Intended use
The medical equipment is intended for fluoroscopies in the field of surgery, e.g. in
traumatology, orthopedics, neurology, urology, cardiology. Third-party devices and
components used in combination with this system must comply with the safety
requirements according to IEC 60601-1 and/or IEC 60601-1-1 or furnish proof of an
equivalent degree of safety.
To ensure CE conformity, these components must have a CE approval in accordance with
Council Directive 93/42/EEC. In addition, a declaration in compliance with Article 12 of the
said directive must be provided.
For components without CE approval, a conformity assessment procedure is obligatory.
Proper and safe operation of the system requires adequate transportation, storage,
assembly and installation as well as appropriate use and maintenance.
The limiting values indicated in this user manual must not be exceeded; this applies also
when putting the system into service.
Authorized personnel
Only authorized personnel are allowed to assemble and repair the medical equipment
described in this manual. Authorized personnel are persons who have attended an
appropriate training course provided by the manufacturer. These persons will receive the
entire documentation that is required for service work.
Exclusion of liability
The manufacturer accepts responsibility for the safety, reliability and performance of the
system only if
the electrical installation of the site where the system is operated complies with the
requirements of VDE 0107 or the corresponding national regulations of the country of
installation;
The warranty becomes invalid in case that any repair, modification or installation work is
carried out by unauthorized personnel, or any seals on components are broken. No
consequential damages will be accepted either.
The equipment conforms to Class IIb according to Council Directive 93/42/EEC.
This technical manual has been written and reviewed originally in German and translated.
Copyright
Copyright 2006 Ziehm Imaging GmbH
Donaustr. 31 D-90451 Nuremberg Germany
E-mail: info@ziehm-eu.com
Internet: http://www.ziehm.com
All rights reserved.
Transmission or reproduction of this manual, exploitation and
disclosure of its contents to third persons is not permitted without
express written consent of the manufacturer. Infringements shall
entitle to damage claims.
Registered Trademarks
This manual may contain the names of registered trademarks or
brands, the use of which by third persons for their purposes may
infringe the rights of their respective owners.
Quality Standards
This manual was produced in compliance with the quality principles
of ISO 9001. The information provided in this manual is checked at
regular intervals, and any corrections which might become
necessary will be included in the next revision. Any suggestions for
improvement are welcome.
Subject to change without prior notice.
Rev. 02/2006
Table of Contents
Table of Contents
Safety Instructions
1.1 General safety instructions...............................................................................
1.2 X-rays ...............................................................................................................
1.3 Electromagnetic compatibility...........................................................................
1.4 Protective grounding ........................................................................................
1.5 Equipotential grounding....................................................................................
1.6 Laser radiation..................................................................................................
1-1
1-1
1-3
1-4
1-4
1-4
1-5
2-1
2-1
2-1
2-3
2-3
2-4
2-6
2-8
4-1
4-1
4-1
4-2
Configuration
5.1 Overview ..........................................................................................................
5.2 User settings ....................................................................................................
5.2.1
Activating automatic image swapping ...............................................
5.2.2
Displaying a crosshair .......................................................................
5.2.3
Function of the F key ........................................................................
5.2.4
Storage medium for image retrieval ..................................................
5.2.5
Setting the cine loop speed...............................................................
5.2.6
Setting the cine loop length...............................................................
5.2.7
Combining DSA with a cine loop.......................................................
5.2.8
Showing or hiding the native image ..................................................
5.2.9
Selecting the storage medium for data retrieval with DICOM Dir......
5.2.10 Defining the storage format for removable storage media ................
5-1
5-1
5-2
5-3
5-3
5-4
5-4
5-5
5-5
5-5
5-5
5-6
5-6
Table of Contents
5.3
5.4
5.5
5-7
5-7
5-7
5-8
5-8
5-8
5-8
5-8
5-10
5-10
5-10
5-12
5-13
5-13
5-14
5-15
5-16
5-16
5-18
5-18
5-20
5-21
5-23
5-24
5-25
5-26
5-26
5-27
5-29
5-31
5-35
5-39
5-44
5-45
5-45
5-47
5-49
5-51
5-52
Technical Data
6-1
6.1 Ziehm 7000 Plus, Ziehm 7000 Plus (Compact Version) and............................ 6-1
6.2 Laser positioning device ................................................................................... 6-5
6.3 Dose measurement chamber ........................................................................... 6-5
6.4 Focal spot position............................................................................................ 6-7
6.5 Dimensions....................................................................................................... 6-8
6.5.1
Ziehm 7000 Plus ............................................................................... 6-8
6.5.2
Ziehm 7000 Plus (Compact Version) ................................................ 6-10
Maintenance
7.1 Electrics ............................................................................................................
7.2 Mechanics ........................................................................................................
II
7-1
7-1
7-4
Table of Contents
Replacing Components
8.1 Hand switch and foot switch.............................................................................
8.2 Coupling cable..................................................................................................
8.3 Fuses................................................................................................................
8-1
8-1
8-2
8-3
Problem Report
9.1 List of error and alert messages.......................................................................
9.2 What to do if ... .................................................................................................
9-1
9-1
9-4
10
11
11-1
11-1
11-1
11-1
11-2
11-3
11-3
11-5
11-6
11-6
11-9
11-13
i
III
Table of Contents
IV
Safety Instructions
1.1
WARNING
This is the highest level of risk. Personal injury or damage to property
may occur if the operator does not observe the instructions provided
here.
CAUTION
This means that a situation exists which may require a decision or action
on the part of the user for optimum equipment performance or to avoid
a minor hazard.
Note
Notes are merely informative. Additional useful information and hints are
provided for the operator here.
WARNING
You must be familiar with the contents of this user manual in order to be
able to operate the system as intended. Study the user manual
thoroughly before putting the system into service.
It is important to observe all directions, safety instructions and warnings!
1-1
1 Safety Instructions
WARNING
Supplementary equipment used in combination with the Ziehm 7000
Plus must comply with the safety requirements according to IEC
60601-1 and/or IEC 60601-1-1 or furnish proof of an equivalent degree
of safety.
To ensure CE conformity, these components must have a CE approval
in accordance with Council Directive 93/42/EEC. In addition, a
declaration in compliance with Article 12 of the said directive must be
provided.
For components without CE approval, a conformity assessment
procedure is obligatory.
If you combine the Ziehm 7000 Plus with equipment which does not
comply with these requirements, the safety of the whole system is no
longer given and the warranty will become invalid.
Operation
Assembly and
service
WARNING
Never use the system if you suspect any electrical or radiationgenerating components to be defective!
WARNING
Never pull at the power cable or coupling cable of the monitor cart in
order to move the cart to another position.
Otherwise severe equipment damage may result.
WARNING
Before opening any part of the equipment or removing the protective
covers, you must disconnect the system from the power supply.
1-2
1 Safety Instructions
1.2
X-rays
General
CAUTION
The relevant safety regulations of the country of installation must be
observed.
WARNING
The system may only be operated by personnel who has undergone
radiological training.
Staff members who stay within the radiation controlled area must wear Xray protective clothing.
