Sirona Sidexis User Manual

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Sirona Dental Systems GmbH
Operating Instructions SIDEXIS – Intraoral
Dear Customer Thank you for purchasing your new Intraoral X-ray prod-
This product enables the digital image acquisition of intraoral X-rays.
For this unit we have also provided the technical docu- mentation.
Keep this documentation nearby for quick and easy ref­erence (in the Federal Republic of Germany in the X-ray System book).
In order to protect your warranty rights, please fill out the Installation Report / Warranty Passport provided, together with the technician, immediately after installa­tion of the system.
These Operating Instructions cover the operation of the Wall Model X-ray Box, X-ray box on the dental treatment center, the Universal sensor and the Full Size sensor.
Read the Operating Instructions to familiarize yourself with the product before taking X-rays on the patient. Be sure to observe the currently valid Radiation Protection Guidelines and the Safety Notes in these Operating Instructions.
These Operating Instructions assume a thorough famil­iarity with the SIDEXIS software.
In the Federal Republic of Germany, the system integra­tor is required to fill out the enclosed declaration of con­formity in accordance with the Medical Device Directive.
Your SIDEXIS Team
Maintenance To ensure the safety of the patient, the operators and
third parties, equipment inspections and maintenance work must be carried out at specified intervals in order to guarantee the operational safety and functional reliability of your product.
It is the responsibility of the operator to ensure that the inspections and maintenance work are carried out.
In the event that the operator fails to fulfil the obligation to carry out inspections and maintenance work or ignores error messages, Sirona Dental Systems GmbH or their contracted dealer cannot assume liability for any damage attributable to this.
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Sirona Dental Systems GmbH Operating Instructions SIDEXIS – Intraoral
List of Contents
1 Warning and safety information ................................................................................ 5
1.1 General safety information................................................................................................................ 5
1.2 ESD protective measures ................................................................................................................. 8
1.3 Concerning the physics of electrostatic charges .............................................................................. 8
2 Technical data ............................................................................................................. 10
3 Operating and display elements ................................................................................ 12
3.1 Wall model X-ray box........................................................................................................................ 12
3.2 X-ray box on the dental treatment center ......................................................................................... 13
4 Accessories ................................................................................................................. 14
5 Collimation................................................................................................................... 15
6 Hygiene protection...................................................................................................... 16
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7 Use of the X-ray sensor .............................................................................................. 17
8 Preparations for the exposure ................................................................................... 18
8.1 The X-ray sensor .............................................................................................................................. 18
8.2 Switching the unit on......................................................................................................................... 18
9 System statuses .......................................................................................................... 19
10 Making the system ready for exposure..................................................................... 21
11 Exposure control, adapting exposure data .............................................................. 23
11.1 Exposure control............................................................................................................................... 23
11.2 Adapting exposure data.................................................................................................................... 23
12 Care .............................................................................................................................. 25
12.1 Cleaning............................................................................................................................................ 25
12.2 Disinfecting ....................................................................................................................................... 25
13 Exposure values.......................................................................................................... 27
13.1 HELIODENT DS as from Serial No. 15864 (wall model) and 4416 (ceiling model).......................... 27
13.2 HELIODENT DS up to Serial No. 15863 (wall model) and 4415 (ceiling model).............................. 28
13.3 HELIODENT Vario............................................................................................................................ 31
13.4 HELIODENT MD............................................................................................................................... 32
13.5 HELIODENT 70 (not USA version!).................................................................................................. 33
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Sirona Dental Systems GmbH
Operating Instructions SIDEXIS – Intraoral
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Sirona Dental Systems GmbH 1 Warning and safety information Operating Instructions SIDEXIS – Intraoral 1.1 General safety information

