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Operation Instructions

1. Button Rod Insert the PAN CEPH cassette used for both panorama and cephalo exposures Only the PAN CEPH cassette can be used to make cephalo exposures Grip LED Detector Side Start Position Key 1 Press the Cephalo Start Position Key Both the REESE cassette holder and the secondary slit plate will move ijo mug foni 2 Hold the bottom of the cassette with one hand and the grip with the other Push down the button and carefully slide the cassette into the holder until the rod goes inside Then release the button 53 Operation 2007 09 19 CEPH Operation 2007 09 19 Slide the cassette all the way in until the rod goes into its hole inside the holder The rod will make and audible click and the button will pop out A beep will also sound After a few seconds the green LED on the cassette will start to blink on and off WARNING Do not bump jiggle vibrate or use excessive force Use both hands to put the cassette in and take it out The cassette weighs about 2 kg and it could injure your foot if you dropped it The sensor would also be damaged Do not swing the cassette around The vibrations could disturb the sensor s adjustment 54 Patient Entry Egress key Secondary slit CEPH A NOTE Do not store under conditions of high temperature and humidity No frequent or continuous exposure to direct sunlight Do not get water detergents or chemical so
2. Main LED Turn Main switch Off Press the bottom o of the main switch to turn it off The main LED will go out A WARNING Do not fail to turn the unit off after use this will eliminate the risk of electrical leakage and accidents nm Operation 2007 09 19 Maintenance Parts Replacements and Storage I Regular Maintenance Disinfect the Temple Stabilizers Ear Rods the Chin Rest the Nasion Plate the Hand X ray Plate the Lip nose Rest and the Patient Handles after each patient by wiping them with Ethanol for Disinfection Ethanol 80 vol Wipe cassettes carefully with a soft dry cloth Do not directly touch the connection area or components Wipe the operation panel with Ethanol for Disinfection Ethanol 80 vol Every 6 months inspect and grease the wire cables for the lift A WARNING Always turn the main switch off before performing maintenance This will eliminate the risk of shocks burns and accidental switch operation which could result in an injury Usage Notd Use only Ethanol for Disinfection Ethanol 80 vol or a neutral detergent to clean outer surfaces Never use alkaline or acidic solutions cresol soap or other chemical solutions this could cause discoloration or degrade the materials If any water detergent cleaning solvent or other chemical solutions get on the outer surfaces wipe them off immediately with Ethano
3. Separation distance according to frequency of transmitter Rated maximum output m power of transmitter w 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz d 12VP d 12VP a 20VP 0 01 0 12 0 10 02 0 1 0 38 032 0 63 1 120 1 00 20 10 3 79 3 16 6 32 100 12 10 20 For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be estimated using the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer NOTE 1 At 80 MHz and 800 MHZ the separation distance for the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people 105 Operation 2008 07 21 tall J morita uro cone 680 Higashihama Minami cho Fushimi ku Kyoto 612 8533 Japan www jmorita mfg com Distributors J MORITA CORPORATION Tokyo Office 11 15 2 Chome Ueno Taito ku Tokyo 110 8513 Japan Osaka Office 33 18 3 Chome Tarumi cho Suita Osaka 564 8650 Japan J MORITA USA Inc 9 Mason Irvine CA 92618 U S A TEL 1 949 581 9600 FAX 1 949 465 1095 J MORITA EUROPE GMBH Justus Von Liebig Strasse 27A D 63128 Dietzenbach Germany TEL 49 6074 836 0 FAX 49 6074 836 299 Siamdent Co Ltd 71 10 Bangpakong Indu
4. Hand X ray Plate Option 1 Temple Stabilizer Band 1 Low Medium High Chinrest High Medium Low Panorama Height Maxillary Sinus Maxillary Sinus forchildren and Height short people Lip nose Rest i al Quadruple TMJ 13 Operation 2008 07 21 Operation If an accident occurs the equipment must not be used until repairs have been completed by a qualified and trained technician provided by the manufacturer Have patients remove glasses necklaces earrings and other accessories which could interfere with diagnosis If the unit has not been used for some time make sure it operates normally and safely before actually using it ZX WARNING In case of lightning avoid the risk of electrical shock Stop using the equipment immediately and have the patient move away from it Do not touch the equipment or the main power cord Operation 2007 09 19 14 SESSEL TT 2 EU LJG A v D Preliminary Procedures VeraviewEPOCS x3000 Connecting High resolutio 10 04 AM 44um rade Tm Mo Hh recotton modern super hoh resolut rodoiosuni Turn the computer on and set up the application software to receive the image data read in For the i Dixel application The i Dixel application will start up automatically Open the patient database and select a patient folder where the image will be read in or create a new patie
5. 39 Operation 2007 09 19 PAN x13 x16 Q 4 6 Magnification 4 3 Magnification Enlarged Panorama ORV STANDARD SHADOW LESS ORTO 8 Orthoradial 2 Shadow Reduction 1 Standard Operation 2007 09 19 MODE 3 Press either 1 3 or 1 6 If you select 1 6x magnification the image will have about 20 more information for the dental arch than 13x magnification However the TMJ may be cut off 4 Select one of the three projections X ray beam 40 angles PAN 1 Standard Panorama Projection Very good for making measurements for implants etc Press the Standard Projection Key 2 Shadow Reduction Projection Reduces shadows obscuring the mandibular ramus Press the Shadow Reduction Key 3 Orthoradial Projection Reduces overlapping of teeth because X ray beam is at a right angle to the dental arch Press the Orthoradial Projection Key 4 Operation 2007 09 19 PAN 2 fly Maxillary Sinus posterior Mag 1 5 throughout To examine the posterior maxillary sinus or facial injuries Press the Maxillary sinus key as as a AAD omo Maxillary Sinus Panorama Operation 2008 07 21 42 Low Groove Medium Groove High Groove Medium PAN Chin Rest Position Put the chin rest in the lowest position to make a maxillary sinus exposure If for children or short
6. The laser beams could cause eye damage Do mot look directly into them or let them strike you or the patient in the eye A NOTE Warn the patient not to move during emission while the melody is sounding If the patient moves he could be hit by the arm or the image might be ruined The Double Ready Function reduces the length of time that the emission button needs to be held down Press the Ready key a second time after completing patient positioning in Ready mode a two toned beep will sound and the arm will move to its exposure start position The Ready LED will light up again and the Image layer beam will go out In Double Ready mode X ray emission starts as soon as the emission button is pressed In Double Ready mode other operation keys and switches are disabled except for the Ready key and Lift keys In Double Ready mode press the Ready key again to return to the patient positioning Ready mode Usage Note If the patient moves out of position after the unit is set for Double Ready press the Ready key again to return the unit to its normal Ready setting and re position the patient 41 Operation 2007 09 19 PAN Open and Closed Mouth Exposures Check that the Ready LED green on the patient frame operation panel or control box is on Mouth Closed Exposure First Exposure 1 Pick up the handswitch and hold down the emission button The
7. 3 X ray Emission Keys Use the X ray Emission keys Auto Level 2 kV kv andmA ma and Up Down keys A v toset X ray emission conditions 4 Auto and Manual Emission Keys For auto exposures press and confirm that the corresponding LED lights up For manual exposures press ky or ma and confirm that the corresponding LED lights up 5 Up Down Keys Press the Up Down keys to change the value displayed for the kV or mA whichever is selected When the Down key is held down continuously all displayed values disappear and the unit is set for the No X ray mode 6 X ray Emission Display Shows the Auto Level or the tube voltage kV and tube current mA 7 Memory Key Use this key to save the X ray emission conditions currently set 8 Exposure Time Display Shows the expected exposure time before the exposure and the actual time after the exposure 9 Ready key Press this key to return the arm its start position This also enables X ray emission 10 Ready LED When the power switch is turned on this LED blinks When the Ready key is pressed it stops blinking and remains lit continuously Cephalo Operation Panel Option Start Position Key Up and Down Keys uw ls Patient Entry and Egress Key Frankfort Plane Beam On Off Key Operation 2007 09 19 12 III Accessories Panorama Pan or Panorama amp Cephalo Pan Ceph Cassette 1 Mouthpieces 1 Box of 50 Chin Rest q Lip noseRest 1
8. IEC6060 1 4 and 21 CFR in USA Medicaldevice regulations in Canada If another application software is used it must conform to the above regulations and standards and must match the Dixel driver from J Morita Mfg Corp Ask your nearest J Morita Office for the appropriate interface Environmental data Operating Conditions Ambient temperature range 4109 435 C Relative humidity 20 to 85 no condensation Atmospheric pressure range 700 1060hPa Transport and Storage Conditions Ambient temperature range 10 50 C Relative humidity 5 85 Atmospheric pressure range 500 1060hPa Operation 2007 09 19 92 Original language English Working life The working life of this unit is 10 years from the date of shipment provided it is regularly and properly inspected and maintained Disposal The package should be recycled Metal parts of the equipment are disposed as scrap metal Synthetic materials electrical components and printed circuit boards are disposed as electrical scrap Material must be disposed according to the relevant national legal regulations Consult specialized disposal companies for this purpose Please inquire of the local city community administrations concerning local disposal companies This symbol is affixed to fulfill the requirements of EU Directive 2002 92 ED Article 11 This equipment cannot be disposed of as unsorted municipal waste within the European Union Follow local regulations for disposal Ser
9. Press Ready key again y Arm did not return to its original position in p Ready key and put unit into j5 specified time oe Press Ready key again y Horizontal slit did not retum to its original position m 07 in specified time Ra team bey iati aaa Press Ready key again y 08 X Ray Head did not return to its original angle Tum off wait 1 minute turn back on nib Overcurrent protection circuit of PSU has been dotato activated Tum the unit off and wait at least 5 Turn off wait 5 seconds tur back on oes not stop en LSOOD Seconds before turning it back on sounding The CI error occurs when there is not response from the i Dixel application If the application is just starting up wait for it to finish ci M A there is not response from the Fo yp No communication with the host computer i Dixel application check the loes not stop 4 computer and HUB power sounding connections and also check that the i Dixel application is running Then turn the main unit off and back on again Operation 2008 07 21 78 Error Possible Cause appears in LCD Remedy No The digital cassette or the secondary slit on the 10 Cephato unit is not working Do exposure over agai 11 The patients head is not in the right position for the Check exposure mode and patient intended exposure mode direction LA or PA 12 Digital Cassette is not turned on Turn off wait 1 minute
10. Reduced Enlarged Reduced X ray absorption here Excessive saturation Image layer beam too far forward Image layer beam too far back The Double Ready Function reduces the length of time that the emission button needs to be held down Press the Ready key a second time after completing patient positioning in Ready mode a two toned beep will sound and the arm will move to its exposure start position The Ready LED will light up again and the Image layer beam will go out In Double Ready mode X ray emission starts as soon as the emission button is pressed In Double Ready mode other operation keys and switches are disabled except for the Ready key and Lift keys In Double Ready mode press the Ready key again to return to the patient positioning Ready mode Usage Notd If the patient moves out of position after the unit is set for Double Ready press the Ready key again to return the unit to its normal Ready setting and re position the patient Operation 2007 09 19 32 PAN 5 Panorama Exposures 1 Make sure the green Ready LED is on check the arm patient frame or control box 2 Pick up the handswitch and hold down the emission button The arm will start to rotate and X rays will be Emission button emitted vo During X ray emission the yellow Emission LED on the control box will light up and an audible signal will sound During X ray
11. direct sunlight dust salts or sulfur compounds 3 The unit should not be subjected to tilting excessive vibrations or shacks including during shipping and handling 4 Do not install the unit where chemicals are stored or where gas may be released 5 Follow all electrical specifications including frequency Hz voltage V and current capacity A power consumption 6 The equipment must be properly grounded Everything which requires a large power supply such as X ray units chairs air compressors etc must have a three point power connection 3 Item to be duly noted before use 1 Inspect all switch connections polarity dial settings meters etc to confirm that the equipment will operate properly 2 Confirm that the ground is connected properly 3 Confirm that all cords are connected properly 4 Take into consideration that simultaneous use of more than one instrument or device can create a dangerous situation or lead to a mistake in diagnosis 5 Reconfirm the safety of external circuits or systems which are connected directly to the patient 4 Item to be duly noted during use 1 Do not exceed volumes or times necessary for the diagnosis or treatment 2 Maintain a constant vigilance for abnormal conditions in both the equipment and the patient 3 Appropriate steps such as shutting the equipment down should be devised to protect the safety of the patient in case any abnormalities in the equipment or the patien
