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Orthopantomograph OP200 D

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1. ssssseeeeeeererenenne renerne nn rn nnner 118 13 14 Pr 65 doS Dose time display selection u ssssseeeeeeerererrrrnen nn n nn nn nnnnee 119 13 15 Pr 66 COU Exposure counters cccccceeesseeeeeeeeeeeeeeeeeeeeeaneeaessseeseeeeeseeerees 121 13 16Pr 67 QUA Quality assurance essensen 122 14 SEE State re WE eo SE carota a cele date catego ea ence 123 14 1 DOS area Product DAP assce coca anire cece ate eree ese EE aea eE aiee 128 15 Technical specifications jaisiesssadecacsccetcidce sess sacnseckegadedcessedecassdcecsceacecasenadensecececegesages 131 15 1 Electromagnetic Compatibility EMC tables eee eeeeeeeeeeeeeeeeeeeeeeeeeeeeees 140 16 Maintenance Ae aaar rarena Ea Er nar arsen 145 16 1 Maintenance Schedule X sssssssseeeeneeee sneen ennen nerne ennen nen e nerne nnnknee 145 16 2 Monthly Inspection by User scc scascecandeio onda itismandie tie esas 145 16 3 Preventive maintenance Reminder sseeceeeeeeeeeeeeeeeeeeesseeseeeeeeseeeeess 146 5139796 100 rev 4 Instrumentarium Dental iii Instrumentarium Dental 5139796 100 rev 4 1 Introduction 5139796 100 rev 4 1 1 General Instrumentarium Dental Orthopantomograph OP200 D panoramic unit hereafter called OP200 D is a software controlled diagnostic panoramic dental X ray equipment for producing high quality digital images of dentition TM joints and skull In order to take images with OP
2. Counter Description uSEr Resettable trip counter for exposures totAL Total exposure counter Not resettable tubE Tube exposure counter Not resettable 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 number of exposures taken in service mode When exposures are made in service mode the user service and lease counters are not affected Instrumentarium Dental 121 13 User program features 122 13 16 Pr67 qUA Quality assurance For taking quality assurance images The behavior is different depending on whether the unit is configured for normal or advanced QA Prufkorper Usage in case normal quality assurance is used 1 4 Select Pr 67 qUA Prepare the PC for imaging Take a quality assurance image by pressing the exposure button Press OK to exit the program Usage in case advanced quality assurance is used 1 2 Select Pr 67 qUA Select either panoramic or cephalostatic imaging by using the left right buttons to select P1 P9a or PYb respectively Prepare the PC for imaging Take a quality assurance image by pressing the exposure button Press OK to exit the program Instrumentarium Dental 5139796 100 rev 4 14 User statement 5139796 100 rev 4 Instructions for the use of the Orthopantomograp
3. ccc eeeeecccceeeeeeeeeeeeeeeteeeteeeeeees 70 6 4 P10 Reverse Towne projection exposure sssceseeeeeeeeeeeeeeeeeaeneeaeeneeeeees 72 6 5 P10 Waters View exposure cccccceeeeececeeceeeeacaneesseeeeeeeeeeeeeeeeeeeeeeeanseaaeeees 73 6 6 P10 Carpus view exposure holder optional 74 Imaging technique siii EDER ED DE ED nere 77 7 1 Automatic exposure control AEC u u u u ssssseeeeeeeeeeenernnrener renerne nn n nerne rrrnnnen 77 DZ HAR MOS E E de kran BESES ERE E PAS nede Dau s re nea frei ladet eler 78 7 3 Exposure technique factors cccccccceccceccceeeeeneeeeseeeeseeeeeeeeeeeeeeeaeeanseasseeeeess 78 LA Manual mode eneee i a ar e rn denne ea LARGE 80 7 5 Free selection of kV and MA Ss cascode ses sabes tea oven vans a ed cc Es ed nnn 81 Tao VESLIMO AC rss ai ar nia ea testes Gade olay a a edi Nesa enken ES MEE 82 7 7 Measurements from the image s s s seseseeceecceeeeeeeneeneeeeteeseseeeseeescececeeess 83 SPECIAL features ih 5 s5 sa cessccchescustecucssestecensaa ded ecugaiecaccecencdcansecssedsunensaidesssacedesacsedetenaisieeet 85 6 1 Basic quality ASSUPANCES 5 9 ae e E eE e eN 85 8 2 Advanced QA optional an deine nese te dee ete eee eed beeen cede 86 8 3 EXPOSUTE COUNTER enei sr abated E branden Harte ee rat oe inate 87 8 4 Preventive maintenance reminder sssseeeeeeeeenereeee nerne n nn nn nn nnnnnnnen 87 Understanding the OP200 D image
4. 2247 x 1900 x 1000 standard column 88 5 x 74 8 x 39 4 inches Max 2157 x 1900 x 1000 short column option 84 9 x 32 7 x 39 4 inches Max 2447 x 1900 x 1000 long column option 96 3 x 32 7 x 39 4 inches Max 210 kg 465 Ibs Cephalometric Ambient temperatures Transportation and Storage 10 50 C Operation Temperature 10 40 C RH max 95 Recommended computer system Platform Pentium III PC or equivalent Processor 800MHz or higher Hard disk 20GB HDD minimum CD ROM 32X CD ROM minimum Operating system Windows 2000 Windows XP 32 bit Windows Vista 32 bit Business Ultimate or Enterprise Main memory RAM 512 MB or 1GB in Windows Vista Display graphics SVGA 1024x768 16 7M colors 24 bit graphics card 4 MB minimum Color monitor size 17 or larger 15 minimum PCI board connection PCI slot Back up A method is needed to archive the captured x ray images Instrumentarium Dental 137 15 Technical specifications 138 Customized model OP200D Patient positioning Please specify Options Description LL Controls on the left side of the unit Left side operator s view for panoramic patient positioning Cephalostat arm on the left Controls and ceph arm can be reversed any later date RR Controls on the right side of the unit Right side operator s view for p
5. 5 Press patient positioning button to rotate the rotating unit to the patient positioning position Position the patient per steps 5 through 16 of the standard panoramic exposure procedure Skip step 15 Take the exposure per steps 17 through 20 of the standard panoramic exposure procedure After the exposure return the system to the standard panoramic program by pressing the control panel arrow buttons to move the flashing light to the standard program position Proceed to the image handling Refer to the User Manual for CliniView software to get instructions how to use CliniView software NOTE t 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 AALBMDA Anterior Premolar Molar Premolar Molar TMJ Instrumentarium Dental 47 4 Panoramic procedures 48 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 O Prepare the equipment and PC system per section Preparation for panoramic image acquisition Select the orthogonal exposure program on the Exp
6. 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 2kV common environment mode mode Voltage dips lt 5 U lt 5 Ur 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 U 40 U Orthopantomograph OP200 D variations on 60 dip in U 60 dip in U requires continued operation during power supply for 5 cycles for 5 cycles power mains interruptions it is input lines 70 Ur 70 Ur recommended that 30 dip in U for 25 cycles Orthopantomograph OP200 D be powered from an uninterruptible lt 5 U lt 5 Ur power supply or a battery gt 95 dip in U gt 95 dip in U Power 3 A m 3 A m 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 5139796 100 rev 4 Instrumentarium Dental 141 15 Technical specifications Orthopantomograph OP200 D is suitable for use in the specified electromagnetic environment The purchaser or user of Orthopantomograph OP200 D should assu
7. Press take Pan Image button 3 Check that the fibre optic cables are connected Back of the patient s head is touching the x ray tube during the exposure Patient s head Patient is too big Patient has inclination not correct for the unit slumped If the image is not acceptable then 1 Check the head position and retake the image 2 Check the patient positioning Make the exposure even though the head may touch the tube head 3 Check the patient positioning Make the exposure even though the head may touch the tube head Instrumentarium Dental 5139796 100 rev 4 5139796 100 rev 4 11 Diagnosing image quality problems Problem Patient s shoulders are touching the x ray tube or CCD sensor Possible cause Patient is too big for the unit Wide and high shoulders Remedy Reverse patient s hands on handles left to right side handle and vice versa Instrumentarium Dental 101 11 Diagnosing image quality problems 102 Instrumentarium Dental 5139796 100 rev 4 12 How to use the user programming mode 12 How to use the user programming mode 5139796 100 rev 4 12 1 General OP200 D 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 image quality Mai
8. cccceeeeeeeeneeeeee eee eeeeeeeeeeeeaneeeeeeeeesneeeeeeeeeeees 89 F ilure diagnosties iain eieaa aaa a ae ees eee aie awa seeded ee eet acedec tees 91 10 1 Fail r messages srera hr heles e date es a halt a tlt Met ited E es 91 10 2 ACIS e N RER a cence tear SEE ES E a ETS EDER ERE RES be eens SEERE SED 91 10 3 mA dis player raa rn e nr eeaeee che a O eE erased 92 10 4 Time display ceia an ea ae E Ree eee eis 92 10 5 Resetting afa ea aa Nt sad acca eea e one eee ei tu 6M oes SEDLER 92 10 6 Failte CodeS a e aaa a aa aaa a aa a en need se 94 Diagnosing image quality problems css 95 11 1 Patient positioning problems sis ccd ccars ae Rioatestselieed i etatitio ied icitiacee alex 95 11 2 Image appearance problems sissies dee cavevendiat doereeinardaaearveseiaseodeemnt ereaeeGden 98 TI PACT ACIS oz raa nce anc fee td adr tr a a r Polk een dud A ba nn teret tees 99 114 URE operations ana said aria aan ends id Lesa hs cay anes a acer ba id ea ins wa agate ade 100 How to use the user programming MOdE cccccccccceeeeeeeeeeeeeeeeeneeeeeeeeeeeeeeeeeeeees 103 TANGER ERA asp A evista os E ce Scans fasta E Btancste nee en SEAN SN nes 103 12 2 Installation and unit configuration programs eceeeeeeeeeeeeeeeeeeeeeeeeeeeeeees 103 12 3 Programs affecting image quality cccccccccecececesseeeseeeeeeecececeececececeeeeeeeeeeeeees 104 124 Other Pr progra Ms sereh a Sa th ote hen eae Nel teats totic eats all iad 105 12 5 How t
9. whichever is larger Exposure time TMJ 8 15 6s 0 1s or 10 Sinus whichever is larger Exposure time 8 20s 0 1sor 10 cephalometric whichever is larger 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 15 A time delay type Cooper Bussman MDA 15 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 10 A slow blow type Littelfuse 326 series 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 124 Instrumentarium Dental 5139796 100 rev 4 5139796 100 rev 4 14 User statement 230 VAC mA 0 VAC fl CJ ERE CE RE eeeeeee0e000 eeoeeeeeede0 eeoeoeeeee0 e2e2e e 00000 e2e2ee0e00600 ee2ee0e0600 eeeeee0 0 eeeee000 e e o e 647 e o d e e d o e o e e e e e T T T T T 57 60 63 66 70 73 77 81 85 kVp a 97 oa O O o N Oy N o 4 N co oO os kVp Fig 14 1 Possible technique factors Fig 14 2 Possible technique factors with 230 VAC with 110 VAC Exposures are automatically li
10. Select a more fitting histogram type and check gamma setting Images are too dark CliniView Contrast and brightness not optimum Density setting is too high in PR 52 when patient symbols are used Manual technique factors used too high AEC control misadjusted Adjust contrast and density Adjust density setting to a lower value Decrease technique factors Call service Lack of image contrast CliniView Contrast and brightness not optimum kV used is too high Gamma value is not correct for the monitor being used Instrumentarium Dental Adjust contrast and brightness Lower the kV setting See PR 52 User program manual for details Adjust Gamma value 5139796 100 rev 4 11 3 Artefacts 11 Diagnosing image quality problems Problem Irregular bright shadows or artefacts Possible cause Patient is wearing metal objects such as earrings necklace etc Remedy Ask patient to remove objects An unexposed area is shown down in the lower middle section of the image Lead apron misplaced Check the lead apron positioning Partial lack of detail and motion artefacts Irregular vertical bright lines on image Patient has moved during the exposure Retake the image Vertical dark lines on image Patient s right side tooth are not exposured Righ
11. Verify that the light under the program 9a or 9b in the control panel is lit G Fig 6 2 P9a or P9b amp Manual mode Tilt the nasion support aside Insert the optional hygienic covers over the ear rods and the nasion support Guide the patient under the cephalostat Adjust the cephalostat to the proper height and introduce the ear rods to external auditory meatuses Instrumentarium Dental 5139796 100 rev 4 6 Cephalometric procedures optional Switch the laser light on Position the patient so that the patient s Frankfurt Horizontal plane FH is parallel with the horizontal reference light of the unit WARNING It is safe to look at the laser CLASS 1 LASER PRODUCT beam but not recommended Tilt the nasion support down and set it to nasion OC200 D uses the position information from Nasion support to perform Automatic facial contour by reducing kV value during the scanning at appropriate point Fig 6 3 Cephalo Lateral Projection Select the technique factors manually by altering the scanning time In normal cases do not change the kV 85 or mA 13 values The patient size symbols can also be used to control dose Technique factors for Lateral Projection i a Child Juvenile Adult Large adult 110 VAC 85 kV 85 kV 85 kV 85 kV 13 mA 13 mA 13 mA 16 mA 230 VAC 85 kV 85 kV 85 kV 85 kV 13 mA 8s 13 mA 10 13 mA 16 13 mA 20 S S S Note Example with PR 52 Cons
12. sensor 4 Patient with opened mouth Turn the head ventral as reference to the canthomeatal line about 30 below the horizontal plane 5 Gently position the ear holders into the external auditory meatuses 72 Instrumentarium Dental 5139796 100 rev 4 5139796 100 rev 4 6 5 6 Cephalometric procedures optional Ask the patient open the mouth maximally Select the technique factors of 85 kV 13 mA and 20 sec scanning time Verify that READY light is on Make the exposure by pressing the exposure button 10 After the exposure release the patient by opening the ear rods and guide him her out Pay attention that the patient does not hit the secondary slot when stepping out from the cephalostat 11 Remove the disposables P10 Waters view exposure Prepare the unit for cephalo imaging as instructed in chapter 6 1 Preparing the operation i 4 Fig 6 10 Waters view mouth closed Fig 6 11 Waters view mouth open K m i 35 40 SD Fig 6 12 Waters view degrees 1 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 2 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 Instrumentarium Dental 73 6 Cephalometric procedures optional Verify that the light under the
13. 60601 1 0537 NAMOZ This product complies with DHHS 21 CFR Chapter I Subchapter J at the date of manufacture Caution Federal law restricts this device to sal by or on the order of a dentist or other qualifie professional pSsif MEDICAL EQUIPMENT WITH RESPECT sy 4 TO ELECTRIC SHOCK FIRE AND MECHANICAL HAZARDS ONLY IN UL us ACCORDANCE WITH UL 60601 1 CAN CSA C22 2 No 601 1 32ZX Manufactured by Instrumentarium Dental Nahkelantie 160 Fl 04300 TUUSULA Finland D502470 3 Fig 1 2 Main label and CE mark 230 V Instrumentarium Dental Type Ser No Manufactured 15A 110V 50 60Hz 1 PIT IP20 BOR awe E 0537 GE This product complies with DHHS 21 CFR Chapter I Subchapter J at the date of manufacture Caution Federal law restricts this device to sale by or on the order of a dentist or other qualified professional PSSE MEDICAL EQUIPMENT WITH RESPECT X TO ELECTRIC SHOCK FIRE AND MECHANICAL HAZARDS ONLY IN Cc US ACCORDANCE WITH UL 60601 1 CAN CSA C22 2 No 601 1 32ZX Manufactured by Instrumentarium Dental Nahkelantie 160 Fl 04300 TUUSULA Finland D502470 4 Fig 1 2 Main label and CE mark 110 V 1 Introduction The type and version of the unit can be read from the main label or column label codes The type numbers appear in the following form OP200 D a bc d S OP200 D short form for ORTHOPANTOMOGRAPH TYPE AND VERSION OP200 D 0C200 D short form for ORTH
14. 70 of the peak radiation waveform kV The high voltage mean value received after measurement with a calibrated x ray monitor mAs The resistance value divided by voltage A calibrated x ray monitor measures the voltage over feedback resistor and provides a mAs value The nominal x ray voltage 85 kV is obtained at highest tube current 13 mA NOTE Exact value is 12 6 mA This value has been rounded upwards to 13 mA The nominal tube current 16 mA is obtained at the highest tube voltage 77 kV The highest electric power is obtained at 77 kV tube voltage and 16 mA tube current The nominal electric power of 1232 W is obtained when loading time is 0 1 s and nominal x ray tube voltage 77 kV is used We reserve the rights for technical changes at any time Instrumentarium Dental 127 14 User statement 14 1 Dose area product DAP Values for some common imaging procedures NOTE The values listed below are rounded and based on the following assumptions 1 The dose rate of the tubehead is 13 4 R min 85 kV 10 mA 0 42 m Automatic spine compensation is used in P1 and P2 3 The image is taken using full width in P9a or P9b Pr 63 CEL OFF The unit is correctly aligned and adjusted 5 The nasion support is in the middle position in P9a or P9b Nasio 30 Deviations from the assumptions affect the DAP value Therefore the values should only be seen as reference values The OP200 takes assumptions 1 3 int
15. Adult Large adult 110 VAC 66 kV 66 kV 66 kV 66 kV 5mA 8 mA 10 mA 13 mA 230 VAC 66 kV 66 kV 66 kV 66 kV 5mA 8 mA 10 mA 13 mA Note Example with PR 52 Constant Contrast GCO 5 PCO 66 0 0 Instrumentarium Dental 5139796 100 rev 4 5139796 100 rev 4 4 Panoramic procedures 4 Press patient positioning button to rotate the rotating unit to the patient positioning position 5 Position the patient and take exposure per steps 5 through 20 of the standard panoramic exposure procedure 6 After the exposure return the system to the standard panoramic program by pressing the cursor buttons to move the flashing led to the standard program position 7 Proceed to the image handling Refer to the User Manual for CliniView software to get instructions how to use CliniView software 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 AF IA CIK Premolar Molar Premolar Molar Instrumentarium Dental 51 4 Panoramic procedures 52 Instrumentarium Dental 5139796 100 rev 4 5 Special imaging procedures 5139796 100 rev 4 5 1 BW Bitewing exposure An orthogonal view of the d
