General information Sirona Dental Systems GmbHOperating Instructions ORTHOPHOS XG
Plus
DS/Ceph
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.
Plus
Your ORTHOPHOS XG
Team
Plus
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 GmbHContents
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph
Contents
1Warning and safety information .............................................................................. 5
16.1Via the Easypad touchscreen .......................................................................................................... 110
16.2Via web browser on the PC ............................................................................................................. 112
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Sirona Dental Systems GmbH1 Warning and safety information
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph1.1 General safety information
1Warning and safety information
1.1General safety information
Identification of warning and safety informationTo 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 usedObserve accompanying documents
(on rating plate)
Intended useThis 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 repairAs 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.
English
Modifications to the systemModifications 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 equipmentPermissible combinations are specified in the
Declaration of Conformity by the system integrator.
The Declaration of Conformity is included in the technical documentation.
Ventilation slotsUnder 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
Plus
DS/Ceph
X-rays of patientsX-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
Plus
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 sensorTo 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 GmbH1 Warning and safety information
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph1.1 General safety information
Emergency StopIf 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 protectionThe 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 informationThe 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.
English
Suitable hygienic measures must be taken to prevent
cross contamination among patients, users and other
persons.
Dismantling and reassemblyWhen 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
Plus
DS/Ceph
DisposalIt 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 GmbH1 Warning and safety information
ATTENTION
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph1.2 ESD protective measures
1.2ESD 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
English
1.3About 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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9
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
Plus
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 GmbH2 T echnical description
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph
2Technical 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
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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2 Technical description Sirona Dental Systems GmbH
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph
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 GmbH2 T echnical description
0123
Operating Instructions ORTHOPHOS XG
TSA exposure:
Sensor (image receptor):
TSA senor type:Digital CCD line sensor, pluggable for
Plus
DS/Ceph
panoramic or ceph exposure technique
Active sensor area, TSA type60 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
English
Communication interface:RJ45 for LAN cable
Plus
ORTHOPHOS XG
ORTHOPHOS XG
ORTHOPHOS XG
ORTHOPHOS XG
Original language:German
Reg. No.: ChinaSFDA (I) 20053301583
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DS/Ceph complies with IEC 601-2-28/1993
Plus
DS/Ceph complies with IEC 601-1-3/1994
Plus
DS/Ceph complies with IEC 601-2-7/1998
Plus
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
13
2 Technical description Sirona Dental Systems GmbH
060120180240300360420480540600 660720
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20
30
40
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60
70
80
90
100
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120
130
HUx10
4
t
min
1 HU = 1.35 Joule
0123456
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10
15
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min
t
25
HUx10
3
1HU = 1,35 Joule
0123456
5
10
15
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min
t
25
HUx10
3
1HU = 1,35 Joule
SR 90/15OCX 100
78
30
0123456
130
h
t
HUx10
4
1 HU = 1.35 Joule
Anode angle
Central X-ray beam
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph
Abkühlkurve der Röntgenröhre
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Heating curve of tube housing
Central X-ray beam/anode angle
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Sirona Dental Systems GmbH2 T echnical description
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph
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
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.
English
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
3.1 Operating and Display Elements Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph
3Controls and functional elements
3.1Operating 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 GmbH3 Controls and functional elements
ATTENTION
60
90
120
70
80
100
110
2
0
3
0
4
0
5
0
6090120
70 80100 110
20
30
40
50
9
23
19
2021
22
23
8
8
25
25
24
24
20
26
18
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph3.1 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
English
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
PAN
TS
Filmkassette einlegen
1260
64
68kV
8mA
?
P6.1
12,1s
14s
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.
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Sirona Dental Systems GmbH3 Controls and functional elements
SID=19,6”
6
x12”
SID=19,6”
6x12”
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/Ceph3.2 General touchscreen functions
3.2General 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
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
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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-viewsand 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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R
L
R
L
R
L
R
L
HalbseiterechtsHalbseitelinks
R
L
R
L
R
L
R
EinzelquadrantrechtsEinzelquadrantlinks
L
L
Right individual quadrant
Left individual quadrant
Right half-viewLeft half-view
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph3.2 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
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21
3 Controls and functional elements Sirona Dental Systems GmbH
NOTE
i
CEPH
PANPAN
1260
10
64kV
8mA
?
P1
SID=19,6”
6
x12”
SID=19,6”
6x12”
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
x12”
SID=19,6”
6x12”
64
64
14,1s
10
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
8
8
8
9
10
SID=19,6”
6
x12”
SID=19,6”
6x12”
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 GmbH3 Controls and functional elements
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
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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.
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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/Ceph3.2 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.
