Gendex DenOptix QST User manual

Phosphor Imaging Plate Technology
Gendex Dental Systems
901 West Oakton Street
Des Plaines, IL 60018 U.S.A.
Tel [phone]
Fax [phone]
www.gendex.com
Authorized Representative:
KaVo Dental GmbH
Bismarckring 39
88400 Biberach, Germany
www.gendex-dental.com
www.kavo.com
UserManual
Installation Manual

Gendex Dental Systems
901 West Oakton Street
Des Plaines, IL 60018 U.S.A.
Tel [phone]
Fax [phone]
www.gendex.com
Authorized Representative:
KaVo Dental GmbH
Bismarckring 39
88400 Biberach, Germany
www.gendex-dental.com
www.kavo.com
Installation Manual

032-0265-EN Rev 1 -iii
Chapter 1 - Introduction
Supplies and Replacement Parts ......................................................................... 1-2
Indications for Use .............................................................................................. 1-2
Software Operating Instructions ......................................................................... 1-2
Chapter 2 - Safety Requirements
Important Information ......................................................................................... 2-1
Warning and Caution ........................................................................................... 2-1
Warnings ....................................................................................................................2-1
Caution Statements ....................................................................................................2-3
System Labels .................................................................................................... 2-4
Chapter 3 - Pre-Installation Information and Recommendations
Purpose of the Manual ........................................................................................ 3-1
Abbreviations and Symbols ................................................................................. 3-1
Physical Description ........................................................................................... 3-3
Models and Components .................................................................................... 3-4
DenOptix QST Laser Scanner ............................................................................... 3-5
Scanner Front View .....................................................................................................3-5
Scanner Rear View ......................................................................................................3-5
Scanner Label .............................................................................................................3-6
Intraoral Imaging Plates ..............................................................................................3-7
Panoramic and Cephalometric Imaging Plates ............................................................3-8
Carousels ...................................................................................................................3-9
Disposable Barrier Envelopes ...................................................................................3-10
Computer Requirements ...........................................................................................3-10
Electrical Requirements .................................................................................... 3-11
Compliance to Standards .................................................................................. 3-11
Installation ....................................................................................................... 3-12
Site Selection ................................................................................................... 3-12
Unpacking the Unit ........................................................................................... 3-13
Hardware Setup and Connections ..................................................................... 3-14
Network Installation .......................................................................................... 3-14
Table of Contents

Table of Contents
032-0265-EN Rev 1-iv
Chapter 4 - System Operating Instructions
Preparing Your Current X-ray Equipment .............................................................. 4-1
Intraoral Equipment ....................................................................................................4-1
Intraoral Equipment Exposure Times (Seconds & Impulses) ........................................4-2
Panoramic/Cephalometric Equipment .........................................................................4-2
Erasing the Imaging Plate ................................................................................... 4-3
Infection Control ................................................................................................. 4-3
Taking an X-ray ................................................................................................... 4-4
Intraoral Imaging ........................................................................................................4-4
Panoramic/Cephalometric Imaging .............................................................................4-6
Scanning the Imaging Plate ................................................................................ 4-8
Preparing for the Next Patient ........................................................................... 4-10
Cross-Contamination ................................................................................................4-10
Power System ON and OFF ................................................................................ 4-10
Chapter 5 - Maintenance Procedures
Cleaning the System ........................................................................................... 5-1
Cleaning the Scanner ..................................................................................................5-1
Cleaning Imaging Plates .............................................................................................5-1
Cleaning EO/CH (Panoramic and Pephalometric) Carousel ..........................................5-3
Operator Maintenance ........................................................................................ 5-3
Scanner Maintenance .................................................................................................5-3
Carousel Maintenance ................................................................................................5-5
Imaging Plate Maintenance ........................................................................................5-5
Lubrication .................................................................................................................5-5
Troubleshooting .................................................................................................. 5-6
Disposal of Waste Materials and Inoperative Parts ............................................ 5-10
Chapter 6 - Storage and Shipment
Storage ............................................................................................................... 6-1
Shipment ............................................................................................................ 6-1
Chapter 7 - Warranty Statement
DenOptix QST Scanner ................................................................................................7-1
DenOptix QST Imaging Plates .....................................................................................7-1
Chapter 8 - Technical Specifications
DenOptix QST scanner ................................................................................................8-1
DenOptix QST Intraoral Imaging Plates .......................................................................8-2
DenOptix QST Panoramic/Cephalometric Imaging Plates ............................................8-2

