CS 9300C User Guide
Contents
1. 5 4 ACQUIRING CEPHALOMETRIC IMAGES Acquiring a Lateral Image Preparing and Positioning the Pediatric Patient To prepare and position the pediatric patient follow these steps 1 Ask the pediatric patient to remove all metal objects 2 Ask the pediatric patient to wear a lead apron with a thyroid collar Ensure that the apron lays flat across the patient s shoulders 3 Open the head clamps and ask the pediatric patient to stand up straight in front of the cephalometric unit in the appropriate position E 4 On the control panel press and hold Y 9 to level the ear cones to the pediatric patient s auditory canals 5 Insert gently one cone in the auditory canal of the pediatric patient Turn gently the button to close the arms Insert gently the second cone in the auditory canal of the pediatric patient 6 On the control panel click O4 to turn ON the Frankfort laser positioning beam Align the pediatric patient with the Frankfort laser beam CS 9300C User Guide SM750 _Ed 01 5 5 Acquiring a Lateral Image 7 Lower the nasion support to a vertical position 5 6 ACQUIRING CEPHALOMETRIC IMAGES Acquiring a Lateral Image Launching the X ray To launch the X ray follow these steps 1 Leave the X ra2. Unit Control Panel 10 11 2A A ras A O 9 T wy SG C4 A 9 10 11 4 5 6 7 Height Adjustment button Adjusts the height of the unit to the height of the patient 3D Head Adjustment button Adjusts the patient head to the X ray beams 3D Adjustment button active in Technical Mode only Adjusts the unit rotative arm movements Laser Beam button Activates the beams to correctly position the patient 3D Position Verification button Positions the unit rotative arm at the selected or memorized 3D position Reset button Resets the unit arm to the initial position to enable the patient to enter and exit the Unit 3D Memorization button active in Technical Mode only Memorizes the 3D current positioning parameter settings that override the default parameters Display Screen Displays the current acquisition parameters and the error messages Ready Indicator LED Green indicates the unit is ready for acquisition X Ray Emission LED Yellow indicates the X rays are being emitted System Status LED Red indicates the error alerts 2 6 CS 9300C OVERVIEW X Ray Remote Control Overview X Ray Remote Control Overview The x ray remote control enables you to launch a radiological image acquisition via the exposure button from outside the X ray room You must press and hold the exposure button until the end of acquisition WARNING AN Premature release of the exposu
3. 5 30 ACQUIRING CEPHALOMETRIC IMAGES Chapter 6 MAINTENANCE Perform the following maintenance activities on your CS 9300C unit Daily Cleaning the CS 9300C unit 1 Switch off the unit 2 Clean all accessible parts of the unit using low level disinfectants that are U S Environmental Protection Agency EPA registered or low level disinfectants that are recognized by your Local Authority An EPA registered hospital disinfectant or any other low level disinfectant must have clear label claims for intended use You must follow the manufacturer instructions for use CAUTION LS Avoid applying any cleaning liquid to the inside parts of the unit Cleaning and disinfecting the Accessories CAUTION AN We recommend that you cover the accessories with FDA cleared protective sheaths that are available from distributors After you remove and discard the protective sheath each accessory must be cleaned and disinfected between each patient use Cleaning and disinfecting the accessories that have contact with the mucous membranes The accessories are delivered unsterilized To ensure maximum hygienic safety for the patient follow the following instructions carefully to prepare them for use The following accessories must be heat sterilized or disinfected with high level disinfectant between each patient use e TMJx4 nose rest e Panoramic standard bite block e Bite block for edentulous patient e 3D bite block To clean and disinfect
4. 2 Launch the X ray with the remote control Press and hold the exposure button until the end of acquisition The turns yellow indicating X ray emission The image appears on the Preview Screen of the Cephalometric Acquisition interface When the acquisition ends the Cephalometric Acquisition interface disappears and the acquired image is automatically transferred to the Imaging window IMPORTANT AN If you have a problem and need to stop the acquisition release the exposure button of the remote control or press the red emergency stop button 3 Check the image quality if satisfactory then release the patient CS 9300C User Guide SM750 _Ed 01 5 29 X Ray Dose Emission Information X Ray Dose Emission Information Compliance with EURATOM 97 43 Directive You can right click on each image to display the estimated emitted dose received by the patient You can use this information to calculate the effective dose received by the patient for the image The radiation emission dose is expressed in mGy cm2 This dose is measured at the primary collimator outlet The dose is accurate to 30 The primary slot is 17 6 mm wide and 17 6 mm high KODAK Dental Imaging Software 6 8 6 0 Henri LENOIR Durant Xavier 22 02 2006 P194 8K 12mA 1000ms HE Fie Coet Format Cephakmetrik TOV Options Window 8X M me 8 H S 6 w 22 02 2006 P194 7BKV 12mA 1000ma 93 3 mliy car 0 Lateral Caph DR Felt comessaris
5. turns yellow indicating X ray emission The image appears on the Preview Screen of the Cephalometric Acquisition interface When the acquisition ends the Cephalometric Acquisition interface disappears and the acquired image is automatically transferred to the Imaging window 3 Check the image quality If satisfactory remove the ear cones and release the patient 5 14 ACQUIRING CEPHALOMETRIC IMAGES Acquiring an Oblique Image Acquiring an Oblique Image Before acquiring an oblique image check that you have e Reset the unit rotative arm to the start position for patient to enter the unit e Selected the patient record e Accessed the Imaging window e Accessed the Cephalometric Acquisition interface Preparing the Unit and Setting the Acquisition Parameters for the Adult Patient To acquire an oblique image follow these steps 1 Position the head clamps manually for the oblique exam with the desired angle IMPORTANT AN You must position the head clamps manually because they are not positioned automatically from the Program pane exam type selection In this case the relevant exam type selection icon becomes active 2 In the Cephalometric Acquisition interface click the Program button to access the Program pane In the Program pane e The ED for an oblique exam is active Ana e Click to select the desired angle e Select the appropriate acquisition format option 3 Click the Patient button to acce
