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16. Appendices

194

PaX-i3D Green Premium™ User Manual

Materials and methods:

Radiation doses were measured with small-sized

siliconphotodiode dosimeters that were implanted at various tissue and organ
positions within a standard 6-year-old anthropomorphic phantom. Organ and
effective doses of brain CT were evaluated for 19 protocols in nine hospitals on
various (2–320 detector rows) MDCT scanners.

Results:

The maximum value of mean organ dose in brain CT was 34.3 mGy for

brain. Maximum values of mean doses for the radiosensitive lens and thyroid
were 32.7 mGy for lens in brain CT and 17.2 mGy for thyroid in neck CT. seventy-
fifth percentile of effective dose distribution in brain CT was approximately the
same as the diagnostic reference level (DRL) in the 2003 UK survey.

2) Websites

For additional information on pediatric X-ray imaging, please refer to the websites
below.

http://www.fda.gov/radiation-

emittingproducts/radiationemittingproductsandprocedures/medicalimaging/ucm29



http://www.imagegently.org/

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Содержание Premium PAX-i3D

Страница 1: ......

Страница 2: ...PCT 90LH User Manual 3...

Страница 3: ...perate the PaX i3D Green Premium system It is recommended that you thoroughly familiarize yourself with this manual in order to make the most effective use of this equipment Observe all cautions safet...

Страница 4: ...nes 9 3 2 Electricity related Safety Precautions 13 3 3 Radiation Safety 15 3 4 Warnings 16 4 Imaging System Overview 19 4 1 System Components 19 4 2 Features 19 4 3 Standards and Regulations 20 4 4 I...

Страница 5: ...ositioning 105 9 4 Patient Positioning 107 9 5 X ray Exposure 113 9 6 Checking the captured image 115 10 Acquiring ENT CT Images 117 10 1 ENT CT Imaging Program Overview 117 10 2 Configuring Exposure...

Страница 6: ...159 16 Appendices 161 16 1 Recommended X ray Exposure Table 161 16 2 X ray Dose Data 166 16 3 Electromagnetic Compatibility EMC Information 175 16 4 Hand wrist Image Evaluation References 180 16 5 Ac...

Страница 7: ...ire 2D diagnostic image data in panoramic and cephalometric mode 1 2 Indications for use PaX i3D Green Premium Model PCT 90LH is intended to produce panoramic cephalometric or 3D digital x ray images...

Страница 8: ...ntended User Profile Considerations Requirement Description Education Licensed dentists or dental hygienists radiologists and graduates of relevant bachelor s degree national qualifications Knowledge...

Страница 9: ...equipment has been used normally in accordance with the User Manual The equipment damage or malfunction is not the result of an error on the part of the owner or the operator 2 2 Owner and Operator s...

Страница 10: ...mply with a warning may result in severe damage to the equipment or physical injury to the operator and or patient CAUTION Indicates a situation that demands prompt and careful action a specific remed...

Страница 11: ...ower Switch Alternate current Label Type B Applied Equipment IEC 60601 1 Degree of protection against leakage current and or electric shock Class 1 equipment Label Radiation hazard Label Indicates the...

Страница 12: ...not be disposed of as unsorted municipal waste and must be collected separately Label Indicates that this equipment is classified as a CLASS 1 LASER PRODUCT in accordance with IEC 60825 1 ED 2 regulat...

Страница 13: ...abel Locations No Item 1 PaX i3D Green Premium Model PCT 90LH Main Label 2 X ray GENERATOR Label This part has two types according to the X ray Tube model implemented Type 1 Superior tube SXR 130 15 0...

Страница 14: ...m User Manual No Item 4 X ray CAUTION Label X ray Attention X ray on when equipment in operation 5 Wheelchair Height Limit CAUTION Label In case a wheelchair must be used the overall height of the whe...

Страница 15: ...and implement appropriate measures to remedy such irregularities General safety precautions Follow the instructions specified in this manual to ensure the safety of both the patient and the operator T...

Страница 16: ...tandard e g IEC 60950 for IT equipment and IEC 60601 1series for medical electrical equipment In addition all such combination system shall comply with the standard IEC 60601 1 and or IEC 60601 1 1 ha...

Страница 17: ...aned using a soft cloth dampened with a mild cleaning solution New hygiene cover must be provided for each new patient to prevent the transmission of communicable disease Do not use aerosol or spray c...

Страница 18: ...y may deteriorate if the equipment is operated outside of this range Always allow the equipment sufficient time to warm up while switched on if it has been exposed to temperatures of below 10 C 50 F O...

Страница 19: ...ment with other devices Do not connect this equipment to devices which are not designated as a part of the system Do not connect this equipment to a Multiple Portable Socket Outlet MPSO or extension c...

Страница 20: ...D protective measures Electrostatic discharge ESD ESD protective measures include Procedures for preventing electrostatic charge build up e g temperature control humidification conductive floor coveri...

Страница 21: ...uring imaging the operator must maintain vocal visual contact with the patient from outside the shielded area The operator should continuously check the status of the patient and the equipment during...

Страница 22: ...radiological assessment conventional medical CT or MR should be used instead of dental cone beam imaging PaX i3D Green Premium system like other medical equipments uses high frequency electrical sign...

