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GE Senographe DS Operator's Manual
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GE Senographe DS Operator's Manual

Acquisition system
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GE Healthcare
Senographe DS Acquisition System
Operator Manual
0459
5307907-3-S-1EN
Revision 1
©
Copyright
2009 by General Electric Company Inc.
All Rights Reserved.

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Summary of Contents for GE Senographe DS

  • Page 1 GE Healthcare Senographe DS Acquisition System Operator Manual 0459 5307907-3-S-1EN Revision 1 © Copyright 2009 by General Electric Company Inc. All Rights Reserved.
  • Page 2 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN X-ray Warning WARNING X-ray equipment is dangerous to both patient and operator unless measures of protection are strictly observed Though this equipment is built to the highest standards of electrical and mechanical safety, the useful x-ray beam becomes a source of danger in the hands of the unauthorized or unqualified operator.

  • Page 3: Regulatory Requirements

    (UL 60601-1, IEC 60601-1). Use in the presence of flammable gases The Senographe DS system must not be used in the presence of flammable gases Image annotations •...
  • Page 4 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Regulatory Requirements Electromagnetic Compatibility (EMC) This equipment complies with IEC60601-1-2 Edition 2 EMC standard for medical devices. This equipment generates, uses, and can radiate radio frequency energy. The equipment may cause radio frequency interference to other medical and non-medical devices and radio communications.
  • Page 5 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Regulatory Requirements Recycling • Machines or accessories at end-of-life: The elimination of machines and accessories must be in accordance with national regulations for waste processing. All materials and components that could pose a risk to the environment must be removed from the end-of-life machines and accessories (examples: dry and wet cell batteries, transformer oil, etc.).
  • Page 6 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Regulatory Requirements This page is blank. Page no. 6 regulatory.fm...

  • Page 7: Foreword

    The manual has been written to describe the use of the Senographe DS in its most complete configuration. If any of the options described in this manual are not included in your system, skip the corresponding chapter or sections.

  • Page 8: Intellectual Property Rights

    Intellectual Property Rights Intellectual Property Rights The Imaging Open Platform software used in the Senographe DS system is the property of the General Electric Company (U.S.A.). Copyright © 1993-2004 General Electric Company (U.S.A.). Portions of this software are the property of and copyrighted by Sun Microsystems Inc., Informix Soft- ware Inc., OSF/Motif, J.

  • Page 9: Table Of Contents

    8. Conventions for this manual ..........Chapter 3: Senographe DS Gantry and Generator 1.
  • Page 10 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Table of Contents Chapter 5: Control Station 1. Overview ............. .
  • Page 11 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Table of Contents 5. PPS in the Viewer ............
  • Page 12 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Table of Contents 2. Radiation and filter Information ..........201 3.

  • Page 13: Chapter 1 Safety Recommendations

    Emergency Stop Motion and Shutdown • Emergency stop motion switches are provided on both sides of the Senographe DS Gantry examina- tion column, easily accessible to the operator. Push either of these switches to immediately stop all positioner movement. Any compression which may have been applied to the patient remains unchanged;...

  • Page 14: Moveable Components

    If other con- trols, such as the AWS controls in the Senographe DS Control Station, are to be used during exposures, then they also must be installed in the protected area.

  • Page 15: Before Starting An Exam

    GEMS cannot guarantee the integrity of the system if this recommendation is not fol- lowed. • Only Senographe DS compression paddles may be used with the system. Use of other paddles may adversely affect image quality by causing inaccurate measurements of breast thickness. •...

  • Page 16: Acquisition And Storage Of Images

    Archiving CAUTION The digital technology used by the Senographe DS Control Station provides the ability to transfer acquired images between workstations, and to store them on hard disk. However, it is not intended or approved for use as an Archiving device.

  • Page 17: Residual Images

    If the protective casing of the digital detec- tor sustains damage, please consult your local GEMS representative. CAUTION If the digital detector casing is punctured, the detector must be removed by authorized GE Service personnel wearing protective gloves and dust masks. Page no. 17 Chapter 1 1-safety.fm...
  • Page 18 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Safety Recommendations This page is blank. Chapter 1 Page no. 18 1-safety.fm...

  • Page 19: Chapter 2 Introduction

    Chapter 2 Introduction Overview Senographe DS is a Digital Mammography System from GE Medical Systems. It has been designed to per- form Screening examinations as well as Diagnostic Views (including Spot compression, Magnified and/or Coned views). It is a modular system that eliminates the need for film cassettes, and takes advantage of dig- ital technology, including on-screen image display, Networking, Filming, and Archiving.

  • Page 20: Accessories And Options

    • Mass archiving system When this option is installed and connected to the Senographe DS, acquired images can be sent to the mass archiving device for permanent storage, either automatically or on request. A list of all patients ever imaged on the Senographe DS system can be kept on the mass archiving device, mak- ing future retrievals fast and easy.

  • Page 21: Indications For Use

    To learn about the features of the Browser window, which is the main window used to select images for review, for transfer to other workstations or to a mass archiver, and to start Senographe DS appli- cations, refer to Chapter Browser.

  • Page 22: Conventions For This Manual

    GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Introduction Conventions for this manual Typographical • In text describing the user interface, italic and bold characters are used to differentiate between body text and on-screen or hardware captions and labels, entered text, etc.: Italics are used for references to hardware items and text which appears on-screen (e.g., menu...

