Carestream CS 8100 3D User manual

User Guide
CS 8100 3D Family
CS 8100 3D, CS 8100 3D Access, CS 8100SC 3D, CS 8100SC 3D Access

Notice
Congratulations on your purchase of the Panoramic and 3D Modality for the CS 8100 3D Family. 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 8100 3D Family 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.
The CS 8100 3D Family comprises:
•CS 8100 3D: Panoramic modality and dental volumetric reconstruction modality, 3D focused
teeth acquisition and 3D full upper and lower jaw acquisition.
•CS 8100 3D Access: Panoramic modality and dental volumetric reconstruction modality, limited
to 3D focused teeth acquisition. The system has the capability to expand the field of view to the
3D full upper and lower jaw acquisition with license upgrade.
•CS 8100SC 3D: Panoramic modality, dental volumetric reconstruction modality, 3D focused
teeth acquisition and 3D full upper and lower jaw acquisition, and cephalometric modality (see the
relevant documentation SM987).
•CS 8100SC 3D Access: Panoramic modality, dental volumetric reconstruction modality, limited
to 3D focused teeth application, and cephalometric modality (without the 26x24 Field of View
(FoV)). The system has the capability to expand the field of view to the 3D full upper and lower jaw
acquisition and to the cephalometric 26x24 FoV with licence upgrade (see the relevant
documentation SM987).
CS 8100 3D and CS 8100 3D Access can be upgraded to Cephalometric Modality, when the Scan Ceph
module is provided as an upgrade kit.
This document refers to all models as CS 8100 3D unless otherwise specified.
For the Cephalometric Modality, see the Cephalometric Modality User guide for CS 8100 Family and CS
8100 3D Family (SM987).
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 was originally written in English.
Manual Name: Panoramic and 3D Modality User guide for CS 8100 3D Family
Part Number: SM842
Revision Number: 07
Print Date: 2017-06
The CS 8100 3D Family complies with Directive 93/42/EEC relating to medical equipment.
Important: We recommend that you consult the “Safety, Regulatory
and Technical Specifications User Guide” before using the CS 8100
3D Family.
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 outweights the risks.
0086

Panoramic and 3D Modality User guide for CS 8100 3D Family (SM842) Ed07 iii
Contents
Chapter 1
Conventions in This
Guide
Conventions in this Guide. . . . . . . . . . . . . . . . . . . . . . 1
Chapter 2
CS 8100 3D
Overview
Mobile Components. . . . . . . . . . . . . . . . . . . . . . . . . 4
General Functional Components . . . . . . . . . . . . . . . . . . 5
Head and Chin Rest. . . . . . . . . . . . . . . . . . . . . . . . . 6
Positioning Accessories . . . . . . . . . . . . . . . . . . . . 7
Positioning Panel . . . . . . . . . . . . . . . . . . . . . . . . . . 9
X-ray Remote Control Overview . . . . . . . . . . . . . . . . . . 10
Chapter 3
Imaging Software
Overview
Computer System Requirements . . . . . . . . . . . . . . . . . . 11
General Software Overview. . . . . . . . . . . . . . . . . . . . . 11
Imaging Software . . . . . . . . . . . . . . . . . . . . . . . 11
Acquisition Interface . . . . . . . . . . . . . . . . . . . . . . 11
Acquisition Interface. . . . . . . . . . . . . . . . . . . . . . . . . 12
Panoramic Acquisition Interface Overview . . . . . . . . . . 12
Program Pane . . . . . . . . . . . . . . . . . . . . . . . 13
Patient Pane . . . . . . . . . . . . . . . . . . . . . . . . 14
Parameter Pane . . . . . . . . . . . . . . . . . . . . . . 15
3D Acquisition Interface Overview . . . . . . . . . . . . . . 16
3D Program Pane . . . . . . . . . . . . . . . . . . . . . 17
3D Patient Pane . . . . . . . . . . . . . . . . . . . . . . 20
3D Parameter Pane . . . . . . . . . . . . . . . . . . . . 21
Chapter 4
Getting Started
Switching on the Unit . . . . . . . . . . . . . . . . . . . . . . . . 23
Increasing the operating life of the X-ray tube . . . . . . . . 23
Firewall or Network Settings . . . . . . . . . . . . . . . . . . . . 24
Accessing the Acquisition Interface . . . . . . . . . . . . . . . . 25
Chapter 5
Acquiring
Panoramic Images
Acquiring a Panoramic, TMJ x2, or Sinus 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 . . 31
Launching the X-ray . . . . . . . . . . . . . . . . . . . . . . 34
Acquiring a TMJ x4 Image for the Adult and Pediatric Patient . . . 35
Preparing the Unit and Setting the Acquisition Parameters . 35
Preparing and Positioning the Adult and Pediatric Patient . . 36
Launching the X-ray . . . . . . . . . . . . . . . . . . . . . . 38
X-ray Dose Emission Information . . . . . . . . . . . . . . . . . . 39

