Sirona Orthophos XG User Manual

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General information	Sirona Dental Systems GmbH
	Operating Instructions ORTHOPHOS XGPlus DS/Ceph

General information

Dear customer,	Thank you for purchasing your ORTHOPHOS XG Plus
	panoramic X-ray unit from Sirona.
	This system enables you to take standard views (jaw
	area), sinus views (maxillary sinuses) and temporoman-
	dibular 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 con-
	stancy tests at regular intervals in order to ensure the
	safety of operating staff and patients.
	Your ORTHOPHOS XG Plus Team

Maintenance	In the interest of the safety and health of patients, users
	and other persons, inspection and preventive mainte-
	nance 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 result-
	ing damage.

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Sirona Dental Systems GmbH	Contents
Operating Instructions ORTHOPHOS XGPlus DS/Ceph

Contents

1	Warning and safety information ..............................................................................		5
	1.1	General safety information................................................................................................................	5
	1.2	ESD protective measures .................................................................................................................	9
	1.3	About the physics of electrostatic charges .......................................................................................	9

2	Technical description ...............................................................................................			11
3	Controls and functional elements ...........................................................................			16
	3.1	Operating and Display Elements ......................................................................................................		16
	3.2	General touchscreen functions .........................................................................................................		19
4	Accessories ...............................................................................................................			28
	4.1	Rests and supports for panoramic exposures ..................................................................................		28
	4.2	Important when inserting the temporomandibular joint supports ......................................................		29
	4.3	Protective covers for panoramic exposures......................................................................................		30
	4.4	Protective covers for cephalometer ..................................................................................................		31
	4.5	Accessories for transversal slices TSA.............................................................................................		31
5	Program group panoramic images..........................................................................			32
	5.1	P1	Standard panoramic view, P1 A artifact-reduced,
		P1	C with a constant magnification factor of 1.25.............................................................................	32
	5.2	P2 normal view, limited to teeth without ascending rami,
		P2	A artifact-free, P2 C with a constant magnification factor of 1.25................................................	33
	5.3	P10 normal view for children with significant dose reduction,
		P10 A artifact-free, P10 C with a constant magnification factor of 1.25............................................		34
	5.4	P12 Slice thickness – anterior tooth region ......................................................................................		35
6	Program group temporomandibular joint (TMJ) views..........................................			36
	6.1	TM1.1/TM1.2 Temporomandibular joints lateral with closed and open mouth in one image............		36
	6.2	TM2.1/TM2.2 Temporomandibular joints in posterior – anterior projection with closed and
		open mouth in one image .................................................................................................................		37
	6.3	TM3 Temporomandibular joints lateral, ascending rami...................................................................		38
	6.4	TM4 Temporomandibular joints in posterior/anterior projection .......................................................		39
	6.5	TM5 Temporomandibular joints lateral, multislice ............................................................................		40
	6.6	TM6 Temporomandibular joints, multislice in posterior - anterior projection ....................................		41
7	Program group sinus views .....................................................................................			42
	7.1	S1	Paranasal sinuses .......................................................................................................................	42
	7.2	S2	Maxillary sinuses with two views in one image ...........................................................................	43
	7.3	S3	Paranasal sinuses (linear slice orientation).................................................................................	44
	7.4	S4	Maxillary sinuses with two views in one image (linear slice orientation) .....................................	45
8	Program group multislice views ..............................................................................			46
	8.1	MS1 Multislice (posterior tooth region) .............................................................................................		46

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Contents	Sirona Dental Systems GmbH
	Operating Instructions ORTHOPHOS XGPlus DS/Ceph

