English

User Training Manual

Philips Veradius Release 1.2

Dar Al Fouad Hospital Nasr City

Biomedical Engineering Department
 Contents
2 Safety......................................................................................................... 2-1

2.1 Important safety directions........................................................ 2-1

2.2 Emergency procedures............................................................... 2-3
2.2.1 Emergency power off................................................... 2-3
2.2.2 Recovery procedure...................................................... 2-3
2.3 Electrical safety.......................................................................... 2-4
2.3.1 Equipotential ground connection................................. 2-5
2.4 Transportation safety................................................................. 2-6
2.5 Mechanical safety....................................................................... 2-6
2.6 Explosion safety......................................................................... 2-7
2.7 Fire safety.................................................................................. 2-7
2.8 Mobile telephones and similar products..................................... 2-7
2.9 Electromagnetic compatibility................................................... 2-8
2.10 Radiation safety......................................................................... 2-9
2.10.1 Radiation guidelines..................................................... 2-10
2.10.2 Skin dose management................................................. 2-11
2.10.3 Pediatric radiation guidelines....................................... 2-11
2.11 Laser light radiation safety......................................................... 2-12
2.12 Labels and symbols.................................................................... 2-14
2.12.1 Labels........................................................................... 2-14
2.12.2 Symbols....................................................................... 2-18
4 System overview...................................................................................... 4-1

4.1 About the Philips Veradius Neo system..................................... 4-1

4.2 Configuration............................................................................ 4-2
4.2.1 The C-arm stand.......................................................... 4-2

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Contents

4.2.2 The mobile view station............................................... 4-11

4.2.3 Mobile view station connector panel............................ 4-14
4.2.4 Stand monitor.............................................................. 4-17
4.2.5 DICOM/IHE package................................................. 4-17
4.2.6 Remote control............................................................ 4-18
4.2.7 Laser aiming devices..................................................... 4-19
4.2.8 Spacer.......................................................................... 4-21
4.3 Options and accessories............................................................. 4-22
4.3.1 ViewForum workstation.............................................. 4-22
4.3.2 X-ray tank laser aiming device...................................... 4-23
4.3.3 Paper/transparency printer........................................... 4-23
4.3.4 DVD recorder.............................................................. 4-24
4.3.5 Memory extension....................................................... 4-24
4.3.6 Vascular extension........................................................ 4-24
4.3.7 Pain extension.............................................................. 4-25
4.3.8 Cardiac extension......................................................... 4-25
4.3.9 Cardiovascular extension.............................................. 4-26
4.3.10 Wireless LAN............................................................... 4-27
4.3.11 Spring bow.................................................................. 4-27
5 Operation.................................................................................................. 5-1

5.1 Safety......................................................................................... 5-1

5.2 Transportation........................................................................... 5-2
5.2.1 Putting the system in the transport position................. 5-2
5.2.2 Moving the C-arm stand.............................................. 5-2
5.2.3 Moving the mobile view station................................... 5-4
5.2.4 Putting the monitors in the transport position............. 5-8
5.3 Positioning................................................................................ 5-9
5.4 C-arm brakes and movements.................................................... 5-11
5.4.1 Rotation....................................................................... 5-12

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 Contents

5.4.2 Angulation................................................................... 5-13

5.4.3 Longitudinal movement............................................... 5-14
5.4.4 Swivel (wig-wag) movement......................................... 5-15
5.4.5 Height movement with single height movement keys.. 5-15
5.4.6 Height movement with double height movement keys. 5-16
5.5 System On/Off.......................................................................... 5-17
5.5.1 Connecting the system................................................. 5-17
5.5.2 Switching the system on............................................... 5-20
5.5.3 Password protection..................................................... 5-22
5.5.4 Switching the system off.............................................. 5-24
5.5.5 Emergency off.............................................................. 5-25
5.5.6 Mains failure................................................................ 5-26
5.5.7 Battery management.................................................... 5-26
5.6 Monitors.................................................................................... 5-28
5.7 Information and help................................................................. 5-31
5.7.1 Information on the C-arm stand.................................. 5-31
5.7.2 Help on the mobile view station.................................. 5-31
5.8 Managing patients and examinations......................................... 5-32
5.8.1 The Schedule list.......................................................... 5-34
5.8.2 The Review list............................................................ 5-35
5.8.3 Adding a new examination........................................... 5-37
5.8.4 Modifying an examination........................................... 5-39
5.8.5 Deleting an examination.............................................. 5-40
5.8.6 Selecting a patient for acquisition................................. 5-40
5.8.7 Closing the Current Acquisition Examination............. 5-41
5.9 Making images........................................................................... 5-42
5.10 Acquisition modes..................................................................... 5-44
5.11 Making Low-Dose Fluoroscopy (LDF) images.......................... 5-46
5.11.1 Fluoro grab of live image.............................................. 5-47
5.12 Making High-Quality Fluoroscopy (HQF) images.................... 5-48
5.13 Making digital exposures........................................................... 5-49

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5.14 Making vascular images............................................................. 5-49

5.14.1 Performing subtraction................................................ 5-50
5.14.2 Performing roadmap after subtraction.......................... 5-51
5.14.3 Performing roadmap with trace.................................... 5-52
5.14.4 Remasking................................................................... 5-55
5.14.5 Bolus chase.................................................................. 5-55
5.15 Imaging essentials...................................................................... 5-56
5.15.1 Flat detector format..................................................... 5-57
5.15.2 Contrast and Brightness............................................... 5-58

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5.15.3 Rotate image................................................................ 5-59
5.15.4 Mirror image................................................................ 5-59
5.15.5 Automatic shutter positioning...................................... 5-60
5.15.6 Diaphragm and shutter adjustments in LIH................. 5-63
5.15.7 Automatic kV/mA control........................................... 5-64
5.15.8 Manual kV/mA control................................................ 5-65
5.15.9 Pulse rate..................................................................... 5-65

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5.16 Image review.............................................................................. 5-67
5.16.1 Selecting an examination for review............................. 5-67
5.16.2 Accessing review functions at the C-arm stand console. 5-68
5.16.3 Single image screen...................................................... 5-70
5.16.4 Overview screen........................................................... 5-74
5.16.5 Run cycle review.......................................................... 5-77
5.16.6 Dose report.................................................................. 5-78
5.16.7 Reviewing other examinations during acquisition........ 5-80
5.16.8 View external video...................................................... 5-81

Philips Healthcare
5.17 Protection and image storage management................................ 5-81
5.17.1 Protecting an image..................................................... 5-81
5.17.2 Parking an image to the reference monitor................... 5-84
5.18 Printing, recording and storing images....................................... 5-84
5.18.1 Printing images (option).............................................. 5-85
5.18.2 Recording images on DVD (option)............................ 5-86
5.18.3 Storing images to USB................................................. 5-94

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 Contents

5.19 DICOM/IHE package............................................................... 5-95

5.19.1 Selecting DICOM export tasks.................................... 5-96
5.19.2 Online transfer tasks.................................................... 5-98
5.19.3 Working offline........................................................... 5-101
5.19.4 Querying the Worklist management server..................5-102
5.19.5 Export examination with MPPS...................................5-107
5.19.6 Viewing Storage commit status of images.....................5-109
5.20 ViewForum workstation............................................................5-109
5.20.1 Logging on to the ViewForum workstation..................5-110
5.20.2 Logging off the ViewForum workstation......................5-111
5.20.3 Exporting data to and from the ViewForum
workstation..................................................................5-112
5.20.4 Exporting images to USB or DVD from ViewForum.. 5-114
5.20.5 Quick-start guide.........................................................5-116
5.21 Image processing........................................................................5-119
5.21.1 Contrast, brightness, and edge enhancement................5-120
5.21.2 Annotation and remark................................................5-122
5.21.3 Zoom...........................................................................5-125
5.21.4 Measure.......................................................................5-126
5.21.5 Manual electronic blanking (MEB)..............................5-133
5.21.6 Pixelshift......................................................................5-134
5.21.7 Landmarking............................................................... 5-135
5.21.8 Video invert.................................................................5-136
5.21.9 View Trace (Peak Opacification)..................................5-136
5.22 Options and accessories............................................................. 5-137
5.22.1 Laser aiming devices (LAD)......................................... 5-137
5.22.2 Sterile covers................................................................5-139
5.22.3 Spacer for minimum Source-Skin distance...................5-142
5.22.4 Using the Wireless LAN option...................................5-142
5.22.5 Optional equipment.................................................... 5-149

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 2 Safety

2.1 Important safety directions

Philips Healthcare products are all designed to meet stringent safety
standards. However, all medical electrical equipment requires proper
operation and maintenance, particularly with regard to human safety.
It is vital that you read, note, and where applicable strictly observe all
DANGER notices and safety markings on the system.

It is vital that you strictly follow all safety directions under the heading
SAFETY and all WARNINGS and CAUTIONS throughout this manual, to
help ensure the safety of both patients and operators.
In particular, you must read, understand and know the Emergency
procedures described in this SAFETY section before attempting to use the
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equipment for any patient examination.

