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DIAGNOST 94 O P E R A T O R ' S M A N U A L
English
9 8 9 6 0 0 0 12482 1996-05 OD
CONTENTS
DIAGNOST 94
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
OPERATOR’S MANUAL
Unauthorized copying of this publication may not only infringe copyright but reduce the ability
of Philips Medical Systems Nederland B.V. to provide accurate and up-to-date information to
both users and operators.
DIAGNOST 94
CONTENTS
ii
Philips Medical Systems Nederland B.V. reserves the right to make changes to both this
Operator's Manual and to the products it describes. Equipment specifications are subject to
change without notice. Nothing contained within this Operator's Manual is intended as any offer,
warranty, promise or contractual condition, and must not be taken as such.
Unauthorized copying of this publication may not only infringe copyright but reduce the ability
of Philips Medical Systems Nederland B.V. to provide accurate and up-to-date information to
both users and operators.
DIAGNOST 94
CONTENTS
iii
TABLE OF CONTENTS
1 SAFETY ...................................................................................................................... 1-1
1.1 Introduction ............................................................................................................ 1-1
1.1.1 About the DIAGNOST 94 ........................................................................... 1-1
1.1.2 About this operator's manual ........................................................................ 1-1
1.1.3 Intended use ................................................................................................. 1-2
1.1.4 Compatibility ................................................................................................ 1-2
1.1.5 Compliance ................................................................................................... 1-3
1.1.6 Training ........................................................................................................ 1-3
1.1.7 Other operator's manuals .............................................................................. 1-3
1.1.8 Glossary ........................................................................................................ 1-4
1.2 Important Safety Directions .................................................................................... 1-4
1.2.1 Emergency procedures .................................................................................. 1-5
1.2.2 Electrical safety ............................................................................................. 1-7
1.2.3 Mechanical safety .......................................................................................... 1-7
1.2.4 Explosion safety ............................................................................................ 1-8
1.2.5 Fire safety ...................................................................................................... 1-8
1.2.6 Radiation safety ............................................................................................ 1-8
1.2.7 Mobile telephones and other similar products .............................................. 1-9
DIAGNOST 94
CONTENTS
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DIAGNOST 94
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DIAGNOST 94
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DIAGNOST 94
INTRODUCTION AND SAFETY
1-1
1.1 Introduction
Within this Operator’s Manual, the most extensive configuration of the system is described, with
the maximum number of functions, options and accessories. Not every function described may be
available on your system.
Depending on the configuration, other Operator’s Manuals may be delivered with the system, and
these should be consulted for safety instructions, calibration, test procedures and maintenance.
Before attempting to operate the equipment, you must read this manual thoroughly, paying
particular attention to all WARNINGS, Cautions and Notes incorporated in it.
You must pay special attention to all the information given and procedures described in the Safety
Section 1.1.8.
Cautions are directions which, if not followed, could cause damage to the equipment described in
this Operator's Manual and/or any other equipment or goods, and/or cause environmental
pollution
The chapter System Description gives a complete description of the system, paying special attention
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
to all controls, indicators and display layouts. The Legend, at the end of the manual, gives an
overview of the location of all controls and indicators and can be folded out for easy reference.
The chapter Preparing the System gives information about all actions that have to be performed
before the system can be used for examinations.
Procedures for actual operation are given in the chapters Acquiring Images, Viewing Images, and
Archiving and Retrieving Images. These chapters describe specific actions and the sequence in
which they must be performed, with references to the Legend for locations, and to the System
Description for detailed descriptions of the functions concerned.
This Operator's Manual was originally drafted, approved and supplied by Philips Medical Systems
in the English language under the product part code as described on page ii.
DIAGNOST 94
INTRODUCTION AND SAFETY
1-2
Routine examinations
Routine examinations that can be performed with the DIAGNOST 94, using the automatic serial
changer or the digital acquisition system, DSI, include:
• Gastro-intestinal examination
• Urography
• Bronchography
• Arthrography
• Hysterography
• Myelography
• Lymphography
• Skeletal radiography
• Tomography
Special procedures
Special procedures that require subtracted and non-subtracted digital imaging include:
• Angiography
• Peripheral angiography (bolus chasing)
• Vascular and non-vascular interventional procedures
Installation, use and operation of this equipment is subject to the law in the jurisdiction(s) in which
the equipment is being used. Both users and operators must only install, use and operate the
equipment in such ways as do not conflict with applicable laws, or regulations which have the force
of law.
Uses of the equipment for purposes other than those intended or expressly stated by the
manufacturer, as well as incorrect use or operation, may relieve the manufacturer (or his agent)
from all or some responsibility for resultant noncompliance, damage or injury.
U.S. Federal Law restricts this device to use by or on the order of a physician.
1.1.4 Compatibility
Equipment described in this Operator's Manual should not be used in combination with other
equipment or components unless such other equipment or components are expressly recognized as
compatible by Philips Medical Systems.
A list of such equipment and components is available on request from the contact address given
below, under the following heading Compliance.
Changes and/or additions to the equipment should only be carried out by Philips Medical
Systems or by third parties expressly authorized by Philips Medical Systems to do so. Such changes
and/or additions must comply with all applicable laws and regulations that have the force of law
within the jurisdiction(s) concerned, and with best engineering practice.
DIAGNOST 94
INTRODUCTION AND SAFETY
1-3
Changes and/or additions to the equipment that are carried out by persons without the
appropriate training and/or using unapproved spare parts may lead to the Philips warranty being
voided. As with all complex technical equipment, maintenance by persons not appropriately
qualified and/or using unapproved spare parts carries serious risk of damage to the equipment and
of personal injury.
1.1.5 Compliance
The Philips DIAGNOST 94 complies with relevant international and national standards and
laws. Information on compliance will be supplied on request by your local Philips Medical
Systems representative, or by:
Philips Medical Systems
Dept. Corporate Technology
PO Box 10 000
5680 DA Best, The Netherlands
Facsimile: +31 40 276 22 05
The Philips DIAGNOST 94 complies with relevant international and national law and standards
on EMC (electromagnetic compatibility) for this type of equipment when used as intended.
Such laws and standards define both the permissible electromagnetic emission levels from
equipment, and its required immunity to electromagnetic interference from external sources.
1.1.6 Training
WARNING
! Do not use the DIAGNOST 94 if you have not received proper and adequate training
on its safe and effective use. Operating the equipment without such training could
lead to fatal or other serious personal injury. It could also lead to clinical
misdiagnosis.
Operators of the Philips DIAGNOST 94 must have received adequate training on its safe and
effective use before attempting to operate the equipment described in this Operator's Manual.
Training requirements for this type of device will vary from country to country. It is for users to
make sure that operators receive adequate training in accordance with local laws or regulations
which have the force of law.
If you require further information about training in the use of the equipment, please contact your
local Philips Medical Systems representative. Alternatively, contact:
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
DIAGNOST 94
INTRODUCTION AND SAFETY
1-4
1.1.8 Glossary
List of abbreviations
The following abbreviations are used:
APR Anatomically Programmed Radiography
BCR Bolus Chase Reconstruction
DICOM Digital Communication in Medicine
DSI Digital Spot Imaging
EV EasyVision Workstation
EXAM Examination
FPF Film Plane Fluoroscopy
FPR Fluoroscopically Programmed Radiography
GSE Grayscale Enhancement
HCU Hardcopy Unit
HLR High Line Rate
II Image Intensifier
IR Infra Red
LIH Last Image Hold
RF Radiography-Fluoroscopy
RIS Radiology Information System
SID Source to Image Distance
SLR Standard Line Rate
TDC Tomography Density Control
Glossary of terms
Archived: Stored on a nonvolatile medium, such as optical disk,
EasyVision, DICOM or hardcopy
Current examination: Patient file selected for acquisition
Examination: Group of X-ray images obtained for one patient session
File: Computer disk copy or hardcopy of X-ray images
Processed images: Images viewed and manipulated in the DSI system
Run: Group of X-ray images within an examination
Stored: Saved on optical disk, EasyVision or Dicom
Unprocessed images: Images printed or stored without being manipulated in the DSI system
It is vital that you read, note, and where applicable strictly observe all danger notices and safety
markings on the DIAGNOST 94.
It is vital that you follow strictly all safety directions under the heading Safety Section 1.2 and all
WARNINGS and Cautions throughout this Operator’s Manual, to help ensure the safety of both
patients and operators.
In particular, you must read, understand and know the Emergency Procedures described in this
Safety section before attempting to use the equipment for any patient examination.
DIAGNOST 94
INTRODUCTION AND SAFETY
1-5
You should also note the following information given in the Introduction of this Operator's
Manual:
• 1.1.3 Intended use of the Philips DIAGNOST 94
• 1.1.6 Training for operators of the DIAGNOST 94
WARNINGS
!
Maintenance
Do not use the DIAGNOST 94 for any application until you are sure that the User
Routine Checks Programme has been satisfactorily completed, and that the Planned
Maintenance Programme is up to date. These programmes are listed in Section 9.
Maintenance.
Repair
If any part of the DIAGNOST 94 is known or suspected to be defective or wrongly-
adjusted, DO NOT USE the system until a repair has been made. Operation of the
DIAGNOST 94 with defective or wrongly-adjusted components could expose the
operator or the patient to radiation or other safety hazards. This could lead to fatal or
other serious personal injury, or to clinical misdiagnosis.
Safety awareness
Do not use the DIAGNOST 94 for any application until you have read, understood
and know all the safety information, safety procedures and emergency procedures
contained in this Safety section. Operation of the DIAGNOST 94 without a proper
awareness of how to use it safely could lead to fatal or other serious personal injury.
Adequate training
Do not use the DIAGNOST 94 for any application until you have received adequate
and proper training in its safe and effective operation. This information is given in the
section 1.1.7 Training. If you are unsure of your ability to operate this equipment
safely and effectively DO NOT USE IT. Operation of this equipment without proper
and adequate training could lead to fatal or other serious personal injury, or to
clinical misdiagnosis.
Safety devices
Never attempt to remove, modify, override or frustrate any safety device on the
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
DIAGNOST 94. Interfering with safety devices could lead to fatal or other serious
personal injury.
All of these emergency instructions refer specifically to the Philips DIAGNOST 94, and are in
addition to best clinical and radiological practice.
DIAGNOST 94
INTRODUCTION AND SAFETY
1-6
Emergency stop
It may be essential to stop the system quickly in an actual (or before an expected) emergency, such
as sudden patient distress, fire, imminent power supply failure or some other circumstance.
Emergency stop
[120] on the imaging module (next to the generator control panel in the
control room) or
[160] on the nearby control panel
(fitted to the tabletop or a nearby pedestal) or
[180] on the tableside control panel.
Hit the red Emergency stop button. All motorized movements will stop, all radiation will cease
and all electrical power to the DIAGNOST 94 system will be shut off.
The DSI processor cabinet remains switched on.
System off
If it is only possible to shut down the system in an emergency from the generator
control panel, then hit the System off key [B]. All motorized movements will stop and
radiation will cease. (However, the DSI processor cabinet remains switched on.)
Collision protection
The DIAGNOST 94 is fitted with a collision protection system, which ‘beeps’ if an imminent
collision is detected and stops system movement temporarily. If an operator then continues the
movement, a collision may take place.
If a collision has occurred, you should first attempt to recover from the collision - if it is safe to do
so - by making a motorized movement away from the collision point.
234
235
236
236
237
DIAGNOST 94
INTRODUCTION AND SAFETY
1-7
WARNING
! Do not remove covers or cables from this equipment unless expressly instructed to do
so in this Operator's Manual. High electrical voltages are present within this
equipment. Removing covers or cables could lead to serious or fatal personal injury.
Covers or cables on this equipment should only be removed by qualified and authorized service
personnel. In this context, qualified means those legally permitted to work on this type of medical
electrical equipment in the jurisdiction(s) in which the equipment is being used, and authorized
means those authorized by the user of the equipment.
Only use this equipment in rooms or areas that comply with all applicable law (or regulations
having the force of law) concerning electrical safety for this type of equipment.
Always electrically isolate this equipment from the mains electrical supply before cleaning,
disinfecting or sterilizing it.
WARNING
! Do not remove covers from this equipment unless expressly instructed to do so in this
Operator's Manual. Moving parts are present within this equipment. Removing covers
could lead to serious or fatal personal injury.
Covers on this equipment should normally only be removed by qualified and authorized service
personnel. In this context, qualified means those legally permitted to work on this type of medical
electrical equipment in the jurisdiction(s) in which the equipment is being used, and authorized
means those authorized by the user of the equipment.
DIAGNOST 94
INTRODUCTION AND SAFETY
1-8
WARNING
! Flammable or potentially explosive disinfecting sprays must not be used, since the
resultant vapour could ignite, causing fatal or other serious personal injury and/or
damage to the equipment.
This equipment must not be used in the presence of explosive gases or vapours, such as certain
anaesthetic gases. Use of electrical equipment in an environment for which it was not designed
can lead to fire or explosion.
WARNING
! Only use extinguishers on electrical or chemical fires which are specifically labelled for
those purposes. Using water or other liquids on an electrical fire can lead to fatal or
other serious personal injury.
Use of electrical equipment in an environment for which it was not designed can lead to fire or
explosion.
Fire regulations for the type of medical area being used should be fully applied, observed and
enforced. Fire extinguishers should be provided for both electrical and non-electrical fires.
All operators of this medical electrical equipment should be fully aware of and trained in the use
of fire extinguishers and other fire-fighting equipment, and in local fire procedures.
WARNING
! Never attempt to remove, modify, override or frustrate any safety device on the
equipment. Interfering with safety devices could lead to fatal or other serious personal
injury.
Only qualified and authorized personnel may operate this equipment. In this context, qualified
means those legally permitted to operate this type of medical electrical equipment in the
jurisdiction(s) in which the equipment is being used, and authorized means authorized by the user
of the equipment.
Personnel operating the equipment and personnel within the examination room must observe all
laws and regulations which have the force of law within the jurisdiction(s) concerned. If you are in
any doubt about the laws and regulations which apply to your operation of this equipment, do
not use it.
In addition, operators are strongly urged to acquaint themselves with the current
recommendations of the International Commission on Radiological Protection, and in the United
States, with those of the U.S. National Council for Radiological Protection.
• ICRP, Pergamon Press, Oxford, New York, Beijing, Frankfurt, São Paulo, Sydney, Tokyo,
Toronto
• NCRP, Suite 800, 7910 Woodmont Avenue, Bethesda, MD 20814, USA
DIAGNOST 94
INTRODUCTION AND SAFETY
1-9
Full use must be made of all radiation protection features on the equipment, and of all radiation
protection devices, accessories, systems and procedures available to you as the operator.
Use only the prescribed dose necessary to perform a particular examination or treatment.
WARNING
! Philips strongly recommends that you do not allow any portable radio transmitting
devices (such as mobile telephones) into the examination room - whether switched on
or off. Such devices could exceed EMC radiation standards and, under unusual
conditions, interfere with the proper functioning of the DIAGNOST 94. This could, in
extreme cases, lead to fatal or other serious personal injury or to clinical misdiagnosis.
The Philips DIAGNOST 94 complies with the requirements of applicable EMC standards.
Other electronic equipment exceeding the limits defined in such EMC standards, such as certain
mobile telephones, could, under unusual circumstances, affect the operation of the
DIAGNOST 94.
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
DIAGNOST 94
INTRODUCTION AND SAFETY
1-10
DIAGNOST 94
SYSTEM DESCRIPTION
2-1
WARNING
! Do not start up the DIAGNOST 94 unless you and all other operators present have
read, fully understood and know all the safety information and emergency procedures
given in the Safety section 1.2 of this Operator's Manual. Operation of the
DIAGNOST 94 without having read, understood and knowing ALL the safety
information and procedures in the Safety section could lead to fatal or other serious
personal injury.
Introduction
This chapter describes the DIAGNOST 94 system and subsystems, paying special attention to all
controls, indicators and display layouts. The Legend, Chapter 11 at the end of the manual, gives an
overview of the location of all controls and indicators and folds out for easy reference.
The most extensive configuration of the DIAGNOST 94 system is described, with the maximum
functions, options and accessories. Not every function described may be available on your system.
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
List of abbreviations
APR Anatomically Programmed Radiography
BCR Bolus Chase Reconstruction
DICOM Digital Communication in Medicine
DSI Digital Spot Imaging
EV EasyVision Workstation
EXAM Examination
FPF Film Plane Fluoroscopy
FPR Fluoroscopically Programmed Radiography
GSE Grayscale Enhancement
HCU Hardcopy Unit
HLR High Line Rate
II Image Intensifier
DIAGNOST 94
SYSTEM DESCRIPTION
2-2
IR Infra Red
LIH Last Image Hold
RF Radiography-Fluoroscopy
RIS Radiology Information System
SID Source to Image Distance
SLR Standard Line Rate
TDC Tomography Density Control
Glossary of terms
Archived: Stored on a nonvolatile medium, such as optical disk,
EasyVision, DICOM or hardcopy
Current examination: Patient file selected for acquisition
Examination: Group of X-ray images obtained for one patient session
File: Computer disk copy or hardcopy of X-ray images
Processed images: Images viewed and manipulated in the DSI system
Run: Group of X-ray images within an examination
Stored: Saved on optical disk, EasyVision or Dicom
Unprocessed images: Images printed or stored without being manipulated in the DSI system
Types of examinations
The DIAGNOST 94 is a multi-functional, universal X-ray system with remote-controlled
facilities. It performs a wide range of routine examinations and interventional procedures.
Routine examinations
Routine examinations that can be performed with the DIAGNOST 94, using the automatic serial
changer or the digital acquisition system, DSI include:
• Gastro-intestinal examination
• Urography
• Bronchography
• Arthrography
• Hysterography
• Myelography
• Lymphography
• Skeletal radiography
• Tomography
Special procedures
Special procedures that require subtracted and non-subtracted digital imaging include:
• Angiography
• Peripheral angiography (bolus chasing)
• Vascular and non-vascular interventional procedures
The Stand
• The basic stand has a table tilting range of : +90° to -30° Trendelenburg.
Optionally, the tilting range can be extended to -90° Trendelenburg.
