PMC6000 Rev D.p65 - Panoramic Corporation
Contents
1. 2 Using the knob on the rear of the forehead support adjust the forehead support until it touches the patient s forehead 3 Center the patient s head using the red line on the forehead support Turn the mirror to see the patient to verify centering e Panoramic Corporation Copyright 2007 Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 www pancorp com PC 1000 Patient Positioning 4 Gently slide the temple supports against the patient s head These will help keep the patient centered and measure the width of the skull to determine the amount of kVp required to penetrate the skull Set The kVp 1 Note which number the arrow points to on the kVp scale decal on the outside of the temple support rod 2 Using the kVp setting knob on the control panel set the kVp meter to the number from the kVp scale decal on the temple support rod previous step This sets the penetrating power of the X rays Re check Patient Positioning 1 Ensure that the a patient s chin is firmly seated on the chinrest b patient s head is centered c patient s Frankfort Plane is horizontal d patient s neck is stretched e patient s forehead is resting on the forehead support f temple supports are against the patient s head g kVp meter is set to the number on the temple support rod Copyright 2007 Panoramic Corporation e Panoramic Corporation 4321 goshen road fort wayn2. Date X RAY CONTROL Complies with DHHS CAN CSA Std 22 2 MODEL PC 1000 21 CFR Subchapter J No 114 M90 LR 96864 1 Panoramic Cephalometric 70 90 kVp 6 mA 70 90 kVp 10 mA 12 Sec 0 4 2 0 Sec 115V 50 60Hz 0 5A Continuous RADIATION RESET POWER 10 0A Momentary QOLILIL 10A WARNING THIS X RAY UNIT MAY BE DANGEROUS TO PATIENT AND OPERATOR UNLESS SAFE EXPOSURE AND OPERATING INSTRUCTIONS ARE OBSERVED Control Panel Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 WWW pancorp com Appendix Copyright 2007 Panoramic Corporation Laser 1000 Labeling CAUTION LASER RADIATION DO NOT STARE INTO BEAM POWER lt 1 mW Panoramic Corporation PC 1000 WAVELENGTH 650 nm Fort Wayne Indiana U S A CLASS ITLASER PRODUCT Serial Date X RAY CONTROL Complies with DHHS MODEL PC 1000 21 CFR Subchapter J Rear Tubehead Cover Cephalometric Panoramic kVp 70 90 kVp 6 mA 70 90 kVp 10 mA 12 Sec 0 4 2 0 Sec VISIBLE LASER LIGHT EMITTED FROM APERATURE ABOVE AVOID EXPOSURE e e e AP PA LATERAL OFF mm Panoramic Corporation Fort Wayne Indiana USA Collimator Model Laser 1000 Serial Date COMPLIES WITH DHHS RADIATION PERFORMANCE STANDARD 21 CFR SUBCHAPTER J Cephalometric SID 1720mm SIZE 203mm X 254mm J SID 460mm SIZE 6 x 150mm Front Tubehead Cover 1 2 0
3. and at least 4 from film 1 Prepare developer and fixer solutions according to the solution s directions 2 Verify developer temperature 3 Under safelight conditions remove the exposed film from the cassette sleeve and attach it to a film hanger 4 Setthe timer based on the developer temperature and the processing chart 5 Immerse the film quickly into the developer and agitate it vigorously for only 5 seconds to dislodge any air bubbles 6 When the timer sounds remove the film from the developer and immediately rinse it with water for 30 seconds while agitating it Do not allow the excess developer to drain back into the developer tank 7 Immerse the film into the fixer and agitate it for 5 seconds every 30 seconds Allow the excess fixer to drain back into the fixer tank 8 Immerse the film in the water wash tank and rinse it thoroughly 9 Dry the film at room temperature or in a drying cabinet Automatic Processing A thermometer should be present to periodically verify the temperature It is imperative that the processor s maintenance schedule is followed thoroughly Manual Processing Automatic Processing Developer Rinse Fixer Wash Film Type Temperature Time T MAT 68 F 20 0 C 8 min for use7231 F 22 0 C 7 min 60 with Lanex 76 F 24 5 C 5 min screens 80 F 26 5 C 4min 85 F 29 5 C 85 F 29 5 C 85 F 29 5 C Note Extraoral film requires more frequent solution replenishment than intraoral film
4. fax 260 489 5683 WWW pancorp com PC 1000 Space Requirements s 2 Physical Dimensions 35 W x 42 D x 91 H Minimum Working Space 48 W x 48 D x 91 H The PC 1000 weighs approximately 485 pounds and is freestanding requiring no extra support in the wall or floor 91 Maximum 58 Minimum The factory configuration is shipped with the control panel mounted on the patient s left side unless specified by the customer prior to shipping The control panel can be easily relocated to the right side at the time of installation Note The FDA requires that the technique factors kVp meter be viewable during the exposure Be Appendix Panoramic Corporation Copyright 2007 Panoramic Corporation PP 4321 goshen road fort wayne in 46818 gt 800 654 2027 260 489 2291 fax 260 489 5683 www pancorp com PC 1000 Laser 1000 Space Requirements P 2 35 23 uu a i Physical Dimensions 72 W x44 Dx 91 H Minimum Working Space 84 W x 48 D x 91 H 91 Maximum 58 Minimum E dix Copyright 2007 Panoramic Corporation ry The PC 1000 Laser 1000 weighs approximately 515 pounds and is freestanding requiring no extra support in the wall or floor The factory configuration is shipped with the control panel mounted on the patient s left side and the cephalometric arm mounted on the patient s right side unless specified by the cus
5. mask in front of the film drum 6 Tighten both horizontal and vertical tubehead locking knobs 7 Activate the laser again to verify proper alignment Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 www pancorp com Copyright 2007 Panoramic Corporation Panoramic Radiography Panoramic Radiography has been in use for over 30 years In panoramic radiography the X ray source and film rotate around the patient s head at the same speed Simultaneously the film rotates about its own axis X rays are emitted from the tubehead in a very narrow vertical band pass through the patient s head where some are absorbed and strike the film cassette sleeve Intensifying screens are used inside the film cassette sleeve The intensifying screens glow whenever X rays strike them the more X rays striking the screen the brighter the glow Film which is sensitive to light is placed between the intensifying screens The more light that is exposed to the film the darker the film is Since the patient is between the X ray source and the film the amount of X rays that reach the film will vary depending on the density of the patient s anatomy Dense matter such as bone will absorb more of the X rays than less dense matter such as tissue Less X rays reach the film when striking the teeth causing them to appear on the film as lighter areas More X rays reach the film whe
