Planmeca Proline XC User manual

Brand: Planmeca

Model: Proline XC

Type: User manual

user's manual

10010940_3

cephalostat

Planmeca Proline XC Cephalostat i

TABLE OF CONTENTS

User’s Manual

1 INTRODUCTION ..............................................................................................1

2 WARNINGS AND PRECAUTIONS ..................................................................2

3 CHECKLIST - BEFORE USING THE CEPHALOSTAT ...................................3

4 PLANMECA PROLINE XC PAN/CEPH X-RAY UNIT .....................................4

4.1 The XC Cephalostat CM ................................................................................................ 4

4.2 Main parts of the Proline XC Cephalostat ...................................................................... 4

4.3 Removing and replacing the ear posts and the nasial positioner .................................. 5

4.4 Emergency stop button .................................................................................................. 5

5 PREPARATIONS FOR THE CEPHALOMETRIC EXPOSURE .......................6

5.1 Switching on the X-ray unit ............................................................................................ 6

5.2 Preparing the patient ...................................................................................................... 6

6 ENTERING CEPHALOMETRIC PROGRAM ...................................................7

6.1 Selecting cephalometric exposure program ................................................................... 7

7 TAKING AN EXPOSURE - LATERAL CEPH ................................................10

8 TAKING AN EXPOSURE - ANTERIOR-POSTERIOR AND

POSTERIOR-ANTERIOR ...............................................................................15

9 TAKING AN EXPOSURE - SUBMENTO-VERTEX ........................................18

10 TAKING AN EXPOSURE - WATERS VIEW ..................................................20

11 TAKING AN EXPOSURE - AP TOWNE ........................................................22

12 DISPOSAL OF THE PAN/CEPH UNIT ..........................................................24

TABLE OF CONTENTS

ii Planmeca Proline XC Cephalostat User’s Manual

Planmeca pursues a policy of continual product development. Although every

effort is made to produce up-to-date product documentation this publication

should not be regarded as an infallible guide to current specifications. We re-

serve the right to make changes without prior notice.

PUBLICATION PART NUMBER 10010940 Revision 3

The manufacturer, assembler, and importer are responsible for the safety, re-

liability and performance of the unit only if:

- installation, calibration, modification and repairs are carried out by qualified

authorized personnel

- electrical installations are carried out according to the appropriate require-

ments such as IEC364

- equipment is used according to the operating instructions

Planmeca Proline XC Cephalostat 1

INTRODUCTION

User’s manual

1 INTRODUCTION

The Planmeca Proline XC Cephalostat CM uses

cephalometric techniques to produce X-ray images for the

diagnosis of dentomaxillofacial anatomy. The unit is

allowed to be used only under supervision of a dental/

health care professional.

This guide describes how to use the Planmeca Proline XC

cephalostat CM. Version of the CM CEPHALOSTAT is

available for both 18cm x 24cm and 8” X 10” film sizes.

Please read these instructions carefully before using the

cephalostat. This manual should be used in conjunction

with the Planmeca Proline Panoramic X-ray unit’s user’s

manual.

The Proline X-ray unit fulfills the requirements of Directive

93/42/EEC. The Proline XC X-ray unit fulfills the

requirements of standard EN 55011, class A.

NOTE Federal law restricts this device to sale by or on the

order of a dentist.

CAUTION This X-ray unit may be dangerous to both patient

and operator unless safe exposure values are

used and correct operating procedures are

observed.

NOTE The X-ray unit’s software revisions are shown on the

main display when the X-ray unit is switched on. This

manual is valid for software revisions: PG 6.54 or later

and PK 6.52 or later.

The display values shown in this guide are only examples

and should not be interpreted as recommended values

unless otherwise stated.

The exposure values given in these instructions are

based on Kodak Ektavision green sensitive film and

Kodak Ektavision screens. If you are using a different film

and screen combination you may have to use different

exposure values.

The exposure values required to produce good X-ray

images will vary considerably according to the build and

age of the patient, the film processor used and processing

procedures being followed. Therefore, the exposure

values given in this guide are average values and are only

meant to guide the user. Users are encouraged to

develop their own radiographic techniques based on

these values.

Make sure that you are fully acquainted with the

appropriate radiation protection measures and these

instructions before using the unit.

0537

WARNINGS AND PRECAUTIONS

2 Planmeca Proline XC Cephalostat User’s manual

2 WARNINGS AND PRECAUTIONS

NOTE It is very important that the place where the unit is to

be used and the position from which the user is to

operate the unit are correctly shielded. Since radiation

safety requirements vary from country to country and

state to state it is the responsibility of the user to

ensure that all local safety requirements are met.

