Varian Medical Systems X Ray RTL8812AU PaxScan 4336Wv4 Digital Image Recepter User Manual 4336Wv4 M01R1 0 Operating Instructions

Varian Medical Systems, Inc. X-Ray Products PaxScan 4336Wv4 Digital Image Recepter 4336Wv4 M01R1 0 Operating Instructions

Contents

User Manaul Host Device

    Digital Image Receptor     The PaxScan 4336Wv4 is a radiographic  digital x-ray imaging sub-system    UNRELEASED – DRAFT 090315     © Varian Medical Systems  | X-Ray Products 109724-000    Rev B     09/2015
 © Varian Medical Systems | X-Ray Products 1 Abstract  The Operating Instructions (P/N 109724-000) covers safety, setup, operation, and maintenance of the PaxScan 4336Wv4 radiography digital image receptor.  The imager is a component sub-system intended for integration by a qualified systems integrator.         Varian Medical System, Inc X-Ray Products 1678 So. Pioneer Rd  Salt Lake City, UT 84104 United States + 1 801 972 5000 Phone    Varian Medical Systems UK Ltd. Gatwick Road, Crawley West Sussex RH10 9RG  United Kingdom       Notice  Information in this manual is subject to change without notice. Varian is not liable for errors or omissions contained in this manual or for any damages incurred in connection with furnishing or use of this material.   This document contains proprietary information protected by copyright. No part of this document may be reproduced, translated, or transmitted without the express written permission of Varian Medical Systems, Inc.  Updates  For updates to these instructions, please refer to the Release Notes.   Trademarks PaxScan® is a registered trademark and ViVA™ is a trademark of Varian Medical Systems, Inc.  Microsoft® is a registered trademark and Windows™ is a trademark  ©  Varian Medical Systems, Inc.   All rights reserved.   Printed in the United States of America  Use is prohibited without Varian’s express written consent    Proprietary & Confidential Information
 © Varian Medical Systems | X-Ray Products 2  How To Reach Us  Technical  Support In order to provide you with the most comprehensive technical support, (hardware or software), please complete the problem report in Chapter 10 of this manual and email to: PAXSCAN.RMA@varian.com before contacting your Varian representative.  To speak with our technical support personnel call: x  Call (800) 432-4422 dial 8.   For Warranty and Returns please refer to:  x https://www.varian.com/x-ray-imaging-components/service-support
 © Varian Medical Systems | X-Ray Products 3  International Offices Sales  Italy Corso Susa, 299B 10098 Rivoli (Torino), Italy + 39 011 955 03 96 Phone  + 39 011 953 62 59 Fax   Japan 6F METLIFE Kabutocho Bldg.  5-1 Nihonbashi Kabutocho Chuo-ku Tokyo 103-0026, Japan + 81 3 4486 5070 Phone + 81 3 4486 5069  Fax    Neitherland Zutphensestraat 160A 6971 ET Brummen The Netherlands + 31 575 566 093  Phone  + 31 575 566 538  Fax  Switzerland P.O. Box 38 1714 Heitenried – Switzerland + 41 26 495 32 58 Phone  + 41 26 495 32 59 Fax Sales and Technical Support   China  Varian Pan-Pacific Beijing Branch  No. 8 Yun Cheng Street Beijing Economic – Technological Development Area (BDA) Beijing 100176, China E-mail: xraychina@varian.com + 010 8785 8785 Phone + 010 8785 8954 Fax  Varian Pan-Pacific Shanghai Branch Room 2208, Central Plaza 227 North HuangPi Road Shanghai 200003, China + 86 21 6375 8953 Phone + 86 21 6375 8957  Fax Sales, Technical Service and Warehouse  Germany Karl-Arnold-StraBe 12 D-47877 Wilich, Germany Sales, Technical Service and Warehouse E-mail: sales-xray@varian.com + 49 2154-92 4980 Phone + 49 2154-92 4994 Fax
 © Varian Medical Systems | X-Ray Products 4  General Safety Information   PLEASE READ THIS ENTIRE MANUAL BEFORE USING.  PRIOR TO USING PLEASE ENSURE UNDERSTADING OF THE WARNING, PRECAUTIONS AND ADVERSE EFFECTS RELATING TO THIS DEVICE.   Safety Warnings, Precautions and Contraindications   Warning: For portable applications, the operator and end-user must take precautions to protect themselves against dangerous X-ray exposure when using the flat panel imager in the X-ray beam path of an X-ray source.      Warning: The 4336Wv4 is not intended to be used as a primary barrier to X-rays.  The user is responsible for ensuring the safety of the operator, bystanders, and the subjects being radiographed    Warning: The equipment is not suitable for use in the presence of a flammable anesthetic mixture with air, oxygen or nitrous oxide.      Warning: Do not exceed maximum load weight of 100kg over a diameter of 40mm and 150kg distributed around the entire surface of the panel.      This device is not intended to supply heat to a patient. However, during normal use surfaces will become heated due to power dissipation in the imager.    Be aware that the 4336Wv4 is an applied part (patient contact device) and the surface shall not exceed 41 degrees C.  See Figure   1-0 for the view of the patient contact surfaces.  Internal temperature sensor data is provided in the diagnostic data attached to each image.  These temperature measurements are well correlated with the panel external surface temperature.  It is advisable to monitor this diagnostic data as an additional safety precaution.    Note: There are no contraindication situations.
