Planmeca ProMax®
Contents
1. 13 TOMOGRAPHIC EXPOSURE 5 2 3 Adjusting exposure values for current exposure The exposure values have been preset at the factory for each patient size program type and image position The preset exposure values are average values and they are only meant to guide the user NOTE The preset exposure values are optimized for taking exposures at enhanced resolution Romexis setting You can use lower exposure values when taking exposures at normal resolution NOTE Always try to minimize the radiation dose to the patient The preset exposure values are shown in the following tables Factory presets for cross sectional exposures Tooth No 1 3 Tooth No 4 8 TMJ No 9 PATIENT SIZE kV mA kV mA kV mA Child XS 60 1 25 66 2 5 64 2 Small adult ee Medium sized aaut w 2 72 a 70 92 twan o s n s r Factory presets for longitudinal exposures Tooth No 1 3 Tooth No 4 8 TMJ No 9 PATIENT SIZE kV mA kV mA kV mA Child ri 66 2 5 64 2 Sang sl 2 Medium sized ut 7 a ma 8 Large adult L NOTE Refer to the corresponding cross sectional longitudinal exposure values for combined programs cross sectional longitudinal 14 Planmeca ProMax 2D S3 with ProTouch User s Manual 2D Tomography TOMOGRAPHIC EXPOSURE You can adjust the preset exposure values kV and mA To improve the image contrast reduce the kV value To reduce the2. the bite piece The incisal edges of the maxillary and mandibular teeth must be in the groove in the bite piece e For TMJ exposures ask the patient to press their lips against the chin support The patient s nose must rest on top of the support and their mouth must be closed and their teeth must be together 6 Press the temple support button to close the temple supports Planmeca ProMax 2D 3 with ProTouch 19 TOMOGRAPHIC EXPOSURE 5 3 3 Adjusting patient s head position The illustrations on the touch screen help you to position the patient s head correctly NOTE The illustrations are for guidelines only 1 Use the forward field at the bottom right corner to enter the next screen back of the patient s head with your other hand while you do this Nee 2 Press either of the height adjusting buttons to move o the unit up or down so that the patients head is tilted WW LY to the angle shown on the touch screen Support the NOTE If you wish to use positioning lights as reference lines select Settings gt User gt 1300 Operational settings gt 1330 Patient positioning gt Midsagittal and Frankfort lights in Tomo ON Exposure of lower jaw teeth area e To take exposures of the lower jaw position the lower edge of the jaw so that it is horizontal at the image position 20 Planmeca ProMax 2D S3 with ProTouch User s Manual 2D Tomography TOMOGRAPHIC EXPOSURE Exposure of upper jaw or both jaws tee
3. to the next screen touch the forward button Fast forward button To accept a selection and to skip the next screen touch the fast forward button Accept button To accept a selection touch the green check mark button Cancel button To cancel a selection touch the red cross button Pause button To pause a function instead of cancelling it touch the pause button Making selections To make a selection on the touch screen simply touch a button or a field with your finger or a soft stylus The selected option is highlighted To deselect an option touch the button or field again or select an other option if available Do not use sharp objects to operate the touch screen Scrolling lists To scroll a list down or up slide your finger on the screen Changing settings To change a setting select the settings icon at the top left corner of the main view This takes you to the settings menu where you can adjust the settings of the X ray unit User s Manual 2D Tomography mGy cm 2 3 Patient positioning controls E Open close temple supports KE User s Manual 2D Tomography NOTE NOTE MAIN PARTS e Checking exposure time and DAP values The estimated values for exposure time and DAP Dose Area Product are shown with black text on the touch screen before you take an exposure The actual values are shown with green text after the exposure e About stand by mode The s
4. warning lights illuminate on the exposure switch and on the touch screen and you hear a radiation warning tone Additionally a_ radiation warning symbol is shown on the touch screen NOTE Maintain audio and visual contact with the patient and X ray unit during exposure If the C arm stops moving during exposure or moves in an erratic way release the exposure button immediately 5 The image is shown on the computer screen e Note that you must accept the image in the Planmeca Romexis program Refer to the Romexis User s Manual 6 Guide the patient away from the X ray unit Planmeca ProMax 2D 3 with ProTouch 25 PLANMECA Planmeca Oy Asentajankatu 6 00880 Helsinki Finland tel 358 20 7795 500 fax 358 20 7795 555 sales planmeca com www planmeca com PLANMECA Oy s PLANMECA Oy s Environmen ital Quality System Management System Certificate awarded in 1994 Certificate awarded in 2000 y Det Norske Veritas by Det e Veritas by Det ki fulfils the highest acknowledged s i icknowledged international standards international standards
