Villa Vision User Manual

VISION 0434
User's manual
Release 11 January 2002 (Rev. 3)

USER'S MANUAL
Revision history
Revision history
Rev. Date Page/s Modification description
0 07.08.00 Document approval.

ETL certification.
1 19.01.01 All Complete revision.
(Ref. RDM 5050)
New software release.

11, 47, 54, 63, 65,
2 21.06.01 Fluoroscopy foot-switch predisposition.
68, 70
(Ref. RDM 5110, RDM 5195)
3 11.01.02 11 New Potter Bucky SD version (120/230V power

supply).
(Ref. RDM 5227)
(Rev. 3) VISION
USER'S MANUAL
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VISION (Rev. 2)
USER'S MANUAL
Contents
Contents
1. INTRODUCTION 1
1.1 Overview ................................................................................................. 1
1.2 Scope of the manual ............................................................................... 3
1.3 Icons appearing in the manual ............................................................... 3
2. SAFETY ASPECTS 4
2.1 Warnings ................................................................................................ 4
2.2 Radiation protection warnings ................................................................ 7
2.3 Environment and disposal risks ............................................................. 9
2.4 Symbols .................................................................................................. 9
3. DESCRIPTION 10
3.1 Labeling ................................................................................................ 10
3.2 Description ........................................................................................... 13
3.3 Definitions and abbreviations ............................................................... 15
4. TECHNICAL DATA 16
4.1 Technical features................................................................................. 16
4.2 CENTIMETER cassette sub-division program........................................ 23
4.3 INCH cassette sub-division program ..................................................... 24
4.4 Applicable standards and regulations ................................................... 25
4.5 VISION overall dimensions.................................................................... 26
4.6 VISION with tube stand overall dimension............................................ 27
5. PRELIMINARY OPERATION 30
5.1 Switching on and off ............................................................................. 30
5.2 Emergency shutdown ........................................................................... 30
5.3 Patient positioning ................................................................................ 30
5.4 Cassette Loading and Unloading (Spot Film Device).............................. 32
5.5 Cassette Loading and Unloading (OPTIONAL Undertable Bucky) .......... 34
5.6 Protective apron.................................................................................... 35
5.7 SFD Parking Position ............................................................................ 36
6. OPERATING INSTRUCTION 37
6.1 Summary of controls............................................................................. 37
6.1.1 Joystick functions .............................................................................37
6.1.2 Keyboard functions............................................................................38
6.1.3 Table Side Operator (TSO) functions...................................................39
6.1.4 Display fields.....................................................................................40
(Rev. 1) i VISION
USER'S MANUAL
Contents
6.2 Collimator functions ............................................................................. 41

6.2.1 Normal operating mode...................................................................... 42
6.2.2 “HOLD“ operating mode..................................................................... 43
6.2.3 Collimator closed warning lamp ......................................................... 44
6.3 Spot Film Device ................................................................................... 45
6.3.1 Selection of the division program ....................................................... 46
6.3.2 Rapid sequence ................................................................................. 48
6.4 Manual adjustment of fluoroscopy kV and mA (NOT FOR USA) ............ 49
6.5 Image intensifier and TV chain controls ................................................ 50
6.5.1 Inversion of fluoroscopic image .......................................................... 50
6.5.2 Selection of Image Intensifier field...................................................... 51
6.5.3 Monitor brightness and contrast ........................................................ 52
6.6 Room light ............................................................................................ 53
6.7 Compressor........................................................................................... 54
6.8 Movements ........................................................................................... 55
6.8.1 SFD scanning movement ................................................................... 55
6.8.2 Tilting movement............................................................................... 56
6.8.3 Table top movement .......................................................................... 58
6.8.4 Source to image distance and compression ........................................ 59
6.8.5 Transversal SFD movement ............................................................... 60
6.8.6 Movement brakes .............................................................................. 61
6.8.7 Fast bolus chasing ............................................................................ 62
6.9 Fluoroscopy .......................................................................................... 63
6.10 Exposure .............................................................................................. 64
6.11 Operation with Digital imaging systems ................................................ 66
6.12 Standard radiography ........................................................................... 67
6.12.1 Standard radiography flow diagram ................................................... 68
6.13 Rapid sequence..................................................................................... 69
6.13.1 Rapid sequence program flow diagram ............................................... 70
6.14 Digital radiography ............................................................................... 71
6.14.1 Digital radiography flow diagram ....................................................... 72
7. OPERATOR INTERFACE MESSAGES 73

8. ALARMS AND WARNING MESSAGES 74
8.1 Collisions .............................................................................................. 74
8.2 Operating alarms .................................................................................. 75
8.3 Alarms caused by failures or malfunctions ........................................... 76
9. USE OF EXTERNAL TUBE STAND 80
9.1 Introduction.......................................................................................... 80
9.2 Safety aspects ....................................................................................... 80
VISION ii (Rev. 1)
USER'S MANUAL
Contents
9.3 Identification labels .............................................................................. 81

9.4 Tube stand and collimator technical features ....................................... 82
9.5 External Tube stand Symbols ............................................................... 82
9.6 Operating instructions.......................................................................... 83
9.6.1 Cassette loading ................................................................................84
9.6.2 Potter Bucky movement .....................................................................84
9.6.3 Control panel.....................................................................................85
9.6.4 Tube stand movement, X-ray source assembly positioning..................86
9.6.5 Operating mode .................................................................................89
10. CLEANING AND DISINFECTION 92

11. MAINTENANCE 93
This publication can only be reproduced, transmitted, transcribed, or translated

into any human or computer language with the written consent of Villa Sistemi
Medicali.
This manual in English is the original version.
(Rev. 1) iii VISION

USER'S MANUAL
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VISION iv (Rev. 1)
USER'S MANUAL
Introduction
1. INTRODUCTION
NOTE:
* The present manual is updated for the product it is sold with in order to
grant an adequate reference to use properly and safely the product.
The manual may not reflect changes to the product not impacting
operating modes or safety.
1.1 Overview
VISION is a radiological device, which properly connected to specific

accessories like Image Intensifiers (I.I.) with TV chains allows to carry
out radiological investigation under fluoroscopy or radiography mode.
Making use of these modality, it is possible to perform general
radiological investigations and special tests using contrast liquid means.
Exams of bones, digestive function, double contrast, enema, urological
radiography and all fluoroscopic investigations can be performed with
this device.
VISION is designed to be connected to new sophisticated digital
acquisition systems allowing angiographic as well as flebography
examinations.
This table has been designed using state of the art technology, achieving
the best performance and highest safety.
Movements, digital functions and the interfaces to its accessories, joined
to the "single fault" design approach, implemented on all motors, are
controlled by microprocessors.
Positions, movements, and speeds are controlled by a CPU using a feed
back loop from potentiometers for the detection of positioning
parameters.
Tilting, longitudinal and transversal motions of the table top are
motorised; longitudinal motion of the X-ray tube and spot film device
group is servo-assisted.
Transversal motion and compression motion of the spot film device are
manual and very smooth. Electromagnetic brakes grant braking.
SW algorithms can operate according to room dimensions, preventing

any risk of collision among different sections of the device and the floor,
the ceiling or the wall.
The spot film device is also designed using digital technology.
The spot film device accepts film cassettes having dimensions 18x24 to
35x35 (cm) for the metric types and 8x10 to 14x14 (inches) for the
imperial unit’s type.
(Rev. 1) 1 VISION
USER'S MANUAL
Introduction
Format sub-divisions program offers a complete set from the 1 on 1 to

the sub-division 6 on 1.
The clean and accurate separation between images on the film is granted
by the leaded shutters inside the spot film device.
A quick and accurate positioning of the serial changer tray allows a very
short transition time between the fluoroscopic and radiographic mode.
Different functions and control of the accessories is made possible by a

flat and waterproof panel.
A visual alphanumeric display with 2 lines and 20 characters per line is
the user interface with the operator.
The display shows the information about the current cassette format, the
number of images still available, the position of the table, the operating
mode, alarms, collisions, failure messages, etc.
A complete diagnostic self test is operative in the digital control of the
system.
This allows operators to immediately detect possible failures.
The compressor, controlled by the central CPU, is automatically driven in

the compression area when a cross sub-division is selected.
Manual operation of the compressor to bring it in and out of field any

time during use, can be selected by a key command.
Vibrating grid has the motion synchronized with ray emission.
The spot film device is designed to allow the adoption of an automatic
exposure chamber (AEC).
Ergonomic handles allow an easy use of the spot film device in any
condition: vertical or horizontal position, right or left handed operators.
To optimise ergonomicity X-ray exposure and fluoroscopy commands are
duplicated.
The under table beam limiting device is completely electronic.

Besides the standard automatic function, "Hold" mode is available
allowing to maintain the aperture used in fluoroscopy also in
radiography mode.
VISION 2 (Rev. 1)
USER'S MANUAL
Introduction
1.2 Scope of the manual
This manual is aimed at supplying the user with instructions on how to

operate safely the device.
The device must be operated according to the procedures described in
the manual and only for its intended use.
VISION is a medical device and as such it can be used only under the
supervision of a medical doctor or trained specialists, having the
necessary understanding of X-ray radiation protection.
The user is responsible to implement requested legal actions for a proper
installation and operation of the device.
1.3 Icons appearing in the manual
Indicates a “NOTE”; the utmost attention shall be devoted to the

* reading of paragraphs marked by this icon.
Indicates a “WARNING”; paragraphs marked with this icon cover

, patient and/or operator safety aspects.
(Rev. 1) 3 VISION
USER'S MANUAL
Safety aspects
2. SAFETY ASPECTS
WARNING:
, Content of this chapter must be carefully read and implemented to
prevent damages to the devices and injures to people.
2.1 Warnings
Villa Sistemi Medicali designs and builds its devices to meet safety
requirements and supplies all necessary information for their proper use.
Villa Sistemi Medicali is not responsible for:
• use of VISION device different from its intended use

• damages to the device, to the operator or to the patient caused by
wrong installation, by maintenance operations carried out without
following the procedures described in the user or service manuals or by
wrong operation techniques
• mechanical or electrical changes implemented after installation and not
explicitly authorized by Villa Sistemi Medicali.
VISION is suitable for use only in Hospital environment or in all

establishments other than domestic and those directly connected to the low
voltage power supply network that supplies buildings used for domestic
purposes.
Exclusively Authorized technical engineers from Villa Sistemi Medicali are

allowed to service the device.
Authorized technical engineers only can remove the covers of the electrical
cabinet and of the device gaining access to parts under voltage and to
moving parts.
The device has NOT been designed to operate in the presence of vapor,
anesthetic gas mixtures, oxygen and nitrogen protoxide.
Prevent water or other liquids spillage inside the device to avoid short
circuits or corrosion.
Always disconnect the device from mains before cleaning it.
VISION 4 (Rev. 1)
USER'S MANUAL
Safety aspects
All movements are controlled by a powerful and sophisticated

microprocessors.
Speed, positions, start and stop of these movements are controlled and
managed by the SW programs of the device. In this approach, protections
are fundamental to grant the highest safety for the user and the patient.
Notwithstanding this intrinsic safety protections, the operator MUST
ALWAYS ACT CAREFULLY whenever a movement is activated. The user
in case of danger can press the red EMERGENCY button on the front part
of the device. This button, stopping immediately any operation, is an
effective tool available to the user in addition to the intrinsic safety
protections of the device.
Before activating the tilting motion or the longitudinal motion of the table
top, make sure that there are not hurdles close to the table, which may
interfere with the motions.
While motorized motions are in progress take care of people inside the
radiological room.
Before activating motorized parts of the unit such as tilting, table top
longitudinal and transversal and SFD scanning, make sure that the patient
is properly laying on the table top and that both legs and arms are within
the borders of the table top itself. Instruct the patient to hold on to the
handles.
Even though the VISION has been designed with a high level of protection
to electromagnetic fields, it is necessary to install it at a proper distance
from electrical energy transformation facilities, continuity suppliers,
portable radiotransmitters, and cellular phones. Use of the latest is allowed
only at a distance from any part of the device as reported in the table:
Power of the R.F. source Distance (m)

