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Progeny Vantage Panoramic X

1. 3 To view image information click the yellow notepad button The Notes window appears Progeny TWAIN Notes Screen p Notes Note Image technique information appears in the window The patient name can be entered for reference in the TWAIN application but it is not passed on to the imaging application 4 f g progeny A Midmark Company Enter image information such as patient name and then click the Close button when finished Follow the Vantage procedures to position the patient and acquire an image After acquiring an image return to the Progeny TWAIN window Progeny TWAIN Screen with Transfer Buttons g JE Vantage Pan DE wy Image transfer buttons Use the Transfer buttons to download images to the 3 party software e Transfer downloads the last acquired image e Transfer All downloads all newly acquired images 58 Progeny Vantage Panoramic X ray System User Guide 7 Getting Started 7 Getting Started In this Chapter e Turning the Vantage System On e Setting the Technique Factors e Configuring Device Options e Configuring the Touch Control Panel e Calibrating the Touch Control Panel Turning the Vantage System On g progeny A Midmark Company To turn on the Vantage panoramic device press the On Off switch located at the back of the stationary column on top of the box of connections Vantage Panoramic Device with On Off switch Control Buttons On Off S
2. moves the Vantage System to either the Ready for Imaging position or the patient entry position depending on its current position If the Vantage System is not already in the patient entry position tapping the Ready for Imaging button moves it there When you tap this button the status indicator flashes WAIT to indicate a moving status while the Vantage System moves to the Ready position for image acquisition If no sensor is connected and you are not in Demo mode the Ready for Imaging button will indicate no sensor is detected and prevent motion of the machine The Demo button turns on Demo mode In this mode all functions of the Vantage device are available but no X rays are emitted The Options button opens the Options window where you can configure the default values for the Vantage System For more information see Options Screen in this chapter 32 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 5 System Walkthrough p progeny A Midmark Company Option Exposure Time 00 0s Cool Down Time Cool Down 300s Description This indicator displays the patient Exposure Time in seconds When the Vantage device is in cool down mode the Cool Down Time replaces the Exposure Time 33 Progeny Vantage Panoramic X ray System User Guide 5 System Walkthrough Option Description Est Dose To assist medical personnel and the patient to make informed decis
3. Control Button Panel Showing Up Down Buttons d Pm Cj xx 47 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 5 System Walkthrough Patient Positioning Table with Chin Rest Bite Guide and Positioning Wands g progeny A Midmark Company The chin rest bite guide and positioning wands are crucial elements for properly positioning the patient The chin rest attaches to the patient positioning table and the bite guide attaches to the slot in the chin rest The positioning wands together with the chin rest and bite guide help align the patient s head for the exposure and control side to side movement When removing the chin rest and bite guide the bite guide must be removed first by pulling upward Then the chin rest may be lifted out of the Positioning Table Patient Positioning Table with Chin Rest Bite Guide and Positioning Wands 48 Progeny Vantage Panoramic X ray System User Guide 5 System Walkthrough Laser Positioning System g progeny A Midmark Company The Progeny Vantage Panoramic X ray System uses three highly precise lasers to position the patient Frankfort plane laser mid Sagittal laser and Cuspid laser Each laser has a very specific function in the proper alignment of the patient and the production of a high quality image CAUTION Class 2 Laser radiation Do not stare into the beam 650 nm 3 mW Location of Lasers i t9 Cuspid Laser Ad
4. 80 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 10 Acquiring a TMJ Image 10 Acquiring a TMJ Image In this Chapter e About the TMJ Image e Acquiring a TMJ Image About the TMJ Image The temporomandibular joint TMJ image is actually a compilation of two images One image is acquired with the mouth closed and one with the mouth open The order is not important Either the open mouth or closed mouth image can be done first but both must be done The resulting image appearing after the second TMJ image is acquired depicts four image segments two outer segments and two inner segments The outer two segments are from the first TMJ image acquired and the inner two segments are from the second TMJ image acquired Acquiring a TMJ Image Acquiring a TMJ image is very similar to acquiring a pan image with two differences the TMJ positioner is used instead of the chin rest and the actual image acquisition is longer because two images are acquired Attach the TMJ positioner to the patient positioning table 2 Make sure the Vantage System is in the Patient Entry position If not tap the Ready for Imaging button on the Touch Control Panel Acquisition Setup screen 3 Verify the correct patient name appears at the top left of the Acquisition Setup screen 81 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 10 Acquiring a TMJ Image 11 g pro
5. eeeeeeesssssssseeseeeeeeeeeeennnn nnne nennen nnns nn naar nnns nnns annis 73 Using the Demo Mode 77 9 Acquiring a Panoramic IMAGE ccccseecccceesececceeseecceuseeeceeuseccsaseeecsaueeecsaeeecseuseeessageeessageeesseueeestsaeeeneees 78 ACUN 00 EE a A E E E 78 10 Acquiring a TMJ Image cccccecccccseececceseeeceeseecseuseeeseuseeeceaueeecsegseeeseaseeessaeeeeseaeeeessageeessageeessanseeseneaes 81 About the TMJ Image MPO 81 Acquiring a TMJ IIMaQe ccccccccssseecceeseeeceesseecseuscecseaeeecsaueeecsauseeessaueeessaueeessageceesaseeessaseeessaneeesssaasees 81 11 Acquiring a Cephalometric IMaQe ccccccscecccccecseseceeeeeaeeeeeeesseeseeeeesaeseeeeesseaseeeeesseaeeesessaaeeeeeessaeeeees 84 Acquiring an Inge canasitsincrtathiersssieccteeiecttsindacnthsadatbandidacatieisduaebsdsdudetaiadsiaaedocuiataduleatiebelessiandsiansealedes 84 12 Recalling the Last IMaQe ccccccsssccccesececcseseeeceeseecceuseeecsaeeecseaeceeseuseeeessageeesseueeeessaseeessaneesssageeesseaes 87 bout Image Previ W So nn ee imde Ei Ea Eia aa i iaaii neii 87 RETTELSER ERE E EEG 87 STN 89 Characteristics of a Quality Panoramic Image rnnnnnnnnnnnnnnnnnnnnnnnrnrnnnnnnnnnnnnnnnnnnnnnnnnnnnnnrrnnnnnnnnnnsnnnnannseee 89 Characteristics of a Quality Cephalometric Image rrrrnnnnnnnnnnnnrrrrrrnnnnnnnnnnnnnnnnnnrnnnnnnnrrrrrnnnnnnnnnnnnnannneee 90 Resolving Image Problems aorta ante ria te kunt ein
6. Positioning Laser On Off Button th om C cc t CAUTION Class 2 Laser radiation Do not stare into the beam 650 nm 3 mW 2 Have the patient grasp the handles on the patient positioning table and step forward Mid Sagittal Laser To properly center the patient use the fixed mid Sagittal laser to check the lateral positioning of the patient 1 Make sure the teeth are located between the ridges of the bite guide to ensure the jaws are aligned front to rear and side to side 2 Center the laser beam on the bridge of the nose so it passes through the center of the upper lip 3 Ifthe laser is not centered gently move the patient s head until it is centered Mid Sagittal Laser p i 70 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 8 Positioning the Patient Frankfort Plane Laser To properly align the tilt of the patient s head two types of adjustments are needed e The Frankfort slider button moves the laser up and down on the patient s head to align with the external auditory meatus e The up and down control buttons raise and lower the patient positioning table and adjust the tilt of the patient s head and align with the bottom of the optical orbit h m C pg 1 Align the laser with the external auditory meatus by moving the Frankfort Plane slider button up and down on the vertical column 2 Use the up and down control buttons to align the lower part of the
7. Unequal magnification from right to left side Patient s right side is too large Resolving the Problem Patient s head is rotated to the right Make sure bite guide is centered on incisors and bite wands are in contact with patient s head Confirm with mid Saggital laser Identifying Problem Characteristics Unequal magnification from left to right side Patient s left side is too large Resolving the Problem Patient s head is rotated to the left Make sure bite guide is centered on incisors and bite wands are in contact with patient s head Confirm with mid Saggital laser Play looseness in the system Poor Contrast Lack of Detail Fuzzy 93 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 13 Troubleshooting General Image Troubleshooting The diagnostic image must allow the clinician to recognize the required objects of interest Visualization is accomplished by attention to several factors Among the significant tools we have are sharpness brightness optical density contrast and angulation shape distortion Sharpness Most causes of image unsharpness have been eliminated by the design of the Vantage The focal spot size has been reduced to the minimum obtainable the rigid structure dampens vibrations and the distance between the patient and the digital sensor has been held to a minimum In order to reach maximum obtainable sharpness the patien
8. just before you initiate the X ray 53 Progeny Vantage Panoramic X ray System User Guide 6 Preparing to Receive the Image 6 Preparing to Receive the Image In this Chapter o About Imaging Software Using Progeny Imaging Software e Using Other Software About Imaging Software The imaging software running on the workstation is used to view and store the images made using the Progeny Vantage Panoramic X ray System The imaging software also provides the Vantage Panoramic X ray System with patient name and practice name There are several types of imaging software In this manual Progeny Imaging software and Progeny TWAIN software are addressed If different imaging software is used consult the manual that came with the software to make full use of its capabilities Using Progeny Imaging Software Follow the steps below to use the Progeny Imaging software 1 Open the Progeny Imaging software Progeny Imaging Icon Progeny Imaging g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 6 Preparing to Receive the Image 3 4 g progeny A Midmark Company When the Login Progeny Imaging screen appears enter your username and password and then click the Login button Progeny Imaging Login Screen Login Progeny Imaging Lu Select Default Pan in the device selection box at the top of the screen Progeny Imaging Screen Device Selection a Kd To disp
9. 2 IEC 60601 1 3 IEC 60601 2 7 IEC 60601 2 28 IEC 60601 2 32 IEC 60825 1 Medical Device Directive ISO 13485 Machinery Directive Declaration Midmark Corporation declares that the products described herein meet all the applicable Essential Requirements of the EC Medical Device Directive 93 42 EEC in Annex I For Class Ilb products described herein the product is manufactured inspected tested and released in accordance with the approved quality assurance system established in accordance with ISO 13485 and Annex II of the EC Medical Device Directive under the Supervision of the SGS United Kingdom Ltd a Notified Body Contact Technical Support Midmark Corporation Phone 888 924 3800 Press 3 U S and Canada 1 847 415 9800 Press 3 International Fax 847 415 9810 techsupport progenydental com Hours 8 00 a m 5 00 p m CT 12 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 1 Regulatory Information EMC Statement Information Regarding Potential EMC Interference and Advice for Avoidance Magnetic and Electrical fields are capable of interfering with the proper performance of this device For this reason make sure that all external devices operated in the vicinity comply with the relevant EMC requirements Mains power quality should be that of a typical commercial or hospital environment Power frequency magnetic fields should be at levels characteristic of a typical location in a
