Carestream Health DRXRGA Grid Alignment User Manual 00944

Carestream Health, Inc. Grid Alignment 00944

Safety and Regulatory Manual

DRX-Revolution Mobile X-ray System Safety and Regulatory Information2012-02-079J0239Version 3.0
9J0239 1Table of Contents1 Safety and Regulatory InformationManual Conventions............................................................................................................................................ 1Overview ............................................................................................................................................................. 1Indications for Use........................................................................................................................................ 2Training ........................................................................................................................................................ 2Safety and Related Information............................................................................................................................ 3Manufacturer’s Responsibility ....................................................................................................................... 3Safety Symbols............................................................................................................................................... 4Radiation and X-ray System ........................................................................................................................... 6Safety and General Compliance Information............................................................................................ 6Maximum Permissible Dose (MPD)........................................................................................................ 7Radiographic Performance ..................................................................................................................... 7Radiation Protection ............................................................................................................................... 8CDRH Compliance................................................................................................................................... 9Classification in Accordance with IEC 60601-1........................................................................................ 9IEC/EN 60601-1-3 Compliance................................................................................................................ 9Conforming Safety Standards....................................................................................................................... 10USA ....................................................................................................................................................... 10Canada.................................................................................................................................................. 10Europe.................................................................................................................................................. 10International ......................................................................................................................................... 10Cautions............................................................................................................................................................ 11Equipment Cautions .................................................................................................................................... 11Electrical/Mechanical.................................................................................................................................. 11Mechanical ................................................................................................................................................. 11General Use Cautions and Special Messages ................................................................................................ 11Moving and Equipment Use Cautions........................................................................................................... 12Electrical and Flammable Cautions.............................................................................................................. 12Radiation and Magnetic Field Cautions........................................................................................................ 13Cleaning Cautions........................................................................................................................................ 13Caution Regarding Small-Object Image Handling ........................................................................................ 14Restrictions on Use ..................................................................................................................................... 15
29J0239Disposal............................................................................................................................................................ 16Usability............................................................................................................................................................ 16USB, Network, and Tether Connectors .............................................................................................................. 17Conforming EMC Standards .............................................................................................................................. 18For European Market Only.......................................................................................................................... 18System Requirements.................................................................................................................................. 18US and Canada EMC Statements .................................................................................................................. 19Electromagnetic Emissions/Immunity ......................................................................................................... 20Wireless............................................................................................................................................................ 28DRX-Revolution Wireless Systems ............................................................................................................... 28DRX-1 and DRX-1C System Detectors.................................................................................................... 28Grid Alignment Transmitter................................................................................................................... 28Wireless Compliance Information for EU Directive 1999/5/IEC................................................................... 29Grid Alignment Intended Use ................................................................................................................ 29EC Declaration of Conformity............................................................................................................................ 30National Usage Restrictions......................................................................................................................... 31Compliance................................................................................................................................................. 32Anti-Collision Feature........................................................................................................................................ 35Patient Vicinity .................................................................................................................................................. 35Compatible Components ................................................................................................................................... 35X-ray Tube Components.............................................................................................................................. 35X-ray Source Assembly................................................................................................................................ 35Accessories................................................................................................................................................. 36Flammability ............................................................................................................................................... 36Method of Cleaning..................................................................................................................................... 36Extra Focal Dimensions .................................................................................................................................... 37Labels ............................................................................................................................................................... 39Systems Label Locations.............................................................................................................................. 39Detector /Grid Holder Weight Limit Label ................................................................................................... 41Product Disclosure Table.................................................................................................................................. 42
1-1 9J0239Safety and Regulatory Information1Safety and Regulatory InformationThe information contained herein is based on the experience and knowledge relating to the subject matter gained by Carestream Health, Inc. prior to publication.No patent license is granted by this information.Carestream Health, Inc. reserves the right to change this information without notice, and makes no warranty, express or implied, with respect to this information. Carestream Health 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 Carestream Health’s negligence or other fault.Manual ConventionsNOTE: The original documentation is written in English.This manual uses three types of messages to emphasize information or potential risks to personnel or equipment: Note, Important and Caution. NOTE: Notes provide additional information, such as expanded explanations, hints, or reminders.IMPORTANT: Important highlights critical policy information that affects how you use this manual and this product.CAUTION:Cautions point out procedures that you must follow precisely to avoid injury to yourself, others, damage to the system or any of its components, loss of data, or corruption of files in software applications. Disregarding the caution statement may lead to abnormal use.OverviewThe CARESTREAM DRX Mobile X-ray System is a mobile imaging system that incorporates a self contained X-ray generator, image receptor, imaging display and software for acquiring medical diagnostic images outside a standard X-ray room. It is a mobile diagnostic system intended to generate and control X-rays for examination of various anatomical regions.
1-2 9J0239Safety and Regulatory InformationThe system is designed for use in all locations of a hospital or clinical site, including patient rooms, operating rooms, emergency departments, trauma bays, Intensive Care Units (ICU) and other patient treatment areas.Personnel operating and maintaining the System should receive training and be familiar with all aspects of operation and maintenance. To ensure safety, read the Safety Information section carefully before using the system and observe all Cautions, Importants, and Notes located throughout this manual and other manuals supplied with the equipment.From this point forward, all references to the DRX -Revolution System will be referred to as the System.Indications for Use The device is designed to perform radiographic X-ray examinations on all pediatric and adult patients, in all patient treatment areas.Training This equipment is intended for use by appropriately trained and skilled radiological health care professionals who have received specific training on the operation and use of this equipment.CAUTION:Only qualified personnel may operate the System. Operation of the equipment by persons who have not been trained or who are unfamiliar with the functions and controls of the System may cause serious injury to the patient, serious injury to the operator, or equipment damage.CAUTION:Only allow trained X-ray personnel to operate the system.For training in the operation of this equipment, contact Carestream Health, Inc.
