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Planmeca ProMax®

1. im V 3 Ask the patient to grasp the patient handles 4 Check that the patient s head is firmly positioned in the head support e You can adjust the head support by turning the adjusting knob at the top e You can use fastening straps for additional head support if needed Refer to section 9 1 2 Attaching patient supports on page 23 for details User s Manual 3D Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 35 3D PATIENT EXPOSURE 9 5 Adjusting volume position NOTE The volume positions are preset at the factory for a standard patient However as all patients and their anatomical structures are different you have to check that the preset position covers the area of interest for this patient If this is not the case you have to adjust the volume position according to the patient s anatomy The positioning lights and the illustrations on the touch screen help you to do this The illustrations are for 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 they do not move according to your adjustments Use the forward field at the bottom right corner to enter the view where you can adjust the volume position in three directions Top view Front view 3D Tooth Thumb wheel OR Positioning controls Positioning joystick
2. User s Manual 3D button Green lights Flashing green Getting ready Continuous green Ready Yellow lights Lat PA 3D PATIENT EXPOSURE Select the forward button 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 Ask the patient to stay as still as possible Move to a protected area Press and hold down the exposure button for the entire duration of the exposure During exposure yellow radiation warning lights illuminate on the exposure switch and on the touch screen and you hear a radiation warning tone Additionally a radiation warning symbol is shown on the touch screen The image is shown on the computer screen e You can now readjust the volume position as described in section 9 5 Adjusting volume position on page 36 Use the plus and minus signs that have appeared on the touch screen to adjust the position Then take a new exposure as described above Repeat the procedure until the image volume is in the correct place NOTE Scout images are not saved in the Planmeca Romexis program Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 41 3D PATIENT EXPOSURE 9 7 Taking a 3D exposure NOTE Make sure that you have selected the correct patient button Green lights Flashing green Getting ready
3. Continuous green Ready Yellow lights and exposure mode in the Planmeca Romexis program 1 Select the forward button 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 Ask the patient to stay as still as possible e f you take a 3D face photo at the same time tell the patient that the lights on the sides of the sensor will flash during exposure but he should not be startled and move Ask the patient to either keep his eyes shut or to focus them on a fixed point so that the eyes are not half open in the image Move to a protected area Press and hold down the exposure button for the entire duration of the exposure During exposure yellow radiation warning lights illuminate on the exposure switch and on the touch screen and you hear a radiation warning tone Additionally a radiation warning symbol is shown on the touch screen The C arm moves around the patient s head e Planmeca ProMax 3D Mid units If you take two vertical image volumes the lower volume is imaged first and the upper volume last he C arm is automatically moved upwards between the volumes You hear a warning tone when the C arm moves up e f you take two horizontal image volumes the patient s left side is imaged first and the right side last e f you take on
4. To switch the positioning lights on if they are not already on do one of the following e Press the thumb wheel on the underside of the patient support table e Press any of the positioning controls button or joystick The lights will automatically switch off after two minutes To switch them off earlier press the positioning joystick 36 Planmeca ProMax 3D Plus amp 3D Mid with ProTouch User s Manual 3D 3D PATIENT EXPOSURE 9 5 1 Moving image volume vertically Z laser The volume bottom light Z laser indicates the position where the lower edge of the image volume is 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 or down button The volume bottom light Z laser will move accordingly Move image volume up Image volume Move image volume down Volume bottom light 9 5 2 Moving image volume horizontally X and Y lasers The volume center lights cross in the middle of the image volume With the patient positioned in the unit the volume center lights form red lines on the front front light and on the left side side light of your patient s head Volume center lights Side light Y laser Front light X laser User s Manual 3D Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 37 3D PATIENT EXPOSURE Check that the image volume is positioned correctly for your patient If yo
5. 3D Mid with ProTouch User s Manual 3D MAIN PARTS 6 4 2 Chin supports 1 Chin cup 2 Adapter 6 5 Exposure switch The exposure switch can be mounted on the wall or it can be hung from the hook provided on the stationary column top if a protected area is within reach Exposure switch Green lights flash on the exposure button and on the touch screen 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 Exposure button 1 Flashing green Getting ready 2 Continuous green Ready 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 3 Yellow Radiation ps rall6_2 e User s Manual 3D Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 11 MAIN PARTS 6 6 Emergency stop button The emergency stop button is located on the top of the stationary column Press the button to stop the X ray unit operating in an emergency When the emergency stop button is pressed down all movements of the X ray unit are blocked and the unit will not generate radiation The up down movement will stop within a distance of 10 mm 0 4 in A help message will appear on the touch screen Guide the patient away from the X ray unit Then release the emergency stop button The X ray unit will automatically
6. Small adult S Medium sized adult M Large adult L User s Manual 3D Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 29 3D PATIENT EXPOSURE You can adjust the preset exposure values kV and mA To improve the image contrast reduce the kV value To reduce the radiation dose reduce the mA value To adjust the exposure values for this exposure Increase value Forward NOTE You can adjust the preset exposure values permanently as described in section 12 2 1 Programs 2100 on page 62 9 2 6 Selecting screen view Use the button on the right of the screen to select the view that you wish to use on this screen 3D Tooth Premolar Skull Face NOTE You can select one or more options If all three buttons are gray no option selected the screen shows the preset volume positions for the selected program 30 Planmeca ProMax 3D Plus amp 3D Mid with ProTouch User s Manual 3D 3D PATIENT EXPOSURE 9 2 7 Selecting volume position Touch the area that you wish to expose Alternatively you can select the volume position from the drop down menu at the top Select from list NOTE The available options depend on the selected program 9 2 8 Selecting volume height and jaw half Use the first button on the left of the screen to select the volume height Use the second button on the left of the screen to select the jaw half that you wish to expose 3D Tooth Premolar Pp Sel
7. 10 3D Plus 3D Mid 3 1 19 s as indicated 10 2D tomography 4 12 s as indicated 10 3D s 3D Classic 3 3 19 s as indicated 10 3D Plus 3D Mid 3 7 23 s as indicated 10 3D Max 10 s as indicated 10 12 18 7 s as indicated 10 6 4 9 9 s as indicated 10 0 1 0 8 s as indicated 10 3D s 3D Classic 527 mm 20 7 in 3D Plus 3D Mid 3D Max 600 mm 23 6 in 2D 3D s 3D Classic 500 mm 19 7 in 3D Plus 3D Mid 573 mm 22 6 in 3D Max 600 mm 23 6 in 1700 mm 66 9 in 3D s 3D Classic 1 57 3D Plus 3D Mid 1 38 1 44 or 1 80 3D Max 1 38 1 41 or 1 80 User s Manual 3D e Pan e SmartPan e Ceph Duty cycle for height adjustment Line voltage Line current Line harmonics Max permissible apparent impedance of supply mains Maximum continuous heat dissipation Fuses e 2 user replaceable fuses e Type Weight e 2D 3Ds 3D Classic e 3D Plus 3D Mid e 3D Max e Scanning ceph e Planmeca ProCeph Colour Environmental requirements Transport e Temperature e Relative humidity e Air pressure Storage e Temperature User s Manual 3D TECHNICAL SPECIFICATIONS 2D 3D s 3D Classic 1 2 1 5 3D Plus 3D Mid 1 35 1 8 2D tomography 1 5 3D s 3D Classic 1 27 1 5 3D Plus 3D Mid 1 35 1 8 3D Max 1 4 1 13 25 s ON 300 s OFF 100 220 V 50 60 Hz 230 240 V 50 Hz 8 17A Cos better than 0 9 0 5 Q 1
