Siemens UROSKOP D3 Instruction Manual

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UROSKOP D3

SP

Start-up Instructions
with POLYDOROS SX
and
FLUOROSPOT H with Supervision

© Siem ens A G 1 998


The reproduction, transmission or
use of this document or its contents
is not permitted without express
written authority. Offenders will be
liable for damages. All rights,
including rights created by patent
grant or registration of a utility
model _or_ design,_are_ reserved.

Register 4 English
Print No.: RLL5-310.034.04.04.02 Doc. Gen. Date: 12.98
Replaces: RLL5-310.034.04.03.02
0-2 Revision

Chapter Page Revision


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UROSKOP D3 Register 4 RLL5-310.034.04 Page 2 of 4 Siemens AG


Rev. 04 12.98 TD PS 24 Medical Engineering
Contents 0-3

Page
1 _______General information ____________________________________________ 1 - 1

Safety information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-1


General information and information on documentation . . . . . . . . . . . . . . . .1-1
Preliminary information on image quality test . . . . . . . . . . . . . . . . . . . . . .1-2
Purpose: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
Sequence of work: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
Requirements for start-up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
Required Documents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
Required measuring instruments . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3

2 _______Start-up preparation ____________________________________________ 2 - 1

Protective measures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-1


Measuring the line voltage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-1
Checking the on-site emergency shutdown button . . . . . . . . . . . . . . . . . . .2-1
Checking the phase connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-2
Measuring the internal line impedance . . . . . . . . . . . . . . . . . . . . . . . . .2-2
Checking unacceptable ground connections . . . . . . . . . . . . . . . . . . . . . .2-3
Switching on the generator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-3

3 _______Generator functions ____________________________________________ 3 - 1

Checking the emergency stop switches . . . . . . . . . . . . . . . . . . . . . . . . .3-1


Checking the control panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-1
Function check of the anode starter . . . . . . . . . . . . . . . . . . . . . . . . . . .3-1
Key to 7-segment display on board D95: . . . . . . . . . . . . . . . . . . . . . .3-1
LED status display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-1
Checking the fluoroscopic and exposure release circuit . . . . . . . . . . . . . . . .3-2
Fluoroscopic circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-2
Exposure release circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-2
Controls and indicator lamps for radiation protection . . . . . . . . . . . . . . . . . .3-3
Door contact for radiation disable function . . . . . . . . . . . . . . . . . . . . .3-3
Indicator lamps for tube assembly selection. . . . . . . . . . . . . . . . . . . . .3-3
Checking the kV/mA values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-3
Checking the mAs values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-4
Start-up of the automatic exposure control . . . . . . . . . . . . . . . . . . . . . . .3-4

4 _______Unit movements________________________________________________ 4 - 1

Preparation and limit values for tabletop lift . . . . . . . . . . . . . . . . . . . . . . .4-1


Lifting movement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-2
Oblique projection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-3
Tilting movement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-4
Longitudinal movement of the tabletop . . . . . . . . . . . . . . . . . . . . . . . . .4-5
Transverse movement of the tabletop . . . . . . . . . . . . . . . . . . . . . . . . . .4-6

Siemens AG Register 4 RLL5-310.034.04 Page 3 of 6 UROSKOP D3


Medical Engineering Rev. 04 12.98 TD PS 24
0-4 Contents

Page
5 ______ Radiation geometry _____________________________________________5 - 1

Test conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2


Evaluation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Test conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4
Brief description of the test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4
Visual check of the fluoroscopic field limitation . . . . . . . . . . . . . . . . . . . 5-5
Checking the overframing of the fluoroscopic field size displayed on the monitor . 5-5
Checking the centering of radiation field and monitor image center . . . . . . . . 5-6
Evaluation of overframing in fluoroscopy . . . . . . . . . . . . . . . . . . . . . . 5-6
Evaluation of off-center in fluoroscopy . . . . . . . . . . . . . . . . . . . . . . . 5-6

6 ______ Checking the tomographic device _________________________________6 - 1

Accuracy of the tomographic height display . . . . . . . . . . . . . . . . . . . . 6 - 2


Resolution and tomographic procedure . . . . . . . . . . . . . . . . . . . . . . 6 - 2

7 ______ Fluoroscopic dose rate __________________________________________7 - 1

General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1
Preliminary remarks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1
Basic information on the dose / dose rate measurement for I.I. workstations . . . 7-1
Determining the dose/dose rate directly at the I.I. input . . . . . . . . . . . . . . 7-1
Formulas for calculating the dose/dose rate in the measurement plane for
dose/dose rate setting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
Indirect dose rate test at the customer site . . . . . . . . . . . . . . . . . . . . . . . 7-3
Setting when the indirect dose rate is out of tolerance . . . . . . . . . . . . . . . . . 7-3
Maximum skin dose rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4

8 ______ Television system ______________________________________________8 - 1

Function check of ambient light sensor. . . . . . . . . . . . . . . . . . . . . . . . . 8 - 1


B-signal values (without bias light/dark current component) . . . . . . . . . . . . . . 8 - 1
Image artifacts (Para. 5.10 Chapter 5D) . . . . . . . . . . . . . . . . . . . . . . 8 - 2

9 ______ Digital Fluoro Radiography/FLUOROSPOT H ________________________9 - 1

General information and remarks . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1


Dose/pulse test during start-up (indirect dose check) . . . . . . . . . . . . . . . . . 9-5
BA (video+blanking) signal values / setting the iris diaphragm in DR operation . . . . 9-6
Dynamic test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-7
Edge enhancement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 - 11
Mean value assessment (GGM= sliding weighted averaging) . . . . . . . . . . .9 - 11
Resolution and minimum contrast . . . . . . . . . . . . . . . . . . . . . . . . . . .9 - 12
Checking the DSA system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 - 14
Checking the hardcopy camera . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 - 16
Adjusting the hardcopy camera . . . . . . . . . . . . . . . . . . . . . . . . . . .9 - 16

UROSKOP D3 Register 4 RLL5-310.034.04 Page 4 of 6 Siemens AG


Rev. 04 12.98 TD PS 24 Medical Engineering
Contents 0-5

Page
Preparing and evaluating the SMPTE test image . . . . . . . . . . . . . . . . . 9 - 16
Image artifacts and transmission interference. . . . . . . . . . . . . . . . . . . 9 - 17
Image artifacts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 - 18
Definition of the rating numbers:. . . . . . . . . . . . . . . . . . . . . . . . . . 9 - 18
Description of the artifacts: . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 - 18

10 ______Nominal values _______________________________________________ 10 - 1

I.I. nominal values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 - 1


ADC measuring field . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 - 1
MPL system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 - 1
SDM system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 - 1
Fluoroscopic dose rate at the I.I. input . . . . . . . . . . . . . . . . . . . . . . . . 10 - 2
VIDEOMED SX, H1X Emulation . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 - 3
TV monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 - 3
TV camera . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 - 3
B signal value (interlaced - Bypass) . . . . . . . . . . . . . . . . . . . . . . . 10 - 3
Vignetting (with bias light) (interlaced - Bypass) . . . . . . . . . . . . . . . . . 10 - 4
AGC measuring field sizes in grid units (GU) . . . . . . . . . . . . . . . . . . . 10 - 4
Pedestal and AGC function
Pedestal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 - 4
Fixed gain TV unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 - 4
Dynamic test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 - 5
Capillary test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 - 5
Resolution and minimum contrast of the I.I.-TV system (interl. - Bypass) . . . . 10 - 6
Image artifacts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 - 6
Digital Fluoro Radiography / DFR . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 - 6
FLUOROSPOT H . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 - 6
Dose/pulse at the I.I. input . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 - 6
Amplification of DFR system. . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 - 7
Monitor adjustment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 - 8
BA signal values / Adjustment of iris diaphragm in DR mode . . . . . . . . . . . 10 - 8
Dynamic test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 - 9
Black level cutoff (noise halo) . . . . . . . . . . . . . . . . . . . . . . . . . . 10 - 10
Resolution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 - 10
Minimum contrast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 - 10
Checking the DSA equipment . . . . . . . . . . . . . . . . . . . . . . . . . . 10 - 11
Image artifacts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 - 11

11 ______Final steps and electrical safety _________________________________ 11 - 1

Final work . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 - 1
Measuring the protective conductor resistance . . . . . . . . . . . . . . . . . . . . 11 - 1

12 ______Changes to previous version ____________________________________ 12 - 1

Siemens AG Register 4 RLL5-310.034.04 Page 5 of 6 UROSKOP D3


Medical Engineering Rev. 04 12.98 TD PS 24
0-6 Contents

Page
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UROSKOP D3 Register 4 RLL5-310.034.04 Page 6 of 6 Siemens AG


Rev. 04 12.98 TD PS 24 Medical Engineering
General information 1 1-1

Safety information 1

CAUTION When performing service work and tests, please adhere to the
product-specific safety information contained in the document, as
well as the general safety information contained in Register 2 of
the TI binder.

Tests and adjustments performed with radiation ON are identified with the radiation warn-
ing symbol . Radiation protection must be worn during these types of adjustments.

General information and information on documentation 1

These instructions contain the checks necessary for system startup.The sequence in
which they are given must be maintained.
The unit movements necessary for these procedures must be carried out very carefully
to avoid damaging the equipment in the event of a malfunction.
Since the unit has been adjusted completely at the factory, only the functioning and fac-
tory settings (accuracy of tolerance) are checked; the unit must be adapted to on-site
requirements, if necessary.
If any mechanical or electrical malfunctions occur or if tolerances are exceeded (damages
caused by transport etc.), perform service work and adjustments according to adjustment
instructions RLL5-310.071.01... or the service instructions for the corresponding compo-
nents.
Measurement results marked” ” must be entered in the UROSKOP test certificate.
For the acceptance test which is required in Germany in accordance with §16 of the Rönt-
genverordnung (x-ray ordinance) and for the acceptance test required in the USA, the fol-
lowing checks have already been performed in the factory test area and documented in
the test certificate:
• Visual check of the filter values.
• Check of the SID display.
• Brightness of the light localizer.
• Coincidence of light field and radiation field.
• Accuracy of the manual format collimation.
• Coincidence of radiation field and film center.
• Accuracy of positive beam limitation (PBL) system for cassette formats.
• Fluoroscopic field limitation.
• Centering of the radiation field and monitor image center.
• Function check of the Iontomat measurement fields.
• Unit attenuation factor.
• Check of the tomographic device.

Siemens AG Register 4 RLL5-310.034.04 Page 1 of 4 UROSKOP D3


Medical Engineering Rev. 04 12.98 TD PS 24
1-2 General information

NOTICE Enter the measurement values and the additional values deter-
mined during system start-up from the test certificate into the
acceptance certificate (Germany) or in the acceptance test certifi-
cate (USA).

Preliminary information on image quality test 1

Purpose: 1

• The image quality test provides objective data as a basis for image quality and facilitates
system start-up.
• The test certificate is valid for system acceptance and for future service and mainte-
nance work.

Sequence of work: 1

• Follow the sequence of measurements and checks exactly as describes in order to


ensure correct measurements.
• Enter the results of each measurement into the test certificates.
• Compare the measured values with the values indicated in the list of nominal values.
• If the limit values are exceeded, you must determine the cause and correct the error or
the erroneous setting before continuing the test. Otherwise the measurements that
follow may be incorrect.

Requirements for start-up 1

• The system must be cabled completely.


• Switch on high voltage only if radiation is necessary.

Required Documents 1

• Operating instructions UROSKOP D3 RL5-340.208.01...


• Wiring diagram UROSKOP D3 G5403
• Wiring diagram POLYDOROS SX X2075
• Service software
operation UROSKOP D3 RLL5-310.113.02... Logbook, Reg. 10
• Setting Instructions POLYDOROS SX RX63-050.032.02...
• System configuration POLYDOROS SX RX63-050.034.06...
• IQ Test certificate RXD0-000.037.01... Logbook, Reg. 9
• Test certificate UROSKOP D3 RLL5-310.035.01... Logbook, Reg.3
• Test certificate POLYDOROS SX X2075 Logbook, Reg. 4

UROSKOP D3 Register 4 RLL5-310.034.04 Page 2 of 4 Siemens AG


Rev. 04 12.98 TD PS 24 Medical Engineering
General information 1-3

Required measuring instruments 1

• 3-Phase field rotation meter, electronic 97 02 713 Y7933


• Internal line impedance meter 84 28 104 RE999
• Service PC
• Oscilloscope > 50 MHz, e.g. Tektronix 2232 97 02 234 Y3155
with delayed time base
• Multimeter 8060 A (Fluke) 97 02 101 Y4290
• mAs meter 81 60 400 RE999
• Water level 28 69 436 RE999
• Set of Cu filters 44 06 120 RV090
• 17 µm Cu strips (included in the LOG book) 11 67 663 G5247
• cm scale
• Tomographic cube with resolution test 44 06 054 RV 090
• Protective conductor meter 44 15 899 RV090
• 8x magnifying glass 44 14 850 RH090
• Precision radiation filter 99 00 598 XE999
• Centering cross or lead ruler 96 60 051 RE999 or 28 63 025 RE999
• Mavo monitor, direct ordering 97 02 432 Y0526
• Resolution test patterns, types 41 28 71 820 RE999
• Dynamic test case 37 90 156 X1963
• heart contour diaphragm 37 90 172 X1963
• Capillary test 37 90 180 X1963
• DSA displacement test (with DSA capillary 97 50 019 X1963 (only with DSA)
test)
• Aperture plate for tomography

CAUTION Successful system start-up can only be ensured by using the


above measurement instruments.

