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English

PCR Eleva

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Instructions for Use

Version 1.1

PCR Eleva Version 1.1

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PPCR Eleva* n T U S V D U J P n T G P S 6 T e

Version 1.1

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2.1 The PCR Eleva ................................................................. 2-3

2.2 About these Instructions for Use ....................................... 2-3

2.3 Normal use ....................................................................... 2-4

2.4 Prohibited use ................................................................... 2-4

2.5 Conformity ....................................................................... 2-52.5.1 Compliance with legal requirements ................... 2-52.5.2 Recycling ........................................................... 2-52.5.3 Mercury (USA only) .......................................... 2-52.5.4 Perchlorate ......................................................... 2-52.5.5 RoHS (China only) ............................................ 2-5

2.6 Training ............................................................................ 2-6

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3.1 Safety ................................................................................ 3-3

3.2 Electrical safety .................................................................. 3-3

3.3 Mechanical safety .............................................................. 3-4

3.4 Fire safety .......................................................................... 3-4

3.5 Laser radiation warning ..................................................... 3-4

3.6 Special safety information ................................................. 3-43.6.1 Loss of Data Due to Power Outage .................... 3-43.6.2 Inferior Quality Due to Multiple Exposure

............................................................................ 3-43.6.3 Damage as a result of incorrect cassette insertion

............................................................................ 3-43.6.4 Data inconsistency ............................................. 3-53.6.5 Using Lead Letters ............................................. 3-5

3.7 Electromagnetic Compatibility .......................................... 3-5

3.8 Error messages ................................................................... 3-6

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4.1 System components ........................................................... 4-34.1.1 The basic system ................................................ 4-34.1.2 Possible configurations ....................................... 4-3

4.2 Standard workflow ............................................................ 4-5

4.3 The operators console ....................................................... 4-8

4.4 PCR plate reader ............................................................. 4-104.4.1 The PCR Compano plate reader ...................... 4-104.4.2 The PCR Corado, CosimaX and S Hi-res plate

readers .............................................................. 4-124.4.3 The PCR S and S Plus plate readers ................. 4-144.4.4 The PCR AC500 plate reader ......................... 4-184.4.5 The PCR AC5000 plate reader ....................... 4-224.4.6 The PCR Cosima plate reader .......................... 4-26

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5.1 Switching on ..................................................................... 5-3

5.2 Switching off ..................................................................... 5-35.2.1 One-console system ............................................ 5-35.2.2 Multiple-console system ..................................... 5-4

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6.1 The PCR Compano plate reader ....................................... 6-36.1.1 Reading out an image plate ................................ 6-36.1.2 Performing secondary erasure ............................. 6-76.1.3 Performing primary erasure ............................... 6-86.1.4 Switching on/off ................................................ 6-8

6.2 The PCR Corado, CosimaX and S Hi-res plate readers ......................................................................................... 6-116.2.1 Distinguishing features ..................................... 6-116.2.2 Switching on/off .............................................. 6-116.2.3 Reading out an image plate .............................. 6-136.2.4 Performing secondary erasure ........................... 6-176.2.5 Performing primary erasure ............................. 6-176.2.6 What to do if the cassette is not scanned .......... 6-18

6.3 The PCR S and S Plus plate readers ................................ 6-196.3.1 Distinguishing features ..................................... 6-196.3.2 Switching on/off .............................................. 6-196.3.3 Reading out an image plate .............................. 6-216.3.4 Performing secondary erasure ........................... 6-256.3.5 Performing primary erasure .............................. 6-26

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6.4 The PCR AC500, AC5000 and Cosima plate readers ......................................................................................... 6-286.4.1 Distinguishing features ..................................... 6-286.4.2 Switching on/off .............................................. 6-286.4.3 Insert the cassette ............................................. 6-316.4.4 Removing the cassette ...................................... 6-346.4.5 Screen saver ...................................................... 6-346.4.6 Working with information windows ................ 6-346.4.7 Processing a cassette with priority ..................... 6-356.4.8 Performing secondary erasure ........................... 6-376.4.9 Performing primary erasure .............................. 6-386.4.10 Adjusting gray levels manually .......................... 6-406.4.11 Processing unregistered image plates ................. 6-416.4.12 Utilities ............................................................ 6-436.4.13 Error messages .................................................. 6-58

6.5 Making exposures ............................................................ 6-606.5.1 Exposure parameters ........................................ 6-606.5.2 Positioning the cassette ..................................... 6-60

6.6 Cassettes and image plates .............................................. 6-616.6.1 Handling cassettes and image plates ................. 6-61

