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iTero Element 2 User Manual

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  • Page 1 Element 2 iTero Element Flex User Manual...
  • Page 2 Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual © 2019 Align Technology, Inc. All rights reserved.
  • Page 3 Element 2 and iTero Element Flex User Manual Copyright Trademarks © 2019 Align Technology, Inc. All Rights Reserved. Align, Invisalign, iTero, iTero Element, and iTero Element 5D among others, are trademarks and/or The information contained in this manual is subject service marks of Align Technology, Inc.
  • Page 4 For persons who have been diagnosed with Epilepsy, there is a risk of epileptic shock from the flashing light of the iTero scanner. These persons should refrain from any eye contact with the flashing light associated with the system during operation.
  • Page 5 Element 2 and iTero Element Flex User Manual Contre-indications Pour les personnes ayant un diagnostic d’épilepsie, la lumière clignotante du ITero Scanner peut engendrer un risque de choc épileptique. Ces personnes doivent éviter tout contact visuel avec la lumière clignotante inhérente au système pendant le fonctionnement.
  • Page 6 Element 2 and iTero Element Flex User Manual Symbols The following symbols may appear on iTero Element 2 and iTero Element Flex hardware components and may appear within this document and other iTero Element 2 and iTero Element Flex literature.
  • Page 7 Element 2 and iTero Element Flex User Manual Manufacturer’s batch code. USB socket. Electric battery. Indicates the range of atmospheric pressure to which the medical device can be safely exposed. IEC 60417-5009: STAND-BY. Indicates the range of humidity to which the medical device can be safely exposed.
  • Page 8 Les symboles suivants peuvent apparaître sur les composants matériels iTero Element 2 et iTero Element Flex, ainsi que dans ce document et dans d’autres documents relatifs à iTero Element 2 et iTero Element Flex. MISE EN GARDE: La loi fédérale américaine limite la vente de cet appareil par ou pour le Partout où...
  • Page 9 Element 2 and iTero Element Flex User Manual Numéro de lot de fabrication. Tige (unité de numérisation). Indique la plage de pression atmosphérique à Prise USB. laquelle le dispositif médical peut être exposé en toute sécurité. Batterie électrique. Indique la plage d'humidité à laquelle le dispositif médical peut être exposé...
  • Page 10 USB sockets on the rear of the touch screen. iTero Element Flex only:  iTero Element Flex is provided with a hub containing a power supply for the wand. The Flex hub must be kept dry and be protected against breakage. ...
  • Page 11  iTero Element Flex only: If the iTero Element Flex has just been brought into the office from a hot, cold, or humid environment, it should be set aside until it has adjusted to the room temperature, to avoid internal condensation.
  • Page 12 être connectées aux prises USB à l'arrière de l'écran tactile. iTero Element Flex uniquement:  iTero Element Flex est fourni avec un hub contenant une alimentation pour la tige. Le hub Flex doit être gardé au sec et protégé contre les chocs. ...
  • Page 13 être exposé directement à la lumière du soleil, à une chaleur excessive ou à l'humidité.  iTero Element Flex uniquement: Si l'iTero Element Flex vient juste d'être amené dans le bureau en provenance d'un environnement chaud, froid ou humide, laissez le matériel s'adapter à la température de la pièce pour éviter la condensation interne.
  • Page 14 Informations AVERTISSEMENTS: générales  Aucune modification de cet équipement n'est autorisée.  iTero Element 2 uniquement: l’écran tactile doit toujours être fixé au support après le montage. © 2019 Align Technology, Inc. All rights reserved.

