D500316-8 OP200 Installation Manual Rev 8

ENGLISH
Orthopantomograph OP200 D
Orthoceph OC200 D
Installation & Adjustments Manual
5139799-100 rev. 8
Copyright Code: 5139799-100 rev 8 Date: 27 September 2012
Document code: D500316 rev 8
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

Nahkelantie 160 (P.O. Box 20)
FI-04300 Tuusula
FINLAND
Tel. +358 10 270 2000
Fax. +358 9 851 4048
For service, contact your local distributor.

1 Introduction.................................................................................................................. 1
1.1 General ................................................................................................................. 1
1.2 Graphics symbols.................................................................................................. 3
1.3 Type and version................................................................................................... 5
1.4 Radiation protection guidelines ............................................................................. 7
1.4.1 Protection by distance................................................................................ 7
1.4.2 Control from a protected environment........................................................ 8
1.5 Laser lights............................................................................................................ 8
1.6 Emergency Stop Switch ........................................................................................ 9
1.7 Unit identification labels ...................................................................................... 10
1.8 Manufacturers liability......................................................................................... 12
1.9 Disposal .............................................................................................................. 13
2 Installation requirements and dimensions.............................................................. 15

2.1 Column options ................................................................................................... 15
2.2 Column mounting options ................................................................................... 16
2.3 OP/OC200 D recommended minimum installation dimensions .......................... 17
2.4 Unit orientation options ....................................................................................... 18
2.5 Site requirements and dimensions...................................................................... 19
2.5.1 Radiation shielding................................................................................... 19
2.5.2 Radiation Safety....................................................................................... 19
2.5.3 Package dimensions ................................................................................ 19
2.5.4 Door width ................................................................................................ 19
2.5.5 Patient Access Area................................................................................. 19
2.5.6 Location.................................................................................................... 20
2.5.7 Unit mounting ........................................................................................... 20
2.5.8 Floor ......................................................................................................... 20
2.5.9 Remote exposure button (optional).......................................................... 20
2.5.10 Mains connection ..................................................................................... 20
2.5.11 Protective ground ..................................................................................... 21
2.6 Tools and hardware ............................................................................................ 21
3 Preparing for the installation.................................................................................... 23

3.1 Checking the shipment........................................................................................ 23
3.1.1 Checking the boxes.................................................................................. 23
3.2 Opening the boxes .............................................................................................. 23
3.2.1 Unpacking the column.............................................................................. 23
3.2.2 Unpacking the carriage ............................................................................ 25
4 Hardware installation ................................................................................................ 27

4.1 Column installation.............................................................................................. 27
4.1.1 Wall mount bracket .................................................................................. 27
4.1.2 Optional fork stand installation ................................................................. 30
4.1.3 Erecting the column ................................................................................. 32
4.2 Vertical carriage installation ................................................................................ 34
4.2.1 Lifting and fastening the carriage ............................................................. 34
4.2.2 Adjusting and fastening the unit ............................................................... 38
4.2.3 Electrical connections .............................................................................. 39
4.2.4 Rotation lock removal............................................................................... 41
4.2.5 Carriage locking plate removal................................................................. 42
4.3 Digital Cephalostat installation (optional) ............................................................ 44
5139799-100 rev 8 Instrumentarium Dental i

4.3.1 Preparing the unit for cephalostat installation .......................................... 44
4.3.2 Unpacking the cephalostat....................................................................... 44
4.3.3 Cephalostat arm mounting ....................................................................... 46
4.3.4 Cephalostat electrical connections........................................................... 50
4.3.5 Cephalostat head mechanical adjustments ............................................. 51
4.4 Finalizing the hardware installation ..................................................................... 54
4.4.1 Mains voltage connection......................................................................... 54
4.4.2 Changing the mains voltage from 230 V to 110 V.................................... 56
4.4.3 Removing counterweight transport security bolts .................................... 58
4.4.4 Control panel............................................................................................ 59
4.4.5 Remote exposure button (optional).......................................................... 59
4.4.6 Installing the unit covers........................................................................... 60
4.4.7 PCI-board and fiber-optic cable installation ............................................. 60
4.4.8 Connecting the CCD sensor .................................................................... 61
4.4.9 Application software installation ............................................................... 62
4.4.10 Powering up the unit for the first time....................................................... 62
5 Digital unit adjustments and calibration ................................................................. 67

5.1 General instructions ............................................................................................ 67
5.2 STEP 1: Panoramic adjustments and calibrations .............................................. 68
5.2.1 Panoramic beam alignment check ........................................................... 68
5.2.2 Panoramic beam adjustment with autocollimator..................................... 70
5.2.3 Image layer check and alignment ............................................................ 73
5.2.4 Patient positioning laser lights check and alignment................................ 75
5.2.5 AEC calibration check and adjustment .................................................... 81
5.3 STEP 2: Optional cephalostat adjustment and calibration .................................. 83
5.3.1 Cephalostat beam passing the panoramic CCD sensor .......................... 83
5.3.2 Cephalostat beam check and alignment .................................................. 84
5.3.3 Secondary collimator check and adjustment............................................ 87
5.3.4 Beam alignment board sensors sensitivity check and adjustment........... 90
5.3.5 Ear holder check and alignment............................................................... 92
5.3.6 Patient positioning laser lights alignment ................................................. 95
5.3.7 Calibrating the nasion frequency.............................................................. 95
5.3.8 Installing cephalostat covers .................................................................... 96
6 Handing over the unit................................................................................................ 99

6.1 Panel functions.................................................................................................... 99
6.2 Dose settings .................................................................................................... 100
6.3 Quality checks................................................................................................... 100
6.3.1 Activating panoramic QA-mode ............................................................. 100
6.3.2 Activating cephalostat QA-mode............................................................ 100
6.3.3 QA test mode selection .......................................................................... 101
6.3.4 QA-image ............................................................................................... 101
6.3.5 IEC Quality Assurance ........................................................................... 103
6.4 Accessories and disposables............................................................................ 106
6.5 Application training............................................................................................ 106
6.6 Verifying real image quality ............................................................................... 107
6.6.1 Software settings for image viewing....................................................... 107
7 Appendix A, OP200 D installation

check list .................................................................................................................. 109
ii Instrumentarium Dental 5139799-100 rev 8

8 Appendix B, Unit orientation change..................................................................... 111
8.1 Panoramic patient positioning orientation change ............................................ 111
8.2 Cephalostat orientation change ........................................................................ 115
9 Appendix C, Cephalostat upgrade ......................................................................... 119

9.1 Cephalostat upgrade kit content ....................................................................... 119
9.2 Unpacking instructions ...................................................................................... 121
9.3 Counter weight .................................................................................................. 121
9.3.1 Adding trim weights................................................................................ 121
9.4 Collimator and tubehead cover ......................................................................... 124
9.5 Installation of the cephalostat............................................................................ 125
9.6 Alignments ........................................................................................................ 125
10 Appendix D, Re-packing instructions.................................................................... 127

10.1 Preparing the unit for re-packing....................................................................... 127
10.1.1 Cephalostat head ................................................................................... 127
10.1.2 Carriage ................................................................................................. 128
10.2 Cephalostat package ........................................................................................ 130
10.3 Carriage package.............................................................................................. 131
10.4 Column package ............................................................................................... 133
5139799-100 rev 8 Instrumentarium Dental iii

iv Instrumentarium Dental 5139799-100 rev 8
1 Introduction
1 Introduction
1.1 General
Orthopantomograph OP200 D is a software controlled
diagnostic panoramic dental x-ray equipment for producing
high quality digital images of dentition and TM-joints.
Orthoceph OC200 D is a more equipped x-ray panoramic
unit with cephalometric exposure option.
A minimum complete system contains the X-ray unit itself

(with all of its accessories) and the modality workstation
(PC) that is connected to the unit. However note that where
as the rest of the system is installed to the patient
environment, the modality workstation or any other PC
may have restrictions to the place of installation referenced
to that environment.
This manual covers the installation of panoramic unit,

cephalostat option, PC system PCI board and optical link
between PC and OP200 D unit. For information about how
to use the OP200 D unit and CLINIVIEWTM software
please refer to the appropriate manuals.
Following manuals are shipped with the OP200 D:
OP200 D Installation & Adjustments Manual

OP200 D User Manual & Technical Specifications
Installation and User Manual for CLINIVIEWTM
software
These manuals and future updates are available on

request from Instrumentarium Dental.
In order to maintain safe and correct operation of the

OP200 D unit, read and follow carefully instructions
provided in this manual during the unit installation process.
Use only approved cables and plugs.
Mains connector types:
NEMA 6-15P or similar Hospital grade (US/230 V)

NEMA 5-20P or similar Hospital grade (US/110 V)
HBL8215C or similar Hospital grade (JAPAN)
Power supply cord:
For UL-countries: S or SO, AWG 14x3

H05VV-F3G 10-16A 250V (CE)
5139799-100 rev 8 Instrumentarium Dental 1

1 Introduction
WARNING! This product itself complies IEC601-1-1

medical safety standard but in order to the system
incorporating also a PC to comply the standard, EITHER
the PC has to be a medical PC OR the PC has to be
located over 1,5 meters apart from the OP/OC200 D unit.
The installer and the user of the system shall confirm that
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.
WARNING! SERVICING AND INSTALLING THIS UNIT

WITHOUT ADEQUATE EXPERTISE IS EXTREMELY
DANGEROUS. Instrumentarium Dental recommends that
all service operations are performed by Instrumentarium
Dental authorized service personnel!
WARNING! Prevent unauthorized access to unit during

the unit installation process. Some internal parts of the unit
contain dangerous voltage, which can be reached during
the installation, when the unit covers have been removed.
WARNING! The mains filter and connected cables are still

energized even when the unit is switched off (see wiring
diagram in chapter 4.4.1 Mains voltage connection). The
mains power cord must be unplugged from the wall socket
when the mirror plate is removed during the unit
installation.
WARNING! Some installation

procedures instructed in this
manual require X-radiation
exposures. Follow the local
regulations with radiation safety
issues.
2 Instrumentarium Dental 5139799-100 rev 8

1 Introduction
1.2 Graphics symbols

The following symbols are used in the OP200 D.
Radiographic control
Protective earth (ground)
Type B equipment
GOST-R A certification that the products qualifies

for safety requirements in Russia
Dangerous voltage
On (Power)
Off (Power)
Attention, consult accompanying documents
If the unit has CE-marking it is CE-marked

according to the Medical Device Directive 93/42/
EEC.
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 Introduction
The following abbreviations are used in this manual.
PC Personal computer
HD Hard disk
Hz Hertz; cycles per second
MHz Millions of hertz
CPU Central processing unit (computer)
RAM Random access memory
MB Mega bytes
GB Giga bytes
CCD Charge-coupled device
CD-R Compact disc (read)
CD-RW Compact disc (read and write)
DVD-RW Digital Versatile Disc (read and write)
HDD High density drive
PCI Peripheral Component Interconnect
LAN Local Area Network

1 Introduction
1.3 Type and version

The type and version of the OP200 D is defined in the unit
main label. It is located on the vertical carriage bottom
plate next to the power on/off switch or in the column label.
The unit is class I, type B and has IP-20 protection.
Fig 1.1. Location of main label and CE mark
Type: Type:
Ser. No: Ser. No:
Manufactured: Manufactured:
10 A 230 V~ 50 / 60Hz (1 A continuous) 15 A 110 V~ 50 / 60Hz (1 A continuous)
This product complies with DHHS 21 CFR Chapter I, This product complies with DHHS 21 CFR Chapter I,
Subchapter J at the date of manufacture. Subchapter J at the date of manufacture.
Caution: Federal law restricts this device to Caution: Federal law restricts this device to
sale by or on the order of a dentist or other sale by or on the order of a dentist or other
qualified professional. qualified professional.
ETL CLASSIFIED ETL CLASSIFIED

CONFORMS TO UL STD 60601-1. CONFORMS TO UL STD 60601-1.
CERTIFIED TO CSA CERTIFIED TO CSA
STD C22.2 NO 601.1. STD C22.2 NO 601.1.
3174420 3174420
D502470 / 3
D502470 / 4
Manufactured by Instrumentarium Dental Manufactured by Instrumentarium Dental

Nahkelantie 160 Nahkelantie 160
FI-04300 TUUSULA, Finland FI-04300 TUUSULA, Finland
Fig 1.2. Main label and CE mark (230 V) Fig 1.2. Main label and CE mark (110 V)

1 Introduction
The type numbers appear in the following form:

OP200 D-a-bc-d-S.
TYPE AND VERSION
OP200 D short form for ORTHOPANTOMOGRAPH

OP200 D
OC200 D short form for ORTHOCEPH OC200 D
a type of the x-ray tube insert which is originally utilized:

1 = Toshiba D-051S
bc the type of Panoramic sensor (b) and Cephalostat

sensor (c):
0 = No sensor = No type number
1 = PAN sensor, fixed
2 = PAN sensor, removable
3 = CEPH sensor, fixed
4 = PAN / CEPH sensor, removable
NOTE: Number can be for example 24 meaning both

PAN sensor and PAN/CEPH sensor.
d version number:
1 = OP200 models starting from s/n 100 000
S indication of a "Special" version, marked only in

products which have a non-standard configuration
For example, OP200 D-1-4-1 is:

(OP200 D) Orthopantomograph OP200 D
(-1) with Toshiba D-051S tube
(-4) Removable combined panoramic and cephalostat
sensor
(-1) first version of OP200.
NOTE! In order to maintain safe and correct functioning of

OP200 D, only the approved accessories may be used.

