Sirona Orthophos XG Plus DS/Ceph Operating Instructions Manual

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<$paratext[B1_Kapitel,B1_Kapitel_o.N.] Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XG

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DS/Ceph

 General information

Dear Customer, Thank you for purchasing your ORTHOPHOS XG

panoramic X-ray unit from Sirona.

This system enables you to take standard views (jaw area), sinus views (maxillary sinuses) and temporomandibular joint views using digital imaging technology.

If the system is equipped with a cephalometer arm, you can furthermore take cephalometric images using digital imaging technology.

The technical documentation supplied is also part of the product. Keep these documents handy at all times (file them in the X-ray System Logbook in Germany).

To safeguard your warranty claims, please complete the attached “Installation Report/Warranty Passport” together with the service engineer immediately after the installation of your unit.

Please familiarize yourself with the unit by reading through these Operating Instructions before taking any X-rays of patients. Please comply with the applicable radiation protection regulations and warnings at all times.

These operating instructions presuppose that you are familiar with the use of SIDEXIS software. According to the X-ray Ordinance of the Federal Republic of Germany, owners of X-ray equipment must perform constancy tests at regular intervals in order to ensure the safety of operating staff and patients.

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Your ORTHOPHOS XG

Team

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Maintenance In the interest of the safety and health of patients, users

and other persons, inspection and preventive maintenance must be performed at scheduled intervals to ensure the operational reliability and functional safety of your product (IEC 601-1/DIN EN 60601-1 etc.).

The system owner must ensure that all inspections and maintenance events take place.

If the system owner fails to fulfill the obligation to have inspections and maintenance work performed or ignores error messages, Sirona Dental Systems GmbH and its authorized dealers cannot assume any liability for resulting damage.

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Sirona Dental Systems GmbH T able of contents Operating Instructions ORTHOPHOS XG

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DS/Ceph

 Table of contents

1 Warning and safety information .............................................................................. 5

1.1 General safety information................................................................................................................ 5

1.2 ESD protective measures ................................................................................................................. 8

1.3 About the physics of electrostatic charges ....................................................................................... 8

2 Technical description ............................................................................................... 10

3 Controls and functional elements ........................................................................... 15

3.1 Operating and Display Elements ...................................................................................................... 15

3.2 General touchscreen functions ......................................................................................................... 18

4 Accessories ............................................................................................................... 27

4.1 Rests and supports for panoramic exposures .................................................................................. 27

4.2 Important when inserting the temporomandibular joint supports ...................................................... 28

4.3 Protective sleeves for panoramic exposures .................................................................................... 29

4.4 Protective sleeves for cephalometer................................................................................................. 30

4.5 Accessories for transversal slices TSA............................................................................................. 30

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5 Program group panoramic images.......................................................................... 31

5.1 P1 standard panoramic image, P1 A artifact reduced,

P1 C with a constant magnification factor of 1.25............................................................................. 31

5.2 P2 normal view, limited to teeth without ascending rami, P2 A artifact-reduced,

P2 C with a constant magnification factor of 1.25............................................................................. 32

5.3 P10 normal view for children with significant dose reduction, P10 A artifact-reduced,

P10 C with a constant magnification factor of 1.25........................................................................... 33

5.4 P12 Slice thickness, anterior tooth region ........................................................................................ 34

5.5 BW1 Bite wing exposures in the posterior tooth region .................................................................... 35

5.6 BW2 Bite wing exposures in the anterior tooth region ...................................................................... 36

6 Program group temporomandibular joint (TMJ) views.......................................... 37

6.1 TM1.1/TM1.2 Temporomandibular joints lateral with closed and open mouth in one image............ 37

6.2 TM2.1/TM2.2 Temporomandibular joints in posterior – anterior projection with closed and

open mouth in one image ................................................................................................................. 39

6.3 TM3 Temporomandibular joints lateral, ascending rami................................................................... 41

6.4 TM4 Temporomandibular joints in posterior/anterior projection ....................................................... 42

6.5 TM5 Temporomandibular joints lateral, multislice ............................................................................ 43

6.6 TM6 Temporomandibular joints, multislice in posterior – anterior projection.................................... 44

7 Program group sinus views ..................................................................................... 45

7.1 S1 Paranasal sinuses ....................................................................................................................... 45

7.2 S2 Maxillary sinuses with two views in one image ........................................................................... 46

7.3 S3 Paranasal sinuses (linear slice orientation) ................................................................................. 47

7.4 S4 Maxillary sinuses with two views in one image (linear slice orientation) ..................................... 48

8 Program group multislice views .............................................................................. 49

8.1 MS1 Multislice (posterior tooth region) ............................................................................................. 49

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Table of contents Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XG

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DS/Ceph

9 Operation ................................................................................................................... 50

9.1 Preparing the exposure.................................................................................................................... 50

9.2 Optional: Taking exposures from a SIDEXIS exposure template .................................................... 53

9.3 Positioning the patient...................................................................................................................... 54

9.4 Finishing the preparations (panoramic views) ................................................................................. 65

9.5 Making the basic settings in program level 3 ................................................................................... 66

9.6 Changing the startup settings in program level 4............................................................................. 66

9.7 Selecting the exposure parameters ................................................................................................. 67

9.8 Releasing the exposure ................................................................................................................... 68

9.9 Remote control................................................................................................................................. 71

10 Cephalometric exposures (CEPH)........................................................................... 72

10.1 Preparing a cephalometric exposure (CEPH function) .................................................................... 72

10.2 Preparations on the cephalometer ................................................................................................... 74

10.3 Positioning a ceph patient ................................................................................................................ 75

10.4 Selecting the exposure parameters ................................................................................................. 82

10.5 Making the basic settings in program level 3 ................................................................................... 83

10.6 Changing the startup settings in program level 4............................................................................. 83

10.7 Releasing a cephalometric exposure ............................................................................................... 84

11 Transversal slices (TSA) .......................................................................................... 87

11.1 Preparing a TSA exposure............................................................................................................... 87

11.2 Patient positioning............................................................................................................................ 94

11.3 TSA universal bite block .................................................................................................................. 98

11.4 Preselecting the exposure settings and releasing the exposure...................................................... 100

11.5 Program settings, basic settings, startup settings............................................................................ 101

11.6 TSA exposure with TSA slice orientation (alternative)..................................................................... 102

11.7 Slice orientations.............................................................................................................................. 104

12 Program values ......................................................................................................... 107

12.1 Panoramic views – program values for index 2A ............................................................................. 107

12.2 Panoramic views – program values for index 4A ............................................................................. 108

12.3 Panoramic views - program values for index 1A.............................................................................. 109

12.4 Program values for cephalometric exposures.................................................................................. 110

12.5 TSA exposure values ....................................................................................................................... 111

13 List of messages ....................................................................................................... 114

13.1 List of help messages ...................................................................................................................... 114

13.2 Error message structure .................................................................................................................. 115

14 Care of outer surfaces .............................................................................................. 117

15 Inspection and maintenance.................................................................................... 118

15.1 Annual check performed by the system owner or other authorized persons ................................... 118

15.2 Maintenance by the service engineer .............................................................................................. 118

15.3 Image quality check ......................................................................................................................... 118

16 Disposal ..................................................................................................................... 119

17 Activating functions.................................................................................................. 120

17.1 Via the Easypad touchscreen .......................................................................................................... 120

17.2 Via web browser on the PC ............................................................................................................. 122

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Sirona Dental Systems GmbH 1 Warning and safety information Operating Instructions ORTHOPHOS XG

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DS/Ceph 1.1 General safety information

1 Warning and safety information

1.1 General safety information

Identification of warning and safety information To prevent any personal injury or material damage,

please observe the warning and safety information provided in the present operating instructions. All such information is highlighted by the signal words

NOTICE, CAUTION or WARNING.

Symbols used Observe information in accompanying docu-

ments. They are attached to the unit.

Single use devices are identified with the symbol shown on the left.

Intended use This system is intended for generating panoramic or

cephalometric X-ray images.

This system must not be used in areas subject to explosion hazards.

Maintenance and repair As manufacturers of medical electrical equipment we

can assume responsibility for the safety-related features of the equipment only if maintenance and repair are carried out only by ourselves or agencies expressly authorized by us, and if components affecting safe operation of the system are replaced with original spare parts upon failure.

We suggest that you request a certificate showing the nature and extent of the work performed from those who carry out such work; it must contain any changes in rated parameters or working ranges (if applicable), as well as the date, the name of the company and a signature.

Modifications to the system Modifications to this system which might affect the safety

of the system owner, patients or other persons are prohibited by law!

For reasons of product safety, this product may be operated only with original Sirona accessories or third-party accessories expressly approved by Sirona. The user assumes the risk of using non-approved accessories.

Combination with other equipment Permissible combinations are specified in the Declara-

tion of Conformity by the system integrator.

The Declaration of Conformity is included in the technical documentation.

Ventilation slots Under no circumstances may the ventilation slots on the

unit be covered, since otherwise the air circulation will be obstructed.

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1 Warning and safety information Sirona Dental Systems GmbH

1.1 General safety information Operating Instructions ORTHOPHOS XG

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

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DS/Ceph

X-raying of patients X-rays of patients must be taken only when the system

works without errors.

The system may only be operated by skilled or properly trained personnel.

The movements of the unit must not be obstructed by physical constitution nor clothing, dressings, wheelchairs or hospital beds!

Do not leave the patient unattended in the unit.

Electromagnetic compatibility (EMC) Medical electrical equipment is subject to special pre-

cautionary measures regarding EMC. It must be installed and operated as specified in the document “Installation Requirements”.

Information on avoiding, detecting and eliminating unintended electromagnetic effects: The ORTHOPHOS

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(classified according to CISPR 11, EN 60601-1-2: 2001 based on IEC 60601-1-2). This system may be operated in a residential area.

DS/Ceph acquisition unit is Class B equipment

Portable and mobile RF communications equipment may interfere with medical electrical equipment. Therefore, the use of mobile wireless phones in medical office or hospital environments must be prohibited.

Please also observe the ESD protective measures in Chapter 1.2.

Removing the sensor To remove the sensor, hold it firmly, press the pushbutton

fully in and hold it down. Remove the sensor from its

holder by pulling it downward.

DO NOT DROP THE SENSOR!

A shock sensor for detecting shocks or drops is built in. When removing the sensor or handling a sensor that has already been removed, make sure not to touch the sensor plug on the unit end, especially not while touching the patient at the same time.

Precautionary measures when switching on the unit

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

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

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

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Sirona Dental Systems GmbH 1 Warning and safety information Operating Instructions ORTHOPHOS XG

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DS/Ceph 1.1 General safety information

Emergency Stop If any parts of the unit happen to touch the patient during

the rotary movement (PAN exposure) or during the scan movement (cephalometric exposure), let go of the exposure release button (X-Ray) immediately or stop the unit by actuating the unit main switch or an Emergency Stop switch!

Interference with electronic devices worn on the patient’s body.

To prevent the malfunctioning of electronic devices and data storage devices, e.g. radio-controlled watches, telephone cards, etc., these objects must be removed prior to X-raying.

Radiation protection The valid radiation protection regulations must be

observed.

The operator should move as far away from the X-ray tube assembly as allowed by the coiled cable of the exposure release button. The statutory radiation protection equipment must be used.

With the exception of the patient, no other persons without radiation protection are allowed to stay in the room. In exceptional cases, a third person may provide assistance, but not the practice staff. During the whole exposure, visual contact with the patient and the unit must be maintained.

In case of malfunctions, cancel the exposure immediately by letting go of the exposure release button.

Hygiene information The protective sleeves must be exchanged and the ster-

ilizable accessories must be resterilized for each new patient to prevent any transmission of infective agents which might cause serious illnesses.

Suitable hygienic measures must be taken to prevent cross contamination among patients, users and other persons.

Dismantling and reinstallation When dismantling and reinstalling the system, proceed

according to the installation instructions for new installation in order to guarantee its proper functioning and stability.

Laser light localizer used

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The system incorporates Class 1 laser products.

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

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

The light localizers may be switched on only when functioning perfectly. Repair work must be carried out by authorized staff only.

1 Warning and safety information Sirona Dental Systems GmbH

1.2 ESD protective measures Operating Instructions ORTHOPHOS XG

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DS/Ceph

1.2 ESD protective measures

ESD stands for ElectroStatic Discharge.

ATTENTION

Connector pins or sockets bearing ESD warning labels must not be touched or interconnected without ESD protective measures.

ESD protective measures include:

• Procedures for preventing electrostatic charge build-up (e.g. air conditioning, air moistening, conductive floor coverings and non-synthetic clothing)

• Discharging the electrostatic charges of your own body on the frame of the wire or large metallic objects

• Connecting yourself to ground using a wrist band.

We therefore recommend that all persons working with this system be instructed on the significance of this warning label. Furthermore, they also should receive training in the physics of electrostatic discharges which can occur in the practice and the destruction of electronic components which may result if such components are touched by electrostatically charged

UNIT, the protective ground

USERS.

The content of this training is explained in Chapter 1.3.

1.3 About the physics of electrostatic charges

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

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

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

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

An electrostatic discharge is:

• perceptible at 3,000 V or higher

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

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

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Sirona Dental Systems GmbH 1 Warning and safety information Operating Instructions ORTHOPHOS XG

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DS/Ceph 1.3 About the physics of electrostatic charges

The transient currents resulting from these discharges

1 nanosecond = 1/1,000,000,000 second =

1 billionth of a second

have a magnitude of 10 amperes. They are not hazardous for humans because they last for only several nanoseconds.

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

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

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

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

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2 Technical description Sirona Dental Systems GmbH

Operating Instructions ORTHOPHOS XG

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DS/Ceph

2 Technical description

Model designation ORTHOPHOS XG

Nominal voltage: 200 – 240V

Permissible deviation: ±10%

Permissible drop under load: 10%

Rated current: 12A

Nominal power output: 2 kW at 90 kV/12 mA with any radiation time

Nominal frequency: 50/60Hz

Internal line impedance: max. 0.8 Ohm

Main building fuse: 25 A slow-blow (16 A for standalone connection)

Power consumption: 2 kVA

Power output of tube assembly: 90 kV/12 mA = 1080 W with any radiation time

Tube voltage: 60 – 90kV (for 90 kV max. 12 mA)

Tube current: 3 –16mA (at 16 mA max. 66 kV)

Maximum setting range 60 kV/3 mA to 90 kV/12 mA

High-voltage waveform: High-frequency multipulse

Residual ripple ≤ 4 kV

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DS/Ceph

Program duration: see chapter 12

Exposure time: see chapter 12

Image acquisition scale: For P1, normal dental arch (slice center) approx. 1:1.19, i.e. the

acquired image is magnified by approx. 19 % on average compared to reality.

Exposure time for cephalometry max. 14.9 s

Total filtration of X-ray tube assembly > 2.5 Al/90 IEC 522 1976

Focal spot size acc. to IEC 336, measured in the central X-ray beam: 0.5mm

Marking of focal spot:

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Sirona Dental Systems GmbH 2 T echnical description Operating Instructions ORTHOPHOS XG

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DS/Ceph

Automatic exposure blocking (see page 46): The duration of automatic exposure blocking (cooling period)

depends on the set kV/mA level and the actual exposure time. Depending on the tube load, a pause duration of 8 s to 300 s is automatically set by the system.

Example: For program P1 with 80 kV/14 mA as exposure parameters and a radiation time of 14.1 s, the resulting pause duration is 255 s.

Class I equipment

Type B equipment

Degree of protection against electric shock:

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: 100W

Anode material: Tungsten

Exposure parameters for determining leakage radia-

1.1mA/90kV

tion:

Transport and storage temperature: -10°C – +70°C (14 °F – 158 °F)

Air humidity: 10% – 95%

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

Panoramic exposures:

Sensor (image receptor):

Pan sensor type: Digital CCD line sensor, repluggable for

panoramic exposure technique

Active sensor area, Pan type: 138 x 6.48 mm

Detail resolution: 0.027 mm pixel size

Focus/sensor distance 497 mm

Cephalometric exposures:

Sensor (image receptor):

Ceph sensor type: Digital CCD line sensor, repluggable for

panoramic or ceph exposure technique

Active sensor area, Ceph type: 230 mm x 6.48 mm

Detail resolution: 0.027 mm pixel size

Focus-sensor distance: 1714 mm

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2 Technical description Sirona Dental Systems GmbH

Operating Instructions ORTHOPHOS XG

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DS/Ceph

TSA exposure:

Sensor (image receptor):

TSA senor type: Digital CCD line sensor, repluggable for

panoramic or ceph exposure technique

Active sensor area, TSA type 60 mm x 20 mm Detail resolution: 0.0195 mm pixel size

Focus-sensor distance: 497 mm

X-ray tube: SR 90/15 from Siemens

or OCX 100 CEI

Minimum requirements for PC systems:

Hard disk: > 4 GB/database

> 50 MB/SIDEXIS installation

RAM: min. 256 MB

Drives: CD-ROM

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

Operating system: Minimum requirement: Windows 2000 Workstation (SP 4),

Windows XP Professional Workstation (SP 2), or Vista. For further information, please visit the Sidexis homepage at www.sidexis.com or refer to the Sidex is user manual.