1-3 9J0239Safety and Regulatory InformationSafety and Related InformationManufacturer’s ResponsibilityAlthough this equipment incorporates protection against X-radiation other than the useful beam, practical design does not provide complete protection. Equipment design does not compel the operator or assistants to take the necessary precautions; nor does it prevent the possibility of improper use (authorized or unauthorized persons carelessly, unwisely, or unknowingly exposing themselves or others to direct or secondary radiation). Allow only authorized, properly trained personnel to operate this equipment.Be certain that all individuals authorized to use the equipment are aware of the danger of excessive exposure to X-radiation.This equipment is sold with the understanding that the manufacturer, its agents, and representatives do not accept any responsibility for overexposure of patients or personnel to X-radiation.Furthermore, the manufacturer does not accept any responsibility for overexposure of patients or personnel to X-radiation generated by this equipment as a result of poor operating techniques or procedures.No responsibility is assumed for any unit that has not been serviced and maintained in accordance with the technical service manual, or that has been modified or tampered with in any way.
1-4 9J0239Safety and Regulatory InformationSafety Symbols The following symbols may be used for marking on this equipment for equipment documentation.Emergency Stop button Follow operating instructionsWarning—dangerous voltageDangerous voltageWarning— ionizing radiationType B applied partDirect currentAlternating currentCollimator light~
1-5 9J0239Safety and Regulatory InformationPower OffPower OnEquipment OffEquipment OnCautionNon-ionizing radiationTether cableEthernet connectionUSB connection
1-6 9J0239Safety and Regulatory InformationRadiation and X-ray System Safety and General Compliance InformationOccupational workers associated with X-ray work must be familiar with the recommendations of the Center for Devices and Radiological Health (CDRH), the National Council on Radiation Protection (NCRP), the International Commission on Radiation Protection (ICRP), and state and local regulations.Be sure that all personnel authorized to operate the System are familiar with the established regulations of the authorities named above. All personnel should be monitored to ensure compliance with recommended procedures.Current sources of information include:• NCRP Report 147: Structural Shielding Design for Medical Imaging Facilities• Current recommendations of the International Committee on Radiation Protection• State or local requirements for radiation protectionAlthough exposure to high levels of X-radiation may pose a health risk, System X-ray equipment does not pose any danger when properly used. Be certain all operating personnel are properly educated concerning the hazards of radiation. Persons responsible for the system must understand the safety requirements and special warnings for X-ray operation. Review this manual and the manuals for each component in the system to become aware of all safety and operation requirements.CAUTION:Ensure exposure parameters are properly adjusted within safety limits.CAUTION:Incorrect Collimator adjustment may cause unnecessary patient X-ray exposure. See the DRX-Revolution Mobile X-ray System Hardware Guide for instructions for adjusting the size of the exposure area.CAUTION:Incorrect X-ray Tube and Collimator position could cause the X-ray field to be misaligned with the receptor, resulting in unacceptable images.
1-7 9J0239Safety and Regulatory InformationCAUTION:Materials between the Tube and the patient may adversely affect the resulting image.Maximum Permissible Dose (MPD)Various studies on the effects of X-radiation have provided a foundation for establishing the maximum permissible dose of X-radiation to which an occupational worker may be exposed. The results of these studies have been used by the NCRP and the ICRP to develop recommendations for MPD. In addition, state or local regulators also provide occupational exposure limits which must be complied with.Occupational Exposure Limits:Whole body: 5.0 rem/yearExtremity: 50.0 rem/yearDeclared pregnant occupational worker: 0.5 rem/gestation periodRadiographic PerformancekVp Range 40 to 150 kVpkVp Accuracy ±(5 % + 1) kVp, measured 5 ms after the beginning of the exposure; ±2 % between 70–85 kVpRipple (kVp) ±5 % p–p over the full operating range (for ripple frequency kHzRisetime (10– 90 %) < 2.0 ms (typically < 1.5 ms)mAs Accuracy ±(10 % + 0.20) mAs: > 0.5 mAs± (10 % + 0.5 mAs: 0.1 mAs–0.5 mAsCoefficient of linearity 0.1 (Station to Station) for exposures mor 3.2 msCoefficient of Reproducibility< 0.05 for kVp and mAs parameters
1-8 9J0239Safety and Regulatory InformationRadiation Protection Because exposure to high levels of X-radiation may pose a health risk, operators must ensure that they use all available methods to reduce their radiation dose to a level that is As Low As Reasonably Achievable (ALARA). This includes protection from the primary beam as well as scattered radiation. Protection from excessive amounts of exposure is accomplished using a combination of engineering and administrative controls. •Portable Barriers and Lead Aprons—Portable barriers and lead aprons may be needed to protect personnel from scattered radiation if operators need to be in close contact with the patient. Make sure that the shielding and aprons have sufficient lead equivalence, as determined by a qualified Health or Medical Physicist, and are maintained properly for maximum benefit.•Procedures—Always follow the procedures of your institution to ensure proper protection.•Training—Medical equipment should be operated by trained personnel only. Most regulatory agencies require that medical diagnostic procedures be done only by properly licensed individuals. Consult your state or local agencies for more information.•Radiation Survey—Monitor the exterior of the X-ray facility (outside the primary protective barrier) and control room periodically to ensure that dose rates meet design objectives for allowable radiation exposures. A qualified Health or Medical Physicist should use only calibrated equipment for this survey.•Personal Monitoring—Monitor occupational workers that use X-ray equipment for X-ray exposure to ensure that established controls are functioning properly and procedures are being followed. Typically, film badges or similar devices are used. Film badges use X-ray sensitive film enclosed in a holder that incorporates metal filters of varying degrees of transparency to X-ray radiation. Even though this device only measures the radiation reaching the area of the body on which it is worn, it provides an indication of the amount of radiation received. Film badges can also be used as area dosimeters on the outside perimeter of the X-ray facility and control room to verify dose rates. Film badges are available from a number of distributors. Consult your institution’s Radiation Safety Officer for further information.IMPORTANT: Use a source-to-skin distance as large as possible to keep the absorbed dose as low as reasonably achievable. The Operator Console must be located where there is audio and visual communication between the radiographer and the patient.
