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Kodak shall not be liable for any loss or damage, including consequential or special damages, resulting from any use of this information, even if loss or damage is caused by Kodak’s negligence or other fault. The CR 800 function is to read the latent image formed on a Storage phosphor imaging plate and produce a digital image, which can be viewed, enhanced, stored, printed, and distributed across a network. Physical connections to the facility’s netward are via site-provided Category 5 cabling.While the primary service will be performed on site, remote service capabilities make it possible for the Technical Service Center (TSC) to accesss service functions remotely.Producing the Aerial Image In both conventional and computed radiographic systems, X-rays are produced in an X-ray tube and directed toward an image receptor. A number of operations is required in order to capture the latent image stored in the storage phosphor screen and turn it into a digital image that can be viewed on a computer screen and printed out. These operations. After exposure, the screen has a “latent” image where the screen was exposed to the radiation. Efficient read-out of the screen requires a high stimulating light Illustration showing the movement of the beam across the intensity, such as that offered by a laser beam. Illustration showing the relationship of the collector to the The emitted light goes in all directions. Therefore, a light collector is optimally emitted light. Digital (Computer Radiography) Comparison. Phosphor screen - Barium Flourohalide.A CR 800 can even be placed in the X-Ray room eliminating the need for the radioprapher to leave the exam room for PLATE processing. Power Distribution Components S8 INTERLOCK SWITCH The S8 INTERLOCK SWITCH controls relays on the A1 MSC BD, which in turn controls the 24 V DC power to the the DC components, including the MOTORS, SOLENOIDS, and the LASER SHUTTER.
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The A6 is responsible for accurately controlling all vertical movement of the PLATE in a constant linear motion perpendicular to the direction of the LASER sweep. Plate Handling involves unlatching the PLATE and hooking it onto the EXTRACTION BAR. The DUPLEX CAM is essentially 2 CAMS, the SLED CAM and the HOOK CAM, each with separate functions. After the position is verified,the MSC BD directs the CAM MOTOR to index the DUPLEX CAM to the next position. The emitters of each are located on one side of the entrance with the detectors directly opposite each respectively. The RIGHT RIGHT FRONT ROLLER AY ROLLER AY is stationary, whereas the LEFT ROLLER AY is moveable. The top 2 rollers of both assemblies are made of soft plastic. As the DUPLEX CAM indexes through the positions 1 - 4, the HOOK CAM initiates the actions for hooking and unhooking the PLATE to the EXTRACTION BAR. In addition, the PLATE GUIDE AY has 2 sets of PLATE Plate Guide Ay GUIDE ROLLERS that position the PLATE for optimal scanning. They are used in the MOTOR to determine the position of the MAGNET poles relative to the coils. See “Operation of the GALVO System??not an official name?any ideas?.”. Below is an attempt to provide a more detailed description, but to make it less technical. I don’t know how well I’ve succeeded. 1. To set up for a PLATE scan, the system (WHAT?) sets the plate-size-select inputs to the State Machine for the PLATE being scanned, that is, the plate width and the number of lines to be scanned ?? is this true?. Time This will be a chart showing the signal both time and velocity. I need help here, both in drawing it, and in any textthat should accompany the graphical representation. This is a pretty bad drawing program, but it is just to give you an idea. The purpose of the PMT system is to collect the blue light emitted from the PHOSPHOR PLATE when the PLATE is scanned, measure its intensity, and convert the measurement to digital format. Same problem with the Galvo Bd.