6. the tubehead until the laser alignment beam strikes the upright face target on the film cassette 12 Tighten both horizontal and vertical tubehead locking knobs 13 Activate the laser again to verify proper alignment e Panoramic Corporation Copyright 2007 Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 www pancorp com Laser 1000 Pre Patient Setup 14 Remove the locking pin in the top of the cephalostat head positioner Without using the wooden ear posts rotate the head positioner into its proper position for the appropriate view lateral anterior to posterior posterior to anterior or any 45 increment 15 Reinstall the locking pin in the top of the head positioner Ensure that it is fully seated by gently rotating the head positioner back and forth Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 www pancorp com Copyright 2007 Panoramic Corporation e Laser 1000 Patient Positioning 1 Verify the setting of the CEPHALOMETRIC SECONDS on the function switch on the control panel Suggested settings can be found on a decal on the cephalometric arm 2 Using the kVp setting knob on the control panel adjust the kVp to the appropriate setting Suggested settings can be found on a decal on the cephalometric arm This sets the penetrating power of
7. 18 800 654 2027 260 489 2291 fax 260 489 5683 www pancorp com Copyright 2007 Panoramic Corporation PC 1000 TMJ Patient Positioning 4 Gently slide the temple supports against the patient s head These will help keep the patient centered and measure the width of the skull to determine the amount of kVp required to penetrate the skull Set The kVp 1 Note which number the arrow points to on the kVp scale decal on the outside of the temple support rod 2 Using the kVp setting knob on the control panel set the kVp meter to the number from the kVp scale decal on the temple support rod previous step This sets the penetrating power of the X rays Re check Patient Positioning 1 Ensure that the a patient s chin is firmly seated on the chinrest b patient s head is centered c patient s Frankfort Plane is horizontal d patient s neck is stretched e patient s forehead is resting on the forehead support f temple supports are against the patient s head g kVp meter is set to the number on the temple support rod e Panoramic Corporation Copyright 2007 Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 www pancorp com PC 1000 TMJ Patient Positioning Take The Exposure 1 Instruct the patient to close his her lips swallow place his her tongue on the roof of his her mouth and remain still during the four exposures This will help equa
8. 6 o C 10 08 Lomen SE 115V 50 60Hz o 5A Continuous RADIATION RESET POWER 10 0A Momentary CEPHALOMETRIC EXPOSURE TIME amp KVP CHART 10mA Recommended Times for Rare Earth Screens amp Film 1 A T Panoramic Corporation May use temple support KVP settings from Panoramic ML Da Patient Size Kvp SECONDS LATERAL AP PA 10A e WARNING THIS X RAY UNIT MAY BE DANGEROUS TO Child PATIENT AND OPERATOR UNLESS SAFE EXPOSURE Adolescent AND OPERATING INSTRUCTIONS ARE OBSERVED Average Adult Large Adult Control Panel Cephalometric Arm Appendix Panoramic Corporation Copyright 2007 Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 WWW pancorp com PC 1000 Laser 1000 Specifications Tube Housing Thermal Characteristics Tube Maximum Current x D a Z ab 2 T O ab Q 2 LL 0 0 2 4 6 8 10 01 0203 0 5 0 7 1 0 2 0 3 05 0 7 0 10 0 Time in hours Time in seconds 1 kJ 1400 H U 1 Watt 1 4 H U sec Anode Thermal Characteristics Radiation Scatter Survey 180 Heat storage in kJ Time in minutes Heating wm Cooling 270 0 00 0 00 0 03 p 0 03 El 0 03 mE P qu 0 2 4 6 8 10 0 00 15 T i 0 Self rectified Focal spot 0 5 mm Technique Factors Values in mR 14 second exposure Tube Current 6 0 mA Tube Voltage 90 kVp Exposure Duration 14 seconds Method Survey me
9. One ounce of chemicals are typically required for replenishment for every 75 intraoral 3 panoramic or 2 cephalometric films Appendix PP Copyright 2007 Panoramic Corporation Panoramic Corporation 4321 goshen road fort wayne in 46818 B 800 654 2027 260 489 2291 fax 260 489 5683 WWW pancorp com Darkroom Procedures Darkroom Light Leak Test Extraoral film is more sensitive to light than intraoral film The purpose of the intensifying screens inside of the cassette sleeve is to convert the X ray energy into light thus exposing the film While the light sensitivity of the film allows a very small amount of radiation to expose the film it also can pose a problem if the darkroom is not completely lighttight Small light leaks can cause fogging of the film while handling and processing the film in the darkroom The following test should be performed in the darkroom under safelight conditions to ensure it is lighttight Remove one sheet of extraoral film from the box Lay iton the counter in the darkroom under normal darkroom conditions Place a couple of coins a pair of scissors or any other opaque object on top of the film Wait for two minutes Process the film as usual ok WD The processed film should be clear None of the objects should be visible on the film If any of the objects can be seen on the processed film there is a light leak or other light source in the darkroom The light leak fogs the test
