Agfa CR 10 X PDF
Agfa CR 10 X PDF
Agfa CR 10 X PDF
(type 5151/100)
User Manual
CR10-X
2491A EN 2012-04-06
CR 10-X
0413
Manufacturer: Agfa HealthCare NV, Septestraat 27, B-2640 Mortsel - Belgium
For more information on Agfa products and Agfa HealthCare products, please visit www.agfa.com.
Agfa and the Agfa rhombus are trademarks of Agfa-Gevaert N.V., Belgium or its affiliates. CR 10-X, NX, ADC
QS and ADC VIPS are trademarks of Agfa HealthCare N.V., Belgium or one of its affiliates. All other trademarks
are held by their respective owners and are used in an editorial fashion with no intention of infringement.
Agfa HealthCare N.V. makes no warranties or representation, expressed or implied, with respect to the accu-
racy, completeness or usefulness of the information contained in this document and specifically disclaims war-
ranties of suitability for any particular purpose. Products and services may not be available for your local area.
Please contact your local sales representative for availability information. Agfa HealthCare N.V. diligently
strives to provide as accurate information as possible, but shall not be responsible for any typographical error.
Agfa HealthCare N.V. shall under no circumstances be liable for any damage arising from the use or inability to
use any information, apparatus, method or process disclosed in this document. Agfa HealthCare N.V. reserves
the right to make changes to this document without prior notice.
Copyright 2012 Agfa HealthCare N.V.
All rights reserved.
Published by Agfa HealthCare N.V.
B-2640 Mortsel - Belgium.
No part of this document may be reproduced, copied, adapted or transmitted in any form or by any means
without the written permission of Agfa HealthCare N.V.
2 2491A EN 2012-04-06
CR 10-X
Table of Contents
Chapter 1: Introduction.................................................................. 5
2491A EN 2012-04-06
3
CR 10-X
Troubleshooting ........................................................................................ 46
Error Viewer .................................................................................................. 47
Connection Problems.....................................................................................48
Cassette Could Not Be Identified....................................................................49
Removing a Jammed Image Plate...................................................................49
Behavior in Case of Power Failure ..................................................................54
Cleaning the Optical Unit...............................................................................55
Specifications ............................................................................................ 58
4 2491A EN 2012-04-06
Chapter 1
Introduction
Q Scope
Q Disclaimer
Scope
This manual contains information for safe and effective operation of the
CR 10-XTM digitizer, further referred to as the digitizer.
Caution: Cautions are directions which, if they are not followed, can
cause damage to the equipment described in this manual or any other
equipment or goods and can cause environmental pollution.
Instruction: This sign is used typically in combination with the warning sign
when providing a specific instruction, which if followed exactly, should avoid
the subject of the warning.
Note: Notes provide advice and highlight unusual points. A note is not
intended as an instruction.
Disclaimer
Note: In the United States, Federal Law stipulates that medical devices
should only be sold to, distributed and used by or by order of a licensed
physician.
Introduction to CR 10-X
This section covers the following topics:
Q Intended Use
Q Intended User
Q Configuration
Q Operation Controls
Q System Documentation
Q Training
Q Product Complaints
Q Compatibility
Q Compliance
Q Connectivity
Q Installation
Q Labels
Q Maintenance
Q Environmental Protection
Q Safety Directions
Q Quality Control
Intended Use
Intended User
This manual has been written for trained users of Agfa products and trained
diagnostic Xray clinical personnel who have received proper training.
Users are those persons who actually handle the equipment and those who
have authority over the equipment.
Before attempting to work with this equipment, the user must read,
understand, note and strictly observe all warnings, cautions and safety
markings on the equipment.
Configuration
digitizer
CR10-X
Control PC
Dedicated configuration
1 Plug the UPS power cord into the input connector at the UPS rear panel.
2 Plug the other side of the UPS power cord into a power outlet.
3 Plug the digitizer, NX workstation and monitor into the appropriate UPS output
receptacles.
In case of power failure, the batteries of the UPS supply power to the digitizer, the NX
workstation and monitor.
Operation Controls
2
3
CR10-X
1 Power button
2 Erase button
3 Status indicator
4 Cassette release button
Status Indicator
The indicator informs the user by light signals about the status of the digitizer.
It is positioned at the front of the digitizer, so that it is visible from a distance.
Constant/
Color Status Action
Blinking
Activating the erasing Insert cassette to erase the
Blue Constant
cycle image plate.
