2019-04ceflasupport.com/data/media/product_documentation/myray/... · 2019. 8. 23. · of standards...
Transcript of 2019-04ceflasupport.com/data/media/product_documentation/myray/... · 2019. 8. 23. · of standards...
97050997 Rev. 03 2019-04
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SUMMARY 1 APPLICABILITY 3
2 IEC ACCEPTANCE TEST 3 2.1 Positioning of the patient support [IEC 61223-3-5 par. 5.1] 3 2.2 Patient positioning accuracy [IEC 61223-3-5 par. 5.2] 3
2.2.1 Axial patient positioning accuracy [IEC 61223-3-5 par. 5.2.1] 3
2.2.2 Sagittal and coronal patient positioning light [IEC 61223-3-5 par. 5.2.2] 3
2.3 Tomographic section thickness [IEC 61223-3-5 par. 5.3] 4
2.3.1 Tomographic section thickness for axial scanning [IEC 61223-3-5 par. 5.3.1] 4
2.3.2 Tomographic section thickness for helical scanning [IEC 61223-3-5 par. 5.3.2] 4
2.4 Dose [IEC 61223-3-5 par. 5.4] 4 2.5 Noise, mean CT number and uniformity [IEC 61223-3-5 par. 5.5] 4 2.6 Spatial resolution [IEC 61223-3-5 par. 5.6] 4 2.7 IEC 61223-3-5: reference values 4
3 DOSE MEASUREMENTS 7 3.1 Loading factors for dose measurements in 3D operating modes 7 3.2 Table of CTDI100 declared for 3D operating modes of the device 9 3.3 Table of CTDIW, CTDIfree air, CTDIvol, DLP declared for 3D operating modes of the device 13 3.4 Air Kerma and DAP declared for 3D operating modes of the device 17 3.5 Air Kerma and DAP declared for 2D operating modes of the device 19
EN DOSE DECLARATION AND ACCEPTANCE TEST 3
1 Applicability
Values and measures contained in this document refer to the panoramic, cephalometric and tomographic
systems identified with serial numbers starting with one of the following combinations of characters:
70A1_____
70A2_____
70A3_____
70A4_____
70A5_____
70A6_____
70A7_____
The serial number with eight alphanumeric characters is visible on the identification plate of the device,
which is positioned at the base of the mobile column.
2 IEC Acceptance Test The description of software utilities used to carry out acceptance tests is contained in the Software Manual. Please find below the specific instructions of the equipment to carry out such tests (as per the requirements
of standards IEC 61223-3-4, IEC 61223-3-5 and DIN 6868-161).
For each test, the relevant paragraph of the reference standard is specified.
At the end of the chapter a table containing the reference values is available.
2.1 Positioning of the patient support [IEC 61223-3-5 par. 5.1]
Not applicable.
2.2 Patient positioning accuracy [IEC 61223-3-5 par. 5.2]
The device is equipped with four laser targeting systems to facilitate patient positioning.
The upper horizontal positioning is used for CBCT, PAN, DENT, SIN and TMJ examinations for the correct
positioning of the patient, and in particular in PAN and DENT examinations to ensure that the patient’s
Frankfurt plane is horizontal.
The sagittal vertical trace ensures the symmetry of the patient head with respect to the sagittal midline.
The vertical focusing trace is used in PAN, DENT, SIN and TMJ examinations and indicates the exact
position of the focal point for the positioning of the upper canin cusp or the condylar head.
The lower horizontal trace is used in CBCT examinations for tracing the lower limit of the field of view, and in
CEPH examinations in order to ensure that the patient’s Frankfurt plane is horizontal.
No pointer is provided for the coronal plane detection.
2.2.1 Axial patient positioning accuracy [IEC 61223-3-5 par. 5.2.1]
Position an object along the axial plane indicated by the horizontal line and scan. For data analysis, see the
Software Manual.
2.2.2 Sagittal and coronal patient positioning light [IEC 61223-3-5 par. 5.2.2]
Position an object along the sagittal plane indicated by the vertical line and scan. For data analysis, see the
Software Manual.
EN DOSE DECLARATION AND ACCEPTANCE TEST 4
2.3 Tomographic section thickness [IEC 61223-3-5 par. 5.3]
2.3.1 Tomographic section thickness for axial scanning [IEC 61223-3-5 par. 5.3.1]
Refer to the Software Manual.
2.3.2 Tomographic section thickness for helical scanning [IEC 61223-3-5 par. 5.3.2]
Not applicable.
2.4 Dose [IEC 61223-3-5 par. 5.4]
Perform scans for each mode as required by standard IEC 60601-2-44. The machine automatically
calculates the x-ray load according to the object acquired. No system is in place to manually select the x-ray
load for a scan.
2.5 Noise, mean CT number and uniformity [IEC 61223-3-5 par. 5.5]
Refer to the Software Manual.
2.6 Spatial resolution [IEC 61223-3-5 par. 5.6]
Refer to the Software Manual.
2.7 IEC 61223-3-5: reference values
The following table contains reference values and operating conditions to be used for the various tests.
5.1 Positioning of the patient
support
N.A.
5.2 Patient positioning
accuracy
5.2.1 Axial patient positioning
accuracy
10mm from isocenter
5.2.2 Sagittal and coronal patient
positioning light accuracy
10mm from isocenter
5.3 Tomographic section
thickness
5.3.1 Tomographic section
thickness for axial scanning
Loading factors: automatically selected by the
software.
