One Machine... Multiple Modalities Mac OS Compatible! 3D Bitewing Panoramic Cephalometric Features Availability of multiple imaging modalities in one machine (3D, bitewing, panoramic, and cephalometric) Versatile volume sizes (large ø8 x 11 cm or ø8 x 14 cm with vertical stitching, medium ø8 x 8 cm, small ø4 x 5 cm) for a single impaction to full dentition, and beyond Over 30+ imaging programs High resolution flat panel technology The ONLY upgradeable all-in-one technology on the market (upgrade your pan to 3D or cephalometric without buying a new unit) Space saving - small footprint and compact design Full view, open patient positioning for standing, sitting, and wheelchair accessibility No annual service fee Unique Optional 2D SmartPan Programs Panoramic images are taken with the same flat panel sensor as the 3D images Algorithm calculates nine different panoramic layers with a 1 mm shift The user can browse between the layers in Romexis Imaging Software ProMax 3D & 3D s USA INC. 100 N. Gary Ave., Suite A, Roselle, IL 60172 Phone: (630) 529-2300 Fax: (630) 529-1929 www.planmecausa.com
FEATURES and s Availability of multiple imaging modalities in one system; panoramic, bitewing, cephalometric, 3D, and more Versatile volume sizes for a single impaction to full dentition, and beyond Over 30+ imaging programs High resolution flat panel technology Upgradeable all-in-one technology Patented SCARA technology, allowing limitless imaging possibilities Unique optional SmartPan 2D programs, and 3D imaging taken with the same sensor Optional DIMAX 2D sensor Full view, open patient positioning for standing, sitting, and wheelchair accessibility DICOM compatibility Now compatible with Mac OS environment Large View image Three volumes stitched together for a full view. Multiple Modalities Superior 2D imaging modalities from the ProMax Although there is great interest in CBVT technology, 80% of diagnosis is done through traditional 2D imaging. For this, the ProMax platform offers the largest range of 2D imaging programs. 2D Imaging Programs (with Dimax 2D sensor) 4 panoramic programs including a true bitewing program 7 TMJ programs 6 sinus programs Optional cephalometric programs Standard Panoramic The unique / 3D s product family offers equipment for all maxillofacial imaging. Volume sizes ranging from the smallest special cases to large field of views are available. The intelligent and multi-purpose X-ray units are designed to obtain complete information on patient anatomy in the minutest detail. Cephalometric Imaging Horizontal and Vertical Lateral Views The 3D ø8 x 8 cm imaging sensor covers the whole dentition area, giving a clear view of the mandible and maxilla. It is the optimal imaging solution for orthodontic, TMJ, and sinus studies. The 3D s ø5 x 8 cm volume is perfect for periodontal work, implant cases, or small areas of interest. Both units provide 3D imaging, an optional 2D SmartPan, and optional cephalometric imaging, as well as advanced imaging software tools to comply with every possible need in dental radiology. 2
All of Your 2D / 3D Imaging Needs in ONE Flat Panel Sensor Optional SmartPan SmartPan Programs 4 panoramic programs including a true bitewing program 6 sinus programs Unique Optional SmartPan (9 selectable layers from 1 panoramic exposure) Now take all of your 2D and 3D imaging needs with the added convenience of using only one sensor. The optional SmartPan feature can be added to or the 3D s. This exclusive feature creates 9 selectable layers with a 1 mm shift from 1 panoramic exposure. The user can browse through these 9 layers and select one or several images they prefer. This technology reduces the risk of patient positioning errors during panoramic exposures. Panoramic images are taken with the same flat panel sensor as the 3D images Algorithm calculates nine different panoramic layers with a 1 mm shift The user can browse between the layers in Romexis Imaging Software 4
