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EPX-SERIES Diagnostic X-ray System Operator’s Manual Ecotron Co., Ltd Made by Korea 4F&5F, Hanshin IT Tower II, 47, Digital-ro 9-gil, Geumcheon-Gu, Seoul 08511, Korea Obelis S.A Bd. General Wahis 53, 1030 Brussels, Belgium / E-mail:[email protected] Representative: Mr.Gideon ELKAYAM / TEL:32.2.732.59.54, FAX:32.2.732.60.03 D/N: ECO-UM-EPX-001 Rev. J EPX-SERIES OPERATOR’S MANUAL (This page intentionally left blank) Rev. J 2/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL CONTENTS 1. INTRODUCTION _______________________________________________________ 7 1.1 COMPOSITION _______________________________________________________________________________ 8 2. NOTICE OF THE SAFE OPERATION ______________________________________ 9 3. RADIATION SAFETY __________________________________________________ 12 4. SAFETY AND SPECIFICATIONS _________________________________________ 13 4.1 SAFETY AND WARNING SYMBOLS _______________________________________________________ 13 4.2 COMPOSITION LABEL _____________________________________________________________________ 17 4.2.1 EPX-F1600 _____________________________________________________________________________ 17 4.2.2 EPX-F2400 _____________________________________________________________________________ 17 4.2.3 EPX-F2800 _____________________________________________________________________________ 18 4.2.4 EPX-F3200 _____________________________________________________________________________ 18 4.2.5 EPX-F4000 _____________________________________________________________________________ 19 4.2.6 EPX-F5000 _____________________________________________________________________________ 19 4.2.7 EPX-SERIES COLLIMATOR ___________________________________________________________ 20 4.2.8 SYMBOL ON THE PRODUCT LABEL OF X-RAY SYSTEM ___________________________ 21 4.3 EPX-SERIES DUTY CYCLE LIMIT _________________________________________________________ 22 4.4 DAILY X-RAY TUBE WARM-UP PROCEDURE _____________________________________________ 23 4.5 APPLICABLE STANDARDS _____________________________________________________________ 24 4.6 SPECIFICATION ____________________________________________________________________________ 25 4.6.1 CLASSIFICATION OF THE DEVICE ___________________________________________________ 25 4.6.2 SPECIFICATION TABLE _____________________________________________________________ 26 4.6.3 kV, mAs, mA TABLE ___________________________________________________________________ 33 4.6.4 DOSIMETRY DATA TABLE _____________________________________________________________ 39 4.6.5 MECHANICAL SPECIFICATION _______________________________________________________ 41 Rev. J 3/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 4.7 WORKING ENVIRONMENT ________________________________________________________________ 43 4.8 CUSTOMER SUPPORT_____________________________________________________________________ 44 5. SYSTEM CONFIGURATION _____________________________________________ 45 5.1 PREPARATION FOR OPERATION _________________________________________________________ 45 5.1.1 OPERATION PRATICES _______________________________________________________________ 45 5.1.2 POSITIONING OF THE PATIENT AGAINST THE COLLIMATOR ______________________ 45 5.2 CONNECTION OF POWER CODE AND HAND SWITCH __________________________________ 47 6. OPERATION MODE ___________________________________________________ 48 6.1 EPX-F1600 / F2400 / F2800 / F3200 / F4000 / F5000 _______________________________________ 48 6.1.1 NORMAL MODE ________________________________________________________________________ 49 6.1.2 APR MODE _____________________________________________________________________________ 49 6.1.3 DOSIMETRY DATA DISPLAY MODE ___________________________________________________ 49 6.1.4 COOLING TIME DISPLAY MODE ______________________________________________________ 50 6.1.5 TURN OFF ______________________________________________________________________________ 50 6.2 TOUCH MAIN SCREEN OF OPERATION MODE (OPTION) _______________________________ 51 6.2.1 NORMAL MODE OF TOUCH MAIN SCREEN __________________________________________ 51 6.3 HAND SWITCH _____________________________________________________________________________ 52 6.3 MOBILE STAND ____________________________________________________________________________ 53 7. MAINTENANCE PROCEDURE ________________________________________ 54 7.1 GENERAL CAUTION _______________________________________________________________________ 54 7.2 MAINTENANCE SCHEDULE _______________________________________________________________ 54 7.3 CLEANING __________________________________________________________________________________ 54 7.4 TROUBLESHOOTING ______________________________________________________________________ 54 7.5 THE EQUIPMENT OPERATION CHECKLIST FOR OPERATOR ___________________________ 55 7.6 MAINTENANCE CHECKLIST ______________________________________________________________ 56 8. DISPOSAL OF WASTE _________________________________________________ 57 Rev. J 4/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 9. QUALITY WARRANTY _________________________________________________ 58 10. INTENDED OPERATOR AND SERVICE PERSONAL PROFILE ________________ 59 10.1 OPERATOR PROFILE _____________________________________________________________________ 59 10.2 SERVICE PERSONAL PROFILE __________________________________________________________ 59 APPENDIX A EMC DECLARATION ________________________________________ 60 APPENDIX B TECHNICAL CHART ________________________________________ 64 APPENDIX C PEDIATRICS AND SMALL PATIENTS __________________________ 70 APPENDIX D ACTION TO CORRECT THE ERROR OF EPX-SERIES ____________ 72 APPENDIX E Rev. J ANODE THERMAL CHARACTERISTICS OF X-RAY TUBE _________ 73 5/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL REVSON HISTORY Revision Number Date Description A SEP 11, 2013 First Edition B SEP 30, 2014 European Authorized Representative Change C JAN 12, 2015 Manual Update D Mar 23, 2015 Manual Update E JUN 11, 2015 Manual Update F SEP 01, 2015 Manual Update G JUN 21, 2016 Manual Update H SEP 22, 2016 Manual Update for UDI Label I AUG 23, 2018 Manual Update J MAR 24, 2020 Manual Update ADVISORY SYMBOLS The following advisory symbols are used throughout this manual. Their application and meaning are described below. WARNING Warning symbol used to indicate a potential hazard lead operators, service personnel to serious injury, death or radiation exposure. CAUTION Caution symbol used to indicate a potential hazard lead operators, service personnel to injury or damage of equipment. NOTE Note symbol used to indicate important information need to proper use and right operation of equipment. NOTE KEEP THIS OPERATOR’S MANUAL WITH THE EQUIPMENT AT ALL TIMES, AND REVIEW THE IMPORTANT INFORMATION WHENEVER REQUIRED. THE STATISTICS AND SPECIFICATIONS OF THIS UNIT AND MANUAL CAN BE MODIFIED WITH OR WITHOUT NOTIFICATION FOR THE IMPROVEMENT OF PERFORMANCE AND SAFETY. Rev. J 6/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 1. INTRODUCTION The EPX-SERIES Innovation diagnostic X-ray system features excellent x-ray Image, quality, accuracy, reproducibility and long-term stability. Fast kV rising time minimize unnecessary patient dose and supply superior Image quality, fast Image response. The operator control console is designed to be simple and user-friendly and one can select or change x-ray parameters easily using a large soft membrane switch. Indications for use / Intended use This product, diagnostic X-ray system, is radiation medical equipment used by a qualified / trained physician or technician on both adult and pediatric subjects for taking diagnostic X-rays. This product is used on hand (wrist), foot (ankle), shoulder, elbow, knee, and other body parts. Available the patient population for use Gender: no gender restrictions Age: no age restrictions The patient population for use - Adults - Pediatric patients NOTE FEDERAL LAW RESTRICTS THIS DEVICE TO SALE BY OR ON THE ORDER OF PHYSICIAN OR WITH THE DESCRIPTIVE DESIGNATION OF ANY OTHER PRACTITIONER LICENSED BY THE LAW OF THE STATE IN WHICH HE PRACTICES TO USE OF ORDER THE USE OF THE DEVICE. Rev. J 7/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 1.1 COMPOSITION This product is composed of the X-ray component part, accessories part. Detail information of each component follows below. (1) X-ray component part Main Power board SMPS Mono block X-ray tank OP control board FET drive board Collimator (2) Accessories Hand switch Foot switch(Option) Operator’s Manual Mobile Stand NOTE THIS MANUAL CONTAINS IMPORTANT SAFETY INFORMATION. AN UNDERSTANDING OF THIS INFORMATION IS CRITICAL TO THE SAFE OPERATION OF YOUR EQUIPMENT. PLEASE ENSURE THAT YOU READ THE WARNING NOTICES BEFORE USING THE EQUIPMENT NOTE ● ASSEMBLY INFORMATION: NO ASSEMBLY IS REQUIRED. Rev. J 8/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 2. NOTICE OF THE SAFE OPERATION This user’s guide is designed to ensure correct use and operation of EPX-SERIES. Please read all the lines thoroughly before you use this equipment. Incorrect use and operation exceeding described conditions in this manual may occur damage of the machine and shorten its life. Particular attention must be paid to all the warnings, cautions and notes incorporated herein. This equipment should be used only by the legally qualified persons and practitioners. EPX-SERIES is designed with the due consideration for users’ safety and product reliability. It, however, is advisable to follow under mentioned rules to keep your additional safety and health. 1. This product should be operated only by or under the supervision of legally qualified persons. 2. EPX-SERIES is designed for the radiographic uses and not for fluoroscopy or other associated applications. 3. EPX-SERIES should be used for the diagnosis, not for the therapy. 4. Do not modify the equipment at your discretion and in case any modification is required unavoidably, ask the help of Ecotron or its authorized dealer for the service. 5. This system has been calibrated for optimal operations. 