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YOSHIDA PANOURA 18S Operation Manual

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PANOURA 18S
This "Operation Manual" describes information on
how to operate "PANOURA 18S", a digital panorama
tomographic X-ray diagnostic apparatus for dental
use, and precaustions for use.
• To avoid any unexpected accident, failure, or
damage to the system, read this "Operation
Manual" prior to system installation.
• Be sure to keep this manual after having read
through it.
Operation Manual

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Summary of Contents for YOSHIDA PANOURA 18S

  • Page 1 Operation Manual PANOURA 18S This “Operation Manual” describes information on how to operate “PANOURA 18S”, a digital panorama tomographic X-ray diagnostic apparatus for dental use, and precaustions for use. • To avoid any unexpected accident, failure, or damage to the system, read this “Operation Manual”...

  • Page 3: Introduction

    • Modifications may be made to the manual at any time without prior notice Disclaimer We will not be liable for any failure, damage, and condition occurring in PANOURA 18S at- tributable to: • Installation, relocation, maintenance, and/or repair by us any other subcontractor than those we nominated.

  • Page 4: Table Of Contents

    Table of contents Introduction ..........................1 Safety precautions in using PANOURA 18S ................7 Precautions for Use ........................8 Responsibilities for equipment management attributable to the user ........11 Required Maintenance and Inspection ................... 11 Durable period ........................11 Repair functional part supply period ..................11 Actions to be taken in case of an accident ................
  • Page 5 Installation procedure ....................77 3.1.2 Installing ControlManager ....................79 Starting up PANOURA18S ControlManager ..............81 Descriptions of Main Menu .................... 82 Descriptions of “Setup” screen ..................82 Confirming program versions ..................83 Configuring a communication port(s) ................85 PANOURA 18S Operation Manual...
  • Page 6 Making contact with your dealer.................. 110 7 Maintenance services Cleaning ........................111 Regular checks ......................112 Regular check services ....................113 7.3.1 Outsourcing the regular check services ..............113 7.3.2 Archiving records on regular check services ..............113 Performing check services ..................114 PANOURA 18S Operation Manual...
  • Page 7 (with and optional wide base): Cephalo-attached type ..........142 11.3.18 Standing position base-mount long type (with and optional wide base): Cephalo-attached type ..........143 11.4 Circuit block diagram ....................144 11.5 Circuit block diagram (Cephalo-attached type) ............145 PANOURA 18S Operation Manual...
  • Page 8 11.6 Spatial resolution (MTF) ....................146 11.7 Anode cooling curve and heat content of X-ray tube assembly ........................147 12 Qualification Assurance (QA) Procedure 12.1 Structure of the phantom ..................... 149 12.2 QA Procedure ......................150 PANOURA 18S Operation Manual...

  • Page 9: Safety Precautions In Using Panoura 18S

    Safety precautions in using PANOURA 18S Meaning of symbols A symbol and its variations used in the manual and attached to the equipment have the meanings described below. To avoid any possible danger, be sure to adhere to the instruc- tions following these symbols.

  • Page 10: Precautions For Use

    14. Do not hang down from or apply force on the Cephalo unit (including the Cephalo- arm). Otherwise the equipment may fall or be damaged. 15. Be careful not to let infants and children hang down from or apply force on the Cephalo unit (including the Cephalo-arm). PANOURA 18S Operation Manual...
  • Page 11 19. Be careful not to get your fingers caught in the equipment during the operation, such as rotating, opening and closing, moving back and forth, of the ear rod and nose sup- port of the Cephalo unit. PANOURA 18S Operation Manual...
  • Page 12 Exercise caution in handling the equipment. Caution Do not modify this equipment. • Changing the specifications of this product done by the user is regarded as the modifica- tion of medical equipments. PANOURA 18S Operation Manual...

  • Page 13: Responsibilities For Equipment Management Attributable To The User

    3. If necessary, turn off the power of the computer and then turn off the equipment’s scan- ner switch and system main switch. 4. Immediately contact the dealer where the equipment was purchased. 5. Use the contact information provided at the end of this manual. PANOURA 18S Operation Manual...

  • Page 14: Signage Used In The Manual

    See also :Indicates the title to be quoted or page. EMC compatibility symbol • Complied Specification Number and Publication Year: IEC 60601-1-2:2001, A1:2004 • Compliance Wordings: This product complies with EMC Standard IEC 60601-1-2: 2001, A1: 2004 • Classification: CISPR11 Group 1 Class A PANOURA 18S Operation Manual...
  • Page 15 (50/60Hz) 3 A/m Complies of a typical location in a typical magnetic field commercial or hospital environ- IEC 61000-4-8 ment. NOTE is the a.c. mains voltae prior to application of the test level. PANOURA 18S Operation Manual...
  • Page 16 If abnormal performance is observed, additional measures may be necessary, such as re-orienting or relocating the Panoura18S b: Over the frequency range 150 kHz to 80 MHz, field strhgths should be less than 3 V/m. PANOURA 18S Operation Manual...
  • Page 17 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. WARNING: Use of accessories, transducers, and cables other than those specified may result in degraded electromag- netic compatibility performance of this device! PANOURA 18S Operation Manual...

