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Orthophos XG Plus DS/Ceph
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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
Plus

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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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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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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XG
(classified according to CISPR 11, EN 60601-1-2: 2001 based on IEC 60601-1-2). This system may be operated in a residential area.
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.
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1 Warning and safety information Sirona Dental Systems GmbH

1.2 ESD protective measures Operating Instructions ORTHOPHOS XG

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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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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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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
ORTHOPHOS XG
ORTHOPHOS XG
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
4
HUx10
1 HU = 1.35 Joule 130 120
110
100
90
80
70 60
50 40
30 20
10
0 60 120 180 240 300 360 420 480 540 600 660 720
t
min
Cooling curve of X-ray tube
SR 90/15 OCX 100
3
25
HUx10
1 HU = 1.35 Joule
20
15
10
5
t
012 3 4 5 6
4
HUx10
1 HU = 1.35 Joule
min
130
t
012 3 4 5 6
h
3
30
HUx10
1 HU = 1.35 Joule
25
20
15
10
5
012 3 4 5 6
Heating curve of tube housing
78
t min
Central X-ray beam
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Central X-ray beam/anode angle
Anode angle
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2 Technical description Sirona Dental Systems GmbH
Operating Instructions ORTHOPHOS XG
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These operating instructions are valid for the basic and full versions of the system.
The following programs and functions are included in the basic version:
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

T
R
CEPH
PAN
Aufnahmebereit
64kV 8mA
P1
14,2s
TS
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
1
23
5
4
6
7
89
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
11
12
10. Exposure release button (must be pressed and held
1260
64
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
13
141615
17
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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23
8
24
18
19
20
60
70
80
90
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
25
25
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.
26
8
23
ATTENTION
Never support yourself on the cephalometer or the ceph arm, hang objects from them or place objects
9
on them. Otherwise their adjustment may be altered, thus resulting in incorrect images.
60 90 120
70 80 100 110
20
20
30
40
50
24
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Sirona Dental Systems GmbH 3 Controls and functional elements
T
R
CEPH
12,1s
PAN
64kV
8mA
?
P1
14,1 s
CEPH
TS
Ready for exposure
P1, P2, P10, P12
TM1.1, TM3, TM5
TM2.1, TM4, TM6
S1
MS1
TM1.2
TM2.2
S2
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
29
30
31
32
33
27. "Move forehead support away from forehead" key
28. Light localizers ON/OFF
29. "Move forehead support to forehead" key
34
35
36
37
PA N
1260
1260
10
64
Filmkassette einlegen
Ready for exposure
14,1 s
P6.1
38
TS
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
A
B
C
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.
59 87 594 D 3352 D 3352.201.01.18.02
B A colored symbol (yellow or blue) will indicate if a
bite block or a contact segment should be used.
D
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.
17
3 Controls and functional elements Sirona Dental Systems GmbH
SID = 19,6”
6
x 12”
CEPH
PAN
1260
10
64kV
8mA
?
P1
9,0 s
Quick
TS
Ready for exposure

