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GE Healthcare Diamond Operation Instructions 86500-IMG rev 3...
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FINLAND Tel. +358 10 394 6500 Fax. +358 10 394 6501 Internet and Service: http://www.gehealthcare.com/worldwide.html GE Healthcare Finland Oy, a General Electric company, going to market as GE Healthcare. This manual applies to Diamond units with software version 1.02.5 and...
Both film sizes, 18 x 24 and 24 x 30 can be used. Diamond is intended to be installed for stationary use. If a mobile van installation is necessary, please contact II to check for the availability of a special van kit.
• The system is used in accordance with the Operating Instructions. Each Diamond unit has been tested for leakage radiation and the test results are recorded in the final test protocol. This device emits X-ray radiation for medical purposes. The Diamond X- ray tube has a Molybdenum anode.
ERIAL NUMBER AND YEAR OF MANUFACTURE Device serial number, year of manufacture and some other labels are located at the back of the Diamond column. ARKINGS IN THE MANUAL The manual may have the following markings: NOTE! Contains useful information for the reader about the unit and its usage.
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1 Introduction GE Healthcare 86500-IMG rev 3...
15 Mains switch (automatic trip switch at the rear) Manual compression wheels 16 User power On/Off switch Compression paddle release 17 Emergency stop buttons, one button on each side Cassette release button 18 Tube head stereoangulation buttons 86500-IMG rev 3 GE Healthcare...
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19 Function key 1 and LED indicator Density selection 20 Function key 2 and LED indicator 10 Average glandular dose 21 Function key 3 and LED display indicator 11 Filter indicators, all green 22 Exposure button GE Healthcare 86500-IMG rev 3...
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12 Compression force display (1-6) Collimator light switch 13 C-Arm rotation display Filter selection button Fig 2.4. Position Control Center controls Fig 2.5. A: Breast thickness display (cm), B: Compression force display (N),C: C-Arm rotation display (°) 86500-IMG rev 3 GE Healthcare...
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2 Operating controls Fig 2.7. Top down: The tube head cover with C-Arm Fig 2.6. Tube head stereo rotation buttons (11), Vertical movement angulation buttons (12) and ParkBack buttons (13). buttons GE Healthcare 86500-IMG rev 3...
The timer display now shows 0, kV display 25, mAs display - - -, density display +0 and mGy display 0. Auto-kV is a factory default setting. Your GE-approved service technician can change the default setting if required. 86500-IMG rev 3...
– Two foot pedals – Control panel – Operating instructions The following accessories are available for the unit (refer to Diamond Accessory Catalog (86503-IMG) for complete listing of accessories and order codes). Choose the accessories necessary to your procedures: GE Healthcare...
3 Preparations for operation NOTE! All accessories that the Diamond manufacturer supplies for Diamond are suitable within the patient environment, unless otherwise indicated. 3.4.1 Compression paddles 21x24 cm compression paddle The 21x24 cm compression paddle standard paddle used with the 18x24 cm film format when using the Bucky.
Insert the required paddle into the holes on the compression arm and push the paddle horizontally until it locks. Insert the paddle so that the longer pin of the two slides into the right-hand hole. The inserted compression paddle looks like this. GE Healthcare 86500-IMG rev 3...
Remove the compression paddle by pulling it out horizontally. 3.4.3 Cassette holders The following Bucky types are available for mammography examinations with Diamond. Refer to Diamond Accessory Catalog (86503-IMG) for complete listing of Buckies and order codes. • Synchro Bucky 18x24cm or ROC Synchro Bucky 18x24cm •...
Separate Buckies are available for both 18x24cm and 24x30cm film formats. 3.4.4 Insertion and removal of Buckies Insertion of the Bucky Align the guides of the desired Bucky with the grooves on the C-Arm. Push the Bucky forward until it locks securely in place. GE Healthcare 86500-IMG rev 3...
(right image below). If the face shield has come off in such, or some other situation, insert it diagonally back to the holder. Fig 3.4. Insertion of the face shield 86500-IMG rev 3 GE Healthcare...
The Alpha Shield is available for additional protection of the user. 3.4.8 Connections to the system Diamond has two RS232 serial ports that can be used to transfer information between Diamond and external devices. Relay contacts are provided to enable the connection of room door entry warning lights.
If interpolative detector selection is used to lighten up less dense sections of the breast, it will also lighten up the most dense areas of the breast. The Diamond system recognizes the compression paddle (and the cassette holder, depending on the PaddleLogic settings) in use and...
