Planmeca Proline XC User Manual

Page 1
EN
cephalostat
user's manual
10010940_3
Page 2
Page 3
TABLE OF CONTENTS
2 WARNINGS AND PRECAUTIONS .................................................................. 2
3 CHECKLIST - BEFORE USING THE CEPHALOSTAT ...................................3
4 PLANMECA PROLINE XC PAN/CEPH X-RAY UNIT .....................................4
4.1 The XC Cephalostat CM ................................................................................................ 4
4.2 Main parts of the Proline XC Cephalostat ......................................................................4
4.3 Removing and replacing the ear posts and the nasial positioner .................................. 5
4.4 Emergency stop button .................................................................................................. 5
5 PREPARATIONS FOR THE CEPHALOMETRIC EXPOSURE .......................6
5.1 Switching on the X-ray unit ............................................................................................ 6
5.2 Preparing the patient ...................................................................................................... 6
6 ENTERING CEPHALOMETRIC PROGRAM ...................................................7
6.1 Selecting cephalometric exposure program ................................................................... 7
7 TAKING AN EXPOSURE - LATERAL CEPH ................................................10
8 TAKING AN EXPOSURE - ANTERIOR-POSTERIOR AND
POSTERIOR-ANTERIOR ...............................................................................15
9 TAKING AN EXPOSURE - SUBMENTO-VERTEX ........................................18
10 TAKING AN EXPOSURE - WATERS VIEW ..................................................20
11 TAKING AN EXPOSURE - AP TOWNE ........................................................22
12 DISPOSAL OF THE PAN/CEPH UNIT ..........................................................24
User’s Manual
Planmeca Proline XC Cephalostat i
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TABLE OF CONTENTS
The manufacturer, assembler, and importer are responsible for the safety, re­liability and performance of the unit only if:
- installation, calibration, modification and repairs are carried out by qualified authorized personnel
- electrical installations are carried out according to the appropriate require­ments such as IEC364
- equipment is used according to the operating instructions
Planmeca 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.
COPYRIGHT PLANMECA 2008-04 PUBLICATION PART NUMBER 10010940 Revision 3
ii Planmeca Proline XC Cephalostat
User’s Manual
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1 INTRODUCTION

0537
INTRODUCTION
The Planmeca Proline XC Cephalostat CM uses cephalometric techniques to produce X-ray images for the diagnosis of dentomaxillofacial anatomy. The unit is allowed to be used only under supervision of a dental/ health care professional.
This guide describes how to use the Planmeca Proline XC cephalostat CM. Version of the CM CEPHALOSTAT is available for both 18cm x 24cm and 8” X 10” film sizes. Please read these instructions carefully before using the cephalostat. This manual should be used in conjunction with the Planmeca Proline Panoramic X-ray unit’s user’s manual.
The Proline X-ray unit fulfills the requirements of Directive 93/42/EEC. The Proline XC X-ray unit fulfills the requirements of standard EN 55011, class A.
NOTE Federal law restricts this device to sale by or on the
order of a dentist.
CAUTION This X-ray unit may be dangerous to both patient
and operator unless safe exposure values are used and correct operating procedures are observed.
NOTE The X-ray unit’s software revisions are shown on the
main display when the X-ray unit is switched on. This manual is valid for software revisions: PG 6.54 or later and PK 6.52 or later.
The display values shown in this guide are only examples and should not be interpreted as recommended values unless otherwise stated.
The exposure values given in these instructions are based on Kodak Ektavision green sensitive film and Kodak Ektavision screens. If you are using a different film and screen combination you may have to use different exposure values.
The exposure values required to produce good X-ray images will vary considerably according to the build and age of the patient, the film processor used and processing procedures being followed. Therefore, the exposure values given in this guide are average values and are only meant to guide the user. Users are encouraged to develop their own radiographic techniques based on these values.
Make sure that you are fully acquainted with the appropriate radiation protection measures and these instructions before using the unit.
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WARNINGS AND PRECAUTIONS

