CS 2200

User Guide
Notice
Congratulations on your purchase of the CS 2200. Thank you for your confidence in our products and we will do all in our
power to ensure your complete satisfaction.

The User Guide for the CS 2200 includes information on the usage of the equipment. We recommend that you thoroughly
familiarize yourself with this Guide in order to make the most effective use of your system.

WARNING: We recommend that you consult the “Safety,

Regulatory and Technical Specification User Guide” before
using the CS 2200.

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

U.S. Federal law restricts this equipment to sale by or on the order of a dentist or physician.

This document is originally written in English.

Manual Name: CS 2200 User Guide

Part Number: SM761
Revision Number: 01
Print Date: 2012-02

CS 2200 complies with Directive 93/42/EEC relating to medical equipment.

0086

Manufacturer
Care stream Hea lth, Inc.
150 Verona Street
Roche ster, NY 1 4 60 8, USA

Authorized Representative in the European Community

EC REP
TROPHY
4, Rue F. Pelloutier, Croissy-Beaubourg
77435 Marne la Vallée Cedex 2, France
Contents

1—About This Guide

Conventions in this Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1–1

2—CS 2200 SYSTEM OVERVIEW

General Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–1
CS 2200 Unit Configurations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–4
Control Timer Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2–10

3—CS 2200 RADIOLOGY PROCESS

Positioning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–1
Positioning the Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–1
Positioning the X-Ray Generator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–1
Paralleling technique . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–1
Bisecting technique . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–2
Positioning the Imaging Receptor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–2
Exposure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–2
Exposure Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–2
Exposure Times . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–3
Emitted Doses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–5
Film Processing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3–7

4—ACQUIRING AN IMAGE
Preparing for Image Acquisition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–1
Launching the X-Ray . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–2
Setting the Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4–2

5—USER MODE
Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–1
Entering the User Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–1
Modifying Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–2
Exiting the User Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–2
Performing a Tube Seasoning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5–2

6—TROUBLESHOOTING
Quick Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6–1
Information Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6–3
Error Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6–4

7—MAINTENANCE
Quarterly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7–1
Generator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7–1
Mechanical support. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7–1
Control timer unit and electrical installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7–1
Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7–1

CS 2200 User Guide (SM761)_Ed01 1

Contents

Control timer unit self-test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7–1

Annually . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7–2
Cleaning and Disinfecting the CS 2200 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7–2

2
Chapter 1
About 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.

WARNING
Exposure to ionizing radiation

CS 2200 User Guide (SM761)_Ed01 1–1

Conventions in this Guide

1–2 About This Guide

Chapter 2
CS 2200 SYSTEM OVERVIEW
The CS 2200 is compliant with the requirements of the EEC and international medical standards.

The CS 2200 unit has been designed to produce high-quality intraoral radiographies that:

 Reveal maximum details with the minimum dose to the patient.

 Show teeth and anatomic structures accurately with a minimum of distortion or
magnification.
 Have optimal density and contrast to maximize their use for the detection of dental
diseases.

The CS 2200 uses a high frequency technology that allows:

 Reduced X-ray doses for patients because the CS 2200 unit emits fewer soft rays
absorbed by patients which are not used during image creation.
 Shorter exposure times which reduce the risk of motion blur during exposure

The CS 2200 is equipped with a thermal safety system that prevents the generator from
overheating in case of intensive use. This prohibits any exposure as long as the generator has not
cooled down. The I01 error message appears on the display, a red LED lights up on the control
timer unit and an audible beep is heard during the unit cooling period. The beep stops when the
cooling period is over.

To obtain high-quality intraoral radiography with maximum details, you must be very careful when
performing the three steps of the radiography process:

 Positioning the patient, the x-ray generator, and the imaging system
 Setting the exposure parameters according to the imaging receptor used (film,
phosphor plates or sensor)
 Processing the film (if a conventional film is used.)

General Overview
The CS 2200 unit is composed of the following functional components

 A high-frequency X-ray generator which includes:

 A transformer and associated electronics, and an oil-bathed x-ray tube
 A beam limiting device with the following characteristics:
- A radiation diameter of 6 cm (2.36 in.)

- A distance from the X-ray tube focal spot to skin of 20 cm (8 in.).

 An angle scale and handle to facilitate positioning.

