Carestreamhealth DRX-1操作流程及注意事项

© Carestream Health, Inc. 2012ConfidentialPublication No. 6K18002012-12-21Supersedes 6K18002012-06-05Site Specificationsfor theDRX-Revolution Mobile X-ray SystemPLEASE NOTE The information contained herein is based on the experience and knowledge relating to the subject matter gained by Carestream Health, Inc. prior to publication.No patent license is granted by this information.Carestream Health, Inc. reserves the right to change this information without notice, and makesno warranty, express or implied, with respect to this information. Carestream Health shall not beliable for any loss or damage, including consequential or special damages, resulting from anyuse of this information, even if loss or damage is caused by Carestream Health’s negligence orother fault.This equipment includes parts and assemblies sensitive to damage from electrostaticdischarge. Use caution to prevent damage during all service procedures.Table of ContentsDescription PageSafety and Regulatory Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3Indication for Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3Safety Agency Marks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3Conforming Standards for the DRX-Revolution Mobile X-ray System—Safety.3USA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Canada. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Europe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3International . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Conforming Standards—EMC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 Product Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5Optional Wireless Prep/Expose Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6Tethered Detector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Equipment and System Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 Packaging Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7DRX-Revolution Mobile X-ray System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 DRX-1 System Product Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10DRX-1 System Detector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10DRX-1C System Detector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11DRX-1 System Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12Mode of Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 DRX-1 System Wireless Network Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . 13Hospital Wireless Network Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13Operator Console to Hospital Network Wireless Communications . . . . . . . . . . . . . . 15Technical Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15Security . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15Enterprise Security. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15 Site Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16 Receiving, Operation, and Storage Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . 16Preparing a Staging Area. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16Main Electrical Site Requirements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16Electrical Site Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 162D Barcode Reader Charger Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . .16Electrical Site Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16Transit and Storage Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17Operating Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17 22012-12-21 – 6K1800Safety and Regulatory Information Section 1:Safety and Regulatory InformationOverviewImportantFor complete safety and regulatory information, users should review the DRX Revolution Mobile X-ray System Safety and Regulatory Information Guide.Personnel operating and performing maintenance on the equipment should receive training for the DRX-Revolution Mobile X-ray System and understand all of the phases of operation and maintenance. To provide safety, all users should read this section carefully before using the system.Indication for UseThe DRX-Revolution Mobile X-ray System emits radiation when digital radiographic images are created and when the Detector Array is not in use. Read all safety labels on the equipment.Safety Agency MarksThe DRX-Revolution Mobile X-ray System includes the Safety Agency marks for the U.S., Canada, and international sites. The DRX-Revolution Mobile X-ray System also includes a CB Certificate and CB Report from a CB Scheme safety agency. The CB Report includes all the national deviations.Conforming Standards for the DRX-Revolution Mobile X-ray System—SafetyUSA•UL 60601-1:2003Canada•CAN/CSA-C22.2 No. 601.1-M90Europe•EN 60601-1:1990/AC:1994•EN 60601-1-1:2001•EN 60601-1-3:1994•EN 60601-1-4:1996/A1:1999•EN 60601-1-6:2004•EN 60601-2-32:1994International•IEC 60601-1:1988 + A1 + A2•IEC 60601-1-1:2000•IEC 60601-1-3:1994•IEC 60601-1-4:1996 + A1•IEC 60601-1-6:2004•IEC 60601-2-32:19946K1800 – 2012-12-213SITE SPECIFICATIONS42012-12-21 – 6K1800Conforming Standards—EMCEquipment and standards meet the following requirements:•IEC 60601-1-2:2001 + A1:2004 Medical Electrical Equipment—Electromagnetic Compatibility Requirements and Tests, including CISPR 11:2003 + A2:2006 emissions to Class A limits.CautionThis is a Class A product. In a domestic environment, this product may cause radio interference, in which case the user may be required to take adequate measures.