  • Page 18: Precautions For Storage Location And Operating Environment Of X-Ray Equipment

    17. Areas where developer units are installed. 18. Areas exposed to intense noise. See also : For information regarding Storage and Usage Environment Precautions of the computer, refer to the Product Information Guide included with the computer at delivery. PANOURA 18S Operation Manual...

  • Page 19: Precautions For Installation And Relocation

    2. Power (1) Prepare a medical grade outlet (grounding is required) of your area’s power voltage and dedicate it for PANOURA 18S 100V: More than AC100V, 20.0A 110V: More than AC110V, 18.1A 120V: More than AC120V, 16.6A 220V: More than AC220V, 9.09A...
  • Page 20 3. Grounding This product is grounded by plugging the medical grade plug into a medical grade outlet. 4. Movement and Transport To move or transport this equipment, contact the dealer where the equipment was pur- chased. PANOURA 18S Operation Manual...

  • Page 21: Before Using This Product

    Caution • To ensure safe use of this product, be sure to completely read this "Safety precautions in using PANOURA 18S" P.7 Information before using this product. • Do not use this product for other than its intended use. • Perform only the operations described in this manual.
  • Page 22 Before Using this Product *For a Cephalo-attached equipment ABCDEGHP PANOURA 18S Operation Manual...
  • Page 23 Before Using this Product PANOURA 18S Operation Manual...
  • Page 24 Before Using this Product PANOURA 18S Operation Manual...

  • Page 25: Names And Functions Of Units And Their Parts

    Before Using this Product Names and functions of units and their parts 1.3.1 Main body *For a Cephalo-attached equipment PANOURA 18S Operation Manual...
  • Page 26 The sliding mechanism being moved up and down to align to the patient's Column unit target level by means of an electric actuator. Supplies power to PANOURA 18S (ON: power supplied, OFF: no power sup- Power switch plied.) Emergency stop switch When pressed in case of emergency, PANOURA 18S stops.

  • Page 27: Names And Functions Of Control Panel Switches And Indicators (1)

    Settings confirmed for tube voltage Confirm switch diation time" in the MANUAL status. Confirming the value for "Radiation Shifting to new setting Shifting to new setting for tube current for irradiation time time" confirms other values PANOURA 18S Operation Manual...
  • Page 28 *For a Cephalo-attached equipment *Radiation time for TMJ image acquisition is 4 seconds x 2. When acquiring images of both mouth opening and closing positions, it will be two acquisitions of 4 seconds x 2 each. PANOURA 18S Operation Manual...

  • Page 29: Names And Functions Of Control Panel Switches And Indicators (2)

    Blinks while the arm is moving to the positioning beam radiation point; goes off when it has reached the point. * For a Cephalo-attached equipment PANOURA 18S Operation Manual...

  • Page 30: Names And Functions Of Hand-Switch Box Indicators And Switches

    Pressed and held down in the Ready for radiation state (Ready LED on) to X-ray radiation switch irradiate X-ray for a specified time period. *In case of an error, X-ray Ready LED/Cooling LED blinks. When the problem is fixed, The LED goes off. PANOURA 18S Operation Manual...

  • Page 31: Head Support Unit

    10mA 170mm and above 79kV 10mA Head thickness 82kV 10mA 79kV 10mA Carpus 63kV 10mA Caution • Don’t open and close the head support by force without gripping its base, otherwise the patient may be injured. PANOURA 18S Operation Manual...

  • Page 32: Positioning Beams

    Suppl. : The positioning beams automatically go off about 60 seconds after activation. If the positioning beams have gone off before positioning is successfully finished, retry pressing the beam switches to turn the positioning beams on? PANOURA 18S Operation Manual...

  • Page 33: Sensor Unit (Detachable)

    • The sensor unit is equipped with a shock sensor. The shock sensor records any exces- sive impact incurred, such as when the equipment falls down, and the equipment will not qualify as being warrantable. Exercise caution in handling the equipment. PANOURA 18S Operation Manual...

  • Page 34: Cephalo Unit (*)

    *For a Cephalo-attached equipment Detaching nose support As shown on the picture on the right, pull the release pin of the nose support for detachment. ノーズサポート及びイヤーロッドの回転方法追加 追加内容 ・ノーズサポート根元（窪み部分）のCAD絵（下図） ・注記内容 　　ノーズサポート及びイヤーロッドの回転は、左の写真の 　窪み部分を持ち行います。また、イヤーロッドの開閉　 Carpus support 　も同様の部分を持ち行います。 ・手根骨サポート写真追加 PANOURA 18S Operation Manual ・注記追加 　　手根骨撮影時に、セファロ本体に取付けて使用します。...

  • Page 35: Laser Beam Allocation

    Before Using this Product 1.3.9 Laser beam allocation Panoura 18S equips with a laser beam allocated in the position shown below. Laser beam PANOURA 18S Operation Manual...

  • Page 36: Materials Of Applied Parts

    Name Function Chin rest bloc ABS resin, PC resin (adaptor for edentulous jaw) Head support ABS resin Handle ABS resin Bite block ABS resin Ear rod PC resin Nose support PC resin *For a Cephalo-attached equipment PANOURA 18S Operation Manual...