CS 2200 User Guide (SM761)_Ed01 2–1

General Overview

 A wall framework which contains the:

 Main powerboard
 ON/OFF switch which contains a built-in LED.
 A control timer unit which:
 Performs anatomical selection and displays parameters (exposure time and emitted
dose).
 Performs a microprocessor self-test at every unit activation.
 Displays alarms in case of incorrect operation.
 Includes two preset modes and a manual setting mode.
 An extension arm and a scissor arm which is equipped with springs that ensure arm
stability.
The following figure illustrates the extension arm and the scissor arm.

Figure 2–1 CS 2200 - Side View

Table 2–1 Extension arm types

Extension R Span A

Short 47.0 cm 170.0 cm

(18.5 in.) (67 in.)

Standard 64.8 cm 188.0 cm

(25.5 in.) (74 in.)

Long 82.5 cm 205.0 cm

(32.5 in.) (80.69 in.)

 A rectangular collimator. Its various sizes adapt to films, phosphor plates and RVG
sensors. It is recommended to use such a collimator if possible, in order to limit the
radiation absorbed by patients.

2–2 CS 2200 SYSTEM OVERVIEW

 General Overview

The CS 2200 unit is also composed of the following optional accessories:

 A separate timer box

 A remote exposure switch.

The following CS 2200 unit configurations are provided:

 Standard wall-mounted unit

 Wall-mounted unit for Irix replacement
 Ceiling-mounted unit.

The following mounting options are provided:

 Floor column base

 Mobile base
NOTE
These options must be used with a standard wall-mounted unit.

CS 2200 User Guide (SM761)_Ed01 2–3

CS 2200 Unit Configurations

CS 2200 Unit Configurations

Figure 2–2 Standard CS 2200 Unit.

7 8
5

2 1

3
6

1 High frequency X-ray generator

2 Wall framework
3 Control timer unit
4 X-ray exposure button
5 Scissor arm
6 Rectangular collimator
7 ON/OFF switch with built-in LED
8 Extension arm

2–4 CS 2200 SYSTEM OVERVIEW

 CS 2200 Unit Configurations

Figure 2–3 Standard CS 2200 Unit. with Separate Control Timer Unit

7 8
5

3 1

4
6

1 High frequency X-ray generator

2 Wall framework
3 Separate control timer unit
4 X-ray exposure button
5 Scissor arm
6 Rectangular collimator
7 ON/OFF switch with built-in LED
8 Extension arm

CS 2200 User Guide (SM761)_Ed01 2–5

CS 2200 Unit Configurations

Figure 2–4 Wall-Mounted Unit for Irix Replacement

8
5

1
3
2
7

1 High frequency X-ray generator

2 Wall framework
3 Control timer unit
4 Separate exposure switch
5 Scissor arm
6 Rectangular collimator
7 ON/OFF switch with built-in LED
8 Extension arm

2–6 CS 2200 SYSTEM OVERVIEW

 CS 2200 Unit Configurations

Figure 2–5 Ceiling-Mounted Unit

5
8

1 High frequency X-ray generator

2 Ceiling mounted unit containing the main powerboard
3 Control timer unit
4 X-ray exposure switch
5 Scissor arm
6 Rectangular collimator
7 ON/OFF switch with built-in LED
8 Extension arm

CS 2200 User Guide (SM761)_Ed01 2–7

CS 2200 Unit Configurations

Figure 2–6 Unit Mounted on Floor Column

1
4

7
6
9

1 High frequency X-ray generator

2 Floor column containing the main powerboard
3 Control timer unit
4 X-ray exposure button
5 Scissor arm
6 Rectangular collimator
7 ON/OFF switch with built-in LED
8 Extension arm
9 Raiser

2–8 CS 2200 SYSTEM OVERVIEW

 CS 2200 Unit Configurations

Figure 2–7 Unit Mounted on Mobile Base

3
1
7

6 2

1 High frequency X-ray generator

2 Mobile stand containing the main powerboard
3 Control timer unit
4 X-ray exposure button
5 Scissor arm
6 Rectangular collimator
7 ON/OFF switch with LED
8 Handle
9 Foot brake

CS 2200 User Guide (SM761)_Ed01 2–9

CS 2200 Unit Configurations

Control Timer Unit

3
2

6
4

8
5

9 7

10 11

13 12

1 Warning: Ionizing radiation

2 Exposure time - emitted dose indicator
3 Display
4 X-ray exposure button
NOTE
For the Irix mount configuration, the X-ray
exposure button is remote.

