GE Senographe 2000 D Operator's Manual
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GE Senographe 2000 D Operator's Manual

Acquisition system
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GE Healthcare
Senographe 2000 D Acquisition System
Operator Manual
OM
0459
5179217–1–100
Revision 1
Do not duplicate.
E
Copyright
2006 by General Electric Company inc. All rights reserved.

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Summary of Contents for GE Senographe 2000 D

  • Page 1 GE Healthcare Senographe 2000 D Acquisition System Operator Manual 0459 5179217–1–100 Revision 1 Do not duplicate. Copyright 2006 by General Electric Company inc. All rights reserved.
  • Page 2 WARNING X–RAY EQUIPMENT IS DANGEROUS TO BOTH PATIENT AND OPERATOR UNLESS MEASURES OF PROTECTION ARE STRICTLY OBSERVED Though this equipment is built to the highest standards of electrical and mechanical safety, the useful x–ray beam becomes a source of danger in the hands of the unauthorized or unqualified operator.

  • Page 3: Regulatory Requirements

    The original document was written in English. Use within the patient environment All components of the Senographe 2000 D system (Generator Cabinet, Gantry, Acquisition WorkStation Cart) are designed to be suitable for use within the patient environment, and are compliant with the relevant standards (UL 2601, IEC 601.1.1).
  • Page 4 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Electromagnetic Compatibility (EMC) This equipment complies with IEC60601–1–2 Edition 2 EMC standard for medical devices. This equipment generates, uses, and can radiate radio frequency energy. The equipment may cause radio frequency interference to other medical and non-medical devices and radio communications.
  • Page 5 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Recycling: Machines or accessories at end–of–life: The elimination of machines and accessories must be in accordance with national regulations for waste processing. All materials and components that could pose a risk to the environment must be removed from the end–of–life machines and accessories (examples: dry and wet cell batteries, transformer oil, etc.).
  • Page 6 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Blank page.

  • Page 7: Table Of Contents

    Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 TABLE OF CONTENTS Regulatory requirements ............
  • Page 8 ............CHAPTER 3 – SENOGRAPHE 2000 D GANTRY .
  • Page 9 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 WINDOWS ............. .
  • Page 10 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Filter Management ............
  • Page 11 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Geom. Transformations ...........
  • Page 12 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 CHAPTER 11 – PRINTING ..........
  • Page 13 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Planned maintenance performed by the Medical Physicist ..... Planned maintenance performed by the Field Service Engineer .
  • Page 14 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Blank page.

  • Page 15: Foreword

    The manual has been written to describe the use of the Senographe 2000 D in its most complete configuration. If any of the options described in this manual are not included in your system, skip the corresponding chapter or sections.
  • Page 16 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Blank page.

  • Page 17: Chapter 1 - Safety Recommendations

    – Skin irritation, abrasions, or puncture wounds EMERGENCY SWITCHES D Emergency stop switches are provided on both sides of the Senographe 2000 D Gantry examination column, easily accessible to the operator. Push either of these switches to immediately cut power to the examination column.

  • Page 18: Moveable Components

    To ensure safe operation at all times, the Senographe 2000 D compression system is fitted with a magnetic braking mechanism, which prevents the compression paddle from falling in the event of power loss.

  • Page 19: Acquisition And Storage Of Images

    AOP MODE The Senographe 2000 D provides an AOP (Automatic Optimization of Parameters) operating mode. This mode is designed to optimize image quality for the examination of breasts with a compressed thickness between 10 mm (0.4 inch) and 85 mm (3.35 inches).

  • Page 20: Residual Images

    GEMS representative. If the digital detector casing is punctured, the detector must be removed by CAUTION authorized GE Service personnel wearing protective gloves and dust masks; send the protective items for disposal along with the defective detector.

  • Page 21: Chapter 2 - Introduction

    OM 5179217–1–100 CHAPTER 2 – INTRODUCTION DEVICE DESCRIPTION Senographe 2000 D is the new Digital Mammography System from GE Medical Systems. It has been designed to perform Screening examinations as well as Diagnostic Views (including Spot compression, Magnified and/or Coned views)

  • Page 22: Indications For Use

    Chapter 5 “Acquisition Workstation”. The Browser is the main window used to start the other Senographe 2000 D applications, or to select images for review, transfer or archiving. See Chapter 7 “Browser” for a description of its functions.

  • Page 23: Quality Control

    QUALITY CONTROL To assure continued high level operation of the Senographe 2000D, the recommended quality control procedures described in Senographe 2000 D QAP QC Manual, and the recommended planned maintenance procedures described in Section 2 of Chapter 13, should be performed.

