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CRANEX™ Novus e
Digital Panoramic X-ray Unit
User Manual
208898 rev. 4 (2015-01)
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CRANEX Novus e Contents
User Manual 208898 iii
CRANEX™ Novus e
Digital Panoramic X-ray Unit
User Manual
Medical Device Directive
93/42/EEC
Number 208898 rev. 4 (2015-01)
Original approved English language version
Manufactured by SOREDEX, PaloDEx Group Oy
Nahkelantie 160,
FI-04300 Tuusula, Finland
Tel. + 358 (0)10 270 2000
www.soredex.com
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Contents CRANEX Novus e
iv User Manual 208898
CRANEX, DIGORA, SCANORA and MULTICONNECT are either registered
trademarks or trademarks of Soredex in the United States and/or other coun-
tries.
Soredex endeavours to produce product documentation that is accurate and
up to date. However, our policy of continual product development may result
in changes to products that are not reflected in the product documentation.
Therefore, this document should not be regarded as an infallible guide to cur-
rent product specifications. Soredex maintains the right to make changes and
alterations without prior notice.
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CRANEX Novus e Contents
User Manual 208898 v
Contents
1. Introduction ....................................................................................................... 1
1.1 CRANEX™ Novus e X-ray unit..................................................................... 1
1.2 About this manual.......................................................................................... 2
2. Unit description ................................................................................................. 3
2.1 Main parts ..................................................................................................... 3
2.2 Control panels and keys................................................................................ 5
2.3 Accessories................................................................................................... 6
3. Using the Unit .................................................................................................... 7
3.1 Preparing the Unit ......................................................................................... 7
3.2 Exposure programs..................................................................................... 12
3.3 Taking Exposures........................................................................................ 15
Panoramic - Adult, Child and Sectional....................................................... 15
Temporomandibular Joint (TMJ) ................................................................. 24
Bitewing (Optional)...................................................................................... 30
4. Operating the unit without generating x-rays............................................... 36
5. Unit Setup......................................................................................................... 37
5.1 Setup options .............................................................................................. 37
5.2 Image Preview (DIGORA for Windows software only)................................ 41
6. Troubleshooting and Maintenance ................................................................ 43
6.1 Error messages and symbols...................................................................... 43
6.2 Care and Maintenance ............................................................................... 47
7. Quality Assurance........................................................................................... 50
8. Warnings and precautions ............................................................................. 55
8.1 General warnings........................................................................................ 55
8.2 User / patient warnings ............................................................................... 56
9. Disposal............................................................................................................ 59
Appendix A. Technical Information...................................................................A-1
A.1 Technical specifications .............................................................................A-1
A.2 Unit dimensions .........................................................................................A-9
A.3 Symbols that may appear on the unit ......................................................A-10
A.4 EMC declaration for CRANEX Novus e (CRA-2).....................................A-12
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Contents CRANEX Novus e
vi User Manual 208898
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User Manual 208898 1
CRANEX Novus e 1. Introduction
1. Introduction
1.1 CRANEX™ Novus e X-ray unit
The CRANEX Novus e (the unit) is a digital pano-
ramic dental x-ray unit designed to take:
- Adult panoramic exposures
- Child panoramic exposures (reduced width)
- TMJ exposures
- Bitewing (optional, not available in all countries)
- Sectional panoramic exposures allowing user to
select exposed sections (optional, not available
in all countries)
The unit uses a CCD sensor as the image recep-
tor and a PC with suitable (MDD compliant) dental
imaging software, such as SCANORA™ software or
DIGORA™ for Windows software (not in USA), for
image acquisition and handling.
The unit can be used in single or multiple user con-
figurations.
With the single user configuration, the unit is con-
nected to a single PC.
With the multiple user configuration (MULTICON-
NECT™ activated) the unit is connected to a net-
work where up to eight PCs can be connected to
the unit. With the MULTICONNECT configuration
only one PC at a time can reserve and use the unit.
IMPORTANT NOTE:
Before using the unit for the first time, make sure
that it is set up to your requirements. See section 5.
Unit Setup.
USA only
Caution:
Federal law restricts this device to sale by or on the
order of a dentist or other qualified professional
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2 User Manual 208898
1. Introduction CRANEX Novus e
1.2 About this manual
This manual describes how to use and set up the
unit.
Please read these instructions carefully before op-
erating the unit.
Before operating the unit, please read and observe
the warnings and precautions that appear in section
8. Warnings and Precautions.
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User manual 208898 3
CRANEX Novus e 2. Unit description
2. Unit description
2.1 Main parts
1. Exposure warning light
2. Emergency stop button
(Press to stop, rotate to release)
3. Exposure switch
4. On / off switch (rear of column)
5. Column
6. Sensor
7. Tubehead
(Tubehead + sensor = Rotating unit)
8. PC with MDD compliant imaging software
E
m
e
r
g
e
n
c
y
s
t
o
p
E
m
e
r
g
e
ncy stop
1
3
4
5
6
7
8
2
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2. Unit description CRANEX Novus e
4 User manual 208898
9. Patient positioning mirror
10. Frankfort light
11. Midsaggital light
12. Focal trough light
13. Head support
14. Patient handles
15. Chin support
A. Chin rest and bite block
B. Chin rest and lip holder
C. Lip support
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User manual 208898 5
CRANEX Novus e 2. Unit description
2.2 Control panels and keys
16. Side control panel
A. Lights key - switches the positioning lights on and off.
B. Up / down keys
C. Return key - drives rotating unit to the patient in/out position (PIO)
17. Main control panel
D. Program keys - Adult pan, Child pan, TMJ, Bitewing (optional)
E. kV selection keys
F. Exposure values
G. Service key
H. Sectional Panoramic program selection key (optional)
I. Patient Name -key (visible only if patient name display is
supported by the dental imaging software)
J. Test exposure
K. Unit status indicator
16
A
B
C
17
I
D
E
G
F
J
K
H
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2. Unit description CRANEX Novus e
6 User manual 208898
2.3 Accessories
Chin rest
Disposable cover
Bite block
Disposable cover
Rod short (62.5 mm)
Rod long (72.5 mm)
Lip holder
Disposable cover
Lip support
Disposable cover
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CRANEX Novus e 3. Taking an Exposure
User manual 208898 7
3. Using the Unit
IMPORTANT NOTE:
If the unit is being used for the first time or if you are
using the unit for the first time check that it is set up
to your requirements. See section 5. Unit Setup.
3.1 Preparing the Unit
The preparation steps below are for SCANORAand
DIGORA for Windows softwares. If you are using
some other dental imaging software, refer to the
documentation that is supplied with it.
SCANORA software
1. PC: Switch on the PC that is connected to the
unit.
2. PC: Open SCANORA software and then open a
patient card.
3. Switch the unit on. The on/off switch is at the
rear of the column near the base.
The unit display will come on and the unit will
carry out a self test (Starting up).
When the self test is complete, a question mark
(?) will appear next to the unit status indicator.
This indicates that you need to reserve the unit
before you can take an exposure.
Single user:
Multiple users:
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8 User manual 208898
3. Taking an Exposure CRANEX Novus e
NOTE:
If the no connection symbol (X) appears next to
the unit status indictor, it indicates that there is
no connection between the unit and the PC. See
section 6. Troubleshooting and Maintenance
for more information.
4. PC: Press the device icon to reserve the unit
and enable image capture.
NOTE:
If a message appears stating that the unit is in
use, it indicates that the unit has been reserved
by another user. Wait until the unit is free.
INFORMATION:
The status of the unit: available, ready or busy,
can be seen in the status field at the bottom of
the PC display.
5. When the unit status indicator turns GREEN and
the text Status ready appears, the unit is ready
to take an exposure.
Single user:
Multiple users:
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CRANEX Novus e 3. Taking an Exposure
User manual 208898 9
6. Press the Return key to drive the rotating unit to
the Patient In/Out (PIO) position.
If the Patient Name key appears on the display,
you can check the patient’s name by pressing
the Patient Name key once. A dialog box
showing the patient name opens for 5 seconds
and then closes automatically. Re-press the
Patient Name key if you wish to hide the name
sooner.
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10 User manual 208898
3. Taking an Exposure CRANEX Novus e
DIGORA for Windows software (not in USA)
1. PC: Switch on the PC that is connected to the
unit.
2. PC: Open DIGORA for Windows software and
then open a patient card.
3. Switch the unit on. The on/off switch is at the
rear of the column near the base.
The unit display will come on and the unit will
carry out a self test (Starting up).
Single user:
When the self test is complete, the unit status
indicator will turn GREEN and the text Status
ready will appear. The unit can now be used to
take an exposure.
Go to step 6 to complete unit preparation.
Multiple users:
When the self test is complete, a question mark
(?) will appear next to the unit status indicator.
This indicates that you need to reserve the unit
before you can take an exposure.
NOTE:
If the no connection symbol (X) appears next to
the unit status indictor, it indicates that there is
no connection between the unit and the PC. See
section 6. Troubleshooting and Maintenance
for more information.
4. PC: To reserve the unit, click the GREEN
Multiconnect icon, which is in the bottom right-
hand corner of the PC display. The Connect
window will appear.
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CRANEX Novus e 3. Taking an Exposure
User manual 208898 11
5. PC: Click the Reserve the device button to
reserve the unit.
The Connect window will disappear and the
GREEN Multiconnect icon will start to flash.
This indicates that you have now reserved the
unit and it is now ready to take an exposure.
NOTE:
If the Multiconnect icon is YELLOW, it indicates
that the unit has been reserved by someone
else. Wait until the unit is free.
If you wish to know who has reserved the unit,
place the cursor on the Multiconnect icon
(while yellow) and a message showing who has
reserved the unit will appear.
NOTE:
If the Multiconnect icon is GRAY, it indicates
that the unit has not been switched on or is just
starting up and is not yet ready for use.
Switch the unit on and / or wait until the unit is
ready for use.
6. Press the Return key to drive the rotating unit to
the Patient In/Out (PIO) position.
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12 User manual 208898
3. Taking an Exposure CRANEX Novus e
3.2 Exposure programs
Exposure programs can be selected using the unit’s
main control panel. Before taking exposures, it is
recommended to revise the need for the exposure
and select the exposure program accordingly.
Illustrative sizes and locations of the exposed areas
using different exposure programs:
Exposed areas of Adult Panoramic and Child Panoramic programs
L
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CRANEX Novus e 3. Taking an Exposure
User manual 208898 13
Exposed areas of TMJ program
Exposed areas of Bitewing program (optional)
L
L
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14 User manual 208898
3. Taking an Exposure CRANEX Novus e
Exposed sections of Sectional Panoramic program (1...5) (optional)
2
1
3
5
4
L
+
NOTE:
Section heights are the same, the differences
shown are for illustrative purposes only.
Section selection keys in Sectional Panoramic
screen. Selected sections are highlighted in green.
1
2
3
4
5
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CRANEX Novus e 3. Taking an Exposure
User manual 208898 15
3.3 Taking Exposures
Panoramic - Adult, Child and Sectional
1. Slide the chin rest on to the support holder.
2. For dentate patients, attach the bite block to the
rod and then insert the rod and bite block into
the appropriate hole in the chin rest according to
the patient’s occlusion.
For normal occlusion insert the rod and bite
block into hole 2.
If the patient’s teeth protrude (angled outward),
insert the rod and bite block into hole 1.
If the patient’s teeth retrude (angled inward),
insert the rod and bite block into hole 3.
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16 User manual 208898
3. Taking an Exposure CRANEX Novus e
For edentulous patients use the lip holder and
insert it into the round hole at the rear of the chin
rest.
3. Place the appropriate disposable covers on to
the patient support you are using.
4. Press the appropriate panoramic program key
to select the Adult or Child child program. The
key color will change, which indicates that the
program has been selected.
To select the Sectional Panoramic program,
first select Adult program and then Sectional
Panoramic program.
The magnification for the exposures is 1.25.
Adult Child
Sectional Pan.
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CRANEX Novus e 3. Taking an Exposure
User manual 208898 17
5. A default kV value for the selected panoramic
program will appear on the display.
If you consider that the default kV value for the
program selected is not correct for the patient
being examined, select a different kV value
based on the patient’s size, age and estimated
bone density.
To change the kV value press the kV plus (+) or
minus (-) key.
The recommended values are:
- Large Adult, 77 kV
- Adult, 73 kV
- Juvenile or small adult, 70 kV
- Child, 63 or 66 kV
6. If you are taking Sectional Panoramic
exposure, press the required section selection
keys to toggle between selected (green) and
unselected (gray), until only the sections you
wish to expose are selected.
NOTE:
Sectional Panoramic key is selectable only if the
Sectional Panoramic program option is activated
in the unit and the Adult program is selected
first.
If you decide to take other than Sectional
Panoramic exposure and wish to return to main
screen, press the Sectional Panoramic key
again.
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18 User manual 208898
3. Taking an Exposure CRANEX Novus e
7. Ask the patient to remove any spectacles,
dentures, jewelry and hair clips and pins.
Place a protective lead apron over the patient’s
shoulders.
NOTE:
If the patient is nervous, you can reassure him/
her by demonstrating how the unit works before
taking the exposure. See chapter 4. Operating
the unit without generating x-rays.
8. Press the Up/Down keys to adjust the height of
the chin support so it is slightly higher than the
patient’s chin.
9. If the patient is dentate ask the patient to step
into the unit, grasp the patient handles, place
his/her chin on the chin rest and bite gently the
notches in the bite block.
NOTE!
Evaluate the condition of the patient’s dentition
before using the bite block. Use lip holder
instead if there is a chance that biting the block
could cause excess stress to the patient or their
dentition.
If the patient is edentulous ask the patient to
step into the unit, grasp the patient handles and
press their top lip against the lip holder.
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CRANEX Novus e 3. Taking an Exposure
User manual 208898 19
10. Press the mirror to open it so that you can see a
reflection of the patient.
The patient positioning lights will automatically
come on when the mirror is opened or when
one of the Up/Down keys is pressed. They will
remain on for two minutes or until the exposure
button is pressed.
The Patient Positioning lights can also be
switched on and off with the Lights key.
11. Look at the reflection of the patient in the mirror
and position the midsagittal plane of the
patient so that it coincides with the midsagittal
plane light.
Make sure that the patient is looking straight
ahead and that the patient’s head is not tilted or
turned to one side.
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20 User manual 208898
3. Taking an Exposure CRANEX Novus e
12. Press either Up/Down key to adjust the tilt of
the patient’s head until the patient’s Frankfort
plane coincides with, or is parallel to, the
horizontal light.
If necessary use the light positioning knob to
adjust the height of the light.
CAUTION:
When pressing the Up/Down keys to adjust the
tilt of the patient’s head make small adjustments
only so as not to cause the patient any distress
or discomfort.
13. The focal trough light indicates the center of the
focal trough which is 10 mm wide at the front.
