Carestream DENTAL CS 9000C User manual

CS 9000C AND CS 9000C 3D
User Guide

Notice
Congratulations on your purchase of the CS 9000C and CS 9000C 3D. Thank you for your confidence in our
products and we will do all in our power to ensure your complete satisfaction.
The User Guide for the CS 9000C and CS 9000C 3D includes information on the cephalometric features. For
the panoramic or the 3D features, see the CS 9000 and CS 9000 3D (SM764) User Guide. We recommend
that you thoroughly familiarize yourself with this Guide in order to make the most effective use of your system.
CS 9000C and CS 9000C 3D are intended to produce panoramic and cephalometric X-ray imaging at the
direction of health care professionals of the dento-maxillofacial area. In addition, the CS 9000C 3D includes a
dental volumetric reconstruction mode, which is intended to produce three-dimensional X-ray images of the
dento-maxillofacial region.
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: CS 9000C and CS 9000C 3D User Guide
Part Number: SM768
Revision Number: 02
Print Date: 2015-10
CS 9000C and CS 9000C 3D, complies with Directive 93/42/EEC relating to medical equipment.
WARNING: We recommend that you consult the “Safety, Regulatory and the Technical
Specification User Guide” before using the CS 9000C or CS 9000C 3D.
0086

CS 9000C and CS 9000C 3D User Guide (SM768)_Ed 02 iii
Contents
1—About This Guide
Conventions in this Guide. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1–1
2—CS 9000C AND CS 9000C 3D UNIT OVERVIEW
General Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–1
Mobile Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–2
General Functional Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–3
Digital Sensor Locations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–4
Laser Locations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–5
Control Panel Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–6
X-ray Remote Control Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–7
Positioning Accessories and Replacement Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–8
Panoramic Positioning Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–8
3D Positioning Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–9
Patient Positioning Indicators. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–10
3—IMAGING SOFTWARE OVERVIEW
Computer System Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–1
General Software Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–1
Imaging Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–1
Cephalometric Acquisition Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–1
Cephalometric Acquisition Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–2
Cephalometric Acquisition Interface Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–2
Cephalometric Program Pane . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–4
Cephalometric Patient Pane . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–5
Cephalometric Parameter Pane. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–6
4—GETTING STARTED
Switching On the Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–1
Accessing the Cephalometric Acquisition Interface. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–2
5—ACQUIRING CEPHALOMETRIC IMAGES
Acquiring a Lateral Image for Adult and Pediatric Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–1
Preparing the Unit and Setting the Acquisition Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–1
Preparing and Positioning Adult and Pediatric Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–2
Launching the X-ray. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–4
Acquiring a Frontal AP or PA Image for Adult and Pediatric Patients. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–5
Preparing the Unit and Setting the Acquisition Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–5
Preparing and Positioning Adult and Pediatric Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–6
Launching the X-ray. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–8
Acquiring an Oblique Image for Adult and Pediatric Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–10
Preparing the Unit and Setting the Acquisition Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–10
Preparing and Positioning Adult and Pediatric Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–11

iv
Contents
Launching the X-ray . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–12
Acquiring a Submento-Vertex Image for Adult and Pediatric Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–13
Preparing the Unit and Setting the Acquisition Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–13
Preparing and Positioning Adult and Pediatric Patients. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–14
Launching the X-ray . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–15
Acquiring a Carpus Image for Pediatric Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–17
Preparing the Unit and Setting the Acquisition Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–17
Preparing and Positioning Pediatric Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–18
Launching the X-ray . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–19
X-ray Dose Emission Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–20
6—MAINTENANCE
Monthly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6–1
Annually . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6–1
Controlling the Image Quality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6–1
7—TROUBLESHOOTING
Quick Troubleshooting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7–1
8—CONTACT INFORMATION
Manufacturer’s Address. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8–1
Authorized Representatives. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8–1

CS 9000C and CS 9000C 3D User Guide (SM768)_Ed 02 1–1
Chapter 1
About 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.

Conventions in this Guide
1–2 About This Guide

CS 9000C and CS 9000C 3D User Guide (SM768)_Ed 02 2–1
Chapter 2
CS 9000C AND CS 9000C 3D UNIT OVERVIEW
The CS 9000C and CS 9000C 3D unit have been designed to carry out the following
radiological examinations:
•Lateral
•Frontal (PA or AP)
•Oblique
•Submento-vertex
•Carpus
General Overview
The CS 9000C unit is composed of the following functional components:
•The unit head that contains all the electronic control
•The rotative arm
•The fixed arm with a control panel
•The panoramic digital sensor
•The X-ray source assembly
•The X-ray remote control
•The chin rest base
•The panoramic chin rest and bite block
•The temple supports
•The hand grips
•The cephalostat arm
•The cephalostat head
•The head clamps and ear cones
•The nasion support
•The acquisition software
The CS 9000C 3D unit is composed of the following functional components:
•The unit head that contains all the electronic control
•The rotative arm
•The fixed arm with a control panel
•The panoramic digital sensor
•The 3D digital sensor
•The X-ray source assembly
•The X-ray remote control
•The chin rest base
•The panoramic chin rest and bite block

