Vatech PaX-i3D, PaX-i3D Green, PHT-60CFO User Manual

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(PHT-60CFO)

User Manual

Version 1.5.0

E n g l i s h

PaX-i3D Green (PHT-60CFO) User Manual

Notice

Thank you for purchasing the

PaX-i3D Green

The

is an advanced digital dental diagnostic system that

PaX-i3D Green

extra-oral imaging system.

incorporates PANO, CEPH, and 3D CT imaging capabilities into a single system.

This manual describes how to operate the

PaX-i3D Green

system. It is recommended that you thoroughly familiarize yourself with this manual in order to make the most effective use of this equipment.

Observe all cautions, safety messages and warnings which appear in this manual.

The QR code linked to video le about image capture for the

CEPH Lateral

and

is provided in the manual. The smart phone and pad which

PANO Standard

have the QR code reader application program can be used to watch video.

Due to a constant technological improvement, the manual may not contain the most updated information, subjecting to change without prior notice to the persons concerned. For further information not covered in this manual, please contact us at:

VATECH Co., Ltd.

Phone: +82-1588-9510

E-mail: gcs@vatech.co.kr

This document is originally written in English.

The PaX-i3D Green

Manual Name: PaX-i3D Green

Version: 1.5.0

Publication Date: 2016-05

is referred to as Equipment in this manual.

(Model: PHT- 60CFO)

PaX-i3D Green (PHT-60CFO) User Manual

Table of Contents

Notice ......................................................

1.1

1.2

1.3

2.1

2.2

2.3

2.4

3.1

General Information ....................................... 12

Manufacturer's Liability ........................................................ 12

Owner and Operator's Obligations ...................................... 12

Conventions in this Manual ................................................. 13

Warnings and Precautions ............................16

General Safety Precautions ................................................. 16

Electricity-related Safety Precautions .................................. 20

Radiation Safety .................................................................. 21

Warnings ............................................................................. 22

PaX-i3D Green Imaging System Overview ... 26

Introduction .......................................................................... 26

3.1.1 System Components.............................................................26

3.1.2 Features ................................................................................26

3.1.3 The PaX-i3D Green Model Series (Optional)........................28

3.1.4 Standards and Regulations...................................................29

3.2

3.3

3.3.1 Control Panel ........................................................................33

3.3.2 Touch Screen ........................................................................34

3.3.3 Emergency Stop Switch ........................................................39

3.3.4 The Exposure Switch ............................................................39

3.3.5 Components and Positioning Accessories ............................40

3.4

Imaging System Structure ................................................... 30

General View of the PaX-i3D Green .................................... 31

Marks and Symbols ............................................................. 41

PaX-i3D Green (PHT-60CFO) User Manual

Table of Contents

4.1

4.2

4.3

4.3.1 PANO .................................................................................... 50

4.3.2 CEPH ...................................................................................55

4.3.3 CBCT ...................................................................................57

5.1

5.2

5.2.1 Creating a New Patient Record ............................................65

5.2.2 Retrieving Patient Records ...................................................67

5.3

Software Overview ......................................... 44

PC System Requirements (Recommended) ....................... 44

EasyDent / EzDent-i ............................................................ 45

Imaging Software Overview ................................................. 46

Getting Started ............................................... 64

Turning on the PaX-i3D Green ............................................ 64

Running the Image Viewer .................................................. 65

Initiating the Imaging Program ............................................. 69

6.1

6.2

6.3

6.3.1 PANO Standard and Bitewing mode ..................................... 82

6.3.2 TMJ Open .............................................................................86

6.3.3 TMJ Close ............................................................................89

6.3.4 Sinus .....................................................................................90

6.4

7.1

7.2

7.2.1 Lateral / Full Lateral ............................................................101

7.2.2 Frontal (PA) ......................................................................... 102

Acquiring PANO Images ................................ 72

PANO Imaging Program ...................................................... 72

Setting Exposure Parameters .............................................. 77

Positioning the Patient ......................................................... 81

Initiating X-ray Exposure ..................................................... 93

Acquiring CEPH Images ................................ 96

Setting the Exposure Parameters ........................................ 96

Positioning the Patient ....................................................... 100

7.2.3 SMV ....................................................................................104

PaX-i3D Green (PHT-60CFO) User Manual

Table of Contents

7.2.4 Waters View ........................................................................105

7.2.5 CARPUS .............................................................................106

7.3

8.1

8.2

8.3

8.3.1 Starting imaging with the SCOUT feature ...........................121

8.3.2 SCOUT Viewer ...................................................................123

8.4

10.1

10.2

Initiating X-ray Exposure ................................................... 107

Acquiring CT Images ................................... 112

Setting the Exposure Parameters .......................................11 2

Positioning the Patient ........................................................116

Acquiring a SCOUT Image ................................................ 121

Initiating X-ray Exposure ................................................... 124

Troubleshooting ........................................... 128

Cleaning and Maintenance .......................... 130

Cleaning ............................................................................ 130

Maintenance ...................................................................... 131

10.2.1 Regular Maintenance ..........................................................131

10.2.2 Maintenance Task Checklis ................................................132

12.1

12.2

12.3

12.4

Disposing of the Unit ................................... 134

Technical Specications .............................. 136

Mechanical Specications ................................................. 136

Technical Specications .................................................... 140

Electrical Specications ..................................................... 145

Environmental Specications ............................................ 145

PaX-i3D Green (PHT-60CFO) User Manual

Appendices

Table of Contents

2.1

2.2

2.3

Recommended X-ray Exposure Table ........ 148

X-ray Dose Data ............................................ 150

DAP Table .......................................................................... 150

X-ray Leakage Dose .......................................................... 152

X-ray Scatter Dose ........................................................... 153

Electromagnetic Compatibility (EMC)

Information .................................................... 156

Acquiring image for the pediatric dental

patient ............................................................ 161

4.1

4.2

Age group: classication table .......................................... 161

Positioning the pediatric dental patient ............................. 161

4.3

4.4

Setting exposure values to the age group ........................ 162

The references pertinent to the potential risks for the pediatric

patients ............................................................................. 162

Abbreviations ............................................... 164

General Information

1.1

1.2

1.3

Manufacturer's Liability ........................................................ 12

Owner and Operator's Obligations ...................................... 12

Conventions in this Manual ................................................. 13

PaX-i3D Green (PHT-60CFO) User Manual

1 General Information

1.1

Manufacturer's Liability

The manufacturers and/or retailers of this equipment assume responsibility for the safe and normal operation of this product

■The equipment has been installed by a VATECH authorized technician.

■The equipment has been installed in accordance with all of the cautions and conditions for installation.

■Genuine VATECH approved equipment and components have been used at all times.

■All maintenance and repairs have been performed by a VATECH authorized agent.

■The equipment has been used normally in accordance with the user's manual.

■The equipment damage or malfunction is not the result of an error on the part of the owner or operator.

only when:

1.2

Owner and Operator's Obligations

■The owner of this equipment shall perform constancy tests at regular intervals in

■The owner of this equipment shall perform regular inspection and maintenance of

order to ensure patient and operator safety. These tests must be performed in accordance with local X-ray safety regulations.

the mechanical and electrical components in this equipment to ensure safe and consistent operation (IEC 60601-1). The owner of this equipment shall ensure inspection and cleaning works are performed in accordance with the maintenance schedule outlined in

Chapter 10 Cleaning and Maintenance.

PaX-i3D Green (PHT-60CFO) User Manual

1 General Information

1.3

Conventions in this Manual

The following symbols are used throughout this manual. Make sure that you fully understand each symbol and follow the instructions which accompany it.

To prevent personal injury and/or damage to the equipment, please observe all warnings and safety information included in this document.

WARNING

CAUTION

X-ray

Indicates information that should be followed with the utmost care. Failure to comply with a warning may result in severe damage to the equipment or physical injury to the operator and/or patient.

Indicates a situation that demands prompt and careful action, a specific remedy, or emergency attention.

Indicates a possible danger of exposure to radiation.

IMPORTANT

NOTE

SINGLE USE

Indicates a situation or action that could potentially cause problems to the equipment and/or its operation.

Emphasizes important information or provide useful tips and hints.

Indicates a component which must be replaced for each new patient.

Warnings and Precautions

2.1

2.2

2.3

2.4

General Safety Precautions ................................................. 16

Electricity-related Safety Precautions .................................. 20

Radiation Safety .................................................................. 21

Warnings ............................................................................. 22

PaX-i3D Green (PHT-60CFO) User Manual

2 Warnings and Precautions

2. Warnings and Precautions

Be sure to strictly observe all warnings and safety

RNIN

instructions included in this manual.

2.1

General Safety Precautions

Operator qualications

This equipment may only be operated by personnel fully trained in its operation.

■To operate this equipment, all operators must:

-have read and understood the user's manual

-be familiar with the fundamental structure and functions of this equipment

-be able to recognize irregularities in the operation of this equipment and implement appropriate measures to remedy such irregularities.

General safety precautions

■Follow the instructions specied in this manual to ensure the safety of both the patient and the operator.

■The operator must maintain visual contact with the patient at all times during imaging.

■Do not open or remove the cover panels on this equipment. Always have a trained and authorized service technician carry out inspection and maintenance of this equipment.

■Do not place foreign objects on this equipment at any time.

■Do not place any objects within this equipment's eld of operation.

■Do not push or pull the equipment. If equipment overbalances, resulting in the risk of physical injuries or property damage.

■Operators must ask the patient to remain still until the equipment arm has stopped moving and the reset motion is complete.

PaX-i3D Green (PHT-60CFO) User Manual

2 Warnings and Precautions

CAUTION

■Observe all local re regulations. Always keep a re extinguisher near the equipment.

■The operator of this equipment must be familiar with this equipment's emergency protocols.

■Ensure that this equipment is kept away from water, moisture, or foreign substances at all times.

■If this product is exposed to water, moisture, or a foreign substance, immediately turn off all power to the equipment and contact your VATECH technical support representative.

■Immediately cease all operation of this equipment if there are signs of oil leakage and contact you VATECH technical support representative.

Ventilation

■Do not obstruct the equipment's ventilation for air opening. Improper ventilation could result in the equipment overheating due to a lack of air circulation.

■Do not spray any type of liquid or aerosol on this equipment as this may penetrate the system and damage the electrical and mechanical components inside.

