Sirona M1+ User manual

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General information	Sirona Dental Systems GmbH
	Operating Instructions M1+

General information

Dear customer,

i NOTE

CAUTION

WARNING

Thank you for purchasing your M1+ dental treatment center from Sirona.

The technical documentation supplied is also part of the product. You should always keep this documentation within reach.

These operating instructions describe your treatment center with the maximum possible equipment.

For care of your treatment center, please observe the instructions "Care and Maintenance by the Practice Team".

To safeguard your warranty claims, please complete the attached “Installation Report / Warranty Passport” together with the service engineer immediately after the installation of your treatment center.

Separate Operating Instructions and the corresponding instructions for care have been attached to all dental instruments, the SIROLUX FANTASTIC, the SIROCAM 3, the tray and the X-ray image viewer.

Prior to start-up, you must read all Operating Instructions to familiarize yourself with the treatment center.

To prevent any personal injury or material damage, pay special attention to any notes printed in bold type or marked in one of the ways indicated below:

Additional information, explanation or supplement

The information provided under this keyword directly concerns the functioning of the product and/or warns against possible operating errors.

This warning symbol warns against possible hazards for the product or the user.

In case you get stuck despite having thoroughly studied the Operating Instructions, please contact your dental depot.

Your M1+ Team

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Sirona Dental Systems GmbH	Contents
Operating Instructions M1+

Contents

1

2

3

Warning and safety information ................................................................................		7
Technical description .................................................................................................		11
Operating and Functional Elements..........................................................................		12
3.1	System overview M1+ .......................................................................................................................	12
3.2	Control panel on the dentist element ................................................................................................	13
3.3	Control panel on the assistant element ............................................................................................	17

4

5

6

Putting the system into operation .............................................................................		19
Foot switch ..................................................................................................................		21
Program selection .......................................................................................................		23
6.1	Safety................................................................................................................................................	23
6.2	Program selection.............................................................................................................................	24
6.3	MOVEMENT STOP! .........................................................................................................................	25

7

8

Patient positions .........................................................................................................		26
7.1	Manual adjustment ...........................................................................................................................	26
7.2	Programming Patient Positions ........................................................................................................	27
7.3	MultiMotion headrest ........................................................................................................................	28
Dentist element and instrument functions ...............................................................		31
8.1	Dentist element.................................................................................................................................	31
8.2	General instrument functions............................................................................................................	32
8.3	Electric motor....................................................................................................................................	33
8.4	Highspeed handpiece .......................................................................................................................	34
8.5	SIROSONIC L scaler ........................................................................................................................	34
8.6	SIROTOM HF electrosurgery ...........................................................................................................	36
8.7	SPRAYVIT ........................................................................................................................................	36
8.8	Saving the instrument programs.......................................................................................................	37
8.9	Depositing treatment instruments .....................................................................................................	37
8.10	Surgery with NaCl saline solution (additional equipment) ................................................................	38
8.11	Satalec Mini LED curing light............................................................................................................	39

9	Operation light, tumbler filling, cuspidor flushing, purge.......................................		43
	9.1	Operation light ..................................................................................................................................	43
	9.2	Tumbler filling function......................................................................................................................	43
	9.3	Tumbler filling with automatic sensor control
		(Special equipment, not available in all countries)............................................................................	44
	9.4	Cuspidor flushing function ................................................................................................................	45
	9.5	PPurge / Auto Purge function (purging the water paths) ..................................................................	45
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Contents	Sirona Dental Systems GmbH
	Operating Instructions M1+

