RTSI FocalSpot > Fall 2015

NEWS FROM THE LEADER IN RADIOLOGICAL SERVICE TRAINING > RADIOLOGICAL SERVICE TRAINING INSTITUTE > ISSUE 3.15

30 YEARS OF MAXIMUM VALUE FOR YOUR EDUCATIONAL GROWTH AND DEVELOPMENT

POWER UP

WITH PHILIPS FD

GRAB THE FULL 2015-16 COURSE INSERT INSIDE + VISIT US ONLINE @ RSTI-TRAINING.COM THE PRESIDENT’S LENS..............2-3

LAB UPDATES..................................9

NEW! PHILIPS ALLURA...............4-5

USED EQUIPMENT..................10-11

DAVE’S RAVE...................................6

GAME CHANGERS........................ 12

COURSE SCHEDULE...............INSERT

COURSE INDEX.............................. 15

STATE OF OH REG. NO. 93-09-1377T ©2015 RSTI | DESIGN BY MOSSMEDIA

ADDING CARDIAC CATHETERIZATION SERVICE TO YOUR HTM PROGRAM FROM THE LENS OF DALE COVER, RSTI PRESIDENT The average purchase price of a cath lab is around $800k for your basic unit and about $1.5M, well equipped, in car dealer lingo.

With a service contract cost of between 10 and 12% of the original purchase price, your annual maintenance contract costs could range from around $80k to $180k depending on your system configuration and leverage with Philips. Adding options like extended coverage (after-hours) will drive that cost even higher.

N

ow that you have mastered the imaging systems that would be considered the low hanging fruit, such as the Mobile X-Ray, C-Arms and general Radiographic systems, a good way to continue your growth is to add the Cardiac Catheterization Labs to your program.

If you have a program that has already dropped all contracts and you are maintaining your Cath labs under a T&M (time and materials) agreement, most of your risk and expense can be reduced by bringing that service in-house. If you happen to be an ISO, regardless of your size, adding Cardiac Cath to your available services will offer the potential for new revenue streams and growth.

Here is some information to help with justifying a plan to drop or severely modify your existing service contract(s) on Philips Allura FD Family cath labs:

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The average life span of the X-Ray tube and the detector (the two most expensive replacement parts) is roughly 5 years each. Clearly there are exceptions that can be pointed out, like the tube that lasts 8 years or the detector that fails in the first year.

The OEM labor charges are about $500/hr, $750/ hr after 5:00pm and $1000/hr for weekends and holidays.

The price of a new tube from the manufacturer is about $181k and on average a used tube costs around $30k to $100k depending on age.

The price of a new detector is roughly $195k, and the average used detector cost ranges from $40k to $150K, again depending on its age.

Training at RSTI is $12999.00 and requires two weeks travel to Solon, Ohio.

LET’S TAKE A LOOK AT SOME NUMBERS...

CONTRACT COST FOR A MIDDLE OF THE ROAD PHILIPS ALLURA FD SYSTEM (3 AND 4 YEARS) 3 YEAR

4 YEAR

CONTRACT

$390,00

$520,000

AFTER HOURS @ 24/YR

$54,000

$72,000

TOTAL

$444,00

$592,000

Projected cost to service the same middle of the road system yourself assuming worst case (failed X-Ray tube and detector) using new from OEM and newest possible used replacements:

3 YEAR NEW

3 YEAR USED

4 YEAR NEW

4 YEAR USED

$120/YR FE @ 20% OF THEIR TIME

$72,000

$72,000

$96,000

$520,000

AFTER HOURS @ 24/YR

$6,480

$6,480

$8,640

$8,640

TRAINING

$12,999

$12,999

$12,999

$12,999

REPLACEMENT X-RAY TUBE

$181,000

$100,000

$181,000

$100,000

REPLACEMENT DETECTOR

$195,000

$150,000

$195,000

$150,000

TOTAL

$467,479

$341,479

$493,639

$367,639

These numbers reflect worst case wherein the two most expensive components fail, which is highly unlikely. That being said, should worst case happen, the only point at which you would lose is in a three year deal where you bought only OEM new parts. All of the other comparisons show exceptional potential for savings. Clearly these scenarios only account for the big ticket items and certainly there could be other expenses incurred during these time windows due to other normal maintenance occurrences.

I have written many articles that extol the virtues and savings of servicing your own equipment. This time I thought I would include some real numbers to help you write your justification to attend training and get away from that contract.