12. holder will start to move and X rays will be emitted During X ray emission the yellow Emission LED on the control box will light up and an audible signal will sound _ During X ray emission the LED on the cassette will light up and be amber 61 Operation 2007 09 19 CEPH Operation 2007 09 19 3 Keep holding the emission button down When the exposure is finished the cassette holder and secondary slit plate will stop moving and X ray emission will also stop The Emission LED will go out and the audible signal will stop Now release the emission button The Ready LED will blink and be amber to show that the image is being transmitted After transmission is completed the Ready LEDs on the arm and control box will change to green and blink on and off A WARNING Always leave the X ray booth and press the emission button outside of it In case of an emergency release the emission button this will completely stop the unit A NOTE Warn the patient not to move during emission while the melody is sounding If the patient moves he could be hit by the arm or the image might be ruined Hold the emission button down until the entire procedure is completed releasing the button will terminate the exposure procedure If an exposure has been terminated before completion guide the patient away from the unit Check that the LED on the cassette is green and blinkin
13. objects and people Field strengths from fixed transmitters such as base stations for ratio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicated theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the X550 Type EX 1 and EX 2 are used exceeds the applicable RF compliance level above the X550 Type EX 1 and EX 2 should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting of relocating the X550 Type EX 1 and EX 2 Over the frequency range 150 kHz to 80MHz field strengths should be less than 3 V m Operation 2008 07 21 104 Recommended separation distances between portable and mobile RF communications equipment and the X550 Type EX 1 and EX 2 The X550 Type EX 1 and EX 2 are intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the X550 Type EX 1 and EX 2 can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the X550 Type EX 1 and EX 2 as recommended below according to the maximum output power of the communications equipment
14. 21 80 Error Possible Cause appears in LCD Remedy horizontal positioning beam No Could not establish communication with CPU2 2 a o Do procedure again epeat the operation Before pressing the READY key have the patient exit the unit and close the Temple Stabilizer Have the patient move away close the 42 completely temple stabilizers all the way and then Failure to do so may result in the arm striking the press the Ready key patient or Temple Stabilizer during rotation Outside the operational range of the unit 35 Move the coronal beam backward Move inane layer beam Deck Outside the operational range of the unit WAS sows dared buat forward Move Image layer beam forward 4S Arm positioning error Tum off wait 1 minute turn back on 46 X Axis positioning error Tum off wait 1 minute turn back on 47 Y Axis positioning error Tum off wait 1 minute turn back on 48 Vertical Slit positioning error Tum off wait 1 minute turn back on 49 Horizontal Slit positioning error Tum off wait 1 minute tum back on 51 Vertical slit error Turn off wait 1 minute turn back on 52 Horizontal slit error Turn off wait 1 minute turn back on sy Beyond the maximum vertical range of the Review CT exposure procedure These are only for the Veraviewepocs 3D Contact your local dealer or the J Morita Corp for repairs if the apparatus does not
15. Cassette Make sure the green LED on the cassette is either blinking or out 1 Support the cassette holder with one hand and press the release button Pull the cassette out a little and then release the button Usage Note Make sure you press the button down far enough otherwise the attachment rod may not come all the way out of its hole and the cassette will not come out 2 Hold the cassette with both hands and carefully slide it out along the rail on the bottom of the cassette holder A WARNING Do not bump jiggle vibrate or use excessive force Use both hands to put the cassette in and take it out The cassette wieghs about 2 kg and it could injure your foot if you dropped it The sensor would also be damaged Do not swing the cassette around The vibrations could disturb the sensor s adjustment A NOTE Do not store under conditions of high temperature and humidity Storage Conditions Temperature 10 50 C Relative Humidity 5 85 9c without condensation No frequent or continuous exposure to direct sunlight Do not get water detergents or chemical solutions on the cassette These could seep inside and damage it Put the cassette in and take it out with great care Using excessive force could damage the connection components Clean by wiping with a soft dry cloth Do not touch the connection components directly with bare fingers etc Static electricity cou
16. X ray protection gear such as lead impregnated clothing that conforms to local regulations Proper infection control procedures must be established and maintained for each patient It is strongly suggested that no unauthorized personnel be in the immediate area when the equipment is in use This unit is not designed for and must not be used for fluoroscopic examinations Proper radiation safety precautions must be established in accordance with local state and governmental regulations in regards to operator and patient protection The ultimate responsibility lies with the owner operator to ensure that the protection requirements of national and local codes are met Judgement and caution should be used in regards to radiographs of pregnant women The decision should be based on clinical need of diagnostic information The operator must be able to see the exposure emissions lights and hear the audible signal during operation of the equipment The operator must be able to see and hear the patient during the operation of the equipment MEDICAL ELECTRICAL EQUIPMENT needs special precautions regarding EMC and needs to be installed and put into service according to the EMC information provided in the ACCOMPANYING DOCUMENTS Portable and mobile RF communications equipment can affect MEDICAL ELECTRICAL EQIPMENT Use of parts other than those accompanied or specified by J Morita Mfg Corp may result in increased EMC emissions or decreas
17. and mA displays are blank 23 Operation 2007 09 19 PAN 4 Patient Positioning Press the Ready key The arm will automatically move into position for patient positioning The green Ready LED will stop blinking and stay on The Frankfort plane Mid sagittal Image layer and AF beams will light up Usage Notd Before pressing the Ready key make sure the temple stabilizers are closed all the way A WARNING Beam On and Off Key Operation 2007 09 19 The laser beams could damage the eye Do not look directly into them or let them strike any one directly in the eye The beams go off automatically after 1 minute Press either one of the beam on and off keys to turn them back on again The Image layer beam will not light up if the Ready key has not been pressed A NOTE Have patients remove glasses earrings and any other accessories that might interfer with making a good exposure Keep fingers away from gaps and openings for moving parts such as the cassette and its holder and the temple stabilizers as well as the holes on the support column for threaded bolts Do not let patients touch the switches on the Frame Operation Panel Take care that the patient s does not get caught in the cassette or other moving parts 24 Line up the center of the mouthpiece with the center of the upper and lower incisors PAN 1 lt Initial Patient
18. arm will go to its starting position start to rotate and exposures will be made of the left and right sides During X ray emission the yellow Emission LED on the control box will light up and an audible signal will sound Release the emission button when the arm stops rotating A WARNING MEMORY Always leave the X ray booth and press the emission button outside of it In case of an emergency release the emission button this will completely stop the unit 1 9 Ready key Operation 2007 09 19 N Have the patient stand still and maintain a good posture Press the Ready key on the patient frame or the arm operation panel or press the emission button The arm will go back to its starting position A NOTE Warn the patient not to move during emission while the melody is sounding If the patient moves he could be hit by the arm or the image might be ruined 48 Emission button PAN Open Mouth Exposure Second Exposure 1 Have the patient open their mouth 2 Pick up the handswitch and hold down the emission button The arm will start to rotate and exposures will be made of the left and right sides Release the emission button when the arm stops rotating The Ready LED on the control box will go out to show that the exposure procedure has been completed A WARNING Always leave the X ray booth and press the emission button outside of
19. before completion guide the patient away from the unit Check that the LED on the cassette is green and blinking Then press the Ready key to move the arm into the patient entry position Repeat the patient positioning and then make the exposure Operation 2007 09 19 Hang the handswitch back in its holder 34 PAN 6 Patient Egress and Image Transmission 1 Patient Egress gt After the exposure the arm will automatically go to the patient egress position 90 degrees Open the temple stabilizers all the way up and guide the patient away from the unit Then close the stabilizers all the way A WARNING Never use excessive force to move the patient away this could injure the patient or damage the stabilizers Take care that the stabilizers do not strike the patient in the eye Take the mouthpiece from the patient and throw it away 35 Operation 2007 09 19 PAN Operation 2007 09 19 2 Press the Ready key on the arm operation panel or the patient frame to automatically move the arm to the patient entry position The Ready LEDs on the operation panel and the control box will light up green to show that the unit is ready to make another panorama exposure ZX WARNING Make sure the patient is clear of the unit before returning the arm to the patient entry position otherwise it could hit the patient In case of an emergency when the arm is returning to the patie
20. emission the LED on the cassette will be C amber D E Usage Note Emission LED Error number 18 Err 18 appears if the computer is not ready If this happens turn off the main switch When the computer is ready turn the main switch back on If the cassette is not in the panorama cassette holder insert it and press the Ready key on the arm operation panel again 33 Operation 2007 09 19 PAN Keep holding the emission button down X ray emission and arm rotation will stop the Emission LED will go out and the audible signal will stop Then the arm will go to its patient egress position This completes the exposure procedure Now release the emission button The Ready LED will blink and be amber to show that the image is being transmitted After transmission is completed the Ready LEDs on the arm and control box will change to green and blink on and off A WARNING Always leave the X ray booth and press the emission button outside of it In case of an emergency release the emission button this will completely stop the unit A NOTE Warn the patient not to move during emission while the melody is sounding If the patient moves he could be hit by the arm or the image might be ruined Hold the emission button down until the entire procedure is completed releasing the button will terminate the exposure procedure If an exposure has been terminated
21. ground is properly Or switches will not connected work at all Operation 2007 09 19 76 Problem Possible Cause Remedy Panorama amp Cephalo Image has strobe effect Metal prosthetics can cause excessive feedback in the Auto Exposure system and produce a strobe effect Check by making exposure without using AE AE Strobe Incisor area is blurred Review patient positioning procedures ent positioning Patient may have moved after auto positioning was Center of panorama Poor patient positioning PT UMS p i image it white ond left For manual positioning Image layer beam may not have side is contracted been lined up with the upper left canine Inconsistent density Application setting Configure application with tool bar Exceptionally dark areas or entire image is too white Wrong exposure conditions kV mA auto level Adjust auto level or kV and mA for manual exposure Grainy panorama image Resolution setting Click the Resolution Icon in the task tray to select resolution with the mouse Establish communication between the application and the X ray unit to change the resolution LCD goes out Weird characters in LCD Error message in LCD Unit spontaneously goes back io same condition as when it was tumed on at first Switches will not work at all Build up of static electricity Tum unit off Make sure of patient and user s
