ziehm_8000_operating_instructions_july_2010.pdf
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Ziehm 8000
Operating Instructions
Ziehm 8000
P_26376/CD_28210 - EN - 01/07/2010
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Copyright
Copyright © 2010 Ziehm Imaging GmbH
All rights reserved.
Transmission or reproduction of this document, exploitation and
disclosure of its contents to third persons is not permitted without
express written consent of the manufacturer. Infringements shall
entitle to damage claims.
Registered Trademarks
This document may contain the names of registered trademarks or
brands, the use of which by third persons for their purposes may
infringe the rights of their respective owners.
Quality Standards
This document was produced in accordance with a certified QM
system as per DIN EN ISO 13485. It conforms to the requirements
of Council Directive 93/42 EEC, Annex I, and other applicable
norms. The information provided in this document may be updated
at regular intervals. Subject to change without prior notice.
Manufactured by:
Ziehm Imaging GmbH
Donaustr. 31
90451 Nuremberg (Germany)
e-mail: info@ziehm-eu.com
http://www.ziehm.com
Rev. 06/2010
2
Ziehm 8000
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With the Ziehm 8000, Ziehm Imaging GmbH provides an active medical device connected
to the mains power supply. The above listed medical device is a non-contact device. It does
not require any contact with the patient to perform its intended use. It provides contactless
energy in the form of X-rays.
Preface
Ziehm Imaging GmbH authorizes only trained and skilled personnel to operate this medical
device. The system is intended for use by health care professionals such as physicians,
orthopedic surgeons, surgeons, radiologists and technologists in hospitals, outpatient
clinics and other clinical environments. Ziehm Imaging GmbH anticipates the system will be
used on a nearly daily basis. Ziehm Imaging GmbH applications specialists and/or qualified
site personnel provide on-site operator training in the proper use of the system.
The medical equipment is intended for fluoroscopies in the field of surgery, e.g. in
traumatology, orthopedics, neurosurgery, urology, cardiology. Third-party devices and
components used in combination with this system must comply with the safety
requirements according to IEC 60601-1 and/or IEC 60601-1-1 or furnish proof of an
equivalent degree of safety.
Normal use
To ensure CE conformity, these components must have a CE approval in accordance with
Council Directive 93/42/EEC. In addition, a declaration in compliance with Article 12 of the
said directive must be provided.
For components without CE approval, a conformity assessment procedure is obligatory.
Proper and safe operation of the system requires adequate transportation, storage,
assembly and installation as well as appropriate use and maintenance.
The limit values indicated in the present document must not be exceeded; this applies also
when putting the system into service.
The system is not suitable for interventional procedures acc. to IEC 60601-2-43.
The system may only be operated by personnel who has undergone radiological training.
Operation
In the USA, Federal law restricts use of this device to trained personnel on the order of a
physician.
Operation (USA)
Only authorized personnel are allowed to assemble and repair the medical equipment
described in this document. Authorized personnel are persons who have attended an
appropriate training course provided by the manufacturer.
Authorized personnel
The exposure of humans to ionizing radiation must always be medically justified. Especially
when used on pregnant women, adolescents, children, and pediatric patients, all
procedures using ionizing radiation should be used with caution or be avoided altogether.
However, the final decision lies with the attending physician or attending surgeon.
Contraindications to the
use of X-rays
The manufacturer accepts responsibility for the safety, reliability and performance of the
system only if
Exclusion of liability
−
any installation, modification or repair work is carried out exclusively by persons
authorized by the manufacturer;
−
the electrical installation of the site where the system is operated complies with the
requirements of VDE 0107 or the corresponding national regulations of the country of
installation;
−
only original spare parts or components that comply with Ziehm Imaging’s
specifications are used;
−
the system is used in accordance with the Operating Instructions.
The warranty becomes invalid in case that any repair, modification or installation work is
carried out by unauthorized personnel, or any seals on components are broken. No
consequential damages will be accepted either.
The equipment conforms to Class IIb according to Council Directive 93/42/EEC.
This document has been written and reviewed originally in German and translated.
