Home

OP100 D User and Technical Manual

1. 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 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 mA mA 16 6 0000060 cei 16 00 gio vac 12 0 00 o 06000 12 e O O O 10 06000000060 10 0 929 290 8 0 e 0 0 0 0 0 0 6 8 0 o 0 0 0 e 000 64 0 0 0 0 00 6 6 4 E E E E E s 5 0 0 o 0 0 0 0 6 5 0 o 0 0 0 6 0 000 4 0 o 6 0 0 0 0 0 0 0 4 0 2 0 e 0 0 0 0 6 32 0 0 0 0 00000 3 2 0 929999 2 5 o 0 0 e 0 0 0 6 2 5 o 0 0 0 0 0 000 2 0 0 0 0 0 0 0 60 0 80 2 0 0 99929922 57 60 63 66 70 73 77 81 85 kVp 57 60 63 66 70 73 77 81 85 kVp Fig 12 1 Possible technique Fig 12 2 Possible technique factors factors with 230 VAC with 110 VAC Exposures are automatically limited during duty cycle cooling times minimum of 15 s Maintenance To keep the equipment in compliance with the DHHS Performance Standard the following maintenance schedule shall be observed Up to 40 exposures per week perform maintenance every 12 months At 40 100 exposures per week perform maintenance every 6 months Refer to the chapter Maintenance of this manual for details Tube ratings Maximum rating chart Multi Peak Full Wave rectifi
2. 60785 4A 60785 4A 5 Special imaging procedures 5 3 P8 Ortho TMJ axial corrected lateral projection optional When used this optional program replaces the TMJ lateral projection exposure program P8 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 This will be the correction angle Take care in positioning the patient while taking the SMV Be sure the patient s ala tragus line is vertical if not this can result in an incorrect angular measurement If the left and right condyles are at vaste different angles two corrected joint views may be required 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 With the OP100 D press the key two times to move the flashing light from the standard panoramic position P1 to the Ortho TMJ position P8 Fig 5 14 P8 Image layer Fig 5 15 Condylar lateral angles M Fig 5 16 P8 amp Manual mode 4 The syst
3. 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 Preventive Reminder The equipment has a special feature that displays a message Ch 8 PSE on time display after every 2000 exposures See OP100 D User Program Manual for details J NOTE Wiring diagrams schematics and other documents which are needed when the unit is repaired will be supplied by request GE Healthcare 95 14 Maintenance 96 GE Healthcare 60785 4A General Electric Company 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 GE representative for the most current information 2004 General Electric Company Instrumentarium Imaging GE Medical Systems company going to market as GE Healthcare 06 2004 Printed in Finland For more than 100 years healthcare providers worldwide have relied on GE Healthcare for medical technology services and productivity solutions So no matter what challenges your healthcare system faces you can always count on GE to help you deliver the highest quality healthcare For details please c
4. 47 5 4 P9 TMJ posteroanterior projection 50 60785 4A GE Healthcare i 11 12 13 14 Cephalometric procedures OptiOnal csssccsseseeeceseeeeeseeeseneees 53 621 PRED ARNG ING Operation sssccsseiseserrivecsssseseudvinsaismavdenevmnteusardestnedeaen 53 6 2 FO Laleral Di O SCUON scoasa ia a dadu ala calda i suns 54 6 3 P7 Postero anterior PA projection i 55 64 USING TNE CarOUS SUPPO scie sei sea aid 57 IMAGING tecnNIgU BED RR RR RR eoa BR RP RR A e RP RR 59 Tal Automatic exposure control AEC eee eee eee 59 i2 lS S ee eee ee ee teze e o aia oala oi tt ine at ala ia in 59 To EXDOSIHIe TECMNIGUC TACIONS si rei 60 74 Manual MOS saseasca ata sie ea ira 62 7 5 Eree selecio of KV GING Migliaia alia 63 716 TELMO G sea aa 64 7 Measurements from the image eee eee 64 Special eatre S iiini 65 Gil QUAMy ASSUFANCE irreale o 65 2 CSEXOSHS COUNIC arl 66 8 3 Preventive maintenance reMInder i 67 Understanding the OP100 D iMagQ ccccccseeseeeeeneeeeeneeeeeneeeeeneenees 69 Failluie GIaGNOSiI CS ici aice ao dupa a a ia cuib osti a pad daia aaa dacia 71 TOA FallUfe messages alal 71 10 2 OV OISPA ci oana aveti a ina dre ai 71 TGS MA Ol SONY tess cates rea hd at acido ial dae uta ial ud e all id ata d dt 72 10 4 WNC GIS DAY ccc omise it ea omu ret aa ied i i Ola aja cara da aaa 72 10 5 FRCS CUMMG Idalle seu co canta aia ua n
5. Horizontal dimensions should not be measured because the horizontal magnification is accurate only in the center of focal trough 1 3 in panoramic and TMJ lateral 1 8 in TMJ PA and changes rapidly when moving away from focal trough a J NOTE CliniView software corrects automatically the enlargement proportion Refer to User Manual for CliniView software WARNING In panoramic images the horizontal and vertical magnifications are the same only in the focal trough Manufacturer assumes no liability on the accuracy of the measurements from the X ray image Angulation of the object being imaged affects on the dimensional accuracy on the image 64 GE Healthcare 60785 4A 8 Special features 8 Special features 8 1 The Orthopantomograph OP100 D can produce a self diagnosing image for checking that OP100 D digital system OP100 D unit PC hardware with connections and CliniView software works properly Quality assurance Remove the bite fork with bite fork rod Set the primary collimator to the QA position Move the lever to the left and pull up QA selection is indicated in control panel with lowest kV mA values 57kV 2mA and a moving indicators in the AEC density scale I I L Fig 8 1 OP100 D QA collimator selection 3 e e e DP 60785 4A Press the start button in the patient positioning panel The rotating unit turns towards the colu
6. Panoramic procedures 4 3 P3 Ortho Zone enhanced panoramic exposure Fig 4 19 P3 Ortho Zone image layers When used this optional program replaces the Wide layer enhanced panoramic program P3 on the Control panel 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 allow for views of the TM joint without redundant shadows from the opposite side 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 and uncooperative patients 1 Prepare the equipment and PC system per section Preparation for panoramic image acquisition 2 Select the Ortho Zone program on the Exposure Control Panel Press the right key twice to move the flashing light from the standard panoramic position to the Ortho Zone position P3 Fig 4 20 P3 amp AEC Mode 3 To set technique factors by patient size select one of the preprogrammed patient size icons or manually entering the suggested values from the table below Refer to se
7. cephalometric imaging and the left end is for the panoramic imaging To make the QA image select first the panoramic position and then lift up the lever 18 GE Healthcare 60785 4A 60785 4A 2 OP100 D controls 2 7 Changing the fuses ee ee ra da so Se a E a e a fa Push upward 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 fuse Fasten both fuses by pushing the base up and twisting it clockwise with a screwdriver Use only appropriate fuses 326 Littelfuse 10A slow blow 230 VAC 326 Littelfuse 15A slow blow 115 VAC GE Healthcare 19 2 OP100 D controls 20 GE Healthcare 60785 4A 3 Equipment preparations 3 Equipment preparations 60785 4A 3 1 Cleaning recommendations The unit should be cleaned after every usage between the patients ltems 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 Always disconnect OP100 D from mains or switch off the power prior to cleaning or disinfecting the unit do not allow any liquid to enter the unit interior CAUTION Do not allow water or other cleaning liquids to enter the unit interior since these may cause short circuits or corrosion 3 1 1 Cleaning The purpose of
8. 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 Never use cleaners or solvents of any kind If you are uncertain of the nature of cleaning agent do not use it For example the following cleaning agents are allowed and not allowed to clean the unit panels Allowed Acetylene Butylalcohol Ethanol ethyl alcohol 96 Methanol metyl alcohol Soap Not allowed Bentzene Chlorine bentzene Acetone Acetic ether 3 1 2 Disinfection For example use Ethanol 96 for disinfection of equipment 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 J NOTE Wear gloves and other protective equipment during decontamination process GE Healthcare 21 3 Equipment preparations 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 ju
9. hazard exists OP100 D with radiation protection in accordance with IEC 601 1 3 1994 1 6 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 Fig 1 5 Caution information on Control panel 6 GE Healthcare 60785 4A 60785 4A 1 Introduction 1 6 2 Control from a protected area The operator does not need to be close to the patient during normal use Control panel hand switch or optional remote hand switch can be used from a protected area from the focal spot and the x ray beam The full extended spiral cable length of the control panel hand switch is approx 4 m 13 ft The cable length of the optional remote hand switch part 69961 is approx 10 m 32 ft 1 7 Manufacturers liability As a manufacturer we can only assume liability of safe and reliable operation of this unit when e OP100 D unit installation was performed according to the OP 100 D Installation amp Adjustments Manual and e OP100DUnitis used according to the OP100 D User Ma
10. pushing any key in the control panel or in the patient positioning panel If Sy failure appears repeatedly call your local dealer Exception is Sy 20 failure which appears when the tube head is too hot and you have to wait for cooling This is normal operation if you are exposing a lot and in warm places Er failures can not be reset Switch the unit off and on to test whether the failure was only temporary Fig 10 2 Patient positioning panel 9 j Aa Fig 10 3 Control panel 72 GE Healthcare 60785 4A 60785 4A 10 Failure diagnostics 10 6 Multiple failure codes In the case of multiple errors press OK key to display other failure codes Interpretation Ch1PC PC SYSTEM System not ready for an exposure Ch 3 COLLIMATOR Collimator not in right position COL Ch 5 LINE VOLTAGE Line voltage out of limits Approximate line voltage displayed in s display Ch 6 POSITION System not in Start position POS Start button not pressed prior to QA procedure or Collimator in QA position when taking a panoramic exposure Ch7 EXPOSURE SWITCH Exposure button prematurely rEL released by operator Blinking display tells also exposure time in s display Ch 8 PREVENTATIVE SERVICE Preventative service PSE reminder after 2000 exposures Ch9 REMOTE EXPOSURE Exposure was initiated from rEo control panel while remote exposure has been selected All error messages are explained in detail on OP100 D amp OC10
