Q: Where are NOMAD products approved for use?

A: Within the United States the NOMAD MD is cleared for sale by the FDA.  Individual states may have specific requirements for their use. For details check with your dealer or the state radiation control office.

For use outside of the U.S., please contact Aribex Customer Support.

 

Q: Can I buy directly from you?

A: With the exception of educational institutions, Aribex sells its NOMAD products only through established medical dealers. You can make a purchase by contacting an Aribex representative through our Contact Sales Representative page. Aribex Customer Support will be happy to have a representative contact you or arrange a demonstration in your office. That way you can see how lightweight and convenient NOMAD products are and determine if it’s right for your practice.

Q: How can an educational institution buy your products?

A: Please contact Aribex Customer Support for information.

 

Q: After I order, when will my product ship?

A: Our normal lead time is to ship within two weeks of the order.

 

Q: How do I become an Aribex dealer?

A: Aribex has an approval process in place for the selection of new dealers. Customer Support will be happy to send you a dealer application. When completed and received, it will be referred to the appropriate segment manager for approval, who will contact you with further information.

 

Safety

Q: Are NOMAD products safe?

A: Numerous clinical studies have confirmed that NOMAD X-ray products, when used properly, are as safe, if not safer, than conventional X-ray units. Special internal shielding and our external backscatter shield protect the operator, while true DC voltage and a controlled focal spot minimize the exposure to the patient. For more information on these studies please contact Customer Support.

 

Q: What personal protective measures should I take when using NOMAD products?

A: When used properly, NOMAD products require no protection unless mandated by your state. Independent tests have shown that even under the heaviest use operator exposure is one one-hundredth of the annual maximum set by the government for occupational safety.

Individual states may vary in their approval and requirements for handheld X-ray devices, including storage, use of protective vests, and dosimetry badges or rings. Check with your dealer or the state radiation control office for details.

Bystanders should maintain a proper distance from the X-ray by following local radiation safety regulations to avoid undue exposure.

 

Q: Should I use the NOMAD if I’m pregnant?

A: Federal and state regulations indicate steps should be taken to limit doses to the fetus of a pregnant woman to 500mrem (or less) during the nine month gestation period and it is recommended that these exposures not be over 50mrem in any month.

Studies demonstrate that typical NOMAD operator radiation doses to are lower than those allowed to pregnant workers (22.5mrem [0.225mSv] per a nine month gestation period or 2.5mrem per month). When the NOMAD is properly used and zone of occupancy is maintained, operator dose is characteristically below the minimum detectible level on monthly reading dosimetry worn by technologists.

However, for increased safety and for peace of mind, Aribex supports the use of additional cautionary measures during pregnancy through the use personal protective apparel as well as monitoring via the use of personal dosimetry. (Numerous personal dosimetry badging services are available and can be found via web searches.)

For additional insights you may want to visit the Health Physics Society web page which contains a wealth of information within their position statements. Links to two examples are given below:

http://hps.org/documents/pregnancy_fact_sheet.pdf
http://hps.org/publicinformation/ate/q1102.html

or the National Council on Radiation Protection and Measurements (NCRP) web page; a link example is available below:

http://www.ncrponline.org/Publications/Statements/Statement_10.pdf

 

Use

Q: How do I clean/disinfect my NOMAD?

NOTE: NOMAD devices, batteries, handles, charging units, power supplies, and collimator adapters ARE NOT designed to be subjected to any kind of sterilization procedure, including autoclaving.

Only use a non-acetone cleaner that has less than 20% alcohol by content.  Higher alcohol levels may cause damage to the housing and bezel area.

A: Turn off the power and detach the battery before cleaning. Ensure the battery charger is unplugged before attempting to clean it. Use a non-acetone based disinfectant wipe  or cloth (according to chemical manufacturer’s recommendations) to wipe the exterior surfaces of the NOMAD  and charger.

DO NOT spray disinfectant of cleaners directly on any NOMAD device, battery, charging unit or AC power supply. The connecting areas are subject to ingress, and damage to your device may result.
DO NOT operate the NOMAD, battery, charging unit, or power supply if equipment was subjected to moisture (wetting, immersing, or soaking). If this occurs, return the unit to Aribex for service.

 

Q: How can register my warranty with Aribex?

A: You can either mail in the warranty card that came with your unit or fill out the online warranty registration here.

 

Q: Who registers the product with the state?

A: The owner has responsibility to register the device with the state. A list of state regulatory websites is available here.

 

Q: Can you take high quality X-rays holding the unit in your hand even if you are shaking or moving slightly?

A: Yes. Both experience and data show that the operator can easily hold the NOMAD and NOMAD Pro steady enough to produce diagnostic quality X-rays.The most important factor in producing high quality x-rays is holding the cone/backscatter shield as close to the face as possible.

 

Q: What imaging media can be used?

A: NOMAD devices work equally well with film, digital media and phosphor plates. Exposure times will vary with the media used.

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Batteries

Q: How do I maintain the batteries?

A: Batteries and handsets should be carefully removed from the X-ray head each night when storing the device.

It is recommended that when using NOMAD devices to leave the spare battery/handset in the charger at all times.

Use the active battery/handset until the low battery indicator is displayed, then remove it and swap it for the battery/handset that has been in the charger. Eventually, the battery/handset will stop holding a charge and require replacement from your dealer.

Battery Questions Answers
Type of battery NiCd 14.4v
Should you remove the battery from the X-ray head every night? Not necessary, but they may be separated for security reasons
Expected exposure per full charge At least 100 1-second exposures
OK to leave battery in charger? Yes, recommended
Expected recharge time 4 hrs
Expected battery life 200 recharge cycles
Ok to recharge every evening? No, wait until low battery indicator
 

Q: How do I properly dispose of NOMAD batteries?

A: An authorized distributor, Aribex, and your local recycling center will accept spent or damaged batteries.

  • Do not attempt to charge a handset with damaged batteries.
  • Risk of fire or explosion exists if batteries inside the handset are replaced by unauthorized service personnel; do not use batteries from other sources.
  • Properly dispose of spent or damaged handset; return to Aribex or an authorized distributor for replacement and recycling. Do not place in municipal waste stream.

To find battery recycling facilities in the U.S., go to: call2recycle.org/.