10. PC 1000 Laser 1000 User Manual Panoramic Corporation Dental Panoramic Cephalometric X ray Machine e Panoramic c 2 rporation PMC6000 Rev D Copyright 2007 Panoramic Corporation 800 654 2027 ancorp Table of Contents ise NE UU T TU 2 Inferelg euet ct I E E 3 4 FUMOS cT Tc ES 3 Statement OF COMPAD Y werent iva edu orto reae dev Teese reo Foie aeo us ee Eu Eee p a Er E 3 Warning of Voltage Regulators ccccceeccceesecceeeecneeeeseeeeseaeeeseeeeeeeeseusesseeeenaueesseeeas 4 X Ray Shielding Bequiremiefils iuter uico oo ia ques Gia ni dp ditor tasca eset cx CER Dus ias lee 4 PG 1000 COMpPOME MS antia Pact odia eitbveut under bet stas etui deed eu vta ga d uev bc bula Rie exi a Bav ord 5 PC 1000 Pre Patient Setup irera aa nennen nennen nennen nnn nsn na nnn EAEE nnn 6 8 PC 1000 Patient POSITIONING Mere x PS 9 14 Prepare sau OM 9 10 POSON TING T UCI sseuscdmvadiioc s sa peo dotado E E a 11 12 sque m 12 Recheck Patent POSMONING sess obesmebus tmd eva abbia tipa mov tebtat O cea Viri uio Mead Moi 12 Take The EX DOSUC mau etch cure riacercdncdinenerdvacuausttutdeuna tral Aet totae FER wind n RAUS dV teta EUR etna 13 Release Me allen miiko nna rer soo Coda Serra sole capi tesa di cv evi dua rd Fue Y 13 Reset The Machine cccccscccsseccceseeceececcececeeesecseeeseeseceaeessueeesseeesseeeenseessseeeens 13 14 Process ax e nance yea vnevawssecnavalede a T oouriad 14 POC TOOO0 TMJ Pre Pallen
11. UTION Do not look into the laser beam when operating Laser light can cause permanent eye damage Safe operating instructions must be observed to prevent an optical hazard to the patient and or operator 1 Rotate the function switch on the control panel to PANORAMIC L or PANORAMIC R PANORAMIC L will cause the film drum to start on the patient s left side PANORAMIC R will cause the film drum to start on the patient s right side The PC 1000 will automatically rotate the film drum to the proper side 2 Slide the lever in the collimator assembly on the front of the tubehead to select the PANORAMIC position NOTE f the collimator is NOT firmly seated in its locking notch a the alignment laser will not fire b when the exposure switch is depressed the machine will beep rapidly but no radiation will be emitted 3 Loosen the two locking knobs on the tubehead assembly and turn the tubehead towards the panoramic film drum e Panoramic Corporation Copyright 2007 Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 www pancorp com Cephalometric to Panoramic Setup 4 Depress the momentary toggle switch on the right side of the tubehead to activate the laser CAUTION Do not look into the laser beam because laser light can cause permanent eye damage 5 Move the tubehead until the laser alignment beam strikes the cross hair target on the film
12. anoramic be liable to you or any other third party for any direct indirect punitive incidental consequential or special damages or lost profits arising from relating to or connected with the installation of or repair of a Panoramic product by someone other than an Independent Representative Always refer to your state and local regulations to determine how often to perform a preventive maintenance on your equipment as the regulations may supersede manufacturers recommendation Owners of Panoramic Corporation X Ray machines must call Panoramic Corporation Service Department for all reasons listed below but not limited to Preventive maintenance at least every two years Physical relocation of machine Changing the power source to a different power source from original installation Questions Help related to compliance with your state and local regulations regarding radiological equipment Corrective Maintenance Physical damage that may affect radiation safety Interrupted movement unusual noises leaks etc To schedule a preventive maintenance on your equipment contact the Service Department by dialing our toll free number at 800 654 2027 Appendix Panoramic Corporation Copyright 2007 Panoramic Corporation PP 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 C WWW pancorp com PC 1000 Labeling Panoramic Corporation PC 1000 Fort Wayne Indiana U S A Serial
13. c Corporation PC 1000 Patient Positioning Prepare The Patient 1 Ask the patient to remove any metal objects such as glasses earrings removable dentures hearing aids hair pins neck chains bib chains and collar zippers from their head and neck area These objects can prevent X rays from reaching the film causing poor diagnostic quality images 2 If alead apron is used and a panoramic poncho is not available place the lead apron on the patient s back Ensure that it does not cover the back of the neck As the tubehead rotates around the patient the X rays pass through the head at a slight upward angle This allows the X ray beam to pass through the skull more efficiently by avoiding the denser area of the patient s skull 3 Guide the patient into the PC 1000 Use the UP DOWN switch on the chinrest arm to adjust the chinrest arm until it is slightly higher than the patient s chin This will ensure that the patient is standing up as straight as possible e Panoramic Corporation Copyright 2007 Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 www pancorp com PC 1000 Patient Positioning 4 Have the patient hold on to the handles and move his her feet under the chinrest This will help ensure that the patient s neck is straight 5 Place the appropriate chinrest on the permanent black chinrest on the chinrest arm a Small child remo
14. e in 46818 800 654 2027 260 489 2291 fax 260 489 5683 www pancorp com PC 1000 Patient Positioning Take The Exposure 1 Instruct the patient to close his her lips around the disposable bite guide swallow place his her tongue on the roof of his her mouth and remain still during the exposure This will help equalize tissue densities and help prevent unwanted artifacts and blurring 2 Depress and hold the exposure switch The arm will begin to rotate around the patient after a second After 12 seconds the exposure will automatically terminate To prematurely terminate an exposure release the exposure switch at anytime during the exposure Release The Patient 1 Slide the temple supports away from the patient s head to release the patient 2 Instruct the patient to step out of the machine Reset The Machine 1 Discard the disposable bite guide e Panoramic Corporation Copyright 2007 Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 www pancorp com PC 1000 Patient Positioning 2 Depress the RESET switch on the control panel to reposition the film drum to its home position tor iita i AAMT RESET POWER Process The Film 1 Loosen the film drum knob on the rear of the film drum and remove the cassette sleeve from the film drum 2 Under lighttight darkroom conditions process the film Panoramic Corporati
