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CS 8100SC Family

User Guide
Including

CS 8100SC

CS 8100SC Access

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Notice

Congratulations on your purchase of the CS 8100SC Family. Thank you for your confidence in our
products. We will do everything we can to ensure your complete satisfaction.

The User Guide for the CS 8100SC Family includes information on the cephalometric features.
For panoramic features, see the CS 8100 Family (SM784) User Guide. We recommend that you
thoroughly familiarize yourself with this Guide in order to make the most effective use of your system.

The CS 8100SC Family is intended to produce complete or segmented tomographic digital panoramic
X-ray images and digital cephalometric X-ray images to be used at the direction of healthcare
professionals of the dento-maxillofacial region of the human anatomy as diagnostic support for pediatric
and adult patients. This includes imaging the hand and wrist to obtain carpus images for growth and
maturity assessment.

The CS 8100SC Family includes:

• CS 8100SC: The complete panoramic and cephalometric modality.


• CS 8100SC Access: The panoramic modality (without the 2D+ radiological exam feature)
and the cephalometric modality (without the 26 x 24 FoV (Field of View)).
This document refers to both models as CS 8100SC unless otherwise specified.

WARNING: We recommend that you consult the “Safety, Regulatory and


the Technical Specification User Guide” before using the CS 8100SC.

The information contained in this Guide may be subject to modification without notice, justification or
notification to the persons concerned.

No part of this Guide may be reproduced without the express permission of Carestream Health, Inc.

The US Federal law restricts this device to sale by or on the order of a physician.

This document is originally written in English.

Manual Name: CS 8100SC Family User Guide


Part Number: SM987
Revision Number: 01
Print Date: 2015-03

The CS 8100SC Family complies with Directive 93/42/EEC relating to medical equipment.

0086

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Contents

Chapter 1 Conventions in this Guide . . . . . . . . . . . . . . . . . . . 1


Conventions in This
Guide

Chapter 2 Mobile Components . . . . . . . . . . . . . . . . . . . . . . 3


CS 8100SC General Functional Components. . . . . . . . . . . . . . . . 4
Overview Digital Sensor Locations . . . . . . . . . . . . . . . . . . . . 5
Positioning Accessories . . . . . . . . . . . . . . . . . . 6
Positioning Panel . . . . . . . . . . . . . . . . . . . . . . . . 8
X-ray Remote Control Overview . . . . . . . . . . . . . . . . 9

Chapter 3 Computer System Requirements . . . . . . . . . . . . . . 11


Imaging Software General Software Overview . . . . . . . . . . . . . . . . . 11
Overview Imaging Software . . . . . . . . . . . . . . . . . . . . 11
Cephalometric Acquisition Interface . . . . . . . . . . 11
Cephalometric Acquisition Interface . . . . . . . . . . . . . 12
Cephalometric Acquisition Interface Overview . . . . . 12
Cephalometric Program Pane . . . . . . . . . . . 13
Cephalometric Patient Pane . . . . . . . . . . . . 14
Cephalometric Parameter Pane. . . . . . . . . . . 15

Chapter 4 Switching on the Unit. . . . . . . . . . . . . . . . . . . . . 17


Getting Started Increasing the operating life of the X-ray tube . . . . . 17
Firewall or Network Settings . . . . . . . . . . . . . . . . . 18
Accessing the Cephalometric Acquisition Interface. . . . . 19

Chapter 5 Acquiring a Lateral Image for the Adult and Pediatric


Acquiring Patient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Cephalometric Preparing the Unit and Setting the Acquisition
Images Parameters . . . . . . . . . . . . . . . . . . . . . . . . 21
Preparing and Positioning the Adult and Pediatric
Patient . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Launching the X-ray . . . . . . . . . . . . . . . . . . . 25
X-ray Dose Emission Information . . . . . . . . . . . . . . . 25
Acquiring a Frontal AP and PA Image for the Adult and
Pediatric Patient . . . . . . . . . . . . . . . . . . . . . . . 26
Preparing the Unit and Setting the

