user's manual 2d imaging - planmecausasupport.com€¦ · planmeca promax & planmeca...

Planmeca ProMax

EN

& Planmeca ProMax 3D s / 3D

1000

7367

_45

user's manual2D imaging

TABLE OF CONTENTS

1 INTRODUCTION ..............................................................................................1

2 ASSOCIATED DOCUMENTATION .................................................................2

3 SYMBOLS ON PRODUCT LABELS ................................................................3

4 SAFETY PRECAUTIONS ................................................................................4

5 SWITCHING X-RAY UNIT ON .........................................................................6

6 MAIN PARTS ...................................................................................................76.1 General view of 2D X-ray system .................................................................................. 76.2 General view of 3D X-ray system .................................................................................. 86.3 General view of X-ray unit .............................................................................................. 96.4 Sensors ........................................................................................................................ 106.5 Patient supports ........................................................................................................... 116.6 Exposure switch ........................................................................................................... 126.7 Emergency stop button ................................................................................................ 13

7 PROGRAMS ...................................................................................................147.1 Panoramic programs .................................................................................................... 167.2 Temporomandibular joint (TMJ) programs ................................................................... 177.3 Sinus programs ............................................................................................................ 207.4 Tomography / transtomography programs ................................................................... 21

8 CONTROL PANEL .........................................................................................278.1 General about control panel ......................................................................................... 278.2 General settings ........................................................................................................... 288.3 Selecting panoramic program ...................................................................................... 308.4 Selecting temporomandibular joint (TMJ) program ...................................................... 358.5 Selecting sinus program .............................................................................................. 388.6 Selecting tomography / transtomography program ...................................................... 39

9 INFORMATION DISPLAYS ............................................................................429.1 User preference settings (i200) .................................................................................... 439.2 Feature program control (i300) .................................................................................... 509.3 Special functions (i400) ................................................................................................ 52

10 PATIENT POSITIONING CONTROLS ...........................................................56

11 PREPARATIONS FOR EXPOSURE ..............................................................5811.1 Attaching and removing sensor ................................................................................... 5911.2 Preparing patient .......................................................................................................... 61

12 PANORAMIC EXPOSURE .............................................................................6212.1 Patient positioning ........................................................................................................ 6312.2 Taking an exposure ..................................................................................................... 6612.3 Taking an exposure with Autofocus (SCARA 3 units only) .......................................... 67

13 TEMPOROMANDIBULAR JOINT (TMJ) EXPOSURE ..................................6913.1 Double TMJ exposure (lateral, PA or lateral-PA) ......................................................... 6913.2 Multi-angle TMJ exposure (PA or lateral) .................................................................... 75

14 SINUS EXPOSURE ........................................................................................8014.1 Patient positioning ........................................................................................................ 8114.2 Taking an exposure ..................................................................................................... 83

Planmeca ProMax & Planmeca ProMax 3D s / 3D 1User’s Manual (2D)

TABLE OF CONTENTS

The manufacturer, assembler and importer are responsible for the safety, reliability and performance of the unit only if:- installation, calibration, modification and repairs are carried out by qualified authorized personnel- electrical installations are carried out according to the appropriate requirements such as IEC 60364- equipment is used according to the operating instructions

Planmeca pursues a policy of continual product development. Although every effort ismade to produce up-to-date product documentation this publication should not beregarded as an infallible guide to current specifications. We reserve the right to makechanges without prior notice.

COPYRIGHT PLANMECAReleased: 7 July 2014Publication part number: 10007367 revision 45

15 TOMOGRAPHIC EXPOSURE ........................................................................8415.1 Patient positioning ........................................................................................................ 8615.2 Adjusting position of target area .................................................................................. 8815.3 Patient positioning with impression plate ..................................................................... 9015.4 Taking an exposure ..................................................................................................... 91

16 CLEANING .....................................................................................................94

17 SERVICE ........................................................................................................94

18 DISPOSAL .....................................................................................................95

19 HELP MESSAGES .........................................................................................96

20 ERROR MESSAGES .....................................................................................98

21 TECHNICAL SPECIFICATIONS ....................................................................9921.1 Technical data for Planmeca ProMax product family ................................................... 9921.2 Dimensions ................................................................................................................ 10321.3 Minimum operational space requirements ................................................................. 10421.4 Original manufacturer ................................................................................................ 104

2 Planmeca ProMax & Planmeca ProMax 3D s / 3D User’s Manual (2D)

INTRODUCTION

1 INTRODUCTIONThis manual describes how to take 2D exposures. Makesure that you are fully acquainted with the appropriateradiation protection measures and these instructionsbefore you use the X-ray unit.

The X-ray unit uses panoramic and linear tomographictechniques to produce two-dimensional (2D) X-rayimages for the examination of dentomaxillofacialanatomy.

You need a PC with the Planmeca Romexis program inorder to save, view and modify the images.

NOTE The X-ray unit may be used by health careprofessionals only.

NOTE The software version is shown briefly on the controlpanel when the X-ray unit is switched on. This manualis valid for software version 2.7.6.0.r or later. Thissoftware version is compatible with Romexis softwareversion 3.7.0.r or later.

The X-ray unit features preset exposure values. However,the exposure values required to produce good X-rayimages will vary considerably according to the build andage of the patient. The preset exposure values areaverage values and they are only meant to guide the user.Users are encouraged to develop their own radiographictechniques based on these values. The kV value can bereduced from the suggested value to improve imagecontrast. The radiation dose can be reduced bydecreasing the suggested mA value.

The display values shown in this manual are onlyexamples and should not be interpreted as recommendedvalues unless otherwise stated.


ASSOCIATED DOCUMENTATION

2 ASSOCIATED DOCUMENTATIONThe X-ray unit is supplied with the following manuals:

• User’s Manual(s) for

- 2D Imaging, Original English publication: 10007367

(- 3D Imaging, Original English publication: 10030251)

(- Cephalostat, Original English publication: 10007327 /10031933)

• Installation Manual, Original English publication: 688271

• Technical Manual, Original English publication: 10010812

These manuals are intended to be used in conjunctionwith the documentation for the Planmeca Romexisprogram. The Romexis package contains the followingmanuals:

• User’s Manual, Original English publication: 10014593

• Installation Manual, Original English publication: 10014600

NOTE The latest versions of the User’s Manuals are availableon Planmeca’s website.


SYMBOLS ON PRODUCT LABELS

3 SYMBOLS ON PRODUCT LABELS

CE marking according to European standard(Directive 93/42/EEC)

SGS marking according to US and Canadian standards(ANSI/UL 60601-1 and CAN/CSA C22.2 No. 601.1-M90)

Date of manufacture (Standard ISO 15223-1)

Attention, consult accompanying documents(Standard IEC 60601-1)

Type B applied part (Standard IEC 60601-1)

Separate collection for electrical and electronic equipment(Directive 2002/96/EC WEEE)

Alternating current (Standard IEC 60417)

Electrostatic sensitive device (Standard IEC 60417)

0598


SAFETY PRECAUTIONS

4 SAFETY PRECAUTIONSCAUTION FOR US USERS:

Federal law restricts this device to sale by oron the order of a health care professional.

CAUTION This X-ray unit may be dangerous to bothpatient and operator unless safe exposurevalues are used and correct operatingprocedures are observed.

CAUTION The patient positioning lights are laserlights. Do not stare into the laser beam.

CAUTION Do not drop the sensor. Planmeca limitedwarranty does not cover damage which isdue to misuse, e.g. dropping the sensor,neglect, or any cause other than ordinaryuse. If you have any reason to believe that thesensor might be faulty, take a test exposurebefore taking a patient exposure.

CAUTION If an exposure is interrupted (e.g. exposurebutton is released or emergency stop buttonactivated), the patient must be guided awayfrom the X-ray unit before the C-arm ismoved.

CAUTION Do not connect items which are notspecified as part of the system.

CAUTION Do not connect a multiple portable socketoutlet (MPSO) or extension cord to thesystem.

CAUTION Do not touch an electrical connector and thepatient at the same time.

CAUTION If the X-ray unit shows any signs of oilleakage, disconnect the unit from mains andcontact your service technician for help.

CAUTION Do not use the X-ray unit in an oxygen richenvironment or in the presence of flammableanesthetics.

CAUTION Never use a defective or damaged X-raysystem. Contact your service technician forhelp.

NOTE It is very important that the place where the unit is tobe used and the position from which the user is tooperate the unit are correctly shielded. Since radiationsafety requirements vary from country to country andstate to state it is the responsibility of the user toensure that all local safety requirements are met.

NOTE Cone beam imaging should not be used for routine (orscreening) examinations. The imaging examinationsmust be justified for each patient to demonstrate thatthe benefits outweigh the risks.

NOTE When it is likely that evaluation of soft tissues will berequired as part of the patient’s radiologicalassessment, conventional CT or MR medical imagingshould be used rather than CBCT.


SAFETY PRECAUTIONS

NOTE Before taking an exposure, ask any female patient ofchildbearing age whether she might be pregnant. TheX-ray unit is not intended for use on pregnant women.

NOTE FOR CANADIAN USERS:All patients must be provided with a shielded apron forgonad protection and a thyroid shield. The use of athyroid shield is especially important in children. Theshielded apron and thyroid shield should have a leadequivalence of at least 0.25 mm on both sides (frontand back of the patient).

NOTE If the X-ray unit has been stored at temperatures under+10°C for more than a few hours, time must be allowedfor the unit to reach room temperature before turningit on.

NOTE Ensure efficient air conditioning in the X-ray room. It isrecommended to keep the room temperature between+20°C and +25°C at all times.

NOTE If exposures are taken in rapid succession the X-raytube may overheat and a cooling time will flash on thetouch screen. The cooling time indicates the delaybefore the next exposure can be taken.

NOTE If the X-ray system is not connected to anUninterruptible Power Supply (UPS), disconnect thesystem from mains during lightning storms.

NOTE FOR US & CANADIAN USERS:The patient positioning lights are class II laserproducts (21 CFR § 1040.10).

NOTE FOR EUROPEAN USERS:The patient positioning lights are class 1 laserproducts (Standard IEC / EN 60825-1: 2007).

NOTE EMC requirements have to be considered, and theequipment must be installed and put into serviceaccording to the specific EMC information provided inthe accompanying documents.

NOTE Portable and mobile RF communications equipmentcan affect the X-ray unit.

NOTE External equipment intended for connection to signalinput, signal output or other connectors, shall complywith relevant IEC standard (e.g. IEC 60950 for ITequipment and the IEC 60601 series for medicalelectrical equipment). In addition, all suchcombinations - systems - shall comply with thestandard IEC 60601-1-1, Safety requirements formedical electrical systems. Equipment not complyingto IEC 60601 shall be kept outside the patient area(more than 2m (79 in.) from the X-ray unit).Any person who connects external equipment tosignal input, signal output or other connectors hasformed a system and is therefore responsible for thesystem to comply with the requirements of IEC 60601-1-1. If in doubt, contact your service technician or localrepresentative for help.

NOTE Contact your service technician if you notice adecrease in image quality.

NOTE Contact your service technician if you have taken anexposure but the image does not appear in thePlanmeca Romexis program. The last ten images canbe manually imported into Romexis.

NOTE Never place or hang any objects on any part of the X-ray unit.

CAUTIONLASER RADIATION -

DO NOT STARE INTO BEAM

1mW635nm

CLASS II LASER PRODUCT

LBL-X

-099

CLASS 1 LASER PRODUCTAPPAREIL À LASER DE CLASSE 1

IEC 60825-1:2007


SWITCHING X-RAY UNIT ON

NOTE Make sure that neither you nor your patient can getcaught or hooked up on any part of the X-ray unit.Keep loose items of clothing, hair and jewellery tuckedaway safely.

NOTE If you have any reason to believe that the C-arm mighthit the patient during exposure (e.g. patients with wideshoulders), take a test exposure without radiationfirst. Refer to section 9.3 “Special functions (i400)” onpage 52 for information on how to switch radiation off.

NOTE Do not touch the arm structures when the X-ray unit ismoving.

NOTE Patients are not allowed to hang on the patienthandles.

NOTE FOR PROFACE SENSOR:Do not touch the glass windows. Fingerprints or otherstains on the glass surface destroy image quality.

5 SWITCHING X-RAY UNIT ON

The on / off switch is located on the underside of thestationary column top. When you switch the X-ray unit onthe main display will be shown on the control panel andthe X-ray unit will carry out a self-test which will last a fewseconds.

The X-ray unit is then ready for use.

NOTE To prolong the lifetime of the X-ray unit, always switchthe unit off when it is not in active use.

