DX-G, DX-M

5170/100
5170/200

User Manual

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ii | DX-G, DX-M | Contents

Contents
Legal Notice .......................................................................... 4
Introduction to this Manual ................................................... 5
Scope .........................................................................6
About the safety notices in this document .................. 7
Disclaimer ................................................................. 8
Introduction .......................................................................... 9
Intended Use ............................................................10
Intended User .......................................................... 10
Configuration .......................................................... 11
System Documentation ............................................12
Training ...................................................................13
Product Complaints ..................................................14
Compatibility ...........................................................15
ADC QS and ADC VIPS Software .................. 15
Compliance ..............................................................16
General ........................................................17
Safety ...........................................................17
Laser Safety ................................................. 17
Electromagnetic Compatibility ..................... 17
Environmental Compliance .......................... 17
Equipment Classification ..............................18
Installation .............................................................. 19
Moving the Digitizer .................................... 21
Mobile Use Installation ................................ 24
Locking the digitizer before transport .......... 25
Unlocking the digitizer after transport ......... 28
Image quality check after transport ..............30
Labels ...................................................................... 31
Product Identification .................................. 32
General ........................................................33
Cassette handling ........................................ 35
Safety Instructions for Laser Products .......... 36
Maintenance and Cleaning .......................................37
Preventive Maintenance by the Service Engineer
..........................................................................38
Maintenance by the User ..............................38
Recurrent safety tests ...............................................45
Patient data security ................................................ 46
Safety Directions ......................................................47
General Safety Instructions .......................... 49
Quality Control ........................................................ 51
Getting started .....................................................................52
Basic Features ..........................................................53
DX‑G/DX-M Features ................................... 54
Operating Modes ......................................... 55

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 DX-G, DX-M | Contents | iii

The User Interface ................................................... 56

Status Indicator ........................................... 56
Starting the Digitizer ............................................... 58
Basic Workflow (Scanning Images) ..........................60
Stopping the digitizer .............................................. 62
Before Switching Off ....................................63
Switching Off .............................................. 64
Advanced Operation ............................................................ 65
Re-erasing an Image Plate ........................................66
Re-routing of an Image ............................................ 68
Turning the Volume of the Digitizer Signals and Beeps On
or Off .......................................................................71
Changing the Brightness of the Touch Panel .............73
Retrieving Information About the Digitizer .............. 75
Troubleshooting and Errors during Operation ..........76
Status Indicator: continuously red ................77
Status Indicator: flashing red ....................... 78
Digitizer does not Start up ........................... 79
Technical Data ..................................................................... 80
Specifications .......................................................... 81
Pixel Matrix Size ...................................................... 85
Connectivity ............................................................ 86
Environmental protection ........................................ 87
Remarks for HF-emission and immunity ..................88
Immunity to RF wireless communication
equipment ................................................... 93
Precautions on EMC .....................................94
Cables, transducers and accessories ............. 95
Maintenance on EMC relevant parts .............96

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4 | DX-G, DX-M | Legal Notice

Legal Notice

0413

Agfa NV, Septestraat 27, B-2640 Mortsel - Belgium

For more information on Agfa products, please visit www.agfa.com.
Agfa and the Agfa rhombus are trademarks of Agfa-Gevaert N.V., Belgium or
its affiliates. DX-G and DX-M are trademarks of Agfa NV, Belgium or one of its
affiliates. All other trademarks are held by their respective owners and are
used in an editorial fashion with no intention of infringement.
Agfa NV makes no warranties or representation, expressed or implied, with
respect to the accuracy, completeness or usefulness of the information
contained in this document and specifically disclaims warranties of suitability
for any particular purpose. Products and services may not be available for
your local area. Please contact your local sales representative for availability
information. Agfa NV diligently strives to provide as accurate information as
possible, but shall not be responsible for any typographical error. Agfa NV
shall under no circumstances be liable for any damage arising from the use or
inability to use any information, apparatus, method or process disclosed in
this document. Agfa NV reserves the right to make changes to this document
without prior notice. The original version of this document is in English.

Copyright 2018 Agfa NV

All rights reserved.

Published by Agfa NV

B-2640 Mortsel - Belgium.

No part of this document may be reproduced, copied, adapted or transmitted

in any form or by any means without the written permission of Agfa NV

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 DX-G, DX-M | Introduction to this Manual | 5

Introduction to this Manual

Topics:

• Scope
• About the safety notices in this document
• Disclaimer

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Scope
This manual contains information for safe and effective operation of the
DX‑GTM/DX-MTM digitizers.

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About the safety notices in this document

The following samples show how warnings, cautions, instructions and notes
appear in this document. The text explains their intended use.
DANGER:
A danger safety notice indicates a hazardous situation of direct,
immediate danger for a potential serious injury to a user,
engineer, patient or any other person.

WARNING:
A warning safety notice indicates a hazardous situation which
can lead to a potential serious injury to a user, engineer, patient
or any other person.

CAUTION:
A caution safety notice indicates a hazardous situation which
can lead to a potential minor injury to a user, engineer, patient
or any other person.

An instruction is a direction which, if it is not followed, can

cause damage to the equipment described in this manual or any
other equipment or goods and can cause environmental
pollution.

A prohibition is a direction which, if it is not followed, can cause

damage to the equipment described in this manual or any other
equipment or goods and can cause environmental pollution.

Note: Notes provide advice and highlight unusual points. A note is

not intended as an instruction.

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8 | DX-G, DX-M | Introduction to this Manual

Disclaimer
Agfa assumes no liability for use of this document if any unauthorized
changes to the content or format have been made.
Every care has been taken to ensure the accuracy of the information in this
document. However, Agfa assumes no responsibility or liability for errors,
inaccuracies or omissions that may appear in this document. To improve
reliability, function or design Agfa reserves the right to change the product
without further notice. This manual is provided without warranty of any kind,
implied or expressed, including, but not limited to, the implied warranties of
merchantability and fitness for a particular purpose.
Note: In the United States, Federal law restricts this device to sale
by or on the order of a physician.

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Introduction
Topics:

• Intended Use
• Intended User
• Configuration
• System Documentation
• Training
• Product Complaints
• Compatibility
• Compliance
• Installation
• Labels
• Maintenance and Cleaning
• Recurrent safety tests
• Patient data security
• Safety Directions
• Quality Control

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Intended Use
This device must only be used to scan exposed X-ray cassettes, containing an
erasable image plate (IP). The digitizer is part of a system, consisting of X-ray
cassettes with erasable phosphor image plates and a workstation where the X-
ray cassettes are identified and the resulting digital image information is
further processed and routed. It is intended that this device is only operated in
a radiological environment by qualified staff.
Related Links
Training on page 13

Intended User
This manual has been written for trained users of Agfa products and trained
diagnostic X–Ray clinical personnel who have received proper training.
Users are those persons who actually handle the equipment and those who
have authority over the equipment.
Before attempting to work with this equipment, the user must read,
understand, note and strictly observe all warnings, cautions and safety
markings on the equipment.
Related Links
Training on page 13

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Configuration
The digitizer is part of a CR system that has the following configuration:
• The digitizer, a digitizer for scan of image plates retaining latent X-ray
images. The digitizer accepts multiple cassettes at a time, to be scanned
sequentially.
• The NX workstation, one or more CR workstations with ID Tablet for
cassette identification, image processing and image transmission of
digitized images received from the digitizer.
• Cassette and plate system: CR HD5.x General, CR HD5.x FLFS, CR HD5.x
AEC, CR HD5.x Extremities, CR MD4.xR General and CR MD4.xR FLFS.
• For DX-M additionally, CR HM5.x Mammo or CR MM3.xR Mammo - mixed
use of both types in one digitizer will not be supported.
• The CR HD5.x General detector, CR HD5.x FLFS detector, CR HD5.x AEC
detector, CR HD5.x Extremities detector, CR MD4.xR General plate and
cassette, CR MD4.xR FLFS plate and cassette, CR HM5.x Mammo detector
and CR MM3.xR Mammo plate and cassette are generically referred to as
‘plates and cassettes’.
Note: The use of CR HD5.0 Extremities cassettes requires a
software version ≥ NIM_2501.

