KEYSTONE DENTAL GROUP
Patient Information MR Form

Warning: The RF safety of the device has not been tested. The patient may only be imaged by landmarking at least 30 cm from the implant, or ensuring the implant is located outside of the RF coil. A patient with a Paltop Dental Implant System/KDG device can be scanned safely in an MR system under the following conditions:

Device Name Paltop Dental Implant System

Static Magnetic Field Strength (B0)

≤ 3.0T

Maximum Spatial Field Gradient

20 T/m (2000 gauss/cm)

RF Excitation

Circularly Polarized (CP)

RF Transmit Coil Type

For body transmit coil, landmarking at least 30 cm from the implant, or ensuring the implant is located outside of the coil. Extremity T/R coils permitted. Excludes Head T/R coil. /p>

Operating Mode

Normal Operating Mode in the allowed imaging zone

Maximum Whole-Body SAR

2 W/kg (Normal Operating Mode)

Maximum Head SAR

Not evaluated for head landmark

Scan Duration

No specific constraints due to implant heating

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