Planmeca ProMax Pan Ceph Calibration Manual
Planmeca ProMax Pan Ceph Calibration Manual
ProMax Pan/Ceph
Calibration Manual
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The manufacturer, assembler, and importer are responsible for the safety,
reliability and performance of the unit only if:
- Installation, calibration, modification and repairs are carried out by
qualified authorized personnel.
- Electrical installations are carried out according to the appropriate
requirements such as IEC364.
- Equipment is used according to the operating instructions
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Table of Contents
Chapter F: Calibration
1. Dimax 3 Tool 35
1.1 Turning Radiation ON/OFF 36
1.1.a OFF 36
1.1.b ON 37
1.2 kV/mA setting for Panoramic 37
1.3 Changing Binnings 37
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Chapter G: Ball Phantom
1. Setting up for a Ball Phantom 39
2. Setting up the Computer 41
2.1 Calibrating / measuring image 41
2.1.a. Center Ball 43
2.1.a.i Too Thin 44
2.1.a.ii Too Fat 46
2.1.b 10th Ball 48
2.1.b.i Too Left 48
2.1.b.ii Too Right 49
2.1.b.iiiMoving the Table 49
2.1.c Shadow Ball 50
2.1.c.i Too Left/Right 53
3. Position Sensor Calibration (Pots) (64.0) 54
3.1 Aligning Pots 56
3.1.a Shoulder 56
3.1.b Elbow 57
3.1.c C-Arm 58
4. Patient Positioning Lights Alignment 59
4.1 Focal Layer Light Beam 61
4.2 Frankfort Light Beam 62
4.3 Midsagittal Light Beam 62
Chapter H: Cephalometric
1. Getting into Cephalometric Mode 63
2. Removing Cephalometric Covers 64
2.1 Top Covers 64
2.2 Secondary Collimator Covers 66
3. Beam Alignment 67
3.1 Ceph Mode C-arm Rotation 68
3.1.a Ceph Mode Beam Right Position 70
3.1.a.i Too Left/Right 70
3.1.b Ceph Mode C-arm Rotation 72
3.1.b.i Too Left/Right 72
3.2 Ceph Mode Beam Position 74
3.2.a Too Left/Right 75
3.3 Ceph y-collimator calibration 76
3.3.a Too High 77
3.3.b Too Low 78
4. Ceph Head Leveling 78
4.1 Too Left 81
4.2 Too Right 82
4.3 Too Low 83
4.4 Too High 83
5. Secondary Collimator (Beaver Tail) 84
5.1 Too Left 85
5.2 Too Right 87
5.3 Too Low 88
5.4 Too High 89
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5.5 Angled 90
5.5.a Left 90
5.5.b Right 91
6. Beam Check 92
6.1 Setting up Beam Check 92
6.2 Computer Setup 94
7. Calibrating 95
7.1 kV/mA fo Cephalometric 95
7.2 Computer Setup 97
7.3 Dimax3 Tool 97
7.3.a Not Together 99
7.3.a.i Raising Up 99
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Chapter
A General Information
1 DISCLAIMER
This manual contains the information required to setup and calibrate the
Planmeca ProMax Panoramic with Cephalometric X-ray unit for Digital.
WARNING
Protect yourself from radiation when you are checking the beam
alignment and calibrating. Since radiation safety requirements vary from
state to state, country to country, it is the responsibility of the installer to
ensure that the correct precautions are observed.
1.1 The display values shown in this guide are only examples
and should be interpreted as recommended values unless
otherwise specified.
