Belmont BelmaX CM User guide

Ｂ０２－Ｔ１５１

Operation Manual

Panoramic Radiograph＆Cephaloradiograph

BelmaX CM

Notice to the operator and maintenance supervisor

＊Read this instruction manual before operation. After reading this manual,

safely keep this near the X-ray machine for the easy access.

The classification is shown as follows
According to the type of protection against electric shock. :
According to the degree of protection against electric shock. :

TAKARA BELMONT U.S.A., INC.

Class Ⅰ

Type B applied part

Ｂ０２－Ｔ１５１ １５

１５．Operation Procedures for Cephalo Lateral

(ＬＡ)

1. Learn the Panoramic radiographic operation procedures well. You can utilize Panoramic

operating procedures for other modes.

2. If procedures are the same as the ones of Panorama, explanations of operation
procedures in other modes are omitted. If you have an y questions, Refer to operation
procedures for Panorama.

１．Preparation for exposure

Set up CCD sensor
Hold CCD sensor by both hands and set up CCD sensor.

Secure CCD sensor by connecting sensor’s hook and fall prevention’s hook.

Sensor holder

Sensor holder

2．Turning power ON

Fall prevention hook

Hole of guide pin

CCD sensor hook

CCD sensor

Ｂ０２－Ｔ１５１ １５

3．Exposure Setting Screen

Click either “Import” or “Scan” from diagnosticsoftware / i
maging software.

If the power of the equipment is ON,
click OK.

f you receive the message「Equipment is not at
the original position. Push the RESET button.」
Then click the「RESET button」.

Set the exposure mode

Click Cephalo Lateral icon.
After select, icon will be changed to black.
Select either normal (4 sec) or short time (2.9 sec).

Setting ｋＶ（tube voltage）・ｍＡ（tube current）

Refer to article 17 for Cephalo Lateral exposure condition and setting exposure condition.

Ｂ０２－Ｔ１５１ １５

Setting ｋＶ（tube voltage）・ｍＡ（tube current）

Set kV
Click ｋＶ ▲（ＵＰ）・or ▼（ＤＯＷＮ）to set kV.

Set mA
Click mA ▲（ＵＰ）・or ▼（ＤＯＷＮ）to set mA.

4．Patient Positioning

4．１．Aling Ear Rod with exposure direction

①Rotate Ear Rod by holding the fixing

portion of Ear Rod, align Ear Rod to
exposure direction of Cephalo Lateral.

②Move Open-Close Lever for Ear Rod of

Cephalo stat to open Ear Rod maximally.

Ｂ０２－Ｔ１５１ １５

Put X-ray protector apron on a patient and an assistant.

Guide a patient near to the equipment.

①Push either of ＵＰ or ＤＯＷＮ key of

Cephalo ARM Up-Down Panel, and move
Sliding Unit up and down to align position
of Ear Rod to near of external auditory
foramen.

ＤＯＷＮ

ＵＰ

③ Take fitting part of forehead and pull

forward.

④ Take fitting part of forehead by agley

and collapse it.

Instruct a patient “Stand behind Cephalo ARM with both feet under center of
Cephalo stat and by extending cervical vertebrae and back muscle.”.

Ｂ０２－Ｔ１５１ １５

CAUTION

Pay enough attention to safety of a patient when Sliding Unit is moved up and down.

①Push either of ＵＰ or ＤＯＷＮ key ofU

ＤＯＷＮ

ＵＰ

p and down Movement Panel on CephaloAR
M to insert ear rod into external auditoryfora
men of a patient with fine adjustment.

②Make Frankfort Plane of a patient ho

rizontally.

③Move ear rod open-close Lever on Cephalo
stat to close Ear Rod and insert Ear Rod i
n to external auditory foramen of a patient

lightly and then fit Ear Rod.

Ｂ０２－Ｔ１５１ １５

④After confirmation that Frankfort Plane of a p

atient is horizontal, close Ear Rod to fix him
certainly.

⑤Take a attaching portion of fitting part of

forehead and move to vertically.
Return to satart position.

⑥Move fitting part of forehead and align

patient’s forehead position.

⑦Take and move a attaching portion of

fitting part of forehead and put it to
patient’s forehead.

Ｂ０２－Ｔ１５１ １５

5．Ready ＯＮ

Refer to １１．Operation Procedure for Panorama

6．X-ray Exposure

WARNING

１． Other people excepting a patient and an assistant should be outside of X-ray room while X-ray

is irradiated.

２．Operate “Exposure Switch” outside of X-ray room.
３．Keep to observe a patient and an assistant while X-ray is irradiated, and release Exposure

switch if any trouble might happen.
４．An operator instructs a patient not to move during exposure.

NOTE

１．Deadman system is applied to exposure switch. When the exposure switch is released, X-ray

irradiation and rotation of ARM Unit will be stopped.

6．１．Keep to push exposure switch until end of exposure.

6．２．X-RAY is kept to indicated and buzzer keeps to sound during exposure.

6．３．After exposure is finished, X-RAY indication will be lighted OFF, and buzzer will

stop to sound and ARM Unit will stop to rotate at the same time.

＊Refer to section 11. Operation procedure for Panorama

7．COOLING TIME

Refer to １１．Operation Procedure for Panorama ９．COOLING TIME

8．Release of a patient

Ｂ０２－Ｔ１５１ １５

① Move open and close lever of Cephalo.

Open ear rod maximally.

② Take fitting part of forehead and pull

forward.

③ Take fitting part of forehead by agley

and collapse it.

9．Returning ARM Unit to Panoramic Exposure Position

CAUTION

When push RESET key on exposure display, ARM Unit starts to rotate.
Move away from rotation area of ARM Unit not by touching ARM Unit.

①Remove ＣＣＤ sensor

Hold ＣＣＤ sensor by left hand and raise falling prevention’s hook by right hand then
push hook release.

After release of hook, down ＣＣＤ sensor below and remove it.

Sensor holder

Knob

Release of hook

Sensor unit

② Attach CCD sensor to Panorama
Refer to １１．Operation Procedure for Panorama and 1．Preparation for exposure.

③ Click ＲＥＳＥＴ key on exposure display.

Ｂ０２－Ｔ１５１ １５

④ ARM assy will move to start position for Panorama and stop automatically.

10．Confirm finish of cooling time

Refer to １１．Operation Procedure for Panorama

11．Turning Power OFF

Refer to １１．Operation Procedure for Panorama

２－Ｔ１５１ １６

１６．Operation Procedures for Cephalo Front
(PＡ)

1. Learn the Panoramic radiographic operation procedures well. You can utilize Panoramic
operating procedures for other modes.

2. If procedures are the same as the ones of Panorama, explanations of operation
procedures in other modes are omitted. If you have any questions, Refer to operation
procedures for Panorama.

１．Preparation for the exposure

Please refer to preparation procedure of Cephalo Lateral (15)

2．Turning power ON

3. Exposure Setting Screen

Click either “Import” or “Scan” from diagnostic
software / imaging software.

If the power of the equipment is ON,
click OK.

f you receive the message「Equipment is not at
the original position. Push the RESET button.」
Then click the「RESET button」.

２－Ｔ１５１ １６

Setting the exposure mode

⑥Setting ｋＶ（tube voltage）・ｍＡ（tube current）
Refer to article 17 for Cephalo Front exposure condition and setting exposure condition.

Click Cephalo Front icon.
After select, icon will be changed to black.

Setting ｋＶ
Click and select right side of ｋＶ ▲（ＵＰ）・
or ▼（ＤＯＷＮ）.
Setting ｍＡ
Click and select right side of ｍＡ ▲（ＵＰ）・
or ▼（ＤＯＷＮ）.
Or click upper right patient display.
In this case, depend on patient, adjustment of

ｋＶ・ｍＡ will be necessary

4．Patient Positioning

4．１．Aling Ear Rod with exposure direction

NOTE

If Ear Rod is rotated by holding Ear Rod, it might happen that alignment of Ear Rod
might be changed.
When Ear Rod is rotated, be sure to hold the fixing portion of Ear Rod.

２－Ｔ１５１ １６

① Rotate Ear Rod by holding the fixing

portion of Ear Rod, align Ear Rod to

exposure direction of Cephalo Front.

②Move Open-Close Lever for Ear Rod of

Cephalo stat to open Ear Rod maximally.

③Align Nasion Pad horizontally.

4．２．Put X-ray protector apron on a patient and an assistant.

4．３．Guide a patient near to the equipment.

