NewTom GiANO HR Manual
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NewTom GiANO HR Manual

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97050977
Rev. 02
2018-11
EN

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Do you have a question about the GiANO HR and is the answer not in the manual?

Questions and answers

Shaylee Orton
May 8, 2025

Connection failed. Connection refused. Remember to turn on pc server on 192.168.1.150

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1 comments:
Mr. Anderson
May 19, 2025

The context does not provide specific troubleshooting steps for a connection failure with the PC server at 192.168.1.150. However, general steps based on the manual's content include:

1. Check the main power supply cable for damage and ensure it is securely connected.
2. Verify the ON/OFF button works and that the touch panel display turns on.
3. Ensure the PC meets the required technical specifications and is properly connected via Gigabit Ethernet.
4. Make sure the software is correctly installed and configured.
5. Confirm the detector is correctly inserted in its guides if using the Cephalometric arm.

For network-specific issues (e.g., IP address 192.168.1.150), additional network diagnostics outside the provided context would be needed.

This answer is automatically generated

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Summary of Contents for NewTom GiANO HR

  • Page 1 97050977 Rev. 02 2018-11...
  • Page 2 ITALIANO OPERATOR'S MANUAL...

  • Page 3: Table Of Contents

    Contents 1. INTRODUCTION AND INDICATIONS FOR USE ..................... 6 1.1. DESCRIPTION OF THE MANUAL ........................7 1.2. GENERAL WARNINGS ............................8 1.3. REQUIREMENTS (NOT PROVIDED WITH THE PRODUCT) ................9 1.4. STANDARDS AND REGULATIONS ........................9 1.5. CLASSIFICATIONS .............................. 9 1.6.
  • Page 4 5.4.6. MAXILLARY SINUSES EXAMINATION...................... 52 5.4.7. TELERADIOGRAPHIC (CEPH) EXAMINATIONS ..................53 5.5. ACQUISITION OF THE EXAM ........................... 54 5.6. VIEWING AND SAVING ............................. 55 6. 3D TOMOGRAPHY (CBCT) ............................ 56 6.1. STARTING THE SYSTEM ..........................56 6.2. SELECTING THE EXAMINATION FROM THE CONTROL CONSOLE ............57 6.2.1.
  • Page 5 10.1.8. TRANSLATION ............................85 10.1.9. SOFTWARE COMPLIANCE WITH THE REGULATIONS IN FORCE ..........85 11. INSPECTION AND MAINTENANCE ........................86 11.1. USER INSPECTION ............................86 11.2. TECHNICAL MAINTENANCE ........................87 OPERATOR'S MANUAL...

  • Page 6: Introduction And Indications For Use

    This technique is known as CBCT. NewTom GiANO HR is a digital X-ray device, suitable for expert professionals, which allows to obtain dental images in a simple and automatic way. The image is acquired by means of an X-ray detector and a constant potential X-ray source, powered by a high-voltage and high-frequency generator.

  • Page 7: Description Of The Manual

    Contraindications: Use in anatomic regions that are not within the scope of the device intended use (e.g., chest and abdomen); Use for the visualisation of cartilaginous structures; Use of the CBCT technique for studying cerebral soft tissues; Use by staff that have not received training on the device; Use in the operating theatre;...

  • Page 8: General Warnings

    1.2. GENERAL WARNINGS The digital X-ray system with its drivers and software have been developed and manufactured by CEFLA s.c. - Via Selice Prov.le 23/A 40026 Imola (Italia), hereinafter referred to as the Manufacturer, in compliance with the EC Medical Devices Directive. In order to use the system, when it includes also the optional tomography function, the user must have a Personal Computer with a suitable software for capturing and saving images;...

  • Page 9: Requirements (Not Provided With The Product)

    1.3. REQUIREMENTS (NOT PROVIDED WITH THE PRODUCT) For proper functioning, the device requires connection to a personal computer (PC) and the relative software. For the minimum requirements of the PC, refer to the paragraph TECHNICAL DATA. The PC is not included with the device. It is recommended to only use a PC compliant to the IEC 60950- 1:2007 standards for information technology devices.