 © Varian Medical Systems | X-Ray Products 5 Explanation of Symbols     On (power: connection to the mains)  Caution / Warning / Important:  Describes action or conditions that could result in equipment damage, data loss, or personal injury  Protective Earth Ground  Alternating Current  Off (power: disconnection from the mains)  Direct Current  Handle With Care f Indicates step-by-step description of the respective function follows  Useful / Important information   Authorized Representative in the European Community/European Union  Manufacturer  Consult Instruction  for Use IP51 Protected from limited dust ingress Protected from condensation - PaxScan 4336Wv4 Receptor   Heated Surface  Type B Applied Part  Load Weight Restriction  Temperature Limits  Non-ionizing radiation IP20 Protected from touch by objects greater than 12 millimeters, not protected from liquids – Varian Battery Charger
 © Varian Medical Systems | X-Ray Products 6   Chapter Summary     1 Introduction    2 Getting Started    3 PaxScan Software    4 Modes of Operation    5 Calibration Procedures    6 Image Acquisition    7 Safety    8 Maintenance    9 Trouble Shooting   10 Problem Report   11 Appendix
 © Varian Medical Systems | X-Ray Products 7 Index   How To Reach Us ............................................................................................................................................... 2 General Safety Information ................................................................................................................................. 4 Safety Warnings, Precautions and Contraindications .......................................................................................... 4 Explanation of Symbols ...................................................................................................................................... 5 Introduction ......................................................................................................................................................... 9 Shipment Contents............................................................................................................................................... 9 Optional Parts ...................................................................................................................................................... 9 Intended Use ...................................................................................................................................................... 10 Figure 1-0 Patient Contact Surfaces – 4336Wv4 ...................................................................................... 10 Getting Started ................................................................................................................................................... 11 System Overview ........................................................................................................................................... 11 Figure 2-0 Imager Configuration .............................................................................................................. 11 Figure 3-0 Imaging System Overview - without Router ......................................................................... 12 Figure 3-1 Imaging System Overview - with Router .............................................................................. 12 Figure 4-0 Imaging System Overview – Cable Connection ..................................................................... 13 Power on Sequence ........................................................................................................................................ 14 Figure 5-0 4336Wv4 Receptor Power/LED ............................................................................................. 14 Figure 5-1 4336Wv4 LED Status - Details ............................................................................................... 15 PaxScan System Software ................................................................................................................................. 17 Modes of Operation ........................................................................................................................................... 18 Table 1-0 PaxScan 4336Wv4 Operational Modes .................................................................................... 18 Default Mode ..................................................................................................................................................... 19 Operation States ............................................................................................................................................. 19 Calibration Procedures ...................................................................................................................................... 20 Offset Calibration .............................................................................................................................................. 20 Preview Offset Calibration ............................................................................................................................. 20 Gain Calibration ................................................................................................................................................ 22 Table 2-0 Gain Calibration:  All Modes ................................................................................................... 23 Radiographic Mode Gain Calibration ............................................................................................................ 24 ViVA Mode Settings ......................................................................................................................................... 26
 © Varian Medical Systems | X-Ray Products 8  Image Acquisition ............................................................................................................................................. 28 Radiography Mode ......................................................................................................................................... 28 Safety ................................................................................................................................................................. 31 Electro-Magnetic Interference ........................................................................................................................ 31 Table 3-0 Guidance and Mfgr Declaration - Electromagnetic Emissions ................................................ 31 Table 4-0 Guidance and Mfgr Declaration - Electromagnetic Immunity ................................................. 32 Table 5-0 Recommended Separation Distance Between .......................................................................... 34 Portable and Mobile RF Communications and the PaxScan 4336Wv4 .................................................... 34 Electrical Protection .......................................................................................................................................... 35 Environment Limits ........................................................................................................................................... 35 Temperature, Humidity & Atmospheric Pressure .......................................................................................... 35 Altitude Limits .................................................................................................................................................. 35 Varian Lithium-Ion Rechargeable Battery ..................................................................................................... 36 Lithium-Ion Battery Handling, Storage, & Shipping ..................................................................................... 36 Regulatory ......................................................................................................................................................... 37 Radio Frequency (RF) Compliance Information ............................................................................................... 38 FCC/IC Compliance ....................................................................................................................................... 38 Industry Canada Notice .................................................................................................................................. 39 European Community – CE Notice ................................................................................................................ 39 Maintenance ...................................................................................................................................................... 43 Cleaning and Disinfection .............................................................................................................................. 43 Repairs............................................................................................................................................................ 44 Proper Disposal ................................................................................................................................................. 44 Troubleshooting ................................................................................................................................................. 45 PaxScan 4336Wv4 Problem Report Customer Information .............................................................................. 46 Appendix A ....................................................................................................................................................... 47 Battery Installation/Removal for 4336Wv4 ...................................................................................................... 47 Battery Charger ................................................................................................................................................. 49 Figure A-1   3-Bay Battery Charger Status Indicators .............................................................................. 50 Figure A-2   1-Bay Battery Charger Status Indicators .............................................................................. 51
 Chapter 1      9             © Varian Medical Systems | X-Ray Products   Introduction  The PaxScan 4336Wv4 is a radiographic digital image receptor commonly referred to as a flat panel detector (FPD).  The detector together with image processing and command software called Varian Smart Panel (VSP) is designed for integration into a complete X-ray system.  The imaging system has two main system components:  The flat panel sensor, and VSP Software.     Shipment Contents  Flat Panel Receptor Assembly (includes a back-up cable for image recovery) PaxScan Receptor Test Results DVD    (Files specific to the receptor in the shipment)  PaxScan Software DVD   VSP/ViVA System Software M01 PaxScan 4336Wv4 Operating Instructions   Optional Parts  Lithium-ion Battery – Varian model  – P/N 30773 (gray), 57834 (white), 81701 (black) Battery Charger – Varian model   Laptop Style Power Supply for 1-Bay Battery Charger (includes power cable)   – P/N 82351 (black)   (OEM) Electrochem Solutions, Inc   Laptop Style Power Supply for 3-Bay Battery Charger (includes power cable)   – P/N 35205 (gray/white), 82350 (black)   (OEM) Electrochem Solutions, Inc.   Laptop Style Power Supply for 1-Bay Battery Charger (includes power cable)  – P/N 117402 Laptop Style Power Supply for 3-Bay Battery Charger (includes power cable)  – P/N 44666 Customer Specific Overlay     Immediately upon receipt, inspect the shipment and its contents against the Delivery Note enclosed with the shipment for evidence of damage or missing components. Save all shipping containers in case a return is warranted. If there is any discrepancy, please call the PaxScan Service Center at (800) 432-4422 or (801) 972-5000.
 1   © Varian Medical Systems | X-Ray Products 10 Intended Use   The PaxScan 4336Wv4 receptor is a light weight, wireless flat panel detector designed for medical and veterinary use.  The 4336Wv4 fits standard bucky trays and its wireless communication enables easy migration between table, above the table, chest stand, and mobile cart applications.  This family model will acquire image over a wide range of dosage, while providing maximum access to the patient, with a minimum possible border on the active imaging area.   An additional cable is supplied with the receptor to allow for set-up of the wireless interface and retrieve images from the receptor in the case of failed wireless transmission.      Figure 1-0 Patient Contact Surfaces – 4336Wv4
 Chapter 2     © Varian Medical Systems | X-Ray Products 11Getting Started  System Overview  In medical applications, the function of the 4336Wv4 FPD is to absorb the X-rays that pass through the patient’s anatomy and convert them into a digital image.   The wireless access point is the interface between the FPD and the imaging system and may be mounted in an equipment enclosure, or it may also be wall or ceiling mounted to maximize wireless signal strength.  The Receptor is provided with a software application package, Virtual Command Processor (VSP), which performs all the interface functions with the receptor; such as, communication and respective calibration.  During operation, the Receptor is often draped or bagged to ensure cleanliness and sterilization, and is manipulated such that the Receptor’s input window is located near, but on the opposite side of the patient, from the X-ray source. Figure 2-0 shows the configuration of the Receptor in the context of the overall imaging system.  The dimensions for receptor are 459.5mm x 383.5 x 15.13mm.   Figure 2-0 Imager Configuration
 2   © Varian Medical Systems | X-Ray Products 12  Figure 3-0 Imaging System Overview - without Router      Figure 3-1 Imaging System Overview - with Router
 2   © Varian Medical Systems | X-Ray Products 13 Figure 4-0 Imaging System Overview – Cable Connection            Note: There is one (1) cable connections for the 4336Wv4 Flat Panel Receptor which is the back-up cable.  This cable functions as an interface between the receptor and the workstation by providing a 100T Ethernet connection for set-up of the wireless interface and retrieval of images in the case of wireless transmission failure.
 2   © Varian Medical Systems | X-Ray Products 14 Power on Sequence   Step Action / Results  1. Place battery into receptor making sure the battery latches into place.  The receptor will automatically power on when battery is inserted. 2. The yellow and green LEDs are solid while receptor boots. 3. Wireless connected is green blinking. 4. The yellow LED indicates the status of the receptor.   Refer to Figure 5-1 for explanation of LED status indicators.     Figure 5-0 4336Wv4 Receptor Power/LED
 2   © Varian Medical Systems | X-Ray Products 15 Figure 5-1 4336Wv4 LED Status - Details      Note: The blinking behavior occurs based on a 4Hz clock.  Each digit for the blinking pattern represents 1/4s.     Important: The Service Cable does not provide power to the receptor when tethered.  Before servicing, ensure that a fully charged battery is inserted.