10	Basic treatment center settings in the Mode dialog ................................................		49
	10.1	Mode Key.........................................................................................................................................	49
	10.2	Mode: NACL PUMP OFF or ON for instrument holder ....................................................................	49
	10.3	Mode: MAINTENANCE....................................................................................................................	50
	10.4	Mode: SERVICE ONLY START - STOP..........................................................................................	50
	10.5	Mode: FC CONTROL MODE ON/OFF - VARIABLE .......................................................................	50
	10.6	Mode: TIME - HOURS :MIN.............................................................................................................	50
	10.7	Mode: DAY : MON : YEAR ..............................................................................................................	51
	10.8	Mode: BOWL FLUSH ON S YES - NO ............................................................................................	51
	10.9	Mode: CUP FILL ON S YES - NO....................................................................................................	51
	10.10	Mode: WHITE BALANCE (only with an integrated SIROCAM 3) ....................................................	52
	10.11	Instrument settings via Mode dialog: REMOVE INSTRUMENT. .....................................................	53
	10.12	Mode: # FUNCTION TOGGLE - MOMENTARY..............................................................................	54
	10.13	Mode: PURGE TIME... SEC ............................................................................................................	54
	10.14	Mode: PRESSURE PSI / BAR .........................................................................................................	54
	10.15	Mode: SPRACHE / LANGUAGE ENG / D / I / F / E.........................................................................	54
	10.16	Mode: SIROLUX U - POS. ON – OFF .............................................................................................	55
	10.17	Mode: NON – SIRONA CAMERA YES – NO ..................................................................................	55
	10.18	Mode: POLYLUX WITH CFS YES – NO ......................................................................................	55
	10.19	Mode: SUCTION WITH CFS YES – NO.........................................................................................	56
	10.20	Mode: WHITESCREEN YES – NO ..................................................................................................	56
	10.21	Mode: MODE SWITCHOVER ON / OFF .........................................................................................	56
	10.22	Mode: BLOW OUT SPRAY..............................................................................................................	57

11

12

13

Assistant element .......................................................................................................		58
11.1	Suction handpieces on the assistant element..................................................................................	58
11.2	SPRAYVIT on the assistant element ...............................................................................................	59
11.3	Satalec Mini LED curing light on the assistant element ...................................................................	59
11.4	Manual travel track...........................................................................................................................	60
Water unit.....................................................................................................................		61
12.1	Swiveling the cuspidor .....................................................................................................................	61
12.2	Controlling the water amount for the cuspidor .................................................................................	61
12.3	Amalgam rotor .................................................................................................................................	62
12.4	Disinfection system (optional) ..........................................................................................................	63
SIROTOM HF electrosurgery......................................................................................		64
13.1	Safety...............................................................................................................................................	64
13.2	Operation .........................................................................................................................................	65
13.3	Technical description .......................................................................................................................	66
13.4	Technical data..................................................................................................................................	67
13.5	Safety checks...................................................................................................................................	67

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Sirona Dental Systems GmbH	Contents
Operating Instructions M1+

14	SIVISION 3....................................................................................................................			68
	14.1	System overview of SIVISION 3 .......................................................................................................		68
	14.2	Camera versions...............................................................................................................................		70
	14.3	SIROCAM 3 intraoral camera (additional equipment) ......................................................................		71
	14.4	SIROCAM C intraoral camera (additional equipment)......................................................................		73
	14.5	Operating modes of SIVISION 3.......................................................................................................		74
	14.6	SIROCAM 3	/ SIROCAM C integrated in the dentist element (video) ..............................................	76
	14.7	SIROCAM 3	/ SIROCAM C – PC mode............................................................................................	82
	14.8	SIVISION 3–second monitor function without SIROCAM3/SIROCAM C.........................................		88

15

16

CEREC Chairline (Option) ..........................................................................................		89
15.1	CEREC Chairline ..............................................................................................................................	89
Extra equipment and accessories .............................................................................		90
16.1	Media block on the patient chair .......................................................................................................	90
16.2	Hygienic headrest protection ............................................................................................................	91
16.3	Children's headrest...........................................................................................................................	91
16.4	Seat cushion C .................................................................................................................................	91
16.5	Folding armrest.................................................................................................................................	92
16.6	Hydrocolloid coolant supply ..............................................................................................................	92
16.7	Tray (additional equipment) ..............................................................................................................	93
16.8	X-ray image viewer on the dentist element.......................................................................................	93
16.9	X-ray image viewer on the lamp support tube ..................................................................................	94
16.10	X-ray image view on the tray ............................................................................................................	94

17	Maintenance.................................................................................................................		95
	17.1	Care and cleaning by the practice team ...........................................................................................	95
	17.2	Inspection and maintenance.............................................................................................................	95
	17.3	Safety tests .......................................................................................................................................	96
	17.4	Maintenance Manual ........................................................................................................................	97

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Contents	Sirona Dental Systems GmbH
	Operating Instructions M1+

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Sirona Dental Systems GmbH	1 Warning and safety information
Operating Instructions M1+

