4 - Description of Operation Exposcop 7000 PDF

RM
International Medical Systems
SECTION # 4
DESCRIPTION OF OPERATION
EXPOSCOP PLUS C-ARM
IMS2760
Service Manual
ZIEHM
EXPOSCOP 7000
IMS
USERS M A N U A L
DIGITAL H I G H
FREQUENCY MOBIL
C-ARM
1997 ZIEHM / INTERNATIONAL MEDICAL SYSTEMS A L L RIGHTS RESERVE
Exposcop 7000 Section 4.00 09/18/97

Rev. 6 - P.l
International Medical Systems Description of Operation
*** FLUOROSCOPY ***
4.7.0 Introduction 23
4.7.1 Basic 23
4.7.2 Control Panel C-Mobile Stand 24
4.7.3 Monitor Control Panel 25
4.8.0 Operating Modes 26
4.8.1 Fluoroscopy 26
4.8.2 Pulse Fluoroscopy 26
4.4.8.3 Snapshot 26
4.8.4 Fluoroscopic Programs 26
4.8.5 M S A (Maximum Opacification) 27
4.8.6 RSA (ROADMAP) Subtracted Vascular Pathway 28
4.8.7 DSA ( Digital Subtracted Dynamic Image Acquisition) 29
4-8.8 Metal 30
4.8.9 Soft 30
4.8.10 1/2 Dose 30
4.8.11 Contrast / Image recall 31
4.9.0 Control - Mobil Stand 31
4.9.1 kV Adjustment 31
4.9.2 Magnification - Zoom 32
4.9.3 Monitor Selection 32
4.9.4 Image Rotation 32
4.9.5 Image Reversal, Horizontal and Vertical 32
4.9.6 Iris Collimator 32
4.9.7 Slot Collimator 33
4.9.8 Image Transfer 33
4.9.9 Image Store 33
4.10.0 Control Panel - Mobil Stand 33
4.10.1 kV Display 33
4.10.2 m A Display 34
4.10.3 Exposure Time 34
4.10.4 Dose Area Product Display 34
4.10.5 Fluoroscopy Time Display 34
4.10.6 Audio Alarm 34
4.10.7 Error, Overheating 35
4.10.8 Exposure Indicator 35
4.10.9 Error Codes 35
RESERVED

International Medical Systems Description of Operation Rev. 6 - P.3
**» RADIOGRAPHY *** IMAGE DOCUMENT ***
4.11.0 Radiography General Information 35
4.11.1 Exposure Technique 36

4.11.2 Exposure Time 36
4.11.3 Film Cassette Holder 36
4.11.4 Cassette Size 36
4.12.0 Laser Light On/Off (Optional) 37
4.12.1 Video Paper Printer / CRT Hard Copy Camera 37
4.13 Error Codes Information 38
4.13.1 Error Code Message list 39
4.14 Cleaning -Disinfection- Sterilization 40
4.14.1 Cleaning 40
4.14.2 Disinfection 40
4.14.3 Sterilization 40
*** APPENDIX A ***
Technical Data 41
Thermal Curve Table 42
Cooling Curve Table 42
Statement of Compliance 42
Focal Spot Position and Reference 43
C-Arm Dimensions 44
k V / m A Curve 1 45
k V / m A Curve 2 45
kV/mACurve3 46
kV/mACurve4 46
kV/mACurve5 47
*** APPENDIX B ***
X-Ray Generator, Housing and Tube with Beam Limiting Device 48
Section 4.00 09/18/97

Exposcop 7000 Rev.6-P.4
THIS P A G E LEFT
B L A N K FOR
FUTURE USE

International Medical Systems Rev. 6 - P.5
Description of Operation
4.1.0 INTRODUCTION
4.1.1 General
The EXPOSCOP 7000 is a mobile X-ray system developed for surgical and
diagnostic applications. This C-Arm may be used to perform fluoroscopy or
spot-film radiography. It is not for use in the presence of flammable anesthetics or
other explosive gases.
This manual should be thoroughly read and understood before any attempt is made
to install, operate or service this equipment. Close attention should be paid to the
safety precautions contained in Section 3.
.2 SPECIAL FEATURES
The EXPOSCOP 7000 has been engineered to provide superior quality and
performance. Some of the outstanding features include:
* High frequency generator which produces a precise spectrum of radiation

capable of superior penetration. The EXPOSCOP 7000 can produce a
quality image at lower kV levels while dramatically reducing the skin
dose.
* Efficient design of the generator allows the EXPOSCOP 7000 to perform

fluoroscopy at maximum kV and continuously for up to 20 minutes. After 20
minutes, the system continues to function at a reduced dose (0.5 mA).
* The function 1/2 dose reduces the dose rate by one-half which is very
effective during extended procedures. Pulsed fluoroscopy may be selected
with the 1/2 dose ; i.e., Reduction at 3 P/Sec of approximately 70 % over
the standard dose rate. This is advisable especially for pediatric
procedures.
* The EXPOSCOP 7000 is controlled by a multi processor system which

enables an optimum adjustment for varying diagnostic requirements.
* Pulsed fluoroscopy may be selected to reduce the dose up to a maximum of
approximately 70 % for extended procedures.
* Integral digital memory features last image hold.
* Frame Integration may be selected as an effective noise filtration

technique.
* Magnification achieved with electronic focus within the Image Intensifier

for greater resolution.
* Compact design of the Image Intensifier makes the EXPOSCOP 7000 easier
to position and maneuver.
* Unique cable arrangement contributes to the clean design and attractive

appearance of the EXPOSCOP 7000. It may also be kept sterile more
easily.
* Fluoroscopy may commence approximately 35 seconds after power is

turned on.

Rev. 6 - P.6
4.2.0 SAFETY PRECAUTIONS
4.2.1 General
The user of this manual is directed to carefully read and review the instructions,
warnings and cautions contained herein prior to the installation, operation or
service of this equipment.
The installation and service of the EXPOSCOP 7000 is to be performed by

qualified and authorized service representatives.
Those authorized to operate, participate in or supervise the operation of the

equipment must be thoroughly familiar and comply completely with the currently
established safe exposure factors and procedures described in publications, such as:
Subchapter J of Title 21 of The Code of Federal Regulations, "Diagnostic X-ray
Systems and Their Major Components", as revised or replaced in the future. Before
opening or taking off the safety cover, the equipment has to be disconnected from
the main A C power.
Important Instruction
The manufacturer is considered responsible for the effects on the security,
reliability and capacity of the equipment if:
a) installation, alterations or repairs are executed from persons who are
authorized;
b) the electrical installation of the room in which the EXPOSCOP 7000
is used corresponds to the regulations of the VDE 0107; and F D A
[21 CFR 1020.31 (b) (c) ]
c) the equipment is used in correspondence with the user manual.
Repair works through non-authorized personnel will lead to a loss of guarantee.

Moreover, consequential damages cannot be accepted.
4.2.2 Radiation Warning:
This equipment produces X-rays which are dangerous to both operator and others
in the vicinity unless established safe exposure procedures are strictly observed.
The useful and scattered radiation beam can produce serious or fatal bodily
injuries to any persons in the surrounding area if used improperly. Adequate
precautions must always be taken to avoid exposure to the useful beam, as well as
to leakage from within the source housing or to scattered radiation resulting from
the passage of radiation through matter.
Those responsible for the planning of X-ray equipment installations must be

thoroughly familiar and comply completely with NCRP No. 49, "Structural
Shielding Design and Evaluation or Medical Use of X-rays" as revised or replaced
in the future.
X-ray control area

Image Intensifier 12" (30cm ) 11 feet (3.5 m)
Image Intensifier 9" (23cm ) 11 feet (3.5 m)
Image Intensifier 7" (17cm) 8feet (2.5m)
(X-ray generator in normal position,
C-Arm in vertical position)

X-ray tube Stationary Anode with dual focus
Focal spot size Fluoro: 0.6 m m 2
Radiography: 1.5 mm 2
Inherent filtration equivalent >4mmAl

Image Intensifier Electronic magnification factor of 1.5
30/23/15cm - Cesium - Iodid Ambient temperature > 60° C may cause