10mW 0.3
100mW 1
1W 3
10W 8
100W 30
Equipment or instruments operating in the vicinity of VISION must be

complaint with EMC standards. Non compliant instruments, known for their
sensitivity to EM fields must be installed at a distance of at least 3 m from
VISION and must be powered by a dedicated line.
(Rev. 1) 5 VISION
USER'S MANUAL
Safety aspects
VISION can be used in an electromagnetic environment as specified below:
Electromagnetic
Compliance EMC environment requirements
emissions
VISION can be connected to a line
Class A
other than for domestic appliance.
Radiated and VISION generates radio frequency
conducted emissions energy only internally. R.F. energy
CISPR 11 Group I generated does not cause interference
with electrical appliances used in its
vicinity
Harmonic emission VISION can be connected to a line
Compliant
EN 61000-3-2 other than for domestic appliance.
Voltage spikes/flicker
VISION can be connected to a line
emission Compliant
other than for domestic appliance.
EN 61000-3-3
Susceptibility
EN 60601-1-2 VISION can be connected to a line
Compliant
(EN 61000-4-2 /3 /4 other than for domestic appliance.
/ 5 /6 /8 /11)
VISION cannot be installed in surgery rooms.
VISION must be turned off while electrosurgery cutter or similar equipment

is in use.
Take care to clean and decontaminate all parts in contact with the patient,
if necessary.
VISION 6 (Rev. 1)
USER'S MANUAL
Safety aspects
2.2 Radiation protection warnings
Villa Sistemi Medicali designs and manufactures its devices in

compliance with safety requirements; besides all information and
warning related to the dangers of devices connected to X-ray generators
are supplied.
Authorized users of the device for radiological investigations must follow

the rules for ionizing radiation protection as listed here below.
To protect the patient from scattered radiation during the investigation it

is necessary to use, where necessary, dedicated barriers (leaded coats).
During the investigation only the patient and the operator are allowed to
stay in the radiology room and only in case of necessity it is permitted to
authorized personnel to stay inside the room. These individuals must
wear protective clothes. During exposure the operator must stand in the
areas shown in Figure 1 e Figure 2 shown below. While standing in those
areas the operator must protect himself from scattered radiation, using
the leaded apron on the lower end of the spot film device positioning it
between himself and the X-ray source.
ZONA DI OCCUPAZIONE
cm 60x60
OCCUPANCY ZONE
cm 60x60
Figure 1 - Planimetry of the device with horizontal table top
(Rev. 1) 7 VISION
USER'S MANUAL
Safety aspects
Figure 2 - Planimetry of the device with vertical table top
Maximum scattered radiation in the standing areas are lower than the
limits specified by reference standard IEC 601-1-3, specifically for
technique factors of 120 kV, 3 mA doses from scattered radiation are
below the value reported in the following table, provided that the leaded
protection apron of the spot film device is correctly positioned.
Table Top Height from floor in cm Max allowable dose in

Position in the standing area 1 hour mGy
Horizontal or
0 - 40 1,5
vertical
Horizontal 40 - 200 0,15
Vertical 40 - 170 0,15
Scattered radiation dose in the area of handles and keypad on the spot
film device are lower than the limit of the reference standard
IEC 601-1-3. Specifically the limit is set at 0.5 mGy/h.
VISION 8 (Rev. 1)
USER'S MANUAL
Safety aspects
2.3 Environment and disposal risks
Some parts of VISION contain materials which have to be disposed of in

a controlled way at the end of useful life.
More specifically the device contains:
• Motor gearbox: lubricating oil, steel, aluminum
• Motors: iron, copper, non biodegradable plastic
• Printed circuit board: iron, aluminum, copper, non biodegradable
plastic, PCB supporting material.
Disposable of the device at the end of its life and the cost of this
operation cannot be charged to Villa Sistemi Medicali.
2.4 Symbols
The present manual makes use of the symbols described here below:
Symbol Description
Type B insulation device with type B applied parts
∼ Alternate current
N Neutral terminal
R S T Three phase line connection point
Protection grounding
Functional grounding
Attention: check accompanying documentation
Attention: hands off
Dangerous Voltage
Symbols used in the keyboard are explained in the section describing

the functionality of the table.
(Rev. 1) 9 VISION
USER'S MANUAL
Description
3. DESCRIPTION
3.1 Labeling
VISION is labeled with a set of labels identifying different components

according to the requirements of the international standards.
Part number of the device depends on the film cassette type used in the
spot film device (in cm or inches), on table top movements (2 ways or 4
ways) and on other optional accessories.
The following picture shows the different labels positioned on VISION

table:
2
1
5
VISION 10 (Rev. 1)
USER'S MANUAL
Description
1a 1b
Table main label ETL certification label
2 3
Spot film device label Undertable collimator label
4 5
I.I. label Potter label (optional)
(Rev. 3) 11 VISION
USER'S MANUAL
Description
The codes shown on the "Table main label" (see label 1 of previous page)
varies according to the version of the device.
Next table shows the must common version of the device:
TABLE TOP CASSETTES POTTER TUBE TUBE STAND

CODE
TYPE TYPE BUCKY STAND COLLIMATOR
9764000000 2 WAYS cm NO NO NO
9764000100 2 WAYS inch NO NO NO
9764004000 4 WAYS cm NO NO NO
9764004100 4 WAYS inch NO NO NO
9764001000 2 WAYS cm YES NO NO
9764001100 2 WAYS inch YES NO NO
9764005000 4 WAYS cm YES NO NO
9764005100 4 WAYS inch YES NO NO
9764002000 2 WAYS cm YES YES cm
9764002100 2 WAYS inch YES YES inch
9764006000 4 WAYS cm YES YES cm
9764006100 4 WAYS inch YES YES inch
VISION 12 (Rev. 1)
USER'S MANUAL
Description
3.2 Description
VISION derives from the evolution of technology and design of tilting

tables.
VISION has been designed according to the international standards
necessary for the mark, and is compliant with 21CFR subchapter J,
granting highest safety standards for the user and for the operator.
VISION is a universal table for radiological diagnostics, capable of
satisfying all needs. It can be used for digestive tract investigation,
cranial investigations, bone, urological and vascular investigation, lungs
and breathing apparatus and when equipped with a digital acquisition
system for angiographic investigations.
VISION is driven by a keypad ergonomically located.
The keypad carries two keys to activate fluoroscopy and radiography
mode; these commands are duplicated to be easily used with the table-
top both horizontal or vertical, by right handed or left handed users. A
second keypad duplicating movements commands (tilting, longitudinal
and transversal table top) is located on the edge of the table. This second
keypad also allows table top centering.
VISION has an angle range +90°a -15°, driven by a microprocessor and
designed to offer maximum flexibility in its intended use for radiological
investigations.
VISION is equipped with an electronic beam-limiting device positioned
under the table with squared and rectangular beam limitation.
Standard version of VISION is equipped with a microprocessor controlled
spot film device having the possibility to use all film formats from 18x24
to 35x35 cm or from 8x10 to 14x14 inches with a wide variety of sub-
divisions and with a self centering cassettes tray.
Besides standard accessories normally supplied with VISION, optional
accessories may be supplied if specified in the order form.
The table in the next page lists all available accessories.
The "delivery" column states if they are supplied in standard
configuration or have to be ordered separately.
(Rev. 1) 13 VISION
USER'S MANUAL
Description
Ref. Description Delivery
A Patient foot rest Standard
B Shoulder and head support Standard
C Patient support handle (N°2 pieces) Standard
D Leg support (N°2 pieces) Optional
E Compression belt tightener Optional
F Lateral cassette holder Optional
All the available accessories are easily attachable and mounted on

suitable rails of the examination table.
VISION 14 (Rev. 1)
USER'S MANUAL
Description
3.3 Definitions and abbreviations
SFD: Spot Film Device
I.I.: Image Intensifier
SID: Source to Image Distance
FFD: Focus to Film Distance
Head side: Is the side of the table where the patient’s head is
usually located. It is the left side of the unit when it is in
horizontal position and it is seen frontally
LIH: Last Image Hold
TSO: Table side operator
(Rev. 1) 15 VISION
USER'S MANUAL
Technical data
4. TECHNICAL DATA
4.1 Technical features
General features
Unit type VISION
Manufacturer Villa Sistemi Medicali S.p.A.
20090 Buccinasco (MI) Italy
Equipment type and classification according to Class I with type B
IEC 60601-1 applied parts
Equipment type and classification according Class II
CFR21
Degree of protection according to IEC 60529 IP00
Mode of operation Continuous operation
Mechanical features
Weight 1030 Kg
Max height with vertical table top 2695 mm
Max length with centred table top 2020 mm
Max width with centred table top 1510 mm
Distance table top - floor 895 mm
I.I. predisposition over table integrated.
Maximum size allowed 12".
Maximum weight allowed
43 kg
Serial changer over table
X-ray tube and collimator under table
Focus to skin distance (under table X-ray source) 405 mm
Maximum patient weight 135 kg
VISION 16 (Rev. 1)
USER'S MANUAL
Technical data
Electrical features
Standard voltage 3N~ 380-400 V ac ±10%
Optional voltage 3N~ 208/220/415/480 V ac ±10%
with optional external auto transformer
Frequency 50/60 Hz
Maximum current 6.5 A @ 208 Vac ±10%
6.0 A @ 220 Vac ±10%
3.5 A @ 380-400 Vac ±10%
3.5 A @ 415 Vac ±10%
3.0 A @ 480 Vac ±10%
Fuses on auto transformer 8 AT @ 208 Vac
8 AT @ 220 Vac
6 AT @ 415 Vac
6 AT @ 480 Vac
Unit electrical protection 4 A breaker
Power 2.5 kVA
Line impedance <0.5 Ω @ 208 Vac ±10%
<0.5 Ω @ 220 Vac ±10%
<1.0 Ω @ 380-400 Vac ±10%
<1.0 Ω @ 415 Vac ±10%
<1.0 Ω @ 480 Vac ±10%
Line voltage regulation (%) <2% @ 208 Vac ±10%
<2% @ 220 Vac ±10%
<1% @ 380-400 Vac ±10%
<1% @ 415 Vac ±10%
<1% @ 480 Vac ±10%
Movements
Longitudinal table top motorised
Transversal table top motorised
SFD longitudinal manual servo assisted
SFD transversal manual;
moving force <40N
SFD compression (SID movement) manual;
moving force <40N
Tilting motorised
Motorised movement control feed back from potentiometer;
position and speed control
(Rev. 1) 17 VISION
USER'S MANUAL
Technical data
Movements range and speed

