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Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

Ziehm 8000

Technical Manual

Normal use

Contraindications to the use of X-rays

Ziehm 8000 product family

Authorized personnel

Exclusion of liability

The medical equipment is intended for fluoroscopies in the field of surgery, e.g. in traumatology, orthopedics, neurosurgery, urology, cardiology. Third-party devices and components used in combination with this system must comply with the safety requirements according to IEC 60601-1 and/or IEC 60601-1-1 or furnish proof of an equivalent degree of safety.

To ensure CE conformity, these components must have a CE approval in accordance with

Council Directive 93/42/EEC. In addition, a declaration in compliance with Article 12 of the said directive must be provided.

For components without CE approval, a conformity assessment procedure is obligatory.

Proper and safe operation of the system requires adequate transportation, storage, assembly and installation as well as appropriate use and maintenance.

The limit values indicated in the present document must not be exceeded; this applies also when putting the system into service.

The system is not suitable for interventional procedures acc. to IEC 60601-2-43.

The exposure of humans to ionizing radiation must always be medically justified. Especially on pregnant women, children and adolescents this procedure should be used with caution or be avoided altogether. However, the final decision lies with the attending physician or attending surgeon.

The Ziehm 8000 product family comprises the following systems:

Ziehm 8000 (not available in the USA)

Ziehm Compact (not available in the USA)

Ziehm Compact Litho (not available in the USA)

Ziehm 7000 Plus (available only in the USA)

Ziehm 7000 Plus (Compact Version) (available only in the USA)

Unless stated otherwise, all information given here for the Ziehm 8000 also refers to the

Ziehm Compact and Ziehm Compact Litho.

Only authorized personnel are allowed to assemble and repair the medical equipment described in this manual. Authorized personnel are persons who have attended an appropriate training course provided by the manufacturer. These persons will receive the entire documentation that is required for service work.

The manufacturer accepts responsibility for the safety, reliability and performance of the system only if

− any installation, modification or repair work is carried out exclusively by persons authorized by the manufacturer;

− the electrical installation of the site where the system is operated complies with the requirements of VDE 0107 or the corresponding national regulations of the country of installation;

− only original spare parts or components that comply with Ziehm Imaging’s specifications are used;

− the system is used in accordance with the user manual.

The warranty becomes invalid in case that any repair, modification or installation work is carried out by unauthorized personnel, or any seals on components are broken. No consequential damages will be accepted either.

The equipment conforms to Class IIb according to Council Directive 93/42/EEC.

This document has been written and reviewed originally in German and translated.

Copyright

Copyright © 2009 Ziehm Imaging GmbH

All rights reserved.

Transmission or reproduction of these Operating Instructions, exploitation and disclosure of their contents to third persons is not permitted without express written consent of the manufacturer.

Infringements shall entitle to damage claims.

Registered Trademarks

These Operating Instructions may contain the names of registered trademarks or brands, the use of which by third persons for their purposes may infringe the rights of their respective owners.

2

Quality Standards

These Operating Instructions were produced in accordance with a certified QM system as per DIN EN ISO 13485. It conforms to the requirements of Council Directive 93/42 EEC, Annex I, and other applicable norms. The information provided in this document may be updated at regular intervals. Subject to change without prior notice.

Manufactured by:

Ziehm Imaging GmbH

Donaustr. 31

90451 Nuremberg (Germany) e-mail: [email protected]

http://www.ziehm.com

Rev. 03/2009

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

Contents

1

2

3

4

5

6

Contents

General Information 1-1

1.1

Typographical conventions...............................................................................

1-2

1.2

Conventions for safety instructions ..................................................................

1-3

1.3

Accessories ......................................................................................................

1-4

I

Safety Instructions 2-1

2.1

General safety instructions...............................................................................

2-1

2.2

X-rays ...............................................................................................................

2-2

2.3

Electromagnetic compatibility...........................................................................

2-4

2.4

Protective grounding ........................................................................................

2-4

2.5

Equipotential grounding....................................................................................

2-4

2.6

Laser radiation..................................................................................................

2-5

2.7

Printers .............................................................................................................

2-6

2.8

Mechanics ........................................................................................................

2-7

2.9

System failure...................................................................................................

2-7

Unpacking the System 3-1

3.1

Unpacking the system on the pallet .................................................................

3-1

3.1.1

3.1.2

3.1.3

Unpacking the pallet on delivery to distributors.................................

Unpacking the pallet on drop shipments ...........................................

Unpacking the monitors ....................................................................

3-1

3-3

3-6

3.1.3.1

Flat-screen monitors ..........................................................

3-6

3.1.4

3.1.5

Unpacking the C-arm stand ..............................................................

3-6

Unpacking the monitor cart ...............................................................

3-8

Assembling the System 4-1

4.1

Assembly..........................................................................................................

4-1

4.1.1

4.1.2

Mounting the 23" or 24" flat-screen monitor......................................

Mounting the 18" flat-screen monitors ..............................................

4-2

4-5

4.2

Cable connections............................................................................................

4-8

4.3

DICOM connection ...........................................................................................

4-9

Putting the System into Service 5-1

5.1

Temperature.....................................................................................................

5-1

5.2

First power-up of the system ............................................................................

5-1

5.3

Setting up the system.......................................................................................

5-2

Configuration 6-1

6.1

Overview ..........................................................................................................

6-1

6.2

User settings ....................................................................................................

6-3

6.2.1

Activating automatic image swapping ...............................................

6-3

6.2.2

6.2.3

6.2.4

6.2.5

6.2.6

6.2.7

Displaying a crosshair .......................................................................

Function of the F key ........................................................................

Storage medium for image retrieval ..................................................

Setting the cine loop speed...............................................................

Setting the cine loop length...............................................................

Combining DSA with a cine loop.......................................................

6-4

6-4

6-5

6-5

6-5

6-5

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I

Contents

7

6.2.8

6.2.9

Showing or hiding the native image ..................................................

6-6

Selecting the storage medium for data retrieval with DICOM Dir......

6-6

6.2.10

Defining the storage format for removable storage media ................

6-6

6.3

Basic settings ...................................................................................................

6-7

6.3.1

6.3.2

6.3.3

6.3.4

Setting the system time and system date..........................................

Selecting the live screen ...................................................................

Entering the hospital data .................................................................

Clearing storage media .....................................................................

6-7

6-7

6-8

6-8

6.4

Screen settings.................................................................................................

6-9

6.4.1

Ziehm 8000 with flat-screen monitor .................................................

6-9

6.4.2

Setting flat-screen monitors of type 1................................................ 6-10

6.4.2.1

Built-in keypad ................................................................... 6-11

6.4.2.2

Setting the brightness, contrast and backlight ................... 6-11

6.4.2.3

Setting the menu language ................................................ 6-13

6.4.2.4

Setting the video source .................................................... 6-14

6.4.2.5

Setting the gamma value ................................................... 6-16

6.4.2.6

Setting up the display......................................................... 6-17

6.4.2.7

Setting up the menu........................................................... 6-18

6.4.2.8

Locking the menu............................................................... 6-19

6.4.2.9

Restoring the factory settings ............................................ 6-20

6.4.3

Setting flat-screen monitors of type 2................................................ 6-21

6.5

Service settings ................................................................................................ 6-25

6.5.1

6.5.2

Step windowing ................................................................................. 6-26

Filter factors ...................................................................................... 6-27

6.5.3

6.5.4

6.5.2.1

Filters for anatomical programs ......................................... 6-28

6.5.2.2

Filters for subtraction modes.............................................. 6-30

6.5.2.3

Filters for subtraction modes with CO

2

.............................. 6-31

Windowing settings for subtraction modes........................................ 6-32

DICOM settings ................................................................................. 6-33

6.5.4.1

Network parameters........................................................... 6-33

6.5.4.2

Configuration of Storage and Storage Commitment .......... 6-34

6.5.4.3

Configuration of Media Storage ......................................... 6-36

6.5.5

6.5.6

6.5.7

6.5.4.4

Configuration of DICOM Query/Retrieve ........................... 6-38

6.5.4.5

Configuration of Worklist and MPPS.................................. 6-42

6.5.4.6

Configuration of the print servers....................................... 6-46

6.5.4.7

DICOM Verification error messages .................................. 6-51

6.5.4.8

DICOM Retrieve error messages....................................... 6-52

6.5.4.9

Hardware with DICOM option ............................................ 6-52

System settings ................................................................................. 6-54

HEDIS data ....................................................................................... 6-57

Software update ................................................................................ 6-58

Technical Data

7-1

7.1

Ziehm 8000, Ziehm Compact and Ziehm Compact Litho .................................

7-1

7.2

Power plug specification...................................................................................

7-5

7.2.1

Systems with a voltage rating of 200V, 220V, 230V and 240V .........

7-5

7.3

Laser positioning device ...................................................................................

7-5

7.4

Dose meter .......................................................................................................

7-6

7.5

Air kerma ..........................................................................................................

7-7

7.6

Focal spot position............................................................................................

7-8

7.7

Dimensions.......................................................................................................

7-9

7.7.1

Ziehm 8000 .......................................................................................

7-9

7.7.2

7.7.3

Ziehm Compact ................................................................................. 7-12

Ziehm Compact Litho ........................................................................ 7-13

II

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Contents

8

9

Maintenance 8-1

8.1

General requirements.......................................................................................

8-1

8.2

Electrics............................................................................................................

8-2

8.3

Mechanics ........................................................................................................

8-4

Replacing Components 9-1

9.1

Hand switch and foot switch.............................................................................

9-1

9.2

Coupling cable..................................................................................................

9-2

9.3

Fuses................................................................................................................

9-3

10 Problem Report 10-1

10.1 List of error and alert messages....................................................................... 10-1

10.2 What to do if ... ................................................................................................. 10-5

10.3 Failure of the power supply .............................................................................. 10-6

11 Disassembling the System 11-1

11.1 Dismounting the 23" or 24" flat-screen monitors .............................................. 11-1

11.2 Dismounting the 18.1" flat-screen monitors...................................................... 11-4

12 Mounting the System on a Pallet 12-1

12.1 Safety instructions and information .................................................................. 12-1

12.1.1

Safety instructions............................................................................. 12-1

12.2 Information ....................................................................................................... 12-2

12.3 Environmental conditions ................................................................................. 12-2

12.4 Packing material and contents ......................................................................... 12-3

12.4.1

Material ............................................................................................. 12-3

12.4.2

Parts to be packed ............................................................................ 12-4

12.5 How to pack the accessories............................................................................ 12-5

12.6 Packing the monitor cart................................................................................... 12-6

12.7 Packing the C-arm stand.................................................................................. 12-10

12.8 Packing the monitor head................................................................................. 12-15

12.9 Packing the ramp ............................................................................................. 12-17

12.10 Packing the full pallet ....................................................................................... 12-19

A-1

A.1

Manufacturer’s Declaration concerning Electromagnetic Compatibility acc. to IEC 60601-1-2 (Class B) ..............................................................................

A-1

Index i

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

III

Contents

IV

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

1 General Information

This manual is designed to enable owners and operators of the system to operate the systems described herein safely and efficiently.

Ziehm 8000 with the options Ziehm Compact and Ziehm Compact Litho, software version L2.04 or higher.

Scope of validity of these Operating

Instructions

All illustrations in these Operating Instructions are exemplary only, and may differ from the actual situation.

The present Operating Instructions describe a system with maximum configuration. The system configuration chosen by you may not contain all options and functions described here.

For several system options, separate operating instructions may be available. They are supplied with the system, provided that the system configuration includes the respective option. You will find a corresponding reference to those operating instructions in the relevant sections of this document.

Separate operating instructions

The system does not produce any waste during operation.

When the system has reached the end of its useful service life, the relevant waste disposal regulations of the country of installation must be observed.

Ziehm Imaging GmbH takes back your devices and undertakes to dispose of them appropriately in accordance with national regulations. If you want to return a device, please contact the Ziehm Imaging Service department.

The useful service life defined for this medical device is seven years.

After this period, Ziehm Imaging GmbH must check whether the technology used is appropriate.

Environmental compatibility

1-1

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

1 General Information

1.1

Typographical conventions

In this manual, the following notations and formats are used to highlight certain elements of the control panel or the documentation itself:

Element

Control panel elements (buttons, tabs and boxes), operating modes, functions

Cross-references

Format

Bold

Example

Fluoro

Procedure steps

Table 1-1

Italic, preceded by an arrow

Preceded by a

Ch. 17, p. 17-1

• Press the OK button.

Notations and formats used in this manual

1-2

Ziehm 8000

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1.2

Conventions for safety instructions

The present document does not constitute a complete catalog of all safety measures necessary for the operation of the respective medical equipment, since special operating conditions may require further measures. However, it does contain instructions which must be observed in order to ensure the personal safety of operating staff and patients as well as to avoid damage to property. These instructions are highlighted as follows:

DANGER

DANGER indicates a hazardous situation which, if not avoided, will result in death or serious injury.

1 General Information

WARNING

WARNING indicates a hazardous situation which, if not avoided, may result in death or serious injury.

CAUTION

CAUTION indicates a hazardous situation which, if not avoided, may result in minor or moderate injury.

NOTICE

NOTICE indicates a property damage message.

NOTE

Notes are merely informative. Additional useful information and hints are provided for the operator here.

Ziehm 8000

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1-3

1 General Information

1.3

Accessories

The accessories are in a separate cardboard box on the pallet.

Depending on the system configuration (options), the cardboard box contains the following accessory items:

Accessories

Operating Instructions

CD (Operating Instructions)

CD (Technical Manual)

Specifications and Certificates

Coupling cable (7.5 m)

Equipotential grounding cable (6 m) (Art. No.

24054)

Touch-up paint RAL 9001 (Art. No. 89655)

Touch-up paint RAL 6027 (Art. No. 89615)

Mounting material (Art. No. 88711)

CD writer

CD-RW (640 MB)

Video printer

Operating instructions for video printer

Printer paper

Printer transparent film (depending on printer model)

DICOM

RJ45 interface with Cat.5 patch cable (10 m) (Art.

No. 24452)

Wireless LAN transceiver

Fiber-optic connection (FOC): ST coupling,

10base-FL or 100base-FX

1

1

1

1

1

1

1

1

1

1

1

Qty.

1

1

1 roll

1 roll

1

Table 1-2 Accessories

1-4

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

1 General Information

Accessories USA:

Operating Instructions

CD (Operating Instructions)

Technical Manual

CD (Technical Manual)

CD (Service Manual)

CDRH Maintenance Report

Specifications and Certificates

Coupling cable with UL marking (7.5 m, Art. No.

24815)

Equipotential grounding cable (6 m) (Art. No.

24054)

Mounting material (Art. No. 88711)

Skin cone with safety label (Art. No. 89694)

Touch-up paint RAL 9001 (Art. No. 89655)

Touch-up paint RAL 6027 (Art. No. 89615)

CD writer

CD-RW (640 MB)

Video printer

Operating instructions for video printer

Printer paper

Printer transparent film (depending on printer model)

DICOM

RJ45 interface with Cat.5 patch cable (10 m) (Art.

No. 24452)

Table 1-3 Accessories USA

1

1

1

1

1

1

1

1

1

1

1

1

Qty.

1

1

1

1 roll

1 roll

1

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

1-5

1 General Information

1-6

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

2 Safety Instructions

2.1

General safety instructions

WARNING

You must be familiar with the contents of the present

Operating Instructions in order to be able to operate the system as intended. Read and understand the present

Operating Instructions before operating the system.

It is important to observe all directions, safety instructions and warnings!

The responsibility for any C-arm-assisted surgical intervention lies with the physician in charge.

NOTICE

Supplementary equipment used in combination with the

Ziehm 8000 must comply with the safety requirements according to IEC 60601-1 and/or IEC 60601-1-1 or furnish proof of an equivalent degree of safety.

To ensure CE conformity, these components must have a

CE approval in accordance with Council Directive 93/42/

EEC. In addition, a declaration in compliance with Article

12 of the said directive must be provided.

For components without CE approval, a conformity assessment procedure is obligatory.

If you combine the Ziehm 8000 with equipment which does not comply with these requirements, the safety of the entire system is no longer given and the warranty will become invalid.

Please note that a combination with third-party devices must be approved by Ziehm Imaging. A combination must be possible in particular by the intended use of the two devices.

Only properly trained personnel are allowed to operate the system.

Operation

The system may only be operated by properly trained personnel under the direction of a physician.

Operation (USA)

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

2-1

2 Safety Instructions

Assembly and service

Only authorized personnel are allowed to assemble the system and to provide technical service. The necessary qualifications can only be obtained by attending a training course provided by the manufacturer.

CAUTION

Always observe the relevant regulations of the country of installation for putting the system into service, training of personnel and maintenance.

WARNING

Never use the system if you suspect any electrical or radiation-generating components to be defective or if the system exhibits unexpected malfunctions!

WARNING

Before opening any part of the equipment or removing the protective covers, you must disconnect the system from the power supply.

2.2

General

X-rays

The system produces X-rays. If you do not observe the safety measures and precautions required by your local radiation protection regulatory body or other national radiation protection measures and precautions, these X-rays can be hazardous both to operating staff and other persons within the radiation zone of occupancy.

WARNING

The system may only be operated by personnel who has undergone radiological training.

WARNING (USA)

The system may only be operated by properly trained personnel under the direction of a physician.

2-2

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

2 Safety Instructions

WARNING

The relevant radiation protection regulations of the country of installation must be observed.

WARNING

In order to avoid unintentional radiation, the foot switch must be hung up on the foot switch support when the system is switched on, but not in use.

Staff members who stay within the radiation controlled area must wear

X-ray protective clothing.

The radiation controlled area depends upon the size of the image intensifier installed and has the following radius:

− 15 cm image intensifier: 3 m

− 23 cm image intensifier: 4 m

Protection of staff

To minimize the radiation burden of the patient, you must keep the source/skin distance as large as possible. The generator design guarantees a minimum source/skin distance of 20 cm.

WARNING

Additional material located in the beam path (e.g. an operating table not suitable for X-raying) may result in a dose increase when using a fluoroscopy mode with automatic exposure rate control.

Protection of the patient

WARNING

When you initiate radiation and no live image is displayed although all necessary settings have definitely been made, please contact your after-sales service center!