Note: For US DX-M is released in combination with CR HM5.x

Mammo detectors only.

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System Documentation
The documentation consists of following items:
• DX-G and DX-M User Manual.
• DX-G and DX-M Workflow Sheets.
• AGFA CR Detectors, Plates and Cassettes (CR HD5.x, CR MD4.xR, CR
HM5.x, CR MM3.xR) User Manual.
• CR Full Leg Full Spine User Manual (4408).
• NX User Manual (4420).
• CR Mammography System User Manual (2344).
The documentation shall be kept with the system for easy reference.
Technical documentation is available in the product service documentation
which is available from your local support organization.

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Training
The user must have received adequate training on the safe and effective use of
the system before attempting to work with it. Training requirements may vary
from country to country. The user must make sure that training is received in
accordance with local laws or regulations that have the force of law. Your local
Agfa representative can provide further information on training.
Related Links
Intended Use on page 10
Intended User on page 10
Safety Directions on page 47

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14 | DX-G, DX-M | Introduction

Product Complaints
Any health care professional (for example a customer or a user) who has any
complaints or has experienced any dissatisfaction with the quality, durability,
reliability, safety, effectiveness, or performance of this product must notify
Agfa.
If the device malfunctions and may have caused or contributed to a serious
injury, Agfa must be notified immediately by telephone, fax or written
correspondence to the following address:
Agfa Service Support - local support addresses and phone numbers are listed
on www.agfa.com
Agfa - Septestraat 27, 2640 Mortsel, Belgium
Agfa - Fax +32 3 444 7094

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Compatibility
The equipment must only be used in combination with other equipment or
components if these are expressly recognized by Agfa as compatible. A list of
such equipment and components is available from Agfa service on request.
Changes or additions to the equipment must only be carried out by persons
authorized to do so by Agfa. Such changes must comply with best engineering
practices and all applicable laws and regulations that have the force of law
within the jurisdiction of the hospital.
Accessory equipment connected to any interfaces must be certified according
to the respective IEC standards (e.g. IEC 60950 for data processing equipment
or IEC 60601-1 for medical equipment). Furthermore all configurations shall
comply with the requirements for ME systems according to IEC 60601-1.
Everybody who connects additional equipment to the signal input part or
signal output part configures a medical system, and is therefore responsible
that the system complies with the requirements for ME systems according to
IEC 60601-1. If in doubt, consult your local service organization.

ADC QS and ADC VIPS Software

The digitizer must not be connected to any version of the Agfa ADC QS or ADC
VIPS Software.

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Compliance
Topics:

• General
• Safety
• Laser Safety
• Electromagnetic Compatibility
• Environmental Compliance
• Equipment Classification

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General
• The product has been designed in accordance with the MEDDEV
Guidelines relating to the application of Medical Devices and have been
tested as part of the conformity assessment procedures required by
93/42/EEC Medical Device Directive (European Council Directive
93/42/EEC on Medical Devices).
• ISO 13485
• IEC 62366
• IEC 62304
• ISO 14971

Safety
• IEC 60601-1
• UL 60601-1
• AAMI/ANSI ES 60601-1 1st Edition
• CAN/CSA C 22.2 No.60601.1

Laser Safety
• IEC 60825-1

Electromagnetic Compatibility
• IEC 60601-1-2
• FCC Rules 47 CFR part 15 subpart B
• CAN/CSA 22.2 No. 60601-1-2

Environmental Compliance
• WEEE 2012/19/EC
• RoHS 2 Directive 2011/65/EU

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Equipment Classification
This device is classified as following:

Table 1: Equipment classification

Class I equipment Equipment in which protection against electric

shock does not relay on basic insulation only, but
includes a power supply cord with protective earth
conductor. For earth reliability always plug the
main power cord into an earthed mains power out-
let.

Type B equipment Not classified.

The patient does not get in contact with any part of
the equipment.

Water ingress This device does not have protection against in-
gress of water.

Cleaning See section on cleaning and disinfecting.

Disinfection See section on cleaning and disinfecting.

Flammable anesthetics This device is not suitable for use in the presence of
a flammable anesthetic mixture with air, or in
presence of a flammable anesthetic mixture with
oxygen or nitrous oxide.

Operation Continuous operation.

Related Links
Maintenance and Cleaning on page 37

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Installation
CAUTION:
Excessive light falling on the digitizer during operation may
create image artefacts leading to retakes. Do not expose the
digitizer to direct sunlight, max. 2500 Lux.

WARNING:
Do not apply excessive shock or vibration to the digitizer during
operation. This may decrease the image quality. Neither should
the device be moved during operation.

WARNING:
Mechanical shocks or external vibration applied to the digitizer
during mobile use or transport degrades image quality and may
lead to retakes. Take care not to exceed the specified vibration
conditions.
WARNING:
Failure of a protective earth connection can increase the risk of
electric shock. Regularly check the connections of the protective
earth connection of the mains plug. It is recommended to use
and regularly check the second protective earth connector.
WARNING:
Agfa recommends the installation of a UPS (uninterruptible
power supply) for the digitizer to overcome power failures of the
hospital power network and to prevent a resulting image-loss.

Digitizer installation and configuration is performed by an Agfa certified

service engineer.
The digitizer is foreseen to be installed in a stationary and weather protected
location.
In case of an installation in a mobile environment, such as a bus, van, etc, the
manufacturer of the vehicle should ensure that all components of the system
are fixed or can be fixed safely for transport. There is a mobile version of the
digitizer available that provides externally accessible locking systems for the
fixation of the mechanics inside the device.
CAUTION:
The digitizer and the cassette storage shall be protected against
direct radiation in such a way, that the annual dose equivalent
at the place of installation will not exceed 1 mSv/a.

CAUTION:
When installing the digitizer, care must be taken to ensure that
there is either a mains plug or an all-cable disconnecting device
in the internal installation fitted near the digitizer and that it is
easily accessible.

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Topics:

• Moving the Digitizer

• Mobile Use Installation
• Locking the digitizer before transport
• Unlocking the digitizer after transport
• Image quality check after transport

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 DX-G, DX-M | Introduction | 21

Moving the Digitizer

To move the digitizer:

1. Switch off the digitizer.

2. Remove the power plug from the socket.
3. Unplug the ethernet cable.
4. Collect all cables together to prevent them from being crushed when
moving the digitizer.
5. Remove all cassettes from the input and output buffer.
6. Open the right side cover of the digitizer.
Open the eye of the latching and turn the latch through 90° clockwise.

7. Take the tool from the tool box at the inside of the right door.

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22 | DX-G, DX-M | Introduction

8. Insert the tool in the opening and turn the screw counterclockwise, until
the digitizer is lifted up approximately 1,5-2 cm, until you encounter
resistance.

1,5 - 2 cm
0.59 - 0.78 inch

The digitizer is ready to be moved to another location.

9. Move the digitizer to the desired location.
WARNING:
Observe great care when moving the digitizer to the desired
location. So please select a path free from inclinations and
thresholds to prevent the digitizer from shocks during
movement.
10. Once on the desired site, turn the screw clockwise until the digitizer is
fixed on the ground and you encounter resistance.
Now the digitizer is ready for operation.
WARNING:
Operating the digitizer in a not-fixed condition may result in
image artefacts.

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WARNING:
The device has to be lowered to the ground in order to
operate within specification.

11. Put back the tool.

12. Reconnect all electrical connections.
• Reconnect the ethernet cable.
• Plug the power plug into the socket.

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Mobile Use Installation

If the digitizer is installed in a mobile environment, a special mobile version of
the DX-M is available that can be locked by the user for transport and un-
locked again for use.
The locking system consists of two handles on both sides of the digitizer and a
locking mechanism for the scan unit. The locking mechanism for the scan unit
is accessible on the front side of the digitizer and requires a locking tool which
is delivered with the mobile version.

