.•
• Use only a three conductor AC power cable to provide the appropriate electrical
grounding. Do not use an adapter to plug the system into a two-pronged (ungrounded)
outlet.
• The protective earth conductor shall be routed together with the mains supply
conductor
• Do not operate the system if worn wire or open leads are detected.
• Do not remove or open system covers or plugs. The internal circuits of the system use
high voltages that can cause serious injury or death from electrical shock. The
operator should never open the panels of the system.
1.2.2.2 Electrical Fire
• Conductive fluids that drain into the active circuit components of the system may cause
short circuits that can result in electrical fire. Therefore, do not place fluids or food on
any part of the system.

Introduction Safety and Regulatory Information 3


• Avoid electric shocks and burns caused by the use of the wrong type of fire
extinguisher; ensure that the fire extinguisher at the site has been approved for use on
electrically caused fires.
1.2.2.3 Explosion Hazard
• Do not operate the equipment in the presence of flammable or explosive liquids, vapors
or gases such as flammable anesthetic, oxygen or nitrous oxide. Do not plug in or turn
on the system if hazardous substances are detected in the environment.
• If flammable substances are detected after the system has been turned on, do not
attempt to turn off the system or unplug it. Evacuate and ventilate the area before
turning the system off.
1.2.2.4 Overheating
Do not block the ventilation ports of the electronic equipment. Always maintain a
minimum clearance of 6 inches (15 cm) around the ventilation ports to prevent overheating
and damage to the electronic hardware.
1.2.2.5 Implosion Hazard
Cathode Ray Tube (CRT) might explode if struck or jarred. This may result in flying
pieces of glass and coating that can cause serious injury. Do not subject the system to
mechanical shocks.
1.2.2.6 Heavy Lifting Injuries
In order to prevent injury, special precautions should be taken when lifting system’s
components. Some components are very heavy (for example 3543 bucky).

1.2.3 Safety Definition and IEC Symbols


The safety instructions in this manual are used for the protection of the patient, the operator
and service personnel. They identify hazards that will or may cause harm if instructions are
ignored. The identified hazards are defined and classified as follows:

WARNING
Warnings are used to identify conditions or actions for which a specific hazard
is known to exist, which may cause severe personal injury, death or substantial
property damage if the instructions are ignored.

CAUTION
Cautions are used to identify conditions or actions for which a potential
hazard may exist, which will or can cause minor personal injury, or property
damage if the instructions are ignored.

4 Introduction Safety and Regulatory Information


IEC Symbols
The system may have labels with one or more of the following symbols. These symbols indicate
the IEC standards to which the system conforms.

Symbol IEC Standard

Alternating Current

Protective Earth Point

Power ON

OFF/Power OFF

Input

Output

Functional Earth Ground

Attention - Consult
Accompanying Documents

Electrical Shock Hazard

Introduction Safety and Regulatory Information 5


1.2.4 Specific Safety Guidelines
The specific safety guidelines refer to the following issues:
1. Radiation
2. System Self Test
3. Calibration
4. Distance Measurements
5. Left/Right Marker
6. Data Safety
7. Connectivity
8. Cleaning Instruction
9. Maintenance Precaution
10. Disposal
11. User Limitation

CAUTION
Be alert when operating this equipment. If a malfunction occurs, do not use
this equipment until qualified personnel correct the problem.

1.2.4.1 Radiation Hazard


The system is interfaced to X-ray generating equipment. X-rays are ionizing radiation and
should be avoided unless justified for medical diagnostic purposes. Be certain to follow the
safety instructions and specifications for wearing proper lead shielding when in the
presence of X-ray generating equipment. All personnel must wear dosimeters during all
phases of installation, operation and maintenance of the system and the equipment to which
it is interfaced.
• Always be alert to the messages / icons which appear in the status area in the
lower left corner of the main in-room monitor. These messages / icons indicate the
status of the x-ray (ON or OFF) and the displayed image (STATIC or LIVE).
• Refer to the PrestoDR operation manual for more information.

1.2.4.2 System Self-Test


The PrestoDR runs a system self-test automatically after power on. Each board is tested
sequentially and an appropriate Pass or Fail message is displayed on the work-station
monitor. After all tests are passed successfully, the system enters the application. If an error
is detected, the system self-test is aborted and the system remains in operational mode until
the failure is corrected.

6 Introduction Safety and Regulatory Information


CAUTION
The owner is responsible for ensuring that system self-test is performed daily.
Do not try to use the system if the system self-test fails.

1.2.4.3 Calibration
To ensure the optimal performances of the PrestoDR it is important to verify that the
system is calibrated.

CAUTION
The owner is responsible for ensuring that system calibration is checked
periodically in accordance with the requirements defined in the PrestoDR
Maintenance Manual.

NOTE
Because the PrestoDR is an integral part of the X-ray room, the user should be aware
that any change or calibration in one or more of the room components may require re-
calibration of the PrestoDR system.

1.2.4.4 Distance Measurements


Distance measurements in millimeters (mm) are possible only after distance calibration has
been performed using a reference object (for more details refer to the PrestoDR Operation
Manual, "Specific Safety Guidelines" section). The operator is responsible for performing
distance calibration with a reference object and verifying the results of the distance
calibration before taking any distance measurements on an image.
1.2.4.5 Left/Right Marker
CAUTION
The operator is responsible for the correct and clear marking of the left or
right side of the image to eliminate possible errors.

NOTE
The software includes an option to mark the image with L (left) or R (right) indicator
from acquisition phase through printing and archiving. If the operator chose, for any
reason, not to use the L / R markers, he must use an alternative way (e.g. a piece of
lead) to eliminate any possible mistakes.

Introduction Safety and Regulatory Information 7


1.2.4.6 Data Safety

1.2.4.6.1 General
The owner should ensure continuous power supply to the system, with voltage and
current according to the product specifications. If power failures occur regularly, UPS
(Uninterrupted Power Supply) should be installed to avoid loss of data.

1.2.4.6.2 Images Back-up


WARNING
To avoid the possibility of losing images, which might result in the need to
repeat the examination, it is important to back-up the images either by
printing or by using the DVD/DICOM Storage Server options. This should
be done as a routine operation for every patient.

• It is the operator’s responsibility to back-up images of each patient.


• Do not accumulate images in the system without performing a backup.
• Keep the data print-outs away from direct sun / intensive light.
• Store recorded DVD cartridges according to their producer instructions.

Notes on Recommended Backups


• Upon completing the installation or whenever parameters are modified, it is
recommended to perform a new backup to the Registry.
• After application data is programmed in the system (Doctors List, Body Parts
Protocols, etc.), it is recommended to perform a backup to the Patients database
and System Setup database.
• Whenever servicing the system or performing a software upgrade, it is
recommended to first perform a backup to the Patient and System Setup
Databases as well as the Registry.

1.2.4.7 Connectivity
The PrestoDR is designed to meet the requirements of the DICOM 3.0 standards. It is the
user responsibility to verify that when connected to other devices, the interfacing shall
comply with these standards.
1.2.4.8 Cleaning Instructions
• Disconnect the AC Mains power cable from its supply terminal before cleaning the
equipment.
• Water, soap or other liquids, if allowed to drip into the equipment, can cause electrical
short circuits.
• Use only soap and lukewarm water to clean the surfaces of the detector housing
(bucky). Do not “flood” the surfaces. Use a moist cleaning cloth
• For the Portable detector select a cleaning agent from the list in the user manual

8 Introduction Safety and Regulatory Information


• Do not use detergents or organic solvents to clean the system. Strong detergents,
alcohol and organic cleaners may damage the finish and cause structural weakening
• Do not wet surfaces that are not closed or sealed, such as the keyboard
• Surfaces that come in contact with the patient should be cleaned before positioning the
next patient to avoid transfer of contamination or infection. Preferably, such surfaces
should be covered (by sheet or plastic wrap) to avoid contamination
1.2.4.9 Maintenance Precautions
• Do not place the PrestoDR MPU module (PC) on a soft surface, which may reduce
the airflow through the bottom of the chassis
• Do not open the enclosures, disconnect or connect any cables or accessories. Only
qualified Thales personnel are authorized to maintain and service the system
• Do not move the MPU module (PC) while it is running. Wait at least one minute after it
is turned off before moving
• Do not use an adapter to plug the system into a two-pronged (ungrounded) outlet
• In case of collision of the front end causing a mechanical deformation the detector must
be considered as hazardous and must be sent back to after sales service for repair
1.2.4.10 Disposal
This product contains harmful materials such as lead. Improper disposal of this product
may result in environmental contamination. When disposing this equipment, contact your
Thales representative. Do not dispose any parts of this equipment without consulting a
Thales representative first. Thales does not assume any responsibility for damage
resulting from disposal of this equipment without consulting Thales
1.2.4.11 User Limitations
No modifications, additions or deletions are allowed on the PrestoDR work-station. No
operations should be performed other than those available through the PrestoDR
applications described in this manual.
Copying or re-installing the software or part of it is illegal and forbidden. Therefore, the
customers should take proper acts to prevent such illegal activities.
Thales shall not be liable or obligated in respect to bodily injury and property damage
arising from the use of this software if such use is not in strict compliance with
instructions in the Operation Manual and in accordance with the terms of warranty and
sale of this software.

Introduction Safety and Regulatory Information 9


1.2.5 Regulatory Information

1.2.5.1 Standard Compliance

The PrestoDR 4143 Optimum system comply with the following standards:

• IEC 60601-1-1: “Medical Electrical Equipment, General Requirements for basic Safety
and essential performance”.
• IEC 60601-1-2: International Standard – Medical electrical equipment, Part 1: General
requirements for safety, 2- Collateral standard: Electromagnetic compatibility –
Requirements and tests
• IEC 60601-1-4: “General Requirements for Safety, Collateral Standard: Safety
Requirements for Programmable Electrical Medical Systems”.
• ISO 15223: “Medical Devices – Symbols to be used with medical device labels, labeling
and information to be supplied”.
• IEC 60878: “Graphical symbols for electrical equipment in medical practice”.
• ISO 14971: “Medical devices – Application of risk management to medical devices”.

The PrestoDR 4143 Compact system complies with the following standards:

• IEC 60601-1-4: “General Requirements for Safety, Collateral Standard: Safety


Requirements for Programmable Electrical Medical Systems”.
• ISO 15223: “Medical Devices – Symbols to be used with medical device labels, labeling
and information to be supplied”.
• IEC 60878: “Graphical symbols for electrical equipment in medical practice”.
• ISO 14971: “Medical devices – Application of risk management to medical devices”.

Description of PrestoDR 4143 Optimum and PrestoDR 4143 Compact systems is available
in sections 2.2.1 and 2.2.2, respectively.

10 Introduction Safety and Regulatory Information


1.2.5.2 CE Conformity
The Optimum Configuration of the product conforms to the requirements of council
directive 93/42/EEC concerning Class IIB medical devices and therefore bears the
following CE Mark of Conformity:

The name and address of the CE representative:


THALES ELECTRON DEVICES S.A.
460, rue du Pommarin - BP 122
38346 Moirans Cedex – France
Tel : +33 (0)4 76 57 52 80
Fax : +33 (0)4 76 57 40 85
mailto:x-rayimaging.support@thalesgroup.comx-rayimaging.support@thalesgroup.com

The Compact configuration was designed to comply with the standards.


However, it is the responsibility of the Integrator to clear the system for clinical
use with compliance to the local requirements.

1.2.5.3 USA Regulations


The Optimum Configuration of the system has been cleared for sale in the USA by the
FDA, under reference number K110849.
The Compact configuration was designed to comply with the standards.
However, it is the responsibility of the Integrator to clear the system for clinical
use with compliance to the local requirements.

Introduction Safety and Regulatory Information 11


1.2.6 Recycling

For EU member states:


This symbol indicates that this product should NOT be treated as household waste, according to
the WEEE directive (2002/96/EC) and your national law.
This product should be handed over to a designated collection point or to an authorized collection
site for recycling waste electrical and electronic equipment (EEE). Improper handling for this type
of waste could have a possible negative impact on the environment and human health due to
potentially hazardous substances that are generally associated with EEE. By insuring that this
product is disposed correctly, you will contribute to the effective usage of natural resources. For
more information about where you can drop off your waste equipment for recycling, please contact
your local city office, waste authority, approved WEEE scheme or your household waste disposal
service.
Batteries that are found to be at end of life should be disposed of properly. Do not dispose your
product batteries in trash.
Customer may recycle their used batteries in many retail or service provider location.

Contact Details:
THALES ELECTRON DEVICES S.A.
460, rue du Pommarin – BP 122
38346, Moirans Cedex – France
Tel: +33(0) 4 76 57 52 80
Fax: +33(0) 4 76 57 40 85
x-rayimaging.support@thalesgroup.com

12 Introduction Safety and Regulatory Information


2 System Description
PrestoDR is a high resolution Solid State X-ray Imager (SSXI) Digital Radiography System.
The system is based on the Pixium RAD 4143 Flat Panel Detector (FPD), manufactured by
“Trixell” from France. The Pixium Portable 3543 WiFi FPD is optional.
PrestoDR is designed for use in general radiographic examinations, wherever conventional
Film Screen systems are used. The system enables imaging of the:
• Skull
• Chest
• Shoulders
• Spine
• Abdomen
• Pelvis
• Extremities
PrestoDR is not suitable for fluoroscopy, angiography and mammography.
PrestoDR can support two FPDs working alternatively (non-simultaneous operation).
Therefore, a Digital Radiography X-ray system having both a wall mounted detector and a
table-mounted detector requires only a single PrestoDR system.
There are two methods for marketing the PrestoDR system:
1. As part of a system upgrade that transforms an existing Film Based X-ray Radiography
System into a Digital Radiography System based on the Pixium Flat Panel Detector.
2. As a subsystem offered by an OEM or a dealer for integration into a Digital Radiography
System or Digital Radiography Room.
In both cases PrestoDR becomes an integral part of a Digital Radiography X-ray Room.
This room comprises the following main subsystems:

• X-ray System
The X-ray system includes the:
• X-ray generator
• Generator operator console
• X-ray tube in an adequate housing
• Collimator
• Support for the housing containing the tube. This may be a column or a ceiling-
suspended tube mounting.

System Description 13
• Detector and Housing
The Detector and Housing includes a U-arm mounted, or a wall (column) mounted or a table-
mounted frame. The system can use a single panel or dual panel configuration. The Detector
Housing also includes the Ion Chambers and the Grid.

• PrestoDR System
The PrestoDR system includes the following components:
• PC (or MPU - Main Processing Unit)
• Work Station Monitor (optional)
• Power Supply. In the Optimum configuration it is housed inside the mPDU Unit
• Bucky
• Options
This chapter also contains a brief description of X-ray technique factors and a list of DICOM
output devices.

2.1 X-ray System


X-ray systems are supplied either by Thales or by third parties. For a comprehensive
description of the X-ray system, refer to the appropriate manual provided by the X-ray
system manufacturer.

2.2 Optimum and Compact Configurations


PrestoDR 4143 is available in two integration levels: Optimum and Compact.

2.2.1 PrestoDR 4143 Optimum Configuration


The PrestoDR 4143 Optimum is a fully integrated “plug-and-play” system for optimized
image quality and ease of installation.
On top of all hardware modules and cabling, this offer provides a state-of-the-art bucky,
ideally suited for Trixell Pixium 4143 FPD, with optimized grid and AEC ion chamber.
The Optimum configuration is CE and FDA certified.

2.2.2 PrestoDR 4143 Compact Configuration


The PrestoDR 4143 Compact configuration enables all PrestoDR 4143 software functionality
including integrated console for generator and digital acquisition (for specific generators), as
well as PrestoDR 4143 ideal workflow and superb image processing. Most of the hardware
in the Compact Package is provided by the OEM. This is the most economical package.
A proprietary General Interface board (GIF) is supplied by Thales with this configuration.
This board ensures connectivity with the x-ray room and generator, as well as interface
specifically fitted for the FPD.
The PrestoDR software is provided in a hard drive that will be installed by the OEM in the

14 System Description
selected PC. For proper system performance, all hardware modules that are provided by the
OEM must comply with the specifications set by Thales.
All regulatory issues of the Compact configuration must be taken care of by the OEM

2.3 Detector and Housing


2.3.1 Pixium RAD 4143 Flat Panel Detector

PrestoDR uses the Pixium RAD 4143 detector manufactured by ‘Trixell” of France.
The Pixium 4143 digital flat-panel X-ray detector offers outstanding advantages to the users
of radiological equipment.
• Rapidity: immediately usable images, in a single exposure.
• Cost savings: no time or resources spent in developing film.
• High performance
• Format, high resolution and wide dynamic range.
In the PrestoDR implementation of the Pixium 4143 detector, 2775 pixels x 2874 pixels are
read out from the detector. The area corresponding to the 2775 pixels x 2874 pixels, is 411
mm x 425 mm. A rectangular area is defined during the Flat Panel Display (FPD) calibration
that delimitates the actual imaging area used in the detector.
The Pixium 4143 FPD has its internal microprocessor that is controlled (via Ethernet 100T)
by PrestoDR. The latter sends commands, reads statuses, prepares the detector for an
exposure, synchronizes the X-ray pulse of the generator with the FPD and controls the image
readout and preparation of the detector for the next exposure. A minimal time lapse is
necessary between consecutive exposures (typically 10 seconds).
The detector(s) is calibrated at the PrestoDR installation. Furthermore, periodical
recalibrations are recommended.

System Description 15
2.3.2 Pixium Portable 3543 Flat Panel Detector

PrestoDR uses the Pixium Portable 3543 detector manufactured by ‘Trixell” from France.
This is a solid-State X-ray Imager (SSXI) based on an A-Si matrix of pixels and a
scintillator (CsI (T l)).
The Pixium Portable 3543 digital flat-panel X-ray detector offers outstanding advantages to
the users of radiological equipment.
• Rapidity: immediately usable images, in a single exposure.
• Cost savings: no time or resources spent in developing film.
• High performance
• Format, high resolution and wide dynamic range.

In the PrestoDR implementation of the Pixium 3543 detector, 3000 pixels x 2400 pixels are
read out from the detector. The area corresponding to the 3000 pixels x 2400 pixels, is
432.0 mm x 345.6 mm. A rectangular area is defined during the Flat Panel Display (FPD)
calibration that delimitates the actual imaging area used in the detector.
The Pixium 3543 has its internal microprocessor that is controlled (via Ethernet) by
PrestoDR. The latter sends commands, reads statuses, prepares the detector for an
exposure, synchronizes the X-ray pulse of the generator with the FPD and controls the
image readout and preparation of the detector for the next exposure. A minimal time lapse
is necessary between consecutive exposures (typically 11 seconds). The image readout is
by Ethernet communications.
The PIXIUM Portable detector package is split into two devices: the “Detector Front-End”
(PIXIUM FE 3543 pR or “FE” herewith) and the “Docking Station” (PIXIUM DS 3543 pR
or “DS” herewith). The communication between FE and DS (both for data and control) are
managed through a WiFi link, or using an optional electric backup cable.

16 System Description
Caution
Avoid placing the Pixium FE 3543pR or the PIXUM DS 3543pR too close to
life-supporting devices (see IEC60601-1-2 version 2001).

2.3.2.1 Pixium Portable 3543 Detector delivery


The PIXIUM Portable detector delivery includes:
• The detector Front-End (FE),
• The Docking Station (DS),
• The Backup cable (BUC) between the FE and the DS,
• A battery (not connected),
• The final test report.
2.3.2.2 Docking Station
The Docking Station (DS) is a part of the Pixium Portable X-ray detector for medical
imaging applications.
The docking station has a convenient front flap to dock the FE and to place it correctly.
While the FE is docked, the docking station charges the FE’s battery by means of the built-
in SAPM module. Connecting the Back-up cable can alternatively charge the FE.
The docking station also provides the signal interface between the FE and the customer
host system. The communication is done through Ethernet.
The detector(s) is calibrated at the PrestoDR installation. Furthermore, periodical
recalibrations are recommended.
2.3.2.3 Front end
The detector Front-End consists of a metal housing with a carbon fiber composite window
for X-ray input, and internal lead shielding to protect the electronics against X-rays (not
intended for user protection against X-rays). It also integrates a handle within the housing
for easy manipulation, LEDs indicators for internal status, and connector for a dedicated
Backup cable. The back side (with respect to the active sensitive array) includes electrical
contacts to recharge the internal battery.

2.3.3 Bucky
The bucky houses the detector. It comprises of a front cover, a back cover and a door that
provides access to the grid. Each detector type has its bucky designed for it. The bucky is
suitable for use within a patient environment.
The bucky houses the grid and the AEC Ionization Chambers along with internal electric
circuits. These electric circuits support the detector and AEC while providing
communication signals to the PrestoDR system.
In the Optimum configuration, Thales provides the bucky devices as ordered by the
integrator. Thales supports both a Wall stand bucky and a Table bucky.
Since the Pixium 4143 FPD has a rectangular shape, the Thales bucky for this FPD enables
both the Portable and Landscape orientation of the FPD inside the bucky. The orientation
must be decided at the time of ordering and cannot be changed in the field.

System Description 17
The Thales bucky for Pixium Portable 3543 features a pull-out tray, supporting both
Portrait and Landscape positioning, with smooth and safe rotation. In the Wall stand bucky,
the FPD does not need to be removed from the tray for rotation. It also features an optional
in-bucky FPD battery recharge module.

2.3.4 AEC
PrestoDR can be operated either in AEC (Automatic Exposure Control) mode, or in
“manual” mode. The AEC mode is preferred not only because it facilitates a more relaxed
work of the operator, but also mainly because it leads to a steady, repeatable controlled
operation of the system. After calibrations and running in, the system will deliver
consistently high quality images.
To enable the AEC mode, PrestoDR uses three Ion Chambers assembled in a single box.
These are installed in each of the FPD’s housings. The Ion Chambers collect X-ray
radiation and when sufficient exposure has been attained, the Ion Chambers trigger the
generator to terminate the exposure.
The Ion Chambers can be activated in automatic mode as determined by the APR protocol
or they can be manually selected at any time.
The calibration of the AEC is done for different “equivalent film speeds”. The higher the
speed, the lower the dose at which the exposure will be cut off by the AEC.

2.3.5 Grid
PrestoDR uses high density, fixed grids. They must be handled with due care. When
removed from the detector housing, they should be carefully stored.

18 System Description
2.4 Major PrestoDR System Components
Major PrestoDR 4143 Optimum system components include the PC, workstation monitor,
mPDU and bucky.
The system can also support the Pixium Portable 3543 (Wifi) flat panel detector.
Additional options are also available.

2.4.1 PC (Main Processing Unit)


The PC (MPU) is suitable for use outside the patient environment (technician room). It
comprises of the following components:
• Operating System: Microsoft Windows XP Professional
• Motherboard, with graphics and Ethernet support onboard
• Serial Ports
• The touch screen will be connected through DVI and USB.
• Processor: Intel 2.0 GHz or above
• Memory: at least 1800 MB, with speed 667MHz or above
• Keyboard
• Optical mouse
• Hard Drive: 500Gbytes or more
• Proprietary GIF board for generator and FPD interfacing
• Harness to/from the FPD
• Grounding harness

2.4.2 Workstation Monitor


• Optional Color 19” LCD Touch Screen, 1280x1024 pixels (landscape).

2.4.3 mPDU (mini Power Distribution Unit)


The mini Power Distribution Unit (mPDU) is part of the PrestoDR system. It is suitable for
use within a patient environment. The mPDU interfaces the bucky (a docking station in
case of Pixium Portable 3543). The mPDU is fed from room mains supply through a
medical power supply and provides 24vDC voltages.

2.4.4 Options
The following features are optional:
• DICOM 3.0 connectivity with the following sub-options:
▫ MWL – Modality Work List from HIS/RIS
▫ MPPS – Modality Performed Procedure Step
• Second detector
• Barcode reader

System Description 19
• Auto Stitch option – a unique application for “stitching” 2 to 5 images into one
image.
• Huestis automatic collimator control
• DAP control
• CD/DVD Burn with built-in DICOM viewer

2.5 X-ray Technique Factors


Note
The X-ray tube used for PrestoDR must have the following characteristics:
Small focal size = 0.6mm
Large focal size = 1.2 mm
kVp = 40-150kVp
Anode angle =12 degrees

PrestoDR is operated based on APRs (Anatomically Programmed Radiography). The X-ray


technique factors are set according to the specific APR (e.g. chest PA) and the technologist
has the option of adjusting the technique to his judgment.
However, the APR settings (which act as default settings) as established at the PrestoDR
commissioning, are based on Thales and the customer’s best experience.
A further tune up of the APRs may be recommended once the customer has gained sufficient
experience with the PrestoDR. This tune up should cover also the auto windowing and the
image post processing defaults.

2.6 DICOM Compatibility


The PrestoDR is DICOM-compliant, enabling easy integration into a PACS network.

2.6.1 DICOM PROTOCOL


The DICOM (Digital Imaging and Communications in Medicine) standard was formed to
facilitate the open exchange of medical images and associated information between different
digital diagnostic imaging modalities and between medical devices manufactured by various
vendors that evidently produce a variety of digital image formats.
With the PrestoDR systems, Thales offers full compliance with DICOM 3.0 standards. The
PrestoDR systems support the following DICOM 3.0 protocols:

2.6.2 DICOM Store


The DICOM Store service enables automatic, semi-automatic or manual transfer of images
acquired by the PrestoDR systems to any DICOM Storage Server (SCP).

2.6.3 DICOM Print


The DICOM Print service enables automatic or manual printing of images acquired in the
PrestoDR system in a DICOM complaint printer.

20 System Description
2.6.4 DICOM Modality Worklist Management (MWL)
The DICOM Modality Worklist Management service is used for automatic registration of
new patients and examinations in the PrestoDR systems by using the standard DICOM
MWM protocol to retrieve the examination details from the HIS/RIS server.

2.6.5 DICOM MPPS


The DICOM Modality Performed Procedure Step (MPPS) service is used for sending all
study information and x-ray parameters, such as acquisition information, patient details and
image information, to the HIS/RIS server upon completion of the examination

2.6.6 CD/DVD Burn


An optional PrestoDR feature enables burning of images on a CD or DVD. A built-in
DICOM viewer can be also burnt on the disc, enabling the radiologist to view the images on
any PC.

System Description 21
3 Preparations for Installation
This chapter describes the successive steps for installing the FPD and PrestoDR components.
To view a flow diagram of the installation process, see section 3.4 Installation Flow Chart.

3.1 Room Requirements


3.1.1 Installation Warnings
The following conditions must be complied with before installation begins.
• Ensure that the central ground terminal of the room has a resistance in accordance
with the regulations in force.
• Ensure that the room line input is protected by means of a differential breaker
calibrated for a maximum leakage current of 30 mA.
• Ensure that the room emergency circuit is present and designed in accordance with
the regulations in force.
• Ensure that the walls of the room have been prepared to prevent the emission of
scatter radiation into adjacent areas (usually the walls are lined with lead).
• Ensure that a qualified facility official approves the room before installation begins.

3.1.2 Power Requirements

Warning
• The power source and power configuration used for PrestoDR are
critical components to the final image quality.
• Be sure to follow the guidelines for the power requirements given
below when planning the installation of the PrestoDR system in the
site.

• PrestoDR 4143 System Power Specifications


Voltage VAC Hz Amps Phases
100-240 47-63 6.5 Single

• Line Frequency for UPS 500W, online type:


▫ 47-63 HZ.

• Main Power Cable should be permanently connected to Mains Distribution Box

• A dedicated circuit breaker for the system must be assembled in the main distribution
box in accordance with the country's line voltage standard and accordance to the
system’s power ratings

• The system’s monitor must be a UL unproved type and the Max Power rating is 80
Watt

Preparations for Installation 23


Warning
The Power Disconnect device shall disconnect both poles simultaneously and
must be located within the reach of the operator.

3.1.3 Grounding Requirements


Use cables only according to the connection instructions.
All the ground cables that connect to studs must be with spring washer and nut.

3.2 Overview of the Installation Procedure


3.2.1 Sequential Procedure
Perform the PrestoDR installation procedure sequentially, as described in the following
chapters.

NOTE
All connectors of the all units may be connected only to specified medical certified equipment.
Using other connectors is prohibited

3.2.2 Generators
PrestoDR currently interfaces with the following generators, with full integration:
• Sedecal
• CPI
Additional generators can be supported in an Add-On concept. In the Add-On mode, the
original generator console will continue to be used in order to control the generator.

3.2.3 Optimum Configuration


Detailed installation instructions for the Optimum configuration are available in
Chapter 4.

3.2.4 Compact Configuration


Detailed installation instructions for the Compact configuration are available in Chapter
5.
In the Compact configuration the integrator must first prepare the various components,
prior to installing in the X-Ray environment itself. See section 5.1.2.

3.2.5 First Installation Stages


The first installation stages are common for all generator types with only minor
differences:
• Unpacking
• For Compact systems only preparing the PC, power supply and cables

24 Preparations for Installation


• Preparing the FPD for installation
• Mounting the Bucky to the Gantry
• Positioning the PrestoDR components and establishing connections
• Connecting the Auto Collimator option

3.2.6 System Cable Interconnection


• The generator connection instructions described in Chapters 1 and Chapter 7 are
generator specific.
• The generator connection instructions described in Chapter 9 are for the add-on
mode.
• The following figures provide basic schematic information for each
PrestoDR/Generator configuration.