You should also note the following information given in the Introduction
section of this manual:
• section 1.3 ‘Intended use’
• section 1.4 ‘Contra-indications’
• section 1.7 ‘Training’.
Philips Healthcare

WARNING Maintenance & Faults

• Do not use the system for any application until you are sure that the User Routine
Checks Programme has been satisfactorily completed, and that the Planned
Maintenance Programme is up-to-date.
• If any part of the equipment or system is known (or suspected) to be defective or
wrongly-adjusted, DO NOT USE the system until a repair has been made.
Operation of the equipment or system with defective or wrongly-adjusted
components could expose the operator or the patient to radiation or other safety
hazards. This could lead to fatal or other serious personal injury, or to clinical
misdiagnosis/mistreatment.

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2.1 Important safety directions

You can find information about the User Routine Checks Programme and
the Planned Maintenance Programme in section 7 ‘Maintenance’.

WARNING Safety awareness

• Do not use the system for any application until you have read and understood and
know all the safety information, safety procedures and emergency procedures
contained in this Safety section. Operation of the system without proper
awareness of how to use it safely could lead to fatal or other serious personal

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injury. It could also lead to clinical misdiagnosis/mistreatment.

WARNING Adequate training

• Do not use the system for any application until you have received adequate and
proper training in its safe and effective operation. If you are unsure of your ability

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to operate this equipment safely and effectively DO NOT USE IT. Operation of
this equipment without proper and adequate training could lead to fatal or other
serious personal injury. It could also lead to clinical misdiagnosis/ mistreatment.

For information about training, please refer to section 1.7 ‘Training’ in this
manual.

Philips Healthcare
WARNING Safety devices
• Never attempt to remove, modify, override or frustrate any safety device on the
equipment. Interfering with safety devices could lead to fatal or other serious
personal injury.

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 Emergency procedures 2.2

WARNING Intended use & compatibility

• Do not use the system for any purpose other than those for which it is intended.
• Do not use the system with any products other than those which Philips
Healthcare recognizes as compatible.
• Operation of the system for unintended purposes, or with incompatible equipment,
could lead to fatal or other serious injury. It could also lead to clinical
misdiagnosis/mistreatment.

For more information, please refer to section 1.3 ‘Intended use’ and section
1.5 ‘Compatibility’ of this manual.

2.2 Emergency procedures

2.2.1 Emergency power off
In case of emergency, switch the system off.
1 Press the Emergency off key [C3] on the C-arm stand.
2 Remove the mobile view station mains power plug from the socket outlet.

WARNING When the system is switched off using the Emergency off key [C3], be aware that
mains power is still applied to some circuits in the system until the mobile view station
mains power plug is removed from the socket outlet.

2.2.2 Recovery procedure

Use this procedure in the following circumstances:
• When the system displays a message instructing you to switch the system
off and then on again, or to switch the C-arm stand off and then on
again.
• When the system does not respond.

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2.3 Electrical safety

1 Press the System off key [M14] on the mobile view station.
The system switches off (the shutdown time is less than 100 seconds).

NOTE For time critical situations, you can switch the system off faster by pressing the
System off key [M14] for at least 3 seconds (shutdown time in this case is 3 seconds).

2 Wait 5 seconds.
3 Press the System on key [M15] on the mobile view station.
The startup time for radioscopy imaging is less than 80 seconds. If a
password protection is enabled see “Password protection” in the “System
On/Off” section of the Operation chapter for details.
The system starts with default settings and a new patient.
4 To continue the procedure, select the previously used examination type and
acquisition mode.
When the procedure is finished, you can modify the patient name and other
administration items for the current acquisition patient.

2.3 Electrical safety

WARNINGS • Do not remove system covers or cables from this equipment, unless expressly
instructed to do so in this manual. High electrical voltages are present within this
equipment. Removing system covers or cables could lead to serious or fatal
personal injury.
• Do not touch the pins of the mobile view station C-arm cable or the central pin of
the video/USB connectors when touching the patient.
• The network connector must be provided with an isolating transformer.
• The Service PC connector must be provided with an isolating transformer.
• In case of changing the X-ray on lamp on the mobile view station, do not touch the
lamp contacts and the patient simultaneously.

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 Electrical safety 2.3

• System covers or cables should only be removed by the qualified and authorized
service personnel. In this context, qualified means ‘those legally permitted to work
on this type of medical electrical equipment in the jurisdiction(s) where the
equipment is being used’, and authorized means ‘those authorized by the
responsible organization’.
• Only use this equipment in rooms or areas that comply with all applicable laws (or
regulations having the force of law) concerning electrical safety for this type of
equipment.
• Always electrically isolate this equipment from the mains electrical supply before
cleaning, disinfecting or sterilizing it.

2.3.1 Equipotential ground connection

WARNING This equipment may only be used in areas meeting local standards for electrical safety
in rooms used for medical purposes, for example the US National Electrical Code. IEC
60601 also gives guidance about an equipotential ground (earth) connection point.

An equipotential ground (earth) connection point and a connection cable

are provided for the safety of the patient.
The system is provided with a yellow-green cable for equipotential earth
connection between the C-arm stand and the patient support table. The
connection point is indicated by the equipotential earth symbol.
Alternatively, both the C-arm stand and the patient support table may be
connected to an earth (ground) bus bar provided for this purpose by the
hospital.

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2.4 Transportation safety

2.4 Transportation safety

When moving mobile or transportable devices, make sure you do not collide
with/or run over objects and/or persons. The user must be familiar with the
brake system and all controls for steering before moving the equipment.

WARNINGS • Ensure that the system is in the transport position.

• Cross ramps, thresholds and obstacles as slowly as possible. Take extra care on
steep slopes.
• Wheel brakes must always be applied when the device is stationary.

2.5 Mechanical safety

WARNINGS • System covers should only be removed by qualified and authorized service
personnel. In this context, qualified means ‘those legally permitted to work on this
type of medical electrical equipment in the jurisdiction(s) in which the equipment
is being used’, and authorized means ‘those authorized by the organization
responsible for the equipment’. Ordinary users and operators should NEVER
remove the system covers themselves.
• Make sure that, when the system is parked and connected to the mains for
recharging, the system lock is in the disabled position and the system lock key is
removed to prevent accidental motorized movements.

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 Explosion safety 2.6

2.6 Explosion safety

This equipment must not be used in the presence of explosive gases or
vapours, such as certain anaesthetic gases. Use of electrical equipment in an
environment for which it was not designed can lead to fire or explosion.

WARNING Flammable or potentially explosive disinfecting sprays must not be used, since the
resulting vapour could ignite, causing fatal or other serious personal injury and/or
damage to equipment.

2.7 Fire safety

Use of electrical equipment in an environment for which it was not designed
can lead to fire or explosion. Fire regulations for the type of medical area
being used should be fully applied, observed and enforced. Fire
extinguishers should be provided for both electrical and non-electrical fires.
All operators of this medical electrical equipment should be fully aware of,
and trained in, the use of fire extinguishers and other fire-fighting
equipment, and in local fire procedures.

WARNING Only use extinguishers on electrical or chemical fires which are specifically labelled
for those purposes. Using water or other liquids on an electrical fire can lead to fatal
or other serious personal injury.

If it is safe to do so, attempt to isolate the equipment from electrical and

other supplies before attempting to fight a fire. This will reduce the risk of
electric shocks.

2.8 Mobile telephones and similar products

The system complies with the requirements of applicable EMC standards.

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2.9 Electromagnetic compatibility

Other electronic equipment exceeding the limits defined in such EMC

standards, such as certain mobile telephones, could, under unusual
circumstances, affect the operation of the system.

WARNING You should not allow any portable radio transmitting devices (such as mobile
telephones) into the examination room  whether the device is switched on or off.
Such devices could exceed EMC radiation standards and, under unusual conditions,
interfere with the proper functioning of the system. This could, in extreme cases, lead
to fatal or other serious personal injury or to clinical mistreatment.

2.9 Electromagnetic compatibility

The system is classified as Class A equipment, suitable for use in all
establishments other than domestic and those directly connected to the
public low-voltage power supply network that supplies buildings used for
domestic purposes.
The system complies with relevant international and national laws and
standards on EMC for this type of product when used as intended. Such
laws and standards define both the permissible electromagnetic emission
levels from the product and its required immunity to electromagnetic
interference from external sources.
The system needs special precautions regarding EMC, and needs to be
installed and put into service according to EMC information provided in
the “Electromagnetic compatibility” section of the Technical data chapter.
The system is designed and tested to withstand electrostatic discharges
(ESD). However, due to the nature of some electronic circuits, some pins in
the external connectors are sensitive for ESD.

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 Radiation safety 2.10

WARNINGS • Before using the system adjacent to other medical electrical equipment, determine
by observation, if the performance of either product is affected by unintended
electromagnetic coupling. If abnormal performance is observed, additional
measures may be necessary, such as re-orienting or relocating the system.
• The use of accessories and cables other than those specified, may result in
increased emission or decreased immunity levels. See also the tables of
electromagnetic emissions and immunity in the “Electromagnetic compatibility”
section of the Technical data chapter.
• Class A equipment is intended for use in all establishments other than domestic;
therefore there may be potential difficulties in ensuring electromagnetic
compatibility in domestic environments, due to conducted as well as radiated
disturbances.