10. Acquisition Setup screen 2 Verify the correct patient name appears at the top left of the Acquisition Setup screen Acquisition Setup screen CEPH Exposure Time 15 9s 18cm x 21cm wx H 3 Adjust the height of the Vantage System to the approximate height for the patient using the up down control buttons on the secondary collimator or on the side of the patient control table 4 Select the technique factors For more information see Setting the Technique Factors in Chapter 6 5 Position the patient Use the steps and information in Positioning the g progeny A Midmark Company 84 Progeny Vantage Panoramic X ray System User Guide 11 Acquiring a Cephalometric Image 6 Ifthe patient requested an X ray simulation tap the Demo button on the Acquisition Setup screen When Demo mode is active position the patient if desired and proceed as if an actual image is being taken When done tap Demo again to turn off the Demo mode 7 After the patient is properly positioned request that the patient swallow place their tongue on the roof of their mouth and remain as motionless as possible until the device stops moving and the audio signal sounds 8 To begin image acquisition tap the Ready for Imaging button on the Touch Control panel The status indicator flashes WAIT to indicate a moving status while the Vantage System moves to the ready position Ready for Imaging Button F 7 9 Step back at lea
11. Connection to the device is not detected PK Exiting a Message Window When a message window pops up you have two options e Tapping the Message Center icon takes you to the Message Center window For more information see Working with the Message Center in this chapter e Clicking OK closes the message window g progeny s A Midmark Company Progeny Vantage Panoramic X ray System User Guide 14 Error Messages Messages and Actions Before following the actions of a specific message some general steps are very helpful e Verify the Vantage device is powered up and the Progeny client software is running on a computer system running on the same network as the Vantage e If appropriate use the Recall Last Image to retransmit the last image For more information see Recalling the Last Image in chapter 11 e Cycle the power on the device off and on once The following table identifies the text of each message and specific actions you can take for that message MessageTet Connection to the device is not eai Tess Ser SR Technical Service detected Connection to the sensor is not 1 Click OK detected 2 Wait for Vantage System to recover 3 Detach and re attach the sensor 4 Walt for the sensor to get ready approximately one minute 5 If message persists call Technical Service 6 If desired run the Vantage System in Demo mode with no radiation emitted For more information see Using
12. System Center Service Technician Access 2 To change the sound tap anywhere on the Click field and select a sound from the dropdown menu 3 To change the language tap anywhere on the Language field and select a language other than English the default 4 To adjust the volume drag the Audio Level slider button left or right to the proper volume 5 To calibrate the Touch Control panel tap the Touch Calibration and follow the on screen instructions 6 To toggle the Slide on off click the circle icon with a hand in it 7 Click the Close button to return to the Acquisition Setup screen g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 8 Positioning the Patient 8 Positioning the Patient In this Chapter e About Patient Positioning and Image Quality e Preparing the Patient e Setting the Height of the Vantage System e Inserting the Chin Rest and Bite Guide e Inserting the TMJ Positioner e Adjusting the Positioning Wands e Using the Positioning Lasers e Cephalometric Positioning Option e Using the Demo Mode About Patient Positioning and Image Quality Having the patient correctly positioned for a panoramic X ray is extremely important for the quality of the image The patient s positioning relative to the focal trough the area of sharpest definition determines the quality of the resulting image The Vantage System enables you to position patients quickly and eas
13. Tap OK to close the image window Alert the patient that you are taking the second TMJ image Note If you need to cancel the TMJ sequence press the red X on the screen Tap the Ready for Imaging button Step back again at least 2 m 6 ft and press and hold the exposure button until the Vantage System stops moving When the Image Preview appears on the Touch Control panel verify the image acquired is the one desired for the patient Tap OK to close the image window The Cool Down time appears on the Acquisition Setup screen Cool Down Time on Acquisition Setup Screen Help the patient exit the Vantage System Early Release of the Exposure Button If the exposure button is released before the Vantage System stops moving this message appears Procedure was interrupted before completion g progeny A Midmark Company 1 Click OK on the Message window and wait for Vantage System to recover and to determine if the Image Preview appears 2 If it does verify the accuracy of the image 3 If there is no image or the displayed one is inaccurate retake both TMJ images 83 Progeny Vantage Panoramic X ray System User Guide 11 Acquiring a Cephalometric Image 11 Acquiring a Cephalometric image In this Chapter e Acquiring a Cephalometric Image Acquiring an Image 1 Make sure the Vantage System is in the Patient Entry position If not tap the Ready for Imaging button on the Touch Control Panel
14. electrical equipment Part 1 3 General requirements for radiation protection in diagnostic X ray equipment EMI RFI Canadian standard for medical electrical equipment Medical electrical equipment Part 2 32 Particular requirements for the safety of associated equipment of X ray equipment Progeny Vantage Panoramic X ray System User Guide 1 Regulatory Information Certified Components Component Reference Number Pan tubehead assembly 60 A1014 Pan collimator assembly 60 A2009 Pan X ray control assembly 60 A2035 Ceph Option sensor assembly 60 A1004 Ceph Option secondary 60 F4051 collimator assembly g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide Device Labeling REF Model 60 A0001 sN XXXXXXX II i Model 60 A0001 Conforms to all applicable SN XXXXXXX d ERE LAE ILI CASI INPUT VOLTAGE REQUIREMENTS een LONGTERM RATING 1A j m Manufactured 675 Heathrow Drive Lincolnshire IL 60069 Made in U S A www progenydental com a z Midmark Corporation C 0120 8 E Midmark orp Conforms to all applicable standards 675 Heathrow Drive under 21 CFR subchapter J Lincolnshire IL 60069 USA io IEC 60226 2 1 0 AL 70 IEC 60552 REF Model 60 A1014 Toshiba DOS4SB 84kV Max SN XXXXXXX 88 XXXXX XXX WIEN E LUE LE LUE PE Month Year Com Midmark Lincolashire IL U S A Panoramic Sensor nm GO A1010 Midmark Corp Conforms to all a
15. optical orbit with the Frankfort Plane laser See the Frankfort Plane Laser illustration that follows Frankfort Plane Laser progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 8 Positioning the Patient Cuspid Laser The Cuspid laser helps to align the focal trough 1 Make sure the teeth are located between the ridges of the bite guide to ensure the jaws are aligned front to rear and side to side 2 Move the adjustment knob under the patient positioning table until the laser beam aligns with the anterior edge of the Cuspid teeth 3 Have the patient smile See the Cuspid Laser illustration that follows Cuspid Laser Positioning an Edentulous Patient 1 Use TMJ positioner to locate the patient 2 Place cotton rolls between the anterior gums to space the jaws 3 Line the Cuspid laser up slightly to the rear of the upper anterior gum line 72 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 8 Positioning the Patient Cephalometric Positioning Option The same general instructions at the beginning of this Chapter apply to cephalometric positioning The patient should be placed in a comfortable standing position close to the cephalostat device Setting the Height of the Vantage System Adjust the height of the cephalostat until the ear posts are approximately the height of the patient s otic canal Cephalostat 1 Visually compare the
16. screen the technique factors is the information you customize for each patient s X ray The technique factors define the intensity and duration of the X ray Technique factors include the settings of the projection type segmentation patient size jaw size and kiloVolt KV and milliAmpere mA values For more information see Setting Technique Factors in Chapter 7 29 Progeny Vantage Panoramic X ray System User Guide 5 System Walkthrough g progeny A Midmark Company Acquisition Setup screen READY DEMO OPTIONS The following table describes the information and functions on the Acquisition Setup screen The order of the options in the table is not indicative of the entry order Options on the Acquisition Setup Screen Option Projection Patient size Jaw Size Segmentation Description Four projections are available Pan Standard for both adult and child Pan Enhanced Pan Bitewing and TMJ The Vantage System has four patient sizes each with its own default kV and mA settings The patient sizes are Child Small Adult Adult and Large Adult Adult is the default patient size The jaw size setting determines the form of the focal trough The three sizes narrow normal and wide accommodate patients with different jaw shapes and sizes By default the Vantage System images the entire jaw You can use the segment panels to restrict the image to one or more contiguous segment
17. the Demo Mode in chapter 8 Control Panel has encountered a 1 Call Technical Service protocol error Device Controller has encountered 1 Press OK on Message screen an error 2 Wait for Vantage System to recover 3 If message re appears restart the Vantage system 4 f message persists call Technical Service Image transmission is incorrect 1 Click OK 2 Wait for Vantage System to recover and to determine if Image Preview appears 3 If it does verify the accuracy of the image 4 If there is no image or the displayed one is inaccurate retake the image Procedure was interrupted before Message appears when the exposure button is completion released before the device stops moving Click OK Wait for Vantage System to recover and to determine if Image Preview appears If it does verify the accuracy of the image If there is no image or the displayed one is inaccurate retake the image 98 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 14 Error Messages Message Text 1 Atom Sensor has encountered a calibration 1 Call Technical Service error 2 f desired run the Vantage System in Demo mode with no radiation emitted For more information see Using the Demo Mode in chapter 8 Sensor has encountered a 1 Click OK malfunction Please replace the 2 Wait for Vantage System to recover sensor 3 Detach and re attach the sensor 4 Wait for the sensor to get ready approximate
18. 0 y progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 1 Regulatory Information EC Declaration of Conformity Name and Description Progeny Vantage Panoramic Dental X ray System of Product Catalog V5000 US Domestic Market Model 60 A0001 system Catalog V5100 Export Market Model 60 A0001 system Catalog V5050 Progeny Vantage Panoramic with Ceph Sensor Domestic Model 60 A0008 Catalog V5150 Progeny Vantage Panoramic with Ceph Sensor Export Model 60 A0008 Catalog V5000C Progeny Vantage Panoramic with Cephalometric Extension 2 Sensor System Domestic Model V5000 C6000 Catalog V5100C Progeny Vantage Panoramic with Cephalometric Extension 2 Sensor System Export Model V5100 C6000 Catalog V5050C Progeny Vantage Panoramic with Cephalometric Extension 1 Sensor System Domestic Model V5050 C4000 Catalog V5150C Progeny Vantage Panoramic with Cephalometric Extension 1 Sensor System Export Model V5150 C4000 Catalog C6000 Cephalometric Extension with Sensor Model 60 A1009 Catalog C4000 Cephalometric Extension without Sensor Model 60 A1019 Catalog Ceph Sensor only Model 60 A1004 Catalog Panoramic Sensor Model 60 A1010 Class Ilb 11 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 1 Regulatory Information Reference Numbers to The following regulatory documents apply which Conformity is UL 2601 1 Declared IEC 60601 1
19. ASER PRODUCT 650 nm 3 mW Power off circle Power on line gpo re gt gt 15 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 2 Introduction Obtaining Technical Support For Technical Support contact MIDMARK CORPORATION 675 Heathrow Drive Lincolnshire Illinois 60069 U S A Phone 888 924 3800 Press 3 U S and Canada 1 847 415 9800 Press 2 International Fax 847 415 9810 techsupport progenydental com Hours 8 00 a m 5 00 p m CT 16 p progeny A Midmark Company 3 System Overview In this Chapter e About the Vantage System e About the Panoramic X ray Device About the Vantage System The Progeny Vantage Panoramic X ray System consists of the panoramic X ray device the exposure button and the Progeny client software which is installed on computer system s within the dental office network These computer systems are not provided by Progeny Dental About the Panoramic X ray Device The panoramic X ray device consists of the telescoping column the overhead assembly the patient positioning table and the touch control panel Telescoping Column The telescoping column has two main parts the fixed section and the moving or telescoping section The fixed section contains the actuator to control up and down movement of the panoramic X ray device The telescoping section mounts the patient positioning features Optical sensors in the telescoping secti