5. PLANMECA 2 z Planmeca ProMax 2D S3 with ProTouch Nd user s manual 2D tomography TABLE OF CONTENTS T INTRODUCTION WE 1 2 WAIN PARTS ssir 2 EN WE ae le ele e ea a hale eee ete teeth eh neem tae nee ae eeed eee tea etta 2 22 OUCH SChOC DEE 3 2 3 Patent POSINOMING er Lait e NEE 5 3 Geier EE 7 GO W Ee e ei IR DOGAS EE 7 32 Longitudinal PTOGK AIS EE 8 3 0 Combined Progra E 9 4 PREPARATIONS FOR EXPOSURE cccccccccseseeeeeseeeeenseeensecesseeeeeeeeeees 11 5 TOMOGRAPHIC EXPOSURE ees 12 De CTORE CXDOSUIS ee Eeer EE 12 5 2 Selecting ee Ed ne EE 13 593 Paent DOSINOMING enee idee nance ian aide accion Eege eer ee 18 5 4 Adjusting image Position and angle cceccceeccesceseseeceeeseseeseeseeseeseseesseeeeseeseeeensetsnes 22 So Taking ANG XDO SUL EE 25 User s Manual 2D Tomography Planmeca ProMax 2D 3 with ProTouch 1 TABLE OF CONTENTS The manufacturer assembler and importer are responsible for the safety reliability and performance of the X ray unit only if installation calibration modification and repairs are carried out by qualified authorized personnel electrical installations are carried out according to the appropriate requirements such as IEC 60364 equipment is used according to the operating instructions Planmeca pursues a policy of continual product development Although every effort is made to produce up to date product documentation this publication sh
6. SURE 5 TOMOGRAPHIC EXPOSURE 5 1 Before exposure Insert the temple supports into the holes in the patient support table as shown For exposures in the teeth area insert the chin rest 1 and a bite piece 2 into the adapter 3 Insert the adapter 3 into the holes in the patient support table For edentulous patients or for patients who are unable to use the bite piece you can use an impression plate or a bite piece with a vacuum formed stent For TMJ exposures insert the chin support 1 into the adapter 3 Insert the adapter 3 into the holes in the patient support table 12 Planmeca ProMax 2D S3 with ProTouch User s Manual 2D Tomography TOMOGRAPHIC EXPOSURE 5 2 Selecting exposure settings Refer to section 2 2 Touch screen on page 3 for general information on how to make or cancel selections on the touch screen 5 2 1 Selecting program Select the tomographic program 5 2 2 Selecting patient size 1 Select the patient size according to the build of the patient e XS Child e S Small adult e M Medium sized adult e L Large adult 2 Touch the forward button 2a to accept the selection Alternatively touch the fast forward button 2b to accept the selection and to skip the next screen NOTE The exposure values will automatically change according to the selected patient size program type and image position User s Manual 2D Tomography Planmeca ProMax 2D 3 with ProTouch
7. age position is in slice no 1 It is not always possible to take all four exposures in all areas Three cross sectional exposures with different angles anywhere along the dental arch or TMJ area The imaging angle is automatically changed between exposures The angle of the first exposure is the selected angle 7 counterclockwise and the angle of the third exposure is the selected angle 7 clockwise NOTE The selected image position is in slice no 2 User s Manual 2D Tomography Planmeca ProMax 2D 3 with ProTouch 7 PROGRAMS 3 2 Longitudinal programs 1 4 Longitudinal NOTE NOTE 3 Angles Longitudinal One to four longitudinal images anywhere along the dental arch or TMJ area The movement step between slices is adjustable and it can be 3 6or 9 mm The selected image position is in slice no 1 It is not always possible to take all four exposures in all areas Three longitudinal images with different angles anywhere along the dental arch The imaging angle is automatically changed between exposures The angle of the first exposure is the selected angle 7 counterclockwise and the angle of the third exposure is the selected angle 7 clockwise NOTE The selected image position is in slice no 2 8 Planmeca ProMax 2D 3 with ProTouch User s Manual 2D Tomography PROGRAMS 3 3 Combined programs 1 Cross sectional 1 Longitudinal One cross sectional exposure and one l