  • Page 37: Principle Of Operation

    CMOS sensor to the Cephalo unit and the equipment irradiates X-ray to head, teeth, jaw and hand, and detect X-ray absorbed data at the Sensor unit. (*) Images will be displayed on the Indicator and image data will be recorded in the memory of magnetic disk and so on. PANOURA 18S Operation Manual...

  • Page 38: Principle Of Photography

    X-ray generator and the Cephalo sensor which is the optical receiver, can be acquired. Caution • Errors may be observed when measurement is made on 2D images acquired in the panoramic mode. *For a Cephalo-attached equipment PANOURA 18S Operation Manual...

  • Page 39: Photographic Functions

    (normal: about 12.8 seconds). Child panoramic-mode trajectory TMJ mode Split images of the patient’s temporoman- dibular joint can be acquired in a radiation time of four seconds/stage. TMJ-mode trajectory PANOURA 18S Operation Manual...

  • Page 40: Selecting Radiation Status

    In case of Cephalo radiography and Carpus radiography, tube voltage, tube current and radiation time are set to default of each image acquisition mode.(*) MANUAL : The tube voltage, tube current, and radiation time may be arbitrarily modified. *For a Cephalo-attached equipment PANOURA 18S Operation Manual...

  • Page 41: Names Of Arm Unit Positions

    Before Using this Product 1.6.3 Names of arm unit positions Start/reset point Positioning point Patient introduction point Patient withdrawal point PANOURA 18S Operation Manual...
  • Page 42 Before Using this Product Cephalo radiography position (*) ° Sensor detachment position ° *For a Cephalo-attached equipment PANOURA 18S Operation Manual...

  • Page 43: X-Ray Photographic Cycles

    [No. of times] Con.1 Con.2 X-ray photographic cycles – Cephalo radiography (*) Max. radiations/hr Tube Voltage [kV] Tube Current [mA] Irr. Time [sec] Cool. Time [sec] [No. of times] Con.1 Con.2 10.0 Con.3 *For a Cephalo-attached equipment PANOURA 18S Operation Manual...
  • Page 44 MEMO...

  • Page 45: Directions For Use

    • Don’t put anything within the movable range of the arm unit, otherwise the equipment or its surrounding physical proprietaries may be damaged. NOTE : Be sure to clean and sterilize the equipment. See also : "7.1 Cleaning" P.111 PANOURA 18S Operation Manual...

  • Page 46: Emergency Stop

    Then, turn off the power switch or unplug the power cable from the power outlet. Finally, fix the problem involved in emergency stop. To activate the equipment, turn the Emergency Stop switch clockwise to release. PANOURA 18S Operation Manual...

  • Page 47: Procedure For X-Ray Image Acquisition

    Wait for a while until the link between the internal sensor and the computer has been established. NOTE : If the link between the sensor and the computer is not established for more than one minute, turn off the equipment and turn it on once again. 注記追加 ●センサ（着脱式）を着脱する際は、落下させないように注意してください。落下 　させるとセンサ（着脱式）を破損させ、正常に撮影が行うことが出来なくなる　 　可能性があります。 PANOURA 18S Operation Manual...

  • Page 48: Activating Image Creator From The Viewer

    From the viewer in use, select “PANOURA18S” as the source of image to be inserted. By carrying out the image import operation from the viewer, the main screen of Image Creator is displayed. PANOURA 18S Operation Manual...

  • Page 49: Setting The Radiation Mode

    (LA)”, and “Carpus image (CarP)”. Carpus Cephalo Cephalo Single image Lateralimage Anteroposteriorimage Press the Select switch and then one of“Auto” and “Manual”switches to select the desired mode. The LED associated with the selected mode will go on. PANOURA 18S Operation Manual...
  • Page 50 Click “New” in the main screen of Image Creator and Image Acquisition Condi- tion Setting screen is displayed. Make sure that the settings in the screen match with the settings made on the Control Panel, and press “OK”. PANOURA 18S Operation Manual...
  • Page 51 * For a Cephalo-attached equipment In the “Image Acquisition Condition Setting”screen, select mode, status and parameters (tube voltage, tube current, radiation time) of the image acquisition, and press “OK”. The setting informa- tion is transferred to the main equip- ment. PANOURA 18S Operation Manual...
  • Page 52 Check that the chin rest block appropriate for the selected radiation mode has been selected. Panoramic mode TMJ mode Caution • Use the chin rest block appropriate for the selected radiation mode. Otherwise, no cor- rect image can be obtained. PANOURA 18S Operation Manual...
  • Page 53 • Use a new bite block for each patient to prevent infectious diseases. Wipe off the bite block with alcohol-dampened cloth to keep clean prior to use. • Use the chin rest block, adaptor for the patient with edentulous jaw, and TMJ adaptor after cleaning for each patient. PANOURA 18S Operation Manual...

