GE Medical Systems Information Technologies 5406102 URP Detector UWB Radio PWA and Antenna Module User Manual Optima220 5400222 1EN

GE Medical Systems Information Technologies Inc. URP Detector UWB Radio PWA and Antenna Module Optima220 5400222 1EN

Users Manual

Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 1-1Operator Manual © 2010 General Electric Company. All rights reserved.Rev 1 DRAFT 10142010 OptimaTM XR220amxX-Ray SystemOperator Manual54400222-1ENRev 1 DRAFT 11092010© 2010 General Electric Company. All rights reserved.DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
IMPORTANT!...X-RAY PROTECTION Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 i-iOperator Manual © 2010 General Electric Company. All rights reserved.IMPORTANT!...X-RAY PROTECTIONX-Ray equipment if not properly used may cause injury. Accordingly the instructions herein contained should be thoroughly read and understood before you attempt to place this equipment in operation. The General Electric Company, Healthcare Division, will be glad to assist and cooperate in placing this equip-ment in use.Although this apparatus incorporates a high degree of protection against x-radiation other than the use-ful beam, no practical design of equipment can provide complete protection. Nor can any practical design compel the operator or his assistant to take adequate precautions to prevent the possibility of authorized or unauthorized persons carelessly, unwisely, or unknowingly exposing themselves or others to direct or secondary radiation.It is important that everyone having anything to do with x-radiation be fully acquainted with the recom-mendations of the National Council on Radiation Protection and Measurements as published in NCRP Reports available from NCRP Publications, 7910 Woodmont Ave., Bethesda, MD 20814, and of the Inter-national commission on Radiation Protection, and take adequate steps to insure protection against injury.It is assumed that all persons authorized to use the equipment are cognizant of the danger of excessive exposure to x-radiation and the equipment is sold with the understanding that the General Electric Com-pany, Medical Systems Division, its agents, and representatives have no responsibility for injury or dam-age which may result from exposure to x-radiation.Various protective materials and devices are available. It is urged that such materials and devices be used.DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Medical Device Directive Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 i-iiOperator Manual © 2010 General Electric Company. All rights reserved.Medical Device DirectiveThis product complies with the following requirements:Council Directive 93/42/EEC concerning medical devices when it bears the following CE marking of con-formity:The location of the CE mark label on the equipment is in the service system manual.European registered place of business:GE Healthcare SCSQuality Assurance Manager283 rue de la Minière78530 BUC FranceGreen QSD 1990 Standard issued by MDD (Medical Devices Directorate, Department of Health, UK).Medical Device Good Manufacturing Practice Manual issued by the FDA (Food and Drug Administration, Department of Health, USA).Underwriters' Laboratories, Inc. (UL), an independent testing laboratory.Canadian Standards Association (CSA).International Electrotechnical Commission (IEC), international standards organization, when applicable.GE Healthcare reserves the right to make changes in specifications and features shown herein, or dis-continue the product described at any time without notice or obligation.The original language of this manual is English.DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Contact Information Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 i-iiiOperator Manual © 2010 General Electric Company. All rights reserved.Contact InformationManufactured by: GE HealthcareUnited States address:GE Healthcare3000 N Grandview AveWaukesha WI 53188-1696 USPhone number:United States: 262-544-3011International: +1-262-544-3011Web address:www.gehealthcare.comDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Revision History Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 i-ivOperator Manual © 2010 General Electric Company. All rights reserved.Revision History Revision HistoryRevision NumberPages Affected Description of Change1 DRAFT 21 Oct 2010All Preliminary CopyDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 1: Introduction Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 1-1Operator Manual © 2010 General Electric Company. All rights reserved.Chapter 1: IntroductionThe equipment is intended for use by qualified personnel only. WARNING United States Federal law restricts this device to sale by or on the order of a physi-cian.This Operator Manual should be kept with the equipment and be readily available at all times. It is impor-tant for you to periodically review the procedures and safety precautions. It is important for you to read and understand the contents of this manual before attempting to use this product.This chapter explains the purpose and design of this Operator Manual. It provides information on the organization, chapter format, and graphic conventions that identify the visual symbols used throughout the manual.Purpose Of This Manual This manual is written for health care professionals (namely, the radiologic technologist) to provide the necessary information relating to the proper operation of this system. The guide is intended to teach you the system components and features necessary to use it to its maximum potential. It is not intended to teach radiology or to make any type of clinical diagnosis.Prerequisite SkillsThis guide is not intended to teach radiology. It is necessary for you to have sufficient knowledge to com-petently perform the various diagnostic imaging procedures within your modality. This knowledge is gained through a variety of educational methods including clinical working experience, hospital based programs, and as part of many college and university Radiologic Technology programs.DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 1: Introduction Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 1-2Operator Manual © 2010 General Electric Company. All rights reserved.Safety InformationPlease refer to Chapter 2: Safety and Regulatory in this manual. The Safety chapter describes the safety information you and the physicians must understand thoroughly before you begin to use the system. Note that you will find additional safety information throughout your Learning and Reference Guide. If you need additional training, seek assistance from qualified GE Healthcare personnel. The equipment is intended for use by qualified personnel only. This guide should be kept with the equipment and be readily available at all times. It is important for you to periodically review the procedures and safety precautions. It is important for you to read and understand the contents of this guide before attempting to use this product.Safety NoticesSafety notices are used to emphasize certain safety instructions. This guide uses the international symbol along with the danger, warning, or caution message. This section also describes the purpose of a Note.DANGER Danger is used to identify conditions or actions for which a specific hazard is known to exist which will cause severe personal injury, death, or substantial prop-erty damage if the instructions are ignored.WARNING Warning is 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 Caution is 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.IMPORTANT! An Important comment calls your attention to items that affect your workflow or image quality but do not involve the safety of people or equipment.Note: A Note provides additional information that is helpful to you. It may emphasize certain informa-tion regarding special tools or techniques, items to check before proceeding, or factors to con-sider about a concept or task.DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 1: Introduction Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 1-3Operator Manual © 2010 General Electric Company. All rights reserved.Manual OrganizationThe manual is organized by chapters to provide information about specific functions. The following list provides an overview of the chapters’ contents.xChapter 1: Introduction provides basic information about the Operator Manual itself.xChapter 2: Safety and Regulatory contains the detailed safety information operators and the physi-cians must understand thoroughly before using the system. Note that you will find additional safety information throughout the Operator Manual. If you need additional training, seek assistance from qualified GE Healthcare personnel. xChapter 3: General Information describes features and functions that apply to the whole system: such as start up, shutdown, and system messages.xChapter 4: Moving and PositioningxChapter 5: System Battery ChargingxChapter 6: Quick Steps provides an overview of common tasks.xChapter 7: System Hardware Overview describes the overall system, hardware, and available acces-sories.xChapter 9: Worklist describes the process of adding, deleting, and selecting procedures from the sys-tem.xChapter 10: Image Acquisition describes the process of selecting and performing exams.xChapter 11: Image Viewer describes the features and functions for adjusting and viewing acquired images.xChapter 12: Image Management describes the features and functions to find and organize acquired images and exams.xChapter 13: Digital Detector describes the advanced digital detectorxChapter 14: Set Preferences describes the features and processes to configure the system.xChapter 15: Quality Assurance and Maintenance describes the process to conduct checks on the detector(s) to ensure continued image quality.xAppendix A: Login Administration describes how to administer the login options of the system, such as adding and removing users or groups.xAppendix B: Specifications provides the technical specifications of the system.xAppendix C: Messages on DisplayDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 1: Introduction Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 1-4Operator Manual © 2010 General Electric Company. All rights reserved.Graphic Conventions and LegendsThe table below describes the conventions used when working with menus, buttons, text boxes and key-board keys.Table 1-1 Conventions for menus, buttons, text boxes, and keyboard keysExample DescribesSelect Marking an option in a group of check boxes or radial buttonsChoosing an option from a drop-down listActivating a tabHighlighting row itemsPress [START EXAM] Pressing a button on a screen.Press ENTER Pressing a key on the keyboard.Press CTRL+ALT+DELETE Pressing a combination of keys on the keyboard. The key that should be pressed first is listed first.Press and hold SHIFT Pressing and holding down a key on the keyboard.In the Matrix text box,... The name of text box in which you can select or type text or the name of a drop-down list from which you select an option.Type DICOMAE in the... Text you enter into a text box.Select Preferences > Worklist.The path of selecting option(s) in a tree structure.DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 1: Introduction Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 1-5Operator Manual © 2010 General Electric Company. All rights reserved.Software User Interface ControlsThis manual refers to “controls” that appear on the software screens. The table below describes the most common controls that appear on the software user interface.Table 1-2 Common software user interface controlsControl and Description ExamplesButtonScreen buttons look and act like physical buttons on equipment. A single button performs a specific action, such as opening a new screen or saving settings.A group of two or more buttons provides a choice of settings. The dark blue color indicates which button or buttons are selected.A single button to start an examTwo buttons to select the focal spot Drop down listDrop down lists open to reveal several options, but only one option may be selected at a time.Drop down lists may be included on a button or a text box. The presence of a drop down list is indicated by a down-pointing arrow on the right side of the control.A list from a buttonClosedOpenA list from a text boxClosedOpenDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 1: Introduction Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 1-6Operator Manual © 2010 General Electric Company. All rights reserved.TabTabs are similar to the tabs on file folders. They categorize related information on a single screen. Pressing on a tab reveals the information related to that tab. Pressing on another tab hides the previous information and reveals a different set of information.A tab to move between two screensCheckboxCheckboxes indicate selection.A single checkbox shows that an option is active.Multiple checkboxes show that several options are selected.A single checkbox Multiple checkboxesText boxText boxes allow information to be entered using the keyboard.Text boxes Table 1-2 Common software user interface controlsControl and Description ExamplesDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 2: Safety and Regulatory Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 2-1Operator Manual © 2010 General Electric Company. All rights reserved.Chapter 2: Safety and RegulatoryThis chapter explains the safety considerations, general equipment and patient related precautions, and the symbols used for the safe operation of your equipment. This chapter also includes information about the emergency procedures.This chapter presents the concepts necessary to successfully operate your system safely. X-Ray ProtectionX-ray equipment if not properly used may cause injury. Accordingly, the instructions herein contained should be thoroughly read and understood by everyone who will use the equipment before you attempt to place this equipment in operation. GE Healthcare, will be glad to assist and cooperate in placing this equipment in use.Although this apparatus incorporates a high degree of protection against x-radiation other than the useful beam, no practical design of equipment can provide complete protection. Nor can any practical design compel the operator to take adequate precautions to prevent the possibility of any persons carelessly exposing themselves or others to radiation.It is important that everyone having anything to do with x-radiation be properly trained and fully acquainted with the recommendations of the National Council on Radiation Protection and Measurements as published in NCRP Reports available from NCRP Publications, 7910 Woodmont Avenue, Room 1016, Bethesda, Maryland 20814, and of the International Commission on Radiation Protection, and take adequate steps to protect against injury.The equipment is sold with the understanding that GE Healthcare, its agents, and representatives have no responsibility for injury or damage which may result from improper use of the equipment.Various protective material and devices are available. It is urged that such materials or devices be used.FCC Statement of ConformanceThis device complies with part 15 of the FCC Rules. Operation is subject to the following two