  • Page 24: System Components

    Digital Detector Overview 1. The Senographe 2000 D Gantry is equipped with a digital detector. Gantry operations and X-ray exposures are controlled by the Control Console, usually mounted on a protective screen, which also controls power to all parts of the Senographe 2000 D system.

  • Page 25: Digital Detector And Image Receptor

    Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Images are acquired by direct digitization; they are displayed immediately on the AWS monitor and are stored for later diagnostic review. They can be processed and/or filmed. AOP (Automatic Optimization of Parameters) and manual setting modes are provided for control of X-ray parameters;...

  • Page 26: Acquisition Workstation Cart

    Overview 8-4-1 The Senographe 2000 D AWS (Acquisition Workstation) is used for image acquisition and display, database management, and to send images to archive, review or filming. Refer to Chapter 5 “Acquisition Workstation” for a detailed description of the workstation functions.

  • Page 27: Three-Section Table

    Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Three-Section Table 8-4-2 Monitor Numeric keypad Light box Mouse and Light switch Release button Keyboard Release button writing table/mouse pad The three-section table consists of the workstation keyboard, light box and writing surface/mouse pad.

  • Page 28: Writing Table/Mouse Pad

    Accessory Storage Unit 8-4-5 The Accessory Storage Unit is located inside the drawer at the bottom of the Senographe 2000 D cart. Open the drawer by depressing the small catch in the upper part of the opening. The unit is designed to store items removed from the Senographe 2000 D, or other accessories.
  • Page 29 A list of all patients ever imaged on the Senographe 2000 D system can be kept on the mass archiving device, making future retrievals fast and easy.
  • Page 30 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Blank page.
  • Page 31 Major features of the Senographe 2000 D Gantry are the dual anode track x-ray tube, the entirely automatic AOP exposure mode, its ergonomic design, and of course its digital detector.
  • Page 32 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 COMPONENT OVERVIEW The Senographe 2000 D Gantry includes the following components: X-ray system Control console Generator Cabinet Protective screen Digital Detector Note: Mandatory marking labels such as CE marking, UL Listing labels, and FDA labels are...
  • Page 33 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 X-ray System The X-ray system is equipped with a Telescopic Column which supports the Examination Arm. The Telescopic Column must be secured to the floor using the fixed base plate.
  • Page 34 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 D Readout: The Readout display normally shows the following information (left to right): Compressed breast thickness Compression force Field size Magnification factor When the Positioning Arm is rotated manually, the display shows the new angle for two seconds after the brake control button is released.
  • Page 35 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Tube-arm Support 2-1-1 The main components of the Tube-arm Support are listed below: D X-ray Tube and Tube Housing Assembly An Up/Down (↑↓) control is located at the top of the assembly.
  • Page 36 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Receptor-arm Support 2-1-2 The main components of the Receptor-arm Support are listed below: D Guide Rail and Compression system including magnification platform and compression paddle. D The compression system comprises the paddle holder...
  • Page 37 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Note: As a safety measure, the compression system is fitted with magnetic braking to avoid the paddle falling in the event of a power cut. If such a power cut occurs during an examination, a force of around 5 daN could remain on the compression paddle.
  • Page 38 (57 inches); it can be rotated through 360° (+180° to -180°). D The levers which are used on the other Senographe systems to alter SID are not operational. The SID on Senographe 2000 D systems cannot be changed. Surfaces which contact the breast (e.g., Bucky, Breast Holder, and compression CAUTION...
  • Page 39 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Generator Cabinet The Generator Cabinet contains power switching equipment, the generator and system management electronics, and a chiller/dryer (connected to the Digital Detector for control of the detector environment).
  • Page 40 GE Healthcare REV 1 OM 5179217–1–100 Accessories Accessories delivered with the basic configuration of the Senographe 2000 D Gantry include: D Square spot compression paddle. D Small round spot compression paddle. D 19 x 23 cm compression paddle. D Axillary compression paddle.
  • Page 41 REV 1 OM 5179217–1–100 CHAPTER 4 – GANTRY CONTROL CONSOLE CONSOLE OVERVIEW The Control Console is the interface between the Operator and the Senographe 2000 D Gantry. It provides three functions: D Receives operator commands. D Displays replies and/or machine messages.
  • Page 42 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Plug for remote handswitch. Plug for connecting cable to generator. The following optional moveable accessory is available for the Console: Remote Handswitch for Prep and Exposure. For information on using the Control Console, refer to Section 3.
  • Page 43 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 CONTROL CONSOLE OVERVIEW Control Console CDRH Alternative symbol: Control Console 2001 (in forward production from February 2002)
  • Page 44 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 The Control Keyboard includes the following switches and displays: System power on switch I kV selection Gantry power off switch STOP or O mAs selection SETUP/MEDICAL Menu AOP, Manual Mode selection...