11. ready for exposure Patient s head Inclination not correct Patient is too big for the unit Patient has slumped Patient is too big for the unit Wide shoulders selection and CCD camera If the unit still not ready momentarily press exposure button Failure message will be displayed Make the corrective measures Start PC and CliniView software Press take Pan Image button Check that the fibre optic cables are connected If the image is not acceptable then 1 Check the head position and retake the image Check the patient positioning Make the exposure even though the head may touch the tube head Check the patient positioning Make the exposure even though the head may touch the tube head Reverse patient s hands on handles left to right side handle and vice versa GE Healthcare 60785 4A 12 User s statement 12 User s statement 60785 4A Instructions for the use of the Orthopantomograph OP100 D and precautionary statements are part of the OP100 D User Manual Radiation leakage technique factors The maximum rated peak tube potential is 85 kVp with the maximum rated continuous tube current of 1 5 mA 1 5 mA is the equivalent maximum rated continuous tube current for 12 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 kVp
12. standard panoramic position P1 to the wide layer position P3 2 Select the wide layer panoramic program on the Exposure Fig 4 21 P3 Image layer Fig 4 22 P3 amp AEC Mode 3 To set technique factors by patient size select one of the preprogrammed patient size icons or manually entering the suggested values from the table below Refer to section maging technique for more information Technique factors in wide arch imaging juvenile heavy adult 63kV 63kV 63kV 7OkV 6 4mA 10mA 12mA 12mA 63kV 63kV 63kV 66kV 6 4mA 10mA 12mA 16mMA Note Example with Pr 52 CCO Constant Contrast 63kV Density 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 keys to move the flashing light to the standard program position GE Healthcare 37 4 Panoramic procedures 7 Proceed to the image handling Refer to the User Manual for CliniView software to get instructions how to use CliniView software 4 5 P4 Orthogonal exposure An optimized view of the dentition only with optimized anqulation and reduced radiation can be achieved by selecting the orthogonal exposure program 1 Prepare the equipment and PC system per section Preparation for panoramic image acquisition 2 Sele
13. 0D Troubleshooting Manual PCI board LED s H1 is uppermost H5 is lowermost HI LINK OK Light is lit when link is OK EPROM FAILURE Light is lit when there is an red EPROM failure LOCAL RESET red Light is lit when RESET i PERO La T S E n i Fig 10 4 PCI board LED s GE Healthcare 73 10 Failure diagnostics 74 GE Healthcare 60785 4A 11 Diagnosing image quality problems 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 Incisors and canines narrow and unsharp Overshadow in molar and premo lar areas Rows of teeth are compressed Incisors and canines wide and unsharp Rows of teeth widened Teeth appear wider on one side and narrower on the op posite Ramus widths are different on opposite sides 60785 4A GE Healthcare Patient positioning Occlusal correction of focal trough set too far posterior Image layer light not obeyed Bite block was not used Occlusal correction of focal trough set too far anterior Image layer light not obeyed Bite block was not used Midsagittal line not obeyed Patient s head not in center position 1 Check patient positioning with light lines and occlusion correction buttons Check patient positioning with ligh
14. 30 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 1 0 Q main Positioning lights Panoramic TMJ amp Tungsten halogen Maxillary Sinus Programs 86 GE Healthcare 60785 4A 13 Technical specifications Positioning lights Cephalostat FH laser light Class Warning symbols are placed next to the lights and the label describing the laser classification is placed inside the carriage side cabinet USA Canada models have different types of laser stickers according to local requirements EN 60825 1 A2 2001 IEC 60825 1 Ed 1 1 2001 08 Spine compensation Spine compensation Automatic ASC Pre programmed mode User interface Program and technique Control panel removable Auxiliary factors selection exposure button with 10m cable Note exposure control optional in USA Canada Patient positioning Positioning panel integrated Connection to PC Optical link Connection cable OP100 Optical fibre 10m or 20m D PC Panoramic programs amp technique factors Standard Adult Panoramic 57 85kV 2 16MA 17 6 s Program 1 Pediatric Panoramic P2 57 85kV 2 16mMA 16 8 s Ortho Zone P3 57 85kV 2 16mA 17 0 s Wide Layer Panoramic 57 85kV 2 16mA 17 4 s P3 optional Orthogonal Panoramic P4 57 85kV 2 16mA 16 8 s 60785 4A GE Healthcare 87 13 Technical specifications Maxillary Sinus P5 TMJ lateral 2 v
15. 4 6500 Fax 358 10 394 6501 E mail dental fi instrumentarium com Internet hitp www gemedical com Instrumentarium Imaging a GE Medical Systems company going to market as GE Healthcare Table of Contents i MAT etc i ed UI ON NEO RE SR RR RER RI NNE SI RIO SI ENI INSA IRI SR PI E OEI A SE 1 kl Gaba 1 1 2 Markings and graphics SymbolS eee eee na 2 9 Type and versilia 3 14 SOMWare Version 4 1 5 Options accessories and Manuals ii 5 1 6 Radiation protection guidelines eee eee eee eee ee 6 Lek gt PIOIEGHON DY CISTANCE acei egean a s taia n a oa 6 1 6 2 Control from a protected area eee eee nene eee 7 Lf Manufacturers MADINA reia aa a AA 7 o B o Le E ce ener Ren eon cen Tene eo er ene TUN RE RN II ene RIC ANI N e 7 2 OP10O0 D CONIrOIS camee a aia aia a Ci ana Baal a ia ia a E aa tii 9 Dl MANDAN S atita ei ara Pau a cati Bi A a ui aie dala at tai San 9 2 2 COLON AIE alain aaa taia tea 12 29 POSITONING PANE Sirio 14 2 4 Patient POSITIONING accessories eee eee nana 15 2 5 Disposables amp Service accessories i 17 2 06 OC100 D Manpartsaa ella 18 27 CHINgno INS WAS CS 35ent det maia iaie dee rii a asian aa 19 3 Equipment preparations ccccccessessecsesseneeenseenseceseeeeesenssensseneees 21 3 1 Cleaning recommendations eee eee eee aaa 21 AET COL
16. EGI RO eee iat aa oua RA se anala janet safe acacia aul 21 Stee BEIN COMO ne i cca Sia aul atoli aa 21 Sele STENZA see sacri gl cow beaten Pon anl aa ut Oa ius eh atu 20 ie 22 Dole GAULOCIAV Cox pai acu a ae e a al aia a 22 341 9 2 Steam SteriliIZali Osana ia are ta E aaa 22 3 1 3 3 Ethylene oxide sterilizatioN eee eee eee eee eee eeaae 22 3 1 4 Other sterilization processes eee nea 22 3 1 4 1 Dry heat Sieriliz tiO alcalini 22 3 1 4 2 Liquid chemical sterilant gases i 23 3 1 4 3 Chemical sterilant gases ie 23 3 2 Connecting and disconnecting the CCD camera 23 3 3 Preparation for panoramic image acqQuiSitioN 24 4 Panoramic procedures i 27 4 1 P1 Standard panoramic expoSUre eee 27 4 2 P2 Pediatric panoramic exposure i 33 4 3 P3 Ortho Zone enhanced panoramic exposure 35 4 4 P3 Wide arch panoramic exposure Optional 37 AS PA OItNogONal EXDOSUNE esernssszcevscnttdsnssacenacesvinesnsseseannssgecddeacseuaerssecudeees 38 5 Specialinagingpiocedures issue icoiaa air e aaa ae aa cala Goa aaa 2 ada dracula ati 41 Sl PS Maxillary SINUS VICW a aie auec sai lea aaa 41 52 PG TMJ Lateral DrOjSCUON assisen trni no cavoul aa 43 5 3 P8 Ortho TMJ axial corrected lateral projection optional
17. GE Healthcare Orthopantomograph OP100 D Orthoceph 0C100 D User amp Technical Manual Imagination at work B Copyright Manufactured by Code 60785 4A Date 06 2004 2004 General Electric Company 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 Imaging Orthopantomograph and Orthoceph are registered trademarks of Instrumentarium Corporation U S patents 4 641 336 5 016 264 5 425 065 and 5 444 754 German patent 4 344 745 Orthopantomograph OP100 D and Orthoceph OC100 D comply with UL and C UL File E218408 Windows is trademark of Microsoft Corporation in the United States of America and other countries Pentium is a registrated trademark of Intel Corporation lomega Jaz is a registered trademark of lomega Corp The original language of this manual is English General Electric Company 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 GE representative for the most current information Instrumentarium Corporation Imaging Division Now part of GE Healthcare P O Box 20 FIN 04301 Tuusula FINLAND Tel 3858 10 39
18. Initial heat capacity J Anode cooling rate J s 3600 s where mA s kVp 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 BDP138 or BDC 184 Equipment statement for tube housing assembly Maximum operating voltage is 85 kVp 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 Maximum deviation from indicated values Tube voltage 57 85 kVp 5 kVp Tube current 2 16 mA IMA or 15 whichever is larger Exposure time pan 16 8 17 6 s 0 1 s or 15 whichever is larger Exposure time TMJ 8 15 6s 0 1 s or 15 Sinus whichever is larger Exposure time 8 20s 0 1 s or 15 cephalometric whichever is larger GE Healthcare 81 12 User s statement Power supply requirements Rated nominal voltage 110 230 VAC 50 60 Hz single phase Line voltage ranges are 99 121 VAC and 207 253 VAC Automatic regulation for all voltages within the line voltage range 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 slow blow type