8. ams and features contact your dealer for further information The views and values shown in this manual are only examples The illustrations shown on the touch screen are based on approximate patient anatomy The actual image position depends on the individual anatomy of the patient Never allow patients to touch the screen when they are positioned in the X ray unit Touching the screen during exposure will stop the imaging process You can use the buttons at the bottom of the main screen to change the appearance of the main view NOTE User s Manual 2D Tomography e Left button To view the ProMax model and up to five most recently used programs select the left button at the bottom of the main screen The most recently used program is shown first This is the default view of the main screen If you wish to use fast forward buttons on this view select Settings gt Program gt 2200 Program Features gt Fast Forward ON Using a fast forward button takes you directly to the last screen where you can take an exposure e Right button To view two program bars on top of each other select the right button at the bottom of the main screen e Home button To return to the main view from another screen select the home button at the top right corner of the screen Planmeca ProMax 2D S3 with ProTouch 3 MAIN PARTS NOTE 4 Planmeca ProMax 2D 3 with ProTouch Forward button To accept a selection and to go
9. ble 2 Press any of the positioning controls button or joystick The tomographic positioning lights show on the front X laser and side Y laser of your patient s face The light beams cross at the image position The X Y coordinates and the imaging angle are shown on the left of the touch screen The image position can be moved and the imaging angle can be adjusted 2D Tomography User s Manual 2D Tomography TOMOGRAPHIC EXPOSURE You can rotate the C arm 90 degrees clockwise by touching the 90 button at the bottom of the screen This might give you a better view for checking the image position Touch the button again if you wish to rotate the C arm back to the original position 2D Tomography 5 4 1 Adjusting side light Y laser If you need to move the image position to the front 1 or back 2 e Move the positioning joystick towards you 1 or away from you 2 The side light i e the image position as seen from the side will move accordingly on your patient s face User s Manual 2D Tomography Planmeca ProMax 2D 3 with ProTouch 23 TOMOGRAPHIC EXPOSURE 5 4 2 Adjusting front light X laser NOTE The front light X laser is shown on your patient s face It is not shown on the touch screen e Image position If you need to move the image position to your left 1 or right 2 e Move the positioning joystick to your left 1 or right 2 The front light i e the image po
10. creen will automatically switch to stand by mode if you do not touch the screen or the exposure button for more than thirty minutes In stand by mode the green light on the exposure button indicates that the X ray unit is switched on even though the screen is dark The screen will switch on as soon as you touch it again e Selecting demo mode You can switch demo mode on if you wish to practice or demonstrate the functions of the X ray unit without radiation Settings gt User gt 1300 Operational settings gt 1310 Use Mode gt 1311 Set Demo Mode Never allow patients to press the positioning controls when they are positioned in the X ray unit Pressing any of the positioning controls button or joystick will switch the patient positioning lights on The lights will automatically switch off after two minutes To switch them off earlier press the positioning joystick Press the button to open the temple supports The temple supports can be closed by pressing the button again Planmeca ProMax 2D 3 with ProTouch A MAIN PARTS Up down buttons NOTE NOTE NOTE NOTE NOTE Positioning joystick C arm rotation buttons 6 Planmeca ProMax 2D 3 with ProTouch The buttons are used for adjusting the X ray unit to suit the height of the patient The X ray unit moves slowly at first then faster If for some reason either of the buttons gets stuck during operation you can stop the up down movement by press
11. ing any of the other control buttons or the positioning joystick This is a safety measure that guarantees that the up down movement can be stopped in an emergency Be careful that the X ray unit does not hit the ceiling when you press the up button The maximum height can be adjusted to suit offices with low ceiling contact your service technician for help Make sure that there is no object under the telescopic column when you press the down button If something is in danger of becoming trapped release the button immediately to stop the movement The column movement stops automatically if the emergency stop plate at the bottom is pressed upwards Clear any obstruction before moving the column again When positioning wheelchair patients always first move the X ray unit down before you position the patient in the unit The positioning joystick is used for adjusting the image position as described in section 5 4 Adjusting image position and angle on page 22 The buttons are used for adjusting the imaging angle as described in section 5 4 2 Adjusting front light X laser on page 24 User s Manual 2D Tomography PROGRAMS A PROGRAMS 3 1 Cross sectional programs 1 4 Cross sectional NOTE NOTE 3 Angles Cross sectional One to four cross sectional exposures anywhere along the dental arch or TMJ area The movement step between slices is adjustable and it can be 3 6 or 9 mm The selected im