Ziehm 8000

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2-3

2 Safety Instructions

2.3

Electromagnetic compatibility

Medical electrical equipment requires special precautionary measures with respect to EMC and must be installed and put into service in accordance with the EMC guidelines contained in the accompanying documents.

Portable and mobile RF communications equipment may interfere with medical electrical equipment.

All operating modes of the system have been considered in the EMC tests. There are no exceptions to the rules.

Only conductors, connecting cables and accessories that are specified by the manufacturer may be used.

WARNING

Using components other than those specified may result in increased electromagnetic emissions or reduced electromagnetic immunity.

Please observe also the Manufacturer’s Declaration concerning

Electromagnetic Compatibility according to IEC 60601-1-2 in the

Technical Manual.

2.4

Protective grounding

The system must be connected only to power systems having a separate ground connection.

2.5

Equipotential grounding

Heart and brain examinations

If you use the system in combination with other equipment for examinations of the heart or brain or the surrounding anatomical regions, equipotential grounding is required for patient and operating staff safety

(IEC 60601-1-1).

2-4

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

2 Safety Instructions

2.6

Laser radiation

As an option, the system may be equipped with a laser positioning device at the image intensifier and/or generator.

The laser positioning device uses diode laser modules which emit laser radiation. Do not under any circumstances look directly at the laser beam or any scattered laser radiation – either with the naked eye or with optical instruments.

The laser positioning device is a Class 2M laser product according to IEC

60825-1. Make sure to comply with all operating safety precautions when using the laser positioning device.

The maximum power output of continuous laser radiation, measured at the laser beam apertures, is <1 mW. The wavelength of the emitted radiation is 635 nm.

Laser positioning device

WARNING

Laser radiation – Do not stare into beam or view directly with optical instruments (Laser Class 2M according to IEC

60825-1).

Please observe the provisions of IEC 60825-1, Section 3,

“User’s Guide” for operation of the laser positioning device.

Viewing the laser output with certain optical instruments

(e.g. eye loupes, magnifiers and microscopes) within a distance of 100 mm may pose an eye hazard.

CAUTION (USA)

LASER RADIATION – DO NOT STARE INTO BEAM

CLASS II LASER PRODUCT (in accordance with FDA 21

CFR, Subchapter J, Section 1040.10-11)

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

2-5

2 Safety Instructions

Maintenance

The laser positioning device is maintenance-free. Any adjustment or repair which might become necessary must be carried out by the manufacturer or a suitable qualified service engineer who has received appropriate training from the manufacturer.

Laser beam apertures

2.7

Printers

Fig. 2-1

Laser beam apertures

Laser beam apertures on an image intensifier with integrated laser positioning device (left) and on the generator (right)

NOTICE

When printing on the Sony

®

UP-990 video printer, always use the CUT button on the printer for cutting off the printer paper. Tearing off the printer paper may damage the video printer.

As opposed to that, on the Sony

®

UP-970 video printer you must tear off the printer paper!

Please refer to the Operating Instructions of the corresponding printer.

NOTICE

Temperatures above 40°C and relative air humidity above

60% may cause stains on the printer’s heat-sensitive paper.

2-6

Ziehm 8000

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2.8

Mechanics

WARNING

Never pull at the power cable or coupling cable of the monitor cart in order to move the cart to another position.

Otherwise severe equipment damage may result, thus leading to severe injuries.

2.9

System failure

CAUTION

The system is a highly complex medical device that in rare cases can fail like any other electrical device in spite of comprehensive tests and maintenance.

This may cause obstructions to the operational procedure.

Please keep an emergency plan ready for this case.

CAUTION

Data transmission of the system can fail.

This may cause obstructions to the operational procedure.

Please keep an emergency plan ready for this case.

CAUTION

The system can fail due to mechanical defects.

This may cause obstructions to the operational procedure.

Please keep an emergency plan ready for this case.

2 Safety Instructions

Ziehm 8000

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2-7

2 Safety Instructions

2-8

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

3 Unpacking the System

CAUTION

Only authorized personnel (

p. 2) are allowed to unpack

and assemble the system.

3.1

Unpacking the system on the pallet

Upon delivery, the pallet contains the following system parts:

− Monitor cart (→ Ch. 3.1.5, p. 3-8)

− 23", 24" flat-screen monitor or 18" flat-screen monitors

(

Ch. 3.1.3, p. 3-6)

− C-arm stand (→ Ch. 3.1.4, p. 3-6)

− Ramp (for drop shipments) (→ Ch. 3.1.2, p. 3-3)

− Accessories (→ Ch. 1.3, p. 1-4)

3.1.1

Unpacking the pallet on delivery to distributors

To unpack the full pallet, do the following:

Fig. 3-1 Packed pallet

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

3-1

3 Unpacking the System

• Cut the plastic straps and remove them.

• Check the two shock watch devices.

• Remove the shipping tape from the cardboard box and open it.

• Remove the clout nails holding the cardboard box to the pallet.

• Lift the cardboard box off the pallet.

3-2

Fig. 3-2 Pallet with foil wrapping

• Cut the wrap foil open and fold it back.

Fig. 3-3 Unwrapped pallet

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

3.1.2

Unpacking the pallet on drop shipments

In drop shipments the pallet is equipped with a ramp. This ramp is required to move the C-arm stand off the pallet.

To unpack the full pallet, do the following:

3 Unpacking the System

Fig. 3-4 Packed pallet

• Cut the plastic straps and remove them.

• Check the two shock watch devices.

• Remove the shipping tape from the cardboard box and open it.

• Unfasten the screws that attaches board 4 to board 3 and 2 and

remove board 4 (

Fig. 3-5).

Board 3

Board 4

Board 2

Board 1

Ramp

Fig. 3-5 Ramp packing in the cardboard box

• Unfasten the screws on the outside of the box, attaching board 3 on the inside of the cardboard box

(

Fig. 3-6), and remove board 3.

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

3-3

3 Unpacking the System

Screws attaching the lateral boards (boards 2 and 3)

Fig. 3-6 Screws for attachment of the lateral boards

• Unfasten the screws on the outside of the box, attaching board 2 on

the inside of the cardboard box (

Fig. 3-6), and remove board 2.

• Remove the clout nails holding the cardboard box to the pallet.

• Lift the cardboard box off the pallet.

3-4

Fig. 3-7 Pallet and ramp with foil wrapping

• Unfasten the two screws attaching board 1 on the ramp, and remove board 1.

• Lift the ramp off the pallet and place it to the short front side of the pallet.

• Remove the fixing clamps from the drill holes on the pallet.

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Fixing clamp

Fig. 3-8 Fixing clamp hooked up in the drill holes on the pallet

• Attach the ramp to both sides of the pallet using the fixing clamps

(

Fig. 3-9).

Fixing clamp

Fig. 3-9 Fixing clamps attaching the ramp

• Cut the wrap foil open and fold it back.

3 Unpacking the System

Fig. 3-10 Unwrapped pallet

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3 Unpacking the System

3.1.3

Unpacking the monitors

3.1.3.1

Flat-screen monitors

The monitors are on a transport rack that is mounted on the pallet.

To unpack the flat-screen monitors, do the following:

• Undo the wood screws holding the transport rack to the pallet.

• Remove the bubble wrap from the monitors.

• Lift the flat-screen monitors off the pallet and carefully place them on a suitable surface.

• Undo the four screws M6×12 that attach the transport rack to the monitor neck.

The screws M6×16 needed for attaching the monitor head to the monitor cart base are contained in the cardboard box with the

accessories (

Ch. 1.3, p. 1-4).

3.1.4

Unpacking the C-arm stand

The C-arm stand is attached to the pallet by means of retaining brackets.

3-6

Fig. 3-11 Mobile C-arm stand on the pallet

To unpack the C-arm stand, do the following:

• Remove all packing materials (bubble wrap, foam rubber, styrofoam).

The C-arm stand is attached to the pallet by means of 5 retaining brackets:

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3 Unpacking the System

Bracket 2

Bracket 1

Bracket 3

Bracket 4

Fig. 3-12 Overview of all retaining brackets

• Undo the screws holding retaining bracket 3 to retaining bracket 4, and remove retaining bracket 3.

• Undo all screws holding retaining brackets 1, 2 and 4 to the pallet.

• Remove all retaining brackets from the pallet.

• Remove the wooden laths from below the C-arm stand (→ Fig. 3-13,

p. 3-7). Lift the C-arm stand slightly for that purpose.

Fig. 3-13 Position of the wooden laths

• Put the C-arm into an upright position (orbital rotation).

• Remove the styrofoam block jammed between the image intensifier and the horizontal carriage.

• Carefully push the C-arm stand down from the pallet using a ramp.

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3 Unpacking the System

3.1.5

Unpacking the monitor cart

The monitor cart is mounted on the pallet by means of a transport rack.

Foam rubber block

3-8

Fig. 3-14 Monitor cart on the pallet

To unpack the monitor cart, do the following:

• Remove the foam rubber block and all other packing materials

(bubble wrap, foam rubber).

• Undo the wood screws holding the transport rack to the pallet.

• Place a padding on the pallet and, with the assistance of a second person, lay the monitor cart down on its side on the pallet.

WARNING

Due to the heavy weight of the monitor cart there is a risk that it will tilt over if not blocked. Therefore never move the cart alone into a lateral position, always ask a second person to assist you!

• Remove the bubble wrap from the monitor cart wheels.

• Undo the screws holding the transport rack to the monitor cart and remove the transport rack.

• Put the monitor cart back into an upright position with the help of a second person and remove the padding from the pallet.

• Carefully push the monitor cart down from the pallet using a ramp.

• Remove the wrap foil from the pallet.

You may now proceed to mounting the flat-screen monitors to the

monitor head

Ch. 4.1.2, p. 4-5.

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4 Assembling the System

CAUTION

Only authorized personnel (

p. 1-2) are allowed to

unpack and assemble the system.

4.1

Assembly

For international shipments on a pallet, the monitor head (23" or 24" flatscreen monitor, 18" flat-screen monitors) of the Ziehm 8000 has been dismounted. Consequently, you must reattach the monitor head to the monitor cart base.

In addition, you must establish all cable connections (

Ch. 4.2, p. 4-8).

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4-1

4 Assembling the System

4.1.1

Mounting the 23" or 24" flat-screen monitor

NOTICE

Always wear cotton gloves when installing, testing or making settings on displays or screens.

To mount the 23" or 24" flat-screen monitor to the monitor cart base, do the following:

Fig. 4-1 Monitor cart base without monitor head

4-2

Transport rack

Fig. 4-2 23" or 24" flat-screen monitor on the transport rack

NOTICE

Never place the flat-screen monitor directly on some surface, always place them on the transport rack.

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4 Assembling the System

• Remove the rear cover of the monitor cart base.

Fastening screw holes

Fig. 4-3 Holes for the four screws M6×16 for attaching the flatscreen monitor to the monitor cart base

• With the help of a second person, lift the flat-screen monitor and place them on the monitor cart base.

WARNING

The flat-screen monitor cannot be lifted by one person alone. Therefore always ask a second person to assist you in placing the monitor on the monitor cart base.

• Attach the flat-screen monitor from below using 4 screws M6×16.

NOTE

The screws M6×16 needed for attaching the flat-screen monitor to the monitor cart base are contained in the

cardboard box with the accessories (

Ch. 1.3, p. 1-4).

• Remove the rear cover of the monitor neck.

Radiation warning lamp cable (labeled Xray-Ind)

Fig. 4-4

Ground connection

(internal)

Video cable (labeled

LM)

Power plug of the flatscreen monitor

Ground wire

Cables inside monitor neck and monitor cart base

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4 Assembling the System

• Pull the following cables from the monitor neck down into the monitor cart base:

− video cables (golden)

− Radiation warning lamp cable

• Pull the ground wire from the monitor cart base up into the monitor neck.

• Connect the video cables and the radiation warning lamp cable to the image memory module:

− Video cable: connection labeled LM

− Radiation warning lamp cable: Connection labeled X-ray Lamp

• To connect the ground wire to the monitor neck housing, remove nut and washer from the screw, fit the ground wire and washer onto the screw and retighten the nut.

Fig. 4-5 Ground connection inside the monitor neck housing

(

Fig. 4-4, p. 4-3)

• Inside the monitor cart base connect the power plug of the flat-screen monitor with the power supply unit for the flat-screen monitors.

4-4

Fig. 4-6 23" or 24" flat-screen monitor power plug connected to the power supply unit for the flat-screen monitors

• Reattach the rear cover of the monitor neck.

• Reattach the rear cover of the monitor cart base.

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4 Assembling the System

4.1.2

Mounting the 18" flat-screen monitors

NOTICE

Always wear cotton gloves when installing, testing or making settings on displays or screens.

To mount the flat-screen monitors to the monitor cart base, do the following:

Fig. 4-7 Monitor cart base without flat-screen monitors

Fig. 4-8 Flat-screen monitors on the transport rack

NOTICE

Never place the flat-screen monitors directly on some surface, always place them on the transport rack.

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4 Assembling the System

• Remove the rear cover of the monitor cart base.

Fastening screw holes

Fig. 4-9 Holes for the four screws M6×16 for attaching the flatscreen monitors to the monitor cart base

• With the help of a second person, lift the flat-screen monitors and place them on the monitor cart base.

WARNING

The flat-screen monitors cannot be lifted by one person alone. Therefore always ask a second person to assist you in placing the monitors on the monitor cart base.

• Attach the flat-screen monitors from below using 4 screws M6×16.

NOTE

The screws M6×16 needed for attaching the flat-screen monitors to the monitor cart base are contained in the

cardboard box with the accessories (

Ch. 1.3, p. 1-4).

• Remove the rear cover of the flat-screen monitors. Pull the following cables from the monitor housing down into the monitor cart base:

− 2 video cables (golden)

− Radiation warning lamp cable

− Ground wire

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4 Assembling the System

Video signal of left monitor

Video signal of right monitor

Radiation warning lamp connection

Ground wire

Fig. 4-10 Connections on the flat-screen monitors

• Connect the video cables and the radiation warning lamp cable to the image memory module.

• Connect the power supply units of the flat-screen monitors (right/left) to the corresponding connectors for non-heating devices (labeled RM/

LM) in the monitor cart base.

• To connect the ground wire to the monitor cart base, remove the nut, fit the ground wire onto the screw and retighten the nut.

• Reattach the rear cover of the flat-screen monitors.

• Reattach the rear cover of the monitor cart base.

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4 Assembling the System

4.2

Ziehm 8000

Cable connections

Before switching on the system for the first time, or after each transport, you must establish different cable connections.

To establish the cable connections, do the following:

• Unwind the coupling cable from the upper cable support on the back of the monitor cart.

• Plug the coupling cable connector into the socket located at the side of the C-arm stand and lock the connector by pulling the locking lever

upward (

Fig. 4-11, p. 4-8).

Image intensifier with integrated CCD camera

C-arm handle

C-arm

Swivel arm

Horizontal carriage

Lifting column

Control panel

Cassette holder

Steering & braking lever

Handle

Hand switch

Coupling cable connection

Foot switch

Cable guards

X-ray generator

Fig. 4-11 C-arm stand Ziehm 8000

• Make sure that a suitable supply voltage is available and that the socket-outlet is properly grounded and fused.

• Check the power plug on the monitor cart power cable and the socketoutlet for compatibility.

• Connect the system to the power supply.

WARNING

Never connect the monitor cart and C-arm stand when the monitor cart is already connected to the power supply or switched on.

Damage to the electronics of the system cannot be excluded if this warning is ignored!

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4 Assembling the System

On a Ziehm Compact or Ziehm Compact Litho, do the following:

• Unwind the power cable from the combined foot switch/power cable support located at the side of the C-arm stand.

• Plug the power cable connector into the socket located at the side of the C-arm stand and lock the connector by pulling the locking lever upward.

• Make sure that a suitable supply voltage is available and that the socket-outlet is properly grounded and fused.

• Check the power plug and the socket-outlet for compatibility.

• Connect the system to the power supply.

Ziehm Compact,

Ziehm Compact

Litho

4.3

DICOM connection

Depending on the system configuration, different technologies are used for connecting the system to the hospital’s DICOM network:

− an RJ45 connection (Twisted Pair, 100 Mbit/s)

− a Wireless LAN connection

General

On systems with an RJ45 connection, a network cable runs directly from the network interface card of the image memory module out through the rear cover of the monitor cart and terminates in an RJ45 socket. The system must be connected to the hospital’s DICOM network via this socket.

RJ45 connection

To connect the system to the DICOM network, do the following:

• Connect the RJ45 socket on the back of the monitor cart to a DICOM network socket using the appropriate cable.

On systems with Wireless LAN, a transceiver is located at the back of the monitor cart. A second transceiver comes with your accessories and must be connected to the hospital’s DICOM network.

Wireless LAN

To connect the system to the DICOM network, do the following:

• Connect the transceiver included in the accessories to a DICOM network socket.

• Connect the DICOM port of the PC Workstation on the back of the monitor cart to another DICOM network socket using the appropriate cable.

Ziehm 8000

Workstation

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4 Assembling the System

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5 Putting the System into Service

5.1

Temperature

In case of major differences in temperature, all parts of the system must have reached room temperature before the system is put into service in order to avoid damage to the system as a result of condensation.

Room temperature

WARNING

Do not operate the system until the equipment has reached a safe operating temperature of +15 °C to +35°C with no condensation present.

Otherwise severe equipment damage may result.

5.2

First power-up of the system

• Make sure that the inclination of the system does not exceed 5° from the level in operating position.

• Ensure that all electrical connections are properly established

(

Ch. 4.2, p. 4-8).

• Put on suitable protective clothing.

• Switch on the system.

You can find an ON key and an OFF key on the control panels of both the C-arm stand and the monitor cart. Each of the two keys switches on or off both system components simultaneously.

Preparation

OFF ON

During power-up, the system performs a self-test. The value 0 appears on the operating value displays. The radiation time display shows the global software version of the system. The temperature symbol and the

X-ray symbol on the C-arm stand control panel light up for a few seconds.

After power-up, a test image appears on the live screen. The default settings after power-up vary from system to system, according to the customer-specific setup.

Power-up

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5 Putting the System into Service

NOTE

Due to background radiation, the dose display on the

C-arm stand (if enabled) may indicate some small value after power-up of the system.

