Instrumentarium Dental Cliniview User Manual

ENGLISH
CliniView 10.0
User Manual
5139505-100 rev. 16
Copyright Code: 5139505-100 rev 16 Date: 19 August 2011
Document code: D500317 rev 16
Copyright © 08 2011 by PaloDEx Group Oy. All rights reserved.
Windows® is a trademark of Microsoft Corporation in the United
®
States of America and other countries. Pentium
is a registered
trademark of Intel Corporation.
Documentation, trademark and the software are copyrighted with all rights reserved. Under the copyright laws the documentation may not be copied, photocopied, reproduced, translated, or reduced to any electronic medium or machine readable form in whole or part, without the prior written permission of Instrumentarium Dental.
The original language of this manual is English.
Instrumentarium Dental reserves the right to make changes in specification and features shown herein, or discontinue the product described at any time without notice or obligation. Contact your Instrumentarium Dental representative for the most current information.
Manufactured by Instrumentarium Dental
Nahkelantie 160 (P.O. Box 20) FI-04300 Tuusula FINLAND Tel. +358 10 270 2000 Fax. +358 9 851 4048
For service, contact your local distributor.
Table of Contents
1 Introduction..................................................................................................................1
1.1 General ................................................................................................................. 1
1.2 Manufacturer’s liability........................................................................................... 2
1.3 Manual .................................................................................................................. 2
1.4 General instructions .............................................................................................. 2
2 Patient management....................................................................................................3
2.1 Start the software ..................................................................................................3
2.2 Login ..................................................................................................................... 3
2.3 Patient management .............................................................................................3
2.4 Patient search ....................................................................................................... 4
2.5 Add a new patient ................................................................................................. 5
2.6 Edit patient information ......................................................................................... 6
2.7 Delete patient ........................................................................................................6
2.8 “No patient selected” mode ...................................................................................7
3 Image capturing........................................................................................................... 9
3.1 Image capturing with OP300................................................................................. 9
3.2 Image capturing with OP100 D/OP200 D ...........................................................10
3.2.1 Taking panoramic exposures ...................................................................10
3.2.2 Taking cephalometric images .................................................................. 11
3.2.3 Image orientation ..................................................................................... 11
3.3 Image capturing with OP30................................................................................. 11
3.4 Image capturing with intraoral sensors ............................................................... 12
3.4.1 General .................................................................................................... 12
3.4.2 Quick intraoral capturing .......................................................................... 13
3.4.3 Template capturing .................................................................................. 15
3.5 Image capturing with Express ............................................................................. 19
3.5.1 General .................................................................................................... 19
3.5.2 Quick intraoral capturing .......................................................................... 19
3.5.3 Template capturing .................................................................................. 20
3.6 Taking intraoral photographs .............................................................................. 22
3.7 Exceptions........................................................................................................... 23
3.7.1 Image recovery ........................................................................................ 23
3.7.2 Continue an interrupted series .................................................................23
3.7.3 Retake of image during series capturing.................................................. 24
4 Using SmartNav......................................................................................................... 25
4.1 Using SmartNav in image capturing.................................................................... 25
5 Volumetric Tomography ...........................................................................................27
5.1 Intended use ....................................................................................................... 27
5.2 Overview of the VT workflow in the software ...................................................... 27
5.3 Capturing.............................................................................................................28
5.3.1 VT panoramic...........................................................................................28
5.3.2 VT projection series ................................................................................. 29
5.3.3 Viewing the projection series ................................................................... 30
5.3.4 Projection navigator ................................................................................. 31
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5.3.5 Manual Fiducial Search............................................................................ 32
5.4 Reconstruction .................................................................................................... 34
5.4.1 Association............................................................................................... 34
5.4.2 Creating a reconstruction task ................................................................. 36
5.4.3 Viewing reconstruction .............................................................................39
5.4.4 Cube view ................................................................................................ 42
5.4.5 Slice navigator.......................................................................................... 43
5.4.6 Slice location indicator accuracy ..............................................................44
5.4.7 Angle adjustment ..................................................................................... 44
5.4.8 Editing slice images ................................................................................. 46
5.4.9 Accuracy of the slice images.................................................................... 47
5.5 Implant planning.................................................................................................. 48
5.5.1 Creating a new implant ............................................................................ 50
5.6 Fiducial search calibration................................................................................... 50
6 Saving images............................................................................................................51
6.1 Saving image manually ....................................................................................... 51
6.2 Save all ............................................................................................................... 51
6.3 Autosave option .................................................................................................. 52
7 Image folder ...............................................................................................................53
7.1 Open image......................................................................................................... 53
7.2 3D image display................................................................................................. 54
7.3 Move the image to another patient...................................................................... 54
7.4 Delete image .......................................................................................................55
7.5 Status window .....................................................................................................55
7.6 Restore from archive........................................................................................... 56
7.7 Export.................................................................................................................. 57
8 Image processing ...................................................................................................... 59