  • Page 10: Stylistic Conventions

    1.6. STYLISTIC CONVENTIONS The following symbols may be found on the device and in the manual: Manufacturer. Date of manufacture. Product serial number. Symbol “Possible hazard: Read the user manual”. Patient or operator safety-related warnings. Consult the enclosed documentation before using the relevant part of the equipment. It is necessary to read the user's manual before using the device.

  • Page 11: General Safety Warnings

    1.7. GENERAL SAFETY WARNINGS These instructions describe how to use the system correctly. Please carefully read this manual before using the device. The owner or the installation site manager is obliged to verify compliance with the local regulations in force and/or ask a Qualified Expert for advice.

  • Page 12: Conditions Of Use

    1.7.2. CONDITIONS OF USE The equipment may only be used by authorised and adequately trained staff (dentists and paramedics). Use in compliance with national regulations for protection against ionising radiation, e.g.: (a) Three-dimensional imaging must not be used for routine screening exams. Three-dimensional imaging exams must be prescribed according to the patient's needs.

  • Page 13: Maintenance And Disposal

    For any maintenance operation, please contact the Manufacturer via the website indicated on the cover of this manual by filling in the Information Request form. Further information about the device regular inspection and maintenance is provided in the document “NewTom GiANO HR - Inspection and Maintenance”.

  • Page 14: Cleaning And Disinfection

    1.7.5. CLEANING AND DISINFECTION Cleaning is the first step necessary in any disinfection process. The physical action of rubbing a surface with detergents and surface-active agents and rinsing with water removes a large number of microorganisms. If a surface is not cleaned first, the disinfection process cannot be successful. When a surface cannot be adequately cleaned, it should be protected with barriers.

  • Page 15: Hygiene Procedures For Patient Protection

    1.7.6. HYGIENE PROCEDURES FOR PATIENT PROTECTION Disposable hygienic protections are the main protection means against cross contamination between patients. In order to prevent the transmission of infectious diseases between patients, it is essential to always use disposable protections. Disposable protections are class I medical equipment and cannot be replaced with other protections having lower specifications.

  • Page 16: Safety During Movements Of The Device

    Do not eat, drink or smoke near the device. Before using the device near life-support electronic equipment (i.e.: pacemakers or cardiac stimulators) and hearing aids, see the instructions for use provided by the Manufacturers of such equipment. 1.8.3. SAFETY DURING MOVEMENTS OF THE DEVICE The X-ray device carries out movements in the vicinity of the patient and the operator.

  • Page 17: Emergency Button

    1.8.4. EMERGENCY BUTTON The system features an emergency stop button, placed under the patient’s support arm, near the telescopic column, which stops the X-ray device operation. A remote emergency stop button can be connected using the dedicated connection on the board located at the bottom of the lifting column. 1 - Emergency stop button Such buttons must be pressed in case of danger and emergency, for example when the radiation is not interrupted from the source in case of situations which are clearly dangerous for persons or when an emergency condition is...

  • Page 18: Exposure To Laser Radiation

    1.8.7. EXPOSURE TO LASER RADIATION The system contains some Class 1 laser diodes in compliance with IEC 60825-1:2014. Three of them are positioned on the X-ray generator and one on the chin support base. Both the patient and the operator may be dazzled by laser traces. Do not look directly into the laser beam.
  • Page 19 Guidance and Manufacturer's declaration - Electromagnetic emissions The device is designed to operate in the specified electromagnetic environment. The customer or the user of the device must ensure its use in an electromagnetic environment with the following features: Emission test Conformity Electromagnetic Environment The device uses RF energy only for its internal...
  • Page 20 Guidance and Manufacturer's declaration - Electromagnetic immunity The device is designed to operate in the specified electromagnetic environment. The customer or user of the device must ensure that it is used in such environment. Immunity test IEC 60601-1-2 Level of Electromagnetic Environment Test level conformity...

  • Page 21: Protection Against Radiation

    1.8.9. PROTECTION AGAINST RADIATION This system is an X-ray equipment. As such, it exposes patients and operators to risks from radiation. It must be used in compliance with the safety standards set forth by the radiological protection regulation in force in the country of use. Following are some of the provisions: Control the emission of X-rays exclusively from the control workstation, the exam room must be suitably shielded (if required by the local regulations in force).