DIAGNOST 94
SYSTEM DESCRIPTION
2-3
• The low, flat tabletop allows patients to be positioned with ease and comfort.
• The serial changer with optional L/R film marker is designed for highly accurate diagnosis.
Instead of the serial changer, an automatic bucky can be delivered with the DIAGNOST 94.
The bucky does not allow L/R film indication and is only to be used for overviews.
• Scanning can be done at continuously variable speeds and provides full body coverage.
• The pressure applied by the motorized compressor is adjustable.
The compressor can be parked outside the X-ray beam.
• The SID is adjustable from 110 cm/44 inches to 150 cm/60 inches.
• The column has an angulation range of + 40° to - 40°.
• The manually rotatable X-ray tube allows exposures on a wall bucky stand, or on free
cassettes, both on the table or for patients confined to their beds.
X-ray Generation
The generator is based on converter and microprocessor technologies.
External functions can also be included to meet the needs of individual users.
Standard Features
• Automatic X-ray tube load monitoring
• Automatic Exposure Control
• APR (Anatomically Programmed Radiography)
• Fluoroscopy
• FPR (Fluoroscopically Programmed Radiography) (only with super generators)
Optional Features (only super generators)
• TDC (Tomography Density Control)
• Area Dose Indicator
The IMAGICA II-TV system, included in all versions of the DIAGNOST 94, features:
• A 38 cm /15 inch Triview Image Intensifier, with Plumbicom Pick-up tube and
XTV -11 imaging chain, prepared for acquisition of digital images.
• Instead of a 38 cm image intensifier, a 23 cm/17 inch Triview Image Intensifier with XTV-8
imaging chain for fluoroscopy is included in the non-digital configuration of the
DIAGNOST 94.
• A 50 cm /20 inch, high-contrast, multi-standard monitor with automatic brightness control
Control Panels
Depending on the configuration, the DIAGNOST 94 is equipped with:
• Remote control panel, acquisition control, stand control and other system controls
• DSI control panel with keyboard, viewing module, viewpad and monitor
• Tableside control panel for all table controls
• Nearby control panel to be mounted either on pedestal or on the flat rail of the patient table
DIAGNOST 94
SYSTEM DESCRIPTION
2-4
Image processing
With DSI, adaptive image processing generates an optimal display of the acquired image
automatically. Manual image processing may also be performed.
On-line image processing involves a combination of processing functions.
First, the image is digitally harmonized, producing an image with optimal local contrast.
Next, contrast-adaptive edge enhancement is applied to the image to enhance fine detail.
This function works selectively within an image so that the image is sharpened without
introducing artefacts near high-contrast edges or noise in low-contrast areas.
Finally, the image is automatically windowed (displayed as large as possible), for optimal display.
This adaptive processing is necessary for optimal digital subtraction, as well as excellent, non-
subtracted digital images in single-shot or serial imaging.
Fluoroscopy
The system allows either digital (processed) continuous fluoroscopy or bypass (unprocessed)
fluoroscopy.
Digital fluoroscopy
If digital fluoroscopy is selected, fluoroscopy images can be obtained, using a combination of
digital processing functions:
• noise reduction (with or without movement detection)
• contour edge enhancement
• contrast enhancement (default contrast).
The system incorporates automatic last image hold (LIH) which holds the last fluoroscopy image
on display. This allows the operator to evaluate images with a reduced radiation load. The LIH
image is identified by a marker to distinguish it from live fluoroscopy and from DSI acquisition.
It is also possible to grab one fluoroscopy image or a whole run of fluoroscopy images for storage
in the patient file.
If the system has digital fluoroscopy and subtraction, trace-subtract fluoroscopy is also possible.
DIAGNOST 94
SYSTEM DESCRIPTION
2-5
Bypass fluoroscopy
When bypass fluoroscopy is selected, images are not sent to the DSI and thus no image processing
is performed during live fluoroscopy. However, automatic last image hold (LIH), including image
processing, is possible in bypass fluoroscopy. It is also possible to grab fluoroscopy images and put
them in the patient file.
The following table gives an overview of the available configurations of the DIAGNOST 94.
• The DIAGNOST 94 SC 50-23 is a non-digital system, equipped with a Medio 50 X-ray
generator and a 23 cm Image Intensifier. It features an automatic serial changer.
DSI Basic o *
DSI Universal o o
DSI Interventional - o
Generator 50 kW (Medio) * -
Generator 65 kW (Medio) o *
Generator 80 kW (Super) o o
X-ray tube rotalix RO 1750 * -
X-ray tube super rotalix SRO 33 100 o2 *
X-ray tube super rotalix metal SRM 0612 o3 o
Bolus chase package - o4
Reference monitor - o5
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
1
Only if serial changer is present in the system
2
Only in combination with generator other than Medio 50
3
Only with a Super generator
4
Only with DSI Interventional and a Super generator
5
Only with DSI Universal or DSI Interventional
DIAGNOST 94
SYSTEM DESCRIPTION
2-6
Patient/examination administration
Enter data via keyboard (name, date of birth, sex) * * *
Enter examination date * * *
Select patient/examination from schedule * * *
Selective deletion of examinations * * *
Fluoroscopy
Digital HiRes fluoroscopy (adaptive noise reduction) - * *
On-line digital image processing (contrast, edge
enhancement, adaptive noise reduction) - * *
Fluoroscopy image freeze (last image hold) * * *
Fluoroscopy frame grabbing * * *
Dynamic fluoroscopy grabbing - * *
Trace subtract fluoroscopy - - *
Acquisition
8-Bit ADC * - -
10-Bit ADC - * *
5122 matrix resolution * * *
10242 matrix resolution * * *
Acquisition speed (images/second) up to 4 up to 8 up to 8
Single shot * * *
Support for digital tomography * * *
Instant variable frame rate * * *
Real-time digital subtraction - - *
On-line digital image processing * * *
Image display during acquisition * * *
Storage capacity in MBytes (amount of images) 16 (16 or 64) 64 (64 - 256) 64 (64 - 256)
Grab and display external video images - * *
Image processing
Automatic on-line image processing * * *
Manual post-processing * * *
Horizontal/Vertical manual and automatic
electronic shutters * * *
Pixel shift - - *
DIAGNOST 94
SYSTEM DESCRIPTION
2-7
Viewing
High line rate output to HLR monitor and HCU * * *
Manual post-processing * * *
Overview of 16 images * * *
Selective image deletion * * *
15 inch console monitor - * *
Zoom function - * *
Run cycle - * *
Documentation
Data link to laser HCU/analog link to HLR
video HCU (configurable) * * *
Interface for special DSI multi-format
camera (PMI 3000) * * *
Batch/Background documentation - * *
Automatic hardcopy annotation * * *
Free text annotation * * *
Optical disk recorder * * *
Film feedback - * *
User interface
Display in English, German, French and Spanish * * *
Compatible with English, German, French,
Spanish, Swedish and Danish keyboards * * *
Viewpad - * *
DIAGNOST 94
SYSTEM DESCRIPTION
2-8
This section describes all DIAGNOST 94 controls, indicators, and accessories and their
relationships. The numbers refer to the numbers shown on the illustrations and to the list of
controls and indicators given in Chapter 11, Legend.
DIAGNOST 94
SYSTEM DESCRIPTION
2-9
46 49 9 42 10 35 43 36 37 40 41
50
47 38
51
48 39
8
7
19
12 20
11 27
28
2 21
1
44
A
4
44
3
B 45
5 6 13 15 17 18 16 14 23 25 26 24 29 31 33 34 32 30
A System on
Pressing this key switches on the system and the system performs a self-test. If a fault is
detected, ‘Call Service’ is displayed in [42], the text ‘Err’ is shown in the mAs display
field and a fault code appears in display [43].
If the self-test does not detect a fault, the product release number is displayed and the
‘Ready’ indicator [42] lights.
Pressing [A], when the system is already switched on, resets the generator only.
B System off
Pressing this key switches off the system (except DSI).
Note At System on, DSI is switched on automatically; however DSI must be switched off at the DSI
processor cabinet.
1 Serial changer
3 DSI
DIAGNOST 94
SYSTEM DESCRIPTION
2-10
6 Wall bucky
2 Wall bucky
8 kV- kV-mA-ms
mA-ms
DIAGNOST 94
SYSTEM DESCRIPTION
2-11
Note Keys [38, 39] light when they are selected. Pressing the lit key cancels the selection.
40 Generator reset
This key may have to be pressed more than once, because it is used for several functions.
The order is as follows:
1. Switch off error display
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
DIAGNOST 94
SYSTEM DESCRIPTION
2-12
43 Fluoroscopy display
Displays fluoroscopy current, voltage and time
44 Service use only
Service keys for generator programming, calibration and adjustment
45 Preparation/exposure control:
The preparation/exposure control has two positions. It can be pressed in halfway for preparation
and then pressed in all the way to begin exposure. The key can also be pressed all the way down
and the system will go through the preparation step automatically and then begin exposure.
(1) Preparation (key depressed halfway)
The green ‘Ready’ indicator in display [42] goes out for about 1 second and then lights
again when the system is ready for exposure.
(2) Exposure (key depressed fully)
During exposure the ‘Radiation On’ indicator in display [42] remains lit; after exposure a
short audible signal is given.
If the switch is released while an exposure is being made, radiation will stop immediately.
Note The preparation/exposure control [45] in the generator control panel is only effective when free
cassette or wall bucky imaging modes are selected.
Amplimat
Super generator:
Keys [46-48] select measuring fields and simultaneously switch the automatic exposure control on
or off.
Medio generator:
Keys [7 or 8] may be pressed to deselect Amplimat.
DIAGNOST 94
SYSTEM DESCRIPTION
2-13
52 Exposure Handswitch
53 Exposure Footswitch
Hand- and Footswitch function identically and work in parallel.
The switches have two positions:
(1) Pressing the switch to the first position initiates preparation of the X-ray tube and
exposure. The preparation time is about 1 second.
Hold the key. The READY indicator [42] will go out. When it lights again:
(2) Pressing the switch to the second position initiates exposure.
During exposure the RADIATION ON indicator [42] will remain lit.
At the end of the exposure a short audible signal will be given.
If the switch is released while an exposure is being made, radiation will stop immediately.
The key can also be pressed immediately to the second step.
54 Fluoroscopy Footswitch
Pressing the pedal initiates radiation for fluoroscopy. Releasing the pedal stops radiation
.
55 Speed Control Handswitch
Pressing the spring-loaded button during fluoroscopy or an exposure run, begins moving the
column to the right. The movement speed is controlled by the degree to which the button is
pressed. The maximum average speed is about 10 cm/ s.
52
53
54
55
54
53
DIAGNOST 94
SYSTEM DESCRIPTION
2-14
62
61
66
65 94
60 89
70 85
75 81-84
76
108
91
92
93
DIAGNOST 94
SYSTEM DESCRIPTION
2-15
Tomography control
During tomography the column rotates around a horizontal axis, the height of which can be
adjusted from 20 to 250 mm above the tabletop. The X-ray tube moves in an arc in one direction
while the film plane or image intensifier moves in the other direction. The exposure parameters
can be set manually (using key [8]) or automatically (Tomo Density Control TDC).
The tomography movement can be made with the table at any tilt angle but only at an SID of
1100 mm. There are 6 tomography programs:
-
62 Next tomography program
Keys [61, 62] can be used to walk through the above 6 programs.
+ The selected angle and time are displayed in [63, 64].
Caution Be aware that manually adjusting exposure parameters can cause over/underexposed
tomograms and may make it necessary to repeat an examination and expose the
patient to additional radiation.
66 Tomography interrupt
When the system is in tomography mode, pressing this key allows a normal exposure
to be made without losing the selected tomography parameters.
The rotational axis of the tomography movement can be set to any height (layer height) from
20 to 250 mm above the tabletop. The layer height can be changed only when the system is in the
tomography mode. After deselecting tomography, the layer height is automatically reset to the
default position (see default positions on previous page).
DIAGNOST 94
SYSTEM DESCRIPTION
2-16
Eject cassette
70 Eject cassette
Ejects the cassette tray of the serial changer. The key is lit when a cassette is present.
The cassette is ejected automatically after the last cassette exposure, or parked in an
X-ray protected area in the serial changer, depending on setting at installation.
The cassette can be inserted and ejected at the table using key [199] on the tableside
control panel.
71 no subdivision (1:1)
DIAGNOST 94
SYSTEM DESCRIPTION
2-17
18 x 24 cm 8 x 10”
24 x 18 cm 10 x 8”
20 x 40 cm 7 x 7”
40 x 20 cm
24 x 30 cm 10 x 12”
30 x 24 cm 12 x 10”
30 x 40 cm 11 x 14”
40 x 30 cm 14 x 11”
35 x 35 cm 14 x 14”
35 x 43 cm 14 x 17”
43 x 35 cm 17 x 14”
18 x 43 cm 7 x 17”
43 x 18 cm 17 x 7”
1:1 1:2 1:3 1:4 2:2 2:3 1:1 1:2 1:3 1:4 2:2 2:3
The system can be programmed for either cm or inch cassettes. Cassettes with a width of less than
18 cm or 7 inches are rejected. However, if an inch cassette is used with a system programmed for
cm, the display shows the nearest cm sizes, from an internal conversion table. If the deviation of
the measured sizes from the sizes in the table is more than 2.5 cm or 1 inch, the cassette is
considered to be an unknown size. The display will be blank but subdivisions 1:1, 1:2, 1:3 and 1:4
will be possible. The same rules apply to a cm cassette used with an inch system.
DIAGNOST 94
SYSTEM DESCRIPTION
2-18
79 Skip exposure
x
Pressing this key before or during an exposure series causes an exposure position on the
film to be skipped and display [78] decreases by 1. If the last exposure position on the
film is skipped, the display shows zero and the cassette is ejected or parked in an X-ray
protected area in the serial changer, depending on setting at installation.
Compressor Control
85 Compressor selection
When this key is pressed (lit), the compressor moves from its parked position to its
working position (in the center of the X-ray beam).
Pressing key [85] a second time, returns the compressor to its parked position.
Note The compressor can be used only if the column is angulated less than 20°. If not, pressing [85]
causes display [100] to flash, indicating that the angulation must be reduced.
-
87 Increase compressor pressure
Keys [86, 87] can be used to set the minimum or maximum amount of pressure applied
+ to the patient. The minimum and maximum amount of pressure can be preset to a value
between 4 and 16 kg.
The pressure setting is displayed in [88].
DIAGNOST 94
SYSTEM DESCRIPTION
2-19
Collimator control
91 Collimator control key
Inserting key [91] and turning it to the locked position switches the system to manual
collimation mode and enables the operator to use joystick [94].
The maximum collimator field size is always automatically matched to the image intensifier field
selected or to the size of the inserted cassette. After key [91] is inserted and turned to the locked
position, the collimator shutters can be opened using joystick [94] to a size larger than the cassette
or image intensifier input field size.
The key must be removed before free cassette or wall bucky is used.
93 Collimator light on
The collimator light shows the area to be irradiated. The light remains on for about 1
minute after being switched on.
This function is duplicated by [171] on the nearby control panel and by [182] on the
tableside control panel.
The manual collimator field size isactive for both DSI and serial changer imaging techniques.
The collimator shutters can be manually set only to field sizes smaller than those set automatically.
If free cassette or wall bucky imaging technique is selected, the collimator shutters can only be
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
adjusted using the manual control on the collimator itself [216] (indicator [222] on the collimator
lights).
The actual shutter positions are indicated on the collimator on scales [211, 214].
Depending on the system setup during installation, the collimator light switches on automatically
if the cassette is changed or another film subdivision is chosen.
See Section 2.2.2 Film subdivision selection for a description of the possible configurations of the
collimator with cassettes.
These functions are duplicated by [172] on the nearby control panel and by [183-186] on the
tableside control panel.
DIAGNOST 94
SYSTEM DESCRIPTION
2-20
Table tilting
95 Table tilt control
The joystick tilts the table at a variable speed, depending on the angle at which the
joystick is moved. A horizontal stop can be used to prevent the table from being tilted
further than horizontal. To tilt the table further than horizontal, key [96] must be unlit
and joystick [95] must be moved again.
These functions are duplicated by [169] on the nearby control panel and [191, 192] on the
tableside control panel but at a fixed speed, configurable during installation.
Column angulation
98 Column angulation
The X-ray tube and column can be angulated at a variable speed, depending on the
angle at which the joystick is moved.
A vertical stop can be used to prevent the column from angulating further than vertical.
To angulate the column further than vertical, key [99] must be unlit and joystick [98]
must be moved again.
When the compressor is used, the column angulation movement stops at + or - 20°
After the compressor is parked the column can be further angulated to a max. of + or - 40°.
These functions are duplicated by [170] on the nearby control panel and [187, 188] on
the tableside control panel but at a fixed speed, configurable during installation.
DIAGNOST 94
SYSTEM DESCRIPTION
2-21
SID selection
103 Tube down - SID 1100 mm
Moves tube down to an SID of 1100 mm.
DIAGNOST 94
SYSTEM DESCRIPTION
2-22
124 120
125
126 127 131 133 134 132 137 136 138 139 142 144 145 143
Measuring field
131 Measuring field selection
Measuring field selection for fluoroscopy
Selects either 60% of the image area as the measuring field for automatic brightness
control (key not lit) or 40% of the image area (key lit).
This function is used when the region of interest occupies only a small, central part of
the image, or when there are large variations in absorption over the whole image.
Note Small measuring field selection is not advised when DSI-FPR technique is used because it may reduce
image quality.
DIAGNOST 94
SYSTEM DESCRIPTION
2-23
WARNING
! It is the responsibility of the authorized user to make sure that the correct indication
[133, 134] and [141-145] is obtained on the film and that no mistake occurs as a result
of incorrect image inversion.
kV
139 Fluoroscopy mA adjustment (super generator only)
mA
140 Not used
DIAGNOST 94
SYSTEM DESCRIPTION
2-24
• The L/R indicator is intended for marking films in the serial changer, for marking DSI
images, and for use during fluoroscopy.
• The selected marker is indicated by a lit key. Pressing L/R DESELECTION [141] switches off the
L/R indication.
• After each exposure or exposure run, the L/R indication is switched off automatically.