CAUTIONS • Pins of connectors identified with the ESD warning symbol should not be touched.
• All staff that could touch connectors identified with the ESD warning symbol
should receive training in ESD precautionary procedures. This training should at
least include an introduction to ESD physics, the voltage levels that can occur in
normal practice and the damage that can be done to electronic components.
Further methods of prevent build up of electrostatic charge and methods for safe
discharge should be included.

2.10 Radiation safety

Only qualified and authorized personnel may operate this equipment. In
this context, qualified means ‘those legally permitted to operate this type of
medical electrical equipment in the jurisdiction(s) in which the equipment is
being used’, and authorized means ‘those authorized by the organization
responsible for the equipment’.
Personnel operating the equipment and personnel within the examination
room must observe all laws and regulations which have the force of law
within the jurisdiction(s) concerned. If there is any doubt about these laws
and regulations, do not use it.

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2.10 Radiation safety

In addition, the responsible organization is strongly urged to become

acquainted with the current recommendations of the International
Commission on Radiological Protection, and in the United States, with
those of the US National Council for Radiological Protection.
• ICRP, Pergamon Press, Oxford, New York, Beijing, Frankfurt, São
Paulo, Sydney, Tokyo, Toronto
• NCRP, Suite 800, 7910 Woodmont Avenue, Bethesda, Maryland 20814,
USA.
Full use must be made of all radiation protection features on the equipment,
and of all radiation protection devices, accessories, systems and procedures
available to you as the operator.

WARNINGS • NEVER attempt to remove, modify, override or frustrate any safety device on the
equipment. Interfering with safety devices could lead to fatal or other serious
personal injury.
• Make sure that, when the system is parked and connected to the mains for
recharging, the system lock is in the disabled position and the system lock key is
removed to prevent accidental radiation or height movements.

Use only the prescribed dose necessary to perform a particular examination

or treatment.
You should restrict access to the system in accordance with local regulations
for radiation protection.

WARNING Interventional Procedures: this equipment is intended for procedures in which skin
dose levels can be high enough in normal use to cause a risk of deterministic effects. It
is vital that you strictly follow all safety directions for this type of procedure.

2.10.1 Radiation guidelines

When performing radiation, the following rules should be followed:
• do not radiate when not necessary
• radiate for as short a time as possible
• use automatic dose rate control whenever possible

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 Radiation safety 2.10

• stay as far away as possible from the radiated object/X-ray source

• wear aprons and other protective clothing as appropriate
• use badges to monitor the radiation levels received
• use LDF as much as possible in place of HQF to reduce dose
• collimate as much as possible using the pre-indicators (on the LIH image)
• focal spot to skin (object) distance should be kept as large as possible to
reduce the absorbed dose
• remove all supplementary obscuring objects from primary beam (this
includes the hands of the user)
• in principle, the X-ray source should be placed under table to reduce
exposure to scattered radiation resulting in extra safety for physician and
staff
• take into account any adverse effects that may arise due to materials
located in the X-ray beam, for example, the operating table
• the mobile view station should be positioned so that the radiation
indicator on the mobile view station is visible to all persons at all
positions in the room.

2.10.2 Skin dose management

During prolonged interventional procedures skin dose levels can be high
enough in normal use to cause a risk of deterministic effects.
Risk management should be used to determine the risks and benefits for any
given procedure.
This system has several different selectable acquisition modes, each
producing different image quality by using different dose rates. The best
acquisition mode for the procedure should be used.

2.10.3 Pediatric radiation guidelines

When performing pediatric radiation, the following rules should be
followed:
• All rules mentioned in section “Radiation safety” on page 2-9.
• Do not radiate when it is not necessary. Use non-X-ray equipment when
possible (e.g. ultrasound).

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2.11 Laser light radiation safety

• Remove any objects in the beam that are either not necessary to execute
the procedure (e.g. mattresses, pillows, tubes, etc.) or that are not radio
lucent.
• For very small or thin objects, remove the detachable grid (see section
“The C-arm stand” on page 4-2).
• Select the correct exam type for the anatomy (i.e. extremities).
• Choose the lowest dose and lowest pulse rate possible.
• Place the detector as close as possible to the patient.
• Use collimation as much as possible to protect areas outside the region of
interest. Exclude eyes, thyroid, breast, and gonads when possible. When
possible, perform collimation on the LIH. Combine independent shutters
together with the iris to expose the smallest area possible on the body
part.
• Use automatic dose rate control whenever possible (Auto kV). When
selecting manual kV, it is possible to override the automatic dose rate
control and lock the kV at the current value.
• Use the laser aiming device to determine your region of interest instead of
using fluoroscopy.
• Use the left (grey) key on the hand switch or left key on the foot switch.
When storage is needed, this can be enabled via the user interface.
• Radiate for the shortest time possible, use the LIH to review the anatomy
rather than live fluoroscopy.
Philips recommends reviewing generally available resources on pediatric
imaging before using the equipment for pediatric cases, such as:
• The U.S. Food and Drug Administration, Pediatric X-ray Imaging
• The Alliance for Radiation Safety in Pediatric Imaging, Image Gently
• The Society for Pediatric Radiology

2.11 Laser light radiation safety

The laser light in the laser aiming devices (LAD) should only be used under
supervision of a medically trained person with knowledge of the hazards
implied by the use of laser light.

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 Laser light radiation safety 2.11

It is the responsible organization's responsibility to fulfill the local safety

regulations regarding laser light radiation.

WARNINGS • The lasers must not be switched on without purpose, and unnecessary exposure
must be avoided.
• Use of controls, adjustments, or procedures other than those specified in this
Instruction for Use may result in hazardous radiation exposure.

The lasers comply with FDA performance standards for laser products
except for the deviations pursuant to laser notice 50, dated June 24, 2007.
Detector LAD
The flat detector laser aiming device consists of two, Class 1M lasers which
are integrated in the flat detector unit.

WARNING Laser radiation. Do not view directly with optical instruments. Class 1M laser product.
Viewing laser output with certain optical instruments (for example eye loupes,
magnifiers and microscopes) within a distance of 100 mm may pose an eye hazard.

X-ray tank LAD

WARNING Class II laser (FDA), do not stare into the beam / Class 3R laser (IEC), avoid direct eye
exposure.

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2.12 Labels and symbols

2.12 Labels and symbols

2.12.1 Labels
The system has the following labels located as shown below.

Figure 2.1 System overview

Legend

1 C-arm stand console

2 X-ray tank
3 Front cover of the C-arm
4 Central labelling station
5 Rear side of the mobile view station

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 Labels and symbols 2.12

Warnings on the C-arm stand console (1)

The following warning is displayed on the C-arm stand console. It is only
applicable to the USA, China, Japan, and Canada.

Label text

This X-ray unit may be dangerous to patient and operator unless safe exposure factors,
operating instructions and maintenance schedules are observed.

Warnings on the X-ray tank (2)

The following warnings are displayed on the X-ray tank.

Label text

Laser Radiation Laser radiation

Do not stare into beam Avoid direct eye exposure
Max. output < 0.8 mW Max. output < 5 mW
Emitted wavelength 670 nm Emitted wavelength 670 nm
FDA Class II laser product Class 3R laser product (IEC 60825-1 2001-08)
Laser aperture

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2.12 Labels and symbols

The following warning is only applicable to USA, Canada, and Taiwan.

Label on the front cover of the C-arm stand (3)

The following label is displayed on the front cover of the C-arm stand and
shows the position of the central labelling station.

Central labelling station (4)

The central labelling station contains the FDA certification labels of the
following components:
• X-ray control
• Tube housing assembly / X-ray tube
• Image detection subsystem
• X-ray generator
• Beam limiting device
• Laser product

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 Labels and symbols 2.12

The central labelling station also contains the complete system

configuration.

WARNING The appropriate labels on this panel must be updated when replacing certified
components.

NOTE Certain labels are only available on systems for USA or Canada.

Warnings and labels on the rear side of the mobile view station (5)
The following labels are displayed on the rear side of the mobile view
station.

Label text

Philips
Made in Holland
Philips Medical Systems NL B.V.
Veenpluis 4-6 5684 PC Best
The Netherlands
Mains rating Frequency Momentary Long term Max. ˖

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2.12 Labels and symbols

Label text

100/110/120/130 V~ 50/60 Hz 22/18 A 10/8 A 0.1/0.2

200/210/220/230/240 V~ 50/60 Hz 12/10 A 5/4 A 0.6
Single phase

Label text

Medical Electrical Equipment

Certified according to CAN/CSA-C22.2 No. 60601-1-08 and ANSI/AAMI ES60601-1:2005

Label text

Grounding reliability can only be achieved when the equipment is connected to a

sufficiently grounded power socket.

2.12.2 Symbols
The system has the following symbols.
Danger voltage
Dangerous voltages are present within the cabinet marked with this symbol.
Only trained personnel may remove the system cover, or otherwise obtain
access to system components. There are no user serviceable parts and never
attempt to repair this unit.

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 Labels and symbols 2.12

Refer to the instruction manual

This symbol indicates that the accompanying documents must be consulted.