6.7 Notes on radiography ...................................................... 6-626.7.1 UNIQUE, UM and DRR ................................ 6-626.7.2 Notes on radiography techniques with UNIQUE

.......................................................................... 6-636.8 The Exposure Index ........................................................ 6-63

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7.1 About this Chapter ............................................................ 7-3

7.2 What the operators console can do ................................... 7-3

7.3 How to use the operators console ..................................... 7-57.3.1 The Touch Screen .............................................. 7-57.3.2 Selecting the Section .......................................... 7-57.3.3 Scrolling Through Lists ...................................... 7-57.3.4 Operating the Slide Controls .............................. 7-67.3.5 Operating Drop-Down Lists .............................. 7-67.3.6 Operating the Selection Fields ............................ 7-77.3.7 Operating Switches ............................................ 7-77.3.8 Setting the on-screen keyboard ........................... 7-8

7.4 In an emergency ................................................................ 7-9

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8.1 The Patient list .................................................................. 8-3

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8.2 Entering patient and examination data .............................. 8-58.2.1 Entering patient data .......................................... 8-58.2.2 Adding a Study .................................................. 8-78.2.3 Adding Examination Types ................................ 8-78.2.4 Deleting a study ................................................. 8-88.2.5 Deleting examination types ................................ 8-88.2.6 Customizing the Patient List .............................. 8-98.2.7 Finding a Patient in the Patient List ................ 8-108.2.8 Changing Patient and Examination Data ......... 8-108.2.9 Deleting a patient's data from the Patient List

.......................................................................... 8-118.3 Getting patient data from RIS ......................................... 8-13

8.3.1 Updating the patient list .................................. 8-138.3.2 Getting individual examinations from RIS (only via

DICOM RIS) .................................................. 8-13

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9.1 The Examination section ................................................... 9-3

9.2 Overview ........................................................................... 9-4

9.3 Examination procedure Overview .................................. 9-5

9.4 Examination steps in detail ................................................ 9-89.4.1 Assigning cassettes .............................................. 9-89.4.2 Reading out image plates on the plate reader

............................................................................ 9-99.4.3 Checking image quality on the operators console

............................................................................ 9-99.4.4 Exporting exposures, printing and completing the

examination ..................................................... 9-119.4.5 Making more than one exposure with the same view

.......................................................................... 9-129.5 Workflow control ............................................................ 9-14

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10.1 The Review section ......................................................... 10-3

10.2 Exporting Images to an External DICOM Destination ......................................................................................... 10-5

10.3 Image processing tool functions ...................................... 10-5

10.4 Individual image processing tools .................................... 10-610.4.1 Calling up image processing tools ..................... 10-610.4.2 Setting Contrast and Brightness ....................... 10-710.4.3 Setting image processing protocols ................... 10-810.4.4 Setting image processing parameters ................. 10-910.4.5 Rotating and Flipping an Image ..................... 10-1110.4.6 Annotating an image ...................................... 10-11

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10.4.7 Shutter Function ............................................ 10-1210.4.8 Scaling ........................................................... 10-1510.4.9 Moving images between examinations ............ 10-1610.4.10 Stitching ........................................................ 10-1710.4.11 Measurements ................................................ 10-2310.4.12 Resetting image .............................................. 10-2410.4.13 Customizing image processing tools ............... 10-24

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11.1 Overview ......................................................................... 11-311.1.1 The Print Section ............................................. 11-311.1.2 The Patient Information Window .................... 11-511.1.3 The Image Memory ......................................... 11-511.1.4 The Preview Window ....................................... 11-511.1.5 The template editor .......................................... 11-811.1.6 The Text Box Editor ...................................... 11-1111.1.7 Activating Print Section ................................. 11-1311.1.8 Editing Images and Viewports ........................ 11-1411.1.9 The Tools for Free Composing ...................... 11-1511.1.10 Extras ............................................................. 11-1611.1.11 Using the template editor ............................... 11-17

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12.1 What is iSite? .................................................................. 12-3

12.2 Log in ............................................................................. 12-4

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13.1 The System section ......................................................... 13-3

13.2 Adjusting the touch screen .............................................. 13-813.2.1 Opening the setting screen ............................... 13-813.2.2 Brightness ........................................................ 13-813.2.3 Calibration ....................................................... 13-8

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14.1 Service ............................................................................. 14-314.1.1 Safety Checks ................................................... 14-314.1.2 Repairs ............................................................. 14-414.1.3 Recording Results ............................................. 14-414.1.4 Obligations of the user ..................................... 14-4