Glass windows

ProFace sensor

on_o

ff_2.

eps

On / off switch

Stationary column top


MAIN PARTS

6 MAIN PARTS

6.1 General view of 2D X-ray system

1 X-ray unit

2 Planmeca Romexis program

Ethernet

1

2


MAIN PARTS

6.2 General view of 3D X-ray system

1 X-ray unit

2 3D reconstruction PC

3 Planmeca Romexis program

Ethernet

1

32


MAIN PARTS

6.3 General view of X-ray unit

C-arm

Telescopic column

Stationary column

Patient support

Patient support table

Patient handles

Patient positioningcontrols

Control panel

Cephalostat (optional)

Sensor


MAIN PARTS

6.4 Sensors

Pro

f_1B

.ep

s

3D sensor for

3D_s

enso

r.ep

s

3Ds_

sen

sor.e

ps

3D sensor forPlanmeca ProMax 3D s Planmeca ProMax 3D

ProFace sensor for

Planmeca ProMax 3D s and

Planmeca ProMax 3D

Dimax sensor

Dim

ax_s

enso

r.eps


MAIN PARTS

6.5 Patient supports

Bite

1.ep

s

Chin support

Bite piece

Chin cupChin rest

Temple supportsChi

n2.e

ps

Bite

2.ep

s

Chi

n1.e

ps

Lip1

.eps

Adapter


MAIN PARTS

6.6 Exposure switch

The exposure switch can be mounted on the wall, or it canbe hung from the hook provided on the stationary columntop if a protected area is within reach.

On the exposure button and on the control panel a greenindicator light will come on when the unit is correctly setup and ready to take an exposure. Additionally, the wordREADY will stop flashing on the control panel display.

An amber indicator light will come on on the exposureswitch and on the control panel when you take anexposure. It indicates that the unit is generating radiation.You will also hear a radiation warning signal.

When you take an exposure you must press and holddown the exposure button for the whole duration of theexposure.

If you remove your thumb from the exposure buttonbefore the exposure cycle is completed radiation will beinterrupted, the C-arm will stop moving and a helpmessage will appear on the control panel display. Guidethe patient away from the X-ray unit. Then clear the helpmessage by touching OK.

_wal

l6_2

.ep

s

Exposure button withindicator light

AMBER = EXPOSURE

GREEN = READY

Exposureindicator light

Exposureindicator light

Readyindicator light(GREEN)

(AMBER)

CONTROL PANEL LIGHTS:

PX

R_D

sw._

2eps


MAIN PARTS

6.7 Emergency stop button

The emergency stop button is located on the top of thestationary column. Press the button to stop the X-ray unitoperating in an emergency. When the emergency stopbutton is pressed down, all movements of the X-ray unitare blocked and the unit will not generate radiation. Theup / down movement will stop within a distance of 10 mm(0.4 in.).

A help message will appear on the control panel display.Guide the patient away from the X-ray unit. Then releasethe emergency stop button. The X-ray unit willautomatically restart.


PROGRAMS

7 PROGRAMSThe X-ray unit uses robotic SCARA (SelectivelyCompliant Articulated Robot Arm) technology for armmovements. SCARA 3 units have three joints and allowlimitless imaging possibilities. SCARA 2 units have twojoints and offer a more limited selection of exposureprograms.

The basic program package is included as standard andthe other program packages are available as options. Theavailable options depend on the unit’s SCARA type.

NOTE The images shown in this manual are only examples.

Program package Contents SCARA Arm

Sensor

2D imaging system

Basic panoramic programs (standard)

Standard panoramic

Lateral double TMJ

PA double TMJ

PA rotational sinus

SCARA 2 orSCARA 3

Dimax, 3D s, 3D s ProFace, 3D or 3D ProFace

Advanced panoramic programs (optional)

Orthogonal panoramic

Interproximal panoramic

Lateral-PA double TMJ

3 angles PA TMJ

3 angles lateral TMJ

PA non-rotational sinus

Lateral non-rotational sinus

Midsagittal non-rotational sinus

SCARA 3 Dimax, 3D s, 3D s ProFace, 3D or 3D ProFace

Other panoramic programs (optional)

Bitewing panoramic

Horizontal and vertical segmenting

SCARA 2 orSCARA 3

Dimax, 3D s, 3D s ProFace, 3D or 3D ProFace

Tomography (optional)

Digital tomography

Digital transtomography

SCARA 3 Dimax

Cephalostat (optional)

Scanning Ceph

Planmeca ProCeph

SCARA 2 or SCARA 3

SCARA 3

Dimax

ProCeph

Dynamic Exposure Control (DEC) (optional)

Panoramic DEC

Cephalometric DEC

SCARA 2 orSCARA 3

Dimax


PROGRAMS

3D imaging system

3D programs (optional / separately as 3D system)

3D Standard

3D Large View 2 horizontal

3D Large View 3 horizontal

3D Large View 2 vertical

3D Horizontal Pair

SCARA 3 3D s or 3D

3D programs + ProFace (optional / separately as 3D system)

3D Standard (+ Face Scan)

3D Large View 2 horizontal (+ Face Scan)

3D Large View 3 horizontal(+ Face Scan)

3D Horizontal Pair (+ Face Scan)

Face Scan

SCARA 3 3D s ProFace or

3D ProFace

3D Model (optional)

3D Impression scan

3D Plaster cast scan

SCARA 3 3D or 3D ProFace

Program package Contents SCARA Arm

Sensor


PROGRAMS

7.1 Panoramic programs

Standard panoramic program

The standard panoramic program has a traditional pathand angles of the beam.

Orthogonal panoramic program

The basic imaging geometry is the same as in thestandard panoramic program but the X-ray beam isperpendicular to the jaw.

NOTE This program is optimized for orthogonal imaging anda shadow of the opposite side teeth may therefore bevisible in the radiograph.

Interproximal panoramic program

The basic imaging geometry is the same as in thestandard panoramic program but the X-ray beam isparallel to the interproximal contacts of the teeth.

NOTE This program is optimized for interproximal imagingand a shadow of the opposite side teeth may thereforebe visible in the radiograph.

layer laser beam1 cm




PROGRAMS

Bitewing panoramic program

This program produces bitewing images from premolarand molar areas including parts of maxilla, mandible andrami. The bottom of the maxillary sinus as well as themandibular canal and the mental foramen are also visible.

The bitewing program uses interproximal angulationprojection geometry.

In the bitewing program radiation dose is reducedcompared to the standard panoramic program.

NOTE This program is optimized for interproximal imagingand a shadow of the opposite side teeth may thereforebe visible in the radiograph.

7.2 Temporomandibular joint (TMJ) programs

Double lateral

Lateral TMJ exposures of closed (1/2) and open (2/2)temporomandibular joints.

SCARA 3 units:

The imaging position and angle can be adjusted. Thedefault imaging angle is 17°.


1 cm

SCARA 3 units1/21/2 2/22/2


PROGRAMS

SCARA 2 units:

The imaging geometry is different. The imaging positioncan be adjusted.

Double PA

Postero-anterior TMJ exposures of closed (1/2) and open(2/2) temporomandibular joints.

SCARA 3 units:

The imaging position and angle can be adjusted. Thedefault imaging angle is 17°.

PA exposures are taken perpendicular to the long axis ofthe condyle (90° - 17° = 73°). The condyle angle is shownas default angle.

SCARA 2 units:

The imaging geometry is different. It is not possible toadjust the imaging position or angle.

1 cm

SCARA 2 units

1/21/2 2/22/2

1 cm

SCARA 3 units

1 cm

SCARA 2 units


PROGRAMS

Double lat-PA

Lateral (1/2) and postero-anterior (2/2) TMJ exposures ofclosed or open temporomandibular joints. The imagingangles (lateral and PA) are adjustable (default angle: 17°).


3 angles PA (L / R)

Three postero-anterior multi-angle left-hand or right-handside TMJ exposures.

The imaging angle for image no. 2 is adjustable (threeimaging angles: 17° ±7° by default). The selected imagingangle is in image no. 2.


3 angles lat (L / R)

Three lateral multi-angle left-hand or right-hand side TMJexposures.

The imaging angle for image no. 2 is adjustable (threeimaging angles: 17° ±7° by default). The selected imagingangle is in image no. 2.

1 cm

1/21/2 2/22/2

1 cm

12

3

1/32/33/3

1 cm

1 2 3

2/33/3 1/3


PROGRAMS

7.3 Sinus programs

PA rotational

Postero-anterior rotational sinus exposure.

PA non-rotational

Postero-anterior non-rotational sinus exposure.

“Non-rotational” indicates that the C-arm moves linearlyand scans over the head with a linearly moving X-raybeam.

Lateral non-rotational (L / R)

Lateral non-rotational exposure of the left or right sinusarea.

X-ray

1 cm

X-ray

1 cm

X-ray (L)


PROGRAMS

Midsagittal non-rotational (L / R)

Lateral non-rotational sinus exposure in the middle of thejaw. Exposure can be taken from the left or right jaw side.

7.4 Tomography / transtomography programs

There are two methods available: digital tomography anddigital transtomography.

Digital tomography uses a one sweep method. A narrowradiation beam makes one sweeping movement and therotation center moves simultaneously along the imagelayer. The layer thickness cannot be adjusted.

Digital transtomography uses a multiple sweep method.The radiation beam makes a pendular movement alongthe image layer. The layer thickness can be adjusted.

NOTE Vertical artefacts caused by high contrast objects maybe visible in transtomography when a layer thicknessof 1mm is used. Select a thicker layer to avoid this.

Digital tomography Digital transtomography

Layer thickness (mm) Not adjustable 1, 3, 6, 9, 18, 36

Layer separation Less clear Clearer

Exposure time / frame (s) 3 24

Patient dose Lower Higher (~2x)

1 cmX-ray (L)

Digital Digital tomography transtomography


PROGRAMS

Tomography / transtomography programs produceexposures of any part of the maxillofacial region. Theexposures can be cross-sectional, longitudinal orcombined as shown in the following tables.

Cross-sectional tomography / transtomography programs4x CRS Manual

Manual, 1-4 cross-sectional images. The user can make manualadjustments between exposures.

4x CRS Autoposition

Automatic, 4 cross-sectional images.

The exposure position is automatically moved between exposures.The movement (distance from middle to middle) is adjustable, andit can be 1, 3, 6, 9 or 12mm.

The selected target position is image no. 2.3x CRS Automatic Angulation

Automatic, 3 cross-sectional images with different angles. Imagescan be used as stereopairs.

The C-arm angle is automatically changed between exposures.The angle of the first exposure is the selected angle +7°counterclockwise, and the angle of the third exposure is theselected angle +7° clockwise.

The selected target position is image no. 2.

4xCRS_Manual.eps

321

34 4

21

1/42/43/44/4

32

4

1

32

4

1

4xCRS_AutoPos.eps

1/32/33/3

3xCRS_AutoAng .eps

32

1

12

3


PROGRAMS

4x CRS Anatomic

Automatic, 4 cross-sectional images following the anatomy of theexposed area. Note that you have to set the target position so thatall four images will fit in the selected jaw side.The movement is adjustable, and it can be 1, 3, 6, 9 or 12mm.


The program stops if the exposure position movesover the midsagittal plane.

3x PA Sinus & Nasal (Tomography)

Automatic, 3 narrow postero-anterior images from the sinus area /midsagittal plane (nasal cavity).


PA Sinus & Nasal (Transtomography)

1 wide postero-anterior image from the sinus area / midsagittalplane (nasal cavity).

1/42/43/44/44 3

2

1

1/32/33/3NASAL

SINUS

Left

Right

3 12

13

SINUS

2

123

NASAL

SINUS

Left

Right

SINUS

1

1

1


PROGRAMS

Longitudinal tomography / transtomography programs4x LNG Manual

Manual, 1-4 longitudinal images. The user can make manualadjustments between exposures.

3x LNG Autoposition

Automatic, 3 longitudinal images. The exposure position isautomatically moved between exposures. The movement isadjustable, and it can be 1, 3, 6, 9 or 12mm.

The selected target position is image no. 2.3x LNG Automatic Angulation

Automatic, 3 longitudinal images with different angles. Images canbe used as stereopairs.

The C-arm angle is automatically changed between the exposures.The angle of the first exposure is the selected angle +7°counterclockwise, and the angle of the third exposure is theselected angle +7° clockwise.


34

2 1 3 421

3xLNG_Manual.eps

1/32/33/3

3 2 1 321

4xLNG_Auto_pos.eps

1/32/33/3

213 2 31

3xLNG_Auto_angle.eps


PROGRAMS

3x Lateral Sinus & Nasal (Tomography)

Automatic, 3 narrow longitudinal images from the sinus area /midsagittal plane (nasal cavity).


Lateral Sinus & Nasal (Transtomography)

1 wide longitudinal image from the sinus area / midsagittal plane(nasal cavity).

3/3 2/3 1/3

SINUS

123

Left

321

Right

NASAL

321

123

Right Left

SINUS

SINUS

Left

Right

NASAL

SINUS

1

1

Right Left

11


PROGRAMS

Combined tomography / transtomography programs1x CRS, 1x LNG

Automatic, a cross-sectional and a longitudinal image (thickerlayer).

3x CRS Autoposition, 1x LNGAutomatic, 3 cross-sectional images and a longitudinal image(thicker layer).The exposure position is automatically moved between cross-sectional exposures. The movement is adjustable, and it can be 1,3, 6, 9 or 12mm.

