ImageScan HD User Manual Rev A
ImageScan HD User Manual Rev A
User Manual
i
Table of Contents
ii
List of Illustrations
Figure 1 ImageScan HD Key Component Identification .................................................................... 6
Figure 2 ImageScan HD Label Location ............................................................................................ 9
Figure 3 Wall Mounted ImageScan HD 15" Support Tube Fully Extended
Right Side and Top Views .................................................................................................... 9
Figure 4 Wall Mounted ImageScan HD 24" Support Tube Fully Extended
Right Side and Top Views ................................................................................................... 10
Figure 5 Wall Mounted ImageScan HD 33" Support Tube Fully Extended
Right Side and Top Views ................................................................................................... 10
Figure 6 Wall mounth ImageScan HD Ground Clearance & Horizontally Extended ........................ 11
Figure 7 Wall mounth ImageScan HD Vertically Extended .............................................................. 11
Figure 8 Floor Mount ImageScan HD Fully Extended Dimensions .................................................. 12
Figure 9 Floor Mount ImageScan HD Sweep Angle ......................................................................... 12
Figure 10 Floor Mount ImageScan HD Extended Dimensions ........................................................... 13
Figure 11 Floor Mount ImageScan HD - Top View ............................................................................. 13
Figure 12 Floor Mount ImageScan HD - Storage Dimensions ........................................................... 14
Figure 13 ImageScan HD Keypad Console and Wall Mounting Configurations ................................. 15
Figure 14 ImageScan HD Keypad Console with LED display ............................................................ 19
Figure 15 Doorbell switch ................................................................................................................... 19
Figure 16 Remote Keypad Console ................................................................................................... 19
Figure 17 Horizontal Angulation ......................................................................................................... 22
Figure 18 Paralleling Technique.................................................................................................................... 23
Figure 19 Home Screen...................................................................................................................... 25
Figure 20 Home Screen with S Highlighted ........................................................................................ 25
Figure 21 mA parameter modified and accepted ................................................................................ 25
Figure 22 X-Ray - Preparing ............................................................................................................... 26
Figure 23 X-Ray - Exposing ............................................................................................................... 26
Figure 24 X-Ray - Results .................................................................................................................. 26
Figure 25 Start-up Screen .................................................................................................................. 29
Figure 26 Home Screen...................................................................................................................... 29
Figure 27 Mode Selection Screen................................................................................................................................. 29
Figure 28 Automatic mode ................................................................................................................. 29
Figure 29 Manual mode ...................................................................................................................... 30
Figure 30 Configuration Screen .......................................................................................................... 30
Figure 31 Stand-by Screen ................................................................................................................. 31
Figure 32 Error Display ....................................................................................................................... 31
Figure 33 kV Feed-back circuit ........................................................................................................... 36
Figure 34 Test points .......................................................................................................................... 36
Figure 35 mA Feed-back circuit .......................................................................................................... 37
Figure 36 Exposure time measurements............................................................................................ 38
Figure 37 kV measurement using kVp sensor .................................................................................... 38
Figure A-1 X-Ray Tube Insert Rating Chart ......................................................................................... 40
Figure A-2 X-Ray Tube Insert Thermal Data ........................................................................................ 40
Figure A-3 Heating and Cooling Curve ................................................................................................ 41
iii
List of Tables
Table A Key Description...................................................................................................................... 20
Table 1 Default Exposure Values for Short/Long Cone R1 (Film). ......................................................27
Table 2 Default Exposure Values for Short/Long Cone R2. ............................................................... 27
Table 3 Default Exposure Values for Short Cone R3 ......................................................................... 28
Table 4 Default Exposure Values for Long Cone R3 ........................................................................... 28
Table 5 Attention / Warning Messages. ............................................................................................... 31
Table 6 Tube seasoning ...................................................................................................................... 33
Table 7 Error Codes ............................................................................................................................34
Table 8 Troubleshooting Tips ................................................................................................................... 35
Table A1 Tube-Head Specifications ..................................................................................................... 39
Table A2 X-Ray Tube Insert Specifications .......................................................................................... 39
Table A3 Mechanical Dimensions and Weight ..................................................................................... 41
Table A4 Mains Power Requirements .................................................................................................. 42
Table A5 Environmental Conditions ...................................................................................................... 42
Table C1 Guidance and Manufacturer’s Declaration –
Electromagnetic Emissions – For all EQUIPMENT and SYSTEMS...................................... 44
Table C2 Guidance and Manufacturer’s Declaration –
Electromagnetic Immunity – For all EQUIPMENT and SYSTEMS ....................................... 45
Table C3 Guidance and Manufacturer’s Declaration – Electromagnetic Immunity –
for all EQUIPMENT and SYSTEMS that are not LIFE-SUPPORTING. ................................ 46
iii
This Page is left blank Intentionally.