20. Company Progeny Vantage Panoramic X ray System User Guide 7 Getting Started Configuring Device Options The Profile Properties screen allows you to change default settings for the patient 1 On the Options screen tap the Profile Properties button The Profile Properties screen appears Profile Properties Screen PAN TMJ CEPH AP PA CEPH LAT Patient Large Adult Small Adult 2 Tap Pan TMJ CEPH AP PA or CEPH LAT 3 For each patient size to be changed tap the appropriate patient icon 4 To modify a default kV and or mA value tap the value and adjust it using the up down arrows 5 When setting Pan defaults tap a different jaw profile for the patient 6 When finished tap the OK button to save the changes or tap Reset to return to the previous default values 63 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 7 Getting Started Configuring the Touch Control Panel The Touch Control panel is configured and calibrated and ready to use upon arrival You may want to refine the configuration for the following options Click sound Language Audio Level Touch Calibration and Slide on off 1 Tap the Options button on the Acquisition Setup screen and the Options screen appears Options Screen Tale VE 2H English v Theme Calibration Files Backup Restore Recall Last Image VantageTrust kV and mA Properties Profile Properties Message Center
21. agnostic purposes Image Preview Image Preview 38 Progeny Vantage Panoramic X ray System User Guide 5 System Walkthrough System Center p progeny A Midmark Company The System Center will allow access to three screens to display system information The 3 screens are Sensor Real Time Controller and Vantage Touch Panel The information in these screens allows the user to verify system revision information and usage information The information provided is shown in the following screen displays Sensor Screen This screen is informational and displays the type serial number and other information about the currently connected sensor Type Panoramic Serial Number X47FD3B39 01ebf Version 1 0 2 0 Calibrated True Calibration Timestamp 1 1 2001 39 Progeny Vantage Panoramic X ray System User Guide 5 System Walkthrough Real Time Controller Screen Version 55 55 Protocol 7 VantageTouch Panel Screen Software 2 1 0 6 VantageTouch Panel om EN b NAA 40 p progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 5 System Walkthrough kV and mA Properties Screen The kV and mA Properties screen provides the user with the ability to limit the minimum and maximum Voltage kV and Current mA that can be selected for Pan and TMJ images on the Touch Control Panel Tapping the kV and mA Properties button on the Options screen opens the kV and mA Properties scre
22. al radiation indicator illuminates and that the audible radiation indicator generates a tone Premature Exposure During an exposure release the exposure switch before Termination the normal end of the panoramic sweep All movement must cease the x ray output must stop and the visual and audible indicators must end Error Messages During normal operation the appearance of any error message must be investigated and corrected Error messages may occur due to operator error or machine malfunction Contact Progeny Technical Support with any questions X ray Generator Perform complete panoramic trial exposures Absence Inspections of error messages demonstrates proper generator operation Beam alignment Verify alignment between x ray source and image Verification receptor Sensor Operation Perform a trial examination on the test phantom Evaluate the outcome of this trial exam Sufficient contrast sharpness and penetration must be evident in the image Focal Trough Perform a trial examination on the test phantom Verification Evaluate the outcome of this trial exam The focal trough must be located in the predicted position User Information The User manual should remain in the possession of the primary system operator Replacement copies are available through Progeny Technical Support Imaging Software Make sure the imaging software is running and available 102 g progeny A Midmark Company Progeny Vantage Panoramic X
23. as needed The magnification is a constant 1 1 horizontal and vertical 0 05 For AP PA projections the basic image size is a 180 by 210mm For Lateral projections the available sizes are 240 by 210mm and 300 by 210mm 23 A Midmark Company Progeny Vantage Panoramic X ray System User Guide 4 Projection Summary Panoramic Standard Projection The panoramic standard projection has the traditional path and angles of the X ray beam If the patient is a child or very small adult it is recommended to use the child setting for the exposure where the width of the exposed area is reduced Panoramic Standard Projection Panoramic Pediatric Pedo Projection The panoramic pediatric Pedo projection is a subset of the panoramic standard projection with a reduced field projection to limit the patient exposure to radiation To identify a Pedo projection select Child as the Patient Size Panoramic Pedo Projection g progeny i A Midmark Company Progeny Vantage Panoramic X ray System User Guide 4 Projection Summary Panoramic Enhanced Projection In the panoramic enhanced projection the basic imaging geometry is the same as in the panoramic standard projection except that it includes only the dentition The panoramic enhanced projection with the X ray perpendicular to the jaw is an improved orthogonal program and is useful for implant planning Panoramic Enhanced Projection TMJ Projection The TMJ projection provid
24. aw size turns bright green 2 If you change the patient size after selecting a jaw size the jaw size may change as well Simply reselect the correct jaw size for the new patient size 61 Progeny Vantage Panoramic X ray System User Guide 7 Getting Started kV and mA Values All kV values quoted in this manual are peak values You can increase or decrease kV and mA values up to their maximum values as defined on the kV and mA Properties screen A default value is green and changes to yellow to indicate the value is no longer the default value kV and mA Icon 1 To change a value tap the kV value or the mA value Up and down arrows appear above the value selected 2 Tap the up or down arrow as often as needed to reach the desired value The Default kV and mA Values table identifies initial values used with the Progeny Vantage Panoramic X ray System Default kV and mA Values Patient Size Default Values kV Value Child 06 amp X Small Adult 10 10 10 Large adult 10 If any of the following conditions apply you may wish to consider adjusting the kV and mA peak values e Ifthe patient has heavy soft tissue and or bone structure about the face and neck use the next higher kV and or mA setting e lf the patient is small and has narrow facial bone structure use the next lower kV and or mA setting e lf the patient is edentulous use the next lower kV and or mA setting 62 g progeny A Midmark
25. ay System User Guide 13 Troubleshooting Characteristics of a Quality Cephalometric Image The Cephalometric x ray examination is employed to measure the relationships between intracranial landmarks These anatomical structures identified within the radiograph become one of the components necessary in developing a treatment plan In order to maximize visibility the practitioner must verify placement of the Otic Posts and Nasion Locator During patient positioning the Midsaggital Line and Frankfort Plane must be preserved Among the landmarks to be visualized we have g progeny Sella S midpoint of the sella turcica Nasion N most anterior point of the frontonasal suture A Point A deepest point on the maxillary profile between the anterior nasal spine and the alveolar crest B Point B deepest point on the concavity of the mandibular profile between the alveolar crest and the point on the chin Posterior Nasal Spine PNS the tip of the posterior nasal spine Anterior Nasal Spine ANS anterior point of the bony nasal spine Gonion G the most posterior inferior point on the angle of the mandible Menton M lowermost point of the mandibular symphysis Pogonion Pog most anterior point on the bony chin Porion Po the highest point on the bony external acoustic meatus Orbitale Or most inferior point of the orbit Articulare Ar the point of intersection of the projection
26. ay System User Guide 9 Acquiring a Panoramic Image 7 After the patient is properly positioned request that the patient swallow place their tongue on the roof of their mouth and remain as motionless as possible until the device stops moving and the audio signal sounds 8 To begin image acquisition tap the Ready for Imaging button on the Touch Control panel The status indicator flashes WAIT to indicate a moving status while the Vantage System moves to the ready position Ready for Imaging Button F 9 Step back at least 2 m 6 ft and press and hold the exposure button until the Vantage System stops moving Exposure Control Button 10 When the Image Preview appears on the Touch Control panel verify the image acquired is the one desired for the patient Image Preview Screen Image Preview 11 Tap OK to close the image window 12 Help the patient exit the Vantage System g progeny T A Midmark Company Progeny Vantage Panoramic X ray System User Guide 9 Acquiring a Panoramic Image Early Release of the Exposure Button If the exposure button is released before the Vantage System stops moving this message appears Procedure was interrupted before completion 1 Click OK on the Message window and wait for Vantage System to recover and to determine if the Image Preview appears 2 lfit does verify the accuracy of the image 3 If there is no image or the displayed one is inaccurate retake the image
27. ce 13 Maintenance In this Chapter e Regular Maintenance e Cleaning and Disinfecting Regular Maintenance In the interest of equipment safety a regular maintenance program must be established This maintenance program should consist of cleaning and disinfecting as well as annual system function checking It is the owner s responsibility to arrange for this service and to assure that the personnel performing this are fully qualified to service Progeny Dental X ray equipment Cleaning and Disinfecting The Progeny Vantage Panoramic X ray System requires disinfection The cleaning and disinfecting methods described here protect operators and patients in a manner that is safe for the equipment Cleaning Compounds Progeny Dental recommends the use of a broad spectrum surface disinfectant cleaning product such as Cavicide or chemical equivalent Cleaning Methods Between each patient perform the following cleaning and disinfecting steps 1 Remove gross bio burden from the chin rest bite guide handles and structure with a disposable towel moistened with water 2 Drythe chin rest bite guide handles and structure with disposable towels 3 Wipe the chin rest bite guide handles and structure with the disinfectant cleaning product following the manufacturer s instructions 4 Clean any remaining disinfectant cleaning product from the component with water This additional step prevents possible product discoloration or
28. commercial or hospital environment If the above criteria cannot be verified precautions shall be taken when using this equipment as the device may inadvertently operate Authorized Representatives North America MIDMARK CORPORATION 675 Heathrow Dr Lincolnshire Illinois 60069 U S A Phone 888 924 3800 Press 3 U S and Canada 1 847 415 9800 Press 2 International Fax 847 415 9810 Europe CE Partner 4U Esdoornlaah 13 3951DB Maarn The Netherlands Phone 31 343 442 524 Fax 31 343 442 162 g progeny A Midmark Company 13 2 Introduction In this Chapter e Product Description e Disclaimer about the Manual e Symbols and Conventions e Obtaining Technical Support Product Description The Progeny Vantage Panoramic X ray System is an easy to use and easy to install digital panoramic X ray system The panoramic X ray provides a broad overview of the teeth jaw and oral structure of the entire mouth The X ray image supplies information about the teeth upper and lower jawbone sinuses and other hard and soft tissues of the head and neck The panoramic digital receptor is contained in a C arm that moves around the patient s head The Vantage System has many applications that include evaluation of third molars evaluation of patients with past and present TMJ temporomandibular joint problems patients who require full or partial removable dentures dental implants or braces those who are at ri