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Acquisition Parameters . . . . . . . . . . . . . . . . . . 26
Preparing and Positioning the Adult and Pediatric
Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Launching the X-ray . . . . . . . . . . . . . . . . . . . . 30
X-ray Dose Emission Information . . . . . . . . . . . . . . . 31
Acquiring a Oblique Image for the Adult and
Pediatric Patient . . . . . . . . . . . . . . . . . . . . . . . . 32
Preparing the Unit and Setting the
Acquisition Parameters . . . . . . . . . . . . . . . . . . 32
Preparing and Positioning the Adult and
Pediatric Patient. . . . . . . . . . . . . . . . . . . . . . 33
Launching the X-ray . . . . . . . . . . . . . . . . . . . . 34
X-ray Dose Emission Information . . . . . . . . . . . . . . . 35
Acquiring a Submento-Vertex Image for the Adult and
Pediatric Patient . . . . . . . . . . . . . . . . . . . . . . . . 36
Preparing the Unit and Setting the Acquisition
Parameters . . . . . . . . . . . . . . . . . . . . . . . . 36
Preparing and Positioning the Adult and Pediatric
Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Launching the X-ray . . . . . . . . . . . . . . . . . . . . 39
X-ray Dose Emission Information . . . . . . . . . . . . . . . 40
Acquiring a Carpus Image for the Adult and Pediatric
Patient (available as an option) . . . . . . . . . . . . . . . . 41
Preparing the Unit and Setting the Acquisition
Parameters . . . . . . . . . . . . . . . . . . . . . . . . 41
Preparing and Positioning the Adult and Pediatric
Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Launching the X-ray . . . . . . . . . . . . . . . . . . . . 44
X-ray Dose Emission Information . . . . . . . . . . . . . . . 45

Chapter 6 Monthly. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Maintenance Annually . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Controlling the Image Quality . . . . . . . . . . . . . . . . . 47

Chapter 7 Quick Troubleshooting. . . . . . . . . . . . . . . . . . . . . 49


Troubleshooting

Chapter 8 Manufacturer’s Address . . . . . . . . . . . . . . . . . . . . 51


Contact Information Factory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Authorized Representatives . . . . . . . . . . . . . . . . . . 51

iv

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1 Conventions in This Guide

Conventions in this Guide


The following special messages emphasize information or indicate potential risk to personnel or
equipment:

WARNING: Warns you to avoid injury to yourself or others by following


the safety instructions precisely.

CAUTION: Alerts you to a condition that might cause serious damage.

Important: Alerts you to a condition that might cause problems.

Note: Emphasizes important information.

Tip: Provides extra information and hints.

CS 8100SC Family User Guide (SM987)_Ed 01 1

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2 Chapter 1 Conventions in This Guide

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2 CS 8100SC Overview

The CS 8100SC Family includes:

• CS 8100SC: The complete panoramic and cephalometric modality.


• CS 8100SC Access: The panoramic modality (without the 2D+ radiological exam feature)
and the cephalometric modality (without the 26 x 24 FoV).
This document refers to both models as CS 8100SC unless otherwise specified.

Mobile Components
Figure 1 illustrates the:

• Up and down movement of the unit


• Rotation and translation movement of the rotative arm and the cephalostat

Important: The patient can enter either the left side or the right
side of the unit.

Figure 1 Unit Mobile Components

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General Functional Components
Figure 2 illustrates the general functional components of the unit.

Figure 2 Unit Functional Components

1 2 3 4
5

7
8
9 10
12
13
11
14
19 15
16

18 17

1 Unit rotative arm 11 Unit column


2 Unit head 12 Frankfort positioning indicator
3 Emergency stop knob 13 Secondary collimator
4 ON/OFF button 14 Nasion support
5 Cephalostat arm 15 Head clamps and ear cones
6 Cephalostat head 16 Cephalometric digital sensor
7 X-ray source assembly 17 X-ray remote control
8 Head and chin rest 18 Carpus panel (optional)
9 Chin rest and bite block 19 Computer hosting the imaging and the
acquisition software
10 Panoramic digital sensor

4 Chapter 2 CS 8100SC Overview

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Digital Sensor Locations
Figure 3 illustrates the locations of digital sensors of the unit.

Figure 3 CS 8100SC Unit Digital Sensor Locations

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Positioning Accessories
The following accessories are used when positioning a patient. They are delivered with the CS
8100SC.

Table 1 Panoramic Positioning Accessories

Accessory Description

Panoramic chin rest

Sinus chin rest

TMJ nose rest

Standard bite block (x5)

Bite block for edentulous patients (x2)

Single use sheaths for bite block

6 Chapter 2 CS 8100SC Overview

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Table 2 Cephalometric Positioning Accessories

Accessory Description

Single use sheaths for ear cones

Carpus panel (optional)

Frankfort positioning indicator

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Positioning Panel
The positioning panel is a console on the head and chin rest that enables you to correctly position and
align a patient before you acquire an image.

Figure 4 Unit Positioning Panel

1 Height Adjustment buttons:


• Adjusts the height of the unit to the height of the patient.

