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Cranex Panoramic X-ray Series Contents

User’s Manual
for the
Cranex Excel
Cranex Excel Ceph
and
Cranex BaseX

Cassette version
(for film and imaging plates)

Medical Device Directive


93/42/EEC

July 2002

User’s Manual for the


Cranex Excel, Cranex Excel Ceph and Cranex BaseX

Document number 8200900 ver 0702

Original approved English language version

Manufactured by SOREDEX
P.O. BOX 250
FIN-00031 SOREDEX, FINLAND
Tel. +358 10 394 8412
Fax. + 358 9 701 5261

User’s Manual 8200900 i


Cranex Panoramic X-ray Series Contents

Soredex endeavours to produce product documentation that is accurate and


up to date. However, our policy of continual product development may result
in changes to products that are not reflected in the product documentation.
Therefore, this document should not be regarded as an infallible guide to
current product specifications. Soredex maintains the right to make changes
and alterations without prior notice.

ii 8200900 User’s Manual


Cranex Panoramic X-ray Series Contents

Contents

1. The Excel, Excel CEPH and BaseX x-ray units ............................. 1


Introduction ...................................................................................................... 1
Using this manual ............................................................................................. 2
Warnings and precautions............................................................................... 3
Check list before using the unit ...................................................................... 5
General .......................................................................................................... 5
If you are using film ........................................................................................ 5
If you are using imaging plates ....................................................................... 6
Symbols that appear on the units ................................................................... 7

2. Unit description .............................................................................. 9


The Excel .......................................................................................................... 9
The Excel CEPH .............................................................................................. 10
The BaseX ........................................................................................................ 11
The Control panel - Excel and Excel CEPH .................................................. 12
The Control panel - BaseX ............................................................................. 13
Chin Supports ................................................................................................. 14

3. Using the Unit ............................................................................... 15


Switching the unit on and off ........................................................................ 15
Switching the unit on ..................................................................................... 15
Switching the unit off .................................................................................... 15
Exposure switch lock ..................................................................................... 16
Unlocking the exposure switch ...................................................................... 16
Locking the exposure switch ........................................................................ 16
Operating the unit without x-rays ................................................................. 17
Taking Panoramic exposures ........................................................................ 18
Panoramic exposure programs ..................................................................... 18
Preparing the unit ......................................................................................... 19
Positioning the patient for a panoramic exposure ......................................... 24
Positioning the patient for a Sinus exposure ................................................. 31
Positioning the patient for a TMJ exposure
(Excel and Excel CEPH only) ................................................................... 32
Taking an exposure ...................................................................................... 33
After exposure .............................................................................................. 36
Taking Cephalometric exposures (Excel CEPH only) .................................. 37
Cephalometric exposure programs ............................................................... 37
Taking a cephalometric exposure ................................................................. 38

User’s Manual 8200900 iii


Cranex Panoramic X-ray Series Contents

4. Care and Maintenance ................................................................. 44


Cleaning the unit ............................................................................................ 44
Painted surfaces ........................................................................................... 44
Positioning mirror and light lenses ................................................................ 44
Surfaces that the patient comes into contact with .......................................... 44
Monitoring the operation of the unit ............................................................. 45
Maintenance ................................................................................................... 45
Yearly ............................................................................................................ 45
Troubleshooting ............................................................................................. 46

5. Technical specifications ............................................................ 47


Unit dimensions ............................................................................................ 52

iv 8200900 User’s Manual


Cranex Panoramic X-ray Series 1. Introduction

1. The Excel, Excel CEPH and BaseX x-ray units


Introduction
This manual describes how operate the Cranex
Excel, Cranex Excel CEPH and Cranex BaseX
dental x-ray units.

The Excel is a panoramic dental unit that can take


full and reduced width panoramic exposures, sinus
exposures, partial panoramic exposures and TMJ
exposures.
The Excel CEPH can take the same range of pano-
ramic programs as the Excel, but includes a cepha-
lometric unit.
The BaseX is a simplified version of the Excel. It can
take full and reduced width exposures and sinus
exposures. In addition, height adjustment is manual
and not motor driven as it is with the Excel.
All versions use conventional film or imaging plates
as the image receptor.

Please read these instructions carefully before using


the x-ray unit.