General Overview
2–2 CS 9000C AND CS 9000C 3D UNIT OVERVIEW
•The 3D chin rest and bite block
•The temple supports
•The hand grips
•The cephalostat arm
•The cephalostat head
•The head clamps and ear cones
•The nasion support
•The acquisition software
The following figures illustrate the general overview of the CS 9000C and CS 9000C 3D
unit.
Mobile Components
Figure 2-1 illustrates the up and down movement of the CS 9000C and CS 9000C 3D
mobile component and the 180° rotation of the rotative arm.
Figure 2–1 CS 9000C and CS 9000C 3D Unit Mobile Components

General Overview
CS 9000C and CS 9000C 3D User Guide (SM768)_Ed 02 2–3
General Functional Components
Figure 2-2 illustrates the general functional components of the CS 9000C and
CS 9000C 3D.
Figure 2–2 CS 9000C and CS 9000C 3D Unit Functional Components
1ON/OFF button 8X-ray source assembly
2Unit fixed arm 9Unit rotative arm
3Control panel 10 X-ray remote control
4Hand Grips 11 Chephalostat arm
5Chin rest base 12 Cephalostat head
5a Panoramic chin rest 13 Head clamps and ear cones
5b 3D chin rest and bite block 14 Nasion support
6Temple supports 15 Computer hosting the imaging and
acquisition software
7Sensor
5
3
6
8
5a
1
9
5b
11
4
7
215
12
5
14
13
10

General Overview
2–4 CS 9000C AND CS 9000C 3D UNIT OVERVIEW
Digital Sensor Locations
Figure 2-3 illustrates the locations of the panoramic, 3D and cephalometric digital
sensors of the CS 9000C and CS 9000C 3D.
Figure 2–3 CS 9000C and CS 9000C 3D Unit Panoramic, 3D and Cephalometric Digital
Sensor Locations
IMPORTANT
* When the unit is ONLY panoramic, the 3D option is not available.
Therefore, the location of the digital sensor indicates that it is ready
for the 3D option.
Digital 3D
*

General Overview
CS 9000C and CS 9000C 3D User Guide (SM768)_Ed 02 2–5
Laser Locations
Figure 2-4 illustrates the location of the lasers of the CS 9000C and CS 9000C 3D.
Figure 2–4 CS 9000C and CS 9000C 3D Unit Laser Positions
13D central positioning laser beam
2Mid-sagittal positioning laser beam
3Horizontal positioning laser beam
43D Field of View (FoV) positioning laser beam
5Cephalometric Frankfurt positioning laser beam
3
4
2
1
B
A
A
3
4
1212
5
5
B

Control Panel Overview
2–6 CS 9000C AND CS 9000C 3D UNIT OVERVIEW
Control Panel Overview
The control panel is an alphanumeric, digital soft touch console. It allows the operator to
control certain unit functions. It also displays the operating parameters and error
messages.
Figure 2–5 Unit Control Panel
1 Height Adjustment button: Adjusts the height of the unit to the height of the patient.
2 3D Head Adjustment button: Adjusts the patient head to the X-ray beams.
3 3D Adjustment button: Adjusts the unit rotative arm movements to correctly position the
patient for 3D acquisition.
4 Laser Beam button: Activates the beams to correctly position the patient.
5 3D Position Verification button: Positions the unit rotative arm at the selected or
memorized 3D position.
6 Reset button: Resets the unit arm to the initial position to enable the patient to enter and
exit the Unit.
7 3D Memorization button: Memorizes the 3D current positioning parameter settings that
override the default parameters.
8 Display Screen: Displays the current acquisition parameters and the error messages.
9 Ready Indicator LED: Green, indicates the unit is ready for acquisition.
10 X-ray Emission LED: Yellow, indicates the X-rays are being emitted.
11 System Status LED: Red, indicates the error alerts.
mem
kV mA S
76
123
5410911
8

X-ray Remote Control Overview
CS 9000C and CS 9000C 3D User Guide (SM768)_Ed 02 2–7
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 2–6 X-ray Remote Control
1 Exposure button: launches image acquisition.
1