29. corrosion 5 Dry the patient contact areas with disposable towels CAUTION The Progeny Vantage Panoramic X ray System is not waterproof Use only moistened not saturated towels 95 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 14 Error Messages 14 Error Messages In this Chapter e Message Overview e Messages and Actions e Message Center Interactive Screen Message Overview The Vantage Panoramic system displays informational messages and system messages When the system encounters a problem the message window appears on the Touch Control Panel The message window includes a description of the problem the OK button and the Message Center icon Informational Message This message is distinguished from the System Message by its blue header and the wording MESSAGE The Informational Message indicates that the Vantage system can still be used although all functions may not be available Example of an Informational Message MESSAGE Connection to the sensor is not detected AE progeny 7 A Midmark Company Progeny Vantage Panoramic X ray System User Guide 14 Error Messages System Message This message is distinguished from the Informational Message by its green header and the wording SYSTEM The System Message identifies a system wide error The Vantage system cannot be used until the problem is resolved Example of a System Message SYSTEM
30. cuspid light 34 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 5 System Walkthrough Options Screen As delivered the Touch Control panel comes with default settings for images and is completely ready to use The Options screen is used to change any of the default settings or configure differently the behavior of the Touch Control panel For example you can use the Options screen to set the peak kiloVolt kV and milliAmpere mA values for each patient size The Options screen is accessed through the Options button on the Acquisition Setup screen Options Screen Tale VET HI English v Theme Calibration Files Backup Restore Recall Last Image VantageTrust kV and mA Properties Profile Properties Message Center System Center Service Technician Access progeny gt A Midmark Company Progeny Vantage Panoramic X ray System User Guide 5 System Walkthrough p progeny A Midmark Company The following table describes the information and functions of the Options screen Options on the Options Screen Option Click Language Audio Level Cl Calibration Files Backup Restore Recall Last Image Vantage Trust kV and mA Properties Message Center Profile Properties System Center Service Technician Access Slide On Off Segment Lock Description The dropdown menu lets you decide what type of sound is heard when you tap a button on th
31. de on the patient positioning table with the TMJ positioner TM Positioner TMJ Positioner Mounted on the Patient Positioning Table 2 Slowly using the up down control buttons raise the Vantage System until the TMJ positioner is approximately level with the patient s mouth 3 Install a sheath on the TMJ positioner prior to patient positioning 4 Askthe patient to step forward to the Vantage System and grasp the handles 5 Position the patient so the TMJ positioner presses against the upper lip at the base of the nose Adjusting the Positioning Wands 1 Press the open and close wand button to move the wands in and out from the patient s head The button is on the Button Control panel shown here Open and Close Wands Button h Ma m X J X 2 Press the button until the wands rest firmly on the patient s head in the temple area g progeny j A Midmark Company Progeny Vantage Panoramic X ray System User Guide 8 Positioning the Patient Using the Positioning Lasers g progeny A Midmark Company The Progeny Vantage Panoramic X ray System has three lasers to help position the patient Frankfort laser mid Sagittal laser and Cuspid laser Positioning Lasers 1 am Cuspid Laser Adjustment Cuspid Laser Adjustment 69 Progeny Vantage Panoramic X ray System User Guide 8 Positioning the Patient 1 Turn on the positioning lasers using the laser on off button on the patient positioning table
32. e Patient Inserting the Chin Rest and Bite Guide The chin rest and bite guide are used to position a patient for all Pan Standard Pan Enhanced and Pan Pedo projections 1 Mount the chin rest on the patient positioning table 2 Insert the bite guide into the slot at the back of the chin rest The bite guide aligns the jaws front to rear 3 Install a sheath on the bite guide prior to patient positioning 4 Slowly using the up down control buttons raise the Vantage System until the cup of the chin rest is approximately level with the patient s mouth 5 Askthe patient to step forward to the Vantage System grasp the handles and put their chin in the chin rest Chin Rest and Bite Guide Positioning 6 Askthe patient to gently bite down on the protective sheath covering the bite guide Make sure the teeth are located between the ridges of the bite guide Teeth Positioning on the Bite Guide Removing the Chin Rest and Bite Guide When removing the chin rest and bite guide the bite guide must be removed first by pulling upward Then the chin rest may be lifted out of the Positioning Table 67 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 8 Positioning the Patient Inserting the TMJ Positioner The TMJ positioner is used to position a patient for TMJ projections All other steps for positioning the patient are the same as for other projections 1 Replace the chin rest and bite gui
33. e Touch Control panel The options include standard Microsoft Windows sounds The dropdown menu lets you select a language English is the default language The slider button controls the volume of the Click sound Moving the slider to the bottom makes the sound less audible moving it to the top makes it more audible This button is used to install sensor calibration files on the Vantage System This button is used to backup and restore your user settings to from the Vantage System This button is used to retrieve and redisplay the most recent image acquired The most recent image is always stored until another image is acquired or until the Vantage System is turned off This button is used to view your current VantageTrust settings This button is used to set the minimum and maximum kiloVolt KV and milliAmpere mA values for radiation This button allows you to interactively view messages for specific components of the Vantage Panoramic system This button is used to set the default kV and mA values and the jaw size for each patient size This button provides access to information on the sensor type serial number and number of images taken since the last sensor controller reset This button is used for maintenance or when a service technician works on the system It is password protected This button is used to prepare the machine for a technician to access the Vantage System remotely This toggle button allow
34. ed at any time Recalling the Last Image When you need to retransmit the most recently acquired image the Recall Last Image button on the Options screen allows you to do this 1 Tap the Options button on the Acquisition Setup screen and the Options screen appears 2 Tap the Recall Last Image button The Image Preview screen appears Recall Image Image Preview 87 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 12 Recalling the Last Image 3 When you are finished previewing the image tap the OK button Note If you just powered on the Vantage System and you tap the Recall Last Image button a non diagnostic image may appear This image may not be useful for diagnostic purposes 88 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 13 Troubleshooting 13 Troubleshooting In this Chapter e Characteristics of a Quality Image e Characteristics of a Quality Cephalometric Image e Resolving Image Problems Characteristics of a Quality Panoramic Image A quality panoramic image will look like the following image and have the following characteristics e Symmetry of structures about the midline e Slight downward tip of the occusal plane or smiling appearance e Good density visibility and sharpness of all structures e Spine and ramus ghost artifacts should be minimal 89 g progeny A Midmark Company Progeny Vantage Panoramic X r
35. en kV and mA Properties Screen kV mA Minimum Maximum Profile Properties Screen The Touch Control panel comes with default values for each patient size and is completely ready for use With the Profile Properties screen you can modify these values The default values appear when you select PAN or TMJ and a patient size on the Acquisition Setup screen For Pan images for each patient size you can define the kV and mA peak values and the jaw size The kV and mA values must fall within the range already defined on the kV and mA Properties screen For TMJ images you can define the kV and mA peak values for each patient size When you tap Profile Properties on the Options screen the Profile Properties Screen opens Profile Properties Screen progeny j A Midmark Company Progeny Vantage Panoramic X ray System User Guide 5 System Walkthrough PAN TMJ CEPH AP PA CEPH LAT Patient Large Adult Small Adult The following table describes the information on the Profile Properties screen Profile Properties Screen Option Description PAN TMJ CEPH Select the type of image for which you are setting AP PA CEPH LAT defaults Patient All values are set for a specific patient size This is where you select the patient size to edit kV and mA Values Each patient size can have unique kV and mA values that will be used in image acquisition These values can be further defined for Pan TMJ Ceph AP PA and Cep
36. enters Demo mode 1 On the Acquisition Setup screen of the Touch Control panel tap the Demo button Acquisition Setup screen showing Demo Button uA OPTIONS 2 Tap the Demo button again to return to the image acquisition mode g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 9 Acquiring a Panoramic Image In this Chapter 9 Acquiring a Panoramic Image e Acquiring an Image Acquiring an Image 1 g progeny A Midmark Company Make sure the Vantage System is in the Patient Entry position If not tap the Ready for Imaging button on the Touch Control Panel Acquisition Setup screen Verify the correct patient name appears at the top left of the Acquisition Setup screen Acquisition Setup screen Exposure 9 6s Est Dose 00 0mGy Adjust the height of the Vantage System to the approximate height for the patient using the up down control buttons on the side of the patient control table Select the technique factors For more information see Setting the Technique Factors in Chapter 6 Position the patient Use the steps and information in Positioning the Patient If the patient requested an X ray simulation tap the Demo button on the Acquisition Setup screen When Demo mode is active position the patient if desired and proceed as if an actual image is being taken When done tap Demo again to turn off the Demo mode 78 Progeny Vantage Panoramic X r
37. er n Rea x ea veh ela x Eg nis tei ae ln E ERE R ELSE ein ta pri dn 92 LEGE cie m RRTD 95 Regular Maintenance ves T T m E ELERS 95 Cleaning and Disinfecting llssssssseisssseesseeeeeeee nnne nennen nnne nnn nsn nain nnns arena nnn rns 95 FEE 96 Message Overview EEE EEE EE 96 ME NE ee EEE saanciaintmassi TEE Ege 98 Message Center Interactive Screen rrrrnnrnrrnrrnnnnnrvnrrnnnnnrrvrrnnnnrennnnnnnnrrnnnnnnsnssnnnnnnsnsrnnnnnnsnsrnnnnnnsssennnnnn 100 DIVE 101 Vantage System FUNCTION GHECKISE ccccsticsascendssseheenceaisonctecss EEN E ds 101 oystem SPECHICALIONS SEE eek 103 POO SOIC det SEERE FEE EEE Er ERE 104 X Ray Tube INfOrMation cccccccccsseseccccceeeseeeecseeeceeecsaeeeeeeesseaeeeeesseaeceeesseueceeesseaseceesssaeeeessssaassesess 104 p progeny A Midmark Company 1 Regulatory Information In this Chapter e Indications for Use e Contraindications e Warnings and Precautions e Compliance with Applicable Standards e Certified Components e Device Labeling e EC Declaration of Conformity e EMC Statement e Authorized Representatives Indications for Use Statement of Indications for Use The indications for use of the Progeny Vantage Panoramic X ray System are to provide dental radiographic examination and diagnosis of diseases of the teeth jaw and oral structures When the system
38. es exposures of patient s left and right temporomandibular joints TMJ Projection 25 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 4 Projection Summary Panoramic Bitewing Projection In the panoramic bitewing projection the basic imaging geometry is the same as in the panoramic enhanced projection except that it reduces the vertical collimation to cover only the bitewing portion of the dentition The panoramic bitewing projection with the X ray perpendicular to the jaw is an improved orthogonal program useful for bitewing analysis Panoramic Bitewing Projection Cephalometric AP PA Projection The AP PA projection is used for orthodontic evaluations It is performed by rotating the cephalostat so that the nasion marker is toward the sensor PA or away from the sensor AP 26 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 4 Projection Summary Cephalometric Lateral Projection The Lateral projection is achieved with the cephalostat positioned with the Otic posts in line with the x ray tube head The position of the nasion indicates whether a left or right lateral is produced 7 lt um 27 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 5 System Walkthrough 5 System Walkthrough In this Chapter e Touch Control Panel e Tools for Patient Positioning e Entry Exit and Ready f