19. are the equipment per section Preparation for panoramic image acquisition 2 Select the imaging program for a maxillary sinus view on the Exposure Control Panel Press the right key four times to move the flashing light from the standard panoramic position P1 to the maxillary sinus position P5 Fig 5 1 P5 amp Manual mode 3 The system is in the Manual Exposure Control mode To set technique factors by patient size select one of the preprogrammed patient size icons or manually entering the suggested values from the table below Refer to section maging technique for more information Use one step higher technique factors compared to TMJ imaging Technique factors in Maxillary Sinus imaging juvenile heavy adult 110 VAC 63kV 8mA_ 63kV 66kV 77kV 12mA 12mA 12mA 230 VAC 63kV 8mA 63kV 66kV 66kV 12mA 16mMA 16mMA Note Example with Pr 52 CCO Constant Contrast 66kV Density 7 4 Press patient positioning button to rotate the rotating unit to the an patient positioning position 5 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 60785 4A GE Healthcare 41 5 Special imaging procedures Fig 5 2 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
20. aw 7 7 After patient positioning press start button wait until the unit quem stops Check that the patient positioning is not changed when the rotating unit is moved to its starting position 8 Press and hold the exposure button The system will cycle and expose only as necessary to display the TMu s in PA projection 50 GE Healthcare 60785 4A 60785 4A 10 11 12 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 GE Healthcare 51 5 Special imaging procedures 52 GE Healthcare 60785 4A 6 Cephalometric procedures optional 6 Cephalometric procedures optional 60785 4A Programs P6 and P7 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 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 6 1 Preparing the operation 1 Set the CCD camera into t
21. cessories 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 OP100 D e OP100 D Installation amp Adjustments Manual e OP100D User Manual e OP100 D User Program Manual e Installation amp User Manual for CliniView software These manuals and future updates are available on request from Instrumentarium Imaging GE Healthcare 5 1 Introduction 1 6 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 OP100 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 Consult the physician before taking images of pregnant patients WARNING Orthopantomograph OP 100 D must not be used in rooms where an explosion
22. ct the orthogonal exposure program on the Exposure Control Panel Press the right key three times to move the flashing light from the standard panoramic position P1 to the orthogonal position P4 Fig 4 23 P4 Orthogonal Fig 4 24 P4 amp AEC Mode image layer 3 To set technique factors by patient size select one of the preprogrammed patient size icons or manually entering the suggested values from the table below Refer to section Imaging technique for more information Technique factors in ortho zone imaging juvenile heavy adult 63kV 63kV 63kV 7OkV 6 4mA 10mA 12mA 12mA 63kV 63kV 63kV 66kV 6 4MA 10mA 12mA 16mA Note Example with Pr 52 CCO Constant Contrast 63kV Density 6 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 keys to move the flashing light to the standard program position 38 GE Healthcare 60785 4A 4 Panoramic procedures 7 Proceed to the image handling Refer to the User Manual for CliniView software to get instructions how to use CliniView software 60785 4A GE Healthcare 39 4 Panoramic procedures 40 GE Healthcare 60785 4A 5 Special imaging procedures 5 Special imaging procedures 5 1 P5 Maxillary Sinus view 1 Prep
23. ction maging Technique for more information GE Healthcare 35 4 Panoramic procedures Technique factors in ortho zone imaging juvenile heavy adult 110 VAC 63kV 63kV 63kV 70kV 6 4mA 10mA 12mA 12mA 230 VAC 63kV 63kV 63kV 66kV 6 4mA 10mA 12mA 16mA Note Example with Pr 52 CCO Constant Contrast 63kV Density 6 4 Press patient positioning button to rotate the rotating unit to the i patient positioning position 5 Position the patient per steps 5 through 16 of the standard panoramic exposure procedure Skip step 15 6 Take the exposure per steps 17 through 20 of the standard panoramic exposure procedure 7 After the exposure return the system to the standard panoramic program by pressing the cursor keys to move the flashing light to the standard program position 8 Proceed to the image handling Refer to the User Manual for CliniView software to get instructions how to use CliniView software 36 GE Healthcare 60785 4A 60785 4A 4 Panoramic procedures 4 4 P3 Wide arch panoramic exposure optional When used this program replaces the Ortho Zone enhanced panoramic program P3 on the Control panel 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 Control Panel Press the right key twice to move the flashing light from the
24. d when loading time is 0 1s and nominal x ray tube voltage 77 kV is used We reserve the rights for technical changes at any time 84 GE Healthcare 60785 4A 13 Technical specifications 13 Technical specifications Manufacturer Instrumentarium Imaging P O Box 20 FIN 04301 Tuusula FINLAND Quality system In accordance with ISO 9001 standard Environmental In accordance with ISO 14001 management system standard Electrical amp mechanical According to IEC 601 1 UL and C UL safety File E218408 CE models marked according to the Medical Device Directive 93 42 EEC Product name ORTHOPANTOMOGRAPH ORTHOCEPH Model OP100 D OC100 D Product type Digital Panoramic X ray Unit Digital Panoramic X ray Unit with Cephalostat Class To 19 loading Software version with 1 4 15 or higher AEC Tube head assembly Tube head assembly THA 100 type Max tube current Max electric output 60785 4A GE Healthcare 85 13 Technical specifications Tube head assembly 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 5 mm Al Leakage Technique 85 kV 1 5 mA Factors 110 230 VAC 10 Automatic mains voltage compensation Fuses 326 Littelfuse slow blow 10A 2
25. e 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 OP100 D software based on settings done during the installation These settings can be changed See OP100 D User Program Manual Pr 52 CCo 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 60 GE Healthcare 60785 4A 60785 4A 230 VAC CCO 70 KV mA T T 57 60 63 66 70 73 77 81 85 kVp Manual AEC Fig 7 5 Possible exposure values when constant contrast has value of 70kV and supply voltage is 230 VAC 110 VAC CCO 70 KV mA 57 60 63 66 70 73 77 81 85 kVp 9 Manual AEC Fig 7 7 Possible exposure values when constant contrast has value of 70kV and supply voltage is 110 VAC GE Healthcare mA Fig 7 6 mA Fig 7 8 7 Imaging technique 230 VAC CCO 63 KV T i i 57 60 63 66 70 73 77 81 85 kVp 9 Manual AEC Possible exposure values when constant contrast has value of 63kV and supply voltage is 230 VAC 110 VAC CCO 63 KV 57 60 63 66 70 73 77 81 85 kVp Manual AEC Possible exposure values when constant contrast has value of 70kV and supply voltage is 110 VAC 61 7 Ima
26. e an distortion in molar and bin raft center premolar regions patient s head Check midsagittal plane and center patient s head Rows of teeth exposed Chin was not Check patient too high TMJ s cut off resting on chin positioning support and type of bite fork rod Patient positioned too Check patient high positioning and type of bite fork rod Rows of teeth exposed Chin rest was not Install chin rest too low Mandible not used with bite fork exposed completely to the image 60785 4A GE Healthcare 77 11 Diagnosing image quality problems 11 2 Image brightness amp contrast Images are too 1 CliniView light Contrast and brightness not optimum Images are too CliniView dark Contrast and brightness not optimum Density setting is too high in Pr52CCo when patient symbols are used Manual technique factors used too high AEC control misadjusted CliniView Contrast and brightness not optimum Lack of image conirast kV used is too high 11 3 Artefacts 1 Adjust contrast and brightness Adjust contrast and density Adjust density setting to a lower value Decrease technique factors Call service Adjust contrast and brightness Lower the kV setting See Pr52 CCo User program manual for details Irregular bright shadows or artefacts as earrings necklace etc CSU la Den ae He DI VA 44 of wy fy Li an J 78 Patient is wear
27. e two TMu 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 program by pressing the cursor keys to move the flashing light to the standard program position Remove Ortho TMJ accessories GE Healthcare 49 5 Special imaging procedures 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 5 4 P9 TMJ posteroanterior projection 1 Prepare the equipment per section Preparation for panoramic image acquisition 2 Select the imaging program for TMJ PA projection on the Exposure Control Panel With OP100 D press the key one imel lt to move the flashing light from the standard panoramic position P1 to the TMJ PA projection position P9 A M Fig 5 22 P9 Image layer Fig 5 23 P9 amp Manual mode 3 The system is in the Manual Exposure Control mode Use technique factors per section TMJ Lateral projection 4 Press patient positioning button to rotate the rotating unit to the mmm patient positioning position e 5 Position the patient as in TMJ Lateral view and procedure steps through Move the TMJ pointer 70 mm anterior compared to jaw closed positioning ki Fig 5 24 TMJ PA Projection 6 Have the patient open the j
28. ed HF Inverter System Focal spot 0 5 mm IEC 336 1982 82 GE Healthcare 60785 4A 12 User s statement TUBE CURRENT mA EXPOSURE TIME s Fig 12 3 Tube ratings Tube anode thermal characteristics D 051s HEAT STORACE iJ TIME min Fig 12 4 Tube anode thermal characteristics D 051S Tube head assembly cooling curve temperature C 80 7o sol 50 40 20 0 100 200 300 400 500 600 700 800 time min 050293 PJ Fig 12 5 Tube head assembly cooling curve 60785 4A GE Healthcare 83 12 User s statement Location of a focal spot is marked on the tube head s cover Fig 12 6 Focal spot Measurement criteria for exposure time Exposure time Consists of beginning and ending points as measured by a calibrated x ray monitor at 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 12 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 obtaine