NOTE If the X-ray unit has been stored at temperatures under

+10°C for more than a few hours, time must be allowed

for the unit to reach room temperature before turning

it on.

NOTE Electromagnetic interference between the equipment

and other devices can occur in very extreme

conditions. Do not use the equipment in close

conjunction with sensitive devices, or devices

creating high electromagnetic disturbances.

NOTE FOR US USERS:

The patient positioning lights are class II laser products

(21 CFR § 1040.10).

NOTE FOR EUROPEAN USERS:

Class 1 laser product (Standard EN 60825-1:1994).

The patient positioning lights are class 1, inherently safe

laser lights.

NOTE EMC requirements have to be considered, and the

equipment must be installed and put into service

according to the specific EMC information provided in

the accompanying documents.

NOTE Portable and mobile RF communications equipment

can affect Planmeca Proline XC

X-ray unit.

NOTE Never place heavy objects on any part of the unit or

hang objects from the unit’s arm structures.

Do not put containers of liquid on any part of the unit.

NOTE Maintain audio and visual contact with the patient and

the unit during the exposure.

CAUTION

LASER RADIATION -

DO NOT STARE

INTO BEAM

1mW

635nm

CLASS II

LASER

PRODUCT

LBL-X-099

LBL-X-100

AVOID

EXPOSURE-

Laser radiation

is emitted from

this aperture.

CLASS 1 LASER PRODUCT

APPAREIL À LASER DE CLASSE 1

EN 60825-1:1994

Planmeca Proline XC Cephalostat 3

CHECKLIST - BEFORE USING THE CEPHALOSTAT

User’s manual

3 CHECKLIST - BEFORE USING THE CEPHALOSTAT

• Make sure that you are fully acquainted with the

appropriate radiation protection measures and the

instructions in this manual before using the

cephalostat.

• Make sure that you have access to a film processor

that is in working order and is ready for use.

• Make sure that you are using the correct film

processing chemicals for the film you are using.

• Make sure that the processing chemicals you are

using are fresh and are at the correct processing

temperatures and concentrations.

• Make sure that the safelight you are using in the

darkroom is suitable for the film being used.

• Make sure that the film you are going to use is fresh.

Do not use old film.

• Make sure that the film and intensifying screen you are

using are compatible. Do not mix films and screens of

different color sensitivity.

• Make sure that the film and screen are the right type

for the technique you plan to use.

• Make sure that the intensifying screen is free of dust

and is not scratched or damaged.

• Never leave the cassette open in daylight.

PLANMECA PROLINE XC PAN/CEPH X-RAY UNIT

4 Planmeca Proline XC Cephalostat User’s manual

4 PLANMECA PROLINE XC PAN/CEPH X-RAY UNIT

4.1 The XC Cephalostat CM

4.2 Main parts of the Proline XC Cephalostat

Cephalostat

Rotatable head support

Rotation scale

Release lever

Ear post holder

Soft tissue filter scale

Nasial positioner

Ear posts

Positioning cones

Right-hand cassette stop

Left-hand cassette stop

Cassette

Cassette clip

Cassette holder

Magnification scale

Planmeca Proline XC Cephalostat 5

PLANMECA PROLINE XC PAN/CEPH X-RAY UNIT

User’s manual

4.3 Removing and replacing the ear posts and the nasial positioner

4.4 Emergency stop button

The emergency stop button is located on the underside of

the vertical carriage. Press the button to stop the vertical

carriage movement in an emergency.

The Error message Er53 will appear on the main display.

Touch OK to clear the error code from the display and pull

the stop button out to start the unit again.

Lift to release

Press down to lock

Ear post/nasial positioner

Holder

Note

When replacing the ear posts push them firmly

to their position.

PREPARATIONS FOR THE CEPHALOMETRIC EXPOSURE

6 Planmeca Proline XC Cephalostat User’s manual

5 PREPARATIONS FOR THE CEPHALOMETRIC EXPOSURE

5.1 Switching on the X-ray unit

Switch the unit on with the on/off switch which is located

on the underside of the vertical carriage on the left-hand

side. The unit will carry out a self-test which will last a few

seconds.

Select the cephalometric exposure program and exposure

parameters according to the instructions given in the

section “6 ENTERING CEPHALOMETRIC PROGRAM”

on page 7.

