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ENDOGRAPH DC 0051

User's Manual

Version December 21, 2012 (Rev. 0)


USER'S MANUAL
Revision history

Revision history Manual code 69599002


6959900203

Rev. Date Page Description of the changes

0 21.12.2012 - Document approval

(Rev. 0) ENDOGRAPH DC
USER'S MANUAL
Revision history

THIS PAGE IS INTENTIONALLY LEFT BLANK

ENDOGRAPH DC (Rev. 0)
USER'S MANUAL
Contents

Contents
1. INTRODUCTION 1
1.1 Icons appearing in the manual ............................................................... 1

2. SAFETY INFORMATION 2
2.1 Warnings ................................................................................................ 3
2.1.1 Electromagnetic emissions................................................................... 4
2.1.2 Electromagnetic immunity................................................................... 5
2.1.3 Recommended separation distances to portable and
mobile radio equipment ....................................................................... 7
2.2 Protection against radiation.................................................................... 8
2.3 Environmental risks and displacement................................................... 9
2.4 Symbols used ....................................................................................... 10

3. CLEANING AND DISINFECTION 11

4. DESCRIPTION 12
4.1 Identification plates .............................................................................. 12
4.2 Functions, models and versions ........................................................... 14
4.2.1 High Frequency (HF) Generator.......................................................... 15
4.2.2 Extension arm and scissors arm ........................................................ 15
4.2.3 Tube-head......................................................................................... 16
4.2.4 Timer ................................................................................................ 16
4.3 Configurations...................................................................................... 17
4.3.1 Standard configuration...................................................................... 17
4.3.2 Remote timer configuration ............................................................... 18
4.3.3 Mobile stand configuration ................................................................ 19
4.3.4 Configuration with remote X-ray button............................................. 20
4.3.5 Configuration with wireless X-ray button ........................................... 21

5. TECHNICAL DATA 22
5.1 Method for measuring the technical factors.......................................... 25
5.2 Tube characteristic curves.................................................................... 26
5.3 Reference standards ............................................................................. 28
5.4 Dimensions .......................................................................................... 29

6. GENERAL INSTRUCTIONS FOR USE 30


6.1 Control panel - Description and functions ............................................ 30
6.1.1 "Tooth anatomic selection" key........................................................... 32
6.1.2 “Increase/Decrease” key .................................................................... 32
6.1.3 "Select Size" key ................................................................................ 33
6.1.4 “Function” key (selection of receptor, cone presence and kV value)...... 34

(Rev. 0) i ENDOGRAPH DC
USER'S MANUAL
Contents

7. SYSTEM USE 36
7.1 Switching on the device ........................................................................ 36
7.2 Programmed/Manual exposure ............................................................ 37
7.2.1 Performing a programmed exposure................................................... 38
7.2.2 Performing a manual exposure .......................................................... 40
7.3 Storing customised times ..................................................................... 41
7.4 Preparing the tube-head ....................................................................... 42
7.5 Exposure techniques ............................................................................ 46
7.5.1 Bisector technique ............................................................................ 46
7.5.2 Parallel technique ............................................................................. 48
7.6 Exposure with the supplied X-ray button ............................................. 49
7.7 Exposure with the wireless X-ray button (optional) .............................. 50
7.7.1 Indication of the battery charge status and replacement. ................... 51
7.7.2 Combination procedure between the remote control and timer ........... 51
7.8 Display of the number of exposures made ............................................ 52

8. ERROR MESSAGES ON THE DISPLAY 53


8.1 Fatal errors upon power-up and in the ready, idle and
cooling statuses.................................................................................... 53
8.2 Fatal errors during X-ray emission ....................................................... 54
8.3 NON fatal errors.................................................................................... 55

9. CONTROL AND CORRECTION OF ANY ERRORS IN THE


DENTAL X-RAYS 56
9.1 Typical defects of intra-oral X-rays ....................................................... 56
9.2 Typical defects caused by incorrect positioning .................................... 58

10. MAINTENANCE 59

No part of this publication may be reproduced, transmitted, transcribed or


translated without the prior written consent of the manufacturer.
This manual is the English translation of the original Italian manual version.

ENDOGRAPH DC (Rev. 0)
USER'S MANUAL
Introduction

1. INTRODUCTION

NOTE:
This manual is updated for the product it is sold with, in order to
guarantee an adequate reference to use the product properly and safely.
The manual may not reflect changes to the product that do not affect
operating modes or safety.

The Endograph DC intra-oral X-ray unit takes high quality intra-oral X-


rays thanks to reduced exposure times and the small dimensions of the
focus spot.
Endograph DC is intended exclusively for intra-oral X-rays.
System operation is managed by a microprocessor, which permits high
reproducibility of the exposure times.
The system consists of the following parts:
• timer: Endograph DC complete with the wall support
• extension arm (30cm, 60 cm or 80cm for the wall version)
• Scissors arm (DP)
• Tube-head (60-65-70) kV ; 6 mA
The aim of this manual is to instruct the user on the safe and effective
use of the device.
The device must be used in compliance with the procedures described,
and never be used for purposes different from those herewith indicated.

1.1 Icons appearing in the manual


manual

This icon indicates a NOTE: please read the items marked by this icon
thoroughly.

This icon indicates a WARNING: the items marked by this icon refer to
the safety aspects of the patient and/or the operator.

(Rev. 0) 1 ENDOGRAPH DC
USER'S MANUAL
Safety information

2. SAFETY INFORMATION

WARNING:
Please read this chapter thoroughly.

VILLA SISTEMI MEDICALI designs and builds the devices in compliance


with the safety requirements; furthermore it supplies all information
necessary for correct use, and the warnings related to danger associated
with X-ray generating units.
The manufacturer cannot be held responsible for:
• use of Endograph DC equipment different from the purpose for
which it was originally designed,
• damage to the unit, the operator or the patient, caused both by
incorrect installation and maintenance procedures different from
those described in this user and service manuals supplied with the
unit, and by wrong operations,
• mechanical and/or electrical modifications performed during and
after the installation, different from those described in the service
manual.

Only personnel authorised by the manufacturer may carry out


technical operations on the unit.
Only authorised personnel can remove the tube-head from its
support and/or access the components under tension.

ENDOGRAPH DC 2 (Rev. 0)
USER'S MANUAL
Safety information

2.1 Warnings

The device must be used in compliance with the procedures described


and never be used for purposes different from those herewith indicated.

Before performing any maintenance operation, disconnect the unit from


the power supply using the provided circuit breaker.

Endograph DC is an electro-medical device and therefore it can be used


only under the supervision of suitably qualified medical personnel, with
the necessary knowledge on X-ray protection.

The user is responsible for the fulfilment of the legal requirements


regulating the ownership, installation and use of the equipment itself.

