1 User notes ......................................................................................................................................................3
1.1 User guidelines .........................................................................................................................................3
1.1.1 Standard documentation ..................................................................................................................3
1.1.3 Symbols used ...................................................................................................................................3
1.3 Service .....................................................................................................................................................7
1.3.1 For North America ............................................................................................................................7
1.5 Restrictions on the guarantee ..................................................................................................................9
1.6 Transport and storage ............................................................................................................................10
2.2.1 General ...........................................................................................................................................13
3.1 Entire system ..........................................................................................................................................19
3.2 Operating unit .........................................................................................................................................20
3.2.1 Assignment of button/area to be X-rayed .......................................................................................20
3.4 Where to affix nameplates, power rating plates and caution labels .......................................................23
3.5 Nameplates, power rating plates and caution labels ..............................................................................24
3.6 Technical data ........................................................................................................................................28
3.6.1 Information on electromagnetic compatibility .................................................................................32
3.6.2 Standard conformity .......................................................................................................................35
3.7 Determination of the patient's X-ray exposure .......................................................................................36
4.1 Switch on machine .................................................................................................................................37
4.2 Specifying the imaging parameters ........................................................................................................38
4.3 Laser highlighting of central beam .........................................................................................................39
4.5 Position X-ray source .............................................................................................................................41
4.6 Positioning the image receiver ...............................................................................................................42
4.7 Take X-ray ..............................................................................................................................................45
4.8 Finishing off activities .............................................................................................................................46
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Instructions for use KaVo In eXam 3510
Contents
5 Setting default doses, film sensitivity and sensor sensitivity ........................................................................47
5.1 Correction of the exposure time / dose default setting ...........................................................................47
5.2 Selection of the suitable basic dose .......................................................................................................48
5.2.1 With film ..........................................................................................................................................48
5.2.2 With digital image receiver .............................................................................................................48
5.3 Exposure time table ................................................................................................................................49
5.3.1 Default dose setting for X-rays taken using film .............................................................................49
5.3.2 Default dose for X-rays taken with digital image receivers .............................................................52
6 Preparation methods DIN EN ISO 17664 ....................................................................................................56
6.1 Cleaning and disinfection .......................................................................................................................56
9 Accessories and compatibility ......................................................................................................................62
9.1 Accessories and kits ...............................................................................................................................62
Instructions for use KaVo In eXam 3510
1 User notes | 1.1 User guidelines
1 User notes
1.1 User guidelines
Requirement
You should read these instructions prior to installing the product, in order to avoid
maloperations and damage.
This document has been translated from the German original.
1.1.1 Standard documentation
The product-related documentation forKaVo In eXam consists of the following com‐
ponents. You can order more of these from KaVo, if necessary:
▪ User instructions
▪ Assembly instructions
▪ Customer documents
1.1.2 Abbreviations
Short
form
GAInstructions for use
PACare instructions
MAAssembly instructions
TATechnician's instructions
STKSafety check
IECInternational Electrotechnical Commission
RARepair instructions
EMCElectromagnetic compatibility
Explanation
1.1.3 Symbols used
Symbols in this document
See the section Safety/Warning Symbol
Important information for users and technicians
Caution: ionising radiation!
Laser beam
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Instructions for use KaVo In eXam 3510
1 User notes | 1.1 User guidelines
CE mark (Communauté Européenne). A product with this mark meets the
requirements of the relevant EC directives, i.e. the applicable standards in
Europe.
Action request
Symbols on the operating unit and X-ray head
kV button
"Consult user instructions!" symbol
Take X-ray
Bitewing function area "Molars"
Bitewing function area "Canines/Incisors"
X-ray emission pilot lamp
Dig eXam button
Dosage preselection film (7mA), digital image receivers (4mA).
Adult/child selection button
Occlusal function selection
Selection button for default dose setting
"Ionising radiation" symbol
Symbols on identification labels
Type B application part [IEC 878-02-02]
Focus size [IEC 417-5326-a]
CE marking
X-ray filtration [IEC 417-5381]
X-ray tube CE marking [IEC 417-5381]
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Instructions for use KaVo In eXam 3510
1 User notes | 1.1 User guidelines
CSA label
Consult user instructions
For information about proper disposal, see intended purpose
1.1.4 Definitions
DefinitionMeaning
Focus-skin distance (FSD) ① refers to
the distance between the focal spot and
the patient's skin. The focal spot is loca‐
ted at the point where both axes inter‐
cept, identified by the focal spot markers
② .
