Planmeca 2D User manual

Planmeca ProMax®
2D & 3D s & 3D Classic
EN 10033256_8
user's manual
2D imaging

User’s Manual (2D) Planmeca ProMax 2D & 3D s & 3D Classic 1
Table of Contents
1 INTRODUCTION .................................................................................................................1
2 ASSOCIATED DOCUMENTATION ...................................................................................... 2
3 SYMBOLS ON PRODUCT LABELS ..................................................................................... 3
4 SAFETY PRECAUTIONS .................................................................................................... 4
5 SWITCHING X-RAY UNIT ON ............................................................................................. 7
6 MAIN PARTS ...................................................................................................................... 8
6.1 General view of 2D X-ray system ........................................................................................... 8
6.2 General view of 3D X-ray system ........................................................................................... 9
6.3 General view of X-ray unit .................................................................................................... 10
6.4 Sensors ................................................................................................................................ 11
6.5 Patient supports ................................................................................................................... 12
6.6 Exposure switch ................................................................................................................... 13
6.7 Emergency stop button ........................................................................................................ 13
6.8 Touch screen ........................................................................................................................ 14
6.9 Patient positioning controls ................................................................................................... 17
7 PROGRAMS .....................................................................................................................19
7.1 Panoramic programs ............................................................................................................ 19
7.2 Temporomandibular joint (TMJ) programs ........................................................................... 20
7.3 Sinus programs .................................................................................................................... 22
8 PREPARATIONS FOR EXPOSURE ................................................................................... 23
8.1 Attaching and removing sensor ............................................................................................ 23
8.2 Preparing Planmeca Romexis .............................................................................................. 26
8.3 Preparing patient .................................................................................................................. 26
9 PANORAMIC EXPOSURE ................................................................................................. 27
9.1 Before exposure ................................................................................................................... 27
9.2 Selecting exposure settings .................................................................................................. 28
9.3 Patient positioning ................................................................................................................ 32
9.4 Selecting Dynamic Exposure Control (DEC) ........................................................................ 37
9.5 Taking an exposure .............................................................................................................. 38
9.6 Taking an exposure with Autofocus ...................................................................................... 39
10 TEMPOROMANDIBULAR JOINT (TMJ) EXPOSURE .......................................................... 41
10.1 Before exposure ................................................................................................................... 41
10.2 Selecting exposure settings .................................................................................................. 41
10.3 Patient positioning ................................................................................................................ 44
10.4 Taking an exposure in double TMJ programs ...................................................................... 50
10.5 Taking an exposure in three angle TMJ programs ............................................................... 52
11 SINUS EXPOSURE ........................................................................................................... 53
11.1 Before exposure ................................................................................................................... 53
11.2 Selecting exposure settings .................................................................................................. 53
11.3 Patient positioning ................................................................................................................ 56
11.4 Taking an exposure .............................................................................................................. 59
12 SETTINGS ........................................................................................................................ 60
12.1 User settings ........................................................................................................................ 61
12.2 Program settings .................................................................................................................. 68
12.3 About tab .............................................................................................................................. 71

2 Planmeca ProMax 2D & 3D s & 3D Classic 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
authorised 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
Publication Number 10033256 Revision 8
Release Date 5 December 2014
13 HELP MESSAGES ............................................................................................................ 72
14 ERROR MESSAGES ......................................................................................................... 74
15 CLEANING ....................................................................................................................... 75
16 SERVICE ......................................................................................................................... 75
17 DISPOSAL ....................................................................................................................... 76
18 TECHNICAL SPECIFICATIONS ........................................................................................ 77
18.1 Technical data for Planmeca ProMax product family ........................................................... 77
18.2 Original manufacturer ........................................................................................................... 81
18.3 Dimensions ........................................................................................................................... 82
18.4 Minimum operational space requirements ............................................................................ 83

