Ziehm
Ziehm 7000 Plus C-Arm User Manual Ver 22.02
User Manual
258 Pages

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Page 1
Ziehm 7000 Plus Ziehm 7000 Plus (Compact Version) User Manual
Ziehm 7000 Plus 28140-4_22.02_EN_00
Safety instructions
This manual 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.
Intended use
The medical equipment is intended for fluoroscopies in the field of surgery, e.g. in traumatology, orthopedics, neurology, urology, cardiology. Third-party devices and components used in combination with this system must comply with the safety requirements according to IEC 60601-1 and/or IEC 60601-1-1 or furnish proof of an equivalent degree of safety. To ensure CE conformity, these components must have a CE approval in accordance with Council Directive 93/42/EEC. In addition, a declaration in compliance with Article 12 of the said directive must be provided. For components without CE approval, a conformity assessment procedure is obligatory. Proper and safe operation of the system requires adequate transportation, storage, assembly and installation as well as appropriate use and maintenance. The limiting values indicated in this user manual must not be exceeded; this applies also when putting the system into service.
Authorized personnel
Only authorized personnel are allowed to assemble and repair the medical equipment described in this manual. Authorized personnel are persons who have attended an appropriate training course provided by the manufacturer.
Exclusion of liability
The manufacturer accepts responsibility for the safety, reliability and performance of the system only if •
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;
•
the system is used in accordance with the user manual.
Repair work carried out by non-authorized personnel will lead to an invalidation of the warranty. Furthermore, no consequential damages will be accepted. The equipment conforms to Class IIb according to the Council Directive 93/42/EEC. This user manual has been written and reviewed originally in German and translated.
Copyright Copyright © 2006 Ziehm Imaging GmbH • Donaustr. 31 • D-90451 Nuremberg • Germany • E-mail: [email protected] • Internet: http://www.ziehm.com All rights reserved. Transmission or reproduction of this manual, exploitation and disclosure of its contents to third persons is not permitted without express written consent of the manufacturer. Infringements shall entitle to damage claims.
Registered Trademarks This manual may contain the names of registered trademarks or brands, the use of which by third persons for their purposes may infringe the rights of their respective owners. Quality Standards This manual was produced in compliance with the quality principles of ISO 9001. The information provided in this manual is checked at regular intervals, and any corrections which might become necessary will be included in the next revision. Any suggestions for improvement are welcome. Subject to change without prior notice. Rev. 02/2006
Ziehm 7000 Plus 28140-4_22.02_EN_00
Table of Contents Table of Contents
I
1
About this Manual
1-1
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 7000 Plus ... 2-3 2.2.2 Ziehm 7000 Plus (Compact Version) ... 2-3 2.3 Options ... 2-4 2.4 Optional accessories ... 2-5 2.5 Parts of the system... 2-6 2.5.1 Mobile C-arm stand... 2-6 2.5.2 Monitor cart ... 2-7 2.5.3 Ziehm 7000 Plus (Compact Version) ... 2-8 2.5.4 Monitors ... 2-9 2.5.5 Video output ... 2-10
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 Environmental compatibility...
3-1 3-1 3-2 3-4 3-4 3-4 3-5 3-6
4
Putting the System into Service 4.1 Unpacking the system ... 4.2 Accessories ... 4.3 Cable connections... 4.4 First power-up of the system ... 4.5 Setting up the system...
4-1 4-1 4-2 4-3 4-4 4-5
5
Mechanical Handling 5.1 Transport position... 5.1.1 C-arm stand transport position... 5.1.2 Monitor cart transport position... 5.2 Braking and steering the monitor cart ... 5.3 Braking and steering the C-arm stand... 5.4 C-arm movements... 5.4.1 Orbital rotation ... 5.4.2 Angulation ... 5.4.3 Swiveling (panning)... 5.4.4 Horizontal movement ... 5.4.5 Vertical movement ...
5-1 5-1 5-1 5-2 5-3 5-3 5-5 5-5 5-6 5-7 5-8 5-8
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Table of Contents
6
Controls 6.1 C-arm stand control panel ... 6.2 Monitor cart control panel ... 6.3 How to use menus...