39. g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide For Vantage units manufactured during or after October 2012 Part Number 00 02 1607 REV H ECN P3244 Contents OS MUN E UU EEE EE EN NE 2 Ree eek ATOM EEE ENER EE dua Edda EE Ede do ua NUR 4 Tate fore tie m FOR U EE E Tm o OT SEP 4 Gore ae ea EE m m 4 Warningsand se 00 NN NE NE 5 Compliance with Applicable Standards rrrnrrnnrrrnnnnnnnnornnrrrnnnnnnnnrvnnnrrnnnnnnnnsrennnnnnnnnnnsssnnnnnnnnnsnsssennnnnnnnnn 7 e anie amp eee RI O arene TR TRES 8 BE le Es ine PNE T RU 9 Optional Cephalometric Extension Labeling sess 10 EC Declaration of Conformity eeeeeeeeesssssssssssessesseeeeeenn nnne nennen nnne nsns nena LEES nnns sns na nnn nnns 11 OSEN m 13 Authorized REpresentatives ccccccccccccccsssseceeccseseeeeesseeeeeeeeeeeeeseeeesseeseeeeeeseaeeceeseseaseeeessseeeeeessaageeseeeeaas 13 MMA UIC 10 0 EE Ed NE ER 14 Product Description MM P M 14 Disclaimer about the Manual rrrnnnnnrvnnnnnnnnrvnrrnnnnnvvnrnnnnnnrennnnnnnsrnnnnnnnnsennnnnnsnrennnnnnnneennnnnnsssennnnnnssennnnnn 14 ENN 15 Gone Tecmical SUDO OM RE EE 16 NNN NNN 17 About the Vantage ee EE EE 17 About the Panoramic X ray Device rrnrnrrnnnnnnnnrnnnrnnnnnrvnnrnnnnnrnnnnnnnnrsnnnnnnnnsrnnnnn
40. geny A Midmark Company Acquisition Setup Screen m OPTIONS Adjust the height of the Vantage System to the approximate height for the patient using the up down control buttons on the side of the patient control table When you select the technique factors be sure to select the TMJ projection For more information see Setting the Technique Factors in Chapter 6 Position the patient Use the steps and information in Positioning the Patient If the patient requested an X ray simulation tap Demo on the Acquisition oetup screen When Demo mode is active position the patient if desired and proceed as if an actual image is being taken When done tap Demo again to turn off the Demo mode After the patient is properly positioned request that the patient remain as motionless as possible until the device stops moving and the audio signal sounds Remind the patient that two exposures are needed for a TMJ image To begin image acquisition tap the Ready for Imaging button on the Touch Control panel The status indicator flashes WAIT to indicate a moving status while the Vantage System moves to the ready position Ready for Imaging Button F 3 Step back at least 2 m 6 ft and press and hold the exposure button until the Vantage System stops moving 82 Progeny Vantage Panoramic X ray System User Guide 10 Acquiring a TMJ Image 12 13 14 15 16 17 18 Exposure Control Button
41. geny Vantage Panoramic X ray System User Guide Appendix Anode Thermal Characteristics HEAT STORAGE kJ TNE min 105 g progeny A Midmark Company
42. h Lateral projections Jaw Profile For Pan images you can customize the patient size further by specifying a jaw size Narrow Normal and Wide 42 p progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 5 System Walkthrough Calibration Files Screen The Calibration Files screen is used to load calibration files for Vantage sensors Any time a new sensor is added you will need to load the calibration files to use it You can also remove old calibration files by using the list at the bottom of this screen When you tap Calibration Files on the Options screen the Calibration Files screen opens Calibration Files Screen No Calibration Files Found The following table describes the information on the Profile Properties screen Calibration Files Screen Option Description USB Drive Displays the state of the USB drive plugged into the Control Panel Calibration File List Lists all of the calibration files already in the Control Panel 43 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 5 System Walkthrough Backup Restore Screen The Backup Restore screen is used to backup and restore technique factors sensor calibration files and VantageTrust information When you tap Backup Restore on the Options screen the Backup Restore screen opens Backup Restore Screen Drive with existing backup found The following table describes
43. h automatically select segments The method of selection tap or slide is set using the Slide On Off button on the Options screen For more information see the Options screen in Chapter 5 1 Toturn a segment panel off simply select any segment The segment turns dark to indicate it is not selected 2 Select the segment again to turn it back on 60 Progeny Vantage Panoramic X ray System User Guide 7 Getting Started Patient Size Jaw Size g progeny A Midmark Company Segmentation Panel PAN Exposure 9 6s Est Dose 00 0mGy The patient sizes are Child Small Adult Adult and Large Adult Adult is the default patient size Changing the Patient size sets the kV and mA values to the default setting for that patient size as defined on the Profile Properties screen For more information see Profile Properties Screen in Chapter 5 1 To change from Adult simply tap the desired icon 2 To select the Child patient size tap the smallest patient size By default the jaw size changes to Narrow to indicate that the width of the exposed area will be reduced Patient Size Icon The jaw size is dependent on the patient size and the settings from the Profile Properties screen For more information see the Acquisition Setup screen and the Profile Properties Screen both in Chapter 5 Jaw Size Icon 1 To select the jaw size tap the corresponding icon for Narrow Normal and Wide jaw sizes The selected j
44. height of the patient s otic canal with the cephalostat ear posts 73 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 8 Positioning the Patient 2 Using the up down control buttons on the secondary collimator or on the side of the patient positioning table adjust the height of the Vantage System until the ear posts are approximately level with the patient s otic canal LET The vertical column moves slowly at first and then faster Up Down Control Buttons m n po Je Tp a Up and Down Buttons Adjusting the Otic Posts and Nasion 3 Grasp one of the Otic Posts at the top and move it in or out as needed to position or release the patient Both posts will move together The posts are designed so that they will not move except when grasped at the top 4 Grasp the Nasion and slide it vertically until it aligns with the bridge of the patients nose Slide the Nasion toward the patients nose until the tip contacts the bridge of the nose For projections where the Nasion is not needed it will rotate about the base out of projection area Review Patient Head Orientation 5 The patient s head position should be reviewed to make sure it is correct along 3 axes a From a side lateral view the Frankfort plane bottom of orbit to Otic Posts should be level horizontally b From a frontal view the patient s face should be straight forward without any twisting c Also from the front ensure
45. ily with its up down buttons chin rest positioning wands and precision positioning lasers Preparing the Patient 1 Describe to the patient what needs to occur to acquire a successful image Include an overview of the imaging process and what you will be asking the patient to do 2 Ask the patient if they would like you to run the Demo a simulation of the imaging process 3 Request that the patient remove earrings eye glasses and mouth or facial piercings as well as a jacket or bulky sweater while you prepare the Vantage System and set technique factors 65 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 8 Positioning the Patient Setting the Height of the Vantage system You adjust the height of the patient positioning table so that the chin rest is approximately the same height as the patient s chin Patient Positioning Table Patient Positioning Table 1 Visually compare the height of the patient s chin with the chin rest on the patient positioning table 2 Using the up down control buttons on the side of the patient positioning table adjust the height of the Vantage System until the cup of the chin rest is approximately level with the patient s mouth LET The vertical column moves slowly at first and then faster Up Down Control Buttons 1 4D gt Pm C x 66 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 8 Positioning th
46. ions the Vantage System displays an estimated dose for the selected image survey to be executed The estimated dose is shown as Dose Area Product DAP in SI units of mGy cm The displayed value is calculated based on a model for the Vantage performance and is not calibrated WARNING Use the displayed estimated DAP values only as guidance to the level of X Ray exposure before the actual irradiation Do not use the displayed estimated DAP value when a precise dose reading is expected Instead use calibrated equipment to measure the actual dose of interest during the X Ray irradiation Status Indicator When the status indicator displays Ready in green the Vantage System is ready for imaging When READY Ready is gray the Vantage System is in the exit position When Ready is yellow the Vantage System is in the entry position When Ready is red the system is in an unknown position as at initial power up and moving to find the home position When a flashing Wait appears the Vantage System is in motion When Safe appears the Vantage System is busy checking components and is in transition to another screen This state is temporary If it lasts more than 5 minutes restart the Vantage System When Offline appears the Vantage System is not connected to the workstation Cuspid Light Reminder When the Vantage moves into patient entry position a reminder is indicated on the top of the acquisition O screen to remind you to use the
47. is equipped with the Cephalometric option the system will also provide cephalometric radiographic examinations for the use in orthodontic treatment planning and evaluation Guidelines for Patient Selection The guidelines for use of the Progeny Vantage Panoramic Extraoral X ray System are described in the ADA FDA Guide to Patient Selection for Dental Radiographs This device is to be operated only for the intended use as indicated by prescription of a qualified dental practitioner Contraindications None known at this time p progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 1 Regulatory Information Warnings and Precautions Radiation Safety Only qualified and authorized personnel may operate this equipment observing all laws and regulations concerning radiation protection e The operator during X ray production must remain 2 m 6 ft from the focal spot and the X ray beam for protection e Full use must be made of all radiation safety features on the equipment e Full use must be made of all radiation protection devices accessories and procedures available to protect the patient and operator from X ray radiation Electrical Safety e Only qualified and authorized service personnel should remove covers on the equipment e This equipment must only be used in rooms or areas that comply with all applicable laws and recommendations concerning electrical safety in rooms used for medical pu
48. justment zy J T Cuspid Laser Adjustment Steng 49 Progeny Vantage Panoramic X ray System User Guide 5 System Walkthrough Frankfort Plane Laser The Frankfort plane laser is used to align the horizontal tilt of the patient s head A slider button on the front of the telescoping column moves the laser Frankfort Plane Laser Slider Button Frankfort slider The illustration Alignment with the Frankfort Plane Laser is an example of the positioning of the Frankfort Plane laser on the patient s head Alignment with the Frankfort Plane Laser This laser is used to align the patient s head 50 y progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 5 System Walkthrough Mid Sagittal Laser The mid Sagittal laser is used to center the patient on the patient positioning table It is a fixed laser Alignment with the Mid Sagittal Laser Cuspid Laser The Cuspid laser is used to align the focal trough the area most sharply defined on the X ray You use the adjustment knob under the patient positioning table to move the Cuspid laser to the proper alignment Alignment with the Cuspid Laser g progeny i A Midmark Company Progeny Vantage Panoramic X ray System User Guide 5 System Walkthrough Cephalometric Positioning Tools Having the patient correctly positioned for a Cephalometric X ray is extremely important for the quality of the image The Progeny Van
