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Schick CDRPanX User Manual

Digital panoramic x-ray device
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CDRPanX User Guide
Schick Technologies, Inc.
th
30-30 47
Avenue
Long Island City, NY 11101
USA
(718) 937-5765
(718) 937-5962 (fax)
PART NUMBER B1051407 REV. A

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  • Page 1 CDRPanX User Guide Schick Technologies, Inc. 30-30 47 Avenue Long Island City, NY 11101 (718) 937-5765 (718) 937-5962 (fax) PART NUMBER B1051407 REV. A...
  • Page 2 Copyright © 2008 by Schick Technologies, Inc. All Rights Reserved CDR is a registered trademark of Schick Technologies, Inc and is covered by US Patent Numbers 5,912,942 and 6,134,298. Additional patents are pending. Trademark designations used by other manufacturers and sellers may appear in this document also.

  • Page 3: Table Of Contents

    7. Using the iPan HS Upgrade Utility ............32 7.1. Introduction...........................32 7.2. USB Interface Test........................33 7.3. USB Interface Firmware Upgrade ..................34 7.4. Sensor Module Firmware Upgrade ..................35 8. Cleaning.....................36 8.1. CDRPanX Unit ........................36 8.2. iPan HS USB Interface ......................36 9. Maintenance....................37 CDRPanX User Guide B1051407 Rev A...
  • Page 4 9.1. Visual Inspection ........................37 9.2. Periodic Maintenance......................37 9.3. Scheduled Maintenance ......................38 Appendix A. Error Codes ................39 Appendix B. Technical Data................40 Appendix C. Cooling Curves ................44 Index........................45 B1051407 Rev. A CDRPanX User Guide...
  • Page 5 Figure 7. Correct Beam Alignment for Frankfort and Lateral Planes ........... 12 Figure 8. iPan HS USB Interface ....................18 Figure 9. Location of CDRPanX Power, Exposure, and Alignment Controls ......20 Figure 10. Resend Option Selected in Panoramic Settings ............25 Figure 11.
  • Page 6 Protecting CDRPanX Equipment from RF Interference Although the CDRPanX equipment is designed to provide a reasonable degree of protection from electromagnetic interference, according to IEC International regulations, it must be installed at an adequate distance from electricity transformer rooms, static continuity units, two-way amateur radios and cellular phones.
  • Page 7 To verify this requirement, installers shall confirm that the CDRPanX system is installed as described in the Installation / Service Guide and shall perform the appropriate procedures therein.
  • Page 8 Only Dentists or Authorized Designees Are Permitted to Operate the System To ensure the correct use of CDRPanX in a clinical environment, for purposes that correspond to its intended design and application, only dentists, or their designees, are authorized to operate the system.
  • Page 9 Symbols Refer to the following table for symbols found on the CDRPanX itself, on the shipping packaging, or in text of this or other documents provided with the system. YMBOL ESCRIPTION Indicates Class II Equipment Indicates Type B equipment in accordance with applicable medical device safety...
  • Page 10 Power Off (system disconnected from main power supply) Power On (system connected to main power supply) Radiography Push Button Ionizing Radiation Indicator Inherent Filtration Fragile, Handle With Care Humidity Limitation This End Up, Do Not Turn Over Stacking Limit viii B1051407 Rev. A CDRPanX User Guide...
  • Page 11 System Label (115V Shown) Label Location Located near the patient handles Fuse Label Label Description Located near the fuse holder on the Vertical Carriage Generator Label Label Location Located near the X-ray source (also duplicated label) CDRPanX User Guide B1051407 Rev. A...
  • Page 12 Serial Number 1909LD0000 Manufactured September 2003 duplicated label near the X-ray Collimator CERTIFICATION Product complies with radiation performance standards under the Federal Food, Drug, and Cosmetic act. Laser Label Label Location Located near the patient handles B1051407 Rev. A CDRPanX User Guide...
  • Page 13 CDR PanX Column Assembly Located near the base of the PN: B4792310 Serial Number 1909SC0000 Column Manufactured September 2003 Schick Technologies Inc., LIC, NY USA Self Standing Base Label Label Location CDR PanX Self Standing Base Located on the Self-Standing...
  • Page 14 Dealers are committed to complying with the Directive. WEEE Marking All Schick products subject to the WEEE Directive will be compliant with the WEEE marking requirements. These products will be identified with the “crossed-out wheeled bin” WEEE symbol shown below, as defined in European Standard EN 50419, and in accordance with WEEE Directive 2002/96/EC.
  • Page 15 Information for Reuse Centers, Treatment and Recycling Facilities As required by the WEEE Directive, Schick Technologies or its Dealers will provide reuse, treatment, and recycling information for each type of new EEE put on the market within one year of the date in which the equipment is put on the market.
  • Page 16 This page intentionally left blank B1051407 Rev. A CDRPanX User Guide...

