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Manuals and User Guides for Planmeca Planmeca ProMax 3D Classic. We have 8 Planmeca Planmeca ProMax 3D Classic manuals available for free PDF download: Technical Manual, User Manual

Planmeca ProMax

®

3D s & 3D Classic with ProTouch user’s manual

3D imaging

TABLE OF CONTENTS

1 INTRODUCTION ………………………………………………………………………………….1

2 ASSOCIATED DOCUMENTATION ………………………………………………………..2

3 SYMBOLS ON PRODUCT LABELS ……………………………………………………….3

4 SAFETY PRECAUTIONS ……………………………………………………………………..4

5 SWITCHING X-RAY UNIT ON ……………………………………………………………….6

6 MAIN PARTS ………………………………………………………………………………………7

6.1

General view of X-ray system ……………………………………………………………………………. 7

6.2

General view of X-ray unit …………………………………………………………………………………. 8

6.3

Sensors ………………………………………………………………………………………………………….. 9

6.4

Patient supports …………………………………………………………………………………………….. 10

6.5

Exposure switch …………………………………………………………………………………………….. 11

6.6

Emergency stop button …………………………………………………………………………………… 12

6.7

Touch screen ………………………………………………………………………………………………… 13

6.8

Patient positioning controls ……………………………………………………………………………… 15

7 PLANMECA PROMAX 3D S PROGRAMS …………………………………………….16

7.1

3D Dental ……………………………………………………………………………………………………… 16

8 PLANMECA PROMAX 3D CLASSIC PROGRAMS ………………………………..17

8.1

3D Dental ……………………………………………………………………………………………………… 17

8.2

3D Models …………………………………………………………………………………………………….. 17

9 3D PATIENT EXPOSURE ……………………………………………………………………18

9.1

Preparing X-ray system ………………………………………………………………………………….. 18

9.2

Selecting exposure settings …………………………………………………………………………….. 25

9.3

Preparing patient ……………………………………………………………………………………………. 31

9.4

Patient positioning ………………………………………………………………………………………….. 31

9.5

Adjusting volume position ……………………………………………………………………………….. 33

9.6

Taking a scout image or 2D views (LAT, PA or LAT-PA) …………………………………….. 37

9.7

Taking a 3D exposure …………………………………………………………………………………….. 39

10 3D FACE PHOTO ……………………………………………………………………………….40

10.1 Before exposure …………………………………………………………………………………………….. 40

10.2 Selecting exposure settings …………………………………………………………………………….. 40

10.3 Patient positioning ………………………………………………………………………………………….. 40

10.4 Taking a 3D face photo …………………………………………………………………………………… 42

11 3D MODEL EXPOSURE ……………………………………………………………………..43

11.1 Calibrating X-ray unit for impression or plaster material ………………………………………. 43

11.2 Taking an exposure of an impression or plaster cast ………………………………………….. 47

12 SETTINGS …………………………………………………………………………………………50

12.1 User settings …………………………………………………………………………………………………. 50

13 CLEANING ………………………………………………………………………………………..53

14 SERVICE …………………………………………………………………………………………..53

15 DISPOSAL ………………………………………………………………………………………..54

16 HELP MESSAGES ……………………………………………………………………………..55

User’s Manual (3D)

Planmeca ProMax 3D s & 3D Classic with ProTouch 1

TABLE OF CONTENTS

17 ERROR MESSAGES ………………………………………………………………………….57

18 TECHNICAL SPECIFICATIONS …………………………………………………………..58

18.1 Technical data for Planmeca ProMax product family …………………………………………… 58

18.2 Original manufacturer …………………………………………………………………………………….. 62

18.3 Dimensions …………………………………………………………………………………………………… 62

18.4 Minimum operational space requirements …………………………………………………………. 63

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 should not be regarded as an infallible guide to current specifications. We reserve the right to make changes without prior notice.

COPYRIGHT PLANMECA

Released: 17 March 2014

Publication part number: 10033255 revision 6

2 Planmeca ProMax 3D s & 3D Classic with ProTouch

User’s Manual (3D)

INTRODUCTION

1 INTRODUCTION

Settings

(Top left corner of main view)

This manual describes how to take 3D exposures. The manual applies to:

• Planmeca ProMax 3D s X-ray unit

• Planmeca ProMax 3D Classic X-ray unit

NOTE This manual is valid for software version 3.3.3.0.r or later. This software version is compatible with

Planmeca Romexis software version 3.5.0.r or later.

To check the software version of your X-ray unit, select

Settings > About > 4100 Component Information >

ProMax SW version.

The X-ray unit uses Cone Beam Computed Tomography

(CBCT) to produce three-dimensional (3D) X-ray images.

Panoramic, cephalometric and projection radiography techniques can be used for two-dimensional (2D) X-rays.

If the X-ray unit has a ProFace sensor, you can take a 3D photo of the patient’s face.

The X-ray images can be used for examination of dentomaxillofacial anatomy. The 3D face photo can be used for patient education or in order to follow the results of medical treatments.

You need a PC with the Planmeca Romexis program in order to save, view and modify the images.

Make sure that you are fully acquainted with the appropriate radiation protection measures and these instructions before you use the X-ray unit.

NOTE The X-ray unit may be used by health care professionals only.

User’s Manual (3D)

Planmeca ProMax 3D s & 3D Classic with ProTouch 1

ASSOCIATED DOCUMENTATION

2 ASSOCIATED DOCUMENTATION

The X-ray unit is supplied with the following manuals:

• User’s Manual(s) for

— 3D Imaging, Original English publication: 10033255

(- 2D Imaging, Original English publication: 10033256, optional)

(- Cephalostat, Original English publication: 10033034 or

10033035, optional)

• Installation Manual,

Original English publication: 00688271

• Technical Manual,

Original English publication: 10033257

These manuals are intended to be used in conjunction with the documentation for the Planmeca Romexis program. The Romexis package contains the following manuals:

• User’s Manual, Original English publication: 10014593

• Installation Manual,

Original English publication: 10014600

2 Planmeca ProMax 3D s & 3D Classic with ProTouch

User’s Manual (3D)

3 SYMBOLS ON PRODUCT LABELS

SYMBOLS ON PRODUCT LABELS

0598

CE marking according to European standard

(Directive 93/42/EEC)

SGS marking according to US and Canadian standards

(ANSI/UL 60601-1 and CAN/CSA C22.2 No. 601.1-M90)

Date of manufacture (Standard ISO 15223-1)

Attention, consult accompanying documents

(Standard IEC 60601-1)

Type B applied part (Standard IEC 60601-1)

Separate collection for electrical and electronic equipment

(Directive 2002/96/EC WEEE)

Alternating current (Standard IEC 60417)

Electrostatic sensitive device (Standard IEC 60417)

User’s Manual (3D)

Planmeca ProMax 3D s & 3D Classic with ProTouch 3

SAFETY PRECAUTIONS

4 SAFETY PRECAUTIONS

CAUTION FOR US USERS:

Federal law restricts this device to sale by or on the order of a health care professional.

CAUTION This X-ray unit may be dangerous to both patient and operator unless safe exposure values are used and correct operating procedures are observed.

CAUTION The patient positioning lights are laser lights. Do not stare into the laser beam.

CAUTION Do not drop the sensor. Planmeca limited warranty does not cover damage which is due to misuse, e.g. dropping the sensor, neglect, or any cause other than ordinary use.

If you have any reason to believe that the sensor might be faulty, take a test exposure before taking a patient exposure.

CAUTION If an exposure is interrupted (e.g. exposure button is released or emergency stop button activated), the patient must be guided away from the X-ray unit before the C-arm is moved.

CAUTION Do not connect items which are not specified as part of the system.

CAUTION Do not connect a multiple portable socket outlet (MPSO) or extension cord to the system.

CAUTION Do not touch an electrical connector and the patient at the same time.

CAUTION If the X-ray unit shows any signs of oil leakage, disconnect the unit from mains and contact your service technician for help.

CAUTION Do not use the X-ray unit in an oxygen rich environment or in the presence of flammable anesthetics.

CAUTION Never use a defective or damaged X-ray system. Contact your service technician for help.

NOTE It is very important that the place where the unit is to be used and the position from which the user is to operate the unit are correctly shielded. Since radiation safety requirements vary from country to country and state to state it is the responsibility of the user to ensure that all local safety requirements are met.

NOTE Cone beam imaging should not be used for routine (or screening) examinations. The imaging examinations must be justified for each patient to demonstrate that the benefits outweigh the risks.