1 Introduction
1.4 Radiation protection guidelines

X-ray equipment may cause injury if used improperly. The
instructions contained in this manual must be read and
followed with the Orthopantomograph OP200 D. All
government and local regulations pertaining to radiation
safety must be observed.
NOTE! For USA: Many provisions of these regulations are

based on recommendations of the National Council on
Radiation Protection and Measurements.
Recommendations for dental x-ray protection are
published in NCRP Report #35 available from NCRP
Publications, 7910 Woodmont Avenue, Suite 1016,
Bethesda, MD 20814.
Personal radiation monitoring and protective devices are

available and recommended for staff members. It is also
recommended to provide the patient with a protective
apron. Consult a physician before taking images of
pregnant patients.
OP200 D is equipped with radiation protection in

accordance with IEC601-1-3:1994.
CAUTION! Use of controls or adjustments or performance

of procedures other than those specified herein may result
in hazardous radiation exposure.
1.4.1 Protection by distance
In all examinations the user of the x-ray equipment should

wear protective clothing. The operator does not need to be
close to the patient during normal use. The protection
against stray radiation can be achieved by using the hand
switch not less than 2 m (7 ft) from the focal spot and the x-
ray beam. Operator should maintain visible contact with
the patient and technique factors. This allows immediate
termination of radiation by the release of the exposure
button in the event of a malfunction or disturbance.
Caution information on control panel:

CAUTION X-RAYS
ATTENTION
RAYONS X
WARNING:
This x-ray unit may be dangerous to patient and operator
unless safe exposure factors, operating instructions and
maintenance schedules are observed.

1 Introduction
1.4.2 Control from a protected environment
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 environment
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
no. 69961) is approx. 10 m (32 ft).
1.5 Laser lights

1. FH-light
2. Midsagittal light
3. cephalostat light
4. Layer light
1 2
Fig 1.3. Laser light (CLASS 1 LASER PRODUCT). Max output 100W.

1 Introduction
1.6 Emergency Stop Switch
Fig 1.4.
An emergency stop switch is provided on the right side of

the unit carriage and on the bottom of the cephalostat head
so that the patient can reach either of them. If the
emergency stop switch is pressed during an exposure, the
exposure is terminated immediately and the x-ray unit is
completely stopped. An exposure cannot be continued
later, but has to be retaken from the beginning.
NOTE! Before switching the unit on ensure that the

emergency stop switches are released.

1 Introduction
1.7 Unit identification labels
1. Cephalostat head label
2. Main Label
3. Unit serial number and type label
4. Midsagittal and FH-light laser

label

1 Introduction
5. Laser light warning label
6. Image layer laser light label
7. Collimator type label
8. X-ray generator and tubehead

label
NOTE! Some labels listed above are related to some

options and may not be included in all countries.

1 Introduction
1.8 Manufacturers liability

As manufacturer we can only assume liability of safe and
reliable operation of this unit when
Installation was performed according to the OP200 D

Installation & Adjustments Manual
The unit is used according to the OP200 D User
Manual
CLINIVIEWTM PC software was installed according to
the Installation Manual for CLINIVIEWTM software
CLINIVIEWTM software is used according to User
Manual for CLINIVIEWTM software
Maintenance and repairs are performed by a qualified
Orthopantomograph Dealer
Original or authorized spare parts are used
In order to guarantee maximal image quality for entire life

time of this high performance imaging system, we suggest
that the quality assurance procedure *) and optional digital
test tool kit designed for image quality assurance purposes
are used (part no. 68795). Also we recommend a qualified
serviceman to check the unit to be in its original condition
regarding electrical, radiation and mechanical safety
according to our maintenance program described in more
details in maintenance manual (part no. 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.
The user should keep this work order for future references.
NOTE! For PC system: Some PC hardware or software

may be incompatible with OP PCI board or CLINIVIEWTM
software. Instrumentarium Dental can guarantee OP200 D
PCI board and CLINIVIEWTM software compatibility with
certain PC hardware and software only if that configuration
has been tested by Instrumentarium Dental. Any later
changes to the hardware or software may void this test.

1 Introduction
1.9 Disposal
Follow the local regulations on disposal of waste parts.
OP200 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).

1 Introduction

2 Installation requirements and
dimensions
WARNING! Orthopantomograph OP200 D must not be
installed and used in rooms where an explosion hazard
exists. Equipment not suitable for use in the presence of
flammable mixtures.
CAUTION! Orthopantomograph OP200 D and Orthoceph

OC200 D units are designed for fixed installation. Mobile
installation is not allowed.
2.1 Column options
AVAILABLE COLUMN ROOM HEIGHT

COLUMN HEIGHT
Standard 2250 mm Min 2350 mm

Long 2450 mm Min 2550 mm

2 Installation requirements and dimensions
2.2 Column mounting options
Floor mounting Column bottom plate Main purpose Wall mounting
Standard floor mounting Standard column Clinical use Must use the
(Standard delivery) bottom plate wall mount
bracket
Fork stand Column bottom plate for Clinical and Exhibition unit:
(Optional) fork stand exhibition use not required.
(supplied with fork Clinical PAN unit:
stand) highly recommended.
Clinical CEPH unit:
must use.
Flat exhibition plate Standard column Exhibitions and Exhibition PAN unit:
(Optional) bottom plate show room use highly recommended.
Exhibition CEPH unit:
must use.
Clinical unit:
must use.
NOTE! Install the wall mount bracket in addition to the free

standing base plate options to reach the maximum
stability.

2.3 OP/OC200 D recommended minimum

installation dimensions
Fig 2.5.

2.4 Unit orientation options

OP200 D is designed to be universal, i.e. every model can
be operated from the left or from the right side of the unit;
the side for patient positioning and operation can be
changed at any time during and after the installation. This
also applies to the field upgrades.
OC200 D
NOTE! Controls and cephalostat arm can be reversed any

later date.
LL Controls on the left side of unit. Left sided operators

view for panoramic patient positioning. Cephalostat
arm on the left.
RR Controls on the right side of unit. Right sided operators
view for panoramic patient positioning. Cephalostat
arm on the right.
LR Controls on the left side of unit. Left side operators
view for panoramic patient positioning, cephalostat arm
on the right.
RL Controls on the right side of unit. Right side operators
view for panoramic patient positioning, cephalostat arm
on the left.

2.5 Site requirements and dimensions

2.5.1 Radiation shielding
Follow governmental and local regulations for radiation

shielding of the x-ray room.
2.5.2 Radiation Safety
During exposure the operator must use a radiation

shielded protective wall or use other means for personal
protection and stay at least 2 meters (7 ft.) from the
radiation source yet maintaining visible contact with the
patient and the technique factors in use.
2.5.3 Package dimensions
OP200 D Packages COLUMN CARRIAGE (Card Cephalostat

(Card board) board) package
Size (LxWxH): 230 x 33 x 42 cm 100 x 100 x 70 cm 120 x 70 x 71 cm

Gross weight 105 kg/225 lbs (OP) 98 kg/216 lbs (OP) 51 kg/112 lbs
approx.: 115 kg/254 lbs (OC) 101 kg/223 lbs (OC)
Net weight approx.: 90 kg/198 lbs (OP) 85 kg/187 lbs (OP)/ 40 kg/88 lbs
102 kg/225 lbs (OC) 85 kg/187 lbs (OC)
The Orthopantomograph OP200 D shipment consists of

2 packages.
The Orthoceph OC200 D shipment consists of

3 packages.
2.5.4 Door width
A minimum door width of 80 cm (32 inches) is required to

bring OP200 D crates and boxes into the installation room.
2.5.5 Patient Access Area
OP200 D should have a minimum clearance of 203 cm (80

inches wide) and 155 cm (61 inches) for comfortable
patient entry, patient positioning and for servicing the unit.

2.5.6 Location
OP200 D unit must be installed next to a wall. The unit may

be operated either from left or right side. The swivel joint of
the wall bracket allows the unit to be installed at an angle,
e.g. in a corner when space is limited. The PC may be
located anywhere at a safe distance from the patient, as
long as it can be reached by the 10 or 20 m long fibre optic
cable used for connecting it to the OP200 D unit.
CAUTION! Do not locate a non-medical grade PC

hardware closer than 1,5 meters from the OP200 D unit
otherwise patient could have a possibility to touch the PC
hardware during exposure.
2.5.7 Unit mounting
The wall and mounting hardware must sustain a pull of

1500N (350 lbs.) from each wall bracket bolt. If the wall is
constructed from metal, an optional support plate (part no.
9955) may be used to help support this style of
Fig 2.6. Support plate mounted
behind the wall
construction. Wall brackets are predrilled at 406 mm and
305 mm (16 inch and 12 inch) centers.
2.5.8 Floor
The floor must withstand a minimum of 500kg/ m2

(120 lbs/sqft).
2.5.9 Remote exposure button (optional)
Some local building codes may require a remote exposure

button. If needed, order part no. 69961 Remote Exposure
Button. The control panel and coiled cord can also be
remote mounted on the wall with an additional holder (part
no. 61228, not included).
NOTE! OP200 D can be programmed so that the exposure

can be initiated only from the remote exposure button,
except in Test (T) mode. See OP200 D Service Program
Manual for details.
2.5.10 Mains connection
Verify that correct mains voltage is available (3 wire:

single-phase, 110 VAC or 230 VAC with protective
ground).

Voltage Voltage range:
230 VAC line 207 - 253 VAC

110 VAC line 99 - 121 VAC
Verify that the OP200 D power is supplied through a circuit

breaker with current rating of max. 16 A slow blow.
Voltage: fuse:
230 VAC line 10 A Slow blow 326 Littelfuse

110 VAC line 15 A Slow blow Bussman MDA-15
NOTE! Some countries may have regulations on fault

current protection. Such regulations must be observed.
2.5.11 Protective ground
Verify that protective ground is available.
2.6 Tools and hardware

NOTE! All screws, bolts, nuts and washers used in
OP200 D are metric sizes!
The following tools are required during the installation:
Metric Allen wrench set

Electric drill, drill bits (8 mm & 10 mm or equal)
Mounting hardware for wall bracket
Spirit level
Flat screw drivers
Pozidrive or phillips screwdrivers (PZD-1 and PZD-2)
(Phillips PH-1 and PH-2)
Pliers
Wrenches, 13 mm and 19 mm
Tape measure
Ball & pin phantom, product no. 68799
Fluorescent tool OP200 D no. 68662
Torque wrench
NOTE! Make sure that all needed tools and items are
available before the installation is started!


3 Preparing for the installation
3.1 Checking the shipment
3.1.1 Checking the boxes
NOTE! Check that the serial numbers printed on the

transport packages are matching before unpacking to
avoid unnecessary work during the installation e.g.
additional counter weight balancing.
Fig 3.7.
3.2 Opening the boxes

3.2.1 Unpacking the column
NOTE! Use assistance when lifting the packages.
1. The column is packed front side up and supported with

cardboard plates.
2. Move the cardboard box near the mounting location
and cut the straps.
3. Open the cover of the package. Remove the top
transport support material and use it as support under
the column.
4. Lift the column and place it front side upwards over the
transport support material plates.
Fig 3.8.
NOTE! Do not place the transport support material under
the column to the place, where the counter weight
transport locking plate is located. Used support material
should be high enough to prevent the mains cable to be
damaged between the column and floor.

Fig 3.9. Transport support material under the column
COUNTER WEIGHT LOCKING PLATE MAINS CABLE
Fig 3.10. Fig 3.11.
5. Locate the wall mount bracket, trim panels, main cable

and wall mounting screws in the package.
Fig 3.12. Wall mount Fig 3.13. Trim panels Fig 3.14. Mains cable Fig 3.15. Wall bracket
bracket and screws mounting screws

3.2.2 Unpacking the carriage
The complete vertical carriage, the CCD sensor (option)

and the accessories are contained in a Cardboard box on a
pallet.
1. Move the crate near the installation site and cut the tie
straps. Move or lift the crate aside from the wooden
pallet.
Fig 3.16.
2. Remove the crate top by removing the staples only

from the sides and lifting the top away.
Fig 3.17.
NOTE! Certain parts of the equipment are covered with

protective film to prevent scratches during transportation
and installation. Remove all protective films before handing
over the unit.
3. Locate and collect all accessories (fig 3.18), check

them against packing list enclosed and set them aside.
Pay attention to the CCD sensor (option), which is

located in the carriage package (fig 3.19). Check the
status of the sensor's shock sensors (fig 3.20). Red
colour means that the sensor has not been triggered.
Black colour means that the carton has been dropped
and the sensor may have been damaged. If the status
of the shock sensors is black, contact the
manufacturer.

