Carestream CS 9300C User manual

CS 9300C
User Guide

Notice
Congratulations on your purchase of the CS 9300C. 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 9300C includes information on the cephalometric features. For the panoramic or the
3D features, see the CS 9300 (SM748) 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 9300C is intended to produce two-dimensional and three-dimensional digital x-ray images of the
dento-maxillo-facial and ENT (Ear, Nose and Throat) areas to be used at the direction of healthcare professionals
as diagnostic support for pediatric and adult patients. In addition, the CS 9300C is a system that is also intended
to produce cephalometric images. This includes imaging the hand and wrist to obtain the carpus image for growth
and maturity assessment.
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 9300C User Guide
Part Number: SM750
Revision Number: 01
Print Date: 2011-09
The brand names and logos reproduced in this Guide are copyright.
The CS 9300C, complies with Directive 93/42/EECrelating 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 the CS 9300C.
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
Carestream Health, Inc.
150 Verona Street
Rochester, NY 14 608, USA
EC REP

CS 9300C User Guide (SM750)_Ed 01 iii
Contents
1—About This Guide
Conventions in this Guide. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1–1
2—CS 9300C OVERVIEW
General Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2–1
Mobile Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2–2
General Functional Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2–3
Digital Sensor Locations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2–4
Laser Locations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2–5
Control Panel Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .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
3—IMAGING SOFTWARE OVERVIEW
Computer System Requirements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3–1
General Software Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3–1
Imaging Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3–1
Cephalometric Acquisition Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3–1
Cephalometric Acquisition Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3–2
Cephalometric Acquisition Interface Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3–2
Cephalometric Program Pane. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3–4
Cephalometric Patient Pane . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3–5
Cephalometric Parameter Pane . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3–6
4—GETTING STARTED
Switching On the Unit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4–1
Starting the Imaging Software. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4–2
Starting the KODAK Dental Imaging Software. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4–2
Creating a Patient Record. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4–2
Accessing the Cephalometric Acquisition Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4–3
Starting the CS Imaging Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4–4
Creating a Patient Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4–4
Accessing the Acquisition Interface. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4–5
5—ACQUIRING CEPHALOMETRIC IMAGES
Acquiring a Lateral Image. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5–1
Preparing the Unit and Setting the Acquisition Parameters for the Adult Patient . . . . . . . . . . . . . . . . . . . . . . . . .5–1
Preparing the Unit and Setting the Acquisition Parameters for the Pediatric Patient . . . . . . . . . . . . . . . . . . . . . .5–2
Preparing and Positioning the Adult Patient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5–3
Preparing and Positioning the Pediatric Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5–5
Acquiring a Frontal AP or PA Image . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5–8
Preparing the Unit and Setting the Acquisition Parameters for the Adult Patient . . . . . . . . . . . . . . . . . . . . . . . . .5–8

iv
Contents
Preparing the Unit and Setting the Acquisition Parameters for the Pediatric Patient. . . . . . . . . . . . . . . . . . . . . . .5–9
Preparing and Positioning the Adult Patient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5–10
Preparing and Positioning the Pediatric Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5–12
Acquiring an Oblique Image . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5–15
Preparing the Unit and Setting the Acquisition Parameters for the Adult Patient . . . . . . . . . . . . . . . . . . . . . . . .5–15
Preparing the Unit and Setting the Acquisition Parameters for the Pediatric Patient. . . . . . . . . . . . . . . . . . . . . .5–16
Preparing and Positioning the Adult Patient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5–17
Preparing and Positioning the Pediatric Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5–18
Acquiring a Submento-Vertex Image . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5–20
Preparing the Unit and Setting the Acquisition Parameters for the Adult Patient . . . . . . . . . . . . . . . . . . . . . . . .5–20
Preparing the Unit and Setting the Acquisition Parameters for the Pediatric Patient. . . . . . . . . . . . . . . . . . . . . .5–21
Preparing and Positioning the Adult Patient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5–22
Preparing and Positioning the Pediatric Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5–23
Acquiring a Carpus Image. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5–27
Preparing the Unit and Setting the Acquisition Parameters for the Pediatric Patient. . . . . . . . . . . . . . . . . . . . . .5–27
Preparing and Positioning the Pediatric Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5–28
X-Ray Dose Emission Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5–30
6—MAINTENANCE
Daily . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6–1
Cleaning the CS 9300C unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6–1
Cleaning and disinfecting the Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6–1
Cleaning and disinfecting the accessories that have contact with the mucous membranes. . . . . . . . . . . . . . .6–1
Cleaning and disinfecting the ear cones. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6–2
Cleaning and disinfecting the components that have skin contact. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6–2
Monthly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6–3
Annually . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6–3
7—TROUBLESHOOTING
Quick Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7–1