• When the unit is not in use, places the rotative arm in a parallel position to the unit head,
leaving more free space around the unit.
To do so, press and hold both buttons until the Ready Indicator LED switches off.
When you release both buttons, the Ready Indicator LED will flash before the
rotative arm turns to the parallel position.
2 Ready Indicator LED: Green indicates that the unit is ready for acquisition.
3 Frontal head rest adjustment knob: Positions the up or down inclination of the patient
head by turning the knob.

8 Chapter 2 CS 8100SC Overview

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X-ray Remote Control Overview

The X-ray remote control enables you to launch a radiological image acquisition via the exposure button
from outside the X-ray room. You must press and hold the exposure button until the end of acquisition.
Premature release of the exposure button interrupts the acquisition.

Figure 5 X-ray Remote Control

1 Exposure button: launches image acquisition.

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10 Chapter 2 CS 8100SC Overview

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3 Imaging Software Overview

Computer System Requirements


For the minimum computer system requirements and configuration for the Imaging Software, see the
CS 8100 Family Safety, Regulatory and Technical Specifications User Guide.

Important
It is MANDATORY to check that the computer system configuration is compatible
with the computer system requirements for the CS 8100SC software. If
necessary you MUST update your computer system configuration. The unit
MUST be connected to the computer via a point-to-point Ethernet link and not via
a LAN.

General Software Overview


The CS 8100SC operates with the following software:

• Imaging software
• Acquisition interface

Imaging Software
The Carestream’s Dental Imaging Software or CS Imaging Software are user-friendly working
interfaces that were designed and developed specifically to support image diagnosis.

Cephalometric Acquisition Interface


The Cephalometric Acquisition interface is a user-friendly interface that was designed and developed
specifically for the CS 8100SC.

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Cephalometric Acquisition Interface
Cephalometric Acquisition Interface Overview
The Cephalometric Acquisition interface is the main interface of the CS 8100SC that provides you
with imaging acquisition functions.

Figure 6 Cephalometric Acquisition Interface

1 Information button:
• Show versions: Identifies Software and Firmware versions.
• Resetting Anatomy setting: Resets to the manufacturing parameter settings.
• Memorize Anatomy setting: Memorizes the user preference settings for each patient
type (kV, mA and seconds).
2 Preview Screen: Displays the acquired acquisition frames.
3 Selected Parameter Display: Displays the current acquisition parameter settings.
4 System Status Screen: Displays various alert or warning messages originating from the unit.
5 Generator Cooling indicator: Indicates the automatic cooling time (mm:ss) required before the
next acquisition.
6 X-ray dose: Displays the dose that will be emitted before each acquisition.
7 Reset button: Resets the unit to the patient-entry position to enable you to position a patient in
the unit.
8 Parallel position button: Leaves more free space around the unit when it is not in use by placing
the rotative arm in a parallel position to the unit head.
9 X-ray On/Off button: Enables or disables X-ray emission.
10 Ready Indicator LED
• Green indicates the unit is ready to start acquisition.
• Black indicates the unit is not ready to start acquisition.
11 Exit button: Closes the Acquisition interface.
12 X-ray Emission indicator: Yellow, indicates the X-ray emission status.
13 Selector Button: Selects different acquisition setting options.
• Click Program to select examination type options.
• Click Patient to select patient type parameters.
• Click Parameters to select exposure parameter options.

12 Chapter 3 Imaging Software Overview

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Cephalometric Program Pane
The cephalometric Program pane enables you to choose the different radiological exams and
acquisition formats.

Figure 7 Cephalometric Program Pane

1 Radiological exam options:

Click for a lateral exam. Click for an oblique exam.

Click for a frontal AP Click for a submento-vertex exam.


(Anterior-Posterior) exam.

Click for a frontal PA Click for a carpus exam.


(Posterior-Anterior) exam.

2 FoV options:

Select for a 18 x 18 Select for a 18 x 24 FoV. Select for a 26 x 24 FoV


FoV. (not available for CS 8100SC
Access).

Fast scan for a quick Acquisition at a higher resolution for more precision.
exam.

Note: The above list of exam types are only a sample of exam options of
the Program pane.

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Cephalometric Patient Pane
The cephalometric Patient pane enables you to choose and select the different patient parameters.
The selected parameters for a patient influences the image quality because the default kV and mA
exposure settings are set for the selected patient mode.

The selected parameters must be based on the age and morphology of the patient.

Figure 8 Cephalometric Patient Pane

Note: A selected patient mode sets the kV and mA.

Patient type parameters:


Pediatric mode:

Click if the patient is a child.

Adult mode:

Click if the patient is small.

Click if the patient is medium.

Click if the patient is large.