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14.2 Tests by the user .............................................................. 14-4

14.3 Cleaning .......................................................................... 14-514.3.1 Cleaning the System ......................................... 14-514.3.2 Cleaning the PCR plate reader ......................... 14-514.3.3 Cleaning the image plates ................................. 14-8

14.4 Disposal ........................................................................ 14-1014.4.1 Recycling ....................................................... 14-1014.4.2 RoHS requirements (China) .......................... 14-10

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15.1 General data .................................................................... 15-315.1.1 Ambient conditions and power supply ............. 15-315.1.2 Operators console ............................................ 15-315.1.3 Computer ........................................................ 15-415.1.4 The PCR Corado, CosimaX and S Hi-res plate

readers .............................................................. 15-415.1.5 The PCR S and S Plus plate readers ................. 15-615.1.6 The PCR AC500 plate reader .......................... 15-715.1.7 The PCR AC5000 plate reader ........................ 15-815.1.8 The PCR Cosima plate reader .......................... 15-915.1.9 PCR Compano plate reader ........................... 15-10

15.2 Electromagnetic compatibility (EMC) data ................... 15-1115.2.1 Electromagnetic emission ............................... 15-1115.2.2 Electromagnetic interference immunity

recommended safety distances ........................ 15-1215.3 Labels ............................................................................ 15-13

15.3.1 Operators console .......................................... 15-1315.3.2 PCR Compano plate reader ........................... 15-1415.3.3 The PCR Corado, CosimaX and S Hi-res plate

readers ............................................................ 15-1515.3.4 The PCR S and S Plus plate readers ............... 15-1515.3.5 The PCR AC500 plate reader ........................ 15-1615.3.6 The PCR AC5000 plate reader ...................... 15-1715.3.7 The PCR Cosima plate reader ........................ 15-18

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16.1 Notes on Radiography Techniques with UM and DRR ......................................................................................... 16-3

16.2 If the barcode reader is not working .............................. 16-11

16.3 Error messages ............................................................... 16-1216.3.1 What you should know .................................. 16-1216.3.2 Type 1 messages ............................................. 16-1316.3.3 Type 2 messages ............................................. 16-2016.3.4 Type 3 messages ............................................. 16-2316.3.5 Type 4 messages ............................................. 16-25

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Software Rel. 1.1 offers a number of new functions over earlier versions.As a quick guide, the most important ones are explained in brief below;for further information please go the chapter you are referred to.

CContrast and brightness

The buttons for contrast and brightness are now on the monitor itself(chapter 10.4.2).

Turning a function on/off.

You can change contrast and brightness using the buttons or on the monitor itself, using your finger.

Moving images between examinations

You can move images between two examinations on the same patient between examinations on different patients.Exposure Index EI_s

Using the Exposure Index, you can compare similar exposures of thesame organ with the same radiation quality in terms of their dose, andanalyze deviations from the optimum dose (chapter 6.8).

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The EI_s value appears beneath the image along with the exposure andexamination data in the Examination and Review sections.

In an emergency

The system has an operating mode for emergencies (chapter 7.4), if youneither have a valid user account nor know the password.

Length and angle measurement

You can measure lengths and angles including Cobbs angle (option)(chapter 10.4.11).

Magnifying an image and moving a section

The buttons for scaling and moving are now on the monitor itself(chapter 10.4.8).

Switching a function on/off.

You can move the image using the mouse or on the monitor itself, using your finger.Stitching

You can stitch several images together automatically or manually to formone large image (chapter 10.4.10.1).

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2.1 The PCR Eleva ................................................................. 2-3

2.2 About these Instructions for Use ....................................... 2-3

2.3 Normal use ....................................................................... 2-4

2.4 Prohibited use ................................................................... 2-4

2.5 Conformity ....................................................................... 2-52.5.1 Compliance with legal requirements ................... 2-52.5.2 Recycling ........................................................... 2-52.5.3 Mercury (USA only) .......................................... 2-52.5.4 Perchlorate ......................................................... 2-52.5.5 RoHS (China only) ............................................ 2-5

2.6 Training ............................................................................ 2-6

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This system is designed for digitizing cassette exposures on conventionalexamination workstations in diagnostic radiology. The PCR system usesso-called image plates instead of screen-film systems.

With PCR systems you can make, digitize, process and transfer filmlesscassette exposures. They are fully automatic from the entering of thepatient data and processing parameters through to film composition.

You can print any required films of these exposures.

