GE Healthcare

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Technical
Publications
Direction 2173222−100
Revision 9

AMX−4+ Installation (Model 2169360,

2236420 & 2275938 Series)

Copyrighte 1996, 1997, 1999, 2000, 2002 and 2004 By General Electric Co.
All Rights Reserved
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IMPORTANT! . . . X-RAY PROTECTION

X-ray equipment if not properly used may cause injury. Accordingly, the instructions herein contained
should be thoroughly read and understood by everyone who will use the equipment before you attempt to
place this equipment in operation. The General Electric Company, Medical Systems Group, will be glad to
assist and cooperate in placing this equipment in use.
Although this apparatus incorporates a high degree of protection against x-radiation other than the useful beam, no
practical design of equipment can provide complete protection. Nor can any practical design compel the operator to
take adequate precautions to prevent the possibility of any persons carelessly exposing themselves or others to
radiation.
It is important that everyone having anything to do with x-radiation be properly trained and fully acquainted with the
recommendations of the National Council on Radiation Protection and Measurements as published in NCRP Reports
available from NCRP Publications, 7910 Woodmont Avenue, Room 1016, Bethesda, Maryland 20814, and of the
International Commission on Radiation Protection, and take adequate steps to protect against injury.
The equipment is sold with the understanding that the General Electric Company, Medical Systems Group, its agents,
and representatives have no responsibility for injury or damage which may result from improper use of the equipment.
Various protective material and devices are available. It is urged that such materials or devices be used.
CAUTION: United States Federal law restricts this device to use by or on the order of a physician.

CERTIFIED ELECTRICAL CONTRACTOR STATEMENT

All electrical installations that are preliminary to positioning of the equipment at the site prepared for the
equipment shall be performed by licensed electrical contractors. In addition, electrical feeds into the
Power Distribution Unit shall be performed by licensed electrical contractors. Other connections between
pieces of electrical equipment, calibrations, and testing shall be performed by qualified GE Healthcare
personnel. The products involved (and the accompanying electrical installations) are highly sophisticated,
and special engineering competence is required. In performing all electrical work on these products, GE
will use its own specially trained field engineers. All of GE’s electrical work on these products will comply
with the requirements of the applicable electrical codes.
The purchaser of GE equipment shall only utilize qualified personnel (i.e., GE’s field engineers, personnel
of third-party service companies with equivalent training, or licensed electricians) to perform electrical
servicing on the equipment.

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DAMAGE IN TRANSPORTATION
DAMAGE IN TRANSPORTATION
All packages should be closely examined at time of delivery. If damage is apparent, have notation
“Damage in Shipment” written on all copies of the freight or express bill before delivery is accepted or
“signed for” by a General Electric representative or a hospital receiving agent. Whether noted or
concealed, damage MUST be reported to the carrier immediately upon discovery, or in any event, within
14 days after receipt, and the contents and containers held for inspection by the carrier. A transportation
company will not pay a claim for damage if an inspection is not requested within this 14−day period.
To file a report:
− Call 1−800−548−3366 and use option 8.
− Fill out a report on http://egems.med.ge.com/edq/home.jsp
− Contact your local service coordinator for more information on this process
Rev. June 13, 2006

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REVISION HISTORY

REV DATE REASON FOR CHANGE

A Oct. 30 1996 Initial draft.
0 Dec. 13, 1996 Initial release.
1 Mar. 7, 1997 Deleted requirement for signature testing for new−from−factory installations
(Section 4).
2 Aug. 14, 1997 High Impact Inspection.
3 Dec. 10, 1997 Added touchup paint to Section 1.
4 Apr. 12, 1999 Added AMX−4+ Model 2236420 Series.
5 Nov. 8, 2000 Added AMX−4+ Model 2275938 Series.
6 July 30, 2003 Added note about installing local language label over English rating plate.
7 Feb. 15, 2008 Updated Table 1−2 to remove old labels and add new international labels. Up-
dated flowchart in Table 2−1 to modify “Install Film Bin Label” to read “Install
International Labels”.
8 21NOV2008 Updated all occurrences of Operator Manual part number 2166913−100 to
new part number 2166913−1EN.
9 20OCT2010 Updated Illustration 2−1 flowchart block “Install International Labels” to change
Sec. “5” to “6”.
Changed label kit part number 5268993 to 5407496 in Table 1−2. To comply
with the Canadian RED Act.