(preheat) phase takes place. If the exposure button is released, the forward movement stops. This automatic drive function is disabled with Fig 4.3. Control buttons at the biopsy paddles and Delta 32 or if no cassette holder or paddle is attached. top of Diamond GE Healthcare 86500-IMG rev 3...
The face shield may remain attached during movement of the tube head. YNCHRO UCKIES All surfaces of Diamond that come into contact with the patient are smooth and rounded, with no seams or screws. The result is an increase in patient safety and comfort.
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4 User interface characteristics GE Healthcare 86500-IMG rev 3...
NATOMIC OTATION Diamond has a motorized C-Arm that has a rotation range of (185°). The axis of rotation is close to the film plane so that the image receptor is able to follow the contour of the breast. This movement, Anatomic C-Arm Rotation (ACR) minimizes the need to adjust the height of the C-Arm when rotating between CC and OBL projections.
ERTICAL MOVEMENT UP AND DOWN MOVEMENT The control buttons for the vertical movement of Diamond’s motorized C- Arm are located near the C-Arm rotation controls, at the Position Control Center, at the foot pedals and on top of the tube head.
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When the C-Arm is being driven to CC, OBL or LAT angles, the movement may be stopped by pressing any button. NOTE! Pressing the emergency button always stops right away all such motorized movements, which affect the patient (Tube head, ECS, Z- movement, C-Arm and Stereo). 86500-IMG rev 3 GE Healthcare...
EAM FILTER SELECTION Diamond has three X-ray beam filters: Molybdenum Mo (0.025mm), Rhodium Rh (0.025mm) and Aluminum Al (0.50mm). If required, Diamond can be set to automatically select the most appropriate X-ray beam filter. All filters are motorized and the beam filters can be used automatically, if Auto Filter is switched on.
For other collimated shapes, corresponding special diaphragms must be inserted manually. When you fit a cassette holder and compression paddle on to the unit, Diamond recognizes the cassette and paddle size and selects the correct collimator aperture. The type of cassette holder is displayed in Control Panel LCD display.
A compression paddle consists of an acrylic compression plate and a metal supporting frame with fixings used to attach the paddle to Diamond’s compression paddle arm. Graphics indicating the AutoPoint AEC detector locations are silk screen printed onto the acrylic part of each paddle to the extent the size of the paddle acrylic allows.
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When the Z-DOWN foot switch is pressed, the carriage is driven towards the image receptor. There are two compression foot pedals supplied with the Diamond. These connected with cables to the back of the column (3 and 4 in the image).
5.6.3 Compression controls With the Diamond, a manual or motorized compression can be used. The majority of compressions/positioning are performed motorized. The manual compression system is then used for the fine tuning of the compression, if necessary.
Manual compression wheels 5.6.6 ECS compression system ECS (Easy Compression System) adds one more unique movement to GE Healthcare mammography systems: the independent movement of the C- Arm in relation to the compression paddle. This movement is also independent of the angle of the C-Arm and it is different from the normal up and down movement of the C-Arm carriage.
NOTE! In case the patient moves in the middle of a procedure or compression thickness is changed, in order to guarantee the accuracy of the examination the procedure should be started from the beginning. GE Healthcare 86500-IMG rev 3...
Refer to Fig. 5.8, Correct vertical position and Fig. 5.9, Incorrect vertical position. Fig 5.8. Correct vertical position Fig 5.9. Incorrect vertical position 86500-IMG rev 3 GE Healthcare...
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In manual usage, the selected kV should produce an exposure time from 0.5 to 1.2 seconds. If exposures are longer than 1.2 seconds, increase the kV value. If they are shorter than 0.5sec., reduce the kV value. GE Healthcare 86500-IMG rev 3...
If the tube head is back, drive it forward. Check that the Ready light is on. Make the exposure by pressing the exposure button and keep it pressed until the radiation indicator light turns off and the audible exposure indicator stops. 86500-IMG rev 3 GE Healthcare...
If the tube head is back, drive it forward. Check that the Ready light is on. Make the exposure by pressing the exposure button and keep it pressed until the radiation indicator light turns off and the audible exposure indicator stops. GE Healthcare 86500-IMG rev 3...
Open the lock to insert the cassette into the cassette holder by inserting the lower left corner of the cassette to the Bucky. Push then the cassette towards the front of the Bucky so that the upper left corner slides in. 86500-IMG rev 3 GE Healthcare...
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In case the cassette is inside, but in the back of the Bucky, pulling the cassette latch towards the front of the Bucky takes the cassette to the front for an exposure. NOTE! Diamond is configured to use daylight cassettes as standard. GE Healthcare 86500-IMG rev 3...