Страница 23: ...place flammable materials near this equipment Do not operate the PC while the equipment is performing an operation Failure to comply with this instruction may result in system malfunction Immediately...

Страница 24: ...ll the equipment Equipment should only be installed by an authorized technician complying with proper installation procedures Security Capabilities It is recommended to install and operate EzDent i SW...

Страница 25: ...d FOV for ENT Diagnosis Multi purpose camera equipped for patient positioning and 3D PHOTO acquisition Optional Touch Screen implemented for easy use Digital Imaging Communication in Medicine DICOM fo...

Страница 26: ...601 1 3rd UL 60601 1 1st IEC EN 60601 1 3 IEC 60601 2 63 21 CFR 1020 30 31 33 NEMA Standard publication PS 3 1 3 18 2008 This is Class IIb equipment and obtained CE marking in April 2007 for regulatio...

Страница 27: ...4 Imaging System Overview PCT 90LH User Manual 21 ENGLISH 4 4 Imaging System Configuration...

Страница 28: ...Signal Input Output No Item 1 USB Camera input USB 3 0 Cable To avoid any connection problem it is highly recommended to install a USB 3 0 PCI card for USB 3 0 cables 2 3D Viewer License Key 3 Video o...

Страница 29: ...4 Imaging System Overview PCT 90LH User Manual 23 ENGLISH 4 5 Equipment Overview...

Страница 30: ...ponent Storage The place where Bite Blocks Chinrest Ass y and the other components can be stored 8 Headrest Holds the patient s head during i CEPH mode imaging 9 Chinrest The place to rest the chin 10...

Страница 31: ...4 Imaging System Overview PCT 90LH User Manual 25 ENGLISH No Item Description 15 Chinrest Up Down Switch Adjusts the height of the Chinrest...

Страница 32: ...imaging mode For more information refer to 4 5 2 Touch Screen 2 Laser Beam ON OFF button Turns on off the vertical Laser Beam 3 READY button Indicates that imaging is ready after parameter settings a...

Страница 33: ...e Software are interlocked mutually therefore indicate the same environment setting values always i CEPH and 3D PHOTO are Optional modalities Do not allow patient to control Touch Screen Doing so may...

Страница 34: ...rthogonal mode press UP DOWN button to scroll through next previous ROI option 2 NEXT button Moves to the next step 3 BACK button Moves back to the modality PANO i CEPH Optional Dental CT ENT CT and 3...

Страница 35: ...ng on the circumference of the patient s head X ray intensity may be classified as Hard Normal or Soft Soft Normal Hard 4 Examination type Selects between Normal and Special 5 Imaging type Selects bet...

Страница 36: ...vailable i CEPH Examination programs 2 NEXT button Moves to the next step 3 BACK button Moves back to the modality PANO i CEPH Optional Dental CT ENT CT and 3D PHOTO Optional selection screen 4 Settin...

Страница 37: ...Adjusts kVp and mA 2 Patient s gender age group Selects patient s gender age group 3 X ray intensity Selects X ray intensity Depending on the circumference of the patient s head X ray intensity may be...

Страница 38: ...vailable FOV modes 2 NEXT button Moves to the next step 3 BACK button Moves back to the modality PANO i CEPH Optional Dental CT ENT CT and 3D PHOTO Optional selection screen 4 Settings button Adjusts...

Страница 39: ...ge group 3 X ray intensity Selects X ray intensity Depending on the circumference of the patient s head X ray intensity may be classified as Hard Normal or Soft Soft Normal Hard 4 Image Option Selects...

Страница 40: ...unction Description 1 TOP LED light Brightness control panel Press UP DOWN button to adjust brightness of the LED lights on the top 2 BOTTOM LED light Brightness control panel Press UP DOWN button to...

Страница 41: ...d Physical injury to the patient or damage to the equipment Other emergency situations If a problem occurs during image acquisition press the red Emergency Stop Switch to immediately stop the moving p...

Страница 42: ...emature release of the Exposure Switch will abort image acquisition Pressing the Exposure Switch activates the LED indicator to turn yellow This color indicates that the X ray is being emitted The Exp...

Страница 43: ...the patient the Bite Block the Chinrest and the Headrest should be cleaned with ethanol and wiped with clean towels Components Name and Function Contact duration Bite Block Skin 24 h TMJ Bite Skin 24...

Страница 44: ...4 Imaging System Overview 38 PaX i3D Green Premium User Manual Left blank intentionally...

Страница 45: ...SH 5 Imaging Software Overview Three programs are included in this equipment to acquire process and view the image EzDent i 2D viewer and patient management Ez3D i 3D viewer Console software PANO i CE...

Страница 46: ...Intel Xeon E5 1620v3 3 5GHz 2133 10MB cache CPU RAM 32GB DDR4 2133 ECC RAM HDD 1TB SATA 1 st HDD Graphics board NVIDIA GEFORCE GTX980 Ti OC D5 6GB or greater Ethernet interface Broadcom 5761 Gigabit P...

Страница 47: ...Patient Records and EzDent i User Manual for more information Security Capabilities It is recommended to install and operate EzDent i SW within a secure operating environment that allows only authoriz...

Страница 48: ...ging parameters on either the Touch Screen or the Console Software running on the PC They are synched and display the same environmental settings For more details on the Touch Screen refer to 3 3 2 To...