LIST OF EFFECTIVE PAGES

PAGE REVISION PAGE REVISION PAGE REVISION

NUMBER NUMBER NUMBER NUMBER NUMBER NUMBER

All 9

Back Page −

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TABLE OF CONTENTS

SECTION 1 − INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
1-1 Identification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
1-2 General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
1-3 Furnished Items . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
1-4 Tools and Materials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

SECTION 2 − INSTALLATION SEQUENCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

SECTION 3 − ACCEPTANCE TEST SEQUENCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

3-1 Need for Acceptance Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
3-2 Finish . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

APPENDIX − SYMBOLS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

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SECTION 1 − INTRODUCTION

1-1 Identification
See Illustration 1−1. The AMX−4+ is identified by Model Number on the rating plate located on the top
cover (see Table 1−1). Model part and catalog numbers are identified in Table 1−1.

TABLE 1−1
AMX−4+ MODELS

catalog catalog
Description Part number Part number
number number
domestic 2169360−7 a0659f 2236420−7 & 2275938−7 A0659JF
domestic, aec 2169360−8 a0659fa 2236420−8 & 2275938−8 A0659JG
domestic, tech switch 2169360−9 a0659fc 2236420−9 & 2275938−9 A0659JH
domestic, aec, tech switch 2169360−10 a0659fb 2236420−10 & 2275938−10 A0659JJ
iec, emc 2169360 a0659a 2236420 & 2275938 A0659J
iec, emc, aec 2169360−2 a0659aa 2236420−2 & 2275938−2 A0659JA
iec, emc, tech switch 2169360−3 a0659ab 2236420−3 & 2275938−3 A0659JB
iec, emc, aec, tech switch 2169360−4 a0659ac 2236420−4 & 2275938−4 A0659JC
japan 2169360−5 a0659c 2236420−5 & 2275938−5 A0659JD
japan short column 2169360−6 a0659d 2236420−6 & 2275938−6 A0659JE

ILLUSTRATION 1−1
AMX−4+ IDENTIFICATION

RATING
PLATE

1-2 General
Satisfactory equipment performance requires the use of service personnel specially trained on x−ray
apparatus. The General Electric Company, Medical Systems, is responsible for the effects on safety,
reliability, and performance only if the following conditions are met:

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− The electrical wiring of the relevant rooms complies with all national and local codes.
− All assembly operations, extensions, re−adjustments, modifications or repairs are carried out by
General Electric Company, Medical Systems, authorized service representatives.
− The equipment is used in accordance with the instructions for use. Refer to Direction 2166913−1EN,
AMX−4+ Operating Manual, or Direction 2166911−100, AMX−4+ International Operation, for proper
operating procedures.

CAUTION Only trained and qualified personnel should be permitted access to the
internal parts of this equipment.

The environmental limits and power requirements for the AMX−4+ are listed in Direction 2173221−100
AMX−4+ Ratings and Specifications.

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1-3 Furnished Items

Check the drawer for the items listed in Table 1−2.

TABLE 1−2
FURNISHED ITEMS

Reference No. Description Comments

46−270800G5 Handswitch
46−303652P2 Keyswitch
46−2114831 Application Video Tape Domestic models only.
Direction 46−017216 AMX Technique Chart Only English version is provided with domestic models. French,
Spanish, German, and Italian are provided with International
shipments.
Direction 2166913−1EN AMX−4+ Operating Manual Furnished with all AMX−4+ Models
Direction 2166911−100 AMX−4+ International Furnished with International Models
Operation
Direction 2166910−100 AMX−4+ Documentation Consists of:
TAB 1 Direction 2173221−100, AMX−4+ Ratings and
Specifications
TAB 2 Direction 2173222−100, AMX−4+ Installation
TAB 3 Direction 2173223−100, AMX−4+ Calibration
TAB 4 Direction 46−013288, Bleeder, High−Voltage Dual Type
TAB 5 Direction 2173224−100, AMX−4+ Functional Checks
TAB 6 Direction 2173225−100, AMX−4+ Service
TAB 7 Direction 2196272−100, High Voltage Cable Installation &
Troubleshooting Procedures
TAB 8 Direction 2173227−100, AMX−4+ Periodic Maintenance
TAB 9 Direction 2190775−100, Stranded Steel Cable Inspection
TAB 10 Direction 2173228−100, AMX−4+ (model 2169360 series)
Renewal Parts
TAB 10 Direction 2237257−100, AMX−4+ (model 2236420 &
2275938 series) Renewal Parts
TAB 11 Direction 2173229−100, AMX−4+ Schematics