User’s Manual 8200900 5


1. Introduction Cranex Panoramic X-ray Series

Using this manual


All key illustrations indicate that the key must be
pressed.

A white circle indicates that the indicator light is on.


When the light is on it indicates that the value or
setting is on or has been selected
A black circle indicates that the light is off and the
value or setting is off or has not been selected.

6 8200900 User’s Manual


Cranex Panoramic X-ray Series 1. Introduction

Warnings and precautions


• These dental x-ray units must only be used to
take dental and, where appropriate, cephalomet-
ric x-ray exposures. These dental x-ray units
must not be used to take any other x-ray expo-
sures.

• The x-ray unit or its accessories must not be


modified, altered or remanufactured in any way.

• The x-ray unit may be dangerous to both patient


and operator unless safe exposure values are
used and correct operating procedures are
observed.

• As radiation safety and protection requirements


vary from country to country and state to state it
is the responsibility of the operator to ensure that
all local and national radiation safety and protec-
tion requirements are met.

• When taking exposures operators must protect


themselves from radiation.

• When taking exposures operators must stand at


least two metres (six feet) from the patient.

• Operators must be able to see and hear the


patient during an exposure.

• Operators must be able to see the exposure


warning lights and hear the exposure warning
signal during exposures. If the x-ray unit is lo-
cated in such a position that the operator cannot
see the exposure warning lights, an external
exposure warning light must be used. Contact
your dealer for help.

• Avoid taking exposures of pregnant women.

User’s Manual 8200900 7


1. Introduction Cranex Panoramic X-ray Series

• If you are using film as the image receptor, never


leave the film cassettes open in daylight.

• If you are using imaging plates as the image


receptor make sure that the imaging plates,
imaging plate cassettes and imaging scanning
device are compatible with each other.

8 8200900 User’s Manual


Cranex Panoramic X-ray Series 1. Introduction

Check list before using the unit


General
• Read and familiarize yourself with the Warnings
and Precautions in the introduction.

• Make sure that you are fully acquainted with the


relevant radiation protection measures.

• Make sure that all the required radiation protec-


tion equipment, such as radiation screens, are of
the approved type and, where necessary, cor-
rectly installed.

If you are using film


• Make sure that the film processor you plan to
use is in working order and ready to use.

• Make sure that the processing chemicals in the


film processor are fresh and are at the correct
processing temperatures and concentrations.

• Make sure that the safelight in the darkroom is


the correct one for the film you are using.

• Make sure that the film you are using is fresh.


Do not use old film.

• Make sure that the film and cassettes/intensify-


ing screens you are using are compatible. Do not
mix films and screens of different colour sensitiv-
ity.

• Make sure that the intensifying screens are clean


and not scratched. If they are scratched do not
use the cassette.

User’s Manual 8200900 9


1. Introduction Cranex Panoramic X-ray Series

If you are using imaging plates


• Make sure that the imaging plates that you are
using are compatible with the imaging plate
cassettes.

• Make sure that the imaging plate scanning de-


vice you are using is designed to scan the
imaging plates you are using.

• Make sure that the imaging plates are clean and


not scratched or damaged. If they are, do not
use them.

10 8200900 User’s Manual


Cranex Panoramic X-ray Series 1. Introduction

Symbols that appear on the units

User’s Manual 8200900 11


1. Introduction Cranex Panoramic X-ray Series

12 8200900 User’s Manual


Cranex Panoramic X-ray Series 2. Unit description

2. Unit description
The Excel

User’s Manual 8200900 13


2. Unit description Cranex Panoramic X-ray Series

The Excel CEPH


The Excel CEPH is the same as the Excel but in-
cludes a cephalometric unit

14 User’s Manual 8200900


Cranex Panoramic X-ray Series 2. Unit description

The BaseX

User’s Manual 8200900 15


2. Unit description Cranex Panoramic X-ray Series

The Control panel - Excel and Excel CEPH

16 User’s Manual 8200900


Cranex Panoramic X-ray Series 2. Unit description

The Control panel - BaseX

User’s Manual 8200900 17


2. Unit description Cranex Panoramic X-ray Series

Chin Supports

18 User’s Manual 8200900


Cranex Panoramic X-ray Series 3. Using the Units

3. Using the Units


Switching the unit on and off
The on/off switch is located on the side of the unit.