The PCR system automatically communicates with other DICOMpartners and archives via the hospital network. Two-way data transferwith an existing RIS (RRadiology IInformation SSystem) guarantees effi-cient data communication within the radiology department.

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This manual is intended to make it possible for you to work with thedevice described safely.

You may only use this device in compliance with the safety instructionsin this manual and not for purposes other than those for which it wasintended.

Please pay particular attention to all the information given in the chapterSafety instructions.

Conventions

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Conditions for operation are preceded by this icon. Single steps in an action are preceded by this icon.

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The result produced by a step is preceded by this icon.SSystem configurations

This manual describes the system with its broadest range of features,including all possible functions, options and all accessories. Your systemwill not necessarily have every function described.

You can only use some of the functions if you have received training inthem by an application specialist, and have specially logged on to getthese privileges. Such functions are marked For the system manageronly.

Depending on the features you have, other manuals may be deliveredwith your system; these contain instructions on safety, calibration, sys-tem tests and service and maintenance.

These Instructions for Use are written in English and were created, au-thorized and marketed by Philips Medical Systems DMC GmbH underthe number given on the front cover.

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PCR Eleva S, S Plus, S Hi-res, Corado and CosimaX readers may beinstalled in the patient environment of a medically used room, but onlywith an additional permanently connected protective grounding wire.All other equipment of PCR Eleva shall be installed either outside thepatient environment of a medically used room or in a non-medicallyused room.

Readers AC500, AC5000, Cosima and Compano may only be installedin a non-medically used room.

The PCR Eleva system is designed to process, display and output radio-logical images produced by means of cassette exposures and processedwithin the PCR system.

The PCR Eleva system is not suitable for processing and displayingdigital images produced on other manufacturers systems or compressedusing non-system software.

Diagnosis is only possible on suitable PACS monitors or on printedfilms.

This device may only be operated by suitably qualified persons who havebeen instructed on how to operate the device.

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The system-own monitor is not approved for diagnosis.

PCR Eleva is not an archive and can save exposures only for a limitedperiod. You always should save exposures either to PACS or print themon films. PIJ

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This Medical Device meets the provisions of the Medical Device Di-rective MDD 93/42 EEC (93).If you have further questions regarding the applicable national or in-ternational standards, please address them to:

Philips Medical Systems DMC GmbH Quality Assurance Department Roentgenstrasse 24 22335 HamburgGermanyE-Mail: [email protected]

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The return, proper disposal and recovery of the medical device take placein accordance with the European WEEE Directive (Waste Electricaland Electronic Equipment) and/or respective requirements of nationallegislation.

For further information see chapter Disposal.

For Product Recycling Passport see:www.medical.philips.com/main/company/sustainability/recycling

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This product consists of devices that may contain mercury, which mustbe recycled or disposed of in accordance with local, state or federal laws.(Within this system, the backlight lamps in the monitor display and thefluorescent lamps in the reader contain mercury.)

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This product complies with the requirements of California. It containsPerchlorate Material. Special handling may apply.

For further information see:www.dtsc.ca.gov/hazardouswaste/perchlorate

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This product complies with the Chinese requirements.

If necessary you can find further information in chapter Disposal.

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Operators of this system must have received adequate training on itssafe and effective use before attempting to operate the equipment de-scribed in these Instructions for use.

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If you require further information about training in the use of theequipment, please contact your local Philips Medical Systems represen-tative.

Alternatively, contact:

Philips Medical Systems DMC GmbHRoentgenstrasse 2422335 Hamburg, GermanyE-Mail: [email protected]

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3.1 Safety ................................................................................ 3-3

3.2 Electrical safety .................................................................. 3-3

3.3 Mechanical safety .............................................................. 3-4

3.4 Fire safety .......................................................................... 3-4

3.5 Laser radiation warning ..................................................... 3-4

3.6 Special safety information ................................................. 3-43.6.1 Loss of Data Due to Power Outage .................... 3-43.6.2 Inferior Quality Due to Multiple Exposure

............................................................................ 3-43.6.3 Damage as a result of incorrect cassette insertion

............................................................................ 3-43.6.4 Data inconsistency ............................................. 3-53.6.5 Using Lead Letters ............................................. 3-5

3.7 Electromagnetic Compatibility .......................................... 3-5

3.8 Error messages ................................................................... 3-6

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You may only use this device in compliance with the safety instructionsin this manual and not for purposes other than those for which it wasintended.

It is always the user who is responsible for conforming to the regulationswhich apply to the setting up and operation of medical equipment.