29. edures 80 nominal in PA TMJ procedure Height x Width x Depth 87 3 x 32 7 x 39 4 inches Max inches mm 2225 x 830 x 1000 standard column 84 0 x 32 7 x 39 4 inches Max 2135 x 830 x 1000 short column option 175 kg 385 Ibs Panoramic 0C100 D physical measures source image distance 68 7 inches 1745 mm SID source object distance 60 inches 1524 mm SOD Magnification 14 nominal in cephalometric procedures 90 GE Healthcare 60785 4A 60785 4A 13 Technical specifications 0C100 D physical measures Installation Standard wall mount with 45 angled joint Optional base for free standing unit Height x Width x Depth 87 6 x 74 8 x 39 4 inches Max 2225 x inches mm 1900 x 1000 standard column 84 0 x 74 8 x 39 4 inches Max 2135 x 1900 x 1000 short column option 210 kg 465 Ibs Cephalometric Ambient temperatures Transportation and 10 50 C Storage Operation Temperature 10 40 C RH max 95 Recommended computer system Pentium Il PC or equivalent 700MHz or higher 20GB HDD minimum 32X CD ROM minimum Windows 2000 Windows XP SVGA 1024x768 16 7M colors 24 bit graphics card 4 MB minimum 17 or larger 15 minimum PCI board connection PCI slot Customized model OP100D Patient positioning Please specify Controls on the left side of the unit Left side operator s view for panoramic patient positioning Cephalostat arm on the left Control
30. egrees counter clockwise Figure 1 Press the clips on the both sides of the camera Figure 2 and lower the camera y CAUTION Hold the camera while pressing the clips in order that the camera won t fall The camera must not be dropped or exposed to impacts To install the camera back to the cephalostat head lift the camera to holder until a click is heard Then press the knob on the handle and turn it 360 degrees clockwise CAUTION The camera must not be dropped or exposed to impacts 3 3 Preparation for panoramic image acquisition 1 Locate the power switch under the carriage Turn the power switch to the I position The green light will go on 2 Set the CCD camera into the panoramic camera holder See chapter Connecting and disconnecting the CCD camera 3 Move the head support towards the mirror and select the panoramic collimator from the tube head In OP100 D set the lever to the right One of the panoramic programs will be selected automatically on the control panel 24 GE Healthcare 60785 4A 60785 4A 3 Equipment preparations L YU du Fig 3 2 Selecting the panoramic collimator 4 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 the CliniView software Open the patient databa
31. em is in the Manual Exposure Control mode To set technique factors by patient size select one of the preprogrammed patient size icons or manually entering the GE Healthcare 47 5 Special imaging procedures suggested values from the table below Technique factors are two steps higher compared to the standard TMJ lateral view program Refer to section Imaging Technique for more information Technique factors in Ortho TMJ imaging juvenile heavy adult 110 VAC 63kV 66kV 7OkV 73kV 10mA 12mA 12mA 12mA 230 VAC 60kV 63kV 66kV 70kV 10mA 16mA 16mA 16mA Note Example with Pr 52 CCO Constant Contrast 66kV Density 7 5 Press patient positioning button to rotate the rotating unit to the i patient positioning position 6 Remove the bite fork bite fork rod chin rest and sinus rest Install the TMJ chin rest with hygienic coat 7 Install the carbon fiber TMJ pointer with the TMJ angle indicator into the socket over the patient s head Fig 5 17 Ortho TMJ patient 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 9 It is strongly recommended to provide the patient with a lead apron for radiation protection 10 Direct the patient to the machine and instruct to stand as straight and tall as possible Ask patien
32. er 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 button and wait until the unit stops Check that the patient positioning is not changed when the rotating unit is moved to its starting position WARNING During the exposure cycle radiation control guidelines must be observed 18 Press Exposure button 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 until the end of the exposure cycle as indicated by a light and audible tone Fig 4 14 Remote exposure Fig 4 15 Control panel exposure button button J 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 Retake the exposure GE Healthcare 31 4 Panoramic procedures 2 J NOTE If exposure cannot be initiated and an error code appears on the e
33. fork bite fork rod chin rest and sinus rest Install the TMJ nose support 2 models available with hygienic coat and the TMJ pointer IS Q Jin ta Fig 5 9 TMJ patient positioning Fig 5 10 TMJ patient positioning accessories installed short accessories installed long nose support nose support 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 7 It is strongly recommended to provide the patient with a lead apron for radiation protection 8 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 nose support is at the patient s nose height Have patient place nose against TMJ nose support 44 GE Healthcare 60785 4A 60785 4A 5 Special imaging procedures Fig 5 11 TMJ Lateral projection 9 Adjust patient s head as necessary so that the front light coincides with the patient s mid sagittal plane Move the head support by pressing it from sides against the patient and close the temple supports 10 To adjust the focal trough reference to the TMJ a special pointer is used By pressing the appropriate occlusal adjustment button on the Positioning Control m
34. ging technique 7 4 Manual mode If desired the exposure technique factors can be set manually with the AEC disengaged The technique factors can be set either by patient size or by specific kV and mA factors 1 To set the unit to manual mode first press the down key once to move the flashing light from the standard panoramic position to the AEC A position Then press the right key once to move the flashing light to manual M position Fig 7 9 Manual mode 2 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 key 2 times until the flashing light is over the patient size symbol To raise or lower the setting press the right or left key 3 To set specific technique factors set the unit to manual mode first then press the down key once until the flashing light is at the kV and mA section By pressing the right or left key the displayed value can be increased or decreased 4 Panoramic and Special procedures can use the following technique settings Panoramic TMJ and Sinus Imaging Procedures Technique Factors 57 60 63 66 70 73 77 81 85 2 25 32 4 5 6 4 8 10 12 16 kVp mA pairs 57 2 85 12 Combined values depend on Pr 52 CCO setting 8 0 17 6s Fixed for each imaging procedure J NOTE kVp and mA can be selected independently in Manual mode With this option kV can be selected in steps of 1 kV See Service Pro
35. gram 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 Manual section Pr52CCo 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 62 GE Healthcare 60785 4A 7 Imaging technique 7 5 Free selection of kV and mA OP100 D technique factors are normally selected based on kV Ami Ami target level set with the constant REIS iv contrast program Pr 52 CCo Er EE ST fi ae where kV and mA values are tied to each other It is possible to eas i na configure OP100 D so that kV and mA are selected Fig 7 10 Free selection of kV values independently in Manual mode Please consult your dealer to activate this software option When activated this feature has no effect on the AEC mode and on preprogrammed technique factors In Manual mode the tube voltage can be selected in steps of 1 kV When the led indicator for kV mA values is lit first kV display is blinking Select kV
36. he cephalo heads camera holder unless it isn t already in place WARNING The camera must not be dropped or exposed to impacts 2 Turn the power switch to the I position Slide the lever to the right edge selecting the cephalometric collimator in the tube head CEPH NOTE Remove the chin rest from the lower shelf in left handed cephalostat Concerns units up to s n 79812 3 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 4 Make the computer preparations according to CliniView User Manual GE Healthcare 53 6 Cephalometric procedures optional 6 2 P6 Lateral projection position by pressing the patient positioning button o CAUTION Make sure that the secondary collimator does not hit the nasion Support during the movement Tilt the nasion support aside Drive the unit to the patient positioning e Turn the ear rods to the lateral projection position and lock by turning the handle on the cephalostat head wy J NOTE Turning the handle 180 degrees alters the state of the ear rods locked unlocked regardless of the turning direction Verify that the light under the program 6 P6 in the control panel is lit Insert the optional hygienic covers over the ear rods a
37. ield upgrades for model OP100 D Digital Cephalostat Kit Add digital ceph imaging to OP100 D digital pan Ortho TMJ software Kit Axial corrected TMJ software replaces lateral TMJ program P8 60785 4A GE Healthcare 93 13 Technical specifications 94 GE Healthcare 60785 4A 14 Maintenance 14 Maintenance 60785 4A 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 OP100 D is suggested at installation and after each 2000 exposures This periodic maintenance is outlined in 0P100 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 Only trained and qualified personnel should be permitted access to the internal parts of the equipment 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 light is lit for the duration of exposure
38. iews P8 Ortho TMJ P8 optional TMJ PA 2 views P9 Quality Assurance QA PO 57kV 2mA 85kV 8mA 12 7 s 15 values Exposure Control Automatic Exposure Control AEC P1 P4 Pre programmed icons for all programs Automatic Spine Compensation Cephalometric programs amp technique factors Lateral view P6 60 85kV 3 2 16mA 8 20 s PA AP facial and oblique 60 85kV 3 2 16mA 8 20 s views P7 Carpus View P7 60 85kV 3 2 16mA 8 20 s Exposure Control Automatic soft tissue adjustment through manual nasion setting Automatic Facial Contour AFC Pre programmed icons for all programs Magnification factor Image storing and retrieving File formats Standard 8 bit png Enhanced 16 bit d32 Compressed jpg Typical panoramic file 1 6 MB in png format size 9 2 MB in d32 format 0 5 MB in jpg format Typical cephalometric file 2 4 MB in png format size 11 8 MB in d32 format 0 8 MB in jpg format Patient database Standalone workstation Server on local area network LAN Communication DICOM 3 0 By merge print storage standards import export patient worklist with optional CliniView DICOM version 88 GE Healthcare 60785 4A 13 Technical specifications 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 tungsten halogen positioning lights Occlusion correc