Страница 49: ...and Current Adjustment If the patient is selected in EzDent i the default kVp mA according to the patient s information gender age is displayed This tool adjusts the kVp and mA values and controls the...

Страница 50: ...n imaging mode without 3D PHOTO After selecting an imaging mode and exposure parameters After completing patient positioning 11 Imaging parameters configuration panel Selects the imaging parameters fo...

Страница 51: ...econstruct Click Reconstruction button 15 Laser Beam ON OFF button Turns the Laser Beam on or off for patient positioning Enabled when NEXT button is clicked after the imaging conditions are configure...

Страница 52: ...5 Imaging Software Overview 46 PaX i3D Green Premium User Manual Left blank intentionally...

Страница 53: ...nds before turning it on again Warm up the equipment for at least 5 minutes before the operation For the best image quality it is recommended to have worm up phase for more than 30 minutes If the equi...

Страница 54: ...uipped with Windows built in firewall Windows Defender antispyware tools and other commonly used 3 rd party security tools and application systems The latest updates for anti virus software and a fire...

Страница 55: ...ator to set up a unique user ID and Password to prevent any unauthorized access to patients confidential information User ID and Password can be assigned to give permission to register add delete and...

Страница 56: ...nt Records You can search through the patient database using a patient s Chart Number First Name or Last Name 1 Enter the Name or Chart Number of the patient to be searched on the Patient Search panel...

Страница 57: ...elect the patient to be captured 2 Click ACQUISITION tab and select the imaging mode CT Panorama or Cephalo 3 The Main Screen for the selected mode appears Refer to 4 3 Console Software From the Main...

Страница 58: ...6 Getting Started 52 PaX i3D Green Premium User Manual Left blank intentionally...

Страница 59: ...structs U shaped arch data to a single 2D image utilizing multiple images taken with the X ray beam scanning specific oral maxillofacial regions at different angles Examination Programs It is classifi...

Страница 60: ...een Premium User Manual Examination Type Arch Selection ROI Example Bitewing Left SPECIAL Examination N A TMJ LAT Open TMJ LAT Close Sinus LAT Sinus PA Bitewing imaging mode is activated only when Ort...

Страница 61: ...nts with a V shaped arch trajectory Typically for some females Normal Standard A panoramic imaging mode for adult patients with a normal arch trajectory Wide Standard A panoramic imaging mode for the...

Страница 62: ...ing mode to minimize the overlapped region of the teeth from the X ray exposure which is beamed perpendicularly between teeth Bitewing A panoramic imaging mode to acquire an image only for the region...

Страница 63: ...e X ray beam is directed on the lateral TMJ region TMJ Open and Close Sinus LAT A special imaging mode to acquire a Sinus image in which X ray beam is directed on the lateral region of the maxillary s...

Страница 64: ...ust be completed first If not you must return to the 6 Getting Started and finish the step first You can set the imaging parameters either on the Touch Screen or through the Console Software running o...

Страница 65: ...Screen Mode Description Normal Normal option Magic PAN Optional Reconstructs the image with optimized focus autofocus from the entire panorama to acquire high quality images Any errors caused by issue...

Страница 66: ...activate three Bitewing examination options Bitewing Bitewing Right and Bitewing Left select Orthogonal Arch in the Arch Selection panel For more information about PANO Examination Program refer to 7...

Страница 67: ...intensity Click Arrow button to zoom in The dose is adjustable by the 1 kVp and 0 5 mA respectively 9 When the exposure parameter setting is completed guide the patient to the equipment for positionin...

Страница 68: ...ust keep holding the Headrest until the Handle Frame is opened and take it out after the Handle Frame is opened When the Chinrest Ass y is attached Take out the Chinrest and the Chinrest Base in turn...

Страница 69: ...earrings hair pins braces false teeth etc Metal objects may induce ghost images and lower the image quality 2 Let the patient wear a lead apron to protect themselves from residual radiation 3 Push th...

Страница 70: ...g process Sit close against the chair Hold the handle See front Close the mouth Breathe through the nose Keep both shoulders parallel Relax the body Straighten the Cervical Vertebra 2 Adjust the heigh...

Страница 71: ...before the next patient 5 Let the patient bite the Bite Block along its grooves with his her front teeth 6 On the Console Software Click NEXT button when the exposure parameter setting is completed O...

Страница 72: ...f the vertical line or between the other two vertical lines 8 Let the patient maintain the posture as follows Close the mouth Place the tongue to the roof of the mouth Close the eyes Before conduct th...

Страница 73: ...7 Acquiring PANO Images PCT 90LH User Manual 67 ENGLISH 10 Press READY button No X ray will be emitted at this point Console Software Touch Screen 11 Go to 7 5 X ray Exposure to start the exposure...

Страница 74: ...the chair Hold the handle See front Close the mouth Breathe through the nose Keep both shoulders parallel Relax the body Straighten the Cervical Vertebra 2 Adjust the height of the Chinrest by using t...

Страница 75: ...h Screen a confirmation window will appear after NEXT button is clicked Click OK button if the setting is correct In case NEXT button has been already clicked you will see pop up window directly Conso...