9	Operation ....................................................................................................................		47
	9.1	Preparing the exposure....................................................................................................................	47
	9.2	Option: Execution of exposures from a SIDEXIS exposure template ..............................................	50
	9.3	Positioning the patient......................................................................................................................	51
	9.4	Finishing the preparations (panoramic views) .................................................................................	58
	9.5	Making the basic settings in program level 3 ...................................................................................	59
	9.6	Changing the startup settings in program level 4.............................................................................	59
	9.7	Selecting the exposure parameters .................................................................................................	60
	9.8	Releasing the exposure ...................................................................................................................	61
	9.9	Remote control.................................................................................................................................	63

10	Cephalometric exposures (CEPH)............................................................................		64
	10.1	Preparing a cephalometric exposure (CEPH function) ....................................................................	64
	10.2	Preparations on the cephalometer...................................................................................................	66
	10.3	Positioning a ceph patient................................................................................................................	67
	10.4	Select exposure data .......................................................................................................................	74
	10.5	Making the basic settings in program level 3 ...................................................................................	75
	10.6	Changing the startup settings in program level 4.............................................................................	75
	10.7	Releasing a cephalometric exposure...............................................................................................	76

11

12

13

14

15

Transversal slices (TSA) ...........................................................................................		79
11.1	Preparing a TSA exposure...............................................................................................................	79
11.2	Patient positioning............................................................................................................................	86
11.3	TSA universal bite block ..................................................................................................................	90
11.4	Preselecting the exposure settings and releasing the exposure......................................................	92
11.5	Program settings, basic settings, startup settings............................................................................	93
11.6	TSA exposure with TSA slice orientation.........................................................................................	94
11.7	Slice orientations..............................................................................................................................	96
Program values ..........................................................................................................		98
12.1	Panoramic views – program values for index 2A.............................................................................	98
12.2	Panoramic views – program values for index 4A.............................................................................	99
12.3	Panoramic views – program values for index 1A.............................................................................	100
12.4	Program values for cephalometric exposures..................................................................................	101
12.5	TSA exposure values.......................................................................................................................	102
List of messages ........................................................................................................		105
13.1	List of help messages ......................................................................................................................	105
13.2	Error message structure ..................................................................................................................	106
Care of outer surfaces ...............................................................................................		108
Inspection and maintenance.....................................................................................		109
15.1	Annual check performed by the system owner or other authorized persons ...................................	109
15.2	Maintenance by the service engineer ..............................................................................................	109
15.3	Image quality check .........................................................................................................................	109

16	Activating functions...................................................................................................		110
	16.1	Via the Easypad touchscreen ..........................................................................................................	110
	16.2	Via web browser on the PC .............................................................................................................	112

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Sirona Dental Systems GmbH	1 Warning and safety information
Operating Instructions ORTHOPHOS XGPlus DS/Ceph	1.1 General safety information

1 Warning and safety information

1.1	General safety information
Identification of warning and safety information		To prevent any personal injury or material damage,
		please observe the warning and safety information pro-
		vided in the present operating instructions. All such infor-
		mation is highlighted by the signal words NOTE,
		ATTENTION or WARNING.
Symbols used		Observe accompanying documents
		(on rating plate)
Intended use		This system is intended for generating panoramic or
		cephalometric X-ray images.
		This system must not be used in areas subject to explo-
		sion hazards.
Maintenance and repair		As manufacturers of medical electrical equipment we
		can assume responsibility for the safety-related features
		of the equipment only if maintenance and repair are
		carried out only by ourselves or agencies expressly
		authorized by us, and if components affecting safe oper-
		ation 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.
Modifications to the system		Modifications to this system which might affect the safety
		of the system owner, patients or other persons are pro-
		hibited by law!
		For reasons of product safety, this product may be
		operated only with original Sirona accessories or
		third-party accessories expressly approved by Sirona.
		The user assumes the risk of using non-approved
		accessories.
Combination with other equipment		Permissible combinations are specified in the
		Declaration of Conformity by the system integrator.
		The Declaration of Conformity is included in the techni-
		cal documentation.
Ventilation slots		Under no circumstances may the ventilation slots on the
		unit be covered, since otherwise the air circulation will be
		obstructed.