39. ing metal objects such GE Healthcare Ask patient to remove objects 60785 4A 11 Diagnosing image quality problems An unexposed area is Lead apron Check the lead shown down in the misplaced apron positioning lower middle section of the image Partial lack of detailand Patienthas moved Retake the image motion artefacts during the Irregular vertical bright exposure lines on image Vertical dark lines on Patient s shoulder Check patient image in touch with positioning machine parts One side of the image Exposure button Retake the image unexposed released prematurely Right and left image Orthogonal select correct sides are unexposed procedure was panoramic TMJ s are not shown mistakenly used procedure Bite block was left Remove the bite on place block CCD camera Consult the dealer problem CEPH Unexposed Ceph collimator select correct rectangular on the not correctly collimation image selected CEPH Lateral view has 1 Cephalostat 1 Lock it 2 ear holder pins lock not locked 2 Ear holders misaligned 2 Call service 60785 4A GE Healthcare 79 11 Diagnosing image quality problems 11 4 Unit operation 1 Check the program READY not lit Patient s back head is touching the x ray tube during the exposure Patient s shoulders are touching the x ray tube or CCD camera 80 Unit is not ready for exposure PC is not ready for exposure System is not
40. inus Procedure P5 Cephalostat lateral projection P6 37 Cephalostat mode P5 if OC100 attached Cephalostat PA AP projection P7 Lateral TMJ View P86 or Ortho TMJ Axial Corrected Lateral TMJ View P8P6 Optional EA MEI SE TMJ PA Projection P9 P10 Not in use E E 12 GE Healthcare 60785 4A 2 OP100 D controls Exposure Modes with Indicator lights Automatic Exposure Control A K Test Mode M Manual Exposure Control Automatic Exposure Density Scale nine steps 0 a a rane a one 0000 n a ee ae eee ee en Ox STRETTI 5 ero ro tota au a lata na n a x sm e 0 0 0 0 o Ma e o oo eee BY A aa 0000 o 0 e_0 0 0 DIO eee 2 2 2 2 DOGO eette ee OE eee o ete S S aa mers eee 0 0 0 0 d a 0 a ad D OCL OLLIE Moma A a kVp display mA display Exposure time display Exposure counter value display BE Icons for Preprogrammed Technique Factors with Indicator lights Child Juvenile A Adult a Heavy adult Function Selection Keys 25 29 Move the flashing indicator left or right decrease or increase the value on display v Move the flashing indicator up or down to the next selection row P1 P9 Show Exposure counter value GE Healthcare 13 2 OP100 D controls 2 J NOTE This key has special functions in the Program mode See User Program Manual for details Radiation warning A 7 Positioning pa
41. it is set as a default to Standard Panoramic with Automatic Exposure Control The software will monitor the amount of radiation the CCD camera 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 the other panoramic procedures unless set to manual mode The signal to noise ratio can be changed while keeping AEC engaged 1 The signal to noise ratio can be adjusted without disengaging the AEC by resetting the automatic exposure density scale on the Control Panel 00600 00660 00060 DENSTEP Fig 7 1 AEC density scale 2 Press the down key twice to move the flashing light from the standard panoramic position to the central light on the automatic exposure density scale 3 To increase the signal to noise ratio press the left key to move the flashing light to the right Each change increases the radiation output by approximately 12 percent 4 To decrease the patient dose press the cursor key to move the flashing light to the left Each change decreases the radiation output by approximately 12 percent J NOTE AEC density is controlled in half steps A half step between two indicators is shown with both indicators lit 7 2 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 Aut
42. mical sterilant gases Not recommended as sterilization process for OP 100 D parts Testing For example a 2 hydrogen per oxide 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 3 2 Connecting and disconnecting the CCD camera OC100 D unit can be equipped with 1 or 2 cameras If the unit is equipped with 1 cephalostat camera the same camera can be used for pan and ceph imaging Another possibility is to use 2 cameras at the place all the time In this case the unit is equipped with 1 pan and 1 ceph camera Panoramic camera To remove the CCD camera from rotating unit pull the ring downwards Figure 1 Push the camera slightly from below Figure 2 so that it comes off from the top Lift the camera a little and pull it away Figure 3 e Si z E i i T To install the camera back to the rotating unit proceed as stated above in reverse order However instead of pulling the ring push the top of the camera towards the rotating unit J NOTE When installing the camera make sure that the camera is properly connected by checking that it does not come off from the top when pushing from below GE Healthcare 23 3 Equipment preparations Cephalostat camera To remove the CCD camera from the cephalostat head press the Knob on the handle and turn it 360 d
43. mn 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 kVp 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 default settings If this doesn t work contact your local dealer GE Healthcare 65 8 Special features Fig 8 2 QA image 8 If everything is as described then the system is working properly 9 Set the primary collimator back to the panoramic position and insert the bite block 10 Perform the test if you suspect there is something wrong with your images 8 2 Exposure counter The total number of exposures the system has taken is automatically counted and can be read any time Turn the OP100 D power on and wait until the normal display appears Make sure that one of the programs P1 P9 is selected Press the OK key Several numbers will be displayed on the Control panel and other indicators will be turned off Numbers will be shown for few sec
44. n parts i iz i sl DD an eo Iu N a CO CO _BN lt ___ lt lt W KL LIN N W W X W NWWWMW MMI _ __I SS A CCD camera CCD camera holder Main support Rotating unit Head and Temple support Primary collimator Bite fork with rod Chin rest Handles Positioning panel Control panel Exposure indicator lights FH light height adjustment Mirror PC equipment Exposure Button with cable and holder optional in some markets GE Healthcare 9 2 OP100 D controls Fig 2 1 PC equipment 10 Fig 2 2 Remote exposure button 17 18 19 20 Fig 2 3 Carriage bottom plate 10 GE Healthcare 60785 4A 60785 4A 2 OP100D controls Fig 2 5 Optical fibre connectors in PC 1 18 19 20 21 22 23 Main label Power ON OFF switch with an indicator Main fuses with label Connector for Control panel Connectors 2 for optical link in OP100 D unit 2 optical fibres Connectors 2 for optical link in PC 2 optical fibres Service connector GE Healthcare 11 2 OP100 D controls 2 2 Control panel Exposure Control Exposure Button Exposure Indicator Light READY PRE Ready Indicator Light Imaging Procedures P1 P9 with Indicator lights Standard Panoramic P1 Pediatric Panoramic P2 Ortho Zone Panoramic P3 or Wide Layer Panoramic P3 Optional Orthogonal Panoramic P4 Maxillary S
45. nd 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 Switch the laser light on Position the patient so that the Frankfurt Horizontal plane FH passes over the ear opening and the infra orbital notch 54 GE Healthcare 60785 4A 6 Cephalometric procedures optional WARNING Do not stare at the laser beam Tilt the nasion support down and set it to nasion 0C100 D uses the position information from Nasion support to perform Automatic facial contour by reducing kV and mA exposure values during the scanning J en ee of t SA k wo Pa rs a Tar eta Select the technique factors manually or use preselected patient symbols 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 attension that the patient does not hit the secondary slot when stepping out from the cephalostat Remove the disposables 6 3 P7 Postero anterior PA projection Tlit the nasion support aside Drive the unit to the patient positioning position by pressing the patient positioning button J NOTE Make sure that the secondary collimator does not hit the nasion support during the movement 60785 4A GE Healthcare 55 6 Cephalometric procedures optional Turn the ear rods to the PA p
46. nels genu aafe Fig 2 6 Positioning panel located Fig 2 7 Positioning panel located at left side at right side Positioning Panel Keys Panoramic P1 P4 Maxillary Sinus P5 Carriage vertical movement up Carriage vertical movement down moves the image layer moves the image layer during exposure 3 mm during exposure 10 mm anterior anterior from nominal position position moves the image layer moves the image layer during exposure 3 mm during exposure 10 mm posterior posterior from reset position Positioning lights on off Rotating unit movement Start position Rotating unit movement Patient position Cephalometric P6 P7 TMJ P8 P9 moves image layer anterior reset to middle moves image layer posterior 14 GE Healthcare 60785 4A 2 OP100 D controls Positioning Panel Keys 25 Postioning lights on off Rotating unit movement Start position Rotating unit movement Patient position 2 4 Patient positioning accessories Fig 2 8 Panoramic patient positioning Fig 2 9 TMJ patient positioning accessories accessories Part Part description Part Part description code code 62875 62904 Nose support long Cl Sinus rest 62906 Nose support short 62942 Bite block 10pcs 60477 TMJ pointer 62985 Bite fork short 56 TMJ angle mm indicator Ortho TMJ option 60785 4A GE Healthcare 15 2 OP100 D controls Part Part description Part Part description code code 62958 Bite fo