Direction 46−017226 Tube Ratings, HRT X−ray

Tube, 50 and 60 Hz

2236721−100 Product Data Sheet, Maxiray

75 TH 11 X−ray Tube

Direction 46−017401 Signature Tests for AMX−4 Includes factory data

Series

46−279732P5 Mobil−AID D1300 Manual Models with factory installed AEC only
Form F2995 Tube Warranty Form
Form F3385MX Data Record for HHS Field
Tests

46−279518P1 Pen For marking on Technique Chart

46−279022 Battery Recharge Warning Part of kit 5407496, only included for systems shipped to non−English
Label speaking countries.

5266043 Top Cover X−ray Warning Part of kit 5407496, only included for systems shipped to non−English
Label speaking countries.

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1-4 Tools and Materials

In addition to the standard service representatives tool kit, the following items are required:
− Direction 2173221−100, AMX−4+ Ratings & Specifications and associated tools and materials.
− Direction 2173223−100, AMX−4+ Calibration and associated tools and materials.
− Direction 2173224−100, AMX−4+ Functional Check and associated tools and materials.
− Direction 2173225−100, AMX−4+ Service and associated tools and materials.
TABLE 1−3
TOUCHUP PAINT

Reference No. Description Comments

46−303460P1 Mist Gray Touchup Paint 0.6 Fl Oz (17.7 mL) Bottle

2180026 Grey #4 Touchup Paint 0.6 Fl Oz (17.7 mL) Bottle

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SECTION 2 − INSTALLATION
SEQUENCE
The following flow chart shows the recommended sequence for performing an installation on the
AMX−4+.

ILLUSTRATION 2−1
INSTALLATION SEQUENCE FOR AMX−4+
INSTALL HAND SWITCH
1. Remove X−Ray Hand Switch from Cassette
Drawer.
2. Plug end of coil cord into X−Ray Hand Switch.
3. Place X−Ray Hand Switch on support bracket.

ENGLISH
Operator Message
Language Desired?

FRENCH

SELECT LANGUAGE
Note: All AMX−4+ models are (English or French)
factory set for English Direction 2173223−100
Operator Messages AMX−4+ Calibration,
Sec 1 − Introduction

Note: All Domestic and IEC

YES
AMX−4+ models have a English and French
Domestic Models
factory−installed Enlist/ Speaking Customers
French bin label.
NO

Note: Japanese AMX−4+

YES
models have a factory
Japanese Models
installed English/
Japanese bin label.
NO

INSTALL INTERNATIONAL LABELS

Direction 2173225−100
AMX−4+ Service,
Sec 6 − Servicing Trim Covers And Cas-
sette Drawers

NO
Mobil−AID AEC
Present?

YES

CALIBRATE MOBIL−AID
Mobil−AID Documentation
Model D1300 Owner’s Manual

Continue to Section 3
Acceptance Test Sequence

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SECTION 3 − ACCEPTANCE TEST

SEQUENCE
The flow chart in Illustration 3−1 shows the recommended sequence for performing an installation
acceptance test on the AMX−4+.

ILLUSTRATION 3−1
ACCEPTANCE TEST STEERING
Review factory HHS data record including AEC if applicable ( shipped in Cassette Drawer)
NOTE: If your country requires the product rating plate to be in the language of that country, follow the instructions
on document #45474336. Paste the appropriate language label over the English rating plate. The rating plate la-
bels are: 2379361 (Spanish), 2379361−2 (German), 2379361−3 (French), 2379361−4 (Italian).

Factory HHS Test Data is YES

complete and okay, and
Local Regulations accept?
NO
System Damaged in
Shipment?
NO
YES
System repaired
NO
Customer Accepts?

FUNCTIONAL CHECK
YES
Refer to Direction 2173224−100, AMX−4+
Functional Checks, and perform all checks
defined (i.e., Visual Inspection, Functional
Check, and Power Cord Check).

HHS TESTS (Excluding AEC)

Refer to ”HHS Tests (Excluding AEC)” in

Section 3 of Direction 2173221−100,
AMX−4+ Ratings & Specifications, and
perform all defined procedures.