  • Page 15: Table Of Contents

    2.4.1 Exiting Demo Mode......................... 18 Registering the scanner – Make It Mine process ................18 Working with the iTero Element 2 and iTero Element Flex scanner ........... 23 Logging in to the scanner ......................23 3.1.1 Resetting your password ......................25 Logging out of the scanner ......................
  • Page 16 Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual Starting a new scan ..........................48 Filling in the Rx ..........................49 4.1.1 Working with Restorative scan types ..................51 Scanning the patient ........................54 4.2.1...
  • Page 17 Element 2 and iTero Element Flex User Manual 10 Care and maintenance ..........................97 10.1 Handling the wand and cable ......................97 10.2 Cleaning and disinfecting the wand ..................97 10.2.1 Cleaning the scanner touch screen ..................97 10.3 Webcam maintenance ........................
  • Page 18 Table of figures Figure 1: Front view of the iTero Element 2....................... 2 Figure 2: Rear view of the iTero Element 2 ....................... 3 Figure 3: iTero Element Flex ..........................3 Figure 4: iTero Element Flex in the supplied carrying case ................4 Figure 5: iTero Element wand ..........................
  • Page 19 Element 2 and iTero Element Flex User Manual Figure 37: Help overlay ............................ 31 Figure 38: Settings window ..........................32 Figure 39: Brightness settings ......................... 33 Figure 40: Volume settings ..........................33 Figure 41: List of nearby Wi-Fi networks ......................34 Figure 42: Connecting to the clinic Wi-Fi network ...................
  • Page 20 Figure 110: Patient’s profile page – Viewer option ..................86 Figure 111: Scan displayed in the Viewer ....................... 86 Figure 112: iTero TimeLapse – selecting the scans to compare ..............87 © 2019 Align Technology, Inc. All rights reserved. xviii...
  • Page 21 Element 2 and iTero Element Flex User Manual Figure 113: iTero TimeLapse window showing the highlighted changes between the scans ......88 Figure 114: Area of interest from the first scan displayed in the animation window........89 Figure 115: Area of interest from the second scan displayed in the animation window ........89 Figure 116: iTero TimeLapse scale options.....................
  • Page 22 Element 2 and iTero Element Flex User Manual © 2019 Align Technology, Inc. All rights reserved.

  • Page 23: Introduction

    1 Introduction About this document This document provides general information and an overview of the iTero Element 2 and iTero Element Flex scanners and software. In addition, it describes how to assemble the system, install the software on iTero Element Flex systems, start and shut down the system, how to handle the wand and cable, how to clean and disinfect the wand, and how to replace the wand sleeves between patients.

  • Page 24: Itero Element Hardware

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual iTero Element hardware The following iTero scanner models are described below:  iTero Element 2 Wheel-stand configuration Counter-stand configuration  iTero Element Flex...

  • Page 25: Itero Element Flex

    Element 2 and iTero Element Flex User Manual Rear view Wand connector Wand cable Screen power cable Figure 2: Rear view of the iTero Element 2 1.4.2 iTero Element Flex Laptop touch screen iTero Element Flex hub Wand and...

  • Page 26: Itero Element Wand

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual 1.4.2.1 Transporting iTero Element Flex To ensure maximum system protection, it is recommended to follow the instructions below when transporting the system: Attach the blue protective sleeve onto the wand.

  • Page 27: Figure 6: Protective Sleeve

    Element 2 and iTero Element Flex User Manual 1.4.3.1 iTero Element wand sleeves There are 2 types of wand sleeves:  Protective sleeve: When the scanner is not in use, use the blue protective sleeve to protect the optical surface of the wand.

  • Page 28: Itero Software

    Figure 10: Gently slide the new sleeve into place iTero software New iTero Element 2 systems come with the software installed. The software needs to be installed on iTero Element Flex systems, as described in section 2.2. © 2019 Align Technology, Inc. All rights reserved.

  • Page 29: Getting Started

    Element 2 and iTero Element Flex User Manual 2 Getting started Assembly instructions Assembling the iTero Element 2 scanner – wheel-stand configuration 2.1.1 Follow the instructions below to assemble the iTero Element 2 scanner. AC power Battery Click DC power...
  • Page 30 Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual 6. Hold the cradle. 7. Tighten the back of the wand 8. Reattach the cover behind the cradle with the Allen screw using handle.
  • Page 31 Element 2 and iTero Element Flex User Manual Power cable inserted. 15. Attach the magnetic back cover. 16. Place the wand in the cradle. 17. Connect the wand cable to the 18. Connect the power cable on the 19. Secure the cable to the bottom back of the touch screen.

  • Page 32: Assembling The Itero Element 2 Scanner - Counter-Stand Configuration

    Element 2 and iTero Element Flex User Manual Assembling the iTero Element 2 scanner – counter-stand configuration 2.1.2 Follow the instructions below to assemble the iTero Element 2 scanner. Remove the cover. Insert the post into the frame. Tighten the post using the Allen key.
  • Page 33 Element 2 and iTero Element Flex User Manual Plug the power cable into the AC power outlet and then press the Power button to switch on the scanner. Connect the webcam to the USB Position the webcam on the touch...