Make sure that the roots of the front incisors are
located within the focal trough and are on the
same vertical plane.
If the roots of the front incisors are not on the
same vertical plane adjust the tilt of the patient’s
head until they are.
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CRANEX Novus e 3. Taking an Exposure
User manual 208898 21
If the roots of the front incisors are on the same
vertical plane but not within the focal trough
reposition the patient by moving the rod and bite
block backwards or forwards.
14. Close the temple supports by sliding the temple
support knob to the right (A). Make sure that
patient’s neck is stretched and straight.
Adjust the height of the forehead support until it
is level with the patient’s forehead or nasion (B).
Carefully push the forehead support in until it
touches the patient’s forehead or nasion (C).
15. Ask the patient to press their lips together and
press their tongue against the roof of their
mouth.
Close the mirror. Then ask the patient to look at
a fixed point in the mirror and to remain still for
the duration of the exposure.
The exposure takes approximately nine
seconds.
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22 User manual 208898
3. Taking an Exposure CRANEX Novus e
16. Make sure that the unit status indicator is still
GREEN, indicating that the unit is ready to take
an exposure. If the indicator is not GREEN the
unit reservation time may have expired.
Reserve the unit again, see section 3.1
Preparing the unit.
17. Check once more that the patient is positioned
correctly and has not moved.
18. Move at least two metres away from the unit
and protect yourself from radiation. Make sure
that you can see and hear the patient during the
exposure.
19. Press and hold down the exposure button for
the duration of the exposure. The exposure
starts when you hear the exposure warning
signal and the exposure warning indicator
(control panel) and light (side of the unit) come
on. The rotating unit will rotate around the
patient’s head and take the exposure. When the
exposure warning signal and rotating unit stop,
the exposure has been taken.
20. PC: After the exposure has been taken a
progress bar will appear. This indicates that the
image is being transferred to the PC.
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CRANEX Novus e 3. Taking an Exposure
User manual 208898 23
21. Press the release button (A) at the top of the
forehead support and then slide the forehead
support away from the patient (B).
Open the temple supports by sliding the temple
support knob to the left (C).
Guide the patient out of the unit.
22. Press the Return key to drive the unit to the PIO
position.
NOTE:
After the exposure, a timer indicating the
tubehead cooling time may appear on the
display. A new exposure cannot be taken until
the counter reaches zero, the exposure time
reappears on the display and the unit status
indicator turns green.
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24 User manual 208898
3. Taking an Exposure CRANEX Novus e
Temporomandibular Joint (TMJ)
1. Slide the lip support on to the support holder.
Use the slot nearest the mirror for patients with
large skulls and the slot furthest away from the
mirror for patient with small skulls.
2. Place the disposable cover on to the lip support.
3. Press the TMJ key to select TMJ program. The
key color will change which indicates that the
program has been selected.
The magnification is 1.25.
4. A default kV value for the selected program will
appear on the display.
If you consider that the default kV value is not
correct for the patient being examined select a
different kV value based on the patient’s size,
age and estimated bone density.
To change the kV value press the kV plus (+) or
minus (-) key.
The recommended values are:
- Large Adult - 77 kV
- Adult - 73 kV
- Juvenile or small adult - 70 kV
- Child - 63 or 66 kV
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CRANEX Novus e 3. Taking an Exposure
User manual 208898 25
5. Ask the patient to remove any spectacles,
dentures, jewelry and hair clips and pins.
Place a protective lead apron over the patient’s
shoulders.
NOTE:
If the patient is nervous you can reassure him/
her by demonstrating how the unit works before
taking the exposure. See chapter 4. Operating
the unit without generating x-rays.
6. Press the Up/Down keys to adjust the height
of the lip support so it is level with the patient’s
upper lip.
7. Ask the patient to step into the unit, grasp the
patient handles and press their top lip against
the top of the lip support.
8. Press the mirror to open it so that you can see a
reflection of the patient.
The patient positioning lights will automatically
come on when the mirror is opened or when
one of the Up/Down keys is pressed. They will
remain on for two minutes.
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26 User manual 208898
3. Taking an Exposure CRANEX Novus e
The Patient Positioning lights can also be
switched on and off with the Lights key.
9. Look at the reflection of the patient in the mirror
and position the midsagittal plane of the
patient so that it coincides with the midsagittal
plane light.
Make sure that the patient is looking straight
ahead and that the patient’s head is not tilted or
turned to one side.
10. Press either Up/Down key to adjust the tilt of
the patient’s head until the patient’s Frankfort
plane coincides with, or is parallel to, the
horizontal light.
If necessary use the light positioning knob to
adjust the height of the light.
CAUTION:
When pressing the Up/Down keys to adjust the
tilt of the patient’s head make small adjustments
only so as not to cause the patient any distress
or discomfort.
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CRANEX Novus e 3. Taking an Exposure
User manual 208898 27
11. Close the temple supports by sliding the temple
support knob to the right (A). Make sure that
patient’s neck is stretched and straight.
Adjust the height of the forehead support until it
is level with the patient’s forehead or nasion (B).
Carefully push the forehead support in until it
touches the patient’s forehead or nasion (C).
12. Close the mirror.
13. If you wish to take a TMJ exposure with the
patient’s mouth closed ask the patient to
clench their back teeth together, look at a fixed
point in the mirror and to remain still for the
duration of the exposure.
If you wish to take a TMJ exposure with the
patient’s mouth open, ask the patient to
open their mouth, look at a fixed point in the
mirror and to remain still for the duration of the
exposure.
The exposure takes approximately nine
seconds.
14. Make sure that the unit status indicator is still
GREEN, indicating that the unit is ready to take
an exposure. If the indicator is not GREEN the
unit reservation time may have expired.
Reserve the unit again, see section 3.1
Preparing the unit.
15. Check once more that the patient is positioned
correctly and has not moved.
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28 User manual 208898
3. Taking an Exposure CRANEX Novus e
16. Move at least two metres from the unit and
protect yourself from radiation. Make sure that
you can see and hear the patient during the
exposure.
17. Press and hold down the exposure button for
the duration of the exposure. The exposure
starts when you hear the exposure warning
signal and the exposure warning indicator
(control panel) and light (side of the unit) come
on. The rotating unit will rotate around the
patient’s head and take the exposure. When the
exposure warning signal and rotating unit stop,
the exposure has been taken.
18. PC: After the exposure has been taken a
progress bar will appear. This indicates that the
image is being transferred to the PC.
19. If you wish to take a second TMJ exposure,
press the Return key to drive the unit back to
the PIO position, and reposition the patient and
take the second exposure, steps 13 -17.
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CRANEX Novus e 3. Taking an Exposure
User manual 208898 29
20. Press the release button (A) at the top of the
forehead support and then slide the forehead
support away from the patient (B).
Open the temple supports by sliding the temple
support knob to the left (C).
Guide the patient out of the unit.
21. Press the Return key to drive the unit to the PIO
position.
NOTE:
After the exposure, a timer indicating the
tubehead cooling time may appear on the
display. A new exposure cannot be taken until
the counter reaches zero, the exposure time
reappears on the display and the unit status
indicator turns green.
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30 User manual 208898
3. Taking an Exposure CRANEX Novus e
Bitewing (Optional)
1. Slide the chin rest on to the support holder.
2. Attach the bite block to the rod and insert the
rod and bite block into hole 4 in the chin rest.
IMPORTANT NOTE:
If the patient is exceptionally large or has
unusual skull anatomy, a test exposure (T)
should be taken to ensure that the rotating unit
does not touch the patient’s head or shoulders
during the exposure. If the rotating unit seems to
touch the patient’s head or shoulders, check the
patient’s position and if that does not help, then
move the rod and bite block forward into hole 3
or 2.
3. Place the appropriate disposable covers on to
the patient support you are using.
4. Press the bitewing key to select the bitewing
program. The key color will change which
indicates that the program has been selected.
The magnification of the program is 1.25.
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CRANEX Novus e 3. Taking an Exposure
User manual 208898 31
5. A default kV value for the selected program will
appear on the display.
If you consider that the default kV value for the
program selected is not correct for the patient
being examined select a different kV value
based on the patient’s size, age and estimated
bone density.
To change the kV value press the kV plus (+) or
minus (-) key.
The recommended values are:
- Large Adult, 77 kV
- Adult, 73 kV
- Juvenile or small adult, 70 kV
- Child, 63 or 66 kV
6. Ask the patient to remove any spectacles,
dentures, jewelry and hair clips and pins.
Place a protective lead apron over the patient’s
shoulders.
NOTE:
If the patient is nervous, you can reassure him/
her by demonstrating how the unit works before
taking the exposure. See chapter 4. Operating
the unit without generating x-rays.
7. Press the Up/Down keys to adjust the height of
the chin support so it is slightly higher than the
patient’s chin.
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32 User manual 208898
3. Taking an Exposure CRANEX Novus e
8. Ask the patient to step into the unit, grasp the
patient handles, place his/her chin on the chin
rest and bite gently the notches in the bite block.
NOTE!
Evaluate the condition of the patient’s dentition
before using the bite block. Use lip holder
instead if there is a chance that biting the block
could cause excess stress to the patient or their
dentition.
When using the lip holder, you may need to
use additional padding between the lip holder
and the patient to keep the head in the correct
location for a Bitewing exposure.
9. Press the mirror to open it so that you can see a
reflection of the patient.
The patient positioning lights will automatically
come on when the mirror is opened or when
one of the Up/Down keys is pressed. They will
remain on for two minutes or until the exposure
button is pressed.
The Patient Positioning lights can also be
switched on and off with the Lights key.
10. Look at the reflection of the patient in the mirror
and position the midsagittal plane of the
patient so that it coincides with the midsagittal
plane light.
Make sure that the patient is looking straight
ahead and that the patient’s head is not tilted or
turned to one side.
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CRANEX Novus e 3. Taking an Exposure
User manual 208898 33
11. Press either Up/Down key to adjust the tilt of
the patient’s head until the patient’s Occlusal
plane coincides with, or is parallel to, the
horizontal light.
If necessary use the light positioning knob to
adjust the height of the light.
CAUTION:
When pressing the Up/Down keys to adjust the
tilt of the patient’s head make small adjustments
only so as not to cause the patient any distress
or discomfort.
12. Close the temple supports by sliding the temple
support knob to the right (A). Make sure that
patient’s neck is stretched and straight.
Adjust the height of the forehead support until it
is level with the patient’s forehead or nasion (B).
Carefully push the forehead support in until it
touches the patient’s forehead or nasion (C).
13. Ask the patient to press their lips together and
press their tongue against the roof of their
mouth.
Close the mirror. Then ask the patient to look at
a fixed point in the mirror and to remain still for
the duration of the exposure.
The exposure takes approximately nine
seconds.
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34 User manual 208898
3. Taking an Exposure CRANEX Novus e
14. Make sure that the unit status indicator is still
GREEN, indicating that the unit is ready to take
an exposure. If the indicator is not GREEN the
unit reservation time may have expired.
Reserve the unit again, see section 3.1
Preparing the unit.
15. Check once more that the patient is positioned
correctly and has not moved.
16. Move at least two metres away from the unit
and protect yourself from radiation. Make sure
that you can see and hear the patient during the
exposure.
17. Press and hold down the exposure button for
the duration of the exposure. The exposure
starts when you hear the exposure warning
signal and the exposure warning indicator
(control panel) and light (side of the unit) come
on. The rotating unit will rotate around the
patient’s head and take the exposure. When the
exposure warning signal and rotating unit stop,
the exposure has been taken.
18. PC: After the exposure has been taken a
progress bar will appear. This indicates that the
image is being transferred to the PC.
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CRANEX Novus e 3. Taking an Exposure
User manual 208898 35
19. Press the release button (A) at the top of the
forehead support and then slide the forehead
support away from the patient (B).
Open the temple supports by sliding the temple
support knob to the left (C).
Guide the patient out of the unit.
20. Press the Return key to drive the unit to the PIO
position.
NOTE:
After the exposure, a timer indicating the
tubehead cooling time may appear on the
display. A new exposure cannot be taken until
the counter reaches zero, the exposure time
reappears on the display and the unit status
indicator turns green.
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4. Operating the unit without x-rays CRANEX Novus e
36 User manual 208898
4. Operating the unit without generating x-rays
In some situations, for example with nervous
patients or patients with unusual anatomy, you may
wish to operate the unit without generating x-rays
before taking an exposure.
Press the T key (Test)
The key will change color and the kV and mA values
will become zero.
The exposure switch can now be pressed to
demonstrate how the unit operates without x-rays
being generated.
Press the T key a second time to return to the
normal exposure mode.
NOTE:
After switching the unit off and then on again the
unit returns to the normal (exposure) mode.
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CRANEX Novus e 5. Unit Setup
User manual 208898 37
5. Unit Setup
Various set-up options allow the unit to be
customized to your requirements
5.1 Setup options
1. PC: Open the dental imaging software you are
using.
2. Select Options and then click Novus e Setup.
3. The Novus e Setup window will appear.
The Status field:
Device indicates whether the unit is connected
to the PC. Version: shows the software version
of the unit and Serial No: the serial number of
the unit.
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38 User manual 208898
5. Unit Setup CRANEX Novus e
The Image Capturing field
(DIGORA for Windows software only)
The Show Image Preview check box, see
section 5.2 Image Preview.
The Image Processing field
(DIGORA for Windows software only)
The Noise Filtering check box should normally
be selected. Noise filtering make images
smoother when they are taken at low doses.
The Automatic Density Adjustment check box
should normally be selected. Automatic density
adjustment evens out the grayscale values.
The Sharpen Filtering check box should
normally be selected. When selected it adds
default sharpening to all new images. The
default value can be changed by entering a new
value into the Sharpen Matrix size edit box.
Values from 0 to 25 can be entered. The factory
set value is 7.
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CRANEX Novus e 5. Unit Setup
User manual 208898 39
The Retrieve Last Image field:
(DIGORA for Windows software)
(SCANORA software)
If the last image taken is not transferred to
the PC because of a network, PC or software
failure, the image can be retrieved from the unit
memory.
IMPORTANT NOTE
The last taken image can only be retrieved if the
unit is left on after the last exposure was taken.
If the unit is switched off the image will be lost.
To retrieve the last image:
i. Correct the problem that caused the network
failure, and then reopen the patient card.
ii. The last taken image should automatically be
transferred.
If it is not, click the check box in the Retrieve
Last Image field (DIGORA for Windows
software) or click the Retrieve now button
(SCANORA software) to retrieve the last read
image taken by the unit.
iii. Click OK to close the Novus e Setup
window.
The last image taken will appear on the patient
card.
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40 User manual 208898
5. Unit Setup CRANEX Novus e
Device Serial Number field:
Click the Add serial number ... check box and
the serial number of the unit will be added to all
new images. The serial number will appear in
the top left-hand corner and the bottom right-
hand corner of the image.