•93/42/EEC MDD (Medical Device Directive)—Europe Only•ICES-001 Issue 4: Class A Radiated and Conducted Emissions—Canada For European Market OnlyCarestream Health France 1, Rue GaililÈe93192 NOISY-LE-GRAND CEDEXFRANCEProduct Description Section 2:Product DescriptionComponentsThe DRX-Revolution Mobile X-ray System is a mobile digital radiographic system that incorporates a self-contained X-ray generator, image receptor, imaging display, and software for acquiring medical diagnostic images outside a standard X-ray room. It is a mobile diagnostic system intended to generate and control X-rays for the examination of various anatomical regions.The system is designed for use in all locations of a hospital or a clinical site, including patient rooms, operating rooms, emergency departments, trauma bays, Intensive Care Units (ICU), and other patient treatment areas.Item Component1Primary monitor2Emergency brake3DC Circuit breaker (1 of 2 circuit breakers, found on each side of unit)4Drive handle5Prep/expose switch6DRX-1 detector7Emergency stop8Motorized drive wheel9Retractable AC power cord10Bumper sensor11AC Circuit breaker (1 of 2 circuit breakers, found on each side of unit)6K1800 – 2012-12-215SITE SPECIFICATIONS62012-12-21 – 6K1800Optional Wireless Prep/Expose SwitchThe (IR) remote includes a prep/expose switch on top and a collimator light switch. A cord connects the receiver unit to the cart. The infrared (IR) wireless remote is available as an option.ImportantMultiple systems with the infrared (IR) remote prep/expose switch must not be used in the same area.The IR remote prep/expose switch is not uniquely correlated to a specific system. Any IR remote prep/expose switch can fire any other mobile system that uses a remote switch, including Other Manufacture (OM) system, if ready.Tethered DetectorIf the power goes off, an emergency bin release and a detector tether are available. To operate the emergency bin release, insert the end of a paper clip into the pin hole to the left of the lock.The DRX-1 Detector can be used wirelessly or tethered. The tether cannot be used with the grid operation.RISK OF ELECTRIC SHOCK:Exposures may be made with a tethered detector, but are not to be made with the machine plugged into the AC mains. The machine can be plugged in while making a wireless exposure only.Equipment and System Specifications6K1800 – 2012-12-217Section 3:Equipment and System SpecificationsPackaging SpecificationsDRX-Revolution Mobile X-ray SystemDimensions of Cart Packed and UnpackedMeasurementPacked Crate Dimensions Unpacked Cart Dimensions NotesWidth 889.0 mm (35.0 in.)583.0 mm (23.0 in.)Height 1828.0 mm (72.0 in.) 1385.0 mm (54.5 in.)The tube head is docked.Length 1562.0 mm (61.5 in.) 1290.0 mm (50.8 in.) Weight697kg (1537 lbs)575 kg (1268 lbs)SITE SPECIFICATIONSDimensions of Cart Operational82012-12-21 – 6K1800Equipment and System Specifications Accessory Dimensions—Grid Alignment HolderMeasurement Grid Alignment Holder DimensionsSize445.0 mm x 616.0 mm x 24.9 mm (17.5 in. x 24.2 in. x 0.98 in.)Weight 1.86 Kg (1.20 lb)6K1800 – 2012-12-219SITE SPECIFICATIONS102012-12-21 – 6K1800DRX-1 System Product InformationDRX-1 System DetectorDetector Size 38.35 x 45.95 x 1.55 cm (15.00 x 18.10 x 0.6 in.)Image Area 35.4 x 42.5 cm (14.0 x 16.7 in.)Detector Weight 3.4 kg (7.5 lb)Electrical Ratings 2–18 V (dc), 3 ATechnical Specifications Detector Type GOS / Amorphous Silicon Pixel Pitch 139 µmActive Image Area 35.4 x 42.5 cm (14.0 x 16.7 in.)Usable Pixel Matrix 2544 x 3056 pixelsLimiting Resolution 3.6 up/mm (line pairs mm)MTF (%), RQA-5 Beam0.5 cyc/mm, Typical 1.0 cyc/mm, Typical 2.0 cyc/mm, Typical 3.0 cyc/mm, Typical7854229DQE (%) +/-2ó <10%, RQA-5, 4 µGy 0.0 cyc/mm, Typical 0.5 cyc/mm, Typical 1.0 cyc/mm, Typical 2.0 cyc/mm, Typical 3.0 cyc/mm, Typical 332923135Energy Range 40–150 kVp Pixel Fill Factor 100 %Scan Method Progressive A/D Conversion (bits)14 bits Housing MaterialAluminumSensor Protection Material Carbon fiber and aluminum plate (2.0 mm thick)Environmental Temperature RangeOperating + 15 to + 30° C (+ 59 to +86° F)Shipping – 23 to + 66° C (– 9.3 to + 150° F)Equipment and System Specifications6K1800 – 2012-12-2111DRX-1C System DetectorRelative Humidity, Non-CondensingOperating 10–86 %Storage 10–86 %Technical Specifications Receptor Type Amorphous Silicon on glass, no tiling Conversion Screen Deposited CsI (TI)Pixel SizeResolution Limit 139 x 139 µm 3.6 cyc/mm Usable Pixel Area35.0 x 42.3 cm 13.8 x 16.6 in.2520 x 3032 pixels MTF (%), RQA-5 Beam 0.5 cyc/mm, typical 1.0 cyc/mm, typical 2.0 cyc/mm, typical 3.0 cyc/mm, typical82592915DQE (%)±2σ<10%, RQA-5, 2.5 µGy 0.0 cyc/mm, typical 0.5 cyc/mm, typical 1.0 cyc/mm, typical 2.0 cyc/mm, typical 3.0 cyc/mm, typical 6559513518Energy Range 40–150 kVpPixel Fill Factor 100 %, pixel readout is behind pixel receptor layer Scan Method Progressive A/D Conversion14 bitsSupported Data Interfaces Wireless 802.11 A or