  • Page 23: Chapter 3 Senographe Ds Gantry And Generator

    Senographe DS Gantry and Generator Chapter 3 Senographe DS Gantry and Generator Gantry Overview The main components of the Senographe DS Gantry are shown below: The Gantry Column must be securely fixed to the floor, using the provided base plate. X-ray Tube head...
  • Page 24 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Senographe DS Gantry and Generator X-ray Tube Head View behind tube head Tube Head Face Shield Collimator light and Arm Movement FOV button Control buttons • X-ray Tube Head: Contains the X-ray Tube, the Collimator diaphragm, and the centering light.
  • Page 25 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Senographe DS Gantry and Generator 1-2-1 Arm rotation control buttons (references 1, 2, 3 and 4 in the illustration) 1-2-1-1 Movement to any required position • Rotation control buttons; reference 4. Use either right or left button 4 to rotate the Arm in the direction of the arrow.
  • Page 26 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Senographe DS Gantry and Generator 1-2-3 Arm elevation control buttons (reference 5 in the illustration) • Use one of these buttons to move the Arm up or down. Press the top or bottom of the button lightly to move the Arm up or down at low speed.
  • Page 27 The type of paddle inserted in the paddle holder is recognized by the system and displayed on the Gantry readout. Only paddles designed and validated for use with the Senographe DS system should be used; the characteristics of these paddles are known by the system and are taken into account, together with the known characteristics of breast tissue, when calculating parameters such as com- pression force and breast thickness.
  • Page 28 Chapter Maintenance. Accessories Accessories delivered with the basic configuration of the Senographe DS Gantry include: 19x23 compression paddle (for use with Bucky only). Square spot compression paddle (for use with Bucky only). Round spot compression paddle (for use with Bucky only).
  • Page 29 (7x7 square magnification, round spot magnification, and 2D spot localization) should be used with a maximum compression force of 20 daN. CAUTION Only Senographe DS recommended paddles and accessories should be used with this equipment. Failure to heed this warning may cause unexpected results and possible data loss.

  • Page 30: Generator Cabinet Overview

    Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Senographe DS Gantry and Generator Generator Cabinet Overview The Generator Cabinet contains power switching equipment, the generator and system management electronics, and a chiller/dryer (connected to the Digital Detector for control of the detector environment).

  • Page 31: Chapter 4 X-Ray Console

    GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN X-ray Console Chapter 4 X-ray Console Console overview • The X-ray Console, illustrated below, provides control buttons and status indicators which enable the Operator to prepare, execute, and monitor X-ray exposures.

  • Page 32: Console Functions

    GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN X-ray Console Console functions The illustration and table below identify the various console buttons, switches and displays. Information on each numbered item is given in the following pages. 15 20...
  • Page 33 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN X-ray Console 1. System power on switch I • Press this button to power on the Gantry and Generator and other system components; the indi- cator lamp lights and the system startup procedure begins. The X-ray Console displays the last configuration used.
  • Page 34 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN X-ray Console 9. Breast laterality - Right button • When acquiring an image, press this button to indicate that a RIGHT breast is being imaged. Note that selection of breast laterality (left or right breast) is mandatory. If laterality is not selected by the operator, the exposure command is disabled.
  • Page 35 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN X-ray Console 14. AOP and Manual mode selection button Press the button to step through the four possible modes; three AOP modes and Manual mode. • Three AOP modes are available, according to the priority required: CNT: Contrast.
  • Page 36 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN X-ray Console 21. Exposure button • Press and hold this button while the Exposure Enable lamp is lit to make an exposure. To stop the exposure immediately, release the Exposure button.

  • Page 37: X-Ray Console Setup Menus

    GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN X-ray Console X-ray Console setup menus X-ray Console setup menus are accessed by using the console Setup button (button 3 in section 2 Con- sole functions on page 32). They allow the user: •...
  • Page 38 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN X-ray Console Access to setup menus • With the X-ray Console in normal application mode, press the Setup button to enter the "menu tree" shown below. • To access a function, press the button below the displayed name of the function.

  • Page 39: View Name Selection

    4-5 View names for recumbent patients on page .View names View names used by the Senographe DS system are shown here. They are based on the ACR (Ameri- can College of Radiology) standardized abbreviations for mammography projection position codes. Description...
  • Page 40 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN X-ray Console Automatic view name selection Laterality Magnification The operator selects the breast laterality, The system senses the presence or absence of Left or Right. a magnification stand Arm rotation angle The system selects a view name according to the Arm angles are measured from the vertical 0°...
  • Page 41 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN X-ray Console Manual view name selection (standing or sitting patients) • If a special view is being used which does not correspond to one of the view names selected auto-...
  • Page 42 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN X-ray Console Tube Patient Tube Left Breast Right Breast angulation Automatic Recumbent view Automatic Recumbent view view name view name Head to Left Head to Right Head to Left...

  • Page 43: Chapter 5 Control Station

    Saving of images on recordable CD-ROMs (if the CD-R Interchange Media option is present) Senographe DS applications are based upon a graphical, multi-window, mouse- or trackball-driven interface. Images, lists, menus, and control panels are displayed within graphical windows on the Workstation monitor.

  • Page 44: Startup And Shutdown

    3-1-1 Introduction The Senographe DS is supplied with a mouse or trackball pointing device, which allows you to select and interact with items displayed on the monitor. A mouse is supplied as standard, but a trackball is available as an option. Both are hand-operated devices which are used to move the cursor (an on-screen arrow or other symbol;...

  • Page 45: Windows

    (option) on page 91 for more information. Windows There are several types of windows that will be encountered as you use the Senographe DS AWS. The most important ones are: • The Browser. This is the main window used to manage the database, start the Review application, etc.

  • Page 46: On-Screen Tools

    GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Control Station On-screen tools Cursor The cursor is the on-screen symbol, usually an arrow, which you maneuver across the screen using the trackball or mouse, to point to menus, lists, images, and windows.
  • Page 47 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Control Station Scroll Bar A scroll bar is an on-screen tool that you use to page through data that cannot be fully displayed at once on the screen or in a particular window, such as lists of patients or exams in the Browser.
  • Page 48 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Control Station This page is blank. Chapter 5 Page no. 48 5-aws.fm...

  • Page 49: Chapter 6: Startup And Shutdown

    GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Startup and Shutdown Chapter 6 Startup and Shutdown Startup procedure To power up the system, press the power switch I on the X-ray Console. Power is applied to the whole sys- tem (Gantry, Control Station, Digital Detector, etc.);...

  • Page 50: System Shutdown

    If your response is Yes, power is removed from the Senographe DS Gantry and other system components, while the Control Sta- tion begins a controlled shutdown, designed to safeguard data. Complete system and UPS shut down takes about two minutes from switch-off.

  • Page 51: Chapter 7 User Session And Account Management

    The word "user" belongs to network access management vocabulary and is synonymous with "Operator" used elsewhere in this manual. When several users work regularly on the same Senographe DS workstation, the system can be set up to provide a separate access for each user.