22. in place Press the patient type keys and make sure the arm moves forward or backward Repeat this test 3 times with the test object in a different position each time Make sure auto positioning sensor moves up and down smoothly 11 Light Beams Make sure the Mid sagittal Frankfort plane and Image layer beams light up and can be turned on and off Also make sure that the Mid sagittal Frankfort plane and Image layer beams move smoothly 12 Patient Handles Make sure handles are tight and properly secured 7 Operation 2007 09 19 13 Temple stabilizers and chinrest Turn the temple stabilizer knob to make sure the stabilizers open and close properly Make sure the chinrest and lip nose rest are secure in both their upper and lower positions 14 Lift Mechanism Press the up and down keys Make sure the lift moves smoothly and stops properly Repeat this 3 times 15 Wire Cables Check the wire cables for broken strands Make sure the ends are properly secured Grease the cables with the grease provided by the manufacturer 16 Operation panel and display Press all the keys on the operation panel and display and make sure they work Press all the keys on the patient frame and make sure they work Make sure the LED on the control box lights up when the Ready key is pressed 17 X ray Emission and Display Make sure the Emission LED yellow on the control box lights up during X ray emission and that the audible signal sounds 18 Digital Casse
23. input part or signal output part configures a medical system and is therefore responsible that the system complies with the requirements of IEC 60601 1 1 Ifin doubt consult the nearest J Morita office its representative or its dealer for help Some of the following devices may cause some technical problems with the Veraviewepocs Ask your nearest J Morita office for proper selection of equipment and connections A NOTE The following devices may not be located in the X ray protection area or the patient vicinity except the Hub if the Hub is conformed with IEC60601 1 or IEC60950 and enclosure leakage current is conformed with IEC 60601 1 The patient vicinity is the area where intentional or unintentional contact can occur between a patient or a patient s attendant and the above devices or between a patient or a patient s attendant and other persons touching the above devices This area extends 1 83 m beyond the perimeter of the bed examination table dental chair treatment booth and the like in its intended location and vertically 2 29 m above the floor Other system requirements Hardware Windows based Personal Computer Minimum specifications Operating system Microsoft Windows 2000 with Service Pack 2 CPU Intel Pentium IV 1 7GHz or higher or compatible Memory RAM 512MB HDD HDD 20GB or more are recommended Video capture board Video board resolution of 1024 x 768 and color depth of 24bit Network p
24. is in Ready mode to move the beam backward For panorama line this beam up with the distal side of the upper left canine 9 Operation 2007 09 19 6 Beam On Off Keys Positioning beams automatically go off after 1 minute Press either one of these keys to turn them back On Orpress one of them to turn the beams off 7 Incisal Occlusion Key This key is used to make a panorama exposure for a patient with standard occlusion biting on a mouthpiece After adjusting the height of the positioning AF sensor press this key to automatically move the arm backwards or forwards to the optimum position 8 Natural Occlusion Key This key is used to make a panorama exposure for a patient with standard occlusion without using a mouthpiece After adjusting the height of the positioning AF sensor press this key to automatically move the arm backwards or forwards to the optimum position 9 Protruding Maxillary Occlusion Key This key is used to make a panorama exposure for a patient with protruding maxillary without using a mouthpiece After adjusting the height of the positioning AF sensor press this key to automatically move the arm to the optimum position 10 Protruding Mandibular Occlusion Key This key is used to make a panorama exposure for a patient with protruding mandible without using a mouthpiece After adjusting the height of the positioning AF sensor press this key to automatically move the arm to the optimum position 11
25. lowered ZX WARNING Take care that the temple stabilizers do not strike the patient in the eye 5 Keep the patient s Frankfort plane horizontal and align the beam with the patient s external auditory orifices by turning the Frankfort plane beam Up Down knob Then hold his head in place by lightly closing the temple stabilizers Have the patient move his head left or right until the Mid sagittal beam lines up with his mid sagittal plane Then tight up the temple stabilizer so that the patient s face will not move 6 Use the Backward and Forward keys to line the Image layer beam up with the patient s ear orifice Arm moves from 420 mm to 16 mm image layer beam The image layer is about 12 mm in front of the Image layer beam Have the patient close his mouth Head Band For short people and children use the Head Band to hold the patient s head in place Usage Note Take care that the patient s hair does not get caught up in the Head Band Operation 2007 09 19 46 PAN Attachment To attach the Head Band hold the stabilizer rod steady with one hand line up the notch on the end of the Head Band with the rod and firmly press it into place Removal To take the Head Band off hold the rod steady with one hand and pull it off carefully Do not simply yank it off forcefully Usage Note Do not apply excessive force to the rods they might break Z WARNING
26. of accidents Problems and accidents are best avoided by foreseeing the possibility of danger and operating the unit in accordance with the manufacturer s recommendations First thoroughly read all precautions and instructions pertaining to safety and accident prevention then operate the equipment with the utmost caution to prevent either damaging the equipment itself or causing bodily injury Note the meaning of the following symbols and expressions WARNING This warns the user of danger of death serious bodily injury or total equipment damage and failure or fire A NOTE This alerts the user to the risk of light to medium injury or equipment damage Usage Note This alerts the user of important points concerning operation The user i clinic hospital etc is responsible for the management maintenance and use of medical devices Disregarding the information on safety is considered ABNORMAL USE Special training is not required for the operation of this unit other than Do not use this equipment for am dental treatment purpos speci Caution Federal law restricts this device to sale by or on the order of a dentist for U S A 1 Operation 2008 07 21 INTENDED OPERATOR PROFILE a Qualification Legally qualified persons such as radiologists radiologic technicians physicians or dentists for X ray device operation it may differ among countries b Education Knowledge Intended for professional use w
27. off Depending on the LAN set up it may take longer for the LED to start blinking 19 Operation 2007 09 19 PAN lt lt Digital Cassette gt gt Use both hands to slowly and carefully insert or eject the cassette from the main unit while pressing the handle button FRAGILE This cassette is expensive to replace and contains a highly accurate sensor that may be damaged if handled inco rectly Please pay close attention to the following precautions Dor ep or ban abel cese vano tes Dont soe exon tet v emen ghia Do otste cso vies maya uet orbe ongen to chan sds Operation 2007 09 19 WARNING Do not bump jiggle vibrate or use excessive force Use both hands to put the cassette in and take it out The cassette wieghs about 2 kg and it could injure your foot if you dropped it The sensor would also be damaged Do not swing the cassette around The vibrations could disturb the sensor s adjustment NOTE Do not store under conditions of high temperature and humidity Storage Temperature 10 C 50 C Storage humidity 5 85 relative humidity with no condensation No frequent or continuous exposure to direct sunlight Do not get water detergents or chemical solutions on the cassette These could seep inside and damage it Put the cassette in and take it out with great care Using excessive force could damage the connection components Clean by wiping with a so
28. people the AF sensor beam does not strike the mouthpiece even when it is at its lowest setting set the chinrest at its Medium position Low for maxillary sinus Line up the Low Groove see illustration with the back of the chin rest holder Medium maxillary sinus for children and short people Line up the Medium Groove see illustration with the back of the chin rest holder High standard panorama Line up the High Groove see illustration with the back of the chin rest holder Usage Note Be careful when replacing the chin rest with the lip nose rest it could break if it is dropped 43 Operation 2008 07 21 PAN Mag 1 3x Operation 2007 09 19 3 1 1 TMJ Quadruple Mag 1 3x throughout Press the TMJ key Press either the Adult key or the Child key Estimated Distance between Joints Adult 100mm Child 90mm Thickness 10 5mm Length 54mm Select the size best for the patient Four images will appear in the computer display one each for the mouth open and closed on both sides The X ray beam angle is optimum for the average distance between the joints and the average length The arm rotates twice to make a complete set of images PAN Patient Positioning 1 Replace the chin rest with the lip nose rest set at medium height 2 Put an X ray protection apron on the patient and stand in front of the lip nose rest Look at him from the side and have him
29. pull in his chin and straighten his back Then look from behind and make sure his shoulders and back are straight Z WARNING Have the patient wear and X ray protection apron 3 Open the temple stabilizers and use the Up or Down Lift key to raise or lower the lip nose rest to the right height for the patient Release the key when the rest is at the right height A NOTE Keep your fingers away from moving parts gaps between the cassette and its holder and for head stabilization components and holes im the support column Usage Note Always use the Up and Down Keys to move the Lift Never try to force it this would damage it The over current protection circuit could be activated after 3 seconds for reasons such as an excessive load or the failure to insert the cassette The lift will stop and an audible signal will sound The unit will stop working and one of the following messages will appear in the display on the frame LIFT OVERLOAD PROTECTOR ACTIVE LIFT OVERTIME PROTECTOR ACTIVE To restore normal working order press any one of the occlusal type keys underneath the display on the patient frame 45 Operation 2007 09 19 PAN 4 Use the knob to open the temple stabilizers Have the patient move forward without slouching or otherwise changing his posture Then have him put his upper lip on the lip nose rest and lightly grip the patient handles Make sure his shoulders are
30. spot 0 5 collimator gt Cephalo slit Operation 2007 09 19 98 II Meaning of the Symbols Patient frame Ratinglabel Label contents may differ depending on model The Veraviewepocs conforms with Some B acid the European Directive 93 42 ype P sete pat EEC which includes the Attention consult accompany documents requirements for Date of manufactured electromagnetic compatibility Serial Number Type 4p ose FANNE Y Y ANARMUS y Model Veravi CARI gz aa 550 Nee Ex 2 Input power y our ror 2E SN v CHA sore CBE CLASS EQUIPMENT Distributor Rated input voltag Manufacturer Alternating current Supply frequency Rated input amperes X ray head Arm Tube label Model of X ray head Head No Date of manufactured MODEL XH 550 TUBE HOUSING ASSEMBLY Total fitrati Li WITI H HIGH V LTAGE GE ERATOR Sion Sa SIR JE Rating Tube model MIN 2 5mmAl_ ___SOkV 70mA 23 0sec pr Ti aw TUBE 5 051 LA OSARE MANUFACTURED Tube manufacturer Tube Anode No Effective focal spot Operation Instructions Mo eo nr Authorised representative in the European Community 99 Operation 2007 09 19 Support Column Main Switch O of Jo Control box Emission Switch Radiation Mouthpiece Package Base d Equipotentiality Lift Unit Laser warning label Emergency Stop Switch Laser Caution label EX 2 Package T
31. 007 09 19 86 4 Troubleshooting Problem The following error message from Dxladj exe is displayed Cause The database application and Dxladj exe are running at the same time Solution Shutdown the database application then restart Dxladj exe 87 Operation 2007 09 19 Technical Description I Technical Description Model X550 Type EX 2 Classification European Directive 93 42 EEC Ib Rule 10 Safety according to IEC 60601 IEC 60601 1 1 IEC60601 1 2 IEC60601 1 3 IEC60601 1 4 TEC60601 1 6 IEC60601 2 7 IEC60601 2 28 IEC60601 2 32 18014971 ISO10993 1 18010993 5 and 1S010993 12 standards Protection against electric shock Class I Degree of protection Type B Protection against ingress of liquids IPX 0 Disinfection methods Every patient disinfect the Temple Stabilizers the Chin Rest the Nasion Plate the Hand X ray Plate the Lip nose Rest and the Patient Handles by wiping them with Ethanol for Disinfection Ethanol 80 vol Once a day wipe the operation panel with Ethanol for Disinfection Ethanol 80 vol and wipe the LCD with a dry cloth Single use item mouth piece Mode of operation Intermittent Applied part with no conductive connection to patient Product Description Dental Panoramic X ray unit with a high frequency switching mode X ray generator In addition to panoramic exposure the unit can also take scanograms Also cephalometric device is available that uses the panoram