２－Ｔ１５１ １６

＊Push either of ＵＰ or ＤＯＷＮ key of

Cephalo ARM Up-Down Panel, and move
Sliding Unit up and down to align position
of Ear Rod to near of external auditory
foramen.

ＤＯＷＮ

ＵＰ

4．４．Instruct a patient “Stand behind Cephalo ARM with both feet under center of
Cephalo stat and by extending cervical vertebrae and back muscle.”.

4．５．Positioning of patient.

CAUTION

Pay enough attention to safety of a patient when Sliding Unit is moved up and down.

２－Ｔ１５１ １６

③Push either of ＵＰ or ＤＯＷＮ key of

ＤＯＷＮ

Up and down Movement Panel on Cephalo
ARM to insert ear rod into external auditory

ＵＰ

foramen of a patient with fine adjustment.

④Make Frankfort Plane of a patient

horizontally.

⑤Move ear rod open-close Lever on Cephalo

stat to close Ear Rod and insert ear rod
in to external auditory foramen of a patient
lightly and then fit Ear Rod.

④After confirmation that Frankfort Plane of a

patient is horizontal, close Ear Rod to fix
him certainly.

２－Ｔ１５１ １６

5．Ready ＯＮ

Refer to １１．Operation Procedure for Panorama

6．X-ray Exposure

Refer to １5. Operation procedure for Cephalo (LA)

7．COOLING TIME

Refer to １1．Operation Procedure for Panorama

8．Release of a patient

Refer to １5．Operation Procedure for Cephalo (LA)

9．Returning ARM Unit to Panoramic Exposure Position

Refer to １5．Operation Procedure for Cephalo (LA)

10．Confirm finish of cooling time

Refer to １１．Operation Procedure for Panorama

11．Turning Power OFF

Refer to １１．Operation Procedure for Panorama １4．Turning Power OFF.

Ｂ０２－Ｔ１５１ １７

１７．Table of Exposure Settings

Set exposure factors by consideration of size, age, bone density, etc.
of a patient.

１．Panorama

１．１．Exposure time 12sec
１）Panorama Child：CHILD ORBIT

A G E S E X

Child

２）Panorama Adult：ADULT ORBIT

A G E S E X

Adult

３）Orthoradial Orbit：ORTHO ORBIT

A G E S E X

Adult

１．２．

１）Panorama Child：CHILD ORBIT

２）Panorama Adult：ADULT ORBIT

３）Orthoradial Orbit：ORTHO ORBIT

Exposure time 7sec

A G E S E X

Child

A G E S E X

Adult

A G E S E X

Adult

－ 60 8

Female

Male

Female

Male

－ 60 8

Female

Male

Female

Male

ｋＶ ｍＡ

ｋＶ ｍＡ

62 8
64 8

ｋＶ ｍＡ

62 8
64 8

ｋＶ ｍＡ

ｋＶ ｍＡ

62 8
64 8

ｋＶ ｍＡ

62 8
64 8

２．Maxillary Sinus Radiography

A G E S E X

Child

Adult

－

Female

Male

ｋＶ ｍＡ

60
62 8
64 8

8

Ｂ０２－Ｔ１５１ １７

３．TMJ Lateral (4 sections)

A G E S E X

Child

Adult

－

Female

Male

ｋＶ ｍＡ

62

10
64 10
66 10

４．TMJ Front (2 sections)

A G E S E X

Child

Adult

－

Female

Male

ｋＶ ｍＡ

62

10
64 10
64 10

５．Cephalo Lateral (ＬＡ) normal exposure

A G E S E X

Child

Adult

－

Female

Male

ｋＶ ｍＡ

86
88 12
90 12

６．Cephalo Lateral (ＬＡ) short time exposure

A G E S E X

Child

Adult

－

Female

Male

ｋＶ ｍＡ

86
88 12
90 12

７．Cephalo Front (PＡ)

A G E S E X

Child

Adult

－

Female

Male

ｋＶ ｍＡ

86
88 12
90 12

12

12

12

Ｂ０２－Ｔ１５１ １８

１８．Magnification of Image

Radiographic Mode Orbit Magnification

ＰＡＮＯＲＡＭＡ ：PANORAMA

ＭＳ
ＴＭＪ

ＣＥＰＨＡＬＯ

：Maxillary Sinus
：ＴＭＪ

：CEPHALO

ＣＨＩＬＤ ＯＲＢＩＴ
ＡＤＵＬＴ ＯＲＢＩＴ
ＯＲＴＨＯ ＯＲＢＩＴ

ＬＡ ４ＳＥＣＴＩＯＮ ：Lateral (LA)
ＰＡ ２ＳＥＣＴＩＯＮ ：Front (PA)
ＬＡ ：Lateral (LA)
ＰＡ ：Front (PA)

：Child
：Adult
：Ortho
：Maxillary Sinus

1.24～1.34

1.21～1.32

1.23～1.36

1.20～1.22

About 1.24
About 1.88

1.1

1.1

Ｂ０２－Ｔ１５１ １９

１９．DAILY MAINTENANCE

Cleaning and Disinfection

Parts How to maintenance
Bite Blocks (For Panorama)
Head Holding Rods
Ear Rods (TMJ Lateral 4 sections)
Ear Rods (TMJ Front 2 sections)
Chinrest (Panorama)
Chinrest (Maxillary Sinus)

Nasion Pad

EAR Rods (For Cephalo)
FOREHEAD REST (For Cephalo)
All other parts which patients touch.

All other parts which operator touch.
Outside cover of the equipment

Sterilize by AUTO-CLAVE after exposure(s) of each patient.

Make enough disinfection with alcohol for medical use, of which
alcohol degree is over 76%. after exposure of each patient

Make enough disinfection with alcohol for medical use, of which
alcohol degree is over 76%, at end of daily operation.
Wipe equipment with a dry cloth at end of daily operation.

Ｂ０２－Ｔ１５１ ２０

２０. Trouble Shooting

１．POWER can not be turned ON

Check Treatment
Is breaker turned on? Turn breaker on.
Is power plug connected to outlet? Connect power plug.

２．READY can not be turned on

Check Treatment

Is positioning of ARM at starting place? Depress RESET key.

３．Error message on PC display

Treat by following message on display.

Display

Motor of first collimator error. Depress RESET.
Head motor error. Depress RESET button.
Invertor error. Depress RESET button.
Vessel temperature error. Depress RESET button.
Motor of Y axis error. Depress RESET button
Motor of rotation error. Depress RESET button
Motor of indicator error. Depress RESET button
Motor of cephalo error. Depress RESET button
X-ray SW error. Depress RESET button
Communication error between MAIN CPU-MOTOR and CPU. Depress RESET button
Communication error between PC and MAIN CPU. Depress RESET button

If you can not solve problem by treatment of following display, turn off the power

and turn on the power again.

＊ When the trouble cannot be resolved, turn power of the equipment OFF, and remove electric

power socket from electric outlet, and call to our agent or our office where are near you.

In case that CCD Sensor has a problem

Turn the power of the PC off
Turn the power of the Panoramic radiograph off.
Turn the power of the Panoramic radiograph on again
Turn the power of the PC on again and restart the PC
Check the condition of LED (green color)
If the green LED is not blinking, check the connection between the PC and the Sensor unit

Ｂ０２－Ｔ１５１ ２１

２１．MAINTENANCE

Warning

High voltage is applied to inside of the equipment. Do not open the cover by yourself.
Before asking for a repair, turn the power of the equipment OFF, and unplug from the power outlet.

After unplugged the equipment, wait for 10 minutes before starting a service work.

Special knowledge and special measuring tools are required to check this equipment.
To ensure that X-ray unit functions within the manufacturer’s specifications and remains in compliance with

Standards, daily checking (by eyes) and a periodic maintenance by the dealer service personnel are
recommended.

Maintenance by service personnel 1-2 times/year

Check Item Purpose Action

Method

Electricity
Condition

External
Appearance

Installation place

Safety Test for
Electric Shock

Movement
Accuracy
of the equipment

Check voltage range

External Appearance

Inside of the equipment Check stain and dust
Temperature & Humidity
Level of floor Check the influence to the equipment

The Installation condition
of the equipment

Check obstacles
Rust
Insulation Resistance

Leaked current from the
outer cover

Earthing resistance
Resistance of the Earth

wire
Power Circuit voltage Check the voltage of the power circuit
Check Radiographic

Circuit
Check Control Circuit Check the movements of operating sequences
Accuracy of the

Positioning Mechanism
Check the Movement of

the Protection Circuit

Check display circuit Check the functions of display circuit

Check whether incoming voltage is within the
equipment’s requirement or not.
A) Deformation, scratches.