Information
This symbol indicates information.
ESD warning symbol
Connections to sensitive parts are identified by this ESD warning symbol.
Warning, crushing hazard: hand

CE
This symbol indicates that the equipment complies with the European
Communities regulation, the number of the notified body is printed.
Alternating current
This symbol indicates alternating current.
Equipotential earth
This symbol indicates the Equipotential earth connector. This connector
allows a connection between the C-arm stand and the patient support table
or the earth (ground) bus bar provided by the hospital.
Protective earth (ground)
This symbol indicates the potential earth terminal, which is connected to
conductive parts of Class 1 equipment for safety purposes. This terminal
should be connected to an external earthing system by a protective earth
connector.
On
This symbol indicates an On switch for part of the equipment.
Off
This symbol indicates an Off switch for part of the equipment.
Canadian Standards Association
This symbol indicates that the system has been tested and certified by the
Canadian Standards Association to comply with the applicable U.S. and
Canadian Standards.

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2.12 Labels and symbols

Small focal spot

The value next to the symbol indicates the size of the small focal spot.
Large focal spot
The value next to the symbol indicates the size of the large focal spot.
Laser symbol
This symbol indicates the presence of laser equipment.
Radiation symbol
This symbol indicates the presence of radiation (X-ray) equipment.
Transport symbol
This symbol indicates that the C-arm stand must be put in the transport
position before transporting it. Refer to the “Transportation” section in the
Operation chapter for details.
Do not push
This symbol indicates that you must not attempt to push the equipment at
the point where the label is situated, or at any point above.
Product disposal
This symbol indicates that the equipment contains material(s) that are
harmful to the environment if disposed of incorrectly.
IPXX
The IP code (International Protection code) indicates the degree of
protection provided by an enclosure.
• IPX0: Protection against ingress of solid foreign objects is not specified,
and no protection against ingress of water with harmful effects
• IPX1: Protection against ingress of solid foreign objects is not specified,
and protection against ingress of water with harmful effects from drips
from above
• IPX3: Protection against ingress of solid foreign objects is not specified,
and protection against ingress of water with harmful effects from spraying
• IP27: Protection against ingress of solid foreign objects greater than 12.5
mm in diameter, and protection against ingress of water with harmful
effects from temporary immersion

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 4 System overview

4.1 About the Philips Veradius Neo system

The Philips Veradius Neo is a mobile diagnostic X-ray image acquisition
and viewing system. The system comprises two main components: the C-
arm stand and mobile view station.

Figure 4.1 System components

Legend

1 Mobile view station 2 Examination monitor

3 Reference monitor 4 Flat detector
5 Stand monitor 6 C-arm stand
7 C-arm 8 Collimator
9 X-ray tank

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4.2 Configuration

4.2 Configuration
4.2.1 The C-arm stand
X-ray tank
The X-ray tank houses the X-ray tube, which has a rotating anode for
increased X-ray penetration and longer high-quality fluoroscopy times. A
built-in, additional, beam filter (0.1 Cu and 3 mm Alum) reduces patient
skin dose.
Collimator
The diaphragm collimator limits the X-ray beam to the actual field of view
of the flat detector. Lead shutters can be independently moved and rotated
to avoid direct radiation on the flat detector and reduce scattered radiation.
Flat detector
The flat detector provides three size modes, and has a detachable X-ray grid.
The X-ray grid removes part of the scattered radiation, thereby improving
the contrast in the image. Removing the X-ray grid may negatively affect the
image quality. In some cases, such as small or thin objects where there is less
scatter radiation, the influence of the X-ray grid is limited. Removing the X-
ray grid in this situation reduces the radiation dose for the patient and
might provide a small degree of contrast improvement.

NOTE The X-ray grid is attached with hand-tightenable screws. To prevent the grid from
being detached, you can replace the hand-tightenable screws with the set of standard
screws that are supplied with the system.

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 Configuration 4.2

The presence or absence of the X-ray grid is clearly visible to the operator.

Figure 4.2 X-ray grid

WARNING Do not use the system if there is no specific reason that the X-ray grid is not mounted
(for example, if an operator removed the X-ray grid during a previous procedure, but
forgot to replace it after the procedure).

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4.2 Configuration

Hand switch
The hand switch, which can be connected to either side of the C-arm stand,
is used to activate a range of fluoroscopic and acquisition modes, such as
low-dose fluoroscopy, high-quality fluoroscopy, and digital exposure.

Figure 4.3 Hand switch

Foot switch
The foot switch, connected via the connector panel of the C-arm stand, is
used to activate a range of fluoroscopic and acquisition modes, such as low-
dose fluoroscopy, high-quality fluoroscopy, and digital exposure.

Figure 4.4 Foot switch

Movements and brakes

The C-arm is fully counterbalanced and the brakes are manually controlled.
The height movement is motor-driven.

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 Configuration 4.2

The steering handles are coupled and control the rear wheels. The front
wheels swivels freely. All wheels are provided with cable deflectors. The C-
arm stand is equipped with a brake. See section “Transportation” on page
5-2 for more information about steering and braking with the C-arm stand.
The C-arm movement brakes are color-coded for identification. See section
“C-arm brakes and movements” on page 5-11 for details.
An overview of C-arm movements is provided in the following figures.

Figure 4.5 C-arm rotation (left) and angulation (right)

Figure 4.6 C-arm height (left) and longitudinal (right) movement

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4.2 Configuration

Figure 4.7 C-arm swivel

The C-arm stand console

The C-arm stand console controls all functions related to performing
fluoroscopy and exposure. The console consists of keys and a display.
The motorized height movement is controlled using keys on either side of
the C-arm console.
The functions of the keys are described in section 5 ‘Operation’.
For an overview of the console see section “Legend” in the Appendix.
After start-up of the system the ‘Function’ display is shown. This display can
be divided into three main areas:
• Radiation information area
• Function area
• Information area.

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 Configuration 4.2

Figure 4.8 C-arm stand display (IEC)

Legend

1 Radiation information area 2 Function area

3 Information area 4 System messages
5 Soft keys

Radiation information area

This area displays real-time radiation information:
• kV value
• Average mA or mAs value
• Value for both the left and right key/pedal on the hand switch and
foot switch is displayed: the last used key/pedal is displayed as
normal, the other is grayed.
• Dose display:
• Total Cumulative Dose is displayed before and after X-ray and
during Digital Exposure. Units: mGy.
• The current average dose rate is displayed during X-ray on. Units:
mGy/min.
• The values represent the dose at 30 cm from the detector entrance
surface.

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4.2 Configuration

• Cumulative time display. The format for the cumulative time depends on
the selected display mode:
• If IEC display mode is selected then minutes and seconds are
displayed using the minutes/seconds format/range: 0:00-999:59.
• If HHS display mode is selected then minutes are displayed using
the minutes/decimal minutes format/range: 0.0-999.9.
Function area
System settings, displayed in the ‘Function’ area can be changed using the
soft-keys [C18] below and beside the function items. Pressing a soft-key:
• Gives access to a menu
• Toggles between a set of values.
If a menu is accessed, but no choice is made within approximately seven
seconds the system returns to the functions.
For more information about the menu tree, see section “Menu and function
selection tree” in the Appendix.
Information area
The centre part of the display shows information about:
• The examination type
• The heat indication of the X-ray tank or the tube (when warm)
• The radiation status.
The radiation symbol is displayed during radiation.

System messages area

System messages, such as errors and warnings, are displayed below the
information area.
Energy storage unit
The system has an energy storage unit located in the C-arm stand.
When the C-arm stand is switched off, the charge indicator lamp on the C-
arm stand connector panel indicates the charge level of the energy storage
unit; the lamp flashes slowly when the charge is low, and flashes faster as the
energy storage unit is charged.

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 Configuration 4.2

When the system is switched on, the charge indicator lamp is continuously
lit.
Heat indication

NOTE A heat indication icon is only displayed in the information area if the system has
detected an increased anode or oil temperature, resulting in possible restricted use or
blockage of high dose acquisition modes. Under such restricted conditions, only
emergency fluoroscopy can be used.

The heat indication shown in the information area of the C-arm stand is a
combined indication of the X-ray tank (oil) and anode temperatures. The
system displays warnings if the system performance is degraded as a result of
overheating.
Four levels of heat indication are shown:
• No heat indication icon: green anode heat level and less than low oil
temperature, indicating the system is ready for use for all X-ray settings.
• Heat indication icon with 1 block: yellow anode heat level and/or low oil
temperature, indicating the system is ready for use for all X-ray settings.
Limited X-ray time is available and you are advised to increase the cooling
time between X-rays.
• Heat indication icon with 2 blocks: red anode heat level and/or medium
oil temperature. For red anode heat level, Digital Exposure and LDF, are
still available and all selections will be available within 40 sec. In the case
of medium oil temperature, the remaining X-ray time will be very limited
and you are advised to increase the cooling time between X-rays.
• Heat indication with 3 blocks: the anode is too hot for X-ray until the
anode heat level is safe, and/or the X-ray tank oil temperature is hot, and
only LDF can be used.

