User Guide - William Green
Contents
1. hydrogen peroxide hydrogen peroxide with peracetic acid ortho phthalaldehyde WARNING AN To disinfect with heat you must use a medical autoclaving equipment cleared by the FDA in the USA You must always follow the operating parameters recommended by the manufacturer of the autoclaving equipment You must always follow the manufacturer instructions for use of high level disinfectants 4 Use immediately or within a short period of time Cleaning and disinfecting the component and accessories that have skin contact You must disinfect the following component and accessories with a low level disinfectant between each patient use e Frontal head rest e Panoramic Sinus chin rest To clean and disinfect the component and accessories follow these steps 1 Clean and remove all visible soil by scrubbing with a surfactant detergent and water 2 Rinse with water to remove chemical or detergent residue 3 Disinfect with an EPA registered hospital disinfectant for low level activity for example quaternary ammonium compounds some phenolics and some iodophors You must use the disinfectant according to the manufacturer instructions CAUTION AN If there is a visible contamination with blood you must clean the components and accessories with an EPA registered intermediate level hospital disinfectant that has a tuberculocidal claim You must use the disinfectant according to the manufacturer instructions Monthly Wipe the outer c2. In the Acquisition interface click the Program button to access the Program pane ee Program y aD 2D 2 Click on ay and click on the area of interest that you want to examine Example 3 Click the Patient button to access the Patient pane y ail alla W L 1 Select the patient e Type 1 e Child e Adult Small Medium Large e Dental arch morphology 2 24 4 Optional If the default parameter setting is not adapted to your patient type click the Parameter button _ E lt Params oand kV 73 ma 12 0 j d Warning This X ray unit may be dangerous to patient and operator unless safe exposure factors operating instructions and maintenance schedules are observed e Select the appropriate parameters e Click id and select Memorize Anatomy setting to save the new parameter settings as the default settings 5 Position and fix the panoramic chin rest A Fit the bite block to the panoramic chin rest Ba Make sure that you click it well into place If needed use the edentulous bite block CS 8100 and CS 8100 Access User Guide SM784 _Ed 01 25 6 26 Insert a hygienic barrier over the bite block C Make sure that you cover the bite block completely with the hygienic barrier D IMPORTANT You must cover the bite block with FDA cleared protective sheaths that are available from distributors Bee lt a eC ee SN f Preparing and Po
3. to e Bite into the bite block D e Close the eyes e Remain still e Breathe through the nose i CS 8100 and CS 8100 Access User Guide SM784 _Ed 01 29 Launching the X ray To launch the X ray follow these steps 1 Leave the X ray room and close the door You must keep visual contact with the patient during acquisition the exposure button of the remote control or press the red emergency stop button f Important To stop the acquisition if there is any problem release bs 2 Launch the X ray with the remote control Press and hold the exposure button until the end of the acquisition is indicated by the on screen Release Switch message The turns yellow and a tiA warning sound is heard indicating X ray emission When the acquisition ends the Acquisition interface disappears and the acquired image is automatically transferred to the Imaging Window 3 Check the image quality 4 Do the following when the acquisition is finished e Release the patient e Remove the hygiene barrier from the bite block 30 Acquiring a TMJ x4 Image for the Adult and Pediatric Patient Accessing the Acquisition Interface To access the acquisition interface follow these steps Select the patient record See the User Guide for your patie
