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Operating Instructions
This product is covered by one or
more of the following US patents:
• US8,152,373
• US6351519
• US6570953
• US6926442
• US7322746
• US6731717
• US6891921
• D502543
• D497994
• D503804
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Sirona Dental Systems GmbH Table of contents
Operating Instructions ORTHOPHOS XG 5 / Ceph
Table of contents
1
General data............................................................................................................ 7
1.1 Dear Customer, ............................................................................................ 7
1.2 General information about this operating manual ........................................ 8
1.3 Contact information ...................................................................................... 8
1.4 Other valid documents ................................................................................. 8
1.5 Warranty and liability .................................................................................... 9
1.6 Obligation of system owner and personnel .................................................. 9
1.7 Intended use................................................................................................. 10
1.8 Indication and contraindication..................................................................... 10
1.9 Structure of the document ............................................................................ 11
1.9.1 Identification of the danger levels.................................................... 11
1.9.2 Formats and symbols used ............................................................. 11
2
Safety information.................................................................................................... 12
2.1 Information on the unit.................................................................................. 12
2.2 Ventilation slots ............................................................................................ 12
2.3 Condensation ............................................................................................... 12
2.4 Qualifications of operating personnel ........................................................... 13
2.5 Switch on the unit ......................................................................................... 13
2.6 Radiation protection ..................................................................................... 13
2.7 Emergency Stop........................................................................................... 13
2.8 Laser light localizer....................................................................................... 14
2.9 Hygiene ........................................................................................................ 14
2.10 Trouble-free operation.................................................................................. 14
2.11 Interference with electronic devices ............................................................. 14
2.12 Risks of electromagnetic fields..................................................................... 15
2.13 Combination with other equipment............................................................... 15
2.14 Changes to the unit ...................................................................................... 15
2.15 Structural alterations .................................................................................... 15
2.16 Electromagnetic compatibility....................................................................... 16
2.17 Electrostatic discharge ................................................................................. 16
3
Unit description........................................................................................................ 18
3.1 Certification and registration......................................................................... 18
3.2 Technical data .............................................................................................. 19
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Operating Instructions ORTHOPHOS XG 5 / Ceph
3.3 Main components of the product................................................................... 24
3.3.1 Basic unit.......................................................................................... 24
3.3.2 Cephalometer................................................................................... 25
3.3.3 Multipad............................................................................................ 26
3.3.4 Remote control................................................................................. 28
3.4 Spare parts and consumables ...................................................................... 29
3.4.1 Accessory parts................................................................................ 29
3.4.1.1 Bite blocks and contact segments..................................... 29
3.4.1.2 Temple supports, forehead support, and
temporomandibular joint supports
30
3.4.2 Hygienic protective sleeves.............................................................. 31
3.4.2.1 Protective sleeves for basic unit........................................ 31
3.4.2.2 Protective sleeves for cephalometer ................................. 32
4
Installation and start-up............................................................................................ 33
4.1 Replacing accessories on the basic unit ....................................................... 33
4.1.1 Replacing the bite block, contact segment, or chin rest................... 33
4.1.2 Changing the temple supports and temporomandibular joint
supports
34
4.2 Adjusting/inserting accessory parts on the cephalometer............................. 35
4.3 Moving the sensor......................................................................................... 36
5
Operation.................................................................................................................. 38
5.1 Switching the unit on ..................................................................................... 38
5.2 Readings on the digital display ..................................................................... 39
5.3 Switching SIDEXIS to ready for exposure state............................................ 39
5.4 Panoramic and bite wing exposure ............................................................... 40
5.4.1 Program descriptions ....................................................................... 40
5.4.1.1 P1 – Panoramic exposure ................................................. 40
5.4.1.2 P1 L – Panoramic exposure, half-side left......................... 40
5.4.1.3 P1 R – Panoramic exposure, half-side right ...................... 40
5.4.1.4 P1 A – Panoramic exposure, artifact-reduced................... 41
5.4.1.5 P1 C – Panoramic exposure, constant 1.25x magnification 41
5.4.1.6 P10 – Panoramic exposure for children ............................ 42
5.4.1.7 P12 – Thick slice, anterior tooth region ............................. 42
5.4.1.8 BW1 – Bitewing exposure in the posterior tooth region..... 43
5.4.2 Preparing the exposure.................................................................... 44
5.4.3 Selecting an exposure program ....................................................... 44
5.4.4 Setting the temple width................................................................... 44
5.4.5 Setting the kV/mA values ................................................................. 45
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Operating Instructions ORTHOPHOS XG 5 / Ceph
5.4.6 Positioning the patient ..................................................................... 46
5.4.6.1 Positioning with chin rest and rod for bite block ............... 47
5.4.6.2 Positioning with chin rest and bar..................................... 50
5.4.6.3 Positioning with bite block ................................................ 50
5.4.6.4 Positioning with contact segment ..................................... 50
5.5 Temporomandibular joint exposure.............................................................. 51
5.5.1 TM1.1 / TM1.2 – Lateral view of temporomandibular joints with
mouth open and closed
51
5.5.2 Preparing the exposure ................................................................... 52
5.5.3 Selecting an exposure program ...................................................... 52
5.5.4 Setting the kV/mA values ................................................................ 53
5.5.5 Positioning the patient ..................................................................... 54
5.6 Sinus view .................................................................................................... 57
5.6.1 S1 – Paranasal sinuses................................................................... 57
5.6.2 Preparing the exposure ................................................................... 57
5.6.3 Selecting an exposure program ...................................................... 57
5.6.4 Setting the kV/mA values ................................................................ 58
5.6.5 Positioning the patient ..................................................................... 59
5.7 Transversal multi-slice posterior teeth.......................................................... 61
5.7.1 MS1 – Program description ............................................................. 61
5.7.2 Preparing the exposure ................................................................... 61
5.7.3 Selecting an exposure program ...................................................... 61
5.7.4 Setting the kV/mA values ................................................................ 62
5.7.5 Positioning the patient ..................................................................... 63
5.7.5.1 Positioning with bite block ................................................ 64
5.7.5.2 Positioning with contact segment ..................................... 65
5.8 Cephalometric exposures............................................................................. 66
5.8.1 Program description ........................................................................ 66
5.8.1.1 C1 – Posterior-anterior exposure, symmetrical ................ 66
5.8.1.2 C2 – Anterior - posterior exposure, symmetrical .............. 66
5.8.1.3 C3 – Lateral exposure ...................................................... 67
5.8.1.4 C4 – Carpus view, symmetrical ........................................ 68
5.8.2 Preparing the exposure ................................................................... 69
5.8.3 Selecting an exposure program ...................................................... 70
5.8.4 Setting the kV/mA values ................................................................ 71
5.8.5 Positioning the patient ..................................................................... 72
5.8.5.1 Positioning for symmetrical exposures C1, C2................. 73
5.8.5.2 Positioning for C3 lateral exposures................................. 74
5.8.5.3 Positioning for carpal exposures C4................................. 76
5.9 Starting the test cycle ................................................................................... 77
5.10 Releasing the exposure................................................................................ 77
5.11 Using the remote control .............................................................................. 81
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Operating Instructions ORTHOPHOS XG 5 / Ceph
5.12 Canceling an exposure ................................................................................. 82
5.13 Reprogramming the kV/mA values ............................................................... 83
5.14 Activating the Info menu................................................................................ 84
5.15 Activating the service menu .......................................................................... 84
6
Maintenance............................................................................................................. 85
6.1 Cleaning and care ......................................................................................... 85
6.1.1 Cleaning ........................................................................................... 85
6.1.2 Disinfecting....................................................................................... 85
6.1.3 Sterilization....................................................................................... 87
6.2 Inspection and maintenance ......................................................................... 88
7
Malfunctions ............................................................................................................. 89
7.1 Help messages ............................................................................................. 89
7.2 Error message structure................................................................................ 90
7.3 Error description............................................................................................ 91
7.3.1 Ex – Error type ................................................................................. 91
7.3.2 yy – Locality...................................................................................... 92
8
Program values ........................................................................................................ 93
8.1 Panoramic exposure ..................................................................................... 93
8.2 Cephalometric exposures ............................................................................. 96
8.3 Dose information ........................................................................................... 97
8.3.1 Dose area product parameters for Panorama images ..................... 97
8.3.2 Dose area product parameters for Ceph-images............................. 100
8.3.3 Calculate dosage ............................................................................. 101
9
Dismantling and disposal ......................................................................................... 103
9.1 Dismantling and reinstallation ....................................................................... 103
9.2 Disposal ........................................................................................................ 103
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Sirona Dental Systems GmbH 1General data
Operating Instructions ORTHOPHOS XG 5 / Ceph
1
General data
1.1
Dear Customer,
We are pleased that you have equipped your practice with the
ORTHOPHOS XG X-ray system from Sirona.
Sirona was one of the first inventors of film-based panoramic X-ray
systems, and since 1996 has been a pioneer of digital X-ray technology.
You benefit from the vast experience we have gained through the
thousands of digital panoramic X-ray systems with CCD sensors installed
worldwide. This device is characterized by many features including
outstanding image quality, simple operation, and a high day-to-day
reliability.
This device enables you to take the following digital images:
● Standard exposures (jaw area)
● Bite wing exposures (upper and lower jaws)
● Sinus views (maxillary sinuses)
● Temporomandibular joint exposures
● Multislice (posterior tooth region)
If the unit is equipped with a cephalometer, you can also take
cephalometric images.
These Operating Instructions are designed to assist you prior to initial use
and whenever you require information later on.
We wish you every success with using your ORTHOPHOS XG system.
Your ORTHOPHOS XG Team
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1.2General information about this operating manual Operating Instructions ORTHOPHOS XG 5 / Ceph
1.2
General information about this operating manual
Observe the Operating Instructions Please familiarize yourself with the unit by reading through these
Operating Instructions before putting it into operation. It is essential that
you comply with the specified warning and safety information.
Always keep the operating instructions handy in case you or another user
require(s) information at a later point in time. Save the operating
instructions on the PC or print them out.
If you sell the unit, make sure that the operating instructions are included
with it either as a hard copy or on an electronic storage device so that the
new owner can familiarize himself with its functions and the specified
warning and safety information.
Online portal for technical documents We have set up an online portal for the Technical Documents at http://
www.dentsplysirona.com/manuals. There, you can download these
operating instructions and further documents. Please complete the online
form if you would like a hard copy of a particular document. We will then
be happy to send you a printed copy free of charge.
Help If you require additional help despite having thoroughly studied the
Operating Instructions, please contact your dental depot.
1.3
Contact information
Customer service center For technical questions, use the contact form on the internet at the
following address:
http://srvcontact.sirona.com
Manufacturer's address
Sirona Dental Systems GmbH
Fabrikstrasse 31
64625 Bensheim
Germany
Tel.: +49 (0) 6251/16-0
Fax: +49 (0) 6251/16-2591
e-Mail: contact@dentsplysirona.com
www.dentsplysirona.com
1.4
Other valid documents
The X-ray system includes other components, such as PC software,
which are detailed in other documents. Instructions and warning and
safety information provided in the following documents must be taken into
account:
● SIDEXIS Operator's Manual
● Software Components Operating Instructions
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Operating Instructions ORTHOPHOS XG 5 / Ceph
1.5
Warranty and liability
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 60601-1 / DIN EN 60601-1 etc.).
The system owner is responsible for making sure that all scheduled
inspections and preventive maintenance activities are performed.
As manufacturers of medical electrical equipment we can assume
responsibility for the safety-related features of the equipment only if
maintenance and repair are carried out only by ourselves or agencies
expressly authorized by us, and if components affecting safe operation of
the system are replaced with original spare parts upon failure.
Exclusion of liability In the event that the system owner fails to fulfill the obligation to perform
scheduled inspections and preventive maintenance activities or ignores
error messages, Sirona Dental Systems GmbH and its authorized dealers
cannot assume any liability for damages.
Certificate of work We suggest that you request a certificate, showing the nature and extent
of the work performed, from those who carry out such work, and specify
that the certificate show any changes in rated parameters or working
ranges, as well as the date, the name of the firm and a signature.
1.6
Obligation of system owner and personnel
These operating instructions presuppose that you are familiar with the
use of Sidexis software.
Prior to the exposure, please ask women of a childbearing age as to
whether they are pregnant or not. If the patient is pregnant, a risk/benefit
analysis must be performed.
According to the X-ray Ordinance 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. Sirona recommends
monthly testing.
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1.7Intended use Operating Instructions ORTHOPHOS XG 5 / Ceph
1.7
Intended use
The ORTHOPHOS XG 5 / XG 5 DS / Ceph generates digital X-ray images
of maxillofacial regions and subregions for dentistry. With the
cephalometric arm projections of the skull are also possible and carpus
views for orthodontics.
This unit must not be operated in areas subject to explosion hazards.
The operating and maintenance instructions must be observed.
1.8
Indication and contraindication
Indications in dentistry areas:
● Conservative dentistry
● Endodontics
● Periodontology
● Prosthodontics
● Functional diagnosis and therapy of craniomandibular dysfunctions
● Surgical dentistry
● Implantology
● Oral and maxillofacial surgery
● Orthodontics
Contraindications:
● Display of cartilage structures
● Display of soft tissue
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Operating Instructions ORTHOPHOS XG 5 / Ceph
1.9
Structure of the document
1.9.1 Identification of the danger levels
To prevent personal injury and material damage, please observe the
warning and safety information provided in these operating instructions.
Such information is highlighted as follows:
Tip: Information for simplifying work.
1.9.2 Formats and symbols used
The formats and symbols used in this document have the following
meaning:
DANGER
An imminent danger that could result in serious bodily injury or death.
WARNING
A possibly dangerous situation that could result in serious bodily injury
or death.
CAUTION
A possibly dangerous situation that could result in slight bodily injury.
NOTICE
A possibly harmful situation which could lead to damage of the product
or an object in its environment.
IMPORTANT
Application instructions and other important information.
Prerequisite
1. First action step
2. Second action step
or
➢ Alternative action
Result
➢ Individual action step
Prompts you to do something.
See “Formats and symbols
used [ → 11]”
Identifies a reference to another text
passage and specifies its page
number.
● List Designates a list.
“Command / menu item” Indicates commands, menu items or
quotations.
