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CS 8200 3D

User Guide
Notice
Congratulations on your purchase of the Panoramic and 3D Modality for the CS 8200 3D. Thank you for your
confidence in our products and we will do all in our power to ensure your complete satisfaction. The Panoramic and
3D Modality User guide for the CS 8200 3D provides information on complete or segmented tomographic digital
panoramic X-ray image and three-dimensional digital X-ray image features. We recommend that you thoroughly
familiarize yourself with this Guide in order to make the most effective use of your system.

Important: We recommend that you consult the “Safety, Regulatory


and Technical Specifications User Guide” before using the CS 8200
3D.

CS 8200 3D can be upgraded to the Cephalometric Modality, when the Scan Ceph module is provided as an
upgrade kit.

For the Cephalometric Modality, see the Cephalometric Modality User Guide (SMA82).

Warning: Do not use cone beam imaging for routine or screening


examinations. Consider using other diagnostic tools. You must justify that
the imaging method that you use to examine each patient demonstrates
that the benefit outweighs the risks.

The information contained in this guide may be subject to modification without notice, justification or notification to the
persons concerned.

No part of this guide may be reproduced without the express permission of Carestream Dental LLC.
The US Federal law restricts this device to sale by or on the order of a physician.
This document was originally written in English.
Manual Name: Panoramic and 3D Modality User guide for CS 8200 3D
Part Number: SMA65
Revision Number: 03
Print Date: 2023-01

The CS 8200 3D complies with the Medical Device Regulation (EU) 2017/745 and UK Medical Devices Regulations
2002 (SI 618) as subsequently amended by the EU Exit Regulations of 2019 (SI 791) and 2020 (SI 1478).
Contents

Chapter 1 Conventions in this Guide. . . . . . . . . . . . . . . . . . . . . . 1


Conventions in This
Guide

Chapter 2 Mobile Components. . . . . . . . . . . . . . . . . . . . . . . . . 4


CS 8200 3D General Functional Components . . . . . . . . . . . . . . . . . . 6
Overview Head and Chin Rest. . . . . . . . . . . . . . . . . . . . . . . . . 7
Positioning Accessories . . . . . . . . . . . . . . . . . . . . 8
Positioning Panel . . . . . . . . . . . . . . . . . . . . . . . . . . 10
X-ray Remote Control Overview . . . . . . . . . . . . . . . . . . 11

Chapter 3 Computer System Requirements . . . . . . . . . . . . . . . . . . 13


Imaging Software General Software Overview. . . . . . . . . . . . . . . . . . . . . 13
Overview CS Imaging Software . . . . . . . . . . . . . . . . . . . . . 13
Acquisition Interface . . . . . . . . . . . . . . . . . . . . . . 13
CS Acquisition Software . . . . . . . . . . . . . . . . . . . 13
Acquisition Interface. . . . . . . . . . . . . . . . . . . . . . . . . 14
Panoramic Acquisition Interface Overview . . . . . . . . . . 14
3D Acquisition Interface Overview . . . . . . . . . . . . . . 16

Chapter 4 Switching on the Unit . . . . . . . . . . . . . . . . . . . . . . . . 19


Getting Started Increasing the operating life of the X-ray tube . . . . . . . . 19
Firewall or Network Settings . . . . . . . . . . . . . . . . . . . . 20
Accessing the Acquisition Interface . . . . . . . . . . . . . . . . 21
Displaying the User Preferences . . . . . . . . . . . . . . . . . . 21

Chapter 5 Device Specific Features and Instructions . . . . . . . . . . . . . 24


Pediatric Use: Patient Size Selection . . . . . . . . . . . . . . . . . . . . . 24
Summary of Safety Imaging Mode Selection . . . . . . . . . . . . . . . . . . . . 24
Instructions Field of View (FoV) Selection . . . . . . . . . . . . . . . . . 24
X-ray Dose Information. . . . . . . . . . . . . . . . . . . . . 25
Additional Features to Simplify X-ray Imaging of Children
and Adolescents . . . . . . . . . . . . . . . . . . . . . . . . 25
References for pediatric dose optimization. . . . . . . . . . . . . 25
Quality Control Testing . . . . . . . . . . . . . . . . . . . . . . . 25

Chapter 6 Acquiring a Panoramic, TMJ x2, TMJ x4, or Bitewing for the
Acquiring Adult and Pediatric Patient . . . . . . . . . . . . . . . . . . . . . 27
Panoramic Images Setting the Acquisition Parameters . . . . . . . . . . . . . . 27
Preparing and Positioning the Adult and Pediatric Patient . . 30

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed03 iii
Launching the X-ray. . . . . . . . . . . . . . . . . . . . . . 32
X-Ray Dose Emission Information . . . . . . . . . . . . . . . . . 33
Acquiring Sinus Images for the Adult and Pediatric Patient . . . 34
Setting the Acquisition Parameters . . . . . . . . . . . . . 34
Preparing and Positioning the Adult and Pediatric Patient . 35
Launching the X-ray. . . . . . . . . . . . . . . . . . . . . . 36
X-Ray Dose Emission Information . . . . . . . . . . . . . . . . . 37

Chapter 7 Acquiring 3D Teeth Images for the Adult and Pediatric Patient . 39
Acquiring 3D Setting the Acquisition Parameters . . . . . . . . . . . . . 39
Images Preparing and Positioning the Adult and Pediatric Patient . 41
Launching the X-ray. . . . . . . . . . . . . . . . . . . . . . 45
X-Ray Dose Emission Information . . . . . . . . . . . . . . . . . 46
Acquiring a 3D Image of the Full, Upper and Lower Jaw
for the Adult and Pediatric Patient . . . . . . . . . . . . . . . . . 47
Setting the Acquisition Parameters . . . . . . . . . . . . . 47
Preparing and Positioning the Adult and Pediatric Patient . 49
Launching the X-ray. . . . . . . . . . . . . . . . . . . . . . 51
X-Ray Dose Emission Information . . . . . . . . . . . . . . . . . 52

Chapter 8 General Overview . . . . . . . . . . . . . . . . . . . . . . . . . 53


Acquiring 3D Object Acquiring Images of 3D Dental Objects. . . . . . . . . . . . . . 54
Images Acquiring Images of Plaster Objects . . . . . . . . . . . . . . . 54
Preparing the Unit and Setting the Acquisition Options. . . 54
Launching the Plaster Acquisition . . . . . . . . . . . . . . 55
Launching the Plaster Acquisition with the Bite Index
to get the Occlusion . . . . . . . . . . . . . . . . . . . . . 56
Acquiring Images of Impression Objects . . . . . . . . . . . . . 57
Preparing the Unit and Setting the Acquisition Options. . . 57
Launching the Impression Acquisition . . . . . . . . . . . . 58
Launching the Bite Index Scan to Register the Occlusion . 59
Acquiring Images of Triple Tray Impression Objects . . . . . . . 60
Preparing the Unit and Setting the Acquisition Options. . . 60
Launching the Triple Tray Impression Acquisition . . . . . . 60
Acquiring Images of Appliance Objects . . . . . . . . . . . . . . 61
Preparing the Unit and Setting the Acquisition Options. . . 61
Launching the Appliance Acquisition . . . . . . . . . . . . 63

Chapter 9 Maintenance actions . . . . . . . . . . . . . . . . . . . . . . . . 65


Maintenance Monthly maintenance . . . . . . . . . . . . . . . . . . . . . 65
Annual maintenance . . . . . . . . . . . . . . . . . . . . . 65
Controlling the Image Quality . . . . . . . . . . . . . . . . . . . 65

Chapter 10 Quick Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . 69


Troubleshooting

iv
Chapter 11 Manufacturer’s Address . . . . . . . . . . . . . . . . . . . . . . 71
Contact Information Factory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Authorized Representatives . . . . . . . . . . . . . . . . . . . . . 71
Authorized Representative in the European Union . . . . 71
Responsible Person in the United Kingdom . . . . . . . 71
Authorized Representative in Brazil. . . . . . . . . . . . 71
List of Importers for European Union according to
MDR 2017/745 . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
List of Importers for Switzerland . . . . . . . . . . . . . . . . . . 72

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed03 v


vi
1 Conventions in This Guide

Conventions in this Guide


The following special messages emphasize information or indicate potential risk to personnel or
equipment:

WARNING: Warns you to avoid injury to yourself or others by following


the safety instructions precisely.