iv
Chapter 1: Safety and Precautions
Electrical Safety Always switch off the main power when cleaning and disinfecting the unit.
The unit contains lethal high voltages. Do not attempt to open covers or repair
the unit yourself or with the help of non-certified service personnel. Contact your
authorized dealer.
This is an ORDINARY MEDICAL EQUIPMENT without protection against
ingress of liquids. Water or any other liquid should be prevented from leaking
into the equipment, as they may cause short circuit and/or corrosion.
Mechanical Safety Where complete safeguarding of the equipment is not possible, due care must
be taken to ensure that no part of the user’s or patient’s body or clothing can be
trapped or injured by any part of the equipment. In particular, make sure that
fingers are not caught or pinched during scissor arm movement.
Electromagnetic This equipment complies with EMI regulations. Interference between the unit
Interference and other sensitive electronics can occur under extreme conditions. Do not
use the X-Ray equipment in close conjunction with other sensitive devices or
devices which create high electromagnetic disturbance.
Physical Injury Exercise caution when operating the mechanical scissor arm. Since the arm
mechanism allows free movement with minimal force, a swinging arm can
inadvertently cause injuries.
The swinging joints on the arm are potential pinch points. Use caution while
operating the arm.
1
Chapter 1: Safety and Precautions
Installation and Installation and service of ImageScan HD must only be done by an authorized
Service service engineer. Consult the factory or dealer as necessary.
Make sure that ImageScan HD is assembled and installed in compliance with all
applicable laws and recommendations concerning electrical safety.
Explosion This equipment must not be used in the presence of flammable or potentially
Safety explosive disinfecting gases or vapors, which could ignite causing personal
injury and/or damage to the equipment. If such disinfectants are used, the
vapor must be allowed to disperse before using the equipment.
This equipment is not suitable for use in the presence of anaesthetic gases.
Floor Mount Care must be taken for the movement and positioning of ImageScan HD Floor
Mount.
The Floor Mount system is meant for limited movement inside the clinic and is
not suitable for Transport applications. Before moving the Floor Mount system
around, the scissor arms must be folded to avoid unnecessary damage to the
system.
The wheel locks should be unlocked before moving the system. After the system
is placed at the desired location, the wheel locks should be put in lock position.
This equipment is meant for limited movement within a clinic or hospital room.
Adequate care should be taken while moving on ramp or on an uneven surface.
2
Chapter 1: Safety and Precautions
Caution Symbol
This symbol indicates the user to be cautious and refer to the user manual for
safe operating instructions.
Protective Earth Ground
Mains Earth Ground is required for continued protection against shock hazards.
Type of Insulation
High Voltage
Caution: X-Ray
X-Ray Source Assembly / Tube-head capable of generating X-Rays. This X-
Ray unit may be dangerous to patient & operators unless safe exposure factors
and operating instructions are observed.
WEEE Symbol
Indicates that the unit conforms with WEEE Directive 2002/96/EC and must be
disposed of only at the appropriate facilities for recovery and recycling.
X-Ray Emission Status
Focal Spot
3
Chapter 2: Introduction
4
Chapter 2: Introduction
The Wall Mounted ImageScan HD system is available in three model configurations using
different Straight Arm assembly.
