锐珂Carestream推出数字移动x光机
适宜装备技术助力基层医疗
适宜装备技术助力基层医疗近日，中国医学装备协会适宜医学装备技术推广座谈会在青海省西宁市召开，来自西北五省卫生部门相关领导、医疗机构相关院长、科室主任、临床检查专家、影像专家参加了会议，以Carestream Health,Inc. 公司(简称锐珂医疗)为代表的医学装备生产经营企业在会上展示针对基层医疗推出的产品，为提升西部地区医疗机构临床诊治能力推波助澜。
锐珂医疗在会上重点展示了DIRECTVIEW Vita CR系统，一款专门为基层医疗机构设计的桌面成像解决方案，对于希望获得价格合理、紧凑且易用的CR 系统的小型小医院和诊所来说，DIRECTVIEW Vita CR系统更高的性能和高质量的影像是他们的理想选择。
Vita CR 系统的重量只有79 磅，比很多其他的桌面CR 解决方案都要轻便，其耐用方面的设计使其可在各种极端条件下运行。
会上还介绍了中国医学装备协会推广的适宜医学装备技术项目，其中，锐珂医疗重点演示了Point-of-Care CR系统，该系统独有最新激光螺旋扫描技术，使IP板处理空间大大缩小的同时保证图像信号无损采集和IP板最大耐用程度。
Point-of-Care CR系统从研发到生产上市经过严格的环境测试，以确保该产品在极端温度、湿度、振动环境下的保存和使用。
其出色的影像质量，灵活的产品配置，和良好的产品扩展性，能满足基层医疗的全部需要。
新医改方案中重点提到了这样的内容“我国将提高医疗卫生资源利用效率，新增卫生资源重点投向农村和社区卫生等薄弱环节。
”显然，医学装备技术的合理配置及其有效利用、提高医疗卫生资源利用效率、加强基层医疗机构的设备更新和信息化建设是首要的改革方向。
锐珂医疗深谙中国医疗行业的发展状态，而且对中国医改相关政策有着深入的解读，并制定了从沿海发达区域向中西部地区延伸的市场策略。
早在2007年，锐珂医疗与卫生部合作展开“宁夏农村医疗信息化试点”项目，由此加速了公司向中国农村基层医疗服务市场进军的步伐。
Carestream Health DRX-Revolution移动X光系统产品说明书
© 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.。
三种数字化印模扫描制作的全瓷冠精密性临床效果比较
三种数字化印模扫描制作的全瓷冠精密性临床效果比较【摘要】目的：对比分析口内扫描制作全瓷冠精密性情况，为牙科工作提供参考。
方法：选择我院口腔科2020年3月-2020年8月期间收治的60例第二前磨牙全瓷冠修复患者，以随机数字表法分为研究组菲森的S6000和2 个对照组（对照1组Carestream的CS3600、对照2组先临的Aoralscan 1）分别给予口内扫描制作全瓷冠修复体，各20例。
比较3组受试患者的全瓷冠的边缘间隙以及颌面调磨测量结果、患者满意度。
结果：组间各项观察指标结果差异不大，研究组略优于对照组，P<0.05。
结论：研究组口内扫描制作的全瓷冠精密性略优于对照组，患者满意度高，是值得推广的治疗方法。
【关键词】：口内扫描制作全瓷冠精密性患者满意度计算机辅助设计/计算机辅助制造CAD/CAM技术广泛用于口腔领域中，尤其是口腔修复制作全瓷冠，降低了制造成本、减少了材料成本、提高了工作效率。
牙科领域应用的此类数字化技术即利用口腔光学印模设计制作修复体，结合临床工作经验发现。
为了了解口内扫描印模精密性情况，本文就我院第二前磨牙全瓷冠修复患者为例进行研究。
1资料与方法1.1一般资料研究对象均为口腔科患者，时间选自2020年3月-2020年8月，总计60例。
纳入标准：（1）第二前磨牙全瓷冠修复；（2）全瓷冠修复患者知情同意。
排除标准：（1）无法有效配合患者；（2）精神失常患者。
进行随机分组，3组各20例。
对照1组：男12例，女8例；患者年龄18-50岁，平均（38.0±5.0）岁。
对照2组：男10例，女10例；患者年龄21-52岁，平均（33.0±4.8）岁。
研究组：男9例，女11例；患者年龄20-50岁，平均（35.4±4.5）岁。
3组全瓷冠修复患者性别、年龄比较，P>0.05。
1.2方法研究组仪器为深圳爱尔创口腔技术有限公司的口腔数字印模仪（型号：3shape Trios S1P-2）、德国Z4研磨仪、德国氧化锆结晶炉（型号：Programat S1 1600），中国爱尔创公司瓷倍健瓷块。
锐珂医疗战略大转移
锐珂医疗战略大转移:植根农村【我要评论】时间：2012年1月16日 16:59企业竞争力：通过“宁夏模式”的实践，锐珂逐渐摸索出适应农村以及更广泛的新兴市场的市场拓展经验，并且为中国的医疗信息化提供了宝贵的经验。