8. 19 for details 9 2 2 Selecting patient size Select the patient size according to the build of the patient Select patient size XS Child S Small adult M Medium sized adult L Large adult Forward NOTE Selecting child patient XS will automatically reduce the volume size and patient dose 26 Planmeca ProMax 3D Plus amp 3D Mid with ProTouch User s Manual 3D NOTE 9 2 3 Selecting image resolution Select image resolution 3D PATIENT EXPOSURE The exposure values will automatically change according to the selected patient size image resolution and ULD setting Select the image resolution you wish to use The voxel size is shown below the resolution button alleues 150 um 100 pm Low dose Normal resolution High definition High resolution Fast forward skip next screen Forward eo Endodontic NOTE NOTE User s Manual 3D The available options depend on the selected program and X ray unit model The exposure values will automatically change according to the selected patient size image resolution and ULD setting Low dose Lower exposure values and reduced patient radiation dose Normal resolution Suitable for most targets High definition Better image quality for small targets e g ear bones High resolution Sharp images Endodontic Very sharp images for endodontic applications and other small targets e g ear bones Planmeca ProMax 3D Plu
9. Do not overstretch the straps The straps lose their elasticity if you pull them more than 50 mm 1 9 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 24 Planmeca ProMax 3D Plus amp 3D Mid with ProTouch User s Manual 3D 3D PATIENT EXPOSURE Head support B Attaching head band Large openings A SN f Head band Support bars Attaching chin cup Chin cup D E Ka Person ID Last Name First Name atie 2s 2012 Test Image ProMax If you are using the head band attach it to the support bars as shown The side with the large openings should be against the patient s forehead Insert the chin cup into the adapter Insert the adapter into the holes in the middle of the patient support table First select the patient User s Manual 3D Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 25 3D PATIENT EXPOSURE Then click the 3D capture button Refer to the Planmeca Romexis User s Manual for details on Romexis functions 9 2 Selecting exposure settings Refer to section 6 7 Touch screen on page 13 for general information on how to make or cancel selections on the touch screen 9 2 1 Selecting program Select the 3D program you wish to use Refer to e section 7 PLANMECA PROMAX 3D PLUS PROGRAMS on page 17 or e section 8 PLANMECA PROMAX 3D MID PROGRAMS on page
10. Patient positioning controls NOTE NOTE MAIN PARTS Checking exposure time DAP and CTDI values The estimated values for exposure time DAP Dose Area Product and CTDI Computed Tomography Dose Index are shown with black text on the touch screen before you take an exposure The actual values are shown with green text after the exposure About stand by mode The screen will automatically switch to stand by mode if you do not touch the screen or the exposure button for more than thirty minutes In stand by mode the green light on the exposure button indicates that the X ray unit is switched on even though the screen is dark The screen will switch on as soon as you touch it again Selecting demo mode You can switch demo mode on if you wish to practice or demonstrate the functions of the X ray unit without radiation Settings gt User gt 1300 Operational settings gt 1310 Use Mode gt 1311 Set Demo Mode Never allow patients to press the positioning controls when they are positioned in the X ray unit Pressing any of the positioning controls button or joystick will switch the patient positioning lights on The lights will automatically switch off after two minutes To switch them off earlier press the positioning joystick Open close temple supports 2D imaging Move image volume down 3D imaging Move X ray unit down Move image volume up 3D imaging Move X ray unit up Positioning joystick U
11. To set date display format 1 Select User gt 1200 Time and Date gt 1210 Set System Time and Time Date Display Format gt Date Display Format 2 Select the display format you wish to use 3 Select the green check mark button MN 11 24 Language 210 Set System Time and Time Date Display Format 1200 Time and Date TIT gs Change Time M00 Network Settings Time Display Format 24h b 1500 Testing Routines mm dd yyyy yyy mm dd e To set time 1 Select User 1200 Time and Date 1210 Set System Time and Time Date Display Format Change System Time 2 Use the plus and minus buttons to change the time 3 Select the green check mark button NOTE The time is set to the local time at the factory Change the time setting to show the correct time before you start using the X ray unit S 11 24 1100 Language 1210 Set System Time and Time Date Display Format 3 1200 Time and Date 60 Operational Setting Change Time 1400 ettin i Network Settings Time Display Change System Time Format 1500 Testing Routines Date Displ erat 56 Planmeca ProMax 3D Plus amp 3D Mid with ProTouch User s Manual 3D 1400 Network Settings 1500 Testing Routines SETTINGS To set date Select User gt 1200 Time and Date gt 1220 Change System Date Select the day or use the arrow buttons to change the month single arrow or yea
12. X ray images can be used to examine e Dentomaxillofacial area e Ear nose and throat e Cervical spine e Other cranial anatomies The 3D face photo can be used for patient education or in order to follow the results of medical treatments You need a PC with the Planmeca Romexis program in order to save view and modify the images Make sure that you are fully acquainted with the appropriate radiation protection measures and these instructions before you use the X ray unit The X ray unit may be used by health care professionals only Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 1 ASSOCIATED DOCUMENTATION 2 ASSOCIATED DOCUMENTATION The X ray unit is supplied with the following manuals e Users Manual s for 3D Imaging Original English publication 10032998 2D Imaging Original English publication 10032999 optional Cephalostat Original English publication 10033034 or 10033035 optional e Installation Manual Original English publication 10033261 e Technical Manual Original English publication 10034331 These manuals are intended to be used in conjunction with the documentation for the Planmeca Romexis program The Romexis package contains the following manuals e User s Manual Original English publication 10014593 e Installation Manual Original English publication 10014600 NOTE The latest versions of the User s Manuals are available on Planmeca s website 2 Planmeca ProMax 3D Pl
13. X ray system is not connected to an Uninterruptible Power Supply UPS disconnect the system from mains during lightning storms FOR US amp CANADIAN USERS The patient positioning lights are class Il laser products 21 CFR 1040 10 FOR EUROPEAN USERS The patient positioning lights are class 1 laser products Standard IEC EN 60825 1 2007 EMC requirements have to be considered and the equipment must be installed and put into service according to the specific EMC information provided in the accompanying documents Portable and mobile RF communications equipment can affect the X ray unit External equipment intended for connection to signal input signal output or other connectors shall comply with relevant IEC standard e g IEC 60950 for IT equipment and the IEC 60601 series for medical electrical equipment In addition all such combinations systems shall comply with the standard IEC 60601 1 1 Safety requirements for medical electrical systems Equipment not complying to IEC 60601 shall be kept outside the patient area more than 2m 79 in from the X ray unit Any person who connects external equipment to signal input signal output or other connectors has formed a system and is therefore responsible for the system to comply with the requirements of IEC 60601 1 1 If in doubt contact your service technician or local representative for help Contact your service technician if you notice a decrease in image
14. available sensors are shown in section 6 3 Sensors on page 9 NOTE FOR PROFACE SENSOR Do not touch the glass windows when you hold the sensor Fingerprints or other stains on the glass surface destroy image quality e rm rm rm usi rm mm mm mm mm mm 1L MM TnT i i Fal 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 use If you have any reason to believe that the sensor might be faulty take a test exposure before taking a patient exposure Attaching sensor to C arm 1 Push the sensor onto the connector on the C arm 2 Turn the locking knob over the fastening mechanism This will secure the sensor in position User s Manual 3D Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 21 3D PATIENT EXPOSURE 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 Detaching sensor from C arm NOTE Do not remove the sensor during imaging process 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 3 Carefully pull the sensor out 22 Planmeca ProMax 3D Plus amp 3D Mid with ProTouch User s Manual 3D 3D
15. material Note that the calibration pin has to be pushed in thicker end first The middle rim has to be flush with the top edge of the calibration cup 3 Let the material set The setting time depends on the material used Wait slightly longer than recommended in the instructions supplied by the manufacturer to ensure proper hardening User s Manual 3D Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 47 3D MODEL EXPOSURE Polystyrene disc part number 10030330 Patient support table 11 1 2 Selecting settings Impression Plaster Cast Forward field Remove all excess material from the top of the calibration cup Gently pull the calibration pin out and ensure that the surfaces of the hole formed by the calibration pin are even no air bubbles in inside walls Remove any patient supports attached to the X ray unit patient support table Insert the polystyrene disc provided part number 10030330 into the adapter On the X ray unit select the program For impression material select 3D Models gt Impression For plaster material select 3D Models gt Plaster Cast The required exposure values depend on the material and X ray unit X ray tube and sensor used If you need to adjust the preset exposure values 80 kV 12 5 mA proceed as described in section 9 2 5 Adjusting exposure values for current exposure on page 28 Select the forward field on the touch screen The posi