6. The outside temperature of the device is not as high as burns, but there watch out for a low-temperature burns if the operator contacts with a certain part(control panel, collimator knob, metal enclosure etc.) for a long time. EPX-SERIES should be used to plug the power cord into the wall socket. CAUTION NO PROTECTION AGAINST THE INGRESS OF THE LIQUIDS Rev. J 9/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL WARNING TO AVOID RISK OF ELECTRIC SHOCK, THIS EQUIPMENT MUST ONLY BE CONNECTED TO A SUPPLY MAINS WITH PROTECTIVE EARTH. WARNING DO NOT CONNECT ADDITIONAL EXTENSION CORD TO EQUIPMENT. WARNING THIS X-RAY UNIT MAY BE DANGEROUS TO PATIENT AND OPERATOR UNLESS SAFE EXPOSURE FACTORS AND OPERATING INSTRUCTIONS ARE OBSERVED. WARNING PROPER USE AND SAFE OPERATING PRACTICES WITH RESPECT TO X-RAY SYSTEMS ARE THE RESPONSIBILITY OF THE USERS OF SUCH X-RAY SYSTEMS. ECOTRON Co., Ltd PROVIEDS INFORMATION ON ITS PRODUCTS AND ASSOCIATED HAZARDS, BUT ASSUMES NO RESPONSIBILITIES FOR AFTER-SALE POERATING AND SAFETY PRACTICES. ECOTRON Co., Ltd ACCEPTS NO RESPONSIBILITY FOR ANY GENERATOR NOT MAINTAINED OR SERVICED ACCORDING TO THE SERVICE MANUAL OR ANY X-RAY SYSTEM THAT HAS BEEN MODIFIED IN ANY WAY. ECOTRON Co., Ltd ALSO ASSUMES NO RESPONSIBILITY FOR X-RAY RADIATION OVEREXPOSURE OF PATIENTS OR PERSONNEL RESULTING FROM POOR OPERATING TECHNIQUES OR PROCEDURS. WARNING DO NOT ALLOW OPERATION OF THIS APPARATUS BY ANY PERSON OTHER THAN QUALIFIED PERSONNEL (PHYSICIANS, RADIOTHERAPY ENGINEERS AND CLINICAL XRAY ENGINEERS) OR UNDER OBSERVATION BY THEM. Rev. J 10/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL CAUTION INCORRECT CONNECTIONS OR USE OF UNAPPROVED EQUIPMENT MAY RESULT IN INJURY OR EQUIPMENT DAMAGE. CAUTION DO NOT EXCEED THE TUBE MAXIMUM OPERATING LIMITS SHOWN IN THE X-RAY TUBE DATA SECTION AT THE END OF THE OPERATOR’S MANUAL. INTENDED LIFE AND RELIABILITY WILL NOT BE OBTAINED UNLESS X-RAY SYSTEMS ARE POERATED WITHIN PUBLISHED SPECIFICATION. CAUTION DO NOT CONNECT ANY OTHER ELECTRICAL DEVICES. ELECTRICAL DEVICE EXCEPT FOLLOWING • MEDICAL ELECTRICAL DEVICES WHICH CONFORM TO IEC60601-1 • NON-MEDICAL ELECTRICAL DEVICES WHICH CONFORM TO RELATED IEC SAFETY STANDARDS • NON-MEDICAL ELECTRICAL DEVICES WHICH HAVE SAFETY EQUAL TO DEVICES CONFORM TO IEC SAFETY STANDARDS Rev. J 11/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 3. RADIATION SAFETY 1. Users and operators should wear appropriate protecting devices and clothes. 2. Stay distance from the radiant sources and all the possible secondary radiation zones. 3. Eliminate all unnecessary objects near the exposure zones. 4. The distance from the focus to skin should be kept at least 8 inch (20cm). 5. For the experimental uses, apply the lowest possible values of kV, mAs and exposure time. 6. Be careful not to exceed the limited radiograms in the exposure area. 7. The contraindications for pregnant patient or children to avoid unnecessary ionizing radiation exposure. CAUTION THE IONIZING RADIATION COULD BE DANGEROUS FOR PATIENTS AND OPERATORS UNLESS FOLLOWING SAFETY REGULATIONS ARE STRICTLY OBSERVED. Rev. J 12/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 4. SAFETY AND SPECIFICATIONS 4.1 SAFETY AND WARNING SYMBOLS Never allow unqualified personnel to operate the Xray system. High voltage symbol used to indicate the presence of high voltage. Warning symbol used to indicate a potential hazard to operators, service personnel or to the equipment.. It indicates a requirement to refer to the accompanying documentation for details. Radiation symbol used to indicate the presence of radiation. Laser radiation symbol used to indicate the presence of laser beam. Rev. J 13/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL HV 3 MINUTES WARNING LABEL This label is attached on the main power board. The DC link capacitor (approximately 325 VDC with line voltage at 230VAC) will remain charged for up to 3 minutes after the AC mains is disconnected or the AC switch is switched off. DANGER HIGH VOLTAGE LABEL This label attached to the main fuse cover, main noise filter cover and FET driver board. Main voltage is present inside the x-ray system whenever the main disconnect is switched on. Additionally, the DC link capacitors will remain charged for up to 3 minutes after the AC mains is disconnected or the AC switch is switched off. LASER STARE CAUTION LABEL This label attached to side of the collimator case. Laser pointer is present inside the collimator part of X-ray system. When X-ray system shoot a laser beam, there do not stare into beam because the eyes may be damaged from laser beam. SAFE USE WARNING LABEL This label attached to a control panel. This X-ray unit may be dangerous to patient and operator unless safe exposure factors, operating instructions and maintenance schedules are observed. Rev. J 14/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL Protection earth symbol Live line among the single phase line powers. Neutral line among the single phase line powers. First phase line power among the three phase line powers. Second phase line power among the three phase line powers. Third phase line power among the three phase line powers. Single phase AC line voltage. X-ray radiation exposure may be damaging to health, with some effects being cumulative and extending over periods of many months or even years. X-ray operators should avoid any exposure to the primary beam and take protective measures to safeguard against scatter radiation. Scatter radiation is caused by any object in the path of the primary beam and may be of equal or less intensity than the primary beam that exposes the film. No practical design can incorporate complete protection for operators or service personnel who do not take adequate safety precautions. Service and operating personnel only authorized and properly trained by ECOTRON should be allowed to work with this X-ray system equipment. The appropriate personnel must be made aware of the inherent dangers associated with the servicing of high voltage equipment and the danger of excessive exposure to X-ray radiation during system operation. Rev. J 15/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL Wear protective clothing. Protective aprons and gloves with an equivalent of a minimum of 1/64”(0.35mm) of lead are recommended. To protect the patient against radiation, always use radiation protection accessories in addition to devices which are fitted to the X-ray system Keep as large a distance as possible away from the object being exposed and the X-ray tube assembly. Never operate this X-ray system in areas where there is a risk of explosion. Detergents and disinfectants, including those used on patients, may create explosive mixtures of gases. Please observe the relevant regulations. The operator console or anything electrically connected to it, must never be used within 6ft(1.8m) of the patient environment. Do not place liquids(coffee, beverages, flowers, etc) on the X-ray system. Do not operate the x-ray system in direct sunlight or near any heat sources. Do not operate the x-ray system near strong magnetic fields(microwave ovens, speakers, etc), and avoid routing the x-ray system near these devices. The x-ray system must be operated in locations that are clean (free of excess dust, dirt, debris, etc), stable (free of vibration). Only trained maintenance staff may remove the covers of the x-ray system. Contain an instruction not to position the ME EQUIPMENT so that it is difficult to operate the disconnection device. Rev. J 16/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 4.2 COMPOSITION LABEL 4.2.1 EPX-F1600 REPRESENTATIVE IDENTIFICATION LABEL X-RAY SYSTEM This label is attached to rear cover of the diagnostic x-ray system. (Example) 4.2.2 EPX-F2400 REPRESENTATIVE IDENTIFICATION LABEL X-RAY SYSTEM This label is attached to rear cover of the diagnostic x-ray system. (Example) Rev. J 17/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 4.2.3 EPX-F2800 REPRESENTATIVE IDENTIFICATION LABEL X-RAY SYSTEM This label is attached to rear cover of the diagnostic x-ray system. (Example) 4.2.4 EPX-F3200 REPRESENTATIVE IDENTIFICATION LABEL X-RAY SYSTEM This label is attached to rear cover of the diagnostic x-ray system. (Example) Rev. J 18/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 4.2.5 EPX-F4000 REPRESENTATIVE IDENTIFICATION LABEL X-RAY SYSTEM This label is attached to rear cover of the diagnostic x-ray system. (Example) 4.2.6 EPX-F5000 REPRESENTATIVE IDENTIFICATION LABEL X-RAY SYSTEM This label is attached to rear cover of the diagnostic x-ray system. (Example) Rev. J 19/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 4.2.7 EPX-SERIES COLLIMATOR COMMON LABEL TO ALL MODELS - COLLIMATOR This is label is attached on side of the collimator of the diagnostic x-ray system. (Example) Beam Limiting Device(Collimator) EPX-Collimator ▪ Input Power: 3V(LED) / 5V(Laser) ▪ Min. X-ray field size: 0cm x 0cm at 100cm SID Max. X-ray field size: 43cm x 43cm at 100cm SID ▪ Inherent Filtration: 0.5mmAl Certification Statement ▪ This product complies with 21 CFR 1020.30 – 1020.31 ▪ This product complies with 21 CFR Subchapter J. Ecotron Co., Ltd Made by Korea 4F & 5F, Hanshin IT Tower II, 47, Digital-ro 9-gil, Geumcheon-Gu, Seoul 08511, Korea Rev. J 20/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 4.2.8 SYMBOL ON THE PRODUCT LABEL OF X-RAY SYSTEM SYMBOL Description Catalogue number Serial number Caution Consult instructions for use WEEE Symbol Manufacturer Date of manufactured Authorized representative in the European Community 4.2.9 SYMBOLS ON THE PACKING OF X-RAY SYSTEM SYMBOL Description KEEP DRY: This symbol means keep away from rain Fragile: This symbol means do not drop of product UP: This symbol means “This way up” Rev. J 21/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 4.3 EPX-SERIES DUTY CYCLE LIMIT NOTE THE FOLLOWING SECTION CONTAINS IMPORTANT INFORMATION. PLEASE READ AND UNDERSTAND THIS MATERIAL BEFORE CONTINUING. Internal X-ray system components will heat up during normal use of the x-ray system. This is similar to X-ray tube heating during normal x-ray system operation. The amount of heat produced is proportional to the product of kV,mA and time. CAUTION THIS X-RAY SYSTEM HAS TEMPERATURE MONITORING OF FET-DRIVE BOARD TO PROTECT THE EXCESSIVE HEAT BUILD-UP. IF THE X-RAY SYSTEM DETECTS THE OVER-HEAT OF FET-DRIVE, AN ERROR CODE “E04” OR “E05” WILL BE DISPLAYED. EXPOSURE WILL BE INHIBITED WHEN THIS MESSAGE IS DISPLAYED, AND IT SHOULD BE UNDERSTOOD THAT CONTINUING TO MAKE EXPOSURES MIGHT CAUSE X-RAY SYSTEM DAMAGE DUE TO OVERHEATING. THE GENERATOR SHOULD BE ALLOWED TO COOL SUFFICIENTLY SUCH THAT THIS MESSAGE IS NO LONGER DISPLAYED. Rev. J 22/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 4.4 DAILY X-RAY TUBE WARM-UP PROCEDURE NOTE THE FOLLOWING PROCEDURE PRODUCES PRECAUTIONS TO PROTECT PERSONNEL. X-RAYS. OBSERVE ALL SAFETY Use the procedure when the generator has not been used for several days. This procedure provides for exposures at medium power before the tube is used at maximum mA or kV values. This will reduce the possibility of damaging the X-ray tube and high voltage components. No test setup is required. For maximum stability and reliability, use the following techniques at start up: Select the following: ● 60 kV / 5 mAs ● Make three to five exposures at 5 minute intervals. Rev. J 23/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 4.5 APPLICABLE STANDARDS The EPX-SERIES comply with the regulatory requirements and design standards in this section as follows: This product complies with DHHS requirements of 21 CFR Subchapter J. 1) SAFETY ● EN 60601-1:2006/A1:2013 ● EN60601-1-3:2008 ● EN60601-1-6:2010 ● EN62366:2008 ● EN60601-2-28:2010 ● EN60601-2-54:2009 2) EMC ● EN60601-1-2:2007 The EPX-SERIES X-ray system with CE marking comply with the European Council Directive concerning Medical Devices. One of the harmonized standards of this Directive defines the permitted levels of electromagnetic emission from this equipment and its required immunity from the electromagnetic emission of other devise. It is not possible, however to exclude with absolute certainty the possibility that other high frequency electronic equipment, which is fully compliant to the EMC regulations, will not adverse effect the operation of this x-ray system. If the other equipment has a comparatively high level of transmission power and is in close proximity to the generator, these EMC concerns (the risk of interference) may as mobile telephones, cordless microphones and other similar mobile radio equipment be restricted from the vicinity of this X-ray system. 