Table of Contents
032-0265-EN Rev 1 -v
Appendix A - Storage Phosphor Technology
How Storage Phosphor Imaging Plates Work ...............................................................A-2
Appendix B - Lighting Conditions for Imaging Plates
Lighting Conditions for Loading Carousels .......................................................... B-1
Fluorescent Lights ......................................................................................................B-1
Incandescent Lighting ................................................................................................B-1
Sunlight .....................................................................................................................B-1
Lighting Conditions for Erasing Imaging Plates .................................................... B-2
Fluorescent Lights ......................................................................................................B-2
Incandescent Lighting ................................................................................................B-2
Sunlight .....................................................................................................................B-2
Practical Test ...................................................................................................... B-3
Appendix C - Optional Printer
Inkjet Printers .............................................................................................................C-1
Thermal Printers .........................................................................................................C-1
Dye Sublimation Printers ............................................................................................C-1
Laser Printers .............................................................................................................C-1
Application Software ..................................................................................................C-2
Appendix D - Manufacturer’s Declaration

DenOptix QST
032-0265-EN Rev 1-vi

032-0265-EN Rev 1 1-1
Chapter
1Introduction
DenOptix® QST “Quad Speed Technology” System by Gendex®
DenOptix QST Intraoral (FMX) System
DenOptix QST Extraoral (E/O) System
DenOptix QST Intraoral and Extraoral System (Combo) System
Congratulations! Your decision to add the DenOptix QST System to your practice represents a
wise investment for the future of your practice.
The DenOptix QST is a revolutionary product designed to completely replace traditional X-ray
film and film processors. This system, built on phosphor imaging plate technology, offers the
following benefits:
•Diagnostic quality images — every time.
•Lowers the price of dental imaging by eliminating the need for costly film,
chemistry and film processors.
•Imaging plates are reusable.
•Saves critical time vs. using processing systems. DenOptix QST will process 4
bitewings in under 30 seconds and a FMX will process 20 images in less than 4
seconds per image. Panoramic images can be obtained in less than 80 seconds.
A cephalometric image can be obtained in less than 80 seconds.
•Significant reduction of X-ray dose as compared to D-speed film.
•It works with your current X-ray generating equipment. There is no need to
purchase new equipment.
•Reduces the hassles associated with the waste stream disposal.
For over 50 years, dental professionals have relied on Gendex to provide X-ray equipment of the
highest technology and quality. From our classic AC intraoral units to the software-driven
Orthoralix
®
panoramic, we are dedicated to providing products with the features and high
quality you desire. As you enjoy using the new DenOptix QST system, you are taking advantage
of our 50 years of manufacturing expertise in the dental industry.
Our motto speaks for itself: Gendex. Imaging Excellence.

DenOptix QST
032-0265-EN Rev 11-2
Supplies and Replacement Parts
To order supplies or replacement parts for your DenOptix QST, contact your local Gendex
equipment dealer. If your dealer is unable to assist you, call the Gendex location nearest to you.
Indications for Use
The DenOptix QST is intended for use as a digital dental radiography system using X-ray
recording media (phosphor imaging plates) for radiographic diagnostic intraoral and extraoral
exposures providing interactive CRT retrieval, viewing and processing of stored computed
radiographic images.
The system includes reusable photostimulable phosphor imaging plates, a laser diode scanner
device and optical reader components, communications electronics and software, and various
peripheral accessories.
Software Operating Instructions
The DenOptix QST imaging systems can operate with different imaging software. For example,
VixWin imaging software from Gendex optimizes digital X-ray images from the DenOptix QST
systems. Please refer to your Imaging Software User Manual and Installation Guide for detailed
instructions.

032-0265-EN Rev 1 2-1
Chapter
2Safety Requirements
Important Information
It is important that all personnel who will operate the DenOptix QST System read and
understand this manual before operating the device. All personnel should follow all warnings
and cautions as outlined below, for their safety and the safety of others around them.
Warning and Caution
In this manual, the following definitions apply for all WARNINGS and CAUTION statements:
WARNING
Any operation, procedure or practice, which, if not strictly observed, may
result in injury or long-term health hazards to personnel or patients.
CAUTION
Any operation, procedure or practice, which, if not strictly observed, may
result in destruction of equipment or loss of treatment effectiveness.
Warnings
Should be used only by trained professional.
Federal law restricts the sale of this device to physicians, dentists and dental
professionals only. Use of this device in procedures other than those described in
this manual may result in injury.
Do not open the device to service it.
None of the internal parts of the scanner are user serviceable. The only user
serviceable parts of the system are outlined in page 5-2. If there is a service
problem, call your qualified Gendex dealer or the Gendex representative nearest
you.

