Sirona Orthophos XG User Manual

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General information Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XG
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General information

Dear customer, Thank you for purchasing your ORTHOPHOS XG
panoramic X-ray unit from Sirona.
This system enables you to take standard views (jaw area), sinus views (maxillary sinuses) and temporoman­dibular joint views using digital imaging technology.
If the system is equipped with a cephalometer arm, you can furthermore take cephalometric images using digital imaging technology.
The technical documentation supplied is also part of the product. Keep these documents handy at all times (file in the X-ray logbook in Germany).
To safeguard your warranty claims, please complete the attached “Installation Report/Warranty Passport” together with the service engineer immediately after the installation of your unit.
Please familiarize yourself with the unit by reading through these Operating Instructions before taking any X-rays of patients. Always observe the valid radiation protection regulations and warnings.
These operating instructions presuppose that you are familiar with the use of the SIDEXIS software. According to the X-ray Ordinance of the Federal Republic of Germany, owners of X-ray equipment must perform con­stancy tests at regular intervals in order to ensure the safety of operating staff and patients.
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Your ORTHOPHOS XG
Team
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Maintenance In the interest of the safety and health of patients, users
and other persons, inspection and preventive mainte­nance must be performed at scheduled intervals to ensure the operational reliability and functional safety of your product (IEC 601-1/DIN EN 60601-1 etc.).
The system owner must ensure that all inspections and maintenance events take place.
If the system owner fails to fulfil the obligation to have inspections and maintenance work performed or ignores error messages, Sirona Dental Systems GmbH and its authorized dealers cannot assume any liability for result­ing damage.
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Sirona Dental Systems GmbH Contents Operating Instructions ORTHOPHOS XG
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DS/Ceph

Contents

1 Warning and safety information .............................................................................. 5
1.1 General safety information................................................................................................................ 5
1.2 ESD protective measures ................................................................................................................. 9
1.3 About the physics of electrostatic charges ....................................................................................... 9
2 Technical description ............................................................................................... 11
3 Controls and functional elements ........................................................................... 16
3.1 Operating and Display Elements ...................................................................................................... 16
3.2 General touchscreen functions ......................................................................................................... 19
4 Accessories ............................................................................................................... 28
4.1 Rests and supports for panoramic exposures .................................................................................. 28
4.2 Important when inserting the temporomandibular joint supports ...................................................... 29
4.3 Protective covers for panoramic exposures...................................................................................... 30
4.4 Protective covers for cephalometer .................................................................................................. 31
4.5 Accessories for transversal slices TSA............................................................................................. 31
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5 Program group panoramic images.......................................................................... 32
5.1 P1 Standard panoramic view, P1 A artifact-reduced,
P1 C with a constant magnification factor of 1.25............................................................................. 32
5.2 P2 normal view, limited to teeth without ascending rami,
P2 A artifact-free, P2 C with a constant magnification factor of 1.25................................................ 33
5.3 P10 normal view for children with significant dose reduction,
P10 A artifact-free, P10 C with a constant magnification factor of 1.25............................................ 34
5.4 P12 Slice thickness – anterior tooth region ...................................................................................... 35
6 Program group temporomandibular joint (TMJ) views.......................................... 36
6.1 TM1.1/TM1.2 Temporomandibular joints lateral with closed and open mouth in one image............ 36
6.2 TM2.1/TM2.2 Temporomandibular joints in posterior – anterior projection with closed and
open mouth in one image ................................................................................................................. 37
6.3 TM3 Temporomandibular joints lateral, ascending rami ................................................................... 38
6.4 TM4 Temporomandibular joints in posterior/anterior projection ....................................................... 39
6.5 TM5 Temporomandibular joints lateral, multislice ............................................................................ 40
6.6 TM6 Temporomandibular joints, multislice in posterior - anterior projection .................................... 41
7 Program group sinus views ..................................................................................... 42
7.1 S1 Paranasal sinuses ....................................................................................................................... 42
7.2 S2 Maxillary sinuses with two views in one image ........................................................................... 43
7.3 S3 Paranasal sinuses (linear slice orientation) ................................................................................. 44
7.4 S4 Maxillary sinuses with two views in one image (linear slice orientation) ..................................... 45
8 Program group multislice views .............................................................................. 46
8.1 MS1 Multislice (posterior tooth region) ............................................................................................. 46
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Contents Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XG
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DS/Ceph
9 Operation .................................................................................................................... 47
9.1 Preparing the exposure.................................................................................................................... 47
9.2 Option: Execution of exposures from a SIDEXIS exposure template .............................................. 50
9.3 Positioning the patient...................................................................................................................... 51
9.4 Finishing the preparations (panoramic views) ................................................................................. 58
9.5 Making the basic settings in program level 3 ................................................................................... 59
9.6 Changing the startup settings in program level 4............................................................................. 59
9.7 Selecting the exposure parameters ................................................................................................. 60
9.8 Releasing the exposure ................................................................................................................... 61
9.9 Remote control................................................................................................................................. 63
10 Cephalometric exposures (CEPH)............................................................................ 64
10.1 Preparing a cephalometric exposure (CEPH function) .................................................................... 64
10.2 Preparations on the cephalometer................................................................................................... 66
10.3 Positioning a ceph patient................................................................................................................ 67
10.4 Select exposure data ....................................................................................................................... 74
10.5 Making the basic settings in program level 3 ................................................................................... 75
10.6 Changing the startup settings in program level 4............................................................................. 75
10.7 Releasing a cephalometric exposure ............................................................................................... 76
11 Transversal slices (TSA) ........................................................................................... 79
11.1 Preparing a TSA exposure............................................................................................................... 79
11.2 Patient positioning............................................................................................................................ 86
11.3 TSA universal bite block .................................................................................................................. 90
11.4 Preselecting the exposure settings and releasing the exposure...................................................... 92
11.5 Program settings, basic settings, startup settings............................................................................ 93
11.6 TSA exposure with TSA slice orientation......................................................................................... 94
11.7 Slice orientations.............................................................................................................................. 96
12 Program values .......................................................................................................... 98
12.1 Panoramic views – program values for index 2A ............................................................................. 98
12.2 Panoramic views – program values for index 4A ............................................................................. 99
12.3 Panoramic views – program values for index 1A ............................................................................. 100
12.4 Program values for cephalometric exposures.................................................................................. 101
12.5 TSA exposure values....................................................................................................................... 102
13 List of messages ........................................................................................................ 105
13.1 List of help messages ...................................................................................................................... 105
13.2 Error message structure .................................................................................................................. 106
14 Care of outer surfaces ............................................................................................... 108
15 Inspection and maintenance..................................................................................... 109
15.1 Annual check performed by the system owner or other authorized persons ................................... 109
15.2 Maintenance by the service engineer .............................................................................................. 109
15.3 Image quality check ......................................................................................................................... 109
16 Activating functions................................................................................................... 110
16.1 Via the Easypad touchscreen .......................................................................................................... 110
16.2 Via web browser on the PC ............................................................................................................. 112
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Sirona Dental Systems GmbH 1 Warning and safety information Operating Instructions ORTHOPHOS XG
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DS/Ceph 1.1 General safety information

1 Warning and safety information

1.1 General safety information
Identification of warning and safety information To prevent any personal injury or material damage,
please observe the warning and safety information pro­vided in the present operating instructions. All such infor­mation is highlighted by the signal words NOTE,
ATTENTION or WARNING.
Symbols used Observe accompanying documents
(on rating plate)
Intended use This system is intended for generating panoramic or
cephalometric X-ray images.
This system must not be used in areas subject to explo­sion hazards.
Maintenance and repair As manufacturers of medical electrical equipment we
can assume responsibility for the safety-related features of the equipment only if maintenance and repair are carried out only by ourselves or agencies expressly authorized by us, and if components affecting safe oper­ation of the system are replaced with original spare parts upon failure.
We suggest that you request a certificate showing the nature and extent of the work performed from those who carry out such work; it must contain any changes in rated parameters or working ranges (if applicable), as well as the date, the name of the company and a signature.
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Modifications to the system Modifications to this system which might affect the safety
of the system owner, patients or other persons are pro­hibited by law!
For reasons of product safety, this product may be operated only with original Sirona accessories or third-party accessories expressly approved by Sirona. The user assumes the risk of using non-approved accessories.
Combination with other equipment Permissible combinations are specified in the
Declaration of Conformity by the system integrator.
The Declaration of Conformity is included in the techni­cal documentation.
Ventilation slots 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.
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1 Warning and safety information Sirona Dental Systems GmbH
1.1 General safety information Operating Instructions ORTHOPHOS XG
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X-rays of patients X-rays of patients must be taken only when the system
works without errors.
The system may only be operated by skilled or prop­erly trained personnel.
The movements of the unit must not be obstructed by physical constitution nor clothing, dressings, wheel­chairs or hospital beds!
Do not leave the patient unattended in the unit.
Electromagnetic compatibility (EMC) Medical electrical equipment is subject to special pre-
cautionary measures regarding EMC. It must be installed and operated as specified in the document “Installation Requirements”.
Information on avoiding, detecting and eliminating unin­tended electromagnetic effects: The ORTHOPHOS
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XG
(classified according to CISPR 11, EN 60601-1-2: 2001 based on IEC 60601-1-2). This system may be operated in a residential area.
Portable and mobile RF communications equipment may interfere with medical electrical equipment. There­fore, the use of mobile wireless phones in practice or hospital environments must be prohibited.
DS/Ceph acquisition unit is Class B equipment
Please also observe the ESD protective measures in Chapter 1.2.
Removing the sensor To remove the sensor, hold it firmly, press the pushbutton
fully in and hold it down. Remove the sensor from its
holder by pulling it downward.
DO NOT DROP THE SENSOR!
A shock sensor for detecting shocks or dropping is built in. When removing the sensor, and also with an already removed sensor, make sure not to touch the sensor plug on the unit end, especially not while touching the patient at the same time.
Precautionary measures when switching on the unit
Following extreme changes in temperature, condensa­tion may occur; therefore, please do not switch the sys­tem on until it has reached normal room temperature (see chapter “Technical description”).
No patient may be positioned in the unit during power-on.
In case of an error that requires switching the unit off and back on again, the patient must be removed from the unit, at the latest before switching the unit on again!
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Sirona Dental Systems GmbH 1 Warning and safety information Operating Instructions ORTHOPHOS XG
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DS/Ceph 1.1 General safety information
Emergency Stop If any parts of the unit happen to touch the patient during
the rotary movement (PAN exposure) or during the scan movement (cephalometric exposure), let go of the expo­sure release button (X-Ray) immediately or stop the unit by actuating the unit main switch or an Emergency Stop switch!
Disturbance of electronic devices worn on the patient’s body
To prevent the malfunctioning of electronic devices and data storage devices, e.g. radio-controlled watches, telephone cards, etc., these objects must be removed prior to X-raying.
Radiation protection The valid radiation protection regulations must be
observed.
The operator should move as far away from the X-ray tube assembly as allowed by the coiled cable of the exposure release button. The statutory radiation protection equipment must be used.
With the exception of the patient, no other persons without radiation protection are allowed to stay in the room. In exceptional cases, a third person may provide assistance, but not the practice staff. During the whole exposure, visual contact with the patient and the unit must be maintained.
In case of malfunctions, cancel the exposure immedi­ately by letting go of the exposure release button.
Hygiene information The protective covers must be exchanged and the ster-
ilizable accessories must be resterilized for each new patient to prevent any transmission of infective agents which might cause serious illnesses.
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Suitable hygienic measures must be taken to prevent cross contamination among patients, users and other persons.
Dismantling and reassembly When dismantling and reassembling the system, pro-
ceed according to the installation instructions for new installation in order to guarantee its proper functioning and stability.
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1 Warning and safety information Sirona Dental Systems GmbH
1.1 General safety information Operating Instructions ORTHOPHOS XG
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DS/Ceph
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.
The unit contains counterbalancing weights made of lead.
Please contact your dealer if final disposal of your prod­uct is required.
Laser light localizer used
The system incorporates Class 1 laser products.
The light localizers are intended for correct patient posi­tioning. They must not be used for any other purposes.
A minimum distance of 100mm between the eye and the laser is required. Do not stare into the beam. Safe oper­ation is described in chapter “9.3 Positioning the patient”.
The light localizers must be switched on only when they work properly and without errors. Repair work must be carried out by authorized staff only.
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Sirona Dental Systems GmbH 1 Warning and safety information
ATTENTION
Operating Instructions ORTHOPHOS XG
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DS/Ceph 1.2 ESD protective measures

1.2 ESD protective measures
ESD stands for ElectroStatic Discharge.
Connector pins or sockets bearing ESD warning labels must not be touched or interconnected without ESD protective measures.
ESD protective measures include:
Procedures for preventing electrostatic charge build-up (e.g. air conditioning, air moistening, con­ductive floor coverings and non-synthetic clothing).
Discharging the electrostatic charges of your own body on the frame of the wire or large metallic objects.
Connecting yourself to ground using a wrist band.
We therefore recommend that all persons working with this system be instructed on the significance of this warning label. Furthermore, they also should receive training in the physics of electrostatic discharges which can occur in the practice and the destruction of elec­tronic components which may result if such components are touched by electrostatically charged USERS.
The content of this training is explained in Chapter 1.3.
UNIT, the protective ground
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1.3 About the physics of electrostatic charges

ESD stands for ElectroStatic Discharge. Electrostatic discharge must be preceded by electrostatic charging.
Static electric charges generally build up whenever two bodies are rubbed against each other, e.g. when walking (shoe soles against the floor) or driving a vehicle (tires against the street pavement). The amount of charge depends on several factors:
Thus the charge is higher in an environment with low air humidity than in one with high air humidity; it is also higher with synthetic materials than with natural materi­als (clothing, floor coverings).
The following rule of thumb can be applied to assess the transient voltages resulting from an electrostatic dis­charge.
An electrostatic discharge is:
perceptible at 3,000 V or higher
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1 Warning and safety information Sirona Dental Systems GmbH
1 nanosecond = 1/1.000.000,000 second =
1 billionth of a second
1.3 About the physics of electrostatic charges Operating Instructions ORTHOPHOS XG
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DS/Ceph
audible at 5,000 V or higher (cracking, crackling)
visible at 10,000 V or higher (arc-over)
The transient currents resulting from these discharges have a magnitude of 10 amperes. They are not hazard­ous for humans because they last for only several nano­seconds.
Voltage differentials exceeding 30,000 volts per centi­meter may lead to a charge transfer (electrostatic dis­charge, lightning, arc-over).
Integrated circuits (logical circuits and microprocessors) are used in order to implement a wide variety of func­tions in dental/X-ray/CEREC systems. The circuits must be miniaturized to a very high degree in order to include as many functions as possible on these chips. This leads to structure thicknesses as low as a few ten thousandths of a millimeter.
It is obvious that integrated circuits which are connected to plugs leading outside of the unit via cables are sensi­tive to electrostatic discharge. Even voltages which are imperceptible to the user can cause breakdown of the structures, thus leading to a discharge current which melts the chip in the affected areas. Damage to individ­ual integrated circuits may cause malfunction or failure of the system.
To prevent this from happening, the ESD warning label next to the plug warns of this hazard.
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Sirona Dental Systems GmbH 2 T echnical description Operating Instructions ORTHOPHOS XG
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DS/Ceph

