CS 9000 and CS 9000 3D User Guide Part No. SM768 Rev 01 March 2012

Notice Congratulations on your purchase of the CS 9000C and CS 9000C 3D. 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 9000C and CS 9000C 3D includes information on the cephalometric features. For the panoramic or the 3D features, see the CS 9000 and CS 9000 3D (SM764) User Guide. We recommend that you thoroughly familiarize yourself with this Guide in order to make the most effective use of your system. CS 9000C and CS 9000C 3D are intended to produce panoramic and cephalometric X-ray imaging at the direction of health care professionals of the dento-maxillofacial area. In addition, the CS 9000C 3D includes a dental volumetric reconstruction mode, which is intended to produce three-dimensional X-ray images of the dento-maxillofacial region. WARNING: We recommend that you consult the “Safety, Regulatory and the Technical Specification User Guide” before using the CS 9000C or CS 9000C 3D.

The information contained in this guide may be subject to modification without notice, justification or notification to the persons concerned. 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 9000C and CS 9000C 3D User Guide Part Number: SM768 Revision Number: 01 Print Date: 2012-03 CS 9000C and CS 9000C 3D, complies with Directive 93/42/EEC relating to medical equipment.

0086

Manufacturer Care stream Hea lth, Inc. 150 Verona Street Roche ster, NY 1 4 60 8, USA

Authorized Representative in the European Community

EC REP TROPHY 4, Rue F. Pelloutier, Croissy-Beaubourg 77435 Marne la Vallée Cedex 2, France

Contents 1-About This Guide Conventions in this Guide... 1–1 2-CS 9000C AND CS 9000C 3D UNIT OVERVIEW General Overview... 2–1 Mobile Components... 2–2 General Functional Components... 2–3 Digital Sensor Locations... 2–4 Laser Locations... 2–5 Control Panel Overview... 2–6 X-ray Remote Control Overview... 2–7 Positioning Accessories and Replacement Parts... 2–8 Panoramic Positioning Accessories... 2–8 3D Positioning Accessories... 2–9 Patient Positioning Indicators... 2–10 3-IMAGING SOFTWARE OVERVIEW Computer System Requirements... 3–1 General Software Overview... 3–1 Imaging Software... 3–1 Cephalometric Acquisition Interface... 3–1 Cephalometric Acquisition Interface... 3–2 Cephalometric Acquisition Interface Overview... 3–2 Cephalometric Program Pane... 3–4 Cephalometric Patient Pane... 3–5 Cephalometric Parameter Pane... 3–6 4-GETTING STARTED Switching On the Unit... 4–1 Accessing the Cephalometric Acquisition Interface... 4–2 5-ACQUIRING CEPHALOMETRIC IMAGES Acquiring a Lateral Image for Adult and Pediatric Patients... 5–1 Preparing the Unit and Setting the Acquisition Parameters... 5–1 Preparing and Positioning Adult and Pediatric Patients... 5–2 Launching the X-ray... 5–4 Acquiring a Frontal AP or PA Image for Adult and Pediatric Patients... 5–5 Preparing the Unit and Setting the Acquisition Parameters... 5–5 Preparing and Positioning Adult and Pediatric Patients... 5–6 Launching the X-ray... 5–8 Acquiring an Oblique Image for Adult and Pediatric Patients... 5–10 Preparing the Unit and Setting the Acquisition Parameters... 5–10 Preparing and Positioning Adult and Pediatric Patients... 5–11

CS 9000C and CS 9000C 3D User Guide (SM768)_Ed 01

iii

Contents

Launching the X-ray... 5–12 Acquiring a Submento-Vertex Image for Adult and Pediatric Patients... 5–13 Preparing the Unit and Setting the Acquisition Parameters... 5–13 Preparing and Positioning Adult and Pediatric Patients... 5–14 Launching the X-ray... 5–15 Acquiring a Carpus Image for Pediatric Patients... 5–17 Preparing the Unit and Setting the Acquisition Parameters... 5–17 Preparing and Positioning Pediatric Patients... 5–18 Launching the X-ray... 5–19 X-ray Dose Emission Information... 5–20 6-MAINTENANCE Daily... 6–1 Cleaning the CS 9000C and CS 9000C 3D... 6–1 Cleaning and Disinfecting the Accessories... 6–2 Cleaning and disinfecting the accessories that have contact with the mucous membranes... 6–2 Cleaning and disinfecting the ear cones... 6–3 Cleaning and disinfecting the components and accessories that have skin contact... 6–4 Monthly... 6–4 Annually... 6–4 Controlling the Image Quality... 6–5 7-TROUBLESHOOTING Quick Troubleshooting... 7–1

iv

Chapter 1

About This Guide Conventions in this Guide The following special messages emphasize information or indicate potential risk to personnel or equipment:

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 information.

TIP Provides extra information and hints.

CS 9000C and CS 9000C 3D User Guide (SM768)_Ed 01

1–1

Conventions in this Guide

1–2

About This Guide

Chapter 2

CS 9000C AND CS 9000C 3D UNIT OVERVIEW The CS 9000C and CS 9000C 3D unit have been designed to carry out the following radiological examinations: • • • • •

Lateral Frontal (PA or AP) Oblique Submento-vertex Carpus

General Overview The CS 9000C unit is composed of the following functional components: • • • • • • • • • • • • • • •

The unit head that contains all the electronic control The rotative arm The fixed arm with a control panel The panoramic digital sensor The X-ray source assembly The X-ray remote control The chin rest base The panoramic chin rest and bite block The temple supports The hand grips The cephalostat arm The cephalostat head The head clamps and ear cones The nasion support The acquisition software

The CS 9000C 3D unit is composed of the following functional components: • • • • • • • • •

The unit head that contains all the electronic control The rotative arm The fixed arm with a control panel The panoramic digital sensor The 3D digital sensor The X-ray source assembly The X-ray remote control The chin rest base The panoramic chin rest and bite block

CS 9000C and CS 9000C 3D User Guide (SM768)_Ed 01

2–1

General Overview

• • • • • • • •

The 3D chin rest and bite block The temple supports The hand grips The cephalostat arm The cephalostat head The head clamps and ear cones The nasion support The acquisition software

The following figures illustrate the general overview of the CS 9000C and CS 9000C 3D unit.

Mobile Components Figure 2-1 illustrates the up and down movement of the CS 9000C and CS 9000C 3D mobile component and the 180° rotation of the rotative arm. Figure 2–1

2–2

CS 9000C and CS 9000C 3D Unit Mobile Components

CS 9000C AND CS 9000C 3D UNIT OVERVIEW

General Overview

General Functional Components Figure 2-2 illustrates the general functional components of the CS 9000C and CS 9000C 3D. Figure 2–2

CS 9000C and CS 9000C 3D Unit Functional Components

5b 11 1 5

12 9 7 6 8

14 5a 13

2

5

15 4

3

10

1

ON/OFF button

8

X-ray source assembly

2

Unit fixed arm

9

Unit rotative arm

3

Control panel

10

X-ray remote control

4

Hand Grips

11

Chephalostat arm

5

Chin rest base

12

Cephalostat head

5a

Panoramic chin rest

13

Head clamps and ear cones

5b

3D chin rest and bite block

14

Nasion support

6

Temple supports

15

Computer hosting the imaging and acquisition software

7

Sensor

CS 9000C and CS 9000C 3D User Guide (SM768)_Ed 01

2–3

General Overview

Digital Sensor Locations Figure 2-3 illustrates the locations of the panoramic, 3D and cephalometric digital sensors of the CS 9000C and CS 9000C 3D. IMPORTANT * When the unit is ONLY panoramic, the 3D option is not available. Therefore, the location of the digital sensor indicates that it is ready for the 3D option. Figure 2–3

CS 9000C and CS 9000C 3D Unit Panoramic, 3D and Cephalometric Digital Sensor Locations

Digita l 3 D

*

2–4

CS 9000C AND CS 9000C 3D UNIT OVERVIEW

General Overview

Laser Locations Figure 2-4 illustrates the location of the lasers of the CS 9000C and CS 9000C 3D. Figure 2–4

CS 9000C and CS 9000C 3D Unit Laser Positions 2

3 4 B

5 A 1

B

A

3 5

4

1

2

1

2

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 9000C and CS 9000C 3D User Guide (SM768)_Ed 01

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

Unit Control Panel 8

kV

mA

1

2

3

S

mem

9

2–6

10

11

4

5

6

7

1

Height Adjustment button: Adjusts the height of the unit to the height of the patient.

2

3D Head Adjustment button: Adjusts the patient head to the X-ray beams.

3

3D Adjustment button: Adjusts the unit rotative arm movements to correctly position the patient for 3D acquisition.

4

Laser Beam button: Activates the beams to correctly position the patient.

5

3D Position Verification button: Positions the unit rotative arm at the selected or memorized 3D position.

6

Reset button: Resets the unit arm to the initial position to enable the patient to enter and exit the Unit.

7

3D Memorization button: Memorizes the 3D current positioning parameter settings that override the default parameters.

8

Display Screen: Displays the current acquisition parameters and the error messages.

9

Ready Indicator LED: Green, indicates the unit is ready for acquisition.

10

X-ray Emission LED: Yellow, indicates the X-rays are being emitted.

11

System Status LED: Red, indicates the error alerts.

CS 9000C AND CS 9000C 3D UNIT 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. Premature release of the exposure button interrupts the acquisition. Figure 2–6

X-ray Remote Control

1

1

Exposure button: launches image acquisition.

CS 9000C and CS 9000C 3D User Guide (SM768)_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 9000C and CS 9000C 3D digital imaging unit.

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

Bite block for edentulous patients

Single use sheaths for bite blocks (500 pcs box)

2–8

CS 9000C AND CS 9000C 3D UNIT OVERVIEW

Positioning Accessories and Replacement Parts

3D Positioning Accessories Table 2–2

3D Positioning Accessories and Replacement Parts Accessory

Description

3D bite block

3D bite block support

3D head rest and head strap

Single use hygienic sheaths for 3D bite block (100 pcs box)

CS 9000C and CS 9000C 3D User Guide (SM768)_Ed 01

2–9

Positioning Accessories and Replacement Parts

Patient Positioning Indicators Table 2–3

Patient Positioning Indicators represented on the chin rest base Positioning Indicators

Description

For sinus positioning

• •

For TMJ x2 and TMJ x4 positioning For panoramic positioning

For 3D upper jaw positioning

For 3D lower jaw positioning

2–10

CS 9000C AND CS 9000C 3D UNIT OVERVIEW

Chapter 3

IMAGING SOFTWARE OVERVIEW Computer System Requirements For the minimum computer system requirements and configuration for the Imaging Software, see the CS 9000 Family Safety, Regulatory and Technical Specifications User Guide. IMPORTANT It is MANDATORY to check that the computer system configuration is compatible with the computer system requirements for the CS 9000C and CS 9000C 3D software. If necessary you MUST update your computer system configuration. CS 9000C and CS 9000C 3D MUST be connected to the computer via a point-to-point ethernet link and not via a LAN.

General Software Overview The CS 9000C and CS 9000C 3D operates with the following software: • •

Imaging software 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. The imaging software has the following features: • • •

Patient management Extraoral and intraoral image management 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 9000C and CS 9000C 3D extraoral imaging system.

CS 9000C and CS 9000C 3D User Guide (SM768)_Ed 021

3–1

Cephalometric Acquisition Interface

Cephalometric Acquisition Interface Cephalometric Acquisition Interface Overview The Cephalometric Acquisition interface is the main cephalometric interface with the CS 9000C and CS 9000C 3D extraoral imaging system that provides you with imaging acquisition functions. Figure 3–1

1

Cephalometric Acquisition Interface

Information button: About: Identifies the Software and the Firmware versions • Reset of the Values: Resets to the manufacturing parameter settings • Memorize settings: Memorizes the user preference settings for each patient type (kV, mA and seconds) •

3–2

2

Preview Screen: Displays the acquired image in real time.

3

Selected Parameter Display: Displays the current acquisition parameter settings.

4

System Status Screen: Displays various alert or warning messages originating from the unit.

5

X-rays ON/OFF button: Turns off the X-ray emissions to demonstrate the acquisition process for the patient.

6

Generator Cooling indicator: Indicates the automatic cooling time (mm:ss) required for the generator to reach 0 for a new acquisition.

7

Stop button: Stops the unit rotative arm movement

IMAGING SOFTWARE OVERVIEW

Cephalometric Acquisition Interface

8

Ready Indicator LED • Green indicates the unit is ready to start acquisition. • Black indicates the unit is not ready to start acquisition.

9

Exit button: Closes the Acquisition window.

10

X-ray Emission indicator: Yellow, indicates the X-ray emission status.

11

Selector Button: Selects different acquisition setting options. • Click Program to select examination type options. • Click Patient to select patient type parameters. • Click Parameters to select exposure parameter options.

The Selector button enables you to access the following 3 panes: • • •

Program pane: Examination type options Patient pane: Patient type parameter options Parameters pane: Exposure parameter options

CS 9000C and CS 9000C 3D User Guide (SM768)_Ed 021

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

1

Cephalometric Program Pane

Radiological exam options:

Click exam.

for a lateral

Click or for a frontal exam (AP and PA).

Click exam. 2

Click

for a submento-vertex exam.

Click

for a carpus exam.

for an oblique

Acquisition format options:

Select format.

for a 18 x 18

Select format.

for a 24 x 24

Select format.

for a 18 x 24

Select format.

for a 24 x 30

Select format.

for a 30 x 30

NOTE The above list of exam types are only a sample of exam options of the Program pane.

3–4

IMAGING SOFTWARE OVERVIEW