Planmeca Planmeca ProMax 3D s User manual

Planmeca ProMax
EN
& Planmeca ProMax 3D s / 3D
10007367_45
user's manual
2D imaging

Planmeca ProMax & Planmeca ProMax 3D s / 3D 1
TABLE OF CONTENTS
User’s Manual (2D)
1 INTRODUCTION ..............................................................................................1
2 ASSOCIATED DOCUMENTATION .................................................................2
3 SYMBOLS ON PRODUCT LABELS ................................................................3
4 SAFETY PRECAUTIONS ................................................................................4
5 SWITCHING X-RAY UNIT ON .........................................................................6
6 MAIN PARTS ...................................................................................................7
6.1 General view of 2D X-ray system .................................................................................. 7
6.2 General view of 3D X-ray system .................................................................................. 8
6.3 General view of X-ray unit .............................................................................................. 9
6.4 Sensors ........................................................................................................................ 10
6.5 Patient supports ........................................................................................................... 11
6.6 Exposure switch ........................................................................................................... 12
6.7 Emergency stop button ................................................................................................ 13
7 PROGRAMS ...................................................................................................14
7.1 Panoramic programs .................................................................................................... 16
7.2 Temporomandibular joint (TMJ) programs ................................................................... 17
7.3 Sinus programs ............................................................................................................ 20
7.4 Tomography / transtomography programs ................................................................... 21
8 CONTROL PANEL .........................................................................................27
8.1 General about control panel ......................................................................................... 27
8.2 General settings ........................................................................................................... 28
8.3 Selecting panoramic program ...................................................................................... 30
8.4 Selecting temporomandibular joint (TMJ) program ...................................................... 35
8.5 Selecting sinus program .............................................................................................. 38
8.6 Selecting tomography / transtomography program ...................................................... 39
9 INFORMATION DISPLAYS ............................................................................42
9.1 User preference settings (i200) .................................................................................... 43
9.2 Feature program control (i300) .................................................................................... 50
9.3 Special functions (i400) ................................................................................................ 52
10 PATIENT POSITIONING CONTROLS ...........................................................56
11 PREPARATIONS FOR EXPOSURE ..............................................................58
11.1 Attaching and removing sensor ................................................................................... 59
11.2 Preparing patient ..........................................................................................................61
12 PANORAMIC EXPOSURE .............................................................................62
12.1 Patient positioning ........................................................................................................63
12.2 Taking an exposure ..................................................................................................... 66
12.3 Taking an exposure with Autofocus (SCARA 3 units only) .......................................... 67
13 TEMPOROMANDIBULAR JOINT (TMJ) EXPOSURE ..................................69
13.1 Double TMJ exposure (lateral, PA or lateral-PA) ......................................................... 69
13.2 Multi-angle TMJ exposure (PA or lateral) .................................................................... 75
14 SINUS EXPOSURE ........................................................................................80
14.1 Patient positioning ........................................................................................................81
14.2 Taking an exposure ..................................................................................................... 83

TABLE OF CONTENTS
2 Planmeca ProMax & Planmeca ProMax 3D s / 3D User’s Manual (2D)
The manufacturer, assembler and importer are responsible for the safety, reliability
and performance of the unit only if:
- installation, calibration, modification and repairs are carried out by qualified
authorized personnel
- electrical installations are carried out according to the appropriate requirements
such as IEC 60364
- equipment is used according to the operating instructions
Planmeca pursues a policy of continual product development. Although every effort is
made to produce up-to-date product documentation this publication should not be
regarded as an infallible guide to current specifications. We reserve the right to make
changes without prior notice.
COPYRIGHT PLANMECA
Released: 7 July 2014
Publication part number: 10007367 revision 45
15 TOMOGRAPHIC EXPOSURE ........................................................................84
15.1 Patient positioning ........................................................................................................86
15.2 Adjusting position of target area .................................................................................. 88
15.3 Patient positioning with impression plate ..................................................................... 90
15.4 Taking an exposure ..................................................................................................... 91
16 CLEANING .....................................................................................................94
17 SERVICE ........................................................................................................94
18 DISPOSAL .....................................................................................................95
19 HELP MESSAGES .........................................................................................96
20 ERROR MESSAGES .....................................................................................98
21 TECHNICAL SPECIFICATIONS ....................................................................99
21.1 Technical data for Planmeca ProMax product family ................................................... 99
21.2 Dimensions ................................................................................................................ 103
21.3 Minimum operational space requirements ................................................................. 104
21.4 Original manufacturer ................................................................................................ 104