1 Warning and safety information

1.1 General safety information

Intended use This unit is not to be operated in areas where an explo-
sion hazard exists.
Symbols used Observe accompanying documents
(on name plate)
Maintenance and repair As manufacturers of electromedical equipment we can
assume responsibility for the safety properties of the system in particular only if maintenance and repairs on the system are performed by us or by agencies we have expressly authorized to perform these and if compo­nents affecting safe operation of the system are replaced by original spare parts in case of failure.
We suggest that you request a certificate, showing the nature and extent of the work performed, from those who carry out such work, and specify that the certificate show any changes in rated parameters or working ranges, as well as the date, the name of the firm and a signature.
For product safety reasons this product may be operated only with original Sirona accessories or accessories of third parties expressly approved by Sirona. The user assumes the risk for the use of nonapproved accesso­ries.
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ATTENTION! If extensions are made to the PC, this can impair the functional reliability of the system (e.g. patient safety and EMC compatibility). The person who makes the extension which is not expressly approved by Sirona undertakes the warranty for the functional reliability of the system.
Combination with other equipment Permissible combinations are defined by the system
administrator in the declaration of conformity.
The declaration of conformity is included with the techni­cal documents.
Electromagnetic compatibility (EMC) The SIDEXIS – Intraoral complies with the requirements
of IEC 60601-1-2:2001.
Medical electrical devices are subject to special precau­tionary measures regarding EMC. They must be installed and operated as specified in the document "Installation Requirements".
Portable and mobile HF communication devices can influence medical electrical equipment. The use of mobile telephones in the practice or hospital area there­fore must be prohibited.
Please also observe the ESD protective measures in Chapter 1.2.
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1 Warning and safety information Sirona Dental Systems GmbH
Example
1.1 General safety information Operating Instructions SIDEXIS – Intraoral
Allocation of acquisition system to patient In the course of the dental practice procedure, in order
to guarantee reliable assignment of the X-ray exposures to the patient data stored by SIDEXIS it must be guaran­teed that the unequivocal assignment of the acquisition system to the examined patient is assured!
Hygiene information The protective covers must be exchanged for each new
patient and the sterilizable accessories must be steri­lized 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.
Identification of warning and safety information To avoid personal injury and material damage, also
observe the warning and safety instructions given in these Operating Instructions. These are specially identi­fied with ATTENTION.
Interference with electronic devices worn on the body of the patient
To avoid failures of electronic devices and data memo­ries, such as radio-controlled clocks and telephone cards, these must be removed before the X-ray expo­sure.
Maintenance performed by the operator If a second protective ground wire connection is speci-
fied in the installation instructions to be used, the opera­tor must ensure that no changes are made to the second protective ground wire connection, as shown in the pic­ture.
No further maintenance measures are required on the part of the operator. The operator must ensure that all components are in undamaged condition (cables, sensors, housing parts).
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Sirona Dental Systems GmbH 1 Warning and safety information Operating Instructions SIDEXIS – Intraoral 1.1 General safety information
Disposal It generally applies that any disposal of this product must
comply with the relevant national regulations. Please observe the regulations applicable in your country.
Within the European Economic Community, Council Directive 2002/96/EU (WEEE) requires environmentally sound recycling/disposal of electrical and electronic devices.
Your product is marked with the adjacent symbol. Dis­posal of your product with domestic refuse is not compatible with the objectives of environ­mentally sound recycling/disposal. The black bar underneath the "garbage can" symbol means that it was put into circulation after Aug. 13, 2005. (see EN 50419:2005)
Please note that this product is subject to Council Direc­tive 2002/96/EU (WEEE) and the applicable national law of your country and must be recycled or disposed of in an environmentally sound manner.
The X-ray tube assembly of this product contains a tube with a potential implosion hazard, a small amount of beryllium, a lead lining and mineral oil.
Please contact your dealer if final disposal of your prod­uct is required.
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1 Warning and safety information Sirona Dental Systems GmbH
CAUTION
1 nanosecond = 1 / 1,000,000,000 second =
1 billionth of a second

1.2 ESD protective measures Operating Instructions SIDEXIS – Intraoral

1.2 ESD protective measures
ESD is the abbreviation for ElectroStatic Discharge.
Connector pins or sockets bearing ESD warning labels must not be contacted or interconnected without ESD protective measures.
ESD protective measures include:
Procedures for preventing electrostatic charges (e.g. via air conditioning, air moistening, conductive floor coverings and nonsynthetic clothing)
Discharging the electrostatic charges of your own body on the frame of the U 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 contacted by electrostatically charged USERS.
The content of this training is specified in Chapter 1.3.
NIT, the protective ground

1.3 Concerning the physics of electrostatic charges

ESD is the abbreviation for ElectroStatic Discharge. Electrostatic discharge must be preceded by electro­static charging.
Static electric charges generally occur whenever two bodies are rubbed against each other, e.g. when walking (shoe soles against the floor) or driving a car (tires against the street pavement). The amount of the charge depends on several factors:
I.e. the charge is higher with a low air humidity than with a high air humidity and higher with synthetic materials than with natural materials (clothing, floor coverings).
The following rule of thumb can be applied to gain an overview of the compensating voltages resulting from an electrostatic discharge.
An electrostatic discharge is:
perceptible at 3000V or higher
audible at 5000V or higher (cracking, crackling)
visible at 10,000V or higher (arc-over)
The compensating currents resulting from these dis­charges have a magnitude of 10 amperes. They are not hazardous for humans because they last for only several nanoseconds.
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Sirona Dental Systems GmbH 1 Warning and safety information Operating Instructions SIDEXIS – Intraoral 1.3 Concerning the physics of electrostatic charges
Voltage differences exceeding 30,000 volts per centi­menter may lead to a charge compensation (electro­static discharge, lightning, arc-over).
Integrated circuits (logical circuits and microprocessors) are used in order to enable a wide variety of functions in a dental/X-ray/CEREC system. 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 layer thicknesses with a magnitude of several 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 layers, 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 data Sirona Dental Systems GmbH