N Tethered 10/100 EthernetEnvironmental ShockHigh shock toleranceTemperature RangeOperating + 15 to + 30° C (+ 59 to + 86° F)Ambient-Storage + 15 to + 30° C (+ 59 to + 86° F)Shipping (with special packaging) – 23 to + 66° C (– 9.3 to 150.8° F)Relative Humidity, Non-Condensing Operating 10–86 %Storage 10–86 %Mechanical Size 35.00 x 43.00 cm (13.80 x 16.90 in.) cassette (ISO 4090)38.35 x 45.95 x 1.55 cm (15.10 x 18.10 x 0.60 in.)Weight3.49 kg (7.70 lb)Housing MaterialAluminumSensor Protection MaterialCarbon fiber and aluminum plate (2.0 mm thick)EnvironmentalSITE SPECIFICATIONS122012-12-21 – 6K1800DRX-1 System BatteryNoteFor complete information on the care and handling of the DRX-1 System Battery, see the CARESTREAM DRX-1 System Battery User’s Guide .Mode of OperationTechnology •Lithium-polymer technology•Smart battery technology prevents overcharge Size 21.00 x 15.00 x 0.67 cm (8.20 x 5.90 x 0.26 in.)Weight0.40 kg (0.88 lb)Electrical Ratings 14.8 V (dc), 2.1 A (nominal) capacity Image per Charge 190 maximum images per chargeExpected Life 500 charge/discharge cycles results in ~80 % full charge energy Safety CertificationIEC60601-1:1988 + A1:1991 + A2:1995DRX-1 DetectorContinuous DRX-1 System Tether InterfaceContinuousEquipment and System Specifications6K1800 – 2012-12-2113DRX-1 System Wireless Network SpecificationsImportant•The system can have no more than three clients associated with the AP, where only one of the clients will be actively communicating with the AP.•The DRX-Revolution Mobile X-ray System AP channel and transmit power are set at installation.•Because of the intermittent bursts of data lasting only a few seconds, and the low transmission power, the impact of the DRX-Revolution Mobile X-ray System WLAN on the Hospital mobile devices is minimal.Hospital Wireless Network SpecificationsThe DRX-Revolution Mobile X-ray System supports connectivity to the hospital’s PACS, HIS/RIS, and printer destinations in three configurations:•Wired,•Wireless, or •Wired and wirelessTechnical Specifications Network Protocol TCP/IPNetwork Type Isolated private wireless LAN (WLAN)Wireless Protocol802.11Band 1/2 Antenna Frequency Band Available Channels (fixed at installation) 5.15–5.35 GHz 36, 40, 44, and 48Band 4 Antenna Frequency Band Available Channels (fixed at installation) 5.745–5.825 GHz149, 153, 157, 161, and 165Maximum Power of Detector Radio 50 mWNumber of Antennas on Detector One each on 2 sidesIP addressing Static private IP addresses for detectors, AP Agency approvals FCC Part 15Typical Data SizeOne 15 MB file per imageDual Homed PC (2 NIC cards)Hospital network connection, private network connectionSecurity WPA2-PSK AES Factory and user-loaded keys, WPA2 - Personal, FIPS 140-2 compliant AES encryption SSIDBroadcastPrivate Patient Identification Data No patient ID data exchanged with detector Pass PhraseNon-default Pass PhraseSITE SPECIFICATIONS142012-12-21 – 6K1800The DRX-Revolution Mobile X-ray System has the following configuration requirements:•The DRX-Revolution Mobile X-ray System supports only 1 AE Title/Host name value, regardless of the connectivity option deployed.•If the hospital supports both wired and wireless configurations, then the PACS, HIS/RIS, or printer destinations require the DRX-Revolution Mobile X-ray System to register the AE Title and IP address with them. Thedestinations must be able to register 2 static or DHCP IP addresses (wired and wireless) to one AE Title (DRX-Mobile).•Storage commitment is not supported for wireless connectivity.The wireless network of the hospital must have a sufficient quality of service and range for image delivery and worklist operations in the locations the DRX-Revolution Mobile X-ray System will service. The minimum wireless infrastructure requirements are:•Minimum is 802.11 g. Supported 802.11 a/b/g/n access point or router hardware.•Minimum data rate of 24 Mbps at the wireless client (DRX-Revolutio Mobile). CISCO AP requirements to achieve this rate are–Minimum signal strength of -77 dBM at the wireless client (DRX-Revolutio Mobile)–Minimum signal-to-noise ratio of 12 dBm at the wireless client (DRX-Revolutio Mobile)•There is no greater than 60 % of the maximum client association capacity of the access point.•The access points where the DRX-Revolution Mobile X-ray System will travel must be broadcasting the same SSID.Configuration Deployed IP Address Required Network Connection Information RequiredRegistration of the DRX-Revolution Mobile X-ray System with Hospital Destination (if required)Registration of Destination in the DRX-Mobile Wired only1 static or DHCP IP address (If DHCP, IP address must be onpermanent lease).