16. SELECTION Display of the display selection Pr 67 qUA QUALITY ASSURANCE Take quality assurance images 12 3 Programs affecting image quality Pr 50 S3d Pr 52 gCo PR USER PROGRAMS VOLUMETRIC TOMOGRAPHY SETTINGS Editing the number of exposures and total angle for each procedure GENERAL DOSE DENSITY Set general technique factors for all imaging programs Pr 52 PCo PROGRAM SPECIFIC CONTRAST AND DOSE OFFSET Set contrast kV and increase or decrease from general dose for each program Pr Con 104 CERVICAL VERTEBRA SHADOW COMPENSATION mA compensation at spinal column for imaging programs 1 trough 5 OFF no compensation LO compensation by one mA step HI compensation by two mA steps ASC Automatic Spine Compensation Instrumentarium Dental 5139796 100 rev 4 12 How to use the user programming mode 12 4 Other Pr programs Pr 53 nor PR USER PROGRAMS RESUME NORMAL SETTINGS Reset user program memory parameters for selected Pr programs Pr 61 CLC CLEAR EXPOSURE COUNTER Clear the resettable exposure counter Pr 62 Err LAST FAILURE CODE Display of the last storable failure code for this unit Pr 66 COU COUNTERS Reset and view various exposure counters 12 5 How to use the user programming mode 1 2 3 Switch the OP200 power on Wait until the unit has s
17. TMJ angle indicator into the socket over the patient s head FP PPP b til Fig 5 12 Ortho TMJ patient Fig 5 13 Ortho TMJ patient positioning accessories positioning accessories installed 8 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 Instrumentarium Dental 59 5 Special imaging procedures 60 9 QO 11 It is strongly recommended to provide the patient with a lead apron for radiation protection 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 that the TMJ chin rest is at the patient s chin level Have patient place chin against the TMJ chin rest Adjust patient s head as necessary so that the front laser coincides with the patient s mid sagittal plane Move the FH laser 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 laser light passes over the ear opening and the infra orbital notch Be sure the patient does not slump if carriage is lowered Move the head support against the patient s forehead by pressing the buttons on the side
18. as sterilization process for OP200 D 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 D parts 3 2 3 3 Chemical sterilant gases Not recommended as sterilization process for OP200 D 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 5139796 100 rev 4 Instrumentarium Dental 27 3 Equipment care and preparations 3 3 Connecting and disconnecting the CCD sensor OC200 D unit can be equipped with one or two sensors If the unit is equipped with one cephalostat sensor the same sensor can be used for pan and ceph imaging Another possibility is to use two sensors at the place all the time In this case the unit is equipped with one pan and one ceph sensor Panoramic sensor To remove the CCD sensor from rotating unit pull the handgrip downwards Figure 1 Push the sensor slightly from below Figure 2 so that it comes off from the top Lift th
19. be dropped or exposed to impacts Turn the power switch to the I position Select imaging program 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 5 Make the computer preparations according to CliniView User Manual P9a Cephalo Core Lateral projection P9b Lateral projection P9b Lateral Cephalostat uses a full height image field 221 mm and P9a Core Lateral Cephalostat has an optimized image height 184 mm that is used e g for pediatric patients but also adult patients to reduce the radiation dose The Core Lateral projection covers all the typical cephalostat landmarks from Nasion down to the spine and the starting point of the lateral scan is adjustable with both Standard and Core lateral cephalostat programs Drive the unit to the patient positioning position by pressing the patient positioning button Instrumentarium Dental 67 6 Cephalometric procedures optional CAUTION Make sure that the nasion support does not hit the secondary collimator while rotating the ear rods Turn the ear rods to the lateral projection position and lock by turning the lever on the cephalostat head 68 Locking lever Ear holder brake NOTE Turning the lever 180 alters the state of the ear rods locked unlocked regardless of the turning direction
20. button once until the flashing light is at the kV and mA section By pressing the right or left button the displayed value can be increased or decreased Instrumentarium Dental 5139796 100 rev 4 5139796 100 rev 4 7 Imaging technique 4 Panoramic and Special procedures can use the following technique settings Panoramic TMJ and Maxillary Sinus Imaging Procedures Technique Factors kV 57 60 63 66 70 73 77 81 85 mA 2 2 5 3 2 4 5 63 8 10 13 16 kV mA pairs 57 2 85 13 Combined values depend on PR 52 settings Exposure time 8 0 17 6 s Fixed for each imaging procedure 7 5 OO NOTE f kV and mA must be selected independently see next chapter 7 5 Free selection of kV and mA See also Service Program Manual section Sr 89 COP option 4 FE for details 5 Technique factors for patient size symbols can be programmed for Panoramic and Special procedures See User Program Chapter in User Manual section PR 52 for details 6 These programmed values are for guidance only Adjust contrast and brightness with CliniView software when necessary 7 To adjust for optimum image quality select one density setting lower or higher in Automatic Exposure Control and one point higher or lower technique factors in Manual Exposure Control and expose again Consult your dealer for detailed information Free selection of kV and mA OP200 D technique factors are normally selected based on kV tar
21. exposure The PC and CliniView software is not ready for capture or there is no connection to CEPH PAN CCD sensor Ch 5 kkk Ch 6 POS LINE VOLTAGE Line voltage out of limits Approximate line voltage displayed in s display POSITION The patient positioning button was not pressed before starting an imaging procedure demanding positioning P6 P7 Ch 7 rEL Ch 8 PSE EXPOSURE SWITCH Exposure button prematurely released by operator Blinking display tells also the achieved exposure time in s display PREVENTATIVE SERVICE Preventative service reminder appears after 2000 exposures since last service counter reset Ch 9 rEo Ch 10 EAr REMOTE EXPOSURE Exposure was initiated from control panel while only remote exposure has been selected EAR PIN POSITION Ceph exposure was initiated while ear pin position did not match the imaging program selected by control panel Ceph lateral Ceph PA Ch 11 PAr EXPOSURE VALUES parameters out of range Ch 12 dcc DOSE CALIBRATION constant missing or out of limits Ch 13 LbL Ch 15 bPL PC SYSTEM Incorrect image label acknowledgement received from workstation VT BITEPLATE The biteplate attached to the unit does not match the selected imaging program 5139796 100 rev 4 Instrumentarium Dental 93 10 Failure diagnostics Check Ch 16 StP Interpretation depressed EMERGENCY STOP The emergenc
22. imaging procedures 54 button One section must always be chosen One to three out of four sections can be disabled in this program AN Premolar Molar Premolar Molar 5 2 P6 TMJ Lateral projection 1 Prepare the equipment per section Preparation for panoramic image acquisition 2 Select the program number 6 for TMJ lateral O projection on the Exposure Control Panel Fig 5 1 P6 Image layer Fig 5 2 P6 amp Manual mode 3 The system is in the manual exposure control mode as the automatic exposure control is not available for this program To set technique factors by patient size select one of the preprogrammed patient size icons or enter the suggested values manually from the table below Technique factors in TMJ imaging Child Juvenile Adult Large adult 110 VAC 66 kV 66 kV 66 kV 70 kV 8mA 13 mA 16 mA 16 mA 230 VAC 66 kV 66 kV 66 kV 70 kV 8 mA 13 mA 16 mA 16 mA Note Example with PR 52 Constant Contrast GCO 5 PCO 66 1 0 Instrumentarium Dental 5139796 100 rev 4 5139796 100 rev 4 5 Special imaging procedures Press patient positioning button to rotate the rotating unit to the patient positioning position 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 Fig 5 3 TMJ pointer in correct position EE 2 ie ef Fig 5 4 Short nose support
23. in panoramic imaging programs P1 P5 It is also possible to take lateral cephalometric images with reduced height using a dedicated imaging program 9a NOTE Changing collimation in panoramic imaging programs requires that the unit is configured to allow it This configuration can be done by your local dealer Full height collimation is used by default in all imaging programs except P2 pediatric panoramic and P9a cephalo Core lateral projection To change collimation proceed as follows Select the desired imaging program P1 P5 Press key up on the control panel until the pediatric collimator light is blinking Activate pediatric collimation by pressing key right or deactivate it by pressing key left To select low field collimation for lateral cephalometric imaging simply select imaging program 9a Instrumentarium Dental 33 3 Equipment care and preparations 34 Instrumentarium Dental 5139796 100 rev 4 4 Panoramic procedures 5139796 100 rev 4 4 1 P1 Standard panoramic exposure 1 Prepare the equipment per section 3 3 and 3 4 2 Verify that the light under 1 P1 in the control panel is lit 3 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 mode settings You can also program different power up settings if you want No other Control Pa
24. mGycm O 5 Use right left buttons to select dA P The current dose 120 value is shown in the time dose display during exposure The dose display is dismissed as soon as the exposure button is released m o one Os O mGycm NOTE SEcS dAP Con The time and dose are shown on the control panel only until OK is pressed After this the values can be viewed in the image info dialog in CliniView or other compatible image capturing application O mA J r NOTE SEcS dAP The time dose value is shown only during exposure or as long as the exposure button is pressed NOTE SEcS dAP and failure during exposure If the exposure is stopped by some error or as a result of the exposure button being released the current time SEcS or dose value dAP is shown blinking along with the error code NOTE f OP200 D is controlled using SmartNav SEcs dAP Con behaves equally to SEcs dAP No confirmation is required before dismissing the time dose value since the values are continually shown by SmartNav both during and after the exposure Instrumentarium Dental 5139796 100 rev 4 5139796 100 rev 4 13 15 13 User program features Pr 66 COU Exposure counters For viewing counter values OP200 D has various exposure counters G a Cz OO 3 122 G Cc om a Programming 1 Select Pr 66 COU OP200 D displays a user counter 2 Press down button to see the next counter 3 Press OK to exit the program
25. obscure diagnosis 7 It is strongly recommended to provide the patient with a lead apron for radiation protection 8 Direct the patient to the unit and instruct to stand as straight and tall as possible Ask patient to take a grip on handles 36 Instrumentarium Dental 5139796 100 rev 4 4 Panoramic procedures a Fig 4 4 Standard patient positioning accessories installed By pressing the up or down button on the Patient positioning panel adjust the carriage height so the chin rest is at the patient s height Have patient place chin on the chin rest 9 Show the patient the grooves in the bite fork and place the bite fork into patient s mouth Fig 4 5 Hands on the grips and chin on the chin rest NOTE The patient can either be standing seated or in a wheelchair 5139796 100 rev 4 Instrumentarium Dental 37 4 Panoramic procedures If the patient is partially edentulous ask the patient to bite the edentulous bite positioner If the patient is edentulous ask the patient press chin against the chin support will switch on automatically when the carriage is moved They stay on for 35 seconds or until exposure is initiated If necessary laser lights can also be switched on and off at the Positioning panel with laser light button 11 Ask the patient to take a small step forward to straighten the cervical vertebrae to minimize spinal shadow see fig 4 8 gt 10 Positioning laser CLASS 1 LASER
26. the x ray radiation 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 no 69961 is approx 10 m 32 ft Instrumentarium Dental 7 1 Introduction 1 5 4 Emergency Stop Switch 1 6 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 an exposure the exposure is terminated immediately and the x ray unit is completely stopped An interrupted exposure cannot be continued later but has to be retaken from the beginning Manufacturer s liability As a manufacturer we can only assume liability of safe and reliable operation of this unit when H OP200 D unit installation was performed according to the OP200 D Installation amp Adjustments Manual and OP200 D Unit is used according to the OP200 D User Manual m CliniView PC software was installed according to the Installation Manual for CliniView software m CliniView software is used according to User Manual for CliniView software m Maintenance and repairs are performed by a qualified Orthopantomograph Dealer and MH Original or authorized spare parts are used In order to guarantee maximal image quality for the entire life time of this high performance imaging system we suggest
27. to section Imaging technique for more information Technique factors in Maxillary Sinus imaging Child Juvenile Adult Large adult 110 VAC 66 kV 66 kV 66 kV 70 kV 8 mA 13 mA 13 mA 16 mA 230 VAC 66 kV 66 kV 66 kV 70 kV 8 mA 13 mA 16 mA 16 mA Note Example with PR 52 Constant Contrast GCO 5 PCO 66 1 0 5139796 100 rev 4 Instrumentarium Dental 63 5 Special imaging procedures 64 Press patient positioning button to rotate the rotating unit to the patient positioning position Remove the bite fork bite fork rod and chin rest Install the bite fork with bite fork rod over the sinus rest Install hygienic covers Fig 5 22 Maxillary Sinus patient positioning accessories installed 6 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 O Control panel adjust the carriage height so the sinus rest is at the patient s height Have patient place chin on sinus rest 7 Show the patient the grooves in the bite fork and place the bite fork into patient s mouth Adjust patient s head as necessary so that the front laser coincides with the patient s mid sagittal plane Move the FH laser 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 laser light passes over
28. 00000000 201000000000 204000000000 a a i Jo 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 230 Fig 7 3 Exposure factors with 110 VAC VAC Instrumentarium Dental 5139796 100 rev 4 7 Imaging technique mA 230 V CCO 73 lt 66 KV 2 0 7600000 tt tt 57 60 63 66 70 73 77 81 85 kVp e 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 D software based on settings done during the installation These settings can be changed See User Program Chapter in OP200 D 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 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 i 16 gt 16 12 gt 12 4 10 10 8 0 80 4 6 4 4 64 4 5 0 gt 50 4 4 0 4 4 0 4 3 2 4 32 4 Sar a 25 poe 2 0 7 j 2 0 76000 T T T T T T T T T T T T T T T T T T 57 60 63 66 70 73 77 81 85 kVp 57 60 63 66 70 73 77 81 85 kVp Manual AEC e Manual AEC Fig 7 5 Possible exposure values Fig 7 6 Possible exposure values when constant contrast has value of when constant contrast has v
29. 200 D you need a suitable PC hardware connected to the OP200 D unit and CliniView software to handle images OP200 D performs the following procedures Standard panoramic exposure Pediatric panoramic exposure Ortho Zone enhanced panoramic exposure Wide arch panoramic exposure Orthogonal panoramic exposure Maxillary sinus TMJ lateral projection or Ortho TMJ axial corrected lateral projection optional TMJ PA projection Bitewing exposure Orthoceph OC200 D is a more equipped x ray panoramic unit with cephalometric exposure option hereafter called OC200 D In addition to the OP200 D functions OC200 D performs the following cephalometric procedures m lateral view EH posterior anterior PA and anterior posterior AP views The basic OP200 D can be upgraded later to the Orthoceph OC200 D A minimum complete system contains the X ray unit itself with all of its accessories and the modality workstation PC that is connected to the unit However note that where as the rest of the system is installed to the patient environment the modality workstation or any other PC may have restrictions to the place of installation referenced to that environment As the manufacturer we strongly recommend that you read this manual before taking the unit into use Instrumentarium Dental 1 1 Introduction 1 2 NOTE OP200 D Must be installed according to the C OP200 D installation amp Adjustments manual by a qual