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Locking the digitizer before transport

To lock the digitizer before transport:

1. In the Standby window, click the Configuration button.

The Rerouting window appears.

2. Click the Mobile use button.

Chest1200 VAM1254 T
Leg234 MORLS234
Foot865994 PREVIEWSTAT

3. Wait for the following message to be displayed: “Ready to fix transport

locks. Switch off the digitizer and fix transport locks.”
Switch off the digitizer with the main switch.
4. On the right side of the digitizer, turn the two handles 180° clockwise till
they reach the locked position:

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26 | DX-G, DX-M | Introduction

Table 2: Locked and unlocked position of the handles

Locked Unlocked

5. Repeat the same using the two handles on the left side of the digitizer.
6. Insert the locking tool in the round opening in the front cover.

7. Push the tool towards the end and pull tight clockwise by use of the
ratchet:

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8. Remove the tool. The digitizer is now ready for transport.

WARNING:
If the digitizer is transported without the transport locks
attached the device can be damaged.

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Unlocking the digitizer after transport

To unlock the digitizer after transport:

1. Insert the locking tool in the round opening in the front cover.
2. Push the tool towards the end and turn it counterclockwise till mechanical
resistance can be felt.

3. On the right side of the digitizer, turn the two handles 180°
counterclockwise till they reach the unlocked position:

4. Repeat the same using the two handles on the left side of the digitizer.
5. Switch on the digitizer.

Note:
If the digitizer is switched on without removing the transport lock
on the front side, the following warning message is displayed:

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“Transport locks are attached. Switch off the digitizer and remove
transport locks.”

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Image quality check after transport

The image quality check must be performed after installation of the digitizer
in a mobile environment and is recommended to be repeated after transport.
The check is done with a flat field exposure and should be performed with a
cassette of the largest format used at customer site.

Table 3: Image quality check after transport

X-Ray Exposure conditions

source

General It is recommended to expose the cassette with 2 exposures of 10

radiogra- µGy or 1 mR each. Rotate the cassette 180° after the first expo-
phy sure to compensate for the heel effect.
Typical settings for 10 µGy or 1 mR are:
• 75 kV
• 12 mAs
• 130 cm SID
• large focus
• 1.5 mm Copper filter
Identify the cassette as System Diagnosis GenRad - Flat Field.

Mammog- For Mammography only 1 exposure is needed and no rotation

raphy of the cassette.
Remove the compression paddle before the exposure.
Tape an Aluminum filter at the tube exit.
Insert the cassette in the bucky and make an exposure with the
following settings:
• 28 kV
• 200 mAs
• Mo/Mo
• large focus
• 2.0 mm Aluminum filter
If this leads to an overexposure, the mAs setting can be re-
duced, but it should not be lower than 50 mAs.
Identify the cassette as System Diagnosis Mammo - Flat Field
Mammo.

Check the flat field image on the NX workstation for homogeneity and stripe
artifacts. In case of problems, please inform your local Agfa service
representative.

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Labels
Topics:

• Product Identification
• General
• Cassette handling
• Safety Instructions for Laser Products

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Product Identification
DX-G - Product description

Type of product Floor-mounted buffer digitizer

Commercial name DX-G

Model number 5170/100

Original seller/manufacturer Agfa NV

Septestraat 27
2640 Mortsel
Belgium

DX-M - Product description

Type of product Floor-mounted buffer digitizer

Commercial name DX-M

Model number 5170/200

Original seller/manufacturer Agfa NV

Septestraat 27
2640 Mortsel
Belgium

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General
Always take into account the markings and labels provided on the inside and
outside of the machine. A brief overview of these markings and labels and
their meaning is given below.

Safety warning, indicating that the DX‑G/DX-

M manuals should be consulted before mak-
ing any connections to other equipment. The
use of accessory equipment not complying
with the equivalent safety requirements of
this digitizer may lead to a reduced level of
safety of the resulting system. Consideration
relating to the choice of accessory equipment
shall include:
Use of the accessory equipment in the patient
vicinity,
Evidence that the safety certification of the
accessory equipment has been performed in
accordance with respective IEC standards
(e.g. IEC 60950 for data processing equip-
ment or IEC 60601-1 for medical equip-
ment).
In addition all configurations must comply
with the requirements for medical electrical
systems according to IEC 60601-1. The party
that makes the connections acts as system
configurator and is responsible for complying
with the systems standard.
If required contact your local service organi-
zation.

In order to reduce the risk of electric shock,

do not remove any covers.

Caution hot:
Keep hands clear from the erasure unit.

or

Supplementary protective earth connector:

Provides a connection between the digitizer
and the potential equalization busbar of the
electrical system as found in medical envi-
ronments. This plug should never be unplug-

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34 | DX-G, DX-M | Introduction

ged before the power is turned off and the

power plug has been removed.
It is recommended to use the supplementary
protective earth connection as additional
safety measure.

Do not put your fingers in the input slot of

the digitizer, they can get hurt when caught
between the cassette and the fixation.
Insert the cassette as described in the basic
workflow of the DX‑G/DX-M Workflow
Sheets.

Off (power: disconnection from the mains)

On (power: connection to the mains)

Type label

Figure 1: example of type la-

bel

Date of manufacture

Manufacturer

Serial number

WEEE Symbol

Device contains a transmitter module, see

section

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Cassette handling
Observe great care when handling the cassettes. The needle
image plate is shock sensitive and drops should be avoided.
When the cassette has been dropped, put it aside and con-
tact your local service to check for functionality.

WARNING:
Do not use the detector again, a corrupt detector can damage
the digitizer!

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36 | DX-G, DX-M | Introduction

Safety Instructions for Laser Products

CAUTION! CUIDADO!

CLASS 3B LASER RADIATION: RAYO LASER CLASE 3B:

WHEN OPEN AVOID DIRECT EVITAR LA EXPOSICIÓN AL HAZ
EXPOSURE TO THE BEAM! CUANDO LA TAPA EST Á ABIERTA.

VORSICHT ! ATTENTION!
CLASS 1 LASER PRODUCT
LASERSTRAHLUNG KLASSE 3B: FAISCEAU LASER CLASSE 3B:
APPAREIL A LASER DE CLASSE 1 WENN ABDECKUNG GEÖFFNET QUAND CAPOT OUVERT ÉVITER
NICHT DEM STRAHL AUSSETZEN! DE S´EXPOSER AU RAYÓN!
LASERKLASSE 1

The digitizer is a Class 1 Laser Product. It uses one laser diode of a 80 mW

type, classification class IIIb, wavelength 640-670 nm. The laser beam’s
deflection frequency is 80 1/s up to 170 1/s. The laser beam divergence is
12mrad.
Under normal operating conditions - device with all covers - there can be no
laser radiation outside the digitizer.
The technical concept does not allow the user to remove the top cover.
However, the user is allowed to open the side cover, e.g. to clean the optical
unit or to change an air-filter. When opening the side panel, all motor driven
system movements will be stopped (including the laser).
CAUTION:
User interventions other than those described in this
manual can be hazardous with regard to laser radiation.

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Maintenance and Cleaning

Related Links
Equipment Classification on page 18

Topics:

• Preventive Maintenance by the Service Engineer

• Maintenance by the User

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Preventive Maintenance by the Service Engineer

Regular preventive maintenance needs to be done once a year or after 25000
cycles (whatever comes first). This maintenance can not be done by the user
but has to be done by an Agfa certified field service engineer. Not performing
the regular maintenance by appropriately certified people can have impact on
warranty commitments.

Maintenance by the User

Topics:

• Cleaning and Disinfection

• Cleaning the exterior of the digitizer
• Cleaning the touch panel
• Cleaning the optical unit
• Replacing the air-filter element

Cleaning and Disinfection

All appropriate policies and procedures should be followed to avoid
contamination of the staff, patients and device. All existing universal
precautions should be taken to avoid that the digitizer comes into contact with
potential contaminations. Details about cleaning can be found in the following
pages.
For cleaning and disinfection instructions of the plates and cassettes, refer to
the “AGFA CR Detectors, Plates and Cassettes (CR HD5.x, CR MD4.xR, CR
HM5.x, CR MM3.xR) User Manual”.