NOTE When it is likely that evaluation of soft tissues will be required as part of the patient’s radiological assessment, conventional CT or MR medical imaging should be used rather than CBCT.

4 Planmeca ProMax 3D s & 3D Classic with ProTouch

User’s Manual (3D)

CAUTION

LASER RADIATION —

DO NOT STARE

INTO BEAM

1mW

635nm

CLASS II

LASER

PRODUCT

CLASS 1 LASER PRODUCT

APPAREIL À LASER DE CLASSE 1

IEC 60825-1:2007

User’s Manual (3D)

SAFETY PRECAUTIONS

NOTE Before taking an exposure, ask any female patient of childbearing age whether she might be pregnant. The

X-ray unit is not intended for use on pregnant women.

NOTE FOR CANADIAN USERS:

All patients must be provided with a shielded apron for gonad protection and a thyroid shield. The use of a thyroid shield is especially important in children. The shielded apron and thyroid shield should have a lead equivalence of at least 0.25 mm on both sides (front and back of the patient).

NOTE If the X-ray unit has been stored at temperatures under

+10°C for more than a few hours, time must be allowed for the unit to reach room temperature before turning it on.

NOTE Ensure efficient air conditioning in the X-ray room. It is recommended to keep the room temperature between

+20°C and +25°C at all times.

NOTE If exposures are taken in rapid succession the X-ray tube may overheat and a cooling time will flash on the touch screen. The cooling time indicates the delay before the next exposure can be taken.

NOTE If the X-ray system is not connected to an

Uninterruptible Power Supply (UPS), disconnect the system from mains during lightning storms.

NOTE FOR US & CANADIAN USERS:

The patient positioning lights are class II laser products (21 CFR § 1040.10).

NOTE FOR EUROPEAN USERS:

The patient positioning lights are class 1 laser products (Standard IEC / EN 60825-1: 2007).

NOTE EMC requirements have to be considered, and the equipment must be installed and put into service according to the specific EMC information provided in the accompanying documents.

NOTE Portable and mobile RF communications equipment can affect the X-ray unit.

NOTE External equipment intended for connection to signal input, signal output or other connectors, shall comply with relevant IEC standard (e.g. IEC 60950 for IT equipment and the IEC 60601 series for medical electrical equipment). In addition, all such combinations — systems — shall comply with the standard IEC 60601-1-1, Safety requirements for medical electrical systems. Equipment not complying to IEC 60601 shall be kept outside the patient area

(more than 2m (79 in.) from the X-ray unit).

Any person who connects external equipment to signal input, signal output or other connectors has formed a system and is therefore responsible for the system to comply with the requirements of IEC 60601-

1-1. If in doubt, contact your service technician or local representative for help.

NOTE Contact your service technician if you notice a decrease in image quality.

NOTE Contact your service technician if you have taken an exposure but the image does not appear in the

Planmeca Romexis program. The last ten images can be manually imported into Romexis.

NOTE Never place or hang any objects on any part of the Xray unit.

Planmeca ProMax 3D s & 3D Classic with ProTouch 5

SWITCHING X-RAY UNIT ON

Glass windows

NOTE Make sure that neither you nor your patient can get caught or hooked up on any part of the X-ray unit.

Keep loose items of clothing, hair and jewellery tucked away safely.

NOTE If you have any reason to believe that the C-arm might hit the patient during exposure (e.g. patients with wide shoulders), take a test exposure without radiation first. To switch radiation off, select Settings > User >

1300 Operational settings > 1310 User Mode > 1311 Set

Demo Mode.

NOTE Do not touch the arm structures when the X-ray unit is moving.

NOTE Patients are not allowed to hang on the patient handles.

NOTE FOR PROFACE SENSOR:

Do not touch the glass windows. Fingerprints or other stains on the glass surface destroy image quality.

ProFace sensor

5 SWITCHING X-RAY UNIT ON

Stationary column top

The on / off switch is located on the underside of the stationary column top.

On / off switch

NOTE To prolong the lifetime of the X-ray unit, always switch the X-ray unit off when it is not in active use.

6 Planmeca ProMax 3D s & 3D Classic with ProTouch

User’s Manual (3D)

6 MAIN PARTS

6.1

General view of X-ray system

1

2

3

MAIN PARTS

Ethernet

1. X-ray unit

2. 3D reconstruction PC

3. Planmeca Romexis program

User’s Manual (3D)

Planmeca ProMax 3D s & 3D Classic with ProTouch 7

MAIN PARTS

6.2

General view of X-ray unit

Telescopic column

Stationary column

C-arm

3D sensor

Patient support table

Patient handles

Patient positioning controls

Touch screen

Chair

(included in delivery)

8 Planmeca ProMax 3D s & 3D Classic with ProTouch

User’s Manual (3D)

MAIN PARTS

6.3

Sensors

1

2

3

1. 3D sensor for Planmeca ProMax 3D s

2. 3D sensor for Planmeca ProMax 3D Classic

3. ProFace sensor for Planmeca ProMax 3D s and Planmeca ProMax 3D Classic

User’s Manual (3D)

Planmeca ProMax 3D s & 3D Classic with ProTouch 9

MAIN PARTS

6.4

Patient supports

6.4.1

Head supports (A or B)

A)

2

1

3

2

Head_suppor t_attach_2.eps

4

B)

1

2

1. Adjustable head support

2. Temple pads for children

3. Fastening straps

4. Support bars

1. Head band 25

2. Support bars

10 Planmeca ProMax 3D s & 3D Classic with ProTouch

User’s Manual (3D)

MAIN PARTS

6.4.2

Chin supports

1 2

3

6.5

Exposure switch

Exposure switch

Exposure button

1) Flashing green =

Getting ready

2) Continuous green =

Ready

3) Yellow = Radiation

1. Chin cup

2. Chin support

3. Adjustable adapter

The exposure switch can be mounted on the wall, or it can be hung from the hook provided on the stationary column top if a protected area is within reach.

Green lights flash on the exposure button and on the touch screen 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.

During exposure yellow radiation warning lights illuminate on the exposure switch and on the touch screen. They indicate that the X-ray unit is generating radiation.

User’s Manual (3D)

Planmeca ProMax 3D s & 3D Classic with ProTouch 11

MAIN PARTS

6.6

Emergency stop button

The emergency stop button is located on the top of the stationary column. Press the button to stop the X-ray unit operating in an emergency. When the emergency stop button is pressed down, all movements of the X-ray unit are blocked and the unit will not generate radiation. The up / down movement will stop within a distance of 10 mm

(0.4 in.).

A help message will appear on the touch screen. Guide the patient away from the X-ray unit. Then release the emergency stop button. The X-ray unit will automatically restart.

12 Planmeca ProMax 3D s & 3D Classic with ProTouch

User’s Manual (3D)

MAIN PARTS

6.7

Touch screen

NOTE The options shown on the touch screen depend on the unit configuration. The X-ray unit can be upgraded with new programs and features, contact your dealer for further information. The views and values shown in this manual are only examples.

NOTE The illustrations shown on the touch screen are based on approximate patient anatomy. The actual volume position depends on the individual anatomy of the patient.

NOTE 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.

Show ProMax model and up to five most recently used programs

(with most recent first)

Show both program bars

Left button

(default view)

Fast forward

Right button

NOTE If you wish to use fast forward buttons on the default view (left button), select Settings > Program > 2200

Program Features > Fast Forward ON. Using a fast forward button takes you directly to the last screen.

Home button =

Back to main view

• To return to the main view from another screen, select the home button at the top right corner of the screen.

• 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).

NOTE Do not use sharp objects to operate the touch screen.

Function selected Function not selected

User’s Manual (3D)

Planmeca ProMax 3D s & 3D Classic with ProTouch 13

MAIN PARTS

• To accept a selection and to go to the next screen, touch the forward button.

Forward

Fast forward

• To accept a selection and to skip the next screen, touch the fast forward button.

• To accept a selection, touch the green check mark button.

Accept

• To cancel a selection, touch the red cross button.

Cancel

Settings

Estimated values black

Actual values green

• To pause a function (instead of cancelling it), touch the pause button.

Pause

• To scroll a list down or up, slide your finger on the screen.

• 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. Refer to section 12 “SETTINGS” on page

50 for details.

The screen 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.

The estimated values for exposure time, DAP (Dose Area

Product) and CTDI (Computed Tomography Dose Index) 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.

NOTE You can switch demo mode on if you wish to practice or demonstrate the functions of the X-ray unit without radiation (Settings > User > 1300 Operational settings

> 1310 User Mode > 1311 Set Demo Mode).

