ENGLISH
Orthopantomograph® OP200
Orthoceph® OC200
User Manual & Technical Specifications
5139539-100 rev. 2
Copyright |
Code: 5139539-100 rev 2 |
Date: 14 September 2012 |
|
|
Document code: D500318 rev |
2 |
|
|
Copyright © 09/2012 by PaloDEx Group Oy. All rights |
||
|
reserved. |
|
|
|
Orthopantomograph® and Orthoceph® are registered trademarks of |
||
|
Instrumentarium Dental. U.S. patents 6,731,717, |
6,829,326 and |
USRE41197. Finnish patents 114383. Windows® is trademark of Microsoft Corporation in the United States of America and other countries. Pentium® is a registered trademark of Intel Corporation. Iomega® Jaz® is a registered trademark of Iomega Corp.
Documentation, trademark and the software are copyrighted with all rights reserved. Under the copyright laws the documentation may not be copied, photocopied, reproduced, translated, or reduced to any electronic medium or machine readable form in whole or part, without the prior written permission of Instrumentarium Dental.
The original language of this manual is English.
Instrumentarium Dental reserves the right to make changes in specification and features shown herein, or discontinue the product described at any time without notice or obligation. Contact your Instrumentarium Dental representative for the most current information.
Manufactured by |
Instrumentarium Dental, PaloDEx Group Oy |
|
P.O. Box 20 |
|
FI-04301 Tuusula |
|
FINLAND |
|
Tel. +358 45 7882 2000 |
|
Fax. +358 45 7882 2506 |
|
For service, contact your local distributor. |
Table of Contents
1 |
Introduction .............................................................................................. |
|
1 |
||
|
1.1 |
General ................................................................................................................. |
|
1 |
|
|
1.2 |
Markings and graphics symbols............................................................................ |
2 |
||
|
1.3 |
Type and version................................................................................................... |
3 |
||
|
1.4 |
Options, accessories and manuals ....................................................................... |
4 |
||
|
1.5 |
Radiation protection guidelines ............................................................................. |
5 |
||
|
|
1.5.1 |
Protection by distance........................................................................................... |
5 |
|
|
|
1.5.2 |
Laser lights............................................................................................................ |
6 |
|
|
|
1.5.3 Control from a protected area ............................................................................... |
6 |
||
|
|
1.5.4 |
Emergency Stop Switch ........................................................................................ |
7 |
|
|
1.6 |
Manufacturer’s liability........................................................................................... |
8 |
||
|
1.7 |
Disposal ................................................................................................................ |
|
8 |
|
2 |
OP200 controls......................................................................................... |
|
9 |
||
|
2.1 |
Main parts ............................................................................................................. |
|
9 |
|
|
2.2 |
OC200 ceph main parts ...................................................................................... |
11 |
||
|
2.3 |
Control panel....................................................................................................... |
|
14 |
|
|
2.4 |
Positioning panels ............................................................................................... |
17 |
||
|
2.5 |
Patient positioning accessories........................................................................... |
18 |
||
|
2.6 |
Optional accessories & disposables ................................................................... |
19 |
||
|
2.7 |
Changing the fuses ............................................................................................. |
20 |
||
3 |
Equipment preparations........................................................................ |
21 |
|||
|
3.1 |
Care Instructions ................................................................................................. |
21 |
||
|
3.2 |
Cleaning recommendations ................................................................................ |
21 |
||
|
|
3.2.1 |
Cleaning .............................................................................................................. |
|
21 |
|
|
3.2.2 |
Disinfection and sterilization................................................................................ |
22 |
|
|
|
|
3.2.2.1 |
Autoclave ....................................................................................................... |
22 |
|
|
|
3.2.2.2 |
Steam sterilization.......................................................................................... |
22 |
|
|
|
3.2.2.3 |
Ethylene oxide sterilization............................................................................. |
23 |
|
|
3.2.3 |
Other sterilization processes............................................................................... |
23 |
|
|
|
|
3.2.3.1 |
Dry heat sterilization....................................................................................... |
23 |
|
|
|
3.2.3.2 Liquid chemical sterilant gases ...................................................................... |
