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1. 89 iECITHICUMT 89 12 2 Installation amp unit configuration programs cccecccsececeeeeeeeeeeeeeneeeeneeeeaaeeseeeeees 89 12 3 Programs affecting to image quality cessere 90 12 4 4 Iher Pr DIOgE INS essescuspetescevcacusenctishe etes cento n cuba oe emu Ue E s Drs petat ates cen 90 12 5 How to use the user programming mode ccccseececeeeeeeeceeseeeeaeeeeeeneneeeeseeeeeeaes 91 13 User program features Lecce eere ee leee rene nennen nana 93 13 1 PR 50 LAY linear tomography image layer optional 93 13 2 Ph5lIPUS bDoWerup Sening sui eeaeioreoni opum E 95 Approved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental NW EOS rev See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 13 3 PR 52 GCO and PR 52 PCO constant contrast amp density SETLINGS ceccceeceseeeeeeeeeeeeeseeeeseeeesseeenees 13 4 PR 53 NOR resume normal settings ccccccseeeeeeeeeeeeseeseeseeeeeeesaeees 13 5 PH 54 ARN rotating unit autoreturn eeeeeeeeeeeeneeene 13 6 PR 55 HUP cassette holder autolift ssssses 13 7 PR 56 HLI cassette holder vertical limit 13 6 PR 57 FON C
2. AdBroved RK n en Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 87 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 11 Diagnosing image quality problems a 2 aoe 9 BE Boroved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental W YARED Ue rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 12 How to use the user programming mode 12 How to use the user programming mode 12 1 GENERAL The Orthopantomograph OP200 is a panoramic x ray equipment with the possibility of linear tomography programs for producing longitudinal and cross sectional tomograms of the dentition This software can be used with any OP200 or OC200 model Software is divided into two parts User programs Pr are accessible by the user and they have features for configuring the unit for daily use and for changing technique factors to optimize the image quality O m o O o B E M CA AE OS O mGycm Maintenance and Service programs Sr are for technical people for installation and service Tools are required to access Sr programs This manual covers the features of the Pr programs OP200 Please refer to the OP200 Service Program Manual for Sr program features 12 2 INSTALLATION amp UNIT CONFIGURATION PROGRAMS PR USER PROGRAMS Pr POWER UP SETTINGS
3. Ch 8 PSE service message rES is displayed Next Ch 8 PSE service message will come after 2000 exposures 5 Press OK button to store the changes and exit the user program 13 11 PR 60 BEP PANEL BEEP Enables the response beep when pushing any button in the OP200 panels This feature can be disabled if needed for maintenance and testing Programming 1 Select program Pr 60 bEP Time display shows OFF or on 2 Press left button if you don t want to hear the beep signal after aoe pushing the panel buttons OFF is displayed 3 Press right button if you want to enable the beep signal after pushing the panel buttons on is displayed gt L 4 Press OK button to store the changes and exit the user program Reviewed Madia Jusci 24 14 06 39 29 28 2 AbBrovea Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 513955z 102 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 13 User program features 13 12 PR 61 CLC CLEAR EXPOSURE COUNTER The left and right buttons toggle between zero and the current clearable exposure count user counter trip meter The exposure count is the same as displayed when entering the user programming mode Toggling to 0 and pressing OK will clea
4. 30 dip in Ui 30 96 dip in U Orthopantomograph OP200 be for 25 cycles for 25 cycles powered from an uninterruptible 595 U 595 U power supply or a battery gt 95 dip in U gt 95 96 dip in U Power Power frequency magnetic fields frequency are at levels characteristic of a 50 60 Hz typical location in a typical magnetic field commercial and or hospital IEC 61000 4 8 environment NOTE U is the a c mains voltage prior to application of the test level Table 15 2 Electromagnetic immunity IEC 60601 1 2 Ed2 A6proved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental WS Ue rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 15 Technical specifications Orthopantomograph OP200 is suitable for use in the specified electromagnetic environment The purchaser or user of Orthopantomograph OP200 should assure that it is used in an electromagnetic environment as described below Immunity IEC Compliance Test 60601 1 2 Level Test Level Conducted 3 V150 kHz RF IEC to80 MHz 61000 4 6 Radiated 3 V m80 E 3 V m RFIEC MHz to2 5 61000 4 3 GHz Electromagnetic Environment Portable and mobile RF communications equipment are used no closer to any part of Orthopantomograph OP200 including cables than the recommended separation distance calculated from the equation appropriate for the frequency of the transmitter Recommended
5. Automatic ASC Pre programmed mode Digital Imaging Options CR model or CR kit OP200 CR OC200 CR OP200 OT CR Allows the use of 24 x and OC200 OT CR models for 30 cm cassette size in Panoramic TMJ Maxillary Sinus Pan cassette holder Cephalometric and Linear Tomography Especially if 24 x 30 Imaging cm PSP plates are used CCD Technique OP200 upgrade kit or OC200 upgrade kit Procedures Imaging programs 5 Panoramic 4 TMJ Maxillary Sinus 2 Linear Tomography and Cephalometric Exposure Control Automatic Pre programmed Manual and Quality Assurance Panoramic and special imaging programs exposure time nominal magnification onto Zone P3 Reviewed Wate be SG A M AdBroved RKk n en Juha Pekka 27 11 06 12 43 28 nstrumentarium Dental us See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 15 Technical specifications Panoramic and special imaging programs exposure time nominal magnification Orthogonal P4 16 8 Wide arch panoramic 17 4 S 30 exposure P5 TMJ lateral P6 or 10 8 s 23 Ortho TMJ axial corrected lateral projection P6 optional 10 8 s TMJ jaw closed amp open P7 TPA PS TMJ lateral amp PA P9 Maxillary sinus P 10 Technique Factors Cephalostat Procedures Tube voltage Tube 60 85 kV 8 v
6. 2 5 3 2 4 0 5 0 6 4 mm in mA display If you don t want images in transversal projection select 0 images O Bn NS NE O mGucm 7 NOTE 2 mm image layer thickness is only available in one imaging projection See the following tables for details PR 50 LAY IMAGE LAYER THICKNESSES amp NUMBER OF LAYERS Image Transversal trv Layer time dose display time dose display Number of layers display kV display kV display n a 1 1 1 Sum p Bm 1 sm tise 0 mm 2 no images 6 Select the number of the images and the image layer thicknesses for other regions of interest Repeat steps 2 to 4 Hamm a m n a n a n a n a 3 3 3 1 1 1 1 1 1 a Bie Q Rdproved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 513955z 102 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 13 User program features r Ktransversal longitudinal 7 NOTE An error message will be generated during exposure if both longitudinal and transversal image layers are set to 0 7 Press OK button once to store the changes and exit the user program Pr 50 LAY is displayed again Select another program or exit the user programming mode 13 2 PR 51 PUS POWER UP SETTING The user can set the imaging program and exposure control mode for the control
7. code code 62985 Bite fork short 56 mm 64665 TMJ angle indicator Ortho TMJ option 62988 Bite fork 71 mm 62943 TMJ chin rest Ortho TMJ option 62958 Bite fork long 80 mm 64694 TMJ pointer for optional not shown Ortho Trans units 62965 Edentulous bite positioned optional ABoroved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 513955z 102 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 2 OP200 controls J NOTE The parts marked with are autoclavable Convenient bins for small accessories and disposables are located on the both sides of the vertical carriage i e P 3 E F en g K Fig 2 12 Left and right cabins 2 6 OPTIONAL ACCESSORIES amp DISPOSABLES The following optional accessories disposables and tools are available for the equipment Fig 2 13 Consumer accessories Part Part description code 6644 Bite fork coat 200 pcs 7451 Chin rest coat 200 pcs AdBroveu OK f en Juha Pekka 27 11 06 12 43 28 lnstrumentarium Dental 19 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 2 OP200 controls Part Part description code 7452 Temple support coat 200 pcs 7453 Nose support coat 200 pcs 8915 Ear holder coat 20 pcs 2 7 CHANGING THE FUSES Push inward on the fuse base and twis
8. 70 73 77 81 85 kV mA pairs 57 2 85 13 Combined values depend on Pr 52 settings 8 0 17 6 s Fixed for each imaging procedure J NOTE kV and mA can be selected independently in Manual mode With this option kV can be selected in steps of 1 kV See Service Program Manual section Sr 89 COP option 4 FE for details 2 25 32 4 5 64 8 10 13 16 5 Technique factors for patient size symbols can be programmed for Panoramic and Special procedures See User Program Chapter in OP200 User Manual section Pr 52 for details 6 Cephalometric procedures use a fixed mA while kV and exposure time can be selected Cephalostat Imaging Procedures Technique factors 60 63 66 70 73 77 81 85 0 1 0 12 0 16 0 2 0 25 0 32 0 4 0 5 0 63 0 8 1 0 1 25 1 6 2 0 2 5 32 J NOTE kV and exposure time can be selected independently in manual mode With this option kV can be selected in steps of 1 kV See Service Program Manual section Sr 89 COP option 4 FE for details Reviewed Variadussi2444 9640 29 2 2 Boroved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 513955z 102 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 7 Imaging technique 7 These programmed values are for guidance only and your Orthopantomograph x r
9. Fe ee A Ner N N a OD N lt xe x x Cephalometric Cephalometric Ortho Trans 57 85 mandible Ortho Trans 57 85 66 maxilla e 7 NOTE Grid cassette requires 2 steps higher density setting than the standard cassette R oroved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 513955z 102 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 13 User program features e J NOTE Use left and right buttons to choose the regions of interest anterior premolar molar in the imaging program P13 and P14 Programming e g P1 is selected KV display shows the current constant contrast kV level and the time dose display shows the density offset from reference for this imaging program 2 Select the imaging program options by pressing up or down 2 9 3 P button When the P1 or other imaging program is selected change the program by pressing left or right button 3 Select or change the constant contrast value for this imaging 9 3 P program by pressing down button The led of kV display is blinking Use left or right buttons to change this value 1 Select program Pr 52 PCO and press OK One of the programs e J NOTE This kV value will depend on the film screen combination used For Kodak Lanex Regular TMG combination values 66 in P1 P5 and 77 in P11 P12 and 63 in P13 and P14 are recommen
10. positioning button in the patient positioning panel O O Os H me mGucm 7 NOTE At any time if the exposure button is released OP200 stops movements immediately Programming 1 Select program Pr 54 Arn Time display shows OFF or on 2 Normally rotating unit autoreturn is on after the exposure This enables easy exit for the patient If off is displayed press right button to get on displayed 3 Press left button if you don t want to rotating unit to return to the nearest patient positioning position after the exposure OFF is displayed In this case the cassette rack stays behind the patient after the exposure D 4 Press OK button to store the changes and exit the user program 13 6 PR 55 HUP CASSETTE HOLDER AUTOLIFT Cassette holder can be programmed to lift up automatically when the panoramic cassette has been inserted in its place Ad Rea ORkoAien Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 101 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 13 User program features Programming 1 Select program Pr 55 HUP Time display shows OFF or on 2 Press right button when the automatic lifting up of cassette rack is requested on is displayed P om e J Note When the panoramic cassette is inserted a message UP CAS is displayed and the unit aligns i
11. 11 06 12 43 28 Instrumentarium Dental 13 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 2 OP200 controls 2 3 CONTROL PANEL Exposure Control 1 Exposure Button 2 Exposure Indicator Light Ready Indicator Light m Sections Anterior A A Premolar 2 3 Molar 3 A 4 Jaw joint 4 4 e NOTE Sections 2 and 3 are combined as one section in panoramic programs Imaging Procedures P1 P14 with Indicator lights Standard Panoramic P1 Pediatric Panoramic P2 Ortho Zone enhanced panoramic exposure P3 Orthogonal exposure P4 Wide arch panoramic exposure PS TMJ lateral projection P6 or Ortho TMJ axial corrected lateral projection P6 optional Open closed TMJ lateral projection on one film P7 59 DG gt gt F 25959297 Reviewed Vartia dissi2444 06 0 29 2 4 Aforoved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 513955z 102 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 A 9 4 fT Q Si 13 A f Exposure Modes with Indicator lights A KD M TMJ posterior anterior projection P8 TMJ lateral and TMJ PA projection on one film P9 Maxillary sinus view P10 Cephalo lateral projection P11 Cephalo PA projection and other sp
12. 5 IEC 336 1982 X ray tube Toshiba D 05158 For additional information please refer to the tube specification sheets Maximum deviation from indicated values Tube Tube voltage 57 85kV 85 kV 5 kV E current 2 16 a e 1 mA or 10 whichever is larger Exposure time pan 16 8 17 6 s 0 1 s or 10 whichever is larger Exposure time TMJ 8 15 6 s 0 1 s or 10 Sinus whichever is larger Exposure time 0 1 3 28s cephalometric Exposure time 1 6 28 8 s linear tomography Rdpraved ORkGt n Juha Pekka 27 11 06 12 43 28 nstrumentarium Dental m See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 14 User s statement Power supply requirements Rated nominal voltage 110 230 VAC 50 60 Hz single phase Maximum line current With 110 VAC power supply systems maximum line current during the exposure is 15 A at stand by maximum 1A The system line fuses are Bussman MDA 15 A slow blow type With 230 VAC power supply systems the maximum line current during the exposure is 10 A at stand by maximum 1 A The system line fuses are Litfelfuse 326 10 A slow blow type General output rating and duty cycle The following charts represent technique factors that can be used with the selected line voltage One of the three technique factors is always fixed Panoramic and Special procedures use fixed exposure time while Cephalometric prosedures used fixed t
13. For more information please contact your local dealer According EN61223 3 4 and DIN 6868 151 If service on the unit is performed a work order describing the type and extent of repair must be provided by the service technician This Ad Rea ORkoAien Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 7 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 1 Introduction must contain information of changes of nominal data or work range performed The work order must furthermore indicate the date of repair the name of the company concerned and a valid signature User should keep this work order for future references 1 7 DISPOSAL Follow the local regulations on disposal of waste parts OP200 has at least the following parts that should be regarded as non environmental friendly waste products X ray source assembly All electronic circuits Column counter weight Pb Roproved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental WS Ue rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 2 OP200 controls 2 OP200 controls 2 1 CON O OO A W N co 10 11 12 13 14 15 a RA DD Pn Juha Pekka 274 1 06 12 43 28 Optional Cephalostat MAIN PARTS 15 Cassette holder Main support Film cassette Rotating unit Head and Temple support Primary collimator Bite fork wit
14. Image layer mode Technique factors in TMJ Imaging Child Juvenile Adult Large adult 110 VAC 66 kV 66 kV 66 kV 73 kV 8 mA 13 mA 16 mA 13 mA 230 VAC 66 kV 66 kV 66 kV 70 kV 8 mA 13 mA 16 mA 16 mA Note Example with Pr 52 PCO 66 0 GCO 6 0 4 Remove the bite fork bite fork rod chin rest and sinus rest Install the TMJ nose support 2 models available with hygienic coat and the TMJ pointer Ad naea ORkofien Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 41 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 5 Special imaging procedures Fig 5 3 TMJ pointer Fig 5 4 TMJ pointer in correct position Fig 5 5 TMJ nose support long and short 5 Ask patient to remove any metal objects such as eye glasses jewelry oral appliances removable dentures hearing aids bib chain etc from the head and neck area Shadows caused by these opacities may obscure diagnosis 6 It is strongly recommended to provide the patient with a lead apron for radiation protection 7 Direct the patient to the machine and instruct to stand as straight and tall as possible Ask patient to take a grip on handles By pressing the up or down button on the Positioning Control panel adjust the carriage height so the TMJ nose support is at the patient s 2 height Have patient place nose against TMJ nose support 8 Adjust patients head as necessary so that the fron
15. Instrumentarium Dental representative for the most current information Manufactured by Instrumentarium Dental P O Box 20 Fl 04301 Tuusula FINLAND Tel 4358 45 7882 2000 Fax 358 45 7882 2506 For service contact your local distributor Reviewed Vartia Jussi 24 11 06 10 29 28 Approved Ukkonen Juha Pekka 27 11 06 12 43 28 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 Reviewed Vartia Jussi 24 11 06 10 29 28 Approved Ukkonen Juha Pekka 27 11 06 12 43 28 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 Table of Contents iiim a 1 NEMEKC ILI UMM REEL M 1 1 2 Markings ana graphics Symbols it leven ede pends ie o oae eee o eats 2 1 3 Type and version eesseesssesseeeseeee nennen nenne nenne nnn nnne nnne nnne annes 3 1 4 Options accessories and manuals ccccceeceeceeeeeeeceeeeeceeeeeeeseeeeseseesseeeessaaess 4 1 5 Radiation protection guidelines ccccccccsseeccseeecceseeceeeeecseseeceaeeeeseeeesaueesseseessaes 5 Lod Protection DY GISIaFi 6G 2 vie oT tcc e ce ua on aep mM Ed ou dom Oide duties 5 to2 Laserhoito cranes a 6 15 3 Gontrol from a protected area etre tr tet e eo ero Saa to pad 6 1 5 4 Emergency StOP SWIG ads rss cece ec caeeee ciate acces iate pra uu rendu pun emt Rue der aiu 7 1 6 Mari tacturers Tabillify uoce o
16. Select imaging program and o1 exposure control mode for the control panel display PUS after OP200 power up Pr ROTATING UNIT AUTORETURN Easy patient exit 54 after the exposure by returning the rotating unit to the Arn nearest patient exit position Pr CASSETTE HOLDER AUTOLIFT Lifts automatically 55 the cassette holder after inserting the panoramic HUP cassette Pr CASSETTE HOLDER VERTICAL LIMIT Low ceiling 56 application to limit cassette holder vertical travel below HLI the column top Pr HOME SIDE FOR EXPOSURE START Select 57 exposure in one direction clockwise or Hon counterclockwise rotation or exposure in both directions Previewed VLarta dussi 24 171 06 9 9 2 3 M Adsreved ORkoAi n Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 89 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 12 How to use the user programming mode PR USER PROGRAMS CONFIGURE TIME DOSE DISPLAY Time dose display displays according to the selection seconds or dose during the image capturing 12 3 PROGRAMS AFFECTING TO IMAGE QUALITY PR USER PROGRAMS Pr LINEAR TOMOGRAPHY IMAGE LAYER Select 50 image layer thicknesses number of images and the LAY choice of longitudinal and or transversal images for three areas of interest anterior premolar and molar P
17. Separation Distance I NF 1 3 5 d WP Ei 80 MHz to 800 MHz PP Ei 800 MHz to 2 5 GHz Where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey are less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following symbol i Field strengths from fixed transmitters such as base stations for cellular telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be estimated accurately To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be performed If the measured field strength exceeds the RF compliance level above observe Orthopantomograph OP200 to verify normal operation in each use location If abnormal performance is observed additional measures may be necessary such as re orienting or relocating Orthopantomograph OP200 Over the frequency range 150 kHz to 80 MHz field strengths are less than V V m The Recommended Separation Distances are listed in the next table Note These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people Table
18. Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 513955z 102 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 2 4 Fig 2 9 POSITIONING PANELS Positioning panel right side on left side just the buttons 25 and 26 are flipped 2 OP200 controls Positioning Panel button meaning in each mode Key 24 Positioning lights on off 25 28 Adpraved ORKURen Juha Pekka 27 11 06 12 43 28 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 TMJ P6 P9 Panoramic P1 P5 Cephalostat P11 P12 Carriage vertical movement up down moves the image layer 3 mm anterior during exposure E anterior normal reset to occlusion middle reset position moves the image layer 3 mm posterior during exposure Cassette holder down Cassette holder up posterior Maxillary Sinus P10 moves the image layer 10 mm anterior from nominal position during exposure nominal position moves the image layer 10 mm posterior from nominal position during exposure Positioning lights on off Rotating unit movement Start position Rotating unit movement Patient positioning Instrumentarium Dental 2 OP200 controls 2 5 PATIENT POSITIONING ACCESSORIES Fig 2 10 Panoramic patient positioning accessories Fig 2 11 TMJ patient positioning accessories
19. coci eo Eee ie oae nea iara dasexa cerned 7 USE DISDOSAl entm NEN 8 2 IOP ZOO CONO S isa vineta aset Ea AEO 9 2S MANDAS west osnetescensacntewetdnadacecencasatenahutnie st dannaguiasaguedestantndasiastnta tea toanecaskecatauacaetens 9 22 OGC200 cepi Ia PANS 22 ese acs cece ee ca e E N 11 2S Sene eri 14 24 POSON DANES Moo DO OE 17 2 5 Patient POSITIONING accessorles ooo uit c es cada De a pu dud lide dua ce doa Nds 18 2 6 Optional accessories amp disposables eeeseeeeessseeeeeeeeeenee nen 19 27 AGHAMOING MMC TUS CS ec t o E 20 3 Equipment preparalloHS svssiveceseetececedoeen sein Me cen t evan E e eet mua oy utu seen Meurs 21 Sel Gare IMSIUCH ONS RETE UT 21 32 Cleaning recomimendallollS isustussitertu s Res Ec utens cca tionis o Mec be once ias tn Gus te tena 21 321 SE E 21 32 2 IDISINIECTION ANG Sterilization esisi E 22 322i AUVI EET 22 9 2 2 2 slain SterlizaltlOr ceco o iive expediente E ene es 22 3 2 2 3 Ethylene oxide sterilization sees 23 3 2 9 Othersterilization PIOCESSES eo tesa a Ea aaa EAE 23 od DrhneatsteHll24tloliztosiithsduskeiiv nalsaverctiastsiaddedicum ta ten etu duca RE 23 3 2 3 2 Liquid chemical sterilant gases ccccccecceeseeecceeeseceeeeeeeeeeceeeeeeaeeeeeesseaeees 23 3 2 3 3 Chemical sterilant gases enasna A RR 23 3 3 Loading the panoramic cassette ccccccssceceeeeeceeeeeceeecsueeeeseeeeeeueeesaeeeseeeeenas 24
20. display factor during exposure can be selected If both exposure time and estimated dose needs to be seen a selection with con confirmation has to be selected O O Programming 1 Select program Pr 65 doS OP200 displays the SE cS con dA P con SE cS or dA P Con means confirm and requires the user to press up and down buttons to flip between seconds and dap and to press OK button to sign for the values after the exposure 2 Use right and left buttons to select SE cS con Seconds used to the exposure shall be shown in the time dose display during P and after the exposure Use up and down buttons to flip the time and dose values 089 3 Use right and left buttons to select dA P con Dose used to the exposure shall be shown in the time dose display during and 3 P after the exposure Use up and down buttons to flip the time and dose values O kV e NEN mGucm 4 Use right and left buttons to select SE cS Seconds used to the exposure shall be shown in the time dose display during and 3 P after the exposure but dose can not be seen O mA O mGycm Reviewed Vartie dissi 2444 06 0292 ASBroved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 513955z 102 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 13 User program features 5 Use right and left
21. e RD X Note A It is not possible to choose any section of the toothed arc of the arc figure in the control panel in P1 1 Ad naea ORkofien Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 57 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 6 Cephalometric procedures optional 6 2 P12 CEPHALO POSTERIOR ANTERIOR PA PROJECTION This procedure can be used for PA and AP views 1 Prepare the equipment per section Cephalostat cassette loading 2 Insert hygienic covers to ear rods and to nose support Tilt the nose support away from the radiation field Open the ear rods holders by pushing them from the top Release the ear holder brake by holding the brake tangent down while moving Fig 6 8 PI Locking lever E a EAr Nolder brake 3 Unlock the cephalostat by turning the locking lever clockwise Rotate the cephalostat from ear rods for symmetrical view Turn the locking lever counter clockwise to lock the cephalostat 4 Slide the lever to 18 x 24 SV or 8 x 10 SV to select the collimator for a symmetrical view PA or facial projection Move the soft tissue wedge out of the x ray beam by sliding the soft tissue lever to the value of 60 6 9 Symmetrical view collimator Fig 6 10 Patient positioning for selection PA view a Fi Q 5 Position the patient in standing or seated position under the cephalostat 6 Adjust the c
22. have any light leaks of any kind If in doubt place a coin on an undeveloped sheet of film for two minutes and then process the film If the outline of the coin is visible then light leaks exist which must be corrected Along with light leaks an improper safelight can cause film fogging The recommended safelight is a Kodak GBX 2 located at least 1 2 m 4 ft from the working area Agr ORkoAien Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 69 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 7 Imaging technique Processing The OP200 film can be processed in either manual tanks or with automatic film processor In both cases the processing chemicals strength and temperature are critical to obtaining proper imaging The processing chemicals must be changed frequently based on the chemical manufacturer s recommendation Both time and use cause a degradation of chemical strength Manual tanks and some automatic processors need to have the solutions replenished based on usage Refer to the manufacturer s recommendation T MEASUREMENTS FROM THE IMAGE In normal panoramic mode films the vertical dimension must be divided by a factor of 1 3 Horizontal dimensions should not be measured because the horizontal magnification is accurate only in the center of focal trough 1 3 in panoramic and TMJ lateral 1 8 in TMJ PA and changes rapidly when moving away from focal troug
23. head and neck area Shadows caused by these opacities may obscure diagnosis 6 It is strongly recommended to provide the patient with a lead apron for radiation protection 7 Direct the patient to the unit and instruct to stand as straight and tall as possible Ask patient to take a grip on handles Adsreved ORkoAien Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 29 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 4 Panoramic procedures adjust the carriage height so the chin rest is at the patient s height By pressing the up or down button on the Patient positioning panel AG Have patient place chin on the chin rest 8 Show the patient the grooves in the bite fork and place the bite fork into patient s mouth Fig 4 6 Hands on the grips Fig 4 5 Standard patient positioning and chin on the accessories installed chin rest e NOTE The patient can either be standing seated or in a wheelchair If the bite fork cannot be used because the malocclusion or missing teeth remove the bite fork with rod A reset the chin support B and use cotton rolls to separate the bite 9 Positioning lights will switch on automatically when the carriage is moved They stay on for 35 seconds or until exposure is initiated If necessary lights can also be switched on and off at the Positioning panel with light button 10 Ask the patient to take a small step forward
24. molar and premolar areas Rows of teeth are compressed odd Incisors and canines wide and unsharp Rows of teeth widened ERE ae m aoe Teeth appear wider on one side and narrower on the opposite Ramus widths are different on opposite sides RA Oken Juha Pekka 274 1 06 12 43 28 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 Instrumentarium Dental Possible Cause Occlusal correction of focal trough set was too far posterior Image layer light was not obeyed Bite block was not used Occlusal correction of focal trough set was too far anterior Image layer light was not obeyed Bite block was not used Midsagittal line was not obeyed Patient s head was not in center position Remedy Check patient positioning with light lines and occlusion correction buttons Check patient positioning with light lines and occlusion correction buttons Insert bite block Check patient positioning with light lines and occlusion correction buttons Check patient positioning with light lines and occlusion correction buttons Insert bite block Check patient s mid sagittal plane with light line Check that patient s head is centered 81 11 Diagnosing image quality problems The shadow of hard Patient head was Check FH plane palate is exposed over tilted back maxillary molars Row of teeth has a wavy ap
25. patient Select the section with left or right buttons Enable or disable the section with OK button One section must always be chosen One to four out of five sections can be disabled The AEC is not available with partial panoramic images R gt M IPS PS PS PS US Anterior Premolar Premolar Molar 4 5 P5 WIDE ARCH PANORAMIC EXPOSURE When the patient has a wider than normal dental arch an improved image can be achieved by selecting the wide layer exposure program 1 Prepare the equipment per section Loading the panoramic cassette 2 Select the wide layer panoramic program on the Exposure Control Panel Press the right button twice to move the flashing light from the standard panoramic position P1 to the wide layer position P3 Fig 4 25 P3 Image layer Fig 4 26 P3 amp AEC mode 3 The system is in the Automatic Exposure Control mode To set technique factors by patient size select one of the pre programmed patient size icons or manually refer to section Imaging Technique for more information 4 Position the patient and take exposure per steps 3 through 18 of the standard panoramic exposure procedure 5 After the exposure return the system to the standard panoramic program by pressing the cursor buttons to move the flashing light to the standard program position ABoroved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental See the PaloDEx Group Oy PDM system to determine the status of this document Printed
26. patient s mid sagittal plane Move the head support by pressing it from sides against the patient and close the temple supports 11 To adjust the x ray beam angle to the patient s condylar angle the TMJ pointer and angle indicator are used By pressing the appropriate occlusal button on the Patient positioning panel move the TMJ angle indicator forward or back until the desired angle is displayed over the patient s condyle Fig 5 16 Positioning panel left side TMJ pointer adjustment buttons backward 22 reset 23 forward 24 AS proved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 5139559 103 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 5 Special imaging procedures t Fig 5 17 Positioning panel right side TMJ pointer adjustment buttons backward 22 reset 23 forward 24 12 Have the patient gently close the jaws together 13 Press and hold the exposure button The system will cycle exposing only the two TMu s 14 Release the exposure button open temple supports and guide the patient out Remove the TMJ pointer TMJ chin rest and TMJ angle indicator 15 If the Ortho ID is available mark the film with the patient s name Id number correction angles and notes Process the film 16 After the exposure return the system to the standard panoramic program by pressing the cursor buttons to move the flashing lig
27. per section P5 PA Projection steps 7 to 10 e J NOTE For U S A This section is not valid in U S A before Carpus projection imaging method is approved as a legal imaging method of this Cephalostat model CAUTION Before taking Carpus image make sure this imaging method is approved by local authorities of your country 6 7 P13 ORTHO TRANS MANDIBLE EXPOSURE OPTIONAL 13 I Fig 6 19 P13 6 8 P14 ORTHO TRANS MAXILLA EXPOSURE OPTIONAL 4 A Fig 6 20 P14 Adsreved ORkoAi n Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 63 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 6 Cephalometric procedures optional R proved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 513955z 102 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 7 Imaging technique 7 Imaging technique 7 1 RECOMMENDED FILM amp SCREEN COMBINATIONS The Orthopantomograph OP200 is supplied with Kodak Ektavision Kodak Lanex Regular or Kodak Lanex Medium intensifying screens The factory default exposure control values are set according to supplied screens films Other film screen combinations can be used with the OP200 However different image characteristics may result and or reprogramming of the unit may be required 7 2 AUTOMATIC EXPOSURE CONTROL AEC When the OP200 is turne
28. power on again Ad naea ORkofien Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 91 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 12 How to use the user programming mode EXAMPLE 1 A user wants to change the constant dose settings of the unit Mad User Value rograms Programs 2 P1 Pr 50 S3d 3 P2 Pr51 PUS 4 P3 Pr 52 Gco 5 P4 ia Pr 53 nor 6 P5 D HEN Pr 54 Arn 7 P6 seconds Pr 58 Con 8 P7 here Pr 59 PSE 9 P8 Pr 60 bEP 10 P9 Pr 61 CLC i P10 Pr 62 Err 2 P11 Pr 65 doS 13 P12 14 15 9 Press and keep down OK button to enter the user programming mode The tone is heard while pressing Use up and down buttons to select PR 52 gCO and press OK Use up and down buttons to select the dose value when time display starts blinking Set the desired density value with right and left buttons Use OK button to store the changes A text PASS will display on control panel to confirm the setting been saved Press and keep down OK to return to the normal operating mode R6proved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 51395 3 1065 rev 1 13 User program features 13User program features 13 1 PR 50 LAY LINEAR TOMOGRAPHY IMAGE LAYER OPTIONAL For the linear tomographic exposure the imag
29. the ear rods by pushing them from the top Release the ear holder brake by holding the brake tangent down while moving 4 Unlock the cephalostat by turning locking lever clockwise Rotate the cephalostat from ear rods to the desired projection angle Fig 6 3 Unlock Fig 6 4 Lock 5 Turn the locking lever counterclockwise to lock the cephalostat 6 Slide the lever to select the cephalometric collimator in the tube head There are three choices 18 x 24 cm AV 18 x 24 cm AH and 24 x 30 cm AV or 8 x 10 AV and 10 x 8 AH or 8 x 10 AV and 10 x 12 AV Adpreved ORkoAien Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 95 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 6 Cephalometric procedures optional Verify that the cassette position is the same as the collimation Unit will be in the cephalometric mode P11 This is indicated when indicator P11 is lit P 9 Adjust the unit height Positioning lights are off 10 Place the patient in standing or seated position under the cephalostat Adjust the cephalostat to proper height and introduce the ear rods to external auditory meatuses 11 Tilt the nasion support down and set it to nasion See that patient s head is correctly inclined Adjust the nose support vertically and horizontally by hand 12 The image magnification is 8 14 Nose support has a scale with 1 mm tick marks This scale will be seen on
30. 0 8 Special Teatuts oiii sio 035020002 qico essc osos o apt caeso desees osa dE Sees 71 Bil Quay assura NGE suuszecnaidesir a sieacte rri ETna 71 O2 EXPOSUrE COUNT sere lictetia E 72 8 3 Preventive maintenance reminder ccccccseecceseeceseeceeeeseeeceeeesseeeseeeeneeseeeeeeas 73 8 4 Ortho ID film marking cc eecccseececeeeeeceeeeceeeeeceueeceaueeeceuseesaueesseeeessueesseeeessueeesas 73 8 5 OP200 CR model for computerized radiography seeeeessss 73 9 0 Frec Selection OF KV and TUA kyeyin en E S 74 Understanding the OP200 radiograph 75 10 Failure diadgnos ll 6S ise si Eia ea uod aaa vem ei aeta vs 77 TO ZT TAME IMCS SAD CS nest veanaven esnrdatonen ad ndnenelucanuntns ChvataueiinuntetauabavonuenGahateanends 11 102 KV di Splay ere 77 TOSSA GIS DI AY Denm 77 104 TMS CIS DIA Y earne e rE 78 10 5 JRESCTUNG TAC esc kite tee 78 10 6 M ltiDIe Tau e COO CS hi ectee a deniers Cerere eu ua hired toler tains Lin aedes tue ub ova baud ies Eoi ntuet 79 11 Diagnosing image quality problems 81 TLI Patient positon sennen deinen eaan aaa a aa aoka 81 T2 Fimadensiy and Conia S ee E 83 ipeo m FALLCVACIS epen E ces 85 IEA UNEODSr allo Me E r ere nr ar ren frre rete 87 12 How to use the user programming mode
31. 0 kV 8 mA 13 mA 16 mA 16 mA Note Example with Pr 52 PCO 66 0 GCO 6 0 5 Remove the bite fork bite fork rod chin rest and sinus rest Install the TMJ chin rest with hygienic coat 6 Install the carbon fiber TMJ pointer with the TMJ angle indicator into the socket over the patient s head Fig 5 12 Ortho TMJ patient positionin Fig 5 13 Ortho TMJ patient positionin accessories installed accessories 7 Ask patient to remove any metal objects such as eye glasses jewelry oral appliances removable dentures hearing aids bib chain etc from the head and neck area Shadows caused by these opacities may obscure diagnosis Adea ORkohien Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 45 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 5 Special imaging procedures 8 l tis strongly recommended to provide the patient with a lead apron for radiation protection 9 Direct the patient to the machine and instruct to stand as straight and tall as possible Ask patient to take a grip on handles By 2 9 pressing the up or down button on the Positioning Control panel adjust the carriage height so that the TMJ chin rest is at the patient s chin level Have patient place chin against the TMJ chin rest Fig 5 14 Ortho TMJ patient positioning Fig 5 15 Angle indicator adjustment 10 Adjust patients head as necessary so that the front light coincides with the
32. 15 3 RF immunity of non life support equipment or system IEC 60601 1 2 Reviewed Varta do sshd tt 06 AO A ew Adpraved ORkGt n Juha Pekka 27 11 06 12 43 28 _ Strumentarium Dental 129 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 15 Technical specifications A6Broved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental WS Ue rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 16 Maintenance 16Maintenance This unit is designed to provide reliable performance and many years of customer satisfaction In order to assure safe performance of this X ray equipment a preventative maintenance program must be established It is the owner s responsibility to supply or arrange for this service Consult your Orthopantomograph dealer to arrange for this service 16 1 MAINTENANCE SCHEDULE Maintenance service for Orthopantomograph OP200 is suggested at installation and after each 2000 exposures This periodic maintenance is outlined in OP200 Service Manual Maintenance These maintenance procedures require the services of a qualified technician In addition to periodic maintenance any deviation from normal performance should be immediately reported to your dealer WARNING Only trained and qualified personnel should be permitted access to the internal parts of the equipment 16 2 MONTHLY INSPECTION BY U