  • Page 22: Considerations For Pediatric Use

    5th percentile U.S. adult female. NewTom GiANO HR device has been designed specifically for patients higher than 104 cm and having a weight exceeding 19 kg. These height and weight measurements approximately correspond to that of an average 4 year old.
  • Page 23 NewTom GiANO HR can be used to examine children and small-sized patients, in compliance with the limitations on use shown in the instructions. The functions available for this purpose are: automatic calculation of minimum X-ray parameters required to carry out an examination, according to the size •...

  • Page 24: Description Of Operation

    2. DESCRIPTION OF OPERATION The X-ray device consists of a rotary arm fitted on a column support for carrying out panoramic X-rays or tomographic examinations. The rotary arm features roto-translation motorised movements which allow moving X-ray emission system and image detector around the patient, according to complex orbits following the morphological profile.

  • Page 25: Main Components

    3. MAIN COMPONENTS Basic machine Remote X-ray button Patient positioning unit (craniostat). The mobile chinrest system is optional in the 2D version, while it is always included in the 3D version. Sensor for panoramic images USB Pen Drive including Instruction Manual, Drivers and Software for image display. The multiple-workstation hardware key allowing to use the 3D functions and/or the DICOM licenses is optional in the 2D version, while it is always included in the 3D version.
  • Page 26 Touch 10" control console onboard the machine (optional) Long sticks for child positioning (optional) Support for carpus scans (optional) Standard stand (optional) “Easy access” stand (optional) Support for 3D scans of models, impressions, X-ray templates, phantoms for quality checks / consistency tests (optional) Phantom for 2D quality checks (optional) Phantom for 3D quality checks (optional)

  • Page 27: Control Panel

    4. CONTROL PANEL 4.1. CONTROL PANEL ONBOARD THE MACHINE Control panel area Button Description and use Confirmation Button Column Upward Movement Column Downward Movement Vertical Laser Positioning (forward) for 2D projections Craniostat movement (upward) for 3D projections Vertical Laser Positioning (backward) for 2D projections Craniostat movement (downward) for 3D projections The control panel allows the user to select the settings necessary upon the examination start, thus to select the EXAMINATION to be carried out and view the state information.

  • Page 28: Control Console

    4.2. CONTROL CONSOLE The control console is a software allowing to manage the operating functions of the X-ray device. The operator can use the console directly from the connected PC, from an iPad with dedicated app and from the touch console onboard the machine (optional). The operator can use the control console to select and set the examination in a guided manner, as described in details inside the following dedicated chapters.
  • Page 29 If the acquisition is stopped before it is completed, the PC still displays the whole portion of the tissue analysed, together with an error message. If the image is exhaustive, even if partial, there is no need to repeat the examination, thus avoiding subjecting the patient to a further dose of radiation.

  • Page 30: Perform A Simulation (Dummy Run)

    4.5. PERFORM A SIMULATION (DUMMY RUN) Perform the following operations to move the equipment. The operator must: Supervise the patient closely and, in case of risk of impact between the equipment and the patient, stop the movement immediately by releasing the control button. Prevent the patient from assuming incorrect positions (introduction of hands or other body parts in inappropriate areas) or from moving away from the examination area.

  • Page 31: Performing A 2D X-Ray Examination

    5. PERFORMING A 2D X-RAY EXAMINATION The steps to follow to properly perform a 2D X-ray examination are: 1 – Switching on of system and PC where the acquisition driver is installed 2 – Selection of the X-ray examination from control console 3 –...