6. i5 2652c0is0s t06s000 se eseer eee sees eee see aees owes ee 5 10 Preparing and Positioning the Pediatrie Patient ip ic sake sae ce esab ole eeud deeper ede eek eee eee 5 12 ACQUIS an ONG IASG vss tha des ane Geteatatdaoaus ENEIDE AEE Sa RAO SL ehES E RENE RERE EA 5 15 Preparing the Unit and Setting the Acquisition Parameters for the Adult Patient 5 15 Preparing the Unit and Setting the Acquisition Parameters for the Pediatric Patient 5 16 Preparing and Positioning the Adult Patent 5o0ccdorcaer cree rer ere bree nr Sheree rehernnmhereeens 5 17 Preparing and Positioning the Pediatric Patient iisos5 one cede ce eae eine Ge dibasic Eaten tiecdue ede 5 18 Acquiring a Submento Vertex Mage 2 ssc cae e ced cevesees oes POO EERE EE EEn EOL ERLE EE ROS EEO EO 5 20 Preparing the Unit and Setting the Acquisition Parameters for the Adult Patient 5 20 Preparing the Unit and Setting the Acquisition Parameters for the Pediatric Patient 5 21 Preparing and Positioning the Adult Patent 0 5ocsetokeasrdaree ser teehee re where eraheenenher eee ee 5 22 Proparme and Pomionms the Peis Panel 14 44 sccih dcateddedetersadddass e e EERTE RENAE 5 23 Acquiring a Carpis Mage ios cece ceed t rp te asec Gd RON TEREE E EE DEE LORE RE COTE REE ROO EES EO 5 27 Preparing the Unit and Setting the Acquisition Parameters for the Pediatric Patient 5 27 Preparing and Positi
7. CS 9300C User Guide SM750 _Ed 01 3 3 Cephalometric Acquisition Interface Cephalometric Program Pane The cephalometric Program pane enables you to choose different radiological exams as well as different acquisition formats Figure 3 2 Cephalometric Program Pane 1 Radiological exam options Click A for a lateral exam Click for a submento vertex exam Click G or Q fora Click frontal exam AP and PA Click u for an oblique exam 2 Acquisition format options Select E fora 18x 18 format Select a for a 24 x 24 format Select for a 30 x 30 format Select a for a 18 x 24 format Select for a 24 x 30 format NOTE Gi The above list of exam types are only a sample of exam options of the Program pane yY rf Al for a carpus exam 3 4 IMAGING SOFTWARE OVERVIEW Cephalometric Acquisition Interface Cephalometric Patient Pane The cephalometric Patient pane enables you to choose different patient parameters The selection of the patient parameters influences the quality of the image The selected parameters must be based on the patient age and morphology Figure 3 3 Cephalometric Patient Pane p Patient ri Patient type parameters Click mile if the patient is a child Click if the patient is small Click if the patient is medium Click T if the patient is large CS 9300C User Guide SM750 _Ed 01 3 5 Cephalometric Acquisition Interface Cephalometric Paramete
8. Clean and remove all visible soil by scrubbing with a surfactant detergent and water Use an intermediate level disinfectant with tuberculocidal activity as identified above and as recommended by the manufacturer of the disinfectant A WARNING Do not rinse the ear cones 4 Allow to dry in open air Cleaning and disinfecting the components that have skin contact You must disinfect all components and the following accessories with a low level disinfectant between each patient use Panoramic TMJx2 Sinus chin rest 3D bite block support 6 2 MAINTENANCE Monthly e 3D head rest e Nasion support To clean and disinfect the components 1 Clean and remove all visible soil by scrubbing with a surfactant detergent and water 2 Rinse with water to remove chemical or detergent residue 3 Disinfect with an EPA registered hospital disinfectant for low level activity for example quaternary ammonium compounds some phenolics and some iodophors You must use the disinfectant according to the manufacturer instructions CAUTION AN If there is a visible contamination with blood you must clean the components and accessories with an EPA registered intermediate level hospital disinfectant that has a tuberculocidal claim You must use the disinfectant according to the manufacturer instructions Monthly Wipe the outer covers of the unit with a soft dry cloth Annually We recommend a general inspection of the u
9. IMAGES Acquiring a Submento Vertex Image Preparing the Unit and Setting the Acquisition Parameters for the Pediatric Patient To acquire a submento vertex image follow these steps 1 Position the head clamps manually for a frontal AP exam IMPORTANT AN You must position the head clamps manually because they are not positioned automatically from the Program pane exam type selection In this case the relevant exam type selection icon becomes active 1 In the Cephalometric Acquisition interface click the Program button to access the Program pane In the Program pane e The F for a frontal AP exam is active e Click f Jo a submento vertex exam e Select the appropriate acquisition format option 2 Click the Patient button to access the Patient pane Select the pediatric patient type 3 If the default parameter setting is not adapted to your pediatric patient type click the Parameter button and select the appropriate parameters To save the new parameter settings as the default settings click Lid and select Memorize settings CS 9300C User Guide SM750 _ Ed 01 5 21 Acquiring a Submento Vertex Image Preparing and Positioning the Adult Patient To prepare and position the patient follow these steps 1 Ask the patient to remove all metal objects poe 2 Ask the patient to wear a lead apron with a thyroid collar Ensure that the apron lays flat across the patient s shoulders 3 Op
10. frontal PA exam e Select the appropriate acquisition format option 3 Click the Patient button to access the Patient pane Select the pediatric patient type 4 If the default parameter setting is not adapted to your pediatric patient type click the Parameter button and select the appropriate parameters To save the new parameter settings as the default settings click Lid and select Memorize settings CS 9300C User Guide SM750 _Ed01 5 9 Acquiring a Frontal AP or PA Image Preparing and Positioning the Adult Patient To prepare and position the patient follow these steps Ask the patient to remove all metal objects Ask the patient to wear a lead apron with a thyroid collar Ensure that the apron lays flat across the patient s shoulders Open and position the head clamps parallel to the cephalometric sensor Ask the patient to stand up straight in front of the cephalometric unit in the following positions e Fora frontal AP facing the generator e Fora frontal PA facing the cephalometric sensor TE On the control panel press and hold M level the ear cones to the patient s auditory canals Insert gently one cone in the auditory canal of the patient Turn gently the button to close the arms Insert gently the second cone in the auditory canal of the patient On the control panel click O4 to turn ON the Frankfort laser positioning beam Align the patient with the Fran