3) OTHERS ● EN ISO 13485:2012 /AC:2012 Medical devices - Quality management systems - Requirements for regulatory purposes (ISO 13485:2003) ● EN ISO 14971:2012 Medical devices - Application of risk management to medical devices (ISO 14971:2007, Corrected version 2007-10-01) ● EN980:2008 Symbols for use in the labeling of medical devices ● EN1041:2008 Information supplied by the manufacturer of medical devices ● EN62304:2006 Medical device software - Software life-cycle processes IEC 62304:2006 ● MEDDEV 2.12.1/Rev.8 Medical Devices Vigilance System ● MEDDEV 2.12.2/Rev.2 Post Market Clinical Follow-up studies 4) CLINICAL EVALUATION ● MEDDEV 2.7.1/Rev.4 Rev. J Clinical evaluation: Guide for manufacturers and notified bodies 24/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 4.6 SPECIFICATION 4.6.1 CLASSIFICATION OF THE DEVICE CLASSIFICATION – EN 60601-1 ● Type of protection against short circuit: CLASS I ● Degree of protection against direct and indirect contact: TYPE B ● Degree of protection against ingress of water and particulate matter: IPX0 ● Use conditions: CONTINUOUS WORKING WITH INTERMITTENT LOAD ● The products have not been evaluated for use in the presence of flammable anaesthetic mixture with air or nitrous oxide CLASSIFICATION – 93/42/EEC DIRECTIVE ● In according with Annex IX: CLASS II b VERIFICATION – IEC 60580 ● The EPX-SERIES measures data in accordance with the reference tube voltage and mAs values using DAP certified according to the requirements of IEC60580, and displays output doses by calculating the measured reference data. Rev. J 25/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 4.6.2 SPECIFICATION TABLE 4.6.2.1 EPX-F1600 Max Output Power Input Power 1.6 kW Voltage 100-120V / 200V-240V Phase & Frequency Single / 50/60 Hz Radiography kV Range in 1kV steps (40KV ~ 90KV) Tube voltage Current mAs 40KV ~ 50KV 30mA 0.4 ~ 20 40KV ~ 50KV 25mA 25~32 51KV ~ 60KV 25mA 0.4 ~ 20 51KV ~ 60KV 20mA 25~32 61KV ~ 70KV 20mA 0.4 ~ 20 61KV ~ 70KV 15mA 25~32 71KV ~ 80KV 18 mA 0.4 ~ 20 71KV ~ 80KV 14 mA 25~32 81KV ~ 90KV 16 mA 0.4 ~ 20 81KV ~ 90KV 12 mA 25~32 MAs Range 0.4mAs – 32mAs, 20steps Max. kV Deviation ±3 % Max. mAs Deviation ±5 % Max. Reproducibility of the RADIATION output Coefficient of variation < 0.01 Display KV /mAs: 7-segment LED X-ray Tube Model Name D-125 (Toshiba) Focal Spot 1.2mm x 1.2mm Target Angle 16 degree Anode Heat Storage 50 KHU Tube:0.8mmAl / collimator: 0.5mmAl / filter:2.0mmAl Total Filtration Collimator with Laser Pointer Weight Rev. J 3.3 mm Al eq. @ 75kV Type Double slit type, manual operation Min. X-ray Field Size 0cm x 0cm Max X-ray Field Size 43cm x 43cm Laser Pointer Class II Timer Push button illuminator with 30 sec timer Lamp LED 3.0V, 3A, 10W @100cm SID @ 100cm SID 13 Kg 26/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 4.6.2.2 EPX-F2400 Max Output Power Input Power 2.4 KW Voltage 100-120V / 200V-240V Phase & Frequency Single, 50/60 Hz Radiography KV Range in 1KV steps (40KV ~ 100KV) Tube voltage Current mAs 40KV ~ 60KV 40mA 0.4 ~ 64 40KV ~ 60KV 35mA 80 ~ 100 61KV ~ 70KV 30mA 0.4 ~ 100 71KV ~ 80KV 30mA 0.4 ~ 32 71KV ~ 80KV 25mA 40 ~80 81KV ~ 90KV 25mA 0.4 ~ 40 81KV ~ 90KV 20mA 50 ~ 80 91KV ~ 100KV 20mA 0.4 ~ 80 mAs Range 0.4mAs – 100mAs, 25steps Max. KV accuracy ±3 % Max. mAs Deviation ±5 % Max. Reproducibility of the RADIATION output Coefficient of variation < 0.01 Display KV / mAs: 7-segment LED X-ray Tube Model Name D-125 (Toshiba) Focal Spot 1.2mm x 1.2mm Target Angle 16 degree Anode Heat Storage 50 KHU Total Filtration Collimator with Laser Pointer Weight Rev. J Tube:0.8mmAl / collimator: 0.5mmAl / filter:2.0mmAl 3.3 mm Al eq. @ 75kV Type Double slit type, manual operation Min. X-ray Field Size 0cm x 0cm Max X-ray Field Size 43cm x 43cm Laser Pointer Class II Timer Push button illuminator with 30 sec timer Lamp LED 3.0V, 3A, 10W @100cm SID @ 100cm SID 13 Kg 27/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 4.6.2.3 EPX-F2800 Max Output Power Input Power 2.7 kW Voltage 100-120V / 200V-240V Phase & Frequency Single / 50/60 Hz Radiography kV Range in 1kV steps (40KV ~ 120KV) Tube voltage Current mAs 40KV ~ 50KV 30mA 0.4 ~ 100 51KV ~ 60KV 30mA 0.4 ~ 100 61KV ~ 70KV 30mA 0.4 ~ 100 71KV ~ 80KV 30mA 0.4 ~ 64 71KV ~ 80KV 27mA 80 ~ 100 81KV ~ 90KV 30mA 0.4 ~ 40 81KV ~ 90KV 25mA 50 ~ 80 91KV ~ 100KV 25mA 0.4 ~ 40 91KV ~ 100KV 23mA 50 ~ 80 MAs Range 0.4mAs – 100mAs, 25steps Max. kV Deviation ±3 % Max. mAs Deviation ±5 % Max. Reproducibility of the RADIATION output Coefficient of variation < 0.01 Display KV /mAs: 7-segment LED X-ray Tube Model Name D-125 (Toshiba) Focal Spot 1.2mm x 1.2mm Target Angle 16 degree Anode Heat Storage Type 50 KHU Tube:0.8mmAl / collimator: 0.5mmAl / filter:2.0mmAl 3.3 mm Al eq. @ 75kV Double slit type, manual operation Min. X-ray Field Size 0cm x 0cm Max X-ray Field Size 43cm x 43cm Laser Pointer Class II Timer Push button illuminator with 30 sec timer Lamp LED 3.0V, 3A, 10W Total Filtration Collimator with Laser Pointer Weight Rev. J @100cm SID @ 100cm SID 13 Kg 28/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 4.6.2.4 EPX-F3200 Max Output Power Input Power 3.2 KW Voltage 100-120V / 200V-240V Phase & Frequency Single / 50/60 Hz Radiography kV Range in 1KV steps (40KV ~ 100KV) Tube voltage Current mAs 40KV ~ 50KV 40mA 0.4 ~ 100 51KV ~ 60KV 40mA 0.4 ~ 80 61KV ~ 70KV 40mA 0.4 ~ 100 71KV ~ 80KV 40mA 0.4 ~ 32 71KV ~ 80KV 35mA 40 ~ 80 81KV ~ 90KV 30mA 0.4 ~ 40 81KV ~ 90KV 25 50 ~ 80 91KV ~ 100KV 30mA 0.4 ~ 50 91KV ~ 100KV 25mA 64 ~ 80 MAs Range 0.4mAs – 100mAs, 25steps Max. kV Deviation ±3 % Max. mAs Deviation ±5 % Max. Reproducibility of the RADIATION output Coefficient of variation < 0.015 Display KV / mAs: 7-segment LED X-ray Tube Model Name D-205B (Toshiba) Focal Spot 2.0mmx2.0 mm Target Angle 20 degree Anode Heat Storage 40 kHU Tube:0.8mmAl / collimator: 0.5mmAl / filter:2.0mmAl Total Filtration Collimator with Laser Pointer Weight Rev. J 3.3 mm Al eq. @ 75kV Type Double slit type, manual operation Min. X-ray Field Size 0cm x 0cm Max X-ray Field Size 43cm x 43cm Laser Pointer Class II Timer Push button illuminator with 30 sec timer Lamp LED 3.0V, 3A, 10W @100cm SID @ 100cm SID 13 Kg 29/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 4.6.2.5 EPX-F4000 Max Output Power Input Power 4.0 KW Voltage 200V-240V Phase & Frequency Single / 50/60 Hz Tube voltage Current mAs 50KV 80mA 0.4~16mAs 50KV 70mA 20~32mAs 50KV 60mA 40~100mAs 51KV ~ 60KV 60mA 0.4~32mAs 51KV ~ 60KV 50mA 40~100mAs 61KV ~ 70KV 50mA 0.4~32mAs Radiography kV Range in 1KV steps 61KV ~ 70KV 40mA 40~100mAs (50KV ~ 110KV) 71KV ~ 80KV 45mA 0.4~10mAs 71KV ~ 80KV 40mA 13~80mAs 81KV ~ 90KV 35mA 0.4~32mAs 81KV ~ 90KV 30mA 40~80mAs 91KV ~ 100KV 30mA 0.4~32mAs 91KV ~ 100KV 25mA 40~80mAs 101kV ~ 110KV 25mA 0.4~32mAs 101kV ~ 110KV 20mA 40~80mAs MAs Range 0.4mAs – 100mAs Max. kV Deviation ±3 % Max. mAs Deviation ±5 % Max. Reproducibility of the RADIATION output Coefficient of variation < 0.02 Display KV /mAs: 7-segment LED X-ray Tube Model Name OX/110-15 (C.E.I.) Focal Spot 1.8mmx1.8mm Target Angle 15 degree Anode Heat Storage 42kHU Tube:0.5mmAl / collimator: 0.5mmAl / filter:2.0mmAl Total Filtration 3.0 mm Al eq. @ 75kV Type Double slit type, manual operation Min. X-ray Field Size 0cm x 0cm Collimator with Max X-ray Field Size 43cm x 43cm Laser Pointer Laser Pointer Class II Timer Push button illuminator with 30 sec timer Lamp LED 3.0V, 3A, 10W Weight Rev. J @100cm SID @ 100cm SID 13 Kg 30/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 4.6.2.6 EPX-F5000 Max Output Power Input Power 5.0 KW Voltage 200V-240V Phase & Frequency Single / 50/60 Hz Tube voltage Current mAs 50KV 100mA 0.4~10mAs 50KV 80mA 13~32mAs 50KV 70mA 40~100mAs 51KV ~ 60KV 80mA 0.4~10mAs 51KV ~ 60KV 70mA 13~32mAs 51KV ~ 60KV 60mA 40~100mAs 61KV ~ 70KV 70mA 0.4~10mAs 61KV ~ 70KV 60mA 13~32mAs 61KV ~ 70KV 50mA 40~100mAs Radiography kV Range in 1KV steps 71KV ~ 80KV 60mA 0.4~10mAs (50KV ~ 110KV) 71KV ~ 80KV 50mA 13~32mAs 71KV ~ 80KV 40mA 40~100mAs 81KV ~ 90KV 50mA 0.4~10mAs 81KV ~ 90KV 40mA 13~32mAs 81KV ~ 90KV 30mA 40~100mAs 91KV ~ 100KV 45mA 0.4~10mAs 91KV ~ 100KV 40mA 13~32mAs 91KV ~ 100KV 30mA 40~100mAs 101kV ~ 110KV 40mA 0.4~10mAs 101kV ~ 110KV 30mA 13~32mAs 101kV ~ 110KV 20mA 40~100mAs MAs Range 0.4mAs – 100mAs Max. kV Deviation ±3 % Max. mAs Deviation ±5 % Max. Reproducibility of the RADIATION output Coefficient of variation < 0.02 Display KV /mAs: 7-segment LED X-ray Tube Rev. J Model Name OX/110-15 (C.E.I.) Focal Spot 1.8mmx1.8mm Target Angle 15 degree Anode Heat Storage 42kHU 31/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL Tube:0.5mmAl / collimator: 0.5mmAl / filter:2.0mmAl Total Filtration Collimator with Laser Pointer 3.0 mm Al eq. @ 75kV Type Double slit type, Manually operation Min. X-ray Field Size 0cm x 0cm Max X-ray Field Size 43cm x 43cm Laser Pointer Class II Timer Push button illuminator with 30 sec timer Lamp LED 3.0V, 3A, 10W Weight @100cm SID @ 100cm SID 13 Kg 4.6.2.7 HAND SWITCH Two step X-ray exposure hand switch Type Two stepping(ready and exposure) Working Voltage(AC/DC) 125V/30V Working Current(AC/DC) 1A/2A Wires and coil cord 3cores, 2.2m Cores White Red Green Ready Common Exposure Shell Material White, Engineering plastics Useful time 1.2 million times 4.6.2.8 MOBILE STAND Mobile Stand for EPX-SERIES Available products EPX-SERIES only Arm angle 0° ~ 150° Max arm vertical 1.4 m Wt. Load 30 kg Wheel size 50Ø, 24mm Weight(Mobile Stand) 11.6 kg Rev. J 32/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 