User`s Guide for the Kodak DirectView CR 500 SYSTEM

User`s Guide for the Kodak DirectView CR 500 SYSTEM
Kodak DirectView CR 500 System
H195 0016AC
User’s Guide
Eastman Kodak Company
343 State Street
Rochester, NY 14650
© Eastman Kodak Company, 2003
Kodak, DirectView, Ektascan, and MIN-R are trademarks of Eastman Kodak Company.
PN 1F1976
Table of Contents
1 Safety and Related Information
Health and Safety Compliance ..........................................................................................................................1-1
Labels ..............................................................................................................................................................1-4
CR 500 System ...........................................................................................................................................1-7
Safety ...................................................................................................................................................1-7
EMC .....................................................................................................................................................1-8
Patient Vicinity ...........................................................................................................................................1-8
CR 500 System (with Isolation Transformer) .............................................................................................1-9
Safety ...................................................................................................................................................1-9
EMC .....................................................................................................................................................1-9
Remote Operations Panel.........................................................................................................................1-11
User Guide Conventions ...........................................................................................................................1-12
Special Messages................................................................................................................................1-12
2 Overview
Product Description.........................................................................................................................................2-1
System Components .........................................................................................................................................2-3
Options ......................................................................................................................................................2-3
Personal Computer ....................................................................................................................................2-3
Keyboard....................................................................................................................................................2-3
Mouse........................................................................................................................................................2-4
Monitor......................................................................................................................................................2-4
CD/DVD Writer...........................................................................................................................................2-4
External Bar Code Reader ..........................................................................................................................2-4
Uninterruptible Power Supply ....................................................................................................................2-4
Isolation Transformer ................................................................................................................................2-4
Software.....................................................................................................................................................2-4
Cassettes ....................................................................................................................................................2-5
Flexible Phosphor Screens .........................................................................................................................2-5
Remote Operations Panel...........................................................................................................................2-5
Operating Modes..............................................................................................................................................2-5
Pass-through Mode ....................................................................................................................................2-5
QA Mode....................................................................................................................................................2-5
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Table of Contents
3 Operation and Workflow
Starting the System ...........................................................................................................................................3-1
Logging On.......................................................................................................................................................3-2
Changing a Password .......................................................................................................................................3-3
Shutting Down the System ................................................................................................................................3-3
Power Failures .................................................................................................................................................3-4
Workflow .........................................................................................................................................................3-5
Main Menu.......................................................................................................................................................3-6
Main Menu Functions.................................................................................................................................3-6
Menu Buttons.............................................................................................................................................3-6
Navigation Buttons .....................................................................................................................................3-7
4 Entering Exam Data
Introduction.....................................................................................................................................................4-1
Entering Patient Information ............................................................................................................................4-2
New Patient ................................................................................................................................................4-2
Trauma Patient...........................................................................................................................................4-3
Existing Patient...........................................................................................................................................4-3
New Study ..................................................................................................................................................4-6
Entering Exam Information ..............................................................................................................................4-7
Using Procedure Codes and Procedure Mapping........................................................................................4-7
Mandatory Exam Information.....................................................................................................................4-8
Optional Exam Information........................................................................................................................4-9
Saving the Patient and Exam Information ...................................................................................................4-9
5 Scanning, Viewing, and Managing Images
Performing an Exam ........................................................................................................................................5-1
Loading Cassettes .............................................................................................................................................5-3
Viewing Images ................................................................................................................................................5-4
Pass-through Mode ....................................................................................................................................5-4
QA Mode....................................................................................................................................................5-4
Image Review.............................................................................................................................................5-7
Working with Images .......................................................................................................................................5-8
Reprocessing Images .................................................................................................................................5-8
Routing Images ..........................................................................................................................................5-8
Erasing Screens........................................................................................................................................5-10
Reprocessing Delivered Images................................................................................................................5-11
Unassigned Images...................................................................................................................................5-12
DVD/CD Storage and Retrieval (option) .........................................................................................................5-13
Supported Media......................................................................................................................................5-13
Formatting Media.....................................................................................................................................5-13
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Table of Contents
Retrieving Images from DVD/CD Storage ................................................................................................. 5-14
Saving Images to DVD/CD Storage............................................................................................................ 5-16
Disc Full Warning .................................................................................................................................... 5-17
Managing Images........................................................................................................................................... 5-18
Managing Failed Delivery Images............................................................................................................. 5-19
Managing Unassigned Images .................................................................................................................. 5-19
Printing Images ............................................................................................................................................. 5-21
Printing Multi-format Images................................................................................................................... 5-23
Other Multi-format Settings...................................................................................................................... 5-28
Multi-format Only Check Box............................................................................................................. 5-28
Image Review Screen......................................................................................................................... 5-28
Deleting Multi-format Images ............................................................................................................ 5-28
Printing Text.................................................................................................................................................. 5-29
Printing Internal Text Boxes .................................................................................................................... 5-29
Printing External Text Boxes.................................................................................................................... 5-30
True-size Printing (Option) ........................................................................................................................... 5-32
1 cm Tick Marks ..................................................................................................................................... 5-33
6 Maintaining Image Quality
Guidelines for Optimizing Image Quality.......................................................................................................... 6-1
Performing the Exam................................................................................................................................. 6-1
Image Processing ...................................................................................................................................... 6-1
Changing Image Orientation ...................................................................................................................... 6-2
Adjusting Contrast and Brightness.............................................................................................................. 6-2
Changing Window Width (Contrast)..................................................................................................... 6-2
Changing Window Level (Brightness) .................................................................................................. 6-2
Changing Image Tonescale ........................................................................................................................ 6-3
Image Processing ............................................................................................................................................ 6-4
Full Resolution Viewing ............................................................................................................................. 6-7
Improving Image Characteristics ..................................................................................................................... 6-9
7 Troubleshooting
CR System Error Condition .............................................................................................................................. 7-1
Error Messages................................................................................................................................................ 7-1
Releasing Cassette and Phosphor Screen Jams................................................................................................. 7-2
System Reset.................................................................................................................................................... 7-3
System Status ................................................................................................................................................... 7-4
Clear Pending Images ...................................................................................................................................... 7-4
Slow System Response (Restart the Browser) .................................................................................................. 7-6
8 Maintaining Equipment and Cassettes
Cleaning the CR System Surfaces...................................................................................................................... 8-1
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Table of Contents
Cleaning the CRT Screen ..................................................................................................................................8-1
Cleaning the LCD Panel ....................................................................................................................................8-2
Removing the Flexible Phosphor Screen...........................................................................................................8-3
Cleaning the Flexible Phosphor Screen.............................................................................................................8-4
Special Cleaning Materials..........................................................................................................................8-4
Replacing the Flexible Phosphor Screen...........................................................................................................8-6
Cassette Cautions..............................................................................................................................................8-6
Cleaning Cassettes ............................................................................................................................................8-7
Replacing Erase Lamps ....................................................................................................................................8-8
9 Key Operator Functions
Introduction.....................................................................................................................................................9-1
Managing Patient Exam Records ......................................................................................................................9-3
Statistics...........................................................................................................................................................9-5
Cassette Statistics........................................................................................................................................9-5
Destination Statistics ..................................................................................................................................9-6
Technologist Statistics ................................................................................................................................9-7
Scan Cycles ................................................................................................................................................9-9
Destination Status Summary .....................................................................................................................9-10
System Configuration......................................................................................................................................9-11
Saving System Configurations ...................................................................................................................9-14
Restoring Configurations..........................................................................................................................9-14
Option Registration ..................................................................................................................................9-15
Workflow Optimization ............................................................................................................................9-16
Body Part Configuration ...........................................................................................................................9-17
Changing Button Names .....................................................................................................................9-17
Changing Button Colors......................................................................................................................9-17
Changing Button Location ..................................................................................................................9-18
Body Part and Projection Configuration .............................................................................................9-19
Creating Custom Buttons ....................................................................................................................9-19
Department and Physician List Configuration ...........................................................................................9-20
Procedure List and Procedure Mapping Overview ....................................................................................9-22
Procedure List Configuration....................................................................................................................9-22
Procedure Mapping (Option) ..................................................................................................................9-23
Procedure Mapping on the CR System................................................................................................9-24
Using an Existing Procedure to Create a New Procedure ....................................................................9-25
Mapping more than 34 Procedures....................................................................................................9-25
Editing Procedure Codes and Names..................................................................................................9-25
Using a HIS/RIS System ......................................................................................................................9-26
Deleting a Procedure .........................................................................................................................9-26
Procedure Mapping Using the Remote Key Operator ...............................................................................9-26
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Table of Contents
Adding a New Procedure .................................................................................................................. 9-27
Locating Procedures.......................................................................................................................... 9-29
Editing Procedures ............................................................................................................................ 9-29
Using an Existing Procedure to Create a New Procedure.................................................................... 9-29
Deleting a Procedure......................................................................................................................... 9-29
HIS/RIS Broker Configuration.................................................................................................................. 9-30
Introduction ...................................................................................................................................... 9-30
HIS/RIS Broker Configuration............................................................................................................ 9-30
Push Configuration ............................................................................................................................ 9-32
CR Display Configuration ......................................................................................................................... 9-33
Configure Monitor ................................................................................................................................... 9-35
Reject Reason Configuration (Option)..................................................................................................... 9-36
Setting Trauma Defaults (Option)............................................................................................................ 9-38
Using Unique Numbers ...................................................................................................................... 9-39
Profile Destination Configuration ............................................................................................................ 9-40
Default Profile Configuration ............................................................................................................. 9-40
Configuring Profiles................................................................................................................................. 9-41
Text Box Configuration (Option) ............................................................................................................. 9-43
External Text Boxes ........................................................................................................................... 9-43
Internal Text Box............................................................................................................................... 9-43
Combined Internal and External Text Boxes ...................................................................................... 9-44
Choosing a Text Box .......................................................................................................................... 9-44
External Text Box Characteristics....................................................................................................... 9-45
Using the Text Box Editor ....................................................................................................................... 9-46
Internal Text Box Editor .......................................................................................................................... 9-46
Text Box Viewer................................................................................................................................. 9-46
Text Box Editor.................................................................................................................................. 9-46
Navigation Controls............................................................................................................................ 9-48
Adding a Column or a Row ................................................................................................................ 9-48
Deleting or Saving a Field .................................................................................................................. 9-48
Magnification Factor................................................................................................................................ 9-48
External Text Box Editor.......................................................................................................................... 9-48
Saving and Restoring Configuration Options ...................................................................................... 9-48
Configuring a Text Box ........................................................................................................................... 9-49
Delivery Preferences................................................................................................................................ 9-51
Delivery Option Configuration............................................................................................................ 9-51
Configuring Default Hospital Name and Address ................................................................................ 9-53
CAD Workstation Configuration ......................................................................................................... 9-54
Configuring External Devices ................................................................................................................... 9-55
Remote Operator Panel Expanded Connectivity.................................................................................. 9-55
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Table of Contents
Configuring a Remote Operator Panel to Multiple CR Systems ............................................................9-58
Configuring Multiple ROPs to Multiple CR Systems .............................................................................9-61
Remote Patient Data Entry Software (RPDES)...........................................................................................9-64
Computer Requirements ....................................................................................................................9-64
Installation Instructions .....................................................................................................................9-64
RPDES Configuration Instructions ......................................................................................................9-64
RPDES Operation ...............................................................................................................................9-66
Create a RPDES Shortcut on the Desktop............................................................................................9-66
Remote Key Operator ...............................................................................................................................9-67
Setting Up the Remote Key Operator...................................................................................................9-67
Logging In..........................................................................................................................................9-68
Downloading Statistics .......................................................................................................................9-68
Procedure Mapping ...........................................................................................................................9-68
Color Preferences ....................................................................................................................................9-69
Bar Code Configuration ...........................................................................................................................9-70
Overview ............................................................................................................................................9-70
Bar Code Configuration......................................................................................................................9-71
Changing the Cassette ID Bar Code Format.........................................................................................9-72
Program Bar Code Scanner......................................................................................................................9-75
Configure the Country Code................................................................................................................9-75
Changing Code 39 Full ASCII Format ..................................................................................................9-77
Configure Auto Trigger.......................................................................................................................9-77
Changing the Prefix and Suffix............................................................................................................9-78
Set Country Codes ....................................................................................................................................9-79
Bar Code Samples ....................................................................................................................................9-80
Required Fields........................................................................................................................................9-87
System Maintenance Defaults ...................................................................................................................9-89
Regional Settings......................................................................................................................................9-90
Miscellaneous ..........................................................................................................................................9-91
Grid Detection and Suppression (Option)......................................................................................................9-92
SMPTE Test Pattern ........................................................................................................................................9-93
10 Remote Operations Panel
Medical Device Directive (MDD) ...................................................................................................................10-1
English ...........................................................................................................................................................10-2
Dansk ............................................................................................................................................................10-2
Deutsch..........................................................................................................................................................10-3
Español ..........................................................................................................................................................10-3
Français .........................................................................................................................................................10-4
Greek .............................................................................................................................................................10-4
Italiano ..........................................................................................................................................................10-5
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Table of Contents
Lietuviðkai..................................................................................................................................................... 10-6
Nederlands .................................................................................................................................................... 10-6
Norsk ............................................................................................................................................................ 10-7
Português ...................................................................................................................................................... 10-7
Suomeksi....................................................................................................................................................... 10-8
Svenska ......................................................................................................................................................... 10-8
Overview........................................................................................................................................................ 10-9
Network Configuration............................................................................................................................. 10-9
Start Up ....................................................................................................................................................... 10-10
Operation .................................................................................................................................................... 10-10
Using the ROP Touch Screen ....................................................................................................................... 10-11
Navigation Buttons................................................................................................................................. 10-11
Error Messages...................................................................................................................................... 10-12
Virtual Keyboards .................................................................................................................................. 10-12
Standard Alphanumeric Virtual Keyboard .............................................................................................. 10-12
Standard Numeric Virtual Datepad......................................................................................................... 10-13
Special Keyboards.................................................................................................................................. 10-13
ROP Configured to Access Multiple CR Systems............................................................................................ 10-14
Turning Off the ROP .................................................................................................................................... 10-14
Bar Code Scanner........................................................................................................................................ 10-15
Using the Bar Code Scanner................................................................................................................... 10-15
Scanning a Bar Code.............................................................................................................................. 10-15
Appendix A: Default Procedure Codes
Appendix B: Printing Exceptions
Text Box Rotation ............................................................................................................................................ B-3
Glossary
Index
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1
Safety and Related
Information
Health and Safety Compliance
The information contained herein is based on the experience and knowledge
relating to the subject matter gained by Eastman Kodak Company prior to
publication. No patent license is granted by this information. Eastman Kodak
Company reserves the right to change this information without notice and
makes no warranty, express or implied, with respect to this information.
Kodak shall not be liable for any loss or damage, including consequential or
special damages, resulting from the use of this information, even if loss or
damage is caused by Kodak's negligence or other fault.
IMPORTANT:
All panels and covers except for the back door (screen
clearing) and the left side door (erase lamp changing)
should be opened by authorized personnel only. Except for
changing erase lamps, there are no user-serviceable parts.
CAUTION:
Use of controls or adjustments, or performance of procedures
other than those specified herein may result in hazardous
radiation exposure.
CAUTION:
United States federal law restricts this device to sale to, by, or
on order of a physician.
CAUTION:
The UPS battery must be changed by a Kodak authorized
Service Provider. The UPS battery contains lead and poses a
hazard to the environment and human health if not disposed of
properly. Disposal of the battery may be regulated due to
environmental considerations. In the US, due to the toxicity of
lead, the EPA’s Resource Conservation and Recovery Act
(RCRA) and state solid/hazardous waste authorities consider a
spent lead-acid battery a regulated waste. The customer must
treat this battery as a hazardous waste if it is not recycled. A
recycling infrastructure is widely available in the US to manage
this battery type.
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Safety and Related Information
CAUTION:
This product contains lead and mercury. Disposal of
components containing these materials may be regulated due
to environmental considerations. For disposal or recycling
information, please contact your local authorities or visit the
Electronics Industry Alliance Web site at http:\\www.eiae.org.
LASER WARNING:
This equipment uses a visible red laser. Laser radiation is
present when the machine is opened and the inner light lock
cover is removed. Avoid direct exposure to the laser beam.
Complies with 21CFR1040.10 and 1040.11 except for deviations pursuant to
Laser Notice 50, dated July 26, 2001.
Compliance Statement
This is a Class I Laser product in conformance with DHHS regulations.
This is a Class 1 Laser product in conformance with IEC 60825-1.
AUTHORIZED REPRESENTATIVE:
Manager, Product Safety, Kodak GmbH; Hedelfingerstr. 54-56, 70327
Stuttgart, GERMANY.
This equipment has been tested and found to comply with the limits for a
Class A digital device, pursuant to part 15 of the FCC rules. These limits are
designed to provide reasonable protection against harmful interference when
the equipment is operated in a commercial environment. This equipment
generates, uses and can radiate radio frequency energy and, if not installed
and used in accordance with the instruction manual, may cause harmful
interference to radio communications. Operation of this equipment in a
residential area is likely to cause harmful interference in which case the user
will be required to correct the interference at his own expense.
WARNING:
This is a Class A product. In a domestic environment this
product may cause radio interference in which case the user
may be required to take adequate measures.
This is a Class A product based on the standard of the Voluntary Control
Council for Interference from Information Technology Equipment (VCCI). If
this is used near a radio or television receiver in a domestic environment, it
may cause radio interference. Install and use the equipment according to the
instruction manual.
1-2
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August 1, 2003
Safety and Related Information
CAUTION:
The small footprint and specifications of the CR System allow
for flexibility in placement of the unit, including in the exam
room. When installed in this manner, scatter radiation from the
x-ray system may cause image artifacts in two scenarios:
• When CR cassettes and screens are stored in the exam room.
Precaution: CR cassettes and screens should not be stored in the
exam room or kept in the exam room during individual patient
studies.
• When an exposed CR cassette and screen is being scanned by the CR
System in the exam room during a simultaneous x-ray exposure.
Precaution: The potential exists for artifacts if one cassette and
screen is being processed while a second cassette and screen is being
exposed. If you experience image artifacts, discontinue
simultaneous exposing and processing of CR cassettes and screens.
IMPORTANT: The use of accessory equipment not complying with the
equivalent safety requirements of this equipment may lead
to a reduced level of safety of the resulting system.
Consideration relating to the choice shall include:
• Use of the accessory in the patient vicinity.
• Evidence that the safety certification of the accessory has
been performed in accordance to the appropriate EN
60950 and/or EN 60601-1 harmonized national standard.
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1-3
Safety and Related Information
Labels
H195_0001DC
1-4
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August 1, 2003
Safety and Related Information
H195_0002DC
August 1, 2003
1F1976
1-5
Safety and Related Information
H195_0003DC
1-6
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August 1, 2003
Safety and Related Information
CR 500 System
IMPORTANT:
Not intended for use in the Patient Vicinity. See the figure
on page 1-8
CR 500
Reader
UPS
Mouse
PC
Keyboard
BAR CODE
READER
H195_0014AC
Monitor
Kodak DirectView CR 500 System
Kodak DirectView CR 500 System (Reader Only)
This device is not medical equipment according to EN 60 601-1 and must
therefore not enter the Patient Environment as defined in EN 60 601-1-1. The
following requirements have to be met:
1. Distance from device to Patient Contact Equipment (see illustration).
Horizontal = 1.83 metres; Vertical = 2.5 metres above the floor under
the patient.
2. Contact of patient and device simultaneously by caregiver not allowed.
3. NO direct electrical connection between device and Patient Contact
Equipment is allowed.
Note: The components are certified to applicable product safety standards.
CLASS I EQUIPMENT.
INTENDED FOR CONTINUOUS OPERATION.
PRODUCT IS PROVIDED WITH ORDINARY PROTECTION AGAINST THE
HARMFUL INGRESS OF WATER.
PRODUCT IS NOT SUITABLE FOR USE IN THE PRESENCE OF A FLAMMABLE
ANESTHETICS MIXTURE WITH AIR OR WITH OXYGEN OR WITH NITROUS
OXIDE.
Safety
USA:
21CFR1040.10 and 1040.11 except for deviations pursuant to Laser Notice
50, dated July 26, 2001.
UL 60950 - Information Technology Equipment, 3rd Edition
Canada:
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Safety and Related Information
CAN/CSA C22.2 No. 60950-00 - Information Technology Equipment, 3rd
Edition
International / European Union:
IEC 60950:1999 / EN 60950: 2000 - Information Technology Equipment
IEC 60825-1:2001 / EN 60825-1:2001 - Safety of Laser Products
EMC
Canada
ICES - 003 Issue 3 Class A ITE Emissions
U. S. A.
FCC Emissions, Class A
Patient Vicinity
For this device to be placed within the defined patient vicinity, the Isolation
Transformer configuration shall be used.
1.83 m
(6 ft)
2.5 m
(8 ft)
1.83 m
(6 ft)
1.83 m
(6 ft)
H196_0004GC
Patient Vicinity
1-8
1F1976
August 1, 2003
Safety and Related Information
CR 500 System (with
Isolation Transformer)
IMPORTANT:
The Kodak DirectView CR 500 Medical System with
Isolation Transformer option is suitable for use in the
Patient Vicinity.
CR 500
Reader
Isolation
Transformer
UPS
Mouse
PC
Keyboard
BAR CODE
READER
H195_0013AC
Monitor
Kodak DirectView CR 500 System with Isolation Transformer
Safety
Canada/International/European Union/USA:
IEC 60601-1-1:2000 / EN 60601-1-1:2001 Safety Requirements for Medical
Electrical Systems
CLASS I EQUIPMENT.
INTENDED FOR CONTINUOUS OPERATION.
ACCEPTABLE FOR INCIDENTAL OR CASUAL CONTACT WITH THE PATIENT.
PRODUCT IS PROVIDED WITH ORDINARY PROTECTION AGAINST THE
HARMFUL INGRESS OF WATER.
PRODUCT IS NOT SUITABLE FOR USE IN THE PRESENCE OF A FLAMMABLE
ANESTHETICS MIXTURE WITH AIR OR WITH OXYGEN OR WITH NITROUS
OXIDE.
Note: The components are certified to applicable product safety standards.
EMC
August 1, 2003
Canada
ICES - 003 Issue 3 Class A ITE Emissions
Europe
EN 60601-1-2:1993 Medical Electrical Equipment Electromagnetic
Compatibility
EN 55011:1998 ISM Emissions, Group 1 Class A
EN 61000-4-2:1995 Electrostatic Discharge immunity test
EN 61000-4-3:1997 Radiated, Radio-Frequency, electromagnetic field
immunity
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Safety and Related Information
EN 61000-4-4:1995 Electrical Fast Transient/burst immunity
EN 61000-4-5:1995 Surge immunity
EN 61000-4-6:1996 Immunity to conducted disturbances
EN 61000-4-11:1995 Voltage dips, sages, interrupts
EN 61000-3-2:1995 Limits for harmonic current emissions
EN 61000-3-3:1995 Flicker
U. S. A.
FCC Emissions, Class A
1-10
1F1976
August 1, 2003
Safety and Related Information
Remote Operations
Panel
August 1, 2003
U.S.A.
UL 1950 Safety for Information Technology Equipment
Canada
CSA No. 950 60950 Safety for Information Technology Equipment
International
EN 60950:1992 Safety for Information Technology Equipment (with
Amendments A1, A2, A3, and A11)
EN 55011:1998 ISM Emissions, Group 1 Class A
EN 60601 - 1- 2: 1993 Medical Electrical Equipment Electromagnetic
Compatibility
EN 61000 -3-2:1995 Powerline Harmonics
EN 61000 -3-3:1995 Flicker
EN 61000 -4-2:1995 ESD
EN 61000 -4-3: 1997 RF immunity
EN 61000 -4-4: 1995 EFT
EN 61000 -4-5: 1995 Surge immunity
EN 61000 -4-6: 1996 Conducted immunity
EN 61000 -4-11: 1995 Voltage dips, sags, interrupts
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Safety and Related Information
User Guide
Conventions
Special Messages
The following special messages emphasize information or indicate potential
risks to personnel or equipment.