NOTE:
If you select Enable image marking in DfW
(General Setup / Image / Image marking) do
not select the left top or right bottom options as
the image marking text will appear on top of the
serial number.
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CRANEX Novus e 5. Unit Setup
User manual 208898 41
5.2 Image Preview (DIGORA for Windows software only)
The Image Preview feature allows an image to be
adjusted BEFORE it is saved. The adjustments
will be applied to the open image only or to ALL
subsequent images.
CAUTION:
Adjustments made to images CANNOT be undone
after the adjustments have been saved. If you wish
to “undo” the adjustments retrieve the original image
click Retrieve Last Image.
1. PC: In the Novus e Setup window click the
Show Image Preview check box.
2. Take an exposure.
3. PC: The Image Preview window will
automatically appear.
To activate image adjustment, click the Density
Adjustment and Sharpen filter check boxes.
The Image Quality Controls will become active
and the image can be adjusted.
CURRENT IMAGE ONLY
Click OK to apply the adjustments to the image
in the Image Preview window ONLY.
CURRENT AND ALL SUBSEQUENT IMAGES
Click the Edit Quality Presets button.
The Set Image Quality Presets window will
appear. The Get from Preview window radio
button will be active. Click OK to accept the
image adjustments you have made.
The Image Preview window will reappear. Click
OK to apply adjustments to the current image
and ALL subsequent images.
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42 User manual 208898
5. Unit Setup CRANEX Novus e
NOTE:
If you wish to have the factory default settings
click the Factory defaults radio button.
The Marking field
These tools allow you to add text and numbers
to an image.
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User manual 208898 43
CRANEX Novus e 6. Troubleshooting and Maintenance
6. Troubleshooting and Maintenance
6.1 Error messages and symbols
If the unit is not used correctly or the unit
malfunctions an error message or symbol will
appear on the unit display.
There are three groups of error message:
- Error symbols
The symbol will clear when the problem is
corrected.
- H, user errors
- E (Error), exposure errors, these occur during
exposure.
These appear on the error message display.
Touch the arrow key to clear the error message
and return to the main display.
NOTE:
If the arrow does not appear on the error
message display you will have to wait for the
error to clear automatically.
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44 User manual 208898
6. Troubleshooting and Maintenance CRANEX Novus e
Error symbols
REASON
i. The PC connected to the unit is not on.
ii. The dental imaging software in the PC is not open.
iii. The cable connecting the unit to the PC is disconnected or damaged.
iv. The IP address is not set correctly.
SOLUTION
i. Switch the PC on.
ii. Open the dental imaging software.
iii. Reconnect the cable. If damaged, contact service.
iv. Reconfigure the IP address.
REASON
The emergency stop button is pressed down in the STOP position.
SOLUTION
Rotate and release the emergency stop button. The error symbol will clear.
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User manual 208898 45
CRANEX Novus e 6. Troubleshooting and Maintenance
User errors
H1
REASON
The exposure button was released during an exposure.
SOLUTION
Clear the error message and check if the attempted exposure is sufficient for the
diagnostic task. If it is not, take a new exposure.
If the exposure failed while the exposure button was still being pressed, check the
exposure switch by taking a test exposure without patient to see if the exposure
button is defective or not. If the same problem occurs again, contact service.
System errors
E4
REASON
Tubehead too hot or too cold.
SOLUTION
When the error message automatically clears the tubehead has reached the
correct operating temperature. In normal conditions this will take about 30 minutes
for the tubehead to reach the correct temperature. If the error message does not
disappear within a reasonable amount of time, contact service.
E5
REASON
Line voltage not within limits.
SOLUTION
If the error message reappears it indicates that the voltage is not within limits.
The error message will automatically clear when the voltage returns to the correct
level. If the error message keeps on appearing or does not disappear within a
reasonable amount of time, contact service.
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46 User manual 208898
6. Troubleshooting and Maintenance CRANEX Novus e
E16
REASON
Z-motor has overheated.
SOLUTION
Wait until the Z-motor, driving the unit up and down, has cooled down. The error
message clears automatically when the motor has cooled down to the appropriate
level. If the error message keeps on appearing or does not disappear within a
reasonable amount of time, contact service.
E19
REASON
Exposure switch stuck down during unit start.
SOLUTION
Switch the unit off and check that the exposure switch is not stuck in the exposure
position. Switch the unit on again. If the message reappears, contact service.
Exx (all other E errors except E4, E5, E16 and E19.
SOLUTION
Clear the error message and try to take an exposure without a patient. If the error
message reappears, switch the unit off, wait for half a minute and then switch the
unit on again. If the error message reappears contact service.
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User manual 208898 47
CRANEX Novus e 6. Troubleshooting and Maintenance
6.2 Care and Maintenance
Cleaning and disinfecting the unit
Warning
Switch the unit off before cleaning it.
Surfaces that the patient touches
All surfaces and parts that the patient touches or
comes into contact with must be disinfected after
each patient. Use a disinfectant that is formulated
specifically for disinfecting dental equipment
and use the disinfectant in accordance with the
manufacturer’s instructions.
Unit surfaces
Use a soft cloth dampened with a mild detergent/
disinfectant to clean unit surface. DO NOT use
abrasive cleaning agents or polishes on the unit.
Positioning mirror
The positioning mirror is made of glass. Use a soft
cloth dampened with a mild detergent to clean them.
DO NOT use abrasive cleaning agents or polishes
on these parts.
Touch screen control panel
If the surface of the control panel becomes soiled,
clean it with absorbent cotton or other soft cloth.
Remove any drops of liquid from the control panel
surface immediately. Prolonged contact with liquid
may cause the surface of the control panel to
discolor or spots to appear.
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48 User manual 208898
6. Troubleshooting and Maintenance CRANEX Novus e
Correct operation of the unit
If any of the unit’s controls, displays or functions fail
to operate or do not operate in the way described in
this manual, switch the unit off, wait 30 seconds and
then switch the unit on again. If the unit still does
not operate correctly contact your service technician
for help.
If you hear the exposure warning tone but the
exposure warning light does not come on when an
exposure is taken, stop using the unit and contact
your service technician for help.
If you do not hear the exposure warning tone when
an exposure is taken, stop using the unit and
contact your service technician for help.
Every week check that the power supply cable is
in good order (not damaged in any way) and that
the unit operates correctly in accordance with the
instructions in this manual.
Make sure that the unit cannot be driven up/down
when the emergency stop button has been pressed
down.
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User manual 208898 49
CRANEX Novus e 6. Troubleshooting and Maintenance
Yearly maintenance
Once a year an authorized service technician must
carry out a full inspection of the unit. The following
tests and checks must be carried out:
– a kV/mA test
– a beam alignment test
– check that the safety ground is connected
– check that the positioning lights operate
– check that no oil is leaking from the tube head
– check that the power lead is not damaged in any
way.
– check that all covers and mechanical parts are
correctly secured and have not come loose.
– check that any vents in the covers are not
blocked with dust and that no dust has
accumulated inside the unit.
A full description of all the tests and checks is
described in the Service Manual.
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7. Quality Assurance CRANEX Novus e
50 User manual 208898
7. Quality Assurance
Additional Quality Assurance (QA) exposures
can be taken after installation and periodically to
ensure that the image quality remains stabile. The
QA exposures can be taken using a special QA
program.
To take QA images you need an additional Cu
(Copper) filter, Digital Test Tool (Prüfkörper test tool)
and Ball and Pin phantom that need to be ordered
separately.
There are different thicknesses of the Cu-filters,
select the correct one depending on the national
requirements.
The unit provides two different QA program
selections (QA1 and QA2):
- QA1 is intended for use with 0,8mm thick Cu filter
(in accordance to IEC61223-3-4)
- QA2 is intended for use with 1.8mm thick Cu filter.
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CRANEX Novus e 7. Quality Assurance
User manual 208898 51
Taking a QA exposure:
1. PC: Prepare the unit for an exposure.
2. Attach the Ball and Pin Phantom to the chin
support.
3. Then attach the Digital Test Tool (Prüfkörper
test tool) to the Ball and Pin Phantom.
4. Attach the additional filter (Cu filter) to the
center of the tube head cover, so that it’s over
the filtration label. The filter has suction cups.
4. Touch the service key on the main control
panel of the unit to open the configuration
screen.
5. Select QA.
Additional Filter
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7. Quality Assurance CRANEX Novus e
52 User manual 208898
6. The QA program screen appears. Here the
user can select from two preset programs
which to use for the QA exposure.
QA 1 for use with 0,8mm thick Cu filter
QA 2 for use with 1,8mm thick Cu filter
7. Select the QA program to be used
8. Move at least two metres away from the unit and
protect yourself from radiation.
9. Press and hold down the exposure button for
the duration of the exposure. The exposure
starts when you hear the exposure warning
signal and the exposure warning indicator
(control panel) and light (side of the unit) come
on. The rotating unit will rotate around the test
phantom and take the exposure. When the
exposure warning signal and rotating unit stop,
the exposure has been taken.
10. PC: After the exposure has been taken a
progress bar will appear. This indicates that the
image is being transferred to the PC.
11. Press the Return key to drive the unit to the PIO
position.
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CRANEX Novus e 7. Quality Assurance
User manual 208898 53
12. PC: Visually evaluate the result using the
dental imaging software.
Subjects to be evaluated:
1. Exposed area; Smoothness of the exposed
area. Non-exposed area surrounds the whole
image.
2. Line Pair Resolution; minimum 2.5 LP/mm
must be distinguishable.
3. Low contrast resolution; Minimum two low
contrast resolution holes must be visible.
NOTE:
Some adjustments may be required to
be made to the default image processing
settings in the dental imaging software, when
evaluating the QA image. Write down the used
settings, so that the same settings can be
used when taking the control images later on.
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7. Quality Assurance CRANEX Novus e
54 User manual 208898
NOTE:
When using the 0.8 mm copper filter the
expected Line Pair resolution achievable with
the unit is 3.1 LP/mm or better, with all four low
contrast resolution holes distinguishable.
The line pair and low contrast resolutions
actually distinguishable from the image
depend, not only on the unit capabilities, but
also on other parts of the system, for example
the dental imaging software and the display
monitor being used.
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User’s manual 208898 55
Cranex Novus e 8. Warnings and precautions
8. Warnings and precautions
8.1 General warnings
• The unit must only be used to take the dental
x-ray exposures described in this manual. The
unit must NOT be used to take any other x-ray
exposures.
It is not safe to use the unit to take an x-ray
exposure that the unit is not designed to take.
• The unit must only be used by personnel
qualified and experienced in the use and
operation of digital panoramic dental x-ray
devices.
• If this device will be used with 3rd party imaging
application software not supplied by
Soredex, the 3rd party imaging application
software must comply with all local laws on
patient information software. This includes, for
example, the Medical Device Directive 93/42/
EEC and/or FDA if applicable.
• Do not connect any device to the unit that has
not been supplied with the unit or that is not
recommended by Soredex.
• The unit or its parts must not be changed or
modified in any way without approval and
instructions from Soredex.
• The unit should not be used adjacent to or
stacked with other equipment.
• This unit can interfere with other devices due
to its EMC characteristics and other devices
can interfere with this unit due to their EMC
characteristics. Refer to the EMC Declaration
(A4) in Appendix A for more information.
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56 User’s manual 208898
8. Warnings and precautions Cranex Novus e
8.2 User / patient warnings
• The unit may be dangerous to the user and the
patient, if the safety regulations in this manual
are ignored, if the unit is not used in the way
described in this manual and/or if the user does
not know how to use the unit.
• Because the x-ray limitations and safety
regulations change from time to time, it is the
responsibility of the user to make sure that all
the valid safety regulations are fulfilled.
• It is the responsibility of the user to decide if the
x-ray exposure is necessary.
• Always use the lowest suitable x-ray dose to
obtain the desired level of image quality.
• Always use suitable hygienic barriers on parts of
the unit that the patient has contact with.
• Always evaluate the condition of the patient’s
dentition before using the biteable positioners.
• Avoid taking x-ray exposures of pregnant
women.
• If the patient is using a pacemaker, consult the
manufacturer of the pacemaker to confirm that
the x-ray unit will not interfere with the operation
of the pacemaker before taking an exposure.
• The user of the unit must stand at least two
meters away from the unit AND protect him/
herself from radiation when taking exposures.
It is recommended that a moveable radiation
protection screen is used to protect the user.
The radiation protection screen should be
located so that the user is able to see the control
panel and patient from behind the radiation
protection screen (the protected area or control
zone).
The radiation protection screen must be large
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User’s manual 208898 57
Cranex Novus e 8. Warnings and precautions
enough to fully protect the user from radiation.
The radiation protection area must be at least 60
cm wide, 60 cm deep and 200 cm high.
The radiation protection screen must include
lead shielding with a minimum thickness 0.5
mm and the screen must conform to all national
regulations concerning radiation shielding of
dental/medical devices.
• The user must be able to see and hear the
patient during an exposure.
• The user must be positioned so that he/she
can see the exposure warning light/indicator
and hear the audio exposure warning signal
during the exposure. If the unit is installed in
such a place where the exposure warning light/
indicator cannot be seen or the audio exposure
warning signal cannot be heard, then a separate
exposure warning light/indicator device should
be used. Please contact your local service for
help.
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58 User’s manual 208898
8. Warnings and precautions Cranex Novus e
• Disinfect all the surfaces that the patient is in
contact with after every patient.
• If the unit does not appear to be working
correctly, switch the unit off and release the
patient. Make sure that the unit operates
correctly before you continue using it. If you are
not sure whether the unit is operating correctly,
please contact your local service for help.
• If the unit will not be used for a long time, switch
the unit off in order to prevent unauthorized
people using the unit.
• Do not use the unit if any of its covers, parts
or cables are damaged, loose or have been
removed. Contact a service person approved by
Soredex and get them to repair or replace any
damaged, loose or removed covers, parts or
cables before reusing the unit.
• When touching the patient do not touch any
electrical or Ethernet connectors at the same
time.
• Do not touch or operate the unit if the unit
is being serviced or if the covers have been
removed for any reason.
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User’s manual 208898 59
CRANEX Novus e 9. Disposal
9. Disposal
At the end of useful service life of the device,
its spare parts, its replacement parts and its
accessories make sure that you follow all local,
national and international regulations regarding the
correct and safe disposal and/or recycling of the
device, its spare parts, its replacement parts and its
accessories.
The device, its spare parts, its replacement parts
and its accessories may include parts that are made
of or include materials that are non-environmentally
friendly or hazardous. These parts must be
disposed of in accordance with all local, national
and international regulations regarding the disposal
of non-environmentally friendly or hazardous
materials.
Hazardous materials and parts that are made of or
contain these materials:
LEAD:
Tubehead housing, collimator, CCD sensor,
circuit boards.
