MANTENIMIENTO

Siemens
The reproduction, transmission or use

of this document or its contents is not
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Print No.:
SiemensTomic
AXIOM Multix M
System
Maintenance Instructions
AX
2004
AXB4-400.831.10.04.02
Replaces: AXB4-400.831.10.03.02
English
Doc. Gen. Date: 01.07
AXIOM Multix M
The protocol AXB4-400.832.10.04.02 is required for these
instructions
08395381 08395399 08395415 08395431
2 Revision / Disclaimer
AXIOM Multix M AXB4-400.831.10.04.02 Siemens
01.07 CS PS AX R-F
Page 2 of 88
1Revision / Disclaimer
Document revision level
The document corresponds to the version/revision level effective at the time of system
delivery. Revisions to hardcopy documentation are not automatically distributed.
Please contact your local Siemens office to order current revision levels.
Disclaimer
The installation and service of equipment described herein is to be performed by qualified
personnel who are employed by Siemens or one of its affiliates or who are otherwise autho-
rized by Siemens or one of its affiliates to provide such services.
Assemblers and other persons who are not employed by or otherwise directly affiliated with
or authorized by Siemens or one of its affiliates are directed to contact one of the local
offices of Siemens or one of its affiliates before attempting installation or service proce-
dures.
Siemens AXB4-400.831.10.04.02 AXIOM Multix M
01.07 CS PS AX R-F
Table of Contents 3
Page 3 of 88
0 Table of Contents
1 _______ Prerequisites / Notes_____________________________________________ 6
Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Safety Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Product-specific Remarks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
General Remarks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
2 _______ General Visual Check ___________________________________________ 10
Visual Inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Table of Warning Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
3 _______ Cleaning the Components _______________________________________ 12
4 _______ POLYDOROS IT ________________________________________________ 13
Special Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Required Documents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Required Tools, Test Equipment and Aids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Required Materials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Product-specific Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Work Time/Maintenance Interval . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Inspection and Maintenance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Error Log. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Checking the High Voltage Cables (with corona disks in the HV transformer) . . . . . 15
Direct Technique Radiation Displays. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
IONTOMAT Limit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Dose Rate IQ Initial Values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Direct Technique Dose Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Conditioning the X-Ray Tube(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
IQ Final Test with Direct Technique. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
IONTOMAT Fields. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
5 _______ MULTIX Table __________________________________________________ 21
Checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Floor Mounting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Emergency Stop Switches . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Bucky . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
6 _______ Column stand__________________________________________________ 26
Longitudinal Bridge and Column. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
4 Table of Contents
01.07 CS PS AX R-F
Page 4 of 88
Steel Support Cable and Anti-drop Brake . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Support arm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
7 _______ VERTIX MP/MT _________________________________________________ 33
Special Requirements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Inspection and Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Check the steel support cable on the VERTIX MT . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Check the steel support cables on the VERTIX MP . . . . . . . . . . . . . . . . . . . . . . . . . 36
Brakes and Stops . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
8 _______ Detector Insert _________________________________________________ 39
9 _______ 3D TOP Ceiling Stand ___________________________________________ 42
10 ______ Multileaf Collimator/Universal Collimator ___________________________ 55
11 ______ Automatic Formatting with the MD Image System____________________ 57
Table in the Sample Documents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Coincidence of Light Field - Radiation Field . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Radition Field Center / Center of Detector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Displayed Radiation Field Size to Actual Radiation Field Size . . . . . . . . . . . . . . . . . 64
12 ______ Monitor _______________________________________________________ 67
13 ______ MD Image System ______________________________________________ 69
14 ______ Tomo _________________________________________________________ 71
Tomography Direct Technique . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
15 ______ Area Dose Product Test Meter ____________________________________ 75
01.07 CS PS AX R-F
Table of Contents 5
Page 5 of 88
Checking the Area Dose Product . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Brief Description of the Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
Evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
16 ______ Final Work Steps _______________________________________________ 80
17 ______ Changes to Previous Version_____________________________________ 82
18 ______ MD Image System ______________________________________________ 83
MD Image System Magnification Factor and Difference . . . . . . . . . . . . . . . . . . . . . . . . 83
Table for Calculating the Magnification Factor "m" . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Table for Calculating the Permissible Difference. . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Workstation 1 Table Sample Document . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Workstation 2 Table Sample Document . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
6 Prerequisites / Notes
01.07 CS PS AX R-F
Page 6 of 88
1-
1.1 Requirements
NOTE During maintenance on the product, the work steps in the
certificate must be documented accordingly.
Maintenance is divided into chapters (as a rule, max. 6 hours
for components). Since there can be the same component
more than one in a customer system, the component check-
points in the certificate are listed accordingly. Each compo-
nent must then be entered with the Part Number and Serial
Number. There are also "options" in the customer system.
The options must be check marked accordingly in the certif-
icate.
With parts that must be replaced periodically (battery/steel
cables...), the startup date or the last replacement date must
be entered to ensure the ability to track the dates. As a rule,
the date can be found in the User Handbook (Handover Pro-
tocol / old Maintenance Certificate).

Required Documents
Maintenance Protocol
See also the individual chapters.
01.07 CS PS AX R-F
Prerequisites / Notes 7
Page 7 of 88
1.2 Notes
1.2.1 Safety Information
1.2.1.1 General Safety Information
When carrying out the work steps and checks, the general safety information contained in
ARTD (General Guidelines for Technical Service) must be observed.
WARNING
Dangerous X-radiation during checks and adjustment work
steps.
Risk of death or serious bodily injury.
During the check and adjustment work steps that must
be performed with radiation switched on, the manda-
tory radiation safety measures must be observed.
These check and adjustment work steps are explicitly
labeled on the following pages with the radiation warn-
ing symbol x.
1.2.1.2 Product-specific Safety Information
When carrying out the work steps and checks, the product-specific safety information con-
tained in the documents must be observed.
1.2.2 Product-specific Remarks
The illustrations and drawings may differ slightly depending on the actual system.
1.2.2.1 Notes Regarding Maintenance
Damaged or worn parts may be replaced only with original parts. The Inspection and Main-
tenance Checklists must be filled out and signed by the Maintenance Technician. Repair
work and work steps that are not listed in the checklists must be listed separately.
NOTE Replace damaged parts in discussion with the customer.