Siemens AG Register 4 RLL5-310.034.04 Page 3 of 4 UROSKOP D3


Medical Engineering Rev. 04 12.98 TD PS 24
1-4 General information
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UROSKOP D3 Register 4 RLL5-310.034.04 Page 4 of 4 Siemens AG


Rev. 04 12.98 TD PS 24 Medical Engineering
Start-up preparation 2 2-1

Protective measures 2

• Observe the protective measures described in Register 1 of the UROSKOP D Logbook.


• Prior to performing any service work on the generator, switch it off with the power OFF
switch on D200.
• In order to deenergize all parts of the system, set the system switch to the OFF position.

CAUTION With the generator switched off, line voltage is still present at
transformer T1 and fuse panel D200 (refer to wiring diagram
X2075-11).
After switching off the generator, approx. 600 V DC voltage are
still present at the inverter; indicated by LEDs V8 and V9 on board
D250 (see X2075-17).
Within approx. 1 1/2 minutes the voltage drops to 0 V; the LEDs go
out at approx. 30 V.

• To prevent unintentional release of high voltage or radiation, set switch SS on D200 to


OFF (no actuation of the inverters).
• Remove or insert boards only with the generator switched off. When doing so, observe
the ESD guidelines (see TI 219, Info RA.5. RA0-000.012.19... on microfilm).
• On D211: switch S1 INT OFF (position 2).
• On D200: switch SS OFF.

Measuring the line voltage 2

• Remove fuses F1, F2 and F3 from the fuse board in M16 (generator).
• System contactor ON.
• Measure the line voltage.
The voltage must correspond to the values indicated in the test certificate (logbook,
Reg. 3).

Checking the on-site emergency shutdown button 2

• Actuate the emergency shutdown button installed by the customer. The entire system
must be disconnected from the power line.
• System contactor OFF.

Siemens AG Register 4 RLL5-310.034.04 Page 1 of 4 UROSKOP D3


Medical Engineering Rev. 04 12.98 TD PS 24
2-2 Start-up preparation

Checking the phase connection 2

• Check the correct phase connection of the power lines at M16.F1, F2, F3 (X2075-11),
using the rotating field instrument:
• In M16, remove the cover from the fuse holders.
• Connect the3-phase field rotation meter to the lower connections of F1, F2, F3 (on the
side of the power supply).
• System contactor ON.
• Perform the measurement.
• System contactor OFF.
• Disconnect the rotating field instrument.

Measuring the internal line impedance 2

• Measure the internal line impedance at M16. F1. F2. F3 (X2075-11):


- Connect the internal line impedance meter between two phases of F1, F2, F3 (at the
lower connections of the fuse holders).
- System contactor ON.
- Perform the measurement.
- System contactor OFF.
• Record the measured values in the test certificate (logbook Reg. 3)
• Enter the measured values into the ”LINE PARAMETER” module of the system
programming.
Important: In order to obtain the full generator power, the internal line impedance
measured may not exceed the following values:

max. Rline withPOLYDOROS


Uline measured
SX 50 SX 80
400 V 0.18 Ohm 0.12 Ohm
440 V 0.20 Ohm 0.16 Ohm
480 V 0.24 Ohm 0.20 Ohm

Internal line impedances of > 250 mOhm reduce power. Refer to RX63-
050.034.05.01.05... Configuration ”LINE PARAMETER”
• Reinsert fuses F1, F2 and F3.
• Reattach the cover.

UROSKOP D3 Register 4 RLL5-310.034.04 Page 2 of 4 Siemens AG


Rev. 04 12.98 TD PS 24 Medical Engineering
Start-up preparation 2-3

Checking unacceptable ground connections 2

(connection between and 0VL ).


• Disconnect the connection lead between the upper and lower grounding bus (in the
generator power cabinet).
• Using the multimeter, measure the resistance between and 0VL:
The measured resistance must be approx. > 50 kΩ.
• Reconnect the upper and the lower grounding bus.

Switching on the generator 2

• System contactor ON:


- LED V26 (via fuse F11) must light up on fuse board D200.
In case of an error, check the fuses in M16 and on D200
(X2075-11 and 12).
• Generator ON:
- On fuse board D200, press key and actuate button .
- The LED’s must light up as follows on the service panel of D211:
The +5 V, ± 15 V, +24 V supply voltages are immediately present.
If the +5 V voltage is missing, the generator is disabled.
In this case, check the fuses on D200 (X2075-12). All LED’s on D200 must light
up.
- Following connection of the intermediate circuit (activation of charging contactor and
power contactor), LEDs V9 and V8 on board D250 must light up (X2075-17).

CAUTION A DC voltage > 500 V is applied to the intermediate circuit.

- Following correct initialization (after approx. 10 sec.), the following LEDs must light on
the service panel of D211:
( )( ) TU1 (after system programming)
GEN-OK,+24 V, +15 V, -15 V, +5 V
If no error has occurred, the 7-segment displays on D210 indicate ”E000”.
In case of an error, the three-digit error code is displayed.
- When programing the generator, "ALP" appears on the kV display of the control deck.
• Check the primary voltage for the supply voltages (X2075-12) at the coil connections of
the GS contactor (X2075-11) in M16:
230 V ± 10 % at 50 Hz
250 V ± 10 % at 60 Hz
• Check the blocking:
On D200: Generator OFF
The generator cannot be switched on again from the deck.

Siemens AG Register 4 RLL5-310.034.04 Page 3 of 4 UROSKOP D3


Medical Engineering Rev. 04 12.98 TD PS 24
2-4 Start-up preparation
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UROSKOP D3 Register 4 RLL5-310.034.04 Page 4 of 4 Siemens AG


Rev. 04 12.98 TD PS 24 Medical Engineering
Generator functions 3 3-1

Checking the emergency stop switches 3

• System ON.
• Press the three system emergency stop switches consecutively:
With the emergency stop switch pressed in,
- error code ’’U01’’ must appear in the area dose product display on the control console;
- all system movements must be blocked.

Checking the control panel 3

• System ON.
• Select from 40 kV to the max. kV value on the kV control console by pressing the ± kV
keys.
• Check the mAs display by pressing the ± mAs keys.

Function check of the anode starter 3

• Generator ON : On D95, display1→2→3


• Set release button S27 to preparation: the rotating anode boosts.
Display 3→4→5
Let go of the release button S27 again: the rotating anode should brake.
Display 6→3

NOTICE The rotational speed must be checked with the tube assembly
warmed up.

Key to 7-segment display on board D95: 3

1= Initialization 4= Start-up
2= Init-brakes 5= Continued run
3= Stand-by 6= Brakes

If the ERROR message flashes, please refer to the information contained in the
service software.

LED status display 3

light up depending on the


operating condition

Tube assy. 2 selected * * Tube assy. 1 selected

Siemens AG Register 4 RLL5-310.034.04 Page 1 of 4 UROSKOP D3


Medical Engineering Rev. 04 12.98 TD PS 24
3-2 Generator functions

Checking the fluoroscopic and exposure release circuit 3

Fluoroscopic circuit 3

• On board D200: SS switch OFF.


• On D211: FL switch ON.
• On D211: the following LED’s must light up (X2075-23):
- TU1/TU2 TU 1/ TU 2 (acc. to selected workstation/tube assembly)
- small focus
- large focus
- GEN-OK Generator enable state
- DL Fluoroscopy (FL) "on" (FL request)
- EXT-HW Radiation enable state/safety circuit
- SWR Start/inverter

NOTICE SWR "start/inverter" is not illuminated as long as Kathotest


(module J05) is programmed.
The "radiation indicator" lights up only with radiation ON.

• FL switch OFF
• SS switch ON
• FL ON
• Measure the minimum and maximum kV and mA values and enter them into the
generator certificate.

Exposure release circuit 3

With preparation:
• Set the release button S27 to preparation .
• On D211, the following LEDs must light up:
- TU1/TU2 TU1/TU2 (acc. to selected workstation/tube assembly)
- / (depending on focus selection)
- GEN-OK Generator enable state
- ZB ZB "ON" (exposure preparation (ZB) request)

With exposure release:


• Press the release button S27 all the way down.
• On D211, the following LED’s must light up
- VH: Exposure request to unit
- AR: Exposure enable state from unit
- EXT-HW: Radiation enable state/safety circuit

UROSKOP D3 Register 4 RLL5-310.034.04 Page 2 of 4 Siemens AG


Rev. 04 12.98 TD PS 24 Medical Engineering
Generator functions 3-3

NOTICE SWR "start/inverter" is not illuminated as long as Kathotest


(module J05) is programmed.
The "radiation indicator" lights up only with radiation on.

• Release radiation release button S27.

Controls and indicator lamps for radiation protection 3

At the customer’s request, the following controls and indicators can be connected in the
power cabinet according to the installation instructions RLL5-310.031.03..., page 4-6.

Door contact for radiation disable function 3

(e.g. at the door of the examination room)


• Check: When the door is open, radiation release must not be possible.

Indicator lamps for tube assembly selection 3

• Check: For fluoroscopy or exposure preparation, the respective indicator lamp


associated with the tube assembly must light up.

Checking the kV/mA values 3

• System OFF.
• Connect oscilloscope to test points MP.kVact and MP.mAact on service board D211.
• System ON.
• SS switch ON.
• On the control console, select 77 kV, 32 mAs for and focus respectively.
• Release one exposure in each case and check the kV/mA values of test points
MP.kVact and MP.mAact with the oscilloscope.
• Enter the measured kV values into the test generator test certificate and compare them
with the values recorded at the factory. They must be within the specified tolerances.

Siemens AG Register 4 RLL5-310.034.04 Page 3 of 4 UROSKOP D3


Medical Engineering Rev. 04 12.98 TD PS 24
3-4 Generator functions

Checking the mAs values 3

• System OFF.
• On PC board D220 (over H1), remove the jumper from the mAs jacks.
• Connect the mAs meter to the mAs jacks.
• System ON.
• On the control console, select , 77 kV, 80 mAs.
• Release an exposure and check the mAs value on the mAs meter.
• Enter the measured value into the generator test certificate.

Start-up of the automatic exposure control 3

Check the functions of the IONTOMAT P and PLANI-IONTOMAT P automatic exposure


control systems according to the generator setting instructions RX63-050.032....

NOTICE The installation procedures described in the start-up instructions


may be disregarded since both subassemblies have already been
installed at the factory.

NOTICE Since the UROSKOP has no selection for the film-screen keys
H-D-U, identical values must be programmed for H-D-U in the
IONTOMAT.

Checking the reproducibility of the automatic exposure control


• Attach 2.1 mm Cu to the multileaf collimator.
• Set 77 kV,
100%,
large focus.
§16 • Select Iontomat.
• Release 5 exposures consecutively.
• Enter the measured dose values into the generator test certificate.

UROSKOP D3 Register 4 RLL5-310.034.04 Page 4 of 4 Siemens AG


Rev. 04 12.98 TD PS 24 Medical Engineering
Unit movements 4 4-1

Preparation and limit values for tabletop lift 4

• Connect the service PC to connector X10 of board D1.


• System (When the emergency stop switch is actuated,”U01” appears in the display).
• If necessary, release the emergency stop switch.
• Service PC .
• Start the service program
(refer to the service software instructions RLL5-310.113.02...).
Main menu

Info database
Unit parameters Load from unit

Unit state Load from file

Unit errors

Calibration
Options
Download

Unit parameters

Load from unit

Load from file

Show

Modify Tomography

Send to unit Memoskop 2K/100


Write to file ceiling height

Output

• For ceiling height enter the actual room height available

• Press return.
• Press <F4>. Initial questions with Yes.

Siemens AG Register 4 RLL5-310.034.04 Page 1 of 6 UROSKOP D3


Medical Engineering Rev. 04 12.98 TD PS 24
4-2 Unit movements

Lifting movement

Rotating axis

Lifting movement 4

CAUTION Move into the end positions in gradual increments.

• Tilt the unit into the 0° position.