33. 3 4 Cephalostat cassette loading smise 26 4 Panoramic procedures ecce rr doo Ee du dies sevederdadecnweuseneuadawateideeseresseee 29 4 1 P1 Standard panoramic exposure eese nen 29 4 2 P2 Pediatric panoramic exposure ice ot etta bt ou e vise Se Des esuem sns 34 4 3 P3 Ortho Zone enhanced panoramic exposure eeeeeeeeeeeeeeeeee 36 44 Pa Orthogohal expOSUEG iie eai eei Oe o ehe ER in dees deu iw tetti uo aere pod 37 4 5 P5 Wide arch panoramic exposure ccccccceeeccseeceseeceeeeceeeeseueesseeenseeeeesseeeesas 38 5 Special imaging procedures cccsssecceeseeccsnseecessescenseecenseeeensesseaes 41 5 1 PO TMJ Lateral BFOJectlOEl s craeede oie be s an vut aa soul br pneu to gilet hu dba torio pne einen a bene 41 5 2 P6 Ortho TMJ axial corrected lateral projection optional 44 5 3 P7 Open closed TMJ lateral projection seeseseeeeeeeeeseeseesss 47 5 4 P8 TMJ posteroanterior projection eeesseeeeeeeeeneeen nen 49 5 5 P9 TMJ lateral amp PA DFOJGGCIIOI iiieooihe creo rare roe creta vro rev Fa rar ev ocv ess 50 5 6 P10 Maxillary SINUS VIGW tiec exebcabesi prebi cara o pakE eua pen kA Fu krec oux aaiae ca E ena 51 Reyiewod Martia Juosi 24 1 06 19 29 28 22 RARA OK n en Juha Pekka 27 11 06 12 43 28 nstrumentarium Dental See the PaloDEx Group Oy PDM s
34. 6 12 43 28 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 Instrumentarium Dental reserves the right to make changes in specification and features shown herein or discontinue the product described at any time without notice or obligation Contact your Instrumentarium Dental representative for the most current information Copyright 11 2006 by PaloDEx Group Oy All rights reserved Instrumentarium Dental P O Box 20 Fl 04301 Tuusula Finland Tel 358 45 7882 2000 Fax 4358 45 7882 2506 Americas Instrumentarium Dental Inc Milwaukee Wisconsin U S A Tel 800 558 6120 Fax 414 481 8665 Orthopantomograph OP200 Orthoceph OC200 N ST H U M N TA R U M User Manual amp Technical Specifications English A iewed Vartia Jussi 24 11 06 10 29 28 5139539 100 rev1 Printed in Finland 4772003 Approved Ukkonen Juha Pekka 27 11 06 12 43 28 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20
35. 6 12 43 28 Instrumentarium Dental 513955z 102 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 4 Panoramic procedures Insert a child adapter to the head support when needed Press adapter ends towards each other with fingers slide the adapter against the head support and release Pins will hold the adapter in place Fig 4 20 Child adapter 4 Position the patient and take exposure per steps 3 through 18 of the standard panoramic exposure procedure 5 After the exposure return the system to the standard panoramic program by pressing the cursor buttons to move the flashing light to the standard program position J NOTE The system can be operated without radiation to demonstrate the movement to the child by setting the system to the Test mode To do this press the down button to move the flashing light over the 3 P 9 AEC mode A Then press the right button twice to move the light over the Test mode T Pressing the exposure switch will now cause the system to cycle A M T without radiation To return to operational status press the left button twice to move the flashing light over the AEC mode A J Note Ch pediatric The radiation dose can be reduced with small patients by using the collimator for beam restriction Choose the pediatric collimator by selecting first the panoramic collimator and then pulling the lever up AN q PAN for
36. B equipment Dangerous voltage On Power Off Power Attention consult accompanying documents alt O gt ID If the unit has CE marking it is CE marked according to the Medical Device Directive 93 42 EEC uu Cn Go wad Approved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 51395 3 165 rev 1 Adpraved ORKoAen Juha Pekka 27 11 06 12 43 28 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 pile US 1 Introduction If the unit has UL marking it is UL marked according to UL UL60601 1 and CAN CSA C22 2 No 601 1 C This symbol indicates that the waste of electrical and electronic equipment must not be disposed as unsorted municipal waste and must be collected separately Please contact an authorized representative of the manufacturer for information concerning the decommissioning of your equipment 1 3 TYPE AND VERSION The type and version of the OP200 are defined in the main label of the unit The unit is class type B and with IP 20 protection Fig 1 1 Location of main label and CE mark MODEL MODEL Ser No Ser No Date of manufacture 10 A 230 V 50 60 Hz Long term current 230 V 1 A Momentary current 230 V 10 A IEC 60601 1 IP 20 ce x X ray equipment with radiation protection in accordance w
37. DM system to determine the status of this document Printed out 26 09 08 13 33 20 13 User program features 2 Press right or left button to change the compensation mode for P 3 this imaging program OFF disables this feature It can be selected with pediatric patients 3 LI tm When disabled the same kV value is used during the exposure cycle LO compensates the spine shadow by one mA step Lo 1 m It is selected with most of the patients HI compensates the spine shadow by two mA steps Hi 2 It can be selected with large patients Select ASC for Automatic Spine Compensation 0 lt ASC lt 2 MA compensation will be determined automatically Sequence of the mA values 20 25 3 2 4 0 5 0 64 80 10 0 13 0 16 0 e NOTE Value 13 0 mA showed on the mA display is precisely 12 5 mA Example of use 1 Onset is 66 kV 8 mA a With Lo one step selection the new value shall be 66 kV 10 mA b With Hi two step selection the new value shall be 66 kV 13 mA Example of use 2 Onset is 60 kV 13 mA a With Lo one step selection the new value shall be 60 kV 16 0 mA b With Hi two step selection the new value shall be 63 kV 16 0 mA as the sequence of the mA values doesn t get any further than 16 0 mA 3 Change the compensation mode for other panoramic programs Press up button to select another imaging program Press down button to select the compensation mode P
38. EE lt Programming 1 Select program Pr 53 nor Time display shows OFF or on If you by mistake enter this program select OFF to exit without changes It is recommended to record Pr settings prior to using this program 2 Press left button if you don t want to resume normal setting aoe m 9 OFF is displayed 3 Press right button to resume normal settings on is displayed This program will affect to the following User programs P L 3 0 4 0 4 0 4 0 4 0 i 6 0 3 0 6 0 Pr 51 PUS P1 blinking AEC density in the middle Pr 52 gCO See default values in the section PR 52 gCO and PCO L if positioning lights on the left side r if positioning lights on the right side pec fo AgBroved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 513955z 102 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 13 User program features These parameters have to be checked for configuring OP200 for daily use 6x 4 Press OK button to store the changes and exit the user program 13 5 PR 54 ARN ROTATING UNIT AUTORETURN After the exposure the unit can keep moving and then stop so that the patient has an easy exit from the unit The return movement of the rotating unit after the exposure can be enabled or disabled Note that the rotating unit can always be returned by pressing the patient
39. Instrumentarium Dental 513955z 102 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 1 Introduction 1 Introduction 1 1 GENERAL Instrumentarium Dental Orthopantomograph OP200 panoramic unit is a software controlled diagnostic panoramic dental x ray equipment for producing high quality images of dentition TM joints and skull Anatomical details will be displayed on the film magnified nominally by 30 The Orthopantomograph OP200 can perform the following procedures Standard panoramic exposure Pediatric panoramic exposure Wide arch panoramic exposure Ortho Zone enhanced panoramic exposure Orthogonal panoramic exposure TMJ lateral projection or Ortho TMJ axial corrected lateral projection optional TMJ lateral projection jaw closed and open TMJ PA projection TMJ lateral and PA projection Maxillary sinus Your Orthopantomograph OP200 model OP200 OT or OP200 CR can be field upgraded at a later time to the Orthoceph OC200 model With this addition high quality cephalometric exposures can also be made e J NOTE OP200 must be installed according to the OP200 installation amp Adjustments manual by a qualified technician Only trained personnel should be allowed to operate OP200 In addition to the above mentioned procedures Orthoceph OC200 can perform the following cephalometric procedures e Lateral view e Postero anterior and Antero
40. Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 51395 3 1065 rev 1 3 Equipment preparations Temperature 270 F 132 C Exposure time 3 minutes Steam flush pressure pulse steam sterilization Temperature 270 F to 275 F 132 C to 135 C Exposure time 3 to 4 minutes 3 2 2 3 Ethylene oxide sterilization Not recommended as sterilization process for OP200 parts 3 2 3 Other sterilization processes 3 2 3 1 Dry heat sterilization Dry heat sterilization can only be used with the bite forks Typical cycle parameters are Temperature 338 F 170 C Exposure time 60 minutes Temperature 375 F 190 C Exposure time 6 minutes unwrapped items or 12 minutes wrapped items 3 3 2 3 2 Liquid chemical sterilant gases Not recommended as sterilization process for OP200 parts 3 2 3 3 Chemical sterilant gases Not recommended as sterilization process for OP200 parts Testing For example a 2 hydrogen peroxide solution can be used to verify removal of protein from the unit Soluton bubbles if it comes in contact with blood or protein substances If any bubbling is observed the decontamination process must be performed again Adpraved ORkGt n Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 23 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 3 Equipme
41. Orthopantomograph OP200 Orthoceph OC200 User Manual amp Technical Specifications m Cp INSTRUMENTARIUM Approved Ukkonen Juha Pekka 27 11 06 12 43 28 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 0139539 100 rev 1 Reviewed Vartia Jussi 24 11 06 10 29 28 Approved Ukkonen Juha Pekka 27 11 06 12 43 28 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 Copyright Code 5139539 100 rev 1 Date 3 November 2006 Document code D500318 rev 1 Copyright 11 2006 by PaloDEx Group Oy All rights reserved 053 Orthopantomograph and Orthoceph are registered trademarks of Instrumentarium Dental U S patents 4 641 336 5 016 264 5 425 065 5 444 754 6 731 717 and 6 829 326 German patent 4 344 745 Finnish patents 112594 and 114383 Documentation trademark and the software are copyrighted with all rights reserved Under the copyright laws the documentation may not be copied photocopied reproduced translated or reduced to any electronic medium or machine readable form in whole or part without the prior written permission of Instrumentarium Dental The original language of this manual is English Instrumentarium Dental reserves the right to make changes in specification and features shown herein or discontinue the product described at any time without notice or obligation Contact your
42. P200 performs a self check After a tone the default operating mode is displayed on the control panel Information is defined in user program Pr 51 PUS which guidelines are described in the next chapter e NOTE Er 45 InP shall be displayed if the exposure button any of the buttons in the patient positioning panel or any of the buttons in the control panel is pressed when switching the OP200 D power on 3 Press and keep down the OK button until the user programming mode is displayed after the tone e g PR 52 GCO 7 NOTE If the button is released too early program resumes to the normal operation mode In that case start again from step 3 2 4 Use up and down buttons to select one of the Pr programs Press OK button to confirm the selection The program parameters shall be displayed 2 5 Use up and down buttons to select the option in the program 6 Use left and right buttons to change the settings Follow the guidelines for each Pr program described in the next chapter 3 P 7 Press OK button once to store the changes and exit the user program LI NOTE If you change the parameters and forget to press OK or switch the power off the storing of any changes failed 8 Press OK button for a while to exit from the user programming mode The tone is heard as the normal display is resumed Another way to exit the user programming mode is to switch OP200 power off wait for 15 s and switch the
43. PR 57 HON CASSETTE LIFT SIDE The home side i e the patient positioning side of the unit can be selected If the unit is supplied with one patient positioning panel the home side is the same as the panel side With the Ortho Trans option and two positioning panels the home side is selected with this program 005 p OP200 operates normally uni directionally i e the exposure is enabled while the rotating unit moves clockwise left handed unit LL or LR or counterclockwise right handed unit or RL or RR and after the exposure the rotating unit returns to starting position In OP200 a bi directional exposure is also possible where the unit can make an exposure both clockwise and counterclockwise and no return sequence is necessary after the exposure Pr 57 Hon Positioning Rotation for OP OC200 Lights exposure type Right side of RR RL unit CCW on both gt CCW DL DR sides gt Programming 1 Select program Pr 57 Hon Display shows one of the choices GG r B 17 L 6 or GG L2r e 2 OP200 with Frankfort and layer light on the left side of the unit 3 P The display should have L If not press left or right buttons to select L 3 OP200 with lights on the right side the display should show r If not select r 4 Optionally OP200 models can have dual set of positioning lights used in programs P1 P10 Such models have patient positi
44. PoC PoL PoH PoU or numbers Er failure CPU FIL InP PAy 10 5 RESETTING FAILURE Ch failure codes can be reset by correcting the reason for the failure code Ch and Sy failures can be reset by pushing any button in the control panel or in the patient positioning panel If Sy failure appears repeatedly call your local dealer Exception is Sy 20 failure which appears when the tube head is too hot and you have to wait for cooling This is a normal operation if you are exposing a lot and in warm places Er failures can not be reset Switch the unit off and on to test whether the failure was only temporary KBoroved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 513955z 102 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 10 Failure diagnostics 10 6 MULTIPLE FAILURE CODES In the case of multiple errors press OK button to display other failure codes Interpretation Ch1CAS CASSETTE Panoramic cassette not installed properly or not replaced since previous exposure Ch2CAS CASSETTE Cephalostat cassette not installed properly or not replaced since previous exposure Ch3COL COLLIMATOR Collimator not in right position Ch4COL COLLIMATOR Collimator not in cephalostat position when ceph selected Ch 5 LINE VOLTAGE Line voltage out of limits Approximate line voltage displayed in s display Ch6POS POSITION System not in S
45. Printed out 26 09 08 13 33 20 4 Panoramic procedures 14 Confirm the position of the focal trough in reference to the occlusion The image layer light should illuminate the buccal of the maxillary canine or base of the nose if edentulous If not then adjust the focal trough by pressing one of the occlusion correction buttons Press the button closest to mirror if the patient has progenia Press the button closest to patient if he has prognathism Fig 4 12 The image layer laser light i d n i M 2 v Fig 4 13 Accessories for toothless patients Panel on the left progenia normal prognatism Panel on the right prognatism normal progenia Fig 4 14 Positioning panel located at left side Occlusion adjustment buttons retrusion 22 normal 23 protrusion 24 Fig 4 15 Positioning panel located at right side Occlusion adjustment buttons progenia 22 normal 23 prognatism 24 This will adjust the unit during exposure After the exposure occlusion correction is automatically reset to center position 15 Advise patient to close lips swallow and raise tongue to the roof of the mouth This enhances image quality Ask the patient to R6proved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 513955z 102 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 4 Panoramic procedures breathe through the nose a
46. SER The user must perform monthly the following inspections Visually check that all visible labels are intact and legible Visually check that the exposure indicator light is lit for the duration of exposure Confirm that the audible indicator sounds for the duration of the exposure Check that exposure button must be kept pressed continuously during the exposure cycle Check that exposure terminates and an error code is displayed when prematurely releasing the exposure button Check all the functions of the control panel and the positioning panel 16 3 PREVENTATIVE MAINTENANCE REMINDER The equipment has a special feature that displays a message Ch 8 PSE on time display after every 2000 exposures See User program chapter in OP200 User Manual for details J NOTE Wiring diagrams schematics and other documents which are needed when the unit is repaired will be supplied by request to authorized service personnel AAA A ASA AEA AA a Adpreved RK bn lJuha Pekka 27 11 06 12 43 28 nstrumentarium Dental 127 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 16 Maintenance A6proved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental WS Ue rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 Reviewed Vartia Jussi 24 11 06 10 29 28 Approved Ukkonen Juha Pekka 27 11 0
47. alues 13 mA current Exposure time 0 1 s 3 2 s 16 values P11 P12 Magnification 1496 nominal in cephalometric procedures adjustable 8 14 Technique Factors Linear Tomography Procedures Mandible P13 amp 57 85 kV 2 16 mA 1 6 28 8 s Maxillary P14 Linear Tomography Image Layers Choice of longitudinal 3 1 or none images Choice of transversal 3 1 or none images Positioning Lights Panoramic TMJ amp laser CLASS 1 LASER PRODUCT Maxillary Sinus Programs A6proved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 51395 3 105 rev 1 15 Technical specifications Positioning Lights Linear Tomography laser CLASS 1 LASER PRODUCT Programs Panoramic Film Cassette Film size Cassette type and Flat cassette Window for Ortho ID film screens marking Kodak Ektavision intensifying screens Kodak Lanex Regular or Kodak Lanex Medium Cephalostat Film Cassette S Film sizes 18 x 24 cm and 24 x 30 cm 8 x 10 10 x 12 Cassette types and Flat cassette s Window for Ortho ID screens film marking Kodak Ektavision intensifying screens Kodak Lanex Regular or Kodak Lanex Medium Cassettes are optional on some market areas Optional Grid Cassette For Linear Tomography Procedures Cassette type and Flat cassette Window for Ortho ID film screens ma
48. an be written down for future references 6 Ask the patient open the mouth and place the nose and chin against the cassette if possible 7 Select technique factors and make the exposure per section P5 PA Projection steps 7 to 10 6 6 P7 CARPUS VIEW EXPOSURE OPTIONAL This procedure can be used for Carpus view 1 Prepare the equipment per section Cephalostat cassette loading Tilt the nose support away from the radiation field Open the ear rods holders by pushing them from top 2 X Unlock the cephalostat by turning locking lever clockwise Rotate the cephalostat from ear rods for symmetrical view Turn the locking lever counter clockwise to lock the cephalostat R6proved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 513955z 102 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 6 Cephalometric procedures optional 3 Slide the lever to 18 X 24 SV or 8 x 10 SV to select the collimator for symmetric view Slide the soft tissue lever to value of 60 N Fig 6 17 Symmetrical view collimatoi Fig 6 18 Hand positioning selection 4 Position the patients hand symmetrically on the casette front surface Move the ear holders to the outermost position Select technique factors Recommended technique factors for Carpus projection are 60 kV 12 mA and 0 16 s with Kodak Lanex Medium intensifying screen and Kodak TMG film 7 Make the exposure