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Also, I’m not sure how much of Doug’s explanation to include. This is the measurement of the intensity of the blue light that was emitted by the PHOSPHOR PLATE. 6. Recall that the intensity of the blue light is proportional to the charge stored by the phosphor and the intensity of the laser beam that struck the phosphor. In order to reconstruct the original image, we need to know how strong the laser beam was when the blue light was measured. All logs are created on the INTERNAL PC. They are time stamped, written in English, and can be accessed from a remote location by authorized Service Personnel. ?Maybe this is superfluous since there is more and better information in diagnostics?? Should it just be eliminated.The first few degrees of the CAM rotation pushes the HOOKS up. The rest of the rotation, unlatches the CASSETTE and hooks the PLATE to the EXTRACTION BAR.Throughout these processes much of the activity is synchronized by the Digitizer BD and the Galvo ??BD??. Scanning Sequence Pre-scanning Conditions Prior to the optical start of scan, the Plate has reached the mechanical Start of Scan. While the PLATE is moving down in the Slow Scan direction each line of the Fast Scan begins one pixel line higher up on the PLATE. The distance the LASER travels both vertically (Slow Scan) and horizontally (Fast Scan) is set up in configuration for each PLATE size. As it encounters a charged phosphor (by the x-ray exposure), it causes the phosphor to emit blue light. The intensity of the blue light is proportional to the strength of the incident X-ray and the power of the laser at the point it strikes the phosphor. The light is emitted in a random fashion. With each sampling point (in time) that the LASER reads on the PLATE, the REF BD is reading the reference signal.Each 32 bit word represents a “pixel”. The MCPU then directs the Erase Plate sequence.If it fails after 3 tries, it erases the file and reports the action to the NT where the original file is stored.
IMPORT ANT: The side and back panels sh all be opened by author ized Kodak s ervice perso nnel only. LASER WARNING: This equipment uses a visible red laser. Laser radiation will be present when the machine is opened with the side and back panels removed and the interlocks defeated. Avoid direct exposure to the laser beam. This pr oduct is a Class 1 Laser produ ct.This equ ipment has been tested and found to comply with the limits fo r a Class A d igital device, pursuant to part 15 o f the FCC rules. These limits are designed to provide reasonabl e protection against harmful interference when the equipment is operated in a commercial environment. This equipment generates, uses and can radiate radio frequency energy and, if not installed and used in accordance with the instr uction manual, may cause harmful interference to radio communications. Operation of th is equipment in a residential area is likely to cause harmful interference in which case the user will be required to corr ect the interference at his own expense. The use of accessory equipment not complying with the equivalent safety requi rements of this eq uipment may lead t o a reduced level of safety of the resulting s ystem. Precaution: The pote ntial exists for artifacts if one casse tte is being processed while a second cassette is being exposed. If you experience image artifacts, we suggest you discontinue simultaneous exposing and processing o f CR cassettes. Disposal of components that contain lead may be regulated due to environmental conditions. For disposal or recycling information, contact your local authori ties or visit the Electronics Industry Alliance web site at.eiae.org. CAUTION: The UPS battery must be replaced by a Kodak authorized Service Provider. The UPS battery contains lead and poses a hazard to the environment and human health if not di sposed of properly. T reat this battery as a hazardous waste if it is not recycled.
A recycling infrastructure is widely available in the US to manage this battery type. CAUTION: This product contains mercury. Disposal of components containing this material may be regulated due to environmental considerat ions. For disposal or recycling information, please contact your local author ities or visit the Electronics Industry Alliance W e b site at.eiae.org. The information contained herein is based on the experience and knowledge relating to th e subject matter gained by Eastman Kod ak Company pri or to public ation. No patent license is granted b y this informati on. Eastman Kod ak Company reserv es the right to ch ange this infor mation without no tice and makes no warran ty, expr ess or implied, with respect to t his information. Kodak shall not be liable f or any loss or damage, including consequential or special damages, resulting fr om the use of this information, even if loss or damage is caused by Kodak's negligence or other fault. Acoustic Noise Emission Information Operator position Sou nd Pressure Level s (L A ) T ested p er DIN 456 35, ANSI S12.10- 1985, IS O 7779. Stan dby Operate NOTE: Notes provid e additional inf ormation, such as expanded explanations, hi nts, or reminder s. IMPORT ANT: Important not es highlight cri tical pol icy information that affects how you use this guid e and this prod uct. CAUTION: Cautions point out procedures that you must follow precisely to avoid damage to the system or any of its components, loss of data, or corruption of files in software applications. WARNING: W arnings identify procedures that y ou must follow precisely to avoi d injury to yourself or others. LASER WARNING: Laser warnings warn pers onnel that access to laser radiation is possible an d all personn el must avoid dir ect expos ure to the beam. T ypeface Conventions Boldface type r epresents butto ns or selection s that you make on th e touch screen and to identify screen n ames.