  • Page 45 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 LEFT-HAND SECTION OF CONTROL CONSOLE Control Console CDRH Alternative symbol: Control Console 2001 (in forward production from February 2002)
  • Page 46 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 The left-hand section of the Control Console Keyboard is used to control system startup and shutdown, and to initialize or select generator parameters. System power on switch I Press the key to switch power to the Gantry and to the other system components; the indicator lamp lights and the system startup procedure begins.
  • Page 47 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 SET UP Menu Press this key to access the Medical, Maintenance, and Installation menus. The Medical Menu is used to modify parameters, as shown: APPLICATION MODE MEDICAL LANGUAGE Password...
  • Page 48 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Readout The readout display comprises two 40-character lines. D The upper line displays information, safety, and error messages. D The lower line displays selected parameters: focal spot, focal track, filter, breast...
  • Page 49 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 D Automatic view selection: After the operator selects breast laterality, the system determines and displays the correct view name according to the Gantry arm angle. View names selected automatically are: RCC, LCC, RMLO, LMLO, LSIO, RSIO, LML, RML, LLM, RLM, LLMO, RLMO, LFB, RFB.
  • Page 50 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 CENTRAL SECTION OF CONTROL CONSOLE KEYBOARD The central section of the Control Console Keyboard is used to select and display the kV and mAs values. Control Console CDRH Control Console 2001 (in forward production from February 2002)
  • Page 51 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 kV and mAs Readout D In manual mode the readout displays the kV and mAs values selected by the operator. D When an AOP mode is selected, the kV readout displays the code of the selected mode: CNT (Contrast), DOSE, or STD (Standard).
  • Page 52 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 RIGHT-HAND SECTION OF CONTROL CONSOLE This section is used to prepare and initiate an exposure, control the centering light, and for decompression and system reset. Control Console CDRH Control Console 2001 (in forward production from February 2002)
  • Page 53 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Exposure Enable lamp D When lit, exposure is enabled. Exposure indicator lamp D Lamp is lit from start to end of exposure. D A buzzer sounds at the end of exposure.
  • Page 54 OM 5179217–1–100 VIEW NAME SELECTION D View names (Projection Position Codes) used by the Senographe 2000 D system are described below in the section View Names. D View names are normally selected automatically, according to the selected laterality, the presence or absence of the magnification platform, and the gantry angle, as described in the section Automatic View Name Selection.
  • Page 55 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Automatic View Name Selection The automatic view selection process 6-2-1 Magnification Laterality The system senses the presence or The operator selects the breast absence of the magnification platform laterality, Left or Right.
  • Page 56 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Manual View Name Selection (Standing or Sitting Patients) D If a special view is being used which does not correspond to one of the view names selected automatically, use the Special Views Selection key (key in section 3) to modify the view name.
  • Page 57 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Right Breast Left Breast Tube Recumbent View Automatic Recumbent View Automatic Angulation View Name View Name Head to Right Head to Left Head to Right Head to Left Selection...
  • Page 58 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Blank page.
  • Page 59 D Saving of images on recordable CD-ROMs (if the CD-R Interchange Media option is present) Senographe 2000 D applications are based upon a graphical, multi-window, mouse-driven interface. Images, lists, menus, and control panels are displayed within graphical windows on the Workstation monitor.
  • Page 60 The computer desktop unit is equipped with an internal 3-1/2” floppy disk drive and an internal CD-ROM drive. Note: The internal CD-ROM drive is for GE Service use only (for updating or installing software). It is not able to read image files from systems equipped with the CD-R (CD Recording) Interchange Media option.
  • Page 61 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 HARDWARE CONTROLS Mouse The mouse is a hand-operated device which is maneuvered Left Middle Right across the surface of a pad. The on-screen cursor mimics the movement of the mouse, allowing movement among windows and menus.
  • Page 62 REV 1 OM 5179217–1–100 WINDOWS There are several types of windows that will be encountered as you use the Senographe 2000 D Acquisition Workstation. The most important ones are: D The Browser is the main window used to manage the database, start the Review application, etc.
  • Page 63 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Buttons Most windows contain buttons to activate specific functions. These functions are Function described in detail elsewhere in this manual. To select (or activate) a button, click on it.
  • Page 64 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Blank page.
  • Page 65 If the response is Yes, power is removed from the Senographe 2000 D Gantry and other system components, while the Acquisition Workstation begins a controlled shutdown, designed to safeguard data. Complete system and UPS shut down takes about two minutes from switch-off.
  • Page 66 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Blank page.
  • Page 67 The Browser window illustrated above (usually simply called “the Browser”) is displayed when the Senographe 2000 D system is first switched on. Note that the Tools menu function (section 9) allows a number of Browser display options, so the windows and icons displayed may differ from that shown here.