Planmeca ProMax & Planmeca ProMax 3D s / 3D 1
INTRODUCTION
User’s Manual (2D)
1 INTRODUCTION
This manual describes how to take 2D exposures. Make
sure that you are fully acquainted with the appropriate
radiation protection measures and these instructions
before you use the X-ray unit.
The X-ray unit uses panoramic and linear tomographic
techniques to produce two-dimensional (2D) X-ray
images for the examination of dentomaxillofacial
anatomy.
You need a PC with the Planmeca Romexis program in
order to save, view and modify the images.
NOTE The X-ray unit may be used by health care
professionals only.
NOTE The software version is shown briefly on the control
panel when the X-ray unit is switched on. This manual
is valid for software version 2.7.6.0.r or later. This
software version is compatible with Romexis software
version 3.7.0.r or later.
The X-ray unit features preset exposure values. However,
the exposure values required to produce good X-ray
images will vary considerably according to the build and
age of the patient. The preset exposure values are
average values and they are only meant to guide the user.
Users are encouraged to develop their own radiographic
techniques based on these values. The kV value can be
reduced from the suggested value to improve image
contrast. The radiation dose can be reduced by
decreasing the suggested mA value.
The display values shown in this manual are only
examples and should not be interpreted as recommended
values unless otherwise stated.

ASSOCIATED DOCUMENTATION
2 Planmeca ProMax & Planmeca ProMax 3D s / 3D User’s Manual (2D)
2 ASSOCIATED DOCUMENTATION
The X-ray unit is supplied with the following manuals:
• User’s Manual(s) for
- 2D Imaging, Original English publication: 10007367
(- 3D Imaging, Original English publication: 10030251)
(- Cephalostat, Original English publication: 10007327 /
10031933)
• Installation Manual,
Original English publication: 688271
• Technical Manual,
Original English publication: 10010812
These manuals are intended to be used in conjunction
with the documentation for the Planmeca Romexis
program. The Romexis package contains the following
manuals:
• User’s Manual,
Original English publication: 10014593
• Installation Manual,
Original English publication: 10014600
NOTE The latest versions of the User’s Manuals are available
on Planmeca’s website.

Planmeca ProMax & Planmeca ProMax 3D s / 3D 3
SYMBOLS ON PRODUCT LABELS
User’s Manual (2D)
3 SYMBOLS ON PRODUCT LABELS
CE marking according to European standard
(Directive 93/42/EEC)
SGS marking according to US and Canadian standards
(ANSI/UL 60601-1 and CAN/CSA C22.2 No. 601.1-M90)
Date of manufacture (Standard ISO 15223-1)
Attention, consult accompanying documents
(Standard IEC 60601-1)
Type B applied part (Standard IEC 60601-1)
Separate collection for electrical and electronic equipment
(Directive 2002/96/EC WEEE)
Alternating current (Standard IEC 60417)
Electrostatic sensitive device (Standard IEC 60417)
0598