16. the image volume in 3D imaging It is used when the patient is positioned in the X ray unit The image volume up and down buttons are used for vertical adjustment of the image volume in 3D imaging The buttons are used when the patient is positioned in the 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 Press the temple support button to open the temple supports in 2D imaging The temple supports can be closed by pressing the temple support button again 16 Planmeca ProMax 3D Plus amp 3D Mid with ProTouch User s Manual 3D PLANMECA PROMAX 3D PLUS PROGRAMS 7 PLANMECA PROMAX 3D PLUS PROGRAMS 7 1 3D Dental 7 1 1 Volume sizes for children TOOTH O34 x H42 mm 234 x H60 mm TEETH 60 x H42 mm 75 x H42 mm 60 x H60 mm 75 x H75 mm JAW 140 x H50 mm 140 x H90 mm 7 1 2 Volume sizes for adults TOOTH O40 x H50 mm OO ee ee ee TEETH O70 x H50 mm 090 x H50 mm O ee JAW 140 x H50 mm I i 7 2 3D Ear Nose Throat 7 2 1 Volume sizes for children me mm Amwws pm wuer mum pue VERTEBRAE TEMPORAL 260 x H60 mm BONE User s Manual 3D Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 17 PLANMECA PROMAX 3D PLUS PROGRAMS 7 2 2 Volume sizes for adults ws mum ws mum mom EM 7 1 MIDDLEEAR EAR Q40xH50mm Q40xH50mm H50 mm Q70xH70mm Q70xH70
17. unit featuring all currently available programs and functions Select the settings icon at the top left corner of the main view to enter the settings menu Settings that can be entered by the user e User e Program e About Settings that can be entered by service personnel only password required e Technical To return to the main view select the settings icon at the top left corner 54 Planmeca ProMax 3D Plus amp 3D Mid with ProTouch User s Manual 3D SETTINGS 12 1 User settings 12 1 1 Language 1100 To change language esch Select User gt 1100 Language NO Select the language you wish to use Co Select the green check mark button p uL 1200 Time and Date Language t a 1300 Operational Settings Language Pafen L 1400 Network Settings Deutsch 1500 Testing Routines Espanol Italiano Francais Suomi 12 1 2 Time and Date 1200 e To set time display format 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 3 Select the green check mark button S 11 24 1100 Language 10 Set System Time and Time Date Display Format 1200 Time and Date 1220 Change ystem Gate 00 Operational Settings 1400 Network Settings 1500 Testing Routines User s Manual 3D Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 55 SETTINGS e
18. 0 7795 555 sales planmeca com www planmeca com PLANMECA Oy s PLANMECA Oy s Environmen ital Quality System Management System Certificate awarded in 1994 Certificate awarded in 2000 y Det Norske Veritas by Det e Veritas by Det ki fulfils the highest acknowledged s i icknowledged international standards international standards
19. 00VAC lt 250W 100 220 V 16A FF H 500V 230 240 V 8A FF H 500V 195100 ELU 119 kg 263 Ibs 136 kg 300 Ibs 134 kg 296 Ibs 26 kg 57 Ibs 20 kg 44 Ibs RAL 9016 20 C 60 C 10 90 RH non condensing 700 1060 hPa 10 C 50 C Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 73 TECHNICAL SPECIFICATIONS e Relative humidity e Air pressure Operating e Temperature e Relative humidity e Air pressure Image properties 3D e Flat panel pixel size e Flat panel active surface SmartPan e Flat panel pixel size e Flat panel active surface Pan ceph CCD e Pixel size e Pan active surface e Ceph active surface Planmeca ProCeph e Flat panel pixel size e Flat panel active surface 10 90 RH non condensing 700 1060 hPa Pan scanning ceph 5 C 40 C 3D ProCeph 10 C 30 C 10 9096 RH non condensing 700 1060 hPa 127 um 3D s 80 x 1830 mm 3 15 x 5 12 in 3D Classic 3D Plus 130 x 130 mm 5 12 x 5 12 in 3D Mid 146 x 146 mm 5 74 x 5 74 in 3D Max 193 x 242 mm 7 6 x 9 5 in 127 um 3D s 3D Classic 3D Plus 8 x 130 mm 0 31 x 5 12 in 3D Mid 8 x 146 mm 0 31 x 5 74 in 3D Max 13 x 162 mm 0 51 x 6 38 in 3D Max MultiView 25 x 162 mm 0 98 x 6 38 in 48 um 6 x 146 mm 0 24 x 5 74 in 6 x 292 mm 0 24 x 11 15 in 139 um 302 x 249 mm 11 89 x 9 80 in Operating conditions for X ray units with ProFace sen
20. 90 degrees clockwise by touching the 90 button at the bottom of the screen This will give you a better view for checking the position of the side light Y laser Touch the button again if you wish to rotate the C arm back to the original position Check that the side light Y laser is positioned 1 3 cm 0 4 1 2 in behind the eye corner If you need to move the side light do one of the following Move the thumb wheel that is located on the underside of the patient support table Move the positioning joystick towards you or away from you NOTE When you adjust the light position the positioning light moves on your patient s face The positioning light on the illustration does not move according to your adjustment User s Manual 3D Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 45 3D FACE PHOTO 10 4 Taking a 3D face photo NOTE Make sure that you have selected the correct patient and exposure mode in the Planmeca Romexis program Forward 1 Select the forward button button 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 Green lights continuously when the X ray system is ready for an exposure Flashing green Getting ready Continuous green Ready 2 Ask the patient to stay as still as possible Tell the patient that the lights on the sides of the sensor will flash during exp
21. PATIENT EXPOSURE 9 1 2 Attaching patient supporis NOTE The available head supports are shown in section 6 5 Exposure switch on page 11 Attaching support bars Support bars Insert the support bars into the holes in the patient support table and secure them in position by tightening the locking knobs qf i Locking zo 2 knobs LT KE TO K SCH Bem ProMax 5 2 e NOTE Ensure that you insert the support bars the right way round ps ProMax 2 2 e Head support A Attaching adjustable head support Adjustable head support If you are using the adjustable head support slide it onto the support bars User s Manual 3D Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 23 3D PATIENT EXPOSURE Adjusting Then turn the adjusting knob to adjust the head support to suit the size of the patient s head Adjustable head support e You can use temple pads if you take exposures of children or patients with a small head Slide the temple pads onto the adjustable head support as shown Ensure that you slide the temple pads as far up as they will go NOTE Use temple pads on both sides not on one side only Temple pads for children e You can use fastening straps for additional head support if needed Attach one strap in front of the forehead and two at the back of the head as shown Be careful when you handle the straps Do not let the straps hit the patient in the eye or face
22. PLANMECA z Planmeca ProMax 3D Plus amp 3D Mid with ProTouch Nd user s manual 3D imaging TABLE OF CONTENTS IR ieieifl en le WE 1 2 ASSOCIATED DOCUMENTATION eene REENEN REENEN KENE KENNEN KENE 2 3 SYMBOLES ON PRODUCT LEES 3 4 SAFETY PRECAUTIONS ser 4 5 SWITCHING X RAY UNIT ON Zeeeuggeugegeteeee eege eege 6 O A ET R E d RE 7 61 General view ol Xray SV SIC WE 7 6 2 General view of X ray Unit 8 ca STOS Ae ee 9 64 nh lee EE 10 65 ee ET DEE 11 660 Emergency Stop DUTION BE 12 67 DEER sicie a A 13 6 8 Patient ee Lei eebe elt re 15 7 PLANMECA PROMAX 3D PLUS PROGRAMS 17 Fa WE E A Rn ME 17 Fe ODEA INOSS TA OAT ssie TENE 17 To ee 18 8 PLANMECA PROMAX 3D MID PROGRAMS eese 19 oM NER Ee 1 M wr ME 19 PANES Pilz o Sieecime m 20 Do JD le EE 20 9 BSD PATIENT EXPOSURE 5 eieoe eire odas cene usns ee 21 9 1 Preparing X Tay SVSICM geet EE EE 21 9 2 Selecting exposure SENS EE 26 GE cerise M Um eed ae eran dewih eaecinteidesusareasimuachdetensicds 33 SEMEN uoce agopte c 34 9 5 Adjusting volume position seeesesssesseeseeeneen nennen nnnm mnn nnn nnne nns 36 9 6 Taking a scout image or 2D views LAT PA or LAT PA ccccccccceeeeeeeeeeeeeeeeneeeeeaes 40 9 7 Takinga 3D expoSULO EE 42 10 SD RACE PHOTO
23. WEE 44 WON tele te aces E m ET 44 10 2 Selecting exposure SOTIN EE 44 10 3 Patient POSIMOMING Tm 44 104 Takinga 9D Tace DMO eet erer Een 46 TT 3D MODEL EXPOSURE sicesictsssencencesrecdesnccusdocseiaiekudusonavecesbessewtesneebncastiesedacnsee 47 11 1 Calibrating X ray unit for impression or plaster material ssesesesssss 47 11 2 Taking an exposure of an impression or plaster cast eeeeeeeeeeeeeeeeee 51 I2 El LE ees 54 12 1 WSEE SCMINGS eege eebe Eege DEE 55 12 2 Program SCUINOS EE 62 12 3 ele VAD E 65 1 HELP MESSAGES eenegen 66 User s Manual 3D Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 1 TABLE OF CONTENTS 14 ERROR MESSAGES eege eege 68 19 EEN E 69 TG SERVICE spse mens adannasaaecencecawawad n 69 I DISPOSAL E 70 18 TECHNICAL SPECIFICATIONS eegene ege Ee EeCeEuugEe Ee 71 18 1 Technical data for Planmeca ProMax product family cccsceccsseeeeeeeeeeeeeeeeeeenaaees 71 18 2 Original manufacturer esses enne nenne nnne nnne nnne nnne nnn nain nnne nnns 75 18 3 Bao ed 75 18 4 Minimum operational space requirements ccceeccsecceeeceeeceeeceeeseeeceeeeeeeseeeseeeaeeeses 76 The manufacturer assembler and importer are responsible for the safety reliability and performance of the X ray unit only if installation calibration modification and repairs are carried out by qualified authorized personnel ele
