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1. For more information about the panoramic exposure programs see after page gt 51 Bitewing exposures Bitewing exposures in the posterior tooth region gm Bitewing exposures in the anterior tooth region lL Program settings For BW1 quadrant selection left right half view or both sides kV mA values For more information about the bite wing exposure programs see after page 54 64 94 947 D3632 D3632 201 03 01 02 05 2015 64 94 947 D3632 D3632 201 03 01 02 05 2015 Temporomandibular joint exposures TM1 1 TM1 2 Temporomandibular joints from a lateral aspect with the mouth open and closed two part exposure Temporomandibular joints lateral ascending rami Program settings In two part exposure programs with angle preselection 0 5 10 15 kV mA values For more information about the temporomandibular joint programs see after page gt 68 Sinus exposures Paranasal sinuses Paranasal sinuses linear slice orientation Program settings kV mA values For more information on sinus exposure programs see after page gt 75 Cephalometric exposures If the unit is equipped with a cephalometer you can also take cephalometric images 4 Carpus view symmetrical Program settings Quickshot function collimation except for C4 kV mA
2. 3 Touch the cross on the left side of the submenu line or gt Touch the quadrant symbol A again The submenu line is closed v The quadrant or quadrants are set IMPORTANT The program duration for individual quadrant exposures equals the program duration for half view exposures 64 94 947 D3632 D3632 201 03 01 02 05 2015 5 5 Operation Sirona Dental Systems GmbH 5 3 Panoramic and bite wing exposure Operating Instruction ORTHOPHOS SL 2D 3D Adjusting the Quickshot function V Level 1 is displayed on the touchscreen 1 Touch the Quickshot display A on the right side of the touchscreen A submenu line is opened 2 Press the Quick On or Quick Officons on the touchscreen The selection is highlighted orange in the submenu line 3 Touch the cross on the left side of the submenu line Or gt Touch the Quick symbol A again rt P The submenu line is closed Ready for exposure The Quickshot function is set Setting the temple width The temple support width changes the radiation time slightly The slice width is selected automatically for different dental arches in P1 P2 P10 and their offshoots 64 94 947 D3632 58 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 5 Operation Operating Instruction ORTHOPHOS SL 2D 3D 5 3 Panoramic and bite wing exposure Setting the kV mA values Setting the kV mA values via the patient symbols Preset kV mA combinations are assigned
3. eeeeeseeeeeeenrenee nn 40 3 5 2 1 Protective sleeves for basic unit 40 3 5 2 2 Protective sleeves for cephalometer 41 3 5 3 Test phantom for acceptance constancy test 42 Installation and SESEEUD seien cus Der deua pes pe Sen ryan doi ia ena e vr Sato s qti EY pA PU 1o VTL AE ERR PEE Perna 43 4 1 Replacing accessories on the basic unit eeeseeeeeeeeeeeeeeeeeee 43 4 1 1 Replacing the bite block contact segment 3D bite block or chin rest 43 4 1 2 Using the occlusal bite DIOCK eto e eot ees 43 4 1 3 X Using the universal bite block eeseeeeeeeeeeeeeseesse 45 4 1 4 Using spherical bite blocks and the spherical bite block plate 46 4 1 5 Changing the temple supports and temporomandibular joint 46 supports 4 2 4 Adjusting inserting accessory parts on the cephalometer 4T 4 3 Removing inserting the Ceph sensor eseessseeeeeeeen 48 ae Fee M ROREM 49 5 1 SWICAIN TMG OM m MR T 49 5 2 Switching SIDEXIS 4 to ready for exposure state 50 64 94 947 D3632 D3632 201 03 01 02 05 2015 5 3 Panoramic and bite wing exposure cccceccseeceeeceeeceseceeeseeeseeseeseesseess 9L Program descripllOLlS dissehsstuna e biu bee Dou tetaet e E ME Eod 5 5 1 1 PT Panoram
4. Tip The Easypad shows the reference values of the height and forehead support settings which are saved for further exposures in the additional information area of the SIDEXIS software 105 106 Positioning for symmetrical exposures C1 C2 X Push the ear plug holders apart X The nose support is swiveled upwards The ear plug holders are rotated at an angle of 90 degrees towards the sensor and the secondary diaphragm 4 X The protective caps for ear plugs are inserted 1 Set the unit height using the up A and down B keys CAUTION The height adjustment motor starts slowly and then increases its speed Press and hold down the button until the desired height is reached The unit movement is accompanied by a beep Release the height adjustment buttons once the Cephalometer is at the same height as that of the patient s head 2 Guide the patient between the ear plug holders v In posterior anterior exposure The patient stands facing the sensor For anterior posterior exposure The patient stands facing the secondary diaphragm This position applies for both right and left handed arms 3 Grasp the ear plug holders at the top and simultaneously slide them together v The ear plugs are positioned on the patient s outer auditory passage 4 Only for program C1 p a and C2 a p Instruct the patient to tilt his head back and open his mouth as far as possib
5. 5 Operation Sirona Dental Systems GmbH 5 11 Rescue program for issues during image transfer and raw data import Operating Instruction ORTHOPHOS SL 2D 3D 5 Log in the patient who is in Rescue state into SIDEXIS 4 see SIDEXIS 4 Operator s Manual and click on the Start rescue button Current Order XRAY Kammer 1 Rescue Ifa connection is successfully established data is transferred IMPORTANT The displayed exposure may in certain circumstances indicate a lower level of quality if the exposure procedure was terminated prematurely or a data transfer problem occurred between the unit and the reconstruction server 64 94 947 D3632 118 D3632 201 03 01 02 05 2015 General settings Patsent sonimga Exposure DENS Manager ORTHOPHOS SL Denge idemanisbratson Quality assurance Data umgpert Server administration 64 94 947 D3632 ORTHOPHOS SI fe Global Data import rt ur Born E iix Status Creation date Dati container Ss finished hrmshed finished finished hrushed finished hrushed wor king Working hirushed D3632 201 03 01 02 05 2015 Creation date 2015 04 24 1447 JUT5 04 24 14 48 2015 14 24 14 50 JO sth ML EI 2015 04 24 15 00 2015 04 24 1533 01 5 0 2 EE 2015 04 27 15 05 2015 04 27 15 11 2015 427 15 16 Starting the Data import program The X ray exposure could be transferred by the unit yet was downloaded to SIDEXIS 4 without raw data for further
6. 5 3 Panoramic and bite wing exposure Operating Instruction ORTHOPHOS SL 2D 3D P2 Panoramic exposure without ascending rami The exposure represents a reduced tooth region without ascending rami P2 A Artifact reduced panoramic exposure without ascending rami The exposure can also be taken in an artifact reduced format to avoid artifacts in the condylar and molar regions and to reduce shadowing by the opposite jaw P2 C Panoramic exposure without ascending rami at a constant magnification of 1 25x The exposure can be taken at a constant magnification of 1 25x for example for implantology 64 94 947 D3632 52 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 5 Operation Operating Instruction ORTHOPHOS SL 2D 3D 5 3 Panoramic and bite wing exposure P10 Panoramic exposure for children The exposure represents a reduced tooth region without ascending rami For this exposure the radiation dose is considerably reduced P10 A Panoramic exposure for children without ascending rami artifact reduced The exposure can also be taken in an artifact reduced format to avoid artifacts in the condylar and molar regions and to reduce shadowing by the opposite jaw For this exposure the radiation dose is considerably reduced P10 C Panoramic exposure for children without ascending rami constant 1 25x magnification The exposure can be taken at a constant magnification of 1 25x for example for imp
7. gt After switching the unit off wait for approx 60 seconds before switching it on again NOTICE The surface of the touchscreen is sensitive The touchscreen is damaged or its surface is scratched gt Never use pointed objects such as ballpoint pens pencils etc to operate the touchscreen gt Only use your fingertips to operate the touchscreen 64 94 947 D3632 D3632 201 03 01 02 05 2015 49 5 Operation Sirona Dental Systems GmbH 5 2 Switching SIDEXIS 4 to ready for exposure state Operating Instruction ORTHOPHOS SL 2D 3D Switching SIDEXIS 4 to ready for exposure state Refer to the SIDEXIS 4 User Manual http www sirona com manuals 64 94 947 D3632 50 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 5 Operation Operating Instruction ORTHOPHOS SL 2D 3D 5 3 Panoramic and bite wing exposure Panoramic and bite wing exposure Program descriptions P1 Panoramic exposure The exposure displays the full tooth region with ascending rami P1 A Panoramic exposure artifact reduced The exposure can be taken in an artifact reduced format to avoid artifacts in the condylar and molar regions and to reduce shadowing by the opposite jaw fg P1 C Panoramic exposure constant 1 25x magnification The exposure can be taken at a constant magnification of 1 25x for example for implantology 64 94 947 D3632 D3632 201 03 01 02 05 2015 51 5 Operation Sirona Dental Systems GmbH
8. 64 94 947 D3632 D3632 201 03 01 02 05 2015 V Level 1 is displayed on the touchscreen Touch the question mark A in the lower right corner of the touchscreen The display for setting the click tone and the intensity of the touchscreen display appears Touch the musical note icon The subline menu for the click tone is opened Switch the click tone on or off The selection is highlighted in orange Touch the selected symbol in the right hand column again The subline menu for the click tone closes Touch the green white field in the bottom right corner of the touchscreen The subline menu for the intensity of the touchscreen display is opened Set the intensity by touching the keys The intensity of the touchscreen display and the reference value over the green white field changes Touch the selected symbol in the right hand column again The subline menu for the intensity of the touchscreen display closes Touch the double triangle in the upper right corner of the touchscreen Level 1 is displayed The click tone and the intensity of the touchscreen display are set 129 5 Operation Sirona Dental Systems GmbH 5 16 Calling the Info screen Operating Instruction ORTHOPHOS SL 2D 3D Calling the Info screen The Info screen lists device data that is useful for any discussions with your service engineer X The touchscreen display is located on level 1 1 Touch the toothed wheel A in
9. m X J 1 Guide the patient in front of the control mirror 7 ele ETT 2 Set the unit height using the up A and down B keys CAUTION The height adjustment motor starts slowly and then increases its speed Press and hold down the button until the desired height is reached The unit movement is accompanied by a beep Release the height adjustment buttons once the patient s mouth and the bite block are at the same height 3 Instruct the patient to hold the handles with both hands and bite into the bite block The patient s anterior teeth are positioned in the indentation in the bite block If necessary push the lower anterior teeth forwards until they reach a stop 4 Swivel the control mirror outwards by pressing the left recess on the touchbar D You can see the patient in the control mirror i Mi 64 94 947 D3632 92 D3632 201 03 01 02 05 2015 TT NN NI ir CE P num Switch on the light localizer F CAUTION Risk of dazzle Depending on a preselected program and collimation the light beams show the upper and lower edges of the volume on the patient s head If the desired area of exposure is not within the horizontal light beams the blue bite block or the universal bite block must be used see Positioning with blue bite block or the universal bite block 95 The light localizer c
10. 2 Place a cotton roll between the patient s upper and lower jaw v The patient s upper and lower jaw are aligned 3 Proceed as described under Positioning with chin rest and rod for bite block from step 6 67 5 Operation Sirona Dental Systems GmbH 5 4 Temporomandibular joint exposure Operating Instruction ORTHOPHOS SL 2D 3D Temporomandibular joint exposure Program descriptions IMPORTANT Note the information on the two part exposure programs in the Releasing the exposure chapter see Two part exposure programs 115 TM1 1 TM1 2 Lateral view of temporomandibular joints with mouth open and closed Two part exposure program This exposure displays the temporomandibular joints from a lateral aspect with the mouth open and closed and provides 4 views in one image This program enables angle preselection 0 5 10 and 15 for the temporomandibular joint area TM1 1 TM1 2 TM1 2 TM1 1 TM3 Temporomandibular joints lateral ascending rami The exposure shows a lateral projection of the temporomandibular joints with ascending rami with 2 views in one image 71959 64 94 947 D3632 68 D3632 201 03 01 02 05 2015 64 94 947 D3632 D3632 201 03 01 02 05 2015 Preparing the exposure Depending on the patient or the exposure program accessory parts must be replaced and the appropriate exposure mode must be selected see Installation and start up gt 43 You will requir
11. Anyone who copies this software to any medium for any purpose other than his own personal use without the written permission of Sirona Dental Systems will be liable to prosecution Microsoft and Windows 79 are registered trademarks Windows is a trademark of Microsoft Corporation All other trademarks are the property of their respective holders Notes on 3rd party code libraries must be stored in license pdf in the installation directory General information about this operating manual Please familiarize yourself with the unit by reading through these Operating Instructions before putting it into operation It is essential that you comply with the specified warning and safety information Always keep the Operating Instructions handy in case you or another user require s information at a later point in time Save the Operating Instructions on the PC or print them out If you sell the unit make sure that the Operating Instructions are included with it either as a hard copy or on an electronic storage device so that the new owner can familiarize himself with its functions and the specified warning and safety information We have set up an online portal for the Technical Documents at http www sirona com manuals From here you can download these Operating Instructions along with other documents Please complete the online form if you would like a hard copy of a particular document We will then be happy to send you a printed cop
12. The following chapters contain more information about sterilization and hygienic protective sleeves Hygienic protective sleeves 40 Preparing the exposure Sterilization 135 Touchscreen The Easypad monitor is equipped with touch sensitive control technology The touchscreen must not be operated with pointed objects such as ball point pens pencils etc Such objects could damage or scratch its surface Always operate the touchscreen by pressing it gently with your fingertip Trouble free operation Use of this system is permissible only if it works properly without malfunctions If trouble free operation cannot be ensured the unit must be taken out of service checked by authorized technicians for malfunctions and if necessary repaired X rays of patients may be taken only when the system is working trouble free The movements of the unit must not be obstructed by physical constitution clothing dressings wheelchairs or hospital beds The travel range of the unit must be kept free from foreign matter Do not leave the patient at the unit unattended 15 Interference with electronic devices 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 Risks of electromagnetic fields The function of implanted systems cardiac pacemakers or cochlear implants for example can be affected
13. 3 Touch the cross on the left side of the submenu line Or gt Touch the kV mA symbol B again The submenu line is closed The kV mA value is set Ready for exposure 64 94 947 D3632 104 D3632 201 03 01 02 05 2015 64 94 947 D3632 D3632 201 03 01 02 05 2015 Positioning the patient The patient is positioned on the unit while standing Positioning in the seat is also possible without issue This is the case for example if the patient is shorter than approx 93 cm or taller than 197 cm In this case you position the patient on a fixed and height adjustable chair with a short backrest The height adjustment motor starts slowly and then increases its speed A patient positioned in the unit may be injured by moving parts gt Monitor the patient and the movement of the unit during height adjustment To make minor corrections press and immediately release the keys The light localizer consists of one Class 1 laser Patients and users can be blinded by the laser light localizer gt Do not stare directly into the laser beam Make sure that the laser beam does not meet the eyes of the patient gt A distance of at least 10 cm must be maintained between the eye and the laser IMPORTANT Ask the patient to take off all metallic objects such as glasses and jewelry in the head and neck area as well as all removable dental prostheses The tray in front of the control mirror is used for depositing jewelry