1 Warning and safety information

Intended use	This dental treatment center is intended for diagnosis,
	therapy and dental treatment of humans by properly
	trained personnel.
	This unit is not intended for operation in areas subject
	to explosion hazards.
On-site installation	The 'On-site installation' must be performed according
	to our requirements. Details are described in the docu-
	ment "Preinstallation Instructions".
Maintenance and repair	As manufacturers of dental medical equipment and in
	the interest of the operational safety of your system, we
	stress the importance of having maintenance and
	repair of your treatment center performed only by our-
	selves or by agencies expressly authorized by us. Fur-
	thermore components influencing the safety of the
	device should always be replaced with original spare
	parts upon failure.
	When having such work done, we suggest that you
	request a certificate stating the type and extent of work
	performed, including statements concerning any modifi-
	cations of the rated parameters or of the operating
	range, as well as the date, name of organization and sig-
	nature.
Changes to the unit	Changes to this unit which could impair the safety of the
	system owner, patients or other persons are prohibited
	by legislation!
	For reasons of product safety, only original Sirona
	accessories approved for this product, or accessories
	from third parties approved by Sirona, may be used. The
	user is responsible for dangers resulting from the use of
	non-approved accessories.
	If any devices not approved by Sirona are connected,
	they must comply with the applicable standards:
	IEC 60950 for information technology equipment (e.g.
	PCs), and IEC 60601-1 for medical electrical equipment.
	The loudspeaker socket of the monitor may be con-
	nected only to a device which complies with IEC 60950
	(e.g. PC) or IEC 60601-1, and under no circumstances
	e.g. to a stereo system etc.

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1 Warning and safety information	Sirona Dental Systems GmbH
	Operating InstructionsM1+
Combination with other units	Any person who assembles or modifies a medical elec-
	trical system complying with the standard IEC 60601-1-1
	(Safety requirements for electromedical systems) by
	combining it with other equipment (e.g., by connecting it
	with a PC) is responsible for ensuring that the require-
	ments of this regulation are met to their full extent for the
	safety of the patients, operators and environment.
	In case of doubt, contact the manufacturer of the system
	components.
Electromagnetic compatibility (EMC)	The M1+ complies with the requirements of
	IEC 60601-1-2:2001.
	Medical electrical devices are subject to special precau-
	tionary measures regarding EMC. They must be
	installed and operated as specified in the document
	"Preinstallation Instructions".
	Portable and mobile HF communication devices can
	influence medical electrical equipment. The use of
	mobile telephones in the practice or hospital area there-
	fore must be prohibited.
	For video systems:
	Electromagnetic disturbances in the environment of the
	M1+ may result in reduced image quality. In such cases,
	it is advisable to repeat the exposure before saving the
	image.
	In case of line voltage fades, öimage data stored in the
	video camera may be lost. Deposit the camera and
	repeat the exposure.
	Image artifacts may possibly occur in the event of
	radio-frequency interference caused by the transmitters
	of e.g. radio services or radio amateurs.
Treatment of highly immunosuppressed patients	Highly immunosuppressed patients should not come in
	contact with water from the treatment center. The use of
	sterile solutions is recommended.
Quality of water / air supply	Air and water supply must meet the requirements speci-
	fied in the Installation Instructions. Use only clean
	water.
Water quality compliance	To ensure compliance with the medical and national
	legal requirements for water from treatment centers,
	Sirona recommends equipping the treatment center with
	a disinfection system. As owner of the treatment center,
	you are responsible for the water quality and may have
	to take alternative measures to ensure its compliance if
	you operate the treatment center without a disinfection
	system.
	Please contact your specialized dealer or your relevant
	dental association for the respective national require-
	ments and measures.
HF surgery	This dental treatment center is available with a high-fre-
	quency surgical device (optional).
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Sirona Dental Systems GmbH

Operating Instructions M1+

Identification of warning and safety information

Symbols used

Ventilation slots

Vacuum system

Patient chair

Electric micromotors in dentist element

Drive motors for chair and backrest Maintenance of the treatment center

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1 Warning and safety information

Only in the Federal Republic of Germany: The user is obligated to keep a “medical product log” if a HF surgical device is installed! See section 17.3 "Safety tests" on page 96.

To avoid personal injury and material damage, you must also observe the warning and safety information provided in the present Operating Instructions. They are highlighted by the caption i NOTE, CAUTION or

WARNING.

Observe accompanying documents (on name plate of chair)

Under no circumstances may the ventilation slots on the unit be covered, since otherwise the air circulation will be obstructed.

Do not spray disinfectants or other similar products into the ventilation slots

The suction of aluminum and other metal oxides from blasting devices via the automatic separator integrated in the treatment center and the amalgam separator is prohibited!