Protection of staff
The radiation controlled area depends upon the size of the image
intensifier installed and has the following radius:
15 cm image intensifier: 3 m
23 cm image intensifier: 4 m
31 cm image intensifier: 4 m
WARNING
In order to avoid unintentional radiation, the foot switch must be hung up
on the foot switch support when the system is switched on, but not in
use.
To minimize the radiation burden of the patient, you must keep the focus/
skin distance as large as possible. The generator design guarantees a
minimum focus/skin distance of 20 cm.
Protection of the
patient
WARNING
Additional material located in the beam path (e.g. an operating table not
suitable for X-raying) may result in a dose increase when using a
fluoroscopy mode with automatic exposure rate control.
1-3
1 Safety Instructions
1.3
Electromagnetic compatibility
Medical electrical equipment requires special precautionary measures
with respect to EMC and must be installed and put into service in
accordance with the EMC guidelines contained in the accompanying
documents.
Portable and mobile RF communications equipment may interfere with
medical electrical equipment.
All operating modes of the system have been considered in the EMC
tests. There are no exceptions to the rules.
Only conductors, connecting cables and accessories that are specified
by the manufacturer may be used.
CAUTION
Using components other than those specified may result in increased
electromagnetic emissions or reduced electromagnetic immunity.
1.4
Protective grounding
The system must be connected only to power systems having a separate
ground connection.
1.5
Equipotential grounding
1-4
1 Safety Instructions
1.6
Laser radiation
Laser positioning
device
The laser positioning device uses diode laser modules which emit laser
radiation. Do not under any circumstances look directly at the laser
beam or any scattered laser radiation either with the naked eye or with
optical instruments.
The laser positioning device is a Class 2M laser product according to IEC
60825-1:2003. Make sure to comply with all operating safety precautions
when using the laser positioning device.
The maximum output of continuous laser radiation, measured at the
beam exit, is <1 mW. The wavelength of the emitted radiation is 635 nm.
WARNING
Laser radiation! Do not look directly or with optical instruments into the
laser beam apertures, since doing so can be hazardous to your eyes!
Maintenance
Fig. 1-1
1-5
1 Safety Instructions
Fig. 1-2
1-6
CAUTION
Only authorized personnel ( p. 1-2) are allowed to unpack and
assemble the system.
2.1
2.1.1
Fig. 2-1
Packed pallet
2-1
Remove the shipping tape from the cardboard box and open the box.
Remove the clout nails holding the cardboard box to the pallet.
Lift the cardboard box off the pallet.
Fig. 2-2
Fig. 2-3
2-2
Unwrapped pallet
2.1.2
Fig. 2-4
Fig. 2-5
Undo the four screws M612 that attach the transport rack to the
monitor neck.
The screws M616 needed for attaching the monitor head to the
2-3
monitor cart base are contained in the cardboard box with the
accessories ( Ch. 2.1.5, p. 2-8).
2.1.3
Fig. 2-6
Bracket 2
Bracket 1
Bracket 3
Bracket 4
Fig. 2-7
2-4
Fig. 2-8
2-5
2.1.4
Foam rubber
block
Fig. 2-9
WARNING
Due to the heavy weight of the monitor cart there is a risk that it will tilt
over if not blocked. Therefore never move the cart alone into a lateral
position, always ask a second person to assist you!
Remove the bubble wrap from the monitor cart wheels.
Undo the screws holding the transport rack to the monitor cart and
remove the transport rack.
Put the monitor cart back into an upright position with the help of a
second person and remove the padding from the pallet.
Carefully push the monitor cart down from the pallet using a ramp.
Remove the wrap foil from the pallet.
2-6
2-7
2.1.5
Accessories
All systems
Qty.
User Manual
Technical Manual
Video printer
Operating instructions for video printer
Printer paper
1 roll
1 roll
Options
CD writer
CD-R (640 MB)
DICOM
RJ45 interface with Cat.5 patch cable (10 m)
Active Cooling
Filler and vent hose (1.5 m)
Table 2-1
Monitor fastening
screws
2-8
Accessories
CAUTION
Only authorized personnel ( p. 1-2) are allowed to unpack and
assemble the system.
3.1
Assembly
3.1.1
Note
Always wear cotton gloves when installing, testing or making settings on
flat-screen monitors or touchscreens.
3-1
Fig. 3-10
Fig. 3-11
CAUTION
Never place the flat-screen monitors directly on some surface, always
place them on the transport rack.
Remove the rear cover of the monitor cart base.
3-2
Fastening screw
holes
Fig. 3-12
Holes for the four screws M616 for attaching the flatscreen monitors to the monitor cart base
With the help of a second person, lift the flat-screen monitors and
place them on the monitor cart base.
WARNING
The flat-screen monitors cannot be lifted by one person alone.
Therefore always ask a second person to assist you in placing the
monitors on the monitor cart base.
Attach the flat-screen monitors from below using 4 screws M616.
Note
The screws M616 needed for attaching the flat-screen monitors to the
monitor cart base are contained in the cardboard box with the
accessories ( Ch. 2.1.5, p. 2-8).
Remove the rear cover of the flat-screen monitors. Run the following
cables from the monitor housing down into the monitor cart base:
2 video cables (golden)
Radiation warning lamp cable
Ground wire
3-3
Video signal of
left monitor
Video signal of
right monitor
Fig. 3-13
Radiation
warning lamp
connection
Ground wire
Connect the video cables and the radiation warning lamp cable to the
image memory module.
Connect the power supply units of the flat-screen monitors (right/left)
to the corresponding connectors for non-heating devices (labeled RM/
LM) in the monitor cart base.
To connect the ground wire to the monitor cart base, remove the nut,
fit the ground wire onto the screw and retighten the nut.
Reattach the rear cover of the flat-screen monitors.
Reattach the rear cover of the monitor cart base.
3.2
3-4
Filling of cooling
tank
To fill the cooling system, you need the following tools and materials:
Outflow (bottom)
Return flow (top)
Plug 2.1
Water tank
Pump
Fig. 3-14
3-5
Filling
Return flow
(from generator)
Outflow
(to pump)
Filling
Return flow
(from generator)
Viewing
Outflow
(to pump)
Fig. 3-15
To fill the cooling agent into the water tank, do the following:
Connect plug 4.2 of the overflow hose to the return flow socket at the
top.
Remove plug 5.2 of the pressure control valve from coupling 5.0 of the
pressure control hose.
Connect plug 5.1 of the filler hose to coupling 5.0 of the pressure
control hose.
Place the water funnel on the filler hose.
Put the plug end of the overflow hose into an empty bucket.
Carefully fill approx. 8 liters of tap water into the cooling tank.
The cooling tank is properly filled when the water runs out of the
overflow hose without air bubbles.
Remove plug 4.2 of the overflow hose from the return flow socket at
the top.
3-6
Venting the
circulation pump
Nonreturn valve
Circulation pump
Outflow
Hand pump
1.0
Bucket
Filling
5.0 5.1
Filler hose
Tap water
Fig. 3-16
3-7
Checking the
cooling circuit
Flow monitor
2.0
2.1
Nonreturn valve
5.0
Fig. 3-17
1.0
5.2
3-8
Flow problem
3-9
3.3
Cable connections
Before switching on the system for the first time, or after each transport,
you must establish different cable connections.