Cleaning the exterior of the digitizer

CAUTION:
The cleaning or disinfecting may deteriorate safety provisions of
the digitizer. Remove the power plug from the socket. Switch off
the UPS, if installed. Wipe the exterior of the digitizer with a
clean, soft, damp cloth. Use a mild soap or detergent if required
but never use ammonia-based cleaner.
To clean the exterior of the digitizer:

1. Switch off the digitizer.

2. Remove the power plug from the socket.
Switch off the UPS, if installed.
3. Wipe the exterior of the digitizer with a clean, soft, damp cloth.
Use a mild soap or detergent if required but never use ammonia-based
cleaner.

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WARNING:
Make sure no liquid gets in the device.

CAUTION:
Do not open the digitizer for cleaning. No components inside
the digitizer require cleaning by the user.

4. Plug the power plug into the socket.

Switch on the UPS, if installed.

Cleaning the touch panel

To clean the touch panel:

1. Switch off the digitizer.

2. Remove the power plug from the socket.
Switch off the UPS, if installed.
3. Wipe the touch panel of the digitizer with a clean, soft, damp cloth. Use a
commercially available screen cleaner for monitors to clean the touch
panel.
WARNING:
Do not pour liquid directly on the touch panel.

4. Plug the power plug into the socket.

Switch on the UPS, if installed.

Cleaning the optical unit

The only maintenance action which you must perform is checking the image
quality. Refer to the User Manual of the NX Software.
WARNING:
Dust in the optical unit on the light collecting mirror can create
stripes parallel to the image plate movement within the
digitizer. When you recognize this type of artefact, when using
the digitizer, clean the optical unit using the cleaning brush.

2321G EN 20181126 1428

40 | DX-G, DX-M | Introduction

Figure 2: Image with two artefacts on it, a black line and a white line
WARNING:
Environmental light falling into the digitizer may create image
artefacts leading to retakes. Do not open the digitizer during
operation.
To clean the optical unit:
1. Switch off the digitizer.
2. Remove the power plug from the socket.
3. Open the right side cover of the digitizer.
Open the eye of the latching and turn the latch through 90° clockwise.
Note: In case of a mobile device the upper right lock has to be
locked before the side cover can be opened.

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4. Pull out the cleaning brush until you feel the stop position and put it back
in the digitizer.
Repeat this action 5 times.

5. Close the right side cover.

To close the right side cover, proceed as follows:
• Close the cover.
• Turn the latch through 90° counterclockwise and close the eye of the
latching.
In case of a mobile device, unlock the upper right lock.
6. Plug the power plug into the socket.

Replacing the air-filter element

Note:
It is advised to replace the air-filter element at least once a year.

To change the air-filter element:

1. Switch off the digitizer.

2. Remove the power plug from the socket.
3. Open the right side cover of the digitizer.
Open the eye of the latching and turn the latch through 90° clockwise.
In case of a mobile device, lock the upper right lock before opening the
side cover.

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42 | DX-G, DX-M | Introduction

4. Open the right side door and locate the air-filter element inside the door
opening.
5. Release the 2 clamps (1) to be able to remove the air filter frame (2).

1 3 2

6. Remove the old air-filter element (3).

7. Take-out the new air-filter element.
Contact your Agfa representative to order the air-filter element.
AGFA ordering code: CM+ 9.5170.9855
8. Mount the air-filter element inside the rights side door as illustrated
below.

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 DX-G, DX-M | Introduction | 43

Note:
Mind the air flow arrows imprinted on the air filter when
positioning the air-filter inside the door. The air flow arrows
should always point to the inside of the machine.

9. Put back the air-filter frame.

• Insert the left side of the air-filter frame into the provided holes (4).
• Lock the right side of the air-filter frame using the 2 clamps (5).

4 5

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44 | DX-G, DX-M | Introduction

10. Close the right side cover.

To close the right side cover, proceed as follows:
• Close the cover.
• Turn the latch through 90° counterclockwise and close the eye of the
latching.
In case of a mobile device, unlock the upper right lock.
11. Plug the power plug into the socket.

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 DX-G, DX-M | Introduction | 45

Recurrent safety tests

The device shall be tested according to IEC 62353* in a time interval of at
least 36 months or less if local regulations are different.
* Medical electrical equipment – Recurrent test and test after repair of medical
electrical equipment.

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46 | DX-G, DX-M | Introduction

Patient data security

The user must ensure that the patients’ legal requirements are met and that
the security of the patient data is guarded.
The user must define who can access patient data in which situations.
The user must have a strategy available on what to do with patient data in
case of a disaster.

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Safety Directions
WARNING:
Safety is only guaranteed when an Agfa certified field service
engineer has installed the product.

WARNING:
Improper changes, additions, maintenance or repair of the
equipment or the software can lead to personal injury, electrical
shock and damage to the equipment. Safety is only guaranteed
when changes, additions, maintenance or repairs are carried out
by an Agfa certified field service engineer. A non certified
engineer performing a modification or service intervention on a
medical device, acts on his own responsibility and makes the
warranty void.
WARNING:
Device failure and image loss can cause a need to retake the
image or cause delayed diagnosis. Perform no other operations
on the digitizer than those described in this document.

WARNING:
The user is responsible for judging image quality and controlling
environmental conditions for diagnostic softcopy or print
viewing.

WARNING:
Operation outside of the specified environmental conditions
may lead to deterioration of image quality. For best results, keep
the environmental conditions within these specifications.

WARNING:
The user must follow the hospital quality assurance procedures
for covering the risks resulting from errors in the image
processing

WARNING:
To avoid risk of electric shock, this equipment must only be
connected to a supply mains with protective earth.

WARNING:
The following actions may lead to serious risk of injury and
damage to the equipment as well as making the warranty
void:
Changes, additions or maintenance to the Agfa products carried
out by persons without appropriate qualifications and training.

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Using unapproved spare parts

WARNING:
To avoid images being lost due to a power failure, the
workstation and the digitizer have to be connected to an
uninterruptable power supply (UPS) or an institutional standby
generator.
WARNING:
System unavailability due to hardware or software failure. If the
product is used in critical clinical workflows, a backup system
has to be foreseen.

WARNING:
The user must be aware that any error (crash / lock up) leading
to an image processing failure can cause loss of diagnostic
information.

WARNING:
If there is any visible damage to the machine casing, do not start
nor use the digitizer.

WARNING:
Do not override or disconnect the integrated safety features.

WARNING:
Switch off the digitizer before performing any maintenance
work or repairs. Disconnect the digitizer from the mains before
making repairs or performing any maintenance activities during
which live electrical components may be exposed.
CAUTION:
Switch the system off before moving it. When reaching the new
position, fix the digitizer in place and switch the system on
again.

CAUTION:
Strictly observe all warnings, cautions, notes and safety
markings within this document and on the product.

CAUTION:
All Agfa medical products must be used by trained and qualified
personnel.

CAUTION:
Make sure that the digitizer is constantly monitored in order to
avoid inappropriate handling, especially by children.

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CAUTION:
Position the digitizer so that it is possible to disconnect the
mains power connection if required.

WARNING:
This device is intended for use by healthcare professionals only.
This device may cause radio interference or may disrupt the
operation of nearby equipment. It may be necessary to take
mitigation measures, such as re-orienting or relocating the
device or shielding the location.
CAUTION:
If you notice conspicuous noise or smoke, disconnect the
digitizer immediately.

CAUTION:
While every care has been taken, it is possible that minor errors
still exist in the product. It is unlikely that a minor error could
result in incorrect (unexpected) device operation.