Preparations for Installation 25


3.2.6.1 CPI and Add-On Generator Connections – Single Pixium 4143 FPD

26 Preparations for Installation


3.2.6.2 CPI and Add-On Generator Connections – Dual Pixium 4143 FPD

Preparations for Installation 27


3.2.6.3 CPI and Add-On Generator Connections – Single Portable 3543 FPD

28 Preparations for Installation


3.2.6.4 CPI and Add-On Generator Connections – 1 x Pixium 4143 FPD + 1 x
Portable 3543 FPD

Preparations for Installation 29


3.2.6.5 Sedecal Generator Connections – Single Pixium 4143 FPD

30 Preparations for Installation


3.2.6.6 Sedecal Generator Connections – Dual Pixium 4143 FPD

Preparations for Installation 31


3.2.6.7 Sedecal Generator Connections – Single Portable 3543 FPD

32 Preparations for Installation


3.2.6.8 Sedecal Generator Connections – 1 x Pixium 4143 FPD + 1 x Portable 3543
FPD

Preparations for Installation 33


3.3 Recommended Tools and Measurement Devices
The following tools and equipment are recommended for installation and / or service of the
PrestoDR.
Verify that these items are available and in good condition before beginning any procedures.

3.3.1 Tools and Materials for Pixium 4143 Bucky Assembly

• Ratchet
• 8mm hex socket
• Philips #1, #2, #3
screwdrivers
• 3mm Allen wrench

3.3.2 Tools and Materials for Mounting the PrestoDR system


1 Pencil
1 Drill bit for concrete
2 (3 x) 6 mm jumbo mountings
3 Tie bands

3.3.3 Metric Tools

Spirit Level Measuring Tape

3.3.4 Hand Tools

Cutter Pliers Wire Stripper

34 Preparations for Installation


Hammer Knife

Flat Philips
Screwdriver Screwdriver

Allen Set
Ratchet
(inches and mm)

Preparations for Installation 35


3.3.5 Electrical Tools

Aluminum
Digital Multi Meter
plates 4 mm

3.3.6 Test Equipment

Oscilloscope Dosimeter

Copper 1.5 Monitor


mm Calibration
Absorber Colorimeter

MAS
METER KV METER

Image Quality
Phantom Digrad
A+K
(Made by
Pehamed)
# 2009175000

36 Preparations for Installation


3.4 Installation Flow Chart
Compact Optimum or Optimum
Compact
Configuration

Preparing PrestoDR Unpacking


Components
Section 4.1
Section 5.1

Preparing Workstation PC 4143 Bucky Installation


Section 5.2 Section 4.2

Portable 3543 Bucky &


4143 Bucky Installation Docking Station Installation
Section 5.3
Section 4.3

Portable 3543 Bucky & mPDU Installation


Docking Station Installation Section 4.4
Section 5.4

24V Power Supply


Electrical Connections
Installation
Section 5.5 Section 4.5

Electrical Connections Options Installation


Section 5.6 Section 4.6

CPI Sedecal
Type of
Generator

Other

Connecting CPI Generator Connecting Add On Mode Connecting Sedecal Generator


Chapter 7 Chapter 8 Chapter 6

Continued on the following page…

Preparations for Installation 37


Continued from the previous page

Windows XP Settings
Section 9.5

Compact Optimum or
Compact
Configuration

Compact System Settings


Section 9.6 Optimum

Monitor Adjustment
Section 9.7

Temporary Network Disabling


Section 9.8

PC & Detector
IP Address Setup
Section 9.9

FRD License Installation


Section 9.10

Wi-Fi Frequency Setting for


Portable FRD
Section 9.11

Detector Calibration
Section 9.12

Continued on the following page…

38 Preparations for Installation


Continued from the previous page

AEC Calibration Add-On AEC Calibration CPI AEC Calibration Sedecal


Section 9.15 Section 9.14 Section 9.13

Network Connectivity Restore


Section 9.16

DICOM Connectivity
Configuration
Section 9.17

Acceptance Test
Chapter 10

Installation Complete

Preparations for Installation 39


4 Installation of the Optimum Configuration

4.1 Examining the Contents and Unpacking the Bucky


4.1.1 Verify and Examine Contents
The equipment was carefully inspected and tested prior to shipment. Upon its arrival, inspect
each container for damage. Unpack each component as soon as possible and conduct a
thorough examination of the components.
Do this in the presence of the carrier if at all possible. If damage is noted, take photographs
of the damaged portions and immediately file a claim with the carrier. If the carrier is not
notified within 15 days of delivery, the carrier cannot be held responsible.

Notes
• Have a camera available to photograph any shipping damage.
• Visually check each box for damage, in case of damage a claim
should be filled with the carrier.

4.1.2 Recording Equipment Information


Fill in section 10.3.1 in the Acceptance Test Form of this manual for equipment
configuration and serial numbers recording.

4.1.3 Unpacking the Bucky


Use the following procedure to unpack the Bucky. For description of the major features of
the Thales bucky, refer to section 2.3.3 in this manual.
1 Open the packing box containing the Bucky.

Accessories
Package

Bucky in
Bubble Wrap

Packing Box

Figure 4-1 Bucky in Packing Box

Installation of the Optimum configuration 41


2 There are five different Bucky types:
• Wall Bucky
The Wall Bucky can be configured either as Right Grid door enabled or Left Grid door
enabled. Note the Grid door option on both sides of the following Column Bucky.

The door and panel position can be reversed according to room requirements.

Side Panel Door Panel

Figure 4-2 Wall Bucky

• Table Bucky
The Table Bucky has one straight edged, closed side.

Table Bucky has


one straight edged,
closed side.

Figure 4-3 Table Bucky

42 Installation of the Optimum configuration


• U-Arm Bucky
The U-Arm Bucky has a single open side.

U-Arm Bucky has


open side.

Figure 4-4 U-Arm Bucky

• Wall Bucky for Portable FPD

Installation of the Optimum configuration 43


• Table Bucky for Portable FPD

3 Visually verify that you have the correct Bucky type.


4 Locate the accessories package and place it in a convenient location.
5 Carefully remove the Bucky from the packing box and place the Bucky on a stable
work surface.
6 Remove the bubble wrap from the Bucky.

44 Installation of the Optimum configuration


4.2 PrestoDR 4143 Bucky Installation
4.2.1 Detector Installation
4.2.1.1 Wall Bucky

Figure 4-5 Wall Bucky

1 Prepare the mounting plate on your wall stand side that will match the back side of
PrestoDR wall bucky. The following drawing provides information on the size of the
bucky and location of mounting holes at the rear side

Installation of the Optimum configuration 45


2 Carefully remove the Bucky from the shipping package and put it aside on a clean
surface.
3 Locate and remove the accessory kit and place it aside. The accessory kit contains
cables and screws.
4 Release partially (as shown below) the 6 flange head screws (M5) to the rear side of the
Bucky. Leave space for between screw head and rear Bucky surface to allow for
hanging on the wall stand mounting plate.

5 Hang the Bucky on the mounting plate and tighten the 6 screws. Use a metric Allen key
(M5)
.

46 Installation of the Optimum configuration


6 Remove the right side cover of the bucky. Use metric Allen key to release the 4 screws
(M4)

Release 4 screws

Figure 4-6 Grid door

7 Open the Grid door and carefully remove the grid.

Installation of the Optimum configuration 47


8 Open the Grid door and carefully remove the grid.

9 To remove the front cover, use metric Allen key to release the 6 marked screws (M4).

48 Installation of the Optimum configuration


10 Remove the Pre amp:
a Disconnect the shown connector (pre amp)

Figure 4-7 Removing the Pre amp Connector


b Release 4 screws using a Philips screwdriver.

Release 4
screws

Figure 4-8 Removing four screws to release the ion chamber

Installation of the Optimum configuration 49


11 Remove the Ion Chamber:
a Release the connector (grid indication) as shown below.

Figure 4-9 Release the connector (grid indication)

b Release 8 screws M4 (holding the ion chamber and the grid indication micro switch) by
using Philips screwdriver and put it aside.

Figure 4-10 Release The ion chamber

50 Installation of the Optimum configuration


12 Remove the detector mounting plate, by releasing the 4 nuts (use a M5 metric hex socket tool).

Figure 4-11 Detector Mounting plate

13 Mount the detector onto the plate (as shown below).


Use Philips screwdriver to attach the 4 cone head screws which are supplied by Thales .

Detector

Detector’s Plate

Figure 4-11 mounting the detector to the plate

Installation of the Optimum configuration 51


14 Connect the cables supplied in the Accessory Kit (Power, Data and Ground) to the detector
side

.
Figure 4-12 Cables connecting to the detector

a Connect Power Cable P/N 91AP600015 to the detector. Leave other side of the cable open
b Connect Ethernet Data Cable P/N 91AP600033 to the detector. Leave other side of the
cable open
c Connect GND Cable P/N 91AP600007 of the detector to Bucky stud GND.

52 Installation of the Optimum configuration


15 Assemble the plate with the mounted detector to the Bucky using the 4 M5 nuts.
Note: make sure the cables are not pinched.

Do not attach nut here

Figure 4-13 fasten the 4 nuts M5

16 Connect the open side of the 3 cables


a Connect Power Cable P/N 91AP600015 to the BIF (Bucky Interface) Board
b Connect Ethernet Data Cable P/N 91AP600033 to the BIF (Bucky Interface) Board

Figure 4-14 connect the cables to the BIF board

Installation of the Optimum configuration 53


c Connect GND Cable P/N 91AP600007 to the Bucky

GND

Reconnect the ION Chamber and the grid indication micro switch cable. Fasten the 8 screws
with their washers.
17 Reconnect the pre amp to the BIF board. Fasten the 4 screws with their washers.
18 Mount the front cover by using 6 (M4) screws.
19 Insert the grid in to the Bucky, and close the side door.
20 Reconnect the side cover by using 4 (M4) screws.

54 Installation of the Optimum configuration


4.2.1.2 U-arm Bucky

1 Prepare the mounting plate on your U-arm side that will match the back side of PrestoDR
U-arm bucky. The following drawing provides information on the size of the bucky and
location of mounting holes at the rear side

2 All other preparations of a U-arm bucky and assembly of the detector inside the bucky are
identical to activities done for a wall bucky. Please refer to the instructions in section 4.2.1.1.

Installation of the Optimum configuration 55


4.2.1.3 Table Bucky

56 Installation of the Optimum configuration


4.3 PrestoDR Portable Bucky and Docking Station Installation
4.3.1 Mounting the Portable Bucky to the Gantry
This procedure needs to be done in case of installing a Pixium Portable FPD, using the
Thales bucky. If a non-Thales bucky is used, refer to its manufacturer’s installation
instructions.
Disconnect the 6 M5 nuts and spring washers that are assembled on the bucky studs.
Mount the bucky to the gantry plate, placing the stubs from the bucky inside the gantry
designated holes. Use the six M5 bolts and sprint washer to secure the bucky.

Figure 4-12 Six studs for securing the Bucky

Installation of the Optimum configuration 57


4.3.2 SAPM
The Wall Bucky can be operated with an internal SAPM charger.
These instructions are intended to serve as a guideline for the assembly of the charger in the
case that this option was ordered for the product.

The wall Bucky has left and right tray opening configuration. The drawings in this document
depict the left side opening model. However the assembly procedure is similar for both
models.

Recommended tools

1. A Philips screw driver


2. A metric hexagon (Allen) wrench tool set.

Assembly procedure

1. Remove the Bucky from its package and place it on flat and clean working surface.

58 Installation of the Optimum configuration


2. Open the side door and disassemble the tray's stopper by releasing two M4 screws using
Philips screwdriver.

Tray's
stopper

3. It is recommended that the Bucky will be attached to the vertical mounting device (as in
regular operation) during the SAPM installation.

6x M5 threads
For mounting

In the case you select to assemble the SAPM with the Bucky in horizontal position with its
front cover facing the working surface, it is important to take extra care to avoid any
damage or scratches to the Bucky and its covers.
- Cover the working surface with a soft and clean before placing the Bucky.
- It is important to support the extracted tray, to avoid Bucky flipping over.
- Recommendation- two people working.

Installation of the Optimum configuration 59


4. Disassemble the side door by releasing four M3 screws. Use Philips screwdriver.

Release 2 screws

Release 2 screws

60 Installation of the Optimum configuration


5. Extract the tray by pulling the handle until it is in it outward position.

Tray handle

6. Disassemble tray's cover. Use Philips screwdriver to open 10 M3 screws.


Tray cover

Installation of the Optimum configuration 61


7. Disassemble the SAPM Adapter Board. Release 4 M3 screws using Philips screwdriver.

SAPM Adapter Board

8. Release SAPM mounting dedicated 6 screws. Keep the screws, the nuts can be discarded.
Use metric Allen keys.

62 Installation of the Optimum configuration


9. SAPM Preparation:
9.1 Disassemble connector's hood

9.2 Unplug gland. Support the cable and make sure you are not pulling on it.
Pulling on it can disconnect the internal cable connection.

Installation of the Optimum configuration 63


10. Attach the SAPM to the chassis with the 6 screws that were just released. Notice to the
required direction of SAPM built in cable.

Cable

64 Installation of the Optimum configuration


11. Reconnect the SAPM Adapter Board.
Disconnect the 2 jack post screws.

Jack post screws

12. Connect the SAPM built in cable to the SAPM Adapter Board. Reconnect the 2 jack post
screws that were just taken off.

13. Assemble the Bucky. Follow the disassembling steps in reverse.

WARNING!
Do not power the PrestoDR system before completing the installation procedure!!

Installation of the Optimum configuration 65


4.3.3 Portable Docking Station Information
This section provides detailed information on how to install the Portable 3543 FPD and the
Docking Station. In the following explanation, DS refers to Docking Station, and FE refers
to Front End (the FPD itself).
4.3.3.1 General Information

Do not open the inner plastic bag before allowing sufficient acclimatization time.
The acclimatization time is typically 4 hours. It is recommended to remove the
detector from the two cardboard boxes during this time – however, do not under,
any condition, open the sealed protective bag during this time. Take care not to
apply excessive shocks to the shipping containers even if empty.

The SAPM module inside the DS (optionally: and inside the bucky) enables charging
the Front End (FE) battery. When the FE is placed inside the FE’s front flap, it is
automatically detected and the SAPM internally unfolds its contact pins to charge the
FE’s battery. When the user holds the FE’s handle, the SAPM will retract the contact
pins so that the FE can safely be removed from the front flap.

When the system power is disconnected, the DS and the bucky are unable to retract
the contact pins when the FE is removed. Do not remove the FE from the DS when
the DS power is disconnected to avoid damaging the contact pins.

4.3.3.2 Docking Station Description

66 Installation of the Optimum configuration


NOTE
The communication between the docking station and the host system is accomplished
via real-time signals and Ethernet (connectors 6b and 7).

Installation of the Optimum configuration 67


NOTE
The backup cable connector (connector 12 in the drawing above) can alternatively be
mounted at the interior of the docking station. A plug is delivered to cover the hole at
the side.

Status LEDs:

68 Installation of the Optimum configuration


4.3.3.3 Unpacking the Docking Station
Inspection of the incoming shipment
• Check the state of the packaging.
Storage and handling instructions
• The unit must be stored and handled within its original cardboard box. Do not open this
box if there is no need.
• While not used nor powered, the unit should be stored within the inner protective bag
resealed or re-closed with adhesive tape.
Unpacking instructions
• The cardboard box and the inner protective bag have to be opened with care in order to be
reused.
• In order to open the cardboard box, remove the adhesive tape on the topside by stripping
it off. Do not use a cutter knife.
Unpacking procedure
a) Open the cardboard box
b) Remove the foam buffer pieces
c) Open the inner protective bag
d) Keep the original packaging parts in a secure place in case of unit return.

Installation of the Optimum configuration 69


Re-packing instructions
• All the original parts of the packing have to be used for any shipment of the unit.
Packing procedure:
a) Introduce the unit inside the protective bag.
b) Re-close the bag.
c) Place the foam buffer pieces over both sides of the unit in the bag.
d) Place the unit with bag and buffers inside the original cardboard box.
e) Re-close the box with a reinforced adhesive tape. Attach the new tape over the
protective tape that was already glued on the cardboard boxes.
4.3.3.4 Unpacking the Front End
Inspection of the incoming shipment
 Refer to labels attached to the outside of the cardboard box for an explanation of the
information provided by the RED shock indicator attached to the outer cardboard box.
 Check the state of the outer box and the RED shock indicator. In case of an activated
shock indicator or outer box damage event, do not refuse the parcel: the above events do
not necessarily mean that the content is damaged. Indicate on the invoice and enclosed
shipping documents that the shock indicator is activated or that the outer box is damaged.

Storage and handling instructions


 Refer to the Unpacking Instruction Label attached to the outer cardboard box for the
storage and handling conditions of the incoming shipment (stacking limitations,
environmental temperature and humidity, pressure, etc...).
 The detector must be stored and handled within its original larger outer cardboard box.
Do not open this outer box if there is no need.
 While not used nor powered, the detector should be stored within the inner protective
bag resealed or closed with adhesive tape, and using desiccant material inside the bag
to avoid any humidity on the detector.
Unpacking instructions of the Front End
 The cardboard box and the inner protective bag have to be opened with care in order to
be reused.
 In order to open the cardboard box, remove the adhesive tape on the topside of the box
by stripping it off. Do not use a cutter.
 Unpacking procedure:
a) Open the outer cardboard box,
b) Check the YELLOW shock indicator attached to the inner cardboard box, note if it is
activated or not,
c) Remove the inner protective bag from the box.
d) In order to open the inner protective bag, cut off only the sealed part of the bag (on
the right side with respect to the label glued on the bag).

70 Installation of the Optimum configuration


e) Immediately after opening the inner protective bag, check and note the value
provided by humidity indicator placed inside the bag.
f) A digital readout thermometer is placed inside the inner cardboard box, to record max
and min temperatures during transport and storage. To read these temperatures, just
press MAX/MIN push-button and note the indications. Refer to the PIXIUM Portable
detector specifications for specified temperature values.
g) Keep the following original parts in a secure place in case of detector return:
• Cardboard box
• Foams,
• Digital thermometer,
• The new inner protective bag, which contains a new protective cardboard plates, a
small sealed bag with desiccant material bag(s) and a new humidity indicator. DO
NOT OPEN this small sealed bag as it will be used in the case of any detector
return. Take care to not apply undo shocks to the shipping containers even if
empty.

Two shock sensors are incorporated in the FE and visible when the
battery cover is opened. Those shock sensors are calibrated in such a
way that they are triggered to a red colour if the FE was submitted to a
shock corresponding to a 70 cm drop height or higher. Thales does not
guarantee the performance of the detector in any case if one of those
sensors is red

Installation of the Optimum configuration 71


Re-packing instructions
 All the original parts of the packing have to be used for any shipment of the detector. In
case of detector return, a set of repacking material is delivered within the original
detector package. Do not use the old desiccant material, which was found inside the
sealed inner protective bag! Open the small sealed bag (see above) and place the
contents with the detector just before closing the new bag.
 Packing procedure (see pictures in appendix):
a) Introduce the detector (equipped with the new cardboard plate) inside the new
protective bag.
b) Place the new desiccant material bag(s) in the middle of the cardboard plate, as well
as the new humidity indicator inside the bag.
c) Re-close the bag by sealing it as close as possible to the opening with appropriate
sealing equipment under conditions printed on the bag (190 °C / 3 sec / 2 bars).
d) Only when there is no appropriate sealing equipment, and only if there will be no
long term storage of the packed detector, use the strip of adhesive tape attached to the
rear side of the inner protective bag.
e) Reset the digital readout thermometer placed inside the cardboard box by pressing the
MEM pushbutton.
f) Place the protective bag inside the original cardboard box, using the foam provided
with original shipment.
g) For cardboard box, re-close the box with a reinforced adhesive tape. Attach the new
tape over the protective tape, which was already glued on the cardboard box.

4.3.4 Portable Docking Station Installation


Use ESD protection while unpacking from protective bag and installing the components
here above.
All installation work is possible with standard mechanical service tools.
The interface areas are accessible from the outside of the detector FE and the outside of the
DS (no cover needs to be removed).
During installation, ensure than no sharp corners or edges can damage the cabling.
Remove detector FE , DS, Backup cable and battery from their original packaging Place
and connect the battery inside the FE. Use a specific tool to unscrew.

4.3.4.1 Docking station wall mounting


The docking station is standard designed to be fixed to a wall or suitable chariot. The
mounting plate to fix the DS to the wall or chariot is screwed to the DS when shipped.

72 Installation of the Optimum configuration


Mounting plate
To install the docking station, proceed as follows:
1 Unscrew the 4 screws fixing the mounting plate to
the DS.

2 Unhook the DS from the mounting plate.


3 Screw the mounting plate to a suitable wall or chariot by means of 4 screws.
4 Hook the DS to the mounting plate.
5 Fix the DS to the mounting plate by using the 4 fixing screws (see step 1).

When the docking station power is disconnected, the DS is unable to retract the
contact pins when the FE would be removed. So do not remove the FE from the DS
when the DS is disconnected to avoid damaging the contact pins.

Installation of the Optimum configuration 73


4.4 mPDU installation

NOTES
1.Electric cabinet intended for miniPDU permanent installation should include
dedicated device, which disconnects miniPDU from the supply mains on two
poles simultaneously (circuit breaker, etc.).
2.For USA applications permanently connected equipment (mPDU) shall be
installed and connected in accordance with the NEC-70 Standard.

1 Determine the location and orientation of the unit.

2 Open the top cover: release the 4 screws holding the cover.

3 Attach the unit to the wall, and mark 4 holes to drill

74 Installation of the Optimum configuration


4 Determine the element to fasten the unit to the wall and drill accordingly.

WARNING!
The mPDU must be installed as shown above, with the cables installed from the side,
otherwise overheating of the power supply may occur.

Notice: the holes in the unit are 4.8mm diameter.


5 Before mounting- determine the cable outlet location between the two options.

6 Attach the supplied grommet to the cable outlet hole. It has an adhesive layer inside-
squeeze the grommet well to ensure adhesion.

7 Mount the unit to the wall

Installation of the Optimum configuration 75


4.5 Optimum Configuration Electrical Connections
This section provides information about the electrical connections of the PrestoDR
components (Optimum configuration).

NOTES
1. The PrestoDR system has only 2 main power inputs: One for the PC and the
other for the mPDU (mini Power distribution Unit)
2. All parts of the PrestoDR system, except the PC should be powered only
from the mPDU.

4.5.1 PC Electrical Connections

Figure 4-13: MPU Connections

NOTE
PC power supply cord set and connecting cords between equipment parts should be
compliant with the national deviations to the safety standards.
The power supply cord set shall be 3 wires, 250 V, 18 AWG minimum.

76 Installation of the Optimum configuration


Connect the cables to the PC as indicated in the following table:
Table 4-1 PC Electrical Connections

From To Function Thales P/N Comment


PC Main Power Main power supply cable Supplied with the 220VAC or 115VAC as
PC per local requirements
PC Main GROUND GROUND 91AP600021
PC/USB Port Keyboard Keyboard Cable
PC/USB Port Mouse Mouse Cable
PC/USB Port Monitor USB connection for Touch Supplied with the Use for touch screen
Screen monitor only
PC / Digital Monitor DVI-D video signal Supplied with the
Display monitor
PC / Detector * (see following FPD Ethernet Data Connection 91AP600035 For Portable DS
/ DS Ethernet connection use
Connection table) 91AP300329 instead
PC / Detector2 * (see following Ethernet Data Connection 91AP600035 For 2nd FPD only.
FPD / DS Ethernet
Connection table) For Portable DS
connection use
91AP300329 instead
PC/B.STATUS1 ** (see following Bucky Control / Status Signals 91AP600037
Bucky control /
Status Connection
table)
PC/B.STATUS2 ** (see following Bucky Control / Status Signals 91AP600037 For 2nd Bucky only
Bucky control /
Status Connection
table )
PC/XRAY Docking Station X-Ray Enable fiber Optic 91AP300319 For Portable 3543 FPD
only
PC/ CPI Indico 100 RS232 Connection 91AP600047
Generator
GENERATOR
CPI CMP 200DR RS232 Connection Supplied by CPI
Gen.
Sedecal Generator/ RS232 Connection Supplied by
Sedecal
Mini Console Panel
PC/GEN CPI Indico 100 Generator’s discreet I/O 91AP700007 For CPI Indico 100
DISCREETS Generator signals Generator only
CPI CMP 200DR 91AP600210 For CPI CMP 200DR
Gen. Generator only
Sedecal Generator 91AP500007 For Sedecal Generator
only
Add-On Mode 91AP700007 For Add-On Generator
Generator only
PC/ Ethernet Hospital Network LAN Connectivity Not supplied For DICOM
Connection Connectivity

Installation of the Optimum configuration 77


(*) FPD / DS Ethernet Connection table
Use PC/DETECTOR and PC/DETECTOR2 connectors as per the following table

System Configuration Connect Connect


PC/DETCTOR PC/DETCTOR2
to: to:
Single 4143 FPD 4143 FPD ---
Single Portable FPD Portable DS ---
Dual 4143 FPD 4143 FPD (Wall) 4143 FPD (Table)
One 4143 + one Portable FPD 4143 FPD Portable DS

(**) Bucky control / Status Connection table


Use PC/ B.STATUS1 and PC/ B.STATUS2 connectors as per the following table

System Configuration Connect Connect


PC/B.STATUS1 PC/B.STATUS2
to: to:
Single 4143 FPD (Wall) 4143 Wall Bucky ---
Single 4143 FPD (Table) --- 4143 Table Bucky
Single Portable FPD (Wall) Portable Wall ---
Bucky
Single Portable FPD (Table) --- Portable Table
Bucky
Dual 4143 FPD 4143 Wall Bucky 4143 Table Bucky
One 4143 (Wall) + 4143 Wall Bucky Portable Table
One Portable FPD (Table) Bucky
One 4143 (Table) + Portable Wall 4143 Table Bucky
One Portable FPD (Wall) Bucky

78 Installation of the Optimum configuration


4.5.2 mPDU Electrical Connections

Connect the cables to the mPDU as indicated in the following table. When finished,
secure the top cover.

From To Function Thales P/N Comment


mPDU Main Power Main power supply cable 84AP100005 220VAC or 115VAC as
per local requirements
mPDU Main GROUND 91AP600013
GROUND
mPDU Bucky Bucky Ground 91AP600019 One for each 4143
bucky
mPDU Docking DS Ground 91AP600029 For Portable 3543
Station FPD only
mPDU Bucky 24V DC Supply to bucky 91AP600011 One for each 4143
bucky
mPDU Docking 24V DC Supply to DS 91AP600031 For Portable 3543
Station FPD only

4.5.3 Portable Docking Station Connections


From To Function Thales P/N Comment
Docking Station PC / Detector Ethernet Data 91AP600035 In case the Portable
Connection FPD is the only
detector
Docking Station PC / Detector2 Ethernet Data 91AP600035 In case of one 4143
Connection FPD plus one Portable
FPD
Docking Station PC/XRAY X-Ray Enable fiber Optic 91AP300319
Docking Station mPDU DS Ground 91AP600029
Docking Station mPDU 24V DC Supply to DS 91AP600031

Installation of the Optimum configuration 79


4.5.4 Bucky Electrical Connections
4.5.4.1 4143 FPD Bucky Electrical Connection
1 Connect cables to the bucky and to the other units as per the following table:

2 Secure connectors and ground cable with dedicated screws.


From To Function Thales P/N Comment
Bucky mPDU Bucky Ground 91AP600019 One for each 4143
bucky
Bucky Generator AEC 91AP600009 One for each 4143
bucky
Wall Bucky PC/B.STATUS1 Bucky Control / Status 91AP600037
Signals
Table Bucky PC/B.STATUS2 Bucky Control / Status 91AP600037
Signals
Bucky PC / Detector Ethernet Data 91AP600035 Connect according to
--- or --- Connection Table (*)
PC / Detector2
Bucky mPDU 24V DC Supply to bucky 91AP600011 One for each 4143
bucky

80 Installation of the Optimum configuration


4.5.4.2 Portable FPD Bucky Electrical Connection

1 Connect cables to the bucky and to the other units as per the following table:
From To Function Thales P/N Comment
Bucky mPDU Bucky Ground 91AP600019 One for each Portable
bucky
Bucky Generator AEC 91AP600009 One for each Portable
bucky
Wall Bucky PC/B.STATUS1 Bucky Control / Status 91AP600037
Signals
Table Bucky PC/B.STATUS2 Bucky Control / Status 91AP600037
Signals
Bucky mPDU 24V DC Supply to bucky 91AP600011 One for each bucky

4.5.5 Monitor Connection


Unpack the LCD Touch Screen Monitor and place it in the “Control Room”. The following
instructions apply to the Thales recommended ELO 1928L monitor.

Monitor Installation:

1 Connect the monitor adaptor to the power jack.


2 Connect the DVI-D to the digital jack.
3 Connect the USB cable to the USB jack.

Installation of the Optimum configuration 81


1 2 3 4
82 Installation of the Optimum configuration
4.6 Installation of Options
PrestoDR enables a large variety of options to be added to the basic system. Each option is
accompanied by a dedicated Option Manual. For detailed description on how to install any
specific option, refer to the relevant Option Manual.