DenOptix QST
032-0265-EN Rev 12-2
Do not place DenOptix QST near:
•X-ray equipment that is constantly energized (e.g., devices such as
fluoroscopes which are energized when not in use)
•Magnetic resonance imaging systems
•Large motor/electric generators
There is potential for electromagnetic interference between devices when using
electronic equipment. International standards exist to minimize this potential.
DenOptix QST has been tested against and complies with the international
standard EN 60601-1-2, Medical Electrical Equipment - General Requirements for
Safety - Collateral Standard; Electromagnetic Compatibility Requirements and
Tests, class A.
Use only grounded electrical connections.
Connect the DenOptix QST scanner to a grounded electrical outlet between 100-240
volts AC.
Do not reuse the barrier envelopes.
Once used within the oral cavity, the barrier envelopes are bio-contaminated and
should NEVER be reused. Please dispose of in accordance with page 5-3.
Imaging plates are toxic!
Never place an imaging plate in a patient’smouth without enclosing it first in a
completely sealed barrier envelope. If a patient swallows an imaging plate, contact
a physician immediately. The physician must remove the imaging plate. Do not use
cracked, bent or chipped imaging plates.
Never open or override the lid lock when the scanner is in use or plugged in.
The scanner lid will lock during operation. In case of power failure, unplug the
scanner and open the lid by depressing the lock mechanism as indicated on page
5-2.
Never use imaging plates with patients that might chew or swallow them.
If the patient bites or chews the plate and damages the protective barrier
envelope, rinse the patient’s mouth with a large amount of water. If the patient
manages to swallow any of the blue surface of the plate, contact a doctor
immediately.
The DenOptix QST scanner is a Class 1 laser device.
CAUTION
Use of controls or adjustments or performance of procedures other than those
specified herein may result in hazardous radiation exposure. A fail-safe switch in
the carousel well and cover keeps the laser inactive as long as the cover is open.
Only a trained technician from a qualified Gendex dealer should remove the
cover from the scanner. Direct eye contact with the output beam from the laser
may cause serious damage and possible blindness.

Safety Requirements
032-0265-EN Rev 1 2-3
Caution Statements
Reduce the exposure time on your intraoral X-ray unit.
The DenOptix QST System is designed to produce high quality,diagnostic images
at reduced radiation levels. To get the maximum benefit, we recommend that the
exposure be reduced as outlined in page 4-1.
Completely erase the imaging plates.
Before reusing an imaging plate, place it with the blue or white surface up facing a
bright light source for at least two (2) minutes as described on page 4-3.
Mount the imaging plates under low light conditions.
Mount the imaging plates to the carousel under low light conditions as described
on page 4-5. Exposure to direct sunlight or direct indoor lighting will erase the
information stored on the imaging plate.
Do not place scanner on or next to a radiator or water source.
Excessive heat or small amounts of water may damage the scanner’s electrical
components.
Do not use in the presence of flammable anesthetics mixtures.
Do not autoclave the imaging plates.
Autoclaving will damage the imaging plate. If this happens, discard the imaging
plate and replace it with a new one. If an imaging plate becomes contaminated,
follow the procedure described on page 4-10 “Cross-contamination”.
Do not leave unscanned, exposed imaging plates in light.
Leaving unscanned, exposed imaging plates in light will cause severe loss of
image quality.
If left exposed for long time, or to bright light, the image may be erased entirely.
Do not scratch the imaging plates.
When handling the imaging plate, do not touch the active side (blue or white) any
sharp object that might scratch the surface. Do not lay unprotected imaging plates
face down.