TUBEHEAD OIL
Inside tubehead
CAESIUM IODIDE (CsI)
CCD sensor
For more information on these parts contact your
dealer.
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A-1
CRANEX Novus e Appendix A. Technical Information
Appendix A. Technical Information
A.1 Technical specifications
Type
CRA-2
Classification
Complies with
- IEC 60601-1
- IEC 60601-1-2
- IEC 60601-1-3
- IEC 60601-1-4
- IEC 60601-2-7
- IEC 60601-2-28
- IEC 60601-2-32
- UL 60601-1
Conforms with the regulations of DHHS Radiation Performance Standard, 21CFR
Subchapter J.
Safety according to IEC 60601-1
Protection against electric shock - Class 1
Degree of protection - Type B applied with no conductive connection to the patient
Protection against the ingress of liquids - IP 20
Disinfection methods:
- Mild soapy water (non-abrasive)
- Non-alcohol based disinfectant for the chin rest
- Disposable plastic covers for bite piece, chin rest and lip support
For use in environments where no flammable anaesthetics nor flammable cleaning
agents are present
Mode of operation - continuous operation/intermittent loading
Unit description
A dental panoramic x-ray unit with a high frequency switching mode x-ray
generator. The unit takes panoramic exposures.
The unit uses a CCD sensor as an image receptor.
Generator
TUBE
Toshiba D-052 SB or D-054 SB or CEI 105/5
TUBEHEAD HOUSING ASSEMBLY
THA-M-X (Where X is the version)
FOCAL SPOT
0.5 mm (IEC 60336/2005)
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A-2
Appendix A. Technical Information CRANEX Novus e
FOCAL SPOT ACCURACY
The accuracy is 10 mm from the marking on the tubehead cover
TARGET ANGLE
5º
TARGET MATERIAL
Tungsten
NOMINAL X-RAY TUBE VOLTAGE WITH THE HIGHEST X-RAY TUBE CURRENT
100 V~ 77 kV at 8 mA
120 V~ 77 kV at 10 mA
220-240 V~ 77 kV at 10 mA
X-RAY TUBE VOLTAGE tolerance is ± 4 kV
HIGHEST X-RAY TUBE CURRENT WITH THE HIGHEST X-RAY TUBE VOLTAGE
100 V~ 8 mA at 77 kV
120 V~ 10 mA at 77 kV
220-240 V~ 10 mA at 77 kV
X-RAY TUBE CURRENT tolerance is ± 1 mA
NOMINAL ANODE INPUT POWER AND NOMINAL ELECTRIC POWER
100 V~ 616 W at 77 kV, 8 mA, 9 s
120 V~ 770 W nominal at 77 kV, 10 mA, 9 s
220-240 V~ 770 W nominal at 77 kV, 10 mA, 9 s
X-RAY TUBE VOLTAGE STEPS
100 V~ 63, 66, 70, 73 and 77 kV
120 V~ 63, 66, 70, 73 and 77 kV
220-240 V~ 63, 66, 70, 73 and 77 kV
X-RAY TUBE VOLTAGE tolerance is ± 4 kV
X-RAY TUBE CURRENT
100 V~ 8 mA
120 V~ 10 mA
220-240 V~ 10 mA
X-RAY TUBE CURRENT tolerance is ± 1 mA
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A-3
CRANEX Novus e Appendix A. Technical Information
FILTRATION
Inherent filtration minimum 0.6 mm Al at 50 kV (IEC 60522/1999)
Additional filtration minimum 2 mm Al
Patient support attenuation equivalent less than 0.2 mm Al
Attenuation equivalent of plastic cover, approximately 0.25 mm Al
Total filtration minimum 2.6 mm Al at 77 kV
BEAM QUALITY
HVL over 2.77 mm Al at 73 kV
DAP (Dose Area Product) accuracy of displayed value better than 25%
PRIMARY PROTECTIVE SHIELDING
Minimum 0.5 mm Pb or equivalent
OUTER SHELL TEMPERATURE
+50ºC (122ºF) maximum
DUTY CYCLE
1:7, at maximum technique factors. (Example: an 77 kV, 10 mA, 9 s
exposure will have a 65 s cool-down period)
Power requirements
OPERATING LINE VOLTAGE
100 - 120 V~ or 220 - 240 V~, 50/60Hz
INPUT POWER
Standby: 26 W, maximum: 1100 W
MAXIMUM LINE IMPEDANCE
Apparent resistance of supply mains 0.5 ohm
MAXIMUM LINE FUSING
100 - 120 V~ 16A
220 - 240 V~ 10 A
MAIN FUSE
T-10A-H-250V
LINE SAFETY SWITCH (when required)
100 - 120 V~ Approved type, min. 16 A 250 V~
220 - 240 V~ Approved type, min. 10 A 250 V~
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A-4
Appendix A. Technical Information CRANEX Novus e
EARTH LEAKAGE CIRCUIT BREAKER (when required)
100 - 120 V~ Approved type, min. 16 A 250 V~
220 - 240 V~ Approved type, min. 10 A 250 V~,
breaker activation leakage current in accordance with local regulations.
Mechanical parameters
PANORAMIC
Source to Image layer Distance (SID) 500 mm (±10 mm)
Magnification factor 1.25
Focus to skin distance, minimum 154 mm
WEIGHT
120 kg
DIMENSIONS
(H x W x D) 2316 x 865 x 1085 mm
VERTICAL HEIGHT OF CHIN REST
950 - 1750 mm (± 10 mm)
Digital image receptor (CCD)
PIXEL SIZE
96 microns
ACTIVE SENSOR SURFACE
147.5 x 6.1 mm
Timer
EXPOSURE TIMES
Adult 9.0 s
Child 8.0 s
Bitewing 2.3 + 2.3 s
TMJ 1.9 + 1.9 s
Sectional 1.9 - 9.0 s
Accuracy for the displayed exposure times ± 15%
SINGLE LOAD RATING
100 V~ 77 kV, 8 mA, 9 s, panoramic
120 V~ 77 kV, 10 mA, 9 s, panoramic
220-240 V~ 77 kV, 10 mA, 9 s, panoramic
BACK-UP TIMER
15 - 17 s (±15%)
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A-5
CRANEX Novus e Appendix A. Technical Information
Leakage technique factors
PANORAMIC
100V~: 4564 mAs/h, exposure with maximum values
(77 kV, 8 mA, 9 s) according to the 1:5 duty cycle
120V~: 4713 mAs/h, exposure with maximum values
(77 kV, 10 mA, 9 s) according to the 1:7 duty cycle
220-240V~: 4713 mAs/h, exposure with maximum values
(77 kV, 10 mA, 9 s) according to the 1:7 duty cycle
Measurement bases
The kV is measured by monitoring differentially the current flowing through 450
Mohm, 1% feedback resistor connected between the tube anode and ground.
The mA is measured by monitoring current in the HT return line, which equals the
tube current.
Collimator
TYPE
BLD-M-1
PRIMARY SLIT
Adult panoramic slit only. For child panoramic the exposure time is reduced
to give a reduced length image.
PRIMARY SLIT SIZE
0.7 - 0.75 x 38 mm
Z-motor
DUTY-CYCLE
Intermediate use: 6.25%, 25s ON, 400s OFF
Environmental data
OPERATING
Ambient temperature from +10ºC to +40ºC
Relative humidity 10 - 90%, no condensation
STORAGE/TRANSPORTATION
Ambient temperature from -20ºC to +50ºC
Relative humidity 5 - 85% no condensation
Atmospheric pressure 500 - 1080 mbar
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A-6
Appendix A. Technical Information CRANEX Novus e
System requirements and connections
- The PC and any other external device(s) connected to the system must meet
the IEC 60950 standard (minimum requirements). Devices that do not meet the
IEC 60950 standard must not be connected to the system as they may pose a
threat to operational safety.
- The PC and any other external devices must be connected in accordance with
IEC 60601-1-1.
- The x-ray unit must be connected to it’s own separate power supply. The PC
and any other external devices must NOT be connected to the same power
supply as the x-ray unit.
- Position the PC and any other external device at least 1.85 m (73”) from the
x-ray unit so that the patient cannot touch the PC or any other external device
while being x-rayed.
- The PC and any other external devices shall not be connected to an extension
cable.
- Multiple extension cables shall not be used.
- Do not position the PC where it could be splashed with liquids.
- Clean the PC in accordance with the manufacturer’s instructions.
X-ray system - to IEC 60601-1-1
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A-7
CRANEX Novus e Appendix A. Technical Information
Tube housing assembly cooling/heating characteristics
Tube rating chart Toshiba D-052 SB
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A-8
Appendix A. Technical Information CRANEX Novus e
Anode thermal characteristics
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A-9
CRANEX Novus e Appendix A. Technical Information
A.2 Unit dimensions
865 mm (34”)
865 mm (34”)
1085 mm (43”)
1085 mm (43”)
150 mm (6”)
150 mm (6”)
Standard
column leg
2315 mm
Short
column leg
2225 mm
(91.1”)
(87.6”)
Standard
column leg
2315 mm
Short
column leg
2225 mm
(91.1”)
(87.6”)
Standard
column leg
950 - 1750 mm
Short
column leg
860 - 1660 mm
(37.4 - 68.9”)
(33.9 - 65.4”)
Standard
column leg
950 - 1750 mm
Short
column leg
860 - 1660 mm
(37.4 - 68.9”)
(33.9 - 65.4”)
The height of the unit on the exhibition
stand is the same as the height of the
unit with the standard column leg
2315 mm (91.1”)
2315 mm (91.1”)
790 mm
(31”)
790 mm
(31”)
790 mm (31”)
Exhibition
stand
Exhibition
stand
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A-10
Appendix A. Technical Information CRANEX Novus e
A.3 Symbols that may appear on the unit
Radiation warning (yellow label)
Dangerous voltage
On or enabled
Off or disabled
Exposure switch
Connector for Ethernet RJ45
Connector for exposure switch
Connector for external exposure light
Attention, consult accompanying documents
Consult instructions for use
Electrostatic discharge (ESD) warning symbol
(yellow label)
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A-11
CRANEX Novus e Appendix A. Technical Information
Ground (functional)
Protective ground
Warning, Laser radiation (yellow label)
Laser class label
(Patient positioning lights)
This symbol indicates that the waste of electrical
and electronic equipment must not be disposed
of as unsorted municipal waste and must be
collected separately. Please contact an authorized
representative of the manufacturer for information
concerning the decommissioning of your equipment.
Type B equipment
CE (0537) symbol
MDD 93/42/EEC
ETL symbol
GOST-R symbol
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A-12
Appendix A. Technical Information CRANEX Novus e
A.4 EMC declaration for CRANEX Novus e (CRA-2)
CRA-2
Guidance and manufacturer’s declaration – electromagnetic emissions
The device is intended for use in the electromagnetic environment specified below. The
customer or the user of the device should assure that it is used in such an environment.
Emissions test Compliance Electromagnetic environment - guidance
RF emissions
CISPR 11
Group 1 The device uses RF energy only for its internal
function. Therefore, its RF emissions are very low and
are not likely to cause any interference in nearby
electronic equipment.
RF emissions
CISPR 11
Class B The device is suitable for use in all establishments,
including domestic establishments and those directly
connected to the public low-voltage power supply
network that supplies buildings used for domestic
purposes.
Harmonic
emissions
IEC 61000-3-2
Class A
Voltage
fluctuations/ flicker
emissions
IEC 61000-3-3
Complies
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A-13
CRANEX Novus e Appendix A. Technical Information
CRA-2
Guidance and manufacturer’s declaration – electromagnetic immunity
The device is intended for use in the electromagnetic environment specified below. The
customer or the user of the device should assure that it is used in such an environment.
Immunity test IEC 60601 test level Compliance level Electromagnetic
environment - guidance
Electrostatic
discharge (ESD)
IEC 61000-4-2
r6 kV contact
r8 kV air
r6 kV contact
r8 kV air
Floors should be wood,
concrete or ceramic tile.
If floors are covered with
synthetic material, the
relative humidity should
be at least 30 %.
Electrical fast
transients/bursts
IEC 61000-4-4
r2 kV for power
supply lines
r1 kV for input/output
lines
r2 kV for power supply
lines
r1 kV for input/output
lines
Mains power quality
should be that of a
typical commercial or
hospital environment.
Surge
IEC 61000-4-5
r1 kV differential
mode
r2 kV common mode
r1 kV differential mode
r2 kV common mode
Mains power quality
should be that of a
typical commercial or
hospital environment.
Voltage dips,
short
interruptions and
voltage variations
on power supply
lines
IEC 61000-4-11
<5 % UT
(>95 % dip in UT)
for 0.5 cycle
40 % UT
(60 % dip in UT)
for 5 cycles
70 % UT
(30 % dip in UT)
for 25 cycles
<5 % UT
(>95 % dip in UT)
for 5 sec
<5 % UT
(>95 % dip in UT)
for 0.5 cycle
40 % UT
(60 % dip in UT)
for 5 cycles
70 % UT
(30 % dip in UT)
for 25 cycles
<5 % UT
(>95 % dip in UT)
for 5 sec
Mains power quality
should be that of a
typical commercial or
hospital environment. If
user of the device
requires continued
operation during power
mains interruptions, it is
recommended that the
device be powered from
an uninterruptible power
supply or a battery.
Power frequency
(50/60 Hz)
magnetic field
IEC 61000-4-8
3 A/m 3 A/m Power frequency
magnetic field should be
at levels characteristic
of a typical location in a
typical commercial or
hospital environment.
NOTE UT is the a.c. mains voltage prior to application of the test level.
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A-14
Appendix A. Technical Information CRANEX Novus e
CRA-2
Guidance and manufacturer’s declaration – electromagnetic immunity
The device is intended for use in the electromagnetic environment specified below. The
customer or the user of the device should assure that it is used in such an environment.
Immunity
test
IEC 60601 test
level
Compliance
level
Electromagnetic environment - guidance
Conducted
RF
IEC 61000-
4-6
Radiated
RF
IEC 61000-
4-3
3 Vrms
150 kHz to
80 MHz
3 V/m
80 MHz to
2.5 GHz
3 V
3 V/m
Portable and mobile RF communications
equipment should be used no closer to any
part of the device, including cables, than the
recommended separation distance calculated
from the equation applicable to the frequency
of the transmitter.
Recommended separation distance
d = 1.2 P
d = 1.2 P 80 MHz to 800 MHz
d = 2.3 P 800 MHz to 2.5 GHz
where P is the maximum output power rating
of the transmitter in watts (W) according to the
transmitter manufacturer and d is the recom-
mended separation distance in metres (m).