6-1 6-1 6-6 6-9
7
Switching the System On and Off 7.1 Preparing the system... 7.2 Switching the system on... 7.3 EMERGENCY STOP button... 7.4 Key switch ...
7-1 7-1 7-2 7-3 7-4
8
Standard Fluoroscopic Operations 8.1 Overview... 8.2 Fluoroscopy modes ... 8.2.1 Continuous fluoroscopy... 8.2.2 Continuous pulse fluoroscopy ... 8.2.3 Single pulse fluoroscopy (‘snapshot’)... 8.3 Manual exposure rate setting ... 8.4 Fluoroscopy programs... 8.4.1 ½ DOSE function key ... 8.4.2 Anatomical programs ... 8.4.3 METAL correction key ... 8.5 Generating a fluoroscopic image... 8.5.1 Starting fluoroscopy ... 8.5.2 Screen display... 8.6 Saving... 8.7 Printing ... 8.8 Warning signals and faults ... 8.8.1 Permanent warning during radiation ... 8.8.2 Interval warning during radiation ... 8.8.3 Temperature monitoring ... 8.8.4 Error and alert messages ...
8-1 8-1 8-1 8-2 8-3 8-3 8-4 8-5 8-5 8-5 8-6 8-6 8-6 8-7 8-8 8-10 8-11 8-11 8-11 8-12 8-13
9
Adjusting Live Images 9-1 9.1 Overview... 9-1 9.2 Collimation... 9-1 9.2.1 Iris collimator ... 9-1 9.2.2 Slot collimator... 9-2 9.2.3 Slot collimator rotation... 9-2 9.2.4 Virtual collimator (n/a for Ziehm 7000 Plus (Compact Version)/Ziehm 7000 Plus (Compact Litho Version)) ... 9-2 9.3 Electronic image magnification... 9-3 9.4 Contrast and brightness adjustment (Windowing)... 9-4 9.4.1 Control from the C-arm stand... 9-4 9.4.1.1 Standard windowing... 9-5 9.4.1.2 Step windowing... 9-5 9.4.2 Control from the monitor cart... 9-6 9.5 Image reversal and image rotation ... 9-8 9.5.1 Horizontal and vertical image reversal ... 9-8 9.5.2 Image rotation ... 9-8 9.6 Image swapping ... 9-9 9.6.1 Ziehm 7000 Plus ... 9-9 9.6.2 Ziehm 7000 Plus (Compact Version), Ziehm 7000 Plus (Compact Litho Version) ... 9-9
II
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10
Data Management 10-1 10.1 Organization of patient and image data ... 10-1 10.1.1 Patient folders ... 10-1 10.1.2 NO NAME folder ... 10-2 10.2 Patient data management ... 10-2 10.2.1 Creating a new patient folder on the Ziehm 7000 Plus ... 10-2 10.2.2 Modifying patient data ... 10-4 10.3 Image data management ... 10-6 10.3.1 Activating a patient folder... 10-8 10.3.2 Backup to CD ... 10-9 10.3.3 Finding patient folders... 10-11 10.3.4 Deleting patient folders ... 10-12 10.3.5 Inverting the grayscale of the entire image archive... 10-13 10.3.6 Processing and outputting images of a patient folder ... 10-14 10.3.6.1 Saving images ... 10-18 10.3.6.2 Printing images on video printer ... 10-20 10.3.7 Comparing saved images ... 10-21
11
DICOM Functions 11-1 11.1 Prerequisites ... 11-1 11.2 Retrieving patient data from a DICOM server ... 11-1 11.2.1 Query ... 11-1 11.2.2 Retrieving a Worklist ... 11-2 11.3 Processing scheduled procedure steps of a Worklist (MPPS) ... 11-4 11.4 Importing images and cine loops from a DICOM server ... 11-6 11.5 Importing DICOM images from a storage medium (DICOM Dir) ... 11-10 11.6 Saving and printing images ... 11-15 11.6.1 Saving images ... 11-15 11.6.2 Saving images to a second storage server ... 11-16 11.6.3 Printing images ... 11-19 11.7 Saving or printing single cine loop images ... 11-21 11.7.1 Saving single cine loop images... 11-21 11.7.2 Saving single cine loop images to a second storage server ... 11-23 11.7.3 Printing single cine loop images... 11-26 11.8 Storage Commitment ... 11-29
12
Cine Loops 12-1 12.1 Overview ... 12-1 12.2 Acquiring a cine loop ... 12-1 12.3 Opening and controlling a saved cine loop ... 12-5 12.4 Editing a saved cine loop ... 12-7 12.5 Processing and outputting single cine loop images ... 12-9 12.5.1 Saving single cine loop images... 12-13 12.5.2 Printing single cine loop images on video printer... 12-16
13
Subtraction Modes 13.1 Overview ... 13.2 DSA ... 13.3 MSA... 13.4 RSA ... 13.5 Auto-DSA ... 13.6 Processing a saved DSA cine loop ... 13.7 Generating RSA images from a DSA cine loop...