Cassette holder
Control panel
Steering &
braking lever
X-ray generator
Handle
Hand switch
Coupling
cable
connection
Foot switch
Cable guards
Fig. 3-18
Make sure that a suitable supply voltage is available and that the
socket-outlet is properly grounded and fused.
Check the power plug on the monitor cart power cable and the socketoutlet for compatibility.
Connect the system to the power supply.
WARNING
Never connect the monitor cart and C-arm stand when the monitor cart
is already connected to the power supply or switched on.
Damage to the electronics of the system cannot be excluded if this
warning is ignored!
3-10
Unwind the power cable from the combined foot switch/power cable
support located at the side of the C-arm stand.
Plug the power cable connector into the socket located at the side of
the C-arm stand and lock the connector by pulling the locking lever
upward.
Make sure that a suitable supply voltage is available and that the
socket-outlet is properly grounded and fused.
Check the power plug and the socket-outlet for compatibility.
Connect the system to the power supply.
3-11
3-12
Temperature
Room temperature
WARNING
Do not put the system into service at temperatures below 10C!
In systems equipped with Active Cooling, the cooling tank may have
been emptied before shipping (for transport temperatures below 0C). In
this case, you must refill the cooling tank with water with the help of the
filler and vent hoses before putting the system into service ( Ch. 3.2,
p. 3-4).
4.2
Make sure that the inclination of the system does not exceed 5 from
the level in operating position.
Preparation
OFF
ON
Power-up
After power-up, a test image appears on the live screen. The default
settings after power-up vary from system to system, according to the
customer-specific setup.
4-1
Note
Due to background radiation, the dose area product display on the Carm stand (if enabled) may indicate some small value after power-up of
the system.
To reset the display to zero, press and hold down the min key on the Carm stand control panel for a few seconds.
Note
As part of the power-up sequence, the radiation warning lamp may light
up. This is a system test and does not mean that radiation is released.
4.3
Entering the
hospital data
Further settings
4-2
Configuration
5.1
Overview
A large number of parameters can be preset for the Ziehm 7000 Plus.
This is done in a configuration menu.
General
To open the Configuration Menu, you use the MENU key on the monitor
cart.
5-1
5 Configuration
Fig. 5-1
5.2
Function
User settings
In the User Settings menu, you can make a number of settings which
determine the operation conditions during fluoroscopy.
Fig. 5-2
5-2
Configuration Menu
5 Configuration
5.2.1
The Autotransfer menu item allows you to control whether the previous
fluoroscopic image is moved automatically to the reference screen when
you next initiate radiation.
Moving the
fluoroscopic image
Autotransfer: Off
When you initiate radiation, the previous fluoroscopic image on the
live screen is replaced by the new image. If it was unsaved, it will be
irretrievably lost.
Autotransfer: On
When you initiate radiation, the previous fluoroscopic image on the
live screen is moved automatically to the reference screen.
As long as the autotransfer function is active, the LEDs on the image
swapping keys on the monitor cart and on the C-arm stand are
illuminated.
5.2.2
Displaying a crosshair
Positioning aid
Crosshair: On
A crosshair appears on the live screen during fluoroscopy.
Crosshair: Off
No crosshair is displayed on the live screen during fluoroscopy.
Note
The Crosshair On/Off function can also be assigned to the F key on the
C-arm stand ( Ch. 5.2.3, p. 5-4).
5-3
5 Configuration
5.2.3
Variable
assignment
The F key menu item allows you to control which function is assigned to
the F key on the C-arm stand. This enables you to activate the
corresponding function directly from the C-arm stand using the F key.
The following assignment options are available:
Crosshair
If you have activated this option, you can show or hide a crosshair as
positioning aid in the center of the live screen image with the F key
( Ch. 5.2.2, p. 5-3). The central point of the crosshair corresponds
to the position of the central X-ray beam.
Cine
If you have activated this option, you can activate and deactivate the
cine loop mode with the F key.
CO2
If you have activated this option, you can activate and deactivate the
CO2 function (together with the DSA subtraction mode) with the F key.
Filter
If you have activated this option, you can reset the recursive filter to
level 1 (= 2 images) during fluoroscopy by pressing the F key. This will
minimize motion blurring ( Ch. 5.5.2, p. 5-20). As long as the
recursive filter is reset, the message Filter off is displayed on the live
screen.
5.2.4
CD or hard disk
5-4
5 Configuration
5.2.5
The Cine speed menu item allows you to control the number of frames
per second that the system uses for acquisition and playback of a cine
loop.
Number of frames
per second
5.2.6
The Cine length menu item allows you to control how many single
images (frames) are saved automatically by the system during a cine
acquisition run.
Total number of
images
You can choose between 50, 100, 150, 200 or 250 images.
5.2.7
The DSA + Cine menu item allows you to control whether the system
automatically acquires a cine loop each time you activate the DSA mode.
Single image or
cine loop with DSA
DSA + Cine: On
When you press the DSA key on the C-arm stand and then initiate
radiation, the system automatically acquires a cine loop after having
acquired the DSA mask image.
DSA + Cine: Off
When you press the DSA key on the C-arm stand and then initiate
radiation, the system automatically generates a single DSA image.
5.2.8
The DSA nativeimg menu item allows you to control whether the native
image is displayed or not on the reference screen during generation of a
DSA / MSA / RSA image.
Display native
image or not
DSA nativeimg: On
When you initiate radiation after injecting the contrast medium, the
native image is displayed on the reference screen.
5-5
5 Configuration
5.2.9
Selecting the storage medium for data retrieval with DICOM Dir
The DICOM Dir from menu item allows you to control which storage
medium is used by the system for DICOM image retrieval.
DICOM Dir from: FLOPPY
The images are retrieved from the floppy disk inserted in the floppy
disk drive
DICOM Dir from: CD
The images are retrieved from the CD inserted in the CD writer
Graphics formats
for floppy disk
The Floppy format menu item allows you to control which graphics
format is used for saving images to floppy disk.
The following options are available:
TIFF format (for further use on a PC)
DICOM format (for further use on a DICOM network or viewing with a
DICOM viewer)
5-6
5 Configuration
5.3
Basic settings
The Basic Settings menu is used for making different settings which
directly affect the user interface, e.g. default data for certain menu fields.
In addition, you can erase different storage media.
Function
Usually, the options in this menu are set by the service engineer during
installation of the system.
Fig. 5-3
5.3.1
Under the Time menu item, the system time (format: hh:mm:ss) must be
set once.
Under the Date menu item, the system date (format: dd-mm-yy) must be
set once.
5.3.2
The Live image menu item allows you to choose whether the left or the
right screen acts as the live screen.
The live screen is the screen where the fluoroscopic image (live or saved)
is displayed. The remaining screen then automatically becomes the
reference screen.
5-7
5 Configuration
5.3.3
5.3.4
5.3.5
5.4
Monitor settings
5.4.1
Function
The Monitor Settings menu is used for adjusting the resolution mode of
the flat-screen monitor.
Further monitor settings can be made directly at the monitors using an
integrated button panel ( Ch. 5.4.2, p. 5-10).
5-8
5 Configuration
Fig. 5-4
When you choose the option 23" native res, the fluoroscopic images and
menus are displayed in the original resolution of the system.