To reset the display to zero, press and hold down the min key on the C-arm stand control panel for a few seconds.

NOTE

As part of the power-up sequence, the radiation warning lamp may light up. This is a system test and does not mean that radiation is released.

5.3

Entering the hospital data

Setting up the system

After switching on the system for the first time, you can make various customer-specific settings for the system, if this has not already been done at the factory.

Further settings

As a minimum it is recommended that you enter the relevant hospital data under Configuration Menu

Basic Settings. This data will then be displayed automatically when you create new patient folders in the

Patient Data Input menu, eliminating the need to enter it for each new patient.

For a detailed description of all other setting options, please refer to

Ch. 6, p. 6-1.

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6 Configuration

6.1

Overview

A large number of parameters can be preset for the Ziehm 8000. This is done in a configuration menu.

General

To switch between the different menu items, do the following:

• Press the up arrow or down arrow key until the cursor is on the desired menu item.

To select a setting option, do the following:

• Press the left arrow or right arrow key until the desired option appears.

or

• Enter the desired value using the alphanumeric keypad on the control panel.

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6 Configuration

Opening the menu

To open the Configuration Menu, you use the MENU key on the monitor cart.

The Configuration Menu is divided into four submenus:

− Operation settings

− Basic settings

− Monitor settings (only Ziehm 8000 with 23" or 24" flat-screen monitor)

− Service settings

Fig. 6-1 Configuration Menu

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6 Configuration

6.2

User settings

In the User Settings menu, you can make a number of settings which determine the operation conditions during fluoroscopy.

Function

Fig. 6-2 User Settings menu

6.2.1

Activating automatic image swapping

The Autotransfer menu item allows you to control whether the previous fluoroscopic image is moved automatically to the reference screen when you next initiate radiation.

Autotransfer: Off

When you initiate radiation, the previous fluoroscopic image on the live screen is replaced by the new image. If it was unsaved, it will be irretrievably lost.

Autotransfer: On

When you initiate radiation, the previous fluoroscopic image on the live screen is moved automatically to the reference screen.

As long as the autotransfer function is active, the LEDs on the image

swapping keys on the monitor cart and on the C-arm stand are illuminated.

Moving the fluoroscopic image

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6 Configuration

6.2.2

Displaying a crosshair

Positioning aid

The Crosshair menu item allows you to control whether a crosshair is displayed as positioning aid (e.g. for foreign body localization) in the center of the live screen image during fluoroscopy. The central point of the crosshair corresponds to the position of the central X-ray beam.

Crosshair: On

A crosshair appears on the live screen during fluoroscopy.

Crosshair: Off

No crosshair is displayed on the live screen during fluoroscopy.

NOTE

The Crosshair On/Off function can also be assigned to the F key on the C-arm stand (

Ch. 6.2.3, p. 6-4).

6.2.3

Variable assignment

Function of the F key

The F key menu item allows you to control which function is assigned to the F key on the C-arm stand. This enables you to activate the corresponding function directly from the C-arm stand using the F key.

The following assignment options are available:

Crosshair

If you have activated this option, you can show or hide a crosshair as positioning aid in the center of the live screen image with the F key

(

Ch. 6.2.2, p. 6-4). The central point of the crosshair corresponds

to the position of the central X-ray beam.

Cine

If you have activated this option, you can activate and deactivate the cine loop mode with the F key.

CO2

If you have activated this option, you can activate and deactivate the

CO

2

function (together with the DSA subtraction mode) with the F key.

Filters

If you have activated this option, you can reset the recursive filter to level 1 (= 2 images) during fluoroscopy by pressing the F key. This will minimize motion blurring (

Ch. 6.5.2, p. 6-27). As long as the

recursive filter is reset, the message Filter off is displayed on the live screen.

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6 Configuration

6.2.4

Storage medium for image retrieval

The CD recall menu item allows you to control which storage medium is used by the system for data retrieval in the Mosaic menu. Data retrieval from CD is subject to certain restrictions.

For systems with a CD writer, the following applies:

CD recall: Off (default setting)

The Mosaic menu retrieves the patient folders from the hard disk.

CD recall: On

The Mosaic menu retrieves the patient folders from a CD. For that purpose, you must insert a CD containing backed-up patient folders into the CD writer, which was written using the Backup function.

CD or hard disk

6.2.5

Setting the cine loop speed

The Cine speed menu item allows you to control the number of frames per second that the system uses for acquisition and playback of a cine loop.

Depending on the system configuration, you can choose between 1, 2, 4,

8, 12.5 or 25 frames per second.

Number of frames per second

6.2.6

Setting the cine loop length

The Cine length menu item allows you to control how many single images (frames) are saved automatically by the system during a cine acquisition run.

You can choose between 50, 100, 150, 200 or 250 images.

Total number of images

6.2.7

Combining DSA with a cine loop

The DSA + Cine menu item allows you to control whether the system automatically acquires a cine loop each time you activate the DSA mode.

DSA + Cine: On

When you press the DSA key on the C-arm stand and then initiate radiation, the system automatically acquires a cine loop after having acquired the DSA mask image.

DSA + Cine: Off

When you press the DSA key on the C-arm stand and then initiate radiation, the system automatically generates a single DSA image.

Single image or cine loop with DSA

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6 Configuration

6.2.8

Showing or hiding the native image

Display native image or not

The DSA nativeimg menu item allows you to control whether the native image is displayed or not on the reference screen during generation of a

DSA / MSA / RSA image.

DSA nativeimg: On

When you initiate radiation after injecting the contrast medium, the native image is displayed on the reference screen.

DSA nativeimg: Off

When you initiate radiation after injecting the contrast medium, no native image is displayed on the reference screen. In this case, you may open a reference image on the reference screen before generating the DSA / MSA / RSA image; this reference image remains displayed there during the entire subtraction procedure.

6.2.9

Selecting the storage medium for data retrieval with DICOM Dir

Storage medium for

DICOM Dir

The DICOM Dir from menu item allows you to control which storage medium is used by the system for DICOM image retrieval.

DICOM Dir from: USB

The images are retrieved from the USB stick that is connected to the

USB port.

DICOM Dir from: CD

The images are retrieved from the CD inserted in the CD writer

6.2.10

Defining the storage format for removable storage media

CD storage format

If the system is equipped with a CD writer, the CD format menu item allows you to choose a storage format for writing images to CD.

The following options are available:

− TIFF format (for further use on a PC)

− DICOM format (for further use on a DICOM network or viewing with a

DICOM viewer)

USB stick storage format

The USB format menu item allows you to control which storage format is used for saving images to a USB stick.

The following options are available:

− TIFF format (for further use on a PC)

− DICOM format (for further use on a DICOM network or viewing with a

DICOM viewer)

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6 Configuration

6.3

Basic settings

The Basic Settings menu is used for making different settings which directly affect the user interface, e.g. default data for certain menu fields.

In addition, you can clear different storage media.

Usually, the options in this menu are set by a service engineer during installation of the system.

Function

Fig. 6-3 Basic Settings menu

6.3.1

Setting the system time and system date

Under the Time menu item, the system time (format: hh:mm:ss) must be set once.

Under the Date menu item, the system date (format: dd-mm-yy) must be set once.

6.3.2

Selecting the live screen

The Live image menu item allows you to choose whether the left or the right screen acts as live screen.

The live screen is the screen where the fluoroscopic image (live or saved) is displayed. The remaining screen then automatically becomes the reference screen.

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6 Configuration

6.3.3

6.3.4

Entering the hospital data

The Hospital, Department and Physician menu items allow you to define which data appears automatically in the corresponding fields in the

Patient Data Input menu.

Clearing storage media

When you select one of the menu items Clear hard disk or Clear USB

device and then confirm the clear command with the Enter key, all patient data are deleted from the corresponding storage medium after a confirmation prompt.

When you select the Clear NO NAME menu item and then confirm the clear command with the Enter key, all images in the NO NAME folder are deleted.

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6 Configuration

6.4

Screen settings

6.4.1

Ziehm 8000 with flat-screen monitor

The Ziehm 8000 is equipped with 18", 23" or 24" flat-screen monitors.

The 18" flat-screen monitors are delivered as type1 and type 2.

The Monitor Settings menu is used for adjusting the resolution mode of the 23" or 24" flat-screen monitor.

Further screen settings can be made directly at the displays using a built-

in keypad (

Ch. 6.4.2, p. 6-10).

Setting the resolution

Fig. 6-4 Monitor Settings menu on a Ziehm 8000 with 23" or 24" flat-screen monitor

When you choose the option Scaled resolution, the fluoroscopic images and menus are displayed in the original resolution of the system.

Scaled resolution

When you choose the option Full size, the fluoroscopic images and menus are displayed so as to completely fill the left or right half of the screen.

Full size

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6 Configuration

6.4.2

Setting flat-screen monitors of type 1

Safety measures

NOTICE

The system may only be set up and put into service by service engineers who are authorized by the manufacturer.

If service is needed, the system may only be repaired by authorized service engineers.

WARNING

When the system is opened, there is a risk of electric shock. The system may only be opened by qualified service personnel.

To prevent fire or electric shock, the system must not be exposed to rain or moisture.

The system must not be operated next to flammable anesthetic gas mixtures of air, oxygen and nitrogen oxides.

Screen settings

On systems with flat-screen monitors, the screen settings are made directly at the monitors using a built-in keypad.

You can change the following screen settings yourself:

− Brightness

− Contrast

− Backlight

− Menu language for screen settings

− Video source (Inputs)

− Gamma

− Display settings (Picture), e.g. horizontal and vertical position, sharpness, scaling

− Menu setup (Setup), e.g. menu lock

In addition, you can restore the factory settings.

The factory-set menu language is English. Therefore, the English designations are used in this document.

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6.4.2.1

Built-in keypad

Each flat-screen monitor has a built-in keypad with six keys, which are used for accessing the screen setting menus.

6 Configuration

Fig. 6-5 Built-in keypad of the flat-screen monitor

6.4.2.2

Setting the brightness, contrast and backlight

To set the screen brightness, do the following:

• Press the Brightness/Contrast key.

The Brightness control appears on the screen.

Brightness

Fig. 6-6 The Brightness control on a 18" or 23" flat-screen monitor

Fig. 6-7 The Brightness control on a 24" flat-screen monitor

• Press the + or arrow key to increase or decrease the screen brightness.

The settings become immediately active on the screen. After a few seconds, the Backlight Brightness control disappears automatically.

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6 Configuration

Contrast To set the screen contrast, do the following:

• Press the Brightness/Contrast key twice.

The Contrast control appears on the screen.

Fig. 6-8 The Contrast control on a 18" or 23" flat-screen monitor

Backlight

Fig. 6-9 The Contrast control on a 24" flat-screen monitor

• Press the + or arrow key to increase or decrease the contrast.

The settings become immediately active on the screen. After a few seconds, the Contrast control disappears automatically.

To set the screen backlight brightness, do the following:

• Press the Brightness/Contrast key three times.

The Brightness or Backlight Brightness control appears on the screen.

6-12

Fig. 6-10 The Brightness control on a 18" or 23" flat-screen monitor

Fig. 6-11 The Brightness control on a 24" flat-screen monitor

• Press the + or arrow key to increase or decrease the backlight.

The settings become immediately active on the screen. After a few seconds, the Backlight or Backlight Brightness control disappears automatically.

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NOTE

Lowering the backlight level will increase the backlight lifetime.

6.4.2.3

Setting the menu language

The factory-set menu language is English. You can choose one of the following languages as menu language:

− German

− French

− Italian

− Spanish

− Dutch

− Swedish

To define the menu language, do the following:

• Press the MENU key.

The on-screen menu appears.

• Select the Setup tab with the help of the + or arrow keys.

6 Configuration

Fig. 6-12 The Setup control on a 18" or 23" flat-screen monitor

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6 Configuration

Fig. 6-13 The Configuration control on a 24" flat-screen monitor

• Move to the Language item with the help of the SCROLL key.

• Press the + arrow key until the desired language is displayed.

All on-screen menu elements and controls are displayed immediately in the chosen language.

• Press the MENU key.

The on-screen menu disappears.

6.4.2.4

Setting the video source

18" or 23" flatscreen monitor

To set the video source on the 18" or 23" flat-screen monitor, do the following:

• Press the Input key.

The Inputs on-screen menu with the following options appears:

− DVI – analog

− BNC

− DVI – digital

• Press the SCROLL key until the desired item is highlighted.

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6 Configuration

• Press the + arrow key.

The highlighted item is marked as selected.

• Press the Input key.

The Inputs on-screen menu disappears.

To set the video source on the 24" flat-screen monitor, do the following:

• Press the Input key.

The Inputs on-screen menu with the following options appears:

− DVI (graphic input)

− SOG (video input)

• Press the SCROLL key until the desired item is highlighted.

24" flat-screen monitor

• Press the Minus button.

The highlighted item is marked as selected.

• Press the Input key.

The Inputs on-screen menu disappears.

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6 Configuration

6.4.2.5

Setting the gamma value

The gamma value determines the contrast between the lightest and the darkest point of the screen display.

The Gamma tab furthermore shows the backlight operating hours clocked up so far and the BIOS version of the monitor.

18" or 23" flatscreen monitor

To set the gamma value on the 18" or 23" flat-screen monitor, do the following:

• Press the MENU key.

The on-screen menu appears.

• Select the Gamma tab with the help of the + or arrow keys.

On the Gamma tab, the following gamma value options are available:

− 1,5

− 1,7

− 2,2

− 2,6

− 3,0

• Press the SCROLL key until the desired value is highlighted in white.

• Press the + or arrow key.

The desired value is set.

• Press the MENU key.

The on-screen menu disappears.

24" flat-screen monitor

To set the gamma value on the 24" flat-screen monitor, do the following:

• Press the MENU key.

The on-screen menu appears.

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• Select the Defaults tab with the help of the + or arrow keys.

• Press the SCROLL key until the Gamma item is highlighted.

• Press the + or arrow key until the desired parameter value is selected.

On the Gamma tab, the following gamma value options are available:

− 1,8

− 2,0

− 2,2

− 2,4

− 2,6

• Press the MENU key.

The on-screen menu disappears.

6.4.2.6

Setting up the display

To set up the display, do the following:

• Press the MENU key.

The on-screen menu with the Picture tab displayed on top appears.

Depending on the set video source (

Ch. 6.4.2.4, p. 6-14), the

Picture tab shows the following items as a maximum:

Horizontal Position

Vertical Position

Sharpness

Phase

Frequency

Overscan (24" flat-screen monitor only)

Scaling (23" flat-screen monitor only)

− (24" flat-screen monitor only)

SmartSync

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6 Configuration

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6 Configuration

• Press the SCROLL key until the desired item is highlighted.

• Press the + or arrow key until the desired setting is displayed or marked as selected.

The desired value is set.

• Repeat these two steps for any further parameter you want to set.

• Press the MENU key.

The on-screen menu disappears.

6.4.2.7

Setting up the menu

On the Setup tab you can make different settings that affect the menu display. In addition, you may lock the menu (

Ch. 6.4.2.8, p. 6-19) and

select the menu language (

Ch. 6.4.2.3, p. 6-13).

The Configuration tab on the 24" flat-screen monitor furthermore shows the backlight operating hours clocked up so far and the BIOS version of the monitor.

To make the basic menu settings, do the following:

• Press the MENU key.

The on-screen menu appears.

• Select the Setup tab with the help of the + or arrow keys.

On the Setup or Configuration tab, the following controls are available:

Position menu

Language (→ Ch. 6.4.2.3, p. 6-13)

DPMS Enable (23" flat-screen monitor only)

− DPMS Enable (24" flat-screen monitor only)

Auto Source Select

Lock menu (→ Ch. 6.4.2.8, p. 6-19)

• Press the SCROLL key until the desired item is highlighted.

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• Press the + or arrow key until the desired parameter value is selected.

The desired parameter value is set.

• Repeat these two steps for any further parameter you want to set.

• Press the MENU key.

The on-screen menu disappears.

6.4.2.8

Locking the menu

To disable access to the menu system, do the following:

• Press the MENU key.

The on-screen menu appears.

• Select the Setup tab with the help of the + or arrow keys.

• Press the SCROLL key until the Lock menu item is highlighted.

• Press the + arrow key.

The menu disappears. The message MENU LOCKED is displayed.

As long as the menu is disabled, the message MENU LOCKED is displayed whenever you press one of the keys on the keypad.

To re-enable the menu display, do the following:

• Simultaneously press the MENU and Scroll keys.

A message saying that the menu is unlocked is displayed. When you press one of the keys on the keypad, the corresponding on-screen menu appears.

6 Configuration

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6 Configuration

6.4.2.9

Restoring the factory settings

After having changed the screen settings, you may restore the factoryset values at any time.

To restore the factory settings, do the following:

• Press the MENU key.

The on-screen menu appears.

• Select the Defaults tab with the help of the + or arrow keys.

Fig. 6-14 The Defaults control on a 18" or 23" flat-screen monitor

6-20

Fig. 6-15 The Configuration control on a 24" flat-screen monitor

• Press the Scroll key.

The Factory Defaults menu item is selected.

• Press the + arrow key.

The on-screen menu disappears. All settings are reset to the factory values.

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6.4.3

Setting flat-screen monitors of type 2

NOTE

The menu display for setting the brightness and contrast is not locked. Do not change the values in order to ensure optimum display settings.

6 Configuration

Fig. 6-16 Flat-screen monitors of type 2

NOTICE

The system may only be set up and put into service by service engineers who are authorized by the manufacturer.

If service is needed, the system may only be repaired by authorized service engineers.

Safety measures

WARNING

When the system is opened, there is a risk of electric shock. The system may only be opened by qualified service personnel.

To prevent fire or electric shock, the system must not be exposed to rain or moisture.

The system must not be operated next to flammable anesthetic gas mixtures of air, oxygen and nitrogen oxides.

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6 Configuration

Built-in keypad

Each flat-screen monitor has a built-in keypad with four keys, which are used for accessing the screen setting menus.

Brightness

Fig. 6-17 Built-in keypad of the flat-screen monitor

To set the screen brightness, do the following:

• Press the SCROLL key.

The Brightness control appears on the screen.