  • Page 68 SYSTEM SHUTDOWN D To shut down the Senographe 2000 D system, click on the Power off icon at the lower right of the Browser window. Power is removed from the Senographe 2000 D Gantry and Generator; the AWS system follows a shutdown procedure lasting about two minutes, designed to ensure that no information is lost.
  • Page 69 Quality Assurance Procedures (QAP), to input patient demographics from the HIS/RIS, or to send a message to the local GE Service Center. D To review images stored on the workstation: select the desired images on the Browser, then click on the (Review Exam) button.
  • Page 70 D Current date and time, and Auto Delete status. Shown in text form just below the GE logo at the right of the screen. The status of the Auto Print, Auto Push, and Auto Delete options is also shown (ON or OFF). Auto-delete should normally be OFF.
  • Page 71 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 BROWSER MANAGEMENT Selecting Images If more items are present in a list than can be displayed at one time, use the scroll bar on the right of the list to move through the items in the list (see Chapter 5 “Acquisition Workstation”, for information on how to use the scroll bar).
  • Page 72 D If the mass storage option is present, an Auto Delete function can be set. This automatically deletes items from the local database when they have been committed by the storage device. The function must be activated by GE Service. Interchange Media...
  • Page 73 (user’s choice) to the archiving device for permanent storage. A list of patients imaged on the Senographe 2000 D system will be maintained on the mass archiving device, ensuring quick and easy data retrieval.
  • Page 74 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Notes: D During a transfer, the Network icon shows a transfer animation. D It is possible to start or review an exam on the workstation while a transfer is in progress.
  • Page 75 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 TOOLS MENU UTILITIES To access the various system utilities in the Tools menu: D Click on the (Tools menu) button (near the top right of the Browser screen) to...
  • Page 76 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Browser preferences Click on Browser preferences in the Tools menu to display the Preferences window, which allows preferences to be set for Layout, Filter and Sort. D Click on the selection box (1) to display windows for each of these choices in turn. Each window displays options which are selected by clicking to “depress”...
  • Page 77 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Filter. This window allows you to specify whether filters (selected from a list of registered filters) should be applied to lists of items held locally (in the AWS) and/or items held remotely (e.g., in a networked remote host).
  • Page 78 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Medical Application preferences Select this option to open a window in which you can set Medical Application preferences for Auto Push, Auto Print, Annotations, Auto Delete, Test Hosts, and Names. To change a setting, click the...
  • Page 79 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Annotations Select the level of screen and print annotation desired. Screen annotation are chosen from Full, Partial, None, or Custom; the list of annotation types at the middle of the window shows the current default selections for the selected level.
  • Page 80 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Quality Check Use this screen to change the default value of the Quality Check parameter to OK or NOT OK. The chosen value is automatically applied to all subsequently acquired images, but can be changed by the operator during review after acquisition (see Chapter 9).
  • Page 81 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Test Hosts Use this screen to test remote host connections. Select the host(s) to be tested in the three windows (Remote Workstations, Remote Printers, and Remote HIS/RIS servers), and click the Test selected hosts ...
  • Page 82 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Image process If the Premium View feature is not installed on your equipment, the following screen is displayed: medAppPrefs Quality Check Auto Push Auto Print Annotations Auto Windowing Auto Delete...
  • Page 83 OM 5179217–1–100 Edit Patient This option is normally turned off, but may be turned on by a GE Service Engineer if required. It allows information on the patient Medical Procedure Card (described in the Worklist chapter) to be viewed and modified after the exam has been closed. Changes are made by creating a new patient or a new examination;...
  • Page 84 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 FILTERS Filters allows the lists of patients and exams shown in the Browser to be “filtered”; in other words, to display only items which correspond to your chosen criteria (for example, between chosen dates, with certain Patient name or IDs, etc.).
  • Page 85 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 D When you have made your selections in each level, click one or more of the boxes at the bottom of the screen (Patient, Exam or Series) to specify at which level the filter is to apply.
  • Page 86 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Blank page.
  • Page 87 The Worklist is a list of scheduled tasks. Typically, it shows all patients scheduled for examination during a working day. When the Senographe 2000 D system is connected to a Dicom Worklist Management SCP (Service Class Provider) system, entering the Worklist function displays a Worklist downloaded from the SCP system, using the Dicom Basic Worklist Management Service.
  • Page 88 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 – The Worklist title shows the date and time of the last update (manual or from HIS/RIS). – Click the (Browser) button to return to the Browser window. – By default, when the window opens, the Worklist is sorted by...