NOTE: Notes provide additional information, such as expanded
explanations, hints, or reminders.
IMPORTANT:
Important notes highlight critical policy information that
affects how you use this guide and this product.
CAUTION:
Cautions point out procedures that you must follow precisely
to avoid damage to the system or any of its components, loss of
data, or corruption of files in software applications.
WARNING:
Warnings identify procedures that you must follow
precisely to avoid injury to yourself or others.
LASER WARNING:
Laser warnings warn personnel that access to laser radiation is
possible and all personnel must avoid direct exposure to the beam.
Typeface Conventions
Boldface type represents buttons or selections that you make on the interface
and to identify screen names.
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2
Overview
Product Description
The Kodak DirectView CR 500 System is a tabletop Computed Radiology (CR)
System. It lets you scan exposed flexible phosphor screens, process the
resulting images, and route these images to the appropriate destinations via a
10Base T or 100Base T Ethernet network. The system communicates with
DICOM compatible printers, CD/DVD storage, workstations, and archives.
The CR 500 System incorporates a special cassette/phosphor screen handling
system that automatically removes the screen from the cassette, scans and
erases the screen, and then returns the screen to the cassette for reuse.
Special cassettes designed specifically for the CR 500 System are required.
CAUTION:
Do not use cassettes from any other system. They will not work
with the CR 500 System.
You can use the CR 500 System to:
• Read images, generated by conventional X-ray generators, from a storage
phosphor screen.
• Modify images and change image orientation.
• Enter examination and patient information using the Kodak DirectView
Remote Operations Panel (ROP), the Remote Patient Data Entry Software
(RPDES) loaded on a networked computer, the bar code scanner, the
keyboard, or receive patient information from a HIS/RIS system.
• Correct erroneous patient or examination information.
• Store images that have incomplete patient or study data until the
required data is added and the image is accepted.
• Create collections of related images and data (a Study).
• Send exams to DICOM storage devices, physicians’ diagnostic viewing
stations, DICOM laser imagers, and writable CD/DVD storage.
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Overview
MITRA HIS/RIS
PACS Broker
Destinations
KODAK DIRECTVIEW
Archive System
Remote Operations Panel
KODAK DIRECTVIEW
Workstation
KODAK DIRECTVIEW
Workstation
Remote Operations Panel
KODAK PACS Link
9410 Acquisition System
KODAK DRYVIEW
8100 Laser Imager
TM
CR 500 System
CR 500 System
ETHERNET
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H195_9000EC
August 1, 2003
Overview
System Components
•
•
•
•
•
•
•
Personal Computer
Keyboard
Mouse
CR 500 Storage Phosphor Reader
Monitor, CRT or flat LCD panel display
Uninterruptible Power Supply
Kodak DirectView Software
CR 500
Reader
Isolation
Transformer
UPS
Mouse
(optional)
PC
Keyboard
BAR CODE
READER
H195_0013AC
Options
•
•
•
•
•
•
•
•
Monitor
CD/DVD Writer
External Bar Code Reader
External Modem
Kodak Flexible Phosphor Screens for CR 500 Systems
Kodak DirectView CR 500 Cassettes
Isolation Transformer
Remote Operating Panel
Remote Patient Data Entry Station
Personal Computer
The computer is an IBM-compatible PC.
Keyboard
The keyboard is a standard IBM PC-compatible keyboard. Use the keyboard to
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Overview
enter commands and patient information.
Use the Tab key to move to buttons and text entry fields.
Mouse
The mouse is a standard IBM PC-compatible mouse. Use the mouse to
highlight fields for data entry. Click a data field to reveal a drop-down menu of
choices.
Monitor
A CRT color monitor is available with the CR 500 System (switches
automatically between resolutions of 1024 x 768 pixels and up to 1600 x
1200 pixels for Full Resolution Image Viewing). Or, choose the CR 500
System with a flat LCD monitor (fixed resolution of 1024 x 768 pixels).
CD/DVD Writer
You can store and retrieve DICOM Part 10 images by selecting the
Kodak Writable CD/DVD R+W System for Kodak DirectView CR Systems as a
destination for image delivery, (page 5-8) either as part of the default profile
or on an isolated basis. When you accept the image (select Accept Image in
the Image Viewer Screen) the CR System sends the image to the CD/DVD
writer.
External Bar Code
Reader
Connects to the computer’s COM 4 serial port. Use the Bar Code Reader to
quickly and accurately input patient and cassette ID information.
Uninterruptible Power Protects against surges, spikes, swells, line-noise, brownouts, and blackouts.
Provides a single source of power for all of the components in the system.
Supply
Isolation Transformer Connects between the UPS and the AC Mains Source. The Isolation
Transformer assures compliance with rigorous Medical Electrical Equipment
product safety standards for equipment which the patient may touch either
accidentally or deliberately. See “CR 500 System (with Isolation
Transformer)” on page 1-9.
Software
2-4
With Kodak DirectView Software Version 3.6 or higher, you can purchase and
enable the following optional features:
• Kodak DirectView Software V3 / Feature Package
• Kodak DirectView EVP Software
• Kodak DirectVew Remote Patient Data Entry Software
• Kodak DirectView Black Surround / Masking Software
• Kodak DICOM Work List Management Service Class User Software
• Kodak DICOM Storage Service Class User Software
• Kodak RIG/RDET Software
1F1976
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Overview
Cassettes
IMPORTANT:
Use only Kodak DirectView CR 500 Cassettes with this system.
Kodak DirectView CR 500 Cassettes and Kodak Flexible Phosphor Screens for
Kodak DirectView CR 500 Systems are sold separately. Make sure the screen
size and type matches the label on the cassette, General Purpose (GP) or High
Resolution (HR). See the figure on page 4-8.
Flexible Phosphor
Screens
Use only Kodak Flexible Phosphor Screens for Kodak DirectView CR 500
Systems. See page 8-3 for more information.
Remote Operations
Panel
The Kodak DirectView Remote Operations Panel (ROP) is a remote touch
screen used to enter Patient Information and Exam Information, review, and
modify images, and deliver images. See “Overview” on page 10-9.
Operating Modes
The CR 500 System operates in two basic modes: (1) Pass-through mode and
(2) QA mode. The Key Operator, Applications Consultant, or Service Engineer
configures the mode of operation per the direction of the department
manager.
Pass-through Mode
In Pass-through mode, the completed exam is processed and routed, typically
without stopping. See “Pass-through Mode” on page 5-4.
QA Mode
In the QA mode, you must view and approve the image before distributing it
across the network. See “QA Mode” on page 5-4.
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Overview
2-6
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August 1, 2003
3
Operation and Workflow
Starting the System
To turn on the CR System power:
1. Make sure the power switch on the back of the Reader is ON, or in the I
position. Leave the Reader and the computer ON so that they are
powered by the UPS.
2. Turn the monitor ON by the switch on the front.
3. Press and hold the On/Test button on the UPS until you hear a beep.
UPS
Power
Switch
Monitor
On/Test Button
Computer
Reader
H195_0049BCA
H195_0049BC
4. Wait for the CR System to initialize. The Login screen appears.
Login Screen
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Operation and Workflow
Logging On
1. Enter your user name.
2. Enter your password.
NOTE: The level of access to the system depends on the user name and
password you are authorized to use. A single person may have access
to several levels and have several user names and passwords. For
example:
a. Technologist Login gains access to Study Data and Image
Review functions.
b. Key Operator login gains access to Key Operator Functions,
Image Review, and Study Data.
c. Applications Consultant login accesses all functions except
Service functions.
d. Service Technician login gains access to all functions.
e. Security Administrator login gains access to all Security
Administrator functions such as password maintenance.
If you are using a Security Administrator password, select
.
If you are a Technologist and the Tech Login button is present, select
Otherwise, enter your configured user name and password.
a
b
c
d
Login Access
For more information, see the Security Administrator Functions addendum,
Kodak Publication number 1F6710, in this User’s Guide.
3-2
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August 1, 2003
Operation and Workflow
Changing a Password
1. Enter your User Name.
2. Enter your current password.
3. Enter a new password.
4. Enter the new password again to confirm that you have entered it
correctly.
Change Password
Shutting Down the System
1. From the Main Menu, select Utility Menu.
2. Select System Shutdown and select Shutdown/Power Off.
3. Turn off the power to the monitor.
NOTE: The UPS shuts down up to one minute after the Kodak DirectView CR
500 Software and Windows 2000 Operating System shut down.
NOTE: To remove AC Mains power from the CR 500 System with
Isolation Transformer, disconnect the Mains cord from the
Isolation Transformer to the AC Mains source.
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Operation and Workflow
Power Failures
The CR System contains an Uninterruptible Power Supply (UPS) to protect the
system against an abrupt power loss.
If a power failure occurs, the UPS sustains system power to:
• complete all critical activities
• save present operating data, and
• shut down the Windows 2000 Operating System and reader
If power is restored before the UPS battery charge drops to 25%, the system
resumes operation without interruption. However, once the battery level
drops to 25%, the system automatically shuts down.
In the event of a power loss, an error message appears within 30 seconds of
the power loss. For any image currently being routed, the system attempts to
complete the transmission. If there is not sufficient time to accomplish this,
the image is marked as Failed Delivery and must be redelivered by the
technologist once power is restored.
If a cassette is in the load position at the time the automatic shutdown
sequence begins, the system completes the scan in process, stores the raw
image on the hard disk, erases the phosphor screen and returns it to the
cassette before the UPS shuts down the system.
CAUTION:
The UPS battery must be changed by a Kodak authorized
Service Provider. The UPS battery contains lead and poses a
hazard to the environment and human health if not disposed of
properly. Disposal of the battery may be regulated due to
environmental considerations. In the US, due to the toxicity of
lead, the EPA’s Resource Conservation and Recovery Act
(RCRA) and state solid/hazardous waste authorities consider a
spent lead-acid battery a regulated waste. The customer must
treat this battery as a hazardous waste if it is not recycled. A
recycling infrastructure is widely available in the US to manage
this battery type.
CAUTION:
The UPS provides enough power in battery mode to complete
only the scan in progress during a brownout or black-out
condition. After such an event, the UPS battery charge level is
low and requires up to two hours to fully recharge after utility
power is restored. During this re-charge time, the system is
susceptible to operational failure should power be lost again.
This failure could result in the loss of image data. It is at the
discretion of the operator to discontinue using the product for
a two hour period after power is lost.
3-4
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Operation and Workflow
Workflow
Collect patient demographic
data.
HIS/RIS
Broker?
YES
NO
Manually enter the Patient
data on the
ROP
CR System, or
Remote Patient Data
Entry Station.
RIG/RDET
Enter Patient Data
Scan the Patient ID bar code.
Query the Local database.
Query the HIS/RIS
database.
At the CR:
1. Scan the cassette bar code label.
2. Enter Exam data.
3. Select Submit.
Repeat as needed
At the x-ray equipment:
1. Position the Patient.
2. Collimate properly for best image quality.
3. Expose the cassette.
Load cassette in the
CR 500 System.
Review and evaluate images.
If acceptable, send
to destinations.
QA
mode
Passthrough
mode
Images automatically go to
destinations.
H195_0008EC
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Operation and Workflow
Main Menu
Main Menu Functions The function buttons on the Main Menu are:
• Study Data—enter patient data, create new studies, access worklists.
• Image Review—view all stored images, reprocess images.
• Key Operator Functions—set up and manage system configurations,
configure the monitor, access SMPTE Test Pattern (accessed by Key
Operator and Applications Consultant only).
• Applications Consultant—change Image Processing parameters,
configure Grid Suppression, and Edge Enhancement (Applications
Consultant and Service use only).
• Service Functions—service the machine (Qualified Service personnel
only).
NOTE: The Key Operator Functions, Applications Consultant, and Service
Functions are only accessible by authorized personnel.
Menu Buttons
3-6
When the Main Menu is displayed, these navigation buttons are active at all
times:
Name
Description
Utility Menu
Lets you shut down the system, logout, change
password (if configured for passwords), check
system status, release cassettes, clear pending
images, restart the browser, and format CD/DVD
media.
Erase Cassette
Lets you erase an unwanted exposure from a
cassette.
1F1976
August 1, 2003
Operation and Workflow
Name
Description
Scan Status / Scan
Cassette
Displays scan progress and last image scanned.
Additionally, if some images were not delivered or do not have patient
data associated with them, the following buttons may also appear:
Navigation Buttons
Failed Delivery
Alerts you when the system starts, or any time the
Main Menu is displayed, of any image that failed
to be delivered to the selected destinations. Select
the button to display the images that were not
delivered.
This button does not appear if there are no failed
deliveries.
Unassigned Images
Alerts you when the system starts, or any time the
Main Menu is displayed, that there are unassigned
images. Select the button to display the unassigned
image records.
This button appears only if there are no unassigned
images.
Use the Navigation buttons at the bottom of the screen to move from screen to
screen or to other functions. Some buttons display status information to alert
you to important operations or failed functions so you can respond if the
situation warrants immediate attention.
Main Menu and Back buttons
• Main Menu button—select to return to the CR System Main Menu.
• Back button—select to return to the previous screen.
NOTE: If the message Loading... appears, it means that the software is busy
processing the data to display the next screen. If this message
continues for an excessive period of time, select Main Menu to
return to the Main Menu.
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Operation and Workflow
3-8
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August 1, 2003
4
Entering Exam Data
Introduction
This section tells you how to enter patient data manually. If you are searching
for a patient that has already been submitted in the RIS, see “Entering Patient
Information” in this chapter to query for the patient.
You can enter Patient and Exam Information at the ROP using the touch
screen or at the CR 500 System using drop-down menus accessed by the
mouse and the keyboard. Enter the Patient and Exam Information required
for a Patient Exam Cassette (PEC) Record using the Patient Input screen. The
arrow in each field means there is a drop-down menu of choices for that
field. Click the arrow and select the correct choice from the list.
You must complete the yellow mandatory fields to validate a PEC Record. Your
Key Operator configures the fields required for your system. Complete the
remaining optional information if it is available.
There are three types of patient entries:
• New Patient— when the patient information has never been entered in
the CR System or the HIS/RIS system.
• Trauma—quick data entry for emergency conditions.
• Existing Patient—when information for the patient already exists in the
CR System or the HIS/RIS system.
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4-1
Entering Exam Data
Entering Patient Information
1. At the Main Menu, click Study Data.
You can now do one of the following:
• New Patient—select New Patient and enter information as
described below.
• Trauma—select Trauma and enter information as described below.
• New Study—select New Study from the Existing Patient screen to
create a new study from existing patient information.
• Search for an Existing Patient—enter data and search from the
Study Data screen as described below.
2. Enter the information as indicated in the following sections.
New Patient
4-2
Select New Patient and enter:
• Last name
• First name
• Middle initial
• Accession number
• Date of birth
• Gender
• Patient ID
• Referring Physician (use the More button)
• Department
• Patient location
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Entering Exam Data
Trauma Patient
Select Trauma and proceed to “Entering Exam Information” on page 4-7.
The Key Operator can configure some fields to be completed automatically.
NOTE: Your Key Operator may have configured a field with a “unique
number.” Each time you select a trauma patient, the number
increments to identify a new trauma patient.
Existing Patient
You can enter as much or as little information as you like. The more
information you enter, the narrower the results. If you do not enter
information, the entire patient list is returned.
1. Enter search criteria (use the bar code reader if applicable).
– Enter desired search criteria
– Time field - list of filters to reduce query range including:
Today
Yesterday - Tomorrow
Past Week - Tomorrow
Unrestricted
– Study Status field - list of filters to reduce query range such as:
Scheduled
Started
Scheduled and Started
Completed
All
2. Select Find Local or Find Remote.
– Find Local searches the CR System database.
– Find Remote searches the HIS/RIS system when the Key Operator
has configured for a HIS/RIS. The message “Waiting for response”
appears. If a match is not found for a query, adjust your search
criteria.
– Select a Patient Name. Patient information automatically transfers to
the Patient Input screen.
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Entering Exam Data
Patient Input Screen
Select
for more patient information, and scroll to select the
referring physician.
Referring Physician
4-4
1F1976
August 1, 2003
Entering Exam Data
Select
to select additional image information, such as
laterality, and to enter Source to Patient Distance or Source to
Image Distance (SID), used in Long-Length Imaging (available on CR
800 /CR 900 and CR 850/CR 950 Systems).
Source to Image Distance
3. When a match is found, the Patient Worklist screen appears. The text
entries are color coded. Colors are Key Operator configurable. The
default colors are:
• Scheduled > Blue
• Started > Black
• Completed > Dark Gray
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Entering Exam Data
Patient Worklist Screen
New Study
4-6
Select New Study to create a new study using the patient information from an
existing study.
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August 1, 2003
Entering Exam Data
Entering Exam Information
After entering the patient information, enter the exam information into the
remaining fields on the Patient Input Screen. There are mandatory and
optional fields. You must complete the mandatory fields to submit the record
to the CR System.
NOTE: If the Patient Last Name or Patient ID number are not entered, the
image is considered incomplete. The image is not delivered across
the network to a mandatory destination defined by the Key Operator
(such as an archive or a printer), but is routed to destinations not
identified as mandatory, such as a workstation.
Using Procedure
Codes and Procedure
Mapping
August 1, 2003
How you enter exam information depends on the way your system is
configured.
If you are using Procedure Codes and Procedure Mapping, the image icons
associated with a procedure (study) are predefined. The icons appear
automatically once the Patient Input screen is displayed with the correct
patient information.
For each image in a procedure:
1. Select the first image icon. The image is highlighted green.
2. Enter with the keyboard or use the bar code reader on the cassette ID.
NOTE: If you are not using Procedure Codes and Procedure Mapping, you
must define the images associated with every procedure. To do this,
click the body part field, select the appropriate body part, then do the
same with projection. Click Submit and the image icon appears.
1F1976
4-7
Entering Exam Data
Mandatory Exam
Information
Use the keyboard to enter the exam information if the bar code reader cannot
read the bar code. See “Bar Code Configuration” on page 9-70. The Cassette
ID field is mandatory.
• Cassette ID: If enabled, use the bar code reader to scan the Cassette bar
code. Otherwise, enter the Cassette ID with the keyboard. If you do not
enter the Cassette ID number, the image is unassigned. You must assign
the image to a patient. You can change all image and patient data except
the Cassette ID.
Bar Code Label
Non-Tube Side
Extremity Label
H195_0015GCA
H195_0015GC
Screen Type Label
Kodak DirectView CR 500 Cassette
4-8
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August 1, 2003
Entering Exam Data
Optional Exam
Information
• Body Part: If the Body Part field is incomplete, the default is used as
defined by the Key Operator.
• Projection: If the Projection field is incomplete, the default is used as
defined by the Key Operator.
• Position: How the patient is positioned for the exam.
• Orientation: Whether the cassette is used in portrait or landscape
orientation. The default orientation is portrait.
• Priority: If the printer supports STAT images, the image moves ahead of
other images in the print queue. Routine and Urgent have the same
priority1.
• Tech ID: Use the bar code reader to scan the code. If the Tech ID bar
code is not available, use the keyboard to enter the Tech ID.
• Date of Birth: Enter the patient’s date of birth.
• Gender: Select the appropriate gender button.
• Procedure Name and Code: These fields can be completed manually
or via the HIS/RIS system data selected from the procedure list.
•
– Referring Physician
– Patient Comments
– Contrast/Bolus
•
– kVp
– mAS
– Distance
– Comments
– Laterality
• Patient Location: Enter the patient location.
For more information see “Procedure Mapping (Option)” on page 9-23.
Saving the Patient
and
Exam Information
After you have entered the patient and exam information, click Submit. The
information is stored in preparation for the exam.
NOTE: After you scan the cassette, the image thumbnail replaces the cassette
icon to display the image.
1. Printers such as the Kodak DirectView 8100 Laser Imager or the Kodak DirectView 8700
Laser Imager may print images in the order they were scanned rather than by priority
when the CR System is configured to Pass-through Mode.
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Entering Exam Data
4-10
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August 1, 2003
5
Scanning, Viewing, and
Managing Images
NOTE: For proper operation and calibration of the 35 x 35 cm cassette,
always insert the screen into the cassette so that the black writing is at
the cassette door or back edge. It is possible to insert this screen into
the cassette in any of four orientations, and if you fail to insert the
screen correctly, it could result in both calibration and functional
failures:
– The scan calibration procedure may fail causing an error
message.
– The screen may not feed properly from the cassette, causing an
error message and preventing any exposed image on the screen
from being processed.
Performing an Exam
The procedure for performing an exam using a phosphor screen is the same
as an exam using film.
To perform an exam:
1. Select the proper size cassette.
2. Position the patient and the cassette.
– For landscape orientation, place the gray corners at the right or left of
the image with the cassette’s gray Tube Side panel facing the X-ray
source.
IMAGE AREA
IMAGE AREA
Cassette ID Label
35 x 43 CM
H195_0005GCA
H195_0005GC
TUBE SIDE
7.5 mm
Gray corners
Landscape Orientation
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Scanning, Viewing, and Managing Images
– For portrait orientation, place the gray corners at the bottom of the
image with the cassette’s gray Tube Side panel facing the X-ray source.
IMAGE AREA
7.5 mm
TUBE SIDE
Cassette ID Label
IMAGE AREA
Gray corners
35 x 43 CM
Portrait Orientation
NOTE: Orienting the cassette properly at exposure eliminates the need to flip
or rotate the image at the CR System.
3. Set the exposure factors.
4. Expose the cassette.
5. Place the cassette into the CR 500 Reader for scanning.
NOTE: The image on an exposed storage phosphor screen degrades over
time. Although a scannable image may be present for a period up to
24 hours, for best results, scan within 1 hour.
Removable
Door
Cassette
feed slot
Removable
Door
Cassette
Plug
H195_0012HCA
H195_0012HC
Thumb Screw
Advance Knob
Screen Path
Phosphor Screen Path
5-2
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Scanning, Viewing, and Managing Images
Loading Cassettes
WARNING:
Use only KODAK DIRECTVIEW CR 500 Cassettes.
1. Place the cassette into the cassette feed slot in the CR 500 Reader.
CR500 READER
CASSETTE
NOTE: Be sure that the Tube Side label faces up, and the cassette’s gray
corners are towards you. Engraved arrows on the top edge of the
cassette indicate the direction the screen ejects, away from you.When
the cassette is inserted, the flexible phosphor screen is in scan
position and scanning starts immediately.
NOTE: The cassette interface platform may overhang the edge of the table
and allow for accidental impacts. Avoid touching or bumping the CR
500 Reader during scanning.
H195_0022ACA
H195_0022AC
The scan operation takes about 55 seconds. If the cassette is not seated
properly, an alarm sounds and an error message appears on the monitor.
CAUTION:
Do not pull the cassette out before the scanning cycle is
complete. Damage to the Reader and cassettes can result.
2. After the flexible screen is scanned, erased, and replaced into the
cassette, the system sounds a double beep and releases the cassette
automatically. Remove the cassette from the cassette feed slot.
3. Repeat the process for additional cassettes.
NOTE: Loading begins when the cassette is centered in the feed slot.
Successful loading is accompanied by a single beep and the green
Busy indicator glows. If an error occurs, the Fault indicator blinks.
The LEDs display with icons as follows:
1
2
3
1
Green - Power - Reader is on.
2
Green - Steady - Opening and closing
cassette.
Green - Flashing - Scanning screen
3
Yellow - Fault - Error has occurred.
