CS 9300 User Guide
Notice Congratulations on your purchase of the CS 9300. Thank you for your confidence in our products and we will do all in our power to ensure your complete satisfaction. The User Guide for the CS 9300 includes information on the Panoramic and 3D features. We recommend that you thoroughly familiarize yourself with this Guide in order to make the most effective use of your system.
Contents 1—About This Guide Conventions in this Guide. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1–1 2—CS 9300 GENERAL OVERVIEW Mobile Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–2 General Functional Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Contents Acquiring a Panoramic, TMJ x2 or Sinus Image . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–1 Preparing the Unit and Setting the Acquisition Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–1 Preparing and Positioning the Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–3 Launching the X-ray . . . . . . . . . . . . . . . . . . . .
Chapter 1 About This Guide Conventions in this Guide The following special messages emphasize information or indicate potential risk to personnel or equipment: WARNING Warns you to avoid injury to yourself or others by following the safety instructions precisely. CAUTION Alerts you to a condition that might cause serious damage. IMPORTANT Alerts you to a condition that might cause problems. NOTE Emphasizes important information. TIP Provides extra information and hints.
Conventions in this Guide 1–2 About This Guide
Chapter 2 CS 9300 GENERAL OVERVIEW The CS 9300 is composed of the following functional components: The unit head that contains all the electronic control The rotative arm The fixed arm with a control panel The panoramic and 3D digital sensor The x-ray source assembly The x-ray remote control The chin rest base The panoramic chin rest and bite block The 3D chin rest and bite block The 3D head support The temple supports The hand grips The acquisition software (see “Imaging Softwar
Mobile Components Figure 2-1 illustrates the up and down movement of the CS 9300 mobile components and the 180° rotation of the rotative arm.
General Functional Components Figure 2-2 illustrates the general functional components of the CS 9300.
Digital Sensor Location Figure 2-3 illustrates the location of the digital sensor of the CS 9300.
Laser Locations Figure 2-4 illustrates the location of the lasers of the CS 9300.
Control Panel Control Panel The control panel is an alphanumeric, digital soft touch console. It allows the operator to control certain unit functions. It also displays the operating parameters and error messages. Figure 2–5 Unit Control Panel 8 kV mA 1 2 3 S mem 9 2–6 10 11 4 5 6 1 Height Adjustment button: Adjusts the height of the unit to the height of the patient. 2 3D Head Adjustment button: Adjusts the patient head to the x-ray beams.
X-Ray Remote Control Overview X-Ray Remote Control Overview The x- ray remote control enables you to launch a radiological image acquisition via the exposure button from outside the x-ray room. You must press and hold the exposure button until the end of acquisition. Premature release of the exposure button interrupts the acquisition. Figure 2–6 X-Ray Remote Control 1 1 Exposure button: launches image acquisition.
Positioning Accessories and Replacement Parts Positioning Accessories and Replacement Parts The following accessories are used when positioning a patient. They are delivered with the CS 9300. Panoramic Positioning Accessories Table 2-1 lists the panoramic positioning accessories.
Positioning Accessories and Replacement Parts 3D Positioning Accessories Table 2-2 lists the 3D positioning accessories.
Positioning Accessories and Replacement Parts Patient Positioning Indicators Table 2-3 lists the patient positioning indicators represented on the chin rest base.
Chapter 3 IMAGING SOFTWARE OVERVIEW Computer System Requirements For the minimum computer system requirements and configuration for the Imaging Software, see the CS 9300 and CS 9300C Safety, Regulatory and Technical Specifications User Guide. IMPORTANT It is MANDATORY to check that the computer system configuration is compatible with the computer system requirements for the CS 9300 software. If necessary you MUST update your computer system configuration.
Acquisition Interface Acquisition Interface Panoramic Acquisition Overview The Panoramic Acquisition interface is the main panoramic interface with the CS 9300 that provides you with imaging acquisition functions. Panoramic Acquisition interface Figure 3–1 1 Information button: About: Identifies the Software and the Firmware versions. 3–2 Reset of the Values: Resets to the manufacturing parameter settings.