 2   © Varian Medical Systems | X-Ray Products 16  Warning: PaxScan 4336Wv4 Moisture Resistance Level Tested, horizontal position, x-ray window face up, without backup cable attached; protected against falling water equivalent to 3-5mm rainfall per minute for duration of 10 minutes. Receptor Ingress Dust Level Tested, not entirely prevented, but must not enter in  sufficient quantity to interfere with the satisfactory operation of the equipment; complete protection against contact (dust proof) IP51     Caution: Accessory or optional equipment connected to the analog and digital interfaces must be certified to the respective IEC standards (i.e., IEC 60950-1 for data processing equipment and IEC 60601-1 for medical equipment). Furthermore, all configurations shall comply with the system standard IEC 60601-1-1. Anyone connecting additional or optional equipment to the signal inputs or signal outputs as part of a configuration for medical equipment is therefore responsible for compliance with the equipment standard IEC 60601-1.   If in doubt, consult our technical support personnel     Warning: Precautions should be taken to not open the receptor module.  Depending upon the type of scintillator used, opening the receptor module may expose the user to potentially toxic materials.     Warning: Changes or modifications not expressly approved by the manufacturer could void the user’s authority to operate the equipment.
 Chapter 3     © Varian Medical Systems | X-Ray Products 17PaxScan System Software   The PaxScan 4336Wv4 receptor is part of a new series of Flat Panel Detectors which deploy the Varian Smart Panel (VSP) architecture.  Imager software is composed of two parts: 1. Software necessary to capture, process, and correct x-ray images is embedded within the receptor; 2. The VSP COMM workstation libraries comprise the VSP SDK.  Because the main software is embedded within the receptor, the only software required on the workstation is a small set of DLLs that should be copied from the DVD to the workstation.  The VSP COMM libraries are copied to the workstation.  Software interfacing to this receptor will make API calls to these SDK libraries to control the image acquisition process.  These libraries manage connections to the receptor and the transfer of files from the receptor to the workstation.  The contents of the DVD include the following files: 1. VSP COMM (SDK) files:  a. libvsp.dll b. libvsp-zf.dll c. libwinpthread.dll d. vspcs.dll e. vsp.h This set of files should be copied to the workstation.  For customers working with C/C++, a vsp.h header file is included along with the libraries.  For customer working with C#, the vspcs.dll provides the C# wrapper interface.  2. FP2032_VarianSmartPanel_SoftwareInterfaceSpecification.pdf – This .pdf file provides API documentation for the software.  3. Bonjour installation files a. Bonjour.msi b. Bonjour64.msi Bonjour is an optional installation and is required if you use the List()/vsp_list() API function.    4. Sample Code a. vsp-example.cs – C# sample code project  b. vsp-example.c– C/C++sample code project  5. Utility software a. vsp-example.exe The vsp-file.exe utility is used to transfer a configuration file to the receptor.      Important: For interfaces connection, synchronization and timing diagrams information please reference the Software Interface Specification.
 Chapter 4     © Varian Medical Systems | X-Ray Products 18 Modes of Operation  The PaxScan 4336Wv4 supports the radiography mode of operation as defined in Table 2-0.  In general, there is a tradeoff between varying operation modes of resolution, or field of view, or cycle time, or noise.   The sensitivity of the imager is optimized to match the X-ray dose used in each mode. The purpose of each mode is to configure the detector to achieve optimal performance during specific imaging procedures.   Modes are defined by a combination of factors, such as  cycle time and analog gain.  Each mode requires a unique set of calibration files.       Note: The system may be in only one mode at a given moment.  Not every mode will be available with every system.   The OEM should work with PaxScan technical support for configuration of the mode(s) which best suit the customers intended application    Table 1-0 PaxScan 4336Wv4 Operational Modes Mode Cycle Time Pixel Binning Panel Scan Time X-Ray Window Time Image Area Frame  Size Acquisition Type Radiography – Full Resolution  7 sec 1 x 1 550ms 0.35 to 3.5s Full Field 2,476 x 3,072 Accumulation
 4   © Varian Medical Systems | X-Ray Products 19Default Mode  Mode 0 is the default.  The default mode will be invoked automatically upon system power-up when a link is opened or receipt of a reset state command.    Operation States  The operational states of the imager can be categorized as follows:  x Radiography acquisition:  (Radiography-type)  x Offset Calibration:  (OEM-initiated)  x Gain calibration:  (always-OEM initiated)   x Analog offset calibration:  (always OEM-initiated)   Each operating mode employs all types of calibration.   In radiography-type acquisitions, the PaxScan 4336Wv4 will acquire one frame with its respective offset.
 Chapter 5    © Varian Medical Systems | X-Ray Products  20 Calibration Procedures  Offset Calibration  Offset calibration compensates for fixed pattern pixel intensity variations in the image associated with the dark current and electronic offsets.  The Offset reference image is an average of a series of frames acquired without X-ray illumination and referred to as dark fields.   f x Offset calibration should not be performed during X-ray.  x The X-ray-to-digital conversion factor does not change as a result of calibration. Preview Offset Calibration   There are two types of offset calibration; one is used for the preview image and the other to calibrate the final image.  Prior to acquiring images, an offset calibration must be performed in each mode.  This offset calibration is used for the preview image.  In addition, an offset calibration is automatically performed   after each single acquisition.  Step Action / Results   1. To perform offset calibration, click the ViVA icon  launches the application  2. Ensure required receptor appears in the Mode drop down.  The 4336WV4 currently supports Rad 1x1 3pf.     Click Offset Calib. Button or select from the menu bar under Acquisition.
 5   © Varian Medical Systems | X-Ray Products 21Step Action / Results  3. A Calibration Setting window appears followed by an offset Calibration Progress window.   4 The number of frames acquired can be selected from the Settings window.  Once all frames are acquired, the receptor is updated with the averaged offset calibration frame for the current mode.  The updated message will show on the progress window and calibration process is complete.  Press Close button to close the window.