The selected target position is image no. 2.3x CRS Automatic Angulation, 1x LNG

Automatic, 3 cross-sectional images with different angles and alongitudinal image (thicker layer).

The C-arm angle is automatically changed between the exposures.The angle of the first CRS exposure is the selected angle +7°counterclockwise, and the angle of the third CRS exposure is theselected angle +7° clockwise.


1/22/2

2

1

2

1

1xCRS_1xLNG.eps

4/4 3/4 2/4 1/4

4

123

4

12

3

3xCRS_Auto_pos_1xLNG.eps

4/4 3/4 2/4 1/4

4

32

1

4

123

3xCRS_Auto_angle_1xLNG.eps


CONTROL PANEL

8 CONTROL PANEL

8.1 General about control panel

NOTE Never allow patients to touch the display when theyare positioned in the X-ray unit. Touching the displayduring exposure will stop the imaging process.

NOTE The contents of the control panel displays depend onthe configuration of the X-ray unit.

To make a selection on the control panel, simply touch atext field or an icon with your finger or a soft stylus. Youwill hear a signal tone when a field or an icon is activated.

NOTE Do not use sharp objects to operate the control panel.

You can set the X-ray unit so that the current time will beshown at the bottom of the display. You can choose inwhich format (e.g. 14:44) it will be shown. Refer to section“Date & time (i210)” on page 43 for more information.

You can set the X-ray unit so that the radiation dose willbe shown in a pop-up window after each exposure. Thevalue shown on the display indicates the highest radiationdose the patient was exposed to during the exposure.Refer to section “Behavioural preferences (i230)” on page45 for more information. Note that you will have to acceptthe pop-up message by touching OK.

If you are using a Dimax sensor you can set the X-ray unitso that a preview of the X-ray image will be shown on thecontrol panel after each 2D exposure. Refer to section“Visual adjustments (i250)” on page 47 for moreinformation.

The display will automatically switch to stand-by mode ifyou do not touch the display or the exposure button formore than thirty minutes. In stand-by mode the greenready lights on the exposure button and control panelindicate that the X-ray unit is switched on even though thedisplay is dark. The display will switch on as soon as youtouch it again.

NOTE The control panel display can be adjusted to respondto your individual finger touch. Refer to section “Visual adjustments (i250)” on page 47 for moreinformation.

NOTE You can switch practice mode on if you wish topractice or demonstrate the functions of the X-ray unitwithout radiation. Refer to section “Special operationmode (i410)” on page 52 for more information.

NOTE The exposure time indicated on the display before anexposure is taken is an estimated value. The real valueis shown after the exposure. Variation in exposuretime is caused by mA automation.

Time


CONTROL PANEL

8.2 General settings

8.2.1 Selecting patient size

Select the patient size by touching the corresponding sizesymbol in the Patient size field on the main display.

Select the smallest patient size symbol for a child.Selecting the smallest patient size symbol willautomatically reduce the exposure area and patient dose.The jaw shape & size setting will automatically change toNormal & Narrow.

NOTE If the unit is equipped with a fixed primary collimator,only the width of the exposed area will be reduced.

Select the second patient size symbol for an adolescent.Select the third patient size symbol for a small adult.Select the fourth patient size symbol for an average-sizedadult. Selecting any of the patient sizes in the middle willautomatically change the jaw shape and size setting toNormal & Average.

Select the biggest patient size symbol for a large adult.Selecting the biggest patient size will automaticallychange the jaw shape and size setting to Normal & Wide.

The selected patient size will be highlighted.

NOTE The exposure values (kV and mA) will automaticallychange to correspond with the selected patient sizeand exposure program.

NOTE Jaw shape and size selection is not available in sinusprograms.

8.2.2 Selecting kilovolt and milliampere values

NOTE The exposure values will automatically change tocorrespond with the selected patient size andexposure program.

The preset exposure values are average values and theyare only meant to guide the user.

To change the preset exposure values, touch the kV / mAfield on the main display.

From left to right: ChildAdolescentSmall adultAverage-sized adultLarge adult


CONTROL PANEL

The Select kV / mA display appears. Select the requiredexposure values by touching the kV and mA values. Theselected values will be highlighted.

Confirm your selection and return to the main display bytouching OK.

The preset exposure values for the selected exposureprogram are shown in the quick buttons at the bottom ofthe display.

NOTE Selecting kV and mA values manually will override theautomatic quick button setting.

8.2.3 Changing exposure values for quick buttons

The quick button exposure values have been preset at thefactory. If needed, the preset values can be changed bythe user.

To change the preset values of a quick button, first selectthe required kV and mA values by touching thecorresponding fields on the parameter display and thentouch and hold the desired quick button at the bottom ofthe display until you hear a signal tone. The quick buttonwill now show the new exposure values.

The quick button values are program-specific, i.e. theexposure values can be set separately for each program.

NOTE To view the preset exposure values for each programtype, refer to the tables in chapters 12 “PANORAMICEXPOSURE” on page 62, 13 “TEMPOROMANDIBULARJOINT (TMJ) EXPOSURE” on page 69 and 14 “SINUSEXPOSURE” on page 80.

Confirm your selection and return to the main display bytouching OK.

8.2.4 Selecting patient entry position

SCARA 3 units offer two patient entry positions: Entry 1and Entry 2. You can use either of them according to yourindividual preference.

Selecting Go Entry 1 will move the C-arm to the back,away from the patient positioning area. This full viewposition allows you to monitor and adjust the patient’sposition freely from all directions.

Selecting Go Entry 2 will position the C-arm around thetemple supports. This is the traditional closed patiententry position.

NOTE If needed, the Go Entry 1 function can be disabled asdescribed in section “Behavioural preferences (i230)”on page 45. This might be necessary if there is nospace for the C-arm to move back.

Quick buttons


CONTROL PANEL

NOTE SCARA 2 units offer only one patient entry position(Go Entry 2). This entry position is the classic closedpatient entry position where the C-arm is positionedaround the temple supports.

8.3 Selecting panoramic program

To select a panoramic program, touch the Prog. field onthe main display. The main display is the display that isshown when the X-ray unit is switched on.

The Select program type display appears. Select programtype Pan.

NOTE The Select program type display will show all theexposure programs that the X-ray unit features at themoment. The X-ray unit can be upgraded with newexposure programs, contact your dealer for furtherinformation.

On the next display, select the panoramic program youwish to use.

Refer to section 7.1 “Panoramic programs” on page 16 fora more detailed description of the program types.

When you have selected the program the main displaywill be shown again.

Planmeca ProMax with Dimax sensor: Planmeca ProMax 3D s / 3D + SmartPan:


CONTROL PANEL

8.3.1 Selecting jaw shape & size in panoramic programs

This function adjusts the form of the image layer toaccommodate patients with different jaw shapes andsizes.

NOTE The setting in the jaw field will automatically change tocorrespond with the selected patient size.

Selecting the smallest patient size will automaticallychange the jaw shape and size setting to Normal &Narrow.

Selecting any of the three patient sizes in the middle willautomatically change the jaw shape and size setting toNormal & Average.

Selecting the biggest patient size will automaticallychange the jaw shape and size setting to Normal & Wide.

If necessary, you can select the jaw shape and sizemanually by touching the Jaw field or jaw icon on the maindisplay.

The Select jaw shape & size display appears. Themarking on the jaw icon demonstrates the image layer.Select the required jaw shape and size by tapping thecorresponding icon. The selected jaw icon will behighlighted.

NOTE Selecting jaw shape and size manually will overridethe automatic setting.

Confirm the selection and return to the main display bytouching OK.

Jaw size:

Narrow

Average

Wide

Jaw shape: NormalV-shaped Square


CONTROL PANEL

8.3.2 Selecting segmentation in panoramic programsNOTE Horizontal segmenting is not available for the bitewing

program.

This optional function allows you to take exposures ofdifferent jaw segments. This will reduce the radiation doseas only diagnostically interesting sections need to beincluded in the exposure.Touch the Segment field or segment icon on the maindisplay.

The Select segmentation display appears. The displayshows an icon which is divided into three horizontalsectors (and five vertical sectors, depending on the unitconfiguration). The segment numbers on the main display(1 2 3 4 5) refer to the five vertical sectors.Touch the corresponding arrow field(s) to deselect thesector(s) that should not be exposed. The sectors whichwill not be exposed will turn dark red. The sectors whichwill be exposed remain white.

NOTE It is not possible to expose two separate horizontalsectors.

Touching the arrow of a deselected sector again willchange the sector’s color back to white.


NOTE The image shown on the display is only an example.The actual size of the exposed area depends on thepatient’s anatomy.

8.3.3 Dynamic Exposure Control (DEC) in panoramic programs

NOTE Dynamic Exposure Control (DEC) is an optionalfeature for X-ray units with Dimax sensor. DEC has tobe activated on information display i310 before youcan start using it.

NOTE DEC and vertical segmenting can be usedsimultaneously. However, the right-most verticalsector (segment 5) cannot be deselected.

NOTE DEC and horizontal segmenting cannot be usedsimultaneously.

NOTE If Autofocus is switched on (AF ON), DEC will beautomatically switched off for the first exposure (scoutimage).

Deselectedsectors -

Sectors

no exposure

to be exposed

ExposureNo exposure


CONTROL PANEL

Touch the DEC field on top of the main display to switchDynamic Exposure Control (DEC) on or off for theexposure you are going to take.

Dynamic Exposure Control (DEC) automatically providesoptimal exposure values for each patient during exposure.This function adjusts the exposure values individually foreach patient based on their anatomic structure and bonedensity. Switching DEC on improves the image quality asthe function produces images of more consistentbrightness and contrast.

When DEC is switched on the exposure values will beautomatically adjusted during exposure. The kV value willbe adjusted by max ±4 kV and the mA value will beadjusted by max +4 / -3 mA within the available scale.

Adjusting DEC density

If the images appear to be too bright or too dark, DECdensity can be adjusted on the DEC Settings display(i25.1).

To adjust DEC density for panoramic exposures toucheither of the Panoramic density arrow fields. DEC densityis expressed in percentage in comparison to DECcalibration value. The setting can be adjusted between20% (lower exposure values -> brighter image) and 200%(higher exposure values -> darker image). Therecommended setting is 100% (default setting).


CONTROL PANEL

8.3.4 Autofocus (AF) in panoramic programs

NOTE Autofocus is an optional feature for SCARA 3 unitswith Dimax sensor. It is available for standard,interproximal and orthogonal panoramic programs.

NOTE Autofocus has to be activated on information displayi310 before you can start using it.

NOTE The layer light is disabled when Autofocus is switchedon.

NOTE If Autofocus is switched on (AF ON), DEC will beautomatically switched off for the first exposure (scoutimage).

Touch the Autofocus field on the main display to switchAutofocus on (AF ON) or off (AF OFF) for the exposureyou are going to take.

Autofocus adjusts the layer position automatically. Thefunction positions the image layer individually for eachpatient based on the position and angle of the apices ofthe upper central incisors.

The exposure will be taken in two stages and the C-armwill move twice.


CONTROL PANEL

8.4 Selecting temporomandibular joint (TMJ) program

To select a temporomandibular joint (TMJ) program,touch the Prog. field on the main display. The maindisplay is the display that is shown when the X-ray unit isswitched on.

The Select program type display appears. Select programtype TMJ.


On the next display, select the TMJ program you wish touse. If the program is not shown on the display, you canuse the down arrow to scroll through the list.

Refer to section 7.2 “Temporomandibular joint (TMJ)programs” on page 17 for a more detailed description ofthe program types.




CONTROL PANEL

8.4.1 Selecting jaw size in TMJ programsThis function adjusts the image layer (focal through) toaccommodate patients with different jaw sizes. OnSCARA 2 units the function is available in lateral viewonly.

NOTE The setting in the jaw field will automatically change tocorrespond with the selected patient size.

Selecting the smallest patient size will automaticallychange the jaw size setting to Narrow.

Selecting any of the three patient sizes in the middle willautomatically change the jaw size setting to Average.

Selecting the biggest patient size will automaticallychange the jaw size setting to Wide.

If necessary, you can select the jaw size manually bytouching the Jaw field or jaw icon on the main display.

On the display that appears, select the required jaw sizeby tapping the corresponding icon. The selected jaw iconwill be highlighted. The marking on the jaw icondemonstrates the image layer.

NOTE Selecting the jaw size manually will override theautomatic setting.


8.4.2 Adjusting imaging position and angle in TMJ programs

SCARA 2 units (lateral view):

The imaging position can be adjusted on the Select jawsize, adjust position and angle display.

Touch the corresponding arrows on either side of thedisplay. The imaging position on the other jaw side willchange accordingly if the setting in the top right field is setto Symmetric.

If the patient’s right and left side are asymmetric you willneed to set the imaging position separately on the otherjaw side. To do this, touch the field for symmetric /asymmetric setting to select the asymmetric setting andadjust the other jaw side as required.