30. 8 10 270 2000 Fax 358 9 851 4048 For service contact your local distributor Table of Contents 1 Introduction aac ncn ec cece aso sees cee eee eee 1 tI General nines accrue enon EET matin he ania Benne aa eset 1 1 2 Markings and graphics SYMDOIS ccccecceeeeeeeeeeeeeeeeeeeeeeeeaaeeaaeeeeeeeeeeeeeeeeeeeeeeeeees 2 1 3 Type and versio ni gene ne ek eee ee ee 3 1 4 Options accessories ANd manuals cccccccsssseeececceceeeeeeceeeaeeeseeeesesaeseeeeeeeaaes 4 1 5 Radiation protection guidelines 2 ccccceceseceeteeseeeceeuceebeseceeccccueneneceesesereneeeeee 5 1 5 1 Protection by distance ecc ce2cesalotehn Witenes tot acct apna SareteletedGeletenetenedblaes 6 19 2 E ser lights a e e tA het oh eh ln a dere id aretha tt whl ths 7 1 5 3 Control from a protected environment sneen 7 1 54 Emergency Stop SwitChi rriro en re RE er ere ere ede sane 8 1 6 Manufacturer s liability essensen reen 8 Weel DiISPOS Ale ote i ccsess cod sees won e ces Gene cd wid eas e eee em 9 2 OP200 D controls and ACCESSOLSICS cecceccccete eee eeeeeeeeeeeeeneeeeeeeeseneeeeeeeeeeseeeeeeeeenees 11 2A SP 200 D M in ANUS Fees ate Ste aien nn eee Ad ac REE arlene 11 2 2 C200 D Main pals ese a mn a ee 15 2 3 Contr l pane leae D ee e e e a i EdaS 16 24 Positioning panels ere a atch hent a e aE A e E EE inte EEEE ne 19 2 5 Patient positioning ACCESSOTSICS 01 s 2 seceseee ce eeeeededeeneeeeeee
31. ENGLISH Orthopantomograph OP200 D Orthoceph OC200 D User Manual 5139796 100 rev 5 Copyright Manufactured by Code 5139796 100 rev 5 Date 6 November 2009 Document code D500319 rev 5 Copyright 11 2009 by PaloDEx Group Oy All rights reserved 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 Windows is trademark of Microsoft Corporation in the United States of America and other countries Pentium is a registered trademark of Intel Corporation lomega Jaz is a registered trademark of lomega Corp 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 Instrumentarium Dental representative for the most current information CE 0537 Instrumentarium Dental Nahkelantie 160 P O Box 20 Fl 04300 Tuusula FINLAND Tel 35
32. OCEPH OC200 D a type of the x ray tube insert which is originally utilized 1 Toshiba D 051S bc the type of Panoramic sensor b and Cephalostat sensor c 0 No sensor No type number 1 PAN sensor fixed 2 PAN sensor removable 3 CEPH sensor fixed 4 PAN CEPH sensor removable NOTE Number can be for example 24 meaning both PAN sensor and PAN CEPH sensor d version number 1 OP200 models starting from s n 100 000 S indication of a Special version marked only in products which have a non standard modification 1 4 For example OP200 D 1 4 1 is OP200 D Orthopantomograph OP200 D 1 with Toshiba D 051S tube 4 Removable combined panoramic and cephalostat sensor 1 first version of OP200 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 OR the PC has to be located over 1 5 meters apart from the OP OC200 D unit The installer and the user of the system shall confirm that Instrumentarium Dental 5139796 100 rev 4 5139796 100 rev 4 1 5 1 Introduction at least one of the above requirements is f
33. PRODUCT lights 38 Instrumentarium Dental 5139796 100 rev 4 4 Panoramic procedures 12 Patient s face and laser CLASS 1 LASER PRODUCT light lines can be seen in the curved mirror Move the FH laser 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 laser light passes over the ear opening and the infra orbital notch Be sure the patient does not slump if carriage is lowered Fig 4 6 FH laser light Fig 4 7 Straighten the cervical vertabrae 13 Adjust patient s head as necessary so that the front laser CLASS 1 LASER PRODUCT light coincides with the patient s mid sagittal plane 14 Move the head support against the patient s forehead by pressing the buttons on the sides Fig 4 8 Moving the head support forward and backward 5139796 100 rev 4 Instrumentarium Dental 39 4 Panoramic procedures 40 Adjust the head support height by pressing the black knob Move the support up or down Fig 4 9 aay o E Fig 4 10 Moving the head support up and down NOTE The lowest positions of the head support are used only with low field collimation Close the temple supports by rotating the black knob clockwise Fig 4 12 Front laser light Instrumentarium Dental 5139796 100 rev 4 5139796 100 rev 4 4 Panoramic procedures 15 Confirm the posi
34. adiation control guidelines must be observed 18 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 Fig 4 16 Remote exposure button button NOTE Observe the patient and CliniView real time image acquisition during the exposure 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 under the thumb NOTE f exposure cannot be initiated and an error code appears on the exposure control panel refer to section Failure Diagnostics for explanation and correction 19 At the end of the exposure release temple supports and guide the patient away from the unit 20 Remove disposable covers and disinfect the unit 21 Proceed to the image handling Refer to the User Manual for CliniView software to get instructions how to use CliniView software NOTE t is possible to choose any section of the toothed
35. alue of 70kV and supply voltage is 230 VAC 63kV and supply voltage is 230 VAC 5139796 100 rev 4 Instrumentarium Dental 79 7 Imaging technique 80 110 VAC CCO 70 KV 110 VAC CCO 63 KV m eo 2 5 5 Eam n n n a i 2 0 T T T T T T T T T T T T T T T T T T 57 60 63 66 70 73 77 81 85 kVp 57 60 63 66 70 73 77 81 85 kVp e Manual AEC e Manual AEC Fig 7 7 Possible exposure values Fig 7 8 Possible exposure values when constant contrast has value of when constant contrast has value of 70kV and supply voltage is 110 VAC 7OkV and supply voltage is 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 OO To set the unit to manual mode first press the down button once 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 00 Oo At this time the light over the juvenile of the programmed exposure factor should be lit To change the programmed exposure first press the down button 2 times until the flashing light is over the patient size symbol To raise or lower the setting press the right or left button To set specific technique factors set the unit to manual mode first then press the down
36. anoramic patient positioning Cephalostat arm on the right Controls and ceph arm can be reversed any later date LR Controls on the left side of unit Left side operator s view for panoramic patient positioning Cephalostat arm on the right Controls and ceph arm can be reversed any later date RL Controls on the right side of unit Right side operator s view for panoramic patient positioning Cephalostat arm on the left Controls and ceph arm can be reversed any later date Ceph ready option Ordered separately Options Description Ceph CCD sensor with OP200 D Unit has the same CCD sensor as ceph unit Cost saving with future digital ceph upgrade Installation options for OP200 D Ordered separately Options Description Short column Long column 9 cm shorter column Allows low ceiling siting 20 cm longer column Allows high ceiling siting OP200 D Base plate Base for OP200 D Free standing installation for pan Instrumentarium Dental 5139796 100 rev 4 5139796 100 rev 4 15 Technical specifications Installation options for OP200 D Ordered separately Universal base plate Flat steel plate base Free standing installation OP200 D and OC200 D Field upgrades for model OP200 D Upgrade Description Digital Cephalostat Kit Add digital ceph imaging to OP200 D digital pan Volumetric Tomography Add Volumetric Tomog
37. 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 42 Instrumentarium Dental 5139796 100 rev 4 4 Panoramic procedures DAANA Anterior Premolar Molar Premolar Molar TMJ 4 2 P2 Pediatric panoramic exposure Pediatric patients can be imaged with less radiation dosage and shorter exposure time Patients with jaw more narrow than average jaw can be exposed with this procedure too 1 Prepare the equipment and PC system per section Preparation for panoramic image acquisition 2 Select the pediatric exposure program on the Control Panel Press the right button to move the flashing light from the standard panoramic position to the pediatric position P2 Fig 4 18 P2 Image layer Fig 4 19 P2 amp AEC mode 3 It is recommended to use AEC mode to let OP200 automatically select correct technique factors If necessary it is possible to set technique factors manually according to the patient size by selecting one of the preprogrammed patient size icons or entering the suggested values manually from the table below Refer to section Imaging Technique for more information Technique factors in pediatric panoramic imaging oe oe Chi
38. ays show Ch 00 2 Press OK to exit the program Instrumentarium Dental 117 13 User program features 118 13 12 13 13 3 If needed the last failure code can be cleared clr from the memory To clear the value press the left button to display clr and press OK NOTE Ch failure codes are not stored except Ch 5 Sy failure codes are stored except Sy 20 and Sy 26 EEP Pr 63 CEL Cephalostat exposure limit Starting position of the lateral ceph image can be adjusted with digital units only Full lateral scan starts 10 cm behind before the ear pins This scanning can be shortened by 1 cm steps all the way down to 1 cm behind the ear pins With this minimized exposure area the minimum scanning time selection is 5 sec Setting OFF means the full lateral scan is performed O O ie kV 5 E ma ORS Programming 1 Select Pr 63 CEL OP200 shows the current starting point value 2 Use arrow buttons to go down to time field Change the value with right left buttons A quick way to toggle between minimum and maximum lateral image size is to change between OFF and 1 cm 3 Press OK to exit the program Pr 64 FSt Fast scanning selection This disables or enables fast scanning in imaging programs P1 and P2 When enabled the duration of the imaging procedure is shortened by 20 Usage 1 Select Pr 64 FSt 2 To enable fast scanning select value on by pressing the right button To d
39. buildings used for domestic purposes Voltage Complies Orthopantomograph OP200 D is suitable for use in all fluctuations establishments including domestic establishments and flicker emissions those directly connected to the public low voltage power supply network that supplies buildings used for IEC 61000 3 3 domestic purposes Table 15 1 Electromagnetic emissions IEC 60601 1 2 Ed2 140 Instrumentarium Dental 5139796 100 rev 4 15 Technical specifications Orthopantomograph OP200 D is suitable for use in the specified electromagnetic environment The purchaser or user of Orthopantomograph OP200 D should assure that it is used in an electromagnetic environment as described below Immunity Test Electrostatic discharge ESD IEC 61000 4 2 IEC 60601 1 2 Test Level 2 4 6 kV for contact discharge 2 4 8 kV for air discharge Compliance Level 2 4 6 kV for contact discharge 2 4 8 kV for air discharge Electromagnetic Environment Floors are wood concrete or ceramic tile or floors are covered with synthetic material and the relative humidity is at least 30 percent Electrical fast 2 kV for power 2 kV for power Mains power quality is that of a IEC 61000 4 11 30 dip in U for 25 cycles 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
40. by Instrumentarium Dental authorized service personnel Monthly Inspection by User The user must perform monthly the following inspections Visually check that all visible labels are intact and legible Visually check that the exposure indicator led 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 Test the image quality with the Test Tool Digital Kit for panoramic imaging Instrumentarium Dental 145 16 Maintenance 146 16 3 Fig 16 1 Test Tool Digital Kit Test the image quality for Cephalostat imaging C TEN Wi m Fig 16 2 Image quality test for cephalostat imaging Preventive 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 Features chapter in this manual for details NOTE Wiring diagrams schematics and other documents which are needed when the unit is repaired will be supplied by request to authorized service personnel Instrumentarium Dental 5139796 100 rev 4 Instrumentarium Dental reserves the right to make changes in specif
41. cal cephalometric 3 5 MB PNG 16 bits file size Patient database Standalone workstation Server on local area network LAN Panoramic patient positioning Operation Left or right side of unit Motorised carriage movement Positioning aids Chin rest bite block 3 point headrest Curved mirror 3 positioning laser lights Occlusion correction buttons Cephalostat patient positioning Operation Arm mounts on left or right side of the unit Interlocked pan ceph CCD sensor Motorised carriage buttons at cephalostat head assembly Lock for ear positioner rotation movement Positioning aids Ear holders Nasion support with vertical mm scale Frankfurt horizontal plane laser light Contact plate Carpus view and Patient positioning mirror in left handed cephalostat Cephalostat scanning Scanning method Horizontal scan synchronized CCD sensor and secondary slot motion Scanning time 8 20s Panoramic image receptor sensor unit Pan sensor or interchangeable pan ceph sensor 5139796 100 rev 4 Instrumentarium Dental 135 15 Technical specifications 136 Panoramic image receptor Technology Charged Couple Device CCD Image pixel size 96 x 96 um Image field height 5 8 inches 147 mm 1440 pixels Resolution Data transmission Pan 5 5 LP mm Fibreoptic cable Transmission speed 160 Mbps Cephalometric image receptor sens
42. d CliniView software works properly 1 2 5139796 100 rev 4 Remove the bite fork with bite fork rod Enter user program Pr 67 qUA Quality assurance mode is indicated by the AEC density indicators running from side to side Press the start position button in the patient positioning panel The rotating unit turns towards the column Computer preparation Switch on PC Start Windows software Start the CliniView software Refer to the User manual for CliniView software to get instructions how to use CliniView software Select test image patient from the patient database Press Take Panlmage button to get ready for an exposure Press and hold the exposure button The rotating unit will remain stationary while exposure with increasing kV mA values QA image appears on the PC display Check that you have 15 blocks in the image and their density is increasing smoothly from light to dark If you do not have these blocks or the image does not appear on the display change CliniView contrast settings If this doesn t work contact your local dealer Instrumentarium Dental 85 8 Special features Fig 8 1 QA image 8 If everything is as described then the system is working properly 9 Perform the test anytime you suspect there is something wrong with your images 8 2 Advanced QA optional See more detailed information in OP200 D installation manual chapter 5 3 3 IEC Quality Assurance 86 In
43. d 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 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 m Gravity displacement steam sterilization m Flash sterilization E Temperature 270 F 132 C E Exposure time 3 minutes m Prevacuum steam sterilization m Flash sterilization Instrumentarium Dental 5139796 100 rev 4 3 Equipment care and preparations E Temperature 270 F 132 C E Exposure time 3 minutes E Steam flush pressure pulse steam sterilization E Temperature 270 F to 275 F 132 C to 135 C m Exposure time 3 to 4 minutes 3 2 2 3 Ethylene oxide sterilization Not recommended
44. dropped or exposed to impacts A shock indicator inside the sensor will show if the sensor has been exposed to excess impact 3 4 Preparation for panoramic image acquisition 1 Locate the power switch behind the carriage at the bottom left side Turn the power switch to the I position Turning on takes a few seconds 5139796 100 rev 4 Instrumentarium Dental 29 3 Equipment care and preparations NOTE Er 45 InP is 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 2 Set the CCD sensor into the panoramic sensor holder See chapter Connecting and disconnecting the CCD sensor 3 Move the head support towards the mirror by pressing both side buttons simultaneously and make sure the temple supports are fully opened by rotating the black round knob anti clockwise Fig 3 5 Moving the head support towards the mirror Fig 3 6 Opening the temple supports If needed adjust the head support height by pressing the black knob Move the support up or down CE Fig 3 7 Moving the head support up and down Select the Standard panorama imaging program P1 using the control panel or SmartPad 30 Instrumentarium Dental 5139796 100 rev 4 3 Equipment care and preparations 5139796 100 rev 4 Instrumentarium Dental 31 3 Equipment care and preparations 32 4 Computer preparation Sw
45. e O M 74 Then press the right button once to move the light over Instrumentarium Dental 5139796 100 rev 4 5139796 100 rev 4 4 Panoramic procedures the Test mode T Pressing the exposure switch will now cause the system to cycle without radiation To return to operational status press the left button once to move the flashing light over the Manual mode M NOTE t 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 A A 4 LAA eo a Premolar Molar TMJ NOTE The radiation dose can be reduced with small patients by using the collimator for beam restriction Pediatric collimator can be selected with control panel as described in chapter 3 5 Instrumentarium Dental 45 4 Panoramic procedures 46 4 3 P3 Ortho Zone enhanced panoramic exposure Fig 4 22 P3 Ortho Zone image layers 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 eg Programs P1 and P2 The result of this scanning location will al
