Sirona Orthophos 3 DS User Manual

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Sirona Dental Systems GmbH
Dear Customer Thank you for purchasing your new ORTHOPHOS 3 DS
X-ray unit for panorama planigraphy.
In order to protect your warranty rights, please fill out the “Installation Report / Warranty Passport” provided together with the technician immediately after installa­tion of the unit.
Read the Operating Instructions to familiarize yourself with the unit before taking radiographs on the patient. Please observe the Radiation Protection Regulations and Warning and Safety Notes.
These Operating Instructions assume a thorough famili­arity with the SIDEXIS software.
Your
ORTHOPHOS Team
Maintenance To ensure the safety of the patient, the operators and
third parties, equipment inspections and maintenance work must be carried out at specified intervals in order to guarantee the operational safety and functional reliability of your product.
It is the responsibility of the operator to ensure that the inspections and maintenance work are carried out.
In the event that the operator fails to fulfil the obligation to carry out inspections and maintenance work or ignores error messages, Sirona Dental Systems GmbH or their contracted dealer cannot assume liability for any damage attributable to this.
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Sirona Dental Systems GmbH
List of Contents
1 Warning and Safety Notes........................................................................................................ 5
2 Technical Description ............................................................................................................... 8
2.1 Technical Data.................................................................................................. 8
3 Operating Controls and Displays........................................................................................... 12
3.1 Unit ................................................................................................................. 12
3.2 Multitimer ........................................................................................................ 13
4 Accessories ............................................................................................................................. 14
4.1 Rests and supports......................................................................................... 14
4.2 Hygienic Protective Covers............................................................................. 14
4.3 Service Tool.................................................................................................... 14
5 Exposure Programs ................................................................................................................ 15
5.1 P1 Program..................................................................................................... 15
5.2 P11 Program................................................................................................... 15
5.3 P6.1 / P6.2 Program ....................................................................................... 16
6 Operation.................................................................................................................................. 17
6.1 Preparing the Exposure .................................................................................. 17
6.2 Positioning the Patient.................................................................................... 20
6.3 Selecting Data at the Multitimer...................................................................... 25
6.4 Releasing the Exposure.................................................................................. 26
7 Programming ........................................................................................................................... 29
7.1 Programming Procedure................................................................................. 29
7.2 Adjustment of the Exposure............................................................................ 29
8 List of Help Messages H3/H4.................................................................................................. 30
9 Program Values ....................................................................................................................... 31
9.1 Program Values world-wide (except USA and Asia) ...................................... 31
9.2 Program Values USA...................................................................................... 32
9.3 Program Values Asia...................................................................................... 33
10 Care the surfaces .................................................................................................................... 34
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11 Error Messages........................................................................................................................ 35
12 Inspection and maintenance .................................................................................................. 36
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Sirona Dental Systems GmbH
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Sirona Dental Systems GmbH 1 Warning and Safety Notes