• Successively move the unit into both end positions.
• Measure the distance between the floor or top surface of the installation plate and the
top surface of the tabletop or rotating axis for both system positions:

Nominal distance between the floor or top surface of the installation plate
and top surface of the tabletop and rotating axis
Hu Ho Au Ao
82 cm ± 5 mm 128 cm ± 5 mm 62 cm ± 5 mm 108 cm ± 5 mm
for I.I. 40 86 cm ± 5 mm 128 cm ± 5 mm 66 cm ± 5 mm 108 cm ± 5 mm

! minimum distance I.I. ⇔ floor: 4 cm !

NOTICE Ho = 128 cm, possible only for room heights 2.60 m and above.

Read the values displayed on the PC and compare them with the factory test values on
the test certificate.
• Initial the comparison as confirmation.
Lowest point: 62 cm to center of rotation with tilted table (+88°).
• Correction: UROSKOP D adjustment instructions

UROSKOP D3 Register 4 RLL5-310.034.04 Page 2 of 6 Siemens AG


Rev. 04 12.98 TD PS 24 Medical Engineering
Unit movements 4-3

Oblique projection 4

CAUTION Move into the end positions in gradual increments.

• Swivel the tube assembly support arm in each case from the 0° position into both end
positions, -15° and +15°.
The 15° values must be indicated on the system control console; at the same time, the
safety limit switch must not be pressed.
• Read the values displayed on the PC under menu item [Unit state], [Current] and
compare them with the factory test values in the test certificate.
• Initial the comparison as confirmation.
• Correction: UROSKOP D adjustment instructions.

Siemens AG Register 4 RLL5-310.034.04 Page 3 of 6 UROSKOP D3


Medical Engineering Rev. 04 12.98 TD PS 24
4-4 Unit movements

Tilting movement 4

Requirement: The installation plate must be level.

CAUTION Move into the end positions in gradual increments.

• Tilt the unit in each case from both directions into the 0° position.
• Check the 0° position in each case with the precision water level after the automatic stop.
Nominal: 0° ± 0.3°
• Swivel from the 0° position into the +88° end position; the switching cam must not touch
the limit switch.
• Check the +88° end position with the precision water level.
Nominal: 88° ± 0.5°
• Swivel from the +88° end position into the -15° end position; the switching cam must not
touch the limit switch.
• Check the -15° end position with the precision water level.
Nominal: - 15° ± 0.5°
• Read the values displayed on the PC and compare them with the factory test values in
the test certificate.
• Initial the comparison as confirmation.
• Correction: UROSKOP D adjustment instructions.

UROSKOP D3 Register 4 RLL5-310.034.04 Page 4 of 6 Siemens AG


Rev. 04 12.98 TD PS 24 Medical Engineering
Unit movements 4-5

Wall side

Physician‘s side Head end

Longitudinal movement of the tabletop 4

CAUTION Move to the end positions in gradual increments.

• Move the tabletop successively into end positions A and K.


• Measure the distance between the left tabletop edge and the left front of the front guide
rail for both table positions.
Nominal: La = 573 mm ± 5 mm
Lk = 573 mm ± 5 mm

• Read off the values displayed on the PC and compare them with the factory test values
of the test certificate.
• Initial the comparison as confirmation.
• Correction: UROSKOP D adjustment instructions.

Siemens AG Register 4 RLL5-310.034.04 Page 5 of 6 UROSKOP D3


Medical Engineering Rev. 04 12.98 TD PS 24
4-6 Unit movements

Wall side

Head end

Physician‘s side

Transverse movement of the tabletop 4

CAUTION Move to the end positions in gradual increments.

• Tilt the unit into the 0° position.


• Move the transverse carriage of the tabletop successively into both end positions R
and L.
• Measure the distance between the rear table edge and the front edge of the tube
assembly support arm for both table positions:
Nominal: Ql = 55.5 cm,
Qt = 31.5 cm Total tolerance: 5 mm

• Initial the comparison as confirmation.


• Correction: UROSKOP D adjustment instructions.
• End the service program with <F10>.

UROSKOP D3 Register 4 RLL5-310.034.04 Page 6 of 6 Siemens AG


Rev. 04 12.98 TD PS 24 Medical Engineering
Radiation geometry 5 5-1

Film drawn diagonals

Z
Cassette Cassette
center center
Head
end
Side Metal washer
marking Side Metal Radiation field
marking washer exposed film area

Fig. 1 Fig. 2

NOTICE The central beam has been adjusted at the factory and docu-
mented on page 4 of the test certificate.
Take a few test exposures to ensure that the setting has not
changed during transport and installation.
The test certificate is contained in the UROSKOP D logbook,
RLL5-310.066.

DHHS • Mark the center of a 24 cm x 30 cm (10" x 12") cassette by attaching a metal washer
(Fig. 1).
RöV • Attach a second washer to the cassette as a side marker (Fig. 1).
§16
• Insert the cassette which has been loaded with film in the longitudinal direction
(side marking at the head end).
• Collimate the radiation field smaller than the cassette format (approx. 15 cm x 15 cm).
Set the exposure data: approx. 40 kV, 5 mAs and large focus
(with universal film screen).

• Make one exposure each with the table in the 0°,+88° and - 15° position in each case.
• Develop the three films.
• Draw the radiation field center onto the developed film (Fig. 2).
• Measure the deviation (z/Fig. 2) between the radiation field center and the center mar-
king (washer) on the 2 exposures (Z1, Z2).
• Compare the measured deviations Z1, Z2 with the factory test exposures and enter the
values into the UROSKOP D test certificate, "Coincidence of radiation field center and
film center".
The difference from the values determined at the factory may be max. 2 mm.
Max. acceptable deviations: ≤ 1 cm
• If the deviation is greater than > 1 cm, adjust the central beam according to the adjust-
ment instructions and repeat the test exposures.

Siemens AG Register 4 RLL5-310.034.04 Page 1 of 6 UROSKOP D3


Medical Engineering Rev. 04 12.98 TD PS 24
5-2 Radiation geometry
The accuracy of collimation for the PBL system is tested for three formats.
Film subdivisions can also be selected.
The table position is unimportant for this test.

Test conditions 5

• Expose 3 formats onto one film.


• With large focal spot

rB = 115 cm
a = 7 cm
DHHS rB = 108 cm
M = rB / (rB - a) = 1.065
rB rB - a Radiation field
RöV
§16
Test film
Cassette without film
Tabletop
a

• Use a 35 cm x 35 cm cassette with film and place it on the tabletop diagonal to the table
edges and centered to the central beam.
• Close the collimator all the way.
• At the generator select the large focus and approx. 50 kV, 25 mAs.
• Now insert three cassettes consecutively (film subdivisions as well, if necessary) without
film in the spotfilm device, starting with the smallest format. Release one exposure for
each format. Select full view form for all exposures.
• If available, use the three formats of 18 cm x 24 cm, 24 cm x 30 cm and 35 cm x 35 cm
for the test.
• The three exposures are shot over one another on the same film. The evaluation is pos-
sible due to the different film density of the individual formats.

NOTICE Ensure that the format is always collimated from the smaller to
the larger collimator aperture.

• Develop and label the film.

UROSKOP D3 Register 4 RLL5-310.034.04 Page 2 of 6 Siemens AG


Rev. 04 12.98 TD PS 24 Medical Engineering
Radiation geometry 5-3
Evaluation 5

• Measure the length and width (l’ and b’) of the three radiation fields on the film and
record the values.
• Use the factor M for converting the radiation fields from measurement plane to film plane.
M = rB / rB-a = 115 / (115 - 7) = 1.065
• Using M, calculate the radiation field sizes in the film plane (l and b) from the measured
field sizes (l’ and b’) and record the values.
l=l'×M; b=b'×M
• Calculate and record the deviations between nominal format (lN and bN) and actual
radiation field size in the film plane (l and b) referenced to the SID (rB).

Tolerance:

l  lN b  bN
≤ 0.02; ≤ 0.02 corresponds to 2%
rB rB

Siemens AG Register 4 RLL5-310.034.04 Page 3 of 6 UROSKOP D3


Medical Engineering Rev. 04 12.98 TD PS 24
5-4 Radiation geometry
Check whether the coincidence between the radiation field and fluoro field are displayed
on the monitor for all image intensifier formats. In addition, check the centering of the radi-
ation field to the monitor image center in the extreme table positions.

Test conditions 5

FLUORO field limitation:


• In one table position
• For all I.I. formats
Centering:
• In 3 table positions
• For I.I. full view format

Y1
rB r Strahlenfeld
RöV X1 X2
§16 Y2
Testfilm
Zentrierkreuz

ZG

BV

Brief description of the test 5

• Center the centering cross to the central beam under fluoroscopy.


• Open the collimator to maximum aperture and verify that the collimator blades are
visible on the monitor.
If yes, the check for overframing is not required.
§16 • Count and record the cm scale divisions of the 4 coordinates X1, X2, Y1, Y2.
• If the collimator blades are not visible, place a film envelope with test film in the plane at
the centering and release fluoroscopy (approx. 20 sec.).
• Evaluation:
Compare the radiation field on the test film with the field size on the monitor.
Determine overframing in % of the SID.
Determine the off-center and calculate it in % of the SID.

UROSKOP D3 Register 4 RLL5-310.034.04 Page 4 of 6 Siemens AG


Rev. 04 12.98 TD PS 24 Medical Engineering
Radiation geometry 5-5
Visual check of the fluoroscopic field limitation 5

• Align the central beam perpendicular to the I.I. and move the tabletop into the horizontal
position or into a frequently used mid-range position. Record the tilt angle of this position.
• Do not insert a cassette in the spotfilm device. Select I.I. full view format.
• Open the collimator to maximum aperture and verify that the collimator blades are still
visible on the monitor.
• Perform this check for all I.I. formats and record whether the collimator blades are visible
on the monitor.
• Determine and record: source-centering cross distance (r), SID = 115 cm.
• This completes the fluoroscopic field limitation check for all formats in which the collima-
tor blades are visible on the monitor.
• The degree of overframing must be determined for those formats in which all collimator
blades are not visible.

Checking the overframing of the fluoroscopic field size displayed on the


monitor 5

• Maintain the mid-range table position.


• Attach the centering cross to the tabletop so that the X axis is horizontal.
• Collimate a small radiation field and center the centering cross to the radiation field
under fluoroscopy.
• Open the collimator to maximum aperture. Proceeding outward from the center of the
centering cross, read and record the cm divisions of the 4 coordinates X1, X2, Y1, Y2 in
width and height displayed on the monitor.
• Perform this for all I.I. formats in which the collimator blades can no longer be seen on
the monitor at maximum collimator aperture.
• Place a film envelope with test film in the plane at the centering cross and release
fluoroscopy at maximum collimator aperture until sufficient film density is obtained.
• Repeat this for all I.I. formats in which the collimator blades are not visible on the
monitor.
• Make one test film each with the formats to be tested and label.

Siemens AG Register 4 RLL5-310.034.04 Page 5 of 6 UROSKOP D3


Medical Engineering Rev. 04 12.98 TD PS 24
5-6 Radiation geometry
Checking the centering of radiation field and monitor image center 5

• Select I.I. full view format. Maintain the mid-range table position.
• Unless already done, center the centering cross to the central beam (tabletop) and open
the collimator to maximum aperture.
• Proceeding outward from the center of the centering cross, read and record the cm
divisions of the 4 coordinates X1, X2, Y1 and Y2 displayed on the monitor.
§16 • Repeat the same procedure in the two extreme positions of the table: collimate small,
center the centering cross to the central beam, open the collimator to maximum
aperture, read off and record the scale divisions in the X and Y axis.

Evaluation of overframing in fluoroscopy 5

• Measure the width and length of the radiation fields displayed on the test films and
record the radiation field sizes (l and w).
The difference (overframing) between the radiation field size (l and w) and the field size
displayed on the monitor (X1 + X2 and Y1 + Y2) is determined and calculated in % of the
source-centering cross distance:

Tolerance:

b  ( X1 + X2 ) l  (X1 + X2)
≤ 0.02; ≤ 0.02 corresponds to 2%
r r

Evaluation of off-center in fluoroscopy 5

• The off-center deviation (zx and zy) of radiation field and monitor image center is calcu-
lated in each case in the X and Y direction for all table positions (tilt angles) tested:

X1  X2 Y1  Y2
zX = ; zY = ;
2 2

• The off-center deviation is calculated in % of the source-centering cross distance.

Tolerance:

zX zY
; ≤ 0.02 ; ≤ 0.02 corresponds to 2%
r r

UROSKOP D3 Register 4 RLL5-310.034.04 Page 6 of 6 Siemens AG


Rev. 04 12.98 TD PS 24 Medical Engineering
Checking the tomographic device 6 6-1

NOTICE The tomographic device has been adjusted at the factory. The set-
ting is documented in the test certificate and via three test expo-
sures included in the shipment. Take a test exposure to ensure
that the setting has not been changed during transport and instal-
lation.