NO
Mobil−AID AEC
Present?

YES Field Installed

YES
Mobil−AID AEC?

AEC HHS TESTS NO

Refer to ”AEC HHS Tests” in Section 3 of

Direction 2173221−100, AMX−4+ Ratings &
Specifications, and perform all defined
procedures.

Send HHS Test Data along with Form

F3382MX to Region Compliance Engineer
as needed. No Test Required
Done

Send completed Product Locator Cards to

appropriate region office

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3-1 Need for Acceptance Testing

Based on the experience with the AMX−4, field tracking and including HHS Signature testing, it has been
determined that in many cases acceptance testing is not required for the AMX−4+.
1. The AMX−4+ undergoes complete inspection, calibration, qualification testing in the factory prior to
shipments
2. A full HHS test is performed in the factory for the AMX−4+, including for factory installed Mobil−AID
AEC.
a. For all models, a copy of the HHS test data has been included within the
cassette drawer of the unit when it was shipped.

b. For all U.S. customer orders, the Assembler’s Report, Federal Form
FD2579 is completed at the factory. It is forwarded to the region com-
pliance engineer at the time the system ships for follow−up and filing with
the FDA.

Therefore, the customer, installer, and/or regional compliance engineer need to determine if acceptance
testing is required during installation. Some questions to be answered in this decision, though not
necessarily all, are shown in Illustration 3−1.

3-2 Finish
Send in the following test data (with AMX−4+ Serial Number filled in on each document) to appropriate
region filing office:
− Factory HHS Test Data
− Form F3382MX (the condensed version of Form F3382, dedicated specifically to mobile x−ray units)
as applicable.

Note: If a Mobil−Aid AEC is factory installed on the generator, look at the furnished factory HHS test data to verify
that AEC HHS tests (“Reproducibility of Exposure, AEC Mode” and “AEC Minimum Exposure time”) were
done at the factory.

Note: If a Mobil−Aid AEC is field installed on the generator, HHS testing for the AEC function must be done in the
field. A copy of Form F3382MX filled in for “AEC Minimum Exposure Time” and for the AEC Mode portion of
“Reproducibility of Exposure” must be sent to the appropriate region filing office, regardless of whether or not
Form F3382MX is required for the generator and collimator functions.

Note: Do NOT send any copies of Form F3382MX to headquarters.

Complete and file Product Locator Cards with appropriate region filing office. Use salmon colored
envelope to mail installation set with red stripe.

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APPENDIX − SYMBOLS

All symbols used on the equipment and in its accompanying documents are shown and explained in this
appendix.

Caution advises of an avoidable condition that could cause minor physical injury, or
CAUTION damage to equipment or data.

Warning advises of an avoidable condition that may allow or cause a personal injury
WARNING or the catastrophic destruction of equipment or data.

Danger advises of an avoidable condition that will cause serious or fatal injury.
DANGER

Type B Equipment. Internal electrical power source provides an adequate degree of

protection against electrical shock.

X−ray emission. X−ray tube head is emitting x−rays. Take adequate precautions to
prevent the possibility of any persons carelessly, unwisely, or unknowingly exposing
themselves or others to radiation.

Battery power on. This does not apply mains voltage.

Battery power off. This does not remove mains voltage.

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Control for indicating radiation field by using light.

Collimator blades closed. The controlled blades are shown in thicker lines.

Collimator Blades open. The controlled blades are shown in thicker lines.

Functional Earth (ground) Terminal. Terminal directly connected to a point of a

measuring supply or control circuit or to a screening part which is intended to be
earthed for functional purposes.

Alternating Current. Indicates equipment that is suitable for alternating current only.

Direct Current. Indicates equipment that is suitable for direct current only.

Equipotentiality. Identifies terminals that bring the various parts of equipment or

systems to the same potential when connected together. These terminals are not
necessarily at earth (ground) potential. The value of the potential may be indicated
next to the symbol.

Indicates lock release or brake release.

Indicates receptacle location for hand−held radiographic prep/expose and field−light

control cable.

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 GE Healthcare
GE Healthcare: Telex 3797371
P.O. Box 414, Milwaukee, Wisconsin 53201 U.S.A.
(Asia, Pacific, Latin America, North America)
GE Medical Systems — Europe: Telex 698626
283, rue de la Miniére, B.P. 34, 78533 Buc Cedex
France