H195_0034ACA
H195 0034AC
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Scanning, Viewing, and Managing Images
Viewing Images
You can configure your system for two viewing modes:
• Pass-through Mode
• QA Mode
Pass-through Mode
In Pass-through mode, the completed exam is processed and routed, typically
without stopping. When Pass-through mode is configured, a button appears
on the Scan Status screen next to the Erase Cassette button. This button
toggles between Pause Pass-thru and Resume Pass-thru. You can
temporarily pause Pass-through mode by touching the
button and
approve or reject an image. To resume Pass-through mode, select
.
When the system distributes the image, if necessary, you can recall the image
for review and reprocessing.
QA Mode
If your system is configured in QA Mode, you review the image before you
route it to the selected destinations.
1. Scan the cassette and refresh the CR 500 screen; a thumbnail image
appears on the Patient Input screen. Other images for the patient are
displayed. If there are too many images to display, Previous and Next
buttons appear so that you can access the other images.
2. Select the thumbnail image to display the image for review.
3. If the images are acceptable, select Accept All Images to send the
image(s) with the same Patient ID to the appropriate network
destinations and complete the study. When all images are accepted, the
button toggles to End Study. Select End Study to complete the study.
Scanned Image
5-4
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Scanning, Viewing, and Managing Images
4. To accept a single image after viewing, select the thumbnail and select
Apply and Accept Image on the Image Viewer screen.
Image Viewer
5. If the image is unacceptable, select the thumbnail and select
Reject Image. A prompt confirms that you want to delete the selected
image. Select Yes and the image is deleted; the patient information stays
on the CR System database.
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Scanning, Viewing, and Managing Images
Reject Images
5-6
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Scanning, Viewing, and Managing Images
If Reject Reason is activated:
• Select a Reject Reason.
• Enter a Reject comment (optional).
• Select Reject Image.
6. If further post-processing is required, see “Guidelines for Optimizing
Image Quality” on page 6-1.
Image Review
You can re-display images that have been accepted and routed for review,
modification, and reprocessing. When reviewing images, the procedures are
the same when viewing, modifying, and routing an image.
At the Main Menu, select Image Review.
Image Review
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Scanning, Viewing, and Managing Images
Working with Images
Reprocessing Images
You can modify images before you accept and route them. For information on
reprocessing previously delivered images, see page 6-1. You can reprocess
the displayed image in several ways, including Edge Enhancement, Contrast,
Brightness, etc. To reprocess an image, select Image Processing from the
Image Viewer screen.
Routing Images
When you route images in QA mode, you send them to the destinations set up
by the Key Operator, or you can select specific, pre-defined destinations.
– Use the Pan and Zoom features to evaluate images. Select ESC or
spacebar to return to normal view. See “Full Resolution Viewing” on
page 6-7.
– Select Accept Image to send the image to the destination set up by the
Key Operator.
– Or, select Select Destination to send the image to specific destinations.
5-8
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Scanning, Viewing, and Managing Images
Destinations
To select a destination, move the cursor up or down with the arrows. Then
select either the + or - to choose the number of copies to send to each. When
finished, select Apply, then select Accept Image to route the image. The
DVD/CD destination is typically called Local Host.
NOTE: You can set only multiple copies for hardcopy devices.
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Scanning, Viewing, and Managing Images
Erasing Screens
You can erase phosphor screens without scanning an image. To erase a
screen, at the CR System Main Menu, select Erase Cassette. On the CR 500,
insert the cassette.
Kodak recommends that you erase all little-used or non-circulating phosphor
screen every week or if you suspect it has been exposed to any X-radiation.
IMPORTANT: Erasing deletes any image on the phosphor screen.
Cassettes Ready to be Erased
Erase Progress
5-10
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Scanning, Viewing, and Managing Images
Reprocessing
Delivered Images
To reprocess an image:
1. Make a copy of the image to modify.
2. Select the icon of the image you wish to copy.
3. Select Create a Copy of this Image.
A copy for you to reprocess appears. The original is unchanged.
4. Select the appropriate button. View and modify the images as described
for image quality purposes.
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Scanning, Viewing, and Managing Images
Unassigned Images
To assign a patient:
1. Select the title bar under the unassigned image.
2. Find the correct name by querying the database or select New Patient
and use the keyboard to enter the correct name.
3. Select Assign Image.
To assign a different patient:
1. Select the bar under the image.
2. Select Unassign Image.
3. Under the image, select Unassigned Image.
4. Find the correct name by doing a database query or select New Patient
and use the keyboard to enter the correct name. Then select Assign
Image.
Unassigned Image
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Scanning, Viewing, and Managing Images
DVD/CD Storage and Retrieval (option)
You can use the Kodak Writable CD/DVD R+W System to store and retrieve
images just as you can with any other destination on the system. You can store
images to a DVD or CD, and then retrieve them at a later time for reprocessing
and redelivery. Images are stored as DICOM part 10 files within a DICOM
directory.
Only the raw CR image is saved to CD or DVD. No markers or other image
processing modifications are stored.
IMPORTANT: When you insert a disc into the CD/DVD Storage Device, a
light blinks, indicating that the device is busy. Wait until
the light glows steady before you retrieve images or format
discs.
Supported Media
The CR 500 System supports the following media: CD-R*, DVD+R*, CD-RW,
and DVD+RW.
*Recommended for fastest formatting time.
Formatting Media
To format the media:
1. Select Main Menu, then Utility Menu.
2. Select DVD/CD Utilities.
3. Insert the media into the DVD/CD drive.
4. Select Format.
5. Select format CD.
Select
Format Utility
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Scanning, Viewing, and Managing Images
6. Enter a label, such as the date, in the Label window.
7. Select Start Format.
Retrieving Images
To retrieve images:
from DVD/CD Storage 1. At the Main Menu, select Image Review.
2. At the Image Review screen, select Storage.
Image Review
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Scanning, Viewing, and Managing Images
3. Enter optional search criteria for the Patient Study or Image you are
looking for, or enter none to see all studies.
4. Select
.
A list of patient studies and images matching the search criteria
appears.
• Expand a study, if desired, to show the images included in the study.
• Select a complete study (multiple images) or a single image.
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Scanning, Viewing, and Managing Images
5. Select the desired study or image to retrieve.
6. Select
The system returns to the PEC Input screen, where the
image status is updated.
An entire study or a single image is retrieved and displayed.
7. Select the desired thumbnail to view, reprocess, and select destinations
for delivery as desired.
8. Select Accept Image to deliver the image.
NOTE: If the text box was configured for Reprocessing, images display an ’A’
(instead of an ’R’, for redelivered) in the text box, indicating that the
image came from a DVD/CD storage.
Saving Images to
DVD/CD Storage
5-16
To save an image to DVD/CD storage, assign a destination (Local host) just
as you would for any destination in the system so that the images are stored to
DVD/CD automatically.
1. From the Main Menu, select Image Review.
2. Select an image.
3. Select Select Destination and increase the number of copies by 1 using
the mouse and the + key on Local host.
4. Select Apply.
5. Select Accept Image.
The image is written to the DVD/CD system.
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Scanning, Viewing, and Managing Images
Disc Full Warning
When the DVD/CD disc in the Writable DVD/CD R+W System reaches
approximately 98% full, the following message box appears. Select Continue.
This message means that there is room for approximately ten more images on
the DVD/CD. After the disc is full, deliveries fail until you insert and format a
new disc.
Disc Full Warning
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Scanning, Viewing, and Managing Images
Managing Images
As images are scanned, processed, and routed, the CR System software tracks
the images and stores them based on their status. Sometimes an image is not
delivered properly or is unassigned. Use the Image Review screen to display
images by status for reviewing, reprocessing, or resolving problem images. At
the Main Menu, select Image Review. The following image groups are
available for selection:
Image Status
5-18
Description
All Studies
Displays all images that have not been sent
across the network.
Need Approval
Displays images that need to be
accepted/approved and sent across the network.
Unassigned Images
Displays images not associated with a patient and
that have no demographic data. See “Managing
Unassigned Images” on the following page.
Failed Delivery
Displays images that were not successfully
delivered to a network destination. See
“Managing Failed Delivery” on the following
page.
Pending Delivery
Displays images that are being routed but have
not reached all destinations.
Delivered Images
Displays the images that have been successfully
delivered to selected destinations. These images
are sorted and displayed by Last Name
(ascending alphabetical order) and then by
Time.
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Scanning, Viewing, and Managing Images
Image Review
Managing Failed
Delivery Images
When an image is not successfully delivered to one or more of the selected
destinations, the text block next to the image is red. The image is stored as a
Failed Delivery image. To resolve Failed Delivery images:
1. Select the image thumbnail to view the image.
2. Select Redeliver Image. If delivery fails again, go to the Destination
screen and use the (-) to set the counter to 0 on the failing destination.
3. Select another destination and select Redeliver Image.
4. If the problem continues, contact your Key Operator.
Managing Unassigned An image is stored as an Unassigned Image when it has not been associated
with a patient information record. This happens if the cassette is scanned
Images
before the patient information is submitted with the proper cassette ID. The
record on the Image Review screen is orange when the image is unassigned.
To assign an image to a patient, you must first create a study:
1. At the Main Menu, select Study Data.
2. Use the search criteria to find the patient for the new study.
3. Select the correct patient from the resulting patient list.
4. Select New Study.
5. Enter the Study Data: Accession number, procedure code, etc.
6. Select Submit.
7. At the Main Menu, select Image Review.
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Scanning, Viewing, and Managing Images
8. Select the image you want to assign to the newly created study.
9. Select the Patient Information bar.
10. Search for the patient for whom you created the study and select the new
study.
11. Select Assign Image.
When the image is assigned, the record turns from orange to green.
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Scanning, Viewing, and Managing Images
Printing Images
There are three printing modes available with the CR System:
Print Mode
Description
Best Fit
This mode prints the entire latent image on a
single sheet of film. Because printers cannot
print edge to edge, the image may be minified so
that the entire image fits on a sheet of film. The
actual size of the image depends on the cassette,
the printer, and the film size. The image is as
large as possible without exceeding True-size.
No data are cropped.a
Consistent Image Size
The image is created at 92.5% of True-size. This
percentage is fixed and cannot be changed by
the technologist; no data are cropped.
Images from cassettes that are the same size as
film used by the printer may not print properly
if you are using the external text box because
there are not enough pixels available to print
both the text box and the image at 92.5%.
NOTE: For best results, do not use the external text box with Consistent Image Size
print mode. Use the internal text box. If
you must use the external text box, test
all combinations at the site before the
equipment enters service.
True-size
The image is the same size as the latent image
that existed on the phosphor screen when it was
scanned, within +/- 2%. This is equivalent to the
size of an image on film.
The CR System crops data from the edges of a
True-size image because the CR image is typically larger than a printer can produce on a
comparable film size.
a. See Table: CR Image Minification Factors for Common Kodak Printers.
WARNING:
True-size Printing delivers the latent image to the
destination at 100%, +/-2%. Because variations exist in
scanners, printers, and softcopy displays, use caution when
using these images for exact measurements. Kodak
recommends that you place a known marker at the subject
level when making the exposure and calculating the image
magnification.
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Scanning, Viewing, and Managing Images
When a printer is selected as one of the destinations, the captured image is
forwarded using the routing process. You can print an additional copy
without rerouting the image to the other destinations:
1. Click Select Destination.
2. Select the printer.
3. Select + to add a copy.
4. Click Apply.
5. Click Accept Image.
You can print multiple images to a single print, add text and annotation
boxes, and select True-size printing for one-up images so the image printed is
the same size as the traditional film. See “Appendix B: Printing Exceptions“
for a list of printing exceptions.
CR Image Minification Factors for Common Kodak
Printers
5-22
Film Size
(cm)
Kodak Printer
Cassette
Size (cm)
Average Factor (% of actual scan
size)
35 x 43
2180
18 x 24
99
35 x 43
2180
24 x 30
99
35 x 43
2180
35 x 35
94
35 x 43
2180
35 x 43
94
35 x 43
8700
18 x 24
100
35 x 43
8700
24 x 30
100
35 x 43
8700
35 x 35
93
35 x 43
8700
35 x 43
93
35 x 43
8100
18 x 24
100
35 x 43
8100
24 x 30
100
35 x 43
8100
35 x 35
93
35 x 43
8100
35 x 43
93
35 x 35
2180
18 x 24
100
35 x 35
2180
24 x 30
100
35 x 35
2180
35 x 35
94
35 x 35
2180
35 x 43
78
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Scanning, Viewing, and Managing Images
CR Image Minification Factors for Common Kodak
Printers
Printing Multi-format
Images
Film Size
(cm)
Kodak Printer
Cassette
Size (cm)
Average Factor (% of actual scan
size)
24 x 30
2180
18 x 24
100
24 x 30
2180
24 x 30
100
24 x 30
2180
35 x 35
74
24 x 30
2180
35 x 43
74
18 x 24
2180
18 x 24
97
18 x 24
2180
24 x 30
76
18 x 24
2180
35 x 35
52
18 x 24
2180
35 x 43
54
• All multi-format layouts must contain at least two images.
• Images from cassettes can be placed together in a multi-format print.
• The images are printed in portrait mode for four-up and landscape mode
for two-up multi-format prints.
• Image aspect ratio is maintained.
• Images are printed with saved Image Processing parameters.
When two or more images exist, and a print destination is configured on the
system, the Multi-format button displays next to the cassette ID.
Multi-format
Button
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Scanning, Viewing, and Managing Images
1. Select
.
2. Select a layout. The available images for the study appear, along with the
cassette sizes.
NOTE: Depending on the printer type and film size, printing multi-format
images may not be possible.
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Scanning, Viewing, and Managing Images
Colored borders around the thumbnails indicate the image’s
multi-format status.
• Green — include the image in a multi-format layout, and it has not
been included in a previous multi-format layout.
• Gray—the image was used in a previous multi-format layout. You can
still add the image to the new layout.
• Yellow—the image was placed in the current multi-format layout.
The two-up or four-up print layout appears at the bottom of the screen.
The yellow border indicates where the next image will be placed in the
format.
3. Select the image you want to add to the layout. The image is added to the
print layout and the yellow border moves to the next multi-format layout
location. A yellow border is added to the image at the top of the screen to
indicate it has been added to the layout.
• To remove the image from the multi-format layout location, select the
trash can and then select the image.
• To select a different layout location, select the location, then select the
image you want to place there.
4. Continue selecting images until the layout is complete.
NOTE: You don’t have to add an image to every multi-format layout location
for four-up images. Blank locations will print black.
You cannot flip or rotate images from the Multi-format screen. If
the image is saved in the wrong orientation, it rotates to fit in the
layout. To change the image orientation, go to the Image Viewer
screen and make the changes.
Because four-up images always print in portrait mode and two-up
images always print in landscape mode, you can only change the
image orientation by 180 degrees.
5. Click Accept Image to print the multi-format image. It is sent to the
displayed printer unless you change the destination using Select
Destination.
If you cannot print the multi-format layout to the selected destination, an
error message appears. Select a new printer destination that will support the
format, re-select the images and place them in the layout, and print.
See “Appendix B: Printing Exceptions“ for a list of printing exceptions.
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Scanning, Viewing, and Managing Images
The following table lists common Kodak printers and the CR cassette sizes
(images) that can be printed in two-up or four-up format. See “Appendix B:
Printing Exceptions“ on page B-1.
Kodak Printer
Film Size Cassette Size
Supported on
Two-Up Format
Cassette Size
Supported on
Four-Up Format
Comment
Kodak DryView 8100 Laser
Imaging System
35 x 43
35 x 43
35 x 35
24 x 30
18 x 24
15 x 30
35 x 43
35 x 35
24 x 30
18 x 24
15 x 30
9410 or MIM C
*Minify must be
selected in MIMDUI.
Contact the Technical
Service Center if this
does not work.
Kodak DryView 8200 Laser
Imaging System
35 x 43
35 x 43
35 x 35
24 x 30
18 x 24
15 x 30
35 x 43
35 x 35
24 x 30
18 x 24
15 x 30
MIM B+ or MIM C
35 x 35
35 x 43
35 x 35
24 x 30
18 x 24
15 x 30
35 x 43
35 x 35
24 x 30
18 x 24
15 x 30
MIM B+ or MIM C
11 x 14
35 x 43
35 x 35
24 x 30
18 x 24
15 x 30
35 x 43
35 x 35
24 x 30
18 x 24
15 x 30
MIM B+ or MIM C
11 x 14
35 x 43
35 x 35
24 x 30
18 x 24
15 x 30
35 x 43
35 x 35
24 x 30
18 x 24
15 x 30
Two-up works with
9410 or MIM C
Four-up works with
MIM C ONLY
Kodak DryView 8500 Laser
Imaging System
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Scanning, Viewing, and Managing Images
Kodak Printer
Film Size Cassette Size
Supported on
Two-Up Format
Cassette Size
Supported on
Four-Up Format
Comment
Kodak DryView 8700 Laser
Imaging System
35 x 43
35 x 43
35 x 35
24 x 30
18 x 24
15 x 30
35 x 43
35 x 35
24 x 30
18 x 24
15 x 30
See “Appendix B:
Printing Exceptions“.
Kodak DryView 8900 Laser
Imaging System
35 x 43
35 x 43
35 x 35
24 x 30
18 x 24
15 x 30
35 x 43
35 x 35
24 x 30
18 x 24
15 x 30
See “Appendix B:
Printing Exceptions“.
Kodak Ektascan 2180 Laser
Printer
35 x 43
35 x 43
35 x 35
24 x 30
18 x 24
15 x 30
35 x 43
35 x 35
24 x 30
18 x 24
15 x 30
MIM B + or MIM C
35 x 35
35 x 43
35 x 35
24 x 30
18 x 24
15 x 30
35 x 43
35 x 35
24 x 30
18 x 24
15 x 30
Two-up works with
MIM B+ or MIM C
Four-up works with
MIM C only
11 x 14
35 x 43
35 x 35
24 x 30
18 x 24
15 x 30
35 x 43
35 x 35
24 x 30
18 x 24
15 x 30
Two-up works with
MIM B+ or MIM C
Four-up works with
MIM C only
10 x 12
none
none
8 x 10
35 x 43
35 x 35
35 x 43
35 x 35
24 x 30
18 x 24
15 x 30
24 x 30
18 x 24
15 x 30
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MIM C only
5-27
Scanning, Viewing, and Managing Images
Other Multi-format
Settings
Multi-format Only Check
Box
You can compose multi-format prints of images of a variety of statuses:
Available, Delivered, Failed, etc. To change the status of an image printed in a
multi-format print from Available to Delivered, select the Multi-format Only
check box.
IMPORTANT: Do not check the Multi-format Only check box if you plan
on delivering the image to an archive or workstation. You
may forget to deliver them.
Image Review Screen
During the delivery cycle of a multi-format print, an entry is made in the
Image Review list. Each multi-format print has a separate entry containing the
pertinent patient information and an icon representing the type of format
being printed.
The multi-format image (not the individual image) is removed when the
image has been delivered successfully.
To re-deliver an image that failed, select the Multi-Format image icon to
display the Image Destination Status screen. You can then re-deliver the
image.
Deleting Multi-format
Images
5-28
To remove an image from multi-format, select the trash can icon and then
select the image.
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Scanning, Viewing, and Managing Images
Printing Text
There are two text printing options: Internal and External Text Box. The
available options depend on how the Key Operator has configured your
System.
See “Configuring a Text Box” on page 9-49.
Select the type you want and the location at the Image Processing screen.
Printing Internal Text The Text Box content is configured by your Key Operator.
Boxes
1. At the Image Viewer screen, select Image Processing.
August 1, 2003
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Scanning, Viewing, and Managing Images
Text Box
2. Select the Print Internal Text Box check box.
3. The text box can be printed in 8 different locations, that is, in each
corner either horizontally or vertically. Select the edge of the corner
where you want the text box to appear.
4. Print the image.
Printing External
Text Boxes
5-30
The External Text Box content is configured by your Key Operator.
1. At the Image Viewer screen, select Image Processing.
1F1976
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Scanning, Viewing, and Managing Images
2. Select the Print External Text Box check box.
3. Select the arrow under the check box to select Portrait or Landscape
orientation.
4. Print the image.
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Scanning, Viewing, and Managing Images
True-size Printing (Option)
CAUTION:
In order to support True-size printing, a printer must support
DICOM Requested Image Size. Refer to the printer’s DICOM
conformance statement to determine if a printer supports
Requested Image Size.
True-size Printing delivers the latent image to the destination at 100%, +/-2%.
Because variations exist in the scanners, printers, and softcopy displays, use
caution when using these images for exact measurements.
When you select True-size printing, the image size is the same as the exposed
size, similar to traditional processed film.
CAUTION:
For exact measurements, Kodak recommends placing a known
marker at the level of the subject when making the exposure
and calculating image magnification.
Printers cannot print to the edges of the film. Therefore, to be able to print
True-size printing, the image is cropped (outside edge data are discarded)
before the film is printed.
1. At the Image Viewer screen, click Image Processing.
2. Select the True-size Print check box.
Crop Box
3. Use the arrows to move or rotate the crop box.
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Scanning, Viewing, and Managing Images
4. Print the image.
1 cm Tick Marks
Use the 1 cm Tick Marks option to “burn-in” (Page Glossary-1) markers into
the image to help you evaluate image size. The system optionally prints
markers 1 cm apart along 2 adjacent sides of either 1-up or multi-format
images. The marks are placed so that the distance between any two
consecutive marks is 1 cm when the image is printed True-size. For images
that are not printed True-size, you can use the spacing of the tick marks to
determine the amount of image minification. For example, the distance
between tick marks would be 0.9 cm for an image that is printed at 90% of
True-size.
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Scanning, Viewing, and Managing Images
5-34
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August 1, 2003
6
Maintaining Image
Quality
Guidelines for Optimizing Image Quality
Understanding the cause-and-effect relationship of the parameters applied
during image processing helps you optimize image quality. To produce an
optimum image from the CR System, the proper collimation, positioning,
technique, and the optimum combination of processing parameters are
required.
Performing the Exam The Image Processing Library (IPL) is an object-oriented library of image
processing algorithms incorporated into the CR System. Each body part and
projection combination produces a unique look for a given image.
When using Kodak Flexible Phosphor Screens, the following suggestions will
help you obtain optimum image quality:
• Apply as much collimation as is practically possible on all images.
• Capture only one view per cassette (such as a Posterior Anterior (PA)
hand on one cassette and a Lateral hand on a separate cassette).
• If you must capture more than one view on a cassette, for best quality,
group like views together (such as PA hand and Oblique hand). In this
situation, Kodak recommends that you:
– Minimize the collimation between separate views (such as a thin line
of collimation shown between two views).
– Minimize the exposure overlap between the separate views.
– Use the same bone thickness in each image.
Image Processing
August 1, 2003
The CR System produces the highest-quality images when:
• The exam, body part, and projection information is accurate and
complete.
• You enter exam information for a cassette rather than default body part
and projection information.
• You make contrast and brightness adjustments only if necessary, before
sending the image across the network.
NOTE: The Image Processing parameters and default settings are
pre-configured. If changes need to be made, contact your Key
Operator.
1F1976
6-1
Maintaining Image Quality
Changing Image
Orientation
Click the appropriate button to rotate or flip an image. You can rotate through
360° by rotating in steps of 90° .
Contrast
Tonescale
Brightness
Rotate
Flip
CAUTION:
Adjusting Contrast
and Brightness
Do not change the contrast and brightness unless necessary.
An image’s contrast and brightness are determined by the window width
(contrast) and window level (brightness). When you adjust the settings the
image display changes.
The default values are:
– Contrast: 4095
– Brightness: 2048
Adjust the straight line portion of the curve to include as much histogram data
as possible. The numerical values are the number of input code values.
Changing Window Width Increasing the window width reduces the contrast. Changing the window level
(Contrast)
affects the overall appearance but does not affect contrast.
NOTE: To return to the default Contrast and Brightness settings (4095 and
2048) click the Tonescale button twice.