01.07 CS PS AX R-F
Page 8 of 88
1.2.3 General Remarks
1.2.3.1 Maintenance time / interval
The maintenance time and the maintenance interval is listed in each chapter for a compo-
nent or in the general chapters.
The completion times for cyclical replacement of parts, e.g. cables or spring-loaded mech-
anisms, etc. are not included in these Maintenance Instructions.
The work time can be viewed only as a reference value, because the time for e.g. cleaning
can vary widely.
1.2.3.2 Tolerance Data
General tolerances for linear dimensions per ISO 2768
These tolerances apply for all dimensions listed in these instructions as long as no other
tolerance is expressly listed next to the value.
1.2.3.3 Maximum Torque Values in Nm
If no other information is provided, use the corresponding torque values for hardness rating
8.8 when checking torque values!
A tolerance of 10% is permitted for torque values.
Limit value for
the nominal
range
over 3 mm
to 6 mm
over 6 mm
to 30 mm
over
30 mm to
120 mm
over
120 mm to
400 mm
over
400 mm to
1000 mm
over
1000 mm
to
2000 mm
over
2000 mm
to
4000 mm
Adm. toler-
ance
0,5 mm 1 mm 1,5 mm 2,5 mm 4 mm 6 mm 8 mm
Nominal thread
diameter
Screw material
Iron/steel per DIN 267
Brass
CuZn alloy
Hardness rating 4.6 4.8 5.8 8.8 10.9 12.9
M 3 0,5 0,67 0,83 1,3 1,9 2,2 0,62
M 3.5 0,76 1,0 1,3 2,0 2,8 3,4 0,95
M 4 1,1 1,5 1,9 3,0 4,2 5,1 1,4
M 5 2,2 3,0 3,7 6,0 8,4 10,1 2,8
M 6 3,8 5,1 6,4 10,2 14,4 17,3 4,8
M 8 9,5 12,6 15,8 25,3 35,6 42,7 11,9
M 10 18,7 24,8 31,1 49,8 70,0 84,0 23,3
M 12 32,9 43,8 54,8 87,6 123,3 147,9 41,1
01.07 CS PS AX R-F
Prerequisites / Notes 9
Page 9 of 88
1.2.3.4 Explanation of Abbreviations in the Maintenance Certificate
1.2.3.5 DHHS Regulations
This document does not replace the DHHS Maintenance Instructions Maintenance
Instructions/Measurement Certificate in countries with DHHS Regulations.
Abbrevia-
tion
Explanation
SI Safety Inspection
SIE Electrical Safety
SIM Mechanical Safety
PM Preventive Maintenance
PMP Periodic Preventive Maintenance
PMA Maintenance, Preventive Adjustments
PMF Preventive Check of Operating Values and of Functions
Q System Quality, Image Quality
QIQ Image Quality
QSQ System Quality
SW Software Maintenance
CSE Customer Service Engineer
KSK No. Customer-specific Code
IVK Installed Volume Component
MU Maintenance Unit
ROI Region of interest
10 General Visual Check
01.07 CS PS AX R-F
Page 10 of 88
2-
2 General Visual Check
2.1 Visual Inspection
SI Checking the cover panels
All required cover panels present.
- Check the cover panels for visible damage, sharp edges or cracks.
SI Required operator documents present
Are the required operator documents complete, present, legible?
- In new systems, there is a list with the documents that are shipped in the System
Binder.
- Based on this list, completeness can be checked easily.
- The following always applies: All required user instructions, supplements and
safety notes must be present for use of the system.
SI Checking the cable corrugated hoses
The cables (corrugated hoses) may not have any cracks in the insulation.
Check the corresponding strain reliefs or cable shielding connections.
- The check refers only to laid cables that are visible and to the way in which they are
laid!
SI Checking the cable corrugated hoses (of mobile components)
Check the way in which cables are laid (corrugated hoses) to mobile components.
- The cables should not pose a risk of tripping and should not be laid over any sharp
edges.
- The check refers only to laid cables that are visible and to the way in which they are
laid!
SI Checking the radiation protective panels
To the extent configured, visually check the following radiation protective covers for
cracks or other damage:
- Radiation protection cover panels
- Lead rubber flaps
- Ceiling-mounted radiation shield
- Any additional radiation shields that can be installed
- Movable radiation shield
SI Checking warning labels
All warning stickers that indicate a risk (operator, patient or unit) that can occur during
operation of the system must be present and legible.
- e.g: Crushing of fingers, crushing of feet, laser, maximum load, collision warnings.
01.07 CS PS AX R-F
General Visual Check 11
Page 11 of 88
2.2 Table of Warning Labels
For the corresponding pictogram (picture name) and part number, see "Warning
Labels, AX00-000.820.03..."
AXIOM Multix M
Where? Fig.
In the vicinity of the generator on/off switch or system on / off switch. Generator ON
Below the collimator
If the collimator is equipped with a laser line light localizer (1 mW)
Laser Class pictogram
Tabletop, head and foot ends Risk of finger crushing,
white
Detector insert, front right, left rear Max. load 100N
Detector insert, right Risk of finger crushing,
white
Bucky wall stand column, front right; detector insert, top left; vertical car-
riage, bottom left
Risk of finger crushing,
white
12 Cleaning the Components
01.07 CS PS AX R-F
Page 12 of 88
3-
3 Cleaning the Components
Required Tools, Test Equipment and Aids
Cleaning and General Remarks
NOTE Depending on the component, observe the applicable points.

PM Inspection of internal heat dissipation
Clean all ventilation grids.
Check all fans for function.
PM Cleaning
Remove collected dust inside of the particular components.
Remove soiling that is not accessible to the customer's cleaning personnel during main-
tenance work.
NOTE For hygienic reasons, wear rubber gloves while cleaning.

- Soften contrast medium with water only and remove it.
- After completing maintenance work, remove soiling from enameled and anodized
parts with WD40 contact spray, enamel cleaning agent or Hakapur.
Hakapur cleaning concentrate (500 g), cleaning agent for plastic,
glass and enameled parts
96 60 648 RH999
WD40 contact spray (spray bottle, 400 g), cleaning agent and rust
protection for rails
28 70 061
Alcohol n.a.
Lint-free cleaning cloths n.a.
Brush to remove dust n.a.
01.07 CS PS AX R-F
POLYDOROS IT 13
Page 13 of 88
4-
4 POLYDOROS IT
4.1 Special Requirements
4.1.1 Required Documents
Generator User Instructions
Generator Startup Instructions
4.1.2 Required Tools, Test Equipment and Aids
Paints (to touch up chips/scratches in the paint finish)
4.1.3 Required Materials
4.1.4 Product-specific Safety Information
See Generator Startup Instructions
4.1.5 Work Time/Maintenance Interval
Generator only with direct technique: approx. 80 minutes / 12 months
1
Generator only with indirect technique: approx. 40 minutes / 12 months
Copper filter set (10 x 0.3 Cu) 44 06 120
2.1 mm precision radiation filter 99 00 598
Multimeter, e.g. Fluke 8060A 97 02 101
mAs meter 81 60 400
White (spray can) 84 27 734
White textured (paint stick) 34 44 403
Silicon oil, AK350 17 87 035
3-pole corona disks (for cable type RH...., 2x per tube unit!) 17 86 508
- or
3-pole corona disks (for cable type X21..., 2x per tube unit!) 30 65 872
1. Depending on the number of tube units and workstations.
14 POLYDOROS IT
01.07 CS PS AX R-F
Page 14 of 88
Generator with direct technique and indirect technique: approx. 2 hours / 12 months
1
01.07 CS PS AX R-F
POLYDOROS IT 15
Page 15 of 88
4.2 Inspection and Maintenance
4.2.1 General Information
WARNING
Even after switching off the radiographic system, electrical
voltage is still present in the generator.
If not observed, death or serious bodily injury can occur.
Read and observe the warning labels in the cabinets.
Switch power off to the radiographic system and to the
on-site power supply and secure them against switch-
ing power back on.
Wait until all LEDs in the generator go off (at least 5
minutes).
PM Cleaning
See (Cleaning the Components / p. 12)
4.2.2 Error Log
PM Evaluating the Error Log
Read out and evaluate the error log.
Initiate any required corrective measures.
Clear the ERROR log.
4.2.3 Checking the High Voltage Cables (with corona disks in the HV trans-
former)
SI Check the HV cable shielding.
Pull the high voltage cables connected to the high voltage transformer out of the sock-
ets.
NOTE If the shielding braid is to be grounded in the generator cabi-
net, remove the grounding cable for the measurement.

Measure the shielding braid against ground; when doing this, move the cable, particu-
larly where it is bent or looped.
Required: maximum 1 Ohm/m
If necessary, replace the high voltage cables.
Check the high voltage connectors and sockets for damage (burn marks, cracks).
16 POLYDOROS IT
01.07 CS PS AX R-F
Page 16 of 88
Fig. 1: HSK Type / HV Cable Type
Depending on the cable type (Fig. 1 / p. 16), moisten the new corona disks with silicon
oil and reinsert the high voltage cables.
4.2.4 Direct Technique Radiation Displays
SI Checking the Direct Technique Radiation Displays
X Trigger an exposure at 40 kV - 1.25 mAs, large focus and 100%.
If present, the radiation display on the control console and in the examination
room must go on briefly.
The signal must be audible at the place where the unit control console is located.
Select 40 kV, 20 mAs, 2 s.
X Trigger exposure and immediately release the trigger switch.
Exposure must be immediately interrupted.
4.2.5 IONTOMAT Limit
SI Checking the IONTOMAT Limit
Completely close the collimator.
Select IONTOMAT and 40 kV.
Cover over the selected IONOTOMAT measurement fields with absorbers (lead
aprons) or pivot the X-ray tube unit in a different direction.
X Trigger exposure.
Radiation is stopped after 0.1 s.
ERROR 550 is displayed.
01.07 CS PS AX R-F
POLYDOROS IT 17
Page 17 of 88
4.2.6 Dose Rate IQ Initial Values
NOTE In countries with a constancy test and regular reporting, this
measurement can be skipped. Prerequisite for this is that
reporting is anticipated.

If values for indirect dose control are not yet present in the system, the dose must be mea-
sured directly one time. See the IQ Test Procedure.
4.2.7 Direct Technique Dose Rate
NOTE In countries with a constancy test and regular reporting, this
measurement can be skipped. Prerequisite for this is that
reporting is anticipated.

4.2.7.1 Direct Technique IQ Test
Only if the Iontomat is configured
QIQ Workstation 1
QIQ Workstation 2
QIQ Workstation 3
NOTE This check must be performed for each workstation!