•Static or DHCP address (If DHCP, make sure ithas a permanent lease)•Subnet Mask•Default Gateway You can register:• 1 static or DHCP IP address (run ipconfig /all to find out the DHCP IPaddress) • 1 AE Title•AE Title •IP address •Port of the destinationsWireless only•SSID•Authentication Mode (For example: WAP2-PSK)•Encryption (TKIP, AES)•Network Key (Pre-shared Key)•Static or DHCP IP address •Subnet Mask •Default GatewayWired and wireless2 static or DHCP IP addressesBoth wired and wireless data are listed above.You can register:• 2 static or DHCP IP addresses • 1 AE TitleEquipment and System Specifications6K1800 – 2012-12-2115Operator Console to Hospital Network Wireless CommunicationsTechnical SpecificationsSecurityEnterprise SecurityNetwork Protocol TCP/IPNetwork Type Wireless LAN (WLAN) Wireless Protocol 802.11 a/b/g/n Frequency Band 2.4 GHz and 5 GHzIP AddressDHCP or Static IP for wireless or wired connection Client Adapter ModelIntel WiFi 6300 AGNAuthenticationEAP–PEAP–MS–CHAPv2EAP-LEAP EAP-PSK•The configuration with PEAP authentication is acceptable for use in the field•The use of the certificate file, to storeauthentication data, requires a CSH serviceengineer to connect to the system, either on site or remotely, to update the file•if the hospital changes the authenticationspecifics or the issued certificate expires, on the network side, without making the necessary changes to the certificate file, the wireless communication to the hospital might stopfunctioning and requiring a service call to connect.•Authentication methods that require user-enteredcredentials at every login are not supportedEncrypitionWPA2-Enterprise or Personal with AES or TKIP Intrusion Detection/Prevention SystemAgent runs on the console to prevent unauthorized processes or services from running.Radius Server Supported Cisco Secure ACS v4.2Authentication Protocol Supported •EAP-PEAP/MSCHAPV2•EAP-TLSSupported Certificate Extensions.pem, p7b, p12, pfx, cer, crt, derSITE SPECIFICATIONSSection 4:Site SpecificationsReceiving, Operation, and Storage RequirementsPreparing a Staging AreaIf the equipment must be stored before installation, the customer should:•Provide a staging area for a Carestream Health authorized service provider to unpack and energize the unit. •Verify that the path between the storage and the staging areas can hold the width of the crates. See Packaging Specifications on Page7.•Provide a place to discard the shipping crates and the packing materials.Important•The customer must prepare the site before the installation of the DRX-Revolution Mobile X-ray System.•The equipment is not delivered until the site is ready. Carestream Health orders the shipment of the DRX-Revolution Mobile X-ray System to the installation site by the carrier. The shipment includes one shipping crate, with a built-in ramp for removing the unit from the crate.•The storage and staging areas can be in the same or separate sites, which is determined by space requirements, operation requirements, and traffic flow.•If the path from the receiving area to the storage and staging area is too narrow to hold the shipping crates, call your Carestream Health authorized Service Provider in advance. A specialist unpacks the crates at the site. Main Electrical Site RequirementsImportantThe following amperage and kilowatt values assume an equipment load under normal conditions. The values do not reflect requirements for total electrical service needed.All electrical connections should conform to the National Electrical Code and to state and local regulations for the country or locality in which the equipment is installed.Electrical Site RequirementsElectrical requirements include:•100 / 120 / 200 / 240 V (ac)•14.4 / 12.0 / 7.2 / 6.0 A•Single Phase 50/60Hz•1440 VA2D Barcode Reader Charger RequirementsElectrical Site RequirementsImportantThe following amperage and kilowatt values assume an equipment load under normal conditions. The values do not reflect requirements for total electrical service needed. All electrical connections should conform to the National Electrical Code and to state and local regulations for the country or locality in which the equipment is installed. Electrical requirements include: 100-240 V (ac) .5 A Single Phase 50/60Hz162012-12-21 – 6K1800Site Specifications Transit and Storage RequirementsImportantThe receiving and storage area(s) must be dry and able to provide the correct humidity and temperature control required for the equipment.Temperature–20 to 55° C (–4 to 131° F), provided the Detector Array is shipped in a CarestreamHealth-approved insulated shipping container.Relative Humidity10 - 86 % (allow condensation dry time before installing)Atmospheric Pressure644 - 1016 hPa (483–763 mm Hg)Altitude–31 to 3658 m (–102 to 12,000 ft)Operating RequirementsTemperature18–30° C (64–86° F)Relative Humidity30–65 % (allow condensation dry time before installing)Maximum Gradient5° C (9° F) - temperature must remain constant and stableSystem BTU Output Single Detector System - 23,770 BTU over an 8-hour interval for DRX-RevolutionMobile X-ray System with 1 Detector or 2971.25 (~2972)Dual Detector System - 24,725 BTU over an 8-hour interval for DRX-RevolutionMobile X-ray System with 2 Detectors or 3090.625 (~3091)6K1800 – 2012-12-2117Site SpecificationsPrinted in U.S.A. • 6K1800.fmCarestream Health, Inc.150 Verona Street Rochester, NY 14608United StatesPublication History PublicationDate PublicationNo.ECO No.Changed PagesFile Name Notes2012-06-056K1800------6K1800.fm New Publication 2012-12-216K1800---7—126K1800.fmRevised specification in the Packaging Specifications and System Product Information sections.CARESTREAM and DRX are trademarks of Carestream Health, Inc.。