  • Page 32: Selecting The Examination From The Control Console

    5.2. SELECTING THE EXAMINATION FROM THE CONTROL CONSOLE 5.2.1. 2D EXAMINATIONS AVAILABLE Panoramic imaging (PAN): Preview Name Description PAN (FULL): High-definition projection for the view of the complete dental arch and of TMJs (temporomandibular joints). Optionally, it can be limited to: - HALF PAN RIGHT (limited to right lateral) - HALF PAN LEFT (limited to left lateral) Options available for dose profile selections:...
  • Page 33 Dentition examinations (BITEWING and DENT): Preview Name Description BTW (FULL): Series of 4 images optimised for a complete representation of the crowns of the entire dentition. Optionally, it can be limited to: BTW RIGHT (limited to right lateral - 2 images) BTW LEFT (limited to left lateral - 2 images) DENT (FULL): Projection of the complete dental arch excluding TMJs (temporomandibular joints), with improved...
  • Page 34 Temporomandibular joint examinations (TMJs): Preview Name Description TMJ FRONT (FULL): Postero-anterior projection of both joints. TMJ FRONT RIGHT: Postero-anterior projection of the TMJ FRONT right joint only; it scans three sections at a different angle, to obtain a better anatomical visibility. TMJ FRONT LEFT: Postero-anterior projection of the left joint only;...
  • Page 35 Tele-X-ray examinations (CEPH): Preview Name Description LATERAL (FULL): Latero-lateral examination of the cranium with automatic improvement of soft tissue, highlighting the aesthetics of the face profile. Optionally, it can be limited to: FULL STANDARD (H=22 cm x L=20 cm; Z=1.13 cm) FOV: H=19.5 cm x L=19 cm FULL LONG (H=22 cm x L=30 cm;...

  • Page 36: Selecting An Examination

    5.2.2. SELECTING AN EXAMINATION After start-up, the display shows the initial screen (called HOME) which lists the main examination categories and, in an underlying slide bar, the favourite examinations set by the user. If the examination to be performed is not listed among the favourite ones, press the icon of the EXAMINATION (PAN, 3D, CEPH) category to access the complete list of the examinations available for that category.

  • Page 37: Setting A Current Examination As Favourite

    5.2.4. SETTING A CURRENT EXAMINATION AS FAVOURITE Touch the icon in the examination SETTINGS screen (see relevant paragraph, a PAN examination in the example on the side). CURRENT choices saved “favourite” examination, in relation to: category and type of the examination set selected anatomies active options chosen dose profile...

  • Page 38: Choosing Projection Type - Ceph Category

    5.2.6. CHOOSING PROJECTION TYPE - CEPH Category Choosing the CEPH examination category will open the EXAMINATION screen, where the type of desired examination can be chosen among those available. To help the user’s choice, example images are shown that represent the type of projection to be carried out. The types of examinations provided for “CEPH”...

  • Page 39: Examination Settings

    5.2.8. EXAMINATION SETTINGS After selecting the examination category and type and the anatomical regions concerned, the SETTINGS screen is shown. This screen can be displayed also by selecting a “favourite” examination in the Home page. This screen includes: 1 - Summary of projection TYPE and chosen ANATOMIES: touch this area to go back to the ANATOMIES screen, where the choice made can be modified...

  • Page 40: Examination Start Confirmation

    5.2.9. EXAMINATION START CONFIRMATION When touching the NEXT key in the SETTINGS screen, the user will be asked to confirm the correctness of the chosen settings. Touching equivalent pressing CONFIRMATION button on the physical keyboard of the console. At this point, the machine moves and automatically prepares for the PATIENT POSITIONING.

  • Page 41: Devices For Patient Positioning

    5.3.1. DEVICES FOR PATIENT POSITIONING Examination Type Mobile Support Image PAN - DENT Craniostat, chain rest and bite TMJ - SIN Under-nose support and craniostat Reduced under-nose support to make TMJ positioning easier in case of patients with a large build. CEPH Tele-X-ray cephalostat for cranium positioning...

  • Page 42: Sensor Positioning

    5.3.2. SENSOR POSITIONING Check that the sensor to be used is inserted in the position suitable for the examination to be performed; otherwise, reposition the sensor. If the sensor is not in the position suitable for the examination to be performed, a warning will be displayed on the control console onboard the machine and it will be impossible to perform the examination chosen.
  • Page 43 Button to release the PAN and CEPH sensors PAN sensor CEPH sensors Make sure to fit each sensor on its correct support in units which feature two sensors. The two sensors can be distinguished by the height of the black stripe which identifies the area sensitive to X-rays. See images. PAN sensor CEPH sensors OPERATOR'S MANUAL...