11. information TIP Provides extra information and hints CS 9300C User Guide SM750 _Ed 01 Conventions in this Guide 1 2 About This Guide Chapter 2 CS 9300C OVERVIEW General Overview The CS 9300C is composed of the following functional components e The unit head that contains all the electronic control e The rotative arm e The fixed arm with a control panel e The panoramic and 3D digital sensor e The X ray source assembly e The X ray remote control e The chin rest base e The panoramic chin rest and bite block e The 3D bite block and support e The 3D head rest e The temple supports e The hand grips e The cephalostat arm e The cephalostat head e The head clamps and ear cones e The nasion support e The acquisition software see Imaging Software Overview The following figures illustrate the general overview of the CS 9300C system CS 9300C User Guide SM750 _Ed 01 2 1 General Overview Mobile Components Figure 2 1 illustrates the up and down movement of the CS 9300C mobile component and the 360 rotation of the rotative arm Figure 2 1 CS 9300C Mobile Components 2 2 CS 9300C OVERVIEW General Overview General Functional Components Figure 2 2 illustrates the general functional components of the CS 9300C Figure 2 2 CS 9300C Functional Components 1 ON OFF button 7 Sensor 2 Unit fixed arm 8 X ray source assembly 3
12. the accessories 1 Remove all visible soil by scrubbing with a surfactant detergent and water CS 9300C User Guide SM750 _Ed01 6 1 Daily Rinse with water to remove chemical or detergent residue Sterilize by steaming under pressure autoclaving for 18 mn at 134 C or use a high level disinfectant for example Glutaraldehyde glutaraldehyde with phenol hydrogen peroxide hydrogen peroxide with peracetic acid ortho phthalaldehyde A WARNING To sterilize with heat you must use a medical sterilization equipment cleared by the FDA in the USA You must always follow the sterilization operating parameters recommended by the manufacturer of the equipment You must always follow the manufacturer instructions for use of high level disinfectants 4 Use immediately or within a short period of time Cleaning and disinfecting the ear cones A CAUTION Ear cones must be covered with a FDA cleared protective sheath which is available from distributors After use remove and discard the protective sheath You must clean and disinfect the ear cones between each patient use with an EPA registered intermediate level hospital disinfectant with label claims of tuberculocidal activity for example a chlorine containing product a quaternary ammonium compound with alcohol a phenolics an iodophors an EPA registered chlorine base product To clean and disinfect the ear cones 1 2 Remove the protective sheath
13. CS 9300C User Guide Notice Congratulations on your purchase of the CS 9300C Thank you for your confidence in our products and we will do all in our power to ensure your complete satisfaction The User Guide for the CS 9300C includes information on the cephalometric features For the panoramic or the 3D features see the CS 9300 SM748 User Guide We recommend that you thoroughly familiarize yourself with this Guide in order to make the most effective use of your system The CS 9300C is intended to produce two dimensional and three dimensional digital x ray images of the dento maxillo facial and ENT Ear Nose and Throat areas to be used at the direction of healthcare professionals as diagnostic support for pediatric and adult patients In addition the CS 9300C is a system that is also intended to produce cephalometric images This includes imaging the hand and wrist to obtain the carpus image for growth and maturity assessment WARNING We recommend that you consult the Safety Regulatory and the Technical Specification User Guide before using the CS 9300C WARNING Do not use cone beam imaging for routine or screening examinations Consider using other diagnostic tools You must justify that the imaging method that you use to examine each patient demonstrates that the benefit outweights the risks The information contained in this Guide may be subject to modification without notice justification or notification to the persons co
14. Control panel 9 Unit rotative arm 4 Hand Grips 10 X Ray remote control 5 Chin rest base 11 Cephalostat arm 5a Panoramic chin rest 12 Cephalostat head 5b 3D chin rest and bite block 13 Head clamps and ear cones 6 Temple supports 14 Nasion support 15 PC hosting the imaging and the acquisition software CS 9300C User Guide SM750 Ed01 2 3 General Overview Digital Sensor Locations Figure 2 3 illustrates the locations of the following digital sensors e Panoramic and 3D digital sensor e Cephalometric digital sensor panoramic 3D and cephalometric digital sensors of the CS 9300C Figure 2 3 CS 9300C System Digital Sensor Locations 2 4 CS 9300C OVERVIEW General Overview Laser Locations Figure 2 4 illustrates the location of the lasers of the CS 9300C Figure 2 4 CS 9300C System Laser Positions 1 3D central positioning laser beam 2 Mid sagittal positioning laser beam 3 Horizontal positioning laser beam 4 3D Field of View FoV positioning laser beam 5 Cephalometric Frankfurt positioning laser beam CS 9300C User Guide SM750 Ed01 2 5 Control Panel Overview Control Panel Overview The control panel is an alphanumeric digital soft touch console It allows the operator to control certain unit functions It also displays the operating parameters and error messages Figure 2 5
15. Positioning the Pediatric Patient To prepare and position the pediatric patient follow these steps 1 Ask the pediatric patient to remove all metal objects O 2 Ask the pediatric patient to wear a lead apron with a thyroid collar Ensure that the lead apron covers the patient s thyroid area and lays flat across the patient s shoulders 3 Ask the pediatric patient to e Stand to the side and as far as possible from the cephalometric unit e Open the hand fully and place it flat on the sensor WARNING AN To avoid exposure to other parts of the body make sure that the pediatric patient stands as far away as possible from the X ray emission range and extends the hand to the sensor A IMPORTANT Make sure that the hand wrist and forearm are in a completely vertical position hand is approximately in the middle of the sensor 5 28 ACQUIRING CEPHALOMETRIC IMAGES Acquiring a Carpus Image Launching the X ray WARNING AN To avoid exposure to other parts of the body make sure that the pediatric patient stands as far away as possible from the X ray emission range and extends the hand to the sensor To launch the X ray follow these steps 1 Leave the X ray room and close the door You must keep visual contact with the patient during acquisition