Endograph DC has been built to support continuous operation at


intermittent load; therefore please follow the described use cycles.

Wherever necessary, use the appropriate accessories, such as the leaded


aprons, to protect the patient from radiation.

Endograph DC must be turned off when using electrosurgical devices or


similar equipment near the unit.

This device has not been designed to be used in environments where


anaesthetic mixtures flammable with air, oxygen or nitrous oxide can be
detected.

In order to prevent risks of short-circuit and corrosion, avoid the entry of


water or other liquids in the equipment.

The parts of the unit that can come into contact with the patient must be
cleaned regularly according to the instructions provided below in this
document.

WARNING:
For safety reasons, it is prohibited to abnormally overload the extension
arm or the scissors arm, for example by leaning on it.

(Rev. 0) 3 ENDOGRAPH DC
USER'S MANUAL
Safety information

2.1.1 Electromagnetic emissions


emissions

In accordance with the IEC 60601-1-2 standard, Endograph DC is


suitable for use in the electromagnetic environment specified below.
The customer or user of the system must ensure that it is used in the
said environment.

Emissions test Conformity EMC environment of use


RF emissions Class B Endograph DC is suitable for use in all
domestic environments and in
CISPR 11 environments directly connected to the
mains power supply at low voltage that
supplies buildings for domestic use.
Group I Endograph DC uses RF power only for its
internal functioning. As a result, its RF
emissions are very low and most likely
will not cause any interference in
electronic devices located nearby.
Harmonic emissions Class A
IEC 61000-3-2
Flicker/voltage In
fluctuation emissions compliance
IEC 61000-3-3

ENDOGRAPH DC 4 (Rev. 0)
USER'S MANUAL
Safety information

2.1.2 Electromagnetic immunity

In accordance with the IEC 60601-1-2 standard, Endograph DC is


suitable for use in the electromagnetic environment described below.
The customer or user of the system must ensure that it is used in the
said environment.

Test level EMC environment


Immunity test Compliance level
IEC 60601-1-2 of use
Electrostatic ± 6 kV contact ± 6 kV contact The flooring must be
discharges (ESD) ± 8 kV in air ± 8 kV in air must be wood, concrete
IEC 61000-4-2 or ceramic tile. If the
flooring is covered with
synthetic material, the
relative humidity must
be at least 30%.
Transients/sequence ± 2 kV for power ± 2 kV for power The quality of the mains
of rapid electric supply lines supply lines voltage must be the
impulses same as a typical
IEC 61000-4-4 ± 1 kV for ± 1 kV for commercial or hospital
input/output lines input/output lines environment.
Overvoltages ± 1 kV between ± 1 kV between The quality of the mains
IEC 61000-4-5 phases phases voltage must be the
same as a typical
± 2 kV between phase ± 2 kV between phase commercial or hospital
and earth and earth environment.
Voltage dips, short 0 % Ut for 0.5 cycles 0 % Ut for 0.5 cycles The quality of the mains
breaks and voltage 40 % Ut for 5 cycles 40 % Ut for 5 cycles voltage must be the
variations of the 70 % Ut for 25 cycles 70 % Ut for 25 cycles same as a typical
power supply feed 0 % Ut for 5 s 0 % Ut for 5 s commercial or hospital
line IEC 61000-4-11 environment. If the
Endograph DC user
requires continuous
operation during
interruptions in the
mains voltage, it is
recommended to power
the Endograph DC with
an uninterrupted power
supply or batteries.
Magnetic field at the 3 A/m 3 A/m The levels of the
main frequency magnetic fields at mains
(50/60 Hz) frequency must be the
IEC 61000-4-8 same as a typical
commercial or hospital
environment.
Note: Ut is the a.c. mains voltage prior to the application of the test level.

(Rev. 0) 5 ENDOGRAPH DC
USER'S MANUAL
Safety information

Test level Compliance


Immunity test EMC environment of use
IEC 60601-1-2 level
The RF portable and mobile
communications units should not be
used closer to any part of the
Endograph DC, including cables, than
the recommended separation distance
calculated from the equation
applicable to the frequency of the
transmitter.
Recommended separation distance:
Radiated RF 3 V/m 3 V/m d = 1.2 x √ P from 80 MHz to
IEC 61000-4-3 from 80 MHz to 800 MHz
2.5 GHz
d = 2.3 x √ P from 800 MHz to
2.5 GHz
Conducted RF 3V 3V d = 1.2 x √ P
IEC 61000-4-6 from 150 kHz to
80 MHz
where "P" is the maximum rated
output of the transmitter in watts (W)
according to the transmitter
manufacturer and "d" is the
recommended separation distance in
meters (m).
The field strength of the fixed RF
transmitters, determined by an on-site
electromagnetic survey, should be
lower than the compliance level in
each frequency range.
Interference may be verified near
devices marked with the following
symbol:

ENDOGRAPH DC 6 (Rev. 0)
USER'S MANUAL
Safety information

2.1.3 Recommended separation distances to portable and


mobile radio equipment

Endograph DC is designed to operate in an electromagnetic environment


in which radiated RF disturbances are controlled.
The customer or user of the system can help prevent electromagnetic
interference by ensuring a minimum distance between mobile and
portable RF communication devices (transmitters) and Endograph DC as
recommended in the following table in relation to the maximum output
power of the radio devices.

Separation distance according to the frequency of the transmitter


Maximum rated (m)
output power of from 150kHz to from 80MHz to from 800MHz to
the transmitter (W) 80MHz 800MHz 2.5GHz
d = 1.2 x √ P d = 1.2 x √ P d = 2.3 x √ 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 maximum rated output not shown in the table, the recommended
separation distance "d" in meters (m), can be calculated using the equation applicable to
the frequency of the transmitter, where "P" is the highest rated output of the transmitter in
watts (W) according to the manufacturer of the transmitter.
Note 1: at 80 MHz and 800 MHz, apply the separation distance for the higher frequency
interval.
Note 2: these guidelines may not apply to all situations. Electromagnetic propagation
depends on the absorption and reflection of structures, objects and people.

(Rev. 0) 7 ENDOGRAPH DC
USER'S MANUAL
Safety information

2.2 Protection against radiation


radiation

Although the dose supplied by modern X-ray units is quite low, the
operator must adopt the precautions and/or suitable protection for the
patient and himself according to current regulations, during the
execution of radiography.

WARNING:
Protection against radiation is regulated according to law. The equipment
may only be used by specialised personnel.

a) The film (or the digital sensor) must be placed in the patient's mouth
either manually or using the specific supports, and must be held in
position by the patient if necessary.
b) During exposure to the rays, the operator must not be in contact
with the tube-head or the collimator cone.
c) During exposure, the operator must maintain a certain distance from
the source of the rays (at least 2 metres) in the opposite direction of
the emission.
d) During exposure, only the operator and the patient may be present
in the room.
e) Use the specific leaded aprons to reduce the undesired effect of
secondary radiations for the patient.