2
1
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Instructions for use KaVo In eXam 3510
1 User notes | 1.2 Target audience
1.2 Target audience
This document is intended for use by dentists and other practice employees as well
as for use by clinic staff, who possess the appropriate 'expert knowledge' and who
have undergone instruction on the use of X-ray machines in accordance with the
stipulations of the country in which they are practising.
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Instructions for use KaVo In eXam 3510
1 User notes | 1.3 Service
1.3 Service
Service hotline:
++ 49 (0) 7351 56-2900
Service.Roentgen@kavo.com
Please indicate the product serial number in all requests.
Additional information can be obtained at: www.kavo.com
1.3.1 For North America
GENDEX Dental Systems
019 West Oakton Street
Des Plaines, IL 60018-1884
USA
+1 (847) 640-48 00
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Instructions for use KaVo In eXam 3510
1 User notes | 1.4 Implied warranty
1.4 Implied warranty
The KaVo end-user customer guarantee for the product named in the completion
certificate guarantees that the product functions correctly and that there are no faults
in the material or workmanship for a duration of 12 months following the purchase
date, according to the following conditions:
Following a reasonable complaint relating to defects or short delivery, KaVo will
provide a replacement or perform repairs. KaVo reserves the right to perform re‐
pairs.
Claims of any other nature, damages in particular, are excluded. In case of default
and gross negligence or intent, the latter only applies if there are no compelling legal
provisions opposing it.
KaVo shall not be liable for defects and their consequences, which occur as a result
of normal normal wear and tear, or of improper cleaning and maintenance, nonobservance of the operating, maintenance or connection regulations; calcination or
corrosion; a contaminated air or water supply; or chemical or electrical effects, which
are non-standard or not permitted according to company regulations.
As a general rule, this guarantee does not apply to lamps, glassware, rubber parts
or the colour durability of synthetic materials.
KaVo shall not be liable for defects or their consequences if they are likely to be a
direct result of actions or modifications by a customer or third party.
Any claims arising from this guarantee can only be lodged if the completion certifi‐
cate (carbon copy) has been sent in to KaVo and the operator/user is able to produce
the original.
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Instructions for use KaVo In eXam 3510
1 User notes | 1.5 Restrictions on the guarantee
1.5 Restrictions on the guarantee
KaVo shall assume responsibility for the safety, reliability and performance of all
KaVo system components provided that:
▪ Assembly, upgrades, new settings, modifications or repairs toKaVo In eXam
exclusively carried out be KaVo or third parties authoirsed by KaVo
forKaVo In eXam .
▪ The system has been installed and operated in accordance with the User in‐
structions and Assembly instructions.
▪ All servicing is performed in full compliance withDIN VDE-0751-1 must be com‐
plied with to its full extent.
▪ In Germany, the location in whichKaVo In eXam is installed is compliant with
standardsDIN VDE 0100-710: 2002-11 andVDE 0100-560:1995 in its design. In
other countries, the corresponding national regulations must be respected.
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Instructions for use KaVo In eXam 3510
1 User notes | 1.6 Transport and storage
1.6 Transport and storage
1.6.1 Transportation damage
Outside of Germany
Note
KaVo is not liable for damage arising from transportation.
Immediately inspect the delivery after receipt!
If external damage to the packaging is visible upon delivery, follow the procedure
below:
1. The recipient must record the loss or damage in the notice of delivery. The re‐
cipient and employee of the transportation firm must sign the notice of delivery.
The recipient can only assert damages against the transportation company ba‐
sed on these records.
2. Leave the product and packaging unchanged.
3. Do not use the product.
If the product is damaged and there is no discernable damage to the packaging
upon delivery, proceed as follows:
1. Report the damage immediately or at least 7 days after the delivery to the deli‐
very company .
2. Leave the product and packaging unchanged.
3. Do not use a damaged product.
Note
If the recipient does not follow one of the above instructions, the damage will be
held to have occurred after the delivery (according to . CMR law , section 5, Art.
30).