  • Page 44: Edentolous Patients Devices

    5.3.3. EDENTOLOUS PATIENTS DEVICES In case of edentulous patients in PAN, DENT or CBCT examinations which require the bite block, use the supplied disposable soft insert as follows: 1 - remove the soft bite from the matrix (Fig. 1) 2 - apply the disposable infection control sheath on the bite block (Fig. 2) 3 - insert the soft bite into the bite as indicated in the figure (Fig.

  • Page 45: Patient Positioning

    5.4. PATIENT POSITIONING Make the patient access the machine and set any cranium positioning only when the machine has stopped moving and the console is in the patient positioning page. If you want to stop the machine movement, press the CONFIRMATION button again. Here you find instructions on how to position patient...

  • Page 46: Patient Positioning Description (Craniostat)

    The Frankfurt plane is represented by an imaginary line running from the upper edge of the auditory meatus to the lower edge of the orbit. Sagittal vertical trace (2) it ensures the symmetry of the patient head with respect to the sagittal midline. While observing this trace, it is necessary to make sure that the patient looks straight ahead to prevent him/her from tilting the head to one side or from rotating it slightly.

  • Page 47: Craniostat Motor-Driven Support

    The chin-rest (3) is inserted into the relevant seats on the base (1) by means of pins and can be removed by simply sliding it out from above. The bite (4) is inserted into the relevant hole of the seat (1): once it has been positioned at the desired height, pull the central lever (5) from the left (unlocking position ) to the right (locking position...

  • Page 48: Pan, Dent And Sin Examinations

    5.4.4. PAN, DENT AND SIN EXAMINATIONS 1) Adjust the unit height in order to facilitate the patient’s access, using the keys to move the column upward or downward. The telescopic column will move slowly at first, then it will speed up. Adjust the height until the bite lock is slightly over the patient’s occlusal plane.
  • Page 49 6) Check the symmetry of the patient’s head using the sagittal vertical trace as a guide. 7) Check the correct positioning of the Frankfurt plane by overlapping the upper horizontal light trace. To adjust the inclination of the patient’s head, use the column upward and downward movement keys.

  • Page 50: Tmj Examination

    5.4.5. TMJ EXAMINATION 5.4.5.1. LATERAL TMJ 1) Remove the chin rest and the bite, and insert the under-nose support. 2) Adjust the unit height, in order to facilitate the patient’s access, using the keys to move the column upward or downward until the under-nose support reaches the height of the nose base. The telescopic column will move slowly at first, then it will speed up.

  • Page 51: Frontal Tmj

    6) Make sure that the examination required is correctly selected, observing CLOSED MOUTH OPEN MOUTH icon. Note, in case of examination with open mouth, the light trace translates forward: in fact, when the mouth is wide opened, the patient’s condyle comes out of the mandibular fossa and moves forward.

  • Page 52: Maxillary Sinuses Examination

    5.4.6. MAXILLARY SINUSES EXAMINATION 1) Remove the chin rest and the bite, and insert the under-nose support. 2) Adjust the unit height, in order to facilitate the patient’s access, using the keys to move the column upward or downward until the under-nose support reaches the height of the nose base. The telescopic column will move slowly at first, then it will speed up.

  • Page 53: Teleradiographic (Ceph) Examinations

    5.4.7. TELERADIOGRAPHIC (CEPH) EXAMINATIONS Tele-X-ray examinations can be performed only if the system features a tele-X-ray arm with relevant cephalostat. Usually, these examinations are performed with the patient standing. In case of very tall or very short or wheelchair user patients, the examination can be performed with the patient seated. If a seat is used, make sure that the backrest or the armrests do not interfere with the correct movement of the machine.

  • Page 54: Acquisition Of The Exam

    5.5. ACQUISITION OF THE EXAM Visually check the correct position of the patient and make sure that the green LED is steadily on and in the X-ray remote control. Tell the patient not to move during the examination, to breath slowly and regularly; for panoramic X-ray projections (PAN), in the moment immediately prior to the radiation, ask the patient to swallow and to make his/her tongue adhere to the palate).