Related Links
Training on page 13

General Safety Instructions

• Only service personnel with certified Agfa training must make repairs.
Only authorized service personnel must make changes to the digitizer.
• As is the case for all technical devices, the digitizer must be operated,
cared for and serviced correctly.
• If you do not operate the digitizer correctly or if you do not have it serviced
correctly, Agfa is not liable for resulting disturbances, damages or injuries.
• Do not pour water or any other liquid over the device.
Note:
The DX-M only supports one type of mammography plates and
cassettes at a time. It has to be decided to use either CR HM5.x or
CR MM3.xR.

• The digitizer complies with the EN60601-1 and UL 60601-1 standards for
Medical Electrical Equipment. This means that, although it is absolutely
safe, patients may not come in direct contact with the equipment.
Therefore the operator console must be placed outside the radius as listed
below around the patient (according to the local valid regulation).
1
2

2321G EN 20181126 1428

50 | DX-G, DX-M | Introduction

1. R = 1.5 m/4.9 feet (EN 60601-1) or 1.83 m/6 feet (UL 60601-1).
2. h = 2.5 m/8.2 feet (EN 60601-1) or 2.29 m/7.5 feet (UL 60601-1).
Figure 3: Patient environment
• The digitizer is suitable for use in all establishments other than domestic,
and may be used in domestic establishments and those directly connected
to the public low-voltage power supply network that supplies buildings
used for domestic purposes, provided the warning concerning radio
interference in the paragraph ‘Safety Directions’ is heeded.

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 DX-G, DX-M | Introduction | 51

Quality Control
WARNING:
Regular Quality Control has to be applied according the local
regulations. If no specific regulations are valid, a regular quality
control applied with the Agfa Auto QC² tool at least once a
month is required to maintain a safe and effective system.
WARNING:
For Mammography, constant quality control can be applied with
the Agfa Auto QC Mammo tool or with the “Routine Quality
Control Tests for Full Field Digital Mammography Systems”
document, created by the NHSBSP (National Health Service
Breast Screening Program, UK).

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52 | DX-G, DX-M | Getting started

Getting started
Topics:

• Basic Features
• The User Interface
• Starting the Digitizer
• Basic Workflow (Scanning Images)
• Stopping the digitizer

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 DX-G, DX-M | Getting started | 53

Basic Features
Topics:

• DX‑G/DX-M Features
• Operating Modes

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54 | DX-G, DX-M | Getting started

DX‑G/DX-M Features
The digitizer reads out the latent X-ray images on image plates and sends
them to the workstation.
• The digitizer has an input and output buffer for 5 cassettes. Consecutively
on each cassette in the buffer, the digitizer:
• takes the cassette from the input buffer in the digitizer.
• locks the cassette containing the image plate in the cassette slot,
• removes the image plate from the cassette,
• scans the image plate,
• converts the information of the latent image to digital data,
• erases the image plate and re-inserts it into the cassette,
• gives the image plate ID data the status 'erased',
• unlocks the cassette,
• transmits the digital image data to the workstation.
• pushes the processed cassette into the output buffer.
• permits re-routing of images to another workstation (limited
demographic data of the image).
• The digitizer permits re-erasing an image plate before reusing it. In
specific cases, this is necessary to prevent ghost images caused by previous
exposures or scattered radiation from interfering with the image of
interest.
Related Links
Re-erasing an Image Plate on page 66

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 DX-G, DX-M | Getting started | 55

Operating Modes
The digitizer can be operated in two modes:
Topics:

• Operator Mode
• Service Mode

Operator Mode
The operator mode groups all basic functions which are aimed at
radiographers:
• Re-erasing an image plate.
• Rerouting of images.
• Retrieving information with the information button.
• Changing touch panel properties (brightness and loudness of beeper).
All functions of the operator mode are described in this manual.

Service Mode
The service mode functions are reserved for trained service personnel. They
are password protected, and they are described in a separate document.

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56 | DX-G, DX-M | Getting started

The User Interface

The digitizer has two operation modes:
• the operator mode for basic operation,
• the service mode reserved for trained service personnel.
The functions of the operator mode are described in this manual.
The digitizer interfaces with the user via:
• a touch panel which enables access to all functions,
• a status indicator.

1. Status indicator.
2. Touch panel.
3. On/Off switch (main switch).
4. Ethernet connection (located at the rear side).
Figure 4: User interface

Status Indicator
The indicator informs the user by light signals about the status of the digitizer
(e.g. image plate erasing cycle progress, operational indications such as warm
up,...). It is positioned at the front of the digitizer, so that it is visible from a
distance.

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 DX-G, DX-M | Getting started | 57

Color Constant/ Status Action

Flashing

Blue Constant Activating the era- Enter cassettes into the input
sure cycle. buffer for erasing.

Flashing Proceeding with the Remove cassettes from the out-

erasure cycle. put buffer.

Green Constant Stand-by mode

(READY).

Flashing Busy with scanning Enter cassettes into input buffer

and transporting cas- for scanning.
sette and image
Remove cassettes from output
plate.
buffer.

Red Constant Service mode Check digitizer touch panel and

workstation display for further
information and detailed in-
structions.
Fatal error Contact an Agfa certified service
engineer.

Flashing • Warm up / Self- Check digitizer touch panel and

test workstation display for further
• Processing Soft- information and detailed in-
ware down structions.
• Error

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58 | DX-G, DX-M | Getting started

Starting the Digitizer

Procedure:

1. Make sure the digitizer is connected to a workstation and that the

workstation is running the appropriate NX Software.
2. Make sure that the power plug is plugged into the socket.
3. Remove cassettes from the input buffer and input slot of the digitizer.
4. Press the main switch.

• Main switch
The Start Up screen is visible on the Touch panel:

The digitizer starts the following operation sequence:

2321G EN 20181126 1428

 DX-G, DX-M | Getting started | 59

• initialization of all components,

• functional test of all components,
• check for presence of cassettes and/or IPs.
During the warm-up and self-test, which may take up to 3 minutes, the
digitizer status indicator is flashing red.
Note:
During the self-test, you cannot activate any functions.

If the digitizer has completed the self-test successfully, the digitizer enters
the operator mode and the status indicator is continuously lighting up in
green. The Standby screen is shown:

Note:
The brightness of the touch panel is temporarily reduced after
not being used for a while.

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60 | DX-G, DX-M | Getting started

Basic Workflow (Scanning Images)

Note: The basic workflow is described in the DX-G/DX-M Workflow
Sheets.

Workflow:

1. Identify the cassette with the ID Tablet and on a workstation.

2. Check that the digitizer is ready for operation.
The status indicator must be continuously lighting up green or green
flashing.
3. Put the cassettes with the exposed and identified image plates in the input
buffer on the left side of the digitizer.
There can be up to five cassettes in the input buffer.
WARNING:
Do not apply excessive shock or vibration to the digitizer, for
example dropping of cassettes into the buffer during
operation. This may decrease the image quality. Lower
cassettes gently into the buffer.
4. Be aware of the orientation of the cassettes:

1. Tube side must be faced to the operator.

2. The shutter opening mechanism and locking mechanism must be
pointed down, to the slot of the digitizer.
Figure 5: Cassette orientation

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 DX-G, DX-M | Getting started | 61

5. The cassettes are digitized subsequently:

• The status indicator is green and blinking.
• The digitizer stores images to disk.
• The digitizer erases cassettes.
The progress of the digitizing is shown, per cassette, on the touch panel:

6. Take the processed cassettes from the output buffer on the right side.
When the digitizer has finished, the status indicator is continuously
lighting up in green.

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62 | DX-G, DX-M | Getting started

Stopping the digitizer

Topics:

• Before Switching Off

• Switching Off

2321G EN 20181126 1428

 DX-G, DX-M | Getting started | 63

Before Switching Off

Check that the digitizer is not scanning an image plate. If the digitizer is
scanning an image plate, the status indicator is flashing green.

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64 | DX-G, DX-M | Getting started

Switching Off
It is recommended to switch off the digitizer at the end of the day.
Note:
Only switch off the digitizer if you do not intend to digitize
emergency image plates overnight. Switching on the digitizer takes
approximately 3minutes. During this time emergency digitizing is
not possible!
To switch off, press the main switch to the Off (“0”) position.