5 X-ray emission control light

6 Cooling indicator
7 Receptor selector (2 preset modes, 1 manual mode)
8 kV selector
9 Child / Adult (standard) / Adult (large) selector
10 Tooth selector
11 Bitewing selector
12 Occlusal selector
13 Selection knob:
- Preset mode: Rotate the knob to select the tooth
- Manual mode: Rotate the knob to select the exposure
time.

2–10 CS 2200 SYSTEM OVERVIEW

Chapter 3
CS 2200 RADIOLOGY PROCESS
Positioning
Positioning the Patient
To position the patient, you must have:

 The patient sit with the vertical sagittal plane.

 The patient’s head positioned as follows:
 For upper maxillary radiography, the Frankfort plane (nose-ear plane) must be
horizontal.
 For lower maxillary radiography, the occlusal plane must be horizontal.

90°

Positioning the X-Ray Generator

The scissor arm allows you to accurately position the generator for any type of exposure. The
beam-limiting device maintains a distance of at least 20 cm (8 in.) between the focal spot and the
skin, which allows you to use either the paralleling or the bisecting technique.

Paralleling technique
The positioning tool used in the paralleling technique allows you to align the beam and the image
receptor. An appropriate collimator reduces the dosage by limiting the surface exposure.

CS 2200 User Guide (SM761)_Ed01 3–1

Exposure

Bisecting technique
When using the bisecting technique, do not use a rectangular collimator. This limits the risk of
X-ray beam and image receptor misalignment.

90°

Positioning the Imaging Receptor

Using the CS 2200, you may create an X-ray image on one of the following image receptors:

 Conventional silver halide films, such as KODAK dental films.

 Digital sensors such as RVG sensors.
 Phosphor plate such as CS Imaging plates.
Placing the receptor correctly is critical. Check your own dental radiography manual for
information on how to place the imaging receptor correctly.

If you do not position the film or the sensor correctly, this results in errors on the radiography, such
as distorted teeth and roots, elongation, magnification, and/or overlapping contacts. The
paralleling technique generally reduces the risk of such errors. However, if you do not position the
system correctly, angulation errors can occur (angulation of the receptor to the tooth itself).

If the beam exit pattern is not aligned with the imaging receptor, then part of the radiography will
not be exposed to radiation and the final radiography will have some clear (unexposed) areas. This
defect is called "cone cuts".

The imaging receptor is marked to indicate the tube side. If the orientation is not correct, the
resulting radiography is lighter and may show artifacts, such as foil pattern or sensor cable.

Exposure
Exposure Parameters
Since each receptor (film, digital sensor, or phosphor plate) has its own sensitivity to X-ray
radiation. the receptor choice impacts the exposure parameters. For instance, the sensitivity class
for conventional dental films is characterized with the letter D, E, or F where F is more sensitive
than E, and E more sensitive than D. Consequently, the required dose for the correct exposure
goes down as sensitivity increases.

Due to the different sensitivity of the digital sensors, you also need to adjust the exposure
parameters to the used sensor type.

3–2 CS 2200 RADIOLOGY PROCESS

 Exposure

The CS 2200 allows you to use two different modes with pre-set exposure times. These modes
are programmed when installing the equipment based on your local imaging systems, as indicated
in Tables 3-3 to 3-5. These tables meet the manufacturer's standard conditions and should only be
used as guidelines.

You can modify these settings to:

 Adjust your exposure settings as needed, based on the results obtained from your system
exposure and processing.
 Adjust your exposure settings after a change to your imaging system.
To modify the settings, start the “Setting the Mode” procedure.

The CS 2200 also allows you to use the manual mode where you select the exposure time directly.

Exposure Times
Tables 3-1 and 3-2 indicate exposure times that were defined based on a unit equipped with a
standard cone of 20 cm (8 in.) focus-to-skin distance.