24. X ray unit Wipe with Wipe with Autoclave soft cloth using soft cloth using up to 135 C alcohol based mild cleaning cleaning solution solution 3D head supports incl support bars and fastening straps Chin cup rest support Temple supports Cephalostat head supports Patient handles Other surfaces incl touch screen Sensors Wipe with soft cloth NO CLEANING Compressed air SOLUTION ProFace sensor laser windows in the middle ProFace sensor other surfaces incl glass windows on both sides Other sensors 16 SERVICE To guarantee patient and user safety and to ensure consistent image quality the X ray unit must be checked and recalibrated by a qualified Planmeca service technician once a year or after every 10 000 exposures if this is sooner User s Manual 3D Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 69 DISPOSAL 17 DISPOSAL Frame covers amp patient supports metal plastic Component boards Cables transformers Packing Sensor Main materials In order to reduce the environmental load over the products entire lifecycle Planmeca s products are designed to be as safe as possible to manufacture use and dispose of Parts which can be recycled should always be taken to the appropriate processing centers after hazardous waste has been removed Disposal of obsolete units is the responsibility of the waste possessor All parts and components containing ha
25. ctrical installations are carried out according to the appropriate requirements such as 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 COPYRIGHT PLANMECA Released 15 May 2014 Publication part number 10032998 revision 7 2 Planmeca ProMax 3D Plus amp 3D Mid with ProTouch User s Manual 3D INTRODUCTION Settings Top left corner of main view User s Manual 3D NOTE NOTE INTRODUCTION This manual describes how to take 3D exposures The manual applies to e Planmeca ProMax 3D Plus X ray unit e Planmeca ProMax 3D Mid X ray unit This manual is valid for software version 3 4 0 0 r or later This software version is compatible with Planmeca Romexis software version 3 6 0 r or later To check the software version of your X ray unit select Settings About 4100 Component Information ProMax SW version The X ray unit uses Cone Beam Computed Tomography CBCT to produce three dimensional 3D X ray images Panoramic cephalometric and projection radiography techniques can be used for two dimensional 2D X rays If the X ray unit has a ProFace sensor you can take a 3D photo of the patient s face The
26. dinary use If you have any reason to believe that the sensor might be faulty take a test exposure before taking a patient exposure If an exposure is interrupted e g exposure button is released or emergency stop button activated the patient must be guided away from the X ray unit before the C arm is moved Do not connect items which are not specified as part of the system Do not connect a multiple portable socket outlet MPSO or extension cord to the system Do not touch an electrical connector and the patient at the same time If the X ray unit shows any signs of oil leakage disconnect the unit from mains and contact your service technician for help Do not use the X ray unit in an oxygen rich environment or in the presence of flammable anesthetics Never use a defective or damaged X ray system Contact your service technician for help It is very important that the place where the unit is to be used and the position from which the user is to operate the unit are correctly shielded Since radiation safety requirements vary from country to country and state to state it is the responsibility of the user to ensure that all local safety requirements are met Cone beam imaging should not be used for routine or screening examinations The imaging examinations must be justified for each patient to demonstrate that the benefits outweigh the risks When it is likely that evaluation of soft tissues will be required a
27. e NOTE NOTE 10 2 Selecting exposure settings ProFace Forward 10 3 Patient positioning If the X ray unit has a ProFace sensor you can take a 3D photo of the patient s face If you wish to take an X ray image and a 3D face photo at the same time refer to section 9 2 10 Selecting 3D face photo X ray units with ProFace sensor on page 32 Proceed as described in section 9 1 Preparing X ray system on page 21 You do not need to use the chin cup and adapter when taking 3D face photos First select the ProFace program 3D Dental ProFace Then accept the next screen 1 Select the patient entry position as described in section 9 4 1 Selecting patient entry position on page 34 2 Guide the patient to the X ray unit The patient can sit or stand during the exposure 44 Planmeca ProMax 3D Plus amp 3D Mid with ProTouch User s Manual 3D Down Up Forward field Rotate C arm 90 degrees Patient support table Thumb wheel side light Y laser Positioning joystick side light Y laser 3D FACE PHOTO Adjust the X ray unit to suit the height of the patient To do this press either of the height adjusting buttons until the chin cup is approximately level with the patient s lower jaw Ask the patient to grasp the patient handles Use the forward field at the bottom right corner to enter the view where you can adjust the lights Rotate the C arm
28. e and Date 1300 Operational Settings Network Settings H Main Network Settings 1400 Network Settings i Sensor Network Settings 1500 Testing Routines User s Manual 3D Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 59 SETTINGS 12 1 5 Testing Routines 1500 e To take a test exposure 1 Select User gt 1500 Testing Routines gt 1510 Test Exposure 2 Use the minus or plus buttons to set the exposure values you wish to use 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 6 Select the green check mark button 1200 Time and Date 1320 Tube Head Seasoning 1300 Operational Settings 1400 Network Settings SEE a NT 1500 Testing Routines ps R_Dsw _2e 60 Planmeca ProMax 3D Plus amp 3D Mid with ProTouch User s Manual 3D SETTINGS e To perform tube head seasoning 1 Select User gt 1500 Testing Routines gt 1520 Tube Head Seasoning This option allows you to warm up the X ray tube i e run a tube head seasoning process This is necessary if the X ray unit has not been used for a few days and you receive error message E332 Arcing across X ray tube 2 Select the Start button 3 Move to a protected area 4 Press the exposure button when the word Ready appears You can press and hold down the exposure button for
29. e image volume and a 3D face photo the X ray image is taken first and the photo last You hear a fast ticking sound when the photo is taken e Planmeca ProMax 3D Mid units If you take two vertical image volumes and a 3D face photo the photo is taken between the X ray images You hear a fast ticking sound when the photo is taken and a warning tone when the C arm moves up e f you take two horizontal image volumes and a 3D face photo the photo is taken last You hear a fast ticking sound when the photo is taken 42 Planmeca ProMax 3D Plus amp 3D Mid with ProTouch User s Manual 3D 3D PATIENT EXPOSURE NOTE Do not release the exposure button before the end of the last exposure NOTE Maintain audio and visual contact with the patient and X ray unit during exposure If the C arm stops moving during exposure or moves in an erratic way release the exposure button immediately 5 The image is shown on the computer screen e f you took two image volumes you must accept the image stitching function in the Planmeca Romexis program Refer to the Romexis User s Manual 6 Guide the patient away from the X ray unit User s Manual 3D Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 43 3D FACE PHOTO 10 3D FACE PHOTO SH SCH SCH Qu T ize ze SC EE SC BES e zer e DRE BCS E irm eet if Le Ki e e e ProFace sensor 10 1 Before exposur
30. e values are given separately for each image resolution The image resolutions that are not available are shown with faded buttons Select also the ULD Ultra Low Dose button if you wish to adjust the presets for the ULD mode 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 8 image resolution 3D if needed Select the green check mark button NOTE Always try to minimize the radiation dose to the patient NOTE You can restore the exposure values that have been preset at the factory i e overrule your own settings by selecting Program 2500 Reset to Factory Defaults NOTE You can adjust the preset exposure values temporarily as described in section 9 2 5 Adjusting exposure values for current exposure on page 28 62 Planmeca ProMax 3D Plus amp 3D Mid with ProTouch User s Manual 3D SETTINGS 2120 2D TMJ 2D Panoramic Interproximal 2300 Licences 2130 2D Sinus Standard 2500 Reset to Factory Defaults 210 2D Cephalostat Bitewing 2150 2D Tomography Interproximal 2160 3D Dental Orthogonal 2170 3DENT Standard TMU 2160 30 Models scan RECEN 12 2 2 Program Features 2200 e To manage program settings Select Program 2200 Program Features to manage program settings For details on a s