  • Page 89 MPC. Information received in this way cannot be modified. D Using a Barcode Scanner (Optional on Senographe 2000 D) If your facility produces barcode labels to identify patients and their scheduled exams, all the data stored on the barcodes can be scanned with the Barcode scanner option.
  • Page 90 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 D For a new patient, all fields are blank; move the cursor (use the mouse, or use the Tab or Enter keys to move through the fields) inside the Last Name and First Name fields and enter the patient name.
  • Page 91 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Image Review To review images stored on the workstation image disk, return to the Browser screen: D In the Browser screen, select the desired images. Select first the patient, and then the exam (study) by clicking on them.
  • Page 92 BAR CODE SCANNER (OPTION) Optional bar code scanner The Senographe 2000 D scanner is a fast and accurate optional tool for scanning bar code symbols in AWS applications. Available with an 80mm CCD scanning window and an integrated keyboard decoder, this scanner captures entire bar code symbols instantly.
  • Page 93 How to read a bar code symbol 3-1-1 The Senographe 2000 D bar code scanner is simple to use – just aim and shoot. Before using it, make sure all cable connections are secure. 1. Hold the scanner handle horizontally (Figure 3 – ) directly over the bar code.
  • Page 94 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 5. Configure the keyboard emulation model setting. 6. Enter code 719 to support the AWS QWERTY keyboard. 7. Set the keyboard to CAP LOCK OFF mode after symbol transmittal.
  • Page 95 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 The scanner does not read a bar code symbol: D Be sure the scanning system is programmed to read the type of bar code you are trying to scan.
  • Page 96 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Blank page.
  • Page 97 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 CHAPTER 9 – VIEWER OVERVIEW D The Viewer window is displayed: – when the Review Exam button in the Browser window is clicked after selection of a Patient, examinations or series. The Viewer window opens and displays the first selected image.
  • Page 98 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Viewing Area You can choose to have one, two or four images displayed in the viewing area. See section 2 (View Control) on how to select the desired layout.
  • Page 99 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 VIEW CONTROL To use the View Control Control Panel, click on the View Control “eye” icon to highlight it. D View Composition. Click on the appropriate icon to display a single...
  • Page 100 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 2D Localization In acquisition mode (with the camera icon displayed in the Mosaic area), the 2D Localization function allows you to display and position a set of cross-hairs on the image.
  • Page 101 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Image Control Invert Click the Inv. button to invert the image contrast and brightness values, so that any microcalcifications present appear black. Press the button again to return the display to the original default values, so that microcalcifications appear white.
  • Page 102 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Annotation Level System annotations are displayed automatically. They show exam-related information such as patient name, patient ID, kV and mAs used, etc. The user can add further annotations (see Graphics &...
  • Page 103 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Segment D Click the (Segment) button to place on the image a line segment that you can use to measure the distance between two points. The squares at each end of the segment are called handles.
  • Page 104 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Text Annotation This function allows you to add text annotations on the image, for example to highlight a specific point for further reference, or as a communication tool for another practitioner.
  • Page 105 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Displaying and Removing User Annotations To hide all user annotations (graphics and text) on an image temporarily: Hide D Click the (Hide/Show) button. To display the annotations again: D Click the button a second time.
  • Page 106 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 FUNCTION PANEL The Function Panel is used to exit from the Viewer, as well as for access to information on the Medical Procedure Card, Quality Check, image reprocessing, print to Laser camera, and middle mouse button functions.
  • Page 107 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Quality Check The Quality Check function is used with Auto Print to allow the user to discard images before printing from the AWS. Images are allocated into two groups: OK, and NOT OK. Only images allocated as good (OK) are automatically printed, but all images are kept in the exam file.
  • Page 108 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Magnifying glass 4-7-1 Provides a magnified view (x 2) of part of the image in a moveable square zone. D Click with the left mouse button on the (Magnifying glass) button to select the function.
  • Page 109 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 SCRAPBOOK The Scrapbook function allows more than one image to be printed on a single CAUTION film for ease of comparison and reference. Films with multiple images must NOT be used for diagnostic purposes.
  • Page 110 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Layout formats D Layout Formats. Four user-defined buttons show available formats for page layouts. These are usually: 1 x 1, 2 x 1, 1 x 2, 2x 2. Select the format desired for the current page by clicking on the appropriate button.
