Carestream CS 8100SC series User manual

CS 8100SC Family
User Guide
Including
CS 8100SC
CS 8100SC Access

Notice
Congratulations on your purchase of the CS 8100SC Family. Thank you for your confidence in our
products. We will do everything we can to ensure your complete satisfaction.
The User Guide for the CS 8100SC Family includes information on the cephalometric features.
For panoramic features, see the CS 8100 Family (SM784) User Guide. We recommend that you
thoroughly familiarize yourself with this Guide in order to make the most effective use of your system.
The CS 8100SC Family is intended to produce complete or segmented tomographic digital panoramic
X-ray images and digital cephalometric X-ray images to be used at the direction of healthcare
professionals of the dento-maxillofacial region of the human anatomy as diagnostic support for pediatric
and adult patients. This includes imaging the hand and wrist to obtain carpus images for growth and
maturity assessment.
The CS 8100SC Family includes:
•CS 8100SC: The complete panoramic and cephalometric modality.
•CS 8100SC Access: The panoramic modality (without the 2D+ radiological exam feature)
and the cephalometric modality (without the 26 x 24 FoV (Field of View)).
This document refers to both models as CS 8100SC unless otherwise specified.
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 8100SC Family User Guide
Part Number: SM987
Revision Number: 01
Print Date: 2015-03
The CS 8100SC Family 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 8100SC.
0086

CS 8100SC Family User Guide (SM987)_Ed 01 iii
Contents
Chapter 1
Conventions in This
Guide
Conventions in this Guide . . . . . . . . . . . . . . . . . . . 1
Chapter 2
CS 8100SC
Overview
Mobile Components . . . . . . . . . . . . . . . . . . . . . . 3
General Functional Components. . . . . . . . . . . . . . . . 4
Digital Sensor Locations . . . . . . . . . . . . . . . . . . . . 5
Positioning Accessories . . . . . . . . . . . . . . . . . . 6
Positioning Panel . . . . . . . . . . . . . . . . . . . . . . . . 8
X-ray Remote Control Overview . . . . . . . . . . . . . . . . 9
Chapter 3
Imaging Software
Overview
Computer System Requirements . . . . . . . . . . . . . . 11
General Software Overview . . . . . . . . . . . . . . . . . 11
Imaging Software . . . . . . . . . . . . . . . . . . . . 11
Cephalometric Acquisition Interface . . . . . . . . . . 11
Cephalometric Acquisition Interface . . . . . . . . . . . . . 12
Cephalometric Acquisition Interface Overview . . . . . 12
Cephalometric Program Pane . . . . . . . . . . . 13
Cephalometric Patient Pane . . . . . . . . . . . . 14
Cephalometric Parameter Pane. . . . . . . . . . . 15
Chapter 4
Getting Started
Switching on the Unit. . . . . . . . . . . . . . . . . . . . . 17
Increasing the operating life of the X-ray tube . . . . . 17
Firewall or Network Settings . . . . . . . . . . . . . . . . . 18
Accessing the Cephalometric Acquisition Interface. . . . . 19
Chapter 5
Acquiring
Cephalometric
Images
Acquiring a Lateral Image for the Adult and Pediatric
Patient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Preparing the Unit and Setting the Acquisition
Parameters . . . . . . . . . . . . . . . . . . . . . . . . 21
Preparing and Positioning the Adult and Pediatric
Patient . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Launching the X-ray . . . . . . . . . . . . . . . . . . . 25
X-ray Dose Emission Information . . . . . . . . . . . . . . . 25
Acquiring a Frontal AP and PA Image for the Adult and
Pediatric Patient . . . . . . . . . . . . . . . . . . . . . . . 26
Preparing the Unit and Setting the

iv
Acquisition Parameters . . . . . . . . . . . . . . . . . . 26
Preparing and Positioning the Adult and Pediatric
Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Launching the X-ray . . . . . . . . . . . . . . . . . . . . 30
X-ray Dose Emission Information . . . . . . . . . . . . . . . 31
Acquiring a Oblique Image for the Adult and
Pediatric Patient . . . . . . . . . . . . . . . . . . . . . . . . 32
Preparing the Unit and Setting the
Acquisition Parameters . . . . . . . . . . . . . . . . . . 32
Preparing and Positioning the Adult and
Pediatric Patient. . . . . . . . . . . . . . . . . . . . . . 33
Launching the X-ray . . . . . . . . . . . . . . . . . . . . 34
X-ray Dose Emission Information . . . . . . . . . . . . . . . 35
Acquiring a Submento-Vertex Image for the Adult and
Pediatric Patient . . . . . . . . . . . . . . . . . . . . . . . . 36
Preparing the Unit and Setting the Acquisition
Parameters . . . . . . . . . . . . . . . . . . . . . . . . 36
Preparing and Positioning the Adult and Pediatric
Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Launching the X-ray . . . . . . . . . . . . . . . . . . . . 39
X-ray Dose Emission Information . . . . . . . . . . . . . . . 40
Acquiring a Carpus Image for the Adult and Pediatric
Patient (available as an option) . . . . . . . . . . . . . . . . 41
Preparing the Unit and Setting the Acquisition
Parameters . . . . . . . . . . . . . . . . . . . . . . . . 41
Preparing and Positioning the Adult and Pediatric
Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Launching the X-ray . . . . . . . . . . . . . . . . . . . . 44
X-ray Dose Emission Information . . . . . . . . . . . . . . . 45
Chapter 6
Maintenance
Monthly. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Annually . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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