8.1 Diagnostic tools................................................................................................... 59
8.1.1 Zoom........................................................................................................ 60
8.1.2 Zoom by fitting to the view ....................................................................... 60
8.1.3 Navigator..................................................................................................61
8.1.4 Pan...........................................................................................................
61
8.1.5 Adjust contrast and brightness................................................................. 61
8.1.6 Invert ........................................................................................................ 62
8.1.7 Noise reduction ........................................................................................ 62
8.1.8 Edge enhancement ..................................................................................62
8.1.9 Sharpening............................................................................................... 63
8.1.10 Isodensity colorization tool ....................................................................... 63
8.1.11 Pseudo color ............................................................................................ 64
8.1.12 Orientation................................................................................................ 65
8.1.12.1 Rotate ........................................................................................65
8.1.12.2 Flip .............................................................................................65
8.1.13 Image control ........................................................................................... 65
8.1.14 Undo......................................................................................................... 67
8.1.15 Restore original image ............................................................................. 67
8.1.16 Crop image............................................................................................... 67
8.1.17 Default...................................................................................................... 67
8.2 Overlay graphics tools.........................................................................................
68
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8.2.1 Select tools............................................................................................... 68
8.2.2 Drawing tools ........................................................................................... 69
8.2.2.1 Draw line.................................................................................... 69
8.2.2.2 Draw arrow ................................................................................ 69
8.2.2.3 Draw rectangle........................................................................... 69
8.2.2.4 Draw circle................................................................................. 69
8.2.2.5 Draw free-hand.......................................................................... 69
8.2.2.6 Insert text................................................................................... 70
8.2.2.7 Implant tool ................................................................................ 70
8.2.3 Measurement tools................................................................................... 71
8.2.3.1 Inaccuracy in length measurements..........................................71
8.2.3.2 Three point angle....................................................................... 72
8.2.3.3 Free angle .................................................................................73
8.2.3.4 2D Measurement tool ................................................................ 74
8.2.3.5 3D Measurement tool ................................................................ 75
8.2.3.6 Calibration tool........................................................................... 77
8.2.4 Region of interest (ROI) tools................................................................... 78
9 Creating series...........................................................................................................79
9.1 Fill the template................................................................................................... 79
9.2 Change the order ................................................................................................ 80
9.3 Edit the image ..................................................................................................... 81
9.4 Delete image .......................................................................................................81
10 Templates ................................................................................................................... 83
10.1 Creating new template ........................................................................................ 84
10.1.1 Changing the slot type ............................................................................. 84
10.1.2 Rotate the slot ..........................................................................................85
10.1.3 Undefined slot type .................................................................................. 85
10.1.4 Delete slot ................................................................................................ 85
10.1.5 Slot title .................................................................................................... 85
10.1.6 Saving the created template ....................................................................85
10.2 Delete template ...................................................................................................86
10.3 Edit template ....................................................................................................... 86
10.4 Import and export templates ...............................................................................86
10.5 Copy template .....................................................................................................
87
10.6 Set as default ...................................................................................................... 87
11 Printing .......................................................................................................................89
11.1 Image size in printing .......................................................................................... 89
11.2 Image list............................................................................................................. 90
11.2.1 Image information .................................................................................... 90
11.3 Tools ................................................................................................................... 91
11.4 Zoom ................................................................................................................... 91
11.5 Arranging the images in the print preview........................................................... 91
11.6 Resizing the images in the print preview............................................................. 91
11.6.1 Fit to page ................................................................................................ 92
11.6.2 Restoring the image size.......................................................................... 92
11.7 Copy to clipboard ................................................................................................ 92
11.8 Page setup ..........................................................................................................92
11.9 Header and footer on the print ............................................................................93
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11.9.1 Print logo ..................................................................................................93
11.9.2 Font type .................................................................................................. 94
11.10Start printing ....................................................................................................... 94
11.11Background color................................................................................................95
11.12Volumetric Tomography Images......................................................................... 96
11.12.1Reconstruction images............................................................................ 96
11.13 Exit print editor..................................................................................................97
12 Scanning..................................................................................................................... 99
13 Import and export .................................................................................................... 101
13.1 Import ................................................................................................................101
13.2 Export................................................................................................................ 102
13.3 DICOM import/export ........................................................................................ 104
13.3.1 DICOM import ........................................................................................ 104