14. accessories 1 Instruct the patient to place his chin on the chin rest and place both hands on the hand grips 2 Instruct the patient to place his subnasale the base of his nose against the bar If the patient s lower jaw contains anterior teeth place the bar between his chin and his lower lip 3 Place a cotton roll between the patient s upper and lower jaw v The patient s upper and lower jaw are aligned 4 Proceed as described under Positioning with chin rest and rod for bite block from step 6 Positioning with bite block X The yellow bite block forehead support and temple supports are inserted in the unit X The relevant hygienic protective sleeves are pulled over the accessories 1 Instruct the patient to hold the handles with both hands and bite into the bite block v The patient s anterior teeth are positioned in the indentation in the bite block If necessary push the lower anterior teeth forwards until they reach a stop 2 Proceed as described under Positioning with chin rest and rod for bite block from step 6 Positioning with contact segment X The patient has no or only a few anterior teeth X The yellow contact segment forehead support and temple supports are inserted in the unit X The relevant hygienic protective sleeves are pulled over the accessories 1 Instruct the patient to hold the handles with both hands and place his subnasale the base of his nose against the contact segment
15. and the IP address of your unit Example https 192 168 15 240 NOTICE The IP address of your unit can be found on the Info screen Calling the Info screen 130 3 Confirm your input with the Enter key The Sirona Web service is loaded The sub menus of the User menu are displayed as a structure tree U rthaphar Xo Yiebierveer oe GB hemes 477205025 e E Gasal P E L Metatbesucit Erse Schritte i Akhaelie Machnebten ORTHOPHOS SL sIrona Uurk skcTICEE DETHOPRDS m ORTHOPHOS SL Configuration Servant Serialnumber Q00029834 Veron t Easypad Touchcaliration Systemsofwaro Wag 78 01 t Deas kamran Booimeda Static Type PanDCS 3D Mebtwork Mame Ornhophos SL Nel MAL address aototT eansr n IP address 172 29 50 215 Subnet mask 255 255 0 0 DefauM gateway 17229 01 MetAPI Wer comp 1 20 MAAR Ver conn not connected Gemomode Ml Tube Exposures 657 u 00 umi 4 Click on the Device Illumination button The settings options will be displayed 64 94 947 D3632 154 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 9 Settings and repair Operating Instruction ORTHOPHOS SL 2D 3D 9 2 Setting ambient light via the Web service PF omae x EERE B Memtbesucht Erte teenie E Actuelle Nachrichten ORTHOFHOS SL Sirona Tha anjal i ENER SECTIO ORTHOPHOS St AcinatinnEndo Sel the lluminabon settings Warmer Easypad Touchcalbra
16. height adjustment keys The light beam reflects on the lowest point of the lower eye socket edge Press the temple support adjustment button I When you touch the patient s head the temple supports stop automatically Press the forehead support adjustment key H v When you touch the patient s head the forehead support stops automatically Make sure that the patient s head does not move backwards when placing the forehead support Check the patient s position and make any final corrections as necessary Swivel the control mirror back into place by pressing the right recess on the touchbar D v The patient can see himself in the control mirror Instruct the patient to exhale place his tongue against the roof of his mouth and to hold this position until the end of the exposure The patient is positioned in the unit IMPORTANT In P1 P2 P10 the slice width is selected automatically for different dental arches with the temple support setting and the radiation time is also changed slightly through this in accordance with the temple support width which is set 66 64 94 947 D3632 D3632 201 03 01 02 05 2015 64 94 947 D3632 D3632 201 03 01 02 05 2015 Positioning with chin rest and bar X The patient has no or only a few anterior teeth X The chin support and bar and the forehead support and temple supports are inserted in the unit X The relevant hygienic protective sleeves are pulled over the
17. m a Ready for exposure 2 Press the Quick Onor Quick Officons on the touchscreen The selection is highlighted orange in the submenu line 3 Touch the cross on the left side of the submenu line gt Touch the Quick symbol A again The submenu line is closed The Quickshot function is set 64 94 947 D3632 D3632 201 03 01 02 05 2015 103 5 Operation Sirona Dental Systems GmbH 5 7 Cephalometric exposures Operating Instruction ORTHOPHOS SL 2D 3D Setting the kV mA values Setting the kV mA values via the patient symbols Preset kV mA combinations are assigned to the patient symbols which are selected according to the patient s size and weight The symbols roughly correspond to child youth woman woman man hefty persons V Level 1 is displayed on the touchscreen gt Touch the required patient symbol The selection A is highlighted in orange The selected kV mA value is displayed on the right side of the touchscreen The kV mA value is set Ready for expojlre Setting the kV mA values via the submenu line If the preset kV mA combinations do not provide a satisfactory result you can also set the kV mA values manually in all programs V Level 1 is displayed on the touchscreen 1 Touch the kV mA symbol B on the right side of the touchscreen A submenu line is opened x Li Ready for exposure 2 Select a kV mA value Touch the or keys The selected kV mA value is displayed
18. 0 d NM Operating system e Windows 7 Professional Ultimate 64 bit e Windows 8 1 Professional 64 bit An Internet connection is required from Windows 8 2 2 3 GHz QuadCore with SSE3 support only intel 2 i73xx Main memory 2 16 GB Hard disk 2 2 TB of free hard disk space Graphics card Only for combined use as workstation on one PC see above Drive e DVD ROM e DVD RAM to use Wrap amp Go 64 94 947 D3632 D3632 201 03 01 02 05 2015 25 26 Overview of exposure programs The following is a list of the available exposure programs and the possible program settings The exposure programs are displayed on the touchscreen in abbreviated form Panoramic exposures Panoramic exposure standard EE Panoramic exposure artifact reduced EE Panoramic exposure constant 1 25x magnification EE Panoramic exposure without ascending rami E P2A Panoramic exposure without ascending rami artifact reduced P2C Panoramic exposure without ascending rami constant 1 25x magnification ill prm ep exposure for children E P10 A Panoramic exposure for children without ascending rami artifact reduced P10 C Panoramic exposure for children without ascending rami constant 1 25x magnification P12 Thick slice anterior tooth region ET EE Program settings Single quadrant selection only upper lower jaw for P12 Quickshot function no P12 for Quickshot function kV mA values
19. B height adjustment keys The light beam reflects on the lowest point of the lower eye socket edge 11 Press the forehead support adjustment key H The forehead supports stop moving automatically when they come into contact with the patient s forehead Ensure that the patient s head does not move backward when the forehead support is put in place 12 Check the patient s position and make any final corrections as necessary 13 Swivel the control mirror back into place by pressing the right recess on the touchbar D The patient can see himself in the control mirror 14 Instruct the patient to exhale place his tongue against the roof of his mouth and to hold this position until the end of the exposure The patient is positioned in the unit IMPORTANT Note the information on the two part exposure programs in the Releasing the exposure chapter see Two part exposure programs 115 64 94 947 D3632 14 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 5 Operation 5 5 Sinus view Operating Instruction ORTHOPHOS SL 2D 3D 64 94 947 D3632 D3632 201 03 01 02 05 2015 Sinus view Program descriptions S1 Paranasal sinuses This exposure shows the paranasal sinuses e g for the diagnosis of orbital floor fractures S3 Paranasal sinuses linear slice orientation This exposure shows the paranasal sinuses e g for the diagnosis of orbital floor
20. Council Directive 93 42 EEC of June 14 1993 concerning medical 01 23 devices 64 94 947 D3632 D3632 201 03 01 02 05 2015 19 20 Technical data Unit data Model designation Nominal voltage Permissible fluctuation Permissible drop under load Rated current Nominal power output Nominal frequency Mains resistance Main building fuse Power consumption Power output of tube assembly Tube voltage Tube current Maximum setting range High voltage waveform High voltage generation frequency Program duration Exposure time Image acquisition scale Exposure time for a cephalometric image Image acquisition scale for a cephalometric image Total filtration of X ray tube assembly Focal spot size acc to IEC 60336 measured in the central X ray beam ORTHOPHOS SL 200 240 V 1096 10 12 A 2 KW at 90 kV 16 mA with any radiation time 50 Hz 60 Hz max 0 8 ohms 25 A slow blow 16 A for single line 2kVA 69 kV 16 mA 1104 W with any radiation time 60 90 kV for 90 kV max 12 mA 3 16 mA for 16 mA max 69 kV 60 kV 3 mA to 90 kV 12 mA High frequency multipulse Residual ripple lt 4 kV 40 120 kHz See Program values 144 See Program values 144 For P1 normal dental arch slice center approx 1 1 19 i e the acquired image is magnified by approx 1996 on average compared to reality 14 9 s max approx 1 1 1 i e the acquir
21. D3632 D3632 201 03 01 02 05 2015 Other relevant documents The X ray system includes other components such as PC software which are detailed in other documents Instructions and warning and safety information provided in the following documents must be taken into account e SIDEXIS 4 User Manual e ORTHOPHOS SL Panorama Editor Addendum to SIDEXIS 4 User Manual Warranty and liability Maintenance In the interest of the safety and health of patients users and other persons inspection and preventive maintenance must be performed at scheduled intervals to ensure the operational reliability and functional safety of your product IEC 60601 1 DIN EN 60601 1 etc The system owner must ensure that all inspections and maintenance events take place As manufacturers of medical electrical equipment we can assume responsibility for the safety properties of the system only if maintenance and repair work on the system is performed by ourselves or by agencies expressly authorized by us and if components affecting safe operation of the system are replaced by original spare parts in case of failure Exclusion of liability 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 Certificate of work We suggest that you request a certificate showing the nature and
22. For bite block dimensions 43 x 21 mm 500 pieces REF 33 14 072 For chin rest and bar 100 pieces REF 59 32 603 For bite blocks and contact segments 500 pieces REF 33 14 080 64 94 947 D3632 40 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 3 Unit description Operating Instruction ORTHOPHOS SL 2D 3D 3 5 Spare parts and consumables E For 3D bite block 500 pieces REF 61 27 745 F Protective sleeve for hand grips REF 59 68 255 Protective sleeves for cephalometer Protective sleeve for nose support single use devices 100 pieces REF 33 14 106 Protective caps for ear plugs reusable devices 20 pieces REF 89 32 261 64 94 947 D3632 D3632 201 03 01 02 05 2015 41 3 Unit description Sirona Dental Systems GmbH 3 5 Spare parts and consumables Operating Instruction ORTHOPHOS SL 2D 3D Test phantom for acceptance constancy test Worldwide Perform constancy tests according to the specifications for operating an X ray unit at regular intervals in order to ensure the safety of operating staff and patients Sirona recommends monthly testing Exposure phantom assembly spare for 2D test REF 59 85 416 Constancy test phantom spare for 3D test REF 61 40 813 Contrast element OP SL spare REF 64 90 895 Test phantom Ceph REF 59 79 419 64 94 947 D3632 42 D3632 201 03 01 02 05 2015 Installation and start up Replacing accessories on the basic unit Repl
23. ON OFF Forehead support adjustment display Display of height adjustment Program selection keys sequence PAN P1 P2 P10 P12 BW1 BW2 TM1 1 TM3 S1 S3 CEPH C1 C2 C3 C4 3D VOL1 VOL2 VOL3 Orange Display of the minimum exposure area for the selected program mandibular arch or mandibular arch segment Program display selection of subprograms A C Display of program group selection Display of patient head positioning Submenu column options Toothed wheel Navigation element to switch between levels 1 and 2 Quadrant selection display marked with R right and L left Display of kV mA value Question mark Help or info screen Display of color coded bite block or contact segment for the chosen program oymbol for temporomandibular joints Symbol for mandibular arch Expected radiation time after completion actual radiation time Quick ON Quick OFF Reduction in the exposure time C Comment line for help and error messages Patient symbols child youth woman woman man large individuals Exposure parameter presettings W R button for acknowledging device messages The return of the unit is one of these messages T key for test cycle without radiation Y Move forehead support towards forehead and Move forehead support away from forehead keys Close temple supports and Open temple supports keys 3 CO P1 P2 P10 P12 BW1 BW2 Select basic settings Select start settin
24. Quickshot function should be switched on or off Press the Quick On or Quick Off icons on the touchscreen The Quickshot function reduces the cycle time by approx 20 to 50 depending on the exposure program The function is set independently of the exposure program v The selection is highlighted in orange and displayed on the right side of the touchscreen 4 Touch the save symbol B The setting is saved for the PAN program group 5 Touch the double triangle D in the upper right corner of the touchscreen v The start settings are hidden level 1 is displayed 125 126 Select basic settings Select start settings 3D program group The preselection of HD mode and of the patient symbol can be changed in the start settings Changing start settings for HD mode and patient symbol V Level 1 of the 3D program group is displayed on the touchscreen 1 Touch the toothed wheel A in the upper right corner of the touchscreen Level2 is displayed 2 Touch the diskette symbol B at the top of the touchscreen V The start settings are displayed 3 Select whether HD mode is to be preset as ON or OFF v The selection is highlighted in orange 4 Touch the save symbol C The setting is saved for the 3D program group 5 Select the patient symbol that you want to preset v The selection is highlighted in orange 6 Touch the save symbol C The setting is saved for the 3D program group 7 Touch the dou
25. Systems GmbH 5 12 Using the remote control Operating Instruction ORTHOPHOS SL 2D 3D Using the remote control On the remote control exposures are triggered using the release button D If it is not possible to maintain visual contact with the patient when releasing the exposure the release key with the coiled cable F on the X ray unit can be removed and used on the remote control If the unit is ready for exposure and no auxiliary messages are displayed the current program parameters appear on display C Program designation exposure time voltage current in the individual fields Prog S kV MA The exposure can be released now If plain text help messages are displayed on the Easypad touchscreen they also appear in coded form on the Prog display of the remote control alternating with the program name When switching on the unit the X ray indicator A lights up for a functional check for approx 1 second The LED B lights up when the unit is on Use the Return key E to acknowledge exposures error messages and auxiliary messages and move the rotating unit to the starting position If a row of dots appears in the Prog field on the digital display C this means the unit is currently in a preparatory phase e g unit movements parameter settings program loading times etc Wait until the dots disappear automatically and the system is ready for operation 64 94 947 D3632 122 D3632 201 03 01 02 05 2015 Siron
26. a stop The carpus support plate D engages with a slight resistance 64 94 947 D3632 D3632 201 03 01 02 05 2015 47 4 Installation and start up Sirona Dental Systems GmbH 4 3 Removing inserting the Ceph sensor Operating Instruction ORTHOPHOS SL 2D 3D Removing inserting the Ceph sensor The Ceph sensor must always be inserted in order for the unit to be operated However should the Ceph sensor need to be removed please proceed as follows Removing the sensor 1 Hold the sensor firmly 2 Press the button all the way in and hold it The sensor is released from the fastening 3 Pull the sensor downwards out of the guide Inserting the sensor 1 Hold the sensor firmly 2 Using both guide pins insert the sensor into the guide sleeves on the unit and push until it reaches a stop The sensor engages in the X ray unit NOTICE When removing the sensor it can be damaged by impact or if dropped The sensor contains an integrated vibration sensor to detect impacts or falls If the vibration sensor has triggered guarantee claims become void gt Do not drop the sensor under any circumstances NOTICE Electrostatic charges from persons are discharged on the unit Electrical components of the unit are destroyed 2 Do not touch any electrical components or unprotected plug contacts gt Discharge yourself by touching a conductive grounded object 64 94 94