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If the user wishes to connect the equipment to other equipment,components or assemblies and if it is not apparent from the technicaldata whether it can be safely combined with such equipment, com-ponents or assemblies, the user must consult the manufacturersconcerned or an expert to ensure that the safety of the patient, op-erating staff and the environment is not affected by the intendedcombination.

Philips only accepts responsibility for the safety features of its prod-ucts if maintenance, repairs and modifications are performed byPhilips or persons explicitly authorized to do so by Philips.

As with any technical appliance this equipment also calls for properoperation and regular competent maintenance and care, which aredescribed in the section Service and cleaning.

If you operate the equipment incorrectly or if the user fails to main-tain it properly, Philips cannot be held liable for any resulting faults,damage or injuries.

SSafety circuits may be neither removed nor modified. You may only remove or open parts of the housing if you have

been instructed to do so by this manual.

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This device conforms to class I according to IEC 60601-1/IEC 60950-1.This equipment may only be operated in medical rooms which meetIEC requirements.

To guarantee the reliable operation of the workstation and to preventthe device from overheating, the device openings must not be blockedoff or covered. The workstation must never be positioned near radiators.

Some of the workstation components are high-voltage. Only electriciansmay remove the devices covers.

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All plate readers use laser radiation (class IIIb, 50 mW).

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This device should be connected to an uninterruptible power system toprevent database damage and image loss in the event of a power outage.

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When using UNIQUE image processing there must be only one imageon a cassette. Otherwise, the image processing may fail to correctly findthe region of interest.

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Always slide the cassettes into the cassette compartment of the platereader with care. Incorrect insertion of a cassette, for instance if it is at

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an angle, can damage the plate reader. Please observe the instructionsin chapter 6.1.1.

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Do not switch off the operators console at the power switch if the PCRapplication program is displayed. This can lead to database errors ordata inconsistencies. Always follow the sequence for switching off asdescribed in chapter 5.

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To avoid false interpretation regarding body direction (right, left) andpatient orientation, Philips recommends the use of lead markers (let-ters), as traditionally used in conventional radiography.

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The system conforms to the classification Group 1, Class A underCISPR 11. It contains Class A IT components according to CISPR 22.Although it has been shown that this does not have a detrimental effecton the performance and safety of the system, electromagnetic incom-patibilities may arise when operated in residential areas. In such anevent, it may be necessary for the user to take appropriate measures.

For the intended use, this X-ray system complies with the EuropeanCouncil Directive concerning Medical Devices, as signified by the CEmark. This includes definitions on permitted levels on electromagneticemission and requirements on immunity against electromagnetic emis-sions from other equipment.

It is not possible, however, to exclude with absolute certainty the pos-sibility that other high frequency electronic equipment, which is fullycompliant to the EMC regulations, will not adversely affect the opera-tion of this system. If the other equipment has a comparatively highlevel of transmission power and is in close proximity, these EMC con-cerns (the risk of interference) may be more pronounced. It is thereforerecommended that the operation of equipment of this type such as mo-bile telephones, cordless microphones and other similar mobile radioequipment be restricted from the vicinity of this X-ray system.

Explanation:Electronic apparatus that satisfies the EMC requirements is designed sothat under normal conditions there is no risk of malfunction caused byelectromagnetic interference. However, in the case of radio signals fromhigh-frequency transmitters with a relatively high transmission power,the risk of electromagnetic incompatibility when operated in close prox-imity to electronic apparatus cannot be totally ruled out.

In unusual circumstances unintended functions of the apparatus couldbe initiated, possibly giving rise to undesirable risks for the patient oruser.

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For this reason, all kinds of transmission with mobile radio equipmentshould be avoided. This also applies when the equipment is in standbymode.

Mobile telephones must be sswitched off in designated problem zones.

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When an error has occurred in the system or a part thereof, an errormessage appears on the operators console monitor with instructions onhow to rectify it (example).

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4.1 System components ........................................................... 4-34.1.1 The basic system ................................................ 4-34.1.2 Possible configurations ....................................... 4-3

4.2 Standard workflow ............................................................ 4-5

4.3 The operators console ....................................................... 4-8

4.4 PCR plate reader ............................................................. 4-104.4.1 The PCR Compano plate reader ...................... 4-104.4.2 The PCR Corado, CosimaX and S Hi-res plate

readers .............................................................. 4-124.4.3 The PCR S and S Plus plate readers ................. 4-144.4.4 The PCR AC500 plate reader ......................... 4-184.4.5 The PCR AC5000 plate reader ....................... 4-224.4.6 The PCR Cosima plate reader .......................... 4-26

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It consists of an operators console with monitor or touch screen, barcode reader,

keyboard and mouse a plate reader.When you work with a touch screen you require neither a mouse norkeyboard for operation.