13.3.1.1 3D DICOM image import .........................................................104
13.3.2 DICOM export ........................................................................................ 104
13.3.2.1 3D DICOM image export .........................................................105
13.4 Create DICOMDIR ............................................................................................ 106
13.5 Importing DICOMDIR ........................................................................................108
13.6 FMS Import/Export ............................................................................................109
13.6.1 FMS Import ............................................................................................ 109
13.6.2 FMS Export ............................................................................................ 109
13.7 Volumetric Tomography (VT) import & export................................................... 111
13.7.1 VT import................................................................................................111
13.7.2 VT export................................................................................................ 112
13.7.3 Export of an individual VT image ........................................................... 113
13.8 Export patient to Viewer ....................................................................................114
13.9 Quick Import...................................................................................................... 114
13.10Quick Export ..................................................................................................... 115
13.11Instant Export....................................................................................................115
14 General settings....................................................................................................... 117
14.1 Settings ............................................................................................................. 117
14.1.1 General .................................................................................................. 117
14.1.2 Background ............................................................................................118
14.1.3 Image Dialog ..........................................................................................119
14.1.4 Image capturing ..................................................................................... 119
14.1.5 Quick Import........................................................................................... 120
14.1.6 Quick Export........................................................................................... 121
14.1.7 VT........................................................................................................... 122
14.2 Default image settings....................................................................................... 123
14.3 Installed devices................................................................................................ 133
14.4 Intra ...................................................................................................................134
14.4.1 Default exposure values......................................................................... 134
14.4.2 Sigma settings........................................................................................ 134
14.4.2.1 Battery refreshment .................................................................135
14.4.3 Sigma M settings.................................................................................... 137
14.4.4 Snapshot settings................................................................................... 139
14.4.5 Express settings..................................................................................... 140
14.4.5.1 Default exposure values ..........................................................140
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14.4.5.2 Express Setup ......................................................................... 140
14.5 OP30 settings.................................................................................................... 140
14.6 CB3D settings ................................................................................................... 141
14.6.1 3D-link setting ........................................................................................ 141
14.7 Settings for the intraoral camera .......................................................................142
14.8 Contrast and brightness of the monitor ............................................................. 143
15 Other features ..........................................................................................................145
15.1 Copy to and paste from Clipboard .................................................................... 145
15.2 Create copy....................................................................................................... 145
15.2.1 Create copy of an individual VT image ..................................................145
15.3 Toolbars ............................................................................................................ 146
15.4 Window control.................................................................................................. 146
15.5 Full screen view ................................................................................................ 147
15.6 Light box............................................................................................................ 147
15.7 Selecting the language...................................................................................... 147
15.8 Creating Backup................................................................................................147
15.9 Touch screen mode .......................................................................................... 148
15.10Optional Resolution image capturing and processing with test tool Digital Kit
68795 according to EN61223-3-4 and DIN6868-151........................................ 148
15.11Monitor test....................................................................................................... 149
16 DICOM functions in the software DICOM .............................................................. 153
16.1 DICOM mode .................................................................................................... 153
16.2 Worklist, SCU................................................................................................... 154
16.2.1 Searching studies................................................................................... 154
16.2.1.1 Indirect search .........................................................................154
16.2.1.2 Direct search............................................................................ 155
16.2.2 Selecting a study.................................................................................... 155
16.3 Storage, SCU ....................................................................................................156
16.3.1 Monitoring of the queue ......................................................................... 156
16.4 Storage Commitment ........................................................................................ 158
16.5 DICOM printing ................................................................................................. 159
16.5.1 Physical Width measure......................................................................... 160
16.5.2 Background color ................................................................................... 161
16.6 Study manager..................................................................................................
161
16.6.1 Study Editor............................................................................................ 164
16.6.2 Moving image from one study to another............................................... 164
16.7 Query / Retrieve ................................................................................................165
16.7.1 Perform a query ..................................................................................... 165
16.7.2 Retrieving data .......................................................................................167
16.7.3 View retrieving schedule ........................................................................167
16.8 Storage SCP ..................................................................................................... 168
16.9 DICOM Info ....................................................................................................... 169
16.10DICOM configuration dialog.............................................................................. 169
17 Graphical symbols and shortcuts.......................................................................... 171
17.1 Graphical symbols............................................................................................. 171
17.2 Shortcuts ........................................................................................................... 174
18 Software license ......................................................................................................175
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1 Introduction