  • Page 55: Viewing And Saving

    5.6. VIEWING AND SAVING The X-ray system features the NNT program for displaying and saving the examinations; if using this software, refer to the NNT user's manual. If software by third parties is used to display and save the examinations, refer to the instructions provided by the authors of the software application used.

  • Page 56: D Tomography (Cbct)

    6. 3D TOMOGRAPHY (CBCT) For 3D machines only The 3D CBCT tomographic examination is obtained by means of 3D reconstruction of the X-rayed anatomical region and can be consulted through 2D views or 3D representations generated by a program run on a workstation (PC). Read the NNT software user manual for instructions on the image processing.

  • Page 57: Selecting The Examination From The Control Console

    6.2. SELECTING THE EXAMINATION FROM THE CONTROL CONSOLE 6.2.1. 3D EXAMINATIONS AVAILABLE 3D examination can be performed only if the X-ray device is connected to a PC on which NNT software is installed. 1) Turn on the PC and run the NNT software 2) A Daily Check procedure must be completed, upon the first start-up of the day, before performing any 3D Examination.

  • Page 58: Selection Of The Available Anatomical Regions For 3D Examinations

    The examination types provided for “3D” category are: DENT: examinations on dentition and surrounding bone areas MAXILLO: examinations on the complete maxillofacial area AIR: specific examinations on respiratory tracts SIN: specific examinations on paranasal sinuses TMJ: specific examinations on temporomandibular branches and joints EAR: examinations on internal ear SPINE: examination on the spine upper part...

  • Page 59: Examination Settings

    6.2.3. EXAMINATION SETTINGS After selecting the examination category and type and the anatomical regions concerned, the SETTINGS screen is shown. This screen can be displayed also by selecting a “favourite” examination in the Home page. This screen includes: 1 - Summary of FOV and position chosen: touch this area to go back to the ANATOMIES screen, where the choice made can be modified.

  • Page 60: Examination Start Confirmation

    6.2.4. EXAMINATION START CONFIRMATION When touching the NEXT key in the SETTINGS screen, the user will be prompted to confirm the correctness of the chosen settings Touching equivalent pressing CONFIRMATION button on the physical keyboard of the console. At this point, the machine moves and automatically prepares for the PATIENT POSITIONING It is now possible to let the patient access the machine and position him/her as indicated in the next paragraph.

  • Page 61: Devices For Patient Positioning

    6.3.1. DEVICES FOR PATIENT POSITIONING Examination Type Mobile Support Image DENT – MAXILLO – AIR – EAR – Craniostat, chain rest and bite TMJ – SIN Remember to change the disposable infection control sheats before positioning a new patient. Before any X-ray examination, make sure that the patient does not wear metal objects, such as glasses, removable prosthesis, earrings and any other removable metal object at the height of head or neck.

  • Page 62: Edentolous Patients Devices

    6.3.2. EDENTOLOUS PATIENTS DEVICES In case of edentulous patients in PAN, DENT or CBCT examinations which require the bite block, use the supplied disposable soft insert as follows: 1 - remove the soft bite from the matrix (Fig. 1) 2 - apply the disposable infection control sheath on the bite block (Fig. 2) 3 - insert the soft bite into the bite as indicated in the figure (Fig.

  • Page 63: Positioning The Patient For 3D Examinations

    6.4. POSITIONING THE PATIENT FOR 3D EXAMINATIONS Make the patient access the machine and set any cranium positioning only after the machine has stopped moving and the console is in the patient positioning page. If you want to stop the machine movement, press the CONFIRMATION button again. Here you find instructions on how to position the patient using the positioning devices...

  • Page 64: Performing The Examination

    Once the wanted position has been reached, touch NEXT to go to the EXECUTION OF EXAMINATION screen. 8) Go to the PC workstation. When the patient accesses the machine during the “Patient Positioning” or the “Execution of Examination” (and anyway before starting the examination), make sure that the X-ray device is not accidentally hit: in this case, it is recommended to make the patient exit the machine and reposition the X-ray device, returning to the “Examination Settings”...