NOTE You can set the X-ray unit so that the imaging positionwill be automatically moved forwards for the open jawexposure, refer to section “Default program settings(i270)” on page 49.

Symmetric / asymmetricexposure


CONTROL PANEL

SCARA 3 units:

The imaging position and angle can be adjusted on theSelect jaw size, adjust position and angle display.

Touch the corresponding arrows on either side of thedisplay. The imaging position or angle on the other jawside will change accordingly if the setting in the top rightfield is set to Symmetric.

If the patient’s right and left side are asymmetric you willneed to set the imaging position and angle separately onthe other jaw side. To do this, touch the field forsymmetric / asymmetric setting to select the asymmetricsetting and adjust the other jaw side as required.


NOTE You can set the X-ray unit so that the imaging positionwill be automatically moved forwards for the open jawexposure, refer to section “Default program settings(i270)” on page 49.

NOTE The default imaging angle (17 degrees for lat and PA)can be changed. Refer to section “Default programsettings (i270)” on page 49.

8.4.3 Selecting jaw side in double TMJ programs

This function enables you to select on which side theexposure(s) will be taken.

On the main display, touch the Segment icon.

The Select side display appears. Touch the arrow field todeselect the jaw side that should not be exposed. Thisside will turn dark red. The jaw side which will be exposedremains white.

Touching the arrow of a deselected side again will changethe color back to white.


Symmetric / asymmetricexposure


CONTROL PANEL

8.5 Selecting sinus program

To select a sinus program, touch the Prog. field on themain display. The main display is the display that isshown when the X-ray unit is switched on.

The Select program type display appears. Select programtype Sinus.


On the next display, select the sinus program you wish touse.

Refer to section 7.3 “Sinus programs” on page 20 for amore detailed description of the program types.




CONTROL PANEL

8.6 Selecting tomography / transtomography program

NOTE Tomography / transtomography are optional programsfor SCARA 3 units with Dimax sensor.

In tomography / transtomography programs tomographicimages are taken from the maxilla, mandible ortemporomandibular joints. These images can be cross-sectional, longitudinal or combined, and their angle canbe adjusted.

There are two methods available: digital tomography anddigital transtomography. See section 7.4 “Tomography /transtomography programs” on page 21 for a moredetailed description of the program types.

To select a tomographic program first touch the Prog. fieldon the main display. The main display is the display that isshown when the X-ray unit is switched on.

The Select program type display appears. Select programtype Tomo or Transtomo.


On the next displays, select the program you wish to use.

Refer to section 7.4 “Tomography / transtomographyprograms” on page 21 for a more detailed description ofthe program types.


CONTROL PANEL

8.6.1 Selecting target area in tomography / transtomography programs

When you have selected the program the Select targetarea display will be shown.

On the Select target area display, specify the image areaby selecting the upper or lower jaw, right or left side, jawsize, distance between exposures, standard or full sizeexposure, and the tooth number (or TMJ). The selectedtarget position will be marked on the icon.

Jaw

Select the lower or upper jaw by touching the Jaw field.

Side

Select the right or left side of the jaw by touching the Sidefield.

NOTE The side selection can also be made by simplytouching the jaw icon on that side.

Jaw size

Select the jaw size by touching the Jaw size field. TheSelect jaw shape & size display will appear. Select thecorrect jaw size (narrow, average or wide) by tapping onthe corresponding icon. Touch OK to confirm theselection.

Layer

In transtomography programs the layer thickness can beset to 1, 3, 6, 9, 18 or 36 mm. The list is cyclical.

In tomography programs the layer thickness is always 6mm and the Layer field is not shown on the control panel.

Distance

Select the distance between exposures in automaticprograms by touching the Distance field. The distance canbe 1, 3, 6, 9 or 12 mm, and the list is cyclical.

In manual programs the Distance field is not shown on thecontrol panel.

Size

Select a standard (either lower or upper collimation) or fullsize (full collimation) exposure by touching the Size field.If you select Lower or Upper only the selected jaw will beexposed, and selecting Full will produce a full sizeexposure of both jaws.

Layer thicknessadjustable intranstomographyprograms

Distance betweenexposures adjustablein automatic programs(tomography and transtomography)


CONTROL PANEL

Target

Select the tooth number (0-8) or temporomandibular joint(TMJ) by touching the Target field. The number 0indicates the space between the central incisors. The listis cyclical.

NOTE The target selection can also be made by simplytouching the jaw icon on the corresponding location.

NOTE The tooth numbering system can be changed ondisplay i272. See section “Default program settings(i270)” on page 49 for details.

When you have set the target position, confirm theselections by touching the OK field. The main displayappears.

NOTE The position of the target area is based on average jawmeasurements. The position must be adjusted afterthe patient has been positioned in the unit, see section15.2 “Adjusting position of target area” on page 88.


INFORMATION DISPLAYS

9 INFORMATION DISPLAYSCAUTION Some of the settings can be used to alter the

operation of the X-ray unit. Never usefunctions that you are not familiar with.

NOTE The contents of the information displays depend onthe unit configuration. The displays shown here arefrom a SCARA 3 unit featuring all currently availableexposure programs.

The control panel has a number of additional functions forspecial requirements. Some of the functions (Userpreference settings, Feature program control and Specialfunctions) can be entered by the user, and others (Servicesettings, Technical calibrations and Troubleshooting) arefor the use of service personnel only and access to thesesettings requires a password. This section describes thefunctions that can be entered by the user.

To get to the list of the Information displays, first touch thei field. The display shown below appears.

You can return to the main display by touching the Exitfield.



9.1 User preference settings (i200)

Touch User preference settings (i200) on InformationDisplays. The display shown below appears.

Date & time (i210)

NOTE The time is set to the local time at the factory. Changethe time setting to show the correct time before youstart using the X-ray unit.

To set the time select Set time on the Date & time display(i210). If you want to change the date, select Set date.The option Date & time display format allows you to selectthe format you wish to use for displaying date and time.



• Set time (i21.1)Set the correct time with the Hour and Minutesarrows. Save the new time by touching the Donefield or exit the display without saving changes bytouching the Cancel field.

• Set date (i21.2)Set the correct date with the Year, Month and Dayarrows. Save the new date by touching the Donefield or exit the display without saving changes bytouching the Cancel field.

• Time & Date display format (i21.3)You can choose between 12 and 24 hour systemfor the time display. The date can be displayed infollowing formats: DD.MM.YYYY, MM.DD.YYYY orYYYY.MM.DD. Select the time and date format you wish to use.The selected options will be marked with a blue dot.Confirm your selections by touching Done or exitthe display without saving changes by touching theCancel field.



Audio settings (i220)

Select Audio settings (i220) on the User preferencesettings (i200) display to adjust the volume of theradiation warning signal. On the Adjust sound volume(i22.1) display, touch the arrows to adjust the volumebetween 1 (quiet) and 255 (loud).

Save the new setting by touching the Done field or exit thedisplay without saving changes by touching the Cancelfield.

Behavioural preferences (i230)

Select Behavioural preferences (i230) on the Userpreference settings (i200) display.



• Return C-arm after exposureTouch the Return C-arm after exposure field to setthe X-ray unit so that the C-arm will automaticallyreturn to the starting position at the end of anexposure cycle. Note, however, that the automatic function worksonly if the exposure button is pressed and helddown for the entire duration of the exposure.

• Disable Entry 1 positionSelect this option if you need to disable Entry 1position. This might be necessary if there is nospace for the C-arm to move back.NOTE: This option will be shown only on SCARA 3units.

• StatisticsTouch the Statistics field to set the X-ray unit sothat the radiation dose will be shown in a pop-upwindow after each exposure. The programmeasures the highest radiation dose the patient isexposed to during exposure. Note that if the patientdoes not cover the whole exposure area (e.g.cephalometric exposure) the real patient dose islower.Radiation dose is indicated in terms of DAP (DoseArea Product). The measurement unit for DAP ismGy*cm².

• Enable midsagittal & Frankfort lights in TomoSelect this option to set the X-ray unit so that alsothe midsagittal and Frankfort lights come on intomographic and 3D programs when the patientpositioning lights are switched on.

• Disable temple supportsSelect this option if you need to disable the templesupports.

• Use Dimax sensor for panoramicSelect this option if you want to use a 3D s / 3Dsensor for taking 3D images and a Dimax sensorfor taking panoramic (and tomographic andcephalometric) images.When the option is not selected (check box empty)you can take 3D and SmartPan (SmartPan,SmartTMJ, SmartSinus) images with the samesensor.NOTE: This option will be shown only if the X-rayunit has a 3D s / 3D sensor and a SmartPanlicense. The SmartPan license is activated asdescribed in section “Enable / disable features(i310)” on page 50.

The selected option(s) will be marked with a green checkmark. To deselect a function, touch the field again. Thegreen check mark will disappear.

Confirm your selection(s) by touching Done. Touching theCancel field will bring you back to the User preferencesettings (i200) display.



Visual adjustments (i250)

Select Visual adjustments (i250) on the User preferencesettings (i200) display.

• DEC settings (i25.1)Refer to section 8.3.3 “Dynamic Exposure Control(DEC) in panoramic programs” on page 32 fordetails on panoramic DEC settings. Refer to the Planmeca ProMax Cephalostat User’sManual for details on cephalometric DEC settings.

• Touch panel calibration (i25.4)Select Touch panel calibration to calibrate thetouch panel. Touch panel calibration adjusts thepanel to respond to the pressure level of your fingertouch.A black calibration display will appear. Touch thedisplay to “teach” the panel the pressure of yourindividual finger touch and to make it react rapidlyto this pressure level. Note that you have to touchthe display within five seconds as the calibrationprocedure will be cancelled once this time limit hasexpired.

• Preview settings (i25.5)Select the option Show preview after exposure toset the X-ray unit so that a preview of the X-rayimage will be shown on the control panel after each2D exposure. Touching the preview image willzoom you in for a closer view. Return to the originalsize by touching Overview. Accept the previewimage by touching OK.NOTE: This setting applies only to 2D exposureswith Dimax sensor.



• 3D display settings (i25.6)Select the option Enable CTDI Display for 3Dprogram to set the X-ray unit so that the estimatedmilligray (mGy) value will be shown at the top of thedisplay for the exposure you are going to take.

The selected option(s) will be marked with a green checkmark. To deselect a function, touch the field again. Thegreen check mark will disappear.

Confirm your selection(s) by touching Done. Touching theCancel field will bring you back to the Visual adjustments(i250) display.

Select language (i260)

To change the language of the control panel displays, firstselect the option Select language (i260) on the Userpreference settings (i200) display. The Select language(i260) display will appear.

You can use the arrows at the bottom of the display toscroll up and down the list. Select the language of yourchoice. The selected language will be marked with a bluedot.

Confirm your selection by touching Done. Touching theCancel field will bring you back to the User preferencesettings (i200) display.



Default program settings (i270)

On this display you can change default settings for TMJexposures and specify the tooth numbering system usedfor tomographic exposures. You can also define presetsfor 2D views in 3D imaging.

• TMJ (i27.1)Touch the TMJ field to change the TMJ defaultangle. Adjust the angle (lat or PA) with the left andright arrows. NOTE: Angle adjustment is available on SCARA 3units only.

In double TMJ exposures the target position can beautomatically moved forwards for the secondexposure (open view projection). Use the bottomarrows to select the movement step (e.g. 10millimetres).NOTE: This setting is available on SCARA 2 andSCARA 3 units. On SCARA 2 units it applies tolateral view only (not PA).

Confirm your selection by touching Done andrestart the X-ray unit to save the new defaultsettings for TMJ exposures.

• Tomo (i27.2)Select the tooth numbering system you wish to useon the Tomo / Select target area display.The available options are:- Planmeca: 0 - 9 (left / right)- ADA: TMJ-Right, 1 - 8, 32 - 25, 0, 9 - 16, 17 - 24, TMJ-Left- ISO-FDI: TMJ-Right, 18 - 11, 48 - 41, 0, 21 - 28,31 - 38, TMJ-LeftThe selected option will be marked with a dot.Touch Done to confirm your selection.



• 2D View settings (i27.4)Touch the 2D View settings field to select the typeof 2D views that will be available when taking 3Dexposures.

The selected option will be marked with a blue dot.Confirm your selection by touching Done.

9.2 Feature program control (i300)

Enable / disable features (i310)

Select the option Feature program control (i300) onInformation displays. On this display new features can beadded to the X-ray unit.

To add new features, first select the option Enable /disable features (i310). A list of features will appear.



On the Enable / disable features display, touch the featureyou wish to activate. Enabled features will be marked witha green check mark. Confirm the selection by touchingDone.

By touching the down arrow at the bottom of the displaymore features will appear. On the next displays, touch theup arrow to return to the previous display.

You will need a license code to add a new feature to theX-ray unit. The license code can be a specific code for theselected feature on this X-ray unit or a general code.

Touch the feature field (e.g. Horizontal and verticalsegmenting) to switch this feature on. A number displaywill appear. Enter the license code to enable the selectedfeature.