Acquisition Interface 5 Generator Cooling indicator: Indicates the automatic cooling time (mm:ss) required for the generator to reach 0 for a new acquisition. 6 Stop button: Stops the unit rotative arm movement 7 Ready Indicator LED Green indicates the unit is ready to start acquisition. Black indicates the unit is not ready to start acquisition. 8 X-Ray Emission indicator: Yellow, indicates the x-ray emission status. 9 Exit button: Closes the Acquisition interface.
Acquisition Interface Program Pane The Program pane enables you to choose different radiological exams. The diagram in the Program pane represents a jaw, with the right side of the diagram corresponding to the right side of the patient. Click on a section of the jaw to select an anatomical zone for radiological exam. The selected segment is highlighted. Figure 3–2 1 2 Program Pane TMJ exam options: Select for a TMJ x2. Select for a TMJ x4 exam and click .
Acquisition Interface Patient Pane The Patient Pane enables you to choose different patient parameters. The selection of the patient parameters influences the quality of the image. The selected parameters must be based on the age and morphology of the patient . Figure 3–3 1 2 3 Patient Pane Patient type parameters: Click if the patient is a child. Click if the patient is small. Click if the patient is medium. Click if the patient is large.
Acquisition Interface Parameter Pane The Parameter pane enables you to choose exposure parameters for the radiological image acquisition. If the default parameter setting is not adapted to your patient’s type, you can manually adapt the parameter settings to the patient’s type and save this setting as the default setting.
Acquisition Interface “Premium” 3D Acquisition Overview The “Premium” 3D Acquisition interface is the optimum 3D interface for the CS 9300 that provides you with the full range of imaging acquisition functions. Figure 3–5 “Premium” 3D Acquisition interface 1 Information button: About: Identifies the Software and the Firmware versions. 2 Reset of the Values: Resets to the manufacturing parameter settings.
Acquisition Interface 6 Stop button: Stops the unit rotative arm movement. 7 Pre-shoot button: Performs a single scout image to validate the proper selection of the region of interest. 8 Ready Indicator LED: Green indicates the unit is ready to start acquisition 9 X-Ray Emission Indicator: Yellow indicates the x-ray emission status. 10 Exit button: Closes the Acquisition interface. 11 Selector button: Selects different acquisition setting options.
Acquisition Interface 3D Program Pane The 3D Program pane enables you to choose different radiological exams. See below the different radiological exams program pane and their features. Figure 3–6 Head Program Pane Fast Acquisition button: Minimizes the acquisition time to avoid the patient’s movement. Maximum Field Of View (FOV) button: Enables the maximum field of view radiological exam.
Acquisition Interface Figure 3–8 Ear Program Pane Ear exam options: Right ear: Acquisition of right ear. Left ear: Acquisition of left ear. Right & Left ears: Acquisition of both right and left ears. Image program options: Fast Acquisition button: Minimizes the acquisition time to help avoid patient movement. High Quality Acquisition button: Longer acquisition time with more projections for maximum quality image. Extended temporal bone area: Enables capturing more structures around the temporal bone.
Acquisition Interface Figure 3–9 Teeth Program Pane Teeth setting options: Teeth buttons: Select a group of teeth to be included in the exam. Upper and lower jaw have the same setting here and will then be designated during the patient positioning. Program options: Fast Acquisition button: Minimizes the acquisition time to help avoid patient movement. High Quality Acquisition button: Longer acquisition time with more projections for maximum quality image.
Acquisition Interface Figure 3–11 TMJ Program Pane TMJ exam options: Right TMJ: Acquisition of right TMJ. Left TMJ: Acquisition of left TMJ. Right & Left TMJs: Acquisition of both right and left TMJs. Program options: Single TMJ acquisition: Available only with Left or Right program option. Both TMJ acquisition: Available only with Right & Left program option.
Acquisition Interface Patient Pane The Patient pane enables you to choose different patient parameters. The selection of the patient parameters influences the quality of the image and the correct positioning of small FoVs. The selected parameters must be based on the age and morphology of the patient. Figure 3–12 Patient Pane Patient type parameters: The patient is a child. The patient is small. The patient is medium. The patient is large.