49. lay the list of patients click Patient Open from the menu at the top Progeny Imaging Screen Open the Patient List Please select a Patient Progeny Imaging 55 Progeny Vantage Panoramic X ray System User Guide 6 Preparing to Receive the Image 5 On the Select Patient screen select the patient and then click the Open button The patient information appears on the workstation and the Touch Control panel Progeny Imaging Screen Select a Patient Med Alert last First Gender Folder Birth Date Last XRay Start Date o J Anderson Mr 7 29 2009 7 29 2009 F 2G P009 7 29 20 6 Follow the Vantage procedures to position the patient and acquire an image 56 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 6 Preparing to Receive the Image Using Other Software The Progeny Vantage Panoramic X ray System can also interface with other imaging and practice management software using the Progeny TWAIN interface 1 Open the TWAIN option in the software being used and choose the Progeny TWAIN device The Progeny TWAIN window appears Progeny TWAIN Screen Vantage Pan t du uy m l S sS 2 Select the device Progeny Vantage Pan from the device dropdown menu Progeny TWAIN Screen Select a Device Vantage Pan v R in um 57 p progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 6 Preparing to Receive the Image
50. ler has encountered an error 101 11 47 05 7 Pan Sensor Connection to the sensor is not detected 120 11 47 05 7 Pan Sensor Connection to the sensor is not detected 120 11 47 05 7 RTC Device Controller has encountered an error 101 To access the Message Center e On the Acquisition Setup screen tap the Options button then tap the Message Center button e Ona Safe or Offline screen tap the Message Center icon Message Center Icon 100 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 15 Technical Data Sheet 15 Technical Data Sheet Vantage System Function Checklist Perform the tasks on this checklist to verify electrical mechanical and software readiness of the Vantage Panoramic X ray System System Readiness Checklist Task Area Description Floor and Wall Ensure that the wall support is adequate and that the system is securely attached to the wall and floor For freestanding units the structure must be firmly attached to the floor Mechanical Safety Inspect the structure for mechanical integrity of the telescoping column Inspect the condition of the main drive lead screw bearings overhead attachment and pivot points C arm attachment and pivot points and the patient table attachment Electrical Safety Verify integrity of the power line and its connections and the connection to earth ground Labels Ensure that all certified components bear labels that incl
51. ly one minute 5 If message persists call Technical Service 6 If desired run the Vantage System in Demo mode with no radiation emitted For more information see Using the Demo Mode in chapter 8 Sensor has encountered an error 1 Click OK 2 Wait for Vantage System to recover 3 Detach and re attach the sensor 4 Wait for the sensor to get ready approximately one minute 5 If message persists call Technical Service 6 If desired run the Vantage System in Demo mode with no radiation emitted For more information see Using the Demo Mode in chapter 8 System cannot execute selected 1 Click OK function Please try again 2 Wait for Vantage System to recover 3 Repeat the action taken 4 If the message recurs restart the Vantage System 5 If the message persists call Technical Service System has encountered an error 1 Click OK Current procedure was interrupted 2 Wait for Vantage System to recover from the due to time out condition 99 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 14 Error Messages Message Center Interactive Screen The Message Center screen is an interactive Touch Control Panel screen that displays messages for various components of the Vantage Panoramic system Touching a component on the screen highlights the messages for that component Interactive Message Center Screen Message Center Time Component Description 11 47 05 7 RTC Device Control
52. mm This equipment contains class 2 lasers of 3 mW output at 650 nm The beam is a 40 fan line The lensing on the laser is not removable Laser on time does not exceed 100 seconds CAUTION Use of procedures other than those contained within this manual may result in exposure to damaging laser light Progeny Vantage Panoramic X ray System User Guide 1 Regulatory Information Compliance with Applicable Standards Radiation Protection The certified components of the Progeny Vantage Panoramic Dental X ray System comply with Radiation Performance Standards 21 CFR Subchapter J at the time of manufacture Performance Standards Standard IEC 60825 1 2001 IEC 60601 1 IEC 60601 1 1 IEC 60601 2 7 IEC 60601 2 28 IEC 60601 1 3 IEC 60601 1 2 CAN CSA 22 2 No 601 1 M90 IEC 60601 2 32 1994 g progeny A Midmark Company Content Safety of Laser Equipment Medical electrical equipment Part 1 General requirements for basic safety and essential performance Medical electrical equipment Part 1 1 General requirements for safety Collateral standard Safety requirements for medical electrical systems Medical electrical equipment Part 2 7 Particular requirements for the safety of high voltage generators of diagnostic X ray generators Medical electrical equipment Part 2 28 Particular requirements for the safety of X ray source assemblies and X ray tube assemblies for medical diagnosis Medical
53. ng mechanism is comprised of the rail and the transit assembly The rail supports the transit mechanism and houses the motor and bearings that cause the transit mechanism to move The transit assembly mounts the cephalometric sensor and the secondary collimator and maintains the alignment of the sensor and secondary collimator to the panoramic tubehead The rail also supports the cephalostat used to position the patient The cephalostat is comprised of two otic positioning posts which adjust to conform to the width of the patients head and a nasion locator which adjusts vertically and laterally to align the patients head The entire cephalostat rotates in 22 5 increments to support many cephalometric imaging positions Cephalometric Sensor g progeny A Midmark Company The cephalometric sensor is similar in appearance to the panoramic sensor but houses within a 21cm long digital detector instead of the 14cm digital detector used for normal panoramic exam The cephalometric sensor can be used in place of the panoramic sensor but the panoramic sensor will not operate as a cephalometric sensor 19 Progeny Vantage Panoramic X ray System User Guide 3 System Overview Vantage System Panoramic X ray Device Overhead Arm Column Telescoping Section aye LI Positioning Lasers Patient Positioning Table Column Fixed Section g progeny i A Midmark Company Progeny Vantage Panoramic X ray System User Guide 3 System O
54. nicians The Service screen is password protected When you tap Service on the Options screen the Service Password screen opens Service Password Screen Service Password Saas um oe oS ABC DEF 747 FEN FET GHI JKL MNO n gn ol PORS TUY WXYZ 0 OK CLEAR CANCEL 5 System Walkthrough 46 Progeny Vantage Panoramic X ray System User Guide 5 System Walkthrough Tools for Patient Positioning Having the patient correctly positioned for a panoramic X ray is extremely important for the quality of the image The size and shape of the area most sharply defined on the image depends on the correct positioning of the patient The Progeny Vantage Panoramic X ray System has built in tools that make correct positioning quick and easy to accomplish These tools include e control buttons for column height e the patient positioning table with chin rest bite guide and positioning wands e the laser positioning system with the Frankfort plane laser mid Sagittal laser and Cuspid laser Control Buttons for Column Height The telescoping column of the Vantage System supports the patient positioning table with the chin rest the bite guide and the positioning wands The height of this column and the patient positioning table is easily adjusted from the Control Button panel located on either side of the patient positioning table A second set of controls are available on the Ceph Extension option for easier Ceph positioning
55. nsnsrnnnnnnsssennnnnnsasennnnnnsnssen 17 About the Optional Cephalometric ExtensSion ccccccccsssessecceeeeeeeeeeeeeeceeeeeesseeeeeeeeesesseaaaeeeeeeeessaaaaeess 19 8 CION U EEE 23 SEE ENE 23 Panoramie Standard Po SCHON sccccccsesacessacoceccdeesidaenacegenssanaccaeaaseqosssbesieeesonecaesalsaqeunsandcaavisecovtaens edavicancx 24 Panoramic Pediatric Pedo Projection lessen eene nnne nnne nnne nnns 24 Panoramic Enhanced PO EGON avstandene 25 NNUS PO CTO er 25 Panoramic Bitewing Projection nennen nennen nnne nnne nnn nnne nnns 26 Cephalometric AP PA Projection lelssssesisssssesseeeeeeennn nennen nenne nennen nnn nensi nnns nnns nan nnns 26 Cephalometric Lateral ProjeCtion cccccccsseeceeeeseseceeeeseeseeeeeaeeseceeesseaeeeeeeseeeeeceeesseaseeeeessaaeeeeesssaeeeees 27 DOV Ra Eie Do EE 28 Ton MAP reke 28 Tools for se ee 09 EEE OO ODE 47 Cephalometric Positioning Tools ccccccccccccceesesseeeeeeeeeeueesseeceeeeeeseeeseeceeeeeseuaeseseeeeeeesseaaaeeceeeeessaaaasees 52 Entry and Exit and Ready for Imaging Positions errrnnnnnrnrrnnnnnnrnnrnnnnnrennrnnnnrennrnnnnnrennrnnnensennnnnnnnsennnnnn 53 PENN ae eee ee ee ee eee ee 53 6 Preparing to arce MATE OUO DOTT 54 About IMAGING SOW ANC Lg Ge 54 Using Progeny Imaging Software eeeesssssssssisssseeeee RENEE ERE nennen nennen nnn nsn n na nn nnns nni n nnns nnns 54 Using O
56. of the surface of the condylar neck and the inferior surface of the basi occiput Basion Ba the most posterior inferior point of the midline on the basi occiput Piercy al Frankfort i Fi T7 3 SER T 7 E Aa V RS PEN unl Maxilliary q4 A PNS p ER em moni Plane N ig t Functional 009 4 occlusal LAL 4 Plane MB z Mandibular Fatial Plane Plane 90 A Midmark Company Progeny Vantage Panoramic X ray System User Guide 13 Troubleshooting These landmarks are used to develop a visualization of key Planes of interest The planes are identified as e The Frankfort Plane which is a line drawn from the Porion to the Orbitale e The Facial Plane the line between the nasion and the pogonion e The Maxillary Plane a line from the anterior nasal spine to the posterior nasal spine e The Mandibular Plane the line between the gonion and the menton e The Occlusal Plane dental contact surfaces oeveral commercially available application programs have been developed to assist the clinician through the process of marking these planes It is suggested that the clinician become familiar with these and other anatomical landmarks as the treatment plan and the anatomy included with the treatment plan are beyond the scope of this manual 91 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 13 Troubleshooting Resolving Image Problems The table that follow
57. on define the maximum and minimum extension of the column Overhead Assembly The overhead assembly consists of an overhead arm and C arm The overhead arm supports the C arm which rotates The C arm includes the tubehead and the removable sensor The tubehead produces the X ray beam and the sensor is a digital image receptor Patient Positioning Table The patient positioning table guides and supports the patient s head during acquisition of panoramic X ray images by means of the chin rest bite guide and positioning wands The positioning control on the side of the patient positioning table has 4 buttons for the operator to control the up down movement of the telescoping column to apply and release the positioning wands and to turn on positioning lights The patient positioning table also contains a storage compartment g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 3 System Overview Touch Control Panel The touch control panel is mounted on the fixed column section under the patient positioning table It is the main user interface for taking X ray images with the Vantage System and is activated by touch Exposure Button Bite Guide Chin Rest TMJ Positioner The exposure button is used by the operator to take the X ray The basic configuration consists of an exposure button connected to the panoramic X ray device by a coil cord A bite guide helps the patient keep his or her jaw correc