32. 09 19 9 Use the key for the Frankfort Plane Beam to line it up with the patient s Frankfort Plane and make sure that it is perpendicular to the patient s mid saggital plane Adjust the length of the nasion plate and put it against the patient s nasion WARNING The laser beam could cause eye damage Do not look directly into it or let it strike you or the patient in the eye 10 After making sure the mid sagittal and Frankfort plane beams are lined up and the ear rods are in place press the Start Position Key WARNING Never let the patient hold onto the patient guard his fingers could be pinched between it and the cassette holder causing an injury 11 The cassette holder and secondary slit plate will move into their starting positions A NOTE Warn the patient not to move during emission while the melody is sounding If the patient moves he could be hit by the arm or the image might be ruined Make the cassette holder or the secondary slit plate will not hit the patient s shoulder 60 CEPH 5 X ray emission 1 Checkthe arm operation panel patient frame or control box and make sure the green Ready LED is on WEEL nay i Sem mz amp y ig m a ga 2 Pick up the handswitch and hold down the emission Emission button button Emission LED After a few seconds the secondary slit and cassette
33. 1 and EX 2 use RF energy only for its Baiiia ube internal function Therefore its RF emissions are very low CISPRAI Clase Bl and are not likely to cause any interference in nearby electronic equipment The X550 Type EX 1 and EX 2 are suitable for use in all RF emissions Group 1 establishments When installed in a specified shielded CISPR 11 Class B location including domestic establishments and those directly connected to the public low voltage power supply network that supplies buildings used for domestic T E purposes Harmonic emissions Class A 1EC61000 3 2 Voltage fluctuations flicker ndun emissions IEC 61000 3 3 These are only for the X550 Type EX 2 Operation 2008 07 21 102 Guidance and manufacturer s declaration electromagnetic immuni The X550 Type EX 1 and EX 2 are intended for use in the electromagnetic environment specified below The customer or the user of the X550 Type EX 1 and EX 2 should assure that it is used in such an environment Immunity test IEC060ltestlevel Compliance level Electromagnetic environment guidance Electrostatic 36 kV contact 42 4 46 kV contact Floors should be wood concrete discharge ESD or ceramic tile If floors are TEC 61000 4 2 48kV air 48 KV air covered with synthetic material E 2 the relative humidity should be at least 30 Electrical fast 2 KV for power 32 KV for power Mains power quality should be transients
34. 23 2 File Click the host name setting of connected X ray device Change the IP address as following Pan cassette 192 168 240 17 Pan Ceph cassette 192 168 240 25 2 3 3 Acquire Panorama Imaging Average After the exposure the Panoramic Image Average is display in the status bar Panoramic Image Average 85 Operation 2007 09 19 3 Verification Procedure 1 Exit the database application then run the Dxladj exe and set the host name 2 Tum on Veraviewepocs 3 Expose X ray steps 1 through 8 in table 1 and record Panoramic Image Average by each step Table 1 Exposure Setting of DDAE Verification test piece F i Copper plates KV mA setting Radiographic Speed step 1 Auto 2 Superfine mode 14 9 step 2 ESKV 10mA superfine mode 14 9sec step 3 DHH Anto Fine high Speed mode 7 4 step4 65KV 10mA ine high Speed mode 7 4sec step 5 Auto2 Superfine mode 14 9 step 6 mo 65KV 10mA uperfine mode 14 9sec step Auto2 E step 8 65KV 10mA Fine high Speed mode 7 4sec 4 Use the following flowchart to verify the DDAE step1 step5 gt step2 stepb YES step3 step7 gt stepd stepd YES The step shown in the flowchart means Panoramic Image Average of the step 5 Results Pass DDAE operates correctly Fail Please contact your local sales representative 6 Turn off Veraviewepocs 7 Exit Dxladj exe Operation 2
35. CEPH Patient Positioning Turn the craniostat into the PA exposure position Otherwise positioning X ray emission patient egress are all the same as for the LA exposure However the nasion plate should be raised up 45 Degree Slant Exposure Set the craniostat at a 45 degree angle to either the right or left Set the unit for a PA Exposure Hand Exposure 1 Select PA Exposure 67 Operation 2007 09 19 CEPH 2 Tum the Density Compensation off e DENSITY CEPHALO 6 COMP 3 Set tube current for 2 mA 80 kV and 2 mA are rough estimates for a child but these can be adjusted depending on the patient Cephalo exposures cannot be made with Auto Exposure 4 Attach the Hand X ray Plate to the patient guard 5 Set the craniostat in the PA Exposure position Raise the nasion plate up Open the ear rod plates all the way 6 Have the patient place his hand inside the rectangle on the Hand X ray Plate N NOTE Make sure nothing other than the patient s hand is Hand X ray Plate inside the rectangle on the Hand X ray Plate Do not fail to take the Hand X ray Plate off after completing the exposure Otherwise the next cephalo exposure made could be ruined tient Guard The X ray emission procedure is the same as that for cephalo exposures Remove the Hand X ray Plate after completing the exposure Operation 2007 09 19 68 CEPH 8 Removing the Digital
36. Cephalometric 3 5 mAs Weight of X ray Head 13 8Kg with collimators Auto Exposure Not applied for Cephalometric Setting parameters 4 4 9 steps Digital Display Maximum possible excursion 60kV 80kV 1mA 10mA_ Minimum exposure time 4 3 seconds Verification method by test piece Power requirements Input Voltage EX 2 AC220 230 240V 50 60 Hz single phase Fuse at the distribution panel EX 2 16A 220 230 240V slow 220 230 240V Power Consumption EX 2 max 20KVA Rated input amperes EX 2 max 9A 8A 8A AC220 230 240V with operation EX 2 max 1 0A 220 230 240V stand by Power line resistance EX 2 max 1 Ohm 220 230 240V Mechanical parameters Panoramic SID 520mm Cephalometric SID 1 650mm Magnification Standard Panoramic 1 3x 1 6x Maxillary Sinus Panoramic 1 5x Pedodontic Panoramic 1 3x 1 6x Shadow Reduction Panoramic 1 3x 1 6x Orthoradial Panoramic 1 3x 1 6x Scanograms 1 3x Cephalometric 1 1x X ray Field 6 x 146 mm 0 30 6 x 220 mm 0 30 Weight Panoramic Approximately 184kg Boxed Cephalometric Approximately 268 kg Boxed Outer Dimensions Main Unit W 1 020 x D 1 330 x H 2 355mm H 2 185mm Option Panoramic Upgradable Cephalometric W 2 000 x D 1 330 x H 2355mm H 2 185mm Option with Cephalometric Control box W 70x D40x H 115mm Vertical Height of Focal Spot 1 055 1 775mm Panoramic 970 1 605mm Option 1 125 1 775mm with Cephalometric Upgradable C
37. Frame Liquid Crystal Display LCD Display various information including Ready mode Image layer beam position exposure mode exposure conditions patient positioning guide etc 12 Frankfort Plane Beam Up Down Knob Turn the knob to the right to lower the beam or to the left to raise the beam For panorama exposures lines up with the patient s Frankfort plane 13 Auto Positioning AF Sensor Beam Up Down Knob Turn the knob to the right to lower the beam or to the left to raise the beam Adjust the beam so it strikes the center of the mouthpiece in the patient s mouth Operation 2007 09 19 10 Arm Operation Panel Usage Note Do not press down with excessive force on any of the operation panels Do not press on the panels with any sharp objects like ballpoint pens or fingernails etc 1 Panorama Exposure Keys Use these keys to make various settings for panorama exposures The LED for each key lights up when it is selected Region Keys Size Magnification Projections DentalArch f Maxillary Sinus ff and TMI fi Adult M andCh d jf L3x 13 andl x x16 Standard Shadow Reduction and Orthoradial 2 Cephalo Exposure Keys Use these keys to select the type of cephalo exposure either LA lateral or PA posteroanterior Press the auto density compensation key 997 to tum it on and off The LED for each key lights up when it is selected n Operation 2007 09 19
38. MORITA Veraviewepocs e p Operation Instructions Panorama and Cephalo Capabilities CE 0197 Thank you for purchasing the Veraviewepocs 2D For optimum performance and safety read this manual thoroughly before using the equipment Pay special attention to the cautionary warnings and safety statements Keep this manual in a handy place for ready reference CONTENTS Prevent Accidents For Safe Operation Safety and Accident Prevention for the Operation of Electrical Medical Device Parts Identification and Accessories D Parts Identification I Patient Frame and Arm Operation Panels HD Accessories Operation D Preliminary Procedure HD Operation Procedures Safety Check Panorama Exposure 1 Tum main switch on Emergency Stop Switch 2 Cassette Insertion 3 Panorama Settings 1 Auto Exposure Digital Direct Auto Exposure 2 Manual Exposure 3 No X ray Setting 4 Patient Positioning 5 Panorama Exposures 6 Patient Egress and Image Transmission 7 Exposure Regions 1 f Panoram 2 fly Maxillary Sinus Mag 1 5 x throughout 3 1 1 TMJ Quadruple Mag 1 3x throughout 8 Removing the Digital Cassette Cephalo Exposures option 1 Turn Main switch On Emergency Stop Switch Q Cassette Insertion 3 LA Lateral Exposure 4 Patient Positioning 5 X ray emission 6 Patient Egress and Image Transmission 7 PA posteroanterior Exposur
39. NG Do not use this unit with patients who have a pacemaker This equipment could cause a pacemaker to malfunction Electromagnetic wave interference could cause this device to operate in an abnormal random and possibly dangerous manner Cellular and PHS telephones transceivers remote controls and all other devices which transmit electromagnetic waves located inside the building should be turned off The following devices could cause the equipment to operate in a random manner and should not be located within the x ray protection area or be turned off while the equipment is in use 1 Electrical diagnostic examination or treatment devices 2 Personal computers PRINS The Veraviewepocs must be installed in an X ray shield location Local regulation for radiation protection must be observed If the Veraviewepocs is not enclosed by an X ray booth or other protective barrier everyone except the patient must stay outside the area shown in the illustration during X ray emission The X ray protection area should consist of a wall floor and ceiling with a minimum of 1 5 mm lead shielding or its equivalent and should have glass windows with a minimum of 1 5 mm lead shielding or its equivalent through which the operator can observe the patient A sign should clearly identify the area as an X ray protection area and a caution sign should light up during X ray emission Observe local regulations The patient must be provided with appropriate
40. Positioning Put an X ray protection apron on the patient Have the patient perform the incisal occlusion while biting on an unused mouthpiece Line up the center of the mouthpiece with the center of the upper and lower incisors Have the patient stand in front of the chin rest Look at him from the side and have him pull in his chin and straighten his back Then look from behind and make sure his shoulders and back are straight WARNING Have the patient wear and X ray protection apron Always use a new unused mouthpiece to prevent contagion Keep mouthpieces in a clean uncontaminated area 2 Use the Lift Up or Down Key to raise or lower the chin rest and line it up with the patient s chin Release the key when the chin rest is at the right height The Lift has a Slow Start and Slow Stop It will stop automatically if there is an excessive load on it Usage Note Always use the Up and Down Keys to move the Lift Never try to force it this would damage it The over current protection circuit could be activated after 3 seconds for reasons such as an excessive load or the failure to insert the cassette The lift will stop and an audible signal will sound The unit will stop working and one of the following messages will appear in the display on the frame LIFT OVERLOAD PROTECTOR ACTIVE LIFT OVERTIME PROTECTOR ACTIVE To restore normal working order press any one of the occlusal type key
41. afety Turn unit back on and see if it works normally Make sure ground is properly connected Maintain room temperature Message in arm display LIFT OVERLOAD PROTECTOR ACTIVE LIFT OVERTIME PROTECTOR ACTIVE Patient is leaning or pulling on frame Cassette is not inserted Have patient relax and not lean or pull on the frame Insert cassette T Operation 2007 09 19 Error Numbers Check the list below if an error number appears in the arm LCD display Veraviewepocs 3D or the arm operation panel Veraviewepocs 2D and try the suggested remedies The error numbers are the same for both the Veraviewepocs 3D and the Veraviewepocs 2D For the 2D unit only the numbers appear in the arm operating panel Some error numbers are only for the 3D unit Error No Possible Cause appears in LCD Remedy m Overcurrent protection circuit of CPUL has been off wait 1 minute tum back on activated o1 Short pin is not installed on DCNI2 of the CPU1 Turn off wait 1 minute tum back on board X Ray head overheated 02 Leave the unit on and wait at least 30 minutes for it Wait at least 30 min for head to cool to cool off X Axis did not retum to its original position in pess Ready key and put unit into 03 specified time i nea Press Ready key again ESES Y Axis did not retum to its original position in press Ready key and put unit into 04 specified time nd
42. age to be lost and the computer to freeze Usage Note After image transmission a two toned beep will sound and the LED will change to green and start blinking However another exposure cannot be made until the image appears in the computer s display During image transmission pressing the emission button will result in a series of beeps but X rays cannot be emitted 64 CEPH Auto density compensation is applied to create the optimum image However if some areas of the image are exceptionally dark the auto density compensation will tend to make the entire image whiter than usual For an enlarged digital image there are junction lines that are not visible when the image is displayed initially However if the image is magnified they appear as fine horizontal lines dividing the image in thirds These lines are where the three CCD sensors come together 65 Operation 2007 09 19 CEPH 7 PA posteroanterior Exposure 1 Press the PA key 2 Tum the DENSITY COMP key on to select both the required soft and hard tissues for making cephalo DENSITY measurements DENSITY COMP automatic density COMP compensation CEPHALO Soft tissues will not be selected if the DENSITY COMP key is turned off When the Density Compensation key is turned on the arm operation panel will display 80 kV Cephalo exposures cannot be made with Auto Exposure Operation 2008 07 21 66