Acquisition Interface Parameter Pane The Parameter pane enables you to choose exposure parameters for the radiological image acquisition. If the default parameter setting is not adapted to your patient’s type, you can manually adapt the parameter settings to the patient’s type and save this setting as the user-defined setting. Figure 3–13 Parameter Pane Exposure settings: kV: kilovolts mA: milliamperes Image resolution options: µm (Voxel): micrometer.
Acquisition Interface “Select” 3D Acquisition Overview The “Select” 3D Acquisition interface is the 3D interface for the CS 9300 that provides you with a selected range of imaging acquisition functions. Figure 3–14 “Select” 3D Acquisition interface 1 Information button: About: Identifies the Software and the Firmware versions. 2 Reset of the Values: Resets to the manufacturing parameter settings.
Acquisition Interface 6 Stop button: Stops the unit rotative arm movement. 7 Pre-shoot button: Performs a single scout image to validate the proper selection of the region of interest. 8 Ready Indicator LED: Green indicates the unit is ready to start acquisition 9 X-Ray Emission Indicator: Yellow indicates the x-ray emission status. 10 Exit button: Closes the Acquisition interface. 11 Selector button: Selects different acquisition setting options.
Acquisition Interface 3D Program Pane The 3D Program pane enables you to choose different radiological exams. See below the different radiological exams program pane and their features. Figure 3–15 Teeth Program Pane Teeth setting options: Teeth buttons: Select a group of teeth to be included in the exam. Upper and lower jaw have the same setting here and will then be designated during the patient positioning.
Acquisition Interface Figure 3–16 Jaw Program Pane Both jaws restricted acquisition: Ideal for jaw exams when the third molars are not required. Single jaw full acquisition: Upper or lower jaw exam only. Figure 3–17 TMJ Program Pane TMJ exam options: Right TMJ: Acquisition of right TMJ. Left TMJ: Acquisition of left TMJ.
Acquisition Interface Patient Pane The Patient pane enables you to choose different patient parameters. The selection of the patient parameters influences the quality of the image and the correct positioning of small FoVs. The selected parameters must be based on the age and morphology of the patient. Figure 3–18 Patient Pane Patient type parameters: The patient is a child. The patient is small. The patient is medium. The patient is large.
Acquisition Interface Parameter Pane The Parameter pane enables you to choose exposure parameters for the radiological image acquisition. If the default parameter setting is not adapted to your patient’s type, you can manually adapt the parameter settings to the patient’s type and save this setting as the user-defined setting. Figure 3–19 Parameter Pane Exposure settings: kV: kilovolts mA: milliamperes Image resolution options: µm (Voxel): micrometer.
Chapter 4 GETTING STARTED Switching on the Unit Before switching on the unit, check that: The installation of the unit is complete. The computer is switched on. IMPORTANT You must switch on the computer and wait for it to be ready for the connection before switching on the unit. To switch on the unit, follow these steps: 1 On the unit column, press the ON button. 2 Switch on the unit and wait for a minute for the connection between the unit and the computer to be established.
Starting the Imaging Software 3 Leave the x-ray room and close the door. For each parameter setting, from the x-ray remote control, press and hold the button to launch the x-ray The unit is now ready to be used for acquisition. Starting the Imaging Software Depending on your particular configuration you may have either Kodak Dental Imaging Software or CS Imaging Software installed. For KODAK Dental Imaging Software see “Starting the KODAK Dental Imaging Software”.
Starting the Imaging Software 2 Enter the required patient information. The Last name, the First name and the Date of birth fields are required. 3 From the menu bar, select Picture > Insert Picture to add a *.tif or *.bmp picture of the patient to the record. Select the picture from your directory and click Open. 4 Click OK to save. The patient record is automatically assigned a 7-digit number starting with a letter (for example, M0000001). 5 Click 6 Select an image acquisition.
Starting the Imaging Software Starting the CS Imaging Software To start the CS Imaging Software, follow these steps: 1 On your desktop, double-click . The Patient Browser tab is displayed. 2 You must now create a patient card. Creating a Patient Card To create a patient card, follow these steps: 1 Click in the Patient Browser tab. The Patient Card window is displayed. 2 Enter the patient information in the Patient Card window. Note: The First Name and Last Name fields are mandatory.