Important:
See the CS 8100 Family Safety, Regulatory and Technical Specifications User
Guide for information on radiation protection and recommendations when you
select a patient type especially the pediatric patient.

14 Chapter 3 Imaging Software Overview

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Cephalometric Parameter Pane
The cephalometric Parameter Pane enables you to choose exposure parameters for the radiological
image acquisition. If the default parameter setting is not adapted to your patient type, you can manually
adapt the parameter setting to the patient type and save this setting as the default setting.

To save a parameter setting for a specific patient type, click and select Memorize Anatomy
setting.

Figure 9 Cephalometric Parameter Pane

1 Exposure setting options:

kV: Kilovolt

mA: Milliampere
2 Fine-tuning buttons:

Click or to fine-tune the kV and the mA.

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16 Chapter 3 Imaging Software Overview

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4 Getting Started

Switching on the Unit


Before switching on the unit, check that:

• The installation of the unit is complete.


• The computer is switched on.

To switch on the unit, follow these steps:

1. On the unit column, press the ON button.

2. You must wait for a minute for the connection between the unit and the computer to be
established.

If you start the Acquisition interface before the connection is established an error message is
displayed. Click OK on the error pop-up window. The Acquisition interface will close.

3. You can now proceed to start the Acquisition interface from the imaging software.

Increasing the operating life of the X-ray tube

Important:
You must carry out the following procedures at the first loading of
the unit or if the unit has not been used for a month to increase
the operating life of the X-ray tube.

To increase the operating life of the X-ray tube, follow these steps:

1. In the Panoramic Acquisition Window, select the Parameter pane.

2. Select the following parameter setting: 70 kV - 6.3 mA

3 Leave the X-ray room and close the door.

4 Launch an X-ray for the parameter setting by pressing and holding the X-ray remote control
exposure button.
5 Repeat Steps 2 to 4 for the following parameters:

• 80 kV - 10 mA
• 85 kV - 10 mA
The unit is now ready to be used for acquisition.

CS 8100SC Family User Guide (SM987)_Ed 01 17

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Firewall or Network Settings
You will not be able to access the Cephalometric Acquisition interface if you did not configured the
firewall or network settings.

To configured the firewall or network settings, follow these steps:

1 On your desktop, double-click (Carestream’s Dental Imaging Software) or (CS


Imaging Software) to open the imaging software.
The Windows Security Alert dialog box displays. Select Private networks, Public networks, and
click Allow access.

2 Click Quit on the following dialog box:

3 Close the imaging software.

4 On your desktop, double-click or to re-open the imaging software.

Note: See your firewall documentation for information on how to


configure the firewall or network settings.

18 Chapter 4 Getting Started

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Accessing the Cephalometric Acquisition Interface
To access the Cephalometric Acquisition interface, follow these steps:

1 Select and double-click the patient card in the patient list. The Image Viewer tab is displayed.

2 In the Image Viewer tab, click or to access the Cephalometric Acquisition interface.

The acquisition interface is displayed.

See Chapter 5—Acquiring Cephalometric Images for information on how to launch an acquisition.

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20 Chapter 4 Getting Started

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5 Acquiring Cephalometric Images

Acquiring a Lateral Image for the Adult and Pediatric Patient


Before acquiring an image, check that you have:

• Selected the patient record.


• Accessed the imaging software.
• Accessed the Cephalometric Acquisition interface.

Preparing the Unit and Setting the Acquisition Parameters


To set the acquisition parameters, follow these steps:

1. On the unit, position the head clamps manually for the lateral exam.

The lateral exam option becomes active.

Important:
You must position the head clamps manually because they cannot
be positioned automatically from the Program pane exam options.
When you position the head clamps manually, the relevant exam
option icon becomes active.

2. On the Cephalometric Acquisition interface, select the appropriate FoV option.

CS 8100SC Family User Guide (SM987)_Ed 01 21

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3. Click the Patient button to access the Patient pane.

Select the patient type:

• Child
• Adult: Small, Medium, Large

Important:
See the CS 8100 Family Safety, Regulatory and Technical Specifications User
Guide for information on radiation protection and recommendations when you
select a patient type especially the pediatric patient.

4. (Optional) If the default parameter setting is not adapted to your patient type, click the Parameter
button:

• Select the appropriate parameters.

• Click and select Memorize Anatomy setting if you want to save the new parameter
settings as future default settings.

22 Chapter 5 Acquiring Cephalometric Images

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Preparing and Positioning the Adult and Pediatric Patient
To prepare and position the patient, follow these steps:

1 Ask the patient to remove all metal objects.

2. Ask the patient to wear a lead apron with a thyroid collar. Ensure that the apron lays flat across the
patient’s shoulders.