Thickness Recommended criteria
5.0 mm 1.0 mm
1.0 mm 0.5 mm
0.5 mm -0 +0.5 mm
5.3.2 Tomographic section
thickness for helical scanning
N.A.
5.4 Dose
Refer to Section 3.
EN DOSE DECLARATION AND ACCEPTANCE TEST 5
5.5 Noise, mean CT
number and uniformity
Loading factors: automatically selected by the software.
Values are calculated as Arbitrary Units (a.u.) because the machine is not designed to
provide HUs. Measurements carried out on Catphan 500 phantom.
FOV Mode Axial
Thickness Stand. Dev Mean CT N. Uniformity
6 x 6
8 x 6
8 x 8
10 x 6
10 x 8
10 x 10
13 x 8
15 x 6
13 x 10
16 x 10
13 x 14e
13 x 16e
16 x 18e
9 x 16e
Low Dose
Regular
Best Quality
500 µm ≤ 300 1050 ± 150 ≤ 120
4 x 4
9 x 9
7 x 6
Low Dose
Regular
Best Quality
500 µm ≤ 220 1050 ± 150 ≤ 80
EN DOSE DECLARATION AND ACCEPTANCE TEST 6
5.6 Spatial resolution Loading factors: automatically selected by the software.
FOV Mode MTF10 (lp/cm) MTF50 (lp/cm)
6 x 6
8 x 6
8 x 8
10 x 6
10 x 8
10 x 10
13 x 8
15 x 6
Low Dose ≥ 11 ≥ 6
Regular ≥ 12 ≥ 6
Best Quality ≥ 16 ≥ 6
13 x 10
16 x 10
13 x 14e
13 x 16e
16 x 18e
9 x 16e
Low Dose ≥ 11 ≥ 6
Regular ≥ 12 ≥ 6
Best Quality ≥ 13 ≥ 7
4 x 4
9 x 9
7 x 6
Low Dose ≥ 11 ≥ 11
Regular ≥ 13 ≥ 7
Best Quality ≥ 17 ≥ 9
EN DOSE DECLARATION AND ACCEPTANCE TEST 7
3 Dose measurements
3.1 Loading factors for dose measurements in 3D operating modes
Loading factors automatically set by the software using a head phantom compliant with IEC 60601-2-44 Par.
203.108 positioned at FOV centre.
Table 1 – Typical Loading Factors using “Adult Head Phantom” and “Pediatric Head Phantom” for 3D operating modes
FOV Dose
Tube
Voltage
Total
Shots
Number
Single
Shot
Time
Exposure
Time
Adult Head Phantom Pediatric Head
Phantom
Radiologic
Load
Anodic
Current
Radiologic
Load
Anodic
Current
kV shots ms s mAs mA mAs mA
6 x 6
Low dose 90 160 10 1.6 7.26 4.54 4.80 3.00
Regular 90 360 10 3.6 19.88 5.52 11.20 3.00
Best quality 90 400 20 8.0 80.00 10.00 32.00 4.00
8 x 6
Low dose 90 160 10 1.6 4.80 3.00 4.80 3.00
Regular 90 360 10 3.6 14.40 4.00 10.80 3.00
Best quality 90 400 20 8.0 84.00 10.50 32.00 4.00
8 x 8
Low dose 90 160 10 1.6 4.80 3.00 4.80 3.00
Regular 90 360 10 3.6 12.60 3.50 10.80 3.00
Best quality 90 400 20 8.0 52.20 6.52 32.00 4.00
10 x 6
Low dose 90 160 10 1.6 5.66 3.54 4.80 3.00
Regular 90 360 10 3.6 16.24 4.51 10.80 3.00
Best quality 90 400 20 8.0 48.00 6.00 32.00 4.00
10 x 8
Low dose 90 160 10 1.6 4.80 3.00 4.80 3.00
Regular 90 360 10 3.6 13.86 3.85 11.88 3.30
Best quality 90 400 20 8.0 32.00 4.00 32.00 4.00
10 x 10
Low dose 90 160 10 1.6 4.80 3.00 4.80 3.00
Regular 90 360 10 3.6 11.88 3.30 11.88 3.30
Best quality 90 400 20 8.0 32.00 4.00 32.00 4.00
13 x 8
Low dose 90 240 10 2.4 7.20 3.00 7.20 3.00
Regular 90 360 10 3.6 16.24 4.51 10.80 3.00
Best quality 90 400 20 8.0 68.00 8.50 32.00 4.00
13 x 10
Low dose 90 240 10 2.4 7.20 3.00 7.20 3.00
Regular 90 360 10 3.6 13.86 3.85 11.88 3.30
Best quality 90 400 13 5.2 41.60 8.00 20.80 4.00
13 x 14e
Low dose 90 480 10 4.8 14.40 3.00 14.40 3.00
Regular 90 720 10 7.2 32.48 4.51 21.60 3.00
Best quality 90 800 13 10.3 82.20 8.00 41.60 4.00
EN DOSE DECLARATION AND ACCEPTANCE TEST 8
Table 1 – Typical Loading Factors using “Adult Head Phantom” and “Pediatric Head Phantom” for 3D operating modes
FOV Dose
Tube
Voltage
Total
Shots
