Carestream CS 8100 User manual

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

Notice
Congratulations on your purchase of the Cephalometric Modality for the CS 8100 Family and the CS
8100 3D Family. Thank you for your confidence in our products. We will do everything we can to ensure
your complete satisfaction.
The Cephalometric Modality User guide includes information on the Cephalometric modality for the
CS 8100 and CS 8100 3D Families. For Panoramic or 3D modalities, see the Panoramic Modality
User guide for the CS 8100 Family or the Panoramic and 3D Modality User guide for the CS 8100
3D Family.
We recommend that you thoroughly familiarize yourself with this Guide in order to make the most
effective use of your system.
The CS 8100 Family includes:
•CS 8100: the complete panoramic modality.
•CS 8100 Access: the panoramic modality without the 2D+ radiological exam.
•CS 8100SC: the complete panoramic and cephalometric modality.
•CS 8100SC Access: the panoramic modality (without the 2D+ radiological exam modality)
and the cephalometric modality (without the 26x24 FoV (Field of View)).
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.
•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.
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: Cephalometric Modality User guide for CS 8100 Family and CS 8100 3D Family
Part Number: SM987
Revision Number: 02
Print Date: 2016-10
The CS 8100 Family and CS 8100 3D Family comply with Directive 93/42/EEC
relating to medical equipment.
WARNING: We recommend that you consult the “Safety, Regulatory and
Technical Specifications User Guide” before using the Cephalometric
Modality for the CS 8100 Family and CS 8100 3D Family.
0086

Cephalometric Modality User guide for CS 8100 Family and CS 8100 3D Family_SM987_Ed02 iii
Contents
Chapter 1
Conventions in This
Guide
Conventions in this Guide. . . . . . . . . . . . . . . . . . . . . . 1
Chapter 2
Cephalometric
Modality Overview
Mobile Components. . . . . . . . . . . . . . . . . . . . . . . . . 4
General Functional Components . . . . . . . . . . . . . . . . . . 5
Digital Sensor Locations . . . . . . . . . . . . . . . . . . . . . . 7
Head and Chin Rest. . . . . . . . . . . . . . . . . . . . . . . . . 8
CS 8100 Family - Head and Chin Rest . . . . . . . . . . . . 8
CS 8100 3D Family - Head and Chin Rest . . . . . . . . . . 9
Positioning Panel . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Cephalometric Modality Positioning Accessories . . . . . . 11
X-ray Remote Control Overview . . . . . . . . . . . . . . . . . . 12
Chapter 3
Imaging Software
Overview
Computer System Requirements . . . . . . . . . . . . . . . . . . 13
General Software Overview. . . . . . . . . . . . . . . . . . . . . 13
CS Imaging Software . . . . . . . . . . . . . . . . . . . . . 13
Acquisition Interface . . . . . . . . . . . . . . . . . . . . . . 13
Cephalometric Acquisition Interface Overview. . . . . . . . . . . 14
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 Cephalometric Acquisition Interface . . . . . . . . 21
Chapter 5
Acquiring Images
using the
Cephalometric
Modality
Acquiring a Lateral Image for the Adult and Pediatric Patient . . . 23
Preparing the Unit and Setting the Acquisition Parameters . 23
Preparing and Positioning the Adult and Pediatric Patient . . 25
Launching the X-ray . . . . . . . . . . . . . . . . . . . . . . 27
X-ray Dose Emission Information . . . . . . . . . . . . . . . . . . 27
Acquiring a Frontal AP and PA Image for the Adult and Pediatric
Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Preparing the Unit and Setting the Acquisition Parameters . 28
Preparing and Positioning the Adult and Pediatric Patient . . 30
Launching the X-ray . . . . . . . . . . . . . . . . . . . . . . 32
X-ray Dose Emission Information . . . . . . . . . . . . . . . . . . 33
Acquiring an Oblique Image for the Adult and Pediatric Patient . 34
Preparing the Unit and Setting the Acquisition Parameters . 34
Preparing and Positioning the Adult and Pediatric Patient . . 35

