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KaVo 3D eXam User Manual

KaVo 3D eXam
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K990400 16 April 2008
Cone Beam Volumetric Tomography and
Panoramic Dental Imaging System
Operators’ Manual

Table of Contents

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KaVo 3D eXam Specifications

General IconGeneral
TypeCone Beam Computed Tomography (CBCT)
Radiation DoseLow dose protocols available
X-ray GeneratorHigh frequency generator
Detector TypeAmorphous Silicon (a-Si)
Patient PositioningSeated or standing
DimensionsVaries depending on configuration; refer to manufacturer's specifications
WeightVaries depending on configuration; refer to manufacturer's specifications
Power RequirementsVaries depending on configuration; refer to manufacturer's specifications
CompatibilityDICOM 3.0 compatible

Summary

Chapter 1 Introduction

System Description

Overview of the Cone Beam Volumetric Tomography and Panoramic X-ray device for dental use.

Major System Items

Lists the essential components included with the dental imaging system.

About the Operators’ Manual

Explains the manual's purpose and the conventions used for clarity.

Standard Limited Warranty

Details the one-year warranty period, coverage, and exclusions for the hardware system.

Chapter 2 Safety Items

Important Safety Information

Stresses the importance of operating and maintaining the equipment correctly and safely.

Warnings, Cautions, and Notes

Explains the conventions used to denote hazards, data loss, or equipment damage.

Safety Precautions

Lists critical safety measures to prevent injury and ensure safe operation of the X-ray device.

Electrical Fire Hazard

Provides guidance on preventing fires and safe procedures in case of an electrical fire.

Mechanical Hazards

Warns against operating the system with covers removed, highlighting potential injury risks.

Laser Beam Hazards

Alerts users to potential optical damage from laser beams and precautions to take.

Radiation Safety

Emphasizes strict adherence to safe exposure procedures due to X-ray dangers.

System Safety Devices

Describes safety features like Emergency Stops, Warning Systems, and Interlock Circuits.

System Labels

Identifies and explains the various safety labels attached to the system equipment.

Chapter 3 System Controls and Indicators

Operator Control Box

Details the functions of buttons on the control box for powering and operating the system.

Patient Emergency Stop Control

Explains how patients can halt scanning activities by pressing the emergency stop button.

Patient Alignment Panel

Describes controls for patient positioning using laser alignment and chair height adjustment.

System Status Indicators

Explains the meaning of various indicators (Power, Ready, X-RAY ON, Fault) on the system.

Chapter 4 System Startup and Shutdown

System Startup

Step-by-step guide on powering up the scanner and computer workstation.

System Shutdown

Instructions for properly powering down the scanner and computer workstation.

Chapter 5 Managing Patient Data

Patient Information

Overview of the patient information window, study list, and image display.

Add New Patient

Steps for entering new patient data into the system database.

Edit Patient Details

Guide on how to modify existing patient information within the system.

Delete Patient Scans

Procedure for deleting patient datasets and associated scans from the system.

Delete a Patient

Procedure for removing a patient record from the database.

Chapter 6 Acquisitioning (Scanning)

Patient Positioning

Detailed instructions on how to position the patient correctly for scanning.

Acquisitioning

Steps for initiating and performing a new patient scan acquisition.

Preview, Dry Run, and Capture Scans

Explains the use of preview, dry run, and capture functions for scan verification.

PAN Scan (Optional)

Instructions for performing a Panoramic scan, including alignment and acquisition.

Chapter 7 Reconstruction of Anatomy

Preview Screen

Overview of the screen displaying reconstructed patient anatomy images.

Using Quality Control Frames

How to use QC frames to detect patient movement during scans.

Adjusting the Panoramic View

Steps to adjust displayed images in the Panoramic View using contour lines.

Filter Settings

How to apply and manage image filter settings for softening/sharpening.

Taking Measurements

Procedures for taking Hounsfield Unit and distance measurements.

Saving and Loading Workups

How to save and retrieve modifications made to patient data as Workups.

Viewing and Reconstructing Raw Patient Scans

How to reconstruct raw scan data using different parameters.

Chapter 8 Detail Screens

Preview Screen

Accessing and navigating detail screens from the main preview screen.

Implant Planning Screen

Detailed view for implant planning, showing axial, panoramic, 3D, and cross-section views.

Estimate the Nerve Canal

Tool for estimating and marking the nerve canal path in patient scans.