14 Planmeca ProMax 3D s & 3D Classic with ProTouch

User’s Manual (3D)

MAIN PARTS

6.8

Patient positioning controls

NOTE Never allow patients to press the positioning controls when they are positioned in the X-ray unit.

NOTE 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.

Open / close temple supports

(2D imaging)

Positioning joystick

Move X-ray unit down

Move X-ray unit up

X-ray unit up / down

Down Up

Stop plate

Positioning joystick

The X-ray unit up and down buttons are used to adjust the

X-ray unit to suit the height of the patient.

The X-ray unit moves slowly at first, then faster.

NOTE If for some reason either of the buttons gets stuck during operation, you can stop the up / down movement by pressing 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.

NOTE 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.

NOTE 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.

NOTE The column movement stops automatically if the emergency stop plate at the bottom is pressed upwards. Clear any obstruction before moving the column again.

NOTE 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 positioning lights. It is used when the patient is positioned in the X-ray unit.

Open / close temple supports

Press the temple support button to open the temple supports in 2D imaging. The temple supports can be closed by pressing the temple support button again.

User’s Manual (3D)

Planmeca ProMax 3D s & 3D Classic with ProTouch 15

PLANMECA PROMAX 3D s PROGRAMS

7 PLANMECA PROMAX 3D S PROGRAMS

7.1

3D Dental

7.1.1

Volume sizes for children

Program

TOOTH

Ø42 mm

Ø42 x H42 mm

Ø42 x H68 mm

DOUBLE SCAN

2 x Ø42 mm

2 x Ø42 x H42 mm

2 x Ø42 x H68 mm

TRIPLE SCAN

3 x Ø42 mm

3 x Ø42 x H42 mm

3 x Ø42 x H68 mm

7.1.2

Volume sizes for adults

Program

TOOTH

DOUBLE SCAN

Ø50 mm

Ø50 x H50 mm

Ø50 x H80 mm

2 x Ø50 mm

2 x Ø50 x H50 mm

2 x Ø50 x H80 mm

TRIPLE SCAN

3 x Ø50 mm

3 x Ø50 x H50 mm

3 x Ø50 x H80 mm

16 Planmeca ProMax 3D s & 3D Classic with ProTouch

User’s Manual (3D)

PLANMECA PROMAX 3D CLASSIC PROGRAMS

8 PLANMECA PROMAX 3D CLASSIC PROGRAMS

8.1

3D Dental

8.1.1

Volume sizes for children

Program

TOOTH

Ø34 mm

Ø34 x H42 mm

Ø34 x H68 mm

TEETH

Ø68 mm

Ø68 x H42 mm

Ø68 x H68 mm

DOUBLE SCAN

2 x Ø68 mm

2 x Ø68 x H42 mm

2 x Ø68 x H68 mm

3 x Ø68 mm

TRIPLE SCAN

3 x Ø68 x H42 mm

3 x Ø68 x H68 mm

8.1.2

Volume sizes for adults

Program

TOOTH

Ø40 mm

Ø40 x H50 mm

Ø40 x H80 mm

TEETH

Ø80 mm

Ø80 x H50 mm

Ø80 x H80 mm

DOUBLE SCAN

2 x Ø80 mm

2 x Ø80 x H50 mm

2 x Ø80 x H80 mm

TRIPLE SCAN

3 x Ø80 mm

3 x Ø80 x H50 mm

3 x Ø80 x H80 mm

8.2

3D Models

8.2.1

Volume size

Program

IMPRESSION

PLASTER CAST

Ø80 mm

Ø80 x H40 mm

Ø80 x H40 mm

User’s Manual (3D)

Planmeca ProMax 3D s & 3D Classic with ProTouch 17

3D PATIENT EXPOSURE

9 3D PATIENT EXPOSURE

9.1

Preparing X-ray system

9.1.1

Attaching and removing sensor

NOTE

The available sensors are shown in section 6.3

“Sensors” on page 9.

Glass windows

NOTE FOR PROFACE SENSOR:

Do not touch the glass windows when you hold the sensor. Fingerprints or other stains on the glass surface destroy image quality.

ProFace sensor

CAUTION Do not drop the sensor. Planmeca limited warranty does not cover damage which is due to misuse, e.g. dropping the sensor, neglect, or any cause other than ordinary use.

If you have any reason to believe that the sensor might be faulty, take a test exposure before taking a patient exposure.

Attaching sensor to C-arm

1. Push the sensor onto the connector on the C-arm.

Sensor

Locking knob

2. Turn the locking knob over the fastening mechanism.

This will secure the sensor in position.

18 Planmeca ProMax 3D s & 3D Classic with ProTouch

User’s Manual (3D)

3D PATIENT EXPOSURE

3. Push in the C-arm electrical connector button on the other side. This will make the electrical connection between the sensor and C-arm.

t_s5.eps

C-arm electrical connector button

Detaching sensor from C-arm

NOTE Do not remove the sensor during imaging process.

1. Push in the C-arm electrical connector. This will disconnect the electrical connection between the sensor and C-arm

.

C-arm electrical connector

Sensor

Locking knob

2. Turn the locking knob 180 degrees. This will release the locking mechanism.

3. Carefully pull the sensor out.

User’s Manual (3D)

Planmeca ProMax 3D s & 3D Classic with ProTouch 19

3D PATIENT EXPOSURE

9.1.2

Attaching head support

NOTE

The available head supports are shown in section 6.4.1

“Head supports (A or B)” on page 10.

Attaching support bars

Support bars

Locking knobs

Insert the support bars into the holes in the patient support table and secure them in position by tightening the locking knobs.

Patient support table

NOTE Ensure that you insert the support bars the right way round.

Head support A: Attaching adjustable head support

Adjustable head support

If you are using the adjustable head support, slide it onto the support bars.

Head_suppor t_attach.eps

Support bars

20 Planmeca ProMax 3D s & 3D Classic with ProTouch

User’s Manual (3D)

Adjusting knob t_tight ening_k

.eps

nob

Head_suppor

3D PATIENT EXPOSURE

Then turn the adjusting knob to adjust the head support to suit the size of the patient’s head.

Adjustable head support

• You can use temple pads if you take exposures of children or patients with a small head. Slide the temple pads onto the adjustable head support as shown.

Ensure that you slide the temple pads as far up as they will go.

NOTE Use temple pads on both sides (not on one side only).

Head_suppor t_attach_2.eps

Temple pads for children

• You can use fastening straps for additional head support if needed. Attach one strap in front of the forehead and two at the back of the head as shown.

NOTE Be careful when you handle the straps. Do not let the straps hit the patient in the eye or face.

NOTE Do not overstretch the straps. The straps lose their elasticity if you pull them more than 50 mm (1.9 in.).

Straps with a free length (i.e. when they are not stretched) of over 255 mm (10 in.) do not support the patient’s head firmly.

User’s Manual (3D)

Planmeca ProMax 3D s & 3D Classic with ProTouch 21

3D PATIENT EXPOSURE

Head support B: Attaching head band

Large openings

If you are using the head band, attach it to the support bars as shown. The side with the large openings should be against the patient’s forehead.

Head band

Support bars

9.1.3

Adjusting adapter height

A ttach_headband_25_2.eps

Use a chin cup or chin support for patient positioning. First insert the chin cup / chin support into the adjustable adapter.

Chin cup

Chin support

Then insert the adjustable adapter into the holes in the middle of the patient support table.

Adjustable adapter

The adjustable adapter has five height positions. The patient’s head has to be positioned at the correct height by lowering or raising the adapter as follows. The lower the patient is positioned, the higher the image position will be.

22 Planmeca ProMax 3D s & 3D Classic with ProTouch

User’s Manual (3D)

1)

B. Move adapter bars

3D PATIENT EXPOSURE

To adjust the adapter height, first pull the locking knob out and raise or lower the adapter bars. Then release the locking knob to lock the adapter into one of the five positions.

2)

5 steps

A. Locking knob out

C. Locking knob in

1 step lower patient position

-> 5 mm higher image position

• Use the highest position and a chin cup when taking exposures of the teeth area.

Tooth program

OR

Teeth program

TEETH AREA:

Chin cup up

User’s Manual (3D)

Planmeca ProMax 3D s & 3D Classic with ProTouch 23

3D PATIENT EXPOSURE

Tooth program

• Use the lowest position and a chin support under the nose when taking ear or temporomandibular joint

(TMJ) exposures.

