Carestream DENTAL CS 8100 Series User manual

Panoramic Modality
User guide
for CS 8100 Family
Including
CS 8100
CS 8100 Access
CS 8100SC
CS 8100SC Access

Notice
Congratulations on your purchase of the CS 8100 Family. Thank you for your confidence in our products
and we will do all in our power to ensure your complete satisfaction.
The Panoramic Modality User guide for CS 8100 Family provides information on complete or seg-
mented tomographic digital panoramic X-ray image modalities. We recommend that you thoroughly fa-
miliarize yourself with this guide in order to make the most effective use of your system.
For Cephalometric Modality, see the Cephalometric Modality User guide for CS 8100 Family and CS
8100 3D Family.
The CS 8100 Family includes:
•CS 8100: the complete Panoramic Modality.
•CS 8100 Access: the Panoramic Modality without the 2D+ radiological exam.
•CS 8100SC: the complete Panoramic and Cephalometric Modalities.
•CS 8100SC Access: the Panoramic Modality (without the 2D+ radiological exam
modality) and the Cephalometric Modality (without the 26x24 FoV (Field of View)).
This document refers to all models as CS 8100 unless otherwise specified.
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 Health, Inc.
The US Federal law restricts this device to sale by or on the order of a physician.
This document is originally written in English.
Manual Name: Panoramic Modality User guide for CS 8100 Family
Part Number: SM784
Revision Number: 05
Print Date: 2016-10
The CS 8100 Family complies with Directive 93/42/EEC relating to medical equipment.
Important: We recommend that you consult the CS 8100 Family
Safety, Regulatory and Technical Specification User Guide (SM785)
before using the CS 8100 Family.
0086

CS 8100 Family User guide_SM784_Ed05 iii
Contents
Chapter 1
Conventions in This
Guide
Conventions in this Guide. . . . . . . . . . . . . . . . . . . . . . 1
Chapter 2
CS 8100 Overview
Mobile Components. . . . . . . . . . . . . . . . . . . . . . . . . 3
General Functional Components . . . . . . . . . . . . . . . . . . 4
Head and Chin Rest. . . . . . . . . . . . . . . . . . . . . . . . . 5
Positioning Accessories . . . . . . . . . . . . . . . . . . . . 6
Positioning Panel . . . . . . . . . . . . . . . . . . . . . . . . . . 7
X-Ray Remote Control Overview . . . . . . . . . . . . . . . . . . 8
Chapter 3
Imaging Software
Overview
Computer System Requirements . . . . . . . . . . . . . . . . . . 9
General Software Overview. . . . . . . . . . . . . . . . . . . . . 9
CS Imaging Software . . . . . . . . . . . . . . . . . . . . . 9
Panoramic Acquisition Interface. . . . . . . . . . . . . . . . 9
Panoramic Acquisition Interface Overview . . . . . . . . . . . . . 10
Program Pane . . . . . . . . . . . . . . . . . . . . . . . . . 11
Patient Pane . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Parameter Pane . . . . . . . . . . . . . . . . . . . . . . . . 14
Chapter 4
Getting Started
Switching on the Unit . . . . . . . . . . . . . . . . . . . . . . . . 15
Increasing the operating life of the X-ray tube . . . . . . . . 15
Firewall or Network Settings . . . . . . . . . . . . . . . . . . . . 16
Accessing the Panoramic Acquisition Interface . . . . . . . . . . 17
Chapter 5
Acquiring Images
Acquiring a Panoramic, TMJ x2, or Sinus Image for the Adult and
Pediatric Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Preparing the Unit and Setting the Acquisition Parameters . 19
Preparing and Positioning the Adult and Pediatric Patient . . 23
Launching the X-ray . . . . . . . . . . . . . . . . . . . . . . 26
Acquiring a 2D+ Image for the Adult and Pediatric Patient . . . . 27
Preparing the Unit and Setting the Acquisition Parameters . 27
Preparing and Positioning the Adult and Pediatric Patient . . 29
Launching the X-ray . . . . . . . . . . . . . . . . . . . . . . 33
Acquiring a TMJ x4 Image for the Adult and Pediatric Patient . . . 34
Preparing the Unit and Setting the Acquisition Parameters . 34
Preparing and Positioning the Adult and Pediatric Patient . . 35
Launching the X-ray . . . . . . . . . . . . . . . . . . . . . . 37
X-Ray Dose Emission Information. . . . . . . . . . . . . . . . . . 38

iv
Chapter 6
Maintenance
Monthly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Annually . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Controlling the Image Quality . . . . . . . . . . . . . . . . . . . 39
Chapter 7
Troubleshooting
Quick Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . 41
Chapter 8
Contact Information
Manufacturer’s Address . . . . . . . . . . . . . . . . . . . . . . 43
Authorized Representatives . . . . . . . . . . . . . . . . . . . . 43

CS 8100 Family User guide_SM784_Ed05 1
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.

