CS 7600 User Guide
Notice CARESTREAM Dental Systems are designed to meet international safety and performance standards. Personnel operating the unit must have a thorough understanding of the proper operation of the system. This guide has been prepared to aid dental professionals to understand and operate the system. Do not operate the system before reading this guide and gaining a clear understanding of the operation of the system.
Contents Chapter 1 Conventions in this Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Conventions in this Guide Chapter 2 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 CS 7600 System CS 7600 Components Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Overview Scanner Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Smart Imaging Plates Overview. . . . . . . . . . . . .
Preparing the Imaging Plates . . . . . . . . . . . . . . . . . . . . . . . . .35 Inserting the Imaging Plate. . . . . . . . . . . . . . . . . . . . . . . . . . .35 Performing the X-rays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36 Scanning the Imaging Plates . . . . . . . . . . . . . . . . . . . . . . . . .37 Acquiring Multiple Images. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40 Preparing Acquisition of FMS Images . . . . . . . . . . . . . . . . .
Disconnecting a Peer to Peer Connection . . . . . . . . . 65 Clearing Scanner Memory . . . . . . . . . . . . . . . . . . . . . . . . . . . 66 Chapter 10 Maintenance Imaging Plate Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69 Handling and Storage of Imaging Plates . . . . . . . . . . . . . . . 69 Cleaning the Imaging Plate . . . . . . . . . . . . . . . . . . . . . . . . . . 70 Cleaning Materials . . . . . . . . . . . . . . . . . . . . . 70 Cleaning Method. . . . . . . .
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1 Conventions in 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.
2 Chapter 1 Conventions in this Guide
2 CS 7600 System Overview Introduction Note: The CS 7600 is intended for dental professionals. You are required to have training to use the CS 7600. CS 7600 is a scanner system for intraoral X-ray exposed imaging plates. The CS 7600 is intended for digital dental radiography using an imaging plate (storage phosphor plate) for radiographic diagnostic intraoral images. The CS 7600 system is used to scan and review intraoral dental X-ray images.
This device complies with part 15 of the FCC Rules and contains licence-exempt transmitter(s)/ receiver(s) that comply with Innovation, Science and Economic Development Canada's licenceexempt RSS(s). Operation is subject to the following two conditions: (1) This device may not cause interference. (2) This device must accept any interference, including interference that may cause undesired operation of the device.
CS 7600 Components Overview Scanner Overview The CS 7600 scanner performs the functions necessary for scanning and acquiring images from the imaging plates. Figure 1 CS 7600 Front View 1 8 2 7 3 4 6 5 1 3.
Figure 2 CS 7600 Rear View 4 1 2 3 Figure 3 1 Service door 2 Base 3 Cables compartment for power supply connection and interface ports (RJ-45 Ethernet port) 4 Back cover Cables Compartment in Detail 1 4 2 3 1 Power supply inlet 2 RJ-45 Ethernet port (Ethernet activity LEDs: yellow indicates speed, green indicates that the ethernet is connected) 3 Service ONLY ports 4 Compartment cover CS 7600_User Guide (8J4071)_Ed07 6
Smart Imaging Plates Overview The CS 7600 works with five imaging plate sizes: 0 to 4. The scanned image file size depends on the imaging plate size and the scanning resolution set by the user. The smart function of the imaging plates is utilized when using the Scan & Go device.
The imaging plate has two sides: the active side for capturing the X-ray image and the inactive side. The active side of the imaging plate includes an orientation mark ‘c’ to facilitate accurate positioning within the patient’s mouth. The inactive side has a printed dot that corresponds to the location of the orientation mark on the active side. This dot is visible through the transparent hygienic sheath and is also helpful for positioning the imaging plate correctly in the patient’s mouth.
Figure 4 Hygienic Sheath (front view) 1 2 3 9 1 Adhesive strip (for sealing the hygienic sheath) 2 Foam stopper 3 Sheath, transparent on one side and with a light protection barrier on the other side Chapter 2 CS 7600 System Overview
Scan & Go Overview Scan & Go is an optional device that enables you to link the imaging plate to a specific exam acquisition (for example, patient) prior to acquisition.When the plate is inserted into the scanner, the information which was tagged onto the plate is retrieved by the scanner and the imaging plate is scanned automatically according to this information (resolution, target workstation, etc).