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13-1 13-1 13-2 13-3 13-4 13-5 13-6 13-7
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Table of Contents
13.8 Working with CO2 negative contrast medium ... 13-8 13.9 Pixel shift ... 13-10 13.10 Landmarking... 13-11 14
Post-Processing Images 14-1 14.1 Overview... 14-1 14.2 Activating the post-processing functions ... 14-1 14.3 Edge enhancement ... 14-2 14.4 Image rotation... 14-3 14.5 Zooming... 14-3 14.6 Grayscale inversion ... 14-4 14.7 Contrast and brightness adjustment (Windowing)... 14-4 14.8 Measurements... 14-6 14.8.1 Calibration ... 14-7 14.8.2 Length or distance measurement... 14-9 14.8.3 3-point measurement ... 14-11 14.8.4 4-point measurement ... 14-13
15
Displayed Texts and Text Functions 15.1 Overview... 15.2 Automatically-displayed text information ... 15.2.1 Upper left corner of the live screen ... 15.2.2 Upper right corner of the live screen ... 15.2.3 Lower left corner of the live screen ... 15.2.4 Lower right corner of the live screen ... 15.3 Manual text annotation and editing...
15-1 15-1 15-1 15-1 15-2 15-2 15-3 15-3
16
Image Documentation 16.1 Overview... 16.2 Printing on video printer... 16.3 Recording on video cassette recorder...
16-1 16-1 16-1 16-2
17
Laser Positioning Device 17-1 17.1 Overview... 17-1 17.2 Applications ... 17-1
18
Direct Radiography 18.1 Overview... 18.2 Fitting the film cassette holder... 18.3 Activating the direct radiography mode ... 18.4 Selecting the film size... 18.5 Selecting the radiography parameters... 18.6 Making the radiographic exposure ... 18.7 Completing the radiographic procedure ... 18.8 Exposure guide...
IV
18-1 18-1 18-1 18-2 18-2 18-3 18-3 18-4 18-4
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19
System Configuration 19-1 19.1 Overview ... 19-1 19.2 User settings ... 19-2 19.2.1 Activating automatic image swapping ... 19-2 19.2.2 Displaying a crosshair ... 19-3 19.2.3 Function of the F key ... 19-3 19.2.4 Storage medium for image retrieval ... 19-4 19.2.5 Setting the cine loop speed... 19-4 19.2.6 Setting the cine loop length... 19-4 19.2.7 Combining DSA with a cine loop... 19-5 19.2.8 Showing or hiding the native image ... 19-5 19.2.9 Selecting the storage medium for data retrieval with DICOM Dir... 19-5 19.2.10 Defining the storage format for removable storage media ... 19-6 19.3 Basic settings ... 19-6 19.3.1 Setting the system time and system date ... 19-7 19.3.2 Selecting the live screen ... 19-7 19.3.3 Entering the hospital data ... 19-7 19.3.4 Erasing storage media ... 19-7 19.3.5 Re-initializing the barcode reader ... 19-7 19.4 Monitor settings ... 19-8 19.4.1 Ziehm 7000 Plus with 23" flat-screen monitor... 19-8 19.4.2 Flat-screen monitor settings... 19-9 19.4.2.1 Integrated button panel... 19-9 19.4.2.2 Setting the brightness, contrast and backlight brightness . 19-9 19.4.2.3 Setting the menu language... 19-11 19.4.2.4 Restoring the factory settings ... 19-12 19.5 Service settings ... 19-13 19.5.1 Step windowing ... 19-14 19.5.2 Filter factors ... 19-15 19.5.2.1 Filters for anatomical programs ... 19-16 19.5.2.2 Filters for subtraction modes ... 19-18 19.5.2.3 Filters for subtraction modes with CO2... 19-19 19.5.3 Windowing settings for subtraction modes... 19-20 19.5.4 DICOM settings... 19-21 19.5.5 System settings... 19-21 19.5.6 Monitor calibration... 19-21 19.5.7 HEDIS data ... 19-21 19.5.8 Software update ... 19-21 Appendix 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 Dose meter check ... A.1.4 Checking the useful beam ... A.1.5 Leakage in the cooling system (only with Active Cooling) ... A.1.6 Gettering the image intensifier tube ... A.2 Cleaning, disinfection, sterilization ... A.2.1 Cleaning ... A.2.2 Disinfection ... A.2.3 Sterilization ...