Installation of the Optimum configuration 83


Installation of the Compact configuration 84
5 Installation of the PrestoDR Compact configuration

5.1 Preparing PrestoDR Components


This section is applicable only for PrestoDR Compact configuration. In case of Optimum
Configuration, skip this section.

This section describes in detail the preparation procedure of the various PrestoDR components for
installation. All sub-sections must be executed precisely as described.

5.1.1 Items Supplied by Thales

The following components are provided by Thales:


• GIF board (P/N 95SZ300501)
This board shall be installed inside the PC. It supports the generator interface, as well
as interconnection of synchronization signal to the FPD. See the information in
section 8.1 regarding GIF inputs and outputs.
• GIF - USB Cable, for connection GIF inside the PC (P/N 91AP600055)
• PC Hard Drive (HDD) pre-loaded with Windows XP Operating System and
PrestoDR application software
• Flat Panel Detector. Two detectors in case of Duel FPD system

5.1.2 Items Supplied by the Integrator

The following items are provided by the integrator. Prior to the installation make sure that all items
comply with the minimal requirements as specified in this section.

5.1.2.1 Bucky
The bucky should be capable of housing the Pixium 4143 FPD, or the Pixium Portable FPD, as per
the system configuration. It should also contain a fixed grid.
Requirements for Pixium 4143 FPD Bucky:
• The recommended Thales grid is with 8:1 ratio and 85 lines/cm. The grid should be
removable.
Grid for wall bucky should have 135 cm focal length, while for a table bucky it should
have focal length of 100 cm.
• AEC module with 3 ion chambers
• It is recommended that following switch will be present in the bucky:
o Grid Existence – should be open when grid is removed from bucky
Requirements for Pixium Portable FPD Bucky
• The recommended Thales grid is with 8:1 ratio and 93 lines/cm. The grid should be
removable.

Installation of the Compact configuration 85


Grid for wall bucky should have 135 cm focal length, while for a table bucky it should
have focal length of 100 cm.
• AEC module with 3 ion chambers
• It is recommended that following switches will be present in the bucky:
o Grid Existence – should be open when grid is removed from bucky
o Landscape Orientation indication - should be closed when the Portable FPD is in the
Landscape orientation
o Portrait Orientation indication - should be closed when the Portable FPD is in the
Portrait orientation

5.1.2.2 24V Power Supply


A 24V power supply for driving Pixium 4143 FPD and / or Docking Station power should be
prepared.
Use the power supply only as recommended by Thales:
Manufacturer: Nemic Lambda
Model Number: NV1-1G000
Power supply must be protected using a 4A fuse.

86 Installation of the Compact configuration


5.1.2.3 Workstation PC (MPU)
The integrator should prepare the PC that will house the GIF board and the hard drive supplied by
Thales. See the information in section 8.1 regarding GIF inputs and outputs. Minimum
specifications for the PC are provided in the following table:

Item Specification
Processor Intel (at least 2GHz)
Graphics Board Onboard DVI Support
Memory at least 1800MB, speed 667Mhz or above
Network Port 1 Intel 1Gb LAN
Network Port 2 Intel 1Gb LAN
Network Port 3 Additional NIC (Network Interface Card), Intel
1Gb LAN. Required only when two FPDs are
used
Serial Port Isolated RS232 port for Sedecal or CPI
generators support.
Use VSCOM P/N UPCI-200Li-SI Board. Do
not use on-board Serial Communication port as it
is normally not isolated.
CPU Fan S1156 High quality Fan
Power Supply 300W Medical Grade Power Supply
DVDRW Well known brand Model DVD Burner
Keyboard Support for USB/PS2
Mouse Support for USB/PS2 (2 Button Scroll Optical)
Chassis Form Factor ATX/Micro ATX
Brackets At least one for GIF Board assembly
Hard Drive At least 500GB - Supplied by Thales
Operating System Windows XP - Supplied by Thales

5.1.2.4 Monitor
Color 19” LCD flicker-free Touch Screen (through USB connection), with 1280x1024 pixels
(landscape), with active matrix TFT LCD and antiglare surface treatment. Thales’ recommended
model is ELO 1928L.

Installation of the Compact configuration 87


5.1.2.5 Cables
For PrestoDR 4143 Compact configuration, the following cables should be prepared:

5.1.2.5.1 Bucky Cables


• Bucky Control Cable
The cable should connect the bucky passive switches to GIF. It should be used only
when switches for indication of grid existence, or portable / landscape orientation (for
Portable FPD) are installed in the bucky.

PC side (GIF) PrestoDR Function Comments


RJ45 In/ Out
2 I LANDSCAPE For Portable FPD Bucky only
3 I COMMON
5 I GRID
6 I PORTRAIT For Portable FPD Bucky only

All bucky switches should be connected between the designated function pin and
Common. Switches must be passive only, closed when the event is active (grid is
present, Portable FPD is in Landscape or Portrait orientation, respectively).
In case of dual 4143 FPD system, two cables are required

• Bucky GND cable


In case of dual bucky system, two identical cables are required
• AEC to Generator Cable
The cable shall be prepared to connect the selected AEC device to the appropriate
generator inputs. Consult with AEC device and generator manufacturers
In case of dual FPD system, two cables are required

5.1.2.5.2 PC Related Cables


• PC GND Cable
• PC AC Power Cable.
The cable and the cords should comply with local safety standards. The cable must be
3 wires, 250V, 18 AWG minimum
• FPD Data Cable
Crossed Ethernet cable for connection of PC and FPD. CAT 5e category.
In case of dual FPD system, two identical cables are required
• DVI-D Cable for monitor data connection
• Monitor Power Supply
• Ethernet cable for network connection (for DICOM). CAT 5e category.

88 Installation of the Compact configuration


5.1.2.5.3 24V Power Supply Cables
• 24V Power Supply to FPD Cable
Prepare a cable to connect the 24V Power Supply and FPD. For FPD side use Female
DB-15 connector.
In case of dual 4143 FPD system, two identical cables are required
Wire list of the cable is available in the following table.

FPD Side Function Description


DB-15 Female
6, 7, 8, 13, 14, 15 24V 24V power
input
1, 2, 3, 9, 10, 11 0V 24V power
input GND

• 24V Power Supply GND cable


• AC Power Cable for Power Supply

5.1.2.5.4 Generator Cables


• For CPI Generator
▫ For CPI Indico 100 generator
Prepare a Generator Control Cable as per Thales PN 91AP70007. For PC side
(GIF Board connection) use DB-9 male connector. Wirelist of the cable is
available in the following table. See the information in section 8.1 regarding
GIF inputs and outputs.

PC side PrestoDR Function


(GIF) In/ Out
DB9 Male
7 I PREP_REQ
2 I PREP_REQ return
6 I EXP_REQ
1 I EXP _REQ return
4 O EXP_ACK
8 O EXP_ACK return

▫ For CPI CMP 200DR generator


Prepare a Generator Control Cable as per Thales PN 91AP600210. For PC side
(GIF Board connection) use DB-9 male, and for the generator side use DB-37
female connector. Wire list of the cable is available in the following table. See

Installation of the Compact configuration 89


the information in section 8.1 regarding GIF inputs and outputs.

PC side PrestoDR Function Generator side


(GIF) In/ Out DB37 Female
DB9 Male
7 I PREP_REQ 4
2 I PREP_REQ return 7
6 I EXP_REQ 5
1 I EXP _REQ return 26
4 O EXP_ACK 8
8 O EXP_ACK return 29

▫ Serial Communication
For CPI Indico 100 generator, prepare a PC to Generator Communication
Cable as per Thales PN 91AP600047.
For CMP 200DR generator, the serial communication cable is provided by CPI.

PC side Generator side


(GIF) DB9 Female
DB9 Male
2 3
3 2
5 5

90 Installation of the Compact configuration


• For Sedecal Generator
▫ Prepare a Generator Control Cable as per Thales PN 91AP500007. For PC side
(GIF Board connection) use DB-9 male connector, and for the generator side
DB-9 female connector. Wire list of the cable is available in the following
table. See the information in section 8.1 regarding GIF inputs and outputs.

PC side PrestoDR Function Generator side


(GIF) In/ Out DB9 Female
DB9 Male
7 I PREP_REQ 5
2 I PREP_REQ return 6
6 I EXP_REQ 4
1 I EXP _REQ return 1
4 O EXP_ACK 2
8 O EXP_ACK return 3
5 O PREP_ACK 7
9 O PREP_ACK return 8

▫ Serial communication cable for connection of PC and the Sedecal generator


(normally supplied by Sedecal (P/N A3363-01))
• For Add-On Mode Generator (any generator other than Sedecal or CPI)
▫ Prepare a Generator Control Cable as per Thales PN 91AP70007. For PC side
(GIF Board connection) use DB-9 male connector. Wirelist of the cable is
available in the following table. See the information in section 8.1 regarding
GIF inputs and outputs.

PC side PrestoDR Function


(GIF) In/ Out
DB9 Male
7 I PREP_REQ
2 I PREP_REQ return
6 I EXP_REQ
1 I EXP _REQ return
4 O EXP_ACK
8 O EXP_ACK return
5 O PREP_ACK
9 O PREP_ACK return

Installation of the Compact configuration 91


5.1.2.5.5 For Portable FPD only
• Crossed Ethernet cable for connection of PC and the FPD. CAT 5e category.
• 24V Power Supply to DS Cable
Prepare a cable to connect the 24V Power Supply and FPD. For FPD side use Female
DB-15 connector.
Wire list of the cable is available in the following table.

FPD Side Function Description


DB-15 Female
6, 7, 8, 13, 14, 15 24V 24V power
input
1, 2, 3, 9, 10, 11 0V 24V power
input GND
• X Ray enable Optical Fiber Cable. Shall be connected between the Docking station and
PC / XRAY input (GIF Board)
• Docking Station GND Cable

92 Installation of the Compact configuration


5.2 Preparation of the Workstation PC

NOTE:
The pictures below show a specific motherboard. They might
change based on the actual motherboard selected by the
Integrator

1 Mount the GIF board (supplied by Thales) inside the PC.


Use the Thales supplied GIF to USB Cable (PN 91AP600055) , to connect the board in
the correct USB jack using the flat cable as shown in the picture below:

USB jack on the


rear part of the GIF USB jack on the
motherboard

The flat cable


supplied by Thales

Installation of the Compact configuration 93


2 Mount the Hard Drive (supplied by Thales) inside the PC. Connect the data cable to
the non RAID SATA port as shown in the picture below.

3 Connect the COM port (for generator communication) as show in the picture below:

Use a COM port connector on


the Motherboard for the
generator COM port

94 Installation of the Compact configuration


5.3 4143 FPD Bucky Installation
Follow the instructions of the Bucky manufacturer. Place the Pixium 4143 FPD inside
the bucky, either in the landscape, or the portrait orientation.
Securely mount the bucky onto the wall stand or inside the table, as required.

5.4 Portable FPD Bucky and Docking Station installation


Follow the instructions of the Bucky manufacturer.
Securely mount the bucky onto the wall stand or inside the table, as required.
The docking station is designed to be fixed to a wall or suitable chariot. The mounting plate
to fix the DS to the wall or chariot is screwed to the DS when shipped.

Mounting plate
To install the docking station, proceed as follows:
1 Unscrew the 4 screws fixing the mounting plate to
the DS

2 Unhook the DS from the mounting plate.


3 Screw the mounting plate to a suitable wall or chariot by means of 4 screws.
4 Hook the DS to the mounting plate.
5 Fix the DS to the mounting plate by using the 4 fixing screws (see step 1).

Installation of the Compact configuration 95


5.5 24V Power Supply Installation
Install the 24V Power supply according to the cable length limitations. To avoid any
possibility of electrical shock, make sure that it is covered and protected, and cannot be
accessed by any person except for the PrestoDR service engineer.

NOTES
1 Electric cabinet intended for 24V Power Supply permanent installation should include
a dedicated device, which disconnects the Power Supply from the main power on two
poles simultaneously (circuit breaker, etc.).
2 For USA applications the 24V Power Supply shall be installed and connected in
accordance with NEC-70 standard

96 Installation of the Compact configuration


5.6 Compact Configuration Electrical Connections
This section provides information about the electrical connections of the PrestoDR
components (Compact configuration).

NOTE
The PrestoDR system has only 2 main power inputs: One for the PC and the other
for the 24V Power Supply Unit

Installation of the Compact configuration 97


5.6.1 PC Electrical Connections

Connect the cables to the PC as indicated in the following table.

From To Function Comment


PC Main Power Main power supply cable 220VAC or 115VAC as
per local requirements
PC Main GROUND
GROUND
PC/USB Port Keyboard Keyboard Cable
PC/USB Port Mouse Mouse Cable
PC/USB Port Monitor USB connection for Use for touch screen
Touch Screen only
PC / Digital Monitor DVI-D video signal
Display
PC / Ethernet Port 4143 FPD or Ethernet Data
Portable DS Connection
nd
PC / 2 Ethernet 4143 FPD or Ethernet Data In case of a dual FPD
Port Portable DS Connection system only
PC/GIF Wall Bucky Bucky Control / Status Only when Status
(B.STATUS 1) Signals switches are available
PC/GIF Table Bucky Bucky Control / Status Only when Status
(B.STATUS 2) Signals switches are available
PC/GIF (XRAY) Docking X-Ray Enable fiber Optic For Portable 3543
Station FPD only
PC/RS232 CPI Indico 100 RS232 Connection
(Isolated Port) Generator
CPI CMP RS232 Connection
200DR Gen.
Sedecal RS232 Connection
Generator/
Mini Console
Panel
PC/GIF (GEN CPI Indico 100 Generator’s discreet I/O For CPI Indico 100
DISCREETS) Generator signals Generator only
CPI CMP For CPI CMP 200DR
200DR Gen. Generator only
Sedecal For Sedecal Generator
Generator only
Add-On Mode For Add-On Generator
Generator only
PC/ Ethernet Hospital LAN Connectivity For DICOM
Connection Network Connectivity

98 Installation of the Compact configuration


5.6.2 24V Power Supply Unit Electrical Connections

Connect the cables to the 24V Power Supply Unit as indicated in the following table.

From To Function Comment


24V Power Main Power Main power supply cable 220VAC or 115VAC as
Supply per local requirements
24V Power Main GROUND
Supply GROUND
24V Power FPD 24V DC Supply to FPD One for each 4143
Supply FPD
24V Power Docking 24V DC Supply to DS For Portable 3543
Supply Station FPD only

5.6.3 Portable Docking Station Connections

From To Function Comment


Docking Station PC / Ethernet Ethernet Data
Port Connection
nd
Docking Station PC / 2 Ethernet Data In case of a dual FPD
Ethernet Port Connection system only
Docking Station PC/GIF X-Ray Enable fiber Optic
(XRAY)
Docking Station GND DS Ground
Docking Station 24V Power 24V DC Supply to DS
Supply Unit

Installation of the Compact configuration 99


5.6.4 Bucky Electrical Connections

5.6.4.1 4143 FPD & Bucky Electrical Connection


Connect cables to the bucky and to the other units as per the following table:

From To Function Comment


Bucky GND Bucky Ground One for each 4143
bucky
Bucky Generator AEC One for each 4143
bucky
Wall Bucky PC/GIF Bucky Control / Status Only when Status
(B.STATUS1) Signals switches are available
Table Bucky PC/GIF Bucky Control / Status Only when Status
(B.STATUS2) Signals switches are available
FPD PC / Ethernet Ethernet Data
Connection
Table FPD PC / Ethernet 2 Ethernet Data Use only in case of
Connection dual FPD system (for
Table FPD)
FPD 24V Power 24V DC Supply to FPD One for each 4143
Supply Unit FPD

5.6.4.2 Portable FPD Bucky Electrical Connection


Connect cables to the bucky and to the other units as per the following table:

From To Function Comment


Bucky GND Bucky Ground One for each Portable
bucky
Bucky Generator AEC One for each Portable
bucky
Wall Bucky PC/B.STATUS1 Bucky Control / Status Only when Status
Signals switches are available
Table Bucky PC/B.STATUS2 Bucky Control / Status Only when Status
Signals switches are available

100 Installation of the Compact configuration


6 Connecting and Preparing the Sedecal Generator

6.1 Connecting the Generator


1 Verify that the generator and the gantry are installed according to the appropriate
version of the Sedecal manual.
2 Connect the H.V generator electrically (HV cables, High speed starter).
3 Connect the Discreet Cable (PN 91AP500007) between the GIF board (in the PC)
DB9, and the Generator (J4).

Discreet Cable (PN 91AP500007) Pinout

PC side (GIF) PrestoDR Function Generator side


DB9 Male In/ Out DB9 Female
7 I PREP_REQ 5
2 I PREP_REQ return 6
6 I EXP_REQ 4
1 I EXP _REQ return 1
4 O EXP_ACK 2
8 O EXP_ACK return 3
5 O PREP_ACK 7
9 O PREP_ACK return 8

Connecting the Sedecal Generator 101


4 Connect the AEC extension cable (P/N 91AP600009)
Cable
Generator/Adaptation board/J1 Bucky/AEC connection terminal

J1-IN J4-OUT

Figure 6-1 Adaptation Board Located on Top of the Generator

5 Verify that the following connections in the generator are correctly connected:

Generator/Adaptation board/J4 Generator/ATP board/J5

Generator/Adaptation board/TB1-7 Generator/adaptation/TB1-10

102 Connecting the Sedecal Generator


6 Connect the Serial Communications cable supplied by Sedecal (P/N A3363-01).

PC/Generator Sedecal Mini Console/J3

Sedecal
Mini Console

J3

Figure 6-2 Serial Communication Connection

7 Place a jumper between pins 7 and 10 in the generator adaptation board.

Connecting the Sedecal Generator 103


6.2 Operating the Generator for the First Time
6.2.1 Power-on Sequence
1 Turn system power up.
2 If the PC fails to power up, press the PC (MPU) power switch.
3 While PrestoDR is booting up, press and hold the Shift key until the
User Name/Password dialog box appears on the monitor.
4 Enter the user name and password as follows:
User Name: technician
Password: tech-*tos

Note
User Name and Password are case sensitive.

5 Press OK; the Windows Desktop appears on the monitor.


6 From the Mini Console, power on the generator and wait approximately two
minutes until the generator completes the booting up sequence.

Figure 6-3 Mini Console

104 Connecting the Sedecal Generator


6.2.2 Operating the Tech Service Program

6.2.2.1 Overview
The Tech Service program resides in the PC (MPU). Using the Tech Service (in PrestoDR
Calibration mode only), you can control and manipulate Generator functions such as: KV,
MA, MS, MAS and AEC (Automatic Exposure Control).
The Techservice program is already installed as part of the PrestoDR system. The supplied
CD is for backup only.

6.2.2.2 Accessing the Tech Service Program


1 From the PC (MPU), select Start>Programs>TechService and press Enter; the
Generator Service Mode screen appears.

2 On Generator Service Mode screen, choose Configuration; the Configuration


screen appears.

Set WM to Direct

3 Move to WS3 tab.


4 From the Configuration screen, use the arrows of the WM field and set the WM
value to Direct.
5 Referring to the instructions in the Sedecal service manual, perform Tube seasoning
and X-ray Calibration.

Connecting the Sedecal Generator 105


6 Perform the following tests and calibrations as per the applicable Sedecal
manual:
a. Tube Seasoning
b. Focal Spot Distance (Collimator assembly)
c. Tube X-ray Alignment
d. Collimator Light Field Alignment
e. Collimator Laser Alignment
f. Generator Tube Adaptation (kVp, mAs, mSec)
g. System Linearity Check (mAs – Dose)
h. mAs test
i. kV Test
7 After completing the Generator and Tube calibration procedure, from the
Configuration screen, use the arrows of the WM field and set the WM value
to Bucky1. Repeat the same for WS1 and WS2.

Set WM to Bucky 1

If there are two stations, select WS2 in the configuration window. Repeat steps 1 to 6 with
these parameters Tube=1, Interface=Bucky 1, AEC IC=2.

106 Connecting the Sedecal Generator


7 Connecting and Preparing the CPI Generator

7.1 Connecting the CPI Generator


7.1.1 Connecting the Indico 100 Generator
Connect the generator to the PC/ GEN Discreets connector. Use Thales cable PN 91AP700007
in case of Optimum configuration), or the cable prepared by the integrator (in case of
Compact configuration). The generator side of the cable comes open ended (no
connector). The wires side should be connected to J2 in the CPI Generator - Digital
Interconnect Board (P/N 735921-00), “Cedera Board”.

PC side (GIF) PrestoDR Function Wire to


DB9 Male In/ Out J2 Connector
(Cedera Board)
7 I PREP_REQ 3
2 I PREP_REQ return 4
6 I EXP_REQ 5
1 I EXP _REQ return 6
4 O EXP_ACK 15
8 O EXP_ACK return 16

7.1.2 Connecting the CMP 200DR Generator


Connect the PC/ GEN Discreets connector to the generator J25. Use Thales cable PN
91AP600210 (in case of Optimum configuration), or the cable prepared by the integrator (in
case of Compact configuration).
Wirelist of the cable is available in the following table.

PC side (GIF) PrestoDR Function Generator side


DB9 Male In/ Out DB37 Female
7 I PREP_REQ 4
2 I PREP_REQ return 7
6 I EXP_REQ 5
1 I EXP _REQ return 26
4 O EXP_ACK 8
8 O EXP_ACK return 29

Connecting the CPI Generator 107


7.1.3 Generator to AEC Connection
a. From each bucky, connect the AEC cable (Thales PN 91AP600009 for Optimum
Configuration, or the cable prepared by the integrator in case of Compact
Configuration) from the Bucky AEC connector to the generator’s AEC Board.
b. For Wall Bucky use J2 connector in the generator’s AEC board. For Table Bucky,
use J1.

CPI’s AEC Control Board

The AEC Board is described in the following section.

108 Connecting the CPI Generator


7.1.4 AEC Board (Ion Chambers)
The AEC board shown below is compatible with various makes / models of ion chambers
(i.e. AID, GE, Vacutec, Philips, Amplimat, etc). This AEC board is used in various models
of generators requiring those AEC chamber types.
This board will be fitted with 9 pin D connectors (J1 to J1).

Figure 7-1: Dedicated ion chamber AEC board

AEC Board Input Assignment

• CH 1 = J1 - Vertical Wall Bucky

• CH 2 = J2 - Table Radiographic Bucky

Connecting the CPI Generator 109


7.1.5 Connecting Serial Communications to the Generator
For Indico 100 generator, use the Generator RS232 Cable, Thales PN 91AP600047 (or if
Compact Configuration use the cable as prepared by the integrator). On PrestoDR side
connect to the RS232 port in PC. On generator side connect to Digital interconnect board J5.

For CMP 200DR generator, use the RS232 Cable supplied by CPI. On PrestoDR side connect
to the RS232 port in PC. On generator side connect to Control Board J3.

110 Connecting the CPI Generator


7.2 GenWare Generator Utilities
7.2.1 Introduction
The GenWare generator program (hereafter referred to simply as “GenWare Generator”)
facilitates the settings of the X-ray generator through an easy to use Windows graphical user-
interface.
Currently, the following tools are available with GenWare Generator:
• Date and Time Utility
• Error Log Utility
• Generator Statistics Utility
• Receptor Setup
• Auto Tube Calibration
• AEC Calibration
• Tube Selection
• Generator Limits
• Fluoro Setup
• DAP Setup
• A2EC2 Calibration

7.2.2 Accessing the GenWare Generator Utility


1 Power up the system,.
2 If the PC (MPU) fails to power up, press the PC (MPU) power switch.
3 While PrestoDR is booting up, press and hold the Shift key until the
User Name/Password dialog box appears on the monitor.
4 Enter the user name and password as follows:
User Name: technician
Password: tech-*tos

Note
User Name and Password are case sensitive.

5 Press OK; the Windows Desktop appears on the monitor.


6 From the PC (MPU), select
Start>Program>GenWare Utilities>GenWare Generator Utilities
7 Press Enter; the GenWare default window appears.

Connecting the CPI Generator 111


7.2.3 Default Window
Upon launching the program, the default window is displayed. Communication to the
generator begins immediately. First, the serial port number is read and initialized. If this is
successful, the console is placed into the generator pass-through mode. Next, requests to
the generator are made in order to update the Rad and Fluoro displays. Actions taken when
failures occur depend on the type of failure. A listing of communication faults may be
found in the list of errors within the program help system.
The main display is made up of four distinct areas:
1. Main background window.
2. Radiographic parameter display.
3. Fluoroscopic parameter display.
4. DAP display.

The Default Window is displayed in Figure 7-2.

Figure 7-2 Default Main Window

112 Connecting the CPI Generator


7.2.4 Date and Time Utility
This utility allows the user to view and modify the generator’s date and time.
Upon launching, the program will retrieve the date and time of the generator and of the
host computer. Both are displayed in the Date and Time window, however, only the
computer date and time is periodically updated.
The user may lock the date and time of the generator with that of the computer by checking
the Auto button near the bottom left corner of the window. This will cause the generator
and computer displays to be synchronized. Clearing the Auto button will stop the generator
from tracking the computer date and time. Pressing Refresh causes the program to read the
generator date and time and update the display. Figure 1 illustrates the date and time utility
dialog box.

Figure 7-3 Date and time utility dialog box

Connecting the CPI Generator 113


7.2.5 GenWare SW Working Mode for PrestoDR
To interface with the PrestoDR system, set the GenWare SW according to the station that
is to be calibrated:
 Wall Bucky Station Settings:
 Receptor Number: 3
 Tube Number: 1
 Acquisition Technique: mAs
 Interface options: 1
 Table Bucky Station Settings:
 Receptor Number: 1
 Tube Number: 1
 Acquisition Technique: mAs
 Interface options 1

Note
Interface Options:
• Set to 1 when connecting to the PrestoDR in full integrated protocol.
• Set to 0 for Seasoning and Auto Tube Calibration.

114 Connecting the CPI Generator


7.2.6 Tube Selection
This utility allows tube types to be selected and assigned to tube 1 and tube 2, and allows
setting of the default limits for that tube. The tube library displays the list of tubes in the
current directory. A different directory can be selected by pressing the “Change Library
Path” button. The tube selection utility comprises the following sections.
Tube 1 / 2 Selection
This is done by pressing the Tube 1 or Tube 2 buttons. Changing the tube number in this
utility only sets that parameter; this is not to take exposures with.
KW Ratings at 100 ms
The kW limits may be set in increments of 100 W.

Figure 7-4 Tube selection Setup Dialog Box - kW Ratings at 100 ms Tab

Connecting the CPI Generator 115


7.2.7 Generator Limits
This utility allows setting of the following generator limits (as shown in figure 20):
• Maximum Generator Power (kW)
• Maximum Generator Current (mA)
• Minimum Generator Current (mA)
• Maximum Generator Current-Time (mAs)

Figure 7-5 Generator Limits Dialog Box

The maximum generator mA cannot be less than or equal to the minimum generator mA.

7.2.8 Operating the Generator for the First Time


Perform the following tests and calibrations as per the applicable Sedecal manual.

Note
In the GenWare Software Tab, set the Interface Options as follows:
• Set to 1 when to connecting to the PrestoDR in full integrated protocol.
• Set to 0 for preparing Seasoning and Auto Tube Calibration.

1 Perform Tube Seasoning: verify that the Tube is pointing away from the FPD and
initiate Tube Seasoning.

2 Generator Tube Adaptation (kVp, mAs, mSec)


3 Focal Spot Distance (Collimator assembly)
4 Tube X-ray Alignment
5 Collimator Light Field Alignment
6 Collimator Laser Alignment
7 System Linearity Check (mAs – Dose)
8 mAs test
9 kV Test

116 Connecting the CPI Generator


8 Connecting to Generator in Add On Mode
If CPI or Sedecal generators are not used, the connection to the generator will be done in the add-
on mode. In this mode PrestoDR does not communicate with the generator for setting of X-ray
parameters of the various clinical protocols, and they have to be carried out by the operator during
the exam.
While in the add-on, only the discreet synchronization generator signals need to be connected.
To interface, follow the instructions in this chapter in order to connect to the generator in the add-
on mode.
Use Thales Gen. Discreet Cable PN 91AP700007 (for the Optimum configuration), or use an
alternate cable prepared by the integrator (in the Compact Configuration). Thales cab
One side of the cable needs to be connected to the PC / GEN.DISCREETS connector (on GIF
board). The other side of the cable needs to be routed to the generator signals which need to be
traced by cooperation with the generator’s manufacturer.
The Gen. Discreets Cable (PN 91AP700007) has a male DB-9 connector for the PC (GIF) side,
and is open ended at the other side. Locate the appropriate signals on generator side, and prepare
the connections as needed.
Wirelist of the cable is presented in the following table:
PC side PrestoDR Function
(GIF) In/ Out
DB9 Male
7 I PREP_REQ
2 I PREP_REQ return
6 I EXP_REQ
1 I EXP _REQ return
4 O EXP_ACK
8 O EXP_ACK return
5 O PREP_ACK
9 O PREP_ACK return

NOTE
Most generators do not require PREP_ACK signal for normal operation.
Consult with your generator’s manufacturer for more details.
See the information in section 8.1 regarding GIF inputs and outputs.

Connecting in the Add-on mode 118


8.1 Description of GIF I/Os
8.1.1 PREP_REQ, EXP_REQ: Digital Inputs
The following drawing provides a description of the input interface:

Figure 1- GIF inputs description

+IN and –IN represent the GIF Board inputs.