This would cause extreme wear and clogging of the suction and water paths.

A separate vacuum system must be used in connection with metal oxide blasting devices.

Treatment centers equipped with a central wet suction system are generally suitable for suction removal of the above material. However, please be sure to observe the instructions provided by the manufacturer of your vacuum system.

No restrictions apply when using salt blasting devices in connection with Sirona treatment centers. However, in such cases, make sure that the system is subsequently rinsed with an adequate amount of water.

Please observe the maximum load capacity of the chair of 135kg according to EN ISO 6875 (tested with a four-fold safety factor according to IEC 60601-1)

Intermittent operation: 1 min. ON – 7 min. OFF with a motor current of 1.5A.

6% duty time, cycle time 250s.

Despite the outstanding quality of your treatment center and regular care by the practice team, it is required in the interest of operational safety that preventive maintenance be performed at predetermined intervals.

9

1 Warning and safety information		Sirona Dental Systems GmbH
		Operating InstructionsM1+
		In order to guarantee the operational safety and reli-
		ability of your treatment center and to avoid damage
		due to natural wear, you as the system owner must
		have your system checked through regularly by an
		authorized service engineer from your dental depot.
		Furthermore, safety checks must be performed.
		Please contact your dental depot to obtain a mainte-
		nance offer.
		For details please refer to chapter 17 "Maintenance"
		on page 95.
Dismantling and reassembly		When dismantling and reassembling the system, pro-
		ceed according to the installation instructions for new
		installation in order to guarantee its functioning and sta-
		bility.
Disposal		Please observe the disposal regulations applicable in
		your country.
		Within the European Economic Area, this product is sub-
		ject to Directive 2002/96/EC as well as the correspond-
		ing national laws. This directive requires environmentally
		sound recycling/disposal of the product.
		The product must not be disposed of as domestic refuse!
		Please contact your dealer if final disposal of your prod-
		uct is required.

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Sirona Dental Systems GmbH	2 Technical description
Operating Instructions M1+

2 Technical description

Model designation	M1+
Power supply connection	230 V 50 Hz,
	115 V 50/60 Hz
	100 V 50/60 Hz
Nominal current	4.5A at 230V
	9.5A at 115V
	11.5A at 100V
Main unit fuse	for 230VAC: T 6.3A H , 250VAC, REF 10 77 452
	for 100/115V~: T 10A H , 250VAC, REF 10 77 460
Operating conditions	Ambient temperature: 10°C – 40°C (50°F – 104°F)
	Relative humidity: 30% – 75%
	Air pressure: 700hPa – 1060hPa
Transport and storage conditions	Temperature: -40°C – +70°C (-40°F – 158°F)
	Relative humidity: 10% – 95%
	Air pressure: 500hPa – 1060hPa

Protection class

Degree of protection against electrical shock:

Degree of protection against ingress of water

Class I equipment

Type B, applied parts except Cerec 3D camera, SIROTOM, SIROCAM 3 / SIROCAM C:

Type BF applied parts

Ordinary equipment (not protected)

The foot switch is protected against dripping water IPX 1.

Mode of operation:					Continuous operation with intermittent loading corre-
					sponding to the dental mode of working.
					Permanently connected unit.
Year of manufacture					(on name plate of chair)
Tests / approvals					This dental treatment center complies with the require-
					ments of
					IEC 60601-1: 1988 + A1: 1991 + A2: 1995 and of
					IEC 60601-1-2: 2001.
					DVGW: This unit complies with the technical rules and
					requirements on safety and hygiene for connection to
					the drinking water supply, provided that a disinfection
					system is installed.
					This product bears the CE marking in accordance with
					the provisions of the Council Directive 93/42/EEC of
					June 14, 1993 concerning medical devices.
	0123
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3 Operating and Functional Elements	Sirona Dental Systems GmbH
3.1 System overview M1+	Operating InstructionsM1+

3 Operating and Functional Elements

3.1		System overview M1+
	1	2	3	4	5 6	7	8	9	10	11 12 13 14 15 17 18
				S 0
				SAN
				1 2	L
										M1		+
												A
																40	100
															30	75	0	1
																			2
														20	50					S
										–	Mode
												+	10	25			A/B
												rpm x 10000.2
													1							C
										19										16
20	21
23
		S
		0
						22