  • Page 65: Viewing And Saving

    6.6. VIEWING AND SAVING The X-ray system features the NNT program for displaying and saving the examinations; if using this software, refer to the NNT user's manual. If software by third parties is used to display and save the examinations, refer to the instructions provided by the authors of the software application used.

  • Page 66: Periodic Checks And Maintenance

    7. PERIODIC CHECKS AND MAINTENANCE In the interest of safety and health of patients, the staff or third parties, inspections and maintenance need to be carried out at scheduled intervals. Period Operator Object Description Yearly Specialised technician of The X-ray device as a In order to ensure the the dealer that initially whole...

  • Page 67: Typical Images Of The Exams

    7.2. TYPICAL IMAGES OF THE EXAMS The following images derive from the acquisition on anthropomorphic phantoms 7.2.1. ADULT PANORAMIC IMAGING The program of standard panoramic exposure enables a thorough or partial analysis of the patient’s state by selecting the area of diagnostic relevance. The image on the left shows a typical image with PAN standard exposure.

  • Page 68: Lateral View Of A Single Condyle (3 Images)

    7.2.3.2. LATERAL VIEW OF A SINGLE CONDYLE (3 IMAGES) Three X-ray images are produced with a single scanning of one condyle. The entire structure of tempoeromandibular joints is shown in latero-lateral view with three different angles. The image on the left shows a typical image with TMJ LATE exposure on a single condyle.

  • Page 69: Sin Examinations

    7.2.4. SIN EXAMINATIONS The program for the X-ray of maxillary sinuses (SIN) allows a study of the state of this anatomical region with one latero-lateral or postero-anterior X-ray image. 7.2.4.1. FRONT VIEW The image on the left shows a typical image with SIN FRONT exposure.

  • Page 70: Dentition Examinations

    7.2.6. DENTITION EXAMINATIONS The program of dentition exposure allows reducing the field of exposure to the dentition alone or to parts of it, reducing the overlapping of dental elements with respect to standard PAN. The image on the left shows a typical image with DENTITION exposure of both complete arches.

  • Page 71: Ceph Lateral

    7.2.7.2. CEPH LATERAL With the programs of Ceph LATERAL exposure, an image of the cranium with a latero-lateral view is produced. Depending on the extension of the selected field of view, it is possible to acquire or exclude the areas extending from the temporal bone to the occipital bone in the longitudinal direction and to acquire or exclude the upper area of the skullcap.

  • Page 72: Ceph Carpus

    7.2.7.3. CEPH CARPUS The program of CEPH carpus exposure allows viewing the carpus bones of the left hand, typically used to determine the patient’s skeletal age. OPERATOR'S MANUAL...

  • Page 73: Technical Data

    8. TECHNICAL DATA 8.1. ELECTRICAL CHARACTERISTICS Input voltage 115 – 240 VAC Single phase Power supply frequency 50 / 60 Hz Standby power (absorption in stand-by mode) 20 W 20A @ 115V (20A Fuse) Maximum current absorbed in operating conditions 12A @ 240V (12A Fuse) Maximum apparent line resistance 0.5 Ω...
  • Page 74 Source distance - primary collimator Vertical: 110 mm Horizontal: 80 mm Output radiation intensity (Output dose) 2D: 0.18 mGy/mAs @ 70 kV, 550 mm 3D: 0,085 mGy/mAs @ 90 kV, 650 mm Tolerance: ±30% Source - detector distance (SID) - PAN 550 ±...
  • Page 75 Characteristics of X-ray tubes: CANON / TOSHIBA D-0510SB OPERATOR'S MANUAL...
  • Page 76 CEI OPX105-12 OPERATOR'S MANUAL...

  • Page 77: Dispersed Radiation

    8.3. DISPERSED RADIATION Measurements of dispersed radiation are significantly affected by environmental conditions, such as the composition of walls and their position, therefore, in certain circumstances, values can be significantly different. The measurement points used are at a distance of 0.5 m, 1.0 m, 2.0 m and 3.0 m from a central axis. Circular measurement curves refer to the above mentioned axis.