49. aph OP200 should assure that it is used in an electromagnetic environment as described below Immunity Test IEC 60601 1 2 Compliance Electromagnetic Environment Test Level Level Electrostatic 2 4 6 kV for 2 4 6 kV for Floors are wood concrete or discharge ESD contact discharge contact discharge ceramic tile or floors are covered IEC 61000 4 2 2 4 8 kV for air 2 4 8 kV for with synthetic material and the discharge air discharge relative humidity is at least 30 percent Electrical fast 2 kV for power 2kV for power Mains power quality is that of a transient burst supply lines supply lines typical commercial and or hospital IEC 61000 4 4 environment 1 kV for 1 kV for input output input output lines lines Surge 1 kV differential 1 kV differential Mains power quality is that of a IEC 61000 4 5 mode mode typical commercial and or hospital 2 kV common 2 kV common environment mode mode Voltage dips lt 5 96 U lt 5 U Mains power quality is that of a short gt 95 dip in U gt 95 dip in U typical commercial and or hospital interruptions for 0 5 cycle for 0 5 cycle environment If the user of and voltage 40 96 U 40 96 U Orthopantomograph OP200 variations on 60 96 dip in Ux 60 96 dip in U requires continued operation during power supply for 5 cycles for 5 cycles power mains interruptions it is input lines 70 96 U 70 96 U recommended that IEC 61000 4 11
50. arations collimator PAN One of the panoramic programs will be selected automatically on the control panel e NOTE In cephalostat units check that the soft tissue filter is in position 60 9 Proceed to the section Panoramic procedures for Panoramic imaging and to the section Special imaging procedures for TMJ and Sinus Maxillary imaging 3 4 CEPHALOSTAT CASSETTE LOADING For all cephalometric imaging procedures the initial equipment preparation is as follows 1 Load the cassette per section Loading the panoramic cassette steps 1 to 3 2 Locate the power switch under the carriage backside Turn the power switch to the I position 3 Remove the panoramic cassette The unit works only with one cassette on it s place There is no need to remove panoramic positioning accessories Fig 3 5 Panoramic film cassette Fig 3 6 Ceph film cassette orientation 4 Orient the cephalostat film cassette with flat side towards x ray ME f H H tube and install it HEE cert into the cassette die holder Lift the ses HHHH HHHH LHP 444444 LI LI T retainer if needed i 4tittttttitt HHH HHHH HB 44 44 44 HH 5 Cassette holder has markings to place cassette for different imaging procedures Lower the cassette retainer It will secure the cassette in place Asymmetric vertical vie
51. ard column 84 0 x 32 7 x 39 4 inches Max 2182 x 830 x 1000 short column option 84 0 x 32 7 x 39 4 inches Max 2472 x 830 x 1000 long column option 175 kg 385 lbs Panoramic OC200 physical measures source image distance 68 7 inches 1745 mm SID source object distance 60 inches 1524 mm SOD Reviewed Vartia dussi 24 I 1 06 9 9 3 werN A6 roved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental WS Ue rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 15 Technical specifications OC200 physical measures Installation Standard wall mount with 45 angled Height x Width x Depth inches mm joint Optional base for free standing unit 87 6 x 74 8 x 39 4 inches Max 2272 x 1900 x 1000 standard column 84 0 x 74 8 x 39 4 inches Max 2182 x 1900 x 1000 short column option 84 0 x 32 7 x 39 4 inches Max 2472 x 830 x 1000 long column option Weight 0 210 kg 465 Ibs Cephalometric 15 14 ELECTROMAGNETIC COMPATIBILITY EMC TABLES Orthopantomograph OP200 is suitable for use in the specified electromagnetic environment The purchaser or user of Orthopantomograph OP200 should assure that it is used in an electromagnetic environment as described below Radio Frequency Emissions CISPR11 Radio F
52. as value of 70 kV and supply value of 70 kV and supply voltage is voltage is 110 VAC 110 VAC 7 4 MANUAL MODE If desired the exposure technique factors can be set manually with the AEC disengaged The technique factors can be set either by patient size or by specific kV and mA factors 1 Toset the unit to manual mode first press the down button once P v to move the flashing light from the standard panoramic position to the AEC A position Then press the right button once to move the flashing light to manual M position Fig 7 9 Manual mode Agr ORkofien Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 67 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 7 Imaging technique 2 At this time the light over the juvenile of the pre programmed exposure factors should be lit To change the exposure values 9 P 3 first press the down button two times until the flashing light is over the patient size symbol To select proper patient size press the right or left button 3 To set specific kV and mA technique factors press the down button until the flashing light is at the kV and mA section By 9 P 3 pressing the right or left button the displayed flashing value can be increased or decreased 4 Panoramic and Special procedures can use the following technique settings Panoramic TMJ and Sinus Imaging Procedures Technique Factors 57 60 63 66
53. assette lit SICO eoi is phar ivEl Gio ORU I PI Nta 13 9 PR 58 CON vertebrae shadow compensation 13 10 PR 59 PSE preventative maintenance reminder 13 11 PR 60 BEP panel D p cc ccccceecccsseeecesseeceeeceauseeseeeeseusesseaeessaneeeas 13 12 PR 61 CLC clear exposure counter eeeseeeeeeeeeeeee 19 Io R62 ERR JasSETallute GOUG ieseana pb eri ees ets Quoeune time Hu err UE Een Mos 13 14 Pr 65 doS dose time display selection I3 15Pr 66 COU Exposure COUNTENS users iio Erebi et sorte ee Fever E Eoi o e debet 14 User s statement uic dese VE a aeaa DEM EE 15 Technical SPECIICATIONS iiec deos ioe reos Eoo x Ego E no cc EE Ec RP cuve e epo ECUs 15 1 Electromagnetic Compatibility EMC tables 16 Mainitenari6 c secccuci eres Een saxo oia esa sanas eed ees swa suP sU Vases s eashs a cssu sse USEINE 16 1 Maintenance Schedule ssesesessee mmm nennen nnn nnns 16 2 Monthly INSPECTION DY USE iecore etu e teu Ra educta beutace th ease 16 3 Preventative Maintenance Reminder een RARA RK n en Juha Pekka 27 11 06 12 43 28 nstrumentarium Dental See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 Noproved Ukkonen Juha Pekka 27 11 06 12 43 28
54. ay films may be darker or lighter depending on patients 8 To adjust for optimum film quality select one density setting lower or higher in Automatic Exposure Control and one point higher or lower technique factors in Manual Exposure Control Expose again Consult your dealer for detailed information 7 5 TEST MODE The movements of the unit can be performed without radiation This may be useful for children or uncooperative patients to demonstrate the operation prior to taking the exposure 1 To set the unit to test mode first press the down and right buttons 9 P to move the flashing light from the standard panoramic position to the AEC A position Then press the right button twice to move the flashing light to the test mode T position Fig 7 10 Test mode 2 The unit will now operate without X ray emission 7 NOTE Test mode in program 7 for combined lateral TMJ images simulates only the first exposure 3 3 Toreturn to the AEC A mode press the left button twice or once 7 6 FILM PROCESSING Proper processing is very important for obtaining high quality Orthopantomograph radiographs It is important that both the dark room and processing system are in top condition Store films in a cool dry dark place in vertical position to reduce film fog and static Always use older lot first Process the film immediately after exposure Dark room Panoramic film is extremely sensitive to light The dark room cannot
55. buttons to select dA P Dose used to the P 3 exposure shall be shown in the time dose display during and after the exposure but time can not be seen O E O I 1 NENNEN kV mA O mGucm e 7 NOTE SEcS dAP Con The user looses the exposure time and dose value when pressing the OK button after exposure e NOTE SECS dAP The user looses the exposure time or dose value when pressing any button after exposure e 7 NOTE SECS dAP and Failure code s Time or dose value is displayed after the user has signed all the failure codes 13 15PR 66 COU EXPOSURE COUNTERS OP200 has various exposure counters This program is used for checking counter values o ge O EB ET Os 1 Select program Pr 66 COU OP200 displays an user counter 2 Press down button to see the next counter 3 Press OK button once to store the changes and exit the user programprogramming mode Resettable trip counter totAL Total exposure counter Not resettable Tube exposure counter Not resettable Ad Rea ORkoAien Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 109 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 13 User program features SErvicE Exposure count since last preventative maintenance reminder was resetted by Pr 59 PSE LEASE This counter is used only if the Sr 71 PAY lease period has been activated InStALL This counter shows the numb
56. d Wate HS tt OE M Adpreved GRKGten Juha Pekka 27 11 06 12 43 28 lnstrumentarium Dental ms See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 14 User s statement AdBroved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental WS Ue rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 15 Technical specifications 15 Technical specifications Manufacturer Instrumentarium Dental P O Box 20 FIN 04301 Tuusula FINLAND Quality system In accordance with ISO 9001 standard Environmental In accordance with ISO 14001 management system standard Electrical amp mechanical According to IEC 601 1 UL and C UL Safety File E301913 CE models marked according to the Medical Device Directive 93 42 EEC Product name ORTHOPANTOMOGRAPH ORTHOCEPH Model Orthopantomograph OP200 Orthoceph OC200 Orthopantomograph OP200 OT Orthoceph OC200 OT Orthopantomograph OP200 CR Orthoceph OC200 CR Orthopantomograph OP200 OT CR Orthoceph OC200 OT CR Product type Film Panoramic X ray Unit Film Panoramic X ray Unit with Cephalostat Class Type Boo Protection IP 20 Operation Continuous operation with intermittent loading Power supply Mains plug connection DC High voltage First software ver
57. d apron was misplaced Cassette was inserted in reverse Dirty or worn Screens Problem with processing processor was not cleaned or worn rollers old chemicals Patient has moved during the exposure Patient s shoulder was in touch with machine parts Exposure button was released prematurely Ask patient to remove objects Check the lead apron positioning Install the cassette with flat side facing the THA Check and clean the screens Replace when needed Check processing and processor and service when needed Retake the image to a new film Check patient positioning Retake the image to a new film 85 11 Diagnosing image quality problems Problem Possible cause Lightning like pattern on film An unexposed 10x50 mm area in the film corner Right and left film sides are unexposed TMyJ s are not shown CEPH Double image on film CEPH Unexposed rectangular on the image CEPH Lateral view has 2 ear holder pins QA Light horizontal line on film R8oroved Ukkonen Juha Pekka 27 11 06 12 43 28 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 Discharge of Static electricity Film was loaded by sliding it over screens Window cassette for Ortho ID was used Area is for film marking Orthogonal procedure was mistakenly used Cassette has not been replaced after previous exposu
58. d on it is set as a default to Standard Panoramic with Automatic Exposure Control The AEC sensors located in the cassette holder will monitor the amount of radiation the film is receiving and automatically set the exposure factors for proper image density After the exposure the adjusted values are shown on the display The AEC will stay engaged with panoramic procedures unless set to manual mode Default b oOo Half step darker One step darker Fig 7 1 AEC density scale The film density can be changed while keeping AEC engaged 1 A darker or lighter film can be accomplished without disengaging the AEC by resetting the automatic exposure density scale on the Control Panel 2 Press the down button twice to move the flashing light from the standard panoramic position to the central light on the automatic exposure density scale light to the right Each change increases the radiation output by 3 Tomake the film darker press the left button to move the flashing approximately 12 percent 4 To make the film lighter press the cursor button to move the flashing light to the left Each change decreases the radiation output by approximately 12 percent Ad naea ORkofien Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 65 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 7 Imaging technique J NOTE AEC density is controlled in half steps A half ste
59. ded 4 Select the density level offset if needed for this imaging program 9 3 P by pressing down button The led of mA display is blinking Use left or right buttons to change this value The offset can be from 3 to 3 with half step increments calculated from general density e NOTE These technique settings are for guidance If the patient images are lighter or darker than desired you may have to change the contrast and or density according to the user preferences Example If general density is 5 and P1 has contrast 66 and offset 0 this means that P1 AEC exposure with middle density scale has 66 kV 10 mA starting value In Manual Control mode preprogrammed patient size symbols have values 66 5 66 8 66 10 as AEC and 66 T3 5 If you want to change contrast and density for other programs repeat steps 2 3 and 4 Another QA film is needed if these programs use different screen film combination or cassette 6 Press OK button to store the changes and exit the user program Ad naea ORkofien Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 99 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 13 User program features 13 4 PR 53 NOR RESUME NORMAL SETTINGS Normal settings for all parameters can be resumed This can be done after service or in the case of CPU board memory problem Error counter and exposure counters are not affected O GH
60. e if possible Ask the patient open the mouth maximally Select technique factors and make the exposure per section P5 PA Projection steps 7 to 10 6 5 P5 WATERS VIEW EXPOSURE 1 Prepare the equipment per section Cephalostat cassette loading Insert hygienic covers to ear rods Tilt the nasion support away from the radiation field Open the ear rod holders by pushing them from top Release the ear holder brake by holding the brake tangent down while moving Fig 6 14 Waters view mouth closec Fig 6 15 Waters view mouth open Ad naea ORkofien Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 61 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 6 Cephalometric procedures optional Fig 6 16 Waters view degrees Locking lever E 2 l E Lu ar Nolder brake 2 Unlock the cephalostat by turning locking lever clockwise Rotate the cephalostat from ear rods for symmetrical view Turn the locking lever counter clockwise to lock the cephalostat 3 Slide the lever to 18 x 24 SV or 8 x 10 SV to select the collimator for symmetric view Slide the soft tissue lever to value of 60 4 Position the patient seated under the cephalostat facing the cassette 5 Gently position the ear holders into the external auditory meatuses Set the cephalostat cassette holder as close to the patient as possible The distance reading indicating magnification c
61. e fork rod Rows of teeth exposed Chin rest was not Install chin rest too low Mandible not used with bite fork exposed completely to the image 11 2 FILM DENSITY AND CONTRAST Images are too light 1 AEC density 1 Adjustthe density setting was too to a higher value low 2 Increase 2 Manualtechnique technique factors factors used were 3 Make the QA too low film and check 3 A problem with the processing the processing chemicals 4 AEC control or temperature and beam alignment UME was misadjusted 4 Call service Adpraved ORkGt n Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 83 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 11 Diagnosing image quality problems Images are too dark Lack of image conirast Image is fogged Metal fillings don t appear as bright unexposed areas One side of the film overexposed foroved Ukkonen Juha Pekka 27 11 06 12 43 28 1 AEC density setting was too high 2 Manualtechnique factors used were too high A problem with the processing AEC control was misadjusted Leaded cassette was used with AEC kV used was too high Film screen not optimum Fogged film Film was re exposed during the processing Light leak in dark room Safety light was not appropriate to film in use Useless film wrong storage or expired lot Film has been previously expo
62. e layer thickness in longitudinal and transversal tomograms can be selected in the Pr 50 LAY program This program is displayed only when the Ortho Trans imaging programs P13 and P14 have been activated O El C GEB ERU EEMENNE Programming w Set the imaging program according to a jaw P13 for mandible and P14 for maxilla Select the program Display shows the image layer settings of one area of interest There are three areas of interest anterior premolar and molar 3 Use left and right buttons to select the area of interest rs feo Fr C e C C OG xi Anterior Premolar Premolar CD CD d A j A JaA d O Molar Molar 4 Select Lon in time dose display for longitudinal image settings Select the number of the images 0 1 or 3 in kV display and the longitudinal image layer thickness 5 0 6 4 8 0 mm in mA display If you don t want images in longitudinal projection select 0 images This feature can be used with follow up patients Ad naea ORkofien Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 93 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 13 User program features amp Q I n EA l _ Os MENMEM nGucm 5 Select trv in time dose display for transversal image settings Select the number of the images 0 1 or 3 in kV display and the P 3 2 transversal image layer thickness 2 0
63. ecial projections P12 Ortho Trans mandible P13 optional Ortho Trans maxilla P14 optional Automatic Exposure Control Test Mode Manual Exposure Control Automatic Exposure Density Scale nine steps o NE n oo E e Ee One and half steps lighter El E Half step darker e Two steps darker Agr ORkohi n Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 15 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 2 OP200 controls Control panel displays ama o kV display zem mA display Exposure time display Os Exposure counter value o mGycm display Icons for Pre programmed Technique Factors with Indicator lights Child Juvenile Adult Large adult Function Selection buttons Move the flashing indicator left or right Decrease or increase the value on display Move the flashing indicator up or down to the 9 2 next selection row P1 P12 Show Exposure counter value or OK reset user error Ch In the programming mode e Enter amp Exit Program Mode e Accept the displayed choice a J NOTE OK button has special functions in the user and service programming mode See User Program Chapter in the User Manual for details Radiation warning Reviewed Madia Jusci 24 14 06 19 29 28 2 Abproved
64. ection P6 TMJ Lateral projection Position the patient as in TMJ Lateral view and procedure steps 4 through 10 Move the TMJ pointer 70 mm anterior compared to jaw closed positioning Fig 5 22 TMJ PA projection 5 Have the patient open the jaw 6 Press and hold the exposure button The system will cycle and expose only as necessary to display the TMJ s in PA projection 7 Release the exposure button open temple supports and guide the patient out Remove the TMJ pointer and TMJ support 8 Ifthe Ortho ID is available mark the film with the patient s name Id number correction angles and notes Process the film 9 Return the system to the standard panoramic program PREC RH HSH EF M 4 Adsreved ORkoAien Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 49 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 5 Special imaging procedures e J NOTE T gt It is possible to choose either side TMJ by selecting the arc figure with A up button This shall reduce the radiation dose for the patient Select OK button Either section of jaw joints number 4 is possible to disable the section with left or right buttons Enable or disable the section with A A in P7 Though one section must always be chosen 4 4 5 5 P9 TMJ LATERAL amp PA PROJECTION 1 Prepare the equipment per section Loading the panoram