1.3 Concerning the physics of electrostatic charges Operating Instructions SIDEXIS – Intraoral
2 Technical data
1. General
The Digital Intraoral X-ray system, type D 3334, was tested by the VDE test and certification insti­tute according to EN 60 601–1:1996 in conjunction with EN 60 601–1–1: 9-1994; A1: 1996. It fulfils the requirements specified therein.
Patent
This product is covered by US Patent Numbers US 5,513,252. Additional patents are pending.
Original language of the present document: German
Reg. No.: China Product Standard No.:
SFDA (I) 20052302655 YZB / GEM 1866 - 2005
This product bears a CE marking, documenting its compliance with the provisions of Council Directive 93/42/EEC of June 14, 1993 con­cerning medical devices.
2. Sensors
Cable length: 3 m
Degree of protection against electrical shock: : Type BF
Physical pixel size: 19.5 µm (pixel binning to 39 µm)
Active area: 26 x 34 mm Full Size
20 x 30 mm Universal Size
Outer dimensions: 30,93 x 40,96 x 7,0 mm – Full Size
25,6 x 36,9 x 6,8 mm – Universal
Ambient temperature: 0 – 40°C
Storage temperature: –10°C to +70°C;
on dispatch in original packaging –40°C to +70°C for max. 48 h
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Sirona Dental Systems GmbH 2 Technical data Operating Instructions SIDEXIS – Intraoral 1.3 Concerning the physics of electrostatic charges
3. Image acquisition
a) Wall model X-ray box:
US-version: Worldwide version:
Type of protection against electrical shock: unit of Protection Class I
b)X-ray box on dental treatment centers: 100 – 240V, 50 / 60Hz max. 40W
Fuses: 2 x 800 mA slow-blow
Type of protection against electrical shock: unit of Protection Class I
for a) and b):
Degree of protection against penetration of water:
Operating mode: continuous operation
120 V, 50 / 60 Hz max. 40 W 100 – 240V, 50 / 60 Hz max. 40 W
normal unit (without protection against penetration of water)
4. Minimum requirements for the PC systems
Hard disk: > 2 GByte / database
> 50 MByte / SIDEXIS installation
RAM: at least 64 MB
Drives: CD-ROM
3.5" diskette (one per system / network) MOD drive min. 640 MByte (one per system / net­work)
Operating system: Windows 98
Windows NT 4.0 / Service Pack >
Graphics system: Resolution at least 1024 x 768 pixels,
color depth at least 8 bits
Network: 10 / 100 MBit Ethernet
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5. Requirement for the intraoral X-ray tube assembly:
Multipulse units, mAs product: 0.14 – 1.4 mAs, at 60 – 70 kV and 8" Tube
These data apply correspondingly for sin­gle-pulse units or other cone lengths.
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3 Operating and display elements Sirona Dental Systems GmbH

3
54
7
6
8
9
10 11
21
12
14 13

3.1 Wall model X-ray box Operating Instructions SIDEXIS – Intraoral

3 Operating and display elements
3.1 Wall model X-ray box
1. Universal sensor, 20 x 30 mm
active area, plug marked gray
2. Full Size sensor, 26 x 34 mm active area, plug marked blue
3. Signal LED for readiness to operate
4. Signal LED for Universal sensor
5. Signal LED for Full Size sensor
6. Holder for sensor,
removable for cleaning
7. Suspension device for excess sensor cable length
8. X-ray box for image acquisition as wall model
9. Main ON/OFF switch
10. Socket for sensor plug
11. Round plug on the relevant
sensor lead
12. Name plate
13. Symbol:
Application component of type BF
14. Symbol:
ATTENTION! Please read accompanying papers.
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Sirona Dental Systems GmbH 3 Operating and display elements
5
4
3
1
2
6
7
8
10
11
14
13
12
16
17
18
19
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Operating Instructions SIDEXIS – Intraoral 3.2 X-ray box on the dental treatment center