43. bursts supply lines supply lines that of a typical commercial or TEC 61000 4 4 41 kV for input output 1 KV for input output hospital environment lines lines Surge FIV 305 31 kV Mains power quality should be TEC 61000 4 5 line s to line s line s to lines that of a typical commercial or wv 405 5 22V hospital environment line s to earth line s to earth Voltage dips short lt 5 Ur EDI Mains power quality should be interruptions and gt 95 dip in Ur 295 dip in Ur that of a typical commercial or voltage variations for 0 5 cycle for 0 5 cycle hospital environment If user of on power supply the X550 Type EX 1 and EX 2 lines 40 Ur 40 Ur requires continued operation IEC 61000 4 11 60 dip in Ur 60 dip in Ur during power mains for 5 cycles for 5 cycles interruptions it is recommended that the X550 Type EX l and 10 Ur 10 Ur EX 2 be powered from an 30 dip in Ur for 25 30 dip in Ur for 25 uninterruptible power supply or a cycles cycles battery lt 5 Ur lt 0 Ur 295 dip in Ur 29566 dip in Uz for 5 sec for 5 sec Power frequency 3 A m 3 15 A m Power frequency magnetic field 50 60 Hz should be at levels characteristic magnetic field of a typical location in a typical TEC 61000 4 8 commercial or hospital environment Note Uris the a c mains voltage prior to application of the test level 103 Operation 2008 07 21 Guidance and manufacturer s declara
44. by the arm l 5 The green Ready LED will light up 51 Operation 2007 09 19 CEPH Operation 2007 09 19 Usage Note Do not move the arm manually The arm may not be set in the proper cephalo position if it is suddenly moved by hand This is also true if the arm hits the operator s shoulder or something while it is moving Jf the arm is accidentally turned by hand or is touched during movement press the Dental Arch key Then press either the LA or PA key once again After this press the Ready key Emergency Stop Switch In case of an emergency press the Emergency Stop Switch This will stop the arm s rotation lift movement and X ray emission Do not use this switch for anything If the Emergency Stop Switch is pressed the lift will stop within 10 mm and the arm rotation within 15 degrees After Pressing the Emergency Switch Guide the patient away from the unit and tum the main switch off This will return the unit to a safe condition Tum the switch in the direction indicated by the arrow and restart the computer Then turn the main unit back on and check that it is set for Panorama Exposure If the unit cannot be returned to a safe condition or will not operate contact your local dealer or the J Morita Corp A NOTE The image will be lost if the Emergency Stop Switch is pressed during its transmission or if the main switch is turned off 52 CEPH 2 Cassette Insertion
45. ch This will stop the arm s rotation lift movement and X ray emission Do not use this switch for anything If the Emergency Stop Switch is pressed the lift will stop within 10 mm and the arm rotation within 15 degrees After Pressing the Emergency Switch Guide the patient away from the unit and tum the main switch off This will return the unit to a safe condition Tur the switch in the direction indicated by the arrow and restart the computer Then tum the main unit back on and check that it is set for Panorama Exposure If the unit cannot be returned to a safe condition or will not operate contact your local dealer or the J Morita Corp A NOTE The image will be lost if the Emergency Stop Switch is pressed during its transmission or if the main switch is turned off Button Grip LED a r Side PAN 2 Cassette Insertion Insert the PAN or PAN CEPH cassette 4 Turn the cassette so that the detector side faces the X ray head Hold the bottom of the cassette with one hand and the grip with the other Push down the button and carefully slide the cassette into the holder until the rod goes inside Then release the button Slide the cassette all the way in until the rod goes into its hole inside the holder The rod will make and audible click and the button will pop out A beep will also sound After a few seconds the green LED on the cassette will start to blink on and
46. e Turn Main switch Off Operation 2008 07 21 Maintenance Parts Replacements and Storage D Regular Maintenance I Replacement Part HD Storage Regular Inspection Trouble shooting DDAE Verification Procedure Technical Description D Technical Description I Meaning of the Symbols II Replacement Parts and List of accessories Appendix Electromagnetic declaration This manual covers a fully equipped model refer to the sections covering the inst Operation 2007 09 19 Prevent Accidents ATTENTION CUSTOMERS Do not fail to receive clear instructions concerning the various ways to use this equipment as described in this accompanying Operator s Manual Fill out and sign the warranty and give the dealer from whom you purchased the equipment his copy ATTENTION DEALERS Do not fail to give clear instructions concerning the various ways to use this equipment as described in this accompanying Operator s Manual After instructing the customer in the operation of the equipment have him fill out and sign the warranty Then fill in your own section of the warranty and give the customer his copy Do not fail to send the manufacturer s copy to J Morita Mfg Corp PREVENT ACCIDENTS Most operation and maintenance problems result from insufficient attention being paid to basic safety precautions and not being able to foresee the possibilities
47. e Humidity 5 85 without condensation No frequent or continuous exposure to direct sunlight Do not get water detergents or chemical solutions on the cassette These could seep inside and damage it Put the cassette in and take it out with great care Using excessive force could damage the connection components Clean by wiping with a soft dry cloth Do not touch the connection components directly with bare fingers etc Static electricity could damage the sensor Do not allow dust or other debris to collect on the connection components this could cause poor contact 50 OFF CEPH 1 Turn Main switch On 1 Press the top 1 of the main switch The blue main LED will light up to show that the unit is on 2 Press either the LA Lateral or PA posteroanterior key to set the unit for cephalo exposure 3 Before pressing the Ready key make sure the temple stabilizers for panorama exposures are completely closed 4 Press the Ready key The X ray head will turn to its cephalo direction and the arm will rotate The arm and head automatically go into and lock in their cephalo positions Usage Note If the temple stabilizers are not closed or the patient has not exited after the exposure the LCD on the patient frame will display Err 42 A NOTE Make sure a patient is no longer near the unit before pressing the Ready key otherwise he could be hit
48. e computers 1 The Veraviewepocs has been tested and found to comply with the limits for medical devices to the IEC 60601 1 2 2001 for electro magnetic compatibility These limits are designed to provide reasonable protection against harmful interference in a typical medical installation This equipment generates uses and can radiate radio frequency energy and if not installed and used in accordance with the instructions may cause harmful interference to other devices in the vicinity However there is no guarantee that interference will not occur in a particular installation If this equipment does cause harmful interference to other devices which can be determined by turning the equipment off and on the user is encouraged to try to correct the interference by one or more of the following measures Reorient or relocate the receiving device Increase the separation between the equipment Connect the equipment into an outlet on a circuit different from that to which the other device s are connected Consult the nearest J Morita office its representative or its dealer for help 2 The following equipment connected to the analog and digital interfaces must be certified according to the respective IEC standards i e IEC 60950 for data processing equipment and IEC 60601 1 for medical equipment Furthermore all configurations shall comply with the system standard IEC 60601 1 1 Everybody who connects additional equipment to the signal
49. each business day make sure that switching the main switch to ON and OFF turns the equipment on or off without fail Regular Inspection List Power Supply and Physical Stability 1 Power Supply Voltage Use a digital or analog tester to measure the unit s power supply The result must be 220 230 240 VAC 10 Ground connection m Visually inspection the ground connection to make sure it is securely and properly connected Floor and base securing bolts Visually inspect the floor and base securing bolts Check that the floor is level and make sure the base bolts have not loosened up Bolt and screw tightness Inspect all the bolts and screws on the unit Make sure that all bolts are in place and properly secured Electrical circuitry Make sure all wiring and connections are intact 6 LAN cables Make sure no cables are bent or pinched and that they are all securely connected nl Outer appearance and labels Make sure outer covers and panels etc are not damaged cracked loose or dirty Make sure labels for rating tube and lasers are all properly in place and securely attached Ld Main switch Turn the main switch on and off and make sure the main LED on the control box lights up Emergency Stop Switch Turn on the main switch and then press the emergency stop switch Check that the power goes off Main LED on the control box goes out 10 Patient Auto Positioning AF Puta test object
50. ed EMC immunity of the EQUIPMENT The EQUIPMENT should not be used adjacent to or stacked with other equipment and that if adjacent or stacked use is necessary the EQUIPMENT should be observed to verify normal operation in the configuration in which it will be used Focal Spot and Skin Distance should be as great as possible to keep the absorbed X ray dosage as low as reasonably achievable 3 Operation 2008 07 21 22 Y SKI X700 AT WARNING Do not fail to turn the unit off after use this will eliminate the risk of electrical leakage and accidents The main switch should be turned off during standard maintenance procedures It is also recommended that the main breaker or fuse on the main electrical distribution panel be turned off as some electricity reaches the main power terminal inside the unit even when the main switch is off Use special care to explain to the patient proper instructions as to when they can move as there are multiple movements with certain exposures Do not press the panel too hard not to damage the panel Operation 2008 07 21 4 Safety and Accident Prevention for the Operation of Electrical Medical Devices 1 Only fully trained and qualified personnel may operate equipment 2 Items to be duly noted when installing equipment 1 Locate the unit in a place where it will not get wet 2 Install the unit in a location where it will not be damaged by air pressure temperature humidity
51. efaults shown in the photo to the left ANAS ioe swo sucos 1 Auto Exposure Digital Direct Auto Exposure Auto exposure regulates tube kV and mA for each individual patient Press the Auto Level key to use auto exposure A v The current auto level value is shown on the left side of the Auto Level key This value can be changed Up and Down keys will also appear to the right use these to change the settings A Auto level can be adjusted from 44 to 4 in increments of 1 v The factory setting for the Auto Level is 0 Operation 2007 09 19 22 PAN 2 Manual Exposure Press the kV or mA key to switch to manual exposure Press the kV key to display the tube voltage value This value can be changed Use the Up and Down keys to increase or decrease the value Press the mA key to display the tube current value This value can be changed Use the Up and Down keys to increase or decrease the value kV can be set from 60 to 80 kV in increments of 1 kV and mA from 1 to 10 mA in increments of 1 mA The factory settings are 65 kV and 5 mA 3 No X ray Setting Use this to rotate the arm to make sure it will not hit the patient or for other tests which do not require X ray emission To activate No X ray mode hold down the Down key until the Auto Level kV and mA displays go out To restore normal operation hold down the Up key ZX WARNING To use the No X ray mode make sure the Auto Level kV
52. emperature Limitation Operation 2007 09 19 100 III Replacement Parts and List of accessories Replacement Parts Code No Description Rating Type Qu 6112473 Main Fuse EX 2 FI0A250V Fast acting High Breaking Capacity 1 Fuse shall be certified according to IEC127 or 241 or manufactured in proportion to IEC127 or 241 List of accessories Code No 6270750 Mouth Pieces 100 6350210 Chin Rest 6350207 Lip nose Rest 6331000 X550 2D 3D 3 piece Copper Filter 6290325 Ear Rod 6292325 Hand X ray Plate 6211957 Head Band A with buckle 6211958 Head Band B with buckle the technicians of J Morita s subsidiaries all over the world technicians employed by authorized J Morita dealers and specially trained by J Morita independent technicians specially trained and authorized by J Morita For repair or other types of service contact your local dealer or the J Morita Corp 101 Operation 2008 07 21 Appendix Electromagnetic declaration Guidance and manufacturer s declaration electromagnetic emissions The X550 Type EX I and EX 2 are intended for use in the electromagnetic environment specified below The customer or the user of the X550 Type EX 1 and EX 2 should assure that it is used in such an environment Emissions test Compliance Electromagnetic environment guidance The X550 Type EX