  • Page 52: Opening An Administrative Session

    GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN User Session and Account Management Opening an administrative session To open an administrative session: • Power up the system and type sdc at the login prompt, or logoff from your current session to return to the AWS login screen.
  • Page 53 Users Management: Creation, Deletion, Password Modification, Setting Application The Senographe DS has several different types of users: clinical users, administrator users and GE rep- resentative users. Only clinical users can be managed by the system administrator. Clinical users can access the medical application, perform acquisitions, and more generally have access to patient data stored locally on the system.
  • Page 54 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN User Session and Account Management 2-1-2 Deleting an user To delete an user: • Select the user you want to delete in the displayed list. • Click the Remove User button at the bottom of the screen (not active if no user is selected) and con- firm by clicking Remove Now button.
  • Page 55 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN User Session and Account Management 2-1-4 Applying setting to an user • Select the concerned user. • Check group box(es) for this user, depending on which group(s) you want the user to belong to.
  • Page 56 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN User Session and Account Management Group Management: Creation, Deletion and Setting Application • To create, delete or apply settings to a group, first open an administrative session and display the second tab Group and Permission Mapping.
  • Page 57 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN User Session and Account Management 2-2-1 Creating a group To create a new group: • Click Add Group button. • Label the new group to be created. • Click Add Local Group button.
  • Page 58 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN User Session and Account Management 2-2-3 Applying setting to a group • Select the concerned group • Check permission box(es) for this group, depending on which permission(s) you want to affect to it: Administrator, StandardUser, LimitedUser.

  • Page 59: Configuration Options

    GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN User Session and Account Management Configuration Options To set up configuration options: • First open an administrative session and display the third tab Configuration: • You can set up the amount of time for the login screen to re-appear if there has been no mouse key- board movement.
  • Page 60 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN User Session and Account Management In that case, you can also choose whether the system shall prompt for information, at emergency login, about who the user is, or not.

  • Page 61: Reading Access Control Log Files

    Operator Manual 5307907-3-S-1EN User Session and Account Management Reading access control log files Each login attempt of the Senographe DS is logged by the workstation. The administrator can access these log files. Viewing the log files To access the log files: •...
  • Page 62 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN User Session and Account Management This page is blank. Chapter 7 Page no. 62 7-Account management.fm...

  • Page 63: Chapter 8 Browser

    1/1 images Overview The Browser window illustrated above (usually simply called "the Browser") is displayed when the Senographe DS system is first switched on. Note that the Tools menu function (section 8 Tools menu utilities on page 72) allows a number of Browser display options, so the windows and icons displayed may differ from that shown here.

  • Page 64: Browser Restart

    To shut down the Senographe DS system, click on the Power off icon at the lower right of the Browser window. Power is removed from the Senographe DS Gantry and Generator; the Control Station follows a shutdown procedure lasting about two minutes, designed to ensure that no informa- tion is lost.

  • Page 65: Browser Display

    GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Browser Browser display Date Display The date displayed on Browser is in English, regardless of the language of the system.The format of dis- played date is the month (first three letters), the day (two digits) and the year (four digits), i.e.: MMM DD YYYY.
  • Page 66 • To start Quality Assurance Procedures: click on the QAP button; select the required proce- dure from the list presented. Refer to the Senographe DS Acquisition QC Manual for more information on starting and using the Quality Assurance Procedures. Network panel...
  • Page 67 • Current date and time and Auto Delete status. Shown in text form just below the GE logo at the right of the screen. The status of the Auto Print, Auto Push, and Auto Delete options is also shown (ON or OFF).

  • Page 68: Browser Management

    GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Browser Browser management Viewing items in lists If more items are present in a list than can be displayed at one time, use the scroll bar on the right of the...
  • Page 69 If the mass storage option is present, an Auto Delete function can be set. This automatically deletes items from the local database when they have been committed by the storage device. The function must be activated by GE Service. Interchange media...

  • Page 70: Network Transfer

    The acquired images can then be sent to the archiving device for permanent storage. A list of patients imaged on the Senographe DS system will be maintained on the mass archiving device, ensur- ing quick and easy data retrieval.
  • Page 71 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Browser • If the remote host cannot be reached, a pop-up message reports this fact; you should verify that the remote host is operational and check the network cabling.

  • Page 72: Tools Menu Utilities

    GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Browser Tools menu utilities To access the various system utilities in the Tools menu: • Click on the Tools menu button (near the top right of the Browser screen) to display the utili-...
  • Page 73 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Browser Browser preferences Click on Browser preferences in the Tools menu to display the Preferences window, which allows pref- erences to be set for Layout, Filter, and Sort. •...
  • Page 74 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Browser • Filter. This window allows you to specify whether filters (selected from a list of registered filters) should be applied to lists of items held locally (in the AWS) and/or items held remotely (e.g., in a net- worked remote host).
  • Page 75 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Browser Medical Application preferences Select this option to open one of the windows shown and described below to set Medical Application preferences. To change a setting, click the button beside the option to switch it between selected ( ) and deselected ( ).
  • Page 76 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Browser Annotations Select the level of screen and print annotation desired. Screen annotations are chosen from Full, Partial, None, or Custom; the list of annotation types at the middle of the window shows the current default selections for the selected level.
  • Page 77 The RRA feature provides an alternative (and automated) method to the manual Repeat Analysis method described in the Senographe DS QC Manual. It is mainly intended for sites that follow MQSA regulations. For such sites, it is mandatory to perform a repeat analysis at least quarterly.
  • Page 78 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Browser Case 2: RRA disabled If you do not need the RRA feature, click No in the Enable Repeat and Reject Analysis module, then select the Default image quality check OK or NOT OK.
  • Page 79 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Browser Test Hosts Use this screen to test remote host connections. Select the host(s) to be tested in the three windows (Remote Workstations, Remote Printers, and Remote HIS/RIS servers), and click the Test selected hosts ...
  • Page 80 Save Close Edit Patient This option is normally turned off, but may be turned on by a GE Service Engineer if required. It allows information on the patient Medical Procedure Card (described in Chapter Worklist) to be viewed and modified after the exam has been closed. Changes are made by creating a new patient or a new exami- nation;...
  • Page 81 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Browser Set patient anonymous This option allows an anonymous set of images to be created, for discussion with colleagues, etc. Select one or more patients in the Patient name list, then click on the Set patient anonymous option in the Tools menu.