Number
Single
Shot
Time
Exposure
Time
Adult Head Phantom Pediatric Head
Phantom
Radiologic
Load
Anodic
Current
Radiologic
Load
Anodic
Current
kV shots ms s mAs mA mAs mA
13 x 16e
Low dose 90 480 10 4.8 14.40 3.00 14.40 3.00
Regular 90 720 10 7.2 27.72 3.85 23.76 3.30
Best quality 90 800 13 10.3 82.20 8.00 41.60 4.00
15 x 6
Low dose 90 240 10 2.4 7.20 3.00 7.20 3.00
Regular 90 360 10 3.6 12.60 3.50 10.80 3.00
Best quality 90 400 20 8.0 72.00 9.00 32.00 4.00
16 x 10
Low dose 90 240 10 2.4 7.20 3.00 7.20 3.00
Regular 90 360 10 3.6 11.77 3.27 11.77 3.27
Best quality 90 400 13 5.2 36.40 7.00 20.80 4.00
16 x 18e
Low dose 90 480 10 4.8 14.40 3.00 14.40 3.00
Regular 90 720 10 7.2 27.47 3.82 23.54 3.27
Best quality 90 800 13 10.4 83.20 8.00 41.60 4.00
4 x 4
Low dose 90 90 10 0.9 3.54 3.93 3.54 3.93
Regular 90 360 10 3.6 18.00 5.00 10.80 3.00
Best quality 90 400 20 8.0 84.00 10.50 32.00 4.00
9 x 9
Low dose 90 160 10 1.6 4.80 3.00 4.80 3.00
Regular 90 360 10 3.6 11.88 3.30 11.88 3.30
Best quality 90 400 20 8.0 32.00 4.00 32.00 4.00
7 x 6
Low dose 90 160 10 1.6 4.80 3.00 4.80 3.00
Regular 90 360 10 3.6 16.24 4.51 10.80 3.00
Best quality 90 400 20 8.0 60.20 7.52 32.00 4.00
9 x 16e
Low dose 90 480 10 4.8 14.40 3.00 14.40 3.00
Regular 90 720 12 8.9 29.26 3.30 23.76 3.30
Best quality 90 800 13 10.4 88.40 8.50 41.60 4.00
EN DOSE DECLARATION AND ACCEPTANCE TEST 9
3.2 Table of CTDI100 declared for 3D operating modes of the device
Values expressed in mGy. Tolerance is ± 30%. CTDI100 values measured in accordance with IEC 60601-2-
44 Par. 203.109.1. Loading factors as per reference Table 1.
Table 2A: CTDI100 – Measures with “Adult Head Phantom” for 3D operating modes
Tolerance: ± 30%
FOV Dose
CTDI100
Center
CTDI100
North
CTDI100
West
CTDI100
South
CTDI100
East
CTDI100
Peripheral
mGy mGy mGy mGy mGy mGy
6 x 6
Low dose 0.8 0.7 2.3 0.5 1.6 1.3
Regular 2.1 1.3 1.7 1.1 2.4 1.6
Best quality 8.6 5.2 7.0 4.5 9.7 6.6
8 x 6
Low dose 0.5 0.4 1.4 0.3 1.0 0.8
Regular 1.4 0.9 1.2 0.7 1.6 1.1
Best quality 9.5 5.8 7.7 5.0 10.8 7.3
8 x 8
Low dose 0.5 0.4 1.3 0.3 1.0 0.8
Regular 1.4 0.9 1.2 0.7 1.6 1.1
Best quality 6.0 3.6 4.8 3.1 6.8 4.6
10 x 6
Low dose 0.7 0.5 1.8 0.4 1.3 1.0
Regular 1.8 1.1 1.5 0.9 2.0 1.4
Best quality 5.2 3.1 4.2 2.7 5.8 4.0
10 x 8
Low dose 0.5 0.4 1.3 0.3 1.0 0.8
Regular 1.6 1.0 1.3 0.8 1.8 1.2
Best quality 3.4 2.1 2.7 1.8 3.8 2.6
10 x 10
Low dose 0.5 0.4 1.3 0.3 0.9 0.7
Regular 1.1 0.7 0.9 0.6 1.3 0.9
Best quality 3.3 2.0 2.7 1.7 3.8 2.6
13 x 8
Low dose 0.7 0.6 0.4 0.6 0.8 0.6
Regular 1.8 1.4 0.9 1.6 2.0 1.5
Best quality 5.8 6.3 4.0 6.9 8.7 6.5
13 x 10
Low dose 0.7 0.6 0.4 0.6 0.8 0.6
Regular 1.5 1.3 0.8 1.4 1.7 1.3
Best quality 4.2 3.4 2.2 3.7 4.7 3.5
13 x 14e
Low dose 1.4 1.2 0.7 1.3 1.6 1.2
Regular 3.5 2.9 1.8 3.2 4.0 3.0
Best quality 15.4 12.7 8.1 13.8 17.4 13.0
13 x 16e
Low dose 1.4 1.2 0.7 1.3 1.6 1.2
Regular 3.4 2.8 1.8 3.1 3.9 2.9
Best quality 11.5 9.4 6.0 10.3 13.0 9.7
EN DOSE DECLARATION AND ACCEPTANCE TEST 10
Table 2A: CTDI100 – Measures with “Adult Head Phantom” for 3D operating modes
Tolerance: ± 30%
FOV Dose
CTDI100
Center
CTDI100
North
CTDI100
West
CTDI100
South
CTDI100
East
CTDI100
Peripheral
mGy mGy mGy mGy mGy mGy
15 x 6
Low dose 0.7 0.6 0.4 0.7 0.8 0.6
Regular 1.4 1.2 0.8 1.3 1.6 1.2
Best quality 7.8 6.5 4.1 7.0 8.9 6.6