15. e film drum b Attach the vertical velcro at the end of the cassette sleeve to the mating velcro on the end of the film drum Ensure the cassette sleeve is flat against the film drum c Attach the velcro tab of the cassette sleeve to the mating velcro on the center post of the film drum d Align the pointer on the rear of the film drum to L1 e Tighten the film drum knob on the rear of the film drum Note The film drum will rotate with increased friction after the film drum knob is tightened Manual rotation while the knob is tight should be avoided to prevent abnormal wear Copyright 2007 Panoramic Corporation Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 www pancorp com PC 1000 TMJ Pre Patient Setup 7 Using the knob at the rear of the forehead support adjust the forehead support toward the mirror to allow room for positioning the patient 8 Slide the temple supports apart to allow room for positioning the patient s head 9 Using the UP DOWN switch on the chinrest arm adjust the chinrest arm until it is slightly higher than the patient s chin This will ensure that the patient stands up as straight as possible 10 If a stool is to be used place the stool so that the seat is centered under the chinrest This will help ensure that the patient s neck is straight Panoramic Corporation Copyright 2007 Panoramic Corporat
16. eeeeeeeeeeesaeeeeeeesaaaeeees Appendix F Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 ancorp com r3 Copyright 2007 Panoramic Corporation Introduction Purpose Panoramic Corporation provides this printed manual as a guide for the operation of the PC 1000 dental panoramic X ray machine and the PC 1000 Laser 1000 dental panoramic cephalometric dental X ray machine The PC 1000 will enable the user to take panoramic X ray images The PC 1000 Laser 1000 will enable the user to take panoramic X ray images as well as cephalometric X ray images A laser alignment device is incorporated into the PC 1000 Laser 1000 The information contained in this manual is not all inclusive and Panoramic Corporation should be contacted for assistance and clarification when necessary It is imperative that this equipment be installed serviced and used by personnel familiar with the precautions required to prevent excessive exposure to both primary and secondary radiation This equipment features protective designs for limiting both the primary and secondary radiation produced by the X ray beam However design features cannot prevent carelessness negligence or lack of knowledge Only personnel authorized by Panoramic Corporation are qualified to install and service this equipment Any attempt to install or service this equipment by anyone not so authorized will void the warranty and ma
17. et and start Align the pointer on the rear of the film drum to the appropriate mark If the FUNCTION switch is set to PANORAMIC L align the pointer to L1 If the FUNCTION switch is set to PANORAMIC R align the pointer to H1 e Tighten the film drum knob on the rear of the film drum Note The film drum will rotate with increased friction after the film drum knob is tightened Manual rotation while the knob is tight should be avoided to prevent abnormal wear 7 Using the knob at the rear of the forehead support adjust the forehead support toward the mirror to allow room for positioning the patient e Panoramic ee 4321 goshen road fort wayne in 46818 ion due d 260 489 2291 s 260 489 5683 www pancorp com LIII rm sj Copyright 2007 Panoramic Corporation PC 1000 Pre Patient Setup 8 Slide the temple supports apart to allow room for positioning the patient s head 9 Using the UP DOWN switch on the chinrest arm adjust the chinrest arm until it is slightly higher than the patient s chin This will ensure that the patient stands up as straight as possible 10 If a stool is to be used place the stool so that the seat is centered under the chinrest This will help ensure that the patient s neck is straight Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 www pancorp com Copyright 2007 Panorami
18. etween the intensifying screens 2 Power the PC 1000 Laser 1000 on by depressing the POWER switch on the control panel 3 Rotate the FUNCTION switch on the control panel to one of the CEPHALOMETRIC SECONDS settings This will set the duration of the X ray exposure Suggested settings can be found on a decal on the cephalometric arm If the tubehead is not in it s home position on the opposite side of the cephalometric arm the PC 1000 Laser 1000 will rotate the tubehead to the proper side Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 www pancorp com Copyright 2007 Panoramic Corporation Laser 1000 Pre Patient Setup 4 Loosen both of the locking knobs on the rear of the cassette holder at the end of the cephalometric arm 5 Align the top edge of the sliding portion of the cassette holder to the appropriate mark on the decal on the rear of the fixed portion of cassette holder Use the upper mark LATERAL if the film cassette will be oriented horizontally for lateral views Use the lower mark AP PA if the film cassette will be oriented vertically for all other views 6 Tighten the lower knob e Panoramic Corporation Copyright 2007 Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 www pancorp com Laser 1000 Pre Patient Setup 6 Place the film cassette