Changing Window Level
(Brightness)
6-2
Increasing the window level increases the brightness.
1F1976
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Maintaining Image Quality
Changing Image
Tonescale
If a processed image is not acceptable, you may be able to salvage the image
by using the raw data.
1. Select Image Tonescale to view the raw data.
2. Adjust the Brightness and Contrast to generate an acceptable image.
NOTE: Select Image Tonescale again if you want to return to the Processed
Data.
For optimum results, try to get as much of the tonescale line in the image
data area as possible.
Image Tonescale
Tonescale Line
Look Up Table (LUT) Data
Histogram
Raw Data
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6-3
Maintaining Image Quality
Image Processing
You can alter or reprocess an image at the Image Processing screen. The
Image Reprocessing parameters are set up and stored in memory by the
Application Consultant or a Key Operator who has attended an advanced
image processing class. If these changes do not produce satisfactory results,
contact your Application Consultant. Software features that have not been
purchased will be grayed out and therefore not selectable.
To reprocess an image:
1. At the Image Viewer screen, select the Image Processing histogram.
Image Processing
6-4
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Maintaining Image Quality
Use the following table to make your image processing selections.
Parameter
Black Surround Mask, Black
Bone, Edge Enhancement,
EVP, 1 cm Scale, and Grid
Suppression
Procedure
1. Select the appropriate check box to
select a function. If you cannot select
it, the option is not available.
2. Select Reprocess Image.
3. Evaluate the image. If the parameter
Left, Right, or Up Arrow
Marker
does not improve the image, select
the check box again and then
reprocess.
1. Select the Left, Right, or Up Arrow
check box.
2. Select location of the marker in the
Print Internal Text Box
Print External Text Box
True-Size Print
image.
The marker appears on the image.
3. To remove the marker, select the
check box.
NOTE: This function is set by the Key
Operator. (See “CR Display
Configuration” on page 9-33).
Use the mouse to select any corner to
place the text box. The text box can be
orientated either horizontally or
vertically. Select the edge of the corner
you wish the text box to align with. For
more information see “Text Box
Configuration (Option)” on page 9-43.
Select the Print External Text Box
check box. For more information see
“Text Box Configuration (Option)” on
page 9-43
Select the True-size Print check box.
NOTE: You can reprocess an image before accepting it. If the image is
accepted and delivered, select the image thumbnail to display the
image.
• Select Redeliver Image to redeliver the image without changes.
• Select Create a Copy of this Image to display a copy of the image to
August 1, 2003
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6-5
Maintaining Image Quality
modify.
Function
Description
Black Surround Mask
Blackens the area around the image.
Edge Enhancement
Accentuates edges in the image. The default
edge enhancement values should seldom
need to be changed. Changing Edge
Enhancement should only be done by
someone with a clear understanding and
good working knowledge of digital imaging.
1 cm Scale
Adds a 1 cm scale perpendicular to the
borders of the image.
Left, Right, or Up Arrow
Marker
Adds digital Left (L), Right (R), or Up Arrow
(↑ ) markers to an image to identify the
image’s left, right, and upward orientation.
Black Bone
Reverses the light and dark areas of the
image to provide an optional view of the
image details.
EVP
Increases the latitude of the image while
preserving the contrast of the image details.
Grid Suppression
Detects and suppresses aliasing artifacts
from images.
Print Internal Text Box
See “Printing Text” on page 5-29. See “Text
Box Configuration (Option)” on page 9-43
information on configuring text boxes.
See “Printing Text” on page 5-29.
For information on True-size Printing see
“True-size Printing (Option)” on page 5-32.
Print External Text Box
True-size Printing
6-6
1F1976
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Maintaining Image Quality
Full Resolution
Viewing
You can pan and zoom the image from the Image Reprocessing screen.
NOTE: This option is not available on the ROP.
Image Reprocessing
• Select
for half-resolution zoom.
Half-resolution Zoom
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6-7
Maintaining Image Quality
• Select
to view full screen, full-resolution zoom.
Only a part of the image is visible at any time. Click and drag to pan other
parts of the image.
Full Screen View, Full-resolution Zoom
Press the keyboard Esc or Enter keys, or touch the spacebar to return to the
normal view.
NOTE: If you are using a CRT monitor with Full Resolution, the screen
resolution automatically changes from 1024 x 768 to 1600 x 1200,
and then back to 1024 x 768 when you exit the screen.
If you are using an LCD monitor, you can view Full Resolution at
1024 x 768.
NOTE: The Key Operator can disable the Full Resolution option if desired.
From the Key Operator Functions menu, select System
Configuration and select CR Display Configuration.
6-8
1F1976
August 1, 2003
Maintaining Image Quality
Improving Image Characteristics
Use the following table to look up a general quality problem and find possible
solutions.
Two tools are available for you to improve an image-quality problem:
• Change contrast and brightness
• Change user parameters (a Key Operator function).
NOTE: If you cannot correct the problem, in the United States and Canada,
contact Kodak Customer Service Center (CSC) for service at
1-800-328-2910, prompt 2, then prompt 3 for further assistance. For
other locations, contact your Kodak service center or representative.
Image Problem
Recommendations
• Decrease the brightness, and then adjust the contrast if needed. “Adjusting
Contrast and Brightness” on page 6-2. If this causes clipping in the region
of interest, switch to the raw image and adjust brightness and contrast on
the raw image.
• If the images are consistently too light, contact your Key Operator.
• Increase the brightness, and then adjust the contrast if needed. See
Image is too dark
“Adjusting Contrast and Brightness” on page 6-2. If this causes clipping in
the region of interest, switch to the raw image and adjust brightness and
contrast on the raw image.
• If the images are consistently too dark, contact your Key Operator.
• Increase the contrast, and adjust the brightness. See “Adjusting Contrast
Image is too flat
and Brightness” on page 6-2.
• If images are consistently too flat, contact your Key Operator.
•
Decrease the contrast and brightness. See “Adjusting Contrast and
Image contrast is too high
Brightness” on page 6-2.
• If image contrast is consistently too high, contact your Key Operator.
• The image may require more exposure to reduce the amount of noise.
Image is too noisy (no edge
enhancement chosen or applied) Check the exposure index in the exam information.
Image is too grainy (with edge • The image may require more exposure to reduce the amount of noise.
Check the exposure index in the exam information.
enhancement applied)
• Cancel the edge enhancement selection.
• Change the tonescale to Raw Data tonescale type. See “Changing Image
Tonescale” on page 6-3 and adjust contrast and brightness. See “Adjusting
Contrast and Brightness” on page 6-2. Remove edge enhancement by
changing it to None.
• Turn off EVP.
• If the enhanced images are consistently too grainy, contact your Key
Operator.
Image is too light
August 1, 2003
1F1976
6-9
Maintaining Image Quality
Image Problem
Recommendations
Image is all white or all black
• Confirm an image was captured on the plate.
• Remove black surround.
• Check laser printer for errors; find out if problem is restricted to one or
for all prints produced on that particular printer.
• Check clinical and diagnostic workstations to see if the same problems
occur when viewing the distributed image.
• Have your Key Operator print SMPTE test pattern from the Key Operator
Functions, System Configuration, Next, and Next screen. If stripes
exist on the test, it may be a printer issue. If stripes do not exist, there is an
issue on the CR System or the monitor. Contact the Applications Consultant.
• Confirm that an image was captured on the phosphor screen using one of
the following methods:
Printed image has stripes
through it
No Image
1. Change the tonescale to Raw Data and turn off Edge Enhancement,
Black Surround Mask, EVP, and Grid Suppression. If there is no
visible image, nothing was captured on the phosphor screen.
2. View the histogram. If the histogram is outside of the LUT curve on
both the processed and raw data, no image was captured.
• If the image was captured, adjust the contrast and brightness to produce
an acceptable image. See “Adjusting Contrast and Brightness” on page 6-2.
Data Histogram No. 1
This histogram’s position on the LUT shows that no image was captured.
Raw Data Histogram No. 2
This histogram’s position on the LUT shows that an image was captured.
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1F1976
August 1, 2003
Maintaining Image Quality
Processed Data Histogram
This histogram’s position on the LUT shows that an image was captured and
processed.
NOTE: The Exposure Index is the average code value of the pixels in the
active histogram used for processing the image. The image data is the
data within the boundary box used for processing the image for the
body part. Use the Exposure Index to monitor whether your exposure
factors are in the correct range. The lower the Exposure Index, the
greater the noise present on the image.
If image processing fails, the Histogram displays a linear LUT
(straight line) and the displayed image has very low contrast. Adjust
the brightness and contrast to generate an acceptable image.
August 1, 2003
1F1976
6-11
Maintaining Image Quality
6-12
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August 1, 2003
7
Troubleshooting
CR System Error Condition
The CR System alerts you to an error condition by changing the color of the
Main Menu and the Utility Menu buttons from gray to red. The buttons
remain red on all screens as long as the error exists on the system.
To determine the nature of the error, select Main Menu, then select Utility
Menu. The button for the affected area is red. Select this button and the error
message appears.
Utility Menu
Error Messages
Error Messages appear following an error in operation. Follow the
instructions on the screen to return to normal operation. If that doesn't
correct the problem, contact your Key Operator. If the Error Message repeats,
in the U.S. and Canada, call the Kodak Technical Support Center at
1-800-328-2910. For all other locations, contact your Kodak service center
or Kodak representative.
August 1, 2003
1F1976
7-1
Troubleshooting
Releasing Cassette and Phosphor Screen Jams
To release a cassette or phosphor screen from the CR 500 Reader, do the
following:
1. At the Main Menu select Utility Menu.
2. Select System Recovery.
3. Select Release Cassette.
4. Select Auto Recovery to clear the jam in the system. Remove the
cassette and inspect it for the screen.
5. If the cassette and screen are released, select Main Menu and resume
normal operation. If the screen does not return, select Auto Recovery
again.
If the screen still does not return:
1. Remove the louvered (1) door from the back of the Reader and check
for the screen. Remove the screen if possible.
2. If you cannot remove the screen from the back of the Reader, select
Manual Recovery and wait a few seconds for the rollers to close.
3. Remove the side panel (2).
CAUTION:
Be careful when touching internal surfaces. They may be hot!
4. Turn the Advance Knob (5) to move the screen up to the Reader’s rear
opening or turn the other way to expel the screen through the front of
the reader, and remove. If that is not successful, do the following:
5. Turn the Reader’s power switch to O.
6. Turn and remove the thumbscrew (4).
7. Unplug (3) the erase light assembly and remove.
8. Remove the screen.
9. Replace the erase light assembly and plug it back in (3).
10. Replace and turn thumbscrew (4). Replace the side panel.
11. Turn the Reader’s power switch to I.
12. After releasing the screen, select Main Menu.
7-2
1F1976
August 1, 2003
Troubleshooting
➀
➁
➂
➃
➄
CR 500 Reader
H195_0012HC
1
Removable louvered rear door
2
Removable side panel door
3
Erase Lamp Plug
4
Thumb screw
5
Advance knob
If the problem persists, in the U.S. or Canada, call the Kodak Technical
Support Center at 1-800-328-2910. For all other locations, contact your
Kodak service center or Kodak representative.
NOTE: Before calling Kodak, locate the CR System K Number, located on
the Reader’s left panel. You must provide the K Number when
calling in a problem.
System Reset
If the CR System stops responding to your commands, try turning off the
computer and turning it back on.
1. Press the CR Computer Power button. The computer attempts a
controlled shutdown. Wait one minute; if the screen hasn’t changed, go
to step 2.
2. Press and hold the UPS OFF button until you hear a beep. The unit turns
off.
To restart, see “Starting the System” on page 3-1.
August 1, 2003
1F1976
7-3
Troubleshooting
System Status
The System Status screen provides information on disk and memory
utilization, database statistics, and erase lamps.
1. At the Main Menu, select Utility Menu.
2. Select System Status.
System Status
Clear Pending Images
There may be times when you want to clear images that do not go to a
destination. Clear Pending Images cancels any pending or approved
images and reset the image status to Failed Delivery.
1. At the Main Menu, select Utility Menu.
2. Select System Recovery.
3. Select Clear Pending Images.
4. Select Clear Pending Images again.
The system automatically shuts down and restarts.
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1F1976
August 1, 2003
Troubleshooting
Clear Pending Images
August 1, 2003
1F1976
7-5
Troubleshooting
Slow System Response (Restart the Browser)
If you are experiencing slow system response, check your physical memory.
See “System Status” on page 7-4.
If the physical memory utilization is high, restart the browser.
1. At the Main Menu, select Utility Menu.
2. Select System Recovery.
3. Select Restart Browser.
Restart the Browser
4. Select Restart Browser again.
5. If this is not successful, reboot the system.
7-6
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August 1, 2003
8
Maintaining Equipment
and Cassettes
Cleaning the CR System Surfaces
Clean the outer surfaces of the CR System only with water using a soft, lint-free
cloth. Dampen the cloth, then wipe the outer surfaces lightly.
CAUTION:
Do not use alcohol or alcohol-based products to clean the
pinch rollers, belts, entrance guide or any urethane parts on
the CR System.
Cleaning the CRT Screen
Clean the screen regularly to ensure its proper operation:
CAUTION:
To avoid damage do not use liquid cleaners, abrasive cleaners
or strong solvents, such as benzine, to clean the CRT screen.
Also, do not spray aerosol cleaners directly on the screen.
1. Turn off the CRT monitor.
2. Spray glass cleaner on a soft cloth, then gently wipe the CRT screen
viewing surface.
3. Use a soft cloth dampened with water to clean the housing around the
screen.
August 1, 2003
1F1976
8-1
Maintaining Equipment and Cassettes
Cleaning the LCD Panel
Clean the screen regularly to ensure its proper operation:
CAUTION:
To avoid damage do not use liquid cleaners, abrasive cleaners
or strong solvents, such as benzine, to clean the LCD panel.
Also, do not spray aerosol cleaners directly on the LCD panel.
1. Turn off the LCD display.
2. Spray glass cleaner on a soft cloth, then gently wipe the screen viewing
surface.
3. Use a soft cloth dampened with water to clean the housing around the
screen.
8-2
1F1976
August 1, 2003
Maintaining Equipment and Cassettes
Removing the Flexible Phosphor Screen
1. Place the tip of a tool, such as the tip of a ballpoint pen or small
screwdriver, in the oval opening on the cassette’s side. Push the latch
forward to release the phosphor screen.
CAUTION:
Be careful not to damage the phosphor screen surface or any of
the screen edges.
2. Hold the cassette flat and remove the phosphor screen from the cassette.
open
DE
A
S
C
A
SI
T
BE
K
TU
E
close
N
Push in to
release
H195_0010BCA
H195_0010BC
Removing the Phosphor Screen
August 1, 2003
1F1976
8-3
Maintaining Equipment and Cassettes
Cleaning the Flexible Phosphor Screen
Special Cleaning
Materials
IMPORTANT:
Read and follow instructions in the Kodak Intensifying
Screen Cleaner and Antistatic Solution Material Safety Data
Sheet (MSDS) prior to use.
Catalog Number
Description
106 4930
Kodak Intensifying Screen Cleaner and
Antistatic Solution
N/A
Soft, lint-free cloth
N/A
70% Isopropyl alcohol
N/A
10% Bleach solution
Inspect phosphor screens every week and clean as necessary according to the
manufacturer’s instructions. Cleaning may also help reduce image artifacts.
Under normal use conditions, storage phosphor screens will eventually show
wear. This may occur from abrasion of the protective overcoat or inadvertent
physical damage to the surface.
IMPORTANT: Certain chemical agents, such as non-approved screen
cleaners, hand lotions, topical medications, food,
perspiration, etc., may also cause artifacts and damage the
screens.
Screen wear can result in artifacts on radiographs. Storage phosphor screens
and cassettes used for medical diagnosis and clinical interpretation should be
inspected periodically and replaced when wear is evident.
Phosphor screens are extremely sensitive to moisture. Exposure to moisture
can cause damage to the phosphor screens, which results in image-quality
problems.
The phosphor screen is coated with a moisture-resistant polymer blend. The
overcoat is very thin (less than 0.001 inch) and has limited resistance to
mechanical abrasion that may occur during cleaning. It is possible to damage
the protective coating during use or cleaning. This can permanently damage
the screen.
IMPORTANT: Read and follow instructions in the Material Safety Data
Sheets (MSDS) for KODAK Intensifying Screen Cleaner and
Antistatic Solution and KODAK MIN-R Screen Cleaner prior
to use.
8-4
1F1976
August 1, 2003
Maintaining Equipment and Cassettes
1. Remove the screen from the cassette shell. See “Removing the Flexible
Phosphor Screen” on page 8-3.
2. Clean the phosphor screen with a soft, dry, lint-free cloth. Most of the
minus density artifacts are caused by loose dirt. Normally, a gentle wipe
is all that is needed.
3. If the dry cloth does not remove the dirt, clean screens with
Kodak Intensifying Screen Cleaner and Antistatic Solution or with Kodak
MIN-R Screen Cleaner as follows:
NOTE: You may remove stubborn soil with a 70% solution of Isopropyl
Alcohol, following steps 1 through 3. After cleaning with Isopropyl
Alcohol, re-treat the screen with screen cleaner. Do not use 100%
Isopropyl Alcohol.
WARNING:
Isopropyl Alcohol is a flammable solvent. It can cause eye
irritation and dry skin. Wash hands with soap and water
following maintenance procedures. Read and follow
instructions in Material Safety Data Sheet (MSDS) prior to
use.
If a bleach solution is necessary to disinfect the phosphor screen:
1. Lightly dampen a soft cloth with bleach diluted 1:10 with water.
2. Carefully clean only the soiled area on the phosphor screen.
3. Rinse the phosphor screen with a soft cloth moistened with
Kodak Intensifying Screen Cleaner and Antistatic Solution.
4. After the soil is removed, dry the phosphor screen gently with a soft,
dry, lint-free cloth.
Do not use soaps or detergents containing brightening agents. Some
screen-cleaning agents may leave residues, which will seriously affect the
performance of these screens. The use of any cleaning agents other than those
specifically suggested for cleaning KODAK Storage Phosphor Screens is not
recommended.
a. Lightly dampen a small, soft, lint-free cloth with solution.
b. Wipe the soiled area with the damp cloth. After cleaning, wipe the screen
with a soft, dry, lint-free cloth.
CAUTION:
For all cleaning methods, avoid pressure and excessive
rubbing, which may damage the screen surface. Do not soak
the cloth or apply solution directly to the screen’s surface.
Excessive moisture may damage the screen.
August 1, 2003
1F1976
8-5
Maintaining Equipment and Cassettes
Replacing the Flexible Phosphor Screen
After cleaning the phosphor screen:
1. Position the cassette with the Tube Side up. See the figure on page 8-3.
2. Place the tip of a tool, such as a small screwdriver, or ballpoint pen in
the oval hole on the side of the cassette and push in to release the latch.
Move the latch forward to open the cassette.
3. Place the white (phosphor) side of the screen up so that it faces the
cassette’s Tube Side panel.
NOTE: Use only KODAK Flexible Phosphor Screens for KODAK DIRECTVIEW
CR 500 Systems, available separately. Match the screen resolution to
the resolution indicated on the cassette label: (GP) General Purpose
or (HR) High Resolution
4. Carefully insert the screen all the way into the cassette.
NOTE: For proper operation and calibration of the 35 x 35 cm cassette,
always insert the screen into the cassette so that the black writing is at
the cassette door or back edge. It is possible to insert this screen into
the cassette in any of four orientations, and if you fail to insert the
screen correctly, it could result in both calibration and functional
failures:
– The scan calibration procedure may fail causing an error
message.
– The screen may not feed properly from the cassette, causing an
error message and preventing any exposed image on the screen
from being processed.
5. Place the tool into the round hole and pull the latch back as far as
possible to close the cassette.
Cassette Cautions
CAUTION:
You cannot ship cassettes contaminated with blood or other
body fluids to an Eastman Kodak Company facility for
evaluation unless the cassettes have been decontaminated.
Please utilize “universal precautions” and decontaminate the
cassettes with either an EPA registered tuberculocidal (list B)
or diluted bleach (1:10 with water) solution prior to shipping.
8-6
1F1976
August 1, 2003
Maintaining Equipment and Cassettes
CAUTION:
The X-ray cassettes contain lead mylar. Disposal of lead may be
regulated due to environmental considerations. For disposal
or recycling information, please contact your local authorities
or visit the Electronics Industry Alliance Website at
http://www.eiae.org.
Cleaning Cassettes
CAUTION:
Avoid contaminating the inside of the cassette with the cleaning
solution. Be careful not to damage the phosphor screen surface
or any of the screen edges.
IMPORTANT:
Remove the phosphor screen from the cassette before
cleaning the cassette exterior.
Clean the surface of the cassette case with any of the following solutions.
Other solutions are not recommended.
• Kodak Intensifying Screen Cleaner and Antistatic Solution
• Kodak MIN-R Screen Cleaner
• Mild soap-and-water solution
• Kodak MIN-R Screen Cleaner Wipes
• Isopropyl Alcohol
NOTE: Be sure the cassette is completely dry before replacing the phosphor
screen.
IMPORTANT:
Read and follow instructions in the KODAK Intensifying
Screen Cleaner and Antistatic Solution and Kodak MIN-R
Screen Cleaner Material Safety Data Sheets (MSDS) prior to
use.
WARNING:
Isopropyl Alcohol is a flammable solvent. It can cause eye
irritation and dry skin. Wash hands with soap and water
following maintenance procedures. Read and follow
instructions in the Material Safety Data Sheet (MSDS) prior
to use.
August 1, 2003
1F1976
8-7
Maintaining Equipment and Cassettes
Replacing Erase Lamps
The part number for ordering the erase lamps is 1F9373. When you place an
order, you receive two lamps; they are replaced in pairs. In the United States
and Canada call 1-800-431-7278 to place your order. For all other locations,
contact your Kodak representative.
You can replace the erase lamps from the side of the machine without using
any tools.
NOTE: Use only Kodak Erase Lamps (PN 1F9373) in the CR 500.
CAUTION:
The lamps contain mercury. Disposal of these components may
be regulated due to environmental considerations. For
disposal or recycling information, please contact your local
authorities or visit the Electronics Industry Alliance Web site at
http:\\www.eiae.org.
CAUTION:
Be careful when touching internal surfaces. They may be hot!
1. Turn off the power to the CR 500 Reader. See “Shutting Down the
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
System” on page 3-3.
Remove the side panel.
Unplug the lamp housing assembly.
Loosen and remove the thumbscrew.
Slide the lamp assembly out.
Change the lamps.
Return the lamp assembly.
Replace the thumbscrew.
Plug in the lamp housing assembly.
Replace the side panel.
Turn on the power to the CR 500 Reader. See “Starting the System” on
page 3-1.
CAUTION:
If the mercury lamps should break during replacement, follow
your organization’s mercury removal plan.
8-8
1F1976
August 1, 2003
Maintaining Equipment and Cassettes
PLUG
LAMP ASSEMBLY
ADVANCE KNOB
H195_0009HCA
H195_0009HC
THUMB SCREW
Replacing the Erase Lamps
August 1, 2003
1F1976
8-9
Maintaining Equipment and Cassettes
8-10
1F1976
August 1, 2003
9
Key Operator Functions
Introduction
The Key Operator is responsible for setting the configuration defaults and
operating parameters for the CR System. CR System configuration is done at
installation to maximize workflow and System operation, and to optimize
workflow.
You may need to change the CR System configuration. At the Key Operator
Functions menu, enter a password to change the CR System configurable
features.
To access the Key Operator functions:
1. At the Main Menu, select Key Operator Functions.
2. If applicable, at the password entry screen, enter your password and
select Login.
Key Operator Functions Menu
August 1, 2003
1F1976
9-1
Key Operator Functions
The Kodak DirectView CR 500 System Key Operator Functions menu
includes:
9-2
Manage Patient Exam
Records
Delete existing Patient Records from the
Patient Worklist.