1 Warning and Safety Notes
Labeling of warning and safety information In order to prevent injury to persons and damage to the
equipment you must also read the warning and safety notes given in these Operating Instructions. These are emphasized with ATTENTION and CAUTION.
Intended use This unit has been designed for use in creating pano-
rama radiographic exposures.
This unit must not be used in areas where there is a risk of explosion.
General safety information As manufacturers of electro-medical products, we can
assume responsibility for safety-related performance of the equipment only if maintenance, repair and modifica­tions are carried out only by us or agencies we have authorized for this purpose, and if components affecting safe operation of the unit that may be needed are replaced with original parts. We suggest that you request a certificate showing the nature and extent of the work performed, from those who carry out such work, and specify that the certificate show any changes in rated parameters or working ranges, as well as the date, the name of the firm, and a signature.
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For reasons of product safety, only original Sirona accessories approved for this product, or accessories
from third parties which have been released by Sirona may be used. It is the user's risk when using non­released accessories.
Exposures of patients may only be taken if the unit func­tions fault-free.
Never leave the patient unattended in the unit.
Instructions for avoiding, recognizing and correcting unintended electromagnetic effects: The ORTHOPHOS 3 DS X-ray System is a unit of class A (classification according to CISPR 11, EN 60601-1-2: 1993 based off IEC 60601-1-2). This unit may be oper­ated in a residential area, provided it is used under the responsibility of a trained medical operator.
Safety measures during switch-on Following extreme temperature fluctuations, condensate
formation may occur; therefore please do not switch on the device until normal room temperature has been reached (see chapter "Technical Description").
When switching on the unit, there must not be a patient positioned in the unit. If a fault occurs which requires switching the unit off and then back on again, the patient must be taken out of the unit at the latest before switching it on again!
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1 Warning and Safety Notes Sirona Dental Systems GmbH
Interference with electromedical devices by radio telephones
Malfunction of electronic units/devices which are worn on the patient's body.
To guarantee the operational safety of electromedical devices, it is recommended that the operation of mobile
radio telephones in the medical practice or hospital is prohibited.
In order to prevent failure of electronic units and data storage devices, e.g. radio-controlled watch and tele­phone card, etc., it is essential that these be removed prior to X-ray exposure.
Radiation Protection Observe the applicable health physics regulations.The
radiation protection facilities should be used.
The operator should remain as far away from the X-ray tube as the cable of the release button permits.
With the exception of the patient, no other persons may remain in the room while the exposure is being made.
Under exceptional circumstances a third person, how­ever not belonging to the dental practice, may then assist. Maintain visual contact with the patient and the unit during the exposure.
In case of faulty operation, discontinue the exposure by releasing the exposure button.
Disassembly and reinstallation For disassembly and reinstallation of the unit proceed as
described in the installation instructions for new installa­tion to ensure perfect function of the unit and its stability.
Disposal It generally applies that any disposal of this product must
comply with the relevant national regulations. Please observe the regulations applicable in your country.
Within the European Economic Community, Council Directive 2002/96/EU (WEEE) requires environmentally sound recycling/disposal of electrical and electronic devices.
Your product is marked with the adjacent symbol. Dis­posal of your product with domestic refuse is not compatible with the objectives of environ­mentally sound recycling/disposal. The black bar underneath the "garbage can" symbol means that it was put into circulation after Aug. 13, 2005. (see EN 50419:2005)
Please note that this product is subject to Council Direc­tive 2002/96/EU (WEEE) and the applicable national law of your country and must be recycled or disposed of in an environmentally sound manner.
The X-ray tube assembly of this product contains a tube with a potential implosion hazard, a small amount of beryllium, a lead lining and mineral oil.
Please contact your dealer if final disposal of your prod­uct is required.
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Sirona Dental Systems GmbH 1 Warning and Safety Notes
Laser light localizers used This product incorporates a laser of class 1.
The light localizers serve for the correct positioning of the patient. They must not be used for other purposes. A minimum distance of 100mm must be maintained between the eye and the laser. Do not look into the beam. Safety opera­tion is described in Section 6.2.
The light localizers may be switched on only if they func­tion fault-free. Repair work may be carried out only by authorized personnel.
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2 Technical Description Sirona Dental Systems GmbH