OR

Teeth program

EAR or TMJ:

Chin support down

Jossu 5

9.1.4

Preparing Planmeca Romexis

First select the patient.

Then click the 3D capture button.

Refer to the Planmeca Romexis User’s Manual for details on Romexis functions.

24 Planmeca ProMax 3D s & 3D Classic with ProTouch

User’s Manual (3D)

3D PATIENT EXPOSURE

9.2

Selecting exposure settings

Refer to section 6.7 “Touch screen” on page 13 for

general information on how to make or cancel selections on the touch screen.

9.2.1

Selecting program

Select the 3D program you wish to use. Refer to

•

section 7 “PLANMECA PROMAX 3D s PROGRAMS” on page 16 or

•

section 8 “PLANMECA PROMAX 3D CLASSIC

PROGRAMS” on page 17

for details.

9.2.2

Selecting patient size

Select the patient size according to the build of the patient.

Select patient size:

XS = Child

S = Small adult

M = Medium-sized adult

L = Large adult

Fast forward

(skip next screen)

Forward

NOTE Selecting child patient (XS) will automatically reduce the volume size and patient dose.

NOTE The exposure values will automatically change according to the selected patient size and image resolution.

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3D PATIENT EXPOSURE

9.2.3

Selecting image resolution

Select the image resolution you wish to use.

Select image resolution:

Low dose

Normal resolution

High definition

High resolution

Endodontic

Fast forward

(skip next screen)

Forward

NOTE The available options depend on the selected program and X-ray unit model.

NOTE The exposure values will automatically change according to the selected patient size and image resolution.

• Low dose: Lower exposure values and reduced patient radiation dose (typical voxel size 0.40 mm)

• Normal resolution: Suitable for most targets (typical voxel size 0.20 mm)

• High definition: Better image quality for small targets, e.g. ear bones (typical voxel size 0.15 mm)

• High resolution: Sharp images (typical voxel size 0.10

mm)

• Endodontic: Very sharp images for endodontic applications and other small targets, e.g. ear bones

(typical voxel size 0.075 mm)

9.2.4

Adjusting exposure values for current exposure

NOTE Always try to minimize the radiation dose to the patient.

The exposure values have been preset at the factory for each patient size and image resolution. The preset exposure values are average values and they are only meant to guide the user.

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3D PATIENT EXPOSURE

The preset exposure values are shown in the following tables.

Factory presets for image resolution Low dose

PATIENT SIZE

Child (XS)

Small adult (S)

Medium-sized adult (M)

Large adult (L)

kV VALUE

90

90

90

90

mA VALUE

4

5

6.3

8

Factory presets for other image resolutions

PATIENT SIZE

Child (XS)

Small adult (S)

Medium-sized adult (M)

Large adult (L)

kV VALUE

90

90

90

90

mA VALUE

6.3

8

10

12.5

Reduce value

You can adjust the preset exposure values (kV and mA).

To improve the image contrast, reduce the kV value. To reduce the radiation dose, reduce the mA value.

• To adjust the exposure values:

Increase value

Fast forward

(skip next screen)

Adjust exposure values for this exposure

Forward

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3D PATIENT EXPOSURE

9.2.5

Selecting screen view

Use the button on the right of the screen to select the view that you wish to use on this screen.

Select view

Jaw

Skull Face

9.2.6

Selecting volume position

NOTE You can select one or more options. If all three buttons are gray (no option selected), the screen shows the preset volume positions for the selected program.

Touch the area that you wish to expose. Alternatively, you can select the volume position from the drop-down menu at the top.

Select from list

OR

Select from screen

NOTE The available options depend on the selected program.

NOTE In 3D Double Scan and 3D Triple Scan programs the selected area is the primary image volume. The other image volume(s) adjoin(s) the primary image volume.

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3D PATIENT EXPOSURE

9.2.7

Selecting volume height and jaw half

Use the first button on the left of the screen to select the volume height.

Use the second button on the left of the screen to select the jaw half that you wish to expose.

Select volume height

Select jaw half

(lower / upper / both halves)

9.2.8

Selecting jaw side

NOTE The available options depend on the selected program.

Use the third button on the left of the screen to select the jaw side that you wish to expose.

Select jaw side

(right / left / both sides)

User’s Manual (3D)

NOTE The available options depend on the selected program and image resolution.

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3D PATIENT EXPOSURE

9.2.9

Reducing diameter of adjoining volume(s) (3D Double / Triple Scan only)

In 3D Double Scan and 3D Triple Scan programs all image volumes have got the same diameter by default.

Use the third button on the left of the screen if you wish to reduce the diameter of the adjoining image volume(s).

Reduced diameter selected

Smaller adjoining image volume

NOTE All image volumes are the same height.

9.2.10 Selecting 3D face photo (X-ray units with ProFace sensor)

If the X-ray unit has a ProFace sensor, you can take a 3D photo of the patient’s face at the same time as you take an X-ray image. Select the last button on the left of the screen to take both images at the same time.

ProFace sensor

Select 3D face photo

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3D PATIENT EXPOSURE

9.3

Preparing patient

Ask the patient to remove any spectacles, hearing aids, dentures, hairpins, and personal jewellery such as earrings, necklaces and piercings as these can produce shadows or reflections in the image. The patient should also remove any loose items of clothing (e.g. scarf, tie) that might get caught in the arm structures of the X-ray unit.

NOTE High contrast objects, such as gold teeth or amalgam, may cause artefacts in the image.

Place a protective lead apron over the patient’s back if required.

9.4

Patient positioning

9.4.1

Selecting patient entry position

Use the buttons at the bottom of the screen to select the patient entry position.

• Selecting the left button will position the C-arm around the patient support. This is the traditional closed patient entry position.

• 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.

User’s Manual (3D)

Select patient entry position

Closed Open

NOTE If needed, the full view position (right button) can be disabled (Settings > User > 1300 Operational settings

> 1330 Patient positioning). This might be necessary if there is no space for the C-arm to move back.

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3D PATIENT EXPOSURE

9.4.2

Positioning patient’s head

1. Guide the patient to the X-ray unit. The patient can sit or stand during the exposure.

2. 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 cup / chin support is approximately level with the patient’s lower jaw.

Down

Up

The positioning lights come on:

Volume bottom light

Volume center lights

(front and side lights) ps

.eps

3. Ask the patient to grasp the patient handles.

4. Check that the patient’s head is firmly positioned in the head support.

• You can adjust the head support by turning the adjusting knob at the top.

• You can use fastening straps for additional head

support if needed. Refer to section 9.1.2 “Attaching head support” on page 20 for details.

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3D PATIENT EXPOSURE

9.5

Adjusting volume position

The volume positions 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 covers the area of interest for this patient. If this is not the case, you have to adjust the volume position according to the patient’s anatomy. The positioning lights and the illustrations on the touch screen help you to do this.

NOTE The illustrations are for guidelines only.

Use the forward field at the bottom right corner to enter the view where you can adjust the volume position in three directions.

Top view

Front view

Forward field

Patient support table

Thumb wheel

OR

Positioning controls

To switch the positioning lights on (if they are not already on) do one of the following:

• Press the thumb wheel on the underside of the patient support table.

• Press any of the positioning controls (button or joystick).

The lights will automatically switch off after two minutes.

To switch them off earlier, press the positioning joystick.

Positioning joystick

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3D PATIENT EXPOSURE

9.5.1

Moving image volume vertically (Z laser)

The volume bottom light (Z laser) indicates the position where the lower edge of the image volume is.

Check that the image volume is positioned at the correct height for the exposure you wish to take. If needed,

reposition the patient as described in section 9.1.3

“Adjusting adapter height” on page 22.

Adjustable adapter

Up

Down

Image volume

Volume bottom light

NOTE If the upper jaw half is selected, the lower edge of the image volume is positioned 30 mm above the volume bottom light.

Upper jaw half selected

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3D PATIENT EXPOSURE

9.5.2

Moving image volume horizontally (X and Y lasers)

The volume center lights cross in the middle of the image volume. With the patient positioned in the unit, the volume center lights form red lines on the front (front light) and on the left side (side light) of the patient’s head.

Side light

(Y laser)

Volume center lights:

Front light

(X laser)

Image volume

Check that the image volume is positioned correctly for this patient. If you need to adjust the volume position, proceed as follows.

Front light (X laser)

If you need to move the image volume to your left or right:

• Move the positioning joystick to your left or right. The front light (i.e. the image volume center as seen from the front) will move accordingly.

