Topic ID: task_phr_tnp_fnb
Version: 2.0
Date: Nov 26, 2020 8:38:13 PM

Anzai Respiratory Gating System Installation

Prerequisites

Table 2. Replacement parts
Item	Quantity	Effectivity	Part number	Manufacturer
Anzai Respiratory Gating System AZ-733V	1	-		-
Cable Asm- Ethernet, Respiratory Computer to Network	1	-	5313938-11	-
Adaptor, AC Power cord, Nema 5-15 to IEC C14, 200mm long, 18AWG 3SVT, black , Anzai to PET_CT Scanner	2	-	5338711	-
Ground Cable, Anzai Gating System, Multi Contact to Spring Spade	1	-	5338525	-
Cable-gantry to rpm unit	1	-	5199717	-
Revolution EVO Operator Manual Addendum	1	-	5867139-1JA	-

Overview

This procedure defines the process to install the Anzai Respiratory Gating System. An overview of the system setup is as follows:

Install components in accordance with Figure 6.
Connect Load cell Sensor to Sensor Port.
Turn Sensor Port Power On.
Turn Laptop Power On.
Start Anzai Respiratory Gating software.
Perform Functional Tests.

Table 4. Anzai Respiratory Gating System AZ-733V Key Components
Figure 1. Sensor Port	Figure 2. Relay Box	Figure 3. GDSW (Gate Disable Switch)
Figure 4. Load Cell	Figure 5. Laptop PC

1 Anzai Gating System Installation

Procedure

Install the Anzai gating system according to Figure 6.

Figure 6. Anzai Respiratory Gating System Cable Connections
Make sure Laptop Power is off.
Connect Ethernet cable from Laptop to port 3 (RPM) of switching hub in CT console.
Insert USB cable into (any) USB port on the Laptop and connect opposite end to Relay Box.
Connect GDSW cable between Gate Disable Switch and Relay Box.
Connect ground cable from Sensor Port to Accessory Panel (Gantry).
Connect one AC IEC Power Adapter to Console AC outlet.
Connect Laptop Power Supply cable to AC Power Adapter Cable (IEC) at Accessory Panel (Gantry) or Console AC Distribution box.
Connect Laptop Power Supply to Laptop power input jack.
Make sure Sensor Port Power is off.
Connect the second AC IEC Power Adapter to Gantry AC outlet.
Connect Sensor Port AC power cable to AC Power Adapter (IEC) cable at Accessory Panel (Gantry) or Console AC Distribution box.
Connect AC power cable to back of Sensor Port.
Connect Relay Box and Accessory Panel Respiratory jack on Gantry using EXT I/O Cable and Gantry Cable.
Connect SP-RB I/O cable between Sensor Port and Relay Box.
Discard cables that are not used in this configuration.

2 Initial Power Up

After all cable connections have been completed, proceed to turn power on as follows:

Procedure

Connect load cell to CH1 Sensor Connector on the Sensor Port.
Turn ON the power of Sensor Port.
Turn ON the power of Computer. (Windows 10 will boot up).
From the Window 10 Desktop select the AZ733VI icon to launch the application.
Perform an initial test of the Load Cell Sensor by pressing it lightly between your fingers while observing the indicators on the top of the Load Cell Amp Box.

Notice that the indicator will change from LOOSE to GOOD to TIGHT when varying the amount of pressure applied. If this does not occur check cables and the possibility of a bad Load Cell Sensor. Make sure that the waveform changes with the amount of pressure is displayed on LCD Panel of Sensor Port.

Refer to Figure 7.

Figure 7. Initial Sensor Port and Load Cell Sensor Test Indicator
1 "Loose" lights up

2 "Good" lights up

3 "Tight" lights up

4 Waveform changes with the amount of pressure

1	"Loose" lights up
2	"Good" lights up
3	"Tight" lights up
4	Waveform changes with the amount of pressure

3 Anzai Respiratory Gating System Functional Test

Procedure

Select: "Test" and output Test Signal. Then, adjust Test Singal Respiratory Waveform.

Figure 8. Adjustment of Test Signal Respiratory Waveform
At this point a test message “Test Signal (Total Check)” should be displaying at the center of the display. (Indicating the unit is using the internal test signal.)
Adjust Position value and Magnification value so that the level of respiratory waveform is displayed between the level 0～100.

Figure 9. Waveform Setup
Click “AUTO” icon to automatically adjust the Position and Magnification parameters. The green waveform will eventually settle itself between the red lines.
This concludes the functional test of the simulated waveform.

4 Anzai Load Cell Sensor Functional Test

Procedure

Uncheck: Test ....
At this point the test message “Test Signal (Total Check)” will disappear from the center of the display.
Insert the Load Cell Sensor into the belt pocket. (Either direction is OK for this test.) See Figure 10.

note:
Either direction is OK for this test. For customer use, the Load Cell Sensor should be placed into the pocket with the curved side facing towards the chest.

Figure 10. Load Cell Sensor Operation
Select "Setting Lock" icon.

Figure 11. Setting Lock icon
Select [OK].

Figure 12. Confirmation Window
Select [Start] icon to start respiratory acquisition.