1 INTRODUCTION
User’s Manual (2D) Planmeca ProMax 2D & 3D s & 3D Classic 1
1 INTRODUCTION
This manual describes how to take 2D panoramic
exposures. The manual applies to the following X-ray
units:
• Planmeca ProMax 2D S2
• Planmeca ProMax 2D S3
• Planmeca ProMax 3D s
• Planmeca ProMax 3D Classic
NOTE
This manual is valid for software version 3.6.0.0.r or later.
This software version is compatible with Planmeca
Romexis software version 3.8.2.r or later. To check the
software version of your X-ray unit, select Settings > About
> 4100 Component Information > ProMax SW version.
The X-ray unit uses panoramic 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.
Make sure that you are fully acquainted with the
appropriate radiation protection measures and these
instructions before you use the X-ray unit.
NOTE
The X-ray unit may be used by health care professionals
only.

2 ASSOCIATED DOCUMENTATION
2 Planmeca ProMax 2D & 3D s & 3D Classic 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: 10033256
(- 2D Tomography, Original English publication:
10036593)
(- Cephalostat, Original English publication: 10033034 or
10033035)
(- 3D Imaging, Original English publication: 10033255)
• Installation Manual,
Original English publication: 10033260
• Technical Manual,
Original English publication: 10033257
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 (Material bank > Manuals > Imaging).

3 SYMBOLS ON PRODUCT LABELS
User’s Manual (2D) Planmeca ProMax 2D & 3D s & 3D Classic 3
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

4 SAFETY PRECAUTIONS
4 Planmeca ProMax 2D & 3D s & 3D Classic 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 environ-
ment or in the presence of flammable anesthetics.
CAUTION
Never use a defective or damaged X-ray system.
Contact your service technician for help.

4 SAFETY PRECAUTIONS
User’s Manual (2D) Planmeca ProMax 2D & 3D s & 3D Classic 5
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.
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).
CAUTION
LASER RADIATION -
DO NOT STARE
INTO BEAM
1mW
635nm
CLASS II
LASER
PRODUCT
LBL-X-099

4 SAFETY PRECAUTIONS
6 Planmeca ProMax 2D & 3D s & 3D Classic User’s Manual (2D)
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.
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. To
turn radiation off, select Settings > User > 1300
Operational settings > 1310 Use Mode > 1311 Set Demo
Mode.
CLASS 1 LASER PRODUCT
APPAREIL À LASER DE CLASSE 1
IEC 60825-1:2007

5 SWITCHING X-RAY UNIT ON
User’s Manual (2D) Planmeca ProMax 2D & 3D s & 3D Classic 7
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.
NOTE
To prolong the lifetime of the X-ray unit, always switch the
X-ray unit off when it is not in active use.
on_off_2.eps

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

6 MAIN PARTS
User’s Manual (2D) Planmeca ProMax 2D & 3D s & 3D Classic 9
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

6 MAIN PARTS
10 Planmeca ProMax 2D & 3D s & 3D Classic User’s Manual (2D)
6.3 General view of X-ray unit
C-arm
Telescopic column
Stationary column
Dimax sensor
Patient support
Patient support table
Patient handles
Patient positioning
controls
Touch screen
Cephalostat (optional)
OR
3D sensor on C-arm

6 MAIN PARTS
User’s Manual (2D) Planmeca ProMax 2D & 3D s & 3D Classic 11
6.4 Sensors
1 Dimax sensor
2 3D sensor for Planmeca ProMax 3D s
3 3D sensor for Planmeca ProMax 3D Classic
4 ProFace sensor for Planmeca ProMax 3D s and Planmeca ProMax 3D Classic
Prof_1B.eps
3D_sensor.eps
3Ds_sensor.eps
Dimax_sensor.eps
1
23
4

6 MAIN PARTS
12 Planmeca ProMax 2D & 3D s & 3D Classic User’s Manual (2D)
6.5 Patient supports
1 Bite piece
2Chin rest
3 Adapter
4Chin cup
5 Chin support
6 Temple supports
Bite1.eps
TEMPLE?SUPPORTAI
Chin2.eps
Bite2.eps
Chin1.eps
Lip1.eps
1
2
3
45
6