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PHILIPS ALLURA FD FAMILY CLASS NEW IN 2016... SEE THE PULLOUT COURSE INDEX FOR DATES... // GRID SWITCH DIAGNOSTICS AND VERIFICATION // DETECTOR CHANGE AND CALIBRATION // CAN BUS DIAGNOSTICS // FIELD SERVICE FRAMEWORK // PM // TROUBLESHOOTING TOOLS AND TIPS

THIS TRAINING CLASS WILL COVER THE LATEST PHILLIPS ALLURA FD FAMILY FUNCTIONALITY AND SPECIFICATIONS. On the first day of class we will assist the students to acquire the necessary access to service the systems at their facility. An additional troubleshooting kit will also be available for purchase at the beginning of the class that will include the following: // CABLE KIT

BY DUSTIN ZIMMERMAN RSTI Service Manager RSTI is pleased to announce the addition of the Philips Allura FD Family to our training schedule.

The first class will start on January 18, 2016, with a total of four courses running for the calendar year. The course will cover all FD platforms up to release 7.x.x.

Our training system is fully installed and curriculum development is underway. The course will provide indepth service related issue discussions including the following: // GEOMETRY TROUBLESHOOTING AND CALIBRATION // MRC 200 TUBE CHANGE AND CALIBRATION

4 // FOCALSPOT.ISSUE3.15

// GRID SWITCH TEST TOOL // USB SIM CARD READER // PM KIT

Classes are filling up fast so call ahead to reserve your spot. If you have any additional questions feel free to email or call. We look forward to seeing you in this essential, skills development class soon!

GET INSIDE + GET YOUR HANDS ON THE PHILIPS ALLURA!

WE’VE GOT A WHOLE FLEET OF DEVICES LIKE THESE IN OUR LABS ENGINEERED FOR LEARNING!

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DAVE’S RAVE TECH TIP: NEW CIRCUIT BOARDS FOR OEC C-ARMS

BY DAVE DOMANSKI RSTI Instructor Hey, gang, Dave here at RSTI with some news on updated circuit boards that you are likely to see in the OEC 9800 and 9900 C-arms. The three boards we will be covering today are the Generator Driver PCB, the IGBT Snubber PCB and the Battery Charger PCB. The new boards were made necessary due to some components becoming obsolete. It’s difficult to make new boards when they stop making the parts you used before! Therefore any replacements ordered from the manufacturer will be the updated PCBs. The new Generator Driver PCB and IGBT Snubber PCB are easy to distinguish from the old version primarily because the board itself is now blue in color as opposed to the traditional green. They are both direct replacements so you will still use the same connectors (no changes to the wiring harness). The test points used for dead-time adjustment still have the same designations ,and are in the same order, TP70, TP66, TP67 and TP68; however the minimum allowable dead-time has dropped to an impressive 1uS from the previous 1.5uS. The test points are also now in a single row near the center of the board, just above the large heat sink.

The battery charger is a bit different in several ways.

It looks similar to the old version, though the inductor (largest component on the board) is now closer to the top edge. There are now three green LEDs along the bottom edge of the board that indicate the mode of the battery charger:

One LED = Low Charge Mode Two LEDs = Normal Charge Mode Three LEDs = Charge Boost Mode

6 // FOCALSPOT.ISSUE3.15

The amber current display is near its old location, but the current values have changed by a factor of 10X. Whereas a reading of 25 would be equal to 25 mA on the old charger board, it is equal to 250 mA on the new one.

The red voltage display is still with us as well, ranging from 160V to 250V, with the big difference from the old board being that now all of the voltage LEDs up to and including the charge voltage will be lit. Calibration of the display remains the same in methodology, though the adjustment pots have changed. Pot R144 is now the voltage adjustment and pot 147 is the display adjustment.

Be aware that the new charger board has a different wiring harness. This means that an old version board will require the old wiring harness in order to replace the new version board.

FOR MORE INFORMATION, OUR NEXT OEC 9800/9900 CLASS IS SCHEDULED FOR NOVEMBER 9 – 20.

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8 // FOCALSPOT.ISSUE3.15

RSTI IS NOW OFFERING RADSPEED TRAINING! RSTI LAB UPDATES

BY JOE GEARY RSTI Instructor The staff at RSTI is celebrating 30 years of providing the diagnostic imaging industry with the highest quality service training in the world. Thriving in this industry for 30 years is not accomplished by standing still.

The team at RSTI is continually striving to provide the training our customers require. We are always adding new classes to our training schedule to ensure our students have all the tools they will need to succeed in their careers.

