KaVo Scan eXam One User Manual

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KaVo Scan eXam™ One
Digital Intraoral Imaging Plate System User Manual
ENGLISH
209643 rev. 5
0.805.5080
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Copyright Copyright © 2017 by, PaloDEx Group Oy.
All rights reserved.
Scan eXam™ is a common law trademark of Kaltenbach & Voigt GmbH.
IDOT™ is common law trademark of PaloDEx Group Oy.
All other trademarks are property of their respective owners.
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 PaloDex Group Oy.
This is the original approved English language version.
The manufacturer 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 representative for the most current information.
Manufacturer PaloDEx Group Oy
Nahkelantie 160 FI-04300 Tuusula FINLAND
Tel. +358 10 270 2000 www.kavokerrgroup.com
For service, contact your local distributor.
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Table of Contents
1 Introduction.................................................................................... 1
1.1 Unit with accessories................................................................... 1
1.2 System setup ............................................................................. 2
1.3 Controls and indicators ................................................................ 3
2 Basic use......................................................................................... 7
2.1 Preparing the imaging plates ........................................................ 9
2.2 Positioning and exposure ........................................................... 10
2.3 Processing the imaging plates..................................................... 12
3 Advanced use................................................................................ 15
3.1 Scan eXam™ One setup options.................................................. 15
3.1.1 Status............................................................................. 15
3.1.2 Image Scanning ............................................................... 16
3.1.3 Using the dental chart....................................................... 16
3.1.4 Resolution ....................................................................... 16
3.1.5 Image Processing - Noise Filtering ...................................... 16
3.1.6 Retrieve last image........................................................... 17
3.1.7 Scanner Unit Serial number ............................................... 17
3.2 Settings................................................................................... 17
3.3 Workflow ................................................................................. 18
3.3.1 Readout start................................................................... 18
3.3.2 Plate eject mode .............................................................. 20
3.4 Power options .......................................................................... 20
3.5 Occlusal 4C projection imaging (not included in delivery) ............... 21
4 Accessories introduction ............................................................... 23
4.1 Hygiene accessories .................................................................. 23
4.2 Imaging plates ......................................................................... 24
4.3 Imaging plate storage box ......................................................... 25
4.4 Holders ................................................................................... 25
4.5 Occlusal projection imaging with Occlusal 4C start-up kit and
accessories .............................................................................. 26
4.6 Microfiber cloth......................................................................... 26
4.7 Imaging plate care.................................................................... 26
4.8 Imaging plate cleaning .............................................................. 27
5 Introduction to imaging plate technique ....................................... 29
5.1 Imaging plate........................................................................... 29
5.2 Hygiene accessories .................................................................. 30
5.3 Processing ............................................................................... 31
5.4 Background radiation ................................................................ 32
5.5 Light ....................................................................................... 33
6 Installation of the imaging plate system....................................... 35
6.1 Positioning the unit ................................................................... 35
6.2 Connecting the unit to a network ................................................ 36
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6.3 Install the Application software ................................................... 37
6.4 Accessing the unit from the software ........................................... 38
6.4.1 Direct connection method (uses the unit s/n) ....................... 38
6.4.2 IP method (using the unit static address) ............................ 39
6.4.3 EXPRESS Share................................................................ 39
6.5 Other devices........................................................................... 40
7 Troubleshooting............................................................................ 41
7.1 Error images ............................................................................ 41
7.1.1 Improper use of the hygiene accessories and imaging plates .. 41
7.1.2 Application errors ............................................................. 42
7.1.3 Imaging plate wearing ...................................................... 45
7.2 Error messages ........................................................................ 46
8 Other information ......................................................................... 47
8.1 Quality control.......................................................................... 47
8.2 Unit care ................................................................................. 47
8.3 Unit cleaning............................................................................ 47
8.4 Disinfecting the unit .................................................................. 48
8.5 Maintenance ............................................................................ 48
8.6 Repair ..................................................................................... 48
8.7 Disposal .................................................................................. 48
9 Technical specifications ................................................................ 49
9.1 Unit ........................................................................................ 49
9.2 System requirements and connections......................................... 51
9.3 Imaging plate specifications ....................................................... 52
9.4 Hygiene bag specifications ......................................................... 53
9.5 Electromagnetic Compatibility (EMC) tables .................................. 54
10 Symbols and labeling .................................................................... 58
10.1Symbols .................................................................................. 58
10.2Main label ................................................................................ 59
10.3Warnings and precautions .......................................................... 60
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1Introduction
1. ON/OFF key
2. START key
3. Display
4. Imaging plate collector
5. Plate slot and plate carrier
6. Power supply
CAUTION:
Only use the power supply deliv­ered with the unit or an approved spare power supply supplied by an authorized distributor (See chapter Technical Specifica­tions).
7. Documentation and imaging application software media
8. Hygiene accessories
9. Imaging plates
10. Imaging plate storage box
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KaVo Scan eXam™ One system is intended to be used by dentist and other qualified dental professionals to process x-ray images exposed to the imaging plates from the intraoral complex of the skull.

1.1 Unit with accessories

1 Introduction

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1 Introduction
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1.2 System setup

An example of a typical system set up in a local area network (LAN).
1. Scan eXam™ One unit
2. Ethernet cable
3. Workstation (WS) computer (not included) con­tains
- patient data, images and a license server
4. Internet connection (optional, recommended)
5. Optional workstation (WS) computers (not in­cluded)
For more options and details of installing and setting up the Scan eXam™ One system see chapters 6 Installation of the imaging plate system and 9 Technical specifications.
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1.3 Controls and indicators