2.1 Technical Data

2 Technical Description
2.1 Technical Data
Nominal line voltage: 208V / 230 V - 240 V~
Permissible line voltage fluctuation: ±10%
Nominal current: 9.7A
Nominal frequency: 50/60Hz
Power line resistance: max. 0.8 Ohm
Fuse at the distribution panel: 20A slow blow
Rating: 2.1kW
Tube voltage: 60 – 80 kV
Tube current: 6 – 11mA
Curve form of high voltage: high frequency
multipulse Residual ripple ≤ 4kV
Rotation time: see page 31
Exposure time: see page 31
Reproduction scale: With P1 program, medium mandibular arch (plane center) ca.
1:1,19. The image at the image receiver is approximately 19% larger than the real proportions.
Focus size, according to IEC 336, measured in central ray:
Focus marking:
Automatic exposure blockage (see page 27): The duration of the exposure blockage (cool-off period) depends on
Equipment of protective class I Protection against electric shock:
Protection against penetration of water: Ordinary equipment (without protection)
0,5mm
the kV/mA step set and the actually triggered radiation time. Depending on the tube load, pause times up to 200s are set auto­matically.
Example: For P1 program with exposure data 74kV/10mA and a radiation time of 11.3s a pause of 200s results.
Type B equipment
Mode of operation: Continuous operation
Long time power rating: 64W
Target material: Tungsten
Loading factors concerning leakage radiation: 1.1mA / 80 kV
Leakage radiation: ≤ 1mGy/h
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Sirona Dental Systems GmbH 2 Technical Description
2.1 Technical Data
Source - Image receptor distance: 497mm
Transport and storing temperature: -40°C – +70° C (-40°F – 158°F)
Relative humidity: 10% – 95%
Permissible operating temperature: According to IEC 601-1 between +10°C and +40°C (50°F – 104°F)
Sensor (image receptor):
Type: Digital CCD-technology line sensor,
can be plugged to Panorama position.
External dimensions: 280mm x 120 mm x 35 mm
Active sensor surface: Panorama: 138mm x 5.9 mm
Resulting image format: Panorama: depends on selected program,
max. 138 x 288mm
Detail recognition: Panorama: 0.09mm pixel size
Minimum requirements for the PC systems:
Hard disk: > 2 GByte / database
> 50 MByte / SIDEXIS installation
RAM: at least 64 MB
Drives: CD-ROM
3.5" diskette (one per system / network) MOD drive min. 640 MByte (one per system / network)
Operating system: Windows 98
Windows NT 4.0 / Service Pack >
Graphics system: Resolution at least 1024 x 768 pixels,
color depth at least 8 bit
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Network: 10 / 100 MBit Ethernet
Communication connection: RJ45 for LAN cable
Laser light localizer
Magnitude: 300mm long, 5mm wide
Max. radiant power: 350 J/m
Pulse duration: 100s
ORTHOPHOS 3 DS has been inspected by the VDE Testing and Certification Institute for compliance with EN 60601­1, EN 60601-2-28 and EN 60601-1-3 and has been found to comply with these regulations.
Original language: german
2
This product is provided with a CE marking in accord­ance with the regulations stated in the Directive 93/42/ EEC of June 14, 1993 concerning medical products.
0123
Reg. No.: China
SFDA (I) 20053301583
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2 Technical Description Sirona Dental Systems GmbH
2.1 Technical Data
Cooling curve for the tube housing:
HUx10
130 120
110
100
90
80
70 60
50 40
30 20
10
0 20 40 60 80 100 120 140 480 160 180 200 220
4
1HU = 1,35 Joule
Anode cooling caracteristic:
20
15
HUx10
3
1HU = 1,35 Joule
240
t
min
10
5
012 3 4 5 6
Heating curve for tube housing:
HUx10
1000
012 3 4 5 6
Reference axis:
3
1HU = 1,35 Joule
t
min
t
h
Reference axis
10°
Anode angle
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Sirona Dental Systems GmbH 2 Technical Description
2.1 Technical Data
Radiation fields of the laser light localizers:
60°
°
32°
5
6
°
0
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3 Operating Controls and Displays Sirona Dental Systems GmbH

3.1 Unit

3 Operating Controls and Displays
3.1 Unit
43 2
9
10
1
1. Main switch
2. Patient positioning mirror
3. Head holder with adjusting knob for temple supports
4. Image receiver
5. Diaphragm
6. Diaphragm wheel
7. Height adjustment buttons
Additional function: key switches light localizer on
8. Knob for image receiver removal or insertion
9. Height adjustment
Light localizer horizontal light beam FH
10. Light localizer central light beam
11. Multitimer
58611 7
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Sirona Dental Systems GmbH 3 Operating Controls and Displays

3.2 Multitimer

3.2 Multitimer
”Unit ON” LED
Radiation present indicator
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PI
I I.3
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Exposure key
Digital display for exposure program / exposure time
with – + keys for exposure programs.
Digital display for kV/mA paired values
with – + keys for overriding kV values.
Patient symbol keys
with programmed kV/mA values
Memory program key
kV/mA matched values
Key with service function
Rotation test key T
without radiation
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Return key R
The LED blinks when the system is not ready.
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4 Accessories Sirona Dental Systems GmbH

4.1 Rests and supports

4 Accessories
4.1 Rests and supports
With* marked accessories can be sterilized.
Sterilize only in an autoclave at 135°C, 2.1bar
*
B*
A*
C
135°C 275°F
(275°F).
For reorders:
A* Yellow bite block
(5 pcs) Order No. 89 21 843
B* Yellow contact segment
for patient without front teeth (5 pcs) Order No. 89 31 545
C Head positioner complete,
incl. 4x D Order No. 18 88 770
D* Ear fixation
(10 pcs) Order No. 18 88 838
F Contact spacer
Order No. 33 10 336
F