 5   © Varian Medical Systems | X-Ray Products 22 Gain Calibration  To compensate for non-uniformities in the Receptor, a gain reference image (flat field) is used by the Corrections module as required to correct all images.   The flat field image must be captured by the Varian Smart Panel (VSP) prior to acquiring images.  The process of capturing the flat field image is known as Gain Calibration.     Note: Every time a gain calibration process is run, an offset calibration is enforced beforehand.  This will ensure that the receptor is properly calibrated.  Gain calibration is based upon the linear response of the Receptor to dose.  Normalization is achieved by applying the flat field image acquired during the Gain calibration to all images corrected by the VSP. Normalization will fail with pixels that are responding to dose in a non-linear manner.  Pixels responding to dose in a non-linear manner are usually caused by the saturation of the Receptor, or a low signal-to-noise ratio.   Note: It is critical to acquire the flat field image within a range that is large enough to be higher than the background noise created by the X-ray source and readout electronics of the Receptor, but lower than the saturation point of the imager.  Flat field images acquired near or exceeding the saturation point will cause normalization failures with all images acquired until a Gain calibration with the correct dose is performed.   We recommend that flat field images be acquired with a median count of approximately 13000 - 14000.  This range will ensure that Gain calibration will meet both the upper and lower dose requirements under all modes of operation.  Dose requirements are determined by the settings of the generator X-ray source.    To reduce the effects of noise, the average of each pixel in the flat field image is calculated by accumulating a number of frames into an internal memory buffer, then dividing the sum of each pixel by the number of frames acquired.      Note: Using larger numbers of calibration frames to capture the flat field image will result in more accurate calibration.    Important: Gain calibration requires the production of X-rays and therefore certain precautions must be taken by the human operator.  The number of calibration frames used during Gain and Offset calibrations can be adjusted under the Mode Settings pull down menu.   We recommend accumulating 32 frames for gain calibration and 8 frames for offset calibration for optimal image quality.  However, the actual number of calibration frames used must be determined solely by the system integrator depending upon their specific performance requirements.
 5   © Varian Medical Systems | X-Ray Products 23The general procedure for Gain calibration for all modes is as follows in Table 2-0 and described in the next section.  Detailed instructions on performing gain calibrations are covered in the ViVA Online help documentation.        Table 2-0 Gain Calibration:  All Modes Step Action Results  1.  Warm Up To ensure proper warm up, the PaxScan 4336Wv4 Receptor must be operational for a least 30 minutes prior to Gain calibration. 2. Offset Calibration Software performs a new Offset calibration referred to as dark field acquisition.   Note:  X-Rays must not be used for this part of the calibration. 3. X-Ray Radiation A uniform flat field with no obstructions in the path of the X-Ray beam.  The radiation should ideally be at a level and technique representative of the typical radiation dose for the Receptor during typical procedures, keeping in mind the general consideration outlined above. 4. Repeat The above procedure must be repeated for each of the stored imaging modes.
 5   © Varian Medical Systems | X-Ray Products 24 Radiographic Mode Gain Calibration   Radiography Gain calibration requires an Offset calibration performed prior to collecting the Flat Field image.  Therefore an Offset Calibration process must be run prior to the gain Calibration.  X-Ray illuminated frames are then offset-corrected and accumulated in the VSP.  A series of accumulated frames equals one radiographic X-ray exposure.  Exposures are averaged to obtain the Flat Field image used by the VSP.  The number of exposures acquired can be selected from the Settings window.     Important: VivA provides a convenience of running Offset Calibration as part of the Gain Calibration process.  However, API driven Gain Calibrations do not automatically run Offset Calibration.  OEM Applications should be sure to run Offset Calibration prior to Gain Calibration.   Take the following steps to complete radiographic gain calibration.   f   Step Action / Results  1. Ensure the desired receptor and imaging mode appears in the Mode drop down.   2. Click Gain Calibration from the menu bar under Acquisition invokes hardware handshaking for the dark field calibration. 3. Finish Offset Calibration process as explained earlier
 5   © Varian Medical Systems | X-Ray Products 25Step Action / Results  4. Use operator control to perform an exposure.  Once all x-ray frames have been acquired click Finish to Complete the calibration.  The number of frames acquired can be selected from the Setting window.  Once all X-ray frames have been acquired, the receptor is updated with the averaged gain calibration from for the current mode.   The updated message will show on the progress window and calibration process is complete.  Press Close button to close the window.    Note: Operator Control is user supplied equipment.    Note: Gain calibration should be performed at regular intervals, typically once every six (6) months, or whenever the central beam of the X-ray source has been moved relative to the Receptor.  Replacement of the X-ray tube will require a new gain calibration to be performed.    Note: Varian recommends accumulating 32 frames for gain calibration for optimal image quality.  However, the actual number of calibration frames used must be determined solely by the system integrator depending upon their specific performance requirements.    Note: For additional assistance operating ViVA™, use the ViVA Online help documentation.
 5   © Varian Medical Systems | X-Ray Products 26 ViVA Mode Settings  The calibration and system settings are verified as follows.  f   Step Action / Results  1. Make sure the desired receptor is selected from the Mode drop down menu; and, that “Hardware Handshaking” is “checked” from the menu bar under Acquisition.  ViVA will remember your preference for future launches    2. Or check the Hardware Handshaking from Radiographic Acquisition Progress window.
 5   © Varian Medical Systems | X-Ray Products 27Step Action / Results  3. System settings are verified as follows.
 Chapter 6     © Varian Medical Systems | X-Ray Products  28 Image Acquisition  Once Offset and Gain Calibration is performed, you are ready to acquire images.   Radiography Mode  The Radiography mode provides the technician with superior single-shot, higher resolution images, for diagnosis.   f   Step Action / Results  1. Select required receptor from Mode drop down menu 2. Make sure hardware handshaking is checked.
 6   © Varian Medical Systems | X-Ray Products 29Step Action / Results  3. Select the Acquire Image button to begin acquiring images.  Acquisition Progress window will appear.  Click Start Acquisition button.      4. Press Start Acquisition button
 6   © Varian Medical Systems | X-Ray Products 30 Step Action / Results  5.   Acquired image can be saved in the desired file format by selecting File / Save As.
 Chapter 7   31  © Varian Medical Systems | X-Ray Products   Safety   Electro-Magnetic Interference   This equipment generates, uses and can radiate radio frequency (RF) energy and, if not installed and used in accordance with the instructions, may cause harmful interference to other devices in the vicinity.    In all circumstances; however, there is no guarantee that interference will not occur in a particular installation.  If this equipment does cause harmful interference to other devices, which can be determined by turning the equipment off and on, the user is encouraged to try to correct the interference by one or more of the measures listed in the Troubleshooting section.   This equipment uses wireless LAN (WLAN) radios for transferring images.   The WLAN power levels and antenna configurations have been tested and certified compliant through specific absorption rate (SAR) limit set by FCC/IC Canada (Less than 1.6W/kG) testing with separations as small as 0 cm between the panel antennas and human tissue.  While compliant, it is still recommended to reduce exposure when possible by 1) positioning subject to be X-rayed away from the antennas (this also helps reduce image transfer time) and 2) removing the detector panel promptly when X-ray exposure is complete.    The I/O Box shall not be used at a distance of no less than 20cm to human tissue.       Table 3-0 Guidance and Mfgr Declaration - Electromagnetic Emissions The PaxScan 4336Wv4 is intended for use in the electromagnetic environment specified below.  The customer or the user of the PaxScan 4336W should assure that it is used in such an environment. Emissions test Compliance Electromagnetic environment - guidance RF emissions CISPR 11 Group 1 The  PaxScan 4336W v4 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 emissions CISPR 11 Class A The PaxScan 4336Wv4  is suitable for use in all establishments other than domestic and those directly connected to the public low-voltage power supply network that supplies buildings used for domestic purposes. Harmonic emissions IEC 61000-3-2 Class A Voltage fluctuations/ Flicker emissions IEC 61000-3-3 Complies
 7   © Varian Medical Systems | X-Ray Products 32 Table 4-0 Guidance and Mfgr Declaration - Electromagnetic Immunity The PaxScan 4336Wv4 is intended for use in the electromagnetic environment specified below.  The customer or the user of the PaxScan 4336Wv4 should assure that it is used in such an environment. Immunity test IEC 60601 test level Compliance level Electromagnetic environment - guidance Electrostatic discharge (ESD) IEC 61000-4-2 + 6 kV contact + 8 kV air + 6 kV contact + 8 kV air Floors 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/burst IEC 61000-4-4 +2 kV for power supply lines +1 kV for input/output lines +2 kV for power supply lines NA – Only I/O is patient cable Mains power quality should be that of a typical commercial or hospital environment. Surge IEC 61000-4-5 +1 kV differential mode +2 kV common mode +1 kV differential mode +2 kV common mode Mains power quality should be that of a typical commercial or hospital environment. Voltage dips, short interruptions and voltage variations on power supply input lines. IEC 61000-4-11 <5 % UT (>95 % dip in UT) for 0.5 cycle  40 % UT (60 % dip in UT) for 5 cycles  70 % UT (30 % dip in UT) for 25 cycles  <5 % UT (>95 % dip in UT) for 5 sec <5 % UT (>95 % dip in UT) for 0.5 cycle  40 % UT (60 % dip in UT) for 5 cycles  70 % UT (30 % dip in UT) for 25 cycles  <5 % UT (>95 % dip in UT) for 5 sec Mains power quality should be that of a typical commercial or hospital environment.  If the user of the PaxScan 4336Wv4 requires continued operation during power mains interruptions, it is recommended that the PaxScan 4336Wv4  be powered from an uninterruptible power supply or battery. Power frequency (50/60 Hz) magnetic field IEC 61000-4-8 3 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. NOTE   UT is the a.c. mains voltage prior to application of the test level.