Statistics
View the scanner, cassette, technician, and
destination statistics.
Total Quality Tool
Option Not Available.
System Configuration
Configure your system for your operation
and optimize workflow.
1F1976
August 1, 2003
Key Operator Functions
Managing Patient Exam Records
You can delete specific Patient Exam Records that appear on the Patient
Worklist screen. To do this, use the worklist that appears after a Query.
1. At the Key Operator Functions menu, select Manage Patient Exam
Records.
Manage Patient Exam Records
2. Select Find Local to display the Patient Worklist screen.
You can also enter patient criteria to narrow your search for specific
patients.
August 1, 2003
1F1976
9-3
Key Operator Functions
3. Locate the appropriate patient record to delete from the Patient
Worklist screen. If necessary, use Go to Page X of X to scroll through
the worklist.
Patient Worklist
4. When you locate the patient, select the patient’s name on the
Patient Worklist screen, then select Delete Patient. The screen
refreshes.
NOTE: If you select the incorrect patient, or decide not to delete a patient, do
not select Delete Patient.
5. Select Back to return to the Search Query screen.
NOTE: Names and exams in red contain images that are either available,
pending delivery, or failed delivery. You cannot delete these records
until they are corrected.
9-4
1F1976
August 1, 2003
Key Operator Functions
Statistics
At the Statistics menu you can compare scan and erase cycles, view the
cassette, technologist and destination statistics, and check the status of your
destinations.
Cassette Statistics
1. From the Key Operator Functions menu, select Statistics and then
select Cassette Statistics. Use the data to evaluate cassette
performance.
2. Select Clear Stats to clear the data fields.
Cassette Statistics Screen
August 1, 2003
1F1976
9-5
Key Operator Functions
Destination Statistics
1. At the Key Operator Functions menu, select Statistics, then select
Destination Statistics. The screen displays all network destinations,
the number of successful deliveries, the number of failed deliveries, and
the successful delivery percentage. The data updates every time you
deliver an image.
2. Save the statistics to a floppy disk and select Clear Stats to clear the data
fields. You can view the data from the floppy disk at a later time.
Destination Statistics Screen
9-6
1F1976
August 1, 2003
Key Operator Functions
Technologist Statistics To view a list of all the technologists in the system, at the Key Operator
Functions menu, select Statistics and then select Tech Statistics.
Technologist Statistics
• Select a column heading to sort the listing based on that field.
• Select Clear Stats to delete the data for all of the technologists.
• Select a row to display the statistics associated with a technologist.
Technologist Statistics Screen 2
1. Select Clear Stats to delete the data for this technologist.
August 1, 2003
1F1976
9-7
Key Operator Functions
2. Select a row to display the statistics associated with every image for this
technologist.
Technologist Statistics 3
Select a row to view the complete Reject Reason data.
9-8
1F1976
August 1, 2003
Key Operator Functions
Scan Cycles
1. At the Key Operator Functions menu, select Statistics.
2. Select Scan Cycles.
3. If the Erase Lamps are replaced, select Clear to set the cycle to zero.
Scan Cycles
August 1, 2003
1F1976
9-9
Key Operator Functions
Destination Status
Summary
At the Key Operator Functions menu, select Statistics and then select
Destination Status Summary to display the status for each destination.
Destination Status
The screen displays the last time data were sent to the destinations listed and
the status of the devices at that time.
9-10
1F1976
August 1, 2003
Key Operator Functions
System Configuration
The Kodak DirectView CR System is highly configurable and integrates well
into the digital radiology department. You can configure, save, and restore
many attributes of the CR System for your operation and optimize workflow:
• Restore Configuration—Once configured, you can save the settings for
backup or transfer them to another CR System.
• Option Registration —Install optional features easily.
• Workflow Optimization —Defining lists optimizes workflow by
reducing the amount of time it takes to create an exam and eliminating
typographical errors. There are lists for Departments, which can be used
to help deliver images to the correct locations, Physicians, and
Procedures. Workflow Optimization lets you map images to procedures,
that is, when you select a procedure from the list, or the RIS feeds the CR
System a Procedure Code, all the image icons are built automatically. You
can construct Trauma defaults for up to 35 patients.
• HIS/RIS Broker Configuration—Lets the CR System communicate with
your RIS, displaying the patient worklist. You can also query the RIS for
individual patients.
• CR Display Configuration—Lets you define default query criteria and
how query results are displayed. You can disable the Right, Left, and Erect
Arrow markers here.
• Profile Destination Configuration—Lets you tell the CR System where
to deliver images. You can deliver based on body part, projection, cassette
size, or department. This saves time by automatically delivering the images
where you want.
• Text Box Configuration—You can define which information appears on
the film, allowing you to see only the information that is important to you.
• Delivery Preferences —Lets you set CT Pixel spacing so that
measurements on workstations can be displayed in pixels or in mm. You
also set the name and address of your hospital here.
• External Devices —Lets you add ROPs, RPDES terminals, or a remote
Key Operator PC to your system.
• Bar Code Configuration —Lets you program the bar code scanner to
automatically recognize Tech IDs, Accession Numbers, Patient IDs, or
Cassette IDs, populating these fields with the information without the
technologist having to highlight them manually.
• Color Preferences —Lets you customize the colors on your system.
• Required Fields —Lets you determine which fields are required before
an exam is submitted or delivered. If you are using Reject Reasons, you
may want to make Tech ID a required field.
August 1, 2003
1F1976
9-11
Key Operator Functions
• System Maintenance Defaults —Lets you set the minimum and
maximum computer hard disk space, balancing between performance and
image retention.
• Regional Settings—Pick the time zone and date format for the system to
use.
• Configure Monitor—The CR System is configured for the LCD monitor
by default, but you can select the parameters for either the CRT monitor or
the LCD monitor.
• Miscellaneous—Select the default body part and projection to use to
process an image if none are selected.
• SMPTE Test Pattern—View a gray scale value to evaluate image quality.
At the Key Operator Functions menu, select System Configuration.
There are three System Configuration screens.
System Configuration Menu Screen 1
9-12
1F1976
August 1, 2003
Key Operator Functions
System Configuration Menu Screen 2
System Configuration Menu Screen 3
August 1, 2003
1F1976
9-13
Key Operator Functions
Saving System
Configurations
1. Insert a floppy disk into the CR System and select OK. If you do not insert
Restoring
Configurations
You can save configurations to a floppy disk for backup purposes, then load
(restore) them. Using this technique you can copy settings from one
CR System and transfer them to other systems, reducing the time it takes to
change the configuration of multiple machines.
To restore system configuration information:
1. At the Key Operator Functions menu, select System Configuration,
then select Restore Configuration.
a floppy disk, the CR System prompts you to do so.
2. At the Key Operator Functions menu, select System Configuration,
then select the Save all Configs button at the bottom of the screen.
Restore Configuration
2. Insert the floppy disk that contains the configuration information into the
CR System.
3. Select each check box to select the options you want to load, or select
Select All.
NOTE: Do not select items below the line unless you are restoring settings to
the same machine.
4. Select Load Config.
5. Select Select All to load all settings.
9-14
1F1976
August 1, 2003
Key Operator Functions
Option Registration
Activate upgrade options at the Option Registration screen.
Option Registration
1. At the Key Operator Functions menu, select System Configuration
then select Option Registration.
2. Install the appropriate Kodak DirectView CR 500 Options floppy disks
containing the options for the upgrade.
3. Select Add Upgrade Options.
• If you have lost your options disk and need to reload features, in
the US and Canada, call the Kodak Technical Service Center for
assistance. Elsewhere in the world, call your local Kodak service
contact.
• The options that are selected are installed.
August 1, 2003
1F1976
9-15
Key Operator Functions
Workflow
Optimization
Use the Workflow Optimization setup procedures to customize your
CR System and increase productivity.
Workflow Optimization Menu 1
Workflow Optimization Menu 2
9-16
1F1976
August 1, 2003
Key Operator Functions
Body Part
Configuration
Changing Button Names
The procedures for changing the names, colors, and button positions are
consistent for all the configuration setups. You may want to change the
locations or colors of buttons so they are grouped more logically for your
hospital.
From the Key Operator Functions menu, select System Configuration
and then Workflow Optimization. Select Body Part Configuration.
1. Select the button you want to change.
2. Select Change Name.
3. Enter a new name using the keyboard, select Apply Name, and select
Save Changes.
Changing Button Colors
1. Select the button you want to change.
2. Select Change Color.
3. Select one of the eight Change Color buttons, and select Save
Changes. If you want to create a custom color for one of the eight color
choice buttons, see page 9-69.
NOTE: If there is a button that you do not want to appear on the screen, clear
the Visible check box.
August 1, 2003
1F1976
9-17
Key Operator Functions
Changing Button Location
1. Select the button you want to move.
2. Select Move Button.
3. Select the arrows until the button is in the location you want.
4. Select Save Changes.
NOTE: Make all of your changes and then select Save Changes.
9-18
1F1976
August 1, 2003
Key Operator Functions
Body Part and Projection
Configuration
You can configure the body part and projection screens to meet your needs.
• Change the color, name, and location of the button as it appears on the
pop-up keyboard.
• Hide any buttons that you do not want to have displayed.
• Re-organize the buttons into groups or sequence of appearance.
• Customize existing buttons.
Creating Custom Buttons NOTE: If you create a custom button, have your Applications Consultant set
up your Image Processing Preferences for the button. Use the
preference editor to configure the parameters that control the image
processing algorithms.
1. At the Key Operator Functions menu, select System Configuration
then select Workflow Optimization.
2. Select Body Part Configuration.
3. Select Custom 1 or Custom 2.
4. Select Change Name.
5. Enter the name you want using the keyboard.
6. Change the color and position if necessary.
7. Select Save Changes.
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Key Operator Functions
Department and
Physician List
Configuration
You can define a list of all departments, physicians, and procedures to
minimize the amount of data entry by the technologist and to eliminate
typographical errors. You can use Department lists for Profile Destination
Configuration.
When the lists are defined, select the field on the PEC Input screen to display
the list. Select the data you want to appear in the field.
Referring Physician List
To add a Department or a Physician:
1. At the Key Operator Functions menu, select System Configuration
then select Workflow Optimization.
2. Select Department List Configuration or Physician List
Configuration.
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Key Operator Functions
Referring Physician List Configuration Screen
3. Select a button.
Change Name
4. Select Change Name and enter the name.
5. Change the color and position of the button if necessary.
6. Select Save Changes.
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Key Operator Functions
Procedure List and
Procedure Mapping
Overview
You can use these two features together or independently to automatically
create image icons for your department’s procedures.
• Procedure List—lets you create 34 buttons that appear when you select
the Procedure field on the PEC input screen. Procedure Lists must have a
Name and a Procedure Code.
• Procedure Mapping—lets you create image icons for the 34 Procedure
buttons you created using the Procedure List option. You can also create
image icons for hundreds of procedures from your RIS system.
NOTE: See “Appendix A: Default Procedure Codes“ from Kodak.
Procedure List
Configuration
You can define up to 34 procedures by assigning names and procedure
codes. Subsequently, during the examination, after selecting a procedure
code and configuring the procedure mappings, the image icons appear
automatically.
1. At the Key Operator Functions menu, select System Configuration
then select Workflow Optimization.
2. Select Procedure List Configuration.
Procedure List Configuration
3. Select any button.
4. Select Change Name.
5. Enter a Procedure Code. If your RIS generates Procedure Codes, enter
those codes here.
6. Enter a Procedure Name.
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Key Operator Functions
7. Select Apply Name. Select Revert Name to undo the changes.
8. Change the color and location of the buttons if necessary.
9. Select Save Changes.
NOTE: You can make all changes and then select Save Changes.
Procedure Mapping
(Option)
Procedure mapping associates the images required for a procedure. When
you select a procedure, the image icons appear automatically in the Study
Data area.
If you use the appropriate RIS codes, the image icons appear automatically
when the modality worklist is used.
You can map procedures directly from the CR System or from Internet
Explorer on the Remote Key Operator computer.
Procedure Mapping Defaults
See “Appendix A: Default Procedure Codes“ for a listing of default procedure
codes from Kodak.
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Key Operator Functions
Procedure Mapping on
the CR System
1. At the Key Operator Functions menu, select System Configuration
then select Workflow Optimization.
2. Select Procedure Mapping. If the procedure is in the list, select the
procedure and go to step 5. For a list of default procedure codes, see
“Default Procedure Codes” on page A-1. To edit the default procedures
so that they are compatible with your system, see the sections “Editing
Procedure Codes and Names” and “Using a HIS/RIS System.”
NOTE: If the procedure code is listed in black, it has been assigned to a
button. Otherwise, it is listed in blue.
3. Select the Procedure Code field and enter the Procedure Code.
4. Select the Procedure field and enter the Procedure.
5. Select View Exam.
View Images
Select the following:
– Body Part (Required)
– Projection (Required)
– Position
– Orientation
– Laterality
– kV
– mAs
– Patient Distance
6. Select Save Changes.
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Key Operator Functions
7. Repeat steps three through six for each additional image and select Save
Changes.
8. Select Back to return to this screen. Repeat these steps for each
procedure you want to map.
NOTE: There is a limit of 30 images you can map per procedure. See
“Default Procedure Codes” on page A-1 for a listing of default
procedure codes from Kodak.
Using an Existing
Procedure to Create a
New Procedure
1. Enter a new Procedure Code.
2. Enter a new name.
3. Select the Procedure Code from which you want to create the new
procedure.
4. Select Copy Exam.
The images from the procedure you selected in the procedure list are
copied to the new procedure.
Mapping more than 34
Procedures
You can add more than 34 procedure codes, but they won’t appear as
buttons. To do this, follow steps 3 - 8 of “Procedure Mapping on the CR
System” on page 9-24.
Editing Procedure Codes
and Names
If you need to change the name or Procedure Code, for example, if you want
to change the procedure code to one of the default procedures to a code that
is compatible with your RIS, do the following:
1. Enter a new code.
2. Enter a new name.
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Key Operator Functions
3. Select the Procedure Code or Procedure in the list that you want to
edit.
4. Select Update Procedure.
Using a HIS/RIS System
To configure Procedure Mapping to work with your HIS/RIS System, make
sure that the code you enter for the Procedure matches the code that comes
from the RIS. You can use any number for the Procedure Code; however, it
will only work automatically with the HIS/RIS when the codes match exactly.
For example, if you had a HIS/RIS procedure “2-view Chest” code 102 and
you want to create a procedure on the CR System called 2-view Chest:
1. At the Key Operator Functions menu, select System Configuration
then select Workflow Optimization.
2. Select Procedure Mapping.
3. Create a procedure named 2-view Chest and enter a code of 102.
4. Select the icons you want to be displayed when a 2-view chest procedure
is ordered, such as an AP and LAT chest.
When the worklist on the CR System is updated and the RIS code 102 is
received, the AP chest and LAT chest image icons are automatically
displayed.
Deleting a Procedure
1. At the Key Operator Functions menu, select System Configuration
then select Workflow Optimization.
2. Select Procedure Mapping.
3. Select the procedure that you want to delete and select Delete
Procedure.
4. Select Yes on pop-up screen.
Procedure Mapping
You can use the Remote Key Operator to create or change Procedure
Using the Remote Key Mapping with these features:
Operator
• Add—Enter a new Procedure Code (required) and Procedure Name and
use the drop-down menus to map the associated exams.
• Find—Search for a Procedure Code or Procedure Name.
• Update—Edit the Procedure Code or Procedure Name.
• Copy From—Copy from an existing Procedure Code to a new or existing
Procedure Mapping entry.
• Delete—Delete the procedure mapping for any existing procedure.
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Key Operator Functions
Adding a New Procedure
1. At the Key Operator Functions menu, select System Configuration,
select Next, then select External Devices.
2. Select Remote Key Operator.
3. Enter the IP address of the Remote Key Operator Workstation and select
Save Changes.
4. At the Remote Key Operator Workstation, open a Web browser.
5. Type the IP address of the CR System and press Enter.
Remote Key Operator Logon
6. Log on with your Key Operator user name and password if applicable.
7. Select Procedure Mapping.
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Key Operator Functions
Remote Key Operator Procedure Mapping
8. Enter a new Procedure Code (required) and Procedure Name and select
Add.
Add Procedure
9. Use the drop-down menu to select the following:
– Body Part (Required)
–
–
–
–
9-28
Projection (Required)
Position
Orientation
Laterality
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Key Operator Functions
– kV
– mAs
– Distance
10. Select Update and Go Back when finished.
Locating Procedures
• From the Remote Key Operator Procedure Mapping menu, enter
the Procedure Code and Procedure Name and select Find.
The procedure appears, or a message appears stating that no matches
were found.
Editing Procedures
1. From the Remote Key Operator Procedure Mapping menu, enter a
Procedure Code and Procedure Name, select Find or select Update
from the list of existing Procedure Codes.
2. Edit the procedure mapping from the drop-down lists.
3. Select Update and Back when finished.
Using an Existing
Procedure to Create a
New Procedure
1. At the Remote Key Operator Procedure Mapping screen, select
Copy From on the procedure you want to use.
Copy From
2. Enter the Procedure Code for an existing code or a new Procedure Code,
and select Copy.
Deleting a Procedure
1. Select the Delete button next to the procedure you want to delete.
2. “Do you really want to delete this procedure mapping?” appears. Select
OK.
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Key Operator Functions
HIS/RIS Broker
Configuration
Introduction
HIS/RIS Broker
Configuration
9-30
The Kodak DirectView CR 500 System utilizes DICOM Worklist Management
to receive study information from the hospital’s HIS/RIS, usually via the Mitra
PACS Broker.
You can set up your CR System to communicate with the HIS/RIS in any
combination of the following:
• Polling—the CR System requests records at a defined interval, filtered by
modality, station name, AE title, and date and time.
• Push—every time a record is created or changed, the Broker sends the
CR System an event notification. The CR System requests specific data
associated with the event. The record is transmitted once and is sent as
soon as it is received by the Broker.
• Remote Patient Query—a single patient query, configured on the
Polling screen, queried from the Patient Query screen.
You can set up your system to operate in any combination, for example:
• Activate Push to reduce the workload impact on the HIS/RIS or PACS
Broker.
• Activate Polling and set the time interval to 24 hours to receive a
complete update once a day.
If polling is active, each time the CR is started the initial complete query is
started and the timer begins for the next query. For example, if the CR is
started at 9:07 and is set to poll every 20 minutes, the first query is at 9:07
and the second one is 20 minutes later, 9:27.
1. At the Key Operator Functions menu, select System Configuration
then select HIS/RIS Broker Configuration.
2. Select Polling Configuration.
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Key Operator Functions
Polling/Remote Configuration
3. Use the following table to make your selections and then select Save
Changes.
August 1, 2003
PACS Broker AE Title
Broker Name, normally BROKER
PACS Broker IP Address
PACS Broker IP Address
PACS Broker Port
PACS Broker Port, normally 3320
PACS Poll Modality
Normally CR
Station 1-5 ID
Enter your station names or AE Title.
The system retrieves records that only
contain the names specified.
Poll Model Active
Select to activate Polling Configuration.
Remote Query Active
Select to turn on the Remote Patient Query
Option.
Filter By Station Name
Filter By AE Title
Select either Station Name or AE Title to
filter the information. Only records that
contain matching data in these fields
appear.
Search Time Criteria
Initial search time: (default is + 12 hours,
48 hours is maximum). Only records that
have a date and time that falls in this range
appear.
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Key Operator Functions
Indicates the last date and time that records
were received.
Last Update
Push Configuration
NOTE: Not all Brokers support DICOM event notification.
The Broker must be configured to send the following event
information:
• STUDY_CREATED
• STUDY_DELETED
• STUDY_UPDATED
• STUDY_SCHEDULED
1. At the Key Operator Functions menu, select System Configuration
then select HIS/RIS Broker Configuration.
2. Select Push Configuration.
Push Configuration
3. Use the following table to make your selections and then select Save
Changes.
9-32
Push Connection Active
Select to turn on.
PACS Push Port Number
Port of PACS Push System.
PACS Push AE Title
AE Title used to represent the CR System.
Must not be a computer name.
Last Update
Indicates the last date and time a record
was received.
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Key Operator Functions
NOTE: The screen also displays the data associated with the last update from
the PACS Broker.
CR Display
Configuration
This screen lets you optimize the way data is displayed on the CR System.
1. At the Key Operator Functions menu, select System Configuration
and then select CR Display Configuration.
CR Display Configuration
2. Use the following table to make your selections then select Save
Changes.
August 1, 2003
Result Sort Order
Select the format for the Worklist:
– Alphabetical
– Oldest first
– Newest first
Default Focus on Patient Query
Select which field starts with the
cursor on the Query screen.
Default Study Status
(Select from Query screen)
Select the default Status setting of
studies to query.
Default Time Window
(Select from Query screen)
Select the default time interval of
studies to query.
In Japanese, Kanji Name Gets
Tab Focus First
Japanese only - changes the tab focus
on the Patient Input screen.
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Key Operator Functions
9-34
Show ID Window on Image
Viewer
Select to display the ID window on the
image in the Image Viewer screen
on the CR System.
You can use this to identify the
orientation of the cassette during the
exposure.
Allow Technologist To Add
Digital Markers To Images
Select to enable left and right markers
on Image Viewer screen.
Speaker Volume
Set the speaker volume.
Amount of Blue Tint on images
Set the amount of blue tint to add to
images displayed on the CR System or
the ROP. This does not affect the
images delivered to workstations or
printers.
Enable Full Res Image Viewing
Allows you to pan across images,
zoom in, and view images at 100% in
the Image Viewer screen.
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Key Operator Functions
Configure Monitor
• If your system contains a CRT display monitor: Select one of the options
(high or low ambient light) on the right side of the screen to choose the
CRT color monitor, and select the desired resolution for viewing the Full
Resolution image (1600 x 1200 pixels allows for viewing the largest
possible region of image data.
• If your system contains a Flat Panel monitor (option): Select one of the
options on the left side of the screen to choose the LCD color monitor
(resolution is fixed at 1024 x 768 pixels).
Configure Monitor
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Key Operator Functions
Reject Reason
Configuration
(Option)
This option lets you build a list of reject reasons that a technologist can
choose from when rejecting an image. The following Reject Reasons are
defaults and can be used or deleted:
– Clipped Anatomy
– Patient Motion
– Positioning Error
You can define up to nine reject reasons. The last reason is always listed as
Other Reason.
To enter Reject Reasons:
1. At the Key Operator Functions menu, select System Configuration,
then select Workflow Optimization.
2. Select Next.
3. Select Reject Reason.
Reject Reason
4. Select the Reject Reason field.
5. Type up to 30 characters for the reason and select + to add it to the
Reason List.
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Key Operator Functions
NOTE: Select the Track Rejects check box if you want the CR System to
track Reject Reasons. The data is stored in the System database and
can be viewed or downloaded to the Key Operator’s computer.
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Key Operator Functions
Setting Trauma
Defaults (Option)
With this option you can define up to 35 default trauma buttons. Use this data
to pre-fill demographic data and procedures for creating a Trauma Study.
To create Trauma defaults:
1. At the Key Operator Functions menu, select System Configuration
then select Workflow Optimization.
2. Select Next.
3. Select Trauma Defaults.
Trauma Defaults
4. Select a button.
5. Select Change Name. Enter a name, such as John Doe.
6. Select Change Trauma Defaults.
7. Enter a Procedure Name and Procedure Code so that the Procedure
Mapping feature automatically creates image icons. You can use the
information from a previously defined procedure. See “Procedure
Mapping (Option)” on page 9-23.
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Key Operator Functions
NOTE: For optimal workflow, complete all required fields, so that no
additional information is needed before saving to the database or
routing the image.