B) Warning Labels

Check compatibility of the environmental
conditions to operate the equipment

Check vibration and movement stability of the
equipment
Make sure that there are no obstacles within the
movement range of the equipment
Check the condition of the rust. Evaluate the
influence to the safety.

Check the resistance between a power line and
the earth
Check the current which is leaked from
the outer cover of the equipment to the earth
Check the resistance value between an exposed
metal and the earth
Resistance between the earth terminal and the
earthing point

Check the wave shape and the setting values of
the radiographic circuit

Check the deterioration of the positioning
mechanism
Check the setting values of the protection circuit.
Check the movement of the protection circuit.

●
◎

◎

●

●

●

●
◎
◎

●

●

●

●

●

●

●

●

●

●

Ｂ０２－Ｔ１５１ ２１

Check Item Purpose Action

Method

Display during an
exposure

X-ray Generator

Radiographic
mechanism

Sliding mechanism

X-ray output

Accessories

Check irradiation of
X-ray and “X-RAY ON”
display are in sync
X-ray tube Check the leakage of insulation oil
Low voltage cables Check wear, damage, tension, and twist
Cone Check looseness, transformation, and damage
Filter Check transformation and damage

Slit Plate (Collimator)
Movement of the

ROTATION ARM ASSY
Patient Positioning
Mechanism

Positioning beams Check the brightness and the positioning accuracy
Wire Rope

Upward / downward
movements
Drop prevention
mechanism

X-ray Tube Voltage Check X-ray Tube voltage
X-ray Tube Current Check X-ray Tube current
Exposure Time Check exposure time

Check this while X-ray is irradiated.

Check off-alignment of exposure field. Confirm the
exposure width

Check slip, abnormal sound, and stopping
accuracy

Play, looseness, operational performance, and
safetyness

Check cut, check the wire is securely connected
to the terminal

Check smoothness of the movement
Check safety mechanism works properly

Intensifying Screen Check crack and scratch
Film Cassette Check crack and scratch

Checking Methods

◎：Check by eyes during a daily operation

●：Check by a service personnel.

◎

◎
◎
◎
◎

●

◎

◎
◎

●
◎

●

●

●

●
◎
◎

Ｂ０２－Ｔ１５１ ２２

２２．Physical Dimensions

BelmaX CM

Ｂ０２－Ｔ１５１ ２３

２３．Technical data

１．Wall Bracket.

The distance between the column and a wall is 6.1” (155 mm).

２．Compliance with International Standards

ANE-BEL, ANA-BEL CM complies with the following standards

ＩＥＣ ６０６０１－２－７ （１９９８）
ＩＥＣ ６０６０１－２－２８（１９９３－０３）
ＩＥＣ ６０６０１－２－３２（１９９４－０３）

３．Classification

１．According to the type of protection against electric shock

a) Equipment energized from external electrical power source.
Class I equipment

２．According to the degree of protection against electric shock
Type Ｂ applied part
３．Protection against Ingress of water
Ordinary
４．Equipment not suitable for use in the presence of a FLAMMABLE ANAESTHETIC MIXTURE WIT

H AIR OR WITH OXYGEN OR NITROUS OXIDE

５．According to the mode of operation:
Continuous Operation with Short-Time Loading

６. Duty cycle:

Exposure Time: 12 sec, Cooling Time: 90 sec

４．Remaining Risk

１．Occurrence of the excesse X-ray dosage due to malfunction of software during exposure
Signal to Watch Dog IC (works to reset if the signal is in the same condition over 1.6 sec.) o

bserves the operating condition of the software.

２．If excessive X ray is irradiated due to the mechanical malfunction, immediately turn the X-RAY SWITCH OFF.

to stop the irradiation.

３．Operator instructs a patient not to move until the movement of the ROTATION ARM stops during

a RESET process.

４．ANA-BEL monitors the temperature of the X-ray generator from READ ON to the end of the exposure.

If X-Ray generator malfunctions due to the unusual temperature in X-ray tube, radiography will be
terminated and ERROR will be displayed.

５．Operator instructs a patient not to move during an exposure.
Also, operator should pay attention to a patient, an assistant, and the equipment during an exposure.

Ｂ０２－Ｔ１５１ ２３

５．Environmental condition to operate the equipment is as follows.

Environmental condition to operate the equipment

The temperature: 41~95F (5～35℃)
The humidity : 30-85%
The atmospheric pressure: 700-1060hpa

６．The environmental condition to transport the equipment is as follows.

Environment to transport the equipment

The temperature: 14~140F (－10～60℃)
The humidity : 30-85%
The atmospheric pressure: 700-1060hpa

７．X-ray Generator

１．Maximum electric output

Maximum X-ray tube voltage: 90kV
Maximum X-ray tube electric current: 12mA

２．Nominal maximum electric power for output of 90kV, 12mA.

1.08ｋＷ

３．Standard Tube Voltage, Current and Time
１２０ｍＡｓ（７５ｋＶ、１０ｍＡ、１２ｓｅｃ）

４．Minimum Tube Current and Time
２４ｍＡｓ（２ｍＡ、１２ｓｅｃ）

５．Nominal Capacity of Anode Input

１.７５ｋＷ

６．Maximum Capacity of Anode Heat
３５ｋＪ（５０ｋＨＵ）

７．Material of X-ray Tube Anode
Tungsten

８．target angle of X-ray Tube
５°

９．Angle of X-ray Tube Focus Angle
５°

１０．Size of X-ray Tube Focus

０.５×０.５（ｍｍ）

１１．Characteristic Filtration of X-ray Tube

０.８ｍｍＡｌ

１２．Nominal Tube Voltage of X-ray Tube
５０～１００ｋＶ

１３．Rating of X-ray Tube Filament

３.５～４.９Ｖ ３.５Ａ
Refer to Characteristic Drawing of Emission for Cathode

１４．Supplied Voltage of Primary Side for 50-100kV Output
About 150 Vp (PWM)

１５．Weight of X-ray Generator About 7.13 kg

Ｂ０２－Ｔ１５１ ２３

１６．Leaked Dose of the X-ray Generator

Refer to the attached document paper.

Loading Factor to measure leakage of X-ray Generator: 90kV, 12mA, 20sec

１７．Type of X-ray Generator
ＣＬＡＳＳ Ｉ

１８．Standard Angle to assemble X-ray Generator
Horizontal / perpendicular

１９．Target Angle to assemble X-ray Generator
５°

２０．Precision to install focus of X-ray Generator at time of construction of
X-ray Generator

±０.５ｍｍ

２１．Size of the focus at time of installation of X-ray Generator

０.５×０.５（ｍｍ）
２２．Duty Cycle
Cooli ng tim e f or this X-ray Generator is 90 seconds to avoid the accumulation of excessive heat. X-RAY

operation is unavailable for 90 seconds after each exposure.

８．Aluminum equivalent

Name of part Aluminum equivalent
Filter 0.8mmAl
Sliding Unit Cover 2.0mmAl
Ear Rod(TMJ 1 & 2) 0.2mmAl
Head Holder 0.2mmAl
Film Cassette 1.2mmAl
Intensifying Screen 3.0mmAl
Bite Block 1.0mmAl

９．Rating of Line Switch

250V, 15A

１０．Maximum Energy Input per 1 hour

1728mAs / h

１１．Rotation Speed of ARM

0.85km/h.

１２．Rotation Force of ARM

3.7kgf.

Ｂ０２－Ｔ１５１ ２３

１３．Staments of Reference Loading Condition

90kV, 12mA, 12sec (ANA-BEL)
90kV, 12mA, 3.2sec (ANA-BEL CM)

１４．Laser Marking

Class : 2 products (IEC60825-1: 2001)
Wave Length: ６７０ｍｍ
Standard : １ｍＷ

１５．Line impedance

0.3Ω

Ｂ０２－Ｔ１５１ ２４

２４．Contact Information

Belmont Equipment

A Division of TAKARA BELMONT USA, Inc.
101 Belmont Drive
Somerset, NJ 08873
Toll Free [phone]
Toll Free Fax [phone]

www.belmontequip.com

TAKARA COMPANY, CANADA, LTD.

2706 South Sheridan Way
Mississauga, Ontario, Canada L5J 2M4
Toll Free [phone]
Fax [phone]

www.takarabelmont.ca

Ｂ０２－Ｔ１５１ ２５

２５．Revision data of this manual

This manual was revised on JUL.2006.