5.2 Preparing the patient

Ask the patient to remove any spectacles, hearing aids,

dentures, and personal jewellery such as earrings,

necklaces, and hairpins. Place a protective lead apron

over the patient’s shoulders if required.

XC_on_off.eps

Planmeca Proline XC Cephalostat 7

ENTERING CEPHALOMETRIC PROGRAM

User’s manual

6 ENTERING CEPHALOMETRIC PROGRAM

To make a selection on the control panel, simply touch the

screen with your finger on a text field or on an icon. For

example, to select the program type touch the Prog. field

with your finger. You will hear a signal tone when a field or

an icon is activated.

To cancel a selection, touch the Cancel field.

Only the text fields and icons on the screen are touch

sensitive, and touching areas outside them will not

activate an icon.

NOTE Refer to the Proline XC X-ray unit User’s Manual for

information on how to select the panoramic,

temporomandibular joint (TMJ) and sinus exposure

programs.

6.1 Selecting cephalometric exposure program

To select the cephalometric exposure program touch the

Prog. field on the main display.

The Select program type display shown below appears.

Select the program type Ceph.

When you have selected the program type Ceph the main

display will be shown again.

ENTERING CEPHALOMETRIC PROGRAM

8 Planmeca Proline XC Cephalostat User’s manual

After selecting the Ceph program, the Ready field is green

indicating that the unit is in ready position.

Select the collimator for the exposure by touching the

Collimator field. There are three collimator alternatives to

choose from:

4vertical asymmetric

5vertical symmetric

6horizontal symmetric

Remove the chin rest or chin support from the patient

positioning mechanism.

Chin rest

Patient positioning

mechanism

Planmeca Proline XC Cephalostat 9

ENTERING CEPHALOMETRIC PROGRAM

User’s manual

If there is a panoramic cassette in the cassette carriage

remove the cassette.

The rotating unit will move automatically to the correct

position for taking cephalometric exposures.

CassetteCassette

carriage

Rotating unit in correct position

for taking ceph exposures

TAKING AN EXPOSURE - LATERAL CEPH

10 Planmeca Proline XC Cephalostat User’s manual

7 TAKING AN EXPOSURE - LATERAL CEPH

In the darkroom place a film inside the cassette. Handle

the film in accordance with the manufacturer’s instructions

and be careful not to damage the intensifying screens

inside the cassette.

When you are taking a vertical asymmetric lateral

exposure orientate the cassette so that it is vertical and

then slide the cassette into the cassette holder and

position it so that the left-hand side of the cassette is flush

with the left-hand side of the cassette holder.

Select the cephalometric exposure mode and collimator

number 4, see section “6.1 Selecting cephalometric

exposure program” on page 7.

When you are taking a horizontal symmetric lateral

exposure orientate the cassette so that it is horizontal and

then slide the cassette into the cassette holder until the

cassette is centered in the cassette holder.

Select the cephalometric exposure mode 6, see section

“6.1 Selecting cephalometric exposure program” on page

Cassette clip

Cassette holder

Cassette

Cassette clip

Cassette holder

Cassette

Planmeca Proline XC Cephalostat 11

TAKING AN EXPOSURE - LATERAL CEPH

User’s manual

Rotate the head support to the 90° position, the angle can

be seen on the rotation scale. Press the release lever on

the side of the left-hand ear post holder and slide the ear

posts out as far as they will go. Also slide the nasial

positioner out as far as it will go.

Adjust the height of the cephalostat until the positioning

cones at the ends of the ear posts are level with the

patient’s ears.

Position the patient between the two ear posts so that the

patient is facing the nasial positioner.

Press the release lever on the side of the left-hand ear

post holder and carefully slide the positioning cones into

the patient’s ears.

456

Nasial positioner

Ear posts

Release lever

Head support Rotation scale

Release lever

Positioning cones

Left-hand ear post

Nasial positioner

TAKING AN EXPOSURE - LATERAL CEPH

12 Planmeca Proline XC Cephalostat User’s manual

Slide the nasial positioner towards the patient until it

touches the patient’s nasion and then, by sliding the

nasial positioner up or down, adjust the angle of the

patient’s head until the Frankfort plane is horizontal.

Note the position of the nasial positioner (the line on the

holder indicates its position) on the soft tissue filter scale.

The value on the scale is used to determine the position

of the soft tissue filter.

Touch either of the soft tissue filter arrows to drive the soft

tissue filter (it is attached to the cassette carriage) to the

same position that appears on the soft tissue filter scale.