Longitudinal table top head side 600 mm
Longitudinal table top foot side 400 mm
Table top longitudinal speed 31 mm/s @ 50 Hz
37 mm/s @ 60 Hz
Transversal table top inner side 100 mm (optional)
Transversal table top outer side 100 mm (optional)
Table top transversal speed 65 mm/s
Longitudinal SFD / Tube 555 mm
Transversal SFD / Tube 220 mm
Compression (SID) 265 mm
Bucky mode (optional) SFD retractable out of X-ray field
SID distance (depending by X-ray tube type) 670÷935 mm
SFD - Table top distance 195÷460 mm
SFD bottom - Film distance 69 mm
Tilting vertical 90°
Tilting trendelembourg -15°
Tilting angular speed 3.2 °/s @ 50 Hz
3.9 °/s @ 60 Hz
Table top features
Length 2020 mm
Width 700 mm
Surface flat
Material plastic laminated
Filtration 0.8 mm Al eq @ 100 kVp,
HVL 2.7 mm Al
VISION 18 (Rev. 1)
USER'S MANUAL
Technical data
SE6 Electronic serial charger

Technology digital electronic;
double microprocessor (main +
supervisor)
Cassettes dimensions from 18x24 cm to 35x35 cm
Sub-division from 1 on 1 up to 6 on 1
Rapid sequence on all sub-divisions
Fluoro - Exposure time passage min 0.7 - max 1.3 sec depending on
cassettes size and sub-division
Average time between 2 exposures in 0.4 sec
rapid sequence
Cassettes loading left side
Cassettes tray auto centring
Collimation electronic with inside leaded shutters
AEC predisposed
Grid type • dimensions 360x380 mm
• ratio: 10:1
• focal 75 cm
• lines/cm: 47
others on request
Grid movement vibrating synchronised with x-ray
Compressor functionality • automatic
• manual
Accessories controls with pushbutton on control panel
User interface with alphanumeric display (2 lines for 20
characters each) to visualise:
• using modality
• unit status
• internal fault alarm
• external accessories alarm
Digital image acquisition unit predisposed for connection
SFD X-ray absorption (grid excluded) 0.5 mm Al eq @ 100 kVp,
HVL 2.7 mm Al
(Rev. 1) 19 VISION
USER'S MANUAL
Technical data
Under table electronic collimator

Limitation square and rectangular
Number of limitation shutters 4
Limitation shutters material Fe + Pb
Working modality • electronic
• electronic + hold mode
Total collimator filtration 0.5 mm Al eq @ 100 kV
HVL 2.7 mm Al
Leakage radiation ≤ 45 mR/hr @ 150 kVp, 350 W
Minimum size of X-ray field @ 1m < 1 cm2
Functionality
Tilting indicator on alphanumeric display
SID distance indicator on alphanumeric display
Table top centring on control panel on table side
Tilting automatic stop at limits and on horizontal position
Movements safeties "dead men controls" with "single
fault" function for to stop movement
in case of fault
Auto test on all components
Anti-collision safeties by software algorithms;
room dimensions data used to stop
movements in case of collision.
Manual movements stop with electromagnetic brakes
Command on SFD control panel:
• with joystick with single fault for
movements
• with buttons on control panel
Accessories
Foot rest (standard supplied) with stops every 100 mm
Hand grips (standard supplied) 2
Shoulder support (standard) continuos adjustment
Legs support (optional) continuos adjustment
Compression belt (optional) continuos adjustment
VISION 20 (Rev. 1)
USER'S MANUAL
Technical data
Environmental conditions
Operating environmental conditions Temperature: from +10 to +40° Cels.
Humidity: from 30 to 75 %
Pressure: from 700 to 1060 hPa
Shipping and stocking environmental Temperature: from -20 to +70° Cels.
conditions Humidity: ≤ 95% not condensed
Pressure: > 630 hPa
Undertable bucky (Option)
Longitudinal movements Manual;
moving force < 20N with table in
horizontal position,
moving force < 30N with table in
vertical position
Range of movement 910 mm
Brakes Electromagnetic
Cassette size From 13x18 cm to 35x43 cm
Standard cassettes tray Manual loading – auto centering
Sensing cassettes tray Predisposed to accept
X-ray beam to film centering With spot light on manual
collimator
AEC measuring chamber Predisposed for installation of solid
state or ion chambers
Film to table top distance 84 mm
Grid movement Synchronised with X-ray emission
Grid start voltage Selectable with jumpers:
220Vac/120Vac/24Vdc
Grid Preferred models:
ratio 10:1
focal 120 cm
lines/cm: 34
Other models on request
(Rev. 1) 21 VISION
USER'S MANUAL
Technical data
Floor tube stand (Option - not available in the US market)

Weight 200 kg about
Height 2400 mm
Length 1715 mm
Longitudinal movement Manual with electromagnetic brakes
Standard run 1700 mm
Extension rail run 2700 mm
Vertical movement Manual with electromagnetic brakes
Run 1510 mm
Focus to floor distance 405 –1915 mm
Max focus to film distance on Bucky 1120 mm
Transversal movement Manual with electromagnetic brakes
Run 280 mm with central lock
Tube stand rotation Manual with mechanical stop every 90°
Range +/- 90°
Tube arm support rotation Manual with electromagnetic brake
Range +/- 180°
Available projections Undertable Bucky
Off-table
Oblique
Lateral (with optional accessories)
On vertical chest (option)
Power Supply from VISION power supply
Nominal voltage 25 V
Collimator lamp Fuse (F7) 7A F (6.3x32mm)
Other supply Fuses (F10-F11) 2A F (6.3x32mm)
Over table manual collimator (not available in the US market)
Field limitation Square and rectangular
Number of limitation shutters 4 pairs of shutters including near focus
Limitation shutters material Fe + Pb
Operation manual
Field coverage 43x43 cm at 1m SID
Filtration 0.5 mm Al eq. @ 100 kV with
HVL 2.7mm Al eq
Lamp type Halogen, 24Vdc, 100W
Leakage radiation <45mGy/h @ 150kVp-350W
VISION 22 (Rev. 1)
USER'S MANUAL
Technical data
4.2 CENTIMETER cassette sub-division program
18x24
9x24 9x12
24x18
12x18
24x30
12x30
30x24
15x24 10x24 15x12 10x12
30x30
15x30 10x30
35x35
17x35 12x35
NOTE:
* First size number is referred to transversal table top axis.
Indicated sizes on different sub-divisions are nominal.
(Rev. 1) 23 VISION
USER'S MANUAL
Technical data
4.3 INCH cassette sub-division program
8x10
4x10 2.5x10 4x5 2.5x5
10x8
5x8
9.5x9.5
4.7x9.5 3.2x9.5 4.7x4.7 3.2x4.7
10x12
5x12
12x10
6x10 4x10
14x14
7x14 5x14
NOTE:
* First size number is referred to transversal table top axis.
Indicated sizes on different sub-divisions are nominal.
VISION 24 (Rev. 1)
USER'S MANUAL
Technical data
4.4 Applicable standards and regulations
VISION complies with following standards:
EN 60601-1 Medical electrical equipment. General requirement

for safety (including amendments
A1+A2+A11+A12+A13).
EN 60601-1-2 Medical electrical equipment. General requirement
for safety.
2 – Collateral Standard: Electromagnetic
compatibility.
EN 60601-1-3 Medical electrical equipment. General requirement
for safety.
3 – Collateral Standard: General requirement for
radiation protection in diagnostic X-ray equipment.
EN 60601-2-32 Medical electrical equipment. Particular
requirements for safety of associated equipment of X-
ray equipment.
IEC 60601-1-4 Medical electrical equipment. General requirement
for safety.
3 – Collateral Standard: Programmable electrical
medical systems.
IEC 417 Graphical symbols for use on equipment.
IEC 878 Graphical symbols for electrical equipment in
medical practice.
ISO 10993-1 Biocompatibility.
CFR 21 Code federal regulation. Sub chapter J.
UL 2601-1 Medical electrical equipment, part 1. General
requirements for safety.
CE symbol grants VISION compliance to the

0434 European Directive for Medical Devices 93/42 as a
class IIB device.
(Rev. 1) 25 VISION
USER'S MANUAL
Technical data
4.5 VISION overall dimensions
Figure 3
VISION 26 (Rev. 1)
USER'S MANUAL
Technical data
4.6 VISION with tube stand overall dimension
Figure 4a - Front view

(Rev. 1) 27 VISION
USER'S MANUAL
Technical data
Figure 4b - Top view
VISION 28 (Rev. 1)
USER'S MANUAL
Technical data
Figure 4c - Lateral view
(Rev. 1) 29 VISION
USER'S MANUAL
Preliminary operation
5. PRELIMINARY OPERATION
5.1 Switching on and off
VISION doesn’t have a separate switch. The unit is usually put into
operation as soon as you switch on the X-ray generator, or a dedicated
switch in mains switchboard of the examination room. The choice of one
of these operating modes is usually done during the equipment
installation.
Turning on the device, the unit proceeds in the initialisation procedures

and after this phase the table is ready for use.
5.2 Emergency shutdown
In case of EMERGENCY, it is possible to shut down all VISION functions

by using the red emergency pushbutton located in the right side of the
front cover of the unit.
5.3 Patient positioning
The patient can be loaded onto the table with both the unit in horizontal
or vertical position.
Do not load the patient when the table is not in horizontal or vertical
position.
To help you finding the correct position, a configurable option is
provided so that the table will stop for a configurable amount of time
(typically 1 sec) when it passes through the horizontal position during
the tilting movement.
When loading the patient with the table in horizontal position, move the
tabletop completely outwards using the proper commands and slide the
spot film device to parking position to avoid the patient to hit it.
For the examination with patient in vertical position, slide the footrest at
the end of its run and check that it is strongly secured in position; tilt
the unit in vertical position and position the patient on the step.
The foot rest is fixed on table top rails. To move the footrest along the
rails, push the two big buttons that are located under the handles and
slide the footrest to the desired position. Please note that the footrest has
stops every 10 cm. For this reason, after you have released the buttons,
you will have continue to slide the footrest until it is firmly locked in
position. If this operation is not performed, the footrest might move as
soon as the patient steps onto it.
VISION 30 (Rev. 1)
USER'S MANUAL
For additional safety, the footrest can be removed from the tabletop only
with an additional operation.
To remove the foot rest from the rails, press at the same time the two
buttons and pull the two small knobs at the sides of the footrest. This
operation will allow to slide the footrest completely out of the rails.
WARNING:
, The weight of the footrest is more than 20kg (45lbs). Be prepared to carry
such a weight when you remove the footrest from the rails.
The foot rest can, for examinations requiring it, also be mounted on the
head side.
When the patient is properly in place on the table-top, adjust the

handles and the headrest as required. To adjust the position of these
accessories, release the relevant knobs by turning them counter
clockwise and move them freely along the rails. When you have found
the correct position, lock them tightly by rotating the knob clockwise.
WARNING:
, Before activating motorised parts, such as tilting, table top, check that
the patient is properly laying on the table top and with legs and arms
within the outline of the table top itself. Before activating the tilting,
instruct the patient about the operation you are going to perform and
make sure that the headrest is in position and he/she is firmly grabbing
the handles.
(Rev. 1) 31 VISION
USER'S MANUAL
5.4 Cassette Loading and Unloading (Spot Film Device)
The cassette can easily be loaded and unloaded in the Spot Film Device
thanks to a motor-driven self-centring tray.
• To load a cassette
Press button Nr. 8 on the keyboard (see chapter 6 for the detailed
location).
8
The cassette tray will slide out of the SFD and the cassette tray cover
will open.
1. Insert the cassette inside the tray and push it as indicated by
arrow, against the rear jaw so to counteract the spring action of
the jaw.
2. Continue to push the cassette until the locking mechanism (1)
engages the cassette.
Don’t mind the centring of the cassette, as it is completely
automatic.
3. Press button nr.8. At this point, the following actions will be
automatically taken:
- the cassette is moved to “park” position, waiting to be
exposed.
- the cassette size is recognised and displayed
Before you can perform an exposure, you have to select with the
keys nr. 9...13 which sub-division you want to perform on the film.
Read further for more information.
Figure 5
VISION 32 (Rev. 1)
USER'S MANUAL
• To unload a cassette
The cassette can be unloaded at any time, even if the sub-division
program is not terminated. To eject the cassette tray, simply press
button nr.8.
The cassette is also automatically ejected after the last exposure of
the sub-division programs has been performed (this feature can be
disabled during the installation phase).
After the tray has been ejected, grasp the front edge of the cassette
with the fingers and with the hand move to the right as indicated by
arrow the release lever (1) of the locking mechanism.
WARNING:
, As soon as you press the release lever, the cassette will be expelled with
considerable force. Keep ready to hold the cassette when it is expelled.
NOTE:
* The tray is blocked in park position and cannot be ejected when a
division has been selected and the digital mode is activated.
Figure 6
(Rev. 1) 33 VISION
USER'S MANUAL
5.5 Cassette Loading and Unloading (OPTIONAL