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

Network: 10/100 MBit Ethernet

Communication interface: RJ45 for LAN cable

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ORTHOPHOS XG

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

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

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

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DS/Ceph complies with AS/NZS 3200.1.0

Original language: German

Reg. No.: China Product Standard No.:

SFDA (I) 2008 2303722 YZB / GEM 4911 - 2008

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.

0123

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Sirona Dental Systems GmbH 2 T echnical description Operating Instructions ORTHOPHOS XG

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DS/Ceph

Cooling curve of tube housing

HUx10

1 HU = 1.35 Joule 130 120

110

100

70 60

50 40

30 20

0 60 120 180 240 300 360 420 480 540 600 660 720

min

Cooling curve of X-ray tube

SR 90/15 OCX 100

HUx10

1 HU = 1.35 Joule

012 3 4 5 6

HUx10

1 HU = 1.35 Joule

min

130

012 3 4 5 6

HUx10

1 HU = 1.35 Joule

012 3 4 5 6

Heating curve of tube housing

t min

Central X-ray beam

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Central X-ray beam/anode angle

Anode angle

2 Technical description Sirona Dental Systems GmbH

Operating Instructions ORTHOPHOS XG

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DS/Ceph

These operating instructions are valid for the basic and full versions of the system.

The following programs and functions are included in the basic version:

18 panoramic programs:

P1, P1 A, P1 C, P2, P10 P1 L, P1 R P12 BW1, BW1 L, BW1 R BW2 TM1.1/TM1.2 with angle input

TM1A.1/TM1A.2 with angle input TM2.1/TM2.2

S1 S2

MS1

5 Ceph programs:

C1, C2, C3, C3 F, C4

Half-views of right/left side possible only with P1 (not upper/lower jaw).

The full version offers the following programs and functions in addition to those featured in the basic version:

Additional pan programs:

Constant magnification factor of 1.25 P2 C, P10 C Artifact-reduced display P2 A, P10 A

Selectable right/left side image detail and individual quadrants P1A/C, P2/A/C, P10/A/C

Image detail selectable upper jaw/lower jaw and single quadrants P1A/C, P2/A/C, P10/A/C Selectable upper jaw/lower jaw image detail P12 Temporomandibular joint views TM2.1/TM2.2 with angle input, TM2A.1/TM2A.2 with angle input, TM3, TM4,

TM5, TM6 Sinus views S3, S4

Presetting for “jaw shape” available. Quickshot function possible (for Pan P1, P1 A, P1 C, P2, P2 A, P2 C, P10, P10 A, P10 C, and Ceph C1 to C4). Execution of exposure templates from SIDEXIS possible without cooling periods, e.g.: orthodontic image series

P1 - C3 - C4. Welcome screen with patient data from SIDEXIS.

Ceph – shadowing in the upper cranial region preselectable for programs C3 and C3 F. Ceph – shadowing in the thyroid area for programs C1 and C2 can be preselected.

Option for basic version and full version:

TSA function (transversal slices)

It is possible to upgrade a basic version system to a full version system and/or to include the TSA function. For this purpose you must purchase a certificate with a corresponding activation key code (see chapter 17). If you order a new unit with TSA function from the factory, it is activated already at the factory.

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Sirona Dental Systems GmbH 3 Controls and functional elements

CEPH

PAN

Aufnahmebereit

64kV 8mA

14,2s

Operating Instructions ORTHOPHOS XG

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DS/Ceph 3.1 Operating and Display Elements

3 Controls and functional elements

3.1 Operating and Display Elements

on the Panoramic unit

1. Main switch

2. Light localizer with height adjustment of FH light line

3. Light localizer central light beam for face center

4. Control mirror for patient positioning

5. Tray for jewelry, etc.

6. Forehead support

7. Temple supports

8. Pushbutton for sensor (image receptor) removal

9. Sensor (image receptor) according to the unit ver-

sion for XG Pan for XG Ceph for XG Pan/TSA for XG Ceph/TSA

10. Exposure release button (must be pressed and held

1260

14,2s

Aufnahmebereit

down during the entire exposure)

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

12. Easypad (swiveling control panel)

13. Drawer for accessories

14. Handles for patient

141615

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

16. Bite block, contact segment or chin rest

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

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3 Controls and functional elements Sirona Dental Systems GmbH

3.1 Operating and Display Elements Operating Instructions ORTHOPHOS XG

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DS/Ceph

100

110

120

2 0

3 0

4 0

5 0

21 22

8. Pushbutton for sensor removal

9. Sensor (image receptor)

18. Nose support

19. Locking knob for nose support

20. Scale for horizontal nose support adjustment

21. Rotating element for rotary movement of head sup-

ports

22. Secondary diaphragm with FH line light localizer

23. Scale for vertical nose support adjustment

24. Projection scale

25. Ear plugs with holders

26. Carpus support plate

Magnification of the lateral view

Controls and scales on the cephalometer

With this exposure technique, a metal scale (24) integrated in the nose support is displayed on the X-ray image. Using this scale, the magnification factor in the median plane can be determined precisely via a measurement.

ATTENTION

Never support yourself on the cephalometer or the ceph arm, hang objects from them or place objects

on them. Otherwise their adjustment may be altered, thus resulting in incorrect images.

60 90 120

70 80 100 110

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Sirona Dental Systems GmbH 3 Controls and functional elements

CEPH

12,1s

PAN

64kV

8mA

14,1 s

CEPH

Ready for exposure

P1, P2, P10, P12

TM1.1, TM3, TM5

TM2.1, TM4, TM6

MS1

TM1.2

TM2.2

Operating Instructions ORTHOPHOS XG

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DS/Ceph 3.1 Operating and Display Elements

Controls and displays on the Easypad with touchscreen

27 28

27. "Move forehead support away from forehead" key

28. Light localizers ON/OFF

29. "Move forehead support to forehead" key

PA N

1260

Filmkassette einlegen

Ready for exposure

14,1 s

P6.1

14 s

68kV

8mA

30. "Unit up" arrow key

31. "Unit down" arrow key

32. Optical radiation indicator

33. "Unit ON" LED

34. "Open temple supports" key

35. “T“ key for test cycle without radiation

36. “R“ key for unit return

37. "Close temple supports" key

38. Touchscreen – touch-sensitive screen

ATTENTION

Never touch the touchscreen with sharp or pointed objects (ball-point pens, pencils, etc.)!

Display aids for patient head positioning

The icon for the patient's head that is displayed in the

upper right corner for panoramic and TSA images will guide you in positioning the patient's head.

A The gray patient's head icon shows the head pos-

ture: straight (FH), bent forward with open or closed mouth, or reclined.

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B A colored symbol (yellow or blue) will indicate if a

bite block or a contact segment should be used.

C The red line indicates the reflecting light localizer

line (FH), the white line is only an auxiliary line to indicate the head inclination.

D In addition, for temporomandibular joint and sinus

views the temporomandibular joint support is displayed in blue. If the end of the joint is marked with a small circle with a dot in its middle, you will need to attach ear holders. If this icon is not displayed, use contact pads only.

3 Controls and functional elements Sirona Dental Systems GmbH

SID = 19,6”

x 12”

CEPH

PAN

1260

64kV

8mA

9,0 s

Quick

Ready for exposure

3.2 General touchscreen functions Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph

3.2 General touchscreen functions

Touchscreen = touch-sensitive screen, i.e. touching the screen surface triggers different functions.

Color codes:

orange – selected

white – presettings

light blue – selectable

grey and white – auxiliary symbols

Touchscreen symbols

1. Display of height setting value

2. Display of forehead support setting value

3. Program selection keys –/+

Sequence: P 1, P 2, P 10, P 12, BW1, BW2, TM 1, TM 2, TM3, TM 4, TM 5, TM 6, S 1, S2, S3, S4, MS 1

SID = 19,6”

9,0 s

6 x 12”

Ready for exposure

4. Orange – display of the exposure area for the selected program (dental arch or dental arch segment)

5. Display of program group selection

6. Program display; touch to loop through P1 (normal

panoramic view), P1C (with constant magnification), P1A (artifact-reduced display)...

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

8. Submenu column (options)

9. Blue arrows: Select submenu, close menu

10. Preselection of exposure parameters (patient sym-

bols)

11. Red symbol for light localizer ON (is displayed as long as the laser light of the light localizer is switched on)

12. Program-specific menu area

13. Comment line for help and error messages

14. Expected radiation time (upon completion actual ra-

diation time)

18 D 3352.201.01.18.02

15. Light gray symbol for dental arch

16. Light gray symbol for temporomandibular joints

17. Display of color-coded bite block or contact segment

for the chosen program

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

19. When you touch the screen is displayed

? symbol, the help or info

59 87 594 D 3352

CEPH

PAN

64kV

8mA

8,5 s

CEPH

PAN

64kV

8mA

14,1 s

CEPH

PAN

64kV

8mA

8,5 s

14,1 s

PAN

CEPH

64kV

8mA

Ready for exposure

Sirona Dental Systems GmbH 3 Controls and functional elements Operating Instructions ORTHOPHOS XG

PAN

1260

8,5 s

PAN

1260

14,1 s

Plus

DS/Ceph 3.2 General touchscreen functions

Program settings

When you touch a symbol in the “submenu” column (8), a submenu line for program settings opens.

There are 4 submenu lines for program settings available:

1. Selection of half-view and individual quadrants

In this submenu, you can select a half-view of the jaw, i.e. right or left side (P1, P2, P10, BW1) or upper or lower jaw (P1, P2, P10, P12) for programs P1, P2 and P10 including constant magnification and artifact-reduced display.

The preselected type of exposure is also displayed in the submenu column (8).

PAN

1260

PAN

8,5 s

14,1 s

Selection of individual quadrants

The full version of XG Plus offers the option of selecting individual quadrants.

For each selection, please make sure that you know where to touch the icon (see finger).

You can reactivate the full screen mode by touching the center of the quadrant field.

59 87 594 D 3352 D 3352.201.01.18.02

3 Controls and functional elements Sirona Dental Systems GmbH

3.2 General touchscreen functions Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph

Half-view and individual quadrant exposures

The adjacent illustrations show the X-ray image displays and indicate how the half-views and the individual quadrants are associated with the patient.

Individual quadrant exposures are possible only in the XG Plus full version.

The program duration for individual quadrant exposures equals the program duration for half-view exposures.

Halbseite rechts Halbseite links

Right half-view Left half-view

Einzelquadrant rechts Einzelquadrant links

Right individual quadrant Left individual quadrant

20 D 3352.201.01.18.02

59 87 594 D 3352

Sirona Dental Systems GmbH 3 Controls and functional elements

CEPH

PAN

1260

64kV

8mA

SID = 19,6”

x 12”

Ready for exposure

CEPH

PAN

1260

64kV

8mA

AEC

14,1s

62kV

8mA

Ready for exposure

CEPH

PAN

1260

64kV

8mA

SID = 19,6”

x 12”

14,1s

Ready for exposure

SID = 19,6”

x 12”

Operating Instructions ORTHOPHOS XG

PAN

SID = 19,6”

6 x 12”

Plus

DS/Ceph 3.2 General touchscreen functions

2. Presetting for malocclusions

Here you can preselect one level of retrusion as well as one or two levels of protrusion for programs P1, P2 and P10 including constant magnification and artifact-reduced display.

For preselection touch the corresponding tooth symbol in the submenu line.

PAN

SID = 19,6”

6 x 12”

3. Presetting for jaw shape

In this submenu you can preselect a normal jaw shape, a V-shaped jaw and a square jaw for programs P1, P2 and P10 including constant magnification and artifact-reduced display.

For preselection touch the corresponding tooth symbol in the submenu line.

SID = 19,6”

6 x 12”

4. Manual setting of kV/mA values

If the default kV/mA combinations do not provide satisfactory results, you can preselect intermediate kV/mA values in this submenu (for all programs) using the –/+

keys in the submenu line.

59 87 594 D 3352 D 3352.201.01.18.02

NOTE

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

You can close a menu line:

– by touching the blue arrows in the menu line.

– by touching the corresponding symbol in the light

bluearea at the right margin.

3 Controls and functional elements Sirona Dental Systems GmbH

8mA

60kV

9mA

60kV

9mA

CEPH

9,4s

8mA

60kV

3mA

60kV

3mA

PAN

Programmeinstellungen wählen

Select program settings

8mA

71kV

12mA

71kV

12mA

3.2 General touchscreen functions Operating Instructions ORTHOPHOS XG

Basic settings for the entire menu Level 2

PAN

Programmeinstellungen wählen

Select program settings

CEPH

QuickONQuick

You may also display all of the program settings and make the settings described above in a second program level.

To access the second program level, touch the blue arrow (9) in the upper right corner of the touchscreen; the arrow will point upward then.

After having made your selections, you can return to program level 1 only by touching the blue arrow (9) once again.

NOTE

When you confirm the exposure with the R button, the program settings changed in these submenu lines will automatically be reset to the default settings (except for Ceph Quick shot).

Plus

DS/Ceph

OFF

22 D 3352.201.01.18.02

59 87 594 D 3352

Sirona Dental Systems GmbH 3 Controls and functional elements

71kV 12mA

71kV

12mA

CEPH

73kV 15mA

73kV

15mA

CEPH

Select basic settings

64kV

8mA

PAN

64kV

8mA

Select basic settings

Operating Instructions ORTHOPHOS XG

PAN

Quick

Off

Select basic settings

Plus

DS/Ceph 3.2 General touchscreen functions

Basic settings menu Level 3

In a third program level, you can freely choose and then

Quick

save certain exposure parameters for the individual programs.

To access the third program level, touch the downward pointing arrow (20) in the second program level. The right arrow will become a double arrow then.

You can close this menu again only by touching the blue double arrow (9) in the upper right corner. The display always returns to the standard menu (program level 1).

CEPH

Select basic settings

22 21

ATTENTION

If you want to change the kV/mA values in the TSA basic settings, make sure to first preselect the corresponding quadrant and jaw area. The kV/mA adjustment always applies to this preselection only.

59 87 594 D 3352 D 3352.201.01.18.02

3 Controls and functional elements Sirona Dental Systems GmbH

Select Start Settings

CEPH

Select Start Settings

PAN

Select Start Settings

3.2 General touchscreen functions Operating Instructions ORTHOPHOS XG

Startup settings menu Level 4

PAN

Select Start Settings

In level 4 you can modify any factory-programmed

startup parameters. They are then displayed after the system is switched on and for each new exposure. You can reach the 4th level by touching the diskette symbol (21) in the basic settings menu (level 3).

For PAN exposures you can change the abnormality preference (2nd icon from the right, as per factory setting) and the patient icon preference (2nd icon from the left, as per factory setting).

Plus

DS/Ceph

CEPH

Select Start Settings

For CEPH exposures you can only change the patient icon preference (2nd icon from the left, as per factory setting).

For TS exposures you can change the slice thickness preference (left icon for the thinnest slice, as per factory

setting) and the patient icon preference (2nd icon from the left, as per factory setting).

To change a preference, touch the corresponding icon which is then indicated in orange and displayed in the column (8).

Save the new preference by touching the programming key.

You can close this menu again only by touching the blue double arrow (9) in the upper right corner. The display always returns to the standard menu (program level 1).

NOTE

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

59 87 594 D 3352

24 D 3352.201.01.18.02

Sirona Dental Systems GmbH 3 Controls and functional elements

64kV

8mA

Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph 3.2 General touchscreen functions

Service menu

The Service menu is intended for service engineers

only.

The service engineer accesses the service menu by touching the wrench symbol (22) in the third program level.

Touchscreen settings

When you touch the question mark (19) in the lower right corner of the touchscreen, the help screen is displayed starting at the first level.

You can open two fly-out menus here by touching the corresponding symbols in column (8).

In the upper fly-out menu you can switch off the clicking tone of the touchscreen by activating the crossed-out musical note symbol.

In the lower fly-out menu you can adjust the intensity of the touchscreen display with the –/+ keys. During this adjustment a reference value appears above the symbol in column (8).

