Gamma CADIAX 4 A Operating Instructions Manual Download Page 7

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Content

Content

............................................................................................................. 10

Introduction

............................................................................................................. 10

1.1

Explanation of used symbols on packaging and device

............................................................................................................. 12

1.2

Important safety considerations

............................................................................................................. 12

1.2.1

General safety instructions

............................................................................................................. 14

1.2.2

Special information about medical electrical devices

............................................................................................................. 18

1.2.3

Contraindications - Limitations to application

............................................................................................................. 19

1.2.4

Magnet sensor system

............................................................................................................. 19

1.3

Intended purpose

............................................................................................................. 19

1.4

About this manual

............................................................................................................. 19

1.5

Symbols and notations

............................................................................................................. 20

1.6

User interface terminology

............................................................................................................. 21

1.7

Scope of delivery

............................................................................................................. 22

1.8

System requirements

............................................................................................................. 23

Preparing to operate the CADIAX device

............................................................................................................. 23

2.1

Installing the software

............................................................................................................. 25

2.2

Starting and activating the software

............................................................................................................. 27

2.3

Setting the face bow

............................................................................................................. 28

2.4

Setting the articulator

............................................................................................................. 30

Recording TMJ movement

............................................................................................................. 30

3.1

Posture of the patient

............................................................................................................. 30

3.2

Instructing the patient

............................................................................................................. 31

3.3

Preperations

............................................................................................................. 31

3.3.1

Entering patient information

............................................................................................................. 31

3.3.2

Fixing the clutch onto the lower jaw teeth

............................................................................................................. 36

3.4

Mounting the anatomic facebow

............................................................................................................. 36

3.4.1

Preparing the upper face bow

............................................................................................................. 37

3.4.2

Mounting the upper face bow

............................................................................................................. 38

3.4.3

Preparing the writing bow

............................................................................................................. 38

3.4.4

Mounting the writing bow

............................................................................................................. 40

3.4.5

Attaching the sensors

............................................................................................................. 41

3.5

Mounting the kinematic facebow

............................................................................................................. 41

3.5.1

Condylograph

............................................................................................................. 44

3.5.2

Condylograph comfort

............................................................................................................. 47

3.5.3

Preparing the lower face bow

............................................................................................................. 48

3.5.4

Mounting the writing bow

Summary of Contents for CADIAX 4 A

Page 1: ...CADIAX compact GAMMA Medizinisch wissenschaftliche Fortbildungs GmbH C0483 A Practical Method for TMJ Registration Operating Instructions...

Page 2: ......

Page 3: ...one 43 2243 34140 Fax 43 2243 34140 90 E Mail office gammadental com Internet www gammadental com C0483 Operating Instructions for CADIAX compact 2 model A Firmware version 1 14 CADIAX compact 2 model...

Page 4: ...4 CADIAX compact...

Page 5: ...cument may not be duplicated repro duced or translated into other languages fully or partially w ithout the express w ritten permission of GAMMA Medizinisch w issenschaftliche Fortbildungs GmbH Tradem...

Page 6: ...CADIAX compact 6...

Page 7: ...X device 23 2 1 Installing the software 25 2 2 Starting and activating the software 27 2 3 Setting the face bow 28 2 4 Setting the articulator 30 3 Recording TMJ movement 30 3 1 Posture of the patient...

Page 8: ...analysis of recordings 60 4 2 Calculating articulator settings 60 4 2 1 Condylar settings 62 4 2 2 Sequence incisal table settings 64 4 3 Data printout 65 5 Mounting the articulator 68 6 Troubleshooti...

Page 9: ...Content 9 76 8 5 Storage and transport 77 8 6 Disposal...

Page 10: ...con dylography registration In the following pages we would like to help you get acquainted with the CADIAX device and its soft ware 1 1 Explanation of used symbols on packaging and device The followi...

Page 11: ...Upper and lower limit for temperature Upper and lower limit for relative humidity Upper and lower limit for atmospheric pressure Do not sit on the device Do not step on the device Type B applied part...