PC (GIF) Function Direction


DB9 Female
. 7 PREP_REQ +IN
2 PREP_REQ return -IN
6 EXP_REQ +IN
1 EXP _REQ return -IN

• Digital Input Specifications

o GIF inputs are passive (“Dry Contact”) – the input needs to be connected to an
external voltage (defining high state) or zero voltage (defining low polarity).
o Current limitation up to 10ma
o Maximum input voltage 24VDC

Connecting in the Add-on mode 119


8.1.2 PREP_ACK, EXP_ACK: Digital Outputs
The following drawing provides a description of the output interface:

Figure 2- GIF output (EXP_ACK) description

+OUT and –OUT represent the GIF Board outputs.

PC (GIF) Function Direction


DB9 Female
4 PREP_ACK +OUT
8 PREP_ ACK return -OUT
5 EXP_ ACK +OUT
9 EXP_ ACK return -OUT

• Digital Output Specifications

o GIF outputs are passive (“Dry Contact”). Output will be “short” when active (“high
state”).
o Current limitation up to 50ma
o Maximum input voltage 24VDC

120 Connecting in the Add-on mode


9 Setting and Calibrating the PrestoDR System

9.1 Prerequisites
Before beginning system calibration, verify that the following items have been installed and
properly calibrated according to manufacturer instructions:
• X-ray system, including the X-ray generator

• Collimator

Prior to starting the calibration sequence, perform the following checks and fill in the
appropriate sections in the Acceptance Test form:
• Visual Inspection (section 10.3.2 in the Acceptance Test)

• System Movements Control (section 10.3.3 in the Acceptance Test)

• Filtration Check (section 10.3.4 in the Acceptance Test)

• Generator Calibration (section 10.3.5 in the Acceptance Test)

• Tube-Bucky-Collimator Orientation (section 10.3.6 in the Acceptance Test)

• Half Value Layer (section 10.3.11 in the Acceptance Test)

9.2 User Password


The PrestoDR system has two access levels enabling various modification levels:
• Technician Mode
Technician mode is used for maintenance tasks and enables access to the various
maintenance screens and parameters.
• Auto Mode
Auto mode is the default mode and is used for room operation. When PrestoDR is initiated,
the system automatically selects the Auto mode.

To access the Auto mode


Switch OFF the PC (MPU) and then switch it ON.

To access the Technician Mode


1 During the boot and Windows initialization process, press and hold the SHIFT button
until the access dialog box appears on the monitor.
2 Enter the User Name and Password as follows:
Security Level (User Name) Password Granted Access
technician tech-*tos Utility & Calibration parameters
auto Auto-*tos PrestoDR acquisition setup parameters

Setting and Calibrating the PrestoDR System 121


9.3 First Time Power Up
1 Verify that the PC power switch is set to OFF.
2 Turn on the X-ray system and the main power switch.
3 Verify the start up of all units except the PC; the PC should not start.
4 Switch the PC power switch to ON, verifying that the PC starts up normally;
5 During the boot and Windows initialization process, press and hold the SHIFT button until
the access dialog box appears on the monitor.
6 Switch the system to Technician Mode; the following PrestoDR shortcuts appear (see Figure
9-1).

Figure 9-1: PrestoDR Shortcuts

WARNING
Before switching off the system, always shut down Windows XP first, as
described in the following procedure:
1 From Shut Down screen, close the PrestoDR application,
-or-
From the File menu the of the System Calibration application, choose Exit.
2 Using the Start menu located at the lower left corner of the screen, shut down
Windows XP.
3 On the X-ray controller, turn the main power switch OFF.
4 On the PC, keep the main power switch set to ON.

122 Setting and Calibrating the PrestoDR System


9.3.1 Switching from PrestoDR to Any Other Application
Switching from a PrestoDR application (Main, Utilities or Calibration programs) to any
other application in the PC (MPU) is possible only when working in the Technician mode.
• Pressing the <CTRL> and <ESC> keys will simultaneously open a navigation
window in the lower left hand corner of the screen. Applications can be selected via the
Programs option.
• Pressing the <ALT> and <TAB> keys simultaneously and then selecting the screen to
be active enables switching between open applications.

Setting and Calibrating the PrestoDR System 123


9.4 Enabling Options
Your system options are factory enabled according to the system that was purchased. In any
case, refer to the Option’s manual.

9.4.1 System Configuration


1 From the Utility menu choose System Configuration, the following window appears.

Figure 9-2 System Configuration Window


Verify that these options comply with the purchased options.

2 Verify that the Formal Options listed in the Hardware and Software boxes comply
with the purchased options.

9.4.2 Enabling an Option


Enabling an option as part of an upgrade or restoration procedure requires a special
“Options Installer” diskette.

124 Setting and Calibrating the PrestoDR System


To Enable an Option
1 Open My Computer and select drive c:\
2 Select directory c:\Util
3 Double click the application called PasswordInstaller.exe. Password Manager dialog box
appears (see Figure 9-3 Password Manager Dialog Box)
4 Enter the relevant key-code that has been supplied with the option.
5 In case of option restoration, enter all the original key-codes according to the documentation
supplied with the system.
6 Choose Install Options.
7 Choose Exit; the Password Manager dialog box disappears.
8 Open the system configuration window and verify that the options are enabled (see “System
Configuration”, page 124).

Note
Some options require additional parameter settings in the SSPM (see the SSPM
section for details). When available, follow the information included in the specific
option installation kit.

Enter the option key-code

Figure 9-4 Password Manager Dialog Box

Setting and Calibrating the PrestoDR System 125


9.5 Windows XP Settings
9.5.1 Date and Time Setting
Set your local time and date as follows:
1 From the Windows desktop, double click on the time characters at the bottom right part
of your screen.
2 Set the Time Zone and the Date & Time according to your location, local time and
date.

9.6 Compact System Settings


This section needs to be carried out only in the case of Compact configuration. In the case of an
Optimum configuration, the system arrives already factory configured.

9.6.1 System General Setting


1 From C:\Util run SetupAdjust. The following opening screen opens. Follow the instructions
in the screens for your PrestoDR system configuration. Press Next. At any time you can press
Back to return to the previous screen displayed.

2 The following screen opens. Select Geographical Market (US, China or Other). This selection
determines the set of Anatomical Protocols (APRs) that will be loaded by default onto the
system. Make your selection and press Next.

126 Setting and Calibrating the PrestoDR System


3 The following screen opens. Select type of generator used, then press Next.

Setting and Calibrating the PrestoDR System 127


4 The following screen opens. Select number of detectors used, then press Next.

5 If one detector is used, then the following screen will open. Select type of detector used, then
press Next.

If two detectors are used, then instead of the screen above, the following two screens will appear
sequentially. Select detector type used per positions (wall and table). Press Next.

128 Setting and Calibrating the PrestoDR System


Setting and Calibrating the PrestoDR System 129
6 If 4143 detector is used, the following screen will open. Select type of scintillator used, then
press Next.

7 If fixed detectors are used, then the following screen will open. Select whether the bucky
contains grid existence indication or not, then press Next. Same screen may show either wall
or table bucky (or both, incase of two 4143 detectors).

130 Setting and Calibrating the PrestoDR System


8 If wall bucky is used, then the following screen will open. Select whether the wall bucky has
the tilt configuration (to horizontal position) or not, then press Next.

9 If portable detector is used, then the following screen will open. Select whether the bucky
contains grid existence, and the detector’s orientation inside the bucky indications or not,
then press Next. Same screen may show either wall or table bucky (or both, incase of one
portable detector and two bucky configuration).

Setting and Calibrating the PrestoDR System 131


10 If portable detector is used, then the following screen will also open. Select whether a
detachable grid is used when the detector is out of the bucky or not. If in use, select whether
grid existence indication exists or not. Press Next.

11 The program now summarizes the configuration selected. Review your selection and press
Next. If the summary does not suit the required configuration, press Back and change your
selection in the appropriate screen.

132 Setting and Calibrating the PrestoDR System


12 The following window opens. Press OK to confirm your configuration and to store it in the
system.

Setting and Calibrating the PrestoDR System 133


9.6.2 Regional Settings

The default system language of the interface screens is English. PrestoDR enables also other
languages. Languages like Chinese, French, German and Turkish are supported. In any case, when
your configuration requires any other language than English, please contact your local Thales
representative for final confirmation.

The instructions and sample screenshots in this section refer to changing the language from
English to Chinese. The instructions are generic, and apply to other languages as well, as long as
supported by PrestoDR.

1 From Control Panel select Regional and Language Settings:

2 Select Regional Options Tab:

Set the following parameters:


• In the “Select an item…” edit box choose the language (in this
example, Chinese (PRC)).
• Location - Choose country of location (herein China).

134 Setting and Calibrating the PrestoDR System


• Click “Apply”

3 Select the Languages tab and choose Details

4 In the Text Services and Input Languages press the Add button (under
Installed services) -> Choose Input language Chinese (PRC), then press OK.

Setting and Calibrating the PrestoDR System 135


5 Verify that the language was added in the following window:

136 Setting and Calibrating the PrestoDR System


• Click Apply and OK
6 In the Regional and Language Settings select the Languages tab. Then, in
Language used in menus and dialogs select Simplified Chinese

Setting and Calibrating the PrestoDR System 137


• Click Apply
7 In the Regional and Language Settings select the Advanced tab, then choose
Chinese (PRC)
Next click Apply and then OK

8 Restart the computer.


From Control Panel select Regional and Language Settings
Select the Languages tab and choose Details
Make sure that no other keyboard is added except the one added before
(Chinese (Simplified)). If any other keyboard was added it must be deleted

Click Apply and then OK

138 Setting and Calibrating the PrestoDR System


9 The following screenshots present the same settings screens, after being modified to
Chinese. They are shown here for reference only.

Setting and Calibrating the PrestoDR System 139


140 Setting and Calibrating the PrestoDR System
9.6.3 Serial COM Port Number Setting
This section describes how to setup the PC’s serial communication ports. PrestoDR uses serial
communication for the GIF Board and in case of integrated generator (CPI or Sedecal) for
generator communication.

9.6.3.1 GIF COM Port Number Setting


GIF COM Port Number must be set to 10.
1 From the desktop, right click on My Computer-> click on Manage-> click on Device
Manager. The following Device Manager screen appears:

2 Make sure that none of the Communication Ports is mapped to COM10. If any port is
mapped to COM10, double click that port.
Then select the Port Number tab. Click on Advanced. In the COM Port Number
assign a COM Port number that is not in use. Press OK to exit to the Device Manager
window.
3 Double click on Silicon Labs CP210X USB to UART Bridge. This is the
identification of GIF COM Port.

Setting and Calibrating the PrestoDR System 141


4 Go to port settings and press on advanced

5 Change COM port number to "COM10" and press OK twice


6 In case of add-on installation (no integrated generator communication), continue
directly to step 8.
9.6.3.2 Generator COM Port Number Setting
When using integrated generator communication (either CPI or Sedecal generators), the generator
COM Port Number must be set to 4.
7 Physically identify the COM Port to which the generator communication cable will be
connected. If another COM Port Number is set to 4, assign to it a number that is not in
use.
Then select the COM that you identified for generator interface. In
the COM Port Number set the number to 4. Press OK.

142 Setting and Calibrating the PrestoDR System


8 Restart the computer, after the restart you can check the Silicon Labs CP210X USB to
UART Bridge is set to COM10, and that the generator COM Port is set to COM4,
with no warning or collision.

Setting and Calibrating the PrestoDR System 143


9.7 Monitor Adjustment
9.7.1 Scan Rate and Resolution Setting
From the Windows XP Control Panel, double click the Display icon; the Display
Properties dialog box appears.
1 Set the following values:
Desktop Area: 1280x1024
Refresh Rate: 60 HZ
Color Palette: True Color
2 Choose Apply and OK; the Display Properties dialog box disappears.

Monitor Settings

Figure 9-5 Workstation Monitor Settings

Approximate monitor Brightness and Contrast Settings


The following settings are applicable to the Thales recommended ELO 1928L monitor. If other
monitor is used, different settings may apply:
1 Adjust the monitor contrast to 86%.
2 Adjust the monitor brightness to 91%.
3 Adjust the monitor colors: Red=83, Green=90, Blue=100. These values represent roughly
display temperature of 5000º Kelvin, similar to a PACS monitor.

Note
All settings push buttons are located on the right side panel of the monitor.

144 Setting and Calibrating the PrestoDR System


9.7.2 Monitor Calibration using the Colorimeter device
9.7.2.1 Overview
The following procedure describes the Monitor Calibration of the PresroDR system. The
calibration is intended to allow for image consistency between different monitors (e.g. workstation
monitor, PACS monitor). The calibration procedure allows to select a target curve to which all
monitor shall be calibrated to. This curve can be the standard medical curve (known as GSDF) or
any arbitrary curve (e.g. uncalibrated PACS monitor). After completion of the monitor calibration
process, fill out the table in section 10.3.22 of the Acceptance Test.
9.7.2.2 Required Equipment
• Colorimeter Mesurement Device – X-Rite eye1display2
9.7.2.3 Monitor Temperature Adjustment
Set the monitor temperature to closely match that of the PACS medical monitor
1 Open the ColorimetereHCFR program (Start button->Programs->ColorHCFR)

2 Click on the New icon (top-left most icon)


3 A new window opens

Setting and Calibrating the PrestoDR System 145


Choose View Images and click Next
4 The following window opens

Choose Eye One from the list and click on Finish

146 Setting and Calibrating the PrestoDR System


5 A new Measurement screen opens

6 Click on the green cursor to perform continuous measurement, and wait for a few seconds
until the program initializes the Colorimeter Mesurement Device.
7 The following dialog box then appears

8 Click Yes. The following dialog box opens

9 Place the white plastic cover is placed on the colorimeter, then click OK

Setting and Calibrating the PrestoDR System 147


10 After colorimeter calibration is done, the following window appears

Click OK
11 The program now shows, continuously, the monitor temperature, Tº, in the bottom left
window, titled Selected Color.

12 Remove the cover from the colorimeter. With one hand place the colorimeter on a white area
(in the Information window or if needed open a new Paint Brush session). All of the
colromiter surface should be placed over a white display region.
13 Using the other hand, in your monitor change the temperature settings (normally in the Color
settings, sometimes called Color Tone) until Tº shows a temperature as close as possible to
5000.

148 Setting and Calibrating the PrestoDR System


14 At the end of the process, click on the red X icon to stop the program. If the program doesn’t
stop, disconnect the Colorimeter from its USB socket and wait for the program to stop. Plug
back the Colorimeter into the USB port.

Setting and Calibrating the PrestoDR System 149


9.7.2.4 Monitor Measurements
1 Within the ColorimetereHCFR program, click on Measures, and then on Parameters

2 The following window opens. Set the number of gray scale levels to 20 and click OK

3 Click on Measures, then choose Gray Scale

150 Setting and Calibrating the PrestoDR System


4 The following window appears.

Remove the cover of the colorimeter, and place it on the center of the monitor with one
hand. Click Yes with the other hand
5 The program will now change the gray level of the monitor from black to white in constant
increments. At the end of the process, the measurements window will fill with the results of
the measurements. On the Display window, choose xyY

6 Mark the Y row, and copy it, using CTRL+C

Setting and Calibrating the PrestoDR System 151


7 Click on Windows Start Button, then choose Run
8 Type notepad, and click enter. A Notepad window opens.
9 Paste the measurements (Y row) by using CTRL+V
10 Name the file and save it in C:\MonitorCalibration\Measurements\ folder.
11 Close the ColorimetreHCFR program
12 On the desktop, click on the MonitorCalibration icon (if no icon on desktop, run
C:\MonitorCalibration\ MonitorCalibration\ MonitorCalibration1280_1024.exe). Press Enter
after the black window shows up.
13 After a few seconds the following window opens

14 Click on Load Measurements button

152 Setting and Calibrating the PrestoDR System


15 A new window opens, showing (by default) files in the folder
C:\MonitorCalibration\Measurements\

16 Choose the measurements file you just stored, and click on Open
17 Select the target curve

a) If the monitor needs to be calibrated according to the DICOM standard, choose


"GSDF"
b) If the monitor needs to be calibrated according to specific requirement, choose
"Custom". For this case a required curve needs to be prepared prior to the
calibration process.

18 Click on the Run button

Setting and Calibrating the PrestoDR System 153


If the Custom Target LUT was selected, the following window will open. Choose the
required target curve, and click on Open.

19 In case of Target LUT error or measured monitor error (e.g. wrong contrast/brightness settings
when performing measurement of the target LUT), the following windows may popup:

In case of such an error, repeat the measurement of the monitor, and/or target monitor.

154 Setting and Calibrating the PrestoDR System


20 The main window will now present the measured monitor curve, the target curve, the
calibration curve, and the errors from the target curve.

21 Click on Save ICC button

Setting and Calibrating the PrestoDR System 155


22 A new window opens, by default in the folder C:\MonitorCalibration\ICC\

23 Type in a new ICC filename and click Save. This file contains the conversion information
from the existing curve to the desired one.
24 Make sure not to delete any existing ICC profiles.

156 Setting and Calibrating the PrestoDR System


9.7.2.5 Monitor Profile Setup

1 From Windows Control Panel, double click the Color icon


2 Click on the Profiles tab

Setting and Calibrating the PrestoDR System 157


3 Click on Install button. Go into the folder C:\MonitorCalibration\ICC\.
The files from ICC folder will be displayed.

4 Choose the ICC profile that has been just created, and click Open

158 Setting and Calibrating the PrestoDR System


5 The new profile will now appear in the list

Setting and Calibrating the PrestoDR System 159


6 Click on the Devices tab, then choose Add.

7 Choose the new ICC profile, then press OK

160 Setting and Calibrating the PrestoDR System


8 The new profile is now added to the list

9 Click on Set As Default button and then on Apply. The new monitor calibration curve is now
applied.

9.7.2.6 Monitor Profile Validation


Measure the monitor curve after applying the monitor calibration profile, to validate the new
profile.
1 Repeat the process of monitor measurement, as specified in section 9.7.2.4, from step 1
through step 20.
2 The calibrated monitor should have a dJND error of less than 10 over the entire GL range as
in the following image, The average dJND should be around the dJND specified in the
Monitor Stats window (e.g. in the example below, the monitor dJND is 2, hence the average
absolute dJND in the graph should be around that value)

Setting and Calibrating the PrestoDR System 161


3 If a problem occurs repeat the entire process from the beginning. If not, close the program
4 Add C:\ MonitorCalibration\ Wincolor\ runfromstartup.bat to the PC Startup menu.
a) Copy runfromstartup.bat file to the clipboard (CTRL+C)
b) From windows select Start->Programs-> Startup. Right click the mouse on
Startup and choose Explore. Paste the runfromstartup.bat file to the Startup
directory.

162 Setting and Calibrating the PrestoDR System


9.7.2.7 PACS Monitor Measurement/GSDF Conformance
All PACS monitors are supposed to be calibrated in conformance with the DICOM standard. The
standard specifies a target monitor curve, called GSDF. It is possible to measure the PACS
monitor curve by sending a test pattern to the PACS. This test pattern is made out of blocks with
different Gray Levels, which are used as measurement points. If the PACS monitor is not
calibrated according to the DICOM standard, it is possible to use the measurements as a Target
LUT, and calibrate all other monitors to the perform as close as possible to the PACS monitor.
Perform this section if needed, only after completion of the entire PrestoDR installation process.

9.7.2.7.1 Test Pattern Creation


1 On the desktop, click on the MonitorCalibration icon (if no icon on desktop, run
C:\MonitorCalibration\ MonitorCalibration\ MonitorCalibration1280_1024.exe). Press Enter
after the black window shows up.
2 After a few seconds the following window opens

3 Click on the Create Step Image button

Setting and Calibrating the PrestoDR System 163


4 A new window will open with default values for the test pattern

5 If needed, change the parameters


6 Click on the Save BMP Image icon
7 A new window will open in the default folder C:\MonitorCalibration\Phantom\

8 The automatic filename contains the values of all the parameters.


9 Click Save to same the image

164 Setting and Calibrating the PrestoDR System


10 It is possible to create several other patterns with different parameters, if needed
11 Close the Step Image window, and the main program window

9.7.2.7.2 BMP Convert for patterns


Use BMP convert utility in the PrestoDR Utilities application (see section 13.3 in this manual) to
add the patterns in C:\MonitorCalibration\Phantom into the PrestoDR archive. Use the following
screen capture to fill out the needed fields:

Make sure the images exist in the Archive and can be sent to the Review screen. Send the
test pattern to the PACS.

9.7.2.7.3 PACS Monitor Measurements


1 Prepare a laptop computer with the ColorimetreHCFR program
2 Open the PACS application
a) Retrieve the test pattern that was sent by PrestoDR
b) Follow the procedure described in section 9.7.2.3, while putting the colorimeter each
time at the center of a different GL step, and write in a notepad file the Y value
(luminance).
c) Save the results, and follow the procedure described in section 9.7.2.49.7.2.4
Setting and Calibrating the PrestoDR System 165
9.7.2.8 Calibration History
The Monitor Calibration main window allows viewing the calibrations history, thus keeping track
of monitors/calibrations variations. The history window may be used to retrieve LUTs of previous
calibrations, make sure the client didn't perform any unauthorized calibrations.

1 On the desktop, click on the MonitorCalibration icon (if no icon on desktop, run
C:\MonitorCalibration\ MonitorCalibration\ MonitorCalibration1280_1024.exe). Press Enter
after the black window shows up.
2 After a few seconds the following window opens

3 Click on the Calibration History button


4 A new window will open with a list of performed calibrations

166 Setting and Calibrating the PrestoDR System


5 Clicking on any row in the list shall generate a graph of the calibration LUT

6 If needed, the LUT can be saved by clicking on the Save LUT button
7 A new window will pop-up

Setting and Calibrating the PrestoDR System 167


8 It is possible to save the LUT either as simple text file with monochrome values, or as RGB
text file that contains 3 LUTs, one per each color channel.
9 Choose the LUT Type (Monochrome/RGB) and the bit-depth of the text file.
10 Choose the bit-depth of the file (default: 12).
11 Click on SaveLUT button
12 A new window will pop-up

13 After choosing folder and filename, click on Save button.

168 Setting and Calibrating the PrestoDR System


9.7.2.9 Results Page
The following page shall be filled by the end of the monitor calibration, per each calibrated
monitor.

Monitor Calibration Results – PrestoDR


Monitor Serial Number S
Monitor Model
Date D M Y
Monitor Calibration Version____________
Parameter Value Unit Min Nominal Max
Brightness % - - 100
Brightness / Contrast % 55 75 85
Contrast
No Error Check
Display Pop-up Mark
Settings

Monitor
Temperature Kelvin 4700 5000 5300
Temperature

Monitor
Measurements Steps - 10 20 20
Measurements
Check
Created Performed
Mark
ICC Profile
Check
Validated Performed
Mark

Setting and Calibrating the PrestoDR System 169


9.7.3 Monitor Test Pattern (SMPTE)

Execute this section only when the previous section (Monitor Calibration using the
Colorimeter device, number 9.7.2) cannot be carried out.

Open the SMPTE3k.bmp image residing in S:\patterns (double click on the image).

The gray scale is shown as a series of squares in the center of the image that range from
black (0%) to white (100%) in a semi-rectangle.

170 Setting and Calibrating the PrestoDR System


Brightness and Contrast:

Each of the 0% and 100% squares (see red arrows on image) contain smaller squares inside
them that represent signal level steps of 5% and 95%, respectively (marked with dashed red
rectangles). The brightness and contrast of the monitor are adequately set if the 5% squares at
both ends of gray scale are equally visible.

Adjust the Contrast to a level so that the 95% square inside the 100% white box is just
noticeable (human eye contrast is more sensitive to contrast at higher luminance).
Adjust the Brightness to a level so that the 5% square inside the 0% black box is just
noticeable.
Repeat until both boxes are just noticeable.

Be aware that it may be difficult to adjust your monitor to show both of these inner squares
perfectly and equally. Most video monitors perform better in showing the 95% square than
the 5% square. However, you might see if reducing ambient light improves the visibility of
the 5% square.

Spatial Resolution and Aliasing

In each corner of the image as well as in the very center, inspect the 6 squares filled with
varying widths of alternating black/white horizontal and vertical lines. The spatial resolution
(linearity) and aliasing (distortion) of your monitor are within acceptable limits if you are
able to differentiate all the lines, from wide to narrow (6 pixels, 4 pixels, and 2 pixels) and
both horizontally and vertically.

9.7.4 Touch Screen Activation


The following instructions refer to the Thales recommended ELO 1928L monitor.
1 ELO TouchSystems provides driver software that allows your touch monitor to work
with your computer. Drivers are located on the monitor enclosed CD-ROM for
Windows XP operating systems.

Setting and Calibrating the PrestoDR System 171


2 Use the ELO touch screen properties to align the touch screen interface.

In the “General” Tab, press “Align” and follow the instructions.

172 Setting and Calibrating the PrestoDR System


9.8 Temporary Network Disabling
If your system has DICOM or Remote-Station options, it is recommended to disable the
network connection during the calibration process. This will prevent the occasional display
of “network connection error” messages.
To disable the network, use the following procedure:
1 From the Control Panel window, double click the System icon and choose the Hardware
Profile tab.
2 From the Available Hardware Profiles, select the No Network Installed option.
3 Using the arrows on the right side, position the No Network Installed option at the top of
the options list.
4 At the end of the calibration procedures, reset the network to the original configuration.

9.9 PC and Detector IP Address Setup


Each Detector holds an IP address. In order to establish communication with the detector, the IP
address of the host PC port communicating with the Detector must be set. The following sections
describe how to setup the IP addresses for each type of Detector, for a single Detector or a dual
Detector system.

9.9.1 Single Pixium 4143 Detector


1 Disconnect all Ethernet cables, except for the one connecting the Detector to the PC.
2 From Control Panel choose Network Connections

Setting and Calibrating the PrestoDR System 173


The following window appears.

3 Identify the network icon that is active (no red X sign appears). Right click on this
active Local Connection icon and select Properties.

174 Setting and Calibrating the PrestoDR System


The following window appears.

4 Select Internet Protocol (TCP/IP) and click on Properties.


The following window appears

5 In the Internet Protocol (TCP/IP) Properties window:


o Select Use the following IP address
o Set IP address to 192.168.37.131
o Set Subnet mask to 255.255.255.0
o Click OK.

Setting and Calibrating the PrestoDR System 175


6 Click on Configure.

7 The following window opens. Choose the Link Speed tab.

176 Setting and Calibrating the PrestoDR System


8 The following window opens

Set the Speed and Duplex to 100 Mbits/s / Full duplex, then click OK to exit.

Setting and Calibrating the PrestoDR System 177


9.9.2 Single Pixium Portable 3543 Detector
1 Disconnect all Ethernet cables, except for the one connecting the Docking station to the PC.
2 From Control Panel choose Network Connections

The following window appears.

3 Identify the network icon that is active (no red X sign appears). Right click on this active
Local Connection icon and select Properties.
The following window appears.

178 Setting and Calibrating the PrestoDR System


4 Select Internet Protocol (TCP/IP) and click on Properties.
The following window appears

5 In the Internet Protocol (TCP/IP) Properties window:


o Select Use the following IP address
o Set IP address to 192.168.100.5
o Set Subnet mask to 255.255.255.0
o Click OK.

Setting and Calibrating the PrestoDR System 179


6 Click on Configure.

7 The following window opens. Choose the Speed tab.

180 Setting and Calibrating the PrestoDR System


8 The following window opens

Set the Speed and Duplex to Auto Negotiate, then click OK to exit.

Setting and Calibrating the PrestoDR System 181


9.9.3 One Pixium 4143 Detector Plus one Pixium Portable 3543 Detector
Perform the instructions as in section 9.9.1 above, then perform the instructions as in section 9.9.2
above. The PC will now be setup with the two IP addresses required for the Pixium 4143 and the
Portable Detectors.

9.9.4 Two Pixium 4143 Detectors


1 Disconnect all Ethernet cables, except for the one connecting the Table Detector to the PC.
2 From Control Panel choose Network Connections

The following window appears.

182 Setting and Calibrating the PrestoDR System


3 Identify the network icon that is active (no red X sign appears). Right click on this active
Local Connection icon and select Properties.
The following window appears.

4 Select Internet Protocol (TCP/IP) and click on Properties.


The following window appears

5 In the Internet Protocol (TCP/IP) Properties window:


o Select Use the following IP address
o Set IP address to 192.168.37.131
o Set Subnet mask to 255.255.255.0
Setting and Calibrating the PrestoDR System 183
o Click OK.
6 Click on Configure.

7 The following window opens. Choose the Speed tab.

184 Setting and Calibrating the PrestoDR System


8 The following window opens

Set the Speed and Duplex to 100 Mbits/s / Full duplex, then click OK to exit.
9 Insert the CD received with the detector.
From the Software Directory run PixradInstall.exe and install the software as per the
instructions.
10 From C:\Util run Pixrad-ipconfig. The following window appears

11 Press Connect. After 20-30 seconds the Information message box will show “The detector is
connected”.

Setting and Calibrating the PrestoDR System 185


12 In the Detector drop-down list, select 10.0.37.132, then press Update & Disconnect

13 Reboot the Detector and the PC


14 Repeat steps 2 to 5 above in this section, in Step 5, in the Internet Protocol (TCP/IP)
Properties window:
o Select Use the following IP address
o Set IP address to 10.0.37.133
o Set Subnet mask to 255.255.255.0
o Click OK.
15 Disconnect the Table Detector Ethernet cable, and connect the Wall Detector cable to the PC.
16 Repeat steps 2 to 8 above in this section, in Step 5, in the Internet Protocol (TCP/IP)
Properties window:
o Select Use the following IP address
o Set IP address to 192.168.37.131
o Set Subnet mask to 255.255.255.0
o Click OK.