Undertable Bucky)
To load a cassette in the undertable bucky (for instance with a tube

stand or ceiling tubestand), operate as follows:
1. Open the front cover located under the tabletop by pulling it firmly.
2. Slide out the cassette tray by the handle in front of it.
3. Unlock the jaws by rotating the knob counter clockwise.
4. Pull open the jaws.
5. Put the cassette in the tray and centre it left to right using the mid
reference line on cassette (1) and for vertical projections by putting
the magnetic stopper (4) in the proper reference slot.
6. Push the jaws as indicate by arrows (2) to lock the cassette.
7. Lock the jaws by turning the knob clockwise as indicated by arrow
(3).
8. Unlock the bucky brakes by acting on the lever located on the left of
the bucky itself and move the bucky to the desired position.
9. Close the cover.
NOTE:
* After you have finished working with the bucky, move it back to its
parking position (completely foot side). If the bucky is not in parking
position, no exposure and fluoro on the SFD will be allowed and the
relevant message is displayed.
Figure 7
VISION 34 (Rev. 1)
USER'S MANUAL
5.6 Protective apron
The unit is equipped with a lead protective apron installed on the border
of the SFD. The apron can be positioned either on the front side or the
foot side of the SFD, so to give protection to the operator with the table
in both horizontal and vertical position.
WARNING:
, Even though VISION is manufactured and controlled to reduce at
minimum the scattering radiation, the lead apron must be positioned in
such a way it always results between operator and X-ray beam to reduce
further more the radiation to the user.
(Rev. 1) 35 VISION
USER'S MANUAL
5.7 SFD Parking Position
The spot film device can be parked out of the table top (out of the beam),
so to leave the tabletop completely free for examination on the
undertable bucky.
To park the SFD, pull the knob (1) located on the right support bracket
of the SFD and gently push the SFD backwards. Release the knob and
continue to push the SFD until the knob clicks back in position. To
bring the SFD back in working position operate in the opposite way.
NOTE:
* In this condition the fluoro and exposure modality can't be performed by
SFD. On SFD display, this inhibit situation is made clear by relevant
message.
Figure 8
VISION 36 (Rev. 1)
USER'S MANUAL
Operating instruction
6. OPERATING INSTRUCTION
6.1 Summary of controls
6.1.1 Joystick functions
Description
1. Collimator
2. SFD scanning
3. Fluoro
4. Prep / exposure
5. Tilting (and alarm reset)
6. Tabletop
longitudinal/transversal
CAUTION:
1 do not rotate the joystick
knobs, to avoid breaking
them.
2
3 4
(Rev. 1) 37 VISION
USER'S MANUAL
6.1.2 Keyboard functions
13 12 14 7 15
17 19
18 20
21 22
11 10 9 8 16
23 24
Description
7.
8.
Alphanumeric display
Cassette insert/eject
25 28
9. Panoramic (full size)
10. Two on one division
11. Three on one division 26 29
12. Four on one division in cross
13. Six on one division in cross
14. Rapid sequence (volet) 27 30
15. Fast bolus chasing
16. Room light switch on/off
17. Longitudinal and transversal SFD movements brake
18. Compression movement brake
19. Hold collimator function
20. Collimator closed warning lamp
21. Compression cone operation: manual/auto
22. Compression cone movement: in field/park
23. Horizontal image reversal on monitor
24. Vertical image reversal on monitor
25. Maximum image intensifier field
26. Medium image intensifier field
27. Minimum image intensifier field
28. Fluoro kV adjustment: select auto/manual mode
29. Manual fluoro kV adjustment: increase kV
30. Manual fluoro kV adjustment: decrease kV
VISION 38 (Rev. 1)
USER'S MANUAL
6.1.3 Table Side Operator (TSO) functions
A secondary keyboard (TSO) positioned on the upper part of the front

cover, duplicates some of the movements commands available on the
main keyboard. The movements made possible by this TSO are: tilting
and table top movements in both direction. Additionally , by pressing at
the same time the two keys of table top movement the table top is
automatically centred in the direction of the movement keys pressed.
The following drawing shows the TSO.
31 32 33 34 35 36
Description
31. Tilt vertical direction

32. Tilt trendelembourg direction
33. Longitudinal table top head side direction
34. Longitudinal table top foot side direction
35. Transversal table top inside direction
36. Transversal table top outside direction
33+34 Longitudinal table top centering
35+36 Transversal table top centering
(Rev. 1) 39 VISION
USER'S MANUAL
6.1.4 Display fields
The alphanumeric display can show a large number of information on

two lines by twenty characters each:
+ 7 5 5 4 5 3 0 x 2 4 4
T i l t S I D C a s s . F
Tilt angle Source to Image Cassette size Number of

Distance exposures
remaining
When required, the above mentioned information will be cancelled and

warning and or messages will be displayed.
VISION 40 (Rev. 1)
USER'S MANUAL
6.2 Collimator functions
VISION is equipped with a fully automatic collimator (beam limiting

device). The location of the collimator is under the tabletop, therefore no
field simulation light is present.
The collimator can work only in automatic mode; this mode can be
associated with the Hold function. The operating modes are described in
the following paragraphs.
NOTE:
* The operation of the collimator is automatic and it is fully computer
controlled. In particular, the collimator aperture is automatically
adjusted when moving the SFD up and down, to compensate for the
different Source to Image Distance.
In addition, in order to have a sharp separation between exposure on the

same film, the SFD is equipped with near film shutters, so to reduce the
effect of scattered radiation.
(Rev. 1) 41 VISION
USER'S MANUAL
6.2.1 Normal operating mode
Height
1 close
Width Width
close open
Height
open
Description
By acting on the joystick you can open or close the collimator to the
desired size. The joystick has four movements: height open, height
close, width open, width close.
Operation
The behaviour of the function is different according to the condition
of the system.
• Fluoroscopy:
the initial collimation will be the smaller between the selected I.I.
field and the selected film division. If no division is selected or no
cassette is inserted, the initial collimation will be the size of
selected I.I. field.
By means of the joystick it is possible to further reduce the
irradiated field.
If the I.I. field is changed, the limitation is reset and the jaws are
positioned on the selected Zoom.
At the end of a program (sub-divisions) the collimator is positioned
on the I.I. size.
• Preparation/exposure:
the collimation will be automatically changed so to match the size
of the selected division, therefore resetting any limitation carried
out by means of the joystick if Hold mode is not active . When
“Prep” is released the collimator jaws return to the position
previously set.
• Digital:
operation is the same as fluoroscopy. The Prep control does not
modify the collimator jaws position.
VISION 42 (Rev. 1)
USER'S MANUAL
6.2.2 “HOLD“ operating mode
19
Description
The function is used to keep the same collimation when switching
from fluoro to exposure.
Operation
The behaviour of the function is different according to the condition
of the system.
• Fluoroscopy:
same as normal operation.
• Preparation/exposure:
- if the collimation has been manually reduced with the joystick
during fluoro, then the collimation will remain the same
- if the collimation has not been modified by joystick, then the
collimation will match the selected division.
During the installation it is possible to select this operating mode as the

default condition at power-on.
(Rev. 1) 43 VISION
USER'S MANUAL
6.2.3 Collimator closed warning lamp
20
Description
This yellow warning lamp is lit when one or both collimator jaws are
completely closed.
VISION 44 (Rev. 1)
USER'S MANUAL
6.3 Spot Film Device
VISION is equipped with a Spot Film Device designed to work with

cassettes sizes in “cm” or “inch”. The accepted sizes and divisions are
listed at the end of the Technical data chapter.
The choice of the type of cassettes to be used must be communicated to

your local representative at the time of the order of the equipment.
As soon as a cassette is inserted, the display will show the size of the
cassette.
If the inserted cassette has a size that is not listed in tables of

chapter 4, the display will show the following message:
NOT RECOGNISED CASSETTE SIZE
Should this occur, remove the cassette and replace it with one having a
compatible format.
(Rev. 1) 45 VISION
USER'S MANUAL
6.3.1 Selection of the division program
13 12
11 10 9
Description
Selection of a division program allows to expose a different portion of
the film each time the exposure button is pressed.
The available divisions and the related button are the following:
9 - full size exposure (panoramic)
10 - 2 on 1 in line
11 - 3 on 1 in line
12 - 4 on 1 in cross
13 -6 on 1 in cross
Not all the division programs are available with each cassette size.
The combinations of divisions available for each cassette size are
listed at the end of the Technical data chapter.
Operation
When the cassette is inserted, the display shows the size of the
inserted cassette, the first number shows the size corresponding to
the cassette width (patient’s right to left). The LED’s of the available
sub-divisions corresponding to keys 9 to 13 will lit to help you
choosing a correct division.
VISION 46 (Rev. 1)
USER'S MANUAL
The display shows the message:
SELECT SUB-DIVISION
- It is possible to select one program among those indicated by the

led by pushing the corresponding key. All the other division leds
will be switched off. The display will show the number of
radiograms available.
- It is possible to reset the selection by pushing once again the key
of the selected division. This action makes all the possible
divisions available again.
- It is not possible to modify the selection when a program has
already started.
- If a program interruption is needed, it is necessary to eject the
cassette with button 8.
- It is not possible to select a division when the digital mode is
active.
- After each exposure, the counter of the available exposure on the
display is decreased by 1.
NOTE:
* When a cross division is selected the compressor reach the “field
position” automatically. The “Preparation” and “Exposure” functions are
inhibited during the compressor movement. They’ll be allowed only when
the “field position” is reached by the compressor.
(Rev. 2) 47 VISION
USER'S MANUAL
6.3.2 Rapid sequence
14
Description
This function allows the execution of a series of exposures in fast
sequence (about 2 exposures per second). In this operating mode the
cassette tray will not go back to parking position between two
exposures.
Operation
The function can be selected after selection of a division program
(not for full size). When this function is activated, the relevant led is
lit and the display shows the message:
RAPID SEQUENCE
At the end of a rapid sequence program the function is automatically

reset.
The function can’t be selected when:

- the digital mode is selected
- the full size (1 on 1) division is selected
- a division program has already been started.
During the exposure in this modality, the exposure button must be

maintained pressed until the program is over. If the button is
released the alarm message 063 alerts that the program has been
aborted and cassettes tray driven to load position.
VISION 48 (Rev. 1)
USER'S MANUAL
6.4 Manual adjustment of fluoroscopy kV and mA (NOT