CAUTION: Alerts you to a condition that might cause serious damage.

Important: Alerts you to a condition that might cause problems.

Note: Emphasizes important information.

Tip: Provides extra information and hints.

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed03 1


2 Chapter 1 Conventions in This Guide
2 CS 8200 3D Overview
The following chart illustrates the different product configurations of the CS 8200 3D:

CS 8200 3D s Scan Ceph for CS 8200 3D Family

2D

3D

4x4 - 5x5 - 5x8

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed03 3


CS 8200 3D s Scan Ceph for CS 8200 3D Family

8x9 - 8x5

10x10 - 10x5 - 12x10 - 12x5

Available Upgradable

WARNING: X-rays can be harmful and dangerous if not used properly.


The instructions and warnings contained in this guide must be followed
carefully.

Mobile Components
Figure 1 illustrates the:

 Up and down movement of the unit

 Rotation and translation movement of the rotative arm

Important: The patient can enter by either the left side or the
right side of the unit.

4 Chapter 2 CS 8200 3D Overview


Figure 1 Unit Mobile Components

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed03 5


General Functional Components
The following figures illustrate the general functional components of the unit.

Figure 2 Unit Functional Components

1
9

8 2

4
7 10
6
5

11

1 ON/OFF button 7 Temple support


2 Emergency stop knob 8 X-ray source assembly
3 Unit rotative arm 9 Unit head
4 Digital sensor 10 X-ray remote control
5 Unit column 11 Computer hosting the imaging and the acquisition
software
6 Head and chin rest

6 Chapter 2 CS 8200 3D Overview


Head and Chin Rest
The following figure illustrates the functional components of the head and chin rest.

Figure 3 Head and Chin Rest Functional Components

1 Positioning Panel 4 Bite block support


2 Temple support adjustment knob 5 Chin rest
3 Temple support 6 Hand grips

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed03 7


Positioning Accessories
The following accessories are used when positioning a patient using the unit.

Table 1 Positioning Accessories

Accessory Description

Panoramic chin rest

Sinus chin rest

TMJ nose rest

Standard bite block (x5)

Frankfort guide bite block for panoramic (x3)

Bite block for edentulous patients (x2)

Single use sheaths for bite block (500 pcs box)

Single use sheaths for 3D bite block and


Frankfort guide bite block
(100 pcs box)

8 Chapter 2 CS 8200 3D Overview


Table 1 Positioning Accessories

Accessory Description

3D bite block support

(1) 3D bite block (x4)


for use to acquire 4x4, 5x5, 5x8, 8x9, 8x5,
10x10, 10x5 Field of View (FoV)

(2) 3D bite block


for use to acquire 12x10 and 12x5 FoV (x2)

(4) 3D child bite block (x2)

(2) 3rd Molar offset 3D bite block (x2)


(for use with 5x5, 4x4, 5x8 Ml and Mr FoV only)

Temple support cone


(for use with 3rd Molar offset 3D bite block only)

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed03 9


Positioning Panel
The positioning panel is a console on the head and chin rest that enables you to correctly
position and align a patient before you acquire an image.

Figure 4 Unit Positioning Panel

1 2 3 1

1 Height Adjustment buttons:


 Adjusts the height of the unit to the height of the patient.

 When the unit is not in use, places the rotative arm in a parallel position to the unit head,
leaving more free space around the unit.
To do so, press and hold both buttons until the Ready Indicator LED switches off.
When you release both buttons, the Ready Indicator LED will flash before the
rotative arm turns to the parallel position.
2 Ready Indicator LED: Green indicates that the unit is ready for acquisition.
3 Temple support adjustment knob: Opens and closes the temple supports when you turn
the knob.

10 Chapter 2 CS 8200 3D Overview


X-ray Remote Control Overview

The X-ray remote control enables you to launch a radiological image acquisition via the
exposure button from outside the X-ray room. You must press and hold the exposure button
until the end of acquisition. Premature release of the exposure button interrupts the
acquisition.

Figure 5 X-ray Remote Control

1 Exposure button: launches image acquisition.

WARNING: X-rays can be harmful and dangerous if not used properly.


The instructions and warnings contained in this guide must be followed
carefully.

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed03 11


12 Chapter 2 CS 8200 3D Overview
3 Imaging Software Overview

Computer System Requirements


For the minimum computer system requirements and configuration for the Imaging Software,
see the CS 8200 3D Safety, Regulatory and Technical Specifications User Guide.

WARNING: It is MANDATORY to check that the computer system


configuration is compatible with the computer system requirements
for the CS 8200 3D software. If necessary you MUST update your
computer system configuration.
The CS 8200 3D MUST be connected to the computer via a
point-to-point Ethernet link and not via a LAN.

General Software Overview


The CS 8200 3D operates with the following software:
 In the Dental environment:
 CS Imaging Software (version 8 minimum)
 Acquisition interface

 In Digital Imaging and Communication in Medicine (DICOM) environment:


 CS Acquisition software
 Acquisition interface

CS Imaging Software
The CS Imaging software is a user-friendly working interface designed and developed
specifically to support image diagnosis.

Acquisition Interface
The Acquisition interface is a user-friendly interface designed and developed specifically for
the CS 8200 3D.

The Acquisition interface has the following features:

 The Panoramic Acquisition interface.

 The 3D Acquisition interface.

CS Acquisition Software
The CS Acquisition software is recommended for the DICOM environment instead of the CS Imaging
software. For more information, see the CS Acquisition User Guide.

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed03 13


Acquisition Interface
Panoramic Acquisition Interface Overview
The Panoramic Acquisition interface provides you with panoramic imaging acquisition
functions.
Figure 6 Panoramic Acquisition Interface

Important: R indicates that it corresponds to the right side of the patient


who is facing the operator.

1 Program pane and Preview screen: Displays the choice of programs and enables you
to choose different radiological exams.
2 Selected parameter display: Displays the current acquisition parameter settings:
 2a: Patient type: Child, Adult (small, medium, large).
 2b: Dental arch morphology: Normal, square, or sharp shaped.
 2c: Imaging mode: Imaging mode that you can select before doing an exam
(standard or low dose).
If a patient has previously been examined, the unit will detect it and either one of the
icons in 2a and 2b will appear in orange.

Important: See the CS 8200 3D Safety, Regulatory and Technical Specifications User
Guide (SMA67) for information on radiation protection and recommendations when you
select a patient type, especially the pediatric patient.

3 Exits the acquisition interface

14 Chapter 3 Imaging Software Overview


4 Exposure parameter panel: Enables you to choose and save exposure parameters for
radiological image acquisitions.

Default acquisition presets: Enables you to select and set default parameters for
radiological image acquisitions.

5 Parallel position button: Leaves more free space around the unit when it is not in use
by placing the rotative arm in a parallel position to the unit head.
6 Reset button: Resets the unit to the patient-entry position to enable you to position a
patient in the unit.
7 Demo: Enables you to demonstrate the acquisition procedures to a patient without the
X-ray.
8 Patient Height Data: If a patient has previously been examined, the unit will detect it
and two of these icons will appear in orange. They will disappear when you use the
positioning panel on the unit to adjust the height of the unit (up or down) to the
previously recorded height of the patient.
9 Pop-up of accessory and patient head position: Will appear on the interface when you
click to choose a radiological exam, to indicate which positioning accessory to use and
how to position the patient head.