3.2 X-ray box on the dental treatment center
1. Universal sensor, 20 x 30 mm
active area, gray plug
2. Full Size sensor, 26 x 34 mm active area, blue plug
3. Signal LED for readiness to operate
4. Signal LED for Universal sensor
5. Signal LED for Full Size sensor
6. Magnetic holder for sensor, detachable incl. suspen-
sion device for excess length of the sensor cable.
7. Sensor clip for magnetic holder.
8. X-ray box for installation on dental treatment cent-
ers.
9.
10. Socket for sensor plug
11. Round plug on the relevant sensor cable
12. X-ray box name plate
13. Symbol:
Application component of type BF
14. Symbol:
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ATTENTION! Please read accompanying papers
15. X-ray box fuse plate
16. Protective cap for sensor socket
– closes the socket automatically after the round
plug (11) is withdrawn.
17. Power cable for X-ray box
18. Main fuses for X-ray box
2 x 800 mA slow-blow
19. X-ray box network connection cable
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4 Accessories Sirona Dental Systems GmbH

NOTE
i
1
2
3
4
5
6
3.2 X-ray box on the dental treatment center Operating Instructions SIDEXIS – Intraoral
4 Accessories
1. Test phantom for constancy test
REF. 51 68 062
2. X-ray field limitation blue with twist grip for Full Size sensor REF. 46 81 974
3. X-ray field limitation black with twist grip for Universal sensor REF. 60 00 579
4. Sensor holder set with sight rings and guide rods from DENTSPLY RINN REF. 58 58 522
5. Hygiene protection for Full Size sensor 500 pcs, REF. 51 69 110
6. Hygiene protection for Universal sensor 500 pcs, REF. 58 06 497
Not all accessories described here are included in the
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Sirona Dental Systems GmbH 5 Collimation

NOTE
i
NOTE
i
1
46 81 974 blue for Full Size sensor
60 00 579 black for Universal sensor
3
A
4
1
Set: 58 58 522
5
Operating Instructions SIDEXIS – Intraoral 3.2 X-ray box on the dental treatment center
5 Collimation
Check whether the diaphragm provided is inserted in the HELIODENT cone.
Insert the corresponding diaphragm with twist grip depending on the sensor being used, i.e. blue for Full Size sensor and black for Universal sensor.
Adjust the window of the collimator according to the alignment of the sensor.
Use of the collimator in the cone of the HELIODENT gives a rectangular radiation area adapted to the size of the sensor.
Use the collimator only with a sensor holder!
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HELIODENT DS / HELIODENT MD
Diaphragm (1), blue, Order No: 46 81 974 or black, Order No.: 60 00 579 for digital X-ray sensors.
Push the twist grip (3) over the collimator (1) and bring the snap hooks (4) into the mid position.
The sight ring A must be fitted with its recesses on the four corners of the collimator (1).
Sensor holder set (5) with sight rings and guide rods for different exposure positions. REF: 58 58 522
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The holder set for the right-angle technique is part of the sensor set and is described there in separate operating instructions.
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6 Hygiene protection Sirona Dental Systems GmbH

CAUTION
CAUTION
NOTE
i
NOTE
i
correct!
incorrect!
3.2 X-ray box on the dental treatment center Operating Instructions SIDEXIS – Intraoral
6 Hygiene protection
Use only the hygiene protection sleeves from Sirona.
Before every application on a new patient, the sensor must be provided with a new hygiene protective sleeve.
Do not use the hygiene protection sleeves more than once!
Be careful not to kink the sensor lead when sliding on the hygiene protection!
Use the hygiene protection intended for use with your sensor type.
Hygiene protection for Universal sensor 500 pcs, REF: 58 06 497
Hygiene protection for Full Size sensor 500 pcs, REF: 51 69 110
When the RWT holder set from DENTSPLY RINN is used, the hygiene protection between sensor and holder is provided according to the holder used.
Do not slide the hygiene protection over the entire holder with sensor!
Take care that the connection cable from the sensor to the personal computer is led out from the mouth of the patient in such a way that the patient cannot bite into the cable.
With respect to the hygiene of the holder system, observe the instructions from DENTSPLY RINN!
Please also make sure to observe the „Care Instruction for SIDEXIS – Intraoral Sensors“ (Part No.: 59 74 329)!
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Sirona Dental Systems GmbH 7 Use of the X-ray sensor