SAFETY PRECAUTIONS
4 Planmeca ProMax & Planmeca ProMax 3D s / 3D User’s Manual (2D)
4 SAFETY PRECAUTIONS
CAUTION FOR US USERS:
Federal law restricts this device to sale by or
on the order of a health care professional.
CAUTION This X-ray unit may be dangerous to both
patient and operator unless safe exposure
values are used and correct operating
procedures are observed.
CAUTION The patient positioning lights are laser
lights. Do not stare into the laser beam.
CAUTION Do not drop the sensor. Planmeca limited
warranty does not cover damage which is
due to misuse, e.g. dropping the sensor,
neglect, or any cause other than ordinary
use.
If you have any reason to believe that the
sensor might be faulty, take a test exposure
before taking a patient exposure.
CAUTION If an exposure is interrupted (e.g. exposure
button is released or emergency stop button
activated), the patient must be guided away
from the X-ray unit before the C-arm is
moved.
CAUTION Do not connect items which are not
specified as part of the system.
CAUTION Do not connect a multiple portable socket
outlet (MPSO) or extension cord to the
system.
CAUTION Do not touch an electrical connector and the
patient at the same time.
CAUTION If the X-ray unit shows any signs of oil
leakage, disconnect the unit from mains and
contact your service technician for help.
CAUTION Do not use the X-ray unit in an oxygen rich
environment or in the presence of flammable
anesthetics.
CAUTION Never use a defective or damaged X-ray
system. Contact your service technician for
help.
NOTE It is very important that the place where the unit is to
be used and the position from which the user is to
operate the unit are correctly shielded. Since radiation
safety requirements vary from country to country and
state to state it is the responsibility of the user to
ensure that all local safety requirements are met.
NOTE Cone beam imaging should not be used for routine (or
screening) examinations. The imaging examinations
must be justified for each patient to demonstrate that
the benefits outweigh the risks.
NOTE When it is likely that evaluation of soft tissues will be
required as part of the patient’s radiological
assessment, conventional CT or MR medical imaging
should be used rather than CBCT.

Planmeca ProMax & Planmeca ProMax 3D s / 3D 5
SAFETY PRECAUTIONS
User’s Manual (2D)
NOTE Before taking an exposure, ask any female patient of
childbearing age whether she might be pregnant. The
X-ray unit is not intended for use on pregnant women.
NOTE FOR CANADIAN USERS:
All patients must be provided with a shielded apron for
gonad protection and a thyroid shield. The use of a
thyroid shield is especially important in children. The
shielded apron and thyroid shield should have a lead
equivalence of at least 0.25 mm on both sides (front
and back of the patient).
NOTE If the X-ray unit has been stored at temperatures under
+10°C for more than a few hours, time must be allowed
for the unit to reach room temperature before turning
it on.
NOTE Ensure efficient air conditioning in the X-ray room. It is
recommended to keep the room temperature between
+20°C and +25°C at all times.
NOTE If exposures are taken in rapid succession the X-ray
tube may overheat and a cooling time will flash on the
touch screen. The cooling time indicates the delay
before the next exposure can be taken.
NOTE If the X-ray system is not connected to an
Uninterruptible Power Supply (UPS), disconnect the
system from mains during lightning storms.
NOTE FOR US & CANADIAN USERS:
The patient positioning lights are class II laser
products (21 CFR § 1040.10).
NOTE FOR EUROPEAN USERS:
The patient positioning lights are class 1 laser
products (Standard IEC / EN 60825-1: 2007).
NOTE EMC requirements have to be considered, and the
equipment must be installed and put into service
according to the specific EMC information provided in
the accompanying documents.
NOTE Portable and mobile RF communications equipment
can affect the X-ray unit.
NOTE External equipment intended for connection to signal
input, signal output or other connectors, shall comply
with relevant IEC standard (e.g. IEC 60950 for IT
equipment and the IEC 60601 series for medical
electrical equipment). In addition, all such
combinations - systems - shall comply with the
standard IEC 60601-1-1, Safety requirements for
medical electrical systems. Equipment not complying
to IEC 60601 shall be kept outside the patient area
(more than 2m (79 in.) from the X-ray unit).
Any person who connects external equipment to
signal input, signal output or other connectors has
formed a system and is therefore responsible for the
system to comply with the requirements of IEC 60601-
1-1. If in doubt, contact your service technician or local
representative for help.
NOTE Contact your service technician if you notice a
decrease in image quality.
NOTE Contact your service technician if you have taken an
exposure but the image does not appear in the
Planmeca Romexis program. The last ten images can
be manually imported into Romexis.
NOTE Never place or hang any objects on any part of the X-
ray unit.
CAUTION
LASER RADIATION -
DO NOT STARE
INTO BEAM
1mW
635nm
CLASS II
LASER
PRODUCT
LBL-X-099
CLASS 1 LASER PRODUCT
APPAREIL À LASER DE CLASSE 1
IEC 60825-1:2007