Table 3–1 Exposure Times in Seconds for class D-Speed Films

70 kV - 7 mA) 60 kV - 7 mA

Adult Adult Adult Adult

Maxillary Child Child
(Standard) (Large) (Standard) (Large)
Incisor / Bicuspid 0.119 0.180 0.227 0.238 0.360 0.454
Premolar 0.152 0.230 0.290 0.304 0.460 0.580
Molar 0.178 0.270 0.340 0.356 0.540 0.680

Mandibular
Incisor / Bicuspid 0.099 0.150 0.189 0.198 0.300 0.378
Premolar 0.106 0.160 0.202 0.211 0.320 0.403
Molar 0.119 0.180 0.227 0.238 0.360 0.454

Bitewing
Anterior 0.099 0.150 0.189 0.198 0.300 0.378
Posterior 0.119 0.180 0.227 0.238 0.360 0.454

Occlusal

MaxilaryAn 0.205 0.310 0.391 0.409 0.620 0.781

CS 2200 User Guide (SM761)_Ed01 3–3

Exposure

Table 3–2 Exposure Time Corrections based on Selected Setting

Setting Correction Coefficient

S01 -92% 0.08
S02 -90% 0.10
S03 -88% 0.125
S04 -84% 0.16
S05 -80% 0.20
S06 -75% 0.25
S07 -68% 0.31
S08 -60% 0.40
S09 -50% 0.50
S10 -37% 0.63
S11 -21% 0.79
S12 0% 1.00
S13 +26% 1.26
S14 +56% 1.56
S15 +100% 2.00
S16 +152% 2.52

Table 3–3 Film Types

Brand Name Setting

KODAK Insight S 08
KODAK E-speed S 09
KODAK Ultra-speed S 12
KODAK D-speed S 12
Other films Speed class F S 08 or S 09
Other films Speed class E S 09 or S 10
Other films Speed class D S 12 or S 13

3–4 CS 2200 RADIOLOGY PROCESS

 Exposure

Table 3–4 Sensor Types

Brand Name Setting

CS CS RVG 5100 S 08
CS CS RVG 5000 S 08
Trophy RVG Access S 08
Trophy CS RVG 6500 size 1 & 2 S 07
Trophy CS RVG 6500 size 0 S 05
CS CS 6100 size 1& 2 S 07
CS CS RVG 6000 S 07
Trophy RVG Ultimate S 07
RVG Reference High
Trophy S 07
Resolution mode
Trophy RVGui High Resolution mode S 07
Trophy CS RVG 6100 size 0 S 05
Trophy RVG THD S 05
RVG Reference High
Trophy S 02
Sensitive mode
Trophy RVGui High Sensitive mode S 02
Adjust setting
Other brands accordingly

Table 3–5 Storage Phosphor Plates

Brand Name Setting

CS CR 7400 S 12
CS CS 7600 S10

Other brands Adjust setting

accordingly

Emitted Doses
To obtain the dose in mGy.cm2, multiply the values listed in table 3-6 by the exposed surface. The
exposed surface depends on the collimator type used as indicated in table 3-7.

CS 2200 User Guide (SM761)_Ed01 3–5

Exposure

Table 3–6 Measured Dose at the End of the 20 cm (8 in.) Cone

70 kV - 7 mA 60 kV - 7 mA

D D D D D D D D
t(s) t(s) t(s) t(s) t(s) t(s) t(s) t(s)
mGy mGy mGy mgY mGy mGy mGy mgY

0.010 0.09 0.260 2.22 0.510 4.36 0.760 6.49 0.010 0.06 0.260 1.58 0.520 3.17 1.050 6.40

0.020 0.17 0.270 2.31 0.520 4.44 0.770 6.58 0.020 0.12 0.270 1.64 0.540 3.29 1.100 6.70

0.030 0.26 0.280 2.39 0.530 4.53 0.780 6.66 0.030 0.18 0.280 1.71 0.560 3.41 1.150 7.01
0.040 0.34 0.290 2.48 0.540 4.61 0.790 6.75 0.040 0.24 0.290 1.77 0.580 3.53 1.200 7.31

0.050 0.43 0.300 2.56 0.550 4.70 0.800 6.83 0.050 0.30 0.300 1.83 0.600 3.65 1.250 7.62