iv
Launching the X-ray . . . . . . . . . . . . . . . . . . . . . . 36
X-ray Dose Emission Information. . . . . . . . . . . . . . . . . . 37
Acquiring a Submento-Vertex Image for the Adult and Pediatric
Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Preparing the Unit and Setting the Acquisition Parameters . 38
Preparing and Positioning the Adult and Pediatric Patient . 39
Launching the X-ray . . . . . . . . . . . . . . . . . . . . . . 41
X-ray Dose Emission Information. . . . . . . . . . . . . . . . . . 42
Acquiring a Carpus Image for the Adult and Pediatric Patient
(available as an option). . . . . . . . . . . . . . . . . . . . . . . 43
Preparing the Unit and Setting the Acquisition Parameters . 43
Preparing and Positioning the Adult and Pediatric Patient . 44
Launching the X-ray . . . . . . . . . . . . . . . . . . . . . . 45
X-ray Dose Emission Information. . . . . . . . . . . . . . . . . . 46
Chapter 6
Maintenance
Maintenance actions . . . . . . . . . . . . . . . . . . . . . . . . 47
Monthly maintenance . . . . . . . . . . . . . . . . . . . . . 47
Annual maintenance . . . . . . . . . . . . . . . . . . . . . 47
Controlling the Image Quality . . . . . . . . . . . . . . . . . . . 47
Chapter 7
Troubleshooting
Quick Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . 49
Chapter 8
Contact Information
Manufacturer’s Address . . . . . . . . . . . . . . . . . . . . . . 51
Factory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Authorized Representatives . . . . . . . . . . . . . . . . . . . . 51

Cephalometric Modality User guide for CS 8100 Family and CS 8100 3D Family_SM987_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

Cephalometric Modality User guide for CS 8100 Family and CS 8100 3D Family_SM987_Ed02 3
2 Cephalometric Modality Overview
This Cephalometric Modality User guide includes information on the Cephalometric Modality
for the CS 8100 Family and the CS 8100 3D Family.
The CS 8100 Family includes:
•CS 8100: the complete panoramic modality.
•CS 8100 Access: the panoramic modality without the 2D+ radiological exam.
•CS 8100SC: the complete panoramic and cephalometric modality.
•CS 8100SC Access: the panoramic modality (without the 2D+ radiological exam modality)
and the cephalometric modality (without the 26x24 FoV (Field of View)).
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.
•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.
For Panoramic and 3D Modalities, see the Panoramic Modality User guide for the CS 8100
Family or the Panoramic and 3D Modality User guide for the CS 8100 3D Family.

4 Chapter 2 Cephalometric Modality Overview
Mobile Components
Figure 1 illustrates the:
•Up and down movement of the unit mobile components
•Rotation and translation movement of the rotative arm and the cephalostat
Figure 1 CS 8100SC Unit Mobile Components
Figure 2 CS 8100SC 3D Unit Mobile Components
Important: The patient can enter either the left side or the right
side of the unit.

Cephalometric Modality User guide for CS 8100 Family and CS 8100 3D Family_SM987_Ed02 5
General Functional Components
The following figures illustrate the general functional components of the units.
Figure 3 CS 8100SC Functional Components
1Unit rotative arm 11 Unit column
2Unit head 12 Frankfort positioning indicator
3Emergency stop knob 13 Secondary collimator
4ON/OFF button 14 Nasion support
5Cephalostat arm 15 Head clamps and ear cones
6Cephalostat head 16 Cephalometric digital sensor
7X-ray source assembly 17 X-ray remote control
8Head and chin rest 18 Carpus panel (optional)
9Chin rest and bite block 19 Computer hosting the imaging and the
acquisition software
10 Panoramic digital sensor
17
19
4
12
5
13
3
14 15 16
78910
1
11
6
2
18

6 Chapter 2 Cephalometric Modality Overview
Figure 4 CS 8100SC 3D Functional Components
1Unit rotative arm 11 Unit column
2Unit head 12 Frankfort positioning indicator
3Emergency stop knob 13 Secondary collimator
4ON/OFF button 14 Nasion support
5Cephalostat arm 15 Head clamps and ear cones
6Cephalostat head 16 Cephalometric digital sensor
7X-ray source assembly 17 X-ray remote control
8Head and chin rest 18 Carpus panel (optional)
9Chin rest and bite block 19 Computer hosting the imaging and the
acquisition software
10 Panoramic/3D digital sensor
17
19
4
12
5
13
3
14 15 16
78910
1
11
6
2
18

Cephalometric Modality User guide for CS 8100 Family and CS 8100 3D Family_SM987_Ed02 7
Digital Sensor Locations
The following figures illustrates the locations of the digital sensors and cepahometric sensors
of the units.
Figure 5 CS 8100SC digital sensor and cephalometric sensor locations
Figure 6 CS 8100SC 3D digital sensor and cephalometric sensor locations

8 Chapter 2 Cephalometric Modality Overview
Head and Chin Rest
CS 8100 Family - Head and Chin Rest
Figure 7 illustrates the functional components of the CS 8100 Family head and chin rest.
Figure 7 CS 8100 Family Head and Chin Rest - Functional Components
1Positioning Panel 5Bite block support
2Frontal head rest adjustment knob 6Chin rest
3Frontal head rest 7Hand grips
4Horizontal positioning indicators 8Vertical positioning indicators
2
3
6
4
5
1
7
8
8