ENDOGRAPH DC 8 (Rev. 0)
USER'S MANUAL
Safety information

2.3 Environmental risks and displacement


displacement

Some of the device's components contain material and liquids that, at


the end of the equipment life-cycle, must be disposed of at the recycling
centres appointed by the local health units.

In particular, the device contains the following materials and/or


components:
• Tube-head: non biodegradable plastic materials, glass, dielectric oil,
lead, tungsten, aluminium, copper.
• Other parts of the device: non biodegradable plastic materials,
metal materials, printed circuits, iron-plastic materials.

INFORMATION TO USERS IN THE EUROPEAN COMMUNITY:


According to art. 13 of Legislative Decree 25th July 2005, nr. 151
"Implementation of Directives 2002/95/EC, 2002/96/EC, and
2003/108/EC, regulating the reduction of the use of hazardous
substances in electrical and electronic equipment, as well as the
waste disposal"

The symbol with the waste bin crossed on the equipment or its
packaging, indicates that the product must be separately collected from
other waste at the end of its life.
The separate collection of the present equipment that has reached the
end of its life is organised and managed by the manufacturer. The user
who wishes to dispose of this equipment must contact the manufacturer
and follow their system to enable the separate collection of the
equipment at the end of its life.
Suitable separate waste collection for the subsequent start of the
equipment discarded for recycling, for treatment and for environmentally
friendly disposal, contributes in preventing possible adverse effects on
the environment and health and promotes the reuse and/or recycling of
materials of which the equipment is comprised.
Illegal disposal of the product by the holder implies the application of
administrative sanctions provided by law

(Rev. 0) 9 ENDOGRAPH DC
USER'S MANUAL
Safety information

2.4 Symbols used

In this manual and on the Endograph DC itself, apart from the


symbols indicated on the keypad, also the following icons are used (see
Chapter 6):
Symbol Description

Device with type B applied parts

In some of its parts, the device contains materials and liquids that,
at the end of the lifespan of the unit, must be disposed of at the
appropriate disposal centres

∼ Alternating Current
N Connection point to the neutral conductor
L Connection point to the line conductor

Earth protection

Operation earthing

OFF; device not connected to the mains

 ON; device connected to the mains


Exposure enabling key; the exposure enabled status is indicated by
the switching on of the corresponding green symbol

Ray Emission

Focus spot according to IEC 336

Warning: see the accompanying documentation

Product identification code

Serial number

Date of manufacture (year and month)

Manufacturer's name and address

Filtration

Tube-head

X-ray tube

Conformity to the EC 93/42 Directive and subsequent amendments


0051 and additions (subsequent amendments and additions)

ENDOGRAPH DC 10 (Rev. 0)
USER'S MANUAL
Cleaning and disinfection

3. CLEANING AND DISINFECTION


DISINFECTION
In order to guarantee a good level of hygiene and cleaning, it is necessary
to respect the following procedures:

• Before starting any cleaning operation, disconnect the unit from


the mains using the main line switch that must be foreseen
during the installation phase. This manoeuvre is necessary
because some parts inside the unit are still live even after it was
turned off using the power switch.

• Make sure water or other liquids do not penetrate inside the unit in
order to prevent short circuits or corrosion.

• Never use corrosive or abrasive substances (alcohol, petrol, trichloro-


ethylene) to clean the unit.

External surfaces
Use a soft cloth and for more effective cleaning, use neutral soap and be
careful not to damage the painted surfaces.
During cleaning operations, make sure that the detergent and/or liquids
do not enter inside the unit or remain on the painted surfaces.

Parts in contact with the patient's skin


To ensure the hygiene of these parts, they should be periodically
disinfected with a 2% glutaraldehyde solution.

(Rev. 0) 11 ENDOGRAPH DC
USER'S MANUAL
Description

4. DESCRIPTION

4.1 Identification
Identification plates

ENDOGRAPH DC 12 (Rev. 0)
USER'S MANUAL
Description

1
Endograph DC
plate

2 3 4
Tube-head DP arm Extension arm
plate plate plate

5 6
Collimator 30 cm (optional) Wireless RX button (optional)
plate plate

(Rev. 0) 13 ENDOGRAPH DC
USER'S MANUAL
Description

4.2 Functions, models and


and versions

The Endograph DC intra-oral X-ray unit makes it possible to obtain


consistently high quality X-rays thanks to the reproducibility of the unit
parameters with very short exposure times and a very small focus spot.

The Endograph DC intra-oral X-ray unit is compatible for being


combined with digital image acquisition systems, thereby obtaining the
maximum benefits of today's digital intra-oral radiologic technology. If
you do not currently have a digital system, the use of high-speed film or
film in the EKTRASPEED (Kodak) category is recommended in order to
limit the dose absorbed by the patient. A button on the control keypad is
used to select the operating mode and it is possible to select films with
different speeds (sensitivity), the phosphor sensor, the digital sensor or a
customised user mode "Custom mode".

The Endograph DC X-ray unit has an LCD display with dimensions of


84mm x 45mm (240x128 pixel) which makes it easier for the operator to
perform all operations, guaranteeing the immediate and complete display
of the exposure parameters.

The Endograph DC system can use the optional 30 cm collimator cone


(to be ordered separately with code 61XXXXXX). The "long cone inserted"
selection is signalled by the specific symbol on the display. In this
configuration, the exposure times that were pre-set in the anatomic
selection are automatically increased by a multiplicative factor of 2.

The Endograph DC system includes the following: generator, tube-head


complete with collimator, CPU (or logic) card that controls the system
functions, keypad, extension arm and scissors arm.

WARNING:
The Endograph DC system does not automatically detect the presence of
a cone or other item: the operator is responsible for checking the
congruity between the indication on the display and the actual situation
of use.

ENDOGRAPH DC 14 (Rev. 0)
USER'S MANUAL
Description

4.2.1 High Frequency (HF) Generator

The remote controlled HF generator, together with the tube-head, uses


state-of-the-art microelectronic technology to obtain optimal quality X-
rays while reducing the patient dose of rays. Conventional systems
generally use the intrinsic capacity of the RX generator tube to conduct
the electric current in one direction only. This generates a "train" of RX
impulses. The Endograph DC unit instead uses constant-voltage
technology that generates continuous and stable emission of X-rays.
This reduces the emission of soft rays, guaranteeing the constancy of the
emission parameters, kVp and mA.

The microprocessor-based control ensures constant and repeatable


exposure times; by simply pressing a button it is possible to
automatically select the exposure times based on the size of the patient
and the selected tooth.

