SireskopCX Startup

SIRESKOP CX/33 System
AX
Applicable for AN and BN Systems
Installation
Startup Instructions
with 2nd Tube on 3D CX or BD Stand
© Sie mens AG 1998

The reproduction, transmission or
use of this document or its contents
is not permitted without express
written authority. Offenders will be
liable for damages. All rights,
including rights created by patent
grant or registration of a utility
model _or_ design,_are_ reserved.
English
Print No.: RXD1-222.034.19.06.02 Doc. Gen. Date: 12.01
Replaces: RXD1-222.034.19.05.02
0-2 Revision
Chapter Page Rev.

all all 01
all all 02
all all 03
all all 04
all all 05
all all 06
Document revision level

The document corresponds to the version/revision level effective at the time of system delivery. Revi-
sions to hardcopy documentation are not automatically distributed.
Please contact your local Siemens office to order current revision levels.
Disclaimer
The installation and service of equipment described herein is to be performed by qualified personnel
who are employed by Siemens or one of its affiliates or who are otherwise authorized by Siemens or
one of its affiliates to provide such services.
Assemblers and other persons who are not employed by or otherwise directly affiliated with or author-
ized by Siemens or one of its affiliates are directed to contact one of the local offices of Siemens or
one of its affiliates before attempting installation or service procedures.
SIRESKOP CX/33 System RXD1-222.034.19 Page 2 of 6 Siemens AG

Installation Rev. 06 12.01 CS SD 21 Medical Solutions
Contents 0-3
Page
1 _______Requirements / Remarks ________________________________________ 1 - 1
Manufacturer’s Note . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1- 1

Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1- 1
Tolerances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-1
System Overview of SIRESKOP CX/33 Versions . . . . . . . . . . . . . . . . . . . .1-2
AN System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1- 2
BN System (no longer being shipped) . . . . . . . . . . . . . . . . . . . . . . . .1-2
CN System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1- 2
DN System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1- 2
Required Documents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1- 2
Required Tools, Test Equipment and Aids. . . . . . . . . . . . . . . . . . . . . . . .1- 3
Important Remarks Pertaining to Startup . . . . . . . . . . . . . . . . . . . . . . . .1- 4
General Remarks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1- 4
Service Software. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1- 5
Passwords . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1- 5
Remarks Regarding the Acceptance Test per §16 . . . . . . . . . . . . . . . . .1-5
Text Emphasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1- 6
Abbreviations Used in these Instructions . . . . . . . . . . . . . . . . . . . . . . . .1- 7
2 _______General Startup ________________________________________________ 2 - 1
Safety Measures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2- 1

Measuring the Protective Ground Wire Resistance . . . . . . . . . . . . . . . . . . .2-2
Important Preparations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2- 3
Checking the Line Voltage and Line Frequency. . . . . . . . . . . . . . . . . . . . .2-4
Measuring the Power Line Voltage . . . . . . . . . . . . . . . . . . . . . . . . .2- 4
Checking the Phase Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-5
Measuring the Internal Line Resistance . . . . . . . . . . . . . . . . . . . . . . . . .2- 5
Checking for Inadmissible Ground Loops . . . . . . . . . . . . . . . . . . . . . . . .2-6
For POLYDOROS SX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2- 6
For POLYDOROS LX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2- 7
Switching On the System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2- 8
Connecting the Service PC to the POLYDOROS SX . . . . . . . . . . . . . . . . . .2- 9
Connect the Service PC to the POLYDOROS LX . . . . . . . . . . . . . . . . . . . 2 - 10
Installing the XCS Service Software on the Service PC. . . . . . . . . . . . . . . . 2 - 11
Installing the SIRESKOP CX Service Software . . . . . . . . . . . . . . . . . . . . 2 - 11
Installing the Tomo Service Software (if configured) . . . . . . . . . . . . . . . . . 2 - 12
Installing the Service Software from the CD-ROM. . . . . . . . . . . . . . . . . . . 2 - 12
Selecting the XCS Service Program . . . . . . . . . . . . . . . . . . . . . . . . . 2 - 13
Function Check of the Safety Circuit . . . . . . . . . . . . . . . . . . . . . . . . . 2 - 14
Installing the Protective Grip Strip . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 - 14
3 _______SIRESKOP CX System Startup____________________________________ 3 - 1
Checking the End Position for Tilting . . . . . . . . . . . . . . . . . . . . . . . . . . 3 - 1

Installing the Cover Panels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 - 1
Siemens AG RXD1-222.034.19 Page 3 of 6 SIRESKOP CX/33 System

Medical Solutions Rev. 06 12.01 CS SD 21 Installation
0-4 Contents
Page
Function Check and Adjustment of Unit Movement . . . . . . . . . . . . . . . . . . 3-2
Limiting Patient Table Movement . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Programming Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Limiting the Tabletop Movement with Ceiling Heights of < 2990 mm. . . . . . . . 3-4
Changing the End Position for Tilting (+ 90 degree position) . . . . . . . . . . . . 3-5
Checking the Cassette Type . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Checking and Adjusting the Generator
(without High Voltage) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
Checking the Starter (workstation selection and rpm) . . . . . . . . . . . . . . . 3-6
Startup with High Voltage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
Connecting the Oscilloscope and mAs Meter . . . . . . . . . . . . . . . . . . . 3-6
Conditioning the X-ray Tube . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
Starting Up the Tube Unit with the 3 D-CX (if configured) . . . . . . . . . . . . . . . 3-8
Adjusting the Tube Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9
Accuracy of the X-Ray Tube Voltage . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9
Checking the mAs Values . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 - 10
Checking the Maximum Generator Power / Radiation Power . . . . . . . . . . .3 - 10
I.I. Power Supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 - 12
Starting Up the 2nd Plane . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 - 12
Customer Requests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 - 12
a) Fluoroscopy Time Blocking . . . . . . . . . . . . . . . . . . . . . . . . . . .3 - 12
b) SIRESKOP CX Spotfilm Device Cassette Movement to Eject Position . . . . .3 - 13
c) Switching from Zoom to I.I. Full Format . . . . . . . . . . . . . . . . . . . . .3 - 13
d) Screen Saver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 - 13
e) Default Setting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 - 14
f) Tube Load Buzzer On/Off . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 - 14
g) Spotfilm Device Brakes with Exposure . . . . . . . . . . . . . . . . . . . . .3 - 15
h) Three Different Collimator Speeds . . . . . . . . . . . . . . . . . . . . . . . .3 - 15
l) Programming the Fluoro Curves at the Customer’s Location . . . . . . . . . .3 - 15
Manual Fluoroscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 - 16
4 ______ Beam Geometry ________________________________________________4 - 1
Definition of Terms for Cassettes and Radiation . . . . . . . . . . . . . . . . . . . . 4-1

Coincidence of Radiation Field Center and Center of Film . . . . . . . . . . . . . . . 4-1
Checking the Control Function of the Collimator . . . . . . . . . . . . . . . . . . . . 4-4
Accuracy of the Automatic Collimation for Cassette Formats . . . . . . . . . . . . . 4-5
Fluoroscopy Field Limitation (without Overframing) . . . . . . . . . . . . . . . . . . 4-7
Fluoroscopy Field Limitation (with Overframing) . . . . . . . . . . . . . . . . . . . . 4-9
5 ______ IONTOMAT P Setup _____________________________________________5 - 1
Image Quality in Direct Exposure Units . . . . . . . . . . . . . . . . . . . . . . . . 5-1

Checking the Selection of Chamber and Measuring Field . . . . . . . . . . . . . . . 5-2
Film Screen Combinations Used . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Checking Drift and Hum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
Adjusting Optical Density (Film Blackening) . . . . . . . . . . . . . . . . . . . . . . 5-8

Contents 0-5
Page
Checking the Voltage Response Correction. . . . . . . . . . . . . . . . . . . . . . .5-9
Function Check of the Lateral IONTOMAT Measuring Fields . . . . . . . . . . . . . 5 - 12
Cutoff Dose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 - 12
Film Resolution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 - 14
6 _______VIDEOMED DI__________________________________________________ 6 - 1
General Remarks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-1

Indirect Check of the Fluoroscopy Dose Rate at the Image Intensifier Input . . . . . .6-1
Monitor for VIDEOMED DI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6- 2
B-Signal / TV Iris Collimator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6- 3
Resolution and Minimum Contrast of the I.I.-TV System . . . . . . . . . . . . . . . .6- 4
Image Artifacts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6- 5
Description of the Artifacts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6- 6
7 _______Starting Up the KermaX and Modem _______________________________ 7 - 1
For POLYDOROS SX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7- 1

Fluoroscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7- 1
Exposure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7- 1
For POLYDOROS LX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7- 2
Data Printer (Option) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7- 2
Function Test of the Modem (Option) . . . . . . . . . . . . . . . . . . . . . . . . . .7-2
Function Test of Remote . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7- 2
8 _______Final Work Steps _______________________________________________ 8 - 1
Measuring the Protective Ground Wire Resistance . . . . . . . . . . . . . . . . . . . 8 - 1

Checking the System EMERGENCY OFF Switch in the
Examination Room (if Configured) . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 - 1
Remaining Work Steps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 - 2
9 _______Changes to Previous Version_____________________________________ 9 -1

0-6 Contents
This page intentionally left blank.

Requirements / Remarks 1 1-1
Manufacturer’s Note 1
This document was originally written in German.
Safety Information 1
When carrying out work steps and checks, the product-specific safety information
contained in the documents as well as the general safety information must be observed.
CAUTION Checks or adjustment that must be carried out under radiation

are labeled with the radiation warning symbol .
While adjustment labeled with this symbol are being carried out,
radiation protective clothing must be worn.
Tolerances 1
General tolerances for linear dimensions per ISO 2768
Max. toler- over over over over over over over

ance for 3 mm 6 mm 30 mm 120 mm 400 mm 1000 mm 2000 mm
nominal up to up to up to up to up to up to up to
dimension 6 mm 30 mm 120 mm 400 mm 1000 mm 2000 mm 4000 mm
Admissible ± 0.5 mm ± 1 mm ± 1.5 mm ± 2.5 mm ± 4 mm ± 6 mm ± 8 mm
tolerance
These tolerances are applicable for all dimensions given in these instructions unless a
different tolerance is expressly stated after the value.
A tolerance of ±10% is admissible for torque values.

1-2 Requirements / Remarks
System Overview of SIRESKOP CX/33 Versions 1
AN System 1
POLYDOROS LX, VIDEOMED DI, SIRECON 23 - 3 HDR-DL, CX unit,

EXPLORATOR CX - 23
BN System (no longer being shipped) 1
POLYDOROS SX 65/80, VIDEOMED DI, SIRECON 23 - 3 HDR-DX, CX unit,

EXPLORATOR CX - 23, FLUOROSPOT Compact can be retrofitted
CN System 1
POLYDOROS SX 65/80, VIDEOMED DH/DHC (1k CCD), SIRECON 23 - 3 HDR-DX, CX

unit, EXPLORATOR CX - 23, FLUOROSPOT Compact
DN System 1
POLYDOROS SX 65/80, VIDEOMED DHDHC (1k CCD), SIRECON 33 - 4 HDR/W, CX

unit, EXPLORATOR CX - 33, FLUOROSPOT Compact
Required Documents 1
• System Operating Instructions, SIRESKOP CX RXD1-222.620...