47. ng to UL UL 2601 1 and CAN CSA C22 2 No 601 1 C US 1 3 Type and version The type and version of the OP100 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 type B and with IP 20 protection NVA we HH igi DI f ja LEED IES Main label CE mark Fig 1 1 Location of main label and CE mark Model OP100D 1 1 1 SERNo 76333 Date of manufacture January 2000 10 A 230V 50 60Hz2 2300 VA 15 A MOV 50 60Hz 1650 VA IEC 6011 P 20 N Made in Finland by INSTRUMENTARIUM CORP IMAGING DIVISION P OBox 20 FIN 04301 TUUSULA o Fig 1 2 Main label and CE mark TYPE OP100D 1 1 1 SerNo 76333 CODE Date of manufacture January 2000 Manufactured in Finland by Instrumentarium Corp Imaging Division P O Box 20 FIN 04301 TUUSULA 33218 Fig 1 3 Column label 60785 4A GE Healthcare 3 1 Introduction Column label Fig 1 4 Location of column label 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 OP100 D a bc d S TYPE AND VERSION OP100 D short form for ORTHOPANTOMOGRAPH OP100 D type of the x ray tube insert which is originally utilized 1 Toshiba D 051S version number 1 OP100 D models indication of a Special version marked only in products which have a non standa
48. nual e CliniView PC software was installed according to the Installation Manual for CliniView software e CliniView software is used according to User Manual for CliniView software e Maintenance and repairs are performed by a qualified Orthopantomograph Dealer and e Original or authorized spare parts are used 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 J NOTE For PC system Instrumentarium Imaging can guarantee OP100 D PCI board and CliniView software compatibility with other PC hardware and software only if that configuration has been tested by Instrumentarium Imaging Any later changes to the hardware and software may void this test 1 8 Disposal Follow the local regulations on disposal of waste parts OP100 D has at least the following parts that should be regarded as non environmental friendly waste products X ray source assembly All electronic circuits Column counter weight Pb GE Healthcare 7 1 Introduction 8 GE Healthcare 60785 4A 2 OP100 D controls 2 OP100D controls 60785 4A 2 1 COON OO A W N eee esa at CO oor W N O Mai
49. omatic 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 12 mA GE Healthcare 59 7 Imaging technique Remove the lead from the x ray source and make the exposure once again Now the technique factors should decrease to the lowest value 57kV 2 MA 7 3 Exposure technique factors OP100 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 OP100 D software settings ie constant contrast kV setting defined in Pr 52 CCo 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 P5 and P8 to P9 Exposure time is fixed with programs P1 to P5 and P8 to P9 mA mA 16 0000000 ZIONE 16 00 giova 12 9000000000 12 0000000 10 000000000 10 1700000000 80 000000000 30100000000 64 0 0e 0e0e000860 64 000000000 50 eeee0e5eee 50 900060000 40 ececece0o00o 40 000000000 32 0000000009 32 900000000 251 0000000600 25 6000000000 2010090000009 20 900000000 57 60 63 66 70 73 77 8185 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 mA 230 V CCO 73 lt 66 KV 57 60 63 66 70 73 77 81 85 kVp Manual AEC Fig 7 4 Exampl
50. on the Positioning 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 light coincides with the patient s mid sagittal plane Move the head support against the patient forehead and close the temple supporis Fig 5 3 Sinus view positioning 9 42 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 keys Center layer position is selected by pressing normal occlusion key This will adjust the unit during the exposure Positioning panel located at Fig 5 5 Positioning panel localted at left side Sinus layer right side Sinus layer adjustment keys 10mm adjustment keys 10mm anteric anterior 22 center 23 22 center 23 10mm GE Healthcare 60785 4A 60785 4A 5 Special imaging procedures P1OLAYER Fig 5 6 P5 Sinus view layers front center back 10 11 12 13 14 15 16 Instruct the patient to close lips and swallow This will raise the tongue to the roof of the mouth Ask the patient to breathe through the nose and remain still during the exposure After patient positioning press start button wait until the unit stops Check
51. onds or until the OK key is released Fig 8 3 Exposure counter The total number of exposures is read from top to bottom The example above is 12 345 exposures Resume to normal operation 66 GE Healthcare 60785 4A 60785 4A 8 Special features 8 3 Preventive maintenance reminder The exposure counter also provides a means of reminding when maintenance is due After every 2000 exposures a special reminder message Ch 8 PSE will be displayed for few seconds when the power is switched on LUI MA al i I ILS Fig 8 4 Preventive maintenance reminder This message indicates that the user should contact the dealer for the scheduled maintenance We recommend that this unit will be provided for 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 GE Healthcare 67 8 Special features 68 GE Healthcare 60785 4A 9 Understanding the OP100 D image 60785 4A 9 Understanding the OP100 D image Fig 9 1 Drawing of OP100 D radiograph with anatomical landmarks and structures Typical OP100 D Structures CON OOF BR WD N N AL kk aka kaka kak ks 0 O O 0UN D vi ai OND O hyoid bone angle of mandible ex
52. ontact your GE representative today GE Healthcare Internet gemedical com GE Healthcare Dental World Headquarters Instrumentarium Corp Imaging Division P O Box 20 FIN 04301 Tuusula Finland Tel 358 10 394 6500 Fax 358 10 394 6501 Americas Instrumentarium Imaging Inc Milwaukee Wisconsin Tel 800 558 6120 Fax 414 481 8665 I I code 60785
53. ote taiate ul ia al ti lata 72 10 6 MUIUDIE Tall IFE CGOSS sasi iti etil at taia E ia 73 Diagnosing image quality problemS rr 75 Psi Paul OO SILO AIAG ososi taie ai sii atatea aaa Dal ii iale 75 11 2 Image brighiness amp contrast sic s tata tutti ia 78 1143 ANEIaGIS iza az exis on aia o o at ae a a a adi a o d i at 78 TAP UII ODOT ATOM cca coat N i a it ad uta a 80 USers staleMmentizini ana 81 Technical specifications 1 11 110 0rr cirie 85 Maintenance Leica 95 GE Healthcare 60785 4A 60785 4A 1 Introduction Introduction 1 1 General Orthopantomograph OP100 D is 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 OP100 D you need a suitable PC hardware connected to the OP100 D unit and CliniView software to handle images Orthopantomograph OP100 D can perform the following procedures Standard panoramic exposure Pediatric panoramic exposure Ortho Zone panoramic exposure or Wide layer panoramic exposure optional Orthogonal panoramic exposure Maxillary sinus TMJ lateral projection or Ortho TMJ axial corrected lateral projection optional TMJ PA projection Orthoceph OC100 D is a more equipped x ray unit with cephalometric exposure option In addition to the OP100 D functions OC100 D can perform the following cephalometric proced
54. ove the TMJ pointer forward towards the mirror or back until the pointer aligns with the external auditory meatus Fig 5 12 Positioning panel left side TMJ pointer adjustment keys forwards 22 reset 23 backwards 24 Positioning panel right side TMJ pointer adjustment keys forwards 22 reset 23 backwards 24 11 If the TMJ pointer doesn t align with external auditory meatus replace the TMJ nose support with the other model and repeat patient positioning 12 Have the patient close or open the jaw If the jaw is open move the TMJ pointer 10 mm anterior compared to jaw closed positioning After patient positioning press start 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 GE Healthcare 45 5 Special imaging procedures 15 16 17 18 46 Release the exposure button open temple supports and guide the patient out Remove the TMJ pointer and TMJ nose support After the exposure return the system to the standard panoramic program by pressing the cursor keys to move the flashing light to the standard program position 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 GE Healthcare
55. r Check A failure caused by the user eg exposure button prematurely released by operator Safety Temporary malfunction or protection in the unit caused by the unit or environment Operation is prohibited or terminated to protect the operator patient and the unit itself Eg the temperature in the tube head assembly is too high due to intensive use After the corrective action unit can be used Error There is a serious defect in the unit and the operation is therefore prohibited to protect the operator patient and the unit itself Eg failure in the CPU Board WARNING If the unit is further used er failure may cause malfunction GE Healthcare 71 10 Failure diagnostics 10 3 mA display The mA display indicates the actual numeric failure code by two digit number Each failure code has a unique number to differ one malfunction from another a ss 10 4 Time display The exposure time display indicates the alphanumeric short form explanation of the malfunction This reminds the user or the serviceman of what the actual numeric failure code means or sometimes numeric information of the malfunction The display may also blink telling more information about the fault for example in Sy 20 where blinking display also tells the waiting time for tube head cooling 10 5 Resetting failure Ch failure codes can be reset by correcting the reason for the failure code Ch and Sy failures can be reset by
56. rd modification the type of Panoramic camera b and Cephalostat camera c 0 No camera No type number 1 PAN camera fixed 2 PAN camera removable 3 CEPH camera fixed 4 PAN CEPH camera removable For example OP100 D 1 4 1 is Orthopantomograph OP100 D with Toshiba D 051S tube Removable combined panoramic and cephalostat camera Version 1 1 4 Software version This manual covers the features of the OP100 D software version 1 4 10 or higher Software version is displayed for few seconds on control panel display after switching the unit on 4 GE Healthcare 60785 4A 60785 4A 1 Introduction 1 5 Options accessories and manuals The options are listed in the appendices The accessories are listed in sections 2 4 and 2 5 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 OC100 D unit The installer and the user of the system shall confirm that at least one of the above requirements is fulfilled A PC is a medical one if it complies IEC 601 1standard and that is indicated in the accompanying documents of the PC a NOTE In order to maintain safe and correct functioning of OP100 D only the approved ac