1.1 General

CliniView software (hereafter called “the software”) is a
complete solution for digital image acquisition, processing, viewing and storing. The software supports Instrumentarium Dental Sigma, Sigma M and Snapshot intraoral sensors, Express, Orthopantomograph® OP30/ OP300/ OP100 D/ OP200 D and Orthoceph® OC100 D/ OC200 D digital units and intraoral video cameras. Images can also be imported from other digital sources. The software stores images and patient information in a SQL database and provides tools for image archiving.
This manual covers the usage of the software Standard and DICOM versions. The Installation Manual describes how to install the software and usage of the Manager software. See the equipment manuals before installing or using the equipment. See the Windows manuals for further information about the Windows environment.
With the software you can perform the following operations:
Create a new patient and store patient information in a
database.
Capture and store digital X-ray images with exposure
values from the device.
Capture and store intraoral photographs. Export and import digital images. Process images to enhance their diagnostic value with
dental specific tools.
Analyse the image with application specific
measurement tools.
Build an environment with multiple workstations using
a database shared over a network.
Printing images and image information.
Supported Windows® operation systems are specified in the software installation manual.
The software lets you import and export image files. Supported file formats are D32, JPG, JPG2000, TIF, BMP and PNG. D32 is Instrumentarium’s proprietary own file format. Images can be saved in the database in PNG (16 bit) or JPG formats (12 bit).
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1 Introduction
the software can be used in a network environment. If the software is installed in several computers, the patient and image database can be shared and used from different workstations.

1.2 Manufacturer’s liability

As a manufacturer, we can only assume liability for safe and reliable operation of this software when the PC software is installed and used according to the software Installation and User Manuals.
Safe and reliable usage of the product requires that the user is conscious of the instructions and restrictions given in the manual.

1.3 Manual

All the software functions can be selected from the menu bar. In addition, there are graphical symbols on the toolbar for some of the most used functions. This manual primarily describes the procedure by using graphical symbols, but it also describes the procedure through menubar. The user can select either of them. The use through menu bar is instructed as in this example: File Save. Graphical symbols used stand beside the text.
NOTE! Clicking means pressing the primary mouse button once. Double-clicking means pressing the primary mouse button twice in rapid succession.

1.4 General instructions

To obtain full advantage of the software, you have to be familiar with the functionality of the operating system.
For diagnostic tasks it is important to use high quality monitor and graphics card to achieve bright, sharp and high contrast image. The monitor should be operated in subdued light and strong direct light should not reach the screen. In professional use the display system quality should be regularly controlled. See additional information from the chapters 8, Image processing, 14.8, Contrast and brightness of the monitor and 15.11, Monitor test. The monitor image quality tends to degrade significantly in couple of years by losing brightness and sharpness without noticeable sudden change.
Do not open, process or overwrite the software internally stored image or other files.
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2 Patient management

2.1 Start the software

To start the software, double-click the CliniView icon on the desktop or open the program from Start menu Programs CliniView.
NOTE! The software checks the computer resources when it starts. If there is less than 300 MB of space on the hard disk, the software notifies you.

2.2 Login

If the login option is activated, enter the user name and password.
Click OK. The software starts after successful login. Login is defined in the Manager software. See the Installation Manual for details.

2.3 Patient management

In the software, patient information is stored in the database and image always belongs to the patient. Image capturing is not possible without patient selection.
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2 Patient management

2.4 Patient search

The Patient search dialog opens automatically when you start the program. The dialog can be opened by clicking Open patient in the toolbar. Select the fields to fill in the search criteria. Use * mark to expand the search area.
For example by writing C*, you can search all the patients whose name starts with the letter C. In the patient ID field, select from drop-down menu: Patient ID, social security ID number or PatID (Bridge) as search criteria. Click Search. All patients that meet your criteria appears on the list. Select the patient and click Open to enter the patient´s image folder.
Another way to open the Patient search dialog is to select Patient Open.
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2.5 Add a new patient