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2 REQUIRED TOOLS
2.1. Calibration Tools
Ball phantom (part number 10004011) used for checking the position of the
Patient positioning mechanism and the Patient positioning lights. (Figure 1)
Figure 1
Frankfort plane alignment tool (part number 50977) used with the ball
phantom for checking the position of the Frankfort plane light. (Figure 2)
Figure 2
Beam alignment tool, fluorescent screen, (part number 50972) used for
checking the position of the x-ray beam. (Figure 3)
Figure 3
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Sensor head alignment tool (part number 10002699) used for checking the
beam alignment. (Figure 4)
Figure 4
Cephalostat calibration tool, hatchet, (part number 10004246). For
calibrating the digital cephalostat. (Figure 5)
Figure 5
Left and Right ear posts (part number 651003, 651005) used for aligning the
ball and ring on the cephalometric arm. (Figure 6)
Figure 6
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Chapter
B Removing Covers
1 Upper C-arm
Unscrew the eight 2.5mm allen screws on top. (Figure 7)
Figure 7
Twist the cover away from the column and off. (Figure 8)
Figure 8
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2 Tube head
Unscrew the top of the front tubehead cover with a 3mm allen (Figure 9a-b) and
unscrew the bottom with a 2.5mm allen (Figure 9c) and remove the front cover.
Figure 9a Figure 9b
Bottom
Figure 9c
3 Shoulder
Pull up on the shoulder cover. (Figure 10)
Figure 10
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4 Lower C-Arm
Un-screw the four screws with a 2.5 allen. (Figure 11)
Figure 11
5 Patient Positioning
Un-screw the five screws with a 2.5 allen. (Figure 12)
Figure 12
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6 Fixed Sensor Holder
Pull back on the inner cover of the sensor holder. (Figure 13)
Figure 13
Unscrew the two screws on the top of the rear cover of the holder with a 2.5mm allen.
(Figure 14)
Figure 14
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Unscrew the two screws on the inside of the rear cover with a 2.5mm allen. (Figure
15)
Figure 15
Figure 16
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Chapter
C Computer Connections
1 Ethernet
Connect a crossover cable to the Ethernet port on the back of the ProMax. (Figure 17)
Figure 17
Connect the other end of the crossover cable into the Ethernet port on the back of the
computer.
NOTE: If using a PCI card then follow the above instructions but instead use a PCI Interface Cable.
2 Didapi Configuration
Click Start , All Programs, Planmeca and then Didapi Configuration (Figure 18)
Figure 18
Localhost=(ip address):5000
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Chapter
D Beam Alignment
Unscrew the two locking screws from the attachment pins on the sensor holder with a
3mm allen and remove the screws and washers.(Figure 19)
Figure 19
Loosen the connector plate screw on the bottom of the holder with a 2.5mm allen.
(Figure 20a-b)
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1 Aligning the beam
Place a beam alignment tool into the sensor holder. (Figure 21)
Figure 21
Figure 22
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2 Primary Collimator
Press the i button in the lower left hand corner. (Figure 23)
Figure 23
Figure 24
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Type in 1701 as the password. (Figure 25)
Figure 25
Figure 26
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2.1 Pan mode X-Collimator (61.1) (Figure 27)
Figure 27
Now press the exposure button to see where the beam is hitting the screen.
The beam image should appear within the borders of the rectangle markings
on the screen. (Figure 28)
U P
Figure 28
NOTE: The beam will need to be half of the distance of the box.
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2.1.a X pan collimator position
If the beam is too left, press the right button (Figure 29)
Figure 29
If the beam is too right, press the left button (Figure 30)
Figure 30
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Press Test and take another exposure. (Figure 31)
Figure 31
Figure 32
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2.1.a.ii Too Wide
Press the X-pan collimator width to the left (Figure 33)
Figure 33
Press Test and take another exposure.
If aligned then press Done and move onto the Y
Collimator.
Figure 34
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Press Test and take another exposure.
2.2.b Too Low
Press the Y-pan collimator bottom limit button up. (Figure 35)
Figure 35
Press Test and take another exposure.
If aligned then press Done and move onto Ball Phantom.