26 - 29 Specimens (non-mag and mag) 4 - 16 20 - 23 Table 5.1 Diamond technique guide NOTE! Implant displaced views and specimens may be phototimed if sufficient breast tissue covers the photocell closest to the chest wall. Comments: Maintain exposure times between 0.5 and 2.5 seconds.
NOTE! If using a manual filter selection, check that the correct filter is selected. Refer to Diamond tube loading chart for kV and mA combinations, if necessary. Make the exposure by pressing the exposure button, and keep it pressed until the X-ray exposure terminates.
Using film markers that show the projection and year on the film. Using a film identification camera that exposes all relevant information directly onto the film. Using printed adhesive paper labels that are attached to the film. 86500-IMG rev 3 GE Healthcare...
5 Operating procedures 5.9.1 Film markers The film markers provided for use with Diamond are positioned close to the film to prevent scatter. Markers can be moved sufficiently far to extend past the cassette’s daylight ID marking window and into the imaging area of the film.
5.9.4 Printer connection A label printer may be connected to Diamond’s serial port using a serial communication cable. Diamond’s serial port is located at the lower left of the unit’s rear cover. Use digital ID Camera to print the information permanently onto film.
A small focal spot is essential for good magnification image quality and therefore a true 0.1mm focus is needed. The Diamond X-ray tube features a Gaussian 0.1mm focal spot and during magnification studies this is automatically selected.
Spot compression applies local compression to a particular area. There is less overlapping of tissue structures, which improves visualization. NOTE! Be careful when using spot compression as the compression effect is greater on a smaller breast examination area. 86500-IMG rev 3 GE Healthcare...
There are different types of biopsy paddles available for use with Diamond, each with different openings. These openings are available as holes with a diameter of 18mm, holes with a diameter of 9mm and as rectangular opening of 50x90mm.
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C-Arm and any obstruction, as injury could result. If necessary, use emergency stop buttons or any button on the Diamond unit, except if it is on the Control Panel. Manual biopsy procedure Make the patient comfortable in the sitting position.
5.10.7 Stereotactic option Diamond’s optional stereotactic feature of the Diamond can be used together with the ECS compression system in order to perform high- quality biopsies. Three-dimensional digital images can be acquired with Delta 32 TACT -option.
This moves the different tissue structures from overlying each other giving improved visualization of those structures. The breast tissue at the compressed area is also thinner allowing the use of a lower kV setting, which improves image contrast. 86500-IMG rev 3 GE Healthcare...
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After selecting the paddle, the AEC system operates only within the defined area. Diamond prevents the selection of an AEC detector that is not within the area of (not under) the compression paddle in use.
(AutoFilter) upon request. If the Auto Filter function is inactive, then the filters are selected manually with a filter selection button. When Auto Filter mode is selected as 'ON', Diamond chooses the Molybdenum or Rhodium filter automatically, depending upon the breast thickness. When AutoFilter is enabled, the user can change the filter, but after the exposure AutoFilter will again select the used filter.
Select the mAs setting. Pressing the mAs+ button increases the mAs value and pressing mAs- button decreases the mAs value. The following mAs values may be selected. 350* 400* 450* 500* Table 6.1 Selection of mAs values * not allowed in N.Y. GE Healthcare 86500-IMG rev 3...
Automatic Compression Release is the default setting on Diamond and will release the compression paddle after each exposure or in the event of a power failure. You must decide whether or not you wish your Diamond to release compression automatically after compression. The automatic release is automatically switched off when Delta 32 or biopsy paddles are inserted.
6 Automatic exposure modes the thickness limit below which Diamond automatically compensates the tube current for lower mA values. AXIMUM M VALUES The maximum mAs-value is, however, limited by the selected kV and the maximum permitted time. The maximum mAs/mA values are shown in the table 6.2, Maximum mAs/mA values depending on kV and focus size..
Diamond can correct the AEC exposure times by up to ±40% after which the unit gives an error code and prompts for a check of the film processing system.
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Performing the test NOTE! Diamond selects the filter and kV that has been programmed for IQC when the unit is switched on. Contact your service technician, if you want to use other values.
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Press the Accept key to accept the value. The following screen appears: The screen display shows the new density value with the message Pass, which indicates that it is within the acceptable range. 86500-IMG rev 3 GE Healthcare...
THER MODES 7.2.1 Pre-Programmed/Specimen Modes For the user convenience, Diamond software incorporates 4 pre- programmed modes, identifiable by name up 8 digits long for easy recall. Your service technician can set the following parameters for individual mode: – density –...
0 to 5. After completing the set-up, the system prompts you to confirm the changes: Press the SET key to accept the changes, or cancel the changes with the Cancel key. 86500-IMG rev 3 GE Healthcare...