8. Select Save Changes.
For example, create a procedure named MVA for a motor vehicle accident,
and enter this procedure for Trauma patient John Doe. When you select John
Doe, the image icons you defined for an MVA appear.
Using Unique Numbers
August 1, 2003
The Unique Number feature lets you assign unique numbers to trauma
patients. For example if you have multiple trauma patients at once, each time
you select a new trauma patient, a unique number is assigned to the field you
select. This lets you keep separate exams for each patient.
You can enter a unique number in the following fields:
• Patient Last Name
• Patient First Name
• Patient ID
• Accession Number
The number increments each time you create a new Trauma PEC record.
1. When entering data for the field, select the Unique Number.
2. Select a number (1 - 4) that represents the number of digits you want to
use for the Unique Number. Percent (%) signs appear in the field.
For example, if you input Trauma %%% in the Accession Number field,
the first patient is numbered Trauma 001, the next Trauma 002, etc.
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Key Operator Functions
Profile Destination
Configuration
A profile is the set of destinations where images are sent. In the CR System,
Image Routing is controlled by profiles.
A profile has three components:
– Name
– Criteria (Cassette Size, Body Part, Projection, and Department)
– Destinations to which the data are sent when the criteria matches
NOTE: Define multiple profiles with criteria so you can assign the data’s
destinations.
The criteria fields are listed on the CR System by priority in the following
sequence (highest priority listed first):
– Cassette Size
– Body Part
– Projection
– Department
Therefore, a profile with a Cassette Size filter appears before any other
profile.
When an exam is routed, the information contained in the Patient Record is
compared to the information contained in the criteria fields of all defined
profiles, similar to performing a query. The system assigns destinations based
on the first profile match it finds. If the image matches more than one profile,
the system assigns the first profile in the list that matches all criteria.
Default Profile
Configuration
9-40
A default profile is defined automatically by the system. It appears in the list of
profile destinations with an (*) asterisk next to the name. You can rename the
default profile, but you cannot delete it.
There must be only one default profile. If the data doesn’t match the criteria
for any of the existing profiles, the system uses the default profile destination.
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Key Operator Functions
Configuring Profiles
1. At the Key Operator Functions menu, select System Configuration,
then select Profile Destination Configuration.
Profile Destination Configuration
2. Select New Profile.
Profile Destination Configuration New Profile
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Key Operator Functions
NOTE: There is only one default profile, set automatically by the system. You
can rename the default, but it is the default profile used when all
other criteria fail.
3. To set up a profile that routes all images created with specific Cassette
Sizes to a specific destination:
a. Enter the name of the profile into the Profile Name field.
b. Enter a specific Cassette size into the Cassette Size field.
c. Leave the remaining fields blank.
d. Select the destinations you want.
e. Select Save Profile.
f. Repeat steps b and c for another Cassette size, if desired.
4. To set up profiles for Departments, repeat steps 2 and 3, completing only
the Department field. In this case, you can enter a unique name to
assign the department with the department names set up for the site.
5. To set up profiles for specific Body Part/Projection combinations, repeat
steps 2 and 3 completing both the Body Part and Projection fields with
the specific combinations for each different profile.
6. To set a single destination for all images, add a destination to the default
profile.
IMPORTANT: When selecting an Archive destination, select Mandatory
so patient data must go there. Incomplete or unassigned
data cannot go to mandatory locations. The “Required
Fields” screen section (page 9-87) defines necessary data.
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Key Operator Functions
Text Box
Configuration
(Option)
External Text Boxes
IMPORTANT:
Due to the complexity of configuring text boxes, use this
feature only with printers that have been tested and
approved by Kodak. If you are using this feature on a
printer with unknown characteristics, be sure to fully test
on site to avoid unexpected results.
The text in an External Text Box is printed outside the image area and does
not cover up anatomy. However, the box does require film area, thereby
reducing the overall size of the printed image. If True-size mode is selected,
then the system crops additional image data as compared to printing the
image without the External Text Box.
The CR System sends the External Text Box as a separate image file. The text
box you use depends on the capability of the printer. See “Appendix B:
Printing Exceptions“ on page B-1.
• Shrinks the image to fit - may not work with all printers.
• Impacts True-size printing.
• Prints an External Text Box across the bottom of the film.
Single-Image External
Text Box
Multi-format Individual
External Text Box
• Reduced image
size
• Located outside
of image area
• May not work
with all printers
• Reduced image
size
• Located outside
of image area
• May not work
with all printers
• Applied per
image
External
Text Boxes
Internal Text Box
August 1, 2003
Multi-format Global
Page External Text Box
• Reduced image
size
• Located
outside of
image area
• May not work
with all
printers
• Applied to a
sheet of
multi-format
images
The CR System creates the Internal text box as part of the image and sends one
file to the printer. The Internal text box works with every printer.
• You select the text box location during image review.
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Key Operator Functions
• The technologist can place the text box in one of eight locations during
image processing in the Image Viewer screen.
Single Image Internal
Text Box
Internal
Text Boxes
• Larger area for
text
• Works with
every printer
• Located in the
image area
Multi-format Image
Internal Text Box
• Larger area for
text
• Works with
every printer
that supports
multi-format
printing
• Located in the
image area
Combined Internal and
External Text Boxes
Internal
Multi-format and
Global External
Text Boxes
External Multiformat and Global
Text Boxes
Samples of
combined
Internal and
External text
boxes
Choosing a Text Box
9-44
If you are going to use a single image, you can use either an Internal or
External text box, or a combination of both.
For multi-format images, the text boxes appear on each image. Place
information that pertains to that image, such as Exposure Index, window and
level, projection, etc.
Place patient and study data in Global text boxes.
IMPORTANT: The text box on the Image Viewer screen is smaller than
that on the printed image. If your text box prints too wide
to fit on a 15 x 30 image, move the text box to a
length-wise location.
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Key Operator Functions
External Text Box
Characteristics
Use the following table to determine the capabilities of annotation text boxes
supported by various Kodak printers.
Printers
Single- Image
External Text
Box
Multi-Format
Page External
Text Box
Multi-Format
Image External Text Box
Kodak PACS Link 9410 Acquisition System / Y
DryView Laser Imagera
1 line of 64 characters
maximum
DICOM annotation
Y
N
1 line of 64 characters
DICOM annotation
Box is located above
the image.
MIM / DV V 5.x
Y
1 or 2 lines of 120
characters
Row symmetricb
Y
1 or 2 lines of 120
characters
Row symmetric
Y
1 line of 120 characters
Row symmetric
MIM / Kodak Ektascan 2180 Laser Printer V Y
5.x
1 or 2 lines of 120
characters
Row symmetric
Y
1 or 2 lines of 120
characters
Row symmetric
Y
1 or 2 lines of 120
characters
Row symmetric
MIM/KELI / Kodak Ektascan 160 Laser
Imager V 5.x
Y
1 or 2 lines of 120
characters
Row symmetric
Y
1 or 2 lines of 120
characters
Row symmetric
Y
1 or 2 lines of 120
characters
Row symmetric
a. External text boxes should not be used with PACS Link products running less than Version 5.0 Software. Previous versions of
PACS Link Software may stop processing all print jobs if an image with external text is received from a CR system.
b. Row Symmetric: In a multi-format image, the images on one sheet must be the same height within each row, but each row
may be a different height.
August 1, 2003
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Key Operator Functions
Using the Text Box
Editor
The text box is fully configurable. You can display only the parameter you
wish.
There is a text box editor for Internal and External text boxes.
Internal Text Box
Editor
All internal text boxes are burned into the image area.
• Text Box Viewer—displays the contents of the text box.
• Field Editor—create new fields, edit the contents of existing fields.
• Navigation Controls—navigate to fields, add rows and columns, or
restore the text box.
• Restore Large Text Box—provides a default for a large text box or
restores the text box.
• Restore Small Text Box—provides a default for a small text box or
restores the text box.
• Delete entry—deletes the highlighted entry when editing a text box.
Text Box Viewer
Each field is represented by question marks. Each field can also have a label.
Each row is shown in the font size you select for the row.
When you select a field, the field background color changes to purple.
When you add a new field, the field background color changes to green.
Text Box Editor
Text Box Editor
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Key Operator Functions
Field
Definition
DICOM Field The field you want to include
in the box.
DICOM Tag
Displays the DICOM tag used
to populate the field.
Field Length The number of characters in
the field, indicated by “?” in
the Text Box Viewer.
Action
Select the field; select a
DICOM field from the
DICOM list. If necessary,
select Show All Fields to
view all DICOM fields.
Automatically updates
when you select DICOM
fields.
If the data for the indicated
DICOM element is too
large, then the value is
truncated.
Name
Grouping
In multibyte languages, the
part of the name to put on film.
Single byte or multibyte.
Label
The label you want to apply to When prompted from the
the field. (A label is not
DICOM field, enter the
required.)
label name using the
virtual keyboard. Then
either select the next field
to edit, or select Save
Entry.
Font Size
Font size you want to print.
You can have different font
sizes for a row.
Optional
When you select Optional, if Select the Optional field.
there is no data for the field,
the text box resizes to print
only the defined data. This
occurs if every field on a line is
optional and no data is
available.
Justify
Aligns the field data left,
center, or right.
Select the field and select a
font sizea.
Select the field and select
Left, Center, or Right.
a. For best results, limit the font size to a minimum of 10, and print the text over a
light background.
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Key Operator Functions
Navigation Controls
Adding a Column or a
Row
Use the Navigation Controls to move between fields, and add new rows and
columns to create new fields in the text box.
1. Select the area where you want to add a new row or column in the Text
Box Viewer or use the arrows and navigate to the location.
2. Select Add New Row or Add New Column, or move all the way to the
right or bottom.
Deleting or Saving a Field • Delete a field—Select the field to delete and select Delete Entry. The
CR System automatically saves the change.
• Save a field—Select Save Entry after each field change.
Magnification Factor
The Key Operator can configure the system so that the internal and external
text boxes’ magnification factors are included. If an image is printed
True-size, then the magnification factor is 100%. Minified images have
magnifications of less than 100%. Magnification factors are not available for
text boxes for Multi-format images.
External Text Box
Editor
The External Text Box editor is similar to the Internal Text Box Editor
with the following exceptions:
• There is no Add Column button because the External text box is a fixed
size (2 lines x 64 or 120 characters wide, depending on the capability of
the printer); there is one line for each individual multi-frame.
• The top half of the Text Box Viewer shows the position of every character.
• The Font Size, Justification and Option fields are removed.
Saving and Restoring
Configuration Options
You can save your text box configuration options to a disk. See Chapter 9,
page 9-14.
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Key Operator Functions
Configuring a Text
Box
1. Decide which type of text box you want to print.
2. Decide what content you want in the text box.
• Global External—Study-specific data such as Patient ID, Accession
Number, etc.
• Individual—Image-specific data such as Exposure Index,
Window/Level, etc.
NOTE: For Multi-format Image text boxes, place fields that have the same
value for every image in a format in the Global External text box.
3. Select Key Operator Functions menu, System Configuration, Next,
then select Text Box Configuration.
Text Box Configuration Menu
4. Select Text Box Options.
5. Follow the Text Box editing procedure “Using the Text Box Editor” on
page 9-46.
6. Set Text Box Options. See the Text Box Options table on the next page.
7. Send a test print to each printer.
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Key Operator Functions
Text Box Options
Transparent Background on
Internal text box
No mask is used, white letters with
black edge. Use at least 10 pt. font.
Use Image Internal text boxes Place a text box in each Multi-format
in Multi-format Images
image.
Use Image External text boxes Place an Image External text box in
in Multi-format Images
each Multi-format image.
Use Page External text boxes
in Multi-format Images
Place a Page External text box in each
Multi-format image.
If you include an image-specific parameter in the multi-format page external
text box, the system uses the information from the image placed as shown in
the following diagram as the source of the data. To avoid confusion, print only
study-specific information in the global external text box.
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Key Operator Functions
Delivery Preferences
Delivery Preferences
Delivery Option
Configuration
1. At the Key Operator Functions menu, select System Configuration,
Next, then Delivery Preferences.
2. Select Delivery Options.
Delivery Options
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Key Operator Functions
3. Use the following table to make your selections and then select Save
Changes.
Run in QA Mode
Operate in QA mode. (Technologist must
view and approve images before they are
distributed across the network.)
When not selected, CR System runs in
Pass-through Mode. See page 2-5.
Use a Unique Image Number The image number increments by one for
for every image in a study
each successive image in the study. If this
option is not selected, the image number
parameter for each image is set to one.
After Delivering a
When a multi-format image is delivered,
Multi-Format Image, Update updates all the images in the multi-format
the Status of all Sub-Images image to Delivered.
to Delivered
Upper Case All DICOM
Fields on Delivery
Changes all DICOM fields to uppercase
characters.
Consistent Image Size on All Image is rendered on all printers to
Printers
output a consistent size image.
Include CT Pixel Spacing
Field in DICOM Header
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Allows the workstation to display
measurement in cm rather than pixels.
May not be applicable to all workstations.
August 1, 2003
Key Operator Functions
Configuring Default
Hospital Name and
Address
1. At the Key Operator Functions menu, select System Configuration
then Next, then Delivery Preferences.
2. Select Default Values.
3. Enter the Hospital Name and Address and select Save Changes.
Delivery Preferences Hospital Name
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Key Operator Functions
CAD Workstation
Configuration
1. At the Key Operator Functions menu, select System Configuration,
then Next, then Delivery Preferences.
2. Select CAD Workstation Configuration.
NOTE: All softcopy display stations appear on this screen. To define one as a
CAD Workstation, select the check box. Only unprocessed data is sent
to CAD Workstations.
3. Select the appropriate workstation and select Save Changes.
NOTE: If your system has a DVD/CD Writer (also known as LOCALHOST),
you must check the LOCALHOST check box in order for images to be
archived in a format that can be retrieved by the DirectView system.
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Key Operator Functions
Configuring External
Devices
Remote Operator Panel
Expanded Connectivity
At the External Devices menu, you can configure up to 10 external devices
such as Remote Operations Panels (ROPs), remote touch screens used to
enter Patient Information and Exam Information, review and modify images,
and route Patient Records; or, computers for Remote Patient Data Entry
Station (RPDES), a software option for entering patient data at a workstation;
or Remote Key Operator access.
You can set up ROPs to communicate with multiple DirectView CR Systems or
link to Web sites.
You can configure:
• multiple ROPs to communicate with a single CR System
• a single ROP to communicate with multiple CR Systems
• multiple ROPs to communicate with multiple CR Systems
ROP
IP 192.168.0.18
August 1, 2003
CR 1
CR 2
CR 3
(primary)
IP 192.168.0.15
IP 192.168.0.16
IP 192.168.0.17
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Key Operator Functions
ROP
ROP
IP 192.168.0.19
IP 192.168.0.18
CR 1
IP 192.168.0.15
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CR 2
IP 192.168.0.16
CR 3
(primary)
IP 192.168.0.17
August 1, 2003
Key Operator Functions
When you configure a ROP to communicate with multiple CR Systems, you
configure the ROP from one (primary) CR System to communicate with the
other CR Systems. Then, at the other CR Systems, you enter the ROP IP
address.
You must:
– Enter the IP address of the ROP at the primary CR System.
– Enter the IP address of the ROP at the other CR Systems.
– Enter the IP address of the other CR Systems at the primary CR System.
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Key Operator Functions
Configuring a Remote
Operator Panel to
Multiple CR Systems
In the following scenario, you could use CR 3 (primary) to configure the ROP
to communicate with CR 1, CR 2, and CR 3.
ROP
IP 192.168.0.18
CR 1
CR 2
IP 192.168.0.15
IP 192.168.0.16
CR 3
(primary)
IP 192.168.0.17
1. At the primary CR System, log on as the Key Operator.
2. At the Key Operator Functions menu, select System Configuration,
then Next, then External Devices, and select Kodak Remote
Operation Panel Setup.
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Key Operator Functions
3. Enter the ROP IP address and select Save Changes. The Links button
appears.
4. Select Links. The ROP’s IP address appears at the top of the screen.
ROP IP Address
Remote Operation Panel Link Configuration
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Key Operator Functions
5. Select the http:// field and then use the keyboard to enter the CR System
IP address. For a Web site, enter the URL, for example, www.kodak.com.
6. Select the associated Text: field and use the keyboard to enter the CR
System name or Web site name.
7. Repeat for other CR Systems or Web sites.
8. Select Update ROP to apply the changes to the ROP.
9. Select Main Menu.
10. At the other CR Systems, enter the IP address of the ROP.
a. Log on as the Key Operator.
b. At the Key Operator Functions menu select System
Configuration.
c. At the System Configuration screen select Next, then External
Devices, and select Kodak Remote Operation Panel Setup.
d. Enter the ROP IP address and select Save Changes.
e. Select Main Menu.
At the ROP, reload the Main Menu.
– If you are not at the Main Menu, select Main Menu.
– If you are at the Main Menu, select one of the menu selections to go to
another screen, then select Main Menu.
The following is an example of a ROP screen configured for multiple servers.
ROP with Multiple Servers
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Key Operator Functions
Configuring Multiple
ROPs to Multiple CR
Systems
In the following scenario, you could use CR 3 (primary) to configure the
ROPs to communicate with CR 1, CR 2 and CR 3.
ROP
ROP
IP 192.168.0.19
IP 192.168.0.18
CR 1
IP 192.168.0.15
CR 2
IP 192.168.0.16
CR 3
(primary)
IP 192.168.0.17
1. At the primary CR System, log on as the Key Operator.
2. At the Key Operator Functions menu, select System Configuration,
Next, then External Devices.
3. Select Kodak Remote Operation Panel Setup. The IP address for
each connected ROP and Remote Patient Data Entry Station (RPDES)
appears.
Remote Operation Panel IP Addresses
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Key Operator Functions
4. Enter the ROP IP addresses for all the ROPs and select Save Changes.
The Links button appears.
5. Select Links for the first ROP. The ROP’s IP address appears at the top of
the screen.
ROP IP Address
Remote Operation Panel Link Configuration
6. Select the http:// field and then use the keyboard to enter the CR System
IP address. For a Web site, enter the URL, for example, www.kodak.com.
7. Select the associated Text field and enter the CR System name or Web site
name.
8. Enter the IP address and name for the other CR Systems or Web sites.
9. Select Apply To All ROPs. This copies the http:// link and link name to
each of the ROP configuration screens.
10. Select Update ROP.
11. Select Back.
12. Select Links for the next ROP.
13. Select Update ROP.
14. Repeat steps 11-13 for each ROP.
15. Select Main Menu.
16. At the other CR Systems, enter the IP addresses of the ROPs.
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Key Operator Functions
a. Log on as the Key Operator.
b. At the Key Operator Functions menu, select System
Configuration, Next, then External Devices.
c. Select Kodak Remote Operation Panel Setup.
d. In the Remote Operation Panel IP Addresses screen, enter the
ROP IP addresses and select Save Changes.
e. Select Main Menu.
At the ROP, reload the Main Menu.
• If you are not at the Main Menu, select Main Menu.
• If you are at the Main Menu, select one of the menu selections to go to
another screen, then select Main Menu.
The following is an example of a ROP screen configured for multiple servers.
ROP with Multiple Servers
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Key Operator Functions
Remote Patient Data
Entry Software
(RPDES)
Kodak DirectView Remote Patient Data Entry Software is a software option
for entering patient data at a customer-supplied PC workstation. It is installed
on the CR System and enables communication between a customer-supplied
PC workstation and the CR System.
IMPORTANT: A RPDES must have a fixed IP address. If the workstation is
configured to use DHCP (dynamic IP address assignment
on boot), the link with the CR System may be lost when the
PC is rebooted.
You can add up to 10 external devices.
CR
IP 192.168.0.30
Computer Requirements
Installation Instructions
RPDES
RPDES
IP 192.168.0.40
IP 192.168.0.50
RPDES
IP 192.168.0.60
– Microsoft Internet Explorer 5.0 or higher
– Microsoft Windows 98, NT 4.0, 2000, or Microsoft Operating System
– Standard English keyboard and mouse
All software options are installed at the Option Registration screen.
At the Key Operator Functions menu, select System Configuration,
Option Registration, then select Add Upgrade Options using the
appropriate floppy disk.
RPDES Configuration
Instructions
1. At the Key Operator Functions menu, select System Configuration
then Next, then select External Devices.
2. Select the Remote Patient Data Entry Station. The input area for 10
RPDES IP addresses appears.
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Key Operator Functions
RPDES IP Address
3. Add the workstation IP address.
4. Select Save Changes.
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Key Operator Functions
RPDES Operation
1. At the computer, double-click the Internet Explorer icon.
2. At http://, type the CR 500 System IP address and press Enter.
3. Add the address to the Favorites menu.
RPDES Screen
4. Enter the patient information and click Submit.
Create a RPDES Shortcut
on the Desktop
In the following example, assume the CR System IP address is 129.126.6.62.
1. On the desktop, right-click and point to New and select Shortcut.
2. Click Browse and locate the IEXPLORE.exe executable file.
• Example: “C:\Program Files\Plus!\MicrosoftInternet\IEXPLORE.EXE”.
3. Add your CR System IP address to the end of the line:
“C:\Program Files\Plus!\MicrosoftInternet\IEXPLORE.EXE“-k http://129.126.6.62/RPDES
4. Click Next.
5. Select a label for the new shortcut.
6. Click Finish.
7. Double-click the shortcut to confirm it operates correctly.
8. Press Ctrl-W to exit.
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Key Operator Functions
Remote Key Operator
Setting Up the Remote
Key Operator
You can configure a networked computer to enable the Key Operator to
access the CR System.
1. At the Key Operator Functions menu, select System Configuration
then Next, then select External Devices.
2. Select Remote Key Operator.
NOTE: The number of available IP addresses is reduced by the number of
ROP or RPDES configurations.
Remote Key Operator
3. Enter the computer’s IP address and select Save Changes.
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Key Operator Functions
Key Operator Setup
Logging In
1. At the computer, double-click the Internet Explorer icon.
2. At http://, type the CR System IP address and press Enter.
NOTE: You can set up a favorite address using Internet Explorer to save
time logging in.
3. Enter your Username and Password.
4. Select Login.
Downloading Statistics
You can download technologist statistics and save the data.
1. Click Download Statistics.
2. Click a hyperlink time period. A file opens in Microsoft Excel.
3. Save the file.
Procedure Mapping
9-68
See “Procedure Mapping Using the Remote Key Operator” on page 9-26.
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Key Operator Functions
Color Preferences
You can change the default colors for field backgrounds and buttons.
1. At the Key Operator Functions menu, select System Configuration,
then select Next.
2. Select Color Preferences.
3. Select the down arrow to select the button or text you want to change
color.
4. The button color is determined by the code values in the Red, Green,
and Blue columns (0 black - 255 white). Select a code value and a
pop-up keypad appears.
5. Enter the new code value. Repeat for the other two code values if
required.
6. If you want to change other field background colors, repeat steps 4 and 5
for each field.
7. Select Submit to return to the Color Preferences screen.
8. At the Color Preferences screen, select Submit.
Configure Colors
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Key Operator Functions
Bar Code
Configuration
Overview
If necessary, you can use the Bar Code Configuration menu to change the
Patient ID, Accession Number, and Tech ID bar code characteristics for your
site. In order for the CR System to automatically recognize a bar code, the
number of characters must be fixed and unique for each type. For example,
accession numbers must always have the same number of characters, and
additionally, the number must be different from the Tech ID, Cassette ID, and
Patient ID.
IMPORTANT: If you change the Cassette ID format, the country code, or
bar code reader prefix or suffix characters, then you must
program the Bar Code Scanner.
You can:
– change the data field size
– change the prefix and suffix characteristics
– strip a field when a bar code is read
– change the cassette ID format
Bar Code Configuration Menu
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Key Operator Functions
Bar Code Configuration
IMPORTANT:
Bar Codes must be limited to a maximum of 35 characters.