4.2.2 Extension arm and scissors arm

This consists of an arm with a double joint, which permits horizontal


and upward extension. The tube-head remains balanced in all positions.

NOTE:
The scissors arm was designed to work correctly with a maximum
opening angle of 160°; therefore, an opening angle of less than 160° is
required for its use.

A horizontal extension arm can also be added, which is available in


different sizes (30 / 60 / 80 cm) to satisfy all requirements.

(Rev. 0) 15 ENDOGRAPH DC
USER'S MANUAL
Description

4.2.3 Tube-
Tube-head

The tube-head makes it possible to select one of three different high


voltage values: 60 / 65 / 70 kVp.
The radiogenic unit is equipped with a collimator with a focus skin
distance of 20 cm and a ray emission diameter of 6 cm at the cone exit.
The tube-head is connected to the arm by a guide, which permits 390°
horizontal rotation and 290° vertical rotation.

4.2.4 Timer

The timer consists of an LCD display (240x128 pixel), two LEDs


(yellow: X-rays in progress– green: ready for X-rays) and 5 buttons
that are used to select from among 3 different patient sizes, 3 types
of sensors (film, phosphor or digital) and 7 different pre-set
anatomical structures (incisor, canine, premolar, lower molar,
upper molar, front bite-wing and rear bite-wing).

There are 36 fixed times available for manual selection which vary
from a minimum of 0.01 seconds up to a maximum of 2 seconds.

The timing is managed in order to guarantee exact precision of the


exposure times.

NOTE:
The configuration can be set using the remote X-ray control outside the
examination room. This consists of a wall support onto which the X-ray
button is connected with an extendable cable.

NOTE:
The unit provides two separate contacts for the possible connection with
external signalling devices. One contact signals the status of the unit as
operative and ready to be used, the second emits the X-rays. The
connection methods and the requirements necessary for the signalling
devices are described in the "Service Manual".

ENDOGRAPH DC 16 (Rev. 0)
USER'S MANUAL
Description

4.3 Configurations

4.3.1 Standard configuration

4
5
1 3

Figure 1

1 Tube-head
2 Scissors arm
3 Extension arm
4 Timer
5 X-ray button

(Rev. 0) 17 ENDOGRAPH DC
USER'S MANUAL
Description

4.3.2 Remote timer configuration

1
4 5

Figure 2

1 Tube-head
2 Scissors arm
3 Extension arm
4 Wall support
5 Remote timer
6 X-ray button

ENDOGRAPH DC 18 (Rev. 0)
USER'S MANUAL
Description

4.3.3 Mobile stand configuration

1 4

Figure 3

1 Tube-head
2 Scissors arm
3 Stand
4 Timer
5 X-ray button

(Rev. 0) 19 ENDOGRAPH DC
USER'S MANUAL
Description

4.3.4 Configuration with remote X-


X-ray button

Figure 4

1 Remote X-ray button (optional)

ENDOGRAPH DC 20 (Rev. 0)
USER'S MANUAL
Description

4.3.5 Configuration with wireless X-


X-ray button

Figure 5

1 Wireless X-ray button (optional)

(Rev. 0) 21 ENDOGRAPH DC
USER'S MANUAL
Technical data

5. TECHNICAL DATA

Technical characteristics

Equipment Endograph DC
Manufacturer VILLA SISTEMI MEDICALI
Buccinasco (MI) Italia
Class Class I with type B applied parts
(according to EN 60601-1
classification)
Protection degree IPX0 standard device
Line voltage 99-264 V∼
Rated voltage 110-240 V∼
Line frequency 50 / 60 Hz
Maximum line current 5.2 A rms impulsive 2.5 A rms impulsive
@ 115 V ∼ @ 230 V ∼
Technical factors for maximum line 70kV, 6mA
current
Absorbed power 583W (584VA) 566W (570VA)
Maximum apparent line resistance 0.4 Ω (99-132 V∼) 0.8 Ω (198-264 V∼)
Mains fuse 6.3 AT
Selectable times from 0.01 to 2.00 s in 36 steps
Automatic selection 882 pre-programmed times (7 anatomic -
3 sizes - 3kV - 2 SID- 3 receptors)
Time accuracy ± 5 % ± 2 ms
High voltage values 60-65-70 kVp selectable
Tubehead current 6 mA
kV accuracy ± 8 % @ rated voltage
Tubehead anodic current accuracy ± 10 % @ rated voltage
Maximum exposure time 2.0 s
Timer size 284×253×123.3 mm

ENDOGRAPH DC 22 (Rev. 0)
USER'S MANUAL
Technical data

Tube-head characteristics

Manufacturer CEI Bologna (Italy)


Rated voltage 60-65-70 kVp (selectable)
Tubehead power 420 W
Total filtration ≥ 2.5 mm Al eq. @ 70 kV
HVL (Half value Layers) > 2 mm Al eq.
Transformer insulation Oil bath
Interval between the exposures / 60 times the X-ray time/
duty cycle 1 : 60
Focus size 0.5 (IEC 336)
Minimum focus to skin distance 20 cm (optional 30 cm cone)
X-ray diameter (@ 20cm focus) ≤ 6 cm (35x45 mm + 25x35 mm +
20x30 mm optional)
Cooling Convection
Leakage radiation at 1 metre < 0.25 mGy/h
Technical factors for leakage radiation 70 kV, 6 mA, 1 s duty cycle
1 exposure every 60 seconds

X-ray tube characteristics

Manufacturer CEI Bologna (Italy)


Type OX/70-5
Inherent filtration 0.5 mm Al equivalent to 70 kV
Anode tilt angle 19°
Anode material Tungsten
Rated voltage 60-65-70 kV (selectable)
Filament max voltage 3.1 V
Filament max current 2A
Anode thermal capacity 7 kJ
Anode cooling capacity (max) 110 W

(Rev. 0) 23 ENDOGRAPH DC
USER'S MANUAL
Technical data

Environmental conditions

Operating temperature range +10°C ÷ +40°C


Relative working humidity (RH) range 30% ÷ 75%
Temperature range for transport and -20°C ÷ +70°C
storing
Humidity range for transport and <95 % non-condensing
storing
Minimum atmospheric pressure for 630hPa
storing and transport

Weight of the unit and the removable parts

Gross weight including packaging 30 kg


Net weight of the unit in the standard 23 kg
configuration
Extension arm 60 cm (standard) 2.9 kg
Extension arm 80 cm 3.5 kg
Extension arm 30 cm 1.9 kg
Scissors arm with tube-head support 10 kg
Timer + wall support 5.05 kg
Tube-head 5 kg

ENDOGRAPH DC 24 (Rev. 0)
USER'S MANUAL
Technical data

5.1 Method for measuring the technical factors

The measuring method with non-invasive instruments, for example


kVp/t meter, is accepted, even if it generally provides less accuracy. In
fact, the measurement of the high voltage at the tube with non-invasive
instruments is closely correlated to the method selected by the
instrument manufacturer; in general, this method is more inaccurate
than the direct method and may also require two subsequent exposures.
In the same way, the method of measuring the anodic current with the
indirect method is affected by systematic errors, as they are often based
on the measurement of the current/time product, dividing the
measurement by the time measured with the said method.