SCARA (Selectively Compliant Articulated Robotic Arm) No mechanical constraints, resulting in optimized imaging geometry for specific diagnostic needs Image layer fully formed by software Unlimited future upgrade possibilities Limits patient exposure to excess radiation Extraoral Bitewing Unlimited Upgradeability / 3D s extraoral bitewings are ideal for pedo, elderly patients, claustrophobic patients, patients that gag, or a patient in pain. Extraoral bitewings enhance clinic efficiency and take less time and effort than a conventional intraoral bitewing. The SCARA robotic arm technology reduces patient radiation and allows for better interproximal separation between contacts. Apices and 3rd molars can also be captured, improving the diagnostic value of the bitewing. Upgradeability... Past, present, or future, ProMax s available upgradeability is due to the software driven SCARA (Selectively Compliant Articulated Robot Arm). This patented technology, enables free geometry based on image formation and can produce any movement pattern required. This allows accurate and reliable volume positioning, volume diameter adjustment, and a reduction in radiation exposure to the patient. SCARA technology further separates from comparable X-ray units by allowing existing ProMax users to have the added option of upgrading an already existing unit. Whether it be replacing a film with a 3D unit, or the addition of a cephalometric arm, offers solutions for every upgrade need. This single piece of technology makes ProMax the most versatile all-in-one X-ray unit available on the market. 6
Easier positioning of the volume location with the ProMax... Patient positioning needs to be simple and efficient. The and 3D s interface allows the choice of pre-programmed areas; the SCARA arm will go to the appropriate region of interest. Select from any of the following pre-programmed areas: Incisors Canines Premolars Molars Teeth TMJ and Ramus Precise Positioning ø8 x 8 cm Reducing radiation to the patient and 3D s meet the needs of modern surgical dentistry and supply clear dependable imaging in a three-dimensional format with limited patient dose. The precise free-flowing arm movements allow for a wide variety of imaging programs not possible with other X-ray units with fixed rotations. During the scan, each image is generated using a short X-ray pulse instead of continuous radiation. The total rotation time is 18 seconds for one volume, but the actual exposure time is only 2.8 seconds with the smallest size volume. The flat panel sensor produces accurate, distortion-free images for 3D reconstruction. Unlike image intensifier sensors that use old vacuum tube technology and multi-step focusing, flat panels use single step image readouts with no geometric distortion or loss of sensitivity, and therefore no need for frequent calibration. The volumes are processed by computer software into one cylindrical image for viewing. The reconstructed image volume consists of more than 100 million voxels, producing a very detailed high-resolution image. These voxels are isotropic, enabling accurate 1:1 measurements and ensuring geometric proportion and consistency throughout the image. 8
3D s KEY ø diameter x height ø5 cm s ø5 cm Volume Sizes ø5 x 8cm 8 cm ø5 x 5cm 5 cm Standard 3D s volume sizes without stitching ø5 x 5 cm ø5 x 8 cm 3D s Focusing on your clinical needs s complies with a multitude of diagnostic requirements: those of endodontics, periodontics, orthodontics, implantology, prosthodontics, as well as dental and maxillofacial surgery. It is also an excellent tool for diagnosing ear and maxillary sinus problems. Pre-surgical planning has reached a new level of precision, as the prospective site becomes visible in all three imaging planes: sagittal, axial, and coronal. This makes it possible to locate and trace the mandibular nerve canal and correctly position implants. s is also perfect for molar area studies, or planning 3rd molar extractions by providing high-resolution studies for true and accurate evaluations. With its advanced reconstruction technology, s establishes the new standard for 3D dental radiology. 10