31. ect volume height Select jaw half lower upper both halves NOTE The available options depend on the selected program User s Manual 3D Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 31 3D PATIENT EXPOSURE 9 2 9 Selecting jaw side Use the third button on the left of the screen to select the jaw side that you wish to expose 4 3D Tooth T Premolar Select jaw side right left both sides NOTE The available options depend on the selected program and image resolution 9 2 10 Selecting 3D face photo X ray units with ProFace sensor If the X ray unit has a ProFace sensor you can take a 3D photo of the patient s face at the same time as you take an X ray image Select the last button on the left of the screen to take both images at the same time NEM SN ProFace sensor 32 Planmeca ProMax 3D Plus amp 3D Mid with ProTouch User s Manual 3D 9 3 Preparing patient User s Manual 3D NOTE 3D PATIENT EXPOSURE Ask the patient to remove any spectacles hearing aids dentures hairpins and personal jewellery such as earrings necklaces and piercings as these can produce shadows or reflections in the image The patient should also remove any loose items of clothing e g scarf tie that might get caught in the arm structures of the X ray unit High contrast objects such as gold teeth or amalgam may cause artefacts in the image Place a protective lead apron o
32. er only one patient entry position This entry position is the closed patient entry position where the C arm is positioned around the temple supports e Midsagittal and Frankfort Lights in Tomo Turn this option ON if you wish to use the midsagittal and Frankfort plane lights when you take 3D exposures e Temple Supports Turn this option OFF if you do not wish to use the temple supports e Return C arm Automatically Turn this option ON if you wish to set the X ray unit so that the C arm will automatically return to the starting position at the end of an exposure cycle Note however that the automatic function works only if the exposure button is pressed and held down for the entire duration of the exposure 58 Planmeca ProMax 3D Plus amp 3D Mid with ProTouch User s Manual 3D SETTINGS 3 Select the green check mark button 1100 Language 1310 Use Mode 1200 Time and Date 1320 Audio Settings 1300 Operational Settings fo Network Settings 1500 Testing Routines Midsagittal and OFF Frankfort Lights in Toma Temple Supports Return t aL hl Automatically 12 1 4 Network Settings 1400 e To view network settings 1 Select User gt 1400 Network Settings 2 If available select the network settings you wish to view 3 Select the green check mark button NOTE Only a service technician or local administrator may change the network settings 1100 Language 1200 Tim
33. hive 12 3 2 Archive 4200 User s Manual 3D Show Component Information nul m e To view component information Select About 4100 Component Information to view the set up or current software versions of the X ray unit Sho Component Information Show Component 4 ProMax Type Sensor Type GUI Software Version ProMax Version e To view error history Select About 4200 Archive Error History to view a list of the error messages that have been generated by the X ray unit The errors are shown in chronological order with the latest error message on top e To view exposure statistics Select About 4200 Archive Exposure Statistics to view statistical data about the X ray unit Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 65 HELP MESSAGES 13 HELP MESSAGES The X ray unit incorporates a self checking feature that monitors the operation of the unit If the system detects an operating error a help message e g H101 appears on the touch screen The X ray unit will not accept any commands from the user until the help message is cleared from the touch screen Clear the message by touching the green check mark The following list shows in numerical order all the help messages that can appear Exposure switch The exposure button was released Guide the patient away from the before end of exposure X ray unit before moving the C arm Press and hold down the exposure butto
34. image volume center as seen from the side will move accordingly Image volume The largest image volume 3D Plus 0140 mm 3D Mid 0200 mm cannot be moved Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 39 3D PATIENT EXPOSURE Image volume NOTE The incisor light indicates the front edge of the image at the front volume when the front position is selected NOTE Moving the positioning joystick switches the incisor light off Incisor light from patient support table 9 6 Taking a scout image or 2D views LAT PA or LAT PA NOTE To switch the functions on select Settings gt Program gt 2200 Program Features gt 3D Scout ON and 2D Views for 3D ON You can take a scout image or 2D views LAT PA or LAT PA of the selected image volume before you take the actual 3D image This allows you to check the volume position or if necessary confirm the need for a 3D exposure NOTE If the image consists of several volumes scout imaging is available for the first image volume 1 2 only NOTE 2D views are not available for all programs NOTE Make sure that you have selected the correct patient and exposure mode in the Planmeca Romexis program 1 Select the view you wish to take To take LAT PA views select both buttons LAT and PA The selected option is shown on the top of the forward button Select scout or 2D view 40 Planmeca ProMax 3D Plus amp 3D Mid with ProTouch User s Manual 3D Le G EIST
35. in position No IP address defined for 3D sensor Problem during image data Exposure was interrupted H187 transmission Contact your service technician for help The screen was touched during Exposure was interrupted exposure The Y coordinate is out of limits Set the Y coordinate between 64 72mm The SD Model programs must not be Use the 3D Model programs for used for patient imaging taking exposures of impressions or plaster casts only User s Manual 3D Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 67 ERROR MESSAGES 14 ERROR MESSAGES NOTE Contact your service technician for help if you receive an error message The X ray unit incorporates a self checking feature that monitors the operation of the unit If the system detects a technical fault an error message e g E201 appears on the touch screen An error message indicates that the X ray unit has a problem that needs to be solved before further exposures can be taken 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 68 Planmeca ProMax 3D Plus amp 3D Mid with ProTouch User s Manual 3D CLEANING 15 CLEANING NOTE Disconnect the X ray unit from mains before cleaning NOTE Do not use cleaning solutions in aerosol or spray form directly on unit surfaces
36. laster Cast 3 Select the exposure values that you used in the calibration process for this material Refer to section 9 2 5 Adjusting exposure values for current exposure on page 28 4 Select the forward field on the touch screen The positioning lights volume center lights volume bottom light and incisor light come on The volume center Forward field lights cross in the middle of the image volume User s Manual 3D Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 51 3D MODEL EXPOSURE 5 Place the model impression or plaster cast on the polystyrene disc and ensure that e The model faces the sensor and e The model is positioned so that the distance between the cross formed by the volume center lights and the front edge of the model is 45 mm Sensor Move C armup NOTE FOR PLASTER CASTS Move the C arm up about 13 mm 0 5 in by pressing the image volume up button File A Input 6 In the Planmeca Romexis program click SD Model v Q dii as Capture Refer to the Planmeca Romexis Users e Manual for details on Romexis functions i ES TP NS Patients U Exp Model Capture d Start a New 30 Model Scan 52 Planmeca ProMax 3D Plus amp 3D Mid with ProTouch User s Manual 3D 3D MODEL EXPOSURE To be used only with ProMax 3D Impression Scan Mode 7 In the window that appears first select the material you are exposing Then click the option Start Capture NOTE En
37. mm H70 mm ecd 270 x H70 mm BONE VERTEBRAE O70xH70mm x H70 O70xH70mm 7 3 3D Models 7 3 1 Volume size Program PLASTER CAST 290 x H40 mm 18 Planmeca ProMax 3D Plus amp 3D Mid with ProTouch User s Manual 3D PLANMECA PROMAX 3D MID PROGRAMS 8 PLANMECA PROMAX 3D MID PROGRAMS 8 1 3D Dental 8 1 1 Volume sizes for children TOOTH O34 x H42 mm 034 x H68 mm TEETH 268 x H42 mm 85 x H50 mm 268 x H68 mm 85 x H85 mm JAW 200 x H60 mm 0200 x H100 mm FACE 0200 x H100 mm 200 x H170 mm 8 1 2 Volume sizes for adults TOOTH O40 x H50 mm etme TEETH O80 x H50 mm 100 x H60 mm Ee JAW 200 x H60 mm 200 x H100 mm FACE 200 x H100 mm 200 x H170 mm User s Manual 3D Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 19 PLANMECA PROMAX 3D MID PROGRAMS 8 2 3D Ear Nose Throat 8 2 1 Volume sizes for children 100 x H100 mm 9200 x H100 mm 100 x H170 mm 200 x H170 mm AIRWAYS 268 x H68 mm TEMPORAL O68 x H68 mm BONE VERTEBRAE Ko O68 x H68 mm 8 2 2 Volume sizes for adults we mum 0 100 x H100 mm 0200 x H100 mm UMP eee Am Om Me wesen Sam mum TEMPORAL 280 x H80 mm BONE 8 3 3D Models 8 3 1 Volume size PLASTER CAST 280 x H40 mm 20 Planmeca ProMax 3D Plus amp 3D Mid with ProTouch User s Manual 3D 3D PATIENT EXPOSURE 9 3D PATIENT EXPOSURE 9 1 Preparing X ray system 9 1 1 Attaching and removing sensor NOTE The