Contrast

• Press the + or arrow key to increase or decrease the screen brightness.

The settings become immediately active on the screen. After a few seconds, the Backlight Brightness control disappears automatically.

To set the screen contrast, do the following:

• Press the SCROLL key twice.

The Contrast control appears on the screen.

• Press the + or arrow key to increase or decrease the contrast.

The settings become immediately active on the screen. After a few seconds, the Contrast control disappears automatically.

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To set the screen backlight brightness, do the following:

• Press the key sequence MENU, SCROLL, MENU.

The OSD (Onscreen Display) appears on the screen.

6 Configuration

Backlight brightness

Fig. 6-18 Onscreen Display (flat-screen monitor)

• Press the SCROLL key three times.

The options 1 submenu is highlighted in white.

• Press the MENU key.

The first function in the options 1 submenu is selected.

• Press the SCROLL key three times.

The Backlight cd/m² function is selected.

• Press the + or arrow key to increase or decrease the backlight brightness.

The settings become immediately active on the screen. After a few seconds, the control disappears automatically.

NOTE

Lowering the backlight level will increase the backlight lifetime.

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6 Configuration

Setting the menu language

Restoring the factory settings

The factory-set menu language is English. Alternatively, you can choose

German as the menu language:

To define the menu language, do the following:

• Press the key sequence MENU, SCROLL, MENU.

The OSD (Onscreen Display) (

Fig. 6-18, p. 6-23) appears on the

screen.

• Press the SCROLL key six times.

The utilities submenu is highlighted in white.

• Press the MENU key.

The first function in the utilities submenu is selected.

• Press the SCROLL key until the desired language is displayed.

All on-screen menu elements and controls are displayed immediately in the chosen language. After a few seconds, the control disappears automatically.

After having changed the screen settings, you may restore the factoryset values at any time.

To restore the factory settings, do the following:

• Press the key sequence MENU, SCROLL, MENU.

The OSD (Onscreen Display) (

Fig. 6-18, p. 6-23) appears on the

screen.

• Press the SCROLL key six times.

The utilities submenu is highlighted in white.

• Press the MENU key.

The first function in the utilities submenu is selected.

• Press the SCROLL key three times.

The Factory reset function is selected.

• Press the + arrow key.

All settings are reset to the factory values.

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6 Configuration

6.5

Service settings

The Service Settings menu is used for modifying different system parameters which affect both the quality of the fluoroscopic image and the user interface.

Function

The Service Settings menu is password-protected. If you are an authorized person, you can obtain the password from your local Ziehm dealer.

Password

Fig. 6-19 Service Settings menu

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6 Configuration

6.5.1

Function

Step windowing

The Step Windowing menu is used for presetting 4 fixed steps for the contrast window level (L) and width (W). During fluoroscopy, you can select these steps with the contrast keys on the C-arm stand.

NOTE

For the subtraction modes, no step windowing is available.

Parameter range

Fig. 6-20 Step Windowing menu

The available parameter range (0–255) is displayed as soon as the menu item is selected with the down arrow or up arrow key. The desired values must be entered with the alphanumeric keys.

Activating the step windowing mode

The Windowing menu item is used for setting either standard windowing mode or step windowing mode for the contrast keys on the C-arm stand.

Windowing: Off

The contrast keys on the C-arm stand work in standard windowing mode.

Windowing: On

The contrast keys on the C-arm stand work in step windowing mode.

Default setting

The default windowing steps which are activated after power-up can be programmed for each individual anatomical program under

Configuration Menu

Service SettingsFilter FactorsOrgan 0

/ Organ 1 / Organ 2 / Soft (

Ch. 6.5.2.1, p. 6-28).

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6 Configuration

6.5.2

Filter factors

The Filter Factors submenu is used for setting different filter factors for each anatomical program and each subtraction mode in separate submenus.

Function

Fig. 6-21 Filter Factors menu

Menu item

Organ 0 = extremities & children

Organ 1 = head, spine & pelvis

Organ 2 = thorax & abdomen

Table 6-1 Anatomical programs

Anatomical program

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6 Configuration

6.5.2.1

Filter types

Filters for anatomical programs

For each of the anatomical programs Organ 0, Organ 1, Organ 2 and

Soft, the values for the following filters can be programmed:

− Recursive filter for continuous fluoroscopy

(independent settings for normal view, magnification 1 and magnification 2)

− Stack filter for continuous fluoroscopy

− Edge filter

− Default windowing step after power-up

− Stack filter for continuous pulse fluoroscopy

− Stack filter for snapshot

Parameter values

Fig. 6-22 Filter Factors for Organ Key 0 menu

The following parameter values can be set:

Filter type

Recursive filter

Stack filter

Edge filter

Table 6-2

Fluoroscopy mode

Continuous fluoroscopy

Continuous fluoroscopy

Continuous fluoroscopy, continuous pulse fluoroscopy,

Snapshot

Filters for anatomical programs

Available parameters

Level 0, 1, 2, 3

(= 1, 2, 4, 8 images)

1, 2, 4, 8, 16 images

Level 1, 2, 0, 3, 4

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6 Configuration

Filter type

Windowing step

Continuous pulse

Snapshot

Table 6-2

Fluoroscopy mode

Continuous fluoroscopy, continuous pulse fluoroscopy,

Snapshot

Continuous pulse fluoroscopy

(= stack filter)

Snapshot

(= stack filter)

Filters for anatomical programs (cont.)

Available parameters

Level -2, -1, 0, +1, +2

1, 2, 4, 8, 16 images

1, 2, 4, 8, 16 images

The recursive filter adds the preset number of images during fluoroscopy, whereby each newly-acquired image is superimposed by the result of the previous addition with a certain weighting factor. The higher the preset number of images, the greater the noise suppression, but also the greater motion blurring.

The values can be set independently for normal view, magnification 1 and magnification 2.

Recursive filter

The stack filter generates and adds the preset number of images after radiation has been terminated. The higher the preset number of images, the greater the noise suppression, but also the greater motion blurring if the patient moves during image generation.

Stack filter

The edge filter is used for setting a greater or lesser degree of enhancement (sharpening) of edges within the image. 4 levels of edge enhancement are available:

3

4

1

2

Level

0

Table 6-3

Meaning

No edge enhancement (original fluoroscopic image)

Slight edge enhancement

Medium edge enhancement

Strong edge enhancement

Extreme edge enhancement

Edge filter levels

Increasing the level of edge enhancement will also cause any noise in the image to become more apparent, though.

Edge filter

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6 Configuration

Windowing step

Continuous pulse

Snapshot

This value determines which windowing step is automatically set by the system for the corresponding anatomical program after power-up,

provided that the step windowing mode has been activated (

Ch. 6.5.1,

p. 6-26).

You can adjust these default settings later during operation using the

contrast keys on the C-arm stand.

This setting defines how many images are used for the stack filter in

continuous pulse fluoroscopy mode (overriding the value specified under Stack filter).

This setting defines how many images are used for the stack filter in

snapshot mode (overriding the value specified under Stack filter).

6.5.2.2

Filter types

Filters for subtraction modes

For each of the subtraction modes DSA, RSA and MSA, the values for the following filters can be programmed:

− Recursive filter

(independent settings for normal view, magnification 1 and magnification 2)

− Stack filter

− Edge filter

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Fig. 6-23 Filter Factors for DSA Key menu

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6 Configuration

The following parameter values can be set:

Filter type

Recursive filter

Stack filter

Edge filter

Table 6-4

Fluoroscopy mode

Continuous fluoroscopy

Continuous fluoroscopy

Continuous fluoroscopy, continuous pulse fluoroscopy,

Snapshot

Filters for subtraction modes

Available parameters

Level 0, 1, 2, 3

(= 1, 2, 4, 8 images)

1, 2, 4, 8, 16 images

Level 1, 2, 0, 3, 4

Parameter values

6.5.2.3

Filters for subtraction modes with CO

2

If the system is equipped with the CO

2

option, the values for the following filters can be selected for each of the subtraction modes DSA, RSA and

MSA in combination with CO2 negative contrast medium:

− Recursive filter

(independent settings for normal view, magnification 1 and magnification 2)

− Stack filter

− Edge filter

Filter types

Fig. 6-24 Filter Factors for CO2 DSA menu

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6 Configuration

Parameter values

The following parameter values can be set:

Filter type

Recursive filter

Stack filter

Edge filter

Table 6-5

Fluoroscopy mode

Continuous fluoroscopy

Continuous fluoroscopy

Continuous fluoroscopy, continuous pulse fluoroscopy,

Snapshot

Filters for subtraction modes with CO

2

Available parameters

Level 0, 1, 2, 3

(= 1, 2, 4, 8 images)

1, 2, 4, 8, 16 images

Level 1, 2, 0, 3, 4

6.5.3

Function

Windowing settings for subtraction modes

This menu is used for setting default values for the width (W) and level

(L) of the contrast window. This is done separately for DSA, MSA and

RSA.

If the system is equipped with the CO

2

option, the default windowing values for each individual subtraction mode in combination with CO

2 be set in addition.

can

Parameter range

Fig. 6-25 Windowing Settings for Subtraction Modes menu

The available parameter range (0–255) is displayed as soon as the menu item is selected with the down arrow or up arrow key. The desired values must be entered with the alphanumeric keys.

Function key F3 – CO2 moves the cursor to the column where the default windowing values for the subtraction modes with CO

2 medium are set.

negative contrast

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Function key F3 – Normal returns the cursor to the column where the default windowing values for the subtraction modes with positive contrast medium are set.

6.5.4

DICOM settings

CAUTION

The settings in this menu must not be modified by any person other than an authorized service engineer or a properly trained network administrator.

This menu is protected by an additional password. If you are an authorized person, you can obtain the password from your local Ziehm dealer.

6.5.4.1

Network parameters

To enable the system to establish a connection for a DICOM data transfer, you must specify the following network parameters:

IP addr. DICOM server (IP = Internet Protocol)

Each host on the network is assigned an IP address consisting of a

32-bit number, e.g. 192.168.127.080 (192.168.127 = group address,

.080 = individual host)

IP address ranges (examples, other configurations are possible):

− Class A network: 10.0.0.0 to 10.255.255.255

− Class B network: 128.16.0.0 to 172.31.255.255

− Class C network: 192.168.0.0 to 192.168.255.255

IP subnet mask

255.255.255.0 (subnet mask, combined with IP address yields group address, see above)

IP address ranges (examples, other configurations are possible):

− Class A network: 255.0.0.0

− Class B network: 255.255.0.0

− Class C network: 255.255.255.0

Host name DICOM server

Name of the network host, e.g. sun-server, with unique IP address assignment

AE title DICOM server (Application Entity = name of the application)

Name of the DICOM application on the server, e.g. INOARCHIVE for

DICOM Storage

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6 Configuration

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6 Configuration

Entering special characters

Port addr. DICOM server

At this address, the server “listens” for requests from Ziehm NetPort.

IP address gateway

If the server and Ziehm NetPort belong to different groups, a gateway must be specified, e.g. 192.168.127.254.

IP address ZiehmNetPort (IP address of Ziehm 8000)

AE title ZiehmNetPort (AE title of Ziehm NetPort, freely

configurable)

The DICOM Verification function enables you to check whether all

parameters have been entered correctly (error messages

Ch. 6.5.4.7,

p. 6-51). The default port address for DICOM is set to 104 and cannot be

reconfigured.

In some lines of the network parameter input screen, you may enter certain special characters. Function keys F4 – < and F5 – > appear in this case. A list of the available special characters is displayed above these two function keys. As long as you hold down one of these two function keys, the available special keys are displayed one after the other in the order of the list. With F4 – < you can scroll forward in the list. With F5 –

> you can scroll backward in the list.

6.5.4.2

Configuration of Storage and Storage Commitment

Storage information model

When configuring the storage server, you specify not only the general

network parameters (

Ch. 6.5.4.1, p. 6-33), but also the storage

information model (SOP class = Service Object Pair). You can choose between the following options:

XA = X-ray Angiography

CR = Computed Radiography

SC = Secondary Capture

The original images furnished by Ziehm NetPort are of type XA. Since some servers do not support the XA SOP class, CR and SC are provided as alternatives.

Image attributes

Under Image attributes included you define which HEDIS filter algorithms are applied to the DICOM image prior to transfer. By default, all attributes are set to Off, and the raw image is transferred.

To configure the storage server, do the following:

• Press the MENU key.

The Configuration Menu appears.

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• Select the Service settings menu item.

• Type the password and press the Enter key.

• Select the DICOM settings menu item.

• Type the password and press the Enter key.

• Select the Storage server menu item.

The DICOM Settings Storage Server menu appears.

6 Configuration

Fig. 6-26 DICOM Settings Storage Server menu

• Enter the network parameters.

When the cursor is in certain lines of the input screen, additional function keys for entering lower case letters and special characters are displayed.

• To enter lower case letters, press key F3 – abc...

• To enter a special character, press and hold down key F4 – < or

F5 – > until the desired special character appears.

• Activate or deactivate the desired image attributes.

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6 Configuration

• Press key F6 – Verify.

The system checks the network connection between SCU (Service

Class User = Ziehm NetPort) and SCP (Service Class Provider = server) by means of a “ping”, the DICOM settings (e.g. AE title) and common SOP classes (“association negotiation”). It sends an ECHO request to the SCP and waits for an ECHO response.

If all network parameters have been entered correctly, the message

Verification successful is displayed (error messages

Ch. 6.5.4.7,

p. 6-51).

If your system includes the Storage Commitment function, the following message is displayed:

Do you want to activate NetCommit? Y/N

• Press the Y key if you want to activate the Storage Commitment function.

or

• Press the N key if you do not want to activate the Storage

Commitment function.

• Press key F1 – Save.

6.5.4.3

Configuration of Media Storage

Storage information model

When configuring the storage server, you specify not only the general

network parameters (

Ch. 6.5.4.1, p. 6-33), but also the storage

information model (SOP class = Service Object Pair). You can choose between the following options:

XA = X-ray Angiography

CR = Computed Radiography

SC = Secondary Capture

The original images furnished by Ziehm NetPort are of type XA. Since some servers do not support the XA SOP class, CR and SC are provided as alternatives.

Image attributes

DICOM storage format

Under Image attributes included you define which HEDIS filter algorithms are applied to the DICOM image prior to saving. By default, all attributes are set to Off, and the raw image is saved.

The DICOM format must have been set as storage format for writing

images to USB stick or CD (

Ch. 6.2.10, p. 6-6).

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To configure Media Storage, do the following:

• Press the MENU key.

The Configuration Menu appears.

• Select the Service settings menu item.

• Type the password and press the Enter key.

• Select the DICOM settings menu item.

• Type the password and press the Enter key.

• Select the Media storage menu item.

The DICOM Settings Media Storage menu appears.

6 Configuration

Fig. 6-27 DICOM Settings Media Storage menu

• Enter the AE title and the SOP class.

When the cursor is in certain lines of the input screen, additional function keys for entering lower case letters and special characters are displayed.

• To enter lower case letters, press key F3 – abc...

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6 Configuration

• To enter a special character, press and hold down key F4 – < or

F5 – > until the desired special character appears.

• Activate or deactivate the desired image attributes.

• Press key F1 – Save.

6.5.4.4

Configuration of DICOM Query/Retrieve

Query model

When configuring the query/retrieve server, you specify not only the

general network parameters (

Ch. 6.5.4.1, p. 6-33), but also the query

model:

PATIENT ROOT: Patient-level data

STUDY ROOT: Study-level data

NOTE

If several patients with the same patient ID are stored in the PACS, you will get the patient with the respective ID who is sent by the PACS first.

Network parameters for

Retrieve

To enable Ziehm NetPort to connect to the Query server for the Retrieve function, you must enter its AE title, IP address as well as port 104. Use the same IP address and AE title as in the DICOM Settings Query

Server menu (

Fig. 6-28, p. 6-39).

To configure the query server, do the following:

• Press the MENU key.

The Configuration Menu appears.

• Select the Service settings menu item.

• Type the password and press the Enter key.

• Select the DICOM settings menu item.

• Type the password and press the Enter key.

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• Select the Query server menu item.

The DICOM Settings Query Server menu appears.

6 Configuration

Fig. 6-28 DICOM Settings Query Server menu

• Enter the network parameters.

When the cursor is in certain lines of the input screen, additional function keys for entering lower case letters and special characters are displayed.

• To enter lower case letters, press key F3 – abc...

• To enter a special character, press and hold down key F4 – < or

F5 – > until the desired special character appears.

• Press key F6 – Verify.

The system checks the network connection between SCU and SCP by means of a “ping”, the DICOM settings (e.g. AE title) and common

SOP classes (“association negotiation”). It sends an ECHO request to the SCP and waits for an ECHO response.

If all network parameters have been entered correctly, the message

Verification successful is displayed (error messages

Ch. 6.5.4.7,

p. 6-51).

The retrieve server settings are entered in the DICOM Settings Retrieve

Server X menu.

If any requested images cannot be found on the query server, Ziehm

NetPort will automatically select the appropriate retrieve server using the retrieve AE title (which is provided by the query server).

Retrieve server

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6 Configuration

To configure a retrieve server, do the following:

• Press the MENU key.

The Configuration Menu appears.

• Select the Service settings menu item.

• Type the password and press the Enter key.

• Select the DICOM settings menu item.

• Type the password and press the Enter key.

• Select the Query server menu item.

The DICOM Settings Query Server menu appears.

6-40

Fig. 6-29 DICOM Settings Query Server menu

• Place the cursor on the IP addr. DICOM server menu item.

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• Press key F4 – < or F5 – >.

The DICOM Settings Retrieve Server menu for the selected retrieve server (1 or 2) is displayed.

or

6 Configuration

Fig. 6-30 DICOM Settings Retrieve Server menu (here: Retrieve

Server 1)

• Enter the network parameters.

The Gateway, IP address Ziehm NetPort and AE title Ziehm NetPort settings must be identical to the corresponding query server settings.

When the cursor is in certain lines of the input screen, additional function keys for entering lower case letters and special characters are displayed.

• To enter lower case letters, press key F3 – abc...

• To enter a special character, press and hold down key F4 – < or

F5 – > until the desired special character appears.

• Press key F6 – Verify.