1-9 9J0239Safety and Regulatory InformationCDRH Compliance The X-ray System complies with Department of Health and Human Services radiation performance standards per Title 21 CFR, Chapter 1, Subchapter J, Section 1020.Classification in Accordance with IEC 60601-1IEC/EN 60601-1-3 ComplianceThe System is manufactured with radiation protection in accordance with IEC/EN 60601-1-3:1994.Type of protection against electrical shock Class I equipment/Internally powered Degree of protection against electrical shock Type B protection against electrical shockDegree of protection against ingress of water Ordinary protectionMode of operation Continuous operation with intermittent loadingFlammable anesthetics Not suitable for use in the presence of flammable anesthetics or a mixture of flammable anesthetics with air or oxygen or nitrous oxideElectrical RatingDRX-Revolution Mobile X-ray System Voltage: 100/120/200/240/ VACCurrent: 4.4/12.0/7.2/6.0 AFrequency: 50/60 HzDRX-Revolution Grid Holder Voltage: 3.2 VDCCurrent: 1.5 ACARESTREAM DRX-1/DRX-1C System Detector Voltage: 3.2 VDCCurrent: 3.0 A
1-10 9J0239Safety and Regulatory InformationConforming Safety StandardsUSA UL 60601–1:2003 Medical Electrical Equipment, Part 1: General Requirements for SafetyCanada CAN/CSA–C22.2 No. 601.1–M90—Medical Electrical Equipment—Part 1: General Requirements for Safety Europe EN 60601–1:1990 + A1+ A2—Medical Electrical Equipment—Part 1: General Requirements for SafetyEN 60601–1–1:2001—Medical Electrical Equipment—Part 1–1: General requirements for safety —Collateral standard: Safety requirements for medical electrical systemsEN 60601–1–3:1994—Medical Electrical Equipment—Part 1–3: General requirements for safety—3. Collateral standard: General requirements for radiation protection in diagnostic X-ray equipmentEN 60601–1–4:1996 +A1—Medical Electrical Equipment—Part 1–4: General requirements for safety—Collateral standard: Programmable electrical medical systemsEN 606011–6:2004—Medical Electrical Equipment—Part 1–6: General requirements for safety—Collateral standard: UsabilityEN 60601–2–32:1994—Medical Electrical Equipment—Part 2–32: Particular requirements for the safety of associated equipment of X-ray equipment International IEC 60601–1:1988 + A1 + A2—Medical Electrical Equipment—Part 1: General Requirements for SafetyIEC 60601–1–1:2000—Medical Electrical Equipment—Part 1–1: General requirements for safety—Collateral standard: Safety requirements for medical electrical systems IEC 60601–1–3:1994—Medical Electrical Equipment—Part 1–3: General requirements for safety —3. Collateral standard: General requirements for radiation protection in diagnostic X-ray equipment IEC 60601-1-4:1996 +A1—Medical Electrical Equipment—Part 1–4: General requirements for safety—Collateral standard: Programmable electrical medical systemsIEC 60601-1-6:2004 - Medical Electrical Equipment—Part 1–6: General requirements for safety—Collateral standard: UsabilityIEC 60601–2–32:1994—Medical Electrical Equipment—Part 2-32: Particular requirements for the safety of associated equipment of X-ray equipment
Safety and Regulatory Information9J0239 1-11CautionsEquipment Cautions The following are general safety precautions:• Do not remove the covers for any purpose.• Do not defeat or bypass built-in equipment safety features.• Observe all cautions, stated or implied, in the procedures.• Follow all safety labels on the equipment.CAUTION:Do not attempt any repairs if the equipment fails to operate correctly. Immediately call a person qualified and authorized to repair the equipment.Electrical/MechanicalCAUTION:Only a qualified authorized Service Provider should replace electrical and mechanical components.Mechanical The following are mechanical safety precautions:• Keep fingers, hands, and tools clear of moving parts.• Do not operate the equipment with covers or access panels removed.• Route cables properly to eliminate hazards from tripping.General Use Cautions and Special Messages
1-12 9J0239Safety and Regulatory InformationCAUTION:Use of controls or adjustments or performance of procedures other than those specified herein may result in hazardous radiation exposure.CAUTION:Do not operate this equipment outside of its operating environment limits. Doing this may cause the equipment to malfunction. CAUTION:The System includes no user serviceable parts. Contact Carestream Health, Inc. for service information.CAUTION:This device must be maintained according to the directions in the System Hardware Guide. Failure to maintain this equipment as directed may result in injury, equipment malfunction, or unacceptable images.CAUTION:United States federal law restricts this device to sale by or on the order of a physician.CAUTION:The user must pay attention to possible adverse effects from materials located in the X-ray beam.Moving and Equipment Use CautionsCAUTION:Excessive use of the virtual keyboard may result in repetitive strain injury.CAUTION:The equipment is fragile and must be handled with care.Electrical and Flammable CautionsCAUTION:Only allow trained X-ray personnel to use the Operator Console.CAUTION:The System is not suitable for operation in the presence of a flammable anesthetic mixture with air, oxygen, or nitrous oxide.