46. e focal trough reference to the TMJ a special pointer is used By pressing the appropriate occlusal adjustment button on the Positioning Control 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 Instrumentarium Dental 5139796 100 rev 4 5 Special imaging procedures 22 23 24 J 3 CYAN OH le Fig 5 8 Positioning panel right side TMJ pointer adjustment buttons backward 22 reset 23 forward 24 11 If the TMJ pointer can not be aligned with external auditory meatus replace the TMJ nose support with the other model and repeat patient positioning from step 9 12 Have the patient close or open the jaw If the jaw is open move the TMJ pointer 70 mm anterior compared to jaw closed positioning 13 After patient positioning press start position button wait until the unit stops Check that the patient positioning is not changed when the rotating unit is moved to its starting position 14 Press and hold the exposure button The system will cycle exposing only the two TMu s 15 Release the exposure button open temple supports and guide the patient out Remove the TMJ pointer and TMJ nose support 16 After the exposure return the system to the standard panoramic program by pressing the cursor buttons to move t
47. e sensor a little and pull it away Figure 3 tT Fig 3 1 Removal of the panoramic CCD sensor To install the sensor back to the rotating unit proceed as stated above in reverse order However instead of pulling the ring push the top of the sensor towards the rotating unit ITT Fig 3 2 Placement of the panoramic CCD sensor NOTE When installing the sensor make sure that the sensor is properly connected by pushing with one hand from the top towards the holder and simultaneously pull toward yourself from the bottom 28 Instrumentarium Dental 5139796 100 rev 4 3 Equipment care and preparations Cephalostat sensor To remove the CCD sensor from the cephalostat head press the button on the knob and turn it 360 counter clockwise to lower the sensor down to rest on the safety clips Then press the clips on both sides of the sensor while having a good grip on the sensor to release it completely from the holder CAUTION Hold the sensor while pressing the clips in F order to prevent the sensor from falling M To install the sensor back to the cephalostat head lift the sensor to holder until a click is heard Then press the button on the knob and turn 360 to raise the sensor to it s locked position 1 2 i es A Fig 3 3 Removal of the Ceph CCD sensor a Fig 3 4 Placement of the Ceph CCD sensor CAUTION Handle the sensor with care as instructed in this manual The sensor must not be
48. eard while pressing Use the up down buttons to select PR 52 gCO and press OK Use the up down buttons to select the dose value the light next to the time when time display starts blinking Set the desired density value with right left buttons Use OK to store the changes Press and hold OK to return to the normal operating mode Instrumentarium Dental 5139796 100 rev 4 13 User program features 13 User program features 13 1 Pr 50 S3d Volumetric Tomography settings For setting the number of images and total angle for VT projection images The values are settable on a per region basis separately for Maxilla and Mandible The currently selected jaw and region of interest are indicated as during normal operating mode The number of images is shown in the kV display and the total angle in the time display o o0 A Ons 5 jad ren lt S lt LR gt gt Pr iG eM N EN N F VA j Y J O LS C Incisor Canine Canine a F I x Molar premolar Molar premolar Programming for the selected region In the kV display the amount of the projection images 5 11 images In the mGycm Time Dose display the total opening angle 1 Select Pr 50 S3d The control panel shows current VT 2 Press OK to exit the program 5139796 100 rev 4 Instrumentariu
49. ease 1 2 dated 17 3 2005 by Instrumentarium Dental Standards this unit complies with IEC 60601 1 UL 60601 1 MDD 93 42 EEC if the unit contains CE mark UL CSA file E301913 if the unit contains UL CSA mark Instrumentarium Dental 131 15 Technical specifications 132 Tube head assembly Tube head assembly type THA 100 Tube type Toshiba D 051S Stationary anode Tube voltage 57 85 kV Max tube current 2 16mA Max electric output 1 36 kW Target angle 5 degrees Focal spot 0 5 mm IEC 336 1982 Nominal anode input 1750 W power Reference axis In the middle of the panoramic sensor s active area Max anode heat content 28 kJ Max X ray tube 385 kJ assembly heat content Max continuous heat 38 W dissipation of the X ray tube assembly Total filtration 2 5mm Al 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 Nominal current 10A 230 VAC 15A 110 VAC Fuses 326 Littelfuse slow blow 10A 230 VAC MDA 15 COOPER BUSSMAN Time delay 15A 110 VAC Power consumption 2 3 kVA 230 VAC 1 65 kVA 110 VAC Maximum impedance of main 1 02 Instrumentarium Dental 5139796 100 rev 4 5139796 100 rev 4 15 Technical specifications Positioning lase
50. ecting the proper patient size symbol form the control panel Technique factors for PA projection Child Juvenile Adult Large adult 110 VAC 85 kV 85 kV 85 kV 85 kV 13 mA 13 mA 13 mA 13 mA 230 VAC 85 kV 85 kV 85 kV 85 kV 13mA 8s 13 mA 13 mA 13 mA 10s 16s 20s Note Example with PR 52 Constant Contrast GCO 5 PCO 77 0 0 5139796 100 rev 4 Instrumentarium Dental 71 6 Cephalometric procedures optional Verify that READY light is on Make the exposure by pressing the exposure button After the exposure release the patient by opening the ear rods and guide him her out Pay attention that the patient does not hit the secondary slot when stepping out from the cephalostat Remove the disposables 6 4 P10 Reverse Towne projection exposure Prepare the unit for cephalo imaging as instructed in chapter 6 1 Preparing the operation Fig 6 7 Reverse Townes view Fig 6 8 Reverse Townes view 1 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 2 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 Verify that the light under the program 10 P10 in the control panel is lit Fig 6 9 P10 amp Manual mode 3 Position the patient under the cephalostat facing the
51. ection of contrast kV level and density dose level will fix the AEC and Manual mode technique factors Preprogrammed patient size symbols have only one reference and this reference is tied to AEC settings Instrumentarium Dental 5139796 100 rev 4 13 User program features The technique factors relation between patient size symbols is fixed mE me KV ccm Ci I ORS meee O mGycm PR 52 GCO GENERAL DENSITY Density value default All imaging programs 1 15 2 5 adjustable by 0 5 steps NOTE These technique settings are for guidance If the patient images have less resolution than desired or the image is too noisy you may change the values according to your preferences O O ay 7 ORS mE mGycm PR 52 PCO CONTRAST amp DENSITY Imaging Description of Constant Contrast Density Program Imaging value offset value Program kV display default Time display default 0 P1 Panoramic 57 85 66 0 P2 Panoramic 57 85 66 0 P3 Panoramic 57 85 66 0 P4 Panoramic 57 85 66 0 P5 Panoramic 57 85 66 0 P6 Lateral TMJ 57 85 66 0 P7 TMJ PA 57 85 66 0 P8 Maxillary 57 85 66 0 Sinus P9a Ceph Core 57 85 77 0 lateral 5139796 100 rev 4 Instrumentarium Dental 109 13 User program features 110 PR 52 PCO CONTRAST amp DENSITY Imaging Description of Constant Contrast Density Program Imagin
52. eeeeseenessesneaeoeees 20 2 6 Disposables amp Service accessories cccceccecceeeceeeeeeeeeeeeeeeeeeeeeeeeeeeeeeaeansaeeeeees 22 2 7 ChangingAne fuses see csuintoae dee E EE aaa 23 3 Equipment care and preparations ccccceeseeeeeeseeeeeeeeeeeeeeeeeeeeeeeeeeeaneeneeseeeeeeeeeeees 25 331 Gare Instructions cns ence ri a ele es e o glade a ae irere a aaea 25 3 2 Cleaning recommendations sssseeeereeeeeerrer renerne renere etbeeeqesetleeeenete 25 3 21 Clean saie a a a tat nar tales reddere etter 25 3 2 2 Disinfection and sterilization ses seeren 26 3 2 21 PRULOCIAV ES 455 aa e Sand DENE Fr a Arne rd 26 3 2 2 2 Steam sterilization cesser dat datebgeaens 26 3 2 2 3 Ethylene oxide sterilization ccceceeeeeeeeeeeeeeeeeeeeeeeeeeeeees 27 3 2 3 Other sterilization processes s eeeeeeeeeeeeeeececeeceeeeeaneaesseeesseeeeees 27 3 23 T Dry heat sterilization saae ieee Mcetcenheoetveine 27 3 2 3 2 Liquid chemical sterilant gases ssssseeeeeernnennnnnennnnnnnee 27 3 2 3 3 Chemical sterilant gases 0 cc ccc scceseecceecteeeteeceeeeteeteeeeeeeeeese 27 3 3 Connecting and disconnecting the CCD sensor X W u seeeeeerererernnnnnnnnnnnnrrnnnner 28 3 4 Preparation for panoramic image acquisition senere 29 3 5 Selecting collimator height with automatic ColliMator eee eee 33 4 Panoramic procedureS sssssssssssssssnnnrrnrnnnnnnnnnnnn
53. ement of the rotating unit can be enabled or disabled NOTE The rotating unit can always be returned by pressing the patient positioning button in the patient positioning panel O Q H fmm KV 5 5 mA ORS Programming 1 Select Pr 54 Arn Time display shows OFF or on To enable autoreturn press right button until on is 2 displayed In this case the rotating unit is moved so that the patient has an easy exit from the unit after exposure nee O 3 Press left button the disable autoreturn 112 OFF is displayed 4 Press OK to exit the program 13 6 Pr 57 Hon Patient positioning side To select patient positioning side Depending on this setting the unit drives the sensor to either left or right side during patient positioning O ma o EB Gi WERE mGycm2 There are three modes available r positioning from right side L positioning from left side L r positioning from either side depending on which patient positioning button left or right is pressed Instrumentarium Dental 5139796 100 rev 4 5139796 100 rev 4 13 7 13 User program features The side should be set according to the location of the Frankfort and layer lights left right side The third option L r can be used in special cases NOTE Affects only P1 P8 and the VT panoramic imaging program Programming 1 Select Pr 57 Hon The current mode is displayed on the time dose display 2 Select the desired
54. entition from the canine and posterior 1 Prepare the equipment and PC system per section Preparation for panoramic image acquisition 2 Select the bitewing exposure program by repeatedly pressing the right button on the control panel until the BW indicator light is flashing 3 Select exposure values either by entering them manually or by selecting a preset patient size Example exposure values are found presented in the table below Technique factors in bitewing imaging eos oie e reat Child Juvenile Adult Large adult 110 VAC 66 kV 66 kV 66 kV 66 kV 4mA 6 3 mA 8 mA 10 mA 230 VAC 66 kV 66 kV 66 kV 66 kV 4mA 6 3 mA 8 mA 10 mA Note Example with PR 52 Constant Contrast GCO 5 PCO 66 0 0 4 5 Press patient positioning button to rotate the rotating unit to the patient positioning position Position the patient and take exposure per steps 5 through 20 of the standard panoramic exposure procedure After the exposure return the system to the standard panoramic program Proceed to the image handling Refer to the User Manual for CliniView software to get instructions how to use CliniView software NOTE t is possible to choose any section of the toothed arc by selecting the arc figure with up button This reduces the radiation dose for the patient Select the section with left or right buttons Enable or disable the section with OK Instrumentarium Dental 53 5 Special
55. ew software NOTE t 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 The AEC is not available with partial panoramic images A A A jh N h N f A Anterior Premolar Molar Premolar Mol Instrumentarium Dental 49 4 Panoramic procedures 50 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 and PC system per section Preparation for panoramic image acquisition Select the wide layer panoramic program on the Exposure Control Panel Press the right button four times to move the flashing led from the standard panoramic position P1 to the wide layer position P5 Fig 4 26 P5 Image layer Fig 4 27 P5 amp AEC Mode 3 It is recommended to use AEC mode to let the unit automatically select correct technique factors If necessary it is possible to set technique factors manually according to the patient size by selecting one of the preprogrammed patient size icons or entering the suggested values manually from the table below Refer to section Imaging Technique for more information Technique factors in wide arch imaging Child Juvenile
56. for TMJ Fig 5 5 Long nose support for TMJ patient positioning patient positioning 6 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 It is strongly recommended to provide the patient with a lead apron for radiation protection 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 O Control panel adjust the carriage height so that the TMJ nose support is at the patient s nose height Have patient place nose against TMJ nose support Instrumentarium Dental 55 5 Special imaging procedures 56 Fig 5 6 TMJ Lateral projection 9 10 Adjust patient s head as necessary so that the front laser coincides with the patient s mid sagittal plane Move the FH laser 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 laser light passes over the ear opening and the infra orbital notch Be sure the patient does not slump if carriage is lowered Move the head support against the patient s forehead by pressing the buttons on the sides and close the temple supports by rotating the black knob clockwise To adjust th
57. g value offset value Program kV display default Time display default 0 P9b Ceph lateral 57 85 77 0 P10 Ceph PA AP 60 85 77 0 P11 VT Mandible 57 85 0 P12 VT Maxilla 57 85 0 P13 VT Panoramic 57 85 0 Example If general density gCO 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 as starting value In Manual Control mode the preprogrammed patient size symbols have the values 66 5 66 8 66 10 as AEC and 66 13 Programming O AG AG AG Select Pr 52 PCo One of the programs e g P1 is selected The kV display shows the current constant contrast kV level and the time dose display shows the density offset from the reference value for this imaging program Select the imaging program options by pressing up down button When the P1 or other imaging program is selected change the program by pressing left right button Select or change the constant contrast value for this imaging program by pressing the down button The led next to the kV display is blinking Use left right buttons to change the value Select the density level dose offset if needed for this imaging program by pressing the down button The led next to the mA display is blinking Use left right buttons to change this value The offset can be from 3 to 3 with half step increments If you want to change contrast and density dose for other prog
58. get 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 D 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 light indicator for kV mA values is lit first kV display is blinking Select kV value by pressing the right or left button NOTE Pressing the button longer causes kV to change in larger steps Instrumentarium Dental 81 7 Imaging technique 82 Then press the down button mA display is blinking Select CO the mA value mA can be selected from the fixed table 2 0 2 5 3 2 4 0 5 0 6 3 8 0 10 13 and 16 NOTE f 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 7 6 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 00 Select the imaging program P1 P10 which you want to demonstrate To set the unit to test mode first press the down button to move the flashing light from the imaging program position to the AEC A position Then press the
59. h OP200 D and precautionary statements are part of the OP200 D 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 051S 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 compability The tube housing assembly THA 100 is compatible with the beam limiting device BDV95 BDP147 or BDC221 Equipment statement for tube housing assembly Maximum operating voltage is 85 kV Effective focal spot 0 5 mm IEC 336 1982 X ray tube Toshiba D 051S For additional information please refer to the tube specification sheets Instrumentarium Dental 123 14 User statement Maximum deviation from indicated values Parameter Indicated value Deviation Tube voltage 57 85 kV 5kV Tube current 2 16mA 1mA or 10 whichever is larger Exposure time pan 16 8 17 6 s 0 1s or 10
60. h with anatomical landmarks and structures Typical OP200 D radiograph with anatomical landmarks and structures hyoid bone angle of mandible external oblique line maxillary tuberosity styloid process middle cranial fossa zygomatic arch palate orbit septa in maxillary sinus maxillary sinus pterygoid plates coronoid process articular eminence mandibular condyle glenoid fossa vertebra ear lobe mandibular canal mental foramen Sella Turcica ON OOABRWBD PB IND s ek sk mk om om om om os 3 OOOAON OA FRWN O 5139796 100 rev 4 Instrumentarium Dental 89 9 Understanding the OP200 D image 90 Instrumentarium Dental 5139796 100 rev 4 10 Failure diagnostics 10 1 10 2 The OP200 D has many safety functions and features assuring the 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 Failure messages In case of malfunction the unit displays a failure message A classification number and explanation of the error will be displayed in the kV mA and time displays kV display The kV display indicates the nature of the failure whether it is caused by user eg exposure button prematurely released by operator environment eg low line voltage or protection in the unit eg tubehead too hot or whether there is a serious defect in the unit which disables the complete operat