  • Page 54: Introducing The Patient Inside The Equipment

    : TMJ adaptor adjusted close to the patient’s subnasal point. Caution • Ask the patient to keep off the equipment until the height of the equipment has been successfully adjusted. Otherwise, the patient may be hit by the equipment, being injured. PANOURA 18S Operation Manual...
  • Page 55 • Don’t open and close the head support by force without gripping its base, otherwise the patient may be injured. • Be sure to press the correct switches, e.g. the Up or Down switch, for positioning, other- wise, the patient may be injured. PANOURA 18S Operation Manual...
  • Page 56 • For the patient on a wheelchair, the patient’s shoulder may come in contact with the equipment without ramrod-straight posture. • To avoid this problem, ask the patient to straighten his/her spine in positioning and then acquire images. PANOURA 18S Operation Manual...

  • Page 57: Positioning In Panoramic Mode

    Suppl. : The positioning beam automatically goes off about 60 seconds after activation. If the beam has gone off before positioning is successfully finished, press the Beam switch to activate the positioning beam. PANOURA 18S Operation Manual...
  • Page 58 • The patient does not face front, deflecting toward either of the left and right sides. • Inclined patient’s face toward either of the left and right sides. Corrective measure • Align the reference median line (vertical line) to the patient's midsagittal line. PANOURA 18S Operation Manual...
  • Page 59 • Patient's hyoid bone overlapped on the mandibular front teeth. Possible causes • The patient's face inclined downward. • The patient's forehead inclined anteriorly. Corrective measure • Align the reference facial plane to the horizontal reference line (horizontal line). PANOURA 18S Operation Manual...
  • Page 60 Otherwise, the patient may be injured. Suppl. : The positioning beam automatically goes off about 60 seconds after activation. the beam has gone off before positioning is successfully finished, press the Beam switch to activate the beam. PANOURA 18S Operation Manual...
  • Page 61 Slide the head support toward the pa- tient’s forehead while gripping its base to make the head immovable stably. Caution • Don’t force the head support open or close without gripping its base. Otherwise, the patient may be injured. PANOURA 18S Operation Manual...
  • Page 62 Press the Beam switch to turn off the positioning beam. Return the positioning mirror to its original position. Caution • Once positioning has been successfully finished, be sure to return the positioning mirror to its original position. PANOURA 18S Operation Manual...

  • Page 63: Positioning In Tmj Mode

    (The correct line runs through the middle between the left and right incisors and the nose ridge.) Caution • Ask the patient not to gaze at the positioning laser beams. PANOURA 18S Operation Manual...
  • Page 64 Slide the head support toward the pa- tient’s forehead, while gripping its base, to make the head immovable stably. Caution • Don’t force the head support open or close without gripping its base. Otherwise, the patient may be injured. PANOURA 18S Operation Manual...
  • Page 65 • Ask the patient not to gaze at the positioning laser beams. Warning • Don’t gaze at the positioning beams, even though their power outputs are enough low (Class 2) to avoid adverse effects on the patient’s eyes by aversive behavior, e.g. wink- ing. PANOURA 18S Operation Manual...

  • Page 66: X-Ray Radiation

    An audible alarm also sounds at the control panel. To stop X-ray radiation and image acquisition by the equipment during the process, only release your finger from the X-ray radiation switch because of switches being of deadman type. PANOURA 18S Operation Manual...
  • Page 67 To take images of left and right tem- poromandibular joints, four-second X-ray radiation is executed on both the joints, amounting to eight seconds. After X-ray photography, release your finger from the X-ray radiation switch. PANOURA 18S Operation Manual...
  • Page 68 Once an X-ray image acquisition commences, Image Creator displays the acquisition screen instead of the standby screen. In the acquisition screen, how the panoramic image is being formulated is displayed simulta- neously with the acquisition progress. PANOURA 18S Operation Manual...

  • Page 69: Withdrawing The Patient From The Equipment

    Image Transfer Once the X-ray irradiation terminates, the image data starts being transferred from the main equipment to the com- puter (Image Creator). After the image transfer is complete, Image Creator formulates and displays the panoramic image. PANOURA 18S Operation Manual...

  • Page 70: 2.3.10 Shutting Off The Power Supply

    We are not liable in case of data loss due to a failure or wrong operation. 2.3.10 Shutting off the power supply Turn off the power switch (○) and check that the green Power LED has gone off. PANOURA 18S Operation Manual...

  • Page 71: Procedures Of Cephalometric Radiography

    • Beware not to have your finger or other objects caught when rotating, opening, closing, or moving back and forth the ear rod or nose support on the cephalo unit. 注記追加 ●センサ（着脱式）を着脱する際は、落下させないように注意してください。落下 　させるとセンサ（着脱式）を破損させ、正常に撮影が行うことが出来なくなる　 　可能性があります。 PANOURA 18S Operation Manual...

  • Page 72: Patient Introduction And Positioning

    Before inviting the patient in, move the ear rod to an approximate position of his/her height. Press the Up/Down switch on the Control Panel to move the equipment upward or downward. PANOURA 18S Operation Manual...
  • Page 73 • If the patient touches the ear rod when being introduced to or leaving the equipment, he/ she might get injured or the ear rod might be dislocated. Invite the patient in such a way that he/she would not touch the ear rod. PANOURA 18S Operation Manual...
  • Page 74 Open the ear rods to the maximum when acquiring a carpus image Carpus Carpus When acquiring a carpus image, stand the patient at the side of the equipment. Instruct the patient to open his/her hands completely and place them in front of the carpus support. PANOURA 18S Operation Manual...

