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Page 1: Manual - DÜRR MEDICAL · 2019. 3. 29. · EN 6 9000-618-83/30 2010/08/06 2. Safety 2.1 General Safety Notes Theppliance a has been developed and desi-gned in such a way that dangers

EN

Manual

MADE IN GERMANY

EN

Page 2: Manual - DÜRR MEDICAL · 2019. 3. 29. · EN 6 9000-618-83/30 2010/08/06 2. Safety 2.1 General Safety Notes Theppliance a has been developed and desi-gned in such a way that dangers
Page 3: Manual - DÜRR MEDICAL · 2019. 3. 29. · EN 6 9000-618-83/30 2010/08/06 2. Safety 2.1 General Safety Notes Theppliance a has been developed and desi-gned in such a way that dangers

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32010/08/06 9000-618-83/30

Contents

Important Information 1. Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

1.1 NoteonConformity.. . . . . . . . . . . . . . . . . 41.2 GeneralNotes. . . . . . . . . . . . . . . . . . . . . . 41.3 Appliancedisposal.. . . . . . . . . . . . . . . . . 41.4 Correct

Usage.. . . . . . . . . . . . . . . . . . . . . . . . . . . . 51.5 Incorrect

Usage.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51.6 UsingPeripheralDevices.. . . . . . . . . . . 51.7 Usingimageplates. . . . . . . . . . . . . . . . . 51.8 UseofSoftware.. . . . . . . . . . . . . . . . . . . . 5

2. Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62.1 GeneralSafetyNotes.. . . . . . . . . . . . . . . 62.2 Electricalsafetyinstructions.. . . . . . . . . 6

3. Warnings and symbols . . . . . . . . . . . . . . . . 73.1 Adhesivelabel. . . . . . . . . . . . . . . . . . . . . . 73.2 Modelidentificationplate.. . . . . . . . . . . . 7

4. Delivery Contents . . . . . . . . . . . . . . . . . . . . . 84.1 Specialaccessories. . . . . . . . . . . . . . . . . 84.2 Disposablematerials. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 9

5. System requirements . . . . . . . . . . . . . . . . . 105.1 Monitor.. . . . . . . . . . . . . . . . . . . . . . . . . . 105.2. Minimumsystemrequirements. . . . . . 10

6. Technical Data . . . . . . . . . . . . . . . . . . . . . . . 116.1 CR35VET. . . . . . . . . . . . . . . . . . . . . . . . 116.2 Imageplate.. . . . . . . . . . . . . . . . . . . . . . . 11

7. Functional layout . . . . . . . . . . . . . . . . . . . . . 12 8. Functional Description . . . . . . . . . . . . . . . 13

8.1 Functionofindividualcomponents.. . 138.2 Description.. . . . . . . . . . . . . . . . . . . . . . . 14

Mounting 9. Transporting the scanner . . . . . . . . . . . . . 15 10. Carrying the scanner . . . . . . . . . . . . . . . . . 15 11. Set-up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

11.1 Set-uplocation.. . . . . . . . . . . . . . . . . . . 1611.2 Set-upalternatives.. . . . . . . . . . . . . . . . 1611.3 Installationofthelightreducingarc..17

12. Electrical Connections . . . . . . . . . . . . . . . 17 13. Before Commissioning . . . . . . . . . . . . . . . 18

13.1 ConnectthescannertothePC.. . . . 1813.2 InstallationofVet-Exam. . . . . . . . . . . . 20

14. Commissioning .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 2114.1 ConfigurationadTesting. . . . . . . . . . . 2114.2 Systemtest.. . . . . . . . . . . . . . . . . . . . . . 2214.3 Connectingthescannerandthe

imageeditingprogram.. . . . . . . . . . . . 22

Use of the Appliance 15. Using image plates . . . . . . . . . . . . . . . . . . . 23

15.1 Workingwithimageplates.. . . . . . . . 2315.2 Storingimageplates. . . . . . . . . . . . . . 23

16. Foil cassettes/ Foil sleeve. . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

17. Light protection cover S0 - S4. . . . . . . . . 24 18. Extraoral x-ray . . . . . . . . . . . . . . . . . . . . . . . 26

18.1 PreparingtoX-ray.. . . . . . . . . . . . . . . . 2618.2 Exposingtheimageplate.. . . . . . . . . . 2718.3 Scanningtheimagedata. . . . . . . . . . 27

19. Intraoral X-ray . . . . . . . . . . . . . . . . . . . . . . . . 2819.1 PreparingtoX-ray.. . . . . . . . . . . . . . . . 2819.2 Exposingtheimageplate.. . . . . . . . . . 2819.3 Readingouttheimagedata.. . . . . . . 29

20 Erasing image data . . . . . . . . . . . . . . . . . . . 31 21. Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

21.1 Imageplates. . . . . . . . . . . . . . . . . . . . . 3221.2.Foilcassettes.. . . . . . . . . . . . . . . . . . . . 3221.3 Scanner. . . . . . . . . . . . . . . . . . . . . . . . . . 33

22. Maintenance. . . . . . . . . . . . . . . . . . . . . . . . . . 34

Trouble-shooting 23. Tips for Operators and Service

Technician . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

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Important Information

1. Notes 1.1 Note on ConformityTheproducthasbeensubjectedtoaconformityacceptanceprocedureinaccordancewiththerelevantguidelinesoftheEuropeanUnionforthisapplianceandconformstothedemandedfundamentalrequirementsoftheseguidelines.

ThisclassAappliancemeetsCanadianstan-dardsICES-003.

TheappliancewastestedinaccordancewiththelimitvaluesfordigitalclassAappliancesac-cordingtopart15oftheFCC.Theselimitvaluesshouldensuresufficientprotectionagainstfaultsinthework-area.Theappliancegenerates,usesandradiatesradiofrequencyenergy.Iftheap-plianceisnotsetupandoperatedasstipulatedintheinstallationandoperatinginstructions,errorsinradiotrafficcanoccur.Operatingtheapplianceinaresidentialareacanleadtoap-plianceerrorsoccurring.Rectifyingfaultsistheresponsibilityoftheoperator.

1.2 General Notes•TheseInstallationandOperatingInstructions

formanintegralpartoftheappliance.Theymustbekeptclosetotheunitatalltimes.Ob-servingtheinstallationandoperatinginstruc-tionsisapreconditionforthedesignateduseandthecorrectoperationoftheappliance.Newemployeesmustbeinstructed.Newpersonnelmustbemadeawareofthecontents,andtheyshouldbepassedontofutureoperatingstaff.