NOTE FOR SPECIFIC LICENSE CODES: Each license code is unit and module specific, i.e. itcan only be used on the specified X-ray unit and for thespecified program feature.

To disable the selected feature repeat the procedure.

NOTE After enabling / disabling a new feature the X-ray unitmust be restarted.



9.3 Special functions (i400)

Touch Special functions (i400) on Information Displays. Alist of special functions will appear.

Special operation mode (i410)

Select Special operation mode (i410) on the Specialfunctions (i400) display. The display shown belowappears.

• Disable radiationThis option allows you to switch the exposurefunction on or off.When the exposure function is switched off noradiation is generated when you press theexposure button. The C-arm will move normally butno radiation will be generated and no radiationwarning signals will be given, i.e. this is a “dummyrun” function for training and demonstrationpurposes. For example, you might want todemonstrate the C-arm movements before takingexposures of children or nervous patients.



The exposure function is switched on when thecheck box in the Disable radiation field is empty.The exposure function is switched off when theDisable radiation field is selected (check markshown).

• Disable need for PC communicationThis option allows you to demonstrate or practicethe functions of the X-ray unit without PCcommunication. Note, however, that if thePlanmeca Romexis program is in the “Waiting forReady” status the communication to the PC cannotbe disabled. Close the program before disablingthe communication.

NOTE Radiation or PC communication cannot be activated ifdemo licenses are switched on (i510).

Error history (i420)

Select Error history (i420) on the Special functionsdisplay. The display shown below appears.

The Error history display lists the last 100 software relatederrors that have occurred. Additionally, the list showsanother 40 tube head related errors. Use the arrows onthe side to scroll up and down the list.

Select the error you wish to check. The selected error isshown in more detail at the bottom of the display (errorcode and number of times the error has occurred, dateand time, software version of the X-ray unit, more detaileddescription).

Error code andnumber of timesthe error hasoccurred

Software version

More detailed description



Exposure statistics (i430)

Select Exposure statistics (i430) on the Special functions(i400) display. The display shown below appears.

The Exposure statistics display contains various statisticaldata about the X-ray unit, e.g. date and time of the lastexposure, total number of exposures and total exposuretime.

X-ray tube seasoning (i450)

Select X-ray tube seasoning (i450) on the Specialfunctions (i400) display. The display shown belowappears.

This option allows you to warm up the X-ray tube, i.e. runan X-ray tube seasoning process. This is necessary if theX-ray unit has not been used for a few days and youreceive error message E332 (Arcing across X-ray tube).

Touch the Start field. The word Ready appears at thebottom of the display and you can now press theexposure button to start the seasoning process.



During the process the words Exposure and Wait willappear on the display. You can press and hold down theexposure button for the whole duration of the process orremove your thumb from the exposure button when theword Wait appears on the display.

The seasoning process will take up to two minutes for 2DX-ray units and up to about three minutes for 3D X-rayunits. After a successful process the message OK isshown on the display.

NOTE Contact your service technician for help if errormessage E332 (Arcing across X-ray tube) reappearsafter a successful seasoning process.

Test exposure (i460)

Select Test exposure (i460) on the Special functions(i400) display. The display shown below appears.

This option allows you to take a test exposure. The Testexposure (i460) display shows the exposure values whichare in use on the main display.

Touch the arrows to select the exposure values (kV, mAand time) you wish to use. Then touch the Test field. Theword Ready will appear at the bottom of the display andyou can now press the exposure button to take a testexposure. Note that the C-arm will not move when youtake a test exposure.

Beam check (i470)

Refer to the Technical Manual for more information onbeam check.

Network settings (i480)

Refer to the Technical Manual for more information onnetwork settings.

sw._

2eps


PATIENT POSITIONING CONTROLS

10 PATIENT POSITIONING CONTROLS

NOTE Never allow patients to press the positioning controlswhen they are positioned in the unit.

NOTE Touching any of the positioning controls (button orjoystick) will switch the patient positioning lights on.

X-ray unit up / down

The X-ray unit up and down buttons are used to adjust theX-ray unit to suit the height of the patient.

The X-ray unit moves slowly at first, then faster.

NOTE If for some reason either of the buttons gets stuckduring operation, you can stop the up / downmovement by pressing any of the other controlbuttons or the positioning joystick. This is a safetymeasure that guarantees that the up / down movementcan be stopped in an emergency.

NOTE Be careful that the X-ray unit does not hit the ceilingwhen you press the up button. The maximum heightcan be adjusted to suit offices with low ceiling, contactyour service technician for help.

NOTE Make sure that there is no object under the telescopiccolumn when you press the down button. If somethingis in danger of becoming trapped, release the buttonimmediately to stop the movement.

NOTE The column movement stops automatically if theemergency stop plate at the bottom is pressedupwards. Clear any obstruction before moving thecolumn again.

NOTE When positioning wheelchair patients always firstmove the X-ray unit down before you position thepatient in the unit.

Open / close temple supports

Press the temple support button to open the templesupports in 2D exposures. The temple supports can beclosed by pressing the temple support button again.

Open / close temple supports (2D exposure)

Rotate C-arm counterclockwise

Move X-ray unit up

Positioning joystick (Tomographic & 3D exposure)

Move X-ray unit down

Rotate C-arm clockwise(Tomographic exposure) (Tomographic exposure)

Down Up

emer

gen

cy_s

top

.ep

s

Stop plate


PATIENT POSITIONING CONTROLS

C-arm rotation buttons

The angle of the C-arm is adjusted by pressing the C-armrotation buttons. The buttons can only be used whentaking tomographic exposures.

Pressing the button on the left will rotate the C-armclockwise, and pressing the button on the right will rotatethe C-arm counterclockwise.

Positioning joystick

The positioning joystick is used to adjust the position ofthe target area in tomographic or 3D exposures. Thejoystick can be moved in any direction.


PREPARATIONS FOR EXPOSURE

11 PREPARATIONS FOR EXPOSURENOTE The available sensors are shown in section 6.4

“Sensors” on page 10.

NOTE If a movable Dimax sensor is attached to thecephalostat (optional), the sensor must be moved tothe C-arm if you wish to use it for taking panoramicexposures.

NOTE If the X-ray unit has a 3D sensor + SmartPan licenseand a Dimax sensor, you can - use a 3D sensor to take 3D and SmartPan (SmartPan,SmartTMJ, SmartSinus) exposures OR - use a 3D sensor to take 3D exposures and a Dimaxsensor to take panoramic exposures. This option hasto be selected on information display i230(Behavioural preferences -> Use Dimax sensor forpanoramic).



11.1 Attaching and removing sensor

NOTE FOR PROFACE SENSOR:Do not touch the glass windows when you hold thesensor. Fingerprints or other stains on the glasssurface destroy image quality.

CAUTION Do not drop the sensor. Planmeca limitedwarranty does not cover damage which isdue to misuse, e.g. dropping the sensor,neglect, or any cause other than ordinaryuse.Do not use the sensor if the shock indicatoris red - contact your service technician forhelp.If you have any reason to believe that thesensor might be faulty, take a test exposurebefore taking a patient exposure.

Attaching sensor to C-arm

Push the sensor onto the connector on the C-arm.

Turn the locking knob over the fastening mechanism. Thiswill secure the sensor in position.

Glass windows

ProFace sensor

Shock indicator

Dimaxsensor

Sensor

Locking knob



Push in the C-arm electrical connector button on the otherside. This will make the electrical connection between thesensor and C-arm.

Detaching sensor from C-arm

NOTE Do not remove the sensor during imaging process.

Push in the C-arm electrical connector. This willdisconnect the electrical connection between the sensorand C-arm.

The locking knob can now be turned 180 degrees. Thiswill release the locking mechanism.

Carefully pull the sensor out.

cbct

_s5.

eps

C-arm electricalconnector button

C-armelectricalconnector

Sensor

Lockingknob



11.2 Preparing patient

Ask the patient to remove any spectacles, hearing aids,dentures, hairpins, and personal jewellery such asearrings, necklaces and piercings as these can produceshadows or reflections in the image. The patient shouldalso remove any loose items of clothing (e.g. scarf, tie)that might get caught in the arms of the X-ray unit.

NOTE High contrast objects, such as gold teeth or amalgam,may cause artefacts in the image.

Place a protective lead apron over the patient’s back ifrequired.


PANORAMIC EXPOSURE

12 PANORAMIC EXPOSUREInsert the chin rest and a bite piece into the adapter.Insert the adapter into the holes in the patient supporttable.

For edentulous patients or for patients who are unable touse the bite piece you can use the chin cup or the chinsupport.

NOTE We recommend that you use the chin support whentaking bitewing exposures.

Select the panoramic program you wish to use (seesection 8.3 “Selecting panoramic program” on page 30.)Select the patient size as described in section 8.2.1“Selecting patient size” on page 28.

The exposure values will automatically change tocorrespond with the selected exposure program andpatient size. The preset exposure values are shown in thefollowing table. The preset exposure values are averagevalues and they are only meant to guide the user. Ifnecessary, you can change the preset values asdescribed in section 8.2.2 “Selecting kilovolt andmilliampere values” on page 28.

NOTE FOR X-RAY UNITS WITH DIMAX SENSOR:The preset exposure values are optimized for takingexposures at enhanced resolution (Romexis setting).You can use lower exposure values when takingexposures at normal resolution.

NOTE Always try to minimize the radiation dose to thepatient.

The setting in the jaw field will automatically change tocorrespond with the selected patient size. You can selectthe jaw shape and size manually as described in section8.3.1 “Selecting jaw shape & size in panoramic programs”on page 31.

You can take a segment exposure by selecting onlycertain vertical or horizontal segments of the jaw, refer tosection 8.3.2 “Selecting segmentation in panoramicprograms” on page 32.

Bite

2.ep

s

Bite

1.ep

s

Adapter

Chin rest

Bite pieceC

hin2

.eps

Chi

n1.e

ps

Chin cup

Chinsupport

Lip1

.eps


PANORAMIC EXPOSURE

Move the C-arm to the patient entry position if it is notalready there. Refer to section 8.2.4 “Selecting patiententry position” on page 29 for differences between the twopositions.

Prepare the patient for the exposure as described insection 11.2 “Preparing patient” on page 61.

12.1 Patient positioning

Press the temple support button to open the templesupports if they are not already open.

Guide the patient to the unit so that they are facing thechin rest.

To adjust the height of the unit, press either of the heightadjusting buttons until the chin rest is on the level of thepatient’s chin.


Ask the patient to step forward, grasp the patient handles,stretch and straighten their back and neck, and bite thebite piece. The incisal edges of the maxillary andmandibular teeth must be in the groove in the bite piece.

Panoramic exposure values

PATIENT kV VALUE mA VALUE

Child 62 5

Adolescent 64 6

Small adult 66 8

Average-sized adult 68 10

Large adult 70 13

Templesupportbutton

Height adjustingbuttons

Bite piece


PANORAMIC EXPOSURE

NOTE If you are using the chin support, position the patientso that the chin, just below the lower lip, touches thetop bar.

NOTE If you are using the chin cup or chin support, use forexample a cotton roll to ensure that the patient’s upperand lower incisors do not overlap.

The following positioning lights will come on:

Note that the positioning lights will automatically switch offafter two minutes. If the lights go out before you havepositioned the patient, switch them on by touching thethumb wheel on the underside of the patient support tableor by pressing any of the positioning controls (button orjoystick).

Patient position withchin support

Dim

ax_m

ids_2A

.eps

Frankfort plane lightMidsagittal plane light

Layer light

patp

oslig

hts3

.eps Thumb wheel


Positioningcontrols


PANORAMIC EXPOSURE

Position the patient’s head so that the midsagittal planecoincides with the midsagittal plane light beam.

Position the patient’s head so that the Frankfort planecoincides with the Frankfort plane light beam. Adjust thetilt of the patient’s head by raising or lowering the unit withthe height adjusting buttons. The patient’s back and neckshould be straight.

The Frankfort plane is a plane which joins the infra-orbitalpoint to the superior border of the external auditorymeatus.

The Frankfort plane light, which is located on the side ofthe column, can be moved up or down. This is done byrotating the thumb wheel below the light slot.

Position the apices of the patient’s upper central incisorswithin the image layer of the unit.

Midsagittal plane light

Frankfort plane light

Frankfortplanelight

Thumbwheel

Canine

Apices of upper central incisors

Layer light

Secondincisor


PANORAMIC EXPOSURE

To do this, rotate the thumb wheel located on theunderside of the patient support table to move the layerlight until it falls between the second incisor and thecanine. For an average patient, this procedure will placethe apices of the upper central incisors within the imagelayer.

NOTE The layer light is disabled when Autofocus is switchedon (AF ON).

Check that the Frankfort plane light and the midsagittalplane light are still correctly positioned. Reposition them ifnecessary.

NOTE Make sure that you have selected the right patient andthe panoramic exposure mode in the PlanmecaRomexis program before you take an exposure. Referto the Romexis User’s Manual.