Field strengths from fixed RF transmitters, as
determined by an electromagnetic site
survey
a
, should be less than the compliance
level in each frequency range
b
. Interference
may occur in the vicinity of equipment marked
with the following symbol:
NOTE 1 At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is
affected by absorption and reflection from structures, objects and people.
a
Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless)
telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV
broadcast cannot be predicated theoretically with accuracy. To assess the electromagnetic
environment due to fixed RF transmitters, an electromagnetic site survey should be considered.
If the measured field strength in the location in which the device is used exceeds the applicable
RF compliance level above, the device should be observed to verify normal operation. If
abnormal performance is observed, additional measures may be necessary, such as reorienting
or relocating the device.
b
Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
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A-15
CRANEX Novus e Appendix A. Technical Information
CRA-2
Recommended separation distances between portable and mobile RF communications
equipment and the device.
The device is intended for use in an electromagnetic environment in which radiated RF
disturbances are controlled. The customer or the user of the device can help prevent
electromagnetic interference by maintaining a minimum distance between portable and
mobile RF communications equipment (transmitters) and the device as recommended below,
according to the maximum output power of the communications equipment.
Rated maximum
output power of
transmitter W
Separation distance according to frequency of transmitter m
150 kHz to 80 MHz
d = 1.2 P
80 MHz to 800 MHz
d = 1.2 P
800 MHz to 2.5 GHz
d = 2.3 P
0.01 0.12 0.12 0.23
0.1 0.38 0.38 0.73
1 1.2 1.2 2.3
10 3.8 3.8 7.3
100 12 12 23
For transmitters rated at a maximum output power not listed above, the recommended
separation distance d in meters (m) can be estimated using the equation applicable to the
frequency of the transmitter, where P is the maximum output power rating of the transmitter
in watts (W) according to the transmitter manufacturer.
NOTE 1. At 80 MHz and 800 MHz, the separation distance for the higher frequency range
applies.
NOTE 2. These guidelines may not apply in all situations. Electromagnetic propagation is
affected by absorption and reflection from structures, objects and people.
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Soderex-CRANEX-Manual_del_usuario_EN.pdf

  • 1. ENGLISH CRANEX™ Novus e Digital Panoramic X-ray Unit User Manual 208898 rev. 4 (2015-01) Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 2. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 3. CRANEX Novus e Contents User Manual 208898 iii CRANEX™ Novus e Digital Panoramic X-ray Unit User Manual Medical Device Directive 93/42/EEC Number 208898 rev. 4 (2015-01) Original approved English language version Manufactured by SOREDEX, PaloDEx Group Oy Nahkelantie 160, FI-04300 Tuusula, Finland Tel. + 358 (0)10 270 2000 www.soredex.com Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 4. Contents CRANEX Novus e iv User Manual 208898 CRANEX, DIGORA, SCANORA and MULTICONNECT are either registered trademarks or trademarks of Soredex in the United States and/or other coun- tries. Soredex endeavours to produce product documentation that is accurate and up to date. However, our policy of continual product development may result in changes to products that are not reflected in the product documentation. Therefore, this document should not be regarded as an infallible guide to cur- rent product specifications. Soredex maintains the right to make changes and alterations without prior notice. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 5. CRANEX Novus e Contents User Manual 208898 v Contents 1. Introduction ....................................................................................................... 1 1.1 CRANEX™ Novus e X-ray unit..................................................................... 1 1.2 About this manual.......................................................................................... 2 2. Unit description ................................................................................................. 3 2.1 Main parts ..................................................................................................... 3 2.2 Control panels and keys................................................................................ 5 2.3 Accessories................................................................................................... 6 3. Using the Unit .................................................................................................... 7 3.1 Preparing the Unit ......................................................................................... 7 3.2 Exposure programs..................................................................................... 12 3.3 Taking Exposures........................................................................................ 15 Panoramic - Adult, Child and Sectional....................................................... 15 Temporomandibular Joint (TMJ) ................................................................. 24 Bitewing (Optional)...................................................................................... 30 4. Operating the unit without generating x-rays............................................... 36 5. Unit Setup......................................................................................................... 37 5.1 Setup options .............................................................................................. 37 5.2 Image Preview (DIGORA for Windows software only)................................ 41 6. Troubleshooting and Maintenance ................................................................ 43 6.1 Error messages and symbols...................................................................... 43 6.2 Care and Maintenance ............................................................................... 47 7. Quality Assurance........................................................................................... 50 8. Warnings and precautions ............................................................................. 55 8.1 General warnings........................................................................................ 55 8.2 User / patient warnings ............................................................................... 56 9. Disposal............................................................................................................ 59 Appendix A. Technical Information...................................................................A-1 A.1 Technical specifications .............................................................................A-1 A.2 Unit dimensions .........................................................................................A-9 A.3 Symbols that may appear on the unit ......................................................A-10 A.4 EMC declaration for CRANEX Novus e (CRA-2).....................................A-12 Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 6. Contents CRANEX Novus e vi User Manual 208898 Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 7. User Manual 208898 1 CRANEX Novus e 1. Introduction 1. Introduction 1.1 CRANEX™ Novus e X-ray unit The CRANEX Novus e (the unit) is a digital pano- ramic dental x-ray unit designed to take: - Adult panoramic exposures - Child panoramic exposures (reduced width) - TMJ exposures - Bitewing (optional, not available in all countries) - Sectional panoramic exposures allowing user to select exposed sections (optional, not available in all countries) The unit uses a CCD sensor as the image recep- tor and a PC with suitable (MDD compliant) dental imaging software, such as SCANORA™ software or DIGORA™ for Windows software (not in USA), for image acquisition and handling. The unit can be used in single or multiple user con- figurations. With the single user configuration, the unit is con- nected to a single PC. With the multiple user configuration (MULTICON- NECT™ activated) the unit is connected to a net- work where up to eight PCs can be connected to the unit. With the MULTICONNECT configuration only one PC at a time can reserve and use the unit. IMPORTANT NOTE: Before using the unit for the first time, make sure that it is set up to your requirements. See section 5. Unit Setup. USA only Caution: Federal law restricts this device to sale by or on the order of a dentist or other qualified professional Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 8. 2 User Manual 208898 1. Introduction CRANEX Novus e 1.2 About this manual This manual describes how to use and set up the unit. Please read these instructions carefully before op- erating the unit. Before operating the unit, please read and observe the warnings and precautions that appear in section 8. Warnings and Precautions. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 9. User manual 208898 3 CRANEX Novus e 2. Unit description 2. Unit description 2.1 Main parts 1. Exposure warning light 2. Emergency stop button (Press to stop, rotate to release) 3. Exposure switch 4. On / off switch (rear of column) 5. Column 6. Sensor 7. Tubehead (Tubehead + sensor = Rotating unit) 8. PC with MDD compliant imaging software E m e r g e n c y s t o p E m e r g e ncy stop 1 3 4 5 6 7 8 2 Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 10. 2. Unit description CRANEX Novus e 4 User manual 208898 9. Patient positioning mirror 10. Frankfort light 11. Midsaggital light 12. Focal trough light 13. Head support 14. Patient handles 15. Chin support A. Chin rest and bite block B. Chin rest and lip holder C. Lip support Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 11. User manual 208898 5 CRANEX Novus e 2. Unit description 2.2 Control panels and keys 16. Side control panel A. Lights key - switches the positioning lights on and off. B. Up / down keys C. Return key - drives rotating unit to the patient in/out position (PIO) 17. Main control panel D. Program keys - Adult pan, Child pan, TMJ, Bitewing (optional) E. kV selection keys F. Exposure values G. Service key H. Sectional Panoramic program selection key (optional) I. Patient Name -key (visible only if patient name display is supported by the dental imaging software) J. Test exposure K. Unit status indicator 16 A B C 17 I D E G F J K H Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 12. 2. Unit description CRANEX Novus e 6 User manual 208898 2.3 Accessories Chin rest Disposable cover Bite block Disposable cover Rod short (62.5 mm) Rod long (72.5 mm) Lip holder Disposable cover Lip support Disposable cover Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 13. CRANEX Novus e 3. Taking an Exposure User manual 208898 7 3. Using the Unit IMPORTANT NOTE: If the unit is being used for the first time or if you are using the unit for the first time check that it is set up to your requirements. See section 5. Unit Setup. 3.1 Preparing the Unit The preparation steps below are for SCANORAand DIGORA for Windows softwares. If you are using some other dental imaging software, refer to the documentation that is supplied with it. SCANORA software 1. PC: Switch on the PC that is connected to the unit. 2. PC: Open SCANORA software and then open a patient card. 3. Switch the unit on. The on/off switch is at the rear of the column near the base. The unit display will come on and the unit will carry out a self test (Starting up). When the self test is complete, a question mark (?) will appear next to the unit status indicator. This indicates that you need to reserve the unit before you can take an exposure. Single user: Multiple users: Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 14. 8 User manual 208898 3. Taking an Exposure CRANEX Novus e NOTE: If the no connection symbol (X) appears next to the unit status indictor, it indicates that there is no connection between the unit and the PC. See section 6. Troubleshooting and Maintenance for more information. 4. PC: Press the device icon to reserve the unit and enable image capture. NOTE: If a message appears stating that the unit is in use, it indicates that the unit has been reserved by another user. Wait until the unit is free. INFORMATION: The status of the unit: available, ready or busy, can be seen in the status field at the bottom of the PC display. 5. When the unit status indicator turns GREEN and the text Status ready appears, the unit is ready to take an exposure. Single user: Multiple users: Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 15. CRANEX Novus e 3. Taking an Exposure User manual 208898 9 6. Press the Return key to drive the rotating unit to the Patient In/Out (PIO) position. If the Patient Name key appears on the display, you can check the patient’s name by pressing the Patient Name key once. A dialog box showing the patient name opens for 5 seconds and then closes automatically. Re-press the Patient Name key if you wish to hide the name sooner. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 16. 10 User manual 208898 3. Taking an Exposure CRANEX Novus e DIGORA for Windows software (not in USA) 1. PC: Switch on the PC that is connected to the unit. 2. PC: Open DIGORA for Windows software and then open a patient card. 3. Switch the unit on. The on/off switch is at the rear of the column near the base. The unit display will come on and the unit will carry out a self test (Starting up). Single user: When the self test is complete, the unit status indicator will turn GREEN and the text Status ready will appear. The unit can now be used to take an exposure. Go to step 6 to complete unit preparation. Multiple users: When the self test is complete, a question mark (?) will appear next to the unit status indicator. This indicates that you need to reserve the unit before you can take an exposure. NOTE: If the no connection symbol (X) appears next to the unit status indictor, it indicates that there is no connection between the unit and the PC. See section 6. Troubleshooting and Maintenance for more information. 4. PC: To reserve the unit, click the GREEN Multiconnect icon, which is in the bottom right- hand corner of the PC display. The Connect window will appear. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 17. CRANEX Novus e 3. Taking an Exposure User manual 208898 11 5. PC: Click the Reserve the device button to reserve the unit. The Connect window will disappear and the GREEN Multiconnect icon will start to flash. This indicates that you have now reserved the unit and it is now ready to take an exposure. NOTE: If the Multiconnect icon is YELLOW, it indicates that the unit has been reserved by someone else. Wait until the unit is free. If you wish to know who has reserved the unit, place the cursor on the Multiconnect icon (while yellow) and a message showing who has reserved the unit will appear. NOTE: If the Multiconnect icon is GRAY, it indicates that the unit has not been switched on or is just starting up and is not yet ready for use. Switch the unit on and / or wait until the unit is ready for use. 6. Press the Return key to drive the rotating unit to the Patient In/Out (PIO) position. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 18. 12 User manual 208898 3. Taking an Exposure CRANEX Novus e 3.2 Exposure programs Exposure programs can be selected using the unit’s main control panel. Before taking exposures, it is recommended to revise the need for the exposure and select the exposure program accordingly. Illustrative sizes and locations of the exposed areas using different exposure programs: Exposed areas of Adult Panoramic and Child Panoramic programs L Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 19. CRANEX Novus e 3. Taking an Exposure User manual 208898 13 Exposed areas of TMJ program Exposed areas of Bitewing program (optional) L L Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 20. 14 User manual 208898 3. Taking an Exposure CRANEX Novus e Exposed sections of Sectional Panoramic program (1...5) (optional) 2 1 3 5 4 L + NOTE: Section heights are the same, the differences shown are for illustrative purposes only. Section selection keys in Sectional Panoramic screen. Selected sections are highlighted in green. 1 2 3 4 5 Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 21. CRANEX Novus e 3. Taking an Exposure User manual 208898 15 3.3 Taking Exposures Panoramic - Adult, Child and Sectional 1. Slide the chin rest on to the support holder. 2. For dentate patients, attach the bite block to the rod and then insert the rod and bite block into the appropriate hole in the chin rest according to the patient’s occlusion. For normal occlusion insert the rod and bite block into hole 2. If the patient’s teeth protrude (angled outward), insert the rod and bite block into hole 1. If the patient’s teeth retrude (angled inward), insert the rod and bite block into hole 3. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 22. 16 User manual 208898 3. Taking an Exposure CRANEX Novus e For edentulous patients use the lip holder and insert it into the round hole at the rear of the chin rest. 3. Place the appropriate disposable covers on to the patient support you are using. 4. Press the appropriate panoramic program key to select the Adult or Child child program. The key color will change, which indicates that the program has been selected. To select the Sectional Panoramic program, first select Adult program and then Sectional Panoramic program. The magnification for the exposures is 1.25. Adult Child Sectional Pan. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 23. CRANEX Novus e 3. Taking an Exposure User manual 208898 17 5. A default kV value for the selected panoramic program will appear on the display. If you consider that the default kV value for the program selected is not correct for the patient being examined, select a different kV value based on the patient’s size, age and estimated bone density. To change the kV value press the kV plus (+) or minus (-) key. The recommended values are: - Large Adult, 77 kV - Adult, 73 kV - Juvenile or small adult, 70 kV - Child, 63 or 66 kV 6. If you are taking Sectional Panoramic exposure, press the required section selection keys to toggle between selected (green) and unselected (gray), until only the sections you wish to expose are selected. NOTE: Sectional Panoramic key is selectable only if the Sectional Panoramic program option is activated in the unit and the Adult program is selected first. If you decide to take other than Sectional Panoramic exposure and wish to return to main screen, press the Sectional Panoramic key again. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 24. 18 User manual 208898 3. Taking an Exposure CRANEX Novus e 7. Ask the patient to remove any spectacles, dentures, jewelry and hair clips and pins. Place a protective lead apron over the patient’s shoulders. NOTE: If the patient is nervous, you can reassure him/ her by demonstrating how the unit works before taking the exposure. See chapter 4. Operating the unit without generating x-rays. 8. Press the Up/Down keys to adjust the height of the chin support so it is slightly higher than the patient’s chin. 9. If the patient is dentate ask the patient to step into the unit, grasp the patient handles, place his/her chin on the chin rest and bite gently the notches in the bite block. NOTE! Evaluate the condition of the patient’s dentition before using the bite block. Use lip holder instead if there is a chance that biting the block could cause excess stress to the patient or their dentition. If the patient is edentulous ask the patient to step into the unit, grasp the patient handles and press their top lip against the lip holder. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 25. CRANEX Novus e 3. Taking an Exposure User manual 208898 19 10. Press the mirror to open it so that you can see a reflection of the patient. The patient positioning lights will automatically come on when the mirror is opened or when one of the Up/Down keys is pressed. They will remain on for two minutes or until the exposure button is pressed. The Patient Positioning lights can also be switched on and off with the Lights key. 11. Look at the reflection of the patient in the mirror and position the midsagittal plane of the patient so that it coincides with the midsagittal plane light. Make sure that the patient is looking straight ahead and that the patient’s head is not tilted or turned to one side. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 26. 20 User manual 208898 3. Taking an Exposure CRANEX Novus e 12. Press either Up/Down key to adjust the tilt of the patient’s head until the patient’s Frankfort plane coincides with, or is parallel to, the horizontal light. If necessary use the light positioning knob to adjust the height of the light. CAUTION: When pressing the Up/Down keys to adjust the tilt of the patient’s head make small adjustments only so as not to cause the patient any distress or discomfort. 13. The focal trough light indicates the center of the focal trough which is 10 mm wide at the front. Make sure that the roots of the front incisors are located within the focal trough and are on the same vertical plane. If the roots of the front incisors are not on the same vertical plane adjust the tilt of the patient’s head until they are. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 27. CRANEX Novus e 3. Taking an Exposure User manual 208898 21 If the roots of the front incisors are on the same vertical plane but not within the focal trough reposition the patient by moving the rod and bite block backwards or forwards. 14. Close the temple supports by sliding the temple support knob to the right (A). Make sure that patient’s neck is stretched and straight. Adjust the height of the forehead support until it is level with the patient’s forehead or nasion (B). Carefully push the forehead support in until it touches the patient’s forehead or nasion (C). 15. Ask the patient to press their lips together and press their tongue against the roof of their mouth. Close the mirror. Then ask the patient to look at a fixed point in the mirror and to remain still for the duration of the exposure. The exposure takes approximately nine seconds. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 28. 22 User manual 208898 3. Taking an Exposure CRANEX Novus e 16. Make sure that the unit status indicator is still GREEN, indicating that the unit is ready to take an exposure. If the indicator is not GREEN the unit reservation time may have expired. Reserve the unit again, see section 3.1 Preparing the unit. 17. Check once more that the patient is positioned correctly and has not moved. 18. Move at least two metres away from the unit and protect yourself from radiation. Make sure that you can see and hear the patient during the exposure. 19. Press and hold down the exposure button for the duration of the exposure. The exposure starts when you hear the exposure warning signal and the exposure warning indicator (control panel) and light (side of the unit) come on. The rotating unit will rotate around the patient’s head and take the exposure. When the exposure warning signal and rotating unit stop, the exposure has been taken. 20. PC: After the exposure has been taken a progress bar will appear. This indicates that the image is being transferred to the PC. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 29. CRANEX Novus e 3. Taking an Exposure User manual 208898 23 21. Press the release button (A) at the top of the forehead support and then slide the forehead support away from the patient (B). Open the temple supports by sliding the temple support knob to the left (C). Guide the patient out of the unit. 22. Press the Return key to drive the unit to the PIO position. NOTE: After the exposure, a timer indicating the tubehead cooling time may appear on the display. A new exposure cannot be taken until the counter reaches zero, the exposure time reappears on the display and the unit status indicator turns green. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 30. 24 User manual 208898 3. Taking an Exposure CRANEX Novus e Temporomandibular Joint (TMJ) 1. Slide the lip support on to the support holder. Use the slot nearest the mirror for patients with large skulls and the slot furthest away from the mirror for patient with small skulls. 2. Place the disposable cover on to the lip support. 3. Press the TMJ key to select TMJ program. The key color will change which indicates that the program has been selected. The magnification is 1.25. 4. A default kV value for the selected program will appear on the display. If you consider that the default kV value is not correct for the patient being examined select a different kV value based on the patient’s size, age and estimated bone density. To change the kV value press the kV plus (+) or minus (-) key. The recommended values are: - Large Adult - 77 kV - Adult - 73 kV - Juvenile or small adult - 70 kV - Child - 63 or 66 kV Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 31. CRANEX Novus e 3. Taking an Exposure User manual 208898 25 5. Ask the patient to remove any spectacles, dentures, jewelry and hair clips and pins. Place a protective lead apron over the patient’s shoulders. NOTE: If the patient is nervous you can reassure him/ her by demonstrating how the unit works before taking the exposure. See chapter 4. Operating the unit without generating x-rays. 6. Press the Up/Down keys to adjust the height of the lip support so it is level with the patient’s upper lip. 7. Ask the patient to step into the unit, grasp the patient handles and press their top lip against the top of the lip support. 8. Press the mirror to open it so that you can see a reflection of the patient. The patient positioning lights will automatically come on when the mirror is opened or when one of the Up/Down keys is pressed. They will remain on for two minutes. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 32. 26 User manual 208898 3. Taking an Exposure CRANEX Novus e The Patient Positioning lights can also be switched on and off with the Lights key. 9. Look at the reflection of the patient in the mirror and position the midsagittal plane of the patient so that it coincides with the midsagittal plane light. Make sure that the patient is looking straight ahead and that the patient’s head is not tilted or turned to one side. 10. Press either Up/Down key to adjust the tilt of the patient’s head until the patient’s Frankfort plane coincides with, or is parallel to, the horizontal light. If necessary use the light positioning knob to adjust the height of the light. CAUTION: When pressing the Up/Down keys to adjust the tilt of the patient’s head make small adjustments only so as not to cause the patient any distress or discomfort. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 33. CRANEX Novus e 3. Taking an Exposure User manual 208898 27 11. Close the temple supports by sliding the temple support knob to the right (A). Make sure that patient’s neck is stretched and straight. Adjust the height of the forehead support until it is level with the patient’s forehead or nasion (B). Carefully push the forehead support in until it touches the patient’s forehead or nasion (C). 12. Close the mirror. 13. If you wish to take a TMJ exposure with the patient’s mouth closed ask the patient to clench their back teeth together, look at a fixed point in the mirror and to remain still for the duration of the exposure. If you wish to take a TMJ exposure with the patient’s mouth open, ask the patient to open their mouth, look at a fixed point in the mirror and to remain still for the duration of the exposure. The exposure takes approximately nine seconds. 14. Make sure that the unit status indicator is still GREEN, indicating that the unit is ready to take an exposure. If the indicator is not GREEN the unit reservation time may have expired. Reserve the unit again, see section 3.1 Preparing the unit. 15. Check once more that the patient is positioned correctly and has not moved. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 34. 28 User manual 208898 3. Taking an Exposure CRANEX Novus e 16. Move at least two metres from the unit and protect yourself from radiation. Make sure that you can see and hear the patient during the exposure. 17. Press and hold down the exposure button for the duration of the exposure. The exposure starts when you hear the exposure warning signal and the exposure warning indicator (control panel) and light (side of the unit) come on. The rotating unit will rotate around the patient’s head and take the exposure. When the exposure warning signal and rotating unit stop, the exposure has been taken. 18. PC: After the exposure has been taken a progress bar will appear. This indicates that the image is being transferred to the PC. 19. If you wish to take a second TMJ exposure, press the Return key to drive the unit back to the PIO position, and reposition the patient and take the second exposure, steps 13 -17. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 35. CRANEX Novus e 3. Taking an Exposure User manual 208898 29 20. Press the release button (A) at the top of the forehead support and then slide the forehead support away from the patient (B). Open the temple supports by sliding the temple support knob to the left (C). Guide the patient out of the unit. 21. Press the Return key to drive the unit to the PIO position. NOTE: After the exposure, a timer indicating the tubehead cooling time may appear on the display. A new exposure cannot be taken until the counter reaches zero, the exposure time reappears on the display and the unit status indicator turns green. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 36. 30 User manual 208898 3. Taking an Exposure CRANEX Novus e Bitewing (Optional) 1. Slide the chin rest on to the support holder. 2. Attach the bite block to the rod and insert the rod and bite block into hole 4 in the chin rest. IMPORTANT NOTE: If the patient is exceptionally large or has unusual skull anatomy, a test exposure (T) should be taken to ensure that the rotating unit does not touch the patient’s head or shoulders during the exposure. If the rotating unit seems to touch the patient’s head or shoulders, check the patient’s position and if that does not help, then move the rod and bite block forward into hole 3 or 2. 3. Place the appropriate disposable covers on to the patient support you are using. 4. Press the bitewing key to select the bitewing program. The key color will change which indicates that the program has been selected. The magnification of the program is 1.25. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 37. CRANEX Novus e 3. Taking an Exposure User manual 208898 31 5. A default kV value for the selected program will appear on the display. If you consider that the default kV value for the program selected is not correct for the patient being examined select a different kV value based on the patient’s size, age and estimated bone density. To change the kV value press the kV plus (+) or minus (-) key. The recommended values are: - Large Adult, 77 kV - Adult, 73 kV - Juvenile or small adult, 70 kV - Child, 63 or 66 kV 6. Ask the patient to remove any spectacles, dentures, jewelry and hair clips and pins. Place a protective lead apron over the patient’s shoulders. NOTE: If the patient is nervous, you can reassure him/ her by demonstrating how the unit works before taking the exposure. See chapter 4. Operating the unit without generating x-rays. 7. Press the Up/Down keys to adjust the height of the chin support so it is slightly higher than the patient’s chin. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 38. 32 User manual 208898 3. Taking an Exposure CRANEX Novus e 8. Ask the patient to step into the unit, grasp the patient handles, place his/her chin on the chin rest and bite gently the notches in the bite block. NOTE! Evaluate the condition of the patient’s dentition before using the bite block. Use lip holder instead if there is a chance that biting the block could cause excess stress to the patient or their dentition. When using the lip holder, you may need to use additional padding between the lip holder and the patient to keep the head in the correct location for a Bitewing exposure. 9. Press the mirror to open it so that you can see a reflection of the patient. The patient positioning lights will automatically come on when the mirror is opened or when one of the Up/Down keys is pressed. They will remain on for two minutes or until the exposure button is pressed. The Patient Positioning lights can also be switched on and off with the Lights key. 10. Look at the reflection of the patient in the mirror and position the midsagittal plane of the patient so that it coincides with the midsagittal plane light. Make sure that the patient is looking straight ahead and that the patient’s head is not tilted or turned to one side. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 39. CRANEX Novus e 3. Taking an Exposure User manual 208898 33 11. Press either Up/Down key to adjust the tilt of the patient’s head until the patient’s Occlusal plane coincides with, or is parallel to, the horizontal light. If necessary use the light positioning knob to adjust the height of the light. CAUTION: When pressing the Up/Down keys to adjust the tilt of the patient’s head make small adjustments only so as not to cause the patient any distress or discomfort. 12. Close the temple supports by sliding the temple support knob to the right (A). Make sure that patient’s neck is stretched and straight. Adjust the height of the forehead support until it is level with the patient’s forehead or nasion (B). Carefully push the forehead support in until it touches the patient’s forehead or nasion (C). 13. Ask the patient to press their lips together and press their tongue against the roof of their mouth. Close the mirror. Then ask the patient to look at a fixed point in the mirror and to remain still for the duration of the exposure. The exposure takes approximately nine seconds. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 40. 34 User manual 208898 3. Taking an Exposure CRANEX Novus e 14. Make sure that the unit status indicator is still GREEN, indicating that the unit is ready to take an exposure. If the indicator is not GREEN the unit reservation time may have expired. Reserve the unit again, see section 3.1 Preparing the unit. 15. Check once more that the patient is positioned correctly and has not moved. 16. Move at least two metres away from the unit and protect yourself from radiation. Make sure that you can see and hear the patient during the exposure. 17. Press and hold down the exposure button for the duration of the exposure. The exposure starts when you hear the exposure warning signal and the exposure warning indicator (control panel) and light (side of the unit) come on. The rotating unit will rotate around the patient’s head and take the exposure. When the exposure warning signal and rotating unit stop, the exposure has been taken. 18. PC: After the exposure has been taken a progress bar will appear. This indicates that the image is being transferred to the PC. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 41. CRANEX Novus e 3. Taking an Exposure User manual 208898 35 19. Press the release button (A) at the top of the forehead support and then slide the forehead support away from the patient (B). Open the temple supports by sliding the temple support knob to the left (C). Guide the patient out of the unit. 20. Press the Return key to drive the unit to the PIO position. NOTE: After the exposure, a timer indicating the tubehead cooling time may appear on the display. A new exposure cannot be taken until the counter reaches zero, the exposure time reappears on the display and the unit status indicator turns green. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 42. 