The revised document number ：Ｂ０２－Ｔ145

Ｂ０２－Ｔ１５１

Thank you very much for purchasing our equipment Model BelmaX CM.

Please read this operation manual carefully before operation in order to use the X-Ray

machine properly and safely.

Ｂ０２－Ｔ１５１

CONTENTS

pages

０１．INTRODUCTION

０２．WARNING

０３．Explanation of Equipment

０４．Specifications

０５．Standard Accessories

０６．Name of each parts

０７．Explanation of each parts

０８．Exposure setting screen / Control Panel

０９．Preparations before exposure

１０．Flow Chart of Exposure Process

１１．Operation Procedure for Panorama

１２．Operation Procedure for Maxillary Sinus

１３．Operation Procedure for TMJ Lateral (4 sections)

１４．Operation Procedure for TMJ Front (2 sections)

１５．Operation Procedure for Cephalo Lateral(ＬＡ)

１６．Operation Procedure for Cephalo Front(PＡ)

１７．Table of Exposure Factors

１８．Magnification of Image

１９．DAILY MAINTENANCE

2

3

2

2

1

2

2

4

2

1

14

6

7

6

9

6

2

1

1

Ｂ０２－Ｔ１５１

CONTENTS

２０．Trouble Shooting and Error Code List

２１．MAINTENANCE

２２．Physical Dimensions

1

2

1

２３．Technical data

２４．Contact Information

２５．Revision Record of this manual

4

1

1

Ｂ０２－Ｔ１５１ ０１

０１．INTRODUCTION

１．Read this manual carefully when you use this equipment for the first time.

２．Be sure to observe warning sentences and forbidden matters at the operating time of the

equipment.

３．Read the operation manual from the beginning to the end.
Reading the operation manual from halfway migh t lead to misunder sta nding .

４．Read this manual again to confirm the portion in question if you have any questions.

５．Operation procedure of Panoramic radiograph is basis of X-ray radiograph.

Your can use this procedure for other radiograph (i.e. MS, TMJ)

６．Explanation of operation procedure of other radiograph are omitted, if the proced ures are same as the one

of Panoramic radiograph.

Refer to operation procedure of panoramic radiograph, if you have any questions about operating

procedures.

７．Discharge
Be sure to observe the contents of this operation manual.

Even if any trouble or an accident will happen due to wrong use, we will not be responsible
for them.

８．Warrantee Period
Warrantee period is two years after purchase of the equipment.

We will repair failure or defect by this warranty. This warranty is void when failure or defect is caused b y
conditions beyond the manufacturer’s control, such as damage resulting f rom mishandling, neglect, misuse,
improper maintenance, accident or alteration or repair by anyo ne other than Belmont or authorized Bel mont
dealer. See warrantee card for more information.

Operation condition.

９．Maintenance
Be sure to make proper maintenance of your equipment.

Maintenance responsibility of medical equipment lies on the user.

１０．Period for repair and supplying parts

We will supply parts of the equipment for 10 years, after the manufacturing of this equipment is

discontinued.

１１．

mark means “ Attention, consult accompanying documents ”.

Ｂ０２－Ｔ１５１ ０１

１２．

mark means “ Protective earth(ground) “.

１３．

mark means “ OFF (Power: disconnection from the mains) “.

１４． mark means “ ON (Power: connection to the mains) “.

１５．

mark means “Type B“ Applied part

１６．No user serviceable items inside.

１７．Conformability of indicated X-RAY requirement was determined in accordance with R10 sequences that

follows ISO497.

Ｂ０２－Ｔ１５１ ０２

０２．WARNING

WARNING:

Always conform to the safety work standards.
Repair work for internal parts of the equipment involves high risk. This should be strictly conducted by an
authorized service personnel only.

NOTES:

Details of WARNING are stated as follows in this manual:

DANGER:

Ex p l a i n s dange r that may cause serious adverse effect to a human b ody.

WARNING:

Ex p l a i n s an instructio n where a personal injury or a physi cal damage may occur.

CAUTION:

Explains an instruction that should be observed for safety reasons.

NOTE:

States descriptions which serve to improve work efficiency and to help user to understand instructions in the manual.

DANGER

This equipment is electrical equipment. Do not splash water.
Such action causes an electric shock or a trouble of the equipment.

WARNING

Any user should not open any cover of the equipment.

WARNING

The management responsibility of use and maintenan ce of this equipment belongs to the user
The operation of this equipment is limited only to legally qualified persons.
User should not open the cover of the equipment.

Contact your dealer for service.

Ｂ０２－Ｔ１５１ ０２

WARNING

This equipment should be installed i n the X -ray roo m su rro und ed by wal ls that have over 1.0 mmPb lead equiva le nce.
The exposure switch sh ould be instal led outside of the X-ray ro om.

WARNING

When earthquake is warned, do not use the equipment.
After earthquake occurred, check the equipment and make sure the equipment works properly.

WARNING

This X-ray Unit may be dangerous to patient and operator, if safe exposure factors and operating instructions are not
observed.

WARNING

Do not put things in area where the equipment moves.

WARNING

Put a X-ray protective apron on the patient.

WARNING

Disinfect the area where a patient and an operator might touch after each exposure.

WARNING

Operator should pay attention to a patient when the Sliding Unit moves up and down.

WARNING

When the equipment is not used, turn off “Power SW“

WARNING

When the equipment has trouble, turn off“Power SW“.

Ｂ０２－Ｔ１５１ ０２

WARNING

During an X -R ay exposure, o nl y a patient and a helper ( who is permitted to enter by an ope ra tor) are allowed to
stay in X-Ray room.

The helper (hereinafter helper) in this manual, is defined as person who a doctor permits to assist a p at ien t w hi le
taking a X-ray radiograph.

WARNING

Do not press the exposure switch in the X-ray room.
Watch a patient and the equipment during an exposure.

When you encounter any trou bl e , immediately rele a se the ex po su r e s wit c h.

WARNING

LASER, DOT NOT STARE INTO BEAM, CLASS 2 LASER PRODUCT
１．Laser Beam is applied. For safety, instruct a patient not to look at the laser beam.
２．Before the beam is lightened, lower the Frankfort Line Beam to the bottom.

３．Do not set the beam to patient's eyes.

CAUTION

When the equipment and/or its' parts will be disposed, contact the dealer or our office.

CAUTION

Disposal Process:
Dispose used bite fork covers and films according to the disposal procedures indicated by each
manufacturer and the local code.

CAUTION

Do not turn the Rotation Arm by hands. It might cause trouble of the equipment.

CAUTION

Operator shall instruct a patient not to move while X-ray exposes.
Operator shall instruct a patient not to move until the movement of ARM is finished during RESET
movement.

CAUTION

The equipment shall be connected to the receptacle marked “Hospital Only” or “Hospital Grade”.

Ｂ０２－Ｔ１５１ ０３

０３．Explanation of Equipment

１．Outline

BelmaX CM can take radiographs of Panorama, TMJ, Maxillary Sinus, and Cephalo.

2. Features

２．１．Radiograph with multiple orbits

Every kinds of Panoramic radiograph can be taken in the Maxilla-Facial radiograph

such as Panorama and TMJ.

２．２．Panoramic radiograph with less overlap of teeth
By the orthoradial panoramic mode, a panora mic rad iograph w ith less over lap can be taken .

２．３．High Frequency X-ray Generator
The X-ray generator with the High Frequency Inverter delivers high quality radiation. This enables

improved image quality while reducing radiation dose.

２．４．X-ray Tube with minute focus
Owing to the minute X-ray Tube focus of 0.5 x 0.5mm, sharp and clear image is achieved.

２．５．Versatile Combination of Exposure Factors
Tube voltage can be set from 60 kV to 90 kV by 1 kV step.
Tube current can be set at 2, 4, 6, 8, 10, and 12mA.

With wide range of exposure setting, BelmaX CM can get ideal radiograph for every type of patient.

２．６．Patient Positioning with 3 Beam Lines

Bright and Visible three laser beams make positioning very easy and accurate.

２．７．Adjustable Mirror for Patient Positioning
The Angle of the mirror can be changed, both patient and operator can easily check the patient

positioning.

２．８．Motorized Sliding Unit
The Motorized Sliding Unit enables smooth operation and fine adjustment for the precise

positioning.

３．Configuration

Equipment consists of below assemblies.