23 |
|
|
|
|
3.2.3.3 |
Chemical sterilant gases ................................................................................ |
23 |
|
3.3 |
Loading the panoramic cassette ......................................................................... |
24 |
||
|
3.4 |
Cephalostat cassette loading .............................................................................. |
26 |
||
4 |
Panoramic procedures .......................................................................... |
29 |
|||
|
4.1 |
P1: Standard panoramic exposure...................................................................... |
29 |
||
|
4.2 |
P2: Pediatric panoramic exposure ...................................................................... |
34 |
||
|
4.3 |
P3: Ortho Zone enhanced panoramic exposure ................................................. |
36 |
||
|
4.4 |
P4: Orthogonal exposure .................................................................................... |
37 |
||
|
4.5 |
P5: Wide arch panoramic exposure .................................................................... |
38 |
||
5 |
Special imaging procedures ................................................................. |
41 |
|||
|
5.1 |
P6: TMJ, Lateral projection ................................................................................. |
41 |
||
|
5.2 |
P6: Ortho TMJ, axial corrected lateral projection (optional) ................................ |
44 |
||
|
5.3 |
P7: Open - closed TMJ, lateral projection ........................................................... |
47 |
||
|
5.4 |
P8: TMJ, posteroanterior projection .................................................................... |
49 |
||
|
5.5 |
P9: TMJ, lateral & PA projection ......................................................................... |
50 |
||
|
5.6 |
P10: Maxillary sinus view .................................................................................... |
51 |
5139539-100 rev 2 |
Instrumentarium Dental |
i |
6 |
Cephalometric procedures (optional) .................................................. |
55 |
||
|
6.1 |
P11: Cephalo lateral projection ........................................................................... |
55 |
|
|
6.2 |
P12: Cephalo posterior-anterior (PA) projection ................................................. |
58 |
|
|
6.3 |
P7: Axial view of the mandible exposure ............................................................ |
59 |
|
|
6.4 |
P5: Rewerse Towne projection exposure ........................................................... |
60 |
|
|
6.5 |
P5: Waters view exposure .................................................................................. |
61 |
|
|
6.6 |
P7: Carpus View exposure (optional).................................................................. |
62 |
|
|
6.7 |
P13: Ortho Trans mandible exposure (optional) ................................................. |
63 |
|
|
6.8 |
P14: Ortho Trans maxilla exposure (optional)..................................................... |
63 |
|
7 |
Imaging technique ................................................................................. |
65 |
||
|
7.1 |
Recommended film & screen combinations........................................................ |
65 |
|
|
7.2 |
Automatic exposure control (AEC)...................................................................... |
65 |
|
|
7.3 |
Exposure technique factors................................................................................. |
66 |
|
|
7.4 |
Manual mode ...................................................................................................... |
67 |
|
|
7.5 |
Test mode ........................................................................................................... |
69 |
|
|
7.6 |
Film processing ................................................................................................... |
69 |
|
|
7.7 |
Measurements from the image ........................................................................... |
70 |
|
8 |
Special features...................................................................................... |
71 |
||
|
8.1 |
Quality assurance ............................................................................................... |
71 |
|
|
8.2 |
Exposure counter ................................................................................................ |
72 |
|
|
8.3 |
Preventive maintenance reminder ...................................................................... |
73 |
|
|
8.4 |
Ortho ID film marking .......................................................................................... |
73 |
|
|
8.5 |
OP200 CR model for computerized radiography ................................................ |
73 |
|
|
8.6 |
Free selection of kV and mA ............................................................................... |
74 |
|
9 |
Understanding the OP200 radiograph ................................................. |
75 |
||
10 Failure diagnostics ................................................................................ |
77 |
|||
|
10.1 |
Failure messages................................................................................................ |
77 |
|
|
10.2 |
kV display............................................................................................................ |
77 |
|
|
10.3 |
mA display........................................................................................................... |
77 |
|
|
10.4 |