Perform the cutoff dose for direct exposure (indirect dose control) for all workstations with
the IONOTOMAT.
For workstations with cassette technique:
Insert an 18x24 cm (8 x 10") cassette without film into the spotfilm device.
For work stations with RAD (exposure detector):
Set the collimation to at least 18x24 cm (8" x 10").
Select the following adjustment parameters:
- Set the max. SID.
- Select the cassette system.
- Move the grid into the beam path.
- Select IONTOMAT, middle measuring field, 77 kV.
- Select the "U" screen, correction = 0, small focus, 80%.
- Do not select any additional filtering at the collimator.
- Place the 2.1 mm Cu precision radiation filter in front of the collimator.
X Release an exposure.
P Make a note of the fluoro kV and mA postdisplay values.
These values will be checked again during the final tests.
18 POLYDOROS IT
01.07 CS PS AX R-F
Page 18 of 88
4.2.8 Conditioning the X-Ray Tube(s)
PMA Conditioning the tube(s) (test shots)
For POLYDOROS SX 65/80 or LX:
See the generator SSW.
POLYDOROS SX 50/80 or IT:
See the Startup Instructions.
PM Check of the max. generator power
NOTE Can be skipped if the the loop impedance was measured in
the system (e.g. during the Safety-technical Check).

With POLYDOROS SX or LX:
Select the "XCS-Service Application-Main Program/Components/Polydoros .../Poly-
doros .../Service/Diagnostic/ Nominal Power" menu.
With the POLYDOROS IT:
See the Startup Instructions.
Connect the mAs meter to the generator.
Select the following parameters:
- Tube 1
- Large focus
- 100 kV
- max. power, e.g. 65 mAs (65 KW) or 80 mAs (80 kW)
- 3-point technique
- 100 ms
X Trigger exposure.
Calculate the max. power from the measured mAs and the kV that was set.
The calculated max. generator power must match the values in the Test Certificate or
Quality Certificate. Max. admissible tolerance 10%.
4.2.9 IQ Final Test with Direct Technique
Only if the Iontomat is configured
Perform the cutoff dose for direct exposure (indirect dose control) for all workstations with
the IONOTOMAT.
For workstations with cassette technique:
Insert an 18x24 cm (8 x 10") cassette without film into the spotfilm device.
P
max.
= kV x mAs
__________
t (0.100 sec.)
01.07 CS PS AX R-F
POLYDOROS IT 19
Page 19 of 88
For work stations with RAD (exposure detector):
Set the collimation to at least 18x24 cm (8" x 10").
Select the following adjustment parameters:
- Set the max. SID.
- Select the cassette system.
- Move the grid in to the beam path.
- Select IONTOMAT, middle measuring field, 77 kV.
- Select the U" screen, correction = 0, small focus, 80%.
- Do not select any additional filtering at the collimator.
- Place the 2.1 mm Cu precision radiation filter in front of the collimator.
X Trigger exposure.
P Make a note of the fluoro mAs value and kV postdisplay value ("IQ Final Test", Direct
Technique IQ Test table).
- Find the tolerance in the IQ Test Certificate.
4.2.10 IONTOMAT Fields
4.2.10.1 Selecting and Checking the Sensitivity of the IONTOMAT Fields
PM Workstation 1
PM Workstation 2
PM Workstation 3
NOTE This check must be performed for each workstation!

Only with three-field chambers
For exposures using the side fields, the difference from the middle chamber may be 20%
of the dose or 0.2 exposure points of the film density.
Select IONTOMAT and 73 kV.
Collimate so that all measuring fields are exposed.
Insert 0.6 mm Cu into the beam path.
Select the left measuring field.
- Cover over the two other fields (lead apron).
X - Release an exposure.
P - Read the mAs post display and make a note of the value.
The mAs post display for the exposures with the side measuring fields may not
differ by more than 20% from the middle measuring field.
Select the middle measuring field.
20 POLYDOROS IT
01.07 CS PS AX R-F
Page 20 of 88
Select the right measuring field.
The mAs postdisplay for the exposures with the side measuring fields may not dif-
fer by more than 20% from the middle measuring field.
Select all measuring fields.
The mAs post display may not differ by more than 20% from the middle cham-
ber.
01.07 CS PS AX R-F
MULTIX Table 21
Page 21 of 88
5-
5 MULTIX Table
Required Documents
Adjustment Instructions
Aids
Product-specific Safety Information
n.a.
Work Time / Maintenance Interval
1 hour / 12 months
Torque wrench, 20 Nm to 100 Nm (3/8" drive) 44 30 906
ESD equipment 97 02 606
Klberplex GE11-680, 100 ml 55 07 608
Longtime PD2 (20 g tube) for bearing cages, open ball bearings, pinion
gears ...
34 91 271
Longtime PD2 (1 kg can) for bearing cages, open ball bearings, pinion
gears ...
73 95 445
Medical Blue (spray can, light blue) 55 07 046
Medical Blue (paint stick) 55 07 087
22 MULTIX Table
01.07 CS PS AX R-F
Page 22 of 88
5.2.1 Checks
PM Cleaning
see (Cleaning the Components / p. 12)
PMP Cleaning the contact surfaces
Clean the outer ring of the bearings for longitudinal movement (1/Fig. 2 / p. 22) and
transverse movement (1/Fig. 3 / p. 22) (alcohol/cleaning solvent) and lubricate them
(PD2 Longtime).
Check the play of the ball bearings/counter bearings ((3/Fig. 3 / p. 22) longitudinal,
(1/Fig. 3 / p. 22) transverse).
- It must be just still possible to turn the bearings by hand. If needed, readjust per the
Adjustment Instructions.
SIM Checking the Rubber Stops
Check the condition of the rubber stops on the patient tabletop longitudinal
(2/Fig. 2 / p. 22) and transverse (2/Fig. 3 / p. 22) for wear.
Check the condition of the stop bumpers for the Bucky longitudinal.
Fig. 2: Fig. 3:
01.07 CS PS AX R-F
MULTIX Table 23
Page 23 of 88
5.2.2 Floor Mounting
SIM Condition and Mounting of the Table Base
T The 4 mounting screws (1/Fig. 4 / p. 23) must be tightened to a nominal torque of
25 Nm.
Fig. 4:
SIE Cabling / Shielding
Checking the Condition and Location of the Cables
Check for secure contact of the shieldings and the strain reliefs.
PMF Cleaning the Lift Drive
Completely remove the old grease with a clean cloth.
Lubricate the lift drive, spindle (1/Fig. 5 / p. 23) with Klberplex GE11-680.
Fig. 5:
24 MULTIX Table
01.07 CS PS AX R-F
Page 24 of 88
NOTE Do not lubricate the dry-running glide bearing
(2/Fig. 5 / p. 23).

SIE Checking the Lift Drive Safety Limit Switches
Checking the Condition of the Flexible Plastic Chain and Wiring Harness
Check the function of the S10 and S11 safety limit switches.
5.2.3 Emergency Stop Switches
SIE Check the function.
The safety breaker audibly deenergizes and the red lamp on the left side of the table
must go on.
All motorized movements must be blocked.
5.2.4 Bucky
PMF Bucky longitudinal drive
Check easy movement.
- Movement must be even and without clattering.
Fig. 6:
SIE Function of the Safety Limit Switches in the Bucky
To do this, select a tomo program.
01.07 CS PS AX R-F
MULTIX Table 25
Page 25 of 88
When the two safety limit switches, S111 and S112 (2/Fig. 7 / p. 25) are actuated, the
safety breaker must be deenergized and the red lamp on the left side of the table must
go on.
Fig. 7:
5.2.4.1 Function check
PMF Function check
Kick switch on the table base
- Release the table longitudinal / transverse brakes (floating patient tabletop).
- Move the table into the top and bottom lift positions.
Footswitch (option)
Hand switch (option)
26 Column stand
01.07 CS PS AX R-F
Page 26 of 88
6-
6 Column stand
Required Documents
Aids
n.a.
Work Time/Maintenance Interval
1 hour / 12 months
Parts Subject to Wear
ESD equipment 97 02 606
Viscogen KL 300 (50 ml tube) for steel cables and chains 72 79 107
Longtime PD2 (20 g tube) for bearing cages, open ball bearings, pinion
gears ...
34 91 271
Longtime PD2 (1 kg can) for bearing cages, open ball bearings, pinion
gears ...
73 95 445
Component Name Quan-
tity
Part No. Cyclical
replace-
ment every
3 years
Replaced
when
damaged
Column
Stand
Cable
1
12 92 411 GE073
X X
01.07 CS PS AX R-F
Column stand 27
Page 27 of 88
PM Cleaning
6.2.1 Longitudinal Bridge and Column
SIM Floor Mounting
T The 3 floor mounting screws (1/Fig. 8 / p. 27) and (1/Fig. 9 / p. 27) for the longitudinal
bridge must be tightened to a torque of 25 Nm.
Check the two end stops at the ends of the bridge (2/Fig. 9 / p. 27) for secure installa-
tion and the rubber bumpers for wear.
Check the connection plates between the longitudinal bridge and the table.
Check the guide rail (2/Fig. 8 / p. 27) and the pins to secure it.
Check the switch strike plates for the S1/S2 safety limit switches (3/Fig. 9 / p. 27).
Fig. 8: Floor mounting screws Fig. 9: End stops
28 Column stand
01.07 CS PS AX R-F
Page 28 of 88
SIM Checking the condition and mounting
Check the roller bearings, counterbearings and lateral guides (1/Fig. 10 / p. 28).
Fig. 10: Guides
Check the cables corrugated hoses and cables for damage.
Check the shielded cables, securing devices and the effectiveness of the shielding.
PMA Checking Rotation and Stops
Checking rotation around the vertical axis .
Check the stop position (2/Fig. 11 / p. 28).
Fig. 11: Column drive
01.07 CS PS AX R-F
Column stand 29
Page 29 of 88
SIE Function of the safety limit switches (only with tomo)
Select tomo.
Move into the S1 and S2 switches (1/Fig. 11 / p. 28) in the uncontrolled mode; to do
this, move the column to the left and then to the right stops.
The switches must positively actuate.
The safety breaker audibly deenergizes and the red lamp on the left side of the
table (safety circuit) must go on.
All unit movements are blocked.
6.2.2 Steel Support Cable and Anti-drop Brake
SIM Check the steel support cable for splits.
To do this, run a cloth over the support cable as shown in (Fig. 12 / p. 29); splits and
cable damage will be indicated by the caught fibers.
Fig. 12: Steel support cable
Lightly relubricate the steel cables with VISCOGEN KL 300.
SIM Steel support cable replaced (required every 3 years)
NOTE If splits or other damage is found, replace the steel support
cable.