1.6.2 Storage
The symbols printed on the outside are for transportation and storage, and have the
following meaning:
Transport upright with the arrows pointing upwards
Fragile - protect against knocks
Keep dry
Maximum permitted stacking load
Temperature range
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Instructions for use KaVo In eXam 3510
1 User notes | 1.6 Transport and storage
Humidity
Air pressure
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Instructions for use KaVo In eXam 3510
2 Safety | 2.1 Explanation of safety symbols
2 Safety
2.1 Explanation of safety symbols
2.1.1 Warning symbol
Warning symbol
2.1.2 Structure
The introduction describes the type and source of the hazard.
This section describes the potential consequences of non-observance.
DANGER
▶ The optional step contains necessary measures for avoiding hazards.
2.1.3 Description of danger levels
CAUTION
WARNING
DANGER
Safety instructions with three hazard levels are used in this document for avoiding
personal and property damage.
CAUTION
indicates a hazardous situation that can lead to property damage or minor to mo‐
derate injury.
WARNING
indicates a hazardous situation that can lead to serious injury or death.
DANGER
indicates a maximum hazardous situation that can directly cause serious injury or
death.
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Instructions for use KaVo In eXam 3510
2 Safety | 2.2 Intended purpose
2.2 Intended purpose
2.2.1 General
This KaVo product is intended only for use in the field of dentistry. It is impermissible
to use the product for a purpose for which it was not intended.
"Proper use" includes following all the instructions for use and ensuring that all in‐
spections and service tasks are performed.
Apply and meet the overarching guidelines and/or national laws, national regulati‐
ons and the rules of technology for medical devices applicable for startup and use
of the KaVo product for the intended purpose.
The user must ensure that that the device works properly and is in a satisfactory
condition before each use.
During use, national legal regulations must be observed, in particular:
▪ the applicable health and safety regulations.
▪ the applicable accident prevention regulations.
The user must observe the following:
▪ - only use properly operating equipment.
▪ protect himself or herself and third parties from danger.
▪ avoid contamination from the product.
To guarantee constant readiness for use and maintenance of value of the KaVo
product, the recommended annual servicing must be done.
Yearly safety inspections are required.
Note
The product must be cleaned and serviced according to instructions if it is not to
be used for a long period.
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Instructions for use KaVo In eXam 3510
2 Safety | 2.2 Intended purpose
Observe the corresponding country-specific regulations when finally shutting down
a KaVo product. Please direct all questions regarding the proper disposal of KaVo
products to the nearest KaVo branch.
Note
The waste that arises must be recycled or disposed of in a manner safe for humans
and the environment. Observe the applicable national regulations.
Please direct all questions regarding the proper disposal of KaVo products to the
nearest KaVo branch.
Note
According to the EC Directive 2002/96 concerning electrical and electronic used
devices, this product is subject to the cited directive and must be disposed accor‐
dingly within Europe.
Before disassembling and disposing of the product, it must be completely proces‐
sed (disinfected, sterilised) according to the section "Preparation methods".
Additional information can be obtained from KaVo (www.kavo.com) or your dental
supplier.
2.2.2 Product-specific
KaVo In eXam is an intraoral X-ray machine.
KaVo In eXam complies with all regulations that are in effect for X-ray and radiation
protection.
During use, diagnostic X-ray radiation is generated that could harm patients or third
parties if incorrectly used.
Compliance with the national quality assurance regulations that are in place, parti‐
cularly those relating to the operator/handler minimising exposure to high doses, is
mandatory.
KaVo In eXam has a class 2 laser for making the X-ray's central beam visible. Cor‐
respondingly, the pertinentIEC 825-1 andIEC 60825-1 regulations have to be con‐
sulted.
X-ray machine disposal
The x-ray tube head contains materials whose disposal must be clarified after the
device stops being used. Follow national regulations (consult your dental supplier
if necessary).
This concerns the systems that generate radiation (tubes, lead sheath), and all
electronic components.
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Instructions for use KaVo In eXam 3510
2 Safety | 2.3 Safety instructions
2.3 Safety instructions
Radiation damage due to improper installation
Unnecessary overexposure to X-ray radiation.
CAUTION
CAUTION
CAUTION
▶ Only individuals who have completed a relevant KaVo In eXam training course
are permitted to undertake assembly, upgrade, tuning or repair activities.
▶ Consult the country-specific regulations, guidelines and laws that are in place
to regulate the installation and operation of X-ray equipment.
Ionising radiation
Overexposure to X-ray radiation.