65. ents Manual These manuals and future updates are available on request from the manufacturer 1 5 RADIATION PROTECTION GUIDELINES X ray equipment may cause injury if used improperly The instructions contained in this manual must be read and followed when operating the Orthopantomograph OP200 All government and local regulations pertaining to radiation safety must be observed 7 NOTE For USA Many provisions of these regulations are based on recommendations of the National Council on Radiation Protection and Measurements Hecommendations for dental x ray protection are published in NCRP Report 35 available from NCHP Publications 7910 Woodmont Avenue Suite 1016 Bethesda MD 20814 Personal radiation monitoring and protective devices are available and recommended for staff members It is also recommended to provide the patient with a protective apron Consult the physician before taking images of pregnant patients WARNING Orthopantomograph OP200 must not be used in rooms where an explosion hazard exists Equipment not suitable for use in the presence of flammable mixtures OP200 with radiation protection in accordance with IEC601 1 3 1994 1 5 1 Protection by distance In all examinations the user of the x ray equipment should wear protective clothing The operator does not need to be close to the patient during normal use The protection against stray radiation can be achieved by using the hand switch not less than 2
66. ephalostat to proper height and introduce the ear rods to external auditory meatuses See that patient s head is inclined 7 Set the cephalostat cassette holder as close to the patient as possible The distance reading indicating magnification can be written down for future references R proved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental N YAE rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 6 Cephalometric procedures optional 8 Select technique factors kV and exposure time PA facial views have one step higher technique factors compared to the lateral projection Technique factors in Ceph PA AP Projection Child Juvenile Adult Large adult 77 kV 77 kV 77 kV 77 kV 16 mA 0 4 s 16 mA 0 5s 16 mA 0 8 s 16 mA 1 25s Note Example with Pr 52 PCO 77 0 GCO 6 0 9 Make the exposure by pressing the exposure button After the exposure release the patient by opening the ear rods and guide him out Remove the disposables 10 Remove the film cassette If the Ortho ID is available mark the film with the patient s data and notes Process the film without delay 11 Return the system to the standard panoramic program e ES J NOTE It is not possible to choose any section of the toothed arc of the arc figure in the control panel in P12 6 3 P7 AXIAL VIEW OF THE MANDIBLE EXPOSURE Prepare the equipment per section Cephalostat Cass
67. er and TMJ nose support Adpreved ORkoAien Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 43 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 5 Special imaging procedures 14 If the Ortho ID is available mark the film with the patient s name ld number correction angles and notes Process the film 15 After the exposure return the system to the standard panoramic program by pressing the cursor buttons to move the flashing light to the standard program position e 7 NOTE iam It is possible to choose either side TMJ by selecting the arc figure with hl A up button This shall reduce the radiation dose for the patient Select the section with left or right buttons Enable or disable the section with A UN OK button Either section of jaw joints number 4 is possible to disable in P6 Though one section must always be chosen 4 4 5 2 P6 ORTHO TMJ AXIAL CORRECTED LATERAL PROJECTION OPTIONAL When used this optional program replaces the TMJ lateral projection exposure program P6 on the Control panel Ortho TMJ program provides a wide layer axial corrected views for the patient s left and right temporomandibular joints The angle of correction for any particular patient can be derived from tracing a submental vertex image SMV obtained with cephalostat or a statistical average of 18 to 20 may be used if a SMV is unavailable Fig 5 9 Condylar lateral a
68. er of exposures taken in the service mode only When exposures are made in service mode this doesn t effect on user service and lease counters Adproved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental WS Ue rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 14 User s statement 14User s statement Instructions for the use of the Orthopantomograph OP200 and precautionary statements are part of the OP200 User Manual Radiation leakage technique factors The maximum rated peak tube potential is 85 kV with the maximum rated continuous tube current of 1 5 mA 1 5 mA is the equivalent maximum rated continuous tube current for 13 mA with a duty cycle of 1 7 Duty cycle is automatically calculated by the software so that the next exposure does not exceed the anode thermal capacity The equation used by the software is mA s kV Initial heat capacity J Anode cooling rate J s 3600 s where mA s kV Maximum energy input during one hour Initial heat capacity 28000 Joules J for tube type D 05195 Anode cooling rate 120 Joules s J s for tube type D 051S 3600 1 hour observation time s Beam limiting device tube housing assembly compatibility The tube housing assembly THA 100 is compatible with the beam limiting device BDP138 or BDC184 Equipment statement for tube housing assembly Maximum operating voltage is 85 kV Effective focal spot 0
69. ermal characteristics D 051s HEAT STORACE QJ TIME min Fig 14 2 Tube anode thermal characteristics D 051S Reviewed Wate HG tC ee Adpraved ORkGt n Juha Pekka 27 11 06 12 43 28 _ Strumentarium Dental ES See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 14 User s statement Tube head assembly cooling curve temperature C OP200 OC200 Patient Dose Patient doses Sv in standard Panoramic program number 1 N u O Co S 10 9 12 8 Oo O Co CO CO N NO 16 8 21 0 N O 20 4 26 5 15 5 23 8 31 7 12 1 18 7 27 1 NI NI NI NI NI oc N NIE NIN OI OIJ O N O1 CO L L L Reviewed Madia Jusci 24 1 4 06 39 29 28 2 Adproved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 513955z 102 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 14 User s statement Patient doses Sv in standard Panoramic program number 1 Patient doses pu Sv with cephalostat program in lateral positioning 18x24cm Carpus imaging Reviewe
70. es kV to change in larger steps Then press the down button mA display is blinking Select the mA value mA can be selected from the fixed table 2 0 2 5 3 2 4 0 5 0 6 4 8 0 10 13 and 16 e J NOTE Cephalostat has a fixed mA value e 7 NOTE If the kV is increased with maximum MA selection the mA value is automatically decreased when the product of kV mA exceeds the allowed X ray tube rating A proved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 90 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 51395 3 1065 rev 1 9 Understanding the OP200 radiograph 9 Understanding the OP200 radiograph Fig 9 1 Drawing of OP200 radiograph with anatomical landmarks and structures Typical OP200 radiograph with anatomical landmarks and structures 1 hyoid bone 2 angle of mandible 3 external oblique line 4 maxillary tuberosity 5 styloid process 6 middle cranial fossa 7 zygomatic arch 8 palate 9 orbit 10 septa in maxillary sinus 11 maxillary sinus 12 pterygoid plates 13 coronoid process 14 articular eminence 15 mandibular condyle 16 glenoid fossa 17 vertebra 18 ear lobe 19 mandibular canal 20 mental foramen 21 Sella Turcica Agr ORkofien Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 75 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 9 Understa
71. ette Loading Insert hygienic covers to ear rods Tilt the nasion support away from the radiation field Open the ear rods holders by pushing them from top Release the ear holder brake by holding the brake tangent down while moving m Fig 6 11 Reverse Townes view Adsreved ORkoAien Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 99 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 6 Cephalometric procedures optional Locking lever A a E ee 2 hod s sar Nolder brake 12 Unlock the cephalostat by turning locking lever clockwise Rotate the cephalostat from ear rods for the symmetrical view Turn the locking lever counter clockwise to lock the cephalostat 13 Slide the lever to 18 x 24 SV or 8 x 10 SV to select the collimator for symmetric view Move the soft tissue lever to value of 60 14 Position the patient seated under the cephalostat in AP projection 15 Gently position the ear holders into the external auditory meatuses 16 Ask the patient to incline the head strongly backwards as much as possible Frankfurt horizontal plane is positioned parallel to the cassette i e occlusal plane is perpendicular to the floor 17 Set the cephalostat cassette holder as close to the patient as possible The distance reading indicating magnification can be written down for future references 18 Select technique factors and make
72. f the cassette C there are guides for grid mounting built in to the cassette holder H and retainer R Fig 3 11 Grid mounting Fig 3 12 Optional grid G ABoroved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 513955z 102 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 4 Panoramic procedures 4 Panoramic procedures 4 1 P1 STANDARD PANORAMIC EXPOSURE 1 Prepare the equipment per section Loading the panoramic cassette Verify that the light under program 1 P1 in the control panel is lit Press patient positioning button to rotate the rotating unit to the patient positioning position When the system is turned on it will automatically set itself to standard panoramic with AEC automatic exposure control settings No other Control Panel settings are necessary e J NOTE If you wish to set the AEC density factors darker or lighter or wish to set the technique factors by patient size or manually refer to section Imaging Technique Fig 4 1 P1 Image Layer Fig4 2 P1 amp AEC 4 Install the chin rest and bite fork with bite fork rod adult or child with hygienic covers Open temple supports i br Fig 4 3 Chin rest Fig 4 4 Open template supports 5 Ask patient to remove any metal objects such as eye glasses jewelry oral appliances removable dentures hearing aids bib chain etc from the
73. fer to section Failure Diagnostics for explanation and correction 18 At the end of the exposure release temple supports and guide the patient away from the unit 19 Remove disposable covers and disinfect the unit J NOTE It is possible to choose any section of the toothed arc by selecting the arc figure with up button This shall reduce the radiation dose for the patient Select the section with left or right buttons Enable or disable the section with OK button One section must always be chosen One to four out of five sections can be disabled The AEC is not available with partial panoramic images AA ALA Anterior Premolar Molar Premolar Molar 4 2 P2 PEDIATRIC PANORAMIC EXPOSURE Pediatric patients can be imaged with less radiation dosage and shorter exposure time Patients with more narrow than average jaw can be exposed with this procedure too 1 Prepare the equipment per section Loading the panoramic cassette Press the right button to move the flashing light from the standard 2 Select the pediatric exposure program on the Control Panel panoramic position to the pediatric position P2 Fig 4 18 P2 Image layer Fig 4 19 P2 amp AEC mode 3 The system will remain in the Automatic Exposure Control mode To set technique factors by patient size select one of the pre programmed patient size icons or manually refer to section Imaging Technique for more information Aforoved Ukkonen Juha Pekka 27 11 0
74. h Complete table of magnification factors can be found in Chapter Technical Specifications at the end of this manual WARNING In panoramic images the horizontal and vertical magnifications are the same only in the focal trough Manufacturer assumes no liability on the accuracy of the measurements from the x ray image Angulation of the object being imaged affects on the dimensional accuracy on the film ASproved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 51395 3 1065 rev 1 8 Special features 8 Special features 8 1 QUALITY ASSURANCE The Orthopantomograph OP200 can produce a self diagnosing film for checking the quality of the exposure and the film processing 1 Start by establishing a processing standard with new processing chemistry and time and temperature verified NO Remove the bite fork with bite fork rod Insert loaded cassette 3 Set the primary collimator to the QA position In OP200 lift the lever to the left and then up for two steps QA selection is indicated in control panel with lowest kV mA values 57 kV 2 mA and a moving indicators in the AEC density scale Check that the soft tissue filters are in value 60 in cephalostat unit value 60 Fig 8 1 OC200 QA collimator selection 4 Press the movement button in the patient positioning panel The rotating unit turns to
75. h rod Chin rest Handles Patient positioning panel Control panel Exposure indicator lights FH light height adjustment Mirror Base plate optional ol Instrumentarium Dental See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 2 OP200 controls 16 Exposure Button with cable and holder optional in some markets 21 Main label 22 Power ON OFF switch with an indicator 23 Main fuses with label 24 Connector for Control panel 25 Connector for Ortho ID optional Fig 2 1 Unit main label and Power switch Abproved Ukkonen Juha Pekka 27 11 06 12 43 28 Deena penta RVC mere See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 2 OP200 controls 2 2 OC200 CEPH MAIN PARTS Fig 2 2 OC200 LL Cephalostat mounted on the left side Cephalostat arm 1 Cephalostat head 2 Cassette holder 3 Cassette retainer 4 Film cassette sizes 18 x 24cm and 24 x 30 cm or 8 x 10 and 10 x 12 Guides for optional grid 6 Lockfor axial rotation see Fig 2 5 7 Earrods 8 Nasion support 9 Softtissue scale display Fig 2 3 Head positioner ear holde cassette holder 10 Magnification scale 11 Ear holder brake Fig 2 4 Lock for axial rotation Fig 2 5 Soft tissue scale display Adpreved ORkoAien Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 11 See the Pal
76. he arrow pointing up flat side towards x ray tube and slide it into the cassette holder The green ready light will go on Unit will rotate automatically for patient positioning Remove the ceph cassette The unit works only with one cassette on it s place Adproved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 51395 3 1065 rev 1 3 Equipment preparations Fig 3 1 Ceph film cassette removal Fig 3 2 Panoramic film cassette orientation e J Note The panoramic cassette will be on the correct position when it s pin is in the socket of the cassette holder 7 Liftthe cassette holder up to make the patient positioning easier Cassette holder may have been programmed to raise automatically when the cassette is inserted If not press patient positioning button A built in sensor prevents the exposure without the cassette in place Move the head support as far ahead and up as possible p Fig 3 3 Cassette holder movements Fig 3 4 Moving the head support ahead 8 Select the panoramic collimation from the tube head In OP200 set the lever to the right in other models select the panoramic Adpreved ORkoAien Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 25 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 3 Equipment prep
77. ht to the standard program position Remove Ortho TMJ accessories e C 7 NOTE A A It is possible to choose either side TMJ by selecting the arc figure with up button This shall reduce the radiation dose for the patient Select A UN the section with left or right buttons Enable or disable the section with OK button Either section of jaw joints number 4 is possible to disable 4 4 in P6 Though one section must always be chosen 5 3 P7 OPEN CLOSED TMJ LATERAL PROJECTION 1 Prepare the equipment per section Loading the panoramic cassette 2 Select the imaging program P7 for open P and closed TMJ on the Exposure Control Panel Fig 5 18 P7 amp Manual 3 he system is in the Manual Exposure mode Control mode Use technique factors per section P6 TMJ Lateral projection 4 Position the patient as in TMJ Lateral view procedure steps through Move the TMJ pointer 70 mm anterior compared to jaw closed positioning Agr ORkofien Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 47 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 5 Special imaging procedures Fig 5 19 TMJ PA Projection First Exposure Have the patient close jaw Press and keep down the exposure button The system will cycle exposing first the two TMu s and will stop prepared for next view 7 Release the exposure button Ready light will be on again J NOTE Do not
78. ic cassette 2 Select the imaging program P9 for TMJ PA projection on the Control Panel P 3 3 The system is in the Manual Exposure Control mode Use technique factors per section TMJ lateral projection Fig 5 23 P9 amp Manual mode 4 Position the patient as in TMJ Lateral view procedure steps 4 through 10 Move the TMJ pointer 10 mm anterior compared to jaw closed positioning Have the patient open the jaw 6 Press and hold the exposure button The system will cycle and expose only as necessary to display the TMJ in both the lateral and PA projection to the same film 7 Release the exposure button open temple supports and guide the patient out Remove the TMJ pointer and TMJ support 8 Ifthe Ortho ID is available mark the film with the patient s name Id number correction angles and notes Process the film 9 Return the system to the standard panoramic program a NOTE oi It is possible to choose any section of the toothed arc by selecting the hl A arc figure with up button This shall reduce the radiation dose for the patient Select the section with left or right buttons Enable or disable A UN the section with OK button Either section of jaw joints number 4 is possible to disable in P9 Though one section must always be chosen 4 4 ADproved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 513955z 102 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this documen
79. installation These settings can be changed See User Program Chapter in OP200 User Manual Pr 52 for details The following charts show examples of exposure values with different software settings A ball represents a kV mA value used in Manual RS proved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 5139559 103 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 7 Imaging technique mode and a line represents kV mA values which can be selected by the Automatic Exposure Control AEC 230 VAC CCO 70 KV 230 VAC CCO 63 KV mA mA 16 12 10 8 0 6 4 4 5 0 4 4 0 32 4 2 5 2014 eee C a a a E a a a 57 60 63 66 70737781 85 kVp 57 60 63 66 70737781 85 kVp Manual AEC Manual AEC Fig 7 5 Possible exposure values Fig 7 6 Possible exposure values when constant contrast has when constant contrast has value of 70 kV and supply value of 63 kV and supply voltage is 230 VAC voltage is 230 VAC ok 110 VAC CCO 70 KV A 110 VAC CCO 63 KV 16 16 12 7 12 4 10 4 10 4 8 0 4 80 6 4 6 4 4 5 0 4 5 0 4 0 7 4 0 4 3 2 4 39 25 7 2 5 e 204600000 20466060 rs 1 T 1 1T 1 1 1 1 T T T T T T T T T 57 60 63 66 70 73 77 8185 kVp 57 60 63 66 70 73 77 8185 kVp Manual AEC Manual AEC Fig 7 7 Possible exposure values Fig 7 8 Possible exposure values when constant contrast has when constant contrast h
80. ith IEC 60601 1 3 1994 This product complies with DHHS regulations 21 CFR Subchapter J at the date of manufacture eSSip MEDICAL EQUIPMENT WITH RESPECT d TO ELECTRIC SHOCK FIRE AND MECHANICAL HAZARDS ONLY IN ACCORDANCE WITH UL 60601 1 C US CAN CSA C22 2 NO 601 1 32ZX Manufactured by Instrumentarium Dental Nahkelantie 160 Fl 04300 TUUSULA Finland Main label 230 V Instrumentarium Dental 5161569 Date of manufacture 15 A 110 V 50 60 Hz Long term current 110 V 1 A Momentary current 110 V 15A IEC 60601 1 IP 20 ce AR X ray equipment with radiation protection in accordance with IEC 60601 1 3 1994 This product complies with DHHS regulations 21 CFR Subchapter J at the date of manufacture SSIF MEDICAL EQUIPMENT WITH RESPECT e QA TO ELECTRIC SHOCK FIRE AND MECHANICAL HAZARDS ONLY IN ACCORDANCE WITH UL 60601 1 C US CAN CSA C22 2 NO 601 1 322X Manufactured by Instrumentarium Dental Nahkelantie 160 Fl 04300 TUUSULA Finland Main label 110 V 9161569 1 Introduction TYPE AND VERSION OP200 short form for Orthopantomograph OP200 OC200 short form for Orthoceph OC200 type of the x ray tube insert which is originally utilized 1 Toshiba D 051S indication of a Special version marked only in products which have a non standard modification version number 1 OP200 models starting from s n 100 000 For example OP200 1 1 is OP200 Orthopantomograph OP200 1 w