2 Technical description

Model designation: ORTHOPHOS XG
Nominal voltage: 200 – 240 V
Permissible deviation: ± 10 %
Permissible drop under load: 10 %
Rated current: 12 A
Nominal power output: 2 kW at 90 kV/12 mA with any radiation time
Nominal frequency: 50/60 Hz
Internal line impedance: max. 0.8 Ohm
Main building fuse: 25 A slow-blow (16 A for standalone connection)
Power consumption: 2 kVA
Power output of tube assembly: 90 kV/12 mA = 1080 W with any radiation time
Tube voltage: 60 – 90 kV (for 90 kV max. 12 mA)
Tube current: 3 – 16 mA (at 16 mA max. 66 kV)
Maximum setting range: 60 kV/3 mA to 90 kV/12 mA
High-voltage waveform: High-frequency multipulse
Residual ripple 4 kV
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Program duration: see chapter 12
Exposure time: see chapter 12
Image acquisition scale: For P1, normal dental arch (slice center) approx. 1:1.19,
i.e. the acquired image is magnified by approx. 19 % on aver­age compared to reality
Exposure time for cephalometry: max. 14.9 s
Total filtration of X-ray tube assembly: > 2.5 Al/90 IEC 522 1976
Focal spot size acc. to IEC 336, measured in the central X-ray beam: 0.5 mm
Marking of focal spot:
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Operating Instructions ORTHOPHOS XG
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Automatic exposure blocking (see page 46): The duration of automatic exposure blocking (cooling period)
depends on the set kV/mA level and the actual exposure time. Depending on the tube load, a pause duration of 8 s to 300 s is automatically set by the system.
Example: For program P1 with 80 kV/14 mA as exposure parameters and a radiation time of 14.1 s, the resulting pause duration is 255 s.
Class I device
Type B equipment
Degree of protection against electric shock:
Degree of protection against ingress of water: Ordinary device
(without protection against ingress of water)
Year of manufacture: (on the rating plate)
Mode of operation: Continuous operation
Long-term power output: 100 W
Anode material: Tungsten
Exposure parameters for determining leakage radiation: 1.1 mA/90 kV
Transport and storage temperature: -10 °C – +70 °C (14 °F – 158 °F)
Air humidity: 10 % – 95 %
Admissible operating temperature: Acc. to IEC 601-1 between +10 °C and +40 °C (50 °F – 104 °F)
Panoramic exposures:
Sensor (image receptor):
Pan sensor type: Digital CCD line sensor, pluggable for
panoramic exposure technique
Active sensor area, Pan type: 138 x 6.48 mm
Detail resolution: 0.027 mm pixel size
Focus/sensor distance: 497 mm
Cephalometric exposures:
Sensor (image receptor):
Ceph sensor type: Digital CCD line sensor, pluggable for
panoramic or ceph exposure technique
Active sensor area, Ceph type: 230 mm x 6.48 mm
Detail resolution: 0.027 mm pixel size
Focus-sensor distance: 1.714 mm
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Sirona Dental Systems GmbH 2 T echnical description
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Operating Instructions ORTHOPHOS XG
TSA exposure:
Sensor (image receptor):
TSA senor type: Digital CCD line sensor, pluggable for
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DS/Ceph
panoramic or ceph exposure technique
Active sensor area, TSA type 60 mm x 20 mm
Detail resolution: 0.0195 mm pixel size
Focus-sensor distance: 497 mm
X-ray tube: SR 90/15 from Siemens
or OCX 100 CEI
Minimum requirements for PC systems:
Hard disk: > 4 GB/database
> 50 MB/SIDEXIS installation
RAM: min. 256 MB
Drives: CD-ROM
MOD drive, min. 640 MB (once per system/network)
Operating system: Minimum requirement: Windows 2000 Workstation (SP 4),
Windows XP Professional Workstation (SP 2) or Vista. Additional information is available on the Sidexis website, www.sidexis.com, or in the Sidexis Operator's Manual.
Graphics system: Min. resolution 1024 x 768 pixels, min. color depth 8 bits
Network: 10/100 MBit Ethernet
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Communication interface: RJ45 for LAN cable
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ORTHOPHOS XG
ORTHOPHOS XG
ORTHOPHOS XG
ORTHOPHOS XG
Original language: German
Reg. No.: China SFDA (I) 20053301583
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DS/Ceph complies with IEC 601-2-28/1993
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DS/Ceph complies with IEC 601-1-3/1994
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DS/Ceph complies with IEC 601-2-7/1998
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DS/Ceph complies with AS/NZS 3200.1.0
This product bears the CE mark in accordance with the provisions of Council Directive 93/42/EEC of June 14, 1993 concerning medical devices.
Cooling curve of tube housing
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2 Technical description Sirona Dental Systems GmbH
0 60 120 180 240 300 360 420 480 540 600 660 720
10
20
30
40
50
60
70
80
90
100
110
120
130
HUx10
4
t
min
1 HU = 1.35 Joule
012 3 4 5 6
5
10
15
20
min
t
25
HUx10
3
1HU = 1,35 Joule
012 3 4 5 6
5
10
15
20
min
t
25
HUx10
3
1HU = 1,35 Joule
SR 90/15 OCX 100
78
30
012 3 4 5 6
130
h
t
HUx10
4
1 HU = 1.35 Joule
Anode angle
Central X-ray beam
Operating Instructions ORTHOPHOS XG
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DS/Ceph
Abkühlkurve der Röntgenröhre
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Heating curve of tube housing
Central X-ray beam/anode angle
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These operating instructions are valid for the basic and full versions of the system.
The following programs and functions are included in the basic version:
10 panoramic programs:
P1, P1 A, P1 C, P2, P10 P1 L, P1 R P12 TM1.1/TM1.2
TM2.1/TM2.2 S1
S2 MS1
5 Ceph programs:
C1, C2, C3, C3 F, C4
Half-views of right/left side possible only with P1 (not upper/lower jaw).
The full version offers the following programs and functions in addition to those featured in the basic version:
Additional pan programs:
Constant magnfication factor of 1.25 P2 C, P10 C Artifact-free display P2 A, P10 A
Selectable right/left side image detail and individual quadrants P1A/C, P 2/A/C, P10/A/C
Image detail selectable upper jaw/lower jaw and single quadrants P1A/C, P2/A/C, P10/A/C Selectable upper jaw/lower jaw image detail P12 Temporomandibular joint views TM3, TM4, TM5, TM6 Sinus views S3, S4
Program setting for “jaw shape” selectable. Quickshot function possible (for Pan P1, P2, P10 and Ceph C1 to C4). Execution of exposure templates from SIDEXIS possible without cooling periods, e.g.: orthodontic image series
P1 - C3 - C4. Welcome screen with patient data from SIDEXIS.
Ceph – no shadowing in the upper cranial region preselectable for programs C3 and C3 F. Ceph – shadowing in the thyroid area for programs C1 and C2 can be preselected.
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Option for basic version and full version:
TSA function (transversal slices)
It is possible to upgrade a basic version system to a full version system and/or to include the TSA function. A certificate with a corresponding activation key number must be purchased for this purpose (see chapter 16). If the unit is ordered with TSA ex works, TSA will be activated at the factory.
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3 Controls and functional elements Sirona Dental Systems GmbH

T
R
CEPH
PAN
TS
ORTHOPHOSist aufnahmebereitORTHOPHOSist aufnahmebereit
1260
64
64kV 8mA8mA
?
P1
14,2s14,2s
AEC
TS
1
23
5
6
7
89
10
13
141615
12
4
17
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3.1 Operating and Display Elements Operating Instructions ORTHOPHOS XG

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DS/Ceph
3 Controls and functional elements
3.1 Operating and Display Elements
on the Panoramic unit
1. Main switch
2. Light localizer with height adjustment of FH light line
3. Light localizer central light beam for face center
4. Control mirror for patient positioning
5. Tray for jewelry, etc.
6. Forehead support
7. Temple supports
8. Pushbutton for sensor (image receptor) removal
9. Sensor (image receptor), depending on unit version:
for XG Pan for XG Ceph for XG Pan/TSA for XG Ceph/TSA
10. Exposure release button (must be pressed and held down during the entire exposure)
11. Touch bar for swiveling the control mirror in and out
12. Easypad (swivelable control panel)
13. Drawer for accessories
14. Handles for patient
15. Holder for chin rest, bite blocks or
contact segments etc.
16. Bite block, contact segment or chin rest
17. Primary diaphragm field on the X-ray tube assembly
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Sirona Dental Systems GmbH 3 Controls and functional elements
ATTENTION
60
90
120
70
80
100
110
2
0
3
0
4
0
5
0
60 90 120
70 80 100 110
20
30
40
50
9
23
19
20 21
22
23
8
8
25
25
24
24
20
26
18
Operating Instructions ORTHOPHOS XG
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DS/Ceph 3.1 Operating and Display Elements
Controls and scales on the cephalometer
8. Pushbutton for sensor removal
9. Sensor (image receptor)
18. Nose support
19. Locking knob for nose support
20. Scale for horizontal nose support adjustment
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21. Rotating element for rotary movement of head supports
22. Secondary diaphragm with FH line light localizer
23. Scale for vertical nose support adjustment
24. Projection scale
25. Ear plugs with holders
26. Carpus support plate
Magnification of the lateral view
With this exposure technique, a metal scale (24) inte­grated in the nose support is displayed on the X-ray exposure. Using this scale, the magnification factor in the median plane can be determined precisely via a measurement.
Never support yourself on the cephalometer or the ceph arm, hang objects from them or place objects on them. Otherwise their adjustment may be altered, thus resulting in incorrect images.
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3 Controls and functional elements Sirona Dental Systems GmbH
ATTENTION
T
R
CEPH
PA N
TS
Filmkassette einlegen
1260
64
68kV
8mA
?
P6.1
12,1s
14 s
PAN
1260
10
64kV
8mA
?
P1
14,1 s14,1 s
CEPH
TS
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
27 28
29
31
32
33
30
34
35
36
37
38
P1, P2, P10, P12
TM1.1, TM3, TM5
TM2.1, TM4, TM6
S1
MS1
TM1.2
TM2.2
S2
A
C
B
D
3.1 Operating and Display Elements Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph
Controls and displays on the Easypad with touchscreen
27. Move forehead support away from forehead” key
28. Light localizers ON/OFF
29. Move forehead support to forehead” key
30. Unit up” arrow key
31. Unit down” arrow key
32. Optical radiation indicator
33. Unit ON” LED
34. Open temple supports” key
35. “T” key for test cycle without radiation
36. “R” key for return of the unit
37. Close temple supports” key
38. Touchscreen – touch-sensitive screen
Never touch the touchscreen with sharp or pointed objects (ball-point pens, pencils, etc.)!
Display aids for patient head positioning
The icon for the patient's head that is displayed in the upper right corner for panoramic and TSA images will guide you in positioning the patient's head.
A The gray patient's head icon shows the head pos-
ture: straight (FH), bent forward with open or closed mouth, or reclined.
B A colored symbol (yellow or blue) will indicate if a
bite block or a contact segment should be used.
C The red line indicates the reflecting light localizer
line (FH), the white line is only an auxiliary line to indicate the head inclination.
D For temporomandibular joint and sinus views, the
temporomandibular joint support is also displayed in blue. If a small circle with a dot in its center appears at the end of the support, ear holders must be inserted; only contact pads are required if this symbol is not displayed.
59 87 594 D 3352
18 D 3352.201.01.14.02
Sirona Dental Systems GmbH 3 Controls and functional elements
SID = 19,6”
6
x 12”
SID = 19,6”
6 x 12”
CEPH
PAN
1260
10
64kV
8mA
?
P1
9,0 s9,0 s
Quick
TS
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
1
2
3
5
6
3
7
8
9
10
12
13
15
17
19
11
4
16
18
14
Operating Instructions ORTHOPHOS XG
Plus

DS/Ceph 3.2 General touchscreen functions

3.2 General touchscreen functions
Touchscreen = touch-sensitive screen, i.e. touching the screen surface triggers different functions.
Color codes:
orange – selected
white – presettings
light blue – selectable
grey and white – auxiliary symbols
Touchscreen symbols
1. Display of height setting value
2. Display of forehead support setting value
3. Program selection keys –/+
Sequence: P 1, P 2, P 10, P 12, TM 1, TM 2, TM3, TM 4, TM 5, TM 6, S 1, S2, S3, S4, MS 1
4. Orange – display of the exposure area for the select­ed program (dental arch or dental arch segment)
English
5. Display of program group selection
6. Program display; touch to loop through P1 (normal
panoramic view), P1C (with constant magnification), P1A (artifact-free display)...
7. Display of head posture (FH or bent forward or back­ward, mouth open or closed) with reference line for the chosen program
8. Submenu column (options)
9. Blue arrows: Select submenu, close menu
10. Preselection of exposure parameters (patient sym-
bols)
11. Red symbol for light localizer ON (is displayed as long as the laser light of the light localizer is switched on)
12. Program-specific menu area
13. Comment line for help and error messages
14. Expected radiation time (upon completion actual ra-
diation time)
15. Light gray symbol for dental arch
16. Light gray symbol for temporomandibular joints
17. Display of color-coded bite block or contact segment
for the chosen program
59 87 594 D 3352 D 3352.201.01.14.02
18. Quickshot display – ON (visible)/OFF (hidden) for re­duction of cycle time
19. When you touch the screen is displayed
? symbol, the help or info
19
CEPH
PANPAN
TS
LS
1260
10
64kV
8mA
?
P1
8,5 s8,5 s
CEPH
PANPAN
TS
LS
1260
10
64kV
8mA
?
P1
14,1 s14,1 s
R
L
R
L
CEPH
PANPAN
TS
LS
1260
10
64kV
8mA
?
P1
8,5 s8,5 s
R
L
10
P1
14,1 s14,1 s
PANPAN
LS
CEPH
R
L
64kV
8mA
?
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
8
8
8
8
3 Controls and functional elements Sirona Dental Systems GmbH
3.2 General touchscreen functions Operating Instructions ORTHOPHOS XG
Program settings
When you touch a symbol in the “submenu” in column (8), a submenu line for program settings opens.
There are 4 submenu lines for program settings available:
1. Selection of half-views and individual quadrants
In this submenu, you can select a half-view of the jaw, i.e. right or left side (P1, P2, P10) or upper or lower jaw (P1, P2, P10, P12) for programs P1, P2 and P10 includ­ing constant magnification and artifact-free display.
The preselected type of exposure is also displayed in the submenu column (8).
Plus
DS/Ceph
Selection of individual quadrants
The full version of XG Plus offers the option of selecting individual quadrants.
For each selection, please make sure that you know where to touch the icon (see finger).
You can reactivate the full screen mode by touching the center of the quadrant field.
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Sirona Dental Systems GmbH 3 Controls and functional elements
R
L
R
L
R
L
R
L
Halbseite rechts Halbseite links
R
L
R
L
R
L
R
Einzelquadrant rechts Einzelquadrant links
L
L
Right individual quadrant
Left individual quadrant
Right half-view Left half-view
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph 3.2 General touchscreen functions
Half-view and individual quadrant exposures
The adjacent illustrations show the X-ray image displays and indicate how the half-views and the individual quad­rants are associated with the patient.
Individual quadrant exposures are possible only in the XG Plus full version.
The program duration for individual quadrant exposures equals the program duration for half-view exposures.
English
59 87 594 D 3352 D 3352.201.01.14.02
21
3 Controls and functional elements Sirona Dental Systems GmbH
NOTE
i
CEPH
PANPAN
1260
10
64kV
8mA
?
P1
SID = 19,6”
6
x 12”
SID = 19,6”
6 x 12”
TS
64
64
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
CEPH
PANPAN
1260
64kV
8mA
?
P1
AEC
TS
14,1s
10
62kV
8mA
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
CEPH
PANPAN
1260
64kV
8mA
?
P1
TS
10
SID = 19,6”
6
x 12”
SID = 19,6”
6 x 12”
64
64
14,1s
10
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
8
8
8
9
10
SID = 19,6”
6
x 12”
SID = 19,6”
6 x 12”
64
64
3.2 General touchscreen functions Operating Instructions ORTHOPHOS XG
2. Presetting for malocclusions
Here you can preselect one level of retrusion as well as one or two levels of protrusion for programs P1, P2 and P10 including constant magnification and artifact-free display.
For preselection touch the corresponding tooth symbol in the submenu line.
Plus
DS/Ceph
3. Presetting for jaw shape
In this submenu you can preselect a normal jaw shape, a V-shaped jaw and a square jaw for programs P1, P2 and P10 including constant magnification and arti­fact-free display.
For preselection touch the corresponding tooth symbol in the submenu line.
4. Manual setting of kV/mA values
If the default kV/mA combinations do not provide satis­factory results, you can preselect intermediate kV/mA values in this submenu (for all programs) using the –/+ keys in the submenu line.
As long as the respective menu line is open, the back­ground is displayed as inactive.
You can close a menu line:
– by touching the blue arrows in the menu line.
– by touching the corresponding symbol in the light
blue area at the right margin.
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Sirona Dental Systems GmbH 3 Controls and functional elements
NOTE
i
8mA
?
8mA
?
71kV
12mA
71kV
12mA
TSTS
R
L
2
8mA
?
8mA
?
60kV
9mA
60kV
9mA
CEPHCEPH
QuickONQuick
OFF
9,4s
8mA
?
8mA
?
60kV
3mA
60kV
3mA
PANPAN
Programmeinstellungen wählenProgrammeinstellungen wählen
R
L
Select program settingsSelect program settings
9
9
20
20
9
20
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph 3.2 General touchscreen functions
Entire menu settings Level 2
You may also display all of the program settings and make the settings described above in a second program level.
To access the second program level, touch the blue arrow (9) in the upper right corner of the touchscreen; the arrow will point upward then.
After having made your selections, you can return to pro­gram level 1 only by touching the blue arrow (9) once again.
When you confirm the exposure with the R key, the program settings changed in these submenu lines will automatically be reset to the default settings (except for Ceph Quickshot).
English
59 87 594 D 3352 D 3352.201.01.14.02
23
3 Controls and functional elements Sirona Dental Systems GmbH
ATTENTION
71kV
12mA
?
71kV
12mA
TSTS
CEPH
LR
73kV
15mA
?
C3
C3
73kV
15mA
CEPHCEPH
Select basic settingsSelect basic settings
64kV
8mA
?
PANPAN
P1
P1
Quick
64kV
8mA
Quick
On
Quick
Off
Select basic settingsSelect basic settings
9
9
9
21
22
3.2 General touchscreen functions Operating Instructions ORTHOPHOS XG
Basic Settings menu Level 3
In a third program level, you can freely choose and then save certain exposure parameters for the individual pro­grams.
To access the third program level, touch the arrow point­ing downward (20) in the second program level. The right arrow will then become a double arrow.
This menu can be closed again simply by touching the blue double arrow (9) in the upper right corner. The display always returns to the standard menu (level 1).
Plus
DS/Ceph
If you want to change the kV/mA values in the TSA basic settings, make sure to first preselect the corresponding quadrant and jaw region. The kV/mA change always applies only to this preselec­tion.
24 D 3352.201.01.14.02
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Sirona Dental Systems GmbH 3 Controls and functional elements
NOTE
i
TSTS
Select Start Settings
CEPHCEPH
Select Start SettingsSelect Start Settings
PANPAN
Select Start Settings
9
9
9
8
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph 3.2 General touchscreen functions
Start settings menu Level 4
Various factory preset start parameters can be repro­grammed in level 4. They are then displayed after each unit power-on and for each new exposure. You can reach the 4th level by touching the disk icon (21) in the basic settings menu (level 3).
For PAN exposures you can change the abnormality preference (2nd icon from the right, as per factory set­ting) and the patient icon preference (2nd icon from the left, as per factory setting).
For CEPH exposures you can only change the patient icon preference (2nd icon from the left, as per factory setting).
English
For TS exposures you can change the slice thickness preference (left icon for the thinnest slice, as per factory setting) and the patient icon preference (2nd icon from the left, as per factory setting).
To perform a particular change, touch the desired icon; the icon then turns orange and is also displayed in column 8. Then save the new presetting by touching the program­ming key symbols.
This menu can be closed again simply by touching the blue double arrow (9) in the upper right corner. The display always returns to the standard menu (level 1).
The icons framed with a broken line represent the factory settings.
59 87 594 D 3352 D 3352.201.01.14.02
25
3 Controls and functional elements Sirona Dental Systems GmbH
NOTE
i
T
R
9
64kV
8mA
?
19
9
8
3.2 General touchscreen functions Operating Instructions ORTHOPHOS XG
Service menu
The service menu is intended exclusively for service engineers.
The service engineer accesses the service menu by touching the wrench symbol (22) in the third program level.
Plus
DS/Ceph
Touchscreen settings
When you touch the question mark (19) in the lower right corner of the touchscreen, the help screen is displayed starting at the first level.
You can open two fly-out menus here by touching the corresponding symbols in column (8).
In the upper fly-out menu you can switch off the clicking tone of the touchscreen by activating the crossed-out musical note symbol.
In the lower fly-out menu, you can adjust the intensity of the touchscreen display with the –/+ keys. During this adjustment a reference value appears above the symbol in column (8).
Switch the unit on for at least 10 minutes before adjusting the touchscreen intensity to ensure that the touchscreen has reached its full brightness. An hour glass is displayed during the run-up time. As long as the hour glass is running, it is not possible to enter a change of intensity.
To close a fly-out menu, touch the blue arrow at the left end of the corresponding line or the relevant symbol in column (8).
To return to the previous level, touch the blue arrow (9) at the top of column (8).
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8mA
?
8mA
?
60kV
3mA
60kV
3mA
PANPAN
Programmeinstellungen wählenProgrammeinstellungen wählen
R
L
Select program settingsSelect program settings
1/2
Serialnumber Systemsoftware Bootmode Type Network Name MAC address IP address Subnet mask
: 000000012 : V.02.21.01 : Static
:43 : Geraet1 : 00101900242d : 192. 168. 15. 125 : 255.255.255.0
ORTHOPHOS XG configuration
=======================
70
19
8
9
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph 3.2 General touchscreen functions
Info screen
Starting at level 2, the info screen is displayed when you touch the question mark (19) in the lower right corner of the touchscreen “ORTHOPHOS XG configuration”.
System data which may be useful when contacting your service engineer are displayed here.
If this list is too long to be displayed all at once, a scroll bar for paging up or down appears on the right.
You can activate the “touchscreen click tone” and “touchscreen intensity setting” fly-out menus from the help screen in column (8) here as well.
To return to the previous level, touch the blue arrow (9) at the top of column (8).
English
59 87 594 D 3352 D 3352.201.01.14.02
27
T
R
C
E
P
H
CEPH
PA
N
PAN
T
S
TS
L
S
LS
Film
kassette einrasten
Filmkassette einrasten
1260
64
62kV 8
m
A
8mA
?
P6.1
12,1s
CEPH
PANPAN
TS
ORTHOPHOS
ist
aufnahmebereitO
R
T
H
O
P
H
O
S
is
t
a u
fn
a
h
m
e
b
e
re
it
1
2
6
0
6
4
64kV 8mA
?
P1
14,2
s14,2
s
A
E C
1
2
TS
F*
J*
H*
G
M*
C
K*
E*
A
B*
N*
P*
D
L*
E1*