Anode side

20°
2 mm
approx. 115 mm

SHa

• Move the tabletop into the horizontal position and select "tomography" operating mode.
• Place a foam cube with definition tests on the tabletop and center it to the light localizer.
One definition test must be located on the anode side, the other test must face towards
the tube assembly support arm.
• Ensure that the notches of the two definition tests are located at the same height above
the tabletop; measure this dimension (approx. 11.5 cm) exactly.
• Select the tomographic height so that the numerical tomographic height display corres-
ponds exactly to the measured "notch height".Record this dimension as selected tomo-
graphic height ”SHa” in the test certificate under section 12.
• Load film into an 18 cm x 24 cm cassette with high-resolution film-screen combination
and insert it into the spotfilm device.
• Collimate the field size onto the surface of the test phantom.
• Select the small focus ( ) and insert a 0.3 mm Cu filter into the collimator.
• Select the tomographic pattern indicated in the test certificate for the 1st exposure and
set the specified kV value and mAs value.
• Release a tomographic exposure and develop the film.
The basic film density should be approx. D = 1 to 1.4.
• If necessary, repeat the exposure with a different mAs value.

Siemens AG Register 4 RLL5-310.034.04 Page 1 of 2 UROSKOP D3


Medical Engineering Rev. 04 12.98 TD PS 24
6-2 Checking the tomographic device
Accuracy of the tomographic height display 6

• The sharply delineated hole of the definition test is located in the tomographic plane.
§16 • If the hole near the notch is delineated sharply, the numerically displayed tomographic
height SHa coincides with the actual tomographic height SH, i.e. ∆ SHa = 0.
• In the case of deviations, determine the height difference ∆ SHa in mm between the
sharply delineated hole and the notch (the height difference from one hole to the other is
0.2 cm).
When the actual tomographic height is located above the notch, then ∆ SHa is positive.
When the actual tomographic height is located below the notch, then ∆ SHa is negative.
• Determine and record the actual tomographic height SH =SHa + ∆ SHa.

The deviation ∆ SHa must be ≤ 0.5 cm.

Resolution and tomographic procedure 6

Compare the test exposure made during system start-up at the customer site with the cor-
responding test exposure made at the factory:
• Using a magnifying glass (min. 6x magnification), determine and record the maximum
visible resolution of the test exposures.
The resolution may not deviate from the resolution of the factory test exposure by more
than one line group; the minimum resolution must be ≥ 2 Lp/mm.
• The shape and course of the tomographic pattern and the evenness of the blurring on
the test exposure must be comparable to the factory test exposure.
§16 • Assessing the test exposures:
Compared with the resolution of the Bucky exposure, the resolution of the tomographic
exposure may not deviate by more than one line group.
The blurring shadows of the holes and lines must run in parallel over the entire range.
If this is not the case, then the film path and the focus path are not in parallel.
Wavy lines may be caused by oscillations in the system.
• The different film densities of the imaged holes may be caused by grid interferences
(this cannot be avoided - it is not critical.)

UROSKOP D3 Register 4 RLL5-310.034.04 Page 2 of 2 Siemens AG


Rev. 04 12.98 TD PS 24 Medical Engineering
Fluoroscopic dose rate 7 7-1

General 7

The following test measurements for the image quality test certificate ensure that the sys-
tem is functioning correctly and that the factory settings have not changed.
Important: To record the measured values, use the IQ test certificate RXD0-
000.037.01... The paragraphs indicated in brackets in the following
text refer to this test certificate.
The test certificate is located in the UROSKOP D logbook, Register 9.

The customer’s address, system overview and the required measurement instruments
(para. 1, 1.1, 1.2 and 1.3) must be recorded.

Preliminary remarks 7

Basic information on the dose / dose rate measurement for I.I. workstations7
For dose measurement at the I.I. input (KB) or dose rate measurement at the I.I. input
(KB), attach the dosimeter chamber as close as possible to the I.I. In the case of spotfilm
devices, place it in the cassette shaft.

NOTICE Press the emergency STOP button on the Uroskop.

If this is not possible, measure the dose (KTg) or the dose rate (KTg) in front of the attenu-
ating layers, on the tabletop.
The measured value is converted into the value at the I.I. input using correction factor m
(unit attenuation factor).
The unit attenuation factor contains all attenuating layers between patient, image and
receptor including the distance factor; it is specified in the test certificates and can also be
determined by multiplying the attenuation factors of the individual layers.
A radiation attenuation of 6% by the dose measurement chamber must also be taken into
account (factor 0.94).

Determining the dose/dose rate directly at the I.I. input 7

Place the dose measurement chamber in the beam path (UROSKOP D2, D3) for mea-
surement. After the ADC has stabilized, press the STOP button. Factor 0.94 does not
apply in this case.
Determining the unit attenuation factor from the individual attenuation factors
Attenuation factor of tabletop, back panel spotfilm device etc. mT
Attenuation factor of scattered radiation grid mR
Attenuation factor of Iontomat chamber mI

2
rB
Distance factor attenuation factor mA =
rT
Unit attenuation factor m = mT x mR x mI x mA . . . . . . .

Siemens AG Register 4 RLL5-310.034.04 Page 1 of 4 UROSKOP D3


Medical Engineering Rev. 04 12.98 TD PS 24
7-2 Fluoroscopic dose rate

Cu-Filter

Measurement chamber in front of attenuating layers


Tabletop or spotfilm device back panel
Grid
Unit Iontomat chamber
attenutation
Measurement chamber in I.I. plane (cassette shaft)
factor
I.I. input

KB/KB = dose/dose rate directly at I.I. input


KBg/KBg = measured dose/dose rate in I.I.plane
KTg/KTg = measured dose/dose rate in front of attenuating layers
rB = source-image receptor distance
rT = distance between source and start of the attenuating layers

Formulas for calculating the dose/dose rate in the measurement plane for
dose/dose rate setting 7

During setting, the dose or dose rate required directly at the I.I. input must be converted
into the measuring plane (I.I. plane or in front of attenuating layers). Use the modified for-
mulas to do this.
Dose Dose rate
Ionization chamber in I.I. plane KBg = KB KBg = KB
Ionization chamber in front of KTg = KBg x m KTG = KB x m
attenuation layers

Remark: With Polydoros S and SX generators, radiation attenuation via the dose
measurement chamber is already taken into account during setting (for
adjustment: move the dose measurement chamber out of the beam path).
Do not use factor 0.94 for calculating the dose rate to be set.

UROSKOP D3 Register 4 RLL5-310.034.04 Page 2 of 4 Siemens AG


Rev. 04 12.98 TD PS 24 Medical Engineering
Fluoroscopic dose rate 7-3

Indirect dose rate test at the customer site 7

(Para. 4.1.2 Chapter 4)


Before setting different customer-specific fluoroscopic parameters, check via the indirect
dose rate test that the factory settings have not been changed and that the system func-
tions properly.
- Select the operating conditions documented in the IQ test certificate.
- Place 2.1 mm Cu (precision radiation filter 99 00 598) in the beam path.
- Open the collimator to maximum aperture.
- If the factory values (kV, mA) are obtained, transfer the dose rate values from table
4.1.1 to table 4.1.2.
Notes on the acceptance test in Germany according to §16 RöV:
After programming the customer-specific fluoroscopic parameters, the dose rate for all FL
control stages and all I.I. formats must be measured and entered in the acceptance certif-
§16 icate together with the kV and mA values. Use 25 mm Al + 1.5 mm Cu as prefiltration.
The dose rate values measured with 25 mm Al + 1.5 mm Cu correspond to the values
measured with 2.1 mm Cu; the resulting kV and mA values are different.

Setting when the indirect dose rate is out of tolerance 7

(Para. 4.2.1 Chapter 4)


If the dose rate must be readjusted after repair work etc., the dose rate measured must be
entered in the image quality test certificate under “Resetting the dose rate”.
Perform measurement of the dose rate and determination of the kV and mA values as
well as the documentation as described above.

NOTICE Switch the dose meter on at least 15 minutes before measurement


and calibrate it.

Test conditions:
For dose rate measurements, program the antiisowatt curve (C00) to Fluoro 2 and then
perform the checks.
- Source-I.I. distance: 118 cm
- Attach 2.1 mm Cu to the collimator.
Sequence of work:
- Connect DVM to POLYDOROS D901 X2.1 and 7.
- Move the table into its center position so that table rails lie outside the beam path.
- Select full view I.I. format and open the collimator to maximum aperture.
- In the”Adjustment” service program, set ”Skindoserate” to the maximum value, at
110 kV and 70 kV.
- Press the EMERGENCY STOP button.
- Place the measurement chamber in front of the I.I., measuring range 1.0 µGy/s, and
center it.
- Select ”Adjustment”/”Doserate”.

Siemens AG Register 4 RLL5-310.034.04 Page 3 of 4 UROSKOP D3


Medical Engineering Rev. 04 12.98 TD PS 24
7-4 Fluoroscopic dose rate
- Click on ”Start Measuring”.
- Increase the current until 876 µGy/s are reached and confirm with ”ok”.
- Remove the measurement chamber.
- During fluoroscopy, the DVM must read 700 mV ± 35 mV; adjust with D100/R1 (in light
distributor) (check with closed light distributor).
- Perform the adjustment.
- Exit the service program with ”Syst. disconnect”.

Maximum skin dose rate 7

(Para. 4.4.2 Chapter 4)


Measure and record only if required by the country-specific regulations (USA, Canada).
- Full I.I. format
- Min. SID
- Cover I.I. to protect it from radiation (protects input layer of I.I.) and remove the fuses of
the I.I. power supply (TV-camera).
- Position the dose measurement chamber 30 cm above the tabletop.
- Ensure that the dose measurement chamber is exposed completely.
- Measure the resulting dose rate at all ADC control stages.
- In each case, record the kV and mA values produced (display of the generator
console).
During start-up, perform measurements for all control stages described above that have
not yet been checked at the factory (customer-specific ADC control system parameters).
Enter the ADC control system parameters already checked at the factory from table 4.4.1
in 4.4.2.
Notes on the acceptance test in USA and Canada according to DHHS regulations:
DHHS Use the maximum skin dose rate values obtained at the factory and during start-up for the
acceptance test certificate.

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Rev. 04 12.98 TD PS 24 Medical Engineering
Television system 8 8-1

Function check of ambient light sensor 8

- Switch on the ambient light sensor.


- Cover the ambient light sensor with your hand:
The monitor image must visually change.
- Switch off the ambient light sensor again.
- Perform all other IQ checks with the ambient light sensor switched off.

B-signal values (without bias light/dark current component) 8

(Para. 5.3.1 Chapter 5D)


Notice:
Measure the B-signal with expanded time base (greater accuracy of measurement) in the
line center and noise center of a line in the image center (Fig.1).

Test conditions:
- Insert the grid
- Source-I.I. distance: 118 cm
- Attach prefiltration of 2.1 mm Cu to the collimator

Sequence of work:
- Switch on fluoroscopy, select or program antiisowatt curve C00
- Measure and record the B-signal for all I.I. formats
Table 5.3.2 (without bias light/dark current component)
- Switch off fluoroscopy
.
Notes:
During repeat measurements, th Noise center,
e B-signal values may drop by up to line center
15 mV compared to the values mea-
sured when setting the iris diaphragm
depending on the system. In this case,
repeat the setting and taking the mea-
sured deviation into consideration,
remeasure and record the results.

Siemens AG Register 4 RLL5-310.034.04 Page 1 of 2 UROSKOP D3


Medical Engineering Rev. 04 12.98 TD PS 24
8-2 Television system
Image artifacts (Para. 5.10 Chapter 5D) 8

- Mark all image artifacts which are detected during setting and image quality tests in
the table in the image quality test certificate. The test points listed in the table indicate
measurements in which each artifact generated is stronger and/or can be better
evaluated.
- If any image artifacts are detected which are not listed in the table, these must be
described under ”Other artifacts”.
- To assess the respective artifacts, there are three rating numbers which indicate the
extent of each artifact:
Definition of the rating numbers:
1 =No artifacts could be determined during start-up.
2 =A few artifacts occurred sporadically during start-up. The cause could not be located
and the”error” could not be corrected. The artifacts do not adversely affect the overall
appearance of the images and do not compromise the diagnostic value of the images
in any way. The artifacts are determined to be tolerable.
3 =During start-up, artifacts of greater severity occurred frequently and they negatively
influenced the overall appearance of the images or compromised their diagnostic
value. Therefore, the artifacts were determined to be intolerable and the system could
not be turned over to the customer.