Safety and Regulatory Information9J0239 1-13Radiation and Magnetic Field CautionsCAUTION:The System system produces ionizing radiation. Operators must meet all international, national, state, and local requirements and regulations.CAUTION:This x-ray unit may be dangerous to patient and operator unless safe exposure factors and operating instructions are observed.Cleaning CautionsCAUTION:Do not operate the equipment when cleaning the equipment.CAUTION:Do not spray cleaning or disinfecting solution directly onto the equipment. Moisten a cloth with a 70% isopropyl alcohol solution for use on plastics and enameled metal. Apply to patient contact areas after each contact.CAUTION:Isopropyl alcohol is a flammable solvent. Read and follow instructions in the Material Safety Data Sheet (MSDS).CAUTION:Do not immerse the equipment in liquid.NOTE: For instructions on cleaning the equipment, see the DRX-Revolution Mobile X-ray System Hardware Guide
1-14 9J0239Safety and Regulatory InformationCaution Regarding Small-Object Image HandlingAs with all digital imaging devices, there is the potential that some structures could appear different in the digital image from an image created with an analog device—such as a screen-film system—or with another digital device that has smaller individual detector elements. These structures include small-detail structures, high-contrast edge structures, and fine-line structures with a repeating pattern. For example, the edges of a sharp-edged object may appear to have “stair-steps” when the object edge does not have such structure. This is an effect of digital sampling.For small-detail objects having a size on the same order of magnitude as an individual pixel or smaller, the apparent contrast of that object can vary based on the position relative to the individual detector element locations. For example, the contrast of a single spherical object the same size as a pixel would have a dramatically different appearance if the object were imaged directly overlying a detector element (highest contrast) or placed at the intersection of four detector elements (lowest contrast). Objects inherently smaller than individual pixels have a lower apparent contrast because of the digital sampling of the analog radiation intensity signal over an area larger than the small object. In each case, a lower apparent signal-to-noise can result in reduced visibility of such objects.
Safety and Regulatory Information9J0239 1-15Restrictions on Use The user must make sure that any equipment used with the System does not compromise the System patient contact rating.The user is also responsible for safety and EMC compliance of any non-Carestream Health recommended, installed, or supplied accessory equipment.The use of accessory equipment and/or hardware not complying with the equivalent product safety and EMC requirements of this product may lead to a reduced level of safety and/or EMC performance of the resulting system.Consideration relating to the choice of accessory equipment used with this product shall include:• Use of the accessory in the patient’s vicinity.• Evidence that the safety certification of the accessory has been performed in accordance with applicable coordinated harmonized product safety standards per IEC 60601-1-1.• Evidence that applicable emission certification of the accessory has been performed.CAUTION:Observe all safety precautions recommended by the accessory equipment manufacturer in the user documentation provided with the equipment. Observe laser precautions.The hardware specified for use with the System system has been selected, tested, and verified by Carestream Health, Inc. to meet the intended applications. All specified hardware meets applicable regulatory agency requirements for those countries where it is offered for sale with respect to its intended applications. Consult the user documentation included with the equipment for specific information relating to product safety and EMC compliance.
1-16 9J0239Safety and Regulatory InformationDisposalCAUTION:This product contains lead. Disposal of components that contain these materials may are regulated due to environmental conditions. For disposal or recycling information, contact your local authorities.CAUTION:The flat panel display in this system contains mercury. Disposal is regulated due to environmental considerations. Return the equipment to the manufacturer for proper disposal.In the European Union, this symbol indicates that when the last user wishes to discard this product, it must be sent to appropriate facilities for recovery and recycling. See http://recycle.carestreamhealth.com for additional information on the collection and recovery programs available for this product.UsabilityThe design and development of a diagnostic X-ray system incorporated a usability engineering process in accordance with IEC 60601–1-6: Medical Electrical Equipment, Part –-6: General requirements for safety -Collateral\Standard: Usability.It is not possible or practical to resolve every potential Usability issue without affecting the intended use of the system. Therefore, some precautions must be observed. These precautions appear throughout the manual.IMPORTANT: Warning statements and the explanation of warning symbols marked on the equipment are provided in this document.
Safety and Regulatory Information9J0239 1-17USB, Network, and Tether Connectors6HCUSB connector for the 2D bar code readerUSB connector for ServiceUSB connector for ServiceHospital uplink network connectorDetector tether connector
1-18 9J0239Safety and Regulatory InformationConforming EMC StandardsFor European Market OnlyCarestream Health France1, rue Gaililée93192 NOISY-LE-GRAND CEDEXFRANCE System Requirements Equipment and systems meet the following requirements:IEC 60601–1-2: 2001+ A1:2004 Medical Electrical Equipment—Electromagnetic Compatibility Requirements and Tests, including CISPR 11:2003 + A2:2006 emissions to Class A limits.CAUTION:This is a Class A product. In a domestic environment this product may cause radio interference, in which case the user may be required to take adequate measures.93/42/EEC MDD (Medical Device Directive—Europe Only)ICES–001 Issue 4: Class A Radiated and Conducted Emission—Canada
Safety and Regulatory Information9J0239 1-19US and Canada EMC StatementsChanges or modifications not expressly approved by Carestream Health, Inc. could void the user’s authority to operate this equipment. NOTE: This equipment has been tested and found to comply with the limits for a Class A digital device, pursuant to part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference when the equipment is operated in a commercial environment. This equipment generates, uses, and radiates radio frequency energy. If it is not installed and used in accordance with the instruction manual, it may cause harmful interference to radio communications. Operation of this equipment in a residential area is likely to cause harmful interference, in which case the user will be required to correct the interference at his own expense.This device complies with part 15 of the FCC Rules. Operation is subject to the following two conditions:1. This device may not cause interference2. This device must accept any interference received, including interference that may cause undesired operation. This device complies with Industry Canada license–exempt RSS standard(s). Operation is subject to the following two conditions:1. This device may not cause interference2. This device must accept any interference, including interference that may cause undesired operation of the device.Le présent appareil est conforme aux CNR d'Industrie Canada applicables aux appareils radio exempts de licence. L'exploitation est autorisée aux deux conditions suivantes:1. L'appareil ne doit pas produire de brouillage2. L'utilisateur de l'appareil doit accepter tout brouillage radioélectrique subi, même si le brouillage est susceptible d'en compromettre le fonctionnement.