0.060 0.51 0.310 2.65 0.560 4.78 0.810 6.92 0.060 0.37 0.310 1.89 0.620 3.78 1.300 7.92

0.070 0.60 0.320 2.73 0.570 4.87 0.820 7.00 0.070 0.43 0.320 1.95 0.640 3.90 1.350 8.22

0.080 0.68 0.330 2.82 0.580 4.95 0.830 7.09 0.080 0.49 0.330 2.01 0.660 4.02 1.400 8.53

0.090 0.77 0.340 2.90 0.590 5.04 0.840 7.17 0.090 0.55 0.340 2.07 0.680 4.14 1.450 8.83
0.100 0.85 0.350 2.99 0.600 5.12 0.850 7.26 0.100 0.61 0.350 2.13 0.700 4.26 1.500 9.14

0.110 0.94 0.360 3.07 0.610 5.21 0.860 7.34 0.110 0.67 0.360 2.19 0.720 4.38 1.550 9.44

0.120 1.02 0.370 3.16 0.620 5.29 0.870 7.43 0.120 0.73 0.370 2.25 0.740 4.51 1.600 9.75

0.130 1.11 0.380 3.25 0.630 5.38 0.880 7.52 0.130 0.79 0.380 2.31 0.760 4.63 1.650 10.05
0.140 1.20 0.390 3.33 0.640 5.47 0.890 7.60 0.140 0.85 0.390 2.38 0.780 4.75 1.700 10.36

0.150 1.28 0.400 3.42 0.650 5.55 0.900 7.69 0.150 0.91 0.400 2.44 0.800 4.87 1.750 10.66

0.160 1.37 0.410 3.50 0.660 5.64 0.910 7.77 0.160 0.97 0.410 2.50 0.820 4.99 1.800 10.97

0.170 1.45 0.420 3.59 0.670 5.72 0.920 7.86 0.170 1.04 0.420 2.56 0.840 5.12 1.850 11.27

0.180 1.54 0.430 3.67 0.680 5.81 0.930 7.94 0.180 1.10 0.430 2.62 0.860 5.24 1.900 11.57

0.190 1.62 0.440 3.76 0.690 5.89 0.940 8.03 0.190 1.16 0.440 2.68 0.880 5.36 1.950 11.88

0.200 1.71 0.450 3.84 0.700 5.98 0.950 8.11 0.200 1.22 0.450 2.74 0.900 5.48 2.000 12.18

0.210 1.79 0.460 3.93 0.710 6.06 0.960 8.20 0.210 1.28 0.460 2.80 0.920 5.60 2.100 12.79

0.220 1.88 0.470 4.01 0.720 6.15 0.970 8.28 0.220 1.34 0.470 2.86 0.940 5.72 2.200 13.40

0.230 1.96 0.480 4.10 0.730 6.23 0.980 8.37 0.230 1.40 0.480 2.92 0.960 5.85 2.230 14.01

0.240 2.05 0.490 4.18 0.740 6.32 0.990 8.45 0.240 1.46 0.490 2.98 0.980 5.97 2.240 14.62

0.250 2.14 0.500 4.27 0.750 6.41 1.000 8.54 0.250 1.52 0.500 3.05 1.000 6.09 2.500 15.23

NOTE
Dose accuracy: +/- 30% (mGy)

3–6 CS 2200 RADIOLOGY PROCESS

 Exposure

Table 3–7 Exposure Surface versus Collimator Type

Used with film or Exposure surface

Collimator Format Used with
phosphor plate
type (cm) digital sensor
(cm) (cm2)

A 1.9 x 2.4 Size 0 - 4.6

B 2.3 x 3.5 Size 1 Size 0: 2.2 x 3.5 8.3
Size 1: 2.4 x 4.0
C 3.1 x 3.9 Size 2 12.1
Size 2: 3.1 x 4.1

Standard Size 3: 2.7 x 5.4

6.0 cm diameter - 28.3
cone Size 4: 5.7 x 7.6

Film Processing
When using conventional films, you must process the film according to the manufacturer’s
instructions. Process the film under safelight conditions manually or using an automatic processor.

If you use an automatic processor, see the processor’s manual. Check that the processor
maintenance is performed regularly.