conditions: (1) This device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation.Indications for UseThe Optima XR220amx is a self-contained, battery-operated mobile radiographic imaging system designed to generate diagnostic radiographic images (medical x-rays) that may increase the ability to detect disease or injury early enough for a medical problem to be managed, treated, or cured.DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 2: Safety and Regulatory Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 2-2Operator Manual © 2010 General Electric Company. All rights reserved.The Optima XR220amx is indicated for use on adult and pediatric patients for general-purpose diagnos-tic radiographic examinations and procedures. Its mobility enables generating radiographic images of human anatomy in all general-purpose x-ray diagnostic procedures within radiology departments, emergency rooms, intensive care units, operating rooms, pediatrics, orthopedics and clinical environ-ments. This may include patients that may not be able to be moved, or in cases where it is unsafe or impractical to move them to a traditional RAD room.The Optima XR220amx is intended to take exposures utilizing film or CR, however the Optima XR220amx utilizes the GE Universal Radiographic Detector, which is intended to replace radiographic film screen systems in all general purpose diagnostic procedures, for digital radiography (DR). The flat panel detector provides increased functionality to enable images of patients of all sizes, and can produce comparable quality images with as little as half the dose of traditional CR cassettes and other flat panel detectors with lower DQE.The system is indicated for taking radiographic exposures of the skull, spinal column, chest, abdomen, extremities, and other body parts with the patient sitting, standing, or lying in the prone or supine posi-tion. The system has medical applications ranging from but not limited to gastrointestinal examinations, cranial, skeletal, thoracic, and lung exposures as well as examination of the urogenital tract.WARNING United States Federal law restricts this device to sale by or on the order of a physi-cian.ContraindicationsThis device is not intended for mammographic applications.UsersThe targeted clinical users include qualified trained doctors, radiographers, or radiologic technologists (RTs) working in various locations. Locations may include orthopedic clinics, radiology imaging centers, hospital radiology departments, or hospital orthopedic departments.SafetyThe electrical wiring of the relevant rooms complies with all national and local codes, as well as the Reg-ulations for the electrical equipment of buildings published by the Institution of Electrical Engineers. All assembly operations, extensions, re-adjustments, or repairs must be carried out by qualified service rep-resentatives. Any modifications must be carried out by GE Healthcare Technologies authorized service representatives. The equipment must be used in accordance with the instructions for use.DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 2: Safety and Regulatory Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 2-3Operator Manual © 2010 General Electric Company. All rights reserved.WARNING This X-Ray unit may be dangerous to patient and operator, unless safe exposure factors, operating instructions and maintenance schedules are observed.To be used by authorized personnel only.WARNING Electric Shock Hazard! Do not remove covers. The system contains high voltage circuits for generating and controlling X-rays. Prevent possible electric shock by leaving covers on the equipment. There are no operator serviceable parts or adjustments inside. Only trained and qualified personnel should be permitted access to the internal parts of this equipment.WARNING To avoid the risk of electric shock, this equipment must only be connected to a supply mains with protective earth.WARNING All assembly operations, extensions, re-adjustments, or repairs must be carried out by qualified service representatives. Any modifications must be carried out by GE Health-care Technologies authorized service representatives. WARNING Electric shock hazard. To prevent possible electric shock, do not insert fingers inside the RJ 45 connector (Ethernet port). WARNING Radiographic equipment must be operated by qualified personnel and only after sufficient training.WARNING Do not use in an oxygen-rich environment or around other flammable or explosive gases.WARNING This equipment is not rated for use in the presence of flammable gases.DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 2: Safety and Regulatory Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 2-4Operator Manual © 2010 General Electric Company. All rights reserved.CAUTION Always be alert to safety when you operate this equipment. You must be familiar enough with the equipment to recognize any malfunctions that can be a hazard. If a malfunction occurs or a safety problem is known to exist, do not use this equip-ment until qualified personnel correct the problem.CAUTION This mobile X-ray Unit is not normally connected to protective earth ground while in use. For the safety of the patient and operator, only devices that are certified to the appropriate safety standards for medical devices and in good working order are to be used in proximity to this X-ray Unit. CAUTION THIS SYSTEM IS NOT DESIGNED FOR USE IN CLOSE PROXIMITY TO A DEFIBRILLATOR! Never use a defibrillator on a patient that remains in contact with the digital detector or any part of the mobile x-ray system. This system must be treated as a conductive surface and moved well away from a patient before defibrillation is attempted. If any part of the mobile x-ray system remains in contact with a patient when the defibrillator is discharged, voltage may be conducted through the patient’s body and into the system. This may be hazardous to anyone who may come in contact with the system, and could damage the detector.Always consult the instructions for use of any defibrillator that may be used on a patient being imaged by this digital mobile x-ray system.CAUTION It is the User’s responsibility to provide the means for audio and visual communi-cation between the Operator and the patient.CAUTION If you suspect any electromagnetic interference affecting or caused by the unit, call service. Portable and mobile RF communications equipment can affect medi-cal electrical equipment.CAUTION Use only manufacturer recommended equipment and accessories.DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 2: Safety and Regulatory Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 2-5Operator Manual © 2010 General Electric Company. All rights reserved.CAUTION Front bumper will stop movement of the mobile system when engaged. The sys-tem will stop when the release handle is released.CAUTION The connection of equipment or transmission networks other than as specified in these instructions can result in electric shock hazard. Alternate connections will require verification of computability and conformity to IEC/EN 60601-1-1 by installer.CAUTION Observe equipment limitations when moving the mobile system up or down an incline.Figure 2-1 Incline LimitsGood Operating Practices• Wear a lead apron while performing an x-ray exam.• Step back at least 6 feet (1.8 meters) from the tube or to the full extension of the hand switch cord before making an exposure.• Always use the proper field sizes and technic factors for each procedure to minimize x-ray exposure and produce the best diagnostic results.DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 2: Safety and Regulatory Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 2-6Operator Manual © 2010 General Electric Company. All rights reserved.• GE Healthcare strongly suggests reducing radiation dose to As Low As Reasonably Achievable (ALARA) in all patients, whenever it is determined that an x-ray exposure is necessary.• It is recommended that all users receive proper training in applications before performing them in a clinical setting. Please contact the local GE representative for training assistance. ALARA training is provided by GE Application Specialists. The ALARA education program for the clinical end-user covers basic x-ray principles, possible biological effects, ALARA principles, and examples of specific applications of the ALARA principle.• Check the digital display carefully before making an exposure: verify that the selected technique is the intended technique. Pay particular attention to the placement of the decimal point in the mAs setting to insure that whole numbers are not mistaken for an intended mAs fractional number.• Ask visitors to step outside the room during an exposure.• Use gonadal shields for patients whenever possible.• Be sure to read and follow the maintenance schedule outlined in the Maintenance and Service section of this manual.• Under most conditions, cumulative radiation dose to the operator will not exceed recommended maximum permissible levels. However, as with all radiation-producing devices, a qualified radiation expert should evaluate situations involving frequent exposures using high kVp and mAs technics to determine if extra protective devices are necessary.Know the EquipmentRead and understand all of the instructions in this Operator Manual before attempting to use the prod-uct.IEC Equipment ClassificationsThis product is a mobile general purpose radiographic x-ray system. The following equipment classifica-tions are applicable to this product:xEquipment classification with respect to protection from electric shock: Class IxDegree of protection from electric shock: Type BxDegree of protection against ingress of liquids: IPX0xDegree of Safety in the presence of Flammable Anesthetics Mixture with air or with oxygen or with nitrous oxide: Not suitable for use in the presence of Flammable Anesthetics Mixture with air or with oxygen or with nitrous oxide. xMode of operation: Continuous with intermittent loadingDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 2: Safety and Regulatory Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 2-7Operator Manual © 2010 General Electric Company. All rights reserved.Electromagnetic ImmunityWARNING Power line anomalies or electrostatic discharges to the system may cause a CD write failure error. A new CD should be used and the image re-written.Radiation SafetyAlways use the proper technical factors for each procedure to minimize X-ray exposure and to produce the best diagnostic results. In particular, you must be thoroughly familiar with the safety precautions before operating this system. Default techniques are designed to optimize the image processing param-eters.CAUTION There should be no people other than the patient in the room during x-ray expo-sure. If circumstances require another person to enter the room while x-ray expo-sures are planned or possible, that person should wear a lead apron in accordance with accepted safety practices.Radiation ProtectionBecause exposure to X-ray radiation may be damaging to health, use great care to provide protection against exposure to the primary beam. Some of the effects of X-ray radiation are cumulative and may extend over a period of months or years. The best safety rule for X-ray operator is “Avoid exposure to the primary beam at all times”.Any object in the path of the primary beam produces secondary (scattered) radiation. The intensity of the secondary radiation is dependent upon the energy and intensity of the primary beam and the atomic number for the object material struck by the primary beam. Secondary radiation may be of greater intensity than that of the radiation reaching the film. Take protective measures to safeguard against it.An effective protective measure is the use of lead shielding. To minimize dangerous exposure, use such items as lead screens, lead impregnated gloves, aprons, thyroid collars, etc. The lead screen should contain a minimum of 2.0 mm of lead or equivalent and personal protective devices (aprons, gloves, etc.) must contain a minimum of 0.25 mm of lead or equivalent. For confirmation of the local requirements at your site, please refer to your “Local Radiation Protection Rules” as provided by your Radiation Protection Advisor.DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 2: Safety and Regulatory Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 2-8Operator Manual © 2010 General Electric Company. All rights reserved.WARNING While operating or servicing x-ray equipment, always keep a distance not less than 2 meters from the focal spot and X-ray beam, protect body and do not expose hands, wrists, arms or other parts of the body to the primary beam.Monitoring of PersonnelMonitoring of personnel to determine the amount of radiation to which they have been exposed provides a valuable cross check to determine whether or not safety measures are adequate. It may reveal inade-quate or improper radiation protection practices and potentially serious radiation exposure situations.The most effective method of determining whether or not the existing protective measures are adequate is the use of instruments to measure the exposure. These measurements should be taken at all locations where the operator, or any portion of the body may be exposed. Exposure must never exceed the accepted tolerable dose.A frequently used, but less accurate, method of determining the amount of exposure is the placement of film at strategic locations. After a specified period of time, develop the film to determine the amount of radiation.A common method of determining whether personnel have been exposed to excessive radiation is the use of personal radiation dosimeters. These consist of X-ray sensitive film or thermoluminescent material enclosed within a holder that may be worn on the body. Even though this device only measures the radi-ation which reaches the area of the body on which they are worn, they do provide a reasonable indica-tion of the amount of radiation received.Emergency ProceduresIt is not always possible to determine when some components, such as the X-ray tubes, are nearing the end of their operating lives. These components could stop operating during a patient examination.WARNING The facility must establish procedures for handling the patient in case of the loss of radiographic imaging or other system functions during an exam.DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 2: Safety and Regulatory Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 2-9Operator Manual © 2010 General Electric Company. All rights reserved.Safe Operation PrecautionsGeneral Use WarningsWARNING For continued safe use of this equipment, follow the instructions contained in this Operator Manual. Study this guide carefully before using the equipment and keep it at hand for quick reference. You may print this manual to have a paper copy available within the Radiology department.WARNING Only qualified personnel trained in the operation of this equipment should run this system. Read and become familiar with all instructions in this manual before using this equipment If further assistance is needed, please contact GE.WARNING It is the responsibility of the owner to make certain that only properly trained, fully qualified personnel