Page 12: ...2 1 General safety instructions The device must be operated in a roomy area in order to allow for proper dissipation of heat Never operate the device in areas where there is a danger of water or other...

Page 13: ...e make sure that the device is set up on a smooth even surface which is longer and wider than the device itself The surface on which the device stands must be sufficiently stable as the device could b...

Page 14: ...ither any parts of the medical elec trical device system or with someone using or touching a part of the device system Definition of patient proximity according to standard EN 60601 1 If the computer...

Page 15: ...lags and styli are completely mounted Make sure that the sensors are not touched during the registration not by yourself nor by the patient Always switch off the recording mode before detaching the fl...

Page 16: ...e enclosure compact sensor set When using the compact sensor set the enclosure of the CADIAX 4 main unit has the following fea tures Front side 1 Unused connector socket 2 Connector socket for the mea...

Page 17: ...s ready for operation LED flashes with 5 Hz A measurement is in progress LED flashes with 0 5 Hz An internal hardware error occurred in the device No measurement is possible LED permanently off The de...

Page 18: ...ormance of the device 1 2 2 7 Connecting other devices Devices connected to analog or digital interfaces must be certified to satisfy the applic able standard EN specifications e g EN 60950 for data p...

Page 19: ...ely sure to adhere to the necessary safe distances If necessary consult the responsible cardiologist If in doubt refrain from using the CADIAX M Sensor system 1 3 Intended purpose The CADIAX system is...

Page 20: ...uccession they will be concatenated with arrows For example File Close means First click on the File menu item in the menu bar then click on the menu item Close in the opened menu The first occurrence...

Page 21: ...heck the package contents for com pleteness and faultless condition The CADIAX system does not include the material for fixing the occlusal tray clutch on the lower jaw teeth of the patient You will n...

Page 22: ...ts apply Component Minimum requirement Operating system Windows 7 with Service Pack 1 Windows 8 1 with Update 1 Windows 10 version 1703 or higher 32 bit or 64 bit Processor CPU Entry level multi core...

Page 23: ...tallation routine should start automatically If this is not the case you can also start the installation by executing the file setup exe that you will find on the disc If you received a digital copy o...

Page 24: ...our delivery note In the next step you will be asked to which directory the program files shall be copied We recommend using the default setting Again click Next to continue Preparations of the softwa...

Page 25: ...l environment e g Parallels Desktop we strongly re commend to update both your operating system and your virtualization software to the latest version before activating Otherwise software activation m...

Page 26: ...r via mail fax or visit the activation website to activate your software To avoid mistakes caused by typing the codes by hand the system provides export and import functionalities If you prefer to tra...

Page 27: ...ing face geometries If a wrong face bow is selected or a wrong scale value is entered the recordings can not be recalculated correctly This can lead to a distorted picture of the recorded condylar tra...

Page 28: ...reference point indicator should be used 2 4 Setting the articulator Also set the articulator type that you use in the menu Settings Articulator CADIAX compact 2 Recorder supports the following types...

Page 29: ...ference SL SAM Whip Mix Model 2240 Model 2340 Model 3040 Model 3140 Model 8500 You can find further information regarding the calculated articulator settings in chapter Calculating artic ulator settin...

Page 30: ...usal clutch is used 8 Finishing the registration saving data 3 1 Posture of the patient The patient should sit in an upright and relaxed position Body movements during condylography record ing can cha...

Page 31: ...m GAMMA Dental Software the patient data will be filled out automatically and cannot be changed 3 3 2 Fixing the clutch onto the lower jaw teeth There are two different kinds of clutches available for...

Page 32: ...r not Check whether the clamp on the writing bow can be pushed onto the clutch shaft easily If this is not the case do not continue using that particular clutch 3 3 2 1 Fixing the occlusal tray clutch...

Page 33: ...l being squeezed out 3 3 2 2 Fixing the para occlusal clutch If you are using an occlusal tray clutch you may skip this section When using a functional occlusal clutch you can analyze the effects of o...