To add a new patient to the database, click New on the Patient search dialog. Fill in the information in the free fields. Mandatory fields are marked with bold font.
Patient name is divided into 5 separate fields. Only the Last Name field is mandatory. Prefix field can be used to identify the tittle of the person, e.g. Mr. or Ms. Suffix means the generational information or such, e.g. Jr. or Sr.
The Patient ID field is a mandatory field. In case the user does not fill in the patient ID, the software creates a unique Patient ID. PatID (Bridge) is shown in case the software has a connection to practise management software.
Date of birth can be filled in manually. Date format depends on settings in Windows. If you want to use the calendar to define a date of birth, click the Calendar button. To select year, click the primary mouse button on top of the year in the calendar. The year becomes gray and you can use the arrow buttons to select the year. Use the left and right arrow buttons to define the month and click the appropriate day. To close the calendar, click the primary mouse button anywhere outside the calendar.
2 Patient management
Another way to open the dialog is to select Patient New.
Click Save to finish adding the information. Click Cancel to abort the action; the patient information is not saved.
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2 Patient management

2.6 Edit patient information

To edit the patient information, select the patient and click Info in the search dialog. The Patient information dialog opens.
Click Edit in the Patient info dialog. The Input fields turn white and can be edited. To save the edited information click Save. To exit the Patient info dialog without saving, click Cancel. Another way to enter the Patient info dialog is to select Patient Info and click Edit or Patient Edit.

2.7 Delete patient

In the Patient search dialog, patient information can be removed by selecting the patient and clicking Delete. Patient information and all patient images disappear from the software but remain in the database.
NOTE! Patient information and images are not deleted from the database. Delete those finally or restore them to patient list by using the software Manager program. See the software Installation Manual for details.
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2.8 “No patient selected” mode

The software can be opened without any patient selected.
To enter “No patient selected mode” click Close in the patient search dialog before selecting any patient.
If you want to close the patient, when having a patient selected, click Select patient or select Patient Close.
The name of the patient is shown in the software caption bar if a patient is selected. Image capturing is not possible, if patient is not selected.
2 Patient management
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3 Image capturing

CAUTION! Do not run other programs while taking X-ray
images. The imaging system uses all the resources of the workstation.
WARNING! Turning off the X-ray unit or the workstation during the exposure or image processing may cause the image to be lost.
WARNING! Do not release the exposure button before the exposure is ended and alarm stopped.

3.1 Image capturing with OP300

1. Prepare the system according to the OP300 User
Manual.
2. Launch the software.
3. Open a new or existing patient or select a patient from
the worklist and click OP300 capture.
The software checks that the system is ready for an exposure and displays the “Ready for capturing” dialog.
4. Select an imaging program, exposure values at the
unit and position the patient according to unit user’s manual.
5. Make an exposure.
6. Wait until the image is processed and the image is
received by the software.
NOTE! Image processing and downloading the 3D image data to the software may take a few minutes.
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3 Image capturing
Panoramic and scout images are displayed automatically after capturing by the software. The software is not able to display 3D image, but the image is saved automatically after the image data is received. See chapter 7.2, 3D image display for more information about 3D image viewing.
The system is ready for the next exposure when the state is again “Ready for exposure”.
7. Terminate image capturing when all necessary images
are taken and processed by clicking Abort capture.
NOTE! The x-ray unit can be configured to terminate the
capturing automatically after a 3D image.

3.2 Image capturing with OP100 D/OP200 D

3.2.1 Taking panoramic exposures

1. Prepare the system according to the OP100 D/
OP200 D User Manual.
2. Click Capture images with OP.
Another way to start the image capturing is to select File Capture OPD/OCD.
NOTE! The exposure button is not visible if the software has been installed as a ViewStation. The Exposure button is disabled (gray) if there is no patient selected or if system is not ready for capturing. Check that the optic cable is properly connected and the OPD unit is ON. If this does not help, call your local distributor.
3. Wait until the status bar at the bottom of the screen
indicates ‘System is ready for capturing’.
4. Select an imaging program, exposure values and
position the patient according to unit user’s manual.
5. Make an exposure. The software displays
automatically the captured image and terminates the capturing session.
You can abort capturing without an exposure by clicking Abort capture.
WARNING! Turning off the X-ray unit or the workstation during the exposure may cause the image to be lost.
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3 Image capturing

3.2.2 Taking cephalometric exposures

See the instructions in chapter 3.2.1, Taking panoramic exposures.