Страница 76: ...the tongue to the roof of the mouth Close the eyes Before conduct the next step be sure to let the patient know that the Rotating Unit will be lower to the exposure location and instruct him or her to...

Страница 77: ...dle in comfortable posture and see front Patients need to keep the following poses during imaging process Sit close against the chair Hold the handle See front Close the mouth Breathe through the nose...

Страница 78: ...ment with their jaw Doing so may cause difficulty to maintain the proper position to get images of good quality 5 Align the Vertical Beam to the center of the patient s face It can prevent the acquire...

Страница 79: ...allowing once open your mouth as wide as possible Close the eyes Before conduct the next step be sure to let the patient know that the Rotating Unit will be lower to the exposure location and instruct...

Страница 80: ...ign the Vertical Beam to the center of the patient s face 4 You can see the patient through the Touch Screen Make sure that the patient s Frankfurt line is tilted about 5 from the horizontal lines of...

Страница 81: ...handle See front Close the mouth Breathe through the nose Keep both shoulders parallel Relax the body Straighten the Cervical Vertebra 2 Adjust the height of the Chinrest by using the Chinrest UP DOWN...

Страница 82: ...ompleted On the Touch Screen a confirmation window will appear after NEXT button is clicked Click OK button if the setting is correct In case NEXT button has been already clicked you will see pop up w...

Страница 83: ...down 9 Click NEXT button when the patient positioning is completed The Rotating Unit will come down to the exposure location Then READY button will be activated on the Touch Screen and the Console Sof...

Страница 84: ...ing in normal situation Doing so may lead the patient to be unsafe The operator must keep vocal visual contact with the patient at all times during image acquisition process Do not operate the PC duri...

Страница 85: ...ently underway The X ray Indicator icon of the Console Software turns yellow 3 Release the Exposure Switch when Image capturing is complete message appears on the screen 4 The Rotating Unit will move...

Страница 86: ...ed images can be confirmed in EzDent i Refer to the EzDent i User Manual for more information 1 The images are transferred to EzDent i automatically 2 The images are automatically saved if automatic s...

Страница 87: ...ss the growth of lateral side of the face It is also used to examine the ramus mandibulae the posterior region of the third largest molar in the lower jaw the sidewall of the maxillary sinus the front...

Страница 88: ...ure of the lower jaw the side wall of the maxillary sinus and zygomatic arch fractures Also used to study the inner and outer alar plates and holes at base of the skull Waters view Used to study the f...

Страница 89: ...be completed first You can set the imaging parameters on either the Touch Screen or the Console Software running on the PC They are synched and display the same environmental settings 1 Click i CEPH...

Страница 90: ...i CEPH examination refer to 7 1 i CEPH Imaging Program 3 The gender age group of the patient is selected automatically based on the patient information If necessary you can select the gender age grou...

Страница 91: ...button to zoom in The dose is adjustable by the 1 kVp and 0 5 mA respectively 6 When the exposure parameter setting is completed guide the patient to the equipment for positioning the patient Go to 8...

Страница 92: ...rest is attached Detach it The operator or the patient must keep holding the Headrest until the Handle Frame is opened and take it out after the Handle Frame is opened When the Chinrest Ass y is attac...

Страница 93: ...s hair pins braces false teeth etc Metal objects may induce ghost images and lower the image quality 2 Let the patient wear a lead apron to protect themselves from residual radiation 3 Push the Handle...

Страница 94: ...keep the following poses during imaging process Sit close against the chair Hold the handle See front Close the mouth Breathe through the nose Keep both shoulders parallel Relax the body Straighten t...

Страница 95: ...creen a confirmation window will appear after NEXT button is clicked Click OK button if the setting is correct In case NEXT button has been already clicked you will see pop up window directly Console...

Страница 96: ...r to the exposure location and instruct him or her to relax down 9 Click NEXT button when the patient positioning is completed The Rotating Unit will come down to the exposure location Then READY butt...

Страница 97: ...Control Panel 2 Let the patient put the right hand splaying on the inner side of the Rotating Unit as shown below Make sure that the patient does not bend his her fingers 3 On the Console Software Cli...

Страница 98: ...ck NEXT button when the patient positioning is completed Then READY button will be activated on the Touch Screen and the Console Software 5 Press READY button No X ray will be emitted at this point Co...

Страница 99: ...ioning in normal situation Doing so may lead the patient to be unsafe The operator must keep vocal visual contact with the patient at all times during image acquisition process Do not operate the PC d...

Страница 100: ...alert sound comes out to indicate that X ray emission is currently underway The X ray Indicator icon of the Console Software turns yellow 3 Release the Exposure Switch when Image capturing is complete...

Страница 101: ...orted images can be confirmed in EzDent i Refer to the EzDent i User Manual for more information 1 The images are transferred to EzDent i automatically 2 The images are automatically saved if automati...

Страница 102: ...8 Acquiring i CEPH Images Optional 96 PaX i3D Green Premium User Manual Left blank intentionally...

Страница 103: ...It is classified as below based on the FOV FOV cm Description ROI 21x19 For entire maxillofacial region diagnostics including frontal bone frontal sinus nasal ethmoid zygomatic maxillary bones and ma...

Страница 104: ...al CT 3D PHOTO 3D PHOTO images can be acquired as well as Dental CT images at one time Special Option Auto Pano Auto Ceph 2D images of conventional panoramic cephalometric view are available with the...