16 x 10
Low dose 0.7 0.6 0.4 0.6 0.8 0.6
Regular 1.1 0.9 0.6 1.0 1.3 1.0
Best quality 3.6 3.0 1.9 3.3 4.1 3.1
16 x 18e
Low dose 1.4 1.1 0.7 1.3 1.6 1.2
Regular 2.2 1.9 1.2 2.0 2.5 1.9
Best quality 7.3 6.0 3.8 6.5 8.2 6.2
4 x 4
Low dose 0.4 0.1 0.4 0.1 0.1 0.2
Regular 2.2 0.6 0.9 0.7 0.8 0.8
Best quality 9.5 6.0 5.0 4.7 4.6 5.1
9 x 9
Low dose 0.6 0.4 1.4 0.4 1.0 0.8
Regular 1.4 0.8 1.1 0.8 1.4 1.0
Best quality 4.1 2.4 3.1 2.3 4.1 3.0
7 x 6
Low dose 0.6 0.4 1.4 0.4 1.0 0.8
Regular 2.2 1.2 1.6 1.2 2.2 1.5
Best quality 8.4 4.8 6.2 4.6 8.4 6.0
9 x 16e
Low dose 1.2 0.7 0.9 0.6 1.2 0.8
Regular 2.9 1.6 2.1 1.6 2.9 2.0
Best quality 8.2 4.7 6.1 4.5 8.3 5.9
EN DOSE DECLARATION AND ACCEPTANCE TEST 11
Table 2B: CTDI100 – Measures with “Pediatric Head Phantom” for 3D operating modes
Tolerance: ± 30%
FOV Dose
CTDI100
Center
CTDI100
North
CTDI100
West
CTDI100
South
CTDI100
East
CTDI100
Peripheral
mGy mGy mGy mGy mGy mGy
6 x 6
Low dose 0.7 0.8 0.4 0.8 1.3 0.8
Regular 1.6 1.7 1.8 1.8 1.8 1.8
Best quality 5.0 5.6 5.9 5.7 5.9 5.8
8 x 6
Low dose 0.7 0.8 0.4 0.9 1.3 0.8
Regular 1.6 1.7 1.8 1.8 1.8 1.8
Best quality 5.0 5.6 5.9 5.7 5.9 5.8
8 x 8
Low dose 0.7 0.8 0.4 0.9 1.3 0.9
Regular 1.6 1.8 1.9 1.8 1.9 1.9
Best quality 5.1 5.7 6.1 5.8 6.0 5.9
10 x 6
Low dose 0.7 0.8 0.4 0.9 1.3 0.9
Regular 1.6 1.8 1.9 1.8 1.9 1.8
Best quality 5.0 5.6 5.9 5.7 5.9 5.8
10 x 8
Low dose 0.7 0.8 0.4 0.9 1.3 0.9
Regular 1.8 2.0 2.1 2.0 2.1 2.1
Best quality 5.1 5.8 6.1 5.9 6.1 6.0
10 x 10
Low dose 0.7 0.8 0.4 0.9 1.3 0.9
Regular 1.8 2.0 2.1 2.0 2.1 2.0
Best quality 5.0 5.7 6.0 5.8 6.0 5.8
13 x 8
Low dose 1.1 0.9 0.8 0.9 1.0 0.9
Regular 1.6 1.4 1.2 1.4 1.5 1.4
Best quality 3.9 4.4 3.9 4.4 4.7 4.4
13 x 10
Low dose 1.0 0.9 0.8 0.9 1.0 0.9
Regular 1.7 1.5 1.3 1.5 1.6 1.5
Best quality 3.0 2.7 2.4 2.7 2.9 2.7
13 x 14e
Low dose 2.1 1.9 1.7 1.9 2.0 1.9
Regular 3.1 2.8 2.5 2.8 3.0 2.8
Best quality 10.0 8.8 7.8 8.9 9.5 8.7
13 x 16e
Low dose 2.1 1.8 1.6 1.9 2.0 1.8
Regular 3.4 3.0 2.7 3.0 3.2 3.0
Best quality 7.8 6.9 6.1 6.9 7.4 6.8
15 x 6
Low dose 1.1 0.9 0.8 0.9 1.0 0.9
Regular 1.6 1.4 1.2 1.4 1.5 1.4
Best quality 4.9 4.3 3.8 4.3 4.6 4.3
EN DOSE DECLARATION AND ACCEPTANCE TEST 12
Table 2B: CTDI100 – Measures with “Pediatric Head Phantom” for 3D operating modes
Tolerance: ± 30%
FOV Dose
CTDI100
Center
CTDI100
North
CTDI100
West
CTDI100
South
CTDI100
East
CTDI100
Peripheral
mGy mGy mGy mGy mGy mGy
16 x 10
Low dose 1.0 0.9 0.8 0.9 1.0 0.9
Regular 1.7 1.5 1.3 1.5 1.6 1.5
Best quality 3.1 2.7 2.4 2.7 2.9 2.7
16 x 18e
Low dose 2.1 1.8 1.6 1.8 2.0 1.8
Regular 3.4 3.0 2.6 3.0 3.2 2.9
Best quality 6.2 5.4 4.8 5.5 5.9 5.4
4 x 4
Low dose 0.6 0.3 0.7 0.2 0.2 0.4
Regular 2.5 1.2 1.2 1.1 1.0 1.1
Best quality 7.6 4.0 3.5 3.5 3.5 3.6
9 x 9
Low dose 0.9 1.0 0.5 1.1 1.7 1.1
Regular 2.3 2.4 2.6 2.5 2.6 2.5
Best quality 6.5 7.1 7.5 7.2 7.6 7.3
7 x 6
Low dose 0.9 1.0 0.5 1.1 1.6 1.1
Regular 2.0 2.2 2.3 2.3 2.4 2.3
Best quality 6.4 6.9 7.3 7.0 7.4 7.1
9 x 16e
Low dose 1.8 2.0 2.1 2.0 2.1 2.1
Regular 4.5 4.9 5.1 5.0 5.2 5.1
Best quality 13.1 14.2 14.9 14.4 15.1 14.7
EN DOSE DECLARATION AND ACCEPTANCE TEST 13
3.3 Table of CTDIW, CTDIfree air, CTDIvol, DLP declared for 3D operating modes of the device
CTDIW, CTDIfree air, CTDIvol values expressed in mGy. DLP values expressed in mGy*cm.