10 Ready indicator:
 Black indicates the unit is not ready to start acquisition.
 Orange indicates the unit preparing for acquisition.
 Green indicates the unit is ready to start acquisition.
11 Warning: Indicates that you must consult the accompanying document.
12 Ionizing radiation:
 Warns you about radiation dangers.
 Blue indicates the X-ray is enabled.
 Grey indicates the X-ray is not enabled.
13 Menu: Provides access to the following sub-menus: General Settings, Reset to factory,
About, Help. You can select the settings that you want as default settings for the
acquisition interface. See “Displaying the User Preferences” .

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed03 15


3D Acquisition Interface Overview
The 3D Acquisition interface provides you with 3D imaging acquisition functions.

Figure 7 3D Acquisition Interface

1 Program pane and Preview screen: Displays the choice of programs and enables you to
choose different radiological exams according to the unit edition that you have.
2 Patient type: Child, Adult (small, medium, large). If a patient has previously been examined,
the unit will detect it and either one of the icons will appear in orange.

Important: See the CS 8200 3D Safety, Regulatory and Technical Specifications User
Guide (SMA67) for information on radiation protection and recommendations when you
select a patient type, especially the pediatric patient.

3 Exits the acquisition interface

16 Chapter 3 Imaging Software Overview


4 Exposure parameter panel: Enables you to choose and save exposure parameters for the
radiological image acquisition.

Default acquisition presets: Enables you to select and set imaging modes and FoVs as
default settings.

5 Scout view 2D:


 Displays the sagittal slice view of the acquired image.
 Saves the acquisition options that you select.
6 CS Metal Artifact Reduction (CS MAR) Filter (optional): Filter to avoid image distortions
caused by metal from objects such as prosthesis, screws or dental fillings. If a patient has
previously been examined, the unit will detect it and the icon will appear in orange.

Note: It is recommended that you compare MAR-processed images with


the original, unprocessed images.

7 Advanced Noise Reduction (ANR) Filter: Advanced algorithm that reduces noise in the
image and preserves image details. If a patient has previously been examined, the unit will
detect it and the icon will appear in orange.
8 Imaging mode: Imaging mode that you can select before doing an exam (low dose, fast,
standard, or High Resolution for 3D).
9 Parallel position button: Leaves more free space around the unit when it is not in use by
placing the rotative arm in a parallel position to the unit head.
10 Reset button: Resets the unit to the patient-entry position to enable you to position a patient
in the unit.
11 Demo: Enables you to demonstrate the acquisition procedures to a patient without the X-ray.
12 Patient Height Data: If a patient has previously been examined, the unit will detect it and two
of these icons will appear in orange. They will disappear when you use the positioning panel
on the unit to adjust the height of the unit (up or down) to the previously recorded height of
the patient.
13 Pop-up of accessory and patient head position: Will appear on the interface when you click
to choose a radiological exam, to indicate which positioning accessory to use and how to
position the patient head.

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed03 17


14 Ready indicator:
 Black indicates the unit is not ready to start acquisition.
 Orange indicates the unit preparing for acquisition.
 Green indicates the unit is ready to start acquisition.
15 Warning: Indicates that you must consult the accompanying document.
16 Ionizing radiation:
 Warns you about radiation dangers.
 Blue indicates the X-ray is enabled.
 Grey indicates the X-ray is not enabled.
17 Menu: Provides access to the following sub-menus: General Settings, Reset to factory,
About, Help. You can select the settings that you want as default settings for the acquisition
interface. See “Displaying the User Preferences” .

18 Chapter 3 Imaging Software Overview


4 Getting Started

Switching on the Unit


Before switching on the unit, check that:

 The installation of the unit is complete.


 The computer is switched on.
 The imaging software is not opened.

Important: You must switch on the computer and wait for it to


be ready for the connection before switching on the unit.

To switch on the unit, follow these steps:

1. On the unit column, press the ON button.

2. You must wait for a minute for the connection between the unit and the computer to be
established. If you start the imaging software before the connection is established an error
message is displayed. Click OK, close the imaging software and wait for the connection to be
established.

3. You can now proceed to start the CS Imaging Software.

Increasing the operating life of the X-ray tube

Important: To increase the operating life of the X-ray tube, on


first loading and if the unit has not been used for a month, you
must follow the following procedures before use.

To increase the operating life of the X-ray tube, follow these steps:

1. In the Panoramic Acquisition Window, select the Parameter pane.

2. Select the following parameter setting: 70 kV - 6.3 mA

3. Leave the X-ray room and close the door.

4 Launch an X-ray for the parameter setting by pressing and holding the X-ray remote control
exposure button.
5 Repeat Steps 2 to 4 for the following parameters:

 80 kV - 10 mA
 85 kV - 10 mA

The unit is now ready to be used for acquisition.

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed03 19


Firewall or Network Settings
You will not be able to access the Acquisition interface if you did not configured the firewall or network
settings.

To configured the firewall or network settings, follow these steps:

1 On your desktop, double-click to open the CS Imaging Software.


The Windows Security Alert dialog box displays. Select Private networks, Public networks, and
click Allow access.

2 Click Quit on the following dialog box:

3 Close the imaging software.

4 On your desktop, double-click to re-open the imaging software.

Note: See your firewall documentation for information on how to


configure the firewall or network settings.

20 Chapter 4 Getting Started


Accessing the Acquisition Interface
To access the Acquisition interface, follow these steps:

1 On your desktop, double-click to open the CS Imaging Software.

Important: If the Windows Security Alert dialog box opens to


block the imaging software, you must configure the firewall or
network settings. See “Firewall or Network Settings” .

2 Find or create the patient record.

3 Select and double-click the patient card in the patient list.


The Imaging window is displayed.

4 Click the Imaging window to access the Acquisition interface options:

 Click to access the Panoramic Acquisition Interface.

 Click to access the 3D Acquisition Interface.

The selected acquisition interface is displayed.

To launch an acquisition, see the following image acquisition chapters:

 Chapter 6—Acquiring Panoramic Images


 Chapter 7—Acquiring 3D Images

Displaying the User Preferences


To display the User Preferences window, follow these steps:

1. Click to open the Menu window.


2. Click General Settings.

The User Preferences window displays:

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed03 21


3. Current UI language: Select the language of your choice and click Save.

4 3D Default acquisition program: Select the program of your choice and click Save.

5 To select other preferences for your acquisition interface, click :

 Automatic MAR Reconstruction (optional): Activates the CS MAR filter.


 Advanced Noise Reduction: Activates the advanced algorithm that reduces noise in the
image and preserves image details.
 Jewelries video: Activates the video as a reminder for you to remove or return all metal
objects.
 Negative filter: Changes the contrast for a scout view image.
 Display accessory pop-up: Displays the appropriate positioning accessory that you must
use.

22 Chapter 4 Getting Started


5 Pediatric Use: Summary of Safety
Instructions

WARNING: Use special care when imaging patients outside the typical adult
size range, especially smaller pediatric patients whose sizes do not fit into the
adult size range: e.g. patients less than 50 kg (110 lb) in weight and 150 cm (59
in) in height. These measurements correspond approximately to that of an
average 12 year old US child or to 5% of US adult female. Do NOT use on
patient who are about 5 years old and below and who are less than about 21 kg
(46 lb) in weight and 113 cm (44.5 in) in height.

The use of equipment and exposure settings designed for adults of average size can result in excessive
and unnecessary radiation exposure for a smaller patient.

Exposure to ionizing radiation is of particular concern for pediatric patients because:

 Younger patients are more radio-sensitive than adults (the cancer risk per unit dose of
ionizing radiation is higher for younger patients).
 Younger patients have a longer expected lifetime over which the effects of radiation
exposure may manifest as cancer.

To increase patient safety, imaging should be justified and optimized for X-ray imaging. X-ray exams
should:

 Be prescribed only when needed to diagnose or answer a medical inquiry and when the
benefits outweigh the risks.
 Use techniques with the lowest radiation dose that still produce image quality that is
adequate for diagnosis/intervention.

