Carestream DENTAL CS 8200 3D User manual

User Guide
CS 8200 3D
English

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.
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).
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: 02
Print Date: 2022-01
The CS 8200 3D complies with Medical Device Directive 93/42/EEC until September 14th, 2022. After this date, the
products will be certified according to Medical Device Regulation (EU) 2017/745 and Medical Devices Regulations
2002 (SI618) as subsequently amended by the EU Exit Regulations of 2019 (SI 791) and 2020 (SI 1478).
Important: We recommend that you consult the “Safety, Regulatory
and Technical Specifications User Guide” before using the CS 8200
3D.
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.

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed02 iii
Contents
Chapter 1
Conventions in This
Guide
Conventions in this Guide. . . . . . . . . . . . . . . . . . . . . . 1
Chapter 2
CS 8200 3D
Overview
Mobile Components. . . . . . . . . . . . . . . . . . . . . . . . . 4
General Functional Components . . . . . . . . . . . . . . . . . . 6
Head and Chin Rest. . . . . . . . . . . . . . . . . . . . . . . . . 7
Positioning Accessories . . . . . . . . . . . . . . . . . . . . 8
Positioning Panel . . . . . . . . . . . . . . . . . . . . . . . . . . 10
X-ray Remote Control Overview . . . . . . . . . . . . . . . . . . 11
Chapter 3
Imaging Software
Overview
Computer System Requirements . . . . . . . . . . . . . . . . . . 13
General Software Overview. . . . . . . . . . . . . . . . . . . . . 13
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
Getting Started
Switching on the Unit . . . . . . . . . . . . . . . . . . . . . . . . 19
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
Pediatric Use:
Summary of Safety
Instructions
Device Specific Features and Instructions . . . . . . . . . . . . . 24
Patient Size Selection . . . . . . . . . . . . . . . . . . . . . 24
Imaging Mode Selection . . . . . . . . . . . . . . . . . . . . 24
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
Panoramic Images
Acquiring a Panoramic, TMJ x2, TMJ x4, or Bitewing for the
Adult and Pediatric Patient . . . . . . . . . . . . . . . . . . . . . 27
Setting the Acquisition Parameters . . . . . . . . . . . . . . 27
Preparing and Positioning the Adult and Pediatric Patient . . 30

iv
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
Images
Acquiring 3D Teeth Images for the Adult and Pediatric Patient . 39
Setting the Acquisition Parameters . . . . . . . . . . . . . 39
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
Acquiring 3D Object
Images
General Overview . . . . . . . . . . . . . . . . . . . . . . . . . 53
Acquiring Images of 3D Dental Objects. . . . . . . . . . . . . . 54
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
Maintenance actions . . . . . . . . . . . . . . . . . . . . . . . . 65
Monthly maintenance . . . . . . . . . . . . . . . . . . . . . 65
Annual maintenance . . . . . . . . . . . . . . . . . . . . . 65
Controlling the Image Quality . . . . . . . . . . . . . . . . . . . 65
Chapter 10
Troubleshooting
Quick Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . 69

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed02 v
Chapter 11
Contact Information
Manufacturer’s Address . . . . . . . . . . . . . . . . . . . . . . 71
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

vi

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed02 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

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed02 3
2 CS 8200 3D Overview
The following chart illustrates the different product configurations of the CS 8200 3D:
CS 8200 3D sScan Ceph for CS 8200 3D Family
2D
3D
4x4 - 5x5 - 5x8

4 Chapter 2 CS 8200 3D Overview
Mobile Components
Figure 1 illustrates the:
Up and down movement of the unit
Rotation and translation movement of the rotative arm
8x9 - 8x5
10x10 - 10x5 - 12x10 - 12x5
Available Upgradable
CS 8200 3D sScan Ceph for CS 8200 3D Family
WARNING: X-rays can be harmful and dangerous if not used properly.
The instructions and warnings contained in this guide must be followed
carefully.
Important: The patient can enter by either the left side or the
right side of the unit.

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed02 5
Figure 1 Unit Mobile Components

6 Chapter 2 CS 8200 3D Overview
General Functional Components
The following figures illustrate the general functional components of the unit.
Figure 2 Unit Functional Components
1ON/OFF button 7Temple support
2Emergency stop knob 8X-ray source assembly
3Unit rotative arm 9Unit head
4Digital sensor 10 X-ray remote control
5Unit column 11 Computer hosting the imaging and the acquisition
software
6Head and chin rest
10
11
2
6
4
3
1
8
5
9
7

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed02 7
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
1Positioning Panel 4Bite block support
2Temple support adjustment knob 5Chin rest
3Temple support 6Hand grips
3
5
4
1
6
2

8 Chapter 2 CS 8200 3D Overview
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)

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed02 9
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)
Table 1 Positioning Accessories
Accessory Description

10 Chapter 2 CS 8200 3D Overview
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 Temple support adjustment knob: Opens and closes the temple supports when you turn
the knob.
11 2 3

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed02 11
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.
1
WARNING: X-rays can be harmful and dangerous if not used properly.
The instructions and warnings contained in this guide must be followed
carefully.

12 Chapter 2 CS 8200 3D Overview

Panoramic and 3D Modality User guide for CS 8200 3D (SMA65) Ed02 13
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.
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.
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.

14 Chapter 3 Imaging Software Overview
Acquisition Interface
Panoramic Acquisition Interface Overview
The Panoramic Acquisition interface provides you with panoramic imaging acquisition
functions.
Figure 6 Panoramic Acquisition Interface
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.
3Exits the acquisition interface
Important: R indicates that it corresponds to the right side of the patient
who is facing the operator.
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.