4
1
2
3
Control panel layout
1. ON/OFF key
2. START key
3. Plate feeding indicator
4. Status display
1 Introduction
ON/OFF key
Press ON/OFF key to turn the unit on.
Press and hold for 3 seconds to turn the unit
off.
They key has a light when the unit is on.
The light is softly blinking when the unit is in
a stand by mode.
Press the ON/OFF key or the START key to
wake the unit.
START key
Use the start key to wake the unit from the
stand by mode or
to start processing in the manual mode or to
cancel (skip) the 2nd plate in the Occlusal 4C mode.
to access startup screen-information (IP, se-
rial number) when the scanner is not re­served by any user.
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1 Introduction
Display and plate feeding indicators
Startup
During startup the unit serial number, IP address and other information will appear on the unit dis­play.
Waiting dental imaging software
Software not open, not ready or waiting for user action. Unit name is displayed.
Software active
Unit has a connection to a software. Unit not in use.
Express Share reservation
The unit has been reserved using Express Share. The workstation identifier is shown in the pad­lock. The name of the current patient is shown.
The green plate feeding indicator is showing readiness for plate insert.
Express Share ready
Unit has a connection to a software using Ex­press Share. The unit is not reserved by any workstation in the system.
Unit is activated
The unit is activated for image processing. The name of the current patient is shown.
The green plate feeding indicator is showing readiness for plate insert.
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1 Introduction
Insert 2nd plate
Insert the second plate of the Occlusal 4C for­mat.
Press Start to treat the first plate as a single size 3 image.
Image processing complete
Exposure level OK.
Image processing complete
Image considered over exposed. Check exposure settings.
Image processing complete
Image considered under exposed. Check expo­sure settings.
Remove plate
Remove the imaging plate from the plate carrier.
Rotate the plate
Rotate the imaging plate. Light blue side to the left.
Remove cover
Remove the hygienic cover gently leaving the imaging plate in the plate carrier.
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1 Introduction
Unit disconnected
Missing ethernet connection. Check the connec­tors, cables and the network.
Error
Error ID and a short description is displayed. Contact service.
Press START
Press the START button to wake the unit from a standby mode.
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2 Basic use
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2 Basic use

Prepare imaging plates. See chapter 2.1 for more information.
Activate the Scan eXam™ One from the im­aging application. Refer to the application software manual for more information.
Position and take an exposure. See chapter 2.2 for more information.
Process the imaging plate. See chapter 2.4 for more information.
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2 Basic use
CAUTION! Process unexposed imaging plates to erase potentially accumulated background radiation when
Taking new imaging plates into use.
Imaging plates have been packaged and un-
used for more than 24 hours.
Imaging plates have stored in dark (not ex-
posed to ambient light) susceptible for back­ground radiation for more than 24 hours.
This will remove any potential fogging due to collected natural background radiation.
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2.1 Preparing the imaging plates

Apply protective cover and package the plates into the original hygiene bag.
Seal the bag properly.
Observe the orientation of the plates, cover and the bag.
Active side of the imaging plate has a light blue color.
2 Basic use
NOTICE! Keep the imaging plates packed max. 24 hours before using. Packaged plates accumulate radiation from the background. Plates can be erased by reading the plate.
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2 Basic use

2.2 Positioning and exposure

Position the imaging plate according to the anatomical area of interest. Holders (petitioners) are recommended for the best positioning accuracy. See the chapter 4.4 Holders, for more information.
Apply X-ray according to the anatomical area of interest and on the intraoral X-ray tube in use.
Find guidelines of exposure times in seconds for a standard DC X-ray unit in the table below.
Correct exposure settings depend on the X-ray unit type in use. For an AC-unit or for a low tube current (i.e. portable X-ray) apply higher exposure times.
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2 Basic use
Exposure factors close to F-speed film are often appropriate.
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2 Basic use

2.3 Processing the imaging plates

Unpack and process the imaging plates immediately after unpacking.
NOTICE! Ambient light harms the image in­formation when not protected by the protec­tive cover.
Insert the imaging plate with the cover.
NOTICE! Do not partially slide the imaging plate from the cover. You can place the plate with cover and leave it to the plate car­rier. Unit will not start the processing before removing the cover.
Remove the cover.
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2 Basic use
The image appears on the imaging applica­tion screen.
NOTICE! Process within one hour after ex­posure.
Processed imaging plate is ready to be packed and exposed again.
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2 Basic use
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3Advanced use

3.1 Scan eXam™ One setup options

The Scan eXam™ One setup options allow you to configure the Scan eXam™ One to the user’s clinical preferences.
From the imaging application software you are using select unit Setup/Scanner page (for more instruction on how to access setup page review application software manual).

3 Advanced use

3.1.1 Status

Shows the scanner type, firmware version and unit serial number.
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3.1.2 Image Scanning

If Show Image Preview and Dental Chart is selected a preview image with a dental chart for tooth numbering appears before the image is saved.

3.1.3 Using the dental chart

1. After an imaging plate has been processed a window
2. opens that shows a preview image and a dental chart. Click the tooth / teeth on the chart that corre­spond to the tooth / teeth in the image. Tooth numbers are assigned to the selected teeth.
The tools at the top of the window allow the im­age to be manipulated.
3. Click OK to save the image and tooth numbers.

3.1.4 Resolution

Super gives a pixel size of 30 μm. This results in images with better resolution, but may require longer exposure time to compensate.High (recommended default) gives a pixel size of 60 μm. This results in images with less noise especially if short exposure times are used.
3.1.5 Image Processing - Noise
Filtering
Noise filtering makes images smoother when they are taken at short exposure times. There are two options available: Classic mode offers traditional noise filtering algorithms that has been applied to all previous models of imaging plate systems.
The Progressive mode applies another algorithm that reduces noise while efficiently retaining image clarity. The progressive algorithm requires appropriate exposure level for efficient
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3 Advanced use
performance. Ensure that the exposure level indicator is Ok.

3.1.6 Retrieve last image

If the last image processed is not transferred to the PC because of a network, communication, PC or software failure, the last image processed can be retrieved.
NOTICE! The LAST processed image can only be retrieved if the unit is left on. If the unit is switched off the image is lost.
1. To retrieve the last processed image:
1. Correct the problem that caused the communi­cation failure. When the connection between the unit and the PC is re-established the last pro­cessed image is automatically transferred to the PC.
2. PC: If the image is not automatically transferred to the PC, select the Setup > Scanner page from the imaging application software your are using.
3. PC: In the Last Image field, click Retrieve now to retrieve the last processed image.
NOTICE! If required you can select different pa­rameters (e.g. resolution, show image preview etc.) for the image to be retrieved.
4. PC: Click OK to close the Setup window. The last processed image is transferred to the PC.

3.1.7 Scanner Unit Serial number

Adds the unit serial number to all new images.
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3 Advanced use

3.2 Settings

See chapter Installation for more information on connecting the unit to a PC/LAN.

3.3 Workflow

From the imaging application software you are using select unit Setup / Workflow page.