• High voltage value at the tube (kVp)


The kVp value is defined as the stationary value of the high voltage
applied at the tube that is stabilised under load after the pre-heating
time.
Measure the value of the kVp with a non-invasive instrument (with
2% accuracy), setting the exposure time to 1 second.

• Measuring the exposure time


The exposure time must be measured using a non-invasive
instrument.
In compliance with standard IEC 60601-2-7, the exposure time is
measured as the interval of time between the moment in which the
high voltage has reached for the first time a value equal to 75% of
the peak value and the moment in which it goes down below this
value.

(Rev. 0) 25 ENDOGRAPH DC
USER'S MANUAL
Technical data

5.2 Tube characteristic curves

OX/70-5

Emission characteristics Filament characteristics

Load

ENDOGRAPH DC 26 (Rev. 0)
USER'S MANUAL
Technical data

Anode cooling curve

Curv a Tube-head
raffre ddame nto monoblocco
cooling curve
90
80
70
60
50
E [kJ]

40
30
20
10
0
0 100 200 300 400
Time [min]

(Rev. 0) 27 ENDOGRAPH DC
USER'S MANUAL
Technical data

5.3 Reference standards

Endograph DC complies with the following standards:


IEC 60601-1:1988 + A1:1991 + A2:1995
Medical Electrical Equipment – Part 1: General requirements for safety.
IEC 60601-1-6:2004
Medical electrical equipment - Part 1: General requirements for safety -
collateral standard: Usability.
IEC 60601-1-2:2001+ A1
Electromagnetic Compatibility Requirements and Tests.
IEC 60601-1-3:1994
Gen. Requirements for Radiation Protection in Diagnostic X-ray
Equipment.
IEC 60601-2-7:1998
Particular requirements for the safety of high-voltage generators of
diagnostic X-ray generators.
IEC 60601-2-28:1993
Particular requirements for the safety of X-ray source assemblies and
X-ray tube assemblies for medical diagnosis.
IEC 62304:2006 + Ac:2008
Medical device software - Software life-cycle processes.
ETSI EN 300 220-2 v.2.3.1
ETSI EN 301 489-3 v.1.4.1
Electromagnetic Compatibility and Radio Spectrum matters (ERM).
ISO 14971:2007
Medical Devices - Application of Risk Management to Medical Devices.

0051 Guarantees Endograph DC compliance with Directive


93/42 and as amended. (subsequent amendments and
additions)

CAN/CSA C22.2 No. 601.1-M90 (2nd edition) +A1 + A2


Medical Electrical Equipment - Part 1: General Requirements for Basic
Safety and Essential Performance
UL 60601-1 (1st edition)
Medical Electrical Equipment - Part 1: General Requirements for Safety

ENDOGRAPH DC 28 (Rev. 0)
USER'S MANUAL
Technical data

5.4 Dimensions

FRONT VIEW

30
0
30
Figure 6: Dimensions of the wall version

30
0
30

30 0 30

30
0
30

Figure 7: Dimensions of the mobile stand version

(Rev. 0) 29 ENDOGRAPH DC
USER'S MANUAL
General instructions for use

6. GENERAL INSTRUCTIONS FOR USE

6.1 Control panel - Description and functions

The Endograph DC control panel is divided into function areas, plus a


display to view the operative messages and error signals.
The following figure shows a general view of the control panel, while
details on each functional area are provided in the following pages.

LCD messages
display
"Select Size" key "Function" key

"Decrease" key "Increase" key

"X-rays in progress" "Ready for X-rays"


luminous selection luminous selection

"Tooth anatomic
selection" key

Figure 8: Endograph DC control keypad

ENDOGRAPH DC 30 (Rev. 0)
USER'S MANUAL
General instructions for use

The following figure shows the LCD display; details of every function area
are shown on the following pages.

"Tooth anatomic
structure" indication

"kV values"
indication

"Patient size" Type of receptor


indication indication

"Exposure time" "Dose" indication


indication

Figure 9: LCD display

(Rev. 0) 31 ENDOGRAPH DC
USER'S MANUAL
General instructions for use

6.1.1 "Tooth anatomic selection" key

Press the "Tooth anatomic selection" key to select in rotation

from among the exposure times pre-set for the various teeth. It is
possible to select from among seven different anatomic structures and
the selection is shown on the display:

(Lower)

(Upper)

(Rear)

(Front)

6.1.2 “Increase/Decrease”
“Increase/Decrease” key

The "Increase" or "Decrease" keys are used to scroll the

different selections in the menus or to manually change the exposure


times.

ENDOGRAPH DC 32 (Rev. 0)
USER'S MANUAL
General instructions for use

6.1.3 "Select Size" key

Press the "Select size" key to select in rotation from among the

the different patient sizes: small, medium and large.

Also in this case the exposure times will change. An acoustic signal is
emitted each time a key is pressed and the selected size will be
displayed.

(Rev. 0) 33 ENDOGRAPH DC
USER'S MANUAL
General instructions for use

6.1.4 “Function” key (selection


(selection of receptor, cone presence and
kV value)

Using the "Function" key it is possible to select:

− an image receptor
− the presence of the long cone (SID 30 cm)
− the value of kV applied to the tube.

1. Press the "Function" key: the receptor icon will start to flash.
2. Use the "Increase" and "Decrease" keys to select the type of receptor,
from among:

− Film

− Phosphor

− Digital .

3. Confirm the selection by pressing the "Function" key; the icon

indicating the presence of the long cone will start to flash

(SID 30 cm) .

4. Use the "Increase" and "Decrease" keys to select the presence

( ) or absence ( ) of the cone.

5. Confirm the selection by pressing the "Function" key.

NOTE:
If the cone is not present, the relative icon will not appear on the display.

6. The value of kV applied to the tube will start to flash.


7. Use the "Increase" and "Decrease" keys to select the required value
(60 kV / 65 kV / 70 kV).

ENDOGRAPH DC 34 (Rev. 0)
USER'S MANUAL
General instructions for use

8. Confirm the selection by pressing the "Function" key.

NOTE:
As the setting menu is cyclic, it will return to point 1 (receptor type
selection).

9. To exit the setting menu, hold down the "Function" key for approx.
2 s. The system will return to the ready for X-ray state.

