KaVo ProXam 3DQ Instructions For Use Manual
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KaVo ProXam 3DQ Instructions For Use Manual

KaVo ProXam 3DQ Instructions For Use Manual

3d imaging
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KaVo ProXam 3DQ
Instructions for use
3D imaging

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Summary of Contents for KaVo ProXam 3DQ

  • Page 1 KaVo ProXam 3DQ Instructions for use 3D imaging...
  • Page 2 The manufacturer, assembler and importer are responsible for the safety, reliability and performance of the unit only if: - installation, calibration, modification and repairs are carried out by qualified authorised personnel - electrical installations are carried out according to the appropriate requirements such as IEC 60364 - equipment is used according to the operating instructions.

  • Page 3: Table Of Contents

    6.10.2 Positioning joystick.......................22 6.10.3 Image volume up / down....................22 6.10.4 Open / close temple supports..................23 KaVo ProXam 3DQ programs........................24 3D Dental............................24 3D Ear Nose Throat........................24 3D patient exposure..........................25 Preparing X-ray system........................ 25 8.1.1 Attaching and removing sensor..................25 8.1.2...
  • Page 4 9.3.3 Product registration (4300)...................66 Help messages............................68 Error messages............................71 Cleaning and disinfection..........................72 12.1 Patient supports, patient handles and touch screen..............72 12.2 Other surfaces..........................75 Service..............................77 Terms and conditions of warranty......................78 Disposal..............................79 Technical specifications..........................80 KaVo ProXam Instructions for use...

  • Page 5: Introduction

    These instructions include options that may not be available in all countries. NOTE The X-ray unit may be used by health care professionals only. KaVo ProXam is a trade name of Planmeca ProMax, manufactured for and distributed by KaVo. 1.1 Intended use...

  • Page 6: Associated Documentation

    Romexis program. The Romexis package contains the following manuals: • User’s Manual • Technical Manual The original language of the Instructions for use is English. NOTE The Instructions for use are available for download on the KaVo website. KaVo ProXam Instructions for use...

  • Page 7: Symbols On Product Labels

    Warning: Electricity (Standard ISO 7010). To avoid risk of electric shock, this equipment must only be connected to a supply mains with protective earth. Electrostatic sensitive device (Standard IEC 60417) Warning, hot surface (Standard ISO 7010). Instructions for use KaVo ProXam...
  • Page 8 3 Symbols on product labels General warning (Standard ISO 7010). KaVo ProXam Instructions for use...

  • Page 9: Safety Precautions

    CAUTION Do not drop the sensor. KaVo limited warranty does not cover damage which is due to misuse, for example, dropping the sensor, neglect, or any cause other than ordinary use. If you have any reason to believe that the sensor might be faulty, take a test exposure before taking a patient exposure.
  • Page 10 If exposures are taken in rapid succession, the X-ray tube may overheat and a cooling time will flash on the touch screen. The cooling time indicates the delay before the next exposure can be taken. KaVo ProXam Instructions for use...
  • Page 11 Never place or hang any objects on any part of the X-ray unit. NOTE Make sure that neither you nor your patient can get caught or hooked up on any part of the X-ray unit. Keep loose items of clothing, hair and jewellery tucked away safely. Instructions for use KaVo ProXam...

  • Page 12: Reporting Serious Incidents

    Diagnostic information of the X-ray image may be lost and unnecessary X-ray dose to the patient may result. 4.1 Reporting serious incidents Serious incidents that have occurred in relation to the device must be reported to the manufacturer and the local competent authority. KaVo ProXam Instructions for use...

  • Page 13: Switching X-Ray System On

    5.1 Switching X-ray unit on The on / off switch is located on the underside of the column top. 5.2 Switching 3D reconstruction PC on The on / off switch is located at the top of the computer. Instructions for use KaVo ProXam...