4. Operating the unit without x-rays CRANEX Novus e 36 User manual 208898 4. Operating the unit without generating x-rays In some situations, for example with nervous patients or patients with unusual anatomy, you may wish to operate the unit without generating x-rays before taking an exposure. Press the T key (Test) The key will change color and the kV and mA values will become zero. The exposure switch can now be pressed to demonstrate how the unit operates without x-rays being generated. Press the T key a second time to return to the normal exposure mode. NOTE: After switching the unit off and then on again the unit returns to the normal (exposure) mode. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 43. CRANEX Novus e 5. Unit Setup User manual 208898 37 5. Unit Setup Various set-up options allow the unit to be customized to your requirements 5.1 Setup options 1. PC: Open the dental imaging software you are using. 2. Select Options and then click Novus e Setup. 3. The Novus e Setup window will appear. The Status field: Device indicates whether the unit is connected to the PC. Version: shows the software version of the unit and Serial No: the serial number of the unit. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 44. 38 User manual 208898 5. Unit Setup CRANEX Novus e The Image Capturing field (DIGORA for Windows software only) The Show Image Preview check box, see section 5.2 Image Preview. The Image Processing field (DIGORA for Windows software only) The Noise Filtering check box should normally be selected. Noise filtering make images smoother when they are taken at low doses. The Automatic Density Adjustment check box should normally be selected. Automatic density adjustment evens out the grayscale values. The Sharpen Filtering check box should normally be selected. When selected it adds default sharpening to all new images. The default value can be changed by entering a new value into the Sharpen Matrix size edit box. Values from 0 to 25 can be entered. The factory set value is 7. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 45. CRANEX Novus e 5. Unit Setup User manual 208898 39 The Retrieve Last Image field: (DIGORA for Windows software) (SCANORA software) If the last image taken is not transferred to the PC because of a network, PC or software failure, the image can be retrieved from the unit memory. IMPORTANT NOTE The last taken image can only be retrieved if the unit is left on after the last exposure was taken. If the unit is switched off the image will be lost. To retrieve the last image: i. Correct the problem that caused the network failure, and then reopen the patient card. ii. The last taken image should automatically be transferred. If it is not, click the check box in the Retrieve Last Image field (DIGORA for Windows software) or click the Retrieve now button (SCANORA software) to retrieve the last read image taken by the unit. iii. Click OK to close the Novus e Setup window. The last image taken will appear on the patient card. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 46. 40 User manual 208898 5. Unit Setup CRANEX Novus e Device Serial Number field: Click the Add serial number ... check box and the serial number of the unit will be added to all new images. The serial number will appear in the top left-hand corner and the bottom right- hand corner of the image. NOTE: If you select Enable image marking in DfW (General Setup / Image / Image marking) do not select the left top or right bottom options as the image marking text will appear on top of the serial number. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 47. CRANEX Novus e 5. Unit Setup User manual 208898 41 5.2 Image Preview (DIGORA for Windows software only) The Image Preview feature allows an image to be adjusted BEFORE it is saved. The adjustments will be applied to the open image only or to ALL subsequent images. CAUTION: Adjustments made to images CANNOT be undone after the adjustments have been saved. If you wish to “undo” the adjustments retrieve the original image click Retrieve Last Image. 1. PC: In the Novus e Setup window click the Show Image Preview check box. 2. Take an exposure. 3. PC: The Image Preview window will automatically appear. To activate image adjustment, click the Density Adjustment and Sharpen filter check boxes. The Image Quality Controls will become active and the image can be adjusted. CURRENT IMAGE ONLY Click OK to apply the adjustments to the image in the Image Preview window ONLY. CURRENT AND ALL SUBSEQUENT IMAGES Click the Edit Quality Presets button. The Set Image Quality Presets window will appear. The Get from Preview window radio button will be active. Click OK to accept the image adjustments you have made. The Image Preview window will reappear. Click OK to apply adjustments to the current image and ALL subsequent images. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 48. 42 User manual 208898 5. Unit Setup CRANEX Novus e NOTE: If you wish to have the factory default settings click the Factory defaults radio button. The Marking field These tools allow you to add text and numbers to an image. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 49. User manual 208898 43 CRANEX Novus e 6. Troubleshooting and Maintenance 6. Troubleshooting and Maintenance 6.1 Error messages and symbols If the unit is not used correctly or the unit malfunctions an error message or symbol will appear on the unit display. There are three groups of error message: - Error symbols The symbol will clear when the problem is corrected. - H, user errors - E (Error), exposure errors, these occur during exposure. These appear on the error message display. Touch the arrow key to clear the error message and return to the main display. NOTE: If the arrow does not appear on the error message display you will have to wait for the error to clear automatically. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 50. 44 User manual 208898 6. Troubleshooting and Maintenance CRANEX Novus e Error symbols REASON i. The PC connected to the unit is not on. ii. The dental imaging software in the PC is not open. iii. The cable connecting the unit to the PC is disconnected or damaged. iv. The IP address is not set correctly. SOLUTION i. Switch the PC on. ii. Open the dental imaging software. iii. Reconnect the cable. If damaged, contact service. iv. Reconfigure the IP address. REASON The emergency stop button is pressed down in the STOP position. SOLUTION Rotate and release the emergency stop button. The error symbol will clear. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 51. User manual 208898 45 CRANEX Novus e 6. Troubleshooting and Maintenance User errors H1 REASON The exposure button was released during an exposure. SOLUTION Clear the error message and check if the attempted exposure is sufficient for the diagnostic task. If it is not, take a new exposure. If the exposure failed while the exposure button was still being pressed, check the exposure switch by taking a test exposure without patient to see if the exposure button is defective or not. If the same problem occurs again, contact service. System errors E4 REASON Tubehead too hot or too cold. SOLUTION When the error message automatically clears the tubehead has reached the correct operating temperature. In normal conditions this will take about 30 minutes for the tubehead to reach the correct temperature. If the error message does not disappear within a reasonable amount of time, contact service. E5 REASON Line voltage not within limits. SOLUTION If the error message reappears it indicates that the voltage is not within limits. The error message will automatically clear when the voltage returns to the correct level. If the error message keeps on appearing or does not disappear within a reasonable amount of time, contact service. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 52. 46 User manual 208898 6. Troubleshooting and Maintenance CRANEX Novus e E16 REASON Z-motor has overheated. SOLUTION Wait until the Z-motor, driving the unit up and down, has cooled down. The error message clears automatically when the motor has cooled down to the appropriate level. If the error message keeps on appearing or does not disappear within a reasonable amount of time, contact service. E19 REASON Exposure switch stuck down during unit start. SOLUTION Switch the unit off and check that the exposure switch is not stuck in the exposure position. Switch the unit on again. If the message reappears, contact service. Exx (all other E errors except E4, E5, E16 and E19. SOLUTION Clear the error message and try to take an exposure without a patient. If the error message reappears, switch the unit off, wait for half a minute and then switch the unit on again. If the error message reappears contact service. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 53. User manual 208898 47 CRANEX Novus e 6. Troubleshooting and Maintenance 6.2 Care and Maintenance Cleaning and disinfecting the unit Warning Switch the unit off before cleaning it. Surfaces that the patient touches All surfaces and parts that the patient touches or comes into contact with must be disinfected after each patient. Use a disinfectant that is formulated specifically for disinfecting dental equipment and use the disinfectant in accordance with the manufacturer’s instructions. Unit surfaces Use a soft cloth dampened with a mild detergent/ disinfectant to clean unit surface. DO NOT use abrasive cleaning agents or polishes on the unit. Positioning mirror The positioning mirror is made of glass. Use a soft cloth dampened with a mild detergent to clean them. DO NOT use abrasive cleaning agents or polishes on these parts. Touch screen control panel If the surface of the control panel becomes soiled, clean it with absorbent cotton or other soft cloth. Remove any drops of liquid from the control panel surface immediately. Prolonged contact with liquid may cause the surface of the control panel to discolor or spots to appear. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 54. 48 User manual 208898 6. Troubleshooting and Maintenance CRANEX Novus e Correct operation of the unit If any of the unit’s controls, displays or functions fail to operate or do not operate in the way described in this manual, switch the unit off, wait 30 seconds and then switch the unit on again. If the unit still does not operate correctly contact your service technician for help. If you hear the exposure warning tone but the exposure warning light does not come on when an exposure is taken, stop using the unit and contact your service technician for help. If you do not hear the exposure warning tone when an exposure is taken, stop using the unit and contact your service technician for help. Every week check that the power supply cable is in good order (not damaged in any way) and that the unit operates correctly in accordance with the instructions in this manual. Make sure that the unit cannot be driven up/down when the emergency stop button has been pressed down. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 55. User manual 208898 49 CRANEX Novus e 6. Troubleshooting and Maintenance Yearly maintenance Once a year an authorized service technician must carry out a full inspection of the unit. The following tests and checks must be carried out: – a kV/mA test – a beam alignment test – check that the safety ground is connected – check that the positioning lights operate – check that no oil is leaking from the tube head – check that the power lead is not damaged in any way. – check that all covers and mechanical parts are correctly secured and have not come loose. – check that any vents in the covers are not blocked with dust and that no dust has accumulated inside the unit. A full description of all the tests and checks is described in the Service Manual. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 56. 7. Quality Assurance CRANEX Novus e 50 User manual 208898 7. Quality Assurance Additional Quality Assurance (QA) exposures can be taken after installation and periodically to ensure that the image quality remains stabile. The QA exposures can be taken using a special QA program. To take QA images you need an additional Cu (Copper) filter, Digital Test Tool (Prüfkörper test tool) and Ball and Pin phantom that need to be ordered separately. There are different thicknesses of the Cu-filters, select the correct one depending on the national requirements. The unit provides two different QA program selections (QA1 and QA2): - QA1 is intended for use with 0,8mm thick Cu filter (in accordance to IEC61223-3-4) - QA2 is intended for use with 1.8mm thick Cu filter. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 57. CRANEX Novus e 7. Quality Assurance User manual 208898 51 Taking a QA exposure: 1. PC: Prepare the unit for an exposure. 2. Attach the Ball and Pin Phantom to the chin support. 3. Then attach the Digital Test Tool (Prüfkörper test tool) to the Ball and Pin Phantom. 4. Attach the additional filter (Cu filter) to the center of the tube head cover, so that it’s over the filtration label. The filter has suction cups. 4. Touch the service key on the main control panel of the unit to open the configuration screen. 5. Select QA. Additional Filter Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 58. 7. Quality Assurance CRANEX Novus e 52 User manual 208898 6. The QA program screen appears. Here the user can select from two preset programs which to use for the QA exposure. QA 1 for use with 0,8mm thick Cu filter QA 2 for use with 1,8mm thick Cu filter 7. Select the QA program to be used 8. Move at least two metres away from the unit and protect yourself from radiation. 9. Press and hold down the exposure button for the duration of the exposure. The exposure starts when you hear the exposure warning signal and the exposure warning indicator (control panel) and light (side of the unit) come on. The rotating unit will rotate around the test phantom and take the exposure. When the exposure warning signal and rotating unit stop, the exposure has been taken. 10. PC: After the exposure has been taken a progress bar will appear. This indicates that the image is being transferred to the PC. 11. Press the Return key to drive the unit to the PIO position. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 59. CRANEX Novus e 7. Quality Assurance User manual 208898 53 12. PC: Visually evaluate the result using the dental imaging software. Subjects to be evaluated: 1. Exposed area; Smoothness of the exposed area. Non-exposed area surrounds the whole image. 2. Line Pair Resolution; minimum 2.5 LP/mm must be distinguishable. 3. Low contrast resolution; Minimum two low contrast resolution holes must be visible. NOTE: Some adjustments may be required to be made to the default image processing settings in the dental imaging software, when evaluating the QA image. Write down the used settings, so that the same settings can be used when taking the control images later on. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 60. 7. Quality Assurance CRANEX Novus e 54 User manual 208898 NOTE: When using the 0.8 mm copper filter the expected Line Pair resolution achievable with the unit is 3.1 LP/mm or better, with all four low contrast resolution holes distinguishable. The line pair and low contrast resolutions actually distinguishable from the image depend, not only on the unit capabilities, but also on other parts of the system, for example the dental imaging software and the display monitor being used. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 61. User’s manual 208898 55 Cranex Novus e 8. Warnings and precautions 8. Warnings and precautions 8.1 General warnings • The unit must only be used to take the dental x-ray exposures described in this manual. The unit must NOT be used to take any other x-ray exposures. It is not safe to use the unit to take an x-ray exposure that the unit is not designed to take. • The unit must only be used by personnel qualified and experienced in the use and operation of digital panoramic dental x-ray devices. • If this device will be used with 3rd party imaging application software not supplied by Soredex, the 3rd party imaging application software must comply with all local laws on patient information software. This includes, for example, the Medical Device Directive 93/42/ EEC and/or FDA if applicable. • Do not connect any device to the unit that has not been supplied with the unit or that is not recommended by Soredex. • The unit or its parts must not be changed or modified in any way without approval and instructions from Soredex. • The unit should not be used adjacent to or stacked with other equipment. • This unit can interfere with other devices due to its EMC characteristics and other devices can interfere with this unit due to their EMC characteristics. Refer to the EMC Declaration (A4) in Appendix A for more information. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 62. 