Tolerance is ± 30%. For this application, CTDIW values correspond to CTDIvol.
CTDIW values are calculated in compliance with IEC 60601-2-44 Par. 201.3.211 and 201.3.212 c). CTDIfree air
values are calculated in compliance with IEC 60601-2-44 Par. 203.109.2. DLP values are calculated in
compliance with IEC 60601-2-44 Par. 201.3.214.
Loading factors as per reference Table 1.
Table 3A: CTDIFree Air, CTDIw, CTDIvol, DLP – Measures with “Adult Head Phantom” for 3D operating modes
Tolerance: ± 30%
FOV Dose
CTDI
Free Air
CTDI
Weighted
CTDI
Volumetric DLP
mGy mGy mGy mGy *cm
6 x 6
Low dose 0.9 1.1 1.1 6.8
Regular 2.5 1.8 1.8 10.9
Best quality 10.0 7.2 7.2 43.5
8 x 6
Low dose 0.6 0.7 0.7 4.1
Regular 1.7 1.2 1.2 7.2
Best quality 11.1 8.0 8.0 48.2
8 x 8
Low dose 0.7 0.7 0.7 5.3
Regular 2.2 1.2 1.2 9.6
Best quality 9.3 5.0 5.0 40.4
10 x 6
Low dose 0.7 0.9 0.9 5.4
Regular 2.1 1.5 1.5 9.1
Best quality 6.0 4.4 4.4 26.2
10 x 8
Low dose 0.7 0.7 0.7 5.3
Regular 2.4 1.3 1.3 10.6
Best quality 5.3 2.9 2.9 22.9
10 x 10
Low dose 0.9 0.7 0.7 6.5
Regular 2.2 1.0 1.0 9.6
Best quality 6.5 2.8 2.8 28.2
13 x 8
Low dose 1.0 0.6 0.6 5.1
Regular 2.5 1.6 1.6 12.6
Best quality 10.9 6.3 6.3 50.2
13 x 10
Low dose 1.2 0.6 0.6 6.2
Regular 2.7 1.4 1.4 13.7
Best quality 7.3 3.7 3.7 37.2
13 x 14e
Low dose 2.0 1.3 1.5 23.4
Regular 5.0 3.2 3.6 57.6
Best quality 21.8 13.8 15.8 252.6
EN DOSE DECLARATION AND ACCEPTANCE TEST 14
Table 3A: CTDIFree Air, CTDIw, CTDIvol, DLP – Measures with “Adult Head Phantom” for 3D operating modes
Tolerance: ± 30%
FOV Dose
CTDI
Free Air
CTDI
Weighted
CTDI
Volumetric DLP
mGy mGy mGy mGy *cm
13 x 16e
Low dose 2.2 1.3 1.4 25.4
Regular 5.4 3.1 3.4 61.9
Best quality 18.2 10.3 11.6 208.1
15 x 6
Low dose 0.8 0.7 0.7 4.0
Regular 1.5 1.3 1.3 7.8
Best quality 8.3 7.0 7.0 42.2
16 x 10
Low dose 1.2 0.6 0.6 6.2
Regular 2.0 1.0 1.0 10.1
Best quality 6.4 3.3 3.3 32.6
16 x 18e
Low dose 2.5 1.2 1.4 27.7
Regular 4.0 2.0 2.2 44.8
Best quality 12.9 6.5 7.3 145.1
4 x 4
Low dose 0.4 0.3 0.3 1.1
Regular 1.8 1.2 1.2 5.1
Best quality 9.0 6.5 6.5 26.3
9 x 9
Low dose 1.1 0.7 0.7 6.4
Regular 2.6 1.2 1.2 10.4
Best quality 7.6 3.3 3.3 30.1
7 x 6
Low dose 0.7 0.7 0.7 4.3
Regular 2.7 1.8 1.8 10.5
Best quality 10.3 6.8 6.8 40.7
9 x 16e
Low dose 2.1 0.9 1.0 18.9
Regular 5.3 2.3 2.6 46.9
Best quality 15.3 6.7 7.5 135.5
EN DOSE DECLARATION AND ACCEPTANCE TEST 15
Table 3B: CTDIFree Air, CTDIW, CTDIvol, DLP – Measures with “Pediatric Head Phantom” for 3D operating modes
Tolerance: ± 30%
FOV Dose
CTDI
Free Air
CTDI
Weighted
CTDI
Volumetric DLP