NOTE
i
NOTE
i
Operating Instructions SIDEXIS – Intraoral 3.2 X-ray box on the dental treatment center
7 Use of the X-ray sensor
The sensors illustrated are representative of all Sirona X-ray sensors.
The X-ray sensor is placed according to the known prin­ciples of the half-angle or right-angle technique.
Half-angle technique without collimator!
According to the size of the tooth or position of the area to be exposed, place the X-ray sensor vertically or hori­zontally into the mouth of the patient. The patient can fix the sensor by independently holding it as usual.
Right-angle technique
For reasons of dose reduction, for the right-angle tech­nique we recommend using the holder system supplied.
Use of the different sensor holders with guide rods and sight rings with the right-angle technique is described in separate operating instructions from Rinn
For reasons of clarity, no hygiene protection is shown in these figures.
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8 Preparations for the exposure Sirona Dental Systems GmbH

CAUTION
NOTE
i
NOTE
i
CAUTION
NOTE
i
11
A
10
7
B
9
4
3
5
Wall model X-ray box

8.1 The X-ray sensor Operating Instructions SIDEXIS – Intraoral

8 Preparations for the exposure
8.1 The X-ray sensor
When the highly sensitive X-ray sensor is not in use, al­ways hang it in its holder!
The round plug (11) must be plugged into the socket pro­vided for it (10). The red dot A must point to the front.
The excess length of the sensor cable B can be hooked into the suspension device (7).
Since the plug is connected to the housing, it must be plugged in before placing the sensor.

8.2 Switching the unit on

Please also make sure to observe the „Care Instruction for SIDEXIS – Intraoral Sensors“ (Part No.: 59 74 329)!
If an acquisition unit is switched off briefly, a few seconds waiting time are required to completely discharge the in­ternal energy store!
Wall model X-ray box
The unit is switched on from the main switch (9) on the bottom of the box.
After switching on, an automatic system self-test exe­cutes. The three LED (3)-(4)-(5) signal this by a running light.
The green signal LED (3) then shows that the unit is ready for operation.
X-ray box on dental treatment centers
The X-ray box is automatically ready for operation when the dental treatment center is switched on.
Further processes after switching on are the same for all system versions.
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Sirona Dental Systems GmbH 9 System statuses

The three signal LEDs serve for indicating
the system statuses.
or
Operating Instructions SIDEXIS – Intraoral 8.2 Switching the unit on
9 System statuses
The operating messages of the acquisition units are shown below. Further statuses not shown here represent information for service or maintenance purposes.
1. Self-test after switching on
Running light of the three signal LEDs.
2. System message, e. g. network not ready The green signal LED flashes. A system error has occurred. Please call your service technician.
3. Ready for operation
The green signal LED lights up.
4. Making an exposure:
4.1 No Sensor plugged in The green signal LED lights up and the two yellow signal LEDs flash simultaneously.
4.2 Sensor plugged in
If the sensor cable is plugged in, only the corresponding signal LED flashes until the system is ready for expo­sure.
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9 System statuses Sirona Dental Systems GmbH
NOTE
i
CAUTION
Slow flashing rate
Fast flashing rate
or
or
or
or
8.2 Switching the unit on Operating Instructions SIDEXIS – Intraoral
4.3 Ready for exposure with plugged in sensor cable. The readiness for operation status message is gen­erated on the PC by SIDEXIS. The green LED lights up together with the yellow signal LED for the corresponding sensor.
4.4 Image transfer to the database
During the transfer process the green signal LED and the yellow signal LED of the corresponding sen­sor flash slowly alternatingly.
When the image is transferred to the database the unit switches automatically
with preselection of "Single exposure" to ready for operation and
with preselection of "Multiple exposure" to ready for exposure.
The preselection can be set in SIDEXIS.
In the case of disturbances of the data transfer to the PC, the unit switches automatically to a safe mode enabling renewed transfer of the image to SIDEXIS. In case of a lasting fault, the image can be transferred to another PC by the service program (SiRescue).
In this condition the acquisition unit must not be switched off, to prevent the stored image from being deleted.
The green signal LED and the yellow signal LED of the corresponding sensor flash with increasing speed alter­natingly.
For the operation of the SiRescue service program, please read the corresponding software description in the SIDEXIS User Manual.
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Sirona Dental Systems GmbH 10 Making the system ready for exposure