iv
Chapter 6
Acquiring 3D
Images
Acquiring a 3D Image of the Full, Upper and Lower Jaw
for the Adult and Pediatric Patient . . . . . . . . . . . . . . . . . 41
Preparing the Unit and Setting the Acquisition Parameters . 41
Preparing and Positioning the Adult and Pediatric Patient . 44
Launching the X-ray . . . . . . . . . . . . . . . . . . . . . . 46
Acquiring a 3D Focused Teeth Image for the Adult and Pediatric
Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Preparing the Unit and Setting the Acquisition Parameters . 47
Preparing and Positioning the Adult and Pediatric Patient . 50
Launching the X-ray . . . . . . . . . . . . . . . . . . . . . . 54
X-ray Dose Emission Information. . . . . . . . . . . . . . . . . . 54
Chapter 7
3D Object
Acquisition
3D Object Acquisition Interface Overview . . . . . . . . . . . . 55
CS Restore: Plaster Pane Overview . . . . . . . . . . . . . 56
CS Restore: Impression Material Pane Overview . . . . . . 57
CS Model: Plaster Pane Overview . . . . . . . . . . . . . . 58
CS Model: Impression Material Pane Overview . . . . . . . 59
Appliance: Radiological Guide Pane Overview . . . . . . . 60
3D Object Acquisition Accessories . . . . . . . . . . . . . 61
Acquiring Images of CS Restore Impression Material Objects. . 62
Preparing the Unit and Setting the Acquisition Parameters . 62
Launching the Acquisition for the Impression Material . . . 63
Launching the Triple Tray Impression Acquisition . . . . . . 65
Acquiring Images of CS Restore Plaster Objects . . . . . . . . 67
Preparing the Unit and Setting the Acquisition Options. . . 67
Launching the Plaster Acquisition . . . . . . . . . . . . . . 68
Launching the Triple Tray Acquisition . . . . . . . . . . . . 69
Acquiring Images of CS Model Impression Material Objects. . . 70
Preparing the Unit and Setting the Acquisition Options. . . 70
Launching the Impression Material Acquisition . . . . . . . 71
Launching the Wax Bite Acquisition . . . . . . . . . . . . . 72
Acquiring Images of CS Model Plaster Objects . . . . . . . . . 73
Preparing the Unit and Setting the Acquisition Options. . . 73
Launching the Plaster Acquisition . . . . . . . . . . . . . . 74
Launching the Wax Bite Acquisition . . . . . . . . . . . . . 75
Acquiring Images of the Radiological Guide in the Patient Mouth 76
Preparing the Unit and Setting the Acquisition Parameters . 76
Preparing and Positioning the Patient . . . . . . . . . . . . 78
Launching the X-ray . . . . . . . . . . . . . . . . . . . . . . 79
Acquiring Images of the Radiological Guide Alone . . . . . . . . 80
Preparing the Unit and Setting the Acquisition Options. . . 80
Launching the X-ray . . . . . . . . . . . . . . . . . . . . . . 81
Acquiring Appliance-Based Images . . . . . . . . . . . . . . . . 82
Preparing the Unit and Setting the Acquisition Options

Panoramic and 3D Modality User guide for CS 8100 3D Family (SM842) Ed07 v
of the NobelGuide™ or
NobelClinician™ Calibration Phantom. . . . . . . . . . . . . 82
Launching the X-Ray To Acquire an Image of the
NobelGuide™ or NobelClinician™ Calibration Phantom . . . 84
Chapter 8
Maintenance
Maintenance actions . . . . . . . . . . . . . . . . . . . . . . . . 85
Monthly maintenance . . . . . . . . . . . . . . . . . . . . . 85
Annual maintenance . . . . . . . . . . . . . . . . . . . . . . 85
Controlling the Image Quality . . . . . . . . . . . . . . . . . . . . 85
Chapter 9
Troubleshooting
Quick Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . 89
Chapter 10
Contact Information
Manufacturer’s Address. . . . . . . . . . . . . . . . . . . . . . . 91
Factory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Authorized Representatives . . . . . . . . . . . . . . . . . . . . . 91