FOR USA)
28
29
30
Description
The function allows automatic or manual adjustment of fluoroscopy
kV and mA values, so to compensate for different tissue densities
and/or patient size.
Operation
The default operating mode is automatic setting of kV/mA (also called
ABC: Automatic Brightness Control). In this condition the led on
button 28 will be OFF.
In case of need (typically if you have to highlight a small dense organ
surrounded by a large soft organ, or vice/versa) you can switch to
manual operation by pressing button 28. The corresponding led will
lit to indicate manual operation. From now on, you can adjust the
kV/mA value by acting on button 29 and 30: button 29 will increase
kV/mA; button 30 will decrease kV/mA
To restore automatic operation, press button 28 once again; the
corresponding led will switch off.
Notes
The kV/mA relationship is a characteristic of the generator. In
general the higher the kV, the higher the mA.
NOTE:
* Manual kV/mA adjustment function is not available in units sold in the
USA. In this case, the described buttons have no effect.
(Rev. 1) 49 VISION
USER'S MANUAL
6.5 Image intensifier and TV chain controls
6.5.1 Inversion of fluoroscopic image
23 24
Description
The function allows to invert the orientation of the image displayed
on the fluoroscopy monitor (left-right and up-down) so to
compensate for different patient orientation.
Operation
Press button 23 to invert the image horizontally: left-right. The
corresponding led will lit. Press once again to restore the default
orientation.
Press button 24 to invert the image vertically: up-down. The
corresponding led will lit. Press once again to restore the default
orientation.
VISION 50 (Rev. 1)
USER'S MANUAL
6.5.2 Selection of Image Intensifier field
25
26
27
Description
The image intensifier is usually equipped with the “zoom” function.
In this case the I.I. is called “three fields”. If you have a 9” three
fields I.I., it means that the biggest diameter of the visible object on
the I.I. is 9” (23cm); this is also called the maximum field. You can
choose other two smaller fields (or zooms) respectively 6” (16cm) and
4” (12cm).As the diameter of the object is smaller, but the image
monitor is always the same, the result will be a larger image visible
on the monitor (zoom).
Operation
• Button 25 selects the maximum field (no zoom)
• Button 26 selects the medium field (medium zoom)
• Button 27 selects the minimum field (maximum zoom)
Each button has a led to indicate the state of the function.
Notes
If single field I.I. is installed, changing the zoom selection (MIN -
MED - MAX), the characteristic of image will remain unchanged.
After pressing the buttons, it takes about one second for the image
to stabilise to the new zoom.
It is normal that when you select smaller fields, the kV value will
increase.
Pressing the buttons to change the field will also result in a change
of the collimator limitation. If the limitation have been manually
changed, when you change the I.I. field, it will be reset to the
maximum value allowed for that field.
(Rev. 1) 51 VISION
USER'S MANUAL
6.5.3 Monitor brightness and contrast
The contrast and brightness of the monitor can be adjusted by acting on

the knobs located on the front panel of the monitor itself.
VISION 52 (Rev. 1)
USER'S MANUAL
6.6 Room light
16
Description
To facilitate the view of the TV monitor during fluoroscopy, you can
switch the room light on and off or decrease the intensity directly
from the SFD keyboard.
Operation
Press button 16 to switch the room light on and off.
Note
For this function to operate, proper connections must be provided
during the installation phase.
(Rev. 1) 53 VISION
USER'S MANUAL
6.7 Compressor
21 22
Description
The compressor is used in all those gastro-intestinal applications
where there is the need to help the contrast media flow in the
examined district. The compressor cone can be brought in field when
required. When the compressor is in field, you can move the whole
spot film device toward and upward the patient (the so called
compression movement) to compress the abdomen of the patient and
move the contrast media during the fluoroscopy investigation.
Operation
Button 21 selects the manual operation of the compression cone. The
led will lit to indicate manual mode.
Button 22 brings the cone in field (operating position) or out of field
(parking position ). The button is active only in manual mode. The
relevant led is lit as soon as the compressor leaves the parking
position (in both manual and automatic mode).
When the unit is in automatic mode (led on button 21 OFF), selecting
a cross division will automatically bring the compressor in field.
Should this not be required, select manual mode and park the
compressor. Resetting the division selection will park the cone again.
When compressor is in movement, all brakes (longitudinal,
transversal and compression) are released and the relevant buttons
are inhibited to avoid injury to the patient.
Notes
The compressor cone can be removed for cleaning and disinfecting.
After examination requiring contrast media, check that no residuals
have remained on the compressor cone, to avoid blemishes to affect
the next examinations.
During the compressor movement the “Preparation” and “Exposure”
functions are not allowed.
The compressor movement is not allowed if the Spot Film Device is
not in the center position.
VISION 54 (Rev. 2)
USER'S MANUAL
6.8 Movements
6.8.1 SFD scanning movement
Head side
Foot side
Description
Longitudinal movement of the Spot Film Device assembly is used to
locate the region of interest to be examined.
Operation
You can move the SFD manually with max 15kg force or by means of
joystick 2.
Pressing the joystick upwards will move the SFD towards head side.
Pressing the joystick downwards will move the SFD towards foot
side.
This motor is called "Servomotor" because it is an assistance to the
manual movement.
Notes
The reason why you have to press the joystick UPwards to move the
SFD to the left is that, when you are working on the patient during
fluoro, you are looking at the monitor, NOT at the patient. When you
press the joystick UP, the image on the monitor will shift UP.
The SFD movement can be combined with the tabletop for fast bolus
chasing (see paragraph 6.8.7 for more details).
The movement is inhibited when the brakes are active.
(Rev. 1) 55 VISION
USER'S MANUAL
6.8.2 Tilting movement
Vertical
Alarm reset
5 (refer to Ch. 8)
Trendelemburg
Description
The table can be tilted from –15° Trendelembourg to +90° vertical
position to accomplish different kind of examination requiring the
patient to be in special positions.
Operation
You can activate the tilting movement by means of joystick 5 and
buttons 31 and 32 on TSO.
- Pressing the joystick upwards will move the table towards vertical
position.
- Pressing the joystick downwards will move the table towards
Trendelembourg position.
The tilting angle will be shown on the display. The angles towards
Trendelembourg position are shown with negative numbers.
If the tabletop is not centred when performing the tilting movement,
the tabletop movement will be automatically activated to retract it
and avoid collision to the floor; when the tabletop has reached a safe
position. Keep the joystick pressed throughout this operation.
The table will stop for one second when it reaches horizontal
position, so that you have time to release the joystick. If you keep
pressing the joystick, the movement will restart after one second.
If the unit is powered with 60 Hz frequency mains, when the tabletop
is to the head side with a elongation more than 400 mm from the
centred position, when performing the tilting movement towards the
vertical position, the tabletop movement will be automatically
activated to retract it up to 400 mm. Keep the joystick pressed
throughout this operation.
It will be possible to reach the max table top head side (600 mm)
with tilting motion not active.
VISION 56 (Rev. 1)
USER'S MANUAL
Notes
The movement might be inhibited in case of potential collisions with
room parts. Check the display for warning messages and refer to
chapter 8 for a description of the alarms and their remedies.
Joystick 5, when moved to the right, is also used to reset alarm or
warning conditions. Refer to chapter 8 for more details.
(Rev. 1) 57 VISION
USER'S MANUAL
6.8.3 Table top movement
Transversal
Inner side
Longitudinal Longitudinal
Head side Foot side
Transversal
Outer side
Description
The tabletop can be moved along four directions to position the
region of interest within the exposed area.
Operation
You can activate the table top movement by means of joystick 6 and
buttons 33, 34, 35 and 36 on TSO. Please refer to the figure for the
direction of movement.
To obtain the stop at centred position for longitudinal and / or
transversal movements, press at same time the 2 buttons relevant to
the movement, positioned on TSO.
Notes
When the table is not in horizontal position, the longitudinal travel of
the tabletop will be reduced to avoid collision with the floor.
The longitudinal movement will be automatically activated during
tilting to retract the tabletop in case of potential collision to the floor.
The movement will also be activated automatically during tilting to
retract the table top from head side, if the position is more than 400
mm, if the unit is powered with 60 Hz frequency main.
The tabletop movement can be combined with the SFD movement for
fast bolus chasing (see paragraph 6.8.7 for more details).
The 4 table top movements are inhibited when the brakes are active.
VISION 58 (Rev. 1)
USER'S MANUAL
6.8.4 Source to image distance and compression
Description
The SFD assembly can be moved up and down for two distinct
purposes:
- to change the Source to Image Distance (thus changing the
magnification of the object)
- to compress the patient during contrast-media examinations.
Operation
The movement is manual: grab one of the handles on the SFD and
move it towards or upwards from the table top.
You can read the Source to Image Distance (in millimeters) on the
display.
When you have reached the correct position, you can lock the
movement by pressing button 18.
Notes
Before moving the SFD for patient’s compression, make sure that the
compression cone is correctly in place, by checking the led on
button 22.
WARNING:
, To avoid injuring the patient, move the SFD gently during the
compression.
(Rev. 1) 59 VISION
USER'S MANUAL
6.8.5 Transversal SFD movement
Description
The SFD assembly can be moved transversally with respect to the
tabletop (left to right with respect to the patient) to centre the region
of interest.
Operation
The movement is manual: grab one of the handles on the SFD and
move it back and forth.
When you have reached the correct position, You can lock the
movement by pressing button 17.
VISION 60 (Rev. 1)
USER'S MANUAL
6.8.6 Movement brakes
17
18
Description
The movements of the table can be locked to avoid unwanted
movements during the examination.
Operation
• Button 17 will lock the following movements:
- tabletop longitudinal and transversal
- Spot Film Device scan movement
- Spot Film Device transversal
• Button 18 will lock the above mentioned movements, plus:
- compression
The corresponding leds on the buttons will lit to indicate that the
brakes are engaged.
Notes
Pressing button 18 will lit both leds, to indicate that all brakes are
active.
The tilting movement is always active.
Pressing the first step of the prep/exposure buttons (4) will have the
same effect as pressing button 18, that is, all brakes are
automatically activated prior to exposure to avoid unintended
movement during exposure.
When compressor is activated all the brakes are de-energised.
(Rev. 1) 61 VISION
USER'S MANUAL
6.8.7 Fast bolus chasing
15
Description
In case you need to chase a fast transit of contrast media bolus
(such as in swallow studies), and the SFD scanning speed is
insufficient, it is possible to combine the SFD scanning with the
longitudinal tabletop movements, so to achieve a higher relative
speed.
Operation
Move the SFD completely towards head side by means of joystick 2.
By moving the tabletop with joystick 6, position the patient, so that
the starting point of the bolus transit is centred with the SFD.
Press button 15 to activate the Fast bolus chase function.
You can now start the fluoro mode and have the contrast media start
to flow.
As soon as the contrast media starts to flow, move the SFD towards
foot side with joystick 2. At this point, the tabletop will automatically
move towards head side to increase the relative speed.
You can stop the movement and then start again as long as there is
enough free run for either the SFD or the tabletop.
Notes
The function remains active until you press button 15 once again
and the led switches off.
The same effect is obtained moving the tabletop with joystick 6 (table
top) to head direction.
The combination of movements works only in one direction, that is
SFD towards foot and tabletop towards head.
If you move the SFD towards head side, the tabletop will not move.
VISION 62 (Rev. 1)
USER'S MANUAL
6.9 Fluoroscopy
Description
Fluoroscopy emission is used to have an overview of the district
under examination, typically to localise the region of interest. The
images are displayed in real time on the TV monitor.
Operation
To start the fluoroscopy X-ray emission, simply press one of the two
buttons nr.3 that are located for convenience on two sides of the
SFD. If present, the fluoroscopy X-ray emission is allowed also by
using the foot-switch.
During fluoroscopy, all the movements of the SFD and tabletop are
enabled.
During fluoroscopy, all the controls of the Image Intensifier and the
automatic or manual kV selection are enable.
To reduce the field of view, you can move the collimator joystick;
refer to paragraph 6.2.
When you release the button, the last image shown on the Monitor
will be “frozen” and can be viewed without X-rays. This function is
called Last Image Hold (LIH) and it is available if the Image
Intensifier subsystem is equipped with the proper electronics.
WARNING:
, When delivering X-ray, make sure that the protective lead apron is in
place.
Notes
Fluoroscopy is inhibited when:
- the SFD is out of centred position
- the undertable Bucky is not in parking position
- prep/exposure button is pressed.
If the unit is equipped with a digital acquisition system, it can also
operate in “pulsed fluoro” mode. Please, refer to the user manual of
the Digital system for more details.
(Rev. 2) 63 VISION
USER'S MANUAL
6.10 Exposure
Description
Exposure emission is used to expose the film in the SFD.
Operation
The button nr. 4 has two steps, each with a different function.
The first step (also called preparation or prep) will:
- bring the cassette from park to exposure position and move it so
that the current division is centred on the x-ray beam
- move the collimator (unless the hold function has been selected)
and the near film shutters so to collimate the exact size of the
current division only in case the dimensions to be reached are
bigger than fluoro size
- lock all the brakes to avoid unwanted movements
- inform the x-ray generator that the unit is going to make an
exposure.
The second step (also called exposure) will:
- start the grid movement
- start the x-ray emission
- decrease the number of available exposure shown on the display.
The button must be kept pressed until the current exposure is