 7   © Varian Medical Systems | X-Ray Products 33 Table 4-0 continued  Immunity test IEC 60601 test level Compliance level Electromagnetic environment - guidance      Conducted RF IEC 61000-4-6    Radiated RF IEC 61000-4-3      3 Vrms 150 kHz to 80 MHz    3 V/m 80 MHz to 2.5 GHz      3 Vrms     3 V/m Portable and mobile RF communications equipment should be used no closer to any part of the PaxScan 4336Wv4 , including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter. Recommended separation distance Pd 2.1    Pd 2.1   80 MHz to 800 MHz  Pd 3.2   800 MHz to 2.5 GHz  where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer and d is the recommended separation distance in meters (m).b  Field strengths from fixed RF transmitters, as determined by an electromagnetic site survey,a should be less than the compliance level in each frequency range.b  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. a Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV 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 PaxScan 4336Wv4 used exceeds the applicable RF compliance level above, the PaxScan 4336Wv4 should be observed to verify normal operation.  If abnormal operation is observed, additional measures may be necessary, such as reorienting or relocating the PaxScan 4336Wv4  b Over the frequency range 150 kHz to 80 MHz, field strengths should be less than [V1] V/m.
 7   © Varian Medical Systems | X-Ray Products 34 Table 5-0 Recommended Separation Distance Between  Portable and Mobile RF Communications and the PaxScan 4336Wv4 The PaxScan 4336Wv4 is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled.  The customer or the user of the PaxScan 4336Wv4 can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the PaxScan 4336Wv4 as recommended below, according to the maximum output power of the communications equipment. Rated maximum output power of transmitter  W Separation distance according to frequency of transmitter m 150 kHz to 80 MHz Pd 2.1  80 MHz to 800 MHz Pd 2.1  800 MHz to 2.5 GHz Pd 3.2  0.01 0.12 0.12 0.23 0.1 0.38 0.38 0.73 1 1.2 1.2 2.3 10 3.8 3.8 7.3 100 12 12 23 For 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 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 propogation is affected by absorption and reflection from structures, objects and people.
 7   © Varian Medical Systems | X-Ray Products 35Electrical Protection   ● The 4336Wv4 model is internally powered     Environment Limits  Rigorous environmental testing is conducted on an engineering basis using a sample receptor.    Temperature, Humidity & Atmospheric Pressure  Category Limits Storage & Transport (ambient) Receptor: -20º C to +70º C Battery: -20º C to +60º C Battery Charger: -20º C to +60º  Storage  Humidity Range (non-condensing) Receptor: 10% to 90% Battery Charger:10% to 90% at 20º C  Normal Operation Temperature (measured at the center of the back cover) Receptor: 10º C to 35º C  Operation Humidity (non-condensing) 10% to 90% Atmospheric Pressure Range 700hPa to 1060hPa Normal Operation Range (ambient)  Note:  that normal charging must be terminated if the battery cell temperature is above 45C or below -20C. Outside of the 0º C to 35C ambient temperature, the charger will remain active, but the charge current will be off or limited so that charge time will be extended. Battery Charger:  0º C to 35C    Altitude Limits  The Paxscan Digital Imager Receptor is rated to operate at an altitude ≤ 3000m. The Varian Battery Charger is rated to operate at an altitude -610m to 3050m (-2000 to 10,000 ft)
 7   © Varian Medical Systems | X-Ray Products 36 Varian Lithium-Ion Rechargeable Battery  Please only use the lithium-ion rechargeable battery listed below that is supplied with the receptor.  Battery type:     Lithium-ion Battery model:  Varian – P/N 30773 (gray), 57834 (white), 81701 (black) Rated voltage:   14.8V   2.1Ah, 31.1 Wh        Caution: Risk of fire, explosion or burns.  Do not short circuit, crush, heat above 100ºC, incinerate, or disassemble the battery.  Charge only with the receptor or battery charger supplied.  Please follow local governing ordinances and recycling plans regarding proper disposal or recycling of the lithium-ion rechargeable battery.       Note: Lithium-ion rechargeable battery is for use with the model PaxScan 4336Wv4.   Lithium-Ion Battery Handling, Storage, & Shipping   Handling  ●  Do not short circuit, crush, heat above 100ºC, incinerate, or disassemble the battery. ●  Do not dispose of battery in fire or water. ●  Do not expose battery to temperatures above 60 °C (140 °F). ●  Do not use a damage battery.  Storage  ●  Remove battery and store it separately from device. ●  Charge or discharge the battery to approximately 50% of capacity before storage. ●  Charge the battery to approximately 50% of capacity at least once every six month. ●  Store the battery at temperatures between  -20 °C and 60 °C (-4 °F and 140 °F).  Shipping  ●  Always check all applicable local, national, and international regulations before transporting    a Lithium-Ion battery. ●  It is customers responsibility to ship battery according to local and international shipping regulation for Lithium-Ion battery in effect at the time of shipment.