4.6.3 kV, mAs, mA TABLE 4.6.3.1 EPX-F1600 mAs TABLE KV mA mAs 0.4 0.5 0.6 0.8 1.0 1.3 1.6 2.0 Sec 0.013 0.017 0.020 0.027 0.033 0.043 0.053 0.067 0.4 0.5 0.6 0.8 1.0 1.3 1.6 2.0 0.016 0.020 0.024 0.032 0.040 0.052 0.064 0.080 40KV ~ 50KV 30 2.5 3.2 4.0 0.083 0.107 0.133 51KV ~ 60KV 25 2.5 3.2 4.0 0.100 0.128 0.160 25 5.0 6.4 8.0 10 13 16 20 25 32 0.167 0.213 0.267 0.333 0.433 0.533 0.667 1.000 1.280 20 5.0 6.4 8.0 10 13 16 20 25 32 0.200 0.256 0.320 0.400 0.520 0.640 0.800 1.250 1.600 61KV ~ 70KV 23 Rev. J 20 15 0.4 0.5 0.6 0.8 1.0 1.3 1.6 2.0 2.5 3.2 4.0 5.0 6.4 8.0 10 13 16 20 25 32 0.017 0.022 0.026 0.035 0.043 0.057 0.070 0.087 0.109 0.139 0.174 0.217 0.320 0.400 0.500 0.650 0.800 1.000 1.667 2.133 5.0 6.4 8.0 10 13 16 20 25 32 0.278 0.356 0.444 0.556 0.722 0.889 1.111 1.786 2.286 0.4 0.5 0.6 0.8 1.0 1.3 1.6 2.0 0.022 0.028 0.033 0.044 0.056 0.072 0.089 0.111 0.4 0.5 0.6 0.8 1.0 1.3 1.6 2.0 0.025 0.031 0.038 0.050 0.063 0.081 0.100 0.125 71KV ~ 80KV 18 2.5 3.2 4.0 0.139 0.178 0.222 81KV ~ 90KV 16 2.5 3.2 4.0 0.156 0.200 33/74 0.250 14 13 5.0 6.4 8.0 10 13 16 20 25 32 0.313 0.400 0.500 0.625 0.813 1.000 1.250 1.923 2.462 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 4.6.3.2 EPX-F2400 mAs TABLE KV 40KV ~ 60KV mA 40 mAs Sec 0.4 0.5 0.6 0.8 1.0 1.3 1.6 2.0 2.5 3.2 4.0 35 5.0 6.4 8.0 10 13 16 20 25 32 40 50 64 80 100 0.010 0.013 0.015 0.020 0.025 0.033 0.040 0.050 0.063 0.080 0.100 0.125 0.160 0.200 0.250 0.325 0.400 0.500 0.625 0.800 1.000 1.250 1.600 2.286 2.857 61KV ~ 70KV 30 0.4 0.5 0.6 0.8 1.0 1.3 1.6 2.0 2.5 3.2 4.0 5.0 6.4 8.0 10 13 16 20 25 32 40 50 64 80 100 0.013 0.017 0.020 0.027 0.033 0.043 0.053 0.067 0.083 0.107 0.133 0.167 0.213 0.267 0.333 0.433 0.533 0.667 0.833 1.067 1.333 1.667 2.133 2.667 3.333 71KV ~ 80KV 30 0.4 0.5 0.6 0.8 1.0 1.3 1.6 2.0 2.5 3.2 25 4.0 5.0 6.4 8.0 10 13 16 20 25 32 40 50 64 80 0.013 0.017 0.020 0.027 0.033 0.043 0.053 0.067 0.083 0.107 0.133 0.167 0.213 0.267 0.333 0.433 0.533 0.667 0.833 1.067 1.600 2.000 2.560 3.200 81KV ~ 90KV 25 0.4 0.5 0.6 0.8 1.0 1.3 1.6 2.0 2.5 3.2 20 4.0 5.0 6.4 8.0 10 13 16 20 25 32 40 50 64 80 0.016 0.020 0.024 0.032 0.040 0.052 0.064 0.080 0.100 0.128 0.160 0.200 0.256 0.320 0.400 0.520 0.640 0.800 1.000 1.280 1.600 2.500 3.200 4.000 91KV ~ 100KV 20 0.4 0.5 0.6 0.8 1.0 1.3 1.6 2.0 2.5 3.2 4.0 5.0 6.4 8.0 10 13 16 20 25 32 40 50 64 80 0.020 0.025 0.030 0.040 0.050 0.065 0.080 0.100 0.125 0.160 0.200 0.250 0.320 0.400 0.500 0.650 0.800 1.000 1.250 1.600 2.000 2.500 3.200 4.000 Rev. J 34/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 4.6.3.3 EPX-F2800 mAs TABLE 40KV ~ 50KV 30 KV mA mAs 0.4 0.5 0.6 0.8 1.0 1.3 1.6 2.0 2.5 3.2 4.0 5.0 6.4 8.0 10 13 16 20 25 32 40 50 64 80 100 Sec 0.013 0.017 0.020 0.027 0.033 0.043 0.053 0.067 0.083 0.107 0.133 0.167 0.213 0.267 0.333 0.433 0.533 0.667 0.833 1.067 1.333 1.667 2.133 2.667 3.333 51KV ~ 60KV 30 0.4 0.5 0.6 0.8 1.0 1.3 1.6 2.0 2.5 3.2 4.0 5.0 6.4 8.0 10 13 16 20 25 32 40 50 64 80 100 0.013 0.017 0.020 0.027 0.033 0.043 0.053 0.067 0.083 0.107 0.133 0.167 0.213 0.267 0.333 0.433 0.533 0.667 0.833 1.067 1.333 1.667 2.133 2.667 3.333 61KV ~ 70KV 30 0.4 0.5 0.6 0.8 1.0 1.3 1.6 2.0 2.5 3.2 4.0 5.0 6.4 8.0 10 13 16 20 25 32 40 50 64 80 100 0.013 0.017 0.020 0.027 0.033 0.043 0.053 0.067 0.083 0.107 0.133 0.167 0.213 0.267 0.333 0.433 0.533 0.667 0.833 1.067 1.333 1.667 2.133 2.667 3.333 71KV ~ 80KV 30 0.4 0.5 0.6 0.8 1.0 1.3 1.6 2.0 2.5 3.2 4.0 0.013 0.017 0.020 0.027 0.033 0.043 0.053 0.067 0.083 0.107 0.133 27 5.0 6.4 8.0 10 13 16 20 25 32 40 50 64 80 100 0.167 0.213 0.267 0.333 0.433 0.533 0.667 0.833 1.067 1.333 1.667 2.133 2.963 3.704 81KV ~ 90KV 30 25 0.4 0.5 0.6 0.8 1.0 1.3 1.6 2.0 2.5 3.2 4.0 5.0 6.4 8.0 10 13 16 20 25 32 40 50 64 80 0.013 0.017 0.020 0.027 0.033 0.043 0.053 0.067 0.083 0.107 0.133 0.167 0.213 0.267 0.333 0.433 0.533 0.667 0.833 1.067 1.333 2.000 2.560 3.200 91KV ~ 100KV 25 Rev. J 23 0.4 0.5 0.6 0.8 1.0 1.3 1.6 2.0 2.5 3.2 4.0 5.0 6.4 8.0 10 13 16 20 25 32 40 50 64 80 0.016 0.020 0.024 0.032 0.040 0.052 0.064 0.080 0.100 0.128 0.160 0.200 0.256 0.320 0.400 0.520 0.640 0.800 1.000 1.280 1.600 2.174 2.783 3.478 35/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 4.6.3.4 EPX-F3200 mAs TABLE 40KV ~ 50KV KV 40 mA mAs 0.4 0.5 0.6 0.8 1.0 1.3 1.6 2.0 2.5 3.2 4.0 5.0 6.4 8.0 10 13 16 20 25 32 40 Sec 0.010 0.013 0.015 0.020 0.025 0.033 0.040 0.050 0.063 0.080 0.100 0.125 0.160 0.200 0.250 0.325 0.400 0.500 0.625 0.800 1.000 50 64 80 100 1.250 1.600 2.000 2.500 51KV ~ 60KV 40 0.4 0.5 0.6 0.8 1.0 1.3 1.6 2.0 2.5 3.2 4.0 5.0 6.4 8.0 10 13 16 20 25 32 40 50 64 80 0.010 0.013 0.015 0.020 0.025 0.033 0.040 0.050 0.063 0.080 0.100 0.125 0.160 0.200 0.250 0.325 0.400 0.500 0.625 0.800 1.000 1.250 1.600 2.000 61KV ~ 70KV 40 0.4 0.5 0.6 0.8 1.0 1.3 1.6 2.0 2.5 3.2 4.0 5.0 6.4 8.0 10 13 16 20 25 32 40 50 64 80 100 0.010 0.013 0.015 0.020 0.025 0.033 0.040 0.050 0.063 0.080 0.100 0.125 0.160 0.200 0.250 0.325 0.400 0.500 0.625 0.800 1.000 1.250 1.600 2.000 2.500 71KV ~ 80KV 40 35 0.4 0.5 0.6 0.8 1.0 1.3 1.6 2.0 2.5 3.2 4.0 5.0 6.4 8.0 10 13 16 20 25 32 40 50 64 80 0.010 0.013 0.015 0.020 0.025 0.033 0.040 0.050 0.063 0.080 0.100 0.125 0.160 0.200 0.250 0.325 0.400 0.500 0.625 0.800 1.143 1.429 1.829 2.286 81KV ~ 90KV 30 25 0.4 0.5 0.6 0.8 1.0 1.3 1.6 2.0 2.5 3.2 4.0 5.0 6.4 8.0 10 13 16 20 25 32 40 50 64 80 0.013 0.017 0.020 0.027 0.033 0.043 0.053 0.067 0.083 0.107 0.133 0.167 0.213 0.267 0.333 0.433 0.533 0.667 0.833 1.067 1.333 2.000 2.560 3.200 91KV ~ 100KV 30 Rev. J 25 0.4 0.5 0.6 0.8 1.0 1.3 1.6 2.0 2.5 3.2 4.0 5.0 6.4 8.0 10 13 16 20 25 32 40 50 64 80 0.013 0.017 0.020 0.027 0.033 0.043 0.053 0.067 0.083 0.107 0.133 0.167 0.213 0.267 0.333 0.433 0.533 0.667 0.833 1.067 1.333 1.667 2.560 3.200 36/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 4.6.3.5 EPX-F4000 mAs TABLE 50KV KV mA mAs 0.4 0.5 0.6 0.8 1.0 1.3 1.6 2.0 2.5 3.2 4.0 5.0 6.4 8.0 10 13 16 20 70 25 32 40 50 60 64 80 100 Sec 0.005 0.006 0.008 0.010 0.013 0.016 0.020 0.025 0.031 0.040 0.050 0.063 0.080 0.100 0.125 0.163 0.200 0.286 0.357 0.457 0.667 0.833 1.067 1.333 1.667 80 51KV ~ 60KV 60 0.4 0.5 0.6 0.8 1.0 1.3 1.6 2.0 2.5 3.2 4.0 5.0 6.4 8.0 10 13 16 20 25 32 40 50 50 64 80 100 0.007 0.008 0.010 0.013 0.017 0.022 0.027 0.033 0.042 0.053 0.067 0.083 0.107 0.133 0.167 0.217 0.267 0.333 0.417 0.533 0.800 1.000 1.280 1.600 2.000 61KV ~ 70KV 50 0.4 0.5 0.6 0.8 1.0 1.3 1.6 2.0 2.5 3.2 4.0 5.0 6.4 8.0 10 13 16 20 25 32 40 50 40 64 80 100 0.008 0.010 0.012 0.016 0.020 0.026 0.032 0.040 0.050 0.064 0.080 0.100 0.128 0.160 0.200 0.260 0.320 0.400 0.500 0.640 1.000 1.250 1.600 2.000 2.500 71KV ~ 80KV 50 0.4 0.5 0.6 0.8 1.0 1.3 1.6 2.0 2.5 3.2 4.0 5.0 6.4 8.0 10 13 16 20 25 40 32 40 50 64 80 0.008 0.010 0.012 0.016 0.020 0.026 0.032 0.040 0.050 0.064 0.080 0.100 0.128 0.160 0.200 0.325 0.400 0.500 0.625 0.800 1.000 1.250 1.600 2.000 81KV ~ 90KV 40 30 0.4 0.5 0.6 0.8 1.0 1.3 1.6 2.0 2.5 3.2 4.0 5.0 6.4 8.0 10 13 16 20 25 32 40 50 64 80 0.010 0.013 0.015 0.020 0.025 0.033 0.040 0.050 0.063 0.080 0.100 0.125 0.160 0.200 0.250 0.325 0.400 0.500 0.625 0.800 1.333 1.667 2.133 2.667 91KV ~ 100KV 35 25 0.4 0.5 0.6 0.8 1.0 1.3 1.6 2.0 2.5 3.2 4.0 5.0 6.4 8.0 10 13 16 20 25 32 40 50 64 80 0.011 0.014 0.017 0.023 0.029 0.037 0.046 0.057 0.071 0.091 0.114 0.143 0.183 0.229 0.286 0.371 0.457 0.571 0.714 0.914 1.600 2.000 2.560 3.200 101KV ~ 110KV 30 Rev. J 20 0.4 0.5 0.6 0.8 1.0 1.3 1.6 2.0 2.5 3.2 4.0 5.0 6.4 8.0 10 13 16 20 25 32 40 50 64 80 0.013 0.017 0.020 0.027 0.033 0.043 0.053 0.067 0.083 0.107 0.133 0.167 0.213 0.267 0.333 0.433 0.533 0.667 0.833 1.067 2.000 2.500 3.200 4.000 37/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 4.6.3.6 EPX-F5000 mAs TABLE 40KV ~ 50KV KV mA mAs 0.4 0.5 0.6 0.8 1.0 1.3 1.6 2.0 2.5 3.2 4.0 5.0 6.4 8.0 10 13 16 80 20 25 32 40 50 70 64 80 100 Sec 0.004 0.005 0.006 0.008 0.010 0.013 0.016 0.020 0.025 0.032 0.040 0.050 0.064 0.080 0.100 0.163 0.200 0.250 0.313 0.400 0.571 0.714 0.914 1.143 1.429 100 51KV ~ 60KV 80 0.4 0.5 0.6 0.8 1.0 1.3 1.6 2.0 2.5 3.2 4.0 5.0 6.4 8.0 10 13 16 70 20 25 32 40 50 60 64 80 100 0.005 0.006 0.008 0.010 0.013 0.016 0.020 0.025 0.031 0.040 0.050 0.063 0.080 0.100 0.125 0.186 0.229 0.286 0.357 0.457 0.667 0.833 1.067 1.333 1.667 25 32 40 50 50 64 80 100 0.417 0.533 0.800 1.000 1.280 1.600 2.000 61KV ~ 70KV 70 0.4 0.5 0.6 0.8 1.0 1.3 1.6 2.0 2.5 3.2 4.0 5.0 6.4 8.0 10 13 16 60 20 0.006 0.007 0.009 0.011 0.014 0.019 0.023 0.029 0.036 0.046 0.057 0.071 0.091 0.114 0.143 0.217 0.267 0.333 71KV ~ 80KV 60 0.4 0.5 0.6 0.8 1.0 1.3 1.6 2.0 2.5 3.2 4.0 5.0 6.4 8.0 10 13 16 50 20 25 32 40 50 40 64 80 100 0.007 0.008 0.010 0.013 0.017 0.022 0.027 0.033 0.042 0.053 0.067 0.083 0.107 0.133 0.167 0.260 0.320 0.400 0.500 0.640 1.000 1.250 1.600 2.000 2.500 81KV ~ 90KV 50 0.4 0.5 0.6 0.8 1.0 1.3 1.6 2.0 2.5 3.2 4.0 5.0 6.4 8.0 10 13 16 40 20 25 32 40 50 30 64 80 100 0.008 0.010 0.012 0.016 0.020 0.026 0.032 0.040 0.050 0.064 0.080 0.100 0.128 0.160 0.200 0.325 0.400 0.500 0.625 0.800 1.333 1.667 2.133 2.667 3.333 91KV ~ 100KV 45 0.4 0.5 0.6 0.8 1.0 1.3 1.6 2.0 2.5 3.2 4.0 5.0 6.4 8.0 10 13 16 40 20 25 32 40 50 30 64 80 100 0.009 0.011 0.013 0.018 0.022 0.029 0.036 0.044 0.056 0.071 0.089 0.111 0.142 0.178 0.222 0.325 0.400 0.500 0.625 0.800 1.333 1.667 2.133 2.667 3.333 101KV ~ 110KV 40 Rev. J 0.4 0.5 0.6 0.8 1.0 1.3 1.6 2.0 2.5 3.2 4.0 5.0 6.4 8.0 10 13 16 30 20 25 32 40 50 20 64 80 100 0.010 0.013 0.015 0.020 0.025 0.033 0.040 0.050 0.063 0.080 0.100 0.125 0.160 0.200 0.250 0.433 0.533 0.667 0.833 1.067 2.000 2.500 3.200 4.000 5.000 38/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 4.6.4 DOSIMETRY DATA TABLE 4.6.4.1 EPX-F1600 Unit: μGy*㎡ kV 40 50 60 70 80 90 0.4 0.9 1.9 2.8 3.6 4.6 5.4 5 11.1 21.8 34.1 47.2 60.7 75.4 32 70.7 139 218.2 302.8 392.4 489 mAs 4.6.4.2 EPX-F2400 Unit: μGy*㎡ 40 50 60 70 80 90 100 0.4 0.9 1.9 2.8 3.6 4.6 5.4 6.4 5 11.1 21.8 34.1 47.2 60.7 75.4 90.8 32 70.7 139 218.2 302.8 392.4 489 590.1 986 1231.2 1489.9 kV mAs 50 64 80 100 221.3 433.8 681.3 949.3 4.6.4.3 EPX-F2800 40 50 60 70 80 90 100 0.4 0.9 1.9 2.8 3.6 4.6 5.4 6.4 5 11.1 21.8 34.1 47.2 60.7 75.4 90.8 32 70.7 139 218.2 302.8 392.4 489 590.1 986 1231.2 1489.9 kV mAs 50 64 80 100 Rev. J 221.3 433.8 681.3 39/74 949.3 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 4.6.4.4 EPX-F3200 Unit: μGy*㎡ 40 50 60 70 80 90 100 0.4 0.8 1.7 2.8 4 5.3 6.3 7.5 5 12.6 25.4 40.1 56.5 74.2 93 112.8 32 81.9 165.8 259.1 363.7 479.6 601.9 731.1 1198.9 1508.3 1843.9 kV mAs 80 650.1 100 261.7 522.7 1138.7 4.6.4.5 EPX-F4000 Unit: μGy*㎡ 50 60 70 80 90 100 110 0.4 0.9 1.9 2.5 3.2 4.3 4.4 5.4 5 19.4 32.2 46.7 61.4 77.5 92.8 110 32 132.5 217.8 310 406.6 513.9 615 737.8 1028.2 1307.3 1573.5 1914.7 kV mAs 80 100 429.9 693.6 974.4 4.6.4.6 EPX-F5000 Unit: μGy*㎡ 50 60 70 80 90 100 110 