mGy mGy mGy mGy *cm
6 x 6
Low dose 0.5 0.8 0.8 4.7
Regular 1.2 1.7 1.7 10.3
Best quality 3.9 5.5 5.5 32.9
8 x 6
Low dose 0.6 0.8 0.8 4.8
Regular 1.2 1.7 1.7 10.3
Best quality 3.9 5.5 5.5 33.1
8 x 8
Low dose 0.7 0.8 0.8 6.5
Regular 1.7 1.8 1.8 14.2
Best quality 5.4 5.6 5.6 45.2
10 x 6
Low dose 0.6 0.8 0.8 4.8
Regular 1.2 1.7 1.7 10.5
Best quality 3.9 5.5 5.5 33.2
10 x 8
Low dose 0.8 0.8 0.8 6.5
Regular 1.9 2.0 2.0 15.8
Best quality 5.4 5.7 5.7 45.6
10 x 10
Low dose 0.9 0.8 0.8 8.0
Regular 2.3 1.9 1.9 19.5
Best quality 6.6 5.6 5.6 55.7
13 x 8
Low dose 1.1 1.0 1.0 7.8
Regular 1.6 1.4 1.4 11.5
Best quality 4.9 4.2 4.2 33.6
13 x 10
Low dose 1.3 0.9 0.9 9.5
Regular 2.1 1.6 1.6 15.5
Best quality 3.8 2.8 2.8 28.0
13 x 14e
Low dose 2.1 1.9 4.4 71.1
Regular 3.1 2.9 3.3 52.7
Best quality 9.9 9.1 10.4 167.2
13 x 16e
Low dose 2.3 1.9 2.2 38.9
Regular 3.8 3.1 3.5 63.4
Best quality 8.7 7.2 8.1 145.2
15 x 6
Low dose 0.8 1.0 1.0 5.8
Regular 1.2 1.4 1.4 8.6
Best quality 3.6 4.5 4.5 26.8
EN DOSE DECLARATION AND ACCEPTANCE TEST 16
Table 3B: CTDIFree Air, CTDIW, CTDIvol, DLP – Measures with “Pediatric Head Phantom” for 3D operating modes
Tolerance: ± 30%
FOV Dose
CTDI
Free Air
CTDI
Weighted
CTDI
Volumetric DLP
mGy mGy mGy mGy *cm
16 x 10
Low dose 1.3 1.0 1.0 9.5
Regular 2.1 1.5 1.5 15.4
Best quality 3.8 2.8 2.8 28.3
16 x 18e
Low dose 2.6 1.9 2.1 42.4
Regular 4.2 3.1 3.4 68.6
Best quality 7.6 5.7 6.3 125.6
4 x 4
Low dose 0.4 0.5 0.5 1.8
Regular 1.1 1.6 1.6 6.3
Best quality 3.4 4.9 4.9 19.8
9 x 9
Low dose 1.1 1.0 1.0 9.2
Regular 2.7 2.4 2.4 21.9
Best quality 7.8 7.1 7.1 63.6
7 x 6
Low dose 0.7 1.0 1.0 6.0
Regular 1.6 2.2 2.2 13.3
Best quality 5.0 6.9 6.9 41.3
9 x 16e
Low dose 2.2 2.0 2.2 40.4
Regular 5.3 4.9 5.5 98.6
Best quality 15.5 14.1 15.9 286.1
EN DOSE DECLARATION AND ACCEPTANCE TEST 17
3.4 Air Kerma and DAP declared for 3D operating modes of the device
Values of Air Kerma as per IEC 60601-1-3:2008 + A1:2013 par. 3.4 calculated according to IEC 60601-2-
63:2012 + A1:2017 par. 203.6.4.5. Values expressed in mGy. Tolerance is ± 30%.
The ionisation chamber of the tool has been positioned on the rotation axis. To obtain the Air Kerma values
on the panel, multiply the values in the table by a factor equal to 0.35 for FOVs [4 x 4], [9 x 9], [7 x 6], [9 x
16e], or equal to 0.42 for the other FOVs,
DAP values as per IEC 60601-2-63:2012 + A1:2017 par. 201.3.204 calculated according to IEC 60601-2-
63:2012 + A1:2017 par. 203.6.4.5. Values expressed in mGy*cm2. Tolerance is ± 30%.
Loading factors as per reference Table 1.