Ziehm 8000
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Contents
Contents
I
1
General Information
1.1 Typographical conventions...............................................................................
1.2 Conventions for safety instructions ..................................................................
2
System Overview
2-1
2.1 Fields of application and features.....................................................................
2-1
2.1.1
Fields of application ..........................................................................
2-1
2.1.2
Features ............................................................................................
2-1
2.2 Model range .....................................................................................................
2-3
2.2.1
Ziehm 8000 .......................................................................................
2-3
2.2.2
Ziehm Compact.................................................................................
2-3
2.2.3
Ziehm Compact with adapter for lithotripter procedures ...................
2-3
2.3 Options .............................................................................................................
2-4
2.4 Optional accessories ........................................................................................
2-5
2.5 System components.........................................................................................
2-6
2.5.1
C-arm stand ......................................................................................
2-6
2.5.2
Monitor cart .......................................................................................
2-7
2.5.2.1 Integrated Wireless LAN on the monitor cart.....................
2-8
2.5.3
Ziehm Compact.................................................................................
2-8
2.5.4
Monitors ............................................................................................ 2-10
2.5.5
Video output ...................................................................................... 2-11
3
Safety Instructions
3.1 General safety instructions...............................................................................
3.2 X-rays ...............................................................................................................
3.3 Electromagnetic compatibility...........................................................................
3.4 Protective grounding ........................................................................................
3.5 Equipotential grounding....................................................................................
3.6 Laser radiation..................................................................................................
3.7 Printers .............................................................................................................
3.8 Mechanics ........................................................................................................
3.9 System failure...................................................................................................
4
Mechanical Handling
4-1
4.1 Transport position.............................................................................................
4-1
4.1.1
C-arm stand transport position..........................................................
4-1
4.1.2
Monitor cart transport position...........................................................
4-2
4.2 Braking and steering the monitor cart ..............................................................
4-3
4.3 Braking and steering the C-arm stand..............................................................
4-4
4.4 C-arm movements............................................................................................
4-6
4.4.1
Orbital rotation ..................................................................................
4-7
4.4.2
Angulation .........................................................................................
4-8
4.4.3
Swiveling (panning)...........................................................................
4-9
4.4.4
Horizontal movement ........................................................................ 4-10
4.4.5
Vertical movement ............................................................................ 4-11
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1-2
1-3
3-1
3-1
3-2
3-4
3-4
3-4
3-5
3-6
3-7
3-7
I
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Contents
5
Controls
5-1
5.1 C-arm stand control panel ................................................................................ 5-1
5.2 Monitor cart control panel ................................................................................. 5-6
5.3 How to use menus............................................................................................ 5-9
5.4 Hand switch and foot switch ............................................................................. 5-10
6
Switching the System On and Off
6.1 Preparing the system........................................................................................
6.2 Switching the System On and Off.....................................................................
6.2.1
Switching on ......................................................................................
6.2.2
Switching off ......................................................................................
6.3 EMERGENCY STOP button.............................................................................
6.4 Key switch ........................................................................................................
6-1
6-1
6-2
6-2
6-3
6-4
6-5
7
Standard Fluoroscopic Operations
7.1 Overview...........................................................................................................
7.2 Fluoroscopy modes ..........................................................................................
7.2.1
Continuous fluoroscopy.....................................................................
7.2.2
Continuous pulse fluoroscopy ...........................................................
7.2.3
Single pulse fluoroscopy (‘snapshot’)................................................
7.3 Manual exposure rate setting ...........................................................................
7.4 Fluoroscopy programs......................................................................................
7.4.1
½ DOSE function key ........................................................................
7.4.2
Anatomical programs ........................................................................
7.4.3
METAL correction key .......................................................................
7.5 Generating a fluoroscopic image......................................................................
7.5.1
Starting fluoroscopy ..........................................................................
7.5.2
Screen display...................................................................................
7.6 Dose area product ............................................................................................
7.7 Air kerma ..........................................................................................................
7.8 Save .................................................................................................................
7.9 Printing .............................................................................................................