• System Wiring Diagrams, System Cabling
• POLYDOROS SX 65/80 Generator Wiring Diagram X2206
• POLYDOROS LX 30/50 Generator Wiring Diagram X2169
• POLYDOROS LX and SX 65/80 Startup Instructions RX63-020.034.22...
System Configuration Using the Service PC
• POLYDOROS LX 30/50 and SX 65/80 Startup Instructions RX63-020.034.18...
• System Test Certificate SIRESKOP CX G6021
• POLYDOROS LX and SX 65/80 Test Certificate X2206
• Test Certificate for Direct Exposure Systems RXD0-000.037.05...
• Image Quality Test Procedure for OT/UT Systems without RXD0-000.74.08...
DFR
• Image Quality Test Certificate for OT/UT Systems without RXD0-000.037.11...
DFR
• Diamentor K1/ K2 Installation and Setting Instructions RX63-055.033.01...
• PL SX 65/80, Printer Installation and Setting Instructions RX63-055.033.03...
• PL SX 65/80, KermaX Installation and Setting Instructions RX63-055.033.04...
• PL LX 30/50 KermaX Installation and Setting Instructions RX63-020.033.03...
• Remote Service Instructions RXD7-200.061.01...

Requirements / Remarks 1-3
Required Tools, Test Equipment and Aids 1
NOTICE All listed tools, test equipment and aids, with the exception of
the "standard installation tool kit", are listed and specified in the
Service Tools Catalogue.
• Standard installation tool kit

• Spirit level 28 69 436 RE999
• Protective conductor meter 44 15 899 RV090
• ESD protection kit (Type 8501 - 3M) 97 02 606 Y3121
• PC with DOS and WINDOWS, printer
(per the specifications of ARTD 001.719.06...)
• PC connection cable, 5 m 99 00 440 RE999
• Internal line resistance test meter 84 28 104 RE999
• Inductive field meter 97 02 713 Y7933
• 2-channel memory oscilloscope 97 02 234 Y3155
(e.g. Tektronix 2232)
• mAs Meter 81 60 400 RE999
• Resolution test, Type 41 28 71 820 RE999
• 17 µm Cu strips (check of minimum contrast) 11 67 662 G5247
• Cu Filter Set (10 x 0.3 mm) 44 06 120 RV090
• Precision X-ray filter (2.1 mm Cu) 99 00 598 XE999
• Centering cross 96 60 051 RE999
• NOMEX 97 08 637 Y038
or
• PTW DIADOS 97 17 612 Y0388
or
• PTW Dali No longer listed in
see PTW Nomex/Diados the Service Tools
Catalogue
• Mavo monitor 97 02 432 Y0526
• TV Dynamic Test 37 90 156 X1963
• Digital multimeter (e.g. Fluke 8060A) 97 02 101 Y4290
• Sensitometer, X-Rite 333 97 02 424 Y1996
• Densitometer, X-Rite 331 27 02 416 Y1996
• Magnifier (8x) 44 14 850 RH090

Important Remarks Pertaining to Startup 1
General Remarks 1
• System cabling must be completed.

• The equipment was shipped as a system which was prestaged, programmed and tested
at the factory (see the generator, unit test protocols, image quality measurement
protocol for direct exposure, IQ measurement protocol), filed in Register 9 of the system
binder with the yellow spine.
• During startup, checks or measurement must be carried out to assure that none of the
settings has changed.
• Values determined from all texts labeled with the symbol ” ” must be entered in the
particular protocol listed:
- Unit Test Certificate,
- Generator Test Certificate,
- Image Quality Test Certificate for Direct Exposure Systems,
- IQ Test Certificate for OT/UT Systems without DFR.
• The Tables in the particular Protocols are labeled with the remark "Checked during
startup".
NOTICE These measurement values and the other values determined dur-
ing startup can be transcribed from the Test Protocol to the
Acceptance Test Protocol.

Service Software 1
The diskettes on which the required service software versions are found, are located in
the System Binder. Service works or adjustments may performed only with a Service PC
that has been approved per ARTD-001.719.06..., and for the service software applicable
for the revision level.
Passwords 1
NOTICE The fixed passwords can be inquired from your responsible

Uptime Center or from your Service organization.
If the variable password needs to be changed, the responsible
person is the person who handles passwords in the regional unit.
Remarks Regarding the Acceptance Test per §16 1
The dose rate for all fluoro steps and I.I. formats measured according to the allocation of
customer-specific fluoroscopy curves as well as the kV and mA values that stabilize must
be documented in the Acceptance Test Certificate.
Use 25 mm AL + 1.5 mm CU as prefiltering.
The dose rate values measured using 25 mm AL+ 1.5 mm CU correspond to the values
that result with 2.1 mm CU. However, the kV and mA values that stabilize are different.
NOTICE Filling out protocols:

Pencil may not be used to record entries.
Corrections may not be made using Tippex but must be made by
hand.
Strike out the incorrect value, enter the new value and insert your
initials and the date.
Boxes in which no entry is made must be filled in with n.a. (not
applicable).
Protocols must be filled out by the technician after startup is
completed, and must be signed and dated.
All protocols must be filed in Register 9 of the system binder.

The checks required per DHHS Regulations must be carried out:
1. Required customer documents
2. Radiation protection
3. Check of DHHS and identification labels
Text Emphasis 1
WARNING All texts labeled with "WARNING" are intended to call attention to
a potential risk to health or life.
CAUTION All texts labeled with "CAUTION" contain information regarding

risk and preventive measures to avoid a dangerous situation.
NOTICE All texts labeled "NOTICE" contain additional information

regarding the procedure which follows, and is given to provide
a better understanding of the procedure or to provide a warning
about unnecessary risks and avoidable problems.

Abbreviations Used in these Instructions 1
MM ➝ Multimeter
OT ➝ Overtable
UT ➝ Undertable
SID ➝ Source-to-image distance
FBA ➝ Focus - image intensifier distance
SSW ➝ Service Software

This page intentionally left blank.

General Startup 2 2-1
Safety Measures 2
• To switch power off to all parts of the system (generator and connected equipment), set
the system switch to the OFF position.
WARNING Checks and adjustments which must be carried out with radiation
switched on are labeled with the radiation warning symbol .
While carrying out such work steps, appropriate radiation safety
measures (radiation protective clothing) should be taken.
• Use the power OFF switch on board D 160 to switch off the generator (Fig. 1).
- Switch-on at the generator console is not possible.
WARNING Line voltage is still present at the T1 transformer and at the D160
switch-on circuit when the generator is switched off (see Wiring
Diagram X2169-10/X2206-10).
After switching off the generator, approx. 600 V DC for the inverter
is still present! This is indicated by LEDs V35 and V36 on the
D110 (Fig. 3) (X2169-16/X2206-16) and LED V89 lights up on the
D220 (X2169-19/X2206-19).
The voltage dissipates to 0 V in approx. 1.5 minutes; the LEDs go
off at approx. 30 V.
WARNING As a rule, measurements using the oscilloscope may only be car-

ried out with the protective conductor connected.
Use of a isolation transformer when ground is inactive is
mandatory.
To make ground inactive, connect an isolation transformer when
no voltage greater than 25 V AC or 60 V DC is present on metal
parts that can be touched.
An isolating amplifier (e.g. GOULD Contec 9000 or TEKTRONIX
A6902B) must be used for measurement in which the measure-
ment result can be adversely affected by ground loops, see the
Service Tools Catalog.
• Remove or install components only with the generator switched off; when doing so,
observed ESD guidelines
• ESD guidelines must be observed during startup.

2-2 General Startup
Measuring the Protective Ground Wire Resistance 2
(carry out as first step).
Protective ground meter
Unit
Monitor
Cabinets
Transformers
Consoles
I.I.
X-ray tube
Collimator
Table
Generator/ < 0.2 Ohm Ceiling rails
Power distributor Monitor rack
Fig. 1
Power must be switched off to the system.

Test meter: Protective ground test meter
Measurement max. 0.2 Ohm (observe national standards),
value: (current: 10 A, voltage drop: max. 2 V)
Procedure: Measure between all conductive parts of the system that can be touched
and the protective conductor rail in the generator.
Exception: accessory rails and tabletop.
Conditions: Protective ground resistance: max. 0.2 Ohm.
- If higher, increase protective ground cross section.
- Lower transfer resistance (e.g. tighten screws).

General Startup 2-3
Important Preparations 2
• On the D100 board: set the SS switch (S1) to OFF (Fig. 4).
POLYDOROS SX 65/80 and POLYDOROS LX 30/50
D160
S2
Fig. 2
Round opening in the

cover plate for the inverter
v35 v36
D110
Fig. 3

2-4 General Startup
25 1 P A
A M B
3 1
26 2 X33
R C
X19 P A
12 10 B M B X32
R C
MA IST V165
X13 V168 V167 V166 DL IN
P A
V MAS
V164
UDL C M B X31
C
1 2 X61 F MAS KVMAX+ KVMIN+ DL IST R
KV+ CNT KVMAX- KVMIN- P A

VION
WR AUS
KV-
D M B X30
SWR FION
R C
KV IST GND A GND
P A
X64 X43
KV_A X63 E M B X29
V138 V137 V136 R C
KV SOLL
P A
A GND
F M B X28
D100
ION ION ION
AP 0 AP 1 AP 2 R C
R371
V95 V94 V93
39 40 DOM II X41
AP III AP II AP I DOM I
J58 1
X5 DOM III
1 6
V113 V110 V108 NORMAL
ZK V74 SWR HW SERVICE

2
ILAST XRAY V90
S3(X44) 9
IFAHR 5
IKORR
S2
RAMP
KVREG X40
1 2 1
WR_AUS
R113 6
OUT A AN 0
OUT B AN 1 J15 J8
J17
AN 2 J16
I_ANL 9
AN 3 125V_FL 5
9 10
SS AN 4 V36 V35 V29
X50 AN 5
ROT KURZ_ANL
V14 X200
X1 X60
GND
S1 X65 X20 5 1
2 40 2 50 9 6
1 39 1 49
Fig. 4
Checking the Line Voltage and Line Frequency 2
From the test certificates filed in the System Binder with the yellow spine backing, in
Register 9, it can be seen at which power line voltage and line frequency the SIRESKOP
CX system was tested.
Measuring the Power Line Voltage 2
• Before switching on the system at the main system switch, switch off the following
breakers for the system components.
- On the fuse panel in the M16 (generator) remove the knife-blade fuses F1, F2, and F3.
• Switch off the F456 trip breaker.
• Set the main system switch to ON
• Measure the power line voltage. The voltage measured must agree with the voltage data
in the SIRESKOP CX Test Certificate (System Binder, Reg. 9).
• Set the main system switch to OFF.
• Reset the F1, F2 and F3 fuses in the M16 and switch on the F456 trip breaker.

General Startup 2-5
Checking the Phase Connection 2
• Check the correct line phase connection with the inductive field meter at M16.L1, L2, L3:
- Connect the inductive field meter to connections L1, L2, L3 (incoming side).
- Set the main system switch to ON
- Take the measurement.
- If necessary, change the phase and repeat the measurement.
- Set the main system switch to OFF
- Remove the inductive field meter.
Measuring the Internal Line Resistance 2
• Measure the internal line resistance at M16.L1, L2, L3 using the internal line resistance
meter (phase-to-phase):
- Connect the internal line resistance meter between 2 phases of L1, L2 and L3.
- System breaker ON
- Take measurement.
- System breaker OFF
- Remove the internal line resistance meter and test the other phases.
- Make a note of the measurement value.
In order to reach the full generator power, the measured line resistance must not exceed
the following values:
Uline max. RLine with POLYDOROS LX max. RLine with POLYDOROS SX

65 kW 80 kW
400 V 0.17 Ohm 0.17 Ohm 0.11 Ohm
440 V 0.20 Ohm 0.20 Ohm 0.14 Ohm
480 V 0.24 Ohm 0.24 Ohm 0.16 Ohm
• Enter the measurement value in the generator test certificate.

• If there is a higher internal line resistance, the tube current must be limited accordingly.
- The required tube current limiting is performed in the XCS SSW; see Chap.3
“Checking the Max. Generator Power/Tube Unit Power”.