27. and radiation protection Switching the unit on The patient may not be positioned in the unit when starting it and setting the operating mode until the sensor has been positioned Malfunction may cause injury to the patient In case of an error that requires switching the unit off and back on again the patient must be removed from the unit at the latest before the unit is switched back on Radiation protection The valid radiation protection regulations and measures must be observed The statutory radiation protection equipment must be used In order to reduce radiation exposure Sirona recommends using bismuth or lead shields or aprons especially for pediatric patients During an exposure the operator should move as far away from the X ray tube assembly as the coiled cable of the manual release permits With the exception of the patient no other persons without radiation protection are allowed to stay in the room during an exposure In exceptional cases a third person may provide assistance but not the practice staff Visual contact with the patient and the unit must be maintained throughout the entire exposure In case of malfunctions cancel the exposure immediately by letting go of the exposure release button Emergency Stop not included in the scope of supply If any parts of the unit touch the patient during the rotary movement let go of the exposure release button X Ray immediately or stop the unit at once b
28. be able to be justified for each patient in order to demonstrate that the benefits outweigh the risks Indication and contraindication Indications in dentistry areas e Conservative dentistry e Endodontics e Periodontology e Prosthodontics template scan exposures e Functional diagnosis and therapy of craniomandibular dysfunctions e Surgical dentistry e Implantology e Oral and maxillofacial surgery e Orthodontics e Pediatric dentistry e ENT medicine hard tissue diagnostics Contraindications e Display of cartilage structures e Display of soft tissue 64 94 947 D3632 12 D3632 201 03 01 02 05 2015 gt Electrostatic discharge ESD is ircauon of single use devices Do not spray into the ventilation slots 64 94 947 D3632 D3632 201 03 01 02 05 2015 Safety information Information on the unit The following symbols are applied to the unit This symbol can be found next to the rating plate on the unit Meaning Observe the Operating Instructions when operating the unit This symbol can be found on the rating plate on the unit Meaning The accompanying documents are available on the Sirona homepage Connector pins or sockets bearing ESD warning labels must not be touched or interconnected without ESD protective measures See also Electrostatic Discharge and Electromagnetic Compatibility 17 Prior to each exposure the hygienic protective sleeves single use devic
29. be preset Basic settings changing the kV mA values of the patient symbols 1 Touch the toothed wheel A in the upper right corner of the o V Level 1 of the PAN program group is displayed on the touchscreen touchscreen Level2 is displayed 2 Select the exposure program for which you want to change the kV mA value Touch the or arrows The selected setting is displayed on the right side of the touchscreen 3 Select the patient symbol for which you want to change the kV mA s value aoa 4 Select the kV mA value that you want to apply to the selected program and patient symbol 5 Touch the save symbol B v The kV mA value is saved for the selected program and patient symbol 6 Repeat this procedure for the other patient symbols and programs v The settings for the kV mA values stored for the patient symbols have been made 64 94 947 D3632 124 D3632 201 03 01 02 05 2015 Select start settings 64 94 947 D3632 D3632 201 03 01 02 05 2015 Start settings Changing the start settings for the patient symbol and selecting enabling disabling the Quickshot function V Level 2 of the PAN program group is displayed on the touchscreen 1 Touch the diskette symbol C at the top of the touchscreen V The start settings are displayed 2 Select the patient symbol that you want to preset v The selection is highlighted in orange and displayed on the right side of the touchscreen 3 Select whether the
30. due to pushing buttons and security signals during power up 1 Switch the unit off and on again NOTICE Observe waiting period 2 Ifthe error persists contact your Customer Service E4 mechanical blocking Errors that indicate mechanical blocking of motor driven parts 1 Check whether the device is mechanically blocked Remove items 2 Switch on off Check whether the error reoccurs If the error remains permanently inform customer services 64 94 947 D3632 142 D3632 201 03 01 02 05 2015 64 94 947 D3632 D3632 201 03 01 02 05 2015 E5 Malfunction during exposure or exposure preparation Error resulting from a certain system action triggered by the user which could not be performed because a required internal partial function software or hardware is not ready or fails 1 Acknowledge the error message 2 Repeat the last procedure step or exposure v The error no longer occurs 3 Ifthe error persists contact your Customer Service E6 Self check The error occurs spontaneously and without a corresponding operation 1 Acknowledge the error message v The error no longer occurs 2 If the error remains switch the unit off and on again NOTICE Observe waiting period v The error no longer occurs 3 Ifthe error persists contact your Customer Service E7 Serious system error The error occurs spontaneously and without a corresponding operation 1 Switch off the unit 2 Contact your Cus
31. has been transferred from the X ray unit yet is downloaded to SIDEXIS without raw data for further processing see Starting the Data import program 119 Unit rescue If the X ray unit is nevertheless switched off the image is lost The unit is once again ready for use after it is turned back on X The auxiliary message H420 is displayed on the Easypad X The X ray exposure could not be transferred as a network fault exists or the PC failed In this case the system terminates the connection after a device dependent time and switches to Rescue state This means that the image is not lost but is kept in the RAM of the X ray component by a safety mechanism until it is retrieved by SIDEXIS A further exposure with this X ray unit is blocked until this moment 1 Select the X ray unit in Rescue state 2 Select the current exposure 64 94 947 D3632 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 5 Operation Operating Instruction ORTHOPHOS SL 2D 3D 5 11 Rescue program for issues during image transfer and raw data import Current Order Cancel XRAY Kammer 1 Rescue Click on Start rescue if the logged in patient has been X rayed with the unit in Rescue state The program establishes a connection to the X ray component which is in Rescue state Current Order Lance XRAY Kammer 1 Rescue 4 Click No if the logged in patient and unit do not match 64 94 947 D3632 D3632 201 03 01 02 05 2015
32. inclined as shown in the diagram Tip To achieve the correct positioning of the spine ask the patient to take a small step towards the column of the unit The patient s cervical vertebrae are thus stretched This prevents regions of diminished density in the anterior tooth region 8 Swivel the control mirror outwards by pressing the left recess on the touchbar D You can see the patient in the control mirror 9 Switch on the light localizer CAUTION Risk of dazzle Two red light lines reflect on the patient s head To switch off the light localizer press the key again It switches off automatically after approx 100 seconds 10 Align the patient with the central light line G The light beam reflects in the center of the patient s anterior teeth or the middle of his face mid sagittal 64 94 947 D3632 D3632 201 03 01 02 05 2015 65 14 Tm IN BY 11 12 13 15 16 MEN 17 Align the patient s head according to the Frankfurt horizontal plane E Tip The Frankfurt horizontal is used as a reference plane It runs between the upper edge of the ear canal and the deepest point of the lower eye socket edge Adjust the height of the light localizer using the slider F The light beam reflects on the upper edge of the outer ear canal Correct the patient s head inclination as necessary Briefly press the up A and down B
33. layer orientation adjustments using the Panoramaeditor Using the Panoramaeditor only panoramic exposures that have been generated using the Sirona X ray system ORTHOPHOS SL and the following programs can be edited P1 P2 P10 P12 BW1 BW2 TM1 TM3 S1 S3 NOTE Information on the user interface can be found in the document Panoramaeditor Operator s Manual REF 6544550 64 94 947 D3632 132 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 7 Service Operating Instruction ORTHOPHOS SL 2D 3D 7 1 Cleaning and care Service Cleaning and care Cleaning Remove dirt grime and disinfectant residue regularly using mild commercially available cleaning agents NOTICE During cleaning or disinfection liquids may enter the manual release button or unit via ventilation slots Electrical components of the system can be destroyed by liquids Do not spray any liquids into the ventilation slots or manual release button First spray the liquid onto a cleaning cloth Then wipe the ventilation slots or manual release button with the cleaning cloth Make sure that no liquids run along the surface and into the ventilation slots or the manual release button Disinfecting Only the external surfaces may be disinfected with approved chemical disinfectants Use only disinfectants that comply with the valid requirements of the respective national regulatory body or whose bactericidal fungicidal and virucidal propert
34. not stare directly into the laser beam Make sure that the laser beam does not meet the eyes of the patient gt A distance of at least 10 cm must be maintained between the eye and the laser IMPORTANT Ask the patient to take off all metallic objects such as glasses and jewelry in the head and neck area as well as all removable dental prostheses The tray in front of the control mirror is used for depositing jewelry Tip The Easypad shows the reference values of the height and forehead support settings which are saved for further exposures in the additional information area of the SIDEXIS software 64 94 947 D3632 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 5 Operation Operating Instruction ORTHOPHOS SL 2D 3D 5 4 Temporomandibular joint exposure Positioning for a lateral temporomandibular joint exposure X The forehead support and temporomandibular joint supports with ear holders are plugged into the unit 1 right 2 left see Changing the temple supports and temporomandibular joint supports gt 46 X The relevant hygienic protective sleeves are pulled over the accessories 1 Guide the patient in front of the control mirror 2 Setthe unit height using the up A and down B keys CAUTION The height adjustment motor starts slowly and then increases its speed Press and hold down the button until the desired height is reached The unit movement is accompanied by a bee
35. of the X ray tube assembly is displayed below the head symbol on the touchscreen It corresponds to 0 3 mm Cu 87 88 PAN PAN Adjusting the volume area and collimation You can change between VOL1 VOL2 and VOL3 depending on whether a smaller or larger volume can be used For volume exposures one of the predefined volume areas must be selected By selecting the quadrants collimation of the volume in VOL1 program can be set to a height of 5 5 cm for the upper or lower jaw area while in VOL2 program the height is permanently set to 5 5 cm and in VOL3 program collimation of the volume can be set to a height of 7 5 cm for the upper jaw and 8 0 cm for the lower jaw However you must always select a quadrant or for the front upper jaw teeth or front lower jaw teeth the upper or lower area must be selected IMPORTANT The regions shown do not correspond to the actual diameter of the volume on the touchscreen See the figure in the section VOL1 Program description V Level 1 is displayed on the touchscreen X The message H403 Switch SIDEXIS to ready for exposure state appears in the comment line 1 Select the desired volume area A Touch one of the circles for the anterior molar or temporomandibular joint area only VOL1 VOL3 in the center of the touchscreen The selected volume area is highlighted orange According to your selection the quadrant selection presetting B changes if necessary VOL
36. of the maximum patient dose Please note that blurring can occur in the marginal area of the cylinder Objects are nevertheless represented in the maximum possible image quality 64 94 947 D3632 84 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 5 Operation Operating Instruction ORTHOPHOS SL 2D 3D 5 6 Volume exposures Option VOL3 VOL3 HD The Easypad can be used to select one of the 4 volume regions e Anterior tooth region e Molar region without anterior teeth e Temporomandibular joint area with molars right left The volume range on the object field of view FoV corresponds to a cylinder with a diameter of approx 11 cm and a height of approx 10 cm For dose reduction the volume can be collimated for exposures of the upper jaw to approximately 7 5 cm to about 8 0 cm by selecting the lower quadrants HD mode High Definition mode Four more single projections that can be used for finer reconstructed image quality are generated in HD mode This can reduce typical DVT conebeam artifacts Please be aware of the maximum patient dose Sa YTS Please note that blurring can occur in the marginal area of the cylinder Objects are nevertheless represented in the maximum possible image quality 64 94 947 D3632 D3632 201 03 01 02 05 2015 85 Preparing the exposure You will need to replace accessory parts according to the patient or exposure program In general exposures of all volume ar
37. only for semi axial cranial exposures The exposure provides a cranio eccentric overview 64 94 947 D3632 D3632 201 03 01 02 05 2015 97 5 Operation Sirona Dental Systems GmbH 5 7 Cephalometric exposures Operating Instruction ORTHOPHOS SL 2D 3D C3 Lateral exposure With this exposure technique a metal scale integrated in the nose support is displayed on the X ray exposure Using this scale the magnification factor in the median plane can be determined precisely via a measurement C3 Lateral exposure asymmetric This program displays a full format lateral view approx 18x23cm This program omits the front of the patient s head C3F Lateral full format exposure This program displays a full format lateral view approx 30x23cm This program displays the whole of the patient s head Tip By default the image of lateral exposure C3 or C3F shows the patient s face facing to the right You can change the representation in SIDEXIS Settings Gereral Setting Representation Cep a p p a Please note that all other Ceph exposures C1 C2 and C4 will then also be displayed mirrored i e laterally reversed 64 94 947 D3632 98 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 5 Operation Operating Instruction ORTHOPHOS SL 2D 3D 5 7 Cephalometric exposures C4 Carpus view symmetrical The program displays a carpus view The carpus view is used to determine the growth stage of the body o
38. unit movement is accompanied by a beep Release the height adjustment buttons once the bite block is at the same height as that of the patient s anterior teeth Instruct the patient to hold the handles with both hands and bite into the bite block v The patient s anterior teeth are positioned in the indentation in the bite block If necessary push the lower anterior teeth forwards until they reach a stop Swivel the control mirror outwards by pressing the left recess on the touchbar D You can see the patient in the control mirror Switch on the light localizer F CAUTION Risk of dazzle Depending on a preselected program and collimation the light beams show the upper and lower edges of the volume on the patient s head The desired exposure area must be located between the two horizontal light beams The light localizer can be switched off by pressing the button once again It switches off automatically after approx 100 seconds 95 5 Operation Sirona Dental Systems GmbH 5 6 Volume exposures Operating Instruction ORTHOPHOS SL 2D 3D 6 Align the patient with the central light line G The light beam reflects in the center of the patient s anterior teeth or the middle of his face mid sagittal 7 Align the patient s head as closely as possible along the occlusal plane C Correct the patient s head inclination as necessary Briefly press the up A and down B height adjustment keys 8 Press the t
39. view symmetrical sesssssusse 99 5 2 Preparing the CxPOSUIe cccccccsecceeceeeceeceeeceeeceeseeesseteeseeseeeseees 100 5 7 3 Selecting an exposure program cccccseccceecceeeeceeeeseeesaeeeseesaaees 102 5 7 4 Adjusting the collimation ccccccceccceccceeeceeeeeeeseeeeeeeseeeeeeeseeeeaess 102 5 7 5 Adjusting the Quickshot function eeeeeeeseeeeeeeeeeese 103 5 7 6 Setting the kV mA values seseeessesessseseeee enne 104 SNr POSIMOMIMG tie pat n arinira ood Verte esto inp e 105 5 7 7 1 Positioning for symmetrical exposures C1 C2 106 5 7 7 2 Positioning for C3 lateral exposures 107 5 7 7 3 Positioning for carpal exposures C4 109 Fediatric exDOSU OS eue o eoi O Doe v cepa ERO Cr rH e utt uta ventu Ea mci terius 110 Starting the 1S cy6leu eiae ale ti toca ge EU eot egeo el lRu dul o e atu ba e eqs 112 Releasing the exposure ccccccceseceecceeeecuecceecsececseecueecaeeceeecaeeseeseaesseneaas 112 Rescue program for issues during image transfer and raw data import 116 SMMENESIN e A cR 116 5 11 2 Starting the Data import program eseeeeeeeeeeeenee 119 Using the remote Conto 3i etiutunt pit et rool bibe oe Se a a 122 Canceling an exposure useless nenas nna sese nnne rns nnns 123 Changing the basic
