Planmeca ProMax 3D s User Manual
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Planmeca ProMax 3D s User Manual

3d imaging
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  • Page 1 Planmeca ProMax 3D s / 3D user's manual 3D imaging...

  • Page 3: Table Of Contents

    12.5 Taking 2D images (Scout, Lat-PA, Lat, PA) ..............57 3D EXPOSURE IN “LARGE VIEW 2 VERTICAL” ........60 13.1 Patient positioning with target movement 3 cm ............61 13.2 Patient positioning with target movement 6 cm ............62 Planmeca ProMax 3D s / 3D 1 User’s Manual (3D)
  • Page 4 IEC 60364 - equipment is used according to the operating instructions Planmeca pursues a policy of continual product development. Although every effort is made to produce up-to-date product documentation this publication should not be regarded as an infallible guide to current specifications. We reserve the right to make changes without prior notice.

  • Page 5: Introduction

    INTRODUCTION INTRODUCTION The Planmeca ProMax 3D s / 3D X-ray unit uses cone beam volumetric tomography produce three- dimensional X-ray images. Panoramic and cephalometric techniques are used for two-dimensional X-rays. The images can be used for examination of dentomaxillofacial anatomy. The X-ray unit is allowed to be used only under supervision of a health care professional.

  • Page 6: Symbols On Product Labels

    These manuals are intended to be used in conjunction with the documentation for the Planmeca Romexis imaging program. The imaging program package contains the following manuals: - User’s Manual - Installation Manual 2 Planmeca ProMax 3D s / 3D User’s Manual (3D)

  • Page 7: Safety Precautions

    CAUTION The patient positioning lights are laser lights. Do not stare into the laser beam. CAUTION Do not drop the sensor. Planmeca limited warranty does not cover damage which is due to misuse, e.g. dropping the sensor, neglect, or any cause other than ordinary application.
  • Page 8 Romexis imaging program. The last ten images can be manually imported into Romexis. NOTE Never place or hang any objects on any part of the X- ray unit. 4 Planmeca ProMax 3D s / 3D User’s Manual (3D)
  • Page 9 Keep loose items of clothing, hair and jewellery tucked away safely. NOTE Do not touch the arm structures when the X-ray unit is moving. NOTE Patients are not allowed to hang on the patient handles. User’s Manual (3D) Planmeca ProMax 3D s / 3D 5...

  • Page 10: Main Parts

    MAIN PARTS MAIN PARTS General view of system X-ray unit Image acquisition work station - Romexis imaging program - Romexis image database 3D reconstruction PC Ethernet Printer 6 Planmeca ProMax 3D s / 3D User’s Manual (3D)

  • Page 11: General View Of X-Ray Unit

    Planmeca ProMax 3D s / 3D Upper arm C-arm Tube head assembly 3D s or 3D sensor Patient support table Patient handles Patient positioning controls Telescopic column Control panel Stationary column Chair (included in delivery) User’s Manual (3D) Planmeca ProMax 3D s / 3D 7...

  • Page 12: Sensors

    MAIN PARTS Sensors 3D s sensor 3D sensor Patient supports Head band 25 (Part number 10028108) Support bars Chin cup Chin support Adjustable adapter 8 Planmeca ProMax 3D s / 3D User’s Manual (3D)

  • Page 13: Exposure Switch

    C-arm will stop moving and a help message will appear on the control panel display. Guide the patient away from the X-ray unit. Then clear the help message by touching OK. User’s Manual (3D) Planmeca ProMax 3D s / 3D 9...

  • Page 14: Emergency Stop Button

    The X-ray unit is then ready for use. On / off switch NOTE To prolong the lifetime of the X-ray unit, always switch the unit off when it is not in active use. 10 Planmeca ProMax 3D s / 3D User’s Manual (3D)

  • Page 15: Programs

    PROGRAMS PROGRAMS NOTE The 3D s / 3D ProFace sensor has a separate manual. NOTE The optional 2D imaging system has a separate manual. NOTE The optional Planmeca ProMax Cephalostat has a separate manual. Program package Contents Sensor 3D imaging system...
  • Page 16 PROGRAMS Tomography Digital tomography Dimax Digital transtomography Cephalostat Digital Ceph Dimax Dynamic Exposure Panoramic DEC Dimax Control (DEC) Cephalometric DEC 12 Planmeca ProMax 3D s / 3D User’s Manual (3D)