0.4 0.9 1.9 2.5 3.2 4.3 4.4 5.4 5 19.4 32.2 46.7 61.4 77.5 92.8 110 32 132.5 217.8 310 406.6 513.9 615 737.8 100 429.9 693.6 974.4 1287.3 1637.7 1973 2405.2 kV mAs Rev. J 40/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 4.6.5 MECHANICAL SPECIFICATION EPX-F1600/F2400/F2800/F3200/F4000/F5000 Dimension (unit: mm) < Side View > < Front View > Rev. J 41/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL Hand Switch Dimension (unit: mm) Mobile Stand Dimension (unit: mm) Rev. J 42/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 4.7 WORKING ENVIRONMENT Avoid the following places for the normal operation and safe storage: a. where the equipment is exposed to water vapor. b. where the equipment is exposed to direct sunlight. c. where the equipment is exposed to dust. d. where the equipment is exposed to high humidity. e. where there is a ventilation problem. f. where the equipment is exposed to salty atmosphere. g. where the equipment is exposed to chemicals or gas. For safe operation of the equipment, it should be kept away from the place with strong vibration and maintain proper environment and conditions. Operation Environment Temperature range 10°C ~ 40 °C (50 °F ~ 104 °F) Relative Humidity Range 30% ~ 75% RH Optimal Temperature and Humidity Temperature range 16.7 °C ~ 22.8 °C (62 °F ~ 73 °F) Relative Humidity Range 40% ~ 60% RH For safe storage and transportation, the following range of temperature and humidity must be kept while using. Environment for storage and transportation Rev. J Temperature range -25 °C ~ 60 °C (-13 °F ~ 140 °F) Relative Humidity Range 10% ~ 95% RH 43/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 4.8 CUSTOMER SUPPORT Address any questions regarding X-ray system operation to: ECOTRON Co.,Ltd 4F & 5F, Hanshin IT Tower II, 47, Digital-ro 9-gil, Geumcheon-Gu, Seoul 08511, Republic of Korea TEL:+82-2-2025-3760, FAX:+82-2-2025-3764 E-mail: [email protected] Web-site: http://www.ecotron.co.kr In USA Contact DRGEM USA Inc. 7018 NW 50 TH Terrace, Gainsville, Florida, 32653, USA TEL:201-370-6672, FAX: 352-337-1271 E-mail: [email protected] Obelis S.A Bd. General Wahis 53, 1030 Brussels, Belgium / E-mail:[email protected] Representative: Mr.Gideon ELKAYAM / TEL:32.2.732.59.54, FAX:32.2.732.60.03 Rev. J 44/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 5. SYSTEM CONFIGURATION EPX-SERIES is a radiological device for professional radiologist uses. It should be applied for the radiographic diagnosis and operated by qualified practitioners. Users have to comply with safety and health regulations concerning the ionizing radiation protection and the electrical and mechanical safety of the veterinary medical devices. 5.1 PREPARATION FOR OPERATION 5.1.1 OPERATION PRATICES a. Wear a lead apron while making exposures. b. Stay at least 6.5feet (2m) away from the unit or extend the cord of hand switch as long as possible in order to secure enough space for your safety. c. Use proper field size and technical values for each procedure to minimize x-ray exposure dose and obtain the best radiographic result. d. When you make exposure to the patient on the bed, ask visitors to leave the room first and keep appropriate distance from the patient. e. Pay attention to the maintenance schedule of the device and keep up with it. f. Cumulative radiation dose usually does not exceed recommended maximum levels. However, if you make radiographic exposures using high kV and mAs quite often, the evaluation of the specialist is needed to check whether extra protective devices are necessary for the user or not. 5.1.2 POSITIONING OF THE PATIENT AGAINST THE COLLIMATOR a. Place a loaded cassette on the patient’s backside. b. Arrange the SID (Source to Image Receptor Distance) using a tape measure (2 meter) located on the side of the collimator. When the SID is 1 meter, the device is shown the best performance. c. Turn on the collimator lamp and laser pointer by the pushing collimator/laser switch is on. d. Adjust the size of the x-ray beam in accordance with the film size using the x-ray field adjustment knobs. The collimator and laser pointer will be turned off after 30 seconds by internal timer. Rev. J 45/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL CAUTION THE OPERATION OF THE MACHINE SHOULD NOT BE STARTED UNLESS ALL VERIFICATIONS AND CONNECTIONS ARE FULLY CHECKED. CAUTION FOR THE FIRST TIME INSTALLATION OF THE (MACHINE) OR OPERATION AFTER LONG PERIOD OF NON-USE, IT NEEDS TO BE PREHEATED TO SECURE LONG SERVICE LIFE OF THE TUBE. FOLLOWING METHOD OF PILOT TEST WILL RELIEVE THE DAMAGE ON THE X-RAY TUBE. OPERATE THE (MACHINE) WITH LOW KV / MAS VALUES (50 KV / 5 MAS) THREE TIMES IN ROW AND EXECUTE WITH HIGHER VALUES (70KV/5MAS) THREE TIMES IN ROW AGAIN. THEN HIGH KV/MAS VALUES (90 KV / 5 MAS) WILL BE APPLIED WITHOUT TROUBLE. CAUTION THIS X-RAY SYSTEM HAS TEMPERATURE MONITORING OF X-RAY TUBE TO PROTECT THE EXCESSIVE HEAT BUILD-UP. IF THE X-RAY SYSTEM DETECTS THE OVER-HEAT OF X-RAY TUBE, AN ERROR CODE “E02” WILL BE DISPLAYED. EXPOSURE WILL BE INHIBITED WHEN THIS MESSAGE IS DISPLAYED, AND IT SHOULD BE UNDERSTOOD THAT CONTINUING TO MAKE EXPOSURES MIGHT CAUSE X-RAY SYSTEM DAMAGE DUE TO OVERHEATING. THE GENERATOR SHOULD BE ALLOWED TO COOL SUFFICIENTLY SUCH THAT THIS MESSAGE IS NO LONGER DISPLAYED. IF THE OPERATOR USES TO CONTINUE TWO TIMES THAT IS HIGH TUBE VOLTAGE AND HIGH MAS CONDITION, IT IS RECOMMENDED TO USE AGAIN AFTER 5 MINUTE REST TIME. Rev. J 46/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 5.2 CONNECTION OF POWER CODE AND HAND SWITCH No. Description Function 1 Power Connector(inlet) Connect the power cable 2 Power Switch Power on/off switch 3 Hand Switch Connector Connect the hand switch cable WARNING PLEASE CHECK WHETHER THE VOLTAGE AND FREQUENCY OF THE INPUT POWER ARE IN ACCORDANCE WITH THE FIGURES WRITTEN IN THE SYSTEM LABELS, WHICH ATTACHED ON THE BODY OF THE MACHINE. THE LEVEL OF INPUT VOLTAGE FLUCTUATION SHOULD BE WITHIN ±10% OF THE NOMINAL VALUES. CAUTION ALWAYS POWER SWITCH IS OFF BEFORE CONNECTED THE POWER CABLE. WARNING TO AVOID THE RISK OF ELECTRIC SHOCK, THIS EQUIPMENT MUST ONLY BE CONNECTED TO A SUPPLY MAIN WITH PROTECTIVE EARTH. Rev. J 47/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 6. OPERATION MODE 6.1 EPX-F1600 / F2400 / F2800 / F3200 / F4000 / F5000 No. Description Function 1 KV indicator Display KV value 2 mAs indicator Display mAs value 3 mAs & sec indicator Display mAs & sec indicator 4 KV up/down control switch Select KV value by up or down buttons 5 mAs up/down control switch Select mAs value by up or down buttons 6 Ready indicator Lighted push the hand switch one time for preparation 7 PC interface connecting indicator Lighted when EPX series is connected to PC 8 Exposure indicator Alert lamp during x-ray exposure 9 Error lamp Lighted in case of system problem 10 Collimator lamp on Switch for operation of the lamp inside the collimator 11 Laser pointer To adjust exposure focus 12 Display reversal switch Help to read LED value of kV, mAs reversed 13 mAs & sec select switch The switch select between mAs and sec 14 Wait lamp Lighted until the second exposure started 15 APR Switch (1-6) Memory setting is available for 6 APR data 16 Save APR Data Save the selected APR Data Rev. J 48/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 6.1.1 NORMAL MODE a. Connect power plug into the device. b. Turn on the power switch located on the back of the equipment. c. Select the KV values using the KV up/down switch. d. Select the mAs values using the mAs up/down switch. e. Positioning the machine at the ready condition by pushing the hand one time switch. f. When the “Ready LED” lighted, press the hand switch again and make exposure. During the x-ray exposure, “X-ray LED” will be lighted on. g. After the exposure is ended, “wait LED” sign will be lighted on for the waiting time and beep sound will be heard. 6.1.2 APR MODE a. Connect power plug into the device. b. Turn on the power switch. c. Select the APR memory out of 1~6. d. Select the kV values using the KV up/down switch. e. Select the mAs values using the mAs up/down switch. f. Save the selected KV and mAs figures with pushing the “save” button. g. When the “Ready LED” sign appears, press the hand switch again and make exposure. During the x-ray exposure, the “X-ray LED” will be lighted on. h. After the exposure is ended, “wait LED” sign will be lighted on for the waiting time and beep sound will be heard. 6.1.3 DOSIMETRY DATA DISPLAY MODE a. After the exposure is ended, dosimetry data will be displayed on the FND for two seconds. b. Push the button 1 for two seconds, there will be displayed a dosimetry data for current kV and mAs value. c. Push the button 2 for two seconds, there will be displayed the total exposed dose. d. Push the button 3 for two seconds, there will be reset to zero. Rev. J 49/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 6.1.4 COOLING TIME DISPLAY MODE EPX-series have the cooling time function for protecting the device. The cooling time function is to stop the device when operator uses the device over standard. EPX-series will start automatically the cooling time procedure when operator shoots x-ray twice in a row. If the cooling time has more than 60 seconds, the cooling time will be extended after shooting twice consecutive. But the cooling time doesn’t excess more than 300 seconds. - The Cooling time range: 15 seconds ~ 300 seconds Cooling time (CLT) basis of each EPX models are as follows: - - EPX-F1600, EPX-F2400, EPX-F2800, EPX-F3200 • If 300[J] < Heat Value ≤ 1,000[J], the CLT is 15 seconds. • If 1,000[J] < Heat Value ≤ 2,000[J], the CLT is 30 seconds. • If 2,000[J] < Heat Value ≤ 4,000[J], the CLT is 60 seconds. • If 4,000[J] < Heat Value ≤ 5,500[J], the CLT is 90 seconds. • If 5,500[J] < Heat Value, the CLT is 120 seconds. EPX-F4000, EPX-F5000 • If 300[J] < Heat Value ≤ 1,000[J], the CLT is 15 seconds. • If 1,000[J] < Heat Value ≤ 2,000[J], the CLT is 30 seconds. • If 2,000[J] < Heat Value ≤ 3,200[J], the CLT is 60 seconds. • If 3,200[J] < Heat Value ≤ 5,000[J], the CLT is 90 seconds. • If 5,000[J] < Heat Value ≤ 6,500[J], the CLT is 120 seconds. • If 6,500[J] < Heat Value, the CLT is 180 seconds. 6.1.5 TURN OFF a. Set to the minimum kV and mAs value. b. Turn off the power switch. c. Unplug the power cable from the device. Rev. J 50/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 6.2 TOUCH MAIN SCREEN OF OPERATION MODE (OPTION) 6.2.1 NORMAL MODE OF TOUCH MAIN SCREEN After Start-up Screen is successfully launched, the following Touch Main Screen will be displayed. No. Description Function 1 kV Indicator Display kV Value (1KV increment) 2 kV value up/down control buttons Select kV value by tapping up (increase) or down (decrease) buttons 3 mAs Indicator Display mAs Value 4 mAs value up/down control buttons Select mAs value by up or down buttons 5 Sec indicator kV, mAs set values calculate the time automatically. 