7.10 Warning signals and malfunctions....................................................................
7.10.1 Permanent warning during radiation .................................................
7.10.2 Interval warning during radiation .......................................................
7.10.3 Temperature monitoring ....................................................................
7.10.4 Error and alert messages ..................................................................
7-1
7-1
7-2
7-3
7-3
7-4
7-5
7-6
7-6
7-6
7-7
7-8
7-8
7-9
7-9
7-10
7-10
7-12
7-13
7-13
7-13
7-14
7-14
8
Adjusting Live Images
8.1 Overview...........................................................................................................
8.2 Collimation........................................................................................................
8.2.1
Iris collimator .....................................................................................
8.2.2
Slot collimator....................................................................................
8.2.3
Slot collimator rotation.......................................................................
8.2.4
Virtual collimator (n/a for Ziehm Compact/Ziehm Compact
with adapter for lithotripter procedures).............................................
8.3 Electronic image magnification.........................................................................
8.4 Contrast and brightness adjustment (Windowing)............................................
8.4.1
Control from the C-arm stand............................................................
8.4.1.1 Standard windowing...........................................................
8.4.1.2 Step windowing..................................................................
8.4.2
Control from the monitor cart.............................................................
8.5 Image reversal and image rotation ...................................................................
8-1
8-1
8-1
8-1
8-2
8-2
II
8-2
8-3
8-4
8-4
8-5
8-5
8-6
8-8
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Contents
8.6
8.7
8.5.1
Horizontal and vertical image reversal ..............................................
8-8
8.5.2
Image rotation ...................................................................................
8-8
Recursive filter..................................................................................................
8-9
Image swapping ............................................................................................... 8-10
8.7.1
Ziehm 8000 ....................................................................................... 8-10
8.7.2
Ziehm Compact, Ziehm Compact with adapter for lithotripter
procedures ........................................................................................ 8-10
9
Data Management
9.1 Organization of patient and image data ...........................................................
9.1.1
Patient folders ...................................................................................
9.1.2
„NO NAME“ folder .............................................................................
9.2 Patient data management ................................................................................
9.2.1
Creating a new patient folder on the Ziehm 8000 .............................
9.2.2
Editing patient data ...........................................................................
9.3 Managing image data.......................................................................................
9.3.1
Activating a patient folder..................................................................
9.3.2
Backup to CD ....................................................................................
9.3.3
Searching for patient folders .............................................................
9.3.4
Deleting patient folders .....................................................................
9.3.5
Inverting the grayscale of the entire image archive...........................
9.3.6
Processing and outputting images of a patient folder .......................
9.3.6.1 Saving images ...................................................................
9.3.6.2 Printing images on video printer ........................................
9.3.7
Comparing saved images .................................................................
9-1
9-1
9-1
9-2
9-2
9-2
9-5
9-7
9-9
9-10
9-12
9-13
9-14
9-15
9-19
9-21
9-22
10
DICOM Functions
10.1 Prerequisites ....................................................................................................
10.2 Retrieving patient data from a DICOM server ..................................................
10.2.1 Query ................................................................................................
10.2.2 Retrieving a Worklist .........................................................................
10.3 Processing scheduled procedure steps of a Worklist (MPPS) .........................
10.4 Importing images from a DICOM server...........................................................
10.5 Importing DICOM images from a storage medium (DICOM Dir)......................
10.6 Saving and printing images ..............................................................................
10.6.1 Saving images ..................................................................................
10.6.2 Saving images to a second storage server .......................................
10.6.3 Printing images .................................................................................
10.7 Storage Commitment .......................................................................................
10-1
10-1
10-1
10-1
10-2
10-4
10-6
10-10
10-14
10-14
10-15
10-18
10-21
11
Post-Processing Images
11.1 Overview ..........................................................................................................
11.2 Activating the post-processing functions ..........................................................
11.3 Edge enhancement ..........................................................................................
11.4 Image rotation ..................................................................................................
11.5 Zooming ...........................................................................................................
11.6 Grayscale inversion..........................................................................................
11.7 Contrast and brightness adjustment (Windowing)............................................
11.8 Measurements..................................................................................................
11.8.1 Calibration .........................................................................................
11.8.2 Length or distance measurement......................................................
11.8.3 3-point measurement ........................................................................