The system checks the network connection between SCU and SCP by means of a “ping”, the DICOM settings (e.g. AE title) and common

SOP classes (“association negotiation”). It sends an ECHO request to the SCP and waits for an ECHO response.

If all network parameters have been entered correctly, the message

Verification successful is displayed (error messages

Ch. 6.5.4.7,

p. 6-51).

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6 Configuration

6.5.4.5

Configuration of Worklist and MPPS

Search arguments for Worklist Server

When configuring the worklist server, you specify not only the general

network parameters (

Ch. 6.5.4.1, p. 6-33), but also one or several

search arguments:

Modality: You can limit the Worklist to images of the XA or CR SOP

class (

p. 6-34)

Station AE title: You can limit the Worklist to jobs that are assigned to the AE title ZiehmNetPort specified (= YES; NO = no limitation)

Time span: The default setting for the time span is 0 – 24 o’clock of the current day. You may set a shorter period of time (full hours only).

Location: You can limit the Worklist to jobs that are related to the location of the respective Ziehm NetPort, e.g. OR 1.

Operator’s name

In addition, you must enter the name of the radiological technologist under Operator’s Name.

To configure the worklist server, do the following:

• Press the MENU key.

The Configuration Menu appears.

• Select the Service settings menu item.

• Type the password and press the Enter key.

• Select the DICOM settings menu item.

• Type the password and press the Enter key.

• Select the Worklist server menu item.

The DICOM Settings Worklist Server menu appears.

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6 Configuration

Fig. 6-31 DICOM Settings Worklist Server menu

• Enter the network parameters.

When the cursor is in certain lines of the input screen, additional function keys for entering lower case letters and special characters are displayed.

• To enter lower case letters, press key F3 – abc...

• To enter a special character, press and hold down key F4 – < or

F5 – > until the desired special character appears.

• Enter the desired search arguments.

• Enter the name of the radiological technologist under Operator’s

Name.

• Press key F6 – Verify.

The system checks the network connection between SCU and SCP by means of a “ping”, the DICOM settings (e.g. AE title) and common

SOP classes (“association negotiation”). It sends an ECHO request to the SCP and waits for an ECHO response.

If all network parameters have been entered correctly, the message

Verification successful is displayed (error messages

Ch. 6.5.4.7,

p. 6-51).

• Press key F1 – Save.

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6 Configuration

MPPS Server

When configuring the MPPS server, you specify only the general network parameters (

Ch. 6.5.4.1, p. 6-33). The search arguments are

irrelevant for the MPPS server.

To configure the MPPS server, do the following:

• Press the MENU key.

The Configuration Menu appears.

• Select the Service settings menu item.

• Type the password and press the Enter key.

• Select the DICOM settings menu item.

• Type the password and press the Enter key.

• Select the Worklist server menu item.

The DICOM Settings Worklist Server menu appears.

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Fig. 6-32 DICOM Settings Worklist Server menu

• Place the cursor on the IP addr. DICOM server menu item.

Ziehm 8000

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• Press key F5 – >.

The DICOM Settings MPPS Server menu appears.

6 Configuration

Fig. 6-33 DICOM Settings MPPS Server menu

• Enter the network parameters.

• Enter the name of the radiological technologist under Operator’s

Name.

When the cursor is in certain lines of the input screen, additional function keys for entering lower case letters and special characters are displayed.

• To enter lower case letters, press key F3 – abc...

• To enter a special character, press and hold down key F4 – < or

F5 – > until the desired special character appears.

• Press key F6 – Verify.

The system checks the network connection between SCU and SCP by means of a “ping”, the DICOM settings (e.g. AE title) and common

SOP classes (“association negotiation”). It sends an ECHO request to the SCP and waits for an ECHO response.

If all network parameters have been entered correctly, the message

Verification successful is displayed (error messages

Ch. 6.5.4.7,

p. 6-51).

If the connection has been successfully established, the following message appears:

Do you want to activate MPPS? Y/N

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6 Configuration

• Press the Y key if you want to activate the MPPS function.

or

• Press the N key if you do not want to activate the MPPS function.

If the system was unable to establish a connection, the MPPS function is automatically deactivated.

• Press key F1 – Save.

Returning to the

Worklist server configuration

To return from the DICOM Settings MPPS Server menu to the

DICOM Settings Worklist Server menu, do the following:

• In the DICOM Settings MPPS Server menu, place the cursor on the

IP addr. DICOM server menu item.

• Press key F4 – <.

The DICOM Settings Worklist Server menu appears.

6.5.4.6

Configuration of the print servers

Two print servers

Additional parameters

You can configure two print servers if you wish. Print server 1 can be configured to perform one of the following functions:

Print = DICOM Print

Navigation

Storage2 = DICOM Store

Print server 2 can only be configured for the Print function.

When configuring the print server, you specify not only the general

network parameters (

Ch. 6.5.4.1, p. 6-33), but also the following

additional parameters:

Number of copies: Here you define the number of hard copies

(default setting: 1; setting options: 1–10).

Print priority: Here you may define a certain priority for the print jobs

(default setting: none; setting options: HIGH, MED, LOW).

Medium type: Here you may define a certain printer medium (default setting: none; setting options: PAPER, CLEAR FILM, BLUE FILM).

Film destination: Here you may define a certain output tray for the printed film, according to its intended use (default setting: none; setting options: MAGAZINE, PROCESSOR, BIN_1, BIN_2 ...

BIN_9).

Film session label: Here you may enter any text for labeling the film

(default setting: none).

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6 Configuration

Film size ID: Here you may specify the film size (default setting: none; setting options: 8INX10IN, 8_5INX11IN, 10INX12IN, 10INX14IN,

11INX14IN, 11INX17IN, 14INX14IN, 14INX17IN, 24CMX24CM,

24CMX30CM, A4, A3)

Number / Page: Here you may specify how many images you want to print on one page (default setting: 1, setting options: 1, 2, 4, 6, 9, 12,

15, 20, 24)

Min. Density or Max. Density: Here you define the desired minimum or maximum print density (default setting: none, setting options 0 ...

65535).

User Configuration: Here you define whether an additional dialog for making the print settings is displayed or not when the user selects the

DICOM Print function (default setting: Off; setting options: Off, On).

Function: Here you define which function is assigned to function key

F5 – NetOutput in the Mosaic menu, Output submenu (default setting: Print; setting options: Print = DICOM Print, Storage2 =

DICOM Store; Navigation = Navigation for Brainlab)

Print Server 2: Only the Print = DICOM Print function is available.

To configure print server 1, do the following:

• Press the MENU key.

The Configuration Menu appears.

Configuring print server 1

• Select the Service settings menu item.

• Type the password and press the Enter key.

• Select the DICOM settings menu item.

• Type the password and press the Enter key.

• Select the Print server menu item.

The DICOM Settings Print Server 1 menu appears.

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6 Configuration

Fig. 6-34 DICOM Settings Print Server 1 menu

• Enter the network parameters.

When the cursor is in certain lines of the input screen, additional function keys for entering lower case letters and special characters are displayed.

• To enter lower case letters, press key F3 – abc...

• To enter a special character, press and hold down key F4 – < or

F5 – > until the desired special character appears.

• Specify the print configuration parameters.

• Press key F1 – Save.

Configuring print server 2

To configure print server 2, do the following:

• Press the MENU key.

The Configuration Menu appears.

• Select the Service settings menu item.

• Type the password and press the Enter key.

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• Select the DICOM settings menu item.

• Type the password and press the Enter key.

• Select the Print server menu item.

The DICOM Settings Print Server 1 menu appears.

6 Configuration

Fig. 6-35 DICOM Settings Print Server 1 menu

• Place the cursor on the IP addr. DICOM server menu item.

• Press key F5 – >.

The DICOM Settings Print Server 2 menu appears.

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6 Configuration

Fig. 6-36 DICOM Settings Print Server 2 menu

• Enter the network parameters.

When the cursor is in certain lines of the input screen, additional function keys for entering lower case letters and special characters are displayed.

• To enter lower case letters, press key F3 – abc...

• To enter a special character, press and hold down key F4 – < or

F5 – > until the desired special character appears.

• Specify the print configuration parameters.

• Press key F1 – Save.

Returning to the print server 1 configuration

To return from the DICOM Settings Print Server 2 menu to the

DICOM Settings Print Server 1 menu, do the following:

• In the DICOM Settings Print Server 2 menu, place the cursor on the

IP addr. DICOM server menu item.

• Press key F4 – <.

The DICOM Settings Print Server 1 menu appears.

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6.5.4.7

DICOM Verification error messages

The DICOM Verification function enables you to check whether all parameters have been entered correctly. If the verification procedure is not successful, one of the following error messages is displayed:

Error message

No connection to server

(is displayed in the respective interface language)

PC/TCP resident module is not loaded; aborting program up to SW 15:

No connection to server

Failed to connect to remote host [v5]

up to SW 15:

No connection to server

Cause(s)

Server is missing or not switched on, or wrong IP address.

Network interface card driver is not loaded

PCTCP in autoexec.bat is not set

Server is not switched on

IP address of DICOM server is wrong

IP subnet mask is wrong

Host name of DICOM server is wrong

Unable to resolve host name to ip address [v5]

up to SW 15:

No connection to server

Association negotiation failed

[v5]

up to SW 15:

SYSTEM ERROR 23

Connection aborted before association negotiation was completed [v5]

up to SW 15:

No response from server

Required Configuration Info

Missing [v5]

up to SW 15:

No response from server

MERGE.INI file cannot be located [v1]

up to SW 15:

SYSTEM ERROR 3

(Communication takes too long (> 20 s))

Table 6-6

AE title of DICOM server is wrong

Port address of DICOM server is wrong

AE title of Ziehm NetPort is wrong

(when trying to connect to the server) no common SOP classes

(mergecom.app)

Port address of DICOM server does not exist

Application on the server is not running

Wrong mergecom.app

Entry in autoexec.bat is missing dicom\pctcp\pctcpsrv.drv file is incompatible

DICOM Verification error messages

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6 Configuration

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6 Configuration

Error message

Network unexpectedly shutdown [v11]

Message service unacceptable for this association [v8]

Timed out waiting on network partner [v11]

Network partner sent an invalid message [v11]

Table 6-6

Cause(s)

Server does not send an ECHO response, but association negotiation is okay

Wrong mergecom.app

STANDARD_ECHO is missing

Server does not recognize ECHO request or STANDARD_ECHO service

It may be necessary to restart the server (e.g. HIPAX server)

Server does not recognize ECHO request or STANDARD_ECHO service

It may be necessary to restart the server (e.g. HIPAX server)

DICOM Verification error messages (cont.)

6.5.4.8

DICOM Retrieve error messages

The following error messages frequently occur at user level:

Response from server

0xa801

0xC000, 0xC001

Table 6-7

Cause(s)

Ziehm NetPort is not properly connected to the server: wrong network settings

Ziehm NetPort is not properly connected to the server: wrong

DICOM settings, or image data is not stored on the query server

DICOM Retrieve error messages

6.5.4.9

Hardware with DICOM option

There are two hardware versions:

− an RJ45 connection (Twisted Pair, 100 Mbit/s)

− Fiber-optic connection (FOC): ST coupling, 10base-FL or 100base-

FX

RJ45 connection

On systems with an RJ45 connection, a network cable runs directly from the network interface card of the image memory module out through the rear cover of the monitor cart and terminates in an RJ45 socket. The system must be connected to the hospital network via this socket.

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6 Configuration

On systems with a fiber optic connection, a network cable runs to a fiber optic converter built into the monitor cart. From there, two fiber optic cables run to the TX and RX sockets. The sockets are located at the rear side of the monitor cart above the power supply connection. Via these two sockets, the two fiber optic links are connected to the hospital network.

FO connection

Error

Image memory module fault

Defective cables

Visible damage (kinks, pinches, abrasion, cuts)

No connection between two correctly functioning components

(e.g. hub – hub), simple continuity test can be performed with a multimeter

Defective socket(s)

Visible damage

No connection between correctly functioning components (e.g. hub

– cable – socket – server)

Cable connection interrupted

Cable is not plugged in, cable is defective, socket is defective

FOC version: RX and TX cables are swapped

The LINK LED on port 2 of the fiber optic converter is not lit.

Table 6-8 Possible hardware faults

Remedy

Replace image memory module

Replace cables

Replace FOC sockets on the monitor cart

If the defective sockets are within the hospital network: Plug the monitor cart into another socket for checking

Establish cable connection

Swap the RX and TX cables

Hardware faults

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6 Configuration

6.5.5

System settings

In the System Settings menu, you can set or modify the following system parameters with the cursor keys:

− Vario 3D function

− DSA mask

− Ambient light sensor

− Histogram

− Dose area product

− File check

− Collimators

− Language

Vario 3D function

DSA mask

Fig. 6-37 System Settings menu

On a Ziehm 8000, the Vario 3D function must always be set to Off.

If the option Always is set, a new mask image is acquired during each

DSA.

NOTICE

You must always set the Always option under DSA

mask.

Ambient light sensor gain

Under Bri sensor gain you define to which extent the system adjusts the screen backlight brightness to the ambient light conditions. You can select a value between 1 (weak gain) and 20 (strong gain).

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6 Configuration

Under Bri sensor limit you specify a maximum value for the screen backlight brightness. You can select a value between 0 and 32.

Ambient light sensor limit value

Under Bri sensor speed you define how long it takes to adjust the screen backlight brightness to changes in ambient light conditions. You can select a value between 10 s and 60 s.

Ambient light sensor speed

Here you define whether the histogram is displayed or not.

Histogram

Here you define whether the dose area product is displayed on the live screen or not.

Dose area product

Here you define whether the system checks the internal image data list for corrupt files during power-up. Always set the option On here.

File check

To match the virtual collimator to the iris collimator, do the following:

• Press the up arrow or down arrow key until the cursor is on the

Collimator offset menu item.

Collimator factor and collimator offset

• Press the close iris collimator key until the collimator is closed as far as possible.

• Initiate radiation and terminate it again.

• Press the close iris collimator key.

The virtual collimator appears on the screen.

• Press the left arrow or right arrow key until the actual and the virtual collimator coincide.

• Press key F1 – Save.

• Press the up arrow key.

The Collimator factor menu item is selected.

• Press the open iris collimator key until the collimator is completely open.

• Press the left arrow or right arrow key until the actual and the virtual collimator coincide.

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6 Configuration

Language

• Press key F1 – Save.

• Repeat the collimator offset and collimator factor adjustment alternately until the deviations are minimal.

You can choose between the following languages for the user interface:

− DEUTSCH

− ENGLISH

− FRANÇAISE

− ITALIANO

− ESPAÑOL

− SVENSKA

− POLSKI

− CZECH

To apply the settings, do the following:

• Press key F1 – Save.

• Switch off the system.

• Switch the system back on.

The new settings are valid now.

To discard system settings that have not been applied yet, do the following:

• Press key F2 – Cancel.

or

• Quit the Service Settings menu without applying the settings.

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6 Configuration

6.5.6

HEDIS data

To upload data from the system to a USB stick, do the following:

• In the Service Settings menu, press the up arrow or down arrow key until the cursor is on the HEDIS data menu item.

• Press the Enter key.

The keys F1 – Export and F2 – Import appear on the screen.

Fig. 6-38 Service Settings menu, HEDIS data menu item

• Plug the USB stick to which you want to upload the HEDIS data into the USB port.

• Press key F1 – Export.

The HEDIS data is uploaded to the USB stick and saved there.

• Press the ESC key.

To download data from a USB stick to the system, do the following:

• In the Service Settings menu, press the up arrow or down arrow key until the cursor is on the HEDIS data menu item.

• Press the Enter key.

The keys F1 – Export and F2 – Import appear on the screen.

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6 Configuration

Fig. 6-39 Service Settings menu, HEDIS data menu item

• Plug the USB stick with the HEDIS data you want to download to the system into the USB port.

• Press key F2 – Import.

The HEDIS data is downloaded from the USB stick to the system and saved.

• Press the ESC key.

6.5.7

Software update

To perform a software update, do the following:

• In the Service Settings menu, press the up arrow or down arrow key until the cursor is on the Software update menu item.

• Plug the USB stick that contains the first part of the backup copy into the USB port.

• Press the Enter key.

The following confirmation prompt appears:

Do you really want to update? Y/N

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6 Configuration

Fig. 6-40 Service Settings menu, Software update menu item

• Press the Y key on the alphanumeric keypad.

The software update is installed.

• Once the complete software update package has been installed, the following message is displayed:

Software update is completed

Please switch the system OFF and ON

• Switch the system off and back on.

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6 Configuration

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7 Technical Data

7.1

Ziehm 8000, Ziehm Compact and Ziehm Compact Litho

In compliance with the requirements of international standards (e.g. 21

CFR 1020.32-d, IEC 60601-2-43), the system emits less than 88 mGy/ min in any operating condition.

Voltage / frequency rating

Power supply fuse rating

230 V

AC

±10 %, 50/60 Hz

C 16 A (tripping characteristic C acc. to VDE 0641, Part

11; DIN EN 60898 + IEC 898)

I

N

≥ 16 A, I

AN

= 30 mA

Required residual current circuit breaker (RCD)

Typical current consumption

8 A continuous, 15 A momentary

Power input fuse

Maximum line impedance

Equipment protection classification

15 A, slow (2 pcs.)

≤ 0,6 Ω

Protection Class I, Type B ( ), ordinary equipment, continuous operation

Radiation controlled area

(with generator in lowermost position and

C-arm vertical)

Table 7-1

15 cm i.i.:

23 cm i.i.:

3 m

4 m

Technical data Ziehm 8000, Ziehm Compact and Ziehm Compact Litho

7-1

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7 Technical Data

Voltage / frequency rating

Power

Max. operating data

Max. power output

Nominal electric power

X-ray tube

Focal spot nominal size

Total filtration

Tube

Anti-scatter grid

Flat-screen monitors

Table 7-1

230 V

AC

±10 %, 50/60 Hz

Fluoroscopy:

Direct radiography:

Operating frequency:

Fluoroscopy:

Direct radiography:

Exposure time:

Fluoroscopy:

Single pulse:

Direct radiography:

40–110 kV / 0.2–6 mA

40–110 kV / 20 mA

20 kHz

110 kV / 0.2–6 mA

110 kV / 20 mA

0.1–4 s

660 W

880 W

2200 W

2000 W at 100 kV / 20 mA / 0.1 s

Dual-focus stationary-anode tube

Fluoroscopy:

Direct radiography:

0,5 mm

1,5 mm

>

3.9 mm aluminum equivalent

Input screen:

Nominal sizes:

Ziehm 8000 and

Ziehm Compact:

Ziehm Compact Litho:

Cesium iodide

23 / 15 / (10) cm or

15 / 10 cm

23 / 15 / (10) cm

Pb 8/40

Screen size:

Luminance:

Resolution:

Refresh rate:

Screen size:

Luminance:

Resolution:

Refresh rate:

Screen size:

Luminance:

Resolution:

Refresh rate:

61 cm (24") max. 400 Cd/m

85 Hz

46 cm (18.1") max. 600 Cd/m

2

1280 × 1024 pixels

75 Hz

2

1920 × 1200 pixels

59 cm (23") max. 500 Cd/m

2

1280 × 720 pixels

50 Hz

Technical data Ziehm 8000, Ziehm Compact and Ziehm Compact Litho (cont.)