Description of the artifacts


- Hum:
Inhomogeneity caused by electromagnetic fields in imaging systems. This artifact may
significantly influence the diagnostic value of the images depending on the type of
interference. Ideally, this artifact should not occur at all. However, extremely low levels
can be tolerated. Hum artifacts appear as periodic, horizontal bright and dark
structures in the image; they appear randomly and are not specific to one location.
- Streaks:
Very high-frequency electromagnetic fields appear in the image as bright or dark,
sometimes very short, transverse streaks in the image. They are transient. Streaks
caused by contaminants on the surfaces of lenses, etc. should be included in this
group. In this case, they are specific to one location and are constant. Streaks are
unacceptable.
- Fraying:
Fraying is caused by strong black-white transitions due to ”overmodulated” video
amplifiers. The object edge is ”distorted” laterally to the right. Slight fraying on the
black-white step can be tolerated.
- Ghosting:
These artifacts are object contours displayed twice, with the second contour generally
shifted laterally. They are caused by reflections in long, poorly adjusted video cables.
Clearly visible ghosting is unacceptable.
- Microphonics:
Microphonics is caused by mechanical oscillations (rotating anode running, etc.)
which are transferred to the TV camera, influence the deflection fields of the electron
beam and mostly display very regular interference structures similar to those
generated by electromagnetic hum interferences in the TV image. Microphonics is not
acceptable.

UROSKOP D3 Register 4 RLL5-310.034.04 Page 2 of 2 Siemens AG


Rev. 04 12.98 TD PS 24 Medical Engineering
Digital Fluoro Radiography/FLUOROSPOT H 9 9-1

General information and remarks 9

NOTICE Unless otherwise indicated, the FLUOROSPOT is always enabled


(no bypass) for the following tests.
Use organ programs as indicated; or generate them, if necessary.
List deviations next to the corresponding test point.

Organ programs for test purposes


Fluoro program:
For image quality acceptance test
Name: Fluoro program
edge enhancement (%): 0
filter coefficient: 0
window upper limit: 511
window lower limit: 256
bone display: black
Image: no
motion detection: not enabled
noise filtration (%):

DR single image:
For image quality acceptance test
Enter dose value according to test conditions.
Name: DR single
kV: manual
kV manual: 70
dose: 100
exposure data from fluoro: no
edge enhancement (%): 0
filter coefficient: 0
window upper limit: 511
window lower limit: 256
bone display: black
Image: no
organ curve: manual-kV selected
kV for dose reduction: manual-kV selected
maximum x-ray pulse width (ms): 3000
blackening correction: 0.0
focus: small

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Medical Engineering Rev. 04 12.98 TD PS 24
9-2 Digital Fluoro Radiography/FLUOROSPOT H
DR series:
For image quality acceptance test
name: DR series
kV: manual
kV manual: 70
dose: 100
exposure data from fluoro: yes
frames per second: 0.5 (1) (8)
maximum x-ray pulse width (ms): 1000 (800) (65)
scene length (sec: 10s
edge enhancement (%): 0
filter coefficient: 0
window upper limit: 511
window lower limit: 256
Bone display: black
Image: no
organ curve: manual kV selected
kV for dose reduction: 109
stop mode of generator: no
blackening correction: 0.0
focus: small
delta kV: fixed focus selected

UROSKOP D3 Register 4 RLL5-310.034.04 Page 2 of 20 Siemens AG


Rev. 04 12.98 TD PS 24 Medical Engineering
Digital Fluoro Radiography/FLUOROSPOT H 9-3
DSA:
For image quality acceptance test
Enter dose value and frame rate according to test conditions.
Name: DSA
kV: manual
kV manual: 70
dose: 100 (200), (500)
exposure data from fluoro: yes
frames per second: 1/0,5/8 (1/6), (1/6/8)
scene length: 10s (10), (5)

native display
edge enhancement (%): 0
filter coefficient: 0
window upper limit: 511
window lower limit: 256
bone display: black
subtracted display
edge enhancement (%): 0
filter coefficient: 0
window center (W1): 80

contrast (W2): 220


Image: no
organ curve: manual kV selected
kV for dose reduction: 109
blackening correction: 0.0
focus: large
delta kV: fixed focus selected

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Medical Engineering Rev. 04 12.98 TD PS 24
9-4 Digital Fluoro Radiography/FLUOROSPOT H
Image quality test exposures
The following images are stored on hard disk (HD) for systems pretested at the factory as
a reference for the field service technician for system start-up.
Compare the test images taken during start-up at the customer site with the test images
taken at the factory. This will allow you to detect and eliminate any deviations (e.g. devia-
tions which have occurred since the factory test).
Name (Pat) Type of examination (Remarks on storage)
name Identification
DR_Ramp MP 8.2 (SS off) Single / DR expos. => store 1 image
DSA_Ramp MP 8.2 (SS off) DSA series => save 1-2 images (precon-
trast), delete remaining images of the series
LIH_Dyn MP 8.5 (Temp=0) LIH => store monitor
DR_Dyn MP 8.5 ( − / 100) Single/DR expos. => store 1 image
LIH_Resol MP 8.7 (Temp=0) LIH => store monitor for each I.I. format
DR_Resol MP 8.7 ( − / 100) Single/DR expos. with each I.I. format
DSA_Resol MP 8.7 (1/100) DSA series with each I.I. format
Save 1-2 images per series (precontrast) and
delete remaining images
DSA_Dyn I MP 8.9 (1/500) DSA series => store 2 images,
(mask, filling);
delete remaining images of the series
DSA_Dyn II MP 8.9 (6/200) DSA series => save 2 images
(mask, filling);
delete remaining images of the series
DR_HOM MP 8.10 ( − / 100) Single/DR expos. with solder tin cross
DSA_HOM I MP 8.10 (1/500) DSA series with solder tin cross
=> save 2 images (mask, filling);
delete remaining images of the series
DSA_HOM II MP 8.10 (6/200) DSA series with solder tin cross
=> save 2 images (mask, filling);
delete remaining images of the series

UROSKOP D3 Register 4 RLL5-310.034.04 Page 4 of 20 Siemens AG


Rev. 04 12.98 TD PS 24 Medical Engineering
Digital Fluoro Radiography/FLUOROSPOT H 9-5

Dose/pulse test during start-up (indirect dose check) 9

(Para. 8.1.2 Chapter 8A)

CAUTION No additional filtration must be selected on the multileaf collima-


tor. The dosimeter must be switched on for at least 15 minutes
and calibrated.

The "indirect dose check" is a simple procedure used during system start-up to check
whether the dose values set and recorded at the factory have changed.
For the ”indirect dose check”, place a 2.1 mm Cu filter (precision radiation filter
99 00 5988) in the beam path and measure the mAs value per pulse (Qg/n) with the colli-
mator at maximum aperture. Subsquently, compare the values with the mAs value per
pulse measured at the factory.
For each measurement, set the same operating parameters as used at the factory (IQ test
certificate, page 6-1); (refer also to dose/pulse, page 9-5 to 9-7).
The test conditions and preparations are the same as described under 8.3.1, but without
the dosimeter. The notes and test procedure provided under 8.1.1 apply.
If the results of the indirect dose test match the factory values for mAs/pulse (recorded on
page 6-1 of the IQ test certificate), transfer the dose values from the tables on page 6-1 to
the tables on page 6-2. If the mAs values deviate by more than ± 15% from the factory
values with identical tube voltage, measure the dose/pulse again as described on page
9-5.
Notes on the acceptance test in Germany according to § 16 RöV:
Enter the measured dose values/pulse in the acceptance test certificate.
§16 The dose values measured with 2.1 mm Cu correspond to the values produced with
25 mm Al + 1.5 mm Cu. The mAs values/pulse that depend on the prefiltration are not
enteed into the acceptance test certificate.

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Medical Engineering Rev. 04 12.98 TD PS 24
9-6 Digital Fluoro Radiography/FLUOROSPOT H

BA (video+blanking) signal values / setting the iris diaphragm in


DR operation 9

(Para. 8.4.2 Chapter 8A)


Test conditions and preparations:
- Source-I.I. distance: 118 cm
- Attach 2.1 mm Cu prefiltration to the collimator
- I.I. format: 22 cm, 23 cm, 27 cm or 28 cm
- Connect oscilloscope: CH1 to FLUOROSPOT output (video output/Live= Trans.panel
TP5.
Sequence of work:
BA-signal with LIH with Fluoro 1:
- Select fluoro program on the FLUOROSPOT as described on page 9-1: W1 = 511, W2
= 256, etc.
- Switch on dig. FL with Fluoro 1 (C00) and record the stabilized kV value (Ua); FL OFF.
- Measure and record the BA-signal for LIH:
Select a line in the image center (line 256 / 60 Hz, line 312 / 50 Hz); measure the level
in the line center and noise center.
BA-signal with DR exposures:
- Select DR organ program on the FLUOROSPOT as described on page 9-1: 70 kV, W1
= 511; W2 = 256, etc.
- To ensure that dose control and iris control are interacting properly, make the following
consecutive exposures and measure and record the BA-signal respectively at the
FLUOROSPOT output:
DR single image - dose 50; dose 100, dose 200
DR series with 0.5 f/s - dose 50, dose 100; dose 200
DR series with 8 f/s - dose 50, dose 100, dose 200

- In each case trigger fluoroscopy briefly before releasing the exposure.


Remarks: There is only one iris correction value for all indicated DR modes. For
single images and dose 100, set the BA-signal as precisely as possible
to the nominal value to maintain the tolerances for all modes.

- Record the iris correction value for the DR exposures.


Start-up of systems at the customer site:
When starting-up prestaged systems, check only the BA-signals for dose step 100. The
values must be within the tolerances specified in the list of nominal values. If the toler-
ances are not maintained, the iris correction value must be changed and the whole mea-
surement series must be repeated.

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Rev. 04 12.98 TD PS 24 Medical Engineering
Digital Fluoro Radiography/FLUOROSPOT H 9-7
Dynamic test 9

CAUTION During measurements with the dynamic test, no additional filter


must be selected on the multileaf collimator. The nominal values
refer to a tube voltage of 70 kV.

Amplitudes/ Setting the iris diaphragm for DSA mode


- The BA-signal amplitudes of the different attenuation levels of the dynamic test are
measured at the FLUOROSPOT output with a tube voltage of 70 kV. The required
video+blanking levels are obtained by correctly adjusting the iris diaphragm.
Remarks: The iris diaphragm has already been adjusted for FL mode (test point
5.3) and for DR exposures (test point 8.4) with a homogeneous
(2.1-mm Cu) phantom and may not be changed. Adjust the iris dia-
phragm with the dynamic test for DSA mode.

Test conditions and preparations:


- Source-I.I. distance:
OT units = 115 cm

- Grid inserted
- I.I. format: 22 cm, 23 cm, 27 cm or 28 cm
- Attach dynamic test close to the I.I. (with heart contour diaphragm and new capillary
displacement test, part no. 97 50 019).
OT units - on the tabletop

Remarks: For UROSKOP D3, position the dynamic test approx. 25 cm above the
tabletop so that the ring-shaped dominant is located in field 1.

The dynamic test must be displayed on the monitor as shown in Fig.1; if necessary,
change the position of the guide rails on the test.
- Connect oscilloscope: CH1 to FLUOROSPOT output (video output/Live) = Trans.
panel TP5.
Procedure:
Amplitudes with LIH: - Select fluoro program on the FLUOROSPOT as described
on page 8-1: W1 = 511, W2 = 256, etc.
- Switch on dig. FL with Fluoro 1 (C00). Center and collimate
the dynamic test (Fig.1). After collimating, release fluorosco-
py for a short time (approx. 5 s) until the ADC has adjusted.

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Medical Engineering Rev. 04 12.98 TD PS 24
9-8 Digital Fluoro Radiography/FLUOROSPOT H

Remarks: The nominal values for the BA amplitudes with LIH can be obtained only
if the AGC measurement field is covered completely by the 1st field of
the dynamic test. This is assured by the AGC measuring field size (pro-
gressive) marked in 5.6.1.
If the AGC measurement field exceeds the 1st field, shift the dynamic
test until the 2L field is safely outside the AGC measurement field and
only the 5R field projects into the AGC measurement field.
The 5R field does not distort the measurement as much as the 2L field.
This applies to the rectangular ADC measurement field as well.
Do not undercollimate the ADC measurement field so that the dose val-
ues for the exposure match.

AGC measuring field AGC measuring field

Collimation size
Collimator

Collimation size Collimation


Collimator size
Collimator

- For LIH, measure and record the BA-signal amplitudes of fields 2L, 1 and 5R of the
dynamic test: Measure a line in the approx. image center (approx. line 256) and noise
center.

UROSKOP D3 Register 4 RLL5-310.034.04 Page 8 of 20 Siemens AG


Rev. 04 12.98 TD PS 24 Medical Engineering
Digital Fluoro Radiography/FLUOROSPOT H 9-9

BA-signal output
FLUOROSPOT

Line in image center

Important: Do not measure on a line which is covered by a capillary. To ensure


this, move the expanded time base back and forth by a few lines;
the amplitude should not change. A capillary reduces the BA-sig-
nal.

- Record the resulting kV value (Ua). If the value deviates from 70 kV, the dynamic
response of the BA-signal changes.
• At < 70 kV, the difference of the BA-signal between fields 5R and 2L increases
(higher dynamic response).
• At > 70 kV, the difference of the BA-signal between fields 5R and 2L decreases
(lower dynamic response).