3.3.1 Readout start

Select Automatic if you want the unit to start automatically image plate processing.The Start after options all ow to select when the unit starts image plate processing:
After Plate insert: processing starts auto-
matically when it detects right way inserted imaging plate in the plate carrier.
After Cover removal: after the imaging plate
and protective cover have been inserted into
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the plate carrier, processing starts automat­ically when the protective cover is removed.
The Start delay options allow the start delay time to be selected.
Short = approximately 0.2 seconds
Medium = approximately 0.4 seconds (rec-
ommended default)
Long = approximately 0.6 seconds
Select Manual if you want processing to start only when the START key is pressed.
NOTICE! Processing starts even if the plate is:
Wrong way round
•Not detected
Not inserted at all
NOTICE! Unit turns off in manual mode if user is pressing ON/ OFF key regardless of imaging plate sensing in the plate carrier.
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3 Advanced use

3.3.2 Plate eject mode

•The options are:Drop in plate collector:
the imaging plate is ejected into the plate collector after the imaging plate has been processed.
Leave in plate carrier: the imaging plate
remains in the plate carrier after the imaging plate has been processed. The Leave in plate carrier option is rec­ommended for users who want to handle the imaging plates with more care and reduce wear and tear on them. This option extends service life of the imaging plates and allows greater hygiene standards to be observed.

3.4 Power options

From the imaging application software you are using select unit Setup / Power options page.
Standby after (seconds): Allows you to select the period of time the unit remains unused before it enters the standby mode (plate carrier is driven
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3 Advanced use
inside the unit, door is closed and ON/OFF key dims on and off). Press ON/OFF key to recover.
Beep when entering standby mode: Audible signal is heard before the unit enters the standby mode.
Shutdown after (minutes): Allows you to select the period of time the unit remains in standby mode before automatically switching itself off.

3.5 Occlusal 4C projection imaging (not included in delivery)

To change Occlusal 4C projection imaging settings select from the imaging application software unit Setup / Occlusal page.
Occlusal 4C projection image is formed from two sequential size 3 plates. Image plates are processed separately and then stitched together to form a single Occlusal 4C projection image. Following text shortly describe how Occlusal 4C projection image is taken. For more information refer to instructions supplied with the Occlusal 4C kit.
1. Place two size 3 imaging plates into their corre-
sponding protective covers.
2. Slide the two size 3 imaging plates and protec-
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3 Advanced use
tive covers into the Occlusal 4C bite protector.
3. Insert the Occlusal 4C bite protector and imag-
ing plates into the Occlusal 4C hygiene bag.
4. Seal the bag. Place the sealed Occlusal 4C hy-
giene bag into the patient’s mouth and take an exposure.
5. Remove the sealed Occlusal 4C hygiene bag
from the patient’s mouth. Open it.
6. Remove each individual imaging plate from the
Occlusal 4C bite protector and process one at a time.
7. Occlusal 4C image appear on the imaging
application software.
NOTICE! When you are in the Occlusal 4C mode it is possible to temporarily override the mode and process a single size 3 imaging plate. Insert the size 3 imaging plate into the unit so that it can be processed. When the insert second plate symbol appears on the unit user interface press the start key. This cancels the Occlusal 4C mode for this operation and produce a single size 3 image. Size 3 image mode from each size 3 plate allows size 3 imaging plates to process as individual imaging plates.
NOTICE! Due to Occlusal 4C projection imaging geometry and imaging plate positioning, accurate distance and angle measurements cannot be taken from Occlusal 4C projection images.
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4 Accessories introduction

Protective covers
Hygiene bags
4 Accessories introduction
NOTICE! USE ONLY GENUINE ACCESSORIES FROM THE MANUFACTURER to ensure the optimal clinical results, safe use of the system and long service life for the imaging plates.
NOTICE! Never use hygiene accessories more than once.

4.1 Hygiene accessories

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4.2 Imaging plates

Compatible with all intraoral sizes equal to film: 0, 1, 2, 3 and Occlusal 4C, all with film-like usability.
IDOT™ imaging plates have individual identification marking that appear on the images.
Standard (STD) imaging plates (optional)
have no identification mark on the sensitive side of the plate.
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4.3 Imaging plate storage box

Practical, dedicated storage box keeps imaging plates clean and ready for use by protecting the plates from:
Dust (which will be visible in the image)
Airborne contamination
Fogging caused by background radiation (which may decrease image quality)
Ultraviolet radiation (which is harmful for the imaging plates)
Base part of the storage box is autoclavable at 121 °C (250 F) or 134 °C (272 F). The top cover cannot be autoclaved.

4.4 Holders

It is recommended to use imaging plate holders to ensure accurate patient positioning and consistently good image quality. Problems caused by manually positioning the imaging plate include:
incorrect vertical alignment
distortion
cone cut off
poor projection standardization
inferior image quality
contamination risk
Contact your distributor for more information on imaging with plate holders.
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4.5 Occlusal projection imaging with Occlusal 4C start-up kit and accessories

The complete image is produced automatically from two size 3 imaging plates. The plates are shielded from biting damage with a rigid bite protector. For more information see instructions provided with the Occlusal 4C kit and on chapter Advanced use.

4.6 Microfiber cloth

Imaging plate microfiber cloth is used for dry cleaning of the imaging plates (comparable to eyeglasses cleaning).

4.7 Imaging plate care

Sensitive surface, handle with care
You can bend. Do not fold or
Touch the edges only.
Do not scratch. Do not stab.
Use only original accessories. Single use only!
bend excessively.
Do not touch the sensitive surface.
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Avoid moist and water.
Allowed temperature.
Avoid direct sunlight and UV radiation.

4.8 Imaging plate cleaning

Do not sink.
Avoid dust.
Not household waste.
Use ONLY > 70% Ethanol
Do not apply Ethanol directly on the plate.
Apply Ethanol on lint free soft fabric.
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Wipe the plate gently.
Wipe dry or let dry for 1 minute.
Pack the plate.
NOTICE! Pack the imaging plates in advance, but no longer than 24 hours before the exposure.
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5 Introduction to imaging plate technique

Sensitive side
1. Protective (topcoat)
layer
2. Photo-stimulable layer
3. Support material layer
(=back side, black)
5 Introduction to imaging plate
technique

5.1 Imaging plate

Imaging plate is a film-like thin, flexible and wireless phosphorescent plate, which works as a wireless receptor. Imaging plate is better than film because:
no need for film development chemicals and darkroom.
tolerates wider range of exposure values, both overexposure and underexposure are practically eliminated.
All benefits of digital images.
Imaging plate sizes:
•0 child
1 small adult
•2 large adult
•3 bitewing
4C occlusion
The support base material is black plastic. On top of the base material is blueish photo-stimulable layer (does not contain any prosphor/phosphorus). On top of the blueish material is a top coat protective layer and the edges are closed with lacquer.
The phosphorescent side of the plate records and stores the image. This side is sensitive and should be protected against dust and dirt.
Visible light clears the image information from the plate, so it must be protected from ambient light between exposure and processing.
Even when packed properly, the image starts to fade out slightly within time.
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5 Introduction to imaging plate technique