2.2.c Angled
Press the i button in the lower left hand corner. (Figure 36)
Figure 36
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Press Technical Calibration, 60.0. (Figure 37)
Figure 37
Figure 38
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Press down once and select Collimator assembly screws visible,
61.9. (Figure 39)
Figure 39
Press Drive and the collimator will move to expose the screws. (Figure
40)
Figure 40
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The collimator will move to expose one screw then push the lower blade up
and expose the second screw. (Figure 41)
Figure 41
NOTE: This allows the two screws that adjust the angle to be visible.
Figure 42
Twist collimator to the right if angled Right to Left
Twist collimator to the left if angled Left to Right
Tighten down the screws and take another exposure.
Go back into Pan X-Collimator and Y-Collimator and press Test in
both allowing the collimator to go to the home position.
Take another exposure. Press Done until you get back to the Technical
Calibration Screen.
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Chapter
E Beam Check
1 Setting up Beam Check
Press the i button. (Figure 43)
Figure 43
Figure 44
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Press Beam Check (47.0) (Figure 45)
Figure 45
Figure 46
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2 Computer Setup
NOTE: Make sure the sensor is in the sensor holder.
Click Start then All Programs then Planmeca then Beam Check. (Figure 47)
Figure 47
Figure 48
Press Ready on the touch screen (Figure 49) and then take an exposure.
Figure 49
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Image should be centered on the top, bottom, left, and right. (Figure 50)
Figure 50
NOTE: The smaller image to the left is the entire sensor image.
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Chapter
F Calibration
Press Done and Exit
1 Dimax3 Tool
Click on Start, All Programs, Planmeca then Dimax3 Tool. (Figure 51)
Figure 51
Figure 52
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1.1 Turning Radiation On/Off
1.1.a OFF
Press the smile in the middle right of the touch screen. (Figure 53)
Figure 53
Press all the arrows at the bottom and side, turning each from white to
red. (Figure 54)
Figure 54
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1.1.b ON
Press the smile again. (See Figure 53) Then Press, all the arrows at the
bottom and side, turning each from red to white.
Binnings kV mA
4x4 54 1
3x3 60 1
2x2 60 2
Figure 55
NOTE: Make sure that the correct kV/mA are being used for each binning.
The Image will come out as showing a grey box with a black stripe in the
center. (Figure 56)
Figure 56
NOTE: There is no need to close and re-open Dimax3 Tool before selecting other binnings.
Follow 1.5.c for checking the other binnings.
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Chapter
G Ball Phantom
1 Setting up for ball phantom
Place the ball phantom in the patient positioning mechanism. (Figure 57)
Figure 57
NOTE: Layer must be at 0mm before doing a ball phantom. If layer is not then adjust the thumb wheel till
layer is at 0mm. (Figure 58)
Figure 58
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Make sure the sensor is in the sensor holder. (Figure 59)
Figure 59
Press the kV/mA at the top left of the touch screen. (Figure 60)
Figure 60
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Select the 60kV / 4mA then click OK. (Figure 61)
Figure 61
Figure 62
Click OK then click OK again. Select New from the bottom of the Select Image
screen.
Figure 63
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Click on the first icon, CAL, and calibrate the Center Ball from top to bottom.
(Figure 64)
Figure 64
Figure 65
There will be an image of 23 balls on the films; one Center Ball and 11 balls
to the left and right. (Figure 66)
Figure 66
NOTE: Make sure Center Ball is round before moving onto the 10th ball distances.
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2.1.a Center Ball
NOTE: Center ball will be above the midsagittal bar of the ball phantom. (Figure 67)
Figure 67
Click the second icon now and measure the top to bottom and left to
right. (Figure 68)
Figure 68
The ball should be 7mm top to bottom and left to right. (Figure 69)
Figure 69
NOTE: If ball phantom is off, do a Position Sensor Calibration (Pots) on pgs. 49-54.
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2.1.a.i Too thin
If the ball is too thin (Figure 70) then adjust worm gear in Pots.
Figure 70
Figure 71
Figure 72
Press Check and write down what the shoulder position number is.