Страница 105: ...o acquire Dental CT Images 6 Getting Started must be completed first You can set the imaging parameters on either the Touch Screen or the Console Software running on the PC They are synched and displa...

Страница 106: ...hen each imaging program is included in the equipment To acquire 3D PHOTO with CT images click DENTAL CT CT 3D PHOTO button 2 Select FOV size You can configure Auto Pano and Auto Ceph options when 21x...

Страница 107: ...se Auto Pano Auto Ceph option window Console Software Touch Screen You can configure Horizontal options when 8x8 is selected Console Software Touch Screen Auto Pano Auto Pano is a feature used to acqu...

Страница 108: ...red and can be seen on the EzDent i Viewer 3 Select an Image Option On Touch Screen click Settings button before selecting options Console Software Touch Screen The Green mode produces approximately 2...

Страница 109: ...p of the patient is selected automatically based on the patient information If necessary you can select the option manually Console Software Touch Screen 6 Select X ray intensity Console Software Touc...

Страница 110: ...A respectively 8 When the exposure parameter setting is completed guide the patient to the equipment for positioning the patient Go to 9 3 Getting Prepared for Patient Positioning On the Console Softw...

Страница 111: ...t When the Headrest is attached Detach it The operator or the patient must keep holding the Headrest until the Handle Frame is opened and take it out after the Handle Frame is opened When the Chinrest...

Страница 112: ...sses earrings hair pins braces false teeth etc Metal objects may induce ghost images and lower the image quality 2 Let the patient to wear a lead apron to protect themselves from residual radiation 3...

Страница 113: ...lowing poses during imaging process Sit close against the chair Hold the handle See front Close the mouth Breathe through the nose Keep both shoulders parallel Relax the body Straighten the Cervical V...

Страница 114: ...ameter setting is completed On the Touch Screen a confirmation window will appear after NEXT button is clicked Click OK button if the setting is correct In case NEXT button has been already clicked yo...

Страница 115: ...Click NEXT button when the patient positioning is completed The Rotating Unit will come down to the exposure location Then READY button will be activated on the Touch Screen and the Console Software W...

Страница 116: ...th shoulders parallel Relax the body Straighten the Cervical Vertebra 2 Adjust the height of the Chinrest by using the Chinrest UP DOWN button on the Control Panel until the patient s chin is placed c...

Страница 117: ...llel to the patient s nasal base If necessary click or press LED light UP DOWN button to adjust LED light brightness to have proper lighting for the photograph Console Software Touch Screen 6 Click 3D...

Страница 118: ...nual 9 Let the patient see the Eye mark 3 when you hear the beep sound 10 Put the Chinrest into the unit when 3D photography is completed 11 Click Press NEXT button to continue with Dental CT Imaging...

Страница 119: ...ing in normal situation Doing so may lead the patient to be unsafe The operator must keep vocal visual contact with the patient at all times during image acquisition process Do not operate the PC duri...

Страница 120: ...ntly underway The X ray Indicator icon of the Console Software turns yellow 3 Release the Exposure Switch when Image capturing is complete message appears on the screen 4 The Rotating Unit will move u...

Страница 121: ...d in EzDent i Refer to the EzDent i User Manual for more information 1 The images are transferred to EzDent i automatically 2 The images are automatically saved if automatic save option is configured...

Страница 122: ...9 Acquiring Dental CT Images 116 PaX i3D Green Premium User Manual Left blank intentionally...

Страница 123: ...h the X ray beam scanning specific oral maxillofacial regions and reconstructs them to 3D sliced images Examination Programs It is classified as below based on the FOV FOV cm Description ROI 21x19 For...

Страница 124: ...TO 3D PHOTO images can be acquired as well as ENT CT images at one time Special Option Auto Pano Auto Ceph 2D images of conventional panoramic cephalometric view are available with the specific FOV Fo...

Страница 125: ...s To acquire ENT CT Images 6 Getting Started must be completed first You can set the imaging parameters on either the Touch Screen or the Console Software running on the PC They are synched and displa...

Страница 126: ...n each imaging program is included in the equipment To acquire 3D PHOTO with ENT CT images click ENT CT CT 3D PHOTO button 2 Select FOV size You can configure Auto Pano and Auto Ceph options when 21x1...

Страница 127: ...e reconstructed 2D images during 3D CT scans without additional X ray exposure It has the same region that conventional cephalometric images offer It provides images for PA Lateral SMV and Waters view...

Страница 128: ...High Resolution 2010 FOV 21x19 cm 108 kVp 6 5 mA 18 0 sec 1130 FOV 17x11 cm 108 kVp 6 5 mA 16 6 sec Green 1610 FOV 21x19 cm 95 kVp 6 5 mA 18 0 sec 770 FOV 17x11 cm 90 kVp 6 5 mA 16 6 sec 4 Select a Vo...

Страница 129: ...y intensity Click Arrow button to zoom in The dose is adjustable by the 1 kVp and 0 1 mA respectively 8 When the exposure parameter setting is completed guide the patient to the equipment for position...

Страница 130: ...bit When the Headrest is attached Detach it The operator or the patient must keep holding the Headrest until the Handle Frame is opened and take it out after the Handle Frame is opened When the Chinre...