Figure 4.9 Heat indications

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4.2 Configuration

The time taken for the system to cool will be dependent upon the level of
operation previously undertaken and whether the anode or the X-ray tank
oil needs to cool. The anode cools quickly, for example, in less than one
minute, but the X-ray tank oil can take longer, for example, as much as 60
minutes.
The C-arm stand connector panel
The C-arm stand connector panel is located on the front left-hand side of
the C-arm stand. The C-arm stand connector panel consists of the following
items:
• Foot switch connector
• Equipotential earth connector
• Energy storage unit charge indicator
• System lock
• Mobile view station to C-arm stand interface connector.

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 Configuration 4.2

Figure 4.10 C-arm stand connector panel

Legend

1 Foot switch connector 2 Equipotential earth connection

3 Energy storage unit indicator 4 System lock
5 Mobile view station connector

System lock
The system lock prevents activation of radiation and height movement. The
lock is controlled by a key.

4.2.2 The mobile view station

Monitors
The mobile view station is equipped with two high brightness LCD
monitors.
Examination monitor (left monitor)
• Live imaging
• Roadmaps

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4.2 Configuration

• Dose display
• Last Image Hold (LIH) images
• Scheduling examinations
• Reviewing examinations
• Worklist
• Dose report
• Setup screen
• Test image
• Touch-screen functionality.

NOTE When using the touch-screen functionality, do not push hard on the screen.

Reference monitor (right monitor)

• Reference images
• External video source
• ViewForum workstation (option)
• DVD recorder display (option)
• Test image.
The monitors can be swivelled by 180° for ease of viewing, either for the
operator at the mobile view station console, or for the physician at the
tableside.
Password protection
Patient data on the mobile view station can be protected from unauthorized
access with a password. Patient data cannot be viewed or accessed until the
correct password is entered.

NOTE It is always possible to create an emergency examination and make exposures for a
new patient without entering the password.

A password is set by Service during installation. After installation, Service or

an appropriate hospital staff member, can change the password or disable
password protection altogether (it can be enabled again at a later date). Refer
to the “Security and privacy requirements” section in the Technical data
chapter for details of system security.

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 Configuration 4.2

Using the mobile view station as a stand-alone unit

The mobile view station can be used as a stand-alone unit, i.e. without the
C-arm stand connected, for viewing, archiving and post-processing
purposes.
You can also prepare for the next intervention by selecting the examination
type for the acquisition patient while the mobile view station is
disconnected from the C-arm stand.
Steering
The mobile view station brake has release/apply positions and a locked
position for easy (parallel) transportation. All wheels are provided with cable
deflectors.
Controls, displays and indicators
The mobile view station controls all functions for managing patients,
examinations and images. The console consists of a keyboard and keys.
The functions of the keys are described in section 5 ‘Operation’. For an
overview of the console see section “Legend” in the Appendix.
X-ray on indicator
The X-ray on indicator is lit when X-rays are present. It is located above the
monitors at the top of the monitor support column.
IR receive indicator
The IR receiver is located just above the monitors. A green LED comes on
when a command is received from the remote control.

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4.2 Configuration

4.2.3 Mobile view station connector panel

The mobile view station connector panel is located on the rear of the mobile
view station.

Figure 4.11 Mobile view station connector panel

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 Configuration 4.2

Available connectors
The mobile view station connector panel provides the following connectors:

Figure 4.12 Mobile view station connector panel - available connectors

Legend

1 USB connectors (for mobile view 2 USB connectors for the optional
station) workstation or mobile view station if
a workstation is not installed
3 Mains connection indicator 4 Network connector
5 Service PC connector/Digital 6 Video in connector
Navigation Link
7 Video out connector 8 DVI out connectors

WARNINGS • Do not touch the pins of the mobile view station C-arm cable or the central pin of
the video out connector when touching the patient.
• The network connector and Service PC connector must be provided with isolating
transformers.

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4.2 Configuration

• All connections made to external equipment that has a connection to the mains
network shall be made in compliance with IEC60601-1 3rd edition Table I.1,
situation 1d, 2d, 3b, or 3c.
• Optional equipment is only to be used if it is CE labelled and fully compatible with
the system in use. The use of accessory equipment not complying with the
equivalent safety requirements of the system may lead to a reduced level of safety
in the resulting system. Any patient environment equipment connected to the
system must comply with ANSI/AAMI ES60601-1:2005 and IEC 60601-1
requirements. Equipment outside the patient environment may only be connected
to the system if it complies with the relevant UL and EN/IEC standards.

CAUTION Do not connect the system to network outputs that provide Power over Ethernet
(PoE).

Connecting external equipment

You can connect additional monitors (not supplied) to the mobile view
station using the DVI outputs (or the analog video output) on the
connector panel. Additional monitors should be connected according to
IEC 60601-1 table I.1.
Before using an additionally connected monitor for diagnostic purposes, its
performance must be validated for the intended use.
When placing additional monitors inside the operating theatre:
• It is preferable to use monitors of the same type as those that are used in
the system, and that comply to IEC 60601-1. When such monitors are
used in the same room as the system, a normal DVI cable can be used.
• If another type of monitor is used, which does not comply with IEC
60601-1 but does comply with IEC 60950, then a galvanic separation
device is mandatory.
• When the additionally placed monitors are used for diagnostic purposes,
their performance should be validated for that use.
When placing additional monitors outside the operating theatre, a galvanic
separation device is mandatory.
When connecting equipment to the USB or Video in connection, a galvanic
separation device is mandatory if the external equipment is connected to the
supply mains network.

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 Configuration 4.2

4.2.4 Stand monitor

The stand monitor on the C-arm provides feedback for easier positioning of
the C-arm. It can be tilted and rotated (+/- 135 degrees).

NOTE The stand monitor is a slave of the examination monitor on the mobile view station.
It should only be used for positioning the C-arm stand.

Figure 4.13 Stand monitor

4.2.5 DICOM/IHE package

An interface between the mobile view station and the hospital/departmental
network. It complies with the DICOM 3.0 standard.
The DICOM interface allows images of a completed examination to be
exported to a network storage device or sent to a network printer for output.
Available formats are:
• DICOM SC (Secondary capture, with and without text)
• DICOM XA (X-ray angiographic)
Images can be selected for export or print while the system is not connected
to the network. These images will be held in a queue and sent when the
system is reconnected to the network.

NOTE The examination dose report can also be exported or printed.

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4.2 Configuration

The DICOM package also provides the following functionality for the
DICOM interface:
• Worklist management (WLM): allows the mobile view station to receive
scheduled patient data from a WLM server on the hospital/departmental
network.
• Modality Performed Procedure Step (MPPS): provides examination
progress, dose report and status information that can be used for
reporting purposes.
• Storage commit: provides confirmation that images have been safely
archived after exporting to a network storage device.
• IHE profiles: compliant with IHE-SWF (Scheduled Workflow profile).

4.2.6 Remote control

The remote control is a device using infrared light. It allows some image
handling functions to be controlled from the operating position. The IR
transmitter is located on the front end of the remote control and, if
obstructed, no signals are transmitted. The IR receiver is located on top of
the mobile view station, between the examination monitor and the reference
monitor. A light on the receiver indicates that the selected command has
been received. See the Legend for a description of the keys.

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 Configuration 4.2

The operation of the remote control is not affected, when placed in a

transparent sterile cover. It is battery-powered and the batteries must be
replaced regularly.

Figure 4.14 Remote control

WARNINGS • Infrared signals from the remote control may interfere with other infrared-
controlled equipment in the same room, causing uncontrolled behavior. Before
using the remote control in a procedure, check that no interference can be caused
to other equipment.
• Identical remote controls are interchangeable. Therefore, do not use the remote
control when more than one system is in use in the same room. If several systems
are in the same room, remote control commands for one system may initiate
actions on another system, causing uncontrolled behavior.
• Remove the batteries when the remote control is not going to be used for a long
time.

4.2.7 Laser aiming devices

There are two integrated laser aiming devices (LAD):
• X-ray tank laser aiming device (option)
• Flat detector laser aiming device

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4.2 Configuration

Using laser light, the laser aiming device projects a cross on the patient. The
centre of the projected cross corresponds with the centre of the X-ray beam.
The minimum working distance is about 20 cm from the detector. It is used
to:
• position the C-arm, minimizing the amount of radiation for the patient
and staff
• quickly and precisely align objects with the centre of the X-ray beam
• mark the centre of the X-ray beam on the skin of the patient, for incisions
and foreign body removal.
Flat detector laser aiming device
The flat detector laser aiming device consists of two lasers, which are
integrated in the flat detector and produce a cross on the X-ray tank. The
lasers are switched on and off using the LAD on/off key on C-arm stand
console.

Figure 4.15 Flat detector laser aiming device

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 Configuration 4.2

4.2.8 Spacer
The minimum source-skin distance is 20 cm. In some countries a 30 cm
spacer is required. For those countries where it is applicable, the appropriate
spacer is delivered with the system.

Figure 4.16 Spacer

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4.3 Options and accessories

4.3 Options and accessories

WARNING Only the options and equipment delivered by Philips Healthcare may be used in
conjunction with the system. The use of accessory equipment not complying with the
equivalent safety requirements of this equipment may lead to a reduced level of
safety in the resulting system. Consideration relating to the choice shall include the
following:
• Use of the accessory in the patient vicinity
• Evidence that the safety certification of the accessory has been performed in
accordance with IEC 60601-1.