• Main switch

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 DX-G, DX-M | Advanced Operation | 65

Advanced Operation
Topics:

• Re-erasing an Image Plate

• Re-routing of an Image
• Turning the Volume of the Digitizer Signals and Beeps On or Off
• Changing the Brightness of the Touch Panel
• Retrieving Information About the Digitizer
• Troubleshooting and Errors during Operation

2321G EN 20181126 1428

66 | DX-G, DX-M | Advanced Operation

Re-erasing an Image Plate

At the end of a digitizing cycle, the digitizer returns an erased image plate.
WARNING:
In specific cases, you must re-erase the image plate before re-
using it in order to prevent ghost images from interfering with
the image of interest.

• GenRad: If the image plate has not been used for more than 48 hours.
• Mammography: If the image plate has not been used for more than 24
hours.
• If an image plate has been exposed to an exceptionally high X-ray dose. In
this case, deep layers of the image plate may still retain a latent image
after standard erasure. Leave the image plate to rest at least one day
before re-erasing it.

To re-erase an image plate:

1. Check that the digitizer is ready for operation:

The status indicator is continuously lighting up in green.
2. Press the Erase button on the touch panel at the front side of the digitizer.

The digitizer switches to erase mode.

The status indicator is continuously lighting up in blue.
3. Put the cassettes containing the image plate on the cassette buffer [1] of
the digitizer as shown below.

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 DX-G, DX-M | Advanced Operation | 67

Make sure to insert the cassette with the black (tube) side to the front and
with the shutter opening mechanism and the locking mechanism down,
towards the cassette slot.

1. Tube side must be faced to the operator.

2. The shutter opening mechanism and locking mechanism must be
pointed down, to the slot of the digitizer.
Figure 6: Cassette orientation

As a result, the digitizer starts erasing the image plate and the status
indicator is blue flashing.
When the digitizer has finished erasing the cassette, the status indicator is
constantly lit in blue.
4. Remove the cassette with the erased image plates from the cassette output
buffer.
5. Press the Erase button again to switch to normal mode.
One minute after the last cassette has been processed, the digitizer
switches from “erasure” mode to “normal mode”.

Note:
To re-erase an image plate, you must push the Erase button at the
front side before you insert the cassette. After that, you have 10
seconds to enter a cassette. If you do not, the digitizer returns to the
standby mode.
Related Links
DX‑G/DX-M Features on page 54

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68 | DX-G, DX-M | Advanced Operation

Re-routing of an Image
Normally, an image is sent to the workstation where it was identified. But in
case of transmission problems, the image can be rerouted on the digitizer and
sent to an alternative workstation.
WARNING:
The demographic data selected during original
identification are lost. On the new workstation, the
demographic data have to be filled in manually.

To reroute an image

1. In the Standby window, click the Configuration button.

The Rerouting window appears.

2321G EN 20181126 1428

 DX-G, DX-M | Advanced Operation | 69

Ches t1200 VAM1254 T

Leg234 MORLS234
Foot865994 PREVIEWSTAT

1 2 3

1. Image UID.
2. Workstation.
3. Status: T - Transmitting (the digitizer is busy transmitting the image) /
W - Warning (the image transmission has failed; manual re-
transmission to a new workstation necessary) / Q - Queued (the image
is in the transmission queue; a manual transmission to another
workstation is possible).
2. Select the image you want to reroute.

Ches t1200 VAM1254 T

Leg234 MORLS234
Foot865994 PREVIEWSTAT

3. Click the Destinations button.

The following window appears.

2321G EN 20181126 1428

70 | DX-G, DX-M | Advanced Operation

VAM1254
MORLS234
PREVIEWSTAT
MORWF452
MORWF475
HOUSE M.D.
E.R.
GRACE ANATOMY
AGFA
UZA 452
MY OFFICE

4. Select the new workstation and confirm by clicking the Confirm button.

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Turning the Volume of the Digitizer Signals and Beeps

On or Off
You can turn the volume of digitizer signals and beeps on or off.
To turn the volume on or off:
1. In the Standby window, click the Configuration button.

The Configuration window appears:

Ches t1200 VAM1254 T

Leg 234 MORLS234
Foot865994 PREVIEWSTAT

2. Click the brightness/loudness button.

The following window appears.

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72 | DX-G, DX-M | Advanced Operation

3. Do one of the following:

•

Turn the volume on.

•

Turn the volume down.

As a result the selected button lights up in blue.

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Changing the Brightness of the Touch Panel

You can change the brightness of the touch panel on the digitizer.
To change the brightness:

1. In the Standby window, press the Configuration button.

The Configuration window appears:

Ches t1200 VAM1254 T

Leg 234 MORLS234
Foot865994 PREVIEWSTAT

2. Click the brightness/loudness button.

The following window appears.

2321G EN 20181126 1428

74 | DX-G, DX-M | Advanced Operation

3. In the Brightness section on the lower part of the Configuration window,

use the + or - buttons to adjust the brightness.

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Retrieving Information About the Digitizer

To retrieve information:

1. In the Standby window, press the Information button.

The Information window appears, showing the IP Address, Name,

Software version and name of the primary NX workstation:

2. Click the Confirm button to go back to the Standby window.

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Troubleshooting and Errors during Operation

The troubleshooting for a malfunction of the digitizer consists of three parts:
• The first is always to check the status indicator on the digitizer: during
errors it will continuously lighting up in red or flashing red.
• The second is checking why the digitizer does not start-up.
• Finally you can check the connection to the NX workstation.

Topics:

• Status Indicator: continuously red

• Status Indicator: flashing red
• Digitizer does not Start up

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Status Indicator: continuously red

If the status indicator is continuously lighting up in red, your digitizer deals
with a fatal error.
Proceed as follows:

1. Do not try to solve this problem.

2. Contact immediately your Agfa certified service engineer for more
information.

Figure 7: Example fatal error (status indicator continuously red)

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Status Indicator: flashing red

If the status indicator is flashing red, your digitizer deals with an error that
can be remedied by the operator. Always follow the instructions that appear
on the touch panel.
For example; if you wrongly insert the cassette, with the exposed and
identified image plate, in the input buffer, the following instructions will
appear on the touch panel:
Proceed as follows:

1. Put the cassettes with the exposed and identified image plates wrongly in
the input buffer on the left side of the digitizer.
2. As a result, the digitizer moves the cassette into the intermediate position
and the following error message appears.

Figure 8: Example remediable error (status indicator flashing red)

3. Click the Confirm button.
4. Remove the cassette from the output buffer.
Now you can re-enter the cassette correctly.

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Digitizer does not Start up

If the digitizer does not start up, check the power supply, wall socket and
safety fuse.
If the power supply is ok, call your local Service engineer.

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Technical Data
Topics:

• Specifications
• Pixel Matrix Size
• Connectivity
• Environmental protection
• Remarks for HF-emission and immunity

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Specifications
Dimensions

Max. Height 1229mm (48.4 inch)

Max Floor space WxD 660mm x 510mm (26.0inch x 20.1inch)

Max Projected Floor space 1150mm x 510mm (45.3inch x 20.1inch)

WxD

Weight

Unpacked approximately 180.0kg (396.8 lb)

Buffer

Input/output cassette buffer 5 cassettes

Integrated data buffer If the connection to the workstation is inter-

rupted (e.g. workstation is shut off), the
digitizer will finish actual scanning-job and
temporary store the image until the connec-
tion to the NX workstation is re-established.
A new cassette will only be accepted if the
previous transmission job has been finished.

Greyscale resolution

Output to workstation 16 bits/pixel square root compressed

Electrical connection

Operating voltage Autosensing power supply from: 100Vto

240V, AC +/-10%

Operating current 6.3 A (100 - 120 V)

2.6 A (220 - 240 V)

Mains fuse protection Europe: 16A

USA Japan: 15A

Mains frequency 50-60Hz

Network connectivity

Ethernet connector

Power consumption (typical values)

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220V - 240V / 50-60Hz configuration

Standby 87W
Average continuous scanning 237W
During scanning 590W max.