1. At the Key Operator Functions menu, select System Configuration
then select Next, then Bar Code Configuration.
2. For each Field, enter the desired Prefix and Suffix Character formats
and set the Data field size.
• Select a field and use the keyboard to enter the data.
• Leave the Data Size field blank if you want to accept any size data.
3. Scan the bar code with the bar code scanner to test it. A message appears
with the test results.
4. When the codes have tested successfully, select Submit Changes.
NOTE: Test the cassette ID also to ensure that there are no bar code
conflicts.
Bar Code Configuration Basic Editor Screen
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Key Operator Functions
On the Advanced Bar Code Configuration Editor screen you can:
• Select Strip if you want to remove the field when it is read by the bar
code scanner.
• Test and edit bar codes.
Advanced Bar Code Editor
NOTE: You don’t need to make any changes unless the CR System Bar Code
Scanner settings are incompatible with your bar codes.
Changing the Cassette ID If the Cassette ID Bar Code format (normally 10 digits in length) conflicts with
Bar Code Format
other bar codes in use, you can change the CR System Bar Code format to an
11-digit format.
1. At the Bar Code Configuration screen, select Modify Cassette
Format.
2. Select the 11-digit Bar Code format check box.
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Key Operator Functions
Cassette ID Format
3. Select Submit Changes.
4. Select Program Bar Code Scanner.
5. Select Config Prefix/Suffix. A screen similar to the following appears.
There are two screens of bar codes you must scan, including.
• RS-232 Interface
• 2 (Clear All Prefix)
• 2 (Clear All Suffix)
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Key Operator Functions
Bar Code Configure Screen 1
Bar Code Configure Screen 2
6. Use the bar code scanner to scan each bar code in numerical order and
then select Next.
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Key Operator Functions
IMPORTANT:
If you have trouble scanning the bar codes from the
monitor, bar codes are available later in this section of the
manual. However, make sure the bar code names match the
names on the monitor.
NOTE: Do not scan the test bar code more than once. If you scan twice, it
will fail.
Program Bar Code
Scanner
Configure the Country
Code
August 1, 2003
Use the Bar Code Configuration menu to configure the country data. The
screens to configure the bar code scanner differ depending on the country.
To configure the scanner, set the country code and then program the bar code
scanner.
1. At the Bar Code Configuration menu, select Set Country Code.
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Key Operator Functions
Program Country Code
2. Select the appropriate country button.
3. Select Back.
4. Select Program Bar Code Scanner.
5. Select Configure Country Code.
6. Use the bar code scanner and scan each bar code in numerical order.
IMPORTANT:
9-76
If you have trouble scanning the bar codes from the
monitor, sample bar codes are available later in this
section of the manual. However, make sure the bar code
names match the names on the monitor.
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Key Operator Functions
Changing Code 39 Full
ASCII Format
Use this screen to set Full ASCII ON or OFF.
Code 39 Full ASCII
Configure Auto Trigger
Select Auto Trigger to configure the Bar Code reader for a manual or
automatic trigger.
Auto Trigger
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Key Operator Functions
Changing the Prefix and
Suffix
NOTE: Only make this change if an [01] appears in the hospital’s bar code.
This prefix/suffix does not appear in the actual bar code. It is added
by the scanner.
1. At the Bar Code Configuration menu, select Change Prefix & Suffix.
Change Prefix and Suffix 1
Change Prefix and Suffix 2
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Key Operator Functions
2. Enter two characters that do not appear in any of your bar codes.
3. Select Submit.
4. Select Program Bar Code Scanner.
5. Use the bar code scanner and scan each bar code in numerical order
and then select Next.
IMPORTANT: If you have trouble scanning the bar codes from the
monitor, use the bar codes that are available later in this
section of the manual. However, make sure the bar code
names match the names on the monitor.
6. Scan the bar code.
NOTE: Do not scan the test bar code more than once. If you scan it twice, it
will fail.
Set Country Codes
Set Country Codes
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Key Operator Functions
Bar Code Samples
Program Keyboard Country
Save
Number “0”
Number “1”
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Key Operator Functions
Number “2”
Number “3”
Number “4”
Number “5”
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Key Operator Functions
Number “6”
Number “7”
Number “8”
Number “9”
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Key Operator Functions
Number “A”
Number “B”
Number “C”
Number “D”
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Key Operator Functions
Number “E”
Number “F”
Code 39 Full ASCII On
Code 39 Full ASCII Off
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Key Operator Functions
Manual Trigger
Automatic Trigger
Add One Suffix
Add One Prefix
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Key Operator Functions
Clear All Suffix
Clear All Prefix
Test
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Key Operator Functions
Required Fields
You can set required fields for delivery to mandatory destinations such as
archives, or to submit exam/patient information. For example, you may want
to make Tech ID a required field if you are using Reject Reason logging.
Making a field Required to Submit guarantees that the technologist will enter
all required Exam/Patient Information at the time the patient record is
submitted to the database.
Using Required Fields for delivery lets you send images that have
incomplete patient demographic information to workstations and printers but
not to mandatory destinations. Once the required information is entered and
the image is accepted, the CR System forwards the image to the mandatory
destination.
1. At the Key Operator Functions menu, select System Configuration
then select Next.
2. Select Required Fields.
Required Fields
3. Select each field check box you want to include.
4. Select Required to Deliver Images to Mandatory Destinations or
Required to Submit Exam/Patient Information.
5. Select Save Changes.
• If you select Required to Submit Exam/Patient Information,
you can only submit the PEC data when all the required fields are
complete.
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Key Operator Functions
• If you select Required to Deliver Images to Mandatory
Destinations, you can submit the PEC data without the required
fields completed. You must complete the fields before submitting
to mandatory destinations.
NOTE: The Contrast/Bolus and Date of Birth fields should not be mandatory
if the system is using enhanced trauma functionality. Doing so causes
added steps in the workflow. These two fields cannot be defined as
part of the setup for a trauma patient. If they are required, the
technologist must select a trauma patient and complete these fields
manually before submitting the record to the database or routing the
image to mandatory destinations.
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Key Operator Functions
System Maintenance
Defaults
This screen lets you determine when to erase images and when to delete
patients with no images from the system.
1. At the Key Operator Functions menu, select System Configuration,
then select Next and Next again.
2. Select System Maintenance Defaults.
System Maintenance Defaults
3. Select the + and - keys to adjust the settings.
4. Select Save Changes.
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Key Operator Functions
Regional Settings
Regional Settings
This screen lets you set the CR System date, time, and language settings.
1. At the Key Operator Functions menu, select System Configuration,
then select Next and Next again.
2. Select Regional Settings.
3. Make your selections and then select Save Changes.
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Key Operator Functions
Miscellaneous
Use the Miscellaneous screen to set your default Body Part and Projection.
1. At the Key Operator Functions menu, select System Configuration,
select Next and Next again, then select Miscellaneous.
Element Mapping Default
2. Select each field and select your defaults.
3. Select Save Changes.
NOTE: The default body part and projection is used to process images that
do not have a body part and a projection identified in the patient
record. This includes unassigned images.
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Key Operator Functions
Grid Detection and Suppression (Option)
Kodak Grid Detection and Suppression Software lets you reduce visible grid
artifacts on the monitor when viewing CR images. The software examines all
images to determine if a grid was used, then selects and applies a filter to the
image to create a new image. When the new image is viewed on a workstation,
there are no Moiré patterns when the image is minified, and no line artifacts
when the image is magnified.
Your Application Consultant configures Grid Suppression through the
Applications Consultant menu for a specific body part and projection. If
you need to modify the way Grid Suppression is configured on your system, in
the US and Canada, contact your Kodak Technical Service Center at
1-800-328-2910, prompt 2, then prompt 3. For other locations, contact your
Kodak service center or Kodak representative.
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Key Operator Functions
SMPTE Test Pattern
Your Key Operator can print a SMPTE Test Pattern that you can use to analyze
image quality problems.
1. Touch Display SMPTE Test Pattern from the Key Operator
Functions menu.
SMPTE Test Pattern
2. Using the controls at the bottom of the screen, create a test pattern for
any one of the different size Cassettes:
– 18 x 24 cm
– 24 x 30 cm
– 35 x 35 cm
– 35 x 43 cm
3. Touch the appropriate button for cassette size you wish to print.
4. Touch the destination for the image. You can exit the screen when the
printing message appears.
5. You can graph the steps of the SMPTE pattern to determine if the image at
the destination is presented linearly.
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Key Operator Functions
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10
Remote Operations Panel
Medical Device Directive (MDD)
The following diagram shows the placement of the patient in the relative
vicinity to the equipment.
1.83 m
(6 ft)
2.5 m
(8 ft)
1.83 m
(6 ft)
1.83 m
(6 ft)
H196_0004GC
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10-1
Remote Operations Panel
English
EUROPEAN MARKET ONLY:
This device is not medical equipment according to EN 60 601-1 and must
therefore not enter the Patient Environment as defined in EN 60 601-1-1. The
following requirements have to be met:
1. Distance from device to Patient Contact Equipment (see illustration).
Horizontal = 1,83 metres; Vertical = 2,5 metres above the floor under
the patient.
2. Contact of patient and device simultaneously by caregiver not allowed.
3. NO direct electrical connection between device and Patient Contact
Equipment is allowed.
AUTHORIZED REPRESENTATIVE:
Manager, Product Safety; Kodak AG; Hedelfingerstr. 54-56; 70327 Stuttgart,
GERMANY.
Dansk
GÆLDER KUN FOR DET EUROPÆISKE MARKED:
Denne enhed klacificeres ikke som medicinsk udstyr jævnfør standarden EN
60 601-1 og må derfor ikke komme i nærheden af patientomgivelserne, som
beskrevet i EN 60 601-1-1. Følgende krav skal være opfyldt:
1. Afstanden fra enheden til patientlejet (se tegningen). Vandret = 1,83
meter; Lodret = 2,5 meter over gulvet under patienten.
2. Personalet må ikke berøre enheden og patienten samtidigt.
3. Der må IKKE forekomme direkte elektrisk forbindelse mellem enheden
og patientlejet.
AUTORISERET FORHANDLER:
Manager, Product Safety; Kodak AG; Hedelfingerstr. 54-56; 70327 Stuttgart,
TYSKLAND.
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Remote Operations Panel
Deutsch
NUR FÜR DEN EUROPÄISCHEN MARKT:
Dieses Gerät ist kein medizinisches Gerät nach dem Standard EN 60 601-1
und darf sich daher nicht in der Umgebung des Patienten, die durch den
Standard EN 60 601-1-1 festgelegt ist, befinden. Die folgenden Anforderungen
müssen erfüllt sein:
1. Abstand vom Gerät zum Patient Contact Equipment, d. h. zu mit dem
Patienten in Berührung stehenden Gerätschaften (siehe Abbildung).
Horizontal = 1,83 Meter; Vertikal = 2,5 Meter über dem Boden unter
dem Patienten.
2. Gleichzeitige Berührung von Patient und Gerät durch das Pflegepersonal
nicht zulässig.
3. KEINE direkte elektrische Verbindung zwischen Gerät und Patient
Contact Equipment zulässig.
AUTORISIERTE VERTRETUNG:
Manager, Produktsicherheit; Kodak AG; Hedelfingerstr. 54-56; 70327
Stuttgart, DEUTSCHLAND.
Español
SÓLO PARA EL MERCADO EUROPEO:
Este dispositivo no constituye un equipo médico según el estándar EN 60
601-1, por lo tanto no necesita cumplir las normas para el entorno del
paciente definidas en EN 60 601-1-1. Deben cumplirse los siguientes
requisitos:
1. Distancia del dispositivo al equipo de contacto con el paciente (véase
diagrama). Horizontal = 1,83 metros; Vertical = 2,5 metros por encima
del suelo debajo del paciente.
2. No debe permitirse el contacto del asistente con el paciente y el
dispositivo al mismo tiempo.
3. NO debe permitirse la conexión eléctrica directa entre el dispositivo y el
equipo de contacto con el paciente.
AGENTE AUTORIZADO:
Gerente, Seguridad de producto; Kodak AG; Hedelfingerstr. 54-56; 70327
Stuttgart, ALEMANIA.
August 1, 2003
1F1976
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Remote Operations Panel
Français
EUROPE UNIQUEMENT:
Ce dispositif n'est pas assimilé à un équipement médical comme défini par
l'EN 60 601-1 et ne doit donc pas se conformer aux exigences
d'environnement du patient que définit l'EN 60 601-1-1. Les exigences
suivantes doivent être respectées:
1. Distance entre le dispositif et l'équipement en contact avec le patient
(voir illustration): horizontalement = 1,83 mètres ; verticalement = 2,5
mètres au-dessus du sol sous le patient.
2. Interdiction stricte au soignant d'être simultanément en contact avec le
patient et le dispositif.
3. INTERDICTION d'établir une connexion électrique directe entre le
dispositif et l'équipement en contact avec le patient.
AUTORISATION:
Directeur, Contrôle sécurité; Kodak AG; Hedelfingerstr. 54-56; 70327
Stuttgart, ALLEMAGNE.
Greek
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August 1, 2003
Remote Operations Panel
Italiano
SOLO PER IL MERCATO EUROPEO
Questo dispositivo non è un'apparecchiatura medicale ai sensi di EN 60
601-1 e quindi non deve essere posta in prossimità del paziente, come
definito in EN 60 601-1-1. Devono essere soddisfati i requisiti elencati nel
seguito:
1. Distanza tra il dispositivo e le attrezzature a contatto del paziente (vedere
la figura). Orizzontale = 1,83 metri; Verticale = 2,5 metri sopra il livello
del pavimento del paziente.
2. Non deve essere consentito al personale il contatto diretto
contemporaneo con il paziente ed il dispositivo.
3. NON deve esistere alcun contatto elettrico diretto tra il dispositivo e le
attrezzature a contatto del paziente.
AGENTE AUTORIZZATO:
Manager, Sicurezza Prodotto; Kodak AG; Hedelfingerstr. 54-56; 70327
Stuttgart, GERMANIA.
August 1, 2003
1F1976
10-5
Remote Operations Panel
Lietuviðkai
TIK EUROPOS RINKAI
Ðis prietaisas nëra medicinos prietaisas pagal EN 60 601-1 ir todël privalo
nepatekti á paciento aplinkà, apibrëþtà EN 60 601-1-1. Bûtina laikytis ðiø
reikalavimø:
1. Atstumas nuo prietaisas iki su pacientu kontaktuojanèios árangos (þr.
paveikslà): horizontaliai - 1.83 m; vertikaliai - 2.5 m virð grindø, po
pacientu.
2. Pacientà priþiûrinèiam asmeniui vienu metu prie paciento ir prie
prietaisas liestis neleidþiama.
3. NELEIDÞIAMAS tiesioginis elektros kontaktas tarp prietaisas ir su
pacientu susilieèianèios árangos.
ÁGALIOTASIS ATSTOVAS:
Produkcijos saugos vadybininkas; Kodak AG; Hedelfingerstr. 54-56; 70327
Stuttgart, VOKIETIJA
Nederlands
ALLEEN GELDIG BINNEN EUROPA:
Deze apparaat is geen medische apparatuur volgens EN 60 601-1 en mag
daarom niet binnen de behandelingsomgeving van de patiënt staan zoals
bepaald is in EN 60 601-1-1. Er moet aan de volgende eisen worden voldaan:
1. Afstand vanaf apparaat tot behandelinstallatie patiënt (zie afbeelding).
Horizontaal = 1,83 meter; Verticaal = 2,5 meter boven de vloer vanaf de
vloer onder de patiënt.
2. Gelijktijdig contact met patiënt en apparaat door verzorger is niet
toegestaan.
3. Directe elektrische verbinding tussen apparaat en behandelinstallatie
patiënt is NIET toegestaan.
GEVOLMACHTIGD VERTEGENWOORDIGER:
Manager, Productveiligheid; Kodak AG; Hedelfingerstr. 54-56; 70327
Stuttgart, Duitsland.
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August 1, 2003
Remote Operations Panel
Norsk
KUN FOR DET EUROPEISKE MARKEDET
Denne enheten betegnes ikke som medisinsk utstyr i henhold til EN 60 601-1,
og må derfor ikke settes inn i pasientmiljø som definert i EN 60 601-1-1.
Følgende krav må overholdes:
1. Avstand fra enheten til utstyr i kontakt med pasient (se illustrasjon).
Horisontalt = 1,83 meter, vertikalt = 2,5 meter over gulvet under
pasienten.
2. Personalet må ikke ha samtidig kontakt med pasient og enheten.
3. INGEN direkte elektrisk forbindelse mellom enheten og utstyr i kontakt
med pasient er tillatt.
AUTORISERT FORHANDLER:
Leder, produktsikkerhet; Kodak AG; Hedelfingerstr. 54-56; 70327 Stuttgart,
TYSKLAND.
Português
SÓ PARA O MERCADO EUROPEU:
De dispositivo acordo com o determinado em EN 60 601-1, este processador
não é considerado equipamento médico e como tal não tem que obedecer às
normas definidas em EN 60 601-1-1. Têm que ser cumpridos os seguintes
requisitos:
1. Distância do dispositivo ao equipamento de contacto com o paciente
(ver ilustração). Horizontal = 1,83 metros; Vertical = 2,5 metros acima
do chão debaixo do paciente.
2. Não é permitido o contacto simultâneo entre o assistente, o paciente e o
dispositivo.
3. NÃO é permitida a ligação eléctrica directa entre o dispositivo e a equipa
de contacto com o paciente.
AGENTE AUTORIZADO:
Gerente, Segurança do Produto; Kodak AG; Hedelfingerstr. 54-56; 70327
Stuttgart, ALEMANHA.
August 1, 2003
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Remote Operations Panel
Suomeksi
AINOASTAAN EUROOPAN MARKKINOILLE:
Tämä laite ei ole sairaanhoitolaitteistoon kuuluva laite siten kuin standardissa
EN 60 601-1 asia määritellään ja siksi sitä ei tule viedä standardin EN 60
601-1-1 mukaiseen potilasympäristöön. Seuraavat vaatimukset on täytettävä:
1. Etäisyys laitteesta potilaan kanssa kosketuksessa olevaan laitteistoon (ks.
piirros). Vaakatasossa = 1,83 metriä; pystytasossa = 2,5 metriä potilaan
alla olevan lattian yläpuolella.
2. Hoitohenkilö ei saa koskettaa potilasta samanaikaisesti kun hän
koskettaa laitetta.
3. Laite EI saa olla suorassa sähköisessä kosketuksessa potilaan kanssa
kosketuksessa olevaan laitteistoon.
VALTUUTETTU EDUSTAJA:
Johtaja, Product Safety; Kodak AG; Hedelfingerstr. 54-56; 70327 Stuttgart,
SAKSA.
Svenska
ENDAST FÖR DEN EUROPEISKA MARKNADEN:
Denna enheten utgör ej medicinsk utrustning enligt EN 60 601-1 och får
därför ej införas i patientnära miljö såsom denna definieras i EN 60 601-1-1.
Följande krav måste vara uppfyllda:
1. Avstånd från enheten till utrustning med patientkontakt (se figuren).
Horisontellt = 1,83 m; vertikalt = 2,5 m ovanför golvet under patienten.
2. Vårdgivande person får ej samtidigt vidröra patienten och enheten.
3. INGEN direkt elektrisk förbindelse mellan framkallare och utrustning
med patientkontakt får enheten.
AUKTORISERAT OMBUD:
Manager, Product Safety; Kodak AG; Hedelfingerstr. 54-56; D-70327 Stuttgart,
TYSKLAND.
10-8
1F1976
August 1, 2003
Remote Operations Panel
Overview
The Kodak DirectView Remote Operations Panel (ROP) is a remote touch
screen used to enter Patient Information and Exam Information, review and
modify images, and route Patient Records.
You can configure the ROP for 8-bit or 12-bit operation. The 8-bit operation
is faster than the 12-bit operation. Your Key Operator can configure the
selection at the CR System Remote Operation Panel Setup Screen.
The Key Operator functionality is limited to Bar Code and System
Configuration menus, calibrating the ROP monitor display and viewing SMPTE
(Society of Motion Picture and Television Engineers) test patterns.
CAUTION:
This product contains trace amounts of mercury. Disposal of
this product may be regulated due to environmental
considerations. For disposal or recycling information, please
contact your local authorities.
Network
Configuration
August 1, 2003
The CR Systems and ROPs require connection to a 10 BaseT or 100 BaseT
Ethernet network. All network communication is done in accordance with
DICOM-conforming digital imaging equipment. Physical connections are via
site-provided Category 5 cabling. In addition, the customer must provide the
Mitra or qualified PACS Broker to enable access to the HIS/RIS system.
You can configure each ROP to connect to a maximum of eight CR 500
Systems.
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Remote Operations Panel
Start Up
To turn on the ROP:
1. Move the Power Switch (under the touch screen) to the 0 position, then
to the | position.
2. Wait for the ROP to initialize. The Main Menu or the Login screen
appears when the ROP is ready for use.
POWER
SWITCH
POWER
SWITCH
H177_1521ACA H177_1511ACA
H177_1521AC H177_1511AC
BRIGHTNESS
SWITCH
Remote Operations Panel
Operation
The ROP touch screen functionality compared with the CR 500 interface:
• Study Data and Image Review—no difference.
• Key Operator Functions—functionality is limited to Bar Code
Configuration and adjusting the virtual keyboard volume level, calibrating
the ROP monitor display and viewing SMPTE test patterns.
• Service Functions—functionality is limited to network configuration.
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August 1, 2003
Remote Operations Panel
Remote Operations Panel Main Menu
NOTE: The CR System that the ROP is connected to is indicated in the
top-right corner of the screen.
Using the ROP Touch Screen
The Key Operator calibrates the touch screen so that the target response is
accurate. When the CR System or ROP is turned on, the Main Menu appears.
To select a menu choice, touch the center of the button.
NOTE: Use only your finger when selecting buttons on the screen. Using hard
objects, such as pens or pencils, can damage the surface of the touch
screen.
Navigation Buttons
Use the Navigation buttons at the bottom of the screen to move from screen to
screen or to other functions. Some buttons display status information to alert
you to important operations or failed functions so you can respond if the
situation warrants immediate attention.
Main Menu and Back buttons
• Main Menu button—touch to return to the CR System Main Menu.
• Back button—touch to return to the previous screen.
NOTE: If the message Loading... appears, it means that the software is busy
processing the data to display the next page. If this message continues
for an excessive period of time, touch Main Menu to return to the
Main Menu.
August 1, 2003
1F1976
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Remote Operations Panel
Error Messages
Error Messages alert you to errors that occur during operation. Each Error
Message describes the cause of the error and instructions on how to clear it.
For more information, see “Error Messages” on page 7-1
Virtual Keyboards
Virtual Keyboards let you enter data using the ROP touch screen.
There are three keyboard types:
• an alphanumeric keyboard, similar to a standard keyboard, for entering
information
• a numeric keypad for entering numbers
• a button array for entering unique inputs for a particular field type
The Key Operator sets the local language for the virtual keyboards.
Standard
Touch each character you want to enter into a field and touch Enter. The
Alphanumeric Virtual display returns to the previous screen or moves to the next empty field.
Keyboard
Standard Alphanumeric Virtual Keyboard
The # sign on the keyboard acts as a toggle switch, so you can use either
alpha or numeric characters at any time.
Touch for
numeric
characters
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1F1976
August 1, 2003
Remote Operations Panel
Touch again
for alpha
characters
Standard Numeric
Virtual Datepad
Touch each character you want to enter into a field and touch Enter. The
display returns to the previous screen or moves to the next empty field.
Standard Numeric Virtual Datepad
Special Keyboards
There are special keyboards unique to the type of field selected. Touch a
button to enter the button name in the field. The Key Operator can set up
buttons for different lists of information. See “Workflow Optimization” on
page 9-16.