Switching the unit on


Press the on/off switch to the on position (I) to
switch the unit on.
The on/off switch light and display lights for the
preselected spinal compensation, mA and kV values
will come on.

Switching the unit off


Press the on/off switch the off (0) position. All the
lights will go out.

Switch the unit off at the end of every day or when it


is not being used
It is also recommended that the exposure switch
(see next page) is locked when the unit is not being
used.

User’s Manual 8200900 19


3. Using the Units Cranex Panoramic X-ray Series

Exposure switch lock


The exposure switch lock allows the exposure switch
to be locked. This prevents unauthorized people
from taking exposures even if the unit is switched on.
The exposure switch lock is located on the side of
the unit below the on/off switch.

Unlocking the exposure switch


Insert the key into the exposure switch lock and turn
the key clockwise to the horizontal unlocked position.

Locking the exposure switch


Turn the key anticlockwise to the vertical locked
position and then remove the key.

20 User’s Manual 8200900


Cranex Panoramic X-ray Series 3. Using the Units

Operating the unit without x-rays


In some situations you may have to operate the unit
without x-rays being generated.

To do this, press the test (T) key, the indicator light


will come on. The exposure switch can now be
pressed to demonstrate how the unit operates with-
out x-rays being generated.

User’s Manual 8200900 21


3. Using the Units Cranex Panoramic X-ray Series

Taking Panoramic exposures


Panoramic exposure programs
The following images can be taken with the Excel,
Excel CEPH and BaseX.

Full-width panorama
Magnification 1.3

Reduced width panorama (-20%) pedo and sinus


Magnification 1.3

The following images can only be taken with the


Excel and Excel Ceph.

Frontal area of the mandible and maxilla


Excel and Excel Ceph only
Magnification 1.3

Right-hand side of the mandible and maxilla


Excel and Excel Ceph only
Magnification 1.3

Left-hand side of the mandible and maxilla


Excel and Excel Ceph only
Magnification 1.3

TMJ, two or four images on the film


Excel and Excel Ceph only
Magnification 1.3

22 User’s Manual 8200900


Cranex Panoramic X-ray Series 3. Using the Units

Preparing the unit


1. Switch the unit on.

2. Press the Return key to drive the rotating unit to


the ready position if it is not already in that posi-
tion.

3. Push the cassette carriage to the right and then


slide a cassette with film or a cassette with
imaging plate into the cassette carriage. Slide
the cassette in until the right-hand end of the
cassette lines up with the two slots. Arrows
indicate the position of the slots.
Note that film cassettes and imaging plate cas-
settes are not the same and are NOT inter-
changeable.

User’s Manual 8200900 23


3. Using the Units Cranex Panoramic X-ray Series

4. Select the exposure program you require.

Excel and Excel CEPH units only


Press the appropriate program key. The pro-
gram light will come on. The programs are as
follows:

Normal panoramic or sinus exposure

Reduced width panorama (-20%) pedo or


sinus exposure

Temporomandibular joint (TMJ) exposures,


images on film sides

Temporomandibular joint (TMJ) exposures,


images in film centre
When taking TMJ exposures two pairs of expo-
sures can be taken, mouth open and mouth
closed, on one film. Press one of the TMJ keys
for the first pair of exposures and then press the
other TMJ key and reposition the patient for the
second pair of exposures.

Frontal (anterior) exposure

Partial exposure, right-hand side of patient

Partial exposure, left-hand side of patient

24 User’s Manual 8200900


Cranex Panoramic X-ray Series 3. Using the Units

BaseX only
Turn the program selection knob on the side of
the cassette carriage to select the required
exposure program.
The programs are as follows:

Adult for normal panoramic or sinus exposure

Child for Reduced width panorama (-20%) pedo


or sinus exposure

5. Press the mA key to select the correct mA for


the image receptor you are using.

Select 10 mA for normal-speed film/screen


combinations. Note that 10mA can be used with
high-speed film/screen combinations, but the kV
value will have to be decreased accordingly.

Select 6 mA for high-speed film/screen combina-


tions.

For imaging plates select an mA value for the


required image quality and dose level.

User’s Manual 8200900 25


3. Using the Units Cranex Panoramic X-ray Series

6. If you are taking a panoramic exposure of an


adult, press the spinal compensation button to
activate spinal compensation. The “I” light will
come on. With spinal compensation the mA is
decreased in the lateral areas of the exposure.