11.8.4 4-point measurement ........................................................................
11-1
11-1
11-1
11-2
11-3
11-3
11-4
11-4
11-6
11-7
11-9
11-11
11-13
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Contents
12
Displayed Texts and Text Functions
12.1 Overview...........................................................................................................
12.2 Automatically-displayed text information ..........................................................
12.2.1 Upper left corner of the live screen ...................................................
12.2.2 Upper right corner of the live screen .................................................
12.2.3 Lower left corner of the live screen ...................................................
12.2.4 Lower right corner of the live screen .................................................
12.3 Manual text annotation and editing...................................................................
13
Image Documentation
13-1
13.1 Overview........................................................................................................... 13-1
13.2 Printing on video printer.................................................................................... 13-1
14
Laser Positioning Device
14-1
14.1 Overview........................................................................................................... 14-1
14.2 Applications ...................................................................................................... 14-2
15
Direct Radiography
15.1 Overview...........................................................................................................
15.2 Fitting the film cassette holder..........................................................................
15.3 Activating the direct radiography mode ............................................................
15.4 Film size ...........................................................................................................
15.5 Selecting the radiography parameters..............................................................
15.6 Making the radiographic exposure ...................................................................
15.7 Completing the radiographic procedure ...........................................................
15.8 Exposure guide.................................................................................................
15-1
15-1
15-1
15-2
15-2
15-2
15-3
15-3
15-4
16
System Configuration
16.1 Overview...........................................................................................................
16.2 User settings.....................................................................................................
16.2.1 Activating automatic image swapping ...............................................
16.2.2 Displaying a crosshair .......................................................................
16.2.3 Function of the F key.........................................................................
16.2.4 Storage medium for image retrieval ..................................................
16.2.5 Selecting the storage medium for data retrieval with DICOM Dir......
16.2.6 Defining the storage format for removable storage media ................
16.3 Basic settings ...................................................................................................
16.3.1 Setting the system time and system date..........................................
16.3.2 Selecting the live screen ...................................................................
16.3.3 Entering the hospital data .................................................................
16.3.4 Clearing storage media .....................................................................
16.4 Monitor settings for 18" flat-screen monitors ....................................................
16.4.1 Flat-screen monitors of type 1...........................................................
16.4.2 Flat-screen monitors of type 2...........................................................
16.5 Monitor settings for 24" flat-screen monitors ....................................................
16.5.1 Overview ...........................................................................................
16.5.2 Setting the brightness, contrast and backlight...................................
16.5.3 Setting the menu language ...............................................................
16.5.4 Restoring the factory settings............................................................
16.6 Service settings ................................................................................................
16.6.1 Step windowing .................................................................................
16.6.2 Filter factors ......................................................................................
16.6.2.1 Filters for anatomical programs .........................................
16-1
16-1
16-2
16-2
16-3
16-3
16-4
16-4
16-4
16-5
16-5
16-5
16-6
16-6
16-7
16-8
16-13
16-17
16-17
16-18
16-20
16-21
16-22
16-23
16-24
16-25
IV
12-1
12-1
12-2
12-2
12-2
12-2
12-3
12-3
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Contents
16.6.3
16.6.4
16.6.5
16.6.6
16.6.7
DICOM settings.................................................................................
System settings.................................................................................
Monitor calibration.............................................................................
HEDIS data .......................................................................................
Software update ................................................................................
16-27
16-27
16-28
16-28
16-28
Appendix A
A.1 Regular checks.................................................................................................
A.1.1
Routine checks to be performed by the user ....................................
A.1.2
Consistency test according to national regulations ...........................
A.1.3
Checking the useful beam ................................................................
A.1.4
Gettering the image intensifier tube ..................................................
A.2 Cleaning, disinfection, sterilization ...................................................................
A.2.1
Cleaning ............................................................................................
A.2.2
Disinfection .......................................................................................
A.2.3
Sterilization .......................................................................................
A.3 Malfunctions .....................................................................................................
A.3.1
Types of malfunctions .......................................................................