6 MAIN PARTS
User’s Manual (2D) Planmeca ProMax 2D & 3D s & 3D Classic 13
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.
Green lights flash on the exposure button and on the
touch screen when the X-ray system is getting ready for
an exposure. The green lights stop flashing and stay on
continuously when the X-ray system is ready for an
exposure.
During exposure yellow radiation warning lights illuminate
on the exposure switch and on the touch screen. They
indicate that the X-ray unit is generating radiation.
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 touch screen. Guide
the patient away from the X-ray unit. Then release the
emergency stop button. The X-ray unit will automatically
restart.
6_2.eps
1) Flashing green =
Getting ready
2) Continuousgreen =
Ready
3) Yellow = Radiation
Exposure switch
Exposure button

6 MAIN PARTS
14 Planmeca ProMax 2D & 3D s & 3D Classic User’s Manual (2D)
6.8 Touch screen
NOTE
The options shown on the touch screen depend on the unit
configuration. The X-ray unit can be upgraded with new
programs and features, contact your dealer for further
information. The views and values shown in this manual
are only examples.
NOTE
The illustrations shown on the touch screen are based on
approximate patient anatomy. The actual exposure area
depends on the individual anatomy of the patient.
NOTE
Never allow patients to touch the screen when they are
positioned in the X-ray unit. Touching the screen during
exposure will stop the imaging process.
You can use the buttons at the bottom of the main screen
to change the appearance of the main view.
•Left button:
To view the ProMax model and up to five most
recently used programs, select the left button at the
bottom of the main screen. The most recently used
program is shown first. This is the default view of the
main screen.
NOTE
If you wish to use fast forward buttons on this view,
select Settings > Program > 2200 Program Features
> Fast Forward ON. Using a fast forward button takes
you directly to the last screen where you can take an
exposure.
•Right button:
To view two program bars on top of each other,
select the right button at the bottom of the main
screen.

6 MAIN PARTS
User’s Manual (2D) Planmeca ProMax 2D & 3D s & 3D Classic 15
•Home button:
To return to the main view from another screen,
select the home button at the top right corner of the
screen.
•Forward button:
To accept a selection and to go to the next screen,
touch the forward button.
•Fast forward button:
To accept a selection and to skip the next screen,
touch the fast forward button.
•Accept button:
To accept a selection, touch the green check mark
button.
•Cancel button:
To cancel a selection, touch the red cross button.
•Pause button:
To pause a function (instead of cancelling it), touch
the pause button.
•Making selections:
To make a selection on the touch screen, simply
touch a button or a field with your finger or a soft
stylus. The selected option is highlighted. To deselect
an option, touch the button or field again (or select an
other option if available).
NOTE
Do not use sharp objects to operate the touch screen.

6 MAIN PARTS
16 Planmeca ProMax 2D & 3D s & 3D Classic User’s Manual (2D)
•Scrolling lists:
To scroll a list down or up, slide your finger on the
screen.
•Changing settings:
To change a setting, select the settings icon at the
top left corner of the main view. This takes you to the
settings menu where you can adjust the settings of
the X-ray unit. Refer to section 12 “SETTINGS” on
page 60 for details.
•Checking exposure time and DAP values:
The estimated values for exposure time and DAP
(Dose Area Product) are shown with black text on the
touch screen before you take an exposure. The
actual values are shown with green text after the
exposure.
•About stand-by mode:
The screen will automatically switch to stand-by
mode if you do not touch the screen or the exposure
button for more than thirty minutes. In stand-by mode
the green light on the exposure button indicates that
the X-ray unit is switched on even though the screen
is dark. The screen will switch on as soon as you
touch it again.
•Selecting demo mode:
You can turn demo mode on if you wish to practice or
demonstrate the functions of the X-ray unit without
radiation (Settings > User > 1300 Operational
settings > 1310 Use Mode > 1311 Set Demo Mode).