If you are taking a panoramic exposure of a


child, a sinus exposure or TMJ exposures, DO
NOT activate spinal compensation. The “O” light
must be on

7. Select the chin support for the exposure you


wish to take.

For panoramic exposures,

use the chin support and bite block

or if the patient is edentulous, the chin cup

or the chin rest if you cannot use either of the


above with the patient.

For sinus and TMJ exposures, use the chin


rest.

CAUTION: Always use the disposable covers


with the chin supports.

26 User’s Manual 8200900


Cranex Panoramic X-ray Series 3. Using the Units

8. Ask the patient to remove any dentures, jewel-


lery or spectacles and then place a lead apron
over the patient’s back.

9. Adjust the height of the chin rest so that it is level


with the patient’s chin.

Excel and Excel CEPH


With the Excel and Excel CEPH, press the height
adjusting key to position the chin rest.

BaseX
With the BaseX, turn the locking lever down-
wards to unlock the chin rest. Adjust the position
of the chin rest and then relock it by turning the
locking lever back to the locked position.

User’s Manual 8200900 27


3. Using the Units Cranex Panoramic X-ray Series

Positioning the patient for a panoramic exposure


1. Ask the patient to step into the unit and grasp
the patient handles.

Slide the cassette carriage to the right as far as


it will go so that you can see the patient.

2. If you are using the chin rest and bite block ask
the patient to place his chin on the chin support
and bite the bite block. Make sure that the pa-
tient’s upper and lower teeth are positioned in
the respective notches on the top and bottom of
the bite block.

If you are using the chin cup ask the patient to


position the upper and lower central incisors so
that the biting edges are together.

If you are using the chin rest ask the patient to


position the upper and lower central incisors so
that the biting edges are together and then press
his lower lip against the chin rest.

28 User’s Manual 8200900


Cranex Panoramic X-ray Series 3. Using the Units

3. While the patient is holding the patient handles


ask the patient to step forward a few centime-
tres so that patient is slightly off balance.
This movement will encourage the patient to
push their head forward in order to maintain
balance.
In this position the patient's cervical vertebrae
will be stretched and straight and the patient will
be in the best position for taking a panoramic
exposure.
If necessary adjust the height of the chin rest to
“stretch” the patient.

4. Open the mirror so that you can see a reflection


of the patient in the mirror.

User’s Manual 8200900 29


3. Using the Units Cranex Panoramic X-ray Series

5. Press the positioning light button to switch the


patient positioning lights on. The lights will remain
on for 30 seconds. If you need more time, press
the button again.

6. Look at the reflection of the patient in the mirror


and position the midsagittal plane of the patient
so that it is vertical. The patient’s head must be
positioned symmetrically and the patient must be
looking straight ahead.
The patient’s head is not tilted or turned to one
side.
If the unit has a midsagittal light, the plane must
coincide with the light beam.

30 User’s Manual 8200900


Cranex Panoramic X-ray Series 3. Using the Units

7. Close the temple supports by pushing the temple


support lever to the right.

NOTE
When the temple supports are closed the pa-
tient’s head is automatically “measured”. This
“measurement” will be used to determine a kV
value when the unit is readied for an exposure.

8. Ask the patient to open his lips so that you can


see his teeth. Estimate the positions of the root
apices of the central upper and lower front inci-
sors.
Adjust the tilt of the patient’s head, by raising or
lowering the chin support, so that both root
apices are on the same vertical axis.

User’s Manual 8200900 31


3. Using the Units Cranex Panoramic X-ray Series

9. The focal trough light beam indicates the center


of the focal trough, which is 10 mm wide at the
front. The root apices of the central upper and
lower front incisors must now be positioned so
that they are within the focal trough.

To do this, rotate the focal trough positioning


knob backwards or forwards until the root apices
of the central upper and lower front incisors are
within the focal trough.
For patients with NORMAL occlusion the focal
trough light beam will be positioned between the
second and third teeth.

32 User’s Manual 8200900


Cranex Panoramic X-ray Series 3. Using the Units

10. For the dental arch to appear correctly on the


image the Frankfort plane of the patient should
be positioned so that it coincides with or is paral-
lel to the Frankfort plane light. Note however,
that this is only for patients with NORMAL occlu-
sion and is only a very rough guide.

