Carestream DENTAL CS 9600 User manual

User Guide
CS 9600

Notice
Congratulations on purchasing this unit of the CS 9600. 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 9600 includes information on all panoramic and 3D features. We recommend that
you thoroughly familiarize yourself with this Guide in order to make the most effective use of your system.
CS 9600 is an extraoral system intended to produce two-dimensional and three-dimensional digital X-ray images
of the dento-maxillofacial, ENT (Ear, Nose and Throat), cervical spine and wrist regions at the direction of
healthcare professionals as diagnostic support for pediatric and adult patients.
The US Federal law restricts this device to sale by or on the order of a physician.
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.
This document is originally written in English.
Manual Name: CS 9600 User Guide
Part Number: SMA16
Revision Number: 03
Print Date: 2018-12
The CS 9600 complies with Directive 93/42/EEC relating to medical devices.
WARNING: We recommend that you consult the “Safety, Regulatory and the
Technical Specification User Guide” (SMA17) before using the CS 9600.
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.
0086

CS 9600 User Guide (SMA16)_Ed 03 3
Contents
Chapter 1
About This Guide
Conventions in this Guide . . . . . . . . . . . . . . . . . . . . . 7
Chapter 2
CS 9600 General
Overview
General Functional Components . . . . . . . . . . . . . . . . . 9
Mobile Components . . . . . . . . . . . . . . . . . . . . . . . 10
Touchscreen Control Panel . . . . . . . . . . . . . . . . . . . 11
X-ray Remote Control . . . . . . . . . . . . . . . . . . . . . . 13
CS 9600 Workstation . . . . . . . . . . . . . . . . . . . . . . 14
Positioning Accessories and Replacement Parts . . . . . . . . 15
Panoramic Positioning Accessories . . . . . . . . . . . . . . . 15
3D Positioning Accessories . . . . . . . . . . . . . . . . . . . 16
Chapter 3
Software Overview
Computer System Requirements . . . . . . . . . . . . . . . . 17
General Software Overview . . . . . . . . . . . . . . . . . . . 17
Acquisition Interface . . . . . . . . . . . . . . . . . . . . . 17
Acquisition Interface: CS 9600 . . . . . . . . . . . . . . . . . 18
Panoramic Acquisition Interface Overview . . . . . . . . . 18
2D Quality Control Interface Overview for the Dental
Environment . . . . . . . . . . . . . . . . . . . . . . . . . 20
3D Acquisition Interface Overview . . . . . . . . . . . . . 21
3D Quality Control Interface Overview for the Dental
Environment . . . . . . . . . . . . . . . . . . . . . . . . . 23
DICOM Worklist Interface Overview . . . . . . . . . . . . 24
2D Quality Control Interface Overview for the DICOM
Environment . . . . . . . . . . . . . . . . . . . . . . . . . 25
3D Quality Control Interface Overview for the DICOM
Environment . . . . . . . . . . . . . . . . . . . . . . . . . 26
Chapter 4
Getting Started
Switching on the Unit. . . . . . . . . . . . . . . . . . . . . . . 29
Switching on the Workstation . . . . . . . . . . . . . . . . . . 29
System reinitialize after switching on the unit . . . . . . . . . . 30
Accessing the Acquisition Interface . . . . . . . . . . . . . . . 30
Using CS Imaging (Dental environment) . . . . . . . . . . 30
Using Dicom Worklist (Dicom environment) . . . . . . . . 31
Creating a Manual Entry. . . . . . . . . . . . . . . . . 31
Retrieving Patient Exams . . . . . . . . . . . . . . . . 32