  • Page 34: Assembling The Itero Element Flex Scanner

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual 2.1.3 Assembling the iTero Element Flex scanner Follow the instructions below to assemble the iTero Element Flex scanner. Hub and hub power cable Cradle Wand and wand cable USB cable to connect laptop and 1.

  • Page 35: Installing The Itero Software - Itero Element Flex

    Element 2 and iTero Element Flex User Manual Installing the iTero software – iTero Element Flex New iTero Element 2 systems come with the software installed, but the user must install the software on iTero Element Flex systems. Note: Before installing the iTero software on Flex systems, please install all available Windows updates. New Windows computers should apply the updates automatically.

  • Page 36: Logging In To The Scanner For The First Time

    Demo Mode is currently running. Demo Mode is available from the Welcome screen when logging in for the first time, or at any point by tapping the iTero logo on the home screen. Note: Scans captured in Demo Mode cannot be saved or submitted for patient treatment.

  • Page 37: Figure 12: Itero Element Logo

    Element 2 and iTero Element Flex User Manual To enter Demo Mode after logging in: Tap the iTero Element logo at the top of the scanner screen. Figure 12: iTero Element logo Tap Demo Mode. Figure 13: Demo Mode option The Login window is displayed, enabling you to select the demo user.

  • Page 38: Figure 15: Demo Login Button

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual To view restorative cases, select the Dr. Demo, iTero user from the Doctor Name drop-down list. Figure 15: Demo Login button Tap Demo Login.

  • Page 39: Figure 17: Demo Cases Displayed In The List Of Past Orders

    Element 2 and iTero Element Flex User Manual To view the demo cases, tap Orders to display a list of orders that are currently in progress as well as a list of the past orders. Figure 17: Demo cases displayed in the list of past orders Tap the required demo case.

  • Page 40: Exiting Demo Mode

     Company ID You will receive an email from an iTero representative with login credentials and detailed information on how to proceed with the Make It Mine process. Note: If you accessed the Demo Mode from the Welcome page before registering the scanner, you will have to restart the scanner to access the Make It Mine option.

  • Page 41: Figure 20: Selecting The Network

    Element 2 and iTero Element Flex User Manual To register the scanner: Select the required language. Tap Make It Mine. The Connect page is displayed. Figure 20: Selecting the network Select the required network connection and then tap Next.

  • Page 42: Figure 22: Selecting Your Time Zone

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual When the verification is complete, tap Next. The Time Zone page is displayed. Figure 22: Selecting your time zone Tap Next if the default time zone is correct or select your time zone from the drop-down list and then tap Apply.

  • Page 43: Figure 24: Itero Subscription Package

    Element 2 and iTero Element Flex User Manual Enter your email, password, and company ID in the fields provided, and then tap Register. The Scanner Configuration page is displayed, showing your iTero subscription package. Figure 24: iTero subscription package Tap Next.

  • Page 44: Figure 26: Checking For Updates

    The system has been registered and is ready. Figure 27: System is registered and ready Tap Login to iTero Element to log in to the system, as described in the following section. © 2019 Align Technology, Inc. All rights reserved.

  • Page 45: Working With The Itero Element 2 And Itero Element Flex Scanner

    Figure 28: Login window Make sure you have your MyAligntech account information ready when logging in to the iTero scanner. You will need your name, account email, and password. Fill in all the necessary fields and then tap the Login button.

  • Page 46: Figure 29: Itero Home Screen

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual Click Login. The iTero home screen is displayed. Figure 29: iTero home screen © 2019 Align Technology, Inc. All rights reserved.

  • Page 47: Resetting Your Password

    Element 2 and iTero Element Flex User Manual 3.1.1 Resetting your password You can reset your password, if required. To reset your password: In the Login window, tap Forgot Password. Figure 30: Forgot Password button A window is displayed, describing what you should do next.

  • Page 48: Logging Out Of The Scanner

    A temporary password will be sent to you. Use the temporary password to log in to myaligntech.com and then reset your password. If you do not know your registered email address, contact iTero Customer Support. Logging out of the scanner In order to protect your patient information, you should log out of the scanner when it is not in use.

  • Page 49: Shutting Down The Scanner

    Place the system at its new location and plug it into a wall outlet. User interface The iTero software provides an intuitive user interface for performing digital scans for Restorative or Orthodontic use. The touch screen and wand buttons are used to respond to screen instructions during the scanning process.