19. film everywhere except where the opaque objects are blocking the light To find the light leak turn all of the lights off in the darkroom and inspect the darkroom for cracks around the door and ceiling tiles Indicator lights on equipment such as stereos and improper safelights can also cause fogging Turn off all unnecessary equipment and the safelight and try this test again Appendix Panoramic Corporation Copyright 2007 Panoramic Corporation PP 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 B WWW pancorp com Darkroom Procedures lt is recommended that the panoramic and cephalometric cassettes be loaded with film just prior to use Do not leave a film loaded in the cassettes for an extended period of time This will prevent background radiation from prematurely exposing the film The film should be stored in a cool and dark place Loading The Panoramic Cassette In a lighttight darkroom open the flexible panoramic cassette sleeve and slowly remove the intensifying screens Open the screens on the counter and place a sheet of panoramic film on top of one of the screens Close the screens and slowly slide them back into the cassette sleeve Ensure that the hinged end of the screens is placed into the cassette sleeve first and the TUBESIDE decal is facing the same direction as the writing on the outside of the cassette sleeve Ensure that all excess air is expelled from the cassette s
20. g the POWER switch on the control panel 3 Rotate the function switch on the control panel to either PANORAMIC L or PANORAMIC R PANORAMIC L will cause the film drum to start on the patient s left side PANORAMIC R will cause the film drum to start on the patient s right side The PC 1000 will automatically rotate the film drum to the proper side if the function switch is changed 4 f the film drum is not in it s home position patient s left side on PANORAMIC L patient s right side on PANORAMIC R momentarily depress the RESET switch on the control panel The PC 1000 will rotate the film drum to the proper side 5 Loosen the knob on the rear of the film drum 6 Load a film cassette sleeve on the film drum a Place the loaded cassette sleeve on the film drum with the lower edge of the cassette sleeve resting on the lower lip of the film drum b Attach the vertical velcro at the end of the cassette sleeve to the mating velcro on the end of the film drum Ensure the cassette sleeve is flat against the film drum 6 Copyright 2007 Panoramic Corporation Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 orp com PC 1000 Pre Patient Setup c Attach the velcro tab of the cassette sleeve to the mating velcro on the center post of the film drum d The FUNCTION switch on the control panel will determine on which side patient s the film drum will res
21. ight 5 Place the appropriate chinrest on the permanent black chinrest on the chinrest arm a Small child removable clear plastic chinrest Aids in centering and consistently positioning the patient b Adult removable clear plastic chinrest Aids in centering and consistently positioning the patient c Edentulous removable clear plastic chinrest Aids in centering and consistently positioning the patient Panoramic Corporation Copyright 2007 Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 www pancorp com e PC 1000 TMJ Patient Positioning Position The Patient 1 Place your hand at the base of the patient s skull and apply pressure vertically to stretch the neck while slowly lowering the machine until the patient s Frankfort Plane is horizontal parallel to the red guidelines on the temple supports The Frankfort Plane is the imaginary line from the middle of the ear opening to the bottom of the eye orbit A level Frankfort Plane will help ensure that the temporomandibular joints are consistently vertical 2 Using the knob on the rear of the forehead support adjust the forehead support until it touches the patient s forehead 3 Center the patient s head using the red line on the forehead support Turn the mirror to see the patient to verify centering Panoramic Corporation 4321 goshen road fort wayne in 468
22. ilm holder and cassette towards the patient s head as close as possible The less distance between the film and the patient results in less magnification For reproducibility record the number at the red dot on the midsagittal to film scale 9 If a recording of magnification is desired place the correctional scale in its slot in the nasion support The scale markings will appear on the film after processing to allow for magnification ratios to be determined 10 Have the patient close his her mouth and lips in normal occlusion and remain still e Panoramic Corporation Copyright 2007 Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 www pancorp com Laser 1000 Patient Positioning 11 Depress the exposure button until the machine automatically terminates the exposure 12 Open the ear posts by using the lever on the rear of the cephalostat head positioner or their metal supports to allow the patient to exit the machine Note Do not pull or push the wooden ear posts directly or misalignment can result 13 Remove the cephalometric film cassette from the cassette holder 14 Under lighttight darkroom conditions process the film Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 www pancorp com Copyright 2007 Panoramic Corporation Cephalometric to Panoramic Setup A CA
23. into the cassette holder and center it horizontally Tighten the upper knob 7 Remove the locking pin from the top of the cephalometric head positioner and use the ear posts metal supports only to temporarily rotate the head positioner to a 45 position to allow the laser alignment beam to strike the film cassette target Note Never use the wooden ear posts to rotate the head positioner or misalignment can result 8 Slide the lever in the collimator assembly on the front of the tubehead to select the appropriate collimator based on the orientation of the film cassette Select the LATERAL position for a cassette oriented horizontally Select the AP PA position for a cassette oriented vertically NOTE f the collimator is NOT firmly seated in its locking notch a the alignment laser will not fire b when the exposure switch is depressed the machine will beep rapidly but no radiation will be emitted Copyright 2007 Panoramic Corporation Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 www pancorp com Laser 1000 Pre Patient Setup 9 Loosen the two locking knobs on the tubehead assembly and turn the tubehead towards the cephalometric film cassette 10 Depress the momentary toggle switch on the right side of the tubehead to activate the laser CAUTION Do not look into the laser beam because laser light can cause permanent eye damage 11 Move