DenOptix QST
032-0265-EN Rev 12-4
System Labels
The following labels are attached to the system.
IEC Label
Type B: Protection against electrical shock (IEC 60601-1)
Caution
Consult written instructions in this Manual.
Warning
This X-Ray unit may be dangerous to patient and operator unless
safe exposure factors and operating instructions are observed.
Warning
Electrical Hazard, Authorized Personnel only.
Laser radiation
Recycle Label
Dispose of in accordance with your country’s requirements.
There is material in the system that must be separately collected
and recycled in accordance with the European Waste Electrical
and Electronic Equipment (WEEE) Directive.
Earth Ground
Mains Hot Wire
Mains Neutral Wire
Model Number/Revision
Serial Number
Manufactured Date
Manufacturer Serial Number
Fuse

032-0265-EN Rev 1 3-1
Chapter
3Pre-Installation Information
and Recommendations
Purpose of the Manual
The instructions contained in this manual should be carefully followed for safe, trouble-free and
effective equipment use.
This manual provides the essential information necessary for the installation, operation and
routine care of the DenOptix QST System. The detailed instructions for the imaging software
associated with the scanner can be found in the Imaging Software User Manual and Installation
Guide. Important instructions for personnel who have been trained in intraoral and panoramic
radiography are contained in this manual. This manual is not to be used as a replacement for
training in dental radiography.
Abbreviations and Symbols
AC Alternate current
DC Direct current
Hz Hertz; cycles per second
MHz Millions of hertz
LED Light emitting diode
kVp Peak voltage in thousands of volts
IP Imaging plates
CD-ROM Compact disc, read-only
pan Panoramic
ceph Cephalometric
I/O Intraoral
Combo Combination system capable of scanning both I/O
and panoramic imaging plates

DenOptix QST
032-0265-EN Rev 13-2
TIFF Tagged image file format
LP/mm Line pairs per millimeter
PSP PhotoStimulable Phosphor
D.P.I. Dots per inch
CPU Central processing unit (your computer)
IEC International Electrotechnical Commission
|Poweron
Power off
Green indicator, ready
Yellow indicator, scanning
Red indicator, error in scanning; refer to operators
manual
High voltage
Laser radiation
RAM Random access memory
MB Mega bytes
GB Giga bytes
USB Universal serial bus
The CE symbol ensures that the product herein
specified meets the applicable provisions of the
European Council Directives.

Pre-Installation Information and Recommendations
032-0265-EN Rev 1 3-3
Physical Description
The DenOptix QST system has several configurations. Even if the basic hardware is the same,
DenOptix QST is provided with different licenses for scanning different types of plates,
according to the chosen model. See the following table for a complete list of components for
each model. At the interception of “models” (columns) and “components” (rows) you’ll see the
quantity supplied for that item.
The Intraoral (FMX) and Extraoral (EO) models are upgradeable to the Combo (COMBO) system.
Contact your local Gendex representative for details. In addition, the Extraoral and Combo
systems can be upgraded to Cephalometric by ordering from the following table.
NOTE: Buying some components such as imaging plates or carousels may not allow
youto use them without License from Gendex. Upgrade Kits are available for the
following: FMX series to upgrade to a Combo system, EO series to Combo system,
and EO or Combo series to Ceph.
Customer Supplied Components
•Bottle of anhydrous isopropyl alcohol for cleaning imaging plates
•Computer system as described on page 3-10, “Computer requirements”
•Monitor for viewing

DenOptix QST
032-0265-EN Rev 13-4
Models and Components
Components FMX Extraoral
(Panoramic) Combo Cephalometric Upgrade
DenOptix QST Laser Scanner 1 1 1 1 1- -
Embedded Software License for Full-Mouth Series
Embedded Software License for Limited Intraoral Images
1--11- -
-1 1 1 1- -
Embedded Software License for Panoramic Images
Embedded Software License for Cephalometric Images
-1 1 1 1- -
-1 1 1 1- -
Intraoral Carousel (FMX)
Extraoral Carousel (EO)
1--11- -
-1 1 1 1- -
Cephalometric Carousel (CH)
Panoramic Imaging Plate 5 x 12 in
-- 1 1
-11--
Panoramic Imaging Plate 15 x 30 cm
Cephalometric Imaging Plate 8 x 10 in
--11- -
-- 1-
Cephalometric Imaging Plate 18 x 24 cm
Intraoral Size 0 Imaging Plates, pack of 2
-- - 1
-1 1 1 1- -
Intraoral Size 1 Imaging Plates, pack of 2
Intraoral Size 2 Imaging Plates, pack of 4
------ -
5 2 2 5 5- -
Intraoral Size 3 Imaging Plates, pack of 1
Intraoral Size 4 Imaging Plates, pack of 2
---
------ -
Size 0 barriers, pack of 100 -1 1 1 1- -
Size 1 barriers, pack of 100 ---
Size 2 barriers, pack of 100 5 2 2 5 5- -
Size 3 barriers, pack of 100 ---
Size 4 barriers, pack of 50 ---
Dark Box for plate transfer 1 1 1 1 1- -
VixWin Imaging Software 1 1 1 1 1- -
User Manual 1 1 1 1 1- -
USB Cable, 6 ft or 2m 1 1 1 1 1- -
Power Cord 1 1 1 1 1- -
DOQFMX DOQEO512 DOQEO1530 DOQCOMBO512 DOQCOMBO1530 DOQCEPH1824 DOQCEPH810