4. 3 Head and Chin Rest Functional Components Positioning Panel Frontal head rest adjustment knob Head rest Bite block Chin rest O oa a W N Hand grips CS 8100 and CS 8100 Access User Guide SM784 _Ed 01 5 Positioning Accessories The following accessories are used when positioning a patient They are delivered with the CS 8100 Table 1 lists the positioning accessories Table 1 Positioning Accessories Accessory Description Panoramic chin rest t Sinus chin rest TMJ nose rest Standard bite block x5 Bite block for edentulous patients x2 Single use sheaths for bite block Positioning Panel The positioning panel is a console on the head and chin rest that enables you to correctly position and align a patient before you acquire an image Figure 4 Unit Positioning Panel W 3 J 1 Height Adjustment button Adjusts the height of the unit to the height of the patient 2 Ready Indicator LED Green indicates that the unit is ready for acquisition 3 Frontal head rest adjustment knob Positions the up or down inclination of the patient head by turning the knob CS 8100 and CS 8100 Access User Guide SM784 _Ed 01 7 X Ray Remote Control Overview The X ray remote control enables you to launch a radiological image acquisition via the exposure button from outside the X ray room You must press and hold the exposure button until the end of acquisition Premature release of
5. 4 Fm 1 Information button e Show versions Identifies Software and Firmware versions e Resetting Anatomy setting Resets to the manufacturing parameter settings e Memorize Anatomy setting Memorizes the user preference settings for each patient type kV mA and seconds 2 Preview Screen Displays the acquired image in real time 3 Selected Parameter Display Displays the current acquisition parameter settings 4 System Status Screen Displays various alert or warning messages originating from the unit 5 Generator Cooling indicator Indicates the automatic cooling time mm ss required for the generator to reach O for a new acquisition 6 Reset button Resets the unit to the starting position to enable you to position a patient in the unit 7 Parallel position button Leaves more free space around the unit when it is not in use by placing the rotative arm in a parallel position to the unit head 8 X ray On Off button Enables or disables X ray emission 10 10 11 12 Ready Indicator LED e Green indicates the unit is ready to start acquisition e Black indicates the unit is not ready to start acquisition Exit button Closes the Acquisition interface X ray Emission indicator Yellow indicates the X ray emission status Selector Button Selects different acquisition setting options e Click Program to select examination type options e Click Patient to select patient type parameters e Click Parameters to
6. CS 8100 and CS 8100 Access User Guide Notice Congratulations on your purchase of the CS 8100 and CS 8100 Access Thank you for your confidence in our products and we will do all in our power to ensure your complete satisfaction The User Guide for the CS 8100 and CS 8100 Access provides information on complete or segmented tomographic digital panoramic X ray image features We recommend that you thoroughly familiarize yourself with this Guide in order to make the most effective use of your system the Technical Specification User Guide before using the CS 8100 and CS T WARNING We recommend that you consult the Safety Regulatory and 8100 Access The information contained in this Guide may be subject to modification without notice justification or notification to the persons concerned No part of this Guide may be reproduced without the express permission of Carestream Health Inc The US Federal law restricts this device to sale by or on the order of a physician This document is originally written in English Manual Name CS 8100 and CS 8100 Access User Guide Part Number SM784 Revision Number 01 Print Date 2012 03 The CS 8100 and CS 8100 Access complies with Directive 93 42 EEC relating to medical equipment 0086 Manufacturer Carestream Health Inc ial 150 Verona Street Rochester NY 14 608 USA Authorized Representative in the European Community EC REP TROPHY 4 Rue F Pelloutier Croissy Beaubour
7. ace 24 Preparing the Unit and Setting the Acquisition Parameters 1 0 ee ee ees 24 CS 8100 and CS 8100 Access User Guide SM784 _Ed 01 Chapter 6 Maintenance Chapter 7 Troubleshooting Preparing and Positioning the Adult and Pediatric Patient 500 Launching the X ray desk hk SOR OR REG ae Se ae ee wed Acquiring a TMJ x4 Image for the Adult and Pediatric Patient 50004 Accessing the Acquisition Interface Preparing the Unit and Setting the Acquisition Parameters 1 0 ee Preparing and Positioning the Adult and Pediatric Patient 04 4 Launching the X ray gecbociost kh eH he Se Bd a X Ray Dose Emission Information Cleaning the unit sbne ieee end ks oe eS EO Cleaning and disinfecting the Accessories Cleaning and disinfecting the accessories that have contact with the mucous membranes Cleaning and disinfecting the component and accessories that have skin contact MOMAN ee ga ae oe ec Boake Gt aS ee OO POA gr 4 ee ee ee ee ae ee i Controlling the Image Quality 4004 Quick Troubleshooting 4 2 wae S amp S Se a ewe ed 1 Conventions in This Guide Conventions in this Guide The following special messages emphasize information or indicate potential risk to personnel or equipment WARNING Warns you to avoid injury to yourself or others by following the safety instructions pre