Amplitudes with DR exposure:


Select a DR organ program on the FLUOROSPOT as described on page 8-1: 70 kV, W1
= 511, W2 = 256, etc., select dose 100, single image on the unit

CAUTION The iris correction must be =0 on the generator console and in the
organ program.

- Switch on FL for approx. 5 s.


- Release DR exposure and measure and record the BA-signal amplitudes of fields 2L,
1 and 5R of the dynamic test:
Measure a line in the approx. image center (approx. line 256) and noise center.
- Record the indicated kV value (Ua).
- Measure and record the iris voltage value Uact or UIRIS on M98/D2 resp. N84/D2 or
PL-SX:N11/D270. This test point does not apply to prestaged systems.

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Medical Engineering Rev. 04 12.98 TD PS 24
9 - 10 Digital Fluoro Radiography/FLUOROSPOT H
Amplitudes with DSA exposure:
The iris setting is checked in DSA mode (constant time mode) for both exposure times
(0.5 - 4 f/s = 233 ms; 6 - 8 f/s = 100 ms) because a different iris correction value must be
set for each of the two constant times.
The DSA test scenes will be required at a later point.
Select a DSA organ program on the FLUOROSPOT as described on page 8-2
(subtraction): 70 kV; W1 = 511; W2 = 256 (precontrast exposure), etc.

CAUTION The iris correction must be =0 on the generator console and in the
organ program.

- Before releasing the DSA scenes, prepare the shift test.


- Release one DSA scene with the following exposure data and actuate the
displacement test after approx. half of the scene time has elapsed.
• Dose 500; 1 f/s; scene time = 10 s.
• Dose 200; 6 f/s; scene time = 5 s.

To ensure that defined, reproducible exposure parameters are accepted during test
scenes, proceed as follows:
1. Select a scene with the desired organ program.
2. Release fluoroscopy for approx 5 s. to allow the ADC to adjust; then the water
value computer sets the correct exposure data.
3. Release a short scene (5-6 images) to allow the dose to adjust in constant time
mode.
4. Release the actual test scene without previous fluoroscopy and evaluate the
scene. Delete the first short scene.
- Evaluate the next to last native image of each scene:
Measure and record the BA-signal amplitudes of fields 2L, 1 and 5R of the dynamic
test. Measure a line in the approx. image center (approx. line 256) and noise center.
Please note the important information on page 8A-16.
- Record the indicated kV value (Ua) and record the fixed programmed iris correction
value.
- Measure and record the iris voltage value Uact or UIRIS on M98/D2 or N84/D2 or PL-
SX:N11/D270. This test point does not apply to prestaged systems.
Remark: Due to dose scattering from scene to scene, the BA-signal values vary.
To ensure that the level in the 2L field does not exceed the upper limit
value, release at least 5 scenes at 6 f/s and evaluate them. If doubtful,
set the iris a little smaller to avoid overmodulation of the
A/D converter. In this case, the result does not have to be within the tol-
erance for field 1.
For FLUOROSPOTs with DSA, the BA amplitudes have to be measured
at the factory and in the field. If there is no DSA option, the dynamic test
does not apply for start-up at the customer site.

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Rev. 04 12.98 TD PS 24 Medical Engineering
Digital Fluoro Radiography/FLUOROSPOT H 9 - 11
Edge enhancement 9

- Use the DR exposure with the dynamic test image on the monitor.
- Change EGDE ENHANCEMENT from E = 0% to E = 100%, check the function visually
on the monitor and check whether it functions correctly.
When the edge enhancement is increased, gray steps are displayed with white and
black edges:
• A white frame is formed around black areas (5R field)
• A black frame is formed around white areas (circles around field numbers)

Mean value assessment (GGM= sliding weighted averaging) 9

- Place the dynamic test in the beam path as described in the preparations for 8.5.1.
- On the FLUOROSPOT, select the fluoro program as described on page 8-1 (temporal
filtration = 0%)
- Switch on digital FL with Fluoro 1.
- Observe the noise impression of the image.
- On the FLUOROSPOT, increase the noise filtration in the fluoro program to 12%.
- Release fluoroscopy again and evaluate whether the noise in the image has been
reduced.
• Capillaries are more visible, etc.
• Blurring is visible during movement of the object.

- Record whether the function is okay.


- On the FLUOROSPOT, reset the noise filtration in the fluoro program to 0%.

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Medical Engineering Rev. 04 12.98 TD PS 24
9 - 12 Digital Fluoro Radiography/FLUOROSPOT H

Resolution and minimum contrast 9

(Para. 8.7.2 Chapter 8A)


The determination of the resolution and the check of the minimum contrast can be done
with one measurement arrangement in one test series.
Test conditions:
- Source-I.I. distance: 118 cm
- No edge enhancement (E% = 0)
- 6% Noise filtration during FL
- Open window, that means all gray levels are used (W1 = 511; W2 = 256)
- Fluoro 1 with FL (∼ 70 kV)
- Dose step 100 for DR and DSA (70 kV)
Test preparations:
- Attach the lead bar test pattern, type 41 ➀ to the center of the I.I. and rotate it 45° from
the horizontal position ➁ on the tabletop.
- Attach a 17 µm Cu strip ➂ near the lead bar test pattern.
- Attach prefiltration of 1.2 mm Cu to the collimator.
- Switch on fluoroscopy.
- Collimate the radiation field ➃ slightly larger than the lead bar test pattern (see figure).
Do not undercollimate the ADC measuring field to avoid any overframing.
Notes on the acceptance test in Germany according to§ 16 RöV:
The resolution values measured with 1.2 mm Cu prefiltering and the minimum contrast
§16 (4% radiation contrast with 1.2 mm Cu and approx. 70 kV) evaluated with the 17 µm Cu
strip correspond to the values measured according to the acceptance test conditions.
Enter the values from the image quality test certificate into the acceptance test certificate.

4
1
45°

3
2

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Rev. 04 12.98 TD PS 24 Medical Engineering
Digital Fluoro Radiography/FLUOROSPOT H 9 - 13
Sequence of work:
- In each case, perform the check for the following modes with all I.I. formats.

DSA*
Dig. 50Hz=1024
Super-
Bypass Dig. Fluoro LIH Exposure Matrix: 60Hz=884 Hardcopy
vision
Dose 100
F/s = 1
* Evaluate the precontrast image.

- If more than one matrix size can be selected for DSA mode, the test should be
performed for the largest and smallest matrix sizes.
- On the FLUOROSPOT, select the test programs described on pages 8-1 and 8-2
respectively and take into account the test conditions described above.
- Determine the max. visible resolution and record it in the image quality test certificate:
darken the room, avoid any reflections.
- Check whether the 17 µm Cu strip (minimum contrast) is visible; enter yes or no in the
image quality test certificate.
The minimum contrast can be more easily detected at a greater distance to the object.

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Medical Engineering Rev. 04 12.98 TD PS 24
9 - 14 Digital Fluoro Radiography/FLUOROSPOT H

Checking the DSA system 9

(Para. 8.9.2 Chapter 8A)


Important image characteristics of the DSA system such as contrast sensitivity, logarith-
mic function and subtraction are checked by means of test exposures with the dynamic
test. DSA scenes previously produced are evaluated for this purpose.
If the pedestal for Manual 1 had to be adjusted when checking the black level cutoff (noise
halo), repeat the DSA scenes for the following evaluation.
Evaluation conditions:
- For evaluation, it is necessary to place the mask onto an image (if necessary, via
REMASK) for which dose adjustment has been accurately performed:
• with 6 f/s on image 8
• with 1 f/s on image 3

- Window levels: brightness W1 = 80; contrast W2 = 220


- No edge enhancement; E (%) = 0
- In each case, evaluate the next to last DSA image of the series.
Contrast sensitivity:
- In the DSA image, check whether all capillaries are displayed on fields 2L, 1 and 5R of
the dynamic test.
- Subsequently select DSA scenes 1 f/s and 6 f/s on the FLUOROSPOT and evaluate;
postprocessing operating mode.
- In the test certificate, mark those fields in which the respective dark or bright capillary
is no longer visible.
Logarithmizing function (LOG amplifier):
Logarithmic function is okay if the capillaries in the DSA image display the same gray
level on all Cu steps.
The gray level of the top bright capillary (3 mm; 16) is measured on fields 2L, 1 and 5R by
means of the DYNAMIC BOX.
- Connect the service PC to the FLUOROSPOT and call up ST 320.
- Select DSA mode on the FLUOROSPOT (not native display)
- On the FLUOROSPOT, call up PAT-DIR, TOOLS, SERVICE
- On the service PC, enter the following:
• Enter password
• "IMAGE QUALITY ASSURANCE"
• "SELECT FOLDER FOR ANALYSIS",
Enter the folder name of the DSA scene.
• "SELECT IMAGE FOR ANALYSIS",
Split image display is selected. Using the PC cursor keys (left, right), select the
image.
• "SELECT IMAGE FOR ANALYSIS",
The selected image is displayed.
• "DYNAMIC BOX",
The rectangular measurement field is displayed on the FLUOROSPOT monitor.

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Rev. 04 12.98 TD PS 24 Medical Engineering
Digital Fluoro Radiography/FLUOROSPOT H 9 - 15
• "MOVE BOX"
Using the PC cursor keys, center the square to the bright, 3 mm thick, 16%
capillary.
Ensure that the full width of the capillary is always located within the DYNAMIC
BOX measurement field
- In each case, measure the gray level of the capillary in fields 2L, 1 and 5R and record it
(refer to 1/Fig.1)
.

The max. acceptable difference between the gray level of the 1st field and the gray level
of the 2L field or the 5R field = 3 gray levels (refer to the reference value list).
Subtraction:
Subtraction is correct if all CU steps are displayed with the same gray level.
- Service PC: Using the cursor keys, move the rectangular measurement field between
two capillaries (2/Fig.1).
- Measure and record the basic gray levels of fields 2L, 1 and 5R. The gray levels must
be 0 ± 1.
For the maximum acceptable deviation, refer to the reference value list.

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Medical Engineering Rev. 04 12.98 TD PS 24
9 - 16 Digital Fluoro Radiography/FLUOROSPOT H

Checking the hardcopy camera 9

Start-up and adjustment of the hardcopy camera (HCC) on our systems is the responsibil-
ity of the manufacturer or supplier. It is expedient for a Siemens service engineer to be
present during the start-up/adjustment so that connection and image quality problems can
be quickly resolved.
Checks and documentation for the HCC within the scope of IQ testing are limited to the
following items:
• Documentation of brightness and contrast settings (Look-up tables) of the HCC at the
time of customer turnover.
• Checking and documenting the contrast gradient and the geometry of the test films
during evaluation of the SMPTE test image.
• Checking and documenting noise-free image transfer from the DFR system to the HCC
and correct camera function.

Adjusting the hardcopy camera 9

The brightness and contrast control elements on the hardcopy camera vary according to
the manufacturer. They range from switches with dials to software switches in the service
PC.
The brightness and contrast settings (LUT) must be documented so that claims with
respect to the HC image quality can be compared to test films generated during start-up
and produced under the same conditions.
The information necessary regarding brightness and contrast settings differs and is spe-
cific to the camera. Respective texts have been provided in the IQ measurement certifi-
cate to assist with the documentation.

Preparing and evaluating the SMPTE test image 9

Call up the quality test patterns from memory on the FLUOROSPOT H and transmit them
to the hardcopy camera:
Special function→ Tools → constancy test → quality test (4:1 or 6:1) → send
to HCC.

UROSKOP D3 Register 4 RLL5-310.034.04 Page 16 of 20 Siemens AG


Rev. 04 12.98 TD PS 24 Medical Engineering
Digital Fluoro Radiography/FLUOROSPOT H 9 - 17
Evaluation:
Of the four quality test images, only the SMPTE test image is evaluated.
- Measure and record the optical density (blackening) of the 0% to 100% fields with the
densitometer.
- Record as well whether the 5%- and 95% fields are visible.
- Evaluate and record whether the image geometry and the image sharpness are
acceptable.
Geometry: The displayed fields must be square (equal side dimensions at right
angles). All (lengthwise) lines and edges must be straight and not dis-
torted.
Sharpness: All contrast resolution groups must be visible for laser cameras. This
is not always possible for hardcopy cameras with built-in monitors.

Remarks: The film size and segmentation should be selected to that the sharpness
(resolution) of the test exposures is not limited by the resolution capabil-
ity of the hardcopy camera.

The test film should be archived as a part of the IQ documentation


together with the IQ test certificate.

Image artifacts and transmission interference. 9

Remarks: As a rule, an error message appears on the DFR system or the hardcopy
camera when there is transmission interference during digital image
transmission from the DFR system to the hardcopy camera; i.e. you will
be aware of image artifacts resulting from transmission problems.