  • Page 17: Programs

    Adult: 50 x 80 mm (ØxH) Volume height Child: 42 x 42 mm (ØxH) Adult sizes: UPPER/ LOWER Adult: 50 x 50 mm (ØxH) Ø50 x H80 mm Ø50 x H50 mm User’s Manual (3D) Planmeca ProMax 3D s / 3D 13...
  • Page 18 The preprogrammed target areas are: • Left and right molars • Left and right TMJs • Left and right ears 14 Planmeca ProMax 3D s / 3D User’s Manual (3D)
  • Page 19 Lower (42 / 50 mm), Upper (42 / 50 mm) or Full (68 / 80 mm). 50 mm 80 mm Adult sizes: Ø80 x H80 mm Ø40 x H80 mm Ø80 x H50 mm Ø40 x H50 mm User’s Manual (3D) Planmeca ProMax 3D s / 3D 15...
  • Page 20 • Left premolar • Right premolar • Left molar • Right molar • Left ramus • Right ramus • Left TMJ • Right TMJ • Left ear • Right ear 16 Planmeca ProMax 3D s / 3D User’s Manual (3D)
  • Page 21 The preprogrammed target areas for volume diameters Full and Half are: • Left and right molars • Left and right TMJs Volume diameter Half • Left and right ears (40 mm for adults) User’s Manual (3D) Planmeca ProMax 3D s / 3D 17...
  • Page 22 80 x 130 mm for adults (depending on the selected vertical movement). 3D Impression Scan The preprogrammed target area is: Volume diameter Full (80 mm) Volume height Lower (50 mm) 18 Planmeca ProMax 3D s / 3D User’s Manual (3D)

  • Page 23: Control Panel

    NOTE The exposure time indicated on the display before an exposure is taken is an estimated value. The real value is shown after the exposure. Variation in exposure time is caused by mA automation. User’s Manual (3D) Planmeca ProMax 3D s / 3D 19...

  • Page 24: Selecting 3D Program

    On the next display, select the 3D program you wish to use. Refer to section 7.1 “3D programs” on page 13 to view the volume sizes available for each program type. 20 Planmeca ProMax 3D s / 3D User’s Manual (3D)

  • Page 25: Selecting Patient Size

    The preset exposure values for the selected exposure program are shown in the quick buttons at the bottom of the display. Quick buttons NOTE Selecting kV and mA values manually will override the automatic quick button setting. User’s Manual (3D) Planmeca ProMax 3D s / 3D 21...

  • Page 26: Changing Exposure Values For Quick Buttons

    Selecting the smallest patient size will automatically change the jaw size setting to Narrow. Selecting any of the three patient sizes in the middle will automatically change the jaw size setting to Average. 22 Planmeca ProMax 3D s / 3D User’s Manual (3D)
  • Page 27 Volume Height field. If you select Lower or Upper only the selected half of the target area will be exposed, and selecting Full will produce a full size image of the whole target area. Upper Full Lower User’s Manual (3D) Planmeca ProMax 3D s / 3D 23...
  • Page 28 8.6.1 “3D Standard and 3D Horizontal Pair” on page 22. The red circle (primary volume) will move to the selected target area. NOTE FOR PLANMECA PROMAX 3D: In horizontal stitching the diameter of the primary volume is always Full. 24 Planmeca ProMax 3D s / 3D User’s Manual (3D)
  • Page 29 You can return to the previous display by touching the Primary volume field if you need to readjust the target area for the primary volume. Confirm the selections by touching OK. User’s Manual (3D) Planmeca ProMax 3D s / 3D 25...
  • Page 30 You can return to the previous display by touching the Stitch volume 1 field if you need to readjust the target area for stitch volume 1. Confirm the selections by touching OK. 26 Planmeca ProMax 3D s / 3D User’s Manual (3D)

  • Page 31: Selecting Target Coordinates

    Select target area display where you can change any settings for the target area. See section 8.6 “Selecting target area” on page 22 for more information. User’s Manual (3D) Planmeca ProMax 3D s / 3D 27...

  • Page 32: Selecting Image Resolution

    NOTE If needed, the Go Entry 1 function can be disabled as described in section “Behavioural preferences (i230)” on page 32. This might be necessary if there is no space for the C-arm to move back. 28 Planmeca ProMax 3D s / 3D User’s Manual (3D)

  • Page 33: Information Displays

    To get to the list of the Information displays, first touch the i field. The display shown below appears. You can return to the main display by touching the Exit field. User’s Manual (3D) Planmeca ProMax 3D s / 3D 29...