61. he flashing light to the standard program position 17 Remove disposable covers and disinfect the unit 18 Proceed to the image handling Refer to the User Manual for CliniView software to get instructions how to use CliniView software CR A Q NOTE t is possible to choose either side TMJ to be exposed alone to reduce the radiation Select the section A A with left or right buttons Enable or disable the section with OK button Either section of jaw joints number 4 must always be chosen in P6 5139796 100 rev 4 Instrumentarium Dental 57 5 Special imaging procedures 58 5 3 P6 Ortho TMJ axial corrected lateral projection optional When selected in the service program 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 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 See figure 5 9 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
62. ication 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 2009 by PaloDEx Group Oy All rights reserved Instrumentarium Dental Nahkelantie 160 P O Box 20 Fl 04301 Tuusula Finland Tel 358 10 270 2000 Fax 358 9 851 4048 Americas Instrumentarium Dental Inc Milwaukee Wisconsin U S A Tel 800 558 6120 Fax 414 481 8665 Orthopantomograph OP200 D Orthoceph OC200 D User Manual English A 5139796 100 rev 5 Printed in Finland 11 2009
63. ified technician Only trained personnel should 0537 be allowed to operate OP200 D Markings and graphics symbols The following symbols are used in OP200 D oill Radiographic control Protective earth ground Type B equipment a GOST R A certification that the products UMO2 qualifies for safety requirements in Russia Dangerous voltage On Power Off Power Attention consult accompanying documents If the unit has CE marking it is CE marked according to the Medical Device Directive 93 0537 42 EEC pssley If the unit has UL marking it is UL marked according to UL60601 1 and CAN CSA C22 2 c YL Jus No 601 1 RDOT 4 Ko 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 x Instrumentarium Dental 5139796 100 rev 4 1 Introduction 1 3 Type and version The type and version of OP200 D is defined in the main label of the unit located on the vertical carriage bottom plate next to the power on off switch or in the column label of the unit located on the column The unit is class I type B 5139796 100 rev 4 and with IP 20 protection Fig 1 1 Location of main label and CE mark Type Ser No Manufactured 10A 230 V 50 60Hz 1 CEG Mh n EGE E IEC
64. ing procedures 66 positioning is not changed when the rotating unit is moved to its starting position 12 Press and hold the exposure button The system will cycle and expose the maxillary sinus region 13 Release the exposure button open temple supports and guide the patient out Remove the bite fork and rod reset chin rest and bite fork 14 Return the system to the standard panoramic program 15 Remove disposable covers and disinfect the unit 16 Proceed to the image handling Refer to the User Manual for CliniView software to get instructions how to use CliniView software NOTE t is not possible to choose any section of the toothed arc of the arc figure for the control panel in P8 Instrumentarium Dental 5139796 100 rev 4 6 Cephalometric procedures optional 5139796 100 rev 4 6 1 6 2 Programs P9a P9b and P10 are cephalometric imaging programs For cephalometric programs pre programmed patient symbols or manual exposure values can be used to control the dose Image magnification is fixed at 14 CliniView software compensates this magnification when measurements are made with CliniView Positioning steps demonstrated in this manual are for right mounted cephalostat Steps for the left handed cephalostat are similar otherwise the exception mentioned Preparing the operation 1 Set the CCD sensor into the cephalo head s sensor holder if it isn t already in place WARNING The sensor must not
65. ion eg program memory error Ch Check A failure caused by the user eg exposure button prematurely released by operator Sy Safety Temporary malfunction or protection of the unit caused by the unit or environment Operation is prohibited or terminated to protect the operator patient and the unit itself Eg the temperature in the tube head assembly is too high due to intensive use After the corrective action and or waiting period the unit can be used again Er Error There is a serious defect in the unit and the operation is therefore prohibited to protect the operator patient and the unit itself Eg failure in the CPU Board 5139796 100 rev 4 WARNING f the unit is continued to be used after Er error further damage may be caused to the unit Please call service instead Instrumentarium Dental 91 10 Failure diagnostics 92 10 3 mA display The mA display indicates the actual numeric failure code Each failure code has a unique number to differ one malfunction from another kV Ch Sy Er mA 1 to 19 20 to 39 40 to 50 10 4 Time display The exposure time display indicates the alphanumeric short form explanation of the incident 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 S
66. ior Premolar Molar Jaw joint Exposure Button Exposure Indicator light Ready Indicator light Pediatric Collimator light T A pN NOTE Sections 2 and 3 are combined as one section in panoramic programs Imaging Procedures P1 P12 with Indicator lights Instrumentarium Dental Standard Panoramic P1 Pediatric Panoramic P2 Ortho Zone enhanced Panoramic P3 Orthogonal Panoramic P4 Bitewing BW 5139796 100 rev 4 2 OP200 D controls and accessories Wide arch Panoramic P5 5139796 100 rev 4 F Pg of OF P P Pa Ad TMJ lateral projection P6 or Ortho TMJ axial corrected lateral projection optional P6 TMJ posterior anterior projection P7 Maxillary Sinus View P8 Cephalo Core Lateral Projection P9a Cephalo Lateral Projection P9b Cephalo Postero Anterior PA projection P10 Volumetric Tomography mandible optional P11 Volumetric Tomography maxilla optional P12 Exposure Modes with Indicator lights Instrumentarium Dental SDP Automatic Exposure Control Test Mode Manual Exposure Control 2 OP200 D controls and accessories Automatic exposure signal to noise ratio 9 dose control steps Decrease dose by one and half step Two steps higher dose Displays showing exposure values a kV display mm 5 mA display B Os Exposure time display es o mGycm Radiation dose display Icons for Pre programmed Technique Factors
67. isable fast scanning select value OFF by pressing the left button Instrumentarium Dental 5139796 100 rev 4 13 User program features 3 Press OK to exit the program 13 14 Pr 65 doS Dose time display selection OP200 D can be configured to show either time or dose in the time dose display during exposure Additionally the unit can show a summary screen containing exposure time and dose value for the last exposure when the exposure is ended The summary screen is shown until OK is pressed Choose one of the modes ending with con from confirmation to enable this feature ORS Programming 1 Select Pr 65 doS OP200 D displays SE cS con dA P con SE cS or dA P 2 Use right left buttons to select SE cS con Exposure O time is shown in the time dose display during exposure After exposure the up down buttons can be used to toggle between time and dose display o mm o fi Os meee mGycm 3 Use right left buttons to select dA P con Current O dose value is shown in the time dose display during exposure After exposure the up down buttons can be used to toggle between dose and time display e O Os meme mGycm SJ is shown in the time dose display during exposure No O 4 Use right left buttons to select SE cS Exposure time dose is shown 5139796 100 rev 4 Instrumentarium Dental 119 13 User program features Lr re SO Mi Fa 30 Ons oO
68. it stops Check that the patient positioning has not changed when the rotating unit has moved to its starting position Press and hold the exposure button The system will cycle and expose only as necessary to display the TMJ s in PA projection Instrumentarium Dental 5139796 100 rev 4 10 11 12 with 5 Special imaging procedures Release the exposure button open temple supports and guide the patient out Remove the TMJ pointer and TMJ support Return the system to the standard panoramic program Remove disposable covers and disinfect the unit Proceed to the image handling Refer to the User Manual for CliniView software to get instructions how to use CliniView software A NOTE t is possible to choose either side TMJ to be A exposed alone to reduce the radiation Select the section left or right buttons Enable or disable the section with button Either section of jaw joints number 4 must DVS lt always be chosen in P7 5 5 P8 Maxillary Sinus view 1 O Prepare the equipment per section Preparation for panoramic image acquisition Select the imaging program P8 for a maxillary sinus view on the Exposure Control Panel P Fig 5 21 P8 amp Manual mode 3 The system is in the Manual Exposure Control mode To set technique factors according to the patient size select one of the preprogrammed patient size icons or enter the suggested values manually from the table below Refer
69. itch on PC Start Windows software Start CliniView software Refer to the User manual for CliniView software to get instructions how to use the CliniView software Open the patient database and select patient or type all the required patient details in order to take an image Press Take Panlmage button to get ready for an exposure NOTE Always maintain visible contact with the patient and technique factors during the exposure and stay within earshot to be able to hear the warning tone This allows immediate termination of radiation by the release of the exposure button in the event of a malfunction or disturbance 5 Proceed to the section Panoramic procedures for Panoramic imaging and to the section Special imaging procedures for Sinus and TMJ imaging WARNING Handle the sensor with care as instructed in this manual The sensor must not be dropped or exposed to impacts A shock indicator inside the sensor will show if the sensor has been exposed to excess impact NOTE When using the system in an extremely high electromagnetic environment interferences may change image quality If interference appears contact your local dealer Instrumentarium Dental 5139796 100 rev 4 5139796 100 rev 4 3 Equipment care and preparations 3 5 Selecting collimator height with automatic collimator OP200 lets you to reduce the dose by using low field collimation when diagnostically feasible Low field collimation is possible
70. ld Juvenile Adult Large adult 5139796 100 rev 4 Instrumentarium Dental 43 4 Panoramic procedures Technique factors in pediatric panoramic imaging 110 VAC 66 kV 66 kV 66 kV 66 kV 5 mA 8 mA 10 mA 13 mA 230 VAC 66 kV 66 kV 66 kV 66 kV 5mA 8 mA 10 mA 13 mA Constant Note Example with PR 52 Fast Scan disabled Pr 64 FSt OFF Contrast GCO 5 PCO 66 0 0 4 OJ Press patient positioning button to rotate the rotating unit to the patient positioning position Install the chin rest and bite fork with bite fork rod child with hygienic covers 6 Adjust the head support height by pressing the black Fig 4 7 9 Fig 4 knob Move the support up or down y y 20 Moving the head support up and down Position the patient and take exposure per steps 6 through 20 of the standard panoramic exposure procedure After the exposure return the system to the standard panoramic program by pressing the control panel arrow buttons to move the flashing light to the standard program position Proceed to the image handling Refer to the User Manual for CliniView software to get instructions how to use CliniView software 21 Test mode 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 Manual mod
71. low for views of the TM joint without redundant shadows from the opposite side ramus obscuring the image Patients with prosthetic condyles or other posterior radioopaque 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 shut severe class Ill malocclusion and uncooperative patients 1 Prepare the equipment and PC system per section Preparation for panoramic image acquisition Control Panel Press the right button twice to move the 2 Select the Ortho Zone program on the Exposure flashing light from the standard panoramic position to the Ortho Zone position P3 O Fig 4 23 P3 amp AEC Mode 3 Ifthe AEC mode is not used the technique factors can be set according to the patient size by selecting one of the preprogrammed patient size icons or entering manually the suggested values from the table below Refer to section Imaging Technique for more information Instrumentarium Dental 5139796 100 rev 4 5139796 100 rev 4 4 Panoramic procedures Technique factors in ortho zone imaging Child Juvenile Adult Large adult 110 VAC 66 kV 66 kV 66 kV 66 kV 5 mA 8 mA 10 mA 13 mA 230 VAC 66 kV 66 kV 66 kV 66 kV 5 mA 8 mA 10 mA 13 mA Note Example with PR 52 Constant Contrast GCO 5 PCO 66 0 0 4
72. m Dental 107 13 User program features 108 13 2 13 3 Pr 51 PUS Power up settings To set the exposure mode and imaging procedure to be selected when the unit is powered on This makes the use of OP200 D even easier and reduce the total imaging time as the most frequently used imaging program and AEC or Manual mode are automatically selected and the operator can proceed directly to the patient positioning M oO IN c E mA HERE S l uo O mGycm Programming 1 Select Pr 51 PUS The control panel shows current power up display eg Standard panoramic procedure Program 1 is chosen Automatic Exposure Control A is chosen Change the power up settings Use the up and down buttons to select exposure control mode AEC Manual or Test 4 In AEC mode the density setting is by default in the middle of the scale This may be changed using the left right buttons 5 Note that AEC can be selected for the panoramic programs P1 P5 only 6 Press OK to exit the program Pr 52 PCo and Pr 52 gCo Constant contrast amp density settings OP200 D image quality can be controlled by setting the technique factors for CCD sensor and per user preferences Give general contrast and dose parameters for all imaging programs with Pr 52 gCo and adding an offset value for individual imaging program by Pr 52 PCo if necessary AEC and Manual mode technique factors are related to each other the sel
73. mited 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 Tube ratings Maximum rating chart Multi Peak Full Wave rectified HF Inverter System Focal spot 0 5 mm IEC 336 1982 25 20 B KV TUBE CURRENT mA 20 EXPOSURE TIME s Fig 14 3 Tube ratings Instrumentarium Dental 125 14 User statement 126 Tube anode thermal characteristics D 051s HEAT STORACE J TIME min Fig 14 4 Tube anode thermal characteristics D 051S Tube head assembly cooling curve OP200 D TUBEHEAD COOLING CURVE temperature C 80 Ta 705 a 60 50 40 SS 30 20 o 100 200 300 400 500 600 700 800 time min 050293 PJ Fig 14 5 Tube head assembly cooling curve Location of a focal spot is marked on the tube head s cover e g m km Focal spot Fig 14 6 Focal spot Instrumentarium Dental 5139796 100 rev 4 5139796 100 rev 4 14 User statement Measurement criteria for exposure time Exposure time Consists of beginning and ending points as measured by a calibrated x ray monitor at
74. mode using the left right buttons 3 Press OK to exit the program Pr 58 CON Vertebrae shadow compensation In the imaging programs P1 to P5 and VT panoramic the spine column shadow may be compensated 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 The most advanced mode is ASC Automatic Spine Compensation for Automatic Spine Compensation where the amount of compensation is automatically controlled The compensation can be done either by increasing the tube current mA or voltage kV NOTE The compensation cannot exceed the maximum x ray tube power O I Os NERE O mGycm Instrumentarium Dental 113 13 User program features Compensation area kv 73 PR 58 CON VERTEBRAE SHADOW COMPENSATION Panorami Mode c Program P1 OFF LO HI ASC P2 OFF LO HI ASC P3 OFF LO HI ASC P4 OFF LO HI ASC P5 OFF LO HI ASC VT PAN OFF LO HI ASC Programming 1 Select Pr 58 Con One of the panoramic imaging programs is indicated by the imaging program indicators The time display shows the current compensation mode for this program ASC HI LO or OFF 2 Press the up down button until one of the mA kV indicators is blinking and the other lit Use the left right buttons to select compensati
75. ms select the desired program and repeat steps 2 and 3 5 Press OK to exit the program 13 8 Pr 59 PSE Preventative maintenance reminder To remind the user after 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 The reminder comes again after every power up until the counter has been reset with this program This message has no effect on the unit s operation Instrumentarium Dental 115 13 User program features 116 EB p 13 9 O O ED 0 MERA O S PSE O mGycm Programming Select Pr 59 PSE Time display shows OFF on or rES If OFF was displayed this feature is not used Press the right button to enable this feature ON is displayed If on was displayed you can press the left button not to use this feature OFF is displayed Press the right button to reset this counter and to clear the Ch 8 PSE service message rES is displayed Next Ch 8 PSE service message comes after 2000 exposures Press OK to exit the program 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 O O EB OS O MGycm mr mr aa Programming 1 Select Pr 60 bEP Time display shows OFF or on 2 Press the left bu
76. n meaning in each mode Key Cephalometric P9 P10 TMJ P6 P7 20 Carriage movement up and down 21 No functioning moves image layer anterior 22 No functioning reset to middle Instrumentarium Dental 19 2 OP200 D controls and accessories Positioning Panel button meaning in each mode 23 No functioning moves image layer posterior 24 Postioning lasers CLASS 1 LASER PRODUCT on off 25 Rotating unit movement Start positioning 26 Rotating unit movement Patient positioning Up movement eo Fig 2 7 Positioning panel cephalostat head Down movement Positioning light button 2 5 Patient positioning accessories 64197 Fig 2 8 Panoramic patient positioning accessories 20 Instrumentarium Dental 5139796 100 rev 4 5139796 100 rev 4 2 OP200 D controls and accessories Za r nei as ee Fig 2 9 TMJ patient positioning accessories 68696 200634 N Part Part description Part Part description code code 68758 Chin rest 62904 Nose support long 64197 Sinus rest 62906 Nose support short 62942 Bite block 10 pcs 60477 TMJ pointer 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 optional not shown 50076 Child adaptor 6722 Chin support 62965 Edentulous bite positione