SWITCHING X-RAY UNIT ON
6 Planmeca ProMax & Planmeca ProMax 3D s / 3D User’s Manual (2D)
NOTE Make sure that neither you nor your patient can get
caught or hooked up on any part of the X-ray unit.
Keep loose items of clothing, hair and jewellery tucked
away safely.
NOTE If you have any reason to believe that the C-arm might
hit the patient during exposure (e.g. patients with wide
shoulders), take a test exposure without radiation
first. Refer to section 9.3 “Special functions (i400)” on
page 52 for information on how to switch radiation off.
NOTE Do not touch the arm structures when the X-ray unit is
moving.
NOTE Patients are not allowed to hang on the patient
handles.
NOTE FOR PROFACE SENSOR:
Do not touch the glass windows. Fingerprints or other
stains on the glass surface destroy image quality.
5 SWITCHING X-RAY UNIT ON
The on / off switch is located on the underside of the
stationary column top. When you switch the X-ray unit on
the main display will be shown on the control panel and
the X-ray unit will carry out a self-test which will last a few
seconds.
The X-ray unit is then ready for use.
NOTE To prolong the lifetime of the X-ray unit, always switch
the unit off when it is not in active use.
Glass windows
ProFace sensor
on_off_2.eps
On / off switch
Stationary column top

Planmeca ProMax & Planmeca ProMax 3D s / 3D 7
MAIN PARTS
User’s Manual (2D)
6 MAIN PARTS
6.1 General view of 2D X-ray system
1 X-ray unit
2 Planmeca Romexis program
Ethernet
1
2

MAIN PARTS
8 Planmeca ProMax & Planmeca ProMax 3D s / 3D User’s Manual (2D)
6.2 General view of 3D X-ray system
1 X-ray unit
2 3D reconstruction PC
3 Planmeca Romexis program
Ethernet
1
3
2

Planmeca ProMax & Planmeca ProMax 3D s / 3D 9
MAIN PARTS
User’s Manual (2D)
6.3 General view of X-ray unit
C-arm
Telescopic column
Stationary column
Patient support
Patient support table
Patient handles
Patient positioning
controls
Control panel
Cephalostat (optional)
Sensor

MAIN PARTS
10 Planmeca ProMax & Planmeca ProMax 3D s / 3D User’s Manual (2D)
6.4 Sensors
Prof_1B.eps
3D sensor for
3D_sensor.eps
3Ds_sensor.eps
3D sensor for
Planmeca ProMax 3D s Planmeca ProMax 3D
ProFace sensor for
Planmeca ProMax 3D s and
Planmeca ProMax 3D
Dimax sensor
Dimax_sensor.eps

Planmeca ProMax & Planmeca ProMax 3D s / 3D 11
MAIN PARTS
User’s Manual (2D)
6.5 Patient supports
Bite1.eps
TEMPLE?SUPPORTAI
Chin support
Bite piece
Chin cup
Chin rest
Temple supports
Chin2.eps
Bite2.eps
Chin1.eps
Lip1.eps
Adapter

MAIN PARTS
12 Planmeca ProMax & Planmeca ProMax 3D s / 3D User’s Manual (2D)
6.6 Exposure switch
The exposure switch can be mounted on the wall, or it can
be hung from the hook provided on the stationary column
top if a protected area is within reach.
On the exposure button and on the control panel a green
indicator light will come on when the unit is correctly set
up and ready to take an exposure. Additionally, the word
READY will stop flashing on the control panel display.
An amber indicator light will come on on the exposure
switch and on the control panel when you take an
exposure. It indicates that the unit is generating radiation.
You will also hear a radiation warning signal.
When you take an exposure you must press and hold
down the exposure button for the whole duration of the
exposure.
If you remove your thumb from the exposure button
before the exposure cycle is completed radiation will be
interrupted, the C-arm will stop moving and a help
message will appear on the control panel display. Guide
the patient away from the X-ray unit. Then clear the help
message by touching OK.
_wall6_2.eps
Exposure button with
indicator light
AMBER = EXPOSURE
GREEN = READY
Exposure
indicator light
Exposure
indicator light
Ready
indicator light
(GREEN)
(AMBER)
CONTROL PANEL LIGHTS:
PXR_Dsw._2eps

Planmeca ProMax & Planmeca ProMax 3D s / 3D 13
MAIN PARTS
User’s Manual (2D)
6.7 Emergency stop button
The emergency stop button is located on the top of the
stationary column. Press the button to stop the X-ray unit
operating in an emergency. When the emergency stop
button is pressed down, all movements of the X-ray unit
are blocked and the unit will not generate radiation. The
up / down movement will stop within a distance of 10 mm
(0.4 in.).
A help message will appear on the control panel display.
Guide the patient away from the X-ray unit. Then release
the emergency stop button. The X-ray unit will
automatically restart.