■Always leave a sufcient amount of space around the PC to allow for proper ventilation.

Hygiene

Always disconnect the equipment from the power outlet

when disinfecting the surfaces of the equipment.

■All removable patient support components (bite block, chin support, temple supports) can be cleaned using alcohol-based cleaning solutions.

■Patient support handles can be cleaned using alcohol-based cleaning solutions.

■Other surfaces of the equipment, including the touch screen, can be cleaned using a soft cloth dampened with a mild cleaning solution.

PaX-i3D Green (PHT-60CFO) User Manual

2 Warnings and Precautions

■Disinfect the components (bite block, temple supports etc.) of the equipment

■New hygiene cover must be provided for each new patient to prevent the

IMPORTANT

Condensation

■Extreme fluctuations in temperature may cause condensation to develop

that come into contact with the patient or the operator after each exposure.

transmission of communicable disease.

Do not use aerosol or spray cleaning agents directly on the

surface of the equipment.

inside the equipment. Do not turn on the equipment until it has reached room temperature.

Cooling

■ Allow the proper amount of cool down time (for the X-ray tube to cool down) to elapse between each image acquisition.

-Mode of operation: Continuous operation with intermittent loading.

-Exposure time: Max. 20.2 s / Resting time: 5 min.

-Column operation time: 1 min / Resting time: 9 min

■ If the temperature inside the tube head reaches 60 °C, X-ray exposure will cease and an error message will be displayed. Normal X-ray capabilities will resume after the generator reaches 58 °C (136.4 ℉).

■ If the fan (optional) is installed, it operates automatically when the

temperature surrounding the tube head reaches the pre-dened level: 40 ℃

(104 ℉). The set point temperature is congurable.

Turning the equipment on / adjusting the height of the equipment

■Do not position the patient in the equipment while it is initiating as the patient could be injured if the equipment malfunctions.

■Ensure that the patient is kept clear of the mechanism while adjusting the

height of the equipment.

PaX-i3D Green (PHT-60CFO) User Manual

2 Warnings and Precautions

Emergency stop

■If a problem occurs during image acquisition, press the red emergency stop button to immediately stop all moving parts and cut off all power to the equipment.

Trouble-free operation

■ Never use this equipment in an environment that is susceptible to explosion.

■ Always operate the equipment within a temperature range of 10 °C to 35 °C (50 ℉ to 95 ℉) for the safe operation. Image quality may deteriorate if the equipment is operated outside of this range.

■ Always allow the equipment sufcient time to warm up (while switched on) if it has been exposed to temperatures of below 10 °C (50 ℉).

■ Only perform X-rays of patients if system is in full working order.

■ Always ensure that equipment movement is not obstructed by the patient’s clothing, medical device (such as a wheelchair), or the patient themselves.

■ Do not leave the patient unattended around the equipment.

■ Remove all radio-controlled devices, mobile phones, etc. from the X-ray room prior to image acquisition as these objects may cause the equipment to malfunction.

Modifying the equipment

■Modifying the equipment in any way which may affect the safety of the operator, patient or other persons is prohibited by law.

■No part of this equipment is serviceable by the user. All maintenance and repair of this equipment must be performed by a qualified service technician.

■This product may only be operated with original VATECH accessories or third-party accessories expressly approved by VATECH.

PaX-i3D Green (PHT-60CFO) User Manual

2 Warnings and Precautions

2.2

Electricity-related Safety Precautions

■Check the status of the power source, PC and cables prior to operating the equipment.

■Ensure that the on/off switch is set to off when the equipment is not in use.

■Always disconnect the power supply before cleaning the equipment.

■Always keep electrical cords away from hot appliances or radiators.

■DO NOT place the PC or peripheral equipment connected to the PC in the immediate vicinity of the patient.

■The equipment and PC should be connected to a common protective earth.

■Never overload the equipment’s circuit by sharing it with too many appliances.

■Use the same power circuit for the PC and the equipment.

Combining this equipment with other devices

■Do not connect this equipment to devices which are not part of the system.

■Do not connect this equipment to a Multiple Portable Socket-Outlet (MPSO) or extension cord.

Electromagnetic compatibility

■The PaX-i X-ray unit complies with IEC standard 60601-1-2.

■Medical electrical equipment is subject to special EMC preventive

measures. It must be installed and operated as specied in the

Requirements

■If high-voltage systems, radio link systems or MRI systems are located

within 5 m of the unit, please observe the specifications stated in the installation requirements.

■Portable and mobile RF communications equipment may interfere with

medical electrical equipment. Therefore, the use of mobile wireless phones

in medical ofces or hospital environments must be prohibited.

document.

Installation

PaX-i3D Green (PHT-60CFO) User Manual

2 Warnings and Precautions

For more details, refer to the document Electromagnetic Compatibility

Information.

ElectroStatic Discharge

Connector pins or sockets bearing ESD warning labels must not be touched or interconnected without observing ESD protective measures.

2.3

Radiation Safety

RNIN

■The operator must remain outside a shielded room during X-ray exposure in order to protect himself/herself from radiation.

■The patient must wear a lead apron with neck and thyroid protection during X-ray exposure.

■Children and pregnant women must consult with a doctor before X-ray exposure.

■This equipment must be housed inside an X-ray shielded room.

■During imaging; the operator must maintain visual contact with the patient from outside the shielded area.

Since rules and regulations concerning radiation safety

differ between countries, it is the responsibility of the

owner and/or operator of this equipment to comply with

all applicable rules and regulations concerning radiation

safety and protection in their area.

■The operator should continuously check the status of the patient and the equipment during imaging.

■The operator must immediately stop imaging if the equipment malfunctions.

As a manufacturer of radiology equipment that conforms

to stringent protection standards around the world, we

RNIN

guarantee the maximum degree of protection against

radiation hazards for our equipment.

PaX-i3D Green (PHT-60CFO) User Manual

2 Warnings and Precautions

2.4

Warnings

The following warning statements should be obeyed with the utmost care. Failure to follow these warnings may cause severe damage to the equipment or physical injuries to the patient and/or operator.

RNIN

X-ray equipment is hazardous to patient and the operator

if proper exposure safety measures and/or operating

instructions are not observed.

It is important to read this user manual carefully and

strictly abide by all warnings and cautions stated within it.

● 3D image should not be used for screening examinations.

Each exam must be justified by demonstrating that the

benets outweigh the risk.

● Where it is likely that evaluation of soft tissues will be

required as part of the patient’s radiological assessment,

conventional medical CT or MR should be used instead of

dental cone beam imaging.

RNIN

● PaX-i3D Green system, like other medical equipment,

uses high-frequency electrical signals that can interfere

with implantable devices such as pacemakers and

implantable cardioverter-debrillators(ICDs). If the patient

has such an implantable device, you should be aware of

any interference in its operation and immediately power

off the Dental X-ray system.

● PaX-i3D Green system is designed to withstand the

effects of defibrillation. However, when possible,

disconnect the Dental X-ray systems during debrillation

since a malfunction of the safety controls could otherwise

result in electrical burns for the patient.

PaX-i3D Green (PHT-60CFO) User Manual

2 Warnings and Precautions

CAUTION

Lasers

■The system incorporates Class 1 laser products. The light localizers used in this product are intended for correct patient positioning and must not be used for any other purpose.

■For maximum safety, advise the patient not to look directly at the laser beam.

■While adjusting the patient, ensure that the laser beam is not directed at the patient’s eyes.

Risk of eye injury!

Do not use this equipment with any other laser sources

and do not make any changes to the settings or processes

that are described in these operating instructions.

Cleaning

■Never expose this equipment to liquids, mists or sprays. Exposing this equipment to liquids may cause an electrical shock or otherwise damage the system.

■Do not use spray cleaners on this equipment, as this could cause a re.

During Operation

■Never use this equipment in an environment that is susceptible to explosion.

■Do not place ammable materials near this equipment.

■Do not operate the PC or Touch screen while the equipment is performing an operation. Failure to comply with this instruction may result in system malfunction.

■Immediately stop imaging if the equipment malfunctions in any way.

■If a problem occurs during imaging, press the red emergency stop button to immediately stop all moving parts and cut off all power to the equipment’s electrical components.

■Never touch the patient while also touching the SIP/SOP connectors.

PaX-i3D Green (PHT-60CFO) User Manual

2 Warnings and Precautions

In case of electrical re

■Use only re extinguishers designed for electrical res to extinguish res on

■Liquid extinguishers, such as those which use water, could damage the

■Unplug the equipment’s power cable before extinguishing any re.

Installation

■In order to avoid improperly balanced equipment, install the device on a at

■If the equipment is not stable, property damage and/or personal injury may

■Do not push or pull the equipment.

■Equipment should only be installed by an authorized technician, complying

this equipment.

equipment and/or cause injury.

surface to maintain stability.

occur.

with proper installation procedures.

PaX-i3D Green Imaging System Overview

3.1

3.1.1 System Components.............................................................26

3.1.2 Features ................................................................................26

3.1.3 The PaX-i3D Green Model Series (Optional)........................28

3.1.4 Standards and Regulations...................................................29

3.2

3.3

3.3.1 Control Panel ........................................................................33

3.3.2 Touch Screen ........................................................................34

3.3.3 Emergency Stop Switch ........................................................39

3.3.4 The Exposure Switch ............................................................39

3.3.5 Components and Positioning Accessories ............................40

3.4

Introduction .......................................................................... 26

Imaging System Structure ................................................... 30

General View of the PaX-i3D Green .................................... 31

Marks and Symbols ............................................................. 41

PaX-i3D Green (PHT-60CFO) User Manual

3 PaX-i3D Green Imaging System Overview

3.1

Introduction

PaX-i3D Green

The incorporates Panoramic (PANO), Cephalometric (CEPH), and 3D CT imaging capabilities into a single system.

PaX-i3D Green

The cephalometric and CT image of the oral and craniofacial anatomy to provide diagnostic information for adult and pediatric patients. The system uses the advanced sensors to produce the higher quality of image in 2D and 3D of the head region, including the dental/maxillofacial regions.