3.2 General touchscreen functions Operating Instructions ORTHOPHOS XG

Plus
3.2 General touchscreen functions
Touchscreen = touch-sensitive screen, i.e. touching the screen surface triggers different functions.
Color codes:
4
3
1
2
5
6
3
8
7
orange – selected
9
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
10
11
SID = 19,6”
9,0 s
6 x 12”
Ready for exposure
14
12
13
18
15
16
17
19
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
TS
LS
64kV
8mA
?
P1
8,5 s
CEPH
PAN
TS
LS
64kV
8mA
?
P1
14,1 s
CEPH
PAN
TS
LS
64kV
8mA
?
P1
8,5 s
P1
14,1 s
PAN
LS
CEPH
64kV
8mA
?
Ready for exposure
Ready for exposure
Ready for exposure
Ready for exposure
Sirona Dental Systems GmbH 3 Controls and functional elements Operating Instructions ORTHOPHOS XG
PAN
1260
R
8,5 s
10
PAN
1260
10
R
14,1 s
L
L
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.
8
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).
8
PAN
1260
R
10
PAN
10
R
8,5 s
14,1 s
L
L
Selection of individual quadrants
The full version of XG Plus offers the option of selecting individual quadrants.
8
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.
8
59 87 594 D 3352 D 3352.201.01.18.02
19
3 Controls and functional elements Sirona Dental Systems GmbH
3.2 General touchscreen functions Operating Instructions ORTHOPHOS XG
Plus
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.
R
R
Halbseite rechts Halbseite links
Right half-view Left half-view
R
R
Einzelquadrant rechts Einzelquadrant links
Right individual quadrant Left individual quadrant
R
L
R
L
R
L
R
L
L
L
L
L
L
20 D 3352.201.01.18.02
59 87 594 D 3352
Sirona Dental Systems GmbH 3 Controls and functional elements
CEPH
PAN
1260
10
64kV
8mA
?
P1
SID = 19,6”
6
x 12”
TS
Ready for exposure
CEPH
PAN
1260
64kV
8mA
?
P1
AEC
TS
14,1s
10
62kV
8mA
Ready for exposure
CEPH
PAN
1260
64kV
8mA
?
P1
TS
10
SID = 19,6”
6
x 12”
14,1s
10
Ready for exposure
10
SID = 19,6”
6
x 12”
Operating Instructions ORTHOPHOS XG
PAN
64
64
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.
8
For preselection touch the corresponding tooth symbol in the submenu line.
64
64
PAN
PAN
SID = 19,6”
6 x 12”
64
64
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”
8
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 –/+
9
keys in the submenu line.
59 87 594 D 3352 D 3352.201.01.18.02
i
NOTE
As long as the respective menu line is open, the back­ground is displayed as inactive.
You can close a menu line:
– by touching the blue arrows in the menu line.
– by touching the corresponding symbol in the light
8
bluearea at the right margin.
21
3 Controls and functional elements Sirona Dental Systems GmbH
8mA
?
8mA
?
60kV
9mA
60kV
9mA
CEPH
9,4s
8mA
?
8mA
?
60kV
3mA
60kV
3mA
PAN
Programmeinstellungen wählen
Select program settings
8mA
?
8mA
?
71kV
12mA
71kV
12mA
TS
2
3.2 General touchscreen functions Operating Instructions ORTHOPHOS XG
Basic settings for the entire menu Level 2
PAN
R
Programmeinstellungen wählen
Select program settings
CEPH
QuickONQuick
L
9
20
9
20
You may also display all of the program settings and make the settings described above in a second program level.
To access the second program level, touch the blue arrow (9) in the upper right corner of the touchscreen; the arrow will point upward then.
After having made your selections, you can return to pro­gram level 1 only by touching the blue arrow (9) once again.
i
NOTE
When you confirm the exposure with the R button, the program settings changed in these submenu lines will automatically be reset to the default settings (except for Ceph Quick shot).
Plus
OFF
TS
9
R
L
20
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
TS
CEPH
LR
73kV 15mA
?
73kV
15mA
CEPH
Select basic settings
64kV
8mA
?
PAN
64kV
8mA
Select basic settings
Operating Instructions ORTHOPHOS XG
PAN
Quick
On
Quick
Off
P1
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
9
Quick
P1
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
TS
C3
Select basic settings
C3
9
9
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
23
3 Controls and functional elements Sirona Dental Systems GmbH
TS
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
9
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
CEPH
TS
Select Start Settings
9
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
9
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).
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).
i
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
T
R
64kV
8mA
?
Operating Instructions ORTHOPHOS XG
Plus
DS/Ceph 3.2 General touchscreen functions
Service menu
The Service menu is intended for service engineers
9
only.
The service engineer accesses the service menu by touching the wrench symbol (22) in the third program level.
Touchscreen settings
9
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).
19
In the upper fly-out menu you can switch off the clicking tone of the touchscreen by activating the crossed-out musical note symbol.
In the lower fly-out menu you can adjust the intensity of the touchscreen display with the –/+ keys. During this adjustment a reference value appears above the symbol in column (8).
i
NOTE
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
8
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
25
3 Controls and functional elements Sirona Dental Systems GmbH
8mA
?
8mA
?
60kV
3mA
60kV
3mA
PAN
Programmeinstellungen wählen
Select program settings
1/2
=======================
3.2 General touchscreen functions Operating Instructions ORTHOPHOS XG
Plus
Info screen
Starting at level 2, the info screen is displayed when you
PAN
R
Programmeinstellungen wählen
Select program settings
L
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).
19
9
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
70
8
26 D 3352.201.01.18.02
59 87 594 D 3352

Sirona Dental Systems GmbH 4 Accessories

T
R
CEPH
PAN
TS
LS
Filmkassette einrasten
62kV
8mA
?
P6.1
12,1s
CEPH
PAN
TS
ORTHOPHOS
ist
aufnahmebereit
64kV 8mA
?
P1
14,2
s
1
2
TS
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
D
C
A
E1*
B*
E*
PAN
PA
N
C
E
P
H
1
1260
2
6
0
T
S
L
S
6
64
4
14,2
s
O
Film
R
T
H
O
kassette einrasten
P
H
O
S
A
E
8
is
C
m
t a
A
u
fn
a
h m
e
b
e
re
it
N*
P*
F*
G
H*
L*
J*
Q*
M*
Q1
K*
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
E
(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
27
4 Accessories Sirona Dental Systems GmbH
2
1
2
1
L
R

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

Plus
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“
“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
1
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
R
S
T
U
(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
V
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
E
joint supports for sinus views
(10 pcs) Order No. 59 90 648
E*
29
4 Accessories Sirona Dental Systems GmbH

4.4 Protective sleeves for cephalometer Operating Instructions ORTHOPHOS XG

Plus
4.4 Protective sleeves for cephalometer
W Protective sleeve for nose support,
single use device
60
70
80
90
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
20
30
40
50
W
X*

4.5 Accessories for transversal slices TSA

Y TSA scale, complete
Order No. 58 85 384
* Bite block green
Z
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
Z
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 32 945
* Set of measuring balls for TSA, 5 mm diameter
Z2
(5 pieces) Order No. 61 19 254
* TSA universal bite block
Z3
Order No. 61 41 431
Z2*
Z
Z*
1*
Z4
Z3*
Z4
Y
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
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