(Rev. 0) 35 ENDOGRAPH DC
USER'S MANUAL
System use

7. SYSTEM USE

7.1 Switching
Switching on the device

Press the power switch located on the right side of the timer cover. This
will start the "CHECK" function, which is indicated by an acoustic signal
and the turning on of the LEDS and the display.
When the "CHECK" function is complete, the machine will position itself
by default in the configuration corresponding to the last selection made.

The unit is now ready for X-rays.

NOTE:
• The ready for X-rays condition is signalled by the switching on of the
relative green LED.
• The ready for X-rays condition remains for a set period of time
(variable during the installation phase: default 2 minutes), after this
period of time has passed, this status will be disabled and pressing
the exposure button will not emit rays. The brightness of the display
will also be reduced.
• To return to the ready for X-rays status, the device must be
"woken up" by pressing any key (except for the X-ray button).

ENDOGRAPH DC 36 (Rev. 0)
USER'S MANUAL
System use

7.2 Programmed/Manual exposure

The operator can select between working with a programmed (anatomic)


selection, that is with values set by the manufacturer based on the size
and type of tooth, or perform an examination in manual mode, where it
is possible to change the set times.
With the programmed (anatomic) selection, it is possible to select the
type of receptor used (different types of film, phosphor and digital
sensors), the size of the patient and the kV value.

(Rev. 0) 37 ENDOGRAPH DC
USER'S MANUAL
System use

7.2.1 Performing a programmed exposure

If the previous examination was carried out in manual exposure mode,


press one of the size selection or anatomic selection keys to switch to
programmed exposure mode.
In programmed mode it is possible to change the size, type of tooth and
kV value.

Each time the "Size selection" key is pressed , indicated

acoustically, the Large patient / Normal patient / Small patient selection


changes.
To change the selection of the type of tooth, use the "Tooth anatomic

selection" key .

Each time this key is pressed the selection of the type of tooth changes
in rotation. This is signalled acoustically and shown on the display.

Based on the type of film that is selected, the pre-set times are provided
in Table 1.

Film (F)
Size Small Normal Large
Incisor 0.08 0.12 0.15
Canine 0.08 0.12 0.15
Premolar 0.10 0.15 0.20
Lower molar 0.12 0.18 0.24
Upper molar 0.15 0.22 0.30
Front bite-wing 0.08 0.12 0.15
Rear bite-wing 0.15 0.22 0.30

Table 1

NOTES:
These values are related to film type F.
The Endograph DC system can be programmed to use film with different
sensitivity levels; the programmed times vary depending on the film's
multiplicative factor. It is possible to request this setting from the
technician during installation.

ENDOGRAPH DC 38 (Rev. 0)
USER'S MANUAL
System use

If digital radiography is selected, the exposure times are indicated in


Table 2.

Digital sensor
Size Small Normal Large
Incisor 0.05 0.05 0.08
Canine 0.05 0.05 0.08
Premolar 0.06 0.06 0.09
Lower molar 0.08 0.08 0.12
Upper molar 0.10 0.10 0.15
Front bite-wing 0.05 0.05 0.08
Rear bite-wing 0.10 0.10 0.15

Table 2

The times for permanent phosphor sensors are provided in Table 3.

Permanent phosphors
Size Small Normal Large
Incisor 0.10 0.10 0.16
Canine 0.10 0.10 0.16
Premolar 0.12 0.12 0.18
Lower molar 0.16 0.16 0.24
Upper molar 0.20 0.20 0.30
Front bite-wing 0.10 0.10 0.16
Rear bite-wing 0.20 0.20 0.30

Table 3

NOTE:
The times indicated in the tables are relative to the selection 65kV.
The times for the 60kV selection are obtained by multiplying the values
in the 65kV table by 1.45; they are multiplied by 0.7 for the 70kV
selection.

NOTE:
The times indicated in the tables are those set by the manufacturer.
These values can be changed as described in paragraph 7.3. A service
technician is required to reset the default times.

(Rev. 0) 39 ENDOGRAPH DC
USER'S MANUAL
System use

7.2.2 Performing a manual exposure

Endograph DC makes it possible to work not only using the programmed


mode described above, but also using the manual function.
To access the manual function, press one of the two keys

"Increase" or "Decrease" : the size icon will flash.

The display will show the last time value selected in automatic mode; to
change it, simply use the "Decrease" or "Increase" keys until reaching
the desired value.
The single variation of the time is signalled by an acoustic message; it is
also possible to quickly change the exposure time (4 units per second) by
holding down one of the "Increase" or "Decrease" keys for more than 2
seconds.

NOTE:
There are 36 times that can be selected manually and range from a
minimum of 0.01 s up to a maximum of 2.00 s according to the following
table:
0.01; 0.02; 0.03; 0.04; 0.05; 0.06; 0.07; 0.08; 0.09; 0.10; 0.11; 0.12;
0.14; 0.16; 0.18; 0.20; 0.22; 0.25; 0.28; 0.32; 0.36; 0.40; 0.45; 0.50;
0.56; 0.63; 0.71; 0.80; 0.90; 1.00; 1.10; 1.25; 1.40; 1.60; 1.80; 2.00
Table 4: Manual exposure times

To return to the automatic time selection, press one of the "Size

selection" or "Tooth automatic selection" keys.

ENDOGRAPH DC 40 (Rev. 0)
USER'S MANUAL
System use

7.3 Storing customised times

Endograph DC makes it possible to customise the programmed exposure


times in order to adapt them to the user's actual conditions of use.
Proceed as follows to store the customised times:

1. Use the "Increase" and "Decrease" keys to select

the required value.

2. Hold down the "Function" key until an acoustic signal is

emitted: a screen with the request to confirm or cancel the change


will appear.

3. Press the "Increase" key to confirm or the "Decrease" key to cancel


the change.

NOTE:
The stored time is related to the size, the tooth, the type of receptor and
the kV value shown on the display at that moment.
If the long cone is selected, some time values may be approximate.

(Rev. 0) 41 ENDOGRAPH DC
USER'S MANUAL
System use

7.4 Preparing the tube-


tube-head

1. Position the tube-head with an angle suitable for the exposure and
positioning required (see Figure 10, Figure 11, Figure 12, Figure 13).

2. Introduce the image receptor in the patient's mouth according to


the selected technique (bisector or parallel). In this regard, see
paragraph 7.5.

3. Move the tube-head cone towards the patient and direct it exactly
towards the tooth to be X-rayed, referring to the following figures.

NOTE:
If you want to use the rectangular collimator, apply it to the end of the
tube-head cone, positioning it as needed.

NOTE:
If you want to use the 30 cm extension cone, apply it to the end of the
tube-head's 20 cm cone.

WARNING:
If the 30 cm extension cone is applied, the pre-set exposure times will be
automatically doubled in order to obtain the same radiographic result.