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

English

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1 Warning and safety information	Sirona Dental Systems GmbH
1.1 General safety information	Operating Instructions ORTHOPHOS XGPlus DS/Ceph
X-rays of patients	X-rays of patients must be taken only when the system
	works without errors.
	The system may only be operated by skilled or prop-
	erly trained personnel.
	The movements of the unit must not be obstructed by
	physical constitution nor clothing, dressings, wheel-
	chairs 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 unin-
	tended electromagnetic effects: The ORTHOPHOS
	XGPlus DS/Ceph acquisition unit is Class B equipment
	(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. There-
	fore, the use of mobile wireless phones in practice or
	hospital environments must be prohibited.
	Please also observe the ESD protective measures in
	Chapter 1.2.
Removing the sensor	To remove the sensor, hold it firmly, press the pushbutton
	fully in and hold it down. Remove the sensor from its
	holder by pulling it downward.
	DO NOT DROP THE SENSOR!

Precautionary measures when switching on the unit

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.

Following extreme changes in temperature, condensation may occur; therefore, please do not switch the system on until it has reached normal room temperature (see chapter “Technical description”).

No patient may be positioned in the unit during power-on.

In case of an error that requires switching the unit off and back on again, the patient must be removed from the unit, at the latest before switching the unit on again!

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Sirona Dental Systems GmbH

Operating Instructions ORTHOPHOS XGPlus DS/Ceph

Emergency Stop

Disturbance of electronic devices worn on the patient’s body

Radiation protection

Hygiene information

Dismantling and reassembly

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1 Warning and safety information

1.1 General safety information

If any parts of the unit happen to touch the patient during
the rotary movement (PAN exposure) or during the scan
movement (cephalometric exposure), let go of the expo-	English
data storage devices, e.g. radio-controlled watches,
sure release button (X-Ray) immediately or stop the unit
by actuating the unit main switch or an Emergency Stop
switch!
To prevent the malfunctioning of electronic devices and
telephone cards, etc., these objects must be removed
prior to X-raying.
The valid radiation protection regulations must be
observed.
The operator should move as far away from the X-ray
tube assembly as allowed by the coiled cable of the
exposure release button.
The statutory radiation protection equipment must be
used.
With the exception of the patient, no other persons
without radiation protection are allowed to stay in the
room. In exceptional cases, a third person may provide
assistance, but not the practice staff. During the whole
exposure, visual contact with the patient and the unit
must be maintained.
In case of malfunctions, cancel the exposure immedi-
ately by letting go of the exposure release button.
The protective covers must be exchanged and the ster-
ilizable accessories must be resterilized for each new
patient to prevent any transmission of infective agents
which might cause serious illnesses.
Suitable hygienic measures must be taken to prevent
cross contamination among patients, users and other
persons.
When dismantling and reassembling the system, pro-
ceed according to the installation instructions for new
installation in order to guarantee its proper functioning
and stability.

7

1 Warning and safety information	Sirona Dental Systems GmbH
1.1 General safety information	Operating Instructions ORTHOPHOS XGPlus DS/Ceph

Disposal

Laser light localizer used

It generally applies that any disposal of this product must comply with the relevant national regulations. Please observe the regulations applicable in your country.

Within the European Economic Community, Council Directive 2002/96/EU (WEEE) requires environmentally sound recycling/disposal of electrical and electronic devices.

Your product is marked with the adjacent symbol. Disposal of your product with domestic

refuse is not compatible with the objectives of environmentally sound recycling/disposal.

The black bar underneath the "garbage can" symbol means that it was put into circulation after Aug. 13, 2005 (see EN 50419:2005).

Please note that this product is subject to Council Directive 2002/96/EU (WEEE) and the applicable national law of your country and must be recycled or disposed of in an environmentally sound manner.

The X-ray tube assembly of this product contains a tube with a potential implosion hazard, a small amount of beryllium, a lead lining and mineral oil.