CAUTION! Do not lift or otherwise apply force on the CCD

sensor! Damage to the unit and/or degradation of image
quality may occur!
Fig 3.18.
Fig 3.19. Fig 3.20.
4. Remove the staples holding the card board bottom

flaps. Unfold the flaps.
Fig 3.21.
5. Remove the
styrofoam transport
support material
located on top of the
carriage.

4 Hardware installation
installation.
NOTE! The OP200 D unit contains numerous bolts, screws

and other small parts, that are easily mixed or lost during
installation. Pay attention to logical and careful storing of all
the small parts that you extract from the unit during
installation.
NOTE! During the installation process some covers have

to be opened or removed. Access to energized internal
parts may cause danger. Whenever possible, it is
recommended to close or fasten covers to avoid injury.
NOTE! Before installing the unit ensure that all

prerequisites for the installation site are fulfilled, see
chapter 2 Installation requirements and dimensions.
4.1 Column installation

NOTE! OP200 installation requires two persons. Some
assistance may be needed when lifting the column from its
crate.
NOTE! Unit floor mounting with standard column bottom

plate always requires the wall mounting bracket.
4.1.1 Wall mount bracket

1. Before mounting the wall bracket, check from which
side the patients are to be positioned to ensure
enough space around the unit. Use two 8x75 mm bolts
Fig 4.22. Floor mounting for mounting the wall bracket.
WARNING! If there is any doubt that the wall will not

withstand the pull, use anchor plates or also optional base
plate.
2. If the unit is the OC200 D, it requires a minimum

distance of 480 mm (18.9) on the panoramic side and
1460 mm (57.4) on the cephalostat side measured
from the wall bracket center point.
Fig 4.23. Wall mount bracket

3. The wall bracket should be mounted between 2090

mm (82.3) and 2170 mm (85.4) measured from the
floor, if normal height (2250 mm (88.6)) column is
used.
Mark on the same height two holes 406 mm (16) (or

305 mm (12) center distances) apart from each other.
There is no need to erect the column for marking the

holes. Try to locate the strongest place of the wall
between the limits.
NOTE! OP200 D can be installed in a corner. The wall

bracket has a swivel joint that allows mounting on either
wall. The wall bracket also has a distance adjustment,
Fig 4.24. which can be used when installing the optional cephalostat
arm in parallel with the wall.
4. Drill suitable holes according to mounting hardware.

Insert plugs if necessary.
Fig 4.25. The distance L between wall and column can be adjusted within the
limits 160-210 mm.

Screws for Floor fixing 3 ea. Screws for Wall fixing 2 ea.
Fig 4.26. Column bracket
Floor screws
Wall screws
Fig 4.27. Screws and plugs
5. Drill through to outermost holes in the Wall Mount

Bracket for a normal installation (drill diameter 10 mm).
Fig 4.28. Drilling wall holes
6. If there is any doubt that the wall cannot withstand the

pull, use an optional support plate (part no. 9955) or
other strong support on the other side of the wall. The
support has to be fixed with threaded fasteners.

Fig 4.29. Wall bracket
7. Install the wall bracket and tighten the wall bolts.
4.1.2 Optional fork stand installation
NOTE! Fork stand installation to the cephalostat unit for

clinical use always requires wall mount bracket. For
panoramic unit this is highly recommended.
Fig 4.30. Fork stand and compatible column bottom plate
NOTE! The column is

factory assembled with
column bottom plate A.
The bottom plate has to
be changed when fork B
stand is used. A
Fig 4.31.
A Column bottom plate for standard floor mounting and

optional flat exhibition plate.
B Column bottom plate for fork stand installation. Not

suitable for floor mounting. Shipped as a part of optional
fork stand delivery.

1. When the column is laying on the floor, remove the

column bottom plate A and replace it with B from the
fork stand crate.
2. Lift the fork stand base plate from the crate and hold it
forks up on the floor.
Fig 4.32.
3. Locate the column mounting holes in all four corners

and in the rear center.
4. Insert M8 x 20 mm bolts and washers provided to
fasten the column to the fork stand base plate. Insert
washers with each bolt. Tighten the bolts firmly. If
necessary, use the accompanying special 7 mm allen
key for tightening.
Fig 4.33.
Fig 4.34. Fig 4.35.
5. Erect the column. Insert the trim cover around the

column, if equipped.
NOTE! Avoid damaging the floor finish, while transferring

or erecting the column during the installation.
6. Use spirit level to check that the column unit is vertical.

Fork stand base plate can be leveled by turning the
adjustment screws located in the fork stand base
plate.
NOTE! When leveled, adjust all remaining adjustment

screws against the floor to reach maximum stability.

Fig 4.36. Fig 4.37. Fig 4.38.
Fig 4.39.
4.1.3 Erecting the column

1. Remove the 2 nuts and 6 washers (A) from the rear
column top so that the column bracket bolts can slide
up and down in the grooves of the column.
Fig 4.40.
Fig 4.41.

2. Erect the column next to the wall bracket. Insert big

washers first, then match bolts to the column bracket
and insert remaining 2 washers and nuts. Tighten the
nuts by hand. Avoid moving the column unit on the
floor, as this may damage the floor finish.
3. Visually check from the rear that the steel cables are in
the grooves of the pulleys (B).
4. Use spirit level to check that the column unit is vertical
in all directions. Adjust if needed by moving the bottom
of the column on the floor.
Fig 4.42. Fig 4.43.
5. Tighten the mounting nuts (A). Do not overtighten!
Fig 4.44.
WARNING! Maximum torque for the wall bracket mounting

nuts (A) is 10 Nm/7.5 ft. lbs. Do not overtighten!
Use torque wrench!
6. Check the tightness of the swivel joint bolt and the

swivel securing bolt.
Locate five mounting holes in the column base. Drill a hole

in the floor through the rear center hole. Attach the anchor
plug to the floor. Insert and secure the column with a M6 x
Fig 4.45. 45 mm bolt.

4.2 Vertical carriage installation

4.2.1 Lifting and fastening the carriage
1. Move the carriage next to the column.
2. Remove the styrofoam transport support material
located on top of the carriage.
Fig 4.46.
3. Tilt the carriage assembly and the styrofoam bottom

so that it is firmly standing on its back. Support the
carriage assembly if necessary. Remove the
transportation support material, except two pieces
under the carriage.
NOTE! While tilting the carriage

assembly, do not harm the
connection cables, which are
located between the carriage
and the transportation support
material.
Fig 4.47.
Fig 4.48.

4. Remove the lower shelf cover by opening six allen key

screws (2 mm allen key).
Fig 4.49.
5. Remove the main support cover by unfastening the

red colored clamp, which is holding the cover during
the transportation. Lift the main support cover with
both hands and place it aside to avoid any damage.
Fig 4.50. Fig 4.51.
NOTE! Do not fasten the carriage top and bottom covers

until instructed.

6. Locate two pins on the column sliding carriage and

corresponding holes on the carriage.
Fig 4.52.
7. Locate the lifting and supporting places on the

carriage.
LIFT
SUPPORT
Fig 4.53. Do not lift from parts marked X!
CAUTION! Do not lift or otherwise apply force on the CCD

sensor or the tubehead (X)! Damage to unit and/or
degradation of image quality may occur!
NOTE! The carriage is heavy. Lifting assistance may be

needed.

8. Lift the vertical carriage against the column and make

sure the column pins are in the corresponding holes of
the carriage before releasing the vertical carriage.
Fig 4.54.
NOTE! Do not harm the cables when lifting the carriage.
Fig 4.55. Fig 4.56.
9. Insert 2 pcs of M8 x 25 bolts with washers through the

carriage fastening holes located near the column pins
and tighten the bolts firmly.
Fig 4.57. Fig 4.58. Fig 4.59.

10. Insert 4 pcs of M8 x 25 bolts with washers through the

lower shelf cast to column and tighten the bolts firmly.
Fig 4.60. Carriage mounting bolts (bottom)
CAUTION! All six carriage mounting bolts must be

installed and tightened.
NOTE! Do not unintentionally adjust the lower shelf tilt

screws while installing and fastening the carriage mounting
bolts. Adjusting the lower shelf tilt screws affect to the unit
adjustments (e.g. chin rest position).
Fig 4.61.
4.2.2 Adjusting and fastening the unit

1. If needed, loosen the wall mount swivel bolts and set
the column to the desired angle, 45 in reference to
the wall. Retighten the wall mount swivel.
2. Check that the unit is still vertically straight by using
the spirit level. If necessary, loosen already fastened
base plate rear center bolt and adjust by moving the
lower end of the column (or by adjusting the base
plate, if used). Retighten the bolt.

Fig 4.62. Spirit Level on the Fig 4.63. Spirit Level on back of
column the column
3. Locate 5 mounting holes in the column base. Drill

holes in the floor through the two front holes of the
base plate (drill diameter 8 mm). Install the anchor
plugs.
Fig 4.64.
Fig 4.65. Drilling floor holes and securing floor bolts.
4. Insert the 6 x 45 mm bolts and secure them.
4.2.3 Electrical connections
WARNING! Do not connect to the mains line voltage until

instructed.
1. Right side:
Connect X117 connectors together
Connect protective ground connectors together
Fig 4.66. Fig 4.67.

2. Left side:
Connect protective ground connectors together
Fig 4.68. Fig 4.69.
3. Insert both trim covers and tighten 6 pcs M4 screws.
Fig 4.70. Trim panels
4. Install the lower shelf cover and tighten the screws.
Fig 4.71. Lower shelf cover

installation

4.2.4 Rotation lock removal

1. Locate the transport security bolt.
Fig 4.72. Fig 4.73. Rotation lock
2. Remove the painted transportation security bolt to

release linear movement and rotation.
ccw.
Fig 4.74. Fig 4.75. Rotating

counterclockwise
3. Turn the rotating unit counterclockwise (ccw.) Verify

that the tube head is not touching the mirror while
rotating the unit. When a click is heard from the
rotation microswitch, the rotation limiters have been
set.
CAUTION! Do not try to turn the rotating unit clockwise, as

this will twist the cables and will cause damage to the
rotating unit.

X
X
Fig 4.76. Fly wheel for linear movement
4. Move the linear movement towards the column about

50 mm (2 inches) to avoid collision of the CCD sensor
and the head support. While turning, make sure that
the CCD sensor is not touching the head support.
Move the head support away if needed.
5. Store the transport rotation security bolt in a safe place
for possible future use.
4.2.5 Carriage locking plate removal
NOTE! Do not remove the counter weight security bolt until

instructed in chapter Finalizing the installation.
1. Remove the sliding carriage locking plate (A) by

opening the 3 pcs M8 bolts securing it.
Fig 4.77.

NOTE! While removing the sliding carriage locking plate

(A), store all the parts, as they are needed if the unit has to
be relocated later.
Fig 4.78. Locking plate (A) Fig 4.79. Washers
NOTE! Remove also the washers under the sliding

carriage locking plate.
2. Remove 4 pcs M6 screws (B)

securing the counter weight
from the back of the column.
The matching nut plates inside
the column grooves can be left
there.
Fig 4.80. Counter weight M6

screws

4.3 Digital Cephalostat installation (optional)

NOTE! This chapter covers the installation of right-handed
cephalostat OC200 D unit. Process is similar with the left-
handed installation, but mirror-imaged. If the cephalostat
side has to be changed during the installation, see
appendix B.
CAUTION! Some steps of this process may require two

service persons.
4.3.1 Preparing the unit for cephalostat installation

1. Open the carriage top cover by releasing two allen key
screws. Remove the carriage top cover.
2. Release two screws securing the carriage left side
cover. One is located under the carriage top cover and
one in the roof of the left accessory cabin.
Carriage left
side cover
Fig 4.81. Fig 4.82.
3. Open the carriage left side cover.
4.3.2 Unpacking the cephalostat
NOTE! Certain parts of the equipment are covered with

protective film to prevent scratches during transportation
and installation. Remove all protective films before handing
over the unit.