System Documentation
The documentation shall be kept with the system for easy reference. Technical
documentation is available in the product service documentation which is
available from your local support organization.
The user documentation consists of:
Q AGFA CR Plates and Cassettes (CR MD1.0 General) User Manual, document
2492.
Q CR Full Leg Full Spine User Manual, document 4408 (available on NX User Doc-
umentation CD).
Training
The user must have received adequate Agfa training on the safe and effective
use of the product before attempting to work with it. Training requirements
may vary from country to country. The user should ensure that training is
received in accordance with local laws or regulations that have the force of
law. Your local Agfa representative can provide further information on
training.
The user must note the following information in the preliminary section of
this manual:
Q Intended Use
Q Intended User
Q Safety Directions
Product Complaints
Any health care professional (for example a customer or a user) who has any
complaints or has experienced any dissatisfaction in the quality, durability,
reliability, safety, effectiveness or performance of this product must notify
Agfa.
If the device malfunctions and may have caused or contributed to a serious
injury of a patient, Agfa must be notified immediately by telephone, fax or
written correspondence to the following address:
Agfa Service Support - local support addresses and phone numbers listed on
www.agfa.com
Agfa HealthCare N.V. - Septestraat 27 - 2640 Mortsel, Belgium.
Agfa HealthCare N.V. - Fax +32 3 444 7094.
Compatibility
Compliance
The digitizer has been designed in accordance with the MEDDEV Guidelines
relating to the application of Medical Devices and have been tested as part of
the conformity assessment procedures required by 93/42/EEC MDD
(European Council Directive 93/42/EEC on Medical Devices).
The digitizer has been designed in accordance with the IEC 60601-1: Medical
electrical equipment - Part 1: General requirements for basic safety.
The digitizer complies with the safety regulations for:
Quality Management
ISO 13485:2003 + Cor. 1: 2009 Medical devices - Quality management
systems - requirements for regulatory purposes
IEC 62366 Medical devices - application of usability engineering to medical
devices, first edition, October 2007
IEC 62304 Medical Software Life Cycle Processes
Laser Products
IEC 60825-1: 1993 Safety of laser products Part 1: Equipment
classification, requirements and user's guide + corr. February 1995 +
amendment A1: 1997 + amendment A2. 2001
Electromagnetic Compatibility
IEC 60601-1-2:2007 Medical electrical equipment -part1.2: General
requirements for safety - collateral standard: electromagnetic compatibility
- requirements and tests
FCC part 15 (USA)
CSA 22.2 No. 601.1.2 (Canada)
Waste
WEEE 2002/96/EC, amended by Directive 2003/108/EC
RoHS Directive 2002/95/EC
Labeling
EN 980:2008 Symbols for use in the labeling of medical devices
EN 1041:1998, Information supplied by the manufacturer with medical
devices
Connectivity
Installation
Caution: When installing the digitizer, care must be taken to ensure that
there is either a mains plug or an all-cable disconnecting device in the
internal installation fitted near the digitizer and that it is easily
accessible.
The digitizer is equipped with handles at the bottom left and right sides to
move the device easily to another location.
For two persons to lift the digitizer, each should stand at the side of the
digitizer and hold it by the handle with both hands.
For one person to lift the digitizer, remove the cassette unit to reduce the
weight, stand in front of the digitizer and hold it by the handles.
CR10-X
Caution: Do not lift the device by holding the cassette unit or by holding
the back cover.
Caution: The digitizer and the cassette storage shall be protected against
direct radiation in such a way, that the annual dose equivalent at the
place of installation will not exceed 1 mSv/a.
h= 2.5 m
(2.29 m)
Patient environment
Labels
General
Always take into account the markings and labels provided on the inside and
outside of the machine. A brief overview of these markings and labels and
their meaning is given below.
Caution hot:
Keep hands clear from the erasure unit.
Power button
Type label
Date of manufacture
Manufacturer
CAUTION! CUIDADO!
VORSICHT ! ATTENTION!
CLASS 1 LASER PRODUCT
LASERSTRAHLUNG KLASSE 3B: FAISCEAU LASER CLASSE 3B:
WENN ABDECKUNG GEFFNET QUAND CAPOT OUVERT VITER
APPAREIL A LASER DE CLASSE 1
NICHT DEM STRAHL AUSSETZEN! DE SEXPOSER AU RAYN!