  • Page 82: Filters

    GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Browser Filters Filters allows the lists of patients and exams shown in the Browser to be "filtered"; in other words, to dis- play only items which correspond to your chosen criteria (for example, between chosen dates, with cer- tain Patient name or IDs, etc.).
  • Page 83 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Browser • At any time you can click Clear to delete the choices made and start again, or Cancel to return to the previous screen. • When your selections are correct, click Apply.
  • Page 84 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Browser This page is blank. Chapter 8 Page no. 84 8-browser.fm...

  • Page 85: Chapter 9 Worklist

    The Worklist is a list of scheduled tasks. Typically, it shows all patients scheduled for examination during a working day. When the Senographe DS system is connected to a Dicom Worklist Management SCP (Service Class Provider) system, entering the Worklist function displays a Worklist downloaded from the SCP system, using the Dicom Basic Worklist Management Service.
  • Page 86 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Worklist • The Worklist title bar shows the date and time of the last update (manual or from HIS/RIS). • Click the Browser button to return to the Browser window.

  • Page 87: Image Acquisition

    • Using a Barcode Scanner (optional on Senographe DS). If your facility produces barcode labels to identify patients and their scheduled exams, all the data stored on the barcodes can be scanned with the Barcode scanner option. Scanning produces an MPC for each patient scanned, saving time and reducing errors as compared with an exclusively manual data entry process.
  • Page 88 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Worklist When you select a single patient in the Worklist and click Edit..., or when you click New Patient... or Start Exam, the Medical Procedure Card window is displayed.
  • Page 89 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Worklist • After the first acquisition has been made, the information in the Medical Procedure Card cannot be changed. However, errors can be corrected by creating duplicate information using the Edit Patient option in the Tools menu (described in Chapter Browser).
  • Page 90 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Worklist Edit Patient To edit patient information (only possible before making the first acquisition for the patient): • Select the patient in the list and click on the Edit... button.

  • Page 91: Bar Code Scanner (Option)

    Scanner trigger How to read a bar code symbol The Senographe DS bar code scanner is simple to use - just aim and shoot. Before using it, make sure all cable connections are secure. 1. Lift the scanner from its support; Hold it naturally in one hand, with your finger on the scanner trigger.
  • Page 92 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Worklist Set default configuration The scanner should already be configured for use with the AWS. If not, configure the scanner to the default configuration is easy. You simply scan bar code menus.
  • Page 93 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Worklist What If...? • Nothing happens when you follow the operating instructions: Check the system power. Check for loose cable connections. • The AWS goes back to monitor OK prompt: Resetting or disconnecting/reconnecting the bar code scanner may cause the workstation to return to the monitor OK prompt.
  • Page 94 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Worklist This page is blank. Chapter 9 Page no. 94 9-worklist.fm...

  • Page 95: Chapter 10 Modality Performed Procedure Step (Pps)

    • A DICOM Performed Procedure Step Service Class Provider (PPS SCP) must be connected to the Senographe DS. In general, such a DICOM service is available from either the RIS or the PACS. • It is strongly recommended that the Senographe DS also be connected to a DICOM worklist man- agement SCP for automated worklist retrieval.

  • Page 96: Theory Of Operation

    Browser. ! Notice: The PPS Management panel is not intended for use by operators of the Senographe DS, and therefore is not described here. Refer to your Field Service Engineer (or possibly your local net- work administrator) for assistance on setting up PPS hosts, as uninformed use may lead to unpre- dictable results.

  • Page 97: Pps In The Viewer

    Modality Performed Procedure Step (PPS) PPS in the Viewer To be able to optimize post acquisition tasks, the Senographe DS sends a completion status to the PPS SCP when the exam is started and when it is closed. When a routine or stereotactic examination is started, and the first image has been acquired, the Senographe DS automatically sends an IN PROGRESS status to the PPS SCP.
  • Page 98 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Modality Performed Procedure Step (PPS) This page is blank. Chapter 10 Page no. 98 10-pps.fm...

  • Page 99: Chapter 11 Viewer

    GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Viewer Chapter 11 Viewer Overview • The Viewer window is displayed: When the Review exam button in the Browser window is clicked after selection of a Patient, exami- nations, or series. The Viewer window opens and displays the first acquired image.
  • Page 100 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Viewer • To leave the Viewer, click the Close Exam button in the Function panel. All changes to anno- tations are saved. If changes have been made to brightness or contrast settings, you are asked to Exit with save, Exit without save, or Cancel.
  • Page 101 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Viewer The table below clarifies the orientation of images and their respective View and laterality marker posi- tions on the AWS monitor: General case for Axilla Left Views View and laterality label incorrectly positioned.
  • Page 102 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Viewer Mosaic image browser The Mosaic Image Browser shows the content of the current exam in the form of thumbnail (reduced size) images. Up to eight such images can be displayed at one time.

  • Page 103: View Control

    GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Viewer View Control To use the View Control Control Panel, click on the View Control "eye" icon to highlight it. • View Composition. Click on the appropriate icon to display a single...
  • Page 104 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Viewer 2D Localization In acquisition mode (with the camera icon displayed in the Mosaic area), the 2D Localization function allows you to display and position a set of cross-hairs on the image.
  • Page 105 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Viewer Image control Invert Click the Inv. button to invert the image contrast and brightness values, so that any microcalcifications present appear black. Press the button again to return the display to the original default values, so that microcalcifications appear white.