Time display ........................................................................................................ |
78 |
|
|
10.5 |
Resetting failure .................................................................................................. |
78 |
|
|
10.6 |
Multiple failure codes .......................................................................................... |
79 |
|
11 Diagnosing image quality problems .................................................... |
81 |
|||
|
11.1 |
Patient positioning............................................................................................... |
81 |
|
|
11.2 |
Film density and contrast .................................................................................... |
83 |
|
|
11.3 |
Artefacts .............................................................................................................. |
85 |
|
|
11.4 |
Unit operation...................................................................................................... |
87 |
|
12 How to use the user programming mode .......................................... |
89 |
|||
|
12.1 |
General ............................................................................................................... |
89 |
|
|
12.2 Installation & unit configuration programs .......................................................... |
89 |
||
|
12.3 Programs affecting to image quality................................................................... |
90 |
||
|
12.4 |
Other Pr programs .............................................................................................. |
90 |
|
|
12.5 |
How to use the user programming mode ............................................................ |
91 |
|
13 User program features........................................................................... |
93 |
|||
|
13.1 |
PR 50 LAY: linear tomography image layer (optional) ........................................ |
93 |
|
|
13.2 |
PR 51 PUS: power up setting ............................................................................. |
95 |
|
|
|
|
|
|
ii |
|
Instrumentarium Dental |
5139539-100 rev 2 |
|
13.3 |
PR 52 GCO and PR 52 PCO: |
|
|
|
constant contrast & density settings.................................................................... |
96 |
|
13.4 |
PR 53 NOR: resume normal settings................................................................ |
100 |
|
13.5 |
PR 54 ARN: rotating unit autoreturn ................................................................. |
101 |
|
13.6 |
PR 55 HUP: cassette holder autolift.................................................................. |
101 |
|
13.7 |
PR 56 HLI: cassette holder vertical limit ........................................................... |
102 |
|
13.8 |
PR 57 HON: Cassette lift side........................................................................... |
103 |
|
13.9 |
PR 58 CON: vertebrae shadow compensation ................................................. |
104 |
|
13.10 |
PR 59 PSE: preventative maintenance reminder ............................................ |
106 |
|
13.11 |
PR 60 BEP: panel beep................................................................................... |
106 |
|
13.12 |
PR 61 CLC: clear exposure counter................................................................ |
107 |
|
13.13 |
PR 62 ERR: last failure code........................................................................... |
107 |
|
13.14 |
Pr 65 doS: dose / time display selection.......................................................... |
108 |
|
13.15Pr 66 COU: Exposure counters ........................................................................ |
109 |
||
14 User's statement .................................................................................. |
111 |
||
15 Technical specifications...................................................................... |
117 |
||
15.1 |
Electromagnetic Compatibility (EMC) tables..................................................... |
123 |
|
16 Maintenance ......................................................................................... |
127 |
||
16.1 |
Maintenance Schedule...................................................................................... |
127 |
|
16.2 |
Monthly Inspection by User............................................................................... |
127 |
|
16.3 |
Preventative Maintenance Reminder ................................................................ |
127 |
5139539-100 rev 2 |
Instrumentarium Dental |
iii |
iv |
Instrumentarium Dental |
5139539-100 rev 2 |
1Introduction
1.1GENERAL
INSTRUMENTARIUM DENTAL® Orthopantomograph® OP200 panoramic unit is a software controlled diagnostic panoramic dental x- ray equipment for producing high quality images of dentition, TM-joints and skull. Anatomical details will be displayed on the film magnified nominally by 30%.
The Orthopantomograph® OP200 can perform the following procedures:
•Standard panoramic exposure
•Pediatric panoramic exposure
•Wide arch panoramic exposure
•Ortho Zone enhanced panoramic exposure
•Orthogonal panoramic exposure
•TMJ, lateral projection or
•Ortho TMJ axial corrected lateral projection (optional)
•TMJ, lateral projection jaw closed and open
•TMJ, PA projection
•TMJ, lateral and PA projection
•Maxillary sinus
Your Orthopantomograph® OP200, model OP200 OT or OP200 CR, can be field upgraded at a later time to the Orthoceph® OC200 model. With this addition, high quality cephalometric exposures can also be made.