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2.1Information on the unit Operating Instructions ORTHOPHOS XG 5 / Ceph
2
Safety information
2.1
Information on the unit
The following symbols are applied to the unit:
Accompanying documents
This symbol can be found next to the rating plate on the unit.
Meaning: Observe the Operating Instructions when operating the unit.
This symbol can be found on the rating plate on the unit.
Meaning: The accompanying documents are available on the
manufacturer's homepage.
Electrostatic discharge (ESD)
Connector pins or sockets bearing ESD warning labels must not be
touched or interconnected without ESD protective measures. See also
"Electrostatic Discharge" and "Electromagnetic Compatibility".
Identification of single use devices
Prior to each exposure, the hygienic protective sleeves (single use
devices) must be fitted.
Single use devices are identified with the symbol shown on the left. They
must be disposed of immediately after use. Do not use single use devices
more than once.
2.2
Ventilation slots
Under no circumstances may the ventilation slots on the unit be covered,
since otherwise the air circulation will be obstructed. This can cause the
unit to overheat.
Do not spray into the ventilation slots
Do not spray liquids such as disinfectants into the ventilation slots. This
may lead to malfunctions. Use wipe disinfection only in the vicinity of the
ventilation slots.
2.3
Condensation
Extreme temperature fluctuations may cause condensation inside the
unit. Do not switch the unit on before it has reached normal room
temperature. See also the chapter Technical data.
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Operating Instructions ORTHOPHOS XG 5 / Ceph
2.4
Qualifications of operating personnel
The unit may only be operated by skilled or properly trained personnel.
Personnel, who are to be trained, taught, instructed or are taking part in
a general training, may operate the device only under the supervision of
an experienced person.
To operate the unit, the operating personnel must:
● have read and understood the Operating Instructions
● be familiar with the fundamental structure and functions of the unit
● be able to recognize irregularities in the functioning of the unit and
implement the appropriate measures where necessary
2.5
Switch on the unit
Safety information for switching on the un it: Customer
No patient may be positioned in the unit while it is booting up. The patient
could be injured in case of malfunction.
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 the unit is
switched back on.
2.6
Radiation protection
The valid radiation protection regulations and measures must be
observed. The statutory radiation protection equipment must be used. In
order to reduce radiation exposure, Sirona recommends using bismuth or
lead shields or aprons, especially for pediatric patients.
During an exposure, the operator should move as far away from the X-ray
tube assembly as the coiled cable of the release button permits.
With the exception of the patient, no other persons without radiation
protection are allowed to stay in the room during an exposure. In
exceptional cases, a third person may provide assistance, but not the
practice staff. Visual contact with the patient and the unit must be
maintained throughout the entire exposure.
In case of malfunctions, cancel the exposure immediately by letting go of
the exposure release button.
2.7
Emergency Stop
If any parts of the unit touch the patient during the rotary movement, let
go of the exposure release button (X-Ray) immediately or stop the unit at
once by actuating the unit main switch or an Emergency Stop switch (not
included in the scope of supply)!
CAUTION
CAUTION!
Not for use on patients less than approximately 5 years old [~21 kg (46
lb) and 113 cm (44.5 in) standing height]
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2.8Laser light localizer Operating Instructions ORTHOPHOS XG 5 / Ceph
2.8
Laser light localizer
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 10 cm (4") is required between the eye and the
laser. Do not stare into the beam.
The light localizers may be switched on only when functioning perfectly.
Repair work must be carried out by authorized staff only.
Do not use the system with any other lasers, and do not make any
changes to settings or processes that are not described in these
operating instructions. This may lead to a dangerous exposure to
radiation.
For the USA only:
Caution: Federal Law (USA) restricts the sale of this device to or on the
order of a physician, dentist, or licensed practitioner.
2.9
Hygiene
The protective sleeves must be reapplied for each patient, all auxiliary
exposure tools must also be disinfected to avoid potential transmission of
pathogens that may cause serious illnesses.
Suitable hygienic measures must be taken to prevent cross
contamination between patients, users, and other persons.
The following chapters contain more information about sterilization and
hygienic protective sleeves: “Hygienic protective sleeves [ → 31]“,
“Preparing the exposure“, “Sterilization [ → 87]“.
2.10
Trouble-free operation
Use of this system is permissible only if it works properly without
malfunctions. If trouble-free operation cannot be ensured, the unit must
be taken out of service, checked by authorized technicians for
malfunctions and, if necessary, repaired.
X-rays of patients may be taken only when the system is working troublefree.
The movements of the unit must not be obstructed by physical
constitution, clothing, dressings, wheelchairs, or hospital beds.
The travel range of the unit must be kept free from foreign matter.
Do not leave the patient at the unit unattended.
The device may only be operated with a complete cover and protective
hood.
2.11
Interference with electronic devices
To prevent the malfunctioning of electronic devices and data memories,
these objects must be removed prior to the X-ray exposure.
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Operating Instructions ORTHOPHOS XG 5 / Ceph
2.12
Risks of electromagnetic fields
The function of implanted systems (cardiac pacemakers or cochlear
implants, for example) can be affected by electromagnetic fields. Before
commencing treatment, ask if the patient has a cardiac pacemaker or any
other implanted system.
Any prevailing risks are listed in the documentation provided by the
implant manufacturer.
2.13
Combination with other equipment
Putting together or altering a medical electrical system by combining with
other devices in accordance with IEC 60601-1 (safety requirements for
medical electrical systems) is subject to the obligation to ensure
compliance with the requirements of this provision for patient safety, the
operator, and the environment.
If any devices not approved by Sirona are connected, they must comply
with the applicable standards:
● IEC 60950-1 or IEC 62368-1 for information technology equipment
and
● IEC 60601-1 for medical electrical equipment
To this end, refer to the ‘Installation requirements’ and compatibility list/
declaration of conformity by the system integrator.
If in doubt, contact the manufacturer of the system components.
2.14
Changes to the unit
Modifications to this unit 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 is responsible for any damage resulting from the use
of non-approved accessories.
2.15
Structural alterations
If structural changes are made in the vicinity of the X-ray unit which result
in the device being exposed to very high levels of vibration or even
impact, the device must be inspected by a service engineer and readjusted and re-calibrated if necessary.
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2.16Electromagnetic compatibility Operating Instructions ORTHOPHOS XG 5 / Ceph
2.16
Electromagnetic compatibility
The acquisition unit complies with the requirements of the standard IEC
60601-1-2.
Medical electrical devices are subject to special precautionary measures
with regard to electromagnetic compatibility (EMC). It must be installed
and operated as specified in the “Installation Requirements” document.
Portable and mobile RF communications equipment may affect medical
electrical equipment.
If the installation requirements and the following recommendations are
not observed, there is a risk that the X-ray images will not have the correct
exposure.
The correctness of the radiation parameters and the repeatability of the
dose values in particular may be affected.
Only operate units approved by Sirona at a distance of < 30 cm from the
X-ray unit. The Sirona intraoral sensors are approved for this.
In the case of repairs, only use replacement parts approved by Sirona.
Only use disinfectants approved by Sirona so as not to damage electrical
insulation.
Portable HF equipment must not be placed within a 30 cm radius of the
X-ray unit.
HF surgery units and X-ray units must not be operated at the same time.
2.17
Electrostatic discharge
Protective measures
Electrostatic discharge (abbreviated: ESD – ElectroStatic Discharge)
Electrostatic discharge from people can damage electronic components
when the components are touched. Damaged components usually have
to be replaced. Repairs must be performed by qualified personnel.
Measures to protect against ESD include:
● Procedures to avoid electrostatic charging via
– air conditioning
– air humidification
– conductive floor coverings
– non-synthetic clothing
● discharging the electrostatic charges from your own body through
contact with
– a metallic unit casing
– a larger metallic object
– any other metal part grounded with the protective earth
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Sirona Dental Systems GmbH 2Safety information
Operating Instructions ORTHOPHOS XG 5 / Ceph
Endangered regions are indicated on the unit by the ESD warning label:
We recommend that all persons working with this system are made aware
of the significance of the ESD warning label. A training course should also
be held to inform users about the physics of electrostatic charges.
Physics of electrostatic charges
An electrostatic discharge requires prior electrostatic charging.
There is a danger of electrostatic charges building up whenever two
bodies rub against each other, e.g. when:
● walking (soles of shoes against the floor) or
● moving (chair casters against floor).
The amount of charge depends on several factors: The charge is:
● higher at low air humidity than at high air humidity, and
● 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
● 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 over 10 amps. They are not hazardous for humans because they last
for only several nanoseconds.
Tip: 1 nanosecond = 1/1,000,000,000 second = 1 billionth of a second
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 a device. 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. Integrated circuits that are
connected to wires leading externally are therefore particularly at risk
from electrostatic discharge.
Even voltages that are imperceptible to the user can cause breakdown of
the structures, thus leading to a discharge current that melts the chip in
the affected areas. Damage to individual integrated circuits may cause
malfunction or failure of the unit.
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3Unit description Sirona Dental Systems GmbH
3.1Certification and registration Operating Instructions ORTHOPHOS XG 5 / Ceph
3
Unit description
3.1
Certification and registration
The ORTHOPHOS XG 5 / XG 5 DS / Ceph X-ray unit complies with
IEC 60601-1:2005 + A1:2012
The ORTHOPHOS XG 5 / XG 5 DS / Ceph X-ray unit complies with
IEC 60601-1-3:2008 + A1:2013
The ORTHOPHOS XG 5 / XG 5 DS / Ceph X-ray unit complies with
IEC 60601-2-63:2012
ORTHOPHOS XG 5 / XG 5 DS / Ceph complies with:
● AS/NZS 3200.1.0
Original language: German
This product bears the CE mark in accordance with the provisions of the
Council Directive 93/42/EEC of June 14, 1993 concerning medical
devices (MDD).
0123
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Sirona Dental Systems GmbH 3Unit description
Operating Instructions ORTHOPHOS XG 5 / Ceph
3.2
Technical data
Unit data
Model designation: ORTHOPHOS XG 5 / XG 5 DS / Ceph
Nominal voltage: 200 – 240 V
Permissible fluctuation: ± 10%
Permissible drop under load: 10%
Rated current: 12 A
Rated power: 2 kW at 90 kV/12 mA with any radiation
time
Nominal frequency: 50 Hz / 60 Hz
Mains resistance: max. 0.8 ohms
Main building fuse: 25 A slow-blow (16 A for single line)
Power consumption: 2 kVA
Power output of tube
assembly:
90 kV/12 mA = 1080 W with any radiation
time
Tube voltage: 60 – 90 kV (at 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
High voltage generation
frequency:
40 – 120 kHz
Program duration: See "Program values" [ → 93].
Exposure time: See "Program values" [ → 93].
Image acquisition scale: For P1, normal dental arch (slice center)
approx. 1:1.19, i.e. the acquired image is
magnified by approx. 19% on average
compared to reality.
Exposure time for a
cephalometric image:
14.9 s max.
Image acquisition scale for a
cephalometric image:
approx. 1:1.1, i.e. the acquired image is
magnified by approx. 10% on average
compared to reality.
Total filtration of X-ray tube
assembly:
> 2.5 AI / 90 IEC 60522
Focal spot size as specified
in IEC 60336, measured in
the central X-ray beam:
0.5 mm
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3Unit description Sirona Dental Systems GmbH
3.2Technical data Operating Instructions ORTHOPHOS XG 5 / Ceph
X-ray tube
Siemens SR 90/15 FN or
CEI OCX 100
Marking of focal spot:
Source-skin distance > 200 mm (8“)
Automatic exposure
blocking:
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,
interval times of 8 s to 300 s are
automatically set by the system.
Example: For program P1 with exposure
data of 80 kV/14 mA and a radiation time
of 14.1 s, the pause duration is 150 s.
Equipment class: IPX0
Class I device
Degree of protection against
electric shock:
Type B device
Degree of protection against
ingress of water:
Ordinary equipment (without protection
against ingress of water)
Year of manufacture:
(on the rating plate)
Operating mode: Continuous operation
Long-term power output: 100 W
Anode material: Tungsten
Exposure parameters for
determining leakage
radiation:
2mA / 90 kV
Transport and storage
temperature:
-10°C – +70°C (14°F – 158°F)
Air humidity: 10% – 95%
Admissible operating
temperature:
Acc. to IEC 60601-1 between +10°C and
+40°C (50°F – 104°F)
Operating altitude: ≤ 3000 m
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Sirona Dental Systems GmbH 3Unit description
Operating Instructions ORTHOPHOS XG 5 / Ceph
PAN Sensor
Digital CCD line sensor, repluggable for panoramic exposure technique
Ceph sensor
Digital CCD line sensor, repluggable for panoramic or ceph exposure
technique
Active sensor area, Pan type: 138 mm x 6.48 mm
Detail resolution: 0.027 mm pixel size
Focus-sensor distance: 497 mm
Active sensor area, Ceph
type:
230 mm x 6.48 mm
Detail resolution: 0.027 mm pixel size
Focus-sensor distance: 1714 mm
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3Unit description Sirona Dental Systems GmbH
3.2Technical data Operating Instructions ORTHOPHOS XG 5 / Ceph
Cooling curve for tube housing
Cooling curve of X-ray tube
Heating curve of tube housing
Central X-ray beam and anode angle
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Sirona Dental Systems GmbH 3Unit description
Operating Instructions ORTHOPHOS XG 5 / Ceph
Minimum PC system requirements for SIDEXIS
Processor: DualCore 1.6 GHz
RAM 2 GB
Free hard disk
storage:
5 GB for SIDEXIS installation and database
Removable
medium:
CD/DVD writer
Operating system: Windows XP Professional, 32-bit, SP3
Windows 7 Professional, 32-bit or 64-bit (64-bit
version not tested)
Windows 7 Ultimate, 32-bit or 64-bit
Graphics card: > 512 MB, minimum resolution 1280 x 1024 pixels,
16.7 million colors (TrueColor)
Screen: suitable for diagnostic applications
Network card: Network RJ45, 100 MBit/s
USB port: For Version 1.1 and higher, required for USB
components only
Software: Internet Explorer 6.0, SP1
Acrobat Reader 8.0, contained on CD, required for
the PDF test report function
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3Unit description Sirona Dental Systems GmbH
3.3Main components of the product Operating Instructions ORTHOPHOS XG 5 / Ceph
3.3
Main components of the product
3.3.1 Basic unit
A Main switch
B Light localizer with height adjustment of the laser line (Frankfurt
plane)
C Light localizer central laser line for face center
D Control mirror for patient positioning
E Tray for jewelry, etc.