4.2 Hygienic Protective Covers

G
H
D*
(disposable)
Before each exposure, the hygienic protective covers should be attached. For better illustration of the components, the following figures are shown without the hygienic protective covers.
For orders:
G For temple supports and handles
(500 pcs) Order No. 33 14 098 Dimensions: 210 (140)mm x 57mm
H For bite block and contact segment
(500 pcs) Order No. 33 14 080 Dimensions: 80mm x 40mm

4.3 Service Tool

Needle phantom Order No. 33 11 235
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Sirona Dental Systems GmbH 5 Exposure Programs

5.1 P1 Program

5 Exposure Programs
5.1 P1 Program
Complete standard exposure
Yellow bite block or contact segment.

5.2 P11 Program

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with constant 1.25-fold magnification e.g. for implantology
Yellow bite block or contact segment.
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5 Exposure Programs Sirona Dental Systems GmbH

5.3 P6.1 / P6.2 Program

5.3 P6.1 / P6.2 Program
Lateral exposures of the temporoman-dibular joints with closed and open mouth.
(4 exposures on one image)
Insert head positioner (see page 17).
P6.1 P6.1P6.2 P6.2
P6.1
P6.2
Head positioner
P6.1 Outer Image: Closed mouth
Actuate P6.1 After P6.1 is completed, the unit automatically re­turns to the initial position.
P6.2 Inner Image: Open mouth
Have the patient open his mouth and actuate P6.2.
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Sirona Dental Systems GmbH 6 Operation

6.1 Preparing the Exposure

6 Operation
6.1 Preparing the Exposure
Insert Contact Spacer F
F
Application: For all exposure programs.
Always place the contact spacer where, as a result of anatomical features, with correct head positioning there is no contact with the forehead (no 3-point fixing).
After positioning the head, press the contact spacer onto the tube and push it down to the forehead contact.
3
Insert Head Positioner C
Application: Exposure program P6.
Z
C
A
B
Open temple supports with knob (3). remove rubber inserts Z and insert head positioner up to stop.
Insert Bite Block A
or contact segment B. Application: Exposure programs P1 and P11.
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6 Operation Sirona Dental Systems GmbH
6.1 Preparing the Exposure
Switching ON the Unit
ATTENTION
Following extreme temperature fluctuations, condensate formation may occur; therefore please do not switch on the device until normal room temperature has been reached (see chapter "Technical Description").
Depress the main switch (1) into the ”I” position and
1
allow one minute warm up time.
The LED in the upper left corner of the Multitimer will light up.
The unit adjusts itself automatically:
The rotating unit moves a little to the right and left.
ATTENTION
When switching on the unit, there must not be a patient positioned in the unit. If a fault occurs which requires switching the unit off and then back on again, the patient must be taken out of the unit at the latest before switching it on again!
Switching ON the PC
Prepare SIDEXIS program on PC for ORTHO­PHOS (XP) exposure stand-by (see SIDEXIS User’s Manual).
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Sirona Dental Systems GmbH 6 Operation
6.1 Preparing the Exposure
A
B
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Exposure key
C
At the Multitimer
the program and exposure parameters employed with the last patient appear.
A shows you the exposure program sequentially and
the respective maximum exposure time.
B gives you the kV/mA matched value pair. The LED
over the respective patient symbol lights up.
C LED over the return key R blinks.
Move the rotating unit into place for patient positioning by tapping one of the return keys R.
i
NOTE
You can release a test rotation without radiation via the exposure button after having pressed the T button.
The LED over the R key at the Multitimer switches off to let you know that the unit is ready for the exposure.
Help Message Should the LED over the R key go on blinking, call up the help message H3/H4 to look for the reason. List of Help Messages see page 30.
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Image receiver
The image receiver 7 must be pushed all the way to the stop (turn the rotary knob 8 to the left).
8
7
i
NOTE
To remove the image receiver, turn the rotary knob 8 to the right and pull the image receiver out.
ATTENTION
Do not drop it!
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6 Operation Sirona Dental Systems GmbH