NOTE

To set the touchscreen intensity the system must be switched on for at least ten minutes to ensure that the touchscreen has reached its full brightness. An hour-glass appears during the boot-up phase. You cannot change the intensity level while the hour glass is displayed.

To close a fly-out menu, touch the blue arrow at the left

end of the corresponding line or the relevant symbol in column (8).

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

59 87 594 D 3352 D 3352.201.01.18.02

3 Controls and functional elements Sirona Dental Systems GmbH

8mA

60kV

3mA

60kV

3mA

PAN

Programmeinstellungen wählen

Select program settings

1/2

=======================

3.2 General touchscreen functions Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph

Info screen

Starting at level 2, the info screen is displayed when you

PAN

Programmeinstellungen wählen

Select program settings

touch the question mark (19) in the lower right corner of the touchscreen "ORTHOPHOS XG configuration".

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

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

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

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

ORTHOPHOS XG configuration

Serialnumber Systemsoftware Bootmode Type Network Name MAC address IP address Subnet mask

: 000000012 : V.02.21.01 : Static

:43 : Geraet1 : 00101900242d : 192. 168. 15. 125 : 255.255.255.0

26 D 3352.201.01.18.02

59 87 594 D 3352

Sirona Dental Systems GmbH 4 Accessories

CEPH

PAN

Filmkassette einrasten

62kV

8mA

P6.1

12,1s

CEPH

PAN

ORTHOPHOS

ist

aufnahmebereit

64kV 8mA

14,2

Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph 4.1 Rests and supports for panoramic exposures

4 Accessories

4.1 Rests and supports for panoramic exposures

The accessories and the hygienic protective sleeves can be stored in the drawer between the two handles.

The forehead support and the temple supports (A) can

E1*

PAN

1260

14,2

Film

kassette einrasten

t a

h m

be removed for cleaning after pressing the corresponding locking button.

Sterilization only in the autoclave at 134°C (273°F),

2.1 bar, 3 min.

All accessories marked with * can be sterilized. For reorders: A Forehead support and temple supports

(can be removed for cleaning after pressing the corresponding locking button) (1 piece) Order No. 59 80 383

B* Contact pads for forehead/temple supports

(1 piece) Order No. 59 80 391

C Temporomandibular joint support “1” (right) for tem-

poromandibular joint viewsOrder No. 59 80 599

D Temporomandibular joint support “2” (left) for tem-

poromandibular joint viewsOrder No. 59 80 607

E* Ear holders for temporomandibular joint supports

(10 pieces) Order No. 18 88 838

1* Contact pads for temporomandibular joint supports

(10 pcs) Order No. 59 90 648

F* Bite block

(10 pieces) Order No. 18 88 887

G Rod for bite block

(5 pieces) Order No. 18 88 895

H* Bar for chin rest

Order No. 59 61 461

J* Chin rest

Order No. 14 49 227

K* Chin rest complete,

incl. 5xF, 1xG, H, J, S, T Order No. 59 81 472

L* Contact segment blue

for subnasale for sinus/PNS and TSA upper jaw views (5 pcs) Order No. 89 31 552

M* Bite block blue

for sinus and TSA upper jaw views (5 pcs) Order No. 89 21 850

N* Contact segment standard yellow

for subnasale (5 pcs) Order No. 89 31 545

P* Bite block standard yellow

(5 pcs) Order No. 89 21 843

Q* Occlusal bite block standard yellow

Order No. 62 11 143

Q1 Bite foam for occlusal bite block

(100 pcs) Order No. 61 41 449

59 87 594 D 3352 D 3352.201.01.18.02

4 Accessories Sirona Dental Systems GmbH

4.2 Important when inserting the temporomandibular joint supports Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph

4.2 Important when inserting the temporomandibular joint supports

In ORTHOPHOS XG units delivered during/after November 2006 the holders of the temple supports are

tilted slightly toward the rear.

The temporomandibular joint supports are marked “1“ (for right) and “2“ (for left).

Insert the temporomandibular joint supports here as

“2“

“1“

shown in the adjacent drawing.

All of the following drawings and descriptions contained in these operating instructions show this arrangement.

In ORTHOPHOS XG units delivered until October 2006, the holders of the temple supports point straight down.

The temporomandibular joint supports marked “1“ and “2“ must be inserted here so that the support marked “2“

is positioned on the right and the one marked “1“ is positioned on the left.

“2“

For software updates of units delivered before October

“L“

2006, the existing temporomandibular joint supports will be inserted in the familiar manner, i.e. marked “R“ for right and “L“ for left as shown.

For spare parts deliveries, your new temporomandibular joint supports will be marked “1“ for left and “2“ for right.

“R“

28 D 3352.201.01.18.02

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Sirona Dental Systems GmbH 4 Accessories

Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph 4.3 Protective sleeves for panoramic exposures

4.3 Protective sleeves for panoramic exposures

Prior to each exposure, the protective sleeves (single use devices) must be fitted.

Single use devices are identified with the symbol

shown on the left.

For the sake of clarity, the protective covers have been omitted on the subsequent illustrations.

For reorders of protective sleeves:

R For forehead support and temple supports

(500 pcs) Order No. 59 68 263 Dimensions: 150 mm x 47 mm

S For bite block

(500 pcs) Order No. 33 14 072 Dimensions: 43 mm x 21 mm

T For chin rest and bar

(100 pcs) Order No. 59 32 603 Dimensions: 75 mm x 60 mm

U For bite blocks and contact segments

(500 pcs) Order No. 33 14 080 Dimensions: 80 mm x 40 mm

V Protective foil for handles

Order No. 59 68 255

59 87 594 D 3352 D 3352.201.01.18.02

E* Sterilizable ear holders for temporomandibular joint

E1*

supports for temporomandibular joint views

(10 pcs) Order No. 18 88 838

1* Sterilizable contact pads for temporomandibular

joint supports for sinus views

(10 pcs) Order No. 59 90 648

4 Accessories Sirona Dental Systems GmbH

4.4 Protective sleeves for cephalometer Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph

4.4 Protective sleeves for cephalometer

W Protective sleeve for nose support,

single use device

100

110

120

(100 pcs) Order No. 33 14 106

X* Protective caps for ear plugs,

not a single use device (sterilizable) (20 pcs) Order No. 89 32 261

4.5 Accessories for transversal slices TSA

Y TSA scale, complete

Order No. 58 85 384

* Bite block green

for maxillary TSA images, where thealveolar ridge of the patient’s head is aligned parallel to the floor, to position the patient a little lower in relation to the beam path. (5 pcs) Order No. 60 32 937

1* Contact segmentfor subnasale green

* Set of measuring balls for TSA, 5 mm diameter

(5 pieces) Order No. 61 19 254

* TSA universal bite block

Order No. 61 41 431

Z2*

Z3*

TSA bite foam for universal bite block

(100 pcs) Order No. 61 41 449

59 87 594 D 3352

30 D 3352.201.01.18.02

Sirona Dental Systems GmbH 5 Program group panoramic images

SID = 19,6”

x 12”

CEPH

PAN

1260

64kV

8mA

9,0 s

Quick

Ready for exposure

Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph 5.1 P1 standard panoramic image, P1 A artifact reduced, P1 C with a constant

5 Program group panoramic images

5.1 P1 standard panoramic image, P1 A artifact reduced,

P1 C with a constant magnification factor of 1.25

To preselect the program, use the arrow keys (3): + (to count forward) or – (to count backward), depending on the starting position; for program sequence see section

3.2.

To preselect the exposure type, touch the program display (6). A continuous loop will then display all programs one after another, P1, P1 A, P1 C, P1...

In the "Half-view and individual quadrant selection" submenu at the top of column (8) you can preselect whether you want to generate a right or left half-view, or a maxillary or mandibular view (or an individual quadrant view in the full version) (see section 3.2 General touchscreen functions).

SID = 19,6”

9,0 s

6 x 12”

Ready for exposure

6 8

Active sensor area CCD PAN

6.5 x 138.4 mm,

for upper or lower jaw:

6.5 x 70.0 mm

P1 Normal view

• Yellow bite block or contact segment or chin rest with bite block rod and bite block or bar.

• Head inclination using the FH. The line displayed on the touchscreen head icon indicates the reflection line of the light localizer.

• Optional presetting for malocclusion

• Optional presetting for jaw shape

• Automatic selection of the slice width in accordance with temple support settings for different dental arches. Radiation time depends on set temple support width.

P1 A normal view, artifact-reduced

• Settings as for P1

• To prevent metal artifacts in the condylar and molar region and to reduce shadowing caused by the opposite jaw.

59 87 594 D 3352 D 3352.201.01.18.02

P 1C Normal view with a constant magnification factor of 1.25

e.g. for implantology

• Settings as for P1

5 Program group panoramic images Sirona Dental Systems GmbH

CEPH

PAN

64kV

8mA

11,5 s

Ready for exposure

5.2 P2 normal view, limited to teeth without ascending rami, P2 A artifact-reduced, P2 C with a constant magnification factor of 1.25

Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph

5.2 P2 normal view, limited to teeth without ascending rami, P2 A

artifact-reduced, P2 C with a constant magnification factor of

1.25

To preselect the program, use the arrow keys (3): + (to

PAN

1260

11,5 s

count forward) or – (to count backward), depending on the starting position; for program sequence see section

3.2.

To preselect the exposure type, touch the program display (6). A continuous loop will then display all programs one after another, P2, P2 A, P2 C, P2...

In the "Half-view and individual quadrant selection" sub-

menu at the top of column (8) you can preselect whether you want to generate a right or left half-view, or a maxillary or mandibular view (or an individual quadrant view in the full version) (see section 3.2 General touchscreen functions).

P2 normal view, limited to teeth

(without ascending rami).

• Yellow bite block or contact segment or chin rest with bite block rod and bite block or bar.

• Head inclination using the FH. The line displayed on the touchscreen head icon indicates the reflection line of the light localizer.

• Optional presetting for malocclusion

• Optional presetting for jaw shape

• Automatic selection of the slice width in accordance with temple support settings for different dental arches. Radiation time depends on set temple support width.

P 2A normal view, limited to teeth, (without

ascending rami)

• Settings as for P2

• To prevent metal artifacts in the condylar and molar region and to reduce shadowing caused by the opposite jaw.

artifact-reduced

P2 C normal view, limited to teeth, (without

ascending rami)

with a constant magnification

factor of 1.25

e.g. for implantology

• Settings as for P2

32 D 3352.201.01.18.02

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Sirona Dental Systems GmbH 5 Program group panoramic images

CEPH

PAN

64kV

8mA

P10

11,5s

Ready for exposure

Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph 5.3 P10 normal view for children with significant dose reduction, P10 A

5.3 P10 normal view for children with significant dose reduction, P10

A artifact-reduced, P10 C with a constant magnification factor of

1.25

To preselect the program, use the arrow keys (3): + (to

PAN

1260

count forward) or – (to count backward), depending on

the starting position; for program sequence see section

3.2.

To preselect the exposure type, touch the program display (6). A continuous loop will then display all programs one after another, P10, P10 A, P10 C, P10...

In the "Half-view and individual quadrant selection" sub-

P 10 normal view (status)

preferably for children

• Yellow bite block or contact segment or chin rest with bite block rod and bite block or bar.

• Head inclination using the FH. The line displayed on the head symbol on the touchscreen indicates the reflection line of the light localizer.

• Optional presetting for malocclusion

• Optional presetting for jaw shape

• Automatic selection of the slice width in accordance with temple support settings for different dental arches. Radiation time depends on set temple support width.

59 87 594 D 3352 D 3352.201.01.18.02

Active sensor area CCD PAN

6.5 x 127.0 mm,

for upper or lower jaw:

6.5 x 65.0 mm

P10 A normal view (status) artifact-reduced

preferably for children

• Settings as for P10

• To prevent metal artifacts in the condylar and molar region and to reduce shadowing caused by the opposite jaw.

P10 C normal view (status) with a constant

magnification factor of 1.25

preferably for children

e.g. for implantology

• Settings as for P10

5 Program group panoramic images Sirona Dental Systems GmbH

CEPH

PAN

77kV

7mA

P12

4,9s

Ready for exposure

5.4 P12 Slice thickness, anterior tooth region Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph

5.4 P12 Slice thickness, anterior tooth region

P12 Representation of the anterior tooth

region with increased slice thickness

PAN

e.g. for implantology

1260

To preselect the program, use the arrow keys (3): + (to

count forward) or – (to count backward), depending on the starting position; for program sequence see section

3.2.

In addition, you can preselect in the “half-view selection”

submenu at the top of column (8) whether you want to generate a maxillary or a mandibular view. (individual quadrants are not possible)

• Yellow bite block or contact segment or chin rest with bite block rod and bite block or bar.

• Head inclination using the FH. The line displayed on the head symbol on the touchscreen indicates the reflection line of the light localizer.

34 D 3352.201.01.18.02

59 87 594 D 3352

Sirona Dental Systems GmbH 5 Program group panoramic images

CEPH

PAN

Ready for exposure

64kV

8mA

BW1

8,8s

Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph 5.5 BW1 Bite wing exposures in the posterior tooth region

5.5 BW1 Bite wing exposures in the posterior tooth region

BW1 Bite wing exposure in both posterior

tooth regions with image height limited to the

PAN

bite wing

1260

Ready for exposure

AEC

To preselect the program, use the arrow keys (3): + (to

count forward) or – (to count backward), depending on the starting position; for program sequence see section

3.2.

In addition, you can preselect in the "half-view selection" submenu at the top of column (8) whether you want to generate a half-view of the right or left side. (see also section 3.2 “General touchscreen functions”; no selection of individual quadrants).

• Yellow bite block or contact segment or chin rest with bite block rod and bite block or bar.

• Head inclination using the FH. The line displayed on the head symbol on the touchscreen indicates the reflection line of the light localizer.

ATTENTION

When using this program, do not take exposures of children with the chin rest!

ATTENTION

Do not under any circumstances use the TSA universal bite block (black mark) for this exposure program.

59 87 594 D 3352 D 3352.201.01.18.02

5 Program group panoramic images Sirona Dental Systems GmbH

CEPH

PAN

Ready for exposure

64kV

8mA

BW2

5,1s

5.6 BW2 Bite wing exposures in the anterior tooth region Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph

5.6 BW2 Bite wing exposures in the anterior tooth region

BW2 Bite wing exposure of the anterior tooth

region with image height limited to the bite

PAN

wing

1260

Ready for exposure

To preselect the program, use the arrow keys (3): + (to count forward) or – (to count backward), depending on the starting position; for program sequence see section

3.2.

• Yellow bite block or contact segment or chin rest with bite block rod and bite block or bar.

• Head inclination using the FH. The line displayed on the head symbol on the touchscreen indicates the reflection line of the light localizer.

ATTENTION

When using this program, do not take exposures of children with the chin rest!

ATTENTION

Do not under any circumstances use the TSA universal bite block (black mark) for this exposure program.

36 D 3352.201.01.18.02

59 87 594 D 3352

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

CEPH

PAN

71kV

8mA

TM1.1

12,8s

0°

Ready for exposure

CEPH

PAN

71kV

8mA

TM1.2

12,8s

0°

Ready for exposure

Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph 6.1 TM1.1/TM1.2 Temporomandibular joint s lateral with closed and open mouth in

6 Program group temporomandibular

joint (TMJ) views

6.1 TM1.1/TM1.2 Temporomandibular joints lateral with closed and

open mouth in one image

PAN

1260

AEC

PAN

1260

AEC

TM1.2

TM1.1 TM1.2 TM1.2 TM1.1

TM1.1

TM1.1 Temporomandibular joints lateral with closed mouth and TM1.2 with open mouth

(4 views in one image)

• Insert temporomandibular joint supports "1" and "2".

• To largely prevent overlaps, head inclination using the FH. The line displayed on the touchscreen head icon indicates the reflection line of the light localizer.

• Activate TM1.1. On completion of TM1.1 the message “Please wait" appears in the comment line and the unit automatically returns to its starting position. The message "Ready for exposure” appears.

• Ask the patient to open his/her mouth and release TM1.2.

• Finally, the message “R button, confirm exposure data” appears.

• After you have pressed the R button again, the unit returns to its starting position.

NOTE

For devices until October 2006: Please observe the orientation (right/left) of the temporomandibular joint supports specified on page 28.

