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X-RAY MACHINE
   An x ray machine is a complex device used in variety
    of circumstances around the world. With the ability to
    penetrate hard objects, they are used for purposes such
    as air port security check points to see into backs, or in
    the medical community to look for broken bones or
    problems within the body.
Background                              SCOPE OF STUDY
   A German physicist William           The scope is to provide
    Rontgen is usually credited as       information for common
    the discoverer of x- rays            procedures involved in
    because he was the first to          diagnosis or repairing the
    systematically study them,           problems. Most of these
    though he is not the first to        procedures are applicable to
    have observed their effects.         all of fault diagnosis and
    He is also the one who got           repairs of medical device.
    them the name “x-ray”
    .though many referred to this
    as “Rontgen rays” (x-ray
    radiographs or Rontgen
    grams).After their discovery
    and to this day in some
    language including Rontgen
    native Germany though x-ray
    overtook popular usage.
GENERAL OBJECTIVES
 To demonstrate understanding, knowledge and skills in
  applying maintenance methodology strategies and
  quantitative techniques to medical device to increase
  its availability, reliability and maintainability.
          SPECIFIC OBJECTIVES
 Get equipment back into operation as quickly as
  possible.
 Control cost of repairs.
 Control cost of the operation of repair shops.
 Control the investment in replacement spare parts.
 Control the investment in standby or backup machines.
 Perform the appropriate amount of repairs at each
  malfunction
   During our work some of the problems we face were:
    unavailability of internet connection in our lab,
    transport problem and sometimes x-ray technician in
    Jimma university specialized hospital is busy to give us
    information. So it was difficult for us to collect a lot of
    information.
X-RAY MACHINE
   An x-ray machine is essentially a camera. Instead of
    visible light, however, it uses X-rays to expose the
    film. X-rays are like light in that they are
    electromagnetic waves, but they are more energetic so
    they can penetrate many materials to varying degrees.
    When the X-rays hit the film, they expose it just as
    light would. Since bone, fat, muscle, tumors and other
    masses all absorb X-rays at different levels, the image
    on the film lets you see different (distinct) structures
    inside the body because of the different levels of
    exposure on the film.
 X-Ray Generator: High voltage generator: modifies
  incoming voltage and current to provide an x-ray tube
  with the power needed to produce an x-ray beam of the
  desired peak-kilo-voltage (k V p) and current (mA) and
  duration (Time).
 Control panel: Permits the selection of technique
  factors and initiation of radiographic exposures mA,
  kV, Time
 Transformer: Transformers modify the voltage of
  incoming alternating-current (AC) electrical signals to
  increase or decrease the voltage in a circuit.
 Step-up transformer: Supplies the high voltage to the
  x-ray tube (voltage increases and current decreases)
 Step-down transformer: Supplies power to heat the
  filament of the x-ray tube (voltage decreases and
  current increases)
 Autotransformer: Supplies the voltage for the two
  circuits and provide a location for the K v p meter
  (indicates the voltage applied across the x-ray tube)
 Rectifiers: Convert AC into the direct current (DC)
  required by the x-ray tube. A rectifier restricts current
  flow in an x-ray tube to one direction (from cathode to
  anode), thereby preventing damage to the x-ray tube
  filament. Two types: Half wave and Full wave.
   X-RAY TUBE: It is an expensive wearing element in
    medical radiological equipment. It consists of
   Anode,
    Expansion bellows (provide space for oil to expand),
   Cathode (and heating-coil),
   Tube envelope (evacuated) ,
   Tube housing,
   Cooling dielectric oil,
   Rotor,
 High Tension Cable: Special highly insulated cables
  Considered are the cable capacitance (130-230 pF/m)
  because it affects the average value of the voltage and
  current across the x-ray tube (increases the power
  delivered to the tube.
 Collimators and Grids: They are used to increase
  the image contrast and to reduce the dose to the
  patient by mean limiting the x-ray beam to the area of
  interest.
 Collimator: It is placed between the x-ray tube and
  the patient and Usually provided with an optical
  device, by which the x-ray filed can be exactly
  simulated by a light filed.
 Grid: It is inserted between the patient and the film
  cassette in order to reduce the loss of contrast due to
  scattered radiation.
   X-ray film: X-ray film is a sensitive material (sheet)
    for the x-ray. A film that has been exposed to x-rays
    shows an image of the x-ray intensity.
   11) cassette holder 12) Cable 13) Imaging hand switch 14) Control panel 15)
    Generator 16) Display screen 17) Stretcher 18) X-ray tube          19) Collimator
    20) Cassette 21) Interface cable 22) trolley 46) Hand grip 66)tube
X-RAY MACHINE     300mA. 125 KVP Full Wave Rectified
                  X-ray Generator for Radiography
                  suitable for single Tube.