Left Right

Left

Right

Image volume

Positioning joystick

(front light = X laser)

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3D PATIENT EXPOSURE

Side light (Y laser)

First rotate the C-arm 90 degrees clockwise by touching the 90° button at the bottom of the screen. This will give you a better view for checking the volume position.

Touch the button again if you wish to rotate the C-arm back to the original position.

Rotate C-arm

90 degrees

If you need to move the image volume to the front or back do one of the following:

• Move the thumb wheel that is located on the underside of the patient support table.

• Move the positioning joystick towards you or away from you.

The side light (i.e. the image volume center as seen from the side) will move accordingly.

Patient support table

Back

Thumb wheel

(side light = Y laser)

OR

Positioning joystick

(side light = Y laser)

Front

Front

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Back

Image volume

User’s Manual (3D)

Image volume at the front

3D PATIENT EXPOSURE

NOTE The incisor light indicates the front edge of the image volume when a front position is selected.

NOTE Moving the positioning joystick switches the incisor light off.

Incisor light

(from patient support table)

NOTE When you adjust the volume position the positioning lights move on the patient’s face. The positioning lights on the illustrations show the preset volume position and they do not move according to your adjustments.

9.6

Taking a scout image or 2D views (LAT, PA or LAT-PA)

NOTE To switch the functions on, select Settings > Program

> 2200 Program Features > 3D Scout ON and 2D Views for 3D ON.

You can take a scout image or 2D views (LAT, PA or LAT-

PA) of the selected image volume before you take the actual 3D image. This allows you to check the volume position or, if necessary, confirm the need for a 3D exposure.

NOTE If the image consists of several volumes, scout imaging is available for the first image volume (1/2 or

1/3) only.

NOTE 2D views are not available for all programs.

NOTE Make sure that you have selected the correct patient and exposure mode in the Planmeca Romexis program.

1. Select the view you wish to take. To take LAT-PA views, select both buttons (LAT and PA). The selected option is shown on the top of the forward button.

Select scout or 2D view

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3D PATIENT EXPOSURE

Green lights

Forward button

2. 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.

3. Ask the patient to stay as still as possible.

4. Move to a protected area.

Flashing green =

Getting ready

Continuous green =

Ready

Yellow lights

5. Press and hold down the exposure button for the entire duration of the exposure.

During exposure yellow radiation 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.

Lat-PA

6. The image is shown on the computer screen.

• You can now readjust the volume position as

described in section 9.5 “Adjusting volume position” on page 33. Use the plus and minus signs that

have appeared on the touch screen to adjust the position. Then take a new exposure as described above. Repeat the procedure until the image volume is in the correct place.

NOTE Scout images are not saved in the Planmeca Romexis program.

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3D PATIENT EXPOSURE

9.7

Taking a 3D exposure

NOTE Make sure that you have selected the correct patient and exposure mode in the Planmeca Romexis program.

Green lights

Forward button

1. Select the forward button on the touch screen.

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.

Flashing green =

Getting ready

Continuous green =

Ready

2. Ask the patient to stay as still as possible.

• If you take a 3D face photo at the same time, tell the patient that the lights on the sides of the sensor will flash during exposure but he should not be startled and move. Ask the patient to either keep his eyes shut or to focus them on a fixed point so that the eyes are not half open in the image.

3. Move to a protected area.

Yellow lights

4. Press and hold down the exposure button for the entire duration of the exposure.

During exposure yellow radiation 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.

The C-arm moves around the patient’s head.

• If you take several image volumes the patient’s left side is imaged first and the right side last.

• If you take an image volume(s) and a 3D face photo the photo is taken last. You hear a fast ticking sound when the photo is taken.

NOTE Do not release the exposure button before the end of the last exposure.

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.

• If you took several image volumes you must accept the image stitching function in the Planmeca

Romexis program.

Refer to the Romexis User’s

Manual.

6. Guide the patient away from the X-ray unit.

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3D FACE PHOTO

10 3D FACE PHOTO

If the X-ray unit has a ProFace sensor, you can take a 3D photo of the patient’s face.

NOTE If you wish to take an X-ray image and a 3D face photo

at the same time, refer to section 9.2.10 “Selecting 3D face photo (X-ray units with ProFace sensor)” on page

30.

ProFace sensor

10.1

Before exposure

Proceed as described in section 9.1 “Preparing X-ray system” on page 18.

NOTE You do not need to use the chin cup and adapter when taking 3D face photos.

10.2

Selecting exposure settings

First select the ProFace program (3D Dental > ProFace).

Forward

Then accept the next screen.

10.3

Patient positioning

1. Select the patient entry position as described in

section 9.4.1 “Selecting patient entry position” on page

31.

2. Guide the patient to the X-ray unit. The patient can sit or stand during the exposure.

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3D FACE PHOTO

3. 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 cup is approximately level with the patient’s lower jaw.

4. Ask the patient to grasp the patient handles.

Down

Up

Rotate C-arm

90 degrees

5. Use the forward field at the bottom right corner to enter the view where you can adjust the lights.

Forward field

6. Rotate the C-arm 90 degrees clockwise by touching the 90° button at the bottom of the screen. This will give you a better view for checking the position of the side light (Y laser).

Touch the button again if you wish to rotate the C-arm back to the original position.

7. Check that the side light (Y laser) is positioned 1 —

3 cm (0.4 — 1.2 in.) behind the eye corner.

If you need to move the side light do one of the following:

• Move the thumb wheel that is located on the underside of the patient support table.

• Move the positioning joystick towards you or away from you.

Patient support table

User’s Manual (3D)

Thumb wheel

(side light = Y laser)

OR

Positioning joystick

(side light = Y laser)

NOTE When you adjust the light position the positioning light moves on the patient’s face. The positioning light on the illustration does not move according to your adjustment.

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3D FACE PHOTO

10.4

Taking a 3D face photo

NOTE Make sure that you have selected the correct patient and exposure mode in the Planmeca Romexis program.

Forward button

Green lights

1. Select the forward button on the touch screen.

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.

Flashing green =

Getting ready

Continuous green =

Ready

2. Ask the patient to stay as still as possible. Tell the patient that the lights on the sides of the sensor will flash during exposure but he should not be startled and move. Ask the patient to either keep his eyes shut or to focus them on a fixed point so that the eyes are not half open in the image.

3. Press and hold down the exposure button for the entire duration of the exposure. You hear a fast ticking sound when the photo is taken.

4. The photo is shown on the computer screen.

5. Guide the patient away from the X-ray unit.

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3D MODEL EXPOSURE

11 3D MODEL EXPOSURE

CAUTION The 3D Model programs must not be used for patient imaging. The programs are intended for taking exposures of impressions and plaster casts only.

NOTE The 3D Model programs are not available for Planmeca

ProMax 3D s units.

11.1

Calibrating X-ray unit for impression or plaster material

NOTE The X-ray unit has to be calibrated for each new material that is used. The X-ray unit needs to be calibrated only once for each material.

NOTE FOR IMPRESSIONS

Only monophase impression materials can be used.

NOTE FOR PLASTER CASTS

If the plaster cast consists of two materials, the X-ray unit has to be calibrated for the teeth material.

11.1.1 Preparing calibration material

1. Insert material into the calibration cup provided (part number 10031325) until the calibration cup is full.

Impression material

Calibration cup

(part number 10031325)

Calibration pin

(part number

10031265)

2. Place the calibration pin provided (part number

10031265) in the material. Note that the calibration pin has to be pushed in thicker end first. The middle rim has to be flush with the top edge of the calibration cup.

User’s Manual (3D)

3. Let the material set. The setting time depends on the material used. Wait slightly longer than recommended in the instructions supplied by the manufacturer to ensure proper hardening.

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3D MODEL EXPOSURE

4. Remove all excess material from the top of the calibration cup.

Adjustable adapter

Polystyrene disc

(Part number 10030330)

5. Gently pull the calibration pin out and ensure that the surfaces of the hole formed by the calibration pin are even (no air bubbles in inside walls).

in highest position

6. Remove any patient supports attached to the X-ray unit patient support table. Insert the polystyrene disc provided (part number 10030330) into the adjustable adapter.

7. Position the adjustable adapter so that it is in the highest position.

Refer to section 9.1.3 “Adjusting adapter height” on page 22 for details.

Patient support table

11.1.2 Selecting settings

Forward field

1. On the X-ray unit, select the program.

• For impression material select

3D Models > Impression.

• For plaster material select

3D Models > Plaster Cast.