81. ith Toshiba D 05158 tube 1 first version of OP200 1 4 OPTIONS ACCESSORIES AND MANUALS The options are listed in the appendices The accessories are listed in sections 2 5 and 2 6 All standard items and approved accessories are suitable for use within the patient environment WARNING This product itself complies IEC601 1 1 medical safety standard but in order to the system incorporating also a PC to comply the standard EITHER the PC has to be a medical PC OH the PC has to be located over 1 5 meters apart from the OP OC200 unit The installer and the user of the system shall confirm that at least one of the above requirements is fulfilled A PC is a medical one if it complies IEC 601 1standard and that is indicated in the accompanying documents of the PC e J NOTE To maintain safe and correct functioning of OP200 only the approved accessories may be used i CAUTION e Use of controls or adjustments or performance of procedures other than those specified herein may result in hazardous radiation exposure Revewed Varttediss 24 06 0 9 2 M4 pproved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 513955z 102 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 1 Introduction Following manuals and documents are shipped with the OP200 e OP200 OC200 User Manual amp Technical Specifications e OP200 OC200 Installation amp Adjustm
82. m 7 ft from the focal spot and the x ray beam Operator should maintain visible contact with the patient and technique factors This allows immediate termination of radiation by the release of the exposure button in the event of a malfunction or disturbance Ad naea ORkofien Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 1 Introduction ZA CAUTION X RAYS ATTENTION RAYONS X WARNING This x ray unit may be dangerous to patient and operator unless safe exposure factors and operating instructions are observed Fig 1 2 Caution information on Control panel 1 5 2 Laser lights 1 FHHight 2 Mid Sagittal light 3 Layer light RIT Fig 1 3 Laser light CLASS 1 LASER PRODUCT Max output 100uW 1 5 3 Control from a protected area The operator does not need to be close to the patient during normal use Control panel hand switch or optional remote hand switch can be used from an area protected from the x ray beam The fully extended spiral cable length of the control panel hand switch is approx 4 m 13 ft The cable length of the remote hand switch part 69961 is approximately 10 m 32 ft Roproved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 513955z 102 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 1 I
83. n or protection in the unit caused by the unit or environment Operation is prohibited or terminated to protect the operator patient and the unit itself E g the temperature in the tube head assembly is too high due to intensive use After the corrective action unit can be used Error There is a serious defect in the unit and the operation is therefore prohibited to protect the operator patient and the unit itself E g failure in the CPU Board WARNING If the unit is further used er failure may cause malfunction 10 3 MA DISPLAY The mA display indicates the actual numeric failure code by two digit number Each failure code has a unique number to differ one malfunction from another Adsreved ORkoAien Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 77 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 10 Failure diagnostics 10 4 TIME DISPLAY The exposure time display indicates the alphanumeric short form explanation of the malfunction This reminds the user or the serviceman of what the actual numeric failure code means or sometimes numeric information of the malfunction The display may also blink telling more information about the fault for example in Sy 20 where blinking display also tells the waiting time for tube head cooling Time display Ch failure CAS COL POS rEL PSE rEo or numbers Sy failure HHo Inu FIL AEC EEP Por
84. n temple supports and guide the patient out Remove the bite fork and rod reset chin rest and bite fork 12 If the Ortho ID is available mark the film with the patient s name Id number correction angles and notes Process the film 13 Return the system to the standard panoramic program e RD X Note A It is not possible to choose any section of the toothed arc of the arc figure in the control panel in P10 Ad naea ORkofien Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 93 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 5 Special imaging procedures R proved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 513955z 102 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 6 Cephalometric procedures optional 6 Cephalometric procedures optional Program P11 and P12 are a cephalometric imaging programs using Manual Exposure Control Image magnification can be adjusted ranging from 8 to 14 Positioning steps demonstrated are for left mounted cephalostat steps for right mounted cephalostat are similar 6 1 P11 CEPHALO LATERAL PROJECTION 1 Prepare the equipment per section Cephalostat cassette loading 2 Insert optional hygienic covers over ear rods and to nose support Fig 6 1 Cephalostat Fig 6 2 P11 Locking lever 4 2 a Ear holder brake 3 Open
85. nd remain still during the exposure Patient can be asked to close eyes 16 After patient positioning press start button and wait until the unit stops Check that the patient positioning is not changed when the rotating unit is moved to its starting position WARNING During the exposure cycle radiation control guidelines must be observed 17 Use remote exposure button or take the exposure control panel to a position at least 2 meters 7 ft from the patient or behind a shield After verifying that the Ready light is on press and hold the exposure button The exposure button must be pressed at least until the end of the exposure cycle as indicated by a light and audible tone but it is recommended to keep pressing the exposure button until all movements stop This will continue to move the rotating unit to better position for letting the patient out from the unit Fig 4 17 Control panel exposure button J NOTE In case of a problem such as patient movement or if the image acquisition does not succeed the exposure can be terminated immediately upon release of the exposure switch Retake the exposure Rdpraved GRkGt n Juha Pekka 27 11 06 12 43 28 nstrumentarium Dental 33 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 4 Panoramic procedures J NOTE If exposure cannot be initiated and an error code appears on the exposure control panel re
86. nding the OP200 radiograph Feviewed Vartia dussi 24 I 1 06 9 9 ee A8proved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental WS Ue rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 10 Failure diagnostics 10Failure diagnostics The OP200 has many safety functions and features assuring the safe operation of the equipment In the event of certain user failures or system malfunction the unit will not produce x rays and a failure code will be displayed on the Control Panel 10 1 FAILURE MESSAGES In case of malfunction the unit displays a failure message Various letters and numbers will be displayed in the technique factors display positions next to kV mA and s e g Ch 6 POS Failure code Classification is displayed next to kV A special 2 digit failure code number is displayed next to mA 10 2 KV DISPLAY The kV display indicates the nature of the failure whether it is caused by user e g exposure button prematurely released by operator environment e g low line voltage or protection in the unit e g tubehead too hot or whether there is a serious defect in the unit which disables the complete operation e g program memory error Ch Check A failure caused by the user e g exposure button prematurely released by operator Safety Temporary malfunctio
87. ne bentzene Acetone Acetic ether agents containing phenol paracetic acid peroxide and other oxygen cleaving agents sodium hypochlorite and iodine cleaving agents 3 2 2 Disinfection and sterilization The disinfection and sterilization concerns the parts of the equipment like bite block chin support and accessories Wipe manually with clean cloth moistured in disinfectant solution Never use corrosive or solvent disinfectants All items and surfaces should be dried before next usage 7 NOTE Wear gloves and other protective equipment during decontamination process WARNING Do not use any disinfecting sprays since the vapor could ignite causing injury Disinfecting techniques for both the unit and the room must comply with all laws and regulations that have jurisdiction of law within the jurisdiction on which the unit is 3 2 2 1 Autoclave Some removable parts in touch with the patient are sterilizable in autoclave Such parts are Bite forks 62985 62988 62958 Bite block 62942 and Nose supports 62906 62904 If autoclaving is performed for these items disinfection by immersing in disinfectant solution for 10 minutes is not needed 3 2 2 2 Steam sterilization Recommended parameters for sterilizable parts are Gravity displacement steam sterilization Flash sterilization Temperature 270 F 132 C Exposure time 3 minutes Prevacuum steam sterilization Flash sterilization A6proved Ukkonen
88. ngles Fig 5 10 Image layer 1 Expose process and trace a submental vertex image Determine the angle of the long axis of the condyle in relationship to a lateral base line This will be the correction angle Take care in positioning the patient while taking the SMV Be sure the patient s ala tragus line is vertical if not this can result in an incorrect angular measurement If the left and right condyles are at vaste different angles two corrected joint views may be required R proved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 513955z 102 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 5 Special imaging procedures 2 Prepare the equipment per section 6 Loading the panoramic cassette 3 Select the imaging program P6 for P corrected lateral TMJ projections on the Exposure Control Panel Fig 5 11 P6 amp Manual 4 The system is in the Manual Exposure mode Control mode To set technique factors by patient size select one of the pre programmed patient size icons or manually entering the suggested values from the table below Technique factors are two steps higher compared to the standard TMJ lateral view program Refer to section Imaging Technique for more information Technique factors in Ortho TMJ imaging Child Juvenile Adult Large adult 110 VAC 66 kV 66 kV 66 kV 73 kV 10 mA 13 mA 16 mA 13 mA 230 VAC 66 kV 66 kV 66 kV 7
89. not given special instructions for cleaning disinfecting and sterilizing can be cleaned with soft cloth moistured with disinfective after every usage WARNING Always disconnect OP200 from mains or switch off the power prior to cleaning or disinfecting the unit CAUTION Do not allow water or other cleaning liquids to enter the unit interior since these may cause short circuits or corrosion 3 2 1 Cleaning The purpose of cleaning and rinsing is to remove all adherent visible soil eg blood protein substances and other debris to reduce the number of particulate and micro organisms and to reduce the amount of pyrogenic and antigenic material Use a cloth moistened in cool to lukewarm soapy water to clean the unit and prevent coagulation and thus faciliate the removal of protein substances Then wipe with a cloth moistened in clear water Mild detergent solution can be used Use cleaners or solvents which are listed as allowed cleaning agents below If you are uncertain of the nature of cleaning agent do not use it Adsreved ORkoAien Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 21 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 3 Equipment preparations Examples of cleaning agents that are allowed or prohibited when cleaning the unit panels Allowed Methanol metyl alcohol Soap Isopropyl alcohol distilled water Not allowed Bentzene Chlori
90. nt preparations 3 3 LOADING THE PANORAMIC CASSETTE For Panoramic TMJ and QA imaging procedures the initial equipment preparation is as follows 7 NOTE Panoramic x ray film is extremely sensitive to light It is important that this film is loaded in a dark room having no light leaks No amount of white blue or green light is acceptable If the darkroom is used it must also be organized to have a clean dry work area under proper safelight illumination to load the cassette 1 Place the cassette on the work surface By releasing the locking levers 1 open the cassette fully The cassette may look different from the picture below with two levers or hinges on top 1 Locking levers 2 Intensifying screens 3 Film 2 Under safelight conditions open the box of film Holding the film 3 by the corners place one piece into the cassette Place it against the lower edge of the cassette Do not slide the film over intensifying screens 2 as this will cause static electricity marks on the film 3 Close the cassette by pressing the cover and chassis firmly together until they lock with some cassettes use lever to lock it Be sure the film box top is closed before switching the lights on or opening the darkroom door 4 To unload the cassette for processing reverse the above procedure 5 Locate the power switch under the carriage backside Turn the power switch to the I position 6 Orient the panoramic film cassette with t
91. ntroduction 1 5 4 Emergency Stop Switch In case of malfunction of the exposure button release or other protective devices of the unit an emergency stop switch is provided on the right side of the unit so that the patient can reach it If the emergency stop switch is pressed during the exposure the exposure is terminated immediately and the x ray unit is completely stopped The exposure interrupted by emergency stop switch cannot be continued later but has to be retaken from the beginning 1 6 MANUFACTURER S LIABILITY As a manufacturer we can only assume liability of safe and reliable operation of this unit when e OP200 unit installation was performed according to the OP200 Installation amp Adjustments Manual and e OP200 Unit is used according to the OP200 User Manual e Maintenance and repairs are performed by a qualified Orthopantomograph OP200 Dealer and e Original or authorized spare parts are used In order to quarantee maximal image quality for entire life time of this high performance imaging system we suggest that a special image quality assurance procedure and test object designed for image quality assurance purposes is used code 68795 Also we recommend qualified serviceman to check the unit to be in its original condition regarding electrical radiation and mechanical safety according to our maintenance program described in more details in maintenance manual code 61049 every year or after 2000 images
92. oDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 2 OP200 controls Fig 2 6 Cassette 4 and grooves 5 for optional grid Ri w i d Fig 2 8 Tubehead Approved Ukkonen Juha Pekka 27 11 06 12 43 28 Deena penta RVC mere See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 2 OP200 controls Tube head Soft tissue filter scale amp slider Quality Assurance collimator QA Pediatric collimator Panoramic collimator PAN Ortho Trans Collimator Ooo Rc N Cephalometric collimator alternatives Lateral view Europe 18 x 24 cm AH 18 x 24 cm AV other markets 8 x 10 AV 10 x 8 AH 10 x 12 AV 7 Cephalometric collimator Symmetrical view Europe 18 x 24 cm SV other markets 8 x 10 SV 8 Oollimator selection lever J NOTE 5 7 Cassette orientation markings AV Asymmetric vertical AH Asymmetric horizontal SV Symmetrical vertical for facial PA views J NOTE Pediatric collimator is available when the lever on the PAN position is lifted up for one step QA collimator is available when the lever on the PAN position is lifted up for two steps J NOTE The collimator selection and film sizes are usually connected to the used systems in the counter so that you can select the cm or inch sizes but not mixed Ad naea ORkofien Juha Pekka 27
93. one step J NOTE It is possible to choose any section of the toothed arc by selecting the arc figure with up button This shall reduce the radiation dose for the patient Select the section with left or right buttons Enable or disable the section with OK button One section must always be chosen One to four out of five sections can be disabled The AEC is not available with partial panoramic images Ad naea ORkofien Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 35 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 4 Panoramic procedures AARAA Anterior Premolar Molar Premolar Molar 4 3 P3 ORTHO ZONE ENHANCED PANORAMIC EXPOSURE The Ortho Zone program produces two different scanning geometries combined on the same image The first geometry 1 and 3 in the figure starts with the rotation center much further posterior than in the normal panoramic views e g Programs P1 and P2 Fig 4 21 P3 Ortho Zone image layers The result of this scanning location will allow for views of the TM joint without redundant shadows from the opposite side obscuring the image Patients with prosthetic condyles or other posterior radio opaque objects can have the opposite side successfully imaged The second view 2 in the figure produces an image of the anterior region with a very wide layer of focus approx 35 mm This view may be helpful when diagnosing trauma wired
94. oning on both sides of the unit and the exposure can start on either side of the unit In this case select L r 5 Press OK button to store the changes and exit the user program Ad Rea ORkoAien Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 103 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 13 User program features 13 9 PR 58 CON VERTEBRAE SHADOW COMPENSATION In panoramic programs P1 to P5 the spine column shadow may be compensated This compensation mode for each panoramic program is set with this program When this feature is used kV mA values are adjusted automatically at spine column to eliminate the shadow of vertebrae This feature has the same function both in Automatic and Manual exposure control Most advanced feature is ASC for Automatic Spine Compensation where the amount of compensation is automatically controlled Note that this compensation cannot exceed the maximum x ray tube voltage of 85 kV kV 70 LO 3 OFF ES ETET T 17 68 PR 58 CON VERTEBRAE SHADOW COMPENSATION Panoramic Mode Program Programming 1 Select program Pr 58 Con One of the panoramic program indicators P1 to P5 is lit and the time display shows the current compensation mode for this program ASC HI LO or OFF ASsroved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 513955z 102 rev 1 See the PaloDEx Group Oy P
95. or film screen combination and per customer preferences This is done by giving general contrast and density parameters for all imaging programs with PR 52 GCO and adding an offset value for individual imaging program by PR 52 PCO if necessary Quality Assurance QA film will be used to select optimum image density AEC and Manual mode technique factors are related to each other the selection of contrast kV level and density dose level will fix the AEC and Manual mode technique factors Preprogrammed patient KBoroved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 513955z 102 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 13 User program features size symbols have only one reference and this reference is tied to AEC settings The technique factors relation between patient size symbols is fixed OS PR 52 gCO General density All imaging programs Density value default 1 15 5 adjustable by 0 5 steps Use Quality Assurance film to obtain correct general density setting for gCO QA film sent from the factory has columns marked with O D Optical Density QA film column representing about 1 3 1 4 O D is a reference Make the QA exposure at site and process the film Find a column that has the same O D or closest with the reference film 1 3 O D Calculate the order of this column starting from the lightest column and set this value e g 6 f