23/15cm - Cesium-Iodid irreversible damage.
17/10 cm - Cesium - Iodid
4.2.3 Electro-mechanical Warning
A l l of the moveable assemblies and parts of this equipment should be operated with
care and routinely inspected in accordance with the manufacturer's recommendations
contained in this manual.
Only properly trained and authorized personnel should be permitted access to any
internal parts. Be sure line disconnect switches are opened and other appropriate
precautions are taken before opening access doors, removing enclosure panel, or
attaching accessories.
Do not remove the covers from the generator until the power has been turned off.
Failure to comply with the foregoing may result in serious injuries to the operator or
those in the vicinity.
4.2.4 Electrical Grounding Instructions
The equipment must be grounded to an earth ground by a separate conductor. The

neutral side of the line is not to be considered the earth ground. On equipment
provided with a line cord, the equipment must be connected to a properly grounded,
three-prong receptacle. Do not use a three-prong to two-prong adapter.
4.2.5 Gettering
It is advisable to use the equipment for one hour at least after an uninterrupted
storage of six months. Turn only the power of the EXPOSCOP 7000 on and leave it
in this mode. D O N O T X-RAY! By performing this procedure, the life expectancy
of the Image Intensifier will be dramatically increased. Therefore we recommend a
log book where all operating hours, getter times and service hours are documented.
4.2.6 Installation and Environment
Except for installations requiring certification by the manufacturer per Federal

Standards, see that a radiation protection survey is made by a qualified expert in
accordance with NCRP No. 33, Section 6 as revised or replaced in the future.
Perform a survey after every change in equipment, workload, or operating condition
which might significantly increase the probability of persons receiving more than
the maximum permissible dose equivalent.
NOTE: This equipment is not for use in the presence of flammable anesthetics or
other explosive gases. Failure to heed this warning may result in afire
or an explosion.

Rev. 6 - P.8
4.2.7 Transport Position and Transport
Transport Position of C-Arm
l . C - A r m has to be brought into illustrated position.

2.Bring rotation arm into vertical position and lock it
3.Slowly move cross arm into center position (wigwag) and lock it.
4.Slowly move cross arm back and lock it.
5.Drive vertical all the way down.
Transport Position of Monitor Cart
Wrap power cable and interconnection cable of C-Arm at the backside of the
monitor cart.
PICTURE 1
Important Note: The maximum inclination of floor level is 10°.
4.2.8 Reserved

4.2.9 Reserved
4.2.10 LASER: ATTENTION — VISIBLE LASER LIGHT

CLASS n LASER PRODUCT
LASER RADIATION - D O NOT STARE
INTO BEAM
LASER CLASS U, IEC 825, 21 CFR SUBCHAPTER J , 1040
C A U T I O N - The use of optical instruments with this product will increase eye
hazard
When operating the laser light beam, the "Guidelines for the User IEC 825, Main
Chapter 3" have to be followed and all applicable C D R H regulations 21 CFR.
The maximum output power of the laser beam is 1 mW. The wavelength of the
emitted power is 635ran.The laser guidance system is service free. However,
should an adjustment or a repair be required, this must be performed by the
manufacturer or authorized person only. Caution- Opening protective covers
permits human access to Visible Laser Light " D O NOT STARE INTO B E A M "
4.2.11 Position of Visible Laser Light Window and Required Labels. Picture 2 & 3
*
CAUTION - Laser radiation
#
w h e n open. DO NOT CAUTION
STARE INTO BEAM LASER RADIATION-DO NOT
STARE INTO BEAM
PEAK POWER lmW
WAVELENGTH 635njn
CLASS I I LASER PRODUCT
Located on rear of
Generator cover
A "
C L A S S n LASER P R O D U C T
MODEL SERIAL No.
LT-7000
COMPLIES WITH DHHS RADIATION PERFORMANCE

STANDARDS, 21 CFR SUBCHAPTER J. AS OF DATE OF
MANUFACTURE
MANUFACTURED BY:
INTERNATIONAL MEDICAL SYSTEMS, INC
4181 LATHAM STREET RIVERSIDE CA. 92501
MANUFACTURED:
MONTH: YEAR:

Mount Laser Caution Label
40-512-L10 Above Laser "ON"
Button.
SKIN CONE
• • • • • • •
ZD LZ
• • • • • • • • •
•
•
• •
• •
•
• 0 • •
• •
• • •
• • •
o
C-Arm Control
PICTURE 3
4.3.0 INSTALLATION
The installation of this equipment should be performed by authorized, qualified

personnel who have carefully read and reviewed this manual.
4.3.1 Shipping Container
The EXPOSCOP 7000 is shipped on a single pallet and contains the mobile stand,
monitor cart, an unmounted case assembly, and a box containing manuals, cassettes
and a cassette holder. The equipment should be carefully inspected and any
shipping damage must be reported immediately to the shipping carrier in the form
of a damage claim.
4.3.2 Unpacking - EXPOSCOP 7000
Remove the outside of the shipping container and inspect for any shipping
damage. Remove the monitors and the box containing the manuals and cassettes.
NOTE: The three short wooden blocks below one end of the pallet may be
unbolted and removed to tip the pallet. This will facilitate the removal
of the monitor cart and mobile stand.
Remove monitor from container strapped to the pallet. Release the brakes on the
front wheels and carefully place the monitor cart on the floor. Remove the metal
brackets holding the mobile stand, release the hand brake (lift the lever located
in the center of the control panel) and carefully place the stand on the floor.
NOTE: Care must be exercised when removing brackets to prevent paint form
being scratched or chipped.
NOTE: To avoid damage to the x-ray system with large temperature deviation,
allow all parts of the system to obtain room temperature before use.

International Medical Systems Rev. 6 - P . l l
4.3.3 Mounting - EXPOSCOP 7000
The monitor set is the only item which requires mounting. The monitors are clearly
identified as either left or right (as viewed from the front).
Remove the rear panel of the monitors and place the monitor case assembly on the
cart's mounting surface. Route the wiring into the monitors from the hole in the
bottom and secure with four Allen screws from below.
The power cord and video cable are connected at the rear of the monitor. Two
additional wires are then connected; one on the monitor board and one on the yoke
rotation board. The wires, and the location they connect to, are individually
marked. A two-wire cable is provided for the left monitor and is connected to the
cable which services the amber light on top. Attach the ground wires to the rear
panel and cart and secure the rear panel and access plate.
Mounting - EXPOSCOP 7000 Single Monitor Option (Compact System)
The monitor is the only item which requires mounting. Hold the monitor upright
and attach to horizontal travel arm with the provided four bolts securing tightly.
Attach cable connector end from monitor assembly to connector on mobile stand
with provided hardware. Make sure cable is draped as not to interfere with the
mobile stand movements.
4.3.4 System Interconnection
EXPOSCOP 7000
The mom tor cart and mobile stand are connected with a single heavy-duty cable
which attaches at the rear of the monitor cart. It should be connected before the
system is powered on. The line cord on the monitor cart should be plugged into a
properly grounded and rated outlet.
EXPOSCOP 7000 with Single Monitor Option ( Compact System )
The mobile stand is connected with a single heavy-duty line cord to a properly
grounded and rated outlet.
POWER LLNE VOLTAGE M A T C H I N G :
Inspect the A C power cord on the system to ensure that it is compatible with the
A C power receptacle. Verify that the A C line voltage is proper for the operation
of the equipment
NOTE: Line voltage must be set to match service. See section 4.4.1 for more
information.
Failure to properly set the line voltage taps may cause damage to the systems
electronic components!