• If a key flashes after selection, the marker cannot be positioned properly and no exposures
can be made. Pressing [141] switches off the L/R indication and allows exposures to be
made.
• In tomography mode, L/R indication cannot be selected.
• The selected marker is positioned at the edge of the automatically-selected field size, above
or below the center of the image.
• The markers follow the lateral shutters of the collimator if the field size is increased or
decreased.
• The minimum field size is approximately 7.5 x 10 cm/3 x 4 inches and is smaller than the
smallest subdivision that can be obtained automatically.
• Correct positioning of the selected marker is only guaranteed if the tube angulation and
table tilt are at zero degrees.
• When the X-ray beam is angulated, the table is tilted, or the field size on the film is smaller
than 10 x 10 cm/4 x 4 inches, the visibility of the markers should be checked before
exposures are made using fluoroscopy.
Note The markers are only correct when patients are positioned with their feet at the footend of the table.
WARNING
! It is the responsibility of the authorized user to make sure that the correct indication
[133, 134] and [141-145] is obtained on the film and that no mistake occurs as a result
of incorrect image inversion.
DIAGNOST 94
SYSTEM DESCRIPTION
2-25
The Nearby Control Panel may be mounted on any position of the flat channel rail of the
tabletop or on the pedestal.
The control panel is clicked on to the tabletop and is designed to be operated with the table in the
horizontal position.
171 172 174 173 164a 164b 164c 162 161 163
Caution Make sure that both control units are parked on the pedestal delivered with the
system, before tilting the table to prevent them from dropping.
Notes - If the panel has not been installed properly at the tabletop or pedestal, the keys on the panel will
not function.
- Both lock releases must be released before the nearby control panel can be clicked onto the
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
tableside or pedestal.
Scanning movements
161 Longitudinal and transversal scanning movement control
The way in which the table moves in relation to the joystick, depends on the
configuration: monitor-oriented or system-oriented.
The movement speeds are fixed, but configurable during installation.
This function is a duplication of [101] on the remote control panel and [195-198] on
the tableside control panel.
DIAGNOST 94
SYSTEM DESCRIPTION
2-26
Collimator controls
171 Collimator light on
This function is a duplication of [182] on the tableside control panel. There is also a
switch on the collimator itself, which can be used when FREE CASSETTE has been chosen
as auxiliary.
172 Manual control of collimator field size
This function is a duplication of [94] on the remote control panel and [183-186] on
the tableside control panel.
174 Indicator
Lights to indicate that a joystick must be used to resolve a blockage in the system.
See Section 2.2.2 Remote control panel.
DIAGNOST 94
SYSTEM DESCRIPTION
2-27
180 181 182 183 184 187 188 191 192 195 196 199 200 180
Collimator controls
181 Automatic collimator adjustment
This function is a duplication of [216] on the collimator itself.
Column angulation
187 Counterclockwise column angulation
DIAGNOST 94
SYSTEM DESCRIPTION
2-28
SID selection
189 Tube up - SID 1500 mm
Table tilting
191 Counterclockwise table tilting
Scanning movements
195 Left longitudinal scanning movement
Eject cassette
199 Eject cassette
A cassette in the serial changer can be ejected by pressing this key.
The cassette is ejected or moved to the park position after the last exposure, depending
on setting at installation.
This function is a duplication of [70] on the remote control panel.
DIAGNOST 94
SYSTEM DESCRIPTION
2-29
211
224
DIAGNOST 94
SYSTEM DESCRIPTION
2-30
Caution Make sure that the filter is locked into place before performing an examination.
DIAGNOST 94
SYSTEM DESCRIPTION
2-31
234
232
235
233
236
236
231
237
The front of the right support structure is equipped with a power connector with a separate earth
connector.
234 Collision detector under compressor unit
Under the protruding part of the compressor unit a collision detector prevents a collision between
a patient or any obstacle with the system.
235 Collision detector behind tabletop
Over the full length behind the tabletop a collision detector will prevent collision of the patient or
any obstacle with the tabletop support structure.
236 Collision detectors on both sides of the serial changer
Beneath the image intensifier/serial changer unit collision detectors will prevent collision of the
system with any obstacle on the floor.
237 Connector for switch mat (optional)
A switch mat on the floor under the table will block stand movements once activated.
This prevents collision between the stand and any obstacle on the floor.
DIAGNOST 94
SYSTEM DESCRIPTION
2-32
This section shows all the accessories designed for use with the DIAGNOST 94.
Standard accessories
The following accessories are included in all deliveries of the DIAGNOST 94:
241 Footrest
242 Handgrips
Optional accessories
The following accessories can be ordered separately from a Philips representative:
* Items 247 and 248 are useful only if a second X-ray tube is present.
257
256
241
242
249 245
252
244
254
251
253
246
243
248
250
DIAGNOST 94
SYSTEM DESCRIPTION
2-33
Paediatric accessories
The following additional accessories may be ordered for use with paediatric patients:
264
261
262
263
265
266
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
DIAGNOST 94
SYSTEM DESCRIPTION
2-34
C D
• The DSI alone is switched on at the DSI processor cabinet for programming and/or
viewing.
• The DSI and the acquisition system are switched on together at the generator control panel.
• The DSI only is switched off at the DSI processor cabinet.
C On and Reset
Allows programming or viewing without switching on the acquisition system.
If DSI is On, the key lights.
If a malfunction should occur when the system is already on, pressing [C] resets the
system, without loss of examination data or images.
The system should be ready for further operation after 40 seconds.
D Off
Before switching Off, check that all relevant images have been archived, see Copy screen [F2].
Caution Do not press System on [C] again during start-up or it may interfere with the start-up
procedure.
DIAGNOST 94
SYSTEM DESCRIPTION
2-35
The keyboard includes an integrated acquisition module (left side) and viewing module (right
side) and supports character sets for English, German, French, Spanish, Swedish and Danish. The
required settings can be configured at installation.
Some character keys may have three different functions in combination with other keys:
• - (normal)
➪
• + Shift
• + Alt/Alt Gr
279 283 286 289
311 278 F1 F2 F3 F4 F5
1 1
272
294 295
296 297
271 Cursor up
272 Cursor down
273 Cursor left
274 Cursor right
Cursor keys [271-274]
• select items, e.g. functions and examinations, in the various screens and
• change viewing parameters (pixel shift, manual electronic shutters and
subtraction contrast value) and
• position text annotations and
• zoom area selection and
• change the view rate of the run cycle and
• change the order of image display (forward or reverse) during run cycle.
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
275 Enter
Confirms a keyboard entry or selection.
276 Backspace
• deletes text during annotation and
• adapts text in screens F1 to F6
277 Reset
Resets pixel shift, electronic shutters and zoom area
Clears annotation string and all KEEP symbols in the current run during run cycle
DIAGNOST 94
SYSTEM DESCRIPTION
2-36
279 Function Keys (see Section 2.3 Preset DSI Default Parameters)
F1 The function keys F1 to F6 allow insertions or changes to patient, examination and
system data.
The Administration, Copy and Transfer screens apply to examinations (data, status).
The System, Physician and Acquisition screens set operation parameters.
F1 Administration Screen
F2 Copy Screen
F3 Transfer Screen
F4 System Screen
F5 Physician Screen
F6 Acquisition Default Screen
The function keys [F7 - F12] on the keyboard no longer function. Dedicated keys on the viewing
module have taken over the numbers [F7 - F12] with the following icons:
F8 Zoom
Enlarges a portion of the image by a factor of 2.
See Chapter 5, DSI Viewing Procedures.
F9 Pixel shift
Shifts the mask image to correct motion artifacts in subtracted images.
See Chapter 5, DSI Viewing Procedures.
F12 Annotate
ABC Adds alphanumeric characters to the image via the keyboard.
See Chapter 5, DSI Viewing Procedures.
DIAGNOST 94
SYSTEM DESCRIPTION
2-37
276 0
1 1
272
294 295
296 297
During viewing, the user can change the contrast, brightness and edge enhancement levels applied
to the displayed images. These functions are available only if the corresponding indicators are lit;
they are not available during acquisition, when no indicators are lit.
With a single-shot image, the new levels are applied to that image only.
With an image run, the new levels are applied to all images in that run.
Processing parameters are applied separately to subtracted and non-subtracted images within a run.
If the current image is subtracted, all subtracted images are processed, except for the mask image.
Similarly, if the current image is non-subtracted, all non-subtracted images are processed.
The mask image is always processed non-subtracted.
Images are archived with the last-used levels. The levels cannot be changed when an examination
has been labelled for hard copying, saving to disk or transferring to EasyVision or the DICOM
network server.
See Section 2.2.10 DSI Keyboard for a description of function keys [F7-F12].
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
WARNING
! In normal viewing mode and overview mode, it is possible to view next or
<! > previous examinations. If the operator then makes new exposures or grabs
images, they are stored in the examination selected for acquisition on the
administration screen, which may be different from the examination
displayed on the examination monitor.
If this situation exists, a warning marker appears on the monitor.
DIAGNOST 94
SYSTEM DESCRIPTION
2-38
DIAGNOST 94
SYSTEM DESCRIPTION
2-39
Pressing [290] again returns the display to the single-image mode, and the current image (number
highlighted inverted) is displayed in single-image mode.
This function is also available on the viewpad [e].
Notes When grabbing external images, the overview is not directly updated.
The overview is updated, the next time that images are displayed.
Park image
This function stores images on the reference monitor for reference or comparison.
The function can be activated (key lights) when viewing in single-image or overview mode.
The current image is displayed on the reference monitor with its current image-processing settings.
An image stored on the reference monitor cannot be processed further on this monitor.
It can only be replaced by another image, or cleared from the screen by selecting a new
examination or viewing a PREVIOUS or NEXT EXAMINATION [294, a or 295, b].
Grab external video image
If external video is displayed on the reference monitor, key [323, m], an external video image can
be grabbed and stored in the examination when [291] is pressed, depending on installation
setting.
After a grabbed image is successfully stored in the examination, the grab external video icon will
be inverted (key is still pressed) and an audible signal is given. It is not possible to grab external
images when live fluoroscopy is performed on the examination monitor.
The grabbed image is stored as a single image run and labelled as external video image in the
examination and is marked with the external video symbol during viewing.
The image of the previous examination remains displayed on the reference monitor unless the user
takes explicit action or if fluoroscopy is used in the following examination.
This function is also available on the viewpad [l].
Note Clear the reference monitor at the end of each examination by selecting a new patient (screen F1).
If the current image or run is already inverted (during acquisition or previous viewing), the key
lights, and pressing the key switches to normal polarity mode.
Images are stored with the last-used setting of this function.
DIAGNOST 94
SYSTEM DESCRIPTION
2-40
When viewing a subtracted run, the mask image is shown non-subtracted and appears as the first
image, even though it may not have been the first image in the run. Its correct number is
displayed, followed by a '—' to indicate that it is the mask image.
Remasking
The image on display in single-image mode, or the image with an inverted number in overview
mode, is used as the subtraction mask.
To select a new mask image, press the key once to deactivate subtraction, then select the desired
image using PREVIOUS and/or NEXT IMAGE [296, 297] and press [293] again to reactivate
subtraction. Alternatively, pressing [293] several times, shifts the mask through the run.
In single-image mode, if the key is held down for longer than 1 second, images are displayed at a
rate of 3 per second, alternating subtracted and non-subtracted, and the mask is shifted forward
one image each time. For example, if a run consists of 10 images, the display sequence is: ..., 2, 3-
2, 3, 4-3, 4, 5-4, ... 10-9, 10, 9-10, 9, 10-9, 10, etc.
Images are stored with the last-used setting of this function.
This function is also available on the viewpad [j].
During viewing:
The images are displayed in the sequence in which they were acquired. The image number is
shown in the lower left-hand corner of the screen, and the patient’s name in the upper left-hand
corner. When the currently displayed image is the first or last image of the examination, pressing
PREVIOUS or NEXT IMAGE [296, 297] again, shows the first or last image of the examination.
When viewing a subtracted run, the mask image is shown non-subtracted and appears first, even
though it may not have been the first image in the run. Its correct image number is displayed,
followed by a '—' to indicate that it is the mask image. Keys [296] and [297] can be used
DIAGNOST 94
SYSTEM DESCRIPTION
2-41
During acquisition:
Pressing [296] or [297] decreases or increases the acquisition speed by 1 step within the range:
single-shot, 1 image per 2 seconds or 1/2/3/4/6/8 images/second. The actual acquisition speed is
displayed in the lower right-hand corner of the monitor.
Note When too many viewing keys are pressed at once, an audible signal is given and no action occurs.
During viewing:
If the key is not lit, pressing the key labels the displayed image KEEP and the image is not deleted
when CLEAR RUN [299] is pressed.
If the key is lit, the displayed image is already set as KEEP and pressing the key removes the KEEP status.
The KEEP status is indicated by the KEEP symbol on each image in the lower left-hand corner of the
monitor in single-image, overview and run cycle modes.
Grabbed images are marked with the fluoroscopy symbol during viewing.
During fluoroscopy:
This function adds one fluoroscopy image (fluoro grab) or a whole run of fluoroscopy
images (dynamic fluoro grab) to the image file of the current examination.
• A single image is grabbed during fluoroscopy if the key is pressed less than 0.5 s.
A single audible signal is given and the grab symbol is displayed briefly on the image.
• A fluoroscopy run is grabbed during fluoroscopy if the key is pressed longer than 0.5 s.
A double audible signal is given and the grab symbol is displayed as long as dynamic fluoro
grab is active.
As long as key [298] is pressed, fluoroscopy images are stored into the image file of the
current examination.
- Continuous fluoroscopy: every other image is stored
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
DIAGNOST 94
SYSTEM DESCRIPTION
2-42
DIAGNOST 94
SYSTEM DESCRIPTION
2-43
The images are copied to the HCU with the last-used processing settings for each run, together
with the relevant patient, physician and examination data.
With a subtracted run, the mask image is copied first, non-subtracted, and its number is followed
by a '—' to identify it.
Images labelled for LARGE FORMAT with [300] are copied first in the large format of the HCU.
If the HCU is controlled manually, and batch processing is not active, single images can be
selected and copied using the control keys of the HCU. The image copied is the image selected as
current on the monitor.
This function is also available on the viewpad [i].
Notes - During installation, the system can be configured so that key [301] starts the copying process on
the HCU of either the DSI or EasyVision workstation.
- The film usage and format information can be set during installation.
CAUTIONS - Do not change anything on the display while manual hardcopying is in progress.
- When copying single images, make sure that the image selected for copying is the
current image and is a stable image, i.e., that all post-processing such as edge
enhancement, has been completed.
WARNING
! The operator should verify that the physical hardcopy of images is present, before
deleting any images from the system.
Holding down KEEP [298] toggles the KEEP status on/off for each image until the key is released.
Images that were marked as KEEP prior to this action will have the KEEP marker cleared; images that
were not marked as KEEP will be marked as KEEP.
This function is also available on the viewpad [h].
DIAGNOST 94
SYSTEM DESCRIPTION
2-44
Pressing the RESET key [277] during run cycle mode, resets the run cycle display speed
to the acquisition speed and sets the display direction to forward. All images marked
KEEP have the KEEP status cleared.
Note Runs acquired by DSI-software prior to release 4.2 are displayed at a rate of two frames per second.
F8 Zoom
Enlarges a portion of the image by a factor of 2.
See Chapter 5, Viewing Images.
F9 Pixel shift
Shifts the mask image to correct motion artifacts in subtracted images.
See Chapter 5, Viewing Images.
F12 Annotate
ABC Adds alphanumeric characters to the image via the keyboard.
See Chapter 5, Viewing Images.
DIAGNOST 94
SYSTEM DESCRIPTION
2-45
311 278
1x /s /s
DIAGNOST 94
SYSTEM DESCRIPTION
2-46
During fluoroscopy:
This function adds one fluoroscopy image (fluoro grab) or a whole run of fluoroscopy
images (dynamic fluoro grab) to the image file of the current examination.
• A single image is grabbed during fluoroscopy if the key is pressed less than 0.5 s.
A single audible signal is given and the GRAB symbol is displayed briefly on the image.
• A fluoroscopy run is grabbed during fluoroscopy if the key is pressed longer than 0.5 s.
A double audible signal is given and the GRAB symbol is displayed as long as DYNAMIC FLUORO
GRAB is active.
As long as key [322] is pressed, fluoroscopy images are stored in the image file of the current
examination.
- Continuous fluoroscopy: every other image is stored
• DYNAMIC FLUORO GRAB is not possible with trace-subtract.
After a grabbed image is successfully stored, the GRAB icon is inverted and an audible signal is given.
323 External video
Ext Switches the image on the reference monitor between the reference image and an image
from an external video source.
Key [323] lights when external video has been selected.
Images grabbed from an external video source can be displayed, processed and stored.
See description of key [291] for information about grabbing images from an external video source.
External video is deactivated on the [F1] screen, Select RIS or [m] on the viewpad.
Deactivating external video re-displays an existing reference image.
324 Trace-subtract
Activates trace-subtract fluoroscopy. The movements of guidewires and catheters are
displayed against a peak-opacified trace image of the vessel structure.
See Section 4.4 Performing Fluoroscopy for an explanation of a trace-subtract procedure.
DIAGNOST 94
SYSTEM DESCRIPTION
2-47
The viewpad is a remote-control device using infrared radiation. The IR transmitter is located on
the front of the viewpad and no signals are transmitted if it is obstructed.
The location of the IR receiver is fixed during installation. A green light on the receiver indicates
that the selected command has been accepted.
The viewpad functions when packed in a transparent sterile cover.
The viewpad is battery-powered and the batteries must be replaced regularly.
Note that identical viewpads are interchangeable, therefore, if 2 identical viewpads are used in the
same room, they may interfere with each other, causing uncontrolled behavior.
If several systems are located in the same room, viewpad commands for one system may initiate
actions on another system.
WARNINGS
! - Do not use the viewpad when more than one system is in use in one room.
- Infrared signals from the viewpad may interfere with other infrared-controlled
equipment in the same room.
- Before using the viewpad in a procedure, check that no interference is caused with
other equipment.