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A-1 A-1 A-1 A-2 A-2 A-3 A-4 A-4 A-5 A-5 A-5 A-6
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A.3
Faults... A.3.1 Types of faults ... 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 error and alert messages... A.4 Labels on the unit ... A.4.1 Ziehm 7000 Plus labels ... A.4.2 Ziehm 7000 Plus (Compact Version) labels ... A.5 Focal spot position... A.6 Heat capacity... A.7 Scattered radiation in the significant zone of occupancy... A.8 AERC characteristics... A.9 Dimensions... A.9.1 Ziehm 7000 Plus ... A.9.2 Ziehm 7000 Plus (Compact Version) ... A.1 Technical data Ziehm 7000 Plus and Ziehm 7000 Plus (Compact Version) ... A.9.3 Laser positioning device... A.9.4 Dose measurement chamber ... A.10 Connections for additional monitors and external radiation warning lamp ... Index
VI
A-6 A-6 A-6 A-6 A-7 A-7 A-8 A-11 A-11 A-14 A-21 A-22 A-23 A-24 A-27 A-27 A-29 A-31 A-34 A-34 A-35 i
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1
About this Manual This manual is designed to enable owners and operators of a Ziehm 7000 Plus or Ziehm 7000 Plus (Compact Version) to operate the respective system safely and efficiently.
Purpose of this manual
Ziehm 7000 Plus and Ziehm 7000 Plus (Compact Version), software version 22.02.
Scope of validity of this manual
For several system options (e.g. video printer), separate operating instructions are available. They are supplied with the system, provided that the system configuration includes the respective option. You will find a corresponding reference in the relevant sections of the manual.
Separate operating instructions
Typographical conventions In this manual, the following notations and formats are used to highlight certain elements of the software interface, control panels or documentation itself: Element
Format
Example
Software interface elements
Bold
Post windowing
Cascaded menus
Bold, separated by an arrow
Configuration Menu → Basic Settings
Function keys
Bold, current function separated by a dash
F1 – Save
Names of keys
Bold
Enter
Cross-references
Italic, preceded by an arrow
→ Ch. 19.3, p. 19-6
Table 1-1
Notations and formats used in this manual
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1 About this Manual
Safety information
The manual contains some information which must be observed in order to ensure the personal safety of operating staff and patients as well as to avoid damage to property. All such information is highlighted as follows: WARNING This is the highest level of risk. Personal injury or damage to property may occur if the operator does not observe the instructions provided here.
CAUTION This means that a situation exists which may require a decision or action on the part of the user for optimum equipment performance or to avoid a minor hazard.
Note Notes are merely informative. Additional useful information and hints are provided for the operator here.
1-2
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2
System Overview 2.1
Fields of application and features
2.1.1
Fields of application
The Ziehm 7000 Plus is a mobile C-arm X-ray image intensifier which is suitable for all surgical applications in traumatology, orthopedics, neurology, urology, cardiology as well as for all vascular interventions.
Applications
Thanks to its subtraction and cine loop functions, the Ziehm 7000 Plus can be used for all vascular applications.
Vascular surgery
The Ziehm 7000 Plus (Compact Version) lends itself to rapid casualty Xray diagnostics in the emergency ward.