1-20 9J0239Safety and Regulatory InformationElectromagnetic Emissions/Immunity1. Electromagnetic Compatibility PrecautionsMedical electrical equipment requires special precautions regarding electromagnetic compatibility (EMC). Medical equipment must be installed and put into service according to the EMC information provided. 2. Communications EquipmentPortable and mobile radio frequency (RF) communications equipment can affect medical electrical equipment EMC performance. 3. Replacement of cables, or accessories, other than those specified below with the exception of transducers or cables sold by the equipment manufacturer as replacement parts for internal components, may result in increased emissions or decreased immunity of the medical equipment.4. Cable and accessory information for the system:5. Shielded LocationsThe System must be used in a shielded room for personal safety only, and is fully compliant with the requirements of IEC 60601–1–2:2007 without being used in a shielded room.Cable Information for the SystemPort/Cable Function User Cable LengthUSB1 BlueTooth Customer NA2 Keyboard/Mouse/DVD Service 1 Meter3 Keyboard/Mouse/DVD Service 1 MeterEthernet 1 Hospital Uplink Customer 3 MeterEthernet 1 Tethered Detector Link Customer/ Service3 MeterPrep/Expose Hand Switch 1 Prep/Expose/Collimator Light ControllerCustomer 3 MeterAC Power Cord 1 Retractable — 3 Meter
Safety and Regulatory Information9J0239 1-21Electromagnetic Emissions for Group 1, Class A EquipmentThe System is intended for use in the electromagnetic environment specified below. The customer or the user of the System should assure that it is used in such an environment.Emissions Test Compliance Electromagnetic Environment - GuidanceRF EmissionsCISPR 11Group 1 The System uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment.RF EmissionsCISPR 11Class A The System is suitable for use in all establishments other than domestic establishments and those directly connected to the public low-voltage power supply network that supplies buildings for domestic purposes.Harmonics EmissionsIEC 61000–3–2Class AVoltageFluctuations/Flicker EmissionsIEC 61000–3–3Complies
1-22 9J0239Safety and Regulatory InformationElectromagnetic Immunity for Equipment and Systems Fully Compliant with IEC 60601-1-2:2004The System is intended for use in the electromagnetic environment specified below. The customer or the user of the System should assure that it is used in such an environment.Immunity Test IEC 60601Test LevelComplianceLevelElectromagnetic Environment - GuidanceElectrostatic Discharge (ESD)IEC 61000–4–2± 6 kV contact± 8 kV air± 6 kV contact±8 kV airFloors should be wood, concrete or ceramic tile. If floors are covered with synthetic material, the relative humidity should be at least 30%.Electrical fast transient/burstIEC 61000–4–4± 2 kV for power supply lines± 1 kV for input/output lines± 2 kV for power supply lines± 1 kV for input/output linesMains power quality should be that of a typical commercial or hospital environment. SurgeIEC 61000-4-5±1 kV differential mode± 2 kV common mode±1 kV differential mode±2 kV common modeMains power quality should be that of a typical commercial or hospital environment.Voltage dips, short interruptions and voltage variations on power supply linesIEC 61000-4-11<5 % Ur (>95 % dip in Ur) for 0.5 cycle40 % Ur (60 % dip in Ur) for 5 cycles70 % Ur (30 % dip in Ur) for 25 cycles.<5 % Ur (>95 % dip in Ur) for 5 s<5 % Ur (>95 % dip in Ur) for 0.5 cycle40 % Ur (60 % dip in Ur) for 5 cycles70 % Ur (30 % dip in Ur) for 25 cycles.<5 % Ur (>95 % dip in Ur) for 5 sMains power quality should be that of a typical commercial or hospital environment. If the user of the System requires continued operation during power mains interruptions, it is recommended that the System be powered from an alternate AC power source.Power frequency (50/60Hz)magnetic fieldIEC 61000-4-83 A/m 3 A/m Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment.
Safety and Regulatory Information9J0239 1-23Electromagnetic Immunity for Non-Life Supporting Equipment and SystemsThe System is intended for use in the electromagnetic environment specified below. The customer or the user of the System should assure that it is used in such an environment.Immunity Test IEC 60601 Test LevelCompliance LevelElectromagnetic Environment - GuidanceConducted RF IEC 61000–4–6Radiated RFIEC 61000–4–33 Vrms150 kHz to 80 MHz3 v/m80 MHz to 2.5 GHz3 Vrms3 v/mPortable and mobile RF communications equipment should be used no closer to any part of the System, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter.Recommended separation distanced = 1.17 Pd = 1.17 P 80 MHz to 800 MHzd = 2.33 P 800 MHz to 2.5 GHzwhere P is the maximum output rating of the transmitter in watts (W) according to the transmitter manufacture and d is recommended separation distance in meters (m).Field strengths from fixed RF transmitters, as determined by an electromagnetic site surveya, should be less than the compliance level in each frequency rangeb.Interference may occur in the vicinity of equipment marked with the following symbol:NOTE 1: At 80 MHz and 800 MHz, the higher frequency range applies.NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people.
1-24 9J0239Safety and Regulatory Informationa Field strengths from fixed transmitters, such as base station for radio (cellular/cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the System is used exceeds the applicable RF compliance level above, the System should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating the System.b Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 v/m.Electromagnetic Immunity for Non-Life Supporting Equipment and Systems
Safety and Regulatory Information9J0239 1-25Recommended Separation Distance Between Portable and Mobile RF Communications Equipment and the SystemThe System is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the System can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communication equipment (transmitters) and the System as recommended below, according to the maximum output of the communications equipment.Rated Maximum Output Power of TransmitterWattsSeparation Distance According to Frequency of TransmitterMeters150 kHz to 80 MHzd = 1.17 P80 MHz to 800 MHzd = 1.17 P800 MHz to 2.5 GHzd = 2.33 P0.01 0.117 0.117 0.2330.10 0.370 0.370 0.7371.00 1.170 1.170 2.330010.00 3.700 3.700 7.3600100.00 11.700 11.700 23.300For transmitters rated at a maximum output power not listed above, the recommended separation distance (d) in meters (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer.NOTE 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people.