1. The cephalostat is transported in one package

including cephalostat head, cephalostat arm, CCD
sensor (option) and accessories.
CCD sensor
column end cast
cephalostat
arm
cephalostat end cast

fasteners
Fig 4.83.
2. Locate and collect all accessories, check them against

packing list enclosed and set them aside. Pay
attention to the CCD sensor (option), which is located
in the carriage package.
Check the status of the sensor's shock sensors. Red

colour means that the sensor has not been triggered.
Black colour means that the carton has been dropped
and the sensor may have been damaged. If the status
of the shock sensors is black, contact the
manufacturer.
Fig 4.84. Fig 4.85.
NOTE! While unpacking the cephalostat head pay

attention to the CCD sensor as it is located in the same
packing as the cephalostat head.
NOTE! Do not drop the CCD sensor while unpacking the

cephalostat head.

4.3.3 Cephalostat arm mounting

1. Lift the cephalostat head carefully out of the package
and place it on the floor so that the cephalostat end
cast can be mounted to the cephalostat head (end cast
towards the roof). Use upper protective packing
material as a flooring for the cephalostat head.
Fig 4.86. Fig 4.87.
Fig 4.88. Fig 4.89.
Fig 4.90. cephalostat head ready for Fig 4.91. Cephalo end cast
cephalostat arm installation

2. Install the cephalostat end cast. Use 4 pcs M6 x 20

mm allen key screws (DIN912) with washers. Tighten
the screws.
Fig 4.92.
NOTE! Max. tightening torque 10 Nm//7 ft. lbs.

Use torque wrench!
3. Route the cable through the arm. Do not harm the

cables when routing them.
Fig 4.93. Fig 4.94.
4. Attach the cephalostat arm to the cephalostat end

cast. Use 4 pcs M6 x 16 mm allen key screws
(DIN7991). Tighten the screws.
Fig 4.95.
NOTE! Max. tightening torque 10 Nm/7 ft. lbs.

Use torque wrench!

5. Check that the cables going through the cephalostat

arm are routed correctly before mounting the
cephalostat head assembly to the unit.
Fig 4.96. Fig 4.97.
6. Install the column end cast at the back of the unit. Use
4 pcs M8 x 25 mm allen key screws with washers.
Before installing, verify that the re-inforcement plate
used for cephalostat arm adjustment is installed to the
right side of the column end cast.
Fig 4.98. Fig 4.99.
Fig 4.100. Check that cephalostat arm adjustment screw is located on the
correct side depending on the unit cephalostat side.

7. Lift and slide the cephalostat head assembly with arm

to the column end cast. Do not harm the cephalostat
cable.
Fig 4.101.
Fig 4.102. Fig 4.103.
NOTE! Max. tightening torque 10 Nm/7 ft. lbs.

Use torque wrench!
8. Route the cephalostat cables to the carriage left side

cabin. Tighten the cable strain relief.
Cable strain
relief
Fig 4.104. Fig 4.105.

4.3.4 Cephalostat electrical connections

1. Remove the cable between connectors X236/1 and
X236/2. Connect cephalostat head cables
(connectors X236/1, X236/2, X237/1) and protective
ground cable to the corresponding connectors in the
unit.
Fig 4.106. Fig 4.107.
2. Disconnect the lower fibre optic cable from its

connector on the back cover of the unit. Connect it to
the corresponding connector of the cephalostat head.
Connect the other fibre optic cable of the cephalostat
head to the connector located on the back cover of the
unit.
NOTE! Route the fibre optics cables avoiding tight curves.
FIBRE OPTICS ROUTING
Fig 4.108. Fig 4.109.
3. Close the carriage left side cover and fasten the

screws. Before closing the cover verify that the cables
inside the box are properly routed.

2 mm
Fig 4.110. Carriage side covers (left and right) should leave 2 mm gap after
closing the screws
4.3.5 Cephalostat head mechanical adjustments

1. Remove the cephalostat head cover by opening four
allen key screws. The screws are located on the
cephalostat head bottom cover.
Fig 4.111. Fig 4.112.
2. Remove the CCD sensor and secondary collimator

transport supports below the cephalostat head. Store
them for possible later use.
Fig 4.113. Fig 4.114.
Fig 4.115. Fig 4.116.

WARNING! Do not scratch the unit when removing the

cephalostat head transport supports. Do not drop the
supports when removing them.
3. Fasten the sensor holder. Attach first the sensor

holder cover from the rear side with 5 screws. Rotate
the handle to have access to all screws.
Fig 4.117. Fasten the cover to the sensor holder with 5 screws. Rotate the
blue handle to have access to all screws.
4. Tighten from above the 2 screws holding the sensor

holder to the cephalostat head.
Fig 4.118.
5. Tighten also the 2 screws holding the secondary

collimator.
Fig 4.119.

6. Check with a spirit level that the

cephalostat arm is in horizontal
position. Adjust if needed by using
the adjustment screw located under
the column end cast. Loosen the
fastening of the column end cast
before the adjustment. Tighten all
Fig 4.120. Pivot point of the column screws after adjustment is done. Fig 4.121.
end cast
Fig 4.122.
7. Check with a spirit level that the cephalostat head is in

horizontal position. Adjust if needed by using the
adjustment screw located in cephalostat end cast.
Loosen the fastening of the cephalostat end cast
before the adjustment. Tighten all screws after
adjustment is done.
Fig 4.123.
Fig 4.124.

Fig 4.125.
NOTE! Tighten always first the upper fastening screws

(no. 1) while leveling the cephalostat head.
8. Insert the cephalostat arm lower trim cover by pressing

it into the arm end grooves in the direction. Check that
the cephalostat arm cable is properly routed, and
tighten the two screws. Repeat the process for the
upper trim cover.
4.4 Finalizing the hardware installation

WARNING! Before connecting the mains voltage to the
unit, check that the installation environment's temperature
and humidity complies with allowed operating conditions
for the unit. See the unit's technical specification for details
on allowed operating conditions.
4.4.1 Mains voltage connection
WARNING! Only an authorized technician is allowed to

perform 110 V kit installation (changing unit from 230 V
configuration to 110 V).
WARNING! Do not connect the line voltage until

instructed.
NOTE! OP200 units are delivered from factory with 230

line voltage settings. If you have 110 V mains voltage, read
the chapter 4.4.2 Changing the mains voltage from 230 V
to 110 V.
Make sure that the power line meets the requirements

set by the OP200 unit manufacturer. More details are
found in the OP200 D User Manual chapter OP200 D
technical specifications. The chapter 2. Installation

requirements and dimensions in this manual also

provides additional information.
Make sure that the excess length of the power cord is
properly placed or shortened as necessary.
Verify that protective ground is good in the unit.
If the power cord plug has to be changed, follow local
regulations to change and wire the plug.
COLOR CODES OF THE POWER CABLE
110 V (US) GREEN GND

WHITE N
BLACK L
230 V (US) GREEN GND
BLACK L1
BLACK L2
230 V (EU) GREEN/YELLOW GND
BLUE N
BROWN L
Fig 4.126.
NOTE! If changing the voltage selection is not needed,

continue at chapter Removing counter weight transport
security bolt.

4.4.2 Changing the mains voltage from 230 V to 110 V

1. Remove the screws from the carriage top cover and
under the right side cover of the vertical carriage.
Open the carriage right side cover.
Fig 4.127. The screws are on the carriage top cover and under the carriage
right side cover.
2. Locate the Power Supply Board.
Fig 4.128. Power Supply Board and Jumper for the Line Voltage Selection
3. There is a jumper for line voltage selection available.

Remove the jumper from the 230 V position and place
it to the 110 V position.

4. Remove connector X22/230 from position X22 and

replace it with connector X22/110.
X22
X22/230
X22 position
X22/230
X22/110
Fig 4.129. X22/230, X22/110 connectors and X22 position.
5. Close the carriage right side cover and fasten the

screws. Before closing the cover verify that the cables
inside the box are properly routed.
2 mm
Fig 4.130. Carriage side covers (left and right) should leave 2 mm gap after
closing the screws
6. Remove the 230 V mains power cord. Install the 110 V

mains power cord (part no. 5148440) instead. Connect
the black wire to pin 1 at connector 100, the white wire
to pin 2 and the green wire to pin 3 (ground).
Fig 4.131. Power Cord 230 V and Power Cord 110 V.

7. Turn the main label around to 110 V position.
Fig 4.132. Label from 230 V to 110 V position
8. Change the fuses to 110 VAC 15A

(Bussman MDA-15 A slow blow type).
Fig 4.133. Fuses are on the left side of the main power switch.
4.4.3 Removing counterweight transport security

bolts
9. Remove the counter weight security bolt (C). The bolt
is located above or below the rear support assembly
depending on the column type. Store this bolt and the
locking plate for future use.
Fig 4.134. Counter weight security bolt

removal.

4.4.4 Control panel

1. Connect the control panel cable to the connector on
the bottom plate of the vertical carriage. Tighten the
two connector screws using your fingers. Insert the
control panel into the holder on the side accessory
cabinet door.
4.4.5 Remote exposure button (optional)

1. Use the remote exposure button holder for marking its
place to the wall. Drill the holes to the wall and install
plugs if necessary. Mount the holder with the two
screws provided.
Fig 4.135.
Fig 4.136. Fig 4.137.
2. Route the remote exposure button cable out of the way

at the wall or on the floor.
3. Remove the hatch at the lower rear of the column by
undoing two M4 screws. Locate the terminal strip
connector X103.
Fig 4.138. Fig 4.139.

4. Remove the plastic

cap on the hatch hole.
Feed the cable
through the strain
relief, then through the
hatch hole. Fix the
strain relief to the
hatch.
5. Cut the excess length
of the cable away.
Remove some
insulation from the
cable ends. Connect
the cable ends to the
connector terminals.
Tighten the strain
relief. Refit the hatch
to the column.
6. Place the exposure button in the holder.
4.4.6 Installing the unit covers

1. Install the carriage top cover and the main support
cover.
4.4.7 PCI-board and fiber-optic cable installation

1. Check that the unit packing contains the following
parts:
Fig 4.140. Carriage top
- FIBRE OPTIC CABLES
cover and main support - PCI BOARD
cover Before installing the PCI board and optical fibres:
Ensure that you have an acceptable computer as
described in OP200 D User Manual & Technical
Specifications and CLINIVIEWTM Installation Manual.
Refer to the PC manufacturer manuals supplied with
the PC for more detailed instructions concerning the
PC hardware and on how to install additional hardware
(e.g. PCI board) to the computer.
2. Switch off the power from the PC (CPU) and
disconnect it from the power supply line.
3. Open the cover of the PC according to the manuals
supplied with the PC.
CAUTION! Touch the metal on the back of your computer

with one hand to discharge any static electricity. With your
other hand, handle the PCI board by the metal bracket or
edges and remove it from the antistatic bag.

4. Locate the Peripheral Component Interconnect (PCI)

bus inside the computer.
5. Insert the PCI board into the PCI bus. Refer to the
manuals supplied with the PC.
Fig 4.141. Insert the PCI board into the PCI bus
6. Tighten the screws connecting the board to the

computer.
7. Close the PC cover.
8. Connect the PC to the power supply line and switch
the power on.
9. Install the PCI card driver from the CLINIVIEWTM CD
as instructed in CLINIVIEWTM installation manual.
4.4.8 Connecting the CCD sensor

1. A OC200 D unit can be equipped with one or two
sensors. If the unit is equipped with a cephalostat
sensor the same sensor can be used for panoramic
and cephalostat imaging. Another possibility is to use
separate sensors. In this case the unit is equipped with
both panoramic and cephalostat sensors.
2. To install the panoramic CCD sensor, place the sensor
knobs against the corresponding counterparts. Push
the sensor slightly forward so that it reaches end
position. Push the sensor handle so that the sensor is
locked.
Fig 4.142. Placement of the panoramic CCD sensor

NOTE! Take care not to drop the sensor while installing.

Make sure that the sensor is properly locked to its final
position.
3. To install the cephalostat CCD sensor to the

cephalostat head, push the sensor knobs against the
corresponding counterparts. Push the sensor slightly
upward so that it reaches first lock position and is
locked. Press the white button on the round handle
and rotate the handle 180 clockwise until the
cephalostat sensor is locked to its end position.
Release the white button.
Fig 4.143. Placement of the cephalostat CCD sensor
CAUTION! The sensor must not be dropped or exposed to

impacts.
4.4.9 Application software installation

1. Refer to CLINIVIEWTM Installation and User Manuals
for installation instructions of CLINIVIEWTM
application.
4.4.10 Powering up the unit for the first time
WARNING! Some steps of this process require x-ray

exposures.
1. Verify that there is enough room for the unit

Fig 4.144.
movements.
2. Connect the unit to the mains.
3. Switch on the unit.
4. Verify the unit type and software version information,
which are displayed on the unit control panel during
the boot up procedure.
5. Verify that no error messages appear on the control
panel.
6. Connect both optical fibre connectors to the optical
fibre terminals in the OP200 D unit.