59 87 594 D 3352 D 3352.201.01.18.02

TM1.1 outer views:

Closed mouth

TM1.2 inner views:

Open mouth

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

CEPH

PAN

71kV

8mA

TM1.1

12,8s

15°

15°0° 5° 10°

Ready for exposure

CEPH

PAN

71kV

8mA

TM1A.2

12,8s

0°

Ready for exposure

CEPH

PAN

71kV

8mA

TM1A.1

12,8s

0°

Ready for exposure

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

Plus

DS/Ceph

PAN

1260

PAN

1260

PAN

1260

1260 1260

AEC

TM1A.1

TM1A.2

Program extensions:

TM1A.1 Temporomandibular joints lateral with closed mouth and TM1A.2 with open mouth, artifact-reduced

Touch the program display (6) to switch the exposure type from TM1.1 or TM1.2 to TM1A.1 or TM1A.2 (artifact-reduced).

• Preparation as for TM1.1 or TM1.2.

• Activate TM1A.1. On completion of TM1A.1 the message “Please wait" appears in the comment line and the unit automatically returns to its starting position. The message "Ready for exposure” appears.

• Ask the patient to open his/her mouth and release TM1A.2.

• Finally, the message “R button, confirm exposure data” appears.

• After you have pressed the R button again, the unit returns to its starting position.

Angle preselection for temporomandibular joint programs TM1.1/TM1.2 and TM1A.1/ TM1A.2

These programs allow for angle preselection (0°, 5°, 10°, and 15°) for the temporomandibular joint area.

When you touch the angle symbol in the “submenu” column (8), a submenu line for angle preselection opens. Select the desired angle; it will now be displayed in white in column (8).

AEC

–

0° 15°

38 D 3352.201.01.18.02

–

0°15°

If detailed analyses of the temporomandibular joint are required and the standard projections (0°) are not optimal, the projections can be adjusted with the angle preselection.

The figure shows the directions in which the slice orientation is swiveled with angle preselection.

NOTE

When you confirm the exposure with the R button, the angle setting that was changed in the submenu line will automatically be reset to the default setting 0°.

59 87 594 D 3352

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

18,7s

0°

Ready for exposure

CEPH

PAN

71kV

8mA

TM2.1

18,7s

15°

Ready for exposure

Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph 6.2 TM2.1/TM2.2 Temporomandibular joints in posterior – anterior projection with

6.2 TM2.1/TM2.2 Temporomandibular joints in posterior – anterior

projection with closed and open mouth in one image

TM2.1 Temporomandibular joints posterior –

PAN

1260

AEC

Ready for exposure

TM2.1 TM2.2 TM2.2 TM2.1

TM2.1

TM2.2

anterior with closed mouth and TM2.2 with open mouth

(4 views in one image)

• Insert temporomandibular joint supports "1" and "2".

• To largely prevent overlaps, head inclination to- wards anterior in relation to the FH. The line displayed on the touchscreen head icon is used here for orientation only.

• Activate TM2.1. On completion of TM2.1 the message “Please wait" appears in the comment line and the unit automatically returns to its starting position. The message "Ready for exposure” appears.

• Ask the patient to open his/her mouth, and release TM2.2.

• Finally, the message “R button, confirm exposure data” appears.

• After you have pressed the R button again, the unit returns to its starting position.

NOTE

For devices until October 2006: Please observe the orientation (right/left) of the temporomandibular joint supports specified on page 28.

59 87 594 D 3352 D 3352.201.01.18.02

TM2.1 outer views:

Closed mouth

TM2.2 inner views:

Open mouth

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

CEPH

PAN

71kV

8mA

TM2.1

18,7s

12,8s

15°

15°0° 5° 10°

Ready for exposure

18,7s

0°

TM2A.2

Ready for exposure

CEPH

PAN

71kV

8mA

TM2A.1

18,7s

0°

Ready for exposure

6.2 TM2.1/TM2.2 Temporomandibular joints in posterior – anterior projection with closed and open mouth in one image Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph

PAN

1260

PAN

1260

1260 1260

AEC

6 TM2A.1

Program extensions:

TM2A.1 Temporomandibular in posterior - anterior projection with closed mouth and TM2A.2 with open mouth, artifact-reduced

Touch the program display (6) to switch the exposure type from TM2.1 or TM2.2 to TM2A.1 or TM2A.2 (artifact-reduced).

• Preparation as for TM2.1 or TM2.2.

• Activate TM2A.1. On completion of TM2A.1 the message “Please wait" appears in the comment line and the unit automatically returns to its starting position. The mes-

TM2A.2

sage "Ready for exposure” appears.

• Ask the patient to open his/her mouth, and release TM2A.2.

• Finally, the message “R button, confirm exposure data” appears.

• After you have pressed the R button again, the unit returns to its starting position.

Angle preselection for temporomandibular joint programs TM2.1/TM2.2 and TM2A.1/ TM2A.2

These programs allow for angle preselection (0°, 5°, 10°, and 15°) for the temporomandibular joint area.

When you touch the angle symbol in the “submenu” column (8), a submenu line for angle preselection opens. Select the desired angle; it will now be displayed in white in column (8).

AEC

Ready for exposure

If detailed analyses of the temporomandibular joint are required and the standard projections (0°) are not opti-

0°

mal, the projections can be adjusted with the angle preselection.

The figure shows the directions in which the slice orientation is swiveled with angle preselection.

15°

NOTE

40 D 3352.201.01.18.02

When you confirm the exposure with the R button, the angle setting that was changed in the submenu line will automatically be reset to the default setting 0°.

59 87 594 D 3352

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

CEPH

PAN

68kV

8mA

TM3

8,1s

Ready for exposure

Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph 6.3 TM3 T emporomandibular joints lateral, ascending rami

6.3 TM3 Temporomandibular joints lateral, ascending rami

TM3 Temporomandibular joints lateral,

PAN

1260

ascending rami

• Insert temporomandibular joint supports "1" and "2".

• Head inclination using the FH. The line displayed on the touchscreen head icon indicates the reflection line of the light localizer.

AEC

NOTE

For devices until October 2006: Please observe the orientation (right/left) of the temporomandibular joint supports specified on page 28.

59 87 594 D 3352 D 3352.201.01.18.02

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

CEPH

PAN

71kV

8mA

TM4

10,1s

Ready for exposure

6.4 TM4 Temporomandibular joints in posterior/anterior projection Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph

6.4 TM4 Temporomandibular joints in posterior/anterior projection

TM4 Temporomandibular joints in posterior/

PAN

1260

AEC

anterior projection

• Insert temporomandibular joint supports "1" and "2".

• To largely prevent overlaps, head inclination to- wards anterior in relation to the FH. The line displayed on the touchscreen head icon is used here for orientation only.

NOTE

For devices until October 2006: Please observe the orientation (right/left) of the temporomandibular joint supports specified on page 28.

42 D 3352.201.01.18.02

59 87 594 D 3352

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

CEPH

PAN

71kV

8mA

TM5

25,0s

Ready for exposure

Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph 6.5 TM5 T emporomandibular joints lateral, multislice

6.5 TM5 Temporomandibular joints lateral, multislice

TM5 Temporomandibular joints lateral, multislice

PAN

1260

AEC

(6 views in one image)

• Insert temporomandibular joint supports "1" and "2".

• To largely prevent overlaps, head inclination using the FH. The line displayed on the touchscreen head icon indicates the reflection line of the light localizer.

NOTE

For devices until October 2006: Please observe the orientation (right/left) of the temporomandibular joint supports specified on page 28.

ABCCBA

C B A

A B C

59 87 594 D 3352 D 3352.201.01.18.02

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

CEPH

PAN

71kV

8mA

TM6

22,9s

Ready for exposure

6.6 TM6 Temporomandibular joints, multislice in posterior – anterior projection Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph

6.6 TM6 Temporomandibular joints, multislice

in posterior – anterior projection

TM6 Temporomandibular joints, multislice, in

PAN

1260

AEC

posterior – anterior projection

(6 views in one image)

• Insert temporomandibular joint supports "1" and "2".

• To largely prevent overlaps, head inclination to- wards anterior in relation to the FH. The line displayed on the touchscreen head icon is used here for orientation only.

NOTE

For devices until October 2006: Please observe the orientation (right/left) of the temporomandibular joint supports specified on page 28.

ABCC BA

A B C

44 D 3352.201.01.18.02

59 87 594 D 3352

Sirona Dental Systems GmbH 7 Program group sinus views

CEPH

PAN

77kV

7mA

14,4s

Ready for exposure

Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph 7.1 S1 Paranasal sinuses

7 Program group sinus views

7.1 S1 Paranasal sinuses

S1 Paranasal sinuses

PAN

1260

e.g. orbital floor fractures

•Fit blue contact segment subnasally

• Fit temporomandibular joint supports "1" and "2" without ear holders, but with contact pads.

• Patient's head max. reclined. The line displayed on the touchscreen head icon is used here for orientation only.

NOTE

For devices until October 2006: Please observe the orientation (right/left) of the temporomandibular joint supports specified on page 28.

59 87 594 D 3352 D 3352.201.01.18.02

7 Program group sinus views Sirona Dental Systems GmbH

CEPH

PAN

68kV

8mA

16,2s

Ready for exposure

7.2 S2 Maxillary sinuses with two views in one image Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph

7.2 S2 Maxillary sinuses with two views in one image

S2 Maxillary sinuses with two views in one

PAN

image (enabling a certain depth localization).

1260

• Blue bite block or contact segment.

• Fit temporomandibular joint supports "1" and "2" without ear holders, but with contact pads.

• Head inclination using the FH. The line displayed on the touchscreen head icon indicates the reflection line of the light localizer.

• Do not release the exposure release button until the message “R button, confirm exposure data” appears in the comment line.

(Radiation is released automatically twice).

NOTE

For devices until October 2006: Please observe the orientation (right/left) of the temporomandibular joint supports specified on page 28.

46 D 3352.201.01.18.02

59 87 594 D 3352

Sirona Dental Systems GmbH 7 Program group sinus views

CEPH

PAN

77kV

7mA

8,1s

Ready for exposure

Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph 7.3 S3 Paranasal sinuses (linear slice orientation)

7.3 S3 Paranasal sinuses (linear slice orientation)

S3 Paranasal sinuses

PAN

1260

(linear slice orientation)

e.g. orbital floor fractures

•Fit blue contact segment subnasally

• Fit temporomandibular joint supports "1" and "2" without ear holders, but with contact pads.

Patient's head max. reclined. The line displayed on the touchscreen head icon is used here for orientation only.

NOTE

For devices until October 2006: Please observe the orientation (right/left) of the temporomandibular joint supports specified on page 28.

59 87 594 D 3352 D 3352.201.01.18.02

7 Program group sinus views Sirona Dental Systems GmbH

CEPH

PAN

68kV

8mA

14,1s

Ready for exposure

7.4 S4 Maxillary sinuses with two views in one image (linear slice orientation) Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph

7.4 S4 Maxillary sinuses with two views in one image (linear slice

orientation)

S4 Maxillary sinuses with two views in one

PAN

image (linear slice orientation)

(to allow for a certain depth localization).

1260

14,1s

• Blue bite block or contact segment.

• Fit temporomandibular joint supports "1" and "2" without ear holders, but with contact pads.

• Head inclination using the FH. The line displayed on the touchscreen head icon indicates the reflection line of the light localizer.

Do not release the exposure release button until the message “R button, confirm exposure data” appears in the comment line.

(Radiation is released automatically twice).

NOTE

For devices until October 2006: Please observe the orientation (right/left) of the temporomandibular joint supports specified on page 28.

48 D 3352.201.01.18.02

59 87 594 D 3352

Sirona Dental Systems GmbH 8 Program group multislice views

CEPH

PAN

77kV

7mA

MS1

21,7s

Ready for exposure

Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph 8.1 MS1 Multislice (posterior tooth region)

8 Program group multislice views

8.1 MS1 Multislice (posterior tooth region)

MS1 Posterior tooth region, multislice

PAN

1260

(6 views in one image)

• Yellow bite block or contact segment.

• Lower edge of mandible horizontal. The line displayed on the touchscreen head icon is used here for orientation only.

0°

CBA A BC

C B A

59 87 594 D 3352 D 3352.201.01.18.02

9 Operation Sirona Dental Systems GmbH

CEPH

1P1

ORTHOPHOS XG

Plus

9.1 Preparing the exposure Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph

9 Operation

9.1 Preparing the exposure

Fitting the accessories

• Push in the bite block or chin rest until it engages.

For details about use, see Program groups exposure programs.

• They unlock automatically upon removal.

Switching the unit on

ATTENTION

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

• Set main switch (1) to position I and wait approx. 1 minute.

ATTENTION

Due to the warm-up phase of the screen backlight, screen readability is poor for a few minutes after switching on the system.

• The LED (33) at the top of the Easypad lights up.

• The radiation indicator (32) lights up for approx. one second for a function test.

• The forehead support and temple supports are completely open.

ATTENTION

Never position a patient in the unit during boot-up. In case of errors that require switching the unit off and back on again, patients must be removed from the unit, at the latest before the unit is switched back on again!

59 87 594 D 3352

50 D 3352.201.01.18.02

Sirona Dental Systems GmbH 9 Operation

CEPH

12,1s

PAN

Aufnahmebereit

64kV

8mA

14,1 s

CEPH

SID = 19,6”

x 12”

CEPH

PAN

64kV

8mA

9,0 s

Quick

Switch SIDEXIS to ready for exposure state

Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph 9.1 Preparing the exposure

NOTE

After the unit is switched off with the main switch, the touchscreen on the Easypad remains illuminated for another 3 - 5 seconds.

ATTENTION

After switching the unit off with the main switch, you must wait for approx. 2 minutes before switching it back on.

Displays on the touchscreen

When you switch on the system, the start screen appears briefly; it will disappear automatically after a few seconds.

A B C D

PAN

1260

SID = 19,6”

9,0 s

6 x 12”

The selection screen appears.

The selection screen shows the following:

A – Bite block height adjustment value in mm (ranging

from 810 to 1815 mm) from the last patient set.

B – The exposure program which was last used

C – The basic value 0 mm of the completely opened

forehead support.

D – The expected exposure time for the preselected pro-

gram

E – The patient symbol which was last preselected with

the related kV/mA combination

F – Help messages in the comment line

G – Quickshot display – ON (visible)/OFF (hidden) for

reduction of cycle time

The preselected settings are represented in orange color.

• Briefly press the return key R to bring the rotating el-

ement into its position for positioning.

59 87 594 D 3352 D 3352.201.01.18.02

9 Operation Sirona Dental Systems GmbH

Ready for exposure

64kV

8mA

H301

9.1 Preparing the exposure Operating Instructions ORTHOPHOS XG

NOTE

After the T key is pressed, a test cycle of the rotating element can be triggered without radiation. After the T key is pressed, the adjacent display appears on the touchscreen without the kV/mA value, exposure time and patient symbols. Two test cycle symbols appear instead of the patient symbols. To quit the test cycle mode, press the T key once again.

Plus

DS/Ceph

Switch SIDEXIS to ready for exposure state

• Make the SIDEXIS program on the PC ready for exposure for PAN (XP)/CEPH (XC) or TS (XS) im-

ages. (see SIDEXIS, Operator's Manual).

As long as no connection with SIDEXIS is established, the message "Switch SIDEXIS to ready for exposure state" is displayed in the comment line of the Easypad touchscreen.

Once SIDEXIS is ready for exposure, the welcome screen with the selected patient data from SIDEXIS appears on the Easypad touchscreen.

It shows the first name, last name, date of birth and card index number of the patient currently registered in SIDEXIS. The right upper corner shows the radiation symbol, the program number with the associated kV/mA values, and a help message H.

When you touch the screen, the welcome screen disappears and the selection screen reappears.

NOTE

If you wish to suppress this entire screen display or individual pieces of information displayed there, your service engineer can disable the corresponding data upon request.

52 D 3352.201.01.18.02

59 87 594 D 3352

Sirona Dental Systems GmbH 9 Operation Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph 9.2 Optional: Taking exposures from a SIDEXIS exposure template

9.2 Optional: Taking exposures from a

SIDEXIS exposure template

• Select patient and exposure template and get the SIDEXIS system ready for exposure.

• When SIDEXIS is ready for the first exposure of the template, the welcome screen with the selected patient's data from SIDEXIS appears on the Easypad. When you touch the screen, the welcome screen disappears.

• As soon as an exposure has been executed and arranged in the prepared window, the next exposure readiness is automatically issued by SIDEXIS until all of the exposures in the template have been executed.

59 87 594 D 3352 D 3352.201.01.18.02

9 Operation Sirona Dental Systems GmbH

P6.1

12,1s

CEPH

PAN

Aufnahmebereit

64kV 8mA

14,2s

9.3 Positioning the patient Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph

9.3 Positioning the patient

Preparations

• Ask the patient to take off all metallic objects such as glasses and jewelry in the head and neck area as well as all removable dental prostheses. The tray in front of the control mirror is used for depositing jewelry.