4.4.0 SYSTEM CHECK-OUT
Service personnel are cautioned to observe all CAUTIONS and WARNINGS as

they appear in the text of this section, and observe the general safety precautions
outlined in the Service Manual Safety Section.
The instructions for system check-out require that the operator has read this entire
manual and is familiar with the operation of this equipment.
Follow the C D R H instructions located in the maintenance/service manual at time

of installation and at least twice a year.
4.4.1 A C Power Check
Inspect the A C power cord on the system to ensure that it is compatible with the
A C power receptacle. Verify that the A C line voltage is proper for the operation
of the equipment
WARNING: The unit must be grounded through the U-Shaped grounding prong
of the line plug. Do not use a 3-prong to 2-prong adapter unless
properly installed by a licensed electrician. Failure to comply
with the foregoing may cause serious or fatal injuries to the
operator and other persons in the surrounding area.
NOTE: Line voltage must be set to match service. For voltages above and
below 110 V A C , the line voltage must be adjusted at the
appropriate terminal block inside the lower rear of the monitor
cart or in the mobile stand with the EXPOSCOP 7000 compact.
4.4.2 Leakage Current check
The installation of this x-ray equipment may include a check of the leakage current.
This should be performed with a properly calibrated leakage meter, in accordance
with the leakage meter instructions.
Inspect the ground leads for solid ground connections. Insert a properly calibrated
leakage meter (with 100 ohm input impedance) in series with the EXPOSCOP 7000
line cord according to the leakage meter instructions. Turn on power and verify that
the leakage current does not exceed 100 uA in either normal or reversed line
polarity. Disconnect the leakage meter and insert the EXPOSCOP 7000 line cord
into the A C receptacle. Connect the black lead of the leakage meter to an exposed
metal surface of the EXPOSCOP 7000 according to the leakage meter instructions.
Turn on power and verify that the leakage current is less than 100 mA.
4.4.3 Mechanical Movement
The C-Arm is capable of moving in an arc (115 deg.), 90° from horizontal to vertical
and 25° beyond vertical plane, rotating in the vertical plane around the horizontal
cross arm (± 225 deg.) or swiveling side to side (± 12 deg.). One at a time, release
each brake and verify full and unrestricted movement. Secure each brake when
finished. Release the horizontal brake and verify the 22 cm of horizontal travel.
Release the hand brake on the mobile cart by pulling the handle up and check that
the cart moves freely and may be steered by turning the brake handle.

Turn on system power at the monitor cart control panel, and verify that the vertical
position motor can raise and lower the C-Arm when operated from the mobile cart
control pane key.
NOTE: Power On is located on the mobile stand with the 7000 single monitor
option. The EXPOSCOP 7000 with 7000 Option and the monitor cart
installed allows power to be turned on from the monitor cart.
k )\ J
OFF ON
CAUTION: When power is switched off, there is a starting circuit always
powered. For complete disconnection from Mains Power the power
cord plug must be removed from the wall power outlet socket.
4.4.4 Operation
X-Ray equipment operators should protect themselves and others in the area with
such devices as lead aprons or shields. A l l standard safety precautions must be
observed and exposure to the X-ray beam must be strictly avoided. The collimator
may be used to restrict the radiation beam during checkout.
With the system properly connected and power is turned on, the keyboard display
will indicate all zeros during warm up. At the same time, the shutters will open to
maximum and the monitor yokes rotate to normal position. The following default
operating mode will be selected:
-
o o fo 1
C5D (°ln
i ui y y
1/2
DOSE • 0
>
* Fluoroscopy with automatic dose rate control

* Fluoroscopy mode "extremities and children"
* Function 1/2 dose
* Live image on left monitor with last image hold
* Normal picture size (no magnification)
* 75 kV tube voltage
* l.s exposure time
Fluoroscopy may begin after approximate 30 seconds of filament preheating by

pressing the hand or foot switch. In the automatic dose control mode, the k V / m A
will be adjusted automatically and displayed on the control panel. After Fluoro,
the display will show the last kV and mA setting.
Check that the slot and iris collimators may be opened and closed and the slot
collimator can rotate. Check that the image reversal and magnification (zoom)
functions operate properly and that the "kV manual" mode may be selected and
the kV setting may be adjusted manually. See information on " k V Manual".

Rev. 6 - P.14
WARNING: Do not perform Fluoroscopy or Radiography in the kV manual mode
at a kV level higher than the object requires. This will prevent the
camera from being overdriven by high light levels.
Verify that the Radiography mode may be initiated with the hand switch only
and that the time setting for radiography is adjustable from 0.1 sec. to 4.0 sec. On
the monitor cart, verify that the live fluoroscopy image appears on the left
monitor and the last image is held after a Fluoro is completed. When exposure
occurs (active radiation from the generator) during either fluoroscopy or
radiography, the amber light on top of the left monitor should be illuminated, and
at the C-Arm keyboard the radiation on symbol 41 should be iUuminated on the
C-Arm control panel.
Verify that the monitor image may be rotated from the controls on the mobile
stand. EXPOSCOP 7000 with Monitor Cart
Check that the cassette light on the monitor cart keyboard is illuminated when
the film cassette is fully inserted in the documentation camera.
4.4.5 EXPOSCOP 7000 OPTION COMPACT SYSTEM:
The C-Arm provides all the standard features of the EXPOSCOP but without the
need for the monitor cart.
The single monitor option provides last image hold.
The monitor can be positioned on either side of the C-Arm for view by the
physician. The technologist can view and position the C-Arm mobile stand using
the small video monitor attached to the rear of the 17 monitor.

4.5.0 MAINTENANCE
4.5.1 User Maintenance
The inspection procedure listed in Table 1 should be performed by the user of the
equipment.
TABLE 1
INSPECTION REQUIREMENTS I N T E R V A L INSTRUCTIONS
1) Radiation Leakage 1 month Inspect for physical damage which could

affect radiation shielding. Mainly High
Voltage generator and shutters.
2) Radiation Switches 1 month Radiation release permitted only with

permanent pressure at exposure switch.
Release switch, radiation has to stop
immediately.
3) Exposure Indicator 1 month The warning light on top of monitor is on

only if radiation is emitted.
4) Audible Exposure Indicator 1 month Must give audible warning alarm during
radiographic exposure and after five
minutes of Fluoro time.
5) Automatic Dose Control 1 month Dose control must be checked for operation.
See section 4.5.4 for instructions
6) Warning and Caution Labels 1 month Inspect and confirm that all W A R N I N G
and CAUTION labels have not been
defaced or worn so as to be illegible.
7) Line Cord 1 month Look for physical damage to the x-ray

tube assembly which could affect
radiation shielding proper limitation of
the x-ray beam..
8) Mechanical Cone 1 month Inspect and confirm that the mechanical

cone is properly installed and secured for a
SSD of 30 cm. Verify that the warning
label is not defaced.
9) Wheels at C-Mobile 1 month Wheel surface needs to be cleaned to

guarantee static discharge condition.
10) Monitor Wheel Casters 1 month Wheel casters need to be cleaned to

guarantee free ninning operation. The
Casters should be checked for damage
caused by elevator doors, uneven tile
flooring, etc. If damage is detected call for
service.

4.5.2 Department of Health and Human Services (CDRH) Maintenance
Maintenance procedures, necessary to insure (continued) compliance with C D R H

requirements are contained in the recommended Schedule of Maintenance supplied
with your equipment. This maintenance should be performed by authorized and
qualified service personnel at the prescribed interval, according to the instructions
given in the appropriate manual.
As noted in Federal Drug Administration (FDA) 75-8005, Practitioners Guide to

the Diagnostic X- ray Equipment Standard. "It is up to the practitioner to have
the x-ray maintained according to the schedule furnished by the manufacturer to
insure compliance with the standard for the life of the equipment. Failure to
follow the manufacturer's maintenance instructions could relieve the manufacturer
of responsibility for continued compliance."
4.5.3 Preventive Maintenance
The following preventive maintenance should be performed at six-month

intervals, or whenever the equipment has been subjected to any use or conditions
which may compromise the safe operation of the system. This maintenance is to
be arranged by the user and must be performed by qualified personnel.
4.5.3.1 kV Adjustment
4.5.3.2 mA Adjustment
4.5.3.3 Electrical Functions
* Automatic dose rate control

* Display of mA during default low m A and normal mA Fluoro
* Radiography time control functions properly
* Fluoroscopy terminates after release of button
* Collimator controls functional
* Displays function properly
* Line cord in good condition and properly grounded
* Cables in good condition
* Mechanical limits
* Laser power supply voltage tested if so equipped
* Laser alignment
4.5.4 Verify Automatic Dose Regulations: According to regulations, the

automatic dose rate control has to be checked once per month as follows:
Quantitative Method
The C-Arm is in default "power up" condition (see Page 12).
It must display the following values:
Fluoro Program #1 ( Extremities):

with pre-filter (Wellhofer) patient-equivalent-filter 25mm A L + 1mm C u
These values are general and should not be take as absolute values
1/2 Dose:67±2kV/2.1mA±0.4mA
1/1 Dose:70 ± 2 k V / 2.7 mA ± 0,4 mA