TIMER             The exposure timer should be digital &
                  from 0.02to 5 sec.
CONTROL           Consisting of On & Off Switches, with
                  Voltmeter, Voltage Compensator, Tube
                  overload indicator provided, Space
                  charge compensator. etc

Static balancer   30 KVA capable of converting 3-phase
                  in range 365-400 VAC with 0.2 ohms
                  resistance at 50-60Hz to single phase
                  230VAC/50Hz

HV TRANSFORMER    Compact Heavy Duty Transformer
                  comprising HV Silicon Rectifiers,
                  Filament Transformer, bushings all
                  immersed in oil.
ACCESSORIES                Hand Switch with Flexible long cord enables
                           the operator to keep away from the Radiation
                           area during exposure.
                           - Aluminum Filter.
POWER SUPPLY REQUIREMENT   440V + 10% V AC, 50 Hz, Three Phase


TUBE UNIT                  One No. 20/40 Rotating Anode Tube (BEL /
                           TOSHIBA or equivalent) with Dual Focus
                           (Large & Small).
HV CABLE                   One Pair of 10 meter High Voltage Cables
                           Sleeping’s - Straight.

STAND                      Floor to Ceiling Stand & with Counter
                           Balanced Tube Head (Rotatable+180
                           Degree), 360 Degree Rotatable;



TABLE                      5 Position Table Hand tilt; 15 Degree
                           trendelenburg to vertical

VERTICAL BUCKY             Vertical Bucky Stand with moving Grid of
                           Ratio 8:1, 103 lines/inch.
 TROUBLESHOOTING: Trouble shooting is a
  procedure of observation then making suitable test to
  either to eliminate or confirm a suitable section of
  device
       Trouble shooting tips for the X-ray
  equipment
 No X-rays
 Check for warning lamps. FC: implies burnt filament,
  CW: implies inadequate cooling water flow, OLL:
  implies an overload problem -- common during
  filament aging and usually can just be restarted,
   Check the voltage and current meter, on the two older
    generators (Denali and tick).
   If there is voltage but zero current, then it is likely that
    the filament has blown, on the newest generator (flea),
    both meters will indicate 0 when the filament has burnt
    out.
   If no voltage or current, check for X-ray ready lamp on
    front panel and on light pole (flea).
   If ready lamp is not on , Try starting target rotation (TR
    or T-REV) , Check for burnt out X-ray warning lamps
    on the front panel and on the generator table top, or
    "Christmas tree" (light pole), Check for water flow
    problems.
MAITENANCE ACTIVITIES INCLUDE:
 Repairs
   Repair activities are reactive.
   Breakdowns and malfunctions typically occur when
    equipment is in use.
   Standby machines and parts can speed repairs.
 Preventive Maintenance (PM)
   Regularly scheduled inspections are performed.
   PM activities are performed before equipment fails.
   PM is usually performed during idle periods.
 Fault 1: no display after booting console (to send non
  power)
 Diagnosis: check power (the console power switch on
  the light is bright, if not check the light), Check the
  power outlet has power, Joints between the console and
  the columns is plugged in, Fuse box , fuse is good ,
  Power switch is good , If the light is checked , Console
  within the control panel of the cable is loose, Circuit
  board component and welding has a problem
 Fault 2: the boot that exposure
 Diagnosis: check of Exposure switch hands (hand
  break) remove from the console, remote control battery
  removed, power is no longer than exposure, check the
  hand break switch,
 Fault 3: exposure burning insurance
 Diagnosis: check of Column between console and
  unplug the connector, turn the exposure, check the
  console is working properly, if not properly check the
  control panel whether the cable, short piece if not
  replace the console .
 Console and the column will be inserted between the
  joint the x-ray source component (head) removed after
  the push to the highest position, check console is
  working properly. If the above are normal check the
  console diode and 300 ohm variable resistor is
  damaged. If the above is normal replace the x-ray
  source component
 Fault4: perspective image place is not suitable
 Diagnosis: disconnect switch and check 24v DC
  voltage, then open switch and DC voltage decrease 14v
  and inspect bridge pile output load normal.
   Preventive maintenance program are available and
    include: X-ray room inspection and minor repairs
    (adjustment) check calibration., High voltage cables
    and electrical wiring inspection., Electrical and
    mechanical locks adjustment., Tube stand and table
    anchors inspection., Bearing and tracks lubrication.,
    Handles and knobs inspection., Verify processor
    temperature., Cassette identification., Id printer
    operation., Check ID card quality., Certificate of
    completion.