Starting the Imaging Software 4 You can now access the acquisition interface. Accessing the Acquisition Interface To access the Acquisition interface, follow these steps: 1 Select and double-click the patient card in the patient list. The Image Viewer tab is displayed. 2 In the Image Viewer tab, click click to access the Panoramic Acquisition interface, or, to access the 3D Acquisition interface. The acquisition interface is displayed.
Starting the Imaging Software 4–6 GETTING STARTED
Chapter 5 ACQUIRING PANORAMIC IMAGES Acquiring a Panoramic, TMJ x2 or Sinus Image Before acquiring an image, check that you have: Reset the unit rotative arm to the start position for patient to enter the unit. Selected the patient record. Accessed the Imaging window. Accessed the Panoramic Acquisition interface. Preparing the Unit and Setting the Acquisition Parameters To set the acquisition parameters, follow these steps: 1.
Acquiring a Panoramic, TMJ x2 or Sinus Image 5. Press and hold 5–2 to raise the chin rest to the following positioning indicators: For a panoramic or TMJ x2 positioning - Important: this is the upper position of the chin rest, if it is not fully up then a panoramic acquisition will not be allowed.
Acquiring a Panoramic, TMJ x2 or Sinus Image Preparing and Positioning the Patient To prepare and position the patient, follow these steps: 1. Ask the patient to remove all metal objects. 2. Ask the patient to wear a lead apron. Ensure that the apron lays flat across the patient’s shoulders. 3. On the Control Panel, press and hold to raise the chin rest to the maximum height. The system will not allow an acquisition to be made unless this is done. 4. Ask the patient to enter the unit.
Acquiring a Panoramic, TMJ x2 or Sinus Image NOTE Correct posture reduces the shadow of the spinal column transferred to the image. 6. On the Control Panel, click to turn ON the 2 positioning laser beams: The mid-sagittal (1) positioning laser beam for a vertical alignment. The horizontal (2) positioning laser beam for a Frankfort plane alignment. NOTE You can re-activate the laser positioning beams as needed.
Acquiring a Panoramic, TMJ x2 or Sinus Image 8. Immobilize the patient head with the temple supports (3). Tighten the temple supports using the temple support adjustors. 1 2 3 9.
Acquiring a Panoramic, TMJ x2 or Sinus Image Launching the X-ray To launch the x-ray, follow these steps: 1. Leave the x-ray room and close the door. You must keep visual contact with the patient during acquisition. IMPORTANT To stop the acquisition, if any problem, release the exposure button of the remote control or press the red emergency stop button. 2. Launch the x-ray with the remote control.
Acquiring a TMJ x4 Image Acquiring a TMJ x4 Image Before acquiring a TMJ x4 image, check that you have: Reset the unit rotative arm to the start position for patient to enter the unit. Selected the patient record. Accessed the Imaging window. Accessed the Panoramic Acquisition interface. To acquire a TMJ x4 image, follow these steps: 1. From the Panoramic Acquisition interface, in the Program pane, select the TMJ and click 2. Remove barrier. . , place 3.
X-Ray Dose Emission Information X-Ray Dose Emission Information Compliance with EURATOM 97/43 Directive You can right-click on each image to display the estimated emitted dose received by the patient. You can use this information to calculate the effective dose received by the patient for the image. The radiation emission dose is expressed in mGy.cm2. This dose is measured at the primary collimator outlet. The dose is accurate to +/-30%.
Chapter 6 ACQUIRING 3D IMAGES Acquiring 3D Images Before acquiring 3D images, check that you have: Reset the unit rotative arm to the start position for patient to enter the unit. Selected the patient record. Accessed the Imaging window. Accessed the 3D Acquisition interface. Preparing the Unit and Setting the Acquisition Parameters To set the acquisition parameters, follow these steps: 1. In the 3D Acquisition interface, click the Program button to access the Program pane.