186 Setting and Calibrating the PrestoDR System


9.10 FPD License Installation
Each Trixell detector box arrives with a CD containing software and licenses. It needs to be
executed for all system installations, and every time a detector is replaced. It will assist in
installing the licenses of one or two detectors, as required.

1 From C:\Util run DetectorLicense.


The following window appears. It will indicate either the Wall Detector or the Table
Detector, depending on system configuration.

2 Insert the appropriate License CD and press OK. The following message appears, with
the Detector’s unique Serial Number

3 Click Save. Alternatively if you wish to avoid saving, click Skip.

4 In case of a dual Detector system, the application with then ask for the License CD of the
Table Detector

5 Insert the License CD and press Skip. The message from step 2 will then appear, with the
Detector’s unique SN

6 Click Save. Alternatively if you wish to avoid saving, click Skip.

Setting and Calibrating the PrestoDR System 187


9.11 WiFi Frequency Setting for Portable FPD
When a Portable FPD is used, the frequency and transmitter power must be set prior to using
the detector.
1 To Set the Wifi frequency:
a. From C:\UTIL execute WiFi config.exe program. The following WiFi
Configuration window opens:

b. First select the country, then set the parameters in the Wifi Config window,
according to local regulations.
A list of the allowed frequency channels is also available in the channels.pdf
documentin C:\UTIL.

If Wifi is used, it is mandatory to declare the country. It is the installer’s responsibility to


verify that the Wifi parameters are set according to the local Wifi laws and regulations.

Australia, New Zealand, and Taiwan are countries available through software but not
fully Wifi certified. The Wifi certificates have to be completed by local seller.

2 Switch on system power supply.


3 Wait for 1 minute to allow automatic recognition between FE and DS, until the three FE
LED’s indicators turn to green (true if WIFI connection active)

The Pixium Portable 3543 will operate according to specification within 2Hrs after
being powered up (either by using a battery, the backup cable or a SAPM module). Do
not calibrate the system before waiting 2 Hrs for warm up.

188 Setting and Calibrating the PrestoDR System


Switch off system mains supply before moving optical fibers.

The system power supply must not be used to power anything else than the system parts.

Power supply inversion or out of range power supply may harm the DS.
Be sure to correctly connect and clamp the power supply cable and the connector.

9.12 Detector Calibration Sequence


9.12.1 General Guidelines
The following sub-sections detail the detector calibration process. It is essential that the
calibration process be performed in the specified order.
The procedure needs to be carried out for each detector available in the system.
To access the Calibration application, from the PrestoDR shortcuts window, double-click
on the Calibration icon (see 9.3); the PrestoDR System Calibration dialog box appears.

Figure 9-6 PrestoDR System Calibration Dialog Box

Setting and Calibrating the PrestoDR System 189


During the normal calibration procedure, the Buffer to Acquire and the Buffer to Show options
on the Calibration window should be set to Buffer-A.
 When X-ray image acquisition is required, the acquisition high voltage kV and image gray
level are always defined PRIOR TO OPERATION .
 In case of a duel Detector system, prior to performing the calibration procedure,

select the Detector by pressing on either of the or icons.


 During initial calibration, the application will alert that no Defect Map is available, and also
that no Gain Matrix for the detector exists, by showing the following popup messages

This is normal for initial operation. Press OK to continue.


Generator conditions are controlled via the generator control software or via its panel. They are
not controlled by the PrestoDR Calibration Utility, even in the case of a fully integrated system.
Both the PrestoDR Calibration Utility and the generator software should be active at all times. If
either of these applications is inactive, X-ray acquisition will not be possible.

190 Setting and Calibrating the PrestoDR System


9.12.2 Optimal Temperature Setting
1 Before calibration, verify that the detector temperature is stable. If the detector temperature
complies with the following two criteria, the detector temperature is considered stable:
• The detector has been operating continuously for over 1.5 hour.
-and-
• During the last 20 minutes the detector temperature has not changed. The
temperature is indicated in the bottom of the PrestoDR System Calibration dialog
box.
2 From the Installation menu, select Optimal Temperature and enter the current detector
temperature, as displayed in the PrestoDR System Calibration dialog box.
3 The temperature must be monitored during the whole calibration process. If at any stage the
temperature has deviated by more than +1.0 degrees, restart the process from this stage.
4 In section 10.3.12 of the Acceptance Test form, enter the temperature of the detector recorded
at the beginning of the calibration process.

9.12.3 Detector Offset


To erase any residual ghost effects and to test communication, from the System Calibration Main
Window, choose Offset Get Offset; after a few seconds an offset image appears. This will
signify that

9.12.4 Defect List Creation


The following procedure uses Flat Images to map and list all the defective pixels, creating
a Defect List (or Defect Map).

Note
The term Flat Image is used for an X-ray image that has been acquired with no absorber
except for the specified uniform absorber plates located between the collimator and the
X-ray detector
To acquire an X-ray image, press fully down on the hand switch; the green Ready icon
located on the top right corner turns red. The exposure is complete after the system sounds
a beep.

Note
Acquisition can be initiated only after the Ready icon is green.

1 In the PrestoDR System Calibration Window, from the DM Generation menu, choose
Create Defect List; the following message appears

Setting and Calibrating the PrestoDR System 191


. Note
Pressing Cancel at any stage will terminate the Defect List creation process and all
the acquired images will be discarded

2 Set the SID, remove the grid and place the absorber as required, then press OK. The
following window will now appear.

In the case of a Table Detector, SID will be 135 cm, and the X-Ray conditions will be
displayed as needed.
3 The required dose is 25 µGray. Set the X-ray conditions as required, then press the
Hand Switch. After a few seconds a flat image will be displayed, and the following
message will appear

The application will now guide the user step-by-step as described in the following
steps.

192 Setting and Calibrating the PrestoDR System


4 Leave the X-ray condition values as-is, and press Resume. After a few seconds the
following window appears:

5 Within 2-3 seconds press the hand switch. A new image will be acquired and the
following message will appear.

The X / 14 number indicates the serial number of the image acquired out of the 14
images required till the completion of the process (starting from X=1).
6 If the dose level was incorrect, a foreign object was present, or that pressing the hand
switch was done after more than 2-3 seconds from the appearance of the message in
step 4 above, the following failure message will appear

Try resolving the failure cause, press Resume and make a new exposure.
7 Repeat the process in steps 3 to 6 until 10 images are acquired. The system will then
display a message asking for setting X-ray to 2.5 µGray. Set by dividing previous mA
by a factor of 10. Press Resume and make an exposure (number 11 in the sequence).

Setting and Calibrating the PrestoDR System 193


8 The application will then ask for a 5 µGray exposure, then 40 µGray and at last 50
µGray. This will complete the 14 required exposures. The following message will
appear. Press OK to finish the Gain Matrix Creation process.

9 Next step is detection of FPD orientation inside the bucky. This step will be
automatically activated only during initial installation, and only for the Pixium 4143
FPD. The following message will appear. Insert the grid in the 4143 FPD bucky and
press OK.

10 The following message will appear. Set the X-ray parameters as required, then press the
hand switch for an exposure.

194 Setting and Calibrating the PrestoDR System


11 After a few seconds, the system will detect the FPD orientation, and the following
message will be displayed. Press OK to finish the process.

When grid is not detected, the following message will appear. Verify that the grid is
properly inserted, and retry again.

9.12.5 Defect List Verification


The following procedure is used to verify that the defects that were listed during the Defect
List creation process from section 9.12.4 are within the allowed limits for proper detector
operation.
1 From the DM Generation in the Main Calibration window, choose Display ECV; the
Defect Classification and ECV dialog box appears.

Figure 9-7 Defect Classification and ECV dialog box

Setting and Calibrating the PrestoDR System 195


2 Verify that the:
• ECV value is less than 100,000.
• M1 to M8 values are all zero.
3 Fill in section 10.3.14 of the Acceptance Test form.

9.12.6 Creating Gain Correction Matrices


The gain matrix is created using Flat Images, all at the same dose.
Ensure X-ray field covers the entire panel.
To calibrate a gain matrix, use the following procedure:
1 In the PrestoDR System Calibration Window, from the Gain menu, select Create Gain
Factors Matrices; the following message appears

Note
Pressing Cancel at any stage will terminate the Gain Matrix creation
process and all the acquired images will be discarded.

196 Setting and Calibrating the PrestoDR System


2 Set the SID, remove the grid and place the absorber as required, then press OK. The
following window will now appear

In the case of a Table Detector, SID will be 135 cm, and the X-Ray conditions will be
displayed as needed.

3 The required dose is 25 µGray. Set the X-ray conditions as required, then press the Hand
Switch. After a few seconds a flat image will be displayed, and the following message will
appear

The application will now guide the user step-by-step as described in the following steps.

Setting and Calibrating the PrestoDR System 197


4 Leave the X-ray condition values as-is, and press Resume. After a few seconds the following
window appears:

5 Within 2-3 seconds press the hand switch. A new image will be acquired and the following
message will appear.

The X / 10 number indicates the serial number of the image acquired out of the 10 images
required till the completion of the process (starting from X=1).
6 If the dose level was incorrect, a foreign object was present, or that pressing the hand switch
was done after more than 2-3 seconds from the appearance of the message in step 4 above,
the following failure message will appear

Try resolving the failure cause, press Resume and make a new exposure.

198 Setting and Calibrating the PrestoDR System


7 Repeat the process in steps 3 to 6 until 10 images are acquired. When all 10 images were
successfully acquired, the following message will appear. Press OK to finish the Gain Matrix
Creation process.

8 Create a backup of the Calibration data files to an external media device (if available) or to a
specific folder or to drive C:
a Open the Windows Explorer application.
b Enter the following folder address: K:\_EXE\Trixel_Correction_Tables
c Copy all the files and folders in this folder to an external media.
9 In section 10.3.12 of the Acceptance Test form, enter the temperature of the detector recorded
at the end of the calibration process
10 In case of a dual Detector system, repeat sections 9.12.2 through 9.12.6 for the second
detector

Setting and Calibrating the PrestoDR System 199


9.13 AEC Calibration – Sedecal Generator
The following sections provide calibration and verification instructions for the AEC device.
Detailed explanations and background can be found in the applicable Sedecal Maintenance
Manual.
Setup:
1 Ensure a short jumper was installed in the Generator on the AEC adaptation board
TB1 7-10
2 Set the x-ray system, to the following conditions:
a SID =135 cm
b Grid in
c Tube centered to the detector. Verify center with the collimator light source. Open
collimator to 17” x 17” or large enough to cover all AEC cells
d Place a 1.5 mm copper on the collimator.
3 From the PrestoDR Shortcuts window, activate the Calibration application;

The PrestoDR System Calibration window opens.

200 Setting and Calibrating the PrestoDR System


Figure 9-8 PrestoDR Calibration Window

4 From the Corrections Tab select None

5 From the Desktop, choose:


Start  Programs TechService and press Enter;
the Sedecal Generator Service Application screen appears.

Setting and Calibrating the PrestoDR System 201


Figure 9-9 Sedecal Generator Service Application Screen

Verify that the generator is turned on, and that the TechService buttons in the Sedecal
Generator Service Application screen are not dimmed.
6 Choose Manual Calibration; the Select a Workstation screen appears.

Figure 9-10 Select a Workstation Screen

202 Setting and Calibrating the PrestoDR System


7 Using the UP/Down arrows, set the WS value to 1, and press OK; the following screen
appears.

Figure 9-11 Set Workstation Calibration Screen

8 Using the Up / Down arrows, set the mA value to E04.


9 From the Calibration Value options:
10 Choose Read.
11 Change the value to 70.
12 Choose Store.

Setting and Calibrating the PrestoDR System 203


13 Choose Go to User Mode; the following screen appears:

Figure 9-12 Set X-ray Values Screen

Choose RAD and set the X-ray values as follows:


KVp = 70KV
mA = 320
ms = 400

From the TechService screen, choose AEC; the following screen appears:

Figure 9-13 Film Settings Screen

14 From the Areas options, select Center.


15 From the Film Speed options, select Medium.
16 From the Density options, select 0.

204 Setting and Calibrating the PrestoDR System


AEC Chambers Equalization
The purpose of this procedure is to ensure that the Left, Right and Center chambers are all
calibrated to similar levels. Two alternative methods are available.
Method A

1 Take an X-ray exposure and:


Check the average gray level by checking the ROI box in the PrestoDR Calibration
Window and looking at the Average GL field. Note the gray level value
2 Take an X-ray of the left and right chambers noting the gray levels
a. If the values of gray levels differ by more then 5% between chambers, adjust the
appropriate Pre-amp potentiometer so that all chambers are in agreement to within
5%.
3 Repeat steps 1 and 2 until the desired gray levels are achieved.

Method B
1 Take an x-ray exposure and:
a. Check the post X-ray MAS reading displayed in the TechService screen. Note this
value.
2 Take an X-ray of the left and right chambers noting the post X-ray MAS values
a. If the MAS values differ by more then 5% between chambers, adjust the
appropriate Pre-amp potentiometer so that all chambers are in agreement to within
5%.
3 Repeat steps 1 and 2 until the desired gray levels are achieved.

AEC Gain Calibration


1 Set the X-ray system, to the following conditions:
a SID =135 CM
b Tube centered to the detector. Verify center with the collimator light source. Open
collimator to 17” x 17” or large enough to cover all AEC cells
c Verify that the Grid is in its place inside the Bucky and attach a 1.5 mm copper absorber
to the collimator.
2 From The TechService manual Calibration Screen, verify that the E04 value is set to 70
as per SETUP step 10.
3 Go To User Mode
4 From the TechService AEC Setting Screen set the following:
a. From the Areas options, select Center.
b. From the Film Speed options, select Medium.
c. From the Density options, select 0.
Setting and Calibrating the PrestoDR System 205
d. From the RAD setting screen Set 70KVp, 320 ma, 400 ms
5 Take an X-ray exposure:
a. In the PrestoDR System Calibration Window, choose ROI; the ROI square appears on
the image and the average Gray Level value is displayed in the average GL field.
b. Center the ROI square.
c. Check the Average GL. It should be between 750 and 800 GL.
d. If the GL value is not in the specified range:
e. Adjust the preamp master gain potentiometer to achieve the specified value.
6 Repeat step 6 until the specified value is achieved. Note the final value for reference to
be used during the AEC Tracking calibration.

AEC Tracking Calibration


1 Set the X-ray system, to the following conditions:
a SID =180 CM (72”)
b Tube centered to the detector. Verify center with the collimator light source. Open
collimator to 17” x 17” or large enough to cover all AEC cells
c Verify that the Grid is in its place inside the bucky and attach a 1.5 mm copper
absorber to the collimator.
2 From the TechService screen, choose Manual Calibration.
3 Using the Up / down arrows, set the mA value to E08.
4 From the Calibration Value options:
a. Choose Read.
b. Change the value to 0.
c. Choose Store.
5 Choose Go to User Mode; the Set X-ray Values screen appears
6 Verify that the RAD button is active and set the X-ray values as follows:
KVp = 55 KVp
mA = 320
ms = 400
7 From the TechService screen, choose AEC; the Film Settings screen appears.
a. From the Areas options, select Center.
b. From the Film Speed options, select Medium.
c. From the Density options, select 0.
8 Take an X-ray exposure and check the average gray level by checking the ROI box in the
PrestoDR Calibration Window and looking at the Average GL field. Note this value.

206 Setting and Calibrating the PrestoDR System


9 Take an exposure at 90 KVp check the average gray level in the PrestoDR Calibration
Window and adjust the value of E08 to bring the average gray level as close as possible to
that achieved at 70 KVp during the gain calibration. E08 is the slope adjustment.
Increasing from 0 to 1 will decrease the GL at 55 KVp. Decreasing from 0 to 255 will
increase the GL at 55 KVp and have the opposite effect at 90 KV. Note when returning
to Go to user mode after adjusting E08 value you must select AEC again before taking
another exposure.
10 Repeat steps 5 thru 8 until the average gray level at 55 and 90 KVp converge as close as
possible to the gray level achieved at 70KVp (750 and 800 GL). Note any adjustments of
the value of E08 will affect both 55 and 90 KVp.
11 Attach the 1.5 mm copper absorber and take an X-ray at 120 KVp. Check the average
gray level is +/- 10% of the value achieved at 70 KVp. If not within the specified range
adjust the value of E08 until the desired gray level is achieved. If adjustment is required
it will affect the 55 KVp calibration point. Repeat step 7 and verify that the average gray
level is +/- 10% of the value achieved at 70 KVp.

9.14 AEC Calibration CPI Generator


The following sections provide calibration and verification instructions for the X-ray tube
and AEC device for the CPI generator. Detailed explanations and background can be found
in the applicable CPI Maintenance Manual.
1 From the PrestoDR Shortcuts window, activate the Calibration application;

Figure 9-14 PrestoDR Shortcuts Window


The PrestoDR System Calibration window opens.

Setting and Calibrating the PrestoDR System 207


Figure 9-15 PrestoDR Calibration Window
2 From the Corrections Tab select None

3 From the desktop select:


StartProgramsGenWare Utilities-Genware Utilities- ENTER;
a “screen size is unknown” message appears.

208 Setting and Calibrating the PrestoDR System


4 Choose OK to continue; the GenWare32 Generator Utilities window appears.

Figure 9-16 GenWare32 Generator Utilities window

5 X-ray Tube Calibration


a From the GenWare32 Generator Utilities window, choose Setup -> Auto Tube Selection;
the Tube Selection dialog box appears.

Select the relevant X-RAY tube from


the library and choose Download.

Figure 9-17 Tube Selection Dialog Box


b Select the relevant X-RAY tube from the library and choose Download; download is
initiated.
c From the GenWare32 Generator Utilities window, choose the Receptor icon; the
Receptor Setup dialog box appears.

Interface Options:
1: set for working with PrestoDR
0: set for Direct Mode

Verify that the Interface Options value = 0.

Figure 9-18 Receptor Setup Dialog Box - 1

Setting and Calibrating the PrestoDR System 209


d Verify that the Interface Options value = 0 and choose Close.
e From the GenWare32 Generator Utilities window, choose
Setup -> Auto Tube Calibration; the Auto Tube Calibration dialog box appears.

Figure 9-19 Electrical Connections Auto Tube Calibration Dialog Box


f Verify that the actual tube type is identical to the one defined in the Current Tube field
and choose Close.
g Calibrate the X-ray tube by pressing and holding the hand switch until the calibration is
completed successfully .
h Repeat this procedure (step a to step f) for the other Focus so that both large and small
focuses are calibrated.
6 Preparing for AEC Calibration
a Set up the X-ray system as follows:
• SID =135 cm, using the Wall Bucky Detector.
• Align the X-ray tube with the AEC so that the AEC middle chamber is located in
the X-ray central beam.
• Collimate the beam to ensure that the beam covers all three AEC chambers.
• Attach 1.5 mm copper absorber to the collimator
• Insert the grid into the Bucky.
b Verify on the Generator’s Digital interface board: SW1 is ON and SW 2-8 are OFF.
c Load the Genware utilities:
Start  Programs Generator utilities ENTER.

Note
The AEC Preamp ion chamber Slope Settings are factory pre adjusted and normally
should not be changed during the installation.
In case the AEC cannot be properly calibrated, you can adjust the pre amp gain.
d From the GenWare32 Generator Utilities window, choose the Receptor icon; the
Receptor Setup dialog box appears.

210 Setting and Calibrating the PrestoDR System


Set the Interface Options value to 1.

Figure 9-20 Receptor Setup Dialog Box - 2


e Set the Interface Options value to 1.
f For a Wall bucky:
1 From the Receptor Setup dialog box, choose Receptor 3.

Figure 9-21 Receptor Setup Dialog Box - 3


2 Referring to the figure above choose the AEC tab and set:
• AEC Channel to 1.
• AEC Back-Up time to 4000
• AEC Mode to MS
g For a Table Bucky:
1 From the Receptor Setup dialog box, choose Receptor 1.
2 Referring to the figure in the previous step choose the AEC tab and set:
• AEC channel to 2.
• AEC Back-Up time to 4000
• AEC Mode to MS

Setting and Calibrating the PrestoDR System 211


7 Generator AEC Board Gain Settings
a From the GenWare32 Generator Utilities window, choose the AEC icon; the AEC Setup
& Calibration window appears.

Figure 9-22 Film Screen Cal Values


b Choose the Film Screen Cal tab and set the 75Kv value to 5.4 .
c Choose Apply.
d Acquire one flat X-ray image at 75kVp.
e In the PrestoDR calibration utility, choose ROI and set the ROI to approximately the same
size and position as the AEC middle chamber.
f Acquire an X-ray image and check the Average GL value in the calibration screen .:
The value should be 700 G.L±20% . Turning the gain potentiometer on the Generator AEC
board (R1) clockwise will result in a higher image G.L. Acquire X-ray images until the
required gray level is achieved.

Repeat this procedure for all the KV i.e 55, 65,75,85,95,110,120 KV


If nessasry change the values (in side the KV boxes ) until you get 700 G.L±20% .

212 Setting and Calibrating the PrestoDR System


8 Density Calibration
a Verify that all the KV points have been calibrated.
b From the AEC Setup & Calibration window, choose the Density tab.

Figure 9-23 Density Setup


c Set the values for the following densities as follows:
Density Value %
-2 50
-1 25
1 25
2 50
3 75
4 100
d Using a 1.5 mm copper, set the Generator to 85KV.
e While taking flat X-ray images, measure the Average GL and adjust the percentage values
until all the values in the table below are calibrated.

Note
Before each acquisition, verify that the proper density has been selected in the
Radiography window section on the left side of the screen

Table 2: Gray Level Percentage Values


Density Gray Level (+/- 20%)
-2 350
-1 525
1 875
2 1050
3 1225
4 1400
9 AEC Chambers Equalization (only for AID ion chamber)
a Set the following acquisition parameters:
• 80 KV and 320 mA.
• Density 0
• Select:

Setting and Calibrating the PrestoDR System 213


Attach 1.5 mm copper to the collimator.
▪ Technique: AEC exposure
▪ Fields: Left chamber only
▪ Film Screen: I

b Acquire an X-ray image and verify that the average G.L is 700± 20%. If required, adjust
the left chamber Gain Potentiometer, located on the AEC PreAmp.
c Fields: Right chamber only.
d Acquire an X-ray image and again verify that the image GL is 700 ± 20%. If required,
adjust the right chamber Gain Potentiometer, located on the AEC PreAmp.
Fields: Center chamber only.
e Acquire an X-ray image and again verify that the image GL is 700 ± 20%. If required,
adjust the center chamber Gain Potentiometer, located on the AEC PreAmp.
f Second AEC Station Calibration (if installed):
In case of two installed FPD stations, the second station should be calibrated in the same
sequence as described in the above for AEC Channel 2.

9.15 AEC Calibration ADD-ON Generator


The following sections provide calibration and verification instructions for the X-ray tube
and AEC device for the ADD-ON generator.
1 From the PrestoDR Shortcuts window, activate the Calibration application;

PrestoDR Shortcuts Window


The PrestoDR System Calibration window opens.

214 Setting and Calibrating the PrestoDR System


PrestoDR Calibration Window
2 From the Corrections Tab select None

3 Switch on the ADD-ON generator.

4 Attached a 1.5 copper filter to the collimator.

5 Make an exposure (80KVP, 20MAS) AEC is ON and check that you get an image on the
WS monitor.

6 If necessary perform calibration of the X-ray tube.

7 Preparing for AEC Calibration


a Set up the X-ray system as follows:

Setting and Calibrating the PrestoDR System 215


• SID =135 cm, using the Wall Bucky or Table Detector (make sure to
choose the right station in the generator console).
• Align the X-ray tube with the AEC so that the AEC middle chamber is
located in the X-ray central beam.
• Collimate the beam to ensure that the beam covers all three AEC
chambers.
• Attach 1.5 mm copper absorber to the collimator
• Insert the grid into the Bucky.

Note
The AEC Preamp ion chamber Slope Settings are factory pre adjusted and normally
should not be changed during the installation.
In case the AEC cannot be properly calibrated, you can adjust the pre amp gain.

8 Generator AEC Board Gain Settings

a Choose the in the generator AEC :on 75KVP density 0 backup MAS=100mas
b Acquire one flat X-ray image at 75kVp.
c Check the visibility of the copper filter.
d In the PrestoDR calibration utility, choose ROI and set the ROI to approximately
the same size and position as the AEC middle chamber.
e Acquire an X-ray image and check the Average GL value in the calibration screen .:
f The value should be 700 G.L±20% . Turning the gain potentiometer on the Pre-amp
clockwise will result in a higher image G.L. Acquire X-ray images until the
required gray level is achieved.
If needed adjust the generator AEC board.
If the generator has KV tracking you may use it.

Repeat this procedure for the entire KVP spectrum i.e. 55, 65,75,85,95,110,120 KV
The target is to get the same Gray level 700 G.L±20% .
Repeat the procedure for LEFT & RIGHT chamber for Equalization.

216 Setting and Calibrating the PrestoDR System


9 Density Calibration
f Verify that all the KV points have been calibrated.
g Check that the GL is changed according to the generator settings.

h Sample For major generators density table.


Value %
Density (gray
level)
-2 50
-1 25
1 25
2 50
3 75
4 100
In case of two installed FPD stations, the second station should be calibrated in the same
sequence as described above for AEC Channel 2.

9.16 Network Connectivity Restore


If you disabled the network connectivity during the calibration process (see Section 9.8),
restore the connection now.

9.17 DICOM Connectivity Configuration


If the system is connected (via the network) to any DICOM compatible device, configure
the DICOM parameters for the service or device (Storage, Printer, Worklist or MPPS).
See section 13.5 DICOM Configuration in this manual for detailed explanation on how to
configure DICOM connectivity.

Setting and Calibrating the PrestoDR System 217


10 Acceptance Test

10.1 Acceptance Test Procedure


Overview
Following is a Test Report that you are requested to fill out during the installation and
calibration processes. This information is required to record the system status on the day of
installation.
The Acceptance Test is required to verify that the installation was performed correctly and
that the system is in nominal (and optimal) conditions.
A soft copy of this document can be found at C:\Util\ Acceptance Test.bat.
Some of the tests are to be carried out during the installation and calibration processes, and
some tests are to be carried out after completion of the process.
Note that at times during the installation and calibration processes you will be referred to the
Acceptance Test form to enter data regarding the test results. This will save time and prevent
the repetition of certain steps.

When & How


Test Section When & How
Fill out when unpacking the equipment; see
General Information 10.3.1
section 4.1.2
Visual Inspection 10.3.2
System Movements Control 10.3.3
Filtration 10.3.4 Perform after completing hardware installation
but before initiating the PrestoDR calibration
Generator Calibration 10.3.5 process; see section 9.1.
Tube - Bucky - Collimator Calibration 10.3.6
Half Value Layer 10.3.11
Performed in two steps:
1. Before PrestoDR calibration; see section
Temperature Monitoring 10.3.12 9.12.2.
2. After completing the calibration process; see
section 9.12.6
Pixium 4143 detector Offset 10.3.13 Perform during the PrestoDR calibration process;
Defect Map 10.3.14 see section 9.12.3 and section 9.12.4.

Gain Flatness and Calibration Error 10.3.15


FPD Sensitivity 10.3.16
Spatial Resolution and Contrast Resolution 10.3.17 Perform after completing the installation and
Grid Micro Switches 10.3.18 completing the calibration process.

Automatic Collimator 10.3.19


AEC 10.3.20

218 Acceptance Test


Test Section When & How
Peripheral Equipment Connectivity Test 10.3.21
Perform after completing the installation and
Monitor Calibration Data Recording 10.3.22
completing the calibration process.
Test Report Files 10.3.23

Note that some Thales system types support two detectors. Therefore there are several sections that
require data from the two detectors. If you are installing a single detector system, please indicate
“NA” in the “Second FPD” sections.
When filling out the form, please enter the parameter value in the right hand column. If there is no
parameter value, enter a check mark (√) or ’NA’ in the appropriate box, as required.
If some or all of these tests were already completed, enter the results in the relevant tables.
If you encountered/detected any problems, please contact your local PrestoDR support for
assistance.

Required Applications
The applications required for this procedure are:
1. The generator software to set the generator parameters.
2. The Thales calibration program. The program’s main screen is shown in:

Acceptance Test 219


Pixel coordinates for length measurement

Averaged Gray Level of the Roi


(Rand of Interest)

Detector Temperature

Figure 10-1 Thales Calibration Program - Main Screen

220 Acceptance Test


The calibration program has several modes for image correction. The corrections are accessed via
the Correction section in the main screen menu:
• Offset correction only
• Pixel cluster defects
• Ofsset+Gain correction
• Pixel Clipping correction
• Pixel defects
• Butting correction
• Echo line correction
• Grid suppression correction
• No corrections (raw image)

Required Test Equipment

Note
For all tests, unless otherwise specified, do not use collimator added filters.