  • Page 75: X-Ray Photography

    • In order to minimize X-ray exposure to the patient, make sure that the image acquisition is done with a correct positioning. Initiating X-Ray Photography After the operation described in "2.4.3 Setting the Image Acquisition Mode" P.69 , make sure that Image Creator is dis- playing the “Image Acquisition Standby” Screen. PANOURA 18S Operation Manual...
  • Page 76 Once an X-ray acquisition com- mences, Image Creator displays the acquisition screen instead of the standby screen. In the acquisition screen, how the pan- oramic image is being formulated is displayed simultaneously with the acquisition progress. PANOURA 18S Operation Manual...

  • Page 77: Patient's Exit

    See also :For detailed operations of Image Creator, refer to "3 Directions for Use of PAN- OURA18S ControlManager" P.77 See also :For detailed operations of the viewer, refer to the operation manual of the viewer in use. PANOURA 18S Operation Manual...

  • Page 78: 2.4.8 Turning Off The Equipment

    2.4.8 2.4.8 Turning Off the Equipment Turn the power switch off (indicated by ○) and make sure the power indicator (green) is unlit. PANOURA 18S Operation Manual...

  • Page 79: Directions For Use Of Panoura18S Controlmanager

    CD drive of the PC. Click “Start” and select “Run”. The “Run” dialog will open. Click “Browse..”. The “Browse..” dialog will open. From “Look in”, select the CD drive as a directory path. PANOURA 18S Operation Manual...
  • Page 80 Directions for Use of PANOURA18S ControlManager When the contents of the CD drive are displayed, open “ControlManager” by double-clicking it. Select “ControlMan- ager”. Click “Open”. Return to the “Run” dialog. Click “OK”. The installer will activate. PANOURA 18S Operation Manual...

  • Page 81: Installing Controlmanager

    The right-hand dialog will open. Then, another right-hand dialog will open. Click “Next”. The “License Agreement” dialog will open. Read the description of the software license agreement and if you agree with it, check in “I accept..” and click “Next”. PANOURA 18S Operation Manual...
  • Page 82 Directions for Use of PANOURA18S ControlManager The “Location” dialog will open. Check the file location and click “Next”. The right-hand dialog will open. Click “Install”. During installation, the right-hand dialog will remain open. PANOURA 18S Operation Manual...

  • Page 83: Starting Up Panoura18S Controlmanager

    , click “OK”. (For more information on the commutation ports, see "3.6 Configuring a communica- tion port(s)" P.85 .) The “Port Setup” screen will open. From a pulldown menu (1), select your desired port and then click “OK”(2). PANOURA 18S Operation Manual...

  • Page 84: Descriptions Of Main Menu

    Software “PANOURA18S ControlManager” can be used to configure User Program Mode on the PC. For more information on program numbers and their descriptions, see Section5 User Program Mode. Click “Setup” Click the program number of the pro- gram to be modified to select. PANOURA 18S Operation Manual...

  • Page 85: Confirming Program Versions

    The right-hand dialog will open. To confirm the modification, click “OK”. Suppl. : In the User Program Mode, any operation from the radiation switch or the control panel is not activated. Confirming program versions Click “About” in “Main Menu”. PANOURA 18S Operation Manual...
  • Page 86 4. Cephalo control relay board program version (*) 5. PANOURA18S ControlManager version *Only for a Cephalo-attached equipment. Suppl. : The version numbers in the above figure are for reference only. The actual num- bers may vary. PANOURA 18S Operation Manual...

  • Page 87: Configuring A Communication Port(S)

    The “Version Confirmation” screen will open. Click “Port Setting”. The “Port Setup” dialog will open. From the pulldown menu, sele ct your desired port(s) and then click “OK”. You will return to the “System Setup” screen. PANOURA 18S Operation Manual...
  • Page 88 Selecting any wrong port will bring up an error message; “Please check the proper connection of the cable and the power being turned on”. In response to this message, select a correct port(s). PANOURA 18S Operation Manual...

  • Page 89: Directions For Use Of Image Creator

    In case Dental Imaging software is not installed, follow the instructions below and install it. Insert the “PANOURA18S” installation disk into the CD drive of the PC. Click “Start” and select “Run”. The “Run” dialog will open. Click “Browse..”. PANOURA 18S Operation Manual...
  • Page 90 The “Browse..” dialog will open. From “Look in”, select the CD drive as a directory path. The files in “Image Creator” directory will be listed. Select “setup.exe”. Click “Open”. Return to the “Run” dialog. Click “OK”. The installer will activate. PANOURA 18S Operation Manual...