2-6 General Startup
X41 X13 X11
X12
X5
X6 X121 X14
X60
X88
X9
X65
X7 X110 X77
1 X3
X64
X10
X8
X63
X55
X62 X4
X88
X61 X45
X1
X2 X44
Fig. 5
Checking for Inadmissible Ground Loops 2
For POLYDOROS SX 2
• Set the main system switch to OFF.

After disconnecting the connection between Gnd and 0VL, remeasure in the generator
power cabinet to determine whether there are any ground loops; to do this
• On the D160, remove the X6---X7 wire jumper.
• Measure the resistance between X6(0VL ) and X7 (PE).
- The measured resistance must be > 30 kΩ in a cabled system.
• Reinstall the X6---X7 wire jumper on the D160.

General Startup 2-7
0V LOAD
D160
PE
Fig. 6
For POLYDOROS LX 2
• After opening the connection between PE and 0VL in the generator power cabinet,
measure if there are any inadmissible ground loops.
- To do this, pull out the connection lead (1/Fig. 6) between X110
(0V-LOAD) and X112 (PE) on board D160 to one side.
- With the touchstone console connected, remove the connector X9/D160; otherwise,
measured value < 50 kΩ.
- Using the multimeter, measure between the two connectors X110 and X112:
If there are no ground loops present, the measured resistance must be > 50 kΩ (max.
108 kΩ).
- Plug the connecting lead (1/Fig. 6) D160.PE on 0VL back in again.
- Reinsert the connector X9/D160.

2-8 General Startup
Switching On the System 2
• Set the main system switch to ON

In the generator, on the D160, the red LED (LX: V23; SX: V78) and with the LX, the H1
and H2 pilot lamps must go on.
NOTICE In a malfunction situation, check the fuses on the T1 transformer

(under the D160).
• Switch the system ON at the generator console.
Exposure counter display on the spotfilm device:

➪ The status is displayed.
➪ The Blocking/Error display does not go on.
NOTICE Display blocking on the SIRESKOP CX command arm lights up

when:
- 3D CX ceiling stand not in park position (if configured).
- BD CX column stand not in park position (if configured).
- SIRESKOP CX in Trendelenburg position and tube unit too far
to the head end.
- Tabletop moved out too far relative to the tilt angle.
Display in the Generator:

• The generator initializes to " "
(see the V14 7-segment display on the D100)
➪ The system is now ready for exposure.

General Startup 2-9
Connecting the Service PC to the POLYDOROS SX 2
Com 1 (serial) to XCU

D320 CPU HD
D 320. SPC Mode (X5) M9 DIA UNIT
D101
SNT
D190 D100
D160
F8
F7
T1 D165 LS
PS
Z1
D110 C3, C5
D115
DLS K5
D111 N93
K3
D220
H1
KKI M16
Fig. 7

2 - 10 General Startup
Connect the Service PC to the POLYDOROS LX 2
D110
D115
Option
D100
D200
D220
SN
H1
X5
D291
K20
D160
T2
X9 K30
F1F2 F3
M16
EIN
Connect Com 1
(serial) to D200.X5
Com 2
X5
SPC
Fig. 8

General Startup 2 - 11
Installing the XCS Service Software on the Service PC 2
NOTICE Currently a service software CD with the designation "XCS / Ser-

vice SW Tools" is being shipped via the VESPA distribution list to
Field Service. Installation of the required SSW is described on
Page 2-12.
NOTICE An old version of the XCS SSW may not be used.

Prior to installation, rename an existing old XCS SSW directory to
e.g. SSW_old or SSW_VD01D.
Beginning with XCS VD04A SSW, there is a SSW Manager. With it,
several XCS SSW versions can remain loaded on the Service PC
and selected accordingly as the current working version.
• The diskettes and CD with the valid XCS service software are located in the System
Binder (Reg. 9).
• Start WINDOWS at the Service PC.
• Insert the XCS SSW CD into the CD drive.
➪ Then the software creates a “SERVICE” program group.
NOTICE “C:\SSW” is preset.

Do not change the path.
➪ When the masks displayed during installation are confirmed, the SCS service
software is automatically loaded on to the hard drive.
Installing the SIRESKOP CX Service Software 2
• Insert the diskette with the supplied S-CX SSW into the disk drive.
• Select <File> <Run> or Start/Run (beginning with Windows ’95) in the menu header.
- Enter a:\install in the "command line" and confirm with Enter.When the masks that are
displayed during the installation are confirmed, the S-SX SSW is automatically
installed on the hard drive.

Installing the Tomo Service Software (if configured) 2
• If a tomo device is configured, install the service software for tomo at this time.
• Close the File Manager.
NOTICE The additional SSW should only be used for a service situation.
Installing the Service Software from the CD-ROM. 2
• Insert the XCS/Service SW Tools CD - ROM, RXD0-000.801.02.01... into the Service

PC.
• The XCS SW Installation Shell starts.
• Read the window and confirm it.
• Open the <XCS Service SW>.
• Select the SSW from the list of available SW versions.
- Install only the version that has been released for this system per the Compatibility List.
• When prompted by the installation menu, install the SW.
• Open <Sireskop CX>
• Select the SSW from the list of available SW versions.
- Install only the version that has been released for this system per the Compatibility List.
• Open the <Help Files>.
• Open <INSTALL Help Files on local PC>.
- All Help files will now be updated (Version: publication date of the CD Rom).
Most SSW’s can also be started in the Demo mode, the corresponding icons are dis-
played in the "Service" directory.
The Help files can be called up directly via the icons in the "Service" directory. It is also
possible to call up the corresponding Help text for the displayed window by pressing the
F1 key.

General Startup 2 - 13
Selecting the XCS Service Program 2
• Select the Program Manager (if not displayed).

• Select the XCS SERVICE icon with a double-click.
• Enter the User name: Name.

• Enter the Group ID: “_siemens”.
NOTICE If “Demo” is checked off, the software can run without the XCU.
Communication with the XCU is not possible under the “Demo
function”.
• Exit the window with OK.
NOTICE Beginning now, it is possible to obtain a help text for every active
window (XCS Help files) by pressing the F1 key.
• Check or set the real-time clock.
NOTICE - When Connect is selected in the main menu, the "System"

Real-time CL (clock time for the XCU) and "ID Codes" are
enabled.
- The FLC accepts the time and date from the XCU.
• The further procedure is menu-prompted.

• The connection to the XCU is established by selecting Login.

Fig. 9 Fig. 10
Function Check of the Safety Circuit 2
Function of the EMERGENCY STOP switch

• Press the EMERGENCY STOP switch (1/Fig. 9).
- The K1 safety breaker (1/Fig. 10) is deenergized and "Blocking Display" on the spotfilm
device lights up.
- Tilt down movement must be blocked.
• Disengage the EMERGENCY STOP switch.
Function of the Safety Step Plate (Option)

The safety step plate becomes effective only when tilting up the unit from approx. +45°!
• Tilt the unit above +45° and step on the safety step plate.
- The unit must come to a stop.
Installing the Protective Grip Strip 2
• If needed, install the protective grip strip now (2/Fig. 9).

SIRESKOP CX System Startup 3 3-1
Fig. 1
Checking the End Position for Tilting 3
• Drive unit to 0° position.

• Drive table top in to ± 0 and spotfilm device to max. foot-end position.
CAUTION When tilting to the -15° position make sure that the zipper hose
(3/Fig. 1) can not be damaged by the unit body.
• Drive the unit, cautiously at first (with interruptions), and then at max. speed (without
interruptions) from the 0° position towards -15°.
Check the end position (-14° ± 0.5°) with the angle spirit level.
• Move the unit, carefully at first, and then at max. speed from the 70° position towards
the +90° upright position.
• Check the end position (+ 89.5°, ± 0.5°) with the angle spirit gauge.
• Move the unit into the 0° position.
- The spotfilm device may not move on its own in the transverse direction; otherwise the
unit must be releveled. It is possible to lift the unit by using the M12 thread (4/Fig. 1) to
turn in the M12 screws. With them, the unit can be lifted and the supplied shims can be
inserted under it.
• It must be possible to move the spotfilm device over its complete movement range in all
unit positions; when doing this, pay attention to the tension on the cable loops.
Installing the Cover Panels 3
• Place the cover (1/Fig. 1) into the cable outlet (accessory pack).
• Screw down the lifting motor cover (2/Fig. 1) (4 screws, M6).

3-2 SIRESKOP CX System Startup
X
X
Fig. 2 Fig. 3
Function Check and Adjustment of Unit Movement 3
Tabletop Movement Out

• Move the unit to the 0° position.
• Check the max. patient table movement out.
- Patient table outward movement is set at the factory to the max. limit.
Head end 700 mm (X/Fig. 2) ± 10 mm
Foot end 540 mm (X/Fig. 3) ± 10 mm
NOTICE With the unit in horizontal position, the safety clearance between
the wall and the max. position of the patient table must be
≥ 500 mm.
If there is less distance to the wall, patient table movement out
must be limited.

SIRESKOP CX System Startup 3-3
Limiting Patient Table Movement 3
NOTICE Taking limitation of the head-end table movement as an example,

the programming steps for the SIRESKOP CX are illustrated in a
brief and a detailed version.
The programming steps for additional adjustments are illustrated
only in this brief version.
After establishing connection to the XCS interface, program the SIRESKOP CX

with the Service PC beginning with the window "XCS Service Application-Main Pro-
gram".
NOTICE Incorrect entries can be cleared by clicking on ”Cancel”.
Programming Procedure 3
• Move the table top out until there is 500 mm space between the wall and the tabletop.
• In the XCS SSW, click on
- <Components>
- <SIRESKOP CX>
• In in the SIREKOP CX-SSW, click on
- <Adjustment>
- <Calibrations>
- <Table longitudinal>
- <Limitation of the head-end tabletop movement>
and confirm with <Execute>.
• Continue to carry out positioning per the service software.
NOTICE After concluding all unit adjustments, click "Cancel" to return to

the XCS - Service Application Program.
• After completing the adjustment, check the limit positions of the tabletop:
- To do this, move in the tabletop and move it at max. speed into the limit position; when
doing this, make sure that the safety distance between the tabletop and the wall is not
less than 500 mm.

Ceiling
60-70 mm
max. 700 mm, ± 10 mm

Safety distance
2nd Stop
Blocking values set at

60-70 mm distance to ceiling 1st Stop
➝ result in a distance to ceiling
of approx. 50 mm caused by motor
overrun
max. 700 mm, ± 10 mm
Fig. 4
Limiting the Tabletop Movement with Ceiling Heights of < 2990 mm 3
• Move the unit into the 0° position and decompress the spotfilm device all the way.
NOTICE Depending on requirements, up to 2 stops can be programmed.
Procedure:
In the XCS SSW, click on
- <Components>
- <SIRESKOP CX.
• In the SIREKOP CX SSW, click on
- <Adjustment>
- <Calibrations>
- <Table tilt>
- <limitation with room heights>
- <Execute>.
• Further steps are menu-prompted.
NOTICE After completing all unit adjustments, go back to the XCS service
application program with “Cancel”.
• Check the tabletop movement limitation:

- Drive unit to 0°position and table top out to max. head-end position.
- Upright at min. speed, while checking the ceiling height limitation function.
- The clearance to the ceiling must be min. 50 mm in all positions.