40. 1 VOL3 The quadrant selection can be used for volume collimation Selecting the molar or temporomandibular joint region for example sets collimation for the upper or lower jaw region 2 Press the quadrant symbol B on the right side of the touchscreen A submenu line is opened 64 94 947 D3632 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 5 Operation Operating Instruction ORTHOPHOS SL 2D 3D LLL qua ic n Ready for exposure 64 94 947 D3632 D3632 201 03 01 02 05 2015 5 6 Volume exposures To adjust the collimation select the lower or upper jaw in the quadrant selection The selection is highlighted in orange Touch the cross on the left side of the submenu line gt Touch the quadrant symbol B again The submenu line is closed The volume area is selected VOL VOL3 The collimation is set Selecting HD mode HD mode High Definition mode 4 more single projections that can be used for finer reconstructed image quality are generated in HD mode This can reduce typical DVT conebeam artifacts Please be aware of the maximum patient dose You can select or deselect the high resolution exposure mode via the selection list on the side for the volume programs Jv gt Level 1 is displayed on the touchscreen Touch the desired exposure mode The selection A is highlighted in orange The selected HD mode is displayed on the right side of the touchscreen The
41. 6 8s 11 5s 13 7s 8 5s 63 6 63 8 69 8 72 8 11 7s 6 7s m 8s 4 9s 11 il s 4 MU S DEL m indi 84 6 BEEN ind Os m 8s EN id ud 72 8 23 0s 4 5s BW2 18 05 Os 5 18 1s 63 6 66 8 69 18 72 8 NN 1 TM1 2 LIB 1 SM RB bell E LE 16 1s 6 4s TM3 18 4s As 81s 1s 63 8 66 8 69 18 72 8 728 Si ess ac pen pee pur sss fats jew mee perque gt O U U N NO l N gt UJ 3 64 94 947 D3632 146 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 9 Settings and repair Operating Instruction ORTHOPHOS SL 2D 3D 9 1 Program values Possible kV mA combinations for code 2E selectable using the buttons on the kV mA setting EN Ie m p wm ow m mw M M Be m pe Mo M wem mw ml mu m e m e e 64 94 947 D3632 D3632 201 03 01 02 05 2015 147 148 Volume exposure The radiation exposure is expressed as an area dose product mGycm To offset measurement errors and system and device variations a tolerance of 20 must be expected The ORTHOPHOS SL X
42. 7 D3632 48 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 5 Operation Operating Instruction ORTHOPHOS SL 2D 3D 5 1 Switching the unit on Operation Switching the unit on Malfunctions can occur when the unit is switched on A patient positioned in the unit may be injured by moving parts 2 Please ensure that when activating the device and selecting the operating mode up until the completion of sensor positioning that a patient is not positioned in the device NOTICE Fluctuations in temperature can cause condensation to form in the unit Electrical components are destroyed by short circuits gt Do not switch the unit on until the temperature of the unit has adapted to the ambient temperature and the condensation has evaporated See the chapter on Technical data The unit is properly installed The unit is connected to the mains Turn the main switch A to position l Wait for one minute The LED B lights up on the Easypad The radiation indicator C lights up for approx one second as a functional check The home screen is displayed on the touchscreen for about 1 minute The program selection is then displayed on the touchscreen The forehead support and temple supports are completely open NOTICE The unit must not be switched on off constantly Constant switching on and off reduces the service life of individual unit components and results in increased power consumption
43. Bite block foam single use device 100 pieces REF 61 41 449 Occlusal bite block REF 62 11 143 C Universal bite block REF 61 41 431 64 94 947 D3632 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 3 Unit description Operating Instruction ORTHOPHOS SL 2D 3D 3 5 Spare parts and consumables Temple supports forehead support and temporomandibular joint supports Forehead support and temple supports 1 set REF 64 83 973 Contact pads for forehead and temple supports 1 set REF 64 85 010 Temporomandibular joint support 1 for temporomandibular joint exposures REF 64 84 112 Temporomandibular joint support 2 for temporomandibular joint exposures REF 64 85 002 Contact pads for temporomandibular joint supports 10 pieces REF 59 90 648 Ear holders for temporomandibular joint supports 10 pieces REF 18 88 838 64 94 947 D3632 D3632 201 03 01 02 05 2015 39 3 Unit description Sirona Dental Systems GmbH 3 5 Spare parts and consumables Operating Instruction ORTHOPHOS SL 2D 3D Hygienic protective sleeves Identification of single use devices Prior to each exposure the hygienic protective sleeves single use devices must be fitted Single use devices are identified with the symbol shown on the left They must be disposed of immediately after use Do not use single use devices more than once Protective sleeves for basic unit For forehead support and temple supports 500 pieces REF 59 68 263
44. HD mode is selected The HD ON OFF option can also be set in the Start settings menu by default 89 5 Operation Sirona Dental Systems GmbH 5 6 Volume exposures Operating Instruction ORTHOPHOS SL 2D 3D Selecting kV mA values 85 kV are usually emitted for volume exposures Preset kV mA combinations and radiation times are assigned to the patient symbols which are selected according to the patient s size and weight The symbols roughly correspond to child youth woman woman man hefty persons The kV mA values and radiation times are preset see also Program values for volume exposures PAN CEPH V Level 1 is displayed on the touchscreen gt Touch the required patient symbol The selection A is highlighted in orange The selected kV mA value is displayed on the right side of the touchscreen and the radiation time is shown below the program name The kV mA value is selected Ready for expojpre For HD ON Setting the kV mA values via the submenu line If you cannot achieve a satisfactory result with the specified pairs of kV mA values over the patient symbols you can manually set the kV mA values for all programs in HD ON mode V Level 1 is displayed on the touchscreen 1 Touch the kV mA symbol B on the right side of the touchscreen A submenu line is opened 2 Select a kV mA value To do this touch the arrow keys or Please be aware of the maximum patient dose The selected kV mA valu
45. New as of 05 2015 IO Na The al Company ORTHOPHOS SL 2D ORTHOPHOS SL 2D Ceph ORTHOPHOS SL 3D ORTHOPHOS SL 3D Ceph Operating Instruction Table of contents 1 SSS FAC A NET m m UT 8 1 1 Dear Guslotmmiel admssosa bars uta s dus dea DACH IC DAT LA ILU UD rd SIS eect 8 b2 ACONTACEIATORMAUON sce aec ede M Va dec dixe heb ln Qe ccs deb occ esser n 8 To sCopyrightahbd Fadettial succi uin EE Seda beds eiu oerte eis 9 1 4 General information about this operating manual 9 124 1 Structure orne docBllmigblbsse dut uae vas et iae mu aut vet n Re Pe de Urea Eus 10 1 4 1 1 Identification of danger levels 10 1 4 1 2 Formats and symbols used seeeeeeeeeses 10 1o Otherrel vantdocultehls oe nas rade e Ere e SR E ra ice Pod aac ea rac 11 16 Waranty and abillDy scio pace a rota e ERR Ee qx Fen erede 11 1 Obligation of system owner and personnel cccecccececeeeeceeeeeeeeeeeeeeeees 11 bo WhBtetided US stunde uix Eon a ee ene a ftu iet unie Eni ER ont ee 12 1 9 Indication and CONTrAINCICATION cc cece eccc eee eeeceeeeeececeeeceeeeeeseeeeeeeeeeeesees 12 2 DAlely INTO MAU OM ccn ado dat acie S aere a dette du 13 2 1 Mioma omine UIE E 0 SERM 13 2 2 WVelulauohslols sodomie a E bela M UR tus DAT M es 13 2 EODndensdiloblasensutiaesencetaveHu a aches delete Eta TET dee cl tI Ee 13 2 4 Qualificatio
46. Press the temple support adjustment button I When you touch the patient s head the temple supports stop automatically 12 Press the forehead support adjustment key H ihe tl b When you touch the patient s head the forehead support stops automatically Make sure that the patient s head does not move backwards when placing the forehead support 13 Instruct the patient to exhale place his tongue against the roof of his mouth and to hold this position until the end of the exposure v The patient is positioned in the unit If the occlusal bite block is stuck in the bite block holder even after the exposure is carried out and you select an exposure program that is not intended for the use of the occlusal bite block the help message H307 Change bite block will appear in the comment line Insert the relevant bite block or contact segment required for the exposure The help message disappears as soon as the occlusal bite block is removed IMPORTANT In P1 P2 P10 the slice width is selected automatically for different dental arches with the temple support setting and the radiation time is also changed slightly through this in accordance with the temple support width which is set 64 94 947 D3632 D3632 201 03 01 02 05 2015 63 64 Positioning with chin rest and rod for bite block Jv Jv The chin rest and bite block se
47. a Dental Systems GmbH 5 Operation Operating Instruction ORTHOPHOS SL 2D 3D 5 13 Canceling an exposure Canceling an exposure An exposure that has been triggered can be canceled again at any time Pressing the R key moves the unit to the starting position A patient positioned in the unit may be injured by moving parts gt Check that a patient is not positioned in the unit before moving it to the starting position X The exposure is released Let go of the exposure release button The exposure is immediately terminated Message H320 appears The exposure data of the terminated exposure is displayed on the touchscreen The radiation time and dose area product flash 2 Guide the patient out of the unit 3 Press the R key The actual required radiation time is acknowledged 4 Press the R key again The rotating unit moves to the starting position The device is now ready for the next exposure IMPORTANT The program settings must be checked before the exposure is repeated Any changed program settings must be preselected again 64 94 947 D3632 D3632 201 03 01 02 05 2015 123 Changing the basic settings and start settings PAN program group In level 2 In the basic settings the stored kV mA values of the patient symbols can be adjusted for each program In the default settings the pre selection of the patient symbol can be changed and the enabling disabling the Quickshot function can
48. a roue a e Y tese 8 cz fors eie eona as fre fona n fre fore as sr oone m C3 94s na 73 15 22 41 7345 22 41 774 23 142 8443 26 c E ii m um 3 2 UNUS Ze EE 30x23 ca ors pes ee e fo eme ve a ewe pe o fne fre fo Calculate dosage For any freely programmed parameter combinations you must calculate the value using the kV DAP lists see sample calculation Explanation Art 3 3 of the X Ray Ordinance requires that the system must include either devices that show the DAP display for the radiation exposure of the patient or that this information can be derived e g from tables The manufacturers of dental equipment have agreed on using the same measurement method To compensate for measuring errors as well as for system and instrument variations a tolerance of 20 must be taken into account The radiation exposure is specified as the dose area product DAP of the absorbed dose Gy x cm per mAs for each unit as well as each selectable kV level and diaphragm Calculation The values indicated below have been calculated for the parameter combinations proposed by Sirona If other settings are used with the help of kV DFP lists proceed as follows 1 Select the set kV level from the table of the respective X ray system and note down the DAP factor 2 Multiply the DAP factor by the actually used mA as indicated on the X ray system 3 Multiply the result by the actual exposure time s
49. acing the bite block contact segment 3D bite block or chin rest You will need to replace accessory parts according to the patient or exposure program 1 Pull the accessories upwards and out of the holder The accessory part disengages 2 Insert the bite block contact segment 3D bite block or chin rest v The bite block contact segment 3D bite block or chin rest engages in position The accessory has been replaced The chin rest can be combined with the bite block rod or the bar gt Insert the rod for the bite block or the bar into the chin rest from above Using the occlusal bite block The occlusal bite block can be used for all panoramic and 3D exposures except temporomandibular and sinus exposures in place of the yellow bite block or contact segment The angle of the bite block plate is transmitted to the X ray unit The displays on the touchscreen and the color change of the height adjustment buttons for adjusting the unit height and an automatic stop function assist the user in positioning the patient An interchangeable bite block foam is used for the bite block which can also be used for patients without anterior teeth Bite block foam single use device 100 pieces REF 61 41 449 Inserting the bite block foam 1 Insert the plug of the top section into the opening on the bite block plate 2 Fold the bite block foam downwards 3 Place the lower section onto th
50. al Systems GmbH 5 Operation Operating Instruction ORTHOPHOS SL 2D 3D 5 5 Sinus view Setting the kV mA values Setting the kV mA values via the patient symbols Preset kV mA combinations are assigned to the patient symbols which are selected according to the patient s size and weight The symbols roughly correspond to child youth woman woman man hefty persons V Level 1 is displayed on the touchscreen gt Touch the required patient symbol The selection A is highlighted in orange The selected kV mA value is displayed on the right side of the touchscreen The kV mA value is set Setting the kV mA values via the submenu line If the preset kV mA combinations do not provide a satisfactory result you can also set the kV mA values manually in all programs V Level 1 is displayed on the touchscreen 1 Touch the kV mA symbol B on the right side of the touchscreen A submenu line is opened Ready for exposure 2 Select a kV mA value Touch the or keys The selected kV mA value is displayed 3 Touch the cross on the left side of the submenu line gt Touch the kV mA symbol B again The submenu line is closed The kV mA value is set Ready for exposure 64 94 947 D3632 D3632 201 03 01 02 05 2015 Tf 78 Positioning the patient The patient is positioned on the unit while standing Positioning in the seat is also possible without issue The height adjustment motor starts slowly and
51. an be turned off by pressing the button again It switches off automatically after approx 100 seconds Align the patient with the central light line G v The light beam reflects in the center of the patient s anterior teeth or the middle of his face mid sagittal Align the patient s head as closely as possible along the occlusal plane C Correct the patient s head inclination as necessary Briefly press the up A and down B height adjustment keys Press the temple support adjustment button I When you touch the patient s head the temple supports stop automatically Press the forehead support adjustment key H When you touch the patient s head the forehead support stops automatically Make sure that the patient s head does not move backwards when placing the forehead support Check the patient s position and make any final corrections as necessary Swivel the control mirror back into place by pressing the right recess on the touchbar D The patient can see himself in the control mirror Instruct the patient to exhale place his tongue against the roof of his mouth and to hold this position until the end of the exposure The patient is positioned in the unit Tip You can limit the volume by selecting individual segments using the quadrant selection see Adjusting the volume area and collimation 88 64 94 947 D3632 D3632 201 03 01 02 05 2015 93 Positioning with chin rest If it is not
52. as ed inlet ue ated erem ius ie usus 5 4 1 1 TM1 1 TM1 2 Lateral view of temporomandibular joints with mouth open and closed 0 4 1 2 TM3 Temporomandibular joints lateral ascending rami 5 4 2 Preparing the CxPOSUe cccceccsecceecseeceeeseeteeeseeteeceeeeeeeeeeseeeaaes 5 4 3 Selecting an exposure program c ccccceeccceeceeeeeeeeeeaeceeseeeseeesanees 0 4 4 Adjusting the angle preselection seeeseeeeeeseeeeese 5 4 5 Setting the kV mA values eeeeseesseesseeeeeennennn nnne 34 67 Positioning THE Dallenl ur e noe E Dv tcu peni et s 5 4 6 1 Positioning for a lateral temporomandibular joint exposure MCS VEW coe E E eedackceieaaae 90 1 Program descHDLHIOFIS xusodsdsutenoen Dicat e e a e ED Sek Sls ParanasalsSiNUSE Snai nee tantees 5 5 1 2 S3 Paranasal sinuses linear slice orientation 5 5 2 Preparing the CxPOSUIe cccceccsecceecseeceeeseeteeeeneceeceeeeseeeeeseeeaaes 5 5 3 Selecting an exposure program ccccccceeccceeceeeeeeeeeeeeeeseeseeeeanees 5 5 4 Setting the kV mA values seeeseesseseseeeeneennne nnn 5 55 Positioning the pallent e err ees terere ce v adeps 5 5 5 1 Positioning for paranasal sinus exposures 5 5 5 2 Positioning for maxillary sinus exposures using the bite block 64 94 947 D3632 D3632 201 03 01 02 05 2015 5 5 5 3 Positioning for maxillary sinus exposur
53. ble triangle D in the upper right corner of the touchscreen v The start settings are hidden level 1 is displayed 64 94 947 D3632 D3632 201 03 01 02 05 2015 CEPH program group In level 2 In the basic settings the stored kV mA values of the patient symbols can be adjusted for each program In the default settings the pre selection of the patient symbol can be changed and the enabling disabling the Quickshot function can be preset Basic settings changing the kV mA values of the patient symbols V Level 1 of the CEPH program group is displayed on the touchscreen 1 Touch the toothed wheel A in the upper right corner of the touchscreen Level 2 is displayed 2 Select the exposure program for which you want to change the kV mA value Touch the or arrows v The selected setting is displayed on the right side of the touchscreen 3 Select the patient symbol for which you want to change the kV mA value 4 Select the kV mA value that you want to apply to the selected program and patient symbol 5 Touch the save symbol B v The kV mA value is saved for the selected program and patient symbol 6 Repeat this procedure for the other patient symbols and programs v The settings for the kV mA values stored for the patient symbols have been made 64 94 947 D3632 D3632 201 03 01 02 05 2015 127 128 QUICK OFF Select start settings Start settings Changing the start settings for the pa