A.3.1.1 Alerts during power-up.......................................................
A.3.1.2 Errors during power-up ......................................................
A.3.1.3 Alerts during operation.......................................................
A.3.1.4 Errors during operation ......................................................
A.3.2
List of errors, alerts and messages ...................................................
A.3.3
Mains fuse.........................................................................................
A.4 Labels on the unit .............................................................................................
A.5 Labels (USA) ....................................................................................................
A.6 Focal spot position ...........................................................................................
A.7 Heat capacity....................................................................................................
A.8 Scattered radiation in the significant zone of occupancy .................................
A.9 Dimensions.......................................................................................................
A.9.1
Ziehm 8000 .......................................................................................
A.9.2
Ziehm Compact.................................................................................
A.9.3
Ziehm Compact with adapter for lithotripter procedures ...................
A.10 Technical data ..................................................................................................
A.10.1 General technical data ......................................................................
A.10.1.1 Systems with a voltage rating of 100 V, 120 V, 200 V.......
A.10.1.2 Systems with a voltage rating of 220 V, 230 V, 240 V.......
A.10.2 Laser positioning device ...................................................................
A.10.3 Dose meter .......................................................................................
A.10.3.1 VacuDAP C........................................................................
A.10.3.2 VacuDAP duo ....................................................................
A.11 Connections for additional monitors and external radiation indication lamp ....
A-1
A-1
A-1
A-2
A-2
A-3
A-4
A-4
A-4
A-5
A-6
A-6
A-6
A-6
A-6
A-7
A-8
A-13
A-14
A-23
A-33
A-35
A-36
A-37
A-37
A-39
A-39
A-40
A-40
A-42
A-45
A-47
A-47
A-47
A-49
A-50
Appendix B
B.1 Attaching sterile disposable covers to the C-arm .............................................
B-1
B-1
Index
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Contents
VI
Ziehm 8000
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1
General Information
These Operating Instructions are designed to enable owners and operators of a Ziehm 8000 (alternate trade name: Exposcop 8000) to operate
the respective system safely and efficiently.
Ziehm 8000, software version L2.05 or higher.
Scope of validity of
these Operating
Instructions
For several system options, separate operating instructions may be
available. They are supplied with the system, provided that the system
configuration includes the respective option. You will find a corresponding reference to those operating instructions in the relevant sections of this document.
Separate operating
instructions
The system does not produce any waste during operation.
Environmental
compatibility
When the system has reached the end of its useful service life, the relevant waste disposal regulations of the country of installation must be
observed.
Ziehm Imaging GmbH takes back your devices and undertakes to
dispose of them appropriately in accordance with national regulations. If
you want to return a device, please contact the Ziehm Imaging Service
department.
The useful service life defined for this medical device is seven years. For
this period Ziehm Imaging GmbH warrants that spare parts can be supplied. After this period, Ziehm Imaging GmbH must check whether the
technology used is appropriate.
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1 General Information
1.1
Typographical conventions
In these Operating Instructions, the following notations and formats are
used to highlight certain elements of the control panel or the documentation itself:
Element
Format
Example
Control panel
elements (buttons, tabs and
boxes), operating
modes, functions
Bold
Fluoro
Cross-references
Italic, preceded by
an arrow
→ Ch. 16, p. 16-1
Procedure steps
Preceded by a •
• Press the OK button.
Text input
Courier, bold
Administrator
Table 1-1
1-2
Notations and formats used in these Operating Instructions
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1 General Information
1.2
Conventions for safety instructions
The present document does not constitute a complete catalog of all
safety measures necessary for the operation of the respective medical
equipment, since special operating conditions may require further measures. However, it does contain instructions which must be observed in
order to ensure the personal safety of operating staff and patients as well
as to avoid damage to property. These instructions are highlighted as
follows:
DANGER
DANGER indicates a hazardous situation which, if not
avoided, will result in death or serious injury.
WARNING
WARNING indicates a hazardous situation which, if not
avoided, may result in death or serious injury.
CAUTION
CAUTION indicates a hazardous situation which, if not
avoided, may result in minor or moderate injury.