  • Page 14: Main Parts

    6 Main parts 6.1 General view of X-ray system 1 X-ray unit 2 3D reconstruction PC 3 Romexis program 4 ProTouch desktop application (optional, see section "ProTouch desktop application" on page 19) 5 Ethernet switch KaVo ProXam Instructions for use...

  • Page 15: General View Of X-Ray Unit

    Patient positioning controls (see section "Patient positioning controls" on page 21) Touch screen (see section "Touch screen" on page 15) Telescopic column 10 Stationary column 11 Emergency stop button (see section "Emergency stop button" on page 15) Instructions for use KaVo ProXam...

  • Page 16: Sensor

    6 Main parts 6.3 Sensor 1 3D sensor for KaVo ProXam 3DQ 6.4 Tube head 1 Non-rotating tube head 2 Rotating tube head KaVo ProXam Instructions for use...

  • Page 17: Patient Supports

    6.5 Patient supports 6.5.1 Head supports (option A or B) Option A 1 Adjustable head support 2 Temple pads for children 3 Fastening straps 4 Support bars Option B 1 Head band 25 2 Support bars Instructions for use KaVo ProXam...

  • Page 18: Chin Supports

    X-ray system is ready for an exposure. During exposure yellow radiation warning lights illuminate on the exposure switch and on the touch screen. They indicate that the X-ray unit is generating radiation. 1 Exposure switch 2 Exposure button KaVo ProXam Instructions for use...

  • Page 19: Emergency Stop Button

    The actual exposure area depends on the individual anatomy of the patient. NOTE Never allow patients to touch the screen when they are positioned in the X- ray unit. Touching the screen during exposure will stop the imaging process. Instructions for use KaVo ProXam...
  • Page 20 Settings > User > 1300 Operational Settings > 1320 Audio Settings > Touch Volume. NOTE Do not use sharp objects to operate the touch screen. Accept button To accept a selection, select the green check mark button. KaVo ProXam Instructions for use...
  • Page 21 To scroll a list down or up, slide your finger on the touch screen. Checking patient’s name and ID number The patient’s name and ID number are shown in the top right corner of the touch screen. The patient and exposure mode have to be selected in Romexis. Instructions for use KaVo ProXam...
  • Page 22 X-ray unit without radiation and PC connection. To do this, select Settings > User > 1300 Operational settings > 1310 Use Mode > 1311 Set Demo Mode. The selection displays in the bottom left corner of the touch screen. KaVo ProXam Instructions for use...

  • Page 23: Protouch Desktop Application

    You can reopen the application by double-clicking the icon again. The small icon in the bottom left corner of the screen indicates when the application is connected to the X-ray unit. • A green icon indicates that the connection is working: Instructions for use KaVo ProXam...
  • Page 24 Restart the X-ray unit if the icon is red. To move the control panel screen, drag it with your mouse. To close the application, click on the small red cross in the top right corner of the screen. KaVo ProXam Instructions for use...

  • Page 25: Patient Positioning Controls

    Make sure that there is no object under the X-ray unit when you press the down button. If something is in danger of becoming trapped, release the button immediately to stop the movement. Clear any obstruction before pressing the button again. Instructions for use KaVo ProXam...

  • Page 26: Positioning Joystick

    X-ray unit. The X-ray unit moves slowly when you press the up / down button. The height of the patient support table is not changed, i.e. the patient remains in the same position. KaVo ProXam Instructions for use...

  • Page 27: Open / Close Temple Supports

    6 Main parts 6.10.4 Open / close temple supports Press the temple support button to open the temple supports in 2D imaging. Close the temple supports by pressing the temple support button again. Instructions for use KaVo ProXam...