Rev. 6 - P.17
4.5.5 Checking Beam Centering
The beam centering and size has to be checked periodically, also if the unit is out
of operation for a longer time period.
Centering:
(Deviation of beam center to center image receptor)
Cone-in position of primary beam shutters. The drift from center position should
be checked at the Fluoro image screen.
Position at the image intensifier center an object (e.g., measuring plate, center cross
hair).
Focus-Object-Distance FOD - 90 C M
maximum deviation from center < 2% FOD
Field size shutters: The primary shutters must be visible at monitor screen.
NOTE: For a more detailed instructions on the maintenance procedures and testing please
refer to the C D R H maintenance instruction located in the service manuals
4.6.0 Mechanical Operations
4.6.1 Symbols Used and Description:
A C (Alternating Current)
Power O N
IEC 417-5032 Symbol.
IEC 417-5007
Protective Earth Terminal
IEC 417-5019 Symbol. OFF

IEC 417-5265
"When power is switched off, there
Earth is a starting circuit always
powered. For complete
IEC 417-5017 Symbol. disconnection from Mains the
power cord plug must be removed from
the wall power outlet socket
Potential Equalization
Type "B" Equipment
IEC 417-5021 Symbol.
IEC 878-02-02
Attention !
See in Accompanying Dangerous Voltage
Documents
IEC 878-03-01
IEC 348 Symbol.

4.6.2 Mechanical Diagrams and Operation
The mechanical brakes for the C-Arm should always be secured in the locked position.
This is especially important when the equipment is in transport.
The locked position of the handles may be adjusted by lifting the spring-loaded
handle, rotating it to a new position and dropping it back down.
TV Camera
Image Intensifier
Cassette Holder
Orbital Brake
Horizontal Brake
Rotational Brake
Side to Side Brake

Brake Lever/Steering
Handel for Wheels
Hand Switch —
PO Cable Attachement
to monitor Cart
Footswitch ( mounted on other side)
High Frequency X-Ray Generator
Cable Guards
PICTURE 4
A
NOTE: PO Cable is for interconnecting the C-Arm and Monitor Cart. The C-Arm
PO cable attachment point is shown above in picture 4. The attachment connector
for the monitor cart is shown in picture 5.

Rev. 6 - P.19
X - R A Y Indicator
IDDIDDDD D DO O D D 0 1
Dual Monitor
IDIDDDDD DDDDDDDD
Control Keyboard Panel —~ IDIIDIIIIIIIIIII
Video Paper
Printer
^Power Cord & PO
' Cable Holder
^Add Ground Hook-Up
/JA'2©
PO Cable Attachement
to monitor Cart
Power Cord
Video Out
'Jfi ^.Safety Ground Hook-Up
0D
Potential Balance Ground
Picture 5
Video Out Connector on Monitor Cart:
At the rear of the monitor cart is a BNC-connector for Video Out. There is a RS-170 video signal with
the image from the left monitor for use with external video recording machines or external monitors
or printers and so on.
N O T E : The use of ACCESSORY equipment not complying with the equivalent safety requirements of
this equipment may lead to a reduced level of safety of the resulting system. Consideration relating to
the choice shall include:
Use of the accessory in the PATIENT VICINITY

Evidence that the safety certification of the accessory has been performed in accordance
to the appropriate IEC 601-1 and/or IEC 601-1-1 harmonized national standard.

Picture 5
© Contrast Control with Pull Switch Optional Paper Printer Operators Viewing
Main Position = Normal Contrast Monitor
Pulled = Manual Adjustment
-jjjji Brightness Control with Pull Switch Optional 7000 Single
Main Position = Normal Contrast C- Mounted Monitor
Pulled = Manual Adjustment
4.6.3 Orbital Movement
The C-Arm is capable of 115 degrees of orbital movement. Ninety (90) degrees from
horizontal to vertical, and 25 degrees beyond vertical. In each position of this
movement, the brake can be released.
4.6.4 Rotation
the C-Arm can be rotated ± 225 degrees around if horizontal arm and position locked
with the aid of the brake.
4.6.5 Swivel
The C-Arm can be rotated side-to-side by ± 12 degrees and locked in any position.
4.6.6 Horizontal Movement
The C-Arm is capable of approximately 22 cm of horizontal travel and locked in any

position.
4.6.7 Vertical Movement

The 43 cm of vertical travel is accomplished under motor control and may be operated
from the mobile stand control panel (up-down arrows) from either side.
4.6.8 Brake/Steering
The brake lever is used for both steering and braking. When it is pushed down, the
brakes are engaged. When it is lifted, the brakes are released. The mobile stand may
easily be maneuvered into the desired position by pushing the handles on either side as
illustrated in Picture 7a. The two wheels located beneath the lever may also be steered
as illustrated in Pictures 7b and 7c.

Rev. 6 - P.21
With the aid of the side handles, the C-Arm can be moved into the desired position.
The steering of the two rear wheels is done with the brake/steering lever (see Picture
a,b,c).

Lnternational Medical Systems Rev. 6 - P.22
*** FLUOROSCOPY *»*
4.7.0 INTRODUCTION
The use of the EXPOSCOP 7000 in Fluoroscopy can be as simple as powering on the
system, waiting approximately 30 to 45 seconds for the cathode filament to
preheat, and activating the hand or foot switch to view the first image. It also
allows for the following optional features:
*Start Fluoroscopy
* Various Fluoroscopy Programs
* Snapshot Technique
* Pulsed Fluoroscopy
* Manual Control of kV
* Zoom (Magnification)
» Image Integration for Noise Reduction
* Multi-Format Storage
* Image Reversal
* Image Monitor Rotation
» Iris Collimation
* Slot collimation with Rotation
* Realtime Edge Enhancement
* Digital Documentation Rotation
* Image Mirroring in post image acquisition
These options are described in subsequent sections of this manual.
4.7.1 Basic Operation
Turn on unit, as described in, Chapter 4.1, "Mechanical Movement", and Chapter
4.2, "Electronic Functions".
The Fluoro operation can be released via hand or foot switch. Contrast and
brightness for the TV monitors can be individually adjusted if the corresponding
knob is pulled out. If the corresponding contrast button is in the push-in position,
the preset values are obtained, which generally provides optimal results. In that
position, both contrast and brightness of the corresponding monitor cannot be
changed.
With release of the Fluoro

switch, the radiation is
interrupted and the last image is Continues Flouroscopy
held at the left monitor.
PICTURE 8 illustrates the 1 Pulsed Mode

differences among continuous,
A 1
pulsed, and snapshot fluoroscopy.
Snapshot Technique
When radiation is present, the
live image is displayed. When
radiation is not present, the last
live image will be held and will
continue to be displayed on the left
monitor until a new Fluoro image is
displayed.
Picture 8

4.7.2 CONTROL P A N E L C - MOBILE STAND
! 2> A LASER
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PICTURE 9
Page Page
1. Vertical position motorized 16 22. Radiography Time Select 28
2. Laser On/Off 29 23. Image Reversal Vertical 22
3. OFF 12 24. Image Reversal Horizontal 22
4. O N 12 25. Image Rotation - Left Monitor Select 22
5. Reset on radiation time and audio alarm 25 26. Image Rotation - Right Monitor Select 22
6. Hardcopy Paper Printer 27 27. Image Rotation 22
7. Z o o m l + n 22 28. Subtraction Type Modes 22
8. 1/2 Dose 21 29. Organ Button 22
9. Fluoroscopy 20 30. Image Store (Disk) 20
10. kV - Manual 22 31. Live Image Transfer - Left/Right Monitor . . . 20
11. Pulsed Fluoroscopy 20 32. Metal Filter Function 20
12. Snapshot 20 33. Soft Filter Function 20
13. Manual kV Adjustment 22 34. Remote Contrast Control 21
14. Slot Collimator Close 23 35. kV Display 24
15. Slot Collimator Open 23 36. mA Display 24
16. Slot Collimator Left Turn 23 37. Exposure Time Display 20
17. Slot Collimator Right Turn 23 38. Dose Rate Display/Error Messages 24
18. Iris Collimator Close 23 39. Fluoroscopy Time Display 20
19. Iris Collimator Open 23 40. Temp. Symbol (Failure Overheating Lndicator)20
20. Radiography Mode 28 41. Radiation Indicator 25
21. Radiography Field Size 28

