Carestream HEALTH CS 9000 User manual

CS 9000 AND CS 9000 3D
User Guide

Notice
Congratulations on your purchase of the CS 9000 and CS 9000 3D. Thank you for your confidence in our
products and we will do all in our power to ensure your complete satisfaction.
The CS 9000 and CS 9000 3D User Guide includes information both on the Panoramic features as well as the
3D features. If you have purchased CS 9000, information relevant to 3D does not apply to your radiological
system. We recommend that you thoroughly familiarize yourself with this guide to make the most effective use of
your system.
CS 9000 and CS 9000 3D are intended to produce panoramic X-ray imaging at the direction of health care
professionals of the dento-maxillofacial area. In addition, the 3D systems include a dental volumetric
reconstruction mode that is intended to produce 3-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 9000 and CS 9000 3D User Guide
Part Number: SM764
Revision Number: 01
Print Date: 2012-03
CS 9000 and CS 9000 3D comply with Directive 93/42/EEC relating to medical equipment.
Manufacturer
Authorized Representative in the European Community
TROPHY
4, Rue F. Pelloutier, Croissy-Beaubourg
77435 Marne la Vallée Cedex 2, France
WARNING: We recommend that you consult the “Safety, Regulatory and the Technical
Specification User Guide” before using CS 9000 or CS 9000 3D.
0086
Carestream Health, Inc.
150 Verona Street
Rochester, NY 14 608, USA
EC REP

CS 9000 and CS 9000 3D User Guide (SM764)_Ed 01 iii
Contents
1—About This Guide
Conventions in this Guide. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1–1
2—CS 9000 AND CS 9000 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
Unit Control Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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
Minimum Computer System Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–1
General Software Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–1
Imaging Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–1
Acquisition Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–1
Acquisition Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–2
Panoramic Acquisition Interface Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–2
Panoramic Program Pane . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–4
Panoramic Patient Pane . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–5
Panoramic Parameters Pane . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–6
3D Acquisition Interface Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–7
3D Program Pane . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–9
3D Patient Pane . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–10
3D Parameters Pane . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–11
4—GETTING STARTED
Switching on the Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–1
Accessing the Acquisition Windows . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–2
5—ACQUIRING IMAGES
Acquiring a Panoramic, TMJ x2 or Sinus Image for Adult and Pediatric Patients . . . . . . . . . . . . . . . . . . . . . . . . 5–1
Preparing the Unit and Setting the Acquisition Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–1
Preparing and Positioning the Adult and Pediatric Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–2
Launching the X-ray. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–5
Acquiring a TMJ x4 Image for Adult and Pediatric Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–6
Acquiring a 3D Single-Volume Image for Adult and Pediatric Patients. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–7
Preparing the Unit and Setting the Acquisition Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–7

iv
Contents
Manually Pre-Setting the Single-Volume Position for Adult and Pediatric Patients . . . . . . . . . . . . . . . . . . . . 5–9
Preparing and Positioning Adult and Pediatric Patients. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–10
Launching the X-ray . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–12
Acquiring a 3D Multi-Volume Image (Stitching) for Adult and Pediatric Patients. . . . . . . . . . . . . . . . . . . . . . . . 5–13
Preparing the Unit and Setting the Acquisition Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–13
Preparing and Positioning Adult and Pediatric Patients. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–15
Launching the X-ray . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–17
X-Ray Dose Emission Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–19
6—TROUBLESHOOTING
Quick Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6–1
7—MAINTENANCE
Daily. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7–1
Cleaning the CS 9000 or CS 9000 3D Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7–1
Cleaning and Disinfecting the Accessories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7–2
Cleaning and disinfecting the accessories that have contact with mucous membranes . . . . . . . . . . . . 7–2
Cleaning and disinfecting the components and accessories that have skin contact . . . . . . . . . . . . . . . 7–3
Monthly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7–3
Annually . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7–3
Controlling the Image Quality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7–4

CS 9000 and CS 9000 3D User Guide (SM764)_Ed 01 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 9000 and CS 9000 3D User Guide (SM764)_Ed 01 2–1
Chapter 2
CS 9000 AND CS 9000 3D UNIT OVERVIEW
The CS 9000 and CS 9000 3D units are designed to carry out the following radiological
examinations:
•Panoramic
•Maxillary Sinus
•Temporomandibular Joints (TMJ)
•3D images
General Overview
The CS 9000 unit is composed of the following functional components:
•Unit Head That Contains All The Electronic Control
•Rotative arm
•Fixed arm with a control panel
•Panoramic digital sensor
•X-ray source assembly
•X-ray remote control
•Chin rest base
•Panoramic chin rest and bite block
•Temple s upport s
•Hand grips
•Acquisition interface
The CS 9000 3D unit is composed of the following functional components:
•Unit head that contains all the electronic control
•Rotative arm
•Fixed arm with a control panel
•Panoramic digital sensor
•3D digital sensor
•X-ray source assembly
•X-ray remote control
•Chin rest base
•Panoramic chin rest and bite block
•3D chin rest and bite block
•Temple suppo rt s
•Hand grips
•Acquisition interface
The following figures illustrate the general overview of the CS 9000 and CS 9000 3D
units.