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7 Menu options GE Healthcare 86500-IMG rev 3...
If the error code includes an OK-text, press the middle function key (below the LCD) and then follow the procedures suggested by Diamond. All possible conditions and the remedial action required are listed in table 8.1, Diamond error code guide. 86500-IMG rev 3 GE Healthcare...
Underflow in Auto Time kV too high. Try with lower kV or Auto kV-mode values. Er0033 Cassette tray back up Clear and try again. If time reached. problem persists, call service. Table 8.1 Diamond error code guide GE Healthcare 86500-IMG rev 3...
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Er0057 mA failure. Clear and try again. If problem persists, call service. Er0058 Anode start failure Clear and try again. If problem persists, call service. Table 8.1 Diamond error code guide 86500-IMG rev 3 GE Healthcare...
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Side collimator failure. Clear and try again. If problem persists, call service. Er0074 Internal communication Clear and try again. If error. AEC Board not problem persists, call service. answering. Cable broken. Table 8.1 Diamond error code guide GE Healthcare 86500-IMG rev 3...
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Remove Delta 32 or biopsy position. paddles to enable tube head AutoDrive. Er0091 Z-movement disabled in Clear and continue. If a Specimen mode. patient is to be examined, exit the Specimen mode. Table 8.1 Diamond error code guide 86500-IMG rev 3 GE Healthcare...
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8 Troubleshooting GE Healthcare 86500-IMG rev 3...
For general cleaning, use a non-lint cloth dampened with water, or a lukewarm, diluted aqueous solution of household dishwasher liquid. Handle the plastic accessories carefully, and inspect them frequently. If they begin to crack, discontinue their use and replace them. 86500-IMG rev 3 GE Healthcare...
Check that the thickness display indicates 6.0 cm. If not, call for service. X-ray field light check Switch on the x-ray field illumination light and check that it covers the imaging area. GE Healthcare 86500-IMG rev 3...
The manufacturer can supply at request necessary documents to an GE-approved service technician for repair of such parts that the manufacturer has indicated to be repairable.
9 System maintenance Once a year Procedure/Section in Diamond Installation Instructions (86501-IMG) Check for the operation of the C-Arm gear. Lubricate, if necessary. Check the collimator and filter mechanism and movement. Inspect the floor fixing points to ensure the secure and safe fixing of the support base plate of the unit.
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As the used X-ray tube and oil, high voltage unit, all electronic boards and parts of lead in collimator and under the AEC detectors are toxic waste, refer to country-specific disposal instructions. 86500-IMG rev 3 GE Healthcare...
Insert a new bulb. Avoid touching the bulb with your fingers. Use a protective plastic bag (around the bulb, dependent on the bulb manufacturer) or cotton gloves. Slide the lamp support plate back to normal position. GE Healthcare 86500-IMG rev 3...
16 A slow blow fuse in power outlet NOTE! The Diamond is a cord-connected device, delivered without a plug (in some markets). Depending upon local electrical code requirements, it may be either hard-wired or plugged into an outlet. Please consult your electrician to determine the requirements, and if necessary to provide a plug which matches your outlet.
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10 Specifications System specifications for Diamond, model MGX 2000 IEC applied part type Enclosure IP 20 Weight 350 kg (771 lbs.) Height 1.9 m (6 1/4 ft) Operation mode Continuous operation with intermittent loading Radiation intensity Typical range 1000-1200mR/ 100mA at 28kV...
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> 40: ±10% Time range Focus 0.3 mm 0.02 - 5 s Focus 0.1 mm 0.04 - 10 s Tolerance: ± 0.10 + instrument inaccuracy Tube loading chart for Diamond X-ray tube (M113SP) M113SP M113SP M113SP M113SP mA(SF) mA(LF)
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Operating range for large focus 23 - 35 kV for small focus 25 - 35 kV Nominal shortest irradiation time 60 msec. X-RAY TUBE Diamond (Varian M113SP in B112 housing) Anode type Rotating dual-angle anode Anode heat capacity 300,000 HU...
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Wu X, Gingold Eric L, Barnes Gary T, Tucker Douglas M, Radiology 1994; 193:83-89 Correspondence between X-ray field and image reception area Chest wall 0...+3 mm Other walls +1...+5 mm ≤ 5 mm any wall Correspondence between collimator light field and X-ray field 86500-IMG rev 3 GE Healthcare...
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The resistance value divided by voltage. A calibrated x-ray monitor measures the voltage over feedback resistor and provides a mAs value. The nominal x-ray voltage 39kV is obtained at highest tube current 50 GE Healthcare 86500-IMG rev 3...