6.2 Positioning the Patient

6.2 Positioning the Patient
Have the patient remove all metallic objects, such as glasses and jewelry, from the head and neck re­gions. Have him take out removable dentures.
Physical constitution, clothing, bandages etc. must not interfere with the functioning of the unit! Perform a test run with the T button, (see page 19)
Insert bite block / contact segment or head position­er, see page 17 For selection see chapter ”Exposure Programs”.
Standard Exposure Program P1 and P11…
Have the patient stand in front of the mirror.
Pressing the height adjustment key automatically switches on the light localizer for 1minute.
i
NOTE
Please make sure that the light beam strikes the eyes of the patient only very briefly.
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Sirona Dental Systems GmbH 6 Operation
6.2 Positioning the Patient
… with Bite Block
Using the and buttons, adjust unit height so that
the bite block and the anterior teeth match up.
Have the patient grip the handles.
Have the patient bite the bite block at the indenta­tion. The upper anterior teeth should be directly in the in­dentation, and the lower anterior teeth should be moved forward up to the stop.
… with Contact Segment
For patients without anterior teeth.
Adjust the unit height so that contact segment and subnasals match up.
The contact segment should be just under the pa­tient's nose.
Ensure that the upper and lower jaws are lined up with each other. This is facilitated by a cotton roll.
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i
NOTE
The height adjustment motor starts up slowly and then picks up speed. Motoric movement is accompanied by an acoustic signal.
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6 Operation Sirona Dental Systems GmbH
6.2 Positioning the Patient
Make certain the spine is tilted slightly as shown.
This moves the patient's cervical vertebrae into a more stretched out position.
The cervical vertebrae ”stretched out” ensures that the area of the anterior teeth is not over exposed.
In special cases, it is also possible to position for sitting patients.
CORRECT
INCORRECT
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Sirona Dental Systems GmbH 6 Operation
6.2 Positioning the Patient
Swing out the mirror by pressing on A.
Position the patient's head so that the bite plane is tilted slightly forward.
Switch the light localizer on by pressing briefly on the height adjustment key ↑ .
9
A
FH
The light localizer serve for the correct positioning of the patient.
i
NOTE
Please make sure that the light beam strikes the eyes of the patient only very briefly.
i
NOTE
The light localizer switches off automatically after about 1 minute.
The horizontal light beam FH
should go through the lower margins of the orbits and the upper margin of the external auditory orifices (Frankfurt Horizontal).
For this reason the FH localizer (9) can be adjusted manually upwards and downwards.
Finely adjust the head inclination for the FH line ad­justment by tapping the buttons or for ver tical unit movement.
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The central light beam
should be directed onto the center of the anterior
F
3
teeth or the middle of the face.
Align the center of the anterior teeth or the middle of the face to the central light line.
Close the temple supports with knob (3).
Insert contact spacer F (see page 17) and slide down until it makes contact with the front.
Swing back the mirror.
Have the patient take a small step toward the col­umn.
Recheck the FH position.
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6 Operation Sirona Dental Systems GmbH
6.2 Positioning the Patient
Exposure of the Temporo-mandibular Joint. P6 Program with Head Positioner
For these exposures insert the head positioner (see page 17).
Remove bite block.
Using the and buttos, adjust unit height so that ear fixations and external auditory canals match up.
Position the patient's head in the head positioner. Close the temple supports so that the ear fixations are inserted in the external auditory canals.
Swing out the mirror.
To set the correct position, switch on the light localiz­er by pressing the height adjsutment key ↑ . The horizontal light beam FH should go through the lower margins of the orbits and the upper mar­gins of the external auditory orifices (Frankfurt Hori- zontal plane FH).
For this reason the FH localizer (9) can be adjusted man­ually upwards and downwards.
Ensure that the spine is slightly tilted as described before.
F
3
(Have the patient take a small step toward the col­umn).
Close temple supports (3) with knob.
Insert contact spacer F (see page 17) and slide down until it makes contact with the front.
Swing back the mirror.
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Sirona Dental Systems GmbH 6 Operation