For example:
Default Body Parts Virtual Keyboard
August 1, 2003
1F1976
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Remote Operations Panel
ROP Configured to Access Multiple CR Systems
When the ROP is configured to access multiple CR Systems, the screen is
similar to the following:
ROP Multiple CR Access Screen
The first link is the link to the CR System that configures the ROP.
Touch the appropriate button for the System you want to access.
Turning Off the ROP
1. At the Main Menu, touch Utility Menu and then touch Shut Down.
The message, “Do you want to shut down the System?” appears.
2. Touch Yes.
3. When the unit completes the shutdown procedure, move the Power
Switch to 0.
POWER
SWITCH
POWER
SWITCH
H177_1521ACA
H177_1521AC
H177_1511ACA
H177_1511AC
BRIGHTNESS
SWITCH
ROP Power Switch Location
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1F1976
August 1, 2003
Remote Operations Panel
Bar Code Scanner
The ROP has a bar code scanner attached to the front of the unit and is used
for scanning cassette ID’s, technologist ID’s, and configuration bar codes.
Touch the appropriate button to access the other servers.
Using the Bar Code
Scanner
Use the bar code scanner to read the bar codes on cassettes, forms, etc. to
enter information directly into the CR System. The following fields can be
completed using the bar code scanner on the ROP:
• Accession Number
• Patient ID Number
• Technologist ID Number
• Cassette ID bar code
Scanning a Bar Code
The Key Operator can program the bar code scanner to read bar codes
automatically or manually.
1. Position the bar code scanner 3-8 inches (9-27 cm) from the bar code
and center the bar code scanner horizontally on the bar code so the light
falls on the bar code.
NOTE: Bar codes must be limited to 35 characters.
2. For manual operation, squeeze and hold the trigger until the red light
goes out and you hear a high-pitched beep.
3. For automatic operation, hold the bar code being read under the light
until you hear a high-pitched beep.
August 1, 2003
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Remote Operations Panel
10-16
1F1976
August 1, 2003
Appendix A: Default
Procedure Codes
You can use the following list of default Procedure Codes for
Procedure Mapping on page 9-22 with the Kodak DirectView CR 500 System.
Procedure
Code
August 1, 2003
Procedure
Number
of Images
EK 001
Abdomen
1 view
1
EK 002
Abdomen
2 views
2
EK 003
Abdomen
4 views
4
EK 004
AC Joint
2 views
2
EK 005
Adult Chest
1 view
1
EK 006
Adult Chest
2 views
2
EK 007
Adult Chest
3 views
3
EK 008
Adult Chest
4 views
4
EK 009
Adult Chest
5 views
5
EK 010
Adult Chest
6 views
6
EK 011
Ankle
2 views
2
EK 012
Ankle
3 views
3
EK 013
Ankle
4 views
4
EK 014
Ankle
5 views
5
EK 015
BaE Air Contrast
9 views
9
EK 016
BaE Single Contrast
7 views
7
EK 017
Clavicle
2 views
2
EK 018
Coccyx
2 views
2
EK 019
C-Spine
1 view
1
EK 020
C-Spine
2 views
2
EK 021
C-Spine
3 views
3
EK 022
C-Spine
5 views
5
1F1976
A-1
Default Procedure Codes
Procedure
Code
A-2
Procedure
Number
of Images
EK 023
C-Spine
6 views
6
EK 024
C-Spine
7 views
7
EK 025
Elbow
2 views
2
EK 026
Elbow
4 views
4
EK 027
Facial Bones
2 views
2
EK 028
Facial Bones
3 views
3
EK 029
Facial Bones
4 views
4
EK 030
Facial Bones
5 views
5
EK 031
Femur
2 views
2
EK 032
Finger/Thumb
2 views
2
EK 033
Finger/Thumb
3 views
3
EK 034
Foot
2 views
2
EK 035
Foot
3 views
3
EK 036
Foot
4 views
4
EK 037
Forearm
2 views
2
EK 038
Hand
1 view
1
EK 039
Hand
2 views
2
EK 040
Hand
3 views
3
EK 041
Heel
2 views
2
EK 042
Hip
1 view
1
EK 043
Hip
2 views
2
EK 044
Hip
3 views
3
EK 045
Humerus
2 views
2
EK 046
IVP
7 views
7
EK 047
IVP Hypertensive
11 views
11
EK 048
Knee
1 view
1
EK 049
Knee
2 views
2
EK 050
Knee
3 views
3
EK 051
Knee
4 views
4
1F1976
August 1, 2003
Default Procedure Codes
Procedure
Code
August 1, 2003
Procedure
Number
of Images
EK 052
L-Spine
2 views
2
EK 053
L-Spine
3 views
3
EK 054
L-Spine
5 views
5
EK 055
L-Spine
7 views Flex/Ext
7
EK 056
L-Spine
7 views Lat
Bending
7
EK 057
Mandible
3 views
3
EK 058
Mastoids
5 views
5
EK 059
Nasal Bones
2 views
2
EK 060
Orbits
3 views
3
EK 061
Orbits
5 views
5
EK 062
Pediatric Abdomen
1 view
1
EK 063
Pediatric Abdomen
2 views
2
EK 064
Pediatric Abdomen
5 views
5
EK 065
Peds Chest
1 view
1
EK 066
Peds Chest
2 views
2
EK 067
Peds Chest
3 views
3
EK 068
Peds Chest
4 views
4
EK 069
Peds Chest
5 views
5
EK 070
Pelvis
1 view
1
EK 071
Pelvis
2 views
2
EK 072
Pelvis
4 views
4
EK 073
Ribs
4 views
4
EK 074
Ribs
6 views
6
EK 075
Sacrum
2 views
2
EK 076
Shoulder
2 views
2
EK 077
Shoulder
3 views
3
EK 078
Shoulder
4 views
4
EK 079
SI Joints
3 views
3
EK 080
Sinus
1 view
1
1F1976
A-3
Default Procedure Codes
Procedure
Code
A-4
Procedure
Number
of Images
EK 081
Sinus
2 views
2
EK 082
Sinus
3 views
3
EK 083
Sinus
4 views
4
EK 084
Skull
1 view
1
EK 085
Skull
2 views
2
EK 086
Skull
4 views
4
EK 087
Skull
5 views
5
EK 088
Sternum
2 views
2
EK 089
Tibia-Fibula
2 views
2
EK 090
Toe
2 views
2
EK 091
Toe
3 views
3
EK 092
T-Spine
2 views
2
EK 093
T-Spine
3 views
3
EK 094
T-Spine
4 views
4
EK 095
UGI
4 views
4
EK 096
Wrist
2 views
2
EK 097
Wrist
3 views
3
EK 098
Wrist
4 views
4
1F1976
August 1, 2003
Appendix B: Printing
Exceptions
When the Kodak CR System sends an image to a store destination
(workstation, archive, etc.) the entire image is sent along with the pixel size
and pitch information. This image provides all the information needed so that
vendors can print or display the image.
CAUTION:
In order to support True-size printing, a printer must support
DICOM Requested Image Size. Refer to the printer’s DICOM
conformance statement to determine if a printer supports
Requested Image Size.
You can print a single image to multiple printers; however, unless the printers
have identical capabilities, problems may result. To prevent these problems,
the CR System formats the output image so that it is compatible with the least
capable printer.
If you are printing to multiple printers equipped with a combination of Kodak
PACS Link 9410 Acquisition System or Kodak PACS Link V 5.0 devices,
configure the external text boxes on the CR to match the capabilities of the
PACS Link 9410. This may prevent false delivery failure messages on the CR
System.
August 1, 2003
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B-1
Printing Exceptions
The following are printing exceptions:
Using this Text Box
with this System
produces this result:
Global External Text Box
Kodak PACS Link 9410 Acquisition
System
Text appears above the image.
Single Image External Text Box with
two lines of text
Kodak PACS Link 9410 Acquisition
System
Supports one line of text only.
Multi-image Individual External Text Kodak PACS Link 9410 Acquisition
Box
System
Text does not appear on a two-up or
four-up format.
Multi-format Text Boxes
Internal Text Boxes
Kodak Ektascan 160 Laser Imager
V3.2.1 or older
Unexpected results, such as two-up
format in portrait orientation,
four-up displaying only three of four
images.
External Text Box
Kodak PACS Link 5.0 Acquisition
System
Acceptable results.
B-2
1F1976
August 1, 2003
Printing Exceptions
Text Box Rotation
If a printer does not support text box rotation, the CR System cannot print the
text box on the long side of the film, as shown:
The following table lists which Kodak printers support rotation:
Printer
PACS Link 9410
Acquisition System
PACS Link V5.x
Acquisition System
Kodak DryView 8100 Laser Imager
No
Yes
Kodak DryView 8200 Laser Imager
NA
Yes
Kodak DryView 8300 Laser Imager
Yes
Yes
Kodak DryView 8500 Laser Imager
No
Yes
Kodak DryView 8700 Laser Imager
No
Yes
Kodak DryView 8610 Laser Imager
No
Yes
Kodak Ektascan 2180 Laser Printera
NA
Yes
Kodak Ektascan 160 Laser Imager
NA
Yes
Kodak Digital Science 190 Medical Laser
Printer
NA
No
a.When sending an image to a Kodak Ektascan Laser Printer 2180 with the text box selected along the side of the film, the
text in the text box may be truncated. If there are two lines of 120 characters each, only the first 111 characters of each line
will print.
August 1, 2003
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B-3
Printing Exceptions
B-4
1F1976
August 1, 2003
Glossary
Glossary
1 cm Scale
AC
AE
Audit Log
Bar Code
Bar Code Scanner
Black Surround Mask
Brightness
Burn-In
Cassette
Cassette ID
Collimation
Contrast
Convolution
CR
Default
De-identify
Destination
Destination Type
August 1, 2003
When selected, a one centimeter (cm) scale is applied along a horizontal and
vertical edge of the image.
Application Consultant.
A DICOM term meaning Application Entity.
The ability to log the activity of each user during each login session.
A series of black and white lines that represent data that can be scanned and
digitized.
A device that scans and translates information from bar codes printed on a
requisition or from bar code labels.
Kodak Black Surround Software automatically detects the collimated area of
the image and applies a black mask to it.
Analogous to window level. The brightness of an image determines how light
or dark the overall image appears.
When something becomes part of the image and can never be removed. It
replaces the image data in the area it occupies.
The outer casing that contains the storage phosphor screen. The cassette is
inserted into the CR System.
The number that identifies the cassette holding the storage phosphor screen
on which the patient was exposed.
To reduce the size of the X-Ray beam by restricting it, usually with lead
shutters.
Analogous to the window width. The contrast defines the span of code values
and the relationship between the dark and light areas of the image.
A mathematical process that multiplies the image by a kernel. The size of the
kernel determines the number of weight factors and, therefore, the extent to
which the image is blurred. This is done to produce an image with lines or
edges that are more clearly defined.
Computed Radiography, the process of creating digital radiographic images.
Predefined information that is automatically applied, but which can be
replaced with a specific selection.
To remove all information from a medical record that could connect the
record with a particular individual.
A location where an image is sent. Destinations include laser printers and
clinical and diagnostic workstations.
Destinations can be configured as one of three types: mandatory, protected or
default.
1F1976
G-1
Glossary
DICOM
Digital Imaging and Communications in Medicine. A standard communication
format that allows different types of equipment to work together when
connected through a network.
Edge Enhancement
Kodak Edge Enhancement software detects the edges of an image and
accentuates them based on the configuration parameters. They are adjusted
in the Application Consultant area of the system.
Error Message
A message displayed in a dialog box or in the System Errors log that describes
a problem that occurred during the operation of the CR System.
EVP
Kodak Enhanced Visual Processing software is an advanced image processing
software that extends an image’s latitude without loss of detail contrast. EVP
provides a better view of anatomy, especially in trauma lateral cervical spine
images.
Exam
A set of images, usually of the same body part, which are part of a procedure
and have a common accession number.
Exam Information
Data pertaining to the way an exam is performed.
Exposure Index
A numerical value computed from the average code value of those areas of the
image data that are used by the image processing algorithm to compute the
optimal tone scale.
Grid Suppression
Kodak Grid Detection and Suppression software automatically detects and
removes grid lines from images. This feature is configured from the
Application Consultant area of the system. You can configure grid suppression
for each body part and projection combination.
HIS
Hospital Information System.
Image
A data structure that contains image data, patient information, and
information relating to the method of creating the image data; in a
DICOM-compliant format.
IHE
Integrating the Health Care Enterprise.
Image Processing Library The IPL provides default tonescale algorithm input values that are used to
(IPL)
create the final image.
Image Processing
Parameters used by the system to optimize image quality. The Application
Parameters
Consultant and Service personnel can configure these parameters for each
body part and projection combination.
Key Operator
The person(s) designated by the department manager to receive applications
training and allowed access to password protected areas to make system
changes.
Latent image
LUT
G-2
An image which has been captured on a storage phosphor screen, but not yet
digitized or processed. This is the image that the CR System extracts when it
processes the cassette.
Look-Up Table. A set of values that can be mathematically applied to the
digital image which alters the look of the image. The LUT is generated by the
image processing algorithms developed by Kodak.
1F1976
August 1, 2003
Glossary
Magnification
Mandatory Destination
Marker, Left, Right, Up
Arrow
Patient Information
PEC Record
Protected Health
Information
Raw image
With respect to film screen, 100% is the same size as film screen, 93% is 93%
the size of film screen.
A destination (normally an archive) to which the exam must be delivered
before the study is considered complete.
When selected, a technologist can apply an electronic marker to the image.
The Key Operator can disable this feature.
Demographic information about a patient: name, date of birth, physician, etc.
Patient Exam Cassette record.
Protected Health Information.
An image that has been read from the phosphor screen and digitized but not
yet processed.
RIS
Radiology Information System.
ROP
Remote Operations Panel, a remote touch screen used to enter Patient
Information and Exam Information, review and modify images, and route
Patient Records.
RPDES
Remote Patient Data Entry Station
Screen Blanking
Displaying a screen saver after a pre-defined time of user inactivity.
Service Image
An image used by service personnel for troubleshooting.
Shell
The outer casing of a cassette with the screen removed.
Shutdown
The process of exiting current tasks and applications and turning the power
off.
SMPTE test pattern
A Society for Motion Picture and Television Engineering monitor test pattern
that is used for analyzing image quality problems.
Storage Phosphor Screen The screen inside the cassette that captures the latent image. Utilizes the
principle of photo-stimulable luminescence.
Store Destination
Any destination other than a print destination. Commonly a workstation or an
archive.
Study
A collection of related images and data.
Text Box
The informational area that prints on a sheet of film. The text box is not
burned in and, therefore, is not part of the images sent to a destination.
Tonescale Look-Up Table See LUT.
(LUT)
Tonescaling
An image processing technique that adjusts the contrast of the image (i.e.,
lightness and darkness). Tonescaling is performed by deriving a histogram
from the image and then determining the correct tonescale values according
to the histogram and a set of standard values for the body part.
True-size Print
True-size Printing delivers the latent image to the destination at 100%, +/- two
percent. Because variations exist in the scanner, printer, and softcopy
displays, use caution when using these images for exact measurements. For
August 1, 2003
1F1976
G-3
Glossary
Unassigned Image
UPS
Version
Virtual Keyboard
Window Level
Window Width
Worklist Management
G-4
exact measurements, Kodak recommends placing a known marker at the
level of the subject when making the exposure and calculating image
magnification.
An image and its data which has not been associated with a patient.
Unassigned Images can be routed and printed but not archived.
Uninterruptable Power Supply.
A different rendition of an image. A second version of an image is processed
using a second set of image processing parameters.
Virtual keyboards are software generated keyboards that enable you to enter
data via the touch screen.
See Brightness.
See Contrast.
A DICOM Modality Worklist enhances your workflow by importing patient
demographics and study information from an information management
system. Using the worklist eliminates errors from manual entry, lets exams
begin on time, and assures the information is catalogued correctly when sent
to a PACS Broker.
1F1976
August 1, 2003
Index
A
adjusting
contrast and brightness, 6-2
tonescale, 6-3
window level, 6-2
window width, 6-2
E
end study button, 5-4
Equipment and Cassettes
cleaning cassettes, 8-7
cleaning storage phosphor screens, 8-4
cleaning surfaces, 8-1
cleaning the touch screen, 8-1
erase lamps, replacing, 8-8
maintaining, 8-1
removing storage phosphor screens, 8-3
replacing storage phosphor screens, 8-6
shipping cassettes, 8-6
erasing screens, 5-8
error conditions, 7-1
exam data entry
new patient, 4-2
overview, 4-1
patient information, 4-2
exam information
entering information, 4-7
mandatory, 4-8
optional, 4-9
saving, 4-9
external devices
Medical Device Directive, 10-1
multiple ROPs, 9-61
Remote Key Operator, 9-67
remote operations panel, 10-1
ROP expanded connectivity, 9-55
ROP to multiple CR systems, 9-58
B
bar code configuration, 9-71
change prefix and suffix, 9-78
modify cassette format, 9-72
set country code, 9-75
bar code scanner, 10-15
best fit mode, 5-21
body parts virtual keyboard, 10-13
brightness, 6-2
C
CD/DVD, formatting media, 5-13
CD/DVD, media supported, 5-13
CD/DVD, saving and retrieving images, 5-14
consistent image size, 5-21
contrast,changing, 6-2
copying images, 5-11
D
delivery preferences
consistent image size, 9-52
include CT pixel spacing, 9-52
multi-format, 9-52
option configuration, 9-51
QA mode, 9-52
upper case DICOM fields, 9-52
destination, 9-6
DVD/CD
disc full warning, 5-13
how to format, 5-13
retrieving images, 5-13
saving images, 5-13
supported media, 5-13
August 1, 2003
F
find local, 9-3
flexible phosphor screens
removing, 8-3
G
grid detection and suppression, 9-92
1F1976
I-1
Index
H
handling cassettes, 5-3
I
image processing, 6-4
1 cm scale, 6-6
black bone, 6-6
black surround mask, 6-6
edge enhancement, 6-6
EVP, 6-6
left/right marker, 6-6
overview, 6-4
image review, 5-7, 5-28
images, unassigned, 5-12
IPL, 6-1
K
Key Operator Functions
managing patient exam records, 9-3
menu, 9-1
system configuration, 9-11
keyboard
body parts, 10-13
L
landscape, 5-1
loading cassettes, 5-3
M
main menu
applications consultant, 3-6
functions, 3-6
image review, 3-6
key operator functions, 3-6
navigation buttons, 3-6
service functions, 3-6
study data, 3-6
Manage Patient Exam Records, 9-3
mandatory exam information, 4-8
MDD
Dansk, 10-2
Deutsch, 10-3
English, 10-2
Espanol, 10-3
Francais, 10-4
Italiano, 10-5
Lietuviokai, 10-6
Nederlands, 10-6
I-2
Norsk, 10-7
Portuges, 10-7
Suomeksi, 10-8
Svenska, 10-8
mode, QA, 5-4
multi-format
checkbox, 5-28
deleting images, 5-28
image review, 5-28
multi-format settings, 5-28
O
operating modes
pass-through, 2-5, 5-4
QA, 2-5
optimizing
exam, 6-1
image characteristics, 6-9
image orientation, 6-2
image processing, 6-1
image quality, 6-1
option registration, 9-15
orientation, 10-13
orienting cassettes, 5-1
P
parameters
black surround mask, black bone, edge enhancement,
EVP, 1 cm scale, grid suppression, markers, text
box, true-size print, 6-5
pass-through mode, 5-4
Patient Worklist screen, 9-3, 9-4
portrait, 5-1
position, 10-13
printing
two-up or four-up, 5-21
printing images, 5-21
multi-format, 5-23
printing text
annotation, 5-30
text boxes, 5-29
printing,true-size, 5-32
priority, 10-13
procedure mapping, 9-23
creating a new procedure, 9-25
deleting a procedure, 9-26
editing, 9-25
more than 34 procedures, 9-25
using a HIS/RIS, 9-26
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August 1, 2003
Index
S
saving configurations, 9-14
scanning and viewing images, 5-1
erasing screens, 5-10
failed delivery, 5-19
loading cassettes, 5-3
managing images, 5-18
orienting the cassette, 5-1
performing an exam, 5-1
QA mode, 5-4
reprocessing delivered images, 5-11
unassigned images, 5-19
viewing images, 5-4
scanning recommendation, 5-2
shell, G-3
size, best-fit, 5-21
size, consistent image, 5-21
size, True-size, 5-21
SMPTE Test Pattern, 9-93
statistics
cassette, 9-5
destination, 9-6
destination status summary, 9-10
erase cycles, erase lamps, 9-6
scan cycles, 9-9
technologist, 9-7
system configuration
bar code configuration, 9-70
buttons, 9-17
CAD workstation, 9-54
configuring profiles, 9-41
CR display, 9-33
default hospital name, 9-53
default profile, 9-40
delivery preferences, 9-51
department, physician list, 9-17
external devices, 9-55
HIS/RIS Broker, 9-30
maintenance defaults, 9-89
menu, 9-12
option registration, 9-15
procedure list, mapping, 9-22
profile destination, 9-40
Push configuration, 9-32
regional settings, 9-90
reject reason, 9-36
required fields, 9-87
restoring, 9-14
saving, 9-14
using procedure codes, 4-7
using the CR System, 9-24
using the Remote Key Operator, 9-26
projection, 10-13
Q
QA mode, 5-4
R
reader icons, 5-3
redeliver image, 5-19
reject image, 5-5, 9-6
reject reason, 5-7
releasing screen jams, 7-2
Remote Key Operator
color preferences, 9-69
creating a new procedure, 9-29
deleting a procedure, 9-29
downloading statistics, 9-68
editing procedures, 9-29
login, 9-68
procedure mapping, 9-29, 9-68
setup, 9-27
remote key operator
set up, 9-67
Remote Operations Panel
configuring, 10-9
operation, 10-9
overview, 10-9
scanning a bar code, 10-15
start up, 10-9
turning off, 10-14
using the bar code scanner, 10-9
with multiple CR systems, 10-14
reprocess, 5-8
reprocessing, 5-8
reprocessing images, 5-5
restoring configurations, 9-14
reviewing images
assign images, 5-12
ROP, safety, 1-11
routing images, 5-8
RPDES
configuration, 9-64
creating a desktop shortcut, 9-66
installation instructions, 9-64
operation, 9-66
requirements, 9-64
RPDES (Remote Patient Data Entry), 9-64
August 1, 2003
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I-3
Index
text boxes, 9-43
trauma defaults,setting, 9-38
workflow optimization, 9-16
alpha-numeric, 10-12
numeric, 10-13
numeric, alphanumeric, 10-12
T
technologist, 9-6
text box editor
configuring, 9-49
external, 9-48
fields and definitions, 9-46
internal, 9-46
saving and restoring, 9-48
text box viewer, 9-46
add new column or row, 9-48
navigation controls, 9-48
save or delete a field, 9-48
text boxes
choosing, 9-44
external, 9-43
internal, 9-43
touch screen
navigation buttons, 3-7, 10-11
using, 10-11
trash can, 5-28
Troubleshooting, 7-1
clear pending images, 7-4
error messages, 7-1
slow system response, 7-6
system reset, 7-3
system status, 7-4
True-size
magnification factor, 9-48
mode, 9-43
true-size mode, 5-21
True-size Printing, 5-21
true-size printing, 5-32
tube side orientation, 5-2
U
Unassigned Images, 5-12
unassigned images, 5-12
unique numbers, using, 9-39
utility menu, 7-1
V
viewing and scanning images
post processing an image, 5-8
routing images, 5-8
virtual keyboard
I-4
1F1976
August 1, 2003
EASTMAN KODAK COMPANY
343 State Street
Rochester, N.Y. 14650
Kodak, Ektascan, DryView, and DirectView are trademarks of
Eastman Kodak Company.
© Eastman Kodak Company, 2003
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