4 Accessories Sirona Dental Systems GmbH

4.1 Rests and supports for panoramic exposures Operating Instructions ORTHOPHOS XG

Plus
4 Accessories
4.1 Rests and supports for panoramic exposures
The accessories and the hygienic protective covers can be stored in the drawer between the two handles.
The forehead support and the temple supports (A) can be removed for cleaning after pressing the correspond­ing locking button.
Sterilization only in an autoclave at 135 °C, 2.1 bar.
All accessories marked with * can be sterilized.
For reorders:
A Forehead support and temple supports
(can be removed for cleaning after pressing the corresponding locking button) (1 pieces) Order No. 59 80 383
B* Contact pads for forehead/temple supports
(1 pieces) Order No. 59 80 391
C Temporomandibular joint support “1” (right) for tem-
poromandibular joint views Order No. 59 80 607
D Temporomandibular joint support “2” (left) for tem-
poromandibular joint views Order No. 59 80 599
E* Ear holders for temporomandibular joint supports
(10 pieces) Order No. 18 88 838
1* Contact pads for temporomandibular joint supports
E
(10 pieces) Order No. 59 90 648
F* Bite block
(10 pieces) Order No. 18 88 887
G Bite block fixation
(5 pieces) Order No. 18 88 895
H* Bar for chin rest
Order No. 59 61 461
J* Chin pad
Order No. 14 49 227
K* Chin rest complete,
incl. 5xF, 1xG, H, J, S, T Order No. 59 81 472
L* Contact segment blue
for subnasale for sinus/PNS and maxillary TSA views (5 pieces) Order No. 89 31 552
M* Bite block blue
for sinus and maxillary TSA views (5 pieces) Order No. 89 21 850
N* Contact segment standard yellow
for subnasale (5 pieces) Order No. 89 31 545
P* Bite block standard yellow
(5 pieces) Order No. 89 21 843
DS/Ceph
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Sirona Dental Systems GmbH 4 Accessories
2
1
“2“
“1“
2
1
2
1
L
R
“1“
“2“
“R“
“L“
Operating Instructions ORTHOPHOS XG
Plus

DS/Ceph 4.2 Important when inserting the temporomandibular joint supports

4.2 Important when inserting the temporomandibular joint supports
In ORTHOPHOS XG units delivered during/after 2006 the holders of the temple supports are tilted slightly toward the rear.
The temporomandibular joint supports are marked “1(for right) and “2(for left).
Insert the temporomandibular joint supports here as shown in the adjacent drawing.
All of the following drawings and descriptions contained in these operating instructions show this arrangement.
In ORTHOPHOS XG units delivered before October 2006, the holders of the temple supports point straight down.
The temporomandibular joint supports marked “1“ and “2“ must be inserted here so that the support marked “2
is positioned on the right and the one marked “1 is positioned on the left.
English
59 87 594 D 3352 D 3352.201.01.14.02
For software updates of units delivered before October 2006, the existing temporomandibular joint sup­ports will be inserted in the familiar manner, i.e. marked “R“ for right and “L“ for left as shown.
For spare parts deliveries, your new temporomandibular joint supports will be marked “1“ for left and “2“ for right.
29
4 Accessories Sirona Dental Systems GmbH
1
E*
S
R
T
U
V
E1*

4.3 Protective covers for panoramic exposures Operating Instructions ORTHOPHOS XG

Plus
DS/Ceph
4.3 Protective covers for panoramic exposures
Prior to each exposure, the protective covers (dispos­able) must be fitted.
For the sake of clarity, the protective covers have been omitted on the subsequent illustrations.
For reorders of protective covers:
R For forehead support and temple supports
(500 pieces) Order No. 59 68 263 Dimensions: 150 mm x 47 mm
S For bite block
(500 pieces) Order No. 33 14 072 Dimensions: 43 mm x 21 mm
T For chin rest and bar
(100 pieces) Order No. 59 32 603 Dimensions: 75 mm x 60 mm
U For bite blocks and contact segments
(500 pieces) Order No. 33 14 080 Dimensions: 80 mm x 40 mm
V Protective foil for handles
Order No. 59 68 255
E* Sterilizable ear holders for temporomandibular joint
supports for temporomandibular joint views (10 pieces) Order No. 18 88 838
1* Sterilizable contact pads for temporomandibular
E
joint supports for sinus views (10 pieces) Order No. 59 90 648
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Sirona Dental Systems GmbH 4 Accessories
60
90
120
70
80
100
110
20
30
40
50
W
X*
Z*
Y
Z
1*
Z2*
Z3*
Z4
Operating Instructions ORTHOPHOS XG
Plus

DS/Ceph 4.4 Protective covers for cephalometer

4.4 Protective covers for cephalometer
W Protective cover for nose support,
disposable (100 pieces) Order No. 33 14 106
X* Protective caps for ear plugs,
reusable (sterilizable) (20 pieces) Order No. 89 32 261
English

4.5 Accessories for transversal slices TSA

Y TSA scale, complete
Z
* Bite block green
Z1* Contact segment for subnasale green
* Set of measuringspheres for TSA, 5 mm diameter
Z2
Z3
* TSA universal bite block
Z4 TSA bite block foam for universal bite block
Order No. 58 85 384
for maxillary TSA images, where the alveolar ridge of the patient's head is aligned parallel to the floor to position the patient a little lower in relation to the beam path. (5 pieces) Order No. 60 32 937
for maxillary TSA images, where the alveolar ridge of the patient's head is aligned parallel to the floor to position the patient a little lower in relation to the beam path. (5 pieces) Order No. 60 32 945
(5 pieces) Order No. 61 19 254
Order No. 61 41 431
(100 pieces) Order No. 61 41 449
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31

5 Program group panoramic images Sirona Dental Systems GmbH

SID = 19,6”
6
x 12”
SID = 19,6”
6 x 12”
CEPH
PAN
1260
10
64kV
8mA
?
P1
9,0 s9,0 s
Quick
TS
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
Active sensor area CCD PAN
6.5 x 138.4 mm,
for upper or lower jaw:
6.5 x 70.0 mm
8
6
3

5.1 P1 Standard panoramic view, P1 A artifact-reduced, P1 C with a constant magnification factor of 1.25 Operating Instructions ORTHOPHOS XG

Plus
DS/Ceph
5 Program group panoramic images
5.1 P1 Standard panoramic view, P1 A artifact-reduced,
P1 C with a constant magnification factor of 1.25
To preselect the program, use the arrow keys (3): + (to count forward) or – (to count backward), depending on the starting position; for program sequence see section 3.2.
To preselect the exposure type, touch the program dis­play (6). A continuous loop will then display all programs one after another, P1, P1 A, P1 C, P1...
In the "Half-view and individual quadrant selection" submenu at the top of column (8) you can preselect whether you want to generate a right or left half-view, or a maxillary or mandibular view (or an individual quadrant view in the full version) (see section 3.2 General touch­screen functions).
P1 Normal view
Yel low bite block or contact segment or Chin rest with bite block fixation and bite block or bar.
Head inclination with the help of the FH. The line displayed on the head symbol on the touch­screen shows the reflection line of the light localizer.
Optional presetting for malocclusion.
Optional presetting for jaw shape.
Automatic selection of the slice width in accor­dance with temple support settings for different den­tal arches. Radiation time depends on set temple support width.
P1 A normal view, artifact-reduced
Settings as for P1.
To prevent metal artifacts in the condylar and molar region and to reduce shadowing caused by the op­posite jaw.
32 D 3352.201.01.14.02
P1 C normal view with a constant magnification factor of 1.25
e.g. for implantology
Settings as for P1.
59 87 594 D 3352
Sirona Dental Systems GmbH 5 Program group panoramic images
CEPH
PANPA N
1260
10
64kV
8mA
?
P2
11,5 s11,5 s
TS
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
8
6
3
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph5.2 P2 normal view, limited to teeth without ascending rami, P2 A artifact-free, P2 C
5.2 P2 normal view, limited to teeth without ascending rami, P2 A
artifact-free, P2 C with a constant magnification factor of 1.25
To preselect the program, use the arrow keys (3): + (to count forward) or – (to count backward), depending on the starting position; for program sequence see section 3.2.
To preselect the exposure type, touch the program dis­play (6). A continuous loop will then display all programs one after another, P2, P2 A, P2 C, P2...
In the "Half-view and individual quadrant selection" submenu at the top of column (8) you can preselect whether you want to generate a right or left half-view, or a maxillary or mandibular view (or an individual quadrant view in the full version) (see section 3.2 General touch­screen functions).
English
P2 normal view, limited to teeth
(without ascending rami)
Yellow bite block or contact segment or Chin rest with bite block fixation and bite block or bar.
Head inclination with the help of the FH. The line displayed on the head symbol on the touch­screen shows the reflection line of the light localizer.
Optional presetting for malocclusion.
Optional presetting for jaw shape.
Automatic selection of the slice width in accor­dance with temple support settings for different den­tal arches. Radiation time depends on set temple support width.
P 2A normal view, limited to teeth,
(without ascending rami) artifact-free
Settings as for P2.
To prevent metal artifacts in the condylar and molar region and to reduce shadowing caused by the op­posite jaw.
59 87 594 D 3352 D 3352.201.01.14.02
P2 C normal view, limited to teeth,
(without ascending rami) with a constant
magnification factor of 1.25
e.g. for implantology
Settings as for P2.
33
5 Program group panoramic images Sirona Dental Systems GmbH
CEPH
PANPAN
1260
10
64kV
8mA
?
P10
11,5s
TS
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
8
6
3
Active sensor area CCD PAN
6.5 x 127.0 mm,
for upper or lower jaw:
6.5 x 65.0 mm

5.3 P10 normal view for children with significant dose reduction, P10 A artifact-free, P10 C with a constant magnification factor of 1.25

Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph
5.3 P10 normal view for children with significant dose reduction, P10 A
artifact-free, P10 C with a constant magnification factor of 1.25
To preselect the program, use the arrow keys (3): + (to count forward) or – (to count backward), depending on the starting position; for program sequence see section 3.2.
To preselect the exposure type, touch the program dis­play (6). A continuous loop will then display all programs one after another, P10, P10 A, P10 C, P10...
In the "Half-view and individual quadrant selection" submenu at the top of column (8) you can preselect whether you want to generate a right or left half-view, or a maxillary or mandibular view (or an individual quadrant view in the full version) (see section 3.2 General touch­screen functions).
P 10 normal view (status)
preferably for children
Yel low bite block or contact segment or Chin rest with bite block fixation and bite block or bar.
Head inclination with the help of the FH. The line displayed on the head symbol on the touch­screen shows the reflection line of the light localizer.
Optional presetting for malocclusion.
Optional presetting for jaw shape.
Automatic selection of the slice width in accor­dance with temple support settings for different den­tal arches. Radiation time depends on set temple support width.
P10 A normal view (status), artifact-free
preferably for children
Settings as for P10.
To prevent metal artifacts in the condylar and molar region and to reduce shadowing caused by the op­posite jaw.
34 D 3352.201.01.14.02
P10 C normal view (status) with a constant
magnification factor of 1.25
preferably for children
e.g. for implantology
Settings as for P10.
59 87 594 D 3352
Sirona Dental Systems GmbH 5 Program group panoramic images
CEPH
PANPAN
1260
10
77kV
7mA
?
P12
4,9s
TS
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
8
3
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph 5.4 P12 Slice thickness – anterior tooth region
5.4 P12 Slice thickness – anterior tooth region
P 12 representation of the anterior tooth
region with increased slice thickness
e.g. for implantology
To preselect the program, use the arrow keys (3): + (to count forward) or – (to count backward), depending on the starting position; for program sequence see section 3.2.
In addition, you can preselect in the “half-view selection” submenu at the top of column (8) whether you want to generate a maxillary or a mandibular view. (Individual quadrants not possible)
Yellow bite block or contact segment or Chin rest with bite block fixation and bite block or bar.
Head inclination with the help of the FH. The line displayed on the head symbol on the touch­screen shows the reflection line of the light localizer.
English
59 87 594 D 3352 D 3352.201.01.14.02
35

6 Program group temporomandibular joint (TMJ) views Sirona Dental Systems GmbH

NOTE
i
AEC
CEPH
PANPA N
1260
10
71kV
8mA
?
TM1.1
12,8s
TS
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
AEC
CEPH
PANPA N
1260
10
71kV
8mA
?
TM1.2
12,8s
TS
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
TM1.1 TM1.2 TM1.2 TM1.1
TM1.1
TM1.2

6.1 TM1.1/TM1.2 Temporomandibular joints lateral with closed and open mouth in one image Operating Instructions ORTHOPHOS