16. an now proceed to start the imaging software IMPORTANT AN To increase the operating life of the X ray tube if the unit has not been used for a month you must follow the following procedures before use In the Panoramic Acquisition interface select the Parameter pane CS 9300C User Guide SM750 _Ed 01 4 1 Starting the Imaging Software 2 Select the following series of parameter settings e 70kV 6 3mA e 80kV 10mA e 85kV 10mA 3 Leave the X ray room and close the door For each parameter setting from the X ray remote control press and hold the button to launch the X ray The unit is now ready to be used for acquisition Starting the Imaging Software Depending on your particular configuration you may have either Kodak Dental Imaging Software or CS Imaging Software installed e For KODAK Dental Imaging Software see Starting the KODAK Dental Imaging Software e For CS Imaging Software see Starting the CS Imaging Software Starting the KODAK Dental Imaging Software To start the imaging software follow these steps 1 On your desktop double click KJ OR From your computer click Start gt All Programs gt Kodak gt Kodak Dental Imaging H aedo H Radobgcaltog Q A Spectiic Panoramic Installation All Programs D Kods gt H Trophy Unk Software A blank Patient window is displayed 2 Create or open an existing patient record Creating a Patient Record To create a patient
17. e auditory canal of the pediatric patient On the control panel click to turn ON the Frankfort laser positioning beam Align the pediatric patient with the Frankfort laser beam for the frontal AP only Figure 5 5 Frontal AP Figure 5 6 Frontal PA f D s dL as ee A gt N A 5 12 ACQUIRING CEPHALOMETRIC IMAGES Acquiring a Frontal AP or PA Image Figure 5 7 Frontal AP Figure 5 8 Frontal PA ST Launching the X ray To launch the X ray follow these steps 1 Leave the X ray room and close the door You must keep visual contact with the patient during acquisition IMPORTANT AN To stop the acquisition if any problem release the exposure button of the remote control or press the red emergency stop button CS 9300C User Guide SM750 _Ed 01 5 13 Acquiring a Frontal AP or PA Image Figure 5 9 Frontal AP hi Figure 5 10 Frontal PA 2 Launch the X ray with the remote control Press and hold the exposure button until the end of acquisition The
18. en the head clamps and ask the patient to sit for a more comfortable position or stand up straight in front of the cephalometric unit in the appropriate position Wg 4 On the control panel press and hold to level the ear cones to the patient s auditory canals 5 Insert gently one cone in the auditory canal of the patient Turn gently the button to close the arms Insert gently the second cone in the auditory canal of the patient 5 22 ACQUIRING CEPHALOMETRIC IMAGES Acquiring a Submento Vertex Image Preparing and Positioning the Pediatric Patient To prepare and position the pediatric patient follow these steps 1 Ask the pediatric patient to remove all metal objects wa ro 7 a 3 OG D li FU i 2 Ask the pediatric patient to wear a lead apron with a thyroid collar Ensure that the apron lays flat across the pediatric patient s shoulders 3 Open the head clamps and ask the pediatric patient to sit for a more comfortable position or stand up straight in front of the cephalometric unit in the appropriate position ig 4 On the control panel press and hold to level the ear cones to the pediatric patient s auditory canals CS 9300C User Guide SM750 _Ed 01 5 23 Acquiring a Submento Vertex Image 5 Insert gently one cone in the auditory canal of the
19. for Imaging Software see the CS 9300 and CS 9300C Safety Regulatory and Technical Specifications User Guide IMPORTANT AN It is MANDATORY to check that the computer system configuration is compatible with the computer system requirements for the CS 9300C software If necessary you MUST update your computer system configuration The CS 9300C MUST be connected to the computer via a point to point Ethernet link and not via a LAN General Software Overview The CS 9300C operates with the following software e Imaging software e Acquisition interface Imaging Software The imaging software is a user friendly working interface that was designed and developed specifically for radiological diagnosis It is the common imaging platform for all our digital systems for dentistry The imaging software has the following features e Patient management e Extraoral and intraoral image management e 3D image management Cephalometric Acquisition Interface The cephalometric acquisition interface is a user friendly working interface that was designed and developed specifically for the CS 9300C system CS 9300C User Guide SM750 _Ed01 3 1 Cephalometric Acquisition Interface Cephalometric Acquisition Interface Cephalometric Acquisition Interface Overview The Cephalometric Acquisition interface is the main cephalometric interface with the CS 9300C system that provides you with imaging acquisition functions Figure 3 1 Cephalometric Acq
20. he KODAK Dental lmasiie SOnWiiGyi 0cees badd inedadd ee dedd eRe ROSS SEEDERS Oe eDEdd ADE 42 Leoning a Poon RECU ee ee ee ee ee ee ee ee ee ee ee ee ere ree eee 42 Accessing the Cephalometric Acquisition Interface 5 15 ccc ceed cede e edad aed d eee sede saeueeaaas 4 3 inte The CS magme SONNA ind erekere ene n Redes Geren eaeeaehea her a a a a 4 4 R E E E atic E E AE eed T AE ES AET TTT E E EE 4 4 Accessing the Acquisition Intertace sick ssc oer cee cee sisest KESE r ER SETE EEE EE ee HES 4 5 5 ACQUIRING CEPHALOMETRIC IMAGES Pe A Lateral Mast 2 esas A eee coe epee ee ee A E A A E AT eee ee eee wks 5 1 Preparing the Unit and Setting the Acquisition Parameters for the Adult Patient 00 5 1 Preparing the Unit and Setting the Acquisition Parameters for the Pediatric Patient 5 2 Prepare and Positioning the Adult Patent isic bss ocde keceado tone sedadeasanaenhbabe saih twa saee a 5 3 Preparing and Positonine the Pediatrie Panent ica cc en gerce ee eher be REE eS ROEM ERED REDE HORS 5 5 Acquiring a Frontal AP or PA IMASE cs soto cone eee ee dead owe epee ee eS eee ee ee eee EENET 5 8 Preparing the Unit and Setting the Acquisition Parameters for the Adult Patient 0 5 8 CS 9300C User Guide SM750 _Ed 01 iii Contents Preparing the Unit and Setting the Acquisition Parameters for the Pediatric Patient 0 5 9 Preparing and Positioning the Adult Patient