terminated, otherwise an error message will be issued.
At the end of the exposure sequence, the unit will behave differently,
according to the operating mode.
• Normal operation:
- The cassette goes back to parking position and waits for the
next exposure.
- At this time you have to release the exposure button. If you
want to make a new exposure, press it once again.
VISION 64 (Rev. 1)
USER'S MANUAL
• Fast sequence operation (button 14 has been selected, see

paragraph 6.3.2):
- the cassette is moved so that the next division is centred on
the x-ray beam
- a new x-ray emission is delivered
- this loop will continue until all the divisions have been exposed
or the button is released.
After the last division has been exposed, the cassette is

automatically ejected (this feature can be disabled during the
installation phase).
WARNING:
, When delivering X-ray, make sure that the protective lead apron is in
place.
Notes
Exposure is inhibited when:
- the SFD is in parking position
- the undertable Bucky is not in parking position
- fluoroscopy is active
- no cassette is in the SFD tray
- no division has been selected
- the compressor is moving.
If the unit is equipped with a digital acquisition system, it can also

operate in “digital exposure” mode. Please, refer to the user manual
of the Digital system for more details.
(Rev. 2) 65 VISION
USER'S MANUAL
6.11 Operation with Digital imaging systems
When "Digital Mode" is selected, on SFD display, where normally the

cassettes size is showed, a Digital indication is displayed.
In this modality the fluoro mode is as per SFD mode, and exposure
button activates directly the output to the generator.
The cassettes tray remains in park position and no movement will be
activated in prep. / exposure mode.
VISION 66 (Rev. 1)
USER'S MANUAL
6.12 Standard radiography
To take a standard radiography, it is necessary to follow an established

software sequence in order to complete the program.
This sequence is as follows:
1. Exposure switch 1st step (preparation):
- start cassette motion from PARKED position toward "exposure"
position
- shutters motion toward cassette format if larger than the I.I.
format
- “Preparation request" output active toward the generator
- motion of collimator axes toward the radiograph format, if larger
than the I.I. format.
2. Exposure switch 2nd step:
"2nd step" output active toward generator.
3. "Generator ready" input active:
Start grid motion only if all the following conditions are met:
- collimator axes halted on the selected film or sub-division size
- shutters at the film or sub-division position
- cassette at "exposure" position
4. Exposure request:
- the grid motion initiates the countdown of the delay programmed.
When this time has elapsed:
- "Exposure request" output active to generator.
5. X-ray present:
If the X-ray emission starts the exposure will be performed,
otherwise alarm 064 will be generated.
The above described sequences are illustrated in the following flow

diagram, which shows the "standard exposure" function and the
associated alarm messages.
(Rev. 1) 67 VISION
USER'S MANUAL
6.12.1 Standard radiography flow diagram
• Cassette parked
→ • Shutters at I.I. or div. ←
• Collimator at I.I. or div.
Operate
↓ joystick
reset
1st step:
• Motion toward
exposure position of:
- Cassette
- Shutters
- Collimator
- Compressor idle
• "Prep request" o/p ON
↓ ↑
↑ • Final position
reached by:
- Cassette NO
Alarm
- Shutters → →
060
- Collimator
- Compressor idle
within 8 sec.
YES ↓
2nd step to generator NO
Alarm
• "Generat. Ready" input → →
062
within 3 sec.
YES ↓
• Start grid motion
• Countdown delay
cell 215
↓ ↑
• Cell. 215 delay elapsed:
- "exp. request" active
↓
↑ • "X-ray ON" input active NO Alarm
within 0.35 sec. → 064 →
YES ↓ ↑
Exposure in progress. 1st step:
• Release exposure YES Alarm 067
switch with "X-ray ON" → 2nd step: →
input active Alarm 066
NO ↓ ↑
• "X-ray ON" input active YES Alarm
more than 6.5 sec. → 065 →
NO ↓
YES • Release 1st and
← 2nd steps ←
with exposure time
elapsed
("X-ray ON" not active)
NO ↓
VISION 68 (Rev. 2)
USER'S MANUAL
6.13 Rapid sequence
Executing a rapid program involves a different software sequence from

the standard program.
The rapid sequence can only be selected for cassette sub-divisions with
at least 2 exposures, and provided no exposure has yet been performed.
The sequences of this program are:
- start cassette motion from PARKED position toward "exposure”
position
- shutters motion toward cassette format if larger than the I.I.
format
- “Preparation request" output active toward the generator
- motion of collimator axes toward the radiograph format if larger
than the I.I. format
- start grid motion.
“2nd step” output active to generator.
Exposure request output active toward the generator if the following
conditions are true:
- collimator shutters halted on the selected sub-division size.
- shutters at the sub-division position
- cassette at "exposure" position
4. "X-ray ON" present:
5. Advance with program:
When the exposure time is ended:
- the "exposure" request output is reset
- the cassette advances to the next "exposure" position.
6. Performing the next radiography:
When the cassette has reached the "exposure" position the
"exposure" request is once again activated.
In any part of the sequence, if switch 2nd step is released, the program
is aborted and the cassette is ejected, generating alarm 063.
Any alarm which occurs during a rapid sequence program causes the
program to be aborted, and the cassette to be ejected.
The above described sequences are illustrated in the following flow
diagram, which shows the “standard exposure” function and the
associated alarm messages.
(Rev. 1) 69 VISION
USER'S MANUAL
6.13.1 Rapid sequence program flow diagram
• Select div. and rapid seq.

• Cassette parked ←
• Shutters at II or div.
• Collimator at II or div.
↓ ↑
1st step: Operate
• Motion toward alarm reset
exposure pos. of: joystick
- Cassette
- Shutters ↑
- Collimator
- Compressor idle • Progr. aborted
• "Prep request" o/p ON • Cassette eject
• Start grid motion
↓
• Final position reached
by: ↑
- Cassette NO
Alarm
- Shutters → →
061
- Collimator
- Compressor idle
within 8 sec.
YES ↓
Alarm
062
within 3 sec.
YES ↓
• "Exposure request" ON ↑
↓
• "X-ray ON" input active NO Alarm
within 0.35 sec. → 064 →
YES ↓ ↑
• "X-ray ON" input
OFF (stop exposure) NO
Alarm
→ within: 6.5 sec → →
065
- "Exposure request"
output OFF
YES ↓
YES ↑
• End of program
→ → →
NO ↓ ↑
• Exposure switch YES
Alarm
released with program. → → ↓
063
not finished
NO ↓
↑ • Cassette at next ↑
position
• "Exposure request"
output ON
↓
YES • "X-ray ON" input active NO Alarm • Cassette out or
← within 3 sec. → 064 → parked (cell 230)
VISION 70 (Rev. 2)
USER'S MANUAL
6.14 Digital radiography
The digital input can take place with the serial changer in 2 different
conditions:
• without sub-divisions
• with sub-divisions.
Therefore, if the digital function is selected in the former condition, it will

be possible to actuate the cassette motion, whereas in the second
condition the cassette will remain locked in the parked position until
digital mode is exited.
The sequences of the digital functions are:

“Digital prep” request output to generator.
"2nd step” request output to generator.
“Exposure request" output to the generator active.
4. "X-ray ON" active:
The above described sequence is illustrated in the following flow

diagram, which shows the "standard exposure” function and the
associated alarms.
(Rev. 1) 71 VISION
USER'S MANUAL
6.14.1 Digital radiography flow diagram
• Digital ON
→ • Cassette tray parked ←
Operate
↓ joystick
reset
1st step:
• "Prep. request" o/p ON
↓
Alarm
062
within 3 sec.
YES ↓
• "Exposure request"
output ON
↓ ↑
↑ • "X-ray ON" input active NO Alarm
within 0.35 sec. → 064 →
YES ↓
Exposure in progress
DSI exposure rate. ←
↓
YES • Release 1st or 2nd steps ↑
← in any condition
NO ↓
VISION 72 (Rev. 1)
USER'S MANUAL
Operator interface messages
7. OPERATOR INTERFACE MESSAGES

While operating on the table, acting on the various commands of the
keypads, the display shows some messages which drive the user in
making the correct operation.
The following is a list of the messages displayed and their meaning:
Message Meaning
Inhibition emission X-ray emission is inhibited
Foot servom. inhibit The movement of the SFD and X-ray tube towards
feet is inhibited (with optional tomo device only)
T.top collis. safety Safety against collision has been activated
Column not in park The external tube stand is not in parking position
Brakes act. Brake activated
Digital Having selected digital mode the cassette type and
sub-division is replaced by this message
Rapid sequence Rapid sequence is activated
Unknown cassette The cassette has not been recognized
Select sub-division Please select sub-division
(Rev. 1) 73 VISION
USER'S MANUAL
Alarms and warning messages
8. ALARMS AND WARNING MESSAGES

The software incorporated into VISION is designed to diagnose
anomalous or dangerous situations which may occur to the equipment.
When one or more of these diagnosis situations take place, the table
movements are stopped and the controls to accessories blocked. Panel
display shows the flashing number referred to the alarm accompanied by
an acoustic signal.
The alarms are subdivided into three groups.
8.1 Collisions
By activating one or more movement controls it is possible to reach the

collision safety limit set by the Service engineer during the installation
phase; the collision safety limit creates a software imaginary barrier
which cannot be overcome from any side of the equipment.
In this case the display shows the flashing message COLLISION. These
messages are automatically removed when the equipment is taken
away from the condition of collision risk.
When the collision-proof software barrier is reached the movement is

blocked; only the movements taking away the equipment from the
dangerous position can be activated.
Once the dangerous situation has been eliminated, the flashing message
on displays is automatically reset and all movements will be allowed
again.
During the collision situation, when message “COLLISION” appears on
displays, the Fluoro, Preparation and Exposure functions are still
allowed.
The list of collision messages are given in the following table:
Pos. Message Explanation