1Assistant element

2Holder 1: Polylight Mini LED or 3rd suction hose

3Holder 2: SPRAYVIT in the assistant element

4Holder 3: Suction handpiece

5Holder 4: Saliva ejector

6Control panel on the assistant element

7Swiveling cuspidor

8Tumbler filler

9Water unit with amalgam rotor, disinfection system, automatic separator, wet suction

10Patient chair, option: folding armrest

11Holder 1: SPRAYVIT in the dentist element

12Holder 2 and 3: Electric motor / highspeed handpiece burr drives

13Holder 4: 3. Electric motor / highspeed handpiece burr drive or SIROSONIC L scaler

14Holder 5: 4. Burr drive (highspeed handpiece only) or SIROSONIC L

or Polylight Mini LED

15Holder 6: SIROSONIC L or HF surgery or SIROCAM 3 / SIROCAM C

or Polylight Mini LED

16Additional holder (for SIROCAM 3 / SIROCAM C only)

17Control panel on the dentist element

18Dentist element

19Unit main switch

20Headrest adjustable by motor drive

21Manual switch for chair movements

224-way foot control of chair

23Unit foot switch

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Sirona Dental Systems GmbH	3 Operating and Functional Elements
Operating Instructions M1+	3.2 Control panel on the dentist element

3.2 Control panel on the dentist element

Control panel

A B

AMALG

DESINF

RPM

System status indication display and Mode key

AMALG appears if the amalgam rotor needs to be replaced.

DESINF flashes if DENTOSEPT P must be refilled.

A appears if user A is selected.

B appears if user B is selected.

Mode button with + / – keys for programming basic settings.

Apart from the settings in the Mode dialog, it is also possible to make settings with the + / – keys:

•Intensity of instrument lighting

•Intensity of the operation light

•Tumbler filling time

•Cuspidor flushing time

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3 Operating and Functional Elements

3.2 Control panel on the dentist element

A

%

INSTR. LIGHT

14

Sirona Dental Systems GmbH

Operating InstructionsM1+

Main functions – dark blue keys

Quick setting keys for instrument intensity and speed

for electric motors, SIROSON L ultrasound scalers and SIROTOM HF electrosurgery.

Save

instrument functions

Spray ON / OFF

on burr drives

Counterclockwise rotation

for electric motor

Instrument light ON / OFF

Pressing this key for some time displays the light intensity settings dialog.

Mouth rinsing position chair program.

with last position memory function (freely programmable)

Chair program 0

Entry/exit position (freely programmable)

Chair programs 1 and 2

(freely programmable)

i NOTE

The four program keys are also used for reprogramming the chair programs.

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Sirona Dental Systems GmbH

Operating Instructions M1+

A

%

OPERATING LIGHT

A

CUP FILL TIMER

A

BOWL FLUSH TIMER

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3Operating and Functional Elements

3.2Control panel on the dentist element

Additional functions – light blue keys

Preselection of user A or B

All instruments must be in place.

The user cannot be changed as long as one of the instruments is removed.

X-ray image viewer ON/OFF

Composite key ON / OFF

for SIROLUX operation light, reduced light intensity < 8,000 lux for composite fillings

SIROLUX operation light ON / OFF

for normal light intensity > 24,000 lux

Pressing this key for a while displays the light intensity settings dialog:

OPERATING LIGHT

Tumbler filling

Pressing this key for a while displays the settings dialog:

CUP FILL TIMER

Cuspidor flushing

Pressing this key for a while displays the settings dialog:

BOWL FLUSH TIMER

Freely selectable function

e.g. call key, always functions as button

freely available relay 230 V, 6 A (connected by the service engineer).

Freely selectable function

The function can be preselected in the Mode dialog as button or switch.

freely available relay 230V, 6 A (connected by the service engineer).

15

3 Operating and Functional Elements	Sirona Dental Systems GmbH
3.2 Control panel on the dentist element	Operating InstructionsM1+

Panel keys for video

Frame indexing

Single image: Switches to the next image storage location

Quad image: Indexes the storage number for image selection

Quad image

Toggles between quad image and single image

Clear memory

Clears all image memories of the camera. (only with camera removed)

Mode selection

Toggles between PC mode and video mode

Save image

Saves still image

Full frame

Full screen display on PC

Black screen

Toggles between any display and a black screen

White screen

Switches white screen ON or OFF on SIVISION monitor

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Sirona Dental Systems GmbH	3 Operating and Functional Elements
Operating Instructions M1+	3.3 Control panel on the assistant element

3.3 Control panel on the assistant element

Control panel

Main functions – dark blue keys

Mouth rinsing position chair program.

with memory function (freely programmable)

Chair program 0

Entry/exit position (freely programmable)

Chair programs 1 and 2

(freely programmable)

i NOTE

The four program keys are also used for reprogramming the chair programs.