  • Page 34: User Preference Settings (I200)

    (i210). If you want to change the date, select Set date. The option Date & time display format allows you to select the format you wish to use for displaying date and time. 30 Planmeca ProMax 3D s / 3D User’s Manual (3D)
  • Page 35 Select the time and date format you wish to use. The selected options will be marked with a blue dot. Confirm your selections by touching Done or exit the display without saving changes by touching the Cancel field. User’s Manual (3D) Planmeca ProMax 3D s / 3D 31...
  • Page 36 Save the new setting by touching the Done field or exit the display without saving changes by touching the Cancel field. Behavioural preferences (i230) Select Behavioural preferences (i230) on the User preference settings (i200) display. 32 Planmeca ProMax 3D s / 3D User’s Manual (3D)
  • Page 37 To deselect a function, touch the field again. The green check mark will disappear. Confirm your selection(s) by touching Done. Touching the Cancel field will bring you back to the User preference settings (i200) display. User’s Manual (3D) Planmeca ProMax 3D s / 3D 33...
  • Page 38 Select Visual adjustments (i250) on the User preference settings (i200) display. • DEC settings (i25.1) Refer to the Planmeca ProMax User’s Manual for details on panoramic DEC settings. Refer to the Planmeca ProMax Cephalostat User’s Manual for details on cephalometric DEC settings.
  • Page 39 The selected language will be marked with a blue dot. Confirm your selection by touching Done. Touching the Cancel field will bring you back to the User preference settings (i200) display. User’s Manual (3D) Planmeca ProMax 3D s / 3D 35...
  • Page 40 Select the tooth numbering system you wish to use on the Tomo / Select target area display. The available options are: - Planmeca: 0 - 9 (left / right) - ADA: TMJ-Right, 1 - 8, 32 - 25, 0, 9 - 16, 17 - 24, TMJ-Left...

  • Page 41: Feature Program Control (I300)

    Information displays. On this display new features can be added to the X-ray unit. To add new features, first select the option Enable / disable features (i310). A list of features will appear. User’s Manual (3D) Planmeca ProMax 3D s / 3D 37...
  • Page 42 X-ray unit and for the specified program feature. To disable the selected feature repeat the procedure. NOTE After enabling / disabling a new feature the X-ray unit must be restarted. 38 Planmeca ProMax 3D s / 3D User’s Manual (3D)

  • Page 43: Special Functions (I400)

    “dummy run” function for training and demonstration purposes. For example, you might want to demonstrate the C-arm movements before taking exposures of children or nervous patients. User’s Manual (3D) Planmeca ProMax 3D s / 3D 39...
  • Page 44 X-ray unit, more detailed description). Error code and number of times the error has occurred Software version More detailed description 40 Planmeca ProMax 3D s / 3D User’s Manual (3D)
  • Page 45 Ready will appear at the bottom of the display and you can now press the exposure button to take a test exposure. Note that the C-arm will not move when you take a test exposure. User’s Manual (3D) Planmeca ProMax 3D s / 3D 41...
  • Page 46 Beam check (i470) Refer to the Technical Manual for more information on beam check. Network settings (i480) Refer to the Technical Manual for more information on network settings. 42 Planmeca ProMax 3D s / 3D User’s Manual (3D)

  • Page 47: Patient Positioning Controls

    Open / close temple supports Press the temple support button to open the temple supports in 2D exposures. The temple supports can be closed by pressing the temple support button again. User’s Manual (3D) Planmeca ProMax 3D s / 3D 43...
  • Page 48 C-arm counterclockwise. Positioning joystick The positioning joystick is used to adjust the position of the target area in tomographic or 3D exposures. The joystick can be moved in any direction. 44 Planmeca ProMax 3D s / 3D User’s Manual (3D)

  • Page 49: Preparations For Exposure

    Locking knob Push in the C-arm electrical connector button on the other side. This will make the electrical connection between the sensor and C-arm. C-arm electrical connector button User’s Manual (3D) Planmeca ProMax 3D s / 3D 45...
  • Page 50 C-arm electrical connector 3D s / 3D sensor Locking The locking knob can now be turned 180 degrees. This knob will release the locking mechanism. Carefully pull the sensor out. 46 Planmeca ProMax 3D s / 3D User’s Manual (3D)

  • Page 51: Attaching Support Bars And Head Band

    Insert the support bars into the holes in the patient support table and secure them in position by tightening the locking knobs. Locking knobs Patient support table NOTE Ensure that you insert the support bars the right way round. User’s Manual (3D) Planmeca ProMax 3D s / 3D 47...

