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PURPOSE
This procedure describes the steps necessary to do a Planned Maintenance Check on
a DEXA scanning system at a customer's site, and to assure that the system is
operating within GE-LUNAR's specifications and in compliance with applicable Federal
and State regulations.
APPLICATION
This procedure applies to all employees performing Planned Maintenance or Site
Certification of DPX Series or PRODIGY, and DPX-NT scanning systems.
SAFETY PRECAUTIONS
When power is applied this equipment generates ionizing radiation. Take precautions
that no part of your body passes through the x-ray beam when the equipment is
energized.
ASSOCIATED MATERIALS
DXAP0008 DPX-Series Installation Test Procedures
DXAP2007 Prodigy Hacksaw Test
DXAP3002 DPX-NT Installation Test Procedures
DXQC0022 Aluminum Spine Phantom Scan Procedure
DXQC2022 enCORE software Aluminum Spine Phantom Scan Procedure
DXSE0036 OINK Daughter board and Limit Switch Field Replacement Instructions
DXSE0038 DEXA PM Quality record
DEFINITIONS
DPX Series scanners are all non- Prodigy, non- DPX-NT/MD+ scanners.
enCORE based systems are all PRODIGY and DPX-NT/MD+ scanners.
PRODIGY I systems are defined as PRODIGY systems with system numbers 11999
and lower.
DPX-NT (A) systems are defined as DPX NT systems with system numbers 71999 and
lower.
PROCEDURE
B. HOST PC MAINTENANCE
1. Clean the Printer according to the manufacturers instructions
a. For Hewlett Packard Printers go to www.hp.com and search the support
pages for the customers printer model.
2. DPX series systems:
a. From a DOS prompt
i. Delete contents of C:\SCRATCH and C:\PRNTMNGR directories.
ii. Delete all *.CHK files in C:\ directory.
3. Software updates
a. DPX Series systems: all DPX-IQ densitometers may be updated to
version 4.7e software free of charge.
b. All other (non-IQ) DPX Series Densitometers should be running version
3.65 or 4.7e (if upgraded to IQ software)
c. If the customer is running a version lower than 4.7e, or 3.65 ask them if
they are interested in this free update, they may get by contacting the GE-
Lunar Apps line (USA) or you may order it from GE-Lunar at
lunar.support@med.ge.com or at 866-225-4771.
i. Run the AGS wedge test and verify that it passes attach results to PM
Check sheet.
Category Limit
Chi Squared 45
Skew +/- 0.07
Kurtosis +/- 0.07
Table 1: Failure Limits for the Air Matrix Test
ix. Print the overall values by answering Y (yes) when the software
prompts
x. Return the printout of the passing Air Matrix with the PM
Checksheet report (DXSE0038).
xi. If any categories fail, check the deviation image for possible
electronic or alignment problems, consult GE-Lunar OLC for
assistance.
xii. Run a Daily QA from the system software, or a Peak from the
diagnostic software, before trying the Air Matrix.
xiii. Once an acceptable Air Matrix scan is printed, delete the Air Matrix
files (these files begin with "XM" or "XP" plus the System Number,
and they are generally the only files beginning with "X" in the
C:\LUNAR subdirectory).
b. Beam Wobble scan (Prodigy systems with software version 2.20 and
greater DXAP2011) or Alignment scan (Prodigy systems with software
versions lower than 2.20 and DPX-NT/MD+ systems- DXAP3001) as
appropriate and verify that it passes (attach the results).
7. Limit Switches
a. Verify Limit Switch distances (DPX series Diags F1 Limit Switch
Diagnostics / 1 Limit to Limit Distance; enCORE systems - tools /
Diagnostics / scanner motion
b. DPX Series Only - Home the scanner
c. Mark the home position on the Home Jig
DPX DPX- DPXL DPX- DPX- DPX- PRODIGY PRODIGY DPX- DPX-
IQ / IQ / SF SF w/ NT / NT/MD+
MD- MD- 4.1d or 240cm 180cm MD+
180 or 240 or greate Table Table 180cm
DPX DPXL r host 240c Table
w/ w/ m
4.1d or 4.1d or Table
greate greate
r host r host
(4-3)
Transverse 10920 10780- 1244 12430- 1092 10780- 12475 12475 12450 12450
Steps 10820 0- 12470 0 10820 +/- 25 +/- 25 +/- 20 +/- 20
10960 1248 1096
0 0
(1-2)
Longitudina 13360 13280- 1988 19730- 4225 4195- 19890 13790 19605 13530
l Steps 13320 0- 19770 4235 +/- 35 +/- 35 +/- 20 +/-20
13400 1992 4265
0
(3-4)
Transverse 10920 10780- 1244 12430- 1092 10780- 12475 12475 12450 12450
Steps 10820 0 12470 0 10820 +/- 25 +/- 20 +/-20 +/- 20
10960 1248 1096
0 0
(2-1)