Scan & Go Generation 2 (Models Released from June 2012) A second generation of Scan & Go device is available from June 2012. The following improvements have been made to the second generation Scan & Go device: Faster scanning - Approximately 1/4 sec instead of 1 sec No battery - Therefore no need for charging No on off switch - Turns on automatically when the USB is connected Figure 6 Scan & Go device, Generation 2 (after June 2012) 4 3 2 1 1 USB 2.
Connecting the Scan & Go Device To connect the Scan & Go: Connect the USB cable to the computer and to the USB port on the Scan & Go device. Scan and Go Generation 1, the right LED illumines amber, the left LED flashes blue to indicate that it is ready for use. Scan and Go Generation 2, the right LED flashes green three times, the left LED illumines green continuously and the device bleeps three times to indicate that it is ready for use.
13 Chapter 2 CS 7600 System Overview
3 Software Overview Computer System Requirements Important: It is MANDATORY to check that the computer system configuration is compatible with the computer minimum system requirements specified in the Safety, Regulatory & Technical Specifications User Guide. If necessary, update your computer system configuration. General Software Overview The CS 7600 intraoral imaging system operates with the following software: CS Imaging Software Single Image Acquisition Interface.
Full Mouth Series (FMS) Acquisition Interface Overview The Full Mouth Series (FMS) is a static representation of the mouth of the patient using a series of intraoral images. The images are placed in fixed numbered frames. Figure 2 CS Imaging Software FMS Acquisition Interface 3 2 1 1 2 3 Dental arch: Highlights the acquisition zone. FMS template: Displays frame templates for acquisition. Green highlight: Frame ready for new acquisition Blue highlight: Frame in the revue and retake mode.
Figure 3 FMS Select a Format Select a Format enables you to select FMS template options to select for acquisition. You can modify existing templates and create new templates (see the Carestream CS Imaging Software Online Help). Note: Only FMS templates for CR images can be used. Using other FMS will cause images not to be displayed. Figure 4 Control Panel with CS Adapt Buttons Control Panel: enables you to adjust the brightness and contrast of the image.
Adapt - Unfiltered Endo1: Enhances contrast at the canals and roots (produces brighter images). Adapt - Unfiltered DEJ1: Optimizes contrast at crowns, amelo-dentinal junctions, and roots (produces brighter images). Adapt - OptimizedContrastEndo: Enhances contrast at the canals and roots. Figure 5 Image Toolbar and Drawings & Annotations Toolbar Image toolbar: enables you to adjust the image display. For more information on Image toolbar functions, see the Carestream CS Imaging Software Online Help.
Mirror icon: click to create a mirror image of the original image. Colors #1 icon: click to replace grays by a color Colors #2 icon: click to replace grays by sepia colors Colors icon group Grayscale icon: click to replace colors by grays Crop image: click to access the Crop panel. Cropping is not permanent and can be undone at any time. Isodensity dots: click to apply color to pixels of the same bone density. Density icon group Densitometric analysis: click to analyze bone density.
Straight line icon: click to draw a straight line on an image. Multi-segment line icon: click to draw multi-segment line on an image. Freehand line icon: click to draw a freehand line on an image. Spline drawing icon: click to draw a spline curve that is basically a freehand line that has editable points. Circle icon: click to draw a circle on an image. Ellipse icon: click to draw an ellipse on an image. Drawing icon group Filled ellipse icon: click to draw an ellipse on an image.
Calibration icon Undo icon Redo icon Delete icon Color and Thickness icon CS Imaging Software Main Toolbar Scanner Status Indicator: shows the status of the active scanner. The following status options are available: Green: ready to scan. Yellow: blinks when tagging a plate and when a new image is transfered to CS Imaging Software. Red: error in the active scanner. Grey: active scanner is not connected. CS 7600-Configure: click to open the CS 7600 configuration window.
CS 7600 Configuration Window The CS 7600 configuration window is opened when clicking the CS 7600-Configure button on the CS Imaging Software main toolbar. 1 2 3 4 Tagging Resolution: select one of the three available resolutions for the next tagging resolution. Available only if Scan&Go is connected. Scanner Status Indicator: Displays the status of the active scanner. Green highlight: scanner is ready for operation Grey: active scanner is not connected. Red: active scanner error.
4 Scanner Interface Overview This chapter explains the scanner interface and how to use it. Computer System Requirements Important: It is MANDATORY to check that the computer system configuration is compatible with the computer minimum system requirements specified in the Safety, Regulatory & Technical Specifications User Guide. If necessary you must update your computer system configuration.