21. ht in front of the cephalometric unit in the appropriate position 8 4 On the control panel press and hold i to level the ear cones to the pediatric patient s auditory canals 5 Insert gently one cone in the auditory canal of the pediatric patient Turn gently the button to close the arms Insert gently the second cone in the auditory canal of the pediatric patient 6 Lower the nasion support to a vertical position fa UU 5 18 ACQUIRING CEPHALOMETRIC IMAGES Acquiring an Oblique Image Launching the X ray To launch the X ray follow these steps 1 Leave the X ray room and close the door You must keep visual contact with the patient during acquisition IMPORTANT AN To stop the acquisition if any problem release the exposure button of the remote control or press the red emergency stop button 2 Launch the X ray with the remote control Press and hold the exposure button until the end of acquisition The turns yellow indicating X ray emission The image appears on the Preview Screen of the Cephalometric Acquisition window When the acquisition ends the Cephalometric Acquisition interface disappears and the acquired image is automatically transferred to the Imaging window 3 Check the image quality If satisfactory remove the ear cones a
22. kfort laser beam for the frontal AP only Figure 5 1 Frontal AP Figure 5 2 Frontal PA SS desl le A 5 10 ACQUIRING CEPHALOMETRIC IMAGES Acquiring a Frontal AP or PA Image Figure 5 3 Frontal AP Figure 5 4 Frontal PA CS 9300C User Guide SM750 _Ed 01 5 11 Acquiring a Frontal AP or PA Image Preparing and Positioning the Pediatric Patient To prepare and position the pediatric patient follow these steps Ask the pediatric patient to remove all metal objects Ask the pediatric patient to wear a lead apron with a thyroid collar Ensure that the apron lays flat across the pediatric patient s shoulders Open and position the head clamps parallel to the cephalometric sensor Ask the pediatric patient to stand up straight in front of the cephalometric unit in the following positions e Fora frontal AP facing the generator e Fora frontal PA facing the cephalometric sensor TE oo On the control panel press and hold M level the ear cones to the pediatric patient s auditory canals Insert gently one cone in the auditory canal of the pediatric patient Turn gently the button to close the arms Insert gently the second cone in th
23. lick the Patient button to access the Patient pane Select the pediatric patient type 4 If the default parameter setting is not adapted to your pediatric patient type click the Parameter button and select the appropriate parameters To save the new parameter settings as the default settings click is and select Memorize settings 5 2 ACQUIRING CEPHALOMETRIC IMAGES Acquiring a Lateral Image Preparing and Positioning the Adult Patient To prepare and position the patient follow these steps 1 Ask the patient to remove all metal objects 2 Ask the patient to wear a lead apron with a thyroid collar Ensure that the apron lays flat across the patient s shoulders 3 Open the head clamps and ask the patient to stand up straight in front of the cephalometric unit in the appropriate position E 4 On the control panel press and hold 9 to level the ear cones to the patient s auditory canals 5 Insert gently one cone in the auditory canal of the patient Turn gently the button to close the arms Insert gently the second cone in the auditory canal of the patient 6 On the control panel click od to turn ON the Frankfort laser positioning beam Align the patient with the Frankfort laser beam CS 9300C User Guide SM750 _ Ed01 5 3 Acquiring a Lateral Image 7 Lower the nasion support to a vertical position
24. ncerned No part of this Guide may be reproduced without the express permission of Carestream Health Inc The US Federal law restricts this device to sale by or on the order of a physician This document is originally written in English Manual Name CS 9300C User Guide Part Number SM750 Revision Number 01 Print Date 2011 09 The brand names and logos reproduced in this Guide are copyright The CS 9300C complies with Directive 93 42 EEC relating to medical equipment cE 0086 Manufacturer Carestream Health Inc al 150 Verona Street Rochester NY 14 608 USA Authorized Representative in the European Community EC REP TROPHY 4 Rue F Pelloutier Croissy Beaubourg 77435 Marne la Vall e Cedex 2 France Contents 1 About This Guide Conventions im this de c60c35caueeds oe eeer de bees eP eee nde Eee BAUS CAEN es FAN Eee eh SOs DAS 1 1 2 CS 9300C OVERVIEW Jeera WIEN ie ried ck wd Aa dwt ped koe yeh eo Rie Ae eo ees Loewe hoes Goma ETT 2 1 Boils COON nck ih ccc ee TT S EE eee hed eRe e ose badeneiaesetete ace 2 2 General Punchional Componens aiacs cs een tee 6G e tk Peehi Porree OHH ee eI SEA SEY RS CERES ew eos 2 3 Digital sencor LOCION ccciuwsd cane chine newdoeeg owds Meh ewes Rba RES ETARE R eacsalacsases 2 4 Eat LEGON cad one mare neon bee rhe en eheneendhenee re eamnedhe nme E E 2 5 Comte Pane Opera serene reri coated Bode eae er E ho deard ko cee Eee eed Lode eat ESTEE ene 2 6 shay Rema Canol OVNE E 22
25. nd the nasion support Release the patient CS 9300C User Guide SM750 _Ed 01 5 19 Acquiring a Submento Vertex Image Acquiring a Submento Vertex Image Before acquiring a submento vertex image check that you have e Reset the unit rotative arm to the start position for patient to enter the unit e Selected the patient record e Accessed the Imaging window e Accessed the Cephalometric Acquisition interface Preparing the Unit and Setting the Acquisition Parameters for the Adult Patient To acquire a submento vertex image follow these steps 1 Position the head clamps manually for a frontal AP exam IMPORTANT AN You must position the head clamps manually because they are not positioned automatically from the Program pane exam type selection In this case the relevant exam type selection icon becomes active 1 In the Cephalometric Acquisition interface click the Program button to access the Program pane In the Program pane e The F for a frontal AP exam is active e Click Nio a submento vertex exam e Select the appropriate acquisition format option 2 Click the Patient button to access the Patient pane Select the adult patient type 3 If the default parameter setting is not adapted to your adult patient type click the Parameter button and select the appropriate parameters To save the new parameter settings as the default settings click Lal and select Memorize settings 5 20 ACQUIRING CEPHALOMETRIC
26. nit carried out by an authorized service technician CS 9300C User Guide SM750 _Ed 01 6 3 Annually 6 4 MAINTENANCE Chapter 7 TROUBLESHOOTING Quick Troubleshooting Occasionally malfunctions can occur during use in the event of an incorrect action An information I error code is displayed on the Display Screen of the unit Control Panel and the message is displayed on the popup on the Acquisition interface System Status Screen In some cases an audible warning is also issued The following table lists the information messages their description and the action to take IMPORTANT AN If an E message is displayed the malfunction persists or more serious conditions occur contact a qualified technician When you call the qualified technician have the following information ready e Model Number CS 9300C e Error Code Number E xx e Message displayed on the popup on the Acquisition interface Table 7 1 Quick Troubleshooting Information Error Code Information Message Description Action 11 X ray tube cooling Cooling in progress Wait until the Generator Cooling Indicator on the Acquisition interface reaches zero 12 Thermal security Cooling in progress Wait until the Generator Cooling Indicator on the Acquisition interface reaches zero 13 Release handswitch The acquisition has ended Release the exposure button of the X ray remote control 15 Head clamps position The head clamps position doe