LASERKLASSE 1
3 Wipe the exterior of the digitizer with a clean, soft, damp cloth.
Use a mild soap or detergent if required but never use ammonia-based cleaner.
Note: Do not open the digitizer for cleaning. No components inside the
digitizer require cleaning by the user.
Maintenance
Preventive Maintenance
No regular preventive maintenance is required other than described further in
this chapter.
Environmental Protection
Battery Notice
This wheeled bin symbol on the products, and/or accompanying
documents means that the used batteries should not be treated as, or
mixed with general household waste.
Li
This wheeled bin symbol on batteries or its packaging may be used in
combination with a chemical symbol. In cases where a chemical symbol is
available it indicates the presence of respective chemical substances. If your
equipment or replaced spare parts contain batteries or accumulators please
dispose of them separately according to local regulations.
For battery replacements please contact your local sales organization.
Safety Directions
WARNING: The user must be aware that any error (crash / lock up)
leading to an image processing failure can cause loss of diagnostic
information.
Caution: The following actions may lead to serious risk of injury and
damage to the equipment as well as making the warranty void:
Q Changes, additions or maintenance to the Agfa products carried out
by persons without appropriate qualifications and training.
Q Using unapproved spare parts.
Quality Control
Power button
CR10-X
If the digitizer has completed the self-test successfully, the digitizer enters the
operator mode and the status indicator is continuously lighting up in green.
Basic Workflow
The main functions of the system are digitizing image plates and transmitting
the digital image data to the image processing station, where you can perform
an image quality control.
The workflow consists of the following successive steps:
At the NX workstation:
Note: When starting the NX software, the Worklist window is the first win-
dow that appears after the NX splash screen.
2 In the Worklist window, open a patient from the RIS or enter patient data
manually.
3 2
To open a patient from the RIS, select an Exam from the list (1) and click on Start
Exam (2).
To enter patient data manually, click New Exam (3) and enter patient data and
image data manually.
For more information, refer to the NX User Manual, document 4420.
At the digitizer:
2 Insert the cassette containing the exposed image plate into the cassette slot of
the digitizer.
Make sure to insert the cassette with the black side (X-ray tube side) to the top and
with the shutter opening mechanism and the locking mechanism inside the digitizer.
Make sure that the cassette is firmly pushed into the slot, so that it is locked (you
should hear a click). Otherwise, the digitizer cannot read the image plate.
CR10-X
Note: The cassette is unidentified, so the digitizer will send a request to the
NX station. The NX software must be operational, otherwise the digitizer is
locked and the status indicator is blinking red.
At the NX workstation:
1 In the Examination window of NX, select the thumbnail in the Image overview
pane and click ID to send the data to the digitizer.
2 As soon as the digitizer has received the complete identification data from the
NX station (via Ethernet) it will start digitizing the image plate.
The digitizer converts the information of the latent image to digital data.
At the NX workstation:
2 Prepare the image for diagnosis by using e.g. L/R markers or annotations.
3 If the image is OK, send the image to a hardcopy printer and/or PACS (Picture
Archiving and Communication System).
At the digitizer:
1 When the digitizer has finished treating the cassette, the status indicator
constantly lights up in green.
2 Push the Cassette release button and remove the cassette from the cassette slot.
Switching Off
It is recommended to switch off the digitizer at the end of the day.
Note: Only switch off the digitizer if you do not intend to digitize emergency
image plates overnight. Switching on the digitizer takes approximately
3 minutes. During this time emergency digitizing is not possible!
Power button
CR10-X
Note: To re-erase an image plate, you must push the Erase button at the front
side before you insert the cassette. After that, you have 1 minute to enter a
cassette. If you do not, the digitizer returns to the standby mode.
3 Insert the cassette containing the image plate into the cassette slot as shown
below.
Make sure to insert the cassette with the black side to the top and with the shutter
opening mechanism and the locking mechanism inside the digitizer.
Make sure that the cassette is firmly pushed into the slot. Otherwise, the digitizer
cannot read the image plate.
CR10-X
As a result, the digitizer starts erasing the image plate: the status indicator switches to
the state blue blinking.
When the digitizer has finished erasing the cassette, the status indicator is constantly
lit in green.
4 Push the cassette release button and remove the cassette from the cassette slot.
For more information, refer to the NX Key User Manual, document 4421.
4 Insert the cassette containing the image plate into the cassette slot of the
digitizer as shown below.