56 User’s manual 208898 8. Warnings and precautions Cranex Novus e 8.2 User / patient warnings • The unit may be dangerous to the user and the patient, if the safety regulations in this manual are ignored, if the unit is not used in the way described in this manual and/or if the user does not know how to use the unit. • Because the x-ray limitations and safety regulations change from time to time, it is the responsibility of the user to make sure that all the valid safety regulations are fulfilled. • It is the responsibility of the user to decide if the x-ray exposure is necessary. • Always use the lowest suitable x-ray dose to obtain the desired level of image quality. • Always use suitable hygienic barriers on parts of the unit that the patient has contact with. • Always evaluate the condition of the patient’s dentition before using the biteable positioners. • Avoid taking x-ray exposures of pregnant women. • If the patient is using a pacemaker, consult the manufacturer of the pacemaker to confirm that the x-ray unit will not interfere with the operation of the pacemaker before taking an exposure. • The user of the unit must stand at least two meters away from the unit AND protect him/ herself from radiation when taking exposures. It is recommended that a moveable radiation protection screen is used to protect the user. The radiation protection screen should be located so that the user is able to see the control panel and patient from behind the radiation protection screen (the protected area or control zone). The radiation protection screen must be large Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 63. User’s manual 208898 57 Cranex Novus e 8. Warnings and precautions enough to fully protect the user from radiation. The radiation protection area must be at least 60 cm wide, 60 cm deep and 200 cm high. The radiation protection screen must include lead shielding with a minimum thickness 0.5 mm and the screen must conform to all national regulations concerning radiation shielding of dental/medical devices. • The user must be able to see and hear the patient during an exposure. • The user must be positioned so that he/she can see the exposure warning light/indicator and hear the audio exposure warning signal during the exposure. If the unit is installed in such a place where the exposure warning light/ indicator cannot be seen or the audio exposure warning signal cannot be heard, then a separate exposure warning light/indicator device should be used. Please contact your local service for help. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 64. 58 User’s manual 208898 8. Warnings and precautions Cranex Novus e • Disinfect all the surfaces that the patient is in contact with after every patient. • If the unit does not appear to be working correctly, switch the unit off and release the patient. Make sure that the unit operates correctly before you continue using it. If you are not sure whether the unit is operating correctly, please contact your local service for help. • If the unit will not be used for a long time, switch the unit off in order to prevent unauthorized people using the unit. • Do not use the unit if any of its covers, parts or cables are damaged, loose or have been removed. Contact a service person approved by Soredex and get them to repair or replace any damaged, loose or removed covers, parts or cables before reusing the unit. • When touching the patient do not touch any electrical or Ethernet connectors at the same time. • Do not touch or operate the unit if the unit is being serviced or if the covers have been removed for any reason. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 65. User’s manual 208898 59 CRANEX Novus e 9. Disposal 9. Disposal At the end of useful service life of the device, its spare parts, its replacement parts and its accessories make sure that you follow all local, national and international regulations regarding the correct and safe disposal and/or recycling of the device, its spare parts, its replacement parts and its accessories. The device, its spare parts, its replacement parts and its accessories may include parts that are made of or include materials that are non-environmentally friendly or hazardous. These parts must be disposed of in accordance with all local, national and international regulations regarding the disposal of non-environmentally friendly or hazardous materials. Hazardous materials and parts that are made of or contain these materials: LEAD: Tubehead housing, collimator, CCD sensor, circuit boards. TUBEHEAD OIL Inside tubehead CAESIUM IODIDE (CsI) CCD sensor For more information on these parts contact your dealer. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 66. A-1 CRANEX Novus e Appendix A. Technical Information Appendix A. Technical Information A.1 Technical specifications Type CRA-2 Classification Complies with - IEC 60601-1 - IEC 60601-1-2 - IEC 60601-1-3 - IEC 60601-1-4 - IEC 60601-2-7 - IEC 60601-2-28 - IEC 60601-2-32 - UL 60601-1 Conforms with the regulations of DHHS Radiation Performance Standard, 21CFR Subchapter J. Safety according to IEC 60601-1 Protection against electric shock - Class 1 Degree of protection - Type B applied with no conductive connection to the patient Protection against the ingress of liquids - IP 20 Disinfection methods: - Mild soapy water (non-abrasive) - Non-alcohol based disinfectant for the chin rest - Disposable plastic covers for bite piece, chin rest and lip support For use in environments where no flammable anaesthetics nor flammable cleaning agents are present Mode of operation - continuous operation/intermittent loading Unit description A dental panoramic x-ray unit with a high frequency switching mode x-ray generator. The unit takes panoramic exposures. The unit uses a CCD sensor as an image receptor. Generator TUBE Toshiba D-052 SB or D-054 SB or CEI 105/5 TUBEHEAD HOUSING ASSEMBLY THA-M-X (Where X is the version) FOCAL SPOT 0.5 mm (IEC 60336/2005) Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 67. A-2 Appendix A. Technical Information CRANEX Novus e FOCAL SPOT ACCURACY The accuracy is 10 mm from the marking on the tubehead cover TARGET ANGLE 5º TARGET MATERIAL Tungsten NOMINAL X-RAY TUBE VOLTAGE WITH THE HIGHEST X-RAY TUBE CURRENT 100 V~ 77 kV at 8 mA 120 V~ 77 kV at 10 mA 220-240 V~ 77 kV at 10 mA X-RAY TUBE VOLTAGE tolerance is ± 4 kV HIGHEST X-RAY TUBE CURRENT WITH THE HIGHEST X-RAY TUBE VOLTAGE 100 V~ 8 mA at 77 kV 120 V~ 10 mA at 77 kV 220-240 V~ 10 mA at 77 kV X-RAY TUBE CURRENT tolerance is ± 1 mA NOMINAL ANODE INPUT POWER AND NOMINAL ELECTRIC POWER 100 V~ 616 W at 77 kV, 8 mA, 9 s 120 V~ 770 W nominal at 77 kV, 10 mA, 9 s 220-240 V~ 770 W nominal at 77 kV, 10 mA, 9 s X-RAY TUBE VOLTAGE STEPS 100 V~ 63, 66, 70, 73 and 77 kV 120 V~ 63, 66, 70, 73 and 77 kV 220-240 V~ 63, 66, 70, 73 and 77 kV X-RAY TUBE VOLTAGE tolerance is ± 4 kV X-RAY TUBE CURRENT 100 V~ 8 mA 120 V~ 10 mA 220-240 V~ 10 mA X-RAY TUBE CURRENT tolerance is ± 1 mA Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 68. A-3 CRANEX Novus e Appendix A. Technical Information FILTRATION Inherent filtration minimum 0.6 mm Al at 50 kV (IEC 60522/1999) Additional filtration minimum 2 mm Al Patient support attenuation equivalent less than 0.2 mm Al Attenuation equivalent of plastic cover, approximately 0.25 mm Al Total filtration minimum 2.6 mm Al at 77 kV BEAM QUALITY HVL over 2.77 mm Al at 73 kV DAP (Dose Area Product) accuracy of displayed value better than 25% PRIMARY PROTECTIVE SHIELDING Minimum 0.5 mm Pb or equivalent OUTER SHELL TEMPERATURE +50ºC (122ºF) maximum DUTY CYCLE 1:7, at maximum technique factors. (Example: an 77 kV, 10 mA, 9 s exposure will have a 65 s cool-down period) Power requirements OPERATING LINE VOLTAGE 100 - 120 V~ or 220 - 240 V~, 50/60Hz INPUT POWER Standby: 26 W, maximum: 1100 W MAXIMUM LINE IMPEDANCE Apparent resistance of supply mains 0.5 ohm MAXIMUM LINE FUSING 100 - 120 V~ 16A 220 - 240 V~ 10 A MAIN FUSE T-10A-H-250V LINE SAFETY SWITCH (when required) 100 - 120 V~ Approved type, min. 16 A 250 V~ 220 - 240 V~ Approved type, min. 10 A 250 V~ Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 69. A-4 Appendix A. Technical Information CRANEX Novus e EARTH LEAKAGE CIRCUIT BREAKER (when required) 100 - 120 V~ Approved type, min. 16 A 250 V~ 220 - 240 V~ Approved type, min. 10 A 250 V~, breaker activation leakage current in accordance with local regulations. Mechanical parameters PANORAMIC Source to Image layer Distance (SID) 500 mm (±10 mm) Magnification factor 1.25 Focus to skin distance, minimum 154 mm WEIGHT 120 kg DIMENSIONS (H x W x D) 2316 x 865 x 1085 mm VERTICAL HEIGHT OF CHIN REST 950 - 1750 mm (± 10 mm) Digital image receptor (CCD) PIXEL SIZE 96 microns ACTIVE SENSOR SURFACE 147.5 x 6.1 mm Timer EXPOSURE TIMES Adult 9.0 s Child 8.0 s Bitewing 2.3 + 2.3 s TMJ 1.9 + 1.9 s Sectional 1.9 - 9.0 s Accuracy for the displayed exposure times ± 15% SINGLE LOAD RATING 100 V~ 77 kV, 8 mA, 9 s, panoramic 120 V~ 77 kV, 10 mA, 9 s, panoramic 220-240 V~ 77 kV, 10 mA, 9 s, panoramic BACK-UP TIMER 15 - 17 s (±15%) Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 70. A-5 CRANEX Novus e Appendix A. Technical Information Leakage technique factors PANORAMIC 100V~: 4564 mAs/h, exposure with maximum values (77 kV, 8 mA, 9 s) according to the 1:5 duty cycle 120V~: 4713 mAs/h, exposure with maximum values (77 kV, 10 mA, 9 s) according to the 1:7 duty cycle 220-240V~: 4713 mAs/h, exposure with maximum values (77 kV, 10 mA, 9 s) according to the 1:7 duty cycle Measurement bases The kV is measured by monitoring differentially the current flowing through 450 Mohm, 1% feedback resistor connected between the tube anode and ground. The mA is measured by monitoring current in the HT return line, which equals the tube current. Collimator TYPE BLD-M-1 PRIMARY SLIT Adult panoramic slit only. For child panoramic the exposure time is reduced to give a reduced length image. PRIMARY SLIT SIZE 0.7 - 0.75 x 38 mm Z-motor DUTY-CYCLE Intermediate use: 6.25%, 25s ON, 400s OFF Environmental data OPERATING Ambient temperature from +10ºC to +40ºC Relative humidity 10 - 90%, no condensation STORAGE/TRANSPORTATION Ambient temperature from -20ºC to +50ºC Relative humidity 5 - 85% no condensation Atmospheric pressure 500 - 1080 mbar Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 71. A-6 Appendix A. Technical Information CRANEX Novus e System requirements and connections - The PC and any other external device(s) connected to the system must meet the IEC 60950 standard (minimum requirements). Devices that do not meet the IEC 60950 standard must not be connected to the system as they may pose a threat to operational safety. - The PC and any other external devices must be connected in accordance with IEC 60601-1-1. - The x-ray unit must be connected to it’s own separate power supply. The PC and any other external devices must NOT be connected to the same power supply as the x-ray unit. - Position the PC and any other external device at least 1.85 m (73”) from the x-ray unit so that the patient cannot touch the PC or any other external device while being x-rayed. - The PC and any other external devices shall not be connected to an extension cable. - Multiple extension cables shall not be used. - Do not position the PC where it could be splashed with liquids. - Clean the PC in accordance with the manufacturer’s instructions. X-ray system - to IEC 60601-1-1 Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 72. A-7 CRANEX Novus e Appendix A. Technical Information Tube housing assembly cooling/heating characteristics Tube rating chart Toshiba D-052 SB Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 73. A-8 Appendix A. Technical Information CRANEX Novus e Anode thermal characteristics Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 74. A-9 CRANEX Novus e Appendix A. Technical Information A.2 Unit dimensions 865 mm (34”) 865 mm (34”) 1085 mm (43”) 1085 mm (43”) 150 mm (6”) 150 mm (6”) Standard column leg 2315 mm Short column leg 2225 mm (91.1”) (87.6”) Standard column leg 2315 mm Short column leg 2225 mm (91.1”) (87.6”) Standard column leg 950 - 1750 mm Short column leg 860 - 1660 mm (37.4 - 68.9”) (33.9 - 65.4”) Standard column leg 950 - 1750 mm Short column leg 860 - 1660 mm (37.4 - 68.9”) (33.9 - 65.4”) The height of the unit on the exhibition stand is the same as the height of the unit with the standard column leg 2315 mm (91.1”) 2315 mm (91.1”) 790 mm (31”) 790 mm (31”) 790 mm (31”) Exhibition stand Exhibition stand Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 75. A-10 Appendix A. Technical Information CRANEX Novus e A.3 Symbols that may appear on the unit Radiation warning (yellow label) Dangerous voltage On or enabled Off or disabled Exposure switch Connector for Ethernet RJ45 Connector for exposure switch Connector for external exposure light Attention, consult accompanying documents Consult instructions for use Electrostatic discharge (ESD) warning symbol (yellow label) Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 76. A-11 CRANEX Novus e Appendix A. Technical Information Ground (functional) Protective ground Warning, Laser radiation (yellow label) Laser class label (Patient positioning lights) This symbol indicates that the waste of electrical and electronic equipment must not be disposed of as unsorted municipal waste and must be collected separately. Please contact an authorized representative of the manufacturer for information concerning the decommissioning of your equipment. Type B equipment CE (0537) symbol MDD 93/42/EEC ETL symbol GOST-R symbol Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 77. A-12 Appendix A. Technical Information CRANEX Novus e A.4 EMC declaration for CRANEX Novus e (CRA-2) CRA-2 Guidance and manufacturer’s declaration – electromagnetic emissions The device is intended for use in the electromagnetic environment specified below. The customer or the user of the device should assure that it is used in such an environment. Emissions test Compliance Electromagnetic environment - guidance RF emissions CISPR 11 Group 1 The device uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment. RF emissions CISPR 11 Class B The device is suitable for use in all establishments, including domestic establishments and those directly connected to the public low-voltage power supply network that supplies buildings used for domestic purposes. Harmonic emissions IEC 61000-3-2 Class A Voltage fluctuations/ flicker emissions IEC 61000-3-3 Complies Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 78. A-13 CRANEX Novus e Appendix A. Technical Information CRA-2 Guidance and manufacturer’s declaration – electromagnetic immunity The device is intended for use in the electromagnetic environment specified below. The customer or the user of the device should assure that it is used in such an environment. Immunity test IEC 60601 test level Compliance level Electromagnetic environment - guidance Electrostatic discharge (ESD) IEC 61000-4-2 r6 kV contact r8 kV air r6 kV contact r8 kV air Floors should be wood, concrete or ceramic tile. If floors are covered with synthetic material, the relative humidity should be at least 30 %. Electrical fast transients/bursts IEC 61000-4-4 r2 kV for power supply lines r1 kV for input/output lines r2 kV for power supply lines r1 kV for input/output lines Mains power quality should be that of a typical commercial or hospital environment. Surge IEC 61000-4-5 r1 kV differential mode r2 kV common mode r1 kV differential mode r2 kV common mode Mains power quality should be that of a typical commercial or hospital environment. Voltage dips, short interruptions and voltage variations on power supply lines IEC 61000-4-11 <5 % UT (>95 % dip in UT) for 0.5 cycle 40 % UT (60 % dip in UT) for 5 cycles 70 % UT (30 % dip in UT) for 25 cycles <5 % UT (>95 % dip in UT) for 5 sec <5 % UT (>95 % dip in UT) for 0.5 cycle 40 % UT (60 % dip in UT) for 5 cycles 70 % UT (30 % dip in UT) for 25 cycles <5 % UT (>95 % dip in UT) for 5 sec Mains power quality should be that of a typical commercial or hospital environment. If user of the device requires continued operation during power mains interruptions, it is recommended that the device be powered from an uninterruptible power supply or a battery. Power frequency (50/60 Hz) magnetic field IEC 61000-4-8 3 A/m 3 A/m Power frequency magnetic field should be at levels characteristic of a typical location in a typical commercial or hospital environment. NOTE UT is the a.c. mains voltage prior to application of the test level. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 79. A-14 Appendix A. Technical Information CRANEX Novus e CRA-2 Guidance and manufacturer’s declaration – electromagnetic immunity The device is intended for use in the electromagnetic environment specified below. The customer or the user of the device should assure that it is used in such an environment. Immunity test IEC 60601 test level Compliance level Electromagnetic environment - guidance Conducted RF IEC 61000- 4-6 Radiated RF IEC 61000- 4-3 3 Vrms 150 kHz to 80 MHz 3 V/m 80 MHz to 2.5 GHz 3 V 3 V/m Portable and mobile RF communications equipment should be used no closer to any part of the device, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter. Recommended separation distance d = 1.2 P d = 1.2 P 80 MHz to 800 MHz d = 2.3 P 800 MHz to 2.5 GHz where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer and d is the recom- mended separation distance in metres (m). Field strengths from fixed RF transmitters, as determined by an electromagnetic site survey a , should be less than the compliance level in each frequency range b . Interference may occur in the vicinity of equipment marked with the following symbol: NOTE 1 At 80 MHz and 800 MHz, the higher frequency range applies. NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. a Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicated theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the device is used exceeds the applicable RF compliance level above, the device should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating the device. b Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.
  • 80. A-15 CRANEX Novus e Appendix A. Technical Information CRA-2 Recommended separation distances between portable and mobile RF communications equipment and the device. The device is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the device can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the device as recommended below, according to the maximum output power of the communications equipment. Rated maximum output power of transmitter W Separation distance according to frequency of transmitter m 150 kHz to 80 MHz d = 1.2 P 80 MHz to 800 MHz d = 1.2 P 800 MHz to 2.5 GHz d = 2.3 P 0.01 0.12 0.12 0.23 0.1 0.38 0.38 0.73 1 1.2 1.2 2.3 10 3.8 3.8 7.3 100 12 12 23 For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer. NOTE 1. At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies. NOTE 2. These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. Approved: Ukkonen Juha-Pekka 2015-03-13 13:08 Reviewed: Savinen Antti Juhani 2015-03-12 11:32 Approved See PDM system to determine the status of this document. Printed out: 2016-01-27 12:19:26 D508980, 4 Copyright © 2015 by PaloDEx Group Oy. All rights reserved.