Changing the End Position for Tilting (+ 90 degree position) 3
• If the customer requests a change to the factory setting, you must perform the end
position check again.
Correction:
- <Components>
- <SIRESKOP CX.
- <Adjustment>
- <Calibrations>
- <Table tilt>
- <limitation of the 90° position>
- <Execute>.
Further steps are menu-prompted.
NOTICE After completing all unit adjustments, get back into the XCS ser-
vice application program with “Cancel”.
• Check the tilt end position function:

- Move the unit into the 70° position.
- Move the tabletop into ± 0.
- At max. speed, move into the +90° position.
-> The unit must stop at the previously set angle.
Checking the Cassette Type 3
The unit is programmed to be customer-specific at the factory. Programs in “inch” or in

“cm” are possible.
• Select the SIRESKOP XC SSW
<Adjustment>
<Calibration>
<Spotfilm device>
<Adjustment of the cassette types (metric, inch)>

Checking and Adjusting the Generator

(without High Voltage) 3
Checking the Starter (workstation selection and rpm) 3
• Set the SS switch to OFF on the D100.

• At the generator control console, select the 1st workstation.
• Insert a cassette into the spotfilm device.
• On the Fluke 8060A, set the 200 mV measuring range and Hz.
- The same measurement can also be performed using the oscilloscope; see the
generator Startup Instructions.
• Press the exposure switch on the spotfilm device to Prep:
➪ The rotating anode will start.
• Switch the generator OFF.
• Connect the measurement instrument to the K3.R2 and K3.R4 breaker for tube unit 1.
➪ The measured value should be 143 Hz, +15 Hz.
• Switch the generator ON.
• If configured, select the 2nd tube unit at the generator control console.
• Press the exposure switch on the generator control console to Prep.
➪ The rotating anode starts up.
• Connect the measuring instrument to the K3.2 and K3.4 breaker for tube unit 2.
➪ The measured value should be 143 Hz, +15 Hz
Startup with High Voltage 3
Connecting the Oscilloscope and mAs Meter 3
To check the tube voltage and the tube current in the following adjustments, connect the
oscilloscope to the following test points on the D100:
X61.kV ACT 1V 20 kV 0 V/A_GND (X61)
X64.mA ACT 1V 200 mA

1V 1 mA
Trigger: SWR (SWR/X64)
• Remove the bridge on the D220 board (on H1) and connect the mAs meter.
• Set the SS switch on the D100 to ON.
• Select unit 1.

WARNING Radiation is released for the following measurements;

Observe radiation safety measures!
Observe the prescribed cooling pauses for the X-ray tube!
The following adjustments and checks must be carried out for all
configured tube units!
• Remove the fuse on the Z96 in the system cabinet (I.I. power supply) and also place a
lead apron on the tabletop.
Conditioning the X-ray Tube 3
Conditioning the X-ray tube is necessary if the factory check of the system took place
some time ago or if there are operating errors of the system with the suspicion that there
is electrical instability of the X-ray tube.
• Preheat the tube unit in the fluoro mode; to do this,
- In the XCS SSW, click on
- <Components>
- <POLYDOROS SX>
- <Diagnostics.
- Select Manual Fluoroscopy.
(in this menu, the kV and mA values can be set manually)
- Switch on fluoroscopy at 40 - 70 kV.
- Power up to 110 kV within approx. 1 minute and hold it for 10 minutes.
- Maintain a 5 minute cooling pause.
- Exit the XSC SSW.
• At the generator console, select , 80% and make 2 exposures each at

- 70kV / 100 mAs, 1 minute pause
If a second tube unit is configured (BD-CX), the above described procedure must be
repeated with this tube unit.

Starting Up the Tube Unit with the 3 D-CX (if configured) 3
NOTICE The tube unit with the 3D-CX was adjusted at the factory along
with the generator that is included in the shipment. For this rea-
son, continue with the paragraph "Accuracy of the X-ray Tube
Voltage".
However, if the customer already has a 3D-CX or if he wishes to
retrofit it, the tube unit must always be programmed and test
shots performed on site.

- <Configure>
- <Site Structure>
- <Component selection>
• Check whether kk-Exposure unit_1 or 3D-CX (manual) is selected.
If this is not the case, select kk-Exposure unit_1 3D-CX in the available window and
move it into the selected window with the <include> button.
• Click on “OK” until the following window appears.
• Perform or check the following 9 steps:
1 2 5
Fig. 5

1. “SIRESKOP DFR” appears as the default setting for 1.
2. Select KK Exp.Uni1 or 3D-CX.
3. Unit number G1 must appear.
4. Check the tube unit model: e.g. Opti 150/30/50C-100 3 ~ or
Optitop 150/40/80HC-100 3 ~
5. Tube AP2 must be selected.
6. KermaX (if configured)
7. IONTOMAT, Detector type
8. Channel
9. After the check or adjustment, again switch to the “SIRESKOP CX”
default setting.
• Further steps are menu-prompted
Adjusting the Tube Unit 3
• Menu components
- <Polydoros>
- <Adjustment>
- <Generator Parameter>
• Select the high voltage cable length for tube 2.
• Select warm up.
Accuracy of the X-Ray Tube Voltage 3
NOTICE The generator data must be recorded in the POLYDOROS Test

Certificate.
The Test Protocol is filed in the System Binder, Reg. 9.
• Select 77 kV, 32 mAs and 100% kW at the console for both and for each of the
configured X-ray tubes.
• Switch the SS on the D100 to “ON”.
• Make an exposure for each tube and check the kV value on the oscilloscope.
Enter the measurement values in the generator test certificate
(for admissible tolerance: see the test certificate).
• If needed for the Acceptance Tests, use a kV meter or the NOMEX meter. The
User Instructions and the test conditions can be found in the operating instructions.
Only for the Acceptance Test §16 RöV in Germany

If the measured kV values are within the tolerances listed in the Test Certificate, transcribe
the measured kV values in the Test Certificate into the Acceptance Test Certificate.

3 - 10 SIRESKOP CX System Startup
Checking the mAs Values 3
• Select the following values at the deck for the X-ray tube with the highest rating:
, 77 kV, 80 mAs, 100% kW.
• Trigger an exposure and check the mAs value on the mAs meter.
(for admissible tolerance: see the Test Certificate).
• Record the measurement result in the generator test protocol.
If the measurement values deviate from those in the test protocol,
the mAs counter must be readjusted
(see POLYDOROS Service Software / Service / Adjustment / mAs Relay Adjustment).
• After the check, perform the following:
- Switch the generator OFF.
- Remove the test instrument.
- On the D220, install the bridge back into the mAs sockets.
- Switch the generator ON.
Checking the Maximum Generator Power / Radiation Power 3
• If 2 different tube units are installed, carry out the measurement on the tube unit with the
greatest power.
- With an 80 kW tube unit, at the generator console, select
100 kV, 80 mAs (or 65 mAs for a 65 kW generator), 100 ms, focus, 100%.
- With a 50 kW tube unit, at the generator console, select
100 kV, 50 mAs, 100 ms, focus, 100%.
• Trigger an exposure and measure the kV and mA with the oscilloscope.
• Calculate the max. power from the measured kV and mA:
PkWmax = kV x mA ± 10%
1000
• Record the measured mA value and the power value reached (kW) in the Test
Certificate.
If there is a difference in the power of >10%, a power reduction musts be made. The
required tube current limitation is performed in the XCS SSW, Configure menu; to do this,
carry out the following five steps.

SIRESKOP CX System Startup 3 - 11
• Perform Steps 1- 5:
• After selecting “PL LX or PL SX” and confirming the Options button under “max. tube
current limitation” and “max. tube current < 100 ms” set a reduced, equivalent value.

I.I. Power Supply 3
• Reinstall the fuse in the Z96 in the system cabinet (I.I. power supply).
Starting Up the 2nd Plane 3
It is recommended that startup of the SIRESKOP CX/33 be performed now according to

the following list of startup instructions.
3D CX (PBL) RXD1-222.034.05...
3D CX (Manual) RXD1-222.034.06...
BD CX RXD1-222.034.12...
CX Bucky W.S. RXD1-222.034.03...
VERTIX 2 (Manual) R23-030.034.03...
After startup of the 2nd Plane is completed, continue with the following section.
Customer Requests 3
Depending on the order, optimum values are set at the factory. If the customer expressly
states the wish to have the values changed, proceed as follows:
NOTICE Tips regarding configuration are filed under: F1 key/XCS Help/

“Tips” button
a) Fluoroscopy Time Blocking 3
NOTICE If other country-specific fluoro times or fluoro blocking is wished,

proceed according the “System Configuration with the Service
PC” Startup Instructions, RX63-020.034..., Chapter System Con-
figuration.
• In the XCS SSW, select

- <Configure>
- <Site Structure>
- <Fluoro Details>
- <Fluoroscopy time max settings in minutes>
to adapt

Fig. 6
b) SIRESKOP CX Spotfilm Device Cassette Movement to Eject Position 1

3
If the customer requests it, it is possible to program whether the cassette moves into the
park position or into the load position after the last exposure.
• Select the generator SSW:
- <Configure>
- <Site Structure>
- <Site Adjustment>
- Spot Film Device:
Eject Cassette after last exposure
c) Switching from Zoom to I.I. Full Format 2 3
• Zoom 1 < Zoom 2: Set to full intensifier field.

d) Screen Saver 3 3
• Switch-on and time of the screen saver on the generator console


Fig. 7
e) Default Setting 4 3
• The sequence of the available units can be set under “Change order”.
f) Tube Load Buzzer On/Off 3
• In the XCS SSW, select:

- <Configure>
- <Site Structure>
- <Component Selection>
- <Desk PLX >
<“Option” button>
<tube load buzzer off or on>

g) Spotfilm Device Brakes with Exposure 3
• In the XCS SSW, select

- <Configure>
- <Site Structure>
- <Components Selection>
- <SIRESKOP CX>
<“Option”>
• “Brake spotfilm device during”
• Pull down menu
• Select one of the 4 possible settings.
h) Three Different Collimator Speeds 3
NOTICE Tips regarding configuration is filed under the Help function of

the unit SSW. Select this with the F1 key.
Adjustment of Change Speed of Collimation with Manual Collimation

In the menu, a selection can be made between “slow”, ”normal” and “high”. This way, an
adaptation to the working method of the physician is possible.
Adjustment steps
- <Components>
- <SIRESKOP CX>.
- <Adjustment>
- <Calibrations>>
- <Collimation>
- <Adjustment of the velocity collimator>.
l) Programming the Fluoro Curves at the Customer’s Location 3
• Curves have already been programmed as fluoro curves for Auto 1 and Auto 2 (see the
IQ Test Certificate for OT/UT Systems without DFR; RXD0-000.037.11).
• If the customer prefers other curves, these can be changed in the XCS Service SW
under “Configure/Site Structure/Edit Fluoro Programs”.

NOTICE If other fluoro curves are programmed at the customer’s location,

the maximum skin does must be checked and documented for
each modified curve.
Tips regarding configuration are filed under: F1 key/XCS help/
"Tips" button.
The fluoroscopy curves determine in which way current and voltage are changed relative
to the required power (necessary to reach the required dose).
• The final curves must be recorded in the above-mentioned IQ Test Certificate.
Manual Fluoroscopy 3
Selection of suitable tube unit load factors (kV or mA) to check the radiation safety
measurement values.
Necessary only if a radiation safety measurement is performed.
• Select the POLYDOROS SSW:
< Diagnostic >
< Manual Fluoroscopy >
In this menu, the kV and mA can be manual adjusted and fluoroscopy can be switched on.

Beam Geometry 4 4-1
Definition of Terms for Cassettes and Radiation 4
”Length” and ”Width” as well as the insertion of cassettes are to be understood as

displayed in the sketch:
The orientation of the cassette to the tabletop is determined by the way in which the
cassette format is written. The first number is always the ”width”.
Length
Tabletop
24 cm x 30 cm cassette
*1
Width X
30 cm x 24 cm cassette
Patient
*1 The first number
indicates the width!
Coincidence of Radiation Field Center and Center of Film 4
Prerequisite:
- The generator and TV system must be operational.
For the adjustments and checks select full field of view (23 cm) for approx. 1:1 display on
the monitor.
NOTICE The adjustment of the central beam made at the factory is docu-
mented in SIRESKOP CX test protocol.
A test exposure is made to assure that this adjustment has not
changed as a result of shipping and installation.
The test protocol is located in the SIRESKOP CX System Binder,
Reg. 9.