  • Page 111 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Composer area This area displays the image or images held on the current Scrapbook page in thumbnail (reduced size) form. Each thumbnail displays the full image, with the same settings (brightness, contrast, invert, rotate, and flip) and the same graphic annotations as the image displayed in the Viewer.
  • Page 112 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Blank page.
  • Page 113 Manual Mode, you will find a table of suggested parameter settings. An exam using the Senographe 2000 D acquisition application is performed in exactly the same way as a conventional exam (e.g., using a Senographe DMR) in terms of operation and patient positioning.
  • Page 114 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 CONFIGURATION Standard exposures D For standard exposures (contact examinations), the large focal spot is selected by default. Exposures are not permitted if the small focal spot is selected. Check (on the control panel display) that the focal spot selection is shown as Large.
  • Page 115 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 AOP MODE The AOP (Automatic Optimization of Parameters) Mode controls radiation and allows the system to select the main parameters. It can be used for standard exposures, magnified exposures, or for the examination of the chest wall.
  • Page 116 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Use of Markers in AOP Mode The algorithm used in AOP mode searches for the most dense part of the breast, and uses this as a reference in its calculations. It is therefore important to avoid the presence of dense objects in the area used by the algorithm.
  • Page 117 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 MANUAL MODE The Manual Mode can be used for standard exposures, implant views, magnified exposures, or for the examination of the chest wall. See section 3 for additional notes on configuration.
  • Page 118 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Table 1 – Suggested Manual Techniques Compressed Homogeneously fatty 50% fatty, 50% dense Homogeneously dense breast breast thickness Target/ Target/ Target/ (mm) Filter Filter Filter With grid (contact examination): <...
  • Page 119 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 POSITIONING THE PATIENT Women undergoing a mammography examination often feel apprehensive because of the examination and the ensuing diagnosis. To reassure the patient, receive her in a warm room and provide a simple but precise explanation of the procedure.
  • Page 120 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 COMPRESSION To apply compression to the breast, depress the compression pedal. Manual adjustment can be made using the two knobs, located on each side of the compression paddle holder. Take great care with patients with mammary implants.
  • Page 121 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 IMAGE ACQUISITION Note: When Right/Left image pairs are acquired, it is recommended that, the Right image should always be acquired before the Left. This ensures consistent display when using the 2 x 1 view;...
  • Page 122 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 D The new image has the chosen default Quality Check value (OK, or NOT OK). This can be changed at any time while viewing the image (raw or processed), by clicking on the Quality Check icon in the View Control panel;...
  • Page 123 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 10. PROCESSING Images received from the Digital Detector are displayed on the monitor as raw images immediately after acquisition. Raw images are low contrast. After acquisition, a number of calculations are applied to the image to create the processed image, which replaces the raw image on the screen.
  • Page 124 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 D Auto-contrast. This improves image quality by optimizing the levels of brightness (window level) and contrast (window width) in the image. D As soon as the selected algorithm has been applied, the processed image replaces the raw image on the screen.
  • Page 125 Viewer window. Note that only processed images can be sent for printing by the Senographe 2000 D, and that only one image per film is available; prints are approximately 95% of natural size.
  • Page 126 – Cancel button (to close the Warning window and return to the Auto Print window). – Discard button (to close without saving the changes and return to the Browser). D Print mode: only Fit to Film. Can not be changed by the user in current Senographe 2000 D release.
  • Page 127 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Manual Print In addition to the Auto Print function, an image displayed on the Viewer screen can be printed at any time under manual control. Click the Print button in the Viewer Function panel to open the Print Request window.
  • Page 128 : cannot be changed with the current Senographe 2000 D Film size release software. D Media type: Blue film must be selected by default with Senographe 2000 D. Other choices will incur printing errors. D Destination: Processor must be selected by default when using Senographe 2000 D. Other choices will incur printing errors.
  • Page 129 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Printing status Printing status AGFA (10) ABORTED KODAK (11) Queue Done The Printing status window displays the status of the requested printing jobs. If a job shows the (OK) comment, then the exam has successfully been sent to printing.
  • Page 130 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Print Annotation Models When printing images to film, three models of annotation layout are available. They differ in the position and type of annotation information to be printed. Select the model to be used in the Medical Application Preferences <Annotations> panel (see Chapter 7).
  • Page 131 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Model 2: Patient data at top, followed by view data. Institution, image and exposure data at bottom. Top and bottom annotation areas are aligned to the border opposite the chest wall.