Fig 4.145.
7. Switch off the PC and connect the fibre optic cable to

the PC. Connect the receiver end of the optical fibre to
the transmitter terminal of the PC, and transmitter end
of the optical fibre to the receiver terminal of the PC.
The transmitter terminal is the one emitting red light.
The receiver terminal receives light and is thus dark.
Fig 4.146. Locate the PCI board Fig 4.147. Locate the receivers and
optical fibre connectors on the back transmitters
of the computer.
Fig. 4.148.Connect optical fibre connectors to the PCI board terminals

NOTE! The optical fibre cable is very sensitive for

mechanical damages. Route the optics cable through the
cable holder (fig 4.149) properly so that all possible
damages are avoided. Make sure that enough free cable is
left for the units up and down movements.
8. Check that all movements are working properly and

that all cables are in correct positions (especially the
fibre optic cable). The following movements can be
tested in test mode (T) without X-rays.
up and down movement
rotation movement
linear movement
cephalostat head movements (sensor and secondary
collimator)
NOTE! If up and down movement is not running smoothly

Fig 4.149. in both directions, the counter weight needs to be
balanced.
9. Check that all control buttons (control panel and

patient positioning panel buttons) are working
properly.
10. Check that patient positioning laser lights are working
properly.
11. Perform tubehead warm-up procedure by using Sr 76
PUP: tube warm-up. For more information see OP200
Service Program Manual.
During the tubehead warm-up procedure check that

the radiation safety indicators are working properly.
light indicators are visible during exposure
tone indicator is audible during exposure

12. Switch on the PC, launch CLINIVIEWTM and check
that the communication link between the CCD sensor
and PC is working. CLINIVIEWTM - Help - System
Information.
13. Check that the emergency stop switches are working
properly.

Fig 4.150. Communication link between CCD sensor and PC is working.
Fig 4.151. Communication link between CCD sensor and PC is not working.


5 Digital unit adjustments and calibration

5.1 General instructions
WARNING!
Some installation procedures
require X-radiation exposures.
Follow local regulations with
radiation safety issues.
NOTE! Before these adjustments are done, hardware

installation of the unit must be completed. The unit must be
installed to its final position, standing straight as instructed
in the chapter 4 Hardware installation and 8 Appendix B,
Unit orientation change.
NOTE! Dimming the room and the unit warning lights

makes the use of the fluorescent tool easier.
The unit adjustments are divided in two steps:
Step 1: Panoramic adjustments and calibrations

Step 2: Optional cephalostat adjustments and calibrations
NOTE! Step 1 must be completed before starting step 2.
STEP 1:
Fig 5.152. Panoramic adjustments and
calibrations
1 = Panoramic beam check

and alignment
2 = Image layer check and

alignment
3 = Patient positioning laser

lights check and alignment
Fig 5.153.
4 = AEC calibration check and
adjustment

STEP 2:
Optional cephalostat
adjustments and
calibrations
1 = Cephalostat beam
check and alignment. The
beam must pass the
panoramic CCD sensor.
2 = Cephalostat beam
check and alignment. The
beam must hit the Fig 5.154.
cephalostat CCD sensor.
3 = Secondary collimator check and

alignment
4 = Beam alignment board detectors sensitivity calibration

(only if necessary)
5 = Ear holder check and alignment
6 = Patient positioning laser lights alignment
7 = Nasion frequency check
5.2 STEP 1: Panoramic adjustments and

calibrations
5.2.1 Panoramic beam alignment check
1. Turn the unit on.
2. Remove the bite block and chin rest from the lower
shelf.
Fig 5.155.
3. Enter service programming mode. Select Sr 90 Pin

and press OK. See OP200 D Service Program
Manual.
4. Select the VT collimator by using the left / right keys in
the control panel. Imaging programs P11 and P12 are
lit.

Fig 5.156. Autocollimator
5. Attach the fluorescent tool in front of the panoramic

CCD sensor. Dim the room.
NOTE! Checking the beam alignment using a fluorescent

tool is only done to get a rough estimate of the direction of
the beam and to ensure it hits the sensor. A more accurate
alignment must be done using CLINIVIEWTM.
6. Make an exposure in manual mode (M) with 1-2

Fig 5.157. P11 and P12 are lit. seconds exposure time.
Left (-) and right (+) keys.
7. Verify from a safe location that the beam is vertical and
centered around the markings on the fluorescent tool.
AUTO
Fig 5.158. Beam alignment tool attached to the panoramic sensor head.
8. Perform a more accurate beam alignment check by

taking a test image. Use Sr 90 Pin, manual mode (M)
and exposure values 73 kV/ 5 mA / 0.1 s.
9. Prepare CLINIVIEWTM for panoramic image capturing
(see CLINIVIEWTM User Manual):
Switch on the PC.

Launch the CLINIVIEWTM software.
Create a test patient.
Press Start image capturing button to make
CLINIVIEWTM ready for the image capture.
10. Make an exposure.

11. Verify the exact x-ray panoramic beam alignment from

the image captured in CLINIVIEWTM. The center line of
the beam should be vertical and the beam should be
centered.
12. The unexposed area at the bottom should be 1-2 mm
high. Unexposed are on the both sides of the beam
should be equally wide. There should be a visible
unexposed area on bottom and top.
13. Take test images also using the panoramic collimator
(P1 lit) and the pediatric panoramic collimator (P2 lit).
Verify that the x-ray beam fits entirely within the
receptor area.
5.2.2 Panoramic beam adjustment with autocollimator
The adjustments are done using the VT aperture. Since the

panoramic apertures are at fixed distances from each
other, the panoramic and pediatric panoramic apertures
are adjusted simultaneously with the VT aperture.
After each adjustment made, check how the beam was

affected by using use the fluorescent tool to get a rough
estimate or a take a test image get more accurate
feedback.
1. Remove the tube head covers.
Fig 5.160. Fig 5.159.

Automatic Automatic
collimator and VT collimator
aperture. and
panoramic
aperture.
Fig 5.161. Fig 5.162.
Fig 5.163. Fig 5.164.

2. Enter Sr 90 Pin and select Manual mode (M). This

program is used to get feedback on how the unit is
reacting to adjustments made (see chapter Panoramic
beam check and alignment for details).
3. Use the left and right buttons in the control panel to
select VT collimation (P11 and P12 are lit).
If default collimation is left active (P1 is lit), images
taken with the VT collimator have a white area in the
top of the image.
4. Adjust the tilt of the beam.
The collimator is held in place with four screws (A) (fig
5.165 and fig 5.166).
Move the sliding assembly horizontally to have access
to all of them.
Loosen completely 3 out of the 4 screws.
Loosen the fourth screw about turn to allow the
collimator assembly to be twisted. Do not loosen the
fourth screw completely to have a better support for
the adjustment.
Adjust the tilt of the beam by rotating the collimator.
Twist the collimator until the beam is vertical and finally
tighten all four screws.
Fig 5.165. Fig 5.166.
5. Adjust the vertical alignment of the beam.

Loosen the two locking screws (L in fig 5.167) and
make adjustments using the vertical alignment screw
(D in fig 5.167).
The unexposed area at the bottom should be 1-2 mm
high.
Fig 5.167.
6. Adjust the horizontal alignment of the beam.

Loosen the four screws (B) holding the upper plate (fig
5.168) by turn and make adjustments using the
horizontal adjustment screw (C).

Tighten the screws (B) when there the unexposed

areas on both sides of the beam are equally wide.
Fig 5.168.
7. Verify that all three panoramic apertures are correctly

aligned by making exposures in Sr 90 Pin using
exposure values 73 kV / 13 mA / 0.1 s and examining
the resulting images in CLINIVIEWTM (see chapter
Panoramic beam check and alignment for details).
8. If the horizontal alignment of the whole collimator slot
was adjusted (as described in step 9), the position
detection plate on the rear side of the collimator needs
to be adjusted.
Enter service program Sr 82 COL to make this
adjustment. See OP200 D Service Program Manual.
Loosen the two screws holding the plate (marked E, fig
5.169).
Adjust the detection plate's horizontal position so that
led H2 (the leftmost) on the collimator board is lit.
Tighten the screws (E).
The status of the collimator board's leds H2-H5 is also
shown on the control panel as led P1-P4 (fig 5.170).
Move the sliding assembly from side to side by hand
and verify that H2 (P1 on the control panel) is lit in all
valid positions and dark in the in-between positions.
Fig 5.169. Fig 5.170.
9. Test drive the collimator to verify that all positions are

found and that the plates holding the sled are not too
tight. Use service program Sr 80 CrL.
Select the autocollimator channel (kV display: "Co"),
one acceleration (mA display: 1), and speed 125% of
nominal (s display: 1.25).

Start the test drive by pressing and holding the

exposure button until "PASS" or "FAIL" is shown in the
kV and mA displays. Press OK.
Repeat the test two times in each direction. Make sure
that the collimator moves smoothly over the slots and
does not get stuck.
If the collimator makes noise and/or gets stuck while
moving, the upper plate needs to be bent upwards to
reduce force needed to drive the collimator. Bend
uniformly along the plate so that the force needed to
pull the sled bearing out of the upper plate slot is
constant for every slot. Do not bend too much
upwards; the sled must be held tight enough between
the plates to position the collimator reliably.
5.2.3 Image layer check and alignment

1. Clear service program settings by switching the unit
power off and after 5 seconds back on.
2. Remove the bite block (if installed). Insert the ball-pin
tool (p/n 69981).
3. Select panoramic program P1, manual mode M and
Fig 5.171. the lowest kV/mA values (57 kV/2 mA).
4. Activate image capturing in CLINIVIEWTM.
6. Verify, using the measurement tools in CLINIVIEWTM,
that the imaging layer is correctly adjusted:
The ball is symmetric (round)
The pins are at equal distance from the ball (within a
tolerance of 0.2 mm)
The distance between the pins is 60 mm (within a
tolerance of +/-1 mm).
Fig 5.172.

IMAGE LAYER ADJUSTMENT
1. Decide the type of adjustment needed.
S 17
IO
Fig 5.173.
Fig 5.174.
Case A: ball symmetrical, equal distance between the pins.

Result: OK
Case B: ball compressed, equal distance between the

pins. Adjust linear switch S17. Move the switch towards the
column.
Case C: ball elongated, equal distance between the pins.

Adjust linear switch S17. Move the switch away from the
column.
Fig 5.175. S17
Case D: ball symmetrical, unequal distance between the
pins. Adjust the sinus rest.
Case E: ball symmetrical, unequal distance between the

pins. Adjust the sinus rest.
2. If the ball is not symmetrical, adjust the image layer.

Locate linear switch S17 in the corner of the main
support. Move S17 towards the column if the ball is
Fig 5.176. Sinus rest compressed, away if elognated.
3. If the distance between the pins and ball is not equal,
adjust the sinus rest. Tolerance is 0.2mm. Remove
the chin rest, loosen the sinus rest screws and move
the sinus rest sideways. Tighten the screws.

Fig 5.177. L= (60 +/- 1.0) mm
NOTE! The measurements can be done only with

CLINIVIEWTM Measure/Line function.
4. Verify the image layer after any adjustments. Take a

test image and re-adjust if necessary.
5.2.4 Patient positioning laser lights check and

alignment
WARNING! The laser lights used with OP200 D unit are

safe if used according to operation instructions (CLASS 1
LASER PRODUCT).
1. Verify the alignment of the positioning laser lights.
1 = Midsagittal light
2 = FH-light
3 = Layer light

2
1
Fig 5.178.

MIDSAGITTAL LASER LIGHT
How to check the midsagittal laser light alignment
1. The midsagittal laser light alignment should be

checked after the panoramic layer adjustment is
completed.
2. Insert the chin rest, bite fork (71 mm) and bite block.
Fig 5.179. Chin rest, Fig 5.180.

bite fork and bite block Positioning
lights
3. Switch the positioning laser lights on. Verify that the

light line is centered at the bite fork and head support
knob.
Fig 5.181. Bite fork Fig 5.182. Knob Fig 5.183. Parallel line
How to adjust Midsagittal laser light
If the laser light beam is not centered,
adjust the midsagittal laser light to be parallel with the

upright positioned TMJ pointer,
adjust the middle point of the head support knob to the
same plane.