Make sure to insert the cassette with the black side to the top and with the shutter
opening mechanism and the locking mechanism inside the digitizer.
Make sure that the cassette is firmly pushed into the slot. Otherwise, the digitizer
cannot read the image plate.
CR10-X
Once the cassette is locked, the status indicator on the digitizer is blinking green.
The digitizer starts reading the initialization data.
5 When the digitizer has finished reading the initialization data, the status
indicator constantly lights up in green and the cassette can be unlocked.
6 Push the Cassette release button and remove the cassette from the cassette slot.
Note: You can only remove the cassette from the cassette slot when the
cassette is unlocked.
The digitizer Error Viewer informs you about upcoming expiry of the image
plate 90 and 30 days before the expiry date. Please replace the image plates
before expiry to avoid reduced system performance.
The digitizer Error Viewer informs you about reduced system performance
whenever you use an expired image plate.
The expiry date is printed on the image plate.
Refer to the Agfa CR Plates and Cassettes (CR MD1.0 General) User Manual
(document 2492).
Troubleshooting
In case of a malfunction of the digitizer, consult the Error Viewer UI (User
Interface) messages on the control PC.
Error messages are displayed in a dialog box in the middle of the screen or in a
fixed part of the screen. These messages will tell that either a problem has
occurred or that a requested action cannot be performed.
The user must read these messages carefully. They will provide information
on what to do from then on. This will be either performing an action to
resolve the problem or to contact your local service organization.
Details on the contents of messages can be found in the service
documentation which is available to Agfa service personnel.
Error Viewer
To start the Error Viewer, go to the Windows Start menu > Startup and click
ErrorViewer.
The Error Viewer dialog contains information about the status of the digitizer.
3
4
Connection Problems
In case the status indicator of the digitizer is blinking red, the user should
look at the status of the Error Viewer to decide whether digitizer internal
problems or connection problems occurred.
If an error message is displayed on the NX PC, the user is informed which
actions to perform to solve the problem.
In case no error message is displayed on the screen, a connection problem
occurred.
Error Viewer
Condition Status indicator Action
message
Connection
Check if Error Viewer is
problem between Red blinking
running. Start/restart Error
digitizer and the fast
Viewer.
Error Viewer. No error message
Connection on NX PC.
Check the Ethernet cables. If
problem between Red blinking - 3
the error remains, restart PC
digitizer and NX pulses
and digitizer or call service.
PC.
Cause A cassette has been inserted in the digitizer and the ID button was
clicked directly afterwards.
Solution Wait until the digitizer has read the data on the cassette and sent it to
the NX PC. This may take a few seconds. The error message will
disappear.
Note: The technical concept does not allow the user to remove the top cover.
Note: The digitizer always reads and digitizes the plate first, then erases it
and transports it back into the cassette. If a plate jam occurs before the plate
is scanned, there is a fair chance that you can recover the image by putting
the image plate back into the cassette and digitizing it again. While handling
the image plate, prevent exposing it to daylight as much as possible.
Caution: In case of an image plate jam, do not push the release button
unless the status indicator constantly lights up in green. Pushing the
cassette release button while the status indicator is blinking may damage
the image plate.
2 If the status indicator constantly lights up in green, the image plate is returned
into the cassette. Push the cassette release button and remove the cassette from
the cassette slot.
3 If the status indicator does not constantly light up in green, continue with the
next steps.
5 Simultaneously press the two buttons positioned underneath the cassette unit.
Caution: The image plate may slide out of the cassette. Be careful not to
drop the image plate.
3 Push the release button to detach the cassette from the cassette unit.
Q If the image plate is in the digitizer and visible from the front side:
1 Put the cassette unit with the cassette on a table.
4 Push the release button to detach the cassette from the cassette unit.
Q If the image plate is in the digitizer but not visible from the front side:
1 Put the cassette unit with the cassette on a table.
2 Open the back of the device by turning the four fixation rings by 90 degrees:
3 Gently remove the image plate from the back of the digitizer.
6 Push the release button to detach the cassette from the cassette unit.
Note: Never use force to clear the jammed image plate. If it is not possible to
gently remove the image plate, call your local service organization.
Note: Make sure not to bend the image plate when removing it from the
device.
Note: After a jam, the image plate can be used again if it is not damaged.
Note: After removing a jammed image plate, erase the image plate before the
next exposure.
