Schick Technologies B2410100 2400 TO 2483.5 MHz WIRELESS TRANSCEIVER User Manual CDR Elite Wireless User Guide

Schick Technologies, Inc. 2400 TO 2483.5 MHz WIRELESS TRANSCEIVER CDR Elite Wireless User Guide

Users Manual

                  CDR Elite Wireless System User Guide   Schick Technologies, Inc. 30-30 47th Avenue Long Island City, NY 11101 USA  (718) 937-5765 (718) 937-5962 (fax)  EU Authorized Representative Sirona Dental GmbH General Counsel Europe /Asia Pacific Wasserfeldstraße 30 A - 5020 Salzburg, Austria                         PART NUMBER B1051080 REV. –           (DRAFT)                                  FIELD TEST MANUAL
            Copyright © 2010 by Schick Technologies, Inc. All Rights Reserved                October 11, 2010      Printed in the United States of America      This document was originally prepared in English   CDR and CDR Elite Wireless are trademarks of Schick Technologies, Inc.  CDR is a registered trademark and is covered by US Patent Numbers 5,912,942, 6,134,298 and 7,090,395. Additional patents are pending. Trademark designations used by other manufacturers and sellers may appear in this document also. Where Schick Technologies, Inc. was aware of a trademark claim, that information has been printed in caps or initial caps.
 CDR Elite Wireless User Guide  B1051080 Rev. – (DRAFT)   iContents 1.CDR Elite Wireless System ...................................................... 11.1.Purpose .................................................................................................................................... 11.2.Indications for Use .................................................................................................................. 11.3.System Description ................................................................................................................. 11.4.Wireless Interface ................................................................................................................... 22.Hardware ...................................................................................... 32.1.CDR Elite Sensor .................................................................................................................... 32.2.Power and Transceiver ............................................................................................................ 42.3.Counter Top Dock ................................................................................................................... 42.4.PC Workstation ....................................................................................................................... 53.Software ....................................................................................... 63.1.Setup with Windows 7 ............................................................................................................ 73.2.Setup with Windows Vista .................................................................................................... 113.3.Setup with Windows XP ....................................................................................................... 143.4.Wireless Monitor .................................................................................................................. 183.5.WiFi Configuration Utility ................................................................................................... 193.6.Upgrade Utility ..................................................................................................................... 203.7.PAT and PC Workstation Pairing ......................................................................................... 223.8.Resend Last Image ................................................................................................................ 223.9.CDR AutoDetect and PAT Devices ...................................................................................... 224.Controls and LED Indicators ................................................. 244.1.Counter Top Dock ................................................................................................................. 244.2.Power and Transceiver Device ............................................................................................. 255.Operation ................................................................................... 305.1.Preparing CDR Elite Sensors for Wireless Usage ................................................................ 305.2.Configuring the PAT ............................................................................................................. 305.3.Pairing the PAT to a PC Workstation ................................................................................... 315.4.Using Sensor Sheaths and Holders ....................................................................................... 345.5.Taking X-rays ....................................................................................................................... 356.Protective Measures ................................................................ 366.1.Introduction ........................................................................................................................... 366.2.Sensor and PAT Cleaning and Disinfecting ......................................................................... 376.3.CTD Cleaning ....................................................................................................................... 386.4.Recommended Disinfectants ................................................................................................ 387.Using the Upgrade Utility ....................................................... 398.Maintenance ..............................................................................  40
 ii  B1051080 Rev. – (DRAFT)  CDR Elite Wireless User Guide 8.1.Damaged Sensor ................................................................................................................... 408.2.Sheath and Battery Disposal ................................................................................................. 408.3.Battery Replacement ............................................................................................................. 408.4.Upgrades and Diagnostics ..................................................................................................... 418.5.Image Exposure Issues .......................................................................................................... 419.Reference ................................................................................... 429.1.System Summary .................................................................................................................. 42List of Figures and Tables Figure 1. CDR Elite Wireless System Connections ......................................................................... 3Figure 2. CDR Elite Wireless Firmware Upgrades Tab ................................................................. 21Figure 3. CDR Elite Wireless Pattern Tests Tab ............................................................................ 21Figure 4. CTD Connections and LEDs ........................................................................................... 24Figure 5. PAT Pushbutton Switch and LED Indicator ................................................................... 25Figure 6. CDR Elite Wireless Device LED Color Range during Operation .................................. 26Figure 7. CDR Elite Wireless Device LED Color Range during Upgrades and Diagnostics ........ 26Figure 8. CDR Elite Wireless PATs Docked to CTD .................................................................... 27Figure 9. CDR Elite Wireless PAT Not Docked to CTD (No Sensor Connected) ........................ 28Figure 10. CDR Elite Wireless PAT Not Docked to CTD (Sensor Connected) ............................ 29Figure 11. Wireless Monitor Menu Items ...................................................................................... 32Figure 12. PAT Management List of Paired and Available PATs ................................................. 32 Table 1. CDR Elite Wireless PAT LEDs (PAT Docked to CTD) .................................................. 27Table 2. CDR Elite Wireless PAT LEDs (PAT Not Docked to CTD – No Sensor Connected) .... 28Table 3. CDR Elite Wireless PAT LEDs (PAT Not Docked to CTD – Sensor Connected) .......... 29Table 5. CDR Elite Wireless System Summary ............................................................................. 42Table 6. Wireless Interface Characteristics .................................................................................... 42Table 7. Environmental Specifications ........................................................................................... 42Table 8. Compliance Specifications ............................................................................................... 43Table 9. Guidance and Manufacturer's Declaration - Electromagnetic Emissions ........................ 43Table 10. Guidance and Manufacturer's Declaration - Electromagnetic Immunity ....................... 44Table 11. Recommended Separation Distance between Portable and Mobile RF Communications Equipment and the System .............................................................................................. 46
 CDR Elite Wireless User Guide  B1051080 Rev. – (DRAFT)  iiiNotice to Customers in European Countries For customers in European countries, additional information about the CDR Elite Wireless system is provided below. Refer to the following table as well as to other information in this User Guide for an explanation of symbols on CDR Elite Wireless hardware.  AUS  B DK  FIN The   symbol indicates that the use of 2.4 GHz devices is restricted in the countries crossed out on this table. However, the CDR Elite Wireless system has been designed to comply with these restrictions and can be used in all European countries.  F D GR  IRE I LUX NL  P E S UK   CH
 iv  B1051080 Rev. – (DRAFT)  CDR Elite Wireless User Guide      Compliance Statement and Safety Issues FCC Compliance Statement This device complies with Part 15 of the FCC Rules. Operation is subject to the following two conditions: (1) This device may not cause harmful interference, and (2) This device must accept any interference received, including interference that may cause undesired operation.  Changes or modifications not expressly approved by the party responsible for compliance could void the user’s authority to operate the equipment.  The maximum wireless signal rate for the system is derived from IEEE Standard 802.11a/b/g specifications. Actual data throughput will vary. Network conditions and environmental factors, including the volume of network traffic, building materials, and construction, and network overhead, may lower actual data throughput rate. Environmental conditions will adversely affect wireless signal range. Observe Proper Handling, Storage, and Disposal for Batteries Your CDR Elite Wireless PAT is equipped with disposable lithium ion batteries. Be sure to read and understand the special instructions relating to battery usage and follow all of the guidelines for usage, storage, and disposal. Improper use can result in serious injury, fire, or death. Do not short circuit, disassemble, or modify the batteries. Do not place them near high-temperature locations. Do not place the batteries in fire or apply heat to them. Do not subject the batteries to strong impacts or shocks. Do not expose the batteries to water or allow them to get wet. A fire extinguisher must be used if a lithium ion battery is burning. Do not use water.   Check Sensor Before Using It Before each usage, check the Sensor for any signs of physical damage or defect. Before taking X-rays, refer to the CDR Positioning System User Guide for guidelines on using Sensor sheaths, holders, and tabs. The CDR Positioning System User Guide is distributed with Sensor Holder kits and is also available on our website.