11 T.top - left wall Table top has reached the limit on the left
12 T.top-right wall Table top has reached the limit on the right
13 T.top - ceiling Table top has reached the limit towards the
ceiling
14 T.top – floor Table top has reached the limit towards the
floor
VISION 74 (Rev. 1)
USER'S MANUAL
8.2 Operating alarms
The alarms of this group are generated by operating errors due to

incorrect operations of the operator or to malfunctions of external
accessories.
As these alarms do not generate any dangerous or risky situation for the
patient, the operator and the equipment itself, they can be reset without
switching off the device.
These alarms can be reset by moving joystick 5 to the right. The first
movement stops the acoustic signal, the second one resets the alarm.
This family consists of the following alarms:
Pos. Message Explanation

62 Input generator not active No command from generator
63 Rapid sequence interrupted Unwanted release of X-ray button during
rapid sequence.
Mechanical or electrical failure
64 X-RAY ON not active No command from generator
65 Input X-RAY ON timeout (6.5 sec) Time out of X-ray signal
66 X-RAY request open during exposure Release of radiography command
67 PREP request open during exposure Release of PREP command
90 Defective EEPROM Defective EEPROM detected during autotest
91 Width collim. over max error Excessive position discrepancy in width of
collimator; electrical or mechanical failure
92 Height collim. over max error Excessive position discrepancy in height of
collimator; electrical or mechanical failure
93 Shutters over max error Position discrepancy in shuttters: electrical
or mechanical failure
94 Cassette tray over max error Position discrepancy in cassette tray:
electrical or mechanical failure
133 Max tilt pot lower than min Wrong set-up or electrical failure
134 Max t.top long pot lower than min Wrong set-up or electrical failure
135 Max t.top trans pot lower than min Wrong set-up or electrical failure
136 Max SID pot lower than min Wrong set-up or electrical failure
137 Max width coll pot lower than min Wrong set-up or electrical failure
138 Max height coll pot lower than min Wrong set-up or electrical failure
141 Max shutters pot lower than min Wrong set-up or electrical failure
142 Max cas.tray pot lower than min Wrong set-up or electrical failure
907 Button or joyst. active at switch ON Unwanted pressure of a joystick during
switch on or electrical failure
(Rev. 1) 75 VISION
USER'S MANUAL
8.3 Alarms caused by failures or malfunctions
The alarms of this group are generated by failures to components of the

equipment. As these situations might generate dangerous or risky
situations for the patient, the operator or the equipment itself, the
alarms of this group cannot be reset.
It will be necessary to switch off the equipment and call Technical
Service to remove the failure causes.
The list of alarm messages belonging to this "not recoverable" type is

given in the following table:
Pos. Message Possible cause

50 Overcurrent collimator Electrical failure or shutters mechanically
blocked
51 Overcurrent shutters Electrical failure or shutters mechanically
blocked
52 Overcurrent cassettes tray Electrical failure or cassette tray
mechanically blocked
59 X-RAY ON from gen. without Electrical failure
command
60 Tray/Collim/Shutters not ready Mechanical or electrical failure in SFD
61 Tray/Collim/Shutters not ready Mechanical or electrical failure in SFD
68 Compressor time out Electrical failure in the compressor driver
80 General power emergency One of the emergency switches of a
motorized movement has been activated
81 SFD power emergency One of the emergency switches of a
motorized movement in the SFD has been
activated
82 Undervoltage in power supply Input voltage under range
86 Defective RAM during test Defective RAM detected during autotest
101 Tilt pot under min software value Electrical or mechanical failure
102 Tilt pot over max software value Electrical or mechanical failure
103 T.top long.pot under min soft.value Electrical or mechanical failure
104 T.top long.pot over max soft.value Electrical or mechanical failure
105 T.top trans.pot under min soft.value Electrical or mechanical failure
106 T.top trans.pot over max soft.value Electrical or mechanical failure
107 SID pot under min software value Electrical or mechanical failure
108 SID pot over max software value Electrical or mechanical failure
109 Width coll.pot under min soft.value Electrical or mechanical failure
110 Width coll.pot over max soft.value Electrical or mechanical failure
111 Height coll.pot under min soft.value Electrical or mechanical failure
112 Height coll.pot over max soft.value Electrical or mechanical failure
VISION 76 (Rev. 1)
USER'S MANUAL

117 Shutters pot under min soft.value Electrical or mechanical failure
118 Shutters pot over max soft.value Electrical or mechanical failure
119 Cass.tray pot under min soft.value Electrical or mechanical failure
120 Cass.tray pot over max soft.value Electrical or mechanical failure
156 Serial timeout supervis. to main Loss of functionality in SW supervisor
157 Serial timeout main to supervis. Loss of functionality in SW supervisor
158 Supervis. alarm SF open at switch Supervisor alarm at switch on
ON
159 Supervis. alarm input on at switc.ON Supervisor alarm at switch on
160 SV: servom. h.=1 and serial bit 0 = 0 SW alarm from supervisor: electrical or
mechanical failure
161 SV: servom. h.=0 and serial bit 0 = 1 SW alarm from supervisor: electrical or
mechanical failure
162 SV: servom. f.=1 and serial bit 1 = 0 SW alarm from supervisor: electrical or
mechanical failure
163 SV: servom. f.=0 and serial bit 1 = 1 SW alarm from supervisor: electrical or
mechanical failure
164 SV: t.top head=1 and serial bit 2 = 0 SW alarm from supervisor: electrical or
mechanical failure
165 SV: t.top head=0 and serial bit 2 = 1 SW alarm from supervisor: electrical or
mechanical failure
166 SV: t.top foot=1 and serial bit 3 = 0 SW alarm from supervisor: electrical or
mechanical failure
167 SV: t.top foot=0 and serial bit 3 = 1 SW alarm from supervisor: electrical or
mechanical failure
168 SV: t.top out=1 and serial bit 4 = 0 SW alarm from supervisor: electrical or
mechanical failure
169 SV: t.top out=0 and serial bit 4 = 1 SW alarm from supervisor: electrical or
mechanical failure
170 SV: t.top in=1 and serial bit 5 = 0 SW alarm from supervisor: electrical or
mechanical failure
171 SV: bar. in=0 and serial bit 5 = 1 SW alarm from supervisor: electrical or
mechanical failure
172 SV: tilt cw=1 and serial bit 6 = 1 SW alarm from supervisor: electrical or
mechanical failure
173 SV: tilt cw=0 and serial bit 6 = 1 SW alarm from supervisor: electrical or
mechanical failure
174 SV: tilt ccw=1 and serial bit 7 = 0 SW alarm from supervisor: electrical or
mechanical failure
175 SV: tilt ccw=0 and serial bit 7 = 1 SW alarm from supervisor: electrical or
mechanical failure
180 SV: SF close but servomot. head = 1 SW alarm from supervisor: electrical or
mechanical failure
(Rev. 1) 77 VISION
USER'S MANUAL

181 SV: SF close but servomot. foot = 1 SW alarm from supervisor: electrical or
mechanical failure
182 SV: SF close but table top head = 1 SW alarm from supervisor: electrical or
mechanical failure
183 SV: SF close but table top foot = 1 SW alarm from supervisor: electrical or
mechanical failure
184 SV: SF close but table top out = 1 SW alarm from supervisor: electrical or
mechanical failure
185 SV: SF close but table top in = 1 SW alarm from supervisor: electrical or
mechanical failure
186 SV: SF close but tilt clockwise = 1 SW alarm from supervisor: electrical or
mechanical failure
187 SV: SF close but tilt c.clockwise = 1 SW alarm from supervisor: electrical or
mechanical failure
191 Active outp. but width coll.pot lock Potentiometer does not detect motion:
192 Active outp. but height coll.pot lock Potentiometer does not detect motion:
193 Active outp. but shutters pot lock Potentiometer does not detect motion:
194 Active outp. but cass.tray pot lock Potentiometer does not detect motion:
201 Moved tilt pot with no command Potentiometer detects motion in absence of
proper command: electrical failure of
command
202 Moved t.top long pot with no Potentiometer detects motion in absence of
command proper command: electrical failure of
command
203 Moved t.top tran pot with no Potentiometer detects motion in absence of
command
205 Moved width coll pot with no Potentiometer detects motion in absence of
command
206 Moved height col pot with no Potentiometer detects motion in absence of
command
209 Moved shutters pot with no Potentiometer detects motion in absence of
command
210 Moved cass.tray pot with no Potentiometer detects motion in absence of
command
216 Moved cass.size input and no Potentiometer detects motion in absence of
command
VISION 78 (Rev. 1)
USER'S MANUAL

217 Tilt movement over max error Discrepancy between position and
potentiometer reading: mechanical or
electrical failure
218 Long. table top movem.over max Discrepancy between position and
error potentiometer reading: mechanical or
electrical failure
219 Trans. table top movem.over max Discrepancy between position and
error potentiometer reading: mechanical or
electrical failure
231 No inputs but open SF Electrical failure
232 Inputs present but SF still closed Electrical failure
500 RAM to EEPROM missing byte SW check failure: failed component
501 RAM to EEPROM timeout in writing SW check failure: failed component
502 RAM to EEPROM match failed SW check failure: failed component
512 Re-reading EEPROM failed SW check failure: failed component
998 Noise on control box line Bad connections; noisy environment
999 RAM memory data lost. Check Battery down
battery
(Rev. 1) 79 VISION
USER'S MANUAL
Use of external tube stand
9. USE OF EXTERNAL TUBE STAND
9.1 Introduction
The purpose of this chapter of the manual is to provide the user with
instructions for operating the X-ray equipment with manual tube stand
described here in after safety and efficiently.
The equipment must be used in full observance of the procedures

described and never for purposes other than those for which it was
designed.
The user is responsible for taking care of the legal aspects involved in
the installation and operation of the equipment.
Villa Sistemi Medicali shall take no responsibility for any equipment

breakage, malfunctions or injuries to persons caused by the incorrect
operation or inadequate maintenance of the equipment and/or
equipment parts.
9.2 Safety aspects
The operator must adopt the precautions and/or fit protections for the
patient and himself, during the execution of radiography. He shall
control the X-ray loading from a protected area, by means of a remote
control. Should it be necessary to operate near the patient, use the
relevant protection, such as lead barrier provided with a glass window,
with an X-ray attenuation equivalent to 2mmPb.
Before loading select the largest source to patient distance available

according to the diagnostic examinations to perform.
WARNING:
, Before starting with the removal of parts, such as at the end of the life
cycle of the equipment, lock the sliding block counterweight inserted in
the tube stand.
Villa Sistemi Medicali is not responsible for disposal of the device

performed by the user and for the costs related to it.
VISION 80 (Rev. 1)
USER'S MANUAL
9.3 Identification labels
6
7
6 7
Tube stand label Overtable collimator label
(Rev. 1) 81 VISION
USER'S MANUAL
9.4 Tube stand and collimator technical features
See chapter on Technical data of the table.
9.5 External Tube stand Symbols
Collimator: width shutters limiting devices close-open
Collimator: height shutters limiting devices close-open
Vertical lock release of the tube arm
Rotation lock release of the tube arm
Longitudinal lock release of the tube stand
Transverse lock release of the tube arm
Bucky/tube stand centring spot light
VISION 82 (Rev. 1)
USER'S MANUAL
9.6 Operating instructions
NOTE:
* Actions described in this chapter apply only for VISION device equipped
with the external tube stand.
VISION is composed of two connected but distinct parts:

• the Table
• the manual Tube stand with overtable collimator.
The following manual movements can be carried out for the external
tube stand:
• longitudinal movement along the rail
• X-ray tube rotation
• up-down movement of x-ray tube arm
• transversal movements of x-ray tube arm.
• rotation of the tube stand on vertical axis.
Electromagnetic brakes hold all these movements when they are not
being operated excluded the rotation of the tube stand which is equipped
with mechanical stops.
The tube stand is supplied with a manual collimator with light.
Switching the light, the field illuminated on the table and adjustable
with the two knobs, shows the area which will be irradiated by X-ray.
Further a light line is visible and is used for the longitudinal alignment
of the Bucky with the X-ray beam.
WARNING:
, The duty cycle for the light switching on manual collimator must not
exceed 2 cycles and 90 sec. waiting time.
This duty cycle is to prevent that parts which can become in contact with
the user or the patient reach a too high temperature due to the halogen
lamp effect.
(Rev. 1) 83 VISION
USER'S MANUAL
9.6.1 Cassette loading
Please see paragraph 5.5.
9.6.2 Potter Bucky movement
It is possible to move the bucky along part of the length of the table. To
do this move the undertable bucky lever in the wanted direction.
NOTE:
* When examinations with overtable X-ray source has been completed,
remember to park the undertable bucky.
VISION 84 (Rev. 1)
USER'S MANUAL
9.6.3 Control panel
Bucky/tube stand centring spot light
Vertical lock release of the tube cross-arm
Rotation lock release of the tube cross-arm
Longitudinal lock release of the tube stand
Transverse lock release of the tube cross-arm
Angle meter
(Rev. 1) 85 VISION
USER'S MANUAL
9.6.4 Tube stand movement, X-ray source assembly positioning
The tube stand can execute the following movements:
• Longitudinal movement
Pushing the longitudinal lock release button on the tube assembly
control panel allows manual movement of the tube stand along the
floor rail.
This movement, in combination with bucky movement, allows to
centre the patient on x-ray beam and align tube stand with bucky.
This alignment can be carried out in 2 ways:
- with light line projected by collimator on bucky tray
- with rear spot light mounted on bucky carriage projected on
target label present on the tube stand.
These 2 modalities are explained in relevant chapter.
• S.I.D. adjustment
Push the button on the tube assembly control panel corresponding
to tube arm vertical lock release.
You may now manually adjust the tube height in relation to the
Image receptor.
When the tube stand is used to make a projection on the Potter
Bucky under the table, the SID distance can immediately be read on
the SID scale present on the tube stand.
When a different orientation of the tubehead is used the SID
distance can be measured by the collimator measure-tape.
VISION 86 (Rev. 1)
USER'S MANUAL
• Transverse movement of the tube arm

Push the lock release on the tube assembly control panel related to
this movement to reposition the transversal centring of the X-ray
beam over the table top.
A light “click” will be noticed, during this transverse movement,
when the transversal centring of the X-ray beam with respect the
image receptor has been reached.
• X-ray tube rotation

Pushing the relevant button on the control panel will release this
movement allowing the rotation of the tube arm around its axis. The
angle meter shows the angle between the X-ray source and floor.
ANGLE METER
(Rev. 1) 87 VISION
USER'S MANUAL
• Tube stand rotation
Depressing the foot lever at the base of the tube stand allows the
tube stand to be rotated around its axis. It will automatically lock at
0°, +90° and -90°.
Unlocking
pedal
VISION 88 (Rev. 1)
USER'S MANUAL
9.6.5 Operating mode
• Setting up for a standard X-ray exposure with the

t VISION
Potter Bucky
When VISION is being used with its own potter bucky, the overtable
X-ray source assembly shall be properly aligned with the undertable
bucky, as required by the operator for the type of radiographic
projection being made.
To prepare for an exposure, carry out the following procedure:

1. Set the table top in a position such that the area of interest of
the patient is within the range of the bucky movement.
2. Park the spot film device on the back side as described in
paragraph 5.7.
3. Pull out the bucky tray and insert a cassette as described in
paragraph 5.5.
4. Verify that X-ray beam is perfectly perpendicular to the bucky.
Unlock the tube stand and centre the tube stand on the area of
interest of the patient, using the light field provided by collimator
mounted on the tube stand.
5. Align the centre of the bucky with the X-ray beam proceeding as
follow:
- switch on by the relevant button the rear spot light (1)
mounted on bucky carriage. The light projected must be
aligned on target label (2) present on the tube stand.
- now the alignment can be verified switching on the collimator
light and controlling that the light line (3) projected is in the
middle of the bucky tray.
6. If the centring check described at step 5 is not correct, it means
that the tubehead is not properly oriented. Release the tubehead
rotation block and rotate the tubehead until the linear beam is
aligned with the centre of the cassette. Once done reinsert the
cassette.
7. Unlock the vertical tube stand movement and select SID. using
the ruler stuck (4) on the tube stand as a reference. The present
SID is indicated by the lower level of tube carriage (5).
8. Adjust the collimator knobs for the actual SID, and cassette size.
9. Move the table top to achieve final fine adjustment of the region
of interest in the patient’s body.
10. After exposure has been carried out, remove the cassette and
develop the film
(Rev. 1) 89 VISION
USER'S MANUAL
WARNING:
, The scale is graduated for a focal spot to image receptor distances equal
to 100 cm. For different SID the collimator table shows the knobs
correction for the following distances: 80, 100, 110, 180, 200 cm. For
distances different from the ones previously listed, the cassette format
indications are not accurate.
Figure 9
VISION 90 (Rev. 1)
USER'S MANUAL
• Setting up for horizontal X-ray exposure on the table
To carry out horizontal X-Ray exposure to a patient on the table,

proceed as follows:
1. Rotate the tube arm up to the goniometer shows the horizontal
position.
2. Adjust the longitudinal position of the tube stand on
its floor rail as required, by releasing the relevant lock.
During this operation measure the S.I.D using the
measuring tape coming out from the collimator and
move the tube stand in order to obtain the required
S.I.D.
3. Insert the cassette into the bucky and centre the bucky up to the
centre correspond to the centre of the patient region of interest.
4. Adjust the height of the tube arm by releasing the appropriate
lock (pushbutton on the tube stand control panel).Align the
X-ray beam with the cassette, by pushing the collimator
pushbutton lamp. The light line generated must correspond with
the centre of the bucky tray handle as indicated at step 5
paragraph 9.6.5.
5. Adjust collimator knobs according to the cassette size
and S.I.D.
(Rev. 1) 91 VISION
USER'S MANUAL
Cleaning and disinfection
10. CLEANING AND DISINFECTION

In order to assure proper cleaning and hygiene, carefully follow the
instructions here after provided.
WARNING:
, Disconnect from the mains before
cleaning the unit.
Do not allow liquids and water to enter inside the unit, to prevent
from short circuits and corrosion of inner parts.
Clean the painted surfaces using

only a damp cloth and neutral
detergents. Take care to dry the
parts with a dry cloth. Do not use
corrosive solvents (alcohol,
gasoline)
Clean the covers, the table top, the foot rest and the accessories using
only a damp cloth.
Periodically and when necessary decontaminate the compressor cone,

the table top, the handle, the legs support and the footrest using a 2%
solution of Glutharaldeid.
VISION 92 (Rev. 1)
USER'S MANUAL
Maintenance
11. MAINTENANCE
As for all the electrical devices, in addition to proper use this unit also
requires periodical checks and maintenance. This precautions will
insure a safe and efficient performance of the device.
The preventive maintenance consists of checks that can be carried out

directly by the operator as outlined in the following table.
Checks carried out by the operator.
Interval Type of check Method

Daily No residuals of organic or contrast liquids are visual check
left on the device.
Once a week Check the integrity of the equipment. visual check
Once a month No friction is detected in the functionality of visual check
mechanical components.
Brakes functionality
Every 6 months Labels are present and not damaged visual check
WARNING:
, If there are doubts about the collimator correspondence between light
field and X-ray field, the operator must contact Villa Sistemi Medicali
authorised service centres.
WARNING:
, Metallic noise coming from the tube stand may indicate wearing of the
counterweight ropes. In this case stop using the unit immediately and
contact Villa Sistemi Medicali authorised service centres.
WARNING:
, If any of the above checks give negative results, the operator must
contact Villa Sistemi Medicali authorised service centres.
(Rev. 1) 93 VISION
USER'S MANUAL
MAINTENANCE LOG-BOOK
This log-book has to be filled in by the authorized engineer after installation

and after performing the preventive or corrective maintenance visits.
Installation: Date ........... Technician ...................
Maintenance: Date ............. Technician ...................
Cause .............................................
Cause .............................................
Cause .............................................
Cause .............................................
Cause .............................................
Cause .............................................
VISION 94 (Rev. 1)
Cod. 6965900203_Rev.3 0434
VILLA SISTEMI MEDICALI S.p.a.

Via Delle Azalee, 3
20090 Buccinasco (MI) - ITALY
Tel. (+39) 02 48859.1
Fax (+39) 02 4881844
A DEL Global Technologies Company

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VISION 0434

Release 11 January 2002 (Rev. 3)

Rev. Date Page/s Modification description

0 07.08.00 Document approval.

New software release.

3 11.01.02 11 New Potter Bucky SD version (120/230V power

THIS PAGE IS INTENTIONALLY LEFT BLANK

6.2 Collimator functions ............................................................................. 41

7. OPERATOR INTERFACE MESSAGES 73

9.3 Identification labels .............................................................................. 81

10. CLEANING AND DISINFECTION 92

This publication can only be reproduced, transmitted, transcribed, or translated

(Rev. 1) iii VISION

THIS PAGE IS INTENTIONALLY LEFT BLANK

VISION is a radiological device, which properly connected to specific

SW algorithms can operate according to room dimensions, preventing

Format sub-divisions program offers a complete set from the 1 on 1 to

Different functions and control of the accessories is made possible by a

The compressor, controlled by the central CPU, is automatically driven in

Manual operation of the compressor to bring it in and out of field any

The under table beam limiting device is completely electronic.

1.2 Scope of the manual

This manual is aimed at supplying the user with instructions on how to

1.3 Icons appearing in the manual

Indicates a “NOTE”; the utmost attention shall be devoted to the

Indicates a “WARNING”; paragraphs marked with this icon cover

Villa Sistemi Medicali is not responsible for:

• use of VISION device different from its intended use

VISION is suitable for use only in Hospital environment or in all

Exclusively Authorized technical engineers from Villa Sistemi Medicali are

Always disconnect the device from mains before cleaning it.

All movements are controlled by a powerful and sophisticated

Power of the R.F. source Distance (m)

Equipment or instruments operating in the vicinity of VISION must be

VISION can be used in an electromagnetic environment as specified below:

VISION cannot be installed in surgery rooms.

VISION must be turned off while electrosurgery cutter or similar equipment

2.2 Radiation protection warnings

Villa Sistemi Medicali designs and manufactures its devices in

Authorized users of the device for radiological investigations must follow

To protect the patient from scattered radiation during the investigation it

Figure 1 - Planimetry of the device with horizontal table top

Figure 2 - Planimetry of the device with vertical table top

Table Top Height from floor in cm Max allowable dose in

2.3 Environment and disposal risks

Some parts of VISION contain materials which have to be disposed of in

Type B insulation device with type B applied parts

R S T Three phase line connection point

Attention: check accompanying documentation

Attention: hands off

Symbols used in the keyboard are explained in the section describing

VISION is labeled with a set of labels identifying different components

The following picture shows the different labels positioned on VISION

Next table shows the must common version of the device:

TABLE TOP CASSETTES POTTER TUBE TUBE STAND

VISION derives from the evolution of technology and design of tilting

Ref. Description Delivery

A Patient foot rest Standard

B Shoulder and head support Standard

C Patient support handle (N°2 pieces) Standard

D Leg support (N°2 pieces) Optional

E Compression belt tightener Optional