  • Page 50: Figure 34: Remaining Battery Charge

    Element 2 and iTero Element Flex User Manual The following buttons are displayed on the home screen: Battery: Tap to view the remaining charge on the iTero external battery. A battery indicator will appear, showing the percentage of battery charge remaining.

  • Page 51: Figure 35: Help Overlay

    Element 2 and iTero Element Flex User Manual Help: Tap to display a translucent Help overlay with hints to aid in the navigation of features and tools. Figure 35: Help overlay In this view, the button changes to . Tap the button for remote assistance from Customer Support.

  • Page 52: Scanner Toolbar

    Figure 36: Remaining battery charge Tap to adjust the preferences for your iTero scanner, for example, for wand configuration, localization, user settings, and more. For more information on the Settings preferences, see section 3.6.

  • Page 53: Touch-Screen Gestures

    Tap anywhere to close the Help screen and return to the relevant screen. 3.5.2 Touch-screen gestures The iTero software supports touch-screen (also known as multi-touch) gestures. These gestures are predefined motions used to interact with multi-touch devices. Examples of common touch-screen gestures:...

  • Page 54: Defining The Scanner Settings

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual Defining the scanner settings The scanner settings enable you to define your preferences and the settings that are displayed by default when you use the scanner.

  • Page 55: Defining The Computer Settings

    Element 2 and iTero Element Flex User Manual 3.6.1 Defining the Computer settings The Computer settings enable you to define the brightness, volume, Wi-Fi, and time-zone settings for the scanner. 3.6.1.1 Defining the default brightness setting To define the default brightness setting, tap the Brightness button, move the lever to the required brightness level, and then tap to save your changes and return to the Settings window.

  • Page 56: Figure 41: List Of Nearby Wi-Fi Networks

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual 3.6.1.3 Defining the Wi-Fi settings The first time you connect your scanner to the clinic’s Wi-Fi network, you will need to add your password. After that, by default, the scanner will connect automatically.

  • Page 57: Figure 43: Forgetting Or Disconnecting From The Network

    Element 2 and iTero Element Flex User Manual If you do not want to connect to the network automatically, tap the network you are connected to and then tap Forget. You will need to select the required network and enter the Wi-Fi password the next time you want to connect.

  • Page 58: Figure 44: Time Zone Settings

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual 3.6.1.4 Defining your time zone To define your time zone, tap the Time Zone button, select your time zone from the drop-down list, and then to save your changes, and return to the Settings window.

  • Page 59: Defining The User Settings

    Element 2 and iTero Element Flex User Manual 3.6.2 Defining the User settings The User settings enable each user to define the settings that are displayed by default when the specific user logs in to the scanner. 3.6.2.1 Defining the scan settings...
  • Page 60 Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual Select your default scanning preferences from the Scan Settings window. Scan setting Scan options Scanning Position Select your position while scanning the patient: ...

  • Page 61: Figure 46: Only Scanning Range Is Highlighted

    Element 2 and iTero Element Flex User Manual Scan setting Scan options Highlight Select this check box to highlight only the scanning range on the recommended navigation controls. scanning range check box Figure 46: Only scanning range is highlighted...

  • Page 62: Figure 47: Rx Settings Window

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual 3.6.2.2 Defining the Rx settings You can define the settings that are displayed by default when you open the Scan Details window to fill in a new Rx.

  • Page 63: Figure 48: Signature Settings Window

    Element 2 and iTero Element Flex User Manual Rx setting Rx options Case Type Select the default case type:  No Default  Invisalign  iCast  iRecord  Chair Side Milling  Invisalign + iRecord  Vivera ...

  • Page 64: Figure 49: Language Settings Window

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual Define your default signature settings. Signature setting Signature options License Add your license number. Signature Add your signature. Signature Usage Select one of the following signature options: ...

  • Page 65: Defining The System Settings

    Element 2 and iTero Element Flex User Manual 3.6.3 Defining the System settings The System settings enable you to set the login settings, run diagnostics, view the licenses, view the system information, sync the configuration, and define the export settings.

  • Page 66: Figure 51: Diagnostics Window

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual 3.6.3.2 Running diagnostics Tap the Diagnostics button to check the network connection and speed. To run system diagnostics: Tap the Diagnostics button.