38. n for the entire duration of the exposure The exposure button is stuck or the Release the exposure button cable is short circuited If necessary contact your service technician to replace the exposure switch Emergency stop The emergency stop button has been All movements of the X ray unit button activated are blocked no radiation is generated Guide the patient away from the X ray unit Then release the emergency stop button to resume normal operation Height movement Height movement is not possible Clear any obstruction before because the stop plate at the bottom of moving the column again the column was activated Height movement is not possible Helease the button joystick because one or more of the positioning control buttons or the positioning joystick is stuck Height movement is not possible The Press the X ray unit down button position of the patient support table is to move the patient support table too high down Height movement was stopped Clear any obstruction before because the C arm cannot be moved _ continuing lower Height movement was stopped Clear any obstruction before because the patient support table continuing cannot be moved lower Planmeca ProMax 3D Plus amp 3D Mid with ProTouch User s Manual 3D HELP MESSAGES Line voltage The line voltage was too low during Exposure was interrupted exposure Contact your service technician for help The line voltage is to
39. n warning lights illuminate on the exposure switch and on the touch screen and you hear a radiation warning tone Additionally a radiation warning symbol is shown on the touch screen Note that the exposure lasts longer than a 3D patient exposure amp Save Calibration Information Enter a Name for this Calibrated Material 3 In the Planmeca Romexis program enter a name for 80kV_14mA_Heraeus Flexitime l this material and click OK OK i Cancel NOTE The calibration exposure values are automatically included at the beginning of the name The exposure values shown here are only examples 50 Planmeca ProMax 3D Plus amp 3D Mid with ProTouch User s Manual 3D 3D MODEL EXPOSURE 11 2 Taking an exposure of an impression or plaster cast NOTE The X ray unit has to be calibrated for each new material that is used Refer to the previous section for details NOTE FOR IMPRESSIONS Do not use impression trays made of metal 11 2 1 Selecting settings Polystyrene disc part number 10030330 1 Remove any patient supports attached to the X ray unit patient support table Insert the polystyrene disc Te provided part number 10030330 into the adapter if it gt is not in place Adapter im P d M IMP SCAN MM 1 Fa Patient support table 2 On the X ray unit select the program Impression Plaster Cast e For impressions select 3D Models gt Impression e For plaster casts select 3D Models gt P
40. o low Exposure is not possible Contact your service technician for help Temperature The temperature of the tube head is too Wait for a few minutes for the high tube head to cool down The temperature of the lift motor is too Wait for a few minutes for the lift high motor to cool down The temperature of the power supply Wait for a few minutes for the unit PSU is too high power supply unit PSU to cool down The temperature of the tube head is too Wait for a few minutes for the high for the selected exposure values tube head to cool down The maximum tube head energy level Wait for a few minutes for the was exceeded tube head to cool down or use lower exposure values User related The sensor is not attached properly to Attach and or lock the sensor in messages the cephalostat position H172 H175 H177 Exposure is not possible with these Change the image volume settings settings Exposure is not possible with these Change the settings settings The imaging process was cancelled in Planmeca Romexis Timeout in image data transmission Exposure was interrupted H178 PC program selection is in conflict with Select another exposure mode in the selected X ray unit program Planmeca Romexis Contact your service technician for help The attached sensor is not suitable for Change the sensor the selected program The 3D sensor is not attached properly Attach and or lock the sensor
41. oshiba D 067SB According to IEC 60336 2D 3D s 3D Classic 3D Plus 3D Mid 0 5 x 0 5 mm 3D Max 0 6 x 0 6 mm min 2 5 mm AI 0 5 mm Cu min 2 5 mm AI 3D s 3D Classic 3D Mid 54 90 kV 5 3D Max 54 96 kV 5 54 84 kV 5 60 84 kV 5 3D s 3D Classic 3D Plus 3D Mid 60 90 kV 5 3D Max 60 96 kV 5 60 84 kV 5 60 84 kV 5 3D s 3D Classic 3D Mid 1 14 mA 10 3D Max 1 12 5 mA 10 1 16 mA 10 1 16 mA 10 Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 71 TECHNICAL SPECIFICATIONS Anode current X ray units with SW 3 0 or later e 3D e Pan SmartPan e Scanning ceph e Planmeca ProCeph mAs range mGy range Linearity of radiation output Cooling period Exposure time e 3D e Pan e SmartPan e Scanning ceph Normal e Scanning ceph High Speed e Planmeca ProCeph SID e 3D e Pan e Ceph Magnification e 3D 72 Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 3D s 3D Classic 3D Plus 3D Mid 1 14 mA 10 3D Max 1 12 5 mA 10 1 16 mA 10 1 16 mA 10 16 mA 10 min max as indicated 1096 0 2 mAs min max as indicated 40 0 1 Automatically controlled 3D S Pulsed effective 4 8 36 s as indicated 10 3D Classic 3D Plus 3D Mid Pulsed effective 2 4 36 s as indicated 10 3D Max Pulsed effective 3 6 24 s as indicated 10 2D 3D s 3D Classic 2 16sas indicated
42. osure but he should not be startled and move Ask the patient to either keep his eyes shut or to focus them on a fixed point so that the eyes are not half open in the image 3 Press and hold down the exposure button for the entire duration of the exposure You hear a fast ticking sound when the photo is taken 4 The photo is shown on the computer screen 5 Guide the patient away from the X ray unit 46 Planmeca ProMax 3D Plus amp 3D Mid with ProTouch User s Manual 3D 11 3D MODEL EXPOSURE CAUTION The 3D Model programs must not be used 3D MODEL EXPOSURE for patient imaging The programs are intended for taking exposures of impressions and plaster casts only 11 1 Calibrating X ray unit for impression or plaster material NOTE The X ray unit has to be calibrated for each new NOTE NOTE 11 1 1 Preparing calibration material Impression material Calibration cup part number 10031325 Calibration pin part number 10031265 material that is used The X ray unit needs to be calibrated only once for each material FOR IMPRESSIONS Only monophase impression materials can be used FOR PLASTER CASTS If the plaster cast consists of two materials the X ray unit has to be calibrated for the teeth material 1 Insert material into the calibration cup provided part number 10031325 until the calibration cup is full 2 Place the calibration pin provided part number 10031265 in the
43. ouch User s Manual 3D MAIN PARTS 6 MAIN PARTS 6 1 General view of X ray system ps Mid_2B e 1 X ray unit 2 3D reconstruction PC 3 Planmeca Romexis program User s Manual 3D Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 7 MAIN PARTS 6 2 General view of X ray unit C arm Cephalostat optional Patient support table Patient handles Positioning controls Touch screen Telescopic column Stationary column Chair included in delivery 8 Planmeca ProMax 3D Plus amp 3D Mid with ProTouch User s Manual 3D MAIN PARTS 6 3 Sensors i ege RO SS EPS C Sy sy sy C C C C C O r2 SC SC SCH C FER EE EE EE PES e e Is 1 3D sensor for Planmeca ProMax 3D Plus 2 3D sensor for Planmeca ProMax 3D Mid 3 ProFace sensor for Planmeca ProMax 3D Plus and Planmeca ProMax 3D Mid User s Manual 3D Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 9 MAIN PARTS 6 4 Patient supports 6 4 1 Head supports A or B 1 Adjustable head support 1 Head band 25 2 Temple pads for children 2 Support bars 3 Fastening straps 4 Support bars 10 Planmeca ProMax 3D Plus amp
44. pecific setting refer to the manual section that contains the corresponding function Program Features Programs Autofocus E Program Features SmartPan Fast Forward om 2D Image Shift 10 mm Reset to Factory Defaults Lateral TMJ 17 i Default Angle deg PA TMJ Default We b Angle deg TMJ 2 2 Shift 10 mm gt User s Manual 3D Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 63 SETTINGS 12 2 3 Licences 2300 To activate a program licence Select Program gt 2300 Licences Select the licence you wish to activate oO N Enter the licence code that you have received for this licence on this X ray unit 4 Select the green check mark button 5 Repeat for an other program licence if needed 6 Select the green check mark button i100 Programs 2 00 Program Features Bitewing Panoramic Progra 2500 Reset to Factory Defaults Advanced Panoramic Prog 2D Tomography Panoramic DEC 12 2 4 Reset to Factory Defaults 2500 e To reset to factory defaults 1 Select Program gt 2500 Reset to Factory Defaults 2 Select the green check mark button NOTE The function will restore the factory defaults in menu Programs 2100 2100 Programs 2200 Program Features 2309 Licences 64 Planmeca ProMax 3D Plus amp 3D Mid with ProTouch User s Manual 3D 12 3 About tab SETTINGS 12 3 1 Component Information 4100 4100 Component Information 4200 Arc