Page 34: ...esome job of having to polish the clutch s plastic surface Prepare the composite according to the manufacturer s information Coat the surface of the clutch which should be facing the labial and buccal...

Page 35: ...Remove any excess interferences of the plastic material with a sharp knife or a cutter Use as little plastic as possible Too much plastic often causes pain in the gums Check to see whether the clutch...

Page 36: ...ration the clutch can be removed easily The teeth will only need a light cleaning scal ing The same plastic coated clutch can be re used for the same patient residues on the clutch do not necessarily...

Page 37: ...erate pressure the glabella support is carefully pushed against the bridge of the nose then lightly clamped The retaining straps are stretched on both sides then closed behind the head and fastened wi...

Page 38: ...The double clamp is pushed onto the clutch Make sure not to loosen the clutch and check once more that it fits correctly The side arms are moved so that the tips of the axis loc ators slide into the b...

Page 39: ...s of the side arms The axis locators for setting the anatomical axis can now be removed Make sure that the positions of the side arms don t change when doing so If there is a change in position this m...

Page 40: ...ystem is mounted properly and the lower jaw is in centric position the stylus tip should be located in the area of the upper back quarter of the flag The styli should be positioned in a way that their...

Page 41: ...e side arms are movable in sagittal upper clamp screw and transversal lower clamp screw direction Loosen and remove the orbital pointer The upper face bow is now ready to be mounted 3 5 1 2 Mounting t...

Page 42: ...ould be achieved which stabilizes the face bow and significantly improves the patient s comfort The restraining strap is placed parallel to the side arms and fastened Now the face bow should hold firm...

Page 43: ...es could be caused by a flawed mounting of the bow Loosen and remove the porus knobs Attach the orbital pointer on the cross bar of the face bow and adjust it to the orbital To indicate the position o...

Page 44: ...bital pointer Fixate the glabella support by pushing it from the side into the center position until it snaps in The actual nose support can easily be exchanged It is only put on the glabella bridge T...

Page 45: ...arms and fastened Now the face bow should hold firmly on the head without further support Pay attention that the side arms lie above the ears The face bow must not be pulled down wards on the pinna or...

Page 46: ...of the flag adapters to a comfortable painless position and fix ate them Also here asymmetries could be caused by a flawed mounting of the bow Loosen and remove the porus knobs Attach the orbital poi...

Page 47: ...orbital pointer and remove it from the face bow 3 5 3 Preparing the lower face bow Move the side arms of the lower face bow into their cen ter position Slightly loosen the screws so that the side arm...

Page 48: ...re not to loosen the clutch and check once more that it fits correctly The side arms are moved so that the tips of the axis loc ators slide into the bores on the flag adapters of the ex tension set wh...

Page 49: ...s of the side arms The axis locators for setting the anatomical axis can now be removed Make sure that the positions of the side arms don t change when doing so If there is a change in position this m...

Page 50: ...apters of the extension set using the accompanying screws Insert the axis needles in the corresponding holes on the end of the side arm and push them in until they are in contact with the writing flag...

Page 51: ...Avoid touching the black measuring surface to prevent it from being soiled or scratched Also make sure that recording mode is turned off while you mount the flags and styli Insert the hexagon socket s...

Page 52: ...her things required for mediotrusive movements The circuit between stylus and flag should always remain closed even when the system is dis mantled after use and the individual parts are stored in thei...

Page 53: ...ding Confirm the entered parameters by pressing the foot switch Refer to chapter Setting the face bow for instructions regarding the selection of the used face bow Note that the terms left and right a...

Page 54: ...pective side arm extension The anterior face bow height is the difference in height between the marked orbital point and the upper face bow The value can be read from the vertical scale of the referen...

Page 55: ...lined by 30 towards the patient s nose 3 8 Setting the reference position Guide the patient into the retral reference position and press the foot switch The position set here will be used as zero poin...