  • Page 67: Figure 52: Licensing Information Window

    Element 2 and iTero Element Flex User Manual 3.6.3.3 Licenses Tap the Licenses button to view a list of third-party software components installed on the scanner and then to return to the Settings window. Figure 52: Licensing Information window...

  • Page 68: Figure 53: System Information Window

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual 3.6.3.4 System information Tap the System Information button to view details about the software versions currently installed and the hardware serial numbers and ID, and then tap to return to the Settings window.

  • Page 69: Figure 54: Export Settings Window - Deleting Exported Files

    Element 2 and iTero Element Flex User Manual 3.6.3.6 Export settings You can define how long exported files should be kept before being deleted. In addition, you can view the local network address of the exported files, in boldface letters (starting with “\\”). This address is accessible from any computer within the local network.

  • Page 70: Starting A New Scan

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual 4 Starting a new scan Tap the New Scan button to start the scanning process. The New Scan window is displayed, as well as a toolbar that shows your progress process.

  • Page 71: Filling In The Rx

    Element 2 and iTero Element Flex User Manual Filling in the Rx The first step in the scanning process is filling in the Rx (prescription). The New Scan window enables you to enter the patient’s details as well as details about the case type. Fields marked with a red asterisk are mandatory.

  • Page 72: Figure 57: New Scan Window - Irecord Case Type

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual Restorative: A scan that you need to send to a laboratory for modeling or milling.  Expanded – 6 teeth are scanned ...

  • Page 73: Working With Restorative Scan Types

    Element 2 and iTero Element Flex User Manual 4.1.1 Working with Restorative scan types When selecting restorative case types, you need to select the tooth that needs to be restored, the type of restoration required, as well as the material, shade, etc. of the restoration.

  • Page 74: Figure 59: List Of Restorative Treatment Options

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual In the tooth chart, tap on the tooth to be restored. A list of available treatment options for the selected tooth is displayed.

  • Page 75: Figure 60: Defining The Restoration Properties

    Element 2 and iTero Element Flex User Manual Select the required treatment option, for example, Crown. You will be prompted to select the relevant treatment options for your selected dental order. Figure 60: Defining the restoration properties Select the following settings from the relevant drop-down lists. Settings marked with an asterisk are mandatory.

  • Page 76: Scanning The Patient

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual to save your selection and return to the New Scan window. Your preferences are displayed in the Treatment Information area. Figure 61: Treatment Information area...

  • Page 77: Scanning Guidance

    Element 2 and iTero Element Flex User Manual 4.2.1 Scanning guidance As soon as you move to Scan mode, the recommended scanning sequence for the selected scan segment is displayed in the center of the scanner window. It will automatically disappear after a short while, or you can tap anywhere on the screen to hide it.

  • Page 78: Scanning Best Practices

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual 4.2.2 Scanning best practices iTero recommends the following best practices for scanning restorative cases:  Ensure that the prepped tooth and the surrounding area is free of debris, saliva, and blood contamination.

  • Page 79: Figure 65: Areas With Missing Anatomy Shown With And Without Additional Scan Feedback - Color Mode

    Element 2 and iTero Element Flex User Manual Figure 65: Areas with missing anatomy shown with and without additional scan feedback – color mode By default, this mode is enabled, but it can be disabled per case by clicking or by default in the Scan settings, as described in section 3.6.2.1.

  • Page 80: Editing A Scan

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual 4.2.3.3 Switching to the next scan segment During scanning, the current segment is highlighted in blue in the navigation controls, and also displayed in the segment indicator box, between the arrows.

  • Page 81: Figure 68: Editing Tools

    Element 2 and iTero Element Flex User Manual The editing tools are accessed by pressing on the screen. Figure 68: Editing tools 4.2.4.1 Deleting a segment The Delete Segment tool enables you to delete the entire scanned segment. To delete the segment: Press the screen to display the editing tools.

  • Page 82: Figure 70: Delete Selection Tool

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual 4.2.4.2 Deleting a selection The Delete Selection tool enables you to delete a section of the scan so that it can be rescanned.

  • Page 83: Figure 72: Selected Area Of The Anatomy Is Deleted

    Element 2 and iTero Element Flex User Manual Touch the area of the anatomy you want to delete. The selection is removed. Figure 72: Selected area of the anatomy is deleted If required, tap to undo your changes. to rescan the deleted anatomy.