8. cisely CAUTION Alerts you to a condition that might cause serious damage Important Alerts you to a condition that might cause problems Note Emphasizes important information Tip Provides extra information and hints CS 8100 and CS 8100 Access User Guide SM784 _Ed 01 1 2 CS 8100 Overview The CS 8100 Family includes e CS 8100 complete modality e CS 8100 Access modality without the 2D feature This document refers to both models as CS 8100 unless otherwise specified The following figures illustrate the general overview of the CS 8100 Mobile Components Figure 1 illustrates the up and down movement of the unit mobile component and the rotation of the rotative arm the right side of the unit Important The patient can enter through either the left side or Figure 1 Unit Mobile Components CS 8100 and CS 8100 Access User Guide SM784 _Ed 01 3 General Functional Components Figure 2 illustrates the general functional components of the unit Figure 2 Unit Functional Components as vn Oo OO FF Q N ON OFF button 8 Emergency stop knob 9 Unit rotative arm 10 X ray source assembly Unit column Head and chin rest Digital sensor Unit head X ray remote control PC hosting the imaging and the acquisition software Head and Chin Rest Figure 3 illustrates the functional components of the head and chin rest Figure
9. f the patient is medium Hi 2 Patient dental arch morphology Click if the patient is large Click for a normal shape dental arch Click for a square dental arch aqa Click for a sharp dental arch CS 8100 and CS 8100 Access User Guide SM784 _Ed 01 13 Parameter Pane The Parameter Pane enables you to choose exposure parameters for the radiological image acquisition If the default parameter setting is not adapted to your patient type you can manually adapt the parameter setting to the patient type and save this setting as the default setting To save a parameter setting click and select Memorize Anatomy setting Figure 9 Parameter Pane a bo kilovolt 420 milliampere 2 Fine tuning buttons Click or to fine tune the kV and the mA 14 4 Getting Started Switching on the Unit Before switching on the unit check that e The installation of the unit is complete e The computer is switched on be ready for the connection before switching on the unit Important You must switch on the computer and wait for it to To switch on the unit follow these steps 1 On the unit column press the ON button 2 You must wait for a minute for the connection between the unit and the computer to be established If you start the imaging software before the connection is established an error message is displayed Click OK close the imaging software and wait for t
10. g 77435 Marne la Vall e Cedex 2 France Contents Chapter 1 Conventions in This Guide Chapter 2 CS 8100 Overview Chapter 3 Imaging Software Overview Chapter 4 Getting Started Chapter 5 Acquiring Images Conventions in this Guide 2 20004 1 Mobile Components 1 0 eee ee 3 General Functional Components 4 Head and Chin Rest 246666222 48646 845 s 5 Positioning Accessories 1 0 ee ee es 6 Positioning PANG 9 am nee ew Ge ee ee ee 7 X Ray Remote Control Overview 000 8 Computer System Requirements 005 9 General Software Overview 2 2 eee ee ee 9 Imaging Software aooaa RRR OH EE SS 9 Acquisition Interface 1 aaa a 9 Acquisition Interface 1 a 10 Acquisition Interface Overview 004 10 Program PANE 6 246 446 e kee ee ewe 12 Patient Pane 1 ee ee 13 Parameter Pane 2 2 eee ee ee 14 Switching on the Unit 2222486644408 2 amp Gwe 2 15 Acquiring a Panoramic a TMJ x2 or a Sinus Image for the Adult and Pediatric Patient 004 17 Accessing the Acquisition Interface 17 Preparing the Unit and Setting the Acquisition Fore leh ss dyke oo ee ee BA RS SS 17 Preparing and Positioning the Adult and Pediatric Patient 20 Launching the PFE s s ss ac a coso SS Sw Hw 23 Acquiring a 2D Image for the Adult and Pediatric Patient 24 Accessing the Acquisition Interf