Longitudina 13360 13280- 1988 19730- 4225 4195- 19890 13790 19605 13530
l Steps 13320 0 19770 - 4235 +/- 35 +/- 35 +/- 20 +/- 20
13400 1992 4265
w/ 0 w/
3.63 w/ 3.63
host 3.63 host
host
8. Replace the table top and screw down.
a. DPX Series Only Insure Home position is correct by using the Home Jig
b. If necessary adjust limit switches
9. Daily QA Tests
a. DPX Series only check the peak setting on the QA last run
i. If peak is not 500 +/- 25 units adjust the peak
1. The voltage to the detector is controlled by the adjustment of
the potentiometer on the SBC board labeled HV ADJ - R43.
2. The voltage at TP18 of the SBC is equal to the detector
voltage divided by 1000. If R43 is adjusted to decrease the
voltage at TP18 by 0.001, the peak will increase by 5 units.
3. The last peak value obtained during a Quality Assurance
scan is stored in the Quality Assurance History database file.
If the next peak value obtained differs from the last value
stored in the database by more than 50 units, the Quality
Assurance scan will fail. If the peak must be shifted by more
than 50 units to return it to 500 units +25, the peak must be
adjusted in steps of less than 50 units (40 unit steps are
recommended).
4. A complete QA must be run
5. between each step to update the Quality Assurance History
database file.
6. If the software peak setting corresponds to where both the
high and low channel counts are at a maximum, (see fig.
6.3) follow the steps outlined below. The graph on the QA
will look similar to the one shown in fig 6.3 with the dashed
vertical line (where the software thinks the peak is) on the
graph at a point where both the high and low energy plots
are maximized (the dashed curved lines). If the graph on the
QA is unlike fig 6.3, go to part B of this procedure.
7. select "Peak / Set AMP Gain", then select "Perform Peak"
and [Esc] to run the peak. Observe the results generated by
the QA to determine if the software has selected the
Amplifier Setting where both high and low channel counts
are at a maximum. If not go to part B.
8. 3. If the peak requires adjustment, (is not within +/- 25 units
of 500) connect a voltage meter to the SBC at TP18 (see fig
6.2). Put the meter to the VDC scale and record the voltage
reading (e.g. 0.703VDC
9. Using the voltage recorded in step 3 and the peak value
recorded in step 2 determine the appropriate voltage
adjustment for R43.
10. To determine voltage adjustment:
a. If Peak >500: New VTP18 = (Current Peak 500)
/5 * + Old VTP18
b. Peak <500 New VTP18 = (500 Current Peak) / 5 *
Old VTP18
c. Do not attempt to adjust the peak by more than 40
units as an adjustment without a complete passing
QA in the LUNAR software will cause a peak failure
on the QA. For Peak settings that are more than 50
units away from 500 multiple adjustments are
required.
11. With your voltmeter attached to TP 18, adjust R43 (see fig
6.2) until your voltmeter reads what you determined in step
6.
12. From the main menu press F3 System Quality Assurance
and place the System Standard on the table silk-screen with
brass insert up and at head end of table. Press[Esc] and
allow the QA to run in its entirety and to print out. Verify that
QA passes.
13. If peak value is not within 25 units of 500, record peak value
from the QA that was just run and the current voltage at TP
18. Using these values repeat steps A. 3-8 until Peak is
within 25 units of 500 and a complete passing QA has been
run.
b. Run two Daily QAs and verify that they all pass (attach passing QAs).
i. Verify that all four-indicator lamps are functioning.
c. Start an additional Quality Assurance test and verify the function of the
Emergency Stop button by using it to stop the system
10. Perform an AP Spine scan of the aluminum phantom (attach results) see
DXQC0022 (DPX Series) or DXQC2022 (enCORE based systems).
a. Verify that the scanner is not Hacksawing the edges on the spine
phantom image should be straight if they are not
i. Verify that the front and rear transverse pulleys are tight
ii. Check for transverse binding
iii. If the transverse belt is loose tighten it.
iv. Prodigy Scanners Run the Hacksaw test (DXAP2007).
b. The L2-L4 result should be within the expected range for the individual
phantom.
c. % Fat result in (water based phantoms) should be within 4 to 5%.
d. Verify that the Patient Positioning Switches and the Patient Locator Laser
are functioning.
11. Run a final Daily QA
12. Re check the last session in the error log and make sure it is free of hardware
errors.
13. Make a copy of the DEXA PM Check sheet for the customer, discuss any service
concerns with the system and explain work performed.
GENERATED RECORDS
DXSE0038 DEXA PM Quality record