4.7.3 MONITOR CART CONTROL PANEL
1 2 3
fr
NEW
\!\-
4 TEXT
INSERT
7 8 9 0
PROCESS
ACQUISITION REVIEW
3 MON MON AUTO IMAGE MAG | SHIFT
MSA EDGE IwNDW FRAME FWD IMAGE WNDW L^JASK
m
JAGE
ST"
I?
B
KSA J ONE CINE CINE WNDW
NOISE VCK MASK CINE IMAGE ^ > SHARP
Koad PAT
$ r
DSA LIH TEXT CINE
«N/OFF .-RESET REV O O - HARD
^1 2 COPY
INV
VIDEO
IMAGE
ssr
4 ON 1
2|
ESCAPE SHIFT
T
PICTURE 10
Section Section
1. Power O N / O F F 17 22. Image Forward Reverse Recall 20
2. New Patient File 18 23. Image Page 20
3. Alpha Keys 18 24. Patient File 20
4. Enter 18 25. Hard Copy 20
5. Delete/Backspace Key 18 26. Left to Right Image Transfer 20
6. Numerical Keys 18 27. Cine Edit 20
7. Text Insert Key 18 28. Right to Left Image Transfer 20
8. Shift Key 18 29. Cine Recall 20
9. mAs 19 30. Inv Video 20
10. RSA 19 31. Auto Store 21
11. DSA 19 32. Cine Store 21
12. Edge 19 33. Image Store 21
13. Noise 19 34. Image Crop 22
14. LIH Noise 19 35. Arrow Keys 22
15. WNDW 19 36. 40nl 22
16. VCR 19 37. WNDW/Level 22
17. Text O N / O F F 19 38. M A G WNDW 22
18. Frame Rate 19 39. Escape 22
19. Mask 19 40. Shift Mask 22
20. Cine Reset 19 41. Sharp 22
21. Cine 19
SEE SECTION 4.15 TO 4.20 FOR FURTHER IMAGE

PROCESSOR KEY FUNCTIONS.

4.8.0 OPERATING MODES
The tube current is automatically controlled at any given kV value

with selection of the following Fluoro modes. For appropriate tube
curves, see Appendix.
The selected operating mode is indicated by the corresponding led.

The electronically selected tube current is displayed at the mA
display (see Picture 8).
4.8.1 Function Key Fluoroscopy
This is the standard operating mode which is selected when tuirting

on the EXPOSCOP 7000.
4.8.2 Function Key Pulse Fluoroscopy
By pushing the hand or foot switch, the radiation is turned on and

off in intervals of approximately one second. This procedure
reduces the dose rate essentially. Pushing the button again brings
back the equipment to the standard operating mode.
Pulsed operation when programmed by service engineer can provide

up to 3 frames per second.
4.8.3 Function Key Snapshot
The snapshot is released only with the hand switch. The

fluoroscopy voltage of 8 mA and the maximum image integration
results in an excellent image quality.
NOTE: With small objects (hands, for example), it can result in an
4.8.4 Fluoroscopy Programs
When selecting one of the fluoroscopy program keys, a characteristic

is selected which produces an optimal result of the marked areas.
The following programs are available:
Extremities and Children
Head, spinal column and pelvis
Thorax

Rev. 6 - P.26
4.8.5 M S A (Maximum Opacified Vascular Subtraction)
MSA preserves during the contrast injection regions with greatest

contrast in the image. This results in maximum visualized
opacification of the vascular injection.
Performing MSA (Maximum Opacification) procedures:
Press the MSA key on the C-Arm control or the monitor control
keyboard to enable maximum opacification.
Perform scout fluoroscopy using the standard fluoroscopy mode and

position the patient. Now press the MSA key.
Press the hand or footswitch to start fluoro. The right monitor displays the
live fluoroscopy image while the left monitor displays the subtracted peak-
opacified image after the mask has automatically been acquired.
When the subtracted image is displayed on the left monitor with INJECT
message and optional audible alert is heard start the contrast injection.
Release foot or handswitch when a fully opacified vascular anatomy is

obtained.
The process monitor will display the procedure with preservation of

regions with greatest contrast occurring in the image during the injection.
To exit the MSA procedure press the MSA key again.
Turn on A U T O STORE to store the image when footswitch is released.
MSA(Max-OP) Re-registration of mask:

In the case of patient movement during a subtracted procedure the SHIFT
M A S K on monitor cart keyboard can be used to realign the mask to the patients
new position.
Press the SHIFT M A S K key. Manipulate the arrow keys to realign the mask.
Re-registration of mask:
Pressing one of the arrow keys once will move the mask 1/4 pixel in the
direction of the arrow key pressed.
Pressing and holding the shift key and the arrow key will result in a 1 pixel
movement.
Pressing and holding the arrow keys will cause repeated movement of mask
image.

Rev. 6 - P.27
4.8.6 RSA (Subtracted Vascular Pathway )
RSA is a subtracted vascular pathway which is displayed while a balloon,

catheter or guide wire under live fluoroscopy is guided to its desired
position.
Performing RSA (ROADMAP) procedures:
Perform scout fluoroscopy using the standard fluoroscopy mode and

position the patient.
Press the RSA key on the C-Arm control or the monitor control keyboard
to enable the R O A D M A P FUNCTION. Peak opacification will
automatically be enabled for the first part of the procedure.
Press the hand or footswitch to start fluoro. The right monitor displays the
live fluoroscopy image while the left monitor displays the subtracted
peak-opacified image after the mask has automatically been acquired.
When the subtracted image is displayed on the left monitor with INJECT
message and optional audible alert is heard start the contrast injection.
Release foot or handswitch when a fully opacified vascular anatomy is

obtained.
The process monitor will display the procedure with preservation of

regions with greatest contrast occurring in the image during the contrast
injection.
To continue the ROADMAP part 2 press the foot or handswitch.

The subtracted ROADMAP image will be displayed live on the process
monitor while the right monitor displays an un-subtracted live fluoro
image.
To exit the RSA procedure press the RSA key again.
Auto store may be turned on with MSA to store the image at the time the
foot or handswitch is released.
Re-registration of mask in second part of the Road Map function:

In the case of patient movement during the second part of the subtracted procedure
the SHIFT M A S K can be used to realign the mask to the patients new position.
Then continue the dynamic replay of the procedure as if uninterrupted.
Pressing one of the arrow keys once will move the mask 1/4 pixel in the direction
of the arrow key pressed.
movement. Holding the arrow keys will cause repeated movement of mask.

Description of Operation Rev. 6 - P.28
4.8.7 DSA/CINE (Subtracted Dynamic Image Acquisition)
Perfonning DSA with Dynamic Image Acquisition :
DSA Select body region key and perform fluoroscopy for correct patient
position and orientation.
Press DSA key on the C-Arm control panel. This will activate the 4 f/sec
dynamic image acquisition and the digital image subtraction operation.
Press the hand or footswitch when the subtracted image is displayed on the
left monitor with INJECT message and optional audible alert is heard start
the contrast injection.
Release the footswitch or hand switch when the desired vascular anatomy
has been visualized. The acquired images will automatically be replayed in a
continuous loop. Until the user exits DSA or starts a new acquisition.
The Acquired images are temporally stored on the dynamic disk until the
operator presses the CINE STORE key which protects the image run
form being over written. Five cine runs can be stored for the active patient.
As long as the CINE /DSA function is still selected the operator may start
another run by pressing the foot or handswitch at any time.
Re-registration of mask in DSA function selected on Monitor Cart

In the case of patient movement during part of the subtracted procedure
the SHIFT MASK can be used to realign the mask to the patients new position.
Then continue the dynamic replay of the procedure as if uninterrupted.
Pressing one of the arrow keys once will move the mask 1 /4 pixel in the direction
of the arrow key pressed.
movement. Holding the arrow keys will cause repeated movement of mask.
NOTE: The activation of the footswitch over rides all other activities. Therefore the
operator should do one of the following to protect image acquisition before starting
a new procedure.
-Press the STORE key on the C-Arm or the CINE STORE key on the monitor
keyboard
-Select CINE AUTOSTORE. if your system is so equipped.
Select CINE PROTECT by pressing CINE RESET key on monitor stand.
To Exit the DSA mode press the CINE key or EXIT key on the
monitor cart or the DSA key on the C-Arm control panel again.
Please review the CINE operation section for further details of the CINE
dynamic image acquisition functions.