  • Page 106: Annotation

    GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Viewer Annotation To use the Annotation Level Control Panel, click on the Annotation "pencil" icon to highlight it. • Annotation Level. Click on the appropriate icon to select the required Annotation Level annotation level.
  • Page 107 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Viewer Annotation Content Annotations available on the image are: Patient information (name, ID, date of birth, age, sex) Acquisition date and time Hospital information X Ray parameters (Entrance Skin Exposure, Average Glandular Dose, mAs, kV, Focal Spot, Track,...
  • Page 108 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Viewer Annotation Level Image size and FOV size are symbolized by [ ] and #, respectively. For example, when the 13 x 18 FOV is used, the annotation is [ ] 19 x 23 # 13 x 18.
  • Page 109 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Viewer Graphics and measurements These buttons allow you to add graphic and text annotations to the image, and perform measurements. You can add several graphic annotations (line segments and ellipses) on the same image. Each annota- tion is identified by a number, which is displayed next to it.
  • Page 110 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Viewer Text annotation • This function allows you to add text annotations on the image, for example to highlight a specific point for further reference, or as a communication tool for another practitioner.
  • Page 111 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Viewer To delete ALL USER annotations (graphics and text) present on the image permanently: • Click the Erase all button. You are asked to confirm the deletion (Yes or No).
  • Page 112 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Viewer change view name 3-5-1 Overview of change view name It may occur that when viewing an image, the user realizes that the view name displayed is incorrect. The change view name function allows the user to modify the laterality and view name of an image just acquired without repeating the exposure.
  • Page 113 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Viewer In this panel, select the correct laterality (R in the present example) and the view name. The list of laterality/view name available depends on position of the gantry; see section 4-1 .View...
  • Page 114 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Viewer 3-5-3 Resulting image display The currently displayed image may be rotated by 180° on the monitor, depending on the chosen view name, as described in the table below:...

  • Page 115: Function Panel

    GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Viewer Function Panel The Function Panel is used to exit from the Viewer, as well as for access to infor- mation on the Medical Procedure Card, Scrapbook, Quality Check, Image repro- cessing, Print to laser camera, and Middle mouse button functions.
  • Page 116 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Viewer Quality Check Two cases are possible for the Quality Check function: With Repeat and Reject Analysis (RRA) either enabled, or disabled. 4-5-1 Case 1: RRA enabled 4-5-1-1 Introduction If you determine that an image is of satisfactory quality, the qualification level Accepted is applied by default, and Auto Push and/or Auto Print transfers are triggered by default when the exam is closed.
  • Page 117 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Viewer Repeated or Rejected Images Images qualified as Repeated or Rejected are not deleted from the AWS database. Even in the specific case with: Auto Push Repeated images? and Auto Push Rejected images? both set to NO in Medical Appli-...
  • Page 118 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Viewer 2. Qualify the image as either Repeated or Rejected, then select the associated reason in the list pro- vided. If the reason chosen is Other, a text field is available to type in a customized reason.
  • Page 119 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Viewer 4-5-2 Case 2: RRA disabled 4-5-2-1 Introduction You can apply one of two qualification levels to an image: QUALITY CHECK OK or QUALITY CHECK NOK, with the consequences on image transfer (Auto Push and Auto Print) as indicated in the table...
  • Page 120 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Viewer Print to laser camera Click this button to print the displayed image to a Laser camera (if present). Refer to Chap- Printing. Middle Mouse button Click one of the buttons on this panel to select one of three functions to be per- formed by the middle mouse button.

  • Page 121: Scrapbook

    GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Viewer Scrapbook CAUTION The Scrapbook function allows more than one image to be printed on a single film for ease of comparison and reference. DO NOT use any images printed from the Scrapbook for diagnostic purposes.
  • Page 122 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Viewer Layout formats Layout Formats. Four user-defined buttons show available formats for page layouts. These are usually: 2x 2,1 x 2, 2 x 1, and 1 x 1. Select the format desired for the current page by clicking on the appropriate button.
  • Page 123 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Viewer Composer area This area displays the image or images held on the current Scrapbook page in thumbnail (reduced size) form. Each thumbnail displays the full image, with the same settings (brightness, contrast, invert, rotate, and flip) and the same graphic annotations as the image displayed in the Viewer.
  • Page 124 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Viewer This page is blank. Chapter 11 Page no. 124 11-viewer.fm...

  • Page 125: Chapter 12 Image Acquisition Procedure

    An exam using the Senographe DS acquisition application is performed in exactly the same way as a con- ventional exam (e.g., using a Senographe DMR) in terms of operation and patient positioning.

  • Page 126: Configuration

    Always make sure that the magnification stand is correctly locked in place before starting an exam. • The object-detector distance depends on the magnification factor required. See Chapter Senographe DS Gantry and Generator for available magnification factors. • In Manual mode, increasing the kV setting by 1 or 2 kV will reduce exposure time.

  • Page 127: Aop - Automatic Optimization Of Parameters

    GE recommends that Standard (STD) and Dose (DOSE) modes be used for routine mammogra- phy. The Senographe DS Contrast (CNT) mode delivers more dose than Standard and Dose modes. GE recommends that Contrast mode be used only after consultation with an interpreting physician or radiologist.
  • Page 128 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Image Acquisition Procedure configuration at installation 4-3-1 Classic Tables versus Profile Tables For each AOP mode, two sets of optimized exposure parameters are available on the Senographe. These are called Profile Tables and Classic Tables.

  • Page 129: Manual Mode

    GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Image Acquisition Procedure Mammary implants Use of AOP mode is not recommended for examinations of patients with mammary implants. Manual mode should be used. Manual Mode The Manual Mode can be used for standard exposures, implant views, magnified exposures, for the examination of the chest wall, and for examination of biopsy specimens and cores.
  • Page 130 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Image Acquisition Procedure Table 1 Suggested manual techniques Compressed Homogeneously fatty 50% fatty, 50% dense Homogeneously dense breast Target/ Target/ Target/ thickness Filter Filter Filter (mm) With grid (contact examination): <...

  • Page 131: Positioning The Patient

    GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Image Acquisition Procedure Positioning the patient Women undergoing a mammography examination often feel apprehensive because of the examination and the ensuing diagnosis. To reassure the patient, receive her in a warm room and provide a simple but precise explanation of the procedure.

  • Page 132: Compression

    GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Image Acquisition Procedure Compression To apply compression to the breast, depress the compression pedal. Manual adjustment can be made using the two knobs, one located on each side of the compression paddle holder. Take great care with patients with mammary implants.