  • Page 132 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Blank page.
  • Page 133 The Interchange Media option provides a compact disk recording (CD-R) drive, installed inside the Acquisition Workstation cart. It allows you to save and restore Senographe 2000 D image data using standard 5-1/4” recordable compact disks (DICOM data format). Images saved in this way may, for example, be passed to another radiologist for a second opinion.
  • Page 134 Saving Images on Recordable CD Note: We recommend the use of Senographe 2000 D-compatible CD-R media that have been officially validated for performance and reliability of patient data interchange on the Senographe 2000 D system. These are identified by GE labeling. GE cannot take responsibility for any data loss or incompatibility with other systems resulting from the use of media not supported by Senographe 2000 D.
  • Page 135 – Make a list of the patients correctly saved and those with an error. – Insert a new CD-R and repeat the save process. – If there are still errors, consult GE Service. Availability of system while writing to CD-R 2-2-4 No other operation can be performed on the system while saving images on a CD-R.
  • Page 136 GE Healthcare REV 1 OM 5179217–1–100 Restoring Images from Recordable CD You can restore and review Senographe 2000 D images from 5-1/4” recordable CDs that were recorded either on the same or on another Senographe 2000 D system. Procedure 2-3-1 D Check that there is enough room on your image disk to accommodate the images being restored (used disk space display on the main Browser).
  • Page 137 The Media Browser: Tools menu contains the [Application management] menu item. This item is for use of GE Service only. The Main Browser and Media Browser: display the same columns of information in the Patients, examinations, series and images lists.
  • Page 138 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Ejecting a Disk from the CD-R Drive As soon as the CD–R drive has been accessed for a save or restore operation, it is locked, and you can no longer eject the disk by means of the eject button on the front of the drive.
  • Page 139 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 CHAPTER 13 – MAINTENANCE CLEANING AND DISINFECTION Monitor cleaning instructions It is important that monitors used for viewing mammographic images be kept clean and free of fingerprints, dust, etc.
  • Page 140 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 The patient contact surfaces of mammography equipment are noncritical, and either low level or intermediate level disinfection is adequate for routine use. These surfaces are the bucky/Image Receptor, compression paddles and magnification platform. Other surfaces, such as the face shield,...
  • Page 141 RECOMMENDED GERMICIDES The following legally marked products have been used on GE equipment without causing equipment damage. Always follow the germicide manufacturer’s instructions and precautions for...
  • Page 142 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Streptococcus faecalis, ATCC 19433 Streptococcus pyogenes, ATCC 19615 Trichophyton mentagrophytes Mycobacterium tuberculosis var. bovis Influenza A Japan Herpes simplex type 2 vaccinia adenovirus type 2 HIV–1 (AIDS) virus LpHse, manufactured by Calgon Vestal Laboratories, St. Louis, MO, U.S.A., EPA Reg. No. 1043–92 (510(k) K931342) According to the manufacturer, when used according to the manufacturer’s instructions, this product is...
  • Page 143 Frequency: from daily to semi-annually, depending on the task. Procedures: please refer to the Senographe 2000 D QC Manual. Planned maintenance performed by the Medical Physicist This consists of QC tests performed by the Medical Physicist to ensure that the system provides a high level of mammographic quality.
  • Page 144 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Ó Ó Ó Ó Ó Ó Ó Ó Ó Ó Ó Ó Ó Ó Ó Ó Ó Ó Ó Ó Ó Ó Ó Ó Ó Ó Ó Ó Task Interval (months) Ó...
  • Page 145 CHAPTER 14 – ERROR MESSAGES ERROR MESSAGES Any operational anomalies found by the system during Senographe 2000 D operation are signalled by Error Messages. These may be displayed on the Column Readout and on the Control Console or in a pop-up box on the AWS screen.
  • Page 146 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Message Msg. Message on Explanation Corrective Action on Column Source Control Console Readout None Software error An error occurred in Switch OFF Gantry, then switch ON. (gen CPU) the Generator CPU If the problem continues, note ALL software.
  • Page 147 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Message Msg. Message on Explanation Corrective Action on Column Source Control Console Readout None IDC/SENO A problem occurs in 1. Switch OFF the Gantry Synchro. fail synchronization 2. Switch ON between Image 3.
  • Page 148 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Message Msg. Message on Explanation Corrective Action on Column Source Control Console Readout None Failure before Current image Switch OFF Gantry, then switch ON. exposure acquisition aborted If the problem continues, note ALL...
  • Page 149 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Message Msg. Message on Explanation Corrective Action on Column Source Control Console Readout Collim. Fail Lateral Collimator A problem has been Switch OFF Gantry, then switch ON. Failure reported in the lateral...
  • Page 150 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Message Msg. Message on Explanation Corrective Action on Column Source Control Console Readout Chksum Arm checksum Content of saved Switch OFF Gantry, then switch ON. Error error memory has been If the problem continues, note ALL modified.
  • Page 151 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Message Msg. Message on Explanation Corrective Action on Column Source Control Console Readout None AWS was not AWS system was not 1. Press the prep button again. ready ready to perform an 2.