  • Page 84: Figure 73: Fill Tool

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual Tap the Fill tool Figure 73: Fill tool Areas that require scanning are highlighted in red. Figure 74: Areas that require scanning are highlighted in red – Fill tool...

  • Page 85: Viewing The Scan

    Element 2 and iTero Element Flex User Manual Viewing the scan After scanning the patient, click to move to View mode to inspect the model and ensure that sufficient occlusal and buccal anatomy has been captured, and that the model is accurate and complete.

  • Page 86: Working With The Eraser Tool

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual The message may be generic, or very specific to the issue including guidance on how to correct the issue. In some cases, you will be warned that the case may be returned from the lab if you do not fix the issues.

  • Page 87: Figure 76: Eraser Tool

    Element 2 and iTero Element Flex User Manual To erase part of the scan: In the View window, ensure you are in Buccal view and on the relevant section to be erased, and then tap the Eraser tool Figure 76: Eraser tool...

  • Page 88: Figure 78: Mark The Area To Be Modified

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual With your finger, mark the area to be modified. Figure 78: Mark the area to be modified As soon as you lift your finger, the selected area is removed and the scan tool is enabled.

  • Page 89: Working With The Clearance Tool

    Element 2 and iTero Element Flex User Manual After adjusting the clearance on the patient’s tooth, tap to return to Scan mode and rescan the deleted area, which is marked in red. Figure 80: Deleted area marked in red Tap the Clearance tool to confirm that the prepped tooth was sufficiently reduced.

  • Page 90: Figure 81: Occlusal Clearance Between The Opposing Teeth

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual To display the occlusal clearance: In the View window, tap the Clearance tool The occlusal clearance between the opposing teeth is displayed.

  • Page 91: Working With The Edge Trimming Tool

    Element 2 and iTero Element Flex User Manual 4.3.4 Working with the Edge Trimming tool The Edge Trimming tool enables you to trim away excess soft tissue such as cheek or lip artifacts from the scan. This tool is available for all case types, except Restorative case types.

  • Page 92: Figure 85: Mark The Area To Be Trimmed Away

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual With your finger, mark the area you would like to trim away. Figure 85: Mark the area to be trimmed away The area to be trimmed away is highlighted and the confirmation icon is enabled.

  • Page 93: Working With The Die Separation Tool

    Element 2 and iTero Element Flex User Manual to confirm the trimming. The selected area is removed. Figure 87: Selected area has been removed 4.3.5 Working with the Die Separation tool The die separation is created automatically, according to the position of the green hint point, which must be located on the center of the prepped tooth after scanning.

  • Page 94: Figure 88: Green Hint Point Centered On The Prepped Tooth

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual To display the die separation: After scanning the prepped tooth, ensure that the green hint point is centered on the prepped tooth. Move it manually, if required.

  • Page 95: Figure 90: Die Separation Tool Options

    Element 2 and iTero Element Flex User Manual To create the die separation manually: In the View window, tap the Die Separation tool The tool expands to show the following options: Figure 90: Die Separation tool options and mark the whole segment with your finger.

  • Page 96: Figure 92: Before Selecting The Die Separation

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual to mark the prepped tooth in high resolution. The model is displayed as follows: Figure 92: Before selecting the die separation Draw the area for the die separation.

  • Page 97: Using The Scan Timer

    Element 2 and iTero Element Flex User Manual 4.3.6 Using the scan timer The scan timer enables you to see how long it took to scan the model. To view the scan time: On the toolbar, click the button.

  • Page 98: Restorative Scanning Basics

    A notification message is displayed that the model is being sent and then the patient’s profile page is displayed showing the status of the order. Restorative scanning basics For a detailed description of how to scan restorative cases, please refer to the iTero Element Restorative eGuidebook http://storagy-itero-production-eu.s3.amazonaws.com/download/en/iTero-Element-Restorative- Guidebook.pdf...

  • Page 99: Figure 97: Viewer Option In Patient's Profile Page

    Element 2 and iTero Element Flex User Manual Figure 97: Viewer option in patient’s profile page In the Viewer, you can click the following to: Show/hide the upper jaw Show/hide the lower jaw Show both jaws © 2019 Align Technology, Inc. All rights reserved.