7-2

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7 Technical Data

Voltage / frequency rating

Compact monitors

Flat-screen monitor

During storage and transport

During operation

230 V

AC

±10 %, 50/60 Hz

Screen size:

Luminance:

Resolution:

Refresh rate:

Temperature: –5 °C to +55 °C

Relative air humidity: 20 % – 70 %

Temperature: +15 °C to +35 °C

Relative air humidity: 20 % – 70 %

46 cm (18.1")

600 Cd/m

2

1280 × 1024 pixels

75 Hz

Ziehm 8000 and Ziehm

Compact

Source/image receptor distance:

Vertical free space generator-i.i.:

C-arm depth:

Orbital rotation:

Angulation:

Swiveling (panning):

Horizontal movement:

Vertical movement:

97 cm

76 cm

68 cm

115° / 135° a

± 225°

±10°

22 cm

43 cm / 63 cm

a

97 cm

Ziehm Compact Litho

Table 7-1

Source/image receptor distance:

Vertical free space generator-i.i:

76 cm

C-arm depth:

Orbital rotation:

Angulation:

Swiveling (panning):

Horizontal movement:

Vertical movement:

68 cm

115° / 135°

± 225°

0 cm

23 cm

a

Technical data Ziehm 8000, Ziehm Compact and Ziehm Compact Litho (cont.)

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7 Technical Data

Voltage / frequency rating

C-arm stand

Monitor cart

C-arm stand

230 V

AC

±10 %, 50/60 Hz

Width:

Depth:

Height:

Width:

Depth:

Height:

Ziehm 8000:

Ziehm Compact:

Ziehm Compact Litho:

80 cm

230 cm

214 cm

71 cm

69,5 cm

169 cm approx. 264 kg (23 cm i.i.) approx. 270 kg (23 cm i.i.) approx. 280 kg (23 cm i.i.) approx. 150 kg

Monitor cart

Ziehm 8000 with 24" flatscreen monitor:

Ziehm 8000 with 23" flatscreen monitor:

Ziehm 8000 with 18.1" flatscreen monitors: approx. 148 kg approx. 153 kg

Table 7-1 Technical data Ziehm 8000, Ziehm Compact and Ziehm Compact Litho (cont.) a.Option, not available for Ziehm Compact

NOTICE

Temperatures above 40°C and relative air humidity above

60% may cause stains on the printer’s heat-sensitive paper.

7-4

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7 Technical Data

7.2

Power plug specification

7.2.1

Systems with a voltage rating of 200V, 220V, 230V and 240V

Cables

Phase

Strain relief

Voltage

Dielectric strength

Current-carrying capacity

Flammability rating

Temperature

Mark of conformity

2.5 mm

2 three-wire supply voltage: two wires ground wire: one wire single-phase required

250 V

AC

2000 V

16 A continuous (min.) acc. to UL 94 V0

–40 °C to +80 °C

VDE or equivalent safety testing and national mark of conformity of country of installation (if required)

IP 20 or higher Equipment protection classification

Table 7-2 Power plug specification

7.3

Laser positioning device

Laser Class

Max. power output of continuous laser radiation, measured at the laser beam apertures

Class 2M acc. to IEC 60825-1:2001-11

< 1 mW

Wavelength of the radiation

635 nm

Table 7-3 Technical data of laser positioning device

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7 Technical Data

7.4

Dose meter

Additional absorption

2.8 mm Al

Sensitivity

(75 kV; 2.7 mm Al HVL)

pC

≥ 800

-------------mGy • cm

2

Measuring range of DAP power

(0,1–10

4

) mGy • cm

2

/s

Voltage range

Voltage correction

Aluminum equivalent

(35–150) kV

Fig. 7-1, p. 7-6

< 0.4 mm

Table 7-4 Technical data of dose meter

Voltage correction

Additional absorption: 2,8 mm Al filtration

Correction factor

Fig. 7-1 Voltage correction of dose meter

7-6

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7 Technical Data

7.5

Air kerma

In compliance with the requirements of international standards (e.g. 21

CFR 1020.32-d (1), IEC 60601-2-43), Ziehm fluoroscopy systems with automatic exposure rate control are not operable at any combination of tube voltage and tube current which will result in an exposure rate in excess of 88 mGy/min at the point where the center of the useful beam enters the patient.

Image intensifier input plane

Lead blocker

Dose probe

Interventional reference point

Focal spot

Fig. 7-2 Interventional reference point (Ziehm 8000)

The air kerma that is displayed on the system’s user interface refers to the interventional reference point according to IEC 60601-2-43 and 21

CFR 1020.32-d.

Air kerma deviation

Fig. 7-3

Voltage in kV

Typical deviation of dose as compared to an external calibrated measurement system

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7 Technical Data

7.6

Focal spot position

Reference axis

Focal spot (red dot)

Fig. 7-4

Anode angle

Focal spot position on systems with 23 cm i.i.

7-8

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

7.7

7.7.1

Dimensions

Ziehm 8000

7 Technical Data

C-arm stand with

23 cm i.i.

Fig. 7-5 Dimensions of C-arm stand on systems with 23 cm i.i.

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

7-9

7 Technical Data

Tolerances of

C-arm movements

C-arm stand with lower C-arm position

Fig. 7-6 Tolerances of C-arm movements on systems with 23 cm i.i.

7-10

Fig. 7-7 Dimensions of C-arm stand with lower C-arm position

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

620

597

7 Technical Data

Monitor cart with

24" flat-screen monitor

Stromaufnahme 8A Cont inous/ 1 5A Momentary 0,6 Net zimpedanz Net zspannung 2 30 V~ +6 %/ -10 % 50 Hz

Ins ta llat ionss icherung L 16 A

X S P a o

0 0 ito a

X P C

IA N o

IE Z B Y D E U R T C F A U N M A G E H B Y G M M H A N M R

D M E U R m be N ov T C F A U N M A H T O N R A Y E 997

ø 125

Fig. 7-8

500 500

Dimensions of a monitor cart with 24" flat-screen monitor

Monitor cart with

23" flat-screen monitor

Fig. 7-9 Dimensions of a monitor cart with 23" flat-screen monitor

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

7-11

7 Technical Data

Monitor cart with

18.1" flat-screen monitors

Fig. 7-10 Dimensions of a monitor cart with 18.1" flat-screen monitors

7.7.2

Ziehm Compact

Ziehm Compact with flat-screen monitor and 23 cm i.i.

7-12

Fig. 7-11 Dimensions of a Ziehm Compact with flat-screen monitor and 23 cm i.i.

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

7.7.3

Ziehm Compact Litho

7 Technical Data

Ziehm Compact

Litho with 23 cm i.i.

Fig. 7-12 Dimensions of Ziehm Compact Litho with 23 cm i.i.

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

7-13

7 Technical Data

7-14

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

8 Maintenance

8.1

General requirements

WARNING

Maintenance of this system must be carried out by trained personnel only.

Some checks may only be performed by authorized service engineers. Those checks are marked accordingly.

The regulation for designing, operating and using medical devices (MPBetreibV) in Germany or other relevant federal regulations applicable in other countries require regular inspections (safety-related inspections).

In general the equipment owner is held liable for performing them.

Ziehm Imaging GmbH recommends safety-related inspections every 12 months and will gladly assist you in performing them.

Keep a record of all checks and inspections the equipment is subject to and include them with the medical devices log book, which you are obliged to keep as the equipment owner.

The Food and Drug Administration (FDA) requires that the checks and inspections described in the related document CDRH Maintenance

Report. be performed at least every six months, in order to ensure that the X-ray system complies with federal regulations (specifically, the applicable sections of CFR 21, Subchapter J – Radiological Health).

The equipment owner is responsible for ensuring that the maintenance steps described in the said document are performed every six months.

Failure to comply with this requirement relieves the Manufacturer and his agents of all responsibility in this matter.

The equipment owner is furthermore responsible for ensuring that only service engineers certified by the manufacturer perform the tests and adjustments described in the above document.

Service engineers are responsible for performing the procedure in the sequence shown in the CDRH Maintenance Report.

USA

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

8-1

8 Maintenance

8.2

Electrics

Object

WARNING

Maintenance of this system must be carried out by trained personnel only. Some checks may only be performed by authorized service engineers. Those checks are marked accordingly.

Check the following functions at the specified time intervals:

Action required

Consistency test

Power cable

Electrical safety

Hand switch

Foot switch

Motorized vertical travel

C-arm stand control panel

Flat-screen monitors

Fluoroscopy modes

Coupling cable

Perform according to relevant national regulation of the country of installation

Inspect for physical damage

Check according to relevant national regulation of the country of installation

Inspect cable for damage

Inspect cable for damage

Move up and down to respective limit stops

All segments are activated during powerup

Contrast and brightness can be adjusted

Clean screens with a mild detergent mixed with water

Activate each mode, the corresponding

LED must light up

Inspect cable, plug-and-socket connections and anti-kink sleeves for physical damage

Inspect hose for physical damage

X

Swivel harness

Table 8-1 Regular electrical checks without radiation release

Checks involving radiation

X

X

X

X

X

X

X

X

X

X

X

To be able to check the following functions, you must initiate radiation:

8-2

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

Object

WARNING

Always observe the safety and precautionary measures required by the relevant national X-ray and radiation protection regulations.

Action required

8 Maintenance

Radiation warning lamp

Hand switch

Must be lit during radiation

Foot switch

Fluoroscopy

Iris collimator

Slot collimator

Direct radiography

(option)

Table 8-2

Must function with fluoroscopy and direct radiography

Dead man’s control for direct radiography

Must not release radiation in direct

radiography mode

The X-ray symbol on the control panel is lit

The radiation time display is counting up during radiation

“Unsaved” marks on the live screen disappear

An audible alarm sounds after 5 minutes of radiation time

Press min key briefly: The audible alarm is switched off

Press min key for more than 3 s: The

radiation time display is reset to zero

Open and close

Open and close, turn in both directions until reaching the right/left limit stops

Exposure time can be set between 0.1 and

4 s.

All film sizes can be selected, the LED of the corresponding key must light up

An audible alarm sounds throughout the exposure time

Regular electrical checks with radiation release

X

X

X

X

X

X

X

X

X

X

X

X

X

X

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

8-3

8 Maintenance

8.3

Mechanics

Object

WARNING

Maintenance of this system must be carried out by trained personnel only. Some checks may only be performed by authorized service engineers. Those checks are marked accordingly.

Check the following functions or perform the following maintenance work at the specified time intervals:

Action required

X-ray generator

C-arm stand wheels

Monitor cart wheels

C-arm

Inspect for physical damage (e.g. oil leakage)

Clean tread surfaces, cable guards and bearings

Clean tread surfaces, cable guards and bearings

Check proper locking of the parking brake

Clean gliding surface

Check retention force of orbital rotation brake in all C-arm positions

Check C-arm bearing for running noise

Clean gliding surface of lifting column Motorized vertical travel

C-arm stand and monitor cart control panels

Labels on the unit

Table 8-3

Inspect foil for damage

Check whether all warning and information labels are legible

Regular mechanical checks

X

X

X

X

X

X

X

X

X

X

8-4

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

8 Maintenance

Object Action required

C-arm stand wheels

Monitor cart wheels

Steering

Clamping levers of mechanical brakes

Motorized vertical travel

Table 8-3

Readjust or replace brake blocks

Check firm seat of wheel brackets

Check firm seat of wheel brackets

Check mechanical play between steering lever and wheels

Grease thread with Varilub extreme

pressure lubricant

Grease lifting spindle with Varilub extreme

pressure lubricant

Inspect bearings for damage

Regular mechanical checks (cont.)

X

X

X

X

X

X

X

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

8-5

8 Maintenance

8-6

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

9 Replacing Components

9.1

Hand switch and foot switch

Hand switch

Twist lock

Safety sleeve of twist lock

Fig. 9-1 Connection of hand switch cable

Twist lock

Safety sleeve of twist lock

Strain relief

Fig. 9-2 Connection of foot switch cable

To replace the hand or foot switch, do the following:

• Unscrew the safety sleeve of the twist lock using an Allen key (2 mm).

Foot switch: Unscrew the strain relief using an Allen key (2.5 mm).

• Open the twist lock.

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

9-1

9 Replacing Components

• Unplug the cable.

• Plug in the cable of the new switch.

• Close the twist lock.

Foot switch: Screw down the strain relief using an Allen key (2.5 mm).

• Screw down the safety sleeve of the twist lock using an Allen key

(2 mm).

9.2

Coupling cable

Coupling cable connection

Coupling cable plug

Locking lever latching on both sides

Fig. 9-3 Coupling cable connection

To replace the coupling cable, do the following:

• Press the locking lever toward the unit.

The latches open.

• Unplug the coupling cable.

• Plug in the new coupling cable.

• Pull the locking lever away from the unit so that the latches lock.

9-2

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

9.3

Fuses

Rating

Transformer TR1 (11079)

F2

F3

10A, slow (5×20 mm)

10A, slow (5×20 mm)

Art. No.

17007

17007

Function

Supply of lifting motor

Supply of U326 – heating current

Transformer TR2 (11081)

F1

F4

F5

F6

F7

F8

F9

2A, slow (5×20 mm)

4A, slow (5×20 mm)

4A, slow (5×20 mm)

1A, slow (5×20 mm)

1A, slow (5×20 mm)

1A, slow (5×20 mm)

1A, slow (5×20 mm)

17006

17021

17021

17019

17019

17019

17019

Line-side fuse TR2

Supply for component 1

(18V) on U333

Supply for different 5V voltages on U334

Supply for monitor rotation

Table 9-1 Transformer fuses

F1

F4

F5

F7

F8

Table 9-2

Rating Art. No.

Function

15 A, fast (6.3×32mm) 17076 230V power supply

15 A, fast (6.3×32mm) 17076

1A, slow (5×20 mm) 17019

100 mA, slow

(5×20mm)

250 mA, slow

(5×20mm)

17056

17001

Load resistor (RL) for transformer 11079

Input of transformer

11080 on U333

Output of transformer

11080 on U333

Fuses on U333

F2

F3

Table 9-3

Rating Art. No.

Function

20 A, slow (6.3×32 mm) 17044 120V power supply

20 A, slow (6.3×32 mm) 17044

Fuses on the transformer mounting plate

9 Replacing Components

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

9-3

9 Replacing Components

Name Rating

F1A

F1B

15 A, slow

Function

Power fuse for 210-220-230-240 V

AC

20 A, slow Power fuse for 105-110-115-120 V

AC

15 A, slow Power fuse for 210-220-230-240 V

AC

20 A, slow Power fuse for 105-110-115-120 V

AC

Table 9-4 External fuses on the monitor cart

9-4

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

10 Problem Report

10.1

List of error and alert messages

Code

E 16

E 17

E 18

E 19

Type

Alert

Alert

Alert

Alert

Description

Hand switch 1 pressed during power-up

Foot switch 1 pressed during power-up

Hand switch 2 pressed during power-up

Foot switch 2 pressed during power-up

Measures

Release hand switch and acknowledge alert message by briefly pressing hand or foot switch.

Caution:

On systems with four-pedal foot switch, hand switch 1 = foot switch

1 (left to right)

Release foot switch and acknowledge alert message by briefly pressing hand or foot switch.

Caution:

On systems with four-pedal foot switch, foot switch 1 = foot switch 3

(left to right)

Release hand switch and acknowledge alert message by briefly pressing hand or foot switch.

Caution:

On systems with four-pedal foot switch, hand switch 2 = foot switch

2 (left to right)

Release foot switch and acknowledge alert message by briefly pressing hand or foot switch.

Caution:

On systems with four-pedal foot switch, foot switch 2 = foot switch 4

(left to right)

Please contact after-sales service!

E 20

E 21

E 22

E 23

E 24

Error

Alert

Alert

Alert

Alert

Short circuit in hand or foot switch cable

Radiation warning lamp defective

Internal fault

Internal fault

Internal fault

Table 10-1 List of error and alert messages

Please contact after-sales service!

Please contact after-sales service!

Please contact after-sales service!

Please contact after-sales service!

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

10-1

10 Problem Report

Code

E 25

E 26

E 27

E 28

E 29/

E 26

(alternat ely)

E 38

E 39

E 40

E 41

E 42

E 43

E 30

E 31

E 32

E 33

E 34

E 35

E 36

E 37

E 44

E 45

Type

Error

Error

Error

Error

Alert

Error

Alert

Alert

Error

Alert

Alert

Alert

Alert

Alert

Alert

Alert

Alert

Alert

Error

Error

Error

Description

Internal fault

Internal fault

Internal fault

Internal fault

Ziehm 8000 without Active

Cooling:

General generator fault or

Generator overheated

(temperature symbol on the

C-arm stand illuminated)

Ziehm 8000 with Active

Cooling:

General generator fault

Internal fault

Internal fault

Internal fault

Internal fault

Internal fault

Internal fault

Internal fault

Internal fault

Internal fault

Internal fault

Internal fault

Internal fault

Internal fault

Dose meter check (VacuDAP,

VacuDAP C): Value measured is outside the tolerance range

Control connection to monitor cart interrupted

Internal fault (VacuDAP duo)

Measures

Please contact after-sales service!

Please contact after-sales service!