1. Mechanical Assemblies, 2. X-ray Generator, 3. X-ray Controller

4. Cephalo Assembly:

Ｂ０２－Ｔ１５１ ０３

４．Available Radiographic Modes

Panorama
TMJ Lateral

TMJ Front
Maxillary Sinus
Cephalo Lateral
Cephalo Front

Ｂ０２－Ｔ１５１ ０４

０４．Specifications

Model
Input Power

Power
High Tension

Generator
Exposure Method Manual

Tube Voltage
Tube Current 2.4.6.8.10.12mA (2mA step)
X-ray Tube
Focal Spot
Total Filtration
CCD sensor Both as Panorama and Cephalo

Panoramic

Exposure Mode

Exposure Time

Magnification

Positioning Beam 3 beams

Positioning tools

Weight 417 lb(189 kg)

Maxillary Sinus

TMJ

Panorama
Maxillary Sinus
TMJ Lateral
TMJ Frontal
Panorama
Maxillary Sinus
TMJ Lateral
TMJ Frontal

Panorama・M axillary Sinus：
Chin Rest+ Head Holding Rod
ＴＭＪ Lateral・Frontal：Ea r Rod

Digital Panoramic and Cephalometric Radiograph BelmaX CM

(+/- 10%) 60Hz 1φ

２.０kW

０.５×０.５ｍｍ

Cephalo

Cephalo Lateral：2.9sec(short time mode)
4sec(normal time mode)

Frontal：3.2～5sec

Cephalo Lateral & Frontal: 1.1

Lateral

Frontal

―

：7sec／12sec
：8sec
：3.0sec(
：3.0sec(
：1.21～1.36
：1.2～1.22
：appr.1.24
：appr.1.88

120Vac

High Tension Generator (100kHz)

60kV～100kV (1kV step）

Ｄ－０５２ＳＢ（Toshiba）

２.５mmＡｌ（Min）

Child
Adult
Orthoradial

Lateral

Frontal

×

4)

×

2)

Ｂ０２－Ｔ１５１ ０４

Environmental condition for Operation
Temperature : 41~95F (5～35℃)
Humidity : 30～85%
Pressure : 700～1060 hpa

Environmental condition for Storage
Temperature : 14~140F (－10～60℃)
Humidity : 10～95%
Pressure : 700～1060 hpa

Environmental condition for Transportation
Temperature : 14~140F (－10～60℃)
Humidity : 10～95%
Pressure : 700～1060 hpa

Ｂ０２－Ｔ１５１ ０５

０５．St andard Accessories

１． Head Holding Rods (Panorama)

(Maxillary Sinus)

２．Ear Rods (TMJ Lateral 4 sections) ７．Bite Fork Cover(Disposable）

６．Bite Fork (Panorama)

３．Ear Rods (TMJ Front 2 sections) ８．X-ray Switch Holder

４．Chinrest (Panorama)

５．Chinrest (Maxillary Sinus)

Ｂ０２－Ｔ１５１ ０６

Y

Y

０６．Name of each parts

BelmaX ＣＭ

Cephalo Stat

Cephalo arm

Arm ASS

Panorama sensor

Rotation unit

Sliding unit

Cephalo sensor

X-ray generator

Rest ASS

Grip

Pillar

X-ray switch

Beam operational panel

Ｂ０２－Ｔ１５１ ０６

Dimensions

Ｂ０２－Ｔ１５１ ０６

ＣＣＤ sensor（Name and size）

Ｂ０２－Ｔ１５１ ０７

０７．Explanation of each parts

１．POWER SWITCH

＊This switch is used to turn power ON/OFF.
To turn power ON:

Push “Ｉ“ on the power switch.
To turn power OFF:
Push “○” on the power switch.

２．Beam Line Operation Panel

＊Use this to adjust positioning beam lines.

３．Knob to open and close the Head Holding Rod and Ear Rod (TMJ)

＊Use this knob to hold / release Patient’s head.

４．Exposure Setting Screen

＊Set the Exposure Mode, KvP and mA by using t his

screen.

Ｂ０２－Ｔ１５１ ０７

５．Names of Beam Line for the Patient Positioning

Median Plane Beam Line

Frankfort Plane Beam Line

Focus Beam Line

＊ Median Beam Line: Set this beam to the median line of a patient.
＊ Frankfort Beam Line: Set this beam to the Frankfort line of a patient.
＊ Focus Beam Line: Set this beam to the root of anterior teeth of upper and lower jaw of a patient.

６．Lever to open and close the Ear Rod

＊ Use this to hold / release Patient’s head

７．Nasion Holding Pad

＊ Put patient’s nasion to this pad.

Ｂ０２－Ｔ１５１ ０８

０８．Exposure Setting Screen / Control Panel

You can access to this exposure setting screen via TWAIN driver.
Click either “Import” or “Scan” from diagnostic software / imaging software.
Operation Procedure section has detailed explanation of exposure settings.

Ｂ０２－Ｔ１５１ ０８

１ ７

２

３

Name Function

No

１

Sliding Unit UP key Sliding Unit is elevated.

２

Sliding Unit DOWN key Sliding Unit is lowered.

３

Frankfort Beam Line UP key Frankfort Beam Line is elevated.

４

Frankfort Beam Line DOWN key Frankfort Beam Line is lowered.

５

Focus Beam Line Forward key Focus Beam Line is moved forward.

６

Focus Beam Line Backward key Focus Beam Line is moved backward.

７

RESET switch

４

６５

The Rotation ARM and Cassette Holder are set

to the start position.

CAUTION

Speed of the up / down movement of Sliding Unit changes.
When the up / down key is depressed and held, the speed of first three seconds is slow, then
speed becomes fast.
To make a fine adjustment, press the key then immediately release a finger from the key

NOTE

Any of above keys won’t work under READY ON condition.

＊Forward and backward movement of the Focus

Beam Line.

Ｂ０２－Ｔ１５１ ０８

＊Up and down movement of the Frankfort Beam

Line.

＊Up and down movement of the Sliding Unit.

Ｂ０２－Ｔ１５１ ０８

４．The Operation Panel for Cephalo ARM

１

２

No Name Function
１

Sliding Unit UP switch Sliding Unit is elevated.

２

Sliding Unit DOWN switch Sliding Unit is lowered.

CAUTION

Speed of the up / down movement of Sliding Unit changes.
When the up / down key is depressed and held, the speed of first three seconds is slow, then
speed becomes fast.
To make a fine adjustment, press the key then immediately release a finger from the key

Ｂ０２－Ｔ１５１ ０９

０９．Preparation before exposure

１．Prepare accessories according to exposure mode

１．１．Panorama
1）A pair of Head Holding Rod (Panorama)
2）A Chinrest (Panorama)
3）A Bite Fork
4）A Cover for Bite Fork（a article of consumption）
１．２．Maxillary Sinus
1）A pair of Head Holding Rod (Panorama)
2）A Chinrest (Maxillary Sinus)
１．３．TMJ Lateral 4 sections
A pair of Ear Rod (TMJ Lateral 4 sections)
１．４．TMJ Front 2 sections
A pair of Ear Rod (TMJ Front 2 sections)

２．Attach digital CCD sensor

２．１．

①Attach ＣＣＤ sensor
Set up CCD sensor
Hold CCD sensor by both hands and set up CCD sensor.

Secure CCD sensor by connecting sensor’s hook and fall prevention’s hook.

Radiography of Panorama・Maxillary sinus・TMJ lateral(tetramerous)・

TMJ front (bisection).

Fall prevention hook

CCD sensor hook

Holder of sensor

Guide pin

Hole of guide pin

CCD sensor

Ｂ０２－Ｔ１５１ ０９

２．２．Cephalo Radiography
①Attach ＣＣＤ sensor
Set up CCD sensor
Hold CCD sensor by both hands and set up CCD sensor.

Secure CCD sensor by connecting sensor’s hook and fall prevention’s hook.

Holder of sensor Holder of sensor

Hook of prevent dropout

Hole of guide pin

２．X-ray protector apron

Hook of CCD sensor

CCD sensor

Ｂ０２－Ｔ１５１ １０

p

,

r

,

p

p

１０．Flow Chart of Exposure Operation

Panorama

Panorama

MS TMJ

Prepare for exposure

Insert CCD senso

Turn ON PC for ADR PLUS

Start-up ADR PLUS

Refer to O

Turn ON power of equipment

Exposure display of ADR PLUS,

select ex

MS TMJ(LA)

Exposure display of ADR

input exposure condition

PLUS

eration Manual ADR

osure orbit

TMJ(PA)

Cephalo(LA)

Cephalo

Cephalo(PA)

Make patient positioning

Exposure display of ADR

Ready ON.