57. ress 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 Open temple supports Insert a child adapter to the head support when needed Press adapter ends towards each other with fingers slide the adapter against the head support and release Pins will hold the adapter in place GE Healthcare 33 4 Panoramic procedures 6 Position the patient and take exposure per steps 6 through 20 of the standard panoramic exposure procedure 7 After the exposure return the system to the standard panoramic program by pressing the cursor keys to move the flashing light to the standard program position 8 Proceed to the image handling Refer to the User Manual for CliniView software to get instructions how to use CliniView software DOC DOGO DOO DOO DOO DOC DO000 DOO Fig 4 18 Test mode e J NOTE The system can be operated without radiation to demonstrate the movement to the child by setting the system to the Test mode To do this press the down key to move the flashing light over the Manual mode M Then press the right key once to move the light over 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 key once to move the flashing light over the Manual mode M 34 GE Healthcare 60785 4A 60785 4A 4
58. risdiction on which the unit is 3 1 3 Sterilization Some removable parts in touch with the patient are sterilizable in autoclave Such parts are Bite forks 4401 2648 62958 Bite block 62942 and Nose supports 62906 62904 3 1 3 1 Autoclave Sterilizable parts can be autoclaved If autoclaving is performed for these items disinfection by immersing in disinfectant solution for 10 minutes is not needed 3 1 3 2 Steam sterilization Recommended parameters for sterilizable parts are Gravity displacement steam sterilization Flash sterilization Temperature 270 F 132 C Exposure time 3 minutes Prevacuum steam sterilization Flash sterilization Temperature 270 F 132 C Exposure time 3 minutes Steam flush pressure pulse steam sterilization Temperature 270 F to 275 F 132 C to 135 Exposure time 3 to 4 minutes 3 1 3 3 Ethylene oxide sterilization Not recommended as sterilization process for OP100 D parts 3 1 4 Other sterilization processes 3 1 4 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 22 GE Healthcare 60785 4A 60785 4A 3 Equipment preparations 3 1 4 2 Liquid chemical sterilant gases Not recommended as sterilization process for OP100 D parts 3 1 4 3 Che
59. rk long 80 mm optional not shown 6722 Chin suppori INI 5 CA Edentulous bite positioner optional 68696 Mirror assembly 68722 Carpus support J NOTE The parts marked with are autoclavable Convenient bins for small accessories and disposables are located on the both sides of the vertical carriage Left and right cabins 16 GE Healthcare 60785 4A 60785 4A 2 OP100D controls 2 5 Disposables amp Service accessories The following accessories disposables and tools are available for the equipment ___ 8916 20154 20204 60215 gt Fig 2 11 Service Part Part description Part Part code code description 6644 Bite fork coat 500 69980 Ball amp pin pcs phantom 7451 Chin rest coat 100 60215 Allen wrenches pes metric 7452 Temple support coat 20204 Fuse 15 A slow 200 pcs blow for 110 V line voltage 7453 Nose support coat 20154 Fuse 10 A slow 100 pcs blow for 110 VAC line voltage 8915 Ear holder coat 20 20912 Spare halogen pcs lamp 68662 Beam alignment tool GE Healthcare 17 2 OP100 D controls 2 6 OC100D Main parts in Q 2 Cephalostat head Control buttons CCD camera Secondary slot Ear rod Nasion support N oO fF W N Locking for ear holder rotation Tube head Panoramic QA Cephalostat collimator collimator Slide the lever to choose the collimator The right end is for
60. rojection position and lock by turning the handle on the cephalostat head A M T 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 Select the technique factors Verify that READY light is on Make the exposure by pressing the exposure button 56 GE Healthcare 60785 4A 60785 4A 6 Cephalometric procedures optional 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 Using the carpus support Turn the rotation chassis so that the nasion support is against the cameraholder Turn the nasion support sideway and fasten the carpus holder to the nasion support holder Press the white lever to attach the carpus support tightly Ask patient to remove any metal objects and place hand against the carpus holder Select technique factors manually Directive technique factors for carpus imaging Verify that READY light is on Press the exposure button to make the exposure GE Healthcare 57 6 Cephalometric procedures optional 58 GE Healthcare 60785 4A 60785 4A 7 Imaging technique Imaging technique A amp d 7 1 Automatic exposure control AEC When the OP100 D is turned on
61. ruct 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 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 28 GE Healthcare 60785 4A 60785 4A Val N L e 4 Panoramic procedures Show the patient the grooves in the bite fork and place the bite fork into patient s mouth J NOTE The patient can either be standing seated or in a wheelchair If the bite fork cannot be used because the malocclusion or missing teeth remove the bite fork with rod A reset the chin support B and use cotton rolls to separate the bite Fig 4 5 Chin support installation Fig 4 6 Using chin support 10 11 12 Positioning lights will switch on automatically when the carriage is moved They stay on for 45 seconds or until exposure Is initiated If necessary lights can also be switched on and off at the Positioning panel with light key Ask the patient to take a small step forward to straighten the cervical vertebrae to minimize spinal shadow Patient s face and light lines can be seen in the curved mirror Move the FH light to illuminate the patients infra orbital notch By slightly raising or lowering the carriage position the patient so that the Frankfort Horizontal plane FH light passes over the ear opening and the infra orbital notch Be sure the pa
62. s and ceph arm can be reversed any later date GE Healthcare 91 13 Technical specifications Patient positioning Please specify Controls on the right side of the unit Right side operator s view for panoramic 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 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 Program options Ordered separately Pe Ortho TMJ Axial corrected TMJ software Replaces lateral TMJ program P8 Ceph ready option Ordered separately e _ hc Ceph CCD camera with Unit has the same CCD camera as OP100 D ceph unit Cost saving with future digital ceph upgrade Installation options for OP100 D Ordered separately Short column 9 cm shorter column Allows low ceiling siting Cooling Fan Kit For heavy duty users more than 50 OP100 D images a day or for sites with high ambient temperature OP100 D Base plate Base for OP 100 D Free standing installation for pan Universal base plate Flat steel plate base Free standing installation OP100 D and OC100 D 92 GE Healthcare 60785 4A 13 Technical specifications F
63. se 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 a J 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 y CAUTION Handle the camera with care as instructed in this manual The camera must not be dropped or exposed to impacts A shock indicator inside the camera will show if the camera has been exposed to excess impact GE Healthcare 25 3 Equipment preparations 2 J NOTE When using the system in an extremely high electromagnetic environment interferences may change image quality If interference appears contact your local dealer 26 GE Healthcare 60785 4A 4 Panoramic procedures 4 Panoramic procedures 4 1 P1 Standard panoramic exposure Prepare the equipment per section 3 2 2 Verify that the light under program 1 P1 in the control panel is lit 3 Press patient positioning button to rotate the rotating unit to the Da patient positioning position When the system is turned on it will automatically set itself to standard panoramic wi
64. t lines and occlusion correction buttons Insert bite block Check patient positioning with light lines and occlusion correction buttons Check patient positioning with light lines and occlusion correction buttons Insert bite block Check patient s mid sagittal plane with light line Check that patient s head is centered 75 11 Diagnosing image quality problems The shadow of hard Patient head tilted Check FH plane 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 Rows of teeth curved Patient head tilted Check FH plane upwards Mandibular forward incisors are unsharp TMJ joints exposed high and are often cut off from the image Image is smiling too much Middle area of the image 1 Patient s neck Stretch too bright and unsharp was noi patient s neck Spine shadow stretched e nabibat kV increase kV compensation compensation ORI Lt not used or LOW NAN ATA compensation Mes j was used with oe ee i TIN heavy adult o patient i l I n e Rows of teeth Tongue was not Ask patient to overexposed against the roof of swallow and palate place tongue against the roof of palate 76 GE Healthcare 60785 4A 11 Diagnosing image quality problems TMJ s exposed on 1 Patient tilted to Check different heights on one side Ma image Bilateral plan