Native resolution
When you choose the option 23" full size, the fluoroscopic images and
menus are displayed so as to completely fill the left or right half of the
screen.
Full size
5-9
5 Configuration
5.4.2
Monitor settings
Fig. 5-5
5-10
5 Configuration
Contrast
Backlight
brightness
5-11
5 Configuration
Select the Setup tab with the help of the + or arrow buttons.
Move to the Language item with the help of the Scroll button.
5-12
5 Configuration
Select the Gamma tab with the help of the + or arrow buttons.
On the Gamma tab, the following gamma value options are available:
1.5
1.7
2.2
2.6
5-13
5 Configuration
3.0
Press the Scroll button until the desired value is highlighted in white.
5-14
5 Configuration
Select the Setup tab with the help of the + or arrow buttons.
On the Setup tab, the following controls are available:
Menu Position
Menu Rotation
Language ( Ch. 5.4.2.3, p. 5-12)
DPMS Enable
Auto Source Select
Menu Lock ( Ch. 5.4.2.8, p. 5-16)
Press the Scroll button until the desired item is highlighted.
5-15
5 Configuration
Select the Setup tab with the help of the + or arrow buttons.
Press the Scroll button until the Menu Lock item is highlighted.
Select the Defaults tab with the help of the + or arrow buttons.
5-16
5 Configuration
5-17
5 Configuration
5.5
Service settings
Function
Password
Fig. 5-6
5.5.1
Function
Step windowing
The Step Windowing menu is used for presetting 4 fixed steps for the
contrast window level (L) and width (W). During fluoroscopy, you can
select these steps with the contrast keys on the C-arm stand.
Note
For the subtraction modes, no step windowing is available.
5-18
5 Configuration
Fig. 5-7
Parameter range
The Windowing menu item is used for setting either standard windowing
mode or step windowing mode for the contrast keys on the C-arm stand.
Windowing: Off
The contrast keys on the C-arm stand work in standard windowing
mode.
Windowing: On
The contrast keys on the C-arm stand work in step windowing mode.
The default windowing steps which are activated after power-up can be
programmed for each individual anatomical program under
Configuration Menu Service Settings Filter Factors Organ 0
/ Organ 1 / Organ 2 / Soft ( Ch. 5.5.2.1, p. 5-21).
Default setting
5-19
5 Configuration
5.5.2
Function
Filter factors
The Filter Factors submenu is used for setting different filter factors for
each anatomical program and each subtraction mode in separate
submenus.
Fig. 5-8
Menu item
Anatomical
program
Table 5-2
5-20
Anatomical programs
5 Configuration
Filter types
Fig. 5-9
Parameter values
Filter type
Fluoroscopy mode
Available
parameters
Recursive
filter
Continuous fluoroscopy
Level 0, 1, 2, 3
(= 1, 2, 4, 8 images)
Stack filter
Continuous fluoroscopy
1, 2, 4, 8, 16 images
Edge filter
Continuous fluoroscopy,
Level 0, 1, 2, 3, 4
5-21
5 Configuration
Filter type
Fluoroscopy mode
Available
parameters
Windowing
step
Continuous fluoroscopy,
Continuou
s pulse
Snapshot
Snapshot
1, 2, 4, 8, 16 images
(= stack filter)
1, 2, 4, 8, 16 images
(= stack filter)
Table 5-3
Recursive filter
Stack filter
The stack filter generates and adds the preset number of images after
radiation has been terminated. The higher the preset number of images,
the greater the noise suppression, but also the greater motion blurring if
the patient moves during image generation.
Edge filter
Meaning
Table 5-4
Increasing the level of edge enhancement will also cause any noise in the
image to become more apparent, though.
5-22
5 Configuration
Windowing step
You can adjust these default settings later during operation using the
contrast keys on the C-arm stand.
This setting defines how many images are used for the stack filter in
continuous pulse fluoroscopy mode (overriding the value specified
under Stack filter).
Continuous pulse
This setting defines how many images are used for the stack filter in
snapshot mode (overriding the value specified under Stack filter).
Snapshot
Filter types
Recursive filter
(independent settings for normal view, magnification 1 and
magnification 2)
Stack filter
Edge filter
Fig. 5-10
5-23
5 Configuration
Parameter values
Fluoroscopy mode
Available
parameters
Recursive
filter
Continuous fluoroscopy
Level 0, 1, 2, 3
(= 1, 2, 4, 8 images)
Stack filter
Continuous fluoroscopy
1, 2, 4, 8, 16 images
Edge filter
Continuous fluoroscopy,
Level 0, 1, 2, 3, 4
If the system is equipped with the CO2 option, the values for the following
filters can be programmed for each of the subtraction modes DSA, RSA
and MSA in combination with CO2 negative contrast medium:
Recursive filter
(independent settings for normal view, magnification 1 and
magnification 2)
Stack filter
Edge filter
Fig. 5-11
5-24
5 Configuration
Parameter values
Filter type
Fluoroscopy mode
Available
parameters
Recursive
filter
Continuous fluoroscopy
Level 0, 1, 2, 3
(= 1, 2, 4, 8 images)
Stack filter
Continuous fluoroscopy
1, 2, 4, 8, 16 images
Edge filter
Continuous fluoroscopy,
Level 0, 1, 2, 3, 4
5.5.3
This menu is used for setting initial values for the width (W) and level (L)
of the contrast window. This is done separately for DSA, MSA and RSA.
Function
If the system is equipped with the CO2 option, the initial windowing
values for each individual subtraction mode in combination with CO2 can
be set in addition.
Fig. 5-12
Parameter range
Function key F3 CO2 moves the cursor to the column where the initial
windowing values for the subtraction modes with CO2 negative contrast
medium are set.
5-25
5 Configuration
Function key F3 Normal returns the cursor to the column where the
initial windowing values for the subtraction modes with positive contrast
medium are set.
5.5.4
DICOM settings
CAUTION
The settings in this menu must not be modified by any person other than
an authorized service engineer or a properly trained network
administrator.
This menu is protected by an additional password. If you are an
authorized person, you can obtain the password from your local Ziehm
dealer.
5-26
5 Configuration
Entering special
characters
Storage
information model
XA = X-ray Angiography
CR = Computed Radiography
SC = Secondary Capture
The original images furnished by Ziehm NetPort are of type XA. Since
some servers do not support the XA SOP class, CR and SC are provided
as alternatives.
Under Image attributes included you define which HEDIS filter
algorithms are applied to the DICOM image prior to transfer. By default,
all attributes are set to Off, and the raw image is transferred.
Image attributes
5-27
5 Configuration
Fig. 5-13
5-28
5 Configuration
Storage
information model
XA = X-ray Angiography
CR = Computed Radiography
SC = Secondary Capture
The original images furnished by Ziehm NetPort are of type XA. Since
some servers do not support the XA SOP class, CR and SC are provided
as alternatives.
Under Image attributes included you define which HEDIS filter
algorithms are applied to the DICOM image prior to saving. By default, all
attributes are set to Off, and the raw image is saved.
Image attributes
The DICOM format must have been set as graphics format for saving
images to floppy disk or CD ( Ch. 5.2.10, p. 5-6).