96. or general density see figure There are 15 columns in the QA film 1 2 9 4 5 0 T 8 9 0 11 172 Bw 1 3 O D gt DENSITY 6 QAFILM1 7 NOTE These technique settings are for guidance If the patient images are lighter or darker than desired you may have to change the contrast and or density according to the user preferences Example If general density is 5 and P1 has contrast 66 and offset 0 this means that P1 AEC exposure with middle density scale has 66 kV 10 mA starting value In Manual Control mode preprogrammed patient size symbols have values 66 5 66 8 66 10 as AEC and 66 13 Rdpraved GRkGt n Juha Pekka 27 11 06 12 43 28 nstrumentarium Dental 97 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 13 User program features J NOTE Another QA film is needed if these programs use different screen film combination or cassette e Ln PV 3o OES NENE mGycm2 PR 52 PCO CONTRAST amp DENSITY Imaging Descriptionof Constant Contrast Density Program Imaging value offset value Program kV display default Time display default 0 57 85 66 57 85 57 85 Panoramic Panoramic Panoramic o lo o go o o go i Panoramic 5 85 Panoramic 57 85 66 TMJ 57 85 66 57 85 66 57 85 66 57 85 66 Sinus Maxillary 57 85 66 60 85 60 85 7 66 o
97. out 26 09 08 13 33 20 51395 3 1065 rev 1 4 Panoramic procedures e J NOTE It is possible to choose any section of the toothed arc by selecting the arc figure with up button This shall reduce the radiation dose for the patient Select the section with left or right buttons Enable or disable the section with OK button One section must always be chosen One to four out of five sections can be disabled The AEC is not available with partial panoramic images AARAA Anterior Premolar Molar Premolar Molar Adpraved ORkbten Juha Pekka 27 11 06 12 43 28 nstrumentarium Dental ee See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 4 Panoramic procedures Reviewed Vartia dussi 24 L 1 06 9 0 I O RSproved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental WS Ue rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 5 Special imaging procedures 5 Special imaging procedures 5 1 P6 TMJ LATERAL PROJECTION 1 Prepare the equipment per section Loading the panoramic cassette 2 Select the imaging program P6 for TMJ lateral projection on the P Exposure Control Panel 3 The system is in the Manual Exposure Control mode In order to set technique factors up by patient size or manually refer to section maging Technique for more information Fig 5 2 P6 amp Manual Fig 5 1 P6
98. p between two indicators is shown with both indicators lit 7 3 EXPOSURE TECHNIQUE FACTORS OP200 has a flexibility to use a variety of exposure technique factors ranging from 57 kV to 85 kV and from 2 mA to 16 mA The kV mA values used depend on OP200 software settings i e constant contrast kV setting defined in Pr 52 and also on line voltage In the following charts each ball represent a kV mA pair that can be used with the selected line voltage with imaging programs P1 to P10 Exposure time is fixed with programs P1 to P10 mA mA 6 eeeccco C 66 eee IURE 2 eeeeoecoc0e0 2 eeececccce 0 eeeececc20909 0 eeeeec cc 0 0 80 eeeecccce0 80 eeeececcce0 G4 00000000 64 000000 50 eeeeccc00 50 eeeeeccce 40 eeeeccceoeo 40 eececccce0e0 32 eeec ec 0 32 eeee eec 0 2 5 ee ee 00 0 2 5 0 000000080 20 000000000 20 e e0ee0e00080 T T T T T T T T T on 57 60 63 66 70 73 77 81 85 kVp 57 60 63 66 70 73 77 81 85 kVp Fig 7 2 Exposure factors with 280 Fig 7 3 Exposure factors with 110 VAC VAC mA 230 V CCO 73 lt 66 KV 16 9 12 4 e Hey 8 0 r i 6 4 q 5 0 I 1 31 4 0 3 2 2 5 4 e o 2 0 oeeo ee a e a N S a Na 57 60 63 66 70 73 77 81 85 kVp Manual AEC Fig 7 4 Example When kV is lowered and mA increased the same radiation output level results Exposure factors shown on the control panel are automatically selected by the OP200 software based on settings done during the
99. panel to appear after switching the OP200 power on This will make the use of OP200 even easier and reduce the total imaging time when the most frequently used imaging program and AEC or Manual mode are automatically selected and the operator can concentrate on patient positioning mEBNEM O Programming shows current power up display e g Gr 1 Select program Pr 51 PUS and press OK button Control panel Standard panoramic procedure Program 1 is chosen Automatic Exposure Control A and density setting in the middle are chosen 2 Change the power up setting Select one of the imaging programs Program 1 to 14 Ad naea ORkofien Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 95 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 13 User program features Om Om Om Om fV fX fy KY Opn One OmaOmmO AAAA Q 9 AA 3 Select the exposure control mode AEC Manual or Test A M or T A M T 7 NOTE AEC can be selected for the panoramic programs P1 P5 and for linear tomography programs P13 and P14 7 NOTE AEC can be selected only if all the regions of interest anterior premolar molar are chosen 4 Press OK button once to store the changes and exit the user program 13 3 PR 52 GCO AND PR 52 PCO CONSTANT CONTRAST amp DENSITY SETTINGS OP200 image quality can be controlled by setting the technique factors f
100. partial panoramic images AARAA Anterior Premolar Molar Premolar Molar 4 4 P4 ORTHOGONAL EXPOSURE An optimized view of the dentition only with optimized anqulation and reduced radiation can be achieved by selecting the orthogonal exposure program 1 Prepare the equipment per section Loading the panoramic cassette Panel Press the right button three times to move the flashing light from the standard panoramic position P1 to the orthogonal position P4 2 Select the orthogonal exposure program on the Exposure Control Fig 4 23 P4 Orthogonal image layer Fig 4 24 P4 amp AEC 3 The system is in the Automatic Exposure Control mode To set technique factors by patient size or manually select one of the pre programmed patient size icons Hefer to section maging Technique for more information 4 Position the patient and take exposure per steps 3 through 18 of the standard panoramic exposure procedure 5 After the exposure return the system to the standard panoramic program by pressing the cursor buttons to move the flashing light to the standard program position Agr ORkoAien Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 37 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 4 Panoramic procedures J NOTE It is possible to choose any section of the toothed arc by selecting the arc figure with up button This shall reduce the radiation dose for the
101. pearance TM joints are exposed outward Image is not smiling Mandible is imaged sharper than maxilla Rows of teeth curved Patient head was Check FH plane upwards Mandibular tilted forward incisors are unsharp TMJ joints exposed high and are often cut off from the image Image is smiling too much Middle area of the image Patient s neck otretch too bright and unsharp was not patient s neck Spine shadow stretched Enabler kV increase kV compensation compensation E was not used or OT Wd LOW compensation was used with Large adult patient ME DONT nh i ju M MIB Rows of teeth Tongue was not Ask patient to overexposed against the roof of swallow and palate place tongue against the roof of palate R6proved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental WS Ue rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 11 Diagnosing image quality problems TMJ s exposed on Patient was tilted Check different heights on to one side midsagittal image Bilateral Mi ittal liah plane and distortion in molar and in oe aun premolar regions obeyed patient s head Check mid sagittal plane and center patient s head Rows of teeth exposed Chin was not Check patient too high TMJ s cut off resting on chin positioning support and type of Patient was bite fork rod positioned too Check patient high positioning and type of bit
102. peration e J NOTE The display may also show more numbers 0 2000 and blink all led indicators momentarily This indicates the number of free exposures before the unit shuts down This feature may have been activated for trial units Contact your dealer for details Reviewed Madia Jusci 24 1 4 06 19 29 28 2 A6proved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 513955z 102 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 8 Special features 8 3 PREVENTIVE MAINTENANCE REMINDER The exposure counter also provides a means of reminding when maintenance is due After every 2000 exposures a special reminder message Ch 8 PSE will be displayed for a few seconds when the power is switched on This message indicates that the user should contact the authorized dealer for the scheduled maintenance We recommend that this unit will be provided for regular service for best performance and reliable operation See Program Pr 59 PSE for details The message display does not affect the equipment operation It will be reset during the maintenance service procedure or it can be reset by the user 8 4 ORTHO ID FILM MARKING Optional ORTHO ID film marking system marks patient data and OP200 technique factors information on both panoramic and cephalomet
103. posterior views e Oblique projections e Townes Waters Caldwell SMV Carpus Orthopantomograph OP200 or Orthoceph OC200 can also be field upgraded to the OP OC200 OT model OP200 with the Ortho Trans option can do the following linear tomographic procedures e Maxillary imaging in longitudinal and transversal views e Mandible imaging in longitudinal and transversal views Digital imaging is possible with OP200 D and OC200 D models or by using phosphor image plates with OP200 CR OC200 CR OP200 OT CR and OC200 OT CR models Adsreved ORkoAien Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 1 Introduction As the manufacturer we strongly recommend that you read this manual before taking the unit into use 1 2 MARKINGS AND GRAPHICS SYMBOLS The following markings are used in this manual e 7 NOTE Contains useful information for the reader about the unit and its use CAUTION Contains important instructions If these instructions are not observed malfunction of the unit or damage to the unit or other property may OCCUI WARNING Contains warnings and instructions about the safety of the unit If these warnings are not respected serious risks and injury may be caused to the patient and operator The following symbols are used in the OP200 i Radiographic control Protective earth ground Type
104. r POWER UP SETTINGS AEC mode or Manual mode 51 and the default imaging program for the control panel PUS display after OP200 power up Pr CONSTANT CONTRAST amp DENSITY Set general 52 technique factor and program spesific offset for all GCo amp imaging programs PCo Pr VERTEBRAE SHADOW COMPENSATION kV 58 compensation at spinal column Con OFF no compensation LO compensation by one mA steps HI compensation by two mA steps ASC Automatic Spine Compensation 12 4 OTHER PR PROGRAMS PR USER PROGRAMS RESUME NORMAL SETTINGS Reset user program memory parameters for selected Pr programs PREVENTATIVE SERVICE MESSAGE Clear disable or enable the Preventative Service Request message after installation maintenance or service PANEL BEEP Enable or disable the response beep when pushing any button in the display panels CLEAR EXPOSURE COUNTER Clear the resetable exposure counter LAST FAILURE CODE Display of the last storable failure code for this unit RSoroved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental WS NOS rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 12 How to use the user programming mode PR USER PROGRAMS COUNTERS Reset and view various exposure counters 12 5 HOW TO USE THE USER PROGRAMMING MODE To begin the setting switch the OP200 power on 2 Wait for a moment while the O
105. r the exposure count O un E ED OS MM O mGycm Programming O mA 1 Select program Pr 61 CLC MA and time displays show the total number of exposures since last clearing of this counter 2 Press left button to clear the counter value to zero after Installation or Maintenance 0 is displayed 3 Press right button if you don t want to clear the exposure counter value to zero Number of exposures taken is displayed on the time dose time display 4 Press OK button once to store the changes and exit the user program 13 13 PR 62 ERR LAST FAILURE CODE OP200 stores in the memory the last storable failure code information A new OP200 may have a failure code already in this memory and this is considered normal Q EB Od Programming 1 Select program Pr 62 Err OP200 displays the last failure code If there are no failure codes stored in the memory displays show Ch 00 2 Press OK button once to store the changes and exit the user program e NOTE Ch failure codes will not be stored except Ch 5 e Sy failure codes will be stored except Sy 20 and Sy 26 EEP Ad Rea ORkoAien Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 107 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 13 User program features 13 14 PR 65 DOS DOSE TIME DISPLAY SELECTION The time dose
106. re Cassette was not in right place Ceph collimator was not correctly selected Cephalostat lock was not locked Ear holders were misaligned Bite block was left on place 1 Load the film without sliding it over screens Check dark room humidity level Select correct panoramic procedure Reload or replace the cassette 1 Align the cassette according to the ceph view Select correct collimation Lock it Call service Remove the bite block Note QA film can be used Instrumentarium Dental 513955z2 1 605 rev 1 11 Diagnosing image quality problems 11 4 UNIT OPERATION READY not lit 1 Unit is not Check the collimator ready for program selection and exposure cassette If the unit is still not ready momentarily press exposure button Failure message will be displayed Make the corrective measures Patient s back Patient s Process the film If the film is head is head not accetable then i 2 inclination lOve AME iE x Me 1 Check the head position and retake the film ray tube during Was not the exposure correct Patient is too Check the patient big for the positioning Make the unit exposure even though the head may touch the Patient has tube head slumped Patient s Patient is too big Reverse patient s hands on shoulders are for the unit Wide handles left to right side touching the x shoulders handle and vice versa ray tube or cassette holder
107. remove the cassette nor make any selections on Control panel 8 Second Exposure Have the patient open the jaw Press and keep down the exposure button The system will cycle exposing the open TMu s in the center of the same film 9 Release the exposure button open temple supports and guide the patient out Remove the TMJ pointer and TMJ nose support 10 Ifthe Ortho ID is available mark the film with the patient s name Id number correction angles and notes Process the film 11 Return the system to the standard panoramic program e J Note It is possible to choose either side TMJ by selecting the arc figure with CAD up button This shall reduce the radiation dose for the patient Select b A the section with left or right buttons Enable or disable the section with A UN OK button Either section of jaw joints number 4 is possible to disable in P7 Though one section must always be chosen 4 4 R proved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 513955z 102 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 5 Special imaging procedures 5 4 P8 TMJ POSTEROANTERIOR PROJECTION 1 Prepare the equipment per section Loading the panoramic cassette Select the imaging program P8 for TMJ PA projection on the Exposure Control Panel 3 4 layer mode The system is in the Manual Exposure Control mode Use technique factors per s
108. requency Class B Emissions CISPR11 IEC 61000 3 2 Class A Harmonic emissions IEC 61000 3 2 Voltage fluctuations flicker emissions Complies IEC 61000 3 3 Orthopantomograph OP200 uses RF energy only for its internal function Therefore the RF emission is very low and not likely to cause any interference in nearby electronic equipment Orthopantomograph OP200 is suitable for use in all establishments including domestic establishments and those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes Orthopantomograph OP200 is suitable for use in all establishments including domestic establishments and those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes Orthopantomograph OP200 is suitable for use in all establishments including domestic establishments and those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes Table 15 1 Electromagnetic emissions IEC 60601 1 2 Ed2 RA Oken Juha Pekka 274 1 06 12 43 28 Instrumentarium Dental 123 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 15 Technical specifications Orthopantomograph OP200 is suitable for use in the specified electromagnetic environment The purchaser or user of Orthopantomogr
109. ress right or left button to change the compensation mode Hi Lo Asc or Off for this imaging program 9 4 Press OK button once to store the changes and exit the user program 5 Change the compensation mode for other panoramic programs 2 Press up button and select another panoramic program Press down button and repeat step 2 6 Press OK button once to store the changes and exit the user program Ad Rea ORkoAien Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 105 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 13 User program features 13 10 PR 59 PSE PREVENTATIVE MAINTENANCE REMINDER OP200 has a feature to inform the user every 2000 exposures about preventative service When activated a Preventative Maintenance Request message Ch 8 PSE is displayed automatically after power up sequence when cumulative 2000 exposures have been taken and it come again until it is cleared with this program This message has no affect to the unit s operation O O GH E B ma OS H C O mGycm Programming 1 Select program Pr 59 PSE Time display shows OFF or l l l a vi 2 Press right button to enable this reminder feature on is displayed 3 If you don t want to use this reminder feature set off to be displayed by pressing left button 4 Press right button to reset this counter or to clear the
110. ric films Standard window type panoramic and cephalometric cassettes are used for marking Patient data can be pre entered or typed in before or after the exposure according to user preferences ORTHO ID can be used with any OP200 or OC200 model Please refer to Ortho ID manuals for details 8 5 OP200 CR MODEL FOR COMPUTERIZED RADIOGRAPHY Digital imaging OP200 and OC200 models are available for computerized radiography These models have different type of panoramic cassette holder for 24 x 30 cm image plate The operation is similar to other OP200 models Agr ORkohi n Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 73 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 8 Special features 8 6 FREE SELECTION OF KV AND MA OP200 technique factors are normally selected based on kV target level set with the constant contrast program Pr 52 where kV and mA values are tied to each other It is possible to configure OP200 so that kV and mA are selected independently in Manual mode Please consult your dealer to activate this software option When activated this feature has no effect on the AEC mode and on preprogrammed technique factors In Manual mode the tube voltage can be selected in steps of 1 kV When the led indicator for kV mA values is lit first kV display is blinking Select kV value by pressing the right or left button e J NOTE Pressing the button longer caus
111. rking Grid ratio 6 1 Parallel focus 57 lines cm Integrated or external grid Kodak Ektavision intensifying screens Kodak Lanex Regular or Kodak Lanex Medium Exposure button Auxiliary button with 10 m cable for remote use optional in USA Canada Film marking Serial interface for Ortho ID Reviewed Wate HA GG tC ee Adpraved ORkGt n Juha Pekka 27 11 06 12 43 28 _ Strumentarium Dental Del See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 15 Technical specifications Panoramic patient positioning Operation Left or right side of the unit Motorized carriage movement Positioning aids Chin rest bite block 3 point headrest curved mirror laser CLASS PRODUCT positioning lights occlusion correction buttons Cassette movement Cassette rack up down movement Cephalostat patient positioning Operation Arm mounts on left or right side of the unit Interlocked flat cassette Motorized carriage movements with buttons at cephalostat assembly Locked position for ear holders Positioning aids Ear holders nasion support with mm scale Manual setting of soft tissue filtering OP200 physical measures source image distance 19 2 inches 487 mm Panoramic SID Installation Standard wall mount with 45 angled joint Optional base for free standing unit Height x Width x Depth 87 3 x 32 7 x 39 4 inches Max inches mm 22 2 x 830 x 1000 stand