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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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Sirona Dental Systems GmbH3 Controls and functional elements
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
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27
T
R
C
E
P
H
CEPH
PA
N
PAN
T
S
TS
L
S
LS
Film
kassette einrasten
Filmkassette einrasten
1260
64
62kV8
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
4Accessories
4.1Rests 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 GmbH4 Accessories
2
1
“2“
“1“
2
1
2
1
L
R
“1“
“2“
“R“
“L“
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph4.2 Important when inserting the temporomandibular joint supports
4.2Important 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
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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
4.3Protective 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
SFor bite block
(500 pieces) Order No. 33 14 072
Dimensions: 43 mm x 21 mm
TFor 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
VProtective 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 GmbH4 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/Ceph4.4 Protective covers for cephalometer
4.4Protective 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
4.5Accessories for transversal slices TSA
YTSA 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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5 Program group panoramic images Sirona Dental Systems GmbH
SID=19,6”
6
x12”
SID=19,6”
6x12”
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
5Program group panoramic images
5.1P1 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.
32D 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.
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Sirona Dental Systems GmbH5 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
5.2P2 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.
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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
5.3P10 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.
34D 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.
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Sirona Dental Systems GmbH5 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/Ceph5.4 P12 Slice thickness – anterior tooth region
5.4P12 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
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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
TM1.1TM1.2TM1.2TM1.1
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
6Program group temporomandibular
joint (TMJ) views
6.1TM1.1/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 GmbH6 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
TM2.1TM2.2TM2.2TM2.1
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph 6.2 TM2.1/TM2.2 Temporomandibular joints in posterior – anterior projection with
6.2TM2.1/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
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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
•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 GmbH6 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/Ceph6.4 TM4 T emporomandibular joints in posterior/anterior projection
6.4TM4 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
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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
•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.
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Sirona Dental Systems GmbH6 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/Ceph6.6 TM6 Temporomandibular joints, multislice in posterior - anterior projection
6.6TM6 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
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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
•Lower edge of mandible horizontal.
The line displayed on the touchscreen head symbol
is used here for orientation only.
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Sirona Dental Systems GmbH9 Operation
ATTENTION
ATTENTION
ATTENTION
CEPH
TS
LS
CEPH
TS
LS
P1
T
R
ORTHOPHOSXG
Plus
32
33
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph9.1 Preparing the exposure
9Operation
9.1Preparing 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!
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47
9 Operation Sirona Dental Systems GmbH
NOTE
i
ATTENTION
T
R
CEPH
12,1s
PAN
ORTHOPHOSistaufnahmebereit
64kV
8mA
?
P1
14,1s
CEPH
TS
SID=19,6”
6
x12”
SID=19,6”
6x12”
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.
48D 3352.201.01.14.02
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Sirona Dental Systems GmbH9 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/Ceph9.1 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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9 Operation Sirona Dental Systems GmbH
9.2 Option: Execution of exposures from a SIDEXIS exposure template Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph
9.2Option: 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.
•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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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
s14,2s
AE
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 GmbH9 Operation
NOTE
i
NOTE
i
CEPH
PAN
TS
LS
Film
kassette e
inrasten
1260
64
62kV8m
A
?
P6.1
12,1s
CEPH
PANPAN
TS
LS
Filmkassette
einlegenFilmkassetteeinlegen
1260
64
68kV68kV8mA
?
P6
12,8s
A
E
C
FH
A
B
2
31
30
28
C
FH
29
37
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph9.3 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.
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•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.
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Sirona Dental Systems GmbH9 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/Ceph9.3 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
62kV8
m
A
?
P6.1
12,1s
CEPH
PANPAN
TS
LS
Filmkassette
einlegenFilm
kassette
einlegen
1260
64
68kV
8mA
?
P6
12,8s
A
EC
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.
•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.
57
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
9.4Finishing 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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Sirona Dental Systems GmbH9 Operation
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/Ceph9.5 Making the basic settings in program level 3
9.5Making 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
9.6Changing 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
x12”
SID=19,6”
6x12”
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
9.7Selecting 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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Sirona Dental Systems GmbH9 Operation
NOTE
i
NOTE
i
ATTENTION
ATTENTION
NOTE
i
T
R
CE
P
H
CEPH
PA
N
PAN
T
S
TS
LS
LS
F
ilm
ka
sse
tt
e e
in
ra
st
en
Filmkassette einrasten
1
26
0
6
4
62kV8m
A
8mA
?
P6.1P6.1
12,1
s
12,1s
i
i
i
i
T
R
CEPH
PAN
Gerät aufnahmebereit
1260
10
62kV8mA
?
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/Ceph9.8 Releasing the exposure
9.8Releasing 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.