Cephalometric Modality User guide for CS 8100 Family and CS 8100 3D Family_SM987_Ed02 9
CS 8100 3D Family - Head and Chin Rest
Figure 8 illustrates the functional components of the CS 8100 3D Family head and chin rest.
Figure 8 CS 8100 3D Family Head and Chin Rest - Functional Components
1Positioning Panel 4Bite block support
2Temple support adjustment knob 5Chin rest
3Temple supports 6Hand grips
3
5
4
1
6
2

10 Chapter 2 Cephalometric Modality 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 9 CS 8100 Family - Unit Positioning Panel
Figure 10 CS 8100 3D Family - 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 Frontal head rest adjustment knob (CS 8100 Family only): Positions the up or down
inclination of the patient
head by turning the knob.
Temple support adjustment knob (CS 8100 3D Family only): Opens and closes the
temple supports when you turn the knob.
11 2 3

Cephalometric Modality User guide for CS 8100 Family and CS 8100 3D Family_SM987_Ed02 11
Cephalometric Modality Positioning Accessories
The following accessories are used when positioning a patient using the Cephalometric
Modality.
Table 1 Cephalometric Modality Positioning Accessories
Accessory Description
Single use sheaths for ear cones
Carpus panel (optional)
Frankfort positioning indicator

12 Chapter 2 Cephalometric Modality 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 11 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.

Cephalometric Modality User guide for CS 8100 Family and CS 8100 3D Family_SM987_Ed02 13
3 Imaging Software Overview
Computer System Requirements
For minimum computer system requirements and configuration for the CS Imaging Software, see the
CS 8100 Family and CS 8100 3D Family Safety, Regulatory and Technical Specifications User
Guides.
General Software Overview
The CS 8100 Family and CS 8100 3D Family Cephalometric Modality operates with the following
software:
•CS Imaging 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 specifically designed and developed for the CS
8100 and CS 8100 3D Families, and the Cephalometric Modality.
The Acquisition interface has the following features:
•Panoramic Acquisition
•3D Acquisition (available only for CS 8100 3D Family)
•Cephalometric Acquisition (available only for Cephalometric Modality)
Important: It is MANDATORY to check that the computer system
configuration is compatible with the computer system requirements for the
CS 8100 Family or CS 8100 3D Family software used by you. If necessary
you MUST update your computer system configuration.
The unit MUST be connected to the computer via a point-to-point
Ethernet link and not via a LAN.

14 Chapter 3 Imaging Software Overview
Cephalometric Acquisition Interface Overview
The Acquisition interface provides you with imaging acquisition functions.
Figure 1 Cephalometric Acquisition Interface
1 Information button:
•Show versions: Identifies Software and Firmware versions.
•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 X-ray dose: Displays the dose that will be emitted before each acquisition.
7 Reset button: Resets the unit to the patient-entry position to enable you to position a patient in
the unit.
8 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.
9 X-ray On/Off button: Enables or disables X-ray emission.
10 Ready Indicator LED
•Green indicates the unit is ready to start acquisition.
•Black indicates the unit is not ready to start acquisition.
11 Exit button: Closes the Acquisition interface.
12 X-ray Emission indicator: Yellow, indicates the X-ray emission status.
13 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.
14 The Product name and logo is indicated here on the acquisition interface.

Cephalometric Modality User guide for CS 8100 Family and CS 8100 3D Family_SM987_Ed02 15
Cephalometric Acquisition interface Program Pane
The Cephalomentric Acquisition Interface Program Pane enables you to choose the different
radiological exams and acquisition formats.
Figure 2 Cephalometric Acquisition Interface Program Pane
1 Radiological exam options:
Click for a lateral exam. Click for an oblique exam.
Click for a frontal AP
(Anterior-Posterior) exam.
Click for a submento-vertex exam.
Click for a frontal PA
(Posterior-Anterior) exam. Click for a carpus exam.
2FoV options:
Select for a 18 x 18
FoV.
Select for a 18 x 24 FoV. Select for a 26 x 24 FoV
(option not available for CS
8100SC Access and CS
8100SC 3D Access).
Fast scan for a quick
exam.
Acquisition at a higher resolution for more precision.
Note: The above list of exam types are only a sample of exam options of
the Program pane.

16 Chapter 3 Imaging Software Overview
Cephalometric Acquisition Interface Patient Pane
The Cephalometric Acquisition Interface 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 selected parameters must be based on the age and morphology of the patient.
Figure 3 Cephalometric Acquisition Interface Patient Pane
Note: A selected patient mode sets the kV and mA.
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.
Important: See the CS 8100 Family and CS 8100 3D Family Safety,
Regulatory and Technical Specifications User Guides for information on
radiation protection and recommendations when you select a patient
type, especially the pediatric patient.