NOTICE
NOTICE indicates a property damage message.
NOTE
Notes are merely informative. Additional useful information and hints are provided for the operator here.
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1 General Information
1-4
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2
System Overview
2.1
Fields of application and features
2.1.1
Fields of application
The Ziehm 8000 can be used for all medical indications where fluoroscopy is required.
Applications
The Ziehm Compact lends itself to rapid casualty X-ray diagnostics in the
emergency ward.
Casualty ward
The Ziehm Compact is designed to support lithotripter procedures. The
lithotripter is mounted onto the Ziehm Compact with adapter for this
purpose.
Lithotripsy
2.1.2
Features
With its compact design and combined steering & braking system, the
Ziehm 8000 offers unrestricted mobility at the operating table, even if
space is scarce.
Mobility
The easy adjustability of the ample C-arm and the excellent counterbalancing of the C-arm stand make it possible to access even the most difficult positions.
Computer-controlled anatomical programs ensure optimum exposure
rate and image quality control as well as high operating comfort. A ‘Soft’
program for soft tissue visualization during foreign body localization and
a ‘Metal’ program for suppressing image flare resulting from the use of
metal implants and surgical instruments complete the automatic functions.
Anatomical programs
The superior penetration capabilities of the high-frequency generator
enable a significant reduction in the patient skin dose.
Radiation dose
reduction
The ½ DOSE function considerably reduces the dose both for patient and
operating staff, thus contributing substantially to radiation protection.
Furthermore the virtual collimator allows you to adjust the collimators
without radiation.
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2 System Overview
Image quality
Flatscreen monitors guarantee flicker-free images. The advanced Full
Frame Technology, which uses non-interlacing throughout the entire
image processing chain, generates noise-free images without motion
artifacts, even if the subject has moved.
Comprehensive real-time image processing functions (customizable
noise and area filtering, electronic contrast and brightness adjustment,
zooming, radiation-free horizontal and vertical image reversal, digital
image rotation) ensure excellent adaptation of the image quality and orientation on the screen to the surgeon’s needs.
Further image processing functions are available for saved images (postprocessing).
Image management
A patient-based image management system providing a 16-image
mosaic view and menu-controlled user guidance allows efficient image
data handling.
Documentation and
output
For documentation purposes, a video printer is available. With a Ziehm
Compact the Sony® UP-897 printer is included in the scope of delivery
by default. A CD writer as well as a USB port allow filmless archiving in
PC-compatible TIF format and optionally in DICOM format. The system
documents not only patient-related data, but also image-related data
(e.g. the fluoroscopy parameters).
In addition, all systems have a CCIR video output, 50 Hz.
Networkability
The optional DICOM 3.0 interface enables integration into any network
supporting DICOM, e.g. PACS. Thanks to ‘Primary Capture’ support, the
original fluoroscopic images can be archived without the changes which
may have been applied to them later. The following DICOM classes are
supported: Print, Storage (including multiframe capability), Storage Commitment, Media, Worklist, MPPS, Query/Retrieve and Verification.
It is possible to connect the Ziehm 8000 to a second DICOM storage
server (to act for example as standby server) and to configure the system
in such a way that data can be saved to that second DICOM storage
server, if necessary.
2-2
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2 System Overview
2.2
Model range
NOTE
These Operating Instructions describe all models in their
corresponding maximum configuration.
The system configuration chosen by you may not contain
all options and functions described here.
2.2.1
Ziehm 8000
With 23 cm image intensifier; storage capacity optionally for max. 150 or
1,000 images; separate monitor cart with single 24" flat-screen monitor
with split screen, optionally with twin 18" flat-screen monitors.
2.2.2
Ziehm Compact
With 23 cm or 15 cm image intensifier; storage capacity for max. 2
images; 18" flat-screen monitor mounted on the C-arm stand, with small
video printer laterally.
2.2.3
Features
Features
Ziehm Compact with adapter for lithotripter procedures
With 23 cm image intensifier; storage capacity for max. 2 images; 18" flatscreen monitor mounted on the C-arm stand, with small video printer laterally; mounting plate for lithotripter on the C-arm stand.