6.3 Selecting Data at the Multitimer

6.3 Selecting Data at the Multitimer
Select the Exposure Program
Select the Exposure Program by pressing the – + keys.
The exposure program selected, e.g. P1, and the corre­sponding maximum exposure time are alternatively shown on the digital display.
i
NOTE
When, with preselection of the exposure program, “O 1” appears on the display instead of, for example, “P 1”, you have erroneously selected a mode provided for servic­ing. You can leave this mode by pressing the ”Memory” button and then ”Program +” or by switching to another exposure program.
Select Exposure Data
I I.3
c
s
c
PI
s
66
I0
Manuall
by tapping one of the four patient symbol keys.
The LED above the key will then light up, and the respec­tive kV/mA matched pair will appear on the digital dis­play.
Manually, the exposure data can be modified with the – + keys. The LED over the patient symbol key is then no longer illuminated.
The mA value is the same for all kV values. (See chapter ”Program Values”).
The kV/mA matched values for the patient symbol keys are factory programmed. Should you need to modify these values, see the chapter entitled ”Programming”.
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6 Operation Sirona Dental Systems GmbH

6.4 Releasing the Exposure

6.4 Releasing the Exposure
ATTENTION
Operator: Observe the radiation protection guidelines explained, see page 6. Before releasing the exposure always check display for proper exposure data for the patient beeing radio­graphed.
The exposure is released by keeping the expo­sure key pressed.
The rotation movement runs automatically in accord­ance with the exposure program selected.
For P6 program only
The rotation unit returns back into the start position after having completed the program part P6.1. Then have the patient open his mouth wide and release the second pro­gram part P6.2 .
During radiation
the X-ray radiation indicator lights up. The radiation duration is additionally accompanied by an acoustic
signal.
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PI
s
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The exposure ends when the LED over the R key flashes. Rotation and radiation automatically switch off.
Open the temple supports and have the patient step out
Interrupting the Exposure Automatic Exposure Blockage and Error Message
see next page.
The program number (e. g. P1) is indicated at the Multi­timer.
After the end of the exposure
the exposure time actually required for the exposure lights up and the exposure is displayed on the PC.
i
NOTE
In case of disturbances of the data transmission to the PC, the unit changes automatically into a safe mode, which saves the acquired image until the image has been transmitted by a service program (SiRescue). The safe mode is indicated by the help message H4 20.
ATTENTION
In this condition the unit or the PC may not be switched off, in order to prevent the saved image from being delet­ed.
For operating the SiRescue service program please observe the corresponding software description in the
SIDEXIS User Manual.
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Sirona Dental Systems GmbH 6 Operation
6.4 Releasing the Exposure
The help message H4 20 is no longer displayed after the image has been transmitted by the SiRescue service program.
i
NOTE
Only then may the units be switched off or put into the ready for exposure state.
After the exposure
Acknowledge awareness of the exposure time actually required for the exposure by pressing the return key R. Then bring the rotary unit in to the starting position by pressing the return key R once again.
After return travel to the start position the unit is automatically ready for another exposure.
See chapter 'Positioning the Patient'.
Interrupting the Exposure
If the exposure key is prematurely released, the expo­sure is interrupted and terminated.
9.8 74
I0
The kV/mA value and the LED over key R blink at the Multitimer. The exposure time passed until the interruption is shown.
Press the R key on the Multitimer twice.
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I09
Check patient positioning and repeat the exposure.
Automatic Exposure Blockage
(Protection of X-ray tube)
The automatic exposure blockage prevents premature triggering of a new exposure.
After the exposure key has been actuated, the automatic cool-off pause is indicated. The LED over key R continues flashing until the cool-off time has elapsed.
The exposure cannot be triggered until the LED over key R has gone out. Example see page 8
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6 Operation Sirona Dental Systems GmbH
6.4 Releasing the Exposure
Error Message E ...
Messages such as E2/01 in the kV/mA field indicate errors. The LED over the R key blinks.
E2
0I
All unit functions are blocked.
Press the key R on the Multitimer to reset display (poss. more than once).
If the error message E continues to light up, switch the unit off and back on, if for an exposure the X-ray image is displayed on the PC.
ATTENTION
The turn-off time must be at least 60s; otherwise the unit will not function correctly.
If error message has disappeared, all unit functions are normal again.
For List of Error Messages with remedy discription see page 35.
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Sirona Dental Systems GmbH 7 Programming

7.1 Programming Procedure

7 Programming
7.1 Programming Procedure
I In the factory kV/mA values have been assigned to the
four program buttons.
For free programming the buttons can be programmed with different values. See chapter 'Program Values'.
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1.
2.
1. Push buttons – + to select program number P1 ... to
be changed.
2. Push – + buttons to set desired kV value on the dig­ital display.
3.