4.3.1 ViewForum workstation

The ViewForum workstation option provides access to pre-operative
acquired images on the mobile view station. Acquired images can be
received from the hospital network, from a DICOM CD/DVD, or from the
system itself.
The option is designed to replace the conventional lightbox with side-by-
side comparison of intra-operative and pre-operative images on the mobile
view station. The combination of the ViewForum workstation and the X-
ray equipment optimizes surgical planning and improves patient outcome.
The ViewForum workstation is pre-configured to provide the surgical user
with appropriate image viewing and processing functions, and includes
storage to any USB medium. To enhance the capability of the ViewForum
workstation, the following optional features can be added to the standard
configuration:
• DICOM store to CD/DVD
• MIP/MPR package
• Procedure reporting package.
For details of the ViewForum workstation, please refer to the ViewForum
Instructions for Use.

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 Options and accessories 4.3

4.3.2 X-ray tank laser aiming device

The laser aiming device is built into the X-ray tank. It projects a cross hair
on to the flat detector entrance screen. It is switched on and off with
the LAD on/off key on the C-arm stand console.

4.3.3 Paper/transparency printer

There are two possibilities for printing video images:
• Sony UP-970AD or UP-971AD for printing on paper
• Sony UP-990AD or UP-991AD for printing on paper or transparency
film.

Figure 4.17 Printer

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4.3 Options and accessories

4.3.4 DVD recorder

A medical DVD recorder is available as an option to record and replay
images and runs.

Figure 4.18 DVD recorder (PMDR)

4.3.5 Memory extension

A memory extension for the number of images to be stored. Two options
are available:
• 10000 images on hard disk
• 20000 images on hard disk

4.3.6 Vascular extension

The vascular extension offers the optimal support for vascular cases, by
providing an extensive range of vascular imaging tools:
• Subtracted fluoroscopy mode displays digitally subtracted images, for
clear visualization of contrast media
• Live Trace-mode (peak opacification) shows the maximum opacification
of the vessels
• View Trace (peak opacification) creates a trace image in post processing
• Roadmap functionality supports catheter guidance
• Remask to reselect the best image in a run as a mask image for contrast
runs

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 Options and accessories 4.3

• Smart Mask reduces the X-ray dose and contrast medium usage by
reusing previously acquired mask images for roadmapping
• Landmarking provides a non-subtracted background image for
anatomical reference. The visibility of the background can be adjusted to
meet user preferences
• Pixel shift compensates for movement artifacts
• Subtraction on/off simplifies the orientation for subtracted images during
roadmap procedures (controlled by remote control or the user interface
on the mobile view station)
• CO2 subtracted fluoroscopy
• CO2 trace mode (trace white)
• CO2 roadmap with Smart Mask (reuse of previously acquired image)
Memory extension to 10000 images is included.

4.3.7 Pain extension

The pain exam consists of fluoroscopy, a special boost mode for imaging
dense objects, and it provides digital subtract functionality to enable clear
visualization of contrast injections.
The subtract functionality also makes it possible to image the exact
vasculature in delicate regions of the spine to potentially reduce accidental
injection in the vessels.

4.3.8 Cardiac extension

This extension provides the optimal support to perform cardiac procedures.
This extension includes dedicated anatomical programmed fluoroscopy
parameters for electrophysiology procedures, advanced pacemaker
placements, and cardiac procedures such as heart valve replacements. The
optimized high pulse rate of maximal 23 frames per second with a
maximum of 60 mA delivers the power and technology enabling the sharp
imaging of fast moving anatomy in the field of interest.
Memory extension to 20000 images is included.

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4.3 Options and accessories

4.3.9 Cardiovascular extension

The cardiovascular extension offers all the features needed to optimally
support cardiovascular cases. It provides an extensive range of vascular
imaging tools, high pulse speeds, dedicated cardiac programs, and memory
extension to 20000 images.
Vascular processing includes the following:
• Subtracted fluoroscopy mode displays images in subtracted mode
• Trace-mode shows the maximum opacification of the vessels (peak
opacification)
• Roadmap functionality supports catheter guidance
• Remask to reselect the best image in a run as a mask image for contrast
runs
• Smart Mask reduces the X-ray dose and contrast medium usage by
reusing previously acquired mask images for roadmapping
• Landmarking provides a non-subtracted background image for
anatomical reference. The visibility of the background can be set stepwise
• Real time pixel shift compensates for movement artefacts
• Subtraction on/off simplifies the orientation for subtracted images during
roadmap procedures (controlled by remote control or user interface on
the mobile view station)
• View Trace creates a trace image in post processing
• CO2 subtracted fluoroscopy
• CO2 trace mode (trace white)
• CO2 roadmap with Smart Mask (reuse of previously acquired image)
This extension also includes dedicated anatomical programmed fluoroscopy
parameters for electrophysiology procedures, advanced pacemaker
placements, and cardiac procedures such as heart valve replacements. The
optimized high pulse rate of maximal 23 frames per second with a
maximum of 60 mA delivers the power and technology enabling the sharp
imaging of fast moving anatomy in the field of interest.

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 Options and accessories 4.3

4.3.10 Wireless LAN

The Wireless LAN option provides the ability to maintain a network
connection with your facility’s RIS/HIS without requiring a physical
connection (network cable). This increases the flexibility and mobility of the
system when transferring patient data between the system and networked
archives such as a PACS.

4.3.11 Spring bow

A spring bow is used to hold the sterile cover of the C-arm in position,
while allowing free movement of the C-arm.

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4.3 Options and accessories

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 5 Operation

This chapter describes the procedures required to operate the system.

5.1 Safety
It is mandatory for the operator to be familiar with the safety procedures as
described in section 2 ‘Safety’.

WARNING Safety awareness

• Do not start up the system unless you and all other users present have read, fully
understood and know all the safety information and emergency procedures given
in section 2 ‘Safety’.
• Operation of the system without having read, understood and knowing ALL the
safety information and procedures in section 2 ‘Safety’ could lead to fatal or other
serious personal injury. It could also lead to clinical misdiagnosis/ mistreatment.

WARNING Maintenance & faults

• Do not use the system for any medical application unless you are certain that the
User Routine Checks Programme has been satisfactorily completed, and that the
Planned Maintenance Programme is up-to-date.
• If any part of the system is known (or suspected) to be defective, DO NOT USE IT
until a repair has been made. Operation of the system with defective components
may expose the user or a patient to radiation or other safety hazards. This, in turn,
could lead to fatal or other serious personal injury. It could also lead to clinical
misdiagnosis/mistreatment.

For information about the user routine checks programme and the planned
maintenance programme see section 7 ‘Maintenance’.

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5.2 Transportation

WARNING Operator knowledge

• Do not operate the system with patients unless you have a good understanding of
its capabilities and functions. Using this equipment without such an understanding
may compromise its effectiveness and/or reduce the safety of the patient, user and
others.

It is important to read this manual before using the system.

5.2 Transportation

WARNINGS • Limit the direction of transport across ramps (do not cross a ramp sideways).
• Do not park on ramps with an angle greater than 5°.
• The quality of the brakes strongly depends on the surface characteristics of the
floor or ramp.

5.2.1 Putting the system in the transport position

• Longitudinal travel 0 cm position
• Swivel movement 0 ° position
• Height movement 8 cm position
• Rotation in 0 ° position
• Angulation in 0 ° position.

5.2.2 Moving the C-arm stand

1 Release the brake.
2 Control movement of the stand using the push bar and steering handles.

NOTES • Steering handles are only for positioning the C-arm at the acquisition location.
Steering handles should not be used during transportation.
• With the steering handles in either the left or right position, the C-arm stand can
be moved sideways.

5-2 Operation Veradius Release 1.2

 Transportation 5.2

Both steering handles are coupled and control the rear wheels. The front
wheels are free swivelling. They have three pre-defined (‘click’) positions,
straight ahead, left and right. In addition, all wheeled positions in between
the pre-defined positions can be used to move the stand in the
corresponding direction.

Figure 5.1 Moving the C-arm stand

Legend

1 Steering handle
2 Push bar
3 Brake pedal

3 When the stand is in the required location, position it exactly using the
steering handles.
4 Apply the brake.

Veradius Release 1.2 Operation 5-3

5.2 Transportation

5.2.3 Moving the mobile view station

The mobile view station can be moved using the push bar. A brake can be
applied or two wheels can be locked for transport over long distances.
The mobile view station can have either a single brake pedal or dual pedals
at each rear wheel.

5-4 Operation Veradius Release 1.2

 Transportation 5.2

Single Pedal

Figure 5.2 Moving the mobile view station (single pedal)

Legend

1 Push bar
2 Brake pedal positions
3 Brake pedal (single)

Veradius Release 1.2 Operation 5-5

5.2 Transportation

When the mobile view station has a single brake pedal, this pedal has three
positions:
Transport position

This position locks two wheels in parallel, making it easier to move the
mobile view station over long distances.

Brake off

With the brake off, the mobile view station can be moved freely in any
direction.