Ziehm 8000
P_26376/CD_28210 - EN - 01/07/2010
Features
2-3
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2 System Overview
2.3
Options
The following options can be integrated into the system upon request:
Hardware options
− Ziehm Compact
− adapter for lithotripter procedures on Ziehm Compact
− Magnification function: electronic image magnification
− Virtual collimator
− Laser positioning device on the generator
− Laser positioning device on the image intensifier
integrated (23 cm i.i.) or external (15 cm i.i.)
− Integrated dose meter for measuring the dose area product
− Integrated dose meter for measuring the air kerma/air kerma rate
(AKR)
− copper filter
− Key switch (Power On/Off or X-ray On/Off)
− EMERGENCY STOP button
− CD writer
− Video printer for printout on paper
− Video printer for printout on paper or transparent film
− Twin screens 18" flat-screen monitors
− Video socket for external single flat-screen monitor
− External 18" single flat-screen monitor
− External 24" single flat-screen monitor
− Connection for external radiation indication lamp (including software)
− Video output for (Ziehm Compact, Ziehm Compact with adapter for
lithotripter procedures)
− Hand rail around the image intensifier
− handles at the bottom of the C-arm
− Color-coded brake handles
− Wireless LAN
Software options
− DICOM 3.0 interface, with support of Print Class, Storage Class
(including multiframe capability), Storage Commitment Class, Media
Class, Worklist Class, MPPS Class, Query/Retrieve Class and Verification Class, depending on the chosen system configuration.
− Customer-specific foot switch assignment
2-4
Ziehm 8000
P_26376/CD_28210 - EN - 01/07/2010
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2 System Overview
− Measuring functions
− Radiography mode
− Memory capacity for 1,000 images
− Memory capacity for 5000 images
− Ziehm NaviPort 2D BrainLab
2.4
Optional accessories
The following accessories are optionally available for the Ziehm 8000:
− Sterile disposable covers
3-part, for generator, C-arm and image intensifier, with spring clasp
fastening
− Spring clasps for disposable covers
− Hand surgery table
− Universal film cassette holder
− Printer paper for Sony® UP-990 and UP-970
− Printer transparent film for Sony® UP-990
Ziehm 8000
P_26376/CD_28210 - EN - 01/07/2010
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2 System Overview
2.5
System components
2.5.1
C-arm stand
Ziehm 8000
Image intensifier with integrated CCD
camera
C-arm handle
C-arm
Swivel arm
Horizontal carriage
Lifting column
Cassette holder
Control panel
Steering & braking
lever
Handle
Hand switch
Generator
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Coupling
cable connection
Cable guards
Fig. 2-1
2-6
C-arm stand Ziehm 8000
Ziehm 8000
P_26376/CD_28210 - EN - 01/07/2010
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2 System Overview
2.5.2
Monitor cart
Monitor cart with
24" flat-screen
monitor
Radiation
indication
Flat-screen
monitor
Keypads for
screen settings
ON/OFF
switches for
flat-screen
monitors
Control
panel
Coupling
cable support
Video printer
USB port
DICOM connection
(RJ45)
CD writer
Power
cable supPower supply
Coupling
cable connection
Net zspannung 230 V~ +6%/-10% 50 Hz
Net zimpedanz } 0,6 >
St romaufnahme 8A Continous/ 15A Momentary
Installationssicherung L 16 A
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Brakes
Equipotential
grounding
2. Spare GND
connection
DICOM port (FO)
Fig. 2-2
Monitor cart with 24" flat-screen monitor
Monitor cart with
18.1" flat-screen
monitors
Radiation indication lamp
Flatscreen
monitors
Keypads for
screen settings
Coupling
cable support
Control panel
DICOM connection
(RJ45)
Video printer
USB port
Power cable
support
Power supply
connection
Coupling
cable connection
CD writer
VIDEO OUT
Netzspannung 230 V~ +6%/-10% 50 Hz
Netzimpedanz } 0,6 >
Stromaufnahme 8A Continous/ 15A Moment ary
Installationssicherung L 16 A
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DICOM port (FO)
Fig. 2-3
Monitor cart with 18.1" flat-screen monitors
Ziehm 8000
P_26376/CD_28210 - EN - 01/07/2010
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2 System Overview
2.5.2.1
Integrated Wireless LAN on the monitor cart
If your system is equipped with Wireless LAN, a transceiver is located at
the back of the monitor cart. A second transceiver comes with your
accessories and must be connected to the DICOM network.