27. onmg the Pediatric Patient 5 5i6 ic0 cs0i sere redeetadueewes deed cee risto ES ti 5 28 X Ray Dose Emision torment prenitan enii nk n EEA eere EEEE EEEE EEE EEA 5 30 6 MAINTENANCE IANS totes pee E A A ke cee E E ce A ee ee eee eee E 6 1 Cleaning the CS 9300C unites reri eee Geee ee Gee SS ee ret CEO E REE SEH e aE E OR EOE SEER See Ged ews 6 1 Cleaning and disintecting the AGCESSONES wok cone end as dere Che edhe ew WA hea e Rage ep eee deme 6 1 Cleaning and disinfecting the accessories that have contact with the mucous membranes 6 1 eatin and disinfecting Mie ear CONES jis 45 key daa Rad AEE eae ek eR A PRE Re 6 2 Cleaning and disinfecting the components that have skin contact 0 0 0 0 cece cece eee eee eee 6 2 PICMG ccrctenrrrakerperahe ner enhennbenee nner E A N E E T EE EET EE EET EET 6 3 PONG AAT S A A AL ee et hae A oe ee be ees he ee bo T E E 6 3 7 TROUBLESHOOTING Mick TROUDRSIOOINS 4 nau cc eeeen decent cee edb inet oe SRECA E R OER HES ORE RASA NENEREDE ENEE ERROR 7 1 Chapter 1 About This Guide Conventions in this Guide The following special messages emphasize information or indicate potential risk to personnel or equipment OobP B WARNING Warns you to avoid injury to yourself or others by following the safety instructions precisely CAUTION Alerts you to a condition that might cause serious damage IMPORTANT Alerts you to a condition that might cause problems NOTE Emphasizes important
28. pediatric patient Turn gently the button to close the arms Insert gently the second cone in the auditory canal of the pediatric patient Launching the X ray To launch the X ray follow these steps 1 Leave the X ray room and close the door You must keep visual contact with the patient during acquisition IMPORTANT AN To stop the acquisition if any problem release the exposure button of the remote control or press the red emergency stop button 5 24 ACQUIRING CEPHALOMETRIC IMAGES Acquiring a Submento Vertex Image CS 9300C User Guide SM750 _Ed 01 5 25 Acquiring a Submento Vertex Image 2 Launch the X ray with the remote control Press and hold the exposure button until the end of acquisition The turns yellow indicating X ray emission The image appears on the Preview Screen of the Cephalometric Acquisition interface When the acquisition ends the Cephalometric Acquisition interface disappears and the acquired image is automatically transferred to the Imaging window 3 Check the image quality If satisfactory remove the ear cones and release the patient 5 26 ACQUIRING CEPHALOMETRIC IMAGES Acquiring a Carpus Image Acquiring a Carpus Image Through
29. quiring an Oblique Image Preparing and Positioning the Adult Patient To prepare and position the patient follow these steps 1 Ask the patient to remove all metal objects 2 Ask the patient to wear a lead apron with a thyroid collar Ensure that the apron lays flat across the patient s shoulders 3 Open the head clamps and ask the patient to stand up straight in front of the cephalometric unit in the appropriate position 4 On the control panel press and hold to level the ear cones to the patient s auditory canals 5 Insert gently one cone in the auditory canal of the patient Turn gently the button to close the arms Insert gently the second cone in the auditory canal of the patient 6 Lower the nasion support to a vertical position Ho 11 l a ai Hl LA 7 l An oe SS CS 9300C User Guide SM750 _Ed 01 5 17 Acquiring an Oblique Image Preparing and Positioning the Pediatric Patient To prepare and position the pediatric patient follow these steps 1 Ask the pediatric patient to remove all metal objects 2 Ask the pediatric patient to wear a lead apron with a thyroid collar Ensure that the apron lays flat across the pediatric patient s shoulders 3 Open the head clamps and ask the pediatric patient to stand up straig
30. r Pane The cephalometric Parameter pane enables you to choose exposure parameters for the radiological image acquisition If the default parameter setting is not adapted to your patient type you can manually adapt the parameter settings to the patient type and save this setting as the default setting Figure 3 4 Cephalometric Parameter Pane Parameters gt 7 NRR Da 2u ae 4 EEE Radiation dose options laa kV Kilovolt rig mA Milliampere aa S Second Fine tuning buttons to fine tune the kV mA and the second 3 6 IMAGING SOFTWARE OVERVIEW Chapter 4 GETTING STARTED Switching On the Unit Before switching on the unit check that e The installation of the unit is complete e The PC is switched ON IMPORTANT AN You must switch On the PC and wait for it to be ready for connection before switching ON the unit To switch on the unit follow these steps 1 2 1 On the unit column press the ON button Switch on the unit and wait for a minute for the connection between the unit and the computer to be established In the status bar 8 red must become green If you start the imaging software before the connection is established an error message is displayed Click OK close the imaging software and wait for the connection to be established A Unable to connect to the acquisition unit Please check the Ethernet link and check the acquisition unt is turned on You c
31. radiological analysis of ossification to the carpal bone you can assess the growth or maturity rate of a pediatric patient Before acquiring a carpus image check that you have e Reset the unit rotative arm to the start position for patient to enter the unit e Selected the patient record e Accessed the Imaging window e Accessed the Cephalometric Acquisition interface Preparing the Unit and Setting the Acquisition Parameters for the Pediatric Patient To acquire a carpus image follow these steps 1 Position the head clamps manually for a frontal AP exam IMPORTANT AN You must position the head clamps manually because they are not positioned automatically from the Program pane exam type selection In this case the relevant exam type selection icon becomes active 2 In the Cephalometric Acquisition interface click the Program button to access the Program pane In the Program pane e The F for a frontal AP exam is active I e Click N 4 for a carpus exam e Select the 30 x 30 acquisition format 3 Click the Patient button to access the Patient pane Select the pediatric patient type 4 If the default parameter setting is not adapted to your pediatric patient type click the Parameter button and select the appropriate parameters To save the new parameter settings as the default settings click F and select Memorize settings CS 9300C User Guide SM750 _ Ed 01 5 27 Acquiring a Carpus Image Preparing and