The latest addition to our training schedule is the Shimadzu RADSpeed training course.

This course is designed to provide the service professional with the skills necessary to fully service and maintain this X-ray system including calibrations, preventive maintenance, and troubleshooting.

The class will include RSTI developed functional block diagrams to aid in circuit comprehension and fault isolation. We look forward to seeing you in class. The course dates will be on our next schedule.

WORK DIRECTLY ON A NEW SHIMADZU RADSPEED UNIT!

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RSTI EXCHANGE RECIPE FOR GROWTH NEWS FROM RSTI-EXCHANGE.COM

BY TERRY SPETH VICE PRESIDENT, RSTI EXCHANGE In the RSTI Exchange world we’re continuing to grow. I would like to compare us to a delicious pot roast cooked in a crock pot: planned ahead, knowing the right timing, cooked slowly and steadily with the perfect ingredients, while seasoned just right.

PLANNING: RSTI Exchange continues to execute our plans for growing the business while keeping all of the same important qualities in focus: quality tested used parts, knowledgeable service engineers, competitive pricing, and great customer service. Recently we added a new salesperson, Jason Whitfield. We believe he will be a great addition to RSTI Exchange. Jason has been in the industry for 7 years. He has the kind of experience and attitude required to be an valuable asset to you. All RSTI employees wear multiple hats. No one here does just one job at RSTI. We all contribute in different aspects of the company, and Jason has what it takes jump right in and contribute to the already incredible Exchange team.

TIMING: The timing is perfect. With increased demand for good quality used parts and on-demand service RSTI Exchange fits into the recipe. Dustin Zimmerman, our service support lead, is a jack-of-all trades with many resources, plus he has direct access to RSTI’s highly-skilled instructor staff for further consultation. If you are stumped, and your equipment is “down” we have the perfect guy for the job. We can visit your site (on demand) and assist in getting your site back up and running. Our students need a great source for parts so we built RSTI Exchange to supply their needs. RSTI Exchange is now well positioned to support all of your parts needs. Our parts inventory is rapidly growing across all modalities and manufacturers and we have the expertise to identify the exact part you need. The timing couldn’t be better for us to supply that demand.

SLOW: We don’t want to expand too fast. We believe growth should be slow and steady. A slow growth rate ensures we keep our high standards of quality. Quality 10 | FOCALSPOT.ISSUE02.15 10 // FOCALSPOT.ISSUE3.15

parts and knowledgeable, on-demand service are essential.

PERFECT INGREDIENTS: Darrel Kile, Ken Brady, Jason Whitfield, Dustin Zimmerman and our warehouse employees behind the scenes have over 85 years combined experience. Myself – I can’t pinpoint exactly when I started because I have been around RSTI most of my adult life. How can you quantify, or put a value on being mentored by the best there was: Terry Speth Sr.? His knowledge of service training, support and management plus the knack for running a business was invaluable.

SEASON IT JUST RIGHT: The rest of the staff at RSTI seasons the meat perfectly. Our diverse personalities and the enthusiasm we bring into work every day makes a big difference in all of our attitudes. You will feel the passion in our voice, and see it in our actions.

You’ll be sure when you meet with our staff they will care about your parts or service requests, and future success.

Delicious pot roast… maybe slow cooked pulled pork was a better analogy, but you get the point.

CONTACT US ...

CALL OR EMAIL OUR SALES STAFF FOR QUALITY TESTED PARTS, AND/OR ON-DEMAND SERVICE. RSTI EXCHANGE PHONE: 440-349-4700 TERRY SPETH, DARREL KILE, JASON WHITFIELD ARE HAPPY TO HELP.

EXPANDING INVENTORY ...

We currently have over 5,000 unique parts in stock and that number is constantly expanding by make, model and modality! With our knowledge, experience and expertise you can be comfortable with knowing we will provide the correct part the first time, and at the best price. We can also install the part for you on demand, just ask your sales rep for details.

CALL US FOR YOUR NEEDS ON: • Toshiba Aquilion 4, 16, 64 – Tube, X-Ray Generators, Detectors, Boards • Philips FD-10 - Geo tilt, TSOs, Tube, Detector, Boards • Philips FD-20 - Geo tilt, TSOs, Tube, Detector, Boards • GE Flashpad Detectors in stock and tested • GE- Essential - Detectors, Paddles with new plastics, Boards, Collimators, IDC, Computers, Tubes

QUALITY PARTS, FAIR PRICE AND SUPPORT. ASK ABOUT OUR ON-DEMAND SERVICE AND INSTALLS.