SIM Checking the Anti-drop Brake
Secure the counterweight in the holes (1/Fig. 12 / p. 29) with the transport safety device
(installation).
Raise the support arm approx.10 cm.
The anti-drop brake will respond.
30 Column stand
01.07 CS PS AX R-F
Page 30 of 88
To release the anti-drop brake, slightly raise the support arm and press on the support
brake at the cable hanger (1/Fig. 13 / p. 30) until the brake releases.
Fig. 13: Counterweight
Slowly move the support arm down until the support cable is again taut.
Procedure to Replace the Steel Support Cable
Move the support arm all the way down and secure the counterweight at the holes
(1/Fig. 14 / p. 30) using the transport safety devices (installation).
Fig. 14: Transport safety devices
01.07 CS PS AX R-F
Column stand 31
Page 31 of 88
Raise the support arm approx. 30 cm and support it with a 400 x 25 x 50 wooden block
(1/Fig. 15 / p. 31).
Fig. 15: Support arm
Replace the support cable; see also the Adjustment Instructions.
6.2.3 Support arm
SIM Play in the support arm
Check the 3 Allen-head set screws (1/Fig. 16 / p. 31) for tightness on the rotation axis.
Fig. 16: Rotation axis
32 Column stand
01.07 CS PS AX R-F
Page 32 of 88
Check the condition of the rubber bumpers on the vertical carriage (1/Fig. 17 / p. 32).
Fig. 17: Vertical carriage
PMA Rotation Movement and Stop
Perform rotation around the horizontal axis.
Check the stop positions and the central beam to the table and the Bucky wall stand.
PMF Cleaning
Clean and lubricate the roller bearings and contact surfaces for the vertical carriage
(2/Fig. 17 / p. 32).
01.07 CS PS AX R-F
VERTIX MP/MT 33
Page 33 of 88
7-
7 VERTIX MP/MT
Documents required
Required tools, test equipment and aids
n.a.
30 minutes / 12 months
Spring balance, 30 N to 600 N 44 14 884
Viscogen KL300 (50 ml tube) for steel cables and chains 72 79 107
Components Name Quan-
tity
Part No.: Cyclical
replace-
ment every
3 years
Replaced
when dam-
aged
VERTIX MP
Steel support cable 1 12 92 031 GE072 X X
Steel cable (vertical
brake)
1
12 92 114 GE072
n.a. X
VERTIX MT
Steel support cable 1 12 92 031 GE072 n.a. X
Steel cable (vertical
brake)
1
12 92 114 GE072
n.a. X
Steel cable (tilt move-
ment)
1
12 92 338 GE072
n.a. X
Steel safety cable 1 04 75 152 n.a. X
34 VERTIX MP/MT
01.07 CS PS AX R-F
Page 34 of 88
PM Cleaning
SIM Floor and wall mounting
Fig. 18: Floor and wall mounting
Fig. 19: Wall mounting
T The mounting screws (1+2/Fig. 18 / p. 34) must be tightened to a torque of 25 Nm.
Check wall mounting for (1/Fig. 19 / p. 34) secure seating.
1
2
1
01.07 CS PS AX R-F
VERTIX MP/MT 35
Page 35 of 88
7.2.1 Check the steel support cable on the VERTIX MT
SIM Check the steel support cable on the vertical carriage
Check the support cable (1/Fig. 20 / p. 35) for splits.
Fig. 20: VERTIX MT
NOTE If splits are found, replace the steel cable.

SIM Check the steel safety cable on the vertical carriage
Check the steel safety cable (1/Fig. 21 / p. 35)(2/Fig. 20 / p. 35) for splits.
Fig. 21: Safety cable

36 VERTIX MP/MT
01.07 CS PS AX R-F
Page 36 of 88
7.2.2 Check the steel support cables on the VERTIX MP
SIM Check the steel support cable on the vertical carriage
Check the support cable (1/Fig. 22 / p. 36) for splits.
Fig. 22: VERTIX MP

SIM Replace the steel support cable for the vertical carriage (every 3 years)
P The support cable must be replaced every 3 years and the data must be recorded in the
Maintenance Certificate.
7.2.3 Brakes and Stops
SIM Check the braking force of the vertical brake
Install all cover panels, the accessories normally used and the grid.
Insert the detector in the detector tray.
01.07 CS PS AX R-F
VERTIX MP/MT 37
Page 37 of 88
Hook the spring balance onto the handle grip, see the following illustration.
Fig. 23: Vertical braking force
Measure the braking force up and down.
Braking force > 150 N
SIM Check the tilt braking force (VERTIX MT only)
Move the detector tray into the 45 tilt angle.
Hook the spring balance onto the permanent round grip; see the following illustration.
Fig. 24: Tilt braking forces
Measure the braking force up and down.
Braking force > 150 N
38 VERTIX MP/MT
01.07 CS PS AX R-F
Page 38 of 88
SIM Cover Panels and Accessories
Check the cover panels for secure seating.
Check for damage.
Check the Babix holder / patient grips / stretch grip for function and secure seating.
01.07 CS PS AX R-F
Detector Insert 39
Page 39 of 88
8-
8 Detector Insert
Required Documents
n.a.
n.a.
40 Detector Insert
01.07 CS PS AX R-F
Page 40 of 88
PM Cleaning
See (Cleaning the Components / p. 12).
PM Latching
Remove any lead letters (film markers) that may be in the detector insert.
Check the function of the detector insert latching (1/Fig. 25 / p. 40) (1/Fig. 26 / p. 40)
and for secure seating.
Check the function of the flap (2/Fig. 25 / p. 40) in the detector insert.
Fig. 25: Detector insert in the VERTIX
Fig. 26: Detector insert in the table
Check the function of the lever (2/Fig. 26 / p. 40) (1/Fig. 27 / p. 41).
01.07 CS PS AX R-F
Detector Insert 41
Page 41 of 88
Fig. 27: VERTIX MD Trauma detector insert
42 3D TOP Ceiling Stand
01.07 CS PS AX R-F
Page 42 of 88
9-
Required Documents
Replacement Instructions
Aids
n.a.
2 hours / 12 months
Torque wrench attachment 56 60 852
Set of Allen wrenches with ball end (4, 5, 6, 10 mm) (3/8" drive) 81 59 980
8 mm Allen wrench (1/2" drive), without ball end 52 66 531
Spring balance, 100N 44 29 122
Spring balance, 200N 44 15 113
WD40 contact spray (spray bottle, 400 g), cleaning agent and rust
protection for rails
28 70 061
Longtime PD2 (20 g tube) for bearing cages, open ball bearings,
pinion gears ...
34 91 271
Longtime PD2 (1 kg can) for bearing cages, open ball bearings,
pinion gears ...
73 95 445
Viscogen KL 300 (50 ml tube) for steel cables and chains 72 79 107
01.07 CS PS AX R-F
3D TOP Ceiling Stand 43
Page 43 of 88
Component Name Quan-
tity
Part No. Cyclical
replace-
ment after
10 years
Replaced
when
damaged
3D TOP ceil-
ing stand
Spring-loaded
mechanism
1
30 71 680
X X
E-TL steel cable
set
1
30 71 219 G6019
X
Brake lining 2 30 70 815 G6019 X
01.07 CS PS AX R-F
Page 44 of 88
PM Cleaning
See (Cleaning the Components / p. 12).
SIM Longitudinal Bridge / Checking the Condition and Installation
Fig. 28: Longitudinal bridge
T Longitudinal rail ceiling mounting (M10 Allen screws). 50 Nm
NOTE For the screws that are not accessible because of the pinion
rack, the torque wrench attachement, 5660852 absolutely
must be used. Otherwise, the screw heads can be damaged.

