YOSHIDA PANOURA 18S User manual

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This “Operation Manual” describes information on
how to operate “PANOURA 18S”, a digital panorama
tomographic X-ray diagnostic apparatus for dental
use, and precaustions for use.
• To avoid any unexpected accident, failure, or
damage to the system, read this “Operation
Manual” prior to system installation.
• Be sure to keep this manual after having read
through it.
PANOURA 18S
Operation Manual

1
PANOURA 18S Operation Manual
Introduction
Welcome to PANOURA 18S.
This product, classied as a medical equipment, is provided only after stringent quality control
and product inspection have been carried out on it. Should any failure or malfunction occurs,
please feel free to contact your dealer.
• A symbol used in this manual alerts the user to possible dangers to the human body
or possible damage to the equipment. To avoid these unexpected accidents, read carefully
and adhere to the instructions following the symbol.
• Be sure to read through the manual prior to use to take full advantage of the equipment
and use it effectively for many years to come. To avoid any unexpected accident, failure,
or damage, once you have read the manual, keep it in a prominent place near the equip-
ment.
• If you have any question or opinion about the manual, feel free to contact your dealer .
Should any nonconsecutive numbering or page missing is found, the defective manual will
be replaced with a new one.
• Reproduction or reprint of part or all of the manual without prior written permission is
strictly prohibited.
• Modications may be made to the manual at any time without prior notice
Disclaimer
We will not be liable for any failure, damage, and condition occurring in PANOURA 18S at-
tributable to:
• Installation, relocation, maintenance, and/or repair by us any other subcontractor than
those we nominated.
• Any other product than those we delivered.
• Maintenance and/or repair using any other repair parts than those we designated.
• Negligence of precautions/instructions and the correct operating procedure described in
the manual.
• Ambient environment departing from the operating conditions (power supply, installation
environment, etc.) for the equipment dened in the manual.
• Natural disasters such as re, earthquake, ood, and lighting.

2PANOURA 18S Operation Manual
Table of contents
Introduction ............................................................................................................................... 1
Safety precautions in using PANOURA 18S ............................................................................ 7
Precautions for Use .................................................................................................................. 8
Responsibilities for equipment management attributable to the user ..................................... 11
Required Maintenance and Inspection ................................................................................... 11
Durable period ........................................................................................................................ 11
Repair functional part supply period ....................................................................................... 11
Actions to be taken in case of an accident ............................................................................. 11
Signage used in the manual ................................................................................................... 12
EMC compatibility symbol ...................................................................................................... 12
Precautions for Storage Location and Operating Environment of X-ray Equipment .............. 16
Precautions for Installation and Relocation ............................................................................ 17
1 Before Using this Product 19
1.1 Intended Use ................................................................................................................. 19
1.2 Main label sealing ......................................................................................................... 19
1.3 Names and functions of units and their parts ................................................................ 23
1.3.1 Main body .....................................................................................................................23
1.3.2 Names and functions of control panel switches and indicators (1) ..............................25
1.3.3 Names and functions of control panel switches and indicators (2) ..............................27
1.3.4 Names and functions of hand-switch box indicators and switches ..............................28
1.3.5 Head support unit .........................................................................................................29
1.3.6 Positioning beams ........................................................................................................30
1.3.7 Sensor unit (detachable) ..............................................................................................31
1.3.8 Cephalo unit (*) ............................................................................................................32
1.3.9 Laser beam allocation ..................................................................................................33
1.4 Materials of applied parts .............................................................................................. 34
1.5 Principle of Operation .................................................................................................... 35
1.5.1 X-ray generating mechanism .......................................................................................35
1.5.2 Operating principle ......................................................................................................35
1.5.3 Principle of Photography ..............................................................................................36
1.6 Photographic functions .................................................................................................. 37
1.6.1 Functions of radiation modes .......................................................................................37
1.6.2 Selecting Radiation status ...........................................................................................38
1.6.3 Names of arm unit positions .........................................................................................39