 CDR Elite Wireless User Guide  B1051080 Rev. – (DRAFT)  vRadio Frequency (RF) Interference Considerations Although the CDR Elite Wireless System equipment is designed to provide a reasonable degree of protection from electromagnetic interference according to International Electrotechnical Commission (IEC) regulations, it must be installed at an adequate distance from electricity transformer rooms, static continuity units, two-way amateur radios and cellular phones. To ensure proper operation, the latter can be used only at a minimum distance of 5 feet (1.5m) from any part of the equipment. Any instrumentation or equipment for professional use located near the CDR Elite Wireless system must conform to Electromagnetic Compatibility regulations appropriate to this type of equipment. Non-conforming equipment, with known poor immunity to electromagnetic fields, may not operate properly unless they are installed at a distance of at least 10 feet (3m) and supplied by a dedicated electric line.  Installers to Ensure that CDR Elite Wireless System Operates Optimally Installers must ensure that the CDR Elite Wireless system provides the user with the optimal use of the equipment. This includes, but is not limited to, ensuring that the system operates as described in this document. Installers must also ensure that the system presents no physical obstacles or hazards during operation and when not in use. To verify this requirement, installers shall confirm that the CDR Elite Wireless system is installed as described in this User Guide and shall perform the appropriate procedures therein. Ensure Proper System and PC Workstation Installation and Operation  The Sensor and CDR Elite Wireless PAT have been determined to be in accordance with international safety standards and are deemed suitable for use within the patient area, which extends from the patient for a distance of 5 ft (1.5m). To comply with these standards, do not operate non-medical equipment (such as a PC workstation) inside the patient area. Outside the patient area, the presence of approved non-medical grade equipment and Listed / Approved / IEC 60950-1 certified Information Technology Equipment (ITE) computer equipment is acceptable. The host computer (PC workstation) should be CE-approved and conform with the Low Voltage [73/23/EC] and EMC Directive [89/336/ERC]. Also, to help ensure optimal performance, verify that all software programs residing on the workstation are virus-free and have been adequately tested so they will not impact imaging applications after installation.
 vi  B1051080 Rev. – (DRAFT)  CDR Elite Wireless User Guide Only Dentists or Authorized Designees Are Permitted to Operate the System To ensure the correct use of the CDR Elite Wireless system in a clinical environment, for purposes that correspond to its intended design and application, only dentists, or their designees, are authorized to operate the system. Operate the CDR Elite Wireless System as Directed Always use the CDR Elite Wireless system in accordance with the directions and recommendations contained in this User Guide. Do not attempt to modify the system or use it in configurations not specified or permitted in this document. Protect Sensor from Potential ESD Damage Like other electronic devices, your Sensor is susceptible to electrostatic discharge (ESD), particularly when the device is used in or around carpeted areas or low-humidity environments. Sensor contacts are exposed when attaching the wireless adapter to the CDR Elite Sensor, so it is especially important to protect it from potential ESD damage. Touching a metal surface prior to installing the wireless adapter will reduce the risk of damaging Sensor components by accidental static discharge. The use of anti-static floor mats or floor treatments (for example Staticide 2005/2002) will also help eliminate static build-up in your office. Do Not Use Snap-A-Ray Holders with Sensors  Any type of clamping holder, or equivalent instrument, can exert damaging pressure on the Sensor case, including the material and components enclosed inside. This type of damage is not covered by warranty.  Observe Proper Handling and Placement for Sensors As with any dental device or instrument placed intraorally, proper care must be taken when using Sensors to ensure they are handled and positioned properly. Practitioners should observe standard guidelines, use recommended holders and other Sensor positioning elements, and follow accepted clinical methods to make sure that the patient does not bite down on or damage the Sensor during the X-ray examination.
 CDR Elite Wireless User Guide  B1051080 Rev. – (DRAFT)  viiDo Not Stack CDR Elite Wireless Equipment or Connect it to Items that are Not Part of the System The CDR Elite Wireless system equipment should not be used adjacent to or stacked with other equipment, nor should other items be connected to it that are not part of the system. If adjacent or stacked use is necessary, normal operation shall be observed and verified in that configuration.  Wait for Appropriate Prompts before Operating X-ray Source To avoid exposing the patient to unnecessary X-rays, ensure that the CDR exam window viewbox is flashing green (default color) in AutoTake mode, or that the message, “Waiting to take X-ray,” is displayed before triggering the X-ray Source.
 viii  B1051080 Rev. – (DRAFT)  CDR Elite Wireless User Guide Explanation of Symbols Some symbols on the USB Interface label identify the system as having met the requirements for sale within the United States and for export internationally. The “CE” symbol is an example of this type of mark. The remaining symbols provide either technical or directive information, as described below.  Symbol Description  Indicates Class II equipment.  Indicates Type BF equipment.  Indicates an attention to customers to consult accompanying documents for more information.   Conforms to European Union Medical Devices Directive (MDD) 93/42/EEC  Indicates that in the European Union, at the end of product life, this device must be disposed of in accordance with the requirements of the Waste Electrical and Electronic Equipment (WEEE) directive 2002/96/EC  Indicates that under certain ambient environmental conditions (especially low humidity), this device may be susceptible to electrostatic discharge (ESD). Appropriate care and handling must be observed to avoid damage.   Indicates that the CDR Elite Wireless Sensor is a source for non-ionizing radiation
 CDR Elite Wireless User Guide  B1051080 Rev. – (DRAFT)  ixWaste Electrical and Electronic Equipment   Background The European Union’s Waste Electrical and Electronic Equipment (WEEE) Directive (2002/96/EC) has been implemented in member states as of August 13, 2005. This directive, which seeks to reduce the waste of electrical and electronic equipment through re-use, recycling, and recovery, imposes several requirements on producers. Schick Technologies and its Dealers are committed to complying with the Directive.  WEEE Marking All Schick products subject to the WEEE Directive and shipped after August 13, 2005 will be compliant with the WEEE marking requirements. These products will be identified with the “crossed-out wheeled bin” WEEE symbol shown below, as defined in European Standard EN 50419, and in accordance with WEEE Directive 2002/96/EC.                                          This “crossed-out wheeled bin” symbol on the product or its packaging indicates that this product must not be disposed of with other unsorted municipal waste. Instead, it is the user’s responsibility to dispose of Electrical and Electronic Equipment (EEE) by handing it over to a designated collection point for the reuse or recycling of waste electrical and electronic equipment. The separate collection and reuse or recycling of Electrical and  Electronic waste equipment will help to conserve natural resources and ensure that it is recycled in a manner that protects the environment and human health. For more information about where you can drop off your waste equipment for recycling, please contact your local officials. Reporting According to the WEEE Directive, Schick Technologies or its Dealers will ensure that information needed to calculate the financial obligations with respect to EEE products will be provided as required.
 x  B1051080 Rev. – (DRAFT)  CDR Elite Wireless User Guide WEEE from Users other than Private Households According to the WEEE Directive, Schick Technologies or its Dealers will fulfill its obligations for the management of WEEE from users other than private households. Furthermore, as required by the WEEE Directive, in order to determine unequivocally  when the equipment was put on the market, the maufacturer’s date is placed on the equipment. Information for Reuse Centers, Treatment and Recycling Facilities As required by the WEEE Directive, Schick Technologies or its Dealers will provide reuse, treatment, and recycling information for each type of new EEE put on the market within one year of the date in which the equipment is put on the market. Information will include the different EEE components and materials as well as the location of substances in these items. The information will be provided as a printed document or in electronic media (on CD-ROM or by web download, for example).