3.2.3 Image orientation

When a PA image is taken, the patient’s face is pointed towards the camera/sensor. The image appears on the screen the patient’s left side on the left side of the screen.
When an AP image is taken, the patient’s face is away from the camera/sensor. The image appears on the screen the patient’s left side on the right side of the screen.
Letter L on the right lower corner of the panoramic image means patient left side.

3.3 Image capturing with OP30

1. Prepare the system according to the OP30 User
Manual.
2. Launch the software.
3. Open a new or existing patient.
4. Start image capturing by clicking Capture images
with OP30.
5. Wait until the status bar at the bottom of the screen
indicates ‘System is ready for capturing’.
6. Select an imaging program, exposure values at the
unit and position the patient according to OP30 user’s manual.
7. Make an exposure.
8. After the exposure has been taken a progress bar
appears. This indicates that the image is being transferred to the software.
9. The software displays the captured image and
terminates the capturing session.
NOTE! You can abort capturing without an exposure by clicking Abort capture.
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3 Image capturing

3.4 Image capturing with intraoral sensors

3.4.1 General

The software supports intraoral imaging with Instrumentarium Dental Sigma, Sigma M and Snapshot Intraoral Sensors.
NOTE! Sigma is not supported in 64-bit operating systems.
It is possible to take single intraoral images or capture images to a predefined template.
In ‘Quick intraoral capturing mode’ the image is displayed on the screen with the default orientation. The image can be rotated afterwards to the correct orientation.
In ‘Template capturing mode’ the orientation is selected before the exposure and the image is automatically in the needed orientation when displayed on the screen.
For Quick intraoral capturing:
For Template image capturing:
NOTE! The capture buttons are not visible if the device is not selected during the software installation or added to Installed devices.
NOTE! The capture buttons are disabled (gray) if no patient is selected or no sensors are connected (Snapshot).
WARNING! Do not run other programs while taking X-ray images. The imaging system uses all the resources of the workstation.
WARNING! Turning off the X-ray unit or the workstation during exposure may cause the image to be lost.
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3.4.2 Quick intraoral capturing

1. Prepare the sensor according to the sensor user
manual.
2. Click the image capture button.
Snapshot:
Sigma M small sensor:
Sigma M large sensor:
Sigma:
3. With Sigma M sensor only:
Select the sensor.
NOTE! This dialog is not shown if pre-selected Sigma M sensors are used. See more information in Chapter 14.4.3, Sigma M settings.
If the software cannot find Sigma M sensor:
Check that the sensor power switch is ON If the sensor is locked by other workstation, the
software can not find it (check that you have selected the correct sensor, wait a minute and try again)
Check the WLAN configuration Ensure that gain files are installed
4. Wait until the software connects to the sensor(s) and
the status bar shows that the system is ready for capturing.
5. Position the patient and prepare the X-ray unit for
exposure according to the device user manual.
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NOTE! Be sure the used sensor is the same than the sensor activated in the software. When capturing is started from the software, the sensor name and the size are shown in the status bar.
NOTE! Make sure that the device status indicator illuminates green before making the exposure.
WARNING! Do not release the exposure button before the exposure is ended and alarm stopped.
6. Make an exposure with the X-ray unit.
NOTE! The exposure must be made within the time-out (1...10 min.), otherwise the image capturing time expires (see the settings section).
When an image capturing time-out occurs, the software gives warning of the interrupted examination by a tone and message. Adjust the PC playback volume so that the warning beeps can be heard.
7. Wait until the image is downloaded to the software and
the image is displayed on the screen.
8. Rotate image with the Rotate left or Rotate right
buttons to the same position as the sensor was during exposure.
9. Continue capturing more images after
status bar has indicated that the system is ready for the next image.
NOTE! It is possible to use small and large size sensors or sensors of different generation during the same capture session. The capturing with Sigma, Sigma M large, Sigma M small and Snapshot sensors need to be activated separately. The image is downloaded only from the sensor receiving X-rays. The activated sensors and the status is indicated on the status bar on the bottom of the main window.
10. Click Abort to stop image capturing and
deactivate the sensor after you have taken all required images.
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3 Image capturing
CAUTION! With Sigma and Sigma M: Avoid keeping the sensor device as ready for an exposure, as this consumes battery power. The image cannot be taken if the battery level is too low. Battery charging status is shown in the lower right corner. If the external power is switched on for Sigma, the battery is not used.