65. t 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 11 Adjust patient s head as necessary so that the front light coincides with the patient s mid sagittal plane Move the head support by pressing it from sides against the patient and close the temple supports 48 GE Healthcare 60785 4A 60785 4A 5 Special imaging procedures u ib db i A ail Pt Fig 5 18 Ortho TMJ patient Fig 5 19 Angle indicator adjustment 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 is displayed over the patient s condyle Fig 5 20 Positioning panel left side TMJ pointer adjustment keys forwards 22 reset 23 backwards 24 Fig 5 21 Positioning panel right side TMJ pointer adjustment keys forwards 22 reset 23 backwards 24 13 Have the patient gently close the jaws together After patient positioning press start button wait until the unit stops Check that the patient positioning is not changed when the rotating unit is moved to its starting position 15 Press and hold the exposure button The system will cycle exposing only th
66. ternal 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 GE Healthcare radiograph with anatomical landmarks and 69 9 Understanding the OP100 D image 70 GE Healthcare 60785 4A 10 Failure diagnostics 10 Failure diagnostics 60785 4A The OP100 D has many safety functions and features assuring the safe operation of the equipment In the event of certain user failures or system malfunction the unit will not produce x rays and a failure code will be displayed on the Control Panel 10 1 Failure messages In case of malfunction the unit displays a failure message Various letters and numbers will be displayed in the technique factors display positions next to kV mA and s eg Ch 6 POS Failure code classification is displayed next to kV A special 2 digit failure code number is displayed next to mA Fig 10 1 Failure message 10 2 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 operation eg program memory erro
67. th AEC Automatic exposure control mode settings You can also select different power up settings if you want No other Control Panel settings are necessary NOTE If you wish to set the AEC density factors darker or lighter or wish to set the technique factors by patient size or manually refer to section Imaging technique Fig 4 1 P1 Image Fig 4 2 P1 amp AEC mode 4 To set technique factors by patient size select one of the preprogrammed patient size icons or manually entering the suggested values from the table below Refer to section maging technique for more information Technique factors in standard panoramic imaging juvenile heavy adult 110 VAC 63kV 63kV 63kV 70kV 6 4mA 10mA 12mA 12mA 230 VAC 63kV 63kV 63kV 66kV 6 4mA 10mA 12mA 16mA Note Example with Pr 52 CCO Constant Contrast 63kV Density 6 60785 4A GE Healthcare 27 4 Panoramic procedures 5 Install the chin rest and bite fork with bite fork rod adult or child with hygienic covers Open temple supports Fig 4 3 Standard patient positioning accessories installed 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 7 It is strongly recommended to provide the patient with a lead apron for radiation protection 8 Direct the patient to the unit and inst
68. that the patient positioning is not changed when the rotating unit is moved to its starting position Press and hold the exposure button The system will cycle and expose the maxillary sinus region Release the exposure button open temple supports and guide the patient out Remove the bite fork and rod reset chin rest and bite fork 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 P8 TMJ Lateral projection Prepare the equipment per section Preparation for panoramic image acquisition Select the imaging program for TMJ lateral projection on the Exposure Control Panel With OP100 D press the key two times to move the flashing light from the standard panoramic position P1 to the TMJ lateral projection position P8 Fig 5 7 P8 Image layer Fig 5 8 P8 amp Manual mode 3 The system is in the Manual Exposure Control mode To set technique factors by patient size select one of the preprogrammed patient size icons or manually entering the suggested values from the table below Refer to section maging technique for more information GE Healthcare 43 5 Special imaging procedures Technique factors in TMJ imaging 4 Press patient positioning button to rotate the rotating unit to the patient positioning position 5 Remove the bite
69. tient does not slump if carriage is lowered Adjust patient s head as necessary so that the front light coincides with the patient s mid sagittal plane GE Healthcare 29 4 Panoramic procedures co Fig 4 7 FH lig Fig 4 8 Straighten the cervical vertabrae 13 Adjust patients head as necessary so that the front light coincides with the patients mid sagittal plane 14 Move the head support by pressing it from sides against the patient and close the temple supports UF ro Fig 4 9 Front light Fig 4 10 Moving the head support 15 Confirm the position of the focal trough in reference to the occlusion The image layer light should illuminate the buccal of the maxillary canine or base of the nose if edentulous If not then adjust the focal trough by pressing one of the occlusion correction keys Press the Fig 4 11 The image key closest to mirror if the patient has progenia layer light Press the key closest to patient if he has prognathism Fig 4 12 Positioning panel located at left side Occlusion adjustment keys progenia 22 normal 23 prognatism 24 30 GE Healthcare 60785 4A 60785 4A 4 Panoramic procedures Fig 4 13 Positioning panel located at right side Occlusion adjustment keys progenia 22 normal 23 prognatism 24 This will adjust the unit during exposure After the exposure occlusion correction is automatically reset to cent
70. tion buttons Cephalostat patient positioning Operation Arm mounts on left or right side of the unit Interlocked pan ceph CCD camera Motorised carriage keys at cephalostat head assembly Lock for ear positioner rotation movemeni 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 camera and secondary slot motion Scanning time Panoramic image receptor Camera unit Pan camera or interchangeable pan ceph camera Image field height Data transmission Fibreoptic cable Transmission speed 160 MBps 60785 4A GE Healthcare 89 13 Technical specifications Cephalometric image receptor Camera unit Separate ceph camera or interchangeable pan ceph camera Technology Charged Couple Device CCD Image pixel size 96 x 96 um Image field height 7 5 inches 190 mm 1980 pixels Image field width in lateral 10 2 inches 260 mm maximum view Image field width in PA 7 9 inches 200 mm view Resolution 5 LP mm cephalometric Data transmission Fibreoptic cable Transmission speed 160 MBps OP100 D physical measures 19 2 inches 487 mm Panoramic SID Installation Standard wall mount with 45 angled joint Optional base for free standing unit Magnification 30 nominal in panoramic and lateral TMJ proc
71. ures e lateral view e posterior anterior PA and anterior posterior AP views The basic OP100 D can be upgraded later to the Orthoceph OC 100 D As the manufacturer we strongly recommend that you read this manual before taking the unit into use a J NOTE OP100 D Must be installed according to the OP100 D installation amp Adjustments manual by a qualified technician Only trained personnel should be allowed to operate OP100D GE Healthcare 1 1 Introduction 1 2 Markings and graphics symbols The following markings are used in this manual e J NOTE Contains useful information for the reader about the unit and its use CAUTION Contains important instructions If these instructions are not observed malfunction of the unit or damage to the unit or other property may occur WARNING Contains warnings and instructions about the safety of the unit If these warnings are not respected serious risks and injury may be caused to the patient and operator The following symbols are used in the OP100 D IL Radiographic control D Protective earth ground Type B equipment hr Dangerous voltage On Power Off Power Attention consult accompanying documents Ab O If the unit has CE marking it is CE marked according to the Medical Device Directive 93 42 EEC 3 N Co a NO GE Healthcare 60785 4A 1 Introduction sill If the unit has UL marking it is UL marked accordi
72. value by pressing the right or left key NOTE Pressing the key longer causes kV to change in larger steps Then press the down key mA display is blinking Select the mA value mA can be selected from the fixed table 2 0 2 5 3 2 4 0 5 0 6 4 8 0 10 12 and 16 ni i Ema JU ich e Ius fa amp a AA Fig 7 11 Free selection of ma values o J NOTE If the kV is increased with maximum mA selection the mA value is automatically decreased when the product of kV mA exceeds the allowed X ray tube rating GE Healthcare 63 7 Imaging technique 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 To set the unit to test mode first press the down and right keys to move the flashing light from the standard panoramic position to the AEC A position Then press the right key twice to move the flashing light to the test mode T position Fig 7 12 Test mode 2 The unit will now operate without X ray emission 3 To return to the AEC A mode press the left key twice 7 7 Measurements from the image In normal panoramic mode images the vertical dimension must be devided by a factor of 1 3
73. xposure 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 32 GE Healthcare 60785 4A 60785 4A 4 2 4 Panoramic procedures P2 Pediatric panoramic exposure Pediatric patients can be imaged with less radiation dosage and shorter exposure time Patients with narrow than average jaw can be exposed with this procedure too Prepare the equipment and PC system per section Preparation for panoramic image acquisition Select the pediatric exposure program on the Control Panel Press the right key to move the flashing light from the standard panoramic position to the pediatric position P2 Fig 4 16 P2 lmagelayer Fig 4 17 P2 amp AEC mode 3 To set technique factors by patient size select one of the preprogrammed patient size icons or manually entering the suggested values from the table below Refer to section maging Technigue for more information Technique factors in pediatric panoramic imaging juvenile heavy adult 110 VAC 60kV 60kV 60kV 63kV 6 4mA 10mA 12mA 12mA 230 VAC 60kV 60kV 60kV 60kV 6 4mA 10mA 12mA 16mA Note Example with Pr 52 CCO Constant Contrast 63kV Density P

OP100 D User and Technical Manual

Contents

Download Pdf Manuals

Related Search

Related Contents