6 Sec value up/down control buttons Select sec value by tapping up/down buttons. Changing Sec value automatically change mAs accordingly. 7 mA Indicator Filament current value determined by kV and mAs setting 8 Collimator lamp on/off button Switch for operation of the lamp inside the collimator 9 Laser pointer on/off button To turn on/off the dual laser to adjust exposure SID Ready button Before any X-ray exposure, press this button for 3 seconds to complete filament Pre-heating. When the preheating is completed, this item (13) Ready indicator will light up. This is the same function as half-pressing the exposure handswitch. 10 Rev. J 51/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 11 X-ray exposure button X-ray exposure is done by pressing this button. During exposure, the X-ray Exposure indicator (14) will light up. This function also can be accomplished by pressing down the hand-switch completely. 12 Menu button Reserved 13 Ready indicator Lighted push the hand switch one time for preparation 14 X-ray exposure indicator Alert lamp during X-ray exposure 15 Error indicator When the system has error, this Error indicator will light up. ⓐ Equipment angle indicator Dispalys the horizontal/vertical tilting status of the equipment Scroll Touch-and-drag the screen action (left-right or right-left direction) will display alternating screen (kV, mAs indicator vs. sec and mA display) 6.3 HAND SWITCH No. Name Description st 1 stage: The equipment gets ready when the button is half pressed with a thumb. 1 Hand Switch (Dead-man type) nd 2 stage: The equipment exposes X-ray when the button is fully pressed with a thumb. It automatically turns off according to the value of mAs set by the program or when the thumb is off the switch. 2 Handle 3 Connector Rev. J Hand-Switch to grab with hands. Connector to connect X-ray equipment and a Hand-Switch 52/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 6.3 MOBILE STAND No. Name 1 Arm 2 Height adjustment 3 Gantry 4 Rack 5 Caster Description Arm of a stand to fix X-ray equipment or change its direction Handle or gearbox to adjust height of the equipment Gantry to fix arm or height adjustment component Rack to hold up X-ray device or stand components (wheels included for carrying the equipment) Wheels for movement with the brake CAUTION THE OPERATOR MUST KEEP THE PRECAUTIONS WHEN USING MOBILE STAND WITH DEVICE. Precautions for use Mobile stand arm should be 0° position when moving. Mobile stand casters should put on the brake when using. Do not strongly push, press and lean on the mobile stand side. Do not use other products except specified products. Do not use to exceed the maximum allowable weight. Do not swing to the mobile stand arm and hanging on the mobile stand arm. Rev. J 53/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL .7. MAINTENANCE PROCEDURE 7.1 GENERAL CAUTION It is recommended to follow the maintenance procedure described below, for the reliable operation. The routine inspection should be committed by a trained expert. WARNING THERE MAY CAUSE SERIOUS INJURY BY CONDUCTING UNAUTHORIZED SERVICE OR CHANGING THE INSTRUMENT AND MANUFACTURER SHALL NOT BE RESPONSIBLE FOR THE RESULTING COMPENSATION. If operator has any questions about the equipment, please let manufacture or the agent know the model name and serial number (S/N) indicated on the device, can provide a rapid service. 7.2 MAINTENANCE SCHEDULE Maintenance/control item Period Inspector 1 Year Service personnel with expertise 1 Year Service personnel with expertise 1 Year Service personnel with expertise 1 Year Service personnel with expertise 1 Year Service personnel with expertise mA: (Lower than management standards of EN60601-2-54) Should be within accuracy boundary of ±3%, with the voltage 1 set by 40 kV and 120 kV. mAs: (Lower than management standards of EN60601-2-54) Should be within accuracy boundary of ±5%, when the mAs 2 value is between 0.4 mAs and 100 mAs. kV: (Lower than management standards of EN60601-2-54) Should be within accuracy boundary of ±5%, when the kV value 3 is between 40 kV and 120 kV. Optical Maintenance: When dirt appears on the image, remove dirt on Collimator 4 window with soft brush. Reproducibility of the RADIATION output Maintenance: The displayed value on the FND should not exceed 40% of the 5 actual value for areas larger than 200 ㎠. 7.3 CLEANING Keep the machine clean when it gets dirt. To clean the main-body, turn off the power and pull the plug out from the outlet. Scrub surfaces smoothly with soft fabric or gauze. Rev. J 54/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 7.4 TROUBLESHOOTING These are the information about indicating a system malfunction to do not appear in the message window. If the device occurs a problem to except on the below troubleshooting table, consult manufacture or the agent. The troubleshooting table does not put it for all problems. Problem Item 1 2 3 4 If the X-ray does not be exposed, If the power switch down automatically, If the device dose not power on, If the control button does not operate, 5 If the console does not display, 6 (Option) If the touch screen does not operate incorrectly, Cause Action 1. Hand switch contact failure 2. Hand switch malfunction 3. HV mono block tank malfunction 1. Try hand switch plug out and plug in 2. Replacing the hand switch 3. Call for service FET Driver Board malfunction Call for service 1. Main power board malfunction 2. SMPS malfunction 1. Control button failure 2. Main control board malfunction 1. Main power board or SMPS malfunction 2. Main control board malfunction 1. Fail to initialize touch screen 2. Touch screen malfunction Call for service Call for service Call for service 1. Please turn it off and on again 2. Call for service 7.5 THE EQUIPMENT OPERATION CHECKLIST FOR OPERATOR Check Item 1 kV and mAs values display on the console when power on. 2 kV and mAs up/down button operation. 3 Collimator lamp on/off operation 4 Laser pointer on/off operation 5 Display reversal button operation 6 Ready indicator light on when the hand switch push one time for preparation 7 Exposure indicator light on during x-ray exposure 8 Wait indicator light on after x-ray exposure 9 Occur beep sound after x-ray exposure 10 Display APR data when push APR 1~6 button 11 Save APR data when push save button 12 Movement of knob on the collimator 13 Movement of handle on the equipment 14 (Option) Check touch screen operation Rev. J 55/74 Verdict ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 7.6 MAINTENANCE CHECKLIST MAINTENANCE CHECKLIST MODEL: ___________________ SERIAL NUMBER: ___________________ Measuring tool: - Oscilloscope (EP: 1 V = 20 kV, IP: 1 V = 5.8 mA) - Dose Area Product Meter Checklist 1 Check that mA accuracy within boundary of ±3%. 2 Check that mAs accuracy within boundary of ±5%. 3 Check that kV accuracy within boundary of ±5%. Verdict Check that reproducibility of the radiation output. The displayed value on the FND should 4 not exceed 40% of the actual value for areas larger than 200 ㎠. 5 Check that remove dirt on Collimator window with soft brush. 6 Check that collimator mounting ring is tight. 7 Check beam alignment.(SID) 8 Check that all indicator lights are operating. 9 Check that all hardware is tightly secured. 10 Check all interconnect cables for broken or frayed wires. 11 Make sure all bolts are secure. Service Engineer:_____________________ Rev. J Check Date: _____________________ 56/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 8. DISPOSAL OF WASTE If the X-ray system has completed its useful service life, local environmental regulations must be complied with in regard to disposal of possible hazardous materials used in the construction of the generator. In order to assist with this determination, the noteworthy materials used in the construction of this generator are itemized below: ITEM Electrical insulating oil in HT tank. This is a mineral oil with trace additives (1.8 Liter) Solder (lead/tin). Epoxy fiberglass circuit board materials, tracks are soldering on copper. Wire, tinned copper. Insulated with PVC or silicone. Steel and / or aluminum (x-ray system body and console chassis). Plastic (console membrane). Electrical and electronic components: IC’s, transistors, diodes, resistors, capacitors, etc. Rev. J 57/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 9. QUALITY WARRANTY Scope & Duration of Warranty EPX-SERIES manufactured by Ecotron Co.,Ltd are warranted to be free from defects for a period of two years after purchase date. If during the warranty period the product you purchased is found to be defective, it will be repaired free of charge. In the case of one of the following, however, a certain amount of service fees will be charged. • Defect or damage found after the warranty period. • Defect or damage in appearance which is not related to main function of the system. • Damage caused by a natural disaster; such as fire, earthquake, or lightning strikes. • Damage resulting from either improper movement or inattention to the precautions. • Damage resulting from repair or modification by someone other than Ecotron or the authenticated by Ecotron Co.,Ltd. • Damage caused by a natural disaster; such as fire, earthquake, or lightning strikes. • Incidental or indirect loss caused during system manipulation. Any or all defect or damages in appearance, which do not affect the main functions of the product are not covered by this free of charge warranty. Prerequisites for Repair Request - When a defect is found, stop the using immediately. It is strongly recommended to refer to related material on the Service Manual. - Before a service request, must power off the entire system and check the model number, serial number, and the purchase date. Then contact an authorized service office. Any product with a defect in appearance only shall not be returned to nor replaced by Ecotron Co.,Ltd. Ecotron Co.,Ltd. shall not be liable any incidental or consequential damages arising out of or relating to the use of the product. Ecotron Co.,Ltd. shall not be liable for any damages or losses occurring after the warranty period. This Quality Warranty prevails over the detailed Warranty for fitness or all other warranties in relation to the product. When a problem occurs with the product, customer should pay to the shipping cost of the product. Rev. J 58/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL 10. INTENDED OPERATOR AND SERVICE PERSONAL PROFILE 10.1 OPERATOR PROFILE Considerations Education Requirement description Minimum - At least graduate of medical