The position will appear on the main display.

The left arrow will decrease the area filtered (the soft

tissue filter will move away from the patient) and the right

arrow will increase the area filtered (the soft tissue filter

will move towards the patient).

Nasial positioner

Frankfort plane

0 10 20 30 40 50 60

Soft tissue filter scale

0 10 20 30 40 50 60

Line

Holder

Nasial positioner

Planmeca Proline XC Cephalostat 13

TAKING AN EXPOSURE - LATERAL CEPH

User’s manual

Select the exposure magnification by sliding the cassette

holder towards or away from the patient. The

magnification can be seen on the magnification scale

above the cassette holder.

Select the exposure values and exposure time for the

patient being X-rayed according to the values in the table

below.

Move at least two meters (seven feet) from the X-ray.

Protect yourself from unnecessary exposure to radiation.

Press and hold down the exposure button on the remote

control for the duration of the exposure. During the

exposure period the radiation warning light will come on

and you will hear the radiation warning tone. When the

radiation warning tone stops the ear posts can be slid out

and the patient can be guided from the unit.

Remove the cassette from the cassette holder and

process the film.

7.0.1 Measuring scale

Embedded in the nasial positioner is a metal scale an

image of which will appear on the exposed film. By

PATIENT kV VALUE mA VALUE TIME

Child up to 6 years 66 12 0.3

Child 7- 12 years 68 12 0.4

Adult female or small male 68 12 0.6

Adult male 70 12 0.8

Large adult male 72 12 1.0

200 190 180 170 160 150 140 130

1.13 1.12 1.11 1.10 1.09

Cephscale1298.eps

Cassette holder

Magnification scale

Lateral exposure

Image of measuring scale

Actual size

50mm

Measuring

scale

TAKING AN EXPOSURE - LATERAL CEPH

14 Planmeca Proline XC Cephalostat User’s manual

measuring the image of the scale that appears on the film

and comparing its size with the actual size of the scale

accurate measurements of the patient’s teeth and bone

structure can be made.

The actual length of the scale is 50mm and it is divided

into millimeter increments.

Planmeca Proline XC Cephalostat 15

TAKING AN EXPOSURE - ANTERIOR-POSTERIOR AND POSTERIOR-ANTERIOR

User’s manual

8 TAKING AN EXPOSURE - ANTERIOR-POSTERIOR AND

POSTERIOR-ANTERIOR

In the darkroom place a film inside the cassette. Handle

the film in accordance with the manufacturer’s instructions

and be careful not to damage the intensifying screens

inside the cassette.

Orientate the cassette so that it is vertical and then slide

the cassette into the cassette holder, either from the left or

right, and position it so that the right-hand side of the

cassette is flush with the right-hand side of the cassette

holder.

Select the cephalometric exposure mode and collimator

number 5, see section “6.1 Selecting cephalometric

exposure program” on page 7.

Rotate the head support to the 0 or 180° position to take

an anterior-posterior or a posterior-anterior exposure.

Press the release lever on the side of the left-hand ear

post holder and slide the ear posts out as far as they will

go. Swing the nasial positioner up to the horizontal

position.

Adjust the height of the cephalostat until the positioning

cones at the ends of the ear posts are level with the

patient’s ears.

Position the patient between the two ear posts. If you are

taking an anterior-posterior exposure position the patient

Cassette clip

Cassette holder

Cassette

456

Nasial positioner

Head support

Ear posts

Rotation scale

TAKING AN EXPOSURE - ANTERIOR-POSTERIOR AND POSTERIOR-ANTERIOR

16 Planmeca Proline XC Cephalostat User’s manual

so that they are looking away from the cassette and if you

are taking a posterior-anterior exposure position the

patient so that they are facing the cassette.

Adjust the tilt of the patient’s head so that the Frankfort

plane is parallel to the floor.

Press the release lever on the side of the left-hand ear

post holder and VERY carefully slide the positioning

cones into the patient’s ears.

Select the exposure magnification by sliding the cassette

holder towards or away from the patient. The

200 190 180 170 160 150 140 130

1.13 1.12 1.09

200 190 180 170 160 150 140 130

1.13 1.12 1.09

Posterior-anterior positionAnterior-posterior position

200 190 180 170 160 150 140 130

1.13 1.12 1.09

Frankfort plane

Anterior-posterior position

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Planmeca Proline XC User manual

Planmeca Proline XC User manual

Planmeca Proline XC User manual

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