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Put the locking pin into the c-arm/elbow. (Figure 73a-b)
Figure 74
Press Release then twist the worm gear away from the column. (Figure 75)
Figure 75
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NOTE: The new shoulder number should be higher than older number.
Press Lock and take the pin out and then press Done. Take another exposure
and check ball size again. If not repeat until correct size.
2.1.a.ii Too Fat
If the ball is too fat (Figure 76) then adjust in Pots.
Figure 76
Press i then select Technical Calibration (60.0) then select Position Sensor
Calibration. (64.0). (Figure 77)
Figure 77
Figure 78
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Press Check and write down what the shoulder position number is.
Put the locking pin into the c-arm/elbow. (Figure 79a-b)
Figure 80
Press Release then twist the worm gear towards the column. (Figure 81)
Figure 81
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NOTE: The new shoulder number should be lower than old number.
Press Lock and take the pin out and then press Done. Take another exposure
and check ball size again. If not repeat until correct size.
Figure 82
NOTE: From the Center Ball, the distance left or right to the 10th Ball will always need to be the
same.
If the distance from the Center Ball to the left is more than the
right, then move the table away from the column. (Figure 83).
Figure 83
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2.1.b.ii Too Right
If the distance from the Center Ball to the right is more than the
left, then move the table toward the column. (Figure 84)
Figure 84
Loosen the four screws on the table with a 4mm allen. (Figure
85)
Figure 85
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NOTE: Best way to adjust the table is to face the column with the table in the center of the body
and gently push or pull depending on what is needed. (Figure 86a-b)
NOTE: The oval above the Center Ball is the shadow ball. (Figure 87)
Figure 87
If the shadow ball is too left or too right, then go into Pan mode X-Collimator.
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Press the i button. (Figure 88)
Figure 88
Figure 89
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Press Primary Collimator (Figure 90)
Figure 90
Figure 91
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2.1.c.i Too Left/ Too Right
If the shadow ball is too left press the X-Pan collimator pos left
button. (Figure 92)
Figure 92
Figure 93
Press Test then Done then take another exposure.
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3 Position Sensor Calibration (Pots)
NOTE: If the ball phantom image is good, then skip this section.
Press i then select Technical Calibration (60.0) then select Position Sensor
Calibration. (64.0). (Figure 94)
Figure 94
Figure 95
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Press Check, Lock and then Release
Put the locking pins into the elbow/c-arm and in the shoulder (Figure 96a-c)
Figure 96c
Figure 97
If the triangles are all green, then remove the pins and press Done
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If any of the pots are red or not centered, align the according pot before removing the
pins. (Figure 98)
Figure 98
Figure 99
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Watch the numbers on the touch screen and rotate spindle until in the
Green and center. (Figure 100)
Figure 100
Put sensor coupling back onto spindle and re-tighten set screw. Re-
check still in the green and center.
3.1.b Elbow
Unscrew the set screw with a 2mm allen to get the sensor holder off of
the cable guide. (Figure 101)
Figure 101
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Watch the numbers on the touch screen and rotate spindle until in the
Green and center. (Figure 102)
Figure 102
1.6.d.i.*** C-Arm
Unscrew the set screw with a 2mm allen to get the sensor coupling off
of the spindle. (Figure 103)
Figure 103
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Watch the numbers on the touch screen and rotate spindle until in the
Green and center. (Figure 104)
Figure 104
Figure 105
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Place the Ball Phantom into the patient positioning mechanism with the Frankfort
plane alignment tool on top of the Ball Phantom. (Figure 106)
Figure 106
NOTE: Make sure the layer light is on the line of the ball phantom then zero out the layer light.