F Forehead support
G Temple supports
H Pushbutton for sensor removal
I Sensor
J Primary diaphragm field on the X-ray tube assembly
K Bite block, contact segment or chin rest
S Holder for chin rest, bite blocks, or contact segments etc.
M Handle for patient
N Drawer for accessories
O Multipad (swiveling control panel)
I
H
G
F
E
D
C
B
A
Q
P
O
N
M
L
K
J
T
R
CEPH
PAN
TS
ORTHOPHOSist aufnahmebereitORTHOPHOSist aufnahmebereit
1260
64
64kV
8mA
?
P1
14,2s14,2s
AEC
TS
T
R
Prog.
S
kV
mA
P1 14.1 64 8
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Sirona Dental Systems GmbH 3Unit description
Operating Instructions ORTHOPHOS XG 5 / Ceph
3.3.2 Cephalometer
P Touch bar for swiveling the control mirror in and out
Q Release button
A Projection scale
B Scale for vertical nose support adjustment
C Nose support
D Locking knob for nose support
F Pushbutton for sensor removal
G Rotating element for rotary movement of head supports
H Secondary diaphragm with light localizer of laser line (Frankfurt
horizontal plane)
I Sensor
J Carpus support plate
K Ear plugs with holders
A
F
I
K K
J
C
B
A
H
GF
D
20
30
40
50
20
30
40
50
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3Unit description Sirona Dental Systems GmbH
3.3Main components of the product Operating Instructions ORTHOPHOS XG 5 / Ceph
3.3.3 Multipad
In addition to the program numbers, help messages, kV/mA combinations
and the expected and actual radiation time, the height adjustment setting,
forehead support position, info texts and values as well as the help and
error messages are also shown on the digital display.
A "Move forehead support away from forehead" key
B Light localizers ON/OFF key with LED
C "Move forehead support towards forehead" key
D "Unit up" arrow key
E "Unit down" key
F Program number/Help message digital display
G Forward/backward program selection keys
H Optical radiation indicator
I Forward/backward keys, without function
J Digital display of expected radiation time (after completion:
actual radiation time)
K LED display "Unit ON"
S Keys for manually setting kV/mA combinations forward/
backward
M Digital display of kV/mA combinations
N Memory key for saving kV/mA values and digital display of info
text with LED
O Key for service menu display with LED
P Row of patient symbol keys with LEDs, programmed kV/mA
values
T
S
R
Q
P
O
N
M
L
K
J
I
H
G
F
E
D
C
B
A
T
R
Prog.
S
kV
mA
P1 14.1 64 8
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Sirona Dental Systems GmbH 3Unit description
Operating Instructions ORTHOPHOS XG 5 / Ceph
Q "R" key for unit return with Ready LED (flashes if the unit is not
ready for an exposure).
R "T" key for test cycle without radiation with LED display
S "Close temple supports" key
T "Open temple supports" key
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3Unit description Sirona Dental Systems GmbH
3.3Main components of the product Operating Instructions ORTHOPHOS XG 5 / Ceph
3.3.4 Remote control
A Radiation indicator
B "Unit ON" LED display
C Display field
D Exposure release button
E "R" key for return of unit
F Exposure release button with coiled cable
F
E
D
C
B
A
A
B
R
s
k
V
m
A
R
P1
14.1
64
8
P1
14.1
64
8
Prog.
s
k
V
m
A
Prog.
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Sirona Dental Systems GmbH 3Unit description
Operating Instructions ORTHOPHOS XG 5 / Ceph
3.4
Spare parts and consumables
3.4.1 Accessory parts
3.4.1.1
Bite blocks and contact segments
The drawer between the handles is provided for the storage of accessory
parts and hygienic protective sleeves.
A Bite block (10 pieces)
REF 18 88 887
B Bite block rod (5 pieces)
REF 18 88 895
C Bar for chin rest
REF 59 61 461
DRest
REF 14 49 227
E Chin rest assembly, including A (5 pieces), B (1 piece), C, D,
protective sleeves for bite block (500 pieces), protective sleeves
for chin rest and bar (100 pieces), see "Hygiene protective
sleeves" [ → 31]
REF 59 81 472
F Contact segment yellow for subnasale (5 pieces)
REF 89 31 545
G Bite block yellow (5 pieces)
REF 89 21 843
H Contact segment blue for subnasale (5 pieces)
REF 89 31 552
I Bite block blue (5 pieces)
REF 89 21 850
E
D
I
H
G
F
C
B
A
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3Unit description Sirona Dental Systems GmbH
3.4Spare parts and consumables Operating Instructions ORTHOPHOS XG 5 / Ceph
3.4.1.2
Temple supports, forehead support, and temporomandibular joint
supports
A Forehead support and temple supports (1 piece)
REF 59 80 383
B Contact pads for forehead and temple supports (1 set)
REF 59 80 391
C Temporomandibular joint support 1 for temporomandibular joint
exposures
REF 59 80 607
D Temporomandibular joint support 2 for temporomandibular joint
exposures
REF 59 80 599
E Contact pads for temporomandibular joint supports (10 pieces)
REF 59 90 648
F Ear holders for temporomandibular joint supports (10 pieces)
REF 18 88 838
1
2
F
E
D
C
B
A
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Sirona Dental Systems GmbH 3Unit description
Operating Instructions ORTHOPHOS XG 5 / Ceph
3.4.2 Hygienic protective sleeves
Identification of single use devices
Prior to each exposure, the hygienic protective sleeves (single use
devices) must be fitted.
Single use devices are identified with the symbol shown on the left. They
must be disposed of immediately after use. Do not use single use devices
more than once.
3.4.2.1
Protective sleeves for basic unit
A For forehead support and temple supports (500 pcs)
Order No. 59 68 263
B For bite block, dimensions 43 x 21 mm (500 pcs)
Order No. 33 14 072
C For chin rest and bar (100 pcs)
Order No.: 59 32 603
E
D
C
B
A
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3Unit description Sirona Dental Systems GmbH
3.4Spare parts and consumables Operating Instructions ORTHOPHOS XG 5 / Ceph
3.4.2.2
Protective sleeves for cephalometer
D For bite blocks and contact segments (500 pcs)
Order No. 33 14 080
E Protective film for handles
Order No.: 59 68 255
A Protective sleeve for nose support, single use devices (100
pieces)
REF 33 14 106
B Protective caps for ear plugs, reusable devices (20 pieces)
REF 89 32 261
B
A
20
30
40
50
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Sirona Dental Systems GmbH 4Installation and start-up
Operating Instructions ORTHOPHOS XG 5 / Ceph
4
Installation and start-up
Please also see the chapter titled: “Cleaning and care“
4.1
Replacing accessories on the basic unit
4.1.1 Replacing the bite block, contact segment, or chin rest
You will need to replace accessory parts according to the patient or
exposure program.
1. Pull the accessories upwards and out of the holder.
ª The accessory part disengages.
2. Insert the bite block, contact segment, or chin rest.
ª The accessory part engages.
The chin rest can be combined with the bite block rod or the bar.
➢ Insert the rod for the bite block or the bar into the chin rest from
above.
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4Installation and start-up Sirona Dental Systems GmbH
4.1Replacing accessories on the basic unit Operating Instructions ORTHOPHOS XG 5 / Ceph
4.1.2 Changing the temple supports and temporomandibular
joint supports
For temporomandibular joint views, the temporomandibular joint supports
(A) "1" right and (C) "2" left must be inserted in place of the temple
supports (B).
✔ Temple supports are inserted in the unit.
1. Press the respective locking button and remove the temple supports
B.
ª Both temple supports are removed.
2. Plug a sterile ear holder D into each of the temporomandibular joint
supports A and C.
ª The ear holders snap into the temporomandibular joint supports.
3. Insert temporomandibular joint supports A and C into the holders on
the device.
ª The temporomandibular joint supports snap into place.
ª The unit is converted for temporomandibular joint exposures.
IMPORTANT
Temple and temporomandibular joint supports
The temple supports and the arrangement of the temporomandibular
supports vary according to the date of unit manufacture.
If the unit was manufactured after November 2006, the temple supports
are tilted slightly toward the rear. The temporomandibular joint supports
are marked "1" for right and "2" for left.
In units manufactured prior to October 2006, the temple supports point
straight down. The temporomandibular joint supports are marked "2" for
right and "1" for left. The temporomandibular joint supports ordered as
spare parts for units delivered before October 2006 are marked "2" for
right and "1" for left.
For software updates of units delivered before October 2006, the
existing temporomandibular joint supports will be inserted marked "R"
for right and "L" for left. For spare parts deliveries, your new
temporomandibular joint supports will be marked "1" for leftand "2" for
right.
These instructions describe the temple supports for units delivered
since November 2006.
2
1
D
C
B
A
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Sirona Dental Systems GmbH 4Installation and start-up
Operating Instructions ORTHOPHOS XG 5 / Ceph
4.2
Adjusting/inserting accessory parts on the
cephalometer
Adjusting the holder for ear plugs
1. Grasp the ear plug holders at the very top with both hands.
2. Simultaneously pull the holders apart or push them together.
ª The ear plugs are inserted into the patient's outer ear canal.
Adjusting the nose support
1. Fold down the nose support.
2. Lightly press and hold latching button (A).
ª The vertical adjustment is released.
3. Move the blue section of the nose support upwards or downwards.
4. Release latching button (A).
ª The vertical adjustment of the nose support is latched in position.
Inserting the carpus support plate
✔ The holders for the ear plugs (C) stand in line with the sensor and the
secondary diaphragm.
1. Grasp the ear plug holders (C) at the very top with both hands.
Simultaneously twist the holders by 90 degrees.
ª The nose support (B) is on the side facing away from the carpus
support plate (D).
2. Grasp the carpus support plate (D) by its sides.
3. Insert the carpus support plate into both holes (A) until it reaches a
stop.
ª The carpus support plate (D) engages with a slight resistance.
20
30
40
50
A
3
0
4
0
5
0
D
C
B
A
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4Installation and start-up Sirona Dental Systems GmbH
4.3Moving the sensor Operating Instructions ORTHOPHOS XG 5 / Ceph
4.3
Moving the sensor
If the device is operated using a single sensor, the sensor has to be
moved to the socket on the panoramic rotating unit or the socket on the
cephalometer, depending on the type of exposure being taken.
Note that only one CEPH sensor can be operated at both sockets. The
active sensor area of a PAN sensor is too small for cephalometric images.
Tip: If two sensors (a PAN sensor and a CEPH sensor) are used for
operation, replugging is not required.
Removing the sensor
1. Hold the sensor firmly.
2. Press the button all the way in and hold it.
ª The sensor is released from the fastening.
3. Pull the sensor downwards out of the guide.
NOTICE
When removing the sensor, it can be damaged by impact or if dropped.
The sensor contains an integrated vibration sensor to detect impacts or
falls. If the vibration sensor has triggered, guarantee claims become
void.
➢ Do not drop the sensor under any circumstances!
NOTICE
Electrostatic charges from persons are discharged on the unit.
Electrical components of the unit are destroyed.
➢ Do not touch any electrical components or unprotected plug
contacts.
➢ Discharge yourself by touching a conductive grounded object.
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Sirona Dental Systems GmbH 4Installation and start-up
Operating Instructions ORTHOPHOS XG 5 / Ceph
Inserting the sensor
1. Hold the sensor firmly.
2. Using both guide pins, insert the sensor into the guide sleeves on the
unit and push until it reaches a stop.
ª The sensor engages in the X-ray unit.
20
30
40
50
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5Operation Sirona Dental Systems GmbH
5.1Switching the unit on Operating Instructions ORTHOPHOS XG 5 / Ceph
5
Operation
5.1
Switching the unit on
✔ The unit is properly installed.
✔ The unit is connected to the mains.
1. Turn the main switch (A) to position I.
2. Wait for one minute.
ª The LED (B) lights up on the Multipad.
ª The radiation indicator (C) lights up for approx. one second as a
functional check.
ª Running dots are displayed on the Multipad for several seconds.
ª The values for Program P1 appear on the display. LED D above the
second patient symbol from the left lights up.
ª The forehead support and temple supports are completely open.
CAUTION
Malfunctions can occur when the unit is switched on.
A patient positioned in the unit may be injured by moving parts.
➢ Ensure that no patient is positioned in the unit when it is switched
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!
NOTICE
Fluctuations in temperature can cause condensation to form in the unit.
Electrical components are destroyed by short circuits.
➢ Do not switch the unit on until the temperature of the unit has
adapted to the ambient temperature and the condensation has
evaporated. See the chapter on “Technical data” [ → 19].
T
R
Prog.
S
kV
mA
P1 14.1 64 8
D
C
B
A
NOTICE
The unit must not be switched on/off constantly.
Constant switching on and off reduces the service life of individual unit
components and results in increased power consumption.
➢ After switching the unit off, wait for approx. 60 seconds before
switching it on again.
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Sirona Dental Systems GmbH 5Operation
Operating Instructions ORTHOPHOS XG 5 / Ceph
5.2
Readings on the digital display
After power-on of the system, running dots initially appear on the digital
display for a brief time.
Then exposure program number P1, the maximum exposure time for this
program in seconds
s
and the
"kV/mA
" combination stored for this
exposure program are displayed.
If the exposure program number and a help message H... alternately
appear on the digital display, the help message must be processed first,
see "Help messages" [ → 89]. The device is ready for operation when no
more help messages are displayed.
If the Ready LED above the R key starts flashing and error message H
301 appears on the display, briefly press return key R to bring the rotating
element into the starting position. The Ready LED then switches off and
the help message disappears.
The system is now ready to operate.
5.3
Switching SIDEXIS to ready for exposure state
The SIDEXIS software displays the prepared X-ray exposures on the
screen of the PC.
As long as there is no connection to SIDEXIS, error message “H403 –
Switch SIDEXIS to ready for exposure state” and the exposure program
number will alternately appear on the digital display of the Multipad.