11. he iy turns yellow and a warning sound is heard indicating X ray emission When the acquisition ends the Acquisition interface disappears and the acquired image Is automatically transferred to the Imaging window 34 3 Tell the patient to stay in the same position but with mouth opened Repeat Step 2 to acquire another image with the mouth opened 4 Check the quality of the images 5 Do the following when the acquisition is finished e Release the patient e Remove the hygiene barrier and the Ys from the head and chin rest CS 8100 and CS 8100 Access User Guide SM784 _Ed 01 35 X Ray Dose Emission Information Compliance with EURATOM 97 43 Directive You can right click on each image to display the estimated emitted dose received by the patient You can use this information to calculate the effective dose received by the patient for the image The radiation emission dose is expressed in mGy cm This dose is measured at the primary collimator outlet The dose is accurate to 30 36 Maintenance Perform the following maintenance activities on your CS 8100 and CS 8100 Access Daily Cleaning the unit To clean the unit follow these steps 1 Switch off the unit 2 Clean all accessible parts of the unit using low level disinfectants that are U S Environmental Protection Agency EPA registered or low level disinfectants that are recognized by your Local Authority An EPA registered hospital disinfectant or an
12. he connection to be established 3 You can now proceed to start the imaging software unit has not been used for a month you must follow the following procedures before use f Important To increase the operating life of the X ray tube if the 1 In the Panoramic Acquisition Window select the Parameter pane 2 Select the following series of parameter settings 7O0kV 6 3 mA 3 Leave the X ray room and close the door For each parameter setting from the X ray remote control press and hold the button to launch the X ray The unit is now ready to be used for acquisition CS 8100 and CS 8100 Access User Guide SM784 _Ed 01 15 16 Acquiring Images Acquiring a Panoramic a TMJ x2 or a Sinus Image for the Adult and Pediatric Patient Accessing the Acquisition Interface To access the acquisition interface follow these steps 1 Select the patient record See the User Guide for your patient management software 2 On your desktop double click K or iac The Imaging Window is displayed 3 Inthe Imaging Window from the toolbar A CJ or isu to access the Acquisition interface Preparing the Unit and Setting the Acquisition Parameters To set the acquisition parameters follow these steps 1 In the Acquisition interface click the Program button to access the Program pane Click on one area of interest that you want to examine e Panoramic for example ee TMJ x2 E CS 8100 and CS 8100 Access U
13. mplete image quality control test make sure you have the required test tools The result of this test is used as reference for the Constancy test by the user 40 Troubleshooting Quick Troubleshooting Occasionally malfunctions can occur during use in the event of an incorrect action An error message Is displayed on the popup on the Acquisition interface System Status Screen The following table lists the information messages their description and the action to take IMPORTANT If an Error Code message is displayed the malfunction persists or more serious conditions occur contact a qualified technician When you call the qualified technician have the following information ready e Model Number CS 8100 e Error Code Message Table 2 Error Code Message Error Code Error Message Description Action Err S_8100_CJ848_ GENERATOR_36865 Handswitch was The user has Relaunch the acquisition released before the released the and hold the exposure end of exposure exposure button button until the end of the prematurely acquisition cycle Table 3 Quick Troubleshooting Message Description Action X ray tube cooling Cooling in progress Wait until the Generator Cooling Indicator on the Acquisition interface reaches zero Thermal security Cooling in progress Wait until the Generator Cooling Indicator on the Acquisition interface reaches zero Release handswitch The acquisition has ended Release the expos