are authorized to operate the equipment. A list of authorized operators should be maintained.WARNING Check for obstructions before moving the system; do not drive the system into or onto fixed objects.WARNING It is the responsibility of the operator to ensure the safety of the patient at all times. The patient should be monitored by visual observation, use of proper patient positioning, and the use of appropriate protective devices.CAUTION Keep the patient in full view at all times and never leave the patient unattended.CAUTION Please carefully monitor all equipment motion to prevent collisions. Pay attention during operation to prevent possible injuries that could result from collision of the power-driven equipment parts with other moving or stationary items likely to be in the environment.DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 2: Safety and Regulatory Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 2-10Operator Manual © 2010 General Electric Company. All rights reserved.WARNING Perform periodic maintenance to ensure continued safe use of the equipment. Fol-low recommended preventative maintenance schedule as outlined in the docu-mentation provided with your system.CAUTION Make sure any other accessories or materials are not located in the primary X-ray beam during exposure that could result in bad image quality.CAUTION Always use GEHC recommended accessories to ensure best performance and to avoid possible hazards.WARNING Do not load non-system software onto the system computer.WARNING For accessories used in combination with diagnostic X-ray equipment, be aware of the possible adverse effect arising from materials located in the X-ray beam. Maximum Attenuation Equivalent mm AL or PercentPatient Positioning WarningsCAUTION To avoid patient injury, always assist the patient as needed at the beginning or end of an exam.Item mm Al or PercentCollimator without spectral filters at 70kV TBDPermanent tube assembly filtration at 75 kV 0.9mmTube housing minimum filtration at 150 kV TBDDetector Housing at 100 kV TBD Standard Grid: 6:1 grid ratio horizontal 35%Optional Grid: 8:1 grid ratio horizontal 35%DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 2: Safety and Regulatory Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 2-11Operator Manual © 2010 General Electric Company. All rights reserved.CAUTION Make sure that patient connected lines, tubes, etc. do not become pinched or pulled.Digital Detector WarningsCAUTION Do Not Drop.CAUTION Device weighs 4,536g (10.0 lbs. with battery).CAUTION Do not use a defibrillator while patient remains in contact with detector.CAUTION Maximum load is 110kg (242 lb) concentrated; 160kg (352 lb) distributed. Do not exceed these maximum load limits.CAUTION Operate the detector within the temperature range of 10° C to 35° C. Store the detector within the temperature range of 0° C to 50° C (maximum change 50° C per hour).Pinch Points and Crush Hazard SummaryThis section lists the potential pinch points or crushing hazards that exist for the system.Table 2-1 Pinch Points and Crush Hazard SummaryComponent WarningSystemWARNING Potential Pinch Point: TBDDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 2: Safety and Regulatory Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 2-12Operator Manual © 2010 General Electric Company. All rights reserved.SymbolsThis section explains the symbols used on this system and in its accompanying documents.Special NoticesTable 2-2 Special noticesSymbol DescriptionDangerous voltage. This indicates an avoidable, dangerous, high voltage hazard.This symbol on the equipment indicates the operating instructions should be consulted to ensure safe operation. Hand crushing hazard. This symbol indicates that serious injury to the hand may occur.Follow operating instructions. This symbol directs you to consult this manual for more information. No stepping or standing on unit. The component on which the symbol appears cannot support the weight of a person. Damage to equipment or injury may occur if the unit is stepped or stood upon.Maximum load. This symbol indicates that the component has a maximum weight limit. Damage to equipment or injury may occur if the maximum weight is exceeded.Operating temperature. This symbol indicates that the component must be within a minimum and maximum temperature range in order to operate. Damage to equipment may occur if equipment is used at temperatures outside of the specified range.DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 2: Safety and Regulatory Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 2-13Operator Manual © 2010 General Electric Company. All rights reserved.X-ray Tube Operational SymbolsThe table below describes the operational symbols for the system such as X-ray emissions and collima-tor locations. System Power On and ResetThe table below describes the power controls of the system. Table 2-3 Operational symbolsSymbol DescriptionX-ray emission is used to indicate the X-ray tube head is emitting X-rays. Take adequate precautions to prevent the possibility of any persons carelessly, unwisely, or unknowingly exposing themselves or others to radiation. X-ray source assembly is used to indicate a reference to an X-ray source assembly. X-ray tube is used to indicate a reference to the X-ray tube, e.g., to mark the surface of a grid, which is to be oriented towards the X-ray tube. Identifies controls or indicators associated with the selection of a small focal spot or the connection for the corresponding filament.Identifies controls or indicators associated with the selection of a large focal spot or the connection for the corresponding filament.Table 2-4 Power controlsSymbol Description The POWER ON button is used to turn on the power to the system. xON: GreenxSTANDBY: Blue DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 2: Safety and Regulatory Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 2-14Operator Manual © 2010 General Electric Company. All rights reserved.Electrical TypeThe table below describes the electrical protection rating based on system type. Electrical CurrentThe table below describes the symbols for the different types of electrical current that may be used on your system. GroundThe table below describes the different types of grounding that may be used in your system. Table 2-5 Electrical typeSymbol DescriptionType B Equipment indicates the equipment provides a particular degree of protection against electrical shock regarding leakage current and protective earthing per IEC60601-1.Table 2-6 Electrical current typesSymbol DescriptionAlternating Current indicates the equipment is suitable for alternating current only. Direct Current indicates the equipment is suitable for direct current only. Both direct and alternating currents indicate the equipment is suitable for both direct and alternating current.Table 2-7 Ground typesSymbol DescriptionFunctional Earth (ground) Terminal indicates a terminal directly connected to a point of a measuring supply or control circuit or to a screening part, which is intended to be earthed for functional purposes.DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 2: Safety and Regulatory Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 2-15Operator Manual © 2010 General Electric Company. All rights reserved.CollimatorThe table below describes the collimator controls and the radiation field. Noiseless (clean) earth (ground) identifies any terminal of a specially designed earthing system where noise from earth of leads will not cause a malfunction of the equipment. Protective earth (ground) identifies any terminal which is intended for connection of an external protective conductor to protect against electrical shock in case of a fault.Frame or chassis identify the frame or chassis terminal.Equipotentiality identifies terminals that bring the various parts of equipment or systems to the same potential when connected together. These terminals are not necessarily at earth (ground) potential. The value of the potential may be indicated next to the symbol. Table 2-8 Collimator descriptionsSymbol DescriptionControl for indicating radiation field by using light.Identifies controls for opening the collimator blades, or indicates partially or fully open state. Identifies controls for closing the collimator blades, or indicates closed state. Indicates the collimator blades are closed. The controlled blades are shown in thicker lines. Table 2-7 Ground typesSymbol DescriptionDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 2: Safety and Regulatory Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 2-16Operator Manual © 2010 General Electric Company. All rights reserved.Identification and Compliance PlatesProduct identification labels can be found on the system. The types of system identification compliance plates are located in the table below.Identification PlateFigure 2-2 Typical identification plateFigure 2-3 Typical identification plate Indicates the collimator blades are open. The controlled blades are shown in thicker lines. Indicates the use of laser radiation.Table 2-8 Collimator descriptionsSymbol DescriptionDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 2: Safety and Regulatory Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 2-17Operator Manual © 2010 General Electric Company. All rights reserved.NRTL Listed LabelThe Nationally Recognized Testing Laboratory (NRTL) label indicates that the assembly is listed or recog-nized by a nationally recognized testing laboratory (i.e. ETL, UL, CSA)Figure 2-4 ETL Listed LabelIdentification and Compliance Plate LocationsThe table below identifies the type of compliance plates and their location on your system. System Identification PlateFigure 2-5 System Identification Plate TBDTable 2-9 System identification and compliance platesComponent Plate TypeTBD TBDDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 2: Safety and Regulatory Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 2-18Operator Manual © 2010 General Electric Company. All rights reserved.Figure 2-6 System Identification Plate (DHHS)Figure 2-7 System Identification Plate (ETL)Table 2-10 System Identification PlateNumber Text1GE Healthcare, LLC23000 N. Grandview Blvd. Waukesha, WI USA3System Model Name4Optima XRxxx5Model Number6Class 1Table 2-11 System Identification Plate (DHHS) Number Text1Complies With DHHS Radiation Performance Standards 21 CFR Subchapter JTable 2-12 System Identification Plate (ETL)Number Text1ETL ClassifiedDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 2: Safety and Regulatory Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 2-19Operator Manual © 2010 General Electric Company. All rights reserved.X-Ray Tube Identification PlatesFigure 2-8 X-Ray Tube Identification Plate 1 TBD2Medical EquipmentTable 2-13 X-Ray Tube Identification Plate 1Number Text1GE BE Private Ltd2Model3Serial Number4Manufactured5Focus6Description7Tube Insert Maximum Potential Anode to Cathode8Tube Insert Minimum Filtration:Aluminum Equivalent at:: 9Whitefield, Bangalore-66. Made in India.Table 2-12 System Identification Plate (ETL)Number TextDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 2: Safety and Regulatory Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 2-20Operator Manual © 2010 General Electric Company. All rights reserved.Figure 2-9 X-Ray Tube Identification Plate 2 TBDTable 2-14 X-Ray Tube Identification Plate 2Number Text1GE BE Private Ltd2Model3Serial Number4Description5Tube Insert Maximum Potential Anode to Cathode6Tube Insert Minimum Filtration:Aluminum Equivalent at:: 7Made for: General Electric Company, Milwaukee, Wisconsin8Whitefield, Bangalore-66. Made in India.DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 2: Safety and Regulatory Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 2-21Operator Manual © 2010 General Electric Company. All rights reserved.Collimator Identification PlateFigure 2-10 Collimator Identification Plate TBDTable 2-15 Collimator Identification PlateNumber Text1Model Number2Serial Number3(Manufacturer)4This Product Complies With DHHS Radiation Performance Standards 21 CFR Subchapter J, Applicable At Date of Manufacture5Manufactured (Month/Year)6Filtration7Localizer Light: TBD8Made in TBDDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 2: Safety and Regulatory Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 2-22Operator Manual © 2010 General Electric Company. All rights reserved.Detector Identification PlatesFigure 2-11 Detector Identification Plate 1 TBDTable 2-16 Detector Identification Plate 1Number Text1Manufactured For2General Electric CompanyMilwaukee, Wisconsin3by4Model5Serial Number6Manufactured7Description8Made In (Name of Country)9(Month and Year)10 (Description of Detector)DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 2: Safety and Regulatory Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 2-23Operator Manual © 2010 General Electric Company. All rights reserved.Figure 2-12 Detector Identification Plate 2 TBDTable 2-17 Detector Identification Plate 2Number Text1Manufactured forGE Healthcare by2Model Number3Serial Number4Manufactured5Description6(Month and Year)7(Description of Detector)DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 2: Safety and Regulatory Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 2-24Operator Manual © 2010 General Electric Company. All rights reserved.Collimator LabelDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 2: Safety and Regulatory Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 2-25Operator Manual © 2010 General Electric Company. All rights reserved.Digital Detector LabelsRefer to the Digital Detector chapter for information on the Digital Detector labels.Regulatory RequirementsNote: This equipment generates, uses, and can radiate radio frequency energy. The equipment may cause radio frequency interference to other medical and non-medical devices and radio commu-nications. To provide reasonable protection against such interference, this product complies with emission limits for Group 1 Class A Medical Devices as stated in EN 60601-1-2. However, there is no guarantee that interference will not occur in a particular installation.Note: If this equipment is found to cause interference (which may be determined by switching the equipment on and off), you (or qualified service personnel) should attempt to correct the problem using one or more of the following measures:-Reorient or relocate the affected devices.-Increase the space separating the equipment and the affected device.-Power the equipment from a source different from that of the affected device.