The unit contains counterbalancing weights made of lead.

Please contact your dealer if final disposal of your product is required.

The system incorporates Class 1 laser products.

The light localizers are intended for correct patient positioning. They must not be used for any other purposes.

A minimum distance of 100mm between the eye and the laser is required. Do not stare into the beam. Safe operation is described in chapter “9.3 Positioning the patient”.

The light localizers must be switched on only when they work properly and without errors. Repair work must be carried out by authorized staff only.

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Sirona Dental Systems GmbH	1 Warning and safety information
Operating Instructions ORTHOPHOS XGPlus DS/Ceph	1.2 ESD protective measures

1.2 ESD protective measures

ESD stands for ElectroStatic Discharge.

ATTENTION

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 UNIT, the protective ground 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.

1.3 About the physics of electrostatic charges

ESD stands for ElectroStatic Discharge. Electrostatic discharge must be preceded by electrostatic charging.

Static electric charges generally build up whenever two bodies are rubbed against each other, e.g. when walking (shoe soles against the floor) or driving a vehicle (tires against the street pavement). The amount of charge depends on several factors:

Thus the charge is higher in an environment with low air humidity than in one with high air humidity; it is also higher with synthetic materials than with natural materials (clothing, floor coverings).

The following rule of thumb can be applied to assess the transient voltages resulting from an electrostatic discharge.

An electrostatic discharge is:

• perceptible at 3,000 V or higher

English

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1 Warning and safety information

1.3 About the physics of electrostatic charges

1 nanosecond = 1/1.000.000,000 second =

1 billionth of a second

10

Sirona Dental Systems GmbH

Operating Instructions ORTHOPHOS XGPlus DS/Ceph

•audible at 5,000 V or higher (cracking, crackling)

•visible at 10,000 V or higher (arc-over)

The transient currents resulting from these discharges have a magnitude of 10 amperes. They are not hazardous for humans because they last for only several nanoseconds.

Voltage differentials exceeding 30,000 volts per centimeter may lead to a charge transfer (electrostatic discharge, lightning, arc-over).

Integrated circuits (logical circuits and microprocessors) are used in order to implement a wide variety of functions in dental/X-ray/CEREC systems. The circuits must be miniaturized to a very high degree in order to include as many functions as possible on these chips. This leads to structure thicknesses as low as a few ten thousandths of a millimeter.

It is obvious that integrated circuits which are connected to plugs leading outside of the unit via cables are sensitive to electrostatic discharge. Even voltages which are imperceptible to the user can cause breakdown of the structures, thus leading to a discharge current which melts the chip in the affected areas. Damage to individual integrated circuits may cause malfunction or failure of the system.

To prevent this from happening, the ESD warning label next to the plug warns of this hazard.

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Sirona Dental Systems GmbH	2 Technical description
Operating Instructions ORTHOPHOS XGPlus DS/Ceph

2 Technical description

Model designation:	ORTHOPHOS XGPlus DS/Ceph
Nominal voltage:	200 – 240 V
Permissible deviation:	± 10 %
Permissible drop under load:	10 %
Rated current:	12 A
Nominal power output:	2 kW at 90 kV/12 mA with any radiation time
Nominal frequency:	50/60 Hz
Internal line impedance:	max. 0.8 Ohm
Main building fuse:	25 A slow-blow (16 A for standalone connection)
Power consumption:	2 kVA
Power output of tube assembly:	90 kV/12 mA = 1080 W with any radiation time
Tube voltage:	60 – 90 kV (for 90 kV max. 12 mA)
Tube current:	3 – 16 mA (at 16 mA max. 66 kV)
Maximum setting range:	60 kV/3 mA to 90 kV/12 mA
High-voltage waveform:	High-frequency multipulse
	Residual ripple ≤ 4 kV
Program duration:	see chapter 12
Exposure time:	see chapter 12
Image acquisition scale:	For P1, normal dental arch (slice center) approx. 1:1.19,
	i.e. the acquired image is magnified by approx. 19 % on aver-
	age 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:

English

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2 Technical description

Automatic exposure blocking (see page 46):

Class I device

Degree of protection against electric shock: Degree of protection against ingress of water:

Year of manufacture:

Mode of operation:

Long-term power output:

Anode material:

Exposure parameters for determining leakage radiation:

Transport and storage temperature: Air humidity:

Admissible operating temperature:

Panoramic exposures:

Sensor (image receptor):

Pan sensor type:

Active sensor area, Pan type:

Detail resolution:

Focus/sensor distance:

Cephalometric exposures:

Sensor (image receptor):

Ceph sensor type:

Active sensor area, Ceph type:

Detail resolution:

Focus-sensor distance:

12

Sirona Dental Systems GmbH

Operating Instructions ORTHOPHOS XGPlus DS/Ceph

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.

Type B equipment

Ordinary device

(without protection against ingress of water)

(on the rating plate)

Continuous operation

100 W

Tungsten

1.1 mA/90 kV

-10 °C – +70 °C (14 °F – 158 °F)

10 % – 95 %

Acc. to IEC 601-1 between +10 °C and +40 °C (50 °F – 104 °F)

Digital CCD line sensor, pluggable for panoramic exposure technique

138 x 6.48 mm

0.027 mm pixel size

497 mm

Digital CCD line sensor, pluggable for panoramic or ceph exposure technique

230 mm x 6.48 mm

0.027 mm pixel size

1.714 mm

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Sirona Dental Systems GmbH	2 Technical description
Operating Instructions ORTHOPHOS XGPlus DS/Ceph

TSA exposure:

Sensor (image receptor):

TSA senor type:

Active sensor area, TSA type

Detail resolution:

Focus-sensor distance:

X-ray tube:

Minimum requirements for PC systems:

Hard disk:

RAM:

Drives:

Operating system:

Graphics system:

Network:

Communication interface:

Digital CCD line sensor, pluggable for panoramic or ceph exposure technique

60 mm x 20 mm

0.0195 mm pixel size

497 mm

SR 90/15 from Siemens or

OCX 100 CEI

>4 GB/database

>50 MB/SIDEXIS installation

min. 256 MB

CD-ROM

MOD drive, min. 640 MB (once per system/network)

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.

Min. resolution 1024 x 768 pixels, min. color depth 8 bits

10/100 MBit Ethernet

RJ45 for LAN cable

ORTHOPHOS XGPlus DS/Ceph complies with IEC 601-2-28/1993

ORTHOPHOS XGPlus DS/Ceph complies with IEC 601-1-3/1994

ORTHOPHOS XGPlus DS/Ceph complies with IEC 601-2-7/1998

ORTHOPHOS XGPlus DS/Ceph complies with AS/NZS 3200.1.0

Original language:			German
Reg. No.: China			SFDA (I) 20053301583
							This product bears the CE mark in accordance with
							the provisions of Council Directive 93/42/EEC of
							June 14, 1993 concerning medical devices.
	0123
							Cooling curve of tube housing
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English

2 Technical description	Sirona Dental Systems GmbH
	Operating Instructions ORTHOPHOS XGPlus DS/Ceph

	HUx104		1 HU = 1.35 Joule
130
120
110
100
90
80
70
60
50
40
30
20
10																	t
0	60		120	180	240	300		360	420	480	540		600	660	720		min
											Abkühlkurve der Röntgenröhre
SR 90/15									OCX 100
									30	HUx103	1HU = 1,35 Joule
25	HUx103		1HU = 1,35 Joule						25
20									20
15									15
10									10
5									5
							t											t
0	1	2	3	4	5	6	min		0	1	2	3	4	5	6	7	8	min

Heating curve of tube housing

	HUx104		1 HU = 1.35 Joule
130
							t
0	1	2	3	4	5	6	h

Central X-ray beam/anode angle

Central X-ray beam

Anode angle

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Sirona Dental Systems GmbH	2 Technical description
Operating Instructions ORTHOPHOS XGPlus 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 Image detail selectable upper jaw/lower jaw and single quadrants P1A/C, P2/A/C, P10/A/C Selectable upper jaw/lower jaw image detail P12

Temporomandibular joint views TM3, TM4, TM5, TM6 Sinus views S3, S4

Program setting for “jaw shape” selectable.