NOTE
i
Operating Instructions SIDEXIS – Intraoral 8.2 Switching the unit on
10 Making the system ready for
exposure
To make the system ready for exposure, SIDEXIS must be called up on the corresponding computer.
You must initially register a patient in the SIDEXIS pro­gram.
If you want to make a single exposure, click on the XI button.
To make multiple exposures for the same patient, select the "Multiple exposure" subitem in the menu bar.
The "Select X-ray component" window then appears.
If several X-ray units or acquisition units are installed in the practice, you must then select the required unit by clicking in the "Status" column, indicated by a blue square. Acquisition units identified with a question mark are pos­sibly not switched on.
After confirmation the unit is connected.
If only one station has been set up, this dialog is skipped.
You will find detailed descriptions of these operating steps in the SIDEXIS User Manual.
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10 Making the system ready for exposure Sirona Dental Systems GmbH
CAUTION
CAUTION
PC screen
4
3
5
8.2 Switching the unit on Operating Instructions SIDEXIS – Intraoral
Following buildup of the connection the message "Place the sensor" is displayed briefly.
After a few seconds the system is ready for the expo­sure: The message "Waiting for exposure ..." appears in the dialog box.
In addition the green indicator in the window starts to flash.
Readiness for exposure is now signalled on the acquisi­tion unit as well.
The yellow signal LED (4) or (5) assigned to the corre­sponding sensor lights up in addition to the green signal LED (3).
Assemble the holder combination for right-angle tech­nique intended for the relevant type of exposure accord­ing to the Operating Instructions, fit the required hygiene protection and place it with the X-ray tube assembly and the sensor on the patient.
The exposure can now be made with the X-ray tube assembly.
For exposure times refer to Chapter 11 "Exposure val­ues".
If no radiation is released, the unit status changes after 15 minutes from ready for exposure back to ready for operation.
If no readiness dialog appears and the display in the dia­log does not flash or the signal LEDs on the acquisition unit do not light up, then no X-ray exposures may be tak­en on the patient until the cause of this problem is recti­fied.
After the exposure the LED assigned to the sensor starts to flash alternatingly with the operating indicator LED (3) and the data are transferred.
The unit may not be switched off until the data transfer is completed. This status is shown by the operating indica­tor LED (3) lighting up continuously.
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Sirona Dental Systems GmbH 11 Exposure control, adapting exposure data

CAUTION

Operating Instructions SIDEXIS – Intraoral 11.1 Exposure control

11 Exposure control,
adapting exposure data
11.1 Exposure control
The radiation dose acquired by the X-ray sensor as a result of the exposure data selected affects the image quality.
The X-ray sensor accepts a wide exposure tolerance. Thanks to automated image preprocessing, the expo­sures are displayed with optimized brightness and opti­mized contrast.
Nevertheless a noisy, unsharp image can result if the dose is too low. – This is in contrast to an excessive dose, which results in overmodulation of the sensor and can thus cause dark fields in the image.

11.2 Adapting exposure data

Image artifacts due to excessively low dose can be com­pressed in part through subsequent image postprocess­ing. Image artifacts due to overmodulation of the sensor, on the other hand, cannot be compensated for!
HELIODENT DS
You can switch over from conventional to digital expo­sure technique by briefly pressing the D key. The reduced exposure time for this is displayed. The Digital indicator must light up.
For the HELIODENT DS exposure values see page 24.
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11 Exposure control, adapting exposure data Sirona Dental Systems GmbH
11.2 Adapting exposure data Operating Instructions SIDEXIS – Intraoral
Changing the basic value:
The basic value can be adapted as follows in the event of different exposure conditions:
1. Set the large patient symbol to the middle range (up­per jaw premolar/lower jaw molar) of the object se­lection switch (1).
2. Press the D key (approx. 4 sec.), until the ready for operation LED and Digital flash. Let go of the D key.
3. The basic value can be increased + step by step or decreased – by turning the object selection switch.
4. Press the D key to save the value.
5. Set the object selection switch (5) back to the start-
ing position. The basic value is displayed 3 steps higher.
If you do not want to save the value, do not press the D key. You must then switch the unit OFF and then ON again.
Adjacent example:
Changing the basic value in digital radiography from 8" cone to 12" cone (3 steps higher).
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Sirona Dental Systems GmbH 12 Care
NOTE
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Desinf

Operating Instructions SIDEXIS – Intraoral 12.1 Cleaning

12 Care

Handle the highly sensitive X-ray sensor with its cable carefully!
When cleaning do not pull on the connection cable. Do not kink the cable!
Please also make sure to observe the „Care Instruction for SIDEXIS – Intraoral Sensors“ (Part No.: 59 74 329)!
12.1 Cleaning
Remove dirt and disinfectant residue regularly using a mild commercially available cleaning agent.
Make sure that no liquids can penetrate through the ven­tilation slots! Immediately wipe away medicaments from the surface.
Do not use: agents containing phenol, peracetic acid,
peroxide and other oxygen-cleaving agents, sodium hypochlorite and iodine-cleaving agents.
PC and screen
For cleaning the PC and the screen, please refer to the Service Instructions for these components.
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12.2 Disinfecting