14. nt management software On your desktop double click a or aes The Imaging Window is displayed In the Imaging Window from the toolbar click w or interface to access the Acquisition Preparing the Unit and Setting the Acquisition Parameters To set the acquisition parameters follow these steps In the Acquisition interface click the Program button to access the Program pane gt Programme Fr TE Select ga and click xaf Click the Patient button to access the Patient pane J r mee 1 Select the patient e Type 1 e Child e Adult Small Medium Large e Dental arch morphology 2 CS 8100 and CS 8100 Access User Guide SM784 _Ed 01 31 4 Optional If the default parameter setting is not adapted to your patient type click the Parameter button ah 3 w I mao Warning This X ray unit may be dangerous to patient and operator unless sale exposure e Select the appropriate parameters e Click il and select Memorize Anatomy setting to save the new parameter settings as the default settings Z lt gt 5 On the head and chin rest remove or hi place and cover it with a hygienic barrier Preparing and Positioning the Adult and Pediatric Patient To prepare and position the patient follow these steps 1 Ask the patient to remove all metal objects 2 Ask the patient to wear a lead apron with a thyroid collar Ensure that the apron lays flat across
15. or You must keep visual contact with the patient during acquisition the exposure button of the remote control or press the red emergency stop button Important To stop the acquisition if there is any problem release 3N 2 Launch the X ray with the remote control Press and hold the exposure button until the end of the acquisition is indicated by the on screen Release Switch message The turns yellow and a ain warning sound is heard indicating X ray emission When the acquisition ends the Acquisition interface disappears and the acquired image is automatically transferred to the Imaging Window 3 Check the image quality 4 Do the following when the acquisition is finished e Release the patient e Remove the hygiene barrier from the bite block CS 8100 and CS 8100 Access User Guide SM784 _Ed 01 23 Acquiring a 2D Image for the Adult and Pediatric Patient Accessing the Acquisition Interface To access the acquisition interface follow these steps 1 Select the patient record See the User Guide for your patient management software 2 On your desktop double click a 3 Inthe Imaging Window from the toolbar click CJ or to access the Acquisition interface Preparing the Unit and Setting the Acquisition Parameters To set the acquisition parameters follow these steps 1
16. overs of the unit with a soft and dry cloth Annually We recommend a general inspection of the unit carried out by an authorized service technician 38 Controlling the Image Quality To maintain optimum image quality the image quality must be controlled regularly To control the image quality follow these steps 1 On your desktop double click Ba The CS 8100 Technician Tools window is displayed a Hira arep itt Ploase insert your connection key and limi bonia click here to login and access special functionnalitios SYSTEM STATUS 2 Inthe left pane double click Image Quality Tool The Image Quality Control window is displayed Sottat Number RIA To start a new test select ei er an acquisiien device or import a file Cheat bbe enter T T 3 Inthe Image Quality Control window to perform the test you can either e Select the desired device in the List of detected acquisition devices field Or e Browse and import a file in the Import field Click Next and follow the instructions CS 8100 and CS 8100 Access User Guide SM784 _Ed 01 39 4 Select the desired test and follow the on screen instructions You have two test options e Constancy test This test must be executed regularly by the user The result of the tests must be compared to the Acceptance test Select the desired test and follow the on screen instructions Or e Acceptance test This test is ONLY executed by the technician It is a co
17. select exposure parameter options CS 8100 and CS 8100 Access User Guide SM784 _Ed 01 11 Program Pane The Program pane enables you to choose different radiological exams The diagram in the Program pane represents a jaw with the R side of the diagram corresponding to the right side of the patient Figure 7 Program Pane Program y aD Radiological exam options Segmented panoramic acquisition Click on the following areas of interest that you want to examine e Posterior e Anterior The selected area of interest will highlight Example anterior exam Maxillary Sinus acquisition fir agi 4 for a TMJ x2 acquisition EAA and click xa for a TMJ x4 acquisition Full panoramic acquisition Click on all the areas of interest Example J 2D acquisition 2D Click pad to examine a selected area of interest in 2D slices that can be moved in the buccal lingual direction across a jaw NOTE The 2D feature is available for CS 8100 It is not available for CS 8100 Access 12 Patient Pane The Patient pane enables you to choose different patient parameters The selection of the patient parameters influences the quality of the image The selected parameters must be based on the age and morphology of the patient Figure 8 Patient Pane 1 Patient type parameters Pediatric mode Click if the patient is a child Adult mode Click if the patient is small Click i