If you process the film manually, follow precisely the manufacturer’s recommendations for solution
preparation, processing time, and solution temperature for both developer and fixer baths. Any
deviation from the manufacturer’s recommendations (such as a solution that would be too
concentrated or diluted, too hot or cold, or if the film processing duration is incorrect) will impact
the final radiography quality.

Before archiving, do not forget to wash the film correctly and to dry it in a clean place.

CS 2200 User Guide (SM761)_Ed01 3–7

Exposure

3–8 CS 2200 RADIOLOGY PROCESS

Chapter 4
ACQUIRING AN IMAGE
This chapter describes the various tasks that you must perform for image acquisition. To acquire an
image, you can use conventional films or digital receptors.

If necessary, for example after a long inactivity period of the CS 2200 system, we recommend to
start with the tube seasoning procedure. For more information, see the “Tube Seasoning
Procedure”.

Preparing for Image Acquisition

To prepare for image acquisition, follow these steps:

1. Switch ON the unit.

The green indicator of the ON/OFF button lights up

When you switch ON the unit, a self-test starts automatically. It checks the display. When the test
is completed, a short beep sounds. If an error occurs, an error code appears. For error messages,
see the “Troubleshooting” section.

2. From the control timer unit, select the exposure mode using .

When the correct mode is displayed, the corresponding indicator lights up.

3. From the control timer unit, press on to select the kV value:

 60 kV for high-contrast radiographies, which gives a clear image of the endodental

instruments or clearly displays a tooth decay.
 70 kV for low-contrast radiographies which provide wider latitude and more grey levels.
This is useful for periodontal work.
The corresponding LED indicates the current selection

4. From the control timer unit, press on to select the patient type: Child, Adult
(standard), or Adult (large),

5. Turn to select the:

 Tooth when using the automatic mode or the bitewing or occlusal program.
 Exposure time when using the manual mode.
The unit is now ready for acquisition.

CS 2200 User Guide (SM761)_Ed01 4–1

Launching the X-Ray

IMPORTANT
The operator must instruct the patient to refrain from moving during the
entire exposure.

Launching the X-Ray

To launch the X-ray, follow these steps:

WARNING

Be careful not to be exposed to ionizing radiation

1. Press from the control timer unit or from the X-ray exposure switch.

The X-ray emission indicator lights up and a beep is heard.

2. Keep pressing until the X-ray emission indicator is OFF and the beep stops.

During the exposure, the exposure time counts off on the display.

CAUTION
If you release the button before the end of the X-ray, a manipulator alarm
(E01) is enabled.

This indicates that the X-ray emission was aborted prematurely. There is an
underexposure risk. Depending on the remaining time, you can decide to
process the image or start a new acquisition.

To stop the alarm, press on from the control timer unit.

When the acquisition is completed, the emitted dose is displayed in mGy. The “mGy” indicator
lights up. For information on the emitted doses based on the exposure times, see Table 3-6.
The latest parameter settings are kept until a new image acquisition is performed.

3. Press on shortly to change from mGy to exposure time display.

Setting the Mode

Setting the mode allows you to modify the exposure times according to the sensitivity of the used
imaging system.

To set the mode, follow these steps:

1. Press to select the preset mode to be modified.

4–2 ACQUIRING AN IMAGE

 Setting the Mode

2. Press and hold simultaneously for at least three seconds until the display
blinks.

3. If necessary, modify the setting by rotating until the desired setting is displayed.

4. To validate, press and hold until “COPY” is displayed.

5. To abort, press on the selection knob shortly.

CS 2200 User Guide (SM761)_Ed01 4–3

Setting the Mode

4–4 ACQUIRING AN IMAGE

Chapter 5
USER MODE
This chapter describes the various settings that you can select for the different pre-set modes. The
user mode also allows you to validate specific local requirements for some countries.

Parameters
Table 5–1 Parameters Available through the User Mode

Number Parameters Choice

0 for all countries except those having specific local
requirements such as:
 Australia: 61
 Korea: 82
P 03 Installation country  Kuwait: 965

NOTE
The specific country value is equal to the
international telephone country code.