2 WARNINGS AND PRECAUTIONS

NOTE It is very important that the place where the unit is to
be used and the position from which the user is to operate the unit are correctly shielded. Since radiation safety requirements vary from country to country and state to state it is the responsibility of the user to ensure that all local safety requirements are met.
NOTE If the X-ray unit has been stored at temperatures under
+10°C for more than a few hours, time must be allowed for the unit to reach room temperature before turning it on.
NOTE Electromagnetic interference between the equipment
and other devices can occur in very extreme conditions. Do not use the equipment in close conjunction with sensitive devices, or devices creating high electromagnetic disturbances.
NOTE FOR US USERS:
CAUTION
LBL-X-099
LASER RADIATION -
DO NOT STARE
INTO BEAM
1mW 635nm
CLASS II LASER PRODUCT
The patient positioning lights are class II laser products (21 CFR § 1040.10).
AVOID
EXPOSURE-
Laser radiation is emitted from this aperture.
CLASS 1 LASER PRODUCT
APPAREIL À LASER DE CLASSE 1
EN 60825-1:1994
LBL-X-100
NOTE EMC requirements have to be considered, and the
NOTE Portable and mobile RF communications equipment
NOTE Never place heavy objects on any part of the unit or
NOTE Maintain audio and visual contact with the patient and
NOTE FOR EUROPEAN USERS:
Class 1 laser product (Standard EN 60825-1:1994). The patient positioning lights are class 1, inherently safe laser lights.
equipment must be installed and put into service according to the specific EMC information provided in the accompanying documents.
can affect Planmeca Proline XC X-ray unit.
hang objects from the unit’s arm structures. Do not put containers of liquid on any part of the unit.
the unit during the exposure.
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CHECKLIST - BEFORE USING THE CEPHALOSTAT

3 CHECKLIST - BEFORE USING THE CEPHALOSTAT

• Make sure that you are fully acquainted with the appropriate radiation protection measures and the instructions in this manual before using the cephalostat.
• Make sure that you have access to a film processor that is in working order and is ready for use.
• Make sure that you are using the correct film processing chemicals for the film you are using.
• Make sure that the processing chemicals you are using are fresh and are at the correct processing temperatures and concentrations.
• Make sure that the safelight you are using in the darkroom is suitable for the film being used.
• Make sure that the film you are going to use is fresh. Do not use old film.
• Make sure that the film and intensifying screen you are using are compatible. Do not mix films and screens of different color sensitivity.
• Make sure that the film and screen are the right type for the technique you plan to use.
• Make sure that the intensifying screen is free of dust and is not scratched or damaged.
• Never leave the cassette open in daylight.
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PLANMECA PROLINE XC PAN/CEPH X-RAY UNIT

4 PLANMECA PROLINE XC PAN/CEPH X-RAY UNIT

4.1 The XC Cephalostat CM

Cephalostat

4.2 Main parts of the Proline XC Cephalostat

Rotatable head support
Magnification scale
Cassette holder
Cassette clip
Cassette
Left-hand cassette stop
Soft tissue filter scale
Rotation scale
Nasial positioner
Ear posts
Positioning cones
Release lever
Ear post holder
4 Planmeca Proline XC Cephalostat
Right-hand cassette stop
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PLANMECA PROLINE XC PAN/CEPH X-RAY UNIT

4.3 Removing and replacing the ear posts and the nasial positioner

Holder
Lift to release
Press down to lock
Ear post/nasial positioner
Note When replacing the ear posts push them firmly to their position.

4.4 Emergency stop button

The emergency stop button is located on the underside of the vertical carriage. Press the button to stop the vertical carriage movement in an emergency.
The Error message Er53 will appear on the main display. Touch OK to clear the error code from the display and pull the stop button out to start the unit again.
User’s manual
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PREPARATIONS FOR THE CEPHALOMETRIC EXPOSURE

5 PREPARATIONS FOR THE CEPHALOMETRIC EXPOSURE

5.1 Switching on the X-ray unit

Switch the unit on with the on/off switch which is located on the underside of the vertical carriage on the left-hand side. The unit will carry out a self-test which will last a few seconds.
XC_on_off.eps
Select the cephalometric exposure program and exposure parameters according to the instructions given in the section “6 ENTERING CEPHALOMETRIC PROGRAM” on page 7.