Important: To help reduce the risk of excessive radiation exposure, you should follow the
As Low As Reasonably Achievable (ALARA) principle and try to reduce the radiation dose to
the amount that is necessary to obtain images that are clinically adequate.

The balance of radiation exposure and image quality for the desired clinical task should be
considered. You have the responsibility to determine the final settings of the device to
achieve image quality.

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed03 23


Device Specific Features and Instructions
The CS 8200 3D provides the following design features and instructions that enable safer use of our
device with pediatric patients.

Patient Size Selection

The two smallest patient size icons resent the exposure values for children and adolescent
patients.

Both patient sizes are associated to reduced kV/mA values which may reduce the dose related to
these exposure parameters.

Child patient size Recommended for the children population of


between 5 to 12 year old [~ 21 kg (46 lb); 113 cm
(44.5 in) to ~ 52 kg (115 lb); 156 cm (61.5 in)].

Adult small patient size Recommended for the adolescent population of


approximately ~ 52 kg (115 lb); 156 cm (61.5 in).

Imaging Mode Selection


According to the latest recommendations on dosage from the American Academy of Oral and
Maxillofacial Radiology, if you can use a low-dose protocol for a diagnostic task that requires lower
resolution, you must use it.

The low dose imaging mode available on all acquisitions reduce the dose by minimizing the
exposure parameters.

Field of View (FoV) Selection


By reducing the FoV for 3D X-ray imaging on children or adolescents, you are reducing the exposed
area and this reduces the dose received by the patient.

For a recommendation on the FoV to be selected for children/adolescent, see the table below:

Recommended FoV for


Standard FoV
children/adolescent
5x5 4x4
10x5 8x5
10x10 8x9
12x5 10x5
12x10 10x10

24 Chapter 5 Pediatric Use: Summary of Safety Instructions


X-ray Dose Information
When setting an acquisition, the estimated X-ray Dose emission will be displayed on the acquisition
interface so that you can evaluate if the benefit of the X-ray imaging outweighs the risks.

The representative dose information associated with each radiological exam on the CS 8200 3D and
the corresponding patient size is provided in the X-ray Dose Emission Information section of the CS
8200 3D Safety, Regulatory and Technical Specifications User Guide (SMA67).

Additional Features to Simplify X-ray Imaging of Children and Adolescents


The following features will help you to simplify the X-ray imaging of children and adolescents:

 Children and adolescents can be more still and stable in the seated position. The CS
8200 3D can be lowered down for an exposure in the seated position.
 To allow proper positioning of a pediatric patient, and where relevant, depending on the
patient size, you can use the 3D child bite block accessory instead of the standard 3D
bite block.

 You can use on the acquisition interface to launch a radiation free test cycle at any
time to do some preliminary demonstrations and explanations to assure the patient.
 Face to face positioning helps to minimize the fear of confined space in the unit for
children and adolescent patients.

References for pediatric dose optimization


The following resources provide information about pediatric imaging radiation safety and radiation
safety for dental cone-beam computed tomography devices:

 FDA Pediatric X-ray Imaging webpage:


https://www.fda.gov/radiation-emittingproducts/radiationemittingproductsandprocedures
/medicalimaging/ucm298899.htm
 FDA Dental Cone-beam Computed Tomography webpage:
https://www.fda.gov/Radiation-EmittingProducts/RadiationEmittingProductsandProcedur
es/MedicalImaging/MedicalX-Rays/ucm315011.htm
Additional recommendations for safer and more effective pediatric patient imaging is provided by the
Alliance for Radiation Safety in Pediatric Imaging (Image Gently Alliance): www.imagegently.org

We recommend that you consult the ‘Image Gently Back to Basics’ campaign materials at:
https://www.imagegently.org/LinkClick.aspx?fileticket=kyzGxOMxTFo%3d&tabid=754&portalid=6&m
id=1939

Quality Control Testing


To ensure that the device functions properly across the entire range of patient size for which it may be
used, follow the recommendation made in the Maintenance chapter of this user guide.

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed03 25


26 Chapter 5 Pediatric Use: Summary of Safety Instructions
6 Acquiring Panoramic Images

Acquiring a Panoramic, TMJ x2, TMJ x4, or Bitewing for the Adult and
Pediatric Patient
Before acquiring an image, check that you have:

 Reset the unit rotative arm to the patient entry position for patient to enter the unit.
 Selected the patient record.
 Accessed the imaging window.
 Accessed the Panoramic Acquisition Interface, see “Accessing the Acquisition Interface” .

Setting the Acquisition Parameters


To set the acquisition parameters, follow these steps:
1. In the Panoramic Acquisition interface, select the:
 Patient type:
 Child
 Adult: Small, Medium, Large

Important: See the CS 8200 3D Safety, Regulatory and Technical


Specifications User Guide (SMA67) for information on radiation protection
and recommendations when you select a patient type, especially the
pediatric patient.

 Dental arch morphology: Normal, square, or sharp.


 Imaging mode: Standard or low dose.

2. Click for panoramic acquisition.

3. Select the radiological exam option for the X-ray image:

Note: You can select the panoramic exams as full panoramic, segmented
panoramic or reduced panoramic.

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed03 27


When you select a radiological exam option, will display a pop-up illustration to show the
positioning accessory that you must use and how to position the patient head. The pop-up will

remain for three seconds and disappear. Click if you need to see it again. Click again
to hide the pop-up.

4. Position and fix the panoramic chin rest (A). Fit the bite block to the panoramic chin rest (Ba). Make
sure that you click it well into place. If needed, use the edentulous bite block.

You may if required use the Frankfort guide bite block for panoramic to help position the patient.

Note: Use the panoramic chin rest (A) for a panoramic or TMJ x2 image
acquisition.

A Ba

Note: For a TMJ x4 acquisition, use the TMJ nose rest and cover it
with a hygienic barrier.

5. Insert a hygienic barrier over the bite block.

 If you are using the standard bite block, fit the hygienic barrier as shown in (C) and (D).
C D

 If you are using the Frankfort guide bite block for panoramic, use the same single use
hygienic sheaths as for use with 3D bite blocks (C), (D), (E).

28 Chapter 6 Acquiring Panoramic Images


C D E

Make sure that you cover the bite block completely with the hygienic barrier.

Important: You must cover the bite blocks with FDA-cleared


protective sheaths that are available from distributors.

Note: To acquire a bitewing segmented panoramic image:

 Click .
 Select one or both area of interest.
 Position the patient in the Camper
plane alignment (horizontal occlusion) as
shown.

For a more accurate Camper plane alignment,


you can:

 Use the panoramic chin rest.


 Fit the standard bite block or edentulous
bite block to the panoramic chin rest.

Important: Do not use the Frankfort guide bite block when


performing bitewing procedures.

Important: The acquisitions that you obtain using the bitewing


segmented panoramic program are not equivalent to an intraoral
bitewing examination.

6. If the default parameter setting is not adapted to your patient type, click on the parameter
display panel to open it and to select the appropriate parameters. To save the new parameter
settings, click .

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed03 29


Preparing and Positioning the Adult and Pediatric Patient
To prepare and position the patient, follow these steps:
1. Ask the patient to remove and place all metal objects in the jewelry tray.

2. Ask the patient to wear a lead apron. Ensure that the apron lays flat
across the patient’s shoulders.

3. Turn the adjustment knob to open the temple supports laterally.

Note: You can adjust the temple supports manually to the back or front for
a better head fit.

4. Ask the patient to enter the unit. On the Positioning panel, press and hold to raise the chin
rest to the height of the patient.

Note: If the patient is too tall, ask the patient to sit on a stool.

30 Chapter 6 Acquiring Panoramic Images


5. Ask the patient to:

 Stand up straight (position the feet


slightly forward).
 Grip both the lower handles of the
head and chin rest.
 Relax and lower the shoulders for full
motion of the unit rotative arm.

Note: Correct posture reduces the shadow of the spinal column


transferred to the image.