“经过4年多的努力，宁夏项目已经完全达到了预期的目标。
”当记者见到刚刚从宁夏考察归来的锐珂公司大中华区总裁刘杰时，他略显疲惫的脸上，掩饰不住地兴奋，“不经意间，锐珂又创造了一个纪录。
”刘杰笑言。
可能很多人并不很了解锐珂，但对医疗器械领域“三驾马车”并享有“GPS”（GE、飞利浦、西门子）之称的三家公司耳熟能详。
与这三家相比，锐珂虽然是一家名副其实的“小公司”，却是世界上最大的医疗成像和信息技术公司，全球有90%的医院使用了锐珂（Carestream Health）的产品和服务，持续保持CR（计算机成像系统）中国市场份额第一的地位，市场份额约为40%。
而刘杰所说的宁夏项目，是指锐珂在2007年投资1000万元与卫生部、宁夏回族自治区开展的“农村医疗信息化试点项目”，该项目旨在通过为宁夏4个试点工程实施数字化医疗解决方案，为当地患者解决看病贵、看病难问题，将当地基层医疗机构提升到医疗数字化阶段。
实际上，当时卫生部的项目包括三个地点，除了锐珂的宁夏项目以外，还有GE和微软在承德、西门子在陕西洛川都做过类似的项目，但仅有锐珂的项目坚持下来并且做成功了。
宁夏试点区市的6家县医院、7家乡镇卫生院、4家村卫生室安装了远程医学会诊系统，覆盖人口150万人，占当地农村人口的40%。
截至2011年9月底，试点医疗卫生机构为当地群众进行数字化摄片5.64万人次，上传疑难医学影像并远程会诊4193例，通过远程会诊系统确诊的农民，诊疗费用节省了87.23%，全程诊疗时间节省了53.04%，有效地减轻了农民的看病负担。
同时，各试点医疗机构的放射学技术人员操作及诊断水平得到显著提高，诊断符合率从初期的20%提高到90%以上，锐珂的下乡运动初战告捷！“通过中低端产品开拓基层医疗市场是锐珂发展的重点战略。
锐珂DR3500故障维修
0引言数字X射线摄影（digital radiography，DR）作为影像诊断科中使用率较高的设备在医学影像学中起着举足轻重的作用[1]。
DR3500是锐珂公司推出的一款性能稳定、质量良好的镰刀臂式数字化X射线摄影系统，该设备的可靠性、可操作性、易用性指标都很高[2]，可以覆盖所有检查床、胸片架、轮椅、担架等常规体位及特殊体位的数字摄影检查。
DR设备是临床重要的检查设备，其出现故障会给临床工作造成很大的影响，因此设备的维修、维护非常重要。
现将近几年锐珂DR3500的故障情况进行分类总结[3]，并介绍具体的维修过程，供同行参考。
1DR3500的硬件故障硬件故障主要包括高压电路相关故障、镰刀臂（U-Arm）机械故障和其他配件损坏故障3类。
1.1高压电路相关故障1.1.1故障现象DR3500设备无法曝光，显示“E09”错误代码。
1.1.2维修过程查阅技术手册，“E09”解释为“Generator overload. Arcing or IGBT fault.”[高压发生器过载。
球管[4]打火或者是IGBT（绝缘栅双极型晶体管）故障]，提示球管故障或者高压部分有问题。
对于DR3500设备，一般低kV、高mA报错（比如70kV、500mA）会首先考虑到HT-Controller板（高压控制板）故障，如果高kV （比如80kV以上）报错会主要考虑球管故障。
询问当班技师，得知设备是在高kV时报错的。
为进一步确定故障所在，用示波器测量报错时的波形。
将曝光条件设为80kV、250mA、100ms。
双踪示波器的2个表笔分别测试fault点（故障测试点）和mA点（毫安测试点），在机器出现故障报错之前，示波器监测到mA的数值有一个突然的变化，从250mA上升到将近500mA，接着fault点电压从+5V变为0V，高压发生器报“E09”，由此可判断是球管内有大电流引起的“E09”报错。
更换球管并调整参数后机器恢复正常。
各种激光相机简介
DRYPIX PRIMA柯尼卡DRYPRO 793DRYPRO 793型产品在新增图像诊断业务后，柯尼卡美能达再次满足了医学影像行业的严格要求，推出了其新一代DRYPRO 793型干式成像系统。
具有5种尺寸的打印功能并采用节省空间的设计。
可打印5种尺寸的胶片(14×17、14×14、11x14、10×12、8×10英寸)。
并可适合更多的设备类型。
这种通用性可用一台成像系统满足CR、CT、MRI、超声和乳腺X线摄影的尺寸需要。
即使配上6盘分片器，DRYPRO 793型相机占地面积仅为0.43m²，使其成为标准尺寸最小的、多模态干式成像系统。
*•* 当前时间截至2004年12月。
配备各种便捷的功能。
定时开机功能可使您进入办公室前设备自动启动和预热。
打印前一页功能便于方便快速地重新打印胶片。