53. ephalometric 1 040 1 605mm Option Patient Positioning Auto focus using light sensor for distance measurement and electrically operated positioning system Patient Positioning Beam Class I Laser Accordance with 21CFR Part1040 10 and IEC60825 1 Attenuation equivalent of Panoramic less than 1 7 mmAL Patient head stabilizer Cephalometric less than 1 7 mmAl 89 Operation 2007 09 19 Exposure Time Accuracy of displayed values Emission Switch Leakage technique factors 80KV 600mAs h 80KV 10mA duty cycle 1 60 for example 7 4 s exposure per 7 minutes 17 seconds cool down period Measurement bases The kV is measured by monitoring differentially the current flowing through 450 Mohm 1 feedback Panoramic max 20 3 seconds Scanograms max 17 2 seconds 8 6x2 Cephalometric max 5 0 seconds 10 Dead Man Type resistors connected between the tube anode and ground The mA is measured by monitoring current in the HT return line which equals the tube current Exposure time Starting point of exposure is determined at the time when the kV value reaches to 75 of average kV value Termination of exposure is determined at the time when the kV value decreases to 75 of average kV value Collimator Panoramic slit and Cephalo slit Digital Cassettes Digital Panorama cassette and sensor Option Cassette model External dimensions Sensor Active sensor surface Pixel size of the sensor Pixel construction Detai
54. ft dry cloth Do not touch the connection components directly with bare fingers etc Static electricity could damage the sensor Do not allow dust or other debris to collect on the connection components this could cause poor contact Slide the cassette all the way into the holder and make sure it is locked into place Otherwise images could be distorted transmission could be interrupted or equipment could be damaged 20 LED PAN LED Color and Condition Green Normal Amber On For X ray emission and image transmission Red Bllinking Abnormal Transmission malfunction Cannot make exposure Off Power is off or cassette is not properly inserted A NOTE Slide the cassette all the way into the holder and make sure it is locked into place Otherwise images could be distorted transmission could be interrupted or equipment could be damaged Never rotate the arm manually Rotating the arm by hand too fast can cause the arm motor to generate an electric current and this could activate the protection circuit for the motor switching power This in turn would cause the motors to stop working If the protective circuit has been activated turn the unit off Wait about 1 minute and then turn it back on again This will deactivate the protective circuit 21 Operation 2007 09 19 PAN 3 Panorama Settings When the unit is turned on the operation panel is set to the factory d
55. g Then press the Ready key to move the arm into the patient entry position Repeat the patient positioning and then make the exposure 4 Hang the handswitch back in its holder Hanging a mirror on the wall where the patient can see it helps to keep the patient from moving during X ray emission 62 CEPH 6 Patient Egress and Image Transmission 1 Use both hands to carefully open the ear rod plates and get the ear rods out of the patient s ears A WARNING Open the ear rod plates very carefully and make sure the ear rods are well clear of the patient s ears otherwise the patient could be injured 2 Pull the nasion plate out and then raise it up the guide the patient away from the unit 63 Operation 2007 09 19 CEPH Operation 2007 09 19 3 During image transmission the LED on the cassette will light up amber After transmission is completed it will change to green and start blinking Transferring image will appear in the computer display and after about 30 seconds the image will appear A NOTE During image transmission the LED on the cassette will light up amber After transmission is completed it will change to green and start blinking Do not do any of the following things until this LED has changed to green and starts blinking 1 Do not turn off the main switch 2 Do not take the cassette out of its holder Any of the above actions will cause the im
56. halo exposures cannot be made with Auto Exposure In Cephalo mode the No X ray function can be used to check the movement of the cassette holder and the secondary slit plate without emitting X rays 56 Up Down key Craniostat CEPH 4 Patient Positioning 1 Use the Up or Down key to raise or lower the craniostat match the patient s height Release the key to stop the craniostat moving Usage Note The craniostat Up and Down keys will not work if the unit is not set for cephalo and the Ready key has not been pressed to turn the X ray head in the cephalo direction The over current protection circuit could be activated after 3 seconds for reasons such as an excessive load or the failure to insert the cassette The craniostat will stop and an audible warning signal will sound The unit will stop working and one of the following messages will appear in the display on the frame LIFT OVERLOAD PROTECTOR ACTIVE LIFT OVERTIME PROTECTOR ACTIVE To restore normal working order press any one of the occlusal type keys underneath the display on the patient frame Always use the Up and Down Keys to move the craniostat Never try to force it this would damage it NOTE Keep your fingers away from moving parts gaps between the cassette and its holder and craniostat components and holes in the support column 5 Operation 2007 09 19 CEPH Craniostat Nasi
57. ic X ray source Intended Use X550 is used for diagnostics in dentistry by exposing X ray image receptor and for the use by authorised persons in the practice of dentistry or medicine and or associated procedures X550 is intended for dental radiographic examination and diagnosis over the whole Dent maxillofacial area such as teeth periodontal tissues or chin bone etc Essential Performance EMC pass fail criteria Performance necessary to achieve freedom from unacceptable RISK No unexpected X ray irradiation No unexpected movement of the equipment Generator X ray Head Assembly Tube D 051 Focal Spot 05 Target Angle 5 Target Material Tungsten Operating Tube Potential 60 80kV 1 KV 21 steps Digital Display accuracy of displayed values 10 Maximum nominal 80kV 10mA Operating Tube Current 1 mA to 10 mA accuracy of displayed values 10 Maximum Output Power 0 8 KW nominal at SOkV 10mA Filtration Inherent filtration minimum 2 5 mm Al at 70kV Beam Quality HVL minimum 3 2 mm AL at 80kV Primary Protective Shielding Minimum 1 5 mm Pb or equivalent Outer Shell Temperature 45 C maximum Duty Cycle 1 60 80kV 10mA Filament Preheated Rectification Direct Current Cooling Oil Cooling Maximum Heat Unit of 194 45 kJ 1 HU 1 35 Joule X ray Head Assembly Operation 2007 09 19 88 Maximum Heat Dissipation 2 kJ min of X ray Head Assembly Leakage Radiation max 1 0mGy h at Im Minimum mAs Panoramic 6 0 mAs
58. irm that it functions properly and safely before being put back into use 5 Operation 2007 09 19 Parts Identification and Accessories Operation 2007 09 19 6 Emission LED yellow Ready LED green Main LED blue Mid sagittal Beam Auto Positioning Be Frankfort Plane Beam Frankfort Plane Beam Up Down Knob Auto Positioning AF Sensor Beam Up Down Knob Emergency Switch Liquid Crystal Display Image Layer Beam Frame Operation Panel Patient Handle Temple Stabilizer Knob 7 Operation 2007 09 19 Nasion Plate Cephalo Operation Panel Patier Frankfort Plane Beam Cassette Holder Ear Rods Plate Operation 2007 09 19 8 II Patient Frame and Arm Operation Panels 4 2 e M T 1 a Bud NS IT M 78 910 6 3 1 Ready key Before the Ready key is pressed the green LED for it will be blinking on and off Press the Ready key in order to complete patient positioning The arm will rotate slightly and the positioning beams will light up Pressing the Ready key also enables X ray emission During image data transmission the LED will go out 2 Lift Up Key Hold down to raise the lift 3 Lift Down Key Hold down to lower the lift 4 Image Layer Beam Forward Key Hold down when unit is in Ready mode to move the beam forward For panorama line this beam up with the distal side of the upper left canine 5 Image Layer Beam Backward Key Hold down when unit
59. it In case of an emergency release the emission button this will completely stop the unit 3 Open the temple stabilizers all the way up and guide the patient away from the unit Press the Ready key on the patient frame or the arm operation panel The arm will go back to the patient entry position 4 Remove the lip nose rest and replace it with the chin rest 49 Operation 2007 09 19 Operation 2007 09 19 8 Removing the Digital Cassette Make sure the green LED on the cassette is either blinking or out 1 Support the cassette holder with one hand and press the release button Pull the cassette out a little and then release the button Usage Notd Make sure you press the button down far enough otherwise the attachment rod may not come all the way out of its hole and the cassette will not come out 2 Hold the cassette with both hands and carefully slide it out along the rail on the bottom of the cassette holder A WARNING Do not bump jiggle vibrate or use excessive force Use both hands to put the cassette in and take it out The cassette wieghs about 2 kg and it could injure your foot if you dropped it The sensor would also be damaged Do not swing the cassette around The vibrations could disturb the sensor s adjustment A NOTE Do not store under conditions of high temperature and humidity Storage Conditions Temperature 10 50 C Relativ
60. ith a basic knowledge of X ray hazards and its protection anatomy and image diagnosis c Language understanding English or German Intended for professional use as described above d Experience Experienced Person with operating X ray devices ATTENTION The J Morita Mfg Corp will not be responsible for accidents instrument damage or bodily injury resulting from 1 repairs made by personnel not authorized by the J Morita Mfg Corp 2 any changes modifications or alterations of its products 3 the use of products or instrument made by other manufacturers except for those procured by the J Morita Mfg Corp 4 maintenance or repairs using parts or components other than those specified by the J Morita Mfg Corp and other than in their original condition 5 operating the instrument in ways other than the operating procedures described in this manual or resulting from the safety precautions and warnings in this manual not being observed 6 workplace conditions and environment or installation conditions which do not conform to those stated in this manual such as improper electrical power supply 7 fires earthquakes floods lightning natural disasters or acts of God The J Morita Mfg Corp will supply replacement parts and be able to repair the product for a period of 10 years after the manufacture of the product has been discontinued Operation 2008 07 21 2 For Safe Operation WARNI
61. ition key and the patient Entrance and Egress key and make sure the cassette holder and secondary slit move smoothly and stop accurately Repeat 3 times 28 Craniostat Grip the ear rod plates at their base with both hands and make sure they open and close smoothly and go securely into position Grip the nasion retainer at the base and make sure it moves to the left and right and up and down smoothly and goes securely into position 29 Light Beam Make sure the Frankfort plane cephalo light beam can be turned on and off with its switch 30 Cephalo Emergency Stop Release the emission button while the cassette holder and secondary slit are moving and make sure they stop 75 Operation 2007 09 19 Trouble shooting If the equipment operation does not seem to be normal check or adjust the following before requesting a repair service If the equipment does not operate properly after the inspection adjustment or parts replacement or if you cannot perform the inspection yourself contact your local dealer or J Morita Corp The inside parts of the equipment are charged with high voltage Do not attempt to perform maintenance or adjustment that is not described in the troubleshooting table If an accident occurs the equipment must not be used until repairs have been completed by a qualified and trained technician provided by the manufacturer Before conducting the inspection or adjustment confirm that the Main LED blue on the contro
62. l box is lit Contact your local dealer or the J Morita Corp for repairs if the apparatus does not work normally even after performing the steps recommended below Main Unit Problem Possible Cause Remedy No power supply Check the breaker on the distribution panel No power when main switchistumedon Emergency Switch has Release emergency switch and turn on main switch been pressed Switches don t work Display doesn t work Some function or Arm doesn t go to process is in progress starting point Wait a while If normal operation is not restored turned the unit off wait 1 minute and then turn it on again Exposures and Main Unit Problem Possible Cause Remedy Tum unit off Make sure of patient and user safety Turn unit back on and see if it works normally Use a devoted circuit with a minimum capacity of AC 220 230 240V 16A and make sure ground is properly connected Do not use devices which might produce noise during Noise Interference an exposure Panorama amp Cephalo Image too light Line in image Large white border Partial image Completely black Short temporary Unit spontaneously power cut goes back to same Tum unit off Make sure of patient and user safety condition as when it Turn unit back on and see if it works normally was tumed on at Use a devoted circuit with a minimum capacity of AC first 220 230 240V 16A and make sure