Quickshot function possible (for Pan P1, P2, P10 and Ceph C1 to C4).

Execution of exposure templates from SIDEXIS possible without cooling periods, e.g.: orthodontic image series P1 - C3 - C4.

Welcome screen with patient data from SIDEXIS.

Ceph – no shadowing in the upper cranial region preselectable for programs C3 and C3 F. Ceph – shadowing in the thyroid area for programs C1 and C2 can be preselected.

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.

English

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3 Controls and functional elements	Sirona Dental Systems GmbH
3.1 Operating and Display Elements	Operating Instructions ORTHOPHOS XGPlus DS/Ceph

3 Controls and functional elements

3.1 Operating and Display Elements

1	2	3	4	5	6	7	8	9
			CEPH TS TS
		64
			64kV
		T R	8mA
		ORTHOPHOS ist aufnahmebereit		?
10	11 12			13	14 15 16 17

on the Panoramic unit

1.Main switch

2.Light localizer with height adjustment of FH light line

3.Light localizer central light beam for face center

4.Control mirror for patient positioning

5.Tray for jewelry, etc.

6.Forehead support

7.Temple supports

8.Pushbutton for sensor (image receptor) removal

9.Sensor (image receptor), depending on unit version: for XG Pan

for XG Ceph for XG Pan/TSA

for XG Ceph/TSA

10.Exposure release button (must be pressed and held down during the entire exposure)

11.Touch bar for swiveling the control mirror in and out

12.Easypad (swivelable control panel)

13.Drawer for accessories

14.Handles for patient

15.Holder for chin rest, bite blocks or contact segments etc.

16.Bite block, contact segment or chin rest

17.Primary diaphragm field on the X-ray tube assembly

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Sirona Dental Systems GmbH	3 Controls and functional elements
Operating Instructions ORTHOPHOS XGPlus DS/Ceph	3.1 Operating and Display Elements

18	19	20							21			22
		60	70	80	90	100	110	120
23
8	40
	50
24
		25							25
26
									9
									60	70	80	90	100	110	120
8
											20
					23				20
									30
									40
									50
									24
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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

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.

ATTENTION

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.

17

English

3 Controls and functional elements	Sirona Dental Systems GmbH
3.1 Operating and Display Elements	Operating Instructions ORTHOPHOS XGPlus DS/Ceph

27	28 29 30 31		32	33
			CEPH TS
			P1
		10
					64kV
	T	R			8mA
		ORTHOPHOS is ready for exposure			?
34	35	36 37	38
P1, P2, P10, P12			MS1
					A
					B
					C
TM1.1, TM3, TM5			TM1.2
					D
TM2.1, TM4, TM6			TM2.2
S1			S2
18

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

ATTENTION

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.

AThe gray patient's head icon shows the head posture: straight (FH), bent forward with open or closed mouth, or reclined.

BA colored symbol (yellow or blue) will indicate if a bite block or a contact segment should be used.

CThe red line indicates the reflecting light localizer line (FH), the white line is only an auxiliary line to indicate the head inclination.

DFor 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 GmbH	3 Controls and functional elements
Operating Instructions ORTHOPHOS XGPlus DS/Ceph	3.2 General touchscreen functions

3.2 General touchscreen functions

1	2	3	4	5	6	3	7	8	9
	PAN	CEPH			TS
				P1
10
				Quick
								64kV
								8mA
ORTHOPHOS is ready for exposure								?
10 11 12 13				18 14 15		16 17		19

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)

5.Display of program group selection

6.Program display; touch to loop through P1 (normal panoramic view), P1C (with constant magnification), P1A (artifact-free display)...