Unpack each component and verify that items listed below are received as appropriate. If any
item is missing or damaged, notify your authorized dealer.
5
Chapter 3: Know Your ImageScan HD
6
Chapter 3: Know Your ImageScan HD
Manufactured For:
ImageWorks ImageWorks
SMK Imaging LLC
8 Westchester Plaza,
Suite 112 Elmsford, Manufactured by:
NY10523 USA Skanray Technologies Pvt. Ltd
Plot No. 15 - 17,
Distributed by: Hebbal Industrial Area,
ImageWorks Mysore, INDIA- 570016
Illustration 14: Tube Housing Sl. No. Label (#13) Illustration 15: Scissor Arm Label (#14)
Illustration 18: Base Column Label (#18) Illustration 20: Angular Tape Floor Mount (#20)
Illustration 22: CE Marking Label Illustration 21: Position Indicator Arrow (#21)
(#22)(Proposed)
8
Chapter 3: Know Your ImageScan HD
Figure 2. ImageScan HD System Label Location (Refer section 3.2, Page 12 for System Labels)
2" (58mm)
58" (1465mm)
4" (108mm)
62" (1575mm)
6" (165mm)
170° to 190°
210° to 230°
Figure 3. Wall Mounted ImageScan HD 15" Support Tube Fully Extended Right Side and Top Views
9
Chapter 3: Know Your ImageScan HD
2" (58mm)
170° to 190°
210° to 230°
Figure 4. Wall Mounted ImageScan HD 24" Support Tube Fully Extended Right Side and Top Views
2" (58mm)
75" (1915mm)
6" (165mm)
4" (108mm)
80" (2032mm)
170° to 190°
210° to 230°
Figure 5. Wall Mounted ImageScan HD 33" Support Tube Fully Extended Right Side and Top Views
10
Chapter 3: Know Your ImageScan HD
11
Chapter 3: Know Your ImageScan HD
71" (1795mm)
30° to 40°
30° to 40°
12
Chapter 3: Know Your ImageScan HD
48”±0.5” (1219mm)
37”±0.5” (935mm)
39" (992mm)
13
Chapter 3: Know Your ImageScan HD
77”±0.5” (1956mm)
5.5"±0.5” (140mm)
36"±0.5” (914mm)
14
Chapter 3: Know Your ImageScan HD
Note:
(For Configurations 2 - 7)
16
Chapter 3: Know Your ImageScan HD
17
Chapter 3: Know Your ImageScan HD
18
Chapter 3: Know Your ImageScan HD
19
Chapter 3: Know Your ImageScan HD
20
Chapter 3: Know Your ImageScan HD
Logo (Seconds /
Toggles between Seconds / mA
Milli Ampere)
Tooth selection Key Each press selects different tooth in sequential mode.
Canine/Incisor
Canine/Incisor LED ON - Enable
LED OFF - Disable
Bitewing
Bitewing LED ON - Enable
LED OFF - Disable
Pre-Molar
Pre-Molar LED ON - Enable
LED OFF - Disable
Molar
Molar LED ON - Enable
LED OFF - Disable
21
Chapter 4: Operating ImageScan HD
Make sure that the operator has read and understood this manual regarding
operation of the system. Users must exercise every precaution to ensure
personal safety, and be familiar with the warnings presented throughout this
manual and summarized in Chapter 1 (Page 7).
Government regulators may require that only a licensed operator may use
this equipment. Check with your dealer regarding regulations.
Regulator Approvals Installation and use of radiation generating equipment is regulated by the
government or its authorized agencies in most countries. Check with your local
dealer regarding site approvals or usage requirements.
The operator should be well acquainted with the radiation protection methods for
both the operator and patient before using this equipment.
Adults
The patient shall be seated and made comfortable so that he/she does not
move during the exposure. Make sure to place protective aprons and shields
over the patient where necessary.
Children For young patients, it may be required that a guardian be available near
the patient. In such cases, instruct the guardian to be on the same side of
the X-Ray port; away from the X-Ray beam and behind the tube-head. The
guardian shall wear radiation protective clothing.