12. ion no 9 5 3 Patient positioning 5 3 1 Selecting patient entry position Use the buttons at the bottom of the screen to select the patient entry position e Selecting the left button will position the C arm around the patient support This is the traditional closed patient entry position e Selecting the right button will move the C arm to the back away from the patient positioning area This full view position allows you to monitor and adjust the patient s position freely from all directions NOTE If needed the full view position right button can be disabled Settings gt User gt 1300 Operational settings gt 1330 Patient positioning This might be necessary if there is no space for the C arm to move back 18 Planmeca ProMax 2D S3 with ProTouch User s Manual 2D Tomography 5 3 2 Positioning patient in X ray unit User s Manual 2D Tomography TOMOGRAPHIC EXPOSURE Press the temple support button to open the temple supports if they are not already open Guide the patient to the X ray unit Adjust the X ray unit to suit the height of the patient To do this press either of the height adjusting buttons until the chin rest is approximately level with the patient s lower jaw Ask the patient to step forward grasp the patient handles and to stretch and straighten their back and neck Position the patient as follows e For exposures in the teeth area ask the patient to bite
13. ongitudinal exposure anywhere along the dental arch or TMJ area NOTE The selected image position is in slice no 1 3 Cross sectional 1 Longitudinal Three cross sectional exposures and one longitudinal exposure anywhere along the dental arch or TMJ area The movement step between cross sectional slices is adjustable and it can be 3 6 or 9 mm NOTE The selected image position is in slice no 2 User s Manual 2D Tomography Planmeca ProMax 2D S3 with ProTouch 9 PROGRAMS 3 Angles Cross sectional 1 Longitudinal Three cross sectional exposures with different angles and one longitudinal exposure anywhere along the dental arch or TMJ area The imaging angle is automatically changed between exposures The angle of the first cross sectional exposure is the selected angle 7 counterclockwise and the angle of the third cross sectional exposure is the selected angle 7 clockwise NOTE The selected image position is in slice no 2 10 Planmeca ProMax 2D 3 with ProTouch User s Manual 2D Tomography PREPARATIONS FOR EXPOSURE 4 PREPARATIONS FOR EXPOSURE Make sure that e the sensor is attached to the C arm e you have selected the correct patient and exposure mode in the Planmeca Romexis program e you have prepared the patient for the exposure Refer to the Planmeca ProMax 2D User s Manual for details User s Manual 2D Tomography Planmeca ProMax 2D 3 with ProTouch 11 TOMOGRAPHIC EXPO
14. or example to take two slices select only two bars a 2D Tomography l 4 Cross sectional NOTE This option is available for program types 1 4 Cross sectional and 1 4 Longitudinal 16 Planmeca ProMax 2D 3 with ProTouch User s Manual 2D Tomography TOMOGRAPHIC EXPOSURE 5 2 6 Selecting movement step Use the third button on the left of the screen to select the movement step between slices The movement step can be set to 3 6 or 9 mm a 20 Tomography 1 4 Cross sectional NOTE This option is available for program types 1 4 Cross sectional 1 4 Longitudinal and 3 Cross sectional 1 Longitudinal 5 2 7 Selecting image position Use the arrows in the middle of the screen to select the image position tooth number 1 8 or number 9 for TMJ Alternatively you can touch the tooth or TMJ to select it Touch the other jaw side to select a position on that side a 2D Tomography 1 4 Cross sectional NOTE The selected image position is in slice no 1 or 2 depending on the program type in use Refer to section 3 PROGRAMS on page 7 for details User s Manual 2D Tomography Planmeca ProMax 2D 3 with ProTouch 17 TOMOGRAPHIC EXPOSURE 5 2 8 Selecting jaw half Use the last button on the left of the screen to select the jaw half that you wish to expose upper lower or both halves a 2D Tomography 1 4 Cross sectional NOTE This option is not available for TMJ posit