7.Display of head posture (FH or bent forward or backward, mouth open or closed) with reference line for the chosen program

8.Submenu column (options)

9.Blue arrows: Select submenu, close menu

10.Preselection of exposure parameters (patient symbols)

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 radiation 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

18.Quickshot display – ON (visible)/OFF (hidden) for reduction of cycle time

19.When you touch the ? symbol, the help or info screen is displayed

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English

3 Controls and functional elements	Sirona Dental Systems GmbH
3.2 General touchscreen functions	Operating Instructions ORTHOPHOS XGPlus DS/Ceph

Program settings

When you touch a symbol in the “submenu” in

column (8), a submenu line for program settings opens.

8

L

10		There are 4 submenu lines for program settings
		available:
		1. Selection of half-views and individual quadrants
	64kV	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
	8mA
		(P1, P2, P10, P12) for programs P1, P2 and P10 includ-
ORTHOPHOS is ready for exposure	?	ing constant magnification and artifact-free display.
		The preselected type of exposure is also displayed in the
		submenu column (8).

R	8
	L

10

	64kV
	8mA
ORTHOPHOS is ready	?
	Selection of individual quadrants
	The full version of XG Plus offers the option of selecting
	individual quadrants.
R	8
	L

10

		For each selection, please make sure that you know
		where to touch the icon (see finger).
	64kV	You can reactivate the full screen mode by touching the
		center of the quadrant field.
	8mA
ORTHOPHOS is ready for exposure	?
CEPH
L		8

	64kV
	8mA
ORTHOPHOS is ready for exposure	?
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Sirona Dental Systems GmbH

Operating Instructions ORTHOPHOS XGPlus DS/Ceph

R

L

R

L

R	L	R	L
RightHalbseitehalfrechts-view			LeftHalbseitehalf-linksview

R

L R

L

R	L	R	L
RightEinzelquadrindividualntquadrantrechts			Left individualEinzelquadrantquadrantlinks

3Controls and functional elements

3.2General 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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3 Controls and functional elements	Sirona Dental Systems GmbH
3.2 General touchscreen functions	Operating Instructions ORTHOPHOS XGPlus DS/Ceph

PAN	CEPH	TS
1260	P1
	SID = 19,6”			8
	6 x 12”
			64kV
			8mA
ORTHOPHOS is ready for exposure			?
PAN	CEPH	TS
1260	P1
10	14,1s
	SID			8
			64kV
			8mA
ORTHOPHOS is ready for exposure			?
PAN	CEPH	TS		9
1260	P1
10	14,1s
	62kV		64kV	8
	8mA	AEC	8mA
ORTHOPHOS is ready for exposure			?
22

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.

64	SID = 19,6”
10	6 x 12”

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 arti- fact-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.

i NOTE

As long as the respective menu line is open, the background is displayed as inactive.

You can close a menu line:

–by touching the blue arrows in the menu line.

–by touching the corresponding symbol in the light blue area at the right margin.

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Sirona Dental Systems GmbH	3 Controls and functional elements
Operating Instructions ORTHOPHOS XGPlus DS/Ceph	3.2 General touchscreen functions

PAN		9
R	L	20

		60kV				60kV
		3mA				3mA
						?
ProgrammeinstellungenSelect program settingswählen

CEPH		9
Quick	Quick	20
		9,4s
ON	OFF
60kV		60kV
9mA		9mA

?

TS		9
R	L	20

	2
71kV	71kV
12mA	12mA

?