P 4.1 Film mode setting S 01 to S 16

P 4.2 Digital mode setting S01 to S 16
P 05 Tube seasoning procedure Switches from OFF to ON
ON: Disables the X-ray emission
P 06 Show mode
OFF (default value): Enables the X-ray emission

Entering the User Mode

To enter the user mode, follow these steps:

1. Switch ON the unit.

The self-test is enabled. While the self-test is in progress, the software information (for
example, F718 2.1) is displayed.

2. Once F718 2.1 is displayed, press shortly on from the control timer unit.

You access the menu, when "USER" is displayed. The display intermittently shows the first
parameter (P 03) and its setting (for example, "0").

3. To switch from one parameter to the other, turn in any direction.

CS 2200 User Guide (SM761)_Ed01 5–1

Modifying Parameters

Modifying Parameters
To modify parameters, follow these steps:

1. Turn to select the parameter to modify.

2. Press until "EDIT"is displayed and a beep is heard.

The parameter value starts blinking.

3. Turn to change the parameter value.

4. To validate, press and hold for at least 3 seconds until "COPY" is displayed and a
beep is heard.

5. To keep the initial value, press on shortly. "ABOR" is displayed. The system returns
to the parameter/program mode.

Exiting the User Mode

To exit the user mode, press on shortly. “QUIT” is displayed until the system returns to
the operational mode. The self-test continues until it is completed.

Performing a Tube Seasoning

This procedure allows for a progressive warm-up of the X-ray tube. It must be performed at unit
installation and when replacing the tube head. It can also be performed when needed, for instance
after a long period of equipment inactivity. It lasts around three minutes.

To perform a tube seasoning, follow these steps:

1 Go to the User Mode menu and change parameter P 05 from OFF to ON.
The self-test continues. After the self-test is completed, I 02 is displayed. This message means
that the seasoning process must be started.

2 Press .

5–2 USER MODE

 Performing a Tube Seasoning

The display blinks,. The sequence step number and the required exposure settings
(kV, time) are displayed alternatively.

3 Stand behind the generator.

4. Launch an X-ray.

WARNING

Be careful not to be exposed to ionizing radiation

When the exposure is completed, the display blinks. The cooling error code (I 01) and the
remaining time required before the next step are displayed alternatively. The red light of the
cooling cycle is lit.

When the cooling cycle is completed, the display blinks. The next step number and its
exposure settings are displayed alternatively.

5 Repeat steps 3 and 4 until the end of the sequence.

Your system is ready.

CS 2200 User Guide (SM761)_Ed01 5–3

Performing a Tube Seasoning

5–4 USER MODE

Chapter 6
TROUBLESHOOTING
Occasionally, malfunctions can occur during use in the event of an incorrect action or failure. The
quick troubleshooting, the Information “Ixx” and Error message “Exx” guide you through the actions
you need to take to correct the malfunction.

IMPORTANT
If the malfunction persists or more serious conditions occur, contact your
representative and stop the equipment.

When you call your representative, you must have the following information ready:

 Model Number: CS 2200

 Serial Number (on the labels)
 Error Code Number: E xx.

Quick Troubleshooting
Quick troubleshooting guides you through the actions you need to take to correct the
malfunctions.

The following table lists the malfunctions and the actions to take.

Malfunction Possible Cause Action

Nothing lights up The unit is disconnected. Connect the unit.
Fuse F1 burnt out or is
defective. Change the fuse.

The circuit breaker is OFF. Turn ON the circuit breaker

The control unit is
Control unit doesn't light up. Connect the control unit.
disconnected.
Fuse F1 burnt out or is
defective. Change the fuse.

The control unit is defective Call your representative.

Wait until message I01 and the red LED
No X-ray emission The generator is cooling
on the control key disappear.
The radiology control key is
Call your representative.
defective.
The X-ray emission works, but
The wrong exposure preset Change the preset program (See the
the exposure is too light or
program is being used. “Setting the Mode” procedure).
completely white.
The generator is not
positioned correctly. Adjust the generator position

The exposure time is too

Increase the exposure time.
short.

CS 2200 User Guide (SM761)_Ed01 6–1

Quick Troubleshooting

Malfunction Possible Cause Action

The development time is Increse the development time (See the
too short. manufacturer’s instructions).
The developer is too cold. Heat the developer
The developer is too old or Replace with a new developer
diluted.
The preset mode is not Verify your exposure settings (See the
selected properly exposure procedure).
The receptor is not
Reposition the receptor.
correctly positioned.
The unit is not correctly
Call your representative.
installed.
The X-ray emission works but The wrong preset exposure Change the preset program (See the
exposure is too dark. program is being used “Setting the Mode” procedure).