Table 4: Air Kerma, DAP – Measures with “Adult Head Phantom” and “Pediatric Head Phantom” for 3D
operating modes. Tolerance: ± 30%
FOV Dose
ADULT HEAD PHANTOM PEDIATRIC HEAD PHANTOM
Air Kerma DAP Air Kerma DAP
mGy mGy *cm2 mGy mGy *cm2
6 x 6
Low dose 1.3 56.3 0.9 37.2
Regular 3.5 152.4 2.0 85.8
Best quality 14.1 605.5 5.6 242.2
8 x 6
Low dose 0.8 44.1 0.8 44.1
Regular 2.4 133.1 1.8 99.8
Best quality 15.5 872.9 5.9 332.5
8 x 8
Low dose 0.9 63.4 0.9 63.4
Regular 2.6 191.7 2.2 164.3
Best quality 10.9 800.0 6.7 490.4
10 x 6
Low dose 1.1 76.2 0.9 64.6
Regular 3.0 214.0 2.0 142.3
Best quality 8.5 611.3 5.6 407.6
10 x 8
Low dose 0.9 81.4 0.9 81.4
Regular 2.9 271.4 2.2 211.4
Best quality 6.2 582.8 6.2 582.8
10 x 10
Low dose 0.9 105.7 0.9 105.7
Regular 2.2 262.8 2.0 238.9
Best quality 6.3 760.4 6.3 760.4
13 x 8
Low dose 1.2 94.6 1.2 94.6
Regular 3.0 234.3 2.0 155.8
Best quality 12.8 1006.3 6.0 473.5
13 x 10
Low dose 1.2 123.3 1.2 123.3
Regular 2.7 269.7 2.1 210.2
Best quality 7.2 726.5 3.6 363.2
13 x 14e
Low dose 2.4 378.4 2.4 378.4
Regular 5.9 937.0 3.9 623.1
Best quality 25.5 4025.0 12.9 2037.0
EN DOSE DECLARATION AND ACCEPTANCE TEST 18
Table 4: Air Kerma, DAP – Measures with “Adult Head Phantom” and “Pediatric Head Phantom” for 3D
operating modes. Tolerance: ± 30%
FOV Dose
ADULT HEAD PHANTOM PEDIATRIC HEAD PHANTOM
Air Kerma DAP Air Kerma DAP
mGy mGy *cm2 mGy mGy *cm2
13 x 16e
Low dose 2.4 435.3 2.4 435.3
Regular 5.9 1067.5 4.6 831.8
Best quality 20.0 3585.5 10.1 1814.6
15 x 6
Low dose 1.1 74.8 1.1 74.8
Regular 2.2 148.4 1.9 127.2
Best quality 11.8 794.1 5.2 352.9
16 x 10
Low dose 1.2 146.3 1.2 146.3
Regular 2.0 236.8 1.8 217.2
Best quality 6.3 760.4 3.6 434.5
16 x 18e
Low dose 2.4 585.1 2.4 585.1
Regular 3.9 947.1 3.1 744.8
Best quality 12.7 3041.5 6.3 1520.8
4 x 4
Low dose 0.8 17.4 0.8 17.4
Regular 4.1 82.4 2.4 48.2
Best quality 20.0 402.0 7.9 158.8
9 x 9
Low dose 1.0 104.2 1.0 104.2
Regular 2.6 258.3 2.4 234.8
Best quality 7.5 747.5 7.5 747.5
7 x 6
Low dose 1.0 49.0 1.0 49.0
Regular 3.8 185.4 2.5 123.3
Best quality 14.4 710.3 7.7 377.6
9 x 16e
Low dose 2.1 416.6 2.1 416.6
Regular 5.2 1033.2 3.8 762.8
Best quality 15.0 2989.8 7.0 1407.0
EN DOSE DECLARATION AND ACCEPTANCE TEST 19
3.5 Air Kerma and DAP declared for 2D operating modes of the device
Values of Air Kerma as per IEC 60601-1-3:2008 + A1:2013 par. 3.4 calculated according to IEC 60601-2-
63:2012 + A1:2017 par. 203.6.4.5. Values expressed in mGy. Tolerance is ± 30%.
DAP values as per IEC 60601-2-63:2012 + A1:2017 par. 201.3.204 calculated according to IEC 60601-2-
63:2012 + A1:2017 par. 203.6.4.5. Values expressed in mGy*cm2. Tolerance is ± 30%.
The ionisation chamber of the tool has been positioned on the panel.
Table 5: Air Kerma, DAP – Measures in 2D operating modes (PAN, TMJ, SIN, CEPH projections).
Tolerance: ± 30%
Family Projection
Loading Factors AIR KERMA DAP
Exp
time Tube Voltage
Anodic
current Small Typical Large Small Typical Large
s kV
(small)
kV
(typical)
kV
(large) mA mGy mGy mGy mGy*cm2 mGy*cm2 mGy*cm2
PAN PAN
Standard 12.3 71 76 83 7 14.86 16.94 19.85 126.0 143.0 168.0
PAN Half PAN R 7.2 71 76 83 7 8.70 9.91 11.62 73.0 84.0 98.0
PAN Half PAN L 7.2 71 76 83 7 8.70 9.91 11.62 74.0 84.0 98.0
PAN Dentition 9.5 71 76 83 7 11.47 13.08 15.33 74.0 85.0 99.0
PAN Half R 6.1 71 76 83 7 7.37 8.40 9.85 47.7 54.0 64.0
PAN Half L 6.1 71 76 83 7 7.37 8.40 9.85 47.7 54.0 64.0
PAN Frontal
Dentition 4.2 71 76 83 7 5.07 5.78 6.80 32.8 37.4 44.8
PAN BiteWing 13.4 71 76 83 7 16.18 18.45 21.63 82.0 94.0 110.0
PAN BiteWing R 6.7 71 76 83 7 8.09 9.23 10.81 41.4 47.2 55.0
PAN BiteWing L 6.7 71 76 83 7 8.09 9.23 10.81 41.4 47.2 55.0
PAN PAN Child 11.2 65 69 73 7 11.25 12.77 14.29 83.0 95.0 106.0
PAN PAN Quick 6 71 76 83 7 7.25 8.26 9.68 61.0 70.0 82.0
PAN PAN Quick
Child 5.6 65 69 73 7 5.63 6.38 7.14 41.7 47.4 53.0
PAN Inferior 9.5 71 76 83 7 11.47 13.08 15.33 48.2 55.0 64.0
PAN Superior 9.5 71 76 83 7 11.47 13.08 15.33 55.0 63.0 74.0
PAN Half Inferior
R 6.1 71 76 83 7 7.37 8.40 9.85 30.9 35.3 41.0
PAN Half
Superior R 6.1 71 76 83 7 7.37 8.40 9.85 35.4 40.3 47.0
PAN Half Inferior
L 6.1 71 76 83 7 7.37 8.40 9.85 30.9 35.3 41.0
EN DOSE DECLARATION AND ACCEPTANCE TEST 20
Table 5: Air Kerma, DAP – Measures in 2D operating modes (PAN, TMJ, SIN, CEPH projections).