54. block The universal bite block can replace all other bite blocks and contact segments An interchangeable bite block foam is used for the bite block which can also be used for patients without anterior teeth Bite block foam single use device 100 pieces REF 61 41 449 Inserting the bite block foam 1 Insert the plug of the top section into the opening on the bite block plate 2 Fold the bite block foam downwards 3 Place the lower section onto the plug of the top section Adjusting the bite block height The colored marking lines on the bite block slider are identical to the colors of the bite blocks These correspond to the same bite block height The yellow marking has the same meaning as the bite block height of the yellow standard bite block or contact segment for the panoramic and bite wing exposures P1 P2 P10 P12 BW1 and BW2 If the mandibular ramus is not displayed on the exposure and parts of the sinus region are not necessarily of interest then use the red marking The blue marking has the same meaning as the bite block height of the blue bite block or contact segment for sinus exposures S1 S3 Green mark for maxillary exposures where the alveolar ridge of the patient s head is aligned horizontally to position the patient a little lower in relation to the beam path The gray black and white color markings offer further grid positions each with a position distance of 1 cm
55. by electromagnetic fields Before commencing treatment ask if the patient has a cardiac pacemaker or any other implanted system Any prevailing risks are listed in the documentation provided by the equipment manufacturer Combination with other equipment Any person who assembles or modifies a medical electrical system complying with the standard IEC 60601 1 safety requirements for medical electrical equipment by combining it with other equipment is responsible for ensuring that the requirements of this regulation are met to their full extent for the safety of the patients the operators and the environment If any devices not approved by Sirona are connected they must comply with the applicable standards e EC 60950 1 for information technology equipment and e EC 60601 1 for medical devices See Installation requirements and the compatibility list declaration of conformity by the system integrator If in doubt contact the manufacturer of the system components Modifications to the unit Modifications to this unit which might affect the safety of the system owner patients or other persons are prohibited by law For reasons of product safety this product may be operated only with original Sirona accessories or third party accessories expressly approved by Sirona The user is responsible for any damage resulting from the use of non approved accessories Structural alterations If structural changes are made in the vicini
56. ction ORTHOPHOS SL 2D 3D 10 2 Disposal Worldwide outside Germany Please contact your local dental equipment specialist for country specific information on disposal The X ray tube assembly for this product contains an X ray tube with a potential implosion hazard a small amount of beryllium a lead lining and mineral oil The unit contains counterbalancing weights made of lead 64 94 947 D3632 D3632 201 03 01 02 05 2015 157 10 Dismantling and disposal Sirona Dental Systems GmbH 10 2 Disposal Operating Instruction ORTHOPHOS SL 2D 3D 64 94 947 D3632 158 D3632 201 03 01 02 05 2015 We reserve the right to make any alterations which may be required due to technical improvements Sirona Dental Systems GmbH 2015 Sprache englisch Printed in Germany D3632 201 03 01 02 05 2015 A Nr 000 000 Sirona Dental Systems GmbH in the USA FabrikstraBe 31 Sirona Dental Systems LLC Order No 64 94 947 D3632 D 64625 Bensheim 4835 Sirona Drive Suite 100 Germany Charlotte NC 28273 WWW sirona com USA
57. d immediately release the keys The light localizer consists of one Class 1 laser Patients and users can be blinded by the laser light localizer gt Do not stare directly into the laser beam Make sure that the laser beam does not meet the eyes of the patient gt A distance of at least 10 cm must be maintained between the eye and the laser IMPORTANT Ask the patient to take off all metallic objects such as glasses and jewelry in the head and neck area as well as all removable dental prostheses The tray in front of the control mirror is used for depositing jewelry Tip The Easypad shows the reference values of the height and forehead support settings which are saved for further exposures in the additional information area of the SIDEXIS software 64 94 947 D3632 D3632 201 03 01 02 05 2015 Positioning with an occlusal bite block The occlusal bite block sets the inclination according to the occlusal plane instead of the Frankfurt horizontal plane This results in fewer overlaps in the anterior tooth region and upper jaw If required the service engineer can adjust the angle by 5 in order to preset the Frankfurt horizontal plane X The occlusal bite block with bite block foam is inserted in the device The green arrows are displayed on the touchscreen X The forehead support and temple supports are inserted in the unit The hygienic protective sleeves are pulled on 1 Guide the patient in front of the cont
58. direct converter technology for panoramic exposure technology Active sensor area Pantype 146 mm x 6 mm Pixel size 0 1 mm Focus sensor distance 497 mm Flat Panel Detector Digital Flat Panel Detector with a Si technology amorphous silicon With 3D exposure technology Active sensor area 160mm x 160mm Pixel size 0 12 mm Focus sensor distance 524mm Max filtration in front of lt 1 2 mm AI sensor Ceph sensor Digital line sensor with CCD technology Active sensor area Ceph 230 mm x 6 48 mm type Pixel size 0 027 mm Focus sensor distance 1 714 mm Operating and transport conditions Transport and storage 10 C 70 C 14 F 158 F temperature Air humidity 10 95 Admissible operating 18 C 31 C 64 F 88 F temperature Operating altitude lt 3 000 m above sea level 64 94 947 D3632 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 3 Unit description Operating Instruction ORTHOPHOS SL 2D 3D 3 2 Technical data 3 2 3 Diagrams Cooling curve for tube housing Heating curve of tube housing Central X ray beam and anode angle D y f Y I I I I f T 64 94 947 D3632 D3632 201 03 01 02 05 2015 23 24 Values of the secondary scattered radiation 1 3 4 The highest scattered radiation is listed here as it is generated in the HD mode for 3D X ray operation 3D X ray measurement criteria The follo
59. e optical radiation indicator B lights up on the Easypad In addition an acoustic signal sounds throughout the radiation Radiation can be released several times during the exposure 2 Press and hold release button A Wait until a short pulsed tone sequence sounds can be deactivated by a service engineer The message Please wait appears in the comment line of the touchscreen followed by confirmation of the exposure data Exposure mode exposure program tube voltage and current actual radiation time dose area product are displayed The forehead and temple or temporomandibular joint supports open automatically 3 Let go of release button A v The exposure is completed The X ray image is displayed on the PC monitor after a brief period 4 Guide the patient out of the unit 5 Press return key R on the Easypad Confirmation of the exposure data is acknowledged 64 94 947 D3632 D3632 201 03 01 02 05 2015 6 WARNING The patient may be injured by moving parts Press return key R on the Easypad again v The rotating unit moves to the starting position The unit is ready for the next exposure Save data see SIDEXIS Two part temporomandibular joint exposure program TM 1 1 In the Two part exposure program TM 1 1 two exposures TM 1 1 and TM 1 2 are made Hi A X Once the first temporomandibular joint exposure has been released the message Please wait appears in the comment line on the CEDRAS t
60. e is displayed Ready for exposure 3 Touch the cross on the left side of the submenu line gt Touch the kV mA symbol B again The submenu line is closed The kV mA value is set Ready for exposure 64 94 947 D3632 90 D3632 201 03 01 02 05 2015 Positioning the patient The patient is positioned on the unit while standing Positioning in the seat is also possible without issue The height adjustment motor starts slowly and then increases its speed A patient positioned in the unit may be injured by moving parts gt Monitor the patient and the movement of the unit during height adjustment To make minor corrections press and immediately release the keys The light localizer consists of one Class 1 laser Patients and users can be blinded by the laser light localizer gt Do not stare directly into the laser beam Make sure that the laser beam does not meet the eyes of the patient 2 A distance of at least 10 cm must be maintained between the eye and the laser IMPORTANT The image quality of volume exposures is limited by metal or other radiopaque materials located in the patient s mouth Ask the patient to take off all metallic objects such as glasses and jewelry in the head and neck area as well as all removable dental prostheses The tray in front of the control mirror is used for depositing jewelry Tip The Easypad shows the reference values of the height and forehead support settings wh
61. e plug of the top section 64 94 947 D3632 D3632 201 03 01 02 05 2015 43 4 Installation and start up Sirona Dental Systems GmbH 4 1 Replacing accessories on the basic unit Operating Instruction ORTHOPHOS SL 2D 3D Inserting the occlusal bite block NOTICE A contact for transmitting the angle to the X ray system is located on the occlusal bite block The contact can be broken off or bent during insertion removal and storage gt Be careful not to damage the contact gt Insert the occlusal bite block into the bite block holder on the unit The head symbol on the touchscreen changes as soon as the tab A is inserted into the device a green arrow may appear which shows in which direction the height must be adjusted When the head is properly aligned the green arrows on the head symbol disappear The height adjustment buttons light up depending on the biting position Only one of the two buttons is ever green The green button indicates the direction of movement of the stand required to achieve the best possible patient positioning Both buttons become blue if the optimum position is achieved and no further change to the height is necessary The height adjustment can be moved upwards and downwards irrespective of the lighting of the buttons The color of the button is just a suggestion Ready for exposure 64 94 947 D3632 44 D3632 201 03 01 02 05 2015 Using the universal bite
62. e standard projections 0 do not provide an optimal image The figure shows the direction in which the slice orientation is being swiveled during angle preselection V Level 1 is displayed on the touchscreen 1 Touch the angle preselection symbol A on the right side of the touchscreen A submenu line is opened Ready for exposure CEPH ry 2 Select the corresponding angle preselection The selection is highlighted orange in the submenu line The selected angle preselection is displayed on the right side of the touchscreen P EI Av As Alo a E b 3 Touch the cross on the left side of the submenu line i or Ready for exposure gt Touch the angle preselection symbol A again The submenu line is closed The angle preselection is set IMPORTANT When you confirm the exposure with the R key the angle setting that was changed in the submenu line will automatically be reset to the default setting of O 64 94 947 D3632 70 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 5 Operation Operating Instruction ORTHOPHOS SL 2D 3D 5 4 Temporomandibular joint exposure Setting the kV mA values Setting the kV mA values via the patient symbols Preset kV mA combinations are assigned to the patient symbols which are selected according to the patient s size and weight The symbols roughly correspond to child youth woman woman man hefty persons V Level 1 is display
63. e the following accessories gt Temporomandibular joint supports with ear holders Forehead support Insert the accessory parts to be used into the unit and pull on the relevant hygienic protective sleeves see Hygienic protective sleeves gt 40 Switch SIDEXIS to a ready for exposure state see Switch SIDEXIS to ready for exposure state Selecting an exposure program Pressing the R key moves the unit to the starting position A patient positioned in the unit may be injured by moving parts gt Check that a patient is not positioned in the unit before moving it to the starting position The unit is switched on and ready for exposure Touch the PAN symbol at the top of the touchscreen The program group PAN is selected Select the exposure program Press the arrow keys C and A v The exposure program is displayed in the program display B Follow the instructions in the comment line on the touchscreen Press the R key if necessary The diaphragm and the sensor move into the starting position The exposure program is selected 69 5 Operation Sirona Dental Systems GmbH 5 4 Temporomandibular joint exposure Operating Instruction ORTHOPHOS SL 2D 3D Adjusting the angle preselection In the TM1 exposure program angle 0 5 10 and 15 can be preset for the temporomandibular joint area This can be helpful if more detailed analyses of the temporomandibular joint are necessary but th
64. e unit height using the up A and down B keys CAUTION The height adjustment motor starts slowly and then increases its speed Press and hold down the button until the desired height is reached The unit movement is accompanied by a beep Release the height adjustment buttons once the contact pads of the temporomandibular joint supports are located above the patient s ears 3 Instruct the patient to position himself between the temporomandibular joint supports and hold the handles with both hands 4 Instruct the patient to place his subnasale the base of his nose against the contact segment and tilt his head backwards as far as possible v The patient s head is reclined as far as possible 5 Close the temporomandibular joint supports with the key C The temporomandibular joint supports stop automatically when they come into contact with the patient s head The patient is fixed to the unit by the contact pads 6 Check the patient s position and make any final corrections as necessary 7 Instruct the patient to exhale place his tongue against the roof of his mouth and to hold this position until the end of the exposure The patient is positioned in the unit 64 94 947 D3632 D3632 201 03 01 02 05 2015 19 5 Operation Sirona Dental Systems GmbH 5 5 Sinus view Operating Instruction ORTHOPHOS SL 2D 3D Positioning for maxillary sinus exposures using the bite block X The blue bite block the foreh
65. ead support and temple supports are inserted in the unit X The relevant hygienic protective sleeves are pulled over the accessories 1 Guide the patient in front of the control mirror 2 Setthe unit height using the up A and down B keys CAUTION The height adjustment motor starts slowly and then increases its speed Press and hold down the button until the desired height is reached The unit movement is accompanied by a beep Release the height adjustment buttons once the bite block is at the same height as that of the patient s anterior teeth 3 Instruct the patient to hold the handles with both hands and bite into the bite block The patient s anterior teeth are positioned in the indentation in the bite block If necessary push the lower anterior teeth forwards until they reach a stop 4 Check the patient s occlusal plane C Correct the height of the unit using the up A and down B keys The occlusal plane is slightly inclined toward the front 64 94 947 D3632 80 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 5 Operation Operating Instruction ORTHOPHOS SL 2D 3D 5 5 Sinus view 5 Check the position of the patient s spine Ensure that the patient s spine is slightly inclined as shown in the diagram Tip To achieve the correct positioning of the spine ask the patient to take a small step towards the column of the unit The patient s cervical vertebrae are thus
66. eas can be made with the 3D bite block the yellow bite block or the universal bite block The 3D bite block or universal bite block is recommended for volume exposures If it is not possible to work with these bite blocks another possibility is to use the chin rest with the bite block rod or bar While positioning the patient the upper and lower volume limit is shown with the light localizer on the patient s head If it then becomes apparent that the desired exposure area is located outside of the limits of the light localizer the patient s head can be positioned lower or higher in the beam path by using a different bite block If exposures are to be taken in the maxillary temporomandibular sinus and orbital regions the patient can then be positioned lower accordingly with the blue bite block or the universal bite block in several layers The proportional volume in the sinus region is thus greater Positioning is also possible with the universal bite block as this can be adjusted in several stages and the wide soft bite block foam offers increased safety against vibrations The bite block foam is equally suitable for patients without anterior teeth Positioning is also possible with the occlusal bite block The occlusal bite block sets the inclination according to the occlusal plane instead of the Frankfurt horizontal plane Two spherical bite blocks are available for preparing an implant drilling template for measuring scans of the up