3. Pull out at the top part of a head clamp bar to extend both bars.

Important:
The head clamp will NOT extend if you pull out at the lower part of
the bar.

4. Ask the patient to do the following:

• Move forward.
• Stand up straight.
• Place both ears in between the head clamps.

5. On the positioning panel, press and hold until you get the ear cones to the same height of ear
auditory canals.

6. Gently push in at the top part of a head clamp bar to retract both head clamp bars and to fit the
ear cones into the ear auditory canals.

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7. Lower the nasion support to a vertical position.

8. Use the Frankfort positioning indicator as a visual aid to adjust the up or down inclination of the
patient head for a Frankfort plane horizontal alignment.

24 Chapter 5 Acquiring Cephalometric Images

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Launching the X-ray
To launch the X-ray, follow these steps:

1 Leave the X-ray room and close the door. You must keep visual contact with the patient during
acquisition.

Important: If you have a problem that requires you to stop the


acquisition, release the exposure button of the remote control or
press the red emergency stop button.

2. Launch the X-ray with the remote control. Press and hold the exposure button until the end of the
acquisition is indicated by the on-screen “Release Handswitch” message. The turns yellow
and a warning sound is heard, indicating X-ray emission. When the acquisition ends, the
Cephalometric Acquisition interface disappears and the acquired image is automatically
transferred to the imaging software.

3. Check the image quality, if satisfactory, remove the ear cones and the nasion support and release
the patient.

X-ray Dose Emission Information


Compliance with EURATOM 97/43 Directive

You can right-click on each image to display the estimated emitted dose received by the patient. You
can use this information to calculate the effective dose received by the patient for the image.

Note: The X-ray dose information will be displayed on the acquisition


interface before each acquisition.

The radiation emission dose is expressed in mGy.cm2. This dose is measured at the primary collimator
outlet. The dose is accurate to +/-30%.

CS 8100SC Family User Guide (SM987)_Ed 01 25

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Acquiring a Frontal AP and PA Image for the Adult and Pediatric
Patient
Before acquiring an image, check that you have:

• Selected the patient record.


• Accessed the imaging software.
• Accessed the Cephalometric Acquisition interface.

Preparing the Unit and Setting the Acquisition Parameters


To set the acquisition parameters, follow these steps:

1. On the unit, position the head clamps manually for the frontal exam.

The frontal AP exam option becomes active on the Cephalometric Acquisition interface.

Important:
You must position the head clamps manually because they cannot
be positioned automatically from the Program pane exam options.
When you position the head clamps manually, the relevant exam
option icon becomes active.

2. Select the PA exam option if you require it.

3. Select the appropriate FoV option.

26 Chapter 5 Acquiring Cephalometric Images

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4. Click the Patient button to access the Patient pane.

Select the patient type:

• Child
• Adult: Small, Medium, Large

Important:
See the CS 8100 Family Safety, Regulatory and Technical Specifications User
Guide for information on radiation protection and recommendations when you
select a patient type especially the pediatric patient.

5. (Optional) If the default parameter setting is not adapted to your patient type, click the Parameter
button:

• Select the appropriate parameters.

• Click and select Memorize Anatomy setting if you want to save the new parameter
settings as future default settings.

Preparing and Positioning the Adult and Pediatric Patient


To prepare and position the patient, follow these steps:

1 Ask the patient to remove all metal objects.

2. Ask the patient to wear a lead apron with a thyroid collar. Ensure that the apron lays flat across the
patient’s shoulders.

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3. Pull out at the top part of a head clamp bar to extend both bars.

Important:
The head clamp will NOT extend if you pull out at the lower part of
the bar.

4. Ask the patient to do the following:

• Move forward.
• Stand up straight in the following positions:
• For a frontal AP, facing the generator.
• For a frontal PA, facing the cephalometric sensor.
• Place both ears in between the head clamps.

5. On the control panel, press and hold to level the ear cones to the patient’s auditory canals.

6. Gently push in at the top part of a head clamp bar to retract both head clamp bars and to fit the
ear cones into the ear auditory canals.

Figure 5–1 Frontal AP Figure 5–2 Frontal PA

28 Chapter 5 Acquiring Cephalometric Images

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Figure 5–3 Frontal AP Figure 5–4 Frontal PA

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Launching the X-ray
To launch the X-ray, follow these steps:

1 Leave the X-ray room and close the door. You must keep visual contact with the patient during
acquisition.

Important: If you have a problem that requires you to stop the


acquisition, release the exposure button of the remote control or
press the red emergency stop button.