 7   © Varian Medical Systems | X-Ray Products 37Regulatory  ● The PaxScan® 4336Wv4 model family is a component sub-system with Type B per Standard for Medical Electrical Equipment.   The PaxScan® 4336Wv4 model family and the Varian Battery Charger are an associated equipment x-ray medical equipment with respect to electrical shock, fire and mechanical hazards only in accordance with:    UL 60601-1 Medical Electrical Equipment, Part 1: General Requirements for Safety 1st ed. IEC 60601-1 Medical Electrical Equipment Part 1: General Requirements for Safety 2nd ed. IEC 60601-1 Medical Electrical Equipment Part 1: General Requirements for Basic Safety and Essential Performance 3rd ed. ANSI/AAMI ES60601-1 (2005) Medical Electrical Equipment – Part 1: General Requirements for Basic Safety and Essential Performance. CSA-C22.2 No 60601-1 (2008) Medical Electrical Equipment, Part 1 General Requirements for Basic Safety and Essential Performance. CAN/CSA-C22.2 No 601.1-M90, 2005 Medical Electrical Equipment, Part 1 General Requirements for Safety.     EN/IEC 60601-1-2 Medical Electrical Equipment Part 1-2: General Requirements for Basic Safety and Essential Performance Collateral Standard: Electromagnetic Compatibility 3rd ed. RF compliant in accordance with FCC Part 15 Subpart C and Part 15 Subpart E. ● Type B Applied Part  ● CE Mark - Varian Medical Systems’ imaging products are designed and manufactured to meet the Low Voltage Directive 2006/95/EC, MDD 93/42/EEC, and R&TTE Directive 1999/5/EC ● MDD Class IIa ● A Declaration of Conformity has been filed for this product and available upon request by contacting Varian Medical Systems. ● The Varian Battery Charger is a Class 1, continuous operation device and meets the following:  IEC 61000-4-2 Electro-Static Discharge IEC 61000-4-3 RF Electromagnetic Fields Immunity IEC 61000-4-4 EFT/Burst IEC 61000-4-5 Surge Immunity IEC 61000-4-6 Conducted RF Disturbances Immunity IEC 61000-4-8 Magnetic Field Immunity IEC 61000-4-11 Dips, Interruptions, and Variations IEC 61000-3-2 Harmonics Current Emission IEC 61000-3-3 Voltage Fluctuation and Flicker
 7   © Varian Medical Systems | X-Ray Products 38 Radio Frequency (RF) Compliance Information   FCC/IC Compliance  This device complies with Part 15 of the FCC Rules and RSS-Gen (RSS-210, etc.) of IC Rules.  Operation is subject to the following two conditions: 1. This device may not cause harmful interference. 2. This device must accept any interference received, including interference that may cause undesired operation. 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 and Canadian ICES-003.  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 can radiate radio frequency energy and, if not installed and used in accordance with the instruction manual, 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.  If this equipment does cause harmful interference to radio or television reception, which can be determined by turning the equipment off and on, the user is encouraged to try to correct the interference by one or more of the following measures: x Reorient or relocate the receiving antenna. x Increase the separation between the equipment and receiver. x Connect the equipment into an outlet on a circuit different from the one the receiver is connected to. x Consult the dealer or an experienced radio/TV technician for help.  The user may find the following booklet prepared by the Federal Communications Commission helpful: The Interference Handbook This booklet is available from the U.S. Government Printing Office, Washington, D.C. 20402. Stock No. 004-000-00345-4.  Modifications not expressly approved by the manufacturer could void the user's authority to operate the equipment under FCC rules. In the 5150 to 5250 MHz frequency range this transmitter is restricted to indoor use only.
 7   © Varian Medical Systems | X-Ray Products 39Industry Canada Notice  To prevent radio interference to the licensed service, this device is intended to be operated indoors and away from windows to provide maximum shielding. Equipment (or its transmitting antenna) that is installed outdoors is subject to licensing. The installer of this radio equipment must ensure that the antenna is located or pointed such that it does not emit RF field in excess of Health Canada limits for the general population; consult Safety Code 6, obtainable from Health Canada's web site www.hc-sc.gc.ca/rpb.  Cet appareil numérique de la classe A est conforme à la norme NMB-003 du Canada Avis de Conformité à la Réglementation d'Industrie Canada: Pour empêcher toute interférence aux services faisant l'objet d'une licence, cet appareil doit être utilisé à l'intérieur seulement et devrait être placé loin des fenêtres afin de fournir un écran de blindage maximal. L'installateur du présent matériel radio doit s'assurer que l'antenne est située ou pointée de manière à ce que cette dernière n'émette pas de champs radioélectriques supérieurs aux limites specifées par Santé Canada pour le grand public; consulter le Code de sécurité 6, disponible sur le site Web de Santé Canada, à l'adresse suivante: www.hc-sc.gc.ca/rpb.  This equipment complies with FCC RF radiation and RSS 102 exposure limits set forth for an uncontrolled environment.   Body-worn operation and use near the head this device has been tested and meets both FCC/ IC RF exposure guidelines when used within this product guideline. The maximum SAR Value (Head) is 1.34W/kg. The maximum SAR Value (Body) is 1.37W/kg.”  Cet équipement est conforme aux rayonnements RF de la FCC et RSS 102 limites d'exposition définies pour un environnement non contrôlé. Opération Porté au corps et utiliser près de la tête de ce dispositif a été testé et répond aux consignes d'exposition à la fois FCC / IC RF lorsqu'il est utilisé dans ce produit directive. La valeur maximale SAR (Head) est 1.34W / kg. Le maximum Valeur SAR (Body) est 1.37W/kg.”   European Community – CE Notice   The CE! mark indicates compliance with the essential requirements of Directive 1999/5/EC. Such marking is indicative that this equipment meets or exceeds the following technical standards: x EN 300 328 x EN 301 893 x EN 301 489-17 x EN 60950 Marking by the symbol: ! indicates that usage restrictions apply in countries listed on this product’s packaging.
7  © Varian Medical Systems | X-Ray Products 40 Europe - Declaration of Conformity in Languages of the European Community. Česky [Czech] Varian Medical Systems, Inc. tímto prohlašuje, že tento Radiolan je ve shodě se základními požadavky a dalšími příslušnými ustanoveními směrnice 1999/5/ES. Dansk [Danish] Undertegnede Varian Medical Systems, Inc. erklærer herved, at følgende udstyr Radiolan overholder de væsentlige krav og øvrige relevante krav i direktiv 1999/5/EF. Deutsch [German] Hiermit erklärt Varian Medical Systems, Inc., dass sich das Gerät Radiolan in Übereinstimmung mit den grundlegenden Anforderungen und den übrigen einschlägigen Bestimmungen der Richtlinie 1999/5/EG befindet. Eesti [Estonian] Käesolevaga kinnitab Varian Medical Systems, Inc. seadme Radiolan vastavust direktiivi 1999/5/EÜ põhinõuetele ja nimetatud direktiivist tulenevatele teistele asjakohastele sätetele. English Hereby, Varian Medical Systems, Inc., declares that this Radiolan is in compliance with the essential requirements and other relevant provisions of Directive 1999/5/EC. Español [Spanish] Por medio de la presente Varian Medical Systems, Inc. declara que el Radiolan cumple con los requisitos esenciales y cualesquiera otras disposiciones aplicables o exigibles de la Directiva 1999/5/CE. Ελληνική [Greek] ΜΕ ΤΗΝ ΠΑΡΟΥΣΑ Varian Medical Systems, Inc. ΔΗΛΩΝΕΙ ΟΤΙ Radiolan ΣΥΜΜΟΡΦΩΝΕΤΑΙ ΠΡΟΣ ΤΙΣ ΟΥΣΙΩΔΕΙΣ ΑΠΑΙΤΗΣΕΙΣ ΚΑΙ ΤΙΣ ΛΟΙΠΕΣ ΣΧΕΤΙΚΕΣ ΔΙΑΤΑΞΕΙΣ ΤΗΣ ΟΔΗΓΙΑΣ 1999/5/ΕΚ. Français [French] Par la présente Varian Medical Systems, Inc. déclare que l'appareil Radiolan est conforme aux exigences essentielles et aux autres dispositions pertinentes de la directive 1999/5/CE. Italiano [Italian] Con la presente Varian Medical Systems, Inc. dichiara che questo Radiolan è conforme ai requisiti essenziali ed alle altre disposizioni pertinenti stabilite dalla direttiva 1999/5/CE. Latviski [Latvian] Ar šo Varian Medical Systems, Inc. deklarē, ka Radiolan atbilst Direktīvas 1999/5/EK būtiskajām prasībām un citiem ar to saistītajiem noteikumiem. Lietuvių [Lithuanian]  Šiuo Varian Medical Systems, Inc. deklaruoja, kad šis Radiolan atitinka esminius reikalavimus ir kitas 1999/5/EB Direktyvos nuostatas.