100V - 120V / 50-60Hz configuration

Standby 92W
Average continuous scanning 245W
During scanning 621W max.

Environmental conditions (during operation)

In line with IEC721-3-2: 2M2 and 2K2 with following restrictions:

Room temperature Agfa CR HM5.x Mammo: between

+20°Cand+30°C (68 - 86°F)
Other plates and cassettes: between
+15°Cand +30°C (59 - 86°F)

Maximum temperature max. 0.5°C/min (0.9°F/min)

change rate

Relative humidity between 15%and75% (non-condensing)

Light no exposure to direct sunlight, max.

2500Lux

Environmental conditions (during storage)

Room temperature between -25 °C and 55 °C

Relative humidity between 10% and 95%

Barometric pressure between 70 kPa and 106 kPa

Environmental conditions (during transport)

Room temperature between -25 °C and 55 °C

Relative humidity maximum 85%

Barometric pressure minimum 70 kPa

Environmental conditions for mobile installation (during transport)

In line with IEC721-3-5: 5M1 and 5K1 with following restrictions:

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Room temperature between 10 °C and 40 °C

Environmental conditions for mobile installation (during operation)

In line with IEC721-3-3: 3M1 and 3K2 with following restrictions:

Room temperature Agfa CR HM5.x Mammo: between

+20°Cand+30°C (68 - 86°F)
Other plates and cassettes: between
+15°Cand +30°C (59 - 86°F)

Relative humidity between 15%and75% (non-condensing)

Vibration 40 - 200 Hz; 1 m/s²; sinusoidal vibration

Barometric pressure/altitude

Highest pressure 106 kPa (at sea level)

Lowest pressure 70 kPa (3000 m above sea level)

Warming-up time

Cold start 3min.

Physical emissions

Noise emission (sound power level according to ISO7779)

During scanning max. 65dB(A)

Standby max.45dB(A)

Heat emission per hour (typical values)

During continuous operation 245 Wh / 836 BTU

(with standard erasure time)

Standby 92Wh / 314BTU

RFID reader
Frequency 13.56 MHz
Bandwidth 14 kHz
Maximum power 290 pW
Protocol MIFARE

Plates and cassettes

Compatible cassette/IP types Agfa CR HD5.x General, FLFS, AEC, Ex-

DX-G tremities.

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84 | DX-G, DX-M | Technical Data

Agfa CR MD4.xR General, FLFS.

Compatible cassette/IP types Agfa CR HD5.x General, FLFS, AEC, Ex-

DX-M tremities.
Agfa CR MD4.xR General, FLFS.
Agfa CR HM5.x Mammo.
Agfa CR MM3.xR Mammo.

Throughput (using the default erasure cycle)

The cassette throughput • 35 x 43SR (HD5.x/MD4.xR): 83

(plates/hour) depends on the • 35 x 43HR (HD5.x/MD4.xR): 72
cassette format and is based
• 35 x 35SR (MD4.xR): 83
on the standard image plate
• 35 x 35HR (MD4.xR): 71
erase dose.
• 24 x 30 (HD5.x): 85
• 24 x 30 (HD5.x Extremities): 43
• 24 x 30 (MD4.xR): 83
• 18 x 24 (HD5.x): 93
• 18 x 24 (HD5.x Extremities): 51
• 18 x 24 (MD4.xR): 90
• 15 x 30 (HD5.x): 100
• 15 x 30 (MD4.xR): 97
• 24 x 30 (HM5.x): 41
• 24 x 30 (MM3.xR): 40
• 18 x 24 (HM5.x): 49
• 18 x 24 (MM3.xR): 48

End of Life

Estimated product life (if reg- 7 yrs.

ularly serviced and main-
tained according to Agfain-
structions)

Preventive maintenance

Preventive maintenance fre- Once a year or 25000 cycles, whatever

quency. comes first.
Needs to be done by an Agfa
certified field service engi-
neer.

BTU: British Thermal Unit

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Pixel Matrix Size

Cassette type Format Resolu- Width x Width x
(cm) tion Length (pix- Length (mm)
(pixel/ els)
mm)

CR MD4.0R Gen- 35x43 HR 10 4248 x 3480 424.8 x 348.0

eral
35x35 HR 10 3480 x 3480 348.0 x 348.0

35x43 SR 6.66 2832 x 2320 424.8 x 348.0

35x35 SR 6.66 2320 x 2320 348.0 x 348.0

24x30 10 2928 x 2328 292.8 x 232.8

18x24 10 2328 x 1728 232.8 x 172.8

15x30 10 2928 x 1440 292.8 x 144.0

CR MD 4.0R FLFS 35x43 10 4392 x 3480 439.2 x 348.0

CR HD5.0 Gener- 35x43 HR 10 4200 x 3408 420.0 x 340.8

al/AEC
35x43 SR 6.66 2800 x 2272 420.0 x 340.8

24x30 10 2880 x 2256 288.0 x 225.6

18x24 10 2280 x 1656 228.0 x 165.6

15x30 10 2880 x 1344 288.0 x 134.4

CR HD5.0 FLFS 35x43 10 4368 x 3408 436.8 x 340.8

CR HD5.0 Extrem- 24x30 20 5760 x 4512 288.0 x 225.6

ities
18x24 20 4560 x 3312 228.0 x 165.6

CR MM3.xR Mam- 24x30 20 5844 x 4710 292.2 x 235.5

mo
18x24 20 4644 x 3510 232.2 x 175.5

CR HM5.x Mam- 24x30 20 5844 x 4708 292.2 x 235.4

mo
18x24 20 4644 x 3508 232.2 x 175.4

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Connectivity
The digitizer is connected to one or more NX workstations via an ethernet
connection and uses a dedicated protocol to communicate with the
workstation.

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Environmental protection

Figure 9: WEEE symbol

Li
Figure 10: Battery symbol

WEEE end user notice

The directive on Waste Electrical and Electronic Equipment (WEEE) aims to
prevent the generation of electric and electronic waste and to promote the
reuse, recycling and other forms of recovery. It therefore requires the
collection of WEEE, recovery and reuse or recycling.
Due to the implementation into national law, specific requirements can be
different within the European Member States. The WEEE symbol on the
products, and/or accompanying documents means that used electrical and
electronic products should not be treated as, or mixed with general household
waste. For more detailed information about take-back and recycling of this
product please contact your local service organization and/or dealer. By
ensuring this product is disposed of correctly, you will help prevent potential
negative consequences for the environment and human health, which could
otherwise be caused by inappropriate waste handling of this product. The
recycling of materials will help to conserve natural resources.

Battery notice
The battery symbol on the products, and/or accompanying documents means
that the used batteries should not be treated as, or mixed with general
household waste. The battery symbol on batteries or its packaging may be
used in combination with a chemical symbol. In cases where a chemical
symbol is available it indicates the presence of respective chemical substances.
If your equipment or replaced spare parts contain batteries or accumulators
please dispose of them separately according to local regulations.
For battery replacements please contact your local sales organization.

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88 | DX-G, DX-M | Technical Data

Remarks for HF-emission and immunity

It is hereby certified that the digitizer has interference suppression according
to the EN 55011 Class A as well as the FCC Rules CR47 Part 15 Class A.
This device was tested for a normal hospital environment as described above.
The user of the device should ensure that it is used in such an environment.
This equipment has been tested and found to comply with the limits for a
Class A digital device, pursuant to part 15 of the FCC Rules. These limits are
designed to provide reasonable protection against harmful interference when
the equipment is operated in a commercial environment. This equipment
generates, uses and can radiate radio frequency energy and, if not installed
and used in accordance with the instruction manual, may cause harmful
interference to radio communications. Operation of this equipment in a
residential area is likely to cause harmful interference in which case the user
will be required to correct the interference at his own expense.
WARNING:
This device is intended for use by healthcare professionals only.
This device may cause radio interference or may disrupt the
operation of nearby equipment. It may be necessary to take
mitigation measures, such as re-orienting or relocating the
device or shielding the location.
WARNING:
The HF-emission and immunity can be influenced by connected
data cables depending on length and the manner of installation.