Several controls on the viewing and acquisition modules are duplicated on the viewpad:
Function Acquisition/Viewing Module
1
b Next examination 295
a 1 1 b
1 c d
c Previous image (during viewing) 296
Decrease acquisition speed (during exposure) e
Previous run (during run cycle)
f g
d Next image (during viewing) 297 h i
Increase acquisition speed (during exposure)
j k
Next run (during run cycle)
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
l Ext m
e Overview selection on/off 290
DIAGNOST 94
SYSTEM DESCRIPTION
2-48
k Trace subtract
Allows the operator to perform a trace-subtract 324
procedure. See Section 4.4 Performing Fluoroscopy.
DIAGNOST 94
SYSTEM DESCRIPTION
2-49
2.2.14 Monitors
Standard monitors
333 337
be changed as well to maintain the same grey levels in the images on the monitors and the
hardcopy.
Sensors
The monitors have an automatic brightness adaptation control. The circuit detects the ambient
light level by means of a photoelectric sensor, and adjusts both brightness and contrast to
compensate immediately for any change in light level, This maintains the image appearance (as
determined by the preset controls), if the room lighting changes. The operation level of this
function can be set by Service.
DIAGNOST 94
SYSTEM DESCRIPTION
2-50
DIAGNOST 94
SYSTEM DESCRIPTION
2-51
At installation or during planned maintenance, several parameters that determine the system
functions and the image display can be configured by Service to suit user requirements.
Most of these parameters can be overruled manually.
Acquisition speed
The default acquisition speed can be selected from the range:
• single shot
• 1 image per 2 seconds
• 1 image / second
• 2 images / second
• 3 images / second
• 4 images / second
• 6 images / second
• 8 images / second
The default acquisition speed can be modified per examination type on the Acquisition default
screen F1, and can be overruled before or during each acquisition run.
Note - The maximum attainable acquisition speed for DSI Basic is 4 images/second.
- The maximum attainable acquisition speed for DSI Universal/Interventional with 50 Hz power
supply is 8 images/s (5122) and 6 images/s (10242).
Automatic shutter positions
The internal shutter algorithm detects the shutter position. These detected shutter positions are
used to put the electronic shutters in the image. A choice has to be made between minimal and
maximal shuttering. Minimal shuttering may lead to some white, unshuttered bands beside the
image. Maximum shuttering may hide some clinical information near the edges of the image.
A choice of 6 different shutter positions are possible.
Disk/Film information and usage
The film format, layout and usage indication can be configured by Service.
Fluoroscopy modes
Either digital (processed) fluoroscopy or bypass (unprocessed) fluoroscopy can be selected on the
System screen [F4]. The default choice is set by Service.
Fluoroscopy noise reduction
Selection is possible between: Dynamic low / medium / high; Fixed low / medium / high and Off
and can be modified on screen F6.
Grayscale enhancement (GSE) curve
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
The GSE curves determine the response of the DSI system and can be modified on the F6 screen.
There are 5 GSE curves (A, B, C, S and L) that can be used for specific applications.
The default curve can be either L (for URF systems) or B, and is specified during installation or
Service.
The L curve corresponds to the linear behavior of the DSI and produces high-contrast images in a
variety of URF applications.
In comparison with the L curve, the C curve produces increased contrast in medium-absorption
areas with less contrast in the low and high-absorption areas. This curve gives good contrast-rich
results for non-barium studies of medium-absorption areas.
The S curve functions similarly to the C curve and is optimized for abdominal tomography.
The A curve gives high contrast in high-absorption areas and low contrast in low-absorption areas
with less contrast in medium-absorption areas.
The B curve is optimal for subtraction.
DIAGNOST 94
SYSTEM DESCRIPTION
2-52
For a survey of the GSE curves with an overview of applications see Chapter 7, DSI System Setup
Functions.
Note It is important to note that applying a GSE curve to the data is irreversible.
Choosing the wrong curve degrades the image quality to an extent that can be only partially
recovered by image processing.
Hold time
This is the amount of time that the last image of a run or the Last Image Hold (LIH) remains
displayed after DSI acquisition or fluoroscopy. The image disappears when the hold time has
elapsed. The time can be set between 0 and “infinity”, that is, at system switch-off or at the start
of a new examination or run.
Image-processing parameters during acquisition
In addition to automatic adaptive image processing, contrast, brightness and edge enhancement
have separate default levels for three different modes:
• exposures
• fluoroscopy
• subtraction
These default levels apply if they are not changed by the user at the viewing module.
The default setting for image polarity (normal or inverted) can be modified per examination type
on the Acquisition default screen. It can also be overruled before each acquisition run at the
acquisition module, and can be changed during viewing at the viewing module.
Matrix resolution
A default matrix resolution of 5122 or 10242 can be set, and can be modified per examination type
on the F6 screen, and can also be overruled before each acquisition run.
Memory almost full - indication
The minimum remaining capacity can be set between 0 and 320 images.
Network selection
The export function is set to a maximum of 5 different export destinations.
Run cycle time
The run cycle time can be set between 0 and 655 seconds
Subtraction contrast value
The default setting for the subtraction contrast, a value between 1.0 and 16.0, can be set and
modified for each type of examination on the Acquisition Default screen F6. It may be changed
while viewing a subtracted run [F11].
Subtraction during acquisition
The default setting for subtraction during acquisition is Yes or No and can be modified on the F6
screen. If Yes, the default value for the number (N) of the image to be used as the mask must be
set as well.
System and Hospital name
The system name and hospital name can be entered into the system using a maximum of 15 / 26
characters.
The hospital name automatically appears in the upper right-hand corner of every film.
Time and date format
The hardcopy and text screens show the examination time and date. The format of this display
can be adapted to local requirements (YY-MM-DD , MM-DD-YY , or DD-MM-YY).
Viewpad keys:
Key h: Large format selection or run cycle
Both functions are available on the viewing module.
Key l: Park image or grab external video images
Key m: Zoom or external video
Zoom is also available on the viewing module.
Note For default parameters that can be set by the user, see Chapter 7, DSI System Setup Functions.
DIAGNOST 94
SYSTEM DESCRIPTION
2-53
Introduction
The system provides 6 different screens which allow patient, examination and system information
to be inserted or changed.
The Administration F1, Copy F2 and Transfer F3 screens apply to examinations (data, status).
The System F4, Physician F5 and Acquisition default F6 screens are used to set parameters before
operation.
The user can select between English, French, German and Spanish via System screen F4.
The HELP function has been incorporated in the System screen F4.
➔
08:00 Borden, A 27-01-25 Y6417568230 BaMeal GWE 30 Retrieved
Field 3
07:30 Clayton, B 51-02-06 + P4523879161 Arthro GWE 17 Not arch
08:15 Dary, C 44-03-21 P6578696721 BaMeal FGH 11 Current
➔
08:25 Eden, D 33-04-12
➔
P5780384549 Colon AWZ 0 Scheduled
08:35 Fort, E 45-05-14 + P6234887245 ECRP FGH 0 Scheduled
Screen layout
Line 1: System name, actual date and time, screen name and function key number.
The system name is Service adjustable during installation (15 characters).
The date and time are user adjustable via System screen F4.
Line 2: Description of the columns of field 3
Field 3: Patient and Examination data (adaptable by the user) and Status information (generated
by the system).
Line 4: Disk/Film information line in Copy and Transfer screens: displays information
about disk and film usage, if configured during installation by Service.
Line 5: Function line: displays selectable functions; one function is displayed highlighted
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
inverted.
Another function can be selected by using the left/right cursor keys and confirmed by
pressing Enter. The active function is displayed highlighted.
Line 6: Prompt line: displays user instructions.
Line 7: Messages line: displays system messages. For a survey, see Chapter 8, System and Error
Messages.
DIAGNOST 94
SYSTEM DESCRIPTION
2-54
Administration screen F1
➔
08:00 Borden, A 27-01-25 Y6417568230 BaMeal GWE 30 Retrieved
07:30 Clayton, B 51-02-06 + P4523879161 Athro GWE 17 Not arch.
08:15 Dary, C 44-03-21 P6578696721 BaMeal FGH 11 Current
➔
➔
08:25 Eden, D 33-04-12 P5780384549 Colon AWZ 0 Scheduled
08:35 Fort, E 45-05-14 + P6234887245 ECRP FGH 0 Scheduled
The Administration screen allows an examination schedule to be set up by the user before
acquisition is started. Up to 14 patients can be selected for examination in any sequence.
The system checks and displays the status of each examination.
Scheduled examinations are separated from completed examinations by an empty line.
The schedule can be entered or modified at any time. For example, the day’s schedule can be
entered in the morning, or entries can be made in-between examinations.
Patient and examination data can be imported directly from the RIS, if a RIS database is available.
DIAGNOST 94
SYSTEM DESCRIPTION
2-55
Copy screen F2
➔
07:30 Clayton, B 51-02-06 + P4523879161 Arthro GWE 17 Not copied
08:15 Dary, C 44-03-21 P6578696721 BaMeal FGH 11 Current
➔
Information film use
Copy EV-Print EV-Send Export EV-Store Cancel
Make choice with➔ and
➔
arrows and press ➥ ENTER
If the START HARDCOPY key on the viewing module or viewpad is pressed while another
examination is being copied, the status of the related selected examination becomes COPY FLAG
(with local HCU) or PRINT FLAG (HCU of the EasyVision).
The number of images displayed (IMGS) is the number of images that remain to be copied or
transferred. Each time an image is copied or transferred, this number is counted down until zero.
When zero has been reached the status of the examination is set to COPY DONE or EXPO DONE,
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
STORE DONE, PRINT DONE or SEND DONE and the number of images is reset to its original value.
With COPY ERROR, PRINT ERROR, SEND ERROR EXPORT ERROR or STORE ERROR the displayed number
indicates the number of images remaining to be copied.
See Chapter 8, System and Error Messages for a list of status messages.
DIAGNOST 94
SYSTEM DESCRIPTION
2-56
DIAGNOST 94
SYSTEM DESCRIPTION
2-57
Transfer screen F3
➔
08:00 Borden, A 27-01-25 Y6417568230 BaMeal GWE 30 Retrieved
07:30 Clayton, B 51-02-06 + P4523879161 Arthro GWE 17 Not saved
08:15 Dary, C 44-03-21 P6578696721 BaMeal FGH 11 Save done
➔
08:25 Eden, D 33-04-12 P5780384549 Colon AWZ 0 Not saved
➔
08:35 Fort, E 45-05-14 +
P6234887245 ECRP FGH 0 Current
This screen allows examinations to be saved to and retrieved from the optical disk.
The examinations displayed are:
- those on the Administration screen F1 which can be selected to SAVE or,
- examinations on the disk, if LIST or RETRIEVE from optical disk is selected.
The number of images displayed for an examination which is being saved or retrieved is the
number of images remaining to be saved or retrieved, counting down to zero.
During LIST and RETRIEVE, the amount of DSI memory occupied is displayed.
The system calculates if enough space is available for saving an examination on the optical disk, or
for retrieving an examination into the DSI-memory. If no space is available, the system will not
complete the save or retrieve action. The system displays a message.
See Chapter 8, System and Error Messages for a list of status messages.
The disk information line can display: ERASE BUSY: the optical disk is being reformatted.
After selecting LIST, the disk contents information is displayed in the data field.
After selecting RETRIEVE, the list of the optical disk contents is displayed.
DIAGNOST 94
SYSTEM DESCRIPTION
2-58
System screen F4
SET-TIME allows the time to be set manually to the actual value (6 characters HH:MM:SS)
SET-DATE allows the date to be set manually to the actual value in the indicated format
(8 characters; either YYYY-MM-DD, MM-DD-YYYY or DD-MM-YYYY)
SET-CONFIG
FLUOROSCOPY MODE:
Switches between DSI (processed) fluoroscopy and bypass (unprocessed)
fluoroscopy.
It is possible to select high line rate (HLR) and standard line rate (SLR) in both
fluoroscopy modes.
When DSI fluoroscopy is selected, fluoroscopy images can be obtained with a
combination of digital processing functions:
- noise reduction with or without movement detection
- contour edge enhancement
- contrast enhancement (default contrast).
When bypass fluoroscopy is selected, no image processing is performed.
SLR or HLR is possible in both modes. Last Image Hold (LIH) is still provided.
When a patient is selected, it is possible to grab fluoroscopic images so that they
are included in the examination.
BRIGHTNESS CORRECTION ON/OFF:
During serial acquisition, small changes in the generator output and X-ray tube
may occur. In a non-subtracted image series, the effect of these changes is
scarcely visible; but in a subtraction series such changes could lead to
unacceptable variations in brightness. DSI automatically corrects such changes in
real time, if the brightness correction is on.
The default setting is configurable during installation.
AUTOMATIC ELECTRONIC SHUTTERS ON/OFF:
Mechanical collimation produces black borders around the image. With video
inversion, these borders show up as white areas, which negatively affect the image
quality. The automatic electronic shutters can be used to avoid this.
After calculating the correct position, the white areas are replaced by electronic,
black shutters on all images in the current run.
The calculated shutter position may be changed, using the MANUAL ELECTRONIC
SHUTTER function F10 (see Chapter 5, Viewing Images). The default setting at
DIAGNOST 94
SYSTEM DESCRIPTION
2-59
DSI R 4.2.1
Help:
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
F1 = Administration
F2 = Copy
F3 = Transfer
F4 = System
F5 = Physician
F6 = Acquisition default
ESC = Cancel selection or input
if applicable * = Function is not available
SERVICE gives access to the system for service purposes and is available only to authorized service
personnel.
DIAGNOST 94
SYSTEM DESCRIPTION
2-60
Physician screen F5
Up to 14 (unique) Physician codes can be entered for use in the examination schedule.
A physician code (max. 3 characters) is an abbreviation of the physician's name (max. 26
characters). The code can be entered on the Administration screen F1 and the full name of the
physician appears on films.
If no matching physician can be found, the physician code entered on the Administration screen
F1 appears on films.
DIAGNOST 94
SYSTEM DESCRIPTION
2-61
This screen is used to define the examination types and their associated default acquisition
parameters:
EXAMINATION TYPE : maximum six characters; each combination to be unique
ACQUISITION SPEED: number of images per second: 1 per 2 seconds; 1/second to 8/second
MATRIX RESOLUTION: 5122 or 10242
IMAGE POLARITY: normal / inverse during acquisition
GRAY SCALE ENHANCEMENT: A; B; C; S; L
SUBTRACTION: ON / OFF during acquisition
SUBTRACTION CONTRAST VALUE: 1.0 to 16.0 in steps of 0.5
layout. If the entry under EXAM on the Administration screen does not match any of the entries
on this screen, acquisition is carried out with the parameters set as default by service, unless they
are manually overridden by the user.
DIAGNOST 94
SYSTEM DESCRIPTION
2-62
Ext
Ext
2 of 2 2/sec
Keep
Zoomed image
2 2 = Run number
11-2 11 = Number of current image/2 = Number of mask image
4 4 = Number of current image
DIAGNOST 94
SYSTEM DESCRIPTION
2-63
NAME C:2.5
>
17 18 19 20
2
21 22 1 2
23 3
Runs are separated with a vertical bar Exposure run for Reconstruction flagged
18 Number of current image is highlighted > Arrow indicating more images in exam
DIAGNOST 94
SYSTEM DESCRIPTION
2-64
NAME
2/sec
491
Note If no name appears on the monitor screen, no patient has been selected and no images may be
grabbed.
DIAGNOST 94
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
DIAGNOST 94
2-65
SYSTEM DESCRIPTION
PREPARING THE SYSTEM
3-1
WARNING
Do not start up the DIAGNOST 94 unless you and all other operators present have
read, fully understood and know all the safety information and emergency procedures
given in section 1.2, Important Safety Directions of this Operator's Manual. Operation
of the DIAGNOST 94 without having read, understood and knowing ALL the safety
information and procedures in the Safety section could lead to fatal or other serious
personal injury.
This chapter gives instructions on preparing the DIAGNOST 94 for image acquisition.
Procedures for switching the system on and off are explained, as are techniques for warm and cold
restarts. Instructions are given in the use of all the geometry-setting controls. Finally, guidance is
given on the use of both standard and optional patient positioning accessories.
The numbers given in brackets refer to Section 2.2 Controls, Indicators and Accessories.
Before attempting to operate the DIAGNOST 94, you are strongly recommended to read
carefully Chapter 1, Introduction and Safety and Chapter 2, System Description. These chapters give
you a good introduction to the facilities of the DIAGNOST 94 and make it easier for you to
follow the instructions in this and subsequent chapters.
You are further cautioned to stay within the operating procedures and intended uses described in
this Operator's Manual.
DSI can be used with the main acquisition system. Examination and control room monitors will
then display DSI images and text messages or fluoroscopy bypass images if this facility was
selected from System screen [F4].
DSI can also be used as a stand-alone system for scheduling, viewing and image manipulation.
While other acquisition systems are running, real-time images will be displayed on the
examination room monitors, although the control room monitor remains available for post-
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
3.1 Switching On
WARNING
! Do not use the DIAGNOST 94 for any medical application unless you are certain that
the User Routine Checks Programme has been satisfactorily completed, and that the
Planned Maintenance Programme is up to date. See Chapter 9, Maintaining the
System of this Operator's Manual. If any part of the DIAGNOST 94 is known (or
suspected) to be defective, DO NOT USE IT until a repair has been made. Operation
of the DIAGNOST 94 with defective components may expose the operator or a
patient to radiation or other safety hazards. This, in turn, could lead to fatal or other
serious personal injury. It could also lead to clinical misdiagnosis.
DIAGNOST 94
PREPARING THE SYSTEM
3-2
WARNING
! Do not operate the DIAGNOST 94 with patients unless you have a good
understanding of its capabilities and facilities. Using this equipment without such an
understanding may compromise its effectiveness and/or reduce the safety of the
patient, yourself and others.
Caution Do not press DSI on [C] again during start-up or it may interfere with the DSI start-up
procedure.
WARNING
! Do not switch off the DSI system before all examinations have been copied or saved,
to avoid loss of images.
(1) Press System off [B] on the generator control panel to switch off the DIAGNOST 94
system.
(2) Press DSI off [D] to switch off the DSI system.