24. ion 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 www pancorp com e PC 1000 TMJ Patient Positioning Prepare The Patient 1 Ask the patient to remove any metal objects such as glasses earrings removable dentures hearing aids hair pins neck chains bib chains and collar zippers from their head and neck area These objects can prevent X rays from reaching the film causing poor diagnostic quality images 2 If alead apron is used and a panoramic poncho is not available place the lead apron on the patient s back Ensure that it does not cover the back of the neck As the tubehead rotates around the patient the X rays pass through the head at a slight upward angle This allows the X ray beam to pass through the skull more efficiently by avoiding the denser area of the patient s skull 3 Guide the patient into the PC 1000 Use the UP DOWN switch on the chinrest arm to adjust the chinrest arm until it is slightly higher than the patient s chin This will ensure that the patient is standing up as straight as possible Copyright 2007 Panoramic Corporation Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 www pancorp com PC 1000 TMJ Patient Positioning 4 Have the patient hold on to the handles and move his her feet under the chinrest This will help ensure that the patient s neck is stra
25. leeve Loading The Cephalometric Cassette In a lighttight darkroom unlock and open the rigid cephalometric cassette Place a sheet of cephalometric film on top of one of the screens Close and lock the cassette Note Hemove and discard the protective sheet from between new intensifying screens before their first use Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 www pancorp com BO Copyright 2007 Panoramic Corporation Maintenance Schedule Panoramic Corporation strongly recommends a preventive maintenance be performed on your equipment atleast every two years All service requests must be submitted through Panoramic Corporation s Service Department by calling our toll free number at 800 654 2027 Panoramic has an extensive network of independent installation and service organizations throughout the U S and Canada to install and service our products The Independent Representatives have been specifically trained by our organization in the service and installation of Panoramic products We strongly recommend that you use one of our Independent Representatives to service Panoramic products To the extent you use third parties other than Independent Representatives to service Panoramic products we cannot accept responsibility or liability for any work performed by those third parties and any resulting damages or liability attributable thereto In no event shall P
26. lize tissue densities and help prevent unwanted artifacts and blurring 2 Depress and hold the exposure switch The arm will begin to rotate around the patient after a second After about 2 seconds the exposure will automatically terminate When the exposure switch is released the film drum will reset to its home position on the patient s left side 3 Loosen the knob on the rear of the film drum 4 Align the pointer on the rear of the film drum to L2 and tighten the film drum knob 5 Instruct the patient to open his her mouth This will place the temporomandibular joints in their open positions A surgical bite block may be used to help the patient keep his her mouth open Copyright 2007 Panoramic Corporation e Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 www pancorp com PC 1000 TMJ Patient Positioning 6 Depress and hold the exposure switch The arm will begin to rotate around the patient after a second After about 2 seconds the exposure will automatically terminate When the exposure switch is released the film drum will reset to its home position on the patient s left side 7 Rotate the function switch on the control panel to TMJ R The PC 1000 will automatically rotate the film drum to the patient s right side 8 Align the pointer on the rear of the film drum to R2 and tighten the film drum knob 9 Instruct the patient
27. m drum 2 Under lighttight darkroom conditions process the film Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 www pancorp com Copyright 2007 Panoramic Corporation 25 Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 WWW pancorp com Copyright 2007 Panoramic Corporation PC 1000 Laser 1000 Components eet Horizontal Locking Knob preme Vertical Locking Knob L aser Switch Collimator Lever PC 1000 Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 www pancorp com NC Suggested Settings Decal Mid Sagittal to Film Scale N N Cephalostat Locking Knob N b V XON NON Cephalostat Arm N j N wN N NON N EMEN N EON pz zl mE Pap Posies ees AP iiia Nasion Support gt va i Pd 7 Pa S ee fy Ear Rings P d Z P 4 Ear Rods 7 d T d Film Cassette Copyright 2007 Panoramic Corporation Laser 1000 Pre Patient Setup A CAUTION Do not look into the laser beam when operating Laser light can cause permanent eye damage Safe operating instructions must be observed to prevent an optical hazard to the patient and or operator 1 Inalighttight darkroom load a cephalometric film in the film cassette b
28. n striking tissue causing it to appear on the film as darker areas In order to pass as many X rays through the patient s head as possible the tubehead is tilted at a slight upward angle to 1 move the dense portion of the skull out of the path of the X rays 2 cause the upper and lower anterior root tips to be aligned vertically 3 stretch the vertebrae in the neck to allow the X rays to pass more efficiently through the vertebrae to expose the anterior teeth As the tubehead and film rotate around the patient the film is gradually exposed by a narrow vertical band It is imperative that the film is aligned to start at the correct position and that nothing stops the film drum or tubehead from moving while the exposure is being taken e Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 WWW pancorp com Film Drum 4 N A A A t Tubehead SS Film Cassette Sleeve Copyright 2007 Panoramic Corporation Appendix Darkroom Procedures The darkroom must be lighttight Extraoral panoramic cephalometric film is more sensitive than intraoral bite wings film to light and processing time and temperature Manual Processing e Lighttight darkroom Dip tanks Timer e Thermometer e Developer and fixer solutions Film Hanger e Water supply and drain e Safelight GBX 2 filter or equivalent 15 W bulb or less