DICOM graphics
format
5-29
5 Configuration
Fig. 5-14
5-30
5 Configuration
Query model
To enable Ziehm NetPort to connect to the Query server for the Retrieve
function, you must enter its AE title, IP address as well as port 104. Use
the same IP address and AE title as in the DICOM Settings Query
Server menu ( Fig. 5-15, p. 5-32).
Network
parameters for
Retrieve
5-31
5 Configuration
Fig. 5-15
The retrieve server settings are entered in the DICOM Settings Retrieve
Server X menu.
If any requested images cannot be found on the query server, Ziehm
NetPort will automatically select the appropriate retrieve server using the
retrieve AE title (which is provided by the query server).
5-32
5 Configuration
Fig. 5-16
5-33
5 Configuration
The DICOM Settings Retrieve Server menu for the selected retrieve
server (1 or 2) is displayed.
Fig. 5-17
5-34
5 Configuration
Search arguments
for Worklist Server
Operators name
5-35
5 Configuration
Fig. 5-18
5-36
5 Configuration
When configuring the MPPS server, you specify only the general network
parameters ( Ch. 5.5.4.1, p. 5-26). The search arguments are
irrelevant for the MPPS server.
MPPS Server
Fig. 5-19
5-37
5 Configuration
Fig. 5-20
5-38
5 Configuration
Returning to the
Worklist server
configuration
In the DICOM Settings MPPS Server menu, place the cursor on the
IP addr. DICOM server menu item.
Press key F4 <.
The DICOM Settings Worklist Server menu appears.
Additional
parameters
5-39
5 Configuration
Film size ID: Here you may specify the film size (default setting: none;
setting options: 8INX10IN, 8_5INX11IN, 10INX12IN, 10INX14IN,
11INX14IN, 11INX17IN, 14INX14IN, 14INX17IN, 24CMX24CM,
24CMX30CM, A4, A3)
Number/Page: Here you may specify how many images you want to
print on one page (default setting: 1, setting options: 1, 2, 4, 6, 9, 12,
15, 20, 24)
Min. Density or Max. Density: Here you define the desired minimum
or maximum print density (default setting: none, setting options 0 ...
65535).
User Configuration: Here you define whether an additional dialog for
making the print settings is displayed or not when the user selects the
DICOM Print function (default setting: Off; setting options: Off, On).
Function: Here you define which function is assigned to function key
F5 NetOutput in the Mosaic menu, Output submenu (default
setting: Print; setting options: Print = DICOM Print, Storage2 =
DICOM Store; Navigation = Navigation for Brainlab)
Print Server 2: Only the Print = DICOM Print function is available.
Configuring print
server 1
5-40
5 Configuration
Fig. 5-21
Configuring print
server 2
5-41
5 Configuration
Fig. 5-22
5-42
5 Configuration
Fig. 5-23
Returning to the
print server 1
configuration
In the DICOM Settings Print Server 2 menu, place the cursor on the
IP addr. DICOM server menu item.
Press key F4 <.
The DICOM Settings Print Server 1 menu appears.
5-43
5 Configuration
Cause(s)
No connection to server
(is displayed in the respective
interface language)
Wrong mergecom.app
Table 5-7
5-44
5 Configuration
Error message
Cause(s)
dicom\pctcp\pctcpsrv.drv file is
incompatible
Network unexpectedly
shutdown [v11]
Message service
unacceptable for this
association [v8]
Wrong mergecom.app
STANDARD_ECHO is missing
Table 5-7
Cause(s)
0xa801
0xC000, 0xC001
Table 5-8
5-45
5 Configuration
RJ45 connection
FO connection
Hardware faults
Error
Remedy
Defective cables
Replace cables
5-46
5 Configuration
5.5.5
System settings
In the System Settings menu, you can set or modify the following
system parameters with the cursor keys:
Vario 3D function
DSA mask
Ambient light sensor
Histogram
Dose area product
File check
Collimators
Language
Fig. 5-24
On a Ziehm 7000 Plus, the Vario 3D function must always be set to Off.
Vario 3D function
If the option Always is set, a new mask image is acquired during each
DSA.
DSA mask
CAUTION
You must always set the Always option under DSA mask.
Under Bri sensor gain you define to which extent the system adjusts the
backlight brightness of the monitors to the ambient light conditions. You
can select a value between 1 (weak gain) and 20 (strong gain).
Ambient light
sensor gain
5-47
5 Configuration
Ambient light
sensor limit value
Under Bri sensor limit you specify a maximum value for the backlight
brightness of the monitors. You can select a value between 0 and 32.
Ambient light
sensor speed
Under Bri sensor speed you define how long it takes to adjust the
backlight brightness of the monitors to changes in ambient light
conditions. You can select a value between 10 s and 60 s.
Histogram
Here you define whether the dose area product is displayed on the live
screen or not.
File check
Here you define whether the system checks the internal image data list
for corrupt files during power-up. Always set the option On here.
Collimator factor
and collimator
offset
Press the left arrow or right arrow key until the actual and the virtual
collimator coincide.
Press key F1 Save.
Press the up arrow key.
The Collimator factor menu item is selected.
Press the open iris collimator key until the collimator is completely
open.
Press the left arrow or right arrow key until the actual and the virtual
collimator coincide.
5-48
5 Configuration
Language
DEUTSCH
ENGLISH
FRANAISE
ITALIANO
ESPAOL
SVENSKA
POLSKI
CZECH
To apply the settings, do the following:
Press key F1 Save.
Switch off the system.
Switch the system back on.
The new settings are valid now.
To discard system settings that have not been applied yet, do the
following:
Press key F2 Cancel.
or
Quit the Service Settings menu without applying the settings.
5.5.6
Monitor calibration
In the Monitor Calibration menu, you set the vertical and horizontal
scaling and position of the screen display using a test image. There are
6 different test images available.
Furthermore, the serial number of the monitor is automatically displayed
in the Monitor Calibration menu.
5-49
5 Configuration
Fig. 5-25
5-50
5 Configuration
5.5.7
HEDIS data
Fig. 5-26
Insert the floppy disk to which you want to upload the HEDIS data into
the floppy disk drive.
Press key F1 Export.
The HEDIS data is uploaded to the floppy disk and saved.
Press the ESC key.
5-51
5 Configuration
Fig. 5-27
Insert the floppy disk with the HEDIS data you want to download to
the system into the floppy disk drive.
Press key F2 Import.
The HEDIS data is downloaded from the floppy disk to the system and
saved.
Press the ESC key.
5.5.8
Software update
To perform a software update, do the following:
In the Service Settings menu, press the up arrow or down arrow
key until the cursor is on the Software update menu item.
Insert the first update disk into the floppy disk drive.
Press the Enter key.