PaX-i3D Green

The professionals who are licensed to perform X-rays by the law of the region in which it is being used.

is an advanced digital dental diagnostic system that

system is intended for use to take a panoramic,

may only be used by dentists, X-ray technicians and other

3.1.1 System Components

■PaX-i3D Green digital X-ray equipment

■PC

PaX-i3D Green

■EasyDent / EzDent-i: 2D viewer and patient management software

■Ez3D plus / Ez3D-i: 3D viewer

■Imaging software

3.1.2 Features

■A 3-in-1 imaging solution: PANO, CEPH and CBCT imaging combined in single equipment.

■Improved image processing algorithms:

-Magic PAN (Optional): A high quality image reconstructed from the optimal auto-focused images in each segment throughout the panoramic region to correct the improper patient positioning and rotating unit’s trajectory.

■Metal Artifact Reduction: Metal artifacts are minimized to improve image quality.

PaX-i3D Green (PHT-60CFO) User Manual

3 PaX-i3D Green Imaging System Overview

■Fast CEPH: CEPH imaging with low X-ray dose and high speed

■Control Panel: to allow an easy handling of the equipment

■Multi-FOV (Field Of View): FOV is selected, based on the most suitable ROI.

■Provides an auto-switching between 2 sensors for the PANO and CBCT imaging, without the intervention of the operator.

■3D Viewer

Ez3D plus / Ez3D-i:

Enables 3D images to be analyzed

accurately, leading to greater diagnostic precision.

■DICOM le support: The standard le format for medical applications.

PaX-i3D Green (PHT-60CFO) User Manual

3 PaX-i3D Green Imaging System Overview

3.1.3 The PaX-i3D Green Model Series (Optional)

Model Item Sensor FOV (mm)

PANO Xmaru1501CF -

PANO+CBCT

PANO+CBCT +CEPH

Xmaru1215CF MP 100 X 80, 80 X 80, 80 X 50, 50 X 50

Xmaru1524CF MP

PANO Xmaru1501CF -

Xmaru1215CF MP 100 X 80, 80 X 80, 80 X 50, 50 X 50

Xmaru1524CF MP

CEPH Xmaru2301CF Scan Type

PANO Xmaru1501CF -

Xmaru1215CF MP 100 X 80, 80 X 80, 80 X 50, 50 X 50

Xmaru1524CF MP

CEPH 1210SGA

160 X 100, 120 X 90, 80 X 80, 80 X 50, 50 X 50

150 X 150, 120 X 90, 80 X 80, 80 X 50, 50 X 50

160 X 100, 120 X 90, 80 X 80, 80 X 50, 50 X 50

150 X 150, 120 X 90, 80 X 80, 80 X 50, 50 X 50

160 X 100, 120 X 90, 80 X 80, 80 X 50, 50 X 50

150 X 150, 120 X 90, 80 X 80, 80 X 50, 50 X 50 One shot Type

12 X 10, 9 X 10, 8 X 8 (inches)

30.48x25.40, 22.86x25.40, 20.32x20.32(cm)

PaX-i3D Green (PHT-60CFO) User Manual

3 PaX-i3D Green Imaging System Overview

0434

3.1.4 Standards and Regulations

Standards:

The PaX-i3D Green is designed and manufactured to meet the following standards:

IEC/EN/UL 60601-1, IEC/EN 60601-1-1, IEC/EN 60601-1-2, IEC/EN 60601-13, IEC/EN 60601-2-7, IEC/EN 60601-2-28, IEC/EN 60601-2-32, IEC/EN 606012-44, ISO 9001, ISO 13485

NEMA standard publication PS 3.1-3.18, 2008

X-ray source assembly [DG-07C11T2 / DG-07C11C1] IEC 60601-2-28 (1993)

The CE symbol grants this equipment compliance with the European Directive for Medical Devices 93/42/EEC as amended by 2007/47/EC as a class IIb device.

UL symbol grants this equipment compliance with the UL 60601-1 / CAN/ CSA C22.2 No.601.1

Classications (IEC60601-1 6.1):

Protection against the ingress of water: Ordinary Equipment: IPX0

Protection against electric shock: Class 1 equipment, Type B Applied Parts

PaX-i3D Green (PHT-60CFO) User Manual

3 PaX-i3D Green Imaging System Overview

NOTE

3.2

Imaging System Structure

RS232 Interface Cable 10 m (32.8’)

1. Signal input/output at the column up/down switch (optional)

External equipment intended for connection to signal

input, signal output or other connectors, shall comply with

relevant IEC Standard (e.g., IEC60950 for IT equipment

and IEC60601-1series for medical electrical equipment). In

addition, all such combination-system-shall comply with

the standard IEC60601-1 and/or IEC60601-1-1 harmonized

national standard or the combination.

PaX-i3D Green (PHT-60CFO) User Manual

3 PaX-i3D Green Imaging System Overview

3.3

General View of the PaX-i3D Green

PaX-i3D Green (PHT-60CFO) User Manual

3 PaX-i3D Green Imaging System Overview

NOTE

No. Item Details

CEPH imaging sensor (optional).

1 X-ray SENSOR (CEPH)

- 1-1. One shot Type

- 1-2. Scan Type

- Positions the patient during CEPH imaging.

2 NASAL POSITIONER

- The ruler for use to compensate the acquired image that is

different from actual size.

3 EAR RODS

SECONDARY

COLLIMATOR

5 X-ray TUBE

6 TEMPLE SUPPORTS

7 ROTATING UNIT

X-ray SENSOR

(PANO / CT)

9 CHINREST

10 CONTROL PANEL

Secure the patient’s head during CEPH imaging.

Limits the X-ray irradiation eld for CEPH scanning.

The source of X-ray emission.

Support the patient’s temples during PANO scan.

Rotates around the patient’s head during exposure (depending on the imaging mode).

Sensors: used for CT and PANO imaging. This module consists of two different sensors that perform different functions (CT and PANO). When you select a scanning mode, the sensor will be switched automatically (CT ↔ PANO, and vice versa).

Supports the patient’s chin during imaging.

Allows the operator to control certain functions of the equipment and displays operational parameters. For more details, refer to

3.3.1 Control Panel

3.3.2 Touch

and

Screen

11 HANDLE FRAME

12 TELESCOPIC COLUMN

13 STATIONARY COLUMN

14 BASE

Held firmly by the patient during imaging to stabilize his / her position.

Moves the column up or down for patient positioning.

The portion of the column xed to the base.

Used to balance and stabilize the equipment.

The structural overview of the PaX-i3D Green may differ

depending on the model. For more information, refer to

section “3.1.3 The PaX-i3D Green Model Series”.

PaX-i3D Green (PHT-60CFO) User Manual

3.3.1 Control Panel

Buttons Functions

Touch Screen

3 PaX-i3D Green Imaging System Overview

Configures the parameter settings in each imaging mode. For more information on this, refer to

3.3.2 Touch Screen.

Laser Beam ON / OFF Turns ON or OFF the laser beams.

Indicates that parameter settings and the

READY

Column UP Moves the column up.

Chinrest DOWN

Frankfurt plane laser beam DOWN

Column DOWN Lowers the column.

Chinrest UP

Frankfurt plane laser beam UP

patient alignment are nished and imaging is

ready.

Lowers the chinrest.

- Functions only in the CT imaging mode.

Moves Frankfurt plane laser beam down

- Functions only in the PANO imaging mode.

Moves the chinrest up.

- Functions only in the CT imaging mode. Moves Frankfurt plane laser beam up.

- Functions only in the PANO imaging mode.

PaX-i3D Green (PHT-60CFO) User Manual

3 PaX-i3D Green Imaging System Overview

CAUTION

3.3.2 Touch Screen

You can congure the parameter settings in each mode using the touch screen.

touch screen

The

Imaging Software Overview)

display the same parameter settings.

Never use pointed objects, such as a ballpoint pen or pencil,

to manipulate the LCD screen as they could scratch or

damage the LCD screen.

CBCT

on the equipment and

on the PC are synchronized in real time, and

the imaging program (See 4.3

4 5 6 7 8

No. Function Description

Imaging parameter settings

information

FOV selection Shows the CT sensor model mounted.

Selection settings Displays the current selections in sequential order.

Imaging mode selection Select the imaging mode.

INFO

Displays currently set information such as patient type and X-ray setting values.

Enables the user to set a patient’s gender and X-ray intensity and controls kVp / mA.

Back Moves to the previous level

Forward Moves to the next level

CONFIRM Click this button when the parameter settings are nished.

PaX-i3D Green (PHT-60CFO) User Manual

3 PaX-i3D Green Imaging System Overview

1 2

No. Function Description

Examination area selection Selects the tooth position

Guidance Image _

INFO

1 2 3 4

No. Function

Tube voltage UP / DOWN Tube current UP / DOWN Patient’s gender selection Patient’s X-ray intensity selection Displays the parameter settings

PaX-i3D Green (PHT-60CFO) User Manual

3 PaX-i3D Green Imaging System Overview

Temple Support Adjustment Button

Touch Screen LOCK

Touch Screen is automatically locked while exposure.

RETURN

Returns the Rotating Unit back to its initial position.

PaX-i3D Green (PHT-60CFO) User Manual

3 PaX-i3D Green Imaging System Overview

PANO

2 3

No. Function Description

Imaging parameter settings information

Pano Type Normal, Magic Pan(Optional) Image Quality HD, Normal

Arch Selection

Selects the type of patient’s dental arch

Orthogonal Mode Minimizes overlapping in the image

Selection Settings

Displays the current selections in sequential order.

PaX-i3D Green (PHT-60CFO) User Manual

3 PaX-i3D Green Imaging System Overview

NOTE

CEPH: OP Model (Oneshot type)

2 3 4

CEPH: SC Model (Scan Type)

No. Function Description

Imaging parameter settings information _

CEPH Examination _

CEPH FOV Size (inches) _

Exposure Time Adjustment

Image Quality Fast Fast Scan

Exposure time can be adjusted by resolution of 0.1 s in the

range of 0.5 s to 1.2 s (One shot type only).

Oneshot type

Enable the user to adjust the exposure time with the UP and DOWN buttons.