Please contact after-sales service!

Please contact after-sales service!

Please contact after-sales service!

or

Allow generator to cool down

Please contact after-sales service!

Please contact after-sales service!

Please contact after-sales service!

Please contact after-sales service!

Please contact after-sales service!

Please contact after-sales service!

Please contact after-sales service!

Please contact after-sales service!

Please contact after-sales service!

Please contact after-sales service!

Please contact after-sales service!

Please contact after-sales service!

Please contact after-sales service!

Please contact after-sales service!

Repeat dose meter check.

If the error message appears again, contact after-sales service.

Please contact after-sales service!

Acknowledge error message by briefly pressing hand or foot switch.

Table 10-1 List of error and alert messages (cont.)

10-2

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

10 Problem Report

Code

E 46

E 47

E 48

Type

Error

Error

Error

Error

Error

Error

Error

Error

Alert

Error

Alert

Error

Error

Error

Error

Error

Error

Error

Error

E 59

E 60

E 61

E 62

E 63

E 64

E 65

E 90

E 51

E 52

E 53

E 54

E 55

E 56

E 57

E 58

Description

During power-up:

Error in VacuDAP duo dose meter system

During operation:

Error in VacuDAP duo dose meter system

Measuring value limit of 9999.9 cGy cm

2

or 999.99 mGy has been exceeded.

If the measuring value limit for the air kerma rate (999.99 mGy/min.) is exceeded during an exposure, radiation is not interrupted. The error number appears after radiation has been terminated. It is not possible to reinitiate radiation.

Dose meter check (VacuDAP duo): Error in dose meter system

Measures

Acknowledge error message by briefly pressing hand or foot switch.

Press min key (long keystroke).

Press min key (long keystroke).

Internal fault

Internal fault

Internal fault

Internal fault

Internal fault

Internal fault

Internal fault

Internal fault

Internal fault

Internal fault

Internal fault

Internal fault

Internal fault

Internal fault

Internal fault

Internal fault

Table 10-1 List of error and alert messages (cont.)

Acknowledge error message by briefly pressing hand or foot switch to be able to continue working with the system.

Please contact after-sales service!

Please contact after-sales service!

Please contact after-sales service!

Please contact after-sales service!

Please contact after-sales service!

Please contact after-sales service!

Please contact after-sales service!

Please contact after-sales service!

Please contact after-sales service!

Please contact after-sales service!

Please contact after-sales service!

Please contact after-sales service!

Please contact after-sales service!

Please contact after-sales service!

Please contact after-sales service!

Please contact after-sales service!

Please contact after-sales service!

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

10-3

10 Problem Report

Code

E 91

E 92

E 93

E100

E101

E102

E105

Type

Alert

Alert

Error

Error

Alert

Error

Alert

Description

Internal fault

Radiation warning lamp on the monitor cart defective

Internal fault

Internal fault

CD-Recall is selected, fluoroscopy inhibited

Internal fault

Not enough hard disk space available for operation

Measures

Please contact after-sales service!

Please contact after-sales service!

Please contact after-sales service!

Please contact after-sales service!

Deactivate CD recall under

Configuration Menu

User

Settings

Please contact after-sales service!

Delete a protected patient folder after unprotecting it with the key combination Shift+F4.

Perform a backup of the hard disk as soon as possible and then delete the backed-up patient folders

Please contact after-sales service!

E106

E151

Error

Alert

Hard disk access error

The system continues to operate in restricted mode: radiation can be initiated, but no images can be saved.

Internal fault

Table 10-1 List of error and alert messages (cont.)

Please contact after-sales service!

10-4

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

10.2

What to do if ...

Situation

The monitor screens remain dark for more than approx. 1 min after switching on the system.

• Press the MENU key.

The LED of the MENU key lights up. The memory software is running.

Remedy

• Check the voltage supply of the monitors and the video connection.

If all of the green LEDs on the monitor chassis plate are lit, the monitor voltage supply and the video connection are O.K.

or

• Check whether the I

2

C bus cable is connected to the I

2

C connector (and not to the CRT connector).

or

The monitor screens remain dark for more than approx. 1 min after switching on the system.

• Press the MENU key.

The LED of the MENU key does not light up. The memory software is not running.

Table 10-2 Troubleshooting

• Check whether the flat-screen monitors are switched on

(small switches on the back of the monitors).

• Check the voltage supply of the image memory module. The main switch may be off.

or

• Check the voltage supply and the data cable of the CD writer.

10 Problem Report

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

10-5

10 Problem Report

10.3

Failure of the power supply

If the power supply fails, the system switches off automatically. Any unsaved patient data and/or images are lost.

Patient data and images that were saved to hard disk with the save function are preserved even after a power supply failure.

NOTE

Save all images that you might need later to hard disk with the save function during operation of the unit.

10-6

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

11 Disassembling the System

11.1

Dismounting the 23" or 24" flat-screen monitors

NOTICE

Always wear cotton gloves when installing, testing or making settings on displays or screens.

To dismount the flat-screen monitor from the monitor cart base, do the following:

• Remove the rear cover of the monitor cart base.

• Remove the rear cover of the monitor neck.

• To detach the ground wire from the monitor neck housing (→ Fig. 11-

1, p. 11-2), remove nut and washer from the screw, remove the

ground wire from the screw, place the washer on the screw again and retighten the nut.

• Unplug the video cable (labeled LM) and the radiation warning lamp cable (cable labeled Xray-Ind, connection labeled X-ray lamp) from the image memory.

• Inside the monitor cart base detach the flat-screen monitor power plug from the power supply unit.

• Pull the following cables from the monitor cart base up into the monitor neck (

Fig. 11-1, p. 11-2):

− Video cable (labeled LM)

− Radiation warning lamp cable (labeled Xray-Ind)

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

11-1

11 Disassembling the System

• Pull the ground wire from the monitor neck down into the monitor cart base.

Radiation warning lamp cable (labeled Xray-

Ind)

Ground connection

(internal)

Video cable (labeled

LM)

Power plug of the flat-screen monitor

Ground wire

Fig. 11-1 Cables inside monitor neck and monitor cart base

• Undo the 4 screws M6×16 that attach the flat-screen monitor to the monitor cart base.

NOTE

Since the flat-screen monitor will be mounted onto a transport rack, you do not need the screws (M6×16) that held the monitor head to the monitor cart base at this point. Put these screws in the accessories box

(

Ch. 12.5, p. 12-5).

• With the help of a second person, lift the flat-screen monitor off the monitor cart base.

WARNING

The flat-screen monitor cannot be lifted by one person alone. Therefore always ask a second person to assist you in lifting the flat-screen monitor off the monitor cart base.

NOTICE

Never place the flat-screen monitor directly on some surface, always place them on the transport rack.

• Carefully place the monitor head on the transport rack.

11-2

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

11 Disassembling the System

Fig. 11-2 Monitor cart base without monitor head

Transport rack

Fig. 11-3 23" or 24" flat-screen monitor on the transport rack

• Mount the monitor head to the transport rack using four screws.

• Reattach the rear cover of the monitor neck using four screws.

• Reattach the rear cover of the monitor cart base.

• Inside the monitor cart tape the power plug to the side panel.

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

11-3

11 Disassembling the System

11.2

Dismounting the 18.1" flat-screen monitors

NOTICE

Always wear cotton gloves when installing, testing or making settings on displays or screens.

To dismount the flat-screen monitors from the monitor cart base, do the following:

• Remove the rear cover of the monitor cart base.

• Remove the rear cover of the flat-screen monitors.

• To disconnect the ground wire from the monitor cart base, remove the nut, withdraw the ground wire from the screw and retighten the nut.

• Unplug the video cables and the radiation warning lamp cable from the image memory module.

• Disconnect the power supply units of the flat-screen monitors from the corresponding connectors for non-heating devices.

11-4

Video signal of left monitor

Video signal of right monitor

Radiation warning lamp connection

Ground wire

Fig. 11-4 Connections on the flat-screen monitors

• Pull the following cables from the monitor cart base up into the monitor housing (

Fig. 11-4, p. 11-4):

− 2 video cables (golden)

− Radiation warning lamp cable

− Ground wire

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

11 Disassembling the System

• Undo the 4 screws M6×16 that attach the flat-screen monitors to the monitor cart base.

NOTE

Since the flat-screen monitors will be mounted onto a transport rack, you do not need the screws (M6×16) that held the monitor head to the monitor cart base at this point. Put these screws in the accessories box

(

Ch. 12.5, p. 12-5).

• With the help of a second person, lift the flat-screen monitors off the monitor cart base.

WARNING

The flat-screen monitors cannot be lifted by one person alone. Therefore always ask a second person to assist you in lifting the monitors off the monitor cart base.

NOTICE

Never place the flat-screen monitors directly on some surface, always place them on the transport rack.

• Reattach the rear cover of the monitor cart base.

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

11-5

11 Disassembling the System

11-6

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

12 Mounting the System on a

Pallet

12.1

Safety instructions and information

12.1.1

Safety instructions

WARNING

Only authorized personnel is allowed to pack and unpack the system. Authorized personnel are persons who have attended an appropriate training course provided by the manufacturer.

WARNING

Always observe the general occupational safety and accident prevention regulations!

WARNING

When handling detergents and solvents, strictly observe the safety instructions provided by the respective manufacturer!

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

12-1

12 Mounting the System on a Pallet

12.2

Information

Scope of validity

These instructions apply to the shipment of Ziehm 8000 X-ray systems on pallets. Please pay special attention to the additional information referring to sea transport.

12.3

Environmental conditions

The system must not be exposed to extreme ambient conditions. The following minimum/maximum values must not be exceeded during storage or operation:

Storage/transport:

− Temperature: -5 °C to +55 °C

− Relative air humidity: 20 % - 70 %

Operation:

− Temperature: +15 °C to +35 °C

− Relative air humidity: 70 % max.

WARNING

Do not put the system into service at temperatures below

15 °C!

NOTICE

Temperatures above 40°C and relative air humidity above

60% may cause stains on the printer’s heat-sensitive paper.

12-2

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

12 Mounting the System on a Pallet

12.4

Packing material and contents

12.4.1

Material

Article

Pallet

Transport rack with

4 screws M10×25 with washers and

4 wood screws 10×40

Steel retaining brackets:

Retaining bracket 1 with

2 wood screws 10×40

2 retaining brackets 2 with

4 wood screws 10×40

Retaining bracket 3 with

2 Allen screws M8×20

Retaining bracket 4 with

2 wood screws 10×40

Rigid foam

Wooden laths 380mm × 80mm × 60mm with rubber strips

Cardboard box for the pallet

Cardboard box for accessories

Bubble wrap

Foam rubber

Detergents:

Bioclean

Foam-Cleaner

Nitro solvent

Styrofoam material

Table 12-1 Packing material

65827

56285

65828

56285

65829

56137

65830

56285

26240

13112

54067

26372

26392

Art. No.

26374

66245

56172,

57032

56285

List

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

12-3

12 Mounting the System on a Pallet

Article

Particle board 740mm × 460mm × 20mm with

4 particle board screws, 80mm long

Clout nails

2 boards

Cross lath

2 shock watch devices

Label “Transportkontrolle – Monitored shipment”

Address label

Label “Vorsicht Glas” [Glass – Handle With Care]

Monitors:

Transport rack for flat-screen monitors with

4 screws M6×12 and

4 wood screws 10×40

Table 12-1 Packing material (cont.)

Art. No.

6.03364.1

56232

56285

Fig. 12-1 Packing material

12.4.2

Parts to be packed

− Monitor cart

− C-arm stand

− Flat-screen monitors (monitor head)

− Ramp (for drop shipments)

− Accessories

12-4

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12 Mounting the System on a Pallet

12.5

How to pack the accessories

To pack the accessories on the pallet, do the following:

• Assemble the cardboard box for the accessories.

• Pad the cardboard box with bubble wrap.

• Place all accessories (→ Ch. 1.3, p. 1-4) inside the cardboard box.

• Close the cardboard box and tape shut it with shipping tape.

• After having mounted the monitor cart, the C-arm stand and the

monitor head on the pallet (see Ch. 12.6 and Ch. 12.7), place the

accessories box on the pallet as illustrated in Fig. 12-2.

Styrofoam block

Fig. 12-2 Position of the accessories box on the pallet

• Place a styrofoam block between cardboard box and retaining bracket to prevent the box from moving back and forth.

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12-5

12 Mounting the System on a Pallet

12.6

Packing the monitor cart

To mount the monitor cart on the pallet, do the following:

• Place the ramp to the short front side of the pallet.

NOTE

If you use the ramp supplied with a drop shipment, then attach the ramp to the sides of the pallet using both fixing clamps (

Fig. 12-3).

Fixing clamp

Fig. 12-3 Pallet with attached ramp

• Place a sufficiently dimensioned piece of wrap foil on the pallet.

• Fold the excessive wrap foil to the sides of the pallet.

12-6

Fig. 12-4 Pallet with wrap foil

• Carefully push the monitor cart onto the pallet using a ramp.

Ziehm 8000

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12 Mounting the System on a Pallet

Fig. 12-5 Monitor cart base without monitor head

• Place a foam rubber block as padding on the pallet and put the

monitor cart into the position shown below (

Fig. 12-6) with the help

of a second person.

WARNING

Due to the heavy weight of the monitor cart there is a risk that it will tilt over if not blocked.

Therefore never move the unit alone into the position illustrated (

Fig. 12-6), always ask a second person to

assist you!

Fig. 12-6 Monitor cart lying flat on the pallet

• Tape foam rubber to the cable support (→ Fig. 12-7).

• Wrap the wheels in bubble wrap.

Ziehm 8000

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12-7

12 Mounting the System on a Pallet

• Fasten the transport rack at the bottom plate of the monitor cart using the four screws provided for that purpose.

Cable support

Screws for the transport rack

Fig. 12-7 Monitor cart with transport rack attached

• Put the monitor cart back into an upright position with the help of a second person and remove the foam rubber block from the pallet.

• Position the monitor cart on the pallet as illustrated in Fig. 12-8 (at a

distance of 180 mm / 80 mm from the pallet edge).

12-8

80 mm

180 mm

Fig. 12-8 Position of the monitor cart on the pallet

• Attach the transport rack to the pallet using the corresponding wood screws.

Ziehm 8000

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12 Mounting the System on a Pallet

USA:

Drill three holes for the round head square neck bolts.

Fasten the transport rack with the corresponding wood screw (from above, because of the pallet stringers) and the round head square neck bolts (from below) to the pallet.

• Clean the monitor cart with Bioclean (n/a for USA).

NOTE

At this point, you must interrupt the monitor cart packing procedure and prepare the C-arm stand first

(

p. 12-12), as the C-arm stand needs to be connected

to the monitor cart and the monitor cart to the power supply for proper packing (

Ch. 12.7, p. 12-10).

• Wrap the monitor cart in foam rubber and bubble wrap.

• Attach a styrofoam block (20 mm to 50 mm) on top of the monitor cart.

Styrofoam block

Fig. 12-9 Wrapped monitor cart

Ziehm 8000

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12-9

12 Mounting the System on a Pallet

12.7

Packing the C-arm stand

To mount the C-arm stand on the pallet, do the following:

• Carefully push the C-arm stand onto the pallet using a ramp.

• Position the C-arm stand as illustrated in Fig. 12-10.

• Position the C-arm as illustrated in Fig. 12-10.

Fig. 12-10 Position of the C-arm stand and the C-arm on the pallet

• Remove the ramp.

NOTE

To use the ramp supplied with a drop shipment, do the following:

− Remove the fixing clamps attaching the ramp.

− Hook up the fixing clamps into the drill holes on the

pallet provided for that purpose (

Fig. 12-11).

Fixing clamp

12-10

Fig. 12-11 Fixing clamp hooked up in the drill holes on the pallet

• Clean the C-arm stand with Bioclean (n/a for USA).

Ziehm 8000

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12 Mounting the System on a Pallet

• Wrap the generator and image intensifier in bubble wrap.

• Jam a 40mm styrofoam block between the image intensifier and the horizontal carriage.

Styrofoam block

Fig. 12-12 Styrofoam block between image intensifier and horizontal carriage

• Glue the corresponding rubber strips on top of the wooden laths.

• Place the wooden laths below the C-arm stand as illustrated in

Fig. 12-13 and Fig. 12-14. Lift the C-arm stand slightly for that

purpose.

Fig. 12-13 Position of the wooden laths

Fig. 12-14 C-arm stand with wooden laths placed below

Ziehm 8000

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12-11

12 Mounting the System on a Pallet

• First place foam rubber and then retaining bracket 1 over the C-arm

stand foot as illustrated in Fig. 12-14.

• Place retaining brackets 2 over the laterally protruding feet as

illustrated in Fig. 12-15.

• Connect the C-arm stand by means of the coupling cable to the monitor cart.

• Connect the monitor cart to the power supply.

• Switch on the C-arm stand.

WARNING

When you press the hand or foot switch, the system starts to emit radiation!

• Press the Move Up/Down keys to adjust the vertical position of the

C-arm so that retaining bracket 4 can be placed below the C.

• Place retaining bracket 3 over the C-arm so that its feet rest on retaining bracket 4.

• Attach retaining bracket 3 to retaining bracket 4 by means of the

corresponding screws, as illustrated in Fig. 12-15.

• Press the Move Up/Down keys to adjust the vertical position of the

C-arm so that retaining bracket 4 rests on the pallet.

Bracket 2

Bracket 1

Bracket 3

Bracket 4

Fig. 12-15 Retaining brackets 1–4

12-12

Ziehm 8000

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12 Mounting the System on a Pallet

USA: Pre-drilled wooden blocks below bracket 2 on left lateral wheel

Fig. 12-16 Retaining bracket 2 over left lateral wheel for USA

• Switch off the C-arm stand.

• Disconnect the monitor cart from the power supply.

• Disconnect the C-arm stand from the monitor cart.

NOTE

After having disconnected the C-arm stand from the monitor cart, you must finish the monitor cart packing procedure (

p. 12-9).

• Screw down all retaining brackets using the corresponding screws.

USA:

Place the small wooden blocks with pre-drilled holes below retaining bracket 2 over the left lateral wheel (

Fig. 12-16).

Drill 8 holes for the round head square neck bolts.

