Trident HD Specimen Radiography System User Guide Table of Contents Table of Contents List of Figures _________________________________________________________________ ix List of Tables __________________________________________________________________ xi 1: Introduction __________________________________________________________________1 Intended Use................................1 System Capabilities ..............................1 User Profiles................................1 Quality Control Requirements ..........................2 Where to Find the Installation Instructions ......................
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Trident HD Specimen Radiography System User Guide Table of Contents 4: User Interface ________________________________________________________________23 About the Taskbar ..............................23 Select Patient Screen ............................. 25 4.2.1 Open a Patient ............................26 4.2.2 Add a New Patient ..........................26 4.2.3 Edit the Patient Information ........................27 4.2.4...
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Trident HD Specimen Radiography System User Guide Table of Contents 8: Maintenance, Cleaning, and Disinfecting _______________________________________61 General Information ............................. 61 8.1.1 For General Cleaning ..........................61 8.1.2 For Disinfecting ............................61 8.1.3 To Prevent Possible Injury or Equipment Damage ................62 Component Specific Care ............................
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Trident HD Specimen Radiography System User Guide Table of Contents Glossary of Terms ______________________________________________________________79 Index _________________________________________________________________________81 viii MAN-05478-002 Revision 003...
Trident HD Specimen Radiography System User Guide Table of Contents List of Figures Figure 1: Trident HD System ............................5 Figure 2: Label Locations ..............................13 Figure 3: System Components ............................15 Figure 4: Specimen Tray Positions ..........................16 Figure 5: Specimen Tray Markings for the Full-Field Detector ................. 17 Figure 6: Power and Network Connections .........................
Trident HD Specimen Radiography System User Guide Table of Contents List of Tables Table 1: System Labels ..............................14 Table 2: The Taskbar Sections ............................23 Table 3: Filter Tab Options (Require Access Privileges) ..................32 Table 4: The Procedure Screen ............................34 Table 5: Required Procedures ............................
Specimen radiography systems are used in diagnostic imaging departments, pathology departments, or in surgical suites. Radiologic Technologists, surgical personnel, surgeons, radiologists and pathologists can use specimen radiography equipment. Hologic recommends that users receive training in basic ionizing radiation safety before using the system. User Profiles •...
These warranties do not apply to any item that is: (a) repaired, moved, or altered other than by Hologic authorized service personnel; (b) subjected to physical (including thermal or electrical) abuse, stress, or misuse;...
Chapter 1: Introduction 1.10 Hologic Cybersecurity Statement Hologic continuously tests the current state of computer and network security to examine possible security problems. When necessary, Hologic provides the updates to the product. For Cybersecurity Best Practices documents for Hologic products, refer to the Hologic Internet site at www.Hologic.com.
Trident HD Specimen Radiography System User Guide Chapter 1: Introduction 1.12 Descriptions of Warnings, Cautions, and Notes Descriptions of Warnings, Cautions, and Notes used in this manual: WARNING! The procedures that you must follow accurately to prevent possible dangerous or fatal injury.
Trident HD Specimen Radiography System User Guide Chapter 2: General Information Chapter 2 General Information System Overview Figure 1: Trident HD System Figure Legend 1. Image Display Monitor 2. Control Display 3. Imaging Cabinet MAN-05478-002 Revision 003 Page 5...
Always follow all the instructions in this manual. Hologic does not accept responsibility for injury or damage from incorrect system operation. Hologic can arrange for training at your site. The system has safety interlocks, but the user must understand how to safely operate the system and be aware of the health hazards of x-ray radiation.
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Trident HD Specimen Radiography System User Guide Chapter 2: General Information WARNING! To prevent shock hazard, do not use the system unless the blades of the polarized plug can be fully inserted in the electrical outlet. WARNING! Before each use, check that the power cord is in good condition and is fully inserted in the electrical outlet.
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Trident HD Specimen Radiography System User Guide Chapter 2: General Information Warning: Do not use the system if the glass is cracked or damaged. Warning: This system can be dangerous to the user. Always follow the safety precautions for x-ray exposures.
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Trident HD Specimen Radiography System User Guide Chapter 2: General Information Caution Risk of data loss. Do not put any magnetic media near or on devices that create any magnetic fields. Caution To prevent possible damage from thermal shock to the Digital Image Receptor, follow the recommended procedure to turn off the equipment.