The following confirmation prompt appears:
Do you really want to update? Y/N
5-52
5 Configuration
Fig. 5-28
5-53
5 Configuration
5-54
Technical Data
System
6.1
L 20 A
L16 A
IN 16 A, IAN = 30 mA
IN 16 A, IAN = 30 mA
10 A continuous,
20 A short-time
8 A continuous,
15 A short-time
Internal fusing
20 A quick-blow (2 pcs.)
15 A quick-blow (2 pcs.)
0.6
0.6
Equipment protection
classification
23/31 cm i.i.: 4 m
23/31 cm i.i.: 4 m
15 cm i.i.: 3 m
15 cm i.i.: 3 m
Table 6-1
Technical data Ziehm 7000 Plus and Ziehm 7000 Plus (Compact Version)
6-1
6 Technical Data
Power
Fluoroscopy:
40110 kV / 0.16 mA
40110 kV / 0.26 mA
Direct radiography:
40110 kV / 1820 mA
40110 kV / 20 mA
Operating frequency:
20 kHz
Generator
110 kV / 0.26 mA
110 kV / 0.26 mA
Direct radiography:
110 kV / 8 mA
110 kV / 20 mA
Exposure time:
0.14 seconds
0.14 seconds
Fluoroscopy:
660 W
650 W
Direct radiography:
1980 W
2200 W
Digital radiography:
880 W
880 W
X-ray tube
Image intensifier
4 mm Al
Tube
Scintillator:
Cesium iodide
Nominal sizes:
Table 6-1
6-2
Pb 8/40
Technical data Ziehm 7000 Plus and Ziehm 7000 Plus (Compact Version)
6 Technical Data
Monitors
Flat-screen monitors on
monitor cart
Environmental
conditions
Flat-screen Compact
monitor
During storage
Screen size:
59 cm (23")
Luminance:
600 Cd/m2
Resolution:
Refresh rate:
75 Hz
Screen size:
46 cm (18.1")
Luminance:
600 Cd/m2
Resolution:
Refresh rate:
75 Hz
Screen size:
46 cm (18.1")
Luminance:
600 Cd/m2
Resolution:
Refresh rate:
75 Hz
During operation
Table 6-1
Technical data Ziehm 7000 Plus and Ziehm 7000 Plus (Compact Version)
6-3
6 Technical Data
Dimensions of C-arm
Weight
C-arm stand
Monitor cart
Table 6-1
Source/image receptor
distance:
97 cm
75 cm
C-arm depth:
68 cm
Orbital rotation:
115 / 135 a
Angulation:
225
Swiveling (panning):
10
Horizontal movement:
22 cm
Vertical movement:
43 cm / 63 cm b
Source/image receptor
distance:
97 cm
75 cm
C-arm depth:
68 cm
Orbital rotation:
115 / 135 c
Angulation:
225
Swiveling (panning):
Horizontal movement:
0 cm
Vertical movement:
23 cm
approx. 264 kg
(23 cm i.i.)
approx. 294 kg
(23 cm i.i.)
approx. 307 kg
(23 cm i.i.)
approx. 148 kg
approx. 153 kg
Technical data Ziehm 7000 Plus and Ziehm 7000 Plus (Compact Version)
a.Option, not available for 31 cm i.i. systems and Ziehm 7000 Plus (Compact Version)
b.Option, not available for 31 cm i.i. systems and Ziehm 7000 Plus (Compact Version)
c.Option, not available for 31 cm i.i. systems and Ziehm 7000 Plus (Compact Version)
6-4
6 Technical Data
CAUTION
Temperatures above 40C and relative air humidity above 60% may
cause stains on the printers heat-sensitive paper.
WARNING
On systems which are equipped with Active Cooling, you must empty
the cooling tank in the C-arm stand foot with the help of the two filler and
vent hoses supplied with the system if you expect ambient air
temperatures below 0C.
Refill the cooling tank with water before putting the system into service.
6.2
Laser Class
< 1 mW
635 nm
Tabelle 6-2
6.3
Absorber
2.8 mm Al
Sensitivity
(75 kV; 2.7 mm Al HVL)
pC
800
-------------mGy cm2
Voltage range
(35150) kV
Voltage correction
Aluminum equivalent
< 0.4 mm
Table 6-1
6-5
6 Technical Data
Voltage correction
Absorber: 2.8 mm Al filtration taken into consideration
Correction factor
Fig. 6-1
6-6
6 Technical Data
6.4
7 7
Reference axis
Fig. 6-2
6-7
6 Technical Data
6.5
Dimensions
6.5.1
Fig. 6-3
Fig. 6-4
6-8
6 Technical Data
Fig. 6-5
Fig. 6-6
6-9
6 Technical Data
Fig. 6-7
6.5.2
Fig. 6-8
6-10
6 Technical Data
Fig. 6-9
6-11
6 Technical Data
6-12
Maintenance
7.1
Electrics
WARNING
Maintenance of this system must be carried out by trained personnel
only. Some checks may only be performed by authorized service
engineers. Those checks are marked accordingly.
Power cable
Hand switch
Foot switch
Motorized vertical
travel
Flat-screen monitors
Trained personnel
Monthly
Consistency test
Whenever necessary
Action required
Person in charge
Object
Yearly
7-1
Coupling cable
Swivel harness
Trained personnel
Table 7-1
Monthly
Fluoroscopy modes
Whenever necessary
Action required
Person in charge
Object
Yearly
7 Maintenance
Checks involving
radiation
WARNING
Hand switch
Trained personnel
Foot switch
Table 7-2
7-2
Monthly
Radiation warning
lamp
Whenever necessary
Action required
Person in charge
Object
Yearly
7 Maintenance
Trained personnel
Yearly
Monthly
Fluoroscopy
Whenever necessary
Action required
Person in charge
Object
Slot collimator
Direct radiography
(option)
7-3
7 Maintenance
7.2
Mechanics
WARNING
Maintenance of this system must be carried out by trained personnel
only. Some checks may only be performed by authorized service
engineers. Those checks are marked accordingly.
Trained personnel
C-arm
7-4
Motorized vertical
travel
Table 7-3
Yearly
X-ray generator
Whenever necessary
Action required
Person in charge
Object
Monthly
Yearly
Monthly
Action required
Person in charge
Object
Whenever necessary
7 Maintenance
Steering
Clamping levers of
mechanical brakes
Motorized vertical
travel
Table 7-3
7-5
7 Maintenance
7-6
Replacing Components
8.1
Twist lock
Safety sleeve
of twist lock
Fig. 8-1
Twist lock
Safety sleeve
of twist lock
Strain relief
Fig. 8-2
8-1
8 Replacing Components
8.2
Coupling cable
Coupling cable
connection
Coupling cable
plug
Locking lever
latching on both
sides
Fig. 8-3
8-2
8 Replacing Components
8.3
Fuses
Rating
Art.
No.
Function
slow-blow, 10A
(520mm)
17007
F3
slow-blow, 10A
(520mm)
17007
Supply of U326
heating current
slow-blow, 2A
(520mm)
17006
F4
slow-blow, 4A
(520mm)
17021
F5
slow-blow, 4A
(520mm)
17021
F6
slow-blow, 1A
(520mm)
17019
F7
slow-blow, 1A
(520mm)
17019
F8
slow-blow, 1A
(520mm)
17019
F9
slow-blow, 1A
(520mm)
17019
Rating
Art.
No.
Function
F1
quick-blow, 15A
(6.332mm)
17020
F4
quick-blow, 15A
(6.332mm)
17020
F5
slow-blow, 1A
(520mm)
17019
F7
slow-blow, 100mA
(520mm)
17056
Input of transformer
11080 on U333
F8
slow-blow, 250mA
(520mm)
17001
Output of transformer
11080 on U333
Table 8-1
Table 8-2
Transformer fuses
Fuses on U333
8-3
8 Replacing Components
Rating
Art.