The required exposure values depend on the material and X-ray unit (X-ray tube and sensor) used. If you need to adjust the preset exposure values (80 kV /

12.5 mA), proceed as described in section 9.2.4

“Adjusting exposure values for current exposure” on page 26.

2. Select the forward field on the touch screen. The positioning lights (volume center lights, volume bottom light and incisor light) come on. The volume center lights cross in the middle of the image volume.

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3D MODEL EXPOSURE

3. Place the calibration cup on the polystyrene disc so that the volume center lights cross in the middle of the cup.

Volume center lights

Calibration cup on polystyrene disc

4. In the Planmeca Romexis program, click

3D

>

Model

Capture

. Refer to the Planmeca Romexis User’s

Manual for details on Romexis functions.

5. Click the option

Add Material

in the window that appears.

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3D MODEL EXPOSURE

11.1.3 Taking a calibration exposure

Forward button

Green lights

1. Select the forward button on the touch screen.

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.

Flashing green =

Getting ready

Continuous green =

Ready

Yellow lights

2. Press and hold down the exposure button for the entire duration of the exposure.

During exposure yellow radiation 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 that the exposure lasts longer than a 3D patient exposure.

3. In the Planmeca Romexis program, enter a name for this material and click

OK

.

NOTE The calibration exposure values are automatically included at the beginning of the name. The exposure values shown here are only examples.

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11.2

Taking an exposure of an impression or plaster cast

NOTE The X-ray unit has to be calibrated for each new material that is used. Refer to the previous section for details.

NOTE FOR IMPRESSIONS

Do not use impression trays made of metal.

11.2.1 Selecting settings

Adjustable adapter in highest position

Polystyrene disc

(Part number 10030330)

1. Remove any patient supports attached to the X-ray unit patient support table. Insert the polystyrene disc provided (part number 10030330) into the adjustable adapter if it is not in place.

2. Position the adjustable adapter:

• For impressions so that the adapter is in the highest position.

• For plaster casts so that the adapter is in the second highest position.

Refer to section 9.1.3 “Adjusting adapter height” on page 22 for details.

Patient support table

Forward field

3. On the X-ray unit, select the program.

• For impressions select

3D Models > Impression.

• For plaster casts select

3D Models > Plaster Cast.

4. Select the exposure values that you used in the calibration process for this material. Refer to section

9.2.4 “Adjusting exposure values for current exposure” on page 26.

5. Select the forward field on the touch screen. The positioning lights (volume center lights, volume bottom light and incisor light) come on. The volume center lights cross in the middle of the image volume.

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3D MODEL EXPOSURE

6. Place the model (impression or plaster cast) on the polystyrene disc and ensure that:

• The model faces the sensor and

• The model is positioned so that the distance between the cross formed by the volume center lights and the front edge of the model is 40 mm.

40 mm

Impression on polystyrene disc

Volume center lights

Sensor

7. In the Planmeca Romexis program, click

3D

>

Model

Capture

. Refer to the Planmeca Romexis User’s

Manual for details on Romexis functions.

8. In the window that appears, first select the material you are exposing. Then click the option

Start Capture

.

NOTE Ensure that you have selected the correct exposure values on the X-ray unit. The exposure values shown here are only examples.

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11.2.2 Taking an exposure

Forward button

Green lights

1. Select the forward button on the touch screen.

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.

Flashing green =

Getting ready

Continuous green =

Ready

Yellow lights

2. Press and hold down the exposure button for the entire duration of the exposure.

During exposure yellow radiation 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 that the exposure lasts longer than a 3D patient exposure.

3. The image is shown on the computer screen.

NOTE The Romexis function

Model Capture

creates surface models (instead of voxel data images).

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SETTINGS

12 SETTINGS

Settings

NOTE Some of the settings can be used to alter the operation of the X-ray unit. Never use functions that you are not familiar with.

NOTE The contents of the displays depend on the unit configuration. The displays shown here are from an Xray unit featuring all currently available programs and functions.

Select the settings icon at the top left corner of the main view to enter the settings menu.

Functions that can be entered by the user:

• User

• Program

• About

Functions that can be entered by service personnel only

(password required):

• Technical

12.1

User settings

12.1.1 Language (1100)

To return to the main view, select the settings icon at the top left corner.

To change the language, select User > 1100 Language.

Then select the language you wish to use.

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12.1.2 Time and Date (1200)

SETTINGS

• Set time display format

Select User > 1200 Time and date > 1210 Set System

Time and Time / Date Display Format > Time Display

Format. Then select the display format you wish to use.

• Set date display format

Select User > 1200 Time and Date > 1210 Set System

Time and Time / Date Display Format > Date Display

Format. Then select the display format you wish to use.

• Set time

NOTE The time is set to the local time at the factory. Change the time setting to show the correct time before you start using the X-ray unit.

Select User > 1200 Time and Date > 1210 Set System

Time and Time / Date Display Format > Change System

Time. Then use the plus and minus buttons to change the time.

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SETTINGS

• Set date

Select User > 1200 Time and Date > 1220 Change

System Date. Then select the day or use the arrow buttons to change the month or year.

Previous year

Previous month

Next year

Next month

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CLEANING

13 CLEANING

3D head supports

(incl. support bars and fastening straps)

Chin cup / rest / support

Bite pieces

Temple supports

Cephalostat head supports

Patient handles

Other surfaces

(incl. touch screen)

NOTE Disconnect the X-ray unit from mains before cleaning.

NOTE Do not use cleaning solutions in aerosol or spray form directly on unit surfaces.

X-ray unit

Autoclave up to 135°C

Wipe with soft cloth using alcohol based cleaning solution

X

Wipe with soft cloth using mild cleaning solution

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

ProFace sensor; laser windows in the middle

ProFace sensor; other surfaces (incl. glass windows on both sides)

Other sensors

Sensors

Wipe with soft cloth

(NO CLEANING

SOLUTION)

Compressed air

X

X

X

14 SERVICE

To guarantee patient and user safety and to ensure consistent image quality the X-ray unit must be checked and recalibrated by a qualified Planmeca service technician once a year or after every 10 000 exposures if this is sooner.

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DISPOSAL

15 DISPOSAL

In order to reduce the environmental load over the product’s entire lifecycle, Planmeca’s products are designed to be as safe as possible to manufacture, use and dispose of.

Parts which can be recycled should always be taken to the appropriate processing centers, after hazardous waste has been removed. Disposal of obsolete units is the responsibility of the waste possessor.

All parts and components containing hazardous materials, as well as batteries, must be disposed of in accordance with waste legislation and instructions issued by the environmental authorities. Batteries must be disposed of in compliance with the requirements of Directive 2006 / 66

/ EEC.

The risks involved and the necessary precautions must be taken into account when handling waste products.

Part

Main materials for disposal

Recyclable material

(X) = if available

Frame, covers & patient supports

— metal

Aluminium, galvanized steel, lead

X

X

— plastic

PUR, other plastics

Motors

Component boards

Cables, transformers

Copper, steel, transformer oil

X

(X)

(X)

X

X

X-ray tube

Packing

Sensor

Other parts

Wood, cardboard, paper, polystyrene

X

X

X

X

Return sensor to Planmeca.

X

X

Waste disposal site

X

X

X

Hazardous waste

(separate collection)

54 Planmeca ProMax 3D s & 3D Classic with ProTouch

User’s Manual (3D)

HELP MESSAGES

16 HELP MESSAGES

The X-ray unit incorporates a self-checking feature that monitors the operation of the unit. If the system detects an operating error a help message (e.g. H101) appears on the touch screen.

The X-ray unit will not accept any commands from the user until the help message is cleared from the touch screen. Clear the message by touching the green check mark.

The following list shows, in numerical order, all the help messages that can appear.

Code

H101

H102

H105

Exposure switch

Emergency stop button

H115 DEC

H116

H142 Height movement

H144

H151

H152

Line voltage

Explanation Comments

The exposure button was released before end of exposure.

The exposure button is stuck or the cable is short circuited.

The emergency stop button has been activated.

The line voltage is too low.

Guide the patient away from the

X-ray unit before moving the

C-arm.

Press and hold down the exposure button for the entire duration of the exposure.

Release the exposure button.

If necessary, contact your service technician to replace the exposure switch.

All movements of the X-ray unit are blocked, no radiation is generated.

Guide the patient away from the

X-ray unit. Then release the emergency stop button to resume normal operation.

Change the exposure values.

DEC is receiving too much radiation.

DEC is receiving too little radiation.

Change the exposure values.

Height movement is not possible because the stop plate at the bottom of the column was activated.