5.2 Preparing the patient

Ask the patient to remove any spectacles, hearing aids, dentures, and personal jewellery such as earrings, necklaces, and hairpins. Place a protective lead apron over the patient’s shoulders if required.
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ENTERING CEPHALOMETRIC PROGRAM

6 ENTERING CEPHALOMETRIC PROGRAM

To make a selection on the control panel, simply touch the screen with your finger on a text field or on an icon. For example, to select the program type touch the Prog. field with your finger. You will hear a signal tone when a field or an icon is activated.
To cancel a selection, touch the Cancel field. Only the text fields and icons on the screen are touch
sensitive, and touching areas outside them will not activate an icon.
NOTE Refer to the Proline XC X-ray unit User’s Manual for
information on how to select the panoramic, temporomandibular joint (TMJ) and sinus exposure programs.

6.1 Selecting cephalometric exposure program

To select the cephalometric exposure program touch the
Prog. field on the main display.
User’s manual
The Select program type display shown below appears. Select the program type Ceph.
When you have selected the program type Ceph the main display will be shown again.
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ENTERING CEPHALOMETRIC PROGRAM
After selecting the Ceph program, the Ready field is green indicating that the unit is in ready position.
Select the collimator for the exposure by touching the Collimator field. There are three collimator alternatives to choose from:
4 vertical asymmetric 5 vertical symmetric 6 horizontal symmetric
Patient positioning mechanism
Chin rest
Remove the chin rest or chin support from the patient positioning mechanism.
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carriage
ENTERING CEPHALOMETRIC PROGRAM
If there is a panoramic cassette in the cassette carriage remove the cassette.
CassetteCassette
The rotating unit will move automatically to the correct position for taking cephalometric exposures.
Rotating unit in correct position for taking ceph exposures
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TAKING AN EXPOSURE - LATERAL CEPH

7 TAKING AN EXPOSURE - LATERAL CEPH

In the darkroom place a film inside the cassette. Handle the film in accordance with the manufacturer’s instructions and be careful not to damage the intensifying screens inside the cassette.
Cassette holder
Cassette clip
Cassette
When you are taking a vertical asymmetric lateral exposure orientate the cassette so that it is vertical and then slide the cassette into the cassette holder and position it so that the left-hand side of the cassette is flush with the left-hand side of the cassette holder.
Select the cephalometric exposure mode and collimator number 4, see section “6.1 Selecting cephalometric exposure program” on page 7.
Cassette holder
Cassette clip
Cassette
When you are taking a horizontal symmetric lateral exposure orientate the cassette so that it is horizontal and then slide the cassette into the cassette holder until the cassette is centered in the cassette holder.
Select the cephalometric exposure mode 6, see section “6.1 Selecting cephalometric exposure program” on page
7.
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Head support
4
5
TAKING AN EXPOSURE - LATERAL CEPH
Rotate the head support to the 90° position, the angle can be seen on the rotation scale. Press the release lever on the side of the left-hand ear post holder and slide the ear posts out as far as they will go. Also slide the nasial positioner out as far as it will go.
Rotation scale
Release lever
6
Nasial positioner
Nasial positioner
Ear posts
Adjust the height of the cephalostat until the positioning cones at the ends of the ear posts are level with the patient’s ears. Position the patient between the two ear posts so that the patient is facing the nasial positioner.
Press the release lever on the side of the left-hand ear post holder and carefully slide the positioning cones into the patient’s ears.
Release lever
User’s manual
Left-hand ear post
Positioning cones
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TAKING AN EXPOSURE - LATERAL CEPH
Nasial positioner
Slide the nasial positioner towards the patient until it touches the patient’s nasion and then, by sliding the nasial positioner up or down, adjust the angle of the patient’s head until the Frankfort plane is horizontal.
Frankfort plane
Soft tissue filter scale
0 10 20 30 40 50 60
Line
Note the position of the nasial positioner (the line on the holder indicates its position) on the soft tissue filter scale. The value on the scale is used to determine the position of the soft tissue filter.
0 10 20 30 40 50 60
Holder
Nasial positioner
Touch either of the soft tissue filter arrows to drive the soft tissue filter (it is attached to the cassette carriage) to the same position that appears on the soft tissue filter scale. The position will appear on the main display. The left arrow will decrease the area filtered (the soft tissue filter will move away from the patient) and the right arrow will increase the area filtered (the soft tissue filter will move towards the patient).
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Magnification scale
200
190 1
80
170 160
1.13 1.12 1.11
150 140
1
.10
TAKING AN EXPOSURE - LATERAL CEPH
Select the exposure magnification by sliding the cassette holder towards or away from the patient. The magnification can be seen on the magnification scale above the cassette holder.
130
1.09
Actual size
50mm
Cephscale1298.eps
Cassette holder
Select the exposure values and exposure time for the patient being X-rayed according to the values in the table below.
PATIENT kV VALUE mA VALUE TIME
Child up to 6 years 66 12 0.3
Child 7- 12 years 68 12 0.4
Adult female or small male 68 12 0.6
Adult male 70 12 0.8
Large adult male 72 12 1.0
Move at least two meters (seven feet) from the X-ray.
Image of measuring scale
Protect yourself from unnecessary exposure to radiation.
Press and hold down the exposure button on the remote control for the duration of the exposure. During the exposure period the radiation warning light will come on and you will hear the radiation warning tone. When the radiation warning tone stops the ear posts can be slid out and the patient can be guided from the unit.
Remove the cassette from the cassette holder and process the film.
7.0.1 Measuring scale
Measuring scale
User’s manual
Lateral exposure
Embedded in the nasial positioner is a metal scale an image of which will appear on the exposed film. By
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TAKING AN EXPOSURE - LATERAL CEPH
measuring the image of the scale that appears on the film and comparing its size with the actual size of the scale accurate measurements of the patient’s teeth and bone structure can be made. The actual length of the scale is 50mm and it is divided into millimeter increments.
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TAKING AN EXPOSURE - ANTERIOR-POSTERIOR AND POSTERIOR-ANTERIOR