Scanner Interface Icons Figure 1 Example of Insert Plate screen The following table lists the icons that are part of the various LCD screens. Stored images counter and available memory status. Blue background indicates available scanner memory. Stored images counter and available memory status. Red background indicates scanner memory is either nearing its full capacity or is already used up. Network connection state, connected. Network connection state, disconnected.
Scan resolution The image scan resolution High speed (HS) High resolution (HR) Super high resolution (SHR) Press the scanner’s left function button to access the Settings menu. For information about Settings, See “Repeat steps 1 to 4 for any other imaging plates that need erasing..” on page 26 Press the scanner’s middle function button to manually erase the imaging plate, See “Erasing the Imaging Plates” on page 26. Press the scanner’s middle function button to return to the Insert Plate screen.
Working with the Scanner The following procedures are explained here: Turning on the Scanner,See “Turning on the Scanner” on page 24 Image Acquisition, See “Image Acquisition” on page 24 Scanner Info, See “Scanner Info” on page 25 Erasing the Imaging Plates, See “Erasing the Imaging Plates” on page 26 Turning on the Scanner After turning on the scanner, you are presented with the Starting screen. Then the Insert Plate screen opens.
3 Press to scan the imaging plate. The imaging plate is scanned. For more information, See “Acquiring Single Image” on page 34 Scanner Info 1 Press Info The Scanner Info screen opens. The following information is presented. 2 System’s set date and time Scanner Name IP address Software Version Scan Count: Total scans performed by the system To close the Scanner Information screen, press The Scanner information screen closes and you return to the insert plate screen.
Erasing the Imaging Plates The imaging plates are automatically erased and ejected after they are scanned. If the imaging plate is exposed to light for an extended period of time (one week or more) or to strong light for even a short amount of time, the plate will need to be manually erased before use.
5 CS 7600 Image Acquisition Interface CS 7600 Imaging Software Overview The Imaging Software is a user-friendly working interface that was designed and developed specifically for radiological diagnosis. It is the common imaging platform for all our digital systems for dentistry. The Imaging Software provides management of the patients and image database. To open your Imaging Software: On your desktop, double-click the Imaging Software icon or click Start > All Programs > Carestream> CS Imaging software.
Full Mouth Series Image Acquisition Interface Figure 1 Image Acquisition Interface - Full Mouth Series Mode 6 8 20 1 2 4 7 3 5 9 19 13 12 10 14 17 16 18 15 11 Scanner List 21 22 Tip: Selected and active options are highlighted in blue.
Table 1 Image Acquisition Interface Key 1 Exit 2 Settings Click to exit the CS 7600 image Acquisition interface. Click Settings to customize the default settings. See “Working with Settings” on page 55.. 3 Scan & Go Status The Scan & Go’s active connection status (white color indicates connection, red indicates no connection). USB (connected) 4 USB (not connected) Scanner Area Allows browsing of all active connected scanners (if there are multiple scanners in the same network).
Table 1 Image Acquisition Interface Key 8 Imaging Software Details Clicking the 9 Scan Resolution The scan resolution to apply when tagging information on an imaging plate with the Scan & Go device. To change the scan resolution for the current exam acquisition, click the required icon before you tag the imaging plate: CS 7600 Icon provides the imaging software details.
Table 1 16 Image Acquisition Interface Key Selected Image Indicates the selected image’s resolution level (in the preview image panel): Resolution High Speed (HS) High Resolution (HR) Super High Resolution (SHR) 17 X-ray Exposure Indication Partly red, indicates an underexposed image. Review the X-ray technique and consider increasing the exposure values for better image quality and diagnosis. Green, indicates good exposure values. All red, indicates that the image is over exposed.
Image Acquisition Interface When you open the Dental Image Software or CS7600 Image Acquisition Software for the first time, the following window opens. 6 Click OK. Note: Do not select the Don't show this message again checkbox. The Image Adjustment window opens. 7 Select a default scan resolution check box. 8 The filter number with blue check mark will be applied to the next image acquisition. 9 To change this settings, click OK and open the CS Adapt to modify.
6 Acquiring Images without Scan & Go Introduction This chapter describes the acquisition procedure for configurations with and without the optional Scan & Go device.