The Position Indicating Device (PID), also referred to as the Cone, should be
Position Indicating
Device used to approximate the area of X-Ray exposure.
22
Chapter 4: Operating ImageScan HD
Cone Position
Cone should be positioned in such a way that the central axis of the cone is perpendicular
to the teeth and should be as close to the area being imaged as possible.
In general, the vertical angulation of the cone should be at +45° for maxilla teeth and -10°
for Mandible teeth.
The horizontal angulation of the cone should also be maintained to achieve
perpendicularity with respect to the teeth as shown by Figure 17 below.
M – Molar
P – Pre-Molar
C – Canine
Maxilla Mandible
ML
Sagittal Plane
0°
P 80 - 90°
60 - 75° M
70 - 80°
70 - 80°
M 45°
80 - 90° P
0°
C
Sagittal
Plane ML
23
Chapter 4: Operating ImageScan HD
The Image Receptor and holder are not part of supplied accessories.
CR
CR perpendicular
to long axis of
tooth & film
Film parallel to
Long axis long axis of tooth
of tooth
2. On power up, observe that the system self check function initiates and the console display's
Start-up Screen as shown by Figure 25 (Page 34).
3. Immediately following a successful self test, the console displays a home
screen as shown by Figure 19 (page 30).
24
Chapter 4: Operating ImageScan HD
6. Create an exposure by performing the Exposure Delivery Procedure provided in section 4.7.
Make sure to refer to Chapter 5 for details on navigating the keypad Console for setup and
operation of ImageScan HD as necessary.
25
Chapter 4: Operating ImageScan HD
26
Chapter 4: Operating ImageScan HD
The tube-head needs to cool down before proceeding to the next exposure.
This waiting period depends on the specific exposure duration selected for the last
exposure. If an attempt is made to conduct an exposure during this waiting period,
the console displays a message request- ing the operator to wait for the remaining
amount of time required by the tube-head to cool down.
27
Chapter 4: Operating ImageScan HD
Validated Exposure Values (kV, mA & S) mentioned below are for minimum patient dose
and can be modified as per user requirement.
Time (S)
Slow Fast
Anatomy kV mA
Cone
Short Long Short Long
Bitewing 70 6 0.22 0.71 0.18 0.56
Estimated Exposure Values (kV, mA & S) mentioned below are for minimum patient dose and
can be modified as per user requirement.
Time (S)
Anatomy kV mA Cone
Short Long
28
Chapter 4: Operating ImageScan HD
Estimated Exposure Values (kV, mA & S) mentioned below are for minimum
patient dose and can be modified as per user requirement.
Time (S)
Anatomy kV mA Cone
Short
Bitewing 70 6 0.14
Canine 70 6 0.16
Adult
Molar 70 6 0.14
Pre-Molar 70 6 0.16
Bitewing 70 6 0.13
Canine 70 6 0.13
Child
Molar 70 6 0.13
Pre-Molar 70 6 0.13
Estimated Exposure Values (kV, mA & S) mentioned below are for minimum
patient dose and can be modified as per user requirement.
Time (S)
Anatomy kV mA Cone
Long
Bitewing 70 6 0.14
Canine 70 6 0.16
Adult
Molar 70 6 0.14
Pre-Molar 70 6 0.16
Bitewing 70 6 0.13
Canine 70 6 0.13
Child
Molar 70 6 0.13
Pre-Molar 70 6 0.13
29
Chapter 5: Using the Keypad Console
The keypad Console is the user interface allowing the operator to control the X-Ray system and
get feedback from it. This section describes how to use the console to complete specific tasks. As a
preface, the stages through which the console passes before it becomes operable are described first.
Power up - Indication
On power up, the console displays the Start-up Screen as
shown on the left. Following this, the console performs self
test. The keypad, beeper and LCD backlight are checked. Do
not press any keys (including exposure switch) during self
test period.
Figure 25: Start-up Screen
Home Screen
Immediately following a successful self test the console
displays a screen similar to the one shown on the left. This
screen displays current selection of exposure parameters,
exposure mode details and accessories selected (cone type
and film speed).