▶ The handler can and must take measures, in accordance with country-specific
legal stipulations, to minimise their personal dose of radiation!
Malfunctions from electromagnetic fields.
The product meets the applicable requirements regarding electromagnetic fields.
Given the complex interactions between equipment and cell phones, the product
may be influenced by a cell phone that is in use.
▶ Do not use cell phones in medical offices, hospitals, or laboratories.
▶ Turn off electronic devices such as computer storage media, hearing aids, etc.
during operation .
CAUTION
WARNING
CAUTION
CAUTION
Risks from electromagnetic fields.
The functions of implanted systems (such as pacemakers) can be influenced by
electromagnetic fields.
▶ Ask patients before treatment.
Injury or damage from damaged functional parts.
When functional parts are damaged, it can cause additional damage or personal
injury.
▶ When operating parts are damaged: Stop working and eliminatethe damage,
or notify a service technician.
▶ Check the electrode lines and accessories for damage to the insulation.
Laser beam (class 2)
Looking directly into the laser beam can cause irritation or permanent changes.
▶ Do not look directly into the laser beam.
▶ Instruct patients not to do this either.
▶ Proceed with caution when positioning the X-ray tube head, switching the laser
off if necessary!
Ignition of ignitable mixtures due to electric equipment in operation.
Deflagration
▶ The In eXam machine must not be operated when using ignitable mixtures.
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Instructions for use KaVo In eXam 3510
2 Safety | 2.3 Safety instructions
2.3.1 Attaching to KaVo Primus 1058
Risk of injury from falling or broken parts
Safety and compliance with standards for the installation of In eXam in KaVo Pri‐
CAUTION
mus 1058 can be impaired if the parts supplied as standard in the kit were not
installed in line with the assembly instructions.
▶ Make sure you follow the procedure described in the separate assembly in‐
structions for the kit!
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Instructions for use KaVo In eXam 3510
2 Safety | 2.4 Protective devices
2.4 Protective devices
The casing components of KaVo In eXam 3510 are securely fastened with concea‐
led, mounted nuts to safely prevent anybody from accidentally coming into contact
with electrically charged components.
These nuts can only be unscrewed by a qualified Service Technician.
2.4.1 Closing the casing
By pulling on the housing the wall cover or X-ray head casing can be detached from
the snap-fit fastenings, so that a 5mm-wide opening can be seen.
To close the casing, push the relevant part to fix it back into place.
Fix wall panel cover back on
▶ Using both hands, carefully push the wall panel cover to lock it back in place.
The cover is locked securely back in place.
Fix X-ray head cover back on
▶ Using both hands, carefully push the X-ray head cover to lock it back in place.
The cover is locked securely back in place.
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Instructions for use KaVo In eXam 3510
2 Safety | 2.5 Requirements for correct operation
2.5 Requirements for correct operation
The X-ray machine has to be installed in such a way as to make it impossible for
anyone other than authorised individuals to take an X-ray.
Responsibility is assumed for the safety, reliability and performance of the unit when:
▪ Installation, expansions, adjustments, changes or repairs is done by technicians
trained by KaVo or third parties authorised by KaVo for the Dig eXam, or by the
personnel of authorised distributors.
▪ The unit is operated according to the instructions for use.
▪ When setting up the unit, follow all the requirements of VDE 0751-1, "Repeated
tests and test before startup of electronic medical devices and systems - general
guidelines".
▪ In Germany, the room in which the In eXam is installed must be designed ac‐
cording to the specifications DIN VDE 0100-710:2002-11 ad VDE
0100-560:1995. In other countries, follow the corresponding national specifica‐
tions.
▪ The KaVo In eXam is an electronic medical device, and is subject to the special
precautions necessary for EMC. The KaVo In eXam may only be operated when
it has been installed according to the EMC instructions in the instructions for
installation.
CAUTION
Unauthorised accessories
Only original replacement parts and accessories should be used, to ensure that
there is no increase in the emissions and/or a reduction in the stability in terms of
the electromagnetic compatibility.
▶ Only use authorised or recommended spare parts and accessories.
See also:
3.6 Technical data, Page 28
KaVo In eXam user instructions.
2.5.1 Standard conformity
In eXam conforms to the following standards:
▪ IEC 60601-1:1988 +A1:1991 + A2:1995 [for US: UL 60601-1:2003. For Canada: