Midmark 60-A0001 Installation Manual

Progeny Vantage Panoramic X-ray System

Installation Guide

ECN: P3774

00-02-1608, Rev. J

Effective Date 02-15-2016

2

Table of Contents

Contents ........................................................................................................................................................ 2

1 Regulatory Information ............................................................................................................................... 3

2 Introduction .............................................................................................................................................. 16

Product Description ........................................................................................................................ 16

Disclaimer about the Manual ......................................................................................................... 16

Symbols and Conventions ............................................................................................................. 17

Obtaining Technical Support .......................................................................................................... 18

3 System Overview ..................................................................................................................................... 19

About the Vantage System ............................................................................................................ 19

About the Panoramic X-ray Device ................................................................................................ 19

About the Optional Cephalometric Extension ................................................................................ 20

4 Pre-Installation Planning .......................................................................................................................... 25

Environmental Requirements ......................................................................................................... 25

Support Requirements ................................................................................................................... 26

Power and Cable Requirements .................................................................................................... 26

Space Requirements ...................................................................................................................... 27

Network and System Requirements .............................................................................................. 29

5 Installation ................................................................................................................................................ 30

About Installation ............................................................................................................................ 30

Installing the Vantage Panoramic Device on a Wood Stud Wall ................................................... 31

Installing the Vantage Panoramic Device on a Free Standing Base ............................................. 40

Optional Right Entry Configuration ................................................................................................ 46

6 Installing the Cables ................................................................................................................................. 47

Connecting the Vantage to your network ....................................................................................... 47

Installing the Exposure Button ....................................................................................................... 48

7 Starting Up ............................................................................................................................................... 49

Turning the Vantage System On .................................................................................................... 49

Checking Image Quality ................................................................................................................. 50

8 Vantage Software Client Setup ................................................................................................................ 52

About .............................................................................................................................................. 52

Installation Procedure .................................................................................................................... 52

Connecting to Vantage................................................................................................................... 56

Installing the Vantage Cephalometric Extension on a Vantage Panoramic Device ...................... 59

Progeny Support Information ……………………………………………………………………………84

3

1 Regulatory Information

In this Chapter

 Indications for Use
 Contraindications
 Warnings and Precautions
 Compliance with Applicable Standards
 Certified Components
 Device Labeling
 EC Declaration of Conformity
 EMC Statement
 Authorized Representatives

Indications for Use

Statement of Indications for Use

The indications for use of the Progeny Vantage® Panoramic X-ray System are to
provide dental radiographic examination and diagnosis of diseases of the teeth,
jaw, and oral structures. When the system is equipped with the Cephalometric
option, the system will also provide cephalometric radiographic examinations for
the use in orthodontic treatment planning and evaluation.

Guidelines for Patient Selection

The guidelines for use of the Progeny Vantage® Panoramic Extraoral X-ray

System are described in the “ADA/FDA Guide to Patient Selection for Dental
Radiographs.” This device is to be operated only for the intended use as

indicated by prescription of a qualified dental practitioner.

Contraindications

None known at this time.

Adverse Reactions

None known at this time.

Indications of Sterility

This production is not provided sterile. See Maintenance section of this Manual.

Progeny Vantage Panoramic X-ray System Installation Guide

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Warnings and Precautions

Radiation Safety

Only qualified and authorized personnel may operate this equipment observing
all laws and regulations concerning radiation protection.

 The operator during X-ray production must remain 2 m [6 ft.] from the focal

spot and the X-ray beam for protection.

 Full use must be made of all radiation safety features on the equipment.
 Full use must be made of all radiation protection devices, accessories, and

procedures available to protect the patient and operator from X-ray
radiation.

Electrical Safety

 Only qualified and authorized service personnel should remove covers on

the equipment.

 This equipment must only be used in rooms or areas that comply with all

applicable laws and recommendations concerning electrical safety in rooms
used for medical purposes, e.g., IEC, US National Electrical Code, or VDE
standards concerning provisions of an additional protective earth (ground)
terminal for power supply connection.

 Before cleaning or disinfecting, this equipment must always be turned off.
 The Progeny Vantage® X-ray System is ordinary medical equipment without

Explosion Safety

This equipment must not be used in the presence of flammable or potentially
explosive gases or vapors, which could ignite, causing personal injury and/or
damage to the equipment. If flammable disinfectants are used, the vapor must be
allowed to disperse before using the equipment.

Damage and Injury

Do not place permanent or non-mobile structures beneath the device. Device
movement may result in damage to the device or structure, or in injury to the
operator or patient.

Cleanliness

To prevent cross contamination, always clean the patient contact areas and
always install a fresh protective sheath over the bite guide before positioning a
patient. The sheath recommended for this application is the TIDI Products, part
number 21008.

protection against ingress of liquids. To protect against short-circuit and
corrosion, no water or any other liquid should be allowed to leak inside the
equipment.

Progeny Vantage Panoramic X-ray System Installation Guide

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Laser Safety

Do not stare into the beam. Do not place eyes closer than

100 mm. This equipment contains class 2 lasers of 3 mW
output at 650 nm. The beam is a 40° fan line. The lensing on the laser is not
removable. Laser on time does not exceed 100 seconds.

Use of procedures other than those contained within this
manual may result in exposure to damaging laser light.

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Compliance with Applicable Standards

Standard

Content

IEC 60825-1:2001

Safety of Laser Equipment

IEC 60601-1

Medical electrical equipment - Part 1: General
requirements for basic safety and essential
performance

IEC 60601-1-1

Medical electrical equipment - Part 1-1:
General requirements for safety - Collateral
standard: Safety requirements for medical
electrical systems

IEC 60601-2-7

Medical electrical equipment - Part 2-7:
Particular requirements for the safety of high­voltage generators of diagnostic X-ray
generators

IEC 60601-2-28

Medical electrical equipment - Part 2-28:
Particular requirements for the safety of X-ray
source assemblies and X-ray tube assemblies
for medical diagnosis

IEC 60601-1-3

Medical electrical equipment – Part 1-3:
General requirements for radiation protection
in diagnostic X-ray equipment

IEC 60601-1-2

EMI/RFI

CAN/CSA 22.2 No.

601.1-M90

Canadian standard for medical electrical
equipment

IEC 60601-2-32:
1994

Medical electrical equipment - Part 2-32:
Particular requirements for the safety of
associated equipment of X-ray equipment

Radiation Protection

The certified components of the Progeny Vantage Panoramic Dental X-ray
System comply with Radiation Performance Standards 21 CFR, Subchapter J, at
the time of manufacture.

Performance Standards

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Certified Components

Component

Reference Number

Vantage System, Domestic

60-A0001

Sensor Assembly, Panoramic

60-A1010

Ceph Extension, with Sensors
(option)

60-A1009
Pan tube head assembly

60-A1014

Primary collimator assembly

60-A2009

Pan X-ray power supply
assembly

60-A2035

Sensor Assembly,
Cephalometric (option)

60-A1004

Collimator, secondary, Ceph
(option)

60-F4051

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Device Labeling

Progeny Vantage Panoramic X-ray System Installation Guide

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Optional Cephalometric Extension Labeling

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EC Declaration of Conformity

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Name and Description
of Product

Progeny Vantage Panoramic Dental X-ray System

Catalog V5000 US Domestic Market
Model 60-A0001 system

Catalog V5100 Export Market
Model 60-A0001 system

Catalog: V5050 Progeny Vantage Panoramic with Ceph Sensor, Domestic
Model: 60-A0008

Catalog: V5150 Progeny Vantage Panoramic with Ceph Sensor, Export
Model : 60-A0008

Catalog: V5000C Progeny Vantage Panoramic with Cephalometric
Extension, 2 Sensor System, Domestic
Model: V5000 + C6000

Catalog: V5100C Progeny Vantage Panoramic with Cephalometric
Extension, 2 Sensor System, Export
Model: V5100 + C6000

Catalog: V5050C Progeny Vantage Panoramic with Cephalometric
Extension, 1 Sensor System, Domestic
Model: V5050 + C4000

Catalog: V5150C Progeny Vantage Panoramic with Cephalometric
Extension, 1 Sensor System, Export
Model: V5150 + C4000

Catalog: C6000 Cephalometric Extension with Sensor
Model: 60-A1009

Catalog: C4000 Cephalometric Extension without Sensor
Model: 60-A1019

Catalog: Ceph Sensor only
Model: 60-A1004

Catalog: Panoramic Sensor
Model: 60-A1010

Class: llb

Reference Numbers to
which Conformity is
Declared

The following regulatory documents apply:
UL 2601-1
IEC 60601-1-2
IEC 60601-1-3
IEC 60601-2-7
IEC 60601-2-28
IEC 60601-2-32
IEC 60825-1
Medical Device Directive
ISO 13485
Machinery Directive

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Declaration

Midmark Corporation declares that the products described herein meet all
the applicable Essential Requirements of the EC Medical Device Directive
93/42/EEC in Annex I. For Class IIb products described herein, the product
is manufactured, inspected, tested, and released in accordance with the
approved quality assurance system established in accordance with ISO
13485 and Annex II of the EC Medical Device Directive under the
Supervision of the SGS United Kingdom Ltd., a Notified Body.

Contact

Technical Support
Midmark Corporation

Phone: 800-MIDMARK (1-800-643-6275)[phone]
Fax: [phone]

[e-mail]

Hours: 8:00 a.m. – 5:00 p.m. Central Time

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EMC Statement

Guidance and manufacturer's declaration - electromagnetic emissions

The Progeny Vantage Dental X-ray System is intended for use in the electromagnetic environment specified below.
The customer or the user of the Progeny Vantage Dental X-ray System should assure that it is used in such an
environment.

Emission test

Compliance

Electromagnetic environment – guidance

RF emission
CISPR 11

Group 1

The Progeny Vantage Dental X-ray System 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.

RF emission
CISPR 11

Class B

The Progeny Vantage Dental X-ray System is suitable for use in all
establishments, including domestic establishments and those directly
connected to the public low-voltage power supply network that supplies
buildings used for domestic purposes.

Harmonic emission
IEC 61000-3-2

Class A

Voltage
fluctuations/ flicker
emissions
IEC 61000-3-3

Complies

Guidance and manufacturer's declaration - electromagnetic immunity

The Progeny Vantage Dental X-ray System is intended for use in the electromagnetic environment specified below.
The customer or the user of the Progeny Vantage Dental X-ray System should assure that it is used in such an
environment.

Immunity test

IEC 60601 test level

Compliance

level

Electromagnetic

environment – guidance

Electrostatic discharge
(ESD)
IEC 61000-4-2

± 6 kV contact
± 8 kV air

± 6 kV contact
± 8 kV air

Floors should be wood, concrete or
ceramic tile. If the floors are covered
with synthetic material, the relative
humidity should be at least 30%.

Electrical fast
transient/burst
IEC 61000-4-4

± 2 kV for power supply lines
± 1 kV for input/output lines

± 2 kV for
power supply
lines
± 1 kV for
input/ output
lines

Mains power quality should be that of
a transient/ burst supply lines typical
commercial or hospital environment.

Surge
IEC 61000-4-5

± 1 kV line(s) to line(s)
± 2 kV line(s) to earth

Not Applicable.

Voltage dips,
interruptions, and
voltage variations on
power supply input
lines
IEC 61000-4-11

< 5% UT (>95% dip in UT) for

0.5 cycle
< 40% UT (60% dip in UT) for
5 cycles
< 70% UT (30% dip in UT) for
25 cycles
< 5% UT (>95% dip in UT) for
5 s

Not Applicable.

Power frequency
(50/60 Hz) magnetic
field
IEC 61000-4-8

3 A/m

3 A/m

Power frequency magnetic fields
should be at levels characteristic of a
typical location in a typical commercial
or hospital environment.

NOTE: UT is the a.c. mains voltage prior to application of the test level.

Information regarding potential EMC interference and advice for avoidance

The Progeny Vantage Panoramic Dental X-ray System is considered as non-life-supporting equipment.
While using the Progeny Vantage X-ray System adjacent to other equipment, the configuration should be
carefully adjusted to ensure that electromagnetic interference (EMI) does not degrade performance.
Specifically, mobile RF communications equipment can effect medical electrical equipment. Please refer

to the EMC table below.

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Guidance and manufacturer's declaration - electromagnetic immunity

The Progeny Vantage Dental X-ray System is intended for use in the electromagnetic environment specified below.
The customer or the user of the Progeny Vantage Dental X-ray System should assure that it is used in such an
environment.

Immunity

test

IEC 60601

test level

Complian

ce level

Electromagnetic environment – guidance

Portable and mobile RF communications equipment should be used
no closer to any part of the Progeny Vantage Dental X-ray System,
including cables, than the recommended separation distance
calculated from the equation applicable to the frequency of the
transmitter.

Recommended separation distance:

Conducted
RF
IEC 61000­4-6

3 V
150 kHz to
80 MHz

3 V

𝑑 = 1.2 ×√𝑃
Radiated RF

IEC 61000­4-3

3 V/m
80 MHz to

2.5 GHz

3 V/m

𝑑 = 1.2 ×√𝑃 80 MHz to 800 MHz
𝑑 = 2.3 ×√𝑃 800 MHz to 2.5 GHz

Where P is the maximum output power rating of the transmitter in
watts (W) according to the transmitter manufacture and d is the
recommended separation distance in meters (m).
Field strengths from fixed RF transmitters, as determined by an
electromagnetic site survey, a should be less than the compliance
level in each frequency range. b
Interference may occur in the vicinity of equipment marked with the
following symbol:

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.

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 predicted 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 Progeny Vantage Dental X-ray System is used
exceeds the applicable RF compliance level above, the Progeny Vantage Dental X-ray System should be observed
to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as re­orienting or relocating the Progeny Vantage Dental X-ray System.

b

Over the frequency range 150 kHz to 80 MHz, field strengths should be less than [V1] V/m.

Recommended separation distances between portable and mobile RF communications equipment and

Progeny Vantage Dental X-ray System

The Progeny Vantage Dental X-ray System is intended for use in the electromagnetic environment in which radiated
RF disturbances are controlled. The customer or the user of the sensor can help prevent electromagnetic interference
by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and
the sensor as recommended below, according to the maximum output power of the communications equipment.

Rated maximum output
power of transmitter, W

Separation distance according to frequency of transmitter

m

150 kHz to 80 MHz

𝑑 = 1.2 ×

√

𝑃

80 MHz to 800 MHz

𝑑 = 1.2 ×

√

𝑃

80 MHz to 2.5 GHz

𝑑 = 2.3 ×

√

𝑃

0.01

0.12

0.12

0.23

0.1

0.37

0.37

0.74 1 1.17

1.17

2.34

10

3.69

3.69

7.38

100

11.67

11.67

23.34

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For transmitters rated at a maximum output power not listed above, the recommended separation distance d in
meters (m) can be determined 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.

Authorized Representatives

North America

MIDMARK CORPORATION
675 Heathrow Dr.
Lincolnshire, Illinois 60069 U.S.A.
Phone: 800-MIDMARK (1-800-643-6275)
[phone]
Fax: [phone]

Europe

CE Partner 4U
Esdoornlaah 13
3951DB Maarn
The Netherlands
www.cepartner4u.eu

16

2 Introduction

In this Chapter

 Product Description
 Disclaimer about the Manual
 Symbols and Conventions
 Obtaining Technical Support

Product Description

The Progeny Vantage Panoramic X-ray System is an easy to use and easy to
install digital panoramic X-ray system.

The panoramic X-ray provides a broad overview of the teeth, jaw, and oral
structure of the entire mouth. The X-ray image supplies information about the
teeth, upper and lower jawbone, sinuses, and other hard and soft tissues of the
head and neck. The panoramic digital receptor is contained in a C-arm that
moves around the patient’s head.

The Vantage System has many applications that include evaluation of third
molars, evaluation of patients with past and present TMJ (temporomandibular
joint) problems, patients who require full or partial removable dentures, dental
implants, or braces, those who are at risk or suspected of having oral cancer or
other tumors of the jaw, those who have impacted teeth, and those who have
had any recent trauma to the face or teeth (i.e., can help identify a fractured jaw).

The optional Cephalometric Extension allows for lateral and PA views of oral
structures. The ceph digital receptor is mounted on a transit rail which scans
horizontally during ceph examinations. Cephalometric images are typically
useful in orthodontic evaluation and treatment.

Disclaimer about the Manual

Midmark pursues a policy of continual product development. Although every
effort is made to produce up-to-date product documentation, this publication
should not be regarded as an infallible guide to current specifications. We
reserve the right to make changes without prior notice. The original language of
this manual is English.

Progeny Vantage Panoramic X-ray System Installation Guide

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Symbols and Conventions

Symbol

Explanation

Type B: Protection against electric shock (IEC 60601.1-

1988).

Consult written instructions in the User Guide.

ATTENTION RAYONS-X:

OPERATION SEULEMENT PAR DU PERSONNEL
AUTORISE. VOIR MANUEL DE L’OPERATEUR.

WARNING X-RAY

THIS X-RAY UNIT MAY BE DANGEROUS
TO PATIENT AND OPERATOR UNLESS
SAFE EXPOSURE FACTORS AND
OPERATING INSTRUCTIONS ARE
OBSERVED.

X-RAY EMISSION

Mains HOT WIRE

Mains NEUTRAL WIRE
Earth Ground

LASER RADIATION
DO NOT STARE INTO BEAM
CLASS 2 LASER PRODUCT. 650 nm, 3 mW

Power off (circle)
Power on (line)

Progeny Vantage Panoramic X-ray System Installation Guide

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Obtaining Technical Support

For Technical Support, contact:
MIDMARK CORPORATION

675 Heathrow Drive
Lincolnshire, Illinois 60069 U.S.A.
Phone: [phone] (U.S. and Canada)
[phone] (International)
Fax: [phone]

[e-mail]

Hours: 8:00 a.m. – 5:00 p.m. CT

19

3 System Overview

In this Chapter

 About the Vantage System
 About the Panoramic X-ray Device
 About the Optional Cephalometric Extension

About the Vantage System

The Progeny Vantage Panoramic X-ray System consists of the panoramic X-ray
device, the exposure button, and a Touch Control Panel.

About the Panoramic X-ray Device

The panoramic X-ray device consists of the telescoping column, the overhead
assembly, the patient positioning table, and the touch control panel.

Telescoping Column

The telescoping column has two main parts: the fixed section and the moving or
telescoping section. The fixed section contains the actuator to control up and
down movement of the panoramic X-ray device. The telescoping section mounts
the patient positioning features. Optical sensors in the telescoping section define
the maximum and minimum extension of the column.

Overhead Assembly

The overhead assembly consists of an overhead arm and C-arm. The overhead
arm supports the C-arm, which rotates. The C-arm includes the tubehead and
the removable sensor. The tubehead produces the X-ray beam, and the sensor
is a digital image receptor.

Patient Positioning Table

The patient positioning table guides and supports the patient’s head during

acquisition of panoramic X-ray images by means of the chin rest, bite guide, and
positioning wands. The positioning control on the side of the patient positioning
table has 4 buttons for the operator to control the up/down movement of the
telescoping column, to apply and release the positioning wands, and to turn on
positioning lights. The patient positioning table also contains a storage
compartment.

Touch Control Panel

The touch control panel is mounted on the fixed column section under the patient
positioning table. It is the main user interface for taking X-ray images with the
Vantage System and is activated by touch.

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Exposure Button

The exposure button is used by the operator to take the X-ray. The basic
configuration consists of an exposure button connected to the panoramic X-ray
device by a coil cord.

Bite Guide

A bite guide helps the patient keep his or her jaw correctly positioned. Additional
bite guides may be obtained from Progeny. Always install a fresh protective
sheath over the bite guide before positioning a patient. The sheath for this
application is the Progeny part number 60-S0027.

Chin Rest

An easily removable chin rest fits into an opening on the patient positioning table.
Additional chin rests may be obtained from Progeny.

TMJ Positioner

A TMJ positioner for TMJ X-rays fits into the patient positioning table. TMJ
positioners are included with the Vantage.

Emergency Stop Switch

The stop switch, mounted under the left side of the patient positioning table near
the telescoping column, is for use by the patient or clinician. Depressing the
button will immediately halt all motor movement. Touching the control panel
surface will also abort any movement. The button can be released by turning the
knob.

About the Optional Cephalometric Extension

The Cephalometric Extension consists of the support arm, the cephalometric
scanning mechanism and the cephalometric sensor.

Support Arm

The support arm is an aluminum casting that mounts to the panoramic column’s
inner (mobile) component. It mounts via a support casting that allows vertical
adjustment of the position of the cephalometric mechanism. The arm can be
mounted either to the right, or to the left of the column.

Cephalometric Scanning Mechanism

The cephalometric scanning mechanism is comprised of the rail and the transit
assembly. The rail supports the transit mechanism, and houses the motor and
bearings that cause the transit mechanism to move. The transit assembly
mounts the cephalometric sensor and the secondary collimator, and maintains
the alignment of the sensor and secondary collimator to the panoramic
tubehead.

The rail also supports the cephalostat, used to position the patient. The
cephalostat is comprised of two otic positioning posts which adjust to conform to

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the width of the patients head, and a nasion locator, which adjusts vertically and
laterally to align the patients head. The entire cephalostat rotates in 22.5°
increments to support many cephalometric imaging positions.

Cephalometric Sensor

The cephalometric sensor is similar in appearance to the panoramic sensor, but
houses within a 21cm long digital detector instead of the 14cm digital detector
used for normal panoramic exam. The cephalometric sensor can be used in
place of the panoramic sensor, but the panoramic sensor will not operate as a
cephalometric sensor.

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Vantage System Panoramic X-ray Device

Progeny Vantage Panoramic X-ray System Installation Guide

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Vantage System Patient Positioning Table

Progeny Vantage Panoramic X-ray System Installation Guide

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Optional Cephalometric Extension

25

4 Pre-In stallation Planning

In this Chapter

 Environmental Requirements
 Support Requirements
 Power and Cable Requirements
 Space Requirements
 Network and System Requirements

Environmental Requirements

Temperature

The Vantage panoramic device is intended for indoor use for normal dental
applications at temperatures in the range +10 C to +35 C (+50 F to +95 F).

Storage temperature range should not exceed -35 C to +66 C (-31 F to +150 F).

Humidity

Humidity should not cause condensation to form on the device. When the device
is being operated, humidity should not exceed 95% RH non-condensing. When
the device is being stored, humidity should not exceed 90% RH non-condensing.

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Support Requirements

About Support

The Vantage panoramic device is wall mounted. As an alternative, the Vantage
panoramic device can be installed as a free standing unit. If the free standing
installation method is used, the free standing base kit must be attached to the
unit for support.

Wall Mounted Installation

Wall fasteners for the Vantage panoramic device must be able to withstand a 68
kg (150 lb.) shear force and a 180 kg (400 lb.) tensile (pull-out) load. The floor
must be able to support approximately 90 kg (200 lb./sq. ft.) for wall mounted
installation.

Free Standing Installation

The floor must be able to support approximately 158 kg (100 lb./sq. ft.) for free
standing installation. Free standing installation cannot be used for the
Cephalometric Extension.

Power and Cable Requirements

Electrical Outlet Requirements

The Vantage System requires a dedicated, 15 amp minimum circuit. If a fixed
connection is used, the length of the whip must conform to local codes. If a
standard mains receptacle is used, it must be placed within 2 m (6 ft.) of the
device and positioned in compliance with local codes.

Ethernet Connections

Cat 5e grade communications cable is required for connection of the Vantage
panoramic system.

Optional Remote Exposure Switch

If a remote exposure switch is used, a four conductor cable capable of RJ 11
termination is required for installation.

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Space Requirements

The fully extended column has a maximum height of 236 cm (93 in.) and depth of
121 cm (48 in.). The rotational reach of the overhead arm and C-arm is 108 cm
(48 in.). See the diagram below.

The Vantage panoramic device has an optional right or left entry. The default
configuration is left entry. To configure a right entry, see Optional Right Entry
Configuration in Chapter 6.

Panoramic Space Requirements

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29

Component

Requirement

Computer
Hardware

PC - compatible Pentium 4 / 1.4 GHz or greater computer

Memory
System

2 GB RAM or higher recommended (minimum 1 GB)

Operating
System

Microsoft Windows XP Professional with Service Pack 3;
Microsoft Vista (Business or Ultimate editions); Microsoft
Windows 7 (Professional or Ultimate editions)

Disk Space

450 MB minimum
NOTE: Additional disk space is needed depending on

the size of the practice, the number of images, and other
information you plan to store. Each image is approximately
4 MB. For example, approximately 300 GB are needed to
store 75 000 images.

Display
Settings

1024 x 768 (16 - bit or higher) with 32 MB (or higher) of Video
RAM

NOTE: It is possible to increase these settings based on

the actual video adapter installed. As a rule, the better your
video adapter or capture card the better your images.

Network and System Requirements

The Vantage Software Client requires a computer for it to be installed on and a
network connection to communicate with the Vantage Panoramic.

Network Requirements:

 An Ethernet based network connection at 100MBps or higher
 A wireless network connection at 802.11n or higher***

***A wireless network connection may introduce speed limitations that can result
in a less than desirable image transmission time

System Requirements:

30

5 Installatio n

In this Chapter

 About Installation
 Installing the Vantage Panoramic Device on a Wood Stud Wall
 Installing the Vantage Panoramic Device on a Free Standing Base
 Optional Right Entry Configuration

About Installation

The Vantage System panoramic device is preassembled and can be installed in
a few easy steps. It has been designed to be installed by one person with an
assistant in one hour, assuming that all pre-installation requirements have been
met. Checking the image alignments can take an additional hour.

Check Pre-installation Requirements

Prior to beginning the installation, be sure that all pre-installation requirements
have been completed. This includes confirming that the wall and floor support
requirements are adequate for mounting the Vantage panoramic device, that the
electrical requirements are met, and that wire locations are proper.

Optional Right Entry Configuration

The Vantage System is packaged with a left entry but can be configured with a
right entry. To configure a right entry, see Optional Right Entry Configuration in
this chapter.

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Installing the Vantage Panoramic Device on a Wood Stud
Wall

Preparing to Install the Vantage Panoramic Device

Gather Tools

 Level
 2 mm hex key
 4 mm hex key
 6.3 mm (1/4 in.) pilot hole drill
 9.5 mm (3/8 in.) pilot hole drill (masonry bit for cement floor)
 14 mm (9/16 in.) socket wrench (for cement or wood floor)

Unpack the Hardware Kit

 Hardware for wall (wood mount): 1 wall bracket, 2 lag bolts, and 2 washers
 Hardware for cement floor: 2 cement anchors, 2 nuts, and 2 washers
 Hardware for wood floor: 2 lag bolts and two washers
 Hardware for attaching wall bracket to column: 2 clamps and 2 screws

Unpack the Removable Parts Kit

 Chin rest
 2 wands
 Bite guide

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Cautions

When using lag screws as the method of attachment, it is imperative to consider
the full scope of the task. Several factors must be considered for safe, permanent
installations. Some of the key issues are below:

 Lumber commonly used in construction projects can be different from

location to location.

 The grade, age, position, and overall condition of wood can vary greatly.
 The attachment stud may have additional, hidden loads.
 The location of the pilot hole with respect to the center of the stud will affect

the load bearing ability.

 The size of the pilot hole required for the lag screw will be different based on

the grade, age, and condition of the lumber.

 Never over-tighten the lag screw as this will weaken the mechanical

connection (18 ft.-lb. maximum).

 Lumber with splits or cracks should not be used for attachment.
 Plywood, particle board, or similar construction materials should not be

used for attachment.

 Progeny provides fasteners for average installations. Based on specific

installation conditions, it may be necessary to choose an alternate fastener or
fastening methods.

 Seek the advice of a professional structural engineer to clarify any issues

before the installation.

About the Order of Installation

For convenience and access, Progeny recommends the following order of
installation described in the following sections:

 Remove the shipping brackets
 Attach the power
 Attach the bracket to the wall
 Snap the Vantage panoramic device in place
 Plumb the Vantage panoramic device and attach the clamps
 Mount the Vantage panoramic device to the floor

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Remove the Shipping Brackets

Before attaching power, you need to remove the shipping brackets.

1. Remove the overhead top cover and remove the three orange shipping bolts
from the overhead pivot area.

Overhead Top Cover

2. Remove the 4 bolts holding the orange shipping bracket in place as shown in
the following figure.

Remove Aluminum Shipping Bracket

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Attach the Bracket to the Wall

The mounting bracket is a guide for locating where to drill the holes used to
mount the Vantage panoramic device to the wall. Carefully placing the mounting
bracket on the wall will help to insure correct installation of the Vantage
panoramic device.

1. Center the bracket on the studs.

2. Hold the bracket so that it is 121 cm (47 ½ in.) from the floor and mark one of
the bracket holes.

3. Drill a 6.3 mm (1/4 in.) hole.

4. Select the 2 wall mount washers and the 2 lag bolts from the hardware kit.

5. Put 1 lag bolt through the washer and bracket mounting hole and loosely
tighten the bolt.

6. Lift up the other side of the bracket and level it.

7. Mark the second hole and drill it.

8. Put the second lag bolt through the second washer and second bracket
mounting hole and loosely tighten the bolt.

9. Place a level on the top of the bracket and level the bracket.

10. Tighten the bolts to 14-18 ft. lb. maximum.

Test the Bracket

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Snap the Vantage Panoramic Device in Place

The Vantage panoramic device and bracket are designed to snap together when
correctly aligned and firm pressure is applied. This snap holds the device in place
while you complete the installation.

1. Lift up and move the Vantage panoramic device to the mounting wall with the
back positioned towards the wall mounted bracket.

2. Line up the Vantage panoramic device with the wall mounted bracket and
snap the device into place, making sure the device snaps solidly.

CAUTION! The snap partially secures the Vantage panoramic

device. The clamps and floor mount steps must be
completed to hold the device in place.

Vantage Panoramic Device and Wall Bracket

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Plumb the Vantage Panoramic Device and Attach the Clamps

The Vantage panoramic device and wall bracket must be joined with 2 clamps.
This requires a process of alternately screwing the clamps into place and
plumbing the device.

1. Select 2 clamps and 2 screws from the mounting hardware kit.

Clamp and Screw

2. Hold 1 clamp in place, aligning it with one of the small holes in the bracket.
Insert a screw through the wall bracket hole and the Vantage panoramic
device hole. Tighten the screw using a 4 mm hex key. Do not tighten
completely.

Clamp Placement

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3. Hold a level vertically against the column and move the Vantage panoramic
device on the floor until it is plumb.

Column Test

4. Once the column is plumb, repeat the procedure with the second clamp. Do
not tighten completely.

5. Do a final level test before completely tightening the clamp screws.

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Mount the Vantage Panoramic Device to the Floor

Use the floor base as a template to drill holes in the floor. You do not need to
move the Vantage panoramic device for this procedure. Ensure that the device is
positioned vertically before drilling holes.

Note

To install the Vantage panoramic device on a free standing base, see Installing
the Vantage Panoramic Device on a Free Standing Base in this chapter.

1. Select 2 cement anchors, 2 washers, and 2 nuts from the hardware kit. For
wood floors, select 2 lag bolts and 2 washers.

2. Drill through 1 hole in the floor base of the Vantage panoramic device using
an 9.5 mm (3/8 in.) masonry bit. For wood floors, use a 6.3 mm (1/4 in.) bit.

Drilling through Floor Base Hole

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3. Insert 1 cement anchor through the hole in the plate. Assemble 1 nut and 1
washer on top of the cement anchor and tighten. Ensure that the anchor is
fully seated in the hole. For wood floors, assemble 1 lag bolt and 1 washer
and insert the lag bolt and washer through the hole in the plate. Screw the
lag bolt partially into the hole using a socket wrench.

4. Repeat the process for the second anchor, nut, and washer. For wood floors,
repeat the process for the second lag bolt and washer.

Inserting Anchor

5. Tighten the anchors using a 14 mm (9/16 in.) socket wrench. For wood
floors, tighten the lag bolts using a 14 mm (9/16 in.) socket wrench (same
size as used for cement).

Tightening Anchor

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Installing the Vantage Panoramic Device on a Free Standing
Base

Preparing to Install the Vantage Panoramic Device on a Free Standing
Base

Gather Tools

 Level
 2 mm hex key
 4 mm hex key
 8 mm hex key
 17 mm socket wrench

Unpack the Hardware Kit

 2 kinds of bolts: 4 each
 8 levelers
 8 leveler plugs

Unpack the Removable Parts Kit

 Chin rest
 2 wands
 Bite guide

About the Order of Installation

For convenience and access, Progeny recommends the following order of
installation described in the following sections:

 Arrange the free standing base halves and levelers
 Attach the Vantage panoramic device to the free standing base
 Remove the shipping brackets
 Attach the power
 Position and mount the Vantage panoramic device to the floor

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Arrange the Free Standing Base Halves and Levelers

Prepare the free standing base for attachment to the Vantage panoramic device
using the following steps:

1. Remove the free standing base halves from the packaging.

2. Install the levelers in the holes as shown below.

3. Arrange the base halves as shown below, with the levelers in contact with
the flooring.

Free Standing Base Halves and Levelers

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Attach the Vantage Panoramic Device to the Free Standing Base

To attach the free standing base to the Vantage panoramic device, set the
Vantage panoramic device on top of the base halves and install the bolts and
bracket, using the following steps:

1. Move the Vantage panoramic device over the bases with the overhead
pointing the same direction as the legs of the bases.

2. Install the bolts and bracket as shown below, back and front views.

Attaching Vantage Panoramic Device to Free Standing Base:
Back View

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Attaching Vantage Panoramic Device to Free Standing Base:
Front View

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Remove the Shipping Brackets

Before attaching power, you need to remove the shipping brackets.

1. Remove the overhead top cover and remove the three orange shipping bolts
from the overhead pivot area.

Overhead Top Cover

2. Remove the 4 bolts holding the orange shipping bracket in place as shown in
the following figure.

Remove Aluminum Shipping Bracket

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Position and Mount the Vantage Panoramic Device to the Floor

To attach the Vantage panoramic device to the floor, you need move the unit into
position, level the unit, and mount it to the floor using the following steps:

1. Move the Vantage panoramic device on its base into position, and use an 8
mm hex wrench to level the device, ensuring that all levelers are in contact
with the flooring.

2. Fix the unit to the floor with the flooring appropriate fasteners through the
holes in the center of the levelers.

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Optional Right Entry Configuration

The Vantage panoramic device is delivered with left entry. To configure with a
right entry, remove and rotate the Frankfort Plane Laser Assembly using these
steps:

1. To access the Frankfort Plane Laser Assembly, remove the cover from the
telescoping section of the column.

2. Disconnect the laser wires.

3. To access the new screw holes where you will install the assembly, remove
the small cover on the left side of the mirror assembly (as viewed from the
back of the column). Set the small cover aside for later assembly.

4. Remove the 2 screws from the Frankfort Plane Laser Assembly and lift the
assembly out. Set the screws aside for later assembly.

Frankfort Plane Laser Assembly

5. Rotate the Frankfort Plane Laser Assembly 180 degrees so that it is upside
down.

6. Install the Frankfort Plane Laser Assembly on the left side of the column (as
viewed from the back of the column) using the 2 screws.

7. Place the small cover over the screw holes on the right side (as viewed from
the back).

8. Reconnect the laser wires.

9. Replace the column cover.

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6 Installing the Cables

In this Chapter

 Connecting the Vantage to Your Network
 Installing the Exposure Button

Connecting the Vantage to your network

The Vantage System requires a PC that serves as a workstation to receive
images from the Vantage panoramic device. The Vantage must be connected to
the same network as the designated workstation in order to connect and receive
an image.

1. Attach the PC Ethernet cable to the network connection port on the back of
the column and the other end into your network wall jack

Cable Connecting Ports

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Installing the Exposure Button

The exposure button is used to take the X-rays. The basic configuration is to
connect the button to the Vantage panoramic device by means of a coil cord.

Attach the Exposure Button to the Vantage Panoramic Device

To attach the exposure button, insert the coil cord into one of the exposure
switch connections on the column shown in the figure above. The exposure
switch connections are the top 2 ports.

Mount the Exposure Button

The exposure button comes with double stick tape and a hole for a screw, if
desired, for mounting. It can be mounted to the fixed portion of the column or to a
wall.

1. To mount the exposure button using the double stick tape, remove the
protective backing covering the adhesive mount.

2. Firmly press the mount to the wall or surface as shown in the figure below.

Exposure Button Mounted

49

7 Starting Up

In this Chapter

 Turning the Vantage System On
 Checking Image Quality
 Progeny Support Information

Turning the Vantage System On

You can turn on the Vantage panoramic X-ray device first or the client software
first (see chapter 8 Vantage software client setup). Make sure that all shipping
brackets have been removed.

1. To turn on the Vantage panoramic device, press the on/off switch located at
the back of the stationary column on top of the box of connections.

Vantage Panoramic Device with On/Off Switch

When you turn on the Vantage panoramic device, the touch control panel
displays a “Start Up” screen. The Vantage panoramic device goes through a
self diagnostic procedure as part of the startup process.

2. If the Client software is not running, launch it and open the image acquisition
software.

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Checking Image Quality

An image quality phantom is available from Progeny. The phantom simulates the
position of average human teeth roots, and markers allow you to check the
position of the focal trough. To check for image quality, you need to take an X-ray
exposure with the image phantom and then view the image, checking it
according to some specific tests. The Cephalometric imaging phantom is
included with Cephalometric Extension option.

Install the Panoramic Image Phantom

The Vantage panoramic device is designed so that the chin rest accessory can
easily be switched with the image phantom.

1. To install the image phantom, lift the chin rest from the chin rest hole on the
patient positioning table.

2. Set the image phantom in the chin rest hole.

Image Checks

The following checks for image quality are performed on the image after
exposing the phantom. In general, each individual line should be sharp where the
lines cross the center of the image, and they should blur out above the center
line.

1. Verify that the semi-projections b = c +/- 3 mm (nominal value with the
central vertical line well focused) = 80 mm.

2. Verify that line “a” is vertical +/-3 degrees with respect to the horizontal line
“d”.

3. Verify that line “d” is horizontal and flat within a band of 6 mm.

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4. Verify that the darkened area is centered in respect to the central vertical line
“a” with a tolerance of +/- 4 mm.

5. Verify that the central vertical line is well focused and adjacent balls are
round.

X √ X

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8 Vantage Software Client Setup

When installing the software it is assumed that previous versions of the
Progeny Device Suite and Progeny Imaging image management
software are not present.

NOTE: Proper operation requires any previous
version of Progeny Device Suite and Progeny
Imaging to be removed (uninstalled) prior to the
installation process to begin.

Execute the following steps:

 Insert the USB Flash Drive into an available USB port on your

computer and allow the computer to recognize the flash drive.

In this Chapter

 About
 Installation Procedure
 Connecting to Vantage

About

Vantage acts as a “network appliance” that connects directly to your network. In

order to receive x-ray images you must designate at least one workstation on
your network to receive them.

Installation Procedure

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 The main screen of the installation software is shown on Figure 1. If

the software on the USB flash drive does not start automatically,
navigate to Windows Explorer™ and select the “Progeny” drive
letter. Browse to the content of the flash drive and start “Setup.exe”.
This step begins the installation process.

NOTE: The installation software requires
Microsoft .NET Framework revision 3.5. This
software will be installed if it is not yet present to
the operating system. Follow all on screen
prompts.

NOTE: If the intended configuration is based on
Windows XP, the Service Pack 3 update is
required. This update is included on the USB
flash drive and can be installed from folder

named ‘Utilities’. Another option is to use the

Windows update tool provided by Microsoft.

Figure 1: Main screen of the Installation software

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 Start the installation process by clicking on ‘Install Progeny Device

Suite’ button (Figure 2).

NOTE: The installed software requires multiple
software components that may already be
available in your system. These components will
be installed if they are not yet present. Follow all
on screen prompts.

Figure 2: Starting the Progeny Device Suite installation

 The screen on Figure 3 will be displayed. Choose Vantage Pan and

all other device families that have to be supported by the Imaging
Software.

Figure 3: Selecting the device families to be installed

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 A green check mark next to the ‘Install Progeny Device Suite’ button

will appear when Progeny Device Suite installation is completed.
Continue by installing Progeny Imaging software by clicking on
‘Install Progeny Imaging’ button (Figure 4) and follow the prompts on
the screen to perform the installation.

Figure 4: Starting the Progeny Imaging installation

 Green check marks next to each of the ‘Install Progeny Device Suite’

and ‘Install Progeny Device Suite’ buttons will appear when both the

Progeny Device Suite and Progeny Imaging are installed (Figure 5).

Figure 5: Progeny Device Suite and Progeny Imaging are installed

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Connecting to Vantage

Connecting your computer to the Vantage system can be setup either through
Progeny Imaging image management software or through Progeny’s TWAIN
interface.

 If you are using Vantage Pan from a 3rd party application you need to

open Progeny’s TWAIN interface to connect to the Vantage system.

Some image management programs also support Vantage integration.
See your image management software support for more information on
how to access the Vantage.

 Select “Vantage Pan” in the device drop down if it has not already been

selected

 To access device configuration:

o TWAIN: Click the device configuration icon

o Progeny Imaging: In the top menu browse to Tools > Devices >

Device Configuration

 If you have already connected to a device it will be listed in the Server

Connection section. Click the “Connect” button.

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 The “Select Pan Server” window will automatically discover the Vantages

in your network. Highlight the vantage you want to connect to and click
the “Select” button.

o Optional User Name: The User Name field is what’s used to

identify your Vantage Client in the network. The default is your
computer’s name.

o Optional Network Adapters: Progeny Device Suite will

automatically detect the most suitable network adapter on your
computer for connecting to the Vantage. If your Vantage is not

automatically discovered click the “Net Config” button to select a

specific network adapter.

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 Once returned to Device Configuration screen the Vantage you selected

will be visible in the “Server Connection” section. Click the “Close” button

to complete the connection.

 Once you close Device Configuration and you are back at the client

application the light for “Vantage Pan” should now turn green.

 At this point you can take images with the Vantage Panoramic and they

will be delivered to the client. You can repeat these steps at any time to
connect to another Vantage panoramic device.

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Installing the Cephalometric Extension

 3 mm Allen wrench

 4 mm Allen wrench

 5 mm Allen wrench

 6 mm Allen Wrench

 13 mm open end wrench

 Bubble Level

 ½ inch open end wrench

 Phillips head screw driver

 Torx set

Select “Service” on the lower left

B

Select “Options” on the lower right of the

display.

A

1

2

Enter 77469 and Select OK.

C

1. Select the system information symbol on

the bottom as shown.

2. Select System Center

D

Tools Required:

If you are upgrading an existing Vantage in the field for the Cephalometric, the debug adapter will be
required to upgrade the RTC and the Operator Panel.

Parts Required:

C6000 – Progeny Cephalometric Unit – Complete with Sensor
OR
C4000 - Cephalometric Attachment

Installation Pre-Check

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In the upper right hand corner find the C-Arm
Zero parameter. The value should be between ­62500 and -65000. If the values are not within

the range indicated, contact tech support for
further instructions. If the values are correct,

select “close” and continue with the next step.

F

If the “Real Time Controller” is not displayed,

place your finger on the image and slide it left or
right until the Real Time Controller is displayed.

E

Procedure:

1. Place the Progeny Vantage at a comfortable working level and then power the unit off.

2. Ensure the box is on its side with the label “This side up” facing up. Do not destroy the box. It

will be used to help with the installation of the Ceph Unit.

3. Open the top of the box, remove the horizontal arm and set it aside. Remove the cardboard

insert. Do not destroy the cardboard insert. It can be used to assist in installing the ceph.

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4. Remove from the box the sensor, covers, accessories kit, and ceph unit.

Sensor

Covers

Accessories Kit

Ceph unit

Ceph

casting

Ceph arm

leveling bolt

with Nylok

M8

Flanged cap

screws (x6)

Head

Positioners

M8 x 1.0 (x4)

cap screws

Ceph Screws

Ceph Cover
Screws (x3)

Cat 5 cable

and coupler

Calibration

Gap Cover

Ceph Covers

Flat gray
RJ50 Cable

Daughter PCB

Power Jumper

Jumper

50 Speculum

60-P4009

Ceph

Sensor Cal file
and
documentation

Alignment

(2x) small

(1x) medium

5. Open the accessories box and check for the following components:

Fixture

Phantom

pins

Extension

mounting

(x3)

M6 x 1.0

M8x1.25

&

RS232

(x2)

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6. Remove the covers, indicated below, from the Vantage

Grab the lower cover at the
bottom pull it toward you and
remove it.

Grab the Cover with the
Vantage logo on it and pull it
toward you and remove it.

a. Upper column cover (with mirror):

Pull the upper Column Cover toward you but do not completely remove it. Unplug the

connector for the Frankfort plane laser. Once the Frankfort plane laser is

disconnected, completely remove the cover. The removed cover will be replaced with

a new cover included in the kit.

Note: you may have to move the overhead all the way to the right to clear the Gap

Cover.

b. Remove the two lower column covers

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c. Remove and replace the gap cover

4 M8 x 1.0 cap screws

Gap Cover

Spring

Bottom view

Top view

The gap cover is spring loaded and is press fit into place. Remove the spring and remove the
cover. Reverse the order to add the new cover included in the kit.

7. Mount the Ceph extension mounting casting on the Vantage using 4 M8 x 1.0 cap screws.

Tighten the screws

Four mounting holes

8. Mount the Ceph arm on the casting using 4 M8 x 1.25 flanged cap screws. Do Not Tighten.

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9. Mount the ceph arm leveling bolt with Nylok M8 nut between the arm and the mounting

Place the Level on the flat surface of the Ceph
Arm, as shown above.

You will be adjusting the angle of the Ceph arm
to match the level position measured in the
previous step.

Place a level on the base of the column. Take
note of the bubble position. You will be

transferring this bubble position to the end of the
Ceph Arm.

10A

10B

casting.

10. Level the arm of the Ceph to the base of the machine.

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RTC Daughter Board

RTC Daughter Board

Connecto

r

Connecto

r

Connecto

r

Connecto

r

Connecto

r

Plug the Daughter Board into connector J24 of
the RTC

11B

Remove the ribbon cable from connector J24 of
the RTC.

11A

10

that you match the bubble level of the base that was
measured in step 10A.

10

Connector

J4

Connector

J1

Connector

J2

Connector

J6

Connector

J3

Connector

J5

Level the arm by turning the Nylon Nut. Ensure

11. Mount the RTC Daughter Board. Take note of the Connectors.

Tighten the 4 M8 x 1.25 flanged cap screws.

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Remove the cable from Connector J21 on the
RTC and move it to connector J3 of the
Daughter board.

11D

Plug the ribbon cable (removed in step 11A) into
connector J5 of the Daughter Board

11C

Locate the RS232 Jumper Cable from the
Accessory Kit and plug it into connector J2 of
the Daughter Board and any of the available
Motor CTLR connections on the RTC (J1, J10,

Locate the Power Jumper Cable from the
Accessory Kit and plug it into connector J3 of
the Daughter Board and into Connector J21 of

Locate the Power Jumper Cable from the
Accessory Kit and plug it into connector J6 of
the Daughter Board and into Connector J21 of

The cables will come out at the other end of the
Arm where the Ceph Unit mounts.

12B

Route both cables through the arm as shown.

12A

11

11E

11F

12. Locate the RJ50 Flat Cable and the RJ45 Ethernet cable from the Accessory Kit. Route the

cables through the Ceph Arm as shown below.

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Route the Ethernet Cable through the opening at
the end of the patient table as shown.

Plug the Flat RJ50 Cable into connector J1 of the
Daughter board.

12F

Plug the Ethernet Cable into any of the available
3 ports on the left of the POE. Do not use the far

left port. This is reserved for the Control Panel.

At the other end of the Ceph Arm, tuck the cables through the hole as shown. Ensure the cables are
tucked out of the way to ensure that they are not pinched when the Ceph is mounted.

Route the cables through hole in the Arm Mount.

12E

12C

Front View

Rear View

12G

12D

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13. Install the Ceph onto the Ceph Arm.

Turn on the Vantage and wait for the unit
to fully boot. Move the column up or
down to match the level of the Ceph arm
with the Ceph on the box. Turn off the
Vantage.

Move Ceph unit into the opening of the Ceph
Arm and prepare to secure it down.

The inner Ceph box divider can be
used to install the Ceph unit as shown
above.

With the top of the box open, place the
ceph unit on top of the box.

13C

13A

13B

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If you are mounting the Ceph on the left (as you
are facing the vantage), there will be a blue
Ethernet cable already plugged into the silver
connector. Unplug this cable and tuck into the
frame. It will not be used. Disregard this step if

you are mounting the ceph to the right.

Ensure the cables are free and clear and cannot
be pinched.

Using 2 M8 x 1.25 flanged screws and 3 M6 x

1.0 flanged screws, secure the Ceph Unit onto
the Ceph Arm.

Remove the four shipping screws from the top of
the ceph unit.

Route the RJ45 Ethernet Cable and the RJ50 Flat
cable through the cavity. Plug the RJ45 Ethernet
cable into the Silver connector. Plug the RJ50
Flat cable into the Black connector.

13

13G

13F

13E

3 M6 x 1.0

2 M8 x 1.25

13D

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Remove the wire guide screws and plate. Unplug
the connector from J2.

14. Remove the covers and set the zero position of the secondary collimator.

Remove the Top Cover from the secondary
collimator by removing the two screws.

Remove the three screws from the secondary
collimator rear cover and remove the cover.

The Front Cover is pressed into place. Gently
pry the front cover away from the Secondary
Collimator.

Place the alignment pin in the zero position hole
shown above and turn the adjustment screw until
the alignment pin fits in between the two plates.
When complete, remove the pin and tighten the
screws.

Loosen the four Allen Screws of the Secondary
Collimator.

Locate the “large” alignment pin in the

accessory kit.

14B

14A

14C

14D

14E

14F

Adjustmen

t screw

Alignment

Pin

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Utilizing 2 thumb screws, Mount the Calibration Fixture onto the front of the secondary collimator.

When the ceph is installed to the left, the heavy end of the calibration fixture is away from the column.
When the ceph is installed to the right, the heavy end of the calibration fixture is toward the column.

15A

Front View

15. Locate the calibration fixture from the accessory kit and mount it on secondary collimator.

At the top of the Ceph, disconnect the Cat 5
cable from the Silver connector. This is the same

cable installed in step 13D…see next step

Locate the Cat5 cable and adapter in the
accessory kit. Plug the Cat5 cable into the plug
in the calibration fixture.