NOTE!
OP200 must be installed according to the OP200 installation & Adjustments manual by a qualified technician. Only trained personnel should be allowed to operate OP200.
In addition to the above mentioned procedures Orthoceph® OC200 can perform the following cephalometric procedures:
•Lateral view
•Postero-anterior and Antero-posterior views
•Oblique projections
•Townes, Waters, Caldwell, SMV, Carpus
Orthopantomograph® OP200 or Orthoceph® OC200 can also be field upgraded to the OP/OC200 OT model. OP200 with the Ortho Trans option can do the following linear tomographic procedures:
•Maxillary imaging in longitudinal and transversal views
•Mandible imaging in longitudinal and transversal views
Digital imaging is possible with OP200 D and OC200 D models or by using phosphor image plates with OP200 CR, OC200 CR, OP200 OT/ CR and OC200 OT/CR models.
5139539-100 rev 2 |
Instrumentarium Dental |
1 |
1 Introduction
As the manufacturer we strongly recommend that you read this manual before taking the unit into use.
1.2MARKINGS AND GRAPHICS SYMBOLS
The following markings are used in this manual:
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 OP200.
Radiographic control
Protective earth (ground)
Type B equipment
Dangerous voltage
On (Power)
Off (Power)
Attention, consult accompanying documents
If the unit has CE-marking it is CE-marked according to the Medical Device Directive 93/42/EEC.
2 |
Instrumentarium Dental |
5139539-100 rev 2 |
1 Introduction
ETL symbol
This symbol indicates that the waste of electrical and electronic equipment must not be disposed as unsorted municipal waste and must be collected separately. Please contact an authorized representative of the manufacturer for information concerning the decommissioning of your equipment.
1.3TYPE AND VERSION
The type and version of the OP200 are defined in the main label of the unit. The unit is class I, type B and with IP-20 protection.
Fig 1.1. Location of main label and CE mark
|
TYPE AND VERSION |
|
|
OP200 |
short form for Orthopantomograph® OP200 |
|
|
OC200 |
short form for Orthoceph® OC200 |
atype of the x-ray tube insert which is originally utilized:
1= Toshiba D-051S
bversion number:
1OP200 models starting from s/n 100 000
Sindication of a "Special" version, marked only in products which have a non-standard modification
5139539-100 rev 2 |
Instrumentarium Dental |
3 |
1 Introduction
For example, OP200-1-1 is:
(OP200) Orthopantomograph® OP200 (-1) with Toshiba D-051S tube
(-1) first version of OP200.
1.4OPTIONS, ACCESSORIES AND MANUALS
The options are listed in the appendices. The accessories are listed in sections 2.5 and 2.6. All standard items and approved accessories are suitable for use within the patient environment.
WARNING!
This product itself complies IEC601-1-1 medical safety standard but in order to the system incorporating also a PC to comply the standard, EITHER the PC has to be a medical PC OR the PC has to be located over 1,5 meters apart from the OP/OC200 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 6011standard and that is indicated in the accompanying documents of the PC.
NOTE!
To maintain safe and correct functioning of OP200, only the approved accessories may be used.
CAUTION!
Use of controls or adjustments or performance of procedures other than those specified herein may result in hazardous radiation exposure.
Following manuals and documents are shipped with the OP200:
•OP200 / OC200 User Manual & Technical Specifications
•OP200 / OC200 Installation & Adjustments Manual
These manuals and future updates are available on request from the manufacturer.
4 |
Instrumentarium Dental |
5139539-100 rev 2 |
1 Introduction
1.5RADIATION PROTECTION GUIDELINES
X-ray equipment may cause injury if used improperly. The instructions contained in this manual must be read and followed when operating the Orthopantomograph® OP200. All government and local regulations pertaining to radiation safety must be observed.