1-26 9J0239Safety and Regulatory InformationElectromagnetic Emissions for Group 1, Class A EquipmentThe System is intended for use in the electromagnetic environment specified below. The customer or the user of the System should assure that it is used in such an environment.Emissions Test Compliance Electromagnetic Environment - GuidanceRF EmissionsCISPR 11Group 1 The System uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment.RF EmissionsCISPR 11Class A The System is suitable for use in all establishments other than domestic establishments and those directly connected to the public low-voltage power supply network that supplies buildings for domestic purposes.Harmonics EmissionsIEC 61000-3-2Not ApplicableVoltageFluctuations/Flicker EmissionsIEC 61000-3-3Not Applicable
Safety and Regulatory Information9J0239 1-27Recommended Separation Distance Between Portable and Mobile RF Communications Equipment and the SystemThe System is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the System can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communication equipment (transmitters) and the System as recommended below, according to the maximum output of the communications equipment.Rated Maximum Output Power of TransmitterWattsSeparation Distance According to Frequency of TransmitterMeters150 kHz to 80 MHzd = 1.17 P80 MHz to 800 MHzd = 1.17 P800 MHz to 2.5 GHzd = 2.33 P0.010 0.117 0.117 0.2330.100 0.370 0.370 0.7371.000 1.170 1.170 2.33010.000 3.700 3.700 7.360100.000 11.700 11.700 23.30For transmitters rated at a maximum output power not listed above, the recommended separation distance (d) in meters (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer.NOTE 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people.
1-28 9J0239Safety and Regulatory InformationWirelessDRX-Revolution Wireless Systems• CARESTREAM DRX-1 or DRX-1C System Detector• DLink DAP 2553 Access Point• CARESTREAM Grid Alignment Trasmitter• RF Ideas Model RDR–80_82AKU Proximity Badge Reader• Code Corp. Radio Modem, Model CR2AG–R0–01–02 Bar Code Reader• Kensington BlueTooth USB Micro Adapter, Model M01011 • Intel Centrino Ultimate N 6300 WLAN module, Model 633ANDRX-1 and DRX-1C System DetectorsRadio Frequency Exposure Declaration—See the DRX-Revolution Mobile X-ray System Safety and Regulatory Information and release notes for the DRX-1 and DRX-1C System detectors.Intentional Radiator Wireless Compliance to Regulatory Requirements—See the DRX-Revolution Mobile X-ray System Safety and Regulatory Information and release notes for the DRX-1 and DRX-1C detectors.Grid Alignment TransmitterRadio Frequency Exposure DeclarationThe Grid Alignment Transmitter is a mobile wireless device according to FCC regulation 2.1091 (b). The average field strength for RF emissions from the Grid Alignment Transmitter has been measured at 162 uv/m. The RF emissions from the transmitter are well under the Maximum Permissible Exposure limits (614 uv/m) for human exposure to radio frequency radiation, according to FCC regulation 1.1310, Table 1.Although the Grid Alignment Transmitter RF emissions are significantly below FCC limit for human exposure, the transmitter is designed to be used in such a way that a separation distance of at least 20 cm (approximately 8 in.) is normally maintained between the transmitter's radiating structure and the bodies of nearby persons (the mobile cart operators or patients). The transmitter is located on the tube head assembly (see “Systems Label Locations” on page 1-39).Under Industry Canada regulations, this radio transmitter may only operate using an antenna of a type and maximum (or lesser) gain approved for the transmitter by Industry Canada. To reduce potential radio interference to other users, the antenna type and its gain should be chosen so that the equivalent isotropically radiated power (e.i.r.p.) is not more than that necessary for successful communication.Conformément à la réglementation d'Industrie Canada, le présent émetteur radio peut fonctionner avec une antenne d'un type et d'un gain maximal (ou inférieur) approuvé pour l'émetteur par Industrie Canada.
Safety and Regulatory Information9J0239 1-29• DLink DAP 2553 Access Point• RF Ideas Model RDR–80_82AKU Proximity Badge Reader• Bar Code Reader (Code Corp. Radio Modem, Model CR2AG–R0–01–02)• Kensington BlueTooth USB Micro Adapter, Model M01011• Intel Centrino Ultimate N 6300 WLAN module, Model 633ANRefer to the appropriate manufacturer documentation for wireless regulatory declarations. The CARESTREAM DRX-Revolution Mobile X-ray System uses the same vendor, type, and model antennae originally certified with the Intel 6300 WLAN module and the DLink DAP 2553 Access Point.Wireless Compliance Information for EU Directive 1999/5/IECGrid Alignment Intended UseWhen the user obtains an X-ray image, there is generally an optimal alignment between the radiation source and the two-dimensional receptor that records the image data. In most cases, the X-ray source provides radiation in a direction that is perpendicular to the receptor. Use of an anti-scatter grid can significantly improve the quality of X-ray images. When using a grid, the requirements for good alignment are much more stringent. For mobile X-ray systems, the receptor is placed behind the patient and is blocked from the operator’s view by the patient, bedding, and so forth. This makes it very difficult to align the X-ray source to the detector properly. The grid helps an operator achieve the correct alignment. Principle of OperationXThe Grid Alignment System uses transmitter emitter coils mounted on the X-ray source to produce a rotating magnetic field vector. Magnetic field sense coils are mounted in the perimeter of a frame that holds the grid and and DRX-1 detector. The signal from the emitter is seen by the sense coils. The processor on the cart interprets the signals to determine the relative alignment of the X-ray tube and the detector, and displays it on a graphical user interface.