  • Page 28: Kavo Proxam 3Dq Programs

    7 KaVo ProXam 3DQ programs 7 KaVo ProXam 3DQ programs 7.1 3D Dental NOTE The values in parentheses represent the child size volumes. Program KaVo ProXam 3DQ Tooth Ø40 x H50 mm (Ø34 x H42 mm) Ø40 x H80 mm (Ø34 x H68 mm) Teeth Ø80 x H50 mm (Ø68 x H42 mm)

  • Page 29: Patient Exposure

    8.1 Preparing X-ray system 8.1.1 Attaching and removing sensor CAUTION Do not drop the sensor. KaVo limited warranty does not cover damage which is due to misuse, e.g. dropping the sensor, neglect, or any cause other than ordinary use. If you have any reason to believe that the sensor might be faulty, take a test exposure before taking a patient exposure.
  • Page 30 3. Push in the C-arm electrical connector button on the other side. This will make the electrical connection between the sensor and C-arm. 8.1.1.2 Detaching sensor from C-arm About this task NOTE Do not remove the sensor during imaging process. KaVo ProXam Instructions for use...
  • Page 31 8 3D patient exposure Steps 1. Push in the C-arm electrical connector. This will disconnect the electrical connection between the sensor and C-arm. 2. Turn the locking knob 180 degrees. This will release the locking mechanism. Instructions for use KaVo ProXam...

  • Page 32: Attaching Patient Supports

    The available head supports are shown in section "Head supports (option A or B)" on page 13. 8.1.2.1 Attaching support bars Steps 1. Insert the support bars into the holes in the patient support table. 2. Secure support bars in position by tightening the locking knobs. KaVo ProXam Instructions for use...
  • Page 33 Ensure that you insert the support bars the right way around. 8.1.2.2 Head support A: Attaching adjustable head support About this task Follow these steps if you use the adjustable head support. Steps 1. Slide the adjustable head support onto the support bars. Instructions for use KaVo ProXam...
  • Page 34 Do not overstretch the straps. The straps lose their elasticity if you pull them more than 50 mm (2 in.). Straps with a free length (i.e. when they are not stretched) of over 255 mm (10 in.) do not support the patient’s head firmly. KaVo ProXam Instructions for use...
  • Page 35 About this task Follow these instructions if you use the head band. Steps 1. Attach the head band to the support bars as shown. Set the side with the large openings against the patient’s forehead. Instructions for use KaVo ProXam...
  • Page 36 8 3D patient exposure 8.1.2.4 Attaching chin cup Use these patient supports. NOTE FOR ORTHODONTISTS: Use these patient supports if you wish to see the hyoid bone and neck bones better. KaVo ProXam Instructions for use...

  • Page 37: Preparing Romexis

    Place a protective lead apron over the patient’s back if required. 8.3 Selecting exposure settings Refer to section "Touch screen" on page 15 for general information on how to make or cancel selections on the touch screen. Instructions for use KaVo ProXam...

  • Page 38: Selecting Program

    8 3D patient exposure 8.3.1 Selecting program Steps 1. Select the 3D program you wish to use. For more information on the available programs, see section "KaVo ProXam 3DQ programs" on page 24. 8.3.2 Selecting patient size Steps 1. Use this button to select the patient size.

  • Page 39: Selecting Volume Diameter And Height

    2. Press the green checkmark button to confirm selections. NOTE The available options depend on the selected program. For more information on KaVo ProXam 3DQ programs, see section "KaVo ProXam 3DQ programs" on page 24. 8.3.4 Selecting volume position Steps 1.

  • Page 40: Selecting Jaw Side

    8.3.5 Selecting jaw side Steps 1. Use this button to select the jaw side (right / left / both sides) that you wish to expose. NOTE The available options depend on the selected program and image resolution. KaVo ProXam Instructions for use...

  • Page 41: Patient Positioning

    OFF). This might be necessary if there is no space for the C-arm to move back. 8.4.2 Positioning patient's head Steps 1. Guide the patient to the X-ray unit. The patient can sit or stand during the exposure. Instructions for use KaVo ProXam...