Plus
XG
DS/Ceph
6 Program group temporomandibular
joint (TMJ) views
6.1 TM1.1/TM1.2 Temporomandibular joints lateral with closed and
open mouth in one image
TM1.1 Temporomandibular joints lateral with closed and TM1.2 with open mouth
(4 views in one image)
Insert temporomandibular joint supports "1" and "2".
To largely prevent overlaps, head inclination with the help of the FH. The line displayed on the head symbol on the touch­screen shows the reflection line of the light localizer.
Release TM1.1. On completion of TM1.1 the message "Wait until ORTHOPHOS is ready" appears in the comment line and the unit automatically returns to its starting position. The message "ORTHOPHOS is ready for exposure" then appears.
Ask the patient to open his/her mouth and release TM1.2.
Finally, the message “R key, confirm exposure data” appears.
After you have pressed the R key again, the unit re­turns to its starting position.
For units delivered before October 2006: Please observe the orientation (right/left) of the temporo­mandibular joint supports specified on page 29.
TM1.1 Outer views:
Closed mouth
TM1.2 Inner views:
Open mouth
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Sirona Dental Systems GmbH 6 Program group temporomandibular joint (TMJ) views
NOTE
i
18,7s
1
TS
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
AEC
CEPH
PANPAN
1260
10
71kV
8mA
?
TM2.1
18,7s
TS
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
TM2.1
TM2.2
TM2.1 TM2.2 TM2.2 TM2.1
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph 6.2 TM2.1/TM2.2 Temporomandibular joints in posterior – anterior projection with
6.2 TM2.1/TM2.2 Temporomandibular joints in posterior – anterior
projection with closed and open mouth in one image
TM2.1 Temporomandibular in posterior ­anterior projection with closed and TM2.2 with open mouth
(4 views in one image)
Insert temporomandibular joint supports "1" and "2".
To largely prevent overlaps, head inclination to­wards anterior in relation to the FH. The line displayed on the touchscreen head symbol is used here for orientation only.
•Release TM2.1. On completion of TM2.1, the message "Wait until ORTHOPHOS is ready" appears in the comment line and the unit automatically returns to its starting position. The message "ORTHOPHOS is ready for exposure" then appears.
Ask the patient to open his/her mouth, and release TM2.2.
Finally, the message “R key, confirm exposure data” appears.
After you have pressed the R key again, the unit re­turns to its starting position.
English
For units delivered before October 2006: Please observe the orientation (right/left) of the temporo­mandibular joint supports specified on page 29.
TM2.1 Outer views:
Closed mouth
TM2.2 Inner views:
Open mouth
59 87 594 D 3352 D 3352.201.01.14.02
37
6 Program group temporomandibular joint (TMJ) views Sirona Dental Systems GmbH
NOTE
i
AEC
CEPH
PANPAN
1260
10
68kV
8mA
?
TM3
8,1s
TS
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure

6.3 TM3 Temporomandibular joints lateral, ascending rami Operating Instructions ORTHOPHOS XG

Plus
DS/Ceph
6.3 TM3 Temporomandibular joints lateral, ascending rami
TM3 Temporomandibular joints lateral,
ascending rami
Insert temporomandibular joint supports "1" and "2".
Head inclination with the help of the FH. The line displayed on the head symbol on the touch­screen shows the reflection line of the light localizer.
For units delivered before October 2006: Please observe the orientation (right/left) of the temporo­mandibular joint supports specified on page 29.
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Sirona Dental Systems GmbH 6 Program group temporomandibular joint (TMJ) views
NOTE
i
AEC
CEPH
PANPAN
1260
10
71kV
8mA
?
TM4
10,1s
TS
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
Operating Instructions ORTHOPHOS XG
Plus

DS/Ceph 6.4 TM4 T emporomandibular joints in posterior/anterior projection

6.4 TM4 Temporomandibular joints in posterior/anterior projection
TM4 Temporomandibular joints in posterior/ anterior projection
Insert temporomandibular joint supports "1" and "2".
To largely prevent overlaps, head inclination to­wards anterior in relation to the FH. The line displayed on the touchscreen head symbol is used here for orientation only.
For units delivered before October 2006: Please observe the orientation (right/left) of the temporo­mandibular joint supports specified on page 29.
English
59 87 594 D 3352 D 3352.201.01.14.02
39
6 Program group temporomandibular joint (TMJ) views Sirona Dental Systems GmbH
NOTE
i
AEC
CEPH
PANPAN
1260
10
71kV
8mA
?
TM5
25,0s
TS
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
ABCCBA
C B A
A B C

6.5 TM5 Temporomandibular joints lateral, multislice Operating Instructions ORTHOPHOS XG

Plus
DS/Ceph
6.5 TM5 Temporomandibular joints lateral, multislice
TM5 Temporomandibular joints lateral, multislice
(6 views in one image)
Insert temporomandibular joint supports "1" and "2".
To largely prevent overlaps, head inclination with the help of the FH. The line displayed on the head symbol on the touch­screen shows the reflection line of the light localizer.
For units delivered before October 2006: Please observe the orientation (right/left) of the temporo­mandibular joint supports specified on page 29.
40 D 3352.201.01.14.02
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Sirona Dental Systems GmbH 6 Program group temporomandibular joint (TMJ) views
NOTE
i
AEC
CEPH
PANPAN
1260
10
71kV
8mA
?
TM6
22,9s
TS
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
ABCC BA
A B C
Operating Instructions ORTHOPHOS XG
Plus

DS/Ceph 6.6 TM6 Temporomandibular joints, multislice in posterior - anterior projection

6.6 TM6 Temporomandibular joints, multislice in posterior -
anterior projection
TM6 Temporomandibular joints, multislice in posterior – anterior projection
(6 views in one image)
Insert temporomandibular joint supports "1" and "2".
To largely prevent overlaps, head inclination to­wards anterior in relation to the FH. The line displayed on the touchscreen head symbol is used here for orientation only.
For units delivered before October 2006: Please observe the orientation (right/left) of the temporo­mandibular joint supports specified on page 29.
English
59 87 594 D 3352 D 3352.201.01.14.02
41

7 Program group sinus views Sirona Dental Systems GmbH

NOTE
i
CEPH
PANPAN
1260
10
77kV
7mA
?
S1
14,4s
TS
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure

7.1 S1 Paranasal sinuses Operating Instructions ORTHOPHOS XG

Plus
DS/Ceph
7 Program group sinus views
7.1 S1 Paranasal sinuses
S1 Paranasal sinuses
e.g. orbital floor fractures
•Fit blue contact segment subnasally.
Fit temporomandibular joint supports "1" and "2" without ear holders, but with contact pads.
Patient head maximally reclined. The line displayed on the touchscreen head symbol is used here for orientation only.
For units delivered before October 2006: Please observe the orientation (right/left) of the temporo­mandibular joint supports specified on page 29.
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Sirona Dental Systems GmbH 7 Program group sinus views
NOTE
i
CEPH
PANPAN
1260
10
68kV
8mA
?
S2
16,2s
TS
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
Operating Instructions ORTHOPHOS XG
Plus

DS/Ceph 7.2 S2 Maxillary sinuses with two views in one image

7.2 S2 Maxillary sinuses with two views in one image
S2 Maxillary sinuses with two views in one image (enables a certain depth localization)
Blue bite block or contact segment.
Fit temporomandibular joint supports "1" and "2" without ear holders, but with contact pads.
Head inclination with the help of the FH. The line displayed on the head symbol on the touch­screen shows the reflection line of the light localizer.
Do not release the exposure release button until the message “R key, confirm exposure data” ap­pears in the comment line.
(Radiation is released automatically twice.)
For units delivered before October 2006: Please observe the orientation (right/left) of the temporo­mandibular joint supports specified on page 29.
English
59 87 594 D 3352 D 3352.201.01.14.02
43
7 Program group sinus views Sirona Dental Systems GmbH
NOTE
i
CEPH
PANPAN
1260
10
77kV
7mA
?
S3
8,1s
TS
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure

7.3 S3 Paranasal sinuses (linear slice orientation) Operating Instructions ORTHOPHOS XG

Plus
DS/Ceph
7.3 S3 Paranasal sinuses (linear slice orientation)
S3 paranasal sinuses (linear slice orientation)
e.g. orbital floor fractures
•Fit blue contact segment subnasally.
Fit temporomandibular joint supports "1" and "2" without ear holders, but with contact pads.
Patient head maximally reclined. The line displayed on the touchscreen head symbol is used here for orientation only.
For units delivered before October 2006: Please observe the orientation (right/left) of the temporo­mandibular joint supports specified on page 29.
44 D 3352.201.01.14.02
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Sirona Dental Systems GmbH 7 Program group sinus views
NOTE
i
CEPH
PANPAN
1260
10
68kV
8mA
?
S4
14,1s14,1s
TS
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
Operating Instructions ORTHOPHOS XG
Plus

DS/Ceph 7.4 S4 Maxillary sinuses with two views in one image (linear slice orientation)

7.4 S4 Maxillary sinuses with two views in one image (linear slice
orientation)
S4 Maxillary sinuses with two views in one image (linear slice orientation)
(enables a certain depth localization)
Blue bite block or contact segment.
Fit temporomandibular joint supports "1" and "2" without ear holders, but with contact pads.
Head inclination with the help of the FH. The line displayed on the head symbol on the touch­screen shows the reflection line of the light localizer.
Do not release the exposure release button until the message “R key, confirm exposure data” appears in the comment line.
(Radiation is automatically released twice.)
English
For units delivered before October 2006: Please observe the orientation (right/left) of the temporo­mandibular joint supports specified on page 29.
59 87 594 D 3352 D 3352.201.01.14.02
45

8 Program group multislice views Sirona Dental Systems GmbH

CEPH
PANPAN
1260
10
77kV
7mA
?
MS1
21,7s
TS
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
CBA A BC
C B A

8.1 MS1 Multislice (posterior tooth region) Operating Instructions ORTHOPHOS XG

Plus
DS/Ceph
8 Program group multislice views
8.1 MS1 Multislice (posterior tooth region)
MS1 Multislice in posterior tooth region
(6 views in one image)
Yel low bite block or contact segment.
Lower edge of mandible horizontal. The line displayed on the touchscreen head symbol is used here for orientation only.
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59 87 594 D 3352

Sirona Dental Systems GmbH 9 Operation

ATTENTION
ATTENTION
ATTENTION
CEPH
TS
LS
CEPH
TS
LS
P1
T
R
ORTHOPHOS XG
Plus
32
33
Operating Instructions ORTHOPHOS XG
Plus

DS/Ceph 9.1 Preparing the exposure

9 Operation
9.1 Preparing the exposure
Fitting the accessories
Push in the bite block or chin rest until it engages.
For details about use, see Program groups exposure programs.
They unlock automatically upon removal.
English
Switch the unit on
Following extreme changes in temperature, condensa­tion may occur; therefore, please do not switch the sys­tem on until it has reached normal room temperature (see chapter “Technical description”).
Bring main switch (1) into position I and wait approx. one minute.
Due to the warm-up phase of the screen backlight, screen readability is poor for a few minutes after switch­ing on the system.
The LED (33) at the top of the Easypad lights up.
The radiation indicator (32) lights up for approx. one second for a function test.
The forehead support and temple supports are com­pletely open.
No patient may be positioned in the unit during power-on. In case of an error that requires switching off and subse­quent switching on of the unit, the patient must be re­moved from the unit before switching it on again at the latest!
59 87 594 D 3352 D 3352.201.01.14.02
47
9 Operation Sirona Dental Systems GmbH
NOTE
i
ATTENTION
T
R
CEPH
12,1s
PAN
ORTHOPHOS ist aufnahmebereit
64kV
8mA
?
P1
14,1 s
CEPH
TS
SID = 19,6”
6
x 12”
SID = 19,6”
6 x 12”
CEPH
PANPAN
1260
0
64kV
8mA
?
P1
9,0 s9,0 s
Quick
TS
Switch SIDEXIS to ready for exposure state
A B C
D
E
F
G
R
T
9.1 Preparing the exposure Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph
After the unit is switched off with the main switch, the touchscreen on the Easypad remains illuminated for an­other 3 - 5 seconds.
After switching the unit off with the main switch, you must wait for approx. 2 minutes before switching it back on.
Displays on the touchscreen
When you switch on the system, the start screen appears briefly; it will disappear automatically after a few seconds.
The selection screen appears.
The selection screen shows the following:
A – Bite block height adjustment value in mm (ranging
from 810 to 1815 mm) from the last patient set
B – The exposure program which was last used
C – The basic value 0 mm of the completely opened
forehead support
D – The expected exposure time for the preselected pro-
gram
E – The patient symbol which was last preselected with
the related kV/mA combination
F – Help messages in the comment line
G – Quickshot display – ON (visible)/OFF (hidden) for
reduction of cycle time
The preselected settings are represented in orange color.
Briefly press the return key R to bring the rotating el­ement into its position for positioning.
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Sirona Dental Systems GmbH 9 Operation
NOTE
i
NOTE
i
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
James Thompson
24. 11. 1971 3836241-986
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph 9.1 Preparing the exposure
After pressing the T key, you can release a test cyle of the rotating element without radiation with the expo­sure release button. After the T key is pressed, the adjacent display appears on the touchscreen without the kV/mA value, exposure time and patient symbols. Two test cycle symbols appear instead of the patient symbols. You can quit the test cycle mode by pressing the T key.
Switch SIDEXIS to ready for exposure state
Make the SIDEXIS program on the PC ready for exposure for PAN (XP)/CEPH (XC) or TS (XS) im-
ages (see SIDEXIS Operator’s Manual).
As long as no connection has been made to SIDEXIS, the message "Switch SIDEXIS to ready for exposure state" will be displayed in the com­ment line on the Easypad touchscreen.
English
Once SIDEXIS is ready for exposure, the welcome screen with the selected patient’s data from SIDEXIS appears on the Easypad touchscreen.
It shows the first name, last name, date of birth and card index number of the patient who is currently reg­istered in SIDEXIS.
When you touch the screen, the start screen disappears and the selection screen reappears.
If you wish to suppress this entire start screen or individ­ual pieces of information displayed there, your service engineer can disable the corresponding data upon re­quest.
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49
9 Operation Sirona Dental Systems GmbH

9.2 Option: Execution of exposures from a SIDEXIS exposure template Operating Instructions ORTHOPHOS XG

Plus
DS/Ceph
9.2 Option: Execution of exposures from a
SIDEXIS exposure template
Select patient and exposure template and make SIDEXIS ready for exposure.
When SIDEXIS is ready for the first exposure of the template, the welcome screen with the selected pa­tient's data from SIDEXIS appears on the Easypad. When you touch the screen, the welcome screen disappears.
As soon as an exposure has been executed and ar­ranged in the prepared window, the next exposure readiness is automatically issued by SIDEXIS until all of the exposures in the template have been exe­cuted.
59 87 594 D 3352
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Sirona Dental Systems GmbH 9 Operation
NOTE
i
T
R
CEPHPAN
TS
LS
Filmkassette einrasten
1260
64
62kV
8mA
?
P6.1
12,1s
CEPH
PANPAN
TS
LS
ORTHOPHOSist aufnahmebereitORTHOPHOSist aufnahmebereit
1260
64
64kV 8mA
?
P1
14,2s14,2s
AEC
TS
Operating Instructions ORTHOPHOS XG
Plus