30
Chapter 5: Using the Keypad Console
5.2 Selecting kV
kV can be modified only in Manual mode.
To set Automatic mode proceed as follows.
31
Chapter 5: Using the Keypad Console
Inactive
Absence of any activity for 5 minutes continuously on the
console causes the system to go to a state of inactivity. This
is marked by the screen indicating a message as shown on
the left side along with the display backlight driven into a
‘breathing’ state.
Figure 31. Stand-by Press any key to bring the console back to the Home screen
Screen
Error
Any error occurring in the system is reported by the console
as follows.
• Displays an error message with an error code and
additional messages (example code shown is CN009).
• Display backlight turns RED
• An exposure can not be delivered until the issue is
Figure 32. Error Display resolved.
32
Chapter 6: Maintenance
Important: Turn OFF ImageScan HD Wall mount or turn OFF and unplug the ImageScan
HD Floor Mount Unit. Wait for 5 minutes before proceeding with service.
Active internal circuits remain connected to main voltage even when main
power switch is turned off.
• Use a soft damp cloth to clean the outside surfaces of the equipment
• Do not spray or let the cleaning fluid enter the unit.
• Periodic disinfecting of the unit is required for hygiene. Disinfect with a
compatible low or intermediate level instrument grade disinfectant
after cleaning.
• Use a non-acetone based disinfectant liquid.
Cleaning Methods. In order to ensure proper hygiene, especially when protective barriers are not
used between each patient, clean and disinfect ImageScan HD by thoroughly performing the following
procedures:
Important: Make sure that the unit is completely dry before plugging in or turning power back on.
Exterior Surfaces: Wipe the outside surfaces with a disposable towel moistened with water. Dry the
external surface with disposable towels.
Parts in Contact with the Patient’s Skin: To ensure proper cleaning of these parts, periodic
disinfection with an approved EPA Non Corrosive Surface Disinfectant is recommended. Clean any
remaining disinfectant residue from the system with a disposable towel moistened with water.
33
Chapter 6: Maintenance
Table 6:
kV mA Time(S)
60 4 0.04
60 6 0.04
60 8 0.04
60 4 0.50
60 6 0.50
60 8 0.20
65 4 0.04
65 6 0.04
65 8 0.04
65 4 0.50
65 6 0.50
65 8 0.20
70 4 0.04
70 6 0.04
70 8 0.04
70 4 0.50
70 6 0.50
70 8 0.20
34
Chapter 7: Troubleshooting & Error codes
ImageScan HD has been designed with safety features to protect the patient and operator in case
of failure of an electrical component. The system automatically checks for errors and will report a
malfunction by means of an error code on the Keypad Console display. These error codes are listed
in the Table 7 below. The table lists the code and identifies the corresponding equipment operational
fault. The corrective action for the error code is provided by Table 8, which also lists observed
problems and their potential source.
35
Chapter 7: Troubleshooting & Error codes
Table 8 provides troubleshooting tips to help the user recover from an equipment fault condition. It lists
observed problems as well as recommends the corrective actions.
1. Error state with display indicating Switch off mains power. Wait for 2 minutes and then Switch
CNXXX error code on mains power.
If the problem persists, contact authorized service personnel.
2. Error state with display indicating Ensure none of the console keys are active.
KB001 error code
Switch off mains power. Wait for 2 minutes. Switch on mains
power and make sure that none of the console keys are
pressed.
If the problem persists, contact authorized service personnel.
3. The unit does not power on when Check for loose contact at the wall socket end.
mains is switched on.
Or the wall outlet is not receiving power. Check local electrical
circuit for trips.
Switch off mains power. Wait for 2 minutes. Switch on mains
power.
If the problem persists, contact authorized service personnel.
4. No X-Ray image even through the Verify film development and storage method. The films
unit indicates normal exposure could be damaged or the chemicals could be contaminated.
Contact authorized service personnel to validate exposure
quality.
5. The mechanical Straight Arm is This can be due to normal wear and tear or using excess
drifting and does not stay in set force on the arms.
position.