Figure 6 Frontal AP

Figure 7 Frontal PA

30 Chapter 5 Acquiring Cephalometric Images

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2. Launch the X-ray with the remote control. Press and hold the exposure button until the end of the
acquisition is indicated by the on-screen “Release Handswitch” message. The turns yellow
and a warning sound is heard, indicating X-ray emission. When the acquisition ends, the
Cephalometric Acquisition interface disappears and the acquired image is automatically
transferred to the imaging software.

3. Check the image quality, if satisfactory, remove the ear cones and the nasion support and release
the patient.

X-ray Dose Emission Information


Compliance with EURATOM 97/43 Directive

You can right-click on each image to display the estimated emitted dose received by the patient. You
can use this information to calculate the effective dose received by the patient for the image.

Note: The X-ray dose information will be displayed on the acquisition


interface before each acquisition.

The radiation emission dose is expressed in mGy.cm2. This dose is measured at the primary collimator
outlet. The dose is accurate to +/-30%.

CS 8100SC Family User Guide (SM987)_Ed 01 31

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Acquiring a Oblique Image for the Adult and Pediatric Patient
Before acquiring an image, check that you have:

• Selected the patient record.


• Accessed the imaging software.
• Accessed the Cephalometric Acquisition interface.

Preparing the Unit and Setting the Acquisition Parameters


To set the acquisition parameters, follow these steps:

1. On the unit, position the head clamps manually for an oblique exam.

The oblique exam option becomes active.

Important:
You must position the head clamps manually because they cannot
be positioned automatically from the Program pane exam options.
When you position the head clamps manually, the relevant exam
option icon becomes active.

2. On the Cephalometric Acquisition interface, select the appropriate FoV option.

3. Click the Patient button to access the Patient pane.

Select the patient type:

• Child
• Adult: Small, Medium, Large

32 Chapter 5 Acquiring Cephalometric Images

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Important:
See the CS 8100 Family Safety, Regulatory and Technical Specifications User
Guide for information on radiation protection and recommendations when you
select a patient type especially the pediatric patient.

4. (Optional) If the default parameter setting is not adapted to your patient type, click the Parameter
button:

• Select the appropriate parameters.

• Click and select Memorize Anatomy setting if you want to save the new parameter
settings as future default settings.

Preparing and Positioning the Adult and Pediatric Patient


To prepare and position the patient, follow these steps:

1 Ask the patient to remove all metal objects.

2. Ask the patient to wear a lead apron with a thyroid collar. Ensure that the apron lays flat across the
patient’s shoulders.

3. Pull out at the top part of a head clamp bar to extend both bars.

Important:
The head clamp will NOT extend if you pull out at the lower part of
the bar.

4. Ask the patient to do the following:

• Move forward.
• Sit or stand up straight.
• Place both ears in between the head clamps.

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5. On the control panel, press and hold to level the ear cones to the patient’s auditory canals.

6. Gently push in at the top part of a head clamp bar to retract both head clamp bars and to fit the
ear cones into the ear auditory canals.

7. Lower the nasion support to a vertical position.

Launching the X-ray


To launch the X-ray, follow these steps:

1 Leave the X-ray room and close the door. You must keep visual contact with the patient during
acquisition.

Important: If you have a problem that requires you to stop the


acquisition, release the exposure button of the remote control or
press the red emergency stop button.

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2. Launch the X-ray with the remote control. Press and hold the exposure button until the end of the
acquisition is indicated by the on-screen “Release Handswitch” message. The turns yellow
and a warning sound is heard, indicating X-ray emission. When the acquisition ends, the
Cephalometric Acquisition interface disappears and the acquired image is automatically
transferred to the imaging software.

3. Check the image quality, if satisfactory, remove the ear cones and the nasion support and release
the patient.

X-ray Dose Emission Information


Compliance with EURATOM 97/43 Directive

You can right-click on each image to display the estimated emitted dose received by the patient. You
can use this information to calculate the effective dose received by the patient for the image.

Note: The X-ray dose information will be displayed on the acquisition


interface before each acquisition.

The radiation emission dose is expressed in mGy.cm2. This dose is measured at the primary collimator
outlet. The dose is accurate to +/-30%.

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Acquiring a Submento-Vertex Image for the Adult and Pediatric
Patient
Before acquiring an image, check that you have:

• Selected the patient record.


• Accessed the imaging software.
• Accessed the Cephalometric Acquisition interface.

Preparing the Unit and Setting the Acquisition Parameters


To set the acquisition parameters, follow these steps:

1. On the unit, position the head clamps manually for a frontal AP exam.

The frontal AP exam option becomes active.