PaX-i3D Green (PHT-60CFO) User Manual

3.3.3 Emergency Stop Switch

During operation, the following emergency situations may occur:

■X-ray emission continues after the exposure switch has been released

3 PaX-i3D Green Imaging System Overview

■Injury to the patient or damage to the equipment

■Other emergency situations

If a problem occurs during image acquisition, press the red

Switch

equipment’s electrical components. To reset the it clockwise until it pops up.

to immediately stop the moving parts and cut off all power to the

3.3.4 The Exposure Switch

Exposure Button

Exposure Indicator light

Green: Ready

Orange: X-ray On

Emergency Stop

Emergency Stop Switch

The exposure switch allows the operator to control image acquisition from outside of the X-ray room. Press and hold the exposure switch down until acquisition is complete. Premature release of the exposure switch will abort image acquisition.

Pressing the exposure switch activates the orange indicator light to indicate that the X-ray is being emitted.

, turn

PaX-i3D Green (PHT-60CFO) User Manual

3 PaX-i3D Green Imaging System Overview

3.3.5 Components and Positioning Accessories

The following accessories can be disinfected after they have been separated from the equipment.

Disinfect all accessories which come into direct contact with the patient, such as the bite block, Chinrest or temple supports, using an alcohol-based solution and allow them to dry before use.

Accessories

Bite block:

Normal

Silicon cover:

bite block

Chin Support:

TMJ, Sinus

Silicon cover:

Chin Support

Ear Rod cover

(1 set)

Silicon cover:

Nasal Positioner

Protractor:

CEPH

Carpus plate

Supports (1 set)

Silicon cover:

Chinrest

Temple

Hygiene cover :

Panorama Cover

300 pcs

bite block

(single use)

PaX-i3D Green (PHT-60CFO) User Manual

3 PaX-i3D Green Imaging System Overview

0434

3.4

Marks and Symbols

Symbols Description Location

Alternate current Attention:

consult accompanying documents

Dangerous voltage Power board

Protective earth (Ground) Power board

Off (power: disconnect from the main switch)

On (power: connect to the main switch) Main switch

TYPE B Equipment Label

Radiation hazard Label

EC representative Label

Label

Main switch

The CE symbol indicates that this product complies with the European Directive for Medical Devices 93/42/EEC as amended by 2007/47/EC as a class IIb device.

UL mark: UL 60601-1 / CAN/CSA C22.2 No.601.1 3ZY1

Address where the equipment was manufactured

This symbol indicates that electrical and electronic equipment must not be disposed of as unsorted municipal waste and must be collected separately.

This symbol warns ESD hazard.

This symbol indicates that this equipment is

classied as a CLASS 1 LASER PRODUCT in

accordance with IEC 60825-1 ED.1 regulations.

Date of manufacture Label

Refer to Instruction manual Label

Label

MCU board/ Board package

Label

This page is left intentionally blank.

Software Overview

4.1

4.2

4.3

4.3.1 PANO .................................................................................... 50

4.3.2 CEPH ...................................................................................55

4.3.3 CBCT ...................................................................................57

PC System Requirements (Recommended) ....................... 44

EasyDent / EzDent-i ............................................................ 45

Imaging Software Overview ................................................. 46

PaX-i3D Green (PHT-60CFO) User Manual

4 Software Overview

NOTE

4 Software Overview

Three programs come with this equipment to acquire, process, and view the image:

■

EasyDent / EzDent-i

■

Ez3D plus / Ez3D-i

: 2D viewer, analysis, and patient management

: 3D Viewer and analysis

■Imaging software:

4.1

Item HP LENOVO

CPU

RAM

Hard disk drive

Graphic board

Ethernet interface

Serial Port (RS232)

Power supply

PC System Requirements (Recommended)

Intel Xeon E5-1607v3 3.1GHz 1866 4C Intel Xeon E5-1607v3 3.1GHz 1866 4C 8GB DDR4-2133 Registered RAM

or larger 1TB SATA 7200 RPM 1st HDD 1TB SATA 7200 RPM 1st HDD

NVIDIA Quadro K2200 4GB NVIDIA Quadro K2200 4GB Integrated Intel I218LM PCIe GbE Integrated Intel I217LM PCIe GbE HP Serial Port Adapter Kit (Option) 1 (On Board)

≥ 700 Watts (90 % Efficiency) ≥ 650 Watts (85 % Efficiency)

PANO / CEPH / CBCT

- Image quality may be diminished if the PC specications

are not met, please adhere to the requirements specied

in the following table.

- DO NOT place the PC or peripheral equipment connected

to the PC in the immediate vicinity of the patient

8GB DDR4-2133 or larger

Slots

CD/DVD drive

Monitor

Operating system

Recommended system

2 PCI Express Gen3 x 16 slots 1 PCI Express Gen3 x 8 slot 1 PCI Express Gen2 x 4 slot 1 PCI Express Gen2 x 1 slot

1 PCI slot 1 PCI slot DVD-ROM, DVD+/-RW, Blu-Ray DVD-ROM, DVD+/-RW, Blu-Ray 19”1280 x 1024 screen resolution 19”1280 x 1024 screen resolution Windows 7 Professional 64-Bit Windows 7 Professional 64-Bit

Z440 P500

2 PCI Express Gen3 x 16 slots 1 PCI Express Gen3 x 4 slot 1 PCI Express Gen2 x 4 slot 1 PCI Express Gen2 x 1 slot

PaX-i3D Green (PHT-60CFO) User Manual

4 Software Overview

NOTE

4.2

EasyDent / EzDent-i

As the basic imaging platform for all VATECH dental X-ray equipment,

EasyDent / EzDent-i

interfaced with are imported directly into can be performed quickly and easily.

The screenshot below is of

is designed to be easy to use. The Imaging Program is

EasyDent / EzDent-i.

EasyDent / EzDent-i

EasyDent / EzDent-i’s

For more details about patient search, refer to sections

“5.2.1 Creating a New Patient Record” and “5.2.2 Retrieving

Patient Records”.

Images acquired by the Imaging Program

, where analysis and diagnosis

initial GUI window.

PaX-i3D Green (PHT-60CFO) User Manual

4 Software Overview

NOTE

4.3

Imaging Software Overview

Imaging parameters can be set using the imaging program. The following screenshot shows the main interface in PANO mode. For details concerning PANO, CEPH and CBCT imaging, refer to sections

You can set the imaging parameters on either the touch

screen or the imaging program running on the PC. They are

synched in real time and display the same environmental

settings. For more details on the Touch Screen, refer to

“3.3.2 Touch Screen”.

4.3.1 - 4.3.3.

I K

D E

A. Imaging Mode Display

This displays the current imaging mode.

- Indicates that the Magic PAN is supported in the PANO

imaging modality.

- Is displayed only for the Standard mode, with the Magic

PAN enabled.

G H

PaX-i3D Green (PHT-60CFO) User Manual

4 Software Overview

NOTE

B. Scanning Status and Image Preview Window

This shows image acquisition progression in real- time.

C. Patient Information

This displays information about the selected patient.

D. Imaging Guide Window

This displays various text instructions for the operator to follow.

E. Scan Time and DAP Display Window

Upon clicking

Conrm

, the scan time and estimated DAP value is displayed in

this window.

F. Tube Voltage and Current Adjustment

If the patient is selected in EasyDent / EzDent-i, the default kVp/mA according to the patient’s information (gender/age) is displayed. This tool adjusts the kVp and mA values or control the power of the X-ray in order to improve image quality. If necessary, adjust the kVp and mA values manually using the arrows.

For the tube voltage and its correspondence with the

current patient, refer to “Appendix 1. Recommended X-ray

Exposure Table”.

G. Patient Gender

This displays the current patient’s gender as entered in EasyDent / EzDent-i’s patient information. If necessary, gender can be manually selected.

Age Group / Gender VATECH’s Standard

Adult

Child

Man

Woman

≤12

≥13

H. X-ray intensity

This tool selects X-ray intensity.

Depending on the circumference of the patient’s head,

X-ray intensity may be classied as Hard, Normal, or Soft :

Soft ≤ Normal ≤ Hard

Age

Group

Child

Average head

circumference

53±3 cm

Range

(cm)

classication of head

circumference

> 53±3 Hard

53±3 Normal 53±3 < Soft > 56±3 Hard

Adult

56±3 cm

56±3 Normal 56±3 < Soft

PaX-i3D Green (PHT-60CFO) User Manual

4 Software Overview

NOTE

I. Phantom Capture

Image acquisition using the Phantom Jig:

1. Click Phantom Capture Icon.

2. Select the Modality, followed by OK.

3. Check the parameters displayed in the main GUI

window. If correct, click the ‘Conrm’ button.

4. Align the Phantom Jig, and click the ‘Ready’ button.

This function is used when the Phantom Jig is being used to acquire images.

5. Press and hold down the exposure switch.

J. Manual Image Reconstruction

If automatic reconstruction of the image fails, use this function to reconstruct the image manually. Select

Modality

and click

Search → Reconstruction.

K. Laser Beam On / Off Button

Use this icon to turn the laser beam on or off for patient positioning. This

button is enabled when the

CONFIRM

button is clicked after the imaging

environmental parameters are configured.

L. Settings

This Control Panel displays and sets various equipment-related parameters, including language, automatic save, DAP display unit, etc.

PaX-i3D Green (PHT-60CFO) User Manual

M. Exit

NOTE

This button exits the capturing program.

N. Imaging Mode

4 Software Overview

This selects an imaging mode – PANO, CEPH or CBCT. Refer to section

~ 4.3.3

for the details regarding

PANO, CEPH and CBCT

imaging modes.

4.3.1

O. Conrm

After conrming all settings required for scanning, press

CONFIRM

to apply the

settings.

When you click CONFIRM, the scan time and estimated

DAP (Dose Area Product) value will be shown on the main

display for the exposure you are going to take.

P. Ready

This button is used when all aspects of preparation have done for image acquisition (including parameter settings and patient positioning)

PaX-i3D Green (PHT-60CFO) User Manual

4 Software Overview

NOTE

4.3.1 PANO

PANO Type

The PaX-i3D Green conditionally offers 2 levels of panoramic imaging system.

Level Mode Option

Normal Pano examination / Special examination - -

Magic PAN Pano examination (

Standard

Magic PAN: an high quality image reconstructed from the

optimal auto-focused images throughout the panoramic

region to correct the improper patient positioning and

rotating unit’s trajectory.

mode)

Magic

PAN

optional

A. PANO Type:

PAN or Normal) can be selected for PANO imaging.

Magic PAN (optional)

the sharper image. When enabled, the

symbol the imaging modes which incorporate this

feature.