  • Page 17: Introduction

    • To verify that a proper switch is available to disconnect the equipment from main power supply when needed during installation • To install and test the equipment according to the CDRPanX Installation and Service Guide and other documentation, as needed.

  • Page 18: Notice To Users

    / or performance that could constitute a health hazard to the patient and / or operator. Information about your particular CDRPanX system can be found on the system itself, on labels described in this manual.

  • Page 19: General Information

    HOST MACHINE MAIN POWER Figure 2. CDRPanX Simplified Block Diagram The following accessories are applicable to the CDRPanX system and are used for support during panoramic imaging. − A4505000 Bite Block − A4505200 Edentulous Lip Support − A4505300 TMJ / Sinus Lip Support.

  • Page 20: Figure 3. Cdrpanx (Patient View)

    This User Guide is one of two documents needed to install the CDRPanX system completely. Before performing the procedures in this document, you or a qualified service technician should complete the steps in the Installation Guide (B1051408). All of the procedures for installing CDRPanX hardware may be found in your Installation Guide.

  • Page 21: Figure 4. Cdrpanx (Operator View)

    Handle (9) to adjust the Rotation unit vertically, along the Column. Also accessible from the side of the CDRPanX are the Exposure switch (10) and connector (11), On / Off switch (12), and AC cable (13) for electrical service to the unit.

  • Page 22: Control Panel

    Control Panel Descriptions of Control Panel pushbuttons and indicators can be found by referring to Figure 5 and Table 1 that follows. Figure 5. CDRPanX Control Panel Table 1. CDRPanX Control Panel Description Item Description Additional References System Pushbuttons and Indicators...
  • Page 23 Anterior part of dentition selected — TMJ selected: mouth closed — TMJ selected: mouth open — Anterior view of nasal (maxillary) — sinuses selected Program selection Selects program displayed in Items Nos. 16 to CDRPanX User Guide B1051407 Rev. A...

  • Page 24: Control System

    Control System 2.4.1. Setup for Exposure IMPORTANT! Never move the Rotation Unit manually as permanent damage to the CDRPanX system may result. To reset or reposition the Rotation Unit, ALWAYS use the Exposure switch with the system in TEST mode.

  • Page 25: Table 3. Rotation Unit Positions And Ready Light Indications

    Table 3. Rotation Unit Positions and READY Light Indications Rotation Unit Position Location READY Indicator Patient Entry Ready Rotation / Scan Finished BLINKING during X-ray Tube cooling cycle Patient Exit BLINKING during X-ray Tube cooling cycle CDRPanX User Guide B1051407 Rev. A...
  • Page 26 Please refer to Items 18 through 24 for available partial projections. Please refer to Table 4 in Appendix B for exposure durations for the various projections. B1051407 Rev. A CDRPanX User Guide...
  • Page 27 B. Performs system testing and displays any detected errors on the Control Panel. 2.4.8. Error Handling In the event CDRPanX detects an error during operation or testing, the Error indicator on the Control Panel illuminates, accompanied by an error message code, and an audible alarm to alert the operator.

  • Page 28: Figure 6. Correct Beam Alignment For Mid-Sagittal, Frankfort, And Lateral Planes

    Figure 6. Correct Beam Alignment for Mid-Sagittal, Frankfort, and Lateral Planes Figure 7. Correct Beam Alignment for Frankfort and Lateral Planes (Laser Indications are Highlighted for Legibility on this Page and Elsewhere in this Document) B1051407 Rev. A CDRPanX User Guide...

  • Page 29: Installation

    General Perform the following procedures to install the iPan HS Interface hardware and software. − Install iPan HS Interface Driver (Section 3.3) − Start using your CDRPanX System 3.2. Requirements The recommended system requirements for CDR DICOM workstations are: −...

  • Page 30: Ipan Hs Interface Driver Installation

    Insert the iPan HS Interface Driver CD and click Install iPan HS Interface Driver when the start page is displayed. If prompted, install Microsoft’s .NET framework. Click Next at the Welcome screen. An example of the Welcome screen is shown below. Continued on next page B1051407 Rev. A CDRPanX User Guide...
  • Page 31 An example of the Ready to Install the Program (iPan HS Interface Driver) screen is shown below. An example of the InstallShield Wizard completed screen (for installing the iPan HS Interface Driver) is shown below. Continued on next page CDRPanX User Guide B1051407 Rev. A...
  • Page 32 Click Finish and connect the CAT-5 cable to iPan HS interface. An example of the Found New Hardware wizard is shown below. An example of the Completing the Found New Hardware Wizard screen is shown below. Continued on next page B1051407 Rev. A CDRPanX User Guide...
  • Page 33 An example of the iPan HS Upgrade Utility is shown below. (Please note that the version numbers shown in the picture below are examples only and may differ from those reported for your system.) CDRPanX User Guide B1051407 Rev. A...