IMPORTANT NOTE
The most important factor in patient positioning is
the position of the upper and lower apices of the
central incisors. They MUST be positioned within
the focal trough even if it means ignoring the
position of the Frankfort plane.

User’s Manual 8200900 33


3. Using the Units Cranex Panoramic X-ray Series

11. Slide the forehead support towards the patient


until it touches the patent's forehead.

34 User’s Manual 8200900


Cranex Panoramic X-ray Series 3. Using the Units

Positioning the patient for a Sinus exposure


1. For sinus exposures use the chin rest.
Ask the patient to press his upper lip against the
chin rest.

2. The midsagittal plane is positioned the same as


for a panoramic exposure.

3. Position the focal trough light as far backwards


as possible.

4. The Frankfort plane must be horizontal.

User’s Manual 8200900 35


3. Using the Units Cranex Panoramic X-ray Series

Positioning the patient for TMJ exposures


(Excel and Excel CEPH only)
1. For TMJ exposures use the chin rest.
Ask the patient to press his upper lip against the
chin rest with his mouth closed.

2. The midsagittal plane is positioned the same as


for a panoramic exposure.

3. The focal trough is positioned the same as for a


panoramic exposure.

4. The Frankfort plane must be horizontal.

5. After taking the first pair of TMJ exposures ask


the patient to open his mouth for the second pair
of exposures.

36 User’s Manual 8200900


Cranex Panoramic X-ray Series 3. Using the Units

Taking an exposure
1. Make sure that the temple supports are closed so
that they are holding the patient’s head. Press the
RETURN key to drive the rotating unit to the start
position.

2. Manually slide the cassette carriage to the left


as far as it will go. The READY light will come on
and a kV value based on the patient’s head size
will be automatically selected.

This kV value is for a normal panoramic expo-


sure with spinal compensation ON, using 10mA
and a normal-speed film/screen combination.

IMPORTANT NOTE
The Autoset kV value selected is only a SUG-
GESTED value based upon the size of the pa-
tient’s head. You should always use your own
experience and knowledge when deciding what
kV value to use.

If a high-speed film/screen combination is being


used, decrease the kV value by 6 - 8 kV or use 6
mA instead of 10 mA.

User’s Manual 8200900 37


3. Using the Units Cranex Panoramic X-ray Series

For different exposure programs and patients


adjust the suggested kV value as follows:

- sinus exposure (spinal compensation OFF),


increase the kV value by 4 - 6 kV.

-TMJ exposure (spinal compensation OFF),


increase the kV value by 2 - 4 kV.

- panoramic exposure heavy boned patient,


increase the suggested value by 2 - 4 kV

- panoramic exposure of an edentulous patient,


decrease the suggested value by 2 - 4 kV.

- panoramic exposure WITHOUT spinal com-


pensation, decrease the suggested value by 2 -
4 kV.

If you cannot increase or decrease the kV value


by the number of kV required, just select the
highest or lowest kV value possible.

Note that when using film, the age of the


processing chemicals and the film/screen combi-
nation being used may also require the kV value
to be adjusted.

3. Ask the patient to press his tongue against his


palate, breathe normally and not move until the
exposure has been completed.
Exposures last approximately 20 seconds.

4. Move at least two metres away from the x-ray


unit and protect yourself from radiation. Make
sure that you are able to see and hear the pa-
tient during the exposure.

38 User’s Manual 8200900


Cranex Panoramic X-ray Series 3. Using the Units

5. Press and hold down the exposure switch on the


remote control for the duration of the exposure.
During the exposure cycle you will hear an audi-
ble signal and the radiation warning lights will
come on when radiation is generated.

6 When the rotating arm stops moving and the


exposure warning lights go out, remove your
finger from the exposure switch.

NOTE
TMJ Exposures (Excel and Excel CEPH only)
If you are taking TMJ exposures:

Press the RETURN key after you have taken the


first pair of exposures to drive the rotating unit
back to the ready position.

Press the second TMJ exposure key.

Reposition the patient for the second pair of TMJ


exposures (Refer to the section “Positioning the
patient for a TMJ exposure”) and then take these
exposures as described above.
NOTE
When taking TMJ exposures, the audible signal
and the radiation warning lights will ONLY come
on when radiation is generated.