college Maximum - No maximum - Read and understand 'westernized Arabic' numerals when written Knowledge Language understanding Experience Permissible impairments Minimum in Arial font - Can distinguish of human body - Understands hygiene Maximum - No maximum Minimum - Local language Maximum - Understanding of manual that is writing in English Minimum - Have license of radiologist or have to meet local regulation Maximum - No maximum Minimum - Mild reading vision impairment or vision corrected to log MAR 0.2 - Average degree of aging-related short term memory impairment - Impaired by 40 % resulting in 60 % of normal hearing at 500 Hz to 2 kHz 10.2 SERVICE PERSONAL PROFILE Considerations Education Requirement description Minimum - At least graduate of high school Maximum - No maximum - Read and understand 'westernized Arabic' numerals when written Knowledge Language understanding Experience Minimum in Arial font - Can distinguish of human body - Understands hygiene Maximum - No maximum Minimum - Local language Maximum - Understanding of manual that is writing in English Minimum - Only authorized and properly trained by ECOTRON Maximum - No maximum - Mild reading vision impairment or vision corrected to log MAR 0.2 Permissible impairments Rev. J Minimum - Average degree of aging-related short term memory impairment - Impaired by 40 % resulting in 60 % of normal hearing at 500 Hz to 2 kHz 59/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL APPENDIX A EMC DECLARATION Guidelines and manufacturers: electromagnetic emission The Diagnostic X-ray System is used in the following electromagnetic settings. Users of the Diagnostic Xray System should check whether their systems are used in these settings. Emission test Compliance Electromagnetic setting: guidelines Since the Diagnostic X-ray System only uses RF energy RF emission Group 1 CISPR 11 for internal functions, it has very low RF emissions and normally cause no interference to neighboring electronic devices. RF emission Class A CISPR 11 Harmonic wave emission CISPR 11 The Diagnostic X-ray System is suitable not only in nonClass A connecting to the common low-power network in a Voltage changes/flicker emission household facilities but can also be used by directly Compliance building. CISPR 11 Full compliance to the IEC 60601-1-2:2004 and the System’s tolerance to EM waves The Diagnostic X-ray System is used in the following electromagnetic settings. Users of the Diagnostic Xray System should check whether their systems are used in these settings. Tolerance test IEC 60601 test level Suitability level Electromagnetic setting: guidelines The floor should be in Static electricity +/- 6kV contact +/- 6kV contact discharge (ESD) wood, concrete or ceramic tiles. If the floor is in a synthetic material, IEC 61000-4-2 +/- 8kV in the air +/- 8kV in the air the relative humidity should be at least 30%. Suitability in +/- 2kV power supply electric oversprays unit line +/- 2kV power supply unit line The main power’s quality should be equal to the those of general IEC 61000-4-4 commercial or hospital +/- 1kV input/output line +/- 1kV input/output line settings. The main power’s quality Surge +/- 1kV line-line +/- 1kV line-line should be equal to the those of general IEC 61000-4-11 +/- 2kV line-earth +/- 2kV line-earth commercial or hospital settings. Rev. J 60/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL The main power’s quality should be equal to the those of general Voltage loss in the power supply, short intermittence and voltage changes IEC 61000-4-11 <5% UT(<95%Dip at the <5% UT(<95%Dip at the UT), UT), 0.5 cycles 0.5 cycles 40% UT(60% Dip at the 40% UT(60% Dip at the UT), 5 UT), 5 cycles cycles 70% UT(30% Dip at the 70% UT(30% Dip at the UT), UT), 25 cycles 25 cycles <5% UT(>95% Dip at the <5% UT(>95% Dip at the UT), UT), 5 seconds 5 seconds commercial or hospital settings. Note : Most components in the Diagnostic Xray System have their power supplied from the uninterrupted power supply. The IEC61000-4-11 only applies to the Diagnostic X-ray System Power Box. Magnetic field in 3A/m 3A/m the source The magnetic field in the source frequency should frequency be equivalent to the those (50/60Hz) of general commercial or hospital settings. IEC 61000-4-8 Note: The UT is the main AC voltage before the test standards have been applied. Rev. J 61/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL Guidelines and manufacturers: electromagnetic tolerance The Diagnostic X-ray System is used in the following electromagnetic settings. Users of the Diagnostic X-ray System should check whether their systems are used in these settings. Tolerance test IEC 60601 test level Suitability level Electromagnetic setting: guidelines When using a portable or a mobile RF communication equipment, the recommended intervals, which have been calculated using the equations, should be maintained. These calculations should be made in accordance with all of the Diagnostic Xray System’s parts (including switches) and its transmitter-receiver’s frequency. Recommended intervals: d = 1.17√p Conductive RF 3Vrms IEC61000-4-6 150kHz-80MHz Radioactive 3v/m RF 80MHz-2.5GHz d = 1.17√p80MHz ~ 800MHz 3Vrms d = 2.33√p800MHz ~ 2.5GHz, where p is the transmitter-receiver’s 3v/m maximum power rating in watts (W) and d is the recommended interval. IEC61000-4-3 The magnetic field strength in the fixed RF receiver, which has been 1 determined in the EM wave walkdown , should be lower than the compliance 2 standards of each frequency range . Interference may occur around the equipment whose symbol is as follows. Note 1: The high-frequency range is applied at 80MHz and 800MHz. Note 2: This guideline does not apply in all situations. Electromagnetic waves may be affected through absorption into and reflection from structures, objects and people. Rev. J 62/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL Guidelines and manufacturers: electromagnetic tolerance It is very difficult to accurately predict the magnetic field strength of wireless (mobile/wireless) telephones, land mobile radio base station, amateur wireless, AM, FM wireless and TV broadcasting systems. To assess electromagnetic settings using fixed RF receivers, area walkdown is needed. If the magnetic field strength measured at the point where the Diagnostic X-ray System is used exceeds the applicable RF compliance level, you should check whether the Diagnostic X-ray System is operating normally. Should any performance abnormality is observed, additional action may be needed such as changing the Diagnostic X-ray System’s direction or location. At the frequency range between 150kHz and 80MHz, the magnetic field strength should be less than 3v/m. Recommended intervals between the Diagnostic X-ray System and the portable or mobile RF communications equipment The Diagnostic X-ray System should be used in an electromagnetic setting where RF communication interferences are controlled. Users of the Diagnostic X-ray System should maintain the minimum intervals between the System and the portable or mobile RF communications equipments to prevent electromagnetic interferences more effectively. Maximum output power rating of the Interval depending on the transceiver-receiver’s frequency transceiver-receiver meters Watts 150kHz ~ 80MHz 80MHz ~ 800MHz 800MHz ~ 2.5GHz d = 1.17√p d = 1.17√p d = 2.33√p 0.01 0.117 0.117 0.233 0.1 0.37 0.37 0.737 1 1.17 1.17 2.33 10 3.7 3.7 7.36 100 11.7 11.7 23.3 For maximum power voltages of receivers not on the above list, the recommended interval, d(m), can be calculated by using the equation used for the receiver’s frequency. The p is the transmitterreceiver’s maximum power rating in watts (W). Note 1 : The high-frequency range is applied at 80MHz and 800MHz. Note 2 : This guideline does not apply in all situations. Electromagnetic waves may be affected through absorption into and reflection from structures, objects and people. Rev. J 63/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL APPENDIX B TECHNICAL CHART Film Screen: Lanex Regular Screen (400 speed) 40" SID EXAMINATION HAND WRIST FOREARM (AP) FOREARM (LAT) ELBOW (AP) ELBOW (LAT) HUMEROUS ANKLE (AP) ANKEL (LAT) KNEE FOOT (AP) FOOT (LAT) FEMUR SHOULDER L/SPINE (AP) Rev. J Adults Pediatric THICKNESS KVP MAS Grid Dosimetry (μGy*㎡) THICKNESS KVP MAS Grid Dosimetry (μGy*㎡) 2-4cm 50 2.0 NO 5-7cm 50 2.0 NO 8.828 - 50 1.0 NO 4.498 2-4cm 52 2.0 NO 5-7cm 52 2.0 NO 9.792 - 52 1.0 NO 4.498 2-4cm 50 2.0 NO 8.828 5-7cm 56 2.5 NO 14.641 - 50 1.0 NO 4.498 8-10cm 60 2.5 NO 17.08 4-6cm 50 2.0 NO 8.828 7-9cm 56 2.5 NO 14.641 - 50 1.0 NO 4.498 10-12cm 60 2.5 NO 17.08 5-7cm 60 2.5 NO 17.08 8-10cm 63 2.5 NO 19.021 - 60 1.3 NO 8.92 4-6cm 60 2.5 NO 17.08 7-9cm 63 2.5 NO 19.021 - 60 1.3 NO 8.92 5-7cm 60 2.5 NO 17.08 8-10cm 63 2.5 NO 19.021 - 60 1.3 NO 8.92 5-7cm 60 2.5 NO 17.08 8-10cm 63 2.5 NO 19.021 - 60 1.3 NO 8.92 5-7cm 60 2.5 NO 17.08 8-10cm 63 2.5 NO 19.021 - 60 1.3 NO 8.92 7-9cm 60 4.0 NO 17.08 10-12cm 66 5.0 NO 41.96 - 60 2.0 NO 13.68 2-4cm 50 2.0 NO 8.828 5-7cm 54 2.5 NO 13.432 - 50 1.0 NO 4.498 4-6cm 58 2.0 NO 12.716 7-9cm 64 2.5 NO 19.647 - 58 1.0 NO 6.406 6-8cm 63 3.2 NO 24.348 12-14cm 66 4.0 NO 33.556 - 63 1.6 NO 12.172 4-6cm 60 3.2 NO 21.84 7-9cm 64 4.0 NO 31.452 - 60 1.6 NO 10.96 21-23cm 80 20 NO 245.05 - 80 8 NO 97.57 64/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL L/SPINE (LAT) PELVIS/HIP CHEST (AP) CHEST (LAT) ABDOMEN Rev. J 32-34cm 100 32 YES 590.1 12-14cm 73 10 YES 102.8 20-22cm 77 20 YES 228.25 26-28cm 78 32 YES 374.48 12-16cm 80 1.0 NO 11.92 22-24cm 80 1.6 NO 19.24 30-34cm 80 2.5 NO 30.22 32-36cm 90 2.0 NO 29.752 36-40cm 90 2.5 NO 37.362 8-12cm 72 10 YES 100.05 18-22cm 77 20 YES 228.25 28-32cm 80 32 YES 392.4 65/74 - 100 13 YES 238.72 - 73 4 YES 40.944 - 80 0.6 NO 7.04 - 90 1.0 NO 14.532 - 72 4.0 YES 39.872 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL CR System: 40" SID EXAMINATION HAND WRIST FOREARM (AP) FOREARM (LAT) ELBOW (AP) ELBOW (LAT) HUMEROUS ANKLE (AP) ANKEL (LAT) KNEE FOOT (AP) FOOT (LAT) FEMUR SHOULDER L/SPINE (AP) Rev. J Adults Pediatric THICKNESS KVP MAS Grid Dosimetry (μGy*㎡) THICKNESS 2-4cm 50 4.0 NO 17.488 - 5-7cm 50 4.0 NO 2-4cm 52 4.0 NO 19.432 - 5-7cm 52 4.0 NO 2-4cm 50 4.0 NO 17.488 5-7cm 56 5.0 NO 29.18 8-10cm 60 5.0 NO 4-6cm 50 4.0 7-9cm 56 10-12cm Dosimetry (μGy*㎡) KVP MAS Grid 50 2.0 NO 50 2.0 NO 52 2.0 NO 52 2.0 NO 50 2.0 NO 8.828 56 2.5 NO 14.641 34.1 60 2.5 NO 17.08 NO 17.488 50 2.0 NO 8.828 5.0 NO 29.18 56 2.5 NO 14.641 60 5.0 NO 34.1 60 2.5 NO 17.08 5-7cm 60 5.0 NO 34.1 60 2.5 NO 17.08 8-10cm 63 5.0 NO 38.03 63 2.5 NO 19.021 4-6cm 60 5.0 NO 34.1 60 2.5 NO 17.08 7-9cm 63 5.0 NO 38.03 63 2.5 NO 19.021 5-7cm 60 5.0 NO 34.1 60 2.5 NO 17.08 8-10cm 63 5.0 NO 38.03 63 2.5 NO 19.021 5-7cm 60 5.0 NO 34.1 