 CDR Elite Wireless User Guide  B1051080 Rev. – (DRAFT)  xiLabel Locations CDR Elite Wireless PAT Battery Package Label    CDR Elite Wireless Remote Module Label   CDR Elite Wireless Counter Top Dock Label
 xii  B1051080 Rev. – (DRAFT)  CDR Elite Wireless User Guide Lithium Ion Battery Packaging Label      CDR Elite Wireless System Shipping Label   CDRElite WIRELESS SYSTEMSCHICK TECHNOLOGIES, INC.30-30 47th Ave, L.I.C., N.Y., 11101, USAP/N 2400100Temperature           Humidity       Pressure
 CDR Elite Wireless User Guide  B1051080 Rev. – (DRAFT)  xiiiTerms Used in this Document         CDR DICOM Schick Technologies software that provides advanced features for image acquisition, review, manipulation, printing, and storage.          CTD  (Counter Top Dock) Charges PAT batteries and is used for initial configuration and firmware upgrade functions.         CDR Elite Wireless System Describes a wireless implementation of the CDR imaging system, using CDR Elite Sensors and other CDR Elite Wireless-specific components, including an integrated sensor / holder system, manufactured by Schick Technologies.          CDR Elite Wireless System Interface Driver Name on the CD containing the driver for the CTD USB Interface. PAT  (Power and Transceiver) Provides power to, and receives image data from, the CDR Elite Sensor, and transfers images wirelessly to the PC workstation.         Upgrade Utility  Enables in-office updates of Sensor and PAT firmware, performs image pattern tests, and reports wireless access point status.          USB   (Universal Serial Bus) Plug and play interface between host computer and connected USB-compatible devices.         Wireless Monitor  Opens the PAT Status and PAT Management windows and is used when enabling or disabling PAT-to-workstation pairing and when displaying status information regarding detected PATs, including signal strength, battery level, availability for pairing, and Sensor serial number.          WiFi Configuration Utility  Configures the CDR Elite Wireless PAT to be detected by, and ready for use on, the user’s wireless network.
 xiv  B1051080 Rev. – (DRAFT)  CDR Elite Wireless User Guide  Special Note about the Field Test Manual This user guide makes reference to features and implementations not currently found in the system under pre-certification review. For convenience, these differences are highlighted in bold when they appear in text and are summarized below: Hardware  • Battery removal and replacement by the user is not available • Τhe integrated sensor / holder system is not available • The wireless adapter is not available  Software • The driver CD is not supplied (drivers are pre-installed) • The Upgrade utility is not available  • The Resend Last Image feature is not available  • Double-clicking to perform pairing is not available  • Showing paired PATs in bold or dim letters is not available  • The low battery message is not available
 CDR Elite Wireless User Guide  B1051080 Rev. – (DRAFT)   11. CDR Elite Wireless System  1.1.  Purpose The CDR Elite Wireless system represents the latest advances in our intraoral sensor technology and provides the following advantages:  • Wirelessly acquires and transmits intraoral X-ray images • Expands the product options of the CDR Elite sensor • Leverages the capabilities of in-office wireless networks • Provides an integrated sensor / holder system for stable alignment and positioning during image acquisition. 1.2.  Indications for Use The CDR Elite Wireless system is intended for any dental practice that uses X-ray equipment for intraoral diagnostic purposes. It can be used by trained dental professionals for patients receiving intraoral X-ray examinations and produces digital images that can be displayed, enhanced, printed, and saved.  1.3.  System Description The CDR Elite Wireless system includes the CDR Elite Sensor, which is used for intraoral imaging; the Power and Transceiver (PAT) device, which is used to provide power to the CDR Elite Sensor, and the Counter Top Dock (CTD), which is used primarily to charge the PAT battery. (Please Note: Use only the WALL Model WMMPU12-103 power supply with the CTD.) The PAT and CTD also provide additional functions and are described separately in Section 2.2. and Section 2.3, respectively. The CDR Elite Wireless system acquires X-ray images and transmits them to the PC workstation through an 820.11 b/g compliant WiFi access point. Temporary memory storage in the PAT enables images to be retransmitted, potentially recovering from severe interferences that may occur while the PAT and the sensor are in use.
 2  B1051080 Rev. – (DRAFT)  CDR Elite Wireless User Guide 1.4.  Wireless Interface A WiFi-compliant wireless access point provides the connection between the PAT device and the PC workstation. The wireless interface must be TCP/IP-based and compatible with 802.11b/g protocols for transferring data.
 CDR Elite Wireless User Guide  B1051080 Rev. – (DRAFT)  32. Hardware  A simplified diagram of the CDR Elite Wireless system is shown below (Figure 1).     ETHERNETtext text`textPC WorkstationAccess Point 802.11bgPATs in CTDPAT with Sensor UART InterfaceWireless Interface USB Interface Figure 1. CDR Elite Wireless System Connections  2.1.  CDR Elite Sensor The CDR Elite Sensor provides improved image resolution based on smaller pixel size, eliminates the need for separate sensor calibration disks, implements additional changes to reduce electronic interference from other devices, and offers new options for image enhancement.  When used in the CDR Elite Wireless system, the CDR Elite Sensor replaces the replaceable Sensor cable with a wireless adapter. The wireless adapter (not available in the field-test version of the CDR Elite Wireless system) and the Sensor cable are interchangeable, enabling customers to select the technology that best fits their clinical environment and their individual preferences.
 4  B1051080 Rev. – (DRAFT)  CDR Elite Wireless User Guide For details on how to change your standard CDR Elite Sensor to the CDR Elite Wireless configuration, please refer to Section 5.1. 2.2.  Power and Transceiver  The Power and Transceiver (PAT) provides power to the CDR Elite Sensor, contributes to the process of acquiring an image, and transfers the image to the PC workstation, where it can be displayed, reviewed, and stored.  The PAT is also responsible for monitoring the strength of the rechargeable Lithium cell battery located in this module. Battery strength is reported by the Wireless Monitor, a separate utility distributed with CDR Elite Wireless software.  For upgrading the PAT when new features are available, an Upgrade utility is distributed with CDR Elite Wireless software. This utility also includes image pattern tests and status information for troubleshooting purposes.    For details on how to upgrade the PAT firmware or to perform troubleshooting, please refer to Section 7. 2.3.  Counter Top Dock  The Counter Top Dock (CTD) charges the PAT battery when the PAT is inserted into one of three connector slots on the station. Up to three PATs can be charged concurrently. When the PATs are not in use, the CTD also serves as a convenient storage unit. PLEASE NOTE: Use only the WALL Model WMMPU12-103 power supply with the CTD.  When placed in the CTD, the PAT is said to be in its “docked” position, where upgrade and diagnostic functions can be performed, as needed, over USB cable or wireless connection. The WiFi Configuration utility, which is described in more detail later in Section 3.5, is the software interface that enables customers to perform firmware upgrades and other diagnostic tests of the PAT and the Sensor.
 CDR Elite Wireless User Guide  B1051080 Rev. – (DRAFT)  52.4.  PC Workstation The PC workstation (CE-approved computer system conforming to the Low Voltage [73/23/EC] and EMC Directive [89/336/ERC]) connects to the USB Interface of the CTD via a compatible USB cable and serves as the host for CDR software and utilities. For safety, connect the cable from the USB Interface to Listed / Approved / Certified Information Technology Equipment (ITE) computer equipment only. The workstation provides the capabilities to display, manipulate, store, and print images acquired with CDR Elite Wireless hardware. Recommended system requirements for the PC workstation are listed below:  • Windows 7 (Home Premium, Professional, Ultimate) and Windows 7 x64 Edition; Windows Vista (Home Premium, Business, Ultimate) and Vista x64 Edition, and XP Professional and XP Professional x64 Edition. • CDR DICOM for Windows 3.5 SR1 and higher, EagleSoft 14.0 and higher, and Patterson Imaging 14.0 and higher. • Pentium D processor or Intel Core2Duo processor • 2 GB RAM   • 250 GB hard drive Raid Level 1 (practice-specific, depends on number of patients) • Intel USB chipset with at least 2 powered USB 2.0 ports (USB 1.1 also supported). When connecting the CTD via USB cable to the PC workstation, we recommend the use of a 1 meter (3.28 feet)USB cable (28AWG/2C and 20 AWG/2C) with the “/2c” designation marked along the cable, typically at either end and close to the connector. The “/2c” designation is the USB spec designation for power connectors inside the cable, and is a requirement for this system.