  • Page 91: Installing Image Creator

    The right-hand dialog will open. Then, another right-hand dialog will open. Click “Next”. The “License Agreement” dialog will open. Read the description of the software license agreement and if you agree with it, check in “I accept..” and click “Next”. PANOURA 18S Operation Manual...
  • Page 92 Directions for Use of Image Creator The “Location” dialog will open. Check the file location and click “Next”. The right-hand dialog will open. Click “Install”. During installation, the right-hand dialog will remain open. PANOURA 18S Operation Manual...
  • Page 93 Directions for Use of Image Creator Once installation has finished, another right-hand dialog will open. PANOURA 18S Operation Manual...

  • Page 94: Installing Dental Imaging Software

    CD drive of the PC. Press “Start” and select “Run”. The “Run” dialog box open is displayed. Press “Browse..”. The “Browse..” dialog box is dis- played. From “Look in”, select the CD drive. PANOURA 18S Operation Manual...
  • Page 95 Directions for Use of Image Creator Double-click and open the “Image Creator” folder. Select “AJAT_DEN- TAL_IMAGING.exe”. Press “Open”. Return to the “Run” dialog box. Click “OK”. The installer begins its operation. PANOURA 18S Operation Manual...

  • Page 96: Installation

    “Next”. The “License Agreement” is displayed in the dialog box. Read the description of the software license agreement and if you agree with it, check in the “I accept..” box and click “Next”. PANOURA 18S Operation Manual...
  • Page 97 A dialog box as in the figure on the right is displayed. Click “Next”. A dialog box as in the figure on the right is displayed. Click “Next”. A dialog box as in the figure on the right is displayed. Click “Next”. PANOURA 18S Operation Manual...

  • Page 98: Starting Up Image Creator

    While Image Creator is active, is displayed on the task tray. Confirming program versions Right-click the icon displayed on the task tray. Select About from the pop-up menu displayed. The “Program Version Confirmation” screen will open. PANOURA 18S Operation Manual...

  • Page 99: Image Creator Screen

    ⑥ ⑦ ⑧ ⑲ Image Creator Main Screen (without panoramic images) ① ③ ④ ⑤ ⑪ ⑫ ⑬ ⑨ ⑥ ⑦ ⑧ ⑩ ⑭ ⑮ ⑯ ⑱ ⑲ ⑰ Image Creator Main Screen (with panoramic images) PANOURA 18S Operation Manual...
  • Page 100 Exports the image newly acquired or formulated by tomographic adjustment 18 “Export” Button as a file in the TIFF format. Names and exports the loaded data (RAW data). Closes the screen of Image Creator without transferring the image to the 19 “Cancel” Button viewer. PANOURA 18S Operation Manual...

  • Page 101: Saving And Loading Of Acquired Data (Raw Data)

    When “Preview” is pressed after the Tooth Alignment Size, Tooth Alignment Shape, and To- mographic Position are set, the panoramic image is reformulated according to the parameters set. Tooth Alignment Size Name Small Normal Large Image Tooth Alignment Shape Name Narrow Normal Wide Image PANOURA 18S Operation Manual...
  • Page 102 NOTE : When a tomographic domain is adjusted using Auto-Focus, the tomographic domain of upper and lower of the selected rectangular domain are also relocated. PANOURA 18S Operation Manual...

  • Page 103: Display Adjustment

    Window Level Adjustment : Dragging the mouse while both right and left buttons pressed. Horizontal Movement : Mouse’s right-drag Zoom : Wheel movements Window Level Reset : Mouse’s left double-click Position and Zoom Reset : Mouse’s right double-click PANOURA 18S Operation Manual...

  • Page 104: Image Export

    When Export Button is pressed while an image is shown at the Image Display area, the image is named and exported into a file. The file can be exported either in the TIFF 8 bpp grayscale format or in the TIFF 16 bpp grayscale format. PANOURA 18S Operation Manual...

  • Page 105: User Program Mode

    Operation through Image Creator Activate “User Program Mode” by pressing Setting Button on Image Creator. Operation through PANOURA18S Control Manager Activate “User Program Mode” by pressing “Setting” Tab on PANOU- RA18S Control Manager. PANOURA 18S Operation Manual...
  • Page 106 Click and select the User Program Number that needs adjustment. Press the button of the setting value needing adjustment. A dialog box as in the figure on the right is displayed and the setting is completed. PANOURA 18S Operation Manual...
  • Page 107 : During setting the mode in the User Program Mode, any operation from the radia- tion switch or control panel is inactivated. See also :For more information on how to use PANOURA18S ControlManager, see "5 User Program Mode" P.103 . PANOURA 18S Operation Manual...
  • Page 108 MEMO...

  • Page 109: Recovering From Failures

    With the power switch Failed unit Contact your dealer. on (a | symbol being The emergency stop switch has been Turn the emergency stop switch clockwise indicated), X-ray pressed. to release the switch. cannot be irradiated. PANOURA 18S Operation Manual...
  • Page 110 Right and left ear rods position for the Cephalo lateral image Something may have hit the ear rod. Contact your dealer. (LA) is off from the original position. PANOURA 18S Operation Manual...

  • Page 111: Problems Associated Error Messages Displayed On The Screen

    The type of the X-ray head has not correctly specified. Immediately contact your dealer. Press the Reset switch on the Communication error between CPU circuit board and hand control panel to recover from the Er73 switch box error. If this error persists, contact your dealer. PANOURA 18S Operation Manual...