Страница 131: ...es earrings hair pins braces false teeth etc Metal objects may induce ghost images and lower the image quality 2 Let the patient wear a lead apron to protect themselves from residual radiation 3 Push...

Страница 132: ...llowing poses during imaging process Sit close against the chair Hold the handle See front Close the mouth Breathe through the nose Keep both shoulders parallel Relax the body Straighten the Cervical...

Страница 133: ...ter setting is completed On the Touch Screen a confirmation window will appear after NEXT button is clicked Click OK button if the setting is correct In case NEXT button has been already clicked you w...

Страница 134: ...Click NEXT button when the patient positioning is completed The Rotating Unit will come down to the exposure location Then READY button will be activated on the Touch Screen and the Console Software...

Страница 135: ...oulders parallel Relax the body Straighten the Cervical Vertebra 2 Adjust the height of the Chinrest by using the Chinrest UP DOWN button on the Control Panel until the patient s chin is placed comfor...

Страница 136: ...allel to the patient s nasal base If necessary click or press LED light UP DOWN button to adjust LED light brightness to have proper lighting for the photograph Console Software Touch Screen 6 Click 3...

Страница 137: ...ISH 9 Let the patient see the Eye mark 3 when you hear the beep sound 10 Put the Chinrest into the unit when 3D photography is completed 11 Click Press NEXT button to continue with ENT CT Imaging For...

Страница 138: ...oning in normal situation Doing so may lead the patient to be unsafe The operator must keep vocal visual contact with the patient at all times during image acquisition process Do not operate the PC du...

Страница 139: ...y underway The X ray Indicator icon of the Console Software turns yellow 3 Release the Exposure Switch when Image capturing is complete message appears on the screen 4 The Rotating Unit will move up a...

Страница 140: ...med in EzDent i Refer to the EzDent i User Manual for more information 1 The images are transferred to EzDent i automatically 2 The images are automatically saved if automatic save option is configure...

Страница 141: ...des 3D PHOTO images Image Acquisition Module A separate Intel Sense SDK module utilizing a 3D PHOTO camera is used Scan Area It covers the surface of the face 3D PHOTO images themselves have no diagno...

Страница 142: ...e Handle Frame 4 Let the patient sit on the chair and close the Handle Frame 5 Let the patient hold the handle in comfortable posture and see front 6 Adjust the height of the Chinrest by using the Chi...

Страница 143: ...arallel to the patient s nasal base If necessary click or press LED lamp UP DOWN button to adjust the brightness to have proper lighting for the photograph Console Software Touch Screen 10 Click 3D Sc...

Страница 144: ...Manual 13 Let the patient see the Eye mark 3 when you hear the beep sound 14 Put the Chinrest into the unit when 3D photography is completed 15 Push the Handle Frame s Open Close button inward and op...

Страница 145: ...pturing is completed 2 Double click the image to confirm on the Patient list 3 You can check the captured image OBJ file with a 3rd party 3D PHOTO viewer after exporting the image from EzDent i You ca...

Страница 146: ...11 Acquiring 3D PHOTOs Optional 140 PaX i3D Green Premium User Manual Left blank intentionally...

Страница 147: ...ther the Console Software is ready for imaging If imaging cannot be performed Cause Actions to be taken Failure of initialization Wait until the equipment is initialized and then try again If this pro...

Страница 148: ...12 Troubleshooting 142 PaX i3D Green Premium User Manual Left blank intentionally...

Страница 149: ...corrosion on the surface of the equipment Do not use any cleaning products which contain silicon They could potentially damage the equipment s electrical components The following table summarizes the...

Страница 150: ...are the input fuses which must comply with the manufacturer s specifications As a precaution against fire the replacement should be the one in the same type and range There are no user serviceable pa...

Страница 151: ...are not heated abnormally Daily Confirm that the LED indicator turns yellow when the Exposure Switch is pressed Ensure that the LED indicator remains yellow for the entire duration of the exposure Da...

Страница 152: ...13 Cleaning and Maintenance 146 PaX i3D Green Premium User Manual Left blank intentionally...

Страница 153: ...ed of in accordance with disposal regulations IEC 60601 1 6 8 2 j Parts Materials Recyclable To the special disposal site Hazardous waste Needs Separate Collection Frame and Covers Aluminum and plasti...

Страница 154: ...14 Disposing of the Equipment 148 PaX i3D Green Premium User Manual Left blank intentionally...

Страница 155: ...ion Mode FDD mm FOD mm ODD mm Magnification CT 672 72 384 12 288 60 1 75 PANO 672 72 446 13 226 59 1 51 i CEPH PA and Lateral 672 72 384 12 288 60 1 75 Virtual 1 i CEPH Carpus 672 72 626 20 46 50 1 07...

Страница 156: ...unit mm Item Description Weight 321 kg 708 lbs with the Base Total Height Max 2185 mm 86 0 inch Rotating Unit Vertical Movement Max 680 mm 26 8 inch Dimensions Length L x Width W x Height H 1575 L x 1...

Страница 157: ...0 kV 1 kV increment 10 mA 4 10 mA 1 mA increment 20 PANO i CEPH 0 5 mA increment CT 0 1 mA increment 10 Cooling Cooling Protect Optional fan cooling 60 Total filtration Min 2 5 mm Al Added filtration...