引言概述：放射科DR（数字取像）操作规程是放射科工作中非常重要的一环，对于提高影像质量、确保患者安全和提高工作效率具有关键作用。

本文将详细阐述放射科DR操作规程的相关内容，包括设备准备、暴露参数设置、体位固定、辐射防护和操作技巧等五个大点，以帮助从事相关工作的放射科医师和技术人员更好地进行DR操作。

正文内容：一、设备准备1.确保DR设备处于正常工作状态，包括电源、网络连接和设备附件等。

2.检查设备软件和硬件版本并进行更新。

3.对设备进行日常维护和保养，包括清洁、校准和故障排除等。

4.确保设备与患者信息系统连接并获取正确的患者信息。

二、暴露参数设置1.根据所拍摄的部位和临床需要，选择合适的曝光方式和暴露参数。

2.设置适当的曝光剂量，确保图像质量和患者辐射剂量之间的平衡。

3.细致调整图像处理参数，包括对比度、亮度和锐化等，以提高图像质量和诊断准确性。

4.定期对暴露参数进行校准和验证，确保其符合质量控制标准。

三、体位固定1.根据医嘱和拍摄部位，正确选择体位，包括站立、卧位、仰卧位等。

2.使用合适的支架和垫子，稳定患者体位，防止运动模糊和图像伪影。

3.指导患者正确的体位，并进行必要的调整，以确保图像的清晰度和解剖学信息的显示。

四、辐射防护1.确保操作人员和患者正确佩戴防护装备，包括铅衣、眼镜和手套等。

2.根据实际需要，选择合适的辐射防护器材，如护胸板和散射屏等。

3.控制曝光时间和距离，以减少患者暴露于辐射的风险。

4.定期对辐射防护装备进行检查和更换，确保其符合安全标准。

五、操作技巧1.运用正确的患者定位技巧，确保所拍摄部位与医嘱一致。

2.使用适当的辅助器具，如定位标志和辅助固定器，以帮助保持患者体位和体征的一致性。

3.与患者进行有效的沟通，解释拍摄过程和要求患者的配合。

4.根据图像表现和临床需要，进行适当的重复拍摄和重影剔除操作。

5.提高自身技术水平，不断学习和掌握新的DR操作技巧和应用。

总结：放射科DR操作规程（二）的内容包括设备准备、暴露参数设置、体位固定、辐射防护和操作技巧等五个大点，每个大点都有详细的小点进行阐述。

生命支持装置操作指南该操作指南旨在为使用生命支持装置的医疗专业人员提供清晰的操作指引。

生命支持装置是一种关键的医疗设备，对于病情危急的患者来说至关重要。

遵循正确的操作步骤和安全规程，可以最大限度地提供有效的支持和治疗。

操作步骤1. 准备工作- 确保生命支持装置正常运行，检查电源和连接线是否稳固。

- 检查设备的工作状态和压力指示，并记录在病历中。

- 确认设备内部的气源和液源充足，并及时补充。

2. 连接患者- 将生命支持装置连接到患者的气道或血管。

- 确保连接处紧密无漏，以避免空气或液体进入患者体内。

3. 调整参数- 根据患者的具体情况，调整生命支持装置的各项参数，包括氧气浓度、通气频率、呼气末正压等。

- 注意患者的生命体征和病情变化，随时调整参数以保持合适的治疗效果。

4. 监测和记录- 定期监测患者的生命体征指标，如血压、心率、血氧饱和度等。

- 记录患者的治疗过程和参数调整情况，以便于后续的评估和分析。

5. 紧急情况处理- 在发生紧急情况时，迅速采取相应的应急措施，包括按下紧急停止按钮、调整通气参数等。

- 在处理紧急情况过程中，保持冷静并与其他医疗人员协作，确保患者的安全和稳定。

安全注意事项- 确保生命支持装置的正常运行，定期进行维护和检修。

- 始终严格遵守设备操作指南和医疗机构的相关规程。

- 在操作过程中，保持清洁、洁净的环境，防止交叉感染的风险。

-定期参加相关的培训和演，提升自身操作和应急处理的能力。