5.2 Hygiene accessories

The imaging plate is protected with a protective cov­er and a hygiene bag before the exposure. Protec­tive cover and hygiene bag are protecting the plate from:
•Ambient light
Contamination
•Mechanical wearing
•Moisture
NOTICE! USE ONLY GENUINE, ORIGINAL HYGIENE ACCESSORIES AND IMAGING PLATES DESIGNED FOR THIS SYSTEM AND SUPPLIED BY AUTHORIZED DISTRIBUTOR. The manufacturer of this system will not be held responsible for any problems caused by using accessories from other manufacturers. PROPER USE OF ORIGINAL HYGIENE ACCESSORIES ENSURES THE BEST IMAGE QUALITY AND MAXIMUM SERVICE LIFE OF THE IMAGING PLATES.
The packed imaging plate is positioned with a holder in the patient’s mouth. The exposure is made as with film. The hygiene bag should be disinfected after exposure and disposed off after single use.
1. Imaging plate is inserted together with the pro­tective cover all the way into the plate slot.
2. Magnet on the plate carrier grabs the imaging plate.
3. Processing starts automatically after you re­move the protective cover.
Dispose protective cover after single use.
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5 Introduction to imaging plate technique
1.
2.
3.
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5 Introduction to imaging plate technique
1.
2.
4.

5.3 Processing

1. Red laser light stimulates the sensitive surface of the imaging plate.
2. Imaging plate glows blue light in relation to the amount of X-ray information stored to the plate.
3. Glowing blue light is optically collected pixel by pixel (line by line) and measured with extremely sensitive photodetector.
4. Digital image is formed from the measured light intensity variation.
After stimulating, imaging plate is exposed to bright light, which clears the remaining image information from the plate. The imaging plate is dropped out of the unit.
X-ray exposures and processing are not aging the imaging plate, so it is re-usable hundreds of times. In practice, mechanical wearing limits the service life of the plate.
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5 Introduction to imaging plate technique

5.4 Background radiation

The user can pack imaging plates ready for use.
However, it is not recommended to store pre­packed plates more than 24 hours.
NOTICE! Imaging plates react sensitively to natural background radiation, which may cause “fogging” and lack of contrast on the image.
The X-ray dose of single intraoral imaging is approximately the same as the dose one person gets from natural background radiation during one day.
Imaging plates may gather radiation also during transportation from the manufacturer. Therefore it is recommended to perform initial erasing for the new plates. This means that all imaging plates should be processed once prior to use.
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5 Introduction to imaging plate technique

5.5 Light

Ambient light is good when storing the imaging plates: it keeps the plates clean from background radiation “fogging”.
NOTICE! Ambient light is harmful for the image information on the plate between the exposure and processing.
NOTICE! UV light is harmful for the imaging plates.
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6 Installation of the imaging plate system

6 Installation of the imaging plate
system
Imaging plate system is formed of one or more PC that connects the imaging plate scanner unit, software, accessories and consumables.
Electronic equipment that does not fulfill medical safety standards (office PC, network connecting units etc.) must not be installed in the patient area. The definition of the patient area is 1,5 m in horizontal distance and 2.5 m in vertical distance to the patient. The Scan eXam™ One meets safety requirements of a medical electrical unit and it can be installed also in the patient area.

6.1 Positioning the unit

Position the unit on a stable flat surface so that any potential vibrations do not degrade the image quality. The unit must not be positioned so that it is touching other equipment. It must not be placed on top of or under other equipment.
Do not position the unit in direct sunlight or near bright light. Sunlight or bright light must not be allowed to shine directly on the unit door into which the imaging plates are inserted.
Typical location for a scanner unit in a shared use by multiple operators is somewhere in a common space for all users having an easy access to.
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If the X-ray images are being captured and images scanned in a single location only (X-ray room or single user environments) it is most convenient to place the scanner unit near to the X-ray.
NOTICE! Always position the unit so that you can easily detach the power supply (PSU) from supply mains.

6.2 Connecting the unit to a network

The unit can be connected directly to a single PC or several PC using a wired local area network (LAN). It is recommended to use a LAN in all installations. Also any workstation used for managing an image capture should be connected to a wired LAN.
It is recommended to have an internet connection from the LAN. This makes registering potential software license easier.
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6 Installation of the imaging plate system
Connect the Ethernet cable from the unit to the local area networking unit (router/switch). Consult a computer network specialist to build up a local area network if needed.
The unit can obtain an IP address automatically (DHCP) or it can be set manually (static IP).
The unit will show its IP number during the boot up sequence when powered on.

6.3 Install the Application software

The imaging plate system is delivered with an software required to operate the system. In a functional system there are two main parts: a server for storing the patient data and images and client software for operating the system and the units. Both parts can be on the same computer but there must be only one computer acting as database server in a network. If the imaging plate system is operated and images are viewed from multiple PC in a network install only the client software on the remaining other PC. The PC that is acting as a server must be powered at any times the system is used on any of the PC.
In addition there can be a license server in the local area network to manage software licenses for multiple PC.
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6 Installation of the imaging plate system
Turn the unit on by pressing the power ON/OFF button before installing the software.
Insert the software installation media (DVD) and launch the software installer if it does not start automatically.
Read the software installation manual. Follow the instructions of the installation wizard to complete the software installation. Refer the software installation manual for details.

6.4 Accessing the unit from the software

In order to operate the scanner unit from a PC the software needs to access the desired scanner unit in the network. There can be multiple scanners in one network. When using multiple scanners each unit can be assigned a unique call name by the user to separate the scanners in the network. By default the name of the scanner unit is “Scan eXam™ One”.
There are multiple ways of configuring the connection between the scanner unit and the operators software. The automatic connection is based on automatically detecting the scanner in the network. This is a preferred method.
6.4.1 Direct connection method (uses
the unit s/n)
NOTICE! It may not be possible to connect the unit to the PC using the direct connection method if another device is al ready connected to the PC using direct connection. If the direct connection field is not active (greyed out) or the system does not work correctly after the unit has been connected, reconnect the unit using the imaging plate connection method.
1. After positioning the unit connect it to the PC(s)
in the local area network using the Ethernet ca­ble (not included in delivery).
2. Switch the unit on. The imaging application soft-
ware symbol appears in the unit user interface. This indicates that the unit is not communicating with the PC(s) in the network.
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6 Installation of the imaging plate system
3. PC: Install the imaging application software to
be used in the PC(s).
4. PC: Open the imaging application software and
select the scanner setup window.
5. PC: From the scanner setup window select the
Settings tab to open the Scanner Connection page.
6. PC: Select Direct Connection.
Key the serial number of the unit into the Scanner serial number field. The serial number of the unit appears on the type label on the back of the unit. Make sure that the Computer network connection that provides the LAN network connection is selected.
6.4.2 IP method (using the unit static
address)
If your system does not allow the direct connection method to be used to connect the PC(s), connection can be done using an IP address.
1. Follow steps 1 to 5 from the previous section,
Direct connection method (uses the unit s/n).
2. PC: From the Settings tab select IP based and
then select the Enable changing IP address box.
Obtain an IP address for the unit from your net­work administrator and key it into the IP field in the Scanner IP address area.
NOTICE! The PC and the unit must be in the same subnet when setting the IP address of the unit.
3. PC + Unit: Press and hold down the Start key
on the unit and then click Send to Scanner on the settings window. You hear a beep which in­dicates that the PC is now sending the IP ad­dress the unit.
4. PC: Click OK to connect the PC to the unit.
5. Now connect the other PCs in the network to the
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6 Installation of the imaging plate system
unit. Just enter the IP address into the IP field and then click OK to connect the PC to the unit (it is not necessary to hold down the Start key and click Send to Scanner with the other PCs once the unit has already got an IP address).

6.4.3 EXPRESS Share

1. PC: If the unit is to be used with several PCs se-
lect the Use Multiconnect check box and select a unique Workstation identifier number (between 1 and 4), for the PC being configured, from the drop down list. Addition workstation informa­tion, for example, user name, location etc, can be entered into the field next to the work station identifier number.
NOTICE! If only one PC is connected to the unit do not select the Use Multiconnect check box.
The Scanner Autorelease timeout is the length of time that the unit remains reserved and un­used by a PC before the PC automatically re­leased the unit so that it can be used by another PC in the system (the scanner can be reserved in advance from another PC). The default setting is 40 seconds. This can be changed by keying in a new value.
2. Click OK to connect the PC to the unit.
3.
NOTICE! An automatic technique automatically locates the unit within the local area network and connect the PC.
4. Repeat the above process for all the other PCs in
the network. Make sure that you give each PC a different Workstation identifier.
5. Check the installation by starting image capture
using the imaging application software. If the Use Multiconnect was selected the Workstation identifier of the PC (1 - 4) being used appears on the unit user interface.
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6 Installation of the imaging plate system

6.5 Other devices

DO NOT connect any other devices to the unit or the PC connected to the unit that are:
not part of the supplied system
not supplied by the manufacturer of the unit
not recommended by the manufacturer of the unit.
The PC connected to the unit should not be used in the patient environment. The minimum horizontal distance between the patient and the PC is 1.5 m (4.5 ft). The minimum vertical distance between the patient and the PC is 2.5 m (6.5 ft).
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7Troubleshooting

7.1 Error images

7.1.1 Improper use of the hygiene accessories and imaging plates

Decreased contrast, shadows or shading, ghost images…
Shows a “ghost image” (having shape of the plate or other object). Plate not properly shielded from light between exposure and process. Part of the image erased by ambient light.
Protective cover misused or not used at all.
Hygiene bag not sealed properly.
Improper, non-genuine hygiene accesso­ries use.

7 Troubleshooting

Improper storing of the imaging plates or excessively high X-ray dose used.
Imaging plate has been exposed to ultravi­olet (UV) radiation.
Imaging plate has collected background radiation because:
- Plate has been stored near X-ray unit
- Plate has been stored in the bag or in dark too long
Use dedicated imaging plate storage box to avoid these.
Alternatively, perform initial erasing for the plate(s) if they have been stored in dark and/or near X-ray unit.
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7 Troubleshooting

7.1.2 Application errors

Improper x-ray settings used
Too dark image. Some areas showing uniform “black”. Decreased diagnostic value.
Too long exposure time/too high X-ray dose.
Too light, noisy image with decreased diagnostic value. Showing only part of the image. Showing wrong size of the image (Image smaller than imaging plate).
Too short exposure time / Too low X-ray dose.
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7 Troubleshooting
Ghost images, shadows
Imaging plate has been exposed twice without processing in between.
More than one image exposed to the same plate.
Imaging plate has not been erased proper­ly after processing.
Unit erasing leds are monitored during normal operation. If leds are defected, ap­plication SW shows warning.
Circular shape on the image
Imaging plate has been exposed from the wrong side, which shows the phantom of the metal disc on the rear side of the plate.
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7 Troubleshooting
Cone cut
X-ray beam has exposed only part of the imaging plate surface. Image may show on different (smaller) size than the imaging plate used.
Check exposure procedure.
Use of proper holder avoids this.
Unsharp or blurred images, motion artefact
Patient or X-ray cone has moved during the expo­sure.
Check exposure procedure.
Check the stability of your intraoral X-ray unit.
Use proper holders.
Too long exposure time may have been used. Use shorter exposure time (increase kV if necessary to compensate effect of shorter exposure time).
Geometry distortion
Improper patient positioning.
Use proper holders to avoid this.
NOTICE! Never do accurate measurements on in­traoral images unless having known size of refer­ence object in the imaging plane.
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7 Troubleshooting

7.1.3 Imaging plate wearing

White or grey dots, spots or stains in images
Dust or stains on the imaging plates.
•Any extra particle on top of the active sen­sitive surface of the plate is visible on the image.
- Clean the plate(s).
- Replace if cleaning does not help.
- Pay attention on handling, storing and mai nte nan ce. Ens ure that only the genuine hygiene accessories are used.
Wearing of the imaging plate
Scratches
- Clean the plate(s).
- Replace if cleaning does not help.
- Pay attention on handling, storing and mai nte nan ce. Ens ure that only the genuine hygiene accessories are used.
Spots, dots (white or gray) or any visible pattern.
Most probably caused by wearing of the imaging plate.
Can be caused by moisture or improper cleaning.
- Clean the plate(s), ONLY >70% ETHANOL MUST BE USED.
- Replace if cleaning does not help.
- Pay attention on handling, storing and mai nte nan ce. Ens ure that only the genuine hygiene accessories are used.
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7 Troubleshooting