12.2 Taking an exposure

When you are ready to take an exposure touch the Readyfield on the main display. The X-ray unit will move to theready position and the temple supports will automaticallyclose.

On the exposure button and on the control panel a greenindicator light will come on. Additionally, the word READYwill be shown on the control panel display. The Romexisprogram will show the Waiting for Ready message on thecomputer screen.

The green indicator lights and the word READY will flashwhile the unit moves to the ready position. They will stopflashing when the unit has reached the ready position.The Romexis program will now show the Waiting forExposure message on the computer screen.

Layer light

patp

oslig

hts3

.eps

Thumbwheel

_wal

l6_2

.ep

s

Green ready indicator light


PANORAMIC EXPOSURE

Ask the patient to close their lips on the bite piece,swallow, place their tongue flat against the roof of themouth, breathe normally, and stand as still as possible.

Move to a protected area.

Press and hold down the exposure button for the durationof the exposure. The C-arm will move through oneexposure cycle. During the exposure cycle the radiationwarning lights on the exposure switch and on the controlpanel will come on and you will hear a radiation warningtone. When the C-arm has completed the exposure cyclethe temple supports will automatically open. You can nowguide the patient from the unit.

NOTE Maintain audio and visual contact with the patient andunit during exposure. If the C-arm stops movingduring exposure, or moves in an erratic way, releasethe exposure button immediately.

When you have taken the exposure the image will beshown on the computer screen. Note that you mustaccept the image in the Planmeca Romexis program -only accepted images will be stored in the database.Refer to the Romexis User’s Manual.

12.3 Taking an exposure with Autofocus (SCARA 3 units only)

Autofocus adjusts the layer position automatically. Thefunction positions the image layer individually for eachpatient based on the position and angle of the apices ofthe upper central incisors.

The exposure will be taken in two stages and the C-armwill move twice.

Take the first exposure as described in section 12.2“Taking an exposure” on page 66. The first exposure is ashort, low-dose exposure during which the optimalposition for the image layer will be calculated.

Dsw

._2e

ps

Amber exposure indicator light

sw._

2eps

Exposure 1(scout image)


PANORAMIC EXPOSURE

The following display will appear on the control panel andcomputer screen.

The calculated layer position will be shown with a whiteline on the image.

If necessary, you can adjust the layer position by touchingthe plus / minus (+ / -) fields on the control panel display.Touching the plus field will move the layer forwards andtouching the minus field will move the layer backwards.The new position will be shown with a red line on thecontrol panel display. The movement range is from +15mm to -15 mm. The distance from the center point will beshown at the bottom of the display (e.g. 2 mm).

NOTE Make sure the patient does not move betweenexposures.

Press and hold down the exposure button again to takethe second exposure. The second exposure will producethe actual image and the C-arm will now move throughone complete exposure cycle.

NOTE Alternatively, you can touch the OK field on the Autofocus layer definition display and then press theexposure button.

The radiation warning lights on the exposure switch andon the control panel will come on and you will hear aradiation warning tone.


NOTE If the imaging process is cancelled from the Romexisprogram, Autofocus has to be switched off (AF OFF)and back on (AF ON) again before the next Autofocusexposure can be taken.

Move layer positionDistance from center Back to main display

Calculatedposition =white line

Positionselectedby user =red line

Dsw

._2e

ps

Exposure 2(final image)


TEMPOROMANDIBULAR JOINT (TMJ) EXPOSURE

13 TEMPOROMANDIBULAR JOINT (TMJ) EXPOSURE13.1 Double TMJ exposure (lateral, PA or lateral-PA)

This procedure will produce closed and open views of theleft and right temporomandibular joints.

NOTE You can set the X-ray unit so that the imaging positionwill be automatically moved forwards for the open jawexposure, refer to section “Default program settings(i270)” on page 49. On SCARA 2 units the settingapplies to lateral view only (not PA).

Insert the chin support into the adapter. Insert the adapterinto the holes in the patient support table.

13.1.1 First exposure - jaw closedSelect the double TMJ exposure program you wish to use(see section 8.4 “Selecting temporomandibular joint (TMJ)program” on page 35).Select the patient size as described in section 8.2.1“Selecting patient size” on page 28.Select the image position parameters (target position andangle, symmetric / asymmetric setting, left / right sideexposure) as described in sections 8.4.1 “Selecting jawsize in TMJ programs” on page 36, 8.4.2 “Adjustingimaging position and angle in TMJ programs” on page 36and 8.4.3 “Selecting jaw side in double TMJ programs” onpage 37.

The exposure values will automatically change tocorrespond with the selected exposure program andpatient size. The preset exposure values are shown in thefollowing tables. The preset exposure values are averagevalues and they are only meant to guide the user. Ifnecessary, you can change the preset values asdescribed in section 8.2.2 “Selecting kilovolt andmilliampere values” on page 28.


Exposure values for TMJ programs “Double lateral” and “Double lat-PA”


Child 62 5

Adolescent 64 6

Small adult 66 7


Large adult 70 9

Bite

1.ep

s

Lip1

.eps

Chin support

Adapter





13.1.2 Patient positioning


Guide the patient to the unit so that they are facing thechin support. Explain to the patient that you will take adouble exposure and that the unit will rotate twice.

To adjust the height of the unit, press either of the heightadjusting buttons until the opening in the chin support isapproximately level with the patient’s mouth.


Ask the patient to step forward, grasp the patient handles,stretch and straighten their back and neck, and press theirlips against the chin support. The patient's nose must reston top of the support and their mouth must be closed, andtheir teeth must be together.

Exposure values for TMJ program “Double PA”


Child 64 5

Adolescent 66 6

Small adult 68 7


Large adult 72 9

Templesupportbutton




The positioning lights for the midsagittal plane, Frankfortplane and layer position will come on. Note that they willautomatically switch off after two minutes. If the lights goout before you have positioned the patient, switch themon by touching the thumb wheel on the underside of thepatient support table or by pressing any of the positioningcontrols (button or joystick).


Position the patient’s head so that the Frankfort plane istilted down five degrees. To do this support the back ofthe patient’s head with your hand and, using the Frankfortplane light as a reference line, adjust the position of thepatient’s head by raising or lowering the unit with theheight adjusting buttons. Make sure the patient’s backand neck are straight.


patp

oslig

hts3

.eps Thumb wheel


Positioningcontrols


Frankfort plane

5°




Check the imaging position and angle when the patient ispositioned in the X-ray unit:

Touch the Jaw field or tap the jaw icon on the maindisplay. The Select jaw size, adjust position and angledisplay will appear.

Imaging position (SCARA 2 units lateral view & SCARA 3units): Use a ruler to measure the distance between thelayer light and the patient’s temporomandibular joint todetermine the exact imaging position. Adjust the imagingposition with the left / right arrows according to yourmeasurement.

Imaging angle (SCARA 3 units): Take a submento-vertexexposure (axial projection) to determine the exact imagingangle. Adjust the imaging angle with the left / right arrowsaccording to your measurement.

NOTE The ruler measurement depends on the position of thelayer light. On retakes always use a ruler to measurethe position. Do not rely on numeric position values.


Imaging position: Ruler measurement

Imaging angle: Submento-vertex exposure

Layer light

(SCARA 3)

(SCARA 2 lateral view & SCARA 3)



When you are ready to take an exposure touch the Readyfield on the main display. The unit will move to the readyposition and the temple supports will automatically close.


The green indicator lights and the word READY will flashwhile the unit moves to the ready position. They will stopflashing when the unit has reached the ready position forthe selected double TMJ exposure program. TheRomexis program will now show the Waiting for Exposuremessage on the computer screen.

Ask the patient to stand as still as possible.


Press and hold down the exposure button for the durationof the exposure. The C-arm will move through onecomplete exposure cycle and then automatically return tothe ready position. The temple supports will remain closedand hold the patient in position for the second exposure.During the exposure cycle the radiation warning lights onthe exposure switch and on the control panel will come onand you will hear a radiation warning tone.


_wal

l6_2

.ep

s


Dsw

._2e

ps




13.1.3 Second exposure - jaw open

Ask the patient to open their mouth as wide as possible.Make sure that the patient’s upper lip is still touching thechin support.

When you are ready to take the second exposure touchthe Ready field on the main display.

On the exposure button and on the control panel a greenindicator light will come on. Additionally, the word READYwill be shown on the control panel display. The Romexisprogram will show the Waiting for Exposure message onthe computer screen.



Press and hold down the exposure button for the durationof the second exposure. During the exposure cycle theradiation warning lights on the exposure switch and on thecontrol panel will come on and you will hear a radiationwarning tone. When the C-arm has completed the secondexposure cycle the temple supports will automaticallyopen. You can now guide the patient from the unit.



_2.e

ps


w._

2eps


1/21/2 2/22/2



13.2 Multi-angle TMJ exposure (PA or lateral)This procedure will produce three exposures with differentangles from the left or right temporomandibular joint.

Note that the C-arm will move through three exposurecycles.

Insert the chin support into the adapter. Insert the adapterinto the holes in the patient support table.

Select the multi-angle TMJ program you wish to use (seesection 8.4 “Selecting temporomandibular joint (TMJ)program” on page 35). Select the patient size as described in section 8.2.1“Selecting patient size” on page 28.Select the image position parameters as described insections 8.4.1 “Selecting jaw size in TMJ programs” onpage 36 and 8.4.2 “Adjusting imaging position and anglein TMJ programs” on page 36.

The exposure values will automatically change tocorrespond with the selected exposure program andpatient size. The preset exposure values are shown in thefollowing tables. The preset exposure values are averagevalues and they are only meant to guide the user. Ifnecessary, you can change the preset values asdescribed in section 8.2.2 “Selecting kilovolt andmilliampere values” on page 28.


Exposure values for multi-angle PA TMJ programs


Child 64 5

Adolescent 66 6

Small adult 68 7


Large adult 72 8

Exposure values for multi-angle lateral TMJ programs


Child 62 4

Adolescent 64 5

Small adult 66 6


Large adult 70 8

Bite

1.ep

s

Lip1

.eps

Chin support

Adapter





13.2.1 Patient positioning


Guide the patient to the unit so that they are facing thechin support. Explain to the patient that you will take amulti-angle exposure and that the C-arm will movethrough three exposure cycles.



Ask the patient to step forward, grasp the patient handles,stretch and straighten their back and neck, and press theirlips against the chin support. The patient's nose must reston top of the support and their mouth must be closed, andtheir teeth must be together.



Temple supportbutton

patp

oslig

hts3

.eps Thumb wheel


Positioningcontrols




Position the patient’s head so that the Frankfort plane istilted down five degrees. To do this support the back ofthe patient’s head with your hand and, using the Frankfortplane light as a reference line, adjust the position of thepatient’s head by raising or lowering the unit with theheight adjusting buttons. Make sure the patient’s back isstraight.

The Frankfort plane light, which is located on the side ofthe column, can be moved up or down. This is done byrotating the thumb wheel that is below the light slot.


Frankfort plane

5°


Fra

nkfo

rt

Frankfortplanelight

Thumbwheel



Check the imaging position and angle when the patient ispositioned in the X-ray unit:

Touch the Jaw field or tap the jaw icon on the maindisplay. The Select jaw size, adjust position and angledisplay will appear.

Imaging position: Use a ruler to measure the distancebetween the layer light and the patient’s temporo-mandibular joint to determine the exact imaging position.Adjust the imaging position with the left / right arrowsaccording to your measurement.

Imaging angle: Take a submento-vertex exposure (axialprojection) to determine the exact imaging angle. Adjustthe imaging angle with the left / right arrows according toyour measurement.

NOTE The ruler measurement depends on the position of thelayer light. On retakes always use a ruler to measurethe position. Do not rely on numeric position values.


Imaging position: Ruler measurement

Imaging angle: Submento-vertex exposure

Layer light



13.2.2 Taking an exposure


On the exposure button and control panel a greenindicator light will come on. Additionally, the word READYwill be shown on the control panel display. The Romexisprogram will show the Waiting for Ready message on thecomputer screen.




Press and hold down the exposure button for the durationof the exposure. The C-arm will move through threeexposure cycles. The radiation warning lights on theexposure switch and on the control panel will come onand you will hear a radiation warning tone.

When the C-arm has completed the third exposure cyclethe temple supports will automatically open. You can nowguide the patient from the unit.



_wal

l6_2

.ep

s


w._

2eps


1/32/33/3


SINUS EXPOSURE

14 SINUS EXPOSUREThis procedure will produce an exposure of the maxillarysinus along the selected plane.Insert the chin support into the adapter. Insert the adapterinto the holes in the patient support table.

Select the sinus program you wish to use (see section 8.5“Selecting sinus program” on page 38.) Select the patientsize as described in section 8.2.1 “Selecting patient size”on page 28.The exposure values will automatically change tocorrespond with the selected exposure program andpatient size. The preset exposure values are shown in thefollowing tables. The preset exposure values are averagevalues and they are only meant to guide the user. Ifnecessary, you can change the preset values asdescribed in section 8.2.2 “Selecting kilovolt andmilliampere values” on page 28.