➢ Make SIDEXIS ready for exposure. See SIDEXIS Operator’s Manual.
ª SIDEXIS is ready for exposure.
Prog.
S
kV
mA
..............
Prog.
S
kV
mA
P1 14.1 64 8
Prog.
S
kV
mA
H 301 14.1 64 8
T
R
Prog.
S
kV
mA
H 301 14.1 64 8
CAUTION
Pressing the R key moves the unit to the starting position.
A patient positioned in the unit may be injured by moving parts.
➢ Check that a patient is not positioned in the unit before moving it to
the starting position.
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5Operation Sirona Dental Systems GmbH
5.4Panoramic and bite wing exposure Operating Instructions ORTHOPHOS XG 5 / Ceph
5.4
Panoramic and bite wing exposure
5.4.1 Program descriptions
5.4.1.1
P1 – Panoramic exposure
The exposure displays the full tooth region with ascending rami.
5.4.1.2
P1 L – Panoramic exposure, half-side left
The exposure displays the left tooth region with ascending rami.
5.4.1.3
P1 R – Panoramic exposure, half-side right
The exposure displays the right tooth region with ascending rami.
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Sirona Dental Systems GmbH 5Operation
Operating Instructions ORTHOPHOS XG 5 / Ceph
5.4.1.4
P1 A – Panoramic exposure, artifact-reduced
The exposure can be taken in an artifact-reduced format to avoid artifacts
in the condylar and molar regions, and to reduce shadowing by the
opposite jaw.
5.4.1.5
P1 C – Panoramic exposure, constant 1.25x magnification
The exposure can be taken at a constant magnification of 1.25x, for
example, for implantology.
IMPORTANT
Please ensure that the 1.25 x enlargement is only guaranteed at the
vertical level. As patient positioning can vary, a reference object is to be
used at the point where a measurement is to be performed.
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5Operation Sirona Dental Systems GmbH
5.4Panoramic and bite wing exposure Operating Instructions ORTHOPHOS XG 5 / Ceph
5.4.1.6
P10 – Panoramic exposure for children
The exposure represents a reduced tooth region without ascending rami.
For this exposure the radiation dose is considerably reduced.
5.4.1.7
P12 – Thick slice, anterior tooth region
The exposure shows the anterior tooth region with a larger slice
thickness, e.g. for implantology.
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Sirona Dental Systems GmbH 5Operation
Operating Instructions ORTHOPHOS XG 5 / Ceph
5.4.1.8
BW1 – Bitewing exposure in the posterior tooth region
The exposure displays the posterior tooth regions with an image height
restricted to the bite wing.
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5Operation Sirona Dental Systems GmbH
5.4Panoramic and bite wing exposure Operating Instructions ORTHOPHOS XG 5 / Ceph
5.4.2 Preparing the exposure
Depending on the patient or the exposure program, you may have to
replace accessory parts and, if necessary, reconnect the sensor, see
"Installation and start-up" [ → 33].
You will require the following accessories:
● Chin rest with bite block rod or bar or
yellow bite block or contact segment
● Temple supports
● Forehead support
➢ Insert the accessory parts to be used into the unit and pull on the
relevant hygienic protective sleeves, see "Hygienic protective
sleeves" [ → 31].
➢ Switch SIDEXIS to a "Ready for 2D exposure" state, see "Switching
SIDEXIS to ready for exposure state" [ → 39].
5.4.3 Selecting an exposure program
The exposure programs appear in the sequence P1, P1 L, P1 R, P1 A,
P1 C, P10, P12, BW1, TM1.1/TM1.2, S1, MS1, C3, C4, C1, C2 on the
digital display of the Multipad.
✔ The unit is switched on and ready for exposure.
➢ Select the exposure program. Push the program selection key
forward (A) and backward (B).
ª The program number, the appropriate exposure time and the
programmed kV/mA values for the second patient symbol from
the left appear on the digital display.
ª The exposure program is selected.
5.4.4 Setting the temple width
The set temple support width changes the radiation time slightly.
The slice width for different dental arches is automatically selected in P1,
P2, P10 and their subprograms.
CAUTION
The chin rest must not be used for children when using program BW1.
The positioning is otherwise too low.
B
A
T
R
Prog.Prog.
S
kV
mA
P1 14.1 64 8
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Sirona Dental Systems GmbH 5Operation
Operating Instructions ORTHOPHOS XG 5 / Ceph
5.4.5 Setting the kV/mA values
Setting the kV/mA values via the patient symbols
Preset kV/mA combinations are assigned to the patient symbols, which
are selected according to the patient's size and weight. The symbols
roughly correspond to child, youth/woman, woman/man, hefty persons.
➢ Select the desired patient symbol. Press one of the four patient
symbol keys (A).
ª The LED above the selected patient symbol lights up. The
corresponding kV/mA values appear on the digital display.
ª The kV/mA value is set.
Manual setting of kV/mA values
If the preset kV/mA combinations do not provide a satisfactory result, you
can also set the kV/mA values manually in all programs.
➢ Select another kV/mA value. Push the kV/mA keys forward (B) and
backward (C).
ª The selected kV/mA value is shown on the digital display. If the
new value happens to agree with the value programmed for
another patient symbol key, its LED then lights up.
ª The kV/mA value is set.
T
R
Prog.
S
kV
mA
P1 14.1 64 8
A
T
R
Prog.Prog.
S
kV
mA
P1 14.1 64 8
C
B
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5.4Panoramic and bite wing exposure Operating Instructions ORTHOPHOS XG 5 / Ceph
5.4.6 Positioning the patient
The patient is positioned on the unit while standing. Positioning in the seat
is also possible without issue.
Tip: As long as a height adjustment key is pressed, the digital display
shows a reference value for the height setting which is saved in the
additional information area of the SIDEXIS software.
CAUTION
The height adjustment motor starts slowly and then increases its speed.
A patient positioned in the unit may be injured by moving parts.
➢ Monitor the patient and the movement of the unit during height
adjustment. To make minor corrections, press and immediately
release the keys.
CAUTION
The light localizer consists of one Class 1 laser.
Patients and users can be blinded by the laser light localizer.
➢ Do not stare directly into the laser beam. Make sure that the laser
beam does not meet the eyes of the patient.
➢ A distance of at least 10 cm must be maintained between the eye
and the laser.
IMPORTANT
The image quality of volume exposures is limited by metal or other
radiopaque materials located in the patient’s mouth.
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.
Prog.
S
kV
mA
1233
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Operating Instructions ORTHOPHOS XG 5 / Ceph
5.4.6.1
Positioning with chin rest and rod for bite block
✔ The chin rest and bite block segment, as well forehead support and
temple supports are inserted in the unit.
✔ The relevant hygienic protective sleeves are pulled over the
accessories.
1. Guide the patient in front of the control mirror.
2. Set the unit height using the up A and down B keys. CAUTION! The
height adjustment motor starts slowly and then increases its speed.
Press and hold the key until the desired height is reached. The motor
movement is accompanied by an acoustic signal.
ª The patient's chin and the chin rest on the unit are at the same
height.
3. Turn the bite block away from the patient.
ª The bite block is pointing towards the control mirror.
4. Instruct the patient to place his chin on the chin rest and place both
hands on the hand grips.
5. Turn the bite block towards the patient and instruct him to bite on the
bite block.
ª The patient's anterior teeth are positioned in the indentation in the
bite block. If necessary, push the lower anterior teeth forwards
until they reach a stop.
B
A
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5.4Panoramic and bite wing exposure Operating Instructions ORTHOPHOS XG 5 / Ceph
6. Check the patient's occlusal plane C. Adjust the unit height using the
up A and down B keys.
ª The occlusal plane is slightly inclined toward the front.
7. Check the position of the patient’s spine.
ª Ensure that the patient’s spine is slightly inclined, as shown in the
diagram.
Tip: To achieve the correct positioning of the spine, ask the
patient to take a small step towards the column of the unit. The
patient’s cervical vertebrae are thus stretched. This prevents
regions of diminished density in the anterior tooth region.
8. Swivel the control mirror outwards. Press the left recess on the
touchbar D.
ª You can see the patient in the control mirror.
9. Switch on the light localizer. CAUTION! Risk of dazzle
ª Two red laser lines reflect on the patient’s head. To switch off the
light localizer, press the key again. It switches off automatically
after approx. 100 seconds.
10. Align the patient with the central laser line G.
ª The laser line reflects in the center of the patient’s anterior teeth
or the middle of the face (mid-sagittal).
11. Align the patient's head according to the Frankfurt horizontal plane
(E).
Tip: The Frankfurt horizontal is used as a reference plane. It runs
between the upper edge of the ear canal and the deepest point of the
lower eye socket edge.
12. Adjust the height of the light localizer using the slider F.
ª The laser line reflects on the upper edge of the outer ear canal.
13. Correct the patient's head inclination as necessary. Briefly press the
up A and down B height adjustment keys.
ª The laser line reflects on the lowest point of the lower eye socket
edge.
C
A
B
G
F
E
D
E
C
B
A
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14. Press the forehead support adjustment key H and the temple support
adjustment key I.
ª The forehead and temple supports stop moving automatically
when they come into contact with the patient's head.
Ensure that the patient's head does not move backward when the
forehead support is put in place.
15. Check the patient's position and make any final corrections as
necessary.
16. Swivel the control mirror back into place. Press the right recess on the
touchbar D.
ª The patient can see himself in the control mirror.
17. Instruct the patient to exhale, place his tongue against the roof of his
mouth, and hold this position until the end of the exposure.
ª The patient is positioned in the unit.
I
H
IMPORTANT
The slice width is selected automatically for different dental arches with
the temple support setting, and the radiation time is also changed
through this in accordance with the temple support width which is set.
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5.4Panoramic and bite wing exposure Operating Instructions ORTHOPHOS XG 5 / Ceph
5.4.6.2
Positioning with chin rest and bar
✔ The patient has no or only a few anterior teeth.
✔ The chin support and bar, and the forehead support and temple
supports are inserted in the unit.
✔ The relevant hygienic protective sleeves are pulled over the
accessories.
1. Instruct the patient to place his chin on the chin rest and place both
hands on the hand grips.
2. Instruct the patient to place his subnasale (the base of his nose)
against the bar. If the patient's lower jaw contains anterior teeth, place
the bar between his chin and his lower lip.
3. Place a cotton roll between the patient's upper and lower jaw.
ª The patient's upper and lower jaw are aligned.
4. Proceed as described under "Positioning with chin rest and rod for
bite block" [ → 47] from step 6.
5.4.6.3
Positioning with bite block
✔ The yellow bite block, forehead support and temple supports are
inserted in the unit.
✔ The relevant hygienic protective sleeves are pulled over the
accessories.
1. Instruct the patient to hold the handles with both hands and bite into
the bite block.
ª The patient's anterior teeth are positioned in the indentation in the
bite block. If necessary, push the lower anterior teeth forwards
until they reach a stop.
2. Proceed as described under "Positioning with chin rest and rod for
bite block" [ → 47] from step 6.
5.4.6.4
Positioning with contact segment
✔ The patient has no or only a few anterior teeth.
✔ The yellow contact segment, forehead support and temple supports
are inserted in the unit.
✔ The relevant hygienic protective sleeves are pulled over the
accessories.
1. Instruct the patient to hold the handles with both hands and place his
subnasale (the base of his nose) against the contact segment.
2. Place a cotton roll between the patient's upper and lower jaw.
ª The patient's upper and lower jaw are aligned.
3. Proceed as described under "Positioning with chin rest and rod for
bite block" [ → 47] from step 6.
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Operating Instructions ORTHOPHOS XG 5 / Ceph
5.5
Temporomandibular joint exposure
5.5.1 TM1.1 / TM1.2 – Lateral view of temporomandibular joints
with mouth open and closed
This exposure displays the temporomandibular joints from a lateral
aspect with the mouth open and closed and provides 4 views in one
image.
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5.5Temporomandibular joint exposure Operating Instructions ORTHOPHOS XG 5 / Ceph
5.5.2 Preparing the exposure
Depending on the patient or the exposure program, you may have to
replace accessory parts and, if necessary, reconnect the sensor, see
"Installation and start-up" [ → 33].
You will require the following accessories:
● Temporomandibular joint supports with ear holders
● Forehead support
➢ Insert the accessory parts to be used into the unit and pull on the
relevant hygienic protective sleeves, see "Hygienic protective
sleeves" [ → 31].
➢ Switch SIDEXIS to a "Ready for 2D exposure" state, see "Switching
SIDEXIS to ready for exposure state" [ → 39].
5.5.3 Selecting an exposure program
The exposure programs appear in the sequence P1, P1 L, P1 R, P1 A,
P1 C, P10, P12, BW1, TM1.1/TM1.2, S1, MS1, C3, C4, C1, C2 on the
digital display of the Multipad.
✔ The unit is switched on and ready for exposure.
➢ Select the exposure program. Push the program selection key
forward (A) and backward (B).
ª The program number, the appropriate exposure time and the
programmed kV/mA values for the second patient symbol from
the left appear on the digital display.
ª The exposure program is selected.
B
A
T
R
Prog.Prog.
S
kV
mA
P1 14.1 64 8
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Operating Instructions ORTHOPHOS XG 5 / Ceph
5.5.4 Setting the kV/mA values
Setting the kV/mA values via the patient symbols
Preset kV/mA combinations are assigned to the patient symbols, which
are selected according to the patient's size and weight. The symbols
roughly correspond to child, youth/woman, woman/man, hefty persons.
➢ Select the desired patient symbol. Press one of the four patient
symbol keys (A).
ª The LED above the selected patient symbol lights up. The
corresponding kV/mA values appear on the digital display.
ª The kV/mA value is set.
Manual setting of kV/mA values
If the preset kV/mA combinations do not provide a satisfactory result, you
can also set the kV/mA values manually in all programs.
➢ Select another kV/mA value. Push the kV/mA keys forward (B) and
backward (C).
ª The selected kV/mA value is shown on the digital display. If the
new value happens to agree with the value programmed for
another patient symbol key, its LED then lights up.
ª The kV/mA value is set.
T
R
Prog.
S
kV
mA
TM1.1 12.8 71 8
A
T
R
Prog.Prog.