  • Page 133: Thickness Display

    GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Image Acquisition Procedure Thickness display The thickness of the compressed breast is used in determining the average glandular dose (AGD), and for AOP calculations. It appears on the Gantry readout, and can be displayed on the image as an anno- tation (see Chapter Viewer).
  • Page 134 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Image Acquisition Procedure Note: When the patient is positioned for a Cleavage view (CV), external markers must be used to assist in determining laterality when viewing the image. Place a Right (R) or Left (L) marker in the lateral aspect of the breast of interest, or place markers on the lateral side of each breast.

  • Page 135: Check View Names

    GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Image Acquisition Procedure Check View Names The user can check the image for correct view name and laterality, and change them if necessary. Refer to Chapter Viewer, section 3-5 change view name on page 112.
  • Page 136 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Image Acquisition Procedure Premium View. This is an image processing algorithm which increases the visibility of breast structures. The main advantage is to provide a single breast image, where the contrast in the fatty...

  • Page 137: Chapter 13 Printing

    Types of images which may be printed Only processed images can be sent for printing by the Senographe DS, and only one image per film is available unless Scrapbook is configured and used. Information which is not printed Modifications made to the image (other than window width and window level) are not printed.
  • Page 138 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Printing AGFA FUJI KODAK KONICA Worksta- Print Film size DryStar DryPix DryView 8900 DryPro 793 tion Model 4500M, 4000, 5000, 5500, 5503 7000 Model 1 8x10" 0.2% 4.0% 3.3% 3.5%...

  • Page 139: Printer Management

    Printing Printer management Printers are set up and declared to the system at the time of installation by the GE Field Engineer; printer information cannot be changed by the user. The access to this function is from the Tools menu...
  • Page 140 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Printing Manual Print In addition to the Auto Print function, an image displayed on the Viewer screen can be printed at any time under manual control. Click the Print button in the Viewer Function panel to open the Print Request window.
  • Page 141 Format Standard • Format and Magnification type cannot be changed with the current Senographe DS release software. Media type: Blue film • Media type: Blue film must be selected by default with Senographe DS. Other choices will cause...
  • Page 142 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Printing Filming queue This window is accessed by clicking the Queue button in Queue the Print Request window or the Printing status window. It displays a list of jobs in the print queue, allowing the user...
  • Page 143 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Printing Print annotation Model 1: Model 1: Institution, physician, operator, and patient data at top, followed by view data. Image and exposure data at bottom. Top and bottom annotation areas are aligned to the border opposite the chest wall.
  • Page 144 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Printing Print annotation Model 2: Model 2: Patient data at top, followed by view data. Institution, image and exposure data at bottom. Top and bottom annotation areas are aligned to the border opposite the chest wall.
  • Page 145 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Printing Print annotation Model 3: Model 3: View data at top, followed by exposure date and time. Patient data at bottom left, institution and operator data at bottom right, followed by exposure data.
  • Page 146 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Printing This page is blank. Chapter 13 Page no. 146 13-print.fm...

  • Page 147: Chapter 14 Interchange Media

    • Also used by service. The Interchange Media option allows you to save and restore Senographe DS image data using standard or mini recordable compact disks (DICOM data format). Images saved in this way may, for example, be passed to another radiologist for a second opinion.

  • Page 148: Using The Interchange Media Option

    Senographe DS system. These are identified by GE labelling. GE cannot take responsibility for any data loss or incompat- ibility with other systems resulting from the use of media not supported by Senographe DS.
  • Page 149 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Interchange Media 2-2-1 Procedure All image data that you want to save on a given CD-R must be selected beforehand, and will be saved in a single pass. It is not possible to add data on a CD-R.
  • Page 150 If this occurs: Make a list of the patients correctly saved and those with an error. Insert a new CD-R and repeat the save process. If there are still errors, consult GE Service. 2-2-4 System not available while writing to CD-R No other operation can be performed on the system while saving images on a CD-R.
  • Page 151 Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Interchange Media Restoring images from recordable CD You can restore and review Senographe DS images from recordable CDs that were recorded either on the same or on another Senographe system. 2-3-1 Procedure •...
  • Page 152 • The Media Browser Tools menu contains the Application Management menu item. This item is for use of GE Service only. • The Main Browser and Media Browser display the same columns of information in the Patients, examinations, series and images lists.
  • Page 153 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Interchange Media Ejecting a disk from the CD-R drive As soon as the CD-R drive has been accessed for a save or restore operation, it is locked, and you can no longer eject the disk by means of the eject button on the front of the drive.
  • Page 154 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Interchange Media This page is blank. Chapter 14 Page no. 154 14-cdrom.fm...

  • Page 155: Chapter 15 Maintenance

    GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Maintenance Chapter 15 Maintenance Cleaning and disinfection Monitor cleaning instructions It is important that monitors used for viewing mammographic images be kept clean and free of fingerprints, dust, etc.
  • Page 156 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Maintenance The patient contact surfaces of mammography equipment are noncritical, and either low level or interme- diate level disinfection is adequate for routine use. These surfaces are the Bucky/Image Receptor, com- pression paddles and magnification stands.
  • Page 157 Revision 1 Operator Manual 5307907-3-S-1EN Maintenance Recommended germicides The following legally marked products have been used on GE equipment without causing equipment damage. CAUTION Always follow the germicide manufacturer's instructions and precautions for mixing, stor- age, method of application, contact time, rinsing requirements, protective clothing, shelf life and disposal to help assure effective and safe use of the product.
  • Page 158 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Maintenance Adenovirus type 2 HIV-1 (AIDS) virus LpHse, manufactured by Calgon Vestal Laboratories, St. Louis, MO, U.S.A., EPA Reg. No. 1043-92 (510(k) K931342). According to the manufacturer, when used according to the manufacturer's instructions, this product is effective against all of the above, with the exception of Salmonella choleraesuis.

  • Page 159: Planned Maintenance

    GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Maintenance Planned Maintenance To ensure safe and effective operation of the equipment, planned maintenance procedures should be carried out at the intervals specified. Planned maintenance performed by the Field Service Engineer Planned Maintenance (PM) shall be performed twice a year by a GEMS Service Representative or simi- larly qualified and trained personnel.
  • Page 160 Frequency: from daily to semiannually, depending on the task. Procedures: please refer to the Senographe DS QC manual. Planned maintenance performed by the Medical Physicist This consists of QC tests performed by the Medical Physicist to ensure that the system provides a high level of mammographic quality.