Following is the list of required test equipment:


1. SAMIQAT Phantom Assembly (PN 91SA000500)
2. 4 Coins (no special requirements)
3. 4 mm Aluminum Layer
4. 1.5 mm Copper Absorber
5. Digital Volt Meter
6. Dose Meter
7. mAs Meter
8. kV Meter
9. Perpendicularity Test Tool

Acceptance Test 221


10.2 Test List
General Information…………………………................................................... 10.3.1
Visual Inspection ............................................................................................... 10.3.2
System Movements Control............................................................................... 10.3.3
Filtration Check ................................................................................................. 10.3.4
Generator Calibration ........................................................................................ 10.3.5
Tube – Bucky – Collimator Orientation ............................................................ 10.3.6
X- ray Beam Test............................................................................................... 10.3.7
Tube – Bucky Perpendicularity ......................................................................... 10.3.8
Collimator Visible Light Orientation................................................................. 10.3.9
Collimator Visible Light Orientation................................................................. 10.3.10
Half Value Layer ............................................................................................... 10.3.11
Temperature monitoring .................................................................................... 10.3.12
Pixium 4143 Detector Offset ............................................................................. 10.3.13
Defect Map ........................................................................................................ 10.3.14
Gain Flatness and Calibration Error .................................................................. 10.3.15
FPD Sensitivity.................................................................................................. 10.3.16
Spatial Resolution and Contrast Resolution ...................................................... 10.3.17
Grid Micro Switches.......................................................................................... 10.3.18
Automatic Collimator ........................................................................................ 10.3.19
AEC ................................................................................................................... 10.3.20
Peripheral Equipment Connectivity Test........................................................... 10.3.21
Monitor Calibration ........................................................................................... 10.3.22
Test Report Files................................................................................................ 10.3.23

222 Acceptance Test


10.3 Acceptance Test Form
10.3.1 General Information

Fill in this information during the unpacking stage; see Section 4.1.2 of the installation and
maintenance manual.

Contact Details
Installed by: Signature:
Email: Phone number:
Reported by: Signature:
Installation Start date: Installation end date:
Customer Data
Customer: Address: Postal Code:
City: State: Country:
System Data
Type of system (PrestoDR 4143\PrestoDR portable 3543 only):
DR System
Optimum/Compact: Serial #: S/W version:
Brand: Serial #:
Generator Manufacture date: Model: S/W version:
S/W version:

Overhead
Brand: Model: Serial #:
(Ceiling suspension)

Tube Support
Type:
__________________ Brand: Model: Serial #:
(Ceiling\ floor
mount\U-arm)
Table Brand: Model: Serial #:
Brand: Model: Serial #:
Tube
Filtration: Total Filtration:
Brand: Model: Serial #:
Collimator
Filtration: Total Filtration:
Bucky1 Serial #: Model: U-Arm/Table/Vertical

Bucky2 Serial #: Model: U-Arm/Table/Vertical


Brand: Model: Serial #:
Grid in Bucky 1 Line per cm: Ratio:
Focal distance: Line filler:

Grid in Bucky 2 Brand: Model: Serial #:

Line per cm: Ratio:

Acceptance Test 223


Focal distance: Line filler:
Brand: Serial #:
AEC1
Manufacture date: Model:
Brand: Serial #:
AEC2
Manufacture date: Model:
Pixium ________ 4143/3543 Serial #:
FPD1
Manufacture date: Model:
Pixium ________4143/3543 Serial #:
FPD2
Manufacture date: Model:
Other Devices Data
Brand: Serial #:
Manufacture date: Model:
Brand: Serial #:
Manufacture date: Model:
Brand: Serial #:
Manufacture date: Model:

10.3.2 Visual Inspection

Fill in this information after completing system assembly and before initiating the DR system
calibration process.
Visually verify the following:
There are no cables that interfere with the moving parts of the system or persons. 
The cables that move the system parts are well attached and cannot strike a person when 
moving.
All system parts screws are well secured. 
There are no broken or scratched parts. 
The system is clean (no dust, etc.) and the room is clear of all materials/tools used during 
assembly.
Verify existence of all required labels 

10.3.3 System Movements Control


Fill in this information after completing system assembly and before initiating the DR system
calibration process

U-Arm

Vertical (up and down)  Tube Rotation 


Arm Rotation (-30°- 90°)  Detector angulations (±30°) 

224 Acceptance Test


SID (40”/100cm – 72”/180 cm) 

Wall bucky stands and brakes

Vertical  Angular (±30°) 


Rotation  Brake Operation 
Brake Operation  Tube Wall Track 
SID (100cm – 180 cm)  Wall Stand Tilt 

Table bucky stands and breaks

Tube Movement from Table to Wall  SID (110cm) 


Brake Operation  Tube Table Track 

10.3.4 Filtration Check

After completing system assembly and before initiating the DR system calibration process, check
the filtration details (located on the component stamps or in the specifications) of the tube,
collimator and any additional equipment in the X-ray path (such as DAP).

Verify that the total filtration of the tube+ collimator + additional equipment exceeds 
2.5mm AL equivalent.

Acceptance Test 225


10.3.5 Generator Calibration
Connect a kVp meter and mA meter to the generator.

1 Set mA =100mA.
2 Set ms = 100ms.
3 Set the kVp according to the following table and acquire images. Write the measured kVp and
mAs:

kVp set kVp measured mA measured


55 kVp __________ __________
(52-58 kVp allowed) (95-105 mA allowed)
70 kVp __________ __________
(68-73 kVp allowed) (95-105 mA allowed)
100 kVp __________ __________
(96-105 kVp allowed) (95-105 mA allowed)
120 kVp __________ __________
(115-125 kVp allowed) (95-105 mA allowed)
Note – in CPI Indico 100 or CMP200DR generators you can measure the voltages on TP6, TP8 in
the CPU card to measure the kVp. The ratio is 1Volt to 20 kVp. Also, you can measure TP7, TP10
to measure the mA. The ratio is 1Volt to 100mA.

Verify that the measured kVp and mAs is in allowed area 

10.3.6 Tube – Bucky - Collimator Orientation

Fill in this information after completing system assembly and before initiating the PrestoDR
calibration process (For Pixium Portable 3543 the following is when the detector is inside the
bucky).

Test Setup

1 Set the system values as follows:


kVp mA/mSec Absorber SID [cm/Inch] Calibration Correction Grid AEC
60 100mA/50mS None 100/40 “none” No Off

2 On the wall stand, activate the collimator light source and narrow the collimator shutters (in
both axes) so that they are inside the image (to approximately 14”x14” [35cm x 35cm] image
area).

226 Acceptance Test


Butting lines cross

Shutters

Figure -2- Tube – Bucky - Collimator Orientation Test Example

Acceptance Test 227


10.3.7 X- Ray Beam Test
1 Acquire an x- ray image.
2 Check the gray levels in the acquired image by verifying that the lighter pixels are in a 
circle in the center of the image.
If the lighter pixels are not in a circle in the center of the image, adjust the tube
according to the applicable manufacturer’s instructions and repeat the test.
3 When the test is completed, print the image that displays the light when it is centered 
and attach the image to this report.

10.3.8 Tube – Bucky Perpendicularity

1 Set the system values as follows:


kVp mA/mSec Absorber SID [cm/Inch] Calibration Correction Grid AEC
70 100mA/50mS None 100/40 “none” No Off
2 If you have a system with table and wall stand, you should test the two stations. It is
recommended to start with the table test first.
3 Position the perpendicularity test tool on the bucky center and perform an exposure.
4 Measure the distance between the two center points in the circles of the acquired image.
The distance should be less than 135 pixels (= 20mm/0.148 pixels/mm = 2%SID).

Figure -3 Measure the Distance between the Two Center Points

5 If possible (not in table stand):


5.1. Set the system values as follows:
KVp mA/mSec Absorber SID [cm/Inch] Calibration Correction Grid AEC
70 100mA/160mS None 180/72 “none” No Off
5.2. Measure the distance between the two center points in the circles of the acquired image.
The distance should be less than 243 pixels (= 36mm/0.148pixels/mm = 2%SID).
6 In U-arm:

228 Acceptance Test


6.1. Repeat the tests in horizontal orientation. If you encounter a problem you might need to
calibrate the system in such a way that the errors emerging from the bending of the U-arm
will be distributed to vertical and horizontal misalignments so the total error in each
position will be within the limitations.

Note
If one or more of the measurements exceeds the limit, adjust the tube position related to
the bucky according to the applicable manufacturer’s instructions and repeat all tests in
the section.

10.3.9 Collimator Visible Light Orientation


1 Position four coins on the corners of the shuttered area (using tape) and acquire an x-ray
image.
2 Note the image and position the coins at the corners of the image as follows:
• The coins are fully visible.
• There is no light area between the coin and the shutters.

Acceptance Test 229


3 Acquire an x-ray image and fine tune the position of the coins until the two conditions
described in step 2 are satisfied.
The example illustrated in the following figure does not meet the two conditions described in
step 2:
• The upper coins not fully visible.
• The lower coins are too high relative to the lower shutter

Figure - 4: Incorrect Coin Positioning

230 Acceptance Test


4 Activate the collimator light source and verify that the coins are positioned at the corners 
of the illuminated area. See the following figure.

Figure - 5: Correct Coin Positioning


5 If the coins are not correctly positioned in the corners, adjust the light until the required
result is obtained.

10.3.10 Collimator – Bucky Orientation


This test verifies collimator/FPD alignment by using the FPD’s inherent butting lines to measure
the alignment.
1 Acquire an X-ray image.

Acceptance Test 231


XLU XRU

YRU
YLU

YRD
YLD

XLD XRD

Figure -6 Shuttered Rectangular Edge Lines and Butting Lines


2 Referring to the figure above, measure the misalignment by calculating the distance (in pixels)
between the shuttered rectangular edge lines and the butting lines cross and enter these values
in the following form (for Wall stand and U-Arm in vertical position):

∆Xup = |∆XLU - ∆XRU| = ____________ ∆Xdown = |∆XLD - ∆XRD| = ____________

∆Xright = |∆XRU - ∆XRD| = ____________ ∆Xleft = |∆XLU - ∆XLD| = ____________

∆Yup = |∆XLU - ∆XRU| = ____________ ∆Ydown = |∆XLD - ∆XRD| = ____________

∆Yright = |∆XRU - ∆XRD| = ____________ ∆Yleft = |∆XLU - ∆XLD| = ____________

3 Verify that all the differences (∆Xup, ∆Xdown, ∆Xright, ∆Xleft, ∆Yup, ∆Ydown, ∆Yright,
∆Yleft) are less than 10 pixels.
4 Adjust the position of the collimator until the required alignment is obtained.
5 In case of wall stand repeat the test for the table stand:
∆Xup = |∆XLU - ∆XRU| = ____________ ∆Xdown = |∆XLD - ∆XRD| = ____________

∆Xright = |∆XRU - ∆XRD| = ____________ ∆Xleft = |∆XLU - ∆XLD| = ____________

∆Yup = |∆XLU - ∆XRU| = ____________ ∆Ydown = |∆XLD - ∆XRD| = ____________

∆Yright = |∆XRU - ∆XRD| = ____________ ∆Yleft = |∆XLU - ∆XLD| = ____________

6 In U-arm:
Repeat the tests in horizontal orientation. If you encounter a problem you might need to
calibrate the system in such a way that the errors emerging from the bending of the U-arm will

232 Acceptance Test


be distributed to vertical and horizontal misalignments so the total error in each position will
be within the limitations.

∆Xup = |∆XLU - ∆XRU| = ____________ ∆Xdown = |∆XLD - ∆XRD| = ____________

∆Xright = |∆XRU - ∆XRD| = ____________ ∆Xleft = |∆XLU - ∆XLD| = ____________

∆Yup = |∆XLU - ∆XRU| = ____________ ∆Ydown = |∆XLD - ∆XRD| = ____________

∆Yright = |∆XRU - ∆XRD| = ____________ ∆Yleft = |∆XLU - ∆XLD| = ____________

10.3.11 Half Value Layer

Fill in this information after completing system assembly and before initiating the DR system
calibration process.
1 Set the system values as follows:
kVp mA/mSec Absorber SID [cm/Inch] Calibration Correction Grid AEC
100 100mA/20mS None 100/40 Not Relevant No Off

2 Position a dosimeter on the box so it will be 10-15 mm above the bucky. Position the
dosimeter on the center.
3 Measure the dose level for three exposures and average the dose values.
4 The averaged value A-4 mm (without a 4 mm aluminum layer) is: ________________.
5 Put the 4mm aluminum layer on the collimator output.
6 Repeat step 3.
7 The averaged value A+4 mm (with a 4 mm aluminum layer) is: ________________.
8 Verify that:
1.41 < (A-4mm / A+4mm) < 2.0

9 In case the collimator filter option exists repeat steps 1-10 with the filters. Verify that:

1.41 < (A-4mm / A+4mm) < 1.74

Note
1.41, 1.74 and 2.0 are equivalent to half value layer of 8, 5 and 4 respectively.

10.3.12 Temperature Monitoring

Record detector temperature values before and after calibration; see section 9.12.2 of the
installation and maintenance manual.

Acceptance Test 233


Parameter value / √
FPD1 Before calibration _________
FPD1 End of calibration _________
FPD2 Before calibration _________
FPD2 End of calibration _________

The temperature variance between initiating calibration and completing calibration should

be +1.0oC.

10.3.13 Detector Offset

Fill in this information during system calibration; see section 9.12.3 of the installation and
maintenance manual
1 On the offset menu press, Display current offset.
2 With maximal ROI, verify that the average gray level is between:
For 4143G (GOS): 1500 to 2000 GL. 
For 4143C (CsI): 2500 to 3300 GL
3 For a dual detector system, repeat the test for the second detector. 

10.3.14 Defect Map

Fill in this information during system calibration; see section 9.12.4 of the installation and
maintenance manual.
The Defect Map is checked by the ECV calculation. It should be less than 256,000. M2 to M8
should be zero.

Parameter value / √
FPD1 ECV and M2 to M8 values _________
FPD2 ECV and M2 to M8 values _________

10.3.15 Gain Flatness and Calibration Error


1 Set the system values as follows:
# kVp mA/mSec Absorber SID [cm/Inch] Calibration correction Grid AEC
1 70 100mA/40mS 1.5mmCu. 100/40 All Yes Off
2 70 100mA/40mS 1.5mmCu. 100/40 All No Off
3 120 100mA/50mS 1.5mmCu. 180/72 All Yes Off
4 120 100mA/50mS 1.5mmCu. 180/72 All No Off

2 For each of the 4 test setups:

234 Acceptance Test


a Acquire an image.
b Using the default ROI (400 x 400 pixels, double click on the image), measure the average
grey level of the image four corners and of the image center. Record these values in the
Flatness column of the table below.
c For each line of the table below, enter the maximum and minimum values of the five ROIs
in the Max and Min columns.
d For each line of the table below, calculate the mean gray level and record the result in the
Mean column.
e Calculate the deviation of the Max-Mean divided by the Mean and Mean-Min divided by
the Mean and record the results in the corresponding columns.

Acceptance Test 235


Table 3 – Gain Flatness and Calibration Error
Gain (Max-Mean) (Mean-Min)
Flatness Max Min Mean
Table Mean Mean

Short SID
Grid

Long SID
Grid

Short SID
no Grid

Long SID
no Grid

3 Verify that all the values in the two right columns ( (Max-Mean)/Mean, (Mean- 
Min/Mean)) are <0.1.

4 Load the relevant gain calibration file placed in C:\_Exe\Trixell_Correction_Tables (for


example Gain_LongSID_Grid_NoSwivel_#Station1). Use a narrow windowing level (center as
the image average and width as 10% of the image average). Verify there are no clear ghost
images such as collimator blades or phantom you used before.

236 Acceptance Test


5 Repeat the test for the table stand if exists with the following setups:

# kVp mA/mSec Absorber SID [cm/Inch] Calibration correction Grid AEC


1 70 100mA/40mS 1.5mmCu 100/40 All Yes Off
2 70 100mA/40mS 1.5mmCu 100/40 All No Off
1 120 100mA/40mS 1.5mmCu 140/55 All Yes Off
2 120 100mA/40mS 1.5mmCu 140/55 All No Off

Table 4 – Gain Flatness and Calibration Error


Gain (Max-Mean) (Mean-Min)
Flatness Max Min Mean
Table Mean Mean

Short SID
Grid

Long SID
Grid

Short SID
no Grid

Long SID
no Grid

6 Verify that all the values in the two right columns ( (Max-Mean)/Mean, (Mean- 
Min/Mean)) are <0.1.

7 Load the relevant gain calibration file placed in C:\_Exe\Trixell_Correction_Tables (for


example Gain_LongSID_Grid_NoSwivel_#Station1). Use a narrow windowing level (center as
the image average and width as 10% of the image average). Verify there are no clear ghost
images such as collimator blades or phantom you used before.

Acceptance Test 237


10.3.16 FPD Sensitivity Test
1 Set the system values as follows:
SID Calibration
kVp mA/mSec Absorber Grid AEC
[cm/Inch] Correction

70 200mA/50mS 1.5mmCu 100/40 All No Off

2 Place a dosimeter on a lead plate and position it above the bucky center.
3 Measure the height of the dosimeter above the bucky surface: h = ______.
4 Calculate the height correction factor: Hcf = [104/(100-h)] 2.
5 Acquire an image.
6 Measure the dose and record the result: µGy = __________
7 Position the ROI square on the middle of the image.
8 Record the average gray level: GL = __________
9 Calculate :
SGL = GL/ µGy · Hcf= __________

10 Verify that value is 610±120 for CSI and 359±30 for GADOX (for the Pixium Portable 
3543 the value is 610±120)
11 Repeat the same for table if exists.

10.3.17 Spatial Resolution and Contrast Resolution


1 Set the system values as follows:
kVp mA/mSec Absorber SID [cm/Inch] Calibration Correction Grid AEC

70 100/100 None 100/40 All No Off

2 Place the image test target in the grid position.

238 Acceptance Test


3 Acquire an image.

Contrast
Resolution

Spatial
Resolution

Figure - 7: Image Test Target

Figure - 8: Spatial Resolution Section

4 Using full resolution view without zoom, in the spatial resolution section (marked with 
a circle in Figure 9 5), locate the smallest group of lines where the black and white
lines are visible. The LP/mm number should be >3.1. Windowing is allowed.
5 Using full resolution view, in the contrast resolution section (marked with an ellipse in 
Figure 9 5), verify that six entire circles are visible. Windowing is allowed.

Acceptance Test 239


10.3.18 Grid Micro Switches
1 Choose APR Chest PA.
a Verify that the APR requires a grid.
b Insert the grid. Verify that the Grid icon does not appear.
c Remove the grid. Verify that the Grid icon appears.

2 Insert the grid.


a Choose APR Chest Child.
b Verify that the APR does not require a grid.
c Verify that the Grid icon appears.
d Remove the grid. Verify that the Grid icon disappears.

10.3.19 Automatic Collimator


This section is applicable only when the automatic collimator option has been purchased and
activated.
After the collimator calibration process, verify that the collimator also operates correctly in 
the 5cm / 2’’ and 35cm / 14’’ longitudinal and transverse sizes.
If adjustments are required, refer to collimator maintenance manual for adjustments.

10.3.20 AEC
Perform this test only after adjusting the AEC. See sections 9.13 - 109.14 of the installation and
maintenance manual

Different kVp Values and Stability


1 Set the system values as follows:
kVp mA/mSec Absorber SID [cm/Inch] Calibration Correction Grid AEC
Defined below 400/320 None 180/72 All Yes On

2 Using the kVp and absorber settings listed in the table below, acquire images.

3 In the left hand corner record the measured µGy

4 Calculate for each three lines the average value and record it in the middle column MµGy.

5 Calculate according to the equation in the right column the deviation (Dev) from average for
each line.

240 Acceptance Test


Table 5 Dev Values

µGy MµGy
Setup Dev = (µGy/MµGy-1) 2
(mean{µGy})

1. 70kVp 1.5mmCu
2. 70kVp 1.5mmCu
3. 70kVp 1.5mmCu
1. 120kVp 1.5mmCu
2. 120kVp 1.5mmCu
3. 120kVp 1.5mmCu

6 Calculate:
(Sum(Dev)/6) = ___________. The value should be less than 0.05.
7 Repeat the same for table.

Acceptance Test 241


Different Density Values Stability Check
1 Set the system values as follows:
kVp mA/mSec Absorber SID [cm/Inch] Calibration Correction Grid AEC
Defined below 400/320 None 180/72 All Yes On

2 Using the KvP, AEC filed selection and absorber settings listed in the table below, acquire
images.
Table 6 FPD Gray Levels
KVp AEC filed and
Absorber Density, FPD1 Gray level FPD2 Gray Level

55 KV, no Al -2
0
+2
80 KV, 1.5mm Cu -2
0
+2
120 KV, 1.5mm Cu -2
0
+2

3 Verify that all the measured gray levels are as follows:


For Density = -2 Sensitivity value * 6 * 75% +100 
For Density = 0 Sensitivity value * 6 +100 
For Density = +2 Sensitivity value * 6 * 125% +100 
Note - For Sedecal replace 75% with 50% and 125% with 150%.

10.3.21 Peripheral Equipment Connectivity Test

CD/DVD burn Option

Perform after completing the installation and completing the calibration process.

Write  image save  image read 

242 Acceptance Test


MWM/HIS/RIS

Refer to the relevant User Manual.

Receive patient list 


Search by ID 
Search by date 
Search by name 
Patient details received OK 

DICOM

Refer to the relevant User Manual.

Image printed in Full Text, Portrait format 


Image printed in Full Text, Landscape format 
Image printed in Maximum Size, Portrait format 
Image printed in Maximum Size, Landscape format 
Image sent to PACS 
Patient details in the PACS system are correct 
Image in the PACS appears as on the monitor 
Modality performed procedure Step Create sent to RIS 
Modality performed procedure Step Set sent to RIS 

Acceptance Test 243


10.3.22 Monitor calibration

Fill out following table after performing the monitor calibration as described in paragraph 9.7.2

Monitor Calibration Results – PrestoDR


Monitor Serial Number S
Monitor Model
Date D M Y
Monitor Calibration Version____________
Parameter Value Unit Min Nominal Max
Brightness % - - 100
Brightness / Contrast % 55 75 85
Contrast
No Error Check
Display Pop-up Mark
Settings

Monitor
Temperature Kelvin 4700 5000 5300
Temperature

Monitor
Measurements Steps - 10 20 20
Measurements
Check
Created Performed
Mark
ICC Profile
Check
Validated Performed
Mark

10.3.23 Test Report Files


After completing the test, please send the following:
1. A soft copy of the calibration files placed in: K:\_Exe\Trixell_Correction_Tables
2. A signed hard copy of this document.
To:

244 Acceptance Test


THALES ELECTRON DEVICES S.A.
460, rue du Pommarin - BP 122
38346 Moirans Cedex – France
Tel : +33 (0)4 76 57 52 80
Fax : +33 (0)4 76 57 40 85
mailto:x-rayimaging.support@thalesgroup.comx-rayimaging.support@thalesgroup.com

Acceptance Test 245


ACCEPTANCE TESTS
DIGITAL RADIOGRAPHIC SYSTEMS

1 OBSERVATIONS

2 ACCEPTANCE of the TEST


In accordance with the data obtained during the tests, the customer affirms that all system
specifications have been met, warranting the correct operation and performance of the system.

3 Approval

Name: Position:

Date: Signature:

246 Acceptance Test


Table 7 Changed SSPM Parameters Table
SSPM Parameter Name New Value Date of Change Reason for Change

Acceptance Test 247


Conclusions/Comments
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

248 Acceptance Test


11 Maintenance
Periodic maintenance should be performed at least once every six months. The
following activities should be done during periodic maintenance:
• System Calibration
• Database Compacting
• Antivirus Update and Scanning for Viruses

Additionally, some maintenance procedures need to be carried from time to time,


following parts replacement and certain system indications. The following procedures
are described in this chapter:
• Daylight Saving time setup
• Maintenance of Portable FPD and its accessories (battery and charging module)
• Replacement of PC Motherboard battery
• System re-calibration after grid replacement

11.1 Periodic System Calibration


It is recommended to perform the calibration procedure, as described in section 9.12,
every 12 months for both the PrestoDR 4143 and every 3 months for the PrestoDR
Portable 3543. It is preferable to perform detector calibration (on installation
or periodic maintenance) after a few days the system was not operational (for example
weekend or holiday) to avoid any residual ghosts affecting the images used for
calibration. Prior to performing the calibration process, backup the calibration files
using the backup tool as described in the Operation Manual.

11.2 Compact Database


It is recommended to periodically compact the PrestoDR database. This can be
performed by running Compact Database from the main menu of the Utilities
application.
See Section 13.7 of this manual for detailed instructions.

11.3 Antivirus Software


The PrestoDR software includes a licensed antivirus software package. It is
recommended to update this package periodically and scan the computer for viruses.

To update the antivirus software


1 Restart PC in Safe Mode (F8 while restarting).
2 Double click on the icon: ‘Update Antivirus’ on the desktop.
3 Insert the update CD in the CD-ROM drive and press enter.
4 Wait for the OK pop up box and click OK, wait again and click OK again.

250 Maintenance
To scan the computer for viruses
1 Double click on the Trendmicro icon at the bottom right side of screen.
2 Click “scan now” in the pop up window; the virus scan is initiated

11.4 Daylight saving utility


The daylight saving utility updates system clock one hour (forward or backwards)
without affecting the PrestoDR application. The new daylight time is applied to the
computer clock and the local database time. It should be run every time daylight
saving time is switched back to standard time.
This utility can be run by the service engineer or by the chief technician. It can be
used only when the PrestoDR system is in the Technician mode.
It cannot be run automatically. Manual attention is needed.
Before running the utility, access the PC’s Control Panel and choose Date and
Time. Select Time Zone tab and uncheck the option “Automatically adjust clock
for daylight saving changes”. After applying the change, reboot the system.

To run the Daylight Saving Time utility:


a. Verify no pending jobs exist (In DICOM store and DICOM print queues).
b. From the Settings tab in PrestoDR main application select Set Time. The
following window appears:

Maintenance 251
c. To set the time one hour forward, select Set Summer Time, then press OK.
The time will be moved one hour forward.
d. To set the time one hour backwards, select Set Winter Time, then press
OK. The time will be moved one hour backwards.

252 Maintenance
11.5 PIXIUM PORTABLE DETECTOR MAINTENANCE
11.5.1 Front End Battery Calibration
During the product’s operation, loading and unloading of the battery affects its
storage capacity and its accuracy. The maximum allowed accuracy tolerance is 10%.
When the battery reaches its 30%, it is considered that the battery needs to be
recalibrated. It will normally occur every 500 recharge cycles.

When reached, PrestoDR application will automatically turn on the icon at the
bottom of the screen.
Once recalibrated, the battery will recover its optimum load capacity and best
accuracy on remaining load calculation.
The calibration consists of a sequence of full unloads and loads, it is done internally
by the detector level. The calibration process takes a few hours, therefore it is
recommended to run it during the night (when the room is free).
To run the Calibration utility, Open the PrestoDR Calibration application and run
Start Battery Calibration from the Installation menu.

11.5.2 Front End Battery Exchange

11.5.2.1 Battery Disconnection


To disconnect the battery we recommend the following procedure:
• Disconnect the Backup cable and remove the FE from the DS
• Unscrew the eight Torx screws
• Disconnect the battery
Note that the battery must be switched to a shutdown mode before shipment (refer
to System commands).

11.5.2.2 Battery Connection


The battery must be connected when the Front-End is not powered. To connect the
battery we recommend the following procedure:
• Disconnect the Backup cable and remove the FE from the DS
• Connect the battery
• Fasten the eight Torx screws
• Reset the detector (refer to System commands)

Maintenance 253
11.5.3 Charging module (SAPM) contact pins replacement
It is recommended to execute the contact replacement every 2 years with a
flexibility of 5 months.
It is necessary to have a flat-nose plier.
Contact replacement is an operation that must be done with a great care and
carefully to warranty a long lifetime to the module. Do not apply sudden stress
during the contact replacement.
It is very important to keep out of water projections on the module.
1. Install the front-end detector into the docking station or charging bucky (this
depends on which SAP you want to replace) and recharge it. Switch off the
docking station or the charging bucky power supply as soon as the module is in
charging position
2. Remove the front end detector carefully.
3. Open the plastic bag of the maintenance kit and unstick the protective liner
4. Stick the protective liner above the recharging zone
5. Check that the protective liner is properly stuck on to the module: contact and
switches must still appear. The protective liner must not lie on the contacts and
on the switches

254 Maintenance
6. Remove, with flat-nose pliers, the two electrical contacts by pulling out
vertically

7. Prepare two new electrical contacts.


8. Insert the new electrical contacts in the sealing without completely inserting it.

9. Keeping the protective liner stuck in place, apply the insertion tool on the
contact (the piston must pull into the tool hole) and push it carefully and

Maintenance 255
perpendicularly to the module up to the stop (see next drawing).

10. Do likewise for the second contact.


11. Unstick the protective liner and throw it.
12. Restart the device. Be careful, during the detector absence, the module folds up
automatically.
13. Replace the front end detector carefully in the docking station or charging
bucky.
14. Make sure that the module works properly and then be sure that the detector is
completely recharged.

11.5.4 FE's contact plate replacement

11.5.4.1 Description of product


The recharging plate is installed on the PIXIUM FE 3543 pR detector. It is an
interface between the recharging module (SAPM) and the FE detector. The
electrical connection between the detector and the recharging plate is made by
electrical contacts of the detector, which touch the links pads.