• The movements of the unit must not be obstructed by physical constitution nor clothing, dressings, wheelchairs or hospital beds! Perform a test cycle with the T key (see also “General safety informa- tion”).

• Fit the bite block or contact segment and the chin rest, see chapter entitled Exposure program

groups.

Exposure with chin rest and bite block

• The patient places himself or herself in front of the control mirror.

• Using the “up” or “down” arrow key, adjust the height of the unit so that the chin of the patient and the chin rest are at the same height.

The motor movement is accompanied by an acoustic signal.

PAN

1260

Filmkassette einrasten

CEPHPAN

14,2s

Aufnahmebereit

NOTE

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.

12,1s

62kV 8mA

• The patient places the chin on the chin rest and seizes the handles.

• Swivel in the bite block.

• Have the patient bite into the indentation of the bite block (upper anterior teeth into the indentation, lower anterior teeth pushed forward as far as possible).

54 D 3352.201.01.18.02

59 87 594 D 3352

Sirona Dental Systems GmbH 9 Operation

P6.1

12,1s

CEPH

PAN

ORTHOPHOS

ist

aufnahmebereit

64kV

8mA

14,2

P6.1

12,1s

CEPH

PAN

ORTHOPHOS

istaufnahmebereit

64kV 8mA

14,2

Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph 9.3 Positioning the patient

ATTENTION

Make sure that the patient’s spine is slightly inclined as illustrated. This can be achieved by having the patient take a small step towards the column.

Thus the cervical vertebrae of the patient are stretched.

Stretched cervical vertebrae prevent diminished density in the anterior tooth region.

In special cases, you may also position a seated patient (using e.g. a dentist stool).

RIGHT

PAN

CEPHPAN

14,2

Filmkassette einrasten

ist

62kV

fnahm

ebereit

1260

WRONG

PAN

Film

14,2

kassette einrasten

PHO

istaufnahm

62kV

E C

ebereit

126

1260

RTHO

59 87 594 D 3352 D 3352.201.01.18.02

9 Operation Sirona Dental Systems GmbH

CEPH

PAN

Filmkassette

einlegen

68kV

8mA

12,8s

9.3 Positioning the patient Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph

• Swivel out the mirror by pressing the left recess A on the touch bar.

• Position the head of the patient in such a way that the occlusal plane is slightly inclined towards anterior.

• Switch on the light localizer with key (28) on the

Easypad. It is used for correct patient positioning.

• As long as the light localizer is on, a red light localizer symbol is displayed on the touchscreen.

NOTE

Make sure that the light beam does not hit the patient’s eyes (laser light). The light localizer switches off automatically after approx. 100 seconds.

The FH horizontal light beam

should reflect between the upper edge of the external auditory canal and the lowest point of the infraorbital rim (Frankfort Horizontal plane FH).

The height of the FH horizontal light beam can be adjusted with slider (2).

• Fine-tune the head inclination for the FH setting: Briefly touch the “up” (30) or “down” (31) arrow key for height adjustment.

• Align the center of the anterior teeth or of the face with the central light line (C).

• Press key (29) on the Easypad to move the forehead support “towards forehead”. On touching the patient’s forehead, the forehead support stops automatically.

• Close the temple supports by pressing key (37) on the Easypad. On touching the patient’s temples, the temple supports stop automatically.

PAN

1260

Filmkassette einlegen

Film

CEPH

P6.1

12,1s

kassette einrasten

62kV 8m

8mA

E C

• Swivel the mirror back in by pressing the right recess B on the touch bar.

• Check the FH setting and the central light line.

• Have the patient place his or her tongue against the palate.

Displayed reference values

The Easypad shows the reference values of the height and forehead support settings, which are saved for further exposures in the additional information area of the

56 D 3352.201.01.18.02

SIDEXIS software.

NOTE

The forehead support and the temple supports open automatically when the exposure is complete.

59 87 594 D 3352

Sirona Dental Systems GmbH 9 Operation Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph 9.3 Positioning the patient

Exposure with chin rest and bar

For patients without anterior teeth

• Remove the bite block with the bite block rod; instead, fit the bar as illustrated (arch facing toward the column).

• Make sure that the upper and lower jaw are in

line.

This is easier if you place a cotton pellet between them.

• Proceed as for an exposure with chin rest and bite block.

Difference:

The patient places his or her chin on the chin rest.

• For optimal positioning of the head with relation to the slice position, the patient’s subnasale must be placed against the bar.

• If there are any anterior teeth left in the lower jaw, place the bar between chin and lower lip.

• Have the patient place his or her tongue against the palate.

59 87 594 D 3352 D 3352.201.01.18.02

9 Operation Sirona Dental Systems GmbH

P6.1

12,1s

CEPH

PAN

Aufnahmebereit

64kV

8mA

14,2

9.3 Positioning the patient Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph

Exposure with bite block or contact segment without chin rest

• The patient places himself or herself in front of the control mirror.

CEPHPA N

1260

62kV

8mA

Filmkassette einrasten

reit

... with bite block

• Using the “up” or “down” arrow key on the Easypad, adjust the height of the unit so that the bite block and the anterior teeth are at the same height.

• The patient seizes the handles.

• Have the patient bite into the indentation of the bite block. Upper anterior teeth into the indentation, lower anterior teeth pushed forward as far as possible.

. . . with contact segment

For patients without anterior teeth

• Adjust the height of the unit so that the contact seg- ment and the subnasale are at the same height.

• The patient places the subnasale against the contact segment.

Make sure that the upper and lower jaw are in line.

This is easier if you place a cotton pellet between them.

NOTE

Make sure that the patient’s spine is slightly inclined as described before, (see page 55).

58 D 3352.201.01.18.02

59 87 594 D 3352

Sirona Dental Systems GmbH 9 Operation

CEPH

PAN

Filmkassette

einlegen

68kV 8mA

12,8s

Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph 9.3 Positioning the patient

• Swivel out the mirror by pressing the left recess A on the touch bar.

• Position the head of the patient in such a way that the occlusal plane is slightly inclined towards anterior.

• Switch on the light localizer with key (28) on the

Easypad. It is used for correct patient positioning.

• As long as the light localizer is on, a red light localizer symbol is displayed on the touchscreen.

NOTE

Make sure that the light beam does not hit the patient’s eyes (laser light). The light localizer switches off automatically after approx. 100 seconds.

The FH horizontal light beam

should reflect between the upper edge of the external auditory canal and the lowest point of the infraorbital rim (Frankfort Horizontal plane FH).

The height of the FH horizontal light beam can be adjusted with slider (2).

• Fine-tune the head inclination for the FH setting: Briefly touch the “up” (30) or “down” (31) arrow key on the Easypad for height adjustment.

• Align the center of the anterior teeth or of the face with the central light line (C).

• Press key (29) on the Easypad to move the forehead support “towards forehead”. On touching the patient’s forehead, the forehead support stops automatically.

• Close the temple supports by pressing key (37) on the Easypad. On touching the patient’s temples, the temple supports stop automatically.

PAN

1260

Filmkassette einrasten

Film

kassette

CEPH

P6.1

12,1s

62kV 8m

einlegen

• Swivel the mirror back in by pressing the right recess B on the touch bar.

• Check the FH setting and the central light line.

• Have the patient place his or her tongue against the palate.

Displayed reference values

The Easypad shows the reference values of the height and forehead support settings, which are saved for further exposures in the additional information area of the

59 87 594 D 3352 D 3352.201.01.18.02

SIDEXIS software.

NOTE

The forehead support and the temple supports open automatically when the exposure is complete.

9 Operation Sirona Dental Systems GmbH

CEPH

PAN

Filmkassette einrasten

62kV

8mA

P6.1

12,1s

CEPH

PAN

ORTHOPHOS

ist

aufnahmebereit

64kV

8mA

14,2

SID = 19,6”

x 12”

CEPH

PAN

Ready for exposure

1449

64kV

8mA

14,1 s

9.3 Positioning the patient Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph

Exposure occlusal bite block

Intended use:

The occlusal bite block is used for panoramic slice views. To make patient positioning easier and safer, you can use the occlusal bite blockfor exposure programs P1, P1 A, P1 C, half-view and full quadrant images, P2, P10 and P12. The unit here supports the user by displaying corresponding symbols on the Easypad and automatically stopping and emitting a double-signal when the angle of the occlusal bite block plate has reached its nominal position.

Preparations:

A replaceable bite block foam (single use device) is used for the bite impression. This soft bite block foam can also be used for patients who have no front teeth.

Insert the pins of the upper part in the opening of the bite block plate, fold the bite block foam down and snap the

lower part onto the pins of the upper part. Bite block foam (single use device), 100 pcs.

Order No. 61 41 449

Inserting the occlusal bite block

• Insert the occlusal bite block in the bite block holder as shown. The display on the touchscreen now differs from the usual image.

PAN

EPH

1260

14,2 s

ORTHOPHOSist aufnahmebereit

AEC

SID = 19,6”

6 x 12”

ATTENTION

The occlusal bite block must be correctly locked in place. The symbol display will change as soon as the metallic blade (A) dips into the coil body. Check every day whether the arrows and the head symbol are displayed consistently. If that is not the case, a system error is present.

With the occlusal bite block in place, check whether the green bar is displayed in the head symbol; otherwise a system error is present.

• The current head posture is displayed on the right side of the Easypad touchscreen. Two green arrows are also displayed. The left arrow next to the height value indicates which height adjustment key must be pressed to correct the head posture. The right arrow next to the head display shows the approach to the nominal position.

• If the occlusal bite block is still inserted in the bite block holder after an exposure has been taken and you select any program other than the ones mentioned above, the help message "Change bite block" will appear in the comment line. Then insert the bite block or contact segment required for this exposure. The usual display then reappears on the touchscreen. The remaining preparation then must be performed as previously described for the other bite blocks.

Ready for exposure

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Sirona Dental Systems GmbH 9 Operation

P6.1

12,1s

CEPH

PAN

ORTHOPHOS

ist

aufnahmebereit

64kV

8mA

14,2

CEPH

PAN

Fil m kassette e

i nras

t en

8mA

P6.1

12,1s

CEPH

PAN

ORTHOPHOS

ist

aufnahmebereit

kV 8 m

1 4,

2 s

SID= 19,6”

x12”

CEPH

PAN

Aufnahmebereit

1449

64kV

8mA

14,1 s

Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph 9.3 Positioning the patient

ATTENTION

When inserting, removing and storing the occlusal bite block, always make sure that its blade (A) is not broken off or bent.

Positioning the patient's head for the occlusal bite block

• The patient places himself or herself in front of the control mirror.

• Use the "up" or. "down" keys on the Easypad to ad-

just the height of the unit so that the occlusal bite block and the patient's anterior teeth are at the same height.

The motor movement is accompanied by an acoustic signal.

NOTE

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.

1260

Filmkassette einrasten

P H

L S

CEPHPAN

1 4

2 s

6 . 1

1 2

, 1 s

i l

s t

r a

b e r e it

SID= 19,6”

6x 12”

62kV

8mA

ist

• The patient seizes the handles.

• Have the patient bite into the grooves of the replaceable bit foam block with his teeth.

59 87 594 D 3352 D 3352.201.01.18.02

9 Operation Sirona Dental Systems GmbH

1453

1462

1449

1462

64kV

8mA

1453

64kV

8mA

1449

64kV

8mA

1441

9.3 Positioning the patient Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph

• If the green arrows on the touchscreen are pointing upward, the head posture must be corrected with the "up" key (30) on the Easypad.

• If the green arrows on the touchscreen are pointing upward, the head posture must be corrected with the "down" key (31) on the Easypad.

• Instruct the patient to let his head rest completely.

• The inclination of the patient's head is moved to the nominal position by pressing the appropriate "up" or "down" key.

• While the angle of the bite block is being adjusted, the high adjustment motor runs at an extremely slow speed.

• During this slow upward or downward travel, the patient's head is gently pressed upward or downward by the bite block foam.

• The right green arrow shows the slow approach of the head posture to the nominal position while the head inclination display also changes accordingly.

• Travel stops immediately when the nominal position

has been reached, a double beep sounds, and the

green arrows previously displayed disappear.

•An "=" sign appears next to the displayed height value in place of the left arrow.

The head posture is now adjusted.

NOTE

Service engineers can change the angle of the bite block plate, and consequently, the target position of the head, as necessary or upon request.

ATTENTION

If no change in the bite block plate angle is detected for a period of approx. 3 seconds, the speed of the height adjustment motor starts to increase.

Readjustment can be started by briefly touching the "up" (30) or "down" (31) height adjustment key. The light localizers can be activated as additional positioning aids.

• Press key (29) on the Easypad to move the forehead support "towards forehead." On touching the patient’s forehead, the forehead support stops automatically.

• Close the temple supports by pressing key (37) on the Easypad. On touching the patient’s temples, the temple supports stop automatically.

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Sirona Dental Systems GmbH 9 Operation Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph 9.3 Positioning the patient

Cleaning the occlusal bite block

If the hinges of the occlusal bite block begin to emit

squeaking noises in operation following longer periods of use, they must be cleaned.

To do this, proceed as follows:

1. Pull the occlusal bite block out of its holder on the

ORTHOPHOS XG

2. Carefully push apart the guide mandrel of the lever (1) on the bite block plate and the eyelet of the connecting rod (2) slightly in the directions of the arrows and unhinge the lever.

Plus

3. Swing the bite block (3) upward into a vertical posi-

tion so that the lever (1) is pointing downward.

4. Pull the bite block plate (3) forward out of its hinge.

59 87 594 D 3352 D 3352.201.01.18.02

5. Clean the hinge axles (A) and the guide lugs (B) with

disinfectant.

6. Assemble the occlusal bite block by following the same procedure in reverse order. When assembling, check the position of the bite block plate; the segment must point toward the connecting lever. Insert the occlusal bite block into its holder on the ORTHOPHOS XG

Plus

9 Operation Sirona Dental Systems GmbH

P6.1

12,1s

CEPH

PAN

Aufnahmebereit

64kV

8mA

14,2s

9.3 Positioning the patient Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph

Temporomandibular joint views, programs TM3 – TM6 with temporomandibular joint supports

• For temporomandibular joint views, you must fit the temporomandibular joint supports (C) "1" on the right and (D) "2" on the left side in place of the temple supports (7). To do so, remove the two temple supports (7) after pressing the corresponding locking button; instead, push in the two temporomandibular joint supports (C) and (D) until they engage. Two sterile ear holders (E) must be plugged into the temporomandibular joint supports (C) and (D).

• Remove the bite block or chin rest.

NOTE

For devices until October 2006: Please observe the orientation (right/left) of the temporomandibular joint supports specified on page 28.

• Using the “up” or “down” arrow keys on the Easypad, adjust the height of the unit so that the ear holders are at the height of the external auditory canals.

PAN

CEPHPAN

1260

14,2s

62kV 8mA

Filmkassette einrasten

Aufnahmebereit

• Position the patient’s head between the temporomandibular joint supports (C) and (D). Close the temporomandibular joint supports with key (37) on the Easypad so that the ear holders fit into the external auditory canals.

• For programs TM1, TM3 and TM5, the patient’s

head must be positioned in the Frankfort Horizontal plane FH.

• For programs TM2, TM4 and TM6, the patient’s head must be inclined towards anterior in relation to the FH so as to largely prevent overlaps.

• Align the center of the anterior teeth or of the face with the central light line.

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P6.1

12,1s

CEPH

PAN

Aufnahmebereit

64kV 8mA

14,2s

Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph 9.4 Finishing the preparations (panoramic views)

Sinus views, programs S1 – S4 with temporomandibular joint supports

• For sinus views, you must fit the temporomandibular joint supports (C) "1" on the right and (D) "2" on the left side in place of the temple supports (7). To do so, remove the two temple supports (7) after pressing the corresponding locking button; instead, push in the two temporomandibular joint supports (C) and (D) until they engage. Two sterile ear holders (E

1) must be plugged into the

temporomandibular joint supports (C) and (D).

NOTE

For devices until October 2006: Please observe the orientation (right/left) of the temporo-

mandibular joint supports specified on page 28.

9.4 Finishing the preparations (panoramic views)

• If the light localizer is still on, switch it off with key (28) on the Easypad. The light localizer symbol on the touchscreen disappears.

• The sensor (9) must be inserted up to the stop. This is the case when the pushbutton (8) is flush with the surface.