   It integrate preventive, predictive testing and
    inspection, repair/reactive maintenance and proactive
    maintenance to increase the probability that the
    machine or component will function in required
    manner over its design life cycle with a minimum
    amount of maintenance and down times.
   Scheduled maintenance reduce incidence of failure
    through inspection designs to detect potential problems
    before they become reality. It is performed on an
    annual or semiannual basis, according to device uses or
    history. Equipment required for scheduled
    maintenance: Cleaning supplies, Vacuum cleaners,
    Lubrication, Tools etc.
   Planned maintenance is maintenance organized and
    carried out with for thought, control, and records, to a
    predetermined plan. In doing this, the following factors
    have to be kept in mind: The extent of utilization (is the
    machine working), Severity of utilization (is the
    machine work under normal load condition), Operating
    condition, Are there any other specific factors that may
    affect the instrument
 Reliability is the probability that an item will survive a
  given period, under specified operating condition
  without failure.
 Maintainability was defined as “the ability to
  maintain the least amount of time at the lowest cost”.
 Availability is the probability that the device were
  used under stated condition in an ideal support
  environment, will operate satisfactorily at any point in
  time as required. It includes preventive or scheduled
  maintenance action and administrative delay time.
Some o f the spare parts provided for x-ray machine are:
 Cable
 Cassette
 Film
 X-ray tube
 Lead shield etc
 The typical reconditioning process consists of
 assessment
   visual inspection
   EDDY current
 cleaning preparation
   chemical stripping
   sand blasting
 repair
   machine shopping service
   coating
   A CMMS is a software package that contains a
    computer database of information about an
    organization’s maintenance operations.
           IT ASSISTS IN MANAGEMENT OF:
    Scheduling maintenance projects
   Maintenance cost reports by production department,
    cost category, and other classifications
   Inventory status reports for maintenance parts and
    supplies
   Parts failure data
   Operations analysis studies
CONCLUSION
   Information on the status of the equipment surveyed
    has been collected and a data base to that effect has
    been prepared.
   It is intended that the result in this survey help in
    establishing a maintenance program to protect
    investment in the x-ray machine, through regular and
    adequate maintenance.
   It was also noted that most of the equipment had no
    maintenance records.
 Since maintenance activity and its element require
  availability and the proper balance of various levels of
  skills, it is recommended that the integrated approach to
  the program should start with the users who have the basic
  knowledge of maintenance, quality control and fault
  detection.
 There should be well trained technician that can recover
  malfunctioning x-ray machine to normal operating
  condition.
 Since there is no enough spare parts the health institution
  should have provide additional spare parts to increase the
  life time of the equipment.
x ray machine ppt

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x ray machine ppt

  • 2. An x ray machine is a complex device used in variety of circumstances around the world. With the ability to penetrate hard objects, they are used for purposes such as air port security check points to see into backs, or in the medical community to look for broken bones or problems within the body.
  • 3. Background SCOPE OF STUDY  A German physicist William  The scope is to provide Rontgen is usually credited as information for common the discoverer of x- rays procedures involved in because he was the first to diagnosis or repairing the systematically study them, problems. Most of these though he is not the first to procedures are applicable to have observed their effects. all of fault diagnosis and He is also the one who got repairs of medical device. them the name “x-ray” .though many referred to this as “Rontgen rays” (x-ray radiographs or Rontgen grams).After their discovery and to this day in some language including Rontgen native Germany though x-ray overtook popular usage.
  • 4. GENERAL OBJECTIVES  To demonstrate understanding, knowledge and skills in applying maintenance methodology strategies and quantitative techniques to medical device to increase its availability, reliability and maintainability. SPECIFIC OBJECTIVES  Get equipment back into operation as quickly as possible.  Control cost of repairs.  Control cost of the operation of repair shops.  Control the investment in replacement spare parts.  Control the investment in standby or backup machines.  Perform the appropriate amount of repairs at each malfunction
  • 5. During our work some of the problems we face were: unavailability of internet connection in our lab, transport problem and sometimes x-ray technician in Jimma university specialized hospital is busy to give us information. So it was difficult for us to collect a lot of information.
  • 7. An x-ray machine is essentially a camera. Instead of visible light, however, it uses X-rays to expose the film. X-rays are like light in that they are electromagnetic waves, but they are more energetic so they can penetrate many materials to varying degrees. When the X-rays hit the film, they expose it just as light would. Since bone, fat, muscle, tumors and other masses all absorb X-rays at different levels, the image on the film lets you see different (distinct) structures inside the body because of the different levels of exposure on the film.
