KaVo NOMAD PRO 2 User manual

Handheld X-ray System
for Intraoral Radiographic Imaging
OperatOr Manual
TM

Thank you for choosing the KaVo NOMAD PRO 2
At KaVo we value your business and we would like to hear from you because your
feedback and suggestions are important to us. If you have comments, please email
us: [e-mail]
DO NOT OPERATE THIS DEVICE UNTIL YOU HAVE READ THIS MANUAL and reviewed the
accompanying materials.
Disclaimer: KaVo NOMAD PRO 2 is sold with the understanding that the user assumes sole
responsibility for radiation safety (as well as any state, provincial, or local regulatory compliance)
and that KaVo Dental Technologies, LLC, its agents or representatives, do not accept responsibility
for:
a) injury or danger to personnel from X-ray exposure,
b) image over/under exposure due to poor operating techniques or procedures,
c) equipment not properly serviced or maintained in accordance with instructions
contained in this publication, and
d) equipment which has been damaged, modified, or tampered with in any way.
Product protected in other countries by one or more issued patents. U.S. patents issued: 7,224,769
and 7,496,178. Other United States and international patents pending. All other brand and product
names are trademarks or registered trademarks of their respective companies.
Further information about KaVo intellectual property available: www.kavo.com

Table of Contents
1.0 Getting Started 5
1.1 Indication for Use 5
1.2 Warnings and Precautions 5
1.3 Unpack, Check, and Register KaVo NOMAD PRO 2 System 5
1.4 Charging the Handsets 6
2.0 Safety Precautions 8
2.1 Radiation Safety 8
2.2 Studies and Data on Leakage and Scatter 10
2.3 Usage and Duty Cycle 12
2.4 Cleaning 12
2.5 Security, Storage, and Transportation 13
2.6 Product Symbols 14
2.7 Location of Device Labels 16
3.0 Setup and Power Check 17
3.1 The Backscatter Shield 17
3.2 Attaching a Charged Handset 17
3.3 Checking for Power 17
3.4 Optional Checks 18
4.0 Operation 19
4.1 Powering Up 19
4.2 Lock/Unlock the X-ray 19
4.3 Ensuring the Right Exposure Time is Set 19
4.4 Ready the Device 20
4.5 Initiating and Completing an X-ray Exposure 21
4.6 Powering Off 21
4.7 Exposure Techniques 22
4.8 Ensuring Image Quality 23
4.9 Technique Factors Settings and Adjustments 24
4.10 Settings Menu 25
5.0 Handset Replacement and Care 27
6.0 KaVo NOMAD PRO 2 Care and Upkeep 29
6.1 Alarms and Alerts 29
6.2 Troubleshooting 32
7.0 Maintenance and Repair 35
7.1 Maintenance Schedule 35
7.2 Calibration Checks 37
7.3 Maintenance Log Sheets 38
7.4 Repair 38
8.0 Technical Description 40
8.1 Basic Technical Specifications 40
8.2 X-ray Tube Specifications and Characteristics 42
8.3 Manufacturer’s Declaration 45
8.4 Cables 51

54
KaVo NOMAD PRO 2
KaVo NOMAD PRO 2 Handheld X-ray System is a battery-operated, portable dental X-ray
source designed for handheld operation. It is designed to produce diagnostic quality X-rays
images utilizing either film or digital imaging techniques. The KaVo NOMAD PRO 2 Handheld
X-ray System is designed for use in a dental office. It can also be used in other similar
environments (orthodontic office, general practitioner’s office, hospital ward, etc.) where
appropriate safeguards are implemented. The device uses a rechargeable battery to allow
for the use of the KaVo NOMAD PRO 2 Handheld X-ray System where transportation or use of
other x-ray devices might be prohibitive due to the other device’s size and/or lack of mobility.
The KaVo NOMAD PRO 2 Handheld X-ray System is an X-ray device with a DC generator. The
handheld device features a main unit (tube head), rechargeable battery (handset), charger,
and charger AC/DC power supply. The power is supplied by a rechargeable Lithium Ion battery
core pack built into a handset. This facilitates portability of the device. A beam-limiting cone
is incorporated within the device. Internal and external shielding provide sufficient radiation
protection to allow the clinician to remain in the operatory with the patient.
To make the system as simple as possible for the operator, KaVo NOMAD PRO 2 Handheld
Xray System uses a fixed tube voltage of 60kV and a fixed tube current of 2.5mA. The
only operator-adjustable parameter is the exposure time. This adjustment can be quickly
accomplished through the user-friendly control panel.
Control buttons, display, and a trigger provide the primary operator interface. Exposures
settings can be selected and displayed. Voltage (60 kV) and current (2.5 mA) are fixed with
the exposure time varying based on patient type, detector type, and anatomical feature.
Exposures can be completed using the trigger. The device can be used with three detector
types: film, digital imaging intraoral sensors, and phosphor plates.
Accessories supplied with the finished device include:
• Alignment bars* (Class I, Exempt, EHA, 21 CFR 872.1820)
Optional accessories:
• Rectangular collimator – rectangular and smaller exposure area
• Tabletop stand – tabletop storage
• Wall hook – storage and display
• Hard shell carrying case – protection during transportation and storage
*Alignment bars are a device for positioning image receptors and are provided as a
convenience and are not required to be used with the device.

54
1.0 Getting Started
1.1 Indication for Use
The KaVo NOMAD PRO 2 Handheld X-ray System is indicated for use only by a trained
and qualified dentist or dental technician for both adult and pediatric subjects as an
extraoral diagnostic dental X-ray source to produce X-ray images using intraoral image
receptors.
1.2 Warnings and Precautions
The device is designed for use with patients of any overall health status, as solely
determined by the practitioner, with the following considerations for specific circumstances:
• Pregnant women. The medical practitioner must weigh the benefits conferred by use of
the device against the potential hazard to the pregnant woman and fetus resulting from
radiation exposure. If use of the device is considered justified, the practitioner must take
the appropriate precautions, such as use of radiation safety garments, to limit radiation
exposure beyond the maxillofacial complex.
• Pediatric. The medical practitioner must weigh the benefits conferred by use of the
device against the potential hazard to the child resulting from radiation exposure,
considering the maturity of the child’s physical development. If use of the device is
considered justified, the practitioner must take the appropriate precautions, such as use of
radiation safety garments, to limit radiation exposure beyond the maxillofacial complex.
• Patients with medical conditions causing involuntary movements. For patients who
experience seizures or who have been diagnosed with conditions such as Parkinson’s
Disease which can cause difficulty in controlling physical movements, the medical
practitioner must weigh the benefits conferred by use of the device against the potential
hazard to the patient resulting from additional radiation exposure due to a re-scan in the
event that an involuntary movement renders an image unusable for diagnostic purposes.
1.3 Unpack, Check, and Register KaVo NOMAD PRO 2 System
 Unwrap individual components from the protective plastic and check for any
noticeable signs of damage. The package system includes the following items:
• KaVo NOMAD PRO 2 Devices (1.013.2040)
• Charging Cradle (1.013.2001)
• Two Rechargeable Battery Handsets (1.013.1887)
• AC/DC Power Supply (1.013.4070)
• Alignment Bars (1.010.8482)
• Certificate of Conformance, Getting Started Guide, Product Registration Card, and
KaVo NOMAD PRO 2 Operator Training CD