Checking the pinion rack.
NOTE This check is required only during the 1st maintenance. The
documentation applies as proof of securing with Loctite! The
the pinion rack mount should be secured with Loctite when
installed the first time. In this case, NO check is required. For
the check, remove one screw to determine whether LOCTITE
has been used; then reinsert the screw with LOCTITE. If LOC-
TITE was not used, apply LOCTITE to all screws on the pinion
rack.

T Check the switch strike plate clamping screws (6/Fig. 28 / p. 44) for the S42/43 safety
limit switches (M4 Allen screw) for tightness.
End stops and rubber bumpers (4/Fig. 28 / p. 44).
5
1
3
6
2
4
01.07 CS PS AX R-F
Page 45 of 88
T Check the M6 set screws (5/Fig. 28 / p. 44) in the longitudinal and transverse stop
detents for tightness. 10 Nm
SIM Check to ensure the roller bearing on the transverse carriage is secured.
The roller bearings are secured at least with mounting screws that are torqued and in
newer units, are also secured with spacer sleeves.
If sleeves are placed over the roller bearing shafts, the torque no longer needs to be
checked.
- The sleeves were installed during the AX004/06/S update, during installation or dur-
ing previous maintenance.
T Check the M8 set screws (1/Fig. 29 / p. 45) to secure the roller bearings. 16 Nm
- Required only if no sleeves have been installed.
- If needed, install the Update Kit, Part No. 87 73 681, Split Collars for Rollers (also
install the sleeves).
Fig. 29: Mount
1
2
01.07 CS PS AX R-F
Page 46 of 88
SIM M4 Transverse Bridge / Checking Installation
Check the roller bearings and lateral guide bearings (2/Fig. 29 / p. 45).
Fig. 30: Checking mounting
Check the mounting points for the cable guides.
Check the stops and rubber bumpers (3/Fig. 30 / p. 46).
T Check the M6 set screws (2/Fig. 30 / p. 46) for the transverse SID stop detents for tight-
ness. 10 Nm
T Tomo drive mounting (two M8 Allen screws). 25 Nm
Check the tomo drive cover panels.
Check the installation parts.
PMA Checking the brake assembly, brake lining
Fig. 31: Brake assembly
2
3
1
1
01.07 CS PS AX R-F
Page 47 of 88
Check the condition of the brake lining (1/Fig. 31 / p. 46).
Check the mounting screws for tightness.
SIE Check the S42/S43 safety limit switches (only with the tomo option).
Check the function of the safety limit switches.
Fig. 32:
Select tomo.
Move into the S42/S43 switches
- The switches must positively actuate.
- The safety breaker audibly deenergizes and the red lamp on the left side of the table
(safety circuit) must go on.
Tomo Drive
01.07 CS PS AX R-F
Page 48 of 88
Fig. 33:
Check the spacing of the pinion gear to the pinion rack (per the Adjustment Instruc-
tions).
Check the function of the lift magnets.
SIM Check to ensure the roller bearing on the telescope carriage is secured.
Fig. 34: Checking mounting
The roller bearings are secured at least with mounting screws that are torqued and in
newer units, are also secured with spacer sleeves.
If sleeves are placed over the roller bearing shafts, the torque no longer needs to be
checked.
- The sleeves were installed during the AX004/06/S update, during installation or dur-
ing previous maintenance.
T Check the set screws to secure the roller bearings (1/Fig. 34 / p. 48). 13 Nm
- Required only if no sleeves have been installed.
- If needed, install the Update Kit, Part No. 87 73 681, Split Collars for Rollers (also
install the sleeves).
1
01.07 CS PS AX R-F
Page 49 of 88
SIM Checking the M1 telescope carraige / installation
Check the mounting points for the cable guides.
Roller bearings and lateral guide bearings.
Checking the cover panels.
Check the installation parts.
PMA Checking the brake assembly, brake lining
Check the condition of the brake lining and the mounting.
Fig. 35: Brake assembly
Check the adjustment (1/Fig. 35 / p. 49).
Check the mounting screws for tightness.
1
01.07 CS PS AX R-F
Page 50 of 88
PM Cleaning the Brake
Fig. 36:
Cover the tube unit and support arm with a cloth because when the brake is removed,
black brake dust will fall down.
Remove the brake cover; three Allen screws (arrows/(Fig. 36 / p. 50)).
- The brake will still hold.
Hold a cloth under the brake and release the brake by pressing the button (blue).
- The brake can now be pulled off carefully (dust).
- Wipe off the brake thoroughly with cloth.
Now stuff the cloth into the brake shaft.
- Do not insert the ends of the cloth into the brake disk holes.
Slowly move telescope lift at least 3-5 times up and down.
- Lift should be at least 1 m.
- When this is done, the brake disk is turned and cleaned.
Reinstall the brake.
Remove the cover cloths.
Check the brake function.
01.07 CS PS AX R-F
Page 51 of 88
PMF Check the function of the lift magnet.
The Y13 or Y17-19 lift brake (1/Fig. 37 / p. 51) must release when the brake button is
pressed and audibly engage when the button is released.
Check the tracking function of the M16 lift motor and the Y16 coupling
(2/Fig. 38 / p. 51).
SIM Weight compensation replaced (required every 10 years)
SIM Checking the Weight Compensation
Fig. 39: Weight compensation spring mechanism
The stand must be adjusted with slight buoyancy (range: 0.3 - 1 kg or per the cus-
tomers request).
Fig. 37: Lift brake
Fig. 38: Lift drive
1
1
2
1
01.07 CS PS AX R-F
Page 52 of 88
Readjust the weight compensation using a wrench with the 17 mm attachment at the
adjustment screw (1/Fig. 39 / p. 51) on the telescope. When doing this, take note of the
arrow on the cast housing for the spring loaded mechanism, as well as the rotation
direction of the gear.
NOTE If the spring mechanism needs to be retensioned within a
brief time period and/or if a reduction in the maximum
extended length is determined, replace the spring-loaded
mechanism.

NOTICE
Risk of injury!
When replacing the spring-loaded mechanism, the
spring housing may not be opened.
SIM Checking the Steel Cables for Splits
Fig. 40: Safety cable
Check of the steel support and safety cables for splits.
- To do this, run a cloth over the cables as shown in (safety cable). Splits and cable
damage are evidenced by the fibers that are caught.
Relubricate the cables with VISCOGEN KL300.
NOTE If splits are found, both cables must always be replaced.

01.07 CS PS AX R-F
Page 53 of 88
PMA Checking the Support Arm / Rotation Movements
Rotation around the horizontal axis (1/Fig. 41 / p. 53).
- Checking the Movement and Stop Functions
Rotation around the vertical axis (1/Fig. 42 / p. 53).
- Checking the Movement and Stop Functions
SIM Mounting on the telescope
Fig. 43: Mounting on the telescope
C Check the condition and mounting of the support arm (six M6 Allen screws)
(1/Fig. 43 / p. 53). 10 Nm
Check the condition and mounting of the end stop (2/Fig. 43 / p. 53) for wear.
Fig. 41: Rotation movements Fig. 42: Rotation / vertical axis
1
1
1
2
01.07 CS PS AX R-F
Page 54 of 88
SIM Play in the support arm
Fig. 44: Play in the support arm
Check the 3 mounting screws (1/Fig. 44 / p. 54) for tightness in the rotation axis.
PMP Checking the movement and braking forces
Check the movement forces with the brake released using a spring balance (here, also
make sure there is smooth movement).
1
Movement Forces Braking Forces
Longitudinal movement 30 N 90 - 120 N
Transverse movement 30 N 90 - 120 N
01.07 CS PS AX R-F
Multileaf Collimator/Universal Collimator 55
Page 55 of 88
10-
10 Multileaf Collimator/Universal Collimator
Required Documents
n.a.
Aids
Required Materials
n.a.
n.a.
Spring balance, 100 N 44 29 122
Longtime PD2 (20 g tube) for bearing cages, open ball bearings,
pinion gears ...
34 91 271
Longtime PD2 (1 kg can) for bearing cages, open ball bearings,
pinion gears ...
73 95 445
56 Multileaf Collimator/Universal Collimator
01.07 CS PS AX R-F
Page 56 of 88
PM Cleaning
SIM Checking the collimator mounting
Check the mounting of the collimator on the tube unit or on the tube unit mount.
PM Checking the Rotation Flange (if configured)
Fig. 45: Multileaf collimator
Check for easy rotation movement using the spring balance (Fig. 45 / p. 56).
The collimator should move when a force of between 30...50 N is exerted.
Corrective Measure:
Readjust the mounting screws.
If needed, remove the collimator, clean the flange and collimator ring and relubricate
with PD2 Longtime.
PMF Checking the Control Elements on the Collimator (if configured)
Check the control elements collimator.
PM Checking the Light Localizer Lamp (if configured)
Check the light localizer lamp; if needed, replace.
EH111509-300402-00-01
1
1
1
01.07 CS PS AX R-F
Automatic Formatting with the MD Image System 57
Page 57 of 88
11-
11 Automatic Formatting with the MD Image System
Required Documents
Operator Manual
System Quality Certificate
Old completed Maintenance Certificate
Required Materials
n.a.
n.a.
Ruler, 30 cm (accuracy 1%) n.a.
Centering cross 96 60 051
01.07 CS PS AX R-F
Page 58 of 88
11.2.1 Table in the Sample Documents
NOTE To make the calculations easier, the tables in the sample doc-
uments can be copied and filled in manually.