The DSI system must be turned off separately from the DIAGNOST 94 system.
3.3 Restart
Restarting the DIAGNOST 94 system
(1) Press System off [B] to restart the DIAGNOST 94 system.
Wait for 10 seconds.
(2) Press System on [A].
Caution Do not press DSI on [C] again during start-up or it may interfere with the start-up
procedure.
DIAGNOST 94
PREPARING THE SYSTEM
3-3
Cold restart
Depending on the type of malfunction, the DSI system can execute a restart automatically.
But, if a warm restart does not overcome the error, a cold restart is necessary.
(1) Press DSI off [D].
Wait for 10 seconds.
(2) Press DSI on [C].
WARNING
! Cold restart of DSI will cause an irreversible loss of image data if such images have not
yet been archived.
Correcting mistakes
To make corrections in newly entered text, press Escape [278] or one of the Function keys
[F1 - F6] to cancel the input. Select the required screen and start again.
DIAGNOST 94
PREPARING THE SYSTEM
3-4
(6) Enter the patient’s sex. Make a choice between the international symbols for male and
for female, or a blank using the cursor keys.
Press ENTER. The cursor moves to the REGISTR. NO. field.
(7) Enter the patient’s registration number (12 characters maximum). Press ENTER.
The cursor moves to the EXAM field.
(8) Enter the examination type (see Note below). Press ENTER.
The cursor moves to the PHY field.
(9) Enter the physician code (see Note below). Press ENTER.
When the procedure is finished, the examination status changes to SCHEDULED.
(10) To enter more examinations, repeat steps (1) - (9) above.
Notes At steps (8) and (9) respectively, the Exam/Phy field is highlighted and an exam type/phy code from
the Acquisition default screen F6/Physician screen F5 is displayed. Select the required items on these
screens using the cursor keys. One of the items is a blank line which can be filled in by typing a new
item; confirm the input using ENTER.
New Examination or Physician codes can be entered. See Chapter 7, DSI System Setup Functions.
Deleting an Examination
Examinations can be removed with the DELETE function.
An examination being archived (ARCH BUSY in the status field) cannot be deleted until the process
has been completed.
(1) Press [F1] to display the Administration screen.
(2) Select the DELETE function using the left/right cursor keys and press ENTER.
(3) Highlight the examination to be deleted using the up/down cursor keys and press ENTER.
The question DELETE EXAMINATION? YES NO appears and, if the examination has not been
archived the question EXAMINATION NOT ARCHIVED, DELETE? YES NO appears.
(4) To delete the examination, select yes using the left cursor key, and press ENTER.
The highlighted examination is deleted.
Press ENTER to cancel the DELETE function.
(5) To delete more examinations, repeat steps (3) and (4) above.
Caution If an examination had the status ARCHIVED before being modified, the status will remain
ARCHIVED after being modified.
DIAGNOST 94
PREPARING THE SYSTEM
3-5
Introduction
This section describes the ways in which the DIAGNOST 94 may be positioned for
examinations. Refer to Section 2.2 Controls, Indicators and Accessories for a description of the
function of the keys illustrated in these operating instructions.
The left side of the drawings show the various control panels from which the movement may be
made. The numbers on the control panels show the direction the joysticks should be moved to
make the corresponding movements on the right side of the drawing.
Some system positioning will be performed without a patient present. More usually, a patient will
be in position when movements are made. Instructions and warning in this section all assume that
a patient is present. Instructions on the use of both standard and optional patient positioning
accessories are found in Section 3.6 Positioning the Patient.
WARNINGS
! - Before moving the DIAGNOST 94, make sure that you know and understand all the
safety and emergency procedures in Chapter 1 of this operator's manual. If you do
not know these procedures, you may not be able to stop the system and release the
patient in an emergency, or recover from a collision. This could lead to serious injury
to the patient.
- Before using the DIAGNOST 94, check that all collision detectors, as described
below, are functioning properly.
- Before moving the DIAGNOST 94, check the surrounding area to verify that no part
of the patient's clothing is in contact with any of the equipment's moving parts and
that the stand is free to move; also check that the surrounding area is free of
obstacles for all table movements.
The tabletop, image intensifier, compressor, and stand are fitted with collision detectors which
allow movements to be made without risk of injury to the patient. If a collision detector is
activated, a beep is heard and the colliding movement stops. The key or display on the remote
control panel of the related function causing the block flashes, and this key must be used to
remove the block. The location of the collision detectors is given in Section 2.2.14. Table indicators
and collision detectors.
DIAGNOST 94
PREPARING THE SYSTEM
3-6
A Longitudinal/
lateral scanning 101 161 195-198 60 60
B Table tilt 95 169 191; 192 60 ----
C Column angulation 98 170 187; 188 60 60
D SID 103, 104 -- 189; 190 60 60
E Tube rotation 5; 6 or 1;2 manual -- -- -- --
F Collimator control 91, 92, 94 172 183-186 -- --
on collimator: 216
G Compressor control 85; 86, 87 60 60
C
D E
A2 A1
DIAGNOST 94
PREPARING THE SYSTEM
3-7
Stand Reset
60 Reset stand movements
Pressing [60] resets the stand to its default positions:
Beam angulation : 0° : 0°
press 60
2
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
DIAGNOST 94
PREPARING THE SYSTEM
3-8
A Scanning movements
To activate the scanning movements, move joysticks [101] or [161] or press keys [195-198].
The scanning joystick on the remote control panel [101] and are monitor oriented. For instance,
if the joystick is moved to the left, the monitor image moves left (the table moves towards the
operator). The scanning keys on the tableside control panel [195-198] move the table in relation
to the patient (for instance, left key moves the column to the left). The keys on the nearby control
panel can be configured either monitor-oriented or system-oriented.
4
1 2
3 1 2
2 1 150 mm max 2 150 mm max
3 4
1
4 3 4
1 2
3 3 800 mm max 4 800 mm max
4 3 4
B Table tilt
1 2
1a 1b
1 2
1 2 2
WARNINGS
! - Do not tilt the table in the Trendelenburg position unless the patient is safely
secured. If the patient is not secured they could fall off the table when it is tilted.
- Secure the barium cup holder before tilting the table downwards, so that it does not
fall off the table.
DIAGNOST 94
PREPARING THE SYSTEM
3-9
To tilt the table, move joysticks [95, 169] or press keys [191, 192].
The column and tabletop can be tilted from 90° head up to -30° or -90° (Trendelenburg) head
down, depending on the system configuration.
As the column and tabletop tilt, the carriage moves upwards or downwards automatically to
prevent any part of the stand from colliding with the floor. The tilt movement is blocked if the
column is in or near its outer left or right position, to prevent a possible collision. Move the
column to a safe position to unblock the tilt movement.
Pressing [60] also resets the table tilt.
Note Collision detectors under the table prevent the system from coming into contact with any object on
the floor.
C Column angulation
To angulate the column, move joysticks [98, 170] or press keys [187, 188].
The column can be angulated from 40° to -40°.
As the column angulates, the image intensifier moves to the other direction for parallax
correction.
Pressing [60] resets the column angulation.
1 2
1 2
D SID
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
1 2
2
1 1 1100 mm 2 1500 mm
DIAGNOST 94
PREPARING THE SYSTEM
3-10
E Tube rotation
The tube housing and collimator can be rotated manually over 360°.
There are stops at 0°, ±45°, ±50° and ±90°.
F Collimator control
The collimator alone can be rotated manually over 90°. There is a stop at 45°.
G Compressor control
The compressor pressure can be adjusted to between 4 and 16 kg.
1
1
2
2
(1) Press keys [86, 87] to increase or decrease the maximum allowable pressure.
Display [88] shows the maximum pressure setting.
(2) Press key [85] to select the compressor.
The compressor is moved from the parked position into the beam.
(3) Apply more or less pressure using joystick [89].
Display [90] shows the actual pressure being applied.
(4) Press [85] a second time to return the compressor to its parked position.
Note The compressor can be used only if the column is angulated less than 20°.
DIAGNOST 94
PREPARING THE SYSTEM
3-11
Many patient positions are possible with the DIAGNOST 94 system. The way in which a patient
is positioned on the system is a matter of clinical judgment.
Several patient positioning accessories are available. A comprehensive list of accessories which are
supplied as standard and as additional options for the DIAGNOST 94 is given in Section 2.2
Controls, Indicators and Accessories.
All the standard and optional patient positioning accessories are described below, together with
guidelines for their use. These accessories were designed specifically for the DIAGNOST 94 and
must not be used with any other system.
Nothing in these guidelines is intended to override best clinical practice and the individual
judgement of radiographers, radiologists or physicians.
Note Proper hygienic procedures should be used for all accessories. Suitable guidelines are given in
Section 9.3 Cleaning and Disinfection.
WARNING
! To avoid continually interrupting the flow of instructions, individual warnings and
cautions do not appear below. But, if any check or instruction does not produce the
expected result, do not use that accessory. Using an accessory that does not perform
as predicted in these instructions could lead to serious injury to the patient, operator
or others. It could also lead to serious damage to the DIAGNOST 94.
Footrest
A footrest is provided to help support the patient during tabletop angulation. It is also used as a
secure mounting point for other accessories, for example, the stool or ankle clamps. It has a
clamping and locking mechanism on both sides to attach it securely to any position on the side
rails of the tabletop securely.
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Do not angulate the tabletop until check (5) has been made.
When the footrest is used to support a patient's feet, make sure that the patient has both feet flat
on the footrest during tabletop angulation.
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Handgrips
Left and right handgrips are designed to allow a patient to support him/herself in the required
position with straightened wrists. Used with other patient positioning accessories, these handgrips
are particularly valuable for giving a patient an additional feeling of safety. Handgrips should be
used in pairs. Using only a single handgrip could cause patient discomfort and possible injury.
Normally, the patient should be on the horizontal tabletop before the handgrips are attached.
Shoulder supports
Left and right shoulder supports are designed to help position and restrain the patient during
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
angulation towards the Trendelenburg position. Shoulder supports must always be fitted on both
the left and right sides of the patient.
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Normally, the patient should be lying on the horizontal tabletop before the shoulder supports are
attached to the table. However, if sterile covers are to be used, the shoulder supports should be
attached to the tabletop first and then slid up towards the patient's shoulder. Finally, the sterile
cover should be put on the patient.
Do not angulate the tabletop until checks (5) and (6) have been made.
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Adjustable positioners
The adjustable positioners come in pairs and should be used in pairs. They are used to keep the
head in a fixed position and should be used with a foam pad when the patient is in a prone
position.
(1) Place a foam pad under the patient's chin, if they are lying in the prone position.
(2) Place the clamps of both positioners in the required position and parallel with each other on
the side rail of the tabletop. Always use the positioners in pairs.
(3) Fold the clamps of the shoulder supports out and down onto the side rail of the tabletop.
(4) Loosen the screw on the positioner to move the pad towards the patient.
Place the positioner as close as possible to the side of the patient's head and out of the region
of interest.
(5) When the pad is in position next to the patient's head, tighten the screw hand tight.
(5) Check that each positioner is securely attached to the tabletop.
(6) Check that the positioner is positioned as close as possible to the patient's head and that it is
out of the region of interest.
Do not angulate the tabletop until checks (5) and (6) have been made.
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DIAGNOST 94
PREPARING THE SYSTEM
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Ankle clamps
Ankle clamps may be used to help hold the patient in position during tabletop angulation.
They must not be used for any other purpose, such as securing a patient's wrists. Ankle clamps can
only be used with the footrest attached (see Footrest above).
DIAGNOST 94
PREPARING THE SYSTEM
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(3) Check that the ankle clamp assembly is securely attached to the footrest and that it cannot
be pulled away from the footrest.
(4) Check that the footrest is properly secured to the tabletop and that it cannot be moved in
any direction.
(5) Make other adjustments to the patient's position as necessary.
Do not angulate the tabletop until checks (3) and (4) have been made.
DIAGNOST 94
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Notes - The patient must be lying on the tabletop before the compression ratchet is attached.
- It may only be used with the tabletop horizontal, and never during angulation.
- Only the Philips-supplied compression band should be used.
DIAGNOST 94
PREPARING THE SYSTEM
3-19
DIAGNOST 94
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3-20
WARNING
! Do not angulate the table when the stool is attached.
The stool may only be attached to the footrest when the table is vertical.
DIAGNOST 94
PREPARING THE SYSTEM
3-21
Adjusting catheterization arm support Catheterization arm support used with patient
Use of a cushion between the patient's arm and the support is recommended to avoid unnecessary
pressure. The end of the support should be located as close to the patient's shoulder as possible.
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
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PREPARING THE SYSTEM
3-22
Leg supports
Peripheral wedge filters are flexible, but should be stored on a flat surface when not in use.
These filters are not designed to be sterilized, but can be treated with normal cleaning and
disinfecting materials.
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PREPARING THE SYSTEM
3-23
Note The overhead handgrip bar will usually be used in combination with a footrest.
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
Do not angulate the tabletop until checks (5) and (6) have been made.
DIAGNOST 94
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All of the paediatric accessories are attached to the footrest in the same manner. The metal pin
extending down from the bottom of the accessory is fitted into one of the three holes, depending
on the size of the patient, and pushed down until it locks into place. A check should be made that
the accessory is securely fastened in the hole, by attempting to turn the accessory, before
proceeding with a patient.
Child seat
The child seat can only be used with the paediatric footrest.
DIAGNOST 94
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3-25
(6) Check that the accessory is securely locked into place on the footrest.
(7) Check that the plastic seat is securely fastened into place.
(8) Check that the footrest is securely fastened into place.
(9) Position the patient on the child seat and adjust the footrest as necessary.
Do not place the patient in position until checks 6-8 have beeen made.
Notes - Move the patient back as close to the tabletop as possible, for the best image quality.
- Do not use the outermost of the three locking positions on the paediatric footrest when using the
child seat.
Baby support
A wall mounting frame can be ordered for storing the baby support.
Contact a Philips representative for more information.
(6) Use the two lower straps to secure the patient's wrists.
The straps can be adjusted for up to four different diameters.
Use only the straps provided on the accessory for securing the patient.
Notes Always secure the baby support in the rear most locking position on the paediatric footrest.
DIAGNOST 94
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Child harness
Attaching the the baby support:
(1) Attach the paediatric footrest to the footend of the tabletop and rotate the tabletop to 90°
fully vertical. See description of paediatric footrest above.
(2) Fit the metal pin on the bottom of the accessory into center locking hole on the footrest.
Use the red lever on the accessory to lock it into place.
(3) Pull the while lever on the bottom of the accessory forward to rotate and lock the accessory
in place. Grasp the harness by its handholds to rotate it.
(4) There is an adjustable handbar provided on the top of the harness.
Pull the metal pin down to adjust the position of the handbar.
(5) Check that the accessory is securely locked into position on the footrest.
(6) Place the patient into the harness and secure the patient with the velcro straps provided.
Do not place the patient in position until check 5 has beeen made.
Caution The child harness should not be used with patients whose height is greater than the
height of the frame.
DIAGNOST 94
ACQUIRING IMAGES
4-1
This section describes how to acquire images using the DIAGNOST 94 system.
Image acquisition is described in the following order:
4.1 Standard Image Acquisition Procedure
4.2 Tomography Procedure
4.3 Bolus Chase Procedure
4.4 Performing Fluoroscopy
4.5 Acquiring Images in Free Cassette Imaging Mode
4.6 Acquiring Images in Wall Bucky Imaging Mode
4.7 Acquiring Images in Serial Changer or Automatic Bucky Imaging Mode
4.8 Acquiring Digital Images
It is vital that the operator understands Chapter 2 System Description, and has performed all
actions described in Chapter 3 Preparing the System relating to acquisition, before carrying out any
procedures described in this chapter.
To prevent interruption in the flow of the instructions, where possible, all warnings and cautions
are placed at the beginning of the applicable section.
WARNINGS
! Do not attempt to use the DIAGNOST 94 unless you know and understand all the
safety and emergency procedures in Chapter 1 of this Operator’s Manual. If you do
not know these procedures, you may not be able to stop the system and release the
patient in an emergency, or recover from a collision. This could lead to serious injury
to the patient.
- When examining a patient who is sitting or lying on his left side with raised knees,
be very careful while scanning, angulating or during tomography, since the
compressor may collide with the patient’s knees.
- Be careful angulating when using accessories on the compressor side of the table.
- Be careful not to let covers (drapes) hang over the edge of the tabletop since they
may activate the collision detectors and cause all movements to stop.
(step 2) Select Imaging Mode with keys [1 - 6]. See Section 4.1.1.
(step 3) Select Imaging Technique:
• for fluoroscopically programmed radiography (FPR), keys [11-18]
• for anatomically programmed radiography (APR), keys [19-33]
• for tomography, key [65]
• for bolus chase, key [34]
See Section 4.1.2.
(step 4) If necessary, adjust exposure parameters for serial changer or other default settings.
See Section 4.1.3.
After steps (1) to (4) have been completed, the system is ready to perform the chosen technique.
(step 5) Position the patient on the table.
(step 6) Position the stand using the controls on the tableside, remote or nearby control panel.
(step 7) Initiate exposure with footswitch [53] or handswitch [52].
The following sections begin after switching the system on (Step 1).
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Select one of the four possible imaging modes: Free Cassette, Wall Bucky, Serial Changer or DSI.
Free cassette
This mode is selected if applications are performed with a film cassette placed on the tabletop.
It can also be used for patients confined to their bed.
Wall bucky
This mode is selected if images are to be obtained with a wall bucky unit.
Serial changer
This mode is selected to acquire images on cassette film using the fully automatic serial changer or
the automatic bucky. The serial changer permits a wide range of different film subdivisions and
cassette sizes, so that several images can be acquired on one film.
DSI
This mode is selected to acquire 10-bit deep digital images. These images are stored in the
memory of the DSI subsystem. They can be reviewed, archived and printed.
Select one of the four possible imaging techniques: FPR, APR, Tomography and Bolus Chase.
The FPR technique is available for systems with Super CP generators for DSI and Serial Changer
imaging modes.
With FPR, the acquisition procedure provides optimal exposure parameters for each exposure
automatically.
FPR adjusts exposure kV to a value based on the kV value last used for fluoroscopy.