User’s Manual 8200900 39


3. Using the Units Cranex Panoramic X-ray Series

After exposure
1. Slide the forehead support away from the patient.

2. Open the temple supports.

3. Guide the patient out of the x-ray unit.

4. Remove the cassette from the cassette carriage.


Process the film or if you used an imaging plate,
scan the imaging plate.

40 User’s Manual 8200900


Cranex Panoramic X-ray Series 3. Using the Units

Taking Cephalometric exposures (Excel CEPH only)


Cephalometric exposure programs
Only the Excel CEPH can also be used to take the
following cephalometric images.

Lateral asymmetric vertical


18 x 24 cm / 8” x 10”
or optionally 24 x 30 cm

Anterior-posterior or posterior anterior symmetric


vertical
18 x 24 cm / 8” x 10”
or optionally 24 x 30 cm

Lateral horizontal
18 x 24 cm / 8” x 10”
or optionally 24 x 30 cm

The magnification of all these images is 1.13.


(NOTE: For non US units the magnification can be
set between 1.09 and 1.13 during installation. )

User’s Manual 8200900 41


3. Using the Units Cranex Panoramic X-ray Series

Taking a cephalometric exposure


1. Select and press the ceph exposure time button
for patient you are taking an exposure of:
- For adults 1.0 - 2.0 seconds
- For children 0.4 - 1.0 seconds
Note
The exposure time will depend on the film/screen
combination being used.

The exposure time indicator light will come on


and the rotating unit and cassette carriage will
move automatically to the ceph position.

CAUTION
DO NOT pull the cassette carriage out past its
stop position. If pulled out too far the unit will
NOT take a ceph exposure. If accidentally pulled
out, push the cassette carriage in as far as it will
go and it will then return automatically to the
correct position.
DO NOT push the rotating arm to the left. If
pushed, it will start rotating. If the rotating arm is
accidentally pushed and it starts to move, pull it
to the right passed the ceph position and it will
move automatically back to the ceph position.

42 User’s Manual 8200900


Cranex Panoramic X-ray Series 3. Using the Units

2. Select 10 mA, a kV value of at least 71 kV and


switch spinal compensation OFF (0).

3. Slide the aperture plate to the aperture you


require for the cephalometric exposure you wish
to take.

User’s Manual 8200900 43


3. Using the Units Cranex Panoramic X-ray Series

For a lateral exposure using the cassette in the


asymmetrical vertical position slide the aper-
ture plate to the DOWN position.

For a PA or AP exposure using the cassette in


symmetrical vertical position slide the aperture
plate to the MIDDLE position.

For a lateral exposure using the cassette in the


horizontal position slide the aperture plate to the
UP position.

4. Pull the locking catch down and then rotate the


headrest until it is in the correct position for the
cephalometric exposure you plan to take. Also
place disposable covers over the ear posts.

44 User’s Manual 8200900


Cranex Panoramic X-ray Series 3. Using the Units

5. Ask the patient to stand between the open ear


posts. Adjust the height of the head support until
the earposts can be inserted into the patients
ears. Close the ear supports.

WARNING
NEVER drive the ceph head support up or down
when the earposts are in the patient’s ears.

6. If you are taking a lateral exposure and require


soft tissue filtering, determine which of the soft
tissue indicator lines on the cephalometric cas-
sette holder is nearest to the patients nasion.
Rotate the soft tissue filter adjusting screw until
the position line on the screw is the same as the
line chosen on the ceph cassette holder.

User’s Manual 8200900 45


3. Using the Units Cranex Panoramic X-ray Series

7. Slide the cephalometric cassette into the cas-


sette holder until it lines up with the cassette
positioning mark for the exposure you wish to
take.

8. If you are taking an AP exposure, ask the patient


to close his eyes.
Protect yourself from radiation and take the
exposure.

9. Guide the patient out of the unit.

10. Remove the cassette and process the film or


scan the imaging plate.

46 User’s Manual 8200900


Cranex Panoramic X-ray Series 3. Using the Units

11. To drive the rotating arm back to the panoramic


position press the P key and then the RETURN
key.

User’s Manual 8200900 47


4. Care and Maintenance Cranex Panoramic X-ray Series

4. Care and Maintenance


Cleaning the unit
WARNING
Switch the unit off before cleaning it.