Get the spring tension adjusted by an authorized service
engineer.
Contact authorized service personnel.
6. Poor image quality Please make sure that following points are observed.
36
Chapter 8: Measurement Techniques
1. Connect the probe of the DSO to TP2 (kV feedback) with respect to ground (mounting screw) of control
board as shown in the Figure 34.
3. Command exposures through operator console with kV,mA and S settings shown in table below. Press &
hold exposure button till exposure done signal comes in the LCD display. Measure and Record the voltage
on Oscilloscope . Tube potential signal measured from DSO are multiplied by Design factor 80/6. Each
measured tube potential is verified with rejection limit.
37
Chapter 8: Measurement Techniques
Tube kV, S
curren
t loading (mA)
4 60, 0.04 60, 3.5 70, 0.04 70, 3.5
8 60, 0.04 60, 0.2 70, 0.04 70, 0.2
4. Rejection limit:
Design:3%
To be measured by a DSO having accuracy < ±2%.
Difference between mA Command to mA actual shall be <±5%
Exposure time test method:
Exposure time measurement is direct method by using DSO as shown below. Exposure time is measured
across test points TP2 and Ground (Chassis).
The exposure time is the time measured between start of kV waveform and start of falling edge from Final
Value.
38
Chapter 8: Measurement Techniques
1. Connect The probe of the DSO to TP2 (kV feedback) with respect to ground (mounting screw) of
control board as shown in the Figure 34.
3. Command exposures through operator console with kV, mA and S settings shown in table below. Press
& hold exposure button till exposure done signal comes in the LCD display. Measure and Record the time
on Oscilloscope. % Of Error is calculated between set time (command) and measured time as
%Error=((Measured time- Set Time)/Set time) x 100%
Example: % Error with 0.04S exposure time= ((0.0398 - 0.04) / 0.04) x 100 = -0.005 x 100 = -0.5%
Each measured value is verified with rejection limit.
kV mA S
70 6 0.04, 0.40, 2, 3.5
70 8 0.04,0.2
Rejection limit set +/- 10% of set exposure time
8.2 Indirect Measurement method:
39
Annex A: Technical Specifications
Parameters Specification
Tube Insert Model OX/70-4
Focal Spot (IEC60336) 0.4
Anode material Tungsten
Anode angle 16°
Insert Inherent filtration 0.5 mm Al equivalent @ 70 kV
Anode thermal capacity 7 kJ
40
Annex A: Technical Specifications
41
Annex A: Technical Specifications
Mounting type Base Unit adapters for Wall mounted or Floor Mount
Pull Force of Scissor Arm about Base Column Assy < 2.5 kg
42
Annex A: Technical Specifications
Description Requirement
Description Specification
Altitude: 3500m
43
Annex B: Declaration of Conformity
B3: Marking :
The products described herein conform to the UL safety marking(Proposed).
CE marking (Proposed)
0843
B4: Declaration
The products described herein, are designed, manufactured, inspected, tested, and released
by Skanray Technologies Pvt Ltd, a contract manufacturer for ImageWorks,Inc., In accordance
with FDA's 21CFR, Part 820, ISO 9001:2008 and ISO 13485:2003.
44
Annex C: Guidance & Manufacturer's Declaration
Electromagnetic
Emissions Test Compliance
Environment - Guide
Voltage fluctuations/flicker
Complies
EN 61000-3-3
45
Annex C: Guidance & Manufacturer's Declaration
Electrical fast tran- ± 2 kV for power ± 2 kV for power supply Mains power quality should be
sient/burst EN 61000- supply lines lines that of a typical commercial or
4-4 ± 1 kV for Signal lines ± 1 kV for Signal lines hospital environment.
< 5 % UT < 5 % UT
(> 95 % dip in UT) (> 95 % dip in UT)
for 0,5 cycle for 0,5 cycle
46
Annex C: Guidance & Manufacturer's Declaration
d=1,2 √P
d=1,2 √P 80 MHz to 800 MHz
d=2,3 √P 800 MHz to 2,5 GHz
47