4. Open left and right side cabin doors and locate mirror
covers fastening screws (two on each side). Remove
the mirror cover and locate the midsagittal laser light
holder.
Fig 5.184. TMJ

pointer
Fig 5.185. Fig 5.186.
NOTE! Do not scratch the lower shelf top cover or patient

positioning panels while removing the mirror cover.
5. Adjust the midsagittal laser light holder first with the

lower adjustment screw for only minor changes. Use
the upper adjustment screw only for complete release.
Rotate the laser light assembly until the light is vertical
and centered at the bite fork. Tighten the screw.
Fig 5.187. Minor adjustment point Fig 5.188. Complete assembly
NOTE! To make the adjustment easier, use the TMJ

pointer shipped with the unit or separate special
adjustment tool (not shipped with the unit).
6. If the beam is not centered at the middle point of the

head support locking knob, the head support bracket
needs to be sideways adjusted. Verify the middle point
in both ends of the head support movement.
Remove the main support cover. Loosen the bolts

securing the head support bracket. Adjust the head
support bracket and tighten the bolts firmly.

BOLT BOLT
HEAD
SUPPORT
BRACKET
Fig 5.189. Fig 5.190.

Main support cover
NOTE! Do not change the distance between the head

support bracket and the unit column to avoid collision
between the head support and the sensor during the unit
rotation. If the head support bracket needs to be adjusted
by loosening the bolts (fig 5.190), use e.g. marking pencil
to mark the original bracket position to the both side of
main support frame.
FRANKFORT FH LASER LIGHT
1. Switch the positioning laser lights on. Verify that the

FH laser light line is horizontal by using the head
support lower edge or some suitable leveling tool e.g.
spirit level as a reference. Check also that the lever for
Fig 5.191.
FH laser light height adjustment moves freely between
the lower and upper mechanical stops.
Fig 5.192. Fig 5.193.

2. If the beam is not parallel to the head support lower

edge, adjust the FH laser light holder located behind
the mirror plate.
Fig 5.194.
LAYER LASER LIGHT
1. Switch the positioning laser lights on. Check that the

light line is next to the chin rest, behind the side
groove, and vertical.
Fig 5.195.
Fig 5.196. Fig 5.197. Fig 5.198.
2. If the beam is not parallel to the chin rest side groove,

adjust the image laser light holder located inside the
lower shelf.
Fig 5.199.

5.2.5 AEC calibration check and adjustment
NOTE! AEC frequency must always be adjusted with the

panoramic CCD sensor used with the unit. The AEC
calibration is only valid with the sensor used during
calibration.
1. Launch CLINIVIEWTM and activate image capturing by

pressing the Start image capturing button.
Fig 5.200. Placement of the 2. Attach the aluminium AEC calibration tool (part no.
phantom 60441) to the front of the tube head panoramic
collimator with the cover on. Use e.g. tape, which does
not harm the unit surface for attaching the calibration
tool.
3. Select service program Sr 90 Pin, automatic mode (A)
and exposure values 73 kV/13 mA. Use two seconds
or more as exposure time, so that the frequency can
be read out reliably.
4. Press the exposure button and check the AEC
frequency reading from control panel time display.
AEC frequency must be 144kHz ( 3 kHz).
5. If the AEC frequency is not within the allowed limit
values, adjust the AEC gain trimmer on the Pan AEC
terminal board until the frequency is within range.
Fig 5.201.
6. Adjust the AEC frequency with the AEC gain trimmer

(R10) with flat head screwdriver.
7. Make new exposure as adjust the gain as needed.
Make sure the AEC calibration tool is in front of the
panoramic collimator and that the front tube head
cover is in place while measuring.

8. After the AEC frequency is adjusted, re-install the

rotating carriage bottom cover, tube head covers and
the head rest.

5.3 STEP 2: Optional cephalostat adjustment

and calibration
5.3.1 Cephalostat beam passing the panoramic CCD
sensor
1. Select cephalostat collimator. Enter service mode and
select Sr 91 CIn. Press OK. See OP200 D Service
Program Manual.
Fig 5.202. Fig

5.203.
2. Select the cephalostat collimator by using the left /

right keys in the control panel. Imaging program P9a is
lit.
3. Attach the fluorescent tool in front of the panoramic
sensor.
4. Make an exposure in manual mode (M). Verify that the
beam goes near the verge of the panoramic CCD
sensor without hitting it. The beam should be shown in
the lower right corner passing the panoramic CCD
casing by a small margin. The height of the beam can
not be judged yet.
5. If the beam hits the panoramic CCD sensor, adjust the
cephalostat collimator slot plate horizontally. Loosen
the top screw securing the collimating plate. Turn the
two screws on the left side equal amounts to adjust the
beam horizontally. Tighten the locking screw after the
adjustment is done.

Fig 5.204. Autocollimator: The

arrows point to the horizontal
adjustment screws.
5.3.2 Cephalostat beam check and alignment
NOTE! Alignment has to be done to a CCD sensor, which

is used for cephalostat imaging. If sensor is changed,
alignments have to be re-checked.
1. Detach both covers of the secondary collimator.

Detach the cable (a in fig 5.205) connected to the
secondary collimator. Loosen the screws (b) and
Fig 5.205. remove the secondary collimator.
2. Check the rotational alignment of the beam.
- The rotational alignment is correct when the exposed
area is shown upright in the image (Fig 5.55).
- Set the contrast adjustment to its maximum value to
get sharp edges in the image (Fig 5.57). Draw a
straight line next to the exposed area and use that as
reference.
- Adjust the rotational alignment if needed (Fig 5.56),
else proceed to step 4. Note that images taken with Sr
91 CIn are not mirrored like normal radiographs. To
rotate the exposed area clockwise, rotate the
collimator plate clockwise and the other way around.
To rotate the beam clockwise, tighten the lower
adjustment screw. To rotate the beam counter-
clockwise, tighten the upper adjustment screw. This
way the beam will not get closer to the sensor as a
result of the rotational adjustment.
Fig 5.206. Correct rotational - Make a new exposure and repeat this step as many
alignment. Note the line drawn as times as needed.
reference.

Fig 5.207. Use the lower screw to rotate the

beam CW and the upper screw to rotate it CCW.
Fig 5.208. Image control values to use in step 3-5.
3. Check the vertical alignment of the beam.

- The vertical alignment is correct when there is a few
millimeters of unexposed area above the exposed
area. With CLINIVIEWTMs Image controls set to
LUT=Linear, Contrast = 100 and Brightness = 50
(Fig 5.57), the height of the unexposed area should be
6-8 mm (Fig 5.58).
- Adjust the vertical alignment if needed (Figure 7),
else proceed to step 5.
- Make a new exposure and repeat this step as many
times as needed.
- Tighten the locking screw (LOCK in Figure 7) when
you are done adjusting.
Fig 5.209. Correct vertical

alignment. Note that the imges
contrast is set to its maximum value.

Fig 5.210. Adjust the vertical alignment using

the screw in the bottom of the collimator plate.
4. Check the horizontal alignment.

- The horizontal alignment is correct when the
unexposed areas on the left and right side of the
exposed area are equally wide within 1 mm (Fig 5.60).
- Set the image contrast to its maximum value (e.g.
Contrast = 100) to get sharp edges to measure from.
Measure the distance from the exposed area to the left
and right border of the image. Be sure to measure both
distances at the same height, close to the middle of
the image (Fig 5.60)!
- After exposure in Sr 91 CIn (A mode), you are
prompted for the distances. Enter the left side distance
(rounded) in the kV field and the right side distance in
the mA field. Press OK to confirm the values. A new
alignment value is automatically calculated (affects the
value shown in Sr 91 CIn, T mode).
Fig 5.211. Correct horizontal beam - Make a new exposure and repeat this step as many
alignment.
times as needed.
Fig 5.212. Enter distance to left border in the

kV field and distance to right border in the mA field.

5.3.3 Secondary collimator check and adjustment
Secondary collimator check
1. Attach the secondary collimator back in place and

connect the beam alignment board connector X240.
Check that the secondary collimator and the
cephalostat CCD sensor sensor are aligned by looking
toward the cephalostat CCD sensor sensor through
the secondary collimator slot.
2. Use service program Sr 91 Cin in test mode (T) to
drive the unit to the start position by pressing the
exposure button until the unit stops.
Fig 5.213.
3. Launch CLINIVIEWTM and activate image capturing by
pressing Start image capturing button.
4. Use manual mode (M) 85 kV / 13 mA / 0.2 s and take
an exposure.
5. Select imaging program 9b.
6. Verify the exact cephalostat x-ray beam alignment
from the image captured in CLINIVIEWTM. Use
CLINIVIEWTMs measurement tools and zoom feature
to verify that the beam alignment is correct (Refer to
the CLINIVIEWTM User Manual).
The center line of the beam should be vertical and the

beam should be centered. Unexposed area on the
both sides of the beam should be equal wide.
The unexposed area at the bottom should be 1-2 mm

high. There should be visible unexposed are on
bottom and top.
Distances A, B, C and D should be at least 2,7 mm

measured from center line of cap of lead plates.
Secondary collimator adjustment
1. If the beam is not upright, adjust by tilting the

secondary collimator. Loosen the screws holding the
secondary collimator and adjust by turning the
adjustment screw located on the side of the secondary
collimator. Tighten the screws. Verify by taking a test
Fig 5.214. exposure.

Fig 5.215. Fig 5.216.
2. If the beam is not in correct position horizontally, adjust

by moving the secondary collimator to the left or right.
3. Loosen the screw as shown in the figures below.
There is a hole in the frame. Guide a flat screwdriver
through the hole against the end of the threaded rod.
Hold the toothed wheel with your hand, and at the
same time turn the threaded rod with the screwdriver.
Fig 5.217.
NOTE! Make sure to maintain the clearance on both sides

of the gear when retightening the locking screw. Avoid
moving the gear along its axis when adjusting the
secondary collimator.
Fig 5.218.

4. If the beam is not in correct position vertically, adjust it

by moving the secondary collimator up or down.
5. Loosen the screws holding the secondary collimator
and adjust it by turning the adjustment screw located
on top of the secondary collimator. Tighten the screws.
Verify by taking a test exposure.
6. Save the final adjustment image to CLINIVIEWTM test
patient. Process completed.
Fig 5.219. Fig 5.220.
NOTE! Do not adjust anything at the tube nor change the

AL setting! Only the cephalostat secondary collimator may
be moved around!

5.3.4 Beam alignment board sensors sensitivity check

and adjustment
Procedure:
1. Enter to Sr 93 bAL.
2. Select imaging program 9a.
3. Select the channel to adjust. Start with the mid
channel, which is selected by default.
4. Select Test mode (T). Press the exposure button to
drive the unit into position for adjustment of the
selected channel.
5.
Select Manual mode (M). Appropriate exposure values
are selected by default (85 kv / 8 mA, QA filter for mid
channel; 60 kV, 2.5 mA, no QA filter for left and right
channels).
6. Press the exposure button to make an exposure.

Observe the state of the density leds (or H1, H2 or H3
on the beam alignment board) during the exposure.
7. First adjust the channel's sensitivity to lower sensitive
(clockwise) so that the corresponding led in not lit
during exposure. Then adjust it in small steps towards
higher sensitivity (counterclockwise) until the led is lit
during exposure. Make new exposures as needed.
8. Repeat steps 3-6 for left and right channel.
9. Take a cephalometric image with maximum exposure
values. Indicator led H2 should illuminate all the time
during exposure, but neither H1 nor H3 should
illuminate except shortly after exposure button is
pressed.
10. Check above procedure also with imaging program
P9b.

Take a cephalometric image with maximum exposure

values. Indicator led H2 should illuminate all the time
during exposure, but neither H1 nor H3 should illuminate
except shortly after exposure button is pressed. If needed,
follow the steps outlined below to adjust the sensitivity of
the beam alignment board.
Beam alignment board sensors sensitivity adjustment

using copper filter according to IEC 61223-3-4 or
DIN 6868
Beam detection at the secondary collimator is done by

means of three detection channels. The sensitivity of
these channels is adjusted with the trimmers R10, R4
and R16.
A channel is made less sensitive by turning the
corresponding trimmer clockwise and more sensitive
by turning the trimmer counterclockwise.
Adjustments can be made using service program Sr

93 bAL. The program offers two functional modes: in
test mode (T) it positions the unit for adjustment of the
selected channel; in manual mode (M) it performs an
exposure without movements.
NOTE! Sr 93 bAL is in OP200 D software version 2.6 or

up.
NOTE! The three midmost density leds on the control

panel indicate the currently selected channel. During
exposure these leds mirror the status of leds H1, H2 and
H3 on the beam alignment board.

5.3.5 Ear holder check and alignment

1. Fasten the ear holders.
Fig 5.221. Tighten the ear holder with the screws.
Fig 5.222. Open the small allen screw, push the pin in its position and lock it in
its place by tightening the screws.
2. The ear holder center pins and the x-ray focal spot
must be in line. Adjust the ear holder alignment
following the steps below.
Turn the ear holders into the lateral view position.
Prepare CLINIVIEWTM for image capturing. Make an
exposure.
Both ear holders have a small metal pin and ring that
should be visible in the image: the rings and pins
should be displayed in the same point, one within the
other. The larger ring represents the tube side, and the
smaller ring the cephalostat CCD sensor side.
If the pins cross each other, the ear holders must be
adjusted.
Fig 5.223.