CS 9300C User Guide (SM750)_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 9300C User Guide (SM750)_Ed 01 2–1
Chapter 2
CS 9300C OVERVIEW
General Overview
The CS 9300C is composed of the following functional components:
The unit head that contains all the electronic control
The rotative arm
The fixed arm with a control panel
The panoramic and 3D digital sensor
The X-ray source assembly
The X-ray remote control
The chin rest base
The panoramic chin rest and bite block
The 3D bite block and support
The 3D head rest
The temple supports
The hand grips
The cephalostat arm
The cephalostat head
The head clamps and ear cones
The nasion support
The acquisition software (see “Imaging Software Overview”)
The following figures illustrate the general overview of the CS 9300C system.

General Overview
2–2 CS 9300C OVERVIEW
Mobile Components
Figure 2-1 illustrates the up and down movement of the CS 9300C mobile component
and the 360° rotation of the rotative arm.
Figure 2–1 CS 9300C Mobile Components

General Overview
CS 9300C User Guide (SM750)_Ed 01 2–3
General Functional Components
Figure 2-2 illustrates the general functional components of the CS 9300C.
Figure 2–2 CS 9300C Functional Components
1ON/OFF button 7Sensor
2Unit fixed arm 8X-ray source assembly
3Control panel 9Unit rotative arm
4Hand Grips 10 X-Ray remote control
5Chin rest base 11 Cephalostat arm
5 a Panoramic chin rest 12 Cephalostat head
5 b 3D chin rest and bite block 13 Head clamps and ear cones
6Temple supports 14 Nasion support
15 PC hosting the imaging and the acquisition
software
5
3
6
8
5a
1
95b
11
4
7
215
12
5
14
13
10

General Overview
2–4 CS 9300C OVERVIEW
Digital Sensor Locations
Figure 2-3 illustrates the locations of the following digital sensors:
*Panoramic and 3D digital sensor
Cephalometric digital sensor
panoramic, 3D and cephalometric digital sensors of the CS 9300C.
Figure 2–3 CS 9300C System Digital Sensor Locations

General Overview
CS 9300C User Guide (SM750)_Ed 01 2–5
Laser Locations
Figure 2-4 illustrates the location of the lasers of the CS 9300C.
Figure 2–4 CS 9300C System Laser Positions
13D central positioning laser beam
2Mid-sagittal positioning laser beam
3Horizontal positioning laser beam
43D Field of View (FoV) positioning laser beam
5Cephalometric Frankfurt positioning laser beam
3
4
2
1
B
A
A
3
4
1
2
1
2
5
5
B

Control Panel Overview
2–6 CS 9300C OVERVIEW
Control Panel Overview
The 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
mem
kV mA S
76
123
5410911
8
1Height Adjustment button: Adjusts the height of the unit to the height of
the patient.
23D Head Adjustment button: Adjusts the patient head to the X-ray
beams.
33D Adjustment button (active in Technical Mode only): Adjusts the unit
rotative arm movements.
4Laser Beam button: Activates the beams to correctly position the patient.
53D Position Verification button: Positions the unit rotative arm at the
selected or memorized 3D position.
6Reset button: Resets the unit arm to the initial position to enable the
patient to enter and exit the Unit.
73D Memorization button (active in Technical Mode only): Memorizes the
3D current positioning parameter settings that override the default
parameters.
8Display Screen: Displays the current acquisition parameters and the error
messages.
9Ready 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.