45. quality Contact your service technician if you have taken an exposure but the image does not appear in the Planmeca Romexis program The last ten images can be manually imported into Romexis Never place or hang any objects on any part of the X ray unit Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 5 SWITCHING X RAY UNIT ON NOTE NOTE Glass windows NOTE deen i NOTE L ON TED jJ N OT E ProFace sensor 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 If you have any reason to believe that the C arm might hit the patient during exposure e g patients with wide shoulders take a test exposure without radiation first To switch radiation off select Settings gt User gt 1300 Operational settings gt 1310 Use Mode gt 1311 Set Demo Mode Do not touch the arm structures when the X ray unit is moving Patients are not allowed to hang on the patient handles FOR PROFACE SENSOR Do not touch the glass windows Fingerprints or other stains on the glass surface destroy image quality 5 SWITCHING X RAY UNIT ON 0 X on ott 2 e NOTE The on off switch is located on the underside of the stationary column top To prolong the lifetime of the X ray unit always switch the X ray unit off when it is not in active use Planmeca ProMax 3D Plus amp 3D Mid with ProT
46. r double arrow Select the green check mark button 1210 Set System Time and Time Date 12 1 3 Operational Settings 1300 119 Language 1200 Timeand Date 1300 Operational Settings 1500 Testing Routines User s Manual 3D 1310 Use Mode To select mode Select User gt 1300 Operational Settings gt 1310 Use Mode 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 Select the green check mark button rll Set Demo Mode 1312 Set Normal Made 1330 Patient Positioning Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 57 SETTINGS e To control audio settings 1 Select User gt 1300 Operational Settings gt 1320 Audio Settings 2 Use the minus or plus button to reduce or increase the volume of the radiation warning tone 3 Select the green check mark button am 11 41 1100 Language 131 Use Mode 1200 Time and Date 1320 Audio Settings 1300 Operational Settings Alarm Volume 1500 Testing Routines e To manage settings for patient positioning 1 Select User gt 1300 Operational Settings gt 1330 Patient Positioning 2 Turn an option s ON or OFF e Side Entry Turn this option OFF if you do not wish to use the open full view patient entry position This might be necessary if there is no space for the C arm to move back NOTE Planmeca ProMax 2D S2 units off
47. restart IN L 12 Planmeca ProMax 3D Plus amp 3D Mid with ProTouch User s Manual 3D MAIN PARTS 6 7 Touch screen NOTE Theoptions shown on the touch screen depend on the unit configuration The X ray unit can be upgraded with new programs and features contact your dealer for further information The views and values shown in this manual are only examples NOTE Theillustrations shown on the touch screen are based on approximate patient anatomy The actual volume position 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 You can use the buttons at the bottom of the main screen to change the appearance of the main view PLARNIMECA ProMliax 32D Miig rnn 14 05 2013 zaa EC Teg e Left button To view the ProMax model and up to five most recently used programs select the left button at the bottom of the main screen The most recently used program is shown first This is the default view of the main screen NOTE If you wish to use fast forward buttons on this view select Settings gt Program gt 2200 Program Features gt Fast Forward ON Using a fast forward button takes you directly to the last screen where you can take an exposure e Right button To view two program bar
48. s amp 3D Mid with ProTouch 27 3D PATIENT EXPOSURE 9 2 4 Selecting Ultra Low Dose ULD Select the ULD button to take an exposure with a very low dose The function can be used to reduce patient radiation dose for example in follow up studies Select ULD button Fast forward skip next screen Forward NOTE The exposure values will automatically change according to the selected patient size image resolution and ULD setting 9 2 5 Adjusting exposure values for current exposure NOTE Always try to minimize the radiation dose to the patient The exposure values have been preset at the factory for each patient size image resolution and ULD Ultra Low Dose setting The preset exposure values are average values and they are only meant to guide the user The preset exposure values are shown in the following tables Factory presets for image resolution Low dose in programs Nose and Sinus mA VALUE PATIENT SIZE kV VALUE mA VALUE WITH ULD 28 Planmeca ProMax 3D Plus amp 3D Mid with ProTouch User s Manual 3D 3D PATIENT EXPOSURE Factory presets for image resolution Low dose in other programs Child XS Small adult S Medium sized adult M Large adult L Factory presets for image resolution Normal in programs Nose and Sinus Child XS Small adult S Medium sized adult M Large adult L Factory presets for image resolutions Normal HD Hi Res and Endo in other programs Child XS
49. s on top of each other select the right button at the bottom of the main screen e Home button To return to the main view from another screen select the home button at the top right corner of the screen User s Manual 3D Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 13 MAIN PARTS NOTE 2D Dental Forward button To accept a selection and to go to the next screen touch the forward button Fast forward button To accept a selection and to skip the next screen touch the fast forward button Accept button To accept a selection touch the green check mark button Cancel button To cancel a selection touch the red cross button Pause button To pause a function instead of cancelling it touch the pause button Making selections To make a selection on the touch screen simply touch a button or a field with your finger or a soft stylus The selected option is highlighted To deselect an option touch the button or field again or select an other option if available Do not use sharp objects to operate the touch screen Scrolling lists To scroll a list down or up slide your finger on the screen Changing settings To change a setting select the settings icon at the top left corner of the main view This takes you to the settings menu where you can adjust the settings of the X ray unit 14 Planmeca ProMax 3D Plus amp 3D Mid with ProTouch User s Manual 3D mGy cm mGy 6 8
50. s part of the patients radiological assessment conventional CT or MR medical imaging should be used rather than CBCT ProTouch User s Manual 3D p LASER RADIATION 8 DO NOT STARE INTO BEAM imW CLASS Il 635nm LASER PRODUCT CLASS 1 LASER PRODUCT APPAREIL A LASER DE CLASSE 1 IEC 60825 1 2007 User s Manual 3D NOTE NOTE NOTE NOTE NOTE NOTE NOTE NOTE NOTE NOTE NOTE NOTE NOTE NOTE SAFETY PRECAUTIONS Before taking an exposure ask any female patient of childbearing age whether she might be pregnant The X ray unit is not intended for use on pregnant women FOR CANADIAN USERS All patients must be provided with a shielded apron for gonad protection and a thyroid shield The use of a thyroid shield is especially important in children The shielded apron and thyroid shield should have a lead equivalence of at least 0 25 mm on both sides front and back of the patient If the X ray unit has been stored at temperatures under 10 C for more than a few hours time must be allowed for the unit to reach room temperature before turning it on Ensure efficient air conditioning in the X ray room It is recommended to keep the room temperature between 20 C and 25 C at all times 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 If the
51. ser s Manual 3D Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 15 MAIN PARTS X ray unit up down NOTE Down Up NOTE NOTE NOTE emergency_stop eps NOTE Stop plate Positioning joystick Image volume up down Down Up Open close temple supports The X ray unit up and down buttons are used to adjust the X ray unit to suit the height of the patient The X ray unit moves slowly at first then faster If for some reason either of the buttons gets stuck during operation you can stop the up down movement by pressing any of the other control buttons or the positioning joystick This is a safety measure that guarantees that the up down movement can be stopped in an emergency Be careful that the X ray unit does not hit the ceiling when you press the up button The maximum height can be adjusted to suit offices with low ceiling contact your service technician for help Make sure that there is no object under the telescopic column when you press the down button If something is in danger of becoming trapped release the button immediately to stop the movement The column movement stops automatically if the emergency stop plate at the bottom is pressed upwards Clear any obstruction before moving the column again When positioning wheelchair patients always first move the X ray unit down before you position the patient in the unit The positioning joystick is used for horizontal adjustment of
52. sor e Optimum colour temperature Approx 6500 Kelvin e Frequency for fluorescent lamps 100 Hz e Even and uniform lighting e No natural light No green objects next to X ray 74 Planmeca ProMax 3D Plus amp 3D Mid with ProTouch no windows in the room User s Manual 3D TECHNICAL SPECIFICATIONS 18 2 Original manufacturer PLANMECA Oy Asentajankatu 6 FIN 00880 Helsinki FINLAND Phone 358 20 7795 500 Fax 358 20 7795 555 www planmeca com 18 3 Dimensions A Scanning ceph or _ Planmeca ProCeph io oD Oi e z eo D e EX SE gp eo e CH re T LO eo Y RR Y 1145mm 45 1 930mm 36 6 270mm 810mm 32 m gt lt 10 6 fo S 2 E l m E Co ed wo Y co co eo Scanning ceph or Planmeca ProCeph User s Manual 3D Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 75 TECHNICAL SPECIFICATIONS 18 4 Minimum operational space requirements NOTE The maximum height can be adjusted to suit offices with low ceiling X ray unit 1580 mm 1750 mm 2390 mm 63 in 69 in 94 in X ray unit with cephalostat 2275 mm 1750 mm 2390 mm 89 6 in 69 in 94 in 76 Planmeca ProMax 3D Plus amp 3D Mid with ProTouch User s Manual 3D PLANMECA Planmeca Oy Asentajankatu 6 00880 Helsinki Finland tel 358 20 7795 500 fax 358 2