PLUS
Push X-ray switch

End of exposure

Release a patient

Display of ADR PLUS,

save ex

Confirm finish COOLING TIME

Power OFF(Equipment)

osure image

Ｂ０２－Ｔ１５１ １１

１１．Operation Procedure for Panorama

1. Learn Panoramic radiographic operation procedure that is basic X-ray radiograph.

2. Explanation of operation procedure in other modes that the same operation as

Panorama is omitted. Refer to operation procedure for Panorama according to
necessity.

１．Preparation for exposure

Set up CCD sensor
Hold CCD sensor by both hands and set up CCD sensor.

Secure CCD sensor by connecting sensor’s hook and fall prevention’s hook.

Fall prevention hook

CCD sensor hook

＊X ray protective clothing
＊Head holding for Panorama
＊Chin rest for Panorama
＊Bite fork
＊Bite fork cover

Sensor holder

Guide pin

Hole of guide pin

CCD sensor

Ｂ０２－Ｔ１５１ １１

2．Turning power ON

NOTE

For safety, display of the indicator will be turned off with no switch operation if over 5 Minutes
passes after turning POWER switch ON.

① Push “Ｉ” on POWER switch.

3．Start Exposure Setting Screen

Click either “Import” or “Scan” from diagnostic
software / imaging software.

If the power of the equipment is ON,
click OK.

Ｂ０２－Ｔ１５１ １１

Set exposure conditions.

f you receive the message「Equipment is not at
the original position. Push the RESET button.」
Then click the「RESET button」.

Select an exposure mode

Click exposure speed “12sec” or “7sec.”
After selection, color of icon will be changed to black.

Click Child or adult or ortho (Ortho radial exposure).

＊Ortho : Radiography of less tooth overlap.

Ｂ０２－Ｔ１５１ １１

Setting ｋＶ（tube voltage）・ｍＡ（tube current）

Refer to article 17 for PANORAMA exposure condition and setting exposure condition.

Setting ｋＶ
Click ｋＶ ▲（ＵＰ）・or ▼（ＤＯＷＮ）to set kV.

Click mA ▲（ＵＰ）・or ▼（ＤＯＷＮ）to set mA.

Ｂ０２－Ｔ１５１ １１

4. Patient Positioning

4. 1. Mounting of Chinrest and Insertion of Head Holding Rod (Panorama)

① Mount a Chinrest (Panorama) on the

Chinrest Unit.

② Insert a pair of Head Holding Rods

(Panorama).

Rotate the knob of Chinrest Unit to open Head
Holding Rods maximally.

④ Incrust a Bite Fork Cover on a Bite Fork,

and insert in a Chinrest (Panorama).

CAUTION

Be sure to change a Bite Fork Cover for every patient and dispose the used Bite Fork Cover.

4. 2. Put a X-ray protective apron on a patient and on an assistant.

4. 3. Guide a patient near to the equipment.

Ｂ０２－Ｔ１５１ １１

＊ Depress either ＵＰ ＤＯＷＮ key on

Beam Control Panel or the one on the Sliding
Unit to move height of Chinrest (Panorama).
Depress up or down key to bring chinrest
height close to patient’s mandible.

4．４．Instruct a patient to stand toward the Pillar with foot under a Chinrest (Panorama).

4．５． Ask a patient to stand with his or her back and neck as straight as possible. Then hold grips.

4．６．Position patient

①Depress either ＵＰ・ＤＯＷＮ key on Beam

Control Panel, to move Chinrest (Panorama)
lightly touches patient’s mandible.

CAUTION

Pay enough attention to patient’s safety when Sliding Unit moves up and down.

②Instruct a patient to bite a groove of Bite Fork

with upper and lower anterior teeth. Instruct a
patient to put chin on a Chinrest.

＊For an edentulous patient

Roll clean gauze on a Bite Fork, and instruct

patient to bite it.

③Adjust the beam height so that the beam hits

the patient’s miniscule of the ear (hole). Then
adjust the patient’s head as to beam indicates
Frankfort Plane (from miniscule of the ear to
bottom of the eye orbit)

Ｂ０２－Ｔ１５１ １１

④ Lightly close the Head Holding Rods to

position patient’s head.

4．７．Turn Positioning Beams ON.

CAUTION

1. Laser Beams are used to position a patient.

2. Warn a patient not to look directly at the laser beam line.

3. Do not set the beam line to patient’s eyes.

NOTE

Positioning beams have AUTO POWER OFF function. Laser beam will be automatically turned off in 60
seconds after the beam is lit ON, or under READY ON condition.

In order to turn the laser on, depress “Forward Movement” key or “Backward Movement” key on FOCUS
Beam switch.

① Depress either Forward Movement ・ or

Backward Movement key of FOCUS switch on
the Beam Operation Panel to turn Patient
Positioning Beams on.

②”Median Beam Line”, “Focus Beam Line”,
and ”Frankfort Plane Beam Line” are equipped

Median Plane Beam Line

Frankfort Plane Beam

Focus Beam Line

Ｂ０２－Ｔ１５１ １１

③Adjust the patient’s head so that the Median

Line Beam comes to the center of the patient’s
face,

④ Depress either ＵＰ・ＤＯＷＮ key of

Frankfort Beam on Beam Operation Panel
and align Frankfort Beam Line with Frankfort
Plane of a patient.

⑤ Carefully close Head Holding Rods to sup

port the patient’s head.

⑥ Depress either Forward Movement ・ or

Backward Movement key of FOCUS Beam
switch on Beam Operation Panel, and align
Focus Beam Line with roots of upper and
lower anterior teeth.

＊When you align the Focus Beam Line, look a

patient from the side.

Ｂ０２－Ｔ１５１ １１

＊ Align the Focus Beam Line around Mesial

Mesial section of
canine teeth

Position to align
Focus Beam

Center of canine teeth

section of canine teeth

Ｂ０２－Ｔ１５１ １１

5．READY ON

①Click 「READY」

②Flash green「READY」icon,「initialization of

sensor」will be displayed and CCD sensor
will be initialed.

③After finish initialization of sensor,「READY」

icon will be changed to green, then「Start
exposure」will be displayed.

Ｂ０２－Ｔ１５１ １１

6．X-ray Exposure

WARNING

１．Other people except a patient and an operator should be outside of X-ray room.
２．The X-ray exposure switch should be depressed from outside of a X-ray room.

３．Carefully observe a patient while X-ray is irradiated, release an Exposure switch immediately
when any trouble happens.

４．Instruct a patient not to move while X-ray is irradiated.

CAUTION

The Rotation Unit starts to rotate and X-ray will be irradiated when an exposure switch is depressed.
Move away from the rotation area of the rotation unit.

NOTE

１．The exposure switch is deadman type. X-ray irradiation and the movement of the Rotation Unit will

stop as soon as the exposure switch is released.

２．If exposure switch is released while X-ray is irradiated, release a patient and depress ＲＥＳＥＴ
key to bring Rotation Unit to the start position. Place a new X-ray film and take a radiograph again.

6．１．Exposure switch should be kept to push until end of exposure.

6．２．ARM Unit will start to rotate, “X-RAY ON” will be indicated on Indicator, and

X-ray irradiation will start with intermittent noise.

6．３．While X-ray is irradiated, indication of 「Ｘ－ＲＡＹ ＯＮ」 blinks and buzzer keeps
to sound intermittently.

6．４．After end of radiograph, X-RAY indication will be lighted OFF, buzzer will stops to
sound, and ARM Unit will stop to rotate.

Ｂ０２－Ｔ１５１ １１

6．５．After exposure, data transfer on the display will be displayed.

7．COOLING TIME

NOTE

１．X-ray cannot be irradiated during COOLING TIME.
２．Any key operation excepting ＲＥＳＥＴ key cannot be operated during COOLING TIME.

３．Do not turn power OFF until end of COOLING TIME.

After exposure, automatically cooling time will work.

Between cooling time, Cooling time」will be displayed.

After cooling time is elapsed, Cooling time」will be disappeared.

Ｂ０２－Ｔ１５１ １１

8．Release of a patient

＊ Carefully open Head Holding Rods and

release a patient.

9．Return the Rotation Unit to the Start Position

Click the「RESET button」.

Ｂ０２－Ｔ１５１ １１

Or Hit Reset Key

１0．Turning Power OFF

WARMING

To prevent the risk of accident, turn the power switch off when the unit is not in use.