  • Page 52: Adjusting Adapter Height

    The lower the patient is positioned, the higher the image position will 48 Planmeca ProMax 3D s / 3D User’s Manual (3D)
  • Page 53 1 step lower patient position -> 5 mm higher image position Use the highest position and a chin cup when taking exposures of the teeth area. TEETH AREA: Chin cup up User’s Manual (3D) Planmeca ProMax 3D s / 3D 49...

  • Page 54: Preparing Patient

    X-ray unit. NOTE High contrast objects, such as gold teeth or amalgam, may cause artefacts in the image. Place a protective lead apron over the patient’s back if required. 50 Planmeca ProMax 3D s / 3D User’s Manual (3D)

  • Page 55: 3D Exposure

    NOTE Always try to minimize the radiation dose to the patient. Exposure values for image resolution Normal or High PATIENT SIZE kV VALUE mA VALUE Child Adolescent Small adult Average-sized adult Large adult User’s Manual (3D) Planmeca ProMax 3D s / 3D 51...

  • Page 56: Patient Positioning

    Touch the Go 3D field on the main display to move the C-arm to the selected target position. The following positioning lights will come on: Volume center lights Volume bottom light Incisor light 52 Planmeca ProMax 3D s / 3D User’s Manual (3D)

  • Page 57: Adjusting Position Of Target Area

    Position the patient’s head so that the patient’s midsagittal plane is vertical (not tilted to one side). NOTE The midsagittal plane light can be activated as described in section “Behavioural preferences (i230)” on page 32. User’s Manual (3D) Planmeca ProMax 3D s / 3D 53...
  • Page 58 Thumb wheel The position of the target area can be fine-adjusted as follows. 54 Planmeca ProMax 3D s / 3D User’s Manual (3D)
  • Page 59 To switch the incisor light back on, select the target area again on the Select target area display. User’s Manual (3D) Planmeca ProMax 3D s / 3D 55...

  • Page 60: Taking An Exposure

    If the C-arm stops moving during exposure, or moves in an erratic way, release the exposure button immediately. When you have taken the exposure the image will show on the computer screen. 56 Planmeca ProMax 3D s / 3D User’s Manual (3D)

  • Page 61: Taking 2D Images (Scout, Lat-Pa, Lat, Pa)

    3D exposure. Refer to section “Default program settings (i270)” on page 36 for information on how to activate this function. User’s Manual (3D) Planmeca ProMax 3D s / 3D 57...
  • Page 62 A symbol indicating the type of view (scout, lat-PA, lat or PA) you are taking will appear on the jaw icon above the Ready field. 58 Planmeca ProMax 3D s / 3D User’s Manual (3D)
  • Page 63 53 and then take new scout images as described above. Repeat the procedure until the position is correct. You can now take a 3D image as described in section 12.4 “Taking an exposure” on page 56. User’s Manual (3D) Planmeca ProMax 3D s / 3D 59...

  • Page 64: Exposure In "Large View 2 Vertical

    Step 6: Position the patient and take an exposure as described in the following sections (13.1 “Patient positioning with target movement 3 cm” on page 61 or 13.2 “Patient positioning with target movement 6 cm” on page 62). 60 Planmeca ProMax 3D s / 3D User’s Manual (3D)

  • Page 65: Patient Positioning With Target Movement 3 Cm

    Adjust the target area as described in section 12.3 “Adjusting position of target area” on page 53. Move unit down Move unit up Take the first exposure as described in section 12.4 “Taking an exposure” on page 56. User’s Manual (3D) Planmeca ProMax 3D s / 3D 61...