vi

Panoramic and 3D Modality User guide for CS 8100 3D Family (SM842) Ed07 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 8100 3D Family (SM842) Ed07 3
2 CS 8100 3D Overview
The CS 8100 3D Family comprises:
•CS 8100 3D: Panoramic modality and dental volumetric reconstruction modality, 3D
focused teeth acquisition and 3D full upper and lower jaw acquisition.
•CS 8100 3D Access: Panoramic modality and dental volumetric reconstruction
modality, limited to 3D focused teeth acquisition. The system has the capability to
expand the field of view to the 3D full upper and lower jaw acquisition with license
upgrade.
•CS 8100SC 3D: Panoramic modality, dental volumetric reconstruction modality (3D
focused teeth acquisition and 3D full upper and lower jaw acquisition) and
cephalometric modality (see relevant documentation).
•CS 8100SC 3D Access: Panoramic modality, dental volumetric reconstruction
modality (limited to 3D focused teeth application) and cephalometric modality
(without the 26x24 Field of View (FoV)). The system has the capability to expand the
field of view to the 3D full upper and lower jaw acquisition and to the cephalometric
26x24 FoV with licence upgrade (see relevant documentation).
CS 8100 3D and CS 8100 3D Access can be upgraded to Cephalometric Modality, when
the Scan Ceph module is provided as an upgrade kit.
This document refers to all models as CS 8100 3D unless otherwise specified.
WARNING: X-rays can be harmful and dangerous if not used properly.
The instructions and warnings contained in this guide must be followed
carefully.

4 Chapter 2 CS 8100 3D Overview
Mobile Components
Figure 1 illustrates the:
•Up and down movement of the unit
•Rotation and translation movement of the rotative arm
Figure 1 CS 8100 3D Unit Mobile Components
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 8100 3D Family (SM842) Ed07 5
General Functional Components
The following figures illustrate the general functional components of the unit.
Figure 2 Unit Functional Components
1ON/OFF button 7Tem pl e support
2Emergency stop knob 8Digital sensor
3Unit rotative arm 9Unit head
4X-ray source assembly 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

6 Chapter 2 CS 8100 3D Overview
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
3Tem ple support 6Hand grips
3
5
4
1
6
2

Panoramic and 3D Modality User guide for CS 8100 3D Family (SM842) Ed07 7
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)

8 Chapter 2 CS 8100 3D Overview
3D bite block support
(1) 3D bite block (x4)
(2) 3D molar bite block (x2)
(4) 3D child bite block (x2)
(2) 3rd Molar offset 3D bite block (x2)
(for use with 5x5 Ml and Mr FoV only)
Temple support cone
(for use with 3rd Molar offset 3D bite block only)
Table 1 Positioning Accessories
Accessory Description

Panoramic and 3D Modality User guide for CS 8100 3D Family (SM842) Ed07 9
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

10 Chapter 2 CS 8100 3D 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.

Panoramic and 3D Modality User guide for CS 8100 3D Family (SM842) Ed07 11
3 Imaging Software Overview
Computer System Requirements
For the minimum computer system requirements and configuration for the Imaging Software,
see the CS 8100 3D Family Safety, Regulatory and Technical Specifications User Guide.
General Software Overview
The CS 8100 3D operates with the following software:
•Imaging Software
•Acquisition interface
The following 3D Object Acquisition options are also available:
•CS Restore: Acquires 3D representations of digital X-ray images that are used for
dental restorative workflows.
•CS Model: Acquires 3D representations of digital X-ray images that are used for
orthodontic workflows.
•Appliance: Acquires 3D representations of guided surgical images for double-scan
protocol producing acquisition files that are compatible with competitor solutions.
For user instructions see Chapter 7—3D Object Acquisition.
Imaging Software
The 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 8100 3D Family.
The Acquisition interface has the following features:
•The Panoramic Acquisition interface.
•The 3D Acquisition interface.
WARNING: It is MANDATORY to check that the computer system
configuration is compatible with the computer system requirements
for the CS 8100 3D Family software. If necessary you MUST update
your computer system configuration.
The CS 8100 3D Family MUST be connected to the computer via a
point-to-point Ethernet link and not via a LAN.

12 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 Information button:
•Show versions: Identifies Software and Firmware versions.
•Additional features: Contains information on additional activated options and date of
expiration.
•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 acquisition frames.
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 before the
next acquisition.
6 Reset button: Resets the unit to the patient-entry 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.
8 X-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 if you need to manually adjust the exposure parameter options.

Panoramic and 3D Modality User guide for CS 8100 3D Family (SM842) Ed07 13
Program Pane
The Program pane enables you to choose the 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:
Full panoramic acquisition:
Click on all the areas of interest. Example:
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 acquisition.
The selected area of interest will highlight:
Double click .appears for a TMJ x4 acquisition.
Bitewing acquisition:
Click .
Select one or both area of interest: .

14 Chapter 3 Imaging Software Overview
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.
Selected parameters must be based on the age and morphology (jaw size and bone density)
of the patient.
Figure 8 Patient Pane
1 Patient 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.
2 Patient dental arch morphology:
Click for a normal shape dental arch.
Click for a square dental arch.
Click for a sharp dental arch.
Note: A selected patient mode sets the:
•kV and mA
•jaw size
Important: See the CS 8100 3D 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.