＊ Depress “○” key on POWER switch.

Ｂ０２－Ｔ１５１ １２

１２．Operation Procedures for Maxillary Sinus

1. Learn the Panoramic radiographic operation procedures well. You can utilize Panoramic

operating procedures for other modes.

2. If procedures are the same as the one s of Panorama, explanations of op eration procedures
in other modes are omitted. If you have any questions, Refer to operation procedures for
Panorama.

１．Preparation for the Exposure

＊ X-ray Protective Apron
＊ Pair of Head Holding Rods (Panorama)
＊ Chinrest (Maxillary Sinus)

２．Turning Power ON

Refer to １１．3 Turning Power On in Operation procedure for Panoramic radiograph

3．Start Exposure Setting Screen

Click either “Import” or “Scan” from diagnosticsoftw
are / imaging software.

If the power of the equipment is ON,
click OK.

Set exposure conditions.

If you receive the message「Equipment is not at
the original position. Push the RESET button.」
Then click the「RESET button」.

Ｂ０２－Ｔ１５１ １２

Setting the exposure mode

Click mark of maxillary sinus.
After select, mark will be changed to black.

Setting ｋＶ（tube voltage）・ｍＡ（tube current）
Refer to article 17 for PANORAMA exposure condition and setting exposure condition.

Setting ｋＶ
Click ｋＶ ▲（ＵＰ）・or ▼（ＤＯＷＮ）to set kV.

Click mA ▲（ＵＰ）・or ▼（ＤＯＷＮ）to set mA.

Ｂ０２－Ｔ１５１ １２

4．Patient Positioning

NOTE

Patient positioning is the most important process to obtain the best radiographs.

4．１．Mounting of Chinrest and Insertion of Head Holding Rod (Maxillary Sinus)

③ Mount Chinrest (Maxillary Sinus) on the Chinrest

Unit.

④ Insert a pair of Head Holding Rods

(Maxillary Sinus)

③ Rotate the knob of Chinrest Unit to open Head

Holding Rods maximally.

4．２．Instruct a patient and an assistant to wear a X-ray protective apron.

4．３．Guide a patient near to the equipment.

＊ Depress either ＵＰ ＤＯＷＮ key on the

Beam Control Panel or the one on the Sliding Unit
to move height of Chinrest (Maxillary Sinus).
Depress up or down key to bring the chinrest
height close to patient’s mandible.

4．4．Instruct a patient to stand in the same position as Panoramic radiography.

4．5．Ask a patient to stand with his or her back and neck as straight as possible. Then hold grips.

Ｂ０２－Ｔ１５１ １２

4．６．Position patient

① Depress either ＵＰ・ＤＯＷＮ key on Beam

Control Panel to move the Chinrest (Maxillary
Sinus) lightly touches patient’s mandible.

CAUTION

Pay enough attention to patient’s safety when the Sliding Unit moves up and down.

② Adjust the beam height so that the beam hits the

patient’s miniscule of the ear (hole). Then adjust
the patient’s head as to beam indicates Frankfort
Plane (from miniscule of the ear to bottom of the
eye orbit)

③Lightly close the Head Holding Rods to position

patient’s head.

4．７．Turn Positioning Beams ON.

CAUTION

1. Laser Beams are used to position a patient.

2. Warn a patient not to look directly at the laser beam line.

3. Do not set the beam line to patient’s eyes.

NOTE

Positioning beams have AUTO POWER OFF function. Laser beam will be automatically turned off in 60
seconds after the beam is lit ON, or under READY ON condition.

In order to turn the laser on, depress “Forward Movement” key or “Backward Movement” key on FOCUS Beam
switch.

Ｂ０２－Ｔ１５１ １２

① Depress either Forward Movement ・ or

Backward Movement key of FOCUS switch on
the Beam Operation Panel to turn Patient
Positioning Beams on.

②”Median Beam Line”, “Focus Beam Line”,
and ”Frankfort Plane Beam Line” are equipped

Median Plane Beam Line

Frankfort Plane Beam Line

Focus Beam Line

③Adjust the patient’s head so that the Median Line
Beam comes to the center of the patient’s face,

④ Depress either ＵＰ・ＤＯＷＮ key of Frankfort

Beam on Beam Operation Panel and align
Frankfort Beam Line with Frankfort Plane of a
patient.

⑤ Carefully close the Head Holding Rods to supp

ort the patient’s head.

Ｂ０２－Ｔ１５１ １２

⑥Depress either Forward Movement ・or Backward

Movement key of FOCUS Beam switch on the
Beam Operation Panel, and align Focus Beam
Line with roots of upper and lower anterior teeth.

5．READY ON

Please refer to １１．Operation Procedure for Panorama

6．X-ray Exposure

Refer to １１．Operation Procedure for Panorama

7．COOLING TIME

Refer to １１．Operation Procedure for Panorama

8．Release of a patient

Refer to １１．Operation Procedure for Panorama

9．Return Rotation Unit to Start Position

Refer to１１．Operation Procedure for Panorama

１0．Turning Power OFF

Refer to １１．Operation Procedure for Panorama

Ｂ０２－Ｔ１５１ １３

１３．Operation Procedures for TMJ Lateral

(4 sections)

1. Learn the Panoramic radiographic operation procedures well. You can utilize Panoramic

operating procedures for other modes.

2. If procedures are the same as the ones of Panorama, explanations of operation
procedures in other modes are omi tted. If you have any questions, Refer to operation
procedures for Panorama.

１．Preparation for the Exposure

＊X-ray Protective Apron
＊Pair of Ear Rods (TMJ Lateral)

２．Turning Power ON

Refer to １１．3 Turning Power On in Operation procedure for Panoramic radiograph

3．Start Exposure Setting Screen

Click either “Import” or “Scan” from diagnosticsoftw
are / imaging software.

If the power of the equipment is ON,
click OK.

Set exposure conditions.

If you receive the message「Equipment is not at
the original position. Push the RESET button.」
Then click the「RESET button」.

Ｂ０２－Ｔ１５１ １３

Setting the exposure mode

Click mark of mandibular joint lateral.
After select, mark will be changed to black.

Setting ｋＶ（tube voltage）・ｍＡ（tube current）
Refer to article 17 for PANORAMA exposure condition and setting exposure condition.

Setting ｋV
Click ｋV ▲（ＵＰ）・or ▼（ＤＯＷＮ）to set kV.

Setting mA
Click mA ▲（ＵＰ）・or ▼（ＤＯＷＮ）to set mA.

Ｂ０２－Ｔ１５１ １３

4．Patient Positioning

4．１．Mounting Ear Rods(TMJ Lateral)

① Mount Ear Rods (TMJ Lateral) on the Chinrest

Unit.

② Rotate the knob of the Chinrest Unit to open

Ear Rods (TMJ Lateral) maximally.

4．２．Instruct a patient and an assistant to wear X-ray protective apron.

4．３．Guide a patient near to the equipment.

Depress either ＵＰ ＤＯＷＮ key on the
Beam Control Panel or the one on the Sliding

Unit to move position of Ear Rods(TMJ Lateral).
Bring ear rods close to patient’s external auditory
foramen.

4．4．Instruct a patient to stand in the same position as Panoramic radiography.

4．5．Ask a patient to stand with his or her back and neck as straight as possible. Then hold grips.

Depress either ＵＰ ＤＯＷＮ key on the
Beam Control Panel or the one on the Sliding

Unit to move position of Ear Rods(TMJ Lateral).
Align ear rods to patient’s external auditory
foramen.

Ｂ０２－Ｔ１５１ １３

② Adjust the beam height so that the beam hits

the patient’s miniscule of the ear (hole). Then
adjust the patient’s head as to beam indicates
Frankfort Plane (from miniscule of the ear to
bottom of the eye orbit)

③ Rotate the knob of Chinrest ASSY to

insert Ear Rods (TMJ Lateral) into auricular
holes of a patient and fix Ear Rod lightly.

4．６．Turn Positioning Beams ON

CAUTION

1. Laser Beams are used to position a patient.

2. Warn a patient not to look directly at the laser beam line.

3. Do not set the beam line to patient’s eyes.

NOTE

Positioning beams have AUTO POWER OFF function. Laser beam will be automatically turned off in 60
seconds after the beam is lit ON, or under READY ON condition.

In order to turn the laser on, depress “Forward Movement” key or “Backward Movement” key on FOCUS
Beam switch.

① Depress either Forward Movement ・ or

Backward Movement key of FOCUS switch on
the Beam Operation Panel to turn Patient
Positioning Beams on.