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® OP200 must not be used in rooms where an explosion hazard exists. Equipment not suitable for use in the presence of flammable mixtures.
OP200 with radiation protection in accordance with IEC601-1-3:1994.
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 1.2. Caution information on Control panel
5139539-100 rev 2 |
Instrumentarium Dental |
5 |
1 Introduction
1FH-light
2Mid-Sagittal light
3Layer light
Fig 1.3. Laser light (CLASS 1 LASER PRODUCT). Max output 100µW.
The operator does not need to be close to the patient during normal use. Control panel hand switch or optional remote hand switch can be used from an area protected from the x-ray beam. The fully extended spiral cable length of the control panel hand switch is approx. 4 m / 13 ft. The cable length of the remote hand switch (part #69961) is approximately
10 m / 32 ft.
6 |
Instrumentarium Dental |
5139539-100 rev 2 |
1 Introduction
In case of malfunction of the exposure button release or other protective devices of the unit, an emergency stop switch is provided on the right side of the unit so that the patient can reach it. If the emergency stop switch is pressed during the exposure, the exposure is terminated immediately and the x-ray unit is completely stopped. The exposure interrupted by emergency stop switch, cannot be continued later, but has to be retaken from the beginning.
5139539-100 rev 2 |
Instrumentarium Dental |
7 |
1 Introduction
1.6MANUFACTURER’S LIABILITY
As a manufacturer we can only assume liability of safe and reliable operation of this unit when
•OP200 unit installation was performed according to the OP200 Installation & Adjustments Manual and
•OP200 Unit is used according to the OP200 User Manual
•Maintenance and repairs are performed by a qualified Orthopantomograph® OP200 Dealer and
•Original or authorized spare parts are used
In order to quarantee maximal image quality for entire life time of this high performance imaging system, we suggest that a special image quality assurance procedure (* and test object designed for image quality assurance purposes is used (code 68795). Also we recommend qualified serviceman to check the unit to be in its original condition regarding electrical, radiation and mechanical safety according to our maintenance program described in more details in maintenance manual (code 61049) every year or after 2000 images. For more information please contact your local dealer.
*) According EN61223-3-4 and DIN 6868-151
If service on the unit is performed, a work order describing the type and extent of repair must be provided by the service technician. This must contain information of changes of nominal data or work range performed. The work order must furthermore indicate the date of repair, the name of the company concerned and a valid signature. User should keep this work order for future references.
1.7DISPOSAL
Follow the local regulations on disposal of waste parts. OP200 has at least the following parts that should be regarded as non-environmental friendly waste products:
–X-ray source assembly
–All electronic circuits
–Column counter weight (Pb)
8 |
Instrumentarium Dental |
5139539-100 rev 2 |
2 OP200 controls
1
Optional Cephalostat |
3 |
14
13
11
10
9
15
1Cassette holder
2Main support
3Film cassette
4Rotating unit
5Head and Temple support
6Primary collimator
7Bite fork with rod
8Chin rest
9Handles
10Patient positioning panel
11Control panel
12Exposure indicator lights
13FH light height adjustment
14Mirror
15Base plate (optional)
2 4
6
5
8 7
5139539-100 rev 2 |
Instrumentarium Dental |
9 |
2 OP200 controls
16Exposure Button with cable and holder (optional in some markets)
21) Main label |
24 |
|
22)Power ON / OFF switch with an indicator
23)Main fuses with label
24)Connector for Control panel