1-30 9J0239Safety and Regulatory InformationEC Declaration of ConformityEC Declaration of Conformity to R&TTE Directive 1999/5/ECManufacturer: Carestream Health, Inc.150 Verona StreetRochester, New York 14608United StatesEU Representative: Carestream Health, France1, rue Galilée93192 NOISY-LE-GRAND CedexFranceProduct:Type Number:DRX-Revolution Grid Alignment TransmitterDRXRGADeclarationWe, Carestream Health, declare under our own responsibility that this equipment is in compliance with the essential requirements and other relevant provisions of Directive 1999/5/ECWireless Standard: ETSI EN 301 489–V1.8.1ETSI EN 300 330 Sections 7.3, 7.4, 7.5, 7.5.4EMC Standard: EN 55022:2006 + A1:2007 (Emissions)EN 61000–4–2:2009 (Immunity Electrostatic Discharge)EN 61000–4–3:2006 + A1:2007 + A2:2010(Immunity Radiated RF Electromagnetic Field)Product Safety Standard: EN 60601–1 1990: + A1:1993 + A2:1995EN 60601–1–1:2001
Safety and Regulatory Information9J0239 1-31The Grid Alignment Transmitter may be operated in all European Union countries listed below (and other countries following the EU Directive 1999/5/EC R&TTE) without restrictions.National Usage RestrictionsNOTE: There are no restrictions on operation of the Grid Alignment Transmitter in the countries listed above.Refer to the appropriate manufacturer documentation for European Union wireless regulatory declarations for the following products:• RF Ideas Model RDR–80_82AKU Proximity Badge Reader• Bar Code Reader (Code Corp. Radio Modem, Model CR2AG–R0–01–02)• Kensington BlueTooth USB Micro Adapter, Model M01011• Intel Centrino Ultimate N 6300 WLAN module, Model 633ANAustria at Liechtenstein liBelgium be Lithuania ltBulgaria bg Luxembourg luCyprus cy Malta mtCzech Republic cz Netherlands nlDenmark da Norway noEstonia ee Poland plFinland fi Portugal ptFrance fr Romania roGermany de Slovakia skGreece el Slovenia slHungary hu Spain esIceland ie Sweden seIreland is Switzerland chItaly it United Kingdom gbLatvia lv
1-32 9J0239Safety and Regulatory InformationCompliance
Safety and Regulatory Information9J0239 1-33
1-34 9J0239Safety and Regulatory Information
Safety and Regulatory Information9J0239 1-35Anti-Collision FeaturePatient VicinityCompatible ComponentsX-ray Tube ComponentsEither:• VARIAN Diamond housing with a RAD 68 insert• Inherent Filtration = 0.7 mm Al X-ray Source Assembly Total Inherent Filtration = 2.7 mm AlDrive SystemMotor Drive Two independent drive motors provide forward/reverse drive and directional control.Collision Sensing Frontal and LateralMaximum Drive Speed Up to 5.6 kmvh (3.5 mph)H196_0004GC1.83 m2.5 m1.83 m1.83 m(6.00 ft)(6.00 ft)(6.00 ft)(8.0 ft)
1-36 9J0239Safety and Regulatory InformationAccessories The following items are accessories for the system:• CARESTREAM DRX-1 System Detector• CARESTREAM Grid Holder• 2D Barcode reader• Remote Exposure Switch• Dose Area Product MeterFlammability Not suitable for use in the presence of a flammable anesthetic mixture with oxygen or nitrous oxide.IMPORTANT: Instructions are provided to indicate the type of attachment plug that should be used for connection to the alternate voltage. Method of Cleaning See the DRX-Revolution Mobile X-ray System Hardware Guide for instructions on cleaning the equipment.
Safety and Regulatory Information9J0239 1-37Extra Focal DimensionsKey:GHHABCEFD430.0 mm(16.9 in.)21.0 mm(0.8 in.)80.0 mm(3.1 in.) 184.0 mm(7.2 in.)79.0 mm(3.1 in.)35.0 mm(1.4 in.)117.4 mm(4.6 in.)117.4 mm(4.6 in.)A Distance from the focal spot to the collimator mounting flange surfaceB Distance from the near-focus shutter opening to the mounting flange surfaceC The maximum opening size of near-focus shuttersD The maximum size of far-focus shuttersE The distance from the focal spot to the far-focus shuttersF Focal spot positionG Primary X-ray fieldH Extra focal radiation
1-38 9J0239Safety and Regulatory InformationA Distance from the focal spot to the collimator mounting flange surfaceB Distance from the near-focus shutter opening to the mounting flange surfaceC The maximum opening size of near-focus shuttersD Maximum size of far-focus shuttersE Distance from the focal spot to the far-focus shuttersF Focal spot positionG Primary X-ray fieldH Extra focal radiationGHHABCEFDH239_8000GC430.0 mm(16.9 in.)143.8 mm(0.6 in.)143.8 mm(0.6 in.)74.0 mm(2.9 in.)172.0 mm(6.8 in.)21.0 mm(0.8 in.)80.0 mm(3.1 in.)30.5 mm(1.2 in.)
Safety and Regulatory Information9J0239 1-39LabelsSystems Label Locations 1 System Data Plate2 Generator label3 X-ray tube label4 Collimator label5 Emergency Stop label (2)6. AC voltage circuit breaker label (The DC voltage circuit breaker label is in the same location on the opposite side.)7. Transport position warning label8. Retractable power cord9. Ionizing radiation label9_0002HC1, 2, 3, 458679
1-40 9J0239Safety and Regulatory InformationNOTE: The generator, X-ray tube, and collimator labels are located behind the system covers. The label locations as shown display the external labels with pertinent information from the manufacturers. System Data Plate SampleArea No. Description1 Official product name2 Service code and serial number3 Manufactured date4 Model type as required / consistent with product safety test reports5 Voltage range, rated frequency in hertz and amps / consistent with product safety test reports: V = volts, Hz = hertz, A = amperes6 Symbols for product safety, EMC, and CE marking7 SFDA Registration number8 SFDA Product Standard number9 Compliance statement according to FDA requirements for radiation emitting products. 10 Label manufacturer registration number and material specification11 Made in China by (signature)
Safety and Regulatory Information9J0239 1-41Detector /Grid Holder Weight Limit LabelCAUTION:Since the detector/grid is not a patient support device, it must be placed on a suitable surface, such as a table or a floor, before applying patient weight. The weight label indicates the acceptable limits of use that will not damage the detector. To prolong the life of the detector, and minimize potential internal detector damage, observe the following weight restrictions:• The maximum concentrated weight over a small area of the detector/grid surface (50 mm diameter) must not exceed 23 kg (50 lb).• The maximum distributed weight applied uniformly over the entire detector/grid surface is 125 kg (275 lb).