One of two modes (Magic

: a feature to acquire

appears on the upper right for

B. Image Quality

One of two modes (HD or Normal) can be selected for PANO imaging.

■

: Image with higher resolution than

Normal

: Normal image

Normal

Mode

PaX-i3D Green (PHT-60CFO) User Manual

4 Software Overview

NOTE

CAUTION

Setting the default mode in the PANO: The most frequently

used mode among the HD and Normal can be congured

as the default, which requires the authority.

To change the default mode,

1. Ask the engineer in your region for the mode change.

2. Re-run the imaging program after setting up the related

parameters.

The default mode, if any, specified in a specific country

can't be changed for the user's intent.

C. Arch Selection

Select the patient’s arch type: Narrow, Normal, Wide, Child, and Orthogonal.

Orthogonal:

Enables the image to be acquired with overlapping regions of the

teeth minimized.

D. PANO Examination

Acquire the image for a specic ROI in panoramic mode.

Mode

Standard

Region of Interest:

PANO Image

Imaging standard

images

Right Imaging lateral right

Front Imaging frontal area

Remark

Supported by

any arch type

selection

Left Imaging lateral left

PaX-i3D Green (PHT-60CFO) User Manual

4 Software Overview

The following table summarizes the sub-modes for orthogonal imaging.

*Orthogonal mode

teeth.

Sub-mode

: Acquires an image that minimizes overlapping regions of

Standard

Region of Interest:

Orthogonal

Imaging PANO Standard

image

Remark

Right Imaging PANO lateral right

Supported

by any arch type selection

Front Imaging PANO frontal area

Left Imaging PANO lateral left

Bitewing

Bitewing Right

Bitewing Left

Bitewing

imaging

Left/Right

Right region

Left region

Supported

by any arch type selection

PaX-i3D Green (PHT-60CFO) User Manual

Special Examination

Mode Details

4 Software Overview

TMJ LAT Open

TMJ LAT Close

TMJ PA Open

TMJ PA Close

Sinus LAT

Takes a side view image of the TMJ with the mouth open.

Takes a side view image of the TMJ with the mouth closed.

Takes a posterior/anterior image of the TMJ with the

optional

mouth open.

Takes a posterior/anterior image of the TMJ with the

optional

mouth closed.

Takes a side view image of the sinus.

optional

Sinus PA

Takes a posterior-anterior image of the sinus.

PaX-i3D Green (PHT-60CFO) User Manual

4 Software Overview

NOTE

Exposure Time (Max. 20.2 s)

Examination Arch Selection Examination Mode

Standard 13.5 10.1 Front 11.1 8.4

Narrow

Right 6.7 5.1 Left 6.7 5.1 Standard 13.5 10.1 Front 11.1 8.4

Normal

Right 6.7 5.1 Left 6.7 5.1 Standard 13.5 10.1 Front 11.1 8.4

Wide

Right 6.7 5.1

PANO Examination

Left 6.7 5.1 Standard 11.5 8.6 Front 9.2 6.9

Child

Right 5.7 4.3 Left 5.7 4.3 Standard 13.5 10.1 Front 11.1 8.4 Right 6.7 5.1

Orthogonal

Left 6.7 5.1 Bitewing 9.6 7.2 Bitewing Right 4.8 3.6 Bitewing Left 4.8 3.6 TMJ LAT Open TMJ LAT Close

Special Examination

TMJ PA Open TMJ PA Close Sinus LAT 6.0 4.5 Sinus PA 10.3 7.7

Scan Time (s)

HD Normal

6.1 4.6

7.0 5.3

: Indicates that the examination supports Magic PAN.

- Maximum exposure time deviation: ± 10 % (IEC 60601-2-7)

PaX-i3D Green (PHT-60CFO) User Manual

4.3.2 CEPH

Depending on the sensor type employed, one of the three kinds of imaging program comes with the equipment for the CEPH mode examination.

4 Software Overview

A. Image Quality

Xmaru2301CF sensor

(scan type)

1210SGA sensor

(one shot type)

PaX-i3D Green (PHT-60CFO) User Manual

4 Software Overview

B. CEPH Examination

Mode Details

Lateral Takes a lateral view image partially

Full Lateral (Scan CEPH)

Takes a lateral view image fully

PA Takes a posterior-anterior image

SMV Takes a SMV(Sub-Mento Vertical) image

Waters View Takes a Waters View image

CARPUS Takes a CARPUS image

C. FOV Selection

The Multi FOV is supported for the equipment with the OS (one shot) CEPH sensor (optional).

[With one shot type sensor]

FOV Details

12 x 10 (inches)

30.48 x 25.40 (cm)

9 x 10 (inches)

22.86 x 25.40 (cm)

8 x 8 (inches)

20.32 x 20.32 (cm)

Full size

Region of the no interest of the rear part of the head is eliminated to minimize the X-ray exposure area.

Child

D. Exposure Time

Sensor

Type

Examination Modes Scan Time (s) - Default

Full Lateral 5.4

Scan

PA / SMV / Waters View / Carpus 4.9

Oneshot

PA / SMV / Waters View / Carpus 0.9

Lateral 4.0

Lateral 0.7

PaX-i3D Green (PHT-60CFO) User Manual

NOTE

4.3.3 CBCT

NOTE

4 Software Overview

Exposure time can be adjusted by resolution of 0.1 s in the

range of 0.5 s to 1.2 s (One shot type only).

Max FOV 160 x 100

Xmaru1524CF MP

A. FOV Size

This selects the FOV (Field Of View) size.

The FOV size is decided by the attached CT sensor

(optional).

B. Vertical Position

This selects the vertical imaging region:

TMJ.

Max FOV 150 x 150

Xmaru1524CF MP

Mandible, Occlusion, Maxillary or

Max FOV 100 x 80 Xmaru1215CF MP

PaX-i3D Green (PHT-60CFO) User Manual

4 Software Overview

C. Horizontal Position

This selects the horizontal imaging region:

Guidance Image FOV (mm) ROI

160 X 100 Mn - Center

150 X 150 Mn - Center

120 X 90 Mn - Center

100 X 80 Mn - Center

Right, Center, or Left.

80 X 80 Mn - Center

80 X 50 Mn - Center

50 X 50

4. Image Quality

Model Mode Scan Time

MaX FOV 100 x 80 High Resolution/Green

MaX FOV 160 x 100 High Resolution/Green

MaX FOV 150 x 150 High Resolution/Green

Mn / Left Central

Incisor

9.0/5.9 s

15.0/9.0 s

PaX-i3D Green (PHT-60CFO) User Manual

E. Voxel Size

NOTE

CAUTION

FOV (mm) Mode Voxel Size (mm)

50 x 50

80 x 50

80 x 80

100 x 80

120 x 90

150 x 150

160 x 100

4 Software Overview

Standard 0.08

Application 0.12

Standard 0.12

Application 0.20

Standard 0.12

Application 0.20

Standard 0.12

Application 0.20

Standard 0.20

Application 0.30

Standard 0.20

Application 0.30

Standard 0.20

Application 0.30

F. Metal Artifact Reduction

This function is used to reduce the articial effect generated by patients with

metallic materials in their dental region and improve image quality. When Metal Artifact Reduction is selected, the time required to reconstruct an image is doubled.

Setting the default mode in the CBCT: The most frequently

used mode under the Image Quality, Voxel Size, Metal

Artifact Reduction can be congured as the default, which

requires the authority to change.

To change the default mode,

1. Ask the engineer in your region for the mode change.

2. Re-run the imaging program after setting up the related

parameters.

The default mode, if any, specified in a specific country

can't be changed for the user's intent.

PaX-i3D Green (PHT-60CFO) User Manual

4 Software Overview

FOV & Examination Positioning

FOV Size (mm) Vertical Position

Mx. O

50 X 50

80 X 50 80 X 80

100 x 80

120 X 90

150 X 150

160 X 100

Occl. X

Mn. O

TMJ X

Mx. O O O

Occl. O O O

Mn. O O O

TMJ O O O

Mx. X O X

Occl. X O X

Mn. X O X

TMJ X X X

Mx. X O X

Occl. X O X

Mn. X O X

TMJ X X X

Mx. X O X

Occl. X O X

Mn. X O X

TMJ X X X

Horizontal Position

Right Center Left

A specic tooth selectable

Image Reconstruction Time

Xmaru1215CF Master Plus

Reconstruction Time (s)

High Resolution Mode

(Scan Time: 9.0 s)

MAR

Skip

0.08 48 102 41 84 482

0.12 24 53 21 41 137

0.12 39 100 33 77 358

0.20 19 47 15 36 77

0.12 63 145 53 118 579

0.20 30 63 24 49 122

0.12 87 206 74 167 922

0.20 32 74 26 56 191

FOV (mm)

50 x 50

80 x 50

80 x 80

100 x 80

Voxel

Size

Green Mode

(Scan Time: 5.9 s)

MAR

Apply

MAR

Skip

MAR

Apply

File Size

(MB)

PaX-i3D Green (PHT-60CFO) User Manual

Xmaru1524CF Master Plus (Max FOV 160 x 100)

NOTE

Reconstruction Time (s)

4 Software Overview

FOV

(mm)

Voxel

Size

High Resolution Mode

(Scan Time: 9.0 s)

MAR Skip

MAR

Apply

Green Mode

(Scan Time: 5.9 s)

MAR

Skip

MAR

Apply

File Size

(MB)

0.08 48 102 41 84 482

50 x 50

0.12 24 53 21 41 137

0.12 39 100 33 77 358

80 x 50

0.20 19 47 15 36 77

0.12 63 145 53 118 579

80 x 80

0.20 30 63 24 49 122

0.20 47 120 40 92 313

120 x 90

0.30 30 74 24 54 92

0.20 91 212 70 165 622

160 x 100

0.30 48 128 35 86 184

The test condition:

- PC system: HP Z440, Windows7 pro 64bit OS: Intel® Xeon® E5-1607v3 4C

3.1GHz 1866 10MB cache CPU, 8GB RAM, NVIDIA Quadro K2.200 4GB VGA Card.

- Object: Skull

- Image reconstruction time varies depending on computer

specications and/or working conditions.

- The Xmaru series stand for the individual sensor.