Acquiring 3D Images 4. Position the 3D head rest or 3D bite block making sure that it clicks fully into place. 5. Press and hold to adjust the unit to the estimated height of the patient. 6. Press and hold to adjust the chin rest according to the desired exam type using the chinrest base positioning indicators as a guide.
Acquiring 3D Images Preparing and Positioning the Patient To prepare and position the patient, follow these steps: 1. Ask the patient to remove all metal objects. 2. Ask the patient to wear a lead apron. Ensure that the apron lays flat across the patient’s shoulders. 3. Ask the patient to enter the unit. On the Control Panel, press and hold adjust the unit to the height of the patient. to 4. Ask the patient to do the following: Stand up straight or sit on a stool.
Acquiring 3D Images 5. Position the patient: There are two possible patient positioning options for 3D examinations: 3D Bite Block method: Ask the patient to open the mouth. Ask the patient to bite gently and naturally into the bite block without joining the incisors. Center the upper incisors with the bite block. 3D Head Rest method: Ask the patient to place their chin into the chin rest and press their forehead into the head rest. 6. Click position.
Acquiring 3D Images 3D Head Rest method 1 2 2 3 8. Press and hold to align the upper or lower jaw with the 3D FoV (2) positioning laser beam. Tighten the temple supports (3) using the temple support adjustors. 9. Ask the patient to close their eyes, to remain still and to breath through their 10. If required, click image.
Acquiring 3D Images Launching the x-ray To launch the x-ray, follow these steps: 1. Leave the x-ray room and close the door. You must keep visual contact with the patient during acquisition. IMPORTANT To stop the acquisition, if any problem, release the exposure button of the remote control or press the red emergency stop button. 2. Trigger the x-ray with the remote control. Press and hold the exposure button until the end of the acquisition is indicated by the on-screen “Release Switch” message.
X-Ray Dose Emission Information X-Ray Dose Emission Information Compliance with EURATOM 97/43 Directive You can right-click on each image to display the estimated emitted dose received by the patient. You can use this information to calculate the effective dose received by the patient for the image. The radiation emission dose is expressed in mGy.cm2. This dose is measured at the primary collimator outlet. The dose is accurate to +/-30%.
X-Ray Dose Emission Information 6–8 ACQUIRING 3D IMAGES
Chapter 7 MAINTENANCE Cleaning Schedule This section describes the cleaning schedule that you need to perform regularly for your CS 9300 unit and the accessories. WARNING Switch off the unit, then, clean all accessible parts of the machine with a detergent product or a detergent-disinfectant. Avoid using liquids inside the unit. Follow the detergent product or the detergent-disinfectant manufacturer recommendations for safety precautions.
Monthly Monthly Wipe the outer covers of the unit with a soft and dry cloth. Annually We recommend a general inspection of the unit carried out by an authorized service technician. Controlling the Image Quality To maintain optimum image quality, the image quality must be controlled regularly. To control the image quality, follow these steps: 1. On your desktop, double-click Software window is displayed. 2. Click 7–2 MAINTENANCE . The Calibrations and Quality Control .
Controlling the Image Quality 3. In the Tools pane, double-click Quality Assurance Control. The Image Quality Control window is displayed. 4. In the Image Quality Control window, to perform the test, you can either: Select the desired device in the List of detected acquisition devices field. Or Browse and import a file in the Import field. Click Next and follow the instructions. 5. Select the desired test and follow the on-screen instructions.
Controlling the Image Quality 7–4 MAINTENANCE
Chapter 8 TROUBLESHOOTING Quick Troubleshooting Occasionally, malfunctions can occur during use in the event of an incorrect action. An information (I) error code is displayed on the Display Screen of the unit Control Panel and the message is displayed on the popup on the Acquisition interface System Status Screen. In some cases, an audible warning is also issued.
Quick Troubleshooting Table 8–2 Quick Troubleshooting (Continued) Information Error Code Information Message I6 I 15 Wrong rotative arm position Interface inactive Description Action The exposure button of the x-ray remote control is inactive because the rotative arm is not in Press position. the start position. The Acquisition interface cannot 1. be accessed. 2. 3. to reset the rotative arm in start Check that the unit is switched on. Wait for the connection between the unit and the computer.