6. Ask the patient to place the chin on the chin rest support (A).

7. Ask the patient to bite on the bite block:

Important: You must cover the bite blocks with FDA-cleared


protective sheaths that are available from distributors.

 If you are using the standard panoramic bite block, ask the patient to bite into the
groove of the bite block (B) as shown.

D
C
E
B
A

D1

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed03 31


 If you are using the Frankfort guide bite block for panoramic, ask the patient to bite on
the bite block (B) as shown.

D
C
E
B
A

Important: If you are using the Frankfort guide bite block, make sure
the patient bites on the complete block, and that the patient’s occlusal
plane inclination follows the angle of the bite block.

8. Turn the adjustment knob to close the temple supports (C).


If you are using a standard panoramic bite block, you can use the horizontal positioning
indicators as a visual aid to adjust the up or down inclination of the patient head (D1) to obtain a
Frankfort plane horizontal alignment.

9. Use both hands to align the vertical position of the head (D).

Important: The spinal column and the nose of the patient must
be aligned in a straight vertical line (E).

10. Ask the patient to:

 Close the eyes (E).


 Swallow.
 Remain still.
 Breathe through the nose.
 Place the tongue on the palate.

Launching the X-ray


To launch the X-ray, follow these steps:

32 Chapter 6 Acquiring Panoramic Images


1. Leave the X-ray room and close the door. You must keep visual contact with the patient during
acquisition.

Important: If you need to stop the acquisition due to a problem,


release the exposure button of the remote control or press the red
emergency stop button.

2. Launch the X-ray with the remote control.


The turns yellow and a warning sound is heard, indicating X-ray emission.
Press and hold the exposure button until the end of the acquisition is indicated by the on-screen
“Release Handswitch” message.

When the acquisition ends, the Acquisition interface disappears and the acquired image is
automatically transferred to the Imaging Window.

When the acquisition ends, the acquired image appears on your screen.

3. Do the following when the acquisition is finished:

 Open the temple supports and release the patient.


 Return the metal objects in the jewelry tray to the patient.
 Remove the hygiene barrier of the bite block.
 Reset the unit rotative arm for the next acquisition.

X-Ray Dose Emission Information


Compliance with Directive 2013/59/Euratom
You can right-click on each image to display the estimated emitted dose received by the patient. You
can use this information to calculate the effective dose received by the patient for the image.

The radiation emission dose is expressed in mGy.cm2. This dose is measured at the primary collimator
outlet. The dose is accurate to +/-30%.

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed03 33


Acquiring Sinus Images for the Adult and Pediatric Patient
This section deals with the panoramic radiological exam for Scanning (Maxillary Sinus).
Before acquiring an image, check that you have:
 Reset the unit rotative arm to the start position for the patient to enter the unit.
 Accessed the Acquisition Interface.
For information on accessing the Acquisition Interface, see “Accessing the Acquisition
Interface” .

Setting the Acquisition Parameters


To set the acquisition parameters, follow these steps:
1. In the Panoramic Acquisition interface, select the:
 Patient type:
 Child
 Adult: Small, Medium, Large

Important: See the CS 8200 3D Safety, Regulatory and Technical


Specifications User Guide (SMA67) for information on radiation protection
and recommendations when you select a patient type, especially the
pediatric patient.

2. Click for sinus acquisition.

The area of interest is selected by default:

When you select area the of interest, will display a pop-up illustration to show the
positioning accessory that you must use and how to position the patient head. The pop-up will

remain for three seconds and disappear. Click if you need to see it again. Click again
to hide the pop-up.

Note: Use the sinus chin rest for a sinus image acquisition.

34 Chapter 6 Acquiring Panoramic Images


Preparing and Positioning the Adult and Pediatric Patient
To prepare and position the patient, follow these steps:

1. Position the sinus chin rest (make sure that it clicks fully into place) and cover it with a hygienic
barrier.
1. Ask the patient to remove all metal objects.

2. Ask the patient to wear a lead apron. Ensure that the apron lays flat
across the patient’s shoulders.

3. Turn the adjustment knob to open the temple supports laterally.

Note: You can adjust the temple supports manually to the back or front for
a better head fit.

4. Ask the patient to enter the unit. On the Positioning panel, press and hold to raise the chin
rest to the height of the patient.

Note: If the patient is too tall, tell the patient to sit on a stool.

5. Ask the patient to do the following:

 Stand up straight.
 Grip the lower handle on each side.
 Place chin on the sinus chin rest.
 Position the feet slightly forward.
 Relax and lower the shoulders for full
motion of the unit rotative arm.

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed03 35


Note: Correct posture reduces the shadow of the spinal column
transferred to the image.

6. Ask the patient to do the following:

 To close the eyes


 To remain still
 To breath through the nose
 To not swallow

Launching the X-ray


To launch the X-ray, follow these steps:

1. Leave the X-ray room and close the door. You must keep visual contact with the patient during
acquisition.

Important: If you need to stop the acquisition due to a problem,


release the exposure button of the remote control or press the red
emergency stop button.

2. Launch the X-ray with the remote control.


The turns yellow and a warning sound is heard, indicating X-ray emission.
Press and hold the exposure button until the end of the acquisition is indicated by the on-screen
“Release Handswitch” message.

When the acquisition ends, the Acquisition interface disappears and the acquired image is
automatically transferred to the Imaging Window.

3. Do the following when the acquisition is finished:

 Open the temple supports and release the patient.


 Return the metal objects in the jewelry tray to the patient.
 Remove the hygiene barrier.
 Reset the unit rotative arm for the next acquisition.

36 Chapter 6 Acquiring Panoramic Images


X-Ray Dose Emission Information
Compliance with Directive 2013/59/Euratom
You can right-click on each image to display the estimated emitted dose received by the patient. You
can use this information to calculate the effective dose received by the patient for the image.

The radiation emission dose is expressed in mGy.cm2. This dose is measured at the primary collimator
outlet. The dose is accurate to +/-30%.

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed03 37


38 Chapter 6 Acquiring Panoramic Images
7 Acquiring 3D Images
Acquiring 3D Teeth Images for the Adult and Pediatric Patient
Before acquiring an image, check that you have:

 Reset the unit rotative arm to the patient entry position for patient to enter the unit.
 Selected the patient record.
 Accessed the imaging window.
 Accessed the 3D Acquisition Interface, see “Accessing the Acquisition Interface” .

Setting the Acquisition Parameters


To set the acquisition parameters, follow these steps:

1. Select as the program and the required FoV (4x4, 5x5, 5x8).

When you select a FoV, will display a pop-up illustration to show the positioning accessory
that you must use and how to position the patient head. The pop-up will remain for three seconds.

Click if you need to see it again. Click again to hide it.

2. Fit the 3D bite block support (A), and insert the appropriate 3D bite block (B). Make sure that you
click the bite block well into place.

Important: Use the 3D child bite block for a pediatric patient.

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed03 39


 If you are using a 3rd molar offset 3D bite block, insert the offset bite block (B) for a
right-molar (MR) or left-molar (ML) acquisition as required:

Important: The 3rd Molar offset 3D bite block is for use with 5x5, 4x4,
and 5x8 Ml and MR FoVs only.

 To acquire an image of the left-side 3rd molar, insert the offset bite block so that
the part indicated Ml will be placed in the corresponding position in the patient’s
mouth.
Mr

Ml Mr

 To acquire an image of the right-side 3rd molar, insert the offset bite block so that
the part indicated MR will be placed in the corresponding position inside the patient’s
mouth.

3. Remove the paper backing from the hygienic barrier (C), and cover the bite block with the hygienic
barrier (D). Make sure that you cover the bite block completely with the hygienic barrier (E).
C D E

Important: You must cover the bite blocks with FDA-cleared


protective sheaths that are available from distributors.

40 Chapter 7 Acquiring 3D Images


4. Select the area of interest that you intend to examine by clicking the alphabetical labels:

Note: The area of interest that you select will turn blue.