  • Page 42: Selecting Exposure Values

    To go to the next screen, select: • This symbol • The forward button 8.5.1 Selecting image resolution Steps 1. Use this button to select the image resolution. The voxel size is shown below the resolution button. KaVo ProXam Instructions for use...

  • Page 43: Selecting Ultra Low Dose (Uld)

    The exposure values will automatically change according to the selected patient size, image resolution and ULD setting. 8.5.3 Adjusting exposure values for current exposure NOTE Always try to minimise the radiation dose to the patient. Instructions for use KaVo ProXam...
  • Page 44 Extra large adult (XL) Factory presets for image resolution Normal in other programs Patient size kV value mA value mA value with Child (XS) Small adult (S) Medium-sized adult (M) Large adult (L) Extra large adult (XL) KaVo ProXam Instructions for use...

  • Page 45: Selecting Patient Movement Correction

    Steps 1. Use this button to select the CALM patient movement correction function. This is an algorithm that detects patient movement during exposure and then compensates for the effects of the movement during image reconstruction. Instructions for use KaVo ProXam...

  • Page 46: Adjusting Volume Position

    The following illustrations are guidelines only. When you adjust the volume position, the positioning lights move on your patient’s face. The positioning lights on the illustrations show the preset volume position, and do not move according to your adjustments. KaVo ProXam Instructions for use...

  • Page 47: Moving Image Volume Vertically (Z Laser)

    1. Check that the image volume is positioned at the correct height for your patient. If you need to move the image volume up or down, press the image volume up (1) or down (2) button. The volume bottom light (Z laser) moves accordingly on your patient’s face. Instructions for use KaVo ProXam...

  • Page 48: Moving Image Volume Horizontally (X And Y Lasers)

    If you need to move the image volume to your left or right: • Move the positioning joystick to your left or right. The front light (i.e. the image volume centre as seen from the front) moves accordingly on your patient’s face. KaVo ProXam Instructions for use...
  • Page 49 First rotate the C-arm 90 degrees clockwise by selecting the 90° button at the bottom of the screen. This will give you a better view for checking the volume position. Select the button again if you wish to rotate the C-arm back to the original position. Instructions for use KaVo ProXam...

  • Page 50: Taking Scout Image Or 2D Views (Lat, Pa Or Lat-Pa)

    8.8 Taking scout image or 2D views (LAT, PA or LAT-PA) About this task NOTE You can switch the functions on and adjust the preset exposure values as described in section "Programs (2100)" on page 62. KaVo ProXam Instructions for use...
  • Page 51 Green lights flash on the touch screen and exposure button when the X-ray system is getting ready for an exposure. The green lights stop flashing and stay on continuously when the X-ray system is ready for an exposure. Instructions for use KaVo ProXam...
  • Page 52 Additionally, a radiation warning symbol is shown on the touch screen. The image is shown on the computer screen. If needed, you can readjust the position of small volumes as shown below. KaVo ProXam Instructions for use...

  • Page 53: Taking 3D Exposure

    See section "Operational settings (1300)" on page 56 for setting default scout angle for Tooth program. 8.9 Taking 3D exposure About this task NOTE Make sure that you have selected the correct patient and exposure mode in the Romexis program. Instructions for use KaVo ProXam...
  • Page 54 Additionally, a radiation warning symbol displays on the touch screen. The C-arm moves around the patient’s head. • KaVo ProXam 3DQ X-ray units: If you take two vertical image volumes, the lower volume is imaged first and the upper volume last. The C-arm is automatically moved upwards between the volumes.
  • Page 55 Romexis program. What to do next Remove the fastening straps (if used). Release the patient from the head support by turning the adjusting knob at the top. Guide the patient away from the X-ray unit. Instructions for use KaVo ProXam...

  • Page 56: Settings

    9.1 User settings 9.1.1 Language (1100) About this task Follow these steps to change language on the X-ray unit. Steps 1. Select User > 1100 Language. 2. Select the language you wish to use. Available languages: KaVo ProXam Instructions for use...