8 TAKING AN EXPOSURE - ANTERIOR-POSTERIOR AND
POSTERIOR-ANTERIOR
In the darkroom place a film inside the cassette. Handle the film in accordance with the manufacturer’s instructions and be careful not to damage the intensifying screens inside the cassette.
Cassette holder
Cassette clip
Cassette
Orientate the cassette so that it is vertical and then slide the cassette into the cassette holder, either from the left or right, and position it so that the right-hand side of the cassette is flush with the right-hand side of the cassette holder.
Select the cephalometric exposure mode and collimator number 5, see section “6.1 Selecting cephalometric exposure program” on page 7.
Rotate the head support to the 0 or 180° position to take an anterior-posterior or a posterior-anterior exposure. Press the release lever on the side of the left-hand ear post holder and slide the ear posts out as far as they will go. Swing the nasial positioner up to the horizontal position.
Head support
Nasial positioner
Rotation scale
User’s manual
4
5
6
Ear posts
Adjust the height of the cephalostat until the positioning cones at the ends of the ear posts are level with the patient’s ears.
Position the patient between the two ear posts. If you are taking an anterior-posterior exposure position the patient
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TAKING AN EXPOSURE - ANTERIOR-POSTERIOR AND POSTERIOR-ANTERIOR
so that they are looking away from the cassette and if you are taking a posterior-anterior exposure position the patient so that they are facing the cassette.
200 190 180 170 160 150 140 130
1.13 1.12 1.09
Adjust the tilt of the patient’s head so that the Frankfort plane is parallel to the floor. Press the release lever on the side of the left-hand ear post holder and VERY carefully slide the positioning cones into the patient’s ears.
200 190 180 170 160 150 140 130
1.13 1.12 1.09
Posterior-anterior positionAnterior-posterior position
200 190 180 170 160 150 140 130
1.13 1.12 1.09
Frankfort plane
Anterior-posterior position
16 Planmeca Proline XC Cephalostat
Select the exposure magnification by sliding the cassette holder towards or away from the patient. The
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TAKING AN EXPOSURE - ANTERIOR-POSTERIOR AND POSTERIOR-ANTERIOR
magnification can be seen on the magnification scale above the cassette holder.
Magnification scale
200
190
180
170 160
150
14
0
1.13 1.12 1
.11
1.10 1
130
.09
Cassette holder
Cephscale1298.eps
Select the exposure values and exposure time for the patient being X-rayed according to the values in the table below.
PATIENT kV VALUE mA VALUE TIME
Child up to 6 years 72 12 0.6
Child 7- 12 years 74 12 1.0
Adult female or small male 78 12 1.2
Adult male 80 12 1.6
Hand exposure 60 4 0.2
Move at least two meters (seven feet) from the X-ray. Protect yourself from unnecessary exposure to radiation. Press and hold down the exposure button on the remote control for the duration of the exposure. During the exposure period the radiation warning light will come on and you will hear the radiation warning tone. When the radiation warning tone stops the ear posts can be slid out and the patient can be guided from the unit. Remove the cassette from the cassette holder and process the film.
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TAKING AN EXPOSURE - SUBMENTO-VERTEX

9 TAKING AN EXPOSURE - SUBMENTO-VERTEX

In the darkroom place a film inside the cassette. Handle the film in accordance with the manufacturer’s instructions and be careful not to damage the intensifying screens inside the cassette.
Cassette holder
Cassette clip
Cassette
Orientate the cassette so that it is vertical and then slide the cassette into the cassette holder, either from the left or right, and position it so that the right-hand side of the cassette is flush with the right-hand side of the cassette holder.
Select the cephalometric exposure mode and collimator number 5, see section “6.1 Selecting cephalometric exposure program” on page 7.
Rotate the head support to the 0° position. Press the release lever on the side of the left-hand ear post holder and slide the ear posts out as far as they will go. Swing the nasial positioner up to the horizontal position.
Head support
Rotation scale
4
5
6
Nasial positioner
Ear posts
Adjust the height of the cephalostat until the positioning cones at the ends of the ear posts are level with the patient’s ears.
Position the patient between the two ear posts and then adjust the tilt of the patient’s head until the alar-tragal line
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Magnification scale
200 190 180 170 160 150 140 130
1.13 1.12 1.09
TAKING AN EXPOSURE - SUBMENTO-VERTEX
is perpendicular to the floor. Press the release lever on the side of the left-hand ear post holder and VERY carefully slide the positioning cones into the patient’s ears.
Alar-tragal line
Select the exposure magnification by sliding the cassette holder towards or away from the patient. The magnification can be seen on the magnification scale above the cassette holder. Select the exposure values and exposure time for the patient being X-rayed according to the values in the table below.
PATIENT kV VALUE mA VALUE TIME
Child 76 12 1.2
Adult 78121.6
Large adult 80 12 1.8
Move at least two meters (seven feet) from the X-ray. Protect yourself from unnecessary exposure to radiation. Press and hold down the exposure button on the remote control for the duration of the exposure. During the exposure period the radiation warning light will come on and you will hear the radiation warning tone. When the radiation warning tone stops the ear posts can be slid out and the patient can be guided from the unit. Remove the cassette from the cassette holder and process the film.
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TAKING AN EXPOSURE - WATERS VIEW

10 TAKING AN EXPOSURE - WATERS VIEW

In the darkroom place a film inside the cassette. Handle the film in accordance with the manufacturer’s instructions and be careful not to damage the intensifying screens inside the cassette.
Cassette holder
Cassette clip
Cassette
Head support
4
5
6
Rotation scale
Orientate the cassette so that it is vertical and then slide the cassette into the cassette holder, either from the left or right, and position it so that the right-hand side of the cassette is flush with the right-hand side of the cassette holder.
Select the cephalometric exposure mode and collimator number 5, see section “6.1 Selecting cephalometric exposure program” on page 7.
Rotate the head support to the 0° position. Press the release lever on the side of the left-hand ear post holder and slide the ear posts out as far as they will go. Swing the nasial positioner up to the horizontal position.
Nasial positioner
Ear posts
20 Planmeca Proline XC Cephalostat
Adjust the height of the cephalostat until the positioning cones at the ends of the ear posts are level with the patient’s ears.
Position the patient between the two ear posts so that they are facing the cassette.
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Magnification scale
200 190 180 170 160 150 140 130
1.13 1.12 1.09
TAKING AN EXPOSURE - WATERS VIEW
Adjust the tilt of the patient’s head until the alar-tragal line is 35° to 40° from the horizontal. Press the release lever on the side of the left-hand ear post holder and VERY carefully slide the positioning cones into the patient’s ears.
35-40°
Alar-tragal line
Select the exposure magnification by sliding the cassette holder towards or away from the patient. The magnification can be seen the magnification scale above the cassette holder. Select the exposure values and exposure time for the patient being X-rayed according to the values in the table below.
PATIENT kV VALUE mA VALUE TIME
Child 74 12 1.0
Adult 78121.2
Large adult 80 12 1.6
Move at least two meters (seven feet) from the X-ray. Protect yourself from unnecessary exposure to radiation. Press and hold down the exposure button on the remote control for the duration of the exposure. During the exposure period the radiation warning light will come on and you will hear the radiation warning tone. When the radiation warning tone stops the ear posts can be slid out and the patient can be guided from the unit. Remove the cassette from the cassette holder and process the film.
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TAKING AN EXPOSURE - AP TOWNE