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PANOURA 18S Operation Manual
1.7 X-ray photographic cycles ............................................................................................. 41
2 Directions for Use 43
2.1 Pre-/post-operational procedures .................................................................................. 43
2.2 Emergency stop ............................................................................................................ 44
2.3 Procedure for X-ray image acquisition .......................................................................... 45
2.3.1 Turning the power switch on ........................................................................................45
2.3.2 Activating Image Creator from the Viewer ....................................................................46
2.3.3 Setting the radiation mode ...........................................................................................47
2.3.4 Introducing the patient inside the equipment ................................................................52
2.3.5 Positioning in Panoramic mode ....................................................................................55
2.3.6 Positioning in TMJ mode ..............................................................................................61
2.3.7 X-ray radiation ..............................................................................................................64
2.3.8 Withdrawing the patient from the equipment ................................................................67
2.3.9 Image Transfer .............................................................................................................67
2.3.10 Shutting off the power supply .......................................................................................68
2.4 Procedures of Cephalometric Radiography .................................................................. 69
2.4.1 Turning the power switch on ........................................................................................69
2.4.2 Activating Image Creator from the Viewer ....................................................................69
2.4.3 Setting the Image Acquisition Mode .............................................................................69
2.4.4 Patient Introduction and Positioning .............................................................................70
2.4.5 X-Ray Photography ......................................................................................................73
2.4.6 Patient’s Exit .................................................................................................................75
2.4.7 Image Transfer .............................................................................................................75
2.4.8 2.4.8 Turning Off the Equipment ..................................................................................76
3 Directions for Use of PANOURA18S ControlManager 77
3.1 Installing PANOURA18S ControlManager .................................................................... 77
3.1.1 Installation procedure ...................................................................................................77
3.1.2 Installing ControlManager ............................................................................................79
3.2 Starting up PANOURA18S ControlManager ................................................................. 81
3.3 Descriptions of Main Menu ............................................................................................ 82
3.4 Descriptions of “Setup” screen ...................................................................................... 82
3.5 Conrming program versions ........................................................................................ 83
3.6 Conguring a communication port(s) ............................................................................ 85

4PANOURA 18S Operation Manual
4 Directions for Use of Image Creator 87
4.1 Installing Image Creator ................................................................................................ 87
4.1.1 Installation procedure ...................................................................................................87
4.1.2 Installing Image Creator ...............................................................................................89
4.2 Installing Dental Imaging Software ................................................................................ 92
4.2.1 Installation procedure ...................................................................................................92
4.2.2 Installation ....................................................................................................................94
4.3 Starting up Image Creator ............................................................................................. 96
4.4 Conrming program versions ........................................................................................ 96
4.5 Image Creator Screen ................................................................................................... 97
4.6 Saving and Loading of Acquired Data (RAW Data) ...................................................... 99
4.7 Tomotgraphic Adjustment ............................................................................................. 99
4.8 Display Adjustment ..................................................................................................... 101
4.9 Image Export ............................................................................................................... 102
5 User Program Mode 103
6 Recovering from failures 107
6.1 Problems and their corrective measures ..................................................................... 107
6.1.1 Problems with image acquisition ................................................................................107
6.1.2 Problems associated error messages displayed on the screen .................................109
6.2 Making contact with your dealer. ................................................................................. 110
7 Maintenance services 111
7.1 Cleaning ...................................................................................................................... 111
7.2 Regular checks ........................................................................................................... 112
7.3 Regular check services ............................................................................................... 113
7.3.1 Outsourcing the regular check services .....................................................................113
7.3.2 Archiving records on regular check services ..............................................................113
7.4 Performing check services .......................................................................................... 114

5
PANOURA 18S Operation Manual
8 Disposal specication 117
9 Patient positioning part 119
10 List of time-change components and consumable stores 121
10.1 Time-change components ........................................................................................... 121
10.2 Consumable stores ..................................................................................................... 121
11 Main specication 123
11.1 Specication ................................................................................................................ 123
11.2 Filter Specications ..................................................................................................... 125
11.3 Dimensional drawing ................................................................................................... 126
11.3.1 Standing position wall-mount: Panorama type ...........................................................126
11.3.2 Standing position wall-mount short type: Panorama type ..........................................127
11.3.3 Standing position wall-mount long type: Panorama type ...........................................128
11.3.4 Standing position base-mount (with an optional base):Panorama type .....................129
11.3.5 Standing position base-mount short type (optional base):Panorama type .................130
11.3.6 Standing position base-mount long type (optional base):Panorama type ..................131
11.3.7 Standing position base-mount (with an optional wide base):Panorama type .............132
11.3.8 Standing position base mount short type
(with an optional wide base): Panorama type ............................................................133
11.3.9 Standing position base mount long type
(with an optional wide base): Panorama type ............................................................134
11.3.10 Standing position wall-mount: Cephalo-attached type ...............................................135
11.3.11 Standing position wall-mount short type: Cephalo-attached type ..............................136
11.3.12 Standing position wall-mount long type: Cephalo-attached type ................................137
11.3.13 Standing position base-mount (with and optional base):Cephalo-attached type .......138
11.3.14 Standing position base-mount short type (optional base):Cephalo-attached type .....139
11.3.15 Standing position base-mount long type (optional base):Cephalo-attached type ......140
11.3.16 Standing position base-mount (with an optional wide base): Cephalo-attached type 141
11.3.17 Standing position base-mount short type
(with and optional wide base): Cephalo-attached type ...............................................142
11.3.18 Standing position base-mount long type
(with and optional wide base): Cephalo-attached type ...............................................143
11.4 Circuit block diagram ................................................................................................... 144
11.5 Circuit block diagram (Cephalo-attached type) ........................................................... 145