5. In the 3D Acquisition interface, select the patient type:

 Child
 Adult: Small, Medium, Large

Important: See the CS 8200 3D Safety, Regulatory and Technical


Specifications User Guide (SMA67) for information on radiation protection
and recommendations when you select a patient type, especially the
pediatric patient.

6. If the default parameter setting is not adapted to your patient type, click on the parameter
display panel to open it and to select the appropriate parameters. To save the new parameter

settings, click .

Preparing and Positioning the Adult and Pediatric Patient


To prepare and position the patient, follow these steps:

1. Position the 3D bite block support (make sure that it clicks fully into place) and place the 3D bite
block or the 3D child bite block for a pediatric patient. Cover the bite block with a hygienic barrier.
2. Ask the patient to remove and place all metal objects in the jewelry tray.

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed03 41


3. Ask the patient to wear a lead apron. Ensure that the apron lays flat
across the patient’s shoulders.

4. Turn the adjustment knob to open the temple supports laterally.

Note: You can adjust the temple supports manually to the back or front for
a better head fit.

5. Ask the patient to enter the unit. On the Positioning panel, press and hold to raise the chin
rest to the height of the patient.

Note: If the patient is too tall, ask the patient to sit on a stool.

42 Chapter 7 Acquiring 3D Images


6. Ask the patient to do the following:

 Stand up straight (do not position the


feet slightly forward).
 Grip both the lower handles of the
head and chin rest.
 Relax and lower the shoulders for full
motion of the unit rotative arm.

Note: Correct posture reduces the shadow of the spinal column


transferred to the image.

7. Ask the patient to place the chin on the chin rest support (A).

8. Ask the patient to bite on the bite block:

 If you are using a standard 3D bite block, ask the patient to bite on the 3D bite block as
shown (A), (B).

C D

A
B

D1

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed03 43


 If you are using a 3rd molar offset 3D bite block:

 To acquire an image of the right 3rd molar, ask the patient to bite on the side of the
bite block indicated MR as shown (A):

C D

A
B

D1

 To acquire an image of the left 3rd molar, ask the patient to bite on the side of the
bite block indicated ML as shown (A):

C D

A
B

D1

The indication on the bite block (ML or MR) should be placed in the corresponding region inside
the patient’s mouth.

Ask the patient to bite into the bite block, making sure that the patient places the upper incisors
before the incisive stopper (B).

9. Turn the adjustment knob to close the temple supports (C).

10. Use both hands to align the vertical position of the head (D).

11. Ask the patient to:

 Close the eyes (E).

 Swallow.

 Remain still.

 Breathe through the nose.

 Place the tongue on the palate.

44 Chapter 7 Acquiring 3D Images


Launching the X-ray
To launch the x-ray, follow these steps:

1. Leave the x-ray room and close the door. You must watch the patient by visual contact or on the
screen during acquisition.

Important: If you need to stop the acquisition due to a problem,


release the exposure button of the remote control or press the red
emergency stop button.

2. If you want to perform a scout view:

 Click , then launch an X-ray with the remote control. The Scout view 2D screen will
display the image:

Note: You can move the area of interest by selecting the alphabetical
labels.

 Once the scout view is done, the button becomes gray. You can perform another scout view
by clicking the scout view button (which turned blue) and re-doing the scout view action.

 Click to change the contrast from black to white or white to black.

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed03 45


 To adjust for brightness or contrast, use .

 To set contrast change, brightness or contrast to default, click .

3. Launch the X-ray with the remote control:

Important: If you need to stop the acquisition due to a problem,


release the exposure button of the remote control or press the red
emergency stop button.

4. The turns yellow and a warning sound is heard, indicating X-ray emission.
Press and hold the exposure button until the end of the acquisition is indicated by the on-screen
“Release Handswitch” message.

When the acquisition ends, the Acquisition interface disappears and the acquired image is
automatically transferred to the Imaging Window.

When the acquisition ends, the acquired image appears on your screen.

5. Do the following when the acquisition is finished:

 Open the temple supports and release the patient.


 Return the metal objects in the jewelry tray to the patient.
 Remove the hygiene barrier of the bite block.
 Reset the unit rotative arm for the next acquisition.

X-Ray Dose Emission Information


Compliance with Directive 2013/59/Euratom
You can right-click on each image to display the estimated emitted dose received by the patient. You
can use this information to calculate the effective dose received by the patient for the image.

The radiation emission dose is expressed in mGy.cm2. This dose is measured at the primary collimator
outlet. The dose is accurate to +/-30%.

46 Chapter 7 Acquiring 3D Images


Acquiring a 3D Image of the Full, Upper and Lower Jaw for the Adult
and Pediatric Patient
Before acquiring an image, check that you have:

 Reset the unit rotative arm to the patient entry position for patient to enter the unit.
 Selected the patient record.
 Accessed the imaging window.
 Accessed the 3D Acquisition Interface, see “Accessing the Acquisition Interface” .

Setting the Acquisition Parameters

1. Select as the program and the required FoV (8x9, 8x5, 10x10*, 10x5*, 12x10*, 12x5*).
(*) Optional FoVs.

When you select a FoV, will display a pop-up illustration to show the positioning accessory
that you must use and how to position the patient head. The pop-up will remain for three seconds.

Click if you need to see it again. Click again to hide it.

2. Fit the 3D bite block support (A), and insert the appropriate bite block (B) as shown.

Important: Use the dedicated 3D bite block to acquire 8x9, 8x5, 10x10, or
10x5 FoVs.
Use the dedicated 3D bite block to acquire 12x10 or 12x5 FoVs.

Make sure that you click the bite block well into place.

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed03 47


3. Remove the paper backing from the hygienic barrier (C), and cover the bite block with the hygienic
barrier (D). Make sure that you cover the bite block completely with the hygienic barrier (E).
C D E

Important: You must cover the bite blocks with FDA-cleared


protective sheaths that are available from distributors.

4. Click on one of the following area of interest that you intend to examine:

 Full jaw (both upper and lower jaw) exam

 Upper jaw exam

 Lower jaw exam

Note: The area of interest that you select will turn blue.

5. In the 3D Acquisition interface, select the patient type:

 Child
 Adult: Small, Medium, Large

Important: See the CS 8200 3D Safety, Regulatory and Technical


Specifications User Guide (SMA67) for information on radiation protection
and recommendations when you select a patient type, especially the
pediatric patient.

6. If the default parameter setting is not adapted to your patient type, click on the parameter
display panel to open it and to select the appropriate parameters. To save the new parameter

settings, click .

48 Chapter 7 Acquiring 3D Images


Preparing and Positioning the Adult and Pediatric Patient
To prepare and position the patient, follow these steps:
1. Ask the patient to remove and place all metal objects in the jewelry tray.

2. Ask the patient to wear a lead apron. Ensure that the apron lays flat
across the patient’s shoulders.

3. Turn the adjustment knob to open the temple supports laterally.

Note: You can adjust the temple supports manually to the back or front for
a better head fit.

4. Ask the patient to enter the unit. On the Positioning panel, press and hold to raise the chin
rest to the height of the patient.

Note: If the patient is too tall, ask the patient to sit on a stool.

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed03 49


5. Ask the patient to do the following:

 Stand up straight (do not position the


feet slightly forward).
 Grip both the lower handles of the
head and chin rest.
 Relax and lower the shoulders for full
motion of the unit rotative arm.

6. To position the patient, ask the patient to bite into the bite block (A). Make sure that the patient
places the upper incisors before the incisive stopper (B)

Important: Use the dedicated 3D bite block to acquire 8x9, 8x5, 10x10, or
10x5 FoVs.
Use the dedicated 3D bite block to acquire 12x10 or 12x5 FoVs.

C D

A
B

D1

Important: The spinal column and the nose of the patient must be
aligned in a straight vertical line.