59 87 594 D 3352
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Sirona Dental Systems GmbH9 Operation
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/Ceph9.9 Remote control
9.9Remote 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.
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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
PANTS
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
PANTS
9,1s
64kV
16mA
?
CEPH
C4
1260
9,1s
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
PANTS
73kV
15mA
?
CEPH
C3
1260
9,4s
9,4s
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
10.1Preparing 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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Sirona Dental Systems GmbH10 Cephalometric exposures (CEPH)
NOTE
i
PANTS
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/Ceph10.1 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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65
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
62kV8mA8mA
?
P6.1
12,1s
CE
P
H
CEPH
PANPA
N
TS
Filmkassette
einlegenFilm
kassette
einlegen
1
2
60
68kV
P6
12,8s
A
EC
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
10.2Preparations 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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Sirona Dental Systems GmbH10 Cephalometric exposures (CEPH)
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/Ceph10.3 Positioning a ceph patient
Fitting the hygienic protective covers
W For nose support,
disposable
(100 pieces) Order No. 33 14 106
XFor ear plugs,
reusable (sterilizable)
(20 pieces) Order No. 89 32 261
10.3Positioning 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
PANTS
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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Sirona Dental Systems GmbH10 Cephalometric exposures (CEPH)
PANTS
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/Ceph10.3 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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59 87 594 D 3352
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. 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
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71
PANTS
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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Sirona Dental Systems GmbH10 Cephalometric exposures (CEPH)
ATTENTION
PANTS
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/Ceph10.3 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
PANTS
73kV
15mA
?
CEPH
C3
1260
9,4s
9,4s
1260
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
PANTS
77kV
14mA
?
CEPH
C3
1260
9,4s
9,4s
1260
77kV
14mA
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
PANTS
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
10.4Select 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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Sirona Dental Systems GmbH10 Cephalometric exposures (CEPH)
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/Ceph10.5 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.
10.5Making 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).
10.6Changing 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).
59 87 594 D 3352
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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
PANTS
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
10.7Releasing 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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Sirona Dental Systems GmbH10 Cephalometric exposures (CEPH)
ATTENTION
2
0
3
0
4
0
5
0
CEPH
C3
A
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph10.7 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 GmbH11 Transversal slices (TSA)
ATTENTION
CEPHN
TS
TS
LS
LS
CEPH
TS
PAN +TSA
CEPH + TSA
B
A
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph1 1.1 Preparing a TSA exposure
11Transversal slices (TSA)
11.1Preparing 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.
80D 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.
59 87 594 D 3352
Sirona Dental Systems GmbH11 Transversal slices (TSA)
ATTENTION
NOTE
i
NOTE
i
SID=19,6”
6
x12”
SID=19,6”
6x12”
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
x12”
SID=19,6”
6x12”
CEPH
PAN
62kV
8mA
?
TS
6,7s
1421
0
0mm
H322 - Select quadrantH322 - Select quadrant
SID=19,6”
6
x12”
SID=19,6”
6x12”
CEPH
PAN
TS
62kV
8mA
?
TS
6,7s
1421
0
0mm
LR
H322 - Select quadrantH322 - Select quadrant
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph1 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.
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11 Transversal slices (TSA) Sirona Dental Systems GmbH
SID=19,6”
6
x12”
SID=19,6”
6x12”
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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Sirona Dental Systems GmbH11 Transversal slices (TSA)
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/Ceph1 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
x12”
SID=19,6”
6x12”
CEPH
PAN
71kV
12mA
?
TS
9,7s
1421
0
50mm
2
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
SID=19,6”
6
x12”
SID=19,6”
6x12”
CEPH
PAN
71kV
12mA
?
TS
9,0s
1421
0
30mm
2
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
SID=19,6”
6
x12”
SID=19,6”
6x12”
CEPH
PAN
62kV
8mA
?
TS
6,7s
1421
0
10mm
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
8
SID=19,6”
6
x12”
SID=19,6”
6x12”
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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Sirona Dental Systems GmbH11 Transversal slices (TSA)
NOTE
i
SID=19,6”
6
x12”
SID=19,6”
6x12”
CEPH
PAN
71kV
12mA
TS
9,7s
1421
0
50mm
?
2
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
SID=19,6”
6
x12”
SID=19,6”
6x12”
CEPH
PAN
71kV
12mA
?
TS
9,0s
1421
0
30mm
2
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
SID=19,6”
6
x12”
SID=19,6”
6x12”
CEPH
PAN
62kV
10mA
?