4
Displaying the Quality Control Interface . . . . . . . . . . . . . 33
Switching off the Unit . . . . . . . . . . . . . . . . . . . . . . . 34
Increasing the operating life of the X-ray tube . . . . . . . . . . 34
Chapter 5
Pediatric Use:
Summary of Safety
Instructions
Device Specific Features and Instructions . . . . . . . . . . . . 36
Patient Size Selection . . . . . . . . . . . . . . . . . . . . 36
Imaging Mode Selection . . . . . . . . . . . . . . . . . . . 36
Field of View Selection . . . . . . . . . . . . . . . . . . . . 36
X-ray Dose Information . . . . . . . . . . . . . . . . . . . . 37
Additional Features to Simplify X-ray Imaging of Children
and Adolescents . . . . . . . . . . . . . . . . . . . . . . . 37
References for pediatric dose optimization. . . . . . . . . . . . 37
Quality Control Testing . . . . . . . . . . . . . . . . . . . . . . 37
Chapter 6
Acquiring 2D
Images
Acquiring Full, Segmented, Orthogonal Panoramic, and Lateral
TMJ Images for the Adult and Pediatric Patient . . . . . . . . . 39
Setting the Acquisition Parameters . . . . . . . . . . . . . 39
Preparing and Positioning the Adult and Pediatric Patient . 40
Launching the X-ray. . . . . . . . . . . . . . . . . . . . . . 43
X-Ray Dose Emission Information. . . . . . . . . . . . . . . . . 44
Acquiring Sinus Images for the Adult and Pediatric Patient . . . 45
Setting the Acquisition Parameters . . . . . . . . . . . . . 45
Preparing and Positioning the Adult and Pediatric Patient . 46
For the Scanning area of interest (Maxillary Sinus exam)47
For the Waters area of interest . . . . . . . . . . . . . 48
For the Lateral R, Lateral L, AP, and PA area of interest 48
Launching the X-ray. . . . . . . . . . . . . . . . . . . . . . 49
X-Ray Dose Emission Information. . . . . . . . . . . . . . . . . 50
Chapter 7
Acquiring 3D Teeth
Images
Acquiring 3D Teeth Images for the Adult and Pediatric Patient . 51
Setting the Acquisition Parameters . . . . . . . . . . . . . 51
Preparing and Positioning the Adult and Pediatric Patient . 52
Launching the X-ray. . . . . . . . . . . . . . . . . . . . . . 54
X-Ray Dose Emission Information. . . . . . . . . . . . . . . . . 56
Chapter 8
Acquiring 3D Jaw
Images
Acquiring a 3D Image of the Full, Upper and Lower Jaw for the
Adult and Pediatric Patient . . . . . . . . . . . . . . . . . . . . 57
Setting the Acquisition Parameters . . . . . . . . . . . . . 57
Preparing and Positioning the Adult and Pediatric Patient . 58
Launching the X-ray. . . . . . . . . . . . . . . . . . . . . . 60
X-Ray Dose Emission Information. . . . . . . . . . . . . . . . . 62
Chapter 9
Acquiring 3D TMJ
and Maxillo Facial
Images
Acquiring 3D TMJ Images for the Adult and Pediatric Patient . . 63
Setting the Acquisition Parameters . . . . . . . . . . . . . 63
Preparing and Positioning the Adult and Pediatric Patient . 64
Launching the X-ray. . . . . . . . . . . . . . . . . . . . . . 66