Cine operation key's are listed below with brief description of function:
Cine Recall Allows post processing of image acquisitions
Cine Edit Allows operator to select image acquisitions to delete
Image FWD/REV Steps image one at a time for review
MASK Subtraction mask can be selected from run.
Variable landmarking changes mask intensity.
Shift Mask Registration of mask if patient moves.
Frame Rate Dynamic image frames stored . 1 - 4 F/Sec

Cine Store When Acquired image loop is ixLnning press store to
protect image run on dynamic disk.
4.8.8 Function Key - M E T A L
If there are parts of metal on the ray path, the image on the monitor
is displayed too bright. This key causes the image to be displayed
richer in contrast at a tube voltage of > 50 kV. It can be added to
every fluoroscopy program.
4.8.9 Function Key - SOFT
By pushing this key, the selected fluoroscopy program is turned off.

The SOFT function should be turned on if, for example, an injection
needle and skin shapes are to be displayed. Pushing this button
again turns off the Soft function and the fluoroscopy program
which was selected before is turned on again.
4.8.10 Function Key -1/2 Dose
This function is automatically selected when turning on the

equipment. The dose rate is split in half and thus reduces the
radiation strain on the patient and on the personnel to a minimum. If
required, this function can be turned off when pushing the button.

Rev. 6 - P.30
4.8.11 Contrast Keys
The Contrast keys have more than one use depending on options purchased
and mode of operations selected.
Contrast key operations:
1) Normal Fluoroscopy: ( Standard System )

By pressing contrast keys, the contrast of the image can be
changed on the left monitor. When pushing both keys at the
same time, the image returns to standard image contrast setting .
The range is + 3 to - 3 steps.
2) CINE / DSA : (Option Module)

Select contrast during Fluoroscopy
Image recall when Fluoroscopy is off
During CINE / D S A replay mode, press Contrast Key's to stop
image replay and step one image per press forward or reverse.
Press Booth Contrast Key's at the same time to return to full
frame rate or press booth again to enable different replay frame
rates, i.e. 1/2 1,2,4, 8,15,or 30 f/sec.
3) Fluoroscopy with Extended Surgical Module: (Option Module)

Contrast Key's are set to recall images only. Press Contrast key's to
step one image per press forward or reverse or hold key down to
enter fast step image recall forward or reverse.
W H E N I N THIS SELECTION OF OPERATION THE CONTRAST
ADJUSTMENT IS DISABLED COMPLETE
4) When the cine protection mode is on the Contrast Keys can override
the protection by pressing on of the keys.
4.9.0 CONTROL - MOBILE STAND
J Adjustment - M a n u a l M o d e
The k V level is normally controlled by the automatic dose rate

control. The operator may elect to set the level manually by pressing
button 10 on the mobile stand (so it is illuminated) and adjusting the
k V setting with button 13. Pressing once w i l l increase or decrease the
k V setting by one k V . Holding the button for more than 2 seconds
w i l l quickly advance or decrease the setting. Pressing button 10 again
w i l l return the system to automatic control of k V .
Once a k V level has been established by the automatic dose rate

control circuit, the setting may be locked i n by switching to manual
k V . (kV stop).

Rev. 6 - P.31
4.9.2 Magnification (Zoom)
The Image Intensifier in the EXPOSCOP 7000 is capable of electronic

magnification. It is selected by pressing button 23 on the mobile stand
and will magnify the image by a factor of 1.5 and 2.0. Zoom 2 with
optional triple mode LI.
1. Normal zoom LED off
2. Zoom 1 LED on
3. Zoom 2 LED blinking
4.9.3 Monitor Selection
To select left or right monitor for image rotation, press the

appropriate button.
NOTE: The select button for the right monitor is not used with compact
unit.
4.9.4 Monitor Displays Image Rotation
The image on the selected monitor can be rotated by pushing these

buttons. If both buttons are shortly pushed at the same time, the
image automatically rotates into the standard position. This
function is immediately interrupted if one of the two buttons is
pushed again.
4.9.5 Image Reversal, Horizontal and Vertical
Activation of these buttons reverse the image vertical, Head to Foot

or horizontal, Right to Left.
NOTE: If your system is so equipped with optional RTE or VIM

module, the image system will provide the image reversal
without radiation being required. This function is helpful in
reduction of patient dose.
4.9.6 Iris Collimator
To close iris, press button 18.

To open iris, press button 19.
r \
Hold any button down for a longer duration. The iris motor speed will
gradually increase.
19 ' 9) '
Hold both buttons down at the same time. Iris will open to maximum size.

4.9.7 Slot Collimator
To close, press button 14.
To open, press button 15.
Press both buttons for maximum opening.
Press button 18, iris rotates to the left.

Press button 19, iris rotates to the left.
4.9.8 Live Image Transfer
Cannot be activated during live Fluoro. Activate when no radiation is

present. The left image with text moves to the right monitor, and the right
monitor image, without text, moves to the left monitor (image swap).
Using the left monitor for AP and right monitor for lateral allows
individual monitor yoke rotation. To change AP/Lat procedure, just
move C-Arm and active live image transfer button 31.
NOTE: With Compact unit, this function can only be used in conjunction
with the monitor cart connected.
4.9.9 Image Store to Digital Disk (C-Arm Control)
1. Momentarily press button 30 to "store" live or last image hold to

disk. Text message "Store" will blink at lower half of monitor
and a image store sequence number is shown in upper right
corner of monitor.
2. When Cine Acquire and dynamic image replay is running press
button 30 to store the Dynamic image run to the patients cine file.
3. When in Cine step mode press button 30 to store single image on
left monitor to the patient image file.
NOTE: This button is not used with compact system.
4.10.0 CONTROL P A N E L - MOBILE STAND
4.10.1 kV Display
The kV level is displayed at location 35 on the mobile stand. After

power on, it will be set at 75 kV. During fluoroscopy, the system
will normally adjust the kV level with the automatic dose rate
control circuitry. After Fluoro, the last kV setting will be stored and
displayed. The kV setting may also be controlled manually as
KV described in Section 9.1.

Rev. 6 - P.33
4.10.2 mA Display
© The mA level is displayed at location 36 on the mobile stand. The

level is always adjusted by the system in response to the kV
setting so that optimum performance may be achieved with the
I I I I I I x-ray tube. The mA is displayed during active fluoroscopy. In
^ I I I oI \ Fluoro off mode, its last value remains stored until new Fluoro
values or different modes are selected. Snapshot is fixed at 8 mA
m A and radiographic is 20 mA.
4.10.3 Exposure Time
In radiographic mode, a fixed current of 20 mA is adjusted. A
I . • — • J
© selected exposure time from 0.1 to 4.0 seconds is stored and
displayed.
s
4.10.4 Indication of Dose Area Product (Optional)
\
tc?
—
Indication of the dose area product in cGy cm . Adjustment of the
2
I I I II 1 1 1
measuring equipment of the dose area product can taken from the
1 1 1 1 1 1 1 1 enclosed.
J
cGy cm 2
(g With (optional) dose meter, the "zero time" key and "1/2 dose"
key have the following double function:
/ \
This key takes over the function of the "RESET" key. That means
dose area product and fluoroscopy time display are reset.
fo 1 By pushing both buttons (more than 2 seconds), the "TEST"

1/2 function is effected in checking the operation of the dose display.
DOSE
I
4.10.5 Fluoroscopy Time Display
The display indicates fluoroscopy and radiography time in

I I I I I I I I minutes and seconds.
I I I I.I I I I
MIN ®
4.10.6 Audio Alarm
After termination of 5 minutes of total radiation time, a sound

signal starts and the red LED is flashing. WTien pushing this
button shortly, the sound signal is turned off while the LED
continues to flash. At the end of another 5 min. audible alarm
will sound again. When pushing the button longer than 2
seconds, flashing of the red LED is terminated. At the same time
the indication of the radiography time and, if available, of the
dose area product is reset to zero.