7. Turn the adjustment knob to close the temple supports (C).

8. Use both hands to align the vertical position of the head (D). Ensure that the patient occlusion is
fully horizontal (camper plane) (D1).

9. Ask the patient to:

50 Chapter 7 Acquiring 3D Images


 Close the eyes (E).

 Swallow.

 Remain still.

 Breathe through the nose.

 Place the tongue on the palate.

Launching the X-ray


To launch the x-ray, follow these steps:

1. Leave the x-ray room and close the door. You must watch the patient by visual contact or on the
screen during acquisition.

Important: If you need to stop the acquisition due to a problem,


release the exposure button of the remote control or press the red
emergency stop button.

2. If you want to perform a scout view:

 Click , then launch an X-ray with the remote control. The Scout view 2D screen will
display the image:

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed03 51


 Once the scout view is done, the button becomes gray. You can perform another scout view
by clicking the scout view button (which turned blue) and re-doing the scout view action.

 Click to change the contrast from black to white or white to black.

 To adjust for brightness or contrast, use .

 To set contrast change, brightness or contrast to default, click .

3. Launch the X-ray with the remote control:

Important: If you need to stop the acquisition due to a problem,


release the exposure button of the remote control or press the red
emergency stop button.

4. The turns yellow and a warning sound is heard, indicating X-ray emission.
Press and hold the exposure button until the end of the acquisition is indicated by the on-screen
“Release Handswitch” message.

When the acquisition ends, the Acquisition interface disappears and the acquired image is
automatically transferred to the Imaging Window.

When the acquisition ends, the acquired image appears on your screen.

5. Do the following when the acquisition is finished:

 Open the temple supports and release the patient.


 Return the metal objects in the jewelry tray to the patient.
 Remove the hygiene barrier.
 Reset the unit rotative arm for the next acquisition.

X-Ray Dose Emission Information


Compliance with Directive 2013/59/Euratom
You can right-click on each image to display the estimated emitted dose received by the patient. You
can use this information to calculate the effective dose received by the patient for the image.

The radiation emission dose is expressed in mGy.cm2. This dose is measured at the primary collimator
outlet. The dose is accurate to +/-30%.

52 Chapter 7 Acquiring 3D Images


8 Acquiring 3D Object Images

Important: The 3D Object image features described in this chapter is


not intended for diagnostic, treatment planning, or treatment guidance
purposes.

General Overview
Figure 14 3D Object Acquisition Interface Overview

1 Acquisition modes: Plaster, impression, triple tray impression, and appliance modes.

2 Exit button.

3 Current acquisition mode.

4 Illustration screen: Guides you on how to position an object before an acquisition.

5 Exposure parameter display.

6 Object entry mode: Positions the unit in the object entry mode.

7 Acquisition object options: Provides the various combination of acquisition objects


(lower jaw, bite index, upper jaw, or full jaw).

8 Fast Height Adjustment button: For fast adjustment of the height of the unit to the height
of the object.

9 Slow Height Adjustment button: For slow adjustment of the height of the unit to the height
of the object especially for the final adjustment.

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed03 53


10 Ready indicator:
 Black indicates the unit is not ready to start acquisition.
 Orange indicates the unit preparing for acquisition.
 Green indicates the unit is ready to start acquisition.

11 Warning: Indicates that you must consult the accompanying document.

12 Ionizing radiation:
 Warns you about radiation dangers.
 Blue indicates the X-ray is enabled.
 Grey indicates the X-ray is not enabled.

13 Menu: Provides access to the following sub-menus: General Settings, DICOM Settings,
Reset to factory, Patient history, Shutdown / Restart, About.

Acquiring Images of 3D Dental Objects


The 3D dental objects are:

 Plaster object

 Impression object

 Triple tray impression object

 Appliance: Radiological guide object

Before acquiring an image, check that you have:


 Reset the unit rotative arm to the start position.
 Accessed the Acquisition Interface.
For information on accessing the Acquisition Interface, see “Accessing the Acquisition
Interface” .

Acquiring Images of Plaster Objects

Preparing the Unit and Setting the Acquisition Options


To prepare the unit for acquisition, follow these steps:

54 Chapter 8 Acquiring 3D Object Images


1. Insert the 3D bite block support A in the chin rest base.

2. Place the dental impression holder B on the 3D bite block support A .

3. Place the black foam C on the dental impression holder B .

4. Click .

Launching the Plaster Acquisition


To launch the acquisition, follow these steps:

Important: Make sure that you position the acquisition object correctly
to obtain quality data.

1. Select either the lower jaw, upper jaw, or full jaw acquisition mode.

2. See the on-screen illustration on how to correctly position the lower jaw, upper jaw, or full jaw
plaster at the center of the black foam.

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed03 55


3. Launch the X-ray with the remote control:

Important: If you need to stop the acquisition due to a problem, release


the exposure button of the remote control or press the red emergency
stop button.

 Press and hold the exposure button until the end of the acquisition is indicated by the
on-screen “Release Switch” message.

 The turns yellow and a warning sound is heard, indicating X-ray emission.
 The accessory position detector will change color during the X-ray emission.

Note: You will be able to see the object in live-view mode on the
workstation screen during the acquisition.

When the acquisition ends, the acquired image appears on your screen.

Launching the Plaster Acquisition with the Bite Index to get the Occlusion
To launch the acquisition, follow these steps:

1. Select the bite index acquisition mode.

2. Do the following:

 Place the upper jaw plaster at the center of the black foam A , then launch an X-ray with the
remote control.

 Remove the upper jaw plaster. Place the bite index at the center of the black foam B , then
launch an X-ray with the remote control.

56 Chapter 8 Acquiring 3D Object Images


 Remove the bite index. Place the lower jaw plaster at the center of the black foam C , then
launch an X-ray with the remote control.

3. Observe the following when you launch an X-ray for each of the objects:

Note: If you need to stop the acquisition due to a problem, release the
exposure button of the remote control or press the red emergency stop
button.

 Press and hold the exposure button until the end of the acquisition is indicated by the
on-screen “Release Switch” message.

 The turns yellow and a warning sound is heard, indicating X-ray emission.
 The accessory position detector will change color during the X-ray emission.

Note: You will be able to see the object in live-view mode on the
workstation screen during the acquisition.

When the acquisition ends, the acquired image appears on your screen.

Acquiring Images of Impression Objects


Important:
 ALWAYS use a metal-free tray for the Impression.
 Make sure that the Impression and the plastic tray are dry.

Preparing the Unit and Setting the Acquisition Options


To launch the acquisition, follow these steps:

1. Insert the 3D bite block support A in the chin rest base.

2. Place the dental impression holder B on the 3D bite block support A .

3. Place the black foam C on the dental impression holder B .

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed03 57


4. Click .

Launching the Impression Acquisition


To launch the acquisition, follow these steps:

Important: Make sure that you position the acquisition object correctly
to obtain quality data.

1. Select either the lower jaw or upper jaw acquisition mode.

2. See the on-screen illustration on how to correctly position the impression at the center of the black
foam.

3. Launch the X-ray with the remote control:

Important: If you need to stop the acquisition due to a problem, release


the exposure button of the remote control or press the red emergency
stop button.

 Press and hold the exposure button until the end of the acquisition is indicated by the
on-screen “Release Switch” message.

 The turns yellow and a warning sound is heard, indicating X-ray emission.
 The accessory position detector will change color during the X-ray emission.

Note: You will be able to see the object in live-view mode on the
workstation screen during the acquisition.

When the acquisition ends, the acquired image appears on your screen.

58 Chapter 8 Acquiring 3D Object Images


Launching the Bite Index Scan to Register the Occlusion
To launch the bite index scan, follow these steps:

1. Select the bite index scan acquisition mode.

2. Do the following:

 Place the upper jaw impression at the center of the black foam A , then launch an X-ray with
the remote control.
 Remove the upper jaw impression. Place the bite index scan at the center of the black foam
B
, then launch an X-ray with the remote control.
 Remove the bite index scan. Place the lower jaw impression at the center of the black foam
C
, then launch an X-ray with the remote control.