4-2 Beam Geometry
30 cm x 24 cm (12”x 10”) cassette Side marker
76, ± 1 mm 76, ± 1 mm
61, ± 1 mm
61, ± 1 mm
Fig. 1
Preparations:
• With the SIRESKOP CX with the 23 cm I.I. (4-part division possible).
- Subdivide a 30 cm x 24 cm (12 x 10") cassette as shown in Fig. 1.
The values are also applicable for inch cassettes.
• Measure the center for each of the 4 subdivided areas and mark each center with a
washer. Tape on the washers.
• Also tape on a washer as a side orientation marker.

Beam Geometry 4-3
Film Side marker Center of radiation field
Center of
+ 90°, + 90°, partial format
max. SID min. SID
Z1 Z2
– 15°, – 15°,
max. SID min. SID
Z4
Z3
Fig. 2
Procedure for the 23 cm I.I.:

• Insert the prepared 30 cm x 24 cm (12”x10”) cassette with film (side marker at the head
end), press the button OFF, format division (4-part) ON.
• Set the max. SID.
• Switch fluoro ON, collimate a small partial format (approx. 10 cm x 10 cm).
• Set the exposure data to approx. 40 kV, 5 mAs (with the standard screen).
• Make the following divided exposures:
+ 90° Unit position max. SID
+ 90° Unit position min. SID
- 15° Unit position max. SID
- 15° Unit position min. SID
• Develop the film.

• Evaluate as shown in Fig. 2.

4-4 Beam Geometry
• Mark the centers of the radiation fields.
• Measure the difference between the center of the radiation field and the center marker
(washer) on the 4 subdivided exposures (Z1, Z2, Z3, Z4).
• Compare the difference determined for Z1, Z2, Z3, Z4 (Fig. 2) with the test exposure
made at the factory.
Max. Admissible Differences:

Optilix 150/30/50C – 100 ≤ 8 mm
NOTICE If there are very large differences the central beam must be
adjusted per the Adjustment Instructions
RXD1-222.071.01... and then repeat the test exposure.
• Record the differences determined (Z1,Z2,Z3,Z4) in the SIRESKOP CX Test Certificate,

Paragraph ”Coincidence of Radiation Field Center and Center of Film”.
For the Acceptance Test per §16 RÖV in the Federal Republic of Germany only:
If it is determined that the factory adjustments have not changed, the values in the test
protocol and the films prepared at the factory can be used for the Acceptance Test
Certificate.
Checking the Control Function of the Collimator 4
Procedure:
• Set the button to ON
• Select full film format and I.I. full format .
• Switch fluoro ON
• Open the collimator all the way with the Koordinat switch (I.I. format).
• Change the SID.
➪ The collimator adjusts itself.

Beam Geometry 4-5
Cassette or film envelope

Center of
spotfilm
device
2 2
Paneling
screw
1 Back wall of spotfilm device a
Fig. 3
Accuracy of the Automatic Collimation for Cassette Formats 4
NOTICE The values set at the factory for the automatic collimation (PBL)
are documented in the test protocol.
Take a test exposure to ensure that this adjustment has not
changed as a result of shipping and installation.
Enter these values in the SIRESKOP CX Test Protocol, Paragraph
”Accuracy of the Automatic Collimation for Cassette
Formats”.
It is recommended to use a film envelope because the values
determined and recorded at the factory were also made using a
film envelope.

4-6 Beam Geometry
Procedure:
• Move the unit into the +90° position.
• Tape a film envelope or a 35 cm x 35 cm cassette with film turned 45 ° (Fig. 3) on the
back wall of the spotfilm device; when doing this, place it on the metal frame.
• Move the unit into the + 25° position.
• Set the minimum SID.
• Select full field of view and I.I. full format .
• Switch the key ON.
• Insert a 30 cm x 24 cm (10” x 12”) cassette without film into the spotfilm device.
• If a film envelope is used (without the screen), set approx. 70 kV, 20 mAs.
If a cassette is used (e.g. with the universal screen), set 40 kV, 5 mAs.
• Trigger exposure with focus.
• Develop the film.
Evaluation:
• Measure the length and width of the radiation field on the film.
• The measured values in the measurement plane must be converted to the film plane
using the conversion factors.
- a = distance between the measurement plane and film plane
- M = SID/(SID - a) magnification factor between the measurement plane and film plane.
- With film envelope: a = 4.8 cm, M max SID= 1.051, M min SID = 1,076
- With cassette: a = 5.0 cm, M max SID= 1.053, M min SID= 1,080
The following applies: SIDin film plane = FFA in measurement plane x M
• Compare the cassette size and the values determined with the values determined at the
factory and enter this in the Test Certificate under "Accuracy of the Automatic Formatting
for Cassette Formats Tested During Startup”.
The maximum overframing of the nominal film format in the film plane may be
13 mm for both the length and width (see Test Certificate).
If it is determined that the factory adjustments have not changed, the values in the Test
Certificate and the 2 films prepared at the factory can be used for the Acceptance Test
Certificate.
• If the deviations exceed the permissible tolerance values, the PBL must be adjusted per
Adjustment Instructions, RXD1-222.071.11....

Beam Geometry 4-7
Monitor
Blanking circle
Collimator plates
Fig. 4
Fluoroscopy Field Limitation (without Overframing) 4
The centering of the TV camera and the fluoroscopy field limitation has been adjusted at
the factory and is documented in the SIRESKOP CX Test Certificate under Paragraph "Flu-
oroscopy Field Limitation”.
It must be assured that the adjustment has not changed as a result of shipping and
installation.
Procedure:
• Move the unit into approx. the 25° position and set the maximum SID.
• Select full I.I. format.
• Switch fluoro ON, open the collimator blades all the way (I.I. format).
• Slowly compress and decompress the spotfilm device several times. When this is done,
the collimator plates must adjust accordingly and should be just barely visible centered
at the edge of the monitor screen (blanking circle) (see Fig. 4).
• Also check this collimation for Zoom formats.
• If at least 2 (height and width) of the 4 collimator plates are visible on the monitor in all I.I.
formats and SID’s, record this in the SIRESKOP CX Test Certificate, Paragraph,
”Fluoroscopy Field Limitation (*1)”.
NOTICE If the collimator plates are visible on the monitor in all formats
and for all SID’s, the check can be skipped in the next paragraph
“Fluoroscopy Field Limitation (with Overframing)”.

4-8 Beam Geometry
• Correct collimation (if necessary)
- <Components>
- <SIRESKOP CX.
- <Adjustment>
- <Calibrations>
- <Collimation>
- <Adjustment of the collimation (multileaf collimation to monitor)>
- <Execute>.
Further steps are menu prompted.

Beam Geometry 4-9
Y1 Monitor
11 Blanking circle
X1 Centering cross
11 11
0
X2
Collimator plates
11
Y2
Fig. 5
Fluoroscopy Field Limitation (with Overframing) 4
NOTICE Carry out only if there is overframing of the I.I. format.

If the collimator plates are not adjusted to be visible (customer
request), measure the overframing and record this in the
SIRESKOP CX Test Certificate, Paragraph “Checking the Fluoros-
copy Field Overframing (only during startup)”.
Procedure:
• Move the unit approx. into the +25° position.
• Attach the centering cross to the back of the spotfilm device with the X-axis horizontal.
• Switch fluoroscopy ON, collimate a radiation field of approx. 4 x 4 cm and adjust the
centering cross so that it is exactly centered to the radiation field.
• Open the multileaf collimator to maximum and for the width (X direction) and length
(Y direction) read the centimeter divisions X1, X2, Y1 and Y2 indicated by the arrows (Fig.
5) from the centering cross on the monitor and record the values in the Acceptance Test
Certificate.
Carry this out for all I.I. formats and at the max. and min. SID at which the collimator
plates can no longer be seen on the monitor with the collimator opened all the way.
• Remove the centering cross.
• Attach a 35 cm x 35 cm cassette or film envelope with film in the plane of the centering
cross and then mark the sides.

4 - 10 Beam Geometry
• Release fluoroscopy with the collimator open all the way (approx. 1-2 min.) until a
satisfactory film density is reached.
This must be done for all I.I. formats at max. and min SIDs in which the collimator
plates are not visible on the monitor with the collimator open all the way.
• Make a test film for each of the formats to be checked at max. and min. SID and label the
films.
Evaluation:
• Measure the size of the radiation field for the X direction and the Y direction and enter the
total in the Acceptance Test Certificate in the Paragraph "Radiation Field Size".
• Determine the difference between ∆ X and ∆ Y.
∆ X = (X1+ X2 ) - X
∆ Y = (Y1 + Y2 ) - Y
The max. admissible overframing in the centering cross plane is as follows:

max. SID 19 mm
min. SID 13 mm
The values entered in the test certificate must be used for the Acceptance Test Certificate.

IONTOMAT P Setup 5 5-1
Image Quality in Direct Exposure Units 5
An image quality test certificate has been introduced for direct exposure units.
The Image Quality Test Certificate - Direct Exposure Units, RXD0-000.037.05... is found
in Register 9 of the system binder.
When filling out the "Test Certificate for Direct Radiography Systems
RXD0-000.037.05...", observe the following:
- Record the customer order number (KA = the former BZ No.) and the date on each
page of the Test Certificate for Direct Radiography Systems, RXD0-000.037.05.... to
assure unmistakable allocation of the certificate page.
- In Chapter 1 of the Test Certificate for Direct Radiography Systems, record the startup
instructions used for customer startup which contain information on how to carry out
the points in the IQ test.
- Enter the customer and the KA Number in Chapter 1.1.
- List the configured components with designation, Part No. and Serial No. in
Chapter 1.2.
- List the test equipment, including designation and serial number and the date for
recalibration in Chapter 1.3.
- Record results in the Test Certificate for Direct Radiography Systems

RXD0.000.037.05..., following each measurement.
- If tolerances are exceeded, determine the cause and correct the error or incorrect
adjustment before continuing the tests because subsequent measurement results may
be adversely affected.
NOTICE The following function checks should be performed primarily for

the spotfilm device in the SIRESKOP CX; application unit 1
(AWG).
The time when the function check is performed for other applica-
tion units (AWG...)_is described in the corresponding Startup
Instructions, e.g. the SIRESKOP 2nd Plane, Bucky W.S. etc.

5-2 IONTOMAT P Setup
Checking the Selection of Chamber and Measuring Field 5
(Switch-off check with radiation)
Carry out the following checks for all connected IONTOMAT chambers and their measur-
ing fields (dominants):
a) Chamber selection
• Select the particular IONTOMAT workstation (unit) at the generator deck.
• Open the collimator on the unit as wide as necessary to fully expose the measuring fields
in the IONTOMAT chamber.
• Switch the SS ON.
• Trigger an exposure at the unit (using the default value of 73 kV):
exposure must be terminated immediately. If the wrong chamber was selected or if there
is a break in the connection, ERROR 550 (dose monitoring) is displayed.
b) Measuring field selection

• Select an IONTOMAT chamber measuring field at the unit.
• Cover the measuring fields not selected on the IONTOMAT chamber
(e.g. with a lead apron).
• Trigger an exposure at the unit:
Exposure must be terminated immediately.
• Select one of the covered measuring fields and trigger an exposure:
The exposure must be over an extended time and ERROR 550 must be displayed.