The data is sent to t he CR System where it is ass ociated with the proper image. See page 10-10 for inf ormation on us ing the R OP. Once the image is scanned and stor ed on the CR System, the cassette is erased and ejected.Once the image is scanned and stored on the CR System, the cassette is erased, ejected, and automatically moved so the next cassette can be scanned.Internal PC An internal PC, accessible from the front of the CR System, contains the operating software for image processing and for communicating with external networ k devi ces. Cassettes St orage phosphor screens are mounted in standard size cassettes. Yo u perform patien t exams the same way as when using co nventional film cassettes. Instead of processing f ilm to develop the image, a laser in the CR System scans the latent image on the phosphor screen and produces a digital image. Cassettes are repeatedly exposed, and their screens erased and reused. General Purpos e (GP) cassettes have gray cor ners and High Resolution (HR) cassettes are ident ified with bl ack corners.Use the ROP, with the bar code scanner, t o enter patient, exam, or cassette (PEC) data, and review and reprocess images and route the images to their destinations. All Patient Exam Cassette (PEC) records and images are stored on the hard drive of the CR System comp uter. Y ou can query existing PEC records and images stored in t he CR System to review existi ng information. The ROP complies with ITE t ype standards an d is not su itable for patien t contact. Remote Operation s Pane l Site Operating Configurations Network Configuration The CR Systems and ROPs require connection with external equipment to a 10 BaseT or 100 BaseT Ethernet net work. All n etwork com munication is do ne in accordance with DICOM-conforming digital imaging equipment. Physical connections are via site-provided Category 5 cabling.Definition s and a typical step-by-st ep workflow s equence are listed belo w.
Workflow Definitions NOTE: If you purchase t he Kodak DirectV iew Remote Patien t Data Entry Software, you can collect patient demographic data at a computer. Cassette ID Identification number on cassette. Collimate To reduce the size of the X-ray beam by re stricting it, usua lly with lead shut ters. Destinations Locations on the network to which an image is sent. Exam One or more images with the same associated information. Exam Information Data pertaining to the way the image was captured. HIS Hospital Info rmation Syst em Image A single p icture. Key Operator The pers on or perso ns designated by the department manager to receive advanced training. The Key Operator has the passwo rd for access to password protected areas for changing defaults, routing pro files, etc. Patient Information Demographic information that includes patient ’ s name, date of b irth, physi cian, etc. Post Processing Any image re-processing or manipulation after the initial im age processing. RIS Radiology Informati on System Storage Phosphor The phosph or crystal that captures and sto res the latent analog raw image data. Study A collection of related images and data. Worklist Management Enhances clinical w orkflow by i mporting pat ient information and study information from an information management system, eliminating errors from manual entry. Load the cassette(s) Collect patient demographic data. Scan the Patient ID bar code. Query the Local database. NO YES Repeat as needed 1. Scan the cassette bar code label. 2. Enter Exam data. 3. Touch Submit. 4. Position the Patient. 5. Collimate properly for best image quality. 6. Expose the cassette Expose additional cassettes if necessary. Review and evaluate images. If acceptable, send to destinations and release patient.. T he Main Menu or the Login screen appears.Changing you r Password Y o u can change the password you use to log in to the Operator Consol e. 1. At the Main Menu, touch Utilit y Menu. 2. To u c h Change Pa ssword. 3.
Enter your cu rrent passwo rd. 4. Enter your new passwo rd. 5. Enter your new passwo rd again. 6. To u c h Save Cha nges. Shutting down the CR System T o shut down the CR System power: 1. At the Main Menu, touch Utility Menu. 2. To u c h System Shutdown and touch Ye s. The CR System shuts down.The UPS shuts down two minutes after the CR System application. NOTE: If the touch screen locks up, see “ Usin g the T o uch Screen ” on page 3-7. Rebooting the System T o Reboot the system: 1. At the Main Menu, touch Utility Menu. 2. T ouch System Shutdown and touch R eboot. This meth od lets the sys tem return to readin ess quickly si nce it eliminates t he need f or h ardw are warm-u p. If power i s restored befo re the UPS battery char ge drops to 25, th e system resumes operati on without int erruptio n. However, once the battery level drops t o 25, the syst em automatically shu ts down. In the event of a power loss, an error message appears within 30 seconds of the power loss. For any image curren tly being rout ed, the system attempts to complete the trans mission. If there i s not sufficient ti me to accomplish t his, the image is automatically tran smitted once power is restored. If a Cassette is in the load po sition at the t ime of automatic shutd own, the system completes the scan, stores the raw image on the hard disk, and erases the phos phor plate pr ior to the UPS s hutdown. Operating Modes The CR Sys tem operate s in two basic m odes: (1) Pas s-through m ode and (2) QA mode. The Key Operator, Applications Consul tant, or Service Engineer configures t he mode of operatio n per the dir ection of the departm ent manager. Pass-through Mode In Pass-t hrough mode, th e completed exam is pr ocessed and rout ed, typically withou t stopping. When Pass-thro ugh mode is configured, a bu tton appe ars on the Scan Cassette screen next to the Start b utton. This bu tton toggles betwe en Pause Pass-thru an d Resume Pass-thru.