Exposure values for sinus program “PA rotational”


Child 72 6

Adolescent 74 7

Small adult 76 8


Large adult 80 10

Exposure values for sinus program “PA non-rotational”


Child 72 5

Adolescent 74 6

Small adult 76 7


Large adult 80 9

Exposure values for sinus programs“Lateral non-rotational” and “Midsagittal non-rotational”


Child 60 4

Adolescent 62 4

Small adult 64 4


Large adult 68 5

Bite

1.ep

s

Lip1

.eps

Chin support

Adapter


SINUS EXPOSURE




14.1 Patient positioningPress the temple support button to open the templesupports if they are not already open.

Guide the patient towards the unit so that they are facingthe chin support.



Ask the patient to step forward, grasp the patient handles,stretch and straighten their back and neck, and press theirlips against the chin support. The patient's nose must reston top of the support and their mouth must be closed.


Templesupportbutton


patp

oslig

hts3

.eps Thumb wheel


Positioningcontrols


SINUS EXPOSURE

Position the patient’s head so that the midsagittal planecoincides with the midsagittal light beam.

Position the patient’s head so that the Frankfort plane istilted up between 0 and 30 degrees depending on thebuild of the patient. To do this support the back of thepatient’s head with your hand and, using the Frankfortplane light as a reference line, adjust the tilt of thepatient’s head by raising or lowering the unit with theheight adjusting buttons. The patient’s back and neckshould be straight.





Frankfort

30°

plane

Frankfortplanelight

Thumbwheel


SINUS EXPOSURE





Ask the patient to swallow and stand as still as possible.


Press and hold down the exposure button for the durationof the exposure. The C-arm will move through onecomplete exposure cycle. During the exposure cycle theradiation warning lights on the exposure switch and on thecontrol panel will come on and you will hear a radiationwarning tone. When the C-arm has completed theexposure cycle the temple supports will automaticallyopen. You can now guide the patient from the unit.



_wal

l6_2

.ep

s


w._

2eps



TOMOGRAPHIC EXPOSURE

15 TOMOGRAPHIC EXPOSURENOTE Tomography / transtomography are optional programs

for SCARA 3 units with Dimax sensor.

This procedure will produce cross-sectional andlongitudinal tomograms from the maxilla, mandible ortemporomandibular joints.

Insert the chin rest and a bite piece into the adapter.Insert the adapter into the holes in the patient supporttable.

For edentulous patients or for patients who are unable touse the bite piece you can use an impression plate or abite piece with a vacuum formed stent.

Alternatively, you can use an impression plate for patientpositioning. Refer to section 15.3 “Patient positioning withimpression plate” on page 90 for details.

Select the program you wish to use (see section 8.6“Selecting tomography / transtomography program” onpage 39.)

Specify the image area as described in section 8.6.1“Selecting target area in tomography / transtomographyprograms” on page 40.

Select the exposure values according to the size of thepatient. Refer to the values given in the following tables.

NOTE The exposure values are optimized for takingexposures at enhanced resolution (Romexis setting).You can use lower exposure values when takingexposures at normal resolution.


NOTE Refer to the corresponding cross-sectional/longitudinal exposure values for combined exposureprograms.

Bite

2.ep

s

Bite

1.ep

s

Adapter

Chin rest

Bite piece

Chi

n2.e

ps

Impression plate

Impression plateholder



Exposure values for cross-sectional tomography programs

PATIENT1-3 (Cuspid)

4-8 (Premolar/Molar)

TMJ PA Sinus

kV mA kV mA kV mA kV mA

Child 62 1.3 66 3.0 64 2.0 66 3.0

Adolescent 64 1.6 68 3.0 66 3.0 68 3.0

Small adult 66 2.0 70 4.0 68 3.0 70 4.0

Average-sized adult 68 3.0 72 4.0 70 4.0 72 4.0

Large adult 70 3.0 74 5.0 72 4.0 74 5.0

Exposure values for longitudinal tomography programs

PATIENT

1-3 (Cuspid,Midsagittal plane)


TMJ Lat Sinus


Child 66 3.0 66 3.0 64 2.0 66 3.0

Adolescent 68 3.0 68 3.0 66 3.0 68 3.0

Small adult 70 4.0 70 4.0 68 3.0 70 4.0


Large adult 74 5.0 74 5.0 72 4.0 74 5.0

Exposure values for cross-sectional transtomography programs

PATIENT1-3 (Cuspid)


TMJ PA Sinus


Child 62 0.6 64 0.6 62 0.5 66 0.6

Adolescent 64 0.8 66 0.8 64 0.6 68 0.8

Small adult 66 1.0 68 1.0 66 0.8 70 1.0


Large adult 70 1.6 72 1.6 70 1.6 74 1.6

Exposure values for longitudinal transtomography programs

PATIENT

1-3 (Cuspid, Midsagittal plane)


TMJ Lat Sinus


Child 66 0.6 64 0.6 64 0.6 64 0.6

Adolescent 68 0.8 66 0.8 66 0.8 66 0.8

Small adult 70 1.0 68 1.0 68 1.0 68 1.0


Large adult 74 1.6 72 1.6 72 1.6 72 1.6



When you have made the necessary selections touch theGo Tomo field on the main display to move the C-arm tothe selected target position.


15.1 Patient positioning


Guide the patient to the unit so that they are facing thechin rest.

To adjust the height of the unit, press either of the heightadjusting buttons until the chin rest is approximately levelwith the patient’s lower jaw.


Ask the patient to grasp the patient handles, place theirchin on the chin rest and bite the bite piece. The incisaledges of the maxillary and mandibular teeth must be inthe groove in the bite piece.

Press the temple support button if you wish to close thetemple supports.

While gently supporting the back of the patient’s headwith your hand press either of the height adjusting buttonsto move the unit up or down so that the patient’s head canbe tilted to the angle required for the exposure you wish totake.


Templesupportbutton



Exposure of temporomandibular joints / sinus area / midsagittal plane

To take longitudinal or cross-sectional exposures of eitherof the temporomandibular joints, or longitudinal exposuresof the sinus area or midsagittal plane, position theFrankfort plane so that it is horizontal.

Mandible and maxilla exposure (position 1-3, cuspid)

To take longitudinal or cross-sectional exposures of bothmandible and maxilla, position the Frankfort plane so thatit is horizontal or tilted down up to five degrees.

Mandible exposure (position 4-8, premolar / molar)

To take longitudinal or cross-sectional exposures of themandible, position the lower edge of the mandible so thatit is horizontal.

Frankfort plane

Frankfort plane

Horizontal

Frankfort plane

Mandible.eps



Maxilla exposure (position 4-8, premolar / molar)

To take longitudinal or cross-sectional exposures of themaxilla, position the maxillary alveolar ridge so that it ishorizontal.

PA projection exposure

To take cross-sectional exposures of the sinus area ormidsagittal plane, position the patient’s head so that theFrankfort plane is tilted up about 35 degrees.

15.2 Adjusting position of target area

The position of the target area must be checked when thepatient is positioned in the X-ray unit.

If the tomographic positioning lights are not switched on,touch the thumb wheel on the underside of the patientsupport table or press any of the positioning controls(button or joystick) to switch the lights on.

The light beams cross at the target position. The positionof the target area can be adjusted both crosswise andlengthwise, and the angle of the C-arm can be changed.

NOTE If necessary, the midsagittal and Frankfort plane lightscan be activated as described in section “Behaviouralpreferences (i230)” on page 45.

Maxi l la.eps

PA.eps

35°



To adjust the position of the target area, move thepositioning joystick crosswise (x coordinate) or lengthwise(y coordinate) until the cross formed by the light beams isat the correct position for the exposure you wish to take.The coordinates of the selected position are shown on themain display.

Note that, if necessary, you can rotate the C-arm 90degrees clockwise by touching the 90° field on the controlpanel. This might give you a better view to the patient.Touching the 90° field again will rotate the C-arm back tothe original position.

To adjust the angle of the C-arm, press either of the C-arm rotation buttons. Pressing the button on the left willrotate the C-arm clockwise, and pressing the button onthe right will rotate the C-arm counterclockwise.

The C-arm angle is shown on the main display.

Dim

ax_S

can.

eps

Tomographic positioning lights

Thumb wheel

Positioning controls

Positioning joystick(x / y coordinates)

Rotate C-armclockwise

Rotate C-armcounterclockwise



15.3 Patient positioning with impression plate

Spread bite registration paste to the upper or lower side ofthe impression plate.

Ask the patient to bite the plate so that the anterior teethcoincide with the cross on the plate. The track of thedental arch is formed in the registration paste.

Mark the target area on the registration paste.

Place the impression plate in position. The tomographiclights form a cross which indicates the imaging position.Adjust the lights so that they hit the marking on theregistration paste as described in section 15.2 “Adjustingposition of target area” on page 88. Light A must beparallel to tangent of the jaw curve and light B must beperpendicular to the jaw.

Impress

ion Materia

l

Impress

ion.eps

Bite_this.eps

Bitt

en_m

ark.

eps

Tom

o_bi

te1.

eps

B

A



Position the patient in the unit as described in section 15.1“Patient positioning” on page 86. Ask the patient to bitethe impression plate.



When you are ready to take an exposure touch the Readyfield on the main display. The X-ray unit will move to theready position.



Exp

_sw

_wal

l6_2

.ep

s




15.4.1 Manual exposure

In manual programs you can decide how many exposuresyou wish to have in one image. The minimum is one andthe maximum is four.Between each exposure you can manually:- change the image area- change the exposure values (mA and kV)- change the angle of the C-arm- change the position of the patient.For example, stereopair images can be taken by changingthe C-arm angle.

Ask the patient to close their lips on the bite piece,swallow, and remain as still as possible. Tell the patienthow many exposures you will take so that they do notmove before the end of the exposure cycle.


Press and hold down the exposure button for the durationof the exposure. The C-arm will move once around thepatient’s head. The radiation warning lights on theexposure switch and on the control panel will come onand you will hear a radiation warning tone. The C-arm willthen stop and wait for you to take the next exposure.

Before taking another exposure make any adjustmentnecessary to the exposure settings or adjust the positionof the patient’s head or the C-arm. Take the nextexposure in the same way as described above.


If you take less than four exposures you will have to stopthe exposure procedure by touching the Finish field at thebottom of the display.

The temple supports will automatically open. You can nowguide the patient from the unit.

When you have taken the exposure(s) the image will beshown on the computer screen. Note that you mustaccept the image in the Planmeca Romexis program -only accepted images will be stored in the database.Refer to the Romexis User’s Manual.

w._

2eps


1-3 exposures: Stop exposure procedure

1/42/4(3/4)(4/4)



15.4.2 Automatic exposure

In automatic programs you will get three (or four)exposures in one image depending on the program youuse.

Ask the patient to close their lips on the bite piece,swallow, and remain as still as possible. Tell the patientthat the C-arm will rotate backwards and forwards three(or four) times so that they do not move before the end ofthe exposures.


Press and hold down the exposure button for the durationof the exposures. The C-arm will rotate backwards andforwards three (or four) times. The radiation warning lightson the exposure switch and on the control panel will comeon and you will hear a radiation warning tone.

When the C-arm has completed the last exposure cyclethe temple supports will automatically open. You can nowguide the patient from the unit.


When you have taken the exposures the image will beshown on the computer screen. Note that you mustaccept the image in the Planmeca Romexis program -only accepted images will be stored in the database.Refer to the Romexis User’s Manual.

w._

2eps


1/42/43/44/4


CLEANING

16 CLEANINGNOTE Disconnect the X-ray unit from mains before cleaning.

NOTE Do not use cleaning solutions in aerosol or spray formdirectly on unit surfaces.

X-ray unit

Sensors

17 SERVICETo guarantee user and patient safety and to ensureconsistent image quality the unit must be checked andrecalibrated by a qualified PLANMECA service technicianonce a year or after every 10 000 exposures if this issooner. Refer to the Technical Manual for completeservicing information.

Autoclave up to 135°C

Wipe with soft cloth usingalcohol based

cleaning solution

Wipe with soft cloth using mild cleaning

solution

Chin cup / rest / support

X X X

Bite pieces X X X

Temple supports X X X

Cephalostat head supports

X X X

Patient handles X X

Other surfaces

(incl. control panel)

X

Wipe with soft cloth(NO CLEANING

SOLUTION)Compressed air

ProFace sensor;laser windows in the middle

X

ProFace sensor;other surfaces (incl. glass windows on both sides)

X

Other sensors X


DISPOSAL

18 DISPOSALIn order to reduce the environmental load over theproduct’s entire lifecycle, Planmeca’s products aredesigned to be as safe as possible to manufacture, useand dispose of.

Parts which can be recycled should always be taken tothe appropriate processing centers, after hazardouswaste has been removed. Disposal of obsolete units isthe responsibility of the waste possessor.