Important:
You must position the head clamps manually because they cannot
be positioned automatically from the Program pane exam options.
When you position the head clamps manually, the relevant exam
option icon becomes active.

2. On the Cephalometric Acquisition interface, click for a submento-vertex exam.

3. Select the appropriate FoV option.

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4. Click the Patient button to access the Patient pane.

Select the patient type:

• Child
• Adult: Small, Medium, Large

Important:
See the CS 8100 Family Safety, Regulatory and Technical Specifications User
Guide for information on radiation protection and recommendations when you
select a patient type especially the pediatric patient.

5. (Optional) If the default parameter setting is not adapted to your patient type, click the Parameter
button:

• Select the appropriate parameters.

• Click and select Memorize Anatomy setting if you want to save the new parameter
settings as future default settings.

Preparing and Positioning the Adult and Pediatric Patient


To prepare and position the patient, follow these steps:

1 Ask the patient to remove all metal objects.

2. Ask the patient to wear a lead apron with a thyroid collar. Ensure that the apron lays flat across the
patient’s shoulders.

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3. Pull out at the top part of a head clamp bar to extend both bars.

Important:
The head clamp will NOT extend if you pull out at the lower part of
the bar.

4. Ask the patient to do the following:

• Move forward.
• Sit or stand up straight.
• Place both ears in between the head clamps.

5. On the control panel, press and hold to level the ear cones to the patient’s auditory canals.

6. Gently push in at the top part of a head clamp bar to retract both head clamp bars and to fit the
ear cones into the ear auditory canals.

38 Chapter 5 Acquiring Cephalometric Images

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Launching the X-ray
To launch the X-ray, follow these steps:

1 Leave the X-ray room and close the door. You must keep visual contact with the patient during
acquisition.

Important: If you have a problem that requires you to stop the


acquisition, release the exposure button of the remote control or
press the red emergency stop button.

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2. Launch the X-ray with the remote control. Press and hold the exposure button until the end of the
acquisition is indicated by the on-screen “Release Handswitch” message. The turns yellow
and a warning sound is heard, indicating X-ray emission. When the acquisition ends, the
Cephalometric Acquisition interface disappears and the acquired image is automatically
transferred to the imaging software.

3. Check the image quality, if satisfactory, remove the ear cones and the nasion support and release
the patient.

X-ray Dose Emission Information


Compliance with EURATOM 97/43 Directive

You can right-click on each image to display the estimated emitted dose received by the patient. You
can use this information to calculate the effective dose received by the patient for the image.

Note: The X-ray dose information will be displayed on the acquisition


interface before each acquisition.

The radiation emission dose is expressed in mGy.cm2. This dose is measured at the primary collimator
outlet. The dose is accurate to +/-30%.

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Acquiring a Carpus Image for the Adult and Pediatric Patient
(available as an option)
Before acquiring an image, check that you have:

• Selected the patient record.


• Accessed the imaging software.
• Accessed the Cephalometric Acquisition interface.

Preparing the Unit and Setting the Acquisition Parameters


To set the acquisition parameters, follow these steps:

1. On the unit, position the head clamps manually for a frontal AP exam.

Important:
You must position the head clamps manually because they cannot
be positioned automatically from the Program pane exam options.
When you position the head clamps manually, the relevant exam
option icon becomes active.

2. Remove the cap (A), take the carpus panel (B) and push it (C) into the magnetic carpus panel slot
(D).

D
A

3. On the Cephalometric Acquisition interface, click for a carpus exam.

The carpus exam option becomes active.

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4. Select for a 18 x 18 FoV.

5. Click the Patient button to access the Patient pane.

6. Select the patient type:

• Child
• Adult: Small, Medium, Large

Important:
See the CS 8100 Family Safety, Regulatory and Technical Specifications User
Guide for information on radiation protection and recommendations when you
select a patient type especially the pediatric patient.

7. (Optional) If the default parameter setting is not adapted to your patient type, click the Parameter
button:

• Select the appropriate parameters.

• Click and select Memorize Anatomy setting if you want to save the new parameter
settings as future default settings.

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Preparing and Positioning the Adult and Pediatric Patient
To prepare and position the patient, follow these steps:

1 Ask the patient to remove all metal objects.

2. Ask the patient to wear a lead apron with a thyroid collar. Ensure that the apron lays flat across the
patient’s shoulders.

3. Ask the patient to do the following:

• Stand to the side and as far as possible from the cephalometric unit.
• Open the hand fully and place it flat on the carpus panel.

WARNING: To avoid exposure to other parts of the body, make sure


the patient stands as far away as possible from the X-ray emission
range and extends the hand to the carpus panel.