This device is intended for operation in the electromagnetic environment

given below. The user of the device should ensure that it is used in such
an environment.

RF Emission Agree- Electromagnetic Environment Guidelines

Measurements ment

High frequency Group 1 The device uses high frequency energy exclu-
RF emissions in sively for its internal functions. For this reason,
accordance with its high frequency RF emission is very low and
CISPR 11 it is improbable that neighboring electronic
equipment will be disrupted.

High frequency Class A The emissions characteristics of this equipment

RF emissions in make it suitable for use in industrial areas and
accordance with hospitals (CISPR 11 class A). If it is used in a
CISPR 11 residential environment (for which CISPR 11
class B is normally required) this equipment
might not offer adequate protection to radio-

2321G EN 20181126 1428

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Harmonic emis- Class A frequency communication services. The user

sion in accord- might need to take mitigation measures, such
ance with IEC as relocating or re-orienting the equipment.
61000-3-2

Voltage fluctua- Fulfilled

tions / flickering
in accordance
with IEC
61000-3-3

The device is used in a professional healthcare / radiological environment as

well as mobile environment, like a bus or a truck. Environmental conditions
are stated in the user manual.
This device was tested for a professional healthcare environment as described
above. Nevertheless the HF-emission and immunity can be influenced by
connected data cables depending on length and the manner of installation.

Resistance to Jam- Test level of profes- Electromagnetic Environ-

ming Test sional medical ment Guidelines
equipment and ba-
sic EMC standards

Discharge of static + 8 kV contact dis- Floors should consist of

electricity in accord- charge wood, concrete or ceramic
ance with IEC tiles. The relative humidity
+ 2, 4, 8, 15 kV air
61000-4-2 must be at least 30%, if the
discharge
floor is made of synthetic
material.

Fast transient electri- + 2 kV mains The quality of the voltage

cal disturbance varia- supplied should correspond
+ 1 kV data lines
bles / bursts in accord- to a typical commercial or
ance with IEC clinical environment.
61000-4-4

Impulse voltages + 1 kV line-line volt- The quality of the voltage

(surges) in accordance age supplied should correspond
with IEC 61000-4-5 to that of a typical commer-
+ 2 kV line-ground
cial or clinical environment.
voltage

Voltage breakdown, • 0% Ur for ½ peri- The quality of the voltage

short term interrup- od supply should correspond to
tions and variations in • 0% Ur for 1 peri- that of a typical commercial
the voltage supplied in od or clinical environment.
accordance with IEC • 70% Ur (30%
If the user wants the device
61000-4-11 breakdown of Ur)
to work continuously, even
for 25 periods at
when the energy supply is
0°

2321G EN 20181126 1428

90 | DX-G, DX-M | Technical Data

• 0% Ur for 250 pe- interrupted, it is recommen-

riods ded to use an energy supply
free of interruptions or a
battery.

Magnetic field at the 30 A/m Magnetic field at the net-

supply frequency work frequency should cor-
(50/60 Hz) in accord- respond to the typical values
ance with IEC as they are in a
61000-4-8
commercial and clinical en-
vironment.

REMARK : Ur is the alternating current in the network before the application

of the test level.

This device is intended for operation in the electromagnetic environment

given below. The user of the device should ensure that it is used in such
an environment.

Tests of Resistance to Test level of professio- Electromagnetic En-

Disruption nal medical equipment vironment
and basic EMC stand-
Recommended pro-
ards
tective distance:

Conducted high frequen- 3 V 150 kHz to 80 MHz

cy disturbance variables
6 V within ISM bands
in accordance with IEC
61000-4-6

Radiated high frequency 3 V/m

disturbance variables in
80 MHz to 2.7 GHz
accordance with IEC
61000-4-3

RF communication Refer to the section "Im-

munity to RF wireless
communication equip-
ment"

Disruptions are possi-

ble near devices that
carry the following
symbol:

The field strength of stationary transmitters, such as base stations of radio

telephones, mobile broadcasts for rural areas, amateur stations, and AM and

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FM radio transmitters, cannot be precisely predetermined theoretically. An

investigation of the location is recommended, to ascertain the electromagnetic
environment as a result of stationary high frequency transmitters. If the field
strength of the device exceeds the test level given above, the device must be
observed with regard to its normal operation at each place of use. In case of
unusual performance characteristics, it can be necessary to take additional
measures, such as the re-orientation of the device, for example.
This device is intended for operation in an electromagnetic environment
in which the radiated high frequency disturbance variables are
monitored. The user of the device can help to prevent electromagnetic
disruptions by maintaining the minimum distances between portable
and mobile high frequency communication equipment (transmitters) and
the device as recommended below, in accordance with the maximum
output power of the communications equipment. See also the section
with precautions on EMC.

Recommended Protective Distances between Portable and Mobile High

Frequency Communication Equipment and the Device

Rated Power of Protective Distance in accordance with RF emission Fre-

the Transmitter quency
W m

150 kHz to 80 80 MHz to 800 800 MHz to 2.7

MHz MHz GHz

d = 1.0 d = 0.3 d = 0.3

0.01 0.1 0.05 0.05

0.1 0.32 0.1 0.1

1 1.0 0.3 0.3

10 3.2 1.0 1.0

The distance can be determined through the equation for each respective
column.
P is the rated power of the transmitter in watts (W) according to the manu-
facturer information on the transmitter, only for transmitters where the rat-
ed power is not mentioned in the above table.
REMARK : These Guidelines may not be relevant in all situations. The dis-
persion of electromagnetic waves is influenced by absorption and reflections
from buildings, objects and people.

Topics:

• Immunity to RF wireless communication equipment

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• Precautions on EMC
• Cables, transducers and accessories
• Maintenance on EMC relevant parts

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Immunity to RF wireless communication equipment

ISM Band Service Distance Immunity
test level
(MHz) (m)
(V/m)
300-390 TETRA 400 0.3 27
430-470 GMRS 460; FRS 460 0.3 28
704-787 LTE Band 13, 17 0.3 9
800-960 GSM 800/900; TETRA 800, IDEN 0.3 28
820; COMA 850; LTE Band 5
1700-1990 GSM 1800; COMA 1900; GSM 1900; 0.3 28
DECT; LTE Band 1, 3, 4, 25; UMTS
2400-2570 Bluetooth; WLAN; 802.11 b/g/n; 0.3 28
RFID 2450; LTE Band 7
5100-5800 WLAN 802.11 a/n 0.3 9

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Precautions on EMC
WARNING:
The system should not be used adjacent to or stacked with other
equipment and if adjacent or stacked use is necessary, the
system should be observed to verify normal operation in the
configuration in which it will be used.
CAUTION:
Portable RF communications equipment (including peripherals
such as antenna cables and external antennas) should be used
no closer than 30 cm (12 inches) to any part of the system,
including cables specified by the manufacturer. Otherwise,
degradation of the performance of this equipment could result.

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Cables, transducers and accessories

Cables, transducers and accessories which were tested and found to comply
with the collateral standard IEC60601-1-2 (EMC):
CAUTION:
Using cables and accessories not mentioned in this manual or
spare parts not ordered from Agfa, may cause a higher emission
of electromagnetic phenomena and/or may rise the
susceptibility against it.

function type; remark

maximum length

network con- Network cable CAT5e F/UTP (shielded end) with shielded
nection RJ45;
10 m
(or original Agfa cable F7.0477.1052; 5m)

No additional accessories available.

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Maintenance on EMC relevant parts

Concerning the EMC safety of the DX-G and DX-M devices, no relevant parts
could be inspected by the operator. EMC relevant parts will be inspected from
AFGA service engineer within the regular service interval until the end of
lifetime. The needed verifications are described in the service manual.

2321G EN 20181126 1428