2 Chapter 1 Conventions in This Guide

CS 8100 Family User guide_SM784_Ed05 3
2 CS 8100 Overview
The CS 8100 Family includes:
•CS 8100: the complete Panoramic Modality.
•CS 8100 Access: the Panoramic Modality without the 2D+ radiological exam.
•CS 8100SC: the complete Panoramic and Cephalometric Modalities.
•CS 8100SC Access: the Panoramic Modality (without the 2D+ radiological exam
modality) and the Cephalometric Modality (without the 26x24 FoV (Field of View)).
This document refers to all models as CS 8100 unless otherwise specified.
The following figures illustrate the general overview of the CS 8100.
Mobile Components
Figure 1 illustrates the:
•up and down movement of the unit
•rotation and translation movement of the rotative arm
Figure 1 Unit Mobile Components
Important: The patient can enter through either the left side or
the right side of the unit.

4 Chapter 2 CS 8100 Overview
General Functional Components
Figure 2 illustrates the general functional components of the unit.
Figure 2 Unit Functional Components
1ON/OFF button 6Head and chin rest
2Emergency stop knob 7Digital panoramic sensor
3Unit rotative arm 8Unit head
4X-ray source assembly 9X-ray remote control
5Unit column 10 PC hosting the imaging and the acquisition software
9
10
2
6
4
3
1
7
5
8

CS 8100 Family User guide_SM784_Ed05 5
Head and Chin Rest
Figure 3 illustrates the functional components of the head and chin rest.
Figure 3 Head and Chin Rest Functional Components
1Positioning Panel 5Bite block support
2Frontal head rest adjustment knob 6Chin rest
3Frontal head rest 7Hand grips
4Horizontal positioning indicators 8Vertical positioning indicators
2
3
6
4
5
1
7
8
8

6 Chapter 2 CS 8100 Overview
Positioning Accessories
The following accessories are used when positioning a patient. They are delivered with the
CS 8100.
Table 1 lists the positioning accessories.
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 Frankfort guide bite block
(100 pcs box)

CS 8100 Family User guide_SM784_Ed05 7
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 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 Frontal head rest adjustment knob: Positions the up or down inclination of the patient
head by turning the knob.

8 Chapter 2 CS 8100 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.

CS 8100 Family User guide_SM784_Ed05 9
3 Imaging Software Overview
Computer System Requirements
For the minimum computer system requirements and configuration for the Imaging Software,
see the CS 8100 Family Safety, Regulatory and Technical Specifications User Guide.
General Software Overview
The CS 8100 operates with the following software:
•CS Imaging Software
•Panoramic Acquisition Interface
CS Imaging Software
The CS Imaging Software is a user-friendly working interface designed and developed
specifically to support image diagnosis.
Panoramic Acquisition Interface
The Panoramic Acquisition Interface is a user-friendly image acquisition interface designed
and developed specifically for the CS 8100 Family.
Important: It is MANDATORY to check that the computer system configuration
is compatible with the computer system requirements for the CS 8100 software.
If necessary you MUST update your computer system configuration.
Important: The unit MUST be connected to the computer via a point-to-point
Ethernet link and not via a LAN.