以上为生命支持装置操作指南，希望对使用生命支持装置的医疗专业人员有所帮助。

请在使用过程中严格按照操作流程和安全要求进行操作，以确保患者的安全和治疗效果。

DR 操作规程DR操作规程一、背景介绍DR（Disaster Recovery）操作规程是为了应对突发灾难事件，保障系统正常运行和数据安全而制定的一套操作规范。

本文将详细介绍DR操作规程的目的、范围、流程和注意事项，以确保在灾难事件发生时能够快速、有效地进行恢复操作。

二、目的DR操作规程的目的是确保在系统遭受灾难性事件影响时，能够快速恢复系统运行，保障业务连续性和数据安全。

通过制定规范的操作流程，减少因人为操作失误而导致的系统故障和数据丢失，提高系统的可靠性和稳定性。

三、适用范围DR操作规程适用于公司的核心业务系统和关键数据的恢复操作。

包括但不限于服务器、数据库、网络设备等关键设备的灾难恢复操作。

四、操作流程1. 灾难事件发生通知- DR团队成员接收到灾难事件通知后，立即启动DR操作规程。

- DR团队成员通过内部通信渠道通知相关人员，确保所有关键人员能够及时参与到灾难恢复工作中。

2. 灾难恢复准备- DR团队成员根据灾难事件的类型和程度，评估灾难恢复所需的资源和时间。

- DR团队成员与相关部门协调，准备所需的硬件设备、软件工具和备用数据。

3. 灾难恢复操作- DR团队成员按照事先制定的操作流程，逐步执行灾难恢复操作。

- DR团队成员根据实际情况，对系统进行修复、数据恢复和配置调整等操作。

- DR团队成员及时记录操作过程和结果，以备后续分析和改进。

4. 灾难恢复验证- DR团队成员在恢复操作完成后，对系统进行验证测试，确保系统能够正常运行。

- DR团队成员与业务部门进行沟通，确认业务功能是否正常恢复。

5. 恢复后处理- DR团队成员对灾难恢复操作进行总结和分析，提出改进意见和建议。

- DR团队成员与相关部门共同制定灾难预防措施，提高系统的抗灾能力。

五、注意事项1. DR团队成员应定期进行DR操作规程的培训和演练，提高应对灾难事件的能力和反应速度。

2. DR团队成员应保持良好的沟通和协作，确保在灾难恢复过程中的信息流畅和工作高效。

高端医疗设备操作手册一、前言随着医疗技术的不断进步，高端医疗设备在疾病的诊断、治疗和预防中发挥着越来越重要的作用。

为了确保医疗设备的安全、有效和正确使用，特编写本操作手册。

本手册将详细介绍设备的基本原理、结构组成、操作步骤、注意事项以及日常维护等内容，希望能为使用者提供准确、清晰的指导。

二、设备概述（一）设备名称＿____（二）设备用途该设备主要用于_____疾病的诊断/治疗/监测等。

（三）设备原理基于_____技术原理，通过_____方式实现对_____的检测/处理/成像等。

（四）设备结构组成1、主机部分包括_____、＿____等核心部件。

2、操作控制台配备_____显示屏、操作按键和控制旋钮等。

3、传感器/探头如_____，用于采集相关数据。

4、附属设备例如_____，用于辅助设备的正常运行。

三、操作前准备（一）环境要求1、设备应放置在通风良好、干燥、温度适宜（＿____至_____摄氏度）的房间内。

2、避免强光直射和电磁干扰。

（二）电源要求连接稳定的电源，电源电压应符合设备规定的范围（＿____伏特）。

（三）患者准备1、向患者详细解释检查/治疗的目的、过程和注意事项，消除其紧张情绪。

2、根据检查/治疗的需要，患者可能需要提前禁食、禁水或进行其他准备。

（四）操作人员准备1、操作人员应熟悉设备的性能和操作流程。