29. on Voltage Regulator Warning Do not plug this machine into ANY voltage regulating device Contact Panoramic Corporation with any questions regarding this X ray Shielding Requirements The requirements for panoramic and cephalometric shielding for building operator and patient depend on state and local regulations Contact your state Department of Health for compliance information Compliance could involve a blueprint review facility check wall construction film badge implementation remote switch installation and or a lead apron It is beyond the scope of this manual to advise on these regulations Copyright 2007 Panoramic Corporation Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 www pancorp com PC 1000 Components PC 1000 SSS SS SS Top Cover usan m Temple Supports Cassette Sleeve Forehead Support Film Drum Mirror Tubehead kVp Setting Knob Chinrest Control Panel Exposure Switch Base Panoramic Corporation Copyright 2007 Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 www pancorp com PC 1000 Pre Patient Setup 1 Inalighttight darkroom load a panoramic film in the cassette sleeve between the intensifying screens 2 Power the PC 1000 on by depressin
30. on 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 www pancorp com Copyright 2007 Panoramic Corporation PC 1000 TMJ Pre Patient Setup A TMJ series is simply four two second panoramic images exposed on one film The TMJ film will show the patient s right closed right open left open and left closed temporomandibular joints 1 Inalighttight darkroom load a panoramic film in the cassette sleeve between the intensifying screens 2 Power the PC 1000 on by depressing the POWER switch on the control panel 3 Rotate the FUNCTION switch on the control panel to TMJ L The PC 1000 will automatically rotate the film drum to the patient s left side if the function switch is changed 4 If the film drum is not in it s home position left side momentarily depress the RESET switch on the control panel The PC 1000 will rotate the film drum to the patient s left side e Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 www pancorp com _ a Right Right Left Left Closed Open Open Closed R1 R2 L2 L1 Copyright 2007 Panoramic Corporation 45 PC 1000 TMJ Pre Patient Setup 5 Loosen the knob on the rear of the film drum 6 Load a film cassette sleeve on the film drum a Place the loaded cassette sleeve on the film drum with the lower edge of the cassette sleeve resting on the lower lip of th
31. sured with Engineered Systems amp Techniques Design Model XR201MS pulse counter Tube Current Measured directly with a DC mA meter having a basic accuracy of no less than 396 Peak Tube Potential Measured using a computerized kVp measurement system System accuracy is 396 exclusive of waveform inherent filtration and reproducibility Maximum Line Current Machine set at 90 kVp 6 mA Screen Film Type Kodak Lanex Regular with Kodak T MAT G green 400 speed or equivalent e Appendix Panoramic Corporation Copyright 2007 Panoramic Corporation PP 4321 goshen road fort wayne in 46818 E 800 654 2027 260 489 2291 fax 260 489 5683 www pancorp com Laser 1000 Specifications Cephalometric Attachment Film Size Source to Image Distance SID Exposure Times Tube Voltage Tube Current Laser Class Type Wavelength Average Operating Current Average Operating Voltage Maximum Average Radiant Power Maximum Peak Radiant Power Beam Divergence Beam Diameter Emission Duration 8 x 10 1624 mm 1724 mm 63 68 0 4 0 5 0 6 0 8 1 0 1 2 1 5 2 0 seconds 70 90 kVp 12 10 mA 10 Laser Diode Toshiba TOLD9442M 650 nm 34 mA 0 75 VDC 0 2 mW lt 1 mW 0 9 mRadian 1 8 mm Operator controlled by a momentary switch RC Copyright 2007 Panoramic Corporation e Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291
32. t SetU Dasa t rhe conto mo tico ev eta egeat e aeu tee cud vea doe eode eeu eu ns 15 17 PC 1000 TMJ Patient Positioning lssseeesssesssseeeenn eene nnns 18 25 mi sjeriMlar Ngu p E 18 19 Posion The Patent EIN 20 21 SENOK V Dori e a N E a E E bastedademeannansansuesauenebosns 21 Recheck Patient POSItIONINO sitcessctsencscsadcedeinwadanevs sind ivinuawaadezaeldasitiavaandinare Pad V Lan d ER 21 Take FNO EXOOS UNC cm 22 24 Release The Patient sod tener d coq aste e E aaa 25 Process Ne FI eanne e 25 NOLE ART DECOR Tr r a A CPP 26 aser TOO GOMPONEMIS enone E A A AS 27 Laser 1000 Pre Patient Setllp nore T eh cated A etant doe fe 28 32 Laser 1000 Patient POSIIOMMAG cede iid iov eaae itd vd ancoe leta dicte soct S bata salles Gama Dat dut aan E rhaspa cada 33 36 Cephalometric To Panoramic Setup miari a N 3 38 Panoramic Radiography cccceccseecceeeeceeeecececeeeeseeeceueesecseucesueesueeseueesueeseeeseeeeseeesanees Appendix A Darkroom Procedures e ieee iti laces ee eee a eee Appendix B Manual Processing Automatic Processing Darkroom Light Leak Test Loading The Panoramic Cassette Loading The Cephalometric Cassette Maintenance Schedule ins EET Appendix C PC 1000 Laser 1000 Labeling sues euskera ed vL Rea cet vi aren Ce atus dpud Appendix D PO TODU Easer 1000 Specifications 2 7 euet i ERE Y Det euo Weil e v deese e Eee Det paa COMI s Appendix E PC 1000 Laser 1000 Space Requirements ccccccceccccceeseceeeeeeeee
33. ter Nuclear Associtates Model 06 107 at level of phantom skull at each position for duration of exposure Appendix Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 www pancorp com Copyright 2007 Panoramic Corporation e PC 1000 Laser 1000 Specifications Power Requirements The PC 1000 and PC 1000 Laser 1000 requires line voltage from 105 to 125 VAC no load at 5 or better line regulation and draws 12 A under worst case conditions The total power required is 1 5 kVa Generator Type Single phase half wave self rectified center grounded Duty Cycle At 90 kVp 6 mA One 12 second exposure every 5 minutes to a maximum of 30 exposures Tubehead Assembly X ray Tube Brand X Ray or Superior or K Alpha Rated Tube Potential Peak 100 kVp Leakage Technique Factors 90 kVp 6 mA Inherent Filtration 1 mm Added Aluminum Filtration 1 8 mm Total Filtration 2 8 mm Peak Tube Potential at which Aluminum Equivalent was Obtained 90 kVp 6 mA X ray Tube Manufacturer Brand X Ray or Superior or K Alpha Type BX 4P0 5 or SXR 100 R 5P or KAX 90 10 P Focal Spot 5 mm x 5 mm Maximum Peak Voltage 100 kVp Anode Heat Dissipation Rate 250 Watts 1 Watt 1 4 H U sec Anode Heat Storage Capacity 35 kJ 1 kJ21400 H U Statement of Peak Tube Potential 1296 over range of rated line voltage Deviation Tube Current 10 over line voltage Exposure Time 10 over line voltage Measurement Exposure Time Mea