Страница 158: ...15 Technical Specifications 152 PaX i3D Green Premium User Manual Maximum Rating Charts Emission Filament Characteristics...

Страница 159: ...15 Technical Specifications PCT 90LH User Manual 153 ENGLISH Anode Thermal Characteristics Tube Housing Assembly Thermal Characteristics...

Страница 160: ...increment 10 mA 4 10 mA 1 mA increment 20 PANO i CEPH 0 5 mA increment CT 0 1 mA increment 10 Cooling Cooling Protect Optional fan cooling 60 Total filtration Min 2 5 mm Al Added filtration 2 0 mm Al...

Страница 161: ...15 Technical Specifications PCT 90LH User Manual 155 ENGLISH Maximum Rating Charts Emission Filament Characteristics...

Страница 162: ...15 Technical Specifications 156 PaX i3D Green Premium User Manual Anode Thermal Characteristics Tube Housing Assembly Thermal Characteristics...

Страница 163: ...PANO 198 m 4X4 Binning CT Dental ENT i CEPH Active area 310 4 mm x 36 4 mm Frame Rate 107 fps 2x2 Binning PANO 308 fps 4x4 Binning CT Dental ENT i CEPH Analogue Digital Conversion 14 bits Operating co...

Страница 164: ...Allowable input voltage fluctuation requirement 10 Mode of operation Continuous operation with intermittent loading Exposure time Max 18 s Resting time 10 min Column operation time 1 min Resting time...

Страница 165: ...GLISH 15 4 Environmental Specifications Item Description During Operation Temperature 10 35 Relative humidity 30 75 Atmospheric pressure 860 1060 hPa During Transport and Storage Temperature 10 60 Rel...

Страница 166: ...15 Technical Specifications 160 PaX i3D Green Premium User Manual Left blank intentionally...

Страница 167: ...6 0 85 5 5 Scan Time Exposure Time Examina tion Arch Selection Mode Scan Time s Exposure Time s High Resolution Green High Resolution Green Pano Examinat ion Narrow Normal Wide Orthogonal Standard 13...

Страница 168: ...16 1 2 i CEPH mode Exposure Condition Examination Gender Age Group Hard kVp mA Normal kVp mA Soft kVp mA Lateral PA Man 102 4 5 100 4 5 98 4 5 Woman 100 4 5 98 4 5 96 4 5 Child 98 4 5 96 4 5 94 4 5 Ca...

Страница 169: ...man Hard 108 6 5 95 6 5 Normal 106 6 5 93 6 5 Soft 104 6 5 91 6 5 Child Hard 106 6 5 93 6 5 Normal 104 6 5 91 6 5 Soft 102 6 5 89 6 5 Exposure Condition FOV 17x15 17x11 cm Mode High Resolution Green k...

Страница 170: ...d 108 6 5 85 5 5 Normal 106 6 5 83 5 5 Soft 104 6 5 81 5 5 Child Hard 106 5 5 83 5 5 Normal 104 5 5 81 5 5 Soft 102 5 5 79 5 5 Exposure Condition FOV 8x8 cm Mode High Resolution Green kVp mA kVp mA Ma...

Страница 171: ...12x9 18 0 18 0 13 9 13 9 8x8 Right 18 0 18 0 11 0 11 0 Left 18 0 18 0 11 0 11 0 Center 18 0 18 0 11 0 11 0 Depending on the circumference of the patient s head X ray intensity may be classified as Ha...

Страница 172: ...for patient doses monitoring HPA recommends that any national reference dose that achievable dose DAP value of 250 mGy cm 2 for clinical protocol for a standard male patient Standard National Deviatio...

Страница 173: ...0 mA 11 9 sec 50 Dental CT 21 x 19 High Resolution 108 kVp 6 5 mA 18 0 sec 2010 Dental CT 21 x 19 Green 95kVp 6 5 mA 18 0 sec 1610 Dental CT 8 x 8 High Resolution 108 kVp 6 5 mA 11 0 sec 620 Dental CT...

Страница 174: ...unt based on following standard defined by IEC regulation and has been performed by covering each collimator region in use Standard National Deviation Terminology Permissive Range International Standa...

Страница 175: ...lts Direction PANO Adult mR h Dental CT 21 x 19 mR h ENT CT 21 x 19 mR h i CEPH mR h 0 4 5 12 2 11 4 4 4 45 1 2 2 4 3 8 7 2 90 5 8 20 0 15 4 16 4 135 4 4 7 1 5 8 6 2 180 5 6 4 0 3 7 11 4 225 3 2 1 5 4...

Страница 176: ...tive shielding facility around the patient s position This information states the identity and intended position of tested phantom and scattered dosimetric evaluation under defined scope and test circ...

Страница 177: ...User Manual 171 ENGLISH Results PANO Adult Direction 1 m mR 1 5 m mR 2 m mR 0 1 00 0 74 0 49 45 0 15 0 11 0 08 90 0 69 0 51 0 34 135 0 51 0 38 0 25 180 0 68 0 50 0 33 225 1 38 1 03 0 68 270 1 00 0 74...