Figure 13. Start Icon
If New Patient File does not exist, select [Yes] to continue.

Figure 14. No Patient File
A green waveform will begin tracking across the display.
Gently press the load cell in the belt between your fingers and observe that the waveform changes with the amount of pressure applied.

Figure 15. Observing Waveform
DO NOT stop the acquisition. Resume with next section, X-Ray On Signal Test.

5 X-Ray On Signal Test

Procedure

Observe that the Total Time (in White) is counting.
Observe that the Total Beam (in Red) is not counting and that the Red line (Beam) at the bottom of the display is a straight line (low) at the bottom of the display.
At the front of the Relay Box, disconnect “EXT I/O cable (Dsub15⇒9 for GE)” from the Slot 2.
Verify that the Total Beam (in Red) is now counting and that the Red line (Beam) at the bottom of the display has jumped to a High state.

Figure 16. Verify Total Beam
Reconnect the cable to the “EXT I/O” connector and verify the that the Total Beam (in Red) counter has stopped, and the Red line (Beam) at the bottom of the display has returned to a Low state.
Select the [Stop] icon.

Figure 17. Stop Icon
Select [No] when the next dialog box (Save Results) appears.

Figure 18. Save Result
This completes the test:
1. If there was not a good indication of proper function, check all cables and repeat the tests.
2. If the Customer is not going to use the system, exit the AZ-733VI Respiratory gating application.

6 Appendix A: Indicators and Cable Connector Descriptions

Procedure

Refer to following figures and tables, for definitions, Connector functions, and cable locations.

For Sensor Port Connectors and Indicator Locations: Figure 19 and Table 5
For Relay Box: Figure 20 and Table 6
For Gate Disable Switch: Figure 21 and Table 7

Table 5. Sensor Port Connectors and Indicator Functions
NO.	NAME	FUNCTION
1	LED Indicator for CH1/CH2/CH3 Connection	It turns blue while CH1/CH2/CH3 Respiratory Sensor is connected.
2	CH1/CH2/CH3 Sensor Connector	Connectors for connecting Respiratory Sensor with Sensor Cable. Three units of Sensor for CH1, CH2 and CH3 can be connected at the same time.
3	POSITION Dial	Rotary type switch to adjust position of respiratory waveform. Around the dial is an indicator lamp. It turns blue when the system is normal and orange when Sensor Port detects an error.
4	LCD Panel	It displays the following information: Connected sensor type Input waveform EXT.I/O Port Number, status of Gate signal, Beam signal and Interlock signal Error codes
5	MAGNIFICATION Dial	Rotary type switch to adjust magnification of respiratory waveform. Around the dial is an indicator lamp. It turns blue when the system is normal and orange when Sensor Port detects an error.
6	ALL Switch	When it is pushed, all respiratory waveforms of CH1, CH2 and CH3 are displayed on the LCD Panel.
7	CH1/CH2/CH3 Switch	When it is pushed, the waveform of the selected CH is displayed on LCD panel.
8	AUTO Switch	When it is pushed, all respiratory waveforms of connected sensors are automatically adjusted by the application.
9	Slot 0	Optional Interface Board 1 or 2 can be mounted and connected to external equipment.
10	Slot 1	Optional ECG Board, Interface Board 1 or 2 can be mounted and connected to ECG or other external equipment.
11	AC Inlet	Inlet for AC power Cable to supply power to Sensor Port.
12	Main Power Switch	It turns ON/OFF the power to all the system except for PC.
13	Wave Monitor Connector	Connector for Wave Monitor Cable to connect Wave Monitor.
14	Potential Equalization Terminal	Terminal for connecting a potential equalization conductor. A potential equalization conductor connects the device to the potential equalization bus-bar of the power supply facility, and it keeps the protective earth potentials of multiple devices equal, even if a thundercloud approaches or a thunderbolt strikes nearby. For class I devices, a risk of electric shock arises unless there is a common protective earth conductor, which keeps their protective earth potentials equal.
15	Fuse Holder	Fuse for over-current protection is equipped.
16	SP. RB Connector	Connector for SP-RB. I/O Cable to connect Relay Box.
17	RS232C Connector	Connector for RS232C Cable to communicate with external equipment.
18	USB-RS232C Selection Switch	It selects USB or RS232C communication.

Table 6. Relay Box overview
NO.	NAME	FUNCTION
1	Gate Disable Switch Connector	Connector for Gate Disable Switch Cable to connect Gate Disable Switch.
2	USB Connector	Connector for USB Cable to connect Personal Computer.
3	RB. SP Connector	Connector for SP-RB I/O Cable to connect Sensor Port.
4	Slot 2	Optional Interface Board 1, 2 or 3 can be mounted and connected to external equipment.

Table 7. Gate Disable Switch overview
NO.	NAME	FUNCTION
1	GD. RB Connector	Connector for Gate Disable Switch Cable to connect Relay Box.
2	Gate Disable Switch	Equipped with LED indicator. It turns blue while pushed and shuts off the gate signal. Prior to permitting Gate output, push this switch to confirm that it turns blue in a normal way.