  • Page 66: Patient Positioning With Target Movement 6 Cm

    Target movement 6 cm on the Select target area display. Chin support Image 2/2 The first exposure will take an image of the lower volume and the second exposure will take an image of the upper volume. Image 1/2 62 Planmeca ProMax 3D s / 3D User’s Manual (3D)
  • Page 67 Manually adjust the adapter so that the chin support is in the lowest position. Chin support For children (smallest patient size): down Manually adjust the adapter so that the chin support is in the second lowest position. User’s Manual (3D) Planmeca ProMax 3D s / 3D 63...
  • Page 68 Now take the second exposure as described in section 12.4 “Taking an exposure” on page 56. Move unit up NOTE Keep the patient in the same position for both exposures. Move only the unit, not the patient. 64 Planmeca ProMax 3D s / 3D User’s Manual (3D)

  • Page 69: Impression Scan

    / plaster casts only. NOTE The program is available for Planmeca ProMax 3D units. It is not available for Planmeca ProMax 3D s units. NOTE Do not use impression trays made of metal. 14.1 Step 1: Before exposure...

  • Page 70: Step 4: Positioning Impression / Plaster Cast On Disc

    Impression / plaster cast on polystyrene disc Sensor If needed, you can adjust the position of the target area as described in section 12.3 “Adjusting position of target area” on page 53. 66 Planmeca ProMax 3D s / 3D User’s Manual (3D)

  • Page 71: Step 5: Taking An Exposure

    PLANMECA service technician once a year or after every 10 000 exposures if this is sooner. Refer to the Technical Manual for complete servicing information. User’s Manual (3D) Planmeca ProMax 3D s / 3D 67...

  • Page 72: Disposal

    - plastic PUR, other plastics Motors Component boards Cables, Copper, transformers steel, transformer oil X-ray tube Packing Wood, cardboard, paper, polystyrene Sensor Return sensor to Planmeca. Other parts 68 Planmeca ProMax 3D s / 3D User’s Manual (3D)

  • Page 73: Help Messages

    The line voltage was too low during Exposure was interrupted. exposure. Contact your service technician for help. H152 The line voltage is too low. Exposure is not possible. Contact your service technician for help. User’s Manual (3D) Planmeca ProMax 3D s / 3D 69...
  • Page 74 It is not possible to enable radiation or First switch off demo licenses PC communication (i410) when demo (i510), then enable radiation or licenses are switched on (i510). PC communication (i410). 70 Planmeca ProMax 3D s / 3D User’s Manual (3D)

  • Page 75: Error Messages

    The X-ray unit will not accept any commands from the user until the error message is cleared from the display. Guide the patient away from the X-ray unit. Then clear the message by touching OK. User’s Manual (3D) Planmeca ProMax 3D s / 3D 71...

  • Page 76: Connecting Cables

    Connect the exposure switch cable to the right hand side terminal on the underside of the stationary column top. Exposure switch cable Connect the other end to the exposure switch. 72 Planmeca ProMax 3D s / 3D User’s Manual (3D)

  • Page 77: Connecting External Control Panel Cable (Optional)

    Remove the locking plate by unscrewing the two M4X12 DIN7984 screws with a 2.5 mm Allen key. Locking plate User’s Manual (3D) Planmeca ProMax 3D s / 3D 73...

  • Page 78: Technical Specifications

    3D: 13 x 13 cm (5.1 x 5.1 in.) SmartPan image properties: 127 μm Flat panel pixel size Flat panel active surface 0.8 x 13 cm (0.31 x 5.1 in.) 74 Planmeca ProMax 3D s / 3D User’s Manual (3D)
  • Page 79 Operating +10°C to +30°C Storage ±0°C to +50°C Humidity 15% - 85% Original manufacturer PLANMECA Oy, Asentajankatu 6, FIN-00880 Helsinki, FINLAND phone: +358 20 7795 500, fax: +358 20 7795 555, www.planmeca.com User’s Manual (3D) Planmeca ProMax 3D s / 3D 75...

  • Page 80: Dimensions

    TECHNICAL SPECIFICATIONS 21.2 Dimensions ce_digi_etu_max.eps 1250 mm 49.2 in. 1128 mm 850 mm (44.4") (33.5") 150 mm 698 mm (5.9") (27.5") 76 Planmeca ProMax 3D s / 3D User’s Manual (3D)

  • Page 81: Minimum Operational Space Requirements

    1560 - 2385 mm 59 in. 64 in. 61.4 - 93.8 in. X-ray unit with cephalostat 2150 mm 1630 mm 1560 - 2385 mm 85 in. 64 in. 61.4 - 93.8 in. User’s Manual (3D) Planmeca ProMax 3D s / 3D 77...
  • Page 84 Planmeca Oy | Asentajankatu 6 | 00880 Helsinki | Finland tel. +358 20 7795 500 | fax +358 20 7795 555 | sales@planmeca.com | www.planmeca.com...

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