3D KEY ø diameter x height ø8 cm ø4 cm 5 cm 5 cm ø4 x 5cm ø8 x 5cm ø8 cm ø8 cm Volume Sizes 8 cm 8 cm ø8 x 8cm Standard 3D volume sizes without stitching ø4 x 5 cm ø4 x 8 cm ø8 x 5 cm ø8 x 8 cm 3D Focusing on your clinical needs The 3D ø8 x 8 cm image size is optimal for most diagnostic applications that require the whole dentition, mandible, and maxilla in the same volume. also provides TMJ studies for true and accurate evaluations of the joint arthritides, condylar morphology, and the condyle-fossa relationship. The ø8 x 5 cm volume can be used for single views of the mandible or maxilla, lowering the radiation by almost 40%. The small ø4 x 5 cm volume is intended for molar area studies or planning 3rd molar extractions. The volumes can also be stitched together to generate an image up to 14.4 cm x 10. 5 cm x 8 cm horizontally and 8 cm x 8 cm x 13 cm vertically. 8 cm ø4 cm ø4 x 8cm 12
Mac OS Compatible! iphone ipad Impacted canine An impacted mandibular left canine. Wisdom tooth extraction The extraction of the tooth would be difficult. The mandibular canal is located lingually to the roots. Axial (Z) Romexis Coronal (Y) Software Lesion in right mandible A radiolucent lesion is clearly visible in the right mandible. The probable cause is an unsuccessful root treatment. Romexis browser View all of your images: 2D, 3D, intracam, and more. Sagittal (X) 3D Romexis software is a complete-solution software package for acquisition, viewing, and rendering in multiple dimensions, multi-views, and multi-planes such as coronal, axial, and sagittal. Romexis also encompasses printing, sharing, and interactive diagnostic aspects of 2D and 3D imaging. Romexis Software is now compatible with Apple computers. All X-ray models feature full Mac OS support, which allows 2D and 3D images to be sent to an iphone and ipad for diagnosis. 2D and 3D imaging Romexis Software Romexis is a complete dental imaging software with a wide variety of tools for image viewing, enhancement, measurements, and annotations. Romexis improves the diagnostic value of radiographs. Printing, image import and export, and DICOM functionalities are also included. The system provides direct image capture from s X-ray equipment via Romexis Software, or Twain for 3rd party imaging solutions. DICOM compatibility Media Storage saving images into removable DICOM media Print printing images on film or paper with a DICOM medical printer Storage saving images into DICOM image archive Query/ Retrieve importing digital images from DICOM image archive Worklist importing a patient list from DICOM patient management Storage Commitment confirmation of a successful image storage 14
3D Implant Planning Module Sinus Study A cyst and inflammation can be found in the left maxillary sinus. 3D Implant Planning Module The optional Romexis Implant Planning Module offers libraries from other implant manufacturers with accurate and realistic implant models. Romexis 3D Panoramic Module. Romexis Software 3D TMJ Module The 3D TMJ Module provides easy and accurate diagnosis. Left and right TMJ are available in one view for easy comparison. Finding in canine area A suspicious mass found behind the lower right canine. Finding in sinus area Swelling in sinus mucosa. Cross-Sections Module Produces cross-sectional images of anatomy along with a defined panoramic curve, and also includes the reconstructed panoramic view for clear marking of the nerve canal. The Romexis 3D Panoramic Module creates a panoramic image from the acquired data without the redundant shadowing, commonly found in normal panoramic images. As the image is reconstructed through software, the user can determine the location and thickness of the focal trough. The Romexis 3D Cross-Sections Module produces cross-sectional images of anatomy, along with a defined panoramic curve and reconstructed panoramic view. The optional Romexis 3D Implant Planning Module offers tools for placing implants and marking the mandibular nerve canal. The implant placements are determined with the help of an accurately sized implant model. Romexis software has DICOM functionality, which allows 3D studies to be transferred to other implant planning software, such as SimPlant, Nobel Biocare Procera, CyberMed, or any other software that receives images in DICOM format. Studies can also be transferred to PACS or to a high quality DICOM printer in the network. Each patient study can be stored on a CD with Romexis 3D Viewer for others to see. 16