1-42 9J0239Safety and Regulatory InformationProduct Disclosure TableProduct Disclosure Table ᳝᳝↦᳝ᆇ⠽䋼៪ܗ㋴ৡ⿄ঞ৿䞣ᷛ䆚㸼Table of hazardous substances’ name and concentration ᳝↦᳝ᆇ⠽䋼៪ܗ㋴hazardous substances’ name䚼ӊৡ⿄Component name 䪙(Pb)∲(Hg)䬝(Cd)݁Ӌ䫀(Cr6+)໮⒈㘨㣃(PBB)໮⒈Ѡ㣃䝮(PBDE)Ẕ⌟఼ (Detector) XOO O O OXᇘ㎮ㅵ(X-ray Tube) XOO O O O⬉䏃ᵓ (Circuit Board) XOO O O OޚⳈҾ (Collimator) XOO O O OXᇘ㒓催य़থ⫳఼(X-ray Generator) XOO X O Oo: 䆹᳝↦᳝ᆇ⠽䋼೼䆹䚼ӊ᠔᳝ഛ䋼ᴤ᭭Ёⱘ৿䞣ഛ೼ SJ/T 11363-2006 㾘ᅮⱘ䰤䞣㽕∖ҹϟDŽ×: 䆹᳝↦᳝ᆇ⠽䋼㟇ᇥ೼䆹䚼ӊⱘᶤϔഛ䋼ᴤ᭭Ёⱘ৿䞣䍙ߎ SJ/T 11363-2006 㾘ᅮⱘ䰤䞣㽕∖DŽo indicates hazardous substance concentration lower than MCV ×: indicates hazardous substance concentration higher than MCV ⦃ֱՓ⫼ᳳ䰤(383 ೼Ё೑໻䰚ˈ䆹ؐ㸼⼎⬉ᄤֵᙃѻકЁ৿᳝ⱘ᳝↦᳝ᆇ⠽䋼៪ܗ㋴೼ℷᐌՓ⫼ⱘᴵӊϟϡӮথ⫳໪⊘៪さবˈ⫼᠋Փ⫼ℸѻકϡӮᇍ⦃๗䗴៤Ϲ䞡∵ᶧ៪ᇍҎ䑿ǃ䋶ѻ䗴៤Ϲ䞡ᤳᆇⱘᳳ䰤˄ҹᑈ䅵˅DŽ䆹ؐḍ᥂᪡԰䇈ᯢЁ᠔㾘ᅮⱘѻકℷᐌՓ⫼ᴵӊ㗠ᅮDŽEnvironmental Protection Use Period (EPUP) In China mainland, this number indicates the time period (calculated by year) within which any hazardous substances present in the product are not expected to be released such that there is risk to human health, property, or the environment. This value is assigned based on normal use of the product as described in the operating instructions. This value is assigned based on normal use of the product as described in the operating instructions.H239_0017DA
Kv and mAs Selection TableTable 1: DRX-Revolution kV and mAs Selection TablekV Selection mAs Selection40–49 0.5–36.0 mAs 0.36–0.45 [1]40–320 mAs0.32 [1] 0.25–0.28 [1] 0.20–0.22 [1] 0.10–0.18 [1]50–59 X-ray tube emission limited 0.5–36.0 mAs 0.36––0.45 [1]40–320 mAs0.32 [1] 0.25–0.28 [1] 0.20–0.22 [1] 0.10–0.18 [1]60–69 0.71–10.00 mAs 0.5–63.0 [1]11–22 mAs0.36––0.45 [1]25 mAs0.32 [1] 0.25–0.28 [1]250–320 mAs0.20–0.22 [1] 0.10–0.18 [1]70–79 0.80–9.00 mAs 0.71 [1] mAs 0.5–63 [1]11 mAs0.36––0.45 [1]12.5–22 mAs0.32 [1]28–220 mAs0.25–0.28 [1]80–320 mAs0.20–0.22 [1] 0.10–0.18 [1]80–89 0.71–8.00 mAs 0.5–63.0 [1]9 mAs0.36––0.45 [1]10–18 mAs0.32 [1]25–71 mAs0.25–0.28 [1]56–320 mAs0.20–0.22 [1] 0.10–0.18 [1]90–99 0.71–7.10 mAs0.5–63.0 [1]8 mAs0.36––0.45 [1]9 mAs0.32 [1]20–50 mAs0.25–0.28 [1]20–320 mAs0.20–0.22 [1] 0.10–0.18 [1]100–109 0.50–7.1 mAs0.36––0.45 [1]8 mAs0.32 [1]10–18 mAs0.25–0.28 [1]20–320 mAs0.20–0.22 [1] 0.10–0.18 [1]110–119 Exceeds 32 kW 0.5–5.6 mAs 0.36––0.45 [1]6.3 mAs0.32 [1]9–18 mAs0.25–0.28 [1] 0.20–0.22 [1]0.8–280 mAs0.10–0.18 [1]120–129 0.50–5.00 mAs [2]0.36––0.45 [1]5.6 mAs0.32 [17.1 mAs]0.25–0.28 [1] 0.20–0.22 [1]7.1–280 mAs0.10–0.18 [1]130–139 0.36––0.45 [1] 0.32 [1]6.3 mAs0.25–0.28 [1] 0.20–0.22 [1]5.6–280 mAs0.10–0.18 [1]140–149 0.36––0.45 [1] 0.32 [1]5 mAs0.25–0.28 [1] 0.20–0.22 [1]5.6–280 mAs 0.10–0.18 [1]150 0.36––0.45 [1] 0.32 [1]4.5 mAs0.25–0.28 [1 0.20–22 [1] 5–280 mAs. 0.10–0.18 [1][1] indicates that the mA will be reduced so that the minimum exposure time is 2 ms.[2] indicates that the maximum nominal power is 32.25 kW at 129 kV when in the range of [0.5 to 5] mAs.].
Carestream Health, Inc.150 Verona StreetRochester, New York 14608 © Carestream Health, Inc., 2011CARESTREAM is a trademark of Carestream Health, Inc.9J0239Printed in the United StatesUnited States

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