Trident HD Specimen Radiography System User Guide Chapter 2: General Information Caution Portable and mobile RF communications can affect medical electrical equipment. Caution To prevent low image quality, perform system calibrations when prompted. Caution To prevent low image quality, make sure to remove all patient material from the Imaging Cabinet and specimen tray.
If adjacent or stacked use is necessary, make sure that the ME Equipment or ME System operates correctly in this configuration. Caution: Changes or modifications not expressly approved by Hologic could void your authority to operate the equipment. MAN-05478-002 Revision 003...
Trident HD Specimen Radiography System User Guide Chapter 2: General Information 2.5.2 Compliance Statements The manufacturer states this device is made to meet the following requirements: UL, IEC, EN: • UL 61010-1: 2012 - Safety Requirements for Electrical Equipment for Measurement, Control, and Laboratory Use;...
Trident HD Specimen Radiography System User Guide Chapter 2: General Information Label Locations Figure 2: Label Locations MAN-05478-002 Revision 003 Page 13...
Trident HD Specimen Radiography System User Guide Chapter 2: General Information Table 1: System Labels System Nameplate X-ray Device Warning Electrical Shock Warning Page 14 MAN-05478-002 Revision 003...
Trident HD Specimen Radiography System User Guide Chapter 3: Components, Controls, and Indicators 3.1.1 Imaging Cabinet Components The console houses a shielded imaging cabinet. The placement of the specimen tray determines the magnification level of the image. Figure 4: Specimen Tray Positions Figure Legend 1.
Trident HD Specimen Radiography System User Guide Chapter 3: Components, Controls, and Indicators Specimen Tray The specimen tray has markings to show the center point, the 1.5x magnification margins, and the 2.0x magnification margins. Figure Legend 1. Center 2. 2.0x Magnification Margins 3.
Trident HD Specimen Radiography System User Guide Chapter 3: Components, Controls, and Indicators System Connections Power and Network Connections Figure Legend 1. Potential Equalization Connection 2. Power Cord Connection 3. Service Port 4. Ethernet Port Figure 6: Power and Network Connections Put the system in a location where you can easily access power connections and network connections.
Trident HD Specimen Radiography System User Guide Chapter 3: Components, Controls, and Indicators How to Move the Console Note The power cord wraps on the back side of the console to provide safe storage of the cord during console movement.
Trident HD Specimen Radiography System User Guide Chapter 3: Components, Controls, and Indicators Press the computer power button on the control display. The computer powers on and the Login screen opens. Figure 8: Computer Power Switch Figure 9: Login Screen Enter your user name and password then select the arrow icon.
Trident HD Specimen Radiography System User Guide Chapter 3: Components, Controls, and Indicators At the Startup screen, select the Patient List button. Figure 10: Startup Screen Note The Startup screen includes a Shutdown button that turns off the computer and a Reboot button that restarts the computer.
Trident HD Specimen Radiography System User Guide Chapter 3: Components, Controls, and Indicators How to Log Out In the Procedure screen, select the Close Patient button. In the Select Patient screen, select the Close button. At the Startup screen, select the Log Out button. At the confirmation prompt, select the Yes button.
Trident HD Specimen Radiography System User Guide Chapter 4: User Interface Chapter 4 User Interface About the Taskbar The Taskbar at the bottom of the screen displays additional icons, which you can select to access information or perform system tasks.
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Trident HD Specimen Radiography System User Guide Chapter 4: User Interface Network Connections Select the Network icon to display the Network Connectivity menu. Connection Name shows the current network connection in use. Connection Strength shows the strength of the wireless network connection.
Trident HD Specimen Radiography System User Guide Chapter 4: User Interface Select Patient Screen Figure 12: Select Patient Screen Figure Legend 1. Quick Search Search the local database for the Patient Name, Patient ID, or Accession Number. 2. Tabs The filter tabs at the top of the screen are configurable. A Manager can delete tabs and...
Trident HD Specimen Radiography System User Guide Chapter 4: User Interface 4.2.1 Open a Patient Select a tab to show the desired list of patients. Select a patient from the list. The Open button becomes active. Select Open to access the Procedure screen for that patient.
Trident HD Specimen Radiography System User Guide Chapter 4: User Interface 4.2.3 Edit the Patient Information Figure 14: Edit Patient Information Screens In the Select Patient screen, select the patient name then select the Edit button. In the Edit Patient screen, make changes then select the Save button.
Trident HD Specimen Radiography System User Guide Chapter 4: User Interface 4.2.4 Split the Patient Records Figure 15: Split Patient Records Screen The Split function lets you move images when you acquired the images in the incorrect procedure or the incorrect patient.