Page 56: ...l as smoothness of the curve line Ideally the movement starts exactly in the zero point and doesn t show any distortion artifacts of any kind Registrations with obvious distortions should not be accep...

Page 57: ...patient is in reference position In the ideal case the red cross of the real time cursor is positioned exactly in the origin of the coordinate system If this position is difficult to reproduce you can...

Page 58: ...to issues occurring while saving the recordings those are saved in the sub directory GDSW Temp of the user s documents folder To recover such a file with the exten sion ccr use the corresponding menu...

Page 59: ...co ordinate system For easier distinction when overlaid each type of curve is displayed in a different color You can change the display style of individual curves via the menu entry Width By clicking...

Page 60: ...culates the recorded curves from the actual flag distance to the intercondylar distance of the articulator beforehand The recordings displayed by the application are always in already recalculated for...

Page 61: ...s allow programming the immediate side shift of the Bennett movement ISS refer to chapter Immediate side shift ISS The ISS threshold used for this purpose can be configured in the calculation options...

Page 62: ...cept of exchangeable inserts makes it easy to wax up the desired occlusion concept while taking into consideration the patient s individual condylar inclination The basis is always the natural morphol...

Page 63: ...oted in brackets The recommended protrusive guidance inclination of the Sequence incisal table is calculated from the cusp tips coordinates of the two central mandibular incisors The mediotrusive guid...

Page 64: ...analysis application CADIAX compact 2 Recorder allows to create a standard printout which shows patient information recordings in graphical form and articulator settings among other things This printo...

Page 65: ...l face bows are always congruent to that plane In the articulator the plane is described by the right and left hinge axis point and the contact plane of the incisal table This ensures that when the up...

Page 66: ...s from various manufacturers partially differ in their measurements as well as in their used methods in mounting models The limitations and characteristics of their construction ne cessitate using dif...

Page 67: ...ex Articulator Reference face bow upgrade with axis pins order number 06 230491 Calculations are set directly Calculations are set directly SAM Mounting with SAM ATB face bow Calculations are set dire...

Page 68: ...device is defective Contact an authorized GAMMA service center The driver software has not been installed correctly or has not been installed at all Disconnect the CADIAX device from the computer Sta...

Page 69: ...measuring area of the flag due to incorrect mounting Repeat mounting the face bow Make sure that both styli are positioned to stay on the black measuring surface of the flag also during medio trusive...

Page 70: ...medical petroleum jelly onto the measur ing surface of the flag Make sure to clean the flag after the recording A stylus is defective Contact an authorized GAMMA service center A flag is defective Co...

Page 71: ...orbital point lowest point of the orbit s anterior margin Before a lateral ra diography usually lead markers are placed on these three points to indicate their location in the x ray image The axis orb...

Page 72: ...cordings in sagittal X Z or transversal X Y projection the CADIAX applications can also display additional coordinate systems for frontal projection Y Z The coordinate system w ith sagittal and transv...

Page 73: ...bination with the rotational com ponent can cause significantly different movement pat terns in the tooth area The effects of various deviations from the exact hinge axis onto the movements of dental...

Page 74: ...no liquid gets inside the device during cleaning The device must never be cleaned under running water or any other liquid Do not use stiff brushes or steel wool Never clean the device with alcohol org...

Page 75: ...Subsequently clean the registration material off the clutch Sterilization can be carried out in an autoclave 5 minutes at 134 C 20 Minutes at 120 C 8 2 7 Bite fork Disinfect the bite fork in a disinfe...

Page 76: ...ized by GAMMA The measuring flags are subjected to relatively high mechanical stresses and undergo the results of normal attrition They should be replaced after approximately 500 examinations 8 4 Oper...

Page 77: ...a to 1060 hPa 8 6 Disposal After their product life the CADIAX device and its components have to be disposed of cor rectly Doing so comply with the regulations that are in effect in your country or ci...

Page 78: ...CADIAX compact 78...

Page 79: ...79 CADIAX compact...

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