32. re button will interrupt the acquisition Figure 2 6 X Ray Remote Control 1 Exposure button launches image acquisition CS 9300C User Guide SM750 _Ed 01 2 7 Positioning Accessories and Replacement Parts Positioning Accessories and Replacement Parts The following accessories are used when positioning a patient They are delivered with the CS 9300 Panoramic Positioning Accessories Table 2 1 lists the panoramic positioning accessories Table 2 1 Panoramic Positioning Accessories and Replacement Parts Accessory Description Panoramic chin rest TMJ x2 Sinus TMJ x4 nose rest Panoramic standard bite block L Bite block for edentulous patients Single use sheaths for bite blocks 500 pcs box 2 8 CS 9300C OVERVIEW Positioning Accessories and Replacement Parts 3D Positioning Accessories Table 2 2 lists the 3D positioning accessories Table 2 2 3D Positioning Accessories and Replacement Parts Accessory Description 3D bite block 3D bite block support 3D head rest Single use hygienic sleeves for 3D bite block 100 pcs box CS 9300C User Guide SM750 _Ed 01 2 9 Positioning Accessories and Replacement Parts 2 10 CS 9300C OVERVIEW Chapter 3 IMAGING SOFTWARE OVERVIEW Computer System Requirements For information on the minimum computer system requirements and the configuration
33. record follow these steps 4 2 GETTING STARTED Starting the Imaging Software 1 Inthe Patient window from the toolbar click OR From the menu bar select Patient gt New 2 Enter the required patient information The Last name the First name and the Date of birth fields are required 3 From the menu bar select Picture gt Insert Picture to add a tif or bmp picture of the patient to the record Select the picture from your directory and click Open 4 Click OK to save The patient record is automatically assigned a 7 digit number starting with a letter for example M0000001 J 5 Click 7 to access the Imaging window 6 Select an image acquisition Accessing the Cephalometric Acquisition Interface To access the Acquisition interface follow these steps i 1 In the Imaging window from the toolbar click Lid to access the Cephalometric Acquisition interface 2 Prepare the acquisition parameters and launch an acquisition CS 9300C User Guide SM750 Ed01 4 3 Starting the Imaging Software Starting the CS Imaging Software To start the CS Imaging Software follow these steps 1 On your desktop double click w The Patient Browser tab is displayed 2 You must now create a patient card Creating a Patient Card To create a patient card follow these steps 1 Click in the Patient Browser tab The Patient Card window is displayed 2 Enter the patient information in
34. s Position manually the head clamps for the not match the selected exam selected exam program 19 Cooling Ceph sensor The Cephalometric sensor is in Wait until the Ready Indicator LED is green the cooling process 115 Interface inactive The Acquisition interface e Check that the unit is switched ON cannot be accessed e Wait for the connection between the unit and the PC e Check that the Acquisition interface is not masked by another application in this case close the masking application 117 Sensor in movement The sensor is in the positioning Wait for the end of the positioning process process for either panoramic 3D or Ceph mode CS 9300C User Guide SM750 _Ed01 7 1 Quick Troubleshooting 7 2 TROUBLESHOOTING
35. s tike ta enes aL eee ees ee ede SUE nudes a nebewa ane 2 7 Positioning Accessories and Replacement Patis 1 5 civcsedaeere eo aker vio E En EER eee e A 2 8 Panoramie Positoning Accessories 5 ics ioe eck eked bed ou 5 chow Ao oak rh ae eae ewe eer ee bee 2 8 3D Positioning ACCESSOTICS lt i cccdcie iets deer cei ete TERTON REE ERO EL REE ee Ree Eee Ree 2 9 3 IMAGING SOFTWARE OVERVIEW Computer System Regu remes coc cses ten cette gehts EKAN RENEE E E E E E ek eam bade ok 3 1 Tenei AOI Wane CVG W orrai catia rasai R See EAERI ALNA RO OES ERA een hahd sae nEn Sawn ed Hoe 3 1 MASE SOURS eee y anh Re eae ca ie eee AEE ETRE REO CEN EE 6 EES EE Ea SEER 3 1 Cephalomemie Acguisition TAeACe prirur 26 chukka keh oe Kes ee es ee Pe eee eee 3 1 Cephalometric Acquisition Interface 6 cc0c06s daw bees FNS eee ORL EHS ERE OES ER EOE S Gee USER EE eee Res 3 2 Cephalometne Acquisition Interface Overview ocngs se sabwdeeenhe ower Merde ee EE bed e aoe w 3 2 Cepholometie PIonem Pi ss suse dino eee Wied bene tuss EANA AA EDERRA EARRA 3 4 Lepnalomieiwat Panoni Pane snc ace needs See ee EREMG Aw ORERR OED EMER PENG RST OE CAS CES ED E 3 5 Leplialoticnne Parameter Pane sc nccedscd avenge td eta aebhs qegagdceataeeeane then sat ATECA aces 3 6 4 GETTING STARTED Switching On th UNitiss6226cbes seek eee ee bebe es Set ed we RSeSS BORE ECLEED ECL EGE REed eRe Rew ke 4 1 SHS the Seine GONNA ore poke ee ee eke hee eee thee eee ee eee ee eRe ee eee wee ce 4 2 Starine t
36. ss the Patient pane Select the adult patient type 4 If the default parameter setting is not adapted to your adult patient type click the Parameter button and select the appropriate parameters To save the new parameter settings as the default settings click l and select Memorize settings CS 9300C User Guide SM750 _Ed 01 5 15 Acquiring an Oblique Image Preparing the Unit and Setting the Acquisition Parameters for the Pediatric Patient To acquire an oblique image follow these steps 1 Position the head clamps manually for the oblique exam with the desired angle IMPORTANT AN You must position the head clamps manually because they are not positioned automatically from the Program pane exam type selection In this case the relevant exam type selection icon becomes active 2 In the Cephalometric Acquisition interface click the Program button to access the Program pane In the Program pane e The Ed for an oblique exam is active i AA e Click to select the desired angle e Select the appropriate acquisition format option 3 Click the Patient button to access the Patient pane Select the pediatric patient type 4 If the default parameter setting is not adapted to your pediatric patient type click the Parameter button and select the appropriate parameters To save the new parameter settings as the default settings click is and select Memorize settings 5 16 ACQUIRING CEPHALOMETRIC IMAGES Ac