25) Connector for Ortho ID (optional) |
25 |
|
21
23 22
Fig 2.1. Unit main label and Power switch
10 |
Instrumentarium Dental |
5139539-100 rev 2 |
2 OP200 controls
2.2OC200 CEPH MAIN PARTS
Fig 2.2. OC200 LL: Cephalostat mounted on the left side
Cephalostat arm
1Cephalostat head
2Cassette holder
3Cassette retainer
4Film cassette sizes: 18 x 24 cm and
24 x 30 cm or 8” x 10” and 10” x 12”
5Guides for optional grid
6Lock for axial rotation (see Fig 2.5)
7Ear rods
8Nasion support
9Soft tissue scale display
10Magnification scale
11Ear holder brake
9 6
10 1
11
2
3
5
8
4 |
7 |
|
Fig 2.3. Head positioner, ear holde cassette holder
Fig 2.4. Lock for axial rotation |
Fig 2.5. Soft tissue scale display |
5139539-100 rev 2 |
Instrumentarium Dental |
11 |
2 OP200 controls
5
4
Fig 2.6. Cassette (4) and grooves (5) for optional grid
Fig 2.7. Panoramic cassette holder lifted to allow cephalostat procedure
|
|
8 |
|
|
1 |
2 |
|
|
|
|
|
|
|
|
|
3 |
|
|
|
|
4 |
5 |
6 |
7 |
|
|
Fig 2.8. Tubehead
12 |
Instrumentarium Dental |
5139539-100 rev 2 |
2 OP200 controls
Tube head
1Soft tissue filter scale & slider
2Quality Assurance collimator "QA"
3Pediatric collimator
4Panoramic collimator "PAN"
5Ortho Trans Collimator
6Cephalometric collimator alternatives: Lateral view: Europe 18 x 24 cm AH,
18 x 24 cm AV, other markets 8” x 10” AV, 10” x 8” AH, 10” x 12” AV
7Cephalometric collimator: Symmetrical view: Europe 18 x 24 cm SV, other markets 8” x 10” SV
8Collimator selection lever
NOTE!
5-7: Cassette orientation markings: AV = Asymmetric vertical,
AH = Asymmetric horizontal,
SV = Symmetrical vertical (for facial / PA views).
NOTE!
Pediatric collimator is available when the lever on the PAN position is lifted up for one step. QA collimator is available when the lever on the PAN position is lifted up for two steps.
NOTE!
The collimator selection and film sizes are usually connected to the used systems in the counter so that you can select the cm or inch sizes, but not mixed.
5139539-100 rev 2 |
Instrumentarium Dental |
13 |
2 OP200 controls
2.3CONTROL PANEL
Exposure Control |
3 |
2 |
||
|
|
|||
1 |
Exposure Button |
|
1 |
|
2 |
Exposure Indicator Light |
|||
|
||||
3 |
"Ready" Indicator Light |
|
|
|
1 |
2 |
3 |
|
Sections
1Anterior
2Premolar
3 |
Molar |
4 |
Jaw joint |
NOTE!
Sections 2 and 3 are combined as one section in panoramic programs.
Imaging Procedures P1-P14 with Indicator lights
Standard Panoramic (P1)
Pediatric Panoramic (P2)
Ortho Zone enhanced panoramic exposure (P3)
Orthogonal exposure (P4)
Wide arch panoramic exposure (P5)
TMJ, lateral projection (P6) or Ortho TMJ, axial corrected lateral projection (P6 optional)
Open-closed TMJ, lateral projection on one film (P7)
14 |
Instrumentarium Dental |
5139539-100 rev 2 |
2 OP200 controls
TMJ, posterior-anterior projection (P8)
TMJ lateral and TMJ PA projection on one film (P9)
Maxillary sinus view (P10)
Cephalo lateral projection (P11)
Cephalo PA projection and other special projections (P12)
Ortho Trans mandible (P13 optional)
Ortho Trans maxilla (P14 optional)
Exposure Modes with Indicator lights
Automatic Exposure Control
Test Mode
Manual Exposure Control
Automatic Exposure Density Scale (nine steps)
Default
One and half steps lighter
Half step darker Two steps darker
5139539-100 rev 2 |
Instrumentarium Dental |
15 |
2 OP200 controls
Control panel displays
kV display
mA display
Exposure time display / Exposure counter value display
Icons for Pre-programmed Technique Factors with Indicator lights
Child |
Juvenile Adult |
Large |
|
|
adult |
Function Selection buttons
Move the flashing indicator left or right
Decrease or increase the value on display
Move the flashing indicator up or down to the next selection row
P1-P12: Show Exposure counter value or reset user error (Ch)
In the programming mode:
•Enter & Exit Program Mode
•Accept the displayed choice
NOTE!