All parts and components containing hazardous materials,as well as batteries, must be disposed of in accordancewith waste legislation and instructions issued by theenvironmental authorities. Batteries must be disposed ofin compliance with the requirements of Directive 2006 / 66/ EEC.

The risks involved and the necessary precautions must betaken into account when handling waste products.

PartMain materials

for disposal

Recyclable material

(X) =if available

Waste disposal

site

Hazardous waste

(separatecollection)

Frame and covers

- metal

- plastic

Aluminum,

galvanized steel,

lead

PUR,

other plastics

X

X

X

X

X

Motors (X)

Componentboards

(X)

Cables,

transformers

Copper,

steel,

transformer oil

X

X

X

X-ray tube X

Packing Wood,

cardboard,

paper,

polystyrene

X

X

X

X

Sensor Return sensor to Planmeca.

Other parts X


HELP MESSAGES

19 HELP MESSAGESThe X-ray unit incorporates a self-checking feature thatmonitors the operation of the unit. If the system detects anoperating error a help message (e.g. H101) will appear onthe control panel.

The X-ray unit will not accept any commands from theuser until the help message is cleared from the display.Clear the message by touching OK.

The following list shows, in numerical order, all the helpmessages that can appear on the control panel.

Code Explanation Comments

H101 Exposure switch The exposure button was released before end of exposure.

Guide the patient away from the X-ray unit before moving the C-arm.

Press and hold down the exposure button for the entire duration of the exposure.

H102 The exposure button is stuck or the cable is short circuited.

Release the exposure button.

If necessary, contact your service technician to replace the exposure switch.

H105 Emergency stop button

The emergency stop button has been activated.

All movements of the X-ray unit are blocked, no radiation is generated.

Guide the patient away from the X-ray unit. Then release the emergency stop button to resume normal operation.

H115 DEC DEC is receiving too much radiation. Change the exposure values.

H116 DEC is receiving too little radiation. Change the exposure values.

H142 Height movement Height movement is not possible because the stop plate at the bottom of the column was activated.

Clear any obstruction before moving the column again.

H144 Height movement is not possible because one (or more) of the positioning control buttons or the positioning joystick is stuck.

Release the button / joystick.

H151 Line voltage The line voltage was too low during exposure.

Exposure was interrupted.

Contact your service technician for help.

H152 The line voltage is too low. Exposure is not possible.



HELP MESSAGES

H161 Temperature The temperature of the tube head is too high.

Wait for a few minutes for the tube head to cool down.

H162 The temperature of the lift motor is too high.

Wait for a few minutes for the lift motor to cool down.

H163 The temperature of the power supply unit (PSU) is too high.

Wait for a few minutes for the power supply unit (PSU) to cool down.

H165 The temperature of the tube head is too high for the selected exposure values.

Wait for a few minutes for the tube head to cool down.

H166 The maximum tube head energy level was exceeded.

Wait for a few minutes for the tube head to cool down or use lower exposure values.

H171 User related messages

The sensor is not attached properly tothe C-arm.

Attach and / or lock the sensorin position.

H172 The sensor is not attached properly tothe cephalostat.

Attach and / or lock the sensorin position.

H175 PC program selection is in conflict withthe selected X-ray unit program.

Select another exposure modein Romexis.

H176 Safety area limit violation in tomographymode.

Change the values for layerthickness, position or angle.

H177 Exposure is not possible with these settings.

Change the settings for target area.

H178 Exposure is not possible with these settings.

Change the settings.

H180 DEC is not available.

H181 The imaging process was cancelled in Romexis.

H182 Timeout in image data transmission. Exposure was interrupted.


H183 The attached sensor is not suitable forthe selected program.

Change the sensor.

H184 Remove the 3D sensor.

H185 The 3D sensor is not attached properly. Attach and / or lock the sensorin position.

H186 No IP address defined for 3D sensor.

H187 Problem during image data transmission.



H189 The control panel was touched during exposure.


H192 It is not possible to enable radiation orPC communication (i410) when demolicenses are switched on (i510).

First switch off demo licenses(i510), then enable radiation orPC communication (i410).

H195 The 3D Model programs must not beused for patient imaging.

Use the 3D Model programs fortaking exposures of impressionsor plaster casts only.



ERROR MESSAGES

20 ERROR MESSAGESNOTE Contact your service technician for help if you receive

an error message.

The X-ray unit incorporates a self-checking feature thatmonitors the operation of the unit. If the system detects atechnical fault an error message (e.g. E201) will appearon the control panel.

An error message indicates that the X-ray unit has aproblem that needs to be solved before further exposurescan be taken. The X-ray unit will not accept anycommands from the user until the error message iscleared from the display. Guide the patient away from theX-ray unit. Then clear the message by touching OK.

H196 Remove all 3D / panoramic patientsupports before taking cephalometricimages.



TECHNICAL SPECIFICATIONS

21 TECHNICAL SPECIFICATIONSNOTE: SEE TECHNICAL MANUAL FOR USER’S STATEMENT

21.1 Technical data for Planmeca ProMax product family

Classification:

• Medical Device Directive 93/42/EEC (Class IIb)

• IEC 60601-1 Class I, type B

• CISPR 11 Class B

Generator Resonant-mode, DSP-controlled, 80...160 kHz, according to IEC 60601-2-7: 1998

X-ray tube 2D / 3D s / 3D Classic / 3D Plus / 3D Mid: Toshiba D-054SB 3D Max: Toshiba D-067SB

Focal spot size According to IEC 603362D / 3D s / 3D Classic / 3D Plus / 3D Mid: 0.5 x 0.5 mm3D Max: 0.6 x 0.6 mm

Total filtration:

• 3D min. 2.5 mm Al + 0.5 mm Cu

• Pan / ceph min. 2.5 mm Al

Anode voltage (X-ray units with SW prior to 3.0):

• 3D 3D s / 3D Classic / 3D Mid: 54 - 90 kV ±5%3D Max: 54 - 96 kV ±5%

• Pan / SmartPan 54 - 84 kV ±5%

• Ceph 60 - 84 kV ±5%

Anode voltage(X-ray units with SW 3.0 or later):

• 3D 3D s / 3D Classic / 3D Plus / 3D Mid: 60 - 90 kV ±5%3D Max: 60 - 96 kV ±5%

• Pan / SmartPan 60 - 84 kV ±5%

• Ceph 60 - 84 kV ±5%

Anode current(X-ray units with SW prior to 3.0):

• 3D 3D s / 3D Classic / 3D Mid: 1 - 14 mA ±10%3D Max: 1 - 12.5 mA ±10%

• Pan / SmartPan 1 - 16 mA ±10%



• Ceph 1 - 16 mA ±10%

Anode current(X-ray units with SW 3.0 or later):

• 3D 3D s / 3D Classic / 3D Plus / 3D Mid: 1 - 14 mA ±10%3D Max: 1 - 12.5 mA ±10%

• Pan / SmartPan 1 - 16 mA ±10%

• Scanning ceph 1 - 16 mA ±10%

• Planmeca ProCeph 16 mA ±10%

mAs range min. / max. as indicated ±(10% + 0.2 mAs)

mGy range min. / max. as indicated ±40%

Linearity of radiation output < 0.1

Cooling period Automatically controlled

Exposure time:

• 3D 3D s: Pulsed, effective 4.8 - 36 s as indicated ±10%3D Classic / 3D Plus / 3D Mid: Pulsed, effective 2.4 - 36 s as indicated ±10%3D Max: Pulsed, effective 3.6 - 24 s as indicated ±10%

• Pan 2D / 3D Classic: 2.7 - 16 s as indicated ±10%2D tomography: 4 - 12 s as indicated ±10%

• SmartPan 3D s / 3D Classic: 3.3 - 19 s as indicated ±10%3D Plus / 3D Mid: 3.7 - 23 s as indicated ±10%3D Max: 10 s as indicated ±10%

• Scanning ceph / Normal 12 - 18.7 s as indicated ±10%

• Scanning ceph / High Speed 6.4 - 9.9 s as indicated ±10%

• Planmeca ProCeph 0.1 - 0.8 s as indicated ±10%

SID:

• 3D 3D s / 3D Classic: 527 mm (20.7 in.)3D Plus / 3D Mid / 3D Max: 600 mm (23.6 in.)

• Pan 2D / 3D s / 3D Classic: 500 mm (19.7 in.)3D Plus / 3D Mid: 573 mm (22.6 in.)3D Max: 600 mm (23.6 in.)

• Ceph 1700 mm (66.9 in.)

Magnification:

• 3D 3D s / 3D Classic: 1.57

3D Plus / 3D Mid: 1.38, 1.44 or 1.80

3D Max: 1.38, 1.41 or 1.80



• Pan 2D / 3D Classic: 1.2 - 1.5

2D tomography: 1.5

• SmartPan 3D s / 3D Classic: 1.27 - 1.5

3D Plus / 3D Mid: 1.35 - 1.8

3D Max: 1.4

• Ceph 1.13

Duty cycle for height adjustment 25 s ON / 300 s OFF

Line voltage 100 - 220 V~ / 50 - 60 Hz230 - 240 V~ / 50 Hz

Line current 8 - 17 A

Line harmonics Cos better than 0.9

Max. permissible apparent impedance of supply mains

0.5 (100VAC)

Maximum continuous heat dissipation

< 250W

Fuses:

• 2 user replaceable fuses 100 - 220 V~ / 16A FF H 500V230 - 240 V~ / 8A FF H 500V

• Type 195100 ELU

Weight:

• 2D / 3D s / 3D Classic 119 kg (263 lbs)

• 3D Plus / 3D Mid 136 kg (300 lbs)

• 3D Max 134 kg (296 lbs)

• Scanning ceph 26 kg (57 lbs)

• Planmeca ProCeph 20 kg (44 lbs)

Colour RAL 9016

Environmental requirements

Transport:

• Temperature -20°C - +60°C

• Relative humidity 10 - 90% RH (non-condensing)

• Air pressure 700 - 1060 hPa

Storage:

• Temperature -10°C - +50°C





Operating:

• Temperature Pan / scanning ceph: +5°C - +40°C3D / ProCeph: +10°C - +30°C



Image properties

3D:

• Flat panel pixel size 127 m

• Flat panel active surface 3D s: 80 x 130 mm (3.15 x 5.12 in.)

3D Classic / 3D Plus:130 x 130 mm (5.12 x 5.12 in.)

3D Mid: 146 x 146 mm (5.74 x 5.74 in.)

3D Max: 193 x 242 mm (7.6 x 9.5 in.)

SmartPan:


• Flat panel active surface 3D s / 3D Classic / 3D Plus:8 x 130 mm (0.31 x 5.12 in.)3D Mid: 8 x 146 mm (0.31 x 5.74 in.)3D Max: 13 x 162 mm (0.51 x 6.38 in.)3D Max MultiView: 25 x 162 mm (0.98 x 6.38 in.)

Pan / ceph CCD:

• Pixel size 48 m

• Pan active surface 6 x 146 mm (0.24 x 5.74 in.)

• Ceph active surface 6 x 292 mm (0.24 x 11.15 in.)

Planmeca ProCeph:


• Flat panel active surface 302 x 249 mm (11.89 x 9.80 in.)

Operating conditions for X-ray units with ProFace sensor:

• Optimum colour temperature Approx. 6500 Kelvin

• Frequency for fluorescent lamps 100 Hz

• Even and uniform lighting

• No natural light (no windows in the room)

• No green objects next to X-ray



21.2 Dimensions

ce_digi_etu_max2.eps

1298

-212

3mm

(51

.1-8

3.5”

)

1560

-238

5mm

(61

.4-9

3.8”

)

1250

mm

(49

.2”)

SCARA 3: 1145mm (45.1”)

SCARA 2: 1170mm (46.1”)

SCARA 3: 850mm (33.5”)

SCARA 2: 698mm (27.5”)150mm

270mm(10.6”)

(5.9”)

777m

m(3

0.6”

)

1250

mm

(49.

2”)

820mm(32.3”)

Planmeca ProCeph Scanning ceph or

Planmeca ProCeph Scanning ceph or



21.3 Minimum operational space requirements

NOTE The maximum height can be adjusted to suit officeswith low ceiling.

21.4 Original manufacturer

PLANMECA Oy, Asentajankatu 6, FIN-00880 Helsinki, FINLANDphone: +358 20 7795 500, fax: +358 20 7795 555, www.planmeca.com

Equipment Width Depth Height

SCARA 2 X-ray unit 1350 mm53.1 in.

1630 mm64.2 in.

1560 - 2385 mm61.4 - 93.9 in.

SCARA 2 X-ray unit with cephalostat 2030 mm79.9 in.

1630 mm64.2 in.

1560 - 2385 mm61.4 - 93.9 in.

SCARA 3 X-ray unit 1500 mm59.1 in.

1630 mm64.2 in.

1560 - 2385 mm61.4 - 93.9 in.

SCARA 3 X-ray unit with cephalostat 2150 mm84.6 in.

1630 mm64.2 in.

1560 - 2385 mm61.4 - 93.9 in.


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