If the sensor (9) is not fully inserted, the help message "Plug sensor into PAN slot" appears in the comment line.

If further help messages are displayed in the comment line, they must be observed and processed one after the other until the message "Ready for exposure" appears.

PAN

1260

Filmkassette einrasten

CEPHPAN

14,2s

62kV 8mA

59 87 594 D 3352 D 3352.201.01.18.02

9 Operation Sirona Dental Systems GmbH

64kV

8mA

PAN

64kV

8mA

Select basic settings

PAN

Select Start Settings

9.5 Making the basic settings in program level 3 Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph

9.5 Making the basic settings in program level 3

“Quickshot” presetting

"Quickshot" = reduction of the cycle time by approx. 20 – 50%, depending on the exposure program for programs P1, P2 and P10.

PAN

Quick

Off

Select basic settings

Quick

Programming the patient symbols

You may enter new kV/mA values for the preselected exposure program and for the respective preselected patient symbol in the center area.

Programming is done by touching the memory symbol (1).

9.6 Changing the startup settings in program level 4

PAN

You can access program level 3 by touching the disk icon (21) in level 4. In level 4 you can modify any factory-programmed startup parameters. They are then displayed after switching on the system and for each new exposure.

You can change the abnormality preference (2nd icon from the right, as per factory setting) and the patient icon preference (2nd icon from the left, as per factory setting).

Programming is done by touching the memory symbol (1).

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Sirona Dental Systems GmbH 9 Operation

CEPH

PAN

1260

64kV

8mA

AEC

14,1s

62kV

8mA

Ready for exposure

SID = 19,6”

x 12”

CEPH

PAN

1260

64kV

8mA

9,0 s

Quick

Ready for exposure

Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph 9.7 Selecting the exposure parameters

9.7 Selecting the exposure parameters

The patient symbol keys are factory-programmed with kV/mA combinations:

• Select the exposure parameters by touching one of the four patient symbols. The selected patient symbol is highlighted in orange

SID = 19,6”

9,0 s

6 x 12”

Ready for exposure

and the corresponding kV/mA value is displayed in column (8) next to the patient symbols.

Modifying the exposure parameters manually

PAN

If the default kV/mA combinations do not provide satisfactory results, you can preselect intermediate kV/mA values in the kV/mA submenu.

To open the submenu, touch the kV/mA display in column (8). The values can be adjusted with the –/+ keys. To close the submenu, touch the light blue arrow at the left margin of the submenu line. (See also section 3.2 “General touchscreen functions”).

59 87 594 D 3352 D 3352.201.01.18.02

9 Operation Sirona Dental Systems GmbH

CEPH

PAN

Filmkassette einrasten

62kV

8mA

P6.1

12,1s

CEPH

PAN

64kV

8mA

14,1 s

Exposure is performed

9.8 Releasing the exposure Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph

9.8 Releasing the exposure

• Observe the radiation protection regulations (see also chapter 1 “Identification of warning and safety information”)

NOTE

There must not be any help message displayed in the comment line of the touchscreen. The message “Ready for exposure” must appear.

NOTE

When you press the exposure release button on the remote control while the door is open, the message “Close the door“ with help code H321 is displayed. Close the door and acknowledge the message.

1 2

ilm

a s

e tte

e in

Advise the patient not to move his/her head in any way during the exposure and check to make sure that this does not happen!

• To release the exposure, press the exposure release button (10).

The rotary movement of the selected exposure program is performed automatically.

While radiation is active, the optical radiation indicator (32) on the Easypad or on the remote control is illuminated.

In addition, an acoustic signal sounds throughout the entire radiation time.

ATTENTION

Take care not to let go of the exposure release button prematurely. Note that radiation may be released several times during an exposure cycle. Wait until the unit has completed the exposure cycle.

• The exposure cycle is complete when...

ATTENTION

... the touchscreen comment line switches from “Ex- posure is performed” to “Please wait”.

... a row of dots “........” appears alternately with the

program number on the remote control display. ...a short pulsed tone sequence also can be heard at the end of the exposure (this function can be deactivated by your service engineer).

NOTE

The end of the exposure cycle can also be seen on the SIDEXIS monitor, namely when the progress indicator shows 100 % and the preview image starts to build up.

• After completing the first part (TM1.1 or TM2.1) of

PAN

CEPH

1260

14,1 s

P6.1

62kV

Gerät aufnahmebereit

Exposure is performed

68 D 3352.201.01.18.02

8mA

one of the two-part programs for temporomandibular joint exposures, TM1 and TM2, the program spontaneously switches to TM1.2 or TM2.2 on the remote control or on the touchscreen respectively. In this case you can let go of the exposure release button. In the meantime, the ring automatically returns to its starting position. TM1.2 or TM2.2 is released and completed as described above.

59 87 594 D 3352

Sirona Dental Systems GmbH 9 Operation

H320 - R button,

confirm

exposure data

Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph 9.8 Releasing the exposure

• The forehead support and the temple supports open automatically, and the patient may leave the unit.

PAN

64kV

8mA

14,1s

46mGycm²

H320 - R button,

confirm exposure data

After completion of the exposure

the X-ray image is displayed on the PC monitor in SIDEXIS.

In addition, a small control image (A) is displayed on the touchscreen; it is not suitable for diagnostic purposes. You must close the preview image again by touching the touchscreen.

Display of the dose area product

The exposure mode, exposure program, tube voltage, tube current, real radiation time, dose area product and shadowing (depending on the exposure program) are again displayed on the touchscreen.

• Acknowledge the exposure time actually needed by pressing the return key R.

• Then reset the rotating element to its starting position by pressing the return key R a second time.

Canceling an exposure

59 87 594 D 3352 D 3352.201.01.18.02

If you let go of the exposure release button prematurely, the exposure is canceled. The exposure time and dose area product display readings flash following exposure cancellation. The exposure time which had elapsed prior to cancellation is displayed.

• Press the "R" key on the Easypad twice.

NOTE

Please note that any program settings which may have been changed must be preselected again before repeating the exposure.

• After the rotating element has returned to its starting position, repeat the exposure.

9 Operation Sirona Dental Systems GmbH

9.8 Releasing the exposure Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph

Automatic exposure blocking

(thermal protection of the tube)

Premature release of a new exposure is prevented by the automatic exposure blocking function.

When you press the exposure release button, the message "Ready for exposure in "XX" seconds" appears in the comment line of the touchscreen.

The remaining cooling time is counted down and is displayed under "XX".

Only after the cooling period has elapsed is it possible to release a new exposure.

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Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph 9.9 Remote control

9.9 Remote control

If the ORTHOPHOS XG is located in an X-ray room which has a door and enables visual contact with the patient, you can use remote control to release the exposure.

For that purpose, the exposure release button (10) can be detached from the unit and attached to the remote control. The exposure release button (A) can be used if a longer cable is not required to maintain visual contact with the patient.

The remote control has an “R” key (36) for acknowledg- ing the exposure and resetting the unit to its starting position, an optical (32) and acoustic radiation indica- tor as well as a “Unit ON” LED (33).

After you switch on the system, the LED (33) lights up. The radiation indicator (32) lights up for approx. one second for a function test. The four display fields on the display panel (B) light up and program P1 appears with the corresponding values after a short time.

As long as plain-text help messages are displayed on the Easypad touchscreen, they also appear in coded form on the "Prog." display field of the remote control, alternating with the program name.

Once the unit has been prepared for the exposure and all help messages have been processed, the program name “Prog.”, the exposure time “s” as well as the “kV” and “mA” values are constantly displayed on the

display panel (B). You may now release the exposure.

TM 3

Prog.

8.1

TM 3

Prog.

8.1

59 87 594 D 3352 D 3352.201.01.18.02

..........

Prog.

8.1

NOTE

If a row of dots ........ appears in the Prog. field, this

means that the system is currently in a preparatory phase (e.g. system movements, parameter changes, program loading times etc.). Just wait until the dots auto-

matically disappear and the system signals that it is ready again.

10 Cephalometric exposures (CEPH) Sirona Dental Systems GmbH

PAN TS

9,1s

80kV

14mA

CEPH

C2 a.p.

9,1s

Ready for exposure

PAN

9,1s

80kV

14mA

CEPH

C1 p.a.

9,1s

Ready for exposure

PAN TS

9,1s

64kV

16mA

CEPH

Ready for exposure

PAN TS

73kV

15mA

CEPH

9,4s

Ready for exposure

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

Plus

DS/Ceph

10 Cephalometric exposures (CEPH)

10.1 Preparing a cephalometric exposure (CEPH function)

Select the CEPH function

by pressing "CEPH" in the program group selection.

1260

The menu for program C3 lateral views (asymmetric A) appears on the touchscreen.

Using the +/– arrow keys, you can select program C1 p.a. (symmetric S), C2 a.p. (symmetric S) or C4 for carpus views.

"R button, move into Ceph starting position" appears in the comment line.

ATTENTION

Make sure that no patient is in the movement range of the PAN rotating element or cephalometer.

1260

1558

Now press the "R" key on the Easypad. The rotating element moves into the position for cephalometric radiography. The secondary diaphragm and the ceph sensor on the cephalometer move all the way to the rear for patient positioning.

9,1s

C1 p.a.

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C2 a.p.

59 87 594 D 3352

Sirona Dental Systems GmbH 10 Cephalometric exposures (CEPH)

PAN TS

14,9s

73kV

15mA

CEPH

C3 F

14,9s

Ready for exposure

Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph 10.1 Preparing a cephalometric exposure (CEPH function)

Full format program C3 F (30x23)

Program C3 F (30x23) allows for generating a full format lateral view.

1260

C3 F

This view shows the entire head of the patient (not cut off at the back).

If program C3 has been preselected, you can activate subprogram "C3 F" by touching "C3" on the touchscreen.

NOTE

By default, the patient's face points to the right in the display of lateral view C3 or C3 F. At your request, this orientation can be permanently changed by your service engineer so that the patient's face points to the left on the X-ray. Please also note that all other ceph exposures C1, C2 and C4 are will then also be displayed "mirrored", i.e. laterally reversed.

59 87 594 D 3352 D 3352.201.01.18.02

10 Cephalometric exposures (CEPH) Sirona Dental Systems GmbH

CEPH

PAN

Filmkassette einrasten

62kV

8mA

P6.1

12,1s

CEPH

PAN

Filmkassette

einlegen

68kV

12,8s

8mA

10.2 Preparations on the cephalometer Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph

10.2 Preparations on the cephalometer

Inserting the sensor

If you operate the unit with one sensor only, you must remove the sensor (9) from its slot in the rotating element for pan exposures and plug it into the slot on the cephalometer.

NOTE

To remove the sensor, hold it firmly, press the pushbutton

PAN

CEPH

Film

kassette

E C

einlegen

(8) fully in and hold it down. Remove the sensor from its holder by pulling it downward.

ATTENTION

DO NOT DROP THE SENSOR! A shock sensor for detecting shocks or drops is built in.

ATTENTION

When removing the sensor from the pan/ceph slot or handling a sensor that has already been removed, make sure not to touch the sensor plug on the unit end, especially not while touching the patient at the same time.

Slide the sensor with its two guide bolts into the guide sleeves and push it up to the stop; it is not necessary to press the pushbutton (8) when doing this.

If the sensor (9) is not fully inserted into the slot on the cephalometer, the help message "Plug sensor into Ceph slot" appears in the comment line.

If a PAN sensor has been plugged into the Ceph slot unintentionally, the help message "Plug in Ceph sen-

sor" is displayed.

NOTE

If you operate the unit with two sensors, the PAN sensor

Left-handed arm

may remain in its slot on the rotating element.

• Seize the nose support (18) at its upper front end, pull it toward the front as far as possible and fold it up toward the side.

• Seize the ear plug holders (25) at their upper ends and push them outward as far as possible.

NOTE

All of the following illustrations of the cephalometer are shown in the left-handed arm version. However, they also generally apply to the right-handed version of the cephalometer, see adjacent illustration.

Right-handed arm

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Operating Instructions ORTHOPHOS XG

100

110

120

Plus

DS/Ceph 10.3 Positioning a ceph patient

Fitting the hygienic protective covers

W For nose support,

single use device (100 pieces) Order No. 33 14 106

10.3 Positioning a ceph patient

X For ear plugs,

not a single use device (sterilizable) (20 pieces) Order No. 89 32 261

Preparations

Ask the patient to take off all metallic objects such as glasses and jewelry in the head and neck area as well as all removable dental prostheses.

Adjusting the height of the unit

Move the cephalometer to approximately the height of the patient’s head and have the patient step back into the head support.

Position patients with a body height between approx. 93 cm and approx. 197 cm standing between the ear plug holders, and taller or shorter patients sit- ting on a fixed, height-adjustable chair with a short backrest.

Use the “up” (30) or “down” (31) arrow key on the Easypad to adjust the height of the cephalometer so that the ear plugs are at the height of the external auditory canals.

59 87 594 D 3352 D 3352.201.01.18.02

10 Cephalometric exposures (CEPH) Sirona Dental Systems GmbH

PAN TS

73kV

15mA

CEPH

9,4s

Ready for exposure

10.3 Positioning a ceph patient Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph

C3 lateral view (A = asymmetric)

For lateral views, the patient must be standing with his/ her face toward the front. (This applies to both the left-handed and the right-handed ceph arm version). Insert the ear plugs into the external auditory canals. Hold the ear plug holders at their upper ends when doing this.

Switching the light localizer on

using the key (28) on the Easypad. The secondary diaphragm with the light localizer for the reflection of the FH line moves far to the front. When taking lateral views, the light localizer serves for positioning the head according to the FH (Frankfort Hor- izontal plane). It will switch off after approx. 100 seconds or automatically as soon as the exposure starts. The light line roughly reflects in this area. Have the patient tilt or raise his/her head until it is positioned correctly. As long as the light localizer is on, a red light localizer symbol is displayed on the touchscreen.

NOTE

Make sure that the light beam does not hit the patient’s eyes (laser light). The light localizer switches off automatically after approx. 100 seconds.

C3 18x23

1260

If necessary, fine-tune the head inclination using keys (30) or (31) on the Easypad.

Adjusting the nose support

Move the nose support downwards. Slightly press and hold down the locking knob (19) while

7 0

8 0

9 0

1 0 0

1 1 0

1 2

adjusting the nose support in vertical direction to the height of the nasal root.

Release the locking knob (19). Carefully push the nose support back to the nasal root.

Select the kV/mA values by touching one of the four patient symbols on the touchscreen. You can also choose if you want to use half the exposure time (4.7 s Quickshot scan).

You will be prompted to press the R button.

Left-handed arm: The secondary diaphragm and the sensor move all the way to the front and into the starting position for scanning.

Right-handed arm: The secondary diaphragm and the sensor return all the way to the back and into the starting position for scanning.

Now you can release the exposure.

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Sirona Dental Systems GmbH 10 Cephalometric exposures (CEPH)

PAN TS

73kV

15mA

CEPH

9,4s

Ready for exposure

Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph 10.3 Positioning a ceph patient

C3 and C3 F Lateral views with shadowing in the upper cranial region

1260

C3 and C3 F exposures also support shadowing in the

upper cranial region.

To do this, touch the head icon in the Submenu column (8), and select the shadowing icon in the submenu line. It will then be displayed in the column (8).

Shadowing results in a dose reduction in the upper cranial region.

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10 Cephalometric exposures (CEPH) Sirona Dental Systems GmbH

PAN

9,1s

80kV

14mA

CEPH

C1 p.a.

9,1s

Ready for exposure

10.3 Positioning a ceph patient Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph

C1 p.a. views

p.a.

1558

C1 p.a.

p.a.

120

0 1

1 0 1

(S = symmetric)

Select ceph program C1 using the +/– arrow keys on the touchscreen.

For symmetric exposures, the ear plug holders must be rotated by 90° into the S position.

Rotate the ear plug holders by 90° so that the folded-up nose support points toward the sensor.

For a symmetrical p.a. view, have the patient turn so that he/she faces the sensor (p.a.), once height adjustment is completed, but before closing the ear plugs. (This applies to both the left-handed and the right-handed ceph arm version).

Insert the ear plugs into the external auditory canals. Hold the ear plug holders at their upper ends when doing this.

Select the kV/mA values by touching one of the four patient symbols on the touchscreen. You can also choose if you want to use half the exposure time (4.7 s Quickshot scan).

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PAN

9,1s

80kV

14mA

CEPH

C1 p.a.

9,1s

Ready for exposure

Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph 10.3 Positioning a ceph patient

C1 p.a. views with shadowing in the thyroid

1558

p.a.

C1 p.a.