Trident HD Specimen Radiography System User Guide Chapter 4: User Interface Images Acquired in the Wrong Procedure In the Select Patient screen, select the patient. Select the Split button. The Split Patient Records screen opens. Select the images to move. If all images are being moved, select Select All.
Trident HD Specimen Radiography System User Guide Chapter 4: User Interface Images Acquired in the Wrong Patient In the Select Patient screen, select the patient that has the images that need to be moved. Select the Split button. The Split Patient Records screen opens.
Trident HD Specimen Radiography System User Guide Chapter 4: User Interface 4.2.5 Delete a Patient In the Select Patient screen, select one or more patients. Select the Delete button. When the confirmation dialog box opens, select Yes. Note A Primary System User can not delete patients, but a Manager can.
Trident HD Specimen Radiography System User Guide Chapter 4: User Interface Filter Tab Use the Filter tab to change the filter options for the patient list. When you select or cancel an option, the change shows in the Results area of the screen.
Trident HD Specimen Radiography System User Guide Chapter 4: User Interface Columns Tab Use the Columns tab to add more search options (for example, Age, Gender, Notices) to the filtered list. The options show as columns in the results area. To add more columns to a filtered list, select the Columns tab then select the options.
Trident HD Specimen Radiography System User Guide Chapter 4: User Interface Procedure Screen Figure 19: Procedure Screen Table 4: The Procedure Screen Select the Tools tab to review the images — refer to Image Review Tools on page 46. 1. Tabs Select the Comments tab to add comments to the images —...
Trident HD Specimen Radiography System User Guide Chapter 4: User Interface Table 4: The Procedure Screen 6. Buttons Many functions are accessed from this screen by selecting a particular button: Add Procedure: Add a new procedure—refer to Add a Procedure on page 35.
Trident HD Specimen Radiography System User Guide Chapter 4: User Interface 4.3.2 Simple and Advanced Button You can show a smaller or larger set of image review tools on the Tools tab. This button toggles the set of tools that are displayed.
Trident HD Specimen Radiography System User Guide Chapter 4: User Interface 4.3.4 Close a Patient Select the Close Patient button. The system returns to the Select Patient screen and automatically saves to the configured output devices any images that were not sent previously.
Trident HD Specimen Radiography System User Guide Chapter 4: User Interface How to Use the On-Demand Outputs The On-Demand Outputs are: Archive, Print, or Export. You can manually Archive, Print, or Export an image until the procedure is closed. When you press an On-Demand output button, you have the option to send the image to any of the configured Outputs.
Trident HD Specimen Radiography System User Guide Chapter 4: User Interface 4.6.3 Print In the Procedure screen, select the Print button. The Print screen opens. Refer to the figure on page 40 to prepare your print information. Select the film format from the Options area of the page.
Trident HD Specimen Radiography System User Guide Chapter 4: User Interface Figure 23: Print Screen Figure Legend 1. Show or hide patient data. 2. Show or hide markings and annotations. 3. Print the image from a ventral perspective. 4. Print the image from a dorsal perspective.
Trident HD Specimen Radiography System User Guide Chapter 5: The Images Chapter 5 The Images Image Display Screen Figure 24: Image Display Screen After you make an exposure, the acquired image opens on the Image Display monitor. Patient and procedure information can be displayed on the Image Display screen. To turn patient and procedure information on or off, go to the Tools tab in the Procedure screen and select the Patient Information button.
Trident HD Specimen Radiography System User Guide Chapter 5: The Images How to Set the Exposure Techniques Two exposure control modes (or AEC modes) are available for selecting exposure techniques. • Auto mode is the recommended mode for exposure techniques. In Auto mode, the system automatically selects the kV and mAs values.
Trident HD Specimen Radiography System User Guide Chapter 5: The Images Press and release the X-RAY button. Figure 26: X-RAY Button During the exposure: • The X-RAY button changes to yellow to indicate that the x-ray emission sequence has started. The radiation symbol illuminates below the X-RAY button. (See the following figure.)
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Trident HD Specimen Radiography System User Guide Chapter 5: The Images After the exposure ends: • The image opens on the Image Display monitor and a thumbnail image appears in the thumbnail area of the Procedure screen. The image is automatically accepted.
Trident HD Specimen Radiography System User Guide Chapter 5: The Images How to Review the Images Figure 28: Tools Tab in the Procedure Screen Select a thumbnail image. The image opens in the preview area of the Procedure screen and on the Image Display monitor.