Acquiring Single Image Starting the Imaging Software 1 On your desktop, double-click the Imaging Software icon or click Start > All Programs > (the name of your) CS Imaging Software. 2 Create or open an existing patient record: To open an existing patient record: In the Patient Browser search field (H), start typing to search for a patient card. To create a new patient record: Click the Create New Patient Card button alongside the search field to create a new patient card. For more details. 3.
Preparing the Imaging Plates To prepare the intraoral imaging plate, follow these steps: 1 Choose an imaging plate of the right size for your examination. Important: Use only CS 7600 intraoral imaging plates from Carestream Dental and hygienic sheaths from Carestream Dental. The use of plates or hygienic sheaths from a third party supplier may cause a malfunction of the system and void the warranty. Tip: If the imaging plate has not been used for a while, proceed to erase it first.
Performing the X-rays Perform the required X-rays according to your clinical procedure. It is recommended to continue using X-ray positioning techniques and tools to ensure the resulting image is complete and includes all the information required for diagnosis. It is recommended to use the Rinn Suresoft holder or equivalent products available on your market.
Scanning the Imaging Plates 1 Remove the imaging plate from the patient’s mouth. Do not remove the imaging plate from its hygienic sheath. Wipe and disinfect the exposed imaging plate’s hygienic sheath ( See “Disinfecting the Hygienic Sheath and the Imaging Plates” on page 69). Keep the imaging plate in its hygienic sheath to minimize exposure to light. Important: If the imaging plate is exposed to light, it could result in degradation of image quality.
Important: If the user inserts the plate incorrectly, there is a possibility of the plate falling into the scanner. If the plate falls into the scanner, See “Retrieving a Fallen Imaging Plate” on page 81 3 Dispose of the used protective hygienic sheath (D). If the scanner is linked Peer to Peer with a workstation, the image is sent automatically to the workstation which it is linked with. 4 Select the patient from the list. If the required patient does not appear in the list, select the NO ID option.
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The ideal image quality is when the indicator of the quality of exposure is a full green bar in the Control Panel. Avoid under-exposed or over-exposed images indicated by a partial or full red bar.
Acquiring Multiple Images Preparing Acquisition of FMS Images To prepare the acquisition of FMS images, follow these steps: 1 Access the CS Imaging Software. See “Starting the Imaging Software” on page 34 2 Click New Image Template to access the Select a format window. 3. From the list of available formats (templates), select the required template and click Open.
The selected format is loaded and displayed in the Dental Imaging window. The first frame for scan is highlighted in green.
7 Acquiring Images Using Scan & Go Introduction This chapter describes the acquisition procedure for configurations with the Scan & Go device. Note: Using the Scan & Go option streamlines and shortens the scanning process. The scanned image reaches its destination automatically; no need to select the destination workstation when scanning the imaging plate. In FMS mode, the image automatically populates its designated frame in the template.
Preparing the Imaging Plates Prepare the intraoral imaging plate. See “Preparing the Imaging Plates” on page 35 Tagging the Imaging Plate with the Scan & Go To tag the imaging plate using a Scan & Go device follow these steps: 1 2 Place the imaging plate near, or close to, the Scan & Go device to record the exam acquisition data. The image Acquisition interface marks the corresponding frame as recorded (frame color changes to indicate recorded status).
1 Perform steps 1 -3 of the “Scanning the Imaging Plates” on page 37 Note: After the imaging plate has been scanned, the image is sent straight to the previously assigned workstation. 2 Perform stepa 6 - 7 of the “Scanning the Imaging Plates” on page 37 Acquisition Related Procedures See “Processing the Images.
Acquiring Multiple Images (FMS) Using Scan & Go Starting the Imaging Software Start your Imaging Software. See “Starting the Imaging Software” on page 34. Opening the Image Acquisition Interface 1 Click the Imaging window icon. (Alternatively, double-click the selected patient name.) The patient’s imaging window opens.
8 Acquisition Related Procedures Processing the Images. Important: The imaging plate has a marker attached to its inactive side. It will indicate if the imaging plate has been exposed from the wrong side contrary to its intended use. If the shadow of the marker is visible in the X-ray image, the imaging plate was exposed from the inactive side contrary to its intended use. The image orientation can be corrected using the mirroring tool in the acquisition software.
3 Click Close (top-right corner) to exit the image Acquisition interface and return to the Imaging Software. Images are transferred from the CS 7600 image Acquisition interface to the Imaging Software automatically. Re-tagging Imaging Plates To tag an imaging plate that was already recorded with exam acquisition information (re-tagging), follow these steps: 1 Place the imaging plate upon the Scan & Go device. The following prompt is displayed. 2 Click OK to re-tag this imaging plate.