S
kV
mA
C
B
TM1.1 12.8 71 8
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5.5Temporomandibular joint exposure Operating Instructions ORTHOPHOS XG 5 / Ceph
5.5.5 Positioning the patient
The patient is positioned on the unit while standing. Positioning in the seat
is also possible without issue.
Tip: As long as a height adjustment key is pressed, the digital display
shows a reference value for the height setting which is saved in the
additional information area of the SIDEXIS software.
✔ The forehead support and temporomandibular joint supports with ear
holders are plugged into the unit (1 right, 2 left, see “Changing the
temple supports and temporomandibular joint supports [ → 34]“.
✔ The relevant hygienic protective sleeves are pulled over the
accessories.
1. Guide the patient in front of the control mirror.
CAUTION
The height adjustment motor starts slowly and then increases its speed.
A patient positioned in the unit may be injured by moving parts.
➢ Monitor the patient and the movement of the unit during height
adjustment.
➢ To make minor corrections, press and immediately release the
keys.
CAUTION
The light localizer consists of one Class 1 laser.
Patients and users can be blinded by the laser light localizer.
➢ Do not stare directly into the laser beam. Make sure that the laser
beam does not meet the eyes of the patient.
➢ A distance of at least 10 cm must be maintained between the eye
and the laser.
IMPORTANT
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.
Prog.
S
kV
mA
1233
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Operating Instructions ORTHOPHOS XG 5 / Ceph
2. Set the unit height using the up (A) and down (B) keys.
CAUTION! 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 unit movement is accompanied by a
beep.
Release the height-adjustment buttons once the ear holders of the
temporomandibular joint supports are at the same height as that of
the patient's ears.
3. Instruct the patient to position himself between the
temporomandibular joint supports and hold the handles with both
hands.
4. Close the temporomandibular joint supports (J and K). Press the I
key.
ª The temporomandibular joint supports stop automatically when
they come into contact with the patient's head. The patient is
fixed to the unit by the ear holders.
5. Swivel the control mirror outwards. Press the left recess on the
touchbar (D).
ª You can see the patient in the control mirror.
6. Switch on the light localizer. CAUTION! Risk of dazzle
ª Two red laser lines reflect on the patient’s head. To switch off the
light localizer, press the key again. It switches off automatically
after approx. 100 seconds.
7. Align the patient with the central laser line (G).
ª The laser line reflects in the center of the patient’s anterior teeth
or the middle of the face (mid-sagittal).
B
A
I
K
J
1
G
F
E
D
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5.5Temporomandibular joint exposure Operating Instructions ORTHOPHOS XG 5 / Ceph
8. Align the patient's head according to the Frankfurt horizontal plane
(E).
9. Adjust the height of the light localizer using the slider (F).
ª The laser line reflects on the upper edge of the outer ear canal.
10. Correct the patient's head inclination as necessary. Briefly press the
up (A) and down (B) height adjustment keys.
ª The laser line reflects on the lowest point of the lower eye socket
edge.
11. Press the forehead support adjustment key (H).
ª The forehead supports stop moving automatically when they
come into contact with the patient's forehead.
Ensure that the patient's head does not move backward when the
forehead support is put in place.
12. Check the patient's position and make any final corrections as
necessary.
13. Swivel the control mirror back into place. by pressing the right recess
on the touchbar (D).
ª The patient can see himself in the control mirror.
14. Instruct the patient to exhale, place his tongue against the roof of his
mouth, and hold this position until the end of the exposure.
ª The patient is positioned in the unit.
E
B
A
1
H
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Operating Instructions ORTHOPHOS XG 5 / Ceph
5.6
Sinus view
5.6.1 S1 – Paranasal sinuses
This exposure shows the paranasal sinuses e.g. for the diagnosis of
orbital floor fractures.
5.6.2 Preparing the exposure
Depending on the patient or the exposure program, you may have to
replace accessory parts and, if necessary, reconnect the sensor, see
"Installation and start-up" [ → 33].
You will require the following accessories:
● Blue bite block or contact segment
● Temporomandibular joint supports with contact pads
● Forehead support
➢ Insert the accessory parts to be used into the unit and pull on the
relevant hygienic protective sleeves, see "Hygienic protective
sleeves" [ → 31].
➢ Switch SIDEXIS to a "Ready for 2D exposure" state, see "Switching
SIDEXIS to ready for exposure state" [ → 39].
5.6.3 Selecting an exposure program
The exposure programs appear in the sequence P1, P1 L, P1 R, P1 A,
P1 C, P10, P12, BW1, TM1.1/TM1.2, S1, MS1, C3, C4, C1, C2 on the
digital display of the Multipad.
✔ The unit is switched on and ready for exposure.
➢ Select the exposure program. Push the program selection key
forward (A) and backward (B).
ª The program number, the appropriate exposure time and the
programmed kV/mA values for the second patient symbol from
the left appear on the digital display.
ª The exposure program is selected.
B
A
T
R
Prog.Prog.
S
kV
mA
P1 14.1 64 8
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5.6Sinus view Operating Instructions ORTHOPHOS XG 5 / Ceph
5.6.4 Setting the kV/mA values
Setting the kV/mA values via the patient symbols
Preset kV/mA combinations are assigned to the patient symbols, which
are selected according to the patient's size and weight. The symbols
roughly correspond to child, youth/woman, woman/man, hefty persons.
➢ Select the desired patient symbol. Press one of the four patient
symbol keys (A).
ª The LED above the selected patient symbol lights up. The
corresponding kV/mA values appear on the digital display.
ª The kV/mA value is set.
Manual setting of kV/mA values
If the preset kV/mA combinations do not provide a satisfactory result, you
can also set the kV/mA values manually in all programs.
➢ Select another kV/mA value. Push the kV/mA keys forward (B) and
backward (C).
ª The selected kV/mA value is shown on the digital display. If the
new value happens to agree with the value programmed for
another patient symbol key, its LED then lights up.
ª The kV/mA value is set.
T
R
Prog.Prog.
S
kV
mA
S1 14.4 77 7
A
T
R
Prog.Prog.
S
kV
mA
C
B
S1 14.4 77 7
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Operating Instructions ORTHOPHOS XG 5 / Ceph
5.6.5 Positioning the patient
The patient is positioned on the unit while standing. Positioning in the seat
is also possible without issue.
Tip: As long as a height adjustment key is pressed, the digital display
shows a reference value for the height setting which is saved in the
additional information area of the SIDEXIS software.
✔ The blue contact segment and the temporomandibular joint supports
with contact pads are inserted into the unit.
✔ The relevant hygienic protective sleeves are pulled over the
accessories.
1. Guide the patient in front of the control mirror.
CAUTION
The height adjustment motor starts slowly and then increases its speed.
A patient positioned in the unit may be injured by moving parts.
➢ Monitor the patient and the movement of the unit during height
adjustment.
➢ To make minor corrections, press and immediately release the
keys.
CAUTION
The light localizer consists of one Class 1 laser.
Patients and users can be blinded by the laser light localizer.
➢ Do not stare directly into the laser beam. Make sure that the laser
beam does not meet the eyes of the patient.
➢ A distance of at least 10 cm must be maintained between the eye
and the laser.
IMPORTANT
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.
Prog.
S
kV
mA
1233
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5.6Sinus view Operating Instructions ORTHOPHOS XG 5 / Ceph
2. Set the unit height using the up (A) and down (B) keys.
CAUTION! The height adjustment motor starts slowly and then
increases its speed.
Press and hold down the button until the desired height is reached.
The unit movement is accompanied by a beep.
Release the height-adjustment buttons once the contact pads of the
temporomandibular joint supports are located above the patient's
ears.
3. Instruct the patient to position himself between the
temporomandibular joint supports and hold the handles with both
hands.
4. Instruct the patient to place his subnasale (the base of his nose)
against the contact segment and tilt his head backwards as far as
possible.
ª The patient's head is reclined as far as possible.
5. Close the temporomandibular joint supports with the key (C).
ª The temporomandibular joint supports stop automatically when
they come into contact with the patient's head. The patient is
fixed to the unit by the contact pads.
6. Check the patient's position and make any final corrections as
necessary.
7. Instruct the patient to exhale, place his tongue against the roof of his
mouth, and to hold this position until the end of the exposure.
ª The patient is positioned in the unit.
B
A
C
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Operating Instructions ORTHOPHOS XG 5 / Ceph
5.7
Transversal multi-slice posterior teeth
5.7.1 MS1 – Program description
This exposure shows the posterior tooth region as a multislice with 6
views in one image.
5.7.2 Preparing the exposure
Depending on the patient or the exposure program, you may have to
replace accessory parts and, if necessary, reconnect the sensor, see
"Installation and start-up" [ → 33].
You will require the following accessories:
● Yellow bite block or contact segment.
● Temple supports
● Forehead support
➢ Insert the accessory parts to be used into the unit and pull on the
relevant hygienic protective sleeves, see "Hygienic protective
sleeves" [ → 31].
➢ Switch SIDEXIS to a "Ready for 2D exposure" state, see "Switching
SIDEXIS to ready for exposure state" [ → 39].
5.7.3 Selecting an exposure program
The exposure programs appear in the sequence P1, P1 L, P1 R, P1 A,
P1 C, P10, P12, BW1, TM1.1/TM1.2, S1, MS1, C3, C4, C1, C2 on the
digital display of the Multipad.
✔ The unit is switched on and ready for exposure.
➢ Select the exposure program. Push the program selection key
forward (A) and backward (B).
ª The program number, the appropriate exposure time and the
programmed kV/mA values for the second patient symbol from
the left appear on the digital display.
ª The exposure program is selected.
A
B
C
IMPORTANT
Note that, due to the large slice thickness, program MS1 is not suitable
for implantology planning.
B
A
T
R
Prog.Prog.
S
kV
mA
P1 14.1 64 8
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5.7Transversal multi-slice posterior teeth Operating Instructions ORTHOPHOS XG 5 / Ceph
5.7.4 Setting the kV/mA values
Setting the kV/mA values via the patient symbols
Preset kV/mA combinations are assigned to the patient symbols, which
are selected according to the patient's size and weight. The symbols
roughly correspond to child, youth/woman, woman/man, hefty persons.
➢ Select the desired patient symbol. Press one of the four patient
symbol keys (A).
ª The LED above the selected patient symbol lights up. The
corresponding kV/mA values appear on the digital display.
ª The kV/mA value is set.
Manual setting of kV/mA values
If the preset kV/mA combinations do not provide a satisfactory result, you
can also set the kV/mA values manually in all programs.
➢ Select another kV/mA value. Push the kV/mA keys forward (B) and
backward (C).
ª The selected kV/mA value is shown on the digital display. If the
new value happens to agree with the value programmed for
another patient symbol key, its LED then lights up.
ª The kV/mA value is set.
T
R
Prog.Prog.
S
kV
mA
MS1 21.7 77 7
A
T
R
Prog.Prog.
S
kV
mA
C
B
MS1 21.7 77 7
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Operating Instructions ORTHOPHOS XG 5 / Ceph
5.7.5 Positioning the patient
The patient is positioned on the unit while standing. Positioning in the seat
is also possible without issue.
Tip: As long as a height adjustment key is pressed, the digital display
shows a reference value for the height setting which is saved in the
additional information area of the SIDEXIS software.
CAUTION
The height adjustment motor starts slowly and then increases its speed.
A patient positioned in the unit may be injured by moving parts.
➢ Monitor the patient and the movement of the unit during height
adjustment. To make minor corrections, press and immediately
release the keys.
CAUTION
The light localizer consists of one Class 1 laser.
Patients and users can be blinded by the laser light localizer.
➢ Do not stare directly into the laser beam. Make sure that the laser
beam does not meet the eyes of the patient.
➢ A distance of at least 10 cm must be maintained between the eye
and the laser.
IMPORTANT
The image quality of volume exposures is limited by metal or other
radiopaque materials located in the patient’s mouth.
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.
Prog.
S
kV
mA
1233
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5.7Transversal multi-slice posterior teeth Operating Instructions ORTHOPHOS XG 5 / Ceph
5.7.5.1
Positioning with bite block
✔ The yellow bite block, the forehead support and temple supports are
inserted in the unit.
✔ The relevant hygienic protective sleeves are pulled over the
accessories.
1. Guide the patient in front of the control mirror.
2. Set the unit height using the up (A) and down (B) keys. CAUTION!
The height adjustment motor starts slowly and then increases its
speed.Press and hold the until the desired height is reached. The
motor movement is accompanied by an acoustic signal.
ª The bite block is located at the height of the patient's anterior
teeth.
3. Guide the patient to the unit and instruct him to hold the handles with
both hands.
4. Instruct the patient to bite on the bite block.
ª The patient's anterior teeth are positioned in the indentation in the
bite block. If necessary, push the lower teeth forwards until they
reach a stop.
5. Align the patient's head in a slightly reclined position.
ª The patient's mandible (C) should be parallel with the floor.
B
A
C
B
A
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6. Press the forehead support adjustment key (D) and the temple
support key (E).
ª The forehead and temple supports stop moving automatically
when they come into contact with the patient's head.
Ensure that the patient's head does not move backward when the
forehead support is put in place.
7. Check the patient's position and make any final corrections as
necessary.
8. Instruct the patient to exhale, place his tongue against the roof of his
mouth, and to hold this position until the end of the exposure.
ª The patient is positioned in the unit.
5.7.5.2
Positioning with contact segment
✔ The patient has no or only a few anterior teeth.
✔ The yellow contact segment is inserted in the unit.
✔ The relevant hygienic protective sleeves are pulled over the
accessories.
1. Instruct the patient to hold the handles with both hands and place his
subnasale (the base of his nose) against the contact segment.
2. Place a cotton roll between the patient's upper and lower jaw.
ª The patient's upper and lower jaw are aligned.
3. Proceed from step 5 as described under "Positioning with bite block"
[ → 64].
E
D
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5.8Cephalometric exposures Operating Instructions ORTHOPHOS XG 5 / Ceph
5.8
Cephalometric exposures
5.8.1 Program description
L/R markings can be turned on/off in SIDEXIS.
Note the different direction of viewing in the human medicine and/or
dental radiology.
5.8.1.1
C1 – Posterior-anterior exposure, symmetrical
The program takes a full-format exposure from posterior to anterior. This
program is suitable only for semi-axial cranial exposures. The exposure
provides a cranio-eccentric overview.