OK button has special functions in the user and service programming mode. See User Program Chapter in the User Manual for details.
Radiation warning
16 |
Instrumentarium Dental |
5139539-100 rev 2 |
2 OP200 controls
2.4POSITIONING PANELS
24 |
23 |
22 |
21 |
25 |
|
|
20 |
26 |
|
|
|
27 |
|
|
|
28 |
|
|
20 |
Fig 2.9. Positioning panel, right side
(on left side just the buttons 25 and 26 are flipped)
Positioning Panel button meaning in each mode
Key |
Panoramic |
Cephalostat |
TMJ |
Maxillary Sinus |
|
(P1-P5) |
(P11-P12) |
(P6-P9) |
(P10) |
|
|
|
|
|
20 |
Carriage vertical movement up / down |
|
||
|
|
|
|
|
21 |
moves the |
|
moves |
moves the image |
|
image layer |
|
image |
layer 10 mm |
|
3 mm |
|
layer |
anterior from |
|
anterior |
|
anterior |
nominal position |
|
during |
|
|
during exposure |
|
exposure |
|
|
|
|
|
|
|
|
22 |
normal |
|
reset to |
nominal position |
|
occlusion / |
|
middle |
|
|
reset position |
|
|
|
|
|
|
|
|
23 |
moves the |
|
moves |
moves the image |
|
image layer |
|
image |
layer 10 mm |
|
3 mm |
|
layer |
posterior from |
|
posterior |
|
posterior |
nominal position |
|
during |
|
|
during exposure |
|
exposure |
|
|
|
|
|
|
|
|
24 |
Positioning |
|
Positioning lights on / off |
|
|
lights on / off |
|
|
|
|
|
|
|
|
25 |
Rotating unit movement: Start position |
|
||
|
|
|
|
|
26 |
Cassette holder down |
|
|
|
|
|
|
|
|
27 |
Cassette holder up |
|
|
|
|
|
|||
28 |
Rotating unit movement: Patient positioning |
|||
|
|
|
|
|
5139539-100 rev 2 |
Instrumentarium Dental |
17 |
2 OP200 controls
2.5PATIENT POSITIONING ACCESSORIES
62895
6722
62942 62965
50076
62875 6298562988
Fig 2.10. Panoramic patient positioning accessories
Fig 2.11. TMJ patient positioning accessories
Part |
Part description: |
Part |
Part description: |
code: |
|
code: |
|
|
|
|
|
62875 |
Chin rest |
62904* |
Nose support, long |
|
|
|
|
62895 |
Sinus rest |
62906* |
Nose support, short |
|
|
|
|
62942* |
Bite block 10 pcs |
60477 |
TMJ pointer |
|
|
|
|
62985* |
Bite fork, short 56 mm |
64665 |
TMJ angle indicator |
|
|
|
(Ortho TMJ option) |
|
|
|
|
62988* |
Bite fork 71 mm |
62943 |
TMJ chin rest |
|
|
|
(Ortho TMJ option) |
|
|
|
|
62958* |
Bite fork, long 80 mm, |
64694 |
TMJ pointer (for |
|
optional (not shown) |
|
Ortho Trans units) |
|
|
|
|
50076 |
Child adaptor |
|
|
|
|
|
|
6722 |
Chin support |
|
|
|
|
|
|
62965 |
Edentulous bite |
|
|
|
positioned, optional |
|
|
|
|
|
|
18 |
Instrumentarium Dental |
5139539-100 rev 2 |
2 OP200 controls
NOTE!
The parts marked with * are autoclavable.
Convenient bins for small accessories and disposables are located on the both sides of the vertical carriage.
Fig 2.12. Left and right cabins.