58. or Imaging Positions e Demo Mode e Cephalometric Option Positioning Tools Touch Control Panel The Touch Control panel is the main operator tool for image acquisition It is mounted on the telescopic column of the Vantage System and can be swung to either side of the column to make it easier to use Touch Control Panel E 4 Touch Control panel Software on the Touch Control Panel The user interface software runs on the Touch Control panel For safety reasons patient positioning can only be done from the Touch Control panel 28 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 5 System Walkthrough The Touch Control panel displays information pertinent to the current image being acquired The screen is activated by touch You tap a button to move to another screen or you tap an icon to select a value The screens and features relating to image acquisition are described next e Acquisition Setup screen e Options screen e Image Preview screen e System Center screens e kV and mA Properties screen e Profile Properties screen e Calibration Files screen e Backup amp Restore screen e VantageTrust screen e Service screen Password Acquisition Setup Screen g progeny A Midmark Company The Acquisition Setup screen is the principal screen used to acquire an image At the upper left corner is the patient name and dental office The other information on this
59. pplicable standards 675 Heathrow Drive under 21 CFR subchapter J ier page i sae it 60069 USA 3 0 0 Al 70 IEG 60552 incr Model 60 A2009 MANUFACTURED IM th Y ax Collimator serial on car Lincolnshire IL 84 Sensor Serial No BLD Manufactured Date Long Monti Date 60 Looo8 Rev E Dets Year Mo CAUTION X RAYS TO BE OPERATED ONLY BY AUTHORIZED PERSONNEL SEE OPERATOR S INSTRUCTIONS ATTENTION RAYONS X OPERATION SEULEMENT PAR PERSONNEL AUTORISE VOIR LE MANUEL DE L OPERATEUR WARNING THIS X RAY UNIT MAY BE DANGEROUS TO PATIENT AND OPERATOR UNLESS SAFE EXPOSURE FACTORS OPERATING INSTRUCTIONS AND MAINTENANCE SCHEDULES ARE OBSERVED 604 0006 RevA 60 L0007 Rev C 1 Regulatory Information 0018evD J MELLE m Corn y progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 1 Regulatory Information Optional Cephalometric Extension Labeling M agp E r lt Model 60 A 1009 XXXXXXX Midmark Cor z Unean st USA Zoe RAN X Cephalometric Sensor REF Model 60 A1004 c Manufactured E gt 01220 c Midmark Corporation C g 675 Heathrow Drive Lincolnshire IL 60069 E Made in U S A 3 ww progenydentalcom Manufactured Midmark Corp Conforms to all applicable FDA perfo 60 L0032 Rev 1 Lincolnshire IL U S A standards 21 CFR subchapter J Model 60 F4051 B 0 0 Al 70 IEC 60552 SN Manufactured 1
60. ray System User Guide 15 Technical Data Sheet System Specifications Sheet Total Filtration Min 32mmAl 0 Anode Voltage Panoramic 54 84 kVp 10 4 14mA 20 14 mA max 1140 watts max Panoramic 2 5 16 seconds as indicated 10 Cephalometric 9 15 6 seconds 10 Panoramic 500 mm 20 Panoramic Constant 1 2 horizontal and vertical 0 05 Cephalometric Constant 1 1 horizontal and vertical 0 05 Image pixel size 2 by 2 binning for 96 um by 96 um output pixel size CCD active area Panoramic 6 144 mm x 146 mm 0 25 x 5 8 eee Cepratometic 6144mm x 221 mm 025x87 Cephalometric 21 x 30 cm 8 2 x 12 Cephalometric 4608 x 6250 16 bits per pixel mem IN La NN size Cephalometric 28 8 MBytes Attenuation 0 4 mm Al Equivalent of Image Receptor Maximum Heat 0 3 BTU Dissipation into Surrounding Air Line Voltage 1 110 240 VAC 10 50 60 Hz Duty Cycle 11 30 BE Fo CT Temperature NND LN Temperature Maximum Altitude 3650 m 12 000 ft 103 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide Appendix Appendix X Ray Tube Information Tube can be either Toshiba D 054SB or Kailong KL29SB rating charts are the same Maximum Rating Charts Absolute maximum rating charts Constant potential high voltage generator Nominal Focal Spot Value 0 5 TUBE CURRENT mA EXPOSURE TIME s g progeny T A Midmark Company Pro
61. rposes e g IEC US National Electrical Code or VDE standards concerning provisions of an additional protective earth ground terminal for power supply connection e Before cleaning or disinfecting this equipment must always be turned off e The Progeny Vantage X ray System is ordinary medical equipment without protection against ingress of liquids To protect against short circuit and corrosion no water or any other liquid should be allowed to leak inside the equipment Explosion Safety This equipment must not be used in the presence of flammable or potentially explosive gases or vapors which could ignite causing personal injury and or damage to the equipment If flammable disinfectants are used the vapor must be allowed to disperse before using the equipment Damage and Injury Do not place permanent or non mobile structures beneath the device Device movement may result in damage to the device or structure or in injury to the operator or patient Cleanliness To prevent cross contamination always clean the patient contact areas and always install a fresh protective sheath over the bite guide before positioning a patient The sheath recommended for this application is the TIDI Products part number 21008 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 1 Regulatory Information Laser Safety g progeny A Midmark Company Do not stare into the beam Do not place eyes closer than 100
62. s The segment panel is dark when unselected and light when selected For a TMJ projection type the Vantage System automatically selects the outermost two segments and does not allow changes For a Pan Enhanced projection type the Vantage System automatically selects the innermost three segments and does not allow changes 30 Progeny Vantage Panoramic X ray System User Guide 5 System Walkthrough 31 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 5 System Walkthrough Option Description Ceph Image Type The Cephalometric projection is chosen by the position of the Cephalostat The corresponding selection is highlighted on the acquisition screen along with the image size If no selection is highlighted then the Cephalostat is in a non standard position kV and mA The kiloVolt KV and milliAmpere mA values that appear are the default Voltage and Current values 72kV 6mA for the selected patient size as configured on the Profile Properties screen The default values appear as green and change to yellow when a value is no longer the default value You might see one value in green and the other in yellow indicating that the yellow value is no longer the default value This table shows the initial default values of the kV and mA settings Patient Size Default Values mad 2 w Dam o o laws 0 w Ready for Imaging The Ready for Imaging button has a dual purpose It
63. s offers examples of problem images their characteristics and steps to take to resolve the problem Problem Images Characteristics and Solutions Identifying Problem Characteristics Occlusal plane smile opens upward Resolving the Problem Patient s head is tilted down Use the Frankfort plane laser to properly align the horizontal tilt of the patient s head Identifying Problem Characteristics Occlusal plane smile opens down Anterior teeth are above posterior Resolving the Problem Patient s head is tilted upward Use the Frankfort plane laser to properly align the horizontal tilt of the patient s head Identifying Problem Characteristics Anterior teeth are narrow and blurred Significant spinal image Resolving the Problem Patient is positioned too far forward To ensure correct positioning position the patient with the anterior teeth placed firmly between the ridges of the bite guide 92 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 13 Troubleshooting Problem Images Characteristics and Solutions Identifying Problem Characteristics Anterior teeth are overly large and blurred Condyles may be cut off Resolving the Problem Patient is positioned too far to the rear To ensure correct positioning position the patient with the anterior teeth placed firmly between the ridges of the bite guide Identifying Problem Characteristics
64. s you to choose tap or sliding motion to select the projection and one or more segments on the segmentation panel The button is circled in green when the slide selection is activated This toggle button allows you to lock the segments in the 36 Progeny Vantage Panoramic X ray System User Guide 5 System Walkthrough g progeny A Midmark Company Option Cuspid Light Reminder mGray icon Ceph Segmentation Lock Ceph Segmentation Default Description acquisition screen to prevent accidental segment de selection This toggle button allows to enable and disable the cuspid light reminder on the acquisition screen This button is used to enable and disable the dose display This button activates or deactivates the Ceph Lateral segmentation lock This toggle button sets the default Ceph Lateral segmentation image size 37 Progeny Vantage Panoramic X ray System User Guide 5 System Walkthrough Recall Last Image g progeny A Midmark Company After an X ray image has been acquired or when you tap the Recall Last Image button on the Options screen an Image Preview appears This Image Preview remains on the screen of the Touch Control panel until you tap the OK button Be sure to verify that the image acquired is the one desired for the patient If you just powered on the Vantage System and you tap the Recall Last Image button a non diagnostic image may appear This image may not be useful for di
65. sk or Suspected of having oral cancer or other tumors of the jaw those who have impacted teeth and those who have had any recent trauma to the face or teeth i e can help identify a fractured jaw The optional Cephalometric Extension allows for lateral and PA views of oral structures The ceph digital receptor is mounted on a transit rail which scans horizontally during ceph examinations Cephalometric images are typically useful in orthodontic evaluation and treatment Disclaimer about the Manual p progeny A Midmark Company Midmark pursues a policy of continual product development Although every effort is made to produce up to date product documentation this publication should not be regarded as an infallible guide to current specifications We reserve the right to make changes without prior notice The original language of this manual is English Progeny Vantage Panoramic X ray System User Guide 2 Introduction Symbols and Conventions Symbol Explanation Type B Protection against electric shock IEC 60601 1 1988 Consult written instructions in the User Guide ATTENTION RAYONS X OPERATION SEULEMENT PAR DU PERSONNEL AUTORISE VOIR MANUEL DE L OPERATEUR WARNING X RAY THIS X RAY UNIT MAY BE DANGEROUS TO PATIENT AND OPERATOR UNLESS SAFE EXPOSURE FACTORS AND OPERATING INSTRUCTIONS ARE OBSERVED X RAY EMISSION Mains HOT WIRE Mains NEUTRAL WIRE Earth Ground LASER RADIATION DO NOT STARE INTO BEAM CLASS 2 L
66. st 2 m 6 ft away from the tubehead but not toward the paitent and press and hold the exposure button until the Vantage System stops moving Exposure Control Button 10 When the Image Preview appears on the Touch Control panel verify the image acquired is the one desired for the patient Image Preview Screen Image Preview T d EX ww 11 Tap OK to close the image window g progeny A Midmark Company 85 Progeny Vantage Panoramic X ray System User Guide 11 Acquiring a Cephalometric g progeny A Midmark Company Image 12 Help the patient exit the Vantage System Early Release of the Exposure Button If the exposure button is released before the Vantage System stops moving this message appears Procedure was interrupted before completion 13 Click OK on the Message window and wait for Vantage System to recover and to determine if the Image Preview appears 14 If it does verify the accuracy of the image 15 If there is no image or the displayed one is inaccurate retake the image 86 Progeny Vantage Panoramic X ray System User Guide 12 Recalling the Last Image 12 Recalling the Last Image In this Chapter e About Image Preview e Recalling the Last Image About Image Preview The Vantage System retains the most recent image acquired in memory until the Vantage System is shut down or until another image is acquired Then that image becomes the image in memory This image can be recall
67. t must remain stationary during the examination and if possible suspend respiration Brightness optical density Collected images which appear too dark may require an adjustment to the image management program filter settings or a reduction in the milliampere setting on the x ray generator Images which appear too light may require an adjustment to the image management program filter settings or an increase in the milliampere setting on the x ray generator Contrast Collected images which present with lower than desired contrast may require an adjustment to the image management program filter settings or a decrease in the kilovoltage setting on the x ray generator Images which present with higher than desired contrast may require an adjustment to the image management program filter settings or an increase in the kilovoltage setting on the x ray generator Angulation shape distortion As the information collected within the image will appear in a two dimensional format anatomical landmarks may become superimposed due to poor positioning In the case of the lateral Cephalometric examination it will be necessary to verify the concentric alignment of the patient s ear canals During the review of the PA projection lateral symmetrical alignment is required In either case the Midsaggital Line and Frankfort Plane must be preserved 94 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 13 Maintenan