2、穿戴好必要的防护用品，如手套、口罩等。

四、设备操作步骤（一）开机1、按下主机上的电源按钮，等待设备初始化。

2、观察设备显示屏上的启动信息，确保设备正常启动。

（二）参数设置1、根据患者的具体情况和检查/治疗要求，在操作控制台上设置相应的参数，如_____、＿____等。

2、确认设置的参数无误。

（三）患者定位1、协助患者以正确的姿势躺在检查/治疗床上。

2、调整探头/传感器的位置，使其与患者的身体部位准确接触。

（四）数据采集/治疗实施1、按下“开始”按钮，设备开始采集数据或进行治疗。

2、密切观察设备的运行状态和患者的反应，如有异常应立即停止操作。

锐珂医疗引领无线DR新境界佚名【摘要】2009年,Caretream Health Inc.(锐珂医疗)即推出了“魔卡”DRX-1之后,于2010年再推出“魔界”DRX-Evolution.2011年,CARESTREAM DRX-Nova又横空出世.现今,Carestream Health Inc.旗下已拥有3款全球领先的无线DR产品,新品推出速度之频繁、蕴含技术之高端、对业界影响力之大,使得锐珂医疗每推出一款无线DR产品便成为各界高度关注的焦点事件.时至今日,锐珂医疗无线DR家族产品牢牢占据市场占有率第一的位置.在风光的外表之下,是锐珂医疗始终致力于数字化X射线放射成像技术的新变革,引领该领域过渡到无线放射成像技术的新境界.【期刊名称】《中国医疗设备》【年(卷),期】2011(026)010【总页数】1页(P163)【正文语种】中文2009年，Carestream Health Inc.（锐珂医疗）即推出了“魔卡”DRX-1之后，于2010年再推出“魔界”DRX-Evolution。

2011年，CARESTREAM DRX-Nova又横空出世。

现今，Carestream Health Inc.旗下已拥有3款全球领先的无线DR产品，新品推出速度之频繁、蕴含技术之高端、对业界影响力之大，使得锐珂医疗每推出一款无线DR产品便成为各界高度关注的焦点事件。

时至今日，锐珂医疗无线DR家族产品牢牢占据市场占有率第一的位置。

在风光的外表之下，是锐珂医疗始终致力于数字化X射线放射成像技术的新变革，引领该领域过渡到无线放射成像技术的新境界。

锐珂大中华区总裁刘杰医生手持一块无线DR探测器站在患者身旁摆位进行拍照，短短数秒之后，电脑屏幕上就出现了患者清晰的放射图像，医生就可据此做出合理的诊断，患者在轻松舒适的环境下完成整个诊断过程。

2009年9月，锐珂医疗推出的业内首款无线DR 探测器——“魔卡”DRX-1系统，并陆续进入各大医疗机构，其前卫的理念、卓越的性能、人性化的设计得到医生和患者的赞扬。

DR软件操作流程1、双击（鼠标左键）桌面DR工作站软件标志，输入自己的用户名及密码，确认后进入软件工作页面；2、点击“病人登记”，输入病人ID号，姓名，性别，年龄等后，左键点击“确认”按钮，自动进入图像采集界面；3、在弹出的图像采集界面选择拍摄部位、体位；4、在X线高压控制面板上选择合适的KV、MA、S值；5、确认病人摆位正确到位的情况下，按下手闸一档等高压控制面板预备灯亮后，按下手闸二档曝光6、图像接收后按住鼠标右键上下左右拖动可以调节合适的窗宽窗位（亮度和对比度）并按照实际需要裁剪合适大小的图像区域，点击右上角标记按钮，选择合适的标记符号L、R、LA T，点击”确认图像”保存采集的图像；若拍摄效果不理想可以点击“取消图像”重新采集，直到满意后再“确认图像”；7、图像采集后点击“病人列表”选择刚才检查的病人，双击打开进行图像的观察、处理（功能很多，当鼠标在图标上方时有提示）。