DS/Ceph 9.3 Positioning the patient

9.3 Positioning the patient
Preparations
Ask the patient to take off all metallic objects such as glasses and jewelry in the head and neck area as well as all removable dental prostheses. The tray in front of the control mirror is used for de­positing jewelry.
The movements of the unit must not be obstructed by physical constitution nor clothing, dressings, wheelchairs or hospital beds! Perform a test cycle with the T key (see also “General safety informa- tion”).
Fit the bite block or contact segment and the chin rest, see chapter entitled Exposure program
groups.
Exposure with chin rest and bite block
The patient places himself or herself in front of the control mirror.
Using the “up” or “down” arrow key, adjust the height of the unit so that the chin of the patient and the chin rest are at the same height.
English
The motor movement is accompanied by an acoustic signal.
The height adjustment motor starts slowly and then in­creases its speed. Press and hold down the height adjustment key until the unit has reached the desired height.
The patient places the chin on the chin rest and seiz­es the handles.
Swivel in the bite block.
Have the patient bite into the indentation of the bite block (upper anterior teeth into the indentation, low­er anterior teeth pushed forward as far as possible).
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51
9 Operation Sirona Dental Systems GmbH
ATTENTION
C
E
P
H
PA
N
TS
LS
Film
kassette einrasten
1260
64
62kV
8m
A
?
P6.1
12,1s
CEPH
PANPAN
TS
LS
ORTHOPHOS
ist
aufnahmebereitORTHOPHOS
istaufnahm
ebereit
12
60
64
64kV
8
m
A
8mA
?
P1
14,2
s1
4,2
s
A
E
C
TS
R
CEPHPAN
TS
LS
Filmkassette einrasten
1260
64
62kV
8
m
A
?
P6.1
12,1s
CEPH
PANPAN
TS
LS
ORTHOPHOS
istaufnahmebereitO
R
T
H
O
P
H
O
S
ist
a
ufnahm
ebe
reit
12
6
0
6
4
6
4
kV
64kV
8mA
?
P1
14,2
s14,2 s
A E
C
TS
9.3 Positioning the patient Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph
Make sure that the patient’s spine is slightly inclined, as illustrated. This can be achieved by having the patient make a small step towards the column.
Thus the cervical vertebrae of the patient are stretched.
Stretched cervical vertebrae prevent diminished density in the anterior tooth region.
In special cases, you may also position a seated patient (using e.g. a dentist stool).
RIGHT
WRONG
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Sirona Dental Systems GmbH 9 Operation
NOTE
i
NOTE
i
CEPH
PAN
TS
LS
Film
kassette e
inrasten
1260
64
62kV 8m
A
?
P6.1
12,1s
CEPH
PANPA N
TS
LS
Filmkassette
einlegenFilmkassette einlegen
1260
64
68kV68kV 8mA
?
P6
12,8s
A
E
C
FH
A
B
2
31
30
28
C
FH
29
37
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph 9.3 Positioning the patient
Swivel out the mirror by pressing the left recess A on the touch bar.
Position the head of the patient in such a way that the occlusal plane is slightly inclined towards anterior.
Switch on the light localizer with key (28) on the Easypad. It is used for correct patient positioning.
As long as the light localizer is on, a red light localiz­er symbol is displayed on the touchscreen.
English
Make sure that the light beam does not hit the patient’s eyes (laser light). The light localizer switches off automatically after ap­prox. 100 seconds.
The FH horizontal light beam
should reflect between the upper edge of the external auditory canal and the lowest point of the infraorbital rim (Frankfort Horizontal plane FH).
The height of the FH horizontal light beam can be adjusted with slider (2).
Fine-tune the head inclination for the FH adjustment: Briefly touch the "up" key (30) and/or the "down" key (31) for height adjustment.
Align the center of the anterior teeth or of the face with the central light line (C).
Press key (29) on the Easypad to move the forehead support “towards forehead”. On touching the pa­tient’s forehead, the forehead support stops auto­matically.
Close the temple supports by pressing key (37) on the Easypad. On touching the patient’s temples, the temple supports stop automatically.
59 87 594 D 3352 D 3352.201.01.14.02
Swivel the mirror back in by pressing the right recess B on the touch bar.
Check the FH setting and the central light line.
Have the patient place his or her tongue against the palate.
Displayed reference values
The Easypad shows the reference values of the height and forehead support settings, which are saved for fur­ther exposures in the additional information area of the SIDEXIS software.
The forehead support and the temple supports open automatically when the exposure is complete.
53
9 Operation Sirona Dental Systems GmbH
9.3 Positioning the patient Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph
Exposure with chin rest and bar
For patients without anterior teeth
Remove the bite block with the bite block rod; in­stead, fit the bar as illustrated (arch facing toward the column).
Make sure that the upper and lower jaw are in
line.
This is easier when you place a cotton pellet be­tween them.
Proceed as for an exposure with chin rest and bite block.
Difference:
The patient places the chin on the chin rest.
For optimal positioning of the head with relation to the slice position, the patient’s subnasale must be placed against the bar.
If there are any anterior teeth left in the lower jaw, place the bar between chin and lower lip.
Have the patient place his or her tongue against the palate.
59 87 594 D 3352
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Sirona Dental Systems GmbH 9 Operation
NOTE
i
T
R
CEPHPAN
TS
LS
Filmkassette einrasten
1260
64
62kV
8mA
?
P6.1
12,1s
C
E
P
H
CEPH
PANPA
N
TSTS
LS
ORTHOPHOS
ist
aufnahmebereitO
R
T
H
O
P
H
O
S
is
t
a
u
fn
a
hm
e
be
reit
1260
64
6
4
k
V
64kV
8mA8mA
?
P1P1
14,2
s1
4
,2
s
A
E
C
TS
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph 9.3 Positioning the patient
Exposure with bite block or contact segment without chin rest
The patient places himself or herself in front of the control mirror.
... with bite block
Using the “up” or “down” arrow key on the Easypad, adjust the height of the unit so that the bite block and the anterior teeth are at the same height.
The patient seizes the handles.
Have the patient bite into the indentation of the bite block. Upper anterior teeth into the indentation, lower ante­rior teeth pushed forward until the stop.
English
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... with contact segment
For patients without anterior teeth
Adjust the height of the unit so that the contact seg- ment and the subnasale are at the same height.
The patient places the subnasale against the con­tact segment.
The upper and lower jaw must be in line.
This is easier when you place a cotton pellet be­tween them.
Make sure that the patient’s spine is slightly inclined, as already described before, (see page 52).
55
9 Operation Sirona Dental Systems GmbH
NOTE
i
NOTE
i
CEPH
PAN
TS
LS
Filmkassette einrasten
1260
64
62kV 8
m
A
?
P6.1
12,1s
CEPH
PANPA N
TS
LS
Filmkassette
einlegenFilm
kassette
einlegen
1260
64
68kV
8mA
?
P6
12,8s
A
E C
FH
A
B
2
31
30
28
C
FH
29
37
9.3 Positioning the patient Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph
Swivel out the mirror by pressing the left recess A on the touch bar.
Position the head of the patient in such a way that the occlusal plane is slightly inclined towards anterior.
Switch on the light localizer with key (28) on the Easypad. It is used for correct patient positioning.
As long as the light localizer is on, a red light localiz­er symbol is displayed on the touchscreen.
Make sure that the light beam does not hit the patient’s eyes (laser light). The light localizer switches off automatically after ap­prox. 100 seconds.
The FH horizontal light beam
should reflect between the upper edge of the external auditory canal and the lowest point of the infraorbital rim (Frankfort Horizontal plane FH).
The height of the FH horizontal light beam can be adjusted with slider (2).
Fine-tune the head inclination for the FH adjustment: Briefly touch the "up" key (30) and/or the "down" key (31) for height adjustment on the Easypad.
Align the center of the anterior teeth or of the face with the central light line (C).
Press key (29) on the Easypad to move the forehead support “towards forehead”. On touching the pa­tient’s forehead, the forehead support stops auto­matically.
Close the temple supports by pressing key (37) on the Easypad. On touching the patient’s temples, the temple supports stop automatically.
Swivel the mirror back in by pressing the right recess B on the touch bar.
Check the FH setting and the central light line.
Have the patient place his or her tongue against the palate.
Displayed reference values
The Easypad shows the reference values of the height and forehead support settings, which are saved for fur­ther exposures in the additional information area of the SIDEXIS software.
The forehead support and the temple supports open automatically when the exposure is complete.
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NOTE
i
2
1
E
7
C
D
T
R
CEPHPAN
TS
LS
Filmkassette einrasten
1260
64
62kV 8mA
?
P6.1
12,1s
CEPH
PANPAN
TS
LS
ORTHOPHOSist aufnahmebereitORTHOPHOSistaufnahmebereit
1260
64
64kV 8mA
?
P1
14,2s14,2 s
AEC
TS
1
37
C
D
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph 9.3 Positioning the patient
Temporomandibular joint views, programs TM3 – TM6 with temporomandibular joint supports
For temporomandibular joint views, temporomandib­ular joint supports (C) "1" and (D) "2" must be insert­ed in place of the temple supports (7) on the right and left side respectively. To do so, remove the two temple supports (7) after pressing the corresponding locking button; instead, push in the two temporomandibular joint supports (C) and (D) until they engage. Two sterile ear holders (E) must be plugged into the temporomandibular joint supports (C) and (D).
Remove the bite block or chin rest.
For units delivered before October 2006: Please observe the orientation (right/left) of the temporo­mandibular joint supports specified on page 29.
Using the “up” or “down” arrow keys on the Easypad, adjust the height of the unit so that the ear holders are at the height of the external auditory ca­nals.
English
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Position the patient’s head between the temporo­mandibular joint supports (C) and (D). Close the temporomandibular joint supports with key (37) on the Easypad so that the ear holders fit in­to the outer auditory canals.
For programs TM1, TM3 and TM5, the patient’s head must be positioned in the Frankfort Horizontal plane FH.
For programs TM2, TM4 and TM6, the patient’s head must be inclined towards anterior in relation to the FH so as to largely prevent overlaps.
Align the center of the anterior teeth or of the face with the central light line.
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9 Operation Sirona Dental Systems GmbH
NOTE
i
2
1
E1
7
C
D
T
R
CEPHPAN
TS
LS
Filmkassette einrasten
1260
64
62kV
8mA
?
P6.1
12,1s
CEPH
PANPAN
TS
ORTHOPHOSist aufnahmebereitORTHOPHOS ist aufnahmebereit
1260
64
64kV 8mA
?
P1
14,2s14,2 s
AEC
TS
8
9
9.4 Finishing the preparations (panoramic views) Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph
Sinus views, programs S1 – S4 with temporomandibular joint supports
For sinus views, temporomandibular joint supports (C) "1" and (D) "2" must be inserted in place of the temple supports (7) on the right and left side respectively. To do so, remove the two temple supports (7) after pressing the corresponding locking button; instead, push in the two temporomandibular joint supports (C) and (D) until they engage. Two sterile contact pads (E the temporomandibular joint supports (C) and (D).
For units delivered before October 2006: Please observe the orientation (right/left) of the temporo­mandibular joint supports specified on page 29.
1) must be plugged into

9.4 Finishing the preparations (panoramic views)

If the light localizer is still on, switch it off with key (28) on the Easypad. The light localizer symbol on the touchscreen disappears.
The sensor (9) must be inserted up to the stop. This is the case when the pushbutton (8) is flush with the surface.
If the sensor (9) is not fully inserted, the help message “Plug sensor into PAN slot” appears in the comment line.
If further help messages are displayed in the comment line, they must be observed and processed one after the other until the message “ORTHOPHOS is ready for
exposure” appears.
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64kV
8mA
?
PANPAN
P1
P1
Quick
64kV
8mA
Quick
On
Quick
Off
Select basic settingsSelect basic settings
1
21
PANPAN
Select Start Settings
1
Operating Instructions ORTHOPHOS XG
Plus

DS/Ceph 9.5 Making the basic settings in program level 3

9.5 Making the basic settings in program level 3
“Quickshot” presetting
“Quickshot” = reduction of the cycle time by approx. 20 – 50 %, depending on the exposure program for programs P1, P2 and P10.
Programming the patient symbols
You may enter new kV/mA values for the preselected exposure program and for the respective preselected patient symbol in the center area.
Programming is done by touching the memory symbol (1).
English

9.6 Changing the startup settings in program level 4

You can go to level 4 by touching the disk icon (21) in level 3. Various factory preset start parameters can be repro­grammed in level 4. They are then displayed after each unit power-on and for each new exposure.
You can change the abnormality preference (2nd icon from the right, as per factory setting) and the patient icon preference (2nd icon from the left, as per factory setting).
Programming is done by touching the memory symbol (1).
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9 Operation Sirona Dental Systems GmbH
CEPH
PANPAN
1260
64kV
8mA
?
P1
AEC
TS
14,1s
10
62kV
8mA
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
SID = 19,6”
6
x 12”
SID = 19,6”
6 x 12”
CEPH
PAN
1260
10
64kV
8mA
?
P1
9,0 s9,0 s
Quick
TS
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
8
8

9.7 Selecting the exposure parameters Operating Instructions ORTHOPHOS XG

Plus
DS/Ceph
9.7 Selecting the exposure parameters
The patient symbol keys are factory-programmed with kV/mA combinations:
Select the exposure parameters by touching one of the four patient symbols. The selected patient symbol is highlighted in orange color, the associated kV/mA value is displayed in column (8) next to the patient symbols.
Modifying the exposure parameters manually
If the default kV/mA combinations do not provide satis­factory results, you can preselect intermediate kV/mA values in the kV/mA submenu.
To open the submenu, touch the kV/mA display in col­umn (8). The values can be adjusted with the –/+ keys. To close the submenu, touch the light blue arrow at the left margin of the submenu line. (See also section 3.2 General touchscreen functions”.)
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NOTE
i
NOTE
i
ATTENTION
ATTENTION
NOTE
i
T
R
C E
P
H
CEPH
PA
N
PAN
T
S
TS
LS
LS
F
ilm
k a
s se
tt
e e
in
r a
s t
en
Filmkassette einrasten
1
26
0
6
4
62kV 8 m
A
8mA
?
P6.1P6.1
12 ,1
s
12,1s
i
i
i
i
T
R
CEPH
PAN
Gerät aufnahmebereit
1260
10
62kV 8mA
?
P6.1
12,1s
CEPH
PANPAN
1260
10
64kV
8mA
?
P1
14,1 s14,1 s
TS
Exposure is performedExposure is performed
32
10
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph 9.8 Releasing the exposure

9.8 Releasing the exposure

Observe the radiation protection regulations (see also chapter 1 “Warning and safety information”)
No help message must be displayed in the comment line of the touchscreen. The message “ORTHOPHOS is ready for exposure” must appear.
When you press the exposure release button on the re­mote control while the door is open, the message “Close the door“ with help code H321 is displayed. Close the door and acknowledge the message.
Advise the patient not to move his/her head in any way during the exposure and check to make sure that this does not happen!
To release the exposure, press the exposure release button (10).
The rotary movement of the selected exposure program is performed automatically.
While radiation is active, the optical radiation indicator (32) on the Easypad or on the remote control is illuminated.
In addition, an acoustic signal sounds throughout the entire radiation time.
English
Take care not to let go of the exposure release button prematurely. Note that radiation may be released several times during an exposure cycle. Wait until the unit has completed the exposure cycle.
The exposure is complete when... ...the comment line display on the touchscreen switches from "Exposure in progress" to "Wait until ORTHOPHOS is ready".
...a row of dots "........" appears alternately with the
program number on the remote control display. ...a short pulsed tone sequence also can be heard at the end of the exposure (this function can be deacti­vated by your service engineer).
The end of the exposure cycle can also be seen on the SIDEXIS monitor, namely when the progress indicator shows 100 % and the preview image starts to build up.
After completing the first part (TM1.1 or TM2.1) of one of the two-part programs for temporomandibular joint exposures, TM1 and TM2, the program sponta­neously switches to TM1.2 or TM2.2 on the remote control or on the touchscreen respectively. In this case the exposure release button can be released.
61
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9 Operation Sirona Dental Systems GmbH
NOTE
i
T
R
P1
R
A
9.8 Releasing the exposure Operating Instructions ORTHOPHOS XG
In the meantime, the ring will move automatically back to the starting position. TM1.2 or TM2.2 is re­leased and completed as described above.
The forehead support and the temple supports open automatically, and the patient may leave the unit.
Plus
DS/Ceph
After completion of the exposure
the X-ray image is displayed on the PC monitor in SIDEXIS.
In addition, a small control image (A) is displayed on the touchscreen; it is not suitable for diagnostic purposes. You must close the preview image again by touching the touchscreen.
The touchscreen again shows the exposure program, the kV/mA values and the actual radiation time.
Acknowledge the exposure time actually needed by pressing the return key R.
Then reset the rotating element to its starting posi­tion by pressing the return key R a second time.
Canceling an exposure
If you let go of the exposure release button prematurely, the exposure is canceled. After cancellation of the exposure, the exposure time display starts flashing. It shows the exposure time elapsed until cancelation.
Press the “R” key on the Easypad twice.
Please note that any program settings which may have been changed must be preselected again before repeat­ing the exposure.
After the rotating element has returned to its starting position, repeat the exposure.
Automatic exposure blocking
(thermal protection of the tube)
Premature release of a new exposure is prevented by the automatic exposure blocking function.
When you press the exposure release button, the mes­sage “ORTHOPHOS is ready for exposure in ‘x’ sec- onds” appears in the comment line of the touchscreen.
The remaining cooling time is counted down and is dis­played under ‘x’.
Only after the cooling period has elapsed is it possible to release a new exposure.
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NOTE
i
R
s
k
V
m
A
R
TM 3
8.1
71
8
TM 3
8.1
71
8
Prog.
s
k
V
m
A
Prog.
..........
8.1
s
Prog.
A
10
36
32
33
B
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph 9.9 Remote control

9.9 Remote control

If the ORTHOPHOS XG is located in an X-ray room which has a door and enables visual contact with the patient, you can use remote control to release the exposure.
For that purpose, the exposure release button (10) can be detached from the unit and attached to the remote
English
control. The exposure release button (A) can be used if main­taining visual contact with the patient does not require a longer cable.
The remote control has an “R” key (36) for acknowledg­ing the exposure and resetting the unit to its starting position, an optical (32) and acoustic radiation indica- tor as well as a “Unit ON” LED (33).
After the unit is switched on, the LED (33) lights up. The radiation indicator (32) lights up for approx. one sec­ond for a function test. The four display fields on the display panel (B) light up and program P1 appears with the corresponding values after a short time.
As long as plain-text help messages are displayed on the Easypad touchscreen, they also appear in coded form on the "Prog." display field of the remote control, alternating with the program name.
Once the unit has been prepared for the exposure and all help messages have been processed, the program name Prog.”, the exposure time s” as well as the “kV” and “mA” values are constantly displayed on the
display panel (B). The exposure can be released now.
59 87 594 D 3352 D 3352.201.01.14.02
If a row of dots ........ appears in the Prog. field, this
means that the system is currently in a preparatory phase (e.g. system movements, parameter changes, program loading times etc.). Just wait until the dots auto­matically disappear and the system signals that it is ready again.
63

10 Cephalometric exposures (CEPH) Sirona Dental Systems GmbH

ATTENTION
PAN TS
9,1s
80kV
14mA
?
CEPH
C2 a.p.C2 a.p.
1558
9,1s
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
PAN
9,1s
80kV
14mA
?
CEPH
C1 p.a.C1 p.a.
1558
9,1s
TS
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
PAN TS
9,1s
64kV
16mA
?
CEPH
C4
1260
9,1s
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
PAN TS
73kV
15mA
?
CEPH
C3
1260
9,4s
9,4s
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure

10.1 Preparing a cephalometric exposure (CEPH function) Operating Instructions ORTHOPHOS XG

Plus
DS/Ceph
10 Cephalometric exposures (CEPH)
10.1 Preparing a cephalometric exposure (CEPH function)
Select the CEPH function
by pressing “CEPH” in the program group selection. The menu for program C3 lateral views (asymmetric A) appears on the touchscreen.
Using the +/– arrow keys, you can select program C1 p.a. (symmetric S), C2 a.p. (symmetric S) or C4 for carpal views.
R key, move into Ceph starting position” appears in the comment line.
Make sure that no patient is in the movement range of the PAN rotating element or cephalometer.
Now press the “R” key on the Easypad. The rotating element moves into the position for cepha­lometric radiography. The secondary diaphragm and the ceph sensor on the cephalometer move all the way to the rear for patient positioning.
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NOTE
i
PAN TS
14,9s
73kV
15mA
?
CEPH
C3 FC3 F
1260
14,9s
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph 10.1 Preparing a cephalometric exposure (CEPH function)
Full format program C3 F (30x23)
Program C3F (30x23) enables you to generate a full for­mat lateral view. This view shows the entire head of the patient (not cut off at the back).
If program C3 has been preselected, you can activate subprogram "C3 F" by touching "C3" on the touch­screen.
By default, the patient's face points to the right in the dis­play of lateral view C3 or C3 F. At your request, this orientation can be permanently changed by your service engineer so that the patient's face points to the left on the X-ray. Please note that all other ceph exposures C1, C2 and C4 will then also be displayed "mirrored", i.e. laterally re­versed.
English
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10 Cephalometric exposures (CEPH) Sirona Dental Systems GmbH
NOTE
i
ATTENTION
ATTENTION
NOTE
i
NOTE
i
T
R
CEPHPAN
PAN
TS
TS
LS
LS
Filmkassette einrasten
1
2
6
0
6
4
62kV 8mA8mA
?
P6.1
12,1s
CE
P
H
CEPH
PANPA
N
TS
Filmkassette
einlegenFilm
kassette
einlegen
1
2
60
68kV
P6
12,8s
A
E C
8mA8mA
20
30
40
50
20
30
40
50
9
8
9
18
25
Left-handed arm
Right-handed arm

10.2 Preparations on the cephalometer Operating Instructions ORTHOPHOS XG

Plus
DS/Ceph
10.2 Preparations on the cephalometer
Inserting the sensor
If you operate the unit with one sensor only, you must remove the sensor (9) from its slot in the rotating ele­ment for pan exposures and plug it into the slot on the cephalometer.
To remove the sensor, hold it firmly, press the pushbut­ton (8) fully in and hold it down. Remove the sensor from its holder by pulling it downward.
DO NOT DROP THE SENSOR! A shock sensor for detecting shocks or dropping is built in.
When removing the sensor from the pan/ceph slot or handling a sensor that has already been removed, make sure not to touch the sensor plug on the unit end, espe­cially not while touching the patient at the same time.
Slide the sensor with its two guide bolts into the guide sleeves and push it up to the stop; it is not necessary to press the pushbutton (8) when doing this.
If the sensor (9) is not fully inserted into the slot on the cephalometer, the help message “Plug sensor into Ceph slot” appears in the comment line.
If a PAN sensor has been plugged into the Ceph slot unintentionally, the help message “Plug in Ceph sensor” is displayed.
If you operate the unit with two sensors, the PAN sensor may remain in its slot on the rotating element.
Seize the nose support (18) at its upper front end, pull it toward the front as far as possible and fold it up toward the side.
Seize the ear plug holders (25) at their upper ends and push them outward as far as possible.
All of the following illustrations of the cephalometer are shown in the left-handed arm version. However, they al­so generally apply to the right-handed version of the cephalometer, see adjacent illustration.
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60
90
120
70
80
100
110
20
30
40
50
W
X
20
30
40
50
31
30
Operating Instructions ORTHOPHOS XG
Plus

DS/Ceph 10.3 Positioning a ceph patient

Fitting the hygienic protective covers
W For nose support,
disposable (100 pieces) Order No. 33 14 106
X For ear plugs,
reusable (sterilizable) (20 pieces) Order No. 89 32 261
10.3 Positioning a ceph patient
Preparations
Ask the patient to take off all metallic objects such as glasses and jewelry in the head and neck area as well as all removable dental prostheses.
English
Adjusting the height of the unit
Move the cephalometer to approximately the height of the patient’s head and have the patient step back into the head support.
Position patients with a body height between approx. 93 cm and approx. 197 cm standing between the ear plug holders, and taller or shorter patients sitting on a fixed, height-adjustable chair with a short backrest.
Use the “up” (30) or “down” (31) arrow key on the Easypad to adjust the height of the cephalometer so that the ear plugs are at the height of the external auditory canals.
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10 Cephalometric exposures (CEPH) Sirona Dental Systems GmbH
NOTE
i
PAN TS
73kV
15mA
?
CEPH
C3
1260
9,4s
9,4s
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
20
30
40
50
28
C3
A
C3 18x23
3
0
40
50
6
0
9 0
1
2 0
7 0
8
0
1 0 0
1 1
0
19
10.3 Positioning a ceph patient Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph
C3 lateral view (A = asymmetric)
For lateral views, the patient must be standing with his/ her face toward the front (this applies to both the left-handed and the right-handed ceph arm version). Insert the ear plugs into the outer auditory canals. Hold the ear plug holders at their upper ends when doing this.
Switch on the light localizer
with key (28) on the Easypad. The secondary diaphragm with the light localizer for the reflection of the FH line moves far to the front. When acquiring lateral views, the light localizer serves to adjust the head according to the FH (Frankfort Horizon- tal plane) and goes out automatically approx. 100 sec­onds after the start of the exposure. The light line roughly reflects in this area. Have the patient incline or lift his/her head until the adjustment is perfect. As long as the light localizer is on, a red light localizer symbol is displayed on the touchscreen.
Make sure that the light beam does not hit the patient’s eyes (laser light). The light localizer switches off automatically after ap­prox. 100 seconds.
If necessary, fine-tune the head inclination using keys (30) or (31) on the Easypad.
Adjusting the nose support
Fold down the nose support. Slightly press and hold down the locking knob (19) while vertically adjusting the nose support to the height of the nasal root. Release the locking knob (19). Carefully push the nose support back to the nasal root.
Select the kV/mA values by touching one of the four patient symbols on the touchscreen. You also can decide whether you want to decrease the exposure time by 50 % (4.7 s Quickshot scan).
You will be prompted to press the R key.
Left-handed arm: The secondary diaphragm and the sensor move all the way to the front and into the starting position for scanning.
Right-handed arm: The secondary diaphragm and the sensor return all the way to the back and into the starting position for scanning.
Now you can release the exposure.
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PAN TS
73kV
15mA
?
CEPH
C3
1260
9,4s
9,4s
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
8
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph 10.3 Positioning a ceph patient
C3 and C3 F Lateral views with shadowing in the upper cranial region
C3 and C3 F exposures also support shadowing in the
upper cranial region.
To do this, touch the head icon in the Submenu column (8), and select the shadowing icon in the sub­menu line. It will then be displayed in the column (8).
Shadowing results in a dose reduction in the upper cra­nial region.
English
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69
PAN
9,1s
80kV
14mA
?
CEPH
C1 p.a.C1 p.a.
1558
9,1s
TS
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
C1
p.a.
S
p.a.
60
90
120
7
0
8
0
1
0
0
1
1
0
10 Cephalometric exposures (CEPH) Sirona Dental Systems GmbH
10.3 Positioning a ceph patient Operating Instructions ORTHOPHOS XG
Plus
C1 p.a. views (S = symmetric)
Select ceph program C1 using the +/– arrow keys on the touchscreen.
For symmetric exposures, the ear plug holders must be rotated by 90° into the S position.
Rotate the ear plug holders by 90° so that the folded-up nose support points toward the sensor.
For a symmetric p.a. view, have the patient turn so that he/she faces the sensor (p.a.) after height adjustment and before closing the ear plugs. (this applies to both the left-handed and the right-handed ceph arm version).
Insert the ear plugs into the external auditory canals. Hold the ear plug holders at their upper ends when doing this.
Select the kV/mA values by touching one of the four patient symbols on the touchscreen. You also can decide whether you want to decrease the exposure time by 50 % (4.7 s Quickshot scan).
DS/Ceph
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PAN
9,1s
80kV
14mA
?
CEPH
C1 p.a.C1 p.a.
1558
9,1s
TS
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
C1
p.a.
60
90
120
7
0
8
0
1
0
0
1
1
0
8
Sirona Dental Systems GmbH 10 Cephalometric exposures (CEPH) Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph 10.3 Positioning a ceph patient
C1 p.a. Exposures with shadowing in the thyroid region
(Only for "half-axial skull radiographs" and off-axial cranial overviews)
This exposure technique with the head reclined and the mouth open fully also supports shadowing in the thyroid area.
To do this, touch the head icon in the Submenu column (8), and select the shadowing icon in the sub­menu line. It will then be displayed in the column (8).
Shadowing results in a dose reduction in the thyroid area.
English
59 87 594 D 3352 D 3352.201.01.14.02
71
PAN TS
9,1s
80kV
14mA
?
CEPH
C2 a.p.C2 a.p.
1558
9,1s
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
S
a.p.
60
90
120
7
0
8
0
1
0
0
1
1
0
C2
a.p.
10 Cephalometric exposures (CEPH) Sirona Dental Systems GmbH
10.3 Positioning a ceph patient Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph
C2 a.p. views (S = symmetric)
Select ceph program C2 using the +/– arrow keys on the touchscreen.
For symmetric exposures, the ear plug holders must be rotated by 90° into the S position.
Rotate the ear plug holders by 90° so that the folded-up nose support points toward the secondary diaphragm.
For a symmetric a.p. view, have the patient turn so that he/she faces the secondary diaphragm (a.p.) after height adjustment and before closing the ear plugs (this applies to both the left-handed and the right-handed ceph arm version).
Insert the ear plugs into the external auditory canals. Hold the ear plug holders at their upper ends when doing this.
Select the kV/mA values by touching one of the four patient symbols on the touchscreen. You also can decide whether you want to decrease the exposure time by 50 % (4.7 s Quickshot scan).
C2 a.p. Exposures with shadowing in the thyroid region
(Only for "half-axial skull radiographs" and off-axial cranial overviews)
Just like the C1 p.a. view this exposure technique with the head reclined and the mouth open fully also supports shadowing in the thyroid area. (For head positioning and sample exposure see C1 p.a. view.)
Shadowing results in a dose reduction in the thyroid area.
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ATTENTION
PAN TS
9,1s
64kV
16mA
?
CEPH
C4
1260
9,1s
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
S
60
90
120
7
0
80
1
00
1
1
0
60
90
120
7
0
8
0
1
0
0
1
1
0
C4
S
26
A
B
B
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph 10.3 Positioning a ceph patient
C4 Carpus views (S = symmetric)
For carpus views, the ear plug holders must be in the Sposition.
Seize the ear plug holders at their upper ends and push them outward as far as possible.
For carpus views you must rotate the ear plug holders by 90° in such a way that the folded-up nose support points toward the secondary diaphragm. Hold the ear plug holders at the very top when doing this.
Seize the carpus support plate (26) at its left and right side and push it into the two holes (A) until it engages.
To remove the carpus support plate, seize it laterally and simply pull it out downward against a certain resistance.
The carpus support plate can be disinfected by spraying or wiping.
English
Place the patient beside the cephalometer. Have him/her place a hand flat on the support plate (right hand for the left-hand version and left hand for the right-arm version). The patient's fingertips must not extend beyond the upper edge (B). His/her hand and arm must form a straight line.
The patient must press his/her hand against the support plate only slightly!
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10 Cephalometric exposures (CEPH) Sirona Dental Systems GmbH
PAN
9,1s
80kV
14mA
?
CEPH
C1 p.a.C1 p.a.
1558
9,1s
TS
1260
1260
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
PAN TS
73kV
15mA
?
CEPH
C3
1260
9,4s
9,4s
1260
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
PAN TS
77kV
14mA
?
CEPH
C3
1260
9,4s
9,4s
1260
77kV
14mA
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
PAN TS
73kV
15mA
?
CEPH
C3
1260
4,7s
Quick
On
Quick
Off
Quick
Quick
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
8
8
8
8
9

10.4 Select exposure data Operating Instructions ORTHOPHOS XG

Plus
DS/Ceph
10.4 Select exposure data
Program settings (options)
When you touch a symbol in the “submenu” in column (8), a submenu line for program settings opens.
There are various submenu lines for program settings available:
1. Quickshot program setting – reduction of
exposure time (general)
When you touch the exposure time in column (8), another submenu line opens.
Here you can select for each C program whether you want to use a shorter exposure time for acquiring the image (Quickshot scan).
2. Manual setting of kV/mA values (general)
If the default kV/mA combinations do not provide satis­factory results, you can preselect intermediate kV/mA values in this submenu.
3. Shadowing in upper cranial region
(programs C3 and C3 F only)
C3 and C3 F lateral views let you choose whether you want to preselect shadowing in the upper cranial region. This will result in a local dose reduction.
4. Shadowing in the thyroid region
Shadowing in the thyroid region (only for programs C1 p.a. and C2 a.p. for “half-axial skull radiograph”, off-axial cranial overview)
Only this exposure technique with the head reclined and the mouth open fully lets you preselect for C1 p.a. and C2 a.p. views if you want to enable shadowing in the thy­roid area. This will result in a local dose reduction.
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NOTE
i
8mA
?
8mA
?
60kV
9mA
60kV
9mA
CEPHCEPH
QuickONQuick
OFF
9,4s
9
20
73kV
15mA
?
C3
C3
73kV
15mA
CEPHCEPH
Select basic settingsSelect basic settings
1
21
CEPHCEPH
Select Start Settings
1
Operating Instructions ORTHOPHOS XG
Plus

DS/Ceph 10.5 Making the basic settings in program level 3

Entire menu settings Level 2
You may also display all of the program settings and make the settings described above in a second program level.
To access the second program level, touch the blue arrow (9) in the upper right corner of the touchscreen; the arrow will point upward then.
After having made your selections, you can return to pro­gram level 1 only by touching the blue arrow (9) once again.
When you confirm the exposure with the R key, the pro­gram settings changed in these submenu lines will auto­matically be reset to the default settings.
10.5 Making the basic settings in program level 3
To access the third program level, touch the down arrow (20) in the second program level.
Programming the patient symbols
You may enter new kV/mA values for the preselected exposure program and for the respective preselected patient symbol in the center area.
English
Programming is done by touching the memory symbol (1).

10.6 Changing the startup settings in program level 4

You can go to level 4 by touching the disk icon (21) in level 3. Various factory preset start parameters can be repro­grammed in level 4. They are then displayed after each unit power-on and for each new exposure.
You can only change the patient icon preference (2nd icon from the left, as per factory setting).
Programming is done by touching the memory symbol (1).
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10 Cephalometric exposures (CEPH) Sirona Dental Systems GmbH
NOTE
i
NOTE
i
ATTENTION
ATTENTION
NOTE
i
T
R
62kV
8mA
?
P6.1
12,1s
PAN TS
73kV
15mA
?
CEPH
C3C 3
1260
9,4s
9,4s
30
4040
5050
3030
4040
5050
60
9
0
1
2
0
7
0
8
0
1
0
0 1
1
0
sirona
T
R
PANPA
N
TSTS
L S
6
4
9 , 3
5 s
7 3 k
V 1 5 m
A
?
CEPHC
E P
H
C
1
1
2 6 0
9
, 3 5
s
10
32

10.7 Releasing a cephalometric exposure Operating Instructions ORTHOPHOS XG

Plus
DS/Ceph
10.7 Releasing a cephalometric exposure
The movements of the unit must not be obstructed by physical constitution nor clothing, dressings, wheel­chairs or hospital beds! Perform a test cycle with the “T” key, see also “General safety information”.
Observe the radiation protection regulations (see also chapter 1 “Warning and safety information”).
No help message must be displayed in the comment line of the touchscreen. The message “ORTHOPHOS is ready for exposure” must appear.
The patient's arms must hang down freely at the sides, He/she should not tense or hunch his/her shoulders. Advise the patient not to move his/her head in any way during the scan and watch yourself that this does not happen!
Trigger the exposure scan by pressing and holding down the exposure release button (10).
While radiation is active the optical radiation
indicator (32) is illuminated.
In addition, an acoustic signal sounds throughout the entire radiation time.
Take care not to let go of the exposure release button prematurely. Wait until the unit has completed the expo­sure cycle.
•The exposure is complete when... ...the comment line display on the touchscreen switches from "Exposure in progress" to "Wait until ORTHOPHOS is ready".
...a row of dots "........" appears alternately with the
program number on the remote control display. ...a short pulsed tone sequence also can be heard at the end of the exposure (this function can be deacti­vated by your service engineer).
The end of the exposure cycle can also be seen on the SIDEXIS monitor, namely when the progress indicator shows 100 % and the preview image starts to build up.
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ATTENTION
2
0
3
0
4
0
5
0
CEPH
C3
A
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph 10.7 Releasing a cephalometric exposure
Left-handed arm: Scanning operation from front to rear, secondary diaphragm and sensor remain at the rear in the position required for positioning of the next patient.
Right-handed arm: Scanning operation from rear to front, secondary diaphragm and sensor automatically return to the rear after the exposure to facilitate position­ing of the next patient.
When using the right-handed ceph arm version, be sure to explain the entire exposure procedure to the patient. The patient may leave only after the exposure has been taken and the secondary diaphragm and sensor have automatically returned from the cephalometer.
Once the exposure is complete, push the ear plug hold­ers outward as far as possible; with a lateral view, pull the nose support toward the front as far as possible and fold it up toward the side. The patient can now step out of the unit.
After completion of the exposure
the X-ray image is displayed on the PC monitor in SIDEXIS.
In addition, a small control image (A) is displayed on the touchscreen; it is not suitable for diagnostic purposes. You must close the preview image again by touching the touchscreen.
The touchscreen again shows the exposure program, the kV/mA values and the actual radiation time.
Acknowledge the exposure time actually needed by pressing the return key (R).
Then reset the rotating element to its starting posi­tion by pressing the return key R a second time.
With a left-handed version, you must press the R key again to move the secondary diaphragm and the Ceph sensor to the exposure position after posi­tioning the next patient.
English
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Canceling an exposure
If you let go of the exposure release button prematurely, the exposure is canceled.
The message “R key, confirm exposure data” and the exposure time elapsed until cancellation are displayed in the comment line.
Confirm by pressing the R key on the Easypad.
Press the R key again. The X-ray tube assembly moves to the starting position and the secondary di­aphragm and Ceph sensor move forward into the ex­posure position.
Then the exposure can be repeated.
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10 Cephalometric exposures (CEPH) Sirona Dental Systems GmbH
NOTE
i
NOTE
i
10.7 Releasing a cephalometric exposure Operating Instructions ORTHOPHOS XG
Please note that any program settings which may have been changed must be preselected again before repeat­ing the exposure.
Plus
DS/Ceph
Automatic exposure blocking
(thermal protection of the tube)
Premature release of a new exposure is prevented by the automatic exposure blocking function.
When you press the exposure release button, the mes­sage “ORTHOPHOS is ready for exposure in ‘x’ seconds” appears in the comment line of the touch­screen.
The remaining cooling time is counted down and is dis­played under ‘x’.
Only after the cooling period has elapsed is it possible to release a new exposure.
If the exposure sequence P1–C3–C4 (in this order) has been selected in SIDEXIS, there are shorter cooling pe­riods between the individual programs. However, after the entire program sequence has been processed, a longer cooling period is required.
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Sirona Dental Systems GmbH 11 Transversal slices (TSA)