Tolerance: ± 30%
Family Projection
Loading Factors AIR KERMA DAP
Exp
time Tube Voltage
Anodic
current Small Typical Large Small Typical Large
s kV
(small)
kV
(typical)
kV
(large) mA mGy mGy mGy mGy*cm2 mGy*cm2 mGy*cm2
PAN Half
Superior L 6.1 71 76 83 7 7.37 8.40 9.85 35.4 40.3 47.0
PAN Frontal Inferior
4.2 71 76 83 7 5.07 5.78 6.78 21.3 24.3 28.0
PAN Frontal
Superior 4.2 71 76 83 7 5.07 5.78 6.78 24.4 27.8 32.0
PAN PAN Ortho 16.5 71 76 83 7 19.93 22.72 26.63 169.0 192.0 225.0
PAN Half PAN Ortho R
10.2 71 76 83 7 12.32 14.05 16.46 104.0 119.0 139.0
PAN Half PAN Ortho L
10.2 71 76 83 7 12.32 14.05 16.46 104.0 119.0 139.0
PAN Half PAN Child R
6.7 65 69 83 7 6.73 7.64 8.55 49.9 57.0 63.0
PAN Half PAN Child L
6.7 65 69 83 7 6.73 7.64 8.55 49.9 57.0 63.0
TMJ TMJ PA R-
L 7.6 71 76 83 7 9.18 10.47 12.27 78.0 89.0 104.0
TMJ TMJ PA R
3X 11.4 71 76 83 7 13.77 15.70 18.40 117.0 133.0 156.0
TMJ TMJ PA L
3X 11.4 71 76 83 7 13.77 15.70 18.40 117.0 133.0 156.0
TMJ TMJ Lateral
R-L 7.8 71 76 83 7 9.42 10.74 12.59 80.0 91.0 107.0
TMJ TMJ Lateral
R 3X 11.7 71 76 83 7 14.13 16.11 18.88 120.0 136.0 160.0
TMJ TMJ Lateral
L 3X 11.7 71 76 83 7 14.13 16.11 18.88 120.0 136.0 160.0
SIN Maxillary SINUSES
6.5 71 76 83 7 7.85 8.95 10.49 66.0 76.0 89.0
SIN Maxillary SINUS R
5 71 76 83 7 6.04 6.89 8.07 51.0 58.0 68.0
SIN Maxillary SINUS L
5 71 76 83 7 6.04 6.89 8.07 51.0 58.0 68.0
CEPH CEPH Lat. short Quick
3.3 80 82 84 12 1.1 1.1 1.2 14.2 14.8 15.5
CEPH
CEPH Lat. short
reduced 9.0 80 82 84 12 2.9 3.1 3.2 33.3 34.8 36.3
EN DOSE DECLARATION AND ACCEPTANCE TEST 21
Table 5: Air Kerma, DAP – Measures in 2D operating modes (PAN, TMJ, SIN, CEPH projections).
Tolerance: ± 30%
Family Projection
Loading Factors AIR KERMA DAP
Exp
time Tube Voltage
Anodic
current Small Typical Large Small Typical Large
s kV
(small)
kV
(typical)
kV
(large) mA mGy mGy mGy mGy*cm2 mGy*cm2 mGy*cm2
CEPH CEPH Lat. long Quick
4.5 80 82 84 12 1.5 1.5 1.6 19.4 20.2 21.1
CEPH
CEPH Lat.
long reduced
Quick 4.5 80 82 84 12 1.5 1.5 1.6 16.6 17.4 18.1
CEPH CEPH carpus
4.0 - 70 - 10 - 0.84 - - 11.08 -
CEPH CEPH Lat.
short 9.0 80 82 84 12 2.9 3.1 3.2 38.7 41.0 42.2
CEPH CEPH Lat.
long reduced 9.0 80 82 84 12 2.9 3.1 3.2 33.3 34.8 36.3
CEPH CEPH Lat.
long 9.0 80 82 84 12 2.9 3.1 3.2 38.7 41.0 42.2
CEPH CEPH AP-PA
9.0 80 82 84 12 2.9 3.1 3.2 38.7 40.4 42.2
CEPH
CEPH Lat.
short reduced
Quick
3.3 80 82 84 12 1.1 1.1 1.2 12.2 12.8 13.3