Painted surfaces
All painted surfaces can be wiped clean with a soft
cloth dampened with a mild detergent.
NEVER use abrasive cleaning agents or polishes on
this equipment.

Positioning mirror and light lenses


The positioning mirror and positioning light lenses are
made of glass. Use a soft cloth dampened with a
mild detergent. NEVER use abrasive cleaning agents
or polishes.

Surfaces that the patient comes into contact with


All surfaces and parts that the patient touches or
comes into contact with must be disinfected after
each patient.

If you need to clean the intensifying screens,


only use cleaners recommended by the screen
manufacturer.

If you need to clean the imaging plates, only use


cleaners recommended by the imaging plate
manufacturer.

48 User’s Manual 8200900


Cranex Panoramic X-ray Series 4. Care and Maintenance

Monitoring the operation of the unit


If any of the unit’s controls or functions fail to operate
or do not operate in the way described in this manual,
switch the unit off, wait 30 seconds and then switch
the unit on again. If the unit still does not operate
correctly contact your service technician for help.

If you hear the exposure warning tone but the expo-


sure warning light does not come on when an expo-
sure is taken, stop using the unit and contact your
service technician for help.

If you do not hear the exposure warning tone when


an exposure is taken, stop using the unit and contact
your service technician for help.

Maintenance
Yearly
Once a year an authorized service technician must
carry out a full inspection of the unit. During the
inspection the following will be carried out:
– a kV/mA test
– a ceph exposure time test (where applicable)
– a beam alignment test
– a ball/pin test
– a check to see that the safety ground is connected
– a check to see that the positioning lights operate
– a check to see that the tube head is not leaking
– a check to see that all covers and mechanical
parts are correctly secured and have not come
loose.
A full description of all the tests and checks is de-
scribed in the Service Manual.

User’s Manual 8200900 49


4. Care and Maintenance Cranex Panoramic X-ray Series

Troubleshooting
Problem
The protection light comes on and you are unable to take an exposure.

Cause
There is a problem with the generator.

Solution
Switch the unit off. After a few seconds switch it on again. If the light comes on
again, contact your dealer for assistance.

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Cranex Panoramic X-ray Series 5. Technical Specifications

5. Technical specifications
Classification
Complies with IEC class I type B, IPX0
Complies with IEC 601-1, IEC 601-2-7 and EN 55011 standards
Group 1, class B
Complies with DHHS Radiation Performance Standard, 21CFR Subchapter J.

The unit must be installed in a protected clinical environment.

Description
Dental panoramic and panoramic/cephalometric x-ray units with a high frequency
switching mode x-ray generators. The panoramic version takes panoramic expo-
sures. The panoramic/cephalometric version takes panoramic and cephalometric
exposures and uses a dedicated x-ray source to take cephalometric exposures.

Generator
TUBE
- OPX/105, DE 100/15 or equivalent
FOCAL SPOT
- 0.5 mm IEC 336
TARGET ANGLE
- 5º
TARGET MATERIAL
- Tungsten
OPERATING TUBE POTENTIAL
- Panoramic 63 - 81 kV (±5 kV) at preselected settings
OPERATING TUBE CURRENT
- 6 mA and 10 mA (±1 mA) at preselector,
4.5 mA and 6 mA or 7.5 mA and 10 mA in compensation mode
MAXIMUM TUBE CURRENT
- 11 mA
MAXIMUM OUTPUT POWER
- 945 W nominal
FILTRATION
- minimum filtration 2.5 mm Al
BEAM QUALITY
- HVL over 2.5 mm Al at 81 kV
OUTER SHELL TEMPERATURE
- +50ºC (122ºF) maximum
DUTY CYCLE
- Panoramic: 1:15, 81 kV/10mA
- Cephalometric: 1:20, 81 kV/10mA

User’s Manual 8200900 51


5. Technical Specifications Cranex Panoramic X-ray Series

Power requirements
INPUT VOLTAGE
- 175-250 VAC (±10%), 50/60 Hz, adjustable, single phase, grounded socket
MAXIMUM LINE CURRENT
- 7 A at 81 kV/10mA
MAXIMUM LINE RESISTANCE
- 1 ohm
MAXIMUM LINE FUSING
- 10 A slow (main fuse 8A slow in device)
LINE SAFETY SWITCH (when required)
- Approved type, min. 10 A 250 VAC
EARTH LEAKAGE CIRCUIT BREAKER (when required)
- Approved type, min. 16 A 250 VAC, breaker activation leakage current in
accordance with local regulations.