Ceph Screen

Displays lateral cephs and coronal views for cephalometric analysis.

MPR Screen

Allows scrolling through Axial, Sagittal, and Coronal slices for detailed viewing.

TMJ Screen

Enables condyle mapping and creating corresponding coronal slice views.

Chapter 9 Tools

DICOM Database and DICOM Export Setup

Configuring settings for DICOM image export and database storage.

Export DICOM

Process for converting patient data files into DICOM images for export.

Create CD

Procedure for archiving or transferring images to a CD.

Reporting

Generating, saving, and accessing patient reports within the system.

Chapter 10 Calibration

Panel Calibration

Procedure for performing panel calibration in portrait and landscape modes.

Collimators Calibration

Steps for calibrating collimators annually for optimal image quality.

Geometry Calibration

Procedure for performing geometry calibration using a phantom.

Chapter 11 Quality Assurance

QA Phantom Test

Procedure to check high contrast spatial resolution using a QA Phantom.

Line Pair Evaluation

Evaluating image quality by examining line pairs for resolution assessment.

Radiation Output Test

Checking kVp and radiation output of the X-ray source annually.

Chapter 12 Radiation Environment Survey

Conditions of Operation – 8.9 and 26.9 Second Scans

Details operating conditions and parameters for 8.9 and 26.9 second scans.

Scatter Measurements for 8.9 Second Scans

Presents scatter measurements for 8.9 second scans at various locations and workloads.

Recommended Operating Requirements

Guidelines for system installation, shielding, and operator/patient safety.

Dose and Imaging Performance Information

Information on dose measurements and imaging performance under specific conditions.

Chapter 13 Product Information

Technical Specifications

Detailed technical specifications for the X-ray source, beam size, and detector.

Power Requirements

Electrical requirements including voltage, current, frequency, and circuit breaker rating.

Preventive Maintenance Schedule - for Owner / User

Recommended daily, monthly, and yearly maintenance tasks for the user.

Planned Maintenance - 12 Month Schedule

Overview of the annual planned maintenance for system inspection and performance.

Cleaning

Instructions for routine cleaning and disinfection of system components.

Chapter 14 Networking Support Setup

Networking Support Overview

Explanation of network support for sharing image data within an office.

Network Support Installation/Setup

Steps for setting up network support, including providing storage and installing services.

Configure Sweeper Service

Steps to configure the Sweeper service startup type and login credentials.

Network Failures

Actions to take in case of a network failure to restore operations.

Chapter 15 Remote System Import and Export

Remote System Import and Export Overview

Overview of services for importing patient data and exporting DICOM images.

Remote System Import

Ways VisionQ imports scheduled patient data from remote systems.

Import Patient Data

Process for importing patient data from remote systems into VisionQ.

Remote System Export

How VisionQ enables DICOM image transfer to remote systems.

Appendix A eXamVision Installation

Laptop Minimum Requirements

Minimum hardware and software specifications for running eXamVision on laptops.

Workstation Minimum Requirements

Minimum hardware and software specifications for running eXamVision on workstations.

File Structure Setup

Steps to set up the required folder structure for eXamVision.

Install eXamVision

Steps to install the eXamVision software from its executable file.

Appendix B Three Dimensional Volume Rendering (3DVR)

Open Database

Procedure to open DICOM datasets for 3D volume rendering.

Axial Functions

Tools for manipulating axial slices: Paging, W/L, ROI, Distance, Identify.

ROI (Region of Interest)

Tool for defining regions of interest and calculating Hounsfield Units.

Remove Object

Steps to remove unwanted anatomical structures from 3D renderings.

View Volume

Viewing 3D data in Axial, Coronal, and Sagittal projections.

Projection Type

Selecting Radiographic or MIP modes for viewing 3D data.

VR Functions

Tools for selecting display direction and type for 3D image creation.

eXamVision Quick Reference

Navigating the eXamVision Interface

Guide to viewing reconstructed images and using optimization tools.

Tools for Viewing this Image

Overview of tools like Rotation, Brightness/Contrast, MIP/Radiograph, and Contour Lines.

Filtering Defaults

Lists the default filter settings applied to various screens in eXamVision.

Saving and Loading Workups

How to save and load workups for patient data modifications and retrieval.

Implant Planning Screen

Overview of the Implant Planning Screen layout, labels, and pop-up menus.