60 2.5 NO 17.08 8-10cm 63 5.0 NO 38.03 63 2.5 NO 19.021 5-7cm 60 5.0 NO 34.1 60 2.5 NO 17.08 8-10cm 63 5.0 NO 38.03 63 2.5 NO 19.021 7-9cm 60 8.0 NO 54.56 60 4.0 NO 17.08 10-12cm 66 10.0 NO 84.01 66 5.0 NO 41.96 2-4cm 50 4.0 NO 17.488 50 2.0 NO 8.828 5-7cm 54 5.0 NO 26.72 54 2.5 NO 13.432 4-6cm 58 4.0 NO 25.336 58 2.0 NO 12.716 7-9cm 64 5.0 NO 39.34 64 2.5 NO 19.647 6-8cm 63 6.4 NO 48.684 63 3.2 NO 24.348 12-14cm 66 8.0 NO 67.19 66 4.0 NO 33.556 4-6cm 60 6.4 NO 43.648 60 3.2 NO 21.84 7-9cm 64 8.0 NO 62.98 64 4.0 NO 31.452 21-23cm 80 32 NO 392.4 80 16 NO 195.89 66/74 - - - 8.828 9.792 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL L/SPINE (LAT) PELVIS/HIP CHEST (AP) CHEST (LAT) ABDOMEN Rev. J 32-34cm 100 64 YES 1190.1 12-14cm 73 20 YES 205.9 20-22cm 77 32 YES 365.52 26-28cm 78 64 YES 12-16cm 80 2.0 22-24cm 80 30-34cm 100 32 YES 590.1 73 10 YES 102.8 77 16 YES 182.49 749.52 78 32 YES 374.48 NO 24.12 80 1.0 NO 11.92 3.2 NO 38.76 80 1.6 NO 19.24 80 5.0 NO 60.7 80 2.5 NO 30.22 32-36cm 90 4.0 NO 60.192 90 2.0 NO 29.752 36-40cm 90 5.0 NO 75.4 90 2.5 NO 37.362 8-12cm 72 20 YES 200.35 72 10 YES 100.05 18-22cm 77 32 YES 365.52 77 16 YES 182.49 28-32cm 80 64 YES 788.24 80 32 YES 392.4 67/74 - - - - - ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL DR System: Flap Panel with CSI Screen, 40" SID EXAMINATION HAND WRIST FOREARM (AP) FOREARM (LAT) ELBOW (AP) ELBOW (LAT) HUMEROUS ANKLE (AP) ANKEL (LAT) KNEE FOOT (AP) FOOT (LAT) FEMUR SHOULDER L/SPINE (AP) Rev. J Adults Pediatric THICKNESS KVP MAS Grid Dosimetry (μGy*㎡) THICKNESS KVP MAS Grid Dosimetry (μGy*㎡) 2-4cm 50 2.0 NO 5-7cm 50 2.0 NO 8.828 - 50 1.0 NO 4.498 2-4cm 52 2.0 NO 5-7cm 52 2.0 NO 9.792 - 52 1.0 NO 4.498 2-4cm 50 2.0 NO 8.828 5-7cm 56 2.5 NO 14.641 8-10cm 60 2.5 NO 17.08 - 50 1.0 NO 4.498 4-6cm 50 2.0 NO 8.828 7-9cm 56 2.5 NO 14.641 10-12cm 60 2.5 NO 17.08 - 50 1.0 NO 4.498 5-7cm 60 2.5 NO 17.08 8-10cm 63 2.5 NO 19.021 - 60 1.3 NO 8.92 4-6cm 60 2.5 NO 17.08 7-9cm 63 2.5 NO 19.021 - 60 1.3 NO 8.92 5-7cm 60 2.5 NO 17.08 8-10cm 63 2.5 NO 19.021 - 60 1.3 NO 8.92 5-7cm 60 2.5 NO 17.08 8-10cm 63 2.5 NO 19.021 - 60 1.3 NO 8.92 5-7cm 60 2.5 NO 17.08 8-10cm 63 2.5 NO 19.021 - 60 1.3 NO 8.92 7-9cm 60 4.0 NO 17.08 10-12cm 66 5.0 NO 41.96 - 60 2.0 NO 13.68 2-4cm 50 2.0 NO 8.828 5-7cm 54 2.5 NO 13.432 - 50 1.0 NO 4.498 4-6cm 58 2.0 NO 12.716 7-9cm 64 2.5 NO 19.647 - 58 1.0 NO 6.406 6-8cm 63 3.2 NO 24.348 12-14cm 66 4.0 NO 33.556 - 63 1.6 NO 12.172 4-6cm 60 3.2 NO 21.84 7-9cm 64 4.0 NO 31.452 - 60 1.6 NO 10.96 21-23cm 80 20 NO 245.05 - 80 8 NO 97.57 68/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL L/SPINE (LAT) PELVIS/HIP CHEST (AP) CHEST (LAT) ABDOMEN 32-34cm 100 32 YES 590.1 12-14cm 73 10 YES 102.8 20-22cm 77 20 YES 228.25 26-28cm 78 32 YES 374.48 12-16cm 80 1.0 NO 11.92 22-24cm 80 1.6 NO 19.24 30-34cm 80 2.5 NO 30.22 32-36cm 90 2.0 NO 29.752 36-40cm 90 2.5 NO 37.362 8-12cm 72 10 YES 100.05 18-22cm 77 20 YES 228.25 28-32cm 80 32 YES 392.4 - 100 13 YES 238.72 - 73 4 YES 40.944 - 80 0.6 NO 7.04 - 90 1.0 NO 14.532 - 72 4.0 YES 39.872 The patient population can be divided into several subgroups which are defined according to age and approximate average height and weight measurements: Adult [~80kg (176lb); standing height 170cm (67.0in)] Pediatrics 12 year old [~52 kg (115 lb); 156 cm (61.5 in) standing height] 5 year old [~21 kg (46 lb); 113 cm (44.5 in) standing height] 1 year old [~11 kg (24 lb); recumbent length 100 cm (39.4 in.)] NOTE THESE SUBGROUPS ARE LISTED AS A GENERAL GUIDE. DIFFERENT SUBGROUPS THAT STILL COVER THE BROAD SIZE RANGE EXPECTED FOR PEDIATRIC PATIENTS MAY BE APPROPRIATE. THE INSTRUCTIONS COVERING PEDIATRIC USE OF RADIOGRAPHIC IMAGING SYSTEMS WAS REFERRED TO THE FDA PEDIATRIC X-RAY IMAGING WEBSITE. http://www.fda.gov/RadiationEmittingProducts/RadiationEmittingProductsandProcedures/MedicalImaging/ucm298899.htm IF THE X-RAY SYSTEM IS USED FOR ELDERLY PATIENTS; PREGNANT WOMEN; CHILDREN AND PATIENTS WHO REQUIRE SUPPORT, ADDITIONAL CARE MAY BE REQUIRED FOR SAFETY SUCH AS CHANGING X-RAY SETTING BY AN EXPERT. NOTE THE STATISTICS AND SPECIFICATIONS OF THIS UNIT AND MANUAL CAN BE MODIFIED WITH OR WITHOUT NOTIFICATION FOR THE IMPROVEMENT OF PERFORMANCE AND SAFETY. Rev. J 69/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL APPENDIX C PEDIATRICS AND SMALL PATIENTS ECOTRON strongly suggests reducing radiation dose to As Low As Reasonably Achievable (ALARA) in all patients, especially pediatric and small patients, whenever it is determined that an x-ray is necessary. X-ray is an extremely valuable tool for diagnosing injury and disease, but its use is not without risk. This section discusses the importance of minimizing the radiation dose in children and small adults consistent with ALARA principles. Topics covered include: Pediatric Use Optimize Pediatric Protocols for your facility What Do I Need to Know About? Pediatric Use Radiation exposure is a concern in both adults and children. However, children are more sensitive to radiation. Using the same exposure parameters on a child as used on an adult may result in larger doses to the child. X-ray settings can be adjusted to reduce dose significantly while maintaining diagnostic image quality. Optimize Pediatric Protocols for your facility The protocols supplied with the system represent examples for procedures commonly conducted in radiography. Based on the needs of a particular practice, these protocols may be modified to optimize factors such as image quality or dose reduction. Work with your team of Radiologists, Medical Physicists and Technologists to evaluate techniques that may reduce radiation dose and provide adequate diagnostic information. In addition to the recommended protocols installed on your system and suggestions in this guide, the following websites offer excellent sources of additional information on how to optimize protocols safely and effectively: American College of Radiology (ACR): www.acr.org Society of Pediatric Radiology (SPR): www.pedrad.org National Cancer Institute (NCI): www.nci.nih.gov/aboutnci Image Gently: www.imagegently.org US Food and Drug Administration (FDA): http://www.fda.gov/Radiation-EmittingProducts/ RadiationEmittingProductsandProcedures/MedicalImaging/ucm298899.htm What Do I Need to Know About? This section presents the concepts necessary to understand Pediatric x-ray imaging. The concepts you need to understand are: Radiation Exposure Sensitivity Suggestions for Minimizing Unnecessary Dose Rev. J 70/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL Guidelines for Adjusting Individual Exposure Parameters by patient Patient Dose Reporting Dose Index Reporting Considerations Protocol Database Edit Everyone shares the responsibility of minimizing pediatrics dose. There are several steps that can be taken to reduce the amount of radiation that pediatrics and small patients receive from x-ray examinations. Radiation Exposure Sensitivity Radiation exposure is a concern in all people of all ages, however, pediatrics are more sensitive to radiation exposure. Radiation risk is higher in the young as they have more rapidly dividing cells than adults. The younger the patient, the more sensitive they are. Suggestions for Minimizing Unnecessary Dose Image the Anatomical Region Indicated (Collimation): Collimation and anatomical coverage should be carefully considered prior to each exposure. Follow your facility imaging guidelines to determine appropriate collimation. Check Technical Factors Before Exposure: Review technical display carefully before making an exposure to verify selected and intended technique are the same. Pay particular attention to placement of decimal point in display of numerical values. • Use Pediatric Positioning Accessories: Approved Pediatric positioning accessories are often useful for certain patients and exams. These may be helpful in decreasing motion that may contribute to repeat exposure. Understand your facilities guidelines when implementing these devices. Protective Apparel/Barriers/Shielding: W hen applicable, utilize proper protective measures as they comply with your facility guidelines. Consider Patient Radiation Safety Protocols: Ensure understanding and conformance of Patient Radiation/Protection Safety and ALARA principles as required by your facility. This includes patient shielding to reduce exposure to unintended areas. Guidelines for Adjusting Individual Exposure Parameters by patient Adjust Parameters: The single most important thing you can do is to always use pediatric protocols to avoid over exposure. Protocols based on patient type; adult and pediatric patients. These protocols should be considered a baseline. ECOTRON strongly recommends that you work with your Radiologist and Physicist to determine the lowest possible dose for the desired image quality. Once patient size is selected, further adjustments to kVp, MAS, Filtration and Grid can be made to further minimize patient dose. For questions or further information, contact your local ECOTRON representative. Rev. J 71/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL APPENDIX D ACTION TO CORRECT THE ERROR OF EPX-SERIES Error Codes 7 Check points and Action Ready SW ERR a. Replace the hand switch 8 Exposure SW ERR 10 Standby Fil FB Error 11 Standby EP FB Error 12 Standby IP FB Error 14 Run Fil FB Error 15 Run EP FB low ERR 16 Run IP FB High ERR a. If error repeats at the condition of 40kV 0.4mAs EXP, replace the OP board a. If error repeats at the condition of 40kV 0.4mAs EXP, check the followings by sequence. 1. Check TP in the power input of the OP board 2. Check the Reference voltage value 17 Run EP FB High ERR 18 Run IP FB low ERR 28 Pulse by Pulse ERR 30 KV_OVP ERR 31 FIL_OC ERR FIL 3. If the reference voltage is normal, replace the FET board 4. If replacing FET board does not solve the problem, the replace the HV tank. a. If error pops up right after the unit power is turned on, then replace the OP board. b. If error repeats at the condition of 40kV 0.4mAs EXP, 1. Replace the FET board 32 IP_OCP ERR 2. If replacing FET board does not solve the problem, the replace the HV tank. Warning Codes 2 29 Thermal ERR excess Wait until the temperature inside the monotank comes down to normal from 60°C (Once the temperature drop to normal, the Warning Message will disappear) FET-OTP FET board Wait until the temperature inside the FET board comes down to normal overheat (Once the temperature drop to normal, the Warning Message will disappear) Rev. J 72/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL APPENDIX E ANODE THERMAL CHARACTERISTICS OF X-RAY TUBE D-125 D-205B Rev. J 73/74 ECOTRON Co., Ltd. EPX-SERIES OPERATOR’S MANUAL OX/110-15 Rev. J 74/74 ECOTRON Co., Ltd. ">
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