CS 9600 User Guide (SMA16)_Ed 03 5
X-Ray Dose Emission Information . . . . . . . . . . . . . . . . 68
Acquiring 3D Maxillo Facial Images for the Adult and Pediatric
Patient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
Setting the Acquisition Parameters . . . . . . . . . . . . . 69
Preparing and Positioning the Adult and Pediatric Patient . 70
Launching the X-ray . . . . . . . . . . . . . . . . . . . . . 72
X-Ray Dose Emission Information . . . . . . . . . . . . . . . . 74
Chapter 10
Acquiring 3D Sinus
and Ear Images
Acquiring 3D Sinus Images for the Adult and Pediatric Patient 75
Setting the Acquisition Parameters . . . . . . . . . . . . . 75
Preparing and Positioning the Adult and Pediatric Patient . 76
Launching the X-ray . . . . . . . . . . . . . . . . . . . . . 78
X-Ray Dose Emission Information . . . . . . . . . . . . . . . . 80
Acquiring 3D Ear Images for the Adult and Pediatric Patient. . 81
Setting the Acquisition Parameters . . . . . . . . . . . . . 81
Preparing and Positioning the Adult and Pediatric Patient . 82
Launching the X-ray . . . . . . . . . . . . . . . . . . . . . 84
X-Ray Dose Emission Information . . . . . . . . . . . . . . . . 86
Chapter 11
Acquiring 3D Upper
Cervical Spine
Images
Acquiring 3D Cervical Spine Images for the Adult and Pediatric
Patient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
Setting the Acquisition Parameters . . . . . . . . . . . . . 87
Preparing and Positioning the Adult and Pediatric Patient . 88
Launching the X-ray . . . . . . . . . . . . . . . . . . . . . 90
X-Ray Dose Emission Information . . . . . . . . . . . . . . . . 92
Chapter 12
Acquiring 3D Wrist
Images
Acquiring 3D Wrist Images for the Adult and Pediatric Patient. 93
Setting the Acquisition Parameters . . . . . . . . . . . . . 93
Preparing and Positioning the Adult and Pediatric Patient . 94
Launching the X-ray . . . . . . . . . . . . . . . . . . . . . 95
X-Ray Dose Emission Information . . . . . . . . . . . . . . . . 96
Chapter 13
Acquiring 3D Face
Scan Images (CS
Face Scan Option)
Acquiring 3D Face Scan Images for the Adult and Pediatric
Patient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97
Launching the Acquisition . . . . . . . . . . . . . . . . . . 98
Chapter 14
Acquiring 3D Object
Images
General Overview . . . . . . . . . . . . . . . . . . . . . . . 101
Acquiring Images of 3D Dental Objects . . . . . . . . . . . . 102
Acquiring Images of Plaster Objects. . . . . . . . . . . . . . 102
Preparing the Unit and Setting the Acquisition Options . 102
Launching the Plaster Acquisition . . . . . . . . . . . . . 103
Launching the Plaster Acquisition with the Bite Index to
get the Occlusion . . . . . . . . . . . . . . . . . . . . . 104
Acquiring Images of Impression Objects . . . . . . . . . . . 105
Preparing the Unit and Setting the Acquisition Options . 105

6
Launching the Impression Acquisition . . . . . . . . . . . 106
Launching the Bite Index Scan to Register the Occlusion 107
Acquiring Images of Triple Tray Impression Objects . . . . . . 108
Preparing the Unit and Setting the Acquisition Options. . 108
Launching the Triple Tray Impression Acquisition . . . . . 108
Acquiring Images of Appliance Objects . . . . . . . . . . . . 110
Preparing the Unit and Setting the Acquisition Options. . 110
Launching the Appliance Acquisition . . . . . . . . . . . 111
Chapter 15
Maintenance
Maintenance activities . . . . . . . . . . . . . . . . . . . . . . 113
Monthly . . . . . . . . . . . . . . . . . . . . . . . . . . . 113
Annually . . . . . . . . . . . . . . . . . . . . . . . . . . . 113
Controlling the Image Quality . . . . . . . . . . . . . . . . . . 114
Chapter 16
Contact Information
Manufacturer’s Address . . . . . . . . . . . . . . . . . . . . . 115
Authorized Representatives . . . . . . . . . . . . . . . . . . . 115
Authorized Representative in the European Community . 115
Authorized Representative in Brazil . . . . . . . . . . . . 115

CS 9600 User Guide (SMA16)_Ed 03 7
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.

8 Chapter 1 About This Guide

CS 9600 User Guide (SMA16)_Ed 03 9
2 CS 9600 General Overview
General Functional Components
Figure 1 CS 9600 Functional Components
1Unit rotative arm 8ON/OFF button
2X-ray source assembly 9Emergency stop knob
3a
Positioning and monitoring
camera
10 Panoramic/3D digital sensor
3b 11 Unit fixed arm
4Temple supports 12 CS 9600 workstation
5 Chin rest base 13 X-ray remote control
6Hand Grips 14 * Stool (optional)
7Touchscreen control panel
*
4
3b
13
12
3a
1
2
7
510
11
9
8
6
14

10 Chapter 2 CS 9600 General Overview
Mobile Components
Figure 2 illustrates the up and down movement of the CS 9600 mobile components and the 360°
rotation of the rotative arm.
Figure 2 CS 9600 Mobile Components
* Optional
90°
*
90°

CS 9600 User Guide (SMA16)_Ed 03 11
Touchscreen Control Panel
The control panel is an alphanumeric, digital soft-touch console. It allows you to interact directly with
the unit to carry out panoramic and 3D functions. Most of its interface is similar to the workstation
interface that displays operating parameters and error messages.
Figure 3 CS 9600 2D Touchscreen Control Panel
Figure 4 CS 9600 3D Touchscreen Control Panel
Important: R indicates that it corresponds to the right side of the patient
who is facing the operator.