You can combine more than one plate reader and operators console toform a system.

During exposure there is no mechanical connection between plates andsystem, so that in the event of incorrect configuration or cassette use,the system cannot, for instance, accurately show the status of a flippedimage or the assignment to a patient.

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OOne-console system with one plate reader

This configuration is the basic configuration for a PCR system. You canwork with or without being connected up to the hospital network.

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Multiple-console system with one plate reader

This configuration is the extended basic configuration. To achieve amore efficient workflow, you can set up more than one operators con-sole, e.g. in the various examination rooms and in patient admissions.At the same time, the entire system is connected up to the hospitalnetwork. The assignment of image plate to patient and vice versa isalways unique.

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Plate reader

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PCR operators console in examination room

PCR operators console at plate reader

Hospital network

Multiple-console system with more than one plate reader (option)

With configurations of this type you can read out any plate cassette onany plate reader, regardless of the operators console on which you as-signed the image plate, or with which console the patient data ismanaged. After readout the image always comes to the operators con-sole to which the image plate is assigned.

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The following applies to all configurations All operators consoles have independent worklists and are

synchronized with the RIS separately. On any one operators console you can view, process, print and ex-

port only the images assigned to it. You should therefore performan examination to the fullest possible extent on one operators con-sole only.

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SServer and client In a multiple-console system, one console is always the server, which

assigns the image plates and distributes the images. If this breaksdown or is not switched on, no image plates can be assigned or im-ages read out in the entire system. Always switch the server on firstand off last.

If, in a multiple-console system with more than one plate reader, theserver is down, the system manager can convert the operators con-soles which operate another plate reader into servers so that it ispossible to continue working with part of the system.

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The following diagram shows the standard workflow with the PCR sys-tem, by way of example. You will find alternatives to the describedassignment with the barcode reader in the rest of the manual.

The differences to conventional radiography are as follows: You work with plate cassettes instead of film cassettes. Before radiography, you must assign the plate cassette to a view using

the barcode reader. After radiography, you must read out the plate cassette in the plate

reader. The X-ray exposure is automatically transferred from the plate reader

to the operators console. For filing purposes, you can print out the X-ray exposure or save it

on computer.

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You can select the sections using the main selector buttons (11-6). Whena section is selected the button for it turns yellow.

You can do the following in the sections:

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All three plate readers perform the same functions.The CCorado and CCosimaX plate readers are identical externally and areshown in the following picture. The SS Hi-res has only one cassette compartment.

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The diagram shows the main window on the AC500 which appears afterswitching on. It is the central window for all displays and the startingpoint for the selection of other functions.

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The diagram shows the main window on the AC5000 which appearsafter switching on. It is the central window for all displays and the start-ing point for the selection of other functions.

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5.1 Switching on ..................................................................... 5-3

5.2 Switching off ..................................................................... 5-35.2.1 One-console system ............................................ 5-35.2.2 Multiple-console system ..................................... 5-4

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Philips recommends the following sequence:

Switch on PC. Log on to program.

Enter user name Enter password

Switch on the plate reader.

You will find information about the emergency mode in chapter 7.4.

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Switch off plate reader.System Press SystemPIJlJ

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The System section appears

([LW Press Exit Switch off PC

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Proceed as under chapter 5.2.1, but switch the server on first and offlast.

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6.1 The PCR Compano plate reader ....................................... 6-36.1.1 Reading out an image plate ................................ 6-36.1.2 Performing secondary erasure ............................. 6-76.1.3 Performing primary erasure ............................... 6-86.1.4 Switching on/off ................................................ 6-8

6.2 The PCR Corado, CosimaX and S Hi-res plate readers ......................................................................................... 6-116.2.1 Distinguishing features ..................................... 6-116.2.2 Switching on/off .............................................. 6-116.2.3 Reading out an image plate .............................. 6-136.2.4 Performing secondary erasure ........................... 6-176.2.5 Performing primary erasure ............................. 6-176.2.6 What to do if the cassette is not scanned .......... 6-18

6.3 The PCR S and S Plus plate readers ................................ 6-196.3.1 Distinguishing features ..................................... 6-196.3.2 Switching on/off .............................................. 6-196.3.3 Reading out an image plate .............................. 6-216.3.4 Performing secondary erasure ........................... 6-256.3.5 Performing primary erasure .............................. 6-26

6.4 The PCR AC500, AC5000 and Cosima plate readers ......................................................................................... 6-286.4.1 Distinguishing features ..................................... 6-286.4.2 Switching on/off .............................................. 6-286.4.3 Insert the cassette ............................................. 6-316.4.4 Removing the cassette ...................................... 6-346.4.5 Screen saver ...................................................... 6-346.4.6 Working with information windows ................ 6-346.4.7 Processing a cassette with priority ..................... 6-356.4.8 Performing secondary erasure ........................... 6-376.4.9 Performing primary erasure .............................. 6-386.4.10 Adjusting gray levels manually .......................... 6-406.4.11 Processing unregistered image plates ................. 6-416.4.12 Utilities ............................................................ 6-436.4.13 Error messages .................................................. 6-58

6.5 Making exposures ............................................................ 6-606.5.1 Exposure parameters ........................................ 6-606.5.2 Positioning the cassette ..................................... 6-60

6.6 Cassettes and image plates .............................................. 6-616.6.1 Handling cassettes and image plates ................. 6-61

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6.7 Notes on radiography ...................................................... 6-626.7.1 UNIQUE, UM and DRR ................................ 6-626.7.2 Notes on radiography techniques with UNIQUE

.......................................................................... 6-636.8 The Exposure Index ........................................................ 6-63

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To read out an image plate you must slide the plate cassette into the plate reader, have the image plate read out and remove the plate cassette again.IInsert the cassette

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The patient has been X-rayed. The exposures can be found onone or more plate cassettes.

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Check that the load lamp is lit on the control panel of the platereader.

Turn the cassette so that the side to be exposed faces down, andthe barcode window goes in first and faces up.

;

Slide the cassette into the cassette compartment straight along theright feed edge.

Never insert the cassette like this:

Fig. 6.1 Wrong! Gap between cassette and feed edge

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The cassette slots into place. You will feel slight resistance wheninserting the cassette, which you must overcome.

The load lamp on the control panel of the plate reader goes out.Image plate readout begins automatically.

The status displays flash on the control panel:The first arrow flashes during readout. The second arrow flasheswhen erasure begins until the image plate is reloaded in the cassette.

Remove cassette

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Check that the unload lamp is lit on the control panel.

Pull the cassette in a straight line and slowly out of the cassettecompartment.

The unload lamp goes out; the load lamp lights up.

The cassette is ready for use again. The exposure which has been read out is added to the patients

exposures. Unless you have selected another patient or an-other exposure for processing, the exposure which has beenread out appears on the monitor.

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Normally, the image plates are automatically erased after readout. If,however, an image plate has not been used in the past 8 hours, so-calledsecondary erasure is necessary. Here, the cassette is merely erased, andnot read out.

With time, the image plates absorb natural radiation, with the resultthat images with low exposure levels have a higher noise component. Inapplications with a low radiation dose you should therefore performsecondary erasure on the image plate after prolonged storage.

Proceed as follows:

Press the erase button. The field beside it displays the secondary erasure mode for

the next cassette to be inserted.

Insert cassette.During erasure, the status display for cassette processing flashes.On the monitor, a message concerning the plate reader modeappears above the progress indicator. After erasure, the platereader automatically switches back into normal read mode, mean-ing the erasure procedure only ever applies to one cassette.P

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When the unload lamp lights up, erasure is complete. The cassettecan be taken out and used for a new exposure.

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Normally, the image plates are automatically erased after readout. Afterincorrect exposure, however, special, primary erasure is necessary. Here,the cassette is merely erased, and not read out.

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Proceed as follows:

Press the erase button twice. The field beside it displays the primary erasure mode for the

next cassette to be inserted.

Insert cassette.During erasure, the status display for cassette processing flashes.After erasure, the plate reader automatically switches back intonormal read mode, meaning the erasure procedure only ever ap-plies to one cassette.

When the unload lamp lights up, erasure is complete. The cassettecan be taken out and used for a new exposure.

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Power ON

The PC and the application program on the operator's consolehave been started up. PIJ

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Press main switch to the I position.

The pilot lamp on the control panel of the plate reader lightsup.

The plate reader begins the start-up procedure, which takes ashort time. Then the load lamp lights up.

The plate reader is ready when the green load lamp lightsup.

Power OFF

Processing of the last cassette is complete.

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The unload lamp lights up.

Remove the cassette from the cassette compartment.

Press main switch to the 0 position.

The PCR Compano is now properly switched off.

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All three plate readers perform the same functions.The CCorado and CCosimaX plate readers are identical externally.The SS Hi-res plate reader has only one cassette slot.The ooperation of all three plate readers is identical; the operation of aplate reader with four cassette slots is described below.

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Power ON

The pilot lamp lights up.

If the pilot lamp does not light up, the main switch may not beswitched on. If so, press the main switch to the I position (on).

Switch on the plate reader.

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The operating system loads the programs required and per-forms a selftest. Various different displays appear.

After the start-up procedure the main window appears: (Onlyone cassette compartment is displayed in the main window ofthe S Hi-res)

The plate reader is ready when the load lamps of the cassettecompartments light up.

Power OFF

Make sure that processing of all cassettes is complete (unloadlamps flashing).

Remove all cassettes from the cassette compartments. Touch the Shutdown button in the main window.

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The following confirmation window appears:

Touch the Power OFF button and then OK.

After a short time the plate reader switches itself off automatically.The main switch can be left turned on.

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The image does not appear on-screen until read-out is finished.

To read out an image plate you must slide the plate cassette into the plate reader, have the image plate read out and remove the plate cassette again.Insert the cassette

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The patient has been X-rayed. The exposures can be found onone or more plate cassettes.

Turn the cassette so that the front faces up (barcode window goesin first and faces up).

Check that the load lamp of the cassette compartment is lit.

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Place the cassette into the cassette compartment with the frontfacing up.

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Guide the cassette along the rright feed edge, until it slots intothe cassette compartment.

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Fig. 6.3 Wrong! Gap between cassette and feed edge

Fig. 6.4 Wrong! Cassette is at an angle

When the cassette correctly slots into the cassette compartment, the loadlamp of the cassette compartment goes out and the processing lamplights up. Image plate readout begins. During this, the cassette is lockedand cannot be taken out. The progress of processing is shown on themonitor.

Cassette processing is complete when the unload lamp of the cassettecompartment lights up and the processed image is shown in full.

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RRemove cassette

Check that the blue unload lamp of the cassette compartment isflashing.

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Pull the cassette in a straight line and slowly out of the cassettecompartment. The unload lamp goes out; the load lamp lights up. The cassette is ready for use again. The exposure which has been read out is added to the patients

exposures. Unless you have selected another patient or an-other exposure for processing, the exposure which has beenread out appears on the monitor.

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24 1eSGPSNJnH TeDPnEBSZ eSBTVSe

Normally, the image plates are automatically erased after readout. If,however, an image plate has not been used in the past 8 hours, so-calledsecondary erasure is necessary. Here, the cassette is merely erased, andnot read out.

With time, the image plates absorb natural radiation, with the resultthat images with low exposure levels have a higher noise component. Inapplications with a low radiation dose you should therefore performsecondary erasure on the image plate after prolonged storage.

Proceed as follows:

Select the mode in the main window. Select Secondary erasure.

1

2

The main window appears once again.

The Secondary erasure mode is now activated for the next cas-sette to be inserted. After erasure, the plate reader automaticallyswitches back into normal read mode, meaning the erasure pro-cedure only ever applies to one cassette.

Insert cassette. During erasure the indicator for the cassette compartment in

use flashes.

The status of erasure is displayed. When the unload lamp lights up, erasure is complete. The

cassette can be taken out and used for a new exposure.

25 1eSGPSNJnH QSJNBSZ eSBTVSe

Normally, the image plates are automatically erased after readout. Afterincorrect exposure, however, special, primary erasure is necessary. Here,the cassette is merely erased, and not read out.

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Proceed as follows:

Select the mode in the main window. Select Primary erasure.

1

2

The main window appears once again.

The Primary erasure mode is now activated for the next cassetteto be inserted. After erasure, the plate reader automaticallyswitches back into normal read mode, meaning the erasure pro-cedure only ever applies to one cassette.

Insert cassette. During erasure the indicator for the cassette compartment in

use flashes.

The status of erasure is displayed. When the unload lamp lights up, erasure is complete. The

cassette can be taken out and used for a new exposure.

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If you have forgotten to scan a cassettes barcode before loading it intothe plate reader, an error message, stating that the image plate cannotbe read out, appears on the monitor, as the plate reader does not havethe data for reading out the cassette. At the same time, the following,general error message appears:

Touch Stop alarm on the monitor and confirm unloading ofthe cassette by pressing Take out cassette.

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The error message disappears; the cassette is ejected. Remove the cassette and enter the barcode with the correspond-

ing patient and examination data on the operator's console.

Reload the cassette in a free cassette compartment.

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The S and S Plus plate readers a

Om Pcr Eleva v1.1 en (4512 987 12111 Rev Af)

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