37. the Patient Card window Note The First Name and Last Name fields are mandatory All other fields are optional Shaded fields are filled automatically and are not editable 3 When you have finished entering data click OK The Patient Card window closes and the patient now appears in the patient list 4 4 GETTING STARTED Starting the Imaging Software 4 You can now access the acquisition interface Accessing the Acquisition Interface To access the Acquisition interface follow these steps 1 Select and double click the patient card in the patient list The Image Viewer tab is displayed 2 In the Image Viewer tab click BI to access the Cephalometric Acquisition interface The acquisition interface is displayed See the chapter Acquiring an Image to launch an acquisition CS 9300C User Guide SM750 _Ed 01 4 5 Starting the Imaging Software 4 6 GETTING STARTED Chapter 5 ACQUIRING CEPHALOMETRIC IMAGES Acquiring a Lateral Image Before acquiring a lateral image check that you have e Reset the unit rotative arm to the start position for patient to enter the unit e Selected the patient record e Accessed the Imaging window e Accessed the Cephalometric Acquisition interface Preparing the Unit and Setting the Acquisition Parameters for the Adult Patient To set the acquisition parameters follow these steps 1 Position the head clamps manually for the lateral exam IMPORTANT AN Yo
38. tion the head clamps manually because they are not positioned automatically from the Program pane exam type selection In this case the relevant exam type selection icon becomes active 2 In the Cephalometric Acquisition interface click the Program button to access the Program pane In the Program pane e The G for a frontal AP exam is active e Click o for a frontal PA exam e Select the appropriate acquisition format option 3 Click the Patient button to access the Patient pane Select the adult patient type 4 If the default parameter setting is not adapted to your adult patient type click the Parameter button and select the appropriate parameters To save the new parameter settings as the default settings click Lid and select Memorize settings 5 8 ACQUIRING CEPHALOMETRIC IMAGES Acquiring a Frontal AP or PA Image Preparing the Unit and Setting the Acquisition Parameters for the Pediatric Patient To acquire a frontal AP or PA image follow these steps 1 Position the head clamps manually for the frontal AP or PA exam IMPORTANT AN You must position the head clamps manually because they are not positioned automatically from the Program pane exam type selection In this case the relevant exam type selection icon becomes active 2 In the Cephalometric Acquisition interface click the Program button to access the Program pane In the Program pane e The F for a frontal AP exam is active e Click A for a
39. u must position the head clamps manually because they are not positioned automatically from the Program pane exam type selection In this case the relevant exam type selection icon becomes active 2 In the Cephalometric Acquisition interface click the Program button to access the Program pane In the Program pane rT _ e The 1 a lateral exam is active e Select the appropriate acquisition format option 3 Click the Patient button to access the Patient pane Select the adult patient type 4 If the default parameter setting is not adapted to your adult patient type click the Parameter button and select the appropriate parameters To save the new parameter settings as the default settings click Lid and select Memorize settings CS 9300C User Guide SM750 _Ed 01 5 1 Acquiring a Lateral Image Preparing the Unit and Setting the Acquisition Parameters for the Pediatric Patient To set the acquisition parameters follow these steps 1 Position the head clamps manually for the lateral exam IMPORTANT AN You must position the head clamps manually because they are not positioned automatically from the Program pane exam type selection In this case the relevant exam type selection icon becomes active 2 In the Cephalometric Acquisition interface click the Program button to access the Program pane In the Program pane e The a for a lateral exam is active e Select the appropriate acquisition format option 3 C
40. uisition Interface 1 10 2 3 4 CS 9300C 9 1 Information button e About Identifies the Software and the Firmware versions e Reset of the Values Resets to the manufacturing parameter settings e Memorize settings Memorizes the user preference settings for each patient type kV mA and seconds e Save current mode as default Sets the current selected program to be available by default each time you access the Acquisition interface Preview Screen Displays the acquired image in real time Selected Parameter Display Displays the current acquisition parameter settings System Status Screen Displays various alert or warning messages originating from the unit a A WOW N Generator Cooling indicator Indicates the automatic cooling time mm ss required for the generator to reach O for a new acquisition 3 2 IMAGING SOFTWARE OVERVIEW Cephalometric Acquisition Interface 10 Stop button Stops the unit rotative arm movement Ready Indicator LED e Green indicates the unit is ready to start acquisition e Black indicates the unit is not ready to start acquisition X Ray Emission indicator Yellow indicates the X ray emission status Exit button Closes the Acquisition interface Selector Button Selects different acquisition setting options e Click Program to select examination type options e Click Patient to select patient type parameters e Click Parameters to select exposure parameter options
41. y room and close the door You must keep visual contact with the patient during acquisition IMPORTANT AN To stop the acquisition if any problem release the exposure button of the remote control or press the red emergency stop button 2 Launch the X ray with the remote control Press and hold the exposure button until the end of acquisition The turns yellow indicating X ray emission The image appears on the Preview Screen of the Cephalometric Acquisition interface When the acquisition ends the Cephalometric Acquisition interface disappears and the acquired image is transferred automatically to the Imaging window 3 Check the image quality if satisfactory remove the ear cones and the nasion support and release the patient CS 9300C User Guide SM750 _Ed 01 5 7 Acquiring a Frontal AP or PA Image Acquiring a Frontal AP or PA Image Before acquiring a frontal AP or PA image check that you have e Reset the unit rotative arm to the start position for patient to enter the unit e Selected the patient record e Accessed the Imaging window e Accessed the Cephalometric Acquisition interface Preparing the Unit and Setting the Acquisition Parameters for the Adult Patient To acquire a frontal AP or PA image follow these steps 1 Position the head clamps manually for the frontal AP or PA exam IMPORTANT AN You must posi
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