4.10.7 Error, Overheating
If generator is overheated, the overhearing indicator is flashing.

If the single pulse or exposure mode is turned on, it is switched
back to the fluoroscopy mode and the tube voltage is limited to
0.5 mA. If this indicator is continuously flashing, the equipment
must be turned off. Before turning on again, the generator must
be cooled down.
NOTE: With system Serial number >2300 the system can be

programmed to continue fluoroscopy until maximum heat
overload. If this is programmed the system will display a
blinking M A value at the normal limit to warn the operator to the
heat overload possibility then at maximum limit stops
Fluoroscopy
Instruction: When turning on the equipment, the overheating

indicator will flash for a few seconds then turn off.
4.10.8 Exposure Indicator
There are three methods to indicate that radiation is being

generated. Location 41 on the mobile stand will be muminated,
the amber light on top of the left monitor will be on, and the
" Ready Fluoro" indication in the lower part of the left monitor
will change to indicate "Fluoro" (fluoroscopy radiation on).
When equipment is first turned on, the over temperature and

radiation symbols are muminated for a few seconds.
4.10.9 Error Codes
At equipment start-up, some messages are displayed in the dose

1 ] 1 1 1 1 1 1 1 1
rate window if faults are present. It will display faults also
1 1 1 I I I 1 1 1 1 during use. Error messages have an " E " prefix in front of the
1 1 1 1 1 1 1 11 1 code. Press hand or footswitch to clear fault. If the fault codes
J remain in display window, they become significant. Please
v cGy cm inform your Service Representative about the code number and
serial number of system.
*** RADIOGRAPHY ***
4.11.0 GENERAL INFORMATION
Spot film radiography is selected by pressing button 20 on the

mobile stand so it is muminated. It may be activated only with
the hand switch. During the entire exposure, the acoustic alarm
is activated. The exposure is interrupted if hand switch is not
pressed down. A second radiography or fluoroscopy can be
initiated after a 10-second delay.

4.11.1 Exposure Technique
Radiography operates at a fixed tube current of 20 mA.

Normally, radiography is preceded by fluoroscopy of the object
It I I I of interest. This will establish the optimum kV setting and this
setting will automatically be used during radiography. However,
manual values can be adjusted with button 13 .
K V .
4.11.2 Exposure Time
Since the tube current remains fixed and the kV setting is set for
optimum penetration, the dose may be controlled further only by
varying the duration of radiography. Thetimemay be set from
0.1 sec. to 4.0 sec. The time is set with button 22 and displayed
at location 4 on the mobile stand, if exposure chart is deleted.
4.11.3 Film Cassette Holder
The film cassette holder for spot film radiography is attached by

the operator to the image intensifier. To attach the cassette holder,
pull back the spring knob, position the holder on the image
intensifier, and release the knob as illustrated in Picture 10.
P I C T U R E 10
E
Release
Handle
4.11.4 Cassette Size
The collimator size is set during radiography for the size film used.
Either 24, 30 or 40 centimeters may be selected (in the USA the 30
and/or 40 cm modes are disabled).

Rev. 6 - P.36
4.12.0 LASER LIGHT O N / O F F (OPTIONAL)
The laser aiming device is installed in the x-ray generator.

A light cross is produced, the transposition point of which
o marks the position of the x-ray tube radiation. Laser button 2
will turn the laser beam on and off. The automatic off rimer is
LASER
set for 1 minute.
WARNING:
ATTENTION — VISIBLE LASER LIGHT

CLASS H LASER PRODUCT
LASER RADIATION - DO NOT STARE
INTO BEAM
LASER CLASS II, IEC 825, 21 CFR SUBCHAPTER J , 1040
- C A U T I O N - The use of optical instruments with this product will

increase eye hazard
- For safety reasons, the laser automatically turns off after one
minute.
- Peak power is 1 mw, Wavelength 635nm.
- Observe the guidelines for the user, according to IEC 825, Chapter 3.
4.12.1 Paper Printer
1) If the system is equipped with a paper printer, press

o button #6 on C-Arm control to transfer image to the
PRINT paper printer and print the image.
2) If system is equipped with a hard copy camera and a printer,

you must use the monitor cart to print image from paper printer.
Press SHIFT key #8 and then press H A R D COPY key #25 to
transfer and print image from reference monitor to the paper
printer.

NOTE: Pressing PRINT key on paper printer will not
necessarily provide the proper image to be printed on the
paper printer. Therefore, always use the combination of
SHIFT key and HARD COPY key to properly print image to
paper printer.
This function can only be utilized in the 7000 Compact

version, if additional monitor cart with hard copy is connected.
These Keys are Located
on the monitor Cart
[ Paper printer is an optional feature ]
4.13.0 ERROR CODE

In case of fault error message condition, please provide Customer
Service with the code number and unit serial number.
There are three types of error messages to be aware of:
1. Caution message at start-up condition:
Any caution message is displayed at the dose rate window in blinking

fashion. Multitude messages are displayed in sequence. In caution
condition, the acoustical alert is activated. By briefly activating the
hand switch or foot switch, any warning codes are erased. Now the
EXPOSCOP 7000 becomes ready for operation.
2. Error code message at start-up condition:
Any error code message is displayed at the dose rate window in

blinking fashion and in sequence, if more messages are displayed. The
acoustical alert can be disabled by briefly activating the hand or foot
switch.
If EXPOSCOP 7000 does not permit operation".

The error code condition must be corrected by Customer Service.
3. Error code message at normal use:
Should this condition occur during operation, the radiation signal is

immediately interrupted. Any attempt to reactivate radiation is not
possible.
The error code is constantly displayed in blinking fashion in the dose

rate display window. The acoustical alert remains activated.
"The EXPOSCOP 7000 is not operational."

"The error code condition requires immediate correction by Customer
Service."

Rev. 6 - P.38
4.13.1 ERROR CODE Messages/Listings:
DESCRIPTION MESSAGE CODE
Hand switch 1 activated during start up Caution E16

Foot switch 1 activated during start up Caution E17
Hand switch 2 activated during start up Caution E18
Foot switch 2 activated during start up Caution E19
Cable defect hand or foot switch Error/Fault E20
With compact unit, yellow light of monitor defect Caution E21
Call Customer Service Warning 22
ERROR CODE Messages/Listings Continued:
Call Customer Service Error/Fault E25

Generator Fault, Overheating (allow cool off) Warning E29


Call Customer Service Error /Fault E61
Call Customer Service Warning E64

Call Customer Service Error /Fault E92

4.14.0 CLEANING, DISINFECTION, STEPJLIZATION
Disconnect from power source before attempting to clean or disinfect the unit.
4.14.1 Cleaning
To clean the unit, use a towel that is moisturized with water and common
cleaning solution. Do not use abrasive cleansers or solvents that contain alcohol
or gasoline traces, or concentrated spot remover solutions.
Never spray onto equipment ~ cleaning solution must not enter equipment.
In the monitor screen, use pure alcohol or diluted alcohol with 2/3 distilled
water mix.
Immediately after cleaning the screens, wipe with dry cotton cloth all
surrounding painted surfaces until they are dry.
4.14.2 Disinfection
For surface disinfection, please use the following:
a) Incidin (3% in water)

b) Ultrasol F (5:1 in water)
c) Formaldehyde solution (35%)
Do not use pure alcohol or sagrotan. It can destroy the equipment paint job
permanently. For any other disinfecting substances, no guarantee can be given.
Disinfection sprays cannot be used since the spray mist could get inside the
equipment that could jeopardize its safety. Electronic components could get
damaged and solution vapor gases could ignite.
4.14.3 Sterilization
The removable film cassette holder can be sterilized.