Positioning Accessories and Replacement Parts
2–8 CS 9000C AND CS 9000C 3D UNIT OVERVIEW
Positioning Accessories and Replacement Parts
The following accessories are used when positioning a patient. They are delivered with
the CS 9000C and CS 9000C 3D digital imaging unit.
Panoramic Positioning Accessories
Table 2–1 Panoramic Positioning Accessories and Replacement Parts
Accessory Description
•Panoramic chin rest
•TMJ x2
•Sinus
TMJ x4 nose rest
Panoramic standard bite block
Bite block for edentulous patients
Single use sheaths for bite blocks
(500 pcs box)

Positioning Accessories and Replacement Parts
CS 9000C and CS 9000C 3D User Guide (SM768)_Ed 02 2–9
3D Positioning Accessories
Table 2–2 3D Positioning Accessories and Replacement Parts
Accessory Description
3D bite block
3D bite block support
3D head rest and head strap
Single use hygienic sheaths for 3D bite block
(100 pcs box)

Positioning Accessories and Replacement Parts
2–10 CS 9000C AND CS 9000C 3D UNIT OVERVIEW
Patient Positioning Indicators
Table 2–3 Patient Positioning Indicators represented on the chin rest base
Positioning Indicators Description
For sinus positioning
•For TMJ x2 and TMJ x4 positioning
•For panoramic positioning
For 3D upper jaw positioning
For 3D lower jaw positioning

CS 9000C and CS 9000C 3D User Guide (SM768)_Ed 02 3–1
Chapter 3
IMAGING SOFTWARE OVERVIEW
Computer System Requirements
For the minimum computer system requirements and configuration for the Imaging
Software, see the CS 9000 Family Safety, Regulatory and Technical Specifications
User Guide.
IMPORTANT
It is MANDATORY to check that the computer system configuration is
compatible with the computer system requirements for the CS 9000C and
CS 9000C 3D software. If necessary you MUST update your computer
system configuration. CS 9000C and CS 9000C 3D MUST be
connected to the computer via a point-to-point ethernet link and not via a
LAN.
General Software Overview
The CS 9000C and CS 9000C 3D operates with the following software:
•Imaging software
•Acquisition interface
Imaging Software
The imaging software is a user-friendly working interface that was designed and
developed specifically for radiological diagnosis. It is the common imaging platform for all
our digital systems.
The imaging software has the following features:
•Patient management
•Extraoral and intraoral image management
•3D image management
Cephalometric Acquisition Interface
The cephalometric acquisition interface is a user-friendly working interface that was
designed and developed specifically for the CS 9000C and CS 9000C 3D extraoral
imaging system.

Cephalometric Acquisition Interface
3–2 IMAGING SOFTWARE OVERVIEW
Cephalometric Acquisition Interface
Cephalometric Acquisition Interface Overview
The Cephalometric Acquisition interface is the main cephalometric interface with the
CS 9000C and CS 9000C 3D extraoral imaging system that provides you with imaging
acquisition functions.
Figure 3–1 Cephalometric Acquisition Interface
1 Information button:
•About: Identifies the Software and the Firmware versions
•Reset of the Values: Resets to the manufacturing parameter settings
•Memorize settings: Memorizes the user preference settings for each patient type (kV,
mA and seconds)
2PreviewScreen:Displays the acquired image in real time.
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 X-rays ON/OFF button: Turns off the X-ray emissions to demonstrate the acquisition
process for the patient.
6 Generator Cooling indicator: Indicates the automatic cooling time (mm:ss) required for
the generator to reach 0 for a new acquisition.
7 Stop button: Stops the unit rotative arm movement

Cephalometric Acquisition Interface
CS 9000C and CS 9000C 3D User Guide (SM768)_Ed 02 3–3
The Selector button enables you to access the following 3 panes:
•Program pane: Examination type options
•Patient pane: Patient type parameter options
•Parameters pane: Exposure parameter options
8ReadyIndicatorLED
•Green indicates the unit is ready to start acquisition.
•Black indicates the unit is not ready to start acquisition.
9 Exit button: Closes the Acquisition window.
10 X-ray Emission indicator: Yellow, indicates the X-ray emission status.
11 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.

Cephalometric Acquisition Interface
3–4 IMAGING SOFTWARE OVERVIEW
Cephalometric Program Pane
The cephalometric Program pane enables you to choose different radiological exams as
well as different acquisition formats.
Figure 3–2 Cephalometric Program Pane
1 Radiological exam options:
Click for a lateral
exam.
Click for a submento-vertex exam.
Click or for a
frontal exam (AP and PA).
Click for a carpus exam.
Click for an oblique
exam.
2Acquisition format options:
Select for a 18 x 18
format.
Select for a 24 x 24
format.
Select for a 30 x 30
format.
Select for a 18 x 24
format. Select for a 24 x 30
format.
NOTE
The above list of exam types are only a sample of exam options of
the Program pane.