s X-ray beam Cone X-ray beam Cone Focal spot 0.5 mm, fixed anode Focal spot 0.5 mm, fixed anode Image detector Flat panel sensor Image detector Flat panel sensor Gray scale 15 bit Gray scale 15 bit Detector resolution 630 x 1024 pixels, pixel size 127 x 127 µm Detector resolution 1024 x 1024 pixels, pixel size 127 x 127 µm Voxel size 100 x 100 x 100 µm, isotropic 200 x 200 x 200 µm, isotropic Voxel size 100 x 100 x 100 µm, isotropic 200 x 200 x 200 µm, isotropic 400 x 400 x 400 µm, isotropic Image acquisition Single 200 degree rotation Image acquisition Single 200 degree rotation Total scan time 18 seconds, pulsed X-ray Total scan time 18 seconds, pulsed X-ray Reconstruction time Typically under 1.5 min. artifact removal dependent Reconstruction time Typically under 1.5 min. artifact removal dependent Standard volume sizes (diameter x height) ø5 x 8 cm ø5 x 5 cm Standard volume sizes (diameter x height) ø8 x 8 cm ø8 x 5 cm ø4 x 8 cm ø4 x 5 cm Effective Exposure Time 2.8-12 seconds Effective Exposure Time 2.8-12 seconds 3D reconstruction server Proprietary Feldkamp type back projection reconstruction algorithm 3D reconstruction server Proprietary Feldkamp type back projection reconstruction algorithm Improved Artifact Removal (IAR) High Contrast Object Compensation (HCOC) Improved Artifact Removal (IAR) High Contrast Object Compensation (HCOC) 17 18
digital X-ray imaging hardware diagrams and system requirements Dedicated Reconstruction PC (Provided by ) The reconstruction processing combines X-ray slices (raw data taken during the patient scan) through digital geometry conversion to produce voxels. This data is transferred to Romexis Software on Image Acquisition Workstation and archived on server. NOTE: A Power Conditioner is recommended for the X-ray and Reco. NIC CPU Specifications Image Acquisition Workstation (2D/3D) 2 Ghz or more Duo Core Processor 60 GB or better HD Free Space 3 GB or more RAM WINDOWS 7, WINDOWS XP, or Vista Business / Ultimate (32 bit OS only) Monitor 1600 x 1200 res. min. 32 bit graphic card, 256MB 2-1 GBit Net Interface Cards (NICs) High-speed Internet, DSL or better 8 x DVD/RW Acquisition Workstation Romexis Software acquires the image from the Reconstruction PC After the case images are reviewed in Romexis, they can be transferred to 3rd party imaging software Romexis Software is also used to enhance, filter, measure, diagnose, archive and export the images (2D / 3D) NIC Standard 10/100/1000 Switch (Provided by ) alternate connection for 2nd NIC Network Server Specifications 2 Ghz or more Duo Core Processor 2 Hard Drives, 500 GB each min. 3 GB or more RAM WINDOWS XP / Server 2003 OS (32 bit OS-Only) NET 2.0 and IIS must be installed Ethernet 1 GB 8 x DVD/RW Network Server Stores and archives all data to MS SQL Express Romexis stores data to XML The data server should have large hard drive disk space, hardware redundancy and logical backup system Each Standard or High Resolution 3D data set is approx. 250 MB Each Low Dose 3D Large Volume data is approx. 30 MB Local Area Connection Required for sharing printer or adding additional workstations. Optional Printer CPU Specifications for Additional Workstations For 3D/2D images. (refer to Image Acquisition Workstation (2D/3D)) Physical Space Requirements Minimum Operational Space Requirements Dimensions and space requirements Width Depth Height* Width Depth Height* Weight / 3D s 113 cm (44.5 in.) 126 cm (49.5 in.) 154-243 cm (60.5-95.75 in.) 150 cm (59 in.) 163 cm (64 in.) 244 cm (96 in.) 113 kg (248 lbs) / 3D s w / Cephalostat 198 cm (78 in.) 76 cm (30 in) 130-220 cm (51.25-86.5 in.) 216 cm (85 in.) 163 cm (64 in.) 244 cm (96 in.) 128 kg (282 lbs) * The maximum height of the unit can be adjusted for offices with limited ceiling clearance Romexis Software The disk space requirements are determined by digital images. Thus, the space requirements vary, but a rough estimate is as follows: 1 MB per intraoral image, 7 9 MB per extraoral image, depending on a variety of image specific factors, and up to 250 MB per 3D image. It is NOT recommended to use the same computer for your application server as your database server. If Romexis server computer is also used for client activities, the hardware should meet both client and server specifications. 19 20
37 94 cm 51.25-86.5 130 cm - 220 cm 60.5-95.75 154 cm - 243 cm 42.5 108 cm 21 22