11 TAKING AN EXPOSURE - AP TOWNE

In the darkroom place a film inside the cassette. Handle the film in accordance with the manufacturer’s instructions and be careful not to damage the intensifying screens inside the cassette.
Cassette holder
Cassette clip
Cassette
Head support
4
5
6
Rotation scale
Orientate the cassette so that it is vertical and then slide the cassette into the cassette holder, either from the left or right, and position it so that the right-hand side of the cassette is flush with the right-hand side of the cassette holder.
Select the cephalometric exposure mode and collimator number 5, see section “6.1 Selecting cephalometric exposure program” on page 7.
Rotate the head support to the 0° position. Press the release lever on the side of the left-hand ear post holder and slide the ear posts out as far as they will go. Swing the nasial positioner up to the horizontal position.
Nasial positioner
Ear posts
22 Planmeca Proline XC Cephalostat
Adjust the height of the cephalostat until the positioning cones at the ends of the ear posts are level with the patient’s ears.
Position the patient between the two ear posts so that they are facing away from the cassette.
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Magnification scale
200 190 180 170 160 150 140 130
1.13 1.12 1.09
TAKING AN EXPOSURE - AP TOWNE
Adjust the tilt of the patient’s head until the Frankfort plane is tilted down 30°. Ask the patient to open his or her mouth as wide as possible. Press the release lever on the side of the left-hand ear post holder and VERY carefully slide the positioning cones into the patient’s ears.
30°
Frankfort plane
Select the exposure magnification by sliding the cassette holder towards or away from the patient. The magnification can be seen the magnification scale above the cassette holder.
Select the exposure values and exposure time for the patient being X-rayed according to the values in the table below.
PATIENT kV VALUE mA VALUE TIME
Child 74 12 1.0
Adult 78121.2
Large adult 80 12 1.6
Move at least two meters (seven feet) from the X-ray. Protect yourself from unnecessary exposure to radiation. Press and hold down the exposure button on the remote control for the duration of the exposure. During the exposure period the radiation warning light will come on and you will hear the radiation warning tone. When the radiation warning tone stops the ear posts can be slid out and the patient can be guided from the unit. Remove the cassette from the cassette holder and process the film.
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DISPOSAL OF THE PAN/CEPH UNIT

12 DISPOSAL OF THE PAN/CEPH UNIT

In order to reduce the environmental load over the product’s entire lifecycle, PLANMECA’s products are designed to be as safe as possible to manufacture, use and dispose of.
Parts which can be recycled should always be taken to the appropriate processing centres, after hazardous waste has been removed. Disposal of obsolete units is the responsibility of the waste possessor.
All parts and components containing hazardous materials must be disposed of in accordance with waste legislation and instructions issued by the environmental authorities. The risks involved and the necessary precautions must be taken into account when handling waste products.
Part
Frame and covers
- metal
- plastic
Motors (X) Component
boards Cables, transformers
X-ray tube X Packing Wood,
Other parts X
Main materials
for disposal
Aluminium, galvanized steel, lead
PUR, other plastics
Copper, steel, transformer oil
cardboard, paper
Recyclable
material
X X
X
(X)
X X
X X X
Waste
disposal
site
X
X
Hazardous
waste
(separate
collection)
X
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Planmeca Oy | Asentajankatu 6 | 00880 Helsinki | Finland
tel. +358 20 7795 500 | fax +358 20 7795 555 | [email protected] | www.planmeca.com
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