TS
6,7s
1421
0
10mm
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
SID=19,6”
6
x12”
SID=19,6”
6x12”
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/Ceph1 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
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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Sirona Dental Systems GmbH11 Transversal slices (TSA)
ATTENTION
2
3
1
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph11.2 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
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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Sirona Dental Systems GmbH11 Transversal slices (TSA)
ATTENTION
A
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph11.2 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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11 Transversal slices (TSA) Sirona Dental Systems GmbH
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.
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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Sirona Dental Systems GmbH11 Transversal slices (TSA)
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/Ceph11.3 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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11 Transversal slices (TSA) Sirona Dental Systems GmbH
NOTE
i
SID=19,6”
6
x12”
SID=19,6”
6x12”
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
x12”
SID=19,6”
6x12”
CEPH
PAN
?
TS
9,7s
1421
0
45mm
77kV
11mA
6
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
SID=19,6”
6
x12”
SID=19,6”
6x12”
CEPH
PAN
73kV
12mA
?
TS
9,7s
1421
0
45mm
2
ORTHOPHOS is ready for exposureORTHOPHOS is ready for exposure
SID=19,6”
6
x12”
SID=19,6”
6x12”
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
11.4Preselecting 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 GmbH11 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/Ceph11.5 Program settings, basic settings, startup settings
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
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).
11.6TSA 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.
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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Sirona Dental Systems GmbH11 Transversal slices (TSA)
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/Ceph11.7 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.
59 87 594 D 3352
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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
12Program values
12.1Panoramic 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.
ProgramFactory-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
62/864/868/873/8
62/864/868/873/8
62/864/868/873/8
62/864/868/873/8
62/864/868/873/8
62/864/868/873/8
62/864/868/873/8
62/864/868/873/8
62/864/868/873/8
P1211.9 s4.9 s71/877/780/785/6
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
68/871/873/877/7
68/871/873/877/7
Freely-programmed values
– please enter here –
TM318.4 s8.1 s66/868/871/873/8
TM420.1 s10.1 s68/871/873/877/7
TM559.1 s25 s68/871/873/877/7
TM663.5 s22.9 s68/871/873/877/7
S119.8 s14.4 s71/877/780/790/6
S229.9 s16.2 s64/868/871/873/8
S320.0 s8.1 s71/877/780/790/6
S433.0 s14.1 s64/868/871/873/8
MS157.3 s21.7 s73/877/780/785/6
Table: Possible kV/mA combinations
kV606060606062646668717377808590
mA356788888887766
59 87 594 D 3352
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Sirona Dental Systems GmbH12 Program values
Program
duration
approx.
Exposure
time max.
Quickshot
Program
duration
approx.
Quickshot
Exposure
time max.
Operating Instructions ORTHOPHOS XG
12.2Panoramic views – program values for index 4A
Plus
DS/Ceph12.2 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.
ProgramFactory-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 s4.9 s71/877/780/14 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
62/864/869/15 73/15
62/864/869/15 73/15
62/864/8
69/15
62/864/869/15
62/864/8
69/15
62/864/869/15
62/864/869/15
62/864/869/15
62/864/869/15
68/871/873/15 77/14
68/871/8
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
TM318.4 s8.1 s66/868/8
TM420.1 s10.1 s68/871/8
TM559.1 s25 s68/871/8
TM663.5 s22.9 s68/871/873/15
S119.8 s14.4 s71/877/7
S229.9 s 16.2 s64/868/8
71/15 73/15
73/15 77/14
73/15 77/14
77/14
80/14 90/12
71/15 73/15
S320.0 s8.1 s71/877/780/14 90/12
S433.0 s14.1 s64/868/871/15 73/15
MS157.3 s21.7 s73/877/7
80/14 84/13
Table 1: Possible kV/mA combinations with preselected patient symbols 1 and 2
kV
mA
606060606062646668717377808590
356788888887766
Table 2: Possible kV/mA combinations with preselected patient symbols 3 and 4
kV 606060606062646669717377808490
mA 9 1012141616161615151514141312
59 87 594 D 3352
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99
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
12.3Panoramic 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.
ProgramFactory-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 s4.9 s71/15 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
TM318.4 s8.1 s66/16 69/15
TM420.1 s10.1 s69/15 71/15
TM559.1 s25.0 s69/15 71/15
TM663.5 s22.9 s69/15 71/15 73/15
S119.8 s14.4 s71/15 77/14
S229.9 s16.2 s64/16 69/15
71/15 73/15
73/15 77/14
73/15 77/14
77/14
80/14 90/12
71/15 73/15
S320.0 s8.1 s71/15 77/14 80/14 90/12
S433.0 s14.1 s64/16 69/15 71/15 73/15
MS157.3 s21.7 s73/15 77/14
80/14 84/13
Table: Possible kV/mA combinations
kV
mA
606060606062646669717377808490
9 1012141616161615151514141312
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