The wall model X-ray box, both sensors and the wall holder for the sensors can be disinfected by wiping.
With the treatment center please observe the instruc­tions in "Care and Maintenance by the Practice Team".
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12 Care Sirona Dental Systems GmbH
CAUTION
12.2 Disinfecting Operating Instructions SIDEXIS – Intraoral
The sensor holders, sight rings and guide rods can be sterilized.
See the instructions from DENTSPLY RINN!
Do not thermodisinfect the Universal and the Full Size sensors with connection cable, do not immerse them in disinfectant solutions, do not disinfect them with radiation and do not sterilize them!
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Sirona Dental Systems GmbH 13 Exposure values
2.50
1.601.000.640.25
0.20
0.160.100.08
0.060.05
0.040.030.020.01
0.12
0.32 0.40 0.50
0.80
1.25
2.00
3.20
0.080.060.050.04

Operating Instructions SIDEXIS – Intraoral 13.1 HELIODENT DS as from Serial No. 15864 (wall model) and 4416 (ceiling model)

13 Exposure values

for Sirona Full Size / Universal X-ray sensors Only a few exposure values are sufficient for the highly
sensitive Sirona Full Size and Universal X-ray sensors. The exposure values for X-ray sensors stated in the rel­evant documentation of the different Sirona intraoral X-ray units therefore do not apply for the Sirona Full Size and Universal X-ray sensors.
For other X-ray sensors please use the exposure times from their operating instructions.
13.1 HELIODENT DS as from Serial No. 15864 (wall model) and 4416
(ceiling model)
Possible exposure times:
Recommended exposure times – with 8" SSD cone and Sirona Full Size / Universal X-ray sensor:
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The recommended exposure times are limited to the fol­lowing values from the number of possible exposure times:
When the desired patient symbol is set to the tooth sym­bol, the recommended exposure times are assigned automatically.
Each tooth symbol is subdivided into three different exposure levels. In the case of digital X-ray exposures, make sure to set the largest exposure level within a tooth symbol for X-rays of adults, and the smallest exposure level for X-rays of children. Only then does the associated value appear on the dig­ital display.
Adjacent example: Upper jaw molar
Valid as from software version 17 (number appears briefly after the unit is switched on)
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13 Exposure values Sirona Dental Systems GmbH
NOTE
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NOTE
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Lower jaw anterior
Lower jaw canine
Upper jaw anterior
Upper jaw molars
Upper jaw canine / lower jaw molars
Occlusal exposure
Adults:
Children:
0.06 s
0.04 s
0.08 s
0.05 s
2.50
1.601.000.640.25
0.20
0.160.100.08
0.060.05
0.040.030.020.01
0.12
0.32 0.40 0.50
0.80
1.25
2.00
3.20
0.080.060.050.04

13.2 HELIODENT DS up to Serial No. 15863 (wall model) and 4415 (ceiling model) Operating Instructions SIDEXIS – Intraoral

Classification of the recommended exposure times according to tooth region:
Please check according to exposure region the time set­ting on the digital time display of the unit before the expo­sure!
The above exposure times are doubled when a 12" SSD cone and Sirona Full Size / Universal X-ray sensors are used!
13.2 HELIODENT DS up to Serial No. 15863 (wall model) and 4415
(ceiling model)
Possible exposure times:
Recommended exposure times – with 8" SSD cone and Sirona Full Size / Universal X-ray sensor:
The recommended exposure times are limited to the fol­lowing values from the number of possible exposure times:
The previous orientation to the tooth symbols for setting the exposure time is no longer valid for these sensors!
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Sirona Dental Systems GmbH 13 Exposure values
NOTE
i
Lower jaw anterior
Lower jaw canine
Upper jaw anterior
Upper jaw molars
Upper jaw canine / lower jaw molars
Occlusal exposure
Adults:
Children:
0.06 s
0.04 s
0.08 s
0.05 s
Operating Instructions SIDEXIS – Intraoral 13.2 HELIODENT DS up to Serial No. 15863 (wall model) and 4415 (ceiling model)
Classification of the recommended exposure times according to tooth region:
Please check according to exposure region the time set­ting on the digital time display of the unit before the expo­sure!
The above exposure times are doubled when a 12" SSD cone and Sirona Full Size / Universal X-ray sensors are used!
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13 Exposure values Sirona Dental Systems GmbH
Setting for adult patient
lower premolar for 8" cone
lower upper anterior tooth,
Setting for adult patient upper premolar, lower/upper molar, occlusal exposure for 8" cone
Setting for child
lower/upper anterior tooth,
lower premolar for 8" cone
Setting for child upper premolar, lower/upper molar, occlusal exposure for 8" cone
Setting for adult patient
lower premolar for 12" cone
lower upper anterior tooth,
Setting for adult patient upper premolar, lower/upper molar, occlusal exposure for 12" cone
Setting for child
lower/upper anterior tooth,
lower premolar for 12" cone
Setting for child upper premolar, lower/upper molar, occlusal exposure for 12" cone
13.2 HELIODENT DS up to Serial No. 15863 (wall model) and 4415 (ceiling model) Operating Instructions SIDEXIS – Intraoral
Exposure time settings The following diagrams show as examples the exposure
time settings for the Sirona Full Size and Universal X-ray sensors on the HELIODENT DS up to Serial No. 15863 (wall model) and 4415 (ceiling model)
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Sirona Dental Systems GmbH 13 Exposure values
NOTE
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3.202.001.250.50
0.40
0.320.200.17
0.130.11
0.090.070.050.03
0.25
0.63 0.80 1.00
1.60
2.50
0.110.090.070.05
Lower jaw anterior
Lower jaw canine
Upper jaw anterior
Upper jaw canine / lower jaw molars
Adults:
Children:
0.07 s
0.05 s
0.07 s
0.07 s
Upper jaw molars
0.07 s
0.05 s 0.07 s
0.09 s
0.11 s
0.09 s