34. the X rays 3 Open the ear posts on the cephalostat head positioner as far as possible by using the lever on the rear of the head positioner e Panoramic Corporation Copyright 2007 Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 www pancorp com Laser 1000 Patient Positioning 4 Using the UP DOWN switch on the chinrest arm adjust the height of the ear posts to approximately the height of the patient s ear canals 5 Have the patient stand directly under the head positioner looking away from the cephalometric arm Use the UP DOWN switch on the chinrest arm until the ear rods can be guided gently into the patient s ear canals with the lever on the rear of the head positioner Have the patient attempt to turn his her head back and forth slightly and continue to guide the ear rods until there is minimal head movement 6 Adjust the patient s head so that the Frankfort Plane is horizontal level with the floor The Frankfort Plane is the imaginary line from the middle of the ear opening to the bottom of the eye orbit 7 Lower and tighten the nasion support over the bridge of the patient s nose to help the patient retain this position Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 com Copyright 2007 Panoramic Corporation Laser 1000 Patient Positioning 8 Slide the cephalometric f
35. to remain still with his her mouth open e Panoramic Corporation Copyright 2007 Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 www pancorp com PC 1000 TMJ Patient Positioning 10 Depress and hold the exposure switch The arm will begin to rotate around the patient after a second After about 2 seconds the exposure will automatically terminate When the exposure switch is released the film drum will reset to its home position on the patient s right side 11 Allow the patient to close his her mouth 12 Align the pointer on the rear of the film drum to R1 and tighten the film drum knob 13 Depress and hold the exposure switch The arm will begin to rotate around the patient after a second After about 2 seconds the exposure will automatically terminate When the exposure switch is released the film drum will reset to its home position on the patient s right side Copyright 2007 Panoramic Corporation Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 www pancorp com PC 1000 TMJ Patient Positioning Release The Patient 1 Slide the temple supports away from the patient s head to release the patient 2 Instruct the patient to step out of the machine Process The Film 1 Loosen the film drum knob on the rear of the film drum and remove the cassette sleeve from the fil
36. tomer prior to shipping The control panel can be easily relocated to the right side at the time of installation Note The FDA requires that the technique factors kVp meter be viewable during the exposure Panoramic Corporation www 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 ancorp com
37. vable black plastic chinrest May be needed to allow the child s forehead to reach the forehead support b Adolescent and adult no additional chinrest Majority of patients require no additional chinrest c Edentulous removable clear plastic chinrest Aids in centering and consistently positioning the patient Copyright 2007 Panoramic Corporation Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 www pancorp com PC 1000 Patient Positioning 6 If the patient is not edentulous insert a disposable bite guide in the permanent black chinrest Have the patient bite on the disposable bite guide Ensure that the bite guide is centered between the central incisors For edentulous patients have the patient bite on a 1 1 2 cotton roll to keep the maxilla and mandible separated Position The Patient 1 Place your hand at the base of the patient s skull and apply pressure vertically to stretch the neck while slowly lowering the machine until the patient s Frankfort Plane is horizontal parallel to the red guidelines on the temple supports The Frankfort Plane is the imaginary line from the middle of the ear opening to the bottom of the eye orbit A level Frankfort Plane will ensure that the upper and lower anterior teeth are in one vertical plane and will help stretch the patient s neck enough to allow X rays to pass between the vertebrae
38. y create hazardous exposure to X radiation Statement of Compatibility January 1 1988 Please address any comments questions concerning this statement of compatibility to Panoramic Corporation 4321 Goshen Road Fort Wayne IN 46818 USA Attn Director of Engineering The only components compatible with the PC 1000 are those supplied with the machine Regardless of possible statements made by other manufacturers no one is authorized or certified to make additions or deletions to this machine Only the combination of components delivered with the machine is certified compatible by the manufacturer As compatible accessories become available Panoramic Corporation will certify them as compatible and make them available to the user Statement of Compatibility Addendum October 1 1988 The Laser 1000 Cephalometric Attachment is certified by Panoramic Corporation to be compatible with the PC 1000 dental X ray machine provided installation is performed by an authorized representative utilizing specific installation instructions furnished by Panoramic Corporation Statement of Compatibility Addendum October 1 1995 Laser 1000 Cephalometric Attachments manufactured after October 1 1995 are compatible only with PC 1000 X ray machines manufactured after October 1 1995 e Panoramic Corporation Copyright 2007 Panoramic Corporation 4321 goshen road fort wayne in 46818 800 654 2027 260 489 2291 fax 260 489 5683 WWW pancorp com Introducti
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