Figure 107
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Press Layer laser calibration (66.0) (Figure 108)
Figure 108
Figure 109
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4.2 Frankfort Light Beam
If the Frankfort light is not straight on the Frankfort plane tool, then adjust the
laser. (See Figure 109)
If the Midsagittal light is not lined up with the center line on the Ball
phantom, then finger adjust the laser until it lines up. (See Figure 109)
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Chapter d
H Cephalometric
1 Getting into Cephalometric Mode
Press Pan (Figure 110)
Figure 110
Figure 111
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Press Go Ceph on the bottom in the middle. (Figure 112)
Figure 112
Screws 1-8
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Rotate the head support to 45º position towards the front of the column and
unscrew #1. (Figure 113)
Figure 113
Rotate the head support to the 0º position and unscrew #2. (Figure 114)
Figure 114
Rotate the head support to the 45º position away from the front of the column
and unscrew #3. (Figure 115)
Figure 115
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Rotate the head support to the 135º position and unscrew #4 and #5. (Figure
116)
Figure 116
Rotate the head support to the 150º position and unscrew #6 and #7. (Figure
117)
Figure 117
Unscrew the inner attachment screw and take off the covers. (Figure 118)
Figure 118
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2.2 Secondary Collimator Covers
Unscrew the 2mm screw on the bottom of the collimator cover. (Figure 119.2)
Figure 119
Unscrew the two 4mm screws holding the cover box to the top of the
collimator. (Figure 119.1)
3 Beam Alignment
Attach a fluorescent screen to the middle of the beam alignment tool. (Figure 120)
Figure 120
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3.1 Ceph mode C-arm rotation (61.5)
Press i (Figure 121)
Figure 121
Figure 122
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Press Primary collimator (61.0) (Figure 123)
Figure 123
Figure 124
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3.1.a Ceph Mode Beam Right Position
Press Test on the bottom and take an exposure. Beam should be hitting
from the center to the right on the screen. (Figure 125)
Figure 125
Figure 126
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Press Test on the top and take another exposure. (Figure 127)
Figure 128
If the beam is too right, move the Ceph mode beam right
position to the left. (Figure 129)
Figure 129
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3.1.b Ceph Mode C-arm Rotation
Press Test on the bottom and take an exposure. Beam should be hitting
from the center to the right on the screen. (Figure 130)
Figure 131
Figure 132
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Press Test on the bottom and take another exposure. (Figure
133)
Figure 133
If the beam is too right, move the Ceph mode C-arm rotation
to the left. (Figure 134)
Figure 134
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3.2 Ceph mode beam position (61.6)
Press Ceph mode beam position. (Figure 135)
Figure 135
Press Test and take an exposure. Beam should cover the center of the
fluorescent screen with a bit of overlap on either side of the center lines.
(Figure 136)
Figure 136
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3.2.a Too Left/Right
If the beam is too left, move the x-right limit to the right. (Figure 137)
Figure 137
If the beam is too right, move the x-right limit to the left. (Figure 138)
Figure 138
Press Test and take another exposure. If the beam is aligned then press
Done and move onto the Ceph y-collimator.
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3.3 Ceph y-collimator calibration (61.4)
Attach the two fluorescent screens to the beam alignment tool. (Figure 139a-
b)
Figure 140
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Image should come out as covering top to bottom on the fluorescent screens.
(Figure 141)
Figure 141
Figure 142
Press Test and take another exposure. If the beam is aligned then press
Done and Move onto the Secondary collimator (beaver tail).
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3.3.b Too Low
Press the y-top limit up and y-bottom limit up. (Figure 143)
Figure 143
Press Test and take another exposure. If the beam is aligned then press
Done. Move onto the Secondary collimator (beaver tail).
Figure 144
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Click on Start then Run. (Figure 145)
Figure 145
Figure 146
Figure 167
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Click on Cephalometric. (Figure 168)
Figure 168
Set the kV / mA to 66 kV and 10 mA
Press Ready on the GUI. (Figure 169)
Figure 169
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Ball should be within ring. (Figure 170)
Figure 170
Figure 171
Turn #3 toward the column and retighten #1 and #2. Also retighten #4 a
quarter of a turn.
