Section DHS 157.75 - General requirements for all diagnostic x-ray systems(1) Warning label. The control panel containing the main power switch shall bear the following warning statement, legible and accessible to view: "WARNING: This x-ray unit may be dangerous to patient and operator unless safe exposure factors and operating instructions are observed."(2) Battery charge indicator. On battery-powered x-ray generators, visual means shall be provided on the control panel to indicate whether the battery is in a state of charge adequate for proper operation.(3) Leakage radiation from the diagnostic source assembly. The leakage radiation from the diagnostic source assembly measured at a distance of one meter in any direction from the source may not exceed one mGy (115 milliroentgens) in one hour when an x-ray tube is operated at its leakage technique factors. Compliance shall be determined by measurements averaged over an area of 100 square centimeters with no linear dimension greater than 20 centimeters. Leakage technique factors may be any of the following: (a) For diagnostic source assemblies intended for capacitor energy storage equipment, the maximum-rated peak tube potential and the maximum-rated number of exposures in an hour for operation at the maximum-rated peak tube potential with the quantity of charge per exposure being 10 millicoulombs, which is 10 mAs, or the minimum obtainable from the unit, whichever is larger.(b) For diagnostic source assemblies intended for field emission equipment rated for pulsed operation, the maximum-rated peak tube potential and the maximum-rated number of x-ray pulses in an hour for operation at the maximum-rated peak tube potential.(c) For all other diagnostic source assemblies, the maximum-rated peak tube potential and the maximum-rated continuous tube current for the maximum-rated peak tube potential.(4) Radiation from components other than the diagnostic source assembly. The radiation emitted by a component other than the diagnostic source assembly may not exceed 20m Gy (2.15 milliroentgens) in one hour at 5 centimeters from any accessible surface of the component when it is operated in an assembled x-ray system under any conditions for which it was designed. Compliance shall be determined by measurements averaged over an area of 100 square centimeters with no linear dimension greater than 20 centimeters.(5) Beam quality. (a) The half-value layer of the useful beam for a given x-ray tube potential may not be less than the values shown in Table DHS 157.75. If it is necessary to determine the half-value layer at an x-ray tube potential that is not listed in Table DHS 157.75, linear interpolation or extrapolation may be made. Table DHS 157.75
Half-Value Layer Requirements
X-Ray Tube Voltage in kilovolt peak | Half-Value Layer in mm Aluminum |
Design Operating Range | Mesured Operating Potential | Specified Dental Systems1 | I-Other X-Ray Systems2 | II-Other Diagnostic X-Ray Systems 3 |
Below 51 | 30 40 50 | 1.5 1.5 1.5 | 0.3 0.4 0.5 | 0.3 0.4 0.5 |
51 to 70 | 51 60 70 | 1.5 1.5 1.5 | 1.2 1.3 1.5 | 1.3 1.5 1.8 |
Above 70 | 71 80 90 100 110 120 130 140 150 | 2.1 2.3 2.5 2.7 3.0 3.2 3.5 3.8 4.1 | 2.1 2.3 2.5 2.7 3.0 3.2 3.5 3.8 4.1 | 2.5 2.9 3.2 3.6 3.9 4.3 4.7 5.0 5.4 |
1 Dental x-ray systems designed for use with intraoral image receptors and manufactured after December 1, 1980.
2 Dental x-ray systems designed for use with intraoral image receptors and manufactured before or on December 1, 1980, and all other x-ray systems subject to 21 CFR 1020 and manufactured before June 10, 2006.
3 All x-ray systems, except dental x-ray systems designed for use with intraoral image receptors, subject to 21 CFR 1020 and manufactured on or after June 10, 2006.
(b) For x-ray systems using capacitor discharge to provide power to an x-ray tube, half-value layer shall be determined with the system fully charged and a setting of 10 mAs for each exposure.(c) The required minimal half-value layer of the useful beam shall include the filtration contributed by all materials that are permanently between the source and the patient.(d) For x-ray systems with variable filtration controls, the system shall prevent an exposure unless the appropriate filtration is in place for the kilovolts peak selected.(6) Multiple tubes. When 2 or more radiographic tubes are controlled by one exposure switch, the tube that has been selected shall be clearly indicated prior to initiation of the exposure. The indication shall be both on an x-ray control panel and at or near the selected tube housing assembly.(7) Mechanical support of tube head. The tube housing assembly supports shall be adjusted such that the tube housing assembly will remain stable during an exposure unless tube-housing movement is a designed function of an x-ray system.(8) Technique indicators. (a) The technique factors to be used during an exposure shall be indicated before the exposure begins. If automatic exposure controls are used, the technique factors, which are set prior to the exposure, shall be indicated.(b) The requirement in par. (a) may be met by permanent markings on equipment having fixed technique factors. Indication of technique factors shall be visible from the operator's position except in the case of spot films made by the fluoroscopist.(9) Maintaining compliance. Diagnostic x-ray systems and their associated components used on humans and certified under the federal x-ray equipment performance standard, 21 CFR 1020, shall be maintained in compliance with applicable requirements of that standard.(10) Locks. All position locking, holding and centering devices on x-ray system components and systems shall function as intended.Wis. Admin. Code Department of Health Services DHS 157.75
CR 01-108: cr. Register July 2002 No. 559, eff. 8-1-02; CR 06-021: am. Table Register October 2006 No. 610, eff. 11-1-06.Amended by, CR 22-015: am. Table Register June 2023 No. 810, eff. 7/1/2023