Trident HD Specimen Radiography System User Guide Chapter 5: The Images 5.4.1 Image Review Tools Tools Tab Figure Legend 1. The Zoom tool magnifies the whole image. 2. The Pan tool is used to move the view to a different portion of the image by dragging.
Trident HD Specimen Radiography System User Guide Chapter 5: The Images You can toggle between two sets of image review tools in the Tools tab. Select the Advanced button to show all the image review tools. Select the Simple button to show only the basic image review tools.
Trident HD Specimen Radiography System User Guide Chapter 5: The Images Priors Tab Figure 31: Priors Tab You can retrieve or import prior DICOM images for a patient and view them on the system. The type of image you are viewing determines which buttons you can use.
Trident HD Specimen Radiography System User Guide Chapter 5: The Images Contrast Views • Low Energy button • Subtracted button • Low Energy/Subtracted Split button Stereo Pair Views • Select the -15 button to show that stereo image. • Select the +15 button to show that stereo image.
Trident HD Specimen Radiography System User Guide Chapter 6: Sample Clinical Sequences Example Sequence of Operation Step Where This Action Is Done Move the console to the correct location. Lock the casters. Connect the system to power and the network.
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Trident HD Specimen Radiography System User Guide Chapter 6: Sample Clinical Sequences Start the system and log in. MAN-05478-002 Revision 003 Page 53...
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Trident HD Specimen Radiography System User Guide Chapter 6: Sample Clinical Sequences Select the patient and procedure. Page 54 MAN-05478-002 Revision 003...
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Trident HD Specimen Radiography System User Guide Chapter 6: Sample Clinical Sequences Prepare the specimen per facility policy and center on the specimen tray. Position the specimen tray in the imaging cabinet for the required magnification level. Close the door.
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Trident HD Specimen Radiography System User Guide Chapter 6: Sample Clinical Sequences Acquire the image. Page 56 MAN-05478-002 Revision 003...
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Trident HD Specimen Radiography System User Guide Chapter 6: Sample Clinical Sequences Review the image. Archive or export the images, then close the patient. MAN-05478-002 Revision 003 Page 57...
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Trident HD Specimen Radiography System User Guide Chapter 6: Sample Clinical Sequences Remove the specimen tray from the imaging cabinet. Follow facility policy for specimen handling. Turn off the system. Clean the system. Page 58 MAN-05478-002 Revision 003...
Trident HD Specimen Radiography System User Guide Chapter 7: Quality Control Chapter 7 Quality Control Required Quality Control Procedures The following procedures are necessary for correct system operation. Table 5: Required Procedures Test Frequency Gain Calibration Monthly How to Access the Quality Control Tasks From the Admin screen, select one of the following buttons: Gain Calibration or Test Patterns.
Trident HD Specimen Radiography System User Guide Chapter 7: Quality Control 7.2.1 Gain Calibration Do the Gain Calibration monthly and when artifacts are seen. Note When the system shows the Gain Calibration message, do the procedure before you shut down the system. If you do the Gain Calibration at a different time, access the procedure through the Admin screen.
Use the least possible amount of cleaning fluids. The fluids must not flow or run. 8.1.2 For Disinfecting To disinfect the system's components and surfaces, Hologic recommends the following disinfecting solutions: • 10% chlorine bleach solution and water with one part commercially available chlorine bleach solution (normally 5.25% chlorine and 94.75% water) and nine...
Trident HD Specimen Radiography System User Guide Chapter 8: Maintenance, Cleaning, and Disinfecting 8.1.3 To Prevent Possible Injury or Equipment Damage Do not use a corrosive solvent, abrasive detergent, or polish. Select a cleaning/disinfecting agent that does not damage the plastics, aluminum, or carbon fiber.
Power Cord How to Inspect the Power Cord Once every quarter, visually inspect the power cord for cuts, damage to the cover, or strain relief. If the power cord appears damaged, contact Hologic for replacement of the power cord. Maintenance 8.3.1...
Trident HD Specimen Radiography System User Guide Chapter 8: Maintenance, Cleaning, and Disinfecting Table 7: Service Preventive Maintenance Done Action Annually Perform Check Sensor Status Condition the X-Ray Source Perform kV Verification Perform mAs Verification Perform Flat Field Artifact Evaluation...
This section tells about the functions available in the Admin screen. To access this screen, select the Admin button in the Select Patient screen. Note A Manager and a Hologic Service User have access to all functions on the Admin screen. A Primary Specimen User has access to some functions. Figure 33: Admin Screen...