X-Ray Remote Control Overview
CS 9300C User Guide (SM750)_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.
Figure 2–6 X-Ray Remote Control
WARNING
Premature release of the exposure button will interrupt the
acquisition.
1Exposure button: launches image acquisition.
1

Positioning Accessories and Replacement Parts
2–8 CS 9300C OVERVIEW
Positioning Accessories and Replacement Parts
The following accessories are used when positioning a patient. They are delivered with
the CS 9300.
Panoramic Positioning Accessories
Table 2-1 lists the 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 9300C User Guide (SM750)_Ed 01 2–9
3D Positioning Accessories
Table 2-2 lists the 3D positioning accessories.
Table 2–2 3D Positioning Accessories and Replacement Parts
Accessory Description
3D bite block
3D bite block support
3D head rest
Single use hygienic sleeves for 3D bite block
(100 pcs box)

Positioning Accessories and Replacement Parts
2–10 CS 9300C OVERVIEW

CS 9300C User Guide (SM750)_Ed 01 3–1
Chapter 3
IMAGING SOFTWARE OVERVIEW
Computer System Requirements
For information on the minimum computer system requirements and the configuration for
Imaging Software, see the CS 9300 and CS 9300C 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 9300C
software. If necessary you MUST update your computer system
configuration. The CS 9300C MUST be connected to the computer via
a point-to-point Ethernet link and not via a LAN.
General Software Overview
The CS 9300C operates with the following software:
Imaging software
Acquisition interface
Imaging Software
The imaging software is a user-friendly working interface that was designed and
developed specifically for radiological diagnosis. It is the common imaging platform for all
our digital systems for dentistry.
The imaging software has the following features:
Patient management
Extraoral and intraoral image management
3D image management
Cephalometric Acquisition Interface
The cephalometric acquisition interface is a user-friendly working interface that was
designed and developed specifically for the CS 9300C system.

Cephalometric Acquisition Interface
3–2 IMAGING SOFTWARE OVERVIEW
Cephalometric Acquisition Interface
Cephalometric Acquisition Interface Overview
The Cephalometric Acquisition interface is the main cephalometric interface with the
CS 9300C system that provides you with imaging acquisition functions.
Figure 3–1 Cephalometric Acquisition Interface
1Information 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).
Save current mode as default: Sets the current selected program to be available by
default each time you access the Acquisition interface.
2Preview Screen: Displays the acquired image in real time.
3Selected Parameter Display: Displays the current acquisition parameter settings.
4System Status Screen: Displays various alert or warning messages originating from the unit.
5Generator Cooling indicator: Indicates the automatic cooling time (mm:ss) required for the
generator to reach 0 for a new acquisition.

Cephalometric Acquisition Interface
CS 9300C User Guide (SM750)_Ed 01 3–3
6Stop button: Stops the unit rotative arm movement
7Ready Indicator LED
Green indicates the unit is ready to start acquisition.
Black indicates the unit is not ready to start acquisition.
8X-Ray Emission indicator: Yellow, indicates the X-ray emission status.
9Exit button: Closes the Acquisition interface.
10 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.

Cephalometric Acquisition Interface
3–4 IMAGING SOFTWARE OVERVIEW
Cephalometric Program Pane
The cephalometric Program pane enables you to choose different radiological exams as
well as different acquisition formats.
Figure 3–2 Cephalometric Program Pane
1Radiological exam options:
Click for a lateral exam. Click for a submento-vertex exam.
Click or for a
frontal exam (AP and PA). Click for a carpus exam.
Click for an oblique exam.
2Acquisition format options:
Select for a 18 x 18 format. Select for a 24 x 24 format. Select for a 30 x 30
format.
Select for a 18 x 24 format. Select for a 24 x 30 format.
NOTE
The above list of exam types are only a sample of exam options of
the Program pane.