The exposure time is too

Reduce the exposure time.
long.
The development time is Reduce the development time (See the
too long. manufacturer’s instructions).
The developer is too hot. Cool the developer
The developer is too Adjust the concentration or change
concentrated. developer.
The preset mode is not Check your exposure settings (See the
correctly selected. exposure procedure).

6–2 TROUBLESHOOTING
 Information Messages

Information Messages
An information “I” error code with a message appears on the display.

The following table lists the information messages and the actions to take.

Table 1 Information Messages

Information Possible Cause Action

Code

I 01 and red Cooling cycle: this message can appear during Do not switch OFF the equipment.
LED lights up intensive use period.
on the control The information message disappears
timer unit. as soon as the system reaches a
satisfactory temperature.

IMPORTANT
If you switch OFF the system, the microprocessor does not calculate the
cooling time.
For safety reasons, it considers that the system has not gone through the
cooling cycle.
I 02 Request for X-ray tube seasoning. See the “User Mode” section.

CS 2200 User Guide (SM761)_Ed01 6–3

Error Messages

Error Messages
The following table lists the error messages and the actions to take.

Table 2 Error Messages

Error Possible Cause Action

Message
E01 + audible The radiography control button was released Quickly press on the selection knob
alarm before the exposure end. The display indicates to stop the alarm.
the remaining exposure time. Based on this time,
you must decide whether to develop the film or
make another exposure).

The radiography control was enabled while the

E02
unit was being powered ON.

E03-E04 Exposure time control problems

E10 to E18 kV voltage error
E20 to E24 Filament voltage error Switch OFF, then restart the system.
If the problem persists, contact your
Problem with voltage to the main power supply representative and stop using the
E30 equipment.
or to the chemical capacitor
System error (problems with the power board
E40 to E46
microprocessor)

Problem with the IC bus, the connection

E50 to E54
between the control panel and the power board.

6–4 TROUBLESHOOTING
Chapter 7
MAINTENANCE
This chapter describes the maintenance tasks you must perform for your CS 2200.

Quarterly
Generator
Check that:

 The certification label is legible.

 No oil leaks.

Mechanical support
Check that:

 The wall framework is securely attached to the wall.

 All labels are legible.
 The scissor arm is stable in all positions.

Control timer unit and electrical installation

Check that:

 The symbols are legible.

 The control timer unit and the power supply cables are in good condition.
 The ground is installed correctly.
 The X-ray exposure button returns to its initial position after use.

Operation
WARNING

Be careful not to be exposed to ionizing radiation

Check that:

 The audible signal is heard and the X-ray emission indicator is visible when you make an
exposure (manual mode, 60 kV, 0.1 sec).

 The “E01” message is displayed when you launch an X-ray (manual mode, 60 kV, 1.0 sec)
and you release the control button before the exposure end.

Control timer unit self-test

To enable the self-test, you must switch ON the CS 2200 system.

 The self-test starts with a simultaneous display and alarm light test.

CS 2200 User Guide (SM761)_Ed01 7–1

Annually

 Then, the system test starts. After the test is completed (indicated by a short beep), the
firmware version and the total number of exposures (divided by 10) performed by the unit
since first installation are displayed.

 If the test fails, an error message is displayed.

IMPORTANT
If a check result is not satisfactory, stop using the equipment and
contact your representative.

Annually
We recommend that a general inspection of the unit be carried out by an authorized service
technician provided by your representative.

Cleaning and Disinfecting the CS 2200

IMPORTANT
You must first clean the system before disinfection.

To clean the system, follow these steps:

1 Clean the outside of the equipment with a damp paper towel or a soft cloth using an
alcohol-based, non-corrosive cleaner.
2 Wipe off surfaces with either an intermediate disinfectant or a low-level disinfectant.

CAUTION
Liquids must not drip into the equipment.
Do not spray cleaner or disinfectant directly on the equipment.
Follow the manufacturer’s safety recommendations when using a
cleaner or a disinfectant.

7–2 MAINTENANCE