7.2 Adjustment of the Exposure

04
4.
3. Push memory button. The LED over the memory
button blinks.
4. Push the patient symbol button to be repro­grammed. The LED above this button lights up.
The LED above the memory button is switched off. The new values are now stored. Programming is complete.
Please enter the new value in the 'Freely programmed values' table.
The adjustment of the exposure is set to 03 at the fac­tory.
If the degree of exposure is to be changed, use the sup­plied screwdriver as shown in the illustration. During adjustment the corresponding switch position is briefly displayed (example 04). Step switch set to– = lower dose,
noisy exposures
Step switch set to+ =higher dose,
low-noise exposures
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NOTE
Changing the adjustment of the exposure automatically alters the programmed kV/mA values. Chapter 'Program Values'., see page 31.
+
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8 List of Help Messages H3/H4 Sirona Dental Systems GmbH

8 List of Help Messages H3/H4
You want to release an exposure but the Ready-LED on Multitimer above the R key is still blinking:
ATTENTION
In case of unit failure the test key T on the Multitimer must be pressed first (radiation protection measure!).
Press the X-ray exposure key on Multitimer. H3/H4 help message appears on the kV/mA display.
H3
0I
Read on the following list what is to be done to get the unit ready for the exposure.
Before carrying out the corresponding indication, press return key R on the Multitimer to acknowledge the help message.
Help Message H3
H3 01 Press one of the R buttons to return the rotation
unit to the start position.
H3 20Press R key on Multitimer to confirm exposure data.
Help Message H4
H4 01Slide in the image receiver up to stop.
H4 03Set SIDEXIS operational on the PC.
H4 10Image receptor not suitable for the set exposure.
H4 20Transfer exposure by SiRescue service program
to the PC, see SIDEXIS User Manual. CAUTION Do not switch off the unit until the help mes­sage goes out.
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Sirona Dental Systems GmbH 9 Program Values

9.1 Program Values world-wide (except USA and Asia)

9 Program Values
9.1 Program Values world-wide (except USA and Asia)
Kennziffer 30
Program Program
duration
approx.
P1 21s 11.3s 66/10 70/10 74/10 78/10
P6.1 + P6.2 21s + 21s 7.8s 68/10 72/10 76/10 80/10
P11 18s 11,3s 66/10 70/10 74/10 78/10
These values serve only as user reference times.
Possible kV/mA combinations – can be selected manually
60 62 64 66 68 70 72 74 76 78 80 kV
10 10 10 10 10 10 10 10 10 10 10 mA
Exposure
time
Factory-programmed values
with an adjustment of the
exposure of 03
Freely programmed values or
values with other adjustment of
the exposure: ....
– please enter here –
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9 Program Values Sirona Dental Systems GmbH

9.2 Program Values USA

9.2 Program Values USA
Index 2A
Program Program
duration
approx.
Exposure
time
Factory-programmed values
with an adjustment of the
exposure of 03
Freely programmed values or
values with other adjustment of
the exposure: ....
– please enter here –
P1 21s 11.3s 66/10 70/10 74/10 78/10
P6.1 + P6.2 21s + 21s 7.8s 68/10 72/10 76/10 80/10
P11 18s 11,3s 66/10 70/10 74/10 78/10
These values serve only as user reference times.
By actuating one of the two smaller or one of the two larger patient symbols, you can change between the two kv/mA pair groups. By actuating the kV/mA + - keys, you can select the individual values of the kV/mA groups.
Possible kV/mA value pairs – manually selectable with the two smaller patient symbols
60 60 60 62 64 66 68 70 72 74 76 kV
6 7 10 10 10 10 10 10 10 10 10 mA
Possible kV/mA value pairs – manually selectable with the two larger patient symbols
60 62 64 66 68 70 72 74 76 78 80 kV
10 10 10 10 10 10 10 10 10 10 10 mA
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Sirona Dental Systems GmbH 9 Program Values

