Shimadzu Bransist Alexa Operating instructions

Operation Guide

BRANSIST alexaDigital Angiography System

M517-E190D

Digital Angiography System

BRANSIST alexa

Read this manual thoroughly before you use the product.

Keep this manual for future reference.

Operation Guide

This Operation Guide describes the basic operation of BRANSIST alexa.

For detailed information, refer to the following Operation Manuals.

DAR-9500f Operation Manual (M517-E181)

D150GC-40 Operation Manual (M501-E085)

MH-200S Operation Manual (M523-E016)

MH-300 Operation Manual (M523-E014)

Please read and observe all safety precautions.

Symbols

The following symbols are used in this Operation Guide.

Symbols Meaning

WARNING

Indicates a potentially hazardous situation which, if not avoided, could

result in serious injury or possibly death.

CAUTION

Indicates a potentially hazardous situation which, if not avoided, may

result in minor to moderate injury or equipment damage.

NOTE

Emphasizes additional information that is provided to ensure the proper

use of this product.

1, 2, 3,

…

Indicates the operation in order.

1, 2, 3,

…

Indicates further details of above operation.

●

Indicates the operating description and items.

Indicates the result of operation.

Describes the points, notices and references of operation.

General Description of

BRANSIST alexa is the digital angiography system with FPD (Flat Panel Detector).

BRANSIST alexa, a combination of high quality digital imaging with low dose exposures, provides

fast and efﬁcient operation for PCI and diagnostic studies.

3

Contents

1

System Components ...............................4

Examination Room ..................................................................4

Control Room ........................................................................12

2

System Startup and Shutdown ............. 16

Startup ...................................................................................16

X-ray Tube Warm-up .............................................................17

Shutdown ...............................................................................19

Daily Inspection .....................................................................21

3

Start Study ............................................22

Input Patient Information .......................................................22

4

Fluoroscopy/Radiography .....................23

Operation of C-arm ................................................................ 23

Operation of Catheterization Table ........................................27

Fluoroscopy/Radiography ......................................................28

Change Fluoroscopy/Radiography Program .........................29

HV Flip ................................................................................... 30

Change Settings of Injection Delay .......................................31

Recording Fluoroscopy Image ...............................................32

Adjusting Image ..................................................................... 33

Adding, Deleting and Displaying Reference Images .............35

Related Operation for Study ..................................................36

Measuring and Analyzing ......................................................37

Operating DSA Tool ...............................................................41

Printing Images ......................................................................42

Closing Study ........................................................................42

5

Studies Management ............................43

Managing Studies .................................................................. 43

Sending Studies ....................................................................44

Writing to CD/DVD ................................................................. 45

6

Trouble Shooting ...................................46

Emergency Halt .....................................................................46

Safety Switch ......................................................................... 46

Shutdown Failure ...................................................................47

Digital Angiography system application problem ...................48

FPD Problem .........................................................................49

Power Failure ........................................................................50

Error Messages .....................................................................51

7

Appendix ...............................................58

IVR NEO buttons/Keyboard Shortcut keys functions ............58

4

FPD

X-ray Tube

Collimator IVR NEO

Catheterization

Table

CyberGrip

(or Cyber Console)

Local Console

Foot Switch

(Examination Room)

Acquisition

Monitor

Review

Monitor

C-arm

Indicator

C-arm

1

System Components

Examination Room

5

1

System

Components

CyberGrip

Stop Switch

Release Switch

Field of View Switch

Catheterization Table

Up/Down Switch

Tabletop Unlocking Switch

(Located at the rear side of the grip)

C-arm Rotation Selector Switch

Direct Memory Switches

C-arm Travel

Selector Switch

FPD SID Switch

Cyber Console

Field of View

Switch

Center Reset

Switch

C-arm Rotation/Travel

FPD SID Conﬁrmation Switch

Release Switch (on the side of the console)

Direct Memory Switches

Stop Switch

Catheterization Table

Up/Down Switch

Tabletop Unlocking Switch

6

Local Console

Type A

No. Name or Explanation

C-arm Working Positions Switch

Direct Memory Switches

Operate the C-leaf of the Collimator by moving up and down.

Operates the H/V Collimation. The Collimator opens up when this is pressed down.

Operates the Compensation Filter in the Collimator.

Field of View Switch

Center Reset Switch

C-arm Parking Switch

7

1

System

Components

Type B

No. Name or Explanation

C-arm Working Position Switch

Direct Memory Switches

Operate the C-leaf of the Collimator by moving up and down.

Operates the H/V Collimation.

Operates the Compensation Filter in the Collimator.

Leaves Oper Switch. The Collimator opens up when this is pressed.

AP/PA Position Switch

C-arm Parking Switch

Set Switch

8

How to use Direct Memory Function (CyberGrip)

Type A

1

Select a button from , , and .

2

Select the location of the C-arm

from this area.

3

Press and hold to move the

C-arm to memory position.

Type B

1

Select a button from .

2

Select the location of the C-arm

from this area.

3

Press and hold to move the

C-arm to memory position.

9

1

System

Components

How to use Direct Memory Function (Cyber Console)

Type A

1

Select a button from , , and .

2

Select the location of the C-arm

from this area.

3

Press and hold to move the

C-arm to memory position.