Clear any obstruction before moving the column again.

Height movement is not possible because one (or more) of the positioning control buttons or the positioning joystick is stuck.

The line voltage was too low during exposure.

Release the button / joystick.

Exposure was interrupted.

Contact your service technician for help.

Exposure is not possible.

Contact your service technician for help.

User’s Manual (3D)

Planmeca ProMax 3D s & 3D Classic with ProTouch 55

HELP MESSAGES

H183

H184

H185

H186

H187

Code

H161 Temperature

H162

H163

H165

H166

H171 User related messages

H172

H175

H176

H177

H178

H180

H181

H182

H189

H192

H195

Explanation Comments

The temperature of the tube head is too high.

Wait for a few minutes for the tube head to cool down.

The temperature of the lift motor is too high.

Wait for a few minutes for the lift motor to cool down.

The temperature of the power supply unit (PSU) is too high.

Wait for a few minutes for the power supply unit (PSU) to cool down.

The temperature of the tube head is too high for the selected exposure values.

Wait for a few minutes for the tube head to cool down.

The maximum tube head energy level was exceeded.

Wait for a few minutes for the tube head to cool down or use lower exposure values.

The sensor is not attached properly to the C-arm.

Attach and / or lock the sensor in position.

The sensor is not attached properly to the cephalostat.

Attach and / or lock the sensor in position.

PC program selection is in conflict with the selected X-ray unit program.

Select another exposure mode in Planmeca Romexis.

Safety area limit violation in tomography mode.

Change the values for layer thickness, position or angle.

Exposure is not possible with these settings.

Change the image volume settings.

Exposure is not possible with these settings.

DEC is not available.

Change the settings.

The imaging process was cancelled in

Planmeca Romexis.

Timeout in image data transmission.

Exposure was interrupted.

Contact your service technician for help.

The attached sensor is not suitable for the selected program.

Change the sensor.

Remove the 3D sensor.

The 3D sensor is not attached properly. Attach and / or lock the sensor in position.

No IP address defined for 3D sensor.

Problem during image data transmission.

The screen was touched during exposure.

Exposure was interrupted.

Contact your service technician for help.

Exposure was interrupted.

It is not possible to enable radiation or

PC communication when demo licenses are switched on.

First switch off demo licenses, then enable radiation or PC communication.

The 3D Model programs must not be used for patient imaging.

Use the 3D Model programs for taking exposures of impressions or plaster casts only.

56 Planmeca ProMax 3D s & 3D Classic with ProTouch

User’s Manual (3D)

ERROR MESSAGES

Comments Code

H196

Explanation

Remove all 3D / panoramic patient supports before taking cephalometric images.

17 ERROR MESSAGES

NOTE Contact your service technician for help if you receive an error message.

The X-ray unit incorporates a self-checking feature that monitors the operation of the unit. If the system detects a technical fault an error message (e.g. E201) appears on the touch screen.

An error message indicates that the X-ray unit has a problem that needs to be solved before further exposures can be taken. The X-ray unit will not accept any commands from the user until the error message is cleared from the touch screen. Guide the patient away from the X-ray unit. Then clear the message by touching the green check mark.

User’s Manual (3D)

Planmeca ProMax 3D s & 3D Classic with ProTouch 57

TECHNICAL SPECIFICATIONS

18 TECHNICAL SPECIFICATIONS

NOTE: SEE TECHNICAL MANUAL FOR USER’S STATEMENT

18.1

Technical data for Planmeca ProMax product family

Classification:

• Medical Device Directive

• IEC 60601-1

• CISPR 11

93/42/EEC (Class IIb)

Class I, type B

Class B

Generator

X-ray tube

Focal spot size

Resonant-mode, DSP-controlled, 80…160 kHz, according to IEC 60601-2-7: 1998

2D / 3D s / 3D Classic / 3D Plus / 3D Mid:

Toshiba D-054SB

3D Max: Toshiba D-067SB

According to IEC 60336

2D / 3D s / 3D Classic / 3D Plus / 3D Mid:

0.5 x 0.5 mm

3D Max: 0.6 x 0.6 mm

Total filtration:

• 3D

• Pan / ceph min. 2.5 mm Al + 0.5 mm Cu min. 2.5 mm Al

Anode voltage

(X-ray units with SW prior to 3.0):

• 3D 3D s / 3D Classic / 3D Mid: 54 — 90 kV ±5%

3D Max: 54 — 96 kV ±5%

• Pan / SmartPan

• Ceph

54 — 84 kV ±5%

60 — 84 kV ±5%

Anode voltage

(X-ray units with SW 3.0 or later):

• 3D 3D s / 3D Classic / 3D Plus / 3D Mid:

60 — 90 kV ±5%

3D Max: 60 — 96 kV ±5%

• Pan / SmartPan

• Ceph

60 — 84 kV ±5%

60 — 84 kV ±5%

Anode current

(X-ray units with SW prior to 3.0):

• 3D 3D s / 3D Classic / 3D Mid: 1 — 14 mA ±10%

3D Max: 1 — 12.5 mA ±10%

• Pan / SmartPan 1 — 16 mA ±10%

58 Planmeca ProMax 3D s & 3D Classic with ProTouch

User’s Manual (3D)

TECHNICAL SPECIFICATIONS

• Ceph 1 — 16 mA ±10%

Anode current

(X-ray units with SW 3.0 or later):

• 3D 3D s / 3D Classic / 3D Plus / 3D Mid:

1 — 14 mA ±10%

3D Max: 1 — 12.5 mA ±10%

• Pan / SmartPan

• Scanning ceph

1 — 16 mA ±10%

1 — 16 mA ±10%

• Planmeca ProCeph

mAs range mGy range

Linearity of radiation output

Cooling period

16 mA ±10% min. / max. as indicated ±(10% + 0.2 mAs) min. / max. as indicated ±40%

< 0.1

Automatically controlled

Exposure time:

• 3D

•

•

•

•

•

Pan

SmartPan

Scanning ceph / Normal

Scanning ceph / High Speed

Planmeca ProCeph

SID:

3D s:

Pulsed, effective 4.8 — 36 s as indicated ±10%

3D Classic / 3D Plus / 3D Mid:

Pulsed, effective 2.4 — 36 s as indicated ±10%

3D Max:

Pulsed, effective 3.6 — 24 s as indicated ±10%

2D / 3D s / 3D Classic:

2.7 — 16 s as indicated ±10%

3D Plus / 3D Mid: 3.1 — 19 s as indicated ±10%

3D s / 3D Classic:

3.3 — 19 s as indicated ±10%

3D Plus / 3D Mid: 3.7 — 23 s as indicated ±10%

3D Max: 10 s as indicated ±10%

12 — 18.7 s as indicated ±10%

6.4 — 9.9 s as indicated ±10%

0.1 — 0.8 s as indicated ±10%

• 3D

• Pan

3D s / 3D Classic: 527 mm (20.7 in.)

3D Plus / 3D Mid / 3D Max: 600 mm (23.6 in.)

2D / 3D s / 3D Classic: 500 mm (19.7 in.)

3D Plus / 3D Mid: 573 mm (22.6 in.)

3D Max: 600 mm (23.6 in.)

1700 mm (66.9 in.) • Ceph

Magnification:

• 3D 3D s / 3D Classic: 1.57

3D Plus / 3D Mid: 1.38, 1.44 or 1.80

3D Max: 1.38, 1.41 or 1.80

User’s Manual (3D)

Planmeca ProMax 3D s & 3D Classic with ProTouch 59

TECHNICAL SPECIFICATIONS

•

•

Pan

SmartPan

2D / 3D s / 3D Classic: 1.2 — 1.5

3D Plus / 3D Mid: 1.35 — 1.8

3D s / 3D Classic: 1.27 — 1.5

3D Plus / 3D Mid: 1.35 — 1.8

3D Max: 1.4

1.13

• Ceph

Duty cycle for height adjustment

25 s ON / 300 s OFF

Line voltage

Line current

100 — 220 V~ / 50 — 60 Hz

230 — 240 V~ / 50 Hz

8 — 17 A

Line harmonics

Max. permissible apparent impedance of supply mains

Maximum continuous heat dissipation

Fuses:

• 2 user replaceable fuses

Cos better than 0.9

0.5



(100VAC)

< 250W

100

—

220 V~ / 16A FF H 500V

230 — 240 V~ / 8A FF H 500V

195100 ELU

• Type

Weight:

• 2D / 3D s / 3D Classic 119 kg (263 lbs)

• 3D Plus / 3D Mid

• 3D Max

• Scanning ceph

• Planmeca ProCeph

Colour

136 kg (300 lbs)

134 kg (296 lbs)

26 kg (57 lbs)

20 kg (44 lbs)

RAL 9016

Environmental requirements

Transport:

• Temperature

• Relative humidity

• Air pressure

Storage:

• Temperature

-20°C — +60°C

10 — 90% RH (non-condensing)

700

—

1060 hPa

-10°C — +50°C

60 Planmeca ProMax 3D s & 3D Classic with ProTouch

User’s Manual (3D)

TECHNICAL SPECIFICATIONS

• Relative humidity

• Air pressure

Operating:

• Temperature

•

•

Relative humidity

Air pressure

10 — 90% RH (non-condensing)

700 — 1060 hPa

Pan / scanning ceph: +5°C — +40°C

3D / ProCeph: +10

°

C — +30°C

10 — 90% RH (non-condensing)

700

—

1060 hPa

Image properties

3D:

•

•

Flat panel pixel size

Flat panel active surface

127

 m

3D s: 80 x 130 mm (3.15 x 5.12 in.)