7.2 Error messages

In unit user interface the wrench symbol and error number indicates the error.
Number Description
1 K100 error
(CPU / main controller error)
2 PMT error (imaging plate infor-
mation cannot be read due to photo detector not working)
3 Laser error (imaging plate infor-
mation cannot be read due to laser not working)
4 Resonator error (imaging plate
information cannot be read due mirror not moving properly)
12 K200 board not connected prop-
erly (laser detection, erasing & movement control)
13 K300 board not connected prop-
erly (imaging plate sensing / detection)
23 K200 error (erase LED, linear
movement detection sensor or laser synchronization error)
24 Plate carrier movement error
34 Plate sensor error (imaging
plate cannot be detected)
123 Door movement error (position
of the door not detected or movement is blocked)
124 Safety cover error (light cover
inside the unit is not in its place / not detected)
234 K400 control panel error (con-
1234 Other, see driver status window
Turn power off and on to see if the unit recovers. If not, please contact local dealer or distributor.
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trol panel button defected / stuck)
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8 Other information

8.1 Quality control

To ensure maximum system performance
1. Observe “Exposure level” indication on the ap­plication SW to see that the x-ray settings are optimal.
2. Perform self quality control regularly according instructions provided with quality control test set SP00267 (Intra digi QC IEC phantom w. instructions).

8.2 Unit care

WARNING:
Switch the unit off and disconnect it from the main power supply before cleaning or disinfecting the unit. Do not allow liquids to enter the unit.

8 Other information

8.3 Unit cleaning

To clean the unit use a non abrasive cloth moistened with:
cool or lukewarm water
•soapy water
mild detergent
isopropyl alcohol
or ethanol (ethyl alcohol) 70 - 96%
CaviCide, CaviWipes by Metrex
FD322 by Dürr Dental
Easydes by Kiilto
After cleaning wipe the unit with a non abrasive cloth moistened with water. Never use solvents or abrasive cleaners to clean the unit. Never use unfamiliar or untested cleaning agents. If you are not sure what the cleaning agent contains, DO NOT use it.
If you use a spray cleaning agent DO NOT spray it directly into the unit door.
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8 Other information

8.4 Disinfecting the unit

CAUTION:
Wear gloves and other protective clothing when disinfecting the unit.
Wipe the unit with a cloth dampened with a suitable disinfectant solution such as ethanol 96%. Never use abrasive, corrosive or solvent disinfectants. All surfaces must be dried before the unit is used.
WARNING:
Do not use any disinfecting sprays as the vapor could ignite and cause injury.
Disinfecting techniques for both the unit and the room where the unit is used must comply with all local and national regulations and laws concerning such equipment and its location.

8.5 Maintenance

The unit does not require any maintenance.

8.6 Repair

The unit does not require any maintenance. If the unit is damaged or malfunctions in any way it must only be repaired by service personnel authorized by the manufacturer of the unit.

8.7 Disposal

At the end of the useful working life of the unit and/ or its accessories make sure that you follow national and local regulations regarding the disposal of the unit, its accessories, parts and materials. The unit includes some or all of the following parts that are made of or include materials that are non-environmentally friendly or hazardous:
electronic circuit boards
electronic components
imaging plates
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9 Technical specifications

9 Technical specifications

9.1 Unit

Product name
Model
Product type
Intended use
Manufacturer
Quality system
KaVo Scan eXam™ One
eXam6
Intraoral digital imaging plate system
System is intended to be used only by dentist and other qualified dental professionals to process x-ray images exposed to the imaging plates from the intraoral complex of the skull.
USA only
Federal law restricts this unit to sale by or on the order of a dentist or other qualified pro­fessional.
PaloDEx Group Oy, Nahkelantie 160 (P.O. Box 64) FI-04300 Tuusula, FINLAND
In accordance with ISO13485 and ISO9001 standard
Environmental management system
Conformity to standards
eXam6 Classification IEC60601-1
In accordance with ISO14001 standard
IEC 60601-1: 1988 and A1+A2 IEC 60601-1-1: 2000 IEC 60601-1-4: 1996 and A1 IEC 60601-1-2: 2001 IEC 60601-1: 2005 EN 60825-1: 2007 UL 60601-1: 2003 CAN/CSA –C22.2 No. 601-1-M90 and S1+A2 / DHHS 21 CFR Chapter I, Subchapter J at the date of manufacture. In conformity with the provisions of Council Directive 93/ 42/EEC as amended by the Di­rective 2007/47/EC concerning medical de­vices.
- Class 2 equipment
- No applied part
- Continuous operation
- IPX0 (enclosed equipment without protec­tion against ingress of liquids
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9 Technical specifications
Laser Safety Classification
Dimensions (H x W x D)
Weight
Power supply unit (PSU)
Operating voltage
Operating current
Power consumption
Pixel size (selectable)
Bit depth
Theoretical resolution
CLASS 1 LASER PRODUCT, EN 60825-1 :2007
168 mm x 233 mm x 328 mm (6.6 x 9.2 x 12.9 inches)
3,7 kg (8.2 lb)
CINCON TR30RAM240 FRIWO FW7362M/24 PHIHONG PSAM30R-240
24 VDC (External PSU: 100 – 240 VAC, 50/60 Hz)
Less than 1.25 A
Less than 30VA
30 μm (Super resolution) / 60 μm (High resolution)
16-bit
16,7 lp/mm
Firmware version
Interface connection
Plastic materials
Operating environment
Storage / transportation environment
Other
1.0 or higher
Connection type RJ-45 Unshielded CAT 6 Ethernet cable
Used materials are phthalate free containing < 0.1% w/w of DEHP and is not manufactured from raw materials containing or derived from Bisphenol A (BPA).
+10°C - +40°C, 30 – 90 RH%, 700 – 1060 mbar
-10°C – +50°C, 0 – 90 RH%, 500 – 1080 mbar
Integrated Kensington security slot for securing unit with Microsaver series locks.
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9 Technical specifications

9.2 System requirements and connections

Minimum requirements for the PC/laptop, network adapter and network switch
PC / laptop network switch
Network connection settings
Use
Class I or Class II according IEC 60950
10/100Mbs LAN UDP/IP protocol traffic allowed Traffic to UDP port 10000 allowed (unit UDP port) UDP broadcast traffic allowed CAT6 Ethernet cable DHCP server is recommended but not neces­sary
Use antivirus software. Use firewall. When LAN configuration is changed or devic­es are added/removed, it may affect existing devices in the LAN. Therefore keep in mind that correct operation of the imaging system needs to be checked after changes are made. When adding new devices to LAN, make sure they all have unique IP address, otherwise they may cause communication problems with existing LAN devices. Place unit and PC with imaging application software to same subnet in LAN.
NOTICE! Image is not transferred from unit to PC imaging application software in case of connection lost during image processing. Image is stored in unit memory until it has been transferred to PC. Unit cannot be turned off in that case. When network is operational again, image is automatically transferred to imaging application software. Do not disconnect unit PSU adapter before network is operational and image has been transferred to imaging application software.
For more details of the hardware requirements running the imaging application software please refer to the user manual of it.
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9 Technical specifications