15. ould not be regarded as an infallible guide to current specifications We reserve the right to make changes without prior notice COPYRIGHT PLANMECA Released 15 May 2014 Publication part number 10036593 revision 1 2 Planmeca ProMax 2D 3 with ProTouch User s Manual 2D Tomography l INTRODUCTION User s Manual 2D Tomography NOTE NOTE INTRODUCTION This manual describes how to take tomographic exposures The manual applies to e Planmeca ProMax 2D S3 X ray unit This manual is valid for software version 3 4 0 0 r or later This software version is compatible with Planmeca Romexis software version 3 6 0 r or later To check the software version of your X ray unit select Settings gt About gt 4100 Component Information gt ProMax SW version Refer to the Planmeca ProMax 2D User s Manual for any general information about the X ray unit The tomographic programs produce cross sectional or longitudinal exposures from the jaws or temporomandibular joints TMJs Planmeca ProMax 2D 3 with ProTouch 1 MAIN PARTS 2 MAIN PARTS 2 1 Patient supports 1 Bite piece Chin rest Adapter Chin support a fF O N Temple supports 2 Planmeca ProMax 2D 3 with ProTouch User s Manual 2D Tomography 2 2 Touch screen NOTE NOTE NOTE PLAAIMECA Elei aed D MAIN PARTS The options shown on the touch screen depend on the unit configuration The X ray unit can be upgraded with new progr
16. radiation dose reduce the mA value e To adjust the exposure values for this exposure 1 Touch the exposure value field 2 Use the minus or plus button to reduce or increase the value 3 Touch the accept button 4 Touch the forward button 4a to accept the selection Alternatively touch the fast forward button 4b to accept the selection and to skip the next screen NOTE In combined programs cross sectional longitudinal only the cross sectional exposure values can be adjusted NOTE To adjust the preset exposure values permanently select Settings gt Program gt 2100 Programs Refer to section 12 2 1 Programs 2100 on page 65 in the Planmeca ProMax 2D User s Manual for details User s Manual 2D Tomography Planmeca ProMax 2D 3 with ProTouch 15 TOMOGRAPHIC EXPOSURE 5 2 4 Selecting program type Select the program type from the drop down menu at the top Alternatively you can use the first button on the left of the screen to select the program type you wish to use Refer to section 3 PROGRAMS on page 7 for details 3 Angles Cross sectional 14 Longitudinal 2 Angles Longitudinal 1 Cross sectional 1 Longitudinal 3 Cr ssaecional 1 Longitudinal 3 Angles Cross sectional 1 Longitudinal 5 2 5 Selecting number of slices Use the second button on the left of the screen to select the number of slices you wish to take The icon shows four bars each representing one slice F
17. sition as seen from the front will move accordingly on your patient s face e Imaging angle If you need to adjust the imaging angle e Move the front light X laser so that it is parallel to the patient s dental arch at the image position To do this press a C arm rotation button to rotate the C arm clockwise 1 or counterclockwise 2 The front light will move accordingly on your patient s face 2D Tomography NOTE It is easier to adjust the imaging angle if the patient opens their mouth slightly when you adjust the front light 24 Planmeca ProMax 2D S3 with ProTouch User s Manual 2D Tomography 5 5 Taking an exposure ps wall6_2 e ps R_Dsw _2e User s Manual 2D Tomography TOMOGRAPHIC EXPOSURE NOTE Make sure that you have selected the correct patient and exposure mode in the Planmeca Romexis program 1 Select the forward button Green lights flash on the touch screen and exposure button when the X ray system is getting ready for an exposure The green lights stop flashing and stay on continuously when the X ray system is ready for an exposure 2 Ask the patient to stay as still as possible Tell the patient how many exposures you will take so that they do not move before the end of the imaging process 3 Move to a protected area 4 Press and hold down the exposure button for the duration of the exposure s The C arm moves around the patient s head Yellow radiation
18. th area To take exposures of the upper jaw or both jaws position the occlusal plane so that it is horizontal TMJ exposure e To take exposures of the temporomandibular joints TMJ position number 9 position the Frankfort plane so that it is horizontal User s Manual 2D Tomography Planmeca ProMax 2D 3 with ProTouch 21 TOMOGRAPHIC EXPOSURE 5 4 Adjusting image position and angle NOTE 22 Planmeca ProMax 2D 3 with ProTouch The image position and angle are preset at the factory for a standard patient However as all patients and their anatomical structures are different you have to check that the preset position and angle are correct for this patient If this is not the case you have to adjust them according to the patient s anatomy The tomographic positioning lights and the illustrations on the touch screen help you to do this The illustrations are for guidelines only When you adjust the image position the tomographic positioning lights move on your patient s face The positioning light on the illustration shows the preset image position and it does not move according to your adjustment The positioning lights will automatically switch off after two minutes To switch them off earlier press the positioning joystick To switch them back on do one of the following 1 Press the thumb wheel on the underside of the patient support ta
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