3D Classic / 3D Plus:

130 x 130 mm (5.12 x 5.12 in.)

3D Mid: 146 x 146 mm (5.74 x 5.74 in.)

3D Max: 193 x 242 mm (7.6 x 9.5 in.)

SmartPan:

•

•

Flat panel pixel size

Flat panel active surface

127

 m

3D s / 3D Classic / 3D Plus:

8 x 130 mm (0.31 x 5.12 in.)

3D Mid: 8 x 146 mm (0.31 x 5.74 in.)

3D Max: 13 x 162 mm (0.51 x 6.38 in.)

3D Max MultiView: 25 x 162 mm (0.98 x 6.38 in.)

Pan / ceph CCD:

• Pixel size

• Pan active surface

• Ceph active surface

Planmeca ProCeph:

• Flat panel pixel size

• Flat panel active surface

48

 m

6 x 146 mm (0.24 x 5.74 in.)

6 x 292 mm (0.24 x 11.15 in.)

139

 m

302 x 249 mm (11.89 x 9.80 in.)

Operating conditions for X-ray units with ProFace sensor:

• Optimum colour temperature Approx. 6500 Kelvin

• Frequency for fluorescent lamps 100 Hz

• Even and uniform lighting

• No natural light

• No green objects next to X-ray

(no windows in the room)

User’s Manual (3D)

Planmeca ProMax 3D s & 3D Classic with ProTouch 61

TECHNICAL SPECIFICATIONS

18.2

Original manufacturer

PLANMECA Oy, Asentajankatu 6, FIN-00880 Helsinki, FINLAND

Phone: +358 20 7795 500, Fax: +358 20 7795 555, www.planmeca.com

18.3

Dimensions

ce_digi_etu_max2.eps

Scanning ceph or

Planmeca ProCeph

1145 mm

(45.1″)

270 mm

(10.6″)

150 mm

(5.9″)

8 50 mm

( 33 .5″)

69 8 mm

(27.5″)

Scanning ceph or

Planmeca ProCeph

62 Planmeca ProMax 3D s & 3D Classic with ProTouch

8

20 mm

(

3

2.

3

«)

User’s Manual (3D)

TECHNICAL SPECIFICATIONS

18.4

Minimum operational space requirements

X-ray unit

X-ray unit with cephalostat

NOTE The maximum height can be adjusted to suit offices with low ceiling.

Width

1500 mm

59.1 in.

2150 mm

84.6 in.

Depth

1630 mm

64.2 in.

1630 mm

64.2 in.

Height

1560 — 2385 mm

61.4 — 93.9 in.

1560 — 2385 mm

61.4 — 93.9 in.

User’s Manual (3D)

Planmeca ProMax 3D s & 3D Classic with ProTouch 63

Planmeca Oy | Asentajankatu 6 | 00880 Helsinki | Finland tel. +358 20 7795 500 | fax +358 20 7795 555 | [email protected] | www.planmeca.com

Related Manuals for Planmeca ProMax 3D s

Охватывает всю область расположения зубов

Рентген Planmeca Pro Max 3D Classic предназначен для получения полной информации об анатомии Вашего пациента в мельчайших подробностях. Этот «умный» и многофункциональный рентгеновский аппарат обеспечит цифровые панорамные, цефалометрические и 3D изображения, а также 3D-фотографии и 3D-сканирование моделей.

Planmeca ProMax 3D – идеальная установка для получения трёхмерных изображений нижней и верхней челюсти, поэтому она отлично подходит для широкого спектра применения в имплантологии, челюстно-лицевой хирургии, пародонтологии, ортодонтии, исследовании височно-нижнечелюстного сустава, исследовании пазух и пр. Данная гибридная установка объединяет в себе все функции классического ортопантомографа и современные 3D-технологии для получения объёмных изображений. Данная гибридная установка объединяет в себе все функции классического ортопантомографа и современные 3D-технологии для получения объёмных изображений. 

— Конусно-лучевая технология получения изображений.

— Установка построена на платформе Planmeca ProMax, использующей технологию программируемого набора высокоточных движений SCARA3.

—  Малое время облучения (от 3 с), быстрое сканирование (18 с), быстрая реконструкция изображений (от 15 с).

— Система панорамной съёмки SmartPan — получение панорамных снимков отличного качества с помощью 3D-датчика, возможность выбора необходимого слоя из 9-ти представленных.

— Возможности дальнейшего обновления: цефалостат, 3D-сканер лица Planmeca Proface 3D.

Размеры исследуемых объёмных областей:

— 140 x 105 x 130 мм (сшитый);

— 80 х 80 мм (для детей — 68 х 68 мм);

— 80 х 50 мм (для детей — 68 х 42 мм);

— 40 х 80 мм (для детей — 34 х 68 мм);

— 40х50 мм (для детей — 34х42 мм).

Основные панорамные программы (в комплекте):

— Стандартная панорама взрослого,

— Стандартная панорама ребенка,

— Боковой двойной ВНЧС,

— Двойной задне-передний ВНЧС,

— Задне-передний синус (прямой слой).

Дополнительная панорамная программа (под заказ): вертикальное сегментирование для панорамной съемки.

Дополнительные панорамные программы для специализированной диагностики (под заказ):

— улучшенные межпроксимальные и ортогональные рентгенограммы,

— прикусные рентгенограммы,

— расширенные программы для исследования пазух и ВНЧС,

Cone Beam Volumetric Tomography (CBVT)

Рентгеновские томографы серии Planmeca ProMax 3D, для получения объемных изображений, используют технологию Конусно-лучевой компьютерной томографии (CBVT). Данная технология позволяет сформировать объемное изображение из большого числа 2D проекций, полученных с разных ракурсов. Полученные изображения можно просматривать с помощью специального программного обеспечения Romexis под любым углом, в том числе, осевом, коронарном, сагиттальном и поперечных сечениях.

3D изображения:

Новейшие технологии: 

— Передовая конусно-лучевая технология получения изображений.
— Использование новейшего алгоритма реконструкции на основе обратной проекции Feldkamp.
— Интеллектуальная система удаления шума Planmeca AINO™ и алгоритмы удаления артефактов Planmeca АРА ™
— Уникальная система программируемых высокоточных движений съемочного узла SCARA3, для более точного позиционирования области исследования.
— Запатентованная система панорамной съёмки SmartPan для получения панорамных снимков высокого качества с помощью 3D-датчика, с возможностью выбора необходимого слоя из 9-ти представленных.
— Передовое программное обеспечение PlanmecaRomexis, совместимое с MacOsи Windows.

Удобство работы: 

Минимальная доза облучения:

— Импульсный режим съемки позволяет максимально снизить дозу облучения пациента.
— Подбор оптимального размера облучаемой области с помощью встроенного коллиматора.
— Наличие специального режима с ультра низкой дозой облучения пациентов, для педиатрических исследований.

Модульная конструкция:

Методы визуализации для любой задачи

Как и все остальные 3D рентгеновские аппараты нашей компании, Planmeca ProMax 3D Classic поддерживает широкий спектр методов визуализации и специализированных протоколов, разработанных для различных профессиональных нужд.

Гибкая технология SCARA

Наши системы визуализации являются исключительными благодаря использованию запатентованной технологии SCARA: роботизированной руки, которая может производить любую требуемую траекторию – без каких-либо ограничений.

Программное обеспечение визуализации «все-в-одном»

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