  • Page 57: Time And Date (1200)

    Follow these steps to set time display format. Steps 1. Select User > 1200 Time and Date > 1210 Set System Time and Time / Date Display Format > Time Display Format. 2. Select the display format you wish to use. Instructions for use KaVo ProXam...
  • Page 58 Date Display Format > Date Display Format. 2. Select the display format you wish to use. 3. Select the green check mark button. 9.1.2.3 Setting time About this task Follow these steps to set time. KaVo ProXam Instructions for use...
  • Page 59 Follow these steps to set date. Steps 1. Select User > 1200 Time and Date > 1220 Change System Date. 2. Select the day or use the arrow buttons to change the month (single arrow) or year (double arrow). Instructions for use KaVo ProXam...

  • Page 60: Operational Settings (1300)

    1. Select User > 1300 Operational Settings > 1310 Use Mode. 2. Select the mode you wish to use. In demo mode you can practice or demonstrate the functions of the X-ray unit without radiation and PC connection. 3. Select the green check mark button. KaVo ProXam Instructions for use...
  • Page 61 Set the volume level to 0% if you do not wish to use this function. 3. Select the green check mark button. 9.1.3.3 Patient positioning About this task Follow these steps to manage settings for patient positioning. Instructions for use KaVo ProXam...
  • Page 62 3. Select the green check mark button. 9.1.3.4 Exposure settings About this task Follow these steps to control exposure settings. KaVo ProXam Instructions for use...

  • Page 63: Network Settings (1400)

    3. Select the green check mark button. 9.1.4 Network settings (1400) About this task Follow these steps to view network settings. Steps 1. Select User > 1400 Network Settings. 2. Select the network settings you wish to view. Instructions for use KaVo ProXam...

  • Page 64: Testing Routines (1500)

    3. Select the SET button. 4. Move to a protected area. 5. Press and hold down the exposure button for the duration of the exposure. The C-arm will not move when you take a test exposure. KaVo ProXam Instructions for use...
  • Page 65 After a successful process, the message OK is shown. 5. Select the green check mark button. NOTE Contact your service technician for help if error message E332 (Severe arcing across X-ray tube) reappears after a successful seasoning process. Instructions for use KaVo ProXam...

  • Page 66: Program Settings

    5. Use the minus or plus buttons to set the exposure values you wish to use. 6. Select the green check mark button. 7. Repeat for an other program type, patient size or image resolution (3D) if needed. KaVo ProXam Instructions for use...

  • Page 67: Program Features (2200)

    Follow these steps to manage program settings. Steps 1. Select Program > 2200 Program Features to manage program settings. For details on a specific setting, refer to the Instructions for use section that contains the corresponding function. Instructions for use KaVo ProXam...

  • Page 68: Licences (2300)

    ProTouch Desktop (Virtual control panel that allows you to take exposures) • CALM (Patient movement correction for 3D programs) 3. Enter the licence code that you have received for this licence on this X-ray unit. KaVo ProXam Instructions for use...

  • Page 69: Reset To Factory Defaults (2500)

    (i.e. overrule your own settings in menu Programs (2100)). The preset exposure values for 3D patient exposures are shown in section "Adjusting exposure values for current exposure" on page 39. 2. Select the green check mark button. Instructions for use KaVo ProXam...

  • Page 70: About Tab

    Select About > 4200 Archive > Exposure Statistics to view statistical data about the X-ray unit. 9.3.3 Product registration (4300) About this task Follow these steps to register the X-ray unit on KaVo's website. Steps 1. Select About > 4300 Product Registration. 2. Do one of the following: •...
  • Page 71 3. Select the green check mark button. 4. Follow the instructions on the registration page. Note that when you enter the X-ray unit serial number, you have to include any letters shown at the beginning of the number. Instructions for use KaVo ProXam...