11.2.2 Coincidence of Light Field - Radiation Field
QIQ Coincidence of Light Field - Radiation Field
NOTE Perform the check on each tube unit in the system!

Procedure:
Position the central beam vertically to the tabletop.
Position the detector longitudinally on a horizontal surface, e.g. the unit tabletop, a chair
or the floor.
If possible, set the max. SID.
Use the tape measure in the collimator to measure to the top surface of the detector.
Corresponds to: "Measured SID" (table in the sample document).
If necessary to enable exposure on the detector insert:
- Cover the front hole (2/Fig. 46 / p. 59) on the detector tray for the longitudinal format
as shown in the figure (Fig. 46 / p. 59) (simulates the inserted detector).
01.07 CS PS AX R-F
Page 59 of 88
Fig. 46: Table detector simulation
Use the knobs on the collimator to set approx. 30 x 30 cm.
Switch on the light localizer.
Fig. 47: Marking the detector light field
Mark the light field with 4 washers on the detector (Fig. 47 / p. 59).
Do not center the centering cross on the detector (Fig. 47 / p. 59).
Position a washer as a side marker.
Select the "Manual Mode" at the generator console.
Enter the patient data.
Select the TEST organ program on the monitor.
Select the "Bucky Geometry button.
EH111509-130104-00-03
1
2
01.07 CS PS AX R-F
Page 60 of 88
"Exposure ready" is displayed at the top right corner on the monitor.
X Trigger exposure.
Evaluation: Light Field to the Radiation Field
Fig. 48: Detector beam geometry
Measure the space between the edges of the light field and the edges of the radiation
field on all four sides (X1, X2, Y1, Y2) on the monitor as shown in (Fig. 48 / p. 60).
Corresponds to: "X1, X2, Y1, Y2" (table in the sample document).
Calculation: Light Field to Radiation Field
Calculate the difference (monitor) in the X and Y directions (without regard to the math-
ematical sign in front).
- X Monitor = X1 + X2
- Y Monitor = Y1 + Y2
01.07 CS PS AX R-F
Page 61 of 88
Corresponds to: " X + Y Monitor" (table in the sample document).
NOTE The calculated difference refers to the display on the moni-
tor. The difference must be coverted to the detector plane. To
do this, the detector plane magnification factor to the moni-
tor plane (V
M
) must be determined.

Fig. 49: Monitor ruler
Use a rule to measure 10 divisions lines (10 cm) on the centering cross on the monitor
in the X or Y axis (A) (Fig. 49 / p. 61).
Corresponds to: "V
M x10
" (table in the sample document).
Calculate the magnification factor (V
M
):
Corresponds to: "V
M
" (table in the sample document).
V
M
=
V
M x 10
_______
10 cm
X (difference in detector plane) =
X (difference on monitor) =
_____________________
V
M
X (difference in detector plane) =
Y (difference on monitor) =
_____________________
V
M
01.07 CS PS AX R-F
Page 62 of 88
* Corresponds to 1.6% of SID
Corresponds to: " X and Y Detector" (table in the sample document).
11.2.3 Radition Field Center / Center of Detector
QIQ Checking the Radiation Field Center / Center of Detector
NOTE Perform the check on each tube unit in the system!

Fig. 50: Marking the radiation field_detector center
Checking the SID Display
Place a middle and side marker on the detector (Fig. 50 / p. 62) (e.g. by taping on a
metal washer).
If possible, set the max. SID.
Insert the detector into the detector tray.
Use the tape measure in the collimator to measure to the top surface of the detector.
Corresponds to: "Measured SID" (table in the sample document).
Determine the displayed SID.
Corresponds to: "Displayed SID" (table in the sample document).
Required: The SID value displayed on the collimator must be the same as he
measured SID value (tape measure). Maximum difference, 1 cm.
Check of the Central Beam-Center of Detector
Center the tube unit to the detector tray.
Insert the detector.
Permissible diference* in the detector plane =
SID
_____
x 1.6
100
01.07 CS PS AX R-F
Page 63 of 88
Switch on the light localizer.
Use the knobs on the collimator to collimate exactly to 20 x 20 cm.
Select the "TEST organ program on the monitor.
Select the "Bucky Geometry button.
"Exposure ready" is displayed at the top right corner on the monitor.
X Trigger exposure.
Evaluation: Radition field / center of detector
Attach a film in front of the screen with strips of tape.
Fig. 51: Monitor_radiation field-detector center
Measure the difference from the center on the monitor as shown in (Fig. 51 / p. 63).
Corresponds to: " Difference between Center of Radiation Field / Center of Detector"
(table in the sample document).
Calculation: Radition field / center of detector
The "Radationa field/Detector center" on the monitor must be converted to the detec-
tor plane:
Corresponds to: " Center of Radiation Field / Center of Detector" (table in the sample
document).
Detector plane =
Monitor
________
V
M
01.07 CS PS AX R-F
Page 64 of 88
11.2.4 Displayed Radiation Field Size to Actual Radiation Field Size
QIQ Checking the Displayed Radiation Field Size to the Actual Radiation Field Size
Procedure: Detector inserted longitudinally
Set the tube unit centered to the detector insert.
Set the SID to the maximum (to the extent possible).
Close the collimator.
Insert the detector longitudinally (43 x 35 cm) into the detector insert and insert it up
to stop.
Check whether the inserted detector format is displayed on the collimator in the ACSS
mode.
If automatic formatting is not configured:
- Switch on the collimator light.
- Set the collimator to 43 x 35 cm.
Rotate the collimator clockwise approx. 45 (Fig. 52 / p. 64).
Fig. 52: Turn the Detector_Collimator 45 degrees
Select the "TEST organ program on the monitor.
Select the "Bucky Geometry" or "VERTIX Geometry" button.
The permitted difference
1
in the detector
plane =
1. corresponds to 1.6% of the SID
SID
_____
x 1.6
100
01.07 CS PS AX R-F
Page 65 of 88
X Trigger exposure.
Evaluation: Radiation Field Size to Actual Radiation Field Size
Fig. 53: Monitor_actual radiation field size
Measure the radiation field size on the monitor (Fig. 53 / p. 65).
Corresponds to: "L and W of Radiation Field, Monitor" (table in the sample document).
Calculation: Converting the Measured Radiation Field Size to the Detector Plane
Calculate the radiation field size (radiation field length, detector plane) and W (radiation
field width, detector plane).
Corresponds to: "L and W of Radiation Field, Detector Plane" (table in the sample docu-
ment).
Length = L (radaition field length in detector plane) - L (detector length) results in the
difference.
Width = L (radaition field width in detector plane) - B (detector width) results in the
difference.
L (Radiation Field, Detector Plane) =
L (Radiation Field, Monitor)
________________________
V
M
W (Radiation Field, Detector Plane) =
W (Radiation Field, Monitor)
________________________
V
M
01.07 CS PS AX R-F
Page 66 of 88
P Calculate the difference for L (length) and W (width).
Corresponds to: "L and W from the Calculated Difference" (table in the sample docu-
ment).
* Corresponds to 1.6% of SID
Procedure: Detector inserted transversely
Perform the same measurements with the detector sideways (35 x 43 cm) in the
detector insert.
NOTE If more than one SID is possible, a check of the detector for-
mat to the radiation field size must be performed with each
fixed SID.