9.3 Program Values Asia

9.3 Program Values Asia
Index 1A
Program Program
duration
approx.
P1 21s 11.3s 68/10 72/10 76/11 78/11
P6.1 + P6.2 21s + 21s 7.8s 70/10 74/10 78/11 80/11
P11 18s 11,3s 68/10 72/10 76/11 78/11
These values serve only as user reference times.
By actuating one of the two smaller or one of the two larger patient symbols, you can change between the two kv/mA pair groups. By actuating the kV/mA + - keys, you can select the individual values of the kV/mA groups.
Possible kV/mA value pairs – manually selectable with the two smaller patient symbols
60 62 64 66 68 70 72 74 76 78 80 kV
Exposure
time
Factory-programmed values
with an adjustment of the
exposure of 03
Freely programmed values or
values with other adjustment of
the exposure: ....
– please enter here –
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10 10 10 10 10 10 10 10 10 10 10 mA
Possible kV/mA value pairs – manually selectable with the two larger patient symbols
60 62 64 66 68 70 72 74 76 78 80 kV
11 11 11 11 11 11 11 11 11 11 11 mA
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10 Care the surfaces Sirona Dental Systems GmbH

10 Care the surfaces

Cleaning Remove dirt and disinfectant residues regularly with a
normal commercial cleaning medium. Do not allow any liquid to enter the ventilating slots! To avoid permanent staining, quickly clean away any medicament that spills on the surface.
Do not clean the lens of the laser with alcohol.
Disinfecting Disinfecting is possible by wiping with surface disinfect-
ant. Observe the directions of the manufacturer when using! Use only tested and approved media!
Do not use agents containing the components phenol, peracetic acid, peroxide and other agents splitting up oxygen, sodium hypochlroite and agents splitting off iodine.
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Sirona Dental Systems GmbH 11 Error Messages

11 Error Messages

E... error messages Remedy
E1 01
E1 03
E2 01
E2 03
E2 04
E2 10
E2 20
E2 35
E3 09
One of the keys on the Multitimer was pressed during start-up of the unit.
Faulty communication with the unit. Press R key on Multitimer to reset display.
Appears after pressing exposure key. X-ray head overheated. Cool-down periods ignored.
Faulty communication with the Multitimer. Press R key on Multitimer to reset display.
Zero-Power was re-initialized. Press R key on Multitimer to reset display. Freely pro-
Max. radiation time of program exceeded Press R key on Multitimer to reset display.
Appears after pressing the exposure key,
e.g. if x-ray room door contact not closed. Exposure lead in Multitimer cable damaged.
Invalid data in data memory. Press R key on Multitimer to reset display.
Movement of height adjustment obstructed. Check that height adjustment can move freely.
Press R key on Multitimer to reset display.
Press R key on Multitimer to reset display.
grammed values (see page 31) are canceled, sorry. Please reprogram (see page 29).
Close x-ray room door. Press R key on Multitimer to reset display. If error re-appears, poss. break in cable.
Press R key on Multitimer to reset display.
WARNING!
If this fault message occurs repeatedly during the motor­driven up and down movement of the rotary unit, especially when no patient is positioned, switch off the unit immediately and inform your service engineer without delay.
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E4 01
For error messages which are not contained in this list, switch the unit off and back on if for an exposure the X-ray image is displayed on the PC.
Exposure interrupted by SIDEXIS. Press R key on Multitimer to reset display.
Check PC for readiness.
ATTENTION
If an error is displayed again after switching the unit off and then on again, please contact your service techni­cian.
ATTENTION
The turn-off time must be at least 60s; otherwise the unit will not function correctly.
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12 Inspection and maintenance Sirona Dental Systems GmbH

12 Inspection and maintenance

Inspection and maintenance work must be performed at regular intervals to protect the safety and health of patients, users and third parties.
Annual inspection performed by the operator or other authorized personnel
Maintenance performed by the service technician
As the operator, you should ensure the safety and relia­bility of your system by performing maintenance on it at regular intervals (at least once annually) or having this work performed by your dental dealership.
In addition to the scheduled annual inspection by the user or persons contracted to perform this, a mainte­nance inspection must be performed after 4, 7 10 and then every two years.
Checking image quality At regular intervals, however at least once a year, the
user must evaluate the image quality.
For digital image receptors, the increasing number of repeated image processing operations to be made with the brightness or contrast control in the image process­ing software (e.g. SIDEXIS) is used as evaluation crite­rion.
If this evaluation criterion is considered to be satisfied irrespective of the patient’s anatomy or possible error sources such as patient positioning, a technician should be consulted immediately for elimination of possible sys­tem defects.
In addition it is necessary to observe country-specific requirements.
Furthermore, we would like to call your attention to our Quality Image Service. For this, please contact your dental dealer or the manufacturer directly.
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Page 38
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