Mechanical parameters
PANORAMIC
- SID 520 mm (±10 mm)
- Magnification factor 1.3
CEPHALOMETRIC
- SID 1635 - 1700 mm ±20 mm
- SID, USA only, fixed 1700 mm ±20 mm
- SOD (Source object distance) 1500
- Magnification factor 1.09 - 1.13 (Non US unit, set during installation)
- Magnification factor, USA only, fixed 1.13
WEIGHT
- Panoramic unit 150 kg (330 lb.)
- Pan Ceph unit 195 kg (430 lb.)
DIMENSIONS
- Panoramic unit (HxWxD) 2240 x 1200 x 970 mm (88" x 47" x 38")
- Pan Ceph unit (HxWxD) 2240 x 1200 x 1850 mm (88" x 47" x 74")
VERTICAL HEIGHT OF CHIN REST
- 850-1700 mm (33"-67")

Cassettes
PANORAMIC
- 15 x 30 cm (6" x 12") Optional 24 x 30 cm (10” x 12”) available
CEPHALOMETRIC
- 18 x 24 cm (8" x 10")
- optionally 24 x 30 cm

52 User’s Manual 8200900


Cranex Panoramic X-ray Series 5. Technical Specifications

Recommended image receptors


FILM/SCREEN COMBINATIONS
Kodak T-MAT G (green sensitive) - Kodak Lanex Regular and Medium
IMAGE PLATES
All types of imaging plates intended for extraoral imaging.

Timer
PANORAMIC EXPOSURE TIMES:
50 Hz 60 Hz
Normal 19 s (±15%) 16 s (±15%)
Child 17 s (±15%) 14 s (±15%)
Sides 11 s (±15%) 9 s (±15%)
Middle 10 s (±15%) 8 s (±15%)
TMJ 3.3 + 3.3 s (±15%) 2.8 + 2.8 s (±15%)
Max 240 mAs Max 202 mAs

CEPHALOMETRIC EXPOSURE TIMES:


- 0.4 - 3.2 s (±15%), ten steps in accordance with R’ 10, series (ISO)
- 4 mAs - 32 mAs nominal, maximum 40.4 mAs

BACK-UP TIME
- 23.5 s (±1.5s)

Leakage technique factors


PANORAMIC
- 81 kV, 2400 mAs/h (81 kV, 10 mA, duty cycle 1:15)
(One normal exposure per 4 minutes cool-down period)

CEPHALOMETRIC
- 81 kV, 1800 mAs/h (81 kV, 10 mA, duty cycle 1:20)
(One 3.2 s exposure per 1 minute cool-down period)

User’s Manual 8200900 53


5. Technical Specifications Cranex Panoramic X-ray Series

Measurement bases
- The kV is measured by monitoring the current flowing through a 450 Mohm,
1% feedback resistor connected between the tube anode and ground.

- The mA is measured by monitoring current in the HT return line, which equals


the tube current.

- Both parameters are measured using a Soredex kV/mA meter (pt. no.
4800177) or with a digital multimeter (DMM) according to a specified
procedure. The exposure time is measured using a radiation probe positioned in
the primary beam.

Cephalometric collimator
18 x 24 A or 24 x 18 A for lateral projection,
18 x 24 S for P.A. and A.P. projections
24 x 30 aperture optional

8" x 10" A or 10" x 8" A for lateral projections


8" x 10" S for A.P. and P.A. projections

Adjustable soft tissue filter for lateral projection

Operating Room Temperature


- 15ºC (59ºF) to 32ºC (90ºF)

Operating Relative Humidity Maximum


- 95%

Tube housing assembly cooling characteristics

54 User’s Manual 8200900


Cranex Panoramic X-ray Series 5. Technical Specifications

Tube rating chart Anode thermal characteristics

OPX/105

Tube rating chart Anode thermal characteristics

DE 100/15 ö

User’s Manual 8200900 55


5. Technical Specifications Cranex Panoramic X-ray Series

Unit dimensions

56 User’s Manual 8200900

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