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3 Operating and Functional Elements	Sirona Dental Systems GmbH
3.3 Control panel on the assistant element	Operating InstructionsM1+

Additional functions – light blue keys

Tumbler filling function

ON / OFF

Cuspidor flushing function

ON / OFF

X-ray image viewer ON / OFF

for SIVISION 3 also WHITE SCREEN activation

Sanitation of the treatment center

This key can be used to start the treatment center sanitation program (see instructions “Care and Cleaning by the Practice Team”).

Freely selectable function

The function can be preselected in the Mode dialog as button or switch.

Light ON/OFF

With SPRAYVIT removed:

• Instrument lighting

With SPRAYVIT deposited:

• Operation light

Chair functions – gray keys

Manual adjustment of headrest

Move headrest out/in

(cannot be used with MultiMotion head rest)

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Sirona Dental Systems GmbH	4 Putting the system into operation
Operating Instructions M1+

4 Putting the system into operation

Initial start-up

OFF

ON

A

READY 10:04:27

The disinfection system adds a disinfectant to the water (1:100) to prevent the formation of microorganisms in the water system.

Prior to initial start-up of your treatment center, sanitation must be performed.

If, on the basis of an agreement with you, sanitation was skipped by the service engineer following installation of your treatment center, please perform sanitation yourself as described in the separate instructions “Care and Cleaning by the Practice Team”.

Sanitation takes approx. 24 hours.

Main switch

Turn the main switch ON.

Following power-up, the treatment center automatically performs a self-test.

CAUTION

For safety reasons, always switch the treatment center OFF (O) after consulting hours. This cuts off the air and water supply and the line voltage.

Operational readiness

After the end of the self-test, the message READY the time and the last selected user, A or B, appear on the display.

The unit is now ready to operate.

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4 Putting the system into operation

A

MAINTENANCE

IN 30 DAYS

right

wrong

READY 10:04:27

20

Sirona Dental Systems GmbH

Operating InstructionsM1+

Display of next maintenance date

the next maintenance date is less than 30 days away, this message appears each time the unit is switched on. (see MAINTENANCE Mode dialog).

After this date has expired, the following message is displayed:

MAINTENANCE

REQUIRED

The display message then disappears as soon as an instrument is removed from its holder.

i NOTE

This message can be reset only by the service technician after completion of maintenance work.

CAUTION

The dental chair has a maximum load capacity of 135kg according to EN ISO 6875 (tested with a four-fold safety factor according to IEC 60601-1).

The patient’s arms and legs must rest on the upholstery of the chair!

Preselecting the user

The treatment center offers the possibility of managing two different chair and instrument programs for two users.

Preselect user A or B using the A/B key, with all instruments in place.

The preselected user is shown in the top left corner of the display. All settings which have been stored for that user are then activated.

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Sirona Dental Systems GmbH

5 Foot switch

Operating Instructions M1+

5	Foot switch
		Functions
		1. Step on foot pedal – all instruments in place
	2.	The dentist element moves toward the operator as
		long as the foot switch is actuated
		(or toward the foot end of the patient if reversed by
		the service engineer, see page 32).
		Step on foot pedal – instrument removed
	A	Activation of the instrument.
	C	If appropriate, intensity control relative to pedal
	1.	movement (if “speed controller foot switch” has been
		preset under Mode).
	D	2. Shift 4-way foot control plate
	B	With the electric motor deposited:
		If the switch is actuated toward A, B, C or D, the den-
		tist element moves away from the operator as long
		as the switch is actuated.
		With the electric motor removed:
		The CW/CCW rotation of the electric motor is acti-
		vated.
		– Foot switch plate to the left – counterclockwise
		– Foot switch plate to the right – clockwise
		3. Actuate left button – all instruments in place
		Programmed movement of the chair into mouth rins-
	3.	ing position S or into last treatment position (accord-
		ing to starting situation).
	4.
		Actuate left button – instrument removed
		Toggle between spray ON and spray OFF, or
		SIVISION function.
		4. Actuate right button – all instruments in place
		Programmed movement of the chair into the entry/
		exit position 0.
		Actuate right button – instrument removed
		Chip blower active for duration of actuation, or
		SIVISION function.
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5 Foot switch	Sirona Dental Systems GmbH
	Operating InstructionsM1+

CEREC Chairline foot switch

This foot switch includes all of the functions of the C+ foot switch.