2.5.3
Ziehm Compact
Ziehm Compact
Image intensifier with integrated CCD camera
Radiation indication
lamp
Compact monitor
Video printer
Horizontal
carriage
Lifting column
Cassette holder
C-arm handle
C-arm
Control panel
Monitor support arm
Steering & braking
lever
Swivel arm
Handle
Hand switch
Connection for
power cable or coupling cable
Cable guards
Fig. 2-4
2-8
Video output
(optional)
Generator
Ziehm Compact
Ziehm 8000
P_26376/CD_28210 - EN - 01/07/2010
Page 23
2 System Overview
Ziehm Compact
with adapter for
lithotripter procedures
Image intensifier with integrated CCD camRadiation indication
Compact monitor
Video printer
Horizontal car-
Cassette holder
Lifting col-
C-arm handle
Mounting plate for
lithotripter
Control panel
C-arm
Monitor support arm
Steering & braking
Swivel arm
Handle
Hand switch
Connection for
power cable or coupling cable
Cable guards
Fig. 2-5
Video output
(optional)
Generator
Ziehm Compact with adapter for lithotripter procedures
Ziehm 8000
P_26376/CD_28210 - EN - 01/07/2010
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Page 24
2 System Overview
2.5.4
Monitors
Screen assignment
Ziehm 8000
On the Ziehm 8000, the live screen function has been factory-assigned
to the left screen, and the reference screen function to the right screen.
During operation, the following will be displayed on the screens:
• Live screen: Fluoroscopic image
While the radiation warning lamp is illuminated, the native image is
displayed.
When you terminate radiation, a composite image made up of 1 to 16
individual images (LIH – Last Image Hold) is displayed on the live
screen. The amount of images that are used for computing the LIH
depends on the LIH filter setting (→ Ch. 16.6.2, p. 16-24). The default
values are preset in the anatomical programs. You can modify these
settings using the LIH filter controls.
LIH
On the Ziehm Compact and Ziehm Compact with adapter for lithotripter procedures, the number of images which is used for computing
the LIH is predefined for each anatomical program. You cannot
modify the predefined number of images.
• Reference screen: Menus or reference images
You can swap the screen assignment in the Basic Settings menu
(→ Ch. 16.3, p. 16-5).
NOTE
To avoid confusion, the neutral terms ‘live screen’ and
‘reference screen’ are used throughout this document,
regardless of your custom setting.
Screen settings
On systems with flat-screen monitors, you can adjust the screen contrast,
screen brightness and other screen settings with the built-in keys on the
monitors (Ch.. 16.4 or Ch.. 16.5).
Ziehm Compact,
Ziehm Compact
with adapter for
lithotripter procedures
The Ziehm Compact or Ziehm Compact with adapter for lithotripter procedures is equipped with one monitor only, which is mounted on the horizontal carriage of the C-arm stand with an easily adjustable support arm.
2-10
On a Ziehm Compact with flat-screen monitor or a Ziehm Compact with
adapter for lithotripter procedures, a small video printer is built into the left
side of the monitor (when looking onto the screen side).
Ziehm 8000
P_26376/CD_28210 - EN - 01/07/2010
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2 System Overview
2.5.5
Video output
A BNC socket which is used for video connection (VIDEO OUT) is
located on the back of the monitor cart.
BNC socket
The VIDEO OUT socket supplies a CCIR video signal with 50 Hz of the
live screen image. The following image is available for further processing
by a video cassette recorder, an external monitor, a video printer, etc.:
VIDEO OUT
− Fluoroscopic image (live or saved)
Ziehm 8000
P_26376/CD_28210 - EN - 01/07/2010
2-11