15

Connect the Cat5 cable to the adapter.

Locate the sensor (in the sensor box) and plug it
into the calibration fixture. Ensure it is locked in

place before letting go.

15B

15C

15D

15E

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16. Install the Sensor Calibration File. Turn on the panoramic unit and allow it to boot.

Select “Options” on the lower right

corner of the operator panel.
Plug the USB Drive into the available

USB port at the back of the Operator
Panel.

Locate the USB drive that is in the same
box as the sensor. Remove the USB Port
cover on the back of the Operator panel.

Press on the Green arrow to load the
calibration files onto the system.

This window will display the
calibration files loaded on the USB
Drive.

Select Calibration Files on the upper
left.

When the transfer is complete, a
green check mark will display. You

may now select “Close” and remove

the USB Drive from the back of the
operator panel.

The Calibration files will begin
transferring.

16B

151515

16C

16A

16D

16E

16F

16G

16H

Turn the Vantage off. Wait 10
seconds and then turn it back on.

16I

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17. Ceph Calibration Procedure.

Select “Service” on the lower left

Select “Options” on the lower right of the

display.

3. Select the system information symbol on

the bottom as shown.

4. Select System Center

Enter 77469 and Select OK.

In the upper right hand corner find the C-Arm
Zero parameter. The value should be between ­62500 and -65000. If the values are not within

the range indicated, contact tech support for
further instructions. If the values are correct,

select “close” and continue with the next step.

If the “Real Time Controller” is not displayed,

place your finger on the image and slide it left or
right until the Real Time Controller is displayed.

17F

17E

17A

17B

17C

1

2

17D

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Highlight the Ceph option by pressing on it.

The window above will display.

Select “L”
Move the Ceph arm to the left or to the right to

align the zero pins…see next image

Locate the two small Zero Alignment pins in the
accessories kit.

Select Axis Service and Diagnostics

17H

17G

17K

17L

17I

17J

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75

Place the two zero alignment Pins into the
alignment holes to align the two holes. Note:
when the pins are inserted properly, you should

not be able to move the Ceph Arm…See Next

Find the alignment holes located in the open slot
of the upper ceph board. Continue to move the
Ceph arm until the two alignment holes

overlap…see next image.

Carefully remove the Zero Position Pins…Try

not to disturb the Ceph Arm Position.

Zero Position Pin Correctly placed.

Select “Yes” in the confirmation window. The Ceph Arm

will move slightly and the message “Procedure
Successfully Completed” will display.

17R

17P

17O

17M

Select Set Zero Alignment.

17Q

17N

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Re-insert the Zero Position Pins. They should Fit
and lock the unit into place without having to
move the carriage. If not, restart at step 17I. If

the pin fits properly, select “Finish”.

Select “Move to Zero”. The Ceph Arm will

move to the home position and then to the Zero
Position.

17S

17T

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18. Align C-Arm (if the chin rest and bite stick are still on the table, remove them).

The message above will appear. This step has
already been accomplished in step 15. If this has
not been done, please complete step 15 before
proceeding. If the Pan Sensor is connected,

remove it before proceeding.

Select “Align C-Arm”.

Select Calibrate. The Ceph Arm will move,
when it is done moving, take an exposure.

Continue to take exposures until the display indicates that
the calibration is complete and the group of numbers are
green. Select Finish and Finish again.

18E

18C

18B

You will take a series of exposures. The unit will calibrate
itself. Continue to follow the prompts on the display.

18A

18D

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19. Align the secondary collimator

Unplug the sensor from the calibration Fixture

and plug it into the Ceph Arm…See next step.

Plug the Ethernet cable (unplugged in section

15) back into the Silver connector.

Remove the Calibration Fixture and Ethernet
Cable with Coupler.

The message above will display. Ensure the
PAN Sensor (not the Ceph sensor) is removed
before proceeding. Select OK.

Select “Align Secondary Collimator”

19F

19A

Plug the sensor into the Ceph Arm.

19B

19C

19D

19E

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The software may indicate that the adjustment screw needs
to be turned. Take note of the amount and direction to turn
the adjustment screw…See next step.

Select “Calibrate Axes”. The unit will move into position
and the moving indicator turn red. When the unit stops
moving and the moving indicator is not red, take an
exposure.

Once the Adjustment has been made, select “Continue”. When
the unit stops moving, take another exposure. If the result is
satisfactory, the unit will not ask you to turn the screw again.

Continue to take exposures until the group of numbers turn green
and the display indicates that the procedure has successfully
completed. Select Finish and Finish again.

19J

Loosen the four Allen screws shown above. Turn the
adjustment screw in the direction and distance given in the
previous step. Tighten the Allen Screws.

Adjustment

Loosen

19I

19G

19H

19K

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20. Calibrate the Primary Collimator

Calibration Successfully Completed. Select Finish and Finish
again.

20E

Follow the prompts on the display and continue to take exposures
until the unit displays “Calibration successfully completed”

20D

Select “Calibrate Axes”. The unit will move into position and the

moving indicator turn red. When the unit stops moving and the
moving indicator is not red, take an exposure.

20C

The message above will display. Ensure the
PAN Sensor (not the Ceph sensor) is removed
before proceeding. Select OK.

20B

Select “Calibrate Primary Collimator”

20F

20A

Note: There may be certain installations where the upper or
lower calibration numbers never resolve to zero. In these cases, it
is acceptable to adjust the level of the ceph arm until the sensor is
completely covered by the x-ray field. Adjust the arm up if the
bottom is not covered, and down if the top is not covered. Note:
You will need to support the weight of the arm while advancing
the adjustment nut.

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21. Verify Calibration

Take an exposure of the image Phantom at
66KV and 8 Ma.

22B

Locate the image phantom in the accessory kit.
Hang the image phantom in between the ear
posts.

22A

Continue taking exposures until the “Verification

Successful” message appears on the screen. Select Finish

and Finish again.

21C

Select “Verify Primary Collimator”. The unit will move into
position and the moving indicator turn red. When the unit stops
moving and the moving indicator is not red, take an exposure.

21B

Select “Verify Calibration”

21A

The calibration of the unit is now complete.

Exit diagnostic mode.

21D

22. Take an exposure with the Image Phantom.

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Zoom in on the rectangular boxes. The individual lines should be visible.

22D

The box within the center squares should be relatively centered in the box.

22C

Rectangular

boxes

Should be

centered

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23. Place the covers on the Vantage and on the Cephalometric unit.

Replace the covers on the Vantage.

23A

Replace the secondary collimator cover removed
earlier in step 14C.

23B

removed in step 14B.

23C

23D

23E

Install the curved cover on the front of the Ceph.

23F

These were removed earlier in Step 6.

Reconnect connector J2 and secure. This was

Install the rear cover on Ceph Arm. The cover is
located in the accessory kit.

Install the top cover on the Ceph unit. The 3
Philips head screws are located in the accessory
kit.

The cover is located in the accessory kit.

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Install the cover at the end of the Ceph Arm. The

23G

cover is located in the accessory kit.

Midmark Imaging Support Information

For Technical Support, contact:
MIDMARK CORPORATION

675 Heathrow Drive
Lincolnshire, Illinois 60069 U.S.A.
Phone: [phone] (U.S. and Canada)
[phone] (International)
Fax: [phone]

[e-mail]

Hours: 8:00 a.m. – 5:00 p.m. CT