Страница 178: ...en Premium User Manual Results Dental CT 21 x 19 Direction 1 m mR 1 5 m mR 2 m mR 0 1 46 1 09 0 72 45 1 94 1 45 0 95 90 0 37 0 28 0 19 135 0 95 0 70 0 47 180 4 01 2 99 1 96 225 4 48 3 33 2 18 270 3 92...

Страница 179: ...er Manual 173 ENGLISH Results ENT CT 21 x 19 Direction 1 m mR 1 5 m mR 2 m mR 0 1 88 1 40 0 92 45 1 74 1 29 0 84 90 0 84 0 62 0 40 135 0 50 0 37 0 25 180 3 08 2 29 1 49 225 4 98 3 70 2 43 270 3 50 2 6...

Страница 180: ...D Green Premium User Manual Results i CEPH Direction 1 m mR 1 5 m mR 2 m mR 0 0 95 0 71 0 47 45 1 26 0 94 0 62 90 0 24 0 18 0 12 135 0 62 0 45 0 31 180 2 60 1 94 1 27 225 2 91 2 16 1 42 270 2 55 1 89...

Страница 181: ...ocation The PCT 90LH is suitable for use in all establishments other than domestic and may be used in domestic establishments and those directly connected to the public low voltage power supply networ...

Страница 182: ...ne s to line s 2 kV line s to earth 1 kV line s to line s 2 kV line s to earth Main power quality should be that of a typical commercial or hospital environment Voltage dips short interruptions and vo...

Страница 183: ...uding cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance where P is the maximum output power ra...

Страница 184: ...e in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the PCT 90LH can help Prevent electromagnetic interference by maintaining a minimum dis...

Страница 185: ...ss the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the PCT 90LH is used exceeds...

Страница 186: ...2 System of Skeletal Maturation Assessment SMA The System uses only four stages of bone maturation all found at six anatomical sites located on thumb third finger fifth finger and radius as seen Fig 1...

Страница 187: ...sites in the hand wrist Fig2 Radiographic identification of skeletal maturity indicators A Width of epiphysis as wide as diaphysis 1 Third finger Proximal phalanx 2 Third finger middle phalanx 3 Fift...

Страница 188: ...olescent development are found on these six sites Fig 1 orange circles Fig3 Eleven Skeletal maturity indicators SMIs A systematic observational scheme such as that shown in the figure above can furthe...

Страница 189: ...16 Appendices PCT 90LH User Manual 183 ENGLISH...

Страница 190: ...on throughout exposure 2 Move the Chinrest into a position that is slightly higher than the patient s chin height before requesting that the patient place chin onto the rest Direct the patient to assu...

Страница 191: ...oal of the dental hygienist is to maximize the use of panoramic imagery in the assessment of the pediatric patient while minimizing the occurrence of retakes that result from radiographic error Produc...

Страница 192: ...or back the patient should be positioned side positioner guides for determining the correct lateral alignment and a chin rest to correctly locate the superior inferior dimension or how far up or down...

Страница 193: ...th Figure 3 When the arches are positioned too far posteriorly the anterior teeth will appear broad or widened If the position is excessively posterior anterior teeth may be completely blurred from th...

Страница 194: ...ult from incorrect lateral positioning the midsagittal plane must be positioned perpendicular to the floor Most panoramic x ray machines have a head positioner and or laser light beam guide along with...

Страница 195: ...t downward turned appearance to the occlusal plane Figure 5 The condyles flare out and off the edges of the image and the palate appears as a widened thick dense radiopacity This positioning error res...

Страница 196: ...he machine Figure 2 The patient should be directed to stand in front of the panoramic x ray machine allowing the operator to place the chin rest into a position that is slightly higher than the patien...

Страница 197: ...ioning steps the panoramic x ray machine should be inspected and the focal trough recalibrated The dental hygienist who is skilled in understanding panoramic equipment operation and pediatric patient...

Страница 198: ...MEJ RE K WEERHEIJM EAPD guidelines for use of radiographs in children P40 48 European Journal of Pediatric Dentistry 1 2003 Guidelines in dental radiology are designed to avoid unnecessary exposure to...

Страница 199: ...to two pediatric tissue equivalent phantoms using thermo luminescent dosimeters for three dental CBCT units and six imaging protocols The doses to the thyroid salivary glands and brain ranged from 0...

Страница 200: ...he maximum value of mean organ dose in brain CT was 34 3 mGy for brain Maximum values of mean doses for the radiosensitive lens and thyroid were 32 7 mGy for lens in brain CT and 17 2 mGy for thyroid...

Страница 201: ...gnetic Compatibility ENT Ear Nose and Throat ESD Electrostatic Discharge EUT Equipment Under Test FDD Focal spot to Detector Distance FOD Focal spot to Object Distance FOV Field of View FPD Flat Panel...

Страница 202: ...16 Appendices 196 PaX i3D Green Premium User Manual SOP Signal Output Part SMV Submento Vertical TMJ Temporomandibular Joint...

Страница 203: ...formation contact your VATECH representative Tel 82 1588 9510 Email gcs vatech co kr Website www vatech co kr Headquarters 13 Samsung 1 ro 2 gil Hwaseong si Gyeonggi do 18449 Korea Factory 13 Samsung...

Страница 204: ......

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