•Safetyfortheoperatoraswellastrouble-freeoperationoftheunitareonlyensuredifuseismadeoforiginalequipmentparts.Fur-thermore,onlytheaccessoriesdescribedintheinstallationandoperatinginstructionsorapprovedbyDÜRRMEDICALforusewiththisappliancemaybeused.Ifotheraccessoriesareused,DÜRRMEDICALcanassumenowarrantyforthesafeoperationandreliablefunction.Noclaimsfordamagesresultingtherefromwillbeaccepted.

•DÜRRMEDICALisresponsiblefortheappliancesfromthepointofviewofsafety,reliabilityandfunctiononlywheninstallation,newsettings,modifications,expansionsandrepairsarecarriedoutbyDÜRRMEDICALorbyaservicecentreauthorisedbyDÜRRME-DICAL,andwhentheapplianceisusedandoperatedinaccordancewiththeinstallationandoperatinginstructions.

•TheseInstallationandOperatingInstructionsconformtotherelevantversionoftheequip-mentandtheunderlyingsafetystandardsvalidatthetimeofgoingtopress.Allcircuits,processes,names,softwareandappliancesquotedareprotectedunderindustrialpropertyrights.

•Thetranslationoftheinstallationandopera-tinginstructionshasbeenmadetothebestofknowledge.Themanufacturerbearsnoliabili-tiesinthecaseofamistakeinthetranslation.TheincludedGermanversionoftheinstallati-onandoperatinginstructionsisrelevant.

•Reprintingoftheinstallationandopera-tinginstructions,inwholeorinparts,isonlypermittedwiththewrittenapprovalofDÜRRMEDICAL.

•Retainthepackagingforpossiblereturnoftheproducttothemanufacturers.Ensurethatthepackagingisstoredawayfromchildren.Onlytheoriginalpackagingprovidesadequateprotectionduringtransportoftheunit.Iftheappliancehastobereturnedtothema-nufacturersduringthewarrantyperiod,DÜRRMEDICALwillacceptnoliabilityfordamageoccurringduringtransportresultingfrompoorpackaging!

1.3 Appliance disposal applianceTheEU-guidelines2002/96/EG-WEEE(WasteElectricandElectronicEquipment)of27thJanuary2003andthecurrentintegrationintonationallawstatesthatproductscomeun-dertheabove-mentionedguidelinesand,withintheEuropeanUnion,aresubjecttospecialdisposalmeasures.Pleaseaddressquestionsconcerningthepro-perdisposaloftheproducttoDÜRRMEDICALortothetrade.

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image plateWhendisposingofimageplatesobservelocalandregionalrulesandregulations.Theimageplatecontainsluminescentstoragematerialandmustthereforebedisposedofasspecialwaste.•Pleaseaddressquestionsconcerning

theproperdisposaloftheproducttoDÜRRMEDICALortothetrade.

1.4 Correct Usage•Theapplianceisintendedexclusivelyforvisual

scanningandprocessingofimagedataonanimageplateinveterinarymedicine.

TheapplianceisnotsuitableforprolongedX-raydiagnosticmonitoringofanimals.

•Theapplianceisonlytobeusedinclosed,dryrooms.

•CorrectUsageoftheappliancealsoinvol-vesobservingtheInstallationandOperatingInstructionsandadheringtothoseinstructionsconcerningset-up,operatingandmainte-nance.

•Anyusagethatdiffersfromthecorrectusageleadstothelossofwarranty.

Theoperatorisliableforanydamagearisingthroughincorrectusage.

•CorrectUsagealsoinvolvesobservingalllocalandnationalregulationsconcerninghealthandsafetyatworkandradiationprevention.

1.5 Incorrect UsageTheapplianceisnotintendedforvisualscan-ningofimageplatesinhumanmedicine.Anyotheroradditionalusage,especiallyradioscopy,mammographyandapplicationsisconsiderednon-intended.Themanufacturerisnotliableforanydamagesarisingfromincorrectusage.Theoperatorbearsallrisksandliabilities.

This appliance must not be used in operating theatres or similar types of room, where there is a risk of inflam-mable materials catching fire.

Ifthedeviceisutilisedormodifiedotherthanspecifiedunderpoint14,hazardouslaserradia-tioncanbetheresult.

1.6 Using Peripheral Devices •Onlyperipheraldevices(computer,monitor,

printer)maybeconnectedtothisappliancewhichconformtostandardIEC60950-1(EN60950/1).

•Appliancesmayonlybeconnectedtogetherorconnectedtoothersystempartswherethesafetyofpatients,operatorsandalsotheenvironmentisensured.Wheretheabsolutesafetyforoperator,patientorenvironmentisnotapparentthentheope-ratorisexpectedtocallonexpertadvice,e.g.fromthemanufactureroranexpert,thatsuchconnectionsaresafebeforeproceeding.

1.7 Using image plates Thescannermayonlybeoperatedincom-binationwithimageplatesfromDürrNDTorDÜRRMEDICAL.Theimageplatesmaynotexceedamax.feedwidthof35.4cm.Useofanyotherimageplatesmustbeexpress-lyapprovedbyDÜRRMEDICAL.

1.8 Use of SoftwareX-raysoftwarethathasapprovedbyDÜRRMEDICAL,suchase.g.Vet-Exam,mustbeused.UseofanyothersoftwaremustbeexpresslyapprovedbyDÜRRMEDICAL.Furtherinformationcanbefoundontheinternetunderwww.duerr-medical.de.

Seecomputersystemminimumrequire-mentsincombinationwithDürrNDT/DürrMedical-CRsystems,orderNo.9000-608-100/..orontheInternet.

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2. Safety 2.1 General Safety NotesTheappliancehasbeendevelopedanddesi-gnedinsuchawaythatdangersareeffectivelyruledoutifoperatedinaccordancewiththeintendeduse.Inspiteofthis,wefeelitisourdutytomentionthefollowingsafetymeasuresinordertopreventanypossibledanger.•Whenusingthisappliancealllocalandrele-

vantregulationsmustbeobserved!Convertingormodifyingtheapplianceinanywayisstrictlyprohibited.DÜRRMEDICALcanassumenowarrantyorliabilityformodifiedoradaptedappliances.Theoperationofmodifiedappliancescanbepunishablebylaw.Intheinterestsoftrouble-freeoperationtheoperatorisresponsibleforobservingtheseregulations.