若不在此步骤内写诊断报告可以省略此步骤直接到步骤8；8、点击“诊断报告”，根据实际影像书写诊断报告，可以自己输入也可调出专家模板后修改，书写完毕后保存、预览、打印报告；（打印前确认打印机开机及放置纸张）9、点击“胶片打印”按钮，选择合适窗格、图像、胶片尺寸，可以再次处理图像（调节窗宽床位、放大等）。

调节到满意图像后点击“照相”按钮，弹出确认窗口，点“是”打印胶片，点“否”取消打印；（打印前确认照相机开机及胶片数量）10、下一个病人按上述方法2-9重复进行。

11、要调出以前的病人资料请点击“病人列表”，在病人列表有侧有今天、昨天、近三天、近七天的病人资料，其他可以点击右键“高级查询”，可以按照病人姓名、ID号、检查日期以及检查部位等查询。

病人列表里提供了许多后续功能如：刻录病人光盘、发送图像等。

刻录时选择要刻录的病人，选择要刻录成CD或DVD盘，放入光盘后点击刻录病人光盘，等到刻录完成自动弹出光盘即可，已经刻录的病人可以选择“已备份病人离线”以释放硬盘空间。

文档序号：XXYY-ZWK-001文档编号：ZWK-20XX-001XXX医院数字化放射摄影（DR）技术操作规程编制科室：知丁日期：年月日数字化放射摄影（DR）技术操作规程一、DR的使用原则（1）了解机器的性能、规格、特点和各部件的使用及注意事项，熟悉机器的使用限度及其使用规格表。

（2）操作人员必须认真研读操作手册,并且经过相关培训,严禁非本科操作人员操作机器。

操作须按操作手册进行，以保证机器使用安全。

（3）机房保持恒温恒湿状态，温度22℃±2℃，湿度30%~60%。

检查空调、除湿机工作状态,每天开机前倒空除湿机水箱，雨季禁止开启机房窗户。

（4）每日上午开机前用酒精纱布擦拭床台面板及把手，下班关机后用拧干的湿毛巾擦拭机器及工作台。

开机后检查各系统是否正常运行，检查硬盘空间并删除多余文件，将已处理病人资料及时存盘、刻录。

（5）若遇机器发生故障，书面记录错误代码，供工程师查对。

并即时报告科室领导，或者拨打维修电话，在维修工程师指导下关闭或重启机器。

（6）每天与主管医师沟通，删除已核对无误的文件并签字确认，以保证机器能正常运行。

在未得到主管医生认可前，不得删除任何文件。

（7）未经科室同意，不得删除或修改任何现用程序，参数。

严禁在DR操作系统内运行与工作无关的软件。

一、（8）下班时按正常关机程序关闭各系统。

检查机器状况,如有问题及时报告维修人员及科室领导,并且做好记录。

检查空调及除湿机，清到除湿机积水箱，保证机房恒温恒湿状态。

检查门窗应完全关闭。

填写交班记录：设备状态、异常情况、环境温湿度、维修时间及内容。

二、DR的一般操作步骤（1）开机：检查并确保没有物体阻碍机架移动才能开机。

开机后应用程序在显示器上显示出来之前，不得进行任何操作。

（2）检查并确保球管中心与探测器中心重合，二者处于同步跟踪状态，球管与探测器间距为115cm。

倾斜球管后，重新核对球管与床台中心是否对齐否则将影响图像质量（3）通过叫号系统呼叫受检病人，认真阅读申请单，准确输入姓名、DR编号、出生日期、性别等，选择相应器官程序，球管功率应设定于80%，检查电离室工作野、滤线栅、铜滤过等工作状态（4）摆位时再次核对病人姓名、摄片部位，“自动跟踪”确立，电离室工作野准确后方可进行曝光。

dr基本操作流程
DR基本操作流程
1.启动系统：按下RCIM上的启动按钮
2.进入工作列表
3.在工作列表中[添加病人信息]
4.输入病人信息
5. [开始检查]
6.在下拉菜单中选择检查项目
7.确定信息
8.进入采集界面
9.利用可抽拔的数字探测器，配合球馆及检查床，实现胸片
架模式、床模式、床上模式以及自带检查床的病人的摆位及曝光。

检查技术参数，并进行曝光
10.选择亮度和对比度
11.点击[R/L]，胸片选择“R”
12.在屏幕左下脚选择打印按钮
13.选择一片两图
14.将第1幅图像拖入编辑器
15.从下拉菜单中选择“图像-处理后”
16.在小窗口中选择第2幅图像
17.将第2幅图像拖入编辑器
18.点击[打印设置]按钮
19.选择“打印方向”
20.选择[注释]->全部/部分/自定义。

21.选择[打印]
22.打印图像
23.关闭系统。