CS 8100SC Family User Guide (SM987)_Ed 01 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

CS 8100SC Family User Guide (SM987)_Ed 01 3
2 CS 8100SC Overview
The CS 8100SC Family includes:
•CS 8100SC: The complete panoramic and cephalometric modality.
•CS 8100SC Access: The panoramic modality (without the 2D+ radiological exam feature)
and the cephalometric modality (without the 26 x 24 FoV).
This document refers to both models as CS 8100SC unless otherwise specified.
Mobile Components
Figure 1 illustrates the:
•Up and down movement of the unit
•Rotation and translation movement of the rotative arm and the cephalostat
Figure 1 Unit Mobile Components
Important: The patient can enter either the left side or the right
side of the unit.

4 Chapter 2 CS 8100SC Overview
General Functional Components
Figure 2 illustrates the general functional components of the unit.
Figure 2 Unit 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
7
8
910
1
11
6
2
18

CS 8100SC Family User Guide (SM987)_Ed 01 5
Digital Sensor Locations
Figure 3 illustrates the locations of digital sensors of the unit.
Figure 3 CS 8100SC Unit Digital Sensor Locations

6 Chapter 2 CS 8100SC Overview
Positioning Accessories
The following accessories are used when positioning a patient. They are delivered with the CS
8100SC.
Table 1 Panoramic Positioning Accessories
Accessory Description
Panoramic chin rest
Sinus chin rest
TMJ nose rest
Standard bite block (x5)
Bite block for edentulous patients (x2)
Single use sheaths for bite block

CS 8100SC Family User Guide (SM987)_Ed 01 7
Table 2 Cephalometric Positioning Accessories
Accessory Description
Single use sheaths for ear cones
Carpus panel (optional)
Frankfort positioning indicator

8 Chapter 2 CS 8100SC 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 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 Frontal head rest adjustment knob: Positions the up or down inclination of the patient
head by turning the knob.

CS 8100SC Family User Guide (SM987)_Ed 01 9
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.

10 Chapter 2 CS 8100SC Overview

CS 8100SC Family User Guide (SM987)_Ed 01 11
3 Imaging Software Overview
Computer System Requirements
For the minimum computer system requirements and configuration for the Imaging Software, see the
CS 8100 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 8100SC software. 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.
General Software Overview
The CS 8100SC operates with the following software:
•Imaging software
•Acquisition interface
Imaging Software
The Carestream’s Dental Imaging Software or CS Imaging Software are user-friendly working
interfaces that were designed and developed specifically to support image diagnosis.
Cephalometric Acquisition Interface
The Cephalometric Acquisition interface is a user-friendly interface that was designed and developed
specifically for the CS 8100SC.

12 Chapter 3 Imaging Software Overview
Cephalometric Acquisition Interface
Cephalometric Acquisition Interface Overview
The Cephalometric Acquisition interface is the main interface of the CS 8100SC that provides you
with imaging acquisition functions.
Figure 6 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.

CS 8100SC Family User Guide (SM987)_Ed 01 13
Cephalometric Program Pane
The cephalometric Program pane enables you to choose the different radiological exams and
acquisition formats.
Figure 7 Cephalometric 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
(not available for CS 8100SC
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.

14 Chapter 3 Imaging Software Overview
Cephalometric Patient Pane
The cephalometric 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 8 Cephalometric 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 Safety, Regulatory and Technical Specifications User
Guide for information on radiation protection and recommendations when you
select a patient type especially the pediatric patient.

CS 8100SC Family User Guide (SM987)_Ed 01 15
Cephalometric Parameter Pane
The cephalometric Parameter Pane enables you to choose exposure parameters for the radiological
image acquisition. If the default parameter setting is not adapted to your patient type, you can manually
adapt the parameter setting to the patient type and save this setting as the default setting.
To save a parameter setting for a specific patient type, click and select Memorize Anatomy
setting.
Figure 9 Cephalometric Parameter Pane
1Exposure setting options:
kV: Kilovolt
mA: Milliampere
2 Fine-tuning buttons:
Click or to fine-tune the kV and the mA.

16 Chapter 3 Imaging Software Overview