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4.2 Too Right
If the ball is too right then adjust arm at points in Figure 172.
Figure 173
Turn #3 away from the column and retighten #1 and #2. Also retighten #4 a
quarter of a turn.
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4.3 Too Low
If the ball is too low then adjust arm at points in Figure 174.
Figure 174
Figure 175
Take another exposure. If aligned then tighten #1 a quarter turn. If aligned, re-
check Beam check
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5 Secondary Collimator (Beaver Tail)
Unscrew the three 3mm allen screws. (Figure 176a-b)
Figure 178
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The beam should be in the boxes of the fluorescent screens. (Figure 179)
Figure 179
Figure 180
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Loosen the nut on the left and right locking screws. (Figure 181)
Figure 181
Loosen the right 3mm locking screw and tighten the 3mm left locking screw.
(Figure 182)
Figure 182
Take another exposure. If aligned tighten the right nut and tighten the two
screws on the bottom.
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5.2 Too Right
Loosen the two 3mm screws closest to the column. (Figure 183)
Figure 183
Loosen the nut on the left and right locking screws. (Figure 184)
Figure 184
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Loosen the left 3mm locking screw and tighten the 3mm right locking screw.
(Figure 185)
Figure 185
Take another exposure. If aligned tighten the left nut and tighten the two
screws on the bottom.
Move onto Beam Check.
Figure 186
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Tighten the 3mm locking screw on the outside, closest to the column. (Figure
187)
Figure 187
Take another exposure. If aligned then retighten the inner screws and move
onto Beam Check.
Figure 188
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Loosen the 3mm locking screw on the outside, closet to the column. (Figure
189)
Figure 189
Take another exposure. If aligned then re-tighten the inner screws and move
onto Beam Check.
5.5 Angled
5.5.a Left
If angled left, then loosen the nuts and loosen the right locking screw
and tighten the left locking screw. (Figure 190)
Figure 190
Take another exposure. If aligned then re-tighten the nuts and move
onto Beam Check.
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5.5.b Right
If angled right, then loosen the nuts and loosen the left locking screw
and tighten the right locking screw. (Figure 191)
Figure 192
Take another exposure. If aligned then re-tighten the nuts and move
onto Beam Check.
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6 Beam Check
Figure 193
Press Special Functions (40.0) (Figure 194)
Figure 194
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Press Beam Check (47.0) (Figure 195)
Figure 195
Figure 196
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6.2 Computer Setup
NOTE: Make sure the sensor is in the sensor holder.
Click Start then All Programs then Planmeca then Beam Check. (Figure 197)
Figure 197
Figure 198
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Take an exposure. The image should be the same on the top, bottom, left, and
right. (Figure 199)
Figure 199
7 Calibrating
Press Exit on the touch screen, if just finished doing a Beam Check.
Binnings kV mA
4x4 60 4
3x3 60 7
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Place the Cephalostat calibrating tool (hatchet) into the patient’s right ear post
holder with the point going towards the back or column. (Figure 200)
Figure 200
NOTE: Change binnings by clicking Settings and select Binnings then the appropriate binning in
Dimax3tool. (Figure 201)
Figure 201
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7.2 Computer Setup
Click on Start, All Programs, Planmeca then Dimax3 Tool. (Figure 202)
Figure 202
Figure 203
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NOTE: image will come out as being a grey hatchet with black around it. (Figure 204)
Figure 204
Press the “L” key on the keyboard of the computer to give calibration lines.
This gives the point where the images are combined in the computer.
Click the magnify glass (+) to zoom in on the lines to check combination.
NOTE: There is a + / - 2 clicks left or right on the keyboard to get aligned left to right.
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7.3.a Not together
If the image comes out separated check to make sure that the hatchet is
placed in the holder correctly. Re-do Beam Check.
7.3.a.i Raising up
If hatchet is place correctly, then raise the beaver tail
up.
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www.planmecausa.com
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