General Overview
2–2 CS 9000 AND CS 9000 3D UNIT OVERVIEW
Mobile Components
Figure 2-1 illustrates the up and down movement of the CS 9000 and CS 9000 3D
mobile component and the 180° rotation of the rotative arm.
Figure 2–1 CS 9000 and CS 9000 3D Unit Mobile Components

General Overview
CS 9000 and CS 9000 3D User Guide (SM764)_Ed 01 2–3
General Functional Components
Figure 2-2 illustrates the general functional components of the CS 9000 and
CS 9000 3D units.
Figure 2–2 CS 9000 and CS 9000 3D Unit Functional Components
1ON/OFF button 6Temple supports
2Unit fixed arm 7Sensor
3Control panel 8X-ray source assembly
4Hand Grips 9Unit rotative arm
5Chin rest base 10 X-ray remote control
5a Panoramic chin rest 11 Computer hosting the imaging and the
acquisition software
5b 3D chin rest and bite block
10
11
6
85a
2
1
7
9
3
4
5
5b
5

General Overview
2–4 CS 9000 AND CS 9000 3D UNIT OVERVIEW
Digital Sensor Locations
Figure 2-3 illustrates the locations of the panoramic and the 3D digital sensor of
CS 9000 and CS 9000 3D.
Figure 2–3 CS 9000 and CS 9000 3D Unit Panoramic and 3D 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 9000 and CS 9000 3D User Guide (SM764)_Ed 01 2–5
Laser Locations
Figure 2-4 illustrates the location of the CS 9000 and CS 9000 3D lasers.
Figure 2–4 CS 9000 and CS 9000 3D Unit Laser Beam Positions
13D central positioning laser beam
2Mid-sagittal positioning laser beam
3Horizontal positioning laser beam
43D Field of View (FoV) positioning laser beam
21
B
A
3
4
12 3
4
2
1
B
A

Unit Control Panel
2–6 CS 9000 AND CS 9000 3D UNIT OVERVIEW
Unit Control Panel
The unit 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.
6Resetbutton:Resets the unit rotative 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
1
2
3
5410911
8

X-Ray Remote Control Overview
CS 9000 and CS 9000 3D User Guide (SM764)_Ed 01 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 9000 AND CS 9000 3D UNIT OVERVIEW
Positioning Accessories and Replacement Parts
The following accessories are used when positioning a patient. They are delivered with
the CS 9000 and CS 9000 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 9000 and CS 9000 3D User Guide (SM764)_Ed 01 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 9000 AND CS 9000 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 9000 and CS 9000 3D User Guide (SM764)_Ed 01 3–1
Chapter 3
IMAGING SOFTWARE OVERVIEW
Minimum 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 minimum computer system requirements for the
CS 9000 and CS 9000 3D software. If necessary you MUST update your
computer system configuration. CS 9000 and CS 9000 3D MUST be
connected to the computer via a point-to-point ethernet link NOT via a
LAN.
General Software Overview
CS 9000 and CS 9000 3D operate with the following software:
•Imaging Software
•Acquisition interface
Imaging Software
The imaging software is a user-friendly working interface that is 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
Acquisition Interface
The Acquisition interface is a user-friendly working interface that was designed and
developed specifically for CS 9000 and CS 9000 3D.
The Acquisition interface has the following features:
•Panoramic acquisition interface using Panoramic Acquisition interface
•3D acquisition interface using 3D Acquisition interface

Acquisition Interface
3–2 IMAGING SOFTWARE OVERVIEW
Acquisition Interface
Panoramic Acquisition Interface Overview
The Panoramic Acquisition interface is the main panoramic interface with CS 9000 and
CS 9000 3D and provides you with imaging acquisition functions.
Figure 3–1 Panoramic 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)
2 Preview Screen: 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.
8 Ready Indicator LED:
•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.

Acquisition Interface
CS 9000 and CS 9000 3D User Guide (SM764)_Ed 01 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
11 Selector Button: Selects different acquisition setting options. Click:
•Program to select examination type options.
•Patient to select patient type parameters.
•Parameters to select exposure parameter options.

Acquisition Interface
3–4 IMAGING SOFTWARE OVERVIEW
Panoramic Program Pane
The Panoramic Program pane enables you to choose different radiological exams. The
diagram in the Panoramic Program pane represents a jaw, with the right side of the
diagram corresponding to the right side of the patient. Click on a section of the jaw to
select an anatomical zone for radiological examination. The selected segment is
highlighted.
Figure 3–2 Panoramic Program Pane
1 Radiological exam options. Click:
for a Maxillary Sinus exam.
for an anterior exam.
for a Panoramic exam.
2 TMJ exam options. Select:
for a TMJ x2.
for a TMJ x4 exam and click
NOTE
The above list of exam types are only a sample of exam options of the Program pane.