11.5.4.2 Plate identification


Identification marking label is applied on the protective liner of the plate. When the
plate is installed on the FE detector, the identification marking label will be
removed from the plate.

256 Maintenance
Following identification marking is printed on electronic board of plate:
Reference and version of electronic board
UL marking for PCB

Maintenance 257
Face in contact with the detector of the recharging plate:

Visible face of the recharging plate in contact with the module:

258 Maintenance
11.5.5 Attachment of the recharging plate
The surface to be attached to must be clean i.e without dust, release agents,
processing oils and grease.
• Be sure that the plate fits in the detector location with the protective liner of
adhesive.
• Unstick the adhesive protective liner of the plate thanks to the tongue.
• Place the plate in its location quickly with a hand pressure on the entire plate
surface to obtain at least 1 Kg.cm². The adhesive power is total after a drying
time of 24 hours.
Be sure that the expiration date indicated on the identity label is not obsolete (cf
§1.2). If it is the case, do not use it!

11.5.6 Storage and transport conditions


The packed product has to be stored or carried in the conditions described in the
following table:

Minimal Value Maximal Value

Temperature -25°C 55°C

Temperature variation -1°C/min 1°C/min

Humidity 5%RH 95%RH

Pressure 700mbar 1100mbar

11.5.7 Portable FPD Cleaning, Sterilization and Disinfection Instructions


The Portable FPD can be cleaned using a moist cleaning cloth that complies with
ESD safety conditions. Note that the detector is not waterproof.

NOTE
When using the Portable FPD out side of a bucky, contact
may be made between FPD housing and patient’s body.
Always clean the FPD before using the FPD for a new
patient.
Thales recommends wrapping the Portable FPD using a disposable plastic bag
(which is X-ray transparent) in order to prevent infection by virus or bacteria.

Maintenance 259
The following table provides a list of materials that can be used for
cleaning the Portable FPD, as well as the Docking station, grid
frame and Backup cable

Active substance class Cleaning agent Concentration


Aldehyde Lysofomin 3000 3 vol%
Quaternary compounds Biguanid Fläche 4 vol%
Guanidine derivates Bacillocid spezial 6 vol%
Peroxide compounds Dismozon pur 4 weight%
Chlorine derivates Clorina 1 weight%
Household dishwashing Grün und Mild 10 vol%
liquid, washing active
substances

11.6 PC Motherboard Battery Replacement


After motherboard battery replacement and turning on the PC, follow these
instructions to prevent a warning message during startup.
• Press the “DEL” button and enter BIOS settings. The password is: “techsp”.
• Choose “Save & exit setup”
• Choose “Y” and click “Enter”.

11.7 System re-calibration after grid replacement


In a case that the grid needs to be replaced, it is mandatory to perform the calibration
procedure, as described in section 9.12.

260 Maintenance
Maintenance 261
12 Troubleshooting and System Diagnostics

12.1 Equipment Protection


12.1.1 Static Electricity
To prevent equipment damage by static electricity, wear a properly grounded bracelet when
handling internal electronic parts.

Figure 12-1 Grounded Bracelet

12.2 Troubleshooting
The following sub-sections provide information on troubleshooting and workarounds for the
PrestoDR system.

12.2.1 Capture
The Capture function is a very powerful tool for servicing the PrestoDR system. It enables three
features:
• FTP Report (Section 12.2.1.1)
• Obtain Last Acquisition Data (Section 12.2.1.2)
• Remote system access (Section 12.2.1.3)

Troubleshooting and System Diagnostics 262


The Capture function can be operated from the Acquisition/Review/Archive screens.

Capture button

Clicking on the Capture button will open the following dialog box, enabling selection of the
desired function.

Troubleshooting and System Diagnostics 263


12.2.1.1 FTP Report
The FTP Report feature enables sending real time valuable information to Thales Service
department, including databases and files relevant to events taking place at the site. If the system is
connected to the Internet with secured direct access to Thales server, the data can be automatically
transferred on-line. Alternatively, the data can be saved onto the local disk, any USB device in real
time or sent in a zipped file to any e-mail address.
The FTP Report menu can also be accessed from the PrestoDR Utilities application (Backup &
Restore). See also section 13.11 in this manual.

1 Select the Backup Destination (FTP Server/hard Disk/USB Device) by checking the selected
destination. NOTE: When operating the Capture feature, the acquisition is not allowed and the
X-ray ready button turns red.
2 Click on “Capture/Report” to backup the files or “Cancel” to close the FTP dialog box.
The Capture operation backs up all the files that were defined in the “Backup Options”
checkbox into a Zip file and uploads the file to the FTP server, or to the alternate selected
destination.

3 In order to send an email, set the “Capture Address To List” SSPM (Maintenance  Email) to
the desired address. You can also set an address as CC, by setting the “Capture Address CC
List” SSPM. See the following picture:

264 Troubleshooting and System Diagnostics


12.2.1.2 Obtain Last Acquisition Data

The Obtain Last Acquisition Data function is used for service purpose.
It gets internal system data from the last acquisition and stores into a predefined folder. All the
data concerning the last acquired image: raw image, all reference files, corrected image, log file,
initialization files, and more. The operator should use this function only when specifically
requested by the local service personnel.
After selecting this feature, the following message will appear. Press OK to confirm.

12.2.1.3 Remote Access

The Remote Access function is used for service purpose.


It allows for a remote connection to the system, to enable remote service and diagnostics over the
network. The application in use is TeamViewer. In order to use remotely, the integrator needs to
separately purchase a TeamViewer license.
There are 2 ways to allow connectivity using the Remote Access feature:
• On demand – The site requests supports and initiates the connection.
• Unattended – The supporter can connect to the site at any time. The operation doesn’t
stop the site normal operation and the site can view what ever is being done.
Note:
When connecting to a remote site - the service engineer must be very cautious not to utilize the
system when there is a patient in room and not abuse private patient data.

Troubleshooting and System Diagnostics 265


12.2.1.3.1 Opening Internet connection
To allow this feature – make sure that there is access to the Internet from the system. To do so
go to Start->Run and type iexplore.
When the Internet explorer opens try to access www.msn.com - If succeeded then there is
access to the Internet. If there is a problem, run the batch file c:\util\ Disable_proxy.bat and try
again to access the Internet. If there is still a problem – Call the IT and ask for access to
Internet (port 80).

12.2.1.3.2 On demand connection


Setup
To allow this feature – Set the SSPM “Maintenance\Capture/Report Enabled” to 3.

Operation
• The initiator needs to press the Capture button at the bottom of the screen, then select
Remote Access. See section 12.2.1.
• The TeamViewer QuickSupport dialog boxwill open and display the ID and the Password
of the connection

266 Troubleshooting and System Diagnostics


• The ID and Password needs to be communicated to the remote supporter in order to enable
connection
• When finished – The Cancel button on the QuickSupport dialog box should be pressed to
terminate the connection

12.2.1.3.3 Unattended connection


Setup
• Run TeamViewer_Host_Setup.exe while in the desktop, when the PrestoDR application
is inactive. Press Run and follow the instructions on the screen. Select a password to be
used at any connection to the site. This password needs to be shared with the remote
partner.
• After the installation is finished a small TeamViewer icon will appear on the right hand
side of the windows taskbar – moving the mouse over this icon will display the ID given
to this connection. This ID is permanent and should be used whenever trying to connect to
this site, together with the password that was selected during the installation of
TeamViewer_Host_Setup.exe.
Operation
• The remote supporter can connect to the site at any time using the ID and password
selected during the installation. When trying to connect to the site – the following
indication will appear on the client’s side (site).

Troubleshooting and System Diagnostics 267


12.2.2 System Errors
All errors are displayed on the W/S Monitor as an error message dialog box:

Figure 0-1: Error Message Dialog Box

The error message dialog box contains three fields:


• Error
The Error field returns an error code containing a category label and an error
identification number.
• File
• Line

268 Troubleshooting and System Diagnostics


12.2.3 Error Codes List
Error Code Description
Software
S-1 Invalid state detected by SR application S/W.
S-2 Invalid state detected by operating system.
S-3 Invalid state detected by Microsoft UI s/w (MFC error).
S-4 I/O or internal resources operation Time Out expired.
Hardware
H-500 The device (DVD, MPPS server, local disk, printer service, store service) encountered
one of the following errors:
Could not mount
is write protected
Does not have enough memory to write to
Media was not found
Image already exist on the device
Device self test failed
Association with device timed out
Can not create directory on device
H-600 The removable physical devices (EOD, DVD, LI) was not able to find the given path
Parameters (Registry)
P-10 Unable to access PrestoDR Registry parameters set
P-20 Failed to access a given Registry parameter
P-30 Incorrect parameter type detected; parameter data integrity violation.
P-40 Parameters set Check Sum error; parameter data integrity violation.
P-50 Invalid parameter relationship detected
Generator
The following generator errors can be found in the log files with the prefix: “LeftSidePrestoDR.cpp
5172 FromGenExpParamsNotify-bSuccess=xx“
G-1 Generator server info; informative info only.
G-2 Warning
G-3 No communication with generator.
G-4 Irrecoverable error; a fatal error was detected.
G-5 Command failure; the last requested was denied.
G-6 Overload. Requested exposure parameters are currently too high.
G-7 Different from requested. One of the exposure parameters set to generator is different
than the requested parameters.
G-8 Latching error; error that can be resolved by itself.
G-9 Timeout error; a request to generator has timed out.
G-10 FPD failure; request from FPD has failed.
G-11 Recoverable error with reset; will be cleared with reset error func.
G-12 Backup time error; BUT reached.

Troubleshooting and System Diagnostics 269


12.2.4 Generator Not Communicating

Description The generator console or OCP is not communicating with the generator. No
command can be executed.

Type Fatal

Possible Cause • Incorrect physical connection to generator.


• Incorrect parameter setup in the generator / PrestoDR.
• Incorrect interface boards in generator or PrestoDR
Troubleshooting

Check the correct COM 4


port used for the generator
was set correctly:
1) Verify the switches on the
VSCOM board are configured
correctly to RS232 or RS422
2) Use the loop back to verify
right connector.

Does the generator


application or OCP
communicate?

270 Troubleshooting and System Diagnostics


12.2.5 X-ray Ready Icon Does Not Turn Green in PrestoDR

Description X-ray Ready icon in PrestoDR application does not turn green after
waiting more than 60 seconds.
Type Fatal
Possible Cause • No communication with selected FPD.
• No communication with Generator.
• Disk is full.
• Overload received from generator.
• Communication error with FPD.
• Door is open.
• Detector temperature is abnormal.
• Grid position differs from what was set in the current APR.
• Tube was not placed in center of table or one of SID stations.
Troubleshooting

Does the “X-ray


Yes Ready” icon turn No
green in the
calibration utility?

Exit the PrestoDR application and Refer to section:


open the generator app. (Genware “X-ray Ready Icon
for CPI, TechService for Sedecal, Does Not Turn Green in
OCP for QMI) Calibration”

Yes Does the generator No


application or OCP
communicate?

Return to the
PrestoDR application Refer to section:
and open the 12.2.4 “Generator
“DiskTask” application not Communicating”

Yes No
Is the disk full?

Disk is full – clean


images from Archive Yes No Does the No
Is an overload
selected FPD
icon displayed?
icon appear?

Reduce kVp or Communication


mA or mAs error with FPD

Troubleshooting and System Diagnostics 271


12.2.6 X-ray Ready Icon Does Not Turn Green in Calibration

Description X-ray Ready icon in PrestoDR application does not turn green after
waiting more than 60 seconds.

Type Fatal
Possible Cause • No communication with selected FPD.
• Not possible to acquire an offset image from FPD.
• FPD temperature is abnormal.
Troubleshooting

Shut down other


FPD (if exists) from
its power supply.

Exit the calibration utility and


according to the detector that
was selected in calibration, run
PixRAD demo application

Try and connect to the


relevant detector.

No Is the response:
Detector connected

Check the license key


was properly placed in
K:\_Exe\ThirdParty\Pi
xRad\config\simple in
the appropriate
directory according to
the system type

272 Troubleshooting and System Diagnostics


12.2.7 Abnormal FPD Temperature

Description The temperature of the FPD is above the limits. The FPD should be powered
down immediately and service should be notified.
Type Fatal
Possible Cause • Short circuit in miniPDU power supply.
• Short circuit in internal FPD electronics.
• FPD defective.
Troubleshooting

Disconnect all
cables leading from
the miniPDU to the
FPD.

Connect a DVM to the power


supplies of the 24v of the miniPDU
and test for correct voltage.

No Yes
Voltage incorrect?

Replace the internal Replace the miniPDU.


bucky cable to the FPD.

No
Is the problem
resolved?

Panel defective;
replace the FPD.

Troubleshooting and System Diagnostics 273


12.2.8 Poor Image Quality: Image Too Bright or Too Dark

Description The bright or dark details cannot be seen in the image.


Type Non Fatal
Possible Cause • Monitors are incorrectly calibrated.
• Incorrect dose settings.
• System is incorrectly calibrated.
Troubleshooting

USE the SMPTE 3K


pattern to verify the
monitor calibration.

No Faulty calibration? Yes

Change the dose Calibrate the monitor.


settings.

Is the problem No
Follow acceptance test
resolved? to calibrate and test

274 Troubleshooting and System Diagnostics


12.2.9 Poor Image Quality: Grid artifacts:
12.2.9.1 Darker zones
Description Artifacts that happen only when using grid showing darker zone in one side of

the image.
Type Fatal
Possible Cause Detector – Grid - tube path misalignment
Troubleshooting Verify the tube-grid-detector path is centered using the gantry assembly
instructions and Thales’ acceptance test procedure.
Note – the higher the grid ratio is the more it is misalignments sensitive

12.2.9.2 Slanted vertical lines all over the image (moiré pattern)
Description Artifacts that happen only when using grid showing slanted vertical lines all

over the image


Type Fatal
Possible Cause 1. Bad calibration
2. Bad gird

Troubleshooting Verify the tube-grid-detector path is centered using the gantry assembly
instructions and Thales’ acceptance test procedure.

Troubleshooting and System Diagnostics 275


12.2.10 Poor Image Quality: artifacts
12.2.10.1 Blinkers
Description Unstable pixels that there X-Ray attenuation fluctuates in time, usually visible

on a single vertical line


Type Non Fatal
Possible Cause Detector column/pixel is defective
Troubleshooting

No Yes
Are the pixels on same
line?

Use calibration
utility menu
option:
Set the following SSPMs:
Hardware\SmartRad\Trixell\Dots\De
tector1\Sporadic Dots Enable to 1
&
Hardware\SmartRad\Trixell\Dots\De
tector1\Hardware\SmartRad\Trixell\
Dots\Detector1\Number of columns
to correct = x, y (column numbers of
actual blinkers – E.g. 1370, 2540)

276 Troubleshooting and System Diagnostics


12.2.10.2 Vertical black and white straps and small spots
Description The image surrounding the patient shows black and white vertical straps and
small spots

Type Non Fatal


Possible Cause Over dose causing the system to work out of recommended range
Troubleshooting Change dose settings (mA, ms) to acquire with less dose to the patient.

12.2.10.3 Poor Image Quality: Acquisition has Interferences


Description The bright or dark details cannot be seen in the image.
Type Fatal
Possible Cause 1. Small spikes in the image.
• System grounding is not connected properly.
• New devices installed in room have faulty grounding.
2. Snow-like pattern.
• Incorrect dose setting.
3. Digital artifact
• Problem in one of the cables.
• Problem in one of the boards.
• Problems with the power supply interface.

Troubleshooting and System Diagnostics 277


Troubleshooting

Small Spikes

No Yes
System ground OK?

Connect a proper Verify the grounding


grounding to a of other devices in
protective earth. the room.

Snow Pattern

Change the dose settings.

278 Troubleshooting and System Diagnostics


12.2.11 Serial Communication Generator is not Functioning

Description Communication with generator lost.


Type Fatal
Possible Cause • Incorrect generator type parameter.
• Incorrect port setting.
• Cable connected to wrong physical port.
• Serial communication cable defective.
Troubleshooting
Communication with
generator is lost.

Correct generator
No type in SSPM: Yes
Hardware\Generator\
Generator Type?

Set Generator type


as described in
Appendix C. Yes Is the cable connected
to the correct port (4)

Start the system.


Replace RS-232 cable
No
No
Connect the cable to
COM port 4
Is the problem
resolved?

END
Yes

END

Troubleshooting and System Diagnostics 279


12.2.12 MPU is not booting

Description MPU starts to boot up, but the booting process is not completed (stops before
the application is on).
Type Fatal
Possible Cause • Loose cables connection.
• One of the boards is defective or not connected properly.
Problems with PC RAM Memory, microprocessor, bios EEPROM, system
disk
Troubleshooting
Check if the Cables are connected
properly, especially the hard drive cables.

NO Fix the
Are the cables malfunctioned
connected OK?
cable.

YES

Check in GIF board if all LEDs are lit


D4, and D5.

Is the GIF NO See if GIF board


board OK? replacement solves the
problem
YES

Is GIF board
No Connect the
connected
properly to USB? boards properly

YES

Replace the MPU

280 Troubleshooting and System Diagnostics


12.3 System Diagnostics
12.3.1 Touch Screen Test (USB)
Position a finger on the touch screen and verify that the cursor is responding.

12.3.2 COM 4 Test (Generator Communication)


12.3.2.1 Sedecal generator (Via RS232 to the mini console)
1 Run the Tech Service program (Sedecal).
2 Check the RS232 connectivity by changing the KV value in the user mode
(TechService program).
3 Verify that the value changes accordingly.

12.3.3 Grid Switch test


1 Open PrestoDR main screen.
2 In the Patient Registration window, register a new patient.
3 Pull out the grid and verify that the Grid icon changed and displays No Grid.

Troubleshooting and System Diagnostics 281


12.3.4 Disk tool diagnostics
Before performing any activity with the DiskTool Utility it is highly recommended to
perform full system backup.
In addition, before running Backup and after running Restore, make sure the drive letters
are correct in disk management:
{Right click on 'My Computer'  'Manage' Disk Management}

Disk Partition Drive Letter File Allocation type Capacity


0 0 C ‘System” NTFS-64k 40000
0 1 S "Images" NTFS-64k 180000
0 2 Unknown NTFS 30000
"Backup"
DVDRW 0 E 4500
Table 1-1: Hard Disk Drive letters arrangement
The DiskTool Diagnose Utility is a part of the PrestoDR system software CD supplied
with the PrestoDR system.
In order to run DiskTool Diagnose Utility, insert the PrestoDR system software CD.
1 Press F11 to Boot from DVD
2 You will receive the following screen

3 Item 1 in the menu is add-on utilities to diagnose disk drive,


Item 2 diagnose the network card
Item 3,8 not applicable
Item 4, backup systems - will backup the system twice so if the primary
backup is faulty the secondary backup will work.
Items 5-7 in the menu used for restoring the system:
4 Restore from factory defaults (Final Integration close work)
5 Restore from primary backup
6 Restore from secondary backup in case the primary backup is not working properly

282 Troubleshooting and System Diagnostics


12.3.4.1 Diagnose Disk (line 1)
1 After choosing the first option 'Diagnose Disk' press the ESCAPE (Esc) key and then
the 'Y' key to accept License Agreement. The following screen will open:

Figure 0-2 : Diagnose Disk


2 From the Next window select the drive you want to test:

Figure 0-3 : Select Drive


Selecting Quick Test option will take approximately 5 minutes. Extended Test
includes quick test and can take from 30 minutes up to several hours.
• Clicking 'R' will start the test, press “ALT-X” to abort
• Click 'C' for extended test.

Troubleshooting and System Diagnostics 283


Figure 0-4 : Diagnose Disk –Quick Test

3 If a failed disk was detected, write down the S/N of the failed disk and go back to the
diagnose option to identify the port number of the field disk.
4 If necessary replace the disk (follow instructions on 12.3.5.1)

284 Troubleshooting and System Diagnostics


12.3.4.2 Diagnose Network Card (Line 2)
Using this option will open the following window and will unable to test the network
card.

Figure 0-5 : Diagnose Network Card


1 Select 'Test Adapter'.

2 Select Begin Adapter Tests.

Troubleshooting and System Diagnostics 285


The network card diagnose will run:

286 Troubleshooting and System Diagnostics


12.3.4.3 Backup System Disk (line 4)
This procedure is the technician system disk backup and should be performed after
completion of system install and after every software upgrade or configuration changes.
Choosing this option will perform a back up twice, stored next to Partition 'S' as
inaccessible “backup” partition.
During the backup procedure the following window will be viewed:

Figure 0-6 : Backup System Disk

Troubleshooting and System Diagnostics 287


12.3.4.4 Restore System Disk (lines 5-7)
This options if selected will recover the last mirrored backup (of the System HHD) to a
newly installed Thales stamped Generic HHD.
This procedure should be used for non-Physical failures of the HHD
1 After the physical installation of the new HHD
2 Reboot the system from the PrestoDR SW CD to launch the DiskTool Utility.
3 Select the restore from primary technician backup.
4 After selecting the 'Restore' option from the menu a confirmation will appear; press
'Y' to continue.
5 When the restore process has finished reboot the system (option 9) and return to the
BIOS menu (press the 'Del' key while rebooting).
6 Change the BIOS setup to reboot from Hard Disk.
7 Logon as technician- DO NOT LAUNCH THE PrestoDR SW.
8 Make sure the disk drives are correct as the above (Table 1-1).
9 Copy all files from drive S:\disk\databases to K:\databases.

12.3.5 HDD Replacement


12.3.5.1 Physical Disk Replacement
1 If necessary run Disk Tool in order to detect faulty disk drive.
2 Before replacing HDD, make a full backup of the Databases, Registry, and FPD
information (if possible) to a hard copy.
3 Backup all images (if necessary) on to an external memory device or print them out
to a hard copy.
Steps 4 and 5 are relevant only for Optimum Configuration. In case of an Compact
Configuration, replace the HDD as per the PC manufacturer’s instructions.

4 Turn off the system and open the PC

288 Troubleshooting and System Diagnostics


5 Replace the faulty disk as follows:
a. Remove the front panel of the chassis using standard screwdriver

b. Disconnect GND cable from chassis (Remember to restore GND and front panel
when finish replacing)

Troubleshooting and System Diagnostics 289


290 Troubleshooting and System Diagnostics
Troubleshooting and System Diagnostics 291
12.3.5.2 Recover working data
This section refers to the case where both are being replaced. Note that in this procedure
no images will be preserved.
1 Replace all HDD according to the above described guidelines
Check that the HDD partition after replacement is correct – follow the instructions of
this section refers to the case where both are being replaced. Note that in this
procedure no images will be preserved.
2 From the utility menu start the Backup/Restore option and use your last saved backup
to restore the system registry and databases (System-setup DB and History DB). You
don’t need to restore the log files.
3 Restore ‘Computer Name’ (right click ‘My Computer-> Properties-> computer name
-> change (Sxxxxxx)
4 Restore TCP-IP settings – consult local network administrator
5 If necessary install missing options.
6 Start the main application SW; check that the system is working properly.
7 Run backup according to 12.3.4.3

12.3.5.3 System HDD Replacement and Restore Actions


In addition to system configuration backup, a System Mirror Backup needs to be
performing after every SW upgrade or any configuration changes made to the PrestoDR
system. Using the DiskTool Diagnose Utility (provided with the SW CD, see 12.3.4.1) a
mirror of the System HDD is recreated in an unused partition of the HDD. This mirrored
backup can be used in an event when the System HHD needs to be replaced with a Thales
Generic Stamped HDD (part of the FRU). With this simple method the system can be
operable and running again within a matter of minutes.

If done properly, all (uncorrupted) images and databases will be restored.


1 Logoff from the Main application and shut down the system.
2 Replace faulty disk following procedure in 12.3.5.
3 Power-up the system and logon in technician mode. DO NOT START THE MAIN
APPLICATION.
4 Restore base on section 12.3.4.4 from DiskTool restore options
5 Check that the HDD partition after replacement is correct – follow the instructions of
Table 1-1
6 Logon the main application SW and check that the system works properly.

292 Troubleshooting and System Diagnostics


In case of a problem
In case the system would not logon due to a problem with the databases:
7 From the Utility, open the ‘Reset System’ option. Check one checkbox at a time and
try to logon again. If failed, return to the utility and check the next checkbox by the
order:
8 ‘Delete Pending Jobs’→ ‘Delete last Image’→ 'Delete last Patient’ → ‘Delete Stored
Images’ → ‘Delete Patient History’.
9 If the system was logged on properly, try to restore the relevant information from your
backup media

12.3.6 PC (MPU) Replacement


12.3.6.1 Visual Inspection of the New PC (MPU)
1. Check visually the new PC (MPU). Make sure there are no external damage signs.
In case of a damage, a report should be made
2. Remove the front panel by pulling from the bottom, release two left screws and
remove the left side cover
3. Check that the CPU is in place with its Heat Sink
4. Check that the memory modules are correctly in place
5. Check that all boards in the motherboard are properly in place
6. Check that the memory cards are in place
7. Check that all connectors are firmly seated in their sockets
8. Close the PC covers while firmly tightening the side cover
12.3.6.2 PC (MPU) Replacement
1. Power off the system
2. Disconnect all the external cables at the back of the PC (MPU)
3. Check that the power setting of the new PC (MPU) is same as the old one

Failing to set the correct line voltage may cause a severe


damage to the unit
12.3.6.3 Final Connection
1. Check that all boards and cables are in place and connected properly
2. Place the new PC (MPU) in position and connect all external cables to its back
side
3. Power on the PC (MPU) and logon in technician mode

Troubleshooting and System Diagnostics 293


4. Logon the application SW
5. Verify that the system operates properly. In case of a problem, refer to the
troubleshooting section.
6. Log off and power off the system.

294 Troubleshooting and System Diagnostics


13 System Utilities
Access the System Utilities by double clicking the Utilities option from the PrestoDR
Shortcuts menu:

The following System Utilities menu appears, enabling selection of the desired application:

Figure 13-1: System Utilities Menu

System Utilities 296


13.1 Reset System
This utility enables to clear databases and pending jobs from the system.
To enable it go from System Utilities to System Parameters. Go to SSPM General\Reset
System (New day) and set the “Enable Clean all Images from Disk” to 1.

Figure 13-2: Reset System


 Delete Pending Jobs: Checking (selecting) this option will clear all pending jobs from the
QM, Printer Manager and applications.
 Delete Last Image. Checking (selecting) this option will clear the last image acquired in the
image archive.
 Delete Last Patient. Checking (selecting) this option will clear all records belonging to the
last patient.
 Reset history database: Save the Patient history in a backup file and clear all patient history.
 Restore system: Checking (selecting) this option will retrieve database installed when last
installing the S/W version.

 Clean all images from Disk: Checking (selecting) this option will clean all images from Disk

Note
Be careful when using this option!
Checking the ‘Reset history database’ and ‘Clean all images from Disk’ and clicking
OK, will result in deletion of all images and Patient history list.

System Utilities 297


13.2 Examination Names
The Examination Names option enables the downloading of an Examination Names list
to the PrestoDR system. This list can be used to:
• assign to a specific Body Part, a pre-defined name used by the hospital to indicate a
specific examination (Hospital Examination Name). See Section 13.2.1.
• view the Hospital Examination Names that have already been assigned to a specific Body
Part.
• add /delete/update Hospital Examination Name/Body Part pairs. See Sections 13.2.2 and
13.2.3.

To load the l Examination Names list to the system


1 From the System utilities option window, choose Examination Names; the
Examination Names dialog box appears.

Figure 13-3: Examination Names Dialog Box


2 The Examination Names list must be stored as a Note Pad text file.
a Using the Browse button, locate and select the Examination Names list.
b Choose Save & Exit; the Examination Names list is stored in the system database.

Note
The Examination Names list can also be saved as a Notepad text file by using the
Download to File option.

IMPORTANT
The Examination Names option can be enabled only if Hospital Examination Names
has been enabled in Settings.
For details, see System Settings in the PrestoDR Operation Manual.

298 System Utilities


13.2.1 To Assign a Hospital Examination Name to a Body Part in Settings
1 In the PrestoDR Main application, choose the Setting tab and then choose Hospital
Examination Names; the List of Hospital Examination Names dialog box appears.

Figure 13-4: List of Hospital Examination Names Dialog Box


2 Select an Examination Name and choose Add; the Add/Update Hospital
Examination name and its matching b…dialog box appears displaying:
• The selected Examination Name in the Examination Name field.
• A list of Body Parts for each Station.

Figure 13-5: Add/Update Hospital Examination name and its Matching b…dialog box
3 From the list of Body Parts corresponding to the targeted Station, select the desired
Body Part; the selected Body Part appears in the Body Part field.

System Utilities 299


4 Choose Save & Exit;
• the Add/Update Hospital Examination name and its matching b…dialog box
disappears.
• the Hospital Examination Name/Body Part pair appears in the List of Hospital
Examination Names dialog box.
5 Choose Save & Edit;
• the List of Hospital Examination Names dialog box disappears.
• the Hospital Examination Name/Body Part pair is set.

Note
You can assign different pre-defined names to the same Body Part but you cannot
assign a pre-defined name to more then one Body Part.

Note
When using the Query IS function to register a patient and the patient data contains a
Hospital Examination Name that has been assigned to a Body Part, the Body Part field
is automatically populated by the assigned Body Part.