77. nel settings are necessary NOTE f you wish to set the AEC dose factors higher or lower or wish to set the technique factors by patient size or manually refer to section Imaging technique Fig 4 1 P1 Image Layer Fig 4 2 P1 amp AEC mode 4 It is recommended to use AEC mode to let OP200 D automatically select correct technique factors If necessary it is possible to set technique factors manually according to the patient size by selecting one of the preprogrammed patient size icons or entering the suggested values manually from the table below Refer to section Imaging technique for more information Instrumentarium Dental 35 4 Panoramic procedures Technique factors in standard panoramic imaging Child Juvenile Adult Large adult 110 VAC 66 kV 66 kV 66 kV 66 kV 5mA 8 mA 10 mA 13 mA 230 VAC 66 kV 66 kV 66 kV 66 kV 5 mA 8 mA 10 mA 13 mA Note Example with PR 52 Fast Scan disabled Pr 64 FSt OFF Constant Contrast GCO 5 PCO 66 0 0 5 Install the chin rest and bite fork with bite fork rod adult or child with hygienic covers Open temple supports by turning the black knob counterclockwise uit Fig 4 3 Chin rest Fig 4 3 Open template supports 6 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
78. nnnnnnnnnnnnnnnnnnnnnnnnnn nnmnnn nnmnnn nnne 35 4 1 P1 Standard panoramic CXPOSULe ceeeeeeeeeeeeeeeeeeeeeeeaaeeaaeeeeeeseeeeeeeeeeeess 35 4 2 P2 Pediatric panoramic exposure eeeeeeeeeeeeeeeeeeeeeeeeaaeeeaeeeeeeseeeeeteeeeeess 43 4 3 P3 Ortho Zone enhanced panoramic CXPOSUFE cccceeeeeeeeeeeeeeeeeeeeeeeeeeees 46 4 4 P4 Orthogonal exposure 2222225 ects er ER antenatal aaa aa aeiia 48 4 5 P5 Wide arch panoramic exposure c cceeceeeeeeeeeeeeeeeecceeceeeecaneeesseeeeseeeeeess 50 5 Special imaging Procedures sceeeeccccccceeeeeeeeeeeeeseeeseeeeeceeeeeeeeeeeeeeeeeeeeeeeeeeeeees 53 5 1 BW Bitewing exposure 2 0 2 2 ccccceeecseeceeseeecsccscecseccececeeneeeeeeeneesetesenennesnescceeuecens 53 5 2 P6 TMJ Lateral projector ES El E de endog 54 5139796 100 rev 4 Instrumentarium Dental i 10 11 12 5 3 P6 Ortho TMJ axial corrected lateral projection optional 58 5 4 P7 TMJ posterioranterior projection ccccccccccseeeeeeeeeeeeeeeeeeeeeeeeeeeeeaaeaneeeeeees 62 5 5 P8 Maxillary SINUS VIEW sis o ccneie cca eee tinea eee ie aareeraceneh 63 Cephalometric procedures Optional cccccccccceeeessneeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeenaneneeees 67 6 1 Preparing the operation sie taken atl eel ah tare 67 6 2 P9a Cephalo Core Lateral projection P9b Lateral projection simii a ne nek Ree URS 67 6 3 P10 Cephalo postero anterior PA projection
79. nsity is controlled in half steps A half step between two indicators is shown with both indicators lit 5139796 100 rev 4 Instrumentarium Dental 77 7 Imaging technique 18 7 2 7 3 AEC test To make sure the Automatic Exposure Control AEC works properly the following test can be performed Cover the x ray source with lead Set the unit to Automatic mode and choose the standard panoramic program Make an exposure and observe the technique factors The technique factors should increase to the highest values 85 kV 13 mA Remove the lead from the x ray source and make the exposure once again Now the technique factors should decrease to the lowest value 57 kV 2 mA Exposure technique factors OP200 D 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 D software settings ie 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 P8 Exposure time is fixed with programs P1 to P8 mA 16 ee0e08e00 sili e eee PER EXEKES EE 2 deeocoeooo odl mm 01700000000 o 0 e0e0e800000 80 8888080 801 e eeeee0e00 647 00000000 o 647 e eee00e00 50191000000000 50 eeeee0e0e e 40 e eee0e00 40 e e0 e ee000 32171000000000 321e0e00e0800000 25 e ee0ee000 2510
80. ntenance and Service programs Sr are for technical people for installation and service O O O O EB Sa mA S ED mut a O wi ce ete E Se RER This manual covers the features of the Pr programs See OP200 D Service Program Manual for Sr program features 12 2 Installation and unit configuration programs PR USER PROGRAMS Pr VOLUMETRIC TOMOGRAPHY SETTINGS 50 Editing the number of exposures and total angle S3d for each procedure Pr POWER UP SETTINGS 51 Select default imaging program and default PUS exposure control mode OP200 D will start up with Pr ROTATING UNIT AUTORETURN Easy patient 54 exit after the exposure by returning the rotating Arn unit to the nearest patient exit position Pr HOMESIDE SELECTION Select from which side 57 of the unit patient positioning is done Hon Pr PREVENTATIVE SERVICE MESSAGE 59 Clear disable or enable the Preventative Service PSE Request message after installation maintenance or service Instrumentarium Dental 103 12 How to use the user programming mode Pr 60 bEP PR USER PROGRAMS PANEL BEEP Enable or disable the response beep when pushing any button in the unit s panels Pr 62 CLC CLEAR USER COUNTER Clear the user exposure counter Pr 63 CEL CEPHALOSTAT EXPOSURE LIMIT Starting position of the lateral ceph image Pr 64 FSt FAST SCANNING SELECTION Enable or disable fast scanning in P1 and P2 Pr 65 doS DOSE TIME DISPLAY
81. o account when calculating the DAP and thus give a more accurate number than the values presented here P1 Standard panoramic Voltage kV Current mA Time s DAP mGycm2 i oo 1 2 Ma i a 66 2 5 14 1 15 66 3 2 14 1 19 66 4 14 1 23 66 5 14 1 29 66 6 3 14 1 37 66 8 14 1 46 66 10 14 1 58 66 13 14 1 75 66 16 14 1 93 128 Instrumentarium Dental 5139796 100 rev 4 P2 Pediatric panoramic 14 User statement Voltage kV Current mA Time s DAP mGycm2 66 2 13 4 12 66 2 5 13 4 15 66 3 2 13 4 19 66 4 13 4 23 66 5 13 4 29 66 6 3 13 4 37 66 8 13 4 46 66 10 13 4 58 66 13 13 4 75 66 16 13 4 93 P9a Core lateral cephalometric Voltage kV Current mA Time s DAP mGycm2 Uf 16 8 6 85 13 8 6 85 13 10 7 85 13 12 5 9 85 13 16 11 85 13 20 14 P9b Lateral cephalometric Voltage kV Current mA Time s DAP mGycm2 Uf 16 8 6 85 13 8 7 85 13 10 8 85 13 12 5 10 85 13 16 13 85 13 20 16 P10 P A Cephalometric Voltage kV Current mA Time s DAP mGycm2 Uf 16 8 8 85 13 8 8 85 13 10 10 85 13 12 5 13 85 13 16 16 85 13 20 20 5139796 100 rev 4 Instrumentarium Dental 129 14 User statement 130 VT Mandibular Maxillary Incisor area Radiation amount per one projection image Vol
82. o use the user programming mode eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeees 105 Instrumentarium Dental 5139796 100 rev 4 13 User program features acc cc sec ccscecacaccesecasbsecncssdsocaceteceuecdasducvadsasveasueaseuausesucdesecsetecdece 107 13 1 Pr 50 S3d Volumetric Tomography settingS eceeenececcreeeeeeeeeeeeeeees 107 13 2 Pr 51 PUS Power Up settings sura aa ieee eas aliens 108 13 3 Pr 52 PCo and Pr 52 gCo Constant contrast amp density settings ce ee eeceeeeeeeeeeeeee rere eeeeeeeeeeeenneaaaeeeees 108 13 4 Pr 53 nor Resume normal SettingS cccccccseeceeeeccecececceceeeeeeeeeeneeteeenteeees 111 13 5 Pr 54 Arn Rotating Unit autoreturn 2002 cece cece eee eteeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeees 112 13 6 Pr 57 Hon Patient positioning side u u ssssseeeereeereerenerrne ennen ren nn nn rener 112 13 7 Pr 58 CON Vertebrae shadow compensation cccccccceeceeeeeeeeeeeeeeeeeeeeees 113 13 8 Pr 59 PSE Preventative maintenance remindet ceceeeeeeeeeeeeeeeeeeeeees 115 13 9 Pr 60 DEP Panel beep cies egereieciccccecnedenu ey laadasienstnohiai pence nbadereelghed bea eeets 116 13 10 Pr 61 CLC Clear exposure COUNTET 2 ccceeeeeeeceeeeeeeeeeeeeessseeeseeeeeeeetess 117 13 11 Pr 62 ERR Last failure code iciad eiivertand eae iad Caen aon 117 13 12 Pr 63 CEL Cephalostat exposure limit senere 118 13 13 Pr 64 FSt Fast scanning selection
83. on by kV or mA 3 Press right left button to change the compensation mode for the selected imaging program nee OFF disables this feature It can be selected with pediatric O patients When disabled the same exposure values are used during the whole exposure cycle LO compensates the spine shadow by one step LI This setting is fine for most patients c 114 Instrumentarium Dental 5139796 100 rev 4 5139796 100 rev 4 IJ 13 User program features HI compensates the spine shadow by two steps This setting can be used with large patients Select ASC for Automatic Spine Compensation The compensation is determined automatically The steps correspond to moving one step to the right in the following series kV 57 60 63 66 70 73 77 81 85 mA 2 2 5 3 2 4 5 6 3 8 10 13 16 Example of use 1 The selected exposure values are 66 kV 8 mA a With Lo one step selection the values during spine compensation are 66 kV 10 mA b With Hi two steps selection the values during spine compensation are 66 kV 13 mA Example of use 2 The selected exposure values are 66 kV 8 mA a With Lo one step selection the values during spine compensation are 60 kV 16 0 mA b With Hi two steps selection the values during spine compensation are 63 kV 16 0 mA as the sequence of the mA values doesn t get any further than 16 0 mA 4 To change the compensation for other imaging O O progra
84. onsult the physician before taking images of pregnant patients WARNING OP200 D must not be used in rooms where an explosion hazard exists Equipment not suitable for use in the presence of flammable mixtures OP200 D with radiation protection in accordance with IEC601 1 3 1994 Instrumentarium Dental 5 1 Introduction 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 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 Caution information on control panel CAUTION X RAYS ATTENTION RAYONS X WARNING This x ray unit may be dangerous to patient and operator unless safe exposure factors operating instructions and maintenance schedules are observed Instrumentarium Dental 5139796 100 rev 4 5139796 100 rev 4 1 Introduction 1 5 2 Laser lights Fig 1 3 Laser light CLASS 1 LASER PRODUCT Max output 100uW 1 5 3 Control from a protected environment The control panel hand switch or optional remote hand switch can be used from an environment protected from
85. or unit Separate ceph sensor or interchangeable pan ceph sensor Technology Charged Couple Device CCD Image pixel size 96 x 96 um Image field height 8 7 inches 221 mm 1980 pixels Image field width in lateral view Image field width in PA view 10 2 inches 260 mm maximum 6 7 inches 170 mm minimum 7 9 inches 200 mm Resolution 5 LP mm cephalometric Data transmission Fibreoptic cable Transmission speed 160 Mbps OP200 D physical measures source image distance SID 19 2 inches 487 mm Panoramic Installation Standard wall mount with 45 angled joint Optional base for free standing unit unit height is increased 25 mm Height x Width x Depth inches mm 2247 x 830 x 1000 standard column 88 5 x 32 7 x 39 4 inches Max 2157 x 830 x 1000 short column option 84 9 x 32 7 x 39 4 inches Max 2447 x 830 x 1000 long column option 96 3 x 32 7 x 39 4 inches Max Weight Instrumentarium Dental 175 kg 385 Ibs Panoramic 5139796 100 rev 4 5139796 100 rev 4 15 Technical specifications 0C200 D source image distance SID physical measures 68 7 inches 1745 mm source object distance SOD 60 inches 1524 mm Installation Standard wall mount with 45 angled joint Optional base for free standing unit unit height is increased 25 mm Height x Width x Depth inches mm Weight
86. orrect and safe disposal and or recycling of the device its spare parts its replacement parts and its accessories The device its spare parts its replacement parts and its accessories may include parts that are made of or include materials that are non environmentally friendly or hazardous These parts must be disposed of in accordance with all local national and international regulations regarding the disposal of non environmentally friendly or hazardous materials The locations of all parts that are made of or include materials that are non environmentally friendly or hazardous can be found in the device service manual Instrumentarium Dental 9 1 Introduction 10 Instrumentarium Dental 5139796 100 rev 4 2 OP200 D controls and accessories 2 OP200 D controls and accessories 5139796 100 rev 4 WARNING Do not stack or locate the unit close to other equipment 2 1 OP200 D main parts Optional cephalostat d nA CCD sensor CCD sensor holder Main support Rotating unit Head and Temple support Bite fork with rod Chin rest Handles or se 2 eS 70 RE Positioning panel Instrumentarium Dental 11 2 OP200 D controls and accessories 10 Control panel 11 Exposure indicator lights 12 FH laser CLASS 1 LASER PRODUCT light height adjustment 13 Mirror 14 PC equipment Fig 2 1 PC equipment 15 Remote exposure button and holder optional in some markets 15 Fig 2 2 Remote exposure bu
87. osure Control Panel Press the right button three times to move the flashing light from the standard panoramic position P1 to the orthogonal position P4 Fig 4 24 P4 Orthogonal image layer Fig 4 25 P4 amp AEC Mode 3 It is recommended to use AEC mode to let OP200 automatically select correct technique factors If necessary it is possible to set technique factors manually according to the patient size by selecting one of the preprogrammed patient size icons or entering the suggested values manually from the table below See Imaging Technique for more information Technique factors in ortho zone imaging Child Juvenile Adult Large adult 110 VAC 66 kV 66 kV 66 kV 66 kV 5 mA 8 mA 10 mA 13 mA 230 VAC 66 kV 66 kV 66 kV 66 kV 5 mA 8 mA 10 mA 13 mA Note Example with PR 52 Constant Contrast GCO 5 PCO 66 0 0 Instrumentarium Dental 5139796 100 rev 4 5139796 100 rev 4 4 Panoramic procedures 4 Press patient positioning button to rotate the rotating unit to the patient positioning position 5 Position the patient and take exposure per steps 5 through 20 of the standard panoramic exposure procedure 6 After the exposure return the system to the standard panoramic program by pressing the cursor buttons to move the flashing led to the standard program position 7 Proceed to the image handling Refer to the User Manual for CliniView software to get instructions how to use CliniVi
88. program 10 P10 in the control panel is lit Fig 6 13 P10 amp Manual mode 3 Position the patient under the cephalostat facing the sensor 4 Patient with opened or closed mouth Turn the head dorsal as reference to the canthomeatal line about 35 40 above the horizontal plane 5 Gently position the ear holders into the external auditory meatuses Ask the patient open the mouth 7 Select the technique factors of 85 kV 13 mA and 20 sec scanning time Verify that READY light is on Make the exposure by pressing the exposure button 10 After the exposure release the patient by opening the ear rods and guide him her out Pay attention that the patient does not hit the secondary slot when stepping out from the cephalostat 11 Remove the disposables 6 6 P10 Carpus view exposure holder optional Prepare the unit for cephalo imaging as instructed in chapter 6 1 Preparing the operation CAUTION Before taking Carpus image make sure this imaging method is approved by local authorities of your country Turn the rotation chassis so that the nasion support is against the sensorholder Turn the nasion support sideways and fasten the carpus holder to the nasion support holder 74 Instrumentarium Dental 5139796 100 rev 4 6 Cephalometric procedures optional Verify that the light under the program P10 in the control panel is lit Fig 6 14 P10 amp Manual mode Ask patient to remove any metal objec
89. r optional Instrumentarium Dental 21 2 OP200 D controls and accessories Part code 68696 Part description Cephalostat mirror assembly optional for right hand ceph Part code 200634 Part description Carpus support optional NOTE The parts marked with are autoclavable Convenient bins for small accessories and disposables are located on the both sides of the vertical carriage Fig 2 10 Left and right accessory cabins 2 6 Disposables amp Service accessories The following accessories disposables and tools are available for the equipment Fig 2 11 Disposables 22 Instrumentarium Dental 5139796 100 rev 4 5139796 100 rev 4 2 OP200 D controls and accessories Part code 6644 Part description Bite fork coat 200 pcs 7451 Chin rest coat 200 pcs 7452 Temple support coat 200 pcs 7453 Nose support coat 200 pcs 8915 Ear holder coat 20 pcs Allen keys fluorescent beam alignment tool AEC calibration block ball pin phantom for image layer check bird for ceph FH light adjustment Service accessories Part code 61215 Part description Allen keys 68662 fluorescent beam alignment tool 60441 68799 AEC calibration block ball pin phantom for image layer check 68719 bird for ceph FH light adjustment 2 7 Changing the fuse