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Fuse 13/32” 20AF 600VAC (Bussmann KTK-20) AMD 32305, F1 Fuse 6.3x32 mm 10AT 250V Diamond fuses used by Delta 32 On PCB located in the bottom-part plate of the C-Arm. Fuse Board 33615, F5 Fuse 1 pc 6x32 mm 1,25AT 250V...
LECTROMAGNETIC OMPATIBILITY TABLES The Diamond is suitable for use in the specified electromagnetic environment. The purchaser or user of the Diamond should assure that it is used in an electromagnetic environment as described below: Emissions Test Compliance Electromagnetic Environment Radio-Frequency Group 1 The Diamond uses RF energy only for its internal function.
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10 Specifications The Diamond is suitable for use in the specified electromagnetic environment. The purchaser or user of the Diamond should assure that it is used in an electromagnetic environment as described below: Immunity Test IEC 60601-1-2 Compliance Electromagnetic Environment...
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10 Specifications The Diamond is suitable for use in the specified electromagnetic environment. The purchaser or user of the Diamond should assure that it is used in an electromagnetic environment as described below: Immunity Compliance Electromagnetic Test 60601-1-2 Level Environment...
11 User’s Statement Of Model Diamond 11 User’s Statement Of Model Diamond Radiation Leakage Technique Factors: The maximum-rated peak tube potential is 39 kVp and the maximum- rated continuous tube current is 4.0 mA (Duty cycle 1:12) for the maximum-rated peak tube potential at a large focal spot. The maximum- rated peak tube potential is 35 kVp and the maximum-rated continuous tube current is 4.5 mA (Duty cycle 1:3) for the maximum-rated peak tube...
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11 User’s Statement Of Model Diamond General Output Rating and Duty Cycle: At 230 VAC nominal: Large Focal Spot 100 mA at 25 kV, 70 mA at 35 kV Small Focal Spot 30 mA at 23 kV, 20 mA at 35 kV Exposures are automatically limited if the tube or housing heat capacity counter is activated.
12 Diamond X-ray tube data sheets 12 Diamond X-ray tube data sheets Various tube charts and markings are included in the latest revision of 5708, M113SP Rotating Anode Tube by Varian Medical Systems. 12.1 M113SP F ILAMENT EMISSION CHARTS 3 Ø Full Wave...
12 Diamond X-ray tube data sheets 12.4.2 Constant Potential 60 Hz 12.5 D ESCRIPTION The M113SP rotating anode X-ray tube is a 39 kVp VARIAN insert tube with 0.1 mm and 0.3 mm focal spot combination and 77 mm diameter bi- angular (10°/16°) Molybdenum anode disc, cathode grounded.
12 Diamond X-ray tube data sheets 12.6 G ENERAL DATA Maximum Peak Voltage: 39 kV (Anode to Ground) Nominal Focal Spot Size: Small 0.1 mm (Refer to General Information Section for Focal Spot Measurement Method) Large 0.3 mm Maximum Anode Load: 3-phase, 180Hz, 0.1 second...
12 Diamond X-ray tube data sheets Low Voltage Cable: Pin Position Function Phase Shift Phase Common Housing Ground Grid Not used Small Filament Filament Common Large Filament 12.8 F ILAMENTS Focal spot Volts Amperes 3.8 - 7.3 3.0 - 4.8 6.0 - 10.5...
12 Diamond X-ray tube data sheets 12.10 I NHERENT FILTRATION Inherent filtration of the insert is 0 mm Aluminum equivalent. For operation of the X-ray tube to 39 kV, a minimum of 0.5mm Aluminum equivalent must be added to the X-ray beam.
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12 Diamond X-ray tube data sheets GE Healthcare 86500-IMG rev 3...
U.S. Government or any of its agencies shall be governed solely by the terms of this Agreement and shall be prohibited except to the extent expressly permitted by the terms of this agreement. 86500-IMG rev 3 GE Healthcare...
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13 End user license agreement GE Healthcare 86500-IMG rev 3...
C-Arm angle display Vertical movement keys Compression thickness display Filter selection button Tube park keys The unit is CE-marked (if the unit contains CE mark) according to the Medical Device Directive 93/42/EEC. AEC-mode selection key 86500-IMG rev 3 GE Healthcare...
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This symbol (if marked) indicates that waste electrical and electronic equipment must not be disposed of as unsorted municipal waste and must be collected separately. Please contact an authorized representative of the manufacturer for information concerning the decommissioning of your equipment. GE Healthcare 86500-IMG rev 3...