112. sed to light Light leak in dark room Cassette was not properly closed Instrumentarium Dental Adjust density to a lower value Increase technique factors Check the processing 4 Call service Check the cassette Use one without lead Lower the kV setting See P 52 CCO for details Check the film and screens Check the film Process a piece without radiation 1 4 Check your film lot and dark room Check your film inventory and dark room Check your film inventory and dark room Check cassette locking 513955z2 1 605 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 11 Diagnosing image quality problems 11 3 ARTEFACTS Adpreved ORKUQen Juha Pekka 27 11 06 12 43 28 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 Irregular bright shadows or artefacts Mise SUE Jeu eee Bes A i d a PAD AREE V An unexposed area is shown down in the lower middle section of the Cassette hinges seen on film Bright irregular spots or lines always on the same film location Scratches and residues on film Partial lack of detail and motion artefacts Irregular vertical bright lines on film Vertical dark lines on film One side of the film unexposed Instrumentarium Dental Patient was wearing metal objects such as earrings necklace etc Lea
113. shut severe class lll and uncooperative patients 1 Prepare the equipment per section Loading the panoramic cassette Clee 2 Select the Ortho Zone program on the Exposure Control Panel Press the right button twice to move the flashing light from the standard panoramic position to the Ortho Zone position P3 Fig 4 22 P3 amp AEC mode 3 The system will remain in the Automatic Exposure Control mode If you wish to set technique factors by patient size or manually refer to section maging technique 4 Position the patient per steps 3 through 14 of the standard panoramic exposure procedure 5 Take the exposure per steps 15 through 18 of the standard panoramic exposure procedure R8proved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 513955z 102 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 4 Panoramic procedures 6 After the exposure return the system to the standard panoramic program by pressing the cursor buttons to move the flashing light to the standard program position 7 NOTE It is possible to choose any section of the toothed arc by selecting the arc figure with up button This shall reduce the radiation dose for the patient Select the section with left or right buttons Enable or disable the section with OK button One section must always be chosen One to four out of five sections can be disabled The AEC is not available with
114. sion Release 1 2 dated 17 3 2005 by Instrumentarium Dental Adpraved ORkGt n Juha Pekka 27 11 06 12 43 28 INstrumentarium Dental S See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 15 Technical specifications Standards this unit IEC 60601 1 complies with UL 60601 1 MDD 93 42 EEC if the unit contains CE mark UL CSA file E301913 if the unit contains UL CSA mark Tube head assembly type THA 100 Max tube current Max electric output Nominal anode input 1750 W power Max anode heat content 28 kJ Max X ray tube assembly 385 kJ heat content Max continuous heat 38W dissipation of the X ray tube assembly Total filtration 2 5 mm Al Additional filtration for 12 mmAl Linear Tomography Leakage Technique 85 kV 1 5 mA Factors Electrical connections Nominal mains voltage 110 230 VAC Automatic mains voltage compensation Input power frequency 50 60 Hz 10A 230 VAG 15A 110 VAC Fuses 326 Littelfuse slow blow 10A 230 VAC MDA 15 COOPER BUSSMAN Time delay 15A 110 VAC AdBroved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 513955z2 1 605 rev 1 15 Technical specifications Electrical connections Power consumption 2 3 kVA 230 VAC 1 65 kVA 110 VAC Maximum impedance 1 0 Q of main X ray Generator
115. t Printed out 26 09 08 13 33 20 5 Special imaging procedures 5 6 P10 MAXILLARY SINUS VIEW 1 Prepare the equipment per section Loading the panoramic cassette 10 E 2 Select the imaging program P10 for a TX maxillary sinus view on the Exposure Control Panel Fig 5 24 P10 amp Manual 3 The system is in the Manual Exposure Control mode Use one step higher technique factors compared to TMJ imaging Technique factors Maxillary Sinus Imaging i Child Juvenile Adult Large adult 110 VAC 66 kV 66 kV 70 kV 73 kV 8 mA 13 mA 12 mA 12 mA 230 VAC 66 kV 66 kV 66 kV 70 kV 8 mA 13 mA 16 mA 16 mA Note Example with Pr 52 PCO 66 0 GCO 6 0 4 Remove the bite fork bite fork rod and chin rest Install the bite fork rod over the sinus rest Install hygienic covers 5 Direct the patient to the machine and instruct to stand as straight and tall as possible Ask patient to take a grip on handles adjust the carriage height so that the sinus rest is at the patient s nose O By pressing the up or down button on the Positioning Control panel height Have patient place nose against sinus rest Ad naea ORkofien Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 51 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 5 Special imaging procedures 6 Show the patient the grooves in the bite fork and place the bite fork into patient s mouth 7 Adjust pa
116. t it counter clockwise with a screwdriwer The fuse with the base will come out Remove the fuse from the base and replace it with the new one Repeat this with each blown fuse Fasten both fuses by pushing the base in and twisting it clockwise with a screwdriver Use only appropriate fuses 326 Littelfuse 10A slow blow 230 VAC line voltage MDA 15 Cooper Bussman 15A time delay 115 VAC line voltage Reviewed Variadussi2444 06 40 29 29 2 ASproved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 513955z 102 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 3 Equipment preparations 3 Equipment preparations 3 1 CARE INSTRUCTIONS X ray devices are sophisticated electronic products including advanced technologies As such they have to be handled with a high degree of care This document gives the care instructions applicable to the Orthopantomograph panoramic and cephalostat units e NOTE It is strictly mandatory to follow these Care Instructions in order to not void the warranty of the product CAUTION As a standard recommendation clean the unit regularly using non agressive mild commercially available cleaning agents 3 2 CLEANING RECOMMENDATIONS The unit should be cleaned after every usage between the patients ltems and surfaces that are
117. t light coincides with the patient s mid sagittal plane Move the head support by pressing it from sides against the patient and close the temple supports Reviewed Variadussi2444 9640 29 2 2 R6proved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 513955z 102 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 5 Special imaging procedures Fig 5 6 TMJ lateral projection 9 To adjust the focal trough reference to the TMJ a special pointer is used By pressing the appropriate occlusal adjustment button on the Positioning Panel move the TMJ pointer forward towards the mirror or back until the pointer aligns with the external auditory meatus Fig 5 7 Positioning panel left side TMJ pointer adjustment buttons backward 22 reset 23 forward 24 Fig 5 8 Positioning panel right side TMJ pointer adjustment buttons backward 22 reset 23 forward 24 10 If the TMJ pointer does not align with external auditory meatus replace the TMJ nose support with the other model and repeat patient positioning 11 Have the patient close or open the jaw 12 Press and hold the exposure button The system will cycle exposing only the two TMu s 13 Release the exposure button open temple supports and guide the patient out Remove the TMJ point
118. tart position Start button not pressed prior to QA procedure or Collimator in QA position when taking a panoramic exposure Ch 7 rEL EXPOSURE SWITCH Exposure button prematurely released by operator Blinking display tells also exposure time in s display Ch 8 PSE PREVENTATIVE SERVICE Preventative service reminder after 2000 exposures Ch 9 rEo REMOTE EXPOSURE Exposure was initiated from control panel while remote exposure has been selected Ch 11 PAr EXPOSURE VALUES parameters out of range Ch 12 dCC DOSE CALIBRATION constant missing or out of limits All error messages are explained in detail on OP200 Troubleshooting Manual RUBROS RK bn Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 79 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 10 Failure diagnostics R8oroved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 513955z 102 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 11 Diagnosing image quality problems 11 Diagnosing image quality problems High quality radiographs with sharp contrast and good detail present optimum diagnostic information Images with less quality are usually the result of one or more common problems which are discussed here 11 1 PATIENT POSITIONING Problem Incisors and canines narrow and unsharp Overshadow in
119. the exposure per section P5 PA Projection steps 7 to 10 6 4 P5 REWERSE TOWNE PROJECTION EXPOSURE 1 Prepare the equipment per section Cephalostat cassette loading Insert hygienic covers to ear rods Tilt the nasion support away from the radiation field Open the ear rod holders by pushing them from top Release the ear holder brake by holding the brake tangent down while moving Fig 6 12 Reverse Townes view Fig 6 13 Reverse Townes view RSoroved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 513955z 102 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 6 Cephalometric procedures optional Locking lever E Q m xo Eanholder brake 2 Unlock the cephalostat by turning locking lever clockwise Rotate the cephalostat from ear rods for symmetrical view Turn the locking lever counter clockwise to lock the cephalostat 3 Slide the lever to 18 x 24 SV or 8 x 10 SV to select the collimator for symmetric view Slide the soft tissue lever to value of 60 4 Position the patient seated under the cephalostat facing the cassette 5 Gently position the ear holders into the external auditory meatuses Set the cephalostat cassette holder as close to the patient as possible The distance reading indicating magnification can be written down for future references 6 Ask the patient to place the forehead and nose against the cassett
120. the film Choose the desired magnification by moving the cassette holder f 13 Read the correct soft tissue filtering value from the scale under the cephalostat Set the same Fig 6 5 Cassette holder movement value to the collimator To increase filtering set the lever to a lower value To decrease filtering set the lever to a higher value La E Fig 6 6 Soft tissue filter scale Fig 6 7 Lever for soft tissue filtering A proved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 513955z 102 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 6 Cephalometric procedures optional e J NOTE 60 mm added to the display reading gives the actual distance from ear rods to nasion 14 Select technique factors kV and exposure time mA is fixed Technique factors in Ceph Lateral Projection 77 KV 16 mA 77 kV 77 kV 77 kV 0 25s 16 mA 0 32 s 16 mA 0 5 s 16 mA 0 8 s Note Example with Pr 52 PCO 77 0 GCO 6 0 15 Verify that READY light is on Make the exposure by pressing the exposure button 16 After the exposure release the patient by opening the ear rods and guide him her out Remove the disposables 17 Remove the film cassette If the Ortho ID is available mark the film with the patient s data and notes Process the film without delay 18 Return the system to the standard panoramic program Lower the cassette holder
121. tients head as necessary so that the front light coincides with the patient s mid sagittal plane Move the head support against the patient forehead and close the temple supports Fig 5 25 Sinus view positioning P10LAYER Fig 5 26 P5 Sinus view layers anterior premolar molar 8 Adjust the focal trough as necessary Image layer is 18 mm posterior compared to Standard panoramic procedure To set this layer 10 mm anterior or 10 mm posterior press occlusal correction buttons Premolar layer position is selected by pressing normal occlusion button This will adjust the unit during the exposure 23 24 7 O08 Fig 5 27 Positioning panel located at left Fig 5 28 Positioning panel localted at side Sinus layer adjustment right side Sinus layer buttons 10 mm posterior 22 adjustment buttons 10 mm center 23 10 mm anterior posterior 22 center 23 10 24 mm anterior 24 9 Instruct the patient to close lips swallow and raise the tongue to the roof of the mouth Ask the patient to breathe through the nose and remain still during the exposure 10 Press and hold the exposure button The system will cycle and expose the maxillary sinus region R6proved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental N AEO rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 5 Special imaging procedures 11 Release the exposure button ope
122. to straighten the cervical vertebrae to minimize spinal shadow See fig 4 8 11 Patient s face and light lines can be seen in the curved mirror Move the FH light to illuminate the patients infra orbital notch By slightly raising or lowering the carriage position the patient so that the Frankfort Horizontal plane FH light passes over the ear opening and the infra orbital notch Be sure the patient does not slump if carriage is lowered Reviewed Vartiadussi2444 06 40 29 29 2 Aboroved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 513955z 102 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 4 Panoramic procedures Fig 4 7 FH light Fig 4 8 Straighten the cervical vertebrae by stepping forward 12 Adjust patients head as necessary so that the front light coincides with the patient s mid sagittal plane Nem laser light Fig 4 9 Front 13 Move the head support by pressing the buttons on the sides against the patient and close the temple supports a D 7 j p e F 4 A T f on Fig 4 10 Moving the head support Fig 4 11 Closing the temple supports Adproved RkO en Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 31 See the PaloDEx Group Oy PDM system to determine the status of this document
123. tself for patient positioning and raises the cassette holder is not needed OFF is displayed In this case the cassette holder can be lifted by pressing the button in the positioning panel 3 Press left button when the automatic lifting up of cassette holder 3 ncc LII 4 Press OK button to store the changes and exit the user program OR 13 7 PR 56 HLI CASSETTE HOLDER VERTICAL LIMIT In the rooms with limited ceiling height the cassette holder vertical limit can be activated This option makes the cassette holder to always stay below the height of the column O L E Gi 205 NE Programming 1 Select program Pr 56 HLI Time display shows OFF or on 2 Press right button when the cassette holder vertical limit is GG GG o Cl I l requested on is displayed 3 Press left button when the cassette holder vertical limit is not aoe needed OFF is displayed Now the cassette holder can raise 3 over the column height 4 Press OK button to store the changes and exit the user program Reviewed MaHia Jusci 24 14 06 19 29 28 2 AS6roved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 513955z 102 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 13 User program features 13 8
124. ube current value mA mA eee 6 eeeecccco VO 12 eeeeeeecod 2 eeecccc0e0 10 eeeececc 090 0 eeeccccce 50 e ececccceceo so eeeecccco 64 ecc 0 64e c0c0 50 eeeeeccce 50 eeeeececce 40 eeeeccccco 40 eeeeccccec 32 e eccccc ec 32 eeeccccc eo 25 e eee e 0 25 ee eee e e e e 204000000000 201000000000 57 60 63 66 70 73 77 81 85 kVp 57 60 63 66 70 73 77 81 85 kVp TECHNIQUE FACTORS FOR CEPHALOMETRIC PROCEDURES 60 63 66 70 73 77 81 85 0 1 0 12 0 16 0 2 0 25 0 32 0 4 0 5 0 64 0 8 1 0 1 2 1 6 2 0 2 5 3 2 Exposures are automatically limited during duty cycle cooling times minimum of 15 s Maintenance To keep the equipment in compliance with the DHHS Performance Standard the following maintenance schedule shall be observed Up to 40 exposures per week perform maintenance every 12 months At 40 100 exposures per week perform maintenance every 6 months Refer to the chapter Maintenance of this manual for details Adfroved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 513955z 102 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 14 User s statement Tube ratings Maximum rating chart Multi Peak Full Wave rectified HF Inverter System Focal spot 0 5 mm IEC 336 1982 TUBE CURRENT mA Dy LW 21 BS c2 RS Q EXPOSURE TIME s Fig 14 1 Tube ratings Tube anode th
125. w Asymmetric horizontal view A8proved Ukkonen Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 513955z 102 rev 1 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 3 Equipment preparations 6 Select one of the cephalometric collimator positions from the tube head Technique factors and indicators change automatically to cephalometric values on the control panel e Fig 3 7 Cephalostat collimator Fig 3 8 Asymmetric vertical view selection cephalostat on the right 7 Press the Start button on the control panel The tube head and cassette rack will automatically position for cephalometric exposures The green ready light will go on Start button 8 Fig 3 9 Align the tube head for ceph exposure f J i Fig 3 10 The cassette holder up position e NOTE Ready light will only light when 1 the cephalostat collimation has been selected 2 the cephalostat cassette is in place and 3 the cassette holder has been raised 8 Go to the section 6 Making the Cephalometric Exposures Agr ORkofien Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 27 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 3 Equipment preparations J NOTE The OC200 is designed to accommodate an optional grid G Standard grids may be used In front o
126. wards the column 5 Press and hold the exposure button The rotating unit will remain stationary while the cassette moves and is exposed with increasing kV mA values 6 Set the primary collimator back to the panoramic position and insert the bite block Process the film and place on file for future reference On a regular basis perform steps 2 through 7 Adpreved ORkoAien Juha Pekka 27 11 06 12 43 28 Instrumentarium Dental 71 See the PaloDEx Group Oy PDM system to determine the status of this document Printed out 26 09 08 13 33 20 8 Special features 9 After processing the film compare it to the reference film If the contrast steps differ by more than two 2 the processing system must be checked and corrected Examples Current QA film where the image density is lighter indicating a change in the processing Reference OA film L 8 2 EXPOSURE COUNTER The total number of exposures the system has taken is automatically counted and can be read any time 1 Turn the OP200 power on and wait until the normal display appears Make sure that one of the programs P1 P12 is selected Press the OK button Several numbers will be displayed on the Control panel and other indicators will be turned off 4 Numbers will be shown for a few seconds or until the OK button is released 5 The total number of exposures is read from top to bottom The example above is 12 345 exposures 6 Resume to normal o
127. ystem to determine the status of this document Printed out 26 09 08 13 33 20 6 Cephalometric procedures optional 55 6 1 PIT Gephalo lateral DrO SCUO usi oot t ERR Ue eet a N e mou en Od 55 6 2 P12 Cephalo posterior anterior PA projection eessssessusse 58 6 3 P7 Axial view of the mandible exposure cccccccsseeceeeeeeeeeeeeeecseeeceeeeeaeeesaaees 59 6 4 Pb Rewerse Towne projection exposure cccccssececeseeeeseeesseeeseneeenseeeseneeenas 60 6 5 P5 Waters view exposure cccccccsecceseeceseecseeceececeuceceueeeaeeeeseeesseessaeecsaeessaees 61 6 6 P7 Carpus View exposure optional ecsseeeeeeeeeeeneeennnn 62 6 7 P13 Ortho Trans mandible exposure Optional suse 63 6 8 P14 Ortho Trans maxilla exposure optional seeeessssssssss 63 7 imaging technique sous aas aere oaa ao oaa Esa cs Erro e EE Ex ee a Ede ae ye sea Hs aee see esae 65 7 1 Recommended film amp screen combinations cccccceseeeseeeeceeeeeeeeeeeseeeeseeeeeees 65 7 2 Automatic exposure control AEG tss Eacicebeu taces Uca bad eS 65 7 9 Exposutre Teennig e TaclO S ducas eue P Dabam etate ea Dn ex vacua Face enun 66 TA Pim n 67 Fo VO SU IMOC Crisco c a a a 69 ME Nee ciem EI TT 69 7 Measurements from the image srera a 7

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