Permissible diference* in the detector plane =
SID
_____
x 1.6
100
01.07 CS PS AX R-F
Monitor 67
Page 67 of 88
12-
12 Monitor
Required Documents
Monitor Operating Instructions
Monitor Replacement Instructions
n.a.
approx. 40 min. with 1 monitor in the system / 12 months
approx. 30 min. for each additional monitor / 12 months
Mavo monitor (luminous density meter) 97 02 432
SMfit ACT (luminous density meter)
User preferably with TFT
77 52 848
Ethyl alcohol, 96% to clean the monitor screen n.a.
68 Monitor
01.07 CS PS AX R-F
Page 68 of 88
PM Cleaning
Clean the monitor screens with 96% ethyl alcohol.
(Cleaning the Components / p. 12)
PM Read out the error log (if present)
Use the SSW to read out and evaluate the error log.
Initiate any required corrective measures.
Clear the ERROR log.
SIM Check for secure mounting
For monitors that are on a table, check for steadiness.
For monitors that are installed in a monitor troley system, check for secure installation.
QSQ Brightness and contrast (only in systems without an image system)
This check can be skipped if the monitor is being used as a diagnostic monitor, Category
A or B in Germany.
Check the brightness and contrast on the monitor per the monitor documents (see
CB-DOC).
01.07 CS PS AX R-F
MD Image System 69
Page 69 of 88
13-
13 MD Image System
Required Documents
n.a.
n.a.
n.a.
70 MD Image System
01.07 CS PS AX R-F
Page 70 of 88
PM Cleaning
QSQ Brightness setting
Fig. 54:
Pos. 1 Adjust to 100% with brightness
Pos. 2 Adjust to 95% with contrast
Pos. 3 5%
Pos. 4 Adjust to 0% with black level
Touch Screen Monitor Brightness Adjustment
For this, see the on-line Help file for the MD image system in the Image Quality/Touch
Screen Monitor menu.
NOTE If a diagnostics monitor (option/2nd "Display DSB 1804-DC"
monitor) is connected, zoom cannot be selected on the touch
screen monitor for the adjustment.
To adjust the touch screen monitor, the diagnostics monitor
(2nd monitor) must be configured out of the configuration
(Disable Second Monitor in the Service Tool). See the on-line
Help menu, MD Image System, Installation, Setup/Options,
"2nd Monitor".
For adjustment of the diagnostics monitor (2nd monitor), the
"Display, Replacement of Parts" Instructions,
TD00-000.841.04... must be used.

01.07 CS PS AX R-F
Tomo 71
Page 71 of 88
14-
14 Tomo
Required Documents
Operating Instructions
Required Materials
n.a.
n.a.
Focus test for tomo (tomo block) 44 06 054
Ruler, 30 cm (accuracy 1%) n.a.
2.1 mm precision radiation filter 99 00 598
72 Tomo
01.07 CS PS AX R-F
Page 72 of 88
14.2.1 Tomography Direct Technique
QIQ Checking the Tomo Device
For this, the most unfavorable mechanical and electrical tomo and Bucky exposures are
made. Using these exposures, the actual tomo height as well as the differences in the res-
olution power between the Bucky and tomo exposure can be best determined.
For Tilting Units: Move the unit into the 0 position.
Set the central beam perpendicular to the image receptor.
Move the unit into the tomo starting position.
Select tomo (max. tomo angle and min. tomo time, e.g. 1.2 sec. 40).
Description of the Tomo Test Phantom
The test phantom is comprised of a hard plastic foam block with 2 slots and two lead strip
tests.
The two lead strip tests are inserted into the two slots of the hard plastic foam test phantom
so that:
- the notches are facing to the outside
- the lead strip tests do not overlap
- the two notches are positioned at exactly the same height above the tabletop.
The test phantom is placed on the tabletop so that:
- one line test is on the anode side
- one axis of the test phantom is parallel to the table longitudinal axis
There is a difference in height between each of the holes of 2 mm in the line test that is
positioned at an angle of 20. This makes it possible to exactly determine the tomo height
represented on the exposure.
01.07 CS PS AX R-F
Tomo 73
Page 73 of 88
Place the tomo test on the tabletop.
Fig. 55: Tomo height test
Move the tomo height per the display to 115 mm (116 mm).
Only with the Tomo Height/Line Light Localizer Option
Check the tomo height display/line light localizer
Required: Tomo height display/line light localizer to the scale 111 ... 119 mm
Move the tomo test to the operators side and to the wall side.
Required: The line light localizer may drift a max. of 3 mm relative to the notch.
Place the line test, centered to the central beam, on the tabletop.
Select tomo.
NOTE Indirect technique: The surface of the I.I. input screen is con-
curve. As a result, a reproducible tomo height can be
checked only in the center of the I.I. The following procedure
describes the test for the direct technique, but it can also be
used alternatively in the same manner soweit mglich for the
indirect technique.

Anode
SH
a
approx.115 mm
2mm
20
TV monitor
EH111509-140502-00-01
74 Tomo
01.07 CS PS AX R-F
Page 74 of 88
NOTE With detectors instead of cassette, insert the detector, move
it into place and select Exposure parameters... at the image
system.

Insert an 18 cm x 24 cm cassette.
Collimate to the tomo block.
Insert the 2.1 mm Cu precision filter into the collimator.
X Trigger exposure.
Insert a new 18 cm x 24 cm cassette.
Select Bucky.
X Trigger exposure.
Remove the tomo test.
Remove the 2.1 mm CU precision filter.
Develop the films.
Use a waterproof pen to label the film as follows:
- exposure data, tomo time, angle and date.
Evaluating the tomo height on the film.
Required: The difference between the set tomo height and the actual tomo height may
not exceed 5 mm (the sharply displayed hole on the film corresponds to the tomo
height. The holes appear at differences of 2 mm in tomo height).
Determining the resolution with Bucky and Tomo exposures.
Required: The tomo exposure resolution may be a max. of 1 line group worse than in
the Bucky exposure.
If there are questions regarding "performance" or "evaluation", see the IQ or IQAP docu-
ments.
01.07 CS PS AX R-F
Area Dose Product Test Meter 75
Page 75 of 88
15-
15 Area Dose Product Test Meter
Required Documents
Area Dose Product Test Meter" Operating Instructions
For Quick Check: n.a.
Dose measurement meter, e.g. DIADOS
Required Materials
n.a.
n.a.
For Quick Check: 5 minutes / 12 months
Required only in systems that are used as interventional workstations per IEC
601-2-43. And in systems that are installed in areas subject to the Medical Product
Operating Regulations (MPBetreibV). "Measuring-technical Checks", 11 of the MPBe-
treibV.
01.07 CS PS AX R-F
Page 76 of 88
QIQ Quick Check
Set the test meter to 0".
Trigger an exposure, e.g. at 70 kV, 20 mAs.
Make a note of the display on the test meter.
Set the test meter to 0".
Trigger a 2nd exposure with double the mAs.
Make a note of the display on the test meter.
Compare both values that were noted.
The display from the 2nd exposure must be twice as large.
Tolerance: 25%
15.2.1 Checking the Area Dose Product
Required only in systems that are used as interventional workstations per IEC 601-2-43.
And in systems that are installed in areas subject to the Medical Product Operating Regu-
lations (MPBetreibV). "Measuring-technical Checks", 11 of the MPBetreibV.
Test Conditions
Usual SID (if possible, approx. 1 m)
Exposure data, approx. 70 kV, 20 mAs
Fig. 56:
NOTE The FDP can be determined at any level of the radiation cone;
however it is necessary that when this is done, the dose and
the radiation field size are determined in one and the same
plane!

Radiation field
Dosimeter chamber and
Film in same plane
KermaX chamber
K
E
30 x 30 cm
r
E
1 m
01.07 CS PS AX R-F
Page 77 of 88
15.2.2 Brief Description of the Test
Set the usual SID.
Insert the 2.1 mm precision radiation filter into the beam path.
Collimate the radiation field to the copper filter.
Place the dose measurement chamber in the beam path, trigger an exposure and mea-
sure the dose K
E
.
The radiation field size should be approx. 310 cm
2
with square / or with 8-sided collima-
tion (iris) 250 cm
2
.
Calculate the area dose product = dose x exposed area
Compare the calculated value to the display on the FDP test meter and determine the
difference.
15.2.2.1 Test Procedure
QIQ Workstation 1 / Set Values
QIQ Workstation 2 / Set Values
QIQ Workstation 1 / Determined Values
QIQ Workstation 2 / Determined Values
Set the usual SID, if possible, approx. 1 m.
Insert the 2.1 mm precision radiation filter into the beam path.
- With OT units, on the tabletop.
- With UT units, on the back wall of the spotfilm device.
- With C-Arm units, on the I.I. input.
Move the dosimeter chamber in to the beam path:
- With OT units, on the precision radiation filter.
- With UT unit, on the back wall of the spotfilm device.
- With C-Arm units, on the precision radiation filter.
Collimate the radiation field or light field exactly to the precision radiation filter.
Set approx. 70 kV and 20 mAs as the exposure data.
It is also possible to work with automatic exposure if a free setting is not possible.
FDP Area dose product
FDP
g
a = displayed
FDP
g
g = calculated
K
E
measured dose
Q
a
mAs value
r
E
Distance of focus to the dosimeter cham-
ber
U
a
Set high voltage
01.07 CS PS AX R-F
Page 78 of 88
NOTE There may not be any attenuation layers between the area
dose measurement chamber and the dosimeter chamber.