3.4.3 Template capturing

1. Prepare the sensor according to the sensor user
manual.
2. Click the image capture button.
Snapshot:
Sigma M small sensor:
Sigma M large sensor:
Sigma:
3. Select the preferred series from the template options.
NOTE! This dialog is not shown if “Always use default template for FMS capturing” is enabled and default template is defined.
See chapter 9, Creating series and 10, Templates for editing, creating custom templates or defining default template.
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4. With Sigma M sensor only:
Select the sensor.
NOTE! This dialog is not shown if pre-selected Sigma M sensors are used. See more information in Chapter 14.4.3, Sigma M settings.
If the software cannot find Sigma M sensor:
Check that the sensor power switch is ON If the sensor is locked by other workstation, the
software can not find it (check that you have selected the correct sensor, wait a minute and try again)
Check the WLAN configuration Ensure that gain files are installed
5. Wait until
- the template capturing window is opened,
- the software connects to the sensor(s) and
- the status bar shows ‘System is ready for capturing’.
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6. Position the patient as shown in the template and
prepare the X-ray unit for exposure according to the device user manual.
NOTE! Be sure the used sensor is the same than the sensor activated in the software. When capturing is started from the software, the sensor name and the size are shown in the status bar.
NOTE! Make sure that the device status indicator illuminates green before making the exposure.
WARNING! Do not release the exposure button before the exposure is ended and alarm stopped.
7. Make an exposure with the X-ray unit.
NOTE! The exposure must be made within the time-out (1...10 min.), otherwise the image capturing time expires (see the settings section).
When an image capturing time-out occurs, the software gives warning of the interrupted examination by a tone and message. Adjust the PC playback volume so that the warning beeps can be heard.
8. Wait until the image is downloaded to the software and
the image is displayed on the screen.
9. Continue capturing more images after
status bar has indicated that the system is ready for the next image.
Perform series capturing in the order suggested by the template until all images are taken.
Alternatively, change the active slot by clicking on an empty slot with the primary mouse button. The active slot of the template is always indicated with an image of the sensor.
NOTE! It is possible to use small and large size sensors or sensors of different generation during the same capture session. The capturing with Sigma, Sigma M large, Sigma M small and Snapshot sensors need to be activated separately. The image is downloaded only from the sensor receiving X-rays. The activated sensors and the status is indicated on the status bar on the bottom of the main window.
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3 Image capturing
10. The capturing is automatically terminated after all
images in the series are taken.
NOTE! To turn automatic termination of image capturing off, disable the setting “End FMS capturing automatically when template is full“. See chapter 14.1, Settings.
NOTE! You can abort the capturing before all images are taken by clicking Abort capture. See chapter 3.7, Exceptions, section ‘Continue an interrupted series’.
NOTE! To see the Slot titles of the captured FMS images, select the following option from menu View -> Show slot titles. The slot titles appear on the top left corner of the slot. If slot titles are not needed to be shown, then deselect from menu View -> Show slot titles.
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3.5 Image capturing with Express

3.5.1 General

It is possible to take a single intraoral images or capture images to a predefined template.
In 'Quick intraoral capturing mode' the Image is displayed on the screen with the default orientation. The image can be rotated afterwards to the correct orientation.
In 'Template capturing mode' the orientation is selected before the exposure and the image is automatically in the needed orientation when displayed on the screen.

3.5.2 Quick intraoral capturing

1. Prepare the system according to the Express User
Manual.
3 Image capturing
2. Click the image capture button.
3. Wait until the status bar indicates that the system is
ready for capturing.
4. Position the patient and prepare the X-ray unit for
exposure according to the device user manual.
5. Make an exposure with the X-ray unit.
6. Wait until the image is downloaded to the software and
the image is displayed on the screen.
7. Rotate image with Rotate left or Rotate right to the
correct orientation.
8. Continue capturing more images after status bar has
indicated that the system is ready for the next image.
9. Click Abort Capture to stop image capturing after you
have taken all required images.
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3 Image capturing

3.5.3 Template capturing

1. Prepare the system according to the Express User
Manual.
2. Click Template capture.
3. Select the preferred series from the template options.
NOTE! This dialog is not shown if “Always use default template for FMS capturing” is enabled and default template is defined.
See chapter 9, Creating series and 10, Templates for editing, creating custom templates or defining default template.
4. Wait until the template capturing window is opened
and status bar indicates ‘system is ready for capturing’.
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