  • Page 78: Isodose Curves For Cbct Examinations

    8.4. ISODOSE CURVES FOR CBCT EXAMINATIONS 8.5. ISODOSE CURVES FOR PAN EXAMINATIONS OPERATOR'S MANUAL...

  • Page 79: Cbct Detector Features

    8.6. CBCT DETECTOR FEATURES Sensitive area dimensions 162 x 162 mm (actual 160 x 160) Resolution 3.94 LP/mm Pixel size 127 x 127 µm Sensor technology Amorphous silicon Scintillator material & type Direct Deposition CsI 57% @ 1lp/mm (1x1) 70% @ 0lp/mm (1x1) Image matrix dimensions 1280 x 1280 pixels Pixel depth...

  • Page 80: Dimensional Characteristics

    8.10. DIMENSIONAL CHARACTERISTICS Weight (basic machine) 155 Kg Weight (cephalometric unit) 20 Kg Maximum overall dimensions diagram (basic 1440 x 1170 mm machine) Maximum overall dimensions in the plan view (with 1440 x 1800 mm installed cephalometric unit) Height Min 1670 mm Max 2460 mm 8.11.

  • Page 81: Identification Label Position

    8.13. IDENTIFICATION LABEL POSITION Plate images are purely illustrative; refer to the plates placed on the device. PAN sensor nameplate Laser danger and warning nameplates Generator nameplates CEPH arm nameplate CEPH sensor identification nameplate DHHS and WARNING nameplate Main nameplate Mark nameplate OPERATOR'S MANUAL...

  • Page 82: Error Messages

    9. ERROR MESSAGES Code Message Description/Solution USER COMMUNICATIONS The shielded door connected to the Close the door or any other device which X-ray device is open. ensures a safe X-ray emission for the operator. WARNING X-ray control released during Keep X-ray emission control pressed until exposure.

  • Page 83: User's Licence Contract

    10. USER’S LICENCE CONTRACT IMPORTANT: READ CAREFULLY 10.1. GENERAL CONDITIONS OF THE IMAGE SOFTWARE LICENCE This licence exclusively applies to the software, understood as specific drivers and libraries for connection to and control of the digital X-ray system, and to the image display and storage software altogether identified as “NNT” and “NNT viewer”...

  • Page 84: Use Of The Software Product And Express Termination Clause

    10.1.3. USE OF THE SOFTWARE PRODUCT AND EXPRESS TERMINATION CLAUSE a. Software. The User can install the Software and can use it under the conditions and within the limits established in this licence. The User is not authorised to distribute the Software, whether free-of-charge or upon payment, and cannot provide services or develop products or software applications based on the Image Software or which make use of it in any way whatsoever.

  • Page 85: Translation

    10.1.8. TRANSLATION As regards the translation of this licence into other languages it remains understood that, should any inconsistencies arise regarding interpretation, the Italian version shall prevail. 10.1.9. SOFTWARE COMPLIANCE WITH THE REGULATIONS IN FORCE If the Author declares compliance of the Software with specific laws or regulatory standards, such compliance shall be deemed valid on the date the Author places the product on the market.

  • Page 86: Inspection And Maintenance

    11. INSPECTION AND MAINTENANCE 11.1. USER INSPECTION These instructions describe the maintenance procedures for the extraoral X-ray system. These instructions apply to all versions of said equipment, as well as all the accessories that may have been provided, therefore the description of some parts may not correspond to your equipment. Inspection and preventive maintenance must be performed at scheduled intervals to protect the health and safety of patients, users and other persons in accordance with national regulations regarding the use and maintenance of dental x-ray units that are in force in the country where the device is installed.

  • Page 87: Technical Maintenance

    11.2. TECHNICAL MAINTENANCE These instructions describe the maintenance procedures for the extraoral X-ray system. These instructions apply to all versions of said equipment. In order to ensure the operational safety and functional reliability of the equipment installed, at least once a year an authorized service technician must perform a full inspection of the device. When taking measurements that require a multimeter, always use a calibrated digital multimeter.
  • Page 88 Figure 1 Figure 2...

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