 6  B1051080 Rev. – (DRAFT)  CDR Elite Wireless User Guide 3. Software CDR Dicom is an imaging application that provides the software interface between the CDR Elite Wireless System hardware and the computer. It provides the customer with advanced features for acquisition, display, manipulation, storage, and printing of acquired X-ray images. Please refer to the CDR DICOM User Guide, available on our website, for more details.  For information regarding other compatible imaging programs, such as EagleSoft and Patterson Imaging, please refer to the documentation supplied with those products.   Several software utilities that are specific to the CDR Elite Wireless System have been developed to provide configuration, monitoring, and diagnosis of CDR Elite Wireless system. Information regarding the Wireless Monitor (Section  3.4),  WiFi Configuration Utility (Section  3.5),  and Upgrade Utility (Section 3.6) can be found in the pages that follow.  The USB device drivers for the CDR Elite Wireless CTD are available via the Internet or by manually installing them from the CDR Elite Wireless Interface Driver CD. (Please note that the driver CD is not supplied with the field-test version of the CDR Elite Wireless system.) Refer to the following procedures when installing the USB drivers. These procedures differ slightly depending on the particular Windows operating system on the PC Workstation.
 CDR Elite Wireless User Guide  B1051080 Rev. – (DRAFT)  73.1.  Setup with Windows 7 STEP 1   A. Connect the CDR Elite Wireless CTD to a spare USB port on your PC.  B. If an Internet connection is available, Windows 7 will silently connect to the Windows Update website and install the appropriate driver. If the driver is installed automatically, stop here and do not continue with this procedure as driver installation is complete.  C. If a suitable driver is not found automatically, continue with the following steps.  NOTE: The device name and the driver path shown in the screenshots that follow are provided as examples and will differ in your installation.   STEP 2   A. Click on the Windows Start button and select the Control Panel. B. Click on Hardware and Sound. C. Click on Device Manager under Devices and Printers.
 8  B1051080 Rev. – (DRAFT)  CDR Elite Wireless User Guide STEP 3   A. When the Device Manager opens, click on Other Devices, which displays the device (in this example TTL232R), with a yellow exclamation symbol.  B. Right-click on the device and select Update Driver Software from the menu.  STEP 4   A. Insert the CDR Elite Wireless Driver CD. If the setup wizard starts automatically, just close or cancel it. B. Click on “Browse my computer for driver software.”     STEP 5   A. Click the Browse button, or type into the Browse box, the exact path where the drivers are located. In this procedure, they reside on the CD.  B. Click Next.
 CDR Elite Wireless User Guide  B1051080 Rev. – (DRAFT)  9STEP 6   A progress bar is displayed while the driver software is being installed.        STEP 7   A. A confirmation screen is displayed after a successful installation. B. Click Close.    STEP 8   Install the USB Serial Port by repeating steps 3 through 7, as described previously.
 10  B1051080 Rev. – (DRAFT)  CDR Elite Wireless User Guide STEP 9   A. Returning to the Device Manager, a new device, USB Serial Controller, has been added under Universal Serial Bus Controllers. Also, a new device, USB Serial Port (COM 3), has been added under Ports (COM & LPT). NOTE: Not all devices will install to COM3. The COM port allocation is determined by the next free COM port designated in the PC registry. B. Driver installation is complete. Remove the CDR Elite Wireless Driver CD.
 CDR Elite Wireless User Guide  B1051080 Rev. – (DRAFT)  113.2.  Setup with Windows Vista STEP 1   A. Connect the CDR Elite Wireless CTD to a spare USB port on your PC. B. If an Internet connection is available, Windows Vista will silently connect to the Windows Update website and install the appropriate driver. If the Windows New Hardware Found wizard starts after driver installation, follow those prompts until complete. C. If a suitable driver is not found automatically, continue with the following steps. NOTE: The device name and the driver path shown in the screenshots that follow are provided as examples and will differ in your installation.  STEP 2   A. If there is no available Internet connection, or if Windows Vista is configured to ask before connecting to Windows Update, the Found New Hardware screen is displayed.  B. Click on “Locate and install driver software (recommended).”  STEP 3   Click on “I don’t have the disc. Show me other options.”
 12  B1051080 Rev. – (DRAFT)  CDR Elite Wireless User Guide STEP 4   A. Insert the CDR Elite Wireless Driver CD. If the setup wizard starts automatically, just close or cancel it. B. Click on “Browse my computer for driver software (advanced).”  STEP 5   A. Click the Browse button, or type into the Browse box, the exact path where the drivers are located. In this procedure, they reside on the CD.  B. Click Next.  STEP 6   A progress bar is displayed while the driver software is being installed.
 CDR Elite Wireless User Guide  B1051080 Rev. – (DRAFT)  13STEP 7   A. A confirmation screen is displayed after a successful installation. B. Click Close.   STEP 8   A. Install the USB serial port by repeating steps 3 through 7, as described previously. B. A confirmation screen is displayed after a successful installation. C. Click Close.  STEP 9   A. Open the Device Manager (Windows Start button > Control Panel > System and Maintenance > System > Tasks). B. Select View > Devices by Connection. The device appears as a USB Serial Converter with an additional COM port identified as a USB Serial Port. NOTE: Not all devices will install to COM3. The COM port allocation is determined by the next free COM port designated in the PC registry. C. Driver installation is complete. Remove the CDR Elite Wireless Driver CD.
 14  B1051080 Rev. – (DRAFT)  CDR Elite Wireless User Guide 3.3.  Setup with Windows XP STEP 1   A. Connect the CDR Elite Wireless CTD to a spare USB port on your PC. B. If an Internet connection is available, Windows XP will silently connect to the Windows Update website and install the appropriate driver. If the Windows New Hardware Found wizard starts after driver installation, follow those prompts until complete. C. If a suitable driver is not found automatically, continue with the following steps. NOTE: The device name and the driver path shown in the screenshots that follow are provided as examples and will differ in your installation. STEP 2   A. When the Found New Hardware screen is displayed, select “No, not this time” when prompted to connect Windows Update. B. Click Next. STEP 3   A. Select “Install from a list or a specific location (Advanced).” B.  Click Next.
 CDR Elite Wireless User Guide  B1051080 Rev. – (DRAFT)  15STEP 4   A. Insert the CDR Elite Wireless Driver CD. If the setup wizard starts automatically, just close or cancel it. B. Select “Search for the best driver in these locations.”  C. Click the Browse button, or type into the Browse box, the exact path where the drivers are located. In this procedure, they reside on the CD. D. Click Next.    STEP 5   Click Continue Anyway if prompted by the message screen about Windows testing.
 16  B1051080 Rev. – (DRAFT)  CDR Elite Wireless User Guide STEP 6   A progress bar is displayed while the driver software is being installed.    STEP 7   A. A confirmation screen is displayed after a successful installation.  B. Click Finish.   STEP 8   A. Install the USB serial port by repeating steps 3 through 7, as described previously. B. A confirmation screen is displayed after a successful installation. C. Click Finish.
 CDR Elite Wireless User Guide  B1051080 Rev. – (DRAFT)  17STEP 9   A. Open the Device Manager (Windows Start button > Control Panel > System > Hardware). B. Select View > Devices by Connection. A new device, USB Serial Converter, has been added under the USB Root Hub of the USB Universal Host Controller.  Other new devices, USB Serial Ports COM3 and COM4, have been added also. NOTE: Not all devices will install to COM3. The COM port allocation is determined by the next free COM port designated in the PC registry. C. Driver installation is complete. Remove the CDR Elite Wireless Driver CD.
 18  B1051080 Rev. – (DRAFT)  CDR Elite Wireless User Guide 3.4.  Wireless Monitor The Wireless Monitor is included with CDR Elite Wireless software and is installed automatically. When the workstation is turned on, the Wireless Monitor initializes automatically and remains active until the workstation is turned off.   The Wireless Monitor consists of two tabs:  • PAT Status: Reports the battery level of the PAT to which the workstation is currently paired and the signal strength of a currently connected CDR Elite Sensor with wireless adapter. (If the sensor is not connected, or detected, no signal strength information is displayed.) • PAT Management: Lists all detected PAT devices, their serial numbers, signal strengths, battery levels, and the Sensors and workstation IP addresses where they are connected, and their availability for pairing. A sample screen of the Wireless Monitor is shown below.  A sample screen of the PAT Status window is shown below.  A sample screen of the PAT Management window is shown in Figure 12. PAT pairing, which is a term to describe how PATs and workstations connect to transfer images wirelessly, is discussed in more detail later in Section 5.