  • 8.
  • 9.  X-Ray Generator: High voltage generator: modifies incoming voltage and current to provide an x-ray tube with the power needed to produce an x-ray beam of the desired peak-kilo-voltage (k V p) and current (mA) and duration (Time).  Control panel: Permits the selection of technique factors and initiation of radiographic exposures mA, kV, Time  Transformer: Transformers modify the voltage of incoming alternating-current (AC) electrical signals to increase or decrease the voltage in a circuit.
  • 10.  Step-up transformer: Supplies the high voltage to the x-ray tube (voltage increases and current decreases)  Step-down transformer: Supplies power to heat the filament of the x-ray tube (voltage decreases and current increases)  Autotransformer: Supplies the voltage for the two circuits and provide a location for the K v p meter (indicates the voltage applied across the x-ray tube)  Rectifiers: Convert AC into the direct current (DC) required by the x-ray tube. A rectifier restricts current flow in an x-ray tube to one direction (from cathode to anode), thereby preventing damage to the x-ray tube filament. Two types: Half wave and Full wave.
  • 11. X-RAY TUBE: It is an expensive wearing element in medical radiological equipment. It consists of  Anode,  Expansion bellows (provide space for oil to expand),  Cathode (and heating-coil),  Tube envelope (evacuated) ,  Tube housing,  Cooling dielectric oil,  Rotor,
  • 12.  High Tension Cable: Special highly insulated cables Considered are the cable capacitance (130-230 pF/m) because it affects the average value of the voltage and current across the x-ray tube (increases the power delivered to the tube.  Collimators and Grids: They are used to increase the image contrast and to reduce the dose to the patient by mean limiting the x-ray beam to the area of interest.  Collimator: It is placed between the x-ray tube and the patient and Usually provided with an optical device, by which the x-ray filed can be exactly simulated by a light filed.  Grid: It is inserted between the patient and the film cassette in order to reduce the loss of contrast due to scattered radiation.
  • 13. X-ray film: X-ray film is a sensitive material (sheet) for the x-ray. A film that has been exposed to x-rays shows an image of the x-ray intensity.
  • 14. 11) cassette holder 12) Cable 13) Imaging hand switch 14) Control panel 15) Generator 16) Display screen 17) Stretcher 18) X-ray tube 19) Collimator 20) Cassette 21) Interface cable 22) trolley 46) Hand grip 66)tube
  • 15. X-RAY MACHINE 300mA. 125 KVP Full Wave Rectified X-ray Generator for Radiography suitable for single Tube. TIMER The exposure timer should be digital & from 0.02to 5 sec. CONTROL Consisting of On & Off Switches, with Voltmeter, Voltage Compensator, Tube overload indicator provided, Space charge compensator. etc Static balancer 30 KVA capable of converting 3-phase in range 365-400 VAC with 0.2 ohms resistance at 50-60Hz to single phase 230VAC/50Hz HV TRANSFORMER Compact Heavy Duty Transformer comprising HV Silicon Rectifiers, Filament Transformer, bushings all immersed in oil.
  • 16. ACCESSORIES Hand Switch with Flexible long cord enables the operator to keep away from the Radiation area during exposure. - Aluminum Filter. POWER SUPPLY REQUIREMENT 440V + 10% V AC, 50 Hz, Three Phase TUBE UNIT One No. 20/40 Rotating Anode Tube (BEL / TOSHIBA or equivalent) with Dual Focus (Large & Small). HV CABLE One Pair of 10 meter High Voltage Cables Sleeping’s - Straight. STAND Floor to Ceiling Stand & with Counter Balanced Tube Head (Rotatable+180 Degree), 360 Degree Rotatable; TABLE 5 Position Table Hand tilt; 15 Degree trendelenburg to vertical VERTICAL BUCKY Vertical Bucky Stand with moving Grid of Ratio 8:1, 103 lines/inch.
  • 17.  TROUBLESHOOTING: Trouble shooting is a procedure of observation then making suitable test to either to eliminate or confirm a suitable section of device Trouble shooting tips for the X-ray equipment  No X-rays  Check for warning lamps. FC: implies burnt filament, CW: implies inadequate cooling water flow, OLL: implies an overload problem -- common during filament aging and usually can just be restarted,
  • 18. Check the voltage and current meter, on the two older generators (Denali and tick).  If there is voltage but zero current, then it is likely that the filament has blown, on the newest generator (flea), both meters will indicate 0 when the filament has burnt out.  If no voltage or current, check for X-ray ready lamp on front panel and on light pole (flea).  If ready lamp is not on , Try starting target rotation (TR or T-REV) , Check for burnt out X-ray warning lamps on the front panel and on the generator table top, or "Christmas tree" (light pole), Check for water flow problems.