Various FPR curves are provided, expressing the relationship between exposure kV and
fluoroscopy kV. The curves match the focal spot and contrast medium used. The settings are: no
contrast medium, barium and iodine contrast media. A curve expressing a linear relationship
between exposure and fluoroscopy kV values is provided as well.
When FPR has been selected and before fluoroscopy has taken place, the generator will display an
initial kV value for exposure. After about 2 seconds of fluoroscopy the correct value of kV for
exposure will have been calculated, following which the fluoroscopy kV will be measured at 1
second intervals and the radiography kV will be determined from the curve assigned to the chosen
FPR program.
If the kV value so determined deviates by more than 3 kV from the current value, a new value is
calculated and displayed.
DIAGNOST 94
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4-3
This technique provides preprogrammed fixed exposure parameters (e.g., fixed kV values) for
various anatomical regions and organs. The preset parameter values can be selected with the APR
keys [19-26]. For each selected APR, a kV range can be selected with keys [27-33]. When an
auxiliary has been selected, all the APR keys applicable to this auxiliary light for about 3 seconds.
Pressing one of these keys selects and displays the preset parameter values automatically. These
values can be changed by pressing one or more of the parameter control keys, in which case the
APR function is overridden. OR (override) is displayed in [42] and the light in the selected APR
key goes out. To cancel the override, press the appropriate APR key again.
The tomography technique may be supplemented by the optional tomography density control
which automatically regulates the tube current during tomography to ensure a correct and
constant level of image contrast. The final value of the current is used as the initial current for the
next exposure. The default exposure values are displayed.
Patient thickness compensation can be applied [38, 39].
If the correct image density cannot be attained or if the mAs product is greater than the maximum
allowed, automatic exposure control is switched off and the image may be underexposed.
No action is possible until RESET STAND [60] and GENERATOR RESET [40] have been pressed.
The Bolus Chase technique is a dynamic screening method for lower peripheral angiography.
An overview of the peripheral arteries is obtained with only one contrast injection.
The contrast bolus is followed on its way through the arteries in a smooth continuous movement.
The movement is the motorized longitudinal X-ray beam scanning.
The speed of the movement is controlled interactively with a hand-held speed controller, based on
the acquired images which are simultaneously visible on a monitor.
In Bolus Chasing the exposure control [34] is highly automated by using phototiming and a kV
reduction technique (depending on generator type). This technique automatically adapts the kV
value to the object thickness.
Notes - When DSI is used, only the middle measuring field can be chosen.
- When the side measuring fields are covered by the collimator they cannot be chosen and are
switched to the middle field automatically.
Side fields are selected again when the collimator is opened.
kV Operation
(1) Select a measuring field or a combination of measuring fields [46, 47, 48].
This switches on automatic exposure control. The film/screen selection keys [49, 50 or 51]
activated during the previous exposure will light. If required, make another selection.
(2) Select kV operation [7].
(3) Select the focal spot [9, 10].
(4) Set the kV value [35].
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ACQUIRING IMAGES
4-4
kV/mAs Operation
(1) Select kV/mAs operation [7].
(2) Select the focal spot [9, 10].
(3) Set the kV value [35].
(4) Set the mAs value [36].
(5) Apply patient thickness compensation [38, 39] if required.
(6) Activate exposure after the READY indicator [42] has lit.
kV/mA/ms Operation
(1) Select kV/mA/ms operation [8].
(2) Select the focal spot [9, 10].
(3) Set the kV value [35]
(4) Set the mA value [36].
(5) Set the ms value [37].
(6) Apply patient thickness compensation [38, 39] if required.
(7) Activate exposure after the READY indicator [42] has lit.
Preparation
(1) Switch the system on [A].
(2) Select DSI [4] or Serial Changer [2 or 3].
(3) Position the patient on the table.
(4) Prepare the system.
(5) Press [65] to select tomography.
(6) Keep key [60] depressed until a solid green light appears in key [65] and the system is in
position for tomography. The system performs the following steps automatically:
DIAGNOST 94
ACQUIRING IMAGES
4-5
Compressor parked
SID 1100 mm
Scan position in working area
Beam angulation 0°
Layer height 80 mm (serial changer mode)
58 mm (DSI mode/38 cm II)
77 mm (DSI mode/23 cm II)
After the above movements are performed, the key remains lit and the system is ready for
acquisition.
Note For DSI, because of the curved shape of the entrance plane of the image intensifier, the layer is not
flat and shows some curvature.
(9) Select preferred tomography program (angle and speed) using keys [61, 62].
8O 0.6 s 0.3 s
20O 1.5 s 0.75 s
40O 3.0 s 1.5 s
kidneys 40 60 20 4 small 25
lumbar sp. lat 40 70 70 4 small 25
lumbar sp. ap 40 60 33 4 small 25
IVC 20 70 33 1 small 25
skull 40 60 27 4 small 25
dorsal spine lat 40 55 16 4 small 25
Notes - DSI image quality is influenced dramatically by direct radiation on the image intensifier.
Therefore, pay extra attention to collimation. Select optimal image intensifier format.
- Exposure parameters depend on the image intensifier format and therefore need to be adjusted
when changing formats.
DIAGNOST 94
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4-6
Preparation
This section describes the way in which the patient should be prepared for a bolus chase
examination and the way in which the filter accessory set should be positioned for the best result.
(See also Section 2.2.15 Patient Positioning Accessories.)
WARNING
! Make sure that the filters are placed correctly. Incorrectly placed filters cause poor
quality images and may make it necessary to repeat the examination, thus exposing
the patient to additional radiation.
(1) Position the patient on the table, lying on his back, with his feet facing towards the footend
of the table (right side of the DIAGNOST 94).
Make sure that the longitudinal movement range of the tabletop/stand is sufficient to cover
the entire area from the abdomen to the feet.
(2) Prepare the patient for disinfection and catheterization.
(3) Place the straps under the patient for use in positioning the filters.
(4) Position the central leg filter. Place the filter between the patient's legs with the flat surface
on the tabletop and the narrow end towards the patient's body. Move the narrow end of the
central filter as far as possible into the patient's groin without causing injury or discomfort,
and parallel to the longitudinal table axis.
(5) Position the lateral filters (outside filters). Make sure the filters are shifted far enough under
the legs. The edge of the filter should be near the projection of the bone.
(6) Secure adjustable straps around the legs, above the knees, and around the ankles to hold the
legs in place.
(7) Cover the patient with sterile sheets and finish the rest of preparation.
Correctly placed peripheral wedge filters Incorrectly place peripheral wedge filters
DIAGNOST 94
ACQUIRING IMAGES
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Acquisition
This section describes how to acquire images using the bolus chase technique.
Basically, the bolus chasing technique provides non-subtracted images. However, additional
subtracted images can be obtained at the beginning and end of the run as described in steps (9,10).
(6) Use one of the scanning movement joysticks [101, 161] to bring the X-ray beam over the
bifurcation of the legs.
(7) If possible, perform a test scan movement under fluoroscopy to check the filter position and
the line-up of the patient's legs related to the longitudinal scan movement. The forward scan
movement can be operated using the speed controller [55]. The backward movement can be
made using the left longitudinal scanning movement control [101, 161].
Note Make sure that no highlights are visible in the fluoroscopy image; they will deteriorate the quality of
your exposures.
(8) Before starting the bolus chase, bring the X-ray beam, under fluoroscopy, precisely over the
start position.
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(9) If no mask image is desired, start the injection and exposure at the same time.
Exposures can be made when the READY indicator [42] is lit, using the handswitch [52] or
footswitch [53].
If a mask image is desired, start the exposures using the handswitch [52] or footswitch [53].
Start the injection after the first image is displayed on the examination monitor. This first
image (without contrast) will serve as a mask image later. Watch the contrast flowing into
the vessels. Wait until the contrast reaches the bottom half of the screen, and then begin the
movement of the table/stand using the speed control handswitch [55].
Note Adapt the movement speed to the flow in the vessels, trying to keep it steady and without extreme
variations. Try to be slightly ahead of the peak of the contrast bolus.
(10) Stop the movement at the most distal position at which images are required. Keep on
making exposures (preferably at a low frame speed) until all the contrast has disappeared.
If desired, the last image can also serve as a mask for subtracted images.
(11) Stop exposure.
DIAGNOST 94
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4-8
WARNING
! In case of an emergency, press emergency stop [120, 160, 180] to switch off power to
the DIAGNOST 94 system, stopping all movements and radiation.
This switches off the acquisition system only; not the DSI system.
If the power to the DSI cabinet is also switched off, all images are lost.
To perform fluoroscopy:
(1) Switch the system on [A].
(2) Select either DSI [3 or 4] or Serial Changer [2 or 3].
Fluoroscopy is not possible with the Wall Bucky or Free Cassette.
For DSI, fluoroscopy images are not stored in the DSI memory.
(3) Position the patient on the table.
(4) If the READY indicator [42] is lit, fluoroscopy can be initiated with footswitch [54].
During fluoroscopy the kV and mA values and cumulative time are displayed in [43].
Press [40] to reset. After 5 minutes of fluoroscopy the buzzer on the control room operating
panel will sound. Press [41] to reset buzzer.
Grab image
To activate, press GRAB IMAGE [298, 322, g] during fluoroscopy or LIH display.
During fluoroscopy:
This function adds one fluoroscopy image (FLUORO GRAB) or a whole run of fluoroscopy
images (DYNAMIC FLUORO GRAB) to the image file of the current examination.
• A single image is grabbed during fluoroscopy if the key is pressed less than 0.5 s.
A single audible signal is given and the GRAB symbol is displayed briefly on the image.
• A fluoroscopy run is grabbed during fluoroscopy if the key is pressed longer than 0.5 s.
A double audible signal is given and the GRAB symbol is displayed as long as DYNAMIC FLUORO
GRAB is active.
As long as key [298, 322] is pressed, fluoroscopy images are stored in the image file of the
current examination.
- Continuous fluoroscopy: every other image is stored
DIAGNOST 94
ACQUIRING IMAGES
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After a grabbed image is successfully stored, the GRAB icon is inverted and an audible signal is given.
If no storage space is available, no image is stored.
Notes - If no patient is selected, no live fluoroscopy or LIH image is stored.
- FLUORO GRAB images look different from live fluoroscopy and Last Image Hold images.
Sometimes postprocessing, like contrast and brightness, should be used to obtain satisfactory images.
- During bypass fluoroscopy, only single image grab is available.
- DYNAMIC FLUORO GRAB is not possible with trace-subtract.
Trace subtract
DSI-Interventional makes it possible to perform Trace-Subtract examinations.
(1) Press TRACE SUBTRACT [324, k].
The monitors are cleared and the PRESTABILIZATION PHASE symbol is displayed.
(2) Initiate fluoroscopy using the footswitch [54].
The PRESTABILIZATION PHASE symbol remains displayed for 2.5 seconds until
fluoroscopy is stabilized, followed by the INJECT PHASE symbol.
(3) Start the contrast medium injection.
The system builds a trace image (maximum opacification) in which the lowest
value of each pixel is stored. In this way an image of the complete blood-vessel
tree is built-up and displayed.
(4) Stop fluoroscopy; the LIH symbol is displayed.
(5) Start fluoroscopy again to start the subtraction phase.
The vessel tree is displayed white on a gray background, with the SUB PHASE
symbol.
(6) Each time fluoroscopy is initiated, the images are subtracted from the Trace Mask
Image, so that the catheter is displayed black over a white vessel tree (or inverted).
The SUB PHASE symbol remains visible.
(7) To deactivate the function, press [324, k] again or activate another function.
Notes -The GRAB function can be used during TRACE SUBTRACT. All grabbed TRACE SUBTRACT images belonging to
one mask are stored in one subtracted run with the mask.
-Dynamic fluoro grab is not possible with trace subtract.
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
DIAGNOST 94
ACQUIRING IMAGES
4-10
DIAGNOST 94
ACQUIRING IMAGES
4-11
General
To acquire images using the Serial Changer, the film cassette has to be inserted and the Serial
Changer imaging mode must be selected.
For an overview of cassette sizes and possible subdivisions, see Section 2.2.2 Remote control panel.
There are four ways of operating the DIAGNOST 94 using the Serial Changer, keys [7, 8, 46-48]:
• kV Operation
• kV/mA Operation (only Super CP generators)
• kV/mAs Operation
• kV/mA/ms Operation
Exposure
If the steps described in sections 4.1 to 4.5 have been performed and the READY indicator [42] is
lit, exposures can be made with the footswitch [53] or handswitch [52].
After a film has been exposed the cassette will be automatically ejected from the serial changer or
placed in the park position (service setting during installation).
Radiography will be blocked until the cassette has been completely removed.
Standard procedure
(1) Switch the system on [A].
(2) Select DSI [3 or 4].
The system displays the Administration screen F1.
(3) Highlight SELECT, using the left/right cursor keys, and press ENTER.
(4) Select the desired examination, using the up/down cursor keys, and press ENTER.
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The examination status changes to CURRENT and the DSI monitors display the patient’s
name in large characters.
• If the examination type scheduled for this patient has been programmed on the
acquisition default screen F6, the related settings are automatically selected for this
acquisition. The corresponding keys at the acquisition module light. If the examination
type has not been programmed, the default system parameters are selected.
• Acquisition stops when the memory is full. Therefore, check if the remaining image
capacity allows a sufficient number of images to be stored, or check the run time in
display [311] and on the examination monitor in the lower right-hand corner.
• If necessary, archive and then delete images of previous examinations to increase
memory space.
DIAGNOST 94
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(5) If required, change the DSI settings for the current examination:
• Acquisition speed [319-321]. The selected acquisition speed is displayed in [311].
During acquisition, the acquisition speed can also be changed using keys [296, 297] on
the viewing module and keys [c, d] on the viewpad.
• Matrix resolution [318]. The key lights if 10242 resolution has been chosen.
Using standard resolution (5122), the storage capacity is higher.
• Subtraction display during acquisition [316]. Key lights if subtraction is activated.
• Image polarity inversion during acquisition [317]. Key lights if polarity inversion is on.
(6) Set the parameters of the acquisition system (See Section 2.2.1 Generator control panel).
Note The actual number of exposures per second is equal to the selected number of exposures per
second, based on a fixed exposure time. If the actual exposure time is longer than the default, the
frame rate will be lowered accordingly. No feedback is given to the operator.
Image Acquisition
(9) Initiate exposure with the appropriate handswitch [52] or footswitch [53].
WARNING
! In case of an emergency, press emergency stop [120, 160, 180] to switch off power to
the DIAGNOST 94 system, stopping all movements and radiation
This switches off the acquisition system only; not the DSI system.
If the power to the DSI cabinet is also switched off [D], all images are lost.
Acquired images
Acquired images are displayed immediately. A single-shot image or the last image of a run remains
displayed for the preset hold time or until a new exposure or fluoroscopy is initiated. Images
acquired after that are added to the examination file of the current patient with a run number and
image number. The acquired images can be viewed at any time, except during exposure and
acquisition; the viewpad can be used to view images easily.
Important viewpad functions during the acquisition process are:
• OVERVIEW [e], to have a quick overview of the current examination,
• PREVIOUS/NEXT IMAGE [c, d], to step through the images
DIAGNOST 94
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After acquisition
• Another patient can be selected for examination.
Press [F1] to display the Administration screen.
Continue from step (3) above.
• Viewing procedures can be started (see Chapter 5, Viewing Images),
• More images can be added to a previously acquired examination, provided no archiving is in
progress. Any examination can be made current again using SELECT.
WARNING
! In normal viewing mode and overview mode, it is possible to view next or
<! > previous examinations. If the operator then makes new exposures or grabs
images, they are stored in the examination selected for acquisition on the
administration screen, which may be different from the examination
displayed on the examination monitor.
If this situation exists, a warning marker appears on the monitor.
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DIAGNOST 94
ACQUIRING IMAGES
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DIAGNOST 94
VIEWING IMAGES
5-1
Introduction
This chapter describes viewing procedures in the DSI, including selecting and processing images
and preparing images for archiving. Preparing images for archiving is not a viewing procedure.
It is covered in this chapter because these functions are performed at the viewing module or
viewpad while processing the images.
Images stored in the memory can be viewed and processed with the functions provided on the
viewing module or viewpad. When an examination is finished, it is advisable to take time to select
images for archiving, and delete unwanted images to increase memory capacity for the next
examination. Useful functions for this purpose are: OVERVIEW [e], RUN CYCLE [h], KEEP [g] and
CLEAR RUN [f ]. These are all available on the viewpad.
It is important that the operator first read Chapter 2, System Description, to understand the
procedures used in this chapter.
WARNING
! In normal viewing mode and overview mode, it is possible to view next or
<! > previous examinations. If the operator then makes new exposures or grabs
images, they are stored in the examination selected for acquisition on the
administration screen, which may be different from the examination
displayed on the examination monitor.
If this situation exists, a warning marker appears on the monitor.
290, e Overview
Up to 16 images within one examination can be displayed at the same time by pressing
[290, e]. Key [290] lights. The multi-image display gives a quick overview of the
examination. Each image's number is displayed in its lower left-hand corner. The image shown
with a highlighted number was the image on display (current image) before overview was selected.
This means that the operator can switch between overview and single image without losing track
of the current image.
DIAGNOST 94
VIEWING IMAGES
5-2
PREVIOUS IMAGE [296, c] and NEXT IMAGE [297, d] can be used to make another image the current
image. Its number is highlighted.
If the examination contains more than 16 images, a left arrow in the upper left-hand corner or
right arrow in the lower right-hand corner, appears when there are images with lower or higher
numbers, respectively, than those currently displayed. PREVIOUS IMAGE [296, c] and NEXT IMAGE
[297, d] display the previous/next overview. PREVIOUS EXAMINATION [294, a] or NEXT EXAMINATION
[295, b] display an overview of the first 16 images of the previous or next examination.
All viewing and image-processing functions can be used when overview is selected, except Zoom,
Annotate and Run Cycle.
When [290, e] is pressed again, the light in [290] goes out and the system returns to single-image
mode. The current image in overview is displayed.
During run cycle, holding down KEEP [298], toggles the KEEP status on/off for each image until the
key is released. Images that were marked as KEEP prior to this action will have the KEEP marker
cleared; images that were not marked as KEEP will be marked as KEEP.