The test film should be checked for image artifacts. The following artifacts are possible:
- Linear structures
- Fraying of sharp edges (Jitter)
- Inhomogeneity
- Artifacts
- Pixel errors
- Scratches, pressure marks, light leaks

If artifacts are visible, you must differentiate between those that are acceptable (e.g. for
analog connected cameras) and those that are unacceptable. If the artifacts are not
acceptable, the system may not be turned over to the customer.
The type of artifact should be documented in the space provided.
Information regarding the acceptance test in Germany according to§ 16 RöV:
The quality test image should be prepared twice and incorporated into the acceptance
test log without further evaluation as documentation of the starting status of the hardcopy
§16 camera.

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Medical Engineering Rev. 04 12.98 TD PS 24
9 - 18 Digital Fluoro Radiography/FLUOROSPOT H

Image artifacts 9

- Mark all image artifacts which have been detected during setting and image quality
tests in the table in the image quality test certificate. The test points listed in the table
indicate measurements in which each artifact generated is stronger and/or can be
better evaluated.
- If any image artifacts are detected which are not listed in the table, these must be des-
cribed under ”Other artifacts”.To evaluate the respective artifacts, there are three
rating numbers which indicate the extent of each artifact:
Compare the test images taken during start-up at the customer site with the test ima-
ges taken at the factory.This will assist in detecting and eliminating possible deviations
and new artifact occurrences.

Definition of the rating numbers: 9

1 = No artifacts could be determined during start-up.


2 = A few artifacts occurred sporadically during start-up. The cause could not be lo-
cated and the ”error” could not be corrected. The artifacts do not adversely affect
the overall appearance of the images and do not compromise the diagnostic va-
lue of the images in any way. The artifacts are determine to be tolerable.
3 = During start-up, artifacts of greater severity occurred frequently and they nega-
tively influenced the overall appearance of the images or compromised their
diagnostic value. Therefore, the artifacts were determined to be intolerable and
the system could not be turned over to the customer.

Description of the artifacts: 9

- Pixel errors are image pixels without image information. They are visible as black
dots in the precontrast image and are the size of pixels. In the DSA image, they can be
displayed as black or white dots depending on whether the error is caused by the
mask or the precontrast image.
The causes are memory errors or address errors which are generated in the RAM or in
the mass memory (postprocessing).
Pixel errors that can be tolerated are sporadic, not stationary, only 1 pixel at one loca-
tion, max. 3 pixels/image and with every 20th image only.
- Ghost images: These artifacts are contours displayed twice, with the second contour
generally shifted laterally. They are caused by reflections in long, poorly adjusted
video cables. Clearly visible ghosting is not acceptable.
- Contouring means horizontal or vertical ”streaks” which feign linear structures that
are not present. They can be detected very easily in images which have been genera-
ted by a sawtooth signal by continuously changing the windowing. Slight contouring
can be tolerated in the test described above.

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Rev. 04 12.98 TD PS 24 Medical Engineering
Digital Fluoro Radiography/FLUOROSPOT H 9 - 19
- Horizontal jitter: Vertical object edges are not displayed on the monitor as ”sharply”
delineated, but as slightly jagged, ”frayed” lines. Jittering results from slight
irregularities in the horizontal deflection from image line to image line or during image
storage and to a certain degree, it cannot be avoided. In the DSA image, jittering
causes slight coincidence errors that can be tolerated.
To perform the check, a solder tin cross must be attached to the I.I. center as precisely
as possible in the vertical and horizontal direction, and a DR exposure must be made
with dose step 100 and single frame with the smallest zoom format.
Image evaluation criteria: Very narrow windowing with high contrast
(e.g. W1 = 310, W2 = 309).
Island formation: Island formations are clearly delineated areas of the image which have
a uniform gray level and are mostly displayed noise-free. Often they result from an insuffi-
cient storage depth and therefore contain wrong image information. So-called ”burnt-out”
places in the image also come under this heading. They can be tolerated to a very limited
degree only.
Vignetting is always present as a decrease in brightness from the image center towards
the image edge. This is due to the brightness effect of X-radiation, the curvature of the I.I.
input screen, the electron optics in the I.I., the tandem optics between I.I. and TV camera,
the TV camera tube and the picture tube of the monitor. Vignetting is evaluated as an
image artifact only if it shows up too extensively or is strongly asymmetrical (refer also to
test item 5.4 in the image quality test certificate) or if there are large brightness differences
which are irregularly distributed over the entire image.
If vignetting is within the limit values for fluoroscopy specified on pages 5-4 or 6-14, it can
be classified as an ”image artifact” with evaluation number 1.
Artifacts conditional on exposure appear only in DSA images and are caused by expo-
sure fluctuations from image to image during the DSA scene.
If two completely identical images (mask and precontrast image) are subtracted from one
another, a uniformly bright image, without any structures, is obtained in which only noise
is visible. If the exposure between the mask and the precontrast image is changed, an
image structure is outlined in the DSA image, even if the object remains unchanged, as a
result of the exposure difference. This is acceptable provided that it is only slightly out-
lined since, in medical exposures, a similar effect can be caused by patient movement.
Logarithmizing errors: The non-linear attenuation of the x-radiation depending on the
object density and object thickness can be made linear to a large extent by applying a log-
arithm to the signal values of the image.
Incorrect setting of a logarithmizing stage causes a brightness step in the display of the
vessel simulation of the DSA phantom. With the DSA standard phantom according to DIN
6868 part 8, the transition from the densest step (1.4 mm Cu) to the smallest step
(0.2 mm Cu) is used for this evaluation. The gray level of the capillaries must be evaluated
in fields 2L, 1 and 5R of the dynamic test with capillary test (refer also to image quality test
certificate under 8.9). Slight brightness differences of the vessel simulation over the Cu
steps of different thickness are acceptable.

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Medical Engineering Rev. 04 12.98 TD PS 24
9 - 20 Digital Fluoro Radiography/FLUOROSPOT H
- Coincidence errors appear only in DSA images.
Artifacts called coincidence errors are generated in structured objects if the coordina-
tes of corresponding projection elements do not coincide between image and mask.
During the tests, only those coincidence errors are taken into account which are not
caused by object movements.
Image structures which occur due to a slight position change of the DSA phantom
when shifting the vessel simulation cannot be avoided. However, they are identical in
all DSA images of a series.
The causes of undesirable coincidence errors are slight irregularities in the horizontal
and vertical deflection of the TV system or errors when storing the image pixels.
Slight coincidence errors can be tolerated since they do not preclude the ability to eva-
luate medical exposures.
To perform checks, make DSA test scenes with dose step 200; 6 f/s and dose step
500; 1 f/s using the soldering tin cross (refer to the test for horizontal jitter) and in each
case, evaluate the entire scene. Place the mask on an image for which dose control
has been accurately completed.
- Inhomogeneity (hum, line errors):
Each image displays certain inhomogeneities to a certain degree (refer also to vignet-
ting), that do not influence the diagnostic accuracy of the exposures.
Inhomogeneities caused by electromagnetic interference in the imaging system are
unpleasant and disturbing and can, depending on the type of artifacts, considerably
affect the diagnostic value of the images. It is preferable that they do not occur at all.
They can be tolerated to a very small extent only. Hum interferences are displayed in
the image as periodic horizontal bright/dark structures or as bright or dark transverse
bars; they are volatile and not stationary.
Any omission or partial omission of lines can be recognized as dark transverse streaks
in the TV image.
- Microphonics is caused by mechanical oscillations (rotating anode revolution etc.)
which are transferred to the TV camera, influence the deflection fields of the electron
beam and mostly display very regular interference structures similar to those
generated by electromagnetic hum interferences in the TV image. Microphonics is not
acceptable.
- Interference stripes: Enter here all interference stripes which have not yet been des-
cribed previously and whose generation is unknown.
Even interference stripes which are caused by dirt on optical surfaces must be entered
here. They are stationary and not volatile.
Interference stripes are not acceptable.
Notes on the acceptance test in Germany according to § 16 RöV:
§16 The image artifacts detected during start-up are documented in the image quality test cer-
tificate and must be entered in the acceptance test certificate.

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Rev. 04 12.98 TD PS 24 Medical Engineering
Nominal values 10 10 - 1

I.I. nominal values 10

Lead bar test pattern, type 42 directly at the I.I. input; no prefiltration; ≤ 50 kV; monocular
at I.I. output.

formats (cm) RGr -


at I.I. output
I.I. Type
nominal effective (LP/mm)

40 cm HDR - IS 40 36.5 2.8


28 28 3.4
20 20 4.0
14 14 5.3

Remarks: The effective I.I. formats and the resolution at the I.I. output are not
tested during the IQ test. The values are for troubleshooting only, if the
resolution limit values for image reproduction fall below the limit.

Temperature indicator
Refer to RVB1-AA, 4.10/01 or RXD0-000.038.01... for nominal values.

ADC measuring field 10

MPL system 10

measuring field diameter, measured on 44 cm TV monitor

I.I. Type selected Format measur. field ∅ (cm)


40 HDR - IS 20 6.5 − 1

max. permissible center deviation (horizontal, vertical): 1.5 cm


*1 for older image intensifiers (before 3/93)

SDM system 10

width of octagonal acceptable center acceptable deviation


I.I. Type
measuring field deviation of superimposed field
40 HDR - IS 7.6 ± 0.7 cm 0.7 cm 1.4 cm

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Medical Engineering Rev. 04 12.98 TD PS 24
10 - 2 Nominal values

Fluoroscopic dose rate at the I.I. input 10

2.1 mm Cu filter, X-ray tube voltage 65 - 85 kV

BV-Type / Formate Dosisleistg. Dose rate Zoom-Dose-Factors


I.I. Type Formats Dose rate (nGy/s)
PL S/SX *2 PL
NGy/s Supervision
SC65/80
40 cm HDR - IS 40 87 44 1: 0.50:
28 160 80 2.0: 0.92:
20 315 158 4.0: 1.81:
14 (435) (218) 5.0 2.50

UMultiplier = 700 - 950 V *1 1 nGy/s = 0.115 µR/s / 1 µR/s = 8.7 nGy/s

Tolerance: I.I. full format ± 10%; for zoom formats approximate values only.
Tolerance of the indirect dose rate control ± 1kV ±10%
Values in brackets ( ) apply if TV iris diaphragm is attached.
*1 effective beginning 7/93 (with masked Multiplier only)
*2 Zoom-Dose-Factors for PL S/SX approximate values only.

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Rev. 04 12.98 TD PS 24 Medical Engineering
Nominal values 10 - 3

VIDEOMED SX, H1X Emulation 10

Values apply for 50Hz and 60Hz versions

TV monitor 10

Black level regulation = on

mit / with ohne / without


Luminance
DFR - System DFR-System
Test signal 0 % BY = 0 - 5 mV BA = 0 - 10 mV
100 % BY = 700 ± 50 mV BA = 1100 ± 50 mV
Shade 0 % (black 1 + 0.5 cd/m2 1 + 0.5 cd/m2
Shade 100 % (white): new monitors > 400 ± 20 cd/m2 > 560 ± 20 cd/m2
used monitors > 280 cd/m2 > 300 cd/m2

TV camera 10

Configuration values Video Gain max. beam current(nA)


Interlaced 3 dB 1750
Progressive scan 3 dB 1750
Slow Progressive scan 6 dB 1400
target voltage U = 49 - 52 V
grid voltage UG1 U ≤ − 15 V
Interlaced Uss = 28 ± 10 mV
B-signal: Bias light component (measured value)
progressive Uss = 28 ± 10 mV
Sensitivity reserve: 1, B signal (without bias light) Uss ≥ 95 V *1

*1 Limit value for new systems; measure and document at new systems only.