It also features an additional pedal for operation of the

CEREC Chairline.

For details please refer to the CEREC Chairline Operating Instructions, REF 60 46 028.

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Sirona Dental Systems GmbH	6 Program selection
Operating Instructions M1+	6.1 Safety

6 Program selection

6.1 Safety

CAUTION

The patient’s arms and legs must be resting on the chair upholstery during the program run!

CAUTION

Make sure that no obstacles (e.g. window wings, drawers, devices, …) extend into the movement range.

Safety stop

A built-in safety circuit stops the chair movement in the following situations:

• The foot support collides with an obstacle.

• The backrest collides with an obstacle.

• The motorized headrest collides with an obstacle

• The swiveling cuspidor is swiveled in during chair movement .

At the same time, a double-beep warning signal is sounded.

The chair then automatically moves upwards a short distance until the path has been cleared (except for the swiveling cuspidor)

A

BACKREST 10:04:27

With instruments in place, the last safety switch activated is indicated in plain text on the display:

•TILTING PART for motorized headrest

•BACKREST

•FOOT SUPPORT

The indication “CUSPIDOR“ appears after 10 seconds if the automatic return movement of the cuspidor to its position is obstructed.

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6 Program selection	Sirona Dental Systems GmbH
6.2 Program selection	Operating InstructionsM1+

6.2 Program selection

Keys for selecting the programmed patient positions.

With swivelable cuspidor:

Before the chair moves into the selected program position, the swiveled in cuspidor moves back automatically to its starting position.

Factory settings:

The operation light switches OFF automatically before the chair moves into the entry/exit position 0 or into the mouth rinsing position S.

The operation light switches ON automatically after the chair has reached patient position 1 or 2.

Changing the factory settings:

When programming the patient positions you can preselect whether the operation light should switch OFF or ON in the different chair programs 0, S, 1 or 2 (refer to page 26).

Entry/exit position

Program key 0 is intended for the entry/exit position.

This position can also be selected via the right key of the foot switch with the instruments deposited.

Mouth rinsing position

Program key S is intended for the mouth rinsing position.

This position can also be selected via the left key of the foot switch with the instruments deposited.

In the S program it is possible to program the tumbler filling and / or the cuspidor flushing (see Mode dialog 10.8 and 10.9).

If this key is pressed a second time, the treatment center returns to its previous position (last position memory function).

Example: You have programmed this key for the mouth rinsing position. When you press this key then the treatment center moves into the programmed position.

Last position memory function: If you press this key again, the treatment center returns to its previous position.

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Sirona Dental Systems GmbH	6 Program selection
Operating Instructions M1+	6.3 MOVEMENT STOP!

6.3 MOVEMENT STOP!

Movement of the chair into a programmed position can be stopped as follows:

• By pressing one of the chair-related keys located on the dentist and assistant elements.

• By actuating the 4-way foot control.

• By actuating the 4-way switch on a motorized headrest in any direction.

• By actuating the 0 or S key on the foot switch.

All movements of the treatment center are stopped immediately.

Please note that pressing the program key of the program which is just running once again does NOT cause the movement to stop!

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7 Patient positions	Sirona Dental Systems GmbH
7.1 Manual adjustment	Operating InstructionsM1+

7	Patient positions
7.1	Manual adjustment
	Moving the headrest out/in
	The headrest can also be moved out or in with the two
	upper keys in the right block on the assistant element
	control panel and on the upper 4-way switch (up/down)
	on the headrest.
	Headrest tilt
	The headrest can be tilted to the back or to the front by
	actuating the upper 4-way switch on the headrest (left/
	right).
	Headrest functions are also possible with the cuspidor
	swung in.
	Backrest tilt
	The backrest can also be tilted with the 4-way foot con-
	trol on the chair base* as well as with the lower 4-way
	switch on the headrest.
	Lever to the left:
	Backrest tilts backwards.
	Lever to the right:
	Backrest tilts forward.
	Height adjustment
	The height can be adjusted with the 4-way foot control
	on the chair base as well as with the lower 4-way switch
	on the headrest.
	Lever up:
	The chair moves up.
	Lever down:
	The chair moves down.
	Before backrest tilting or up/down movements are
	started, the swiveled-in cuspidor automatically returns to
	its starting position.
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Sirona Dental Systems GmbH	7 Patient positions
Operating Instructions M1+	7.2 Programming Patient Positions

7.2 Programming Patient Positions

Chair and dentist element

The four factory-set programs can be changed individually by users A and B (observe the display).