-Consult the point of purchase or the service representative for further suggestions.Note: The manufacturer is not responsible for any interference caused either by the use of interconnect cables other than those recommended or by unauthorized changes or modifications to this equipment. Unauthorized changes or modifications could void the user’s authority to operate the equipment.Note: To comply with the regulations applicable to an electromagnetic interface for a Group 1 Class A Medical Device, all interconnect cables to peripheral devices must be shielded and properly grounded. The use of improperly shielded and grounded cables may result in the equipment causing radio frequency interference in violation of the European Union Medical Device directive and Federal Communications Commission regulations.Note: Do not use devices which intentionally transmit radio frequency (RF) signals (cellular phones, transceivers, or radio controlled products) in the vicinity of this equipment, as it may cause per-formance outside the published specifications.Keep the power to these type devices turned off when near the equipment.The medical staff in charge of this equipment is required to instruct technologists, patients, and other people who may be around this equipment, to fully comply with the above requirement.Installation instructions for this device may be found in Optima XR200amx/220amx Installation Manual 5336113-1EN, which is included with this equipment.This product complies with the following requirements:Council Directive 93/42/EEC concerning medical devices when it bears the following CE marking of con-formity:DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 2: Safety and Regulatory Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 2-26Operator Manual © 2010 General Electric Company. All rights reserved.Figure 2-13 CE markDisposal of WasteThis symbol indicates that the waste of electrical and electronic equipment must not be disposed as unsorted municipal waste and must be collected separately. Please contact an authorized representa-tive of the manufacturer for information concerning the decommissioning of your equipment.Figure 2-14 Disposal of waste symbolBattery DisposalThe separate collection symbol is affixed to a battery, or its packaging, to advise you that the battery must be recycled or disposed of in accordance with local or country laws. The letters below the separate collection symbol indicate whether certain elements (Pb=Lead, Cd=Cadmium, Hg=Mercury) are con-tained in the battery. To minimize potential effects on the environment and human health, it is important that all marked batteries that you remove from the product are properly recycled or disposed.For information on how the battery may be safely removed from the device, please consult the service manual or equipment instructions. Information on the potential effects on the environment and human health of the substances used in batteries is available at this url:http://www.gehealthcare.com/euen/weee-recycling/index.htmlFigure 2-15 Battery Disposal symbolDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 2: Safety and Regulatory Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 2-27Operator Manual © 2010 General Electric Company. All rights reserved.Pollution Control LabelThe following product pollution control information is provided according to SJ/T11364-2006 Marking for Control of Pollution caused by Electronic Information Products.Figure 2-16 Pollution control symbolThis symbol indicates the product contains hazardous materials in excess of the limits established by the Chinese standard SJ/T11363-2006 Requirements for Concentration Limits for Certain Hazardous Sub-stances in Electronic Information Products. The number in the symbol is the Environment-friendly Use Period (EFUP), which indicates the period during which the toxic or hazardous substances or elements contained in electronic information products will not leak or mutate under normal operating conditions so that the use of such electronic information products will not result in any severe environmental pollu-tion, any bodily injury or damage to any assets. The unit of the period is Year.In order to maintain the declared EFUP, the product shall be operated normally according to the instruc-tions and environmental conditions as defined in the product manual, and periodic maintenance sched-ules specified in Product Maintenance Procedures shall be followed strictly.Consumables or certain parts may have their own label with an EFUP value less than the product. Peri-odic replacement of those consumables or parts to maintain the declared EFUP shall be done in accor-dance with the Product Maintenance Procedures.This product must not be disposed of as unsorted municipal waste, and must be collected separately and handled properly after decommissioning.Dose ChartUse the table below to compare film speed to dose values. Table 2-18 Dose Chart Expected receptor Default Dose (μGy) at 80 kVp is less than: Equivalent Film Speed16.00 10012.90 12510.00 1608.00 2006.25 2505.00 320DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 2: Safety and Regulatory Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 2-28Operator Manual © 2010 General Electric Company. All rights reserved.CAUTION Use the largest possible focal spot-to-skin distance to keep the patient absorbed dose as small as possible.CAUTION If no technical factors are present in the system for any view, the default settings are:– kV = 50– ma = 100 (fixed setting)–mAs = .05These values are placeholders only. No exposures should be made until the user selects values appropriate for the patient size.CAUTION This system source assembly is designed to be used with only the Optima XR220amx tube and collimator. Replacement of either of these components with different types may render the system non-compliant to applicable radiation safety standards and regulations. 4.00 4003.20 5002.50 6402.00 8001.60 1000Table 2-18 Dose Chart Expected receptor Default Dose (μGy) at 80 kVp is less than: Equivalent Film SpeedDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 3: General Information Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 3-1Operator Manual © 2010 General Electric Company. All rights reserved.Chapter 3: General InformationThis chapter explains some of the basic operations and features of the Mobile X-ray Unit.Quick HighlightsUser InterfacexOptimized GUI – Technique, image acquisition and display tools in a single integrated user interface: Image preview display covers over 50% of the screenxCommonly used tools pallet available in all image processing screensxEdit/copy exam to reprocess images without additional patient exposuresxReprocessing of images allow multiple “looks” selection with configurable display parametersxPre-programmed techniques per anatomy and patient sizexImage text annotations are supported with configurable font size for display and printxUsage reporting tools by individuals and user groupsxSystem Health dashboard for system statusxIndependent system status and system battery charge indicatorsProductivityx“Stand-by” mode eliminates boot up cycles and allows exposure within 25 seconds of system activa-tionxExposures can be taken and processed while the unit is plugged in and chargingxSmart Charge automatic charging algorithms allow the system to be re-charged even if batteries are not fully drainedxSystem can be driven within 4 seconds of activationDigital DetectorxWireless connectivity from detector to systemxLightweight detector enclosure designed for mobile use, weighs less than 4.5 kg (10lbs) including bat-tery xDetector is battery operated with rechargeable and exchangeable batteries – Back-up tether includedxDetector battery charges automatically while the detector is in the binxSystem can be used without the detector for manual film or CR exposuresDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 3: General Information Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 3-2Operator Manual © 2010 General Electric Company. All rights reserved.WorkflowxModality Perform Procedure Step (MPPS; SPS/PPS configurable)xAutomated and customizable image transfer to PACS and printersxWorklist auto-refresh (configurable)xCan reprocess images post acquisition and during an examxMWL remains visible until the next refresh, even if the network connection is lostDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 13: Digital Detector Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 13-1Operator Manual © 2010 General Electric Company. All rights reserved.Chapter 13: Digital DetectorThis section outlines the basic detector functions, usage, care, and specifications.Detector OverviewDetector primary functions are:xTo convert x-ray data into digital image dataxTo transfer the digital data to the system for processing and displayThe detector is an x-ray imaging device. It consists of an array of 2024 x 2024 pixels (40.4 x 40.4 cm). Each pixel is attached to a data acquisition circuit that converts incoming x-ray signal to 14-bit digital data.The detector is constructed from a metal case. The front face contains a graphite x-ray imaging window. The back face contains safety warnings.PanelThe panel consists of a thin-film amorphous silicon integrated circuit on a glass substrate with a cesium iodide scintillator. The scintillating material absorbs the x-rays and converts the energy to light. The light is converted into a charge that is digitized by the detector electronics.ElectronicsThe primary function of the readout electronics is to convert the charge into digital image data. This data is then transmitted to the system through a wireless link or an ethernet connection. Physical Appearance / FinishThe detector unit is designed to be installable as 1) an external patient access/contact surface and 2) a non-external patient access/contact surface.Detector surfaces have been treated with a finish to allow a smooth and easily cleanable surface. Care shall be taken to protect the surface from scratches.Nameplates and MarkingsA label on the back of the detector contains the GE part number.DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 13: Digital Detector Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 13-2Operator Manual © 2010 General Electric Company. All rights reserved.Detector HandlingThe device contains sensitive electronics that are susceptible to vibration, shock, drop, and impact.When handling the device, use the handle and/or use both hands to manipulate the detector into the correct anatomical position for the exam.WARNING Do not swing the device into hard surfaces, especially corners, as this may scratch the cover, create an image quality artifacts, or damage the electronics inside.Special Instructions if the detector is dropped: Inspect the exterior for any possible cracks. Run Detector Check to test the detector. It will be clear if the electronics are not functioning. Other possible failures may include communication problems, image quality degradation, and loss of power. If any or all of these occur, call your GE Service Representative.xDo not drop objects onto the detector.xDo not use the detector as a stretcher to lift a patient.xDo not drop the detector at any time.xDo not prop the device on an edge, against wall or bed. Keep detector in cradle, bucky, or other GE-supplied container.xDo not place other objects or patients on the detector if it is not on a flat surface, as shown in .xDo not use unapproved chemical cleaners.xDo not immerse detector into water or other liquids.xDo not use a defibrillator while patient remains in contact with detector.xDo not place objects on detector if it is not lying flat Detector surfaces have been treated with a finish to provide a smooth and easily cleanable surface. Take care to protect the surface from scratches.WARNING Extra precautions should be taken if the device will be exposed to excessive amounts of bodily fluids or liquids.The detector is designed to prevent some liquids or particulate matter from getting inside the cover. It can sustain a temporary splash or spray, but it is not designed to be immersed in liquid (not even tempo-rarily).DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 13: Digital Detector Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 13-3Operator Manual © 2010 General Electric Company. All rights reserved.Hardware OverviewFigure 13-1 Front of the Digital DetectorTable 13-1 Front of the Digital DetectorItem Description1 Handles2Battery3 Indicator Lights4 Pushbutton5 Detector Active Visible Area (inside the white marks)6 Antenna (inside the detector)DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 13: Digital Detector Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 13-4Operator Manual © 2010 General Electric Company. All rights reserved.Figure 13-2 Labels on the Front of the Digital Detector Table 13-2 Labels on the Front of the Digital Detector Figure 13-3 Labels on the Back of the Digital Detector Table 13-3 Labels on the Back of the Digital Detector Item Description1 Centerline2 Do not defibrillate (IEC 5841 w/line)3 RF transmitter (IEC 5140)4 Ths side toward X-ray source (IEC 5338)Item Description1 FCC Approval and FCC ID Number (OU5-5406102)2 Refer to Instructions (ISO 7010-M002)3 Type B Applied Part (IEC 5840)4 Do not X-ray this side (IEC 5338 with cross)5 Maximum applied weight: 110kg (242 lb) concentrated; 160kg (352 lb) distributedDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 13: Digital Detector Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 13-5Operator Manual © 2010 General Electric Company. All rights reserved.Figure 13-4 Detector Docking ConnectorTable 13-4 Detector Docking ConnectorFigure 13-5 Detector Top Table 13-5 Detector Top Item Description1 Detector Docking ConnectorItem Description1 Pushbutton: Push to toggle between normal mode and sleep mode.2 Indicator Lights3 Detector ID Insert - See Chapter 14: Set Preferences-Adding A New Detector Identified By Color and Shape 4BatteryDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 13: Digital Detector Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 13-6Operator Manual © 2010 General Electric Company. All rights reserved.Battery and Tether ConnectionThe battery and the tether plug share the same connector. Only one of these can be plugged in at a time.Figure 13-6 Detector Battery and Tether Table 13-6 Detector Battery and Tether Tether HandlingTo ensure maximum tether life, follow these guidelines:xTreat the tether with care.xClean the tether regular with an approved chemical. Refer to for more information.xUntwist the tether periodically. The colored stripe on the tether shows if it is twisted.xDo not jerk or pull on the tether. For example, do not pull on the tether to free it from under a wheel (especially if the tether is twisted).xDo not step on the tether.xDo not run over the tether with the unit, cart, table or other equipment.xDo not use the tether as a handle.5 Battery LatchItem Description1 Latch2Battery3TetherItem DescriptionDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 13: Digital Detector Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 13-7Operator Manual © 2010 General Electric Company. All rights reserved.xDo not bend or fold the tether sharply, especially at the points where the tether connects to the detector and to the unit.UseThe tether should be kept with the mobile system at all times. It can be stored in the storage compart-ment. Use the tether under these conditions:xLow Digital Detector battery or no Digital Detector battery. Tether the system to continue imaging.xConnectivity issues between the Digital Detector and the system. If you lose an image and are unsure of the reason, you can use the tether to make sure the next image is transferred.xComplete loss of connectivity between the Digital Detector and the system. You can use the tether until your Service Engineer can diagnose and repair the problem.DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 