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.

i NOTE

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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3 Controls and functional elements	Sirona Dental Systems GmbH
3.2 General touchscreen functions	Operating Instructions ORTHOPHOS XGPlus DS/Ceph

	PAN		9
	Quick	Quick	Quick
	On	Off
		P1	P1
		64kV	64kV
		8mA	8mA
	Select basic settings		?
	CEPH		9
		C3	C3
		73kV	73kV
		15mA	15mA
	Select basic settings		?
	TS		9
		CEPH
			22
	R	L	21
		71kV	71kV
		12mA	12mA
			?
	24

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).

ATTENTION

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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Sirona Dental Systems GmbH	3 Controls and functional elements
Operating Instructions ORTHOPHOS XGPlus DS/Ceph	3.2 General touchscreen functions

PAN	9
Select Start Settings
CEPH	9
Select Start Settings
TS	9
	8
Select Start Settings
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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).

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).

i NOTE

The icons framed with a broken line represent the factory settings.

25

English

3 Controls and functional elements	Sirona Dental Systems GmbH
3.2 General touchscreen functions	Operating Instructions ORTHOPHOS XGPlus DS/Ceph

	9
T	R
	9

64kV

8mA

sure ?

19

8

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.

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).

i NOTE

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 GmbH

Operating Instructions ORTHOPHOS XGPlus DS/Ceph

PAN
R	L

60kV	60kV
3mA	3mA

ProgrammeinstellungenSelect program settingswählen ?

19

9

ORTHOPHOS XG configuration		1/2
=======================
Serialnumber	: 000000012
Systemsoftware	: V.02.21.01
Bootmode	: Static
Type	: 43
Network Name	: Geraet1
MAC address	: 00101900242d
IP address	: 192. 168. 15. 125		70
Subnet mask	: 255.255.255.0

8

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3Controls and functional elements

3.2General touchscreen functions

Info screen

Starting at level 2, the info screen is displayed when you touch the question mark (19) in the lower right corner of the touchscreen “ORTHOPHOS XG configuration”.

System data which may be useful when contacting your service engineer are displayed here.

If this list is too long to be displayed all at once, a scroll bar for paging up or down appears on the right.

You can activate the “touchscreen click tone” and “touchscreen intensity setting” fly-out menus from the help screen in column (8) here as well.

To return to the previous level, touch the blue arrow (9) at the top of column (8).

27

English

4 Accessories	Sirona Dental Systems GmbH
4.1 Rests and supports for panoramic exposures	Operating Instructions ORTHOPHOS XGPlus DS/Ceph

4 Accessories

4.1 Rests and supports for panoramic exposures

							C	1	2	D
						A			E1*
						B*
							E*
PAN	CEPH
1260			TS	TS
64
T
R
ORTHOPHOS ist						64kV
		aufnahmebereit			AEC 8mA		N*
						?
F*										P*
G							H*
							L*
										M*
							J*
	K*
28

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:

AForehead 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

CTemporomandibular joint support “1” (right) for temporomandibular joint views Order No. 59 80 607

DTemporomandibular joint support “2” (left) for temporomandibular joint views Order No. 59 80 599

E* Ear holders for temporomandibular joint supports (10 pieces) Order No. 18 88 838

E1* Contact pads for temporomandibular joint supports (10 pieces) Order No. 59 90 648

F* Bite block

(10 pieces) Order No. 18 88 887

GBite 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

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Sirona Dental Systems GmbH	4 Accessories
Operating Instructions ORTHOPHOS XGPlus DS/Ceph	4.2 Important when inserting the temporomandibular joint supports

4.2 Important when inserting the temporomandibular joint supports

	1	2
		“2“
	“1“

2	1	“1“
“2“
R	L
		“L“
“R“
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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.

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

English

4 Accessories	Sirona Dental Systems GmbH
4.3 Protective covers for panoramic exposures	Operating Instructions ORTHOPHOS XGPlus DS/Ceph

4.3 Protective covers for panoramic exposures

R

S

U

V

1

E1*

E*

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:

RFor 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

UFor 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

E1* Sterilizable contact pads for temporomandibular joint supports for sinus views

(10 pieces) Order No. 59 90 648

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