Brake on

With the brake on, the mobile view station cannot be moved.

5-6 Operation Veradius Release 1.2

 Transportation 5.2

Dual Pedals
If the mobile view station has dual pedals (red and gray), these can be used
to lock and brake the rear wheels.

Figure 5.3 Moving the mobile view station (dual pedals)

Legend

1 Brake pedals (dual)

1 Lock the wheels in parallel for transport by pressing both gray pedals only.

Figure 5.4 Wheels locked for transportation (brakes not applied)

2 Apply the brake by pressing the red pedals of both wheels down.
3 Release the brake without releasing the wheel lock by pressing the upper
part of the red pedal only on both wheels.
4 Release the wheels after transport by pushing the upper part of the gray
pedals.

Veradius Release 1.2 Operation 5-7

5.2 Transportation

5.2.4 Putting the monitors in the transport position

WARNING Ensure that the monitors are placed in the transport position before transporting the
mobile view station.

During transportation of the mobile view station, the monitors should be

closed and locked, using the two locking bolts at the back of the monitors.
1 Fold the monitors together.
2 If applicable, lower the monitors to the minimum position.
3 Stow the cables using the hooks at the side of the mobile view station.

Figure 5.5 Monitors in the transport position

5-8 Operation Veradius Release 1.2

 Positioning 5.3

4 To lock the monitors, pull the locking bolt out, turn it 90°, and then let it
slide back into the locked position.

Figure 5.6 Monitors: locking bolts for transport (1 and 2)

5 To unlock the monitors, pull the locking bolt out, turn it 90°, and then let
it slide back into the unlocked position.

5.3 Positioning
CAUTION Do not position the system such that it makes it difficult in a case of emergency to
remove the mains power plug from the socket outlet.

C-arm
Before using the system with a patient, fit sterile covers. For details, see
“Options and accessories” at the end of this chapter.
Mobile view station

WARNING Do not position the mobile view station with the open side next to the patient. The
open side of the mobile view station has a fan which could adversely affect the sterile
air flow.

Veradius Release 1.2 Operation 5-9

5.3 Positioning

The mobile view station should always be positioned so that the closed side
is closest to the patient.

Figure 5.7 Mobile view station: Closed side (left) and open side (right)

5-10 Operation Veradius Release 1.2

 C-arm brakes and movements 5.4

5.4 C-arm brakes and movements

Figure 5.8 C-arm overview

Brake Color code

1 Rotational brake handle Orange

2 Angulation brake handle Blue
3 Longitudinal brake handle Pink
4 Swivel (wig-wag) brake handles Black

The brake for each C-arm movement is color-coded for identification at the
brake handle and at the movement axis.

WARNING Although the movements are balanced it is strongly recommended to apply the C-arm
brakes when the C-arm is in position.

Veradius Release 1.2 Operation 5-11

5.4 C-arm brakes and movements

The rotation, angulation, longitudinal, and swivel (wig-wag) brakes have

symbols to indicate their movements and status. When the brake is released,
the handle points to the ‘unlocked’ symbol. When the brake is applied, the
handle points to the ‘locked’ symbol.

Brake unlocked

Brake locked

5.4.1 Rotation
To release the rotation brake (orange handle), move the brake handle to the
unlocked position. To re-apply the brake, return the brake handle to the
locked position. The range of rotation is +200° to –200°. The degree of
rotation is indicated on the scale.

Figure 5.9 Rotation brake handle (1) and degrees of rotation (2)

5-12 Operation Veradius Release 1.2

 C-arm brakes and movements 5.4

5.4.2 Angulation
To release the angulation brake (blue handle), move the handle to the
unlocked position. To re-apply the brake, return the handle to the locked
position. The angulation range is +90° to -50°. The degree of angulation is
shown on the scale.

Figure 5.10 Angulation brake handle (1) and degrees of angulation (2)

Veradius Release 1.2 Operation 5-13

5.4 C-arm brakes and movements

5.4.3 Longitudinal movement

To release the longitudinal brake (pink handle), move the handle to the
unlocked position. To re-apply the brake, return the handle to the locked
position. The longitudinal movement is shown on the scale. The
longitudinal movement range is 20 cm.

Figure 5.11 Longitudinal brake handle (1) and movement measurement (2)

5-14 Operation Veradius Release 1.2

 C-arm brakes and movements 5.4

5.4.4 Swivel (wig-wag) movement

To release the swivel movement brake (black handles), move the two
handles upwards. To re- apply the brake, return the handles to the locked
position. The swivel range is 10° to +10°.

Figure 5.12 Swivel (wig-wag) brake handle (1), one handle on each side

5.4.5 Height movement with single height movement keys

The adjustment of the height is controlled by keys next to the C-arm
column on both sides of the C-arm stand.

Figure 5.13 Height movement keys

1 Switch on the C-arm stand.

2 Make sure the system lock key is in the enabled (I) position.

Veradius Release 1.2 Operation 5-15

5.4 C-arm brakes and movements

3 Press the Up key to move the C-arm upwards. The upwards movement will
continue until the key is released or when the up limit is reached.
4 Press the Down key to move the C-arm downwards. The downwards
movement will continue until the key is released or when the transport
position is reached.
5 At the transport position, the movement stops and the LED indicator beside
the keys is on.
6 To continue the downwards movement into the extended range, press
the Down key again. An audible signal is given at the beginning of this
movement and the LED indicator remains lit.

WARNING If any irregularities occur in either direction of the height movement during use,
switch off the system as described in .

CAUTIONS • When using the system in the extended range, extra care must be taken to avoid
collisions with the floor or other objects.
• When the indicator flashes, the central circuit has detected a failure and the height
movement is disabled.

5.4.6 Height movement with double height movement keys

The adjustment of the height is controlled by keys next to the C-arm
column on both sides of the C-arm stand. For safety reasons, both keys
must be pressed simultaneously.
1 Switch on the C-arm stand.
2 Make sure the system lock key is in the enabled (I) position.
3 Press both Up keys [C19] simultaneously to move the C-arm upwards. The
upwards movement will continue until the keys are released or when the up
limit is reached.
4 Press both Down keys [C20] simultaneously to move the C-arm
downwards. The downwards movement will continue until the keys are
released or when the transport position is reached.

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 System On/Off 5.5

5 At the transport position, the movement stops and the indicator above the
keys is on.
6 To continue the downwards movement into the extended range, press
both Down keys [C20] again. An audible signal is given at the beginning of
this movement and the indicator remains lit.

WARNING If any irregularities occur in either direction of the height movement during use,
switch off the system as described in section 5.5.4.

CAUTIONS • There is the possibility of a collision when moving the system in the extended
range. Also, a 12" image intensifier used in the under-table position could collide
with the C-arm stand. Both 9" and 12" image intensifiers can collide with the floor.
Therefore, extra care must be taken when using the system in the extended range.
• When the indicator flashes, the central circuit has detected a failure and the height
movement is disabled.
• If only one key is pressed, movement in either direction should not occur. If one
key is released during the movement, it must stop immediately. The correct
functioning of the height movement must be checked daily as described in section
7.3. Any errors in this respect must be reported to the local Service Organization.

5.5 System On/Off

5.5.1 Connecting the system

WARNING • Optional equipment is only to be used if it is CE labelled and fully compatible with
the system. The use of accessory equipment not complying with the equivalent
safety requirements of the system may lead to a reduced level of safety in the
resulting system. Any patient environment equipment connected to the system
must comply with ANSI/AAMI ES60601-1:2005 and IEC 60601-1 requirements.
Equipment outside the patient environment may only be connected to the system
if it complies with the relevant ANSI/AAMI and EN/IEC standards.
• To avoid risk of electric shock, this equipment must only be connected to supply
mains with protective earth.

Veradius Release 1.2 Operation 5-17

5.5 System On/Off

CAUTION Make sure that the socket outlet is provided with proper ground connection
accepting grounding cord plugs. The resistance in the socket outlet must conform to
the mains supply specifications as described in section 9 ‘Technical data’.

5-18 Operation Veradius Release 1.2

 System On/Off 5.5

When the C-arm stand and the mobile view station are in the desired
position, make the following electrical connections.
1 Connect the mobile view station cable to the C-arm stand by aligning the
colored dots on the stand connector panel. Turn the fastener clockwise to
secure the connector.

Figure 5.14 C-arm stand connector panel with cable connections

Legend

1 Foot switch connector 2 Equipotential earth connection

3 Energy storage unit indicator 4 System lock
5 Mobile view station connector

2 Connect the mains power cable of the mobile view station to a suitable
mains power outlet socket.
3 If applicable, connect the foot switch to the C-arm stand connector panel.

Veradius Release 1.2 Operation 5-19

5.5 System On/Off

System lock
Before the system is switched on the system lock should be disabled (set to
O) to prevent unwanted X-radiation. The system lock should only be
enabled (set to I) during radiation procedures and for positioning the height
movement.
When the system lock is set to O, all X-ray functions are disabled and a
message appears on the C-arm display. The height movement is also
blocked.

Equipotential earth (ground) connection

WARNING An equipotential earth (ground) connection is required for the safety of patient and
user (IEC and VDE regulations).