状态指示器可提示您各托盘内还剩余多少胶片。
提供多种选件，满足用户要求。
设备标准配置为一个胶片供片盒，可选配第二个和第三个供片盒。
可选择14英寸(适合14×17、14×14、11×14英寸胶片)、10英寸(适合10×12英寸胶片)和8英寸(适合8×10英寸胶片)三种供片盒，配置灵活，满足用户各种需求。
另外，还提供6通道分片器，便于打印后分片。
用户友好的操作方式DRYPRO 793型产品具有宽大的彩色液晶触摸屏。
清晰的显示器可有多种显示语言可供选择，方便察看。
菜单直观，易于浏览。
DRYPRO 793型相机还设计了新的屏幕布局，可显示胶片类型、尺寸和系统状态。
配有新的动画显示系统中胶片用完或者需要用户进行一些操作时，DRYPRO 793型相机会进行动画提示。
动画以简单易懂的方式一步步地显示操作程序，便于迅速解决问题。
这一功能使用户在日常工作中不必查阅操作手册，减轻工作负担，即使经验不丰富的操作员也能方便地使用设备。
更为先进的打印管理DRYPRO 793型成像系统具有网络维护功能，用户可使用同一网络内的个人计算机通网络浏览器了解设备状态和打印进度等信息。
双下肢站立位DR全长摄影在骨科矫形中的临床价值
双下肢站立位DR全长摄影在骨科矫形中的临床价值目的探讨双下肢站立位DR全长摄影图像在骨科下肢矫形中的临床应用价值。
方法回顾性分析2012年1月～2015年12月间在我院行双下肢站立位DR 全长摄影45例患者（共90个膝关节）的术前、术后影像资料，评价图像质量并测量冠状位下肢力线及机械轴偏距（MAD）、股胫外翻角、股骨远端外翻角、FT 角、股四头肌角（Q角）等，对患者术前畸形进行诊断及术后假体放置状态进行评价。
采用配对f检验比较患膝术前及术后的各关节角度，以P＜0.05为差异有统计学意义。
结果所有病例图像，除术后Q角因假体遮挡难以完成测量外，其余指标均完好达到诊断要求。
以机械轴偏距MAD偏膝关节中心内侧>15mm为膝内翻畸形、位于外侧为膝外翻畸形进行判定：术前诊断内翻畸形48膝，外翻畸形15膝，无畸形27膝。
病变膝关节术后的人工关节均很好地纠正了冠状位下肢力线，各关节角度亦能达到正常要求。
术前各病变膝股胫外翻角、股骨远端外翻角、FT角、股四头肌角（Q角）分别为：（-2.44±10.75）°（1.65±7.61）°、（-3.6±10.35）°、（-2.08±13.32）°；术后各膝股胫外翻角、股骨远端外翻角、fTr 角分别为：（2 93±0.58）°、（9.05±0.61）°、（4.92±0.28）°。
术前及术后组股胫外翻角、股骨远端外翻角、FT角的组间比较均有统计学意义。
结论双下肢站立位DR全长摄影对骨科下肢矫形手术，尤其是膝关节人工关节置换术的术前诊断及术后评价有重要价值，应该成为临床术前、术后的常规检查。
标签：数字x线摄影，双下肢全长影像，站立位，膝关节置换术[文献标识码]A骨科下肢矫形手术，尤其是膝关节人工关节置换术对下肢力线的要求十分严格，通常需要了解股骨解剖轴线和胫骨解剖轴线与力学轴线之间的角度大小，因此需要提供患者双下肢整体图像。
锐珂医疗引领无线DR新境界
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。
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锐珂（Carestream）推出数字移动x光机
罗切斯特的锐珂医疗影像公司希望在一年内推出DRX-Revolution数字移动x光机。
这款DR系统是车载数字x光机。
锐珂数字医疗方案的负责人Diana Nole表示，潜在客户包括有医院深切治疗部（ICU），那里的病人通常不好移动，加上因为有其他设备在，空间很狭小，医疗诊断x光机很难安排在里面。
她还表示，这个新DR系统还能用在手术环境中。
这个医用DR系统大部分由锐珂公司Monroe郡的工程组设计，然后在公司的East Ridge路工厂组装。
Nole说：“医用DR系统能在数秒内捕捉到高质的诊断影像，一般这个只能在室内固有的或依附在墙上的探测器上操作。
”锐珂的DRX-Revolution系列产品从2007年就开始构思生产，这个系列产品将会在11月27-12月2日芝加哥的北美放射协会贸易展上亮相。
它还需要得到美国食品药品监督局的认可。
Nole表示，这款新DR系统产品的价位大概在25万-27.5万美元之间。
锐珂数字医疗影像的竞争者——飞利浦也制造了一款移动x光机，名为Practix Convenio。
编译：Manya
信息来源：
本文标签：x光机，数字医疗，DR系统，医用DR，数字数字x光机，数字x 光机，移动x光机。