Pressing RESET [277] during run cycle mode, resets the run cycle display speed to the
acquisition speed and sets the display direction to forward. All images marked KEEP have
the KEEP status cleared.
Note Runs acquired by DSI-software prior to release 4.2 are displayed at a rate of two frames per second.
m External video
Ext Key [m] on the viewpad can be configured for external video.
This key switches the image on the reference monitor between the reference image and
an image from an external video source.
Key [m] lights when external video has been selected.
Images grabbed from an external video source can be displayed, processed and archived.
DIAGNOST 94
VIEWING IMAGES
5-3
See description of key [291] for information about grabbing images from an external video source.
Deactivating external video re-displays an existing reference image.
External video is deactivated during Select RIS [F1 screen].
WARNING
! If the displayed external video images are grabbed, they are stored in the
<! > examination selected for acquisition on the administration screen, which may
be different from the examination displayed on the examination monitor.
If this situation exists, a warning marker appears on the monitor.
DIAGNOST 94
VIEWING IMAGES
5-4
The images are stored with the last setting of this function.
Inversion of black borders can be avoided by applying the AUTOMATIC ELECTRONIC
SHUTTERS (System screen F4) or the MANUAL ELECTRONIC SHUTTER function [F10].
When the vertical, left-hand shutter is moved using the left/right cursor keys, the right-hand
shutter moves in the opposite direction. When the horizontal upper shutter is moved using the
up/down cursor keys, the lower shutter moves in the opposite direction.
Any combination of horizontal and vertical movements is possible. A single pressure on a cursor
key moves the associated shutter one step of 4 pixels. Holding the cursor key down increases the
shutter movement progressively. Deactivate the manual shutter function by pressing [F10] again;
the shuttered images remain shuttered and are displayed as such during later viewing.
Pressing RESET [277] on the viewing module, resets the shutters to their zero starting
positions.
Remasking
To select a new mask image, press key [293, j] once to deactivate subtraction, select the desired
mask image using the left/right cursor keys and press key [293, j] again to reactivate subtraction.
DIAGNOST 94
VIEWING IMAGES
5-5
EV-STORE Sends a Bolus Chase Run to EasyVision for reconstruction and storage in the
EasyVision memory and on the EasyVision Optical Disk.
EV-EXPORT Send a Bolus Chase Run to EasyVision for reconstruction and storage in the
EasyVision memory and exporting to the externally connected system.
Bolus Chase may only be exported to an EasyVision Workstation.
Use of these functions is described in Chapter 6 Archiving and Retrieving Images.
Notes - A Bolus Chase run can be flagged only if the destination configured in screen F4 is an EasyVision
with a Bolus Chase option.
- If the HCU of the system defaults to the HCU of the EasyVision, the function Start Hardcopy
[301, i] can be used instead of the EasyVision copy function.
- The film layout depends on the EasyVision default printing protocol for BCR. With a specific
EXAM type, defined on the Acquisition default screen F6 during acquisition, it is possible to
F8, m Zoom
Magnifies a part of the displayed image (single image mode) by a factor of 2.
image is displayed.
In overview mode, a zoomed image is displayed non-zoomed with the zoom symbol in the lower,
left-hand corner. After being sent, both the original and zoomed data are available for processing
on EasyVision.
When an examination with zoomed images is exported to a Dicom system, the zoomed images
will be exported as unzoomed images.
Cautions - Annotations in the original image are not displayed when the image is zoomed.
- Deactivating zoom removes annotations entered on the zoomed image.
- Check that the annotation has been entered correctly before proceeding.
DIAGNOST 94
VIEWING IMAGES
5-6
F9 Pixel shift
Activates the pixel shift function when the current run is a subtracted run.
The symbol indicating PIXEL SHIFT ACTIVE is displayed together with the displayed image.
The mask image shifts, with respect to the displayed image, in steps of 1/4 pixel using
the cursor keys. Holding a cursor key down repeats the shift. Pressing RESET [277] resets
all shifts to zero. Any combination of horizontal and vertical shifts is possible up to a
maximum of 7 3/4 pixels in each direction.
The amount of shift is indicated in the pixel shift symbol.
Since the shift is in pixels, the geometrical shift differs for 5122 and 10242 images.
Press [F9] again to deactivate the function; the shifted images remain shifted and are
displayed as such during later viewing.
If the run is changed to the non-subtracted mode, the shifts are reset to zero and the
pixel shift function is terminated.
F12 Annotate
ABC The annotate function adds or modifies text in a displayed image. Using the cursor keys,
text can be positioned anywhere on the image except over other text and symbols.
Annotations have a maximum of 40 alphanumeric or special characters and are displayed white on
a black background, so they are readable in all image areas.
To enter an annotation:
(1) Type in text.
(2) Press ENTER to confirm input.
(3) To deactivate the function, press ENTER or key [F12].
To copy annotation string:
(1) Press [F12] on another image in the same run.
The same text is displayed on the image. The cursor is positioned at the end of the text.
(2) Press RESET [277] to delete the text, or use BACKSPACE [276] on the keyboard to remove
individual characters.
Annotations are exported to EasyVision but do not appear in their original location on the image.
Annotations are exported to Dicom but do not appear in their original location on the image.
Cautions - Annotations in the original image are not displayed when the image is zoomed.
- Deactivating zoom removes annotations entered on the zoomed image.
- Check that the annotation has been entered correctly before proceeding.
DIAGNOST 94
VIEWING IMAGES
5-7
During viewing:
If the key is not lit, pressing the key labels the displayed image KEEP and the image is not deleted
when Clear run [299, f ] is pressed.
If the key is lit, the displayed image is already set as KEEP and pressing the key removes the KEEP
status.
The KEEP status is indicated by the KEEP symbol on each image in the lower left-hand corner of the
monitor in single-image, overview and run cycle mode.
During Run cycle:
During run cycle, holding down KEEP [298, g], toggles the KEEP status on/off for each image until
the key is released. Images that were marked as KEEP prior to this action will have the KEEP marker
cleared; images that were not marked as KEEP will be marked as KEEP.
When RESET [277] is pressed, the KEEP marker is removed from all images marked for KEEP.
symbol. After the delay, [299, f ] remains lit and the run is cleared.
If the key is released while the light is still flashing, no deletion takes place.
If the run was in subtraction mode, the mask image is not deleted, whatever its KEEP status, unless
no other images of that run were kept.
In single-image mode, the monitor is blank after the deletion, unless the current image was
labelled KEEP.
In overview and single-image modes, the image and capacity displays are updated at the end of the
deletion.
WARNING
! With the CLEAR RUN function, all images in the run not labelled KEEP are deleted; this
also applies to images not displayed.
The image data that is cleared is not retrievable.
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
DIAGNOST 94
VIEWING IMAGES
5-8
Press DSI off [D] to switch off the system, but not before all examinations have been saved or
copied.
Caution If power to the DSI processor cabinet is switched off, all images which have not been
saved or copied will be lost.
DIAGNOST 94
ARCHIVING AND RETRIEVING IMAGES
6-1
Introduction
This chapter describes all the ways in which images can be archived and retrieved.
Archived in this context means that an image is stored on a nonvolatile medium, such as an
optical disk, EasyVision workstation, Dicom network server or hardcopy.
All archiving and retrieving is performed in background.
WARNING
! The operator should verify that the physical hardcopy of images is present, before
deleting any images from the system.
DIAGNOST 94 h Dicom
System
DSI
EasyVision f External
System
d
c a b g e
b. Copy to HCU
Copies an examination to the HCU directly connected to DSI.
c. Copy to DSI optical disk
Copies an examination to an optical disk in the DSI.
d. EV-Send to EasyVision
Transfers an examination to EasyVision.
e. EV-Print to HCU connected to EasyVision
Same as d, and then to the HCU connected to EasyVision.
f. EV-Export to external system
Same as d, and then to an external system.
g. EV-Store to EasyVision optical disk
Same as d, and then to EasyVision optical disk.
h. Dicom
Transfers an examination to an externally connected system.
DIAGNOST 94
ARCHIVING AND RETRIEVING IMAGES
6-2
Cautions - Do not change anything on the display while manual hard copying is in progress.
- When a batch hardcopy is in process, wait until it is finished before selecting the
image for manual copying.
WARNING
! The operator should verify that the physical hardcopy of images is present, before
deleting any images from the system.
DIAGNOST 94
ARCHIVING AND RETRIEVING IMAGES
6-3
Caution Do not switch off the system while the CHECK HCU message is displayed, otherwise all
images are lost.
WARNING
! The operator should verify that the physical hardcopy of images is present, before
deleting any images from the system.
Cancel Copying
To cancel the copying process on the Copy screen [F2]:
CANCEL (1) Select the CANCEL function using the left/right cursor keys.
(2) Select the examination for which copying is to be cancelled using the up/down cursor keys
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
Note To start the copying process after sending images to EasyVision, refer to the operator’s manual of the
EasyVision
An examination that is displayed on a monitor can be copied to the HCU directly connected to
EV-PRINT the EasyVision Workstation by:
• using the Copy screen [F2] procedure or,
• pressing START HARDCOPY [301, i] (if configured)
Image processing cannot be applied to examinations with the flagged or busy status.
DIAGNOST 94
ARCHIVING AND RETRIEVING IMAGES
6-4
Caution Do not switch off the system while COPY IMAGE message is still on the screen, otherwise
all images are lost.
WARNING
! The operator should verify that the physical hardcopy of images is present, before
deleting any images from the system.
Cancel EV-Print/Copying
To cancel the copying process on the Copy screen [F2]:
CANCEL (1) Select the CANCEL function using the left/right cursor keys.
(2) Select the examination for which copying is to be cancelled using the up/down cursor keys
and press ENTER.
Note Perform a warm restart if the system does not respond to a cancel function.
DIAGNOST 94
ARCHIVING AND RETRIEVING IMAGES
6-5
During transfer, the number of images remaining to be transferred is shown on the Copy screen [F2].
• After an examination is labelled for transfer, it shows the status EXPORT FLAG or EXPORT BUSY.
• The examination is given the status EXPORT DONE after the transfer is successful.
• The examination is given the status EXPORT ERROR and the transfer process stops if the
transfer is not successful.
Cancel Export
To cancel the export process on the Copy screen [F2]:
CANCEL (1) Select the CANCEL function using the left/right cursor keys.
(2) Select the examination for which exporting is to be cancelled using the up/down cursor keys
and press ENTER.
The status changes to EXPORT CANC.
Examinations flagged for exporting are returned to their original status.
Note Perform a warm restart if the system does not respond to a cancel function.
DIAGNOST 94
ARCHIVING AND RETRIEVING IMAGES
6-6
6.4.2 List
Use [F3] LIST to display the contents of the optical disk.
(1) Insert an optical disk in the disk drive.
LIST (2) Press [F3].
(3) Select LIST using the left/right cursor keys.
The disk directory is displayed with the number of free blocks and examinations on the disk.
The number of exams and screen number is shown on the film/disk information line.
A list with a maximum of 42 patient examinations is displayed over three screens.
(4) Use the up/down cursor keys to display other screens.
(5) Press any other key to exit the LIST function.
The DSI examination list is shown again.
DIAGNOST 94
ARCHIVING AND RETRIEVING IMAGES
6-7
Caution EasyVision disks are formatted differently from DSI disks, so do not mix these disks.
Caution If ERASE is cancelled, it is not possible to read or write the disk until a complete erase
has been performed.
Switching on
The data printer is always switched on with the X-ray generator automatically. Therefore, the
switch on the printer should always remain in the ON position. The green POWER and SEL lamps
should be lit.
In case of a fault
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
For inserting new labels or paper and changing the ribbon, see the data printer operator's manual.
DIAGNOST 94
ARCHIVING AND RETRIEVING IMAGES
6-8
Data printout
Pressing GENERATOR RESET [40], located on the generator control panel, starts the printout.
Top lines
PATIENT Consecutive identification numbers beginning with 1 each day.
The numbers 1, 2 ... on the printout will be the same as the ID number
only if more than one printout with the same patient number is made.
ROOM Alphanumeric characters, programmed by Service, for up to three
rooms. The date and time follow.
Exposure data
APR Number of APR program selected.
EXP Number of exposures with the same APR program.
KV Exposure voltage.
MAS Accumulated total mAs for all exposures made with the same APR
program and exposure data.
FORMAT Details of exposure format used.
DOSE Cumulative total dose in dGy.cm2 from all exposures made with this
program.
Bottom lines
FLUOROTIME Cumulative fluoroscopy time in minutes and seconds.
SUM OF EXPOSURES Total number of exposures.
FLUORODOSE Cumulative dose received during fluoroscopy in dGy.cm2.
SUMDOSE Cumulative dose from all exposures and fluoroscopy in dGy.cm2.
Data deletion
Data is deleted automatically, if it has been printed, when a new exposure is made or when
fluoroscopy is switched on.
Additional filters
If additional filters are used in the collimator, the following correction factors must be applied to
the dose values.
kV 1 mm Al 2 mm Al 1 mm Al 0.1
+ 0.2 mm Cu
DIAGNOST 94
DSI SYSTEM SETUP FUNCTIONS
7-1
This chapter describes the DSI parameters that can be changed by the user; these are different
from Service-adjustable parameters. To cancel the input entered, press ESCAPE [278] or one of the
FUNCTION KEYS [F1 - F6]. Select the required screen and start again.
DIAGNOST 94
DSI SYSTEM SETUP FUNCTIONS
7-2
EXAMINATION EXAM TYPE SPEED RESOL. POLARITY GSE SUBTR. SUB. CONTR. FLUO NO
Swallow SWALLW 6/sec 512 invert L off 2.5 off
Barium meal BAMEAL 1x 512 invert L off 2.5 dyn. low
Small intestine SMLINT 1x 512 invert L off 2.5 dyn. low
Large intestine COLON 1x 512 invert L off 2.5 dyn. low
A maximum of 14 examination types, configured during installation or added later, can be stored
and recalled.
(1) Select the Acquisition default screen [F6] offering the functions:
. Add
. Delete
. Modify
(2) Select the desired function using the left/right cursor keys and press ENTER.
The cursor moves to the EXAM TYPE field and an EXAM is highlighted.
DIAGNOST 94
DSI SYSTEM SETUP FUNCTIONS
7-3
(10) Select the desired value using the up/down cursor keys and press ENTER.
To enter more default settings for other EXAMINATION types, repeat steps (3) to (10).
Note Fields may be absent, depending on the system configuration.
DIAGNOST 94
DSI SYSTEM SETUP FUNCTIONS
7-4
Dynamic High High noise reduction; Less Intensive lag I.A. Angiography;
noise reduction at moving during motion P.T.A procedures
objects in the image
Dynamic Medium High noise reduction; Less Lag during motion I.A. Angiography;
noise reduction at moving I.V. Angiography;
objects in the image E.R.C.P.
Dynamic Low Little lag during motion Low noise reduction Oesophagus; Barium
meal; Arthrography;
Bolus chase
Fixed Low Little lag during motion; Less noise reduction Barium meal;
Consistent noise behavior Arthrography
over complete image
Note Last Image Hold, Fluoroscopy Grab and Trace-Subtract function during all fluoroscopy noise
reduction modes.
DIAGNOST 94
SYSTEM AND ERROR MESSAGES
8-1
Introduction
This chapter describes the built-in user-guidance system for the DIAGNOST 94.
System messages are divided into generator and stand messages. They are displayed in the ‘error
displays’ on the generator and remote control panels.
Messages related to the digital acquisition system are shown on the message line of the DSI
screens.
If problems occur that cannot be solved locally, contact your Philips Medical Systems Service
Organization.
Symbols representing a system condition or error situations are displayed in the warning display
[42] and, if applicable, the text 'Err' and a fault code appear in the mAs and ms display
fields respectively.
Exposure error
'Ready' indicator
DIAGNOST 94
SYSTEM AND ERROR MESSAGES
8-2
63 64 69 77 78 88 90
61 62 67 68 71 72 79 80 86 87
73 74 81 82
65 66 60 70 75 76 83
85 89 94
92
93 95 98 109
101
This section describes the message displayed when an error relating to the position of the stand
occurs and the actions that should be taken to correct the error. Error messages relating to the
position of the stand are displayed on the remote control panel.
‘10’ flashing The tilt movement is blocked because the ‘floor mat’ is activated.
Release floormat to continue.
The floormat can be released by moving the stand or table.
Column angle [100] The request is blocked due to the current column angle
(collision with floor; angle > 20°).
Move column [98] to release blockage.
Actual compressor pressure [90] The request is blocked because the compressor is selected or
pressing.
Deselect compressor [85] or release pressure [89] to continue.
DIAGNOST 94
SYSTEM AND ERROR MESSAGES
8-3
Layer height [69] The angulation request is blocked because the layer height is not
equal to 80 mm.
Use RESET STAND joystick [60] to make layer height 80 mm.
Table tilt [97] The request is blocked due to a potential collision with the floor,
ceiling or wall.
Use tilt table [95] to release blockage.
Compressor selection [85] The 20 kgf switch is active and the compressor is switched off.
Press key [85] to reselect compressor.
Reset stand [60] 1. The angulation request is blocked because the layer height is
not equal to 80 mm.
Use RESET STAND joystick [60] to make layer height 80 mm.
2. The tomo movements are blocked because the stand is not
within the tomo working area (i.e., where collision-free
movement is possible).
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
Allowed film subdivisions 1. The exposure is blocked because no subdivision has been
[72-76] selected.
2. The 1-1 division is selected automatically.
The allowed subdivisions cease flashing after a few seconds.
3. The requested subdivision is not allowed.
Select one of the flashing subdivisions.
DIAGNOST 94
SYSTEM AND ERROR MESSAGES
8-4
Tomography select [65] The request is blocked because tomo mode is selected
Other indications
flashing light above The request is blocked because of a potential collision with the
scanning movement joystick floor, walls, ceiling or patient.
Use joystick indicated to move away from collision.
Messages and prompts are displayed on the message line of the screens and most of them are self-
explanatory. If not, additional information is given in this chapter.