12 Chapter 2 CS 9600 General Overview
1Program 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.
2a
Selected parameter display: Displays the current acquisition parameter settings:
Patient type: Child, Adult (small, medium, large).
2b Dental arch morphology: Normal, square, or sharp shaped.
2c Type of trajectory: Standard or orthogonal options.
2d Imaging mode: Imaging mode that you can select before doing an exam (standard or low
dose for 2D), (standard, low dose, or High Resolution for 3D).
3Exits the acquisition interface
4Exposure parameter panel: Enables you to choose and save exposure parameters for
the radiological image acquisition.
5Scout view 2D: Displays the sagittal slice view of the acquired image.
SmartAuto 3D (optional):
•Displays the sagittal and axial slice view of the acquired image.
•Recommends the patient parameters.
•Saves the acquisition options that you select and display those options in
orange.
•If you change the recommended parameters, it will be indicated in underlined
orange and the new parameters that you select will be in blue.
To select it, you must first acquire a Scout view 2D image. Then re-click to deselect
Scout view 2D before appears.
6CS Metal Artifact Reduction (CS MAR) Filter (optional): Filter to avoid image
distortions caused by metal from objects such as prosthesis, screws or dental fillings.
7Patient entry: Positions the unit in the patient entry mode.
8Live positioning camera: Enables the cameras for live positioning assistance.
9Demo: Enables you to demonstrate the acquisition procedures to a patient without the
X-ray.
10 Fast Height Adjustment button: For fast adjustment of the height of the unit to the
height of the patient.
11 Slow Height Adjustment button: For slow adjustment of the height of the unit to the
height of the patient especially for the final adjustment.
12 Patient data history: If a patient has previously been examined, the unit will detect it and
this icon will turn orange.
Important: See the CS 9600 Safety, Regulatory and Technical Specifications User
Guide (SMA17) for information on radiation protection and recommendations when you
select a patient type, especially the pediatric patient.
Note: It is recommended that you compare MAR-processed images with
the original, unprocessed images.

CS 9600 User Guide (SMA16)_Ed 03 13
X-ray Remote Control
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
13 Accessory notification: Will appear on the interface if you do not use a positioning
accessory that corresponds to an acquisition.
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, DICOM Settings,
Reset to factory, Patient history, Shutdown / Restart, About.
18 Screen lock: Locks the screen. Double-click to unlock.
19 SmartAuto Pan (optional):
•A 2D function that will scan the patient and recommend the patient parameters.
•Saves the acquisition options that you select and displays those options in
orange.
•If you change the SmartAuto Pan results, it will be indicated in underlined orange
and the new parameters that you select will be in blue.
1Exposure button: launches image acquisition.
1

14 Chapter 2 CS 9600 General Overview
CS 9600 Workstation
The CS 9600 workstation is dedicated to image reconstruction.
Figure 6 CS 9600 Workstation
1ON/OFF button
2Reset signal button
3System reset button
4Power LED indicator Normal
(Blue)
Abnormal
(Red)
5 Fan cooling status LED
indicator
Normal
(Blue)
Abnormal
(System fan fail)
(Red)
Abnormal
(CPU fan fail)
(Pink)
6Chassis temperature LED
indicator
Normal
(Blue)
Abnormal
(System temperature fail)
(Red)
Abnormal
(CPU temperature fail)
(Pink)
7Hard disk drive LED
indicator
Data
access
(Blue)
7
6
1
4
5
2
3