IONTOMAT P Setup 5-3
Film Screen Combinations Used 5
At the generator, 3 different exposure steps (BSt) corresponding to 3 different film-screen

combinations can be programmed; e.g:
- D = low sensitivity, high detail resolution
- U = medium sensitivity
- H = high sensitivity
For each exposure step, record the screen for the intended film in Chapter 2 in the
"Test Certificate for Direct Radiography Systems, RXD0-000.037.05" along with the sen-
sitivity or speed S, the KS value and the minimum resolution RGr2. The value RGr must
also still be recorded in Chapter 7.
Make sure that only films which are sensitive to the color of light emitted by the screen are
used (green-sensitive film for green-emitting screen, blue-sensitive film for blue-emitting
screen).
Record this in Chapter 2.
Record the sensitivity, S (speed), listed by the manufacturer for each film-screen combi-
nation. The following tables have been compiled as an aid.
As a rule (mandatory in some countries), the S value is listed on the cassettes (e.g.
S=200, S=400) or in the data sheets for the film-screen combination.
The sensitivity of a film-screen combination is defined according to ISO 9236 as the
quotient of 1000 µGy and the air kerma (dose) KS required to achieve optical density
(blackening) 1 above base fog.
Calculate the theoretically required dose KS from the S value and document this value:
1000 µGy
S =
KS
1000 µGy
KS =
S
A minimum resolution RGr, expressed in LP/mm, is allocated to each required dose KS;
i.e. the higher the required dose for a film-screen combination, the higher the obtainable
resolution allocated to it must be to justify the increased dose.
The particular minimum resolution RGr for each film-screen combination can be seen in
the illustration in Fig. 1 and must be documented.

RGr
(LP / mm)
5
4.8
4.4
4
3.7
3.4
3 3.1
2.8
2.6
2.4
2.2
2 KS (µGy)
1.25 1.9 2.5 3.8 5.0 7.5 10 15 20 30 40
Fig. 1
KS = Required dose of a film-screen combination per DIN 6867
RGr = Minimum resolution of a film-screen combination per DIN 6868
S (Speed) = Sensitivity of a film-screen combination (ISO 9236)
There are internationally uniform regulations regarding the use of a film-screen combina-
tion.
National regulations (e.g. §16 RöV) must be observed in the particular country

Checking Drift and Hum 5
Preparations:
• Connect the oscilloscope to:
- D100.X63 VI ON and D100.X63 AGND
- Trigger: D100. X64.SWR
NOTICE Before carrying out the checks, the generator must be switched
on for at least 5 minutes.
The following checks must be performed several times in a row for all connected detec-
tors and selectable measuring fields; to do this, select the particular IONTOMAT worksta-
tion or the particular measuring field.
Select IONTOMAT exposures using 96 kV, large focus, 100% kW, (approx. 2 s).
NOTICE If a digital oscilloscope is used for the measurements, do not use

the ”Glitch Detect Mode” (mean value calculation, smoothing),
because this mode distorts the results.

Checking Drift
• According to the PL SX Service Program document, RX63-020.034..., select Adjustment
/Diagnostic/IONTOMAT Drift and perform the measurement!
• Trigger an exposure and measure the drift (Oscillogram 1).
NOTICE Measurement of drift is relative to the integrator output of the U/F

converter, i.e., the output voltage is set to +1.5 V (± 0.3 V) with
SWR ON and when the 0 V voltage threshold is reached.
➪ Maximum admissible drift: ± 2 V/0.5 s
Oscillogram 1:
Example 1
Drift on D100.X63 VI ON
(Example)
1 V/div.
Example 2 Toler-
1.5 V ance 0.1 s/div.
Example 3
0V DC
• Enter the measurement values in the table in the Test Certificate for Direct Radiography
Systems RXD0-000.037.05..., Chap. 4.
• Exit service program PL LX "Iontomat Drift" (confirm with OK).

Checking the Hum
• Switch the probe from D100.X63 VI ON to D100.X63 DL IN.
• Set the SS switch to OFF.
• Trigger an exposure and measure the hum, UBR (Oscillogram 2).
➪ Maximum admissible hum: ≤ 20 mVpp
• Enter the measurement values in the table in the Test Certificate for Direct Radiography
Systems, RXD0-000.037.05..., Chap. 4.
Oscillogram 2:
Hum at
UBR D100.X63 DL IN
(example)
0V
10 mV/div.
10 ms/div.
For Fluoroscopy
• Set the SS switch to OFF.
• Connect the oscilloscope to D100.X63 DL IST and D100.X63A-GND (0 V)
Trigger: D100.X64.SWR
• Select the fluoro unit at the console.
a) Checking the Drift (without radiation)

• Switch on fluoroscopy at the unit and measure the drift for one minute.
Max. admissible drift: ± 20 mV/min.
• Switch off fluoroscopy.
Enter the measurement value in the table,
Test Certificate for Direct Radiography Systems, RXD0-000.037.05...(Chap. 4).
b) Checking Hum (without radiation)

• Switch the probe from D100.X63 DL IST to D100.X63 DL IN.
• Switch on fluoroscopy at the unit and measure the hum.
Max. admissible hum: ≤ 100 mVpp (per Oscillogram 2).
• Switch off fluoroscopy.
Enter the measurement value in the table,
Test Certificate for Direct Radiography Systems, RXD0-000.037.05...(Chap. 4).
• Set the SS switch to ON.

Adjusting Optical Density (Film Blackening) 5
Check the film-screen combination being used and adjust the film density per the
customer’s request.
Make test exposures for all screens and all workstations using 81 kV, small focus, 80%
using 20 cm, ± 1 cm and 5 cm, ± 1 cm water phantom (film format ≥ 18 cm x 24 cm) and
check the film density for each exposure.
NOTICE Carry out the voltage gradient correction under the same condi-
tions at 60 kV and 125 kV only when the density is correctly
adjusted at 81 kV.
Procedure:
• Move the unit into the 0° position.
• Insert a ≥ 18 cm x 24 cm cassette with film, select full format.
• Check whether the grid is moved into the beam path.
• At the generator, select IONTOMAT and focus 80% and set 81 kV.
• Select the middle measuring field.
• Position a 20 cm, ± 1 cm water phantom in the beam path and collimate under fluoro.
- Alternately, a wide plastic pail or a plastic pan can also be used.
• Compress the spotfilm device up to the phantom.
• Trigger an exposure and develop the film.
• Repeat the adjustment using a 5 cm, ± 1 cm water phantom.
Evaluation:
Measure the optical density (film blackening) on the film inside the middle measuring
chamber.
The films must have the blackening specified by the customer.
If there is no customer specification, an optical density of 1 - 1.2 above base fog is set as
the default value (if necessary, must be averaged out).
If necessary, use the PC in the “IONTOMAT Sensitivity” mask to correct and average out
the programmed sensitivity values (connector positions).
the data can be updated in the XCU using “Transfer value” and thus, check exposures
can be made without having to exit the SSW.
The optical density of the two exposures made may not exceed a value of ±0.2. Dopt (20
cm H2O) - Dopt (5 cm H2O) = ≤ 0.2 Dopt
The programming of the basic sensitivity of the film-screen systems (exposure steps)
must be recorded in Chapter 3 and the optical density and film format used in Chapter 5
and 5.1 of the Test Certificate for Direct Radiography Systems, RXD0-000.037.05....

Checking the Voltage Response Correction 5
Make test exposures at 60 kV and 125 kV using 20 cm, ± 1 cm water for all screens being
used and check the density for each film:
The film density at 60 kV and 125 kV must be the same as film density at 81 kV (Para-
graph "Adjusting Optical Density" section 5.1).
The differences in density between the various kV values can be:
Dopt (81 kV) - Dopt (60 kV) ≤ 0.2
Dopt (81 kV) - Dopt (125 kV) ≤ 0.2.
Procedure:
• Repeat the same work procedure (as for 81 kV) at 60 and 125 kV.
Evaluation:
The film density at 60 kV and 125 kV must be the same as the film density at 81 kV
(Paragraph "Adjusting the Optical Density, section 5.1") within the tolerances listed
above.
• If necessary, use the PC to select other correction curves in the window "Voltage
Response Corr" for the lower or the upper kV range.
Correction curves 1...13 for the lower kV range (40...81 kV) and
correction curves -1... -13 for the upper kV range (81...150 kV) are illustrated in the
following diagrams and in the corresponding table.
The table shows the change in exposure points or as density value for each kV when
switching to another correction curve.
NOTICE A change of 1 exposure point results in a change in density of

approx. ∆S = 0.25.
Record the programming of the voltage response corrections in Chapter 3 and the
resulting optical density at 60 kV and 125 kV in Chapter 5.2.
of the Test Certificate for Direct Radiography Systems, RXD0-000.037.05...

5 - 10 IONTOMAT P Setup
∆S ∆ BP (EP)
11 12 13
0.75 3.0
10
IONTOMAT PN
-0.625 2.5 9
Spannungsgang-
Korrekturkurven
8 Voltage response
correction curves
-0.5 2.0
1.75 7 S =1 (81 kV)

Y=2.5 const
-0.375 1.5
6
1.25
5
-0.25 1.0
4
0,75
3
-0.125 0.5
2
0.25
1 90 100 110 120 130 140 150
50 60 70 80 -
-0.25 1
+0.125 -0.5 -
-0.75 2
+0.25
-1.0 -
-1.25 3
+0.375 -1.5
-1.75 -
7
+0.5 -2.0
+0.625 -2.5 -
+0.75 -3.0 -13 -12 -11 -10
∆ S =Schwärzungswert ∆ S =density value

∆ BP=Belichtungspunkte ∆ EP=exposure points

IONTOMAT P Setup 5 - 11
(≤ 81 kV) Corrections for the lower kV range (≤ 81 kV)

kV 13 12 11 10 9 8 7 6 5 4 3 2 1
40 48 42 35 32 28 24 20 16 13 11 8 6 3
41 47 41 34 31 27 23 19 15 13 10 8 6 3
42 46 40 33 30 26 23 19 15 12 10 8 5 3
44 44 38 31 28 25 21 17 13 11 9 7 5 2
46 41 35 30 26 23 20 16 12 10 8 7 4 2
48 39 33 28 25 22 18 15 11 10 8 6 4 2
50 37 31 26 23 20 17 14 10 9 7 5 4 2
52 34 29 24 21 18 15 13 9 8 6 5 3 2
55 30 26 21 18 16 13 11 8 7 6 4 3 1
57 28 23 19 17 14 12 9 7 6 5 3 2 1
60 24 20 16 14 12 10 8 6 5 4 3 2 1
63 20 17 13 11 10 8 6 5 4 3 2 2 1
66 16 13 10 9 8 6 5 4 3 2 2 1 1 ∆EP
70 11 9 7 6 5 4 3 3 2 2 1 1 0 in
1/ EP
8
73 8 6 5 4 3 3 2 2 1 1 1 0 0
77 3 3 2 2 2 1 1 1 1 0 0 0 0
81 0 0 0 0 0 0 0 0 0 0 0 0 0
85 -2 -1 -1 -1 -1 -1 -1 -1 0 0 0 0 0
90 -4 -3 -3 -2 -2 -2 -1 -1 -1 -1 -1 0 0
96 -7 -6 -6 -4 -4 -3 -3 -2 -2 -1 -1 -1 0
102 -10 -8 -8 -6 -5 -4 -4 -3 -2 -2 -1 -1 0
109 -13 -11 -11 -9 -7 -6 -5 -4 -3 -2 -1 -1 -1
117 -18 -15 -15 -11 -10 -8 -6 -5 -4 -3 -2 -2 -1
125 -24 -20 -20 -14 -12 -10 -8 -6 -5 -4 -3 -2 -1
133 -31 -25 -25 -17 -15 -12 -10 -7 -6 -5 -4 -2 -1
141 -40 -32 -32 -21 -18 -15 -11 -8 -7 -6 -4 -3 -1
150 -53 -40 -40 -26 -21 -17 -14 -10 -8 -7 -5 -3 -2
kV -13 -12 -11 -10 -9 -8 -7 -6 -5 -4 -3 -2 -1
(>81kV) Corrections for the upper kV range (>81 kV)
EP = exposure points

Function Check of the Lateral IONTOMAT Measuring Fields 5
• Move the unit into the 0 ° position.