7  © Varian Medical Systems | X-Ray Products 41Nederlands [Dutch] Hierbij verklaart Varian Medical Systems, Inc. dat het toestel Radiolan in overeenstemming is met de essentiële eisen en de andere relevante bepalingen van richtlijn 1999/5/EG. Malti [Maltese] Hawnhekk, Varian Medical Systems, Inc., jiddikjara li dan Radiolan jikkonforma mal-ħtiġijiet essenzjali u ma provvedimenti oħrajn relevanti li hemm fid-Dirrettiva 1999/5/EC. Magyar [Hungarian] Alulírott, Varian Medical Systems, Inc. nyilatkozom, hogy a Radiolan megfelel a vonatkozó alapvetõ követelményeknek és az 1999/5/EC irányelv egyéb elõírásainak. Polski [Polish] Niniejszym Varian Medical Systems, Inc. oświadcza, że Radiolan jest zgodny z zasadniczymi wymogami oraz pozostałymi stosownymi postanowieniami Dyrektywy 1999/5/EC. Português [Portuguese] Varian Medical Systems, Inc. declara que este Radiolan está conforme com os requisitos essenciais e outras disposições da Directiva 1999/5/CE. Slovensko [Slovenian] Varian Medical Systems, Inc. izjavlja, da je ta Radiolan v skladu z bistvenimi zahtevami in ostalimi relevantnimi določili direktive 1999/5/ES. Slovensky [Slovak] Varian Medical Systems, Inc. týmto vyhlasuje, že Radiolan spĺňa základné požiadavky a všetky príslušné ustanovenia Smernice 1999/5/ES. Suomi [Finnish] Varian Medical Systems, Inc. vakuuttaa täten että Radiolan tyyppinen laite on direktiivin 1999/5/EY oleellisten vaatimusten ja sitä koskevien direktiivin muiden ehtojen mukainen. Svenska [Swedish] Härmed intygar Varian Medical Systems, Inc. att denna Radiolan står I överensstämmelse med de väsentliga egenskapskrav och övriga relevanta bestämmelser som framgår av direktiv 1999/5/EG.
 7   © Varian Medical Systems | X-Ray Products 42 Europe - Restrictions for Use of 2.4GHZ Frequencies in European Community.  België/ Belgique: For private usage outside buildings across public grounds over less than 300m no special registration with IBPT/BIPT is required. Registration to IBPT/BIPT is required for private usage outside buildings across public grounds over more than 300m.  For registration and license please contact IBPT/BIPT. Voor privé-gebruik buiten gebouw over publieke groud over afstand kleiner dan 300m geen registratie bij BIPT/IBPT nodig; voor gebruik over afstand groter dan 300m is wel registratie bij BIPT/IBPT nodig. Voor registratie of licentie kunt u contact opnemen met BIPT. Dans le cas d’une utilisation privée, à l’extérieur d’un bâtiment, au-dessus d’un espace public, aucun enregistrement n’est nécessaire pour une distance de moins de 300m. Pour une distance supérieure à 300m un enregistrement auprès de I’IBPT est requise.  Pour les enregistrements et licences, veuillez contacter I’IBPT. Deutschland: License required for outdoor installations. Check with reseller for procedure to follow Anmeldung im Outdoor-Bereich notwendig, aber nicht genehmigungspflichtig.Bitte mit Händler die Vorgehensweise abstimmen. France: Restricted frequency band: only channels 1 to 7 (2400 MHz and 2454 MHz respectively) may be used outdoors in France.  Bande de fréquence restreinte : seuls les canaux 1- 7 (2400 et 2454 MHz respectivement) doivent être utilisés endroits extérieur en France.  Vous pouvez contacter I’Autorité de Régulation des Télécommuniations (http://www.art-telecom.fr) pour la procédure à suivre. Italia: License required for indoor use. Use with outdoor installations not allowed. E’necessaria la concessione ministeriale anche per l’uso interno. Verificare con i rivenditori la procedura da seguire. Nederland License required for outdoor installations. Check with reseller for procedure to follow. Licentie verplicht voor gebruik met buitenantennes. Neem contact op met verkoper voor juiste procedure. All EU member states and EFTA countries This device may only be used indoors in the frequency bands 5150 – 5250 MHz and 5250 – 5350 MHz.  To remain in conformance with European spectrum usage laws for Wireless LAN operation, the above 2.4GHz channel limitations apply for outdoor usage.   The user should use the wireless LAN utility to check the current channel of operation.  If operation is occurring outside of the allowable frequencies for outdoor use, as listed above, the user must contact the applicable national spectrum regulator to request a license for outdoor operation.