  • Page 161: Test For Flexible Paddle Deflection In Compression

    This test should be performed annually or when a loss in performance is suspected. Test object The test object is based on estimates of the average size of a compressed breast.1,2 Refer to GE MQSA Compliance Guide 2233373-100 for information on the calculations used to determine its dimensions.
  • Page 162 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Maintenance Telescoping gauge and gauge blocks • A telescoping gauge can be used to locate the corner of the compression paddle that most closely approaches the breast support surface after compression is applied to the test object. The telescop-...
  • Page 163 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Maintenance Procedure 1. Place the support plate directly on the image receptor support device so as to completely cover the breast support surface. Note: The support plate must be parallel to the breast support surface of the Bucky. Ensure that the sup- port plate is not resting on any corner reinforcements or other raised edges on the top of the Bucky.
  • Page 164 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Maintenance Evaluation • For the flexible compression paddle, which is not intended to be flat and parallel to the breast support table during compression, the deflection must be within the following values: Minimum: 12 mm.

  • Page 165: Chapter 16: Error Messages

    Chapter 16 Error messages Error messages Any operational anomalies found by the system during Senographe DS operation are signalled by Error Messages. These may be displayed on the X-ray Console, in a pop-up window on the AWS monitor, or on the Gantry Readout. They may be simple information messages requiring no action, or they may indi- cate error or fault conditions requiring action from the operator and/or GEMS Service engineers.
  • Page 166 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Error messages Table 1 Error Messages displayed on the X-ray Console Message on Explanation Corrective Action X-ray Console E01 Generator failure Problem reported in HV section Power OFF/ON from the X-ray Console.
  • Page 167 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Error messages Message on Explanation Corrective Action X-ray Console E14 Generator CPU/ A problem has been reported by Power OFF/ON from the X-ray Console. INTG failure the Generator CPU.
  • Page 168 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Error messages Message on Explanation Corrective Action X-ray Console E26 AWS/SENO comm. AWS system cannot communi- 1. Power OFF/ON from the X-ray Console. failure cate with Generator. 2. If the problem occurs again at the next acquisi- tion, power OFF the whole system and wait for the end of the shutdown sequence.
  • Page 169 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Error messages Message on Explanation Corrective Action X-ray Console I14 AWS was not ready AWS system was not ready to 1. Press the prep button again. perform an image acquisition.
  • Page 170 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Error messages Message on Explanation Corrective Action X-ray Console I23 Console communi- Generator-X-ray Console con- Power OFF/ON from the X-ray Console. cation fail nection is faulty. If problem continues, note ALL messages and con- tact GEMS Field Service.
  • Page 171 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Error messages Message on Explanation Corrective Action X-ray Console I32 AOP abort: use This error indicates that the aver- Switch to Manual mode, or ensure that conditions manual mode age signal level of the pre-expo- are correct for use of AOP.
  • Page 172 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Error messages Message on Explanation Corrective Action X-ray Console I50 Lock Jammed The system is in degraded mode: 1) If the installed paddle is not a Senograph DS Gantry device configuration is not paddle: a standard configuration.
  • Page 173 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Error messages Message on Explanation Corrective Action X-ray Console S09 No compression Breast is not compressed. Breast compression is mandatory for AOP. detected S10 Generator cooling Generator requires xxxx minutes Wait for cooling period (or select lower mAs values to cool.
  • Page 174 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Error messages Message on Explanation Corrective Action X-ray Console S25 Tube housing over The temperature of the tube Wait for the tube housing temperature to fall. temperature housing is too high (> 65°C).
  • Page 175 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Error messages Message on Explanation Corrective Action X-ray Console S57 AWS/POS commu- AWS cannot communicate with 1) Power OFF/ON from the X-ray Console. nication lost the Gantry. Acquisition is forbid- 2) If the problem persists, shut down the system den.
  • Page 176 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Error messages Message on Explanation Corrective Action X-ray Console S82 Image detection One of the image detection com- 1. Switch OFF the whole system and wait for the failure ponents has failed.
  • Page 177 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Error messages Message on Explanation Corrective Action X-ray Console S91 Need user action Operator input is required on Respond to the AWS pop-up. on AWS AWS. S92 AWS busy, please...
  • Page 178 This sequence. action will stop the work- station and the X genera- tor! End of remote connection A GE Insite connection is being No action is required; you can now use in progress closed. the system. Image detection failure, An image detection subsystem 1.
  • Page 179 NOT log in now! UPS. your Field Service Representative. Remote connection in A GE Insite connection is in No action is required; wait for completion progress : do not acquire progress; no new images should of the connection.
  • Page 180 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Error messages Message on AWS screen Explanation Corrective action Restart browser must be Medical Application Preferences Restart the Browser. performed to take into settings have been changed, account the new configura- and Save has been requested.
  • Page 181 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Error messages Message on AWS screen Explanation Corrective action Reallocation of disk space Disk system is full or server has 1. Close exam. failed. There is no space failed.
  • Page 182 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Error messages Table 3 Error Messages Displayed on the Readout Panel at the foot of the Gantry Message on Explanation Corrective Action Gantry Readout Device removed The system informs the operator None.
  • Page 183 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Error messages Message on Explanation Corrective Action Gantry Readout 2D Large Localization The system informs the operator If the "Biopsy" paddle is not installed, an error has Paddle. Maximum rec- that the "Biopsy"...
  • Page 184 Unknown paddle type The system informs the operator If the paddle is a Senographe DS accessory: that the installed paddle is not rec- 1) Remove the paddle and insert it again. ognized. 2) If the message is still displayed after inserting: A.
  • Page 185 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Error messages Message on Explanation Corrective Action Gantry Readout A05 Compression 1) Compression release move- 1) If you have a paddle, remove it to go to the pad- upper position is ment is stopped because the dle holder upper position.
  • Page 186 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Error messages Message on Explanation Corrective Action Gantry Readout A15 Rotation end posi- The rotation movement is stopped 1) If you want to reach the From Below position tion is reached because it reaches its rotation rotate the arm to +180°...
  • Page 187 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Error messages Message on Explanation Corrective Action Gantry Readout H01 Button interface The system is set in emergency 1) Decompress the patient using the manual com- comm. failure mode: pression knobs.
  • Page 188 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Error messages Message on Explanation Corrective Action Gantry Readout H08 Power supply unit The system is set in emergency 1) Decompress the patient, using the manual com- comm. Failure mode: pression knobs.
  • Page 189 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Error messages Message on Explanation Corrective Action Gantry Readout H14 Rotation control The system is set in emergency 1) Decompress the patient, using the manual com- failure mode: pression knobs.
  • Page 190 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Error messages Message on Explanation Corrective Action Gantry Readout H23 Rotation brake fail- The system is set in emergency 1) Decompress the patient, using the manual com- mode: pression knobs.
  • Page 191 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Error messages Message on Explanation Corrective Action Gantry Readout H30 Please turn off The system cannot shut down the 1) Power OFF on the X-ray console (immediately control console generator and X-ray console.
  • Page 192 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Error messages Message on Explanation Corrective Action Gantry Readout W06 Invalid language. The Gantry CPU received incor- 1) Power OFF/ON from the X-ray Console. Default is used rect language information and will 2) If the problem persists, continue to use the sys- use the default value.
  • Page 193 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Error messages Message on Explanation Corrective Action Gantry Readout W18 Rotation end posi- A rotation movement has stopped 1) Use rotation slow speed in the upper and lower tion exceeded at a firmware limit, but should limit area.
  • Page 194 GEMS Field Service. W30 Check sliding pad- AOP mode (Automatic Optimiza- If the paddle is a Senographe DS accessory: dle position tion of Parameters) is inhibited 1) Remove the paddle and insert it again. when the paddle type is not rec- 2) If the message is still displayed after inserting: ognized.
  • Page 195 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Error messages Message on Explanation Corrective Action Gantry Readout X04 Collimation com- The Field Of View cannot be set 1) Power OFF/ON from the X-ray Console. munication failure at the correct format:...
  • Page 196 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Error messages Message on Explanation Corrective Action Gantry Readout X12 Tube head control The tube focal spot size cannot be 1) If you hear the tube tilt motor, the system is try-...
  • Page 197 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Error messages Message on Explanation Corrective Action Gantry Readout X19 Filter control failure The Filter device has failed: 1) Power OFF/ON from the X-ray Console. - The filter cannot be set correctly.
  • Page 198 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Error messages This page is blank. Chapter 16 Page no. 198 16-errors.fm...