Casualty ward
The Ziehm 7000 Plus (Compact Litho Version) is designed to support lithotripter procedures. The lithotripter is mounted onto the Ziehm 7000 Plus (Compact Litho Version) for this purpose.
Lithotripsy
2.1.2
Features
With its compact design and combined steering & braking system, the Ziehm 7000 Plus offers unrestricted mobility at the operating table, even if space is scarce.
Mobility
The easy adjustability of the ample C-arm and the perfect 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.
Ziehm 7000 Plus 28140-4_22.02_EN_00
Anatomical programs
2-1
2 System Overview
Radiation dose reduction
The superior penetration capabilities of the digital high-frequency generator enable a significant reduction in the patient skin dose. The ½ DOSE function considerably reduces the dose both for patient and operating staff, thus contributing substantially to radiation protection. Furthermore, radiation-free collimation is provided by the system’s ‘Virtual Collimator’.
Image quality
150 Hz monitor tubes with anti-reflection coating guarantee flicker-free images. The new, advanced image processing technology 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 perfect 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).
Active Cooling
The Active Cooling option allows for nearly unlimited fluoroscopy times, being often indispensable e.g. in cardiac and vascular surgery.
Image management
A patient-based image management system providing a 16-image mosaic view and menu-controlled user guidance guarantees efficient image data handling.
Documentation and output
For documentation purposes, a video printer and a video cassette recorder are available. A CD writer as well as a floppy disk drive 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 video output.
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 available: Print, Storage (including multiframe capability), Storage Commitment, Media, Worklist, MPPS, Query/Retrieve and Verification. It is possible to connect the Ziehm 7000 Plus 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. For more information on DICOM, please refer to our DICOM Conformance Statement included in the “Technical Manual”.
2-2
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2 System Overview
2.2
Model range
Note This manual describes 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 7000 Plus
With 31 cm, 23 cm or 15 cm image intensifier; storage capacity optionally for max. 150 or 1,000 images; separate monitor cart with single 23" flatscreen monitor with split screen, optionally with twin 18" flat-screen monitors.
2.2.2
Features
Ziehm 7000 Plus (Compact Version)
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.
Ziehm 7000 Plus 28140-4_22.02_EN_00
Features
2-3
2 System Overview
2.3
Options The following options can be integrated into the system upon request:
Hardware options
− Ziehm 7000 Plus (Compact Litho Version): − 23 cm image intensifier − storage capacity for max. 2 images − 18" flat-screen monitor mounted on the C-arm stand, with small video printer laterally − mounting plate for lithotripter on the C-arm stand − C-arm stand with lower C-arm position − Laser positioning device on the generator − Laser positioning device on the image intensifier integrated (23 / 31 cm i.i.) or external (15 cm i.i.) − Dose measurement chamber for measuring the dose area product − Active Cooling − Key switch − EMERGENCY STOP button − CD writer − Video printer Sony® UP-960 for printout on paper − Video printer Sony® UP-980 for printout on paper or transparent film − S-VHS video cassette recorder − Connection for external radiation warning lamp (including software) − Barcode reader for scanning patient data from patient ID labels − Video output (Ziehm 7000 Plus (Compact Version), Ziehm 7000 Plus (Compact Litho Version)) − Hand rail around the image intensifier − Color-coded brake handles
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. − Cine loop − DSA package
2-4
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2 System Overview
− Subtraction angiography program for CO2 negative contrast medium − Customer-specific foot switch assignment − S-distortion correction
2.4
Optional accessories
The following accessories are optionally available for the Ziehm 7000 Plus: − Sterile disposable covers 3-part, for X-ray generator, C-arm and image intensifier, with spring band or clip fixing − Spring bands for disposable covers − Clips for disposable covers 1 set = 6 pieces − Hand surgery table − Universal film cassette holder − Foot switch cover − Printer paper for Sony® UP-960 − Printer paper for Sony® UP-980 − Printer transparent film for Sony® UP-980