PROGRAMS
14 Planmeca ProMax & Planmeca ProMax 3D s / 3D User’s Manual (2D)
7 PROGRAMS
The X-ray unit uses robotic SCARA (Selectively
Compliant Articulated Robot Arm) technology for arm
movements. SCARA 3 units have three joints and allow
limitless imaging possibilities. SCARA 2 units have two
joints and offer a more limited selection of exposure
programs.
The basic program package is included as standard and
the other program packages are available as options. The
available options depend on the unit’s SCARA type.
NOTE The images shown in this manual are only examples.
Program package Contents SCARA
Arm
Sensor
2D imaging system
Basic panoramic
programs (standard)
Standard panoramic
Lateral double TMJ
PA double TMJ
PA rotational sinus
SCARA 2 or
SCARA 3
Dimax, 3D s,
3D s ProFace,
3D or 3D
ProFace
Advanced
panoramic programs
(optional)
Orthogonal panoramic
Interproximal panoramic
Lateral-PA double TMJ
3 angles PA TMJ
3 angles lateral TMJ
PA non-rotational sinus
Lateral non-rotational sinus
Midsagittal non-rotational
sinus
SCARA 3 Dimax, 3D s,
3D s ProFace,
3D or 3D
ProFace
Other panoramic
programs (optional)
Bitewing panoramic
Horizontal and vertical
segmenting
SCARA 2 or
SCARA 3
Dimax, 3D s,
3D s ProFace,
3D or 3D
ProFace
Tomography
(optional)
Digital tomography
Digital transtomography
SCARA 3 Dimax
Cephalostat
(optional)
Scanning Ceph
Planmeca ProCeph
SCARA 2 or
SCARA 3
SCARA 3
Dimax
ProCeph
Dynamic Exposure
Control (DEC)
(optional)
Panoramic DEC
Cephalometric DEC
SCARA 2 or
SCARA 3
Dimax

Planmeca ProMax & Planmeca ProMax 3D s / 3D 15
PROGRAMS
User’s Manual (2D)
3D imaging system
3D programs
(optional / separately
as 3D system)
3D Standard
3D Large View 2 horizontal
3D Large View 3 horizontal
3D Large View 2 vertical
3D Horizontal Pair
SCARA 3 3D s or 3D
3D programs +
ProFace (optional /
separately as 3D
system)
3D Standard (+ Face Scan)
3D Large View 2 horizontal
(+ Face Scan)
3D Large View 3 horizontal
(+ Face Scan)
3D Horizontal Pair (+ Face
Scan)
Face Scan
SCARA 3 3D s ProFace
or
3D ProFace
3D Model
(optional)
3D Impression scan
3D Plaster cast scan
SCARA 3 3D or
3D ProFace
Program package Contents SCARA
Arm
Sensor

PROGRAMS
16 Planmeca ProMax & Planmeca ProMax 3D s / 3D User’s Manual (2D)
7.1 Panoramic programs
Standard panoramic program
The standard panoramic program has a traditional path
and angles of the beam.
Orthogonal panoramic program
The basic imaging geometry is the same as in the
standard panoramic program but the X-ray beam is
perpendicular to the jaw.
NOTE This program is optimized for orthogonal imaging and
a shadow of the opposite side teeth may therefore be
visible in the radiograph.
Interproximal panoramic program
The basic imaging geometry is the same as in the
standard panoramic program but the X-ray beam is
parallel to the interproximal contacts of the teeth.
NOTE This program is optimized for interproximal imaging
and a shadow of the opposite side teeth may therefore
be visible in the radiograph.
layer laser beam
1 cm
layer laser beam
1 cm
layer laser beam
1 cm