IMPORTANT
Make sure that the:
• hand, wrist, and forearm are in a
completely vertical position.

• hand is approximately in the


middle of the carpus panel.

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Launching the X-ray

WARNING: To avoid exposure to other parts of the body, make sure


the patient stands as far away as possible from the X-ray emission
range and extends the hand to the carpus panel.

To launch the X-ray, follow these steps:

1 Leave the X-ray room and close the door. You must keep visual contact with the patient during
acquisition.

Important: If you have a problem that requires you to stop the


acquisition, release the exposure button of the remote control or
press the red emergency stop button.

2. Launch the X-ray with the remote control. Press and hold the exposure button until the end of the
acquisition is indicated by the on-screen “Release Handswitch” message. The turns yellow
and a warning sound is heard, indicating X-ray emission. When the acquisition ends, the
Cephalometric Acquisition interface disappears and the acquired image is automatically
transferred to the imaging software.

3. Check the image quality, if satisfactory, remove the ear cones and the nasion support and release
the patient.

44 Chapter 5 Acquiring Cephalometric Images

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X-ray Dose Emission Information
Compliance with EURATOM 97/43 Directive

You can right-click on each image to display the estimated emitted dose received by the patient. You
can use this information to calculate the effective dose received by the patient for the image.

Note: The X-ray dose information will be displayed on the acquisition


interface before each acquisition.

The radiation emission dose is expressed in mGy.cm2. This dose is measured at the primary collimator
outlet. The dose is accurate to +/-30%.

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6 Maintenance

Perform the following maintenance activities on your CS 8100SC.

IMPORTANT
For information on cleaning and disinfecting, see the CS 8100 Family
Safety, Regulatory and Technical Specifications User
Guide (SM785).

Monthly
Wipe the outer covers of the unit with a soft and dry cloth.

Annually
We recommend a general inspection of the unit carried out by an authorized service technician.

Controlling the Image Quality


To maintain optimum image quality, the image quality must be controlled once a month. To control the
image quality, follow these steps:

1. On your desktop, double-click . The CS 8100SC Service Tools window is displayed.

2. In the left pane, double-click Image Quality Tool. The Image Quality Control window is
displayed.

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.

3. Select the desired test and follow the on-screen instructions.

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7 Troubleshooting

Quick Troubleshooting
Occasionally, malfunctions can occur during use in the event of an incorrect action. An error
message is displayed on the popup on the Acquisition interface System Status Screen.

The following table lists the information messages, their description and the action to take:

IMPORTANT
If an Error Code message is displayed, the malfunction
persists or more serious conditions occur, contact a qualified
technician. When you call the qualified technician have the
following information ready:

• Model Serial Number


• Error Code Message

Table 3 Error Code Message

Error Code Error Message Description Action


Err_S_8100_CJ848_GENERATOR_36865 Handswitch was The user has Relaunch the acquisition
released before the released the and hold the exposure
end of exposure. exposure button button until the end of the
prematurely. acquisition cycle.

Table 4 Information messages

Message Description Action


X-ray tube cooling Cooling in progress. Wait until the Generator Cooling Indicator on
the Acquisition interface reaches zero.

Thermal security Cooling in progress. Wait until the Generator Cooling Indicator on
the Acquisition interface reaches zero.

Release handswitch The acquisition has ended. Release the exposure button of the X-ray
remote control.
Start the acquisition The acquisition has been Keep pressing and holding the exposure button.
launched.
Upgrade of the firmware The system is being upgraded. Wait for completion of the upgrade.
I9 The Cephalometric sensor is in Wait until the Ready Indicator LED is green.
the cooling process.

I5 The position of the head clamps Position the head clamps manually for the
do not match the selected exam selected exam.
program.
I 17 The sensor is in the positioning Wait for the end of the positioning process.
process for either panoramic, 3D
or Ceph mode.

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8 Contact Information

Manufacturer’s Address

Carestream Health, Inc.


150 Verona Street
Rochester, NY USA 14608

Factory
Trophy
4, Rue F. Pelloutier, Croisy-Beaubourg
77435 Marne la Vallée Cedex 2, France

Authorized Representatives
Authorized Representative in the European Community
EC REP

Carestream Health France


1, rue Galilée
93192 Noisy-Le-Grand Cedex, France

Representante no Brasil Carestream do Brasil Comércio e Serviços de Produtos


MédicosLtda.
Rua Pequetita, 215 cjs.
31 E 32 Edifício Atrium VII - Vila Olímpia
São Paulo - Brazil
CEP (Zip code): 04552-060

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