10 Chapter 3 Imaging Software Overview
Panoramic Acquisition Interface Overview
The Panoramic Acquisition Interface provides you with panoramic image acquisition
functions.
Figure 6 Panoramic Acquisition Interface
1 Information button:
•Show versions ...: Identifies Software and Firmware versions.
•Resetting Anatomy setting: Resets to the manufacturing parameter settings.
•Memorize Anatomy setting: Memorizes the user preference settings for each patient
type (kV, mA and seconds).
2 Preview Screen: Displays the acquired image after a few seconds.
3 Selected Parameter Display: Displays the current acquisition parameter settings.
4 System Status Screen: Displays various alert or warning messages originating from the unit.
5 Generator Cooling indicator: Indicates the automatic cooling time (mm:ss) required for the
generator to reach 0 for a new acquisition.
6 Reset button: Resets the unit to the starting position to enable you to position a patient in the
unit.
7 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.
8X-ray On/Off button: Enables or disables X-ray emission.
9 Ready Indicator LED
•Green indicates the unit is ready to start acquisition.
•Black indicates the unit is not ready to start acquisition.
10 Exit button: Closes the Acquisition interface.
11 X-ray Emission indicator: Yellow, indicates the X-ray emission status.
12 Selector Button: Selects different acquisition setting options.
•Click Program to select examination type options.
•Click Patient to select patient type parameters.
•Click Parameters to select exposure parameter options.

CS 8100 Family User guide_SM784_Ed05 11
Program Pane
The Program pane enables you to choose different radiological exams. The diagram in the
Program pane represents a jaw, with the Rside of the diagram corresponding to the right
side of the patient.
Figure 7 Program Pane
Radiological exam options:
Segmented panoramic acquisition:
Click on the following areas of interest that you want to examine:
•Posterior
•Anterior
The selected area of interest will highlight. Example (anterior exam):
Maxillary Sinus acquisition:
Click .
TMJ acquisition:
Click for a TMJ x2 acquisition.
Click and click for a TMJ x4 acquisition.
Full panoramic acquisition:
Click on all the areas of interest. Example:
Bitewing acquisition:
Click .
Select one or both area(s) of interest .

12 Chapter 3 Imaging Software Overview
2D+ acquisition:
Click to examine a selected area of interest in 2D+ slices that can be moved in the
buccal/lingual direction across a jaw.
You can select 7 areas of interest:
Incisor block Left canine block Left premolar block
Left molar block Right canine block Right premolar block
Right molar block
The following figure illustrates a buccal to lingual block area of interest (A) and the 7 acquired
2D+ image slices (B) at different depths inside the jaw.
NOTE: The 2D+ feature is available for CS 8100 and CS 8100SC. It is not
available for CS 8100 Access and CS 8100SC Access.

CS 8100 Family User guide_SM784_Ed05 13
Patient Pane
The Patient pane enables you to choose and select the different patient parameters. The
selected parameters for a patient influences the image quality because:
•The default KV and mA exposure settings are set for the selected patient mode.
•The image is reconstructed according to the patient dental arch morphology.
The selected parameters must be based on the age and morphology of the patient .
Figure 8 Patient Pane
Note: A selected patient mode sets the: •kV and mA
•jaw size
1Patient type parameters:
Pediatric mode:
Click if the patient is a child.
Adult mode:
Click if the patient is small.
Click if the patient is medium.
Click if the patient is large.
Important:
See the CS 8100 Family Safety, Regulatory and Technical Specifications User Guide for
information on radiation protection and recommendations when you select a patient
type especially the pediatric patient.
2Patient dental arch morphology:
Click for a normal shape dental arch.
Click for a square dental arch.
Click for a sharp dental arch.

14 Chapter 3 Imaging Software Overview
Parameter Pane
The Parameter Pane enables you to choose exposure parameters for the radiological image
acquisition. If the default parameter setting is not adapted to your patient type, you can
manually adapt the parameter setting to the patient type and save this setting as the default
setting.
To save a parameter setting, click and select Memorize Anatomy setting.
Figure 9 Parameter Pane
1Exposure setting options:
kilovolt
milliampere
2 Fine-tuning buttons:
Click or to fine-tune the kV and the mA.

CS 8100 Family User guide_SM784_Ed05 15
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.
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
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 series of parameter settings:
•70 kV - 6.3 mA
•80 kV - 10 mA
•85 kV - 10 mA
3. Leave the X-ray room and close the door. For each parameter setting, from the X-ray remote
control, press and hold the button to launch the X-ray
The unit is now ready to be used for acquisition.
Important: You must switch on the computer and wait for it to
be ready for the connection before switching on the unit.
Important: To increase the operating life of the X-ray tube, if the
unit has not been used for a month, you must follow the
following procedures before use.

16 Chapter 4 Getting Started
Firewall or Network Settings
You will not be able to access the Acquisition Interface if you have not configured the
firewall or network settings.
To configure 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 CS Imaging Software.
Note: See your firewall documentation for information on how to
configure the firewall or network settings.