ATTENTION
CEPHN
TS
TS
LS
LS
CEPH
TS
PAN +TSA
CEPH + TSA
B
A
Operating Instructions ORTHOPHOS XG
Plus

DS/Ceph 1 1.1 Preparing a TSA exposure

11 Transversal slices (TSA)
11.1 Preparing a TSA exposure
In combination with a panoramic slice view, transversal slices enable a 3-dimensional representation of the dif­ferent maxillary and mandibular regions.
Switch on the unit and make SIDEXIS ready for ex­posure.
Plug in TSA sensor
Make sure that a TSA sensor is plugged into the PA N s l o t. Either PAN + TSA or CEPH + TSA.
DO NOT DROP THE SENSOR! A shock sensor for detecting shocks or dropping is built in.
English
TSA application
TSA imaging is used for example for implant insertion (A) or displaced teeth (B).
Ball positioning
Prior to the exposure you must fix a steel ball (e.g. with a diameter of 5 mm) at the planned implant placement point by means of elastic impression wax.
(This step is not required for a displaced tooth.)
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11 Transversal slices (TSA) Sirona Dental Systems GmbH
ATTENTION
NOTE
i
NOTE
i
1
7
6
5
4
3
2
10
9
8
1
7
6
5
4
3
2
10
9
8
6
5
4
3
2
1
9
8
7
6
5
4
3
2
1
9
8
7
1
1
1
7
6
5
4
3
2
10
9
8
2
3
1
2
Measurement of the maxilla
Measurement of the lower jaw
11.1 Preparing a TSA exposure Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph
PAN image
For better assessment of the anatomical situation you capture a PAN image first.
Measurement by means of the TSA scale
Measure the depth from the anterior teeth to the tooth or region to be X-rayed in the mandible or the maxilla using the TSA scale.
This measurement must be taken very precisely in order obtain a good result.
80 D 3352.201.01.14.02
Thoroughly disinfect the TSA scale before using it, e.g. by spray disinfection.
Position the TSA scale (1) in the oral cavity so that its wide zero point begins at the center of the tooth to be examined in the mandible or maxilla. Turn the scale over when measuring the mandible (scale facing down).
Slide the measuring caliper (2) up to the maxillary ante­rior teeth when measuring the maxilla and up to the man­dibular anterior teeth when measuring the mandible.
The patient's overbite must be taken into account when placing the measuring caliper against his/her mandibular or maxillary anterior teeth.
On patients without anterior teeth, slide the measuring adapter (3) with the subnasal contact segment up to a point beneath the nose.
Remove the TSA scale from the oral cavity and read and remember the distance from the scale.
When positioning the patient for TSA, a possible anoma­ly of his/her anterior teeth must be taken into account. This is done by placing the patient’s anterior teeth (upper or lower jaw) in the corresponding indentation of the bite block. It is important that this be done, since otherwise the measured distance will not match the patient’s actual position. The universal bite block also facilitates this procedure.
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Sirona Dental Systems GmbH 11 Transversal slices (TSA)
ATTENTION
NOTE
i
NOTE
i
SID = 19,6”
6
x 12”
SID = 19,6”
6 x 12”
TS
CEPH
PAN
62kV
8mA
?
TS
6,7s
1421
0
0mm
H301 - R - key,
move into starting position
H301 - R - key,
move into starting position
SID = 19,6”
6
x 12”
SID = 19,6”
6 x 12”
CEPH
PAN
62kV
8mA
?
TS
6,7s
1421
0
0mm
H322 - Select quadrantH322 - Select quadrant
SID = 19,6”
6
x 12”
SID = 19,6”
6 x 12”
CEPH
PAN
TS
62kV
8mA
?
TS
6,7s
1421
0
0mm
LR
H322 - Select quadrantH322 - Select quadrant
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph 1 1.1 Preparing a TSA exposure
Preselecting the TSA function
Preselect the TSA function by touching "TS" in the program group selection on the touchscreen. The TSA screen appears. The diaphragm and the sensor move into the TSA position. Proceed according to the help message displayed in the comment line.
Make sure that no patient is in the movement range of the PAN rotating element while the unit is moving.
English
Move the PAN rotary ring into the starting position for TSA exposures by pressing the R key. A message in the comment line will then prompt you to select a quadrant.
Touch the quadrant symbol at the top of the sub­menu column.
The quadrant selection submenu appears. Touch the quadrant where the tooth you want to X-ray is located. The selected quadrant is highlighted orange. The respective quadrant in the submenu column is represented in white color at the same time.
You cannot select more than one quadrant at a time.
Close the submenu by touching the quadrant sym­bol in the submenu column or the blue arrow at the left margin of the submenu.
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The quadrant preselection must be repeated for each TSA exposure.
81
11 Transversal slices (TSA) Sirona Dental Systems GmbH
SID = 19,6”
6
x 12”
SID = 19,6”
6 x 12”
CEPH
PAN
62kV
8mA
?
TS
6,7s
1421
0
0mm
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
42
11/21
0 mm
R
L
R
L
41/31
11
2 mm
41
11
2 mm
41
12
4 mm
43
13
6 mm
11.1 Preparing a TSA exposure Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph
Transferring the measured depth
The jaw half where the preselected quadrant is lo­cated appears in a light gray color now. The orange linear sensor is at 0 mm.
The depth measured by means of the TSA scale must be transferred to the TS image now. This can be done with the arrow keys, i.e. + (to the rear) and – (to the front). The arrows are on the opposite side of the light gray jaw half. When you leave your finger on the corresponding ar­row, the depth indicator and the orange linear sensor automatically move in the corresponding direction.
The following reference tables apply to the anterior and canine tooth region.
For a symmetric view of the anterior teeth, 31/41 in the lower jaw or 11/21 in the upper jaw, enter 0 mm.
For anterior teeth 11 (upper jaw right) or 41 (lower jaw right) enter 2 mm.
For anterior teeth 12 (upper jaw right) or 42 (lower jaw right) enter 4 mm.
For canine teeth 13 (upper jaw right) or 43 (upper jaw right), enter 6 mm.
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NOTE
i
R
L
R
L
32
11/21
0 mm
41/31
21
2 mm
31
2 mm
22
4 mm
33
23
6 mm
2 mm2 mm
2 mm
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph 1 1.1 Preparing a TSA exposure
For a symmetric view of the anterior teeth, 31/41 in the lower jaw or 11/21 in the upper jaw, enter 0 mm.
For anterior teeth 21 (upper jaw left) or 31 (lower jaw left) enter 2 mm.
For anterior teeth 22 (upper jaw left) or 32 (lower jaw left) enter 4 mm.
For canine teeth 23 (upper jaw left) or 33 (upper jaw left), enter 6 mm.
The illustrations show examples of the relationships based on TSA slice orientations.
English
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Applicability of mm tables to other slice orientations
83
11 Transversal slices (TSA) Sirona Dental Systems GmbH
NOTE
i
SID = 19,6”
6
x 12”
SID = 19,6”
6 x 12”
CEPH
PAN
71kV
12mA
?
TS
9,7s
1421
0
50mm
2
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
SID = 19,6”
6
x 12”
SID = 19,6”
6 x 12”
CEPH
PAN
71kV
12mA
?
TS
9,0s
1421
0
30mm
2
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
SID = 19,6”
6
x 12”
SID = 19,6”
6 x 12”
CEPH
PAN
62kV
8mA
?
TS
6,7s
1421
0
10mm
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
8
SID = 19,6”
6
x 12”
SID = 19,6”
6 x 12”
CEPH
PAN
71kV
12mA
?
TS
9,0s
1421
0
30mm
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
11.1 Preparing a TSA exposure Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph
Input assistance
Lower jaw
The dental arch is subdivided into several segments.
When you touch the light gray dental arch in the front segment, the depth indicator jumps to 10 mm.
The patient head symbol is positioned in the Frankfort Horizontal plane (FH), and the yellow bite block for mandibular exposures is shown. The line displayed on the head symbol on the touch­screen shows the reflection line of the light localizer.
When you touch the light gray dental arch in the middle segment, the depth indicator jumps to 30 mm; in the rear segment it jumps to 50 mm. At the same time, a symbol for preselecting the slice thickness appears in the submenu column (8). The slice thickness is set to 2 mm at the factory. You can also preselect slice thicknesses of 6 mm or 8 mm in this submenu.
If a slice thickness deviating from the TSA slice orienta­tion is selected, preselection of the slice thickness is not possible The "slice thickness preselection" symbol then disap­pears in the column (8).
The patient head symbol is bent dorsally (reclined) so that the lower edge of the mandible is parallel to the floor, and the yellow bite block for mandibular expo­sures is shown. The line displayed on the touchscreen head symbol is used here for orientation only.
This facilitates input of the correct values with the arrow keys.
Example of an alternative slice orientation for the mandible
(3 transverse slices with embedded lateral slice)
With slice orientations deviating from the TSA slice ori­entation, the cursor automatically takes on a different shape.
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NOTE
i
SID = 19,6”
6
x 12”
SID = 19,6”
6 x 12”
CEPH
PAN
71kV
12mA
TS
9,7s
1421
0
50mm
?
2
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
SID = 19,6”
6
x 12”
SID = 19,6”
6 x 12”
CEPH
PAN
71kV
12mA
?
TS
9,0s
1421
0
30mm
2
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
SID = 19,6”
6
x 12”
SID = 19,6”
6 x 12”
CEPH
PAN
62kV
10mA
?
TS
6,7s
1421
0
10mm
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
SID = 19,6”
6
x 12”
SID = 19,6”
6 x 12”
CEPH
PAN
71kV
12mA
?
TS
9,0s
1421
0
30mm
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph 1 1.1 Preparing a TSA exposure
Upper jaw
When you touch the light gray dental arch in the front segment, the depth indicator jumps to 10 mm.
The patient head symbol is positioned in the Frankfort Horizontal plane (FH), and the blue bite block for maxil­lary exposures is shown. The line displayed on the head symbol on the touch­screen shows the reflection line of the light localizer.
When you touch the light gray dental arch in the middle segment, the depth indicator jumps to 30 mm; in the rear segment it jumps to 50 mm.
At the same time, a symbol for preselecting the slice thickness appears in the submenu column (8). The slice thickness is set to 2 mm at the factory. You can also preselect slice thicknesses of 6 mm or 8 mm in this submenu.
If a slice thickness deviating from the TSA slice orienta­tion is selected, preselection of the slice thickness is not possible. The "slice thickness preselection" symbol then disap­pears in the column (8).
English
The patient head symbol is slightly bent dorsally (reclined) so that the alveolar ridge is parallel to the floor, and the blue bite block for maxillary exposures is shown. The line displayed on the touchscreen head symbol is used here for orientation only.
This facilitates input of the correct values with the arrow keys.
Example of an alternative slice orientation for the mandible
(3 transverse slices with embedded lateral slice)
With slice orientations deviating from the TSA slice ori­entation, the cursor automatically takes on a different shape.
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11 Transversal slices (TSA) Sirona Dental Systems GmbH
NOTE
i
6,7s
14mm
FH
9,0s
15mm
2
Lower edge of mandible

11.2 Patient positioning Operating Instructions ORTHOPHOS XG

Plus
DS/Ceph
11.2 Patient positioning
General remarks on patient positioning
The following descriptions apply to all of the slice orien­tations supplied.
Always position the patient according to the information provided for the particular exposure program.
Please note the following:
Use the light localizer to correctly position the head (cen­tral light line or Frankfurt horizontal). Ask the patient to take a small step toward the column to ensure that his/her cervical vertebrae are sufficiently stretched.
Ask the patient to grasp the handles. Have the patient bite into the indentation of the bite
block, placing his/her upper anterior teeth into the inden­tation and pushing his/her lower anterior teeth forward as far as possible, or placing his/her subnasale against the contact segment).
Move the forehead support as far as possible up to the patient’s forehead.
Close the temple supports.
For maxillary views, you must fit the temporomandib­ular joint supports with the sterilizable contact pads.
We recommend performing a test cycle without radiation with the “T” key prior to starting the exposure to make sure that the tube assembly and sensor do not collide with the patient’s head.
Mandibular anterior and canine teeth
When you enter a depth of up to and including 14 mm, the patient head symbol remains in the FH position.
Fit the yellow bite block. Position the patient’s head in the Frankfort Horizontal (FH)
plane. The line displayed on the head symbol on the touch­screen shows the reflection line of the light localizer.
Mandibular molars
When you enter a depth of 15 mm or more, the patient head symbol changes and is bent dorsally (reclined) now.
Fit the yellow bite block.
Have the patient bend his/her head dorsally until the lower edge of the mandible is parallel to the floor. The line displayed on the touchscreen head symbol is used here for orientation only.
With the TSA slice orientation, a symbol for preselecting the slice thicknesss appears in the submenu column (8). The slice thickness is set to 2 mm at the factory. You can also preselect slice thicknesses of 6 mm or 8 mm in this submenu.
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ATTENTION
2
3
1
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph 11.2 Patient positioning
Mandibular canal
In the mandibular molar region, a good visualization of the mandibular canal in the transversal slices can be achieved by aligning the canal parallel to the central X-ray beam.
English
Since the central X-ray beam is angled 7 degrees up from horizontal for panoramic exposures, it may be nec­essary to tilt the lower edge of the mandible out of the horizontal plane (head bent more forward or backward).
1. Lower edge of mandible
2. Relative position of the mandibular canal
3. Slice plane
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11 Transversal slices (TSA) Sirona Dental Systems GmbH
NOTE
i
FH
6,7s
14mm
9,0s
15mm
2
Alveolar ridge
11.2 Patient positioning Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph
Maxillary anterior and canine teeth
When you enter the depth, the patient head symbol remains in the FH position.
Fit the blue bite block (or contact segment).
Remove the temple supports, replacing them with the two temporomandibular joint supports "1" (right) and "2" (left) with sterilized contact pads.
Position the patient’s head in the Frankfort Horizontal (FH) plane.
For units delivered before October 2006: Please observe the orientation (right/left) of the temporo­mandibular joint supports specified on page 29.
Maxillary molar teeth
When you enter a depth of 15 mm or more, the patient head symbol changes and is bent dorsally (reclined) now.
Insert the blue bite block (or contact segment) or the TSA universal bite block (blue marking) and the tem­poromandibular joint supports with sterile contact pads.
Have the patient bend his/her head dorsally until the alveloar ridge is parallel to the floor.
With the TSA slice orientation, a symbol for preselecting the slice thicknesss appears in the submenu column (8). The slice thickness is set to 2 mm at the factory. You can also preselect slice thicknesses of 6 mm or 8 mm in this submenu.
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ATTENTION
A
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph 11.2 Patient positioning
In cases where you need more information in the central facial area you can use the green bite block (or contact segment) included in the scope of supply.
This positions the patient a little lower in relation to the beam path.
The light localizer beam (A), which reflects also on the sensor, can be used as an auxiliary tool. Set the light beam to the upper edge of the TSA display on the sen­sor.
The simultaneous reflection of the light beam (A) on the patient’s face marks the top edge of the exposure and helps you decide whether you need the blue or the green bite block (or contact segment).
English
If you have a patient without anterior teeth, always place a cotton pellet between his/her jaws as illustrated!
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A
B