Erasing the Imaging Plates The imaging plates are automatically erased and ejected after their information is scanned. Exposure to light and so forth, requires erasing manually the imaging plates before use. To erase the imaging plate manually, See “Erasing the Imaging Plates” on page 26. Note: Erasing the imaging plate manually does not erase the recorded exam acquisition information.
9 Scanner Settings General The following scanner settings are explained in this chapter: Brightness Control, See “Brightness Control” on page 52. IP Setup, See “IP Setup” on page 52. Rollers Cleaning, See “Cleaning the Scanner Rollers” on page 73. About Information, See “Scanner Info” on page 25. Viewer, See “Viewer” on page 54. Pairing, creates a direct PC to scanner link for chair-side use, See “Creating a Peer to Peer Connection” on page 62.
Brightness Control 1 In the Settings menu, press to select Brightness Control, and press The Brightness Control screen opens. 2 Press and to lower or raise the brightness, and press The Brightness is set and you are returned to the scanner insert plate screen. IP Setup Important: Do not perform any action in the IP Setup without direct supervision from dental service engineer or Carestream Dental representative.
1 Press to access the Settings menu. The Settings screen is displayed. 2 Press the scanner’s left function button to scroll down to IP Setup and press The IP Setup screen is displayed. Note: The DHCP automatically detects the scanner IP address. If you are using a Peer to Peer link, you must leave the DHCP checkbox unchecked. 3 Press checkbox. 4 Press and to reach the digit you wish to change, and press The digit is ready to be modified and is highlighted in blue.
8 To exit the IP Setup screen without saving changes, press to reach . (highlighted in blue) and press . The IP Setup screen closes and you are returned to the scanner insert plate screen. Viewer The Viewer allows you to browse and delete images archived on the scanner’s memory. 1 In the Settings menu, press The Viewer screen opens. 2 In the Viewer menu, press 3 If you reach an image that you wish to delete, press A Delete Image confirmation window appears. 4 to select Viewer, and press .
Working with Settings To open the settings window, click You are presented with three tabs: Settings. General Settings, See page 57 Scan & Go, See page 59 Scanners Connections, See page 60 General Settings Tab In the General Settings tab you are able to set the defaults for image Acquisition.
Table 1 Image Acquisition Interface General Settings Key 1 Tooth Numbering System Set the tooth numbering system (European or American). When using individual tooth selection, the tooth number is stored in the image’s DICOM tags. 2 Default Scan Resolution Set the default scan resolution for images to be scanned. Note: This does not change the scanner’s default resolution, which is for images scanned when the image Acquisition interface is not connected to the scanner (No ID images).
Table 1 10 Image Acquisition Interface General Settings Key Demo Mode This option puts the Demo Mode icon in the top left corner of the Image Acquisition Window and populates one frame in the images display area with a demo image each time the icon is selected. Tip: Use for setting default presets in Adjustment mode. 11 Training Video Select the check box to show the training video. 12 Monitor Calibration Displays an SMPTE screen for monitor calibration.
b Click Adjustment Mode to change the default filter in CS-Adapt. 7 To display the SMPTE screen, in the Monitor calibration area click SMPTE. The SMPTE window appears. 8 Use the monitor brightness & contrast controls until you clearly see the 5% and 95% calibration squares located in the in the 0% and 100% areas (indicated by red arrows in the picture above).
Scan & Go Tab The Imaging plate Scan & Go information fields are populated with the imaging plate’s identifying information when it is placed upon the Scan & Go device.
Beep on Device checkbox (for Scan & Go Generation 2), when the Beep on Device checkbox is selected, the Scan & Go makes a sound each time an imaging plate is tagged. If the Beep in PC checkbox is selected, a sound is made on the PC each time an imaging plate is tagged. Note: The Imaging plate Scan & Go information in the Scan & Go tab is read only.
Working with the Scanners Connections Tab 1 To remove a scanner from the Scanner List, click Ignore. 2 To add a scanner to the Scanner List, click the Connect button for that scanner. Note: If there are scanners on the network which you don’t wish to use, click Ignore. 3 To completely remove a scanner that is no longer being used from the Scanners Connections and the image Acquisition interface, click Delete.