 Chapter 8   43 © Varian Medical Systems | X-Ray Products   Maintenance   Cleaning and Disinfection   The flat panel receptor and connected cables are likely to be soiled during use. The specific material most likely to become soiled is the X-ray grade carbon fiber input window and aluminum/magnesium housing.   Cleaning and disinfecting of the input window should be performed as needed.   Wiping the surfaces with a soft cloth dampened with soap and water will generally clean the surfaces.   Proper disinfection requires that a disinfectant solution be used; such as Sani-Cloth® Plus, a hospital grade, EPA registered low to intermediate-level product for hard, non-porous surfaces and equipment.   Use disinfectants in accordance with the manufacturer’s instructions.   Alternatively, the below chemical cleaning solutions may also be used.  Cleaning and disinfecting of the battery and battery compartment should also be performed as needed using the same practices described above.  Care should be taken when cleaning the battery contacts, use a non-abrasive cleaner that will not damage the copper contact material.  The battery charger can be cleaned with a wet cloth using one of the chemicals below.  The battery charger cannot be submerged any time during cleaning.  Chemical Cleaning Solutions Recommended:  ●  Isopropyl alcohol, 70% aqueous solution. ●  Mild soap and water. ●  Chlorine bleach, 3% aqueous solution.    Do not clean electrical contacts or connector with bleach. ●  Quaternary ammonium compounds, such as Steris “Coverage Plus NPD” (one part Coverage Plus NPD to 255 parts water).  ● CAVI-Wipes.  Use in accordance with the manufacturer’s instructions.      Caution: Do not use flowing liquid or immersion on the receptor, battery, battery compartment, or battery charger.  Do not sterilize
 8   © Varian Medical Systems | X-Ray Products 44 Repairs    Note: No user serviceable parts.  If repairs are necessary, please see How To Reach Us.       The least replaceable units (LRU) are:    x Receptor Assembly x Back-up Cable x Varian Battery x Varian Battery Charger     Proper Disposal  The 4336Wv4 receptor should be returned to Varian Medical Systems for disposal.   We request that you obtain an RMA number using the same procedure for warranty/returns of products.       Contact: PAXSCAN.RMA@VARIAN.COM  Do not dispose of the lithium-ion rechargeable battery in the garbage.    Please consult local governing ordinances and recycling plans regarding proper disposal.      Warning: Precautions should be taken to not open the receptor module.  Depending upon the type of scintillator used, opening the receptor module may expose the user to potentially toxic materials
 Chapter 9   45  © Varian Medical Systems | X-Ray Products   Troubleshooting  Problem  Solution  Imager fails to respond.  1.  Check wireless connection or cable connections.  Imager causes Electro-Magnetic Interference.  1.  Reorient or relocate the receiving device.  2.  Increase the separation between the equipment.  3.  Connect the other device(s) into an outlet on a different circuit.  4.  Consult the manufacturer or field service      technician for help.  Poor Image Quality.  1.  Confirm that image corrections are all selected in the Systems      Settings dialog box in ViVA .  2.  Re-acquire gain and offset images.  3.  Assure that the exposures are appropriate for gain calibration       images (not saturated).  Software hangs up.  Restart ViVA.  Acquired image is completely dark.  Increase the exposure and acquire a new image. If the image is still dark, verify that all cables are properly connected.  Turn the power “OFF” and “ON”. Acquire a new image.  Out of virtual memory.  Close some of the windows that are currently open.  Residual x-ray image from previous exposure shows in current image.  Charge on the sensor pixels from a super saturated exposure may cause a residual image. It can be erased by taking another image or multiple images without X-rays until the residual image is gone.  ViVA error message.  1.  Please complete PaxScan 4336Wv4 Problem Report.  2.  Email the error log file generated to:      paxscan.rma@varian.com.   This log file is normally       found at  C:\users\{username}\AppData\Local\crashdumps\viva.log  Drop Receptor. 1.  Remove battery from receptor and inspect for damage.  2  If the battery does not appear damage place into battery charger to     see if battery charger reports an error.  3  Inspect the receptor for any physical damage.  4.  Insert a charged battery into the detector and see if it powers on.    Note:  It is best to use a different battery than the one                that was in the receptor when it was dropped. 5.  Generate a link to the workstation.  6.  Acquire an image from the receptor and inspect for regions      of missing data. 1.  For additional information on how to handle dropped receptor refer      to OEM System Service Manual
 Chapter 10     © Varian Medical Systems | X-Ray Products  46 PaxScan 4336Wv4 Problem Report Customer Information   Date:   Your Name  Company/Unit Name: Email: Phone Number: Fax Number: Product Information.  PaxScan Part Number: Imager Serial Number: Software Revision #:        Operation I was trying to perform (be as specific as possible:         What happened (use additional sheets as necessary):          E-mail: PAXSCAN.RMA@varian.com
 Chapter 11   47  © Varian Medical Systems | X-Ray Products   Appendix A  Battery Installation/Removal for 4336Wv4  Battery installation     Step Action / Results  1. Insert battery at a slight angle so that the side with contacts sits over the adjoining contacts in the battery compartment.   2. Press down on the lifted side of battery snapping it into place in the battery compartment.  Receptor is now ready for user.
 11   © Varian Medical Systems | X-Ray Products 48 Battery removal   Step Action / Results  1. First ensure that the receptor is powered off.  Then slide the battery latch release to the side, which will cause one side of the battery to life out of the battery compartment.   2. Grab the lifted side of the battery and finish removing.
 11   © Varian Medical Systems | X-Ray Products 49Battery Charger  The Varian 1 bay and 3-bay charger is intended for use with the Varian Lithium-ion Battery.   The Varian charger will fully charge a Varian battery in maximum 3 1/2 hours when operating at room temperature (20º C Ambient) for the 2020mAh battery to 97% of available capacity in the battery.  The charge time may change depending on the battery cell temperature.  The charger is used with the PaxScan wireless radiographic digital image receptors.  Over-Discharged Battery Wake-up  The charger will wake up a battery that is in over-discharge protection mode.   Over-Charge Battery Protection  Over-charge due to excessive or uncontrolled current is prevented by redundant software functions monitoring a minimum of two independent sources combined with an software independent method.   Over charge due to excessive or uncontrolled voltage is prevented through continual monitoring of two independent measurement sources.   The charger has charge timeout functionality.   Setting Up the Varian Charger   Step Action / Results  1. The Varian Charger must be installed near the outlet to which it will be connected.   2. Do not block the charger’s ventilation slots underneath the charger.   3. Use the charger only with Varian batteries and the provided external power supply 4. To connect the charger to power: x Plug the DC cable from the power supply into the charger x  Plug the AC cable into the power supply x Plug the AC cable into the appropriate power outlet   The charger is now ready for use.
 11   © Varian Medical Systems | X-Ray Products 50 Battery charging using the stand alone 3-Bay Battery Charger   The Varian 3-bay charger requires 1. 24V DC, 3.3A max input. 2. The output of the charger is 16.8V DC, 1.5A max (+/1 1% and 10 Hz).    Step Action / Results  1. Hold battery on end opposite of the contacts with the contacts facing toward the charger.   2. Gently slide battery into battery compartment on the charger.  When properly inserted, a light next to the battery slot will turn on showing the charge status of the battery.    When the battery is charging the light will be orange, when charging is complete the light will turn green and when there is a fault the light will be red.  Charging a fully discharged battery will take 3.5 hours maximum and 2.5 hours typical when operating at room temperature.   Up to three batteries can be charged at a time.  Refer to below Figure B-1 for explanation of LED status indicators.    Figure A-1   3-Bay Battery Charger Status Indicators
 11   © Varian Medical Systems | X-Ray Products 51Battery charging using the stand alone 1-Bay Battery Charger   The Varian 1-bay charger requires: 1. 19V DC, 2.1A max input. 2. The output of the charger is 16.8V DC, 1.4A max (+/-1% and 10 Hz).  Step Action / Results  1. The Varian battery communicates with the Varian 1-bay charger when it is plugged into the charger.  The battery monitors its readiness state and is mechanically keyed to charger for easy installation.    2. The charger provides the following LED indicators to identify charge process and charge faults (see below Figure B-2). x When all four (4) green LEDs are continuously illuminated (with the red LED off), the battery has reached maximum charge.  It can either be removed or left in the charger to maintain full charge.  Charging time typically is  2.5 hours, maximum 3.5 hours.  Figure A-2   1-Bay Battery Charger Status Indicators
 11   © Varian Medical Systems | X-Ray Products 52  Warning: Do not remove the charger cover.  The Charger has no internal user serviceable parts.      Warning: Do not use in operating room or other oxygen rich environment. Do not use in conjunction with flammable agents. Do not use in an environment with condensing moisture.     Caution: Do not use flowing liquid or immersion on the receptor, battery, battery compartment, or battery charger. Do not sterilize.     Caution: Do not attempt to insert objects other than the Varian battery into the charger bay.     Important: Use the Varian Battery Charger only with the Varian supplied power supply and power cord.     Important: Use only the Varian supplied batteries in the battery charger and receptor.  The systems are not designed to work in conjunction with any other battery type or design.

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