2.6OPTIONAL ACCESSORIES & DISPOSABLES
The following optional accessories, disposables and tools are available for the equipment:
7451
7452
8915
7453
6644
Fig 2.13. Consumer accessories
Part |
Part description: |
code: |
|
|
|
6644 |
Bite fork coat, |
|
200 pcs |
|
|
7451 |
Chin rest coat, |
|
200 pcs |
|
|
5139539-100 rev 2 |
Instrumentarium Dental |
19 |
2 OP200 controls
Part |
Part description: |
code: |
|
|
|
7452 |
Temple support coat, |
|
200 pcs |
|
|
7453 |
Nose support coat, |
|
200 pcs |
|
|
8915 |
Ear holder coat, |
|
20 pcs |
|
|
2.7CHANGING THE FUSES
Push inward on the fuse base and twist it counter-clockwise with a screwdriwer. The fuse with the base will come out.
Remove the fuse from the base and replace it with the new one. Repeat this with each blown fuse.
Fasten both fuses by pushing the base in and twisting it clockwise with a screwdriver.
Use only appropriate fuses:
326 Littelfuse 10A (slow blow) 230 VAC line voltage
MDA-15 Cooper Bussman 15A (time delay) 115 VAC line voltage
20 |
Instrumentarium Dental |
5139539-100 rev 2 |
3 Equipment preparations
3.1CARE INSTRUCTIONS
X-ray devices are sophisticated electronic products including advanced technologies. As such, they have to be handled with a high degree of care. This document gives the care instructions applicable to the Orthopantomograph® panoramic and cephalostat units.
NOTE!
It is strictly mandatory to follow these Care Instructions in order to not void the warranty of the product.
CAUTION!
As a standard recommendation, clean the unit regularly using nonagressive, mild, commercially available cleaning agents.
3.2CLEANING RECOMMENDATIONS
The unit should be cleaned after every usage between the patients. Items and surfaces that are not given special instructions for cleaning, disinfecting and sterilizing, can be cleaned with soft cloth moistured with disinfective after every usage.
WARNING!
Always disconnect OP200 from mains or switch off the power prior to cleaning or disinfecting the unit.
CAUTION!
Do not allow water or other cleaning liquids to enter the unit interior since these may cause short-circuits or corrosion.
The purpose of cleaning and rinsing is to remove all adherent visible soil (eg. blood, protein substances and other debris), to reduce the number of particulate and micro-organisms, and to reduce the amount of pyrogenic and antigenic material.
Use a cloth moistened in cool-to-lukewarm, soapy water to clean the unit, and prevent coagulation and thus faciliate the removal of protein substances. Then wipe with a cloth moistened in clear water. Mild detergent solution can be used. Use cleaners or solvents, which are listed as allowed cleaning agents below. If you are uncertain of the nature of cleaning agent, do not use it.
5139539-100 rev 2 |
Instrumentarium Dental |
21 |
3 Equipment preparations
Examples of cleaning agents that are allowed or prohibited when cleaning the unit panels:
Allowed: Methanol (metyl alcohol), Soap, Isopropyl alcohol, distilled water.
Not allowed: Bentzene, Chlorine bentzene, Acetone, Acetic ether, agents containing phenol, paracetic acid, peroxide and other oxygencleaving agents, sodium hypochlorite and iodine-cleaving agents.
The disinfection and sterilization concerns the parts of the equipment like bite block, chin support and accessories. Wipe manually with clean cloth moistured in disinfectant solution. Never use corrosive or solvent disinfectants. All items and surfaces should be dried before next usage.
NOTE!
Wear gloves and other protective equipment during decontamination process.
WARNING!
Do not use any disinfecting sprays since the vapor could ignite causing injury.
Disinfecting techniques for both the unit and the room must comply with all laws and regulations that have jurisdiction of law within the jurisdiction on which the unit is.
Some removable parts in touch with the patient are sterilizable in autoclave. Such parts are:
Bite forks (62985, 62988, 62958), Bite block (62942) and Nose supports (62906, 62904).
If autoclaving is performed for these items, disinfection by immersing in disinfectant solution for 10 minutes is not needed.
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:
22 |
Instrumentarium Dental |
5139539-100 rev 2 |