  • Page 199: Chapter 17 Specifications

    GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Specifications Chapter 17 Specifications Technical specifications Electrical specification Mode of operation: Continuous operation with intermittent loading. 1-1-1 Line voltage specifications • Single-phase input voltage (phase-neutral or phase-phase): 200/208/220/240 V (± 10%) •...
  • Page 200 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Specifications Maximum tolerance of displayed constants kV and mAs: • kV: ± 5% • mAs: ± (7.6% +1.1 mAs) Measurement Conditions: • kVp: Connect an HV voltage divider (Machlett Dynalizer IIIA; ratio 10 kV/1 V) in series with the x-ray tube and measure the voltage with a multimeter (Fluke 45 or 87).

  • Page 201: Radiation And Filter Information

    GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Specifications Radiation and filter Information Source to Image Distance (SID) • Fixed SID: 660 mm Radiation reference axis Conforming to standard mammography practice, the radiation reference axis is directed at the chest wall edge of the digital detector;...
  • Page 202 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Specifications Filters and anode tracks Maximum current for each track/focal spot configuration: Track Focal spot Large 100 mA max. 62 mA max. Small 40 mA max. 35 mA max.

  • Page 203: Ambient Conditions

    Atmospheric pressure: 500 hPa min., 1060 hPa max. Ambient light level Senographe DS monitors are adjusted for use in light levels up to 50 lux. Tube information Tube Cooling Curves and other tube-specific technical parameters can be found in the Tube Product Data document, part no.
  • Page 204 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Specifications This page is blank. Chapter 17 Page no. 204 17-specs.fm...

  • Page 205: Revision History

    GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN Revision History This page is intentionally left in English in the translated versions. DATE REASON FOR CHANGE January 25, 2005 Release Nephtys M5B level systems. Based on document 5131764-2-...
  • Page 206 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN DATE REASON FOR CHANGE - Breast support terminology: - Replaced "biopsy paddle" by "2D large localization paddle" - Replaced "(small round) spot biopsy paddle" by "2D spot localization paddle"...
  • Page 207 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN DATE REASON FOR CHANGE 5131764-6-1EN May 24 2007 Product: Senographe DS Program: Nephtys post M4(9) Technical Release: Madras DS Update of 5131764-5-100. Main changes: - Modified Section 1.1 Normal Entry in Chapter 6 Startup and Shutdown.
  • Page 208 2007 Sent to translation in PT-PT. March 5, 2008 Draft for submission to FDA for product Senographe DS: Introduction of AOP FlexDose feature in Chapter 12 See Read Me for a detailed table of modifications to this publication Page no. 208...
  • Page 209 GE Healthcare Senographe DS Acquisition System Revision 1 Operator Manual 5307907-3-S-1EN DATE REASON FOR CHANGE 5307907-3-S-1EN January 8, 2009 Product: Senographe DS Technical Release: Nephtys post M4(13) Update of 5307907-2-899-1EN. Main changes: Becomes MQSA compliant AOPFlexDose Chapter 12 Section 4-3-1 AOP configuration at installation...
  • Page 210 China Service Agent Address: Chapter 17 GE Medical Systems Trade & Development (Shanghai) Co., Ltd. (Area B, Warehouse No. 4, #777 BingKe Road, Wai Gaoqiao Free Trade Zone, Shanghai, China, 200131) Service Call Center: 800-810-8188 通用电气医疗系统贸易发展 （上海）有限公司 ( 中国上海外高桥保税区冰克路 777 号 4 号仓库 B 部位，...

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