13: Digital Detector Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 13-8Operator Manual © 2010 General Electric Company. All rights reserved.Detector GridThe Digital Detector grid is integrated with a holder that fits the detector exactly. The grid fits over the detector handle and has raised edges to fit around the detector. Once together, you may handle the grid and detector as one unit.The arrows on the grid surface show the direction of the grid lines, which run horizontally.Figure 13-7 Detector Grid Table 13-7 Detector Grid The detector automatically detects when the grid is properly in place. If the grid has been improperly placed on the back of the detector, the detector will not function. The detector reports to the system when the grid is attached to or detached from the detector.Grid AttachmentThe bottom edge of the detector should be placed into the bottom lip of the grid holder while held in the vertical position with the carbon graphite cover (on the front of the detector) facing the inside of the grid holder. Then press the detector into the top edge of the grid holder. Be careful to not pinch your fingers or clothing when assembling.While in use, keep a firm grasp on both the grid holder and the detector. The markings for the active area are clearly shown on the exterior surface of the grid holder.Grid HandlingThe grid is a sensitive device containing delicate mechanical structures. It is made of very thin pieces of lead (Pb) and interspersed with Aluminum (Al).xDo not drop the grid.Item Description1 Grid (6:1 grid ratio horizontal is standard, 8:1 grid ratio horizontal is optional)2 DetectorDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 13: Digital Detector Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 13-9Operator Manual © 2010 General Electric Company. All rights reserved.xDo not allow objects to hit/impact the grid.xDo not immerse grid in water or other liquid.xDo not peel labels or vinyl covering.xInspect the grid for physical damage before use.xClean the grid regularly (between each patient) with an approved chemical. Refer to for more infor-mation.UseOn, Off, and Sleep ModesOffThe detector only turns off when the Digital Detector battery is removed. There is no OFF button.SleepxWhen the Digital Detector is on, push the black standby button and hold down for four seconds. The Digital Detector will go into the Sleep Mode. Press for one second to wake up from the sleep mode.xWhen placed into the bin, the Digital Detector battery will begin charging and the Digital Detector will go into the Sleep Mode. OnxWhen the Digital Detector is in the Sleep Mode, push the black standby button and hold down for one second. The Digital Detector will automatically wake up and be ready to use for exposures in 10 sec-onds.xWhen pulled out of the bin, the Digital Detector will automatically wake up and be ready to use for exposures in 10 seconds.Detector AlignmentTo aid in proper alignment of the detector with respect to the X-ray source, there are alignment marks centered on the front side (imaging side) of the detector. The arrow represents the default heads-up dis-play orientation.DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 13: Digital Detector Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 13-10Operator Manual © 2010 General Electric Company. All rights reserved.Indicator LED’sFigure 13-8 Indicator LED’s Table 13-8 Indicator LED’s The various states of the Indicator LED’s are shown in the illustrations below.Item Description1 Battery LED’sxGreen, Green: Battery more than 75% remainingxOff, Green: Battery remaining between 25% and 75%xOff, Yellow: Battery remaining between 10% and 25%xOff, Red: Battery less than 10% remainingxOff, Off: Detector in sleep mode2 Wireless Link LEDxGreen: Wireless Link ConnectedxRed: No Wireless LinkxOff: Detector in sleep mode3 Detector LEDxGreen: Detector ReadyxOff: Detector Off (in sleep mode)xRed: Detector Fault ConditionDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 13: Digital Detector Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 13-11Operator Manual © 2010 General Electric Company. All rights reserved.Figure 13-9 Battery more than 75% remaining; Wireless link connected; Detector ready Figure 13-10 Battery remaining between 25% and 75% ; Wireless link connected; Detector ready DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 13: Digital Detector Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 13-12Operator Manual © 2010 General Electric Company. All rights reserved.Figure 13-11 Battery remaining between 10% and 25% ; Wireless link connected; Detector ready Figure 13-12 Battery less than 10% remaining; Wireless link connected; Detector exposure not allowed DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 13: Digital Detector Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 13-13Operator Manual © 2010 General Electric Company. All rights reserved.Figure 13-13 Battery more than 50% remaining; No Wireless link; Detector exposure not allowed Figure 13-14 Detector off (in sleep mode) DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 13: Digital Detector Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 13-14Operator Manual © 2010 General Electric Company. All rights reserved.Figure 13-15 Detector fault condition In this condition the battery LED’s may be lit to show the condition of the battery.Electro-magnetic InterferenceThe detector has been designed and tested to meet all IEC regulations in regard to electro-magnetic (EM) susceptibility (and EMC).However, there are no regulations for low frequency EM fields. All flat panel detectors have some suscep-tibility to these EM fields.This detector is robust to EM fields up to 0.1mG over a broad low frequency range (DC - 250kHz). It has been found that some common equipment in clinical environments can generate EM fields well over 0.1mG. Some measurements have shown 4mG field strengths which can cause artifacts on x-ray images.EM fields are reduced by the square of the distance between the EM source and the detector. Thus, mov-ing the EM source twice as far away will reduce the field strength by 4 times. General suggestions:xKeep IV pumps, patient monitoring, feeding pumps 1 meter or more away from any detector surface.xConsider turning off equipment that cannot be moved.xChange the patient or detector orientation /position to maximize distance from any equipment.xTurn on the EMI Reduction feature. See the Preferences chapter for information on how to do this.Possible sources of EM fields:xIV pumpsDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 13: Digital Detector Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 13-15Operator Manual © 2010 General Electric Company. All rights reserved.xMonitorsxFeeding pumpsxPatient monitorsxECG equipmentxEMG equipmentxInfusion pumpsxRF ablatorsxPowered surgical equipmentxHeatersxAir conditionersxRefrigeratorsCleaningAll exterior surfaces—detector, tether, and grid—should be cleaned after each exam.xThe detector and grid must be allowed to dry before use. xDo not leave disposable wipes or cleaning cloths on the detector or grid for more than 60 seconds. xLet the detector dry at least 60 seconds between cleanings. The following chemicals and products have been tested and approved by GE for cleaning the GE Portable DR Detector, grid, and tether. xCidex OPAxOxivirxSuper Sani-Cloth Germicidal WipesxBleach (50% solution)DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 13: Digital Detector Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 13-16Operator Manual © 2010 General Electric Company. All rights reserved.SpecificationsDetector Size and WeightTable 13-9 Detector size and weight specificationsEnvironmental ContraintsThis section describes the environmental conditions that the detector is designed to withstand. CAUTION Operation or storage outside of these constraints may cause damage to the detector.Table 13-10 Environmental ConstraintsItem SpecificationOverall detector size• Including handle• Not including tetherThickness: 27mmWidth:452mm Height:580mm Image SizeThe active area of the x-ray panel 2024 x 2024 pixels or 40.4 x 40.4 cmWeight Not including the tether or grid9.9lbs (without battery) Battery: 0.38lbsItem Operating Environment Constraints Non Operating Environment ConstraintsThis column contains additional operating environmental constraints, within which the subsystem function and performance capabilities shall be in compliance.This column defines additional Non-operating environmental constraints, within which the subsystem function and performance capabilities shall be in compliance, when returned to the operational state, within operating environment conditions.DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Chapter 13: Digital Detector Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 13-17Operator Manual © 2010 General Electric Company. All rights reserved.Ambient • Temperature• Humidity• Pressure• External ambient temperature range: +10 ºC to +30 ºC.• Rate of temperature change: 10 ºC per hour• Ambient humidity range: 10% to 80%, non condensing.• Rate of humidity change: 30% per hour.• Atmospheric pressure (altitude) range: -400 meters to +3000 meters relative to sea level.• External ambient temperature range: 0ºC to +50 ºC.• Rate of temperature change: 20 ºC per hour• Ambient humidity range: 5% to 95%, non condensing.• Rate of humidity change: 30% per hour.• Atmospheric pressure (altitude) range: -100 meters to +15,000 meters relative to sea level (to support pressurized transport)Mechanical Stress & Vibration ForcesThe detector assembly shall not be exposed to operating vibration spectrum exceeding the following parameters:• Type: Random• Frequency Range: 20 to 350 Hz• Magnitude: 0.006g2 /Hz at 10-350 Hz• Duration: 8 hours/axis (x, y, z)The detector assembly shall not be exposed to non-operating vibration spectrum exceeding the following parameters:• Type: Random• Frequency Range: 10 to 2000 Hz• Magnitude: 6 m/s2 RMS or 0.02g2 /Hz at 10-2000 Hz• Duration: 15 minutes/axis (x, y, z)Shipping & Storage EnvironmentNot applicable. The non-operating shipping conditions shall be -20 to +60 with the detector and packing.The shipping container shall protect the detector from vibration of 2 Grms for 8 hours in the x, y, and z axes, random vibration from 10 to 2000 Hz such that the image quality is not degraded.Cargo hold during shipment shall be within the atmospheric pressure range of 700-1100hPaItem Operating Environment Constraints Non Operating Environment ConstraintsDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Appendix A: Login Administration Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 A-1Operator Manual © 2010 General Electric Company. All rights reserved.Appendix A: Login AdministrationLogin and LogoutThe login feature requires you to login to access the system and can be turned on or off by your administrator or Field Engineer.How your site uses this feature depends on if your site has a central user repository to which the system is connected. Sites with networks are referred to as Enterprise systems, those without are referred to as stand-alone systems. This feature can be used with either configuration, although some features are more applicable to enterprise systems.1. At the login screen, type your assigned login name.xThis name is assigned by your system administrator.Note: If you need to log in quickly for emergency purposes only, press [Emergency Login].Note: Logging off does not prohibit other users from logging in. Logout is designed to protect patient pri-vacy, not stop approved users from logging in. When you or another user logs back in, the system returns to its last known state.2. Press in the Password area and type in your password.3. Press [Login].Figure A-1 Login Window4. To logout of the system, press [Shutdown].xThe Shutdown window appears.5. Press [Logout User].6. Press [OK].DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Appendix A: Login Administration Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 A-2Operator Manual © 2010 General Electric Company. All rights reserved.xThe system logs you out and waits for the next login.Configure HIPAA (EA3) PropertiesAfter logging in, the component will display the Application Tab. On this tab, you will be able to configure EA3 application properties. 1. Press [Utilities].Figure A-2 2. Press Service [Launch] on the System Utilities screen.Figure A-3 Service Toolbar3. Select EA3 Admin BrowserFigure A-4 EA3 Admin BrowserxThis brings up the Administration Screen.DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Appendix A: Login Administration Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 A-3Operator Manual © 2010 General Electric Company. All rights reserved.Figure A-5 Administration Tab4. Enter your Username and Password.5. Press [Login].DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Appendix A: Login Administration Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 A-4Operator Manual © 2010 General Electric Company. All rights reserved.Figure A-6 Applications Screen6. Make your desired selections.xThe following configurations can be made on this tab: – Enable Authorization - Whether or not to enable authorization. If authorization is enabled, anyone logging in through EA3 (both local and enterprise users) must have a role. Anyone without a role will be denied access if authorization is turned on. Note that the role the user has doesn't matter for logging into EA3 (however, some other EA3 client applications can decide which roles can login) – Emergency Logon Allowed - Whether or not to allow emergency access. If EA3 is used in GUI mode, this decides whether or not to display the Emergency login button. If this is disabled, emer-gency user access is prevented. – Emergency Roles - The roles assigned to the emergency user. The defaults allow an admin to assign a Standard user role, Limited User role, or both roles.– Inactivity Timeout (minutes) - The amount of time (in minutes) that must elapse without any mouse/keyboard, etc. activity before a timeout is generated. When a timeout is generated, the EA3 logon screen is displayed. This value can be any positive integer, or it can be 0. If the value is 0, this indicates NO inactivity timeout (there will never be a timeout event regardless of how much time has elapsed).– Display Last Logon Name - Whether or not to display the username of the last user that has logged in on the EA3 logon screen. – Administrator Message - Under certain circumstances / error conditions, the user of EA3 is asked to contact an administrator. This field allows the administrator to specify contact details for him-self / herself and a custom message. DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Appendix A: Login Administration Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 A-5Operator Manual © 2010 General Electric Company. All rights reserved.– Emergency Prompt - The text that will be displayed to any user logging in as emergency. The user is asked to enter information (usually their actual user name). This text is the text that will appear in that prompt for information. 