9.3 Imaging plate specifications

Imaging plates Plate size Size 0 Size 1 Size 2 Size 3 Size 4C
Dimensions (mm) 22 x 31 24 x 40 31 x 41 27 x 54 48 x 54
nominal
Image size (pixels)*734 x
1034
Image size (MB) * 1.44 2.03 2.69 3.09 5.49
Environ­mental condi­tions
Storage and transpor­tation
Use +10°C …+40 °C / max 80% RH / NO UV radiation
-10°C … +40 °C / max 80% RH / NO UV radiation
800 x 1334
1034 x 1368
900 x 1800
1600 x 1800 nominal
nominal
Material Layer of small photo-stimulable particles (that exhibit the
phenomenom of phosphorescence) uniformly coated on a support plastic material. Shielded with a protective top coat layer on the sensitive surface and encapsulated with lacquer around the edges. Imaging plates do not not in­clude phosphorous / phosphorus (P).
Use
The typical service life for an imaging plate is several hundreds of cycles provided that the imaging plate is handled with care and according to the supplied instruc­tions. The use of genuine hygiene accessories (protective covers and hygiene bags) will extend the service life of the imaging plates.
Disposal Imaging plates are industrial waste and must be dis-
posed of in accordance with local and national regula­tions concerning the disposal of such material. Never use damaged imaging plates.
* High resolution mode image sizes are approximately half of the values in the table.
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9 Technical specifications

9.4 Hygiene bag specifications

Hygiene bags Material Latex-free, food-grade polyethylene Biocompatibil-
ity conformity to standard
Packaging Supplied in boxes Use For the best performance it is recommended the hygiene bags
Disposal Observe relevant national requirements.
Not having irritative, toxic or injurious effects on biological system in accordance with ISO 10993-1 and ISO 10993-5.
are used within two years from the date of manufacture. The date of manufacture is printed on the bottom of the box con­taining the hygiene bags (DDMMYYXX). Extended storage time or exceeding the specified storage conditions may compromise the performance of the adhesive tape and/or the plastic mate­rial from which the hygiene bags are made of.
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9 Technical specifications

9.5 Electromagnetic Compatibility (EMC) tables

NOTICE! Medical electrical equipment needs special precautions regarding EMC and needs to be installed according to EMC information.
NOTICE! Mobile RF communications equipment can effect medical electrical equipment
Guidance and manufacturer’s declaration - electromagnetic emissions
The eXam6 is intended for use in the electromagnetic environment specified below. The customer or the user of the eXam6 should assure that it is used in such an environment.
Emissions Test
RF emissions
CISPR 11E
RF emissions
CISPR 11
Harmonic emissions
IEC 61000-3-2
Voltage fluctuations/ flicker emissions
IEC 61000-3-3
Compliance Electromagnetic environment - guidance
Group 1 The eXam6 uses RF energy only for its
internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment.
Class B The eXam6 is suitable for use in all establish-
ments, including domestic establishments
Not applicable
and those directly connected to the public low-voltage power supply network that sup­plies buildings used for domestic purposes.
Complies
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9 Technical specifications
Guidance and manufacturer’s declaration – electromagnetic immunity
The eXam6 is intended for use in the electromagnetic environment specified below. The customer or the user of the eXam6 should assure that it is used in such an environment.
Immunity Test
Electrostatic discharge (ESD) IEC 61000-4-2
Electrical fast transients/ bursts IEC 61000­4-4
Surge IEC 61000­4-5
Voltage dips, short inter­ruptions and voltage vari­ations on power supply lines IEC 61000­4-11
IEC 60601 Test Level
± 6 kV contact
± 8 kV air
± 2 kV for power supply lines
± 1 kV for input/output lines
± 1 kV differ­ential mode line to line
< 5% U
T
(> 95% dip in
UT) for 0.5 cy-
cle
40% U
T
(60% dip in
)
U
T
for 5 cycles
70% U
T
(30% dip in
UT)
for 25 cycles
Compliance Level
± 6 kV contact
± 8 kV air
± 2 kV for power supply lines
± 1 kV for input/output lines
± 1 kV differ­ential mode
< 5% U
T
(> 95% dip in
UT) for 0.5 cy-
cle
40% U
T
(60% dip in
)
U
T
for 5 cycles
70% U
T
(30% dip in
UT)
for 25 cycles
Electromagnetic Environ­ment - guidance
Floors should be wood, con­crete or ceramic tile. If floors are covered with synthetic material, the relative humid­ity should be at least 30%.
Mains power quality should be that of a typical commer­cial or hospital environment.
Mains power quality should be that of a typical commer­cial or hospital environment.
Mains power quality should be that of a typical commer­cial or hospital environment. If user of the eXam6 requires continued operation during power mains interruptions, it is recommended that the eXam6 be powered from an uninterruptible power supply or a battery.
< 5% U
T
(> 95% dip in
)
U
T
for 5 sec
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< 5% U
T
(> 95% dip in
)
U
T
for 5 sec
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9 Technical specifications
Guidance and manufacturer’s declaration – electromagnetic immunity
The eXam6 is intended for use in the electromagnetic environment specified below. The customer or the user of the eXam6 should assure that it is used in such an environment.
Immunity Test
Power frequency (50/60 Hz) magnetic field
IEC 60601 Test Level
Compliance Level
Electromagnetic Environ­ment - guidance
3 A/m 3 A/m Power frequency magnetic
field should be at levels char­acteristic of a typical location in a typical commercial or
hospital environment. IEC 61000­4-8
NOTE: UT is the AC mains voltage prior to application of the test level.
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9 Technical specifications
80 MHz to 800 MHz
800 MHz to 2.5 GHz
Guidance and manufacturer’s declaration – electromagnetic immunity
The eXam6 is intended for use in the electromagnetic environment specified below. The customer or the user of the eXam6 should assure that it is used in such an environment.
Immu­nity Test
Conducte
d RF IEC
61000-4-
6
Radiated
RF IEC
61000-4-
3
IEC 60601 Test Lev­el
3 Vrms
150 kHz to
80 MHz
3 V/m
80 MHz to
2.5 GHz
Compli­ance Level
3 Vrms
3 V/m
Electromagnetic environment - guid­ance
Portable and mobile RF communications equip­ment should be used no closer to any part of the eXam6, including cables, than the recommended separa­tion distance calculated from the equation applicable to the frequency of the transmitter.
Recommended Separation Distance:
where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer and d is the recommend- ed separation distance in metres (m). Field strengths from fixed RF transmitters, as deter­mined by an electromagnetic site survey, be less than the compliance level in each frequency range. equipment marked with the following symbol:
b
Interference may occur in the vicinity of
a
should
NOTE 1 At 80 MHz and 800 MHz, the higher frequency range applies. NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people.
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9 Technical specifications
Guidance and manufacturer’s declaration – electromagnetic immunity
The eXam6 is intended for use in the electromagnetic environment specified below. The customer or the user of the eXam6 should assure that it is used in such an environment.
Immu­nity Test
IEC 60601 Test Lev-
Compli­ance Level
Electromagnetic environment - guid­ance
el
a
Field strengths from fixed transmitters, such as base stations for radio (cel­lular/cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicated theoretically with accuracy. To assess the elec­tromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the eXam6 is used ex­ceeds the applicable RF compliance level above, the eXam6 should be ob­served to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as reorienting of relocating the eXam6.
b
Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
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9 Technical specifications
Recommended separation distances between portable and mobile RF communications equipment and the eXam6.
The eXam6 is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the eXam6 can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the eXam6 as recom­mended below, according to the maximum output power of the com­munications equipment.
Rated
Separation distance according to frequency of transmitter m maximum out­put power of trans­mitter W
150 kHz to
80 MHz
80 MHz to 800 MHz
800 MHz to 2,5 GHz
0.01 0.12 0.12 0.23
0.1 0.37 0.37 0.74
1 1.17 1.17 2.33
10 3.69 3.69 7.38
100 11.67 11.67 23.33
For transmitters rated at a maximum output power not listed above, the rec­ommended separation distance d in meters (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the maxi­mum output power rating of the transmitter in watts (W) according to the transmitter manufacturer.
NOTE 1. At 80 MHz and 800 MHz, the separation distance for the higher fre­quency range applies.
NOTE 2. These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people.
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10 Symbols and labeling