• Seno DS - Detectors, Paddles with new plastic, Boards, Collimators, IDC, Computers, Tubes • Seno 2000D - Detectors, Paddles with new plastic, Boards, Collimators, IDC, Computers, Tubes • Hologic Selenia -Detectors, Paddles, Boards, Computers, Bricks, Tubes, Monitors • Siemens Novation - Detectors, Paddles, Boards, Computers, Tubes • Optima XR220- Detectors, Drive Handles, Top Covers, Tubes and Power Supplies

DARREL KILE- DKILE@RSTI-EXCHANGE.COM TERRY SPETH - TSPETH@RSTI-EXCHANGE.COM JASON WHITFIELD- JWHITFIELD@RSTIEXCHANGE.COM

• AMX 700- Power Supplies, Boards, Detectors • Philips Diagnost Family- Digital Diagnost, Bucky Diagnost, Bucky TH

WWW.RSTI-TRAINING.COM// | CALL CALL440.349.4700 440.349.4700//| 11 11 WWW.RSTI-TRAINING.COM

GAME CHANGERS THIS ISN’T YOUR FATHER’S AMX

BY MIKE PETELIN // RSTI INSTRUCTOR The AMX4 and AMX4+ are on their way out. They are being replaced with the Optima series of portables. The GE Optima series introduces new technologies as well as new challenges for the service engineer.

There is very little in common between the Optima and AMX series. The AMX used 9 individual batteries, while the Optima uses four battery packs, each with three batteries. The new battery connectors used are much safer than just a threaded stud with nut; thus lowering the chance of “welding” your screwdrivers to the system. Because there are no boards that were used in the AMX4 that are used in the Optima series there is no reason to hold on to your AMX for spare parts.

The main failure item on the AMX is the Controller (or CPU) board. Not much has changed with the Optima as the computer or “DI” is one of the high failure items on the Optima. The digitizer for the touch screen can pose some issues as well.

Be sure to check the accompanying schedule to claim your spot in our next Optima classe, held on December 14-18, where you will learn how to calibrate, maintain and repair the Optima series of portables.

DON’T FORGET TO EXPLORE OUR 2015-16 COURSE SCHEDULE INSERT, CONVENIENTLY REDESIGNED AND REFORMATTED AS A LARGER PULLOUT INSERT IN THIS NEWSLETTER! 12 // FOCALSPOT.ISSUE3.15

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// MARCH 16-27, 2015

Recent Phase I Classes

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INTRODUCING THE RSTI BOOKSTORE! PLEASE LOOK FOR INFORMATION ON RSTI BOOKSTORE COMING SOON, TO FEATURE ITEMS SUCH AS... // PHILIPS BRILLIANCE CT BYPASS/JUMPER TROUBLESHOOTING KIT // TEST EQUIPMENT FROM VARIOUS MANUFACTURERS // RSTI SPIRIT WEAR // CUSTOM TEST EQUIPMENT FOR VARIOUS MODALITIES (MAMMOGRAPHY, CT, C-ARMS)

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PRESORTED STANDARD MAIL U.S. POSTAGE PAID AKRON, OH PERMIT #286 RADIOLOGICAL SERVICE TRAINING INSTITUTE 30745 SOLON ROAD SOLON, OHIO 44139 WWW.RSTI-TRAINING.COM A DDR ES S SERV I C E R EQU ESTED

CRES CERTIFICATION RSTI has made it easy for you to become CRES certified. Our CRES self-study package is a powerful tool to help you focus on specific certification objectives. There are nine different criterion-referenced modules that give a comprehensive review of subjects covered on the exam.

THE NINE MODULES ARE ENTITLED: • • • • • • • • •

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Mastering these topics will enable you to succeed on the final CRES Certification Exam. With RSTI’s self-study CRES package you can learn anytime, anywhere, at your convenience and on your schedule.

VISIT HTTP://WWW.AAMI.ORG/CERTIFICATION/ JOURNAL.HTML FOR CERTIFICATE RENEWAL DETAILS. The modules contain both practice exams with answers and exams which can be returned to RSTI for grading. We are offering a 20% discount off of the list price of $398. The sale price is $318.40.

CALL (800) 229-7784 FOR INFO OR VISIT WWW.AAMI.ORG/CERTIFICATION/EXAM.HTML FOR DETAILED EXAM INFO.