• Place the 2.1 mm precision radiation filter on the collimator.
• Insert a cassette ≥ 35 cm x 35 cm with film, select full format.
• Select Iontomat and focus, 80% power at the generator and set 81 kV.
• Set the max.SID
• Expose a cassette for each of the 3 measuring fields (middle, left, right).
• Always measure the optical density (film blackening) at a film location that approximately
matches the location of the center of the particular measuring field.
• The optical density measured on the exposure using the lateral measuring fields may not
differ by more than ∆ D=0.2 from the optical density of the exposure measured using the
middle measuring field.
Cutoff Dose 5
Measure the cutoff dose for each application unit and for all exposure steps (screens) set.
Record the values in Chapter 6 of the "Test Certificate for Direct Radiography Sys-
tems"RXD0-000.037.05...
Test conditions:
Adjustment parameters:
- 81 kV, small focus, 80% power; middle measuring field; test phantom is the 2.1 mm
precision X-ray filter;
Position the scatter radiation grid in the beam path.
Set SID:
- Set the spotfilm device to max. SID; record the SID (100 cm).
• Document the kV values set.
Procedure:
NOTICE Switch on the dosimeter 15 minutes prior to making the

measurements and then calibrate it.
Do not select any additional filters in the collimator.
Set the density correction to ± 0 exposure points.
• Move the unit into the 0 ° position.

• Place the 2.1 mm Cu precision radiation filter on the collimator.
• Insert the dose measurement chamber into the spotfilm device.
• Trigger an exposure.
• Measure the switch-off dose KB and record the result.
• The KT is not measured, enter n.a.

IONTOMAT P Setup 5 - 13
• Remove the dose measuring chamber from the cassette insert slot and insert an
18 cm x 24 cm (8" x 10") or 24 cm x 30 cm (10" x 12") cassette without film.
• Repeat the exposure and record the mAs value displayed at the generator console.
Remarks Pertaining to the Acceptance Test Protocol in Germany per § 16 RöV

Transcribe the switch-off dose values recorded in the Acceptance Test Protocol. The val-
ues measured with 2.1 mm Cu are approx. 15% higher than the values measured with
25 mm Al. For transcription, multiply each switch-off dose value measured with 2.1 mm
Cu by 0.85 to obtain the switch-off dose that would be obtained with 25 mm Al.
Maintenance and Service

For maintenance work or for a service call, the function of the automatic exposure control
can be quickly and easily checked by using what is called the "Indirect Dose Check"
(Chap. 5):
• Insert the 2.1 mm precision X-ray filter into the beam path.
• Insert a cassette without film into the cassette holder and collimate to the cassette size.
• Set all exposure parameters and conditions listed in the Test Certificate (Chap. Switch-
off Dose).
• Trigger an exposure and compare the value displayed at the generator or the mAs value
measured using the mAs meter with the mAs value recorded in the Test Certificate
(Chap. Switch-off Dose).
• If the recorded value is reached with a tolerance of ± 10%, nothing has changed in the
PBL.
If KB > 2.5 KS, check film processing and the film material being used. It can also be
assumed that the screens are the source of the problem or have undergone mechanical
wear.

Film Resolution 5
Determine the film resolution for each film-screen combination.

Test Conditions:
- Small focus, 80% power; middle measuring field; 81 kV.
- Set the spotfilm device to the max. SID (100 cm).
- The grid must be moved into the beam path.
- Place the 1.2 mm Cu prefilter on the collimator.
- Place the lead strip test outside the Iontomat measuring field on the back wall of the
spotfilm device.
Procedure:
• Make an exposure for each film-screen combination used.
• Use a magnifier (at least 6x magnification) to determine the optical resolution power RG
on a light box and record the result in the "Test Certificate for Direct Radiography
Systems", RXD0-000.037.05..., Chapter 7.
• The minimum resolution RGr recorded in Chapters 2 and 7 of the "Test Certificate for
Direct Radiography Systems" RXD0-000.037.05... must be reached for each film-screen
combination.
If the minimum resolution is not reached, check the screen for damage and dirt, and
check the cassette for proper screen compression.
• Record the resolution RGr in Chapter 7 of the "Test Certificate for Direct Radiography
Systems" RXD0-000.037.05...
Remarks Pertaining to the Acceptance Test Protocol in Germany per § 16 RÖV:

The resolution values determined with 12 mm Cu filtering correspond to the values deter-
mined per the acceptance test conditions (25 mm Al filtering).
Transcribe the values from the test certificate to the Acceptance Test Protocol.

VIDEOMED DI 6 6-1
General Remarks 6
The following control measurements in the IQ Test Certificate for OT/UT Systems without
DFR assure that the system is functioning technically and that the factory settings have
not changed.In the IQ Test Certificate, record "Checked during startup":
NOTICE For recording results, use the IQ Test Certificate for OT/UT
Systems without DFR, RXD0-000.037.11... It is located in the
SIRESKOP CX System Binder, Reg. 9 (binder with the yellow
spine label) and also the correspoding Test Procedure for OT/UT
Systems without DFR, RXD0-000.074.08...
- Record the system Serial No. and the date on every page of the IQ Test Certificate to
assure that there will be clear allocation of every certificate page.
- Customer
- Test equipment
- GX conversion factor
- Temperature indicator
- Light paths (cleanliness of the light path)
Indirect Check of the Fluoroscopy Dose Rate at the Image

Intensifier Input 6

• Move in the grid.
• If configured, leave the Diamentor in the collimator.
• Select I.I. full format and antiisowatt.
• Move the SIRESKOP CX into the 0° position.
• Prefilter with 2.1 mm Cu precision X-ray filter.
• Switch fluoro ON and completely open the collimator.
• Read the fluoro kV and mA values on the generator console and compare the values
with the values recorded in the IQ Test Certificate "Fluoroscopy Dose Rate; Continuous
Fluoro" (tolerance: ± 2 kV, ± 20% mA).
• Perform the same check for all I.I. formats.
• If the measured kV and mA values agree within the stated tolerance with the values from
Table (checked in the factory), then all values from Table are taken over into Table
(checked at startup).
The values from table have to be used for the acceptance certificate according to §16
RöV (Germany).

6-2 VIDEOMED DI
Monitor for VIDEOMED DI 6
A check is performed to determine whether the 5% field (gray steps) is visible.
NOTICE Carry out the checks on all monitors. The monitors must be
switched on for at least 20 minutes.
Test Images
Four test patterns are available for test purposes that can be selected using the S1 DIP
switch on the D3 board.
- Adjust the "Test Image signals" us- S10

ing the DIP switches
(see sketch) S1.1
- Press reset (S10)
- Switch to the next image with S1.8

every other "Reset". D3
Test image 1: Grid pattern - Monitor geometry
Test image 2: Dot pattern - Monitor focus
Test image 3: Sawtooth - Contrast gradient
Test image 4: Gray steps - Brightness and contrast adjustment
Brightness and Contrast Adjustment of the Monitors

The white value corresponds to 100%; the black value corresponds to 0%.
Procedure for monitor adjustment:
- Contrast adjuster approx. in the middle position.
- Use the brightness adjuster to set luminance to ”black”.
- Use the contrast adjuster to set the luminance to ”white”.
- Repeat the procedure until the required values are reached.
- The 5% field must be visible.
- Enter the result in the IQ Test Certificate, paragraph "Monitor for Videomed DI;
checked during startup".

VIDEOMED DI 6-3
B-Signal / TV Iris Collimator 6
• Set the SID to grid focus 75 cm (25 cm: measured between the tabletop and the back
wall of the spotfilm device).
• Select I.I. full format.
• Filter using the 2.1 mm Cu precision radiation filter:
Place the CU filter on the collimator.
• Switch FL ON
• Measure the B-signal values with the expanded time base (for greater accuracy of
measurement) from a line in the center of the image (noise center) for all I.I. formats at
TP X401 on board D1.
• The B-signal must be as below:
TV system B-signal (mV) Test point

VIDEOMED DI 155 mV, ± 20 mV Signal D1.MP X401
Ground D1.MP X406
• If the values are within tolerance, enter them in the IQ Test Certificate under "Check of
the B-Signal for Fluoroscopy; Checked during startup".
For greater deviations, repeat the B-signal adjustment according to Service instructions
VIDEOMED DI RX52-022.061.01... .
NOTICE If the dose rate / iris diaphragm are readjusted at a later time,
enter the new values in Table 5.3.3 with date and name.
Perform the dose rate adjustment with the Service PC.
The adjustment menus required are described in the Startup
instructions ”System Configuration with the Service PC”
RX63-020.034... .
Additional worksteps to be performed are described in the
VIDEOMED DI Service Instructions, RX52-022.061.01... and IQ
Test Procedure for OT/UT Systems without DFR, RXD0-
000.074.08...

6-4 VIDEOMED DI
45° 4
1
2 3
Fig. 1
Resolution and Minimum Contrast of the I.I.-TV System 6
• Place 1.2 mm Cu in the beam path.

• Set the SID to grid focus 75 cm (25 cm: measured between the tabletop and the back
wall of the spotfilm device).
• Attach a type 41 lead grid test (1/Fig. 1) to the SD rear wall, rotated ca. 45° from the
horizontal position (2/c).
• Attach the 17 µm Cu strip (3/Fig. 1) next to the lead line test.
• Switch fluoro ON.
• Collimate a radiation field as in (4/Fig. 1) (do not under-collimate the ADC dominant).
• Determine the following values on the monitor for all formats:
- Maximum visible resolution for Fluoro
- Maximum visible resolution of the Last Image Hold (LIH)
- Minimum contrast with a 17 µ m Cu strip.
The minimum contrast is more easily detectable from a greater point of observation.
For this, set the brightness and contrast adjusters so that resolution groups can be
detected as well as possible. The values determined at the factory and recorded in the
IQ Test Certificate under "Resolution and Minimum Contrast on the I.I.-TV System"
must be reached again.
• If the values reached are within tolerance, record them under "Checked during startup".
Use the values from the Table for the acceptance test certificate according to §16 RöV
(Germany only).

VIDEOMED DI 6-5
NOTICE Acceptance Test in Germany per §16 RöV

The resolution values determined using the 1.2 mm Cu prefilter
and minimum contrast evaluated using the 17 µm Cu strips
(4% radiation contrast with 1.2 mm Cu and approx. 70 kV) corre-
spond to the values determined according to the Acceptance Test
conditions.
Transcribe the values from the IQ Protocol into the Acceptance
Test Protocol.
Image Artifacts 6
• All image disturbances detected during the adjustments and IQ tests must be checked in
the IQ Test Certificate, paragraph "Image Disturbances; Startup".
• If artifacts that are not listed in the table are found, describe these under "Other
disturbances".
• Three rating numbers classifying the extent of the disturbance are used to assess the
disturbance in question:
Definition of the rating numbers

1 = Disturbances and artifacts are not detected during startup.
2 = Slight disturbances or artifacts occurred sporadically during startup. Their cause

could not be localized and the "error" could not be rectified. The disturbances
scarcely impair the good overall impression of the image and the medical diagnosis
of the images is in no way impaired. The disturbances can thus be tolerated.
3 = During startup, more frequent or stronger artifacts have occurred which influence the
overall good impression of the image or the ability to make medical diagnosis and
therefore cannot be tolerated. The system may not be shipped or handed over to the
user in this condition.