•OpeninganappliancewhichisstillconnectedtothemainspowersupplyisdangerousandcouldleadtolaserradiationClass3B.

•Theinstallationistobeperformedbyaspe-cialistauthorisedbythemanufacturer.

•Beforeeveryusetheoperatormustcheckthefunctionalsafetyandtheconditionoftheappliance.

•Theoperatormustbeknowledgeableintheoperationoftheappliance.

2.2 Electrical safety instructions•Theappliancemayonlybeconnectedtoa

correctlyinstalledearthedsafetysocket.

•Connectingtomobilemultiplesocketoutletsisnotpermitted.

•Beforeconnectingtotheelectricitysupplytheappliancemustbeinspectedandche-ckedthatthesupplyvoltageandthesupplyfrequencycorrespondtothatofthelocalelectricalsupply.

•Useonlytheprovidedpowerunit.Unpredicta-blehazardscanbecausedbyusinganotherpowerunit.

•Beforeinitialuseandstart-uptheapplianceandallsupplylinesmustbecheckedforanysignsofdamage.Damagedsupplylinesandconnectionsmustbereplacedimmediately.

•Nevertouchpersonsandopenconnectorsoftheappliancesimultaneously.

•Whenusingtheapplianceobservealltherelevantelectricalsafetyprocedures.

Beforeopeningtheunitunplugatthemainsandremoveallpower!

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3.2 Model identification plateThemodelidentificationplateislocatedontherearofthescanner.Thefollowingdesignationsorsymbolsareshownonthemodelidentificationplateandthescanner:

WarningLaser

Warningdangerousvoltage.

Dateofmanufacturer

Observenotesinaccompanyingdocu-mentation!

DisposeofcorrectlyaccordingtoEUdirective(2002/96/EG-WEE)

CElabelwithoutnotifiedbodynumber

ETL-acceditationCONFORMSTOULSTD61010-1CERTIFIEDTOCAN/CSASTDC22:2NO:61010-1

IP20 Fusetype

REF OrderNo./ModelNo.

SN SerialNo.

3. Warnings and symbols Intheoperatinginstructionsthefollowingwar-ningsandsymbolshavebeenused:

Information and/or mandatory regu-lations or prohibitions for the preven-tion of personal injury or substantial property damage

Specialinstructionsconcerningecono-micusageoftheapplianceandothernotes.

Unplugatthemainsandremoveallpower!

ON/OFFkey

OperationalLED,greenStandby

OperationalLED,blueDatatransmission

3.1 Adhesive label

Usetheapplianceonlywithpowerunit.

Donotmovetheappli-ancewhileitisswitchedon.

FCC-acceditation

FDA-acceditation

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4. Delivery Contents CR 35 VET 2132-53CR35VET. . . . . . . . . . . . . . . . . 2132-000-53Powerunit . . . . . . . . . . . . . . . . . 2150-470-00DatacableUSB3m. . . . . . . . . 9000-119-067InstallationandOperatingInstruc-tions........................ 9000-618-83/30Lightreducingarc . . . . . . . . . . . 2131-005-01IP-CleaningWipes . . . . . . . . . . CCB351A1001

Dependingoncountryofoperation:MainscableEUR . . . . . . . . . . . 9000-119-060MainscableCH . . . . . . . . . . . . 9000-119-061MainscableGB . . . . . . . . . . . . 9000-119-062MainscableDK. . . . . . . . . . . . . 9000-119-064MainscableI . . . . . . . . . . . . . . 9000-119-068MainscableAUS . . . . . . . . . . . 9000-119-063MainscableJ. . . . . . . . . . . . . . 9000-119-084MainscableUSA . . . . . . . . . . . 9000-119-083

4.1 Special accessoriesThefollowingpartsarenotsuppliedwiththecontentsofdelivery.Pleaseorderasrequired!

Foil sleeves

Format Order No.18x24(1piece). . . . . . . . . . . . . NACS182410724x30(4pieces). . . . . . . . . . . . . 2134-024-0030x40(4pieces). . . . . . . . . . . . . 2134-033-0035x43(4pieces). . . . . . . . . . . . . 2134-034-00

Specialformatswillbeprovideduponrequest.

Solid foil cassettes

Format Order No.2x3-Size0-(1piece) . . . . . . . . . 2130-010-002x4-Size1-(1piece) . . . . . . . . . 2130-011-003x4-Size2-(1piece) . . . . . . . . . 2130-012-002.7x5.4-Size3-(1piece) . . . . . . 2130-013-005.7x7.6-Size4-(1piece) . . . . . . 2130-014-00

Flexible foil cassettes

Format Order No.18x24(1piece). . . . . . . . . . . . . . 2132-023-5024x30(1piece). . . . . . . . . . . . . . 2132-021-5030x40(1piece). . . . . . . . . . . . . . 2132-022-5035x43(1piece). . . . . . . . . . . . . . 2132-024-50

Rigid cassettesFormat Order No.18x24(1piece). . . . . . . . . . . . . KUNKA18240824x30(1piece). . . . . . . . . . . . . KUNKA24300730x40(1piece). . . . . . . . . . . . . KUNKA30401035x43(1piece). . . . . . . . . . . . . KUNKA354307

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Image plates Normal resolution

Format Order No.18x24(1piece). . . . . . . . . . . . . . VMIP182410924x30(1piece). . . . . . . . . . . . . . VMIP243010930x40(1piece). . . . . . . . . . . . . . VMIP304011035x43(1piece). . . . . . . . . . . . . . VMIP3543109

Image plates High resolution

Format Order No.2x3(22x35mm)-Size0-(2pieces). . . . . . . . . . . . 2134-040-502x4(24x40mm)-Size1-(2pieces). . . . . . . . . . . . 2134-041-503x4(31x41mm)-Size2-(4piece). . . . . . . . . . . . . 2134-042-502.7x5.4-Size3-(2pieces) . . . . . 2134-043-505.7x7.6-Size4-(1piece) . . . . . . 2134-044-50

Protective film

Format Order No.18x24(1000pieces). . . . . . . . . PRSH182410824x30(1000pieces). . . . . . . . . PRSH243010835x43(1000pieces). . . . . . . . . PRSH3543108

light protection cover

Format Order No.2x3-Size0-(100pieces) . . . . . . 2134-070-002x4-Size1-(100pieces) . . . . . . 2134-071-003x4-Size2-(300pieces) . . . . . . 2134-072-002.7x5.4-Size3-(100pieces) . . . 2134-073-005.7x7.6-Size4-(100pieces) . . . 2134-074-00

Theusageofothercomponents,trans-formersandcablesasthosespecificallylistedunderaccessories,canleadtoeitherincreasedsignaloutputorreducetheresistancetointerferenceofthesystem.