68. tage Cephalometric X ray System has built in tools that make correct positioning quick and easy to accomplish These tools include e control buttons for column height e Easy to use and comfortable Cephalostat Control Buttons for Column Height The telescoping column of the Vantage System supports the Cephalometric assembly from which the Cephalostat depends The height of this column and the Cephalostat is easily adjusted from the positioning controls on the Secondary Collimator or from the Positioning Control Button panel located on the side of the patient positioning table Cephalostat The cephalostat has three distinct functions First the cephalostat as a whole can be rotated to identify the type of cephalometric projection desired lateral left or right AP and PA Secondly the otic posts are a gentle positioning aid to help keep the patient in the proper stationary position during the examination Finally a nasion marker is provided to aid the location of this soft tissue area on resulting radiographs a ruler is also embedded in the marker for measurement purposes 52 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 5 System Walkthrough Entry and Exit and Ready for Imaging Positions Status Indicator The overhead arm on the Vantage System has an entry exit and ready for imaging position e Inthe entry position the overhead arm is nearly centered to the patient table to allo
69. the information on the Backup Restore screen Backup Restore Screen Option USB Drive Backup Arrow Restore Arrow Confirmation g progeny A Midmark Company Description Displays the state of the USB drive plugged into the Control Panel Displayed going from the Vantage to the USB drive creates or overwrites a backup that already exists Displayed going from the USB drive to the Vantage restores an existing backup to the system Before a backup or restore occurs a confirmation appears prior to beginning the action 44 Progeny Vantage Panoramic X ray System User Guide 5 System Walkthrough VantageTrust Screen The VantageTrust screen is used to view information about your VantageTrust account When you tap VantageTrust on the Options screen the VantageTrust screen opens VantageTrust Screen The following table describes the information on the VantageTrust screen VantageTrust Screen Option Description Status The current status of the VantageTrust account Name The registered practice name Location The registered practice location Serial Number Your Vantage serial number service Light ad for accessibility of the VantageTrust service online My Information Light 45 p progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide Service Screen p progeny A Midmark Company The Service screen is a diagnostic and troubleshooting tool and is used by Service tech
70. the patient s head is not tilted but vertically Straight AP PA Projection The AP PA projection is achieved with the cephalostat positioned with the nasion toward the tubehead AP or opposite the tubehead PA e Rotate the Nasion marker up e Rotate the cephalostat into the PA position e Place the patient within the cephalostat e Make sure the Frankfort Plane is level e Ask the patient to close the mouth 74 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 8 Positioning the Patient AM 75 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 8 Positioning the Patient Lateral Projection The Lateral projection is achieved with the cephalostat positioned with the Otic posts in line with the x ray tube head e Rotate the Nasion marker up e Rotate the cephalostat in the Lateral position e Place the patient within the cephalostat e Make sure the Frankfort Plane is level e Move the Nasion marker tip to the patients nasion e Ask the patient to close the mouth 76 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 8 Positioning the Patient Using the Demo Mode The Demo mode allows demonstration of device function without emission of radiation Demo mode is activated using the Demo button on the Acquisition Setup screen on the Touch Control panel When the sensor is not connected the system automatically
71. ther conr 57 EE 10 ej E APE E 59 Turning the Vantage System On cccccccccccccsseseeeceeeeeesaeeeeeceeeeeesseeeeseeeeeeeesseeeeseeeceeesessaaaeeeeeeeessaaaaaaess 59 Setting the Technique FactOls ccccccccccccssseeceecceeeseeeeceeeeeeeeeaeeseeeeesseuseceeesseaaeceeesseaseceesssaaseeeessaageeess 60 Gon fiquring Device ODO H 63 Conriguring the Touch Control Panel scsi esccencsyu becveacerecmsacasasenncssuensecabeawasoncusbnanseenmeeccewsndecsbeetenwandeeacnees 64 SPOTT WIC PE ES T E m m UU T MT 65 About Patient Positioning and Image Quality llis nnne 65 ps sa TG We se EEE E E E E R 65 p progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide Contents Setting the Height of the Vantage SYSteM cccccccccceeccssessseeeeeeeeeeeeesseceeeeseseeeeseeeeeeeessseaaseeeeeeeeseaeaasess 66 Inserting the Chin Rest and Bite Guide cccccccccccsseeeeeeceeeeeeaeeeeeeceeeeeesaeeeeeeeeeeessueasseeseeeeessuaaaeeeeeees 67 Inserting the TMJ Positioner RET UU I TT Umm 68 Adjusting the Positioning Wands seeeeeissssessseeeeeeen nnne nnne nennen ERE REESE REESE ERE nna nnns nnn 68 Using the Positioning Lasers W u u sssssssueeserees kk kk tk kk REEL nennen nennen nennen nnn nnns nna rn nnns naar nnns nnns 69 Cephalometric Positioning Option
72. tly positioned Additional bite guides may be obtained from Progeny Always install a fresh protective sheath over the bite guide before positioning a patient The sheath for this application is the Progeny part number 60 S0027 An easily removable chin rest fits into an opening on the patient positioning table Additional chin rests may be obtained from Progeny A TMJ positioner for TMJ X rays fits into the patient positioning table TMJ positioners are included with the Vantage Emergency Stop Switch g progeny A Midmark Company The stop switch mounted under the left side of the patient positioning table near the telescoping column is for use by the patient Depressing the button will immediately halt all motor movement Touching the control panel surface will also abort any movement The button can be released by turning the knob 18 Progeny Vantage Panoramic X ray System User Guide 3 System Overview About the Optional Cephalometric Extension The Cephalometric Extension consists of the support arm the cephalometric scanning mechanism and the cephalometric sensor Support Arm The support arm is an aluminum casting that mounts to the panoramic column s inner mobile component It mounts via a support casting that allows vertical adjustment of the position of the cephalometric mechanism The arm can be mounted either to the right or to the left of the column Cephalometric Scanning Mechanism The cephalometric scanni
73. ude the model and serial number date of manufacture and a statement of certification Diagnostic Source Under the tubehead cover evaluate the condition of the Assembly following items collimator attachment collimator blade mechanism electrical connections and mechanical attachment of the tubehead and collimator to the structure Check for oil leaks Power Switch Verify that the switch is working and that the operator panel illuminates when the power switch is in the ON position Operator Panel Touch A few seconds after power up the splash screen should Control Panel appear The screen should display the status when the Vantage Client software is started The panel must switch to the main screen when the Vantage Touch software and all related devices are up and running The panel functions must respond to interrogation Movement Control Verify wand positioning and column vertical drive Switches Laser Operation and The mid Sagittal Frankfort plane and Cuspid lasers alignment operate on demand by way of the activation switches on the patient table Verify alignment through the use of the laser test fixtures 101 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 15 Technical Data Sheet Exposure Switch Verify that the exposure switch is functioning properly To make an exposure follow the procedures outlined in this manual Exposure Indicators Make several exposures Verify that the visu
74. verview Vantage System Patient Positioning Table Pasitioning Wands Bite Guide Storage Compartment Stop Switch Positioning Control Optional Cephalometric Extension 21 g progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 3 System Overview Support Arm Arm Mount Cover Transit x Rail Sensor Secondary er Collimator cce Positioning Controls 22 y progeny A Midmark Company Progeny Vantage Panoramic X ray System User Guide 4 Projection Summary 4 Projection Summary In this Chapter Overview Panoramic Standard Projection Panoramic Pediatric Projection Panoramic Enhanced Projection Temporomandibular Joint TMJ Projection Bitewing Projection Cephalometric Projections option Overview g progeny The Progeny Vantage Panoramic X ray System offers multiple projections a panoramic standard projection panoramic pediatric pedo projection panoramic enhanced projection with enhanced orthogonality panoramic bitewing projection and a temporomandibular joint TMJ image The Panoramic magnification is a constant 1 2 horizontal and vertical 0 05 For both panoramic and TMJ images the basic image size is a standard 300 x 150 mm The optional Cephalometric extension offers multiple pre programmed projections AP PA and right and left Lateral projections Other cephalometric projections can be made by orienting the cephalostat
75. w the patient to enter the Vantage System e Inthe exit position the overhead arm is slightly off to the side of the patient positioning table to allow the patient to exit the Vantage System e Inthe Ready for Imaging position the overhead arm is close to the patient positioning table and ready to begin image acquisition The Status Indicator is color coded for the position of the overhead arm When Ready is yellow the Vantage System is in the entry position When Ready is gray the Vantage System is in the exit position When Ready is green the Vantage System is ready for imaging When Ready is red the system is in an unknown position as at initial power up and moving to find the home position Demo Mode g progeny A Midmark Company The Demo mode allows the operator to simulate the movement of the Vantage System as it runs through an actual imaging cycle No X ray image is taken during the demo Using the Demo mode helps patients see how the Vantage System moves and what to expect during the actual acquisition of an image This in turn may allow the patient to be more at ease during the X ray and to move less thereby increasing the likelihood of a good image and a lower level of X ray exposure For a patient who is fearful of the process you might ask the patient to stand back from the Vantage System and watch as it simulates an X ray For most patients you can run the Demo mode after you have positioned them for their X ray
76. witch Touch Control Panel IW k 5 When you turn on the Vantage panoramic device the Touch Control panel displays a Start Up screen The Vantage panoramic device goes through a self diagnostic procedure as part of the startup process 59 Progeny Vantage Panoramic X ray System User Guide 7 Getting Started Setting the Technique Factors Projection Type Segmentation g progeny A Midmark Company The technique factors are the exposure factors defining the intensity and duration of the X ray The technique factors are the projection type segmentation patient and jaw sizes and kiloVolt kV and milliAmpere mA values You set the technique factors on the Acquisition Setup screen For more information see the Acquisition Setup screen in Chapter 5 Select one of four projections Pan Standard Pan Enhanced Pan Bitewing or TMJ The method of selection tap or slide is set using the Slide On Off button on the Options screen For more information see the Options screen in Chapter 5 1 Select the Projection icon until the desired projection type appears Pan Standard Projection Icon 2 To view a different projection type select the icon again 3 Fora Pan Pediatric Pedo projection select Pan Standard projection and then select the Child patient size By default the Vantage System images the entire jaw To select specific areas to image you use the segment panels or the projection types whic

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