HORIZONTAL ADJUSTMENT
NOTE! There is only one point from where the locking

screws can be accessed. Rotate the ear holder assembly
to access to all locking screws.
1. Loosen the 4 locking screws (A) on the ear holder

assembly. Temporarily removing the string helps in
Fig 5.224. accessing the adjustment screws.
Fig 5.225. Fig 5.226.
Fig 5.227. Locking screw (A) Fig 5.228. Eccentric cam screw (B)
2. Make adjustments by turning the eccentric cam screw

(B). The amount of rotation can be seen on the scale
after marking the starting position.
3. Tighten at least two locking screws when adjustment is
done and verify by taking a test image.
4. When the horizontal adjustment is complete, tighten all
locking screws and re-fasten the string.

VERTICAL ADJUSTMENT
1. Loosen the 4 locking screws (C) located at the sides of

the ear holder assembly. Make adjustments by turning
the screw (D) at the end of the ear holder assembly.
The amount of the vertical movement can be seen on
the scale after marking the starting position.
Fig 5.229.
Fig 5.230. Adjustment screw (D) Fig 5.231. Locking screw (C)
2. Tighten at least two locking screws when adjustment is

done and verify by taking a test image.
3. When the horizontal adjustment is complete, tighten all
locking screws and re-fasten the string.

5.3.6 Patient positioning laser lights alignment
FH LASER LIGHT
1. Adjust the laser light so that the beam goes

horizontally through the both ear holders.
Fig 5.232. Fig 5.233.
2. There is a special tool (part no. 68719) for laser light

alignment. This tool needs to be ordered separately.
Fig 5.234.
NOTE! Check that the laser light can be seen after the
covers have been installed.
5.3.7 Calibrating the nasion frequency
The nasion frequency can be checked during installation,

even though adjustments should not be necessary.
Connect a frequency meter to the cephalostat terminal

board test points TP52 (NASIO FRQ) (a) and TP60
(GND) (b).
Slide the nasion support to the position furthest from
the ear holders.
Adjust with the trimmer R109 (c) the reading of the
frequency meter to 4000 Hz ( 25 Hz).
Slide the nasion support to the position closest to the
ear holders.
Adjust with the trimmer R146 (d) the reading of the
frequency meter to 2000 Hz ( 25 Hz). Check the
readings again and repeat the adjustment if needed.

Fig 5.235.
5.3.8 Installing cephalostat covers

1. Fasten the covers of the secondary collimator. First
attach the white cover and tighten it with the screws.
Fig 5.236. Fig 5.237.
Fig 5.238.
2. Connect the
cephalostat patient
positioning panel
connector. Place the
blue cover against the
white one. Lift it
upwards and tighten
the screw on the
bottom of the
secondary collimator.
Fig 5.239. patient

positioning panel
connector

Fig 5.240.
3. Install the cephalostat end cast cover and tighten the

screws. Route the cephalostat cable through the cable
trail.
Fig 5.241. Fig 5.242.
Fig 5.243. Fig 5.244.
4. Install the cephalostat head top cover and tighten the

screws located in all four corners.
Fig 5.245. Fig 5.246.


6 Handing over the unit
6.1 Panel functions
Control panel and positioning panel functions are
explained in the OP200 D User Manual, chapter Controls.
Verify the correct operation of the unit.
1. Check that all the covers and knobs are in place and
secured.
2. Switch the OP200 D power on.
3. Check the following operations using the control panel:
Selection of imaging programs

Selection of AEC with dose adjustment
Manual procedure and selection of exposure factors
Exposure counter value with OK key
Operation of the Ready light
4. Check the following operations using the buttons on
the patient positioning panel:
Carriage up and down with acceleration, stop at end

limit switches
Lights on and off key
Patient positioning key
Start position key
Select one of the TMJ programs and test the TMJ
pointer movement with occlusal correction keys
5. Check the following operations using the exposure
button:
Test procedure
Manual or AEC mode. Make an exposure. Prematurely
release the exposure button. The operation must be
stopped.
6. Check the following operations with the remote
exposure button, if available:
Test procedure
Manual or AEC mode. Make an exposure. Prematurely
release the exposure button. The operation must be
stopped.
7. Fill out the documents required. For future purposes, it
is advised to fill out the OP200 D Configuration Form.
Dispose of packages and clean up the installation site.

6.2 Dose settings

For optimum patient dose and image quality the initial dose
settings can be verified and set for the OP200 D. These
settings affect the signal to noise ratio of the image. You
can reduce noise level for every program by increasing
dose setting. This, however, increases the dose received
by the patient. Decreasing the dose settings increases
noise but reduces patient dose.
Use program Pr 52 to individually set the dose for each

imaging program, or use the default values. These settings
affect the exposure values used for different pre-
programmed patient sizes. See the OP200 D User
Program Manual for details.
You can also change the contrast and brightness of the

image with the CLINIVIEWTM software after an exposure.
Refer to the Installation & User Manual for CLINIVIEWTM
for further information on image manipulations.
6.3 Quality checks

6.3.1 Activating panoramic QA-mode
Autocollimator
Select Pr 67 qUA. Press OK. Using the up and down

buttons, move to imaging program selection. Use the left
and right buttons to select panoramic imaging (P1
selected).
Manual collimator
Select QA-mode by lifting collimator knob two steps

upwards in panoramic collimator position.
6.3.2 Activating cephalostat QA-mode

Autocollimator
Select Pr 67 qUA. Press OK. Using the up and down

buttons, move to imaging program selection. Use the left
and right buttons to select cephalostat imaging (P10
selected).
Manual collimator
Select QA-mode by lifting collimator knob two steps

upwards in cephalostat collimator position.

6.3.3 QA test mode selection
The OP200 D offers two alternative types of quality

assurance: QA image test and IEC Quality Assurance test.
The latter requires a special tool to be used.
The type in use is controlled by option "9 qA" in service

program Sr 89 COP. Setting the value to "on" enables IEC
Quality Assurance. QA image mode is used if the option is
set to "OFF". Refer to the OP 200 Service program manual
for more details on the matter.
How to check which QA test mode is activated
1. Activate panoramic QA-mode (see chapter 6.3.1).

2. The control panel indicates, which QA test mode is in
use.
IEC QA mode
The control panel indicates imaging program

P1 or P10 depending on whether a panoramic
or cephalometric image is to be taken. The kV
and mA values are visible and can be edited.
QA test image
The control panel indicates does not

indicate any imaging program. The kV and
mA values are not shown.
6.3.4 QA-image
The Orthopantomograph OP200 D can produce a quality

assurance image for checking that OP200 D digital system
(OP200 D unit, PC hardware with connections and
CLINIVIEWTM software) works properly.
1. Remove the bite fork with bite fork rod.


Computer preparation
Switch the PC on.

Launch CLINIVIEWTM. Refer to the CLINIVIEWTM User
Manual to get more instructions how to use the
CLINIVIEWTM software.
Select a test image patient from the patient database.
Press Capture Panoramic Image button to get ready
for an exposure.
3. Press and hold the exposure button. The rotating unit
will remain stationary while exposing with increasing
kV and mA values.
4. The QA image appears on the PC display.
5. Check that 15 blocks appear in the image and that the
density is increasing smoothly from light to dark.
Contact your local dealer if these blocks are not
appearing properly or the image does not appear at all
on the display.
Fig 6.247.
6. If everything is as described, the system is working

properly.
7. Set the primary collimator back to the panoramic
position and insert the bite block.

6.3.5 IEC Quality Assurance
IEC Quality Assurance (IEC QA) option for digital

imaging system
(according IEC61223-3-4 and DIN6868-151)
The following text describes how to use and interpret

images acquired with this feature using OP200 D / OC200
D units. IEC quality assurance test requires that the
optional Test Tool Digital (part no. 68772) and ball pin
fantom (supplied with the unit) are available.
Fig 6.248. Optional Test Tool Digital
Fig 6.249. Ball Pin Phantom (delivered with the unit)
Taking Panoramic IEC QA image

Default values for IEC QA P1 program (66 kV, 3.2 mA
and 17.6 s) are displayed.
NOTE! The exposure values are adjustable according to

user preference!
2. Place Test Tool Digital (part no. 68772) and ball pin
phantom (part no. 68799 - supplied with the main unit)
at the chin support.

Fig 6.250. Panoramic test tool placement
3. Launch CLINIVIEWTM, select (or create) an

appropriate "TEST IMAGE" patient and enable
panoramic image capturing.
5. Analyze the image. To see details as good as possible
it may be needed to adjust brightness, contrast and
gamma.
6. The mentioned standards recommend that the
panoramic test object image should have at least
2.5lp/mm high contrast resolution and at least 2 holes
visible for low contrast performance.
NOTE! Line pair resolution measured with this QA test is

not directly comparable to line pair resolution measured
with clinical patient images.

Fig 6.251. Test tool image
Taking Cephalometric IEC QA image
1. Activate cephalostat QA-mode (see chapter 6.3.2.).

Default values for IEC QA P10 (PA ceph) program
(85 kV, 13 mA and 10 s) are displayed.
NOTE! The exposure values are adjustable according to

user preference!
2. Place Digital Test Tool (part no. 68799) at the test tool
holder (part no. 68737), which is attached to the
carpusholder.
Fig 6.252. Digital Test Tool and test tool holder
3. Launch CLINIVIEWTM software, select (or create) an

appropriate "TEST IMAGE" patient and enable image
capturing.

5. Analyze the image. To see details as good as possible
it may be needed to adjust brightness, contrast and
gamma.
6. The mentioned standards recommend that the
cephalometric test object image should have at least
2.5lp/mm high contrast resolution and at least 1 of the
holes visible for low contrast performance.
NOTE! Line pair resolution measured with this IEC QA test

is not directly comparable to line pair resolution measured
with clinical patient images.
6.4 Accessories and disposables

Check the presence of all the necessary accessories and
disposables according to OP200 User Manual.
6.5 Application training

Basic application training should be provided covering at
least the following:
1. Location of the power switch and main fuses.

Switching the OP200 D power on and off.
2. Functions of Control and Positioning panels:
Selecting imaging procedures

Differences between Automatic and Manual exposure
control
Basic failure codes and how to interpret and correct
them.
How to read the Exposure counter
3. Patient positioning and the use of accessories and
disposables:
Panoramic, TMJ lateral, TMJ PA, Maxillary Sinus

Ortho Zone and Ortho TMJ, when applicable
4. Take a few patient x-ray images.
5. Review typical errors in patient positioning.
6. Review monthly user maintenance and annual
maintenance schedule. See OP200 D Maintenance
Manual.
7. Briefly review user manuals. Leave this OP200 D
Installation & Adjustments Manual and OP200 D User
Manual at the site.

8. Review the user programs, if needed.

9. Review local and governmental safety rules and codes
with the user and the owner of OP200 D.
10. Advise the user to provide the patient with a radiation
protection apron.
11. Review the use of the CLINIVIEWTM software.
12. OP200 D is ready for use!
6.6 Verifying real image quality

6.6.1 Software settings for image viewing
Review the patient images with the doctor to ensure the

best CLINIVIEWTM software settings to go with each PC
monitors characteristics. Details on modality specific
settings are found in the CLINIVIEWTM User Manual.


7 Appendix A, OP200 D installation check list
7 Appendix A, OP200 D installation

check list
Level the column. Bolt the unit first to wall with 2 bolts
and then to floor with 3 bolts. Optionally use the base
plate.
Carriage properly installed: top screws and bottom
screws installed and firmly tightened.
Connect electrical cables. Select line voltage and
check fuses.
Be careful with the mirror! Remove carriage
transportation bolt, reinstall rotation limiters (when
needed), remove counter weight transportation bolts
(1+4).
Connect the unit to grounded power supply, use fault
current protection where required.
Install PC hardware, fibre optical cables and
CLINIVIEWTM.
Panoramic beam collimation test: Check that the
panoramic x-ray beam is aligned.
Check the positioning light adjustments.
Verify panoramic layer adjustment with ball-pin
phantom image: round ball and equal pin distances.
Configure user programs as necessary.
Configure service programs as necessary.
Check the operation of the control panel and patient
positioning panel(s), and check that the vertical
carriage moves smoothly, and stops at the limit switch.
Make the Quality Assurance test image and verify that
the equipment works properly.
Clear the cumulative exposure counter value from
Pr 61 CLC.
Set the Preventive Service Counter to On in the
program Pr 59 PSE.
Fill necessary regulatory forms.
Install remaining covers.
Clean the unit.
Give user training.
Check several examples of the customers images to
verify correct operation of the unit.