  • Page 152 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Message Msg. Message on Explanation Corrective Action on Column Source Control Console Readout None IDC/SENO Image Detection 1. Wait that the Image Detector comm. lost Control system cannot control system finished to recorver communicate with itself.
  • Page 153 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Message Msg. Message on Explanation Corrective Action on Column Source Control Console Readout None Max wait for It is necessary to wait Wait the required amount of time to...
  • Page 154 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Message Msg. Message on Explanation Corrective Action on Column Source Control Console Readout Slipping Compression Compression motor 1. Release footpedal or compression Motor Slipping has slipped and lost its button, and move paddle up to park position.
  • Page 155 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Message Msg. Message on Explanation Corrective Action on Column Source Control Console Readout Blown Fuse Blown Fuse A fuse has failed. Switch OFF Gantry, then switch ON. If problem continues, note ALL messages and contact GEMS Field Service.
  • Page 156 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Message Msg. Message on Explanation Corrective Action on Column Source Control Console Readout None Aborted exposure Exposure in progress Switch OFF Gantry, then switch ON. has been aborted Start exam again.
  • Page 157 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Message Msg. Message on Explanation Corrective Action on Column Source Control Console Readout None Maximum mAs Maximum mAs set at Lower mAs values. exceeded installation are exceeded. (This message appears only...
  • Page 158 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Message Msg. Message on Explanation Corrective Action on Column Source Control Console Readout None Exposure too The exposure is too Increase the kV value or reduce the long long (this message mAs value.
  • Page 159 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Message Msg. Message on Explanation Corrective Action on Column Source Control Console Readout None S82 Image One of the image 1. Switch OFF the whole system and detection failure...
  • Page 160 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Message Msg. Message on Explanation Corrective Action on Column Source Control Console Readout None S88 AWS image AWS image delivery to 1. If this message stays displayed delivery failure...
  • Page 161 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Message Msg. Message on Explanation Corrective Action on Column Source Control Console Readout None S95 Medical AWS has not yet Start a new exam or QAP Application not entered application acquisition.
  • Page 162 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Table 2 – Error messages displayed on the AWS monitor Message on AWS screen Explanation Corrective action AA These messages relate to power on/off events: Could not connect to the The specified remote host could 1.
  • Page 163 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Message on AWS screen Explanation Corrective action ”Shutdown Process started The AWS shutdown process has 1. Stop system usage and wait for the end ...” been started because a UPS low of the shutdown sequence.
  • Page 164 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Message on AWS screen Explanation Corrective action ”AWS reset in progress: An AWS boot or reset sequence Wait until system initialization is complete. please wait” is in progress. The AWS may start an automatic...
  • Page 165 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Message on AWS screen Explanation Corrective action Image update failed on disk. Image disk is full or server has 1. Close exam. You cannot save your last failed. 2. Increase free space on image disk by changes to the exam.
  • Page 166 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Blank page.
  • Page 167 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 CHAPTER 15 – SPECIFICATIONS TECHNICAL SPECIFICATIONS Electrical Specification Mode of operation: Continuous operation with intermittent loading. Line voltage specifications 1-1-1 D Single-phase input voltage (phase-neutral or phase-phase): – 200/208/220/240/380/415 V (+ 10 %) D Can be powered by single-phase 440 V (+ 10%) using optional transformer.
  • Page 168 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 D The generator can supply a maximum of 100 W to the tube. This example represents one 30 kV/200mAs exposure each minute. Line Conditioner Resonance Frequency 1-1-6 D 20 kHz approx.
  • Page 169 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 RADIATION AND FILTER INFORMATION Radiation Reference Axis Conforming to standard mammography practice, the radiation reference axis is directed at the chest wall edge of the digital detector; radiation is shielded so that there is no radiation directed behind the chest wall.
  • Page 170 500 hPa min., 1060 hPa max. Ambient Light Level Senographe 2000 D monitors are adjusted for use in an optimum light level of 50 lux. TUBE INFORMATION Tube Cooling Curves and other tube-specific technical parameters can be found in the Tube Product...
  • Page 171 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 DIMENSIONS AND WEIGHTS Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ...
  • Page 172 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Blank page.
  • Page 173 Maintenance chapter modified to include revised monitor cleaning instructions and planned maintenance procedures. Removed list of addresses of GE Medical Systems Service offices. Updated cover pages. This publication is contained in a multibook Master Folder. It is a slave publication.
  • Page 174 Senographe 2000 D Acquisition System GE Healthcare REV 1 OM 5179217–1–100 Manufactured by: GE Medical System SCS BP 34 F78533 BUC CEDEX France www.gehealthcare.com Imagination at work...

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