5.8.1.2
C2 – Anterior - posterior exposure, symmetrical
The program takes a full-format exposure from anterior to posterior. This
program is suitable only for semi-axial cranial exposures. The exposure
provides a cranio-eccentric overview.
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5.8.1.3
C3 – Lateral exposure
With this exposure technique, a metal scale 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.
C3 - Lateral exposure, asymmetric
This program displays a full-format lateral view (approx. 18x23cm). This
program omits the front of the patient's head.
C3F - Lateral full-format exposure
This program displays a full-format lateral view (approx. 30x23cm). This
program displays the whole of the patient's head.
Tip: By default, the image of the lateral exposure C3 or C3F shows the
patient's face facing to the right. 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 also note that all other ceph exposures C1, C2 and C4 will then
also be displayed "mirrored", i.e. laterally reversed.
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5.8Cephalometric exposures Operating Instructions ORTHOPHOS XG 5 / Ceph
5.8.1.4
C4 – Carpus view, symmetrical
The program displays a carpus view. The carpus view is used to
determine the growth stage of the body or the jaw.
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5.8.2 Preparing the exposure
The following illustrations of the cephalometer are shown in the lefthanded arm version. They also apply for the cephalometer with a righthanded arm.
A = asymmetrical
S = symmetrical
Preparing the nose support
1. Grasp the nose support at the rotary joint.
2. Pull the nose support forwards until it reaches the stop.
3. Swivel the nose support sideways and upwards.
Move the ear plug holders
1. Grasp the holders at the very top with both hands.
2. Push the holders simultaneously outwards as far as they will go.
NOTICE
The adjustment of the cephalometer may alter depending on the load.
A change in the adjustment may lead to faulty X-rays.
➢ Never lean against the cephalometer or the extension arm.
➢ Do not hang or place any objects against or on the cephalometer or
extension arm.
20
30
40
50
A
20
30
40
50
A
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5.8Cephalometric exposures Operating Instructions ORTHOPHOS XG 5 / Ceph
Turn the ear plug holders
Note that the holder for the ear plugs must be rotated by 90 degrees for
symmetrical exposures and carpus exposures.
1. Grasp the holders at the very top with both hands.
2. Rotate the ear plug holders.
ª In posterior-anterior exposure: The nose support points towards
the sensor. In posterior-anterior exposure and carpal exposures:
The nose support points towards the secondary diaphragm.
Protective caps and hygienic protective sleeves
➢ Plug the protective caps onto the ear plugs and pull the hygienic
protective sleeve onto the nose support, see "Hygienic protective
sleeves" [ → 31].
Preparing for a 2D exposure
5.8.3 Selecting an exposure program
The exposure programs appear in the sequence P1, P1 L, P1 R, P1 A,
P1 C, P10, P12, BW1, TM1.1/TM1.2, S1, MS1, C3, C4, C1, C2 on the
digital display of the Multipad.
✔ The unit is switched on and ready for exposure.
➢ Select the exposure program. Push the program selection key
forward (A) and backward (B).
ª The program number, the appropriate exposure time and the
programmed kV/mA values for the second patient symbol from
the left appear on the digital display.
ª The exposure program is selected.
S
p.a.
S
a.p.
B
A
T
R
Prog.Prog.
S
kV
mA
P1 14.1 64 8
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Operating Instructions ORTHOPHOS XG 5 / Ceph
5.8.4 Setting the kV/mA values
Setting the kV/mA values via the patient symbols
Preset kV/mA combinations are assigned to the patient symbols, which
are selected according to the patient's size and weight. The symbols
roughly correspond to child, youth/woman, woman/man, hefty persons.
➢ Select the desired patient symbol. Press one of the four patient
symbol keys (A).
ª The LED above the selected patient symbol lights up. The
corresponding kV/mA values appear on the digital display.
ª The kV/mA value is set.
Manual setting of kV/mA values
If the preset kV/mA combinations do not provide a satisfactory result, you
can also set the kV/mA values manually in all programs.
➢ Select another kV/mA value. Push the kV/mA keys forward (B) and
backward (C).
ª The selected kV/mA value is shown on the digital display. If the
new value happens to agree with the value programmed for
another patient symbol key, its LED then lights up.
ª The kV/mA value is set.
T
R
Prog.
S
kV
mA
A
C3 9.4 73 15
T
R
Prog.Prog.
S
kV
mA
C3 9.4 73 15
C
B
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5.8Cephalometric exposures Operating Instructions ORTHOPHOS XG 5 / Ceph
5.8.5 Positioning the patient
The patient is positioned on the unit while standing. Positioning in the seat
is also possible without issue.
This is the case, for example, if the patient is shorter than approx. 93 cm
or taller than 197 cm. In this case, you position the patient on a fixed and
height-adjustable chair with a short backrest.
Tip: As long as a height adjustment key is pressed, the digital display
shows a reference value for the height setting which is saved in the
additional information area of the SIDEXIS software.
CAUTION
The height adjustment motor starts slowly and then increases its speed.
A patient positioned in the unit may be injured by moving parts.
➢ Monitor the patient and the movement of the unit during height
adjustment. To make minor corrections, press and immediately
release the keys.
CAUTION
The light localizer consists of one Class 1 laser.
Patients and users can be blinded by the laser light localizer.
➢ Do not stare directly into the laser beam. Make sure that the laser
beam does not meet the eyes of the patient.
➢ A distance of at least 10 cm must be maintained between the eye
and the laser.
IMPORTANT
The image quality of volume exposures is limited by metal or other
radiopaque materials located in the patient’s mouth.
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.
Prog.
S
kV
mA
1233
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Operating Instructions ORTHOPHOS XG 5 / Ceph
5.8.5.1
Positioning for symmetrical exposures C1, C2
✔ Push the ear plug holders apart.
✔ The nose support is swiveled upwards.
✔ The ear plug holders are rotated at an angle of 90° towards the
sensor and the secondary diaphragm.
✔ The protective caps for ear plugs are inserted.
1. Set the unit height using the up (A) and down (B) keys.
CAUTION! The height adjustment motor starts slowly and then
increases its speed.
Press and hold down the button until the desired height is reached.
The unit movement is accompanied by a beep.
Release the height-adjustment buttons once the Cephalometer is at
the same height as that of the patient's head.
2. Guide the patient between the ear plug holders.
ª In posterior-anterior exposure: The patient stands facing the
sensor. For anterior-posterior exposure: The patient stands
facing the secondary diaphragm. This position applies for both
right and left-handed arms.
3. Grasp the ear plug holders at the top and simultaneously slide them
together.
ª The ear plugs are positioned on the patient's outer auditory
passage.
4. Only for program C1 p.a. and C2 a.p: Instruct the patient to tilt his
head back and open his mouth as far as possible.
5. Instruct the patient to hold this position until the end of the exposure.
ª The patient is positioned in the unit.
B
A
S
p.a.
S
a.p.
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5.8Cephalometric exposures Operating Instructions ORTHOPHOS XG 5 / Ceph
5.8.5.2
Positioning for C3 lateral exposures
✔ The nose support is swiveled upwards.
✔ Push the ear plug holders apart.
✔ The ear plug holders are in a line with the sensor and the secondary
diaphragm.
✔ The protective caps for ear plugs are inserted. The hygienic
protective sleeve for the nose support is pulled on.
1. Set the unit height using the up (A) and down (B) keys.
CAUTION! The height adjustment motor starts slowly and then
increases its speed.
Press and hold down the button until the desired height is reached.
The unit movement is accompanied by a beep.
Release the height-adjustment buttons once the Cephalometer is at
the same height as that of the patient's head.
2. Guide the patient backwards between the ear plug holders.
3. Grasp the ear plug holders at the top and simultaneously slide them
together.
ª The ear plugs are positioned on the patient's outer auditory
passage.
4. Switch on the light localizer. CAUTION! Risk of dazzle
ª A red laser line reflects on the patient's head. To switch off the
light localizer, press the key again. It switches off automatically
after approx. 100 seconds.
5. Align the patient's head according to the Frankfurt horizontal plane.
6. Correct the patient's head inclination as necessary. Briefly press the
up (A) and down (B) height adjustment keys.
ª The laser line reflects on the upper edge of the outer auditory
passage and at the deepest point of the lower eye socket.
B
A
20
30
40
50
20
30
40
50
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7. Optional: Swivel the nose support downward and adjust it in a vertical
and horizontal direction, see "Setting/inserting the cephalometer
accessories" [ → 35].
ª The nose support rests on the root of the nose.
8. Instruct the patient to hold this position until the end of the exposure.
ª The patient is positioned in the unit.
30
40
50
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5.8Cephalometric exposures Operating Instructions ORTHOPHOS XG 5 / Ceph
5.8.5.3
Positioning for carpal exposures C4
✔ The nose support is swiveled upwards.
✔ The carpus support plate is inserted in the unit.
✔ Push the ear plug holders apart.
✔ The ear plug holders are rotated at an angle of 90 degrees towards
the sensor and the secondary diaphragm. The nose support points
towards the secondary diaphragm.
1. Guide the patient sideways into the unit.
2. Set the unit height using the up (A) and down (B) keys.
CAUTION! The height adjustment motor starts slowly and then
increases its speed.
Press and hold down the button until the desired height is reached.
The unit movement is accompanied by a beep.
Release the height adjustment buttons once the patient can place his/
her hand on the carpus support plate with the arm bent.
3. Instruct the patient to place his hand on the carpus support plate.
ª For a cephalometer with a right-handed arm: The patient's left
hand is positioned on the carpus support plate. For a
cephalometer with a left-handed arm: The patient's right hand is
positioned on the carpus support plate. The patient's fingertips do
not protrude beyond the upper edge (C). The patient's hand and
arm form a line.
4. Instruct the patient to hold this position until the end of the exposure.
ª The patient is positioned in the unit.
NOTICE
The patient may press too forcefully against the carpus support plate.
This can damage the carpus support plate.
➢ Instruct the patient to only press lightly on the carpus support plate.
B
A
C
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Operating Instructions ORTHOPHOS XG 5 / Ceph
5.9
Starting the test cycle
The test cycle is executed without radiation. The test cycle is used to
check that the unit is functioning correctly and to ensure that a complete,
uninterrupted cycle is possible. The rotating unit stops automatically if the
resistance increases.
1. Press the T key.
ª The program enters test cycle mode. The LED above the T key
lights up. Only the exposure program number appears on the
digital display. None of the LEDs above the patient symbol keys
light up.
2. Press the release button.
ª The test cycle is started.
3. Wait until the test cycle has been completed.
4. Press the T key again.
ª The program exits test cycle mode.
5.10
Releasing the exposure
The exposure can be released using the release button on the spiral
cable or the remote control. If the unit is installed in an X-ray room, which
features a door edge, and the line of sight towards the patient is
guaranteed, the exposure is to be released via the remote release, see
"Using remote release" [ → 81].
T
R
Prog.
S
kV
mA
P1
WARNING
The unit emits X-ray radiation.
Excess exposure to X-rays is detrimental to health.
➢ Use the prescribed accessories for radiation protection.
➢ Do not stay in the X-ray room during exposure. Move as far away
from the unit as the coiled cable for the release button allows you to.
CAUTION
The movement of the system may be adversely affected by the patient's
physical constitution, clothing, or dressings, or by wheelchairs or
hospital beds.
The exposure is automatically terminated if the movement of the unit is
inhibited. The exposure must be repeated.
➢ Ensure that the movement of the unit is not impaired when
positioning the patient. Before the exposure, perform a test cycle
using the T key.
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5.10Releasing the exposure Operating Instructions ORTHOPHOS XG 5 / Ceph
✔ The help message H... must not appear alternating on the digital
display of the Multipad.
Tip: If the doors of the X-ray room are not properly shut, the message
"H321" (Close the door) appears on the digital display of the Multipad
and on the remote control.
✔ The exposure program, radiation time, and kV/mA values are
selected and appear on the digital display C.
✔ The patient is positioned in the unit.
CAUTION
Prematurely letting go of the release button cancels the exposure
immediately.
The exposure must be repeated.
➢ Take care not to let go of the exposure release button prematurely.
Press the release button until the end of the exposure. Note that
radiation may be released several times during an exposure cycle.
CAUTION
The exposure memory of the unit is cleared when the unit is switched
off.
Images that have not been transferred to SIDEXIS are irretrievably lost.
The exposure must be repeated.
➢ Wait until the exposure data have be completely transferred. Do not
switch the unit off before the X-ray exposure is displayed on the
SIDEXIS screen.
CAUTION
Pressing the R key moves the unit to the starting position.
A patient positioned in the unit may be injured by moving parts.
➢ Check that a patient is not positioned in the unit before moving it to
the starting position.
Prog.
S
kV
mA
23
R
IMPORTANT
Premature release of a new exposure is prevented by the automatic
exposure blocking function. This function is used for thermal protection
of the X-ray tube.
After the release button is pressed, the expiring cooling time in seconds
appears on the digital display. If you let go of the release button before
the cooling time has expired, the Ready LED above the "R" key also
starts flashing. After you press the "R" key, the program data again
appears on the digital display.
Another exposure can be released only after the cooling period has
elapsed.
3030
4040
5050
3030
4040
5050
6
0
9
0
1
2
0
7
0
80
1
0
0
1
1
0
sirona
T
R
P
ro
g
.
S
kV
m
A
P1
14.1
64
8
T
R
C
E
PH
CEPH
PANPAN
TSTS
LSLS
F
ilm
k
a
s
s
e
tte
e
in
ra
s
te
n
Filmkassette einrasten
1
260
64
62kV
8mA8mA
?
P6.1
12,1s12,1s
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Operating Instructions ORTHOPHOS XG 5 / Ceph
1. Press release button (A) and hold it down until the end of the
exposure.
ª The exposure is released. The rotary movement of the selected
exposure program is performed automatically. During radiation,
the optical radiation indicator B lights up on the Multipad. In
addition, an acoustic signal sounds throughout the entire
radiation time. Radiation can be released several times during
the exposure.
2. Press and hold release button A. Wait until a short pulsed tone
sequence sounds (can be deactivated by a service engineer). The
exposure is finished when a row of dots and the program number are
alternately displayed on the Multipad. 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.