- MAR: Metal Artifact Reduction

PaX-i3D Green (PHT-60CFO) User Manual

4 Software Overview

NOTE

Xmaru1524CF Master Plus (Max FOV 150 x 150)

Reconstruction Time (s)

FOV

(mm)

Voxel

Size

High Resolution Mode

(Scan Time: 9.0 s)

MAR Skip

MAR

Apply

Green Mode

(Scan Time: 5.9 s)

MAR

Skip

MAR

Apply

File Size

(MB)

0.08 54 114 45 90 482

50 x 50

0.12 19 45 16 35 137

0.12 43 98 35 76 358

80 x 50

0.20 17 44 13 32 77

0.12 68 153 57 120 579

80 x 80

0.20 25 60 19 44 122

0.20 45 107 35 80 313

120 x 90

0.30 27 68 19 46 92

0.20 98 173 84 135 812

150 x 150

0.30 43 105 33 73 239

The test condition:

- PC system: HP Z440, Windows7 pro 64bit OS: Intel® Xeon® E5-1607v3 4C

3.1GHz 1866 10MB cache CPU, 8GB RAM, NVIDIA Quadro K2200 4GB VGA Card.

- Object: Skull

- Image reconstruction time varies depending on computer

specications and/or working conditions.

- The Xmaru series stand for the individual sensor.

- MAR: Metal Artifact Reduction

Getting Started

5.1

5.2

5.2.1 Creating a New Patient Record ............................................65

5.2.2 Retrieving Patient Records ...................................................67

5.3

Getting Started .................................................................... 64

Turning on the PaX-i3D Green ............................................ 64

Running the Image Viewer .................................................. 65

Initiating the Imaging Program ............................................. 69

PaX-i3D Green (PHT-60CFO) User Manual

5 Getting Started

CAUTION

5 Getting Started

5.1

Turning on the PaX-i3D Green

To turn on the system, follow the steps below:

A. Before turning the equipment on, check whether the system is correctly connected and installed (check the connection status between the equipment and the PC).

B. Turn the

ON / OFF

switch underneath the handle frame to the ON position.

OFF (O)

ON (I)

C. Insert the license key for into the USB port on the back of PC. The license key for be attached to view or analyze the 3D images.

Ez3D plus

must

IMPORTANT

CAUTION

RNIN

- If it has not been used for a long time, allow at least an hour

before the rst exposure since turning on the equipment.

- Condensation could form inside the equipment if it is a

different temperature than the surrounding room. Only turn

on the equipment once it has reached room temperature.

- Wait at least 20 seconds after the equipment has been

turned off to turn it back on.

- Allow the equipment to warm up for at least 5 minutes

before acquiring images or preferably more than 30

minutes for image quality.

Do not position the patient in the unit while it is initiating.

The patient could be injured if the equipment malfunctions.

PaX-i3D Green (PHT-60CFO) User Manual

5 Getting Started

NOTE

5.2

Running the Image Viewer

EasyDent / EzDent-i

equipments. The Imaging Program is interfaced with your desktop, double-click main window will be displayed.

is a basic imaging platform for all VATECH’s dental X-ray

EasyDent / EzDent-i

For further details on this subject, refer to the EasyDent /

EzDent-i user manual.

5.2.1 Creating a New Patient Record

To create a new patient record, follow the procedure outline below:

EasyDent

A. Click the window.

Patient

icon on the upper left corner of the EasyDent’s main GUI

EasyDent / EzDent-i.

icon. The

EasyDent / EzDent-i

PaX-i3D Green (PHT-60CFO) User Manual

5 Getting Started

B. The following dialog box will open.

C. Enter the required patient information.

Name

are required elds which must be lled in. All other elds are optional,

Chart Number, First Name

but it is recommended that they be lled in.

D. Click

Add

to save the patient record.

EzDent-i

A. Click the

B. Enter the required patient information. The

First Name, and Last Name

chart number lls in automatically.)

Add Patient

icon from main GUI window.

Chart Number, E-Mail address,

are required elds which must be lled in. (The

, and

Last

C. Click

Add

to save the patient record.

PaX-i3D Green (PHT-60CFO) User Manual

5.2.2 Retrieving Patient Records

EasyDent

You can search through the patient database using a patient’s chart number,

their rst name, or their last name.

5 Getting Started

A. On the

or Last name

Double click

B. Enter mouse on the virtual key board and click the be used to do the same job).

C. Patient information can be displayed on the

Patient List

Patient information pane

of the patient and the virtual keyboard will pop up.

the Chart No., First name, or Last name

, double-click the

Enter

Chart No., First name,

of the patient by clicking the (The physical keyboard can

Patient information pane

and

PaX-i3D Green (PHT-60CFO) User Manual

5 Getting Started

NOTE

EzDent-i

Enter

A. Enter the name or chart number of the patient to be searched on the pane and then click the

button. The information on the patient that ts

the search condition appears.

Double-click the Keyboard icon to display the virtual

keyboard. You may search patient information using the

virtual keyboard.

Double click

B. Double-click the patient information to see more details about the patient as shown below.

PaX-i3D Green (PHT-60CFO) User Manual

5 Getting Started

NOTE

5.3

Initiating the Imaging Program

For a new patient, rst register the patient information.

EasyDent

A. First, click the patient information in the patient list, and click the

icon ( imaging program.

Dental CT

) in the upper left corner of the EasyDent’s main window to open the

B. The following imaging program window opens. The sole purpose of this window is to control equipment settings and acquire images.

PaX-i3D Green (PHT-60CFO) User Manual

5 Getting Started

NOTE

EzDent-i

A. Search and select the patient to be captured.

B. Click

Acquisition

and the imaging mode

(CT, Panorama, or Cephalo).

C. The main screen for the selected mode appears. (See

Software Overview

). From the main screen, you can configure the imaging

parameter settings prior to acquiring an image.

Please proceed to the next chapter.

Refer to chapters 6 - 8 for information regarding image

acquisition.

4.3 Imaging

Acquiring PANO Images

6.1

6.2

6.3

6.3.1 PANO Standard and Bitewing mode ..................................... 82

6.3.2 TMJ Open .............................................................................86

6.3.3 TMJ Close ............................................................................89

6.3.4 Sinus .....................................................................................90

6.4

PANO Imaging Program ...................................................... 72

Setting Exposure Parameters .............................................. 77

Positioning the Patient ......................................................... 81

Initiating X-ray Exposure ..................................................... 93

PaX-i3D Green (PHT-60CFO) User Manual

6 Acquiring PANO Images

This chapter requires the preparatory steps in completed. If you have not completed these steps, please return to and complete the process outlined there before proceeding with this chapter.

6.1

PANO Imaging Program

EXAMINATION ARCH SELECTION

PANO

EXAMINATION

SPECIAL

EXAMINATION

Narrow

Normal

Wide

Child

Orthogonal

Chapter 5

Standard Right Front Left Standard Right Front Left Standard Right Front Left Standard Right Front Left Standard Right Front Left Bitewing Bitewing Right Bitewing Left TMJ LAT Open TMJ LAT Close TMJ PA Open TMJ PA Close Sinus LAT Sinus PA

to have already been

Chapter 5

EXAMINATION

PROGRAM

①

②

③

④

⑤

⑥

⑦

⑧

⑨ ⑩

6 Acquiring PANO Images

①

Narrow_Standard

A panoramic imaging mode for the patients with the V-shaped arch trajectory (typically for some females).

②

Normal_Standard

A panoramic imaging mode for the adult patients with the normal arch trajectories.

PaX-i3D Green (PHT-60CFO) User Manual

③

Wide_Standard

A panoramic imaging mode for the patients with the squareshaped arch trajectory (typically for some males).

6 Acquiring PANO Images

④

Child_Standard

A panoramic imaging mode for the child arch trajectory, in which case the X-ray exposure is 40% less than that in mode.

⑤

Orthogonal_Standard

Normal

A panoramic imaging mode to minimize the overlapped region of the teeth from the X-ray exposure which is beamed perpendicularly between teeth.

PaX-i3D Green (PHT-60CFO) User Manual

6 Acquiring PANO Images

⑥

Orthogonal_Bitewing

A panoramic imaging mode to acquire an image only for the region of interest through the orthogonal trajectory: X-ray exposure than the Standard mode. of an image of the maxillary sinus are not acquired.

Cons

Pros

: less

: TMJ and parts

X-ray ON

⑦

TMJ LAT Open / Close

An imaging mode to acquire a lateral image of the TMJ, in which the X-ray beam is directed on the lateral TMJ region: TMJ (Open and Close).

PaX-i3D Green (PHT-60CFO) User Manual

⑧

TMJ PA Open / Close (Optional)

An imaging mode to acquire a TMJ image, in which the X-ray beam is directed on the frontal TMJ, with the patient's mouth open fully and close (Open and Close).

6 Acquiring PANO Images

⑨

Sinus LAT (Optional)

A special imaging mode to acquire a Sinus image, in which X-ray beam is directed on the lateral region of the maxillary sinus.

⑩

Sinus PA

A special imaging mode to acquire a Sinus image, in which X-ray beam is directed on the frontal region of the maxillary sinus.

PaX-i3D Green (PHT-60CFO) User Manual

6 Acquiring PANO Images

NOTE

6.2

A B

Setting Exposure Parameters

Perform the following procedures to select the capture parameters for the

specic patient and capture mode. For more details, refer to

Imaging Program

4.3.1 PANO.

You can set the imaging parameters on either the touch screen

or the imaging program running on the PC. They are synched

in real time and display the same environmental settings.

Touch Screen

A. Choose an imaging mode under

B. Select the mode under PANO Type:

Mode Details

Normal

Magic PAN

C. Select the image quality for the image.

Mode Details

Normal

Normal image. Image with ultra-high resolution optional

Image with higher resolution than Normal. Takes longer scan time than the Normal.

Normal image

Imaging Mode.

Normal or Magic PAN.

PaX-i3D Green (PHT-60CFO) User Manual

6 Acquiring PANO Images

Click

Activated

D. Select the patient’s arch type under

Orthogonal

: This mode enables overlapping regions of teeth to be minimized when

Arch Selection

. By default,

Normal

is selected.

acquiring images in the ROI. If orthogonal arch is selected, its sub-modes are activated.

E. Select the ROI for panoramic image acquisition under

PANO Examination.