  • Page 100: Figure 98: Model In A 1-Window View

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual Display the model in a 1-window view, with the upper and lower jaws in the same window (Frontal view). Figure 98: Model in a 1-window view Relevant for Orthodontic case types only.

  • Page 101: Figure 100: Model In A 5-Window View

    Toggle between viewing the model in color or in monochrome. Show/hide the clearance between the opposing teeth, as described in section 4.7.1. Note: When the case status is iTero Modeling, it is in the early stages of modeling and the margin line and die tools are disabled.

  • Page 102: Clearance Tool

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual 4.7.1 Clearance tool You can view the occlusal clearance between opposing teeth in the Viewer. In the Viewer, tap The clearance between the opposing teeth is displayed.

  • Page 103: Working With Patients

    Element 2 and iTero Element Flex User Manual 5 Working with patients On the home screen, tap the Patients button to display the Patients page. The Patients page displays a list of all your patients, their chart number, and last scan date.

  • Page 104: Searching For Patients

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual Searching for patients If required, you can search for patients in the iTero database using their names or chart numbers. To search for a patient: ...

  • Page 105: Viewing The Patient Details

    View the Rx details, described in section 5.4 View the patient’s previous scans in the Viewer, as described in section 5.5 Compare 2 previous scans using iTero TimeLapse technology, described in section 5.5.1 View any Invisalign-related processes © 2019 Align Technology, Inc. All rights reserved.

  • Page 106: Creating A New Scan For A Specific Patient

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual Creating a new scan for a specific patient If required, you can create a new scan for a specific patient. The Rx will be opened with the patient’s details already filled in.

  • Page 107: Viewing The Rx

    Element 2 and iTero Element Flex User Manual Viewing the Rx If required, you can view the Rx of a previous order. To view the Rx of a previous order: In the patient’s profile page, select the order for which to view the Rx and then click View Rx.

  • Page 108: Viewing Previous Scans In The Viewer

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual Viewing previous scans in the Viewer If required, you can display previous scans in the Viewer. To view a previous scan in the Viewer: In the patient’s profile page, tap the scan you want to display in the Viewer and then click Viewer.

  • Page 109: Comparing Previous Scans Using Itero Timelapse Technology

    Comparing previous scans using iTero TimeLapse technology Patients who are scanned on a regular basis can have their scans analyzed using iTero TimeLapse technology. iTero TimeLapse technology compares 2 of the patient’s previously captured 3D scans to allow visualization of the changes of the patient’s teeth, tooth structure, and oral soft tissues over the period between the scans.

  • Page 110: Figure 113: Itero Timelapse Window Showing The Highlighted Changes Between The Scans

    Tap the Compare Selected button to compare and analyze the scans. The iTero TimeLapse window is displayed, highlighting the areas with changes between the scans. The darker the color, the bigger the change between the scans, as displayed in the legend (scale measurements are in millimeters).

  • Page 111: Figure 114: Area Of Interest From The First Scan Displayed In The Animation Window

    Element 2 and iTero Element Flex User Manual Drag the loupe onto the model to view areas of interest and potential treatment areas in the animation window. An animation is displayed, comparing the state of the teeth in the current area of interest on the selected scan dates.

  • Page 112: Figure 116: Itero Timelapse Scale Options

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual You can zoom in to the image in the animation window or tap the pause button to pause the animation. If required, you can change the scale of the changes displayed.

  • Page 113: Working With Orders

    Element 2 and iTero Element Flex User Manual 6 Working with orders Tap the Orders button to display a list of all your orders. The button may contain a badge that indicates the number of orders that have not been submitted yet.

  • Page 114: Figure 118: In Progress Pane - Options

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual To view or review orders: Tap the Orders button on the home screen. The Orders page is displayed, showing two panes – In Progress orders and Past Orders.

  • Page 115: Figure 119: Past Orders Pane - Options

    Element 2 and iTero Element Flex User Manual Tap an order in the Past Orders pane to view the following options, depending on the case type: Figure 119: Past Orders pane – options View Rx: Opens the Rx Details window, enabling you to view the prescription for this order.

  • Page 116: Viewing Messages

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual 7 Viewing messages The Messages page displays notifications, updates, and other system messages from Align Technology, for example, product updates, upcoming educational sessions, or internet connectivity issues.