120

80 0 7

area

(only for “half-axial skull radiograph”, off-axial cranial overview)

This exposure technique with the head reclined and the mouth open fully also supports shadowing in the thyroid area.

To do this, touch the head icon in the Submenu column (8), and select the shadowing icon in the submenu line. It will then be displayed in the column (8).

Shadowing results in a dose reduction in the thyroid area.

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10 Cephalometric exposures (CEPH) Sirona Dental Systems GmbH

PAN TS

9,1s

80kV

14mA

CEPH

C2 a.p.

9,1s

Ready for exposure

10.3 Positioning a ceph patient Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph

C2 a.p. views

a.p.

1558

C2 a.p.

0 7

a.p.

120

(S = symmetric)

Select ceph program C2 using the +/– arrow keys on the touchscreen.

For symmetric exposures, the ear plug holders must be rotated by 90° into the S position.

Rotate the ear plug holders by 90° so that the folded-up nose support points toward the secondary diaphragm.

For a symmetrical a.p. view, have the patient turn so that he/she faces the sensor (a.p.), once height adjustment is completed, but before closing the ear plugs. (This applies to both the left-handed and the right-handed ceph arm version).

Insert the ear plugs into the external auditory canals. Hold the ear plug holders at their upper ends when doing this.

Select the kV/mA values by touching one of the four patient symbols on the touchscreen. You can also choose if you want to use half the exposure time (4.7 s Quickshot scan).

C2 a.p. views with shadowing in the thyroid area

(only for “half-axial skull radiograph”, off-axial cranial overview)

Just like the C1 p.a. view this exposure technique with the head reclined and the mouth open fully also supports shadowing in the thyroid area. (For head positioning and sample exposure see C1 p.a. view.)

Shadowing results in a dose reduction in the thyroid area.

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Sirona Dental Systems GmbH 10 Cephalometric exposures (CEPH)

PAN TS

9,1s

64kV

16mA

CEPH

Ready for exposure

Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph 10.3 Positioning a ceph patient

C4 carpus views (S = symmetric)

1260

9,1s

For carpus views, the ear plug holders must be in the S position.

Seize the ear plug holders at their upper ends and push them outward as far as possible.

For carpus views you must rotate the ear plug holders by 90° in such a way that the folded-up nose support points toward the secondary diaphragm. Hold the ear plug holders at their upper ends when doing this.

Seize the carpus support plate (26) at its left and right side and push it into the two holes (A) until it engages.

To remove the carpus support plate, seize it laterally and

120

simply pull it out downward against a certain resistance.

The carpus support plate can be disinfected by spraying or wiping.

Place the patient beside the cephalometer. Have him/her place a hand flat on the support plate (right hand for the left-hand version and left hand for the

120

0 1

right-arm version). The patient's fingertips must not

extend beyond the upper edge (B). His/her hand and

arm must form a straight line.

ATTENTION

The patient must press his/her hand against the support plate only slightly!

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10 Cephalometric exposures (CEPH) Sirona Dental Systems GmbH

PAN

9,1s

80kV

14mA

CEPH

C1 p.a.

9,1s

Ready for exposure

PAN TS

73kV

15mA

CEPH

9,4s

Ready for exposure

PAN TS

77kV

14mA

CEPH

9,4s

77kV

14mA

Ready for exposure

PAN TS

73kV

15mA

CEPH

4,7s

Quick

Ready for exposure

10.4 Selecting the exposure parameters Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph

10.4 Selecting the exposure parameters

Program settings (options)

When you touch a symbol in the “submenu” column (8),

1260

Quick

Off

a submenu line for program settings opens.

There are various submenu lines for program settings available:

1. Quickshot program setting – reduction of exposure time (general)

When you touch the exposure time in column (8), another submenu line opens.

Here you can select for each C program whether you want to use a shorter exposure time for acquiring the image (Quickshot scan).

1260

1260 1260

1260

1558

1260

2. Manual setting of kV/mA values (general)

If the default kV/mA combinations do not provide satisfactory results, you can preselect intermediate kV/mA values in this submenu.

3. Shadowing in the upper cranial region (only for programs C3 and C3 F)

C3 and C3 F lateral views let you choose if you want to enable shadowing in the upper cranial region. This will

result in a local dose reduction.

4. Shadowing in the thyroid area (only for programs C1 p.a. and C2 a.p. for “half-axial

skull radiograph”, off-axial cranial overview):

Only this exposure technique with the head reclined and the mouth open fully lets you preselect for C1 p.a. and C2 a.p. views if you want to enable shadowing in the thyroid area. This will result in a local dose reduction.

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C1 p.a.

59 87 594 D 3352

Sirona Dental Systems GmbH 10 Cephalometric exposures (CEPH)

8mA

60kV

9mA

60kV

9mA

CEPH

9,4s

73kV

15mA

73kV

15mA

CEPH

Select basic settings

CEPH

Select Start Settings

Operating Instructions ORTHOPHOS XG

CEPH

QuickONQuick

OFF

Plus

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

Basic settings for the entire menu Level 2

You may also display all of the program settings and

make the settings described above in a second program level.

To access the second program level, touch the blue arrow (9) in the upper right corner of the touchscreen; the arrow will point upward then.

After having made your selections, you can return to program level 1 only by touching the blue arrow (9) once again.

NOTE

When you confirm the exposure with the R button, the program settings changed in these submenu lines will automatically be reset to the default settings.

10.5 Making the basic settings in program level 3

To access the third program level, touch the down arrow

CEPH

(20) in the second program level.

Programming the patient symbols

You may enter new kV/mA values for the preselected exposure program and for the respective preselected patient symbol in the center area.

Programming is done by touching the memory symbol (1).

Select basic settings

10.6 Changing the startup settings in program level 4

You can access program level 3 by touching the disk icon

CEPH

(21) in level 4. In level 4 you can modify any factory-programmed startup parameters. They are then displayed after switching on the system and for each new exposure.

You can only change the patient icon preference (2nd icon from the left, as per factory setting).

Programming is done by touching the memory symbol (1).

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10 Cephalometric exposures (CEPH) Sirona Dental Systems GmbH

12,1s

PAN TS

73kV

15mA

CEPH

C 3

9,4s

PAN

CEPH

Aufnahmebereit

10.7 Releasing a cephalometric exposure Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph

10.7 Releasing a cephalometric exposure

NOTE

0 6

0 8

0 9

0 1 0 1 1

0 2 1

sirona

The movements of the unit must not be obstructed by physical constitution nor clothing, dressings, wheelchairs or hospital beds! Perform a test cycle with the “T” key, see also “General safety information”.

C E

1 2

6 0

9 , 3

5 s

6 4

9 ,

3 5 s

7 3 k

5 m

Aufnah

ebereit

(see also chapter 1 “Identification of warning and safety information”).

NOTE

There must not be any help message displayed in the comment line of the touchscreen. The message “Ready for exposure” must appear.

ATTENTION

• Observe the radiation protection regulations

The patient’s arms must hang down freely at the sides, he/she must not pull up his/her shoulders. Advise the patient not to move his/her head in any way during the scan and watch yourself to make sure that this does not happen!

Trigger the exposure scan by pressing and holding down the exposure release button (10).

While radiation is active the optical radiation indicator

(32) is illuminated.

In addition, an acoustic signal sounds throughout the

entire radiation time.

ATTENTION

Take care not to let go of the exposure release button prematurely. Wait until the unit has completed the exposure cycle.

... the touchscreen comment line switches from “Ex- posure is performed” to “Please wait”.

... a row of dots “........” appears alternately with the

program number on the remote control display.

• The exposure cycle is complete when...

1260

...a short pulsed tone sequence also can be heard at the end of the exposure (this function can be deactivated by your service engineer).

NOTE

The end of the exposure cycle can also be seen on the

P6.1

62kV 8mA

SIDEXIS monitor, namely when the progress indicator shows 100 % and the preview image starts to build up.

Left-handed arm: Scanning operation from front to rear, secondary diaphragm and sensor remain at the rear in the position required for positioning of the next patient.

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CEPH

Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph 10.7 Releasing a cephalometric exposure

Right-handed arm: Scanning operation from rear to front, secondary diaphragm and sensor automatically return to the rear after the exposure to facilitate positioning of the next patient.

ATTENTION

When using the right-handed ceph arm version, be sure to explain the entire exposure procedure to the patient. The patient may leave only after the exposure has been taken and the secondary diaphragm and sensor have automatically returned from the cephalometer.

Once the exposure has been completed, push the ear plug holders outward as far as possible; with a lateral view, pull the nose support toward the front as far as possible and fold it up toward the side.

The patient may now step out of the unit.

After completion of the exposure

the X-ray image is displayed on the PC monitor in SIDEXIS.

In addition, a small preview image (A) is displayed on the touchscreen; it is not suitable for diagnostic purposes. You must close the preview image again by touching the touchscreen.

The exposure mode, exposure program, tube voltage, tube current, real radiation time, dose area product and shadowing (depending on the exposure program) are again displayed on the touchscreen.

• Acknowledge the exposure time actually needed by pressing the return key (R).

• Then reset the rotating element to its starting position by pressing the return key R a second time.

• With a left-handed version, you must press the R key again to move the secondary diaphragm and the Ceph sensor to the exposure position after position-

ing the next patient.

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Canceling an exposure

If you let go of the exposure release button prematurely, the exposure is canceled.

The message “R button, confirm exposure data” are displayed in the comment line.

The exposure time and dose area product display readings flash following exposure cancellation. The exposure time which had elapsed prior to cancellation is displayed.

• Confirm by pressing the R key on the Easypad.

• Press the R key again. The X-ray tube assembly moves to the starting position and the secondary diaphragm and Ceph sensor move forward into the exposure position.

• Then the exposure can be repeated.

10 Cephalometric exposures (CEPH) Sirona Dental Systems GmbH

10.7 Releasing a cephalometric exposure Operating Instructions ORTHOPHOS XG

NOTE

Please note that any program settings which may have been changed must be preselected again before repeating the exposure.

Plus

DS/Ceph

Automatic exposure blocking

(thermal protection of the tube)

Premature release of a new exposure is prevented by the automatic exposure blocking function.

When you press the exposure release button, the message " Ready for exposure in "XX" seconds" appears in the comment line of the touchscreen.

The remaining cooling time is counted down and is displayed under "XX".

Only after the cooling period has elapsed is it possible to release a new exposure.

NOTE

If the exposure sequence P1–C3–C4 (in this order) has been selected in SIDEXIS, there are shorter cooling periods between the individual programs. However, after the entire program sequence has been processed, a longer cooling period is required.

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Sirona Dental Systems GmbH 11 Transversal slices (TSA)

CEPHN

CEPH

Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph 11.1 Preparing a TSA exposure

11 Transversal slices (TSA)

11.1 Preparing a TSA exposure

In combination with a panoramic slice view, transversal slices enable a 3-dimensional representation of the different maxillary and mandibular regions.

• Switch on the unit and make SIDEXIS ready for exposure.

Plug in TSA sensor

• Make sure that a TSA sensor is plugged into the PAN slot – either PAN + TSA or CEPH + TSA

ATTENTION

DO NOT DROP THE SENSOR! A shock sensor for detecting shocks or drops is built in.

PAN +TSA

CEPH

CEPH + TSA

TSA application

TSA imaging is used for example for implant insertion (A) or displaced teeth (B).

Ball positioning

Prior to the exposure you must fix a steel ball (e.g. with a diameter of 5 mm) at the planned implant placement point by means of elastic impression wax.

(This step is not required for a displaced tooth)

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11 Transversal slices (TSA) Sirona Dental Systems GmbH

100

090

100

11.1 Preparing a TSA exposure Operating Instructions ORTHOPHOS XG

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DS/Ceph

PAN image

For better assessment of the anatomical situation you capture a PAN image first.

Measurement by means of the TSA scale

• Measure the depth from the anterior teeth to the tooth or region to be X-rayed in the mandible or the maxilla using the TSA scale.

• This measurement must be taken very precisely in order obtain a good result.

ATTENTION

Thoroughly disinfect the TSA scale before using it, e.g. by spray disinfection.

Position the TSA scale (1) in the oral cavity so that its wide zero point begins at the center of the tooth to be

Measurement of the maxilla

examined in the mandible or maxilla. Turn the scale over when measuring the mandible (scale facing down).

Slide the measuring caliper (2) up to the maxillary anterior teeth when measuring the maxilla and up to the mandibular anterior teeth when measuring the mandible.

NOTE

The patient's overbite must be taken into account when placing the measuring caliper against his/her mandibular or maxillary anterior teeth.

On patients without anterior teeth, slide the measuring adapter (3) with the subnasal contact segment up to a point beneath the nose.

Measurement of the lower jaw

Remove the TSA scale from the oral cavity and read and remember the distance from the scale.

NOTE

When positioning the patient for TSA, a possible anomaly of his/her anterior teeth must be taken into account. This is done by placing the patient’s anterior teeth (upper or lower jaw) in the corresponding indentation of the bite block. Otherwise the measured distance will not match the patient’s actual position.

The universal bite block also facilitates this procedure.

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Sirona Dental Systems GmbH 11 Transversal slices (TSA)

SID = 19,6”

x 12”

CEPH

PAN

62kV

8mA

0°

H301 - R - button,

move into starting position

SID = 19,6”

x 12”

CEPH

PAN

62kV

8mA

0°

H322 - Select quadrant

SID = 19,6”

x 12”

CEPH

PAN

62kV

8mA

0°

H322 - Select quadrant

Operating Instructions ORTHOPHOS XG

1421

6,7s

SID = 19,6”

6 x 12”

0mm

Plus

DS/Ceph 11.1 Preparing a TSA exposure

Preselecting the TSA function

• Preselect the TSA function by touching “TS” in the program group selection on the touchscreen. The TSA screen appears. The diaphragm and the sensor move into the TSA position. Proceed according to the help message displayed in the comment line.

H301 - R - button,

move into starting position

ATTENTION

1421

6,7s

Make sure that no patient is in the movement range of the PAN rotating element while the unit is moving.

1421

SID = 19,6”

6 x 12”

0mm

H322 - Select quadrant

6,7s

SID = 19,6”

6 x 12”

0mm

H322 - Select quadrant

• Move the PAN rotary ring to the starting position for TSA exposures by pressing the R key. A message in the comment line prompts you to select a quadrant.

• Touch the quadrant symbol at the top of the submenu column.

• The quadrant selection submenu appears. Touch the quadrant where the tooth you want to examine is located. The selected quadrant is highlighted in orange color. The respective quadrant in the submenu column is represented in white color at the same time.

NOTE

You cannot select more than one quadrant at a time.

• Close the submenu by touching the quadrant symbol in the submenu column or the blue arrow at the left margin of the submenu.

NOTE

The quadrant preselection must be repeated for each TSA exposure.

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11 Transversal slices (TSA) Sirona Dental Systems GmbH

SID = 19,6”

x 12”

CEPH

PAN

62kV

8mA

0°

Ready for exposure

11.1 Preparing a TSA exposure Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph

Transferring the measured depth

• The jaw half where the preselected quadrant is located appears in a light gray color now.

1421

6,7s

SID = 19,6”

6 x 12”

0mm

The orange linear sensor is at 0 mm.

• The depth measured by means of the TSA scale must be transferred to the TS image now. This is done with the + (to the rear) and – (to the front) arrow keys. The arrows are on the opposite side of the light gray jaw half. When you leave your finger on the corresponding arrow, the depth indicator and the orange linear sensor automatically move into the related direction.

The following reference tables apply to the anterior and canine tooth region.

41/31

0 mm

2 mm

4 mm

6 mm

11/21

For a symmetric view of the anterior teeth, 31/41 in the lower jaw or 11/21 in the upper jaw, enter 0 mm.

For anterior teeth 11 (upper jaw right) or 41 (lower jaw right) enter 2 mm.

For anterior teeth 12 (upper jaw right) or 42 (lower jaw right) enter 4 mm.

For canine teeth 13 (upper jaw right) or 43 (lower jaw right) enter 6 mm.

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Sirona Dental Systems GmbH 11 Transversal slices (TSA) Operating Instructions ORTHOPHOS XG

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DS/Ceph 11.1 Preparing a TSA exposure

41/31

0 mm

2 mm

4 mm

6 mm

11/21

For a symmetric view of the anterior teeth, 31/41 in the lower jaw or 11/21 in the upper jaw, enter 0 mm.

For anterior teeth 21 (upper jaw left) or 31 (lower jaw left) enter 2 mm.

For anterior teeth 22 (upper jaw left) or 32 (lower jaw left) enter 4 mm.