300 System Utilities


13.2.2 To Update a Hospital Examination Name Assigned to a Body Part
6 In the PrestoDR Main application, choose the Setting tab and then choose Hospital
Examination Names; the List of Hospital Examination Names dialog box appears.

Figure 13-6: List of Hospital Examination Names Dialog Box


7 From the List of Hospital Examination Names dialog box, select the Hospital
Examination Name of the desired Hospital Examination Name/Body Part pair.
8 Choose Update; the Add/Update Hospital Examination name and its matching
b…dialog box appears.
• the selected Examination Name in the Examination Name field.
• a list of Body Parts for each Station.
• the current paired Body Part in the Body Part field.

Figure 13-7: Add/Update Hospital Examination name and its Matching b…dialog box
9 Choose Save & Exit;

System Utilities 301


• the Add/Update Hospital Examination name and its matching b…dialog box
disappears.
• the updated Hospital Examination Name/Body Part pair appears in the List of
Hospital Examination Names dialog box.
10 Choose Save & Edit;
• the List of Hospital Examination Names dialog box disappears.
• the updated Hospital Examination Name/Body Part pair is set.

13.2.3 To Delete a Hospital Examination Name Assigned to a Body Part


11 In the PrestoDR Main application, choose the Setting tab and then choose Hospital
Examination Names; the List of Hospital Examination Names dialog box appears.

Figure 13-8: List of Hospital Examination Names Dialog Box


12 Select the Hospital Examination Name of the desired Hospital Examination
Name/Body Part pair to delete.
13 Choose Delete; the selected Hospital Examination Name/Body Part pair is deleted from
the List of Hospital Examination Names dialog box.
14 Choose Save & Edit; a confirm dialog box appears.
• the List of Hospital Examination Names dialog box disappears
• the selected Hospital Examination Name/Body Part pair is deleted.

302 System Utilities


13.3 BMP Convert
This utility is used to convert BMP files to PrestoDR images standard, for image quality
management. Reference images or test charts can be imported with this utility to the system
for inspection and observation uses.

Note
Converted images will appear as the active patient in the next logon of the main
application SW.

Figure 13-9: BMP Convert Menu

You can set the value of the Source directory (of *.bmp files) field.
Patient Information, Station Number, Body Part and APR Type (“Study Type”) must be
defined in order to store the images in the correct location in the database. When all
parameters have been defined, choose Convert.

System Utilities 303


13.4 Hardware Diagnostics
This Utility opens a main diagnostics window and a second small Devices window where the
computer’s hardware is identified.
The technician may chose what specific hardware and specific tests he wants to check, he has
to mark it, type the number of loops he wants to run, and then run it.

304 System Utilities


13.5 DICOM Configuration
DICOM is a Digital Imaging communication standard used in medical applications, for
transferring high capacity data (typically images) over a network. The following sections
describe the DICOM configuration utilities of the various DICOM services that are
supported by the PrestoDR acquisition system. For a complete description of the PrestoDR
DICOM commitment, refer to the product DICOM Conformance Statement.
When several DICOM services are connected to the PrestoDR system, it is possible to
configure the DICOM setup for each one of the servers separately.
The DICOM Services tags and attributes are located in the DICOM setup menu of the main
application software. Refer to the Operational manual for instructions on using these
parameters.
Clicking on the ‘DICOM Configuration’ option of the Utility menu will open the following
window.

Figure 13-10: DICOM Configuration Utility – Storage SCU


Abbreviation: Code String (CS) – a field that accepts names that are composed of the
A-Z capital letters, 0-9 digits, underscore (“_”) sign and space.

System Utilities 305


13.5.1 General Parameters
• Remote Application Entity (Remote AE)
The name of the remote DICOM server (Storage, Storage Commitment, Print, MWM or
MPPS).
• Host Address / Remote Host Address
The IP address of the specific remote DICOM server (Store, Commitment; Print or
HIS/RIS).
• Port / Remote Port
The port used by the specific remote server.
Numeric field. Range: 0-65535. Default value: 104.
• Test Communication
DICOM echo test button.
• Local Station Name
The name that is used by the different DICOM services for the /PrestoDR station.
• Local Station Location
The name that is used by the DICOM services to identify the /PrestoDR location.

306 System Utilities


13.5.2 Storage SCU Tab
Number of remote Storage SCP servers
Set the number of remote Storage SCP servers that should be connected to the /PrestoDR
(range 0-10).
• Local Application Entity (Local AE)
The name of the local application software module (of the /PrestoDR) that implements the
Storage SCU DICOM service.
• Display Name
The name of the Storage SCU server that will appear in the main application window.
• Compression
N/A
• Storage Commitment
Check the box if the corresponding DICOM Store station has a Storage Commitments
server in use. In such case set the relevant Remote AE, Host Address and Port details.

Note
Related attributes and tags are set from the main application software. Refer to the
Operational manual for additional instructions.

System Utilities 307


13.5.3 Print Tab

Figure 13-11: Print Tab


• Number of remote Print SCP servers
Set the number of remote Print SCU DICOM servers that should be connected to the
PrestoDR (range 0-10).
• Local Application Entity
The name of the local application software module (of the /PrestoDR) that implements the
Print SCU DICOM service.
• Display Name
The name of the Print SCU server that will appear in the main application window.
• Pixel Resolution
Determines the number of bits per pixel of the images sent to the remote Print SCP server.
• Supported Film Size
Check the boxes that are supported by the corresponding Laser Imager. The checked film
sizes will appear as a list in the main application software and will be selectable for the
operator.

308 System Utilities


13.5.4 MWM Tab

Figure 13-12: MWM Tab


• Communication Timeout
The elapsed time before the PrestoDR system issues a communication error message.
Numeric field. Unit: seconds. Range: 0-600. Default value: 180.
Set the other MWM fields similarly to the DICOM Print relevant fields.

Note
Related attributes and tags are set from the main application software. Refer to the
Operational Manual for additional instructions.

Note
For further details of the DICOM settings please refer to the DICOM chapter in the
Operation Manual.

System Utilities 309


13.5.5 MPPS Tab

Figure 13-13: MPPS Tab


• Communication Timeout
The elapsed time before the PrestoDR system issues a communication error message.
Numeric field. Unit: seconds. Range: 0-600. Default value: 180.
Set the other MPPS fields similarly to the DICOM Print relevant fields.

Note
Related attributes and tags are set from the main application software. Refer to the
Operational Manual for additional instructions.

Note
For further details of the DICOM settings please refer to the DICOM chapter in the
Operation Manual.

310 System Utilities


13.6 Technical Log
This utility enables the technician to review the system history.
Log files of the following types can be viewed by this utility:
1. Application User log (User button).
2. Backup log (Backup button).
3. Parameters log (Param log).
4. Log utility file itself (Log button).
5. Installation utility log file (Install button).
6. Last technical log file (Last TL button)
7. Repair log file (Repair button)
The menu is divided into two groups:
Single logs include the User, Backup, Param, Log, Install and Repair logs.
Technical logs include the Last TL log and allow the user to open or to delete a specific log
file.

13.7 Compact Database


This utility is for database optimization. The PrestoDR database is used not only for system
and history parameter storage but also serves as a temporary tool for records handling.
It is recommended to periodically optimize the database by running the Compact Database
utility to clear “garbage collection”.
To run the Compact Database utility
15 From the System Utilities main menu, choose Compact Database; the Compact
Database dialog box appears.

Figure 13-14: Compact Database Dialog Box


16 From the Database drop down list, select the database to compact.
17 Choose GO; database optimization is initiated.

System Utilities 311


13.8 Users Configuration
The Users Configuration utility is used for defining the users that can access and operate
PrestoDR. Use this utility to set:
• User Name
• Password
• Access Rights

Note
The Users Configuration utility can be accessed only in Administrator or Technician
mode.

The following table lists the Type of User and corresponding Access Rights.

Level Type of User Access Rights


0 Technician (Field Engineer) Access to all system resources.
1 Hospital/Radiology Full rights to perform all available PrestoDR
Administrator operations, including the Users Configuration
function.
2 Emergency • Does not require User Name or Password.
• Restricted to activation of Urgent Patient
acquisition and viewing the acquisition results.
3 A Full rights to perform all available PrestoDR
operations except the Users Configuration
function.
4 B Not allowed to delete data.
5 C Not allowed to perform delete images, print data
and “Copy to…”.

312 System Utilities


13.8.1 To Define a User and User Rights
1 Choose Users Configuration; the Users Configuration Utility dialog box appears.

Figure 13-15: Users Configuration Utility Dialog Box


2 Choose Add User; the Add User dialog box appears.

Figure 13-16: Add User Dialog Box


3 Define the user and user access rights:
Field : Enter this data:
Full Name Full name of User
User Name User logon name
Password User Password
Confirm User Password
Password
Access Rights From the drop down box, select the desired access level (for
Level access rights details see section 13.8)
4 Choose OK;
• the Add User dialog box disappears.
• the defined Full Name, User Name and Access Rights Level appear in the Users
Configuration Utility dialog box.
5 Choose Save & Exit;
• the Users Configuration Utility disappears.
• the new user can now access and operate PrestoDR according to the selected Access
Rights.

System Utilities 313


13.8.2 To Update a User
1 Choose Users Configuration; the Users Configuration Utility dialog box appears.

Figure 13-17: Users Configuration Utility dialog box


2 Choose Update User; the Update User dialog box appears.

Figure 13-18: Update user

314 System Utilities


3 You can update the following fields:
Field: Enter this data:
Full Name Full name of User
User Name User logon name
Password User Password
Confirm Password User Password
Access Rights Level From the drop down box, select the desired access level
(for access rights details see section 13.8)
4 Choose OK;
• the Add User dialog box disappears.
• the defined Full Name, User Name and Access Rights Level appear in the Users
Configuration Utility dialog box.
5 Choose Save & Exit;
• the Users Configuration Utility disappears.
• the user can now access and operate PrestoDR according to the updated data.

13.8.3 To Remove a User from the List


1 Choose Users Configuration; the Users Configuration Utility dialog box appears.

Figure 13-19: Users Configuration Utility Dialog Box


2 From the Users Configuration Utility dialog box, select the user to delete.
3 Choose Remove User; the Remove User confirmation dialog box appears.

Figure 13-20: Remove Users Confirmation Dialog Box


4 Choose OK;

System Utilities 315


• the Remove User confirmation dialog box disappears.
• the user disappears from the Users Configuration Utility dialog box.
5 Choose Save & Exit;
• the Users Configuration Utility disappears.
• the deleted user can no longer access PrestoDR.

316 System Utilities


13.9 System Configuration
The System Configuration displays the current system configuration, i.e., the availability
status of all formal options as well as all internal options.
From the System Utilities menu, choose System Configuration; the System Configuration
window appears.

Figure 13-21: System Configuration Window

System Utilities 317


13.10 System Parameters (SSPM)
The PrestoDR system is equipped with parameters enabling the user to set various functions
according to user requirements. The System Parameters Manager (SSPM) is a tool that
enables the Service Engineer and the Application Specialist to manage these parameters.
To access the System Parameters Manager (SSPM)
1 From the System Utilities menu, choose System Parameters; the Parameters Manager –
SSPM window appears.

Figure 13-22: Parameters Manager – SSPM Window


2 The parameters are organized in a tree structure under the main SSPM directory.
To update a parameter value, in the Parameters List field, double click the desired parameter;
the Parameter Manager – Value List Edit dialog box appears.

Figure 13-23: Parameter Manager – Value List Edit Dialog Box

318 System Utilities


3 In the New Value field, update the value and choose OK; the parameter is updated.
4 To set all parameter values to their factory default values, choose Set Default Production; all parameter
values are set to their factory default values.

WARNING
Before Using The Set Default Production Option, it is critical to perform a
Backup TO THE System Setup Database. Using the Set Default
Production Option will erase all previous parameter values. See “Backup”,
Section Figure 13-1 of this chapter.

13.11 Backup & Restore


The Backup & Restore feature is a very powerful tool for servicing the PrestoDR system. It
enables sending real time valuable information to Thales Service department, including databases
and files relevant to events taking place at the site. If the system is connected to the Internet with
secured direct access to Thales server, the data can be automatically transferred on-line.
Alternatively, the data can be saved onto the local disk or any USB device in real time.
The Backup & Restore function can also be operated from the Acquisition/Review/Archive
screens. See also section 12.2.1.1 in this manual.

System Utilities 319


Appendix A FRU (Field Replaceable Units)

PrestoDR 4143
PC CATEGORY P/N Remarks
Optimum Compact
1 4143 HDD KIT (With Ghost) X X 9SERV64050
2 GIF BOARD ASSY X X 9SERV60300
3 MPU Top Assembly X N/A 9SERV61000
4 PC ASSY (M.B Q57) X N/A 9SERV60900
5 PC MEDICAL POWER SUPPLY X N/A AO82100460
6 1GB 1333Mhz Memory DDR3 X N/A AO81500477
VScom 200Li-SI UPCI Board X N/A 9SERV60600
7
(Serial Port)

PrestoDR 4143
mPDU CATEGORY P/N Remarks
Optimum Compact
1 mPDU TOP ASSY X N/A 9SERV62400
2 mPDU BOARD ASSY X N/A 95SZ700501
3 PWS,200W,24V,SWITCH,30mV rippl X N/A PWS0700200
4 POWER OUTLET,10A @ 250V X N/A WA81100102
5 mPDU Fuses SET For FRU X N/A 9SERV62300

PrestoDR 4143
ACCESSORIES CATEGORY P/N Remarks
Optimum Compact
1 Optical Mouse (Black) X N/A AO81300250
2 Black USB Keyb. English only X N/A AO81303150
3 Calibration KIT For Hustis X N/A 2009678000
4 Calibration KIT For Ralco X N/A 2009677000

PrestoDR 4143
RECEPTOR CATEGORY P/N Remarks
Optimum Compact
1 Left / Right Door Cover X N/A 91PM200036 Wall / Uarm Config.
2 Back & Front Cover – Landscape Printing X N/A 96SA300006 Wall Config.
3 Back & Front Cover – Portrait Printing X N/A 96SA400006 Wall Config.
4 Door Cover For U-ARM X N/A 91PM200039 U-ARM Config.
5 Back & Front Cover – Landscape Printing X N/A 96SA370007 U-ARM Config.
6 Back & Front Cover – Portrait Printing X N/A 96SA470007 U-ARM Config.
7 Table Front Door X N/A 91PM200048 Table Config.
8 Table Grid Handle X N/A 91PM200049 Table Config.
9 BIF Board Assy X N/A 95SZ500501
10 GRID ASSY 110cm OPTION (ratio 10:1) X N/A 2009660110 Table Config.
11 GRID ASSY 135cm 8:1 85 OPT X N/A 2009660180 Wall / U-ARM
Config.

Appendix A: FRU (Field Replaceable Units) 321


PrestoDR 4143
CABLES CATEGORY P/N Remarks
Optimum Compact
1 mPDU GND CABLE X N/A 91AP600013
2 MPU GND CABLE X N/A 91AP600021
3 AEC CABLE X N/A 91AP600009
4 mPDU to Bucky Power Cable X N/A 91AP600011
5 BUCKY GND CABLE X N/A 91AP600019
6 BUCKY CONTROL CABLE X N/A 91AP600037
7 BUCKY ETHERNET CABLE X N/A 91AP600035
8 DETECTOR ETHERNET CABLE X N/A 91AP600033
9 PORTRAIT DETECTOR GND CABLE X N/A 91AP600007
10 LANDSCAPE DETECTOR POWER CABLE X N/A 91AP600015
11 Ion Chamber TO BIF Adapter X N/A 91AP600069
12 MPU TO S.GENERATOR CABLE X N/A 91AP500007 Sedecal Gen. I/F
X N/A 91AP700007 Indico 100 / Add on
13 MPU Generator Cable
Gen
14 Gener.CMP200DR Control CABLE X N/A 91AP600210 CMP200DR Gen. I/F
15 MPU to Generator RS-232 CABLE X N/A 91AP600047 Indico 100 I/F

322 Appendix A: FRU (Field Replaceable Units)


Appendix B PRESTO DR CABLES

91AP600011 (mini PDU to 4143 bucky 24V Cable)

91AP600031 (mini PDU to Docking Station 24V Cable)

91AP700007 (PC to CPI Indico 100 or Add-On Generators)

91AP500007 (PC to Sedecal Generator I/F)

Appendix B: PrestoDR Cables 323


91AP600210 (PC to CPI CMP 200DR Generator)

91AP600047 (CPI Indico 100 RS-232 Cable)

Wiring List
DB-9 Male DB-9 Female Wire color
PIN No PIN No
2 3 White
3 2 Red
5 5 black

91AP600009 (AEC Cable)

Wiring List
DB-9 Male DB-9 Female
PIN No PIN No
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9

324 Appendix B: PrestoDR Cables


Appendix C CPI Generator Error Codes
The following tables provide description of error codes that may be displayed on the screen while working with a CPI
generator. Errors will be displayed with the Error Code only. There are two types of errors. The first is two digit errors
(from 00 to 12) and the second is three digit errors (from 000 to 231). Note that the error codes might change from
time to time with firmware changes on the CPI generator.

ERROR CODE DESCRIPTION


00 NO Error/Success
01 Information - The server supplies information to the client
02 Warning - The server supplies warning to the client
03 No communication
04 Irrecoverable error
05 Command failure
06 Overload
07 Diff - The setting parameters are different from those requested
08 Latching error - recoverable error
09 Timeout error
10 FPD station failure
11 Recoverable error with reset
12 Backup Time reached

ERROR CODE DESCRIPTION


000 - No error
001 - Generator CPU EPROM checksum error *
002 - Generator CPU EEPROM data checksum error *
003 - Generator CPU NVRAM error *
004 - Generator CPU Real Time Clock error
005 - Main Contactor error *
006 - Rotor Fault
007 - Filament Fault
008 - Beam Fault
009 - Power Supply Not Ready
010 - No KV during exposure
011 - mA during exposure too high
012 - mA during exposure too low
013 - Manually Terminated Exposure
014 - AEC Back-up Timer - Exposure Terminated
015 - AEC MAS Exceeded - Exposure Terminated
016 - Tomo Back-up Timer - Exposure Terminated
017 - Uncalibrated Exposure Parameter
018 - Preparation Time-out Error
019 - Anode Heat Limit
020 - Thermal Switch Interlock #1 Error
021 - Thermal Switch Interlock #2 Error
022 - Door Interlock Error
023 - Collimator Interlock Error
024 - Cassette Interlock Error
025 - II Safety Interlock Error
026 - Spare Input Interlock Error
027 - Receptor Time-out Error - Receptor did not respond within time-out
028 - Prep Input active during Initialization Phase *

Appendix C: CPI Generator Error Codes 325


ERROR CODE DESCRIPTION
029 - X-ray Input active during Initialization Phase *
030 - Fluoro Input active during Initialization Phase *
031 - Communication Error Remote Fluoro
032 - Communication Error Console
033 - Lithium Battery Low Voltage Error
034 - +12VDC Error
035 - -12VDC Error
036 - +15VDC Error
037 - -15VDC Error
038 - Calibration Data Corrupt Error
039 - AEC Data Corrupt Error
040 - Fluoro Data Corrupt Error
041 - Receptor Data Corrupt Error
042 - Tube Data Corrupt Error
043 - High Voltage Error - KV detected in non X-ray state
044 - Invalid Communication Message
045 - Communication Message Not Supported
046 - Communication Message Not Allowed
047 - Fluoro Timer Limit Error
048 - Focus Mismatch Error
049 - Not Enabled Error
050 - Generator Limit Data Corrupt Error
051 - AEC Feedback Error (No Feedback Signal Detected)
052 - High Small Focus Filament Current Error in Standby
053 - High Large Focus Filament Current Error in Standby
054 - AEC Reference out of range
055 - No Fields Selected in AEC mode
056 - No Tube Programmed
057 - AEC Stop signal in wrong state
058 - Console Back-Up Timer
059 - Housing Heat Limit Exceeded
060 - High KV Error
061 - Low KV Error
062 - EXP_SW signal active in standby state
063 - Factory Defaults Enabled
064 - No Exposure Release
065 - Tomo Device Error
066 - No Sync Pulse Input
067 - Power Supply Duty Cycle Limit
100 - Calibration Error - Maximum mA Exceeded
101 - Calibration Error - Calibration Data Table Exceeded
102 - Calibration Error - Maximum Filament Current Exceeded
103 - Calibration Error - Manually Terminated
104 - Calibration Error - No mA
105 - Calibration Error - Minimum mA not calibrated
200 - Anode Warning Level Exceeded
201 - Fluoro Timer Warning Level Exceeded
202 - Generator KW Limit
203 - Generator KV Limit
204 - Generator MA Limit
205 - Generator MS Limit
206 - Generator MAS Limit
207 - Tube KW Limit
208 - Tube KV Limit

326 Appendix C: CPI Generator Error Codes


ERROR CODE DESCRIPTION
209 - Tube MA Limit
210 - Tube MAS Limit
211 - Calibration Limit, Selected Parameter not Calibrated
212 - Generator AEC Density Limit
213 - Invalid Communication Parameter
214 - Housing Heat Warning
215 - CT Termination Input Wrong State
216 - Deselect Tomo Table
217 - Select Tomo Angle
218 - Invalid Tomo Angle
219 - Generator PPS Limit
220 - Generator Power Supply Duty Cycle Warning
221 - Generator No RS232 communication
222 - Generator Server Irrecoverable Error
223 - Generator Irrecoverable Error
224 - Generator The setting parameters are different from those requested
225 - Generator Wait for exposure parameters
226 - Generator Command failure, No info, a command is received in wrong server
state
227 - The server is at the initialization stage or performing reset
228 - Generator The server is at the Exposure stage
229 - Generator Prep switch is released
230 - Generator Cannot open comm port
231 - Generator Exposure (MS) over limit

Appendix C: CPI Generator Error Codes 327


328 Appendix C: CPI Generator Error Codes
Appendix D Dicom Connectivity
D.1 Connecting PrestoDR to PACS Server

1 To connect PrestoDR PC to the PACS system use one of the following connection
alternatives:
a. A 100BaseT Ethernet cable to connect the PrestoDR computer to a LAN
connection.
b. A 100BaseT Ethernet cable to connect the PrestoDR computer to a Switch or hub
c. A cross wire 100BaseT cable to connect directly the 2 computers (the PACS Server
and the PrestoDR).
2 Set the IP address of the PrestoDR computer. The IT manager should distribute these IP
addresses. To set the PrestoDR IP address:
a. Go to Start->Settings->Network Connections.
b. With the mouse right button click the local area connection being used and choose
properties.

Appendix D: DICOM Connectivity 329


c. Highlight the Internet protocol (TCP/IP) and press the Properties button:

d. Set the following:


i. Choose “Use following IP Address”
ii. Set the IP address according to step 2.
iii. Set the Subnet mask to 255.255.255.0

330 Appendix D: DICOM Connectivity


iv. Set the Default gateway to be the same as the IP address where the last
(rightmost) number is 1.
v. Input DNS server information if supplied by IT department otherwise
Choose Obtain DNS server address automatically
e. Turn off and then on again the PrestoDR system.
f. Test that the IP address change was applied by:
Start->Run and typing “cmd” and pressing Enter.
A DOS window will open.
Example:

Type IpConfig. The following should appear:

Windows IP Configuration

Ethernet adapter Local Area Connection 2:

Connection-specific DNS Suffix:


IP Address . . . . . . .. . : 10.90.185.14
Subnet Mask . . . . . . .. . : 255.255.255.0
Default Gateway . . . . . . .. . : 10.90.185.1

3 Check communication with PACS by: Start->Run and typing “cmd” and pressing Enter.
Type “Ping <PACS IP address>” and press Enter.
If you get the following response there is a problem with the communication (or wrong IP
address).

C:\Documents and Settings\ilans>ping 10.90.185.10

Pinging 10.90.185.10 with 32 bytes of data:

Request timed out.

4 Enter the DICOM configuration utility:

Appendix D: DICOM Connectivity 331


a. Enter the number of remote storage SCP servers (1-10 permissible)
b. Enter the local AE Title. Should be provided by the PACS or IT administrator.
Verify that the title is the same as the remote AE title set at PACS. If not, change it.
c. Enter the Remote AE. Verify that the title is the same as the local AE title set at
PACS. If not, change it.
d. Enter any Display Name.
e. Set the PACS IP address and port that will be used to connect to the PrestoDR.
f. Press “Test” to make sure the connection is OK.
g. Repeat a – f for the other DICOM services that will be used Print and MWL (Work
List)

At this stage the PACS connection is setup properly.


The PrestoDR has a network icon on its TAB area showing correct network communication. Make
sure at all times it is showing a communication or check communication according to step 3.

332 Appendix D: DICOM Connectivity


Appendix E Physical Dimensions & Specifications
E.1 Ambient Operating Conditions
• Temperature Range: 18ºC÷ 30ºC.
• Relative Humidity (non condensing): 20% ÷ 75%

E.2 Atmospheric Pressure


• Operating Range: 70 ÷ 106 kPa

E.3 Shock & Vibration Limitations


• Shock: 5 g, 6 msec, 100 shocks in the X, Y, Z axis
• Vibration: 10 ÷ 60 Hz, 0.035 mm;
• 60 ÷ 500 Hz, 0.5 g in the X, Y, Z axis

E.4 Weights and Dimensions for PrestoDR-4143 Major Parts


The PrestoDR-4143 system shipment (Optimum configuration) consists of several boxes,
depending on the system configuration.
Thales provides a packing list of the specific items. Refer to this packing list when first
receiving the shipment, or if the items have been removed from the pallet when are delivered
to the X-ray room.
• It is recommended that the boxes be kept in the upright position.

The following table provides information on dimensions and weights of the major system
parts:

Description L W H Gross Weight

43.5cm 18.5cm 36.5cm 10.3Kg


1 PC (MPU)
(17.1Inch) (7.3Inch) (14.4Inch) (22.7Lbs)
Wall Bucky 72.6cm 64.8cm 8.6cm 28.5Kg
2 (including detector)
(28.6Inch) (25.5Inch) (3.4Inch) (62.8Lbs)
Table Bucky 67cm 60.4cm 7.7cm 25.7Kg
3 (including detector)
(26.4Inch) (23.8Inch) (3Inch) (56.6Lbs)
50 (cm) 49 (cm) 4.6 (cm) 16Kg
4 Pixium 4143 Detector
(19.7Inch) (19.3Inch) (1.8Inch) (35.2Lbs)
26.9cm 21cm 5.5cm 1.5Kg
5 miniPDU
(10.6Inch) (8.3Inch) (2.2Inch) (3.3Lbs)
The package dimensions (containing MPU, miniPDU and cables)
are: L=96cm (37.8 inch), W=83cm (32.7inch), H=66cm (26inch).

Appendix E: Physical Dimensions & Specifications 333


334 Appendix E: Physical Dimensions & Specifications
Appendix F REMOTE ACCESS TO SYSTEM
Sometimes there is a need for Thales or dealers to access the systems over the network to allow
for solving problems, applications or any other help. Thales has chosen to use TeamViewer
application for this.
There are 2 ways to allow connectivity using the TeamViewer:
1. On demand – The site requests supports and initiates the connection.
2. Unattended – The supporter can connect to the site at any time. The operation
doesn’t stop the site operation and the site can view what ever is being done.

Note: When connecting to a remote site - the service engineer should be very cautious
not to utilize the system when there is a patient in room and not abuse private patient data.

F.1 Needed IT Support


• To allow this feature – make sure that there is access to the Internet from the system. To do
so go to Start->Run and type iexplore.
• When the Internet explorer opens try to access www.msn.com - If succeeded then there is
access to the Internet. If there is a problem, run the batch file c:\util\ Disable_proxy.bat and
try again to access the Internet. If there is still a problem – Call the IT and ask for access to
Internet (port 80).

F.2 On Demand Connection

F.2.1 Setup
• To allow this feature – Set the SSPM “Maintenance\Capture/Report Enabled” to 3.

F.2.2 Operation

F.2.2.1 Starting
• Whenever the site wants to have a support session the initiator needs to press the
Capture button at the bottom of the screen:

Appendix F: Remote Access to System 335


• The following dialog will open – Select the option “Remote access”:

• The QuickSupport dialog will open and display the ID and the Password of the
connection:

• This ID and password needs to be communicated to the supporter to be able to


complete the connection.

F.2.3 Ending
• When finished – The Cancel button on the QuickSupport dialog should be pressed to
terminate the connection to the site.

336 Appendix F: Remote Access to System


F.3 Unattended

F.3.1 Setup
• The following setup file should be run while in the desktop (outside the SmartRAD):
TeamViewer_Host_Setup.exe. Press Run and following instructions on the screen.
You’ll need to select the password to be used at any connection to the site.
• After the installation is finished a small TeamViewer icon will appear on the right
hand side of the windows taskbar – moving the mouse over this icon will display the
ID given to this connection. This ID is permanent and should be used whenever
trying to connect to this site together with the password that was selected during the
installation of TeamViewer_Host_Setup.exe.

F.3.2 Operation
• The supporter can connect to the site at any time using the ID and password selected
during the installation. When trying to connect to the site – an indication will appear
on the client’s side (site) but it can keep working as usual.
• The following indication will be visible on the bottom hand side of the screen of the
site:

Appendix F: Remote Access to System 337


338 Appendix F: Remote Access to System

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