Type B

1

Select a button from .

2

Select the location of the C-arm

from this area.

3

Press and hold to move the

C-arm to memory position.

10

IVR NEO

The IVR NEO features 16 buttons with LED indicators and a multi-function Joystick with button.

Default button settings are as following table. Refer to Appendix for the other functions available.

Joystick

Category Button LED Meaning A R

Acquisition

Select Fluoro Program ON=Fluoro menu displayed.

Select Rad Program ON=Rad menu displayed.

Select Image Comment ON=Comment menu displayed.

Add Reference Image ON=can add Reference Image.

Fluoro Record

(Last N Seconds mode)

ON=can record the latest ﬂuoro loop

(unavailable for Direct Fluoro Record mode

"Recording Fluoroscopy Image" P.32)

Start/Stop/Close Timer ON=timer displayed on Acq. monitor.

Image

display

Monitor Select ON=Acquisition monitor selected.

Single/Split Display ON=Review monitor split vertically.

Left/Right Focus ON=right half of split Review monitor selected.

Reference Mode ON=Reference Mode.

Cine Area Zoom

ON= Zoom the images only in the Examination

room.

11

1

System

Components

A= Relevant to Acquisition monitor R= Relevant to Review monitor

Category Button LED Meaning A R

Other

Save Still Image ON=can save still image (must be paused).

16-up Selector ON=Review monitor in 16-image select mode.

LIVE ON=display DSA LIVE image.

Linkage with

C-arm

Positioning

ON= send projection angle of currently

displayed image to the C-arm.

Image Filter

ON= ﬁlter and display the projection angle of

image as current C-arm angle.

The function keys of the digital system keyboard can be

conﬁgured as IVR NEO buttons (except for [Monitor Select] and

[Reference Mode] functions).

For details, contact Shimadzu service representative.

NOTE

12

Review Monitor X-ray Generator Console

Foot Switch

Acquisition Monitor

Keyboard Digital Operation

Cabinet

Mouse C-arm Remote

Console

Control Room

13

1

System

Components

X-ray Generator Console

Hand

Switch

Fluoroscopy

Parameters

Message

Power ON

Button

Power

OFF

Button

Radiography

Parameters

Heat Unit

Indicator

Fluoroscopy Accumulated

Time

Fluoroscopy Density Button

IBS Button

BH Filter NumberC-arm Information

X-ray OFF ButtonSetting Button

Accumulated

Fluoroscopy Time

Reset Button

Warm-up Button

[Tool] menu

C-arm Collision Indicator

Focus Switch

Button

Field of View

Switch Button

Auto/Manual

Switch Button

Radiography

Density Button

NOTE

14

Main Window

Acquisition Monitor

Study Information

is displayed

in reference mode.

Side Menu

(displayed when the mouse pointer

is put on the left edge of the screen)

Parameters

Acquisition Active

Image Selector

Status Messages Programs

Comment

Cine Control

Exit Button Modes/Info Network

Activity

Timer

Image Viewer

15

1

System

Components

Review Monitor

Side Menu

Image Viewer

Probe Signal

Digital Program Menu

is displayed

in reference mode.

Status Messages Programs

Comment

Cine Control

Exit Button Modes/Info Network

Activity

Study Information Study

Information

Parameters Image

Selector

16

Startup

Be sure to perform daily inspection before patient use.

"Daily Inspection" P.21

NOTE

X-ray Generator Console

1

Press (ON)

Starting up whole system.

Power ON Button

2

System Startup and Shutdown

17

2

System

Startup and

Shutdown

Be careful!

During warm-up, X-ray exposure is performed automatically without operating

hand switch or foot switch.

CAUTION

The warm-up procedure can be performed when C-arm is at

the park position even though the "ﬂuoroscopy at park position"

setting is set to OFF. In this setting X-ray exposure by the foot

switches and the hand switch is not available.

NOTE

X-ray Generator Console

1

Press on the [Tool] menu

Warm-up window is displayed.

2

Press

Warm-up procedure is started.

The progress of warm-up is displayed.

When warm-up is complete, the progress bar

displays full.

X-ray Tube Warm-up

18

If you need to pause warm-up during procedure,

Press

to pause warm-up.

Press to resume.

Press

to cancel warm-up, and press

to conﬁrm.

19

2

System

Startup and

Shutdown

C-arm (Type A)

1

Set the C-arm to the center

position

Press and hold the Center Reset Switch until travel

is completed.

2

Move the C-arm to the park

position

Press and hold the C-arm Parking Switch until travel

is completed.

C-arm (Type B)

1

Set the C-arm to the center

position

Press the Center Reset Switch to select the

operation. Then press and hold the Set Switch until

travel is completed.

2

Move the C-arm to the park

position

Press the C-arm Parking Switch to select the

operation. Then press and hold the Set Switch until

travel is completed.

20

Digital Radiography System

3

Click

A conﬁrmation message is displayed.

4

Conﬁrm the message by

clicking

X-ray Generator Console

5

Press (OFF) when

System Display window is

changed

Make sure the OFF button is lit.

To restart the system, wait 1 minute after turning off power to the

X-ray generator, then press

(ON) again.

NOTE

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Shimadzu Bransist Alexa Operating instructions

Shimadzu Bransist Alexa Operating instructions

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