ENDOGRAPH DC 42 (Rev. 0)
USER'S MANUAL
System use

MANDIBLE

-15° -15°

INCISIVI CANINI
incisors canines
incisives canines

-10° -5°

PREMOLARI MOLARI
premolars molars
prémolaires molaires

Figure 10

(Rev. 0) 43 ENDOGRAPH DC
USER'S MANUAL
System use

MAXILLA

+40° +40°

INCISIVI CANINI
incisors canines
incisives canines

+30° +20°

PREMOLARI MOLARI
premolars molars
prémolaires molaires

Figure 11

ENDOGRAPH DC 44 (Rev. 0)
USER'S MANUAL
System use

OCCLUSAL

+65° 0°

MASCELLA MANDIBOLA
upper jaw lower jaw
machoire mandibule

Figure 12

BITE WING

film

rc


rc = RAGGIO CENTRALE
main beam
rayon central

Figure 13

(Rev. 0) 45 ENDOGRAPH DC
USER'S MANUAL
System use

7.5 Exposure techniques

This paragraph describes the various techniques used in general for


intra-oral exposure.

7.5.1 Bisector technique

Incidence of the X-ray beam - vertical angle


In order to obtain a real image of the tooth, the ray must be
perpendicular to the bisector of the angle formed by the longitudinal axis
of the tooth and by the film.
After positioning the X-ray beam and the patient's head based on these
criteria, an average vertical incidence can be applied for each area. The
incidence angle of the X-ray beam can be correctly measured using the
graduated scale located on the tube-head.

Figure 14

Legend Figure 14:


A - Longitudinal axis of the tooth
B - Bisector
C - Film surface
D - Occlusal surface
RC - X-ray beam

ENDOGRAPH DC 46 (Rev. 0)
USER'S MANUAL
System use

Incidence of the X-ray beam - horizontal direction


The X-ray beam must be adjusted horizontally, in particular in the
orthoradial direction relative to the interproximal spaces (see Figure 15),
to prevent an overlapping of structures (see Figure 16).

RC
RC

Figure 15 Figure 16
(Correct position) (Incorrect position)

Legend Figure 15 and Figure 16

RC - X-ray beam

(Rev. 0) 47 ENDOGRAPH DC
USER'S MANUAL
System use

7.5.2 Parallel technique

With this technique, the surface of the film is positioned parallel to the
tooth's axis. Due to anatomic factors, the film is kept far from the lingual
surface of the tooth in general, with the exception of molars.
When the film is introduced into the patient's mouth, it is fixed on a
support to prevent distortion. The patient holds the support with his
teeth.
Various types of supports are available on the market that can be
adapted to different types of teeth. This technique makes it easier to
obtain more accurate and repeatable X-rays than with the bisector
technique (see Figure 17 and Figure 18).

HORIZONTAL SECTION

film

Figure 17

VERTICAL SECTION

Figure 18

ENDOGRAPH DC 48 (Rev. 0)
USER'S MANUAL
System use

7.6 Exposure with the supplied X-


X-ray button

1. Using the main keypad, select the exposure time as described in


paragraph 7.4, based on the selected mode.

2. Move away the distance permitted by the X-ray button cable in the
opposite direction of the X-ray beam.

3. Press the X-ray emission button and hold it down during the
exposure.

4. A yellow light and an acoustic signal indicate the start of exposure.

WARNING:
• The X-ray emission button is a "dead-man" control; therefore it must
be held down during the entire exposure.
• If the button is released before the end of the exposure, the emission
is automatically stopped; this situation is shown on the display by
the message "E13", if the button was released during pre-heating
and "E12" if the button was released during the emission of X-rays.

This message will remain displayed until the "Increase" key

is pressed.

5. At the end of exposure, the system starts the tube-head cooling cycle
(60 times the exposure time). The time until the end of the pause is
shown on the display.

NOTE:
For all exposure times shorter than 0.16s, the cooling pause is constant
and equal to 10s.

6. If the X-ray button was already pressed at the end of the cooling
pause, the exposure will be inhibited and the error "E11" will be
displayed.

NOTE:
All the system statuses are shown on the display during the exposure:
preheating, X-ray emission and the cooling pause.

(Rev. 0) 49 ENDOGRAPH DC
USER'S MANUAL
System use

7.7 Exposure with the wireless X-


X-ray button (optional)

It is possible to make an exposure using the wireless X-ray button.


Proceed as follows:

1. Press and release the wireless X-ray button. The green LED will turn
on, indicating that the communication with the timer was
successful.

2. Move away the desired distance (no greater than 5m), in the opposite
direction of the X-ray beam.

3. Press the X-ray emission button and hold it down during the entire
exposure.

The procedure continues as described in paragraph 7.6, points 4, 5


and 6.

NOTE:
If the green LED flashes the first time the wireless X-ray button is
pressed, one of the following situations may have occurred:
• The device is not ready for X-rays (signalled by the green LED
switching on). Make sure it is not switched off, in sleep mode or in
any other error mode.
• The transceiver in the remote control and the one in the timer are
not correctly combined. Follow the combination procedure described
in paragraph 7.7.1.
• The transceiver in the timer is faulty (contact the technical support).

ENDOGRAPH DC 50 (Rev. 0)
USER'S MANUAL
System use

7.7.1 Indication of the battery charge status and replacement.


The wireless X-ray button diagnoses the status of battery.
If the battery level is lower than 2.7V, the remote control informs the
user by flashing the green LED 5 times quickly.

NOTE:
In this situation, a few exposures can be made, but the batteries should
be replaced as soon as possible.

Proceed as follows to replace the batteries:


• unscrew the two screws located on the back of the button
• open the two half-shells, keeping the green button facing upwards
and paying attention to the electronics located inside
• replace the batteries respecting the indicated polarities
• reclose the two half-shells and tighten the screws.

If the charge level is lower than 2.4V, the LED on the remote control will
flash quickly 10 times and exposures cannot be made.

7.7.2 Combination procedure between the remote control and


timer

The wireless X-ray button will only work with the timer with which it was
combined.
If for some reason the two devices must be combined again, proceed as
described in the Service Manual.

(Rev. 0) 51 ENDOGRAPH DC
USER'S MANUAL
System use

7.8 Display of the number of exposures made

With the ready for X-ray status, the user is able to view the number of

exposures made by pressing the "Increase" and "Tooth

automatic selection" keys at the same time.

The number will be shown on the display for approx. 3s.

ENDOGRAPH DC 52 (Rev. 0)
USER'S MANUAL
Messages on display

8. ERROR MESSAGES ON THE


THE DISPLAY
Endograph DC is fully controlled by a microprocessor which controls the
programming of the emission parameters and signals the various
conditions of the machine, the possible abnormalities and errors via
displayed messages.
The following tables show the various messages that can appear on the
display, their meaning and their cause.