  • 19. MAITENANCE ACTIVITIES INCLUDE:  Repairs  Repair activities are reactive.  Breakdowns and malfunctions typically occur when equipment is in use.  Standby machines and parts can speed repairs.  Preventive Maintenance (PM)  Regularly scheduled inspections are performed.  PM activities are performed before equipment fails.  PM is usually performed during idle periods.
  • 20.  Fault 1: no display after booting console (to send non power)  Diagnosis: check power (the console power switch on the light is bright, if not check the light), Check the power outlet has power, Joints between the console and the columns is plugged in, Fuse box , fuse is good , Power switch is good , If the light is checked , Console within the control panel of the cable is loose, Circuit board component and welding has a problem
  • 21.  Fault 2: the boot that exposure  Diagnosis: check of Exposure switch hands (hand break) remove from the console, remote control battery removed, power is no longer than exposure, check the hand break switch,  Fault 3: exposure burning insurance  Diagnosis: check of Column between console and unplug the connector, turn the exposure, check the console is working properly, if not properly check the control panel whether the cable, short piece if not replace the console .
  • 22.  Console and the column will be inserted between the joint the x-ray source component (head) removed after the push to the highest position, check console is working properly. If the above are normal check the console diode and 300 ohm variable resistor is damaged. If the above is normal replace the x-ray source component  Fault4: perspective image place is not suitable  Diagnosis: disconnect switch and check 24v DC voltage, then open switch and DC voltage decrease 14v and inspect bridge pile output load normal.
  • 23. Preventive maintenance program are available and include: X-ray room inspection and minor repairs (adjustment) check calibration., High voltage cables and electrical wiring inspection., Electrical and mechanical locks adjustment., Tube stand and table anchors inspection., Bearing and tracks lubrication., Handles and knobs inspection., Verify processor temperature., Cassette identification., Id printer operation., Check ID card quality., Certificate of completion.
  • 24. It integrate preventive, predictive testing and inspection, repair/reactive maintenance and proactive maintenance to increase the probability that the machine or component will function in required manner over its design life cycle with a minimum amount of maintenance and down times.
  • 25. Scheduled maintenance reduce incidence of failure through inspection designs to detect potential problems before they become reality. It is performed on an annual or semiannual basis, according to device uses or history. Equipment required for scheduled maintenance: Cleaning supplies, Vacuum cleaners, Lubrication, Tools etc.
  • 26. Planned maintenance is maintenance organized and carried out with for thought, control, and records, to a predetermined plan. In doing this, the following factors have to be kept in mind: The extent of utilization (is the machine working), Severity of utilization (is the machine work under normal load condition), Operating condition, Are there any other specific factors that may affect the instrument
  • 27.  Reliability is the probability that an item will survive a given period, under specified operating condition without failure.  Maintainability was defined as “the ability to maintain the least amount of time at the lowest cost”.  Availability is the probability that the device were used under stated condition in an ideal support environment, will operate satisfactorily at any point in time as required. It includes preventive or scheduled maintenance action and administrative delay time.
  • 28. Some o f the spare parts provided for x-ray machine are:  Cable  Cassette  Film  X-ray tube  Lead shield etc
  • 29.  The typical reconditioning process consists of  assessment  visual inspection  EDDY current  cleaning preparation  chemical stripping  sand blasting  repair  machine shopping service  coating
  • 30. A CMMS is a software package that contains a computer database of information about an organization’s maintenance operations. IT ASSISTS IN MANAGEMENT OF:  Scheduling maintenance projects  Maintenance cost reports by production department, cost category, and other classifications  Inventory status reports for maintenance parts and supplies  Parts failure data  Operations analysis studies
  • 31. CONCLUSION  Information on the status of the equipment surveyed has been collected and a data base to that effect has been prepared.  It is intended that the result in this survey help in establishing a maintenance program to protect investment in the x-ray machine, through regular and adequate maintenance.  It was also noted that most of the equipment had no maintenance records.
  • 32.  Since maintenance activity and its element require availability and the proper balance of various levels of skills, it is recommended that the integrated approach to the program should start with the users who have the basic knowledge of maintenance, quality control and fault detection.  There should be well trained technician that can recover malfunctioning x-ray machine to normal operating condition.  Since there is no enough spare parts the health institution should have provide additional spare parts to increase the life time of the equipment.