In case of a power failure, the system is still connected to the UPS. Two
situations are possible:
Power failure after cassette insertion and before identification with the NX
workstation. The digitizer pushes the image plate back in the cassette
without scanning and releases the cassette. After the power supply returns,
the cassette must be inserted into the digitizer and identified again to read
out the image.
Power failure after identification with the NX workstation. The image plate
is scanned and erased as usual. The scan cycle finishes when the cassette is
released. If the power supply is still not available, the digitizer will refuse
scanning other cassettes.
The only maintenance action which you must perform is checking the image
quality. Refer to the User Manual of the NXTM software.
Cleaning the optic unit is required if stripes parallel to the image plate
movement can be seen in the image. When you recognize this type of artefact,
when using the digitizer, clean the optic unit using the cleaning brush.
CR10-X
T Specifications
CR 10-X
Specifications
Labelling
93/42 EEC 'Medical Devices' (Europe),
CE
EN 60601-1
c ETL us ETL us certified, UL 60601-1 (North America)
c ETL us c ETL certified CSA 22.2 No 601.1
Dimensions
Length 70 cm
Width 58 cm
Height 50 cm
Weight
Unpacked approximately 30 kg (66 lb)
Network connectivity
RJ45 female, 10/100 Mbit/s autosensing,
Ethernet connector
shielding CAT5
Power consumption
Standby
110 V - 240 V / 50-60 Hz configuration max. 30 W
During operation
110 V - 240 V / 50-60 Hz configuration max. 85 W
Environmental conditions
recommended: 20 C - 25 C
Room temperature
allowed: 15 C - 35 C
Maximum temperature change 0.5 C/min.
recommended: 30 % - 60 %
Relative humidity
allowed: 15 % - 80 %
Magnetic field compliant with EN 61000-4-8, Level 2
not to be operated in direct sunlight, max.
Sunlight exposure
2500 lux
In line with IEC721-3-2 (1997): class 2K2 and 2M3, with following restrictions:
Physical emissions
Noise emission (sound power level according to ISO 7779)
During scanning max. 65 dB(A)
Standby max. 55 dB(A)
Heat emission
End of Life
Estimated product life
(if regularly serviced and maintained 7 yrs.
according to Agfa instructions)
Electromagnetic Environment
Emissions test Compliance
Guidelines
The digitizer uses RF energy only for its
internal function. Therefore, its RF
RF emissions in accordance with
Group 1 emissions are very low and are not likely to
CISPR 11
cause any interference in nearby electronic
equipment.
RF emissions in accordance with The digitizer is suitable for use in all
Class A
CISPR 11 establishments other than domestic, and
may be used in domestic establishments
Harmonic emissions in
Class A and those directly connected to the public
accordance with IEC 61000-3-2
low-voltage power supply network that
supplies buildings used for domestic
purposes, provided the following warning
is heeded.
WARNING: This device is intended for use
Voltage fluctuations / flicker by healthcare professionals only. This
emissions in accordance with Complies device may cause radio interference or may
IEC 61000-3-3 disrupt the operation of nearby equipment.
It may be necessary to take mitigation
measures, such as re-orienting or
relocating the digitizer or shielding the
location.
62 2491A EN 2012-04-06
CR 10-X
2491A EN 2012-04-06
63
CR 10-X
64 2491A EN 2012-04-06
CR 10-X
REMARK 1: The higher value will apply at 80 MHz and 800 MHz.
REMARK 2: These Guidelines may not apply to all situations. The dispersion of
electromagnetic waves is influenced by absorption and reflections from buildings,
objects and people.
a.The field strength of stationary transmitters, such as base stations of radio telephones, mobile
broadcasts for rural areas, amateur stations, and AM and FM radio transmitters, cannot be
precisely predetermined theoretically. An investigation of the location is recommended, to
ascertain the electromagnetic environment as a result of stationary high frequency transmitters. If
the field strength of the device exceeds the level of agreement given above, the device must be
observed with regard to its normal operation at each place of use. In case of unusual performance
characteristics, it can be necessary to take additional measures, such as the re-orientation of the
device, for example.
b.The field strength will be lower than 3 V/m above the frequency range from 150 kHz to 80 MHz.
2491A EN 2012-04-06
65
CR 10-X
m
W
150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz
66 2491A EN 2012-04-06
CR 10-X
2491A EN 2012-04-06
67
0413
Printed in Belgium
Published by Agfa HealthCare N.V., B-2640 Mortsel-Belgium
2491A EN 2012-04-06