Y ou can temporarily pause Pa ss-through m ode by touching t he button. T o resume Pass-throu gh mode, touch. When the system distrib utes the image, if necessary, you can recall the image for review and reprocessing. QA Mode In the QA mode, the technologist must view and approve the image before distribu ting it across t he network. Erase Cassette Lets you erase an unwanted expos ure from a cassette. The scan Start button is removed fr om the mo nitor and replaced by a mechanical button on the front of the CR System. Additionally, if some ima ges were not delivered o r do not have patient data associa ted with them, the fo llowing buttons ma y also appear: Failed Delivery Alerts you when the sys tem starts, or any time the Main Menu is displayed, of any image that failed to be delivered to the selected destin ations. Touch the button to display t he images that were not delivered. This button does not appear if there are no f ailed deliveries. Unassigned Images Alerts you when the system starts, or at any time the Main Menu is displayed, of unassigned images. Touch the b utton to d isplay the unassigned im age records. This button does not appear if there are no unassigned images. See “ Cal ibr ate T ou ch Scr een ” on page 9-89. When the CR System or ROP is tu rned on, the Main Menu appears. T o select a menu choice, touch the center of the button. NOTE: Use only your finger when selecti ng buttons on the screen. Using hard objects, such as pens or pencils can damage the surface of the touch screen. Navigation Bu ttons Use the Navigation buttons at the bottom of the screen to move from screen to screen or to other func tions. NOTE: If the mes sage Loading.appears, it means th at the browser i s loading the Web page. If this message continues for an excessive period of time, touch Ma in Menu to return to the Main Menu. Error Messages Error Messages alert you to errors t hat occur during ope ration.
Each Error Message describes the cause of the error and i nstructions on how to clear it. For more information, see “ Error Mess ages ” on page 7-1. Standard Alphanumeri c Virtual Keyboard T ouch each character you want to enter into a field and touch Enter. The display r eturns to the previous screen or moves to the n ext empty field. T ouch for numeric characters T ouch again for alpha characters The display retu rns to the p revious screen o r moves to the next empty field. Standar d Numeric Virtual Datep ad Special Key boards There are special keyboards unique t o the type of field selected. T o uch a button to enter the button name in the field. The Key Op erator can set up buttons for different lists of information. See “ Changing But ton Name s, Colors, and Positi on ” on pag e 9-18 for more infor mation. For example: Default Body Parts V irtual Keyboar d If y ou ar e using the bar code s canner, skip to step 2. 2. Scan the bar code t o transfer the data to the fi eld or use the touch screen. When you use the bar code scanner, the Accession Number, T ech ID, Patient ID, and Cassette ID appear in the appropriate fields automatically if they have been set up by the Key Operator. See “ Bar Co de Config uration ” on pa ge 9-71. NOTE: Not all fields can accept bar code i nput. NOTE: Required fields are determ ined b y the Key Oper ator and appear in th e input screen highligh ted in yellow. Requir ed fields must be filled in to submit the record or send it to a mandatory dest ination. See “ Required Fields ” on page 9-85. Patient Input Scr een This prevent s the CR System from creating an unassigned image. If an unassigned image is created, t he CR System lets you associate the image with the correct patient manually. If you are searching f or a patient that has already been su bmitted in the RIS, see page 4-3 in this chapter to query for the patient. Use the Patient Input Screen to enter the patient and exam inf ormation required.