No.
Function
F2
slow-blow, 20A
(6.332mm)
17044
F3
slow-blow, 20A
(6.332mm)
17044
Table 8-3
8-4
Problem Report
9.1
Code
Description
Measures
E 16
Alert
E 17
Alert
E 18
Alert
E 19
Alert
E 20
Error
E 21
Alert
E 22
Alert
Internal fault
E 23
Alert
Internal fault
E 24
Alert
Internal fault
Table 9-1
9-1
9 Problem Report
Code
Type
Description
Measures
E 25
Error
Internal fault
E 26
Error
Internal fault
E 27
Error
Internal fault
E 28
Error
Internal fault
E 29/
E 26
(alternately)
Alert
E 30
Error
Internal fault
E 31
Alert
Internal fault
E 32
Alert
Internal fault
E 33
Error
Internal fault
E 34
Alert
Internal fault
E 35
Alert
Internal fault
E 36
Alert
Internal fault
E 37
Alert
Internal fault
E 38
Alert
Internal fault
E 39
Alert
Internal fault
E 40
Alert
Internal fault
E 41
Alert
Internal fault
E 42
Alert
Internal fault
E 43
Error
E 44
Error
E 51
Error
Internal fault
E 52
Error
Internal fault
Table 9-1
9-2
9 Problem Report
Code
Type
Description
Measures
E 53
Error
Internal fault
E 54
Error
Internal fault
E 55
Error
Internal fault
E 56
Error
Internal fault
E 57
Error
Internal fault
E 58
Error
Internal fault
E 59
Error
Internal fault
E 60
Error
Internal fault
E 61
Error
Internal fault
E 62
Error
Internal fault
E 63
Error
Internal fault
E 64
Alert
Internal fault
E 65
Error
Internal fault
E 90
Alert
Internal fault
E 91
Alert
Internal fault
E 92
Alert
E 93
Error
Internal fault
E100
Error
Internal fault
E101
Alert
E102
Error
Internal fault
E105
Alert
E106
Error
9-3
9 Problem Report
Code
E151
Table 9-1
9.2
Type
Alert
Description
Internal fault
Measures
Please contact after-sales service!
What to do if ...
Situation
Remedy
or
Check whether the I2C bus
cable is connected to the I2C
connector.
or
Check whether the flat-screen
monitors are switched on
(small switches on the back of
the monitors).
or
Table 9-2
9-4
Troubleshooting
10
10.1
Outflow (bottom)
Return flow (top)
Plug 2.1
Water tank
Pump
Fig. 10-1
10-1
10-2
10.2
Note
Always wear cotton gloves when installing, testing or making settings on
flat-screen monitors or touchscreens.
To dismount the flat-screen monitors from the monitor cart base, do
the following:
Remove the rear cover of the monitor cart base.
Remove the rear cover of the flat-screen monitors.
To disconnect the ground wire from the monitor cart base, remove the
nut, withdraw the ground wire from the screw and retighten the nut.
Unplug the video cables and the radiation warning lamp cable from
the image memory module.
Disconnect the power supply units of the flat-screen monitors from the
corresponding connectors for non-heating devices.
Video signal of
left monitor
Video signal of
right monitor
Fig. 10-2
Radiation
warning lamp
connection
Ground wire
Run the following cables from the monitor cart base up into the
monitor housing ( Fig. 10-2, p. 10-3):
2 video cables (golden)
Radiation warning lamp cable
Ground wire
Undo the 4 screws M616 that attach the flat-screen monitors to the
10-3
CAUTION
Never place the flat-screen monitors directly on some surface, always
place them on the transport rack.
Reattach the rear cover of the monitor cart base.
10-4
11
WARNING
Only authorized personnel are allowed to pack or unpack the system.
Authorized personnel are persons who have attended an appropriate
training course provided by the manufacturer.
WARNING
Always observe the general occupational safety and accident
prevention regulations!
WARNING
When handling detergents and solvents, strictly observe the safety
instructions provided by the respective manufacturer!
11.2
Information
Scope of validity
11-1
11.3
Environmental conditions
The system must not be exposed to extreme ambient conditions. The
following minimum/maximum values must not be exceeded during
storage or operation:
Storage:
Temperature: -10 C to +60 C
Relative air humidity: 95%
Operation:
Temperature: +10C to +35C
Relative air humidity: 75%
WARNING
Do not put the system into service at temperatures below 10C!
WARNING
On systems which are equipped with Active Cooling, you must empty
the cooling tank in the C-arm stand foot with the help of the two filler and
vent hoses supplied with the system if you expect ambient air
temperatures below 0C.
If the cooling tank has been emptied, you must refill it with water by
means of the filler and vent hoses before putting the system into service.
CAUTION
Temperatures above 40C and relative air humidity above 60% may
cause stains on the printers heat-sensitive paper.
11-2
11.4
11.4.1 Material
Article
Art. No.
Pallet
26374
66245
56172,
57032
56285
List
65827
56285
65828
56285
65829
56137
65830
56285
Rigid foam
26240
13112
rubber strips
54067
26372
26392
Bubble wrap
Foam rubber
Detergents:
Bioclean
Foam-Cleaner
Nitro solvent
Styrofoam
Table 11-1
Packing material
11-3
Article
Art. No.
11-4
6.03364.1
56232
56285
Table 11-1
Fig. 11-1
Packing material
All systems
Accessories:
Accessory item
Qty.
User Manual
Technical Manual
Video printer
Operating instructions for video printer
Printer paper
1 roll
1 roll
Options
CD writer
CD-R (640 MB)
DICOM
RJ45 interface with Cat.5 patch cable (10 m)
Active Cooling
Filler and vent hose (1.5 m)
Table 11-2
Accessories
11-5
11.5
Fig. 11-2
11.6
Monitor cart
To mount the monitor cart on the pallet, do the following:
Remove the monitor head from the monitor cart base and carefully
place the monitor head on the foam rubber corners or on the transport
rack.
Note
If the monitor head is to be mounted on a transport rack, you do not need
the screws (M616) that held the monitor head to the monitor cart base
( Ch. 10.2, p. 10-3). Put these screws in the accessories box
( Ch. 11.5, p. 11-6).
Place a sufficiently dimensioned piece of wrap foil on the pallet.
11-6
Carefully push the monitor cart onto the pallet using a ramp.
Fig. 11-3
Place a padding on the pallet and put the monitor cart into the position
shown below ( Fig. 11-4) with the help of a second person.
WARNING
Due to the heavy weight of the monitor cart there is a risk that it will tilt
over if not blocked. Therefore never move the unit alone into the position
illustrated, always ask a second person to assist you ( Fig. 11-4)!
Fig. 11-4
11-7
Fasten the transport rack at the bottom plate of the monitor cart using
the four screws provided for that purpose.
Fig. 11-5
Put the monitor cart back into an upright position with the help of a
second person and remove the padding from the pallet.
Position the monitor cart on the pallet as illustrated in Fig. 11-6 (at a
distance of 200mm / 60mm from the pallet margin).
60 mm
200 mm
Fig. 11-6
Attach the transport rack to the pallet using the corresponding wood
screws.
Clean the monitor cart with Bioclean.