The system is provided with a yellow-green cable for equipotential earth

connection between the C-arm stand and the patient support table. The
connection point is indicated by the equipotential earth symbol.
Alternatively, both the C-arm stand and the patient support table may be
connected to an earth (ground) bus bar provided for this purpose by the
hospital.

5.5.2 Switching the system on

• Press the System on key [C1] on the C-arm stand or press the System on
key [M15] on the mobile view station.
When the system is switched on it performs a system initialization and a
self-test. A startup screen is displayed on the examination monitor of the
mobile view station and on the C-arm stand display.

CAUTION To prevent malfunction, do not touch any key during the startup process (except the
height movement key).

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 System On/Off 5.5

NOTE If the Password protection function is enabled, the Password panel is displayed before
the Administration screen is opened. See the following section for details about using
the Password panel.
The system is ready for use when:
• the examination monitor displays the ‘Administration’ screen
• the C-arm stand displays status and settings
• no error messages are given.

Figure 5.15 ‘Administration’ screen and C-arm stand display

WARNING To avoid casual or deliberate viewing of patient data by unauthorized persons, do not
leave the system unattended while it is switched on. You should switch the system off
when it is not required.

Reminder panel
If images are queued for transfer from a previous session, a panel is displayed
to remind the operator of the queued images. The reminder panel also
shows whether logging data for Remote Proactive Support is waiting to be
transferred. Logging data is transferred automatically when a network
connection is available.

Veradius Release 1.2 Operation 5-21

5.5 System On/Off

If disk space is becoming low, the reminder panel also displays an

information message, reminding the operator to delete examinations that are
no longer needed, so as to avoid automatic overwriting of older
examinations.
Click the OK button to close the reminder panel.

NOTE If the Password protection function is enabled, the reminder panel is not displayed if
a valid password is not entered.

Tips

Stand alone mode mobile The mobile view station can be used in stand alone mode
view station (without the C-arm stand connected) for viewing and post-
processing runs. The system is designed so that no patient
mix up is possible. One of the prevention measures is that
each time the mobile view station is switched on, a new
Patient file is created. However there are times during an
operation when the C-arm stand needs to be repositioned or
temporarily removed, and then new images should be added
to the same patient file. To allow for this situation the system
is designed so that while the mobile view station remains
switched on, the C-arm stand can be switched off and
disconnected. It can then be reconnected and switched on. In
this situation the new images are added to the open Patient
file.
System lock To perform fluoroscopy and use the height movement the
system lock must be enabled (with the key in the I position).
Height movement Height movement can be used immediately after pressing one
of the System on keys [C1] or [M15] if the key is in the I
position.

5.5.3 Password protection

The Password protection function protects patient data from unauthorised
access. The operator must enter the correct password before:
• Reviewing existing examinations.
• Starting scheduled examinations.
• Using the Export function (if installed).

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 System On/Off 5.5

NOTE It is always possible to create an emergency examination, and acquire and review
images for a new patient without entering the password.

If the Password protection function is enabled, the ‘Password’ panel appears

after system start-up. The password is set by Service during installation.
After installation, Service or an appropriate hospital staff member, can
change the password or disable password protection altogether (it can be
enabled again at a later date).
The operator can enter the correct password and access existing and
scheduled examinations, or the operator can click Ignore to acquire and
review images using the ‘no name’ emergency examination.

NOTE If Ignore is clicked, access to existing and scheduled examinations is prohibited.

Using the password panel

1 Enter the correct password in the ‘Password’ field.
2 Click OK.
• If the password entered is correct, the ‘Password’ panel closes and the
‘Administration’ screen is displayed. The Schedule list is opened and the
operator has full access to all available functions on the system.
• If the password entered is not correct, the operator is asked to re-enter the
correct password.
• Three attempts to enter the correct password are allowed. If the third
attempt is incorrect, the only option available in the ‘Password’ panel
is Ignore.

Veradius Release 1.2 Operation 5-23

5.5 System On/Off

NOTE When the password is entered correctly, access to the system is authorised for the rest
of the session and the password is not required again until the system is restarted.

3 Click Ignore in case of emergency or if the correct password is not available.

After clicking Ignore, only the ‘no name’ emergency examination is
available in the Administration screen. It is not possible to query the WLM
server or use the Export function, if installed. To view the Schedule or
Review lists, the system must be restarted and the correct password entered
in the Password panel.

NOTES • The operator may click the Ignore button at any time in the Password panel to
gain access to the system for new examinations only.
• If the system is accidentally powered off, the password will be required to access
stored examinations after the system restarts.

5.5.4 Switching the system off

1 Switch off the complete system by pressing the System off key [M14] on
the mobile view station.
On the C-arm stand, the following functions are switched off immediately:
• Radiation
• Motorized height movement
Remaining functions on the C-arm stand and mobile view station are
switched off automatically in a controlled way to avoid data loss. The
following options, if installed, are also switched off automatically:
• DVD recorder
• ViewForum workstation

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 System On/Off 5.5

The controlled shut down process may take several seconds to complete.
When the shut down process is complete, wait 5 seconds before switching
the system on again.
2 Only unplug the system when the display indicates that the shutdown
procedure is complete.

CAUTION After switching off, the system must be connected to the mains supply to ensure
recharge of the energy storage unit.

NOTES • Pressing the System off key [M14] for more than 3 seconds immediately removes
power to the entire mobile view station, including the ViewForum workstation, if
installed, which switches off without shutting down and may result in data loss.
• If a ViewForum workstation is installed, wait at least 10 seconds between switching
the system off and on again, to ensure the workstation starts correctly.
• Pressing the C-arm stand off key [C2] on the C-arm stand switches off only the C-
arm stand.

Tips

Protect images Before switching the system off, protect all required images.
Disconnecting the C-arm Before switching off, disconnect the C-arm stand. All settings
stand will be restored after reconnection.

5.5.5 Emergency off

In case of emergency, switch the system off.
1 Press the Emergency off key [C3] to switch off the C-arm stand.
2 Remove the mobile view station mains power connector from the mains
power outlet socket.

WARNING When the system is switched off using the Emergency off key [C3], be aware that
mains power is still applied to some circuits in the system until the mobile view station
mains power plug is removed from the socket outlet.

Veradius Release 1.2 Operation 5-25

5.5 System On/Off

5.5.6 Mains failure

After mains failure
• all images from the current run are lost
• the dose report will not be updated for that run
• the DICOM network connection is lost and transfer tasks are aborted
• tasks aborted during selection for transfer queuing are lost and will
need to be selected and queued again
• tasks aborted during actual transfer to the DICOM network are not
lost, but will need to be transferred again by the operator from the
‘Transfer panel’.
When the power returns:
• switch on the system
• system restart time for imaging is approximately 1 minute
• the system starts with default settings and a new patient
• reference images, subtraction masks, etc. must be remade. (It is not
possible to use images from different patients.)
• if applicable, the transfer reminder panel is displayed if there are any
images queued for transfer from the previous session.
The operator may resume any aborted transfer in the transfer queue by
opening the ‘Transfer’ panel. See section 5.19 for more details.

5.5.7 Battery management

During periods of extensive use, the battery charge level of the energy
storage unit may fall. If the battery charge level falls below a certain
percentage, a warning message is displayed on the C-arm stand console.
Both the C-arm stand and the mobile view station must remain connected,
and the mobile view station must remain connected to the mains power

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 System On/Off 5.5

outlet socket. This allows the energy storage unit to recharge, which is
indicated by an orange lamp on the connector panel on the side of the C-
arm stand.

Figure 5.16 Energy storage unit charge indication lamp (1) and system lock (2)

It is not necessary for the C-arm stand or the mobile view station to be
switched on during recharging.
When the C-arm stand is switched off and the energy storage unit is
recharging, the charge indication lamp on the C-arm stand connector panel
indicates the battery charge level; as the battery charge level increases, the
charge indication lamp flashes more frequently. The energy storage unit is
fully charged when the charge indication lamp is lit continuously (when the
C-arm stand is switched off and connected to the mains power outlet
socket).
When the system is switched on, the charge indication lamp is lit
continuously.
You should charge the battery fully before use.

Veradius Release 1.2 Operation 5-27

5.6 Monitors

CAUTION If the system has been left connected to the mains power outlet socket for recharging,
do not forget to disconnect it before transporting it to another location.

Battery undercharge
If the battery charge level falls below 60%, a warning message is displayed
on the C-arm stand console.
If the battery charge level falls below 30%, high level fluoroscopy runs and
digital exposure may be stopped by the system. Other imaging modes
should still be available.
If the battery charge level falls to 0%, X-ray is disabled. The battery must be
recharged to at least 15% in order to perform X-ray again. Recharging the
battery to 15% takes approximately 20 minutes.

WARNING When the system is switched off and parked, and it is connected to the mains power
outlet socket for recharging, ensure that the system lock is in the disabled position
“O” and that the system lock key is removed to prevent accidental radiation or
movement.

5.6 Monitors
The factory settings of the monitors on the mobile view station are set for
optimal image quality. The brightness and contrast settings of the monitors
cannot therefore be adjusted directly.

5-28 Operation Veradius Release 1.2