APPENDIX A TECHNICAL DATA
Line Voltage 230VAC ± 10% 50 H z / 120VAC ± 10% 60 H z

Main Fuse of Power Supply 15A/220V, 20A/110V
Leak Current Detection Switch I 3 16A, I a n = 30mA (Specified for 230V)
N
Nominal Power Draw 12A @ 120V, Peak 30A /6A@ 220V, Peak 15A
Internal Power Fuse 2 fuses 15A @ 220V / 2 fuses 20A@ 110V
Line Resistance <_Q.6£2
Safety Classification: Safety Class I, Type B Equipment, Ordinary Equipment, Equipment

not suitable for use with flammable atmosphere, Continuous Operation Equipment.
Generator Output Fluoroscopy 40 kV to 110 k V / 0.2 to 6 mA

Radiography 40kVtoll0kV/20mA
Operating Frequency 20 k H z
Operating Values Fluoro 110 kV / 0.2 to 6 mA
Radiography 110 k V / 2 0 m A
Exposure Time 0.1 to 4 sec. Radiographic
Output Values Fluoro 550 W
Single Pulse 880 W
Exposure 2200 W
Nominal Electrical Output (max.) 2200W @ 110 k V / 20 mA
Current-Time Reference 20 mA @ 0.1 s
Radiation Safety Area 2.5 m / 7" LI. 3.5 m / 9" I.I.
More Specifications of the X-Ray Tube can be 1 in the Data Sheet.

X-Ray Tube Double Focus Stationary Anode
Nominal Focal Spot Fluoro 0.6
Radiographic 1.5
Inherent Filtration >4mm A L
Image Intensifier 9" = 23/15cm 7" = 17/10cm
Cesium Iodide
Magnification - 1.5X
Fluoro Grid Pb8/140
Monitors Picture Tube 44 cm (17")
Bandwidth 20 M H Z
Resolution 32 kHz/60-120 H z
Storage Temperature -10° C to + 70° C 95% rel. humidity storage
Working Temperature +10° C to + 35° C 85% rel. humidity working
Mechanism Focal Spot to I.I, Input Screen 97 cm

C-Arm Width=I.I. to X-ray Tube 75 cm
C-Arm Depth 68 cm
Orbital Movement 115
Rotation ± 225°
Side-to-Side (Wig Wag) ±12°
Horizontal 22 cm
Vertical 13 cm
Weight C-Arm 260 kg
Monitor Cart 125 kg
NOTE: To avoid damage to the x-ray system with large temperature deviation, allow all
parts of the system to obtain room temperature before use.
NOTE: Discoloration of thermal paper could occur at temperatures >40° C and a relative
humidity of>60%. At temperatures above 60° C, irreversible contrast loss can occur.

APPENDIX A TECHNICAL D A T A CONTINUED:
•TEMP COOLING CURVE

60
50 I t 4
UJ
< > t <
a 40
O
1
; T•• <
' *• »
I ! i
UJ 30
1
ui i i :
UJ
tr 20 T r ^ r T —I r T
o 1
UJ
Q
10
1 ' ; :
o i n o i D o i n o L n o i n o m o i o o i n o L O O i n o i r s o i r j o
TIME/Min
Statement of Compliance:
C - A r m EXPOSCOP CB 7000 with X-Ray Source Assembly Maxipuls 3-110
IEC S T A N D A R D S :
IEC 601-1: 1990, IEC 601-2-7: 1987, IEC 601-2-28: 1993, IEC 601-2-32: 1994
Standard 9" LI., 7"I.L, 6" LI. system are all UL2601 certified.
DHHS:
COMPLIES WITH D H H S RADIATION PERFORMANCE STANDARDS, 21 CFR SUBCHAPTER J. AS OF DATE OF
MANUFACTURE
ZIEHM .GMBH A N D INTERNATIONAL MEDICAL SYSTEMS, INC. RESERVE THE RIGHT TO M A K E C H A N G E S IN
SPECIFICATIONS AT ANYTIME WITHOUT NOTIFICATION.
© 1996 Z I E H M / INTERNATIONAL MEDICAL SYSTEMS A L L RIGHTS RESERVED

Rev. 6 - P.42
Section 4.00 09/18/97
Exposcop 7000
Rev. 6 - P.43
Rev. 6 - P.45
Exposcop 7000 Section 4.00
International Medical Systems 09/18/97
*** A P P E N D I X B ***
X-Ray Generator. Housing and Tube With Beam Limiting Device
Manufacturer: Ziehm GmbH
Z I E H M Maxipuls 3-110
Total filtration: > 4 mm A L
Focal Spot 0.6/1.5 mm
Tube Type EP-F 181-0.6/1.5-125-60
Registration No. BY 287/84/RO
Target Material Tungsten
Target Angle 120
Radiation Leakage <lm S v / h @ 110 kV/7200mAs/h
Maximum admissible high voltage: 110 kV
Dose Rate Control:
kV-mA are constant pairs and are directly indicated at the control desk - mobile stand
(DIN 6811 of January 1972, Point 33.1.2).
Maximum operating values for fluoroscopy: 6 mA at maximum of 110 kVp.

Rev. 6 - P.47

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International Medical Systems

1997 ZIEHM / INTERNATIONAL MEDICAL SYSTEMS A L L RIGHTS RESERVE

Exposcop 7000 Section 4.00 09/18/97

4.8.0 Operating Modes 26

4.9.0 Control - Mobil Stand 31

4.10.0 Control Panel - Mobil Stand 33

Exposcop 7000 Section 4.00 09/18/97

4.11.0 Radiography General Information 35

4.11.1 Exposure Technique 36

4.12.0 Laser Light On/Off (Optional) 37

4.12.1 Video Paper Printer / CRT Hard Copy Camera 37

4.13 Error Codes Information 38

4.13.1 Error Code Message list 39

4.14 Cleaning -Disinfection- Sterilization 40

*** APPENDIX A ***

*** APPENDIX B ***

X-Ray Generator, Housing and Tube with Beam Limiting Device 48

Section 4.00 09/18/97

Exposcop 7000 Section 4.00 09/18/97

* High frequency generator which produces a precise spectrum of radiation

* Efficient design of the generator allows the EXPOSCOP 7000 to perform

* The EXPOSCOP 7000 is controlled by a multi processor system which

* Integral digital memory features last image hold.

* Frame Integration may be selected as an effective noise filtration

* Magnification achieved with electronic focus within the Image Intensifier

* Unique cable arrangement contributes to the clean design and attractive

* Fluoroscopy may commence approximately 35 seconds after power is

Exposcop 7000 Section 4.00 09/18/97

The installation and service of the EXPOSCOP 7000 is to be performed by

Those authorized to operate, participate in or supervise the operation of the

Repair works through non-authorized personnel will lead to a loss of guarantee.

4.2.2 Radiation Warning:

Those responsible for the planning of X-ray equipment installations must be

X-ray control area

Exposcop 7000 Section 4.00 09/18/97

Inherent filtration equivalent >4mmAl

30/23/15cm - Cesium - Iodid Ambient temperature > 60° C may cause

4.2.3 Electro-mechanical Warning

4.2.4 Electrical Grounding Instructions

The equipment must be grounded to an earth ground by a separate conductor. The

4.2.6 Installation and Environment

Except for installations requiring certification by the manufacturer per Federal

Exposcop 7000 Section 4.00 09/18/97

Transport Position of C-Arm

l . C - A r m has to be brought into illustrated position.

Transport Position of Monitor Cart

Important Note: The maximum inclination of floor level is 10°.

Exposcop 7000 Section 4.00 09/18/97

4.2.10 LASER: ATTENTION — VISIBLE LASER LIGHT

COMPLIES WITH DHHS RADIATION PERFORMANCE

Exposcop 7000 Section 4.00 09/18/97

The installation of this equipment should be performed by authorized, qualified

4.3.1 Shipping Container

4.3.2 Unpacking - EXPOSCOP 7000

Exposcop 7000 Section 4.00 09/18/97

Mounting - EXPOSCOP 7000 Single Monitor Option (Compact System)

4.3.4 System Interconnection

EXPOSCOP 7000 with Single Monitor Option ( Compact System )

POWER LLNE VOLTAGE M A T C H I N G :

Exposcop 7000 Section 4.00 09/18/97

Service personnel are cautioned to observe all CAUTIONS and WARNINGS as

Follow the C D R H instructions located in the maintenance/service manual at time

* APPENDIX A *

* APPENDIX B *