Ｂ０２－Ｔ１５１ １３

③Adjust the beam height so that the beam hits

the patient’s miniscule of the ear (hole). Then
adjust the patient’s head as to beam indicates
Frankfort Plane (from miniscule of the ear to
bottom of the eye orbit)

④ Rotate the knob of the Chinrest ASSY to

insert Ear Rods (TMJ Lateral) into auricular
holes of a patient and fix Ear Rod.

5．READY ON

Refer to １１．Operation Procedure for Panorama

6．X-ray Exposure

WARNING

１．Other people except a patient and an operator should be outside of X-ray room.
２．The X-ray exposure switch should be depressed from outside of a X-ray room.

３．Carefully observe a patient while X-ray is irradiated, release an Exposure switch immediately
when any trouble happens.

４．Instruct a patient not to move while X-ray is irradiated.

CAUTION

The Rotation Unit starts to rotate and X-ray will be irradiated when an exposure switch is depressed.
Move away from the rotation area of the rotation unit.

NOTE

１．The exposure switch is deadman type. X-ray irradiation and the movement of the Rotation Unit will

stop as soon as the exposure switch is released.

２．If exposure switch is released while X-ray is irradiated, release a patient and depress ＲＥＳＥＴ
key to bring Rotation Unit to the start position. Place a new X-ray film and take a radiograph again.

Ｂ０２－Ｔ１５１ １３

6．１．TMJ Lateral 4 sections consist of a series of two exposures. 1

nd

TMJ with mouth closed and 2

exposure for TMJ with mouse open.

st

exposure for the diagnosis of

6．２．Ask patient to close the mouth

6．３．Depress an exposure switch and hold until the end of exposure.

6．４．The Rotation Unit starts to rotate, X-RAY is indicated on indicator, and buzzer star ts to sound

intermittently.

6．５．While X-RAY is irradiated, 「Ｘ－ＲＡＹ ＯＮ」 display blinks and an a udible warning will

sound.

6．６．After the end of first exposure, X-RAY indication display is turned OFF, an audi ble warning

stops, the Rotation Unit stops to rotate, then returns to the start position automatically.

6．７．Ask patient to open the mouth by lowering mandible

Ｂ０２－Ｔ１５１ １３

6．８．Depress “READY” key to get into READY ON condition.

6．９．Depress an exposure switch and hold until the end of exposure.

6．10．ARM Unit starts to rotate, X-RAY will be indicated on indicator, and buzzer will

start to sound at the same time.

6．11．X-RAY keeps to be indicated and buzzer keeps to sound.

6．12．After 2nd exposure is finished, X-RAY will be lighted OFF, and buzzer will stop to

sound and ARM Unit will stop to rotate.

6．13．Refer to section 11.Operation procedure for Panorama and 8.X-ray exposure.

7．COOLING TIME

Refer to １１．Operation Procedure for Panorama

8．Release of a patient

Refer to １１．Operation Procedure for Panorama

9．Return Rotation Unit to Start Position

Refer to１１．Operation Procedure for Panorama

10．Turning Power OFF

Refer to １１．Operation Procedure for Panorama

Ｂ０２－Ｔ１５１ １４

１４．Operation Procedures for TMJ Frontal

(2 sections)

1. Learn the Panoramic radiographic operation procedures well. You can utilize Panoramic
operating procedures for other modes.

2. If procedures are the same as the ones of Panorama, explanations of operation
procedures in other modes are omitted. If you have an y questions, Refer to operation
procedures for Panorama.

１．Preparation for the Exposure

＊X-ray Protective Apron
＊Pair of Ear Rods (TMJ Front)

２．Turning Power ON

Refer to １１．Operation Procedure for Panorama ３．Turning Power ON

３．Start Exposure Setting Screen

Click either “Import” or “Scan” from diagnostics
oftware / imaging software.

If the power of the equipment is ON,
click OK.

Ｂ０２－Ｔ１５１ １４

Set exposure conditions.

If you receive the message「Equipment is not at
the original position. Push the RESET button.」
Then click the「RESET button」.

Setting the exposure mode

Click icon of mandibular joint front.
After select, icon will be changed to black.

Setting ｋＶ（tube voltage）・ｍＡ（tube current）
Refer to article 17 for PANORAMA exposure condition and setting exposure condition.

Setting ｋV
Click ｋV ▲（ＵＰ）・or ▼（ＤＯＷＮ）to set kV.

Setting mA
Click mA ▲（ＵＰ）・or ▼（ＤＯＷＮ）to set mA.

Ｂ０２－Ｔ１５１ １４

４．Patient Positioning

4．１．Mounting Ear Rods (TMJ Front)

①Mount “Ear Rods (TMJ Frontal) on the Chinre st

Unit.

②Rotate the knob of the Chinrest Unit to open Ear Rods (TMJ

Front) maximally.

4．１．Instruct a patient and an assistant to wear X-ray protective apron.

4．２．Guide a patient near to the equipment.

Depress either ＵＰ ＤＯＷＮ key on the Beam Control
Panel or the one on the Sliding Unit to move position of Ear

Rods (TMJ Lateral).
Bring ear rods close to patient’s external auditory foramen.

4．３．Instruct a patient to stand in the same position as Panoramic radiography

4．４．Ask a patient to stand with his or her back and neck as straight as possible. Then hold grips.

Depress either ＵＰ ＤＯＷＮ key on the Beam Control
Panel or the one on the Sliding Unit to move position of Ear

Rod(TMJ Frontal).
Align ear rods to patient’s external auditory
foramen.

Ｂ０２－Ｔ１５１ １４

4．５．Turn Positioning Beams ON

② Horizontally align to the patient’s naso-auricularplane.

③Rotate the knob of the Chinrest ASSY to insert Ear Rod (TMJ

Frontal) into auricular holes of a patient and fix Ear Rod
lightly.

CAUTION

1. Laser Beams are used to position a patient.

2. Warn a patient not to look directly at the laser beam line.

3. Do not set the beam line to patient’s eyes.

NOTE

Positioning beams have AUTO POWER OFF function. Laser beam will be automatically turned off in 60 seconds after the
beam is lit ON, or under READY ON condition.

In order to turn the laser on, depress “Forward Movement” key or “Backward Movement” key on FOCUS Beam switch.

Depress either Forward Movement・or Backward Movement
key of FOCUS switch on the Beam Operation Panel to turn
Patient Positioning Beams on.

Ｂ０２－Ｔ１５１ １４

③ Adjust beam height so that Frankfort beam hits the

naso-auricular plane

④Rotate the knob of the Chinrest ASSY to insert Ear Rods (TMJ

Lateral) into auricular holes of a patient and fix Ear Rod.

5．READY ON

Refer to １１．Operation Procedure for Panorama ７．READY ON.

6．X-ray Exposure

WARNING

１．Other people except a patient and an operator should be outside of X-ray room.
２．The X-ray exposure switch should be depressed from outside of a X-ray room.

３．Carefully observe a patient while X-ray is irradiated, release an Exposure switch immediately
when any trouble happens.

４．Instruct a patient not to move while X-ray is irradiated.

CAUTION

The Rotation Unit starts to rotate and X-ray will be irradiated when an exposure switch is depressed.
Move away from the rotation area of the rotation unit.

NOTE

１．The exposure switch is deadman type. X-ray irradiation and the movement of the Rotation Unit will stop as soon as the

exposure switch is released.

２．If exposure switch is released while X-ray is irradiated, release a patient and depress ＲＥＳＥＴ key to bring
Rotation Unit to the start position. Place a new X-ray film and take a radiograph again.

Ｂ０２－Ｔ１５１ １４

6．１．Depress an exposure switch and hold until the end of exposure.

6．２．The Rotation Unit starts to rotate, X-RAY is indicated on indicator, and buzzer starts to sound intermittently.

6．３．While X-RAY is irradiated, 「Ｘ－ＲＡＹ ＯＮ」 display blinks and an audible warning will sound

6．４．After the end of the exposure, X-RAY indication displa y is turned OFF, an audible warning stops, and the

Rotation Unit stops to rotate.

7．COOLING TIME

Refer to １１．Procedure of Panorama Exposure Operation

8．Release of a Patient

Refer to １１．Procedure of Panorama Exposure Operation

9．Return Rotation Unit to Start Position

Refer to １１．Procedure of Panorama Exposure Operation

１0．Turning Power OFF

Refer to １１．Procedure of Panorama Exposure Operation