67. ed image is magnified by approx 1096 on average compared to reality gt 2 5 mm Al 90 IEC 60522 0 3 mm Cu for volume exposures 0 5 mm 64 94 947 D3632 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 3 Unit description Operating Instruction ORTHOPHOS SL 2D 3D 64 94 947 D3632 D3632 201 03 01 02 05 2015 Marking of focal spot Source skin distance Automatic exposure blocking Equipment class Class device Degree of protection against electric shock Degree of protection against ingress of water Year of manufacture Mode of operation Long term power output Anode material Exposure parameters for determining leakage radiation X ray tube Siemens SR 90 15 FN 3 2 Technical data gt 200 mm 8 The duration of automatic exposure blocking cooling period depends on the set kV mA level and the actual exposure time Depending on the tube load interval times of 8 s to 300 s are automatically set by the system Example For program P1 with exposure data of 84kV 12mA and a radiation time of 14 1 s the pause duration is 150 s IPXO o Type B device Ordinary equipment without protection against ingress of water ud 20XX on the rating plate Continuous operation 200 W Tungsten 2 mA 90 kV 21 22 S Unit description 3 2 Technical data Sirona Dental Systems GmbH Operating Instruction ORTHOPHOS SL 2D 3D PAN sensor Digital CdTe sensor with
68. ed on the touchscreen 2 Touch the required patient symbol The selection A is highlighted in orange The selected kV mA value is displayed on the right side of the touchscreen The kV mA value is set Ready for expojlire Setting the kV mA values via the submenu line If the preset kV mA combinations do not provide a satisfactory result you can also set the kV mA values manually in all programs V Level 1 is displayed on the touchscreen 1 Touch the kV mA symbol B on the right side of the touchscreen A submenu line is opened Ready for exposure 2 Select a kV mA value Touch the or keys The selected kV mA value is displayed 3 Touch the cross on the left side of the submenu line Or gt Touch the kV mA symbol B again The submenu line is closed The kV mA value is set Ready for exposure 64 94 947 D3632 D3632 201 03 01 02 05 2015 71 72 Positioning the patient The patient is positioned on the unit while standing Positioning in the seat is also possible without issue The height adjustment motor starts slowly and then increases its speed A patient positioned in the unit may be injured by moving parts gt Monitor the patient and the movement of the unit during height adjustment gt To make minor corrections press and immediately release the keys The light localizer consists of one Class 1 laser Patients and users can be blinded by the laser light localizer gt Do
69. ee Multitimer or table 64 94 947 D3632 152 D3632 201 03 01 02 05 2015 Sample calculation X ray with program P1 and a parameter combination of 60 kV 10 mA Ad 1 60 kV has a DAP factor of 0 5693 at aperture 10 Ad 2 10 mA displayed Ad 3 the exposure time is 14 1 s mGycm DFP 0 5693 x 10mA x 14 1s 80 2713mGycm 2D images DAP factor DAP factor DAP factor program program program P1 P2 P12 P10 BW1 BW2 C1 C4 S1 S3 TM1 TM3 mGy x cm mAs mGy x cm mAs mGy x cm mAs Sms ooo mT m p p m p E MERE m M e p ooo mp p p E E mom E MEO o E h 1 1024 0 6677 0 2055 3D images kV HD mode DAP factor DAP factor DAP factor program program program VOL1 VOL2 VOL3 mGy x cm mAs mGy x cm mAs mGy x cm mAs 9 459 6 583 4 191 15 401 11 790 11 094 7 722 4 951 18 064 13 829 64 94 947 D3632 D3632 201 03 01 02 05 2015 153 9 Settings and repair Sirona Dental Systems GmbH 9 2 Setting ambient light via the Web service Operating Instruction ORTHOPHOS SL 2D 3D Setting ambient light via the Web service IMPORTANT The light color of the unit lighting ambient light has no connection with the unit status that is displayed on the user interface Easypad X The unit and computer are turned on X The unit is logged into the network as an X ray component 1 Start an Internet browser such as Internet Explorer or Firefox P https 192 168 15 240 7 Gy 2 Inthe address line enter https
70. emple support adjustment button I When you touch the patient s head the temple supports stop automatically 9 Press the forehead support adjustment key H When you touch the patient s head the forehead support stops automatically Make sure that the patient s head does not move backwards when placing the forehead support 10 Check the patient s position and make any final corrections as necessary 11 Swivel the control mirror back into place by pressing the right recess on the touchbar D The patient can see himself in the control mirror 12 Instruct the patient to exhale place his tongue against the roof of his mouth and to hold this position until the end of the exposure The patient is positioned in the unit 64 94 947 D3632 96 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 5 Operation Operating Instruction ORTHOPHOS SL 2D 3D 5 7 Cephalometric exposures Cephalometric exposures Program description Be aware of the different viewing directions in medical and dental radiology C1 Posterior anterior exposure symmetrical The program takes a full format exposure from posterior to anterior This program is suitable only for semi axial cranial exposures The exposure provides a cranio eccentric overview C2 Anterior posterior exposure symmetrical The program takes a full format exposure from anterior to posterior This program is suitable
71. en the unit is switched off Images that have not been transferred to SIDEXIS are irretrievably lost The exposure must be repeated gt Wait until the exposure data have be completely transferred Do not switch the unit off before the X ray exposure is displayed on the SIDEXIS screen In the case of cephalometric exposures with right handed arm the secondary diaphragm and sensor automatically return to the starting position following exposure A patient who exits the unit too quickly risks injury from the moving parts gt Be sure to explain the entire exposure procedure to the patient The patient may leave only after the exposure has been taken and the secondary diaphragm and sensor have automatically returned from the cephalometer Ceph arm on right side Scanning operation from rear to front after the exposure the secondary diaphragm and the sensor move automatically to the rear for the positioning of the next patient In the left handed arm version Scanning operation from front to rear secondary diaphragm and sensor remain at the rear in the position required for positioning of the next patient Pressing the R key moves the unit to the starting position A patient positioned in the unit may be injured by moving parts 2 Check that a patient is not positioned in the unit before moving it to the starting position IMPORTANT Prior to exposure ensure that you have selected the correct exposure program Check the pr
72. ent s head according to the Frankfurt horizontal plane 6 Correct the patient s head inclination as necessary Briefly press the up A and down B height adjustment keys The light beam reflects on the upper edge of the outer auditory passage and at the deepest point of the lower eye socket 64 94 947 D3632 D3632 201 03 01 02 05 2015 107 5 Operation Sirona Dental Systems GmbH 5 7 Cephalometric exposures Operating Instruction ORTHOPHOS SL 2D 3D T Optionally Swivel the nose support downward and adjust it in a vertical and horizontal direction see Setting inserting the cephalometer accessories gt 47 The nose support rests on the root of the nose 8 Instruct the patient to hold this position until the end of the exposure The patient is positioned in the unit 64 94 947 D3632 108 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 5 Operation Operating Instruction ORTHOPHOS SL 2D 3D 5 7 Cephalometric exposures Positioning for carpal exposures C4 NOTICE The patient may press too forcefully against the carpus support plate This can damage the carpus support plate gt Instruct the patient to only press lightly on the carpus support plate Jv Jv Jv Jv The nose support is swiveled upwards The carpus support plate is inserted in the unit Push the ear plug holders apart The ear plug holders are rotated at an angle of 90 degrees towards the sensor and
73. es must be fitted Single use devices are identified with the symbol shown on the left They must be disposed of immediately after use Do not use single use devices more than once Ventilation slots Under no circumstances may the ventilation slots on the unit be covered since otherwise the air circulation will be obstructed This can cause the unit to overheat Do not spray liquids such as disinfectants into the ventilation slots This may lead to malfunctions Use wipe disinfection only in the vicinity of the ventilation slots Condensation Extreme fluctuations of temperature may cause condensation inside the unit Do not switch the unit on before it has reached normal room temperature See the chapter on Technical data 13 14 Qualifications of operating personnel The system may only be operated by skilled or properly trained personnel Personnel who are to be trained taught instructed or are taking part in a general training may operate the device only under the supervision of an experienced person To operate the unit the operating personnel must e have read and understood the Operating Instructions e be familiar with the fundamental structure and functions of the unit e be able to recognize irregularities in the functioning of the unit and implement the appropriate measures where necessary The operators of the unit must be adequately trained in the DVT technology with regard to the principles of operation
74. es have a magnitude of over 10 amps They are not hazardous for humans because they last for only several nanoseconds Tip 1 nanosecond 1 1 000 000 000 second 1 billionth of a second Voltage differentials exceeding 30 000 volts per centimeter may lead to a charge transfer electrostatic discharge lightning arc over Integrated circuits logical circuits and microprocessors are used in order to implement a wide variety of functions in a device The circuits must be miniaturized to a very high degree in order to include as many functions as possible on these chips This leads to structure thicknesses as low as a few ten thousandths of a millimeter Integrated circuits that are connected to wires leading externally are therefore particularly at risk from electrostatic discharge Even voltages that are imperceptible to the user can cause breakdown of the structures thus leading to a discharge current that melts the chip in the affected areas Damage to individual integrated circuits may cause malfunction or failure of the unit 64 94 947 D3632 18 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 3 Unit description Operating Instruction ORTHOPHOS SL 2D 3D 3 1 Certification and registration Unit description Certification and registration ORTHOPHOS SL complies with e IEC 60601 1 e IEC 60601 1 3 e IEC 60601 2 63 Original language German This product bears the CE marking in accordance with the provisions of
75. es using the contact segment 68 69 69 70 71 72 73 19 19 19 19 76 76 Tf 78 19 80 82 5 6 5 7 5 8 5 9 5 10 5 11 5 12 5 13 5 14 5 15 Volume EXDOSUPES isura aa a a ag ai 83 S0 FProgranrdescriipioN secca dia sx ted ei ieu mter ere 83 SONI VOLW VOLT HO ioco eese et saaa tese unc det ut baee ein roce 83 o5 L2 VOLE2ZT VOLZ BE senssetotdtumdtomdde arenas te et ocala 84 56 139 Option VOLS 7 VOLEOS AD auosdoteubretistec benc Meare bite iet 85 5 6 2 Preparing the CxPOSUIe ccccccsecceeceeeceeceseceeeceeseeesseteeesseneeeeeees 86 5 6 3 Selecting the volume exposure cccccceeccceecceeeeceeeeaeeeeaeeeseeeeaeess 87 5 6 4 Adjusting the volume area and oollimation 88 5 65 Selecting HD MOOS cr eo pec esae e acu ev nire treats 89 56060 Selecting KV MA Values ede i ea dete i anrea bte buen 90 9 0 7 Positioning tlie patient uie ee E aaa 91 0 6 7 1 Positioning with 3D bite block or universal bite block 92 5 6 7 2 Positioning with chin TeS tseisean 94 0 6 7 3 Positioning with blue bite block or the universal bite block 95 Cephalometric exposures S aapea aa 97 9 7 1 Program descripto N eisirean a eee atoendieenoses 97 5 7 1 1 C1 Posterior anterior exposure symmetrical 97 5 7 1 2 C2 Anterior posterior exposure symmetrical 97 5 5 1 9 C3 Lateral exposure user ve ta e a da Rad 98 5 7 1 4 C4 Carpus
76. essary v The diaphragm and the sensor move into the starting position The exposure program is selected NOTICE The PAN 3D sensor unit is rotated via a motor drive The gearing of the sensor unit can be damaged if it is turned by hand gt Press the R key to rotate the sensor unit back to the starting position via motor drive The sensor unit is always rotated in combination with the entire main rotation unit The combisensor travels to the proper starting position for panoramic ceph or 3D exposures depending on the program group selected 64 94 947 D3632 56 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 5 Operation Operating Instruction ORTHOPHOS SL 2D 3D 5 3 Panoramic and bite wing exposure Setting quadrants The exposure can be restricted to quadrants You can select a half view of the right or left jaw in programs P1 P2 P10 and BW1 or upper jaw lower jaw in programs P1 P2 P10 and P12 In P1 P2 P10 also for constant magnification and artifact reduced view V Level 1 is displayed on the touchscreen 1 Press the quadrant symbol A on the right side of the touchscreen A submenu line is opened 2 Select the desired quadrant s See the figure below Quadrants can be selected as half views or individually Touch the quadrant field in the center to reactivate the full frame The selected quadrants are emphasized the non selected ones are grayed out Ready for exposure
77. 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 Obligation of system owner and personnel These operating instructions presuppose that you are familiar with the use of SIDEXIS software Prior to the exposure please ask women of a childbearing age as to whether they are pregnant or not If the patient is pregnant a risk benefit analysis must be performed According to the X ray Ordinance of Germany owners of X ray equipment must perform constancy tests at regular intervals in order to ensure the safety of operating staff and patients Sirona recommends monthly testing 64 94 947 D3632 D3632 201 03 01 02 05 2015 11 1 General data Sirona Dental Systems GmbH 1 8 Intended use Operating Instruction ORTHOPHOS SL 2D 3D Intended use The X ray system creates data for digital exposures in the maxillofacial area and in subareas for dentistry and pediatric dentistry for hard tissue diagnostics within ENT medicine and carpus exposures This unit must not be operated in areas subject to explosion hazards The operating and maintenance instructions must be observed 3D X rays may not be used for routine or medical check ups for which an X ray exposure is produced irrespective of the existence or non existence of clinical signs and symptoms 3D X ray examinations must
78. fractures The section has a linear orientation 19 76 Preparing the exposure Depending on the patient or the exposure program accessory parts must be replaced and the appropriate exposure mode must be selected see Installation and start up gt 43 You will require the following accessories Blue bite block or contact segment Temporomandibular joint supports with contact pads Forehead support Insert the accessory parts to be used into the unit and pull on the relevant hygienic protective sleeves see Hygienic protective sleeves gt 40 Switch SIDEXIS to a ready for exposure state see Switch SIDEXIS to ready for exposure state Selecting an exposure program Pressing the R key moves the unit to the starting position A patient positioned in the unit may be injured by moving parts gt Check that a patient is not positioned in the unit before moving it to the starting position The unit is switched on and ready for exposure Touch the PAN symbol at the top of the touchscreen The program group PAN is selected Select the exposure program Press the arrow keys C and A The exposure program is displayed in the program display B Follow the instructions in the comment line on the touchscreen Press the R key if necessary v The diaphragm and the sensor move into the starting position The exposure program is selected 64 94 947 D3632 D3632 201 03 01 02 05 2015 Sirona Dent
79. g check the position of the bite block plate the segment must point toward the connecting lever 7 Plug the occlusal bite block back into its holder on the unit 64 94 947 D3632 136 D3632 201 03 01 02 05 2015 64 94 947 D3632 D3632 201 03 01 02 05 2015 Inspection and maintenance Inspection and preventive maintenance must be performed at scheduled intervals to protect the health and safety of patients users and other persons Annual inspection In order to ensure the operational safety and functional reliability of your product you as the system owner should check the equipment at regular intervals at least once a year or commission your dental depot to do so The information provided in the document Inspection and maintenance should be helpful here Maintenance by the service engineer In addition to the annual check to be carried out by the system owner or authorized persons preventive maintenance must be performed after 4 7 and 10 years and then at two year intervals The information provided in the document Inspection and maintenance should be helpful here Checking image quality Constancy test in Germany Unit Please observe the regular checks of the image quality of your X ray unit e g the X ray Ordinance required by law in your territory Sirona provides you with the SIDEXIS software for the simple conducting of this constancy test and for its documentation The required test specimen and the de