11-8
Note
At this point, you must interrupt the monitor cart packing procedure and
prepare the C-arm stand first ( Ch. 11.7, p. 11-9), as the C-arm stand
needs to be connected to the monitor cart and the monitor cart to the
power supply for proper packing ( p. 11-11).
Wrap the monitor cart in foam rubber and bubble wrap.
Attach a foam rubber block on top of the monitor cart.
Foam rubber
block
Fig. 11-7
11.7
C-arm stand
11-9
Fig. 11-8
Jam a 40mm styrofoam block between the image intensifier and the
horizontal carriage.
Styrofoam block
Fig. 11-9
11-10
Fig. 11-10
Fig. 11-11
11-11
WARNING
When you press the hand or foot switch, the system starts to emit
radiation!
Press the UP/DOWN keys to adjust the vertical position of the C-arm
so that retaining bracket 4 can be placed below the C.
Place retaining bracket 3 over the C-arm so that its feet rest on
retaining bracket 4.
Attach retaining bracket 3 to retaining bracket 4 by means of the
corresponding Allen screws, as illustrated in Fig. 11-12.
Press the UP/DOWN keys to adjust the vertical position of the C-arm
so that retaining bracket 4 rests on the pallet.
Bracket 2
Bracket 1
Bracket 3
Bracket 4
Fig. 11-12
Retaining brackets 14
11-12
Fig. 11-13
Jam a foam rubber block between the generator and the monitor cart.
Fig. 11-14
11.8
11-13
Fig. 11-15
Fig. 11-16
11-14
Fig. 11-17
Fig. 11-18
11-15
Fig. 11-19
Secure the cardboard box together with the pallet with plastic straps
as illustrated in Fig. 11-18 and Fig. 11-19.
11-16
Index
A
Accessories 11-5
Options 2-8, 11-5
Alphanumeric keys 5-19, 5-25
Authorized personnel 11-1
Autotransfer 5-3
B
Backup to CD
Data retrieval from CD 5-4
Barcode reader 5-8
Basic settings 5-7
Entering the hospital data 5-8
Erasing storage media 5-8
Re-initializing the barcode reader 5-8
Selecting the live screen 5-7
Setting system time and system date 5-7
C
Cables
Power cable 3-11
C-arm stand
Dimensions 6-8
Dimensions of C-arm stand with lower Carm position 6-9
Illustration 3-10
Mounting on the pallet 11-9
Position on the pallet 11-9
Unpacking 2-4
Weight 6-4
CD recall 5-4
Cine loop
Frame rate 5-5
Length 5-5
CO2 5-4, 5-25
Filter settings 5-24
Initial windowing values 5-25
Configuration 5-1
Configuration Menu 5-1
D
Deleting
Floppy disk 5-8
Hard disk 5-8
NO NAME folder 5-8
DICOM
DICOM format 5-6
Settings 5-26
Dimensions
C-arm stand 6-8
C-arm stand with lower C-arm position 6-9
Monitor cart with 18.1" flat-screen
monitors 6-10
Monitor cart with 23" flat-screen monitor 69
Ziehm Compact 6-10
Ziehm Compact Litho 6-11
Displays
Dose area product 4-2
Temperature symbol 4-1, 9-2
X-ray symbol 4-1
Dose area product (display) 4-2
Reset 4-2
Dose measurement chamber
Technical data 6-5
DSA
Showing or hiding the native image 5-5
DSA + Cine 5-5
DSA native image 5-5
E
Edge filter 5-21, 5-22, 5-24, 5-25
Index
F
F (key) 5-3, 5-4
Filter settings
Edge filter 5-21, 5-22, 5-24, 5-25
Recursive filter 5-21, 5-22, 5-24, 5-25
Stack filter 5-21, 5-22, 5-24, 5-25
Stack filter for continuous pulse 5-23
Stack filter for snapshot 5-23
Windowing step 5-22, 5-23
First power-up of the system 4-1
Flat-screen monitors 6-10
Dimensions of monitor cart 6-9, 6-10
Unpacking 2-3
Focal spot position 6-7
Key ON 4-1
Keys
Alphanumeric keys 5-19, 5-25
L
Laser
Laser Class 1-5
Laser positioning device 1-5
Laser radiation 6-5
Technical data 6-5
Live screen 5-7
M
G
Graphics formats
DICOM 5-6
Selecting 5-6
TIFF 5-6
H
Hospital data
Department 5-8
Doctor 5-8
Hospital name 5-8
I
Illustrations
C-arm stand 3-10
Image swapping
Automatic 5-3
K
Key F 5-3, 5-4
Key MENU 5-1
Key min 4-2
Key OFF 4-1
ii
Maintenance schedule
Electrics 7-1
Mechanics 7-4
Material 11-3
MENU (key) 5-1
Menus
Configuration Menu 5-1
min (key) 4-2
Monitor cart
Dimensions with 18.1" flat-screen
monitors 6-10
Dimensions with 23" flat-screen monitor 69
Mounting on the pallet 11-6
Position on the pallet 11-8
Unpacking 2-6
Weight 6-4
Monitor settings
23" flat-screen monitor 5-8
Flat-screen monitors 5-10
Motion blurring 5-4, 5-22
MSA
Showing or hiding the native image 5-5
N
Noise in the image 5-22
Noise suppression 5-22
Index
P
Packing material 11-3
Pallet
Mounting the C-arm stand 11-9
Mounting the monitor cart 11-6
Packing 11-13
Position of the accessories box 11-6
Position of the C-arm stand 11-9
Position of the monitor cart 11-8
Position of the monitor transport rack 2-3
Unpacking 2-1
Unpacking the C-arm stand 2-4
Unpacking the monitor cart 2-6
Parts to be packed 11-5
Personnel, authorized 11-1
Power cable 3-11
Printer media
Paper 6-5
Protective grounding 1-4
Putting the system into service
Assembling the system 2-1, 3-1
Unpacking the system 2-1, 3-1
R
Radiation controlled area 1-3
Radiation protection
Laser radiation 1-5
X-rays 1-3
Recursive filter 5-4, 5-21, 5-22, 5-24, 5-25
Reset
Dose area product (display) 4-2
RSA
Showing or hiding the native image 5-5
T
Technical data
Dose measurement chamber 6-5
Laser 6-5
Monitors 6-3
Temperature symbol 4-1, 9-2
iii
Index
U
Unpacking the system 2-1, 3-1
User settings 5-2
Activating automatic image swapping 5-3
Combining DSA with a cine loop 5-5
Defining the floppy disk storage format 5-6
Defining the storage format for removable
storage media 5-6
Displaying a crosshair 5-3
Function of the F key 5-4
Selecting the storage medium for data
retrieval 5-4
Setting the cine loop length 5-5
Setting the cine loop speed 5-5
Showing or hiding the native image 5-5
W
Weight
C-arm stand 6-4
Monitor cart 6-4
Ziehm Compact 6-4
Windowing
Initial values for CO2 5-25
Initial values for DSA 5-25
Initial values for MSA 5-25
Initial values for RSA 5-25
X
X-ray symbol 4-1
Z
Ziehm Compact
Cable connections 3-11
Dimensions 6-10
Weight 6-4
Ziehm Compact Litho
Dimensions 6-11
iv