The messages are presented in alphabetical order:
Disc is full Not more than 42 patients (or 1147 blocks) can be
saved on one side of the disk. Use ERASE to clear
entire disk or use a new disk
Disc is write protected Unprotect the disk
DIAGNOST 94
SYSTEM AND ERROR MESSAGES
8-5
Disc still busy Wait until the disk action has been completed
Local batch copy not available Use HCU keypad to copy images manually
New disc, use erase to make disc Format the disk first with ERASE on F3 screen
useable for DSI
No acquisition examination selected Use SELECT function on F1 screen to select a patient
for acquisition
No examination available Use ADD function on F1 screen to add a new patient
No examination available on DSI disc Disk is empty, but useable for DSI
No exam type available Use ADD function on F6 screen to enter a new
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
exam type
No images to copy Copy selected, but examination contains no images
No images to save Save selected, but examination contains no images
No images to view available Trying to view an image, but no image available
Non DSI disc, list not possible The disk format is unknown
Non-DSI disc, OK to erase? yes no The disk format is unknown. Answer YES to
erase the entire disk
Non-DSI disc, retrieve not possible The disk format is unknown
Non-DSI disc, save not possible The disk format is unknown
No optical disc available Optical disk function selected, but not configured
No patient available Use ADD function on F1 screen to add a new patient
No patient available from RIS Add patient and examination data on F1 screen
No physician available Use ADD function on F5 screen to enter a new
physician code
No RIS interface available RIS not configured
DIAGNOST 94
SYSTEM AND ERROR MESSAGES
8-6
Not enough space to make test examination Use DELETE function on F1 screen or delete images
with CLEAR RUN to make space for scheduling new
examinations
Not enough space to retrieve examination Use DELETE function on F1 screen, or Keep and Clear
to delete unwanted examinations/ images
OK to cancel erase disc action? yes no After answering YES, the disk is not usable
OK to erase all? yes no The disk contains the examinations listed. Select
YES to erase all. Be aware, all data are lost
OK to erase empty disc? yes no Not necessary., only if disk is not working correctly
Optical disc busy, deletion not allowed Wait until optical disk action has been completed
Optical disc busy, modification not allowed Wait until optical disk action has been completed
Optical disc option not configured Optical disk function selected, but not configured
Optical disc still busy Wait until optical disk action has been completed
Patient administration full Use DELETE function on F1 screen to make space for
scheduling new examinations
Physician administration full Use DELETE function on F5 screen to make space for
additional physician names.
Please wait The action requested takes some time. Wait
Press any key to continue Press F1. . . F6 to continue
Process in background still busy for Wait until the archiving process of this examination
this examination has been completed
Process in background still busy Wait until all archiving processes have been completed
This field must be filled in At least 1 character to be filled in, but not a space
X-ray system not responding Check that the Acquisition system is switched on
Message Reason
DIAGNOST 94
SYSTEM AND ERROR MESSAGES
8-7
Message Reason
NOT COPIED acquisition completed but not yet copied or COPY CANCELLED completed
NOT EXPORT acquisition completed but not yet exported or EXPORT CANCELLED completed
NOT PRINT. acquisition completed but not yet printed or PRINT CANCELLED completed
NOT SENT acquisition completed but not yet sent to EasyVision or SENT CANCELLED
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
completed
NOT STORED acquisition completed but not yet stored or STORE CANCELLED completed
DIAGNOST 94
SYSTEM AND ERROR MESSAGES
8-8
DIAGNOST 94
MAINTAINING THE SYSTEM
9-1
This chapter describes the maintenance, cleaning and sterilization procedures for the
DIAGNOST 94.
Philips provides a full planned maintenance and repair service on both a call basis and a contract
basis. Full details are available from your Philips Service Organization.
Although the operator does not carry out planned maintenance, he or she should always take all
practical steps to make sure that the Planned Maintenance Programme is fully up to date before
using the equipment with a patient.
DIAGNOST 94
MAINTAINING THE SYSTEM
9-2
* Visual and/or audible checks during routine use. Refer to Service Documentation
Cleaning and disinfection of the Philips DIAGNOST 94 will be required from time to time.
Guidelines for each are given below.
Sterilization is not a maintenance operation, but is described in this section, since the processes are
similar to those of disinfection.
Cleaning, disinfection and sterilization techniques for both the equipment and the room must
comply with all applicable laws and regulations which have the force of law within the
jurisdiction(s) in which the equipment is located.
WARNINGS
! - Always isolate the equipment from the mains electrical supply before cleaning,
disinfecting or sterilizing it, to prevent electrical shocks.
- Never allow water or other liquids to enter the equipment, since these may cause
subsequent short-circuits or metal corrosion.
9.2.1 Cleaning
Enamelled parts and aluminum surfaces should only be wiped clean with a damp cloth and a mild
detergent, and then rubbed down with a dry woollen cloth. Never use corrosive cleaning agents,
solvents, abrasive detergents or abrasive polishes. If you are not sure about the properties of a
cleaning agent, do not use it.
Chrome parts should be cleaned only by rubbing down with a dry woollen cloth.
Do not use abrasive polishes. To keep the finish, use a non-abrasive wax.
DIAGNOST 94
MAINTAINING THE SYSTEM
9-3
If non-flammable, non-explosive spray disinfectants are to be used, the equipment must first be
switched off and allowed to cool down. This prevents convection currents drawing spray mist into
the equipment. Plastic sheeting must be used to cover the equipment thoroughly, after which
spraying can begin.
Once all traces of the disinfectant vapour have dispersed, the plastic sheeting can be removed and
the equipment itself can be disinfected or sterilized in the way recommended above.
If a spray was used, you must be satisfied that all traces of the vapour have dispersed before
switching the equipment on again.
Disinfection techniques for both the equipment and the room must comply with all applicable
laws and regulations which have the force of law within the jurisdiction in which the equipment is
located.
WARNING
! Do not use flammable or potentially-explosive disinfecting or sterilizing sprays. Such
sprays create vapours which can ignite, causing fatal or other serious personal injury.
DIAGNOST 94
MAINTAINING THE SYSTEM
9-4
DIAGNOST 94
DISPOSING OF THE DIAGNOST 94
10-1
10.1 Introduction
Philips equipment is designed and manufactured to comply with relevant guidelines for
environmental protection. As long as the equipment is properly operated and maintained, it
presents no environmental risks. However, the equipment does contain material(s) which may be
harmful to the environment if disposed of incorrectly. Use of such material(s) is essential to
performing the functions of the equipment, and to meeting statutory and other requirements.
Philips Medical Systems is concerned to help protect the natural environment, and to help ensure
continued safe and effective use of the DIAGNOST 94 through proper support, maintenance and
training.
This section of this Operator's Manual is directed mainly at the user of the equipment or system -
the body with legal authority over the equipment. Operators are not usually involved in disposal,
except in the case of certain batteries (see Section 10.4 Batteries below).
A new user should be made aware of the support services that Philips Medical Systems provides
for installing, commissioning and maintaining the equipment or system, and for the
comprehensive training of operators.
It must be remembered by all existing users that passing on medical electrical and equipment to
new users may create serious technical, medical and legal risks. Such risks can arise even if the
equipment is given away. Existing users are strongly advised to seek advice from their local Philips
Medical Systems representative before committing themselves to passing on any equipment.
Alternatively, contact Philips Medical Systems at the address given below.
Once the equipment has been passed on to a new user, a previous user may still receive important
safety-related information, such as bulletins and field change orders. In many jurisdictions, there
is a clear duty on the previous user to communicate such safety-related information to new users.
Previous users who are not able or prepared to do this should inform Philips Medical Systems
about the new user, so that Philips Medical Systems can provide the new user with safety-related
information.
multi DIAGNOST 3
DISPOSING OF THE DIAGNOST 94
10-2
WARNING
! Do not dispose of the DIAGNOST 94 (or any parts of it) with industrial or domestic
waste. This system contains hazardous materials which requires special disposal.
Incorrect disposal of any of these materials may lead to serious environmental
pollution.
Final disposal is when the user disposes of the equipment or system in such a way that it can no
longer be used for its intended purpose(s).
For advice and information, contact your Philips Service Organization first, or otherwise Philips
Medical Systems at the address below:
Caution Remove the batteries if the viewpad will not be used for a long time.
multi DIAGNOST 3
TECHNICAL DATA
11-1
Compliance
The Philips DIAGNOST 94 complies with relevant national and international standards,
regulations and laws.
Information on such compliance will be issued on request by your Philips Medical Systems
representative or by:
Philips Medical Systems
Dept. Corporate Technology
P.O. Box 10.000
5680 DA BEST,
The Netherlands
Fax: + 31 40 2762205
Stand
Stand movements
Table tilt 90° to - 30° or to - 90° Trendelenburg
Tilting speed variable from 1 to 4.5 °/s
The tilting speed is automatically reduced to zero near horizontal
and end positions.
Transversal travel 30 cm
Scanning X-ray beam scanning range: 160 cm
Patient coverage approximately 198 cm (38 cm II)
Tube column Tube angulation: 40° to either side with orthogonal stop
SID 110 and 150 cm
Tube rotation Manual 180° to either side with stops at 0°, 40°, 50° and 90° on
both sides
Tomography Linear movement at 40°, 20° and 8°
Speed selectable for each tomography angle
40° in 3 or 1.5 seconds
20° in 1.5 or 0.75 seconds
8° in 0.6 or 0.3 seconds
SID during tomography 110 cm
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
Stand dimensions
Tabletop to floor distance 80, 84 or 88 cm (set during installation)
Tabletop Dimensions: 240 x 69.5 cm
Materials: low absorption tabletop; 0.6 mm Al equivalent
flat with flat accessory rails
Collimator Automatic with near-focus iris shutters, coupled to cassette format,
film subdivision (if applicable), SID and image intensifier field,
rotatable manually over 45° to both sides
Serial changer fully automatic insertion for cm and inch cassettes
for an overview of cassette sizes and possible subdivisions, if
applicable, see Section 2.2.2 Remote control panel.
L/R indicator (optional)
DIAGNOST 94
TECHNICAL DATA
11-2
Subsystems
X-ray tubes Compatible with Rotalix and Super Rotalix tube assemblies
Image intensifier 23-cm and 38-cm Triview image intensifier with one channel
distributor
Nominal field sizes: 23/17/14 cm: 9/7/5 inches
38/25/17 cm: 14/10/7 inches
Generators Output
Medio 50 CP 650 mA at 80 kV
500 mA at 100 kV
400 mA at 125 kV
320 mA at 150 kV
Nominal power 50 kW IEC (9601-2-7/1987)
Medio 65 CP 700 mA at 80 kV
650 mA at 100 kV
500 mA at 125 kV
400 mA at 150 kV
Nominal power 65 kW IEC (9601-2-7/1987)
Super 80 CP 1000 mA at 80 kV
800 mA at 100 kV
630 mA at 125 kV
500 mA at 150 kV
Nominal power 80 kW IEC (9601-2-7/1987)
DIAGNOST 94
TECHNICAL DATA
11-3
Thyristor timer
Quartz controlled, minimum switching time 1 or 3 ms
Operating controls
All DIAGNOST 94 operating controls are centralized in a remote user-interface.
The essential controls for table movements are duplicated on an optional nearby control panel
which can be mounted anywhere on the tableside, or on a separate mobile pedestal.The controls
used most frequently for radiography are duplicated on the front panel of the serial changer or
automatic Bucky.
Voltage ranges
40 to 150 kV for radiography
40 to 110 kV for fluoroscopy
Options
Data display with fluoroscopic image on monitor
Printer for printout of exposure parameters and area-dose product
Automatic exposure control for tomography on serial changer
DSI System
Dimensions (w x h x d)
Processor cabinet 58 x 154 x 91 cm
Keyboard With viewing module: 51 x 6 x 22 cm
Operating modules Acquisition module 1x 3M: 21 x 6 x 13 cm
Power Consumption
1.5 kW
Cable Lengths
cabinet to imaging chain 20 m
cabinet to generator 20 m
cabinet to console or operating modules 20 m
cabinet to local HCU 30 m
DIAGNOST 94
TECHNICAL DATA
11-4
Optical Disk
5 1/2- inch erasable (WMRM) disk
Access time < 6 seconds
Save speed 8 seconds per 10242 image
3 seconds per 5122 image
Retrieve speed Directory display < 5 seconds
First image available < 10 seconds; thereafter
8 seconds per 10242 image
3 seconds per 5122 image
Erase speed Directory display < 5 seconds
1 side of disk within 10 minutes
Eject time Disk can be removed < 5 seconds
DIAGNOST 94
LEGEND
46 49 9 42 10 35 43 36 37 40 41 12-1
CHAPTER 12 LEGEND
50
47 38
Generator Control Panel 51
A System on 11-18 FPR selection 48 39
8
B System off 19-26 APR selection 7
27-33 APR kV selection
19
Auxiliary selection for Super CP generator 34 Bolus chase program 20
12
1 Serial changer 35 kV setting and display 11 27
36 mA or mAs setting and display 28
2 Serial changer in tomography mode 2 21
3 DSI 37 Time setting and display 1
44
4 DSI in tomography mode 38 Patient thinner than normal A
4
5 Free cassette on tabletop 39 Patient thicker than normal 3
44
DIAGNOST 94
LEGEND
12-2
Imaging Module 122 123 121 128 129 135 140 146 141
120 Emergency power off 136 Normal exposure dose
121 Image intensifier field size display 137 Low exposure dose
122 Decrease field size selection 138 Fluoroscopy kV adjustment
123 Increase field size selection 139 Fluoroscopy mA adjustment
124-130 Not used 140 Not used 124 120
131 Measuring field selection for fluoroscopy 141 L/R indication deselection 125
Collimator controls
211 Scale indicating lateral shutter position 185 186 189 190 193 194 197 198
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
12-3
Table Indicators
231 Tilt angle indicator
232 Column angle indicator
233 Power supply connector and earth
connector for contrast agent injector
234
234 Collision detector under compressor unit
235 Collision detector behind tabletop
232
236 Collision detectors on both sides of
serial changer 235
Optional Accessories
243 Shoulder supports Table indicators
244 Head clamp
245 Ankle clamps
246 Compression ratchet set 257
247 Lateral cassette holder (not shown) 264
256
248 Adjustable cassette clamp
249 Rotatable stool for footrest 241
C D
DIAGNOST 94
LEGEND
12-4
DSI Keyboard
271 Cursor up 279 Function keys
272 Cursor down F1 Administration Screen
273 Cursor left F2 Copy Screen
274 Cursor right F3 Transfer Screen
275 Enter F4 System Screen 279 283 286 289
DSI Viewing Module 322 323 324 Enter F9 F10 277 292 293 291
281 Decrease contrast 296 Previous image; Decrease acquisition speed; 275 ABC
Ext
F11 F12 F8 300 F7 301
282 Increase contrast Previous run
283 Contrast level indicator 297 Next image; Increase acquisition speed;
273 271 274 290 298 299 302
316 317 318
284 Decrease brightness Next run
285 Increase brightness 298 Keep image selection or Grab image 272 1 1
294 295
286 Brightness level indicator 299 Clear run 296 297
DSI Viewpad
DIAGNOST 94
LEGEND
12-5
333 337
Examination Room Monitor
330 Power on/off switch with indicator
331 Brightness control
332 Contrast control
333 Sensor for automatic brightness adaptation
341
343
342
DIAGNOST 94
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
12-6
DIAGNOST 94
LEGEND
INDEX
13-1
CHAPTER 13 INDEX
A export 6-5
Abbreviations 1-3, 2-1 HCU 6-2
Accessories, 2-32, 3-10 optical disk 6-6
optional 2-32 [243-257], 3-12 preparation 5-7
paediatric 2-33 [261-266], 3-23 Area dose printout 2-11 [40], 6-7
standard 2-32 [241-242], 3-10 Automatic shutter position 2-51
Accessory rail 2-29 [221]
Acquisition 2.1.4, 4.3 B
digital acquisition 4-11 Baby support accessory 2-33 [263], 3-24
display 2-45 [311] Bolus chase 4-3
dose selection [135-137] flag for BCR [F7]
module 2-45 procedure 4-6
image acquisition 4-1 program 2-11 [34]
image polarity on/off 2-46 [317]] speed control 2-13 [55]
imaging mode selection 2-9 [1-6], 4-2 Brightness
image processing parameters during 2-52 control on monitors 2-49 [331, 335]
imaging technique selection 2-10 [11-34], 4-2 decrease 2-38 [284]
matrix resolution 2-46 [318] increase 2-38 [285]
parameters 7-2 indicator 2-38 [286]
single-shot selection 2-46 [319] Bypass fluoroscopy 2-4
speed default setting 2-51
speed selection 2-40 [296, 297], C
2-46 [320, 321] Capacity display 2-45 [311]
subtraction during 2-45 [316], 2-52 Cartridge (optical disk)
Acquisition default screen 2-61 [F6], 7.3 eject 2-50 [342]
Adjustable cassette clamp accessory 2-32 [248] handling 2-50
Adjustable positioners, pair 2-32 [254], 3-14 inserting and removing a cartridge 2-50
PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. ©
DIAGNOST 94
INDEX
13-2
DIAGNOST 94
INDEX
13-3
DIAGNOST 94
INDEX
13-4
DIAGNOST 94
INDEX
13-5
DIAGNOST 94
INDEX
13-6
V
Video
external 2-46 [323, m]
grab external video image 2-39 [291, l]
Viewpad 2-47
battery disposal/replacement 10-2
controls 2-47 [a-m]
Viewing 2-37, 5
annotate 2-36 [F12]
brightness control 2-38 [284, 285]
contrast control 2-38 [281, 282]
edge enhancement control 2-38 [287, 288]
keep 2-41 [298, g]
manual electronic shutters 2-36 [F10]
module 2-37
overview on/off 2-38 [290, e]
park/grab 2-39[291]
pixel shift 2-36 [F9]
polarity inversion on/off 3-39 [292]
processing 5-3
run clear 2-42 [299, f ]
run cycle 2-43 [302, h]
selection 5-1
subtraction contrast change 2-36 [F11]
subtraction on/off -remasking 2-39 [293, j]
zoom 2-36 [F8]
Viewing module 2-37
DIAGNOST 94