53. sure that you have selected the correct exposure values on the X ray unit The exposure values shown here are only examples Forward 1 Select the forward button SR Green lights flash on the touch screen and exposure button when the X ray system is getting ready for an l exposure The green lights stop flashing and stay on Green lights continuously when the X ray system is ready for an exposure Flashing green Getting ready Continuous green Ready Yellow lights 2 Press and hold down the exposure button for the entire duration of the exposure During exposure yellow radiation warning lights illuminate on the exposure switch and on the touch screen and you hear a radiation warning tone Additionally a radiation warning symbol is shown on the touch screen Note that the exposure lasts longer than a 3D patient exposure 3 The image is shown on the computer screen NOTE The Romexis function Model Capture creates surface models instead of voxel data images User s Manual 3D Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 53 SETTINGS 12 SETTINGS NOTE NOTE 100 Language 1200 Time and Date 1300 Operational Settings 1400 Network Settings 1500 Testing Routines Some of the settings can be used to alter the operation of the X ray unit Never use functions that you are not familiar with The contents of the displays depend on the unit configuration The displays shown here are from an X ray
54. the whole duration of the process or remove your finger from the exposure button when the word Wait appears Note that the seasoning process will take several minutes 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 Arcing across X ray tube reappears after a successful seasoning process 11 Language 1510 Test Exposure 1520 Tube Head Seasoning 1200 Time and Date 1200 Operational Settings 1400 Network Settings 1500 Testing Routines R_Dsw _2eps User s Manual 3D Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 61 SETTINGS 12 2 Program settings 12 2 1 Programs 2100 To turn a program s ON or OFF 1 Select Program 2100 Programs 4 Select a program group e g 2D Panoramic Turn a program type s e g Interproximal ON or OFF Select the green check mark button NOTE The function is available for programs that have been activated in menu 2300 Licences To permanently adjust preset exposure values 1 Select Program 2100 Programs 2 Select a program group e g 2D Panoramic 3 Select a program type e g Interproximal Program types that are not available on your X ray unit are shown with a light gray background color Select the exposure values you wish to adjust e g 68 kV 10 mA for patient size M e n 3D programs the exposur
55. tioning lights volume center lights volume bottom light and incisor light come on The volume center lights cross in the middle of the image volume 48 Planmeca ProMax 3D Plus amp 3D Mid with ProTouch User s Manual 3D 3D MODEL EXPOSURE 3 Place the calibration cup on the polystyrene disc so that the volume center lights cross in the middle of the cup Volume ce lights Sr Calibration cup on polystyrene disc 4 In the Planmeca Romexis program click 3D gt Model Capture Refer to the Planmeca Romexis Users Manual for details on Romexis functions Arefact Stitch 20 S uousl Volumes Import Import p Model Capture Start a New 3D Model Scan 3D Impression Capture To be used only with ProMax 3D Impression Scan Mode 5 Click the option Add Material in the window that Select Material WEE LI appears Start Capture User s Manual 3D Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 49 3D MODEL EXPOSURE 11 1 3 Taking a calibration exposure 1 Select the forward button 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 Green lights continuously when the X ray system is ready for an exposure Flashing green Getting ready Continuous green Ready Yellow lights 2 Press and hold down the exposure button for the entire duration of the exposure During exposure yellow radiatio
56. u need to adjust the volume position proceed as follows Front light X laser 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 center as seen from the front will move accordingly Positioning joystick front light 2 X laser NOTE Image volumes with large diameters 3D Plus gt 70 mm 3D Mid gt 80 mm are slightly offset towards the column These image volumes cannot be moved to the left or right COLUMN Planmeca ProMax 3D Plus gt 70 mm Planmeca ProMax 3D Mid gt 80 mm 38 Planmeca ProMax 3D Plus amp 3D Mid with ProTouch User s Manual 3D Rotate C arm 90 degrees Patient support table User s Manual 3D 3D Tooth Thumb wheel side light Y laser Positioning joystick side light Y laser NOTE 3D PATIENT EXPOSURE Side light Y laser First rotate the C arm 90 degrees clockwise by touching the 90 button at the bottom of the screen This will give you a better view for checking the volume position Touch the button again if you wish to rotate the C arm back to the original position If you need to move the image volume to the front or back do one of the following e Move the thumb wheel that is located on the underside of the patient support table e Move the positioning joystick towards you or away from you The side light i e the
57. us amp 3D Mid with ProTouch User s Manual 3D SYMBOLS ON PRODUCT LABELS 3 SYMBOLS ON PRODUCT LABELS User s Manual 3D LE L SGS d A H m CE marking according to European standard Directive 93 42 EEC SGS marking according to US and Canadian standards ANSI UL 60601 1 and CAN CSA C22 2 No 601 1 M90 Date of manufacture Standard ISO 15223 1 Attention consult accompanying documents Standard IEC 60601 1 Type B applied part Standard IEC 60601 1 Separate collection for electrical and electronic equipment Directive 2002 96 EC WEEE Alternating current Standard IEC 60417 Electrostatic sensitive device Standard IEC 60417 Planmeca ProMax 3D Plus amp 3D Mid with ProTouch 3 SAFETY PRECAUTIONS 4 SAFETY PRECAUTIONS CAUTION CAUTION CAUTION CAUTION CAUTION CAUTION CAUTION CAUTION CAUTION CAUTION CAUTION NOTE NOTE NOTE 4 Planmeca ProMax 3D Plus amp 3D Mid with FOR US USERS Federal law restricts this device to sale by or on the order of a health care professional This X ray unit may be dangerous to both patient and operator unless safe exposure values are used and correct operating procedures are observed The patient positioning lights are laser lights Do not stare into the laser beam 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 or
58. ver the patient s back if required Planmeca ProMax 3D Plus amp 3D Mid with Profouch 33 3D PATIENT EXPOSURE 9 4 Patient positioning 9 4 1 Selecting patient entry position Use the buttons at the bottom of the screen to select the patient entry position e Selecting the left button will position the C arm around the patient support This is the traditional closed patient entry position e Selecting the right button will move the C arm to the back away from the patient positioning area This full view position allows you to monitor and adjust the patient s position freely from all directions Select patient entry position Closed Open NOTE f needed the full view position right button can be disabled Settings User 1300 Operational settings gt 1330 Patient positioning This might be necessary if there is no space for the C arm to move back 9 4 2 Positioning patients head 1 Guide the patient to the X ray unit The patient can sit or stand during the exposure 2 Adjust the X ray unit to suit the height of the patient To do this press either of the height adjusting buttons until the chin cup is approximately level with the patient s lower jaw 34 Planmeca ProMax 3D Plus amp 3D Mid with ProTouch User s Manual 3D 3D PATIENT EXPOSURE CH A Fi The positioning lights come on CT lb Volume bottom light GES Dp g VE Volume center lights ee g NULLE front and side lights
59. zardous materials as well as batteries must be disposed of in accordance with waste legislation and instructions issued by the environmental authorities Batteries must be disposed of in compliance with the requirements of Directive 2006 66 EEC The risks involved and the necessary precautions must be taken into account when handling waste products Recyclable Hazardous Waste material disposal waste X p separate if available collection Aluminium galvanized steel lead PUR other plastics steel transformer oil Wood cardboard paper polystyrene Return sensor to Planmeca 70 Planmeca ProMax 3D Plus amp 3D Mid with ProTouch User s Manual 3D TECHNICAL SPECIFICATIONS 18 TECHNICAL SPECIFICATIONS 18 1 Classification Medical Device Directive e IEC 60601 1 e CISPR 11 Generator X ray tube Focal spot size Total filtration e 3D e Pan ceph Anode voltage X ray units with SW prior to 3 0 e 3D e Pan SmartPan e Ceph Anode voltage X ray units with SW 3 0 or later e 3D e Pan SmartPan e Ceph Anode current X ray units with SW prior to 3 0 e 3D e Pan SmartPan e Ceph User s Manual 3D Technical data for Planmeca ProMax product family 93 42 EEC Class llb Class I type B Class B Resonant mode DSP controlled 80 160 kHz according to IEC 60601 2 7 1998 2D 3D s 3D Classic 3D Plus 3D Mid Toshiba D 054SB 3D Max T

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