10 Symbols and labeling

10.1 Symbols

Name and address of the manufacturer
Date of manufacture
Serial number
Reference number
Do not reuse (Single use)
Operating instructions Refer to operating instructions for more information. The operating instructions can be supplied elec­tronically or in paper format
CLASS II equipment (Double insulated electrical appli­ance)
UL symbol
Indoor use
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Dangerous voltage
Laser radiation
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10 Symbols and labeling
-1.
5r1
, FI-04300 TUUSULA, Finland
Direct current power supply unit inlet
Ethernet connector
CE (0537) Symbol MDD 93/42/EEC This unit is marked according to the Medical Device Directive 93/ 42/EEC (if the unit contains the CE mark)
ETL symbol

10.2 Main label

The unit is class I, type B and with IPX0 protection.
GOST-R symbol
This symbol indicates that the waste of electrical and electronic equipment must not be disposed as unsorted municipal waste and must be collected separately. Please contact an authorized rep­resentative of the manufacturer for information concerning the decommissioning of your equip­ment.
Scan eXam™ One This product complies with DHHS 21 CFR Chapter I,
Ser. No: KL1300001 Manufactured: June 2013 24 V
30 VA
IEC 60601-1
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Rx only
Subchapter J at the date of manufacture.Type: eXam6-1
CONFORMS TO UL STD 60601 CERTIFIED TO CSA STD C22.2 NO 601.1.
3155129
Manufactured by PaloDEx Group Oy Nahkelantie 160 Made in Finland
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10 Symbols and labeling

10.3 Warnings and precautions

THE UNIT IS A CLASS 1 LASER PRODUCT
NOTICE! When covers are removed the unit is a class 3B laser product – avoid exposure to the laser beam.
Use of controls or adjustments or performance of procedures other than those specified herein may result in hazardous laser radiation exposure or other non-compliance.
When handling imaging plates, protective covers and hygiene bags always take the ap­propriate hygiene measures and precautions to prevent cross contamination. New protec­tive cover must be used on every use.
The imaging plates are harmful if swallowed.
Do not mo ve or k nock t he unit w he n it is pro­cessing an imaging plate.
This unit must only be used to process image plates supplied by the manufacturer and must not be used for any other purpose.
NEVER use imaging plates, protective covers or hygiene bags from other manufacturers.
This unit, or its accessories, must not be modified, altered or remanufactured in any way.
Only the manufacturer’s authorized service personnel are authorized to carry out main­tenance and repair of the unit. There are no user serviceable parts inside the unit.
Unit is not suitable for use in the presence of flammable anaesthetic mixture with air or with oxygen or nitrous oxide.
In order to maintain safe and correct func­tioning of the unit, only the power supply unit (PSU) delivered with the unit or distrib­uted by authorized dealers. Please refer to the unit technical specifications for a list of the PSUs.
For ethernet connections, use an unshielded CAT6 RJ-45 LAN cable, so that multiple chassis must not be connected! The PC / Ethernet switch to which unit is connected to must be class I or class II according IEC
60950. After installation check that the IEC 60601-1 leakage current levels are not ex­ceeded.
•If the PC/ Ethernet switch to which the de-
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10 Symbols and labeling
vice is connected to is used in the patient en­vironment it should be approved appropriately and meet the requirements of 60601-1 standard.
The PC and any other external device(s) connected to the system outside the patient area must meet the IEC 60950 standard (minimum requirement). Devices that do not meet the IEC 60950 standard must not be connected to the system as they may pose a threat to operational safety.
The PC and any other external devices shall not be connected to an extension cable.
Multiple extension cables shall not be used.
If this device will be used with 3rd party im­aging application software not supplied by the manufacturer, the 3rd party imaging ap­plication software must comply with all local laws on patient information software. This includes, for example, the Medical Device Directive 93/42/EEC and/or FDA if applica­ble.
Do not position the PC where it could be splashed with liquids.
Clean the PC in accordance with the manu­facturer’s instructions.
Image is not transferred from unit to PC im­aging application software in case of connec­tion lost during image processing. Image is stored in unit memory until it has been transferred to PC. Unit cannot be turned off in that case. When network is operational again, image is automatically transferred to imaging application software. Do not discon­nect unit PSU adapter before network is op­erational and image has been transferred to imaging application software.
Due to Occlusal 4C projection imaging ge­ometry and imaging plate positioning, accu­rate distance and angle measurements cannot be taken from occlusal projection im­ages.
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