7. Press [Apply Configuration].xTo make a configuration change, make the necessary changes on the fields, and press the Apply Configuration button. If there was a problem with making the changes (such as an invalid value or a problem contacting the back-end Servlet) you will see a message box indicating this error with a description of the error. If the changes are successful, after the 'Apply Configuration' button is pressed, then you will see a brief message indicating that the changes were applied in a green label. If at any time, you want to revert your changes to what is currently saved on the back-end, you can press the Restore Configuration button. This will undo any changes that you have made that have not yet been saved by pressing the Apply Configuration Button. (Once you press the 'Apply Configuration' button and get the confirmation label, the changes have been applied). DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Appendix A: Login Administration Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 A-6Operator Manual © 2010 General Electric Company. All rights reserved.Configure Local UsersThe second tab on the EA3 Administration Component is the Local Users tab. On this tab, you can add users, remove users, change user group memberships, change user names, change user passwords, lock / unlock users, force users to change their password on next login, etc. Below is a screen-shot of the EA3 Administration Component Local Users Tab:1. Select the Local Users tab.Figure A-7 Local Users Tab2. Select the choices you wish to have selected.xMax Logon Attempts Before Lock - The number of failed login attempts a user can make before their account is locked for a certain number of minutes. When a user account is locked, that user will not be allowed to login, even if they provide the correct username/password combination. Either the specified time must elapse before the user can login again, or a user with ADMIN role must login to the EA3 Administration component to unlock the user. Note that locking only applies to local users (enterprise user locking is managed by the enterprise server)xMinimum Password Length - The minimum length of a new password for a user. Note that if a pass-word is below the minimum password length already, setting this value will have no effect on the password. For example if your password is 8 characters, and someone changes the minimum pass-word length to 10 characters, the 8 character password is still ok. However, next time the user changes their password, they will have to choose a password that is 10 characters or greater. Note that minimum password length only applies to local users (password length restrictions for enter-prise users are managed by the enterprise server) xLock Duration (Minutes) - The number of minutes a user stays locked for if they become locked because of failed login attempts.DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Appendix A: Login Administration Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 A-7Operator Manual © 2010 General Electric Company. All rights reserved.x Apply Configuration - Use the Apply Configuration button to save changes.xRestore Configuration - Use this button to undo any changes that have not been saved yet. If there are any errors, you will get a popup box describing the error. If it is successful, you will see a green label appear with confirmation information.Note: Users can become locked in one of two ways.-The user enters too many incorrect passwords. In this case, the user will be locked out for a certain amount of time, even with a correct password. Once the time has elapsed, the user can attempt a login again. An administrator can unlock this user before the lock duration time has elapsed by un checking Locked under the Local User tab when a user is selected.-The administrator forcefully locks the user account. In this case, the lock duration does not apply to a user who was forcefully locked by and administrator. They are locked until the administration unlocks them. 3. Press [Apply Configurations].DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Appendix A: Login Administration Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 A-8Operator Manual © 2010 General Electric Company. All rights reserved.Add a Local UserOnce a user is added, it is automatically highlighted in the Local Users list box on the left-hand site, and it is 'in context'. Once a user is in context, all information and buttons in the center panel (i.e. Username, Full Name, Roles, Change Name, Change Password, Remove User, Groups list box, Add To Groups Button, and Remove From Groups button) refer to that user.1. Press [Add Local User].xWhen this button is pressed a popup panel is displayed.2. Enter the new User ID (which must be unique).3. Enter a Full Name.4. Enter a Password.5. Enter the Confirmed Password.xIf any errors are encountered, you will receive an error messagebox. If you receive the error mes-sagebox, changes were not committed to the database, and you can correct your errors and try again. Possible errors that can be encountered when adding a user are: – User ID already exists in the local user database (Choose a different unique username) – Password does not meet the minimum length requirements (Choose a longer password) – Password and Confirm Password box do not match (Make sure the passwords match) 6. Press [Add User].Figure A-8 Add User ScreenDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Appendix A: Login Administration Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 A-9Operator Manual © 2010 General Electric Company. All rights reserved.Change a User PasswordYou can select a user to be 'in context' by pressing on the user's id in the 'Local Users' list box on the left side. Only one user can be in context at a time, and if you attempt to choose multiple users, EA3 will select the top-most user that is selected. Once a user is 'in context', you can make any necessary modifi-cations to that user. Note: When you first navigate to the Local Users tab, EA3 will put the first listed local user 'in context' automatically. If there are no local users then there will be no user in context, and all of the but-tons in the center panel will be disabled until a user is added. 1. Select User.2. Press [Change Password]. xThis brings up a popup panel with two textboxes for the password.3. Make changes to the password.4. Press [Confirm Change]. xIf you do not want to make the change, simply press Cancel. xIf the password doesn't meet the minimum length requirements, you will receive an error message-box. If this occurs, your changes were not saved. Simply make the necessary corrections, and press Confirm Change again. Figure A-9 Change PasswordDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Appendix A: Login Administration Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 A-10Operator Manual © 2010 General Electric Company. All rights reserved.Change a User Full Name1. Select User.2. Press [Change Name].3. Make changes to the name.4. Press [Confirm Change].xIf you do not want to make the change, simply press the Cancel button.Figure A-10 Change NameDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Appendix A: Login Administration Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 A-11Operator Manual © 2010 General Electric Company. All rights reserved.Remove a User1. Select User.2. Press [Remove User].3. Press [Confirm Removal].xIf you do not want to make the change, simply press the Cancel button.Figure A-11 Confirm RemovalDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Appendix A: Login Administration Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 A-12Operator Manual © 2010 General Electric Company. All rights reserved.Add or Remove a User from a GroupAll of the groups to which this user belongs are listed in the Groups list box.1. Press [Add To Groups] or press [Remove From Groups].xThis brings up a popup panel that lists all of the groups that this user is eligible to be added to. If there are no groups that this user is eligible to be added to, you will get an error message box instead of the popup panel. Once you get the popup panel, simply select all of the groups to which you want to add this user (you can select as many as you want at one time).2. Press [Add Membership] or press [Remove Membership].Figure A-12 Add GroupsFigure A-13 Remove GroupDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Appendix A: Login Administration Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 A-13Operator Manual © 2010 General Electric Company. All rights reserved.Change User RolesUsers roles cannot be directly changed from the Local Users panel. Roles are actually associated with groups, and users belong to groups. In order to change the roles for a user, you must change the roles of a group to which that user belongs. Locking / Unlocking a User Once a user is in context, you can see if the user is locked by looking at the status of the Locked checkbox in the bottom panel. If this is checked, then the user cannot login even with a correct password. 1. To unlock the user, uncheck the checkbox, and press Apply Configuration button. 2. To lock a user, check the checkbox and press the Apply Configuration button.Note: If Emergency User is enabled, you can still login through Emergency User while the system is lock.Force a User to Change Password on Next LoginOften times if you are an administrator, you would like to force a user to change his or her password the next time they login for security reasons. You can do this using EA3. 1. Select User2. Check the Change Password on Next Login checkbox in the bottom panel. xIf this is checked, then the user will be asked to change their password on the next successful login. Note: Once the user changes the password on the next login the check will be removed from this user. Some fields may not be selectable if the following conditions occur.xFor Users:–Permanent - If a user is permanent, they can never be removed. When a permanent user is in con-text, the 'Remove User' button will be disabled. –Content Not Editable - If a user is flagged as this, then their group memberships cannot be changed. When a 'content not editable' user is in context, the 'Add To Groups', and Remove From Groups' buttons are disabled. –Password not changeable - If a user is flagged as this, then the password cannot be changed, and the 'Change Password' button will be disabled.xFor Groups:–Permanent - If a group is permanent, it can never be removed. When a permanent group is in con-text, the 'Remove Group' button will be disabled. –Content Not Editable - If a group is flagged as this, then its group members cannot be changed (neither added nor deleted). When a user belongs to a Content Not Editable group, this user can-not be removed from the group (therefore, the group name will not show up when you press 'Remove From Group'). When a user does not belong to a Content Not Editable group, this user cannot be added to the group (therefore, the group will not show up when you press 'Add To Group'). DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Appendix A: Login Administration Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 A-14Operator Manual © 2010 General Electric Company. All rights reserved.–Role Not Editable - If a group is flagged as this, then the Roles associated with that group cannot be changed. This property itself does not have a direct impact on what you can do on the Local Users tab.DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Appendix A: Login Administration Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 A-15Operator Manual © 2010 General Electric Company. All rights reserved.Configure GroupsThe third tab on the EA3 Administration Component is the Groups tab. On this tab, you can add local groups, add enterprise groups, remove local groups, remove enterprise groups, change group roles, and change group memberships.1. Press [Groups].Figure A-14 Groups windowDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Appendix A: Login Administration Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 A-16Operator Manual © 2010 General Electric Company. All rights reserved.Add a Local Group1. Press [Add Local Group].xWhen this button is pressed a popup panel is displayed.2. Enter the new group's name (which must be unique).xIf any errors are encountered, you will receive an error message box. If you receive the error mes-sage box, changes were not saved to the database, and you can correct your errors and try again. Possible errors that can be encountered when adding a group are: – Group name already exists in the database – Application session timeout xOnce a local group is added, it is automatically highlighted in the Local Groups list box on the left-hand site, and it is highlighted. Once a group is highlighted, all information and buttons in the cen-ter panel (i.e. Group Name, Remove Group Button, Roles checkboxes, Apply Roles button, Group Members list box, Add Membership button, and Remove Membership button) refer to that group.Figure A-15 Add Group3. Press [Add Group].Add a Enterprise GroupAdding an Enterprise group is quite similar to adding a local group.1. Press [Add Enterprise Group].x2. When this button is pressed a popup panel is displayed.xIf any errors are encountered, you will receive an error message box. If you receive the error mes-sage box, changes were not saved to the database, and you can correct your errors and try again. Possible errors that can be encountered when adding a group are: – Group name already exists in the database – Application session timeout 3. Press [Add Group].xAdding an enterprise group doesn't actually add a group to the Enterprise directory server. What it does is give EA3 the ability to manage roles for that group, which should already exist on the Enter-prise directory server. So, for example, if you add a group 'All Employees' as an Enterprise group to DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Appendix A: Login Administration Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 A-17Operator Manual © 2010 General Electric Company. All rights reserved.EA3, and assign that group with the STANDARD role, then any enterprise user that logs in through EA3 and belongs to the 'All Employees' group will have the STANDARD role. xYou cannot manage the group memberships for Enterprise groups. This is managed by the direc-tory server, not EA3. Therefore, whenever an Enterprise group is in context, both the 'Add Member-ship' and 'Remove Membership' buttons will be blocked out. This doesn't mean that no one belongs to the Enterprise groups, just that this is managed by the directory server and not EA3. xOnce an enterprise group is added, it is automatically highlighted in the Enterprise Groups list box on the left-hand site, and it is 'in context'. Once a group is in context, all information and buttons in the center panel (i.e. Group Name, Remove Group Button, Roles checkboxes, Apply Roles button, Group Members list box) refer to that group. Figure A-16 Add Enterprise GroupManage a GroupYou can select a group to be highlighted by pressing on the group's name in either the 'Local Groups' or the 'Enterprise Groups' list box on the left side. Only one group can be highlighted at a time, and if you attempt to choose multiple groups, EA3 will automatically select the top-most group that is selected. Once a group is highlighted, you can make any necessary modifications to that group. Note: When you first navigate to the Groups tab, EA3 will put the first listed local group highlighted automatically. If there are no local groups, then EA3 will put the first listed enterprise group high-lighted automatically. if there are no local groups or enterprise groups, then there will be no group highlighted, and all of the buttons in the center panel will be disabled until a group is added. Remove a Group1. Once a group is highlighted, press [Remove Group]. xThis brings up a popup panel asking you to confirm the removal of the group.2. If you want to remove the group, press [Confirm Removal]. xIf you do not want to remove the group, simply press [Cancel]. DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Appendix A: Login Administration Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 A-18Operator Manual © 2010 General Electric Company. All rights reserved.Figure A-17 Remove GroupChange Group’s RolesOnce a group is highlighted, check or uncheck the checkboxes for the Roles you want to give to this group, and press [Apply Roles]. There is a green label confirmation as usual for successfully applied roles. If there is a failure on the back-end (i.e. a problem writing the roles configuration changes), you will receive an error message box with information. Add Memberships1. Once a group is highlighted, press [Add Membership]. xThis brings up a popup panel that lists all of the users that are eligible to be added to this group. If there are no users eligible to be added to this group, you will get an error message box instead of the popup panel. Once you get the popup panel, simply select all of the users that you want to add to this group (you can select as many as you want at one time).2. Press [Add Membership]. xIf you do not want to remove the group, simply press [Cancel]. Remove Memberships1. Once a group is highlighted, press [Remove Membership]. xThis brings up a popup panel that lists all of the users that are eligible to be removed from this group. If there are no users eligible to be removed from this group, you will get an error message box instead of the popup panel. Once you get the popup panel, simply select all of the users that you want to remove from this group (you can select as many as you want at one time).2. Press [Remove Membership]. xIf you do not want to remove the group, simply press [Cancel]. DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Appendix A: Login Administration Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 A-19Operator Manual © 2010 General Electric Company. All rights reserved.Configure Enterprise TabThe last tab on the EA3 Administration Component is the Enterprise tab. On this tab, you can configure the properties necessary to make a connection to an Enterprise directory server (i.e. MSAD, Novell, etc.).The Enterprise Tab is used by the site’s IT (Information Technology) or GE Service personnel. It provides connectivity to the site’s user database. If you do not have a network established in your hospital or clinic, this tab will not be used.Things to consider:xUtilize the enterprise capability whenever possible.xMake sure the enterprise groups are granular enough to restrict protocol edit access.xThe inactivity timeout should be turned on.1. Press [Enterprise].Figure A-18 Enterprise TabThe following configurations can be made on the top box of this tab: xEnable Enterprise Authentication - Whether or not Enterprise users should be able to log in. If this is unchecked, only local EA3 users will be able to log in. If this is checked, both local users and enter-prise EA3 users will be able to log in (although the local EA3 user database will always be tried first). xCache Enterprise Users - Whether or not Enterprise users should be cached once they successfully login. If this is checked, then a local record of an Enterprise user is kept. If at any time that user attempts to login again, and for some reason the Enterprise directory server is not available (i.e. net-work problems), that user will be granted access if they provide the correct password. If this is unchecked, then an Enterprise user will be denied access in the case that the Enterprise directory DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Appendix A: Login Administration Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 A-20Operator Manual © 2010 General Electric Company. All rights reserved.server cannot be reached. Note that hashed passwords are cached, the actual password is not cached. xEnterprise Authentication Latency (Seconds) - The amount of time (in seconds) that the EA3 login pro-cess should wait for a response from the Enterprise directory server. Often times, there is a network latency when connecting to servers, and it will be different on different network configurations. If the amount of time is reached without a response from the directory server, the EA3 login process will return a failed login. A value of 5 seconds should be enough time to allow a properly configured direc-tory server to respond, without being too much of an annoyance to the user if the directory server is down (i.e. they will only have to wait at a maximum 5 seconds for the login attempt to return). xApplying configuration changes on the Enterprise tab top box are the same as mentioned before for the Application tab. Use the Apply Configuration button to commit changes, and the Restore Config-uration button to undo any changes that have not been saved yet. If there are any errors, you will get a popup box describing the error.xAdditionally, the actual connection to the Enterprise directory server can be made on this tab. You will be modifying properties in the lower two boxes of the Enterprise tabAuto Configuration1. Press [Auto-detect Server Name].xThis attempts to lookup the name of Server Name of the directory server. xIn some environments, EA3 can try to auto-detect the Enterprise Directory Server. This will only work in some environments (i.e. where DNS allows service lookups). This is just a convenience feature, and will sometimes return with an alert that the auto-detect could not find the server. It is not an error if that message is displayed, simply continue with these steps to configure the Server. 2. Enter the Server Name or IP address of the Enterprise directory server that EA3 should connect to, in the Server Configuration box.Note: The system must be able to resolve any IP address or server name. This means the system must either have DNS enabled or the system must have static information in a hosts file (i.e. /etc/hosts). 3. Choose the Authentication type that the directory server supports.xIf it is a Microsoft Active Directory Server, most likely you need to choose Kerberos. If it is a Novell eDirectory Server, most likely you need to choose LDAP If you do not know, check with the owner of the directory server for information. xIf the enterprise server supports SSL connections, check the 'Use SSL' checkbox. Note: If you use LDAP authentication without SSL, passwords will be sent in the clear. This is not recom-mended, and the client is alerted if they attempt to configure this way. With kerberos and non-SSL, the authentication is encrypted, but the LDAP traffic is not. 4. Press [Test Connection]. xThis tests to see if the machine can connect to the directory server. If the connection is successful, you will see a label with a 'CONNECTION OK' text next to the Test Connection button. xIf the connection is not successful, you will see a label with a 'CONNECTION BAD' text next to the Test Connection button. xIf the connection is bad, then there is a problem connecting to the directory server. DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Appendix A: Login Administration Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 A-21Operator Manual © 2010 General Electric Company. All rights reserved.xPossible problems are wrong IP/server name or the system does not have DNS running / cannot resolve the IP address / server name. xOnce the Test Connection procedure indicates that the connection is good,5. Select the type of directory server (either Microsoft Active Directory, Novell eDirectory, or orhter).6. Press [Generate Defaults] button. xThis should populate the Realm Name, Format, DN, Login Attribute, First Name Attribute, Last Name Attribute, and Group Attribute fields with default values for that directory server type. xIf the directory type is MSAD, both the realm name and the DN should be populated. If the directory type is eDirectory, the realm name will be blank. If you are attempting to configure a directory server that is not MSAD or Novell eDirectory, the configuration will have to be done manually. You'll need to get the correct LDAP property information from the owner of the directory server. xIf this is a non-MSAD, non-eDirectory server, or is a server with a non-default configuration, it is pos-sible that you may need to change some properties manually. See below for a definition of all of the properties that you can configure. 7. Enter a username and password of a user that resides on the directory server.8. Press [Login]. xYou will see login result information in the Login Results section on the bottom of the tab. xThis will indicate if the login was successful or not. xAdditionally, it will print out the First Name, Last Name, and any group memberships for the user. You may get a warning if First Name, Last Name, or Group Memberships were not found. xGetting this warning means 1 of two things: xThe LDAP properties are mis-configured (i.e. First Name Attribute, Last Name Attribute, and/or Group Attribute) xThe user doesn't have a First Name, Last Name, or any Group Memberships configured on the Enterprise directory server. xIf you get these warnings, you may want to talk with the owner of the directory server to make sure you have everything set up correctly. xIf the test login succeeded and you are satisfied with the first name, last name, and group member-ship information, then your Enterprise directory server is properly configured. 9. Press [Apply Configuration].xThis makes the configuration changes. Just like other tabs in the Administration component, press-ing Restore Configuration will undo any changed made that have not yet been applied. Manual ConfigurationAs mentioned before, if you are connecting to a directory server that is not MSAD or Novell eDirectory, or the directory server you are connecting to has a custom configuration, you may need manually config-ure some of the properties. Here are definitions of all of the LDAP configuration properties and what they do. xFormat - This is either set to domain or dn. domain is the 'MSAD' way of doing LDAP authentication (i.e <userId>@<realm name>). dn is the other way of doing LDAP authentication, which eDirectory, and DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Appendix A: Login Administration Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 A-22Operator Manual © 2010 General Electric Company. All rights reserved.most other directory servers use (i.e. loginAttribute=<userId>,<ldap base dn>). If you are connecting to a non-MSAD directory server, it's pretty safe to say that you should use dn.xDN - This is the LDAP base DN of the LDAP server to which you are connecting. Usually this is the fully qualified domain name separated by a bunch of 'DC='. For example, if the fully qualified domain name of the directory server is 'example.com', it is likely that the DN will be 'DC=example,DC=com'.xLogin Attribute - This is the LDAP attribute that should be used for the unique identifier of the user. This is what they will use as their user id to login. On MSAD this is 'sAMAccountName, and on eDirec-tory, it is usually 'cn'. This should be set to whatever the directory server you are connecting to uses as a unique identifier. xFirst Name Attribute - This is the LDAP attribute that should be used for the first name of the user. xLast Name Attribute - This is the LDAP attribute that should be used for the last name of the user. xGroup Attribute - This is the LDAp attribute that should be used to find group memberships for the user. On MSAD, this is 'memberOf'. Note: EA3 finds all instances of this attribute (not just the first, like it does for other attributes). So if a user belongs to more than one group, EA3 will find all memberships. Note: Regarding LDAP parameter configurations, EA3 finds the first instance of the configured attribute for a user, except for Group Membership. So, if you configure the First Name attribute to be an attribute that is listed multiple times, EA3 will assume the first one found during an LDAP query is the correct First Name. For Group Membership, EA3 will find all instances of that attribute. Field Highlighting for changes No changes are saved to EA3 on the Administration page unless you press an 'Apply Configuration' but-ton on the normal tabs or a 'Confirmation' button on a popup panel. xFor the 'Apply Configuration' buttons, when they are pressed, and successfully commit information to EA3, you will see a brief (5-second) label appear indicating that the changes have been saved. The same things happen when you Restore Configuration (e.g. after you made some changes and want to revert back and you haven't pressed 'Restore Configuration' yet. Note: If you make changes on one tab (e.g. Application tab), and do not press Apply Configuration, and then you navigate to another tab, your changes will be lost. The next time you navigate to this tab, since the changes were never applied, you will see the old configuration. So, after making changes on a tab, but before navigating to a different tab, you must press Apply Configuration. Also, there are sometimes more than one Apply Configuration button on a given tab, so make sure you press the one associated with the data you changed (the buttons are grouped with the data they manage in a bordered panel). To help the you understand what fields you may have changed, any changed fields are highlighted with green text / borders, and the Apply Configuration button that must be pressed in order to commit the changes. Below in Figure 5-43 is demonstrating field highlighting. You can see that several fields have changed, and you should press the Apply Configuration button.DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Appendix A: Login Administration Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 A-23Operator Manual © 2010 General Electric Company. All rights reserved.Figure A-19 Highlighted ChangesDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Appendix B: Specifications Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 B-1Operator Manual © 2010 General Electric Company. All rights reserved.Appendix B: SpecificationsPowerxCapable of 100-240V nominal, 50 /60 Hz operationxSystem battery status displaySystem BatteryxIndependent component power management and system battery charging algorithms to maximize usage timexSystem Battery charge can take 90 typical exams on a single chargexMaximum charge time of 4 hours to go from 10-100%X-ray TubeX-ray SourcexHeat Storage Capacity–Anode: TBD Joules (TBD heat units)–Tube Unit: TBD Joules (TBD heat units)xMaximum Heat Dissipation Rate–Maximum anode heat units: TBD–Maximum Continuous Heat Dissipation: Without Air-circulator: 170W (238 HU/s)xFocal Spot Sizes 1.3mm/0.6mmxTarget Angle 12.5°xAnode Rotation Speed (minimal): 3200/minxMaximum X-ray Tube Current–Large Focus: 500 mA–Small Focus: 200 mAxNominal Voltage (Radiographic): 40 to 150 kVxMaximum Voltage:–Anode to Cathode TBD kVp rectified–Anode or Cathode to ground TBD kVpDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Appendix B: Specifications Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 B-2Operator Manual © 2010 General Electric Company. All rights reserved.Tube PositioningxThe column may be rotated up to ± 270° from the park positionxTube Angle display and SID measuring toolxMaximum focal spot 200cm (78.7 in): HeightxMinimum focal spot 62.5cm (24.6 in): HeightxVertical travel 137.6 cm (54.7 in)xMinimum horizontal extension center of column rotation to centerline of tube: 70.6 cm (27.8 in)xMaximum horizontal extension center of column rotation to centerline of tube: 111.8cm (44 in)xTravel Range of at least 41.2 cm (16.2 in)High-voltage generatorxPower (kW) 15 standard, 30 optionalxkVp: 50 to 125 in 24 steps (25% up, 20% down)xmA: 300 maximumxmAs: 0.2 to 630 in 35 stepsxAllowable tube voltage range deviation: TBDxLess than 2% low frequency ripplexFrequency: greater than 100 kHzxSuper resonant inverter with varying frequencyxMaximum exposure time 6 sec. for film/CR, digital exposures limited to 3.6 secxMinimum exposure time: 0.4 msecCollimatorxA pair of independent collimator blades controls the x-ray fieldx180 lux (1000 (Lumen/mt2) light field lampxThe collimator rotates +/-180 degrees with detents at -180, -90, 0, +90, and +180 degreesxFull 43cm x 43cm (17 in) coverage at a 100 cm SID to accommodate Film/CRxAccessory rail for use with optional Al or Cu spectral filters or optional DAP meterDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Appendix B: Specifications Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 B-3Operator Manual © 2010 General Electric Company. All rights reserved.Digital DetectorPhysical CharacteristicsxSingle panel (non-tiled) amorphous silicon detector with a Cesium Iodide scintillatorxDetector battery can take up to 45 exposures per hour and provide enough power for 3 hours of use on a single chargexDetector can support up to 150Kg (330 lbs) of distributed load for bariatric applicationsxIncludes 6:1 removable gridxIncludes QAP (Quality Assurance Procedure)xDimensions: –Length: 23.1 inch (580mm)–Height: 17.8 inch (452mm) –Thickness: 0.94 inch (24mm)xWeight:–Detector: 4,309 g (9.5 lbs.)–Battery: 227g (0.5lbs.)xTether Length: 4mxImage area: 40.4cm x 40.4cm (15.9inx15.9in)xActive matrix: 2022 x 2022 pixelsxImage Depth TBD BitxRaw Image File Size: 8mbxPixel Pitch: 200 micronsxTypical Upper Dynamic Range: 7.8mRxTypical DQE @ 0lp/mm: 68%CommunicationxWireless point-to-point network between the system and detector for transferring image dataxCommunication over wide 500MHz channels to achieve very high data ratesxLow output power to limit range to less than 10 meters to increase safety and spectrum reusexDesigned to co-exist with 802.11 networks without interferencexFrequency: 3.168-4.752GHz. Uses Band Group 1.xMax Power Output: -41.3dBmxMax PHY Data rate: 480 MbpsxEffective Throughput: 30-70 MbpsxStandards: WiMedia PHY spec v1.2, WiMedia MAC spec v1.0, Certified Wireless USB spec v1.0DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Appendix B: Specifications Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 B-4Operator Manual © 2010 General Electric Company. All rights reserved.User InterfacexIntegrated 15 in (38.1 cm) touch-screen user interfacexMonitor matrix size 1024 x 768 pixelsx250GB or greater for storage of more than ~30,000 uncompressed imagesxImages can be stored on a CD with the included external CD drivexUSB outlets for external drive, barcode reader, service mouse and keyboardNetworking and DICOMWorklist can be retrieved from HIS/RIS systems and images can be transmitted through the DICOM inter-face to printers, archival devices (PACS), servers or review workstations.xRJ45 10/100/1000 Base T Ethernet port or optional 802.11 a/b/g/n wireless connectionxIHE and DICOM 3.0 compliant services:–DICOM IOD generated – DX–Image auto send/transfer –DX or CR (support multiple destinations) –DICOM storage – SCU–DICOM storage commitment SCP, when Fixed IP address is provided (programmable auto-delete function)–DICOM modality worklist for HIS/RIS – SCU (with programmable auto refresh)–DICOM grayscale print – manual and auto (with print layout options)–Multi-format printing–DICOM CD-R media exchange (DX only)–Verification of connectivity for SCU & SCP services–DICOM Modality Perform Procedure Step (MPPS) feedback to the HIS/RIS (SPS PPS) (configurable)–VOI LUT burn on send (configurable)Please refer to DICOM conformance statement for complete definition of supported DICOM servicesDrivexBattery operated xSelf propelled single drive handle controlxVariable speed of up to 5 km/h (3.1 mph) forward and reverse, automatically adjusts to the operator’s pace; variable to adjust to the operator’s pace.xCapable of climbing an incline of 7°DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Appendix B: Specifications Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 B-5Operator Manual © 2010 General Electric Company. All rights reserved.Safety and CompliancexRoHS CompliantxDrive Inhibit keypad access for JCAHO compliancexPassword protected access to patient information for compliance with confidentiality regulationsxAutomatic safety brake: Operator must press drive controls to allow system movementxIntegrated front bumper stops unit and activates brakes when activatedMechanical CharacteristicsxOverall Width 55.9cm/22in (Includes front bumper)xOverall Height 194cm/76.4inxTube Height in Transport (lookover) 138.4cm/54.4inxLength: 103.5cm/40.8inxOverall Length 124.6cm/49.1in (includes handle)xWeight: 499kg/1,100lbsDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Appendix B: Specifications Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 B-6Operator Manual © 2010 General Electric Company. All rights reserved.Environmental ConditionsSystemDigital DetectorTemperatureOperating +10° C to +35° CNon-Operating System (except Detector)-10° C to +45° C HumidityOperating 30% to 75% RH, non-condensing (maximum change 30% per hour)Non-Operating 25% to 85% RH, non-condensing (maximum change 30% per hour)AltitudeOperating -30 m to +3,000 m relative to sea levelNon-Operating -30 m to +3,000 m relative to sea levelAtmosphere PressureOperating 106 kPa to 70.1 kPaNon-Operating 106 kPa to 70 kPaAudible NoiseOperating 60 dBA maximum audible noise at any point 1 meter from systemIdle 50 dBA maximum audible noise at any point 1 meter from systemTemperatureOperating +10° C to +35° CNon-Operating 0° C to 50° C (maximum change 50° C per hour)HumidityOperating 10% to 80% RH, non-condensing (maximum change 30% per hour)Non-Operating 10% to 95% RH, non-condensing (maximum change 30% per hour)DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Appendix B: Specifications Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 B-7Operator Manual © 2010 General Electric Company. All rights reserved.Optionsx802.11 a/b/h/n - Wireless connectivity to hospital network–802.11 a/b/g/n–Wi-Fi Certified–Compatible with:x802.11i, Wi-Fi Protected Access 2 (WPA2), WPAx802.1XxAES- TKIPx64-, 128-WEPxVPN: IPSec –- IKExManagement Frame Protection (MFP)–EAP Types:xLEAPxLEAP + 128-WEPxLEAP + WPAxEAP-TLSxEAP-TTLS/MSCHAPv2xEAP-FASTxPEAP-GTCxPEAP/MSCHAPV2 EAP-SIMx30 kw Generator–Available 30 kW (nominal) optionxDose Area Product MeterxSpectral filtersx8:1 GridsxBarcode readerxRepeat Reject Analysis software–Optional Repeat/ Reject Analysis tool allows classification and analysis of Repeated / Rejected exposures on the systemxAuto Protocol Assist software–Optional Auto Protocol Assist – matches procedure codes from MWL to select anatomy techniqueDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Appendix C: Messages On Display Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 C-1Operator Manual © 2010 General Electric Company. All rights reserved.Appendix C: Messages On DisplayTwo kinds of messages can appear on the message display on the control cover: status messages and error messages.Status messages simply inform you of the operating condition of the Definium AMX 700, and look something like this.Figure C-1 Ready messageAnother type of message, called an error message, may appear should a problem occur with the equipment. An error message looks something like this.Figure C-2 Error messageNote that an error message includes an alphanumeric code, and will display one line at a time.If an error message appears, follow these steps.1. Try the function again. If the problem is corrected, and no error message is displayed, proceed as usual.2. If the error message still displays, turn the unit OFF then back ON.Diagnostics or self-tests are quickly performed when the unit is turned back on.When diagnostics are complete, the following message displays:ERROR XXXOCCURRED WHENTHE UNIT WASLAST OPERATED –PROCEED WITH---CAUTION –3. Now try the function once more. If the problem is corrected, and no error message is displayed, proceed as usual.4. If the problem persists, call your service representative, and report the code and message shown on the display. This will prepare service for the type of problem encountered and the service required.Table¬C-1 lists the status messages and provides a brief explanation of each one.DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Appendix C: Messages On Display Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 C-2Operator Manual © 2010 General Electric Company. All rights reserved.Table C-1 Status message descriptionsStatus Messages DescriptionAUTO CAL LIMIT If this message displays, the unit is at its automatic calibration limit. A service call is recommended to ensure accurate technique and radiographic results. Exposures are not inhibited.BATTERY TOO HIGH VOLTAGE RECOVERY IS REQUIRED This message may appear when attempting to take a high technique exposure immediately after removing the unit from charge. Exposure is prevented. Operating the field lamp or driving theDefinium AMX 700 will assist in stabilizing the battery voltage so that the exposure may be made.BATTERY TOO LOW This message may appear when attempting to expose when only a few segments remain on the battery charge indicator. This means that the battery does not contain sufficient charge to make an exposure.CHARGE REQUIRED Exposure is prevented. Recharging the batteries will eliminate the message and allow exposures.CHARGE COMPLETE The charge process is complete, and the battery is fully recharged.STANDBY The unit is allowing usage for a maximum of 60 minutes (keyswitch is ON and the unit is plugged in).CHARGING The unit is charging.DRIVES ONLY All modes are disabled except drive. Service is required.HEAT WAIT No exposures can be taken while this message appears (The length of the delay will vary with the selected technique). This message displays while the tube anode is cooling.kVp MAX Displayed on the alphanumeric display any time an attempt is made to increase the kVp above125.kVp MIN Displayed on the alphanumeric display any time an attempt is made to decrease the kVp below 50.LIGHT DISABLED FOR COOLING If the field light is on for over 4 minutes, the light will be automatically turned off to prevent the collimator from overheating. You may activate the field light in about 5 minutes.mAs MAX Displayed on the alphanumeric display any time an attempt is made to increase the mAs above320 or above the acceptable energy limit for the x-ray tube anode. The acceptable heat limit is based on the kVp you selected. Note that the kVp setting will always take precedence over the mAs setting. That is, if the technique selected would generate too much x-ray tube heat, the maximum mAs will automatically decrease to permit the selected kVp.mAs MIN Displayed on the alphanumeric display any time an attempt is made to decrease the mAs below 0.40.DRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Appendix C: Messages On Display Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 C-3Operator Manual © 2010 General Electric Company. All rights reserved.READY FOR X-RAY The prep cycle has successfully completed, and an exposure may be taken within the next 30 seconds. (If an exposure is attempted after 30 seconds, the prep cycle must be repeated.)RECHARGE IMMEDIATELY X-RAY INHIBITED The estimated usable battery capacity is near 0%. No more exposures may be taken. Although charge is too low to complete an x-ray exam, you’ll have enough energy to drive the unit to a correctly rated wall outlet for recharge.RECHARGE RECOMMENDED The remaining battery capacity is approximately 10% or less.RELEASE HANDLE The Definium AMX 700 was moving faster than the drive motors allow. Release the Drive Handle to clear the message, and then continue with normal operation. This may happen if you push the Definium AMX 700 too hard when driving down a ramp.RELEASE PREP SW The prep switch is still depressed (five seconds after an exposure or beyond the 30-second timeout). If taking an exposure, repeat the prep cycle: 1) release the prep switch, and 2) when the message WAIT is no longer displayed, press to prep position again.RESET AEC CNTROL Reset the AEC controller. AEC is on, but not enabled. For Example: The (ON) light is flashing on the Automatic Exposure Control (AEC) unit. This indicates the paddle is not connected. Reset the AEC controller. The red reset (GEN) on the Automatic Exposure Control (AEC) unit is lit. This indicates the back-up time is too short. Reset the AEC controller.REVERSE ONLY Forward drive is prevented because the safety bumper is in contact with another object. Reverse the unit before proceeding.TESTING COMPLETE Power-up diagnostic testing is finished.WAIT Wait before taking another exposure. (Displayed when the tube anode has cooled, but before the battery has recovered from the previous exposure.) Although radiographs can be taken, because of low battery voltage they may not achieve the desired kVp technique accuracy.WAIT/ACT-XX.X After an AEC exposure the XX.X field will display the actual exposure mAs.X-RAY DISABLED This message appears if an attempt to make an exposure occurs while HEATWAIT is displayed.X-RAY TUBE PARKED No exposures can be taken with the x-ray tube in the park/transport position.DETECTOR PARKED Detector is in the holder. Exposures are inhibitedDIGITAL MODE System Software is ready for Digital Radiography proceduresFILM MODE ONLY System can only be used for film proceduresStatus Messages DescriptionDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)
Appendix C: Messages On Display Optima XR220amx X-Ray System 54400222-1EN Rev 1 DRAFT 11092010 C-4Operator Manual © 2010 General Electric Company. All rights reserved.NO DIG, FILM ONLY System malfunction and can only be used for film proceduresWAIT FOR DIGITAL System software is being loaded. Wait for system to boot completely.SHUTTING DOWN System PC is shutting downGOOD-BYE System PC has shut downNO DIG RESPONSE Digital Radiography components are not responding.Status Messages DescriptionDRAFT REVIEW COPYCTRL+SHIFT+F to search using Search Index (faster)

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