Complete the mand atory field high lighted in yello w to validate a PEC Record, then complete th e remaining option al information if it is available. Y ou can now s elect Ne w Patient, Tr a u m a, or search the datab ase for an Existing Patien t, or create a New Study.The Key O perator can configure some f ields to be fill ed in automati cally. NOTE: Y our Key Operat or may have con figured a fiel d with a “ unique number. ” Each time y ou select a trauma patient, th e number increments to iden tify a new trauma p atient. Existing Patient Y ou can enter as mu ch or as little in formation as you like. The more information you enter, the narrower t he result is. The message “ Waiting for response ” appears. Patient information automatically tr ansfers to the Patient Input Screen. The entries are color coded. Color s are Key Operator configurable.There are mandatory and optional fi elds. Using Procedure Codes and Procedure Mapping How you enter exam information depends on t he way your system is configured. If you are usi ng Procedure Codes and Procedure Mapping, the image icons associated with a procedure (study) are predefined and appear autom atically once the Patient Input screen is displayed with the correct patien t informati on. For each image in a procedure: 1. T ouch an image icon to select it. The image is highlighted in green. 2. Manually enter or use the barcode to enter the cassette ID. NOTE: If yo u are not usin g Procedu re Code s and Procedure Mapp ing, yo u must define th e images associated with every procedure. T o do this, touch the bo dy part field, select the app ropriate body p art then do the same with pr ojection. T ouch Submit and the image icon appears. If you do not enter t he Cassette ID number, the image is unassigned. Y ou will have to assign the image to a patient. Y ou can change all image and patient data ex cept cassette ID.Th e information is stored in prep aration for th e exam.
NOTE: After you scan the cassette, the image thumbnail replaces the cassette icon to display the image. NOTE: The image on an exposed storage phosphor screen degrades over time. Although a scannable image may be pr esent for a period up to 24 hours, best results are obtained when the image is scanned within 1 hour. NOTE: For best re sults, be sur e to collimate prop erly. The re lationship of the label pos ition and yell ow corner dif fer dependi ng on the cassette size. When the cassette is in serted into th e CR 850 System, it is pulled into scan position and scanning starts immediately. In the CR 800 System insert the cassette until it tou ches the Stop mech anism. If the cassette is not seated properly, an audible alarm sounds and an error message appears on the touch screen. 2. After the cassette has been scanned, the system releases it automati cally. Remove the cassette from th e cassette feed slot.NOTE: Be sure that the tu be side label faces to the right, and the yellow corner of the cas sette is always up and toward s you. 2. Push the cass ettes into one o f the drive belt slo ts and then s et it into the transport mechanism. The cassette is perpendicular when loaded properly. Y ou can load up to eight cassettes of any siz e at one time. 3. From the Main Menu, touch Scan S tatus and touch Start to begin scanning. NOTE: When the cassette is p ulled into the center s lot, the pho sphor screen is extracted and scanning starts immediately. When scanning is complete, the screen is erased and re-inserted int o the cassette. The cassette is ejected to t he transport mechanism and moved to the left as the next cassette is moved to the feed s lot. Y ou can now remove the cassette and use it again. Y ou can touch Pause to st op the transport. If the unexposed cas sette area is filled w ith cassettes, the t ransport stops and a message displays with instructi ons to remove cass ettes from the unexposed cassette area.
NOTE: When the CR System scans the phosphor screen, i t erases any residual image before it places the phos phor screen back into the cassette for re-u se. IMPORT ANT: Place exposed ST A T cassettes in the second slot to the right of the center proce ss slot. If there is already a cassette in the second slot, r emove it first. Do not load or remo ve cassettes from Sl ot 1. NOTE: Be sure that the tu be side label faces to the right, and the yellow corner of the cas sette is always up and toward s you. 2. Push the cass ettes into one o f the drive belt slo ts and then s et it into the transport mechanism. Y ou can load up to eight cassettes of any siz e at one time. 3. On the bridge of the machine, the Start button is green wh en the system is ready to s can. T ouch the Sta rt button t o begin scanning. The button turns orange while scanning. Push the button to Pause the transport, and the b utton turns w hite. If the unexposed casse tte area is filled with cassettes, the trans port stops and a mess age displays wit h instruction s to remove cassettes from th e unexposed cassette area. Do not load or remo ve cassettes from Sl ot 1. Viewing an Image in Pass-through Mode If your sys tem is configu red in Pass-through Mode, the image is r outed immediately. T o view the image, see “ Reviewing Images ” on page 5-13. Viewing Images in QA Mode If your sys tem is configu red in QA Mode, yo u review the image befor e you route it to the selected destinat ions. 1. Scan the cassette and refresh the screen; a thumbnail image appears on the Patient Input screen. Other images for th e patient are di splayed. If there are too many images to display, Previous and Ne xt buttons appear so that you can access them. 2. T ouch the thumbnail image to display the image for review. T u b e S i d e Drive Belt Slots Y el low Corner Unexposed Cassette Area Exposed Ca ssette Area Slot 1 When all images are accepted, the button toggles to End Study.