  • Page 117: Working With Myitero

    8 Working with MyiTero MyiTero is a web-based portal, with the same look-and-feel as the iTero software. It enables users to carry out administrative tasks such as filling in a new Rx on any supported device, for example, a PC or a tablet, without using valuable scanner time.

  • Page 118: Itero Invisalign Features

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual 9 iTero Invisalign features Invisalign Outcome Simulator The Invisalign Outcome Simulator is a software tool that enables you to show the patients the simulated outcome of their Invisalign treatment.

  • Page 119: 10 Care And Maintenance

    When not in use, the wand should be kept in its cradle, with the blue protective sleeve attached. If you have an iTero Element Flex system, the wand should be stored in the supplied carry case when the system is not in use.

  • Page 120: 11 Clinic Lan Network Guidelines

    11 Clinic LAN network guidelines 11.1 Introduction The scanner uses Wi-Fi internet connectivity to send and retrieve scans to and from the iTero cloud. Below are some helpful guidelines for the best Wi-Fi connection. Levels of Wi-Fi Internet Connectivity Excellent...

  • Page 121: Internet Connection Guidelines

    (aquariums), mirrors, file cabinets, brick, and concrete may reduce your wireless signal.  Keep your iTero product away (at least 3-6 feet or 1-2 meters) from electrical devices or appliances that generate RF noise. ...

  • Page 122: Align Hostname Recommendations

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual 11.7 Align hostname recommendations Align constantly improves its products and services, and can therefore commit to a Hostname, rather than a specific IP address.

  • Page 123: 12 Emc Declaration

    The scanner will return to operation mode after user intervention or auto-recovery. The following is a summary of the EMC test results for iTero Element 2 and iTero Element Flex scanners: Test Standard...
  • Page 124 Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual Test Standard Severity level/lines Test results Immunity (IEC 60601-1-2 section 8) Immunity from Electrostatic IEC 61000-4-2 8 kV contact discharges & Complies...
  • Page 125 Element 2 and iTero Element Flex User Manual Test Standard Severity level/lines Test results Emission (per ETSI EN 301 489-1) Relevant for iTero Element 2 only Conducted emissions on ETSI EN 301 489- Group 1 Class B Complies mains terminals in freq.

  • Page 126: 13 Itero Element Product Security Whitepaper

    13 iTero Element product security whitepaper This whitepaper applies to the iTero® Element™ optical impression system series. Depending on the version of the product you have procured, there may be differences in the features of the product. In addition, as this artifact was created at a point-in-time, changes may have occurred in Align Technology’s product security...
  • Page 127 Element 2 and iTero Element Flex User Manual Security and privacy features of the product. The following non-exhaustive security controls are implemented in the iTero® Element™ optical impression system series:  PII data-at-rest is encrypted: Personally Identifiable Information (PII) is stored in an encrypted database.

  • Page 128: 14 System Specifications

    Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual 14 System specifications System specifications – iTero Element 2 14.1 21.5” HD touch screen Monitor Wand The wand emits red laser light (680nm Class 1) as well as white LED emissions.

  • Page 129: System Specifications - Itero Element Flex

    Element 2 and iTero Element Flex User Manual System specifications – iTero Element Flex 14.2 Monitor Laptop touch screen Wand The wand emits red laser light (680nm Class 1), as well as white LED emissions. Security Align Technology takes the responsibility of securing the data of our customers and their patients very seriously.
  • Page 130 Element 2 and iTero Element Flex User Manual © 2019 Align Technology, Inc. All rights reserved.

  • Page 131: Index

    Element 2 and iTero Element Flex User Manual Index Additional scan feedback, 56 Hardware, 1 Assembly Assembly, 7 Instructions, 7 iTero Element 2, 2 iTero Element 2, 7 iTero Element Flex, 3 iTero Element Flex, 12 Hostname recommendations, 100...
  • Page 132 Element 2 and iTero Element Flex User Manual iTero Element 2 and iTero Element Flex User Manual Scan, 37 Signature, 41 New Scan, 48 Sync configuration, 46 System, 43 Notifications System information, 46 Missing scan segment, 63 Time zone, 36...
  • Page 134 2820 Orchard Parkway San Jose, CA 95134 Align, Invisalign, iTero Element, among others, are trademarks and/or service marks of Align Technology, Inc. or one of its subsidiaries or affiliated companies Align, Invisalign, iTero Element, among others, are trademarks and/or service and may be registered in the U.S.

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