 CDR Elite Wireless User Guide  B1051080 Rev. – (DRAFT)  193.5.  WiFi Configuration Utility The WiFi Configuration utility enables customers to configure the CDR Elite Wireless PAT to communicate with their computer network. Configuring the PAT is necessary before using the device with imaging applications.  A sample screen of the WiFi Configuration utility is shown below. For additional information and instructions regarding the utility, please refer to Section 5.
 20  B1051080 Rev. – (DRAFT)  CDR Elite Wireless User Guide 3.6.  Upgrade Utility Please note that use of the Upgrade utility is not available in the field-test version of the CDR Elite Wireless system. The Upgrade utility enables wireless upgrades of firmware or other files in either the CDR Elite Sensor or the PAT, to provide updates, including new features, and for system status and diagnostic purposes.  The Upgrade Utility performs the following: • Upgrades firmware in the PAT by USB link when the PAT is docked to the CTD • Upgrades firmware in the CDR Elite Sensor by wireless link when the PAT is outside the CTD  (“undocked”) • Performs pattern tests to simulate image transmission • Reports PAT status and wireless access point information. The pattern tests performed by the Upgrade utility include:  • The PAT test of the Sensor connection by sending a preset number of image patterns to the workstation. (The actual image patterns are not displayed during the test.)  • The Sensor test of image transmission by sending a preset number of image patterns to the PAT. (The actual image patterns are not displayed during the test.) • The PAT test of the wireless link by sending a preset number of image patterns to the workstation. (The actual image patterns are not displayed during the test.) If all image patterns are sent and received properly, the utility reports that the test was completed successfully. A pattern that fails to be sent or received properly indicates a hardware problem and further troubleshooting is required. Contact your local distributor of Schick Technologies products for further instructions.
 CDR Elite Wireless User Guide  B1051080 Rev. – (DRAFT)  21     Figure 2. CDR Elite Wireless Firmware Upgrades Tab        Figure 3. CDR Elite Wireless Pattern Tests Tab
 22  B1051080 Rev. – (DRAFT)  CDR Elite Wireless User Guide 3.7.  PAT and PC Workstation Pairing To acquire an image on any PC workstation, a specific PAT must be “paired” with that workstation. Any sensor can be connected to the paired PAT device and used to acquire X-ray images.  A workstation will only receive images from its paired PAT device. The PAT will only transmit to the computer to which it is paired. If there is no paired PAT device when the imaging application is started, you will be prompted to select a PAT device for pairing. 3.8.  Resend Last Image Please note that the Resend Last Image feature is not available in the field-test version of the CDR Elite Wireless system. The Resend option can be triggered manually by the user via the imaging software. The option can be controlled at a checkbox on the Xray Acquisition Control Property page.  Image resend is supported in both Autotake and non-autotake (manual) modes. Only the last acquired image can be retransmitted, although it can be retransmitted multiple times, if necessary.  If a PAT device is turned off (manually or automatically), the last acquired image can no longer be retransmitted. 3.9.  CDR AutoDetect and PAT Devices The CDR AutoDetect feature instantly recognizes when Schick intraoral devices are connected. Like Schick high-speed (HS) remotes, PAT devices are supported by this feature, enabling customers to skip the step of manually selecting a new Schick device before using it. If the CDR Elite Wireless device is selected at the default device in the CDR DICOM property page, and if the PAT is already paired, both the Wireless Monitor icon and the AutoDetect Server icon will appear in the System tray.
 CDR Elite Wireless User Guide  B1051080 Rev. – (DRAFT)  23
 24  B1051080 Rev. – (DRAFT)  CDR Elite Wireless User Guide 4. Controls and LED Indicators  4.1.  Counter Top Dock  There are three connectors for PATs to dock with the CTD. Near each connector is a green indicator that illuminates and remains on when a PAT is connected. When there are no PATs connected, these LEDs are off. Additional LEDs, located to the right and left of the docking LEDs, are illuminated when power is available to the CTD.  There are two possible sources of power to the CTD: • External power (Please Note: Use only the WALL Model WMMPU12-103 power supply with the CTD.) • USB power  External power is supplied by a wall outlet and is normally connected to charge any PATs that may be connected to the CTD.  USB power is supplied via cable to a PC workstation and is normally disconnected except when diagnostic testing or upgrades are needed. The following illustrations and tables provide information about the controls and indicators of the CDR Elite Wireless CTD.      Figure 4. CTD Connections and LEDs CTD Power LED (external power) PAT docking contact PAT docking LED CTD Power LED (USB power)
 CDR Elite Wireless User Guide  B1051080 Rev. – (DRAFT)  254.2.  Power and Transceiver Device  A multi-purpose pushbutton switch on the PAT controls power to the device and turns it on or off. When the PAT is on, pressing and holding the pushbutton for 2 to 3 seconds turns it off. If the PAT is off, pressing the pushbutton turns the device on immediately. The LED located at the back of the PAT displays a range of colors and flashing patterns depending on the status and the functions being performed by the PAT. The LED also provides ongoing visual feedback regarding the battery charge required for operation. With CTD usage, the LED will reflect the consumption of battery charge as it approaches the orange and red colors.  We strongly recommend recharging the battery before it reaches the color red, for the following reasons: • When the LED displays red, it means that there may not be sufficient battery charge to complete image acquisition and display, thus exposing the patient to unnecessary radiation.    • A battery whose charge has been completely consumed will require a longer period to recharge.   With normal usage, recharging the CTD battery will take approximately one hour. If the battery charge is significantly low, or completely exhausted, the typical time to fully recharge it may be as long as three hours.   The following illustrations provide information about the controls and indicators of the CDR Elite Wireless PAT.    Figure 5. PAT Pushbutton Switch and LED Indicator  Pushbutton  LED
 26  B1051080 Rev. – (DRAFT)  CDR Elite Wireless User Guide               Figure 6. CDR Elite Wireless Device LED Color Range during Operation (Full Battery Charge in Green to Low Battery Charge in Red)             Figure 7. CDR Elite Wireless Device LED Color Range during Upgrades and Diagnostics  (Full Battery Charge in Blue to Low Battery Charge in Red)  Colors in this range are specific to battery charge during Operation Colors in this range are specific to battery charge during Upgrades and Diagnostics
 CDR Elite Wireless User Guide  B1051080 Rev. – (DRAFT)  27 Figure 8. CDR Elite Wireless PATs Docked to CTD  Table 1. CDR Elite Wireless PAT LEDs (PAT Docked to CTD) Action  LED Indications  Pushbutton Settings Battery charging  Changes from Red to Green   — Connected to USB — — Pairing  Solid  Power Off, Pairing Connected to WiFi  One long pulse followed by two short flashes  Power Off No WiFi connection  Short flashes every N seconds  Power Off PAT upgrade (idle)  Pulse every N seconds  Power Off PAT upgrade (active)  Rapidly flashing every N seconds  Locked Sensor upgrade (idle) — — Sensor upgrade (active) — — Diagnostics (idle)  Pulse every N seconds  Power Off Diagnostics (active)  Rapidly flashing every N seconds  Locked Acquiring image  Rapidly flashing every N seconds  Locked Transferring image  Rapidly flashing every N seconds  Locked
 28  B1051080 Rev. – (DRAFT)  CDR Elite Wireless User Guide  Figure 9. CDR Elite Wireless PAT Not Docked to CTD (No Sensor Connected)  Table 2. CDR Elite Wireless PAT LEDs (PAT Not Docked to CTD – No Sensor Connected) Action  No Sensor Connected LED Indications  Pushbutton Settings PAT Off  No LED illuminated  If On, press and hold for 2 - 3 seconds to turn Off PAT On  Short flashes every N seconds  If Off, press to turn On Pairing  Solid  Power Off, Pairing Battery in use  “Breathing” (Flashing steady)  Power Off Connected to WiFi  One long pulse followed by two short flashes  Power Off No WiFi connection  Short flashes every N seconds  Power Off PAT upgrade (idle) — — PAT upgrade (active) — — Sensor upgrade (idle) — — Sensor upgrade (active) — — Diagnostics FPGA Pattern Transfer Rapidly flashing every N seconds Locked  Press for more than 2 seconds and release before 6 seconds Acquiring image — —  Locked Transferring image — —  Locked Retransmitting image  Rapidly flashing every N seconds  Locked
 CDR Elite Wireless User Guide  B1051080 Rev. – (DRAFT)  29 Figure 10. CDR Elite Wireless PAT Not Docked to CTD (Sensor Connected)  Table 3. CDR Elite Wireless PAT LEDs (PAT Not Docked to CTD – Sensor Connected) Action Sensor Connected LED Indications  Pushbutton Settings PAT Off  No LED illuminated  Press to turn On PAT On  Short flashes every N seconds  Press and hold for 2 - 3 seconds to turn Off Pairing  Solid  Power Off, Pairing Battery in use  Changes from Green to Red   — Connected to WiFi  “Breathing” (Flashing steady)  Power Off No WiFi connection  Short flashes every N seconds  Power Off PAT upgrade (idle)  —  — PAT upgrade (active)  —  — Sensor upgrade (idle)  Pulse every N seconds  Power Off Sensor upgrade (active)  Rapidly flashing every N seconds  Locked Diagnostics Sensor Pattern Transfer Rapidly flashing every N seconds Locked Press for more than 2 seconds and release before 6 seconds Acquiring image  Rapidly flashing every N seconds  Locked Transferring image  Rapidly flashing every N seconds  Locked Retransmitting image  Rapidly flashing every N seconds  Locked
 30  B1051080 Rev. – (DRAFT)  CDR Elite Wireless User Guide 5. Operation   5.1.  Preparing CDR Elite Sensors for Wireless Usage Please note that the wireless adapter is not available in the field-test version of the CDR Elite Wireless system. If your CDR Elite sensor has its replaceable cable attached, this must be removed and replaced with the CDR Elite Wireless adapter so the Sensor can be used wirelessly.  5.2.  Configuring the PAT Configuring the CDR Elite Wireless PAT with the WiFi Configuration Utility is necessary before using the device with imaging applications.  5.2.1.  How to Configure the PAT 1 .  To do this, insert the PAT into the CTD, which is physically connected the host PC via the USB cable.  2 .  Start the WiFi Configuration Utility (Windows Start > Program Files > Schick Technologies > Shared Files > InitalUtility.exe). 3 .  At the WiFi Configuration Utility, under the Ports Detected menu, select the number on the CTD corresponding to the slot where the PAT is connected. 4 .  Select the wireless network from the Networks Available window and type in the name and password for this network. 5 .  Pressing the  Write button completes the configuration. Every PAT device must be configured at least once, using this utility.
 CDR Elite Wireless User Guide  B1051080 Rev. – (DRAFT)  315.3.  Pairing the PAT to a PC Workstation To acquire an image on any PC workstation, a specific PAT must be “paired” with that workstation. 5.3.1.  How to Pair a PAT to a Workstation 1 .  Turn on the PAT device. 2 .  Click on the Wireless Monitor icon located in the Windows System Tray and select PAT Management (Figure 11). 3 .  Select the desired PAT device from the list of PAT devices (Figure 12).  4 .  To select a PAT device for pairing, it must not be paired with any other workstation and its Status in the PAT Management window must be available. If the PAT is paired with a workstation that is different than the one desired, click on the Wireless Monitor at the workstation where it is currently paired, press the Unpair button in the PAT Management window, and continue with the next step. 5 .  Click the Pair button or double-click the PAT entry to start the pairing process. (Please note that double-clicking to perform pairing is not available in the field-test version of the CDR Elite Wireless system.)  6.  The “Please press pairing button” message, and the selected PAT device LED steady on, indicates that the button on that PAT device must be pressed to confirm the pairing.  7 .   Press the PAT button momentarily for approximately 1 second to complete the pairing process. This action also closes the pairing confirmation message.  8 .  The paired PAT entry is listed in bold letters on the PAT device list for this workstation and will be dimmed on the PAT device list for all other workstations. (Please note that showing paired PATs in bold or dim letters is not available in the field-test version of the CDR Elite Wireless system.)
 32  B1051080 Rev. – (DRAFT)  CDR Elite Wireless User Guide             Figure 11. Wireless Monitor Menu Items    Figure 12. PAT Management List of Paired and Available PATs
 CDR Elite Wireless User Guide  B1051080 Rev. – (DRAFT)  335.3.2.  How to Unpair a PAT from a Workstation 1 .  Unpairing a sensor can only be done from the Wireless Monitor on workstation where it is currently paired. 2 .  If a PAT device is turned off, it will become unpaired automatically. (PATs turn off automatically after 5 minutes in an idle state where no image acquisition or pairing has occurred). 3 .  When a PAT device is unpaired, it will be available for pairing with any workstation, if it is still detected by the user’s network. NOTE: If the imaging application is closed, the PAT device will not become unpaired automatically.
 34  B1051080 Rev. – (DRAFT)  CDR Elite Wireless User Guide 5.4.  Using Sensor Sheaths and Holders  Please note that the integrated sensor / holder system is not available in the field-test version of the PAT. Sheaths and the appropriate holders are required for CDR Elite Sensors. New sheaths and Sensor holders (disposable type) are required for each new patient and must be disposed of properly after patient use. Sheaths for CDR Elite Sensors must be sealed before use to ensure proper patient protection.   To achieve stable Sensor positioning during X-ray exams, use the appropriate tabs and holders available with the CDR Elite Wireless system. When positioning the Sensor, the inverse pixel box located on the CDR Elite Sensor can be used to determine the orientation of the image exposure.
 CDR Elite Wireless User Guide  B1051080 Rev. – (DRAFT)  355.5.  Taking X-rays Perform the following steps to take an X-ray using CDR DICOM software. If you are using a different image acquisition program, such as EagleSoft or Patterson Imaging, refer to documentation supplied with that product.   Before performing the following steps, make sure that you have completed the procedures in Section 5.1, Section 5.2, and Section 5.3 to prepare your CDR Elite Wireless system for acquiring and transmitting intraoral X-ray images wirelessly.   1 .  Start your image acquisition program and either create a new exam or open a patient record. 2 .  Press and hold the power button on the CDR Elite Wireless PAT for 2 to 3 seconds. 3 .  The acquisition software recognizes the Sensor and enters AutoTake or Manual mode, depending on your system settings. 4 .  The PAT Status window opens, showing the battery level of the PAT and the signal strength between the PAT and the wireless access point. If a Sensor is connected, its serial number will be displayed also.  5 .  Perform patient setup and Sensor positioning steps. 6 .  When the exam window viewbox blinks with the appropriate visual prompt (green by default during AutoTake mode), activate the X-ray source. 7 .  When acquisition is complete, the image appears in the zoom window. 8 .  CDR advances to the next empty frame automatically. To take another image, reposition the Sensor with PAT and Holder and repeat this procedure starting at Step 5.
 36  B1051080 Rev. – (DRAFT)  CDR Elite Wireless User Guide 6. Protective Measures  6.1.  Introduction IMPORTANT! Be sure to turn off the CDR Elite Wireless PAT and to disconnect it from the Sensor before performing any cleaning procedures.  The Sensor should be thoroughly cleaned after each use. The following cleaning and disinfection recommendations are intended to accomplish intermediate-level disinfection and will prepare the product to be safely used and reused during its life. The CDR Elite Wireless PAT should be cleaned following the same protocol as the Sensor. Sensor positioning accessories, such as aiming rings, arms, and holders, should be cleaned and disinfected following manufacturer’s instructions. If you are using the Rinn holder system, refer to their product documentation or their website for more information.  Schick’s disposable tabs and holders are single–use only, as are the hygienic barriers (sheaths) that are used with them.
 CDR Elite Wireless User Guide  B1051080 Rev. – (DRAFT)  376.2.  Sensor Cleaning and Disinfecting In a clinical use environment, the health care provider should wear protective disposable gloves and cover the Sensor with a hygienic barrier. Before using the Sensor the first time, and before every new patient, the following protocol is recommended: 1 .  Remove and discard all protective hygienic barriers and / or sheaths from the Sensor prior to removing disposable gloves. 2 .  Place the Sensor on a tray covered by a disposable liner, or in a receptacle that can be thoroughly disinfected. 3 .  Remove and discard gloves. 4 .  Wash hands and put on a new pair of disposable gloves. 5 .  Disconnect the Sensor from the CDR Elite Wireless PAT. 6 .  If the Sensor or cable are visibly soiled (e.g., with blood or saliva), each should be cleaned with a soapy cloth or paper towel, and then dried with a clean lint-free cloth or paper towel. 7 .  Thoroughly wipe the Sensor and cable with one of the disinfecting products recommended in Section. Do not expose the Sensor cable connectors to any amount of liquid. 8 .  Repeat step 7. When the Sensor has been sprayed or wiped two times, continue with the following steps. 9 .  Remove potential chemical build-up from the Sensor by wiping it with a sterile lap sponge saturated with de-ionized water. 10 .  Use a sterile dry lap sponge to dry the Sensor or cable, as needed. 11 .  Place the Sensor in a clean environment, ready for use. 12 .  Reconnect the Sensor. 13 .  Remove and discard gloves.
 38  B1051080 Rev. – (DRAFT)  CDR Elite Wireless User Guide 6.3.  PAT Cleaning IMPORTANT! Be sure to remove the PAT from the CDR Elite Wireless CTD before performing any cleaning procedures.  To clean the PAT, apply a small amount of water or isopropyl alcohol (70%), to a non-abrasive, lint-free cloth. Wipe the unit, exercising care when cleaning around the connectors and contacts and ensure they remain completely dry. After cleaning, inspect the PAT to ensure that its surfaces are clean and free of unwanted particles. 6.4.  CTD Cleaning IMPORTANT! Be sure to disconnect the USB cable and wall-outlet power connector from the CDR Elite Wireless CTD before performing any cleaning procedures.  To clean the CTD, apply a small amount of water or isopropyl alcohol (70%), to a non-abrasive, lint-free cloth. Wipe the unit, exercising care when cleaning around the connectors and contacts and ensure they remain completely dry. After cleaning, inspect the CTD to ensure that its surfaces are clean and free of unwanted particles 6.5.  Recommended Disinfectants The following surface disinfectant has been found to be effective in achieving a desired level of disinfection and is available from Patterson Dental and other suppliers. • Cavi-Wipes (Metrex Research, Kerr) or equivalent
 CDR Elite Wireless User Guide  B1051080 Rev. – (DRAFT)  397. Using the Upgrade Utility Please note that use of the Upgrade utility is not available in the field-test version of the CDR Elite Wireless system. The CDR Elite Wireless Upgrade Utility can be used to accomplish the following: • Perform firmware upgrades • Perform pattern tests • Display PAT device status  • Display wireless access point information.
 40  B1051080 Rev. – (DRAFT)  CDR Elite Wireless User Guide 8. Maintenance  There are no customer serviceable components in the CDR Elite Wireless system.  However, before operating the system, customers shall check for any signs of physical damage or defect. If detected, other system units can be substituted if they are available. Contact your local distributor of Schick Technologies products for further instructions. 8.1.  Damaged Sensor In the event of obvious physical damage to the Sensor, customers shall discontinue use of that Sensor, substitute another Sensor (if available), and contact their local Schick distributor for further instructions. 8.2.  Sheath and Battery Disposal Please dispose of used sheaths and depleted batteries in accordance with local regulations for proper recycling and / or waste disposal.  8.3.  Battery Replacement  Please note that battery removal and replacement by the user is not available in the field-test version of the PAT.    Indications that a battery has failed or is low on power will appear in several ways: • LED indications on the PAT (see Figure 7) • Battery level percentage in the Wireless Monitor  • “Battery is low” message appears in the Wireless Monitor when the Sensor is on. Please note that the low battery message is not available in the field-test version. If the battery is low on power, it may be possible to complete the current dental exam, but the battery shall be recharged before the CDR Elite Wireless PAT is used again. If battery power is approaching depletion, meaning that the device cannot hold a charge for more than a few X-rays, the battery must be replaced, as the Sensor will be unable to send images wirelessly.
 CDR Elite Wireless User Guide  B1051080 Rev. – (DRAFT)  41 8.4.  Upgrades and Diagnostics If needed, new firmware for the CDR Elite Sensor and CDR Elite Wireless PAT may be installed using the Upgrade Utility. The Upgrade Utility provides diagnostic and status information as well. 8.5.  Image Exposure Issues  8.5.1.  Black or White Lines Possible causes: • Interference from other RF devices (such as 2.4 GHz phones, microwave ovens, 802.11 wireless LANs, Sirona Cerec III dental restoration systems, Bluetooth devices)  • Calibration file for Sensor not loaded or not found by acquisition software. 8.5.2.  No Image  Possible causes: • Sensor not detected due to interference from other RF devices (such as 2.4 GHz phones, microwave ovens, 802.11 wireless LANs, Sirona Cerec III dental restoration systems, Bluetooth devices)  • Insufficient battery strength • Sensor not turned on • Sensor not placed in path of X-ray source.
 42  B1051080 Rev. – (DRAFT)  CDR Elite Wireless User Guide 9. Reference Please Note: For a description of product names and acronyms, refer to the list of terms in the front of the manual. 9.1.  System Summary  Table 4. CDR Elite Wireless System Summary Hardware   Description  CDR Elite Wireless PAT  2.4 GHz FM digital data transmission, 3 channels (selectable). Effective Radiated Power of <2 mW. Battery pack with On / Off switch. Single-window, dual LED display.   CDR Elite Wireless CTD  Recessed configuration cradle with connectors for three PATs. LED for each connector and for USB LED and AC Power LED.   Table 5. Wireless Interface Characteristics Parameter   Description  Technology  IEEE 802.11b/g, WiFi Compliant Frequency  2.4-2.4835 GHz (US / Canada / Europe); 2.4-2.497 GHz (Japan) Modulation Technology  DSSS, CCK, OFDM Modulation Type  DBPSK, DQPSK, CCK, BPSK, QPSK, 16QAM, 64QAM Network Access Modes  Ad-Hoc and Infrastructure  Wireless Data Rates  802.11b - 11,5.5,2,1 Mbs; 802.11g - 54,48,36,24,18,12,9,6 Mbs Security Protocols  Disabled, WEP 64 and 128 bit, WPA (TKIP), WPA (AES), WPA2 (AES)  Table 6. Environmental Specifications Category   Description Classification  Class II, Type BF equipment   Not Category AP Equipment  Not Category APG Equipment  Mode of Operation  Equipment is intended for continuous use  Additional Notes   Transport and Storage Conditions Equipment is not suitable for use in the presence of a Flammable Anesthetic Mixture with Air or with Oxygen or Nitrous Oxide.  Ambient temperature range: 50° F (+10° C) to 104° F (+40° C) Relative humidity range: less than 75% Atmospheric pressure range: 700 hPa to 1060 hPa