90. r lights Panoramic TMJ amp Maxillary Sinus Programs Cephalostat FH laser light laser light CLASS 1 LASER PRODUCT max output 100uW Warning symbols are placed next to the laser lights and the label describing the laser light classification is placed inside the carriage side cabinet USA Canada models have different types of laser light stickers according to local requirements Caution use of controls or adjustments or performance of procedures other than those specified herein may result in hazardous radiation exposure IEC 60825 1 1993 A1 1997 A2 2001 X ray generator Nominal power 1 2 kW Tube voltage 57 85 kV Tube current 2 16mA Supply frequency 75 150 kHz Spine compensation 0 to 2 mA steps increase max 16 mA Spine compensation mode Automatic ASC Pre programmed User interface Program and technique factors selection exposure control Control panel removable Auxiliary exposure button with 10m cable Note optional in USA Canada Patient positioning Positioning panel integrated Connection to PC Optical link Connection cable OP200 D PC Optical fibre 10m or 20m Instrumentarium Dental 133 15 Technical specifications 134 Panoramic programs amp technique factors amp magnification Standard Adult Panoramic 57 85 kV 2 16 mA 30 Program 1 14 1 17 6s Pediat
91. rams repeat steps 2 3 and 4 Press OK to exit the program Instrumentarium Dental 5139796 100 rev 4 13 4 13 User program features Pr 53 nor Resume normal settings To resume user settings to their default values Error and exposure counters are not affected O kV EE D Os ee mGycm Programming 1 Select Pr 53 nor Time display shows OFF or on NOTE f you enter this program by mistake select OFF to exit without changes m 2 O Gi 3 EB Press left button if you don t want to resume normal settings OFF is displayed Press right button to resume factory normal settings On is displayed This program affects the following User programs Program Default value Pr 51 P1 and AEC mode selected density PUS selection in the middle Pr 52 See default values in the section Pr 52 gCo gCO and PCo Pr 54 Arn on Pr 57 L if positioning lights on the left side HON r if positioning lights on the right side Pr 58 ASC set for all imaging procedures CON Pr 59 PSE on Pr 60 bEP on Pr 61 CLC 0 These parameters have to be checked when configuring OP200 D for daily use Q 4 Press OK to exit the program 5139796 100 rev 4 Instrumentarium Dental 111 13 User program features 13 5 Pr54 Arn Rotating unit autoreturn After the exposure the unit can continue moving and stop so that the patient has an easy exit from the unit This return mov
92. raphy option to Ortho TMJ software Kit Axial corrected TMJ software replaces lateral TMJ program P8 option kit OP200 D Instrumentarium Dental 139 15 Technical specifications 15 1 Electromagnetic Compatibility EMC tables NOTE It is hereby verified that medical electrical equipment needs special precautions regarding EMC and needs to be installed according to EMC information Orthopantomograph OP200 D is suitable for use in the specified electromagnetic environment The purchaser or user of Orthopantomograph OP200 D should assure that it is used in an electromagnetic environment as described below Emissions Test Compliance Electromagnetic Environment Radio Frequency Group 1 Orthopantomograph OP200 D uses RF energy only Emissions for its internal function Therefore the RF emission is CISPR11 very low and not likely to cause any interference in nearby electronic equipment Radio Frequency Class B Orthopantomograph OP200 D is suitable for use in all Emissions establishments including domestic establishments and CISPR11 those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes Harmonic IEC 61000 3 2 Orthopantomograph OP200 D is suitable for use in all emissions Class A establishments including domestic establishments and those directly connected to the public low voltage power IEC 61000 3 2 supply network that supplies
93. re that it is used in an electromagnetic environment as described below Immunity Test Conducted RF IEC 61000 4 6 Radiated RFIEC 61000 4 3 IEC 60601 1 2 Test Level 3 V150 kHz to80 MHz 3 V m80 MHz to2 5 GHz Compliance Level Vi 3V E 3V m Electromagnetic Environment Portable and mobile RF communications equipment are used no closer to any part of Orthopantomograph OP200 D including cables than the recommended separation distance calculated from the equation appropriate for the frequency of the transmitter Recommended Separation Distance d 2WP Vi 3 5 d WP Ei 80 MHz to 800 MHz q d WP 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 Co 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 measu
94. red field strength exceeds the RF compliance level above observe Orthopantomograph OP200 D 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 D 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 15 3 RF immunity of non life support equipment or system IEC 60601 1 2 142 Instrumentarium Dental 5139796 100 rev 4 5139796 100 rev 4 15 Technical specifications NOTE t is hereby verified that RF communications equipment can effect medical electrical equipment NOTE This equipment generates uses and can radiate radio frequency energy If not installed and used in accordance with this manual it may cause harmful interference to radio communications Portable and mobile RF communications equipment can also affect the performance of OP200 D Recommended Separation Distances for Portable and Mobile RF Communications Equipment IEC 60601 1 2 Frequency of 150KHz to 80 MHz to 800 MHz to Transmitter 80 MHz 800 MHz 2 5 GHz 3 5 3 5 7 Equation dr P d VP d WP Vi E E Rated Maxim
95. ric Panoramic P2 57 85 kV 2 16 mA 30 13 4 16 8s Ortho Zone P3 57 85 kV 2 16 mA 16 8 s 25 Orthogonal Panoramic P4 57 85 kV 2 16 mA 16 8s 30 Wide Arch Panoramic P5 57 85 kV 2 16 mA 17 4 s 30 Lateral TMJ View P6 57 85 kV 2 16 mA 10 8s 23 Ortho TMJ P6 optional 57 85 kV 2 16 mA 10 8s 23 PA TMJ View P7 57 85 kV 2 16 mA 8 0s_ 80 Maxillary Sinus P8 57 85 kV 2 16 mA 15 6 s 30 Bitewing BW 57 85 kV 2 16 mA 11 2s 30 Quality Assurance QA PO 57 kV 2 mA 85 kV 8 mA 12 7 s 15 values Exposure Control Automatic Exposure Control AEC P1 P5 Pre programmed icons for all programs Automatic Spine Compensation Cephalometric programs amp technique factors Core Lateral view P9a 60 85 kV 3 2 16 mA 8 20 s Lateral view P9b 60 85 kV 3 2 16 mA 8 20 s PA AP facial and oblique views P10 60 85 kV 3 2 16 mA 8 20 s Carpus View P10 60 85 kV 3 2 16 mA 8 20 s Exposure Control Automatic Facial Contour AFC Pre programmed icons for all programs Magnification factor 1 14 14 Image storing and retrieving File formats PNG 16 bit JPG 12 bit Instrumentarium Dental 5139796 100 rev 4 15 Technical specifications Image storing and retrieving File compression PNG lossless JPG 100 60 quality Typical panoramic About 2 4 MB PNG 16 bits file size Typi
96. right button to move the flashing light to the test mode T position Fig 7 10 Test mode oa 4 Press the exposure button to demonstrate the movements The unit will now operate without X ray emission To return to the AEC A mode press the left button twice Instrumentarium Dental 5139796 100 rev 4 5139796 100 rev 4 7 Imaging technique 7 7 Measurements from the image In normal panoramic mode images the vertical dimension must be devided 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 standard panoramic and 1 23 in TMJ lateral 1 8 in TMJ PA and changes rapidly when moving away from focal trough NOTE CliniView software corrects automatically the enlargement proportion Refer to User Manual for CliniView software WARNING n 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 image Instrumentarium Dental 83 7 Imaging technique 84 Instrumentarium Dental 5139796 100 rev 4 8 Special features 8 1 Basic quality assurance The Orthopantomograph OP200 D can produce a self diagnosing image for checking that the OP200 D digital system OP200 D unit PC hardware with connections an
97. rogram by pressing the cursor buttons to move the flashing light to the standard program position Remove Ortho TMJ accessories 18 Remove disposable covers and disinfect the unit 19 Proceed to the image handling Refer to the User Manual for CliniView software to get instructions how to use CliniView software A A NOTE t is possible to choose either side TMJ to be exposed alone to reduce the radiation Select the section ig l with left or right buttons Enable or disable the section with OK button Either section of jaw joints number 4 must lt always be chosen in P6 5139796 100 rev 4 Instrumentarium Dental 61 5 Special imaging procedures 5 4 P7 TMJ posterioranterior projection Prepare the equipment per section Preparation for panoramic image acquisition Select the imaging program P7 for TMJ PA projection on the Exposure Control Panel Fig 5 18 P7 Image layer Fig 5 19 P7 amp Manual mode 3 The system is in the Manual Exposure Control mode Use technique factors per section TMJ Lateral projection Press patient positioning button to rotate the rotating unit to the patient positioning position Position the patient as in TMJ Lateral view and procedure steps through Move the TMJ pointer 10 mm anterior compared to jaw closed positioning Fig 5 20 TMJ PA Projection 6 62 Have the patient open the jaw After patient positioning press start position button wait until the un
98. rved to verify normal operation in the configuration in which it will be used Interference may occur in the vicinity of equipment marked with the following symbol Ko NOTE No portable or mobile RF communications equipment may be used closer to any part of the Orthopantomograph OP200 D including cables than the recommended separation distance calculated from the equation appropriate to the frequency of the transmitter See Table 4 Instrumentarium Dental 5139796 100 rev 4 16 Maintenance 5139796 100 rev 4 16 1 16 2 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 Maintenance Schedule Maintenance service for Orthopantomograph OP200 D is suggested at installation and after each 2000 exposures This periodic maintenance is outlined in OP200 D 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 SERVICING THIS UNIT WITHOUT ADEQUATE EXPERTISE IS EXTREMELY DANGEROUS Instrumentarium Dental recommends that all service operations are performed
99. s Instrumentarium Dental 23 2 OP200 D controls and accessories 24 Push inward on the fuse base and twist 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 Instrumentarium Dental 5139796 100 rev 4 3 Equipment care and preparations 5139796 100 rev 4 3 1 3 2 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 NOTE t 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 Cleaning recommendations The unit should be cleaned after every usage between the patients Items and surfaces that are not given special instructions for cleaning disinfecting and sterilizing can be cleaned with soft cloth moistured with disinfective after every usage WARNING Alwa
100. s and close the temple supports by rotating the black knob clockwise Fig 5 14 Ortho TMJ patient Fig 5 15 Angle indicator adjustment positioning 12 To adjust the x ray beam angle to the patient s condyler 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 marker is displayed over the patient s condyle It is about 10 mm anterior direction from the external auditory meatus Instrumentarium Dental 5139796 100 rev 4 5 Special imaging procedures Fig 5 16 Positioning panel left side TMJ pointer adjustment buttons backward 22 reset 23 forward 24 A amp DP J Fig 5 17 Positioning panel right side TMJ pointer adjustment buttons backward 22 reset 23 forward 24 13 Have the patient gently close the jaws together 14 After patient positioning press start position button wait until the unit stops Check that the patient positioning has not changed when the rotating unit has moved to its starting position 15 Press and hold the exposure button The system will cycle exposing only the two TMJ s 16 Release the exposure button open temple supports and guide the patient out Remove the TMJ pointer TMJ chin rest and TMJ angle indicator 17 After the exposure return the system to the standard panoramic p
101. se 1 Patient s neck was not stretched 2 Spine compensation not used or LOW compensation was used with large adult patient Remedy 1 Stretch patient s neck 2 Enable or increase spine compensation Black shadow over maxillary teeth apex area Tongue was not against the roof of palate Ask patient to swallow and place tongue against the roof of palate during the exposure TM s exposed on different heights on image Bilateral distortion in molar and premolar regions 1 Patient tilted to one side 2 Midsagittal laser light line not obeyed 1 Check midsagittal plane and center patient s head 2 Check midsagittal plane and center patient s head Rows of teeth exposed too high TMu s cut off 1 Chin was not resting on chin support 2 Patient positioned too high 1 Check patient positioning and type of bite fork rod 2 Check patient positioning and type of bite fork rod Rows of teeth exposed too low Mandible not exposed completely to the image Chin rest was not used with bite fork Install chin rest 5139796 100 rev 4 Instrumentarium Dental 97 11 Diagnosing image quality problems 98 11 2 Image appearance problems Problem Images are too light Possible cause CliniView Contrast and brightness not optimum CliniView Gamma not set correctly Remedy Adjust contrast and brightness
102. strumentarium Dental 5139796 100 rev 4 5139796 100 rev 4 8 3 8 4 8 Special features Exposure counter The total number of exposures is counted automatically by the system and can be read any time from the control power Turn the OP200 D power on and wait until the normal display appears Make sure that one of the programs P1 to P10 is selected Press OK Several numbers will be displayed on the Control panel for a few seconds while other indicators will be turned off The total number of exposures is read from top to bottom The maximum value is 99 999 exposures Nothing needs to be done to resume normal operation Preventive maintenance reminder The exposure counter also provides means of reminding when maintenance is due After every 2000 exposures a special reminder message Ch 8 PSE is displayed when the power is switched on This message indicates that the user should contact the dealer for the scheduled maintenance We recommend that this unit will be provided regular service for best performance and reliable operation Refer to chapter Maintenance of this manual 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 Instrumentarium Dental 87 8 Special features 88 Instrumentarium Dental 5139796 100 rev 4 9 Understanding the OP200 D image Fig 9 1 Drawing of OP200 D radiograp
103. t and left image sides are uncomplete TMJ s are not shown Patient s shoulder in touch with machine parts Exposure button released prematurely Orthogonal procedure was mistakenly used Check patient positioning Retake the image Select correct panoramic procedure A light horizontal line on QA image Bite block was left on place Remove the bite block and retake QA image Horizontal lines on image CCD sensor problem Consult the dealer CEPH Unexposed rectangular on the Ceph collimator not correctly Select correct collimation image selected CEPH Vertical lines on Secondary Contact service the image collimator out of adjustments 5139796 100 rev 4 Instrumentarium Dental 99 11 Diagnosing image quality problems Problem 2 ear holder pins CEPH Lateral view has 1 Cephalostat lock not locked 2 Ear holders misaligned Possible cause Remedy 1 Lock it 2 Call service 11 4 Unit operation Problem READY light not lit at the control panel 1 PC is not ready System is not Possible cause Unit is not ready for exposure for exposure ready for exposure Remedy 1 Check the program selection and CCD sensor If the unit still not ready momentarily press exposure button Failure message will be displayed Make the corrective measures 2 Start PC and CliniView software
104. tage kV Current mA Time s DAP mGycm2 66 2 0 4 0 4 9 66 4 4 0 7 8 66 5 4 0 9 9 66 6 2 4 0 12 4 VT Mandibular Maxillary Canine area Radiation amount per one projection image Voltage kV Current mA Time s DAP mGycm2 77 2 4 0 5 3 77 3 2 4 0 8 2 77 4 4 0 10 3 77 5 4 0 13 1 VT Mandibular Maxillary Molar area Radiation amount per one projection image Voltage kV Current mA Time s DAP mGycm2 11 3 2 4 0 8 2 77 5 4 0 13 1 77 6 3 4 0 16 5 77 8 4 0 20 9 Instrumentarium Dental 5139796 100 rev 4 15 Technical specifications 5139796 100 rev 4 Manufacturer Quality system Instrumentarium Dental P O Box 20 FIN 04301 Tuusula FINLAND In accordance with 1S0O13485 and 1909001 standard Environmental management system In accordance with 15014001 standard Electrical amp mechanical safety According to IEC60601 1 UL and C UL File E301913 CE models marked according to the Medical Device Directive 93 42 EEC Product name ORTHOPANTOMOGRAPH ORTHOCEPH Model OP200 D OC200 D Product type Digital Panoramic X ray Unit Digital Panoramic X ray Unit with Cephalostat Unit data Class Type B Protection IP 20 Operation Continuous operation with intermittent Power supply loading Mains plug connection High voltage First software version DC Rel
105. tant Contrast GCO 5 PCO 77 0 0 5139796 100 rev 4 Instrumentarium Dental 69 6 Cephalometric procedures optional 6 3 Verify that READY light is on Press the exposure button to make the exposure After the exposure release the patient by opening the ear rods and guide him her out Pay attention that the patient does not hit the secondary collimator when stepping out from the cephalostat Remove the disposables P10 Cephalo postero anterior PA projection Prepare the unit for cephalo imaging as instructed in chapter 6 1 Preparing the operation Drive the unit to the patient positioning position by pressing the patient positioning button NOTE Make sure that the nasion support does not hit the secondary collimator while rotating the ear rods Turn the ear rods to the PA projection position and lock by turning the handle on the cephalostat head Locking lever Ear holder brake Verify that the light under the program 10 P10 in the 70 control panel is lit Instrumentarium Dental 5139796 100 rev 4 6 Cephalometric procedures optional Fig 6 5 P10 amp Manual mode Tilt the nasion support aside Insert the optional hygienic covers over the ear rods Guide the patient under the cephalostat Adjust the cephalostat to the proper height and introduce the ear rods to external auditory meatuses Fig 6 6 PA projection Select the technique factors by changing the scanning time or sel