H F G

PaX-i3D Green (PHT-60CFO) User Manual

6 Acquiring PANO Images

NOTE

F. The patient’s gender will be automatically selected according to the patient information registered in EasyDent / EzDent-i. Nevertheless, ensure that this information is correct.

G. Select X-ray intensity.

Depending on the circumference of the patient’s head,

X-ray intensity may be classied as Hard, Normal, or Soft :

Soft ≤ Normal ≤ Hard

Age

Group

Child

Average head

circumference

53±3 cm

Range

(cm)

classication of head

circumference

> 53±3 Hard

53±3 Normal 53±3 < Soft > 56±3 Hard

Adult

56±3 cm

56±3 Normal 56±3 < Soft

H. A default value for the tube voltage (kVp) and current (mA) will be displayed based on the gender and X-ray intensity. If necessary, further adjustments can be made using the arrows to the right of each number.

Adjustable resolution:

- Tube voltage: ± 1 kVp

- Tube current: ± 1 mA

I. Click the

CONFIRM

button for these parameters to take effect.

Please wait for a moment, while the rotating unit moves to

its initial scanning position.

PaX-i3D Green (PHT-60CFO) User Manual

6 Acquiring PANO Images

NOTE

When you click the

READY

■The

CONFIRM

button,

button will begin blinking to show that it has been activated.

■The rotating unit will move to its initial scanning position.

■Three laser beams,

Mid-sagittal plane, Frankfurt plane and Canine

, will be activated to facilitate patient positioning. These beams will disappear after 20 minutes or if the

READY

button is clicked.

Laser beam On / Off buttons:

: Imaging Program

: Control Panel

■The scan time and DAP (Dose Area Product) values will be shown on the main display for the selected exposure.

J. Guide the patient to the equipment. Position the patient within the equipment. For further information about patient positioning, refer to section

6.3

Positioning the Patient.

PaX-i3D Green (PHT-60CFO) User Manual

6 Acquiring PANO Images

NOTE

CAUTION

6.3

Positioning the Patient

Before Positioning the Patient

■Ask the patient to remove all jewelry and metallic objects, such as earrings, hair pins, spectacles, dentures, and orthodontic appliances. These items may cause shadow images which could obscure diagnosis.

■It is strongly recommended that the patient wear a lead apron for protection against any possible scatter radiation.

■Adjust the column height to the patient’s height using the up/down button or switch.

Column Up Button

RNIN

Column up/down

Column Down Button

- In general, imaging is performed with the patient in

an upright position. However, a stool may be used for

imaging patients with special circumstances. If a stool is

used, ensure that the beams and movement of unit are

not obstructed by the stool.

- Correct positioning is an important factor in capturing

the best possible image. Proper positioning will reduce

the appearance of the cervical spine in the image.

If you don't adjust the laser beams for patient alignment

(vertical, horizontal, and canine beams), part of the image

may be zoomed in or out or a ghost may appear in the image.

Be careful not to project the laser beams directly into the

patient’s eyes as this could severely damage the patient’s

vision.

switch (optional)

PaX-i3D Green (PHT-60CFO) User Manual

6 Acquiring PANO Images

CAUTION

6.3.1 PANO Standard and Bitewing mode

Positioning the patient

A. Insert the bite block into the Chinrest

*To link to the video manual: scan the QR code with smart phone or pad.

Hygiene cover

Bite block

Lock /

Release knob

for bite block

receptacle on the equipment.

B. Place a hygienic cover over the bite block.

The hygiene cover for the bite block and chin support is

intended for single use only. Always replace the hygiene

RNIN

cover for each new patient.

Disinfect the Chinrest, Chin support and bite block using

an alcohol-based cleaning solution and wipe away all

residue with dry cloth.

C. Open the temple supports by clicking the temple support adjustment button.

D. Guide the patient —facing the Chinrest — to the equipment.

E. Adjust the height of the column using the column up/down button or switch (optional) until the patient’s chin rests comfortably on the Chinrest.

PaX-i3D Green (PHT-60CFO) User Manual

6 Acquiring PANO Images

CAUTION

F. Ask the patient to:

■

Stand upright

■

Firmly grip the handle

■

Lean his/her chest lightly against the

equipment

■

Position his/her feet slightly forward and

open stance

G. Ensure that the patient’s shoulders remain level and that his/her neck is relaxed. The cervical spine should be straight and upright.

H. Have the patient bite the bite block along its grooves using his/her upper and lower incisors

I. Secure the bite block firmly by turning the locking knob to the right.

J. Have the patient

■

Close his/her lips around the bite block

■

Keep his/her tongue pressed against

his/her palate

■

Close his/her eyes

Ask the patient to remain still until scanning is completed.

To acquire the best image possible, ask the patient not to:

- Breathe or swallow saliva during image acquisition

- Move during image acquisition

PaX-i3D Green (PHT-60CFO) User Manual

6 Acquiring PANO Images

Positioning the edentulous patient

A. Remove the bite block from the Chinrest receptacle on the equipment.

B. Open the temple supports by clicking the temple support adjustment button.

C. Guide the patient —facing the Chinrest — to the equipment.

D. Adjust the height of the column using the column up/down button or switch (optional) until the patient’s chin rests comfortably on the Chinrest.

E. Ask the patient to:

■

Stand upright

■

Firmly grip the handle

■

Lean his/her chest lightly against the

equipment

■

Position his/her feet slightly forward and

open stance

F. Have the patient

■

Close his/her lips around the bite block

■

Keep his/her tongue pressed against

his/her palate

■

Close his/her eyes

Ask the patient to remain still until scanning is completed.

PaX-i3D Green (PHT-60CFO) User Manual

Mid-sagittal plane

laser beam

6 Acquiring PANO Images

Aligning the Laser Beams

Be careful not to project the laser beams directly into the

RNIN

Mid-sagittal plane laser beam

on the center of the patient’s face to prevent magnications of the left or right

side in the nal image.

Frankfurt plane laser beam

B. Frankfurt plane is aligned with the Frankfurt plane laser beam.

* The Frankfurt plane is the plane which joins the infra-orbital point to the

superior border of the external auditory meatus.

patient’s eyes as this could severely damage the patient’s

vision.

: Position the Mid-sagittal plane laser beam

: Position the patient’s head so that the

Frankfurt plane laser

beam DOWN button

Frankfurt plane laser

beam

Canine laser beam

Frankfurt plane laser beam UP button

Canine laser beam

: Have the patient smile to properly position the canine

laser beam on the center of the patient’s canine tooth.

Canine laser beam lever

PaX-i3D Green (PHT-60CFO) User Manual

6 Acquiring PANO Images

CAUTION

Completing Patient Positioning

A. After conrming patient positioning and beam alignment, adjust the temple

supports to t snugly on both sides of the patient’s head by clicking the temple

support adjustment button.

B. Click the

READY

X-ray will be emitted at this point.

C. Proceed to section

6.3.2 TMJ Open

There are two TMJ sub modes: image first and then scan a TMJ Close image. To prepare and position the patient, follow the process outlined below.

IMPORTANT

Positioning the patient

button after the patient has been properly positioned. No

6.4 Initiating X-ray Exposure.

TMJ Open and TMJ Close

. Scan a TMJ Open

- Correct positioning is an important factor for image

capturing. Proper positioning will reduce the appearance

of the cervical spine in the reconstructed image.

- For a child with a large head circumference, Man/Woman

mode may be selected instead of Child.

A. Insert the Chin support into the Chinrest receptacle on the equipment.

Chin support

Lock / release knob

for bite block

Disinfect the Chinrest using an

alcohol-based cleaning solution and

wipe away all residues with dry cloth

before proceeding any further.

B. Open the

Temple Supports

by clicking

the temple support adjustment button.

PaX-i3D Green (PHT-60CFO) User Manual

6 Acquiring PANO Images

CAUTION

C. Guide the patient —facing the Chinrest — to the equipment.

D. Adjust the height of the equipment using the column up/down button or switch (optional) until the patient’s chin is resting on the Chinrest. Ensure that the chin is in contact with the Chinrest.

E. Ask the patient to:

■Stand upright

■Firmly grip the handle

■Lean his/her chest lightly against the equipment

■Position his/her feet slightly forward.

F. Adjust the chin support so that it rests snugly on the chin and secure the chin

support rmly by turning the locking knob to the right.

G. Have the patient place his / her acanthion point on the chin support and tilt his / her head forward by 5 degree.

H. For

TMJ Open

imaging, have the

patient:

■

Open his/her mouth as wide as possible

■

Keep his/her tongue positioned towards

the palate

■

Close his/her eyes.

Be careful the chin not to touch any part of the equipment.

I. Ensure that the patient’s shoulders remain level and that his/her neck is relaxed. The cervical spine should be straight and upright. Ask the patient to remain still until scanning is complete.

To acquire the best image possible, ask the patient not to:

- Breathe or swallow saliva during image acquisition

- Move during image acquisition

PaX-i3D Green (PHT-60CFO) User Manual

6 Acquiring PANO Images

Aligning the Laser Beams

at the center of the patient’s face to prevent magnications of the left or right

side in the nal image.

B. Frankfurt plane is aligned with the Frankfurt plane laser beam.

* The Frankfurt plane is a plane which joins the lower eye lid to the

superior border of the external auditory meatus.

Be careful not to project the laser beams directly into the

patient’s eyes as this could severely damage the patient’s

RNIN

vision.

Mid-sagittal plane laser beam

Frankfurt plane laser beam

: Position the Mid-sagittal plane laser beam

: Position the patient’s head so that the

Mid-sagittal plane

laser beam

Frankfurt plane laser

beam

Frankfurt plane laser

beam DOWN button

Frankfurt plane laser beam UP button

PaX-i3D Green (PHT-60CFO) User Manual

6 Acquiring PANO Images

NOTE

Completing Patient Positioning

A. After conrming patient positioning and beam alignment, adjust the temple

supports to t snugly on both sides of the patient’s head by clicking the temple

support adjustment button.

B. Click the X-ray will be emitted at this point.

C. Proceed to section

READY

6.3.3 TMJ Close

A. Shortly after TMJ Open imaging has been completed, you will receive the following message: “Do you want to take the TMJ Close image continuously?” Press the OK button to capture a TMJ Close image.

B. Adjust the chin support so that it rests snugly on the chin and secure the chin

support rmly by turning the locking knob to the right.