Operating Instructions SIDEXIS – Intraoral 13.3 HELIODENT Vario

13.3 HELIODENT Vario
Possible exposure times:
Recommended exposure times – with 8" SSD cone and Sirona Full Size / Universal X-ray sensor:
Classification of the recommended exposure times according to tooth region:
The recommended exposure times are limited to the fol­lowing values from the number of possible exposure times:
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Please check according to exposure region the time set­ting on the digital time display of the unit before the expo­sure!
When a 12" SSD cone and Sirona Full Size / Universal X-ray sensor is used, the above exposure times are increased by 2 exposure levels!
Example: 0.05 s 0.09 s or 0.11 s 0.17 s
31
13 Exposure values Sirona Dental Systems GmbH
CAUTION
NOTE
i
2.50
1.601.000.640.25
0.20
0.160.100.08
0.060.05
0.040.030.020.01
0.12
0.32 0.40 0.50
0.80
1.25
2.00
3.20
0.060.050.040.03
Lower jaw anterior
Lower jaw canine
Upper jaw anterior
Upper jaw molars
Lower jaw molars
Occlusal exposure
Adults:
Children:
0,05 s
0,04 s
0,04 s
0,03 s
0,06 s
0,05 s
0,05 s
0,04 s
Upper jaw canine

13.4 HELIODENT MD Operating Instructions SIDEXIS – Intraoral

13.4 HELIODENT MD
Possible exposure times:
Recommended exposure times – with 8" SSD cone and Sirona Full Size / Universal X-ray sensor:
Classification of the recommended exposure times according to tooth region:
The recommended exposure times are limited to the fol­lowing values from the number of possible exposure times:
The previous orientation to the tooth symbols for setting the exposure time is no longer valid for these sensors!
32 D 3334.201.01.12.02
Please check according to exposure region the time set­ting on the digital time display of the unit before the expo­sure!
The above exposure times are doubled when a 12" SSD cone and Sirona Full Size / Universal X-ray sensors are used!
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Sirona Dental Systems GmbH 13 Exposure values
CAUTION
NOTE
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0.120.100.08
Lower jaw anterior
Lower jaw canine
Upper jaw anterior
Upper jaw molars
Lower jaw molars
Occlusal exposure
Adults:
Children:
0,10 s
0,08 s
0,12 s
0,10 s
Upper jaw canine

Operating Instructions SIDEXIS – Intraoral 13.5 HELIODENT 70 (not USA version!)

13.5 HELIODENT 70 (not USA version!)
Recommended exposure times – with 8" SSD cone and Sirona Full Size / Universal X-ray sensor:
Classification of the recommended exposure times according to tooth region:
The recommended exposure times are limited to the fol­lowing values from the number of possible exposure times:
The previous orientation to the tooth symbols for setting the exposure time is no longer valid for these sensors!
bеЦдблЬ
60 87 816 D 3334 D 3334.201.01.12.02
Please check according to exposure region the time set­ting on the digital time display of the unit before the expo­sure! The exposure time is displayed by the orange mark on the dial.
The above exposure times are doubled when a 12" SSD cone and Sirona Full Size / Universal X-ray sensors are used!
33
13 Exposure values Sirona Dental Systems GmbH
13.5 HELIODENT 70 (not USA version!) Operating Instructions SIDEXIS – Intraoral
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