18. ser Guide SM784 _Ed 01 17 18 2 Click the Patient button to access the Patient pane Select the patient e Type 1 e Child e Adult Small Medium Large e Dental arch morphology 2 Optional If the default parameter setting is not adapted to your patient type click the Parameter button eee al Ld oat 4 NS FNUF EE f ae E lt Ti y i ig e Select the appropriate parameters e Click is and select Memorize Anatomy setting to save the new parameter settings as the default settings 4 5 Position and fix the panoramic chin rest A Fit the bite block to the panoramic chin rest Ba Make sure that you click it well into place If needed use the edentulous bite block Note Use the panoramic chin rest A for a panoramic or TMJ x2 image acquisition Use the sinus chin rest Bb for a sinus image acquisition Insert a hygienic barrier over the bite block C Make sure that you cover the bite block completely with the hygienic barrier D IMPORTANT You must cover the bite block with FDA cleared protective sheaths that are available from distributors ERC CS 8100 and CS 8100 Access User Guide SM784 _Ed 01 19 Preparing and Positioning the Adult and Pediatric Patient To prepare and position the patient follow these steps 1 Ask the patient to remove all metal objects 2 Ask the patient to wear a lead apron
19. sitioning the Adult and Pediatric Patient To prepare and position the patient follow these steps 1 Ask the patient to remove all metal objects 2 Askthe patient to wear a lead apron with a thyroid collar Ensure that the apron lays flat across the patient s shoulders 3 Ask the patient to enter the unit On the Positioning panel press and hold V to raise the chin rest to the height of the patient i Note If the patient is too tall tell the patient to sit on a stool CS 8100 and CS 8100 Access User Guide SM784 _Ed 01 27 4 28 Ask the patient to e Stand up straight e Grip both the lower handles of the head and chin rest e Position the feet slightly forward e Relax and lower the shoulders for full motion of the unit rotative arm column shadow that is transferred to the acquired image i Note By correctly positioning the patient you can reduce the spinal Ask the patient to place the chin on the chin rest support A Adjust the frontal head rest B to the forehead Make sure that the forehead is firmly fixed on the frontal head rest Using both hands correctly align the horizontal and vertical position of the head Important The spinal column and the nose of the patient must be aligned in a straight line Turn the frontal head adjustment knob C to adjust the patient head C for a Camper plane alignment Ask the patient
20. the patient s shoulders 32 3 Ask the patient to enter the unit On the Positioning panel press and hold 5 to raise the chin rest to the height of the patient Gi Note If the patient is too tall tell the patient to sit on a stool 4 Ask the patient to e Stand up straight e Grip both the lower handles of the head and chin rest e Position the feet slightly forward e Relax and lower the shoulders for full motion of the unit rotative arm column shadow that is transferred to the acquired image i Note By correctly positioning the patient you can reduce the spinal CS 8100 and CS 8100 Access User Guide SM784 _Ed 01 33 Launching the X ray To launch the X ray follow these steps 1 Tell the patient to remain still eyes closed and mouth closed Leave the X ray room and close the door You must keep visual contact with the patient during acquisition Important To stop the acquisition if there is any problem release the exposure button of the remote control or press the red emergency stop button SS tees 2 Launch the X ray with the remote control to acquire an image Press and hold the exposure button until the end of the acquisition is indicated by the on screen Release Switch message T