11.3 TSA universal bite block Operating Instructions ORTHOPHOS XG

Plus
DS/Ceph
11.3 TSA universal bite block
The universal bite block replaces all other bite blocks and contact segments for TSA exposures. It features a bite block slide with different colored mark­ing lines. The colors of the marking lines are identical to the colors of various different bite blocks.
A replaceable bite block foam (disposable item) is used for the bite impression. This soft bite block foam can also be used for patients who have no front teeth.
Insert the pins of the upper part in the opening of the bite block slide, fold the bite block foam down and snap the lower part onto the pins of the upper part.
Bite block foam (disposable), 50 pcs Order No. 61 41 449
Insert the universal bite block in the bite block holder and set the bite block slide according to the type of exposure:
Yellow mark for mandibular TSA exposures.
If the mandibular ramus is not displayed on the TSA exposure and the crowns of the teeth are not necessarily of interest, then use the red mark (A).
Blue mark for maxillary TSA exposures.
Green mark for maxillary TSA exposures, where the
alveolar ridge of the patient's head is aligned parallel to the floor to position the patient a little lower in relation to the beam path.
Black marking (B), suitable for bite wing exposures with the TSA sensor and with the longitudinal slice setting.
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R
L
R
L
14/24
R
L
R
L
16 mm
44/34
11 mm
15/25
25 mm
45/35
18 mm
16/26
34 mm
46/36
26 mm
17/27
44 mm
47/37
37 mm
18/28
50 mm
48/38
49 mm
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph 11.3 TSA universal bite block
Reference values for premolar and molar region
If measurement with the TSA scale proves to be difficult or impossible, you can use the average reference values listed in the following table for making the set­tings for premolar and molar exposures.
Please not that these values may deviate substantially on patients with a small or large jaw.
English
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NOTE
i
SID = 19,6”
6
x 12”
SID = 19,6”
6 x 12”
CEPH
PAN
?
TS
9,7s
1421
0
45mm
AEC
77kV
11mA
77kV
11mA
2
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
SID = 19,6”
6
x 12”
SID = 19,6”
6 x 12”
CEPH
PAN
?
TS
9,7s
1421
0
45mm
77kV 11mA
6
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
SID = 19,6”
6
x 12”
SID = 19,6”
6 x 12”
CEPH
PAN
73kV
12mA
?
TS
9,7s
1421
0
45mm
2
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
SID = 19,6”
6
x 12”
SID = 19,6”
6 x 12”
CEPH
PAN
73kV
12mA
?
TS
9,7s
1421
0
45mm
2
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
8
8

11.4 Preselecting the exposure settings and releasing the exposure Operating Instructions ORTHOPHOS XG

Plus
DS/Ceph
11.4 Preselecting the exposure settings and releasing the exposure
Selecting the exposure parameters with the patient symbol
Touch the patient symbol that best matches the patient. The related kV/mA value appears at the right and the exposure time (in sec) appears in the top center of the touchscreen.
Changing the slice orientation preselection
When you touch this symbol in the submenu column (8), the "Slice orientations" submenu line opens. Besides the TSA slice orientation, you can also select 3 other slice orientations here: Combined TSA slice and thick longitudinal slice 3 longitudinal slices (LS) 3 transaxial TSA slices
Following the exposure, the "TSA slice orientation" will be reselected as the default setting.
Changing the slice thickness
only for the TSA slice orientation in the molar region (depth of 15 mm or more)
At a depth of 15 mm ore more, a symbol for preselecting the slice thickness appears in the submenu column (8). When you touch this symbol, the "Slice thickness" sub­menu line opens. The slice thickness is set to 2 mm at the factory. You can also preselect slice thicknesses of 6 mm or 8 mm in this submenu.
Modifying the kV/mA values manually
If the default kV/mA combinations do not provide satis­factory results, you can preselect intermediate kV/mA values in this submenu using the –/+ keys in the sub­menu line.
The system is now ready for a TSA exposure. Release the exposure as usual.
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Sirona Dental Systems GmbH 11 Transversal slices (TSA)
ATTENTION
8mA
?
8mA
?
80kV
11mA
80kV
11mA
TSTS
R
L
6
9
20
80kV 11mA
?
80kV
11mA
TS
CEPH
LR
21
1
Operating Instructions ORTHOPHOS XG
Plus

DS/Ceph 11.5 Program settings, basic settings, startup settings

11.5 Program settings, basic settings, startup settings
Complete TSA program setting menu Level 2
You may also display all of the program settings and make the settings described above in a second program level.
To access the second program level, touch the blue arrow (9) in the upper right corner of the touchscreen; the arrow will point upward then.
After having made your selections, you can return to pro­gram level 1 only by touching the blue arrow (9) once again.
Basic Settings menu Level 3
In a third program level, you can freely choose individual kV/mA values for each of the three jaw regions (anterior teeth, canines and molars) in the upper or lower jaw and for each of the 4 patient symbols. Subsequently, you can save these values by touching the programming key (1). The programming of patient symbols can be performed only if the TSA slice orientation (standard setting) is pre­selected first.
English
The programming also influences all other slice orienta­tions of this exposure type. I.e. if you change a patient symbol by one kV/mA level for the TSA slice, this automatically results in a change of one kV/mA level for the corresponding patient symbol default values of the other slice orientations as well.
To access the third program level, touch the arrow point­ing downward (20) in the second program level. The right arrow will then become a double arrow.
This menu can be closed again by simply touching the blue double arrow in the upper right corner. The display always returns to the standard menu (level 1).
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11 Transversal slices (TSA) Sirona Dental Systems GmbH
TSTS
Select Start Settings
1
1.
3.
2.

11.6 TSA exposure with TSA slice orientation Operating Instructions ORTHOPHOS XG

Plus
DS/Ceph
Startup Settings menu Level 4
You can go to level 4 by touching the disk icon (21) in level 3. Various factory preset start parameters can be repro­grammed in level 4. They are then displayed after each unit power-on and for each new exposure.
Here you can change the patient icon preference (2nd icon from the left, as per factory setting) and the slice thickness preference (left icon for the thinnest slice, as per factory setting).
Programming is done by touching the memory symbol (1).
11.6 TSA exposure with TSA slice orientation
During a TSA exposure, three slice views are taken.
Slices in the anterior and molar region have a thickness of 1 mm, slices in the molar region a thickness of approx. 2 mm. The slice thickness can be preset to approx. 2 mm, 6 mm or 8 mm in the molar region.
The slice gap is between 3 and 5 mm.
1. Slice thickness (2, 6, 8 mm selectable)
2. Slice center
3. Slice gap
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Plus
DS/Ceph 11.6 TSA exposure with TSA slice orientation
Example: implant
To make clear which one of the three TSA views shows which portion of the dental arch, steel balls were fitted prior to image acquisition.
The view on which the ball appears as a perfect circle marks the slice plane where the ball is positioned in the panoramic image.
English
Example: displaced tooth
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11 Transversal slices (TSA) Sirona Dental Systems GmbH
C
A
B
A
B
C
C
A
B
A
B
C
A
B
C
D
A
B
C
D
C
A
B
A
B
C
D
D

11.7 Slice orientations Operating Instructions ORTHOPHOS XG

Plus
DS/Ceph
11.7 Slice orientations
TS slices
TS slices combined with a thick longitudinal slice
Can be used for TS slices with millimeter accuracy.
Please note that the magnifications of the partial images vary according to the technique concerned.
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NOTE
i
A
B
C
A
B
C
A
B
C
A
B
C
A
B
C
A
B
C
A
B
C
A
B
C
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph 11.7 Slice orientations
3 Longitudinal slices
Can be used for TS slices with millimeter accuracy.
The partial image sequence is dependent on the select­ed half-side (R/L). Make sure that the anterior tooth region (0 mm) can be displayed in two imaging versions (R/L).
English
TS transaxial slices
3 transaxial TSA slices Can be used for TS slices with millimeter accuracy. Best used in the molar region.
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12 Program values Sirona Dental Systems GmbH

Program
duration
approx.
Exposure
time max.
Quickshot
Program
duration
approx.
Quickshot
Exposure
time max.
12.1 Panoramic views – program values for index 2A Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph
12 Program values
12.1 Panoramic views – program values for index 2A
Index 2A
This level series is factory programmed for the Federal Republic of Germany. It guarantees that the applicable legal regula­tions which must be complied with since January 1, 1999 are strictly observed. Furthermore, this level series can also be applied worldwide. National regulations must be complied with. The table lists the maximum exposure times; depending on the slice width and slice shape selected, the actual exposure time may differ slightly.
Program Factory-programmed values
for index 2A
P1
P1A
P1C
P2
P2A
P2C
P10
P10A
P10C
19.0 s
12.9 s
21.8 s
15.4 s
20.1 s
13.3 s
16.4 s
11.6 s
18.0 s
12.1 s
16.8 s
11.7 s
16.4 s
11.6 s
18.0 s
12.1 s
16.8 s
11.7 s
14.2 s
8.0 s
14.2 s
8.0 s
14.2 s
8.0 s
11.6 s
6.7 s
11.6 s
6.7 s
11.6 s
6.7 s
11.6 s
6.7 s
11.6 s
6.7 s
11.6 s
6.7 s
14.2 s
10.3 s
18.2 s
13.9 s
17.1 s
12.6 s
12.4 s
9.4 s
15.0 s
11.8 s
13.7 s
9.7 s
11.4 s
9.4 s
15.0 s
11.8 s
13.7 s
9.8 s
9.1 s
5.1 s
9.1 s
5.1 s
10.6 s
6.0 s
7.4 s
4.3 s
7.4 s
4.3 s
8.6 s
5.0 s
7.4 s
4.3 s
7.4 s
4.3 s
8.6 s
5.0 s
62/8 64/8 68/8 73/8
62/8 64/8 68/8 73/8
62/8 64/8 68/8 73/8
62/8 64/8 68/8 73/8
62/8 64/8 68/8 73/8
62/8 64/8 68/8 73/8
62/8 64/8 68/8 73/8
62/8 64/8 68/8 73/8
62/8 64/8 68/8 73/8
P12 11.9 s 4.9 s 71/8 77/7 80/7 85/6
TM1.1 + TM1.2
TM2.1 + TM2.2
16.1 + 16.1 s 6.4 + 6.4 s
23.6 + 26.9 s 9.5 + 9.2 s
68/8 71/8 73/8 77/7
68/8 71/8 73/8 77/7
Freely-programmed values
– please enter here –
TM3 18.4 s 8.1 s 66/8 68/8 71/8 73/8
TM4 20.1 s 10.1 s 68/8 71/8 73/8 77/7
TM5 59.1 s 25 s 68/8 71/8 73/8 77/7
TM6 63.5 s 22.9 s 68/8 71/8 73/8 77/7
S1 19.8 s 14.4 s 71/8 77/7 80/7 90/6
S2 29.9 s 16.2 s 64/8 68/8 71/8 73/8
S3 20.0 s 8.1 s 71/8 77/7 80/7 90/6
S4 33.0 s 14.1 s 64/8 68/8 71/8 73/8
MS1 57.3 s 21.7 s 73/8 77/7 80/7 85/6
Table: Possible kV/mA combinations
kV 60 60 60 60 60 62 64 66 68 71 73 77 80 85 90
mA 356788888887766
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Sirona Dental Systems GmbH 12 Program values
Program
duration
approx.
Exposure
time max.
Quickshot
Program
duration
approx.
Quickshot
Exposure
time max.
Operating Instructions ORTHOPHOS XG
12.2 Panoramic views – program values for index 4A
Plus
DS/Ceph 12.2 Panoramic views – program values for index 4A
Index 4A
Index 4A, which specifies a reduced level series for children and adolescents, must be complied with as a minimum require­ment in all new installations and systems moved from one location to another in the Federal Republic of Germany since January 1, 1999. Furthermore, this level series can also be applied worldwide. National regulations must be complied with. The table lists the maximum exposure times; depending on the slice width and slice shape selected, the actual exposure time may differ slightly.
Program Factory-programmed values
for index 4A
P1
P1A
P1C
P2
P2A
P2C
P10
P10A
P10C
P12
TM1.1 + TM1.2
TM2.1 + TM2.2
19.0 s
12.9 s
21.8 s
15.4 s
20.1 s
13.3 s
16.4 s
11.6 s
18.0 s
12.1 s
16.8 s
11.7 s
16.4 s
11.6 s
18.0 s
12.1 s
16.8 s
11.7 s
11.9 s 4.9 s 71/8 77/7 80/14 84/13
16.1 + 16.1 s 6.4 + 6.4 s
23.6 + 26.9 s 9.5 + 9.2 s
14.2 s
8.0 s
14.2 s
8.0 s
14.2 s
8.0 s
11.6 s
6.7 s
11.6 s
6.7 s
11.6 s
6.7 s
11.6 s
6.7 s
11.6 s
6.7 s
11.6 s
6.7 s
14.2 s
10.3 s
18.2 s
13.9 s
17.1 s
12.6 s
12.4 s
9.4 s
15.0 s
11.8 s
13.7 s
9.7 s
11.4 s
9.4 s
15.0 s
11.8 s
13.7 s
9.8 s
9.1 s
5.1 s
9.1 s
5.1 s
10.6 s
6.0 s
7.4 s
4.3 s
7.4 s
4.3 s
8.6 s
5.0 s
7.4 s
4.3 s
7.4 s
4.3 s
8.6 s
5.0 s
62/8 64/8 69/15 73/15
62/8 64/8 69/15 73/15
62/8 64/8
69/15
62/8 64/8 69/15
62/8 64/8
69/15
62/8 64/8 69/15
62/8 64/8 69/15
62/8 64/8 69/15
62/8 64/8 69/15
68/8 71/8 73/15 77/14
68/8 71/8
73/15 77/14
73/15
73/15
73/15
73/15
73/15
73/15
73/15
Freely-programmed values
– please enter here –
English
TM3 18.4 s 8.1 s 66/8 68/8
TM4 20.1 s 10.1 s 68/8 71/8
TM5 59.1 s 25 s 68/8 71/8
TM6 63.5 s 22.9 s 68/8 71/8 73/15
S1 19.8 s 14.4 s 71/8 77/7
S2 29.9 s 16.2 s 64/8 68/8
71/15 73/15
73/15 77/14
73/15 77/14
77/14
80/14 90/12
71/15 73/15
S3 20.0 s 8.1 s 71/8 77/7 80/14 90/12
S4 33.0 s 14.1 s 64/8 68/8 71/15 73/15
MS1 57.3 s 21.7 s 73/8 77/7
80/14 84/13
Table 1: Possible kV/mA combinations with preselected patient symbols 1 and 2
kV mA
60 60 60 60 60 62 64 66 68 71 73 77 80 85 90
356788888887766
Table 2: Possible kV/mA combinations with preselected patient symbols 3 and 4
kV 60 60 60 60 60 62 64 66 69 71 73 77 80 84 90 mA 9 1012141616161615151514141312
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12 Program values Sirona Dental Systems GmbH
Program
duration
approx.
Exposure
time max.
Quickshot
Program
duration
approx.
Quickshot
Exposure
time max.
12.3 Panoramic views – program values for index 1A Operating Instructions ORTHOPHOS XG
12.3 Panoramic views – program values for index 1A
Plus
DS/Ceph
Index 1A
As of 01/01/1999, this level series is no longer admissible in the Federal Republic of Germany. The table lists the maximum exposure times; depending on the slice width and slice shape selected, the actual exposure time may differ slightly.
Program Factory-programmed values
for index 1A
P1
P1A
P1C
P2
P2A
P2C
P10
P10A
P10C
P12
TM1.1 + TM1.2
TM2.1 + TM2.2
19.0 s
12.9 s
21.8 s
15.4 s
20.1 s
13.3 s
16.4 s
11.6 s
18.0 s
12.1 s
16.8 s
11.7 s
16.4 s
11.6 s
18.0 s
12.1 s
16.8 s
11.7 s
11.9 s 4.9 s 71/15 77/14 80/14 84/13
16.1 + 16.1 s 6.4 + 6.4 s
23.6 + 26.9 s 9.5 + 9.2 s
14.2 s
8.0 s
14.2 s
8.0 s
14.2 s
8.0 s
11.6 s
6.7 s
11.6 s
6.7 s
11.6 s
6.7 s
11.6 s
6.7 s
11.6 s
6.7 s
11.6 s
6.7 s
14.2 s
10.3 s
18.2 s
13.9 s
17.1 s
12.6 s
12.4 s
9.4 s
15.0 s
11.8 s
13.7 s
9.7 s
11.4 s
9.4 s
15.0 s
11.8 s
13.7 s
9.8 s
9.1 s
5.1 s
9.1 s
5.1 s
10.6 s
6.0 s
7.4 s
4.3 s
7.4 s
4.3 s
8.6 s
5.0 s
7.4 s
4.3 s
7.4 s
4.3 s
8.6 s
5.0 s
62/16 64/16 69/15 73/15
62/16 64/16 69/15 73/15
62/16 64/16
69/15
62/16 64/16 69/15
62/16 64/16
69/15
62/16 64/16 69/15
62/16 64/16 69/15
62/16 64/16 69/15
62/16 64/16 69/15
69/15 71/15 73/15 77/14
69/15 71/15
73/15 77/14
Freely-programmed values
– please enter here –
73/15
73/15
73/15
73/15
73/15
73/15
73/15
TM3 18.4 s 8.1 s 66/16 69/15
TM4 20.1 s 10.1 s 69/15 71/15
TM5 59.1 s 25.0 s 69/15 71/15
TM6 63.5 s 22.9 s 69/15 71/15 73/15
S1 19.8 s 14.4 s 71/15 77/14
S2 29.9 s 16.2 s 64/16 69/15
71/15 73/15
73/15 77/14
73/15 77/14
77/14
80/14 90/12
71/15 73/15
S3 20.0 s 8.1 s 71/15 77/14 80/14 90/12
S4 33.0 s 14.1 s 64/16 69/15 71/15 73/15
MS1 57.3 s 21.7 s 73/15 77/14
80/14 84/13
Table: Possible kV/mA combinations
kV
mA
60 60 60 60 60 62 64 66 69 71 73 77 80 84 90
9 1012141616161615151514141312
59 87 594 D 3352
100 D 3352.201.01.14.02
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