63. l for Disinfection Ethanol 80 vol Do not use ozone water to clean the unit Ozone water could damage to the unit Do not disinfect the clinic with ozone gas or ultraviolet light This could damage plastic and rubber components When cleaning the unit with Ethanol for Disinfection Ethanol 80 vol take care that none of it seeps inside this could damage the unit oe Do not get the main unit or any of the cassettes wet this could damage them II Replacement Parts Replace the parts listed in the Regular Inspection List as necessary depending on degree of wear and length of use Order replacement parts from your local dealer or the J Morita Corp IIDStorage No frequent or continuous exposure to direct sunlight Store the mouthpieces in an aseptic environment Store the cassettes where they will not get wet and where no chemicals will be spilled on them If the unit has not been used for some time make sure it works properly before using it again Operation 2007 09 19 n Regular Inspection Maintenance and inspection are generally consider to be the duty and obligation of the user but if for some reason the user is unable to carry out these duties he may rely on a qualified medical device serviceman Contact your local dealer or the J Morita Corp for details This unit should be inspected for all the items in the following list once a year At the start and end of
64. l recognition Resolution Resulting image format Image size Imaging method PC700 241 x 280 x 43 mm 10 Full frame transfer type 2 dimension CCD image sensor 147 5 x 6 1 mm 0 048mm 3 072 x 128 pixel 0 096 mm pixel size for Superfine mode 0 144 mm pixel size for Fine high Speed mode and Digital Cephalometric mode Panoramic max 288 x 147 5 mm Panoramic max 3 000 x 1 536 pixel Superfine mode max 2 000 x 1 024 pixel Fine high Speed mode Time Delay Integration Digital Panorama and Cephalo cassette and its sensor Option Cassette model External dimensions Sensor Active sensor surface Pixel size of the sensor Pixel construction Detail recognition Resolution Resulting image format Image size Imaging method SIP SOP statement LAN Interface Operation 2007 09 19 CDCP700 241 x 280 x 43 mm 10 Full frame transfer type 2 dimension CCD image sensor 2212x 6 1 mm 0 048mm 4 608 x 128 pixel 0 096 mm pixel size for Superfine mode 0 144 mm pixel size for Fine high Speed mode and Digital Cephalometric mode Panoramic max 288 x 147 5 mm Cephalometric max 260 x 221 2 mm Panoramic max 3 000 x 1 536 pixel Superfine mode max 2 000 x 1 024 pixel Fine high Speed mode Cephalometric max 1 750 x 1 537 pixel Time Delay Integration Unshielded twisted pair cable with RJ 45 plug connections Length less than 2 m 90 Requirements for computers or other devices connected to th
65. layer up with the patient and the value of the image layer will be displayed Check that the Image layer beam is lined up with the distal side of the upper left canine There are three types of auto positioning that do not use the mouthpiece For these the AF sensor beam is lined up with the center of the upper incisors For natural occlusion press the Natural Occlusion Key 4 For a protruding maxillary press the Protruding Maxillary Key 4 For a protruding mandible press the Protruding Mandible Key amp In each case the arm will move to match the image layer with the patient s dentition and the image layer value will be displayed Usage Note If the mouthpiece is not used the AF sensor beam may not detect the correct image layer position for edentulous patients patients with twisted upper incisors or patients with lustrous crowns or full orthodontic bands In these cases use Manual Positioning 1f a patient is not standing in place or is out of the range for the arm s back and forth movement 420 mm to 20 mm a continuous beeping will indicate an error when a patient type key is pressed 29 Operation 2007 09 19 PAN Mid sagittal beam Operation 2007 09 19 7 2 Manual Positioning Use the Backward and Forward keys to line the Image layer beam up with the distal side of the patient s upper left canine A WARNING The laser beam could cau
66. ld damage the sensor Do not allow dust or other debris to collect on the connection components this could cause poor contact 69 Operation 2007 09 19 CEPH Calibrating Digital Cephalo Data for Software Analysis Digital cephalo data must be calibrated for whatever analysis software you are using A NOTE Measurements will not be correct if the data is not calibrated Cephalo image data has a resolution of 176 dpi Refer to the user s manual for your analysis software for instruction on how to calibrate the data Calibration Data A floppy disk with the calibration data is provided Tt is titled Chart 176dpi jpg How to Use the Calibration Data Import the data into your analysis software Refer to the user s guide for your analysis software to perform the calibration The distance from the center of one cross to the next in the data image is 27 5 mm Therefore the total distance of 4 crosses is 110 mm Based on the above distances select calibration points and check the distance between them For example calibrate the software so that the distance from one cross to the fourth cross away from it is 110 mm Keep the calibration data in a handy safe place We recommend that you copy the data onto your hard drive in a folder named CXProgram Files 3dxcom Floppy Disk Provided Chart 176dpi jpg Operation 2007 09 19 70 III After Use if Main switch
67. lutions on the cassette These could seep inside and damage it Put the cassette in and take it out with great care Using excessive force could damage the connection components Clean by wiping with a soft dry cloth Do not touch the connection components directly with bare fingers etc Static electricity could damage the sensor Do not allow dust or other debris to collect on the connection components this could cause poor contact Slide the cassette all the way into the holder and make sure it is locked into place Otherwise images could be distorted transmission could be interrupted or equipment could be damaged Usage Note Never slide the cassette in with excessive force This could break the lock rod or damage the electrical connection components 4 Press the Patient Entry and Egress Key to move the cassette holder and secondary lit plate all the way back Do not move the cassette holder or the secondary slit plate manually Suddenly moving these components by hand could cause damage or a malfunction 55 Operation 2007 09 19 CEPH Q Q DENSITY CEPHALO 4 Operation 2007 09 19 COMP 3 LA Lateral Exposure Press the LA key Turn the DENSITY COMP key on to select both the required soft and hard tissues for making cephalo measurements DENSITY COMP automatic density compensation 80 kV will appear in the display when the DENSITY COMP key is turned on Cep
68. nt entry position press the emission button the Ready key on the operation panel or the emergency switch to stop it A NOTE If the arm return operation is performed without closing the temple stabilizers or without guiding the patient away from the unit after the exposure the arm operation panel will display Err 42 If you go ahead and press the Ready key without closing the temple stabilizers or without guiding the patient away from the unit the arm will rotate to its start position This can cause the arm to strike the temple stabilizers or the patient 36 PAN 3 During image transmission the LED on the cassette will light up amber After transmission is completed it will change to green and start blinking Transferring image will appear in the computer display and after about 30 seconds the image will appear A NOTE During image transmission the LED on the cassette will light up amber After transmission is completed it will change to green and start blinking Do not do any of the following things until this LED has changed to green and starts blinking l1 Do not turn off the main switch 2 Do not take the cassette out of its holder Any of the above actions will cause the image to be lost and the computer to freeze Usage Note After image transmission a two toned beep will sound and the LED will change to green and start blinking However another e
69. nt folder Click Lock Folder for Data Read in For details refer to the user manual for the i Dixel application Check Resolution Move the mouse cursor to the resolution icon Bl on the task bar at the lower right to display the presently selected resolution Change Resolution Click the resolution icon Bl on the task bar at the lower right to select the resolution Either High resolution or Super high resolution will be marked with a check To change the resolution click the one without a check mark Fine high speed mode High resolution mode Superfine mode Super high resolution mode 15 Operation 2007 09 19 cuo Operation 2007 09 19 Check Panorama Operation Turn main switch on Insert the PAN or PAN CEPH cassette into the cassette holder and press the Dental Arch key Press the Ready key to enable X ray emission Hold down the emission button and check that the arm rotates X rays are emitted the X ray emission LED lights up and the audible signal sounds Also check that after the emission time has elapsed X ray emission stops and the arm stops rotating Press the emission button again to return the arm to its patient entry position Check Cephalo Operation Turn main switch on Insert the PAN CEPH cassette into the cephalo cassette holder and press the LA key on the operation panel Completely close the temple stabilizers for panorama exposures by turning the adjustmen
70. on plate Operation 2008 1021 2 Grip the base of the ear rod plates and rotate the craniostat to its Lateral position A NOTE The nasion plate must be at the front a proper exposure cannot be made if itis reversed Usage Notd Rotate the craniostat with the nasion plate is down and inside Turning the craniostat roughly could cause it to hit the cassette holder and damage it To move the nasion plate grip the base of its arm Otherwise this could be damaged 3 Grip the ear rod plates with both hands and open them up all the way 4 Make it easy for the patient to take his place by raising the nasion plate and moving it out 58 CEPH 5 Put the ear rods on their studs 6 Have the patient stand directly underneath the craniostat ZX WARNING Do not fail to have the patient wear an X ray protection apron 7 With the Up or Down key raise or lower the craniostat until the ear rods line up with the patient s outer ear orifice and then release the key 8 Grip the ear rod plates with both hands and carefully close them until the ear rods go into the patient s ears ZX WARNING Be extremely careful when inserting the ear rods and do not move the craniostat after they have been inserted This could seriously injure the patient 59 Operation 2007 09 19 CEPH Nasion plate Mid sagittal Plane Segbhdary Slit Plate Operation 2007
71. r does not get caught up in the Head Band Attachment To attach the Head Band hold the stabilizer rod steady with one hand line up the notch on the end of the Head Band with the rod and firmly press it into place Removal To take the Head Band off hold the rod steady with one hand and pull it off carefully Do not simply yank it off forcefully Usage Note Do not apply excessive force to the rods they might break z Operation 2007 09 19 PAN Linelip with center Approx 8 mm Operation 2007 09 19 7 1 Auto Positioning Use the Auto Positioning AF Sensor Beam Up Down knob to raise or lower the beam so that it strikes the center of the patient s mouthpiece Usage Note Make sure the mouthpiece is perpendicular and the beam strikes the center of it If the beam is off center the image layer will not be properly detected and the image could be spoiled Condensation on the lens for the AF sensor beam could prevent proper detection of the image layer Use a soft cloth to wipe condensation off the lens For incisal occlusion using a mouthpiece the image layer extends to about 20 mm from the end of the mouthpiece or about 8 mm from the edges of the incisors 28 Keys other than Occlusion PAN Press the Incisal Occlusion Key which is used for auto positioning with the mouthpiece The arm and the Image layer beam will move to line the image
72. re with the specified resolution is not e 24 available wih dis cassette Turn off wait 1 minute turn back on 25 TDI table for this exposure mode cannot be found Turn off wait 1 minute turn back on CT scan and 2 Direction scout are not available Rentace with CT cassette and press CT 28 with this cassette is Replace with CT cassette and press CT key y Cannot establish communication with 3DXD NIS RT Check if the application software on the PC is ready v UP E 30 Wait for reconstruction to finish if it is PC may be busy reconstructing CT data or other under way processes Vertical Slit did not return to its original position in press Ready key again to put unit into 32 specified time pecie Press Ready key again y 33 Hardware backup timer has been activated Tum off wait 1 minute turn back on 34 X Axis is not in the ready position for panoramic off wait 1 minute tum back on exposure ast The computer is not receiving the image Check LAN cables Exposure is terminated 36 No response from the touch panel module Turn off wait 1 minute turn back on 37 The touch panel is not connected with its controller Turn off wait 1 minute turn back on E Defect has been detected in High Voltage Circuit ath ete niente tan bakon Exposure cannot be performed Tum Panoramic exposure cannot be made with this i Insert a cassette for making panorama 40 cassette images Operation 2008 07
73. rotocol TCP IP with static IP address Network interface Universal purpose 10BASE T Ethernet network interface board Port occupied 69 udp 2102 tcp 2102 tep Others Network board CD ROM drive Display 17 inch CRT or TFT LCD 16 000 000 colors Standard TEC60950 or IEC60601 1 EMC regulation Related UL standard addition to USA Related C UL standard addition to Canada Local regulations 91 Operation 2007 09 19 Hub 10 Base T 100 Base TX Standard 1EC60950 if it is used in non patient vicinity IEC60601 1 or IEC60950 with enclosure leakage current is conformed with IEC 60601 1 EMC regulation Related UL standard addition to USA Related C UL standard addition to Canada Local regulations Recommended Hub for example Manufacturer Bay Networks Type Bay Stack 350T Storage Device Patient data can be saved safely MO or CD R disk drive is recommended Standard 1EC60950 if it is used in non patient vicinity EMC regulation Related UL standard addition to USA Related C UL standard addition to Canada Local regulations Other equipment connected to PC Standard IEC60950 if it is used in non patient vicinity EMC regulation Related UL standard addition to USA Related C UL standard addition to Canada Local regulations Application Software Application software for image processing or data base is provided by J Morita It shall be used with above Windows base computer specifications It conforms to 93 42 EEC in EU