6-6 VIDEOMED DI
Description of the Artifacts 6
- Hum:
Non-homogeneousness is caused by electromagnetic interference in the imaging sys-
tem are unattractive and bothersome, may influence evaluation of the image according
to the type of artifact, and should not occur. They can be tolerated only to a very small
extent. Hum interference appears as periodic horizontal light-dark patterns or as light
or dark transverse bars in the image; they are not sharp and not stationary.
- Interference stripes:
Very high-frequency electromagnetic interference is visible in the image as light or
dark, partially very short transverse stripes (not sharp). Interference stripes which are
caused by dirt on optically-effective areas must also be entered here. They are
stationary and not sharp. Interference stripes can hardly be tolerated.
- Ghost images:
These are object contours which - mostly shifted laterally - are displayed twice. Mostly
they are generated by reflections in long video cables that are insufficiently matched.
Clearly visible ghost images can not be tolerated.
- Background structures are fixed grid-shaped patterns primarily in the dark parts of
the image, which are also termed “static noise”.
- Pixel errors are image pixels without any image information. They are visible as bright
or dark pixel-size dots on the monitor.
There are pixel errors which can be tolerated and those which can not. The TV camera
is examined accurately for pixel errors in the test bay and only those TV cameras are
handed over to the operator where the pixel errors correspond to an internal
specification with regard to nature and number. These tolerable pixel errors musts be
documented in the IQ Test Certificate, paragraph “Image Disturbances; Startup; Other
Disturbances".

Starting Up the KermaX and Modem 7 7-1
For POLYDOROS SX 7
Function Check of the KermaX Dose Area Product Measuring System (Option)
The adjustment was performed at the factory and recorded.
A function check is sufficient and is performed either using fluoroscopy or exposure on
each chamber.
Fluoroscopy 7
• Select the tube unit.

• At the generator console, reset the cGy/cm2 display with the "0-set key”.
• Insert 2.1 mm Cu into the beam path.
• Open the collimator all the way.
• Switch on fluoroscopy for 30 s.
• The value of the dose area product (cGy/cm2) displayed on the console must
continuously increase.
• Remove the 2.1 mm CU from the beam path.
Exposure 7
• Select the tube unit.

• At the generator console, reset the cGy/cm2 display with the “0-set key”.
• Set 70 kV and 10 mAs.
• Trigger exposure.
• Read the value in the display of the dose area product (cGy/cm2) on the console and
make a note of it.
• The value displayed on the console must be half of that of the above value.
• The value displayed on the console must be double that of the above value.

7-2 Starting Up the KermaX and Modem
For POLYDOROS LX 7
Starting Up the KermaX (if configured)

Perform startup of the KermaX dose area product measuring system per Installation and
Setting Instructions, RX63-020.033.03.01...
• Perform a function check as described for the Polydoros SX.
Data Printer (Option) 7
With printer model Star DP8340S, the DIP switches must be set as follows:
1 8 1 4
on
off
• In the XCU/Site Structure/ select the Star DP8340S model.

- See the Printer Installation and Setting Instructions, RX63-055.033.03...
• Switch on the data printer and insert paper.
• Switch on fluoro and hold for 5 sec.
• At the generator console, made a note of the KV, mA, sec. values.
• Activate the printer with the reset key.
• Compare the values on the label with the values noted from the generator console.
• Compare the values on the label with the displayed values on the generator console.
• Make sure that both labels are printed in the middle and in the vertical direction.
Function Test of the Modem (Option) 7
Carry out the configuration of the modem per the document RXD7-200.061.01... and test
it.
Function Test of Remote 7
To test the Remote Service Function and the modem, contact must be made with the
Hotline in Forchheim (09191-18-8080....).
• Call the Hotline and leave the telephone number for the return call, as well as the modem
number.
• Prepare everything on site for the remote session and wait for the return call.
• An employee of TD will then carry out the remote session after returning the call and will
check the function of the system.
• Enable the remote button on the generator console in discussion with the customer.

Final Work Steps 8 8-1
Measuring the Protective Ground Wire Resistance 8
(carry out as last step).
Protective ground meter
Unit
Monitor
Cabinets
Transformers
Consoles
I.I.
X-ray tube
Collimator
Table
Generator/ < 0.2 Ohm Ceiling rails
Power distributor Monitor rack
Fig. 1
Power must be switched off to the system.

Test meter: Protective ground test meter
Measurement max. 0.2 Ohm (observe national standards),
value: (current: 10 A, voltage drop: max. 2 V)
Procedure: Measure between all conductive parts of the system that can be touched
and the protective conductor rail in the generator.
Exception: accessory rails and tabletop.
Conditions: Protective ground resistance: max. 0.2 Ohm.
- If higher, increase protective ground cross section.
- Lower transfer resistance (e.g. tighten screws).
Checking the System EMERGENCY OFF Switch in the

Examination Room (if Configured) 8
• If a system EMERGENCY OFF switch is configured, power must be cut off to the entire
system when it is pressed.

8-2 Final Work Steps
Remaining Work Steps 8
• Clear the XCU Error Log.

• Make a backup:
- If it is certain that the system is functioning without problem and no more changes need
to be made, make a "backup" on the supplied diskette a: (take note of write-protection)
and should be filed along with the customer documents.
The values set at the factory are filed on the backup diskette in the struct.org file.
NOTICE The file name struct.org stands for the original.

The file name struct.org cannot be overwritten!
If needed, the struct.org file can be copied and e.g. renamed
struct. dat. A Restore from Disk must be performed.
• Remove the connected test instruments and the PC.

• Install all cover panels, doors, etc.
• Check all system functions with a trial run for correct function.
• Finally, carry out a visual check of the system.
• Touch up any chips/scratches in the paint finish.
• Clean the system.
NOTICE After completing all adjustment work steps and check measure-
ments, the responsible technician must confirm in the Test Certif-
icates (Unit, Generator, IQ Test Certificate for Fluoro and DFR
Systems and IQ Test Certificate for Direct Radiography Systems)
with the date and his signature that all values have been correctly
determined and recorded.

Changes to Previous Version 9 9-1
Chapter 1; Page 5:
Notice regarding passwords changed.
Chapter 2; Page 2:
Ground wire resistance text added.
Chapter 2; Page 11:
Text added.
Chapter 3; Pages 8 and 9:
Text added.
Chapter 8; Page 1:
New illustration added and text updated.
Chapter 8; Page 2:
Notice changed.

9-2 Changes to Previous Version
CS PS 21 / Tomic
CS SD 21 / Bernhagen, Tropia


SireskopCX Startup

Încărcat de

Informații document

Drepturi de autor

Formate disponibile

Partajați acest document

Partajați sau inserați document

Opțiuni de partajare

Vi se pare util acest document?

Este necorespunzător acest conținut?

Drepturi de autor:

Formate disponibile

SireskopCX Startup

Încărcat de

Drepturi de autor:

Formate disponibile

SIRESKOP CX/33 System

© Sie mens AG 1998

Chapter Page Rev.

Document revision level

SIRESKOP CX/33 System RXD1-222.034.19 Page 2 of 6 Siemens AG

Manufacturer’s Note . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1- 1

2 _______General Startup ________________________________________________ 2 - 1

Safety Measures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2- 1

3 _______SIRESKOP CX System Startup____________________________________ 3 - 1

Checking the End Position for Tilting . . . . . . . . . . . . . . . . . . . . . . . . . . 3 - 1

Siemens AG RXD1-222.034.19 Page 3 of 6 SIRESKOP CX/33 System

4 ______ Beam Geometry ________________________________________________4 - 1

Definition of Terms for Cassettes and Radiation . . . . . . . . . . . . . . . . . . . . 4-1

5 ______ IONTOMAT P Setup _____________________________________________5 - 1

Image Quality in Direct Exposure Units . . . . . . . . . . . . . . . . . . . . . . . . 5-1

SIRESKOP CX/33 System RXD1-222.034.19 Page 4 of 6 Siemens AG

General Remarks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-1

7 _______Starting Up the KermaX and Modem _______________________________ 7 - 1

For POLYDOROS SX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7- 1

8 _______Final Work Steps _______________________________________________ 8 - 1

Measuring the Protective Ground Wire Resistance . . . . . . . . . . . . . . . . . . . 8 - 1

9 _______Changes to Previous Version_____________________________________ 9 -1

Siemens AG RXD1-222.034.19 Page 5 of 6 SIRESKOP CX/33 System

This page intentionally left blank.

SIRESKOP CX/33 System RXD1-222.034.19 Page 6 of 6 Siemens AG

This document was originally written in German.

CAUTION Checks or adjustment that must be carried out under radiation

General tolerances for linear dimensions per ISO 2768

Max. toler- over over over over over over over

Siemens AG RXD1-222.034.19 Page 1 of 8 SIRESKOP CX/33 System

System Overview of SIRESKOP CX/33 Versions 1

POLYDOROS LX, VIDEOMED DI, SIRECON 23 - 3 HDR-DL, CX unit,

BN System (no longer being shipped) 1

POLYDOROS SX 65/80, VIDEOMED DI, SIRECON 23 - 3 HDR-DX, CX unit,

POLYDOROS SX 65/80, VIDEOMED DH/DHC (1k CCD), SIRECON 23 - 3 HDR-DX, CX

POLYDOROS SX 65/80, VIDEOMED DHDHC (1k CCD), SIRECON 33 - 4 HDR/W, CX

• System Operating Instructions, SIRESKOP CX RXD1-222.620...

SIRESKOP CX/33 System RXD1-222.034.19 Page 2 of 8 Siemens AG

Required Tools, Test Equipment and Aids 1

• Standard installation tool kit

Siemens AG RXD1-222.034.19 Page 3 of 8 SIRESKOP CX/33 System

Important Remarks Pertaining to Startup 1

• System cabling must be completed.

SIRESKOP CX/33 System RXD1-222.034.19 Page 4 of 8 Siemens AG

NOTICE The fixed passwords can be inquired from your responsible

Remarks Regarding the Acceptance Test per §16 1

NOTICE Filling out protocols:

Siemens AG RXD1-222.034.19 Page 5 of 8 SIRESKOP CX/33 System

CAUTION All texts labeled with "CAUTION" contain information regarding

NOTICE All texts labeled "NOTICE" contain additional information

SIRESKOP CX/33 System RXD1-222.034.19 Page 6 of 8 Siemens AG

Abbreviations Used in these Instructions 1

Siemens AG RXD1-222.034.19 Page 7 of 8 SIRESKOP CX/33 System

SIRESKOP CX/33 System RXD1-222.034.19 Page 8 of 8 Siemens AG

WARNING As a rule, measurements using the oscilloscope may only be car-

Siemens AG RXD1-222.034.19 Page 1 of 14 SIRESKOP CX/33 System

Measuring the Protective Ground Wire Resistance 2

(carry out as first step).

Protective ground meter

Power must be switched off to the system.

SIRESKOP CX/33 System RXD1-222.034.19 Page 2 of 14 Siemens AG

POLYDOROS SX 65/80 and POLYDOROS LX 30/50

Round opening in the

Siemens AG RXD1-222.034.19 Page 3 of 14 SIRESKOP CX/33 System

2 _General Startup __________________________________________ 2 - 1

3 _SIRESKOP CX System Startup______________________________ 3 - 1

4 Beam Geometry __________________________________________4 - 1

5 IONTOMAT P Setup _______________________________________5 - 1

7 _Starting Up the KermaX and Modem _________________________ 7 - 1

8 _Final Work Steps _________________________________________ 8 - 1

9 _Changes to Previous Version_______________________________ 9 -1