6PANOURA 18S Operation Manual
11.6 Spatial resolution (MTF) .............................................................................................. 146
11.7 Anode cooling curve and heat content of X-ray tube
assembly ..................................................................................................................... 147
12 Qualication Assurance (QA) Procedure 149
12.1 Structure of the phantom ............................................................................................. 149
12.2 QA Procedure ............................................................................................................. 150

7
PANOURA 18S Operation Manual
Safety precautions in using PANOURA 18S
Meaning of symbols
A symbol and its variations used in the manual and attached to the equipment have the
meanings described below. To avoid any possible danger, be sure to adhere to the instruc-
tions following these symbols.
: Informs the user of any general caution, warning, or danger.
DANGER : Alerts the user to a direct danger, which may lead to severe injury or
death, serious damage to the equipment and its surrounding proprietary
(e.g. totally-lost machine), or re.
WARNING : This is used to indicate an indirect (or potential) danger that could cause
death or serious injury, severe property damage such as complete
failure of the equipment, or a re.
Following is an example of indirect danger.
Example: Ignoring a warning label and opening a cover and touching a
high-voltage terminal could result in death.
CAUTION : Alerts the user to a risk of any accident, which may lead to mildly to
moderately injured human body, partially-destructed machine, or lost
computer data.

8PANOURA 18S Operation Manual
Precautions for Use
Warning
CARELESS OR IMPROPER USE OF X-RAY EQUIPMENT CAN BE EXTERMELY HAZ-
ARDOUS.
1. Be sure to operate the equipment in a radiation-controlled area.
2. A patient, if moves, may be caught by a rotating arm unit during image acquisition.
To avoid this accident, monitor a patient every minute and if you detect any possible
danger, immediately stop image acquisition.
3. A patient, if moves, may be caught by a rotating arm unit during positioning or image
acquisition. To avoid this accident, ask the patient to remain still.
4. Turn the power switch OFF (a ○ symbol will appear) if you don’t intend to operate the
equipment for a long period.
5. Any one other than the qualied service persons should not remove the cover, other-
wise a failure, accident, discoloration/color-fading, or malfunction may occur.
6. Electromagnetic wave
An electromagnetic wave, if any, may interfere with this medical equipment in your
clinic ofce, causing malfunction. Avoid this problem, be sure to turn off the power
switches of the electric apparatuses; a cell phone, PHS, transceiver, or radio-controlled
transmitter.
7. Be sure to plug a medical ground cable into a ground outlet prior to use of PANOURA
18S. Don’t plug the cable into any other kind of outlet than that for exclusive use.
8. Don’t connect any other device than specied ones to the equipment. Don’t install
unspecied software on the PC connected to the system.
9. Don’t connect a developing apparatus with the equipment in the same X-ray room. A
gas generated by the developing apparatus may erode the equipment, leading to seri-
ous damage.
10. Never gaze directly at positioning beams, though their power outputs (Class 2) are
enough to avoid adverse effects on your eyes by aversive behavior by winking.
11. Don’t apply any heavy load or shock on the equipment, e.g. suspending from the chin
rest or sliding mechanism, otherwise the equipment may be damaged.
12. Never allow infants and children to approach this product except when used for medi-
cal care.
13. Do not give high impact or excessive external load to this product. Otherwise it may
cause malfunction.
14. Do not hang down from or apply force on the Cephalo unit (including the Cephalo-
arm). Otherwise the equipment may fall or be damaged.
15. Be careful not to let infants and children hang down from or apply force on the Cephalo
unit (including the Cephalo-arm).