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Trident HD Specimen Radiography System User Guide Chapter 9: System Administration Interface Table 8: Admin Screen Functions Section Button Screen Function Quality Control Gain Calibration Perform the Gain Calibration procedure. QC Report Create a QC Report. Test Patterns Select and send the test patterns to output devices.
About Screen The About screen provides information about the machine, such as system level, IP address, and serial number. This type of data can be useful when working with Hologic to configure the system or resolve a system issue. The screen is accessed in two ways: •...
Trident HD Specimen Radiography System User Guide Chapter 9: System Administration Interface Change the User Language Preference Users can set the language on the user interface to automatically change to their individual preference when logging in. At the Select Patient screen, select the Admin button.
Trident HD Specimen Radiography System User Guide Chapter 9: System Administration Interface System Tools Managers and users with Service permissions can access the System Tools utility. The System Tools utility contains the configuration information about the system. To access the utility, select System Tools from the System group in the Admin screen.
Trident HD Specimen Radiography System User Guide Chapter 9: System Administration Interface Table 9: Radiologic Technologist Manager—System Tools Functions Section Screen Functions Getting Started About: The introduction to the service tool. FAQ: List of common questions. Glossary: List of terms and descriptions.
Trident HD Specimen Radiography System User Guide Chapter 9: System Administration Interface Figure Legend 1. Search parameters 2. Patient List area 3. Patients To Be Archived area 4. Add selection in the Patient List area to the Patients To Be Archived area 5.
Trident HD Specimen Radiography System User Guide Chapter 9: System Administration Interface To Export: Select the patients and the procedures to export. • Select patients from the patient list, or do a search with one of the search parameters (item 1) and select patients from the search results.
Trident HD Specimen Radiography System User Guide Appendix A: System Specifications Appendix A System Specifications App endix A Product Measurements Figure 40: Console Measurements Height 169 cm (66.5 inches) Width 61 cm (24 inches) Depth 66.1 cm (26 inches) Weight 12 cm x 14 cm detector 126.2 kg (278 pounds)
Trident HD Specimen Radiography System User Guide Appendix A: System Specifications Operation and Storage Environment A.2.1 General Conditions for Operation This equipment is designed for safe and effective operation under the following conditions for Indoor Use: Altitude To 3,048 m (10,000 feet)
Trident HD Specimen Radiography System User Guide Appendix A: System Specifications Console Technical Information A.3.1 General Information Operating System Windows 10 Solid State Drive Capacity 512 GB Memory 8 GB RAM Storage Media USB 3.0 Image Display Monitor no less than 1600 x 1200 pixel resolution...
Trident HD Specimen Radiography System User Guide Appendix A: System Specifications X-ray Tube Technical Information Source-to-Image Distance (SID) 43 cm ±0.5 cm (16.9 inches ±0.2 inches) Focal Spot no more than 55 microns Tube Voltage 20 kV to 50 kV Duty Cycle 16%;...
Taskbar. Some conditions require a system restart or indicate that more action is necessary (for example to call Hologic Technical Support.) This chapter describes the message categories and your actions to return the system to normal operation. If errors repeat, contact Hologic Technical Support.
Trident HD Specimen Radiography System User Guide Appendix B: System Messages and Alerts Critical Faults Critical fault designs: • Not released through the software or communications commands. • Cancel an exposure that is in progress. • Prevent the start of a new exposure.
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Trident HD Specimen Radiography System User Guide Glossary of Terms Glossary of Terms Automatic Exposure Control Annotations Markings on an image to indicate an area of interest. DICOM Digital Imaging and Communications in Medicine PACS Picture Archiving and Communications System. A computer and network system that transmits and archives digital medical images.
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Trident HD Specimen Radiography System User Guide Index Index export, images • 38 about screen • 67 faults • 77, 78 access filters for patients • 31 quality control • 2, 59 columns tab • 33 acquire images • 42 filter tab •...
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Trident HD Specimen Radiography System User Guide Index safety on-demand outputs • 38 general information • 6 open patient procedure • 26 screen output devices about screen • 67 icons • 23 add patient • 26 output set • 49 add procedure •...
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Trident HD Specimen Radiography System User Guide Index taskbar • 23 technical support • 2 tools, system • 69 tray • 17 turn off system • 22 turn on system • 19 USB connection • 15, 18 user interface • 23 warnings and precautions •...
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