Attach all retaining brackets from below to the pallet using the corresponding round head square neck bolts.

Ziehm 8000

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12-13

12 Mounting the System on a Pallet

• Wrap the C-arm stand in bubble wrap and pad it with foam rubber and styrofoam material.

• Attach styrofoam material to the C-arm stand as illustrated in

Fig. 12-17.

Fig. 12-17 Wrapped C-arm stand

• Jam a foam rubber block between the generator and the monitor cart.

Fig. 12-18 Foam rubber block between generator and monitor cart

12-14

Ziehm 8000

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12 Mounting the System on a Pallet

12.8

Packing the monitor head

To pack the monitor head, do the following:

• Clean the screen with Foam-Cleaner.

• Wrap the monitor head in bubble wrap (→ Fig. 12-19).

Bubble wrap

Transport rack for monitor head

Fig. 12-19 Monitor head on the transport rack

• Place the transport rack with monitor head on the pallet between

monitor cart and C-arm stand (Fig. 12-20).

The screws M6×12 that held the monitor head to the monitor cart base are not required at this point. Put them in the accessories box

(

Ch. 1.3, p. 1-4).

Styrofoam material

Fig. 12-20 Transport racket with packed monitor head on the pallet

Ziehm 8000

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12-15

12 Mounting the System on a Pallet

• Attach the styrofoam material on the rear of the monitor head (→

Fig. 12-20).

• Attach the transport rack to the pallet using the corresponding wood screws (

Fig. 12-21).

USA:

Drill the holes for the round head square neck bolts and attach the transport rack to the pallet using the round head square neck bolts.

Fig. 12-21 Mounted transport rack with packed monitor head

12-16

Ziehm 8000

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12 Mounting the System on a Pallet

12.9

Packing the ramp

Prerequisites

Before packing the ramp, do the following:

• Fold the wrap foil on the pallet around the system components and heat-seal them but leave a small opening.

• Remove the air from the wrap foil through the opening using vacuum suction.

• Heat-seal the small opening.

• Tape the wrap foil with shipping tape.

To mount the ramp on the pallet, do the following:

• Position the ramp on the pallet as illustrated in Fig. 12-22.

Ramp

Fig. 12-22 Position of the ramp on the pallet

• Position board 1 on the side of the ramp and attach it using two screws (5 × 60 mm) (

Fig. 12-23).

• Put the big cardboard box over the pallet.

• Attach the cardboard box to the pallet using clout nails.

• Position board 2 between cardboard box and board 1 already attached to the ramp.

Ziehm 8000

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12-17

12 Mounting the System on a Pallet

Board 3

Board 4

Board 2

Board 1

Ramp

Fig. 12-23 Packing of the ramp

• Attach board 2 to the outside of the cardboard box using three screws

(5 × 40 mm) (

Fig. 12-24).

Screws attaching the lateral boards (boards 2 and 3)

Fig. 12-24 Attachment of the lateral boards

• Position 3 on the opposite inside of the cardboard box and attach board 3 using three screws (5 × 40 mm) from the outside of the cardboard box.

• Attach board 4 to the boards 2 and 3 using two screws (4 × 40 mm).

• Now continue with the packing procedure of the full pallet not yet performed (

Ch. 12.10, p. 12-19).

12-18

Ziehm 8000

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12 Mounting the System on a Pallet

12.10

Packing the full pallet

To complete packing of the full pallet, do the following:

• Fold the wrap foil on the pallet around the system components and heat-seal them but leave a small opening.

• Remove the air from the wrap foil through the opening using vacuum suction.

Fig. 12-25 Removing the air with suction

• Heat-seal the small opening.

• Tape the wrap foil with shipping tape.

Fig. 12-26 Taped wrap foil

• Put the big cardboard box over the pallet.

• Attach the cardboard box to the pallet using clout nails.

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12-19

12 Mounting the System on a Pallet

• Close the cardboard box and tape shut it with shipping tape.

Fig. 12-27 Closed cardboard box

• Affix one of the shock watch devices on the cardboard box as illustrated, and a second one on the long side of the cardboard box.

12-20

Fig. 12-28 Position of the labels on the short side

• Affix a “Transportkontrolle – Monitored shipment” label above each shock watch device on the outside of the cardboard box

(

Fig. 12-28).

• Affix the address label as well as the label “Vorsicht Glas” [Glass –

Handle With Care] on the cardboard box as illustrated in Fig. 12-28

and Fig. 12-29.

Ziehm 8000

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12 Mounting the System on a Pallet

Fig. 12-29 Labels on the long side

• Secure the cardboard box together with the pallet with plastic straps

as illustrated in Fig. 12-28 and Fig. 12-29.

Ziehm 8000

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12-21

12 Mounting the System on a Pallet

12-22

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

Appendix A

A.1

Manufacturer’s Declaration concerning

Electromagnetic Compatibility acc. to IEC 60601-1-2

(Class B)

Guidance and Manufacturer’s Declaration – electromagnetic emissions

The Ziehm 8000, Ziehm Compact and Ziehm Compact Litho are intended for use in the electromagnetic environment specified below. The customer or the user of the Ziehm 8000, Ziehm Compact or Ziehm

Compact Litho should assure that the systems are used in such an environment.

Emissions tests

RF emissions acc. to

CISPR 11

RF emissions acc. to

CISPR 11

Harmonic emissions acc. to IEC 61000-3-2

Voltage fluctuations/ flicker emissions acc. to IEC 61000-3-3

Table A-1

Compliance

Group 1

Class B

Class A

Complies

Electromagnetic environment – guidance

The Ziehm 8000, Ziehm Compact and Ziehm

Compact Litho use RF energy only for their internal function. Therefore, their RF emissions are very low and are not likely to cause any interference in nearby electronic equipment.

The Ziehm 8000, Ziehm Compact and Ziehm

Compact Litho are suitable for use in all establishments, including domestic establishments and those directly connected to the public low-voltage power supply network that supplies buildings used for domestic purposes.

Guidance and Manufacturer’s Declaration – electromagnetic emissions

A-1

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

Appendix A

Guidance and Manufacturer’s Declaration – electromagnetic immunity

The Ziehm 8000, Ziehm Compact and Ziehm Compact Litho are intended for use in the electromagnetic environment specified below. The customer or the user of the Ziehm 8000, Ziehm Compact or Ziehm

Compact Litho should assure that the systems are used in such an environment.

Immunity tests

Electrostatic discharge (ESD) acc. to IEC 61000-

4-2

IEC 60601 test level

± 6 kV contact discharge

± 8 kV air discharge

Compliance level

± 6 kV contact discharge

± 8 kV air discharge

Electromagnetic environment

– guidance

Floors should be wood, concrete or ceramic tile. If floors are covered with synthetic material, the relative humidity should be at least 30%.

Mains power quality should be that of a typical commercial or hospital environment.

Electrical fast transient/burst acc. to IEC 61000-

4-4

Surge acc. to IEC

61000-4-5

± 2 kV for power supply lines

± 1 kV for input/ output lines

± 1 kV differential mode

± 2 kV common mode

± 2 kV for power supply lines

± 1 kV for input/ output lines

± 1 kV differential mode

± 2 kV common mode

Mains power quality should be that of a typical commercial or hospital environment.

Voltage dips, short interruptions, and voltage variations on power supply input lines acc. to

IEC 61000-4-11

< 5% U

40% U

70% U

T

T

< 5% U

T

T

for 0.5 cycle (>95% dip)

for 5 cycles (60% dip)

for 25 cycles (30% dip)

for 5 s

(> 95% dip)

< 5% U

T

for 0.5 cycle (>95% dip)

40% U

T

for 5 cycles (60% dip)

70% U

T

for 25 cycles (30% dip)

< 5% U

T

for 5 s

(> 95% dip)

Mains power quality should be that of a typical commercial or hospital environment.

If the user of the Ziehm 8000,

Ziehm Compact or Ziehm

Compact Litho requires continued operation during power mains interruptions, it is recommended that the Ziehm

8000, Ziehm Compact or Ziehm

Compact Litho be powered from an uninterruptible power supply or battery.

Power frequency

(50/60 Hz) magnetic field acc. to IEC 61000-4-8

3 V/m 3 V/m Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment.

NOTE: U

T

is the AC mains voltage prior to application of the test level

Table A-2 Guidance and Manufacturer’s Declaration – electromagnetic immunity

A-2

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

Appendix A

Guidance and Manufacturer’s Declaration – electromagnetic immunity

The Ziehm 8000, Ziehm Compact and Ziehm Compact Litho are intended for use in the electromagnetic environment specified below. The customer or the user of the Ziehm 8000, Ziehm Compact or Ziehm

Compact Litho should assure that the systems are used in such an environment.

Immunity tests IEC 60601 test level

Compliance level

Electromagnetic environment

– guidance

Portable and mobile RF communications equipment should be used no closer to the

Ziehm 8000, Ziehm Compact or

Ziehm Compact Litho, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter.

Recommended separation distance:

d = 1.2 × SQRT(P) Conducted RF disturbances acc. to IEC 61000-4-6

Radiated RF disturbances acc. to IEC 61000-4-3

Table A-3

3 V rms

150 kHz to 80

MHz

3 V/m

80 MHz to 2.5

GHz

3 V rms

3 V/m d = 1.2 × SQRT(P) 80 MHz to

800 MHz

d = 2.3 × SQRT(P) 800 MHz to

2.5 GHz

Guidance and Manufacturer’s Declaration – electromagnetic immunity

Ziehm 8000

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A-3

Appendix A

Immunity tests IEC 60601 test level

Compliance level

Electromagnetic environment

– guidance

where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer and d is the recommended separation distance in meters (m).

Field strengths from fixed RF transmitters, as determined by an electromagnetic site survey a

, should be less than the compliance level b

in each frequency range.

Interference may occur in the vicinity of equipment marked with the following symbol:

NOTE 1: At 80 MHz and 800 MHz, the higher frequency range applies.

NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people.

a

Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the Ziehm 8000, Ziehm

Compact or Ziehm Compact Litho are used exceeds the applicable RF compliance level above, the Ziehm 8000, Ziehm Compact or Ziehm Compact Litho should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating the Ziehm 8000, Ziehm Compact or Ziehm Compact Litho.

b

Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.

Table A-3 Guidance and Manufacturer’s Declaration – electromagnetic immunity (cont.)

A-4

Ziehm 8000

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Appendix A

Recommended separation distances between portable and mobile

RF communications equipment and the Ziehm 8000, Ziehm

Compact or Ziehm Compact Litho

The Ziehm 8000, Ziehm Compact and Ziehm Compact Litho are intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the Ziehm 8000,

Ziehm Compact or Ziehm Compact Litho can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment

(transmitters) and the Ziehm 8000, Ziehm Compact or Ziehm Compact

Litho as recommended below, according to the maximum output power of the communications equipment.

Rated maximum output power of transmitter

W

0,01

0,1

1

10

Separation distance according to frequency of transmitter

150 kHz to 80 MHz

d = 1.2 × SQRT(P)

0,12

0,38

1,2

3,8

80 MHz to 800 MHz

d = 1.2 × SQRT(P)

0,12

0,38

1,2

3,8

m

800 MHz to 2.5 GHz

d = 2,3 × SQRT(P)

0,23

0,73

2,3

7,3

100 12 12 23

For transmitters rated at a maximum output power not listed in the above table, the distance can be determined using the equation in the respective column header, where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer.

NOTE 1: An additional factor of 10/3 is used in calculating the recommended separation distance for transmitters in the frequency range 80 MHz to 2.5 GHz to decrease the likelihood that mobile/portable communications equipment could cause interference if it is inadvertently brought into patient areas.

NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people.

Table A-4 Recommended separation distances between portable and mobile RF communications equipment and the Ziehm 8000, Ziehm Compact or Ziehm Compact Litho

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

A-5

Appendix A

A-6

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

Index

A

Accessories 1-4, 12-4

Alphanumeric keys 6-26, 6-32

Authorized personnel 12-1

Autotransfer 6-3

B

Backup to CD

Data retrieval from CD 6-5

Basic settings 6-7

Entering the hospital data 6-8

Erasing storage media 6-8

Selecting the live screen 6-7

Setting system time and system date 6-7

C

Cables

Power cable 4-9

C-arm stand

Dimensions 7-9

Dimensions of C-arm stand with lower

C-arm position 7-10

Illustration 4-8

Mounting on the pallet 12-10

Position on the pallet 12-10

Unpacking 3-6

Weight 7-4

CD recall 6-5

Cine loop

Frame rate 6-5

Length 6-5

CO

2

6-4, 6-32

Default windowing values 6-32

Filter settings 6-31

Configuration 6-2

Configuration Menu 6-2

Crosshair 6-4

D

Deleting

Hard disk 6-8

NO NAME folder 6-8

USB stick 6-8

DICOM

DICOM format 6-6

Settings 6-33

Dimensions

C-arm stand 7-9

C-arm stand with lower C-arm position

7-10

Monitor cart with flat-screen monitors

7-11, 7-12

Tolerances of C-arm movements on

systems with 23 cm i.i. 7-10

Ziehm Compact 7-12

Ziehm Compact Litho 7-13

Displays

Dose display 5-2

Temperature symbol 5-1, 10-2

X-ray symbol 5-1

Dose display 5-2

Reset 5-2

Dose meter

Technical Data 7-6

DSA

Showing or hiding the native image 6-6

DSA + Cine 6-5

DSA native image 6-6

E

Edge filter 6-28, 6-29, 6-31, 6-32

Environmental compatibility 1-1

Environmental conditions

Operation 7-3

Storage 7-3

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009 i

ii

Index

F

F (key) 6-4

Filter settings

Edge filter 6-28, 6-29, 6-31, 6-32

Recursive filter 6-28, 6-29, 6-31

Stack filter 6-28, 6-29, 6-31, 6-32

Stack filter for continuous pulse 6-30

Stack filter for snapshot 6-30

Windowing step 6-29, 6-30

First power-up of the system 5-1

Flat-screen monitors 7-12

Dimensions of monitor cart 7-11, 7-12

Unpacking 3-6

Focal spot position 7-8

H

Hospital data

Department 6-8

Hospital name 6-8

Physician 6-8

I

Illustrations

C-arm stand 4-8

Image swapping

Automatic 6-3

K

Key ‘F’ 6-4

Key ‘MENU’ 6-2

Key ‘min’ 5-2

Key ‘OFF’ 5-1

Key ‘ON’ 5-1

Keys

Alphanumeric keys 6-26, 6-32

L

Laser

Laser Class 2-5

Laser positioning device 2-6

Laser radiation 7-5

Technical Data 7-5

Live screen 6-7

M

Maintenance schedule

Electrics 8-2

Mechanics 8-4

Material 12-3

MENU (key) 6-2

Menus

Configuration Menu 6-2

min (key) 5-2

Monitor cart

Dimensions flat-screen monitors 7-11,

7-12

Mounting on the pallet 12-6

Position on the pallet 12-8

Unpacking 3-8

Weight 7-4

Monitor cart with flat-screen monitors 7-11

Monitor head

Packing 12-15

Motion blurring 6-4, 6-29

MSA

Showing or hiding the native image 6-6

N

Noise in the image 6-29

Noise suppression 6-29

O

OFF (key) 5-1

ON (key) 5-1

Operation settings 6-3

Activating automatic image swapping 6-3

Combining DSA with a cine loop 6-5

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

Index

P

Defining the storage format for removable

storage media 6-6

Defining the USB stick storage format 6-6

Displaying a crosshair 6-4

Function of the F key 6-4

Selecting the storage medium for data re-

trieval 6-5

Setting the cine loop length 6-5

Setting the cine loop speed 6-5

Showing or hiding the native image 6-6

Packing material 12-3

Pallet

Mounting the C-arm stand 12-10

Mounting the monitor cart 12-6

Packing 12-19

Position of the accessories box 12-5

Position of the C-arm stand 12-10

Position of the monitor cart 12-8

Unpacking 3-1, 3-3

Unpacking the C-arm stand 3-6

Unpacking the monitor cart 3-8

Parts to be packed 12-4

Personnel, authorized 12-1

Power cable 4-9

Power plug

Specification 7-5

Printer media

Paper 2-6, 7-4

Protective grounding 2-4

Putting the system into service

Assembling the system 3-1, 4-1

Unpacking the system 3-1, 4-1

R

Radiation protection

Laser radiation 2-5

X-rays 2-2

Recursive filter 6-4, 6-28, 6-29, 6-31

Reset

Dose display 5-2

RSA

Showing or hiding the native image 6-6

S

Safety instructions 12-1

Definition 1-3

Electromagnetic compatibility 2-4

Equipotential grounding 2-4

Laser radiation 2-5

Protective grounding 2-4

System failure 2-7

X-rays 2-2

Scope of validity 12-2

Screen settings

23" flat-screen monitor 6-9

Flat-screen monitors 6-10

Service life 1-1

Service settings 6-25

DICOM settings 6-33

Filter factors 6-27

HEDIS data 6-57

Software update 6-58

Step windowing 6-26

System settings 6-54

Windowing settings for subtraction modes

6-32

Settings 6-2

software version 1-1

Stack filter 6-28, 6-29, 6-31, 6-32

For continuous pulse 6-30

For snapshot 6-30

Step windowing

Activating 6-26

Default windowing step after power-up

6-30

Defining windowing steps 6-26

Storage formats

DICOM 6-6

Selecting 6-6

TIFF 6-6

Switching off 5-1

Switching on 5-1

System date 6-7

System time 6-7

T

Technical Data

Dose meter 7-6

Generator 7-2

Image intensifier 7-2

Laser 7-5

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009 iii

Index

Monitors 7-2

Temperature symbol 5-1, 10-2

Typographical conventions 1-2

U

Unpacking the system 3-1, 4-1

W

Weight

C-arm stand 7-4

Monitor cart 7-4

Ziehm Compact 7-4

Windowing

Default values for CO2 6-32

Default values for DSA 6-32

Default values for MSA 6-32

Default values for RSA 6-32

X

X-ray symbol 5-1

Z

Ziehm Compact

Cable connections 4-9

Dimensions 7-12

Weight 7-4

Ziehm Compact Litho

Dimensions 7-13

iv

Ziehm 8000

P_26471_CD_28218 - EN-11/05/2009

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