  • Page 34: Controls And Led Indicators

    CAT-5 cable with the help of a small tool (like a screwdriver). The illustration and table that follow provide additional details about the iPan HS USB Interface. CAT-5 Cable Connector CAT-5 Release Access USB Cable Connector Figure 8. iPan HS USB Interface B1051407 Rev. A CDRPanX User Guide...

  • Page 35: Table 4. Ipan Hs Usb Interface Led Indications

    Sensor is transmitting image to iPan HS USB Blinking — Interface iPan HS USB Interface is transmitting image — Blinking to host computer USB cable not connected if CDR is running, or USB driver is not installed CDRPanX User Guide B1051407 Rev. A...

  • Page 36: Operation

    Please Note: CDRPanX must be operated only by personnel qualified to operate the equipment safely and correctly and with full knowledge of applicable laws and regulations. Turn on power at the CDRPanX On / Off switch (Figure 9). Initial turn-on conditions are displayed at the Control Panel (Figure 5): •...

  • Page 37: Turning Off The System

    Press the Exposure switch or Return pushbutton to perform the Return function. 5.3. Turning Off the System Turn off power at the CDRPanX On / Off switch. When power is off, all indications at the Control Panel are extinguished. CDRPanX User Guide...

  • Page 38: Panoramic Imaging

    6.1. Panoramic Projection and Technique Factors Please Note: The CDRPanX can be operated without X-ray generation in TEST mode. This test, described in the following steps, is performed to convey the sequence for taking a panoramic X-ray and is suitable as either a training tool for practitioners or as a pre- exam demonstration for patients.

  • Page 39: Patient Positioning And Panoramic Imaging

    9. Turn on the laser alignment beams again and re-verify correct positioning. The beams will remain on for 15 seconds and then turn themselves off automatically. If you need additional time for positioning, activate the beams again. CDRPanX User Guide B1051407 Rev. A...
  • Page 40 (a) swallow and keep the tongue lightly pressed to the palate, and (b) remain calm and avoid movement until the end of the exposure. The CDRPanX machine will indicate Error Code 11 if the Panoramic viewbox is not selected prior to starting panoramic motion.

  • Page 41: Using The Resend Option

    3. Locate the Resend option on the Panoramic device property page: • [CDR DICOM] System > Panoramic Settings. • [EagleSoft or Patterson Imaging] File > Preferences > X-ray > Schick Panoramic. 4. Mark the “Retrieve last image from memory” checkbox and click OK.

  • Page 42: Figure 11. Examples Of Correct And Incorrect Patient Positioning

    Correct position, Frankfort plane is horizontal Wrong position, head tilted forward, V shaped dental arch Wrong position; head tilted backward, flat dental arch Figure 11. Examples of Correct and Incorrect Patient Positioning B1051407 Rev. A CDRPanX User Guide...

  • Page 43: Focal Trough Adjustments

    PROBLEM: The roots of the incisors fall outside the focal trough. The front teeth appear blurred and proportionally wider (magnification). ADJUSTMENT: Use the Knob to move the patient forward (towards the Column) to correct. Figure 12. Displayed Focal Trough Adjustments CDRPanX User Guide B1051407 Rev. A...

  • Page 44: Tmj Projections

    5. Create a new CDR exam with 2 viewboxes. Click on the first viewbox, then press and hold the Exposure switch to take the image. The image displays in the first viewbox. CDRPanX advances automatically to the TMJ Open Mouth projection. 6. Press the Exposure switch or Return pushbutton to move the Rotation unit to the Patient Exit position.

  • Page 45: Maxillary Sinus Projections

    5. Click on the appropriate viewbox in CDR, then press and hold the Exposure switch to take the image. The image displays in the viewbox. CDRPanX User Guide B1051407 Rev. A...

  • Page 46: Figure 13. Examples Of Tmj And Maxillary Sinus Exposures And Positioning

    TMJ Exposures Closed (Top) and Open (Bottom) Maxillary Sinus Exposure Figure 13. Examples of TMJ and Maxillary Sinus Exposures and Positioning B1051407 Rev. A CDRPanX User Guide...

  • Page 47: Operator Positioning And Panoramic Exposures

    • Behind the patient, 10 feet (3 meters) from the column (in the designated safe zone, as described in Figure 14), or • Outside the exam area or operatory. 10 FEET (3 METERS) SAFE ZONE FOR OPERATOR Figure 14. Operator Safety Zone CDRPanX User Guide B1051407 Rev. A...