B signal value (interlaced - Bypass) 10

2.1 mm Cu / 2.1 mm Cu; without bias light


factory = 80mV; +15mV / − 10mV; for HK +15 / − 10 mV
start-up = 80mV; +10mV / − 20mV; for HK/ZOOM 1-3: +20/ − 20 mV
HK = high contrast curve

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Medical Engineering Rev. 04 12.98 TD PS 24
10 - 4 Nominal values
Vignetting (with bias light) (interlaced - Bypass) 10

P1 C
∆1
∆2 ∆1= P1 - C x 100 ≤ 30 %
∆3
C
P2
100 % ∆2= P2 - C x 100 ≤ 30 %
C
∆3= P1 - P2 x 100 ≤ 30 %
C
0.8 Signal
Signal

AGC measuring field sizes in grid units (GU) 10

I.I. format: 22 / 23 / 27 / 28 cm
round measuring field 6.5 ± 0.5 GE / GU
Center deviation ≤ 0.5 GE / GU
shift of analog measuring field ≤ 0.3 GE / GU

Pedestal and AGC function


Pedestal 10

AVR / AGC interlaced No test required


AVR / AGC progressive No test required
Fixed gain 1 / Hand 1 BA-Signal = 80±10mV Presetting
Fixed gain 2 / Hand 2 BY-Signal = 50±10mV

AGC-function: BA signals with 2.1 mm Cu (for all I.I. formats)


For sliding weighted control
interlaced = 350 ± 30 mV; progressive = 350 ± 30 mV
Difference between the I.I. formats 40mV

Fixed gain TV unit 10

TV central
C.C.U Fixed gain 1 Fixed gain 2

Input B signal D8: 15 99 898 2000 2000


Uss [mV] D8: 37 94 208 1410 1410
Output BA signal 1100 ± 20 1050 ± 20
U [mV]

UROSKOP D3 Register 4 RLL5-310.034.04 Page 4 of 12 Siemens AG


Rev. 04 12.98 TD PS 24 Medical Engineering
Nominal values 10 - 5
Dynamic test 10

I.I. format: 22cm − 28 cm


B/BA signal amplitudes
SID = Grid focusing distance
Dynamic factor (f) = Level/field 2L : level/field 1

B signal BA signal
fmin

17
16
15
14
13
12
11
10
9
8
7
6
66 70 75 80 85 kV Field 2L
≥ 1200 mV
B signal (mV) BA signal (mV)
Field No. Input C.C.U. Output C.C.U.
(without bias light)
1 80 ± 15 mV 350 ± 50 mV
5R no limiting

Capillary test 10

I.I. formats 22 cm, 23 cm, 27 cm, 28 cm


Capillary test (37 90 180)

The marked capillaries do not have


X
3 mm to be visible
X X X

X X X
2 mm
X X X

X X 1 mm
X X X
2L 1 5R

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Medical Engineering Rev. 04 12.98 TD PS 24
10 - 6 Nominal values
Resolution and minimum contrast of the I.I.-TV system (interl. - Bypass) 10

1.2 mm Cu filter; test pattern (type 41) 45°; 17 µm Cu strip; approx. 70 kV

I.I. Type: 40 HDR - IS


Full format 1.0
Zoom 1 1.4
Zoom 2 1.8
Zoom 3 2.0

The minimum contrast must be always visible.

Image artifacts 10

Refer to the measuring instructions for a description of artifacts.

Digital Fluoro Radiography / DFR 10

FLUOROSPOT H 10

Values apply for 50Hz and 60Hz versions.

Dose/pulse at the I.I. input 10

2.1 mm Cu filter, X-ray tube voltage 70 kV

I.I. Format Dose Dose Dose Dose Zoom-Dose-Factors


50 100 200 500
PLSX *2 PLSX65/80
(cm) (nGy/F) (nGy/F) (nGy/F) (nGy/F)
40 HDR - IS 215 435 870 2175 0.5: 0.50:
28 400 800 1600 4000 1.0: 0.92:
20 790 1580 3160 7900 2.0: 1.81:
14 1090 2175 4350 10900 2.5 2.50

UMultiplier ≥ 450 V *1 1 nGy = 0.115 µR / 1 µR = 8.7 nGy

*1 effective as of 07/93 (with masked Multiplier only)


Tolerance ± 15% (DSA-Dose 500 + 15% / − 20%)
At indirect dose measurement: tolerance ± 15% of the mAs value.
Tolerance for reproducibility at DSA (8/F/s; Dose 500): ∆ ≤ 20% of average

UROSKOP D3 Register 4 RLL5-310.034.04 Page 6 of 12 Siemens AG


Rev. 04 12.98 TD PS 24 Medical Engineering
Nominal values 10 - 7
Amplification of DFR system 10

Cut off pedestal


ADC-DAC function at DR

remaining pedestal
DR from W1/W2 = 259/258
to W1/W2 = 263/262

ADC-DAC function at DR
= 1100 mV ± 10 mV
- Input DFR:

- trigger DR exposure (SS OFF)


upper window level =W1 = 511
- check on TV monitor:

VIDEOMED H1X
bone black
white pixels disappear at lower window level =W2 = 498 − 510
bone white
black pixels disappear at lower window level =W2 = 498 − 510
VIDEOMED SX / H1X Emulation
bone black
white pixels disappear at lower window level: 60Hz: W2 = 498 − 510
50Hz: W2 = 488 − 500

bone white
black pixels disappear at lower window level: 60Hz: W2 = 498 − 510
50Hz: W2 = 488 − 500

ADC-DAC function at DSA


= 730 mV ± 10 mV to VC10
- Input DFR: 1100 mV ± 10 mV from VC20

- Release DR exposure (assess native image)


upper window level = W1 = 511

- Check on TV monitor:
bone black
white pixels disappear at lower window level: 60Hz: W2 = 498 − 510
50Hz: W2 = 488 − 500
bone white
black pixels disappear at lower window level: 60Hz: W2 = 498 − 510
50Hz: W2 = 488 − 500

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Medical Engineering Rev. 04 12.98 TD PS 24
10 - 8 Nominal values
DAC output amplifier
- use DR exposure (see)
- upper window level 381; lower window level 380
output signal DFR

Live Ref.

= 700 ± 520 mV fe = Ref ∆ ≤ 20 mV

=0+5 mV
= 300 ± 50 mV

Monitor adjustment 10

Luminance white(100%) 260 ± 20 cd


Luminance black(0%) 0.8 ± 0.1 cd/m2

5% field (5% and 95%) must be visible.

BA signal values / Adjustment of iris diaphragm in DR mode 10

BA signal (mV); Output DFR


Mode
VIDEOMED H1X VIDEOMED SX
LIH 200 ± 20 220 ± 35
Basic
DR Single, Dose 100 225 ± 15
setting
DR Single, Dose 50/200
225 ± 35
DR Serie<6F/s, Dose 50/100/200
DR Series 6F/s, Dose 50/100/200 225/ +50/ − 25

UROSKOP D3 Register 4 RLL5-310.034.04 Page 8 of 12 Siemens AG


Rev. 04 12.98 TD PS 24 Medical Engineering
Nominal values 10 - 9
Vignetting with DFR
at I.I. full format

P1 ∆1= P1 - C x 100 ≤ 35 %
C
∆2= P2 - C x 100 ≤ 35 %
C
C ∆3= P3 - C x 100 ≤ 35 %
P4 P2 C
100 % ∆4= P4 - C x 100 ≤ 35 %
C
∆5= P1 - P3 x 100 ≤ 35 %
C
P3 ∆6= P2 - P4 x 100 ≤ 35 %
0,8 D C
D

Dynamic test 10

I.I. format 22/23/27/28 cm


Amplitudes / Adjustment of iris diaphragm for DSA mode
Tolerances apply as of software version VC20.
VIDEOMED H1X

BA signal [mV]; Output DFR


Ua = 70 kV
LIH DR DSA (Nativ) DSA (Nativ)
1 Dose = 100 Dose = 500 Dose = 200
Field No. Single F/s = 1 F/s = 6
Scene= 10 s Scene= 5 s
2L ≥ 350 570 ± 50 < 650 *1 < 650 *1
1 200 ± 20 225 ± 25 225 ± 35 225 ± 35
5R no limiting

VIDEOMED SX / H1X Emulation

BA signal [mV]; Output DFR


Ua = 70 kV
LIH DR DSA (Nativ) DSA (Nativ)
1 Dose = 100 Dose = 500 Dose = 200
Field No. Single F/s = 1 F/s = 6
Scene= 10 s Scene= 5 s
2L ≥ 350 570 ± 50 < 650 *1 < 650 *1
1 240 ± 20 225 ± 25 225 ± 35 225 ± 35
5R no limiting

*1 If the 2L field were > 650 mV, then < 190 mV would be acceptable for field 1.

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Medical Engineering Rev. 04 12.98 TD PS 24
10 - 10 Nominal values
Black level cutoff (noise halo) 10

left half of monitor - limit of noise halo area


1 F/s; Dose 500; scene 10 s; 70 kV from
to
6 F/s; Dose 200; scene 5 s; 70 kV result
measured in the image center 3/4 1/2 1/4

lead half

Resolution 10

1.2 mm Cu filter, test pattern (type 41) 45°; 17 µm Cu-Strips; 70 kV


minimum resolution (LP/mm)

BV-/ I.I. Bypass *1 Dig. LIH Super- Digital DSA HCC *2


Format,cm Fluoro vision exposure (Nativ)
40 HDR - IS 0.9 0.9 0.8 0.9 0.9 0.9 0.9
28 1.2 1.2 1.0 1.2 1.2 1.2 1.2
20 1.6 1.6 1.4 1.6 1.6 1.6 1.6
14 2.0 2.0 1.8 2.0 2.2 2.2 2.2

DR, DSA (native): W1 = 511; W2 = 256; E% = 0, Dose 100


DL: W1 = 511; W2 = 256; E% = 0; temp. filt = 6%
*1 + adjusted and blocked
*2 The resolution of the hardcopy camera must not limit the DFR resolution.

Minimum contrast 10

The minimum contrast must always be visible.


Test conditions are the same as for resolution.

UROSKOP D3 Register 4 RLL5-310.034.04 Page 10 of 12 Siemens AG


Rev. 04 12.98 TD PS 24 Medical Engineering
Nominal values 10 - 11
Checking the DSA equipment 10

I.I. format = 22cm; 23cm; 27cm; 28cm


Window level DSA image: Brightness W1 = 80; Contrast W2 = 220
- with grid
- E (%) = 0
- Dynamic test with heart contour diaphragm and capillary test no.37 90 180

1 frame/sec.; dose = 500 6 frames/sec.; dose = 200


scene= 10 s ; 70 kV scene= 5 s ; 70 kV
Test field Test field
2L 1 5R 2L 1 5R
*1 Contrast sensitivity

16 %
3 mm 4 %
0.75 % X X X X X X X X X X X X
10 %
2 mm 3 %
2 % X X
7.5 %
1 mm 4 %
2.5 % X X X X
*2 LOG amplifier
3 mm 16 % n+2 n n-3 n+2 n n-3
-1 -1
*3 Subtraction
0±1 0±1 0±1 0±1 0±1 0±1

*1 The capillaries marked do not have to be visible.


*2 Tolerances are for Software version VC20 only; no tolerances for VC10 version.
*3 Basic grey level of test field
x = capillary test no. 97 50 019
o = new Iodine capillary test no. 37 90 180

Image artifacts 10

Refer to the measurement protocol for a description of the artifacts.

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Medical Engineering Rev. 04 12.98 TD PS 24
10 - 12 Nominal values
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Rev. 04 12.98 TD PS 24 Medical Engineering
Final steps and electrical safety 11 11 - 1

Final work 11

• Sign the completed IQ test certificate and the general UROSKOP D3 test certificate.
• If necessary, perform the acceptance test according to RöV §16 or DHHS regulations,
respectively.
If the settings made at the factory have not changed, the values can be transferred from
the test certificate.
• Remove the washer (adjustment aid) that was affixed to the grid as a center marker.
• Switch the system off.
• Disconnect the service PC from the system.
• Reattach all covers and cabinet side panels, with the exception of the generator front
panel.
(Refer to Installation Instructions RLL5-310.031.03..).
• Repair any paint chips or defects.
• Clean the system.

Protective conductor meter Unit


Table/Tabletop
Monitor
Cabinets
Transformers
Control console
X-ray I.I.
Tube assembly
POLYDOROS ≤ 0.2 Ohm Collimator

Measuring the protective conductor resistance 11

Measuring device: Protective conductor meter


Measured value: max. 0.2 Ohm (Observe the country-specific regulations)
(current 10 A, voltage drop: max. 2 V)
Measuring Measure all conductive system parts within reach as well as the
procedure: grounding bus in the generator.
(Exceptions: accessory bars and tabletop).
Conditions: Protective conductor resistance, max. 0.2 Ohm
• If greater, increase the gauge of the protective conductor.
• Reduce the contact resistance (e.g. tighten screws).
• Close the generator cabinet panel.

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Medical Engineering Rev. 04 12.98 TD PS 24
11 - 2 Final steps and electrical safety
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UROSKOP D3 Register 4 RLL5-310.034.04 Page 2 of 2 Siemens AG


Rev. 04 12.98 TD PS 24 Medical Engineering
Changes to previous version 12 12 - 1

Chapter 0 up to 11 Templates changed

Chapter 0: Revision level changed

Chapter 9: Expanded to add FLUOROSPOT H with Supervision

Chapter 10: Expanded to add FLOUROSPOT H with Supervision


10 - 1 Table changed
10 - 2 Table changed
10 - 6 Table changed
10 - 10 Table changed
Chapter 12: New

TD PS 24 / Erlwein
TD SP / Heinlein
SMS Iselin

Siemens AG Register 4 RLL5-310.034.04 Page 1 of 2 UROSKOP D3


Medical Engineering Rev. 04 12.98 TD PS 24
12 - 2 Changes to previous version
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UROSKOP D3 Register 4 RLL5-310.034.04 Page 2 of 2 Siemens AG


Rev. 04 12.98 TD PS 24 Medical Engineering

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