  • Page 112: Making Contact With Your Dealer

    If any problem persists even though the appropriate corrective measure described above has been taken, contact your dealer and provide information on: 1. Product name (PANOURA 18S) and its manufacturing number (**-****). 2. Operation, which might cause the failure (as detail as possible).

  • Page 113: Maintenance Services

    Maintenance services 7 Maintenance services PANOURA 18S has been designed so that the user may take full use of it reliably and satis- factorily over many years to come. To assure the operator’s and the patient’s safety in using the equipment, the user is responsible for performing preventive maintenance services.

  • Page 114: Regular Checks

    (Sensor unit) are clean with no dent, dirt or pre-operation dust. The user is responsible for performing the regular checks listed above. For more information on how to perform regular checks, see "7.4 Performing check services" P.114 . PANOURA 18S Operation Manual...

  • Page 115: Regular Check Services

    Electrical safety is assured. every 12 months 7.3.2 Archiving records on regular check services To ensure the reliability and safety of PANOURA18S, be sure to archive the result records on regular check and scheduled check services. PANOURA 18S Operation Manual...

  • Page 116: Performing Check Services

    AC 90 ~ AC 132 V (with load*1) AC 198 ~ AC 264 V (with load*1) (2) Accuracy of a voltmeter (tester) AC Voltage ± (0.7% 2 digits) or its equivalents (3) Tester type Voltmeter for effective voltage measurement PANOURA 18S Operation Manual...
  • Page 117 (i) L-G (ground) voltage : AC 90 ~ AC 132 V or AC 198 ~ AC 264 V Caution • To avoid a danger of electric shock, be sure to read the instruction manual supplied with the tester carefully prior to use. PANOURA 18S Operation Manual...
  • Page 118 MEMO...

  • Page 119: Disposal Specification

    Penalties may be applicable for incorrect disposal of this waste in accordance with national legislation. NOTE : For Business users in the European Union If you wish to discard electrical and electronic equipment, please contact your dealer or supplier for further information. PANOURA 18S Operation Manual...
  • Page 120 MEMO...

  • Page 121: Patient Positioning Part

    Patient positioning part list Item Name Quantity Chin rest block Adaptor for edentulous jaw TMJ adaptor (ADULT) TMJ adaptor (CHILD) Bite block (consumable) (accessory) Caution • Don’t use any part other than those listed in the above table. PANOURA 18S Operation Manual...
  • Page 122 MEMO...

  • Page 123: List Of Time-Change Components And Consumable Stores

    If you need to acquire any one of these consumable stores, contact your dealer described at the end of this manual to provide information on your order (product name, part No. , and quantity). Consumable store list Item Name Remarks Bite block PANOURA 18S Operation Manual...
  • Page 124 MEMO...

  • Page 125: Main Specification

    Matrix 64 x 1510 (Panoramic) 64 x 2266 (Cephalo) SID/SOD (Panorama) 485mm / 350mm SID/SOD (Cephalo) 1650mm / 1500mm Panoramic 1.2 to 1.29 Image magnification 1.2 to 1.29 Single 1.39 Emergency stop method Deadman-type / emergency stop switch PANOURA 18S Operation Manual...
  • Page 126 50 to 75% (no condensation) tion Atmospheric pressure 700 to 1060hPa Operational mode Continuous operation with intermittent load *For a Cephalo-attached equipment *1 Additional 5kg for wide base This product complies with the EMC standard IEC 60601-1-2: 2001,A1:2004. PANOURA 18S Operation Manual...

  • Page 127: Filter Specifications

    11.2 Filter Specifications X-ray tube(Focal spot) Inherent filtration of X-ray tube 0.4mmAl Acrylic filter 0.3mmAl (Acryl 3.0mm) Aluminum filter 1.5mmAl (Aluminum 1.5mm) Aperture cover 0.2mmAl (PC 1.0mm) Inherent filtration 2.7mmAl Total filtration : more than 2.5mmAl / 76kV PANOURA 18S Operation Manual...

  • Page 128: Dimensional Drawing

    Main specification 11.3 Dimensional drawing 11.3.1 Standing position wall-mount: Panorama type Unit: mm PANOURA 18S Operation Manual...

  • Page 129: Standing Position Wall-Mount Short Type: Panorama Type

    Main specification 11.3.2 Standing position wall-mount short type: Panorama type Unit: mm PANOURA 18S Operation Manual...

  • Page 130: Standing Position Wall-Mount Long Type: Panorama Type

    Main specification 11.3.3 Standing position wall-mount long type: Panorama type Unit: mm PANOURA 18S Operation Manual...

  • Page 131: Standing Position Base-Mount (With An Optional Base):Panorama Type

    Main specification 11.3.4 Standing position base-mount (with an optional base): Panorama type Unit: mm PANOURA 18S Operation Manual...

  • Page 132: Standing Position Base-Mount Short Type (Optional Base):Panorama Type

    Main specification 11.3.5 Standing position base-mount short type (optional base): Panorama type Unit: mm PANOURA 18S Operation Manual...