T ouch End Study to set the study t o complete. A prompt confi rms that you wan t to delete the selected image.For information on reproc essing previous ly delivered images, see “ Image Processing ” on page 6-1. Y ou can repro cess the displayed image in s everal ways, inclu ding Edge Enhancement, Contrast, Brightness, etc. Destinations T o select a destin ation, move the cursor up or down wit h the arrows. When fini she d, t ouch Apply, then touch Accept Imag e to route the image. NOTE: Kodak recommends that you erase a phosphor screen if it has not been used within t he last week or if you susp ect it has been expos ed to any X-radiatio n. Y ou can us e the CR System to erase screens in cassettes without scanning an image. The cassette erase feature is av ailable only when the Cassette Erase screen is disp layed. The phosphor screen in the cassette i s erased and released. If the Erase screen is display ed and cassettes are not being erased, the screen saver may be activated. If th is happens, t he system displays the Main Menu the next time you touch the screen. NOTE: The mechani cal Start button o n the front of t he CR 950 is not active during Erase mode. When rev iewing imag es, the procedures are the same when vi ewing, modifying and routing an image. 1. At the Main Menu, touch Ima ge Review. Image Review NOTE: An image that has been s uccessfully delivered across t he network appears in the Delivered Images area. 2. T ouch the appropriate button. View and modify the images as described for image quality p urposes. Then to uch Assign Image. 4. T o assign a different patient: a. T ouch the bar under the image. b. To u c h Unassi gn Image. c. Under the image, tou ch Unassigned Imag e. d. Find the corr ect name by doing a database qu ery or touch New Pat ient and use the virtual keyboa rd to enter the correct name. Then to uch Assign Image. Sometimes an image is not deliv ered properly or is unassigned.
Use the Im age Re view screen to display images by status for reviewing, reprocessing or resolving problem images. At the Main Menu, touch Image Review. The follo wing image groups are available for selection: Image Status Descripti on All Studies Displays all images that have not been del ivered. Unassigned Imag es Displays images not associated with a patient and that have no demographic data. Refer to “ Unassigned Images ” on the follow ing page. Failed De livery Displays images that were not successfully delivered to a network dest ination. Refer to “ Failed Delivery ” on th e following page. Pending De livery Images that are being routed but have not reached all destinations. Delivered Images Displays the images that have been successfully delivered to s elected destinati ons. These images are sorted and displayed by Last Name (ascending alphabetical order) and then by Tim e. The image is stored as a Failed Delivery image. T o res olve Failed Delivery images: 1. T ouch the image thumbnail t o view the image. 2. To u c h Redeliver Image. If delivery fails again, go to the Destination screen and use the ( - ) to set the counter to 0 on the failing d estination. 3. Select another dest ination and to uch Redeliver Image. 4. If the problem continues, cont act your Key Operator. Managing Unassigned Imag es An image is stored as an Unassigned Image when it has not been associated with a pat ient information record. This happens if the cass ette is scanned before the patient info rmation is submit ted with the prop er cassette ID. The record on the Image Review screen is orange when the image is unassigned. T o assign an i mage to a patient, you must f irst create a study: 1. At the Main Menu, touch Study Data. 2. Use the search criter ia to find the patient for the new study. 3. Select the correct patien t from the result ing patient list. 4. To u c h New Study. 5. Enter the Study Data: Accession number, procedure code, etc. 6. To u c h Submit. 7.