ª The X-ray image is displayed on the PC monitor in SIDEXIS. The
forehead and temple supports open automatically.
3. Let go of release button (A).
ª The exposure is completed. The confirmation of the exposure
data appears on the digital display of the Multipad. The program
number, the elapsed radiation time, the tube voltage, the tube
current, error/help messages and the dose area product are
displayed.
The Ready LED above the R key flashes.
4. Guide the patient out of the unit.
5. Press the Return key R on the Multipad.
ª Confirmation of the exposure data is acknowledged.
6. WARNING! The patient may be injured by moving parts. Press the
Return key R on the Multipad again.
ª The rotating unit moves to the starting position. The Ready LED
switches off.
ª The device is now ready for the next exposure.
IMPORTANT
The patient's arms must hang down freely at his/her 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
exposure and check to make sure that this does not happen.
Prog.
S
kV
mA
P1 14.1 64 8
T
R
C
B
A
Prog.
S
kV
mA
P1 14.1 64 8
Prog.
S
kV
mA
H 320 14.1 64 8
R
Prog.
S
kV
mA
H 320
1234mGycm
2
1234mGycm
2
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5.10Releasing the exposure Operating Instructions ORTHOPHOS XG 5 / Ceph
Wi t h t he two-part exposure program TM 1 two exposures (TM 1.1 and TM
1.2) are prepared.
✔ The first temporomandibular joint exposure has been released as
described above. The exposure program has changed from TM 1.1
to TM 1.2 on the digital display of the Multipad. The rotating unit has
automatically moved to the starting position.
1. Instruct the patient to open his/her mouth.
ª The patient has opened his/her mouth without changing his/her
position.
2. Press the release button A and hold it down until the end of the
second exposure.
ª The second exposure is released.
3. Wait until a short pulsed tone sequence sounds (can be deactivated
by a service engineer).
ª The exposure is finished when a row of dots and the program
number alternately appear on the digital display of the Multipad.
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. The forehead support and
temporomandibular joint supports open automatically.
4. Let go of release button (A).
ª The second exposure is completed. Proceed as described above
starting with step 3.
Prog.
S
kV
mA
TM1.2 12.8 71 8
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5.11
Using the remote control
On the remote control, exposures are triggered using the release button
(D). If it is not possible to maintain visual contact with the patient when
releasing the exposure, the release key with the coiled cable (F) on the
X-ray unit can be removed and used on the remote control.
If the unit is ready for exposure and no auxiliary messages are displayed,
the current program parameters appear on display (C): Program
designation, exposure time, voltage, current in the individual fields (
Prog.
,
s, kV, mA
). The exposure can be released now.
When switching on the unit, the X-ray indicator A lights up for a functional
check for approx. 1 second.
The LED B lights up when the unit is on.
Use the Return key E to acknowledge exposures, error messages and
auxiliary messages and move the rotating unit to the starting position.
If a row of dots appears in the
Prog.
field on the digital display (C), this
means the unit is currently in a preparatory phase (e.g. unit movements,
parameter settings, program loading times, etc.). Wait until the dots
disappear automatically and the system is ready for operation.
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5.12Canceling an exposure Operating Instructions ORTHOPHOS XG 5 / Ceph
5.12
Canceling an exposure
An exposure that has been triggered can be canceled again at any time.
✔ The exposure is released.
1. Let go of the exposure release button.
ª The exposure is immediately terminated.
The confirmation of the exposure data is displayed on the
Multipad. The radiation time which has already elapsed, help
message H320 and the dose area product are alternately
displayed. The LED above the R key flashes.
2. Guide the patient out of the unit.
3. Press the R key.
ª The rotating unit moves to the starting position.
ª The unit is now ready for the next exposure.
CAUTION
Pressing the R key moves the unit to the starting position.
A patient positioned in the unit may be injured by moving parts.
➢ Check that a patient is not positioned in the unit before moving it to
the starting position.
Prog.
S
kV
mA
P1 10.7 64 8
Prog.
S
kV
mA
H 320 10.7 64 8
R
:
:
Prog.
S
kV
mA
H 320
1234mGycm
2
1234mGycm
2
:
:
IMPORTANT
The program settings must be checked before the exposure is repeated.
Any changed program settings must be preselected again.
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Operating Instructions ORTHOPHOS XG 5 / Ceph
5.13
Reprogramming the kV/mA values
The factory-programmed kV/mA combinations for each preselected
exposure program and for each individual patient symbol key can be
overwritten (reprogrammed).
1. Select the exposure program for which the values are to be changed.
Press the program selection keys (A) forward/backward.
ª The desired program is displayed.
2. Briefly press the Memory key (C).
ª The LED above the Memory key lights up.
3. Select the patient symbol corresponding to the kV/mA value you want
to change. Press the desired patient symbol key (D).
ª The LED above the patient symbol key lights up.
4. Set the new kV/mA value. Push the kV/mA keys (B) forward and
backward.
ª The desired kV/mA value is displayed.
5. Save the setting. Briefly press the Memory key (C).
ª The LED above the Memory key briefly flashes and then switches
off. The program display jumps back to P1 for PAN programs or
C3 for Ceph programs.
ª The new kV/mA value is programmed.
IMPORTANT
If no entry is made for a period of time exceeding 5 seconds during the
programming procedure, the programming mode is automatically
terminated without saving any of the changes previously entered.
D
C
B
A
T
R
Prog.
S
kV
mA
P10 11.5 71 8
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5.14Activating the Info menu Operating Instructions ORTHOPHOS XG 5 / Ceph
5.14
Activating the Info menu
The Info menu lists device data that are useful for any discussions with
your service engineer.
1. Press and hold the Memory key (A) for at least 2 seconds.
ª The Info menu appears on the digital display (C).
2. Select the individual parameters from the list. Press the program
selection keys (B) forward/backward.
ª The desired parameter is displayed.
3. Briefly press the Memory key (A).
ª The value selected for the parameter is displayed.
4. Press the service menu key (D) briefly.
ª The list of parameters is displayed.
5. Press the service menu key (D) briefly.
ª The Info menu is terminated. The unit displays exposure
readiness.
5.15
Activating the service menu
The service menu is intended exclusively for service engineers.
1. Press and hold the service menu key (B) for at least 2 seconds.
ª The LED above the service menu key (B) lights up, followed by
the LEDs above all patient symbol keys (C). The operational
readiness LED (A) flashes.
2. Enter the PIN.
ª The service menu is opened.
NOTE: If an incorrect PIN is entered or no entry is made within 5
seconds, the program then returns to exposure readiness.
3. Press the service menu key briefly (B).
ª The service menu is terminated. The unit displays exposure
readiness.
D
C
B
A
Prog.
S
kV
mA
P1 14.1 64 8
Prog.
S
kV
mA
>2 s
Prog.
S
kV
mA
V02 .12 . 00
Prog.
S
kV
mA
Prog.
S
kV
mA
P1 14.1 64 8
Systemsoftware
Systemsoftware
C
B
A
T
R
Prog.
S
kV
mA
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Sirona Dental Systems GmbH 6Maintenance
Operating Instructions ORTHOPHOS XG 5 / Ceph
6
Maintenance
6.1
Cleaning and care
6.1.1 Cleaning
Remove dirt, grime and disinfectant residue regularly using mild,
commercially available cleaning agents.
Cleaning the ventilation slots
6.1.2 Disinfecting
Only the external surfaces may be disinfected with approved chemical
disinfectants. Use only disinfectants that comply with the valid
requirements of the respective national regulatory body or whose
bactericidal, fungicidal, and virucidal properties have been verifiably
tested and approved accordingly.
A continuously updated list of approved agents can be downloaded from
the Internet on the online portal for technical documents. The portal can
also be accessed directly via the following address:
www.dentsplysirona.com/manuals
Click on the menu item
"General documents"
and then open the
"Care,
cleaning and disinfection agents"
document.
NOTICE
When cleaning or disinfecting, liquids may enter the unit or the release
button via the ventilation slots.
Electrical components of the system can be destroyed by liquids.
➢ Do not spray any liquids into the ventilation slots or the release
button.
➢ First spray the liquid onto a cleaning cloth. Then wipe the ventilation
slots or release button with the cleaning cloth.
➢ Make sure that no liquids run along the surface into the ventilation
slots or release button.
NOTICE
Cleaning and care agents may contain aggressive ingredients.
Unsuitable cleaning and care agents are detrimental to health and
attack the surface of the unit.
➢ Do NOT use: Substances containing phenol, peracetic acid,
peroxide, or any other oxygen-splitting agents, sodium hypochlorite,
or iodine-splitting agents.
➢ Use only cleaning and disinfecting agents approved by Dentsply
Sirona.
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6Maintenance Sirona Dental Systems GmbH
6.1Cleaning and care Operating Instructions ORTHOPHOS XG 5 / Ceph
If you do not have access to the Internet, you can order the list in one of
the following two ways:
● Order from your local dental depot
● Order from Dentsply Sirona
Phone: ++49 (0) 62 51/16-16 70
Fax: ++ 49 (0) 62 51/16-18 18
REF 59 70 905
Dentsply Sirona recommends the following disinfectants:
● MinutenSpray classic, by ALPRO®
● MinutenWipes, by ALPRO®
In the USA and Canada:
● CaviCide® or
● CaviWipes ™ .
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Sirona Dental Systems GmbH 6Maintenance
Operating Instructions ORTHOPHOS XG 5 / Ceph
6.1.3 Sterilization
The following accessories can be sterilized:
In addition, also use the hygienic protective sleeves; see ‘Hygienic
protective sleeves’ [ → 31].
WARNING
Infections can be transmitted from patient to patient.
Accessories that are not sterilized correctly can cause illness in patients.
➢ All accessories that are suitable for sterilization should only be
sterilized in an autoclave at 132 °C (270 °F), with at least 4 minutes
holding time and at 2.1 bar (30.5 psi) overpressure.
WARNING
The hygienic protective sleeves are single use devices.
Contaminated hygienic protective sleeves can cause illness in patients.
➢ Replace the hygienic protective sleeves after each patient.
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6Maintenance Sirona Dental Systems GmbH
6.2Inspection and maintenance Operating Instructions ORTHOPHOS XG 5 / Ceph
6.2
Inspection and maintenance
Inspection and preventive maintenance must be performed at scheduled
intervals to protect the health and safety of patients, users, and other
persons.
The information provided in the document
"Inspection and maintenance
and safety-related checks"
REF
" 59 87 685"
should be helpful here. The
document can be downloaded at http://www.sirona.com/de.html.
Annual inspection
In order to ensure the operational safety and functional reliability of your
product, you as the system owner should check the equipment at regular
intervals (at least once a year) or commission your dental depot to do so.
Maintenance by the service engineer
In addition to the annual check to be carried out by the system owner or
authorized persons, preventive maintenance must be performed after 4,
7 and 10 years, and then at two-year intervals.
Checking image quality
The image quality should be assessed by the system owner at regular
intervals, at least once a year.
On digital image receptor systems, the degree of postprocessing
(brightness or contrast adjustment) that is required in the image
processing software (e.g. SIDEXIS) to produce satisfactory results is
used as an assessment criterion.
Checking image quality
The image quality should be assessed by the system owner at regular
intervals, at least once a year. The constancy test is described in REF 63
36 924
On digital image receptor systems, the degree of postprocessing
(brightness or contrast adjustment) that is required in the image
processing software (e.g. SIDEXIS) to produce satisfactory results is
used as an assessment criterion.
If, after taking into account the patient’s anatomy and excluding possible
sources of error such as incorrect patient positioning, this criterion seems
to apply, immediately contact a service engineer to have potential system
faults repaired.
Country-specific requirements
Observe any possible additional country-specific requirements.
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Sirona Dental Systems GmbH 7Malfunctions
Operating Instructions ORTHOPHOS XG 5 / Ceph
7
Malfunctions
7.1
Help messages
When working with the unit, auxiliary messages are displayed for certain
actions (e.g. press H301 for the return key), which call for the user to
perform a specific action. These auxiliary messages are listed below. If
an error occurs, error messages are output starting with "E" followed by
5 digits, see "Error description" [ → 91].
✔ The unit is switched on and ready for operation.
1. Press the release button.
ª The message H3/H4 xx appears.
2. See list below about how to proceed to make the system ready for
exposure.
H301 – R button, move into starting position
The rotating unit is not in the starting position.
XGPF-63464; Moving into the starting position
➢ Press the R key.
ª The unit travels to the starting position.
H320 – R button, confirm exposure data
The exposure data have not been acknowledged yet.
➢ Press the R key.
ª Exposure data are confirmed.
H321 – Close the door
Check door contact of the X-ray room.
➢ Close the door to the X-ray room.
ª The contact switch on the door is closed.
H401 – Plug sensor into PAN slot
The sensor is not in the appropriate slot for the selected exposure type.
➢ Plug the sensor into the PAN sensor slot.
ª The program sequence is continued.
H402 – Plug sensor into Ceph slot
The sensor is not in the appropriate slot for the selected exposure type.
➢ Plug the sensor into the Ceph sensor slot.
ª The program sequence is continued.
CAUTION
Pressing the R key moves the unit to the starting position.
A patient positioned in the unit may be injured by moving parts.
➢ Check that a patient is not positioned in the unit before moving it to
the starting position.
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7Malfunctions Sirona Dental Systems GmbH
7.2Error message structure Operating Instructions ORTHOPHOS XG 5 / Ceph
H403 – Switch SIDEXIS to ready for exposure state
SIDEXIS is not ready for exposure.
➢ Switch SIDEXIS to a ready-for-exposure state; see the SIDEXIS user
manual.
H404 – Plug in Ceph sensor
The sensor does not match the selected exposure type.
➢ Plug the sensor into the Ceph sensor slot.
ª The program sequence is continued.
H406 – R button, move into Ceph starting position
Ceph is not in the starting position.
➢ Press the R key.
ª The unit travels to the starting position.
H420 – Get existing exposure
The image could not be transferred to SIDEXIS.
Switching the unit off, data loss
➢ Save the exposure using SiRescue. Refer to SIDEXIS manual for
users.
ª The image is transferred to SIDEXIS.
7.2
Error message structure
The error messages are displayed on the device in the form of an error
code. The display does not show any plain text error output.