  • Page 48: Using The Ipan Hs Upgrade Utility

    The Refresh button on the utility can confirm the status of the system and can be useful before and after firmware upgrades. Clicking the Refresh button confirms that the iPan HS device is detected and can be used also to ensure that the CAT-5 cable is connected. B1051407 Rev. A CDRPanX User Guide...

  • Page 49: Usb Interface Test

    Start the iPan HS Upgrade Utility. Click Tools > USB Interface Test. Note: After a momentary pause, a test pattern is displayed. The orange LED Example indicator on the iPan HS USB Interface blinks as the test pattern scrolls. CDRPanX User Guide B1051407 Rev. A...

  • Page 50: Usb Interface Firmware Upgrade

    If the firmware version number is listed in red, click the Firmware Version button to upgrade. Pictured below is an example of the iPan HS Upgrade Utility, with the Example firmware upgrade button for the USB Interface highlighted. B1051407 Rev. A CDRPanX User Guide...

  • Page 51: Sensor Module Firmware Upgrade

    7.4. Sensor Module Firmware Upgrade Field updates to the CDRPanX Sensor can be accomplished by installing new firmware. When new firmware is available, it is typically provided with software releases and becomes part of the update to your existing system. In the event you are prompted to upgrade firmware, perform the steps provided below.

  • Page 52: Cleaning

    Observe the following precautions to perform cleaning procedures and to provide proper hygiene within the patient area. • Before cleaning any part of the CDRPanX system, refer to the procedures in this document, or in the appropriate service guide, for proper turn off / power disconnection at the host panoramic machine.

  • Page 53: Maintenance

    Plastic covers can be wiped with a soft cloth and light detergent. • To disinfect CDRPanX parts and surfaces that are in contact with the patient, use a detergent (for example, one containing 2% solution of ammonia). The bite block (but not the chin rest and the low and high chin templates) can be steam-sterilized by autoclave at 250°F (121°C).

  • Page 54: Scheduled Maintenance

    • Check that the labels are intact, readable, and adhere well to the surfaces on which they are positioned. • Check that all of the cables that connect equipment in the CDRPanX system are undamaged. • Check that there is no external damage to the CDRPanX equipment which could compromise its ability to operate safely and to provide the proper emission of X- rays.

  • Page 55: Appendix A. Error Codes

    5V power supply error Please Note: The table above describes error codes that appear when the Error indicator on the Control Panel is illuminated. For service codes, refer to the CDRPanX Service and Installation manual. CDRPanX User Guide B1051407 Rev. A...

  • Page 56: Appendix B. Technical Data

    Appendix B. Technical Data Table 7. Summary of CDRPanX Technical Data Item Description IEC Classification Class I, type B Power Supply 230V, 50/60 Hz, 8 A 115V, 50/60 Hz, 16 A Mains Resistance < 2 ohm at 230V X-ray Generator...

  • Page 57: Table 9. Guidance And Manufacturer's Declaration - Electromagnetic Emissions

    Table 9. Guidance and Manufacturer's Declaration - Electromagnetic Emissions PLEASE NOTE: The CDRPanX system is intended for use in the electromagnetic environment specified below. The customer or user of the CDRPanX system must ensure that it is used in such an environment.
  • Page 58 0.5 for 0.5 voltage variations on hospital environment. If the power supply input user of the CDRPanX system lines requires continued operation 40% U 40% U T (60% dip in T (60% dip in during mains interruptions, it is...

  • Page 59: Table 11. Recommended Separation Distance Between Portable And Mobile Rf Communications Equipment And The Cdrpanx System

    RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the CDRPanX System is used exceeds the applicable RF compliance above, the CDRPanX System should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating the CDRPanX System.

  • Page 60: Appendix C. Cooling Curves

    Appendix C. Cooling Curves B1051407 Rev. A CDRPanX User Guide...

  • Page 61: Index

    Index Anode Current Setting, 10 Ensure CDRPanX-C System Operates Optimally, v Error Codes, 39 Table Describing, 39 Error Handling, 11 Exposure, 10 CDR DICOM System Exposure Switch Installation Requirements for, 13 Table Describing, 8 CDRPanX Control Panel, 6 Control Unit, 8...
  • Page 62 Dedicated Host Computer, vi Users, 2 Do Not Touch Exposed Connectors on Non- Medical Equipment and the Patient at the Same Time, vi Ensure CDRPanX-C System Operates Optimally, v Preventive Maintenance, v Operator Restriction for Sale, iv Location of Safety Zone, 31...

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