Pre-Installation Information and Recommendations
032-0265-EN Rev 1 3-5
DenOptix QST Laser Scanner
Scanner Front View
1. Carousel well and lid. The lid has a
locking mechanism that engages
during scanning and loss of power
(see page 5-6 or handling
procedure). The carousel, with
imaging plates attached, is
inserted into the carousel well for
scanning. The carousel lid must be
in the closed position prior to
scanning. The scanner will not
operate with the lid open.
2. LED indicator lights with graphic
symbols. 
The lights show the current status of the system.
•Green — Ready to scan
•Yellow Blinking – Scanning
•Red — Error
Scanner Rear View
1. DenOptix QST scanner power
entry module with switch and
fuses
2. USB 2.0 connector. A USB 2.0
cable (provided) connects the
DenOptix QST scanner to the
CPU’s USB 2.0 port.
3. Power cord socket. The power
cord (provided) will be connected
from this point to a grounded
main outlet.
4. Scanner label.
2
1
2
4
1
3

DenOptix QST
032-0265-EN Rev 13-6
Scanner Label
Gendex® Dental Systems
DenOptix® QST Digital Imaging System
MADE IN USA
U.S. PAT 5,635,728
WARNING: For continued fire
protection, use only specified type
and rating of fuse.
This product complies with
DHHS/CDRH Radiation Performance
Standards, 21 CFR, Chapter I Subchapter J
Complies with FDA performance
standards for laser products except
for deviations pursuant to Laser Notice No.50
dated 24 June 2007
100-240 V ~, 50/60 Hz,
100 VA MAX
CAUTION – Laser light present
when covers removed. Avoid
exposure to beam. Class 3B laser
inside.
ATTENTION – au faisceau laser
lorsque le boîtier est ouvert. Eviter
toute expositions au faisceau laser.
Laser de classe 3B á l’intérieur.
VORSICHT – Laserstrahlung, wenn
die Abdeckung geöffnet wird. Nicht
dem Laserstrahl aussetzen. Enthält
Laser der Klasse 3B.
Kaltenbach & Voigt GmbH
Bismarckring 39
D-88400 Biberach, Germany
This device complies with Part 15 of the FCC rules.
Operation is subject to the following two conditions:
(1) This device may not cause harmful interference,
and (2) This device must accept any interference
received, including interference that may cause
undesirable operation.
CLASS 1 LASER PRODUCT
PRODUIT AVEC LASER DE CLASSE 1
LASERSCHUTZKLASSE 1 PRODUKTE
IEC 60825-1 /A2:2001
!
Gendex Dental Systems
1910 North Penn Road
Hatfield, PA 19440 USA
T2AH250 V 188046 0413
Yellow
Background
Yellow
Background
Cool Gray
Background

Pre-Installation Information and Recommendations
032-0265-EN Rev 1 3-7
Intraoral Imaging Plates
1. IP serial number for tracking purposes
2. Date of manufacture
3. Available from Gendex Dental Systems
4. Solid orientation dot
5. IP size indicator. Shows the equivalent film size
6. Orientation circle. Visibly shows on final radiograph for faster orientation
Rear (Black) Front (Blue)
1
2
34
5
6

DenOptix QST
032-0265-EN Rev 13-8
Panoramic and Cephalometric Imaging Plates
1. Plastic mounting strips used to hold panoramic imaging plate onto the
carousel
2. Active imaging area, white color
3. Patient left (L) and right (R) side indicators
4. General information that includes:
•Available from Gendex
•Date of manufacture
•Imaging plate size
•IP serial number
Panoramic Cephalometric
Front (Blue)
Rear (Black)
2
1
33
112 1
4
4