The error codes are structured according to the following pattern: Ex yy zz
Explanation of abbreviations:
Ex – Error type
The x character provides a foundation for making quick decisions as to
how serious the error is and how to handle the error.
yy – Locality
Describes the impaired function of the device.
zz – Identification
Further specification of the error with a consecutive number.
CAUTION
The exposure memory of the unit is cleared when the unit is switched
off.
Images that have not been transferred to SIDEXIS cannot be restored
using SiRescue.
➢ Never switch off the unit before transferring the images to SIDEXIS
with SiRescue.
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Sirona Dental Systems GmbH 7Malfunctions
Operating Instructions ORTHOPHOS XG 5 / Ceph
7.3
Error description
7.3.1 Ex – Error type
E1 – System warning/message
The error is in an acceptable tolerance range. Device operation is not
directly impaired.
1. Acknowledge the error message.
2. Contact your Customer Service.
ª Continued device operation is ensured.
E2 – Overload
The error can be traced back to temporary overheating or something
similar.
1. Acknowledge the error message.
2. Wait for a moment and repeat the procedure step. If the error
reappears, extend the waiting time.
ª The error no longer occurs after a certain waiting period.
3. If the error persists, contact your Customer Service.
E3 – Key pressed during power-up
The error results from an invalid signal state due to pushing buttons and
security signals during power-up.
1. Switch the unit off and on again. NOTICE! Observe waiting period!
2. If the error persists, contact your Customer Service.
E4 – Unassigned
E5 – Malfunction during exposure or exposure preparation
Error resulting from a certain system action triggered by the user which
could not be performed because a required (internal) partial function
(software or hardware) is not ready or fails.
1. Acknowledge the error message.
2. Repeat the last procedure step or exposure.
ª The error no longer occurs.
3. If the error persists, contact your Customer Service.
NOTICE
The unit must not be switched on/off constantly.
Constant switching on and off reduces the service life of individual unit
components and results in increased power consumption.
➢ After switching the unit off, wait for approx. 60 seconds before
switching it on again.
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7.3Error description Operating Instructions ORTHOPHOS XG 5 / Ceph
E6 – Self-check
The error occurs spontaneously and without a corresponding operation.
1. Acknowledge the error message.
ª The error no longer occurs.
2. If the error remains, switch the unit off and on again. NOTICE!
Observe waiting period!
ª The error no longer occurs.
3. If the error persists, contact your Customer Service.
E7 – Serious system error
The error occurs spontaneously and without a corresponding operation.
1. Switch off the unit.
2. Contact your Customer Service immediately.
ª The unit is functional.
7.3.2 yy – Locality
The location may be a DX module number standing for an entire HW
function unit, or a logical SW function unit on board DX11 (central
control).
06 – Tube assembly
71 – Multipad user interface
10 – Central control DX 11; system hardware
11 – Central control DX 11; system software
12 – Central control DX 11; central CAN bus fault
13 – Central control DX 11; DX11, DX1 periphery (motor system of stand,
sensor system of stand)
14 – Central control DX 11; digital extension (HSI, network, etc.)
15 – Central control DX 11; configuration (wrong software, wrong module
constellation, etc.)
16 – Central control DX 11; Zero Management
20 – Central control DX 11; Framegrabber application
22 – Central control DX 11; 2D Imaging System (Ajat, FP)
23 – Central control DX 11; 3D Imaging System (FP)
42 – Remote
61 – Diaphragm control
81 – Sensor
91 – Ceph digital
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Sirona Dental Systems GmbH 8Program values
Operating Instructions ORTHOPHOS XG 5 / Ceph
8
Program values
8.1
Panoramic exposure
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 exposure times indicated represent the corresponding
maximum.
Slight deviations in time may result from the selection of temple width.
Level series for code 4A
Possible kV/mA combinations with preselected patient symbols 1 and 2
for index 4A
Possible kV/mA combinations with preselected patient symbols 3 and 4
for index 4A
Program Program
duration
approx.
Max.
exposure
time
Factory setting User-defined values
– Please enter here –
P1 19s 14.1s 62/8 64/8 69/15 73/15
P1L 12.9s 8.0s 62/8 64/8 69/15 73/15
P1R 12.9s 8.0s 62/8 64/8 69/15 73/15
P1A 21.8s 14.1s 62/8 64/8 69/15 73/15
P1C 20.1s 14.1s 62/8 64/8 69/15 73/15
P10 16.4 s 11.5s 62/8 64/8 69/15 73/15
P12 18.0 s 4.9s 71/8 77/7 80/14 84/13
BW1 23.0s 8.8s 62/8 64/8 69/15 73/15
TM1.1+
TM1.2
16.1+16.1s 6.4+6.4s 68/8 71/8 73/15 77/14
S1 19.8s 14.4s 71/8 77/7 80/14 90/12
MS1 57.3 s 21.7s 73/8 77/7 80/14 84/13
kV 60 60 60 60 60 62 64 66 68 71 73 77 80 85 90
mA356788888887766
kV 60 60 60 60 60 62 64 66 69 71 73 77 80 84 90
mA9 1012141616161615151514141312
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8Program values Sirona Dental Systems GmbH
8.1Panoramic exposure Operating Instructions ORTHOPHOS XG 5 / Ceph
Index 2A
This level series 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 exposure times indicated
represent the corresponding maximum.
Slight deviations in time may result from the selection of temple width.
Level series for index 2A
Possible kV/mA combinations for index 2A
Program Program
duration
approx.
Max.
exposure
time
Factory setting User-defined values
– Please enter here –
P1 19s 14.1s 62/8 64/8 68/8 73/8
P1L 12.9s 8.0s 62/8 64/8 68/8 73/8
P1R 12.9s 8.0s 62/8 64/8 68/8 73/8
P1A 21.8s 14.1s 62/8 64/8 68/8 73/8
P1C 20.1s 14.1s 62/8 64/8 68/8 73/8
P10 16.4 s 11.5s 62/8 64/8 68/8 73/8
P12 18.0 s 4.9s 71/8 77/7 80/7 85/6
BW1 23.0s 8.8s 62/8 64/8 68/8 73/8
TM1.1+
TM1.2
16.1+16.1s 6.4+6.4s 68/8 71/8 73/8 77/7
S1 19.8s 14.4s 71/8 77/7 80/7 90/6
MS1 57.3 s 21.7s 73/8 77/7 80/7 85/6
kV 60 60 60 60 60 62 64 66 68 71 73 77 80 85 90
mA356788888887766
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Sirona Dental Systems GmbH 8Program values
Operating Instructions ORTHOPHOS XG 5 / Ceph
Index 1A
As of 01/01/1999, this level series is no longer admissible in the Federal
Republic of Germany. The exposure times indicated represent the
corresponding maximum.
Slight deviations in time may result from the selection of temple width.
Level series for code 1A
Possible kV/mA combinations with preselected patient symbols 3 and 4
for index 1A
Program Program
duration
approx.
Max.
exposure
time
Factory setting User-defined values
– Please enter here –
P1 19s 14.1s 62/16 64/16 69/15 73/15
P1L 12.9s 8.0s 62/16 64/16 69/15 73/15
P1R 12.9s 8.0s 62/16 64/16 69/15 73/15
P1A 21.8s 14.1s 62/16 64/16 69/15 73/15
P1C 20.1s 14.1s 62/16 64/16 69/15 73/15
P10 16.4 s 11.5s 62/16 64/16 69/15 73/15
P12 18.0 s 4.9s 71/15 77/14 80/14 84/13
BW1 23.0s 8.8s 62/16 64/16 69/15 73/15
TM1.1+
TM1.2
16.1+16.1s 6.4+6.4s 69/15 71/15 73/15 77/14
S1 19.8s 14.4s 71/15 77/14 80/14 90/12
MS1 57.3 s 21.7s 73/15 77/14 80/14 84/13
kV 60 60 60 60 60 62 64 66 69 71 73 77 80 84 90
mA9 1012141616161615151514141312
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8Program values Sirona Dental Systems GmbH
8.2Cephalometric exposures Operating Instructions ORTHOPHOS XG 5 / Ceph
8.2
Cephalometric exposures
The radiation time ranges from 9.1s to max. 14.9s.
Level series for cephalometric exposures
Possible kV/mA combinations for cephalometric exposures
Program Max.
exposure
time
Factory setting User-defined values
– Please enter here –
C1 9.1s 80/14 80/14 84/13 90/12
C2 9.1s 80/14 80/14 84/13 90/12
C3 9.4s 73/15 73/15 77/14 84/13
C3 30 x 23 14.9s 73/15 73/15 77/14 84/13
C4 9.1s 64/16 64/16 64/16 64/16
kV 60 60 60 60 60 62 64 66 69 71 73 77 80 84 90
mA9 1012141616161615151514141312
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Sirona Dental Systems GmbH 8Program values
Operating Instructions ORTHOPHOS XG 5 / Ceph
8.3
Dose information
The dose area product for the parameter combinations proposed by
Hersteller/Distributor has been calculated already. The DAP value can be
used without any further calculations.
8.3.1 Dose area product parameters for Panorama images
The dose area product (DAP) values were measured in a CT ionization
chamber.
Dose level series index 4A (8 mA/16 mA series)
Specification of the dose area product (DAP/absorbed dose) for
panoramic views, temporomandibular joint (TMJ) views and sinus views
Program Maximum effective
exposure times
Factory-programmed values
kV/mA
DAP
mGycm
2
kV/mA
DAP
mGycm
2
kV/mA
DAP
mGycm
2
kV/mA
DAP
mGycm
2
P1 14.2s 62/8 64 64/8 68 69/15 147 73/15 164
P1L 8.0s 62/8 36 64/8 39 69/15 83 73/15 92
P1R 8.0s 62/8 36 64/8 39 69/15 83 73/15 92
P1A 14.2s 62/8 64 64/8 68 69/15 147 73/15 164
P1C 14.2s 62/8 64 64/8 68 69/15 147 7315 164
P10 11.6 s 62/8 33 64/8 35 69/15 75 73/15 83
P12 4.9s 71/8 29 77/7 30 80/14 63 84/13 63
BW1 8.8s 62/8 20 64/8 21 69/15 46 73/15 51
TM1.1+TM1.2 6.4+6.4s 68/8 69 71/8 75 73/15 147 77/14 151
S1 14.4s 71/8 85 77/7 87 80/14 185 90/12 192
MS1 21.7s 73/8 135 77/7 131 80/14 280 84/13 282
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8Program values Sirona Dental Systems GmbH
8.3Dose information Operating Instructions ORTHOPHOS XG 5 / Ceph
Dose level series index 2A (8 mA series)
Specification of the dose area product (DAP/absorbed dose) for
panoramic views, temporomandibular joint (TMJ) views and sinus views
Program Maximum effective
exposure times
Factory-programmed values
kV/mA
DAP
mGycm
2
kV/mA
DAP
mGycm
2
kV/mA
DAP
mGycm
2
kV/mA
DAP
mGycm
2
P1 14.2s 62/8 64 64/8 68 68/8 77 73/8 89
P1L 8.0s 62/8 36 64/8 39 68/8 43 73/8 50
P1R 8.0s 62/8 36 64/8 39 68/8 43 73/8 50
P1A 14.2s 62/8 64 64/8 68 68/8 77 73/8 89
P1C 14.2s 62/8 64 64/8 68 68/8 77 73/8 89
P10 11.6 s 62/8 33 64/8 35 68/8 39 73/8 45
P12 4.9s 71/8 29 77/7 30 80/7 32 84/6 30
BW1 8.8s 62/8 20 64/8 21 68/8 24 73/8 28
TM1.1+TM1.2 6.4+6.4s 68/8 69 71/8 75 73/8 79 77/7 77
S1 14.4s 71/8 85 77/7 87 80/7 94 90/6 98
MS1 21.7s 73/8 135 77/7 131 80/7 142 84/6 134
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Sirona Dental Systems GmbH 8Program values
Operating Instructions ORTHOPHOS XG 5 / Ceph
Dose level series index 1A (16 mA series)
Specification of the dose area product (DAP/absorbed dose) for
panoramic views, temporomandibular joint (TMJ) views and sinus views
Program Maximum effective
exposure times
Factory-programmed values
kV/mA
DAP
mGycm
2
kV/mA
DAP
mGycm
2
kV/mA
DAP
mGycm
2
kV/mA
DAP
mGycm
2
P1 14.2s 62/16 128 64/16 134 69/15 147 73/15 164
P1L 8.0s 62/16 72 64/16 75 69/15 83 73/15 92
P1R 8.0s 62/16 72 64/16 75 69/15 83 73/15 92
P1A 14.2s 62/16 128 64/16 134 69/15 147 73/15 164
P1C 14.2s 62/16 128 64/16 134 69/15 147 73/15 164
P10 11.6 s 62/16 65 64/16 68 69/15 75 73/15 83
P12 4.9s 71/15 53 77/14 58 80/14 63 84/13 63
BW1 8.8s 62/16 40 64/16 42 69/15 46 73/15 51
TM1.1+TM1.2 6.4+6.4s 69/15 132 71/15 139 73/15 147 77/14 151
S1 14.4s 71/15 158 77/14 172 80/14 185 90/12 192
MS1 21.7s 73/15 251 77/14 259 80/14 280 84/13 282
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8Program values Sirona Dental Systems GmbH
8.3Dose information Operating Instructions ORTHOPHOS XG 5 / Ceph
8.3.2 Dose area product parameters for Ceph-images
The ceph exposure values were measured with a semiconductor
detector, as very low dose values are hard to measure in a CT ionization
chamber.
Specification of the dose area product (DAP/absorbed dose) for lateral,
a.p., p.a. and carpus views
Program Max.
exposure
time
Factory-programmed values
kV/mA
DAP
mGycm
2
kV/mA
DAP
mGycm
2
kV/mA
DAP
mGycm
2
kV/mA
DAP
mGycm
2
C1 9.1s 80/14 24 80/14 24 84/13 25 90/12 26
C2 9.1s 80/14 24 80/14 24 84/13 25 90/12 26
C3 9.4s 73/15 22 73/15 22 77/14 23 84/13 26
C3F 30x23 14.9s 73/15 35 73/15 35 77/14 37 84/13 40
C4 9.1s 64/16 16 64/16 16 64/16 16 64/16 16
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