7 Appendix A, OP200 D installation check list

8 Appendix B, Unit orientation change

installation.
8.1 Panoramic patient positioning

orientation change
1. Change Frankfurt laser light to right side.
Remove Frankfurt laser light by opening three screws.
Fig 8.253.
Loose the FH laser light cable from LRD board

connector.
Fig 8.254.

Change two screws to other side of the FH laser.
Fig 8.255.
Install Frankfurt laser light to right side by tightening
three screws.
Fig 8.256. Fig 8.257.
Re-route the FH laser cable under the CPU board right

lower corner behind the board fastening screw.

Re-route the FH laser cable under the cable bunch

below the CPU board.
Fig 8.258.
Re-route the FH laser cable under the CPU board left
lower corner behind the board fastening screw.
Fig 8.259.
Re-route the FH laser cable out of carriage middle

cabin and connect back to the I/O board connector.
Fig 8.260.

The FH laser cable is tight under the CPU board when

installation is finished.
Fig 8.261.
2. Change Layer laser light (A in fig 8.262) to other side

(B).
Fig 8.262. Layer laser light side

change
3. Re-calibrate lasers according to chapter 5 Digital unit

adjustments and calibration.
4. Set the patient positioning side in user program
Pr 57 HON.
5. Change control panel to other side.
6. Attach plastic blugs to empty side.
Fig 8.263. Cabin door Fig 8.264. Fig 8.265. Fig 8.266.
screws for control Control panel Plastic blugs Plastic blugs
panel holder

8.2 Cephalostat orientation change

When changing the cephalostat side, do the following:
1. Remove the cephalostat end cast and attach to other

side of the cephalostat head. Notice the correct strain
moment when tightening screws.
2. Re-route cephalostat cables. Note the routing and
places for the cable ties.
Fig 8.267. Cephalostat end cast Fig 8.268. Left handed cephalostat head and cable routing
Fig 8.269. Cable fastening plate Fig 8.270. Cable with the
connector
Fig 8.271. Right handed cephalostat head and cable routing

Fig 8.272. Right handed cephalostat head and cable routing
3. Change re-inforcement plate to other side of the

column end cast.
4. Change cephalostat arm adjustment to other side of
the column back cover.
Fig 8.273. Column end cast Fig 8.274. Right handed cephalostat arm adjustment
and re-inforcement plate
Fig 8.275. Left handed cephalostat arm adjustment

5. Adjust the carriage vertically straight by adjusting four

screws on both sides of the column. Gap between
carriage and column should be equal on both sides of
the unit.
Fig 8.276. Gap between carriage and Fig 8.276.

column
Fig 8.277. Lower adjusting screws Fig 8.277. Upper adjusting screws
NOTE! Check the same gap at the bottom side of carriage.
6. Change digital I/O board jumper x15 to match the

cephalostat head side selection.
Fig 8.278. I/O board and location of X15 jumper.
7. Adjust the cephalostat adjustments according to the

chapter 5.3. Optional cephalostat adjustment and
calibration.

NOTE! Before adjustments check that cephalostat arm and

head are levelled. See chapter 4 Hardware installation.

9 Appendix C, Cephalostat upgrade
Cephalostat can be installed either on the left side or right side
of the unit. Refer to this OP200 D Installation Manual (this
manual) for details.

installation.
9.1 Cephalostat upgrade kit content

tubehead sticker
counter weights
digital cephalostat head (fig 9.279)
cephalostat arm (fig 9.280)
cephalostat digital sensor (optional)
NOTE! The content of the cephalostat upgrade kit may

vary depending on unit version and options.
NOTE! Check the packing list delivered with the upgrade

kit.

Fig 9.279.
Fig 9.280.

9.2 Unpacking instructions

See chapter 4.3 Digital Cephalostat installation (optional).
Follow the steps from end to beginning.
9.3 Counter weight

To compensate the additional weight of the OC200 D
cephalostat unit, additional trim weights have to be
installed to the column.
9.3.1 Adding trim weights

1. Switch on the unit power.
2. Adjust the carriage to its highest position by
pressing the up button on the patient
positioning panel.
Now the counter weight is at the bottom of

the column and it is possible to reach the
counter weight through the opening behind
the column.
Fig 9.281.
3. Switch off the unit power.

4. Remove the counter weight hatch cover behind the
column.
Fig 9.282. Fig 9.283.

NOTE! If the space is limited behind the column, the

adding of trim weights may become difficult or impossible.
Then it is recommended first to tilt the OP200 D 45 to the
side to give more space. This is possible when the wall
mounted column is bolted to the floor only from the rear
center hole.
NOTE! Column must be mounted with the wall mount

bracket when the unit is upgraded with the cephalostat.
5. OP200 D models have M8 threads for trim weights in

the counter weight assembly. Unscrew the M8
threadbar nuts and washers.
Fig 9.284.
WARNING! Beware of cutting hazard with sharp edges

when the carriage is lifted up and the servicing plate is
removed.
6. Add trim weights until there are 24 pcs large weights.

Add on the top one steel plate with plastic guides.
Screw on the M8 nuts and washers back to the
threadbars. Check that neither the trim weights nor the
steel plate with plastic guides do not inhibit the
counterweight movement.
Fig 9.285. Steel plate with plastic guides TRIM WEIGHT AMOUNTS
Unit model Counter weights
OP200 D 4 small weights
1 large weight
OC200 D 4 small weights
24 large weights
Steel plate with plastic guides

7. Press down the carriage so that it is possible to install

the counter weight security bolt for cephalostat arm
installation.
Fig 9.286. Counter weight security
8. Install the re-inforcement plate, column end cast and

cephalostat arm.
9. Remove the counter weight security bolt.
10. Install sensors and all covers, except the
counterweight hatch cover. Note, that some of the
covers need to be removed during the beam
adjustments.
11. Make movement tests. Drive the carriage assembly up
and down and check that the vertical movement speed
is equal in both directions. If not, add or remove trim
weights to balance the counterweight. Install the
counterweight hatch cover.
12. Adjust the carriage vertically straight by adjusting four
screws on both sides of the column. Gap between
carriage and column should be equal on both sides of
the unit.
Fig 9.287. Gap between carriage and

Fig 9.288. Lower adjusting screws Fig 9.288. Upper adjusting screws
NOTE! Check the same gap at the bottom side of carriage.
13. Do the cephalostat beam adjustments as instructed in

this manual chapter 5.3 Optional cephalostat
adjustment and calibration.
9.4 Collimator and tubehead cover

1. Remove the PAN/QA knob with rod.
2. Remove the tubehead covers according to the
instructions in chapter 5.2.2 Panoramic beam
adjustment with autocollimator (fig 5.161 - fig
5.164). Set the old tubehead cover aside.
3. Move the collimator stopper plate to the side so
that it is possible to select cephalostat slot.
Fig 9.289. Cephalostat slot

9.5 Installation of the cephalostat

1. Install the cephalostat head.
2. Connect the cables.
3. Check the position of the jumper X15 on the I/O board:
L = cephalostat on the left side
R = cephalostat on the right side
Fig 9.290. I/O board and location of X15 jumper.
9.6 Alignments
The alignment procedure is the same as with the standard
cephalostat. Refer to the OP200 D Installation Manual for
details:
1. Check the panoramic x-ray beam alignment.

2. Align the cephalometric x-ray fields.
3. Align the secondary collimator.
4. Align the beam alignment board.
5. Align the ear rods.
6. Check the patient positioning laser lights.
7. Check the nasion frequency.


10 Appendix D, Re-packing instructions

10.1 Preparing the unit for re-packing
NOTE! Do not switch the unit power off until the counter
weight security bolt is installed.
1. Install the counter weight security bolt.
Fig 10.291. Security bolt
2. When removing parts (screws etc.) from the unit,

remember to name and pack the parts carefully so,
that they are to be found when re-installing.
10.1.1 Cephalostat head

1. Loosen cephalostat CCD sensor and prepare it for
transportation.
NOTE! CCD sensor must be removed for transporting.
2. Install the transport supporting

brackets below the cephalostat
head. First loosen the sensor and
secondary collimator screws and
install the supporting brackets.
Fig 10.292. Transport

supporting brackets

Fig 10.293. Fig 10.294.
Fig 10.295. Fig 10.296.
NOTE! Cephalostat sensor and secondary collimator are

moved on proper position with the supporting brackets by
adjusting them on the gear by hand.
Fig 10.297.
10.1.2 Carriage
1. Install transportation security bolt (rotation lock). See
instructions in chapter 4.2.4 Rotation lock removal.
Follow the steps from end to beginning.
Fig 10.298. Rotation lock

2. Install four carriage counter weight locking screws to

keep the counter weight in place. See chapter 4.2.5
Carriage locking plate removal. Follow the steps from
end to beginning.
Fig 10.299. Counter weight

M6 screws
3. Install carriage locking plate.
Fig 10.300. Locking plate Fig 10.301.

10.2 Cephalostat package

See the figures below for instructions how to re-pack the
internal packaging parts of the cephalostat package.
Fig 10.302. Fig 10.302.
Fig 10.302. Fig 10.302.
Fig 10.303. Fig 10.303.

10.3 Carriage package

internal packaging parts of the carriage package. Remove
the panoramic CCD sensor and place it steadily on the
corresponding packaging part.
Fig 10.304. Fig 10.304.
Fig 10.304. Fig 10.304.

Fig 10.305. Fig 10.305.
Fig 10.305. Fig 10.305.
Fig 10.306.

10.4 Column package

internal packaging parts of the column package. Remove
the trim covers and the column cap and place them on the
bottom of the package before placing the column to the
package.
Fig 10.307. Fig 10.308. Wall bracket
Fig 10.309. Packaging part on the Fig 10.310.

wall bracket

D500316-8 OP200 Installation Manual Rev 8

Uploaded by

Document Information

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

D500316-8 OP200 Installation Manual Rev 8

Uploaded by

Copyright:

Available Formats

ENGLISH

Installation & Adjustments Manual

Copyright 09/2012 by PaloDEx Group Oy.

Orthopantomograph and Orthoceph are registered

Documentation, trademark and the software are copyrighted

The original language of this manual is English.

Instrumentarium Dental reserves the right to make changes in

Manufactured by Instrumentarium Dental, PaloDEx Group Oy

For service, contact your local distributor.

2 Installation requirements and dimensions.............................................................. 15

3 Preparing for the installation.................................................................................... 23

4 Hardware installation ................................................................................................ 27

5139799-100 rev 8 Instrumentarium Dental i

5 Digital unit adjustments and calibration ................................................................. 67

6 Handing over the unit................................................................................................ 99

7 Appendix A, OP200 D installation

ii Instrumentarium Dental 5139799-100 rev 8

9 Appendix C, Cephalostat upgrade ......................................................................... 119

10 Appendix D, Re-packing instructions.................................................................... 127

5139799-100 rev 8 Instrumentarium Dental iii

A minimum complete system contains the X-ray unit itself

This manual covers the installation of panoramic unit,

Following manuals are shipped with the OP200 D:

OP200 D Installation & Adjustments Manual

These manuals and future updates are available on

In order to maintain safe and correct operation of the

Use only approved cables and plugs.

Mains connector types:

NEMA 6-15P or similar Hospital grade (US/230 V)

Power supply cord:

For UL-countries: S or SO, AWG 14x3

5139799-100 rev 8 Instrumentarium Dental 1

WARNING! This product itself complies IEC601-1-1

WARNING! SERVICING AND INSTALLING THIS UNIT

WARNING! Prevent unauthorized access to unit during

WARNING! The mains filter and connected cables are still

WARNING! Some installation

2 Instrumentarium Dental 5139799-100 rev 8

1.2 Graphics symbols

Protective earth (ground)

GOST-R A certification that the products qualifies

Attention, consult accompanying documents

If the unit has CE-marking it is CE-marked

This symbol indicates that the waste of electrical

5139799-100 rev 8 Instrumentarium Dental 3

The following abbreviations are used in this manual.

4 Instrumentarium Dental 5139799-100 rev 8

1.3 Type and version

Fig 1.1. Location of main label and CE mark

ETL CLASSIFIED ETL CLASSIFIED

Manufactured by Instrumentarium Dental Manufactured by Instrumentarium Dental

5139799-100 rev 8 Instrumentarium Dental 5

The type numbers appear in the following form:

TYPE AND VERSION

OP200 D short form for ORTHOPANTOMOGRAPH

OC200 D short form for ORTHOCEPH OC200 D

a type of the x-ray tube insert which is originally utilized:

bc the type of Panoramic sensor (b) and Cephalostat

NOTE: Number can be for example 24 meaning both

S indication of a "Special" version, marked only in

For example, OP200 D-1-4-1 is:

NOTE! In order to maintain safe and correct functioning of

6 Instrumentarium Dental 5139799-100 rev 8

1.4 Radiation protection guidelines