CS 9600 User Guide (SMA16)_Ed 03 15
Positioning Accessories and Replacement Parts
The following accessories are used when positioning a patient. They are delivered with the CS 9600.
Panoramic Positioning Accessories
Table 1 lists the panoramic positioning accessories.
Table 1 Panoramic Positioning Accessories
Accessory Description
Panoramic chin rest
TMJ and sinus rest
Panoramic standard bite block
Bite block for edentulous patients
Frankfort guide bite block for panoramic
Single use sheaths for 3D bite block and Frankfort
guide bite block (100 pcs box)
Single use sheaths for bite blocks
(500 pcs box)

16 Chapter 2 CS 9600 General Overview
3D Positioning Accessories
Table 2 lists the 3D positioning accessories.
Table 2 3D Positioning Accessories and Replacement Parts
Accessory Description
3D bite block
3D child bite block
3D bite block support
3D head rest
3D facial scanner support (optional)
Wrist support (optional)
Single use hygienic sleeves for 3D bite block
(100 pcs box)

CS 9600 User Guide (SMA16)_Ed 03 17
3 Software Overview
Computer System Requirements
For the minimum computer system requirements and configuration for the Imaging Software, see the
CS 9600 Safety, Regulatory and Technical Specifications User Guide.
General Software Overview
The CS 9600 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:
•DICOM worklist
•Acquisition interface
Acquisition Interface
The Acquisition interface is a user-friendly working interface that was designed and developed
specifically for the CS 9600. It is displayed on the monitor and the touchscreen control panel.
The Acquisition interface has the following features:
•The Panoramic Acquisition interface
•The 3D Acquisition interface
Important: You MUST check that the computer system configuration is
compatible with the computer system requirements for the CS 9600
software. If necessary you MUST update your computer system
configuration.
Important: The CS 9600 unit MUST be connected to the dedicated CS
9600 workstation using a point-to-point ethernet link.
The practitioner computer and the peripheral equipment must conform to
the IEC 60950 standard.

18 Chapter 3 Software Overview
Acquisition Interface: CS 9600
Panoramic Acquisition Interface Overview
The Panoramic Acquisition interface for the CS 9600 provides you with 2D imaging acquisition
functions.
Figure 7 Panoramic Acquisition interface
1Program 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.
2Selected 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: Type of trajectory: Standard or orthogonal options.
•2d: Imaging mode: Imaging mode that you can select before doing an exam
(standard or low dose).
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 9600 Safety, Regulatory and Technical Specifications User
Guide (SMA17) for information on radiation protection and recommendations when you
select a patient type, especially the pediatric patient.

CS 9600 User Guide (SMA16)_Ed 03 19
4Exposure parameter panel: Enables you to choose and save exposure parameters for
the radiological image acquisition.
5SmartAuto Pan (optional):
•A 2D function that will scan the patient and recommend the patient parameters.
•Saves the acquisition options that you select and display those options in
orange.
•If you change the SmartAuto Pan results, it will be indicated in underlined orange
and the new parameters that you select will be in blue.
6Demo: Enables you to demonstrate the acquisition procedures to a patient without the
X-ray.
7Accessory notification: Will appear on the interface if you do not use a positioning
accessory that corresponds to an acquisition.
8Ready 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.
9Warning: Indicates that you must consult the accompanying document.
10 Ionizing radiation:
•Warns you about radiation dangers.
•Blue indicates the X-ray is enabled.
•Grey indicates the X-ray is not enabled.
11 Menu: Provides access to the following sub-menus: General Settings, DICOM Settings,
Reset to factory, Patient history, Shutdown / Restart, About.

20 Chapter 3 Software Overview
2D Quality Control Interface Overview for the Dental Environment
The panoramic Quality Control interface allows you to check the quality of an acquired image (for
example, position of the patient, image centering) to enable you to decide to either accept or reject the
image.
Figure 8 Panoramic Quality Control Interface
1If you are satisfied with an acquired image and if you click , the image transfers
automatically to the Imaging window.
2If you are not satisfied with an acquired image, click . The following window displays:
Select either one of the displayed reasons or enter other reasons in the text field.
To return to the Panoramic Acquisition interface and to re-launch the acquisition, select
Discard and retake and click OK.
To return to CS Imaging and to start a new acquisition, select Discard and click OK.
Important: The displayed image is for information purposes only. DO
NOT use it for diagnostic purposes.