  • Page 72: Help Messages

    Check the scan and layer settings. H142 Height movement Height movement is not possible Clear any obstruction before because one (or more) of the moving the column again. positioning control buttons or the positioning joystick is stuck. KaVo ProXam Instructions for use...
  • Page 73 Romexis. program. H180 PC program selection in conflict with selected X-ray program H181 The imaging process was cancelled in Romexis. H182 Timeout in image data transmission. Exposure was interrupted. Contact your service technician for help. Instructions for use KaVo ProXam...
  • Page 74 Reconstruction PC. contact technical support if problem persists. H199 The 3D reconstruction PC does not Upgrade the 3D support the CALM algorithm reconstruction PC or deactivate the CALM licence. Contact your service technician for help. KaVo ProXam Instructions for use...

  • Page 75: Error Messages

    The X-ray unit will not accept any commands from the user until the error message is cleared from the touch screen. Guide the patient away from the X-ray unit. Then clear the message by touching the green check mark. Instructions for use KaVo ProXam...

  • Page 76: Cleaning And Disinfection

    12 Cleaning and disinfection 12 Cleaning and disinfection For cleaning agents and disinfectants approved by the manufacturer, see KaVo approved disinfectants . The document can be found on the document KaVo website. NOTE Switch the X-ray unit off before cleaning and disinfection.
  • Page 77 12 Cleaning and disinfection Panoramic patient supports Cephalometric patient supports Instructions for use KaVo ProXam...
  • Page 78 12 Cleaning and disinfection Patient handles and touch screen KaVo ProXam Instructions for use...

  • Page 79: Other Surfaces

    Do not use disinfectants. 12.2 Other surfaces Wipe the other surfaces regularly using a surface disinfectant approved by the manufacturer. Use a cleaning agent approved by the manufacturer for cleaning stains and dirt if needed. Instructions for use KaVo ProXam...
  • Page 80 12 Cleaning and disinfection NOTE The parts in the figure below can be autoclaved at 134°C (273°F). The parts can be autoclaved up to 100 times. KaVo ProXam Instructions for use...

  • Page 81: Service

    13 Service 13 Service The X-ray unit must be checked by a KaVo qualified service technician once a year or after every 10 000 exposures (if this is sooner). This will guarantee patient and user safety and ensure consistent image quality.

  • Page 82: Terms And Conditions Of Warranty

    Claims from this warranty can only be asserted when the transfer form (copy) belonging to the product has been sent to KaVo, and the original can be presented by the operator or user. Exceptions to the standard warranty •...

  • Page 83: Disposal

    The following parts may contain batteries: • Circuit boards NOTE FOR 3D RECONSTRUCTION PC Delete all patient data from the hard drive before disposal. Use special sanitising software that cleans the media or physically destroy the hard drive. Instructions for use KaVo ProXam...

  • Page 84: Technical Specifications

    Pan / SmartPan: 1 - 16 mA ±10% Scanning ceph: 1 - 16 mA ±10% mAs range min. / max. as indicated ±(10% + 0.2 mAs) mGy range min. / max. as indicated ±35% Linearity of radiation output < 0.1 KaVo ProXam Instructions for use...
  • Page 85 230 - 240 V~ / 8A FF H 500 V Type 195100 ELU External fuse(s) 100 - 220 V ~ / 16A min. - 20A max. T 250 V 230 - 240 V ~ / 10A min. - 20A max. T 250 V Instructions for use KaVo ProXam...
  • Page 86 Planmeca Oy, Asentajankatu 6, FIN-00880, Helsinki, Finland Phone: +358 20 7795 500, Fax: +358 20 7795 555, www.planmeca.com Distribution KaVo Dental GmbH, Bismarckring 39, 88400 Biberach, Germany Phone +49 7351 56-0, Fax +49 7351 56-1488 KaVo ProXam Instructions for use...
  • Page 88 KaVo Dental GmbH | Bismarckring 39 | 88400 Biberach | Deutschland www.kavo.com...

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