The error messages are separated into three different categories,


classified based on the severity of the abnormality discovered and their
possible effect on the safety of the operators and/or the system.

8.1 Fatal errors upon power-


power-up and in the ready, idle
and cooling statuses

These signals do NOT permit an examination to be performed.

It is possible to try to turn the equipment off and on, but if the signal is
repeated, technical assistance must be contacted.

Displayed ACOUSTIC
Type of ABNORMALITY
message signal
X-ray button pressed at power-up None
E01
A key pressed at power-up None
E02 (other than the X-ray button)
Multiple keys pressed at power-up None
E03
Unwanted X-ray emission Present as long
E05 as RX ON is
active

WARNING:
If E01 is displayed, release the X-ray button; if this has not been
pressed, this indicates a fault, therefore call the support service.

(Rev. 0) 53 ENDOGRAPH DC
USER'S MANUAL
Messages on display

8.2 Fatal errors


errors during X-
X-ray emission

Any abnormalities during the X-ray beam always stop the emission.
The presence or absence of the acoustic signal depends on the moment
in which the problem occurred and on the success of the procedure for
stopping the rays.

These errors cannot always be removed without turning off the device
and in most cases indicate situations of system faults or deterioration
that require the intervention of technical assistance.

Displayed ACOUSTIC
Type of ABNORMALITY
message signal
No emission None
E04
Activation of the back-up timer None
E06
Protection intervention None
E07

WARNING:
If an error message appears and the buzzer sounds, always turn off
the system. In any case, the intervention of the back up timer
always stops X-ray emission.

ENDOGRAPH DC 54 (Rev. 0)
USER'S MANUAL
Messages on display

8.3 NON fatal errors


errors

Situations that do not directly involve the safety of the operator, the
patient or the system are considered as resettable anomalies.
The error condition prevents additional exposures until it is reset

by pressing the "Increase" key.

Displayed ACOUSTIC
Type of ABNORMALITY
message signal
Memory checksum error (EEPROM) None
CH0
X-ray button active after the cooling phase None
E11
Release of X-ray button during emission None
E12
Release of button during the pre-heating None
E13 phase

WARNING:
If E12 is displayed, the X-ray button was released with the emission
in progress, therefore the film must be replaced or the image
receptor must be restarted to obtain the diagnostic results.

If E11 is displayed, release the X-ray button; if this has not been
pressed, this indicates a fault, therefore call the support service.

(Rev. 0) 55 ENDOGRAPH DC
USER'S MANUAL
Control and correction

9. CONTROL AND CORRECTION


CORRECTION OF ANY
ERRORS IN THE DENTAL X-
X-RAYS

9.1 Typical defects of intra-


intra-oral X-
X-rays

• X-rays too light

Possible causes:
• Insufficient X-ray exposure (short time)
• Insufficient development time
• Film processor damaged
• Film processor temperature lower than the recommended value
• Incorrect dilution of the developing liquids.

• X-rays too dark

Possible causes:
• Excessive X-ray exposure
• Excessive development time
• Film processor temperature higher than the recommended value
• Incorrect dilution of the developing liquids.

• X-rays out of focus (impossible to see the details)

Possible causes:
• The patient moved
• The tube-head moved.

• X-rays with herringbone shaped marks

Some intra-oral films have a thin layer of lead in the package that
engraves a few herringbone shaped marks in the lower part. These
films can only be exposed to radiation on one side. If the film is
exposed from the wrong side, the layer of lead will absorb a large
quantity of radiation during exposure. The result will be a lighter
X-ray and the film will show herringbone shaped marks.

ENDOGRAPH DC 56 (Rev. 0)
USER'S MANUAL
Control and correction

• X-rays partially exposed

Possible causes:
• Rays directed far from the median section of the film
• Level of the developing liquids is too low, resulting in the partial
development of the film
• Two or more films placed next to each other in the film
processor.

• Obscured X-
X-rays

Possible causes:
• Film stored for too long (check expiration date)
• Accidental exposure of the film to rays
• Accidental exposure of the film to other sources of natural or
artificial light.

• Dark line on the X-


X-rays

This line appears when the film is folded excessively.

• X-rays with traces of electrostatic electricity

When the film is compressed excessively and the air is dry,


electrostatic electricity may be released, which is discharged in the
compression points, on which black branching marks will appear.

• X-rays with chemical spots

Scattering the developing fluid or fixer on the film before


development and the fixing procedures will create spots on the X-
ray; these spots are:
• Dark if caused by the developing liquid
• Light if caused by the fixer.

• X-rays with loss of emulsion

If the film is left in a hot water bath for too long (for example,
overnight), the emulsion may soften and detach partially from the
base of the film. After development, the film will appear scratched.

(Rev. 0) 57 ENDOGRAPH DC
USER'S MANUAL
Control and correction

9.2 Typical defects caused by incorrect positioning

• X-rays with elongated or shortened images

The X-ray beam is not perpendicular to the bisector of the angle


formed by the longitudinal axis of the tooth and by the film.

• X-rays with the top of the tooth elongated

Probably caused by the excessive folding of the film in the


patient's mouth.

ENDOGRAPH DC 58 (Rev. 0)
USER'S MANUAL
Maintenance

10. MAINTENANCE
This unit, like all other electrical appliances, must be used correctly and
also serviced and controlled at regular intervals. This precaution ensures
a safe and efficient performance.

The periodical maintenance consists in checks performed by the


operator himself and/or by a qualified Technician.

The operator can control the following items:


• check that the plates are complete and well fixed
• check that there are no traces of oil on the tube-head
• check that the remote control cable does not show signs of breaking
or wear
• check that the unit is not damaged externally as to compromise the
safety of protection from radiation
• check the balancing of the scissors arm

WARNING:
If the operator detects irregularities or failures, he must immediately call
the Technical Service.

(Rev. 0) 59 ENDOGRAPH DC
USER'S MANUAL
Maintenance

MAINTENANCE LOGBOOK

Installation: Date ............. Technician ....................

Maintenance: Date ............. Technician ....................

Cause .............................................

Maintenance: Date ............. Technician ....................

Cause .............................................

Maintenance: Date ............. Technician ....................

Cause .............................................

Maintenance: Date ............. Technician ....................

Cause .............................................

Maintenance: Date ............. Technician ....................

Cause .............................................

Maintenance: Date ............. Technician ....................

Cause .............................................

Maintenance: Date ............. Technician ....................

Cause .............................................

ENDOGRAPH DC 60 (Rev. 0)
Cod. 6959900203_Rev.0 0051

VILLA SISTEMI MEDICALI S.p.a.


Via Delle Azalee, 3
20090 Buccinasco (MI) - ITALY
Tel. (+39) 02 48859.1
Fax (+39) 02 4881844

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