21. the exposure button interrupts the acquisition Figure 5 X Ray Remote Control 1 Exposure button launches image acquisition Imaging Software Overview Computer System Requirements For the minimum computer system requirements and configuration for the Imaging Software see the CS 8100 and CS 8100 Access Safety Regulatory and Technical Specifications User Guide IMPORTANT A N It is MANDATORY to check that the computer system configuration is compatible with the computer system requirements for the CS 8100 software If necessary you MUST update your computer system configuration The unit MUST be connected to the computer via a point to point Ethernet link and not via a LAN General Software Overview The CS 8100 operates with the following software e Imaging software e Acquisition interface Imaging Software The imaging software is a user friendly working interface that was designed and developed specifically to support image diagnosis Acquisition Interface The Acquisition interface is a user friendly interface that was designed and developed specifically for the CS 8100 CS 8100 and CS 8100 Access User Guide SM784 _Ed 01 9 Acquisition Interface Acquisition Interface Overview The Acquisition interface is the main interface of the CS 8100 that provides you with imaging acquisition functions Figure 6 Acquisition Interface 1 i Ai lt 2 x2 R L ky mh 5 na P 73 12 0 10 8 113
22. ure button of the x ray remote control Start the acquisition The acquisition has been Keep pressing and holding the exposure button launched Upgrade of the firmware The system is being upgraded Wait for completion of the upgrade CS 8100 and CS 8100 Access User Guide SM784 _Ed 01 41 42
23. with a thyroid collar Ensure that the apron lays flat across the patient s shoulders a 3 Ask the patient to enter the unit On the Positioning panel press and hold V to raise the chin rest to the height of the patient 20 4 Ask the patient to e Stand up straight e Grip both the lower handles of the head and chin rest e Position the feet slightly forward e Relax and lower the shoulders for full motion of the unit rotative arm column shadow that is transferred to the acquired image i Note By correctly positioning the patient you can reduce the spinal CS 8100 and CS 8100 Access User Guide SM784 _Ed 01 21 5 Ask the patient to place the chin on the chin rest support A 6 Adjust the frontal head rest B to the forehead Make sure that the forehead is firmly fixed on the frontal head rest Using both hands correctly align the horizontal and vertical position of the head Important The spinal column and the nose of the patient must be aligned in a straight line 7 Turn the frontal head adjustment knob C to adjust the up or down inclination of the patient head for a Frankfort plane alignment 8 Ask the patient to e Bite into the bite block D e Close the eyes e Remain still e Breathe through the nose 22 Launching the X ray To launch the X ray follow these steps 1 Leave the X ray room and close the do
24. y other low level disinfectant must have clear label claims for intended use You must follow the manufacturer instructions for use CAUTION AN Avoid applying any cleaning liquid to the inside parts of the unit Cleaning and disinfecting the Accessories CAUTION AN You MUST cover the standard bite block and the bite block for edentulous patients with FDA cleared protective sheaths that are available from distributors We recommend that you cover the TMJ nose rest with FDA cleared protective sheaths that are available from distributors After you remove and discard the protective sheath each accessory must be cleaned and disinfected between each patient use Cleaning and disinfecting the accessories that have contact with the mucous membranes To ensure maximum hygienic safety for the patient follow the following instructions carefully to prepare them for use The following accessories must be heat sterilized or disinfected with high level disinfectant between each patient use e TMJ nose rest e Standard bite block e Bite block for edentulous patient To clean and disinfect the accessories follow these steps 1 Remove all visible soil by scrubbing with a surfactant detergent and water CS 8100 and CS 8100 Access User Guide SM784 _Ed 01 37 2 Rinse with water to remove chemical or detergent residue 3 Autoclave up to 134 C or use a high level disinfectant for example Glutaraldehyde glutaraldehyde with phenol
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