 CDR Elite Wireless User Guide  B1051080 Rev. – (DRAFT)  43Table 7. Compliance Specifications Specification Description  CAN/CSA C22.2 No.601.1-M90   Medical Electrical Equipment Part 1: General Requirements for Safety ETSI-EN 301 489-3  Electromagnetic Compatibility and Radio Spectrum Matters (ERM); Electromagnetic Compatibility (EMC) Standard for Radio Equipment and Services; Part 1: Common Technical Requirements IEC60601-1  Medical Electrical Equipment Part 1: General Requirements for Safety IEC60601-1-2  Medical Electrical Equipment Part 1: General Requirements for Safety 2.Collateral Standard: Electromagnetic Compatibility – Requirements and Tests  UL60601-1  Medical Electrical Equipment: General Requirements for Safety  Table 8. Guidance and Manufacturer's Declaration - Electromagnetic Emissions PLEASE NOTE: CDR Elite Wireless systems are intended for use in the electromagnetic environment specified below. Users of these systems must ensure they are used in such an environment.  Emissions Test  Compliance  Guidance RF emissions CISPR 11 Group 1  CDR Elite Wireless systems use RF energy only for their internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment. RF emissions CISPR 11 Class B  CDR Elite Wireless systems are suitable for use in all establishments including domestic establishments and those directly connected to the public low-voltage supply network that supplies buildings used for domestic purposes. Harmonic emissions IEC 61000-3-2 Class A  Voltage fluctuations/ flicker emissions IEC 61000-3-3  Complies
 44  B1051080 Rev. – (DRAFT)  CDR Elite Wireless User Guide Table 9. Guidance and Manufacturer's Declaration - Electromagnetic Immunity PLEASE NOTE: CDR Elite Wireless systems are intended for use in the electromagnetic environment specified below. Users of these systems must ensure they are used in such an environment.  Immunity Test  IEC 60601 Test Level Compliance Level Guidance Electrostatic discharge (ESD) IEC 61000-4-2 ±6 kV contact   ±8 kV air ±6 kV contact ±4 kV contact a  ±8 kV air Floors should be wood, concrete or ceramic tile.  If floors are covered with synthetic material, the relative humidity should be at least 30%.   Electrical fast transient/burst IEC 610004-4 ±2 kV for power supply lines ±1 kV for input/output lines ±2 kV for power supply lines ±1 kV for input/output lines Mains power quality should be that of a typical commercial or hospital environment. Surge IEC 61000-4-5 ± 1 kV differential mode ± 2kV common mode ± 1 kV differential mode ± 2kV common mode Mains power quality should be that of a typical commercial or hospital environment. Voltage dips, short interruptions and voltage variations on power supply input lines IEC 61000-4-11 < 5% UT (>95% dip in UT) for 0.5 cycle  < 40% UT (>60% dip in UT) for 5 cycles  < 70% UT (>30% dip in UT) for 25 cycles  < 5% UT (>95% dip in UT) for 5 sec < 5% UT (>95% dip in UT) for 0.5 cycle  < 40% UT (>60% dip in UT) for 5 cycles  < 70% UT (>30% dip in UT) for 25 cycles  < 5% UT (>95% dip in UT) for 5 sec Mains power quality should be that of a typical commercial or hospital environment.  If the user of the system requires continued operation during mains interruptions, it is recommended that the system be powered from an uninterruptible power supply or battery.  NOTE:  UT is the AC mains voltage prior to application of the test level. Power frequency (50/60 Hz) magnetic field IEC 61000-4-8 3A/m 3A/m  Conducted RF  IEC 61000-4-6 3 Vrms 150 kHz to 80 MHz 3 Vrms  Portable and mobile RF communication equipment should be used no closer to any part of the system, including its cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter.  Recommended separation distance: d=(3.5/3)x√P
 CDR Elite Wireless User Guide  B1051080 Rev. – (DRAFT)  45Radiated RF  IEC 61000-4-3 3 V/m 80 MHz to 2.5 GHz 3 V/m  d=(3.5/3)x√P  for 80 MHz to 800Mhz d=(7/3)x√P  for 800 MHz to 2.5Ghz  Where P is the maximum output rating of the transmitter in watts (W) according to the transmitter manufacturer and d is the recommended separation in meters (m).  Field strengths from fixed RF transmitters, as determined by an electromagnetic site survey, b should be less than the compliance level in each frequency range. c  Interference may occur in the vicinity of equipment marked with the following symbol.     NOTE 1: At 80 MHz and 800 MHz, the higher frequency range applies. NOTE 2: These guidelines may not apply in all situations.  Electromagnetic propagation is affected by absorption and reflection from structures, objects and people  a To avoid damage to electronic components inside, users should not touch the exposed contacts on the Wireless Sensor and the USB Interface before discharging to an earthed object.  b Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered.  If the measured field strength in the location in which the system is used exceeds the applicable RF compliance above, the system should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating the system.  c Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
 46  B1051080 Rev. – (DRAFT)  CDR Elite Wireless User Guide Table 10. Recommended Separation Distance between Portable and Mobile RF Communications Equipment and the System PLEASE NOTE: CDR Elite Wireless systems are intended for use in the electromagnetic environment specified below. Users of these systems should ensure they are used in such an environment.  Rated maximum output power of the transmitter (W) Separation distance according to the frequency of the transmitter (m)   150 kHz to 800 MHz d=1.17x√P 800 MHz to 2.5 GHz d=3.3x√P 0.01 0.17  0.33 0.1 0.37 1.04 1 1.17 3.30 10 3.69 10.44 100 11.7  33.00   For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer.  NOTE 1: At 800 MHz, the separation distance for the higher frequency range applies.  NOTE 2: These guidelines may not apply in all situations.  Electromagnetic propagation is affected by absorption and reflection from structures, objects, and people
 CDR Elite Wireless User Guide  B1051080 Rev. – (DRAFT)  47Index BBattery Disposal, 40 Handling, Storage, and Disposal Guidelines, iv Replacement, 40 CCDR AutoDetect and PAT Devices, 22 CDR Elite Sensor, 3 Preparing for Wireless Usage, 30 Sheaths and Holders, 34 CDR Elite Wireless PAT LED Indications PAT Docked to CTD, 27 PAT not Docked, No Sensor Connected, 28 PAT not Docked, Sensor Connected, 29 CDR Elite Wireless System Controls and Indicators, 24 Description, 1 Electromagnetic Emissions, 43 Electromagnetic Immunity, 44 Environmental Specifications, 42 Hardware, 3 Indications for Use, 1 Maintenance, 40 Operation, 30 Overview, 1 Protective Measures, 36 Purpose, 1 Recommended Separation Distance Between Portable and Mobile RF Communications Equipment, 46 RF Frequencies, 42 Specifications, 43 Summary, 42 Taking X-rays with, 35 Wireless Interface, 2 CDR Elite Wireless USB Interface Software, 6 Controls and Indicators, 24 Counter Top Dock Cleaning, 38 Controls and Indicators, 24 Description, 4 DDamaged Sensor, 40 Dentists or Authorized Designees Only Are Permitted to Operate the System, vi Diagnostics, 41 EEnsure CDR Elite Wireless System Operates Optimally, v ESD and Protecting Sensors from it, vi FFCC Compliance Statement, iv Firmware Upgrades, 41 HHardware, 3 LLabel CDR Elite Wireless Battery Package, xi CDR Elite Wireless CTD, xi, xii CDR Elite Wireless PAT, xi MMaintenance, 40 OOperate CDR Elite Wireless System as Directed, vi Operation, 30 PPAT Cleaning, 38 PC Workstation, 5 Power and Transceiver Configuring, 30 Controls and Indicators, 25 Description, 4 Pairing with PC Workstation, 22 Procedure for Pairing, 31 Proper System and PC Installation and Operation, v Protective Measures, 36 RRadio Frequency Interference Considerations, v Reference, 42 Resend Last Image, 22 SSafety Issues
 48  B1051080 Rev. – (DRAFT)  CDR Elite Wireless User Guide Ensure CDR Elite Wireless System Operates Optimally, v Only Dentists or Authorized Designees Are Permitted to Operate the System, vi Operate the CDR Elite Wireless System as Directed, vi Proper System and PC Workstation Installation and Operation, v Protect Sensor from Potential ESD Damage, vi Sensor Check before using, iv Cleaning and Disinfecting, 37 Holders, vi Proper Handling and Placement, vi Setup Windows 7, 7 Windows Vista, 11 Windows XP, 14 Sheaths Disposal, 40 Using with CDR Elite Wireless Sensors, 34 Sheaths and Holders Recommendations for, vi Software, 6 Symbols Explanation of, viii TTroubleshooting Black or White Lines, 41 Image Exposures, 41 No Images, 41 UUpgrade Utility, 20, 39 Introduction, 39 Utility Upgrade, 20 WiFi Configuration, 19 WWaste Electrical and Electronic Equipment (WEEE), ix WiFi Configuration Utility, 19 Windows 7, 7 Windows Vista, 11 Windows XP, 14 Wireless Monitor, 18 Wireless System Environmental Specifications, 42 Labels for, xi Picture of, 3 Terms Used in Document, xiii
 CDR Elite Wireless User Guide  B1051080 Rev. – (DRAFT)  49NOTES

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