106. tarted up and is in normal operating mode Press and hold OK until user programming mode is entered The current program e g Pr 51 PUS is displayed on the control panel NOTE f OK is released too early normal operating mode is resumed In that case repeat step 3 0O amp OO 8 5139796 100 rev 4 Use the up down buttons to select one of the Pr programs Press OK Use the up down buttons to select different options Use the left right buttons to change the settings Follow the guidelines for each Pr program as described in the next chapter Press OK to exit the program NOTE f power is switched off before the program is exited the program does not store any changes Press OK for a while to exit from the user programming mode A tone is heard as the normal operating mode is resumed Another way to exit the user programming mode is to switch OP200 power off wait for 15 s and switch the power on again Instrumentarium Dental 105 12 How to use the user programming mode 106 EXAMPLE 1 To change the constant dose settings of the unit Imaging User Value 4 Programs Programs 2 P1 gt Pr 50 S3d gt 3 P2 Pr 51 PUS 4 P3 Pr 52 Gco 5 P4 si Pr 53 nor 6 P5 Pr 54 Arn 7 P6 seconds Pr 58 Con 8 P7 ee Pr 59 PSE 9 P8 Pr 60 bEP 10 P9 Pr 61 CLC 11 P10 lt i Pr 62 Err lt i 12 P11 Pr 65 doS 13 P12 14 Press and hold OK to enter the user programming mode The tone is h
107. that a special image quality assurance procedure and test object designed for image quality assurance Instrumentarium Dental 5139796 100 rev 4 5139796 100 rev 4 1 7 1 Introduction purposes is used code 68795 Also we recommend that a 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 For more information please contact your local dealer According to 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 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 NOTE Only use PC hardware that has been tested to be compatible with the OP 200 D PCI board and CliniView software NOTE Certain changes to the hardware may void the compatibility Contact your local dealer for up to date information on this matter Disposal At the end of useful service life of the device its spare parts its replacement parts and its accessories make sure that you follow all local national and_ international regulations regarding the c
108. the ear opening and the infra orbital notch Be sure the patient does not slump if carriage is lowered Move the head support against the patient s forehead by pressing the buttons on the sides and close the temple supports by rotating the black knob clockwise Instrumentarium Dental 5139796 100 rev 4 5 Special imaging procedures Fig 5 23 Maxillary Sinus view positioning 9 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 Center layer position is selected by pressing normal occlusion button This will adjust the unit during the exposure A 4 3 2 CC O 2 34 GA 0000S canes I A i I Fig 5 24 Positioning panel located at Fig 5 25 Positioning panel localted left side Sinus layer adjustment at right side Sinus layer adjustment buttons 10 mm posterior 22 center buttons 10 mm posterior 22 23 10 mm anterior 24 center 23 10 mm anterior 24 Fig 5 26 P5 Sinus view layers anterior premolar molar 10 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 11 After patient positioning press start position button wait until the unit stops Check that the patient 5139796 100 rev 4 Instrumentarium Dental 65 5 Special imag
109. 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 2 Prepare the equipment per section Preparation for panoramic image acquisition 3 Select the imaging program for corrected lateral TMJ projections on the Exposure Control Panel Fig 5 9 P6 Image layer Fig 5 10 Condylar lateral angles 6y JA Fig 5 11 P6 amp Manual mode 4 The system is in the manual exposure control mode as the automatic exposure control is not available for Instrumentarium Dental 5139796 100 rev 4 5139796 100 rev 4 5 Special imaging procedures this program To set technique factors by patient size select one of the preprogrammed patient size icons or enter the suggested values manually from the table below 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 70 kV 8 mA 13 mA 13 mA 16 mA 230 VAC 66 kV 66 kV 66 kV 70 kV 8 mA 13 mA 16 mA 16 mA Note Example with PR 52 Constant Contrast GCO 5 PCO 66 1 0 5 CH i Press patient positioning button to rotate the rotating unit to the patient positioning position Remove the bite fork bite fork rod chin rest and sinus rest Install the TMJ chin rest with hygienic coat Install the carbon fiber TMJ pointer with the
110. tion of the focal trough in reference to the occlusion The image layer laser CLASS 1 LASER PRODUCT 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 Fig 4 13 The image layer correction buttons Press the button ser light closest to mirror if the patient has progenia Press the button closest to patient if he has prognathism HD 0 m y 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 retrusion 22 normal 23 protrusion 24 This will adjust the image layer during exposure After the exposure occlusion correction is automatically reset to center position 16 Advise patient to close lips and swallow This will raise the patient s tongue to the roof of the mouth and enhance image quality Ask the patient to breathe through the nose and remain still during the exposure Patient can be asked to close eyes 17 After patient positioning press start position 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 Instrumentarium Dental 41 4 Panoramic procedures WARNING During the exposure cycle r
111. ts and place hand against the carpus holder Select the following technique factors manually Directive technique factors for carpus imaging 12 Verify that READY light is on Press the exposure button to make an exposure 5139796 100 rev 4 Instrumentarium Dental 75 6 Cephalometric procedures optional 76 Instrumentarium Dental 5139796 100 rev 4 7 Imaging technique 7 1 Automatic exposure control AEC When the OP200 D is turned on it is set as a default to Standard Panoramic with Automatic Exposure Control The software will monitor the amount of radiation the CCD sensor is receiving and automatically set the exposure factors for proper dose After the exposure the adjusted values are shown on the display The AEC will stay engaged with all the panoramic procedures unless set to manual mode P1 through P5 The signal to noise ratio can be changed while keeping AEC engaged 1 The signal to noise ratio can be adjusted by resetting the automatic exposure density scale on the Control Panel Fig 7 1 AEC density scale OOO 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 To increase the signal to noise ratio press the right button to move the flashing light to the right 4 To decrease the radiation output press the cursor button to move the flashing light to the left QO NOTE AEC de
112. tton Instrumentarium Dental 5139796 100 rev 4 5139796 100 rev 4 2 OP200 D controls and accessories Fig 2 3 Carriage bottom plate and unit main label Fig 2 4 Optical fibre connectors in OP200 D Instrumentarium Dental 13 2 OP200 D controls and accessories 14 Fig 2 5 Optical fibre connectors in PC 16 Main label 17 Power ON OFF switch with an indicator NOTE When unit has been switched ON wait about one minute until the unit is ready to exposure 18 Main fuses with label 19 Connector for Control panel 20 Optical fiber link connectors at OP200 D transmitter and receiver 21 Cephalostat main cable only in OC200 D units 22 Optical fiber link connectors at PCI card transmitter and receiver 23 PCI board status leds Instrumentarium Dental 5139796 100 rev 4 5139796 100 rev 4 2 OP200 D controls and accessories 2 2 OC200 D Main parts eer eS 2 SS RY Cephalostat head Control buttons CCD sensor Secondary collimator Ear rod with pin Nasion support with scale Locking knob for ear rod rotation Ear rod brake release button Knob for raising and lowering the CCD sensor Instrumentarium Dental 15 2 OP200 D controls and accessories 2 3 Control panel 9 f fe A FAN e 0 0 0 Om PEN AV fh db ft ea 1 a see AR Orthopantomograph OP200 D A SON A Exposure Control I JHR Sections Anter
113. tton not to hear the beep signal after pushing the panel buttons OFF is displayed 3 Press the right button to enable the beep signal after pushing the panel buttons On is displayed 4 Press OK to exit the program Instrumentarium Dental 5139796 100 rev 4 13 User program features 13 10 Pr 61 CLC Clear exposure counter 5139796 100 rev 4 13 _ OO 1 The left 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 clear the exposure count O O me kV 5 i mA EA Os E L L O MGycm Programming 1 Select Pr 61 CLC The mA and time displays show the total number of exposures since last reset of this counter N Press the left button to clear the counter value to zero after Installation or Maintenance 0 is displayed a Press the right button not to clear the exposure counter value to zero Number of exposures taken is displayed in the time dose display 4 Press OK to exit the program Pr 62 ERR Last failure code OP200 D stores the last storable failure code information A new OP200 D may have a failure code already in this memory and this is considered normal O O EB GB ORS Programming 1 Select Pr 62 Err OP200 D displays the last failure code If there are no failure codes stored in the memory displ
114. ulfilled A PC is a medical one if it complies IEC 601 1standard and that is indicated in the accompanying documents of the PC NOTE n order to maintain safe and correct functioning of OP200 D only the approved accessories may be used CAUTION Use of controls or adjustments or performance of procedures other than those specified herein may result in hazardous radiation exposure Following manuals and documents are shipped with the OP200 D OP200 D OC200 D Installation amp Adjustments Manual OP200 D OC200 D User Manual E Installation amp User Manual for CliniView software These manuals and future updates are available on request from the manufacturer 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 D All government and local regulations pertaining to radiation safety must be observed NOTE For USA Many provisions of these regulations are based on recommendations of the National Council on Radiation Protection and Measurements Recommendations for dental x ray protection are published in NCRP Report 35 available from NCRP 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 C
115. um Separation Separation Separation Output Distance Distance Distance Power of meters meters meters Transmitter watts 0 01 0 12 0 12 0 23 0 1 0 37 0 37 0 74 1 1 17 1 17 2 34 10 3 69 3 69 7 38 100 11 67 11 67 23 34 Fig 15 1 Table 4 Instrumentarium Dental 143 15 Technical specifications 144 USE LIMITATION External components The use of accessories transducers and cables other than those specified may result in degraded ELECTROMAGNETIC COMPATIBILITY of the EQUIPMENT and or SYSTEM INSTALLATIONS REQUIREMENTS amp ENVIRONMENT CONTROL In order to minimize interference risks the following requirements shall apply Cables shielding amp grounding All interconnect cables to peripheral devices must be shielded and properly grounded Use of cables not properly shielded and grounded may result in the equipment causing radio frequency interference Electrostatic discharges environment amp recommendations In order to reduce electrostatic discharge interference a charge dissipative floor should be installed to prevent charge accumulation m The dissipative floor material must be connected to the system reference ground if applicable m Relative humidity must be maintained above 30 percent Stacked components amp equipment The Orthopantomograph OP200 D should not be used adjacent to or stacked with other equipment if adjacent or stacked use is necessary the Orthopantomograph OP200 D should be obse
116. with Indicator lights Child Juvenile Adult Large adult Function Selection buttons Move the flashing indicator to left or right O decrease or increase the value on display Move the flashing indicator up or down to O the next selection row P1 P10 Show exposure counter value P11 P12 Show projection angle and number of images All programs Clear errors NOTE The OK button is also used for entering and exiting OK programming mode See chapter User program features for details 18 Instrumentarium Dental 5139796 100 rev 4 5139796 100 rev 4 2 OP200 D controls and accessories Radiation warning 2 4 Positioning panels Fig 2 6 Positioning panel right side on left side just the buttons 25 and 26 are flipped Positioning Panel button meaning in each mode Key Panoramic P1 P5 Maxillary Sinus P8 20 Carriage movement up and down 21 moves the image layer 3 moves the image layer mm anterior during 10 mm anterior from exposure nominal position during retrusion exposure 22 normal occlusion reset nominal position position 23 moves the image layer 3 moves the image layer mm posterior during 10 mm posterior from exposure nominal position during protrusion exposure 24 Positioning lasers CLASS 1 LASER PRODUCT on off 25 Rotating unit movement Start positioning 26 Rotating unit movement Patient positioning Positioning Panel butto
117. with laser light too far anterior lines and 2 Image layer occlusion laser light not correction obeyed buttons 3 Bite block was Check patient pasar not used positioning with laser light lines and occlusion correction buttons Insert bite block 5139796 100 rev 4 Instrumentarium Dental 95 11 Diagnosing image quality problems 96 Problem Teeth appear wider on 1 one side and narrower on the opposite Ramus 2 widths are different on opposite sides Possible Cause Midsagittal line not obeyed Patient s head not in center position Remedy 1 Check patient s mid sagittal plane with laser light line Check that patient s head is centered and that the head support side clamps where closed to keep the head straight The shadow of hard Patient head tilted palate is exposed over back maxillary molars Row of teeth has a wavy appearance TM joints are exposed outward Image is not smiling Mandible is imaged sharper than maxilla Check FH plane Rows of teeth curved Patient head tilted upwards Mandibular forward incisors are unsharp TMJ joints exposed high and are often cut off from the image Image is smiling too much Check FH plane Instrumentarium Dental 5139796 100 rev 4 11 Diagnosing image quality problems Problem Middle area of the image too bright and unsharp Spine shadow Possible Cau
118. y 20 where blinking display tells the waiting time after which next exposure can be started kV Time display Ch failure PC PAC CEC COL POS rEL PSE rEo EAr PAR LbL bPL StP HSP or numbers Sy failure HHo ArC Inu FIL AEC EEP Por CCD PoL PoH PoU nSY COL or numbers Er failure CPU FIL InP 10 5 Resetting a failure Ch and Sy failures can be reset by pressing the OK button Some of them will be reset as soon as the miscondition they represent is corrected If a Sy failure appears repeatedly call your local dealer The Sy 20 failure is an exception as it appears when a new exposure has been initiated too soon after the previous one This is neccesary to protect the unit from overheating The length of the waiting time depends on the number of exposures and exposure values used recently This is normal operation Er failures can not be reset Switch the unit off and on to test whether the failure was only temporary Instrumentarium Dental 5139796 100 rev 4 Fig 10 1 Patient positioning panel 10 Failure diagnostics Only one error code is shown at a time In case of multiple error codes press OK to display the following error code Check Ch1PC Interpretation PC SYSTEM System not ready for an exposure The PC and CliniView software is not ready for capture or there is no connection to the OP200 Ch 2 PAC Ch 2 CAC PC SYSTEM System not ready for an
119. y stop button is Ch 17 HSP HEAD SUPPORT The head support is in invalid too low position for selected imaging program 10 6 Failure codes PCI board LED s H1 is uppermost H5 is lowermost H1 LINK_OK light is lit when link is OK H2 EPROM FAILURE light is lit when there is an red EPROM failure H3 3 3V light is lit when 3 3V is present H4 5V light is lit when 5V is present H5 LOCAL RESET red light is lit while RESET 94 Fig 10 2 PCI board LED s Instrumentarium Dental 5139796 100 rev 4 11 Diagnosing image quality problems High quality images 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 problems Problem Possible Cause Remedy Incisors and canines 1 Occlusal Check patient narrow and unsharp correction of positioning Overshadow in molar focal trough set with laser light and premolar areas too far posterior lines and Rows of teeth are 2 Image layer occlusion compressed laser light not correction obeyed buttons 3 Bite block was Check patient not used positioning with laser light lines and occlusion correction buttons Insert bite block Incisors and canines 1 Occlusal Check patient wide and unsharp Rows correction of positioning of teeth widened focal trough set
120. ys disconnect OP200 D 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 Instrumentarium Dental 25 3 Equipment care and preparations 26 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 Chlorine 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 an

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