74. s underneath the display on the patient frame 25 Operation 2007 09 19 PAN Operation 2007 09 19 ZX WARNING Take care that the temple stabilizers do not strike the patient in the eye A NOTE Do not use excessive force to close the temple stabilizers This could be uncomfortable for the patient or damage the stabilizers Forcing the patient in or out could also damage the stabilizers 3 Use the knob to open the temple stabilizers Have the patient move forward without slouching or otherwise changing his posture Then have him put his chin on the chin rest and lightly grip the patient handles Make sure his shoulders are lowered 4 Close the temple stabilizers until they lightly touch the patient s temples 5 Make sure the patient s face is straight and then line up the Frankfort plane beam with the patient s frankfort plane using the beam Up or Down key A WARNING The laser beam could cause eye damage Do not look directly into it or let it strike you or the patient in the eye 26 PAN 6 Move the patient s head to the left or right until the Mid sagittal beam lines up with the patient s mid sagittal plane Then tighten up the temple stabilizer so that the patient s face will not move Head Band For short people and children use the Head Band to hold the patient s head in place Usage Note Take care that the patient s hai
75. se eye damage Do not look directly into it or let it strike you or the patient in the eye Depending on the shape of the patient s face the Image layer beam may not directly strike the distal side of the upper left canine In this case position the beam so that an imaginary extension of it is lined up properly The beam s movement range is normally from 20 mm to 20 mm but it is less for some types of exposures Make sure the Frankfort plane Mid sagittal and Image layer beams are lined up properly A NOTE Warn the patient not to move during the X ray exposure while the melody is playing If the patient moves he could be hit by the arm or the exposure could be a failure The base is shaped to accommodate a wheel chair as shown in the illustration to the right However wheel chairs with a width greater than 480 mm will not fit 30 PAN Usage Note If the patient is not properly positioned the image may not be useful for diagnosis Refer to the examples below to better understand proper patient positioning 7 3 Examples of Patient Positioning and Image Results Correct Positioning Face Lowered V shaped dental arch Face Turned Up Face Turned to the rij ae 31 Operation 2007 09 19 Enlarged Reduced Reduced X ray absorption here Excessive saturation PAN Face Turned to the Lefi
76. strial Park I Bangna Trad KM 52 Bangpakong Chachuengsao 24130 Thailand TEL 466 38 57 3042 FAX 66 38 57 3043 J MORITA CORPORATION Australia and New Zealand Suite 2 05 Aero 247 Coward Street Mascot NSW 2020 Australia TEL 61 2 9667 3555 FAX 61 2 9667 3577 EU Authorized Representative under the European Directive 93 42 EEC MEDICAL TECHNOLOGY PROMEDT CONSULTING GMBH AltenhofstraBe 80 66386 St Ingbert Germany TEL 449 6894 581020 FAX 449 6894 581021 The authority granted to the authorized representative MEDICAL TECHNOLOGY PROMEDT Consulting GmbH by J Morita Mfg Corp is solely limited to the work of the authorized representative with the requirements of the European Directive 93 42 EEC for product registration and incident report PUB X3137 E 2 Printed in Japan
77. t are observed 4 Make sure the patient does not handle or manipulate the equipment 5 Item to be duly noted after use 1 Tur the power off after returning dials switches etc back to their original positions in the prescribed order 2 Do not use excessive force or pull the cord itself to disconnect cords 3 The following items should be considered when storing the equipment a The storage area should protect the equipment from getting wet b The storage area should protect the equipment from any possible damage due to atmospheric pressure temperature humidity wind direct sunlight dust or air containing salts or sulfur c The equipment should be protected from tilting vibrations percussive shocks etc including when it is being moved d The storage area should be free of chemicals and gases 4 All accessories cords guides etc should be cleaned properly arranged and carefully put away 5 Before storage the equipment should be cleaned so that it is ready to be used again 6 In case of a malfunction or defect operators should attach a written notice indicating that the equipment is out of order without attempting to repair the equipment themselves repairs should be referred to a qualified serviceman 7 Equipment should not be modified in any way 8 Maintenance and Inspection 1 All equipment and components should be inspected regularly 2 Equipment which has not been used recently should always be inspected to conf
78. t knob Press the Ready key to move the X ray head and the arm into their Cephalo positions Check that the Ready LED on the Arm Operation Panel or the control box is on Hold down the emission button and check that X rays are emitted the X ray emission LED lights up and the audible signal sounds Also check that after the emission time has elapsed X ray emission stops the emission LED goes out and the audible emission signal stops Usage Notd The unit cannot be turned on if the Emergency Stop switch has been accidentally pressed during cleaning etc Turn the switch in the direction indicated by the arrow to release it For safety keep fingers away from moving parts when they are moved NOTE Keep fingers away from gaps and openings for moving parts such as the cassette and its holder and the temple stabilizers as well as the holes on the support column for threaded bolts 17 Operation 2007 09 19 PAN ON oFF a Main switch Neroviewepocs Mie mus conr Operation 2007 09 19 Panorama Exposures 1 Turn main switch on Press the top I Jof the main switch The blue main LED will light up to show that the unit is on A NOTE Do not turn the main switch on if the patient is standing near the unit The arm will move and it could hit the patient Emergency Stop Switch In case of an emergency press the Emergency Stop Swit
79. tion electromagnetic immunity The X550 Type EX 1 and EX 2 are intended for use in the electromagnetic environment specified below The customer or the user of the X550 Type EX 1 and EX 2 should assure that it is used in such an environment TEC 60601 test Compliance Immunity test Electromagnetic environment guidance level level Portable and mobile RF communications equipment should be used no closer to any part of the X550 Type EX 1 and EX 2 including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance Conducted RF 3 Vrms 345V TEC 61000 4 6 150 kHz to 80 MHz d 12VP Radiated RF 3 V m 3 6 Vim d 10VP s0MHzto 800MHz TRE clones 80 MEZ i 4220 P so0MHzto2 5 GHz 2 5 GHz Where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in metres m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following symbol Cp NOTE 1 At 80 MHz and 800 MHz the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected be absorption and reflection from structures
80. tte Press the lock button and make sure the lock pin moves smoothly Repeat 3 times 19 Digital Cassette Visually inspect connector Make sure it is not cracked and that the pins are not bent Panorama Exposures 20 X ray emission and image read in Make an X ray exposure of a test piece and check the resulting image in the computer monitor 21 Arm Rotation Hold down the emission switch to rotate the arm Make sure it does not make an abnormal noise or slip and that it stops at the specified point 22 Arm Emergency Stop Make sure the arms stops when the emission button is released and when the emergency stop switch is pressed 23 DDAE Verification Operation 2007 09 19 74 ephalo Exposurd 24 X ray Head changeover Close the panorama temple stabilizers Press either LA or PA cephalo and then the Ready key Make sure the X ray head turns around and that it and the arm automatically go into their cephalo positions Make the above operation is not performed when the panorama temple stabilizers are open even if the cephalo and Ready keys are pressed Repeat each procedure 3 times 25 X ray emission and image read in Make an X ray exposure of a test piece and check the resulting image in the computer monitor 26 Craniostat Movement Move the craniostat up and down with the up and down keys Make sure it moves smoothly and stops accurately Repeat 3 times 27 Cassette Holder and Secondary Slit Press the Start Pos
81. turn back on Digital Cassette is busy 13 Remove the cassette and reinsert it Take cassstfe rottend reinsert 14 Digital cassette communication failure Terai Vi Remove the cassette and reinsert it AF function cannot be used in the DOUBLE Use the AF only when the unit is not 15 READY state or during other operations engaged in some other operation and d P k not set for Double Ready 16 CPU 2 firmware does not support Digital Cephalo Turn off wait 1 minute turn back on 17 Install Digital Cassette prior to emission Check cassette insertion 18 No communication with the host computer Start up computer 19 CPU communication error Turn off wait 1 minute turn back on 20 Failure to send data to CPU2 Tum off wait 1 minute turn back on The CPU on the patient frame side was busy and did not receive the acknowledgement signal for the To retum the arm have the patient gi Temple Stabilizer status move away close the temple stabilizers To return the arm have the patient move away close the temple stabilizers all the way and then press the Ready key all the way and then press the Ready key 79 Operation 2008 07 21 Error Insert the proper cassette for Panoramic exposures ne Possible Cause appears in LCD Remedy The analog power for the Digital Cassette is not 22 tumed on Take cassette out and re insert Take cassette out and re insert Exposu
82. vice J Morita products may be repaired and serviced by the technicians of J Morita s subsidiaries all over the world e technicians employed by authorized J Morita dealers and specially trained by J Morita independent technicians specially trained and authorized by J Morita 93 Operation 2007 09 19 Tube housing assembly heating curve kJ 250 200 150 100 50 0 30 60 90 120 150 180 210 240 270 Min Tube housing assembly cooling curve Ky 250 200 150 0 30 60 90 120 150 180 210 240 270 Min Operation 2007 09 19 94 Tube Rating Chart Tube rating chart Maximum Rating Chart Absolute Maximum Rating Charts D 051 DC Focal Spot 0 5mm 25 80kV A EE TV 60kV 20 N Mooy N SokV 15 TUBE CURRENT mA Wh 2 3 a 7 EXPOSURE TIME S Anode Thermal Characteristics HEAT STORAGE kJ 28 2 20 E a 10 Anode Thermal Characteristics D 051 7SUW aT Vi 170W_ K f COOLING y mmi 0 3 4 5 7 TIME min 95 Operation 2007 09 19 Reference axis X ray Field Panoramic detector Focal spot 0 5 llimator AN slit 56 2 100 5185 97 Operation 2007 09 19 X ray field Cephalometric 1650 i 1320 i Focal
83. work normally even after performing the steps recommended above 81 Operation 2008 07 21 Cable Routing Diagram Cable connections and routing may differ depending on the model LAN Board A On back of X550 HUB2 For X550 Client PC Operation 2007 09 19 82 DDAE Verification Procedure 1 DDAE Verification DDAE Digital Direct Auto Exposure is verified by this procedure 1 DDAE Verification Flowchart Start Verification Startup Dxladj exe i Turn Veraviewepocs Power On i Expose X ray 8 exposures Calculation Observe Results Turn Veraviewepocs Power Off L Exit Dxladj exe n End 2 Warning and Caution If any errors occur during the verification procedure turn off Veraviewepocs immediately Restart the procedure from Start Verification 83 Operation 2007 09 19 2 Setup 1 Test Piece DDAE verification uses copper plates attached to Veraviewepocs Test copper piece consists of three copper plates 1 2 3 2 Set Test Piece 22 1 The chinrest should be removed and the temple stabilizer closed l Temple Stabilizer 22 2 Set the Test Piece as shown below Copper plates 1 2 3 1 2 3 Copper plates 1 2 1 2 Operation 2007 09 19 84 3 Startup Test Program 2 3 1 Exit the data base application and startup Dxladj exe
84. xposure cannot be made until the image appears in the computer s display During image transmission pressing the emission button will result in a series of beeps but X rays cannot be emitted 37 Operation 2007 09 19 PAN Auto density compensation is applied to create the optimum image However if some areas of the image are exceptionally dark the auto density compensation will tend to make the entire image whiter than usual For an enlarged digital image there is a junction line that is not visible when the image is displayed initially However if the image is magnified it appears as a fine horizontal line through the center of the image This line is where the two CCD sensors come together Operation 2007 09 19 38 PAN 7 Exposure Regions 1 f Panorama 1 Press the Dental Arch key e mh x13 x16 Q EN EN ae STANDARD SHADOMLESS ORTHO 2 Press either the adult or the child key E Li SIZE ma 7 adult child For a Pedodontic panorama the arm s angle of rotation and exposure range are reduced the X ray dosage is also reduced by from 10 to 15 The pedodontic panorama is for people who have a small jaw bone If the jaw bone is too large the TMJ may not appear in the image For the entire jaw to appear in the image the length of Pedodontic Panorama a horizontal line from the center of the incisors to the outer ear orifice should be less than 70 mm

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