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2 System Overview
2.5
Parts of the system
2.5.1
Mobile C-arm stand
Ziehm 7000 Plus
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
X-ray generator
Hand switch
Coupling cable connection Cable guards
Fig. 2-1
2-6
Ziehm 7000 Plus C-arm stand
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2 System Overview
2.5.2
Monitor cart Ziehm 7000 Plus with 23" flat-screen monitor
Radiation warning lamp Flat-screen monitor
Control panel
Coupling cable support
Video printer Power cable support Power supply connection Coupling cable connection VIDEO OUT Equipotential grounding
Brakes
Spare earth ground connection
Fig. 2-2
Ziehm 7000 Plus monitor cart with 23" flat-screen monitor
Radiation warning lamp
ON/OFF switches for flatscreen monitors
Flat-screen monitors Button panels for monitor settings
Ziehm 7000 Plus with 18.1" flatscreen monitors
Coupling cable support
Control panel
DICOM connection
Video printer
Power cable support
FD drive
Power supply connection
CD writer
Coupling cable connection VIDEO OUT Equipotential grounding
Brakes
Spare earth ground connection TX/RX connection
Fig. 2-3
Ziehm 7000 Plus monitor cart with 18.1" flat-screen monitors
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2 System Overview
2.5.3
Ziehm 7000 Plus (Compact Version)
Ziehm 7000 Plus (Compact Version) with flat-screen monitor
Image intensifier with integrated CCD camera Radiation warning lamp Compact monitor Video printer Horizontal carriage Lifting column
Cassette holder C-arm handle C-arm
Control panel Steering & braking lever
Monitor support arm Swivel arm
Handle Hand switch Connection for power cable or coupling cable Cable guards
Fig. 2-4
Ziehm 7000 Plus (Compact Litho Version)
X-ray generator
Ziehm 7000 Plus (Compact Version) with flat-screen monitor
Image intensifier with integrated CCD camera Radiation warning lamp Compact monitor Video printer Horizontal carriage Lifting column
Cassette holder C-arm handle
Mounting plate for lithotripter Control panel
C-arm Monitor support arm
Steering & braking lever
Swivel arm
Handle Hand switch Connection for power cable or coupling cable Cable guards
Fig. 2-5
2-8
X-ray generator
Ziehm 7000 Plus (Compact Litho Version)
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2 System Overview
2.5.4
Monitors
On the Ziehm 7000 Plus, the left screen has been factory-set as the live screen and the right screen as the reference screen.
Ziehm 7000 Plus screen assignment
During operation, the following information is displayed on the screens: • Live screen: Fluoroscopic image • Reference screen: Menus or reference images You can change the screen assignment in the Basic Settings menu (→ Ch. 19.3, p. 19-6). Note To avoid confusion, the neutral terms ‘live screen’ and ‘reference screen’ are used throughout this manual, regardless of your custom setting.
On a system with flat-screen monitors, you can modify the contrast, brightness and other settings of the monitors with the buttons integrated in them (→ Ch. 19.4.2, p. 19-9).
Monitor settings
The Ziehm 7000 Plus (Compact Version) is equipped with one monitor only, which is mounted on the horizontal carriage of the C-arm stand with an easily adjustable support arm.
Ziehm 7000 Plus (Compact Version), Ziehm 7000 Plus (Compact Litho Version)
On a Ziehm 7000 Plus (Compact Version) with flat-screen monitor or a Ziehm 7000 Plus (Compact Litho Version), a small video printer is built into the left side of the monitor (when looking onto the monitor screen).
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2 System Overview
2.5.5
Video output
BNC socket
A BNC socket which is used for video connection (VIDEO OUT) is located on the rear of the monitor cart.
VIDEO OUT
The VIDEO OUT socket supplies a CCIR video signal 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.: • Fluoroscopic image (live or saved) WARNING Supplementary equipment used in combination with the Ziehm 7000 Plus must comply with the safety requirements according to IEC 60601-1 and/or IEC 60601-1-1 or furnish proof of an equivalent degree of safety. To ensure CE conformity, these components must have a CE approval in accordance with Council Directive 93/42/EEC. In addition, a declaration in compliance with Article 12 of the said directive must be provided. For components without CE approval, a conformity assessment procedure is obligatory. If you combine the Ziehm 7000 Plus with equipment which does not comply with these requirements, the safety of the whole system is no longer given and the warranty will become invalid.
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