80. ging via air conditioning air humidification conductive floor coverings non synthetic clothing e discharging the electrostatic charges from your own body through contact with ametallic unit casing alarger metallic object any other metal part grounded with the protective earth Endangered regions are indicated on the unit by the ESD warning label We recommend that all persons working with this system are made aware of the significance of the ESD warning label A training course should also be held to inform users about the physics of electrostatic charges 17 Physics of electrostatic charges An electrostatic discharge requires prior electrostatic charging There is a danger of electrostatic charges building up whenever two bodies rub against each other e g when e walking soles of shoes against the floor or e moving chair casters against floor The amount of charge depends on several factors The charge is e higher at low air humidity than at high air humidity and e 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 e perceptible at 3 000 V or higher e audible at 5 000 V or higher cracking crackling e visible at 10 000 V or higher arc over The transient currents resulting from these discharg
81. gment as well forehead support and temple supports are inserted in the unit The relevant hygienic protective sleeves are pulled over the accessories Guide the patient in front of the control mirror Set the unit height using the up A and down B keys CAUTION The height adjustment motor starts slowly and then increases its speed Press and hold down the button until the desired height is reached The unit movement is accompanied by a beep Release the height adjustment buttons once the patient s chin and the chin rest on the unit are at the same height Turn the bite block away from the patient v The bite block is pointing towards the control mirror Instruct the patient to place his chin on the chin rest and place both hands on the hand grips Turn the bite block towards the patient and instruct him to bite on the bite block The patient s anterior teeth are positioned in the indentation in the bite block If necessary push the lower anterior teeth forwards until they reach a stop 64 94 947 D3632 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 5 Operation Operating Instruction ORTHOPHOS SL 2D 3D 5 3 Panoramic and bite wing exposure 6 Check the patient s occlusal plane C Correct the height of the unit using the up A and down B keys The occlusal plane is slightly inclined toward the front 7 Check the position of the patient s spine Ensure that the patient s spine is slightly
82. gs 34 Display aid for patient head positioning The patient head symbol shown on the top right helps you to position the patient s head The patient head icon shows the head posture straight Frankfurt horizontal plane bent forward anterior with open or closed mouth or reclined A colored symbol yellow or blue indicates if a bite block or a contact segment should be used In red this line shows the reflecting light localizer line Frankfurt horizontal in white it is simply used as a guide for the corresponding head inclination For temporomandibular joint and sinus views the temporomandibular joint support is also displayed in blue If a small circle with a dot in its center appears at the end of the support ear holders must be inserted only contact pads are required if this symbol is not displayed When using the occlusal bite block a green line and a green arrow are shown for positioning 2nd level Sub menus e Selecting the basic settings In the 2nd level the factory set exposure parameters of the programs and the adaptation of the kV mA values stored for the patient symbols are changed The settings are then preselected by default every time the unit is switched on and for every new exposure e Selecting default settings You can access the start settings via the diskette symbol at the top of the touchscreen In the default settings the patient symbol can be preselected and the Quickshot func
83. iations Ex Error type The x character provides a foundation for making quick decisions as to how serious the error is and how to handle the error yy Locality Describes the impaired function of the device zz Identification Further specification of the error with a consecutive number 64 94 947 D3632 D3632 201 03 01 02 05 2015 141 8 Malfunctions Sirona Dental Systems GmbH 8 3 Error description Operating Instruction ORTHOPHOS SL 2D 3D Error description Ex Error type NOTICE The unit must not be switched on off constantly Constant switching on and off reduces the service life of individual unit components and results in increased power consumption gt After switching the unit off wait for approx 60 seconds before switching it on again E1 System warning message The error is in an acceptable tolerance range Device operation is not directly impaired 1 Acknowledge the error message 2 Contact your Customer Service Continued device operation is ensured E2 Overload The error can be traced back to temporary overheating or something similar 1 Acknowledge the error message 2 Wait for a moment and repeat the procedure step If the error reappears extend the waiting time The error no longer occurs after a certain waiting period 3 Ifthe error persists contact your Customer Service E3 Key pressed during power up The error results from an invalid signal state
84. ic expoSUte coepi eti yep eC EET iR des 5 3 1 2 P2 Panoramic exposure without ascending rami 5 3 1 3 P10 Panoramic exposure for children 5 3 1 4 P12 Thick slice anterior tooth region 5 3 1 5 BW1 Bite wing exposures in the posterior tooth region 5 3 1 6 BW2 Bite wing exposures in the anterior tooth region 5 9 2 Preparing the SxpoSUfFe uid stipe Ss Peri rdanan eca PLer rt a RU 5 3 3 Selecting an exposure program cccccccseccceecceeeceseeceeeeseeeseeesauees 5394 Seltung quagdrarits sese Qe uice do loma p seas m aries 5 3 5 Adjusting the Quickshot function cc cece eccceeeeeeeeeeeeeeeeeeteeeesaees 5 3 6 Setting the temple width ccccccccscecssecseeecceeeceeecseeeceeesaeessees 5 3 Setting the KV MA values ccc cccceececeeeeseeeeeeeeseeeseeesseeeseeesaaess 30 0 Positioning tie Dalle en dre aie ta olo deum a 0 3 8 1 Positioning with an occlusal bite block 5 3 8 2 Positioning with chin rest and rod for bite block 5 3 8 3 Positioning with chin rest and bar 5 3 8 4 Positioning with bite block eeseseeeeeeeeessesse 5 3 8 5 Positioning with contact segment sssssss 5 4 Temporomandibular joint exposure esssseesseseeereennennenenn 9T sPIOSLamoescripllOkiS aet
85. ich are saved for further exposures in the additional information area of the SIDEXIS software In volume exposures 2 red light beams are emitted after switching on the light localizer The light beams show the upper and lower volume limit depending on the program and collimation 2 red lines are displayed in the head symbol on the touchscreen They indicate the limit of the volume at the bottom and the approximate position of the bottom light beam at the top The patient should be aligned in accordance with the occlusal plane The position can be easily corrected via the head inclination 64 94 947 D3632 D3632 201 03 01 02 05 2015 91 Positioning with 3D bite block or universal bite block In general exposures of all volume areas can be made with the 3D bite block the yellow bite block or the universal bite block The 3D bite block or the universal bite block is recommended for volume exposures as the patient is positioned more securely If it is not possible to work with these bite blocks another possibility is to use the chin rest with the bite block rod or bar see Positioning with chin rest gt 94 The foam of the universal bite block is equally suitable for patients without anterior teeth X The 3d bite block the yellow bite block the universal bite block and forehead support and temple supports are inserted in the unit X The relevant hygienic protective sleeves are pulled over the accessories N Ia
86. ies have been verifiably tested and approved accordingly Cleaning and care agents may contain aggressive ingredients Unsuitable cleaning and care agents are detrimental to health and attack the surface of the unit gt Do NOT use Substances containing phenol peracetic acid peroxide or any other oxygen splitting agents sodium hypochlorite or iodine splitting agents 2 Useonly cleaning and disinfecting agents approved by Sirona A continuously updated list of approved agents can be downloaded from the Internet at WWww sirona com SERVICE Care and cleaning Care and cleaning agents If you do not have any access to the Internet you can order the list in one of the following two ways e Order from your local dental depot e Order from Sirona Tel 49 0 62 51 16 16 70 Fax 49 0 62 51 16 18 18 REF 59 70 905 64 94 947 D3632 D3632 201 03 01 02 05 2015 133 7 Service Sirona Dental Systems GmbH 7 1 Cleaning and care Operating Instruction ORTHOPHOS SL 2D 3D Sirona recommends the following disinfectants e MinutenSpray classic by ALPRO e MinutenWipes by ALPRO In the USA and Canada e CaviCide or e CaviWipes 64 94 947 D3632 134 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 7 Service Operating Instruction ORTHOPHOS SL 2D 3D 7 1 Cleaning and care Sterilization Infections can be transmitted from patient to patient Accessories that are not sterilized cor
87. in order to distinguish between the yellow and blue color marking 1 Insert the universal bite block into the unit 2 Open the button A 3 Adjust the bite block slider B according to the required bite block height to the colored marking lines and lock this setting in place with the button A IMPORTANT 64 94 947 D3632 D3632 201 03 01 02 05 2015 45 46 Using spherical bite blocks and the spherical bite block plate Two spherical bite blocks are available for preparing an implant drilling template for measuring scans of the upper or lower jaw 1 Insert the spherical bite block for mandibular exposures A sphere down and the spherical bite block for maxillary exposures B sphere up in the unit 2 Position the spherical bite block plate C onto the sphere of the corresponding spherical bite block The spherical bite block plate C contains 6 radiopaque markers spheres which are used for orientation in the X ray volume Further applications can be set up on this spherical bite block plate Changing the temple supports and temporomandibular joint supports For temporomandibular joint views the temporomandibular joint supports A 1 right and C 2 left must be inserted in place of the temple supports B X Temple supports are inserted in the unit 1 Press the respective locking button and remove the temple supports B Both temple supports are removed 2 Pluga sterile ear ho
88. ing Instruction ORTHOPHOS SL 2D 3D 3 5 Spare parts and consumables Spare parts and consumables Accessory parts Bite blocks and contact segments The drawer between the handles is provided for the storage of accessory parts and hygienic protective sleeves Bite block 10 pieces REF 18 88 887 Bite block rod 5 pieces REF 18 88 895 Bar for chin rest REF 59 61 461 Rest REF 14 49 227 Chin rest assembly including A 5 pieces B 1 piece C D protective sleeves for bite block 500 pieces protective sleeves for chin rest and bar 100 pieces see Hygiene protective sleeves gt 40 REF 59 81 472 Contact segment yellow for subnasale 5 pieces REF 89 31 545 G Bite block yellow 5 pieces REF 89 21 843 Contact segment blue for subnasale 5 pieces REF 89 31 552 Bite block blue 5 pieces REF 89 21 850 64 94 947 D3632 D3632 201 03 01 02 05 2015 37 3 Unit description Sirona Dental Systems GmbH 3 5 Spare parts and consumables 38 Operating Instruction ORTHOPHOS SL 2D 3D 3D bite block and spherical bite blocks 3D bite block rod 5 pieces REF 61 34 949 Lower jaw spherical bite block with symbol for UK 1 piece REF 61 50 226 Upper jaw spherical bite block with symbol for UK 1 piece REF 61 50 218 Spherical bite block plate with markers for creating implant surgical guides Available at the online shop of SICAT www sicat com Universal and occlusal bite block A
89. is continued H325 Select region of exposure No volume area selected 2 A dental arch showing the volume areas is displayed on the touchscreen Touch an area to select it The program sequence is continued H403 Switch SIDEXIS to ready for exposure state SIDEXIS is not ready for exposure 2 Switch SIDEXIS to a ready for exposure state see the SIDEXIS user manual H406 R button move into Ceph starting position Ceph is not in the starting position gt Press the R key The unit travels to the starting position H420 Rescue do not switch off see Rescue program for issues during image transfer and raw data import 116 The image could not be transferred to SIDEXIS The exposure memory of the unit is cleared when the unit is switched off Images that have not been transferred to SIDEXIS cannot be restored using Unit Rescue 2 Never switch off the unit before transferring the images to SIDEXIS gt Save the exposure using Unit Rescue The image is transferred to SIDEXIS 64 94 947 D3632 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 8 Malfunctions Operating Instruction ORTHOPHOS SL 2D 3D 8 2 Error message structure Error message structure The error messages are displayed on the device in the form of an error code The display does not show any plain text error output The error codes are structured according to the following pattern Ex yy zz Explanation of abbrev
90. l subroutines of the selected program are displayed one by one 3 Follow the instructions in the comment line on the touchscreen Press the R key if necessary The diaphragm and the sensor move into the starting position for cephalometric exposures The exposure program is selected Adjusting the collimation In programs C3 C3 F C1 p a and C2 a p the exposure area can be limited so that certain parts of the patient s head e g the upper cranial region thyroid gland and posterior cranial region are not irradiated This reduces the patient dose V Level 1 is displayed on the touchscreen 1 Press the collimation symbol A on the right side of the touchscreen A submenu line is opened 2 Select the collimation v The selection is highlighted orange in the submenu line 3 Touch the cross on the left side of the submenu line Or gt Press the collimation symbol A again The submenu line is closed The collimation is set 64 94 947 D3632 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 5 Operation Operating Instruction ORTHOPHOS SL 2D 3D 5 7 Cephalometric exposures Adjusting the Quickshot function You can set whether the Quickshot function is to be switched on or off for each CEPH program The Quickshot function reduces the exposure time by 30 V Level 1 is displayed on the touchscreen 1 Touch the Quickshot display A on the right side of the touchscreen A submenu line is opened
91. lantology For this exposure the radiation dose is considerably reduced P12 Thick slice anterior tooth region The exposure shows the anterior tooth region with a larger slice thickness e g for implantology The image section can be selected for UJ LJ 64 94 947 D3632 D3632 201 03 01 02 05 2015 53 5 Operation Sirona Dental Systems GmbH 5 3 Panoramic and bite wing exposure Operating Instruction ORTHOPHOS SL 2D 3D BW1 Bite wing exposures in the posterior tooth region The exposure displays the posterior tooth regions with an image height restricted to the bite wing and an optimized projection VEL s 3 x BW2 Bite wing exposures in the anterior tooth region The exposure displays the anterior tooth regions with an image height restricted to the bite wing and an optimized projection 64 94 947 D3632 54 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 5 Operation Operating Instruction ORTHOPHOS SL 2D 3D 5 3 Panoramic and bite wing exposure Preparing the exposure Depending on the patient or the exposure program accessory parts must be replaced and the appropriate exposure mode must be selected see Installation and start up 43 You will require the following accessories e Chin rest with bite block rod or bar or yellow bite block or contact segment or universal bite block or occlusal bite block The chin rest must not be used for children when using programs BW1 and BW2 The
92. lder D into each of the temporomandibular joint supports A and C The ear holders snap into the temporomandibular joint supports 3 Insert temporomandibular joint supports A and C into the holders on the device The temporomandibular joint supports snap into place The unit is converted for temporomandibular joint exposures 64 94 947 D3632 D3632 201 03 01 02 05 2015 Adjusting inserting accessory parts on the cephalometer Adjusting the holder for ear plugs 1 Grasp the ear plug holders at the very top with both hands 2 Simultaneously pull the holders apart or push them together v The ear plugs are inserted into the patient s outer ear canal Adjusting the nose support 1 Fold down the nose support 2 Lightly press and hold latching button A The vertical adjustment is released 3 Move the blue section of the nose support upwards or downwards 4 Release latching button A v The vertical adjustment of the nose support is latched in position Inserting the carpus support plate X The holders for the ear plugs C stand in line with the sensor and the secondary diaphragm 1 Grasp the ear plug holders C at the very top with both hands 2 Simultaneously twist the holders by 90 degrees The nose support B is on the side facing away from the carpus support plate C 3 Grasp the carpus support plate D by its sides 4 Insert the carpus support plate into both holes A until it reaches