4.2 Disposable materialsIP-CleaningWipes(100Stk.). . . CCB351A0101

OthercleaninganddisinfectantscanbeobtainedfromthecompanyOrochemie(www.orochemie.de)underthefollowingnames:QuickdisinfectionB30DisinfectantwipesB60

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5. System requirementsThefollowingcomponentsarerequiredfortheoperationofthescanner.Thesearenotincludedwiththestandarddeliverycontentssuppliedwiththescanner.

SeealsotheInternetinformationunderwww.duerr-medical.de

5.1 Monitor Monitorsshouldbeusedwhicharecapableofdisplayingdigitalx-rayexposuresandwhichhaveahigherlightintensityandbroadercon-trastrangeandwhichconformtotheinterna-tionalstandardEN25580.Brightambientlight(e.g.withintheroom),directsunlightandreflec-tedlightcanallnegativelyaffectthediagnosticusefulnessoftheX-rayexposure.

5.2. Minimum system requirements

Seetheenclosedinformationsheet,ordernumber9000-608-100.

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6. Technical Data 6.1 CR 35 VETElectrical Details power unitVoltage(V).........................................100-240Frequency(Hz).......................................50-60Current(A)............................................. max.2Currentconsumption(W)..........................<140Fusetype.................................................. IP20Protectionclass............................................... IDegreeofsoiling.............................................2

Electrical ratings and connection data Voltage(V)...................................... 24+/-10%Frequency...................................................DCCurrent(A)............................................. max.5Currentconsumption(W)..........................<120

DimensionsD=52cm,W=38cm,H=39cmFeedwidthforimageplates(cm)........................ max.35.4

Temperature ranges Applianceinoperation(°C)..............+10to+35Storageandtransport(°C)............... -20to+60

Relative humidity Applianceinoperation(%).............. 20-max.90StorageandTransport(%)................... max.10

Ambient air pressure Applianceinoperation(hPa)............750-1060heightabovesealevel(m).......................<2000Storageandtransport(hPa)............750-1060heightabovesealevel(m)....................... 16000

Weight CR35VET(kg)................................ approx.21

General valuesExtern:laserclass...................... 1(EN60825-1)

Intern:laserclass..................... 3B(EN60825-1)

Wavelengthλ635nm15mWEN60825-1:1994-03+A1:2002-07+A2:2001-03

Max.noiselevel(db(A))...............................<60Heatradiation(W).....................................<180

Conformity evaluation

06/95/EG(Low-voltageguidelines04/108/EG(EMCguidelines)

Pixel size

CR35VETcanbeselectedfromrange30µmto130µmResolutiondependingonimageplate,ca.15linepairs/mm(Lp/mm).

6.2 Image plateStorage and transportTemperature(°C).........................................<33Relativehumidity(%)...................................<80

Use of the ApplianceTemperature(°C).....................................<4518Relativehumidity(%)...................................<80

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7. Functional layout

10

3

4

1

2

8

5

7

9

11

12 13

14

9

6

15

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8. Functional Description 8.1 Function of individual compon-

ents1. Entry slot: Theimageplateisfedintothescannerthroughtheentryslotandisautomaticallytakenupbythetransportmechanism.

2. Yellow LED:LEDlightsup:•Scannerisswitchedon,butnotyetinitialised.

LEDblinks:•NoconnectionestablishedtoPC.

•Memoryisfull.

3. On / Off key:Toswitchtheapplianceonoroffholdthekeydownfor2seconds.

4. Green LED:Scannerisreadyforoperation.

5. Erasure unit:Allimagedataisautomaticallydeletedfromtheimageplateintheerasureunitafterscanning.

6. Roller end cap:Guiderollersforlow-wearimageplateexit.

7. Transport drum: InsidetheTransportdrumthereisaspecialtransportmechanism,thescanningunitandtheerasureunit.

8. Status LED:TheLEDsshowwhetheranimageplatecanbeinsertedforscanningornot.GreenLED:•Animageplatecannowbeinserted.

YellowLED:•Donotinsertanimageplateyet.

9. Light reducing arc:Thelightreducingarcpreventsanystrayam-bientlightenteringthroughtheexitslotofthetransportdrumandalsostopsthefoilsfallingoutafterscanning.

10. Rigid cassette:Therigidcassette(solidx-raycassette)canbeusedinstandardx-raycassettedrawersinme-dicalx-rayunits.Therigidcassettesalsoprotecttheimageplatesfromdamage.

11. Image plates:TheimageplateservesastheexposuremediumforX-raysandstorestheimagedata.

12. Foil sleeve:•Preventsthedeletionofimagedataonthe

imageplateandprotectstheimageplatefromdamage.

•Theimageplateisslidintothefoilcassetteandthenplacedtogetherintotherigidcasset-te.

•Theimageplateandthefoilcassettearepo-sitionedattheopeningoftheentryslottothetransportdrumandthenfedtothescannerunit.

13. Foil cassettes, flexible:•Preventsthedeletionofimagedataonthe

imageplateandprotectstheimageplatefromdamage.

•Theimageplateandthefoilcassettearepo-sitionedattheopeningoftheentryslottothetransportdrumandthenfedtothescannerunit.

14. Foil cassettes, solid:•Preventsthedeletionofimagedataonthe

imageplateandprotectstheimageplatefromdamage.

•ImageplatesS0-S4arepositionedwiththefoilcassetteattheopeningoftheentryslottothetransportdrumandthenfedsecurelytothescannerunit.

15. Guide rails:•Theextraoralimageplatesarefedevenlyby

theguiderails.

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8.2 Description Thescannertakestheimagedatawhichhasbeenstoredontheimageplateandtransformsitintoadigitalimage.

X-ray:

TheimageplateisexposedtoanX-raybeaminthesamewayasastandardX-rayfilm.Thisisdoneinsidethecorrectfoilcassette.

Scanning the image data

Pressingtheon-offbutton(3)switchesonthescanner.Thentheimageprocessingsoftwareactivatesthescanningmode.Thelightprotectioncoverwiththeimageplateisthenpositionedatthemouthoftheentryslot(1)ofthetransportdrum(6)andalignedforfeeding.

WhenthestatusLEDs(7)aregreen,thentheimageplatecanbegentlyfedintotheentryslot(1).Thisisdonewiththethumbsthroughanopeninginthelightprotectioncoverorbypressingontheendoftherecesstowardthetransportdrumonlonglightprotectioncovers.

Theimageplatewillautomaticallybegintobedrawnbythetransportmechanismandwillbefedtothetransportdrum.Insidethetransportdrumtheimageplatewillbeprocessedbythescanningunit,wheretheimagedatawillbescannedandthentransmittedtothePC.Awindowonthemonitorshowstheprogressofthisprocedure.

Erasure of image data

Afterscanningtheimageplateproceedstotheerasureunit(5).Imagedatastillheldontheimageplatewillbeerased.Finallytheimageplateproceedstotheexitslotandisejectedfromthetransportdrum.TheimageplatecannowbepreparedforthenextX-rayexposure.

Ifusedcarefullyitispossibletoreusetheimageplatesseveralhundredtimes.Beforereusetheimageplatesshouldbecheckedforsignsofdirtordamage.Damagedimageplatesmustnotbereused.

imageplate

Par

abol

icm

irror

Photomultiplier

lasersource

reflectionlayer

Pen

tapr

ism

Rot

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Mounting

Only suitably qualified personnel are permitted to set up, to install or to operate the appliance.

9. Transporting the scanner •Checkthatthedeliverycontentsarecomplete

andcheckforanysignsoftransportdamage.

•Emptythepackingcompletelyandstoreinadryplace.

•Donotexposethescannertoanystrongshockswhichcoulddamagetheappliance.

•Onlyusetheoriginalpackingcasesforship-ping.

10. Carrying the scanner

Always hold the scanner by its housing and grip from the rear side (fig. 1).Never carry the scanner by holding the transport drum, or the cylinder, as this can lead to sensitive parts of the scanner being damaged (fig. 2 and 3).

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11. Set-up 11.1 Set-up location•TheVistaScanPerioshouldbesetupina

closed,dryandwell-ventilatedroom.

It is important to ensure that the scanner does not become dirty. See also section 18. Cleaning.

•Theroomtemperatureshouldnotfallbelow+10°Corexceed+35°C.

Material damage! Danger of short circuit due to build up of condensation. The system can only be put into operation once the appliance has warmed up to room temperature and it is dry.

• Installationinapurpose-builtroom,e.g.inaboilerroomorinawetroomisnotpermitted.

•Donotexposethescannertodirectsunlight.Theambientlightmustbereduced,ifneces-sary.Themaximumlightintensityis1000Lux.

•Theapplianceisdesignedforoperationinlaboratory-,testing-andmeasuring-areas.Theremustbenosourceofinterferenceintheroomforset-up(e.g.strongmagneticfield).Fieldsofinterferencecancauseerrorsintheappliance.

•Setuptheappliancesothatitisnotsituatedwithinthepathoftheraysfromthex-ray.

11.2 Set-up alternativesInordertoavoiderrorsduringscanningofimagedataitisimportanttosetupthescanneronastablesurfaceandaleversubsurface.

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12. Electrical Connections Beforeoperationisbegun,makesurethatthepowersupplyandthemainsvoltagematchtheinformationonthemodelidentificationplateofthepowerunit.Theconnectionportsareintherecessesontherearsideoftheappliance.

•Connectthemainscabletotheappliancepowerunitandtothemainssupply.

•Connectthepowercabletothesocketonthescanner.

•Placethepowercableintothepoweroutletsocket.

Theappliancedoesnothaveamainpowerswitch.Theappliancemustthereforebesetupsothatthesocket-outletiseasilyaccessibleandhasamaximumpowercablelengthof3mincaseofanypossiblefaults.

11.3 Installation of the light reducing arc

Thelightreducingarcmustbeinstalledattheexitsectionofthetransportdrumtoprovideextraprotectionfromstrayambientlight.

•Engagethelightreducingarcstothetwostuds(leftandright).Thelightshieldarcpreventsthefoilfromfalling.

Ensure that transport of the foil from the exit is not hindered.

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13. Before Commissioning 13.1 Connect the scanner to the PCConnection to USB-Port

•ConnecttheUSBcableprovidedwiththeUSB-interfaceofthePCandtheUSB-inter-faceofthescanner.

InstallationoftheCR35VETviaUSBcanonlybeeffectedwhenafunctio-ningUSB-PC-portisavailable(2.0).WindowsXPsupportsthisinterfaceasofServicePack2.WindowsVistasupportsthisinterfaceasstandard.

•Parallelinterface(*):Forservicepurposesonly.

Check USB interface

•Opensystemproperties.WindowsXP:RightclickonWorkstation,Properties.WindowsVista:RightclickonComputer,Properties.

•ChecktheversionnumberoftheServicePackandupdateifnecessary.

•OpenDevicemanager.WindowsXP:RightclickonWorkstation,Properties,Hardware.WindowsVista:RightclickonComputer,Properties,Hardware.

•AUSBportisavailablewhen„USB-Control-ler“islistedunderappliances.

* *

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Install USB driver

•Switchonthescanner

•Windowswillautomaticallydetectanewappliance(CRScanUSB).

•Choose"No,notthistime".

•Clickon"Next".

•Choose"Installsoftwareautomatically(recom-mended)".

•Clickon"Next".

Thedriverisinstallednow.

•Completetheinstallationwith„Complete“.

Check the driver in device manager

•OpenDevicemanager

UnderWindowsXP:RightclickonWorkstation,Properties,Hardware,Devicemanager.UnderWindowsVista:RightclickonComputer,Properties,Devicemanager.

•ThecheckissuccessfulwhentheCRScanUSBdriverislisted.

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USB2 Trouble-shooting

Ifscannerisdisplayedas„unidentifiedapp-liance“underdevicemanagerthenthereispossiblyaUSB2driverfault.

or:

• InstallServicepack3(XP).

•Selectthedriver„ExtendedHostController“usingtheOption[Driver]and[Updatedriver].

•Callupallthedriveralternativesinmenu,andselecttheapplicabledriverfromMicrosoftServicepack.

USB-driverscaninterferewitheachother.Thisbecomesnoticeablethroughlongerdatatransmissiontimes,orlackofcommunicationbetweenCR35andPC.

13.2 Installation of Vet-ExamIfVet-Examisnotinstalledonthecomputersprovided,performtheinstallationinaccordancewiththeinstallationinformationontheCD.

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14. Commissioning 14.1 Configuration ad TestingProgram start

•Switchonthescanner

•Clickthefollowinginsequence[Start],[Program],[DuerrNDT],[CRScan]and[CRScanConfig].

•Click"TestCommunication".

Theseconddriverisinstallednow.Repeattheinstallationasdoneforthefirstdriver.

•Click"TestCommunication"again.Thetrans-ferrateisdisplayed.

Dialogue field [Connections]

• Ifnecessaryselectfromthemenu[Scannerisconnected]theactualport(USB)beingused.

Dialogue field [Test]

•Selectthescanmodeinthefield[selectscanmode].

•Click[Readimage].Thescannerwillnowbeactivated.CheckthatstatusoftheLEDsattheinletslotsaregreen.

•NowscananexposedX-rayimageonanimageplate.

•ThetesthasbeensuccessfulwhenanX-rayimageistransmittedtothePCmonitor.

•Closethewindow.

•SavetheX-rayexposurefordocumentationpurposes.

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Dialogue field [Oscilloscope mode]

•Checkset-upconditions(lightexposure<1000lux).

•Setthedisplayrange(leftslidingbar)to500andtheamplificationHV(upperslidebar)to1000.

•Click[Start].

•Thetestissuccessfulwhenthemeasuredleveldoesnotexceed500.

14.2 System test•Checkandoptimisethesettingsofthe

monitorandofthegraphicsboardusingthegrey-valuetestimagesontheCD-ROM.

14.3 Connecting the scanner and the image editing program

Thescannercaneitherbeoperatedviaa".dllinterface",TWAINinterface(CRScanEasy)orviathe"VET-Exam"program,whichisprovideduponrequest.TheinterfacemustbeconnectedandsetupbyanITexpertofthesoftwaremanufacturer.

Read the data in the example Vet-Exam

SeeinstructionsVet-ExamontheCD.

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activeside:

Use of the Appliance

15. Using image plates Thescannermayonlybeoperatedincombina-tionwithimageplatesfromDürrNDTorDÜRRMEDICAL.UseofanyotherimageplatesmustbeexpresslyapprovedbyDÜRRMEDICAL.

activeside:•Theactivesideiseitherwhiteorlightblue.

inactiveside:•Theinactivesideoftheimageplateisblack.

Themanufacturer´sinformationisprintedonthisside.

15.1 Working with image plates Imageplatesmustbevisiblycheckedforsignsofdamage.Damagedimageplates(e.g.atornouterlayer,orvisiblescratches,whichwillaffectthediagnosticassessment)mustbereplaced.

• imageplatesareflexiblelikeX-rayfilm.

•donotbendorsubjecttopressure.

•donotscratchorgetdirty.

15.2 Storing image plates •storeimageplatesinadarkplace.

•donotstoreinhotormoistconditions.

•storeimageplatesinthecorrectlysizedfoilcassette.

• ifanimageplateisstoredforlongerthan24hours,thenitshouldbeerasedagainbeforethenextX-rayexposure.

•protectfromdirectsunlightandultravioletbeams.

•WhenstoredinthevicinityofX-rayunitstheimageplatesmustbeprotectedfromthepossibilityofprematureexposuretoX-rayradiation.

inactiveside:

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16. Foil cassettes/ Foil sleeve

•Preventimagedataontheimageplatefrombeingerased.

•Protectstheimageplatesfromdirtandconta-mination.

•Theimageplateandthefoilcassetteorthelightprotectioncoverarepositionedattheopeningoftheentryslottothetransportdrum.

•Thefoilcassetteorlightprotectioncoverisusedtoaidtheinsertionoftheimageplateintothescanner.

Foil sleeve

Ifworkinginhumidanddirtyareas,theflexiblefoilsleeveistobeused.Theimageplateisinsertedandthefoilsleeveisclosed.Thesealmustbeontheinactivesideoftheimageplate.

Foil cassette, flexible

Thefoilcassettecanbeusedinareasthatarenotcontaminated.Theinactivesideoftheimageplatemustbevisibleafterinsertioninthefoilcassette.

Foil cassette, solid (for image plates S0 - S4)

Thetongue(6c)situatedonthelever(6b)helpstopushtheimageplatefromthefoilcassetteandintotheCR35VET.

Do not remove this tongue!

Rigid cassettes

Therigidcassette(solidx-raycassette)canbeusedinstandardx-raycassettedrawersinme-dicalx-rayunits.Therigidcassettesalsoprotecttheimageplatesfromdamage.

Foil cassette, flexible

Foil sleeve

6 c

6b

Foil cassette, solid

Rigid cassette

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17. Light protection cover S0 - S4

lightprotectioncover• lightprotectioncoversprotectfrominfection

bycontaminatedimageplates.

•protecttheimageplatefromcontaminationanddirt.

•protecttheimageplatesfromstraylight.

• isavailableindifferentsizesjustlikeimageplates.Choosethemostappropriatesize.

Light protection cover S0 - S4

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18. Extraoral x-ray 18.1 Preparing to X-rayRigid cassette

Arigidcassetteistobeusediftheimageplatecanbedamagedmechanicallyduringtheexposure.

•Pushthedeletedimageplateintothefoilcas-sette,flexibleandinsertintotherigidcassette.Theactivesideoftheimageplatemustbeadjacenttotheclosedsideoftherigidcassette.

•Closethecoverontherigidcassette.

TheclosedsideoftherigidcassettemustbefacinginthedirectionoftheX-raytube.

Foil cassette, flexible / Foil sleeve

•Slidethepreviouslyerasedimageplateintothefoilcassette.Theblacksideoftheimageplatemustbevisible.

or:

•Pushthedeletedimageplateintothefoilcas-sette,flexibleinthefoilsleeveandclose.Thesealmustbeontheinactivesideoftheimageplate.

•Placethefoilcassette/foilcassetteontheobject.

TheactivesideoftheimageplatemustfacetheX-raytube.

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18.2 Exposing the image plate•SetexposuretimeandsettingsontheX-ray

appliance.

•Exposetheimageplate

Possible image data loss: The image data on the image plate must be read by the scanner within a half hour!

18.3 Scanning the image data •Switchonthescanner

•UsetheimageeditingsoftwaretocalluptheX-raymoduleonthePC.

•Activatethescanner

•Choosetherequiredscanningmode.

•ThestatusLEDsofthescannermustlightupgreen.

Rigid cassette

•Removethefoilcassette,flexiblewiththeimageplatefromtherigidcassetteandputontheaccesstubeoftheCR35.

Positionthefoilcassetteproperlysothatthefoamrubberlaysevenlyagainsttheentryslotofthetransportdrum.

•Pushtheimageplateintothetransportdrumwithbothhands,itisthenautomaticallypulledintothescanner.

Foil sleeve

•Openhookandloopfastener.

•Removethefoilcassette,flexiblewiththeimageplatefromthefoilsleeveandputontheaccesstubeoftheCR35.

Positionthefoilcassetteproperlysothatthefoamrubberlaysevenlyagainsttheentryslotofthetransportdrum.

•Pushtheimageplateintothetransportdrumwithbothhands,itisthenautomaticallypulledintothescanner.

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19. Intraoral X-ray19.1 Preparing to X-rayLight protection cover S0 - S4

•SlidetheimageplatecompletelyintothelightprotectioncoverS0-S4.Theblack(inactive)sideoftheimageplatemustbevisible.

•PeeloffthewhitestickystripandpressfirmlytoclosetheopeningofthelightprotectioncoverS0-S4.

The light protection cover S0 - S4 is a disposable article and must not be reused.

•DisinfectthelightprotectioncoverS0-S4usingadisinfectionwipe(e.g.OrochemieB60)beforepositioning.Alternatively,useadisin-fectantspray(e.g.OrochemieB30)onasoft,fluff-freeclothinsteadofadisinfectantwipe.

19.2 Exposing the image plate•SetexposuretimeandsettingsontheX-ray

appliance.

•Exposetheimageplate

Possible image data loss: The image data on the image plate must be read by the scanner within a half hour!

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19.3 Reading out the image data Foil cassette, solid

•OpenthelightprotectioncoverS0-S4straight alongtheadhesiveedge(V-cut).

•Chooseafoilcassetteofthecorrectsize.

•Slidetheleveronthefoilcassettedownwardsuntilitengages.Thetonguemustbecom-pletelyvisible.

•PlacetheimageplatewithinitslightprotectioncoverS0-S4ontothistongue.

•Slidetheimageplateoutofthelightprotec-tioncoverS0-S4andimmediatelyintothefoilcassetteuntilitisfirmlyinposition.Theactivesidemustbeturnedawayandtheinactivesideupwards(visible).

•Placethefoilcassettewiththeimageplateinoneofthefreeentryslotsatthetransportdrumandengage.

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•Slidethelevertowardthescannerapparatusuntiltheimageplateisautomaticallydrawnin.

DuringscanningthestatusLEDsattheentryslotwilllightupyellow.

Image data loss: The foil cassette may only be remo-ved from the transport drum when all 4 status LEDs are green.

•Theimageswillautomaticallybetransmittedtothesoftware.Thescanningprogresscanbefollowedinthepreviewwindow.

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20. Erasing image dataAfterscanningtheimageplatepassestotheerasureunit.Imagedatastillheldontheimageplatewillbeerased.

Determine the erasure time

Theerasuretimeisbasedontheintensityofthelightsource.Ifimageinformationistobeerasedontheimageplatewithinasecond,theoreti-cally,alightintensityof2.4millionluxsec.isnecessary.Theminimumerasuretimeinsecondsisdeterminedbydividing2.4millionbytheactualintensityofthelightsourceinlux.Ifthelightintensityisnotobviousfromthedocumentationonthelightsource,aluxmetermustbeused.Typicallightintensitiesofx-rayfilmviewersarearound20,000luxforexample.Thisproducesanerasuretimeofapproximately2.4million/20,000=120s.

Dependingonthedosageused,theerasuretimecanvary.

Additional erasing of image data

Todeterminewhetherimagedatamustalsobeerasedontheimageplate:

•Rescantheimageplate.

•Evaluatethescannedx-ray.

Atthecountsinthescannedimagegreaterthan600,theimageplatemustalsobeerased.

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21. Cleaning

OnlycleaningpreparationsapprovedbyDÜRRMEDICALmaybeused.Othercleaningagentsmaycausedamagetotheapplianceandtheaccessories.WerecommendusingDÜRRNDTIPCleaningWipes,OrderNo.CCB351A0101.

21.1 Image plates •Dirtoneithersideshouldbecleanedoffusing

asoftnon-fluffycloth.ResidualcontaminationcanberemovedbycarefullywipinginacircularmotionwithDÜRRNDTIPCleaningWipes.

•Beforereusage,theimageplatemustbecompletelydry.

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21.2 Foil cassettes

Visible contamination must be removed before continuing use.

Withdirtorcontamination:•Largerparticlesofcontaminationistobe

removedwithdampcloth.

•Spraydisinfectant(e.g.OrochemieB30)ontoasoft,lint-freeclothoruseadisinfectionwipe(e.g.OrochemieB60)andwipetoremovecontamination.

•Beforereusage,thecassettemustbecom-pletelydry.

21.3 Scanner

Damage to the CR 35 VET: Do not spray the appliance with disinfectant! Liquid is not to infiltrate the inside of the appliance, which could damage the appliance.

•Thesurfaceoftheapplianceistobecleanedwithadampcloth.

•Disinfectthesurfacewithanon-aggressivecleaningdisinfectantwipe(e.g.OrochemieB60).

Seetheusageinstructionsforthedisinfectantandcleaningagents.Were-commendusingDÜRRNDTIPCleaningWipes,OrderNo.CCB351A0101.

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22. MaintenanceThereisnomaintenancerequiredbytheuser.OccurringmaintenanceintervalsmustbeperformedbyaservicetechnicianthathasbeenauthorisedbyDÜRRMEDICALormustbecom-pletedintheDÜRRMEDICALplant.

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Trouble-shooting

23. Tips for Operators and Service Technician Repairs may only be carried out by qualified personnel or by our After-Sales Service.

Before starting repairs or opening the appliance, remove the mains plug from the plug socket.

Problem Probable cause Solution1. Scanner cannot be

switched on•Nosupplyvoltage •Checkthemainscableandall

connections•Checkthemainfuseboxtobuil-

ding•Checkthepowerunit,whether

greenLEDlights

•On/Offswitchisdefective • InformyourServiceTechnician

2. Scanner switches off after a brief period

•Mainscableoroneoftheplugshasnotbeeninsertedcorrectly

•Checkthemainscableandallconnections

•Hardwaredefective • InformyourServiceTechnician

•Mainssupplyvoltagetoolow •Checkthesupplyvoltage

3. Status, error or operation LED does not light up

•LEDdefective • InformyourServiceTechnician

4. Loud noises during operation after switching on

• Ifthenoisespersistlongerthan30seconds,thenthebeambaffleisdefective

• InformyourServiceTechnician

5. Image processing software does not recognise the scanner

•Scannerisnotswitchedon •Switchonthescanner

•Connectioncablebetweenscan-nerandPClooseornotconnec-ted

•Checkallconnectioncables

•PCdoesnotrecogniseconnec-tiontoscanner

•CheckUSB-connection

•USB-drivernotinstalledorinacti-ve

•LoadoractivatethedriverfromtheCD.

•Hardwarefaultwithscanner • InformyourServiceTechnician

6. Problem on data transmission bet-ween scanner and PC. Error message: "CRC error" "Ti-meout"

•Connectioncableofwrongtypeortoolong

•Onlyuseoriginal"DürrCable"ordernumber9000-119-067

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Problem Probable cause Solution7. Image plate is not

drawn into the app-liance via transport arc

•Foilcassettenotcorrectlypositio-ned

•Placethefilmcassettecorrectly

•Transportmechanismisnotactivatedandscannerisnotatstand-by

•Seesection17.3scanningimagedata

8. X-ray exposure does not appear on the monitor after scanning

• Imageplatewasinsertedupsidedownandtheinactivesidescan-ned

•Rescantheimageplateasquicklyaspossible

• Imagedatafromtheimageplatewasdeleted

•TheimagedatacontainedontheimageplatemustbescannedasquicklyaspossibleonremovalfromtheX-raycassette

•Problemwiththehardware • InformyourServiceTechnician

•X-raydeviceisfaulty • InformyourServiceTechnician

•Noimageinformationontheimageplate

•Exposetheimageplate

9. X-ray exposure is too dark

•X-rayexposureisoverexposed •SetthebrightnessoftheX-rayimageusingthesoftware

•Theimageplatewasexposedtotoomuchlightbeforeinsertionintothefilmcassette

• Insertionmustbecarriedoutwithin30secondsunderambi-entlightconditionsofunderca.20 Lux.

10. Image presented as mirror image

• Imageplatewasplacedincasset-teupsidedown.

•Placeandaligntheimageplatecorrectly

•Wrongscanningmodeselected •Choosethecorrectscanningmode(with/withoutimageinver-sion)

11. Ghost images and shadows on the X-ray exposure

• Imageinformationpresentontheimageplatewasnotsufficientlyerased

•Alwaysuserecommendederasu-retimes.

•Checkthelightintensityandtheerasuretimes

•Seesection17.4Erasureofimageplate

12. Image is very faint on the scanning window software cannot piece the data together to form a complete picture

•TheX-raydoseusedfortheimageplatewastoolow

• IncreasetheX-raydosage

•Amplificationleveltoolow(HV-value)

• Increasetheamplification(HV-value)

•Unsuitablescanningmodeused •Chooseasuitablescanningmode

•Thresholdsettingtoohigh •Reducethesettings

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Problem Probable cause Solution13. X-ray exposure

has stripes on image

• Imageplatehasbeenexposed •Onlyusetheimageplatewithin24hoursofdataerasure.

•Partoftheimageplatewasex-posedtolightduringhandling

•Donotexposeusedimageplatestolight.Exposureandthescan-ningoftheimagedatashouldbecarriedoutwithinhalfanhour.

• Imageplatewasdirtyorscrat-ched

•Cleantheimageplateusingasoftwipeandspecialcleanerforimageplates.Allimageplateswithscratchesmustbereplacedimmediately

14. Warning mes-sage: "Too much ambient light"

•Scannerisexposedtotoomuchambientlight

•Darkentheroom•Turnthescannersothatnolight

fallsdirectlyontheentryslotarea•Changethelightprotectionbrus-

hes

15. Pale stripes in scanning window

•Toomuchstraylightenteredduringscanning

•Onlyremovethefoilcassetteafterthescanningprocesshasbeencompleted

•Darkentheroom•Turnthescannersothatnolight

fallsdirectlyontheentryslotarea•Changethelightprotectionbrus-

hes

16. As well as the correct image, narrow images with light and dark streaks are visible

•Toomuchstraylightenteredduringscanning

•Onlyremovethefoilcassetteafterthescanningprocesshasbeencompleted

•Darkentheroom•Turnthescannersothatnolight

fallsdirectlyontheentryslotarea•Changethelightprotectionbrus-

hes

17. There is a wide, pale stripe at the top border of the image

•Lightenteredafterscanningandthiswasrecognisedbythesoft-wareasbelongingtotheimage.

•Onlyremovethefoilcassetteafterthescanningprocesshasbeencompleted

•Darkentheroom•Turnthescannersothatnolight

fallsdirectlyontheentryslotarea

18. Warning message: Wrong power unit

• Incorrectpowerunithasbeenconnected

•Usethepowerunitprovided

19. Warning: exces-sive heating

•Lasertoohot•Erasureunittoohot

•Switchoffthescannerandallowtocool

20. Warning: erasure unit fault

•LEDdefective•LEDdirty

• InformyourServiceTechnician

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Dürr NDT GmbH & Co. KGDivision DÜRR MEDICALHöpfigheimer Strasse 22 D-74321 Bietigheim-BissingenGermanyPhone: +49 7142 99381-0Fax: +49 7142 99381-299www.duerr-medical.de [email protected]