X Set the area dose product test meter to "null" and trigger exposure.
The dislayed area dose product must be at least 2-digits; if needed, change the mAs
value accordingly and repeat the exposure.
P Record the selected values for U
a
and Q
a
and the measured dose K
E
(record Q
a
only with a free setting or for the mAs postdisplay).
Record the displayed area dose product.
Calculate the radiation field size A in cm
2
.
Since collimation was to a radiation filter, approximately the following results:
- with square collimation, 310 cm
2
- with 8-sided collimation, 248 cm
2
P Record the calculated radiation field size.
15.2.3 Evaluation
QIQ Workstation 1 / determined FDPg
QIQ Workstation 2 / determined FDPg
QIQ Workstation 1 / displayed FDPa
QIQ Workstation 2 / displayed FDPa
QIQ Workstation 1 / difference in %
QIQ Workstation 2 / difference in %
P If needed, convert the displayed area dose product, FDP
a
to the unit cGy x cm
2
and
record this.
P The determined area dose product FDP
g
is calculated from the area of the measured
radiation field and the measured dose K
E
per the formula FDP
g
= K
E
x A and the result
is recorded.
Note: The FDP can also be determined in fluoroscopy mode. Of course, the
dosimeter must then be set to a dose measurement range and not to a
dose rate.
Calculate the radiation field size A in cm
2
:
with rectangular collimation
With octagonal collimation (IRIS collimator)
A = I x w
A I x w x 0.8
Conversion factors:
1 cGy x cm
2
10 mGy x cm
2
1 R x cm
2
8.7 mGy x cm
2
10,000 Gy x cm
2
8,700 Gy x cm
2
01.07 CS PS AX R-F
Page 79 of 88
P The difference between the measured and the displayed area dose product is calcu-
lated and recorded relative to the measured area dose product:
The limit value is 30%.
Difference in % =
(FDP
a
- FDP
g
) x 100
__________________
FDP
g
80 Final Work Steps
01.07 CS PS AX R-F
Page 80 of 88
16-
16 Final Work Steps
Required Documents
n.a.
Ground wire test meter (the test meter must meet the specifications of IEC 61557/EN
61557/VDE 0413).
For example: SECUTESTSIII general purpose test meter or PROFITEST 0100S-II
*
*Order directly from:
GOSSEN METRAWATT GmbH
Thomas-Mann-Str. 16-20
D-90471 Nrnberg
Germany
Telephone +49 911 8602-0
Fax +49 911 8602-669
E-mail: info@gmc-instruments.com
http:\\www.gmc-instruments.com
Required Materials
n.a.
n.a.
01.07 CS PS AX R-F
Final Work Steps 81
Page 81 of 88
Installing the Cover Panels
Install all cover panels that are not yet installed in the reverse sequence. When doing
this, absolutely connect the ground wire if present.
SIE Performing the Ground Wire Check
Fig. 57: Ground wire check with fixed power connection
Switch off power to the system.
Test procedure:
- Measure between all conductible parts of the system that can be touched and the
ground wire bus rail (e.g. in the generator, power distributor).
Maximum value: 0,2 (Observe country-specific regulations!)
Exception: Accessory rails on the collimator and tabletop.
Geraet / Unit
Monitorampel / Monitor rack
Monitore / Monitors
Schraenke / Cabinets
Trafos / Transformers
Pulte / Consoles
BV / I. I.
Roentgenroehre / X-ray tube unit
Tiefenblende / Collimator
Sonstige Komponenten / other Components
Generator
Netzverteiler / Power distbutor
82 Changes to Previous Version
01.07 CS PS AX R-F
Page 82 of 88
17-
17 Changes to Previous Version
Chapter Section Changes
Document revised editorially
01.07 CS PS AX R-F
MD Image System 83
Page 83 of 88
18-
18 MD Image System
18.1 MD Image System Magnification Factor and Difference
18.1.1 Table for Calculating the Magnification Factor "m"
If the check was performed using another SID, the magnification factor can be calculated
as shown in the illustrations in the Maintenance Instructions.
18.1.2 Table for Calculating the Permissible Difference
If the check was performed using another SID, calculate the difference as follows:
- Maximum difference = SID / 100 * 1.6
All values in the table correspond to 1.6% of the SID, the values have been rounded off!
Magnification Factor
Unit: a
min. SID
r
B
m
max. SID
r
B
m
SIRESKOP SX/SD
LUMINOS TF
50 mm 84.0 cm 1,06 115 cm 1,05
MULTIX PRO/TOP G050G 53 mm 115 cm 1,05 n.a. n.a.
MULTIX M 50 mm 115 cm 1,05 n.a. n.a.
MULTIX TOP C 70 mm 115 cm 1,06 n.a. n.a.
VERTIX PRO/TOP 41 mm 115 cm 1,04 150 cm 1,03
VERTIX PRO/TOP 41 mm 180 cm 1,02 n.a. n.a.
VERTIX MP/MT 35 mm 115 cm 1,03 n.a. n.a.
84 MD Image System
01.07 CS PS AX R-F
Page 84 of 88
Conversion of inches to cm: 1" = 2.54 cm
NOTE The "magnification factor" values must be calculated. Stan-
dard values for different units and SIDs can be found in the
"Magnification Factor" table.
The "maximum difference" values and the size of the "radia-
tion field in the film plane" must be calculated. 1.6% of the
SID. Standard values for different units and SIDs can be
found in the Difference table.

Difference
SID
Maximum Dif-
ference
18 cm 24 cm 30 cm
66.5 cm 1,0 17,0 - 19,0 23,0 - 25,0 29,0 - 31,0
84.0 cm 1,3 16,7 - 19,3 22,7 - 25,3 28,7 - 31,3
98.5 cm 1,5 16,5 - 19,5 22,5 - 25,5 28,5 - 31,5
100.0 cm 1,6 16,4 - 19,6 22,5 - 25,6 28,4 - 31,6
115.0 cm 1,8 16,2 - 19,8 22,2 - 25,8 28,8 - 31,8
135.0 cm 2,0 16,0 - 20,0 22,0 - 26,0 28,0 - 32,0
150.0 cm 2,2 15,8 - 20,2 21,8 - 26,2 27,8 - 32,2
180.0 cm 2,6 15,4 - 20,6 21,4 - 26,6 27,4 - 32,6
200.0 cm 3,0 15,0 - 21,0 21,0 - 27,0 27,0 - 33,0
01.07 CS PS AX R-F
MD Image System 85
Page 85 of 88
18.2 Workstation 1 Table Sample Document
1. Light Field to Radiation Field
2. Radiation Field Center / Center of Detector
3. Displayed Radiation Field Size to Actual Radiation Field Size
Workstation 1 Configured Yes No
Measured SID
measured on the monitor:
X1 X2 X Monitor X Detector
Y1 Y2 Y Monitor Y Detector
V
M x 10
V
M

Measured SID
Displayed SID
Difference (Center of Radiation Field / Center of Detector)
Calculated value in detector plane
Detector lengthwise
Radiation Field Size on Monitor L
Calculated Radiation Field Size, Detector
Plane
L
Calculated Difference L
Detector crosswise
86 MD Image System
01.07 CS PS AX R-F
Page 86 of 88
Plane
L
01.07 CS PS AX R-F
MD Image System 87
Page 87 of 88
18.3 Workstation 2 Table Sample Document
1. Light Field to Radiation Field
2. Radiation Field Center / Center of Detector
3. Displayed Radiation Field Size to Actual Radiation Field Size
Workstation 1 Configured Yes No
Measured SID
measured on the monitor:
X1 X2 X Monitor X Detector
Y1 Y2 Y Monitor Y Detector
V
M x 10
V
M

Measured SID
Displayed SID
Difference (Center of Radiation Field / Center of Detector)
Calculated value in detector plane
Detector lengthwise
Plane
L
Detector crosswise
88 MD Image System
01.07 CS PS AX R-F
Page 88 of 88
Plane
L

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