3. Observe the following when you launch an X-ray for each of the objects:

Important: If you need to stop the acquisition due to a problem, release


the exposure button of the remote control or press the red emergency
stop button.

 Press and hold the exposure button until the end of the acquisition is indicated by the
on-screen “Release Switch” message.

 The turns yellow and a warning sound is heard, indicating X-ray emission.
 The accessory position detector will change color during the X-ray emission.

Note: You will be able to see the object in live-view mode on the
workstation screen during the acquisition.

When the acquisition ends, the acquired image appears on your screen.

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed03 59


Acquiring Images of Triple Tray Impression Objects

Preparing the Unit and Setting the Acquisition Options


To launch the acquisition, follow these steps:

1. Insert the 3D bite block support A in the chin rest base.

2. Place the dental impression holder B on the 3D bite block support A .

3. Place the black foam C on the dental impression holder B .

4. Click .

Launching the Triple Tray Impression Acquisition


To launch the triple tray impression acquisition, follow these steps:

Important: - Make sure that the triple tray impression is dry.


- The triple tray impression must be flat and level when you position it on
the black foam. If it is not, use a scalpel to cut and level it.

Important: Make sure that you position the acquisition object correctly
to obtain quality data.

1. Select the triple tray impression acquisition mode.

2. See the on-screen illustration on how to correctly position the triple tray impression at the center of
the black foam.

60 Chapter 8 Acquiring 3D Object Images


Triple tray impression can be of the following types:

 For posterior restorations A : the mesial surface must be at the front end of the black foam.

 For anterior restorations B : the arch of the triple tray impression must be at the front end of
the black foam.

Important: You must place the triple tray impression on the black foam in
the same orientation as when you take it out of the patient mouth.

3. Launch the X-ray with the remote control:

Important: If you need to stop the acquisition due to a problem, release


the exposure button of the remote control or press the red emergency
stop button.

 Press and hold the exposure button until the end of the acquisition is indicated by the
on-screen “Release Switch” message.

 The turns yellow and a warning sound is heard, indicating X-ray emission.
 The accessory position detector will change color during the X-ray emission.

Note: You will be able to see the object in live-view mode on the
workstation screen during the acquisition.

When the acquisition ends, the acquired image appears on your screen.

Acquiring Images of Appliance Objects

Preparing the Unit and Setting the Acquisition Options


To launch the acquisition, follow these steps:

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed03 61


1. Insert the 3D bite block support A in the chin rest base.

2. Place the dental impression holder B on the 3D bite block support A .

3. Place the black foam C on the dental impression holder B .

4. Click .

62 Chapter 8 Acquiring 3D Object Images


Launching the Appliance Acquisition
To launch the acquisition, follow these steps:

Important: Make sure that you position the acquisition object correctly
to obtain quality data.

1. Select either the lower jaw or upper jaw acquisition mode.

2. See the on-screen illustration on how to correctly position the appliance at the center of the black
foam.

Important: You must place the teeth of the appliance on the black foam
in the same orientation as when you take it out of the patient mouth.

3. Launch the X-ray with the remote control:

Important: If you need to stop the acquisition due to a problem, release


the exposure button of the remote control or press the red emergency
stop button.

 Press and hold the exposure button until the end of the acquisition is indicated by the
on-screen “Release Switch” message.

 The turns yellow and a warning sound is heard, indicating X-ray emission.
 The accessory position detector will change color during the X-ray emission.

Note: You will be able to see the object in live-view mode on the
workstation screen during the acquisition.

When the acquisition ends, the acquired image appears on your screen.

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64 Chapter 8 Acquiring 3D Object Images
9 Maintenance

Perform the following maintenance activities on your CS 8200 3D.

Important: For information on cleaning and disinfecting, see the CS


8200 3D Safety, Regulatory and Technical Specifications User Guide
(SMA67).

Maintenance actions

Monthly maintenance
Wipe the outer covers of the unit with a soft and dry cloth.

Annual maintenance
We recommend a general inspection of the unit carried out by an authorized service
technician.

Controlling the Image Quality


To maintain optimum image quality, the image quality must be controlled once a month. To
control the image quality, follow these steps:

1. On your desktop, double-click . The CS 8200 3D Technician Tools window is


displayed.

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed03 65


2. In the left pane, double-click Image Quality Tool to launch the Image Quality Control
software.

3 Click Next to access the Image Quality Control window.

4. Click test options to select the desired test or to modify default test parameters.

66 Chapter 9 Maintenance
5 Click Start a new test, and follow the on-screen instructions.

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68 Chapter 9 Maintenance
10 Troubleshooting

Quick Troubleshooting
Occasionally, malfunctions can occur during use in the event of an incorrect action. An error
message is displayed on the popup on the Acquisition interface System Status Screen.

The following table lists the information messages, their description and the action to take:

Important: If an Error Code message is displayed, the malfunction


persists or more serious conditions occur, contact a qualified
technician. When you call the qualified technician have the following
information ready:

 Model Serial Number


 Error Code Message

Table 2 Error Code Message

Error Code Error Message Description Action


Err_S_GEN_36865 Handswitch was released The user has released Relaunch the acquisition and
before the end of exposure. the exposure button hold the exposure button until
prematurely. the end of the acquisition cycle.

Table 3 Quick Troubleshooting

Message Description Action


X-ray tube cooling Cooling in progress. Wait until the Generator Cooling Indicator on
the Acquisition interface reaches zero.

Thermal security Cooling in progress. Wait until the Generator Cooling Indicator on
the Acquisition interface reaches zero.

Release handswitch The acquisition has ended. Release the exposure button of the X-ray
remote control.
Start the acquisition The acquisition has been Keep pressing and holding the exposure button.
launched.
Upgrade of the firmware The system is being upgraded. Wait for completion of the upgrade.

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70 Chapter 10 Troubleshooting
11 Contact Information

Manufacturer’s Address
Carestream Dental LLC
3625 Cumberland Boulevard, Suite 700,
Atlanta, GA USA 30339

Factory
Trophy
4, Rue F. Pelloutier, Croissy-Beaubourg
77435 Marne la Vallée Cedex 2, France

Authorized Representatives
Authorized Representative in the European Union
Trophy
4, Rue F. Pelloutier, Croissy-Beaubourg
77435 Marne-la-Vallée Cedex 2, France

Responsible Person in the United Kingdom


Carestream Dental Ltd
Jessica Igies-Mikaelson
Wiltron House, Rutherford Close Stevenage, Hertfordshire
SG1 2EF,
England, United Kingdom

Authorized Representative in Brazil


CARESTREAM DENTAL BRASIL EIRELI
Rua Romualdo Davoli, 65
1º Andar, Sala 01 - São José dos Campos São Paulo - Brazil
Cep (Zip Code): 12238-577

List of Importers for European Union according to MDR 2017/745


Carestream Dental France SAS
4 rue F. Pelloutier, Croissy-Beaubourg, 77435 Marne-la-Vallée Cedex 2, France

Carestream Dental Germany GmbH


Hedelfinger Str. 60, 70327 Stuttgart, Germany

Carestream Dental Spain


S.L.U. Paseo de la Castellana, 79, Madrid 28046, España

Carestream Dental Italy S.r.l.


Via Mario Idiojmi 3/3, Assago 20090 (MI), Italia

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed03 71


List of Importers for Switzerland
CURADEN AG
Riedstrasse 12
CH-8953 Dietikon
Switzerland

Dema dent AG
Furtbachstrasse 16
CH-8107 Buchs
Switzerland

Jordi Röntgentechnik AG
Dammstrasse 70
CH-4142 Münchenstein
Switzerland

E. Schweizer AG
Bernerstrasse Nord 182
CH-8064 Zürich
Switzerland

72 Chapter 11 Contact Information


For more information visit: www.carestreamdental.com

SMA65 Ed03 2023-01

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