Application For Use Of Hand-Held Dental Radiation Machine Form Page 2
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2MARYLAND DEPARTMENT OF THE ENVIRONMENT
RADIOLOGICAL HEALTH PROGRAM
●
1800 Washington Boulevard
Baltimore Maryland 21230
(410) 537-3000 ● Fax: 410-537-3198 ●
CONDITIONS FOR USE OF HAND-HELD RADIATION MACHINES
The following is a list of conditions placed on the facility for a request to own and operate a hand-
held dental radiation machine as part of the facility’s registration:
1. Only a United States Food and Drug Administration (FDA) approved hand-held radiation
machine can be utilized.
2. A hand-held radiation machine is allowed in dental offices as a replacement for or in addition to
the use of a wall-mounted or free-standing portable dental radiation machine, for use when it is
determined by the dentist that it is not possible or not safe to utilize a wall mounted or
portable stand mounted radiation machine. NOTE that at least one wall mounted or portable
stand mounted radiation machine is required in the dental office.
3. A log of hand-held usage must be maintained on a form provided by the Radiation Machines
Division (RMD).
4. Hand-held radiation machine requires dental film speed E or faster or with digital imaging.
5. Each individual operating the device must complete the manufacturer’s training and submit the
training certificates to the Department. The records will be maintained by the RMD as part of the
facility registration.
6. When registering the device, the facility must indicate to the RMD that the intended manner of
use is for hand-held operation.
7. The device shall be locked up after use and a description of where and how the device will be
stored must be provided to the Department.
8. The device must be in lock down (Safety) mode when it is not active so that exposures cannot be
taken.
9. The device used shall have a permanently mounted non-removable shield in order to protect
the operator from backscatter.
10. Only those persons licensed to operate radiographic equipment in the State of Maryland are
permitted to make exposures using this device.
11. The operator must wear a whole body dosimeter when taking an exposure at all times.
12. As low as reasonably achievable (ALARA) practices will be in place during use.
13. The RMD reserves the right to perform an unannounced audit to ensure that the hand held dental
device is correctly being utilized.
14. If the device is missing or stolen, the facility must report this to the RMD.
The facility attests that these conditions will be implemented and followed.
___________________________________
Print Name of Facility Owner
_______________________________________
________________
Signature of Facility Owner
Date
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