C. Have the patient place his / her acanthion point on the chin support and tilt his / her head forward by 5 degree.

button after the patient has been properly positioned. No

6.4 Initiating X-ray Exposure.

Scan a TMJ Open image first and then scan a TMJ Close

image. Guide the patient to close his/her lips for TMJ Close

imaging while maintaining the same position used for TMJ

Open imaging.

Acanthion Point

E. The laser beams should be aligned in the same way as for

F. Proceed to section

D. For TMJ Close imaging, Have the patient:

■

Close his/her mouth

■

Keep his/her tongue pressed against

his/her palate

■

Close his/her eyes

The top of the chin support must remain in contact with the patient’s acanthion point during exposure. Ask the patient to remain still until scanning is complete.

6.4 Initiating X-ray Exposure.

TMJ Open

imaging.

PaX-i3D Green (PHT-60CFO) User Manual

6 Acquiring PANO Images

CAUTION

6.3.4 Sinus

Positioning the Patient

Chin support

Lock / release knob

for bite block

A. Insert the Chin support into the Chinrest receptacle on the equipment.

Disinfect the Chinrest using an

alcohol-based cleaning solution and

wipe away all residues with a dry

cloth before proceeding any further.

B. Open the

temple support adjustment button.

the

C. Guide the patient —facing the Chinrest — to the equipment. Have the patient stand upright in the center of the equipment.

D. Adjust the height of the equipment using the column up/down button or switch (optional) until the patient’s chin rests comfortably on the Chinrest.

E. Ask the patient to:

■Stand upright

■Firmly grip the handle

■Lean his/her chest lightly against the equipment

■Position his/her feet slightly forward.

F. Adjust the chin support so that it rests upon snugly on the chin and secure

the chin support rmly by turning the locking knob to the right.

temple supports

by clicking

PaX-i3D Green (PHT-60CFO) User Manual

6 Acquiring PANO Images

CAUTION

G. Ensure that the patient’s shoulders remain level and that his/her neck is relaxed. The cervical spine should be straight and upright.

H. Have the patient:

■

Tilt his/her head back by 10-15°

■

Close his/her mouth

■

Keep his/her tongue pressed against

his/her palate

■

Close his/her eyes

Ask the patient to remain still until scanning is completed.

To acquire the best image possible, ask the patient not to:

- Breathe or swallow saliva during image acquisition

- Move during image acquisition

PaX-i3D Green (PHT-60CFO) User Manual

6 Acquiring PANO Images

Mid-sagittal plane

laser beam

Frankfurt plane laser

beam

Aligning the Laser Beams

Be careful not to project the laser beams directly into the

patient’s eyes as this could severely damage the patient’s

RNIN

vision.

Mid-sagittal plane laser beam

A. Position the Mid-sagittal plane laser beam at the center of the patient’s face to prevent magnifications of the left or right

side in the nal image.

Frankfurt plane laser beam

: The Frankfurt plane laser beam should go from the top of the ear to the tip of the nose when the patient’s head is tilted back 10 – 15 °.

Frankfurt plane laser

beam DOWN button

Frankfurt plane laser beam UP button

Completing Patient Positioning

A. After conrming patient positioning and beam alignment, adjust the temple

supports to t snugly on both sides of the patient’s head by clicking the temple

support adjustment button.

B. Click the X-ray will be emitted at this point.

READY

button after the patient has been properly positioned. No

C. Proceed to section

6.4 Initiating X-ray Exposure.

PaX-i3D Green (PHT-60CFO) User Manual

6 Acquiring PANO Images

CAUTION

6.4

Initiating X-ray Exposure

The X-ray exposure method and its sequences are the same for PANO Standard and PANO Special modes. The example used in this manual is the PANO Standard mode.

To emit the X-ray, perform the following procedure.

RNIN

A. Leave the X-ray room and close the door. The operator must visually monitor the patient at all times during image acquisition.

- Do not operate the PC during exposure. Failure to

comply with this instruction may cause the system to

malfunction.

- The operator shall observe the X-ray safety regulations

applicable to their area at all times during the operation

of this equipment.

If an emergency occurs during image acquisition, release

the exposure switch to cease X-ray emission.

Exposure indicator

light turns orange

Orange: Exposure

X-ray ON

B. Press and hold down the exposure switch until image acquisition is complete.

During X-ray irradiation, ensure that

The LED lamp on top of the equipment

turns orange to indicate X-ray emission.

The warning lamp outside the X-ray

room turns on.

The sound (beep or music: optional)

goes off.

The radiation symbol on the upper left

corner of GUI turns yellow to indicate XRays are being emitted.

C. The image appears in real time on the imaging GUI.

PaX-i3D Green (PHT-60CFO) User Manual

6 Acquiring PANO Images

NOTE

Ex) Magic PAN

Two images are obtained, with each in the respectively. You would click either button to compare them with each other.

The buttons:

D. Click the

Normal

Save

button to save the image.

Magic PAN (Optional): A high quality image reconstructed

from the optimal auto-focused images in each segment

throughout the panoramic region to correct the improper

patient positioning and rotating unit’s trajectory.

Magic PAN

and

Normal

After Image Acquisition

After acquiring the image, complete the following steps:

■Loosen the temple supports to release the patient.

■Remove the hygiene cover from the bite block (for only).

standard PANO

mode

■Press

Return

to bring the Rotating Unit back to its initial position.

Acquiring CEPH Images

7.1

7.2

7.2.1 Lateral / Full Lateral ............................................................101

7.2.2 Frontal (PA) ......................................................................... 102

7.2.3 SMV ....................................................................................104

7.2.4 Waters View ........................................................................105

7.2.5 CARPUS .............................................................................106

7.3

Setting the Exposure Parameters ........................................ 96

Positioning the Patient ....................................................... 100

Initiating X-ray Exposure ................................................... 107

PaX-i3D Green (PHT-60CFO) User Manual

7 Acquiring CEPH Images

NOTE

7 Acquiring CEPH Images

This chapter requires all of the preparatory steps outlined in already been completed. If these steps have not been completed, return to

Chapter 5

to the processes outlined in this chapter.

7.1

Setting the Exposure Parameters

Perform the following procedures to set the exposure parameters for the

specic patient and capture mode (for more details about CEPH imaging, refer

to section

Depending on the sensor type employed, one of three kinds of imaging S/W comes with the equipment for the CEPH mode examination.

Chapter 5

and complete the setup processes outlined there before proceeding

You can set the imaging parameters on either the touch

screen or the imaging program running on the PC. They are

synched in real time and display the same environmental

settings.

4.3.2 CEPH

to have

Imaging Program

OP (1210 SGA sensor:

Oneshot Type)

Touch Screen

PaX-i3D Green (PHT-60CFO) User Manual

7 Acquiring CEPH Images

NOTE

The Multi FOV is supported for the equipment with the one

shot type sensor.

A. Click the

B. Select the scanning mode under

CEPH

button.

CEPH Examination. – Lateral, Full

Lateral, PA, SMV, Waters View, Carpus.

C. Select the FOV size for the specic imaging mode.

[With one shot type sensor]

FOV Details

12 x 10 (inches)

30.48x25.40 (cm)

Full size

Region of the no interest of the rear part of the

9 x 10 (inches)

22.86x25.40 (cm)

head is eliminated to minimize the X-ray exposure area.

8 x 8 (inches)

20.32x20.32 (cm)

EXPOSURE TIME

Child

Exposure time can be adjusted by resolution of 0.1 s in the

range of 0.5 s to 1.2 s.

For information regarding to the exposure time of each

CEPH imaging mode, refer to the section “4.3.2 CEPH”.

①

②

SC (Xmaru2301CF Sensor

Scan Type)

PaX-i3D Green (PHT-60CFO) User Manual

7 Acquiring CEPH Images

NOTE

①

Image Quality

Fast

: Scans faster with lower X-Ray dose than the

②

CEPH Examination

Full Lateral (Optional)

: Scan a lateral view image fully.

G E F

Normal

mode.

E. The gender and age of the patient is automatically selected according to EasyDent / EzDent-i’s patient information. Nevertheless, ensure that this information is correct.

Age Group VATECH’s Standard

Child

≤

Man

Adult

≥

Woman

A Child is defined as a person who is younger than 12

years old. If Child is selected, the image size and exposure

dose are automatically reduced.

PaX-i3D Green (PHT-60CFO) User Manual

7 Acquiring CEPH Images

NOTE

F. Select

X-ray intensity.

Depending on the circumference of the patient’s head,

X-ray intensity may be classied as Hard, Normal, or Soft :

Soft ≤ Normal ≤ Hard

Age

Group

Child

Average head

circumference

53±3 cm

Range

(cm)

classication of head

circumference

> 53±3 Hard

53±3 Normal 53±3 < Soft > 56±3 Hard

Adult

56±3 cm

56±3 Normal 56±3 < Soft

G. Default values for the tube voltage (kVp) and current (mA) will be displayed based on the patient’s gender and X-ray intensity. If necessary, you may manually adjust these values using the arrows to the right of each value.

H. Click

CONFIRM

to accept the parameters.

When you click the

READY

■The

CONFIRM

button:

button will begin blinking to show that it is activate.

■The scan time and estimated DAP (Dose Area Product) value are shown on the main display for the intended exposure.

I. Guide the patient to the equipment. Refer to section

7.2 Positioning the

Patient.

PaX-i3D Green (PHT-60CFO) User Manual

7 Acquiring CEPH Images

NOTE

CAUTION

NOTE

7.2

Positioning the Patient

Follow the procedure below to prepare and position the patient for CEPH imaging.

Before Positioning the Patient

■It is strongly recommended that the patient wear a lead apron for protection against any possible scatter radiation.

■Adjust the column height to the patient’s height using the up/down button or switch (optional).

Column Up Button

100

RNIN

Column up/down

Column Down Button

Correct positioning is an important factor in capturing the

best possible image.

Ensure that the nasal positioner left unfolded, before

adjusting the ear rods in the proper direction.

Ensure that the patient is clear of all moving parts while

adjusting the height of the equipment.

Although the illustrations and explanations on patient’s

posture and device usage are based on the OS / OP models

(one shot-type sensor), those for the SC (scan type) model

should be the same.

switch (optional)

Vatech PaX-i3D, PaX-i3D Green, PHT-60CFO User Manual

Specifications and Main Features

Frequently Asked Questions

User Manual