  • Page 133: Standing Position Base-Mount Long Type (Optional Base):Panorama Type

    Main specification 11.3.6 Standing position base-mount long type (optional base): Panorama type Unit: mm PANOURA 18S Operation Manual...

  • Page 134: Standing Position Base-Mount (With An Optional Wide Base):Panorama Type

    Main specification 11.3.7 Standing position base-mount (with an optional wide base): Panorama type Unit: mm PANOURA 18S Operation Manual...

  • Page 135: Standing Position Base Mount Short Type With An Optional Wide Base): Panorama Type

    Main specification 11.3.8 Standing position base mount short type (with an optional wide base): Panorama type Unit: mm PANOURA 18S Operation Manual...

  • Page 136: Standing Position Base Mount Long Type With An Optional Wide Base): Panorama Type

    Main specification 11.3.9 Standing position base mount long type (with an optional wide base): Panorama type Unit: mm PANOURA 18S Operation Manual...

  • Page 137: Standing Position Wall-Mount: Cephalo-Attached Type

    Main specification 11.3.10 Standing position wall-mount: Cephalo-attached type Unit: mm PANOURA 18S Operation Manual...

  • Page 138: Standing Position Wall-Mount Short Type: Cephalo-Attached Type

    Main specification 11.3.11 Standing position wall-mount short type: Cephalo-attached type Unit: mm PANOURA 18S Operation Manual...

  • Page 139: Standing Position Wall-Mount Long Type: Cephalo-Attached Type

    Main specification 11.3.12 Standing position wall-mount long type: Cephalo-attached type Unit: mm PANOURA 18S Operation Manual...

  • Page 140: Standing Position Base-Mount (With And Optional Base):Cephalo-Attached Type

    Main specification 11.3.13 Standing position base-mount (with and optional base): Cephalo-attached type Unit: mm PANOURA 18S Operation Manual...

  • Page 141: Standing Position Base-Mount Short Type (Optional Base):Cephalo-Attached Type

    Main specification 11.3.14 Standing position base-mount short type (optional base): Cephalo-attached type Unit: mm PANOURA 18S Operation Manual...

  • Page 142: Standing Position Base-Mount Long Type (Optional Base):Cephalo-Attached Type

    Main specification 11.3.15 Standing position base-mount long type (optional base): Cephalo-attached type Unit: mm PANOURA 18S Operation Manual...

  • Page 143: Standing Position Base-Mount (With An Optional Wide Base): Cephalo-Attached Type

    Main specification 11.3.16 Standing position base-mount (with an optional wide base): Cephalo-attached type Unit: mm PANOURA 18S Operation Manual...

  • Page 144: Standing Position Base-Mount Short Type With And Optional Wide Base): Cephalo-Attached Type

    Main specification 11.3.17 Standing position base-mount short type (with and optional wide base): Cephalo-attached type Unit: mm PANOURA 18S Operation Manual...

  • Page 145: Standing Position Base-Mount Long Type With And Optional Wide Base): Cephalo-Attached Type

    Main specification 11.3.18 Standing position base-mount long type (with and optional wide base): Cephalo-attached type Unit: mm PANOURA 18S Operation Manual...

  • Page 146: Circuit Block Diagram

    Main specification 11.4 Circuit block diagram PANOURA 18S Operation Manual...

  • Page 147: Circuit Block Diagram (Cephalo-Attached Type)

    Main specification 11.5 Circuit block diagram (Cephalo-attached type) PANOURA 18S Operation Manual...

  • Page 148: Spatial Resolution (Mtf)

    Main specification 11.6 Spatial resolution (MTF) Spatial Frequency [LP/mm] PANOURA 18S Operation Manual...

  • Page 149: Anode Cooling Curve And Heat Content Of X-Ray Tube Assembly

    Main specification 11.7 Anode cooling curve and heat content of X-ray tube assembly Time [min] Time [min] PANOURA 18S Operation Manual...
  • Page 150 MEMO...

  • Page 151: Qualification Assurance (Qa) Procedure

    Qualification Assurance (QA) Procedure 12 Qualification Assurance (QA) Procedure 12.1 Structure of the phantom PANOURA 18S Operation Manual...

  • Page 152: Qa Procedure

    : For the above image acquisitions, do not move the arm position. If you have moved the arm position using the forward/back switch, press the reset switch to return the arm to the original position before acquiring images. PANOURA 18S Operation Manual...
  • Page 153 2. Check the distance from the steel ball in the center to the steel balls in the right/left end. For the measurement values A and B below, it should be |(A-B)/(A+B)|≦0.035. See also : For measurement functions, see the viewer manual. PANOURA 18S Operation Manual...
  • Page 154 MEMO...
  • Page 156 European Authorized Representative: Emergo Europe Molenstraat 15, 2513 BH, The Hague, PANOURA 18S The Netherlands Operation Manual Manufactured by: Issue date : xxxx, 2010 (1’st version) The Yoshida Dental MFG. Co., Ltd. 1-3-6, kotobashi, sumida-ku, Tokyo, Japan Document No. M3M 10-xxx...

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