For canine teeth 23 (upper jaw left) or 33 (lower jaw left) enter 6 mm.

Applicability of mm tables to other slice orientations

2 mm2 mm

2 mm

NOTE

The illustrations show examples of the relationships based on TSA slice orientations.

2 mm

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11 Transversal slices (TSA) Sirona Dental Systems GmbH

SID = 19,6”

x 12”

CEPH

PAN

71kV

12mA

0°

Ready for exposure

SID = 19,6”

x 12”

CEPH

PAN

62kV

8mA

0°

Ready for exposure

SID = 19,6”

x 12”

CEPH

PAN

71kV

12mA

0°

Ready for exposure

SID = 19,6”

x 12”

CEPH

PAN

71kV

12mA

0°

Ready for exposure

11.1 Preparing a TSA exposure Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph

TS slices combined with a thick longitudinal slice (standard) for lower jaw

(3 transversal slices with embedded lateral slice)

1421

9,0s

In this slice orientation, the cursor is shown as a dot in a circle.

SID = 19,6”

6 x 12”

30mm

Example for the slice orientation of TS slices (alternative) for the lower jaw

1421

SID = 19,6”

Ready for exposure

6,7s

6 x 12”

9,0s

6 x 12”

9,7s

50mm

6 x 12”

10mm

30mm

In this sequence, the cursor schematically assumes the form of the 3 TS slices.

Input assistance

Lower jaw

The dental arch is subdivided into several segments.

When you touch the light gray dental arch in the front segment, the depth indicator jumps to 10 mm.

The patient head symbol shows the setting according to the the Frankfort Horizontal plane (FH) and the yellow bite block for the mandibular exposure. The line displayed on the head symbol on the touchscreen indicates the reflection line of the light localizer.

When you touch the light gray dental arch in the center segment, the depth indicator jumps to 30 mm; when you touch it in the rear segment, the depth indicator jumps to 50 mm.

At the same time the submenu column (8) displays an icon for preselecting the slice thickness. Slice thickness is preset to 2 mm. You can also preselect slice thicknesses of 6 mm or 8 mm in this submenu.

NOTE

If a slice thickness is selected that deviates from the TSA slice orientation, no preselection of the slice thickness is possible. The "slice thickness preselection" symbol then disappears in column (8).

The patient head symbol is bent dorsally (reclined) so that the lower edge of the mandible is parallel to the floor, and the yellow bite block for mandibular exposures is shown. The line displayed on the head symbol on the touchscreen is used here only for orientation.

This facilitates input of the correct values with the arrow keys.

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SID = 19,6”

x 12”

CEPH

PAN

71kV

12mA

0°

Ready for exposure

SID = 19,6”

x 12”

CEPH

PAN

71kV

12mA

0°

Ready for exposure

SID = 19,6”

x 12”

CEPH

PAN

71kV

12mA

0°

Ready for exposure

SID = 19,6”

x 12”

CEPH

PAN

62kV

10mA

0°

Ready for exposure

Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph 11.1 Preparing a TSA exposure

TS slices combined with a thick longitudinal slice (standard) for upper jaw

(3 transversal slices with embedded lateral slice)

1421

9,0s

In this slice orientation, the cursor is shown as a dot in a circle.

SID = 19,6”

6 x 12”

30mm

Example for the slice orientation of TS slices (alternative) for the upper jaw

1421

6,7s

SID = 19,6”

6 x 12”

10mm

9,0s

SID = 19,6”

6 x 12”

30mm

9,7s

SID = 19,6”

50mm

6 x 12”

Input assistance

Upper jaw

When you touch the light gray dental arch in the front segment, the depth indicator jumps to 10 mm.

The patient head symbol shows the setting according to the the Frankfort Horizontal plane (FH) and the blue bite block for the maxillary exposure. The line displayed on the head symbol on the touchscreen indicates the reflection line of the light localizer.

When you touch the light gray dental arch in the center segment, the depth indicator jumps to 30 mm; when you touch it in the rear segment, the depth indicator jumps to 50 mm.

NOTE

The patient head symbol is slightly bent dorsally (reclined) so that the alveolar ridge is parallel to the floor, and the blue bite block for maxillary exposures is shown. The line displayed on the head symbol on the touchscreen is used here only for orientation.

59 87 594 D 3352 D 3352.201.01.18.02

keys.

This facilitates input of the correct values with the arrow

11 Transversal slices (TSA) Sirona Dental Systems GmbH

0°

11.2 Patient positioning Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph

11.2 Patient positioning

General remarks on patient positioning

6,7s

14mm

The following descriptions apply to all of the slice orientations supplied.

Always position the patient according to the information provided for the particular exposure program.

Please observe:

Center of the face or FH setting with the light localizer. Cervical vertebrae stretched by having patient take a small step towards the column.

Ask the patient to grasp the handles. Have the patient bite into the indentation of the bite

block, placing his/her upper anterior teeth into the indentation and pushing his/her lower anterior teeth forward as far as possible, or placing his/her subnasale against the contact segment).

Move the forehead support as far as possible up to the patient’s forehead.

Close the temple supports.

For maxillary views, you must fit the temporomandibular joint supports with the sterilizable contact pads.

9,0s

15mm

Lower edge of mandible

NOTE

We recommend that you perform a test cycle without radiation with the “T” key prior to starting the exposure to make sure that the tube assembly and sensor do not collide with the patient’s head.

Mandibular anterior and canine teeth

When you enter a depth of up to and including 14 mm, the patient head symbol remains in the FH position.

Fit the yellow bite block. Position the patient's head according to the Frankfort

Horizontal FH. The line displayed on the head symbol on the touchscreen indicates the reflection line of the light localizer.

Mandibular molars

When you enter a depth of 15 mm or more, the patient head symbol changes and is bent dorsally (reclined) now.

Fit the yellow bite block.

Have the patient recline his/her head dorsally to the point where the lower edge of the mandible is parallel to the floor. The line displayed on the head symbol on the touchscreen is used here only for orientation.

In the TSA slice orientation, the submenu column displays an icon for preselecting the slice thickness. The slice thickness is preset to 2 mm. You can also preselect slice thicknesses of 6 mm or 8 mm in this submenu.

Make sure that the TSA slice is at a right angle to the root of the tooth.

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Sirona Dental Systems GmbH 11 Transversal slices (TSA) Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph 11.2 Patient positioning

Mandibular canal

ATTENTION

In the mandibular molar region, a good visualization of the mandibular canal in the transversal slices can be achieved by aligning the canal parallel to the central X-ray beam.

Since the central X-ray beam is angled 7 degrees up from horizontal for panoramic exposures, it may be necessary to tilt the lower edge of the mandible out of the horizontal plane (head bent more forward or backward).

1. Lower edge of mandible

2. Relative position of the mandibular canal

3. Slice plane

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11 Transversal slices (TSA) Sirona Dental Systems GmbH

0°

11.2 Patient positioning Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph

Maxillary anterior and canine teeth

6,7s

14mm

When you enter the depth, the patient head symbol remains in the FH position.

Fit the blue bite block (or contact segment).

Remove the temple supports, replacing them with the two temporomandibular joint supports "1" (right) and "2" (left) with sterilized contact pads.

Position the patient’s head in the Frankfort Horizontal (FH) plane.

NOTE

For devices until October 2006: Please observe the orientation (right/left) of the temporomandibular joint supports specified on page 28.

9,0s

Alveolar ridge

15mm

Maxillary molar teeth

When you enter a depth of 15 mm or more, the patient head symbol changes and is bent dorsally (reclined) now.

Insert the blue bite block (or contact segment) or the TSA universal bite block (blue marking) and the temporomandibular joint supports with sterile contact pads.

Have the patient bend his/her head dorsally until the alveolar ridge is parallel to the floor.

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Sirona Dental Systems GmbH 11 Transversal slices (TSA) Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph 11.2 Patient positioning

In cases where you need more information in the central facial area you can use the green bite block (or contact segment) included in the scope of supply.

This positions the patient a little lower in relation to the beam path.

The light localizer beam (A), which reflects also on the sensor, can be used as an auxiliary tool. Set the light beam to the upper edge of the TSA display on the sensor.

The simultaneous reflection of the light beam (A) on the patient’s face marks the top edge of the exposure and helps you decide whether you need the blue or the

green bite block (or contact segment).

ATTENTION

If you have a patient without anterior teeth, always place a cotton pellet between his/her jaws as illustrated!

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11 Transversal slices (TSA) Sirona Dental Systems GmbH

11.3 TSA universal bite block Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph

11.3 TSA universal bite block

The universal bite block replaces all other bite blocks and contact segments for TSA exposures. It features a bite block slide with different colored marking lines. The colors of the marking lines are identical to the colors of various different bite blocks.

A replaceable bite block foam (single use device) is used for the bite impression. This soft bite block foam can also be used for patients who have no front teeth.

Insert the pins of the upper part in the opening of the bite block slide, fold the bite block foam down and snap the lower part onto the pins of the upper part.

Bite block foam (single use device), 100 pcs. Order No. 61 41 449

Insert the universal bite block in the bite block holder and set the bite block slide according to the type of exposure:

Yellow mark for mandibular TSA exposures.

If the mandibular ramus is not displayed on the TSA

exposure and the crowns of the teeth are not necessarily of interest, then use the red mark (A).

Blue mark for maxillary TSA exposures.

Green mark for maxillary TSA exposures, where the

alveolar ridge of the patient's head is aligned parallel to the floor to position the patient a little lower in relation to the beam path.

Black mark (B), suitable for bite wing exposures with the TSA sensor and the longitudinal slice setting. Select the longitudinal slices for this purpose, see page

105.

ATTENTION

Do not under any case use this TSA universal bite block (black mark) for bite wing exposure programs BW1 and BW2.

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Sirona Dental Systems GmbH 11 Transversal slices (TSA) Operating Instructions ORTHOPHOS XG

Plus

DS/Ceph 11.3 TSA universal bite block

Reference values for premolar and molar region

44/34

11 mm

14/24

If measurement with the TSA scale proves to be difficult

or impossible, you can use the average reference values listed in the following table for making the settings

for premolar and molar exposures.

Please not that these values may deviate substantially on patients with a small or large jaw.

16 mm

45/35

18 mm

15/25

25 mm

46/36

26 mm

16/26

34 mm

47/37

37 mm

17/27

44 mm

48/38

49 mm

18/28

50 mm

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11 Transversal slices (TSA) Sirona Dental Systems GmbH

SID = 19,6”

x 12”

CEPH

PAN

77kV

11mA

77kV

11mA

0°

Ready for exposure

SID = 19,6”

x 12”

CEPH

PAN

77kV 11mA

0°

Ready for exposure

SID = 19,6”

x 12”

CEPH

PAN

73kV

12mA

15°0° 5° 10°

0°

Ready for exposure

SID = 19,6”

x 12”

CEPH

PAN

73kV

12mA

0°

Ready for exposure

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

Plus

DS/Ceph

11.4 Preselecting the exposure settings and releasing the exposure

Selecting the exposure parameters with the patient symbol

1421

9,7s

SID = 19,6”

45mm

6 x 12”

Ready for exposure

9,7s

SID = 19,6”

45mm

6 x 12”

Touch the patient symbol that best matches the patient. The related kV/mA value appears at the right and the exposure time (in sec) appears in the top center of the touchscreen.

Changing the slice orientation preselection

When you touch this symbol in the submenu column (8), the "Slice orientations" submenu line opens. In addition to the combined TSA slice orientation with a longitudinal thick slice, you can also pre-select 4 other slice orientations here: TSA slice orientation without longitudinal thick slice 3 longitudinal slices (LS) 5 longitudinal slices (LS) 3 crossed TSA slices with a longitudinal thick slice. When you preselect the TSA slice with a longitudinal thick slice or the TSA slice without thick slice, an additional row with angle preselection options (0°, 5°, 10°, and 15°) will appear.

1421

Ready for exposure

9,7s

SID = 19,6”

45mm

6 x 12”

Ready for exposure

9,7s

SID = 19,6”

45mm

6 x 12”

NOTE

Following the exposure, the "TSA slice orientation with a longitudinal thick slice" will be preselected as the default setting.

Changing the slice thickness

only for the TSA slice orientation without longitudinal thick slice in the molar region (depth of 15 mm or more)

From a depth of 15 mm the submenu column displays an icon for preselecting the slice thickness. Touching this icon will open the submenu line “slice thickness“. The default factory setting for slice thickness is 2 mm. You can also preselect slice thicknesses of 6 mm or 8 mm in this submenu.

Modifying the kV/mA values manually

If the default kV/mA combinations do not provide satisfactory results, you can preselect intermediate kV/mA values in this submenu using the –/+ keys in the submenu line.

Ready for exposure

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AEC

The system is now ready for a TSA exposure. Release the exposure as usual.

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Sirona Orthophos XG Plus DS/Ceph Operating Instructions Manual

Specifications and Main Features

Frequently Asked Questions

User Manual

 General information

 Table of contents

DS/Ceph 1.1 General safety information

1 Warning and safety information

1.2 ESD protective measures Operating Instructions ORTHOPHOS XG

1.3 About the physics of electrostatic charges

2 Technical description Sirona Dental Systems GmbH

Sirona Dental Systems GmbH 3 Controls and functional elements

DS/Ceph 3.1 Operating and Display Elements

3.2 General touchscreen functions Operating Instructions ORTHOPHOS XG

Sirona Dental Systems GmbH 4 Accessories

DS/Ceph 4.1 Rests and supports for panoramic exposures

4.2 Important when inserting the temporomandibular joint supports Operating Instructions ORTHOPHOS XG

DS/Ceph 4.3 Protective sleeves for panoramic exposures

4.4 Protective sleeves for cephalometer Operating Instructions ORTHOPHOS XG

4.5 Accessories for transversal slices TSA

Sirona Dental Systems GmbH 5 Program group panoramic images

5.2 P2 normal view, limited to teeth without ascending rami, P2 A artifact-reduced, P2 C with a constant magnification factor of 1.25

5.4 P12 Slice thickness, anterior tooth region Operating Instructions ORTHOPHOS XG

DS/Ceph 5.5 BW1 Bite wing exposures in the posterior tooth region

5.6 BW2 Bite wing exposures in the anterior tooth region Operating Instructions ORTHOPHOS XG

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

DS/Ceph 6.3 TM3 T emporomandibular joints lateral, ascending rami

6.4 TM4 Temporomandibular joints in posterior/anterior projection Operating Instructions ORTHOPHOS XG

DS/Ceph 6.5 TM5 T emporomandibular joints lateral, multislice

6.6 TM6 Temporomandibular joints, multislice in posterior – anterior projection Operating Instructions ORTHOPHOS XG

Sirona Dental Systems GmbH 7 Program group sinus views

DS/Ceph 7.1 S1 Paranasal sinuses

7.2 S2 Maxillary sinuses with two views in one image Operating Instructions ORTHOPHOS XG

DS/Ceph 7.3 S3 Paranasal sinuses (linear slice orientation)

7.4 S4 Maxillary sinuses with two views in one image (linear slice orientation) Operating Instructions ORTHOPHOS XG

Sirona Dental Systems GmbH 8 Program group multislice views

DS/Ceph 8.1 MS1 Multislice (posterior tooth region)

9 Operation Sirona Dental Systems GmbH

9.1 Preparing the exposure Operating Instructions ORTHOPHOS XG

DS/Ceph 9.2 Optional: Taking exposures from a SIDEXIS exposure template

9.3 Positioning the patient Operating Instructions ORTHOPHOS XG

DS/Ceph 9.4 Finishing the preparations (panoramic views)

9.5 Making the basic settings in program level 3 Operating Instructions ORTHOPHOS XG

9.6 Changing the startup settings in program level 4

DS/Ceph 9.7 Selecting the exposure parameters

9.8 Releasing the exposure Operating Instructions ORTHOPHOS XG

DS/Ceph 9.9 Remote control

10 Cephalometric exposures (CEPH) Sirona Dental Systems GmbH

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

10.2 Preparations on the cephalometer Operating Instructions ORTHOPHOS XG

DS/Ceph 10.3 Positioning a ceph patient

10.4 Selecting the exposure parameters Operating Instructions ORTHOPHOS XG

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

10.6 Changing the startup settings in program level 4

10.7 Releasing a cephalometric exposure Operating Instructions ORTHOPHOS XG

Sirona Dental Systems GmbH 11 Transversal slices (TSA)

DS/Ceph 11.1 Preparing a TSA exposure

11.2 Patient positioning Operating Instructions ORTHOPHOS XG

11.3 TSA universal bite block Operating Instructions ORTHOPHOS XG

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