• Programs 1 and 2

• Entry/exit program 0

• Mouth rinsing program S

1. Move the chair into the desired treatment position by pressing the different setting keys (see page 26).

2. To have the SIROLUX FANTASTIC operation light switch on or remain off when the chair reaches the programmed treatment position, you must switch the lamp ON or OFF now. This setting is then also programmed.

3. Now move the dentist element to the desired treatment position by hand.

CAUTION

In order to avoid damage to the dentist and assistant elements and to the chair upholstery, make sure that these elements do not protrude into the movement range of the chair.

4. To save the program settings, press the desired program key approx. 3 seconds until an acoustic signal sounds.

Programming is completed now.

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7 Patient positions	Sirona Dental Systems GmbH
7.3 MultiMotion headrest	Operating InstructionsM1+

7.3 MultiMotion headrest

A

Adjustment to patient's height

The headrest can be adjusted to the patient's height by pulling out or pushing in the headrest extension. This adjustment is usually required at the beginning of treatment!

i NOTE

Before positioning the patient on the headrest, make sure that the head support has been optimally adjusted to the patient's height. This simplifies all subsequent work with the MultiMotion considerably, since readjustment to the patient's height can thus be omitted when changing over from mandibular to maxillary treatment.

The MultiMotion enables you to adjust the patient's head in a way that optimally supports viewing of areas of the mouth which are difficult to access.

Adjustment of hyperextension

Mandibular position

The mandibular position can be set by pulling the operating handle (A). The anatomical movement of the arched extension keeps the patient's head in the support.

Pull the headrest out of the guide by pulling handle A.

i NOTE

You can reduce the adjustment noise by pressing release A.

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Sirona Dental Systems GmbH

Operating Instructions M1+

A

B B

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7 Patient positions

7.3 MultiMotion headrest

Maxillary position

Take the load off the headrest by lifting it slightly.

Press release A on the handle.

Let the headrest slide down slowly.

Let go of the release when the headrest reaches the desired position.

Rotation and tilt

The MultiMotion enables rotation of the patient's head about the longitudinal axis of his body as well as lateral tilting of his head.

The MultiMotion is set to the desired position as follows:

1.Press and hold one or both of the two side control elements B.

The rotation and tilt adjustment locks of the headrest are now released.

2.Set the headrest to the desired position.

3.Let go of the control elements B.

The supporting surface is fixed in place.

Make sure that the headrest is indeed fixed in place after you let go of the control elements!

29

7 Patient positions	Sirona Dental Systems GmbH
7.3 MultiMotion headrest	Operating InstructionsM1+

							Removing the MultiMotion
							For certain treatments (e.g. of children) it may be expe-
							dient to remove the MultiMotion completely in order to
							obtain better access to the patient. The patient's head
							will then be supported on the contact surface of the
			C				headrest extension F.
							To remove the MultiMotion, proceed as follows:
							1. Press release button C.
							2.	Pull the complete headrest out of the headrest ex-
	D							tension.
					E		3.	Cover the opening of the headrest extension with
								cover cap E.
							4.	If a children's head pad D is available, place it on
	F							the headrest extension. The head pad is held mag-
								netically.
							i
								NOTE
							The children's head pad (D) is not included in the scope
							of supply, however, is available from your dental dealer.
								WARNING
							The children's head pad (D) contains a strong mag-
							net on its bottom side. This magnet could affect any
							cardiac pacemaker located nearby.
							Therefore, do not allow patients, users and technical
							personnel with a cardiac pacemaker to be located
							near this magnet.
							Furthermore, direct contact of the head pad with
							magnetic cards can lead to data loss.
							i
								NOTE
							Deposit the removed MultiMotion in a safe place where it
							cannot fall onto the floor.

Inserting the MultiMotion

To insert the MultiMotion, proceed as follows:

Check the guide of the removed headrest for contamination. Remove any contamination.

Remove the cover cap E.

Reinsert the MultiMotion in the guide from above until it audibly locks in place.

Pull on the headrest again to make sure that it is locked securely in place.

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