93. le 5 Instruct the patient to hold this position until the end of the exposure The patient is positioned in the unit 64 94 947 D3632 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 5 Operation Operating Instruction ORTHOPHOS SL 2D 3D 5 7 Cephalometric exposures Positioning for C3 lateral exposures X The nose support is swiveled upwards Push the ear plug holders apart 4 X The ear plug holders are in a line with the sensor and the secondary diaphragm 4 The protective caps for ear plugs are inserted The hygienic protective sleeve for the nose support is pulled on Set the unit height using the up A and down B keys CAUTION The height adjustment motor starts slowly and then increases its speed Press and hold down the button until the desired height is reached The unit movement is accompanied by a beep Release the height adjustment buttons once the Cephalometer is at B the same height as that of the patient s head 2 Guide the patient backwards between the ear plug holders eo 3 Grasp the ear plug holders at the top and simultaneously slide them together The ear plugs are positioned on the patient s outer auditory passage 4 Switch on the light localizer CAUTION Risk of dazzle A red light line reflects on the patient s head To switch off the light localizer press the key again It switches off automatically after approx 100 seconds Align the pati
94. least be complied with by law for new installations or relocation shifting of operations since 01 01 1999 in the Federal Republic of Germany Furthermore this level series can also be applied worldwide Level series for code 1E Quickshot Max program Quickshot duration time duration exposure approx approx time 19 0s 14 1s 14 2s 9 0s 12 9s 8 0s 10 3s 5 1s 21 8s 14 1s 18 2s 9 0s 63 15 4s 8 0s 13 9s 5 1s 20 1s 14 1s 17 1s 10 5s 63 13 3s 8 0s 12 6s 5 9s 16 4s 11 5s 12 4s 7 38 11 6s 6 7s 9 4s 4 2s 18 0s 11 5s 15 0s 7 38 12 1s 6 7s 11 8s 4 2s User defined values Please enter here Pro gram Factory setting e e e itt ttt yy yt fo itt ttt e eit tt ttt e JO Hl l i e 6 I I I 16 8s 11 5s 13 7s 8 5s 11 7s 6 7s 9 7s 4 9s 11 5s 16 8s 13 7s 8 5s 11 7s 6 7s 9 8s 16 4s 11 5s 11 4s 7 38 63 6 11 6s 6 7s 9 4s 4 2s 18 0s 15 0s 7 38 63 6 12 1s 6 7s 11 8s 4 2s 11 5s 4 9s weg T 23 0s 8 8s 23 0s 4 5s 6 4 6 4s 64 94 947 D3632 D3632 201 03 01 02 05 2015 Program Pro Quickshot Max Factory setting User defined values gram program Quickshot Please enter here duration time duration exposure approx approx time m mas Bis em Jose eom S ess reas sow js rar para ss mos eis __ jew per peujwz Possible kV mA combinations for preselected patient symbols 1 and 2 for code 1E selectable using the buttons
95. n Union EU Prior to disassembly disposal of the product it must be fully prepared cleaned disinfected sterilized When disposing of equipment permanently please proceed as follows In Germany To initiate return of the electrical device please send a disposal order to enretec GmbH 1 You can find a form for placing a disposal order on the company s homepage www enretec de under the menu item Entsorgung elektrischer und elektronischer Ger te Disposal of electric and electronic devices The form can either be downloaded or completed online 2 Fill out the form with the corresponding details and send it either as an online order or fax it to enretec GmbH at 49 0 3304 3919 590 You can also get in touch with the following contacts for disposal orders and any questions relating to this you may have Phone 49 0 3304 3919 500 By e mail pickup eomRECYCLING com Mailing address enretec GmbH Gesch ftsbereich eomRECYCLING Kanalstrasse 17 16727 Velten v Your equipment that is not permanently installed will be collected in the practice while your permanently installed equipment will be collected curbside at your address at the agreed time and date All disassembly transport and packaging costs are to be borne by the owner operator of the equipment The disposal itself is free of charge 64 94 947 D3632 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 10 Dismantling and disposal Operating Instru
96. nO DVDS uii ioci ien ete msan bd oras Mete 142 9 9 2 VV Locally id iciesed deed Ead Ep ad MM IL IE cc 143 SEMINGS ANG TE DAMN eassa AE A E eiri Ea 144 9 1 Program ValS runonsa nan MT EM err TE 144 9 1 1 Panoramic exposure with DCS sensor code 1E 144 9 1 2 Panoramic exposure with DCS sensor code 2E 146 9 1 3 WMol me expOSULFG scc uxor EG P Fee pde En E beavers yk cia Db eua we ore dated 148 9 1 4 Cephalometric exposure S snina e A er 150 gado IDOSE MTOM ALON arina aa 151 9 1 5 1 Dose area product parameters for Panorama images 151 9 1 5 2 Dose area product parameters for Ceph images 152 9 1 5 3 Calculate dOSAGEC cccccccccsseccseeceseeceeeeseeeecseeseeeesseeens 152 9 2 Setting ambient light via the Web service eeeeeeeeeeeeeeeeeene 154 Dismantling and disposal sistere eive aae ee de hern cedem is peque edes depen Iuda 156 10 1 Dismantling and reinstallation 2 0 0 0 ec cceccceccceeeeeeeseeeseeeseeeseeeseeeaeeeaaeeaes 156 10 2 DISDOSSllstabctsdeNtekenaanidiaua legate odousoa ancsmeasonsub sane tSp iD cava E 156 02 05 2015 7 Customer service center Manufacturer s address General data Dear Customer We are pleased that you have equipped your practice with the ORTHOPHOS SL X ray system from Sirona Sirona was one of the first inventors of film based panoramic X ray systems and since 1996 has been a pi
97. not move backwards when placing the forehead support Check the patient s position and make any final corrections as necessary Swivel the control mirror back into place by pressing the right recess on the touchbar D The patient can see himself in the control mirror Instruct the patient to exhale place his tongue against the roof of his mouth and to hold this position until the end of the exposure The patient is positioned in the unit Positioning for maxillary sinus exposures using the contact segment X The patient has no or only a few anterior teeth X The blue contact segment is inserted in the unit X The relevant hygienic protective sleeves are pulled over the accessories 1 Instruct the patient to hold the handles with both hands and place his subnasale the base of his nose against the contact segment 2 Place a cotton roll between the patient s upper and lower jaw The patient s upper and lower jaw are aligned 3 Proceed as described under Positioning for maxillary sinus exposures with bite block 80 from step 4 64 94 947 D3632 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 5 Operation Operating Instruction ORTHOPHOS SL 2D 3D 5 6 Volume exposures Volume exposures Program description If the panoramic X ray unit is equipped with a 3D function unit volume exposures can be prepared using cone beam technology This enables the diagnosis of section images at the axial sagit
98. ns of operating personnel ccccecccseceeeeeeeeteeeceeeseeeeeeeeeeeeeees 14 2 5 OWENA hie AIT OD csset pepe pose gea vada e deu nce e Sua uu cus sad 14 20 Radiation DrOILecllOD as x d eU Dk e Ed S clc ese a strae exe du D 14 21 EmnergenovatoDuauesdtess toma a ee iudi aL ale eee dE 14 2 0 ESserdghtlocallZel 5 2 ieee Ronde E lade Rud iste e o Mio ma teer 15 29 WAV OIC IC eR PMHc E 15 Z 10 TOUCDSOLOO I iesu emn e nona Da man br vers wide eco aa Se eur ae RUE dad 15 2 11 Drouble free operalionizsuie o e aret a e cr Rab EE RE ER cen 15 2 12 Interference with electronic devices ccccecccececseeteeeteeeteeeteeeeeseteeeseeseeees 16 2 13 Risks of electromagnetic fields sseeeeeeeseeeeeeeeneeennennene 16 2 14 Combination with other CQuIPMENTL cccccecececeeeeeeteeeteeeceeeeeeeeseeeeeeseeees 16 2 15 WIOCIIGATOANS to NEUN uocare ore n Eia cda merase aces tac ed 16 2 16 Structuralalteratlold9 css bito e Ft a d n t ena Ra eR te n 16 2 17 Electromagnetic compatibility eese 17 2 18 El ctrostalic dIsehal Qe ce o dte duet ed hc dde tes natn indicted a ed odds 17 64 94 947 D3632 D3632 201 03 01 02 05 2015 3 IPI OSS Chl DUOM e EO 19 3 1 Gertfication and registrati uoo ie oi es teras A 19 o2 Hechhicab3dalgseusentondi ath tiioicinidetate men ca tisse adea vain e edad ces 20 oret EI iSo Mtr A nanan 20 3 2 2 O
99. oetainer 70150375_ fires bed 7015 03 25 12 00 DADatacontamen 20150325 120011 Root path DADatacoentainen m 7015 3110831 O Deteconm 1201503311 083 2514 NetworkCoefig Creation date 2015 03 75 12 00 fieeshed 2015 03 31 0832 DADatacontannen20150331 0817 344 Networkconfig mo serve finnhed 2015 03 31 0832 D Detacontamer 20150331_ 083230 978 NetworkCoefig Creator 2 LAAAFBD SE4A 4040 AABA 37685 6462238 Status finahed Veron L000 Program v Refresh 4 Inthe Acquisition Server drop down list select the Acquisition Server which was used to generate the exposure whose raw data you wish to download to use in the panorama editor To simplify finding the required exposure you can restrict the number of exposures displayed by date and transmission phase 64 94 947 D3632 120 D3632 201 03 01 02 05 2015 ORTHOPHOS SI 5 If the exposure which is to be imported is marked as ready in the data container click on the Read button to import it If the exposure which is to be imported is marked as working in the data container click on the Renew reconstruction button to import it v The program tries to establish a connection to the data container If itis not possible to establish a connection check the network Once a connection is successfully established the data becomes available in SIDEXIS 4 See S DEXIS 4 Operator s Manual 64 94 947 D3632 D3632 201 03 01 02 05 2015 121 5 Operation Sirona Dental
100. ogram display on the touchscreen and the position of the sensor 113 114 IMPORTANT Premature release of a new exposure is prevented by the automatic exposure blocking function This function is used for thermal protection of the X ray tubes After the release button is pressed the message Ready for exposure in XX seconds appears in the comment line of the touchscreen The remaining cooling time is counted down and is displayed under XX Only after the cooling period has elapsed is it possible to release a new exposure X The program settings have been made V The patient is positioned in the unit No further auxiliary messages may be displayed in the comment line of the touchscreen The message Ready for exposure must appear Tip If you press the exposure release button on the remote control while the door is open the message C ose the door is displayed with the help code H321 Close the door and acknowledge the message IMPORTANT Advise the patient not to move his her head in any way during the exposure and check to make sure that this does not happen The patient s shoulders are not hunched For cephalometric images the arms of the patient hang down freely at the sides 1 Press release button A and hold it down until the end of the exposure The exposure is released Exposure is performed appears in the comment line on the touchscreen During radiation th
101. on the kV mA setting wr m n uw uM De Jw IK Mo im m uw M wr ee Possible kV mA combinations for preselected patient symbols 3 and 4 for code 1E selectable using the buttons on the kV mA setting NOW Me OM NM Im M DF Mw D m e M M UN ma m Iu Im DM De pe m De nm p A De pe m IM 64 94 947 D3632 D3632 201 03 01 02 05 2015 145 Panoramic exposure with DCS sensor code 2E Code 2E It guarantees that the applicable legal regulations which must be complied with since January 1 1999 are strictly observed Furthermore this level series can also be applied worldwide National regulations must be complied with The table lists the maximum exposure times Level series for code 2E Pro Quickshot Max gram program Quickshot duration time duration exposure User defined values Please enter here Program Factory setting time approx approx as Os 14 1s 14 2s 9 0s 63 6 63 8 69 8 72 8 as 9s 8 0s 10 3s 5 1s 21 8s 14 1s 18 2s 9 0s 63 6 63 8 69 8 72 8 15 4s 8 0s 13 9s 5 1s 20 1s 14 1s 17 1s 10 5s 63 6 63 8 69 8 72 8 13 3s 8 0s 12 6s 5 9s 16 4s 11 5s 12 4s 7 38 63 6 63 8 69 8 72 8 11 6s 6 7s 9 4s 4 2s 18 0s 11 5s 15 0s 7 38 63 6 63 8 69 8 72 8 12 1s 6 7s 11 8s 4 2s 16 8s 11 5s 13 7s 8 5s 63 6 63 8 69 8 72 8 11 7s 6 7s 9 7s 4 9s 16 4s 11 5s 11 4s 7 38 63 6 63 8 69 8 72 8 11 6s 6 7s 9 4s 4 2s 18 0s 11 5s 15 0s 7 38 63 6 63 8 69 8 72 8 12 1s 6 7s 11 8s 4 2s 1
102. oneer of digital X ray technology You benefit from the vast experience we have gained through the thousands of digital panoramic X ray systems installed worldwide This device is characterized by many features including outstanding image quality simple operation and a high day to day reliability This operating manual should be of good help to you before use as well as serve anytime later as a reference material We wish you every success with using your ORTHOPHOS SL system Your ORTHOPHOS SL team Contact information In the event of technical queries please use our online contact form at www sirona com In the navigation bar go to the menu commands CONTACT Customer Service Center and then click the CONTACT FORM FOR TECHNICAL QUESTIONS button Sirona Dental Systems GmbH Fabrikstrasse 31 64625 Bensheim Germany Phone 49 0 6251 16 0 Fax 49 0 6251 16 2591 e mail contact sirona com www sirona com 64 94 947 D3632 D3632 201 03 01 02 05 2015 Copyright Trademarks Observe the Operating Instructions Keep documents safe Online portal for technical documents Help 64 94 947 D3632 D3632 201 03 01 02 05 2015 Copyright and trademark Sirona Dental Systems GmbH All rights reserved The information contained in this manual may be changed without notice The software and all related documentation are protected by copyright You must therefore handle it in the same way as any other protected material
103. ouchscreen X The rotating unit has automatically moved to the starting position Instruct the patient to open his her mouth v The patient has opened his her mouth without changing his her position 2 Press the release button A and hold it down until the end of the second exposure v The second exposure is released Exposure is performed appears in the comment line on the touchscreen 3 Wait until a short pulsed tone sequence sounds can be deactivated by a service engineer v The message Please wait appears in the comment line of the touchscreen followed by confirmation of the exposure data Exposure mode exposure program tube voltage and current actual radiation time dose area product are displayed 4 Let go of release button A The second exposure is completed Proceed as described above starting with step 5 v The X ray image is displayed on the PC monitor after a brief period 64 94 947 D3632 D3632 201 03 01 02 05 2015 115 116 Rescue program for issues during image transfer and raw data import In case of unexpected network errors or exposure interruptions there may be problems with image transfer to SIDEXIS 4 There are two options available in SIDEXIS 4 for transferring images which are described below e The exposure data can still be found in the exposure memory of the unit and auxiliary message H420 is displayed on the Easypad see Unit rescue 116 e The exposure data
104. p Release the height adjustment buttons once the ear holders of the temporomandibular joint supports are at the same height as that of the patient s ears 3 Instruct the patient to position himself between the temporomandibular joint supports and hold the handles with both hands 4 Close the temporomandibular joint supports J and K Press the key The temporomandibular joint supports stop automatically when they come into contact with the patient s head The patient is fixed to the unit by the ear holders 5 Swivel the control mirror outwards by pressing the left recess on the touchbar D You can see the patient in the control mirror f ie EFFE 6 Switch on the light localizer CAUTION Risk of dazzle Two red light lines reflect on the patient s head To switch off the light localizer press the key again It switches off automatically after approx 100 seconds 64 94 947 D3632 D3632 201 03 01 02 05 2015 13 7 Align the patient with the central light line G v The light beam reflects in the center of the patient s anterior teeth or the middle of his face mid sagittal oo Align the patient s head according to the Frankfurt horizontal plane E Adjust the height of the light localizer using the slider F v The light beam reflects on the upper edge of the outer ear canal Ip 10 Correct the patient s head inclination as necessary Briefly press the up A and down
105. per or lower jaw The bite block plates can be ordered from the SICAT Online Shop www sicat com The following accessories are also required e Temple supports or temporomandibular joint supports with contact pads Forehead support gt Insert the accessory parts to be used into the unit and pull on the relevant hygienic protective sleeves see Hygienic protective sleeves gt 40 2 Switch SIDEXIS to a Ready for 3D exposure state see Switch sidexis to ready for exposure state 64 94 947 D3632 D3632 201 03 01 02 05 2015 64 94 947 D3632 D3632 201 03 01 02 05 2015 Selecting the volume exposure Pressing the R key moves the unit to the starting position A patient positioned in the unit may be injured by moving parts gt Check that a patient is not positioned in the unit before moving it to the starting position X The unit is switched on and ready for exposure 1 Touch the 3D symbol at the top of the touchscreen The 3D program group is selected Select the exposure program Press the arrow keys C and A The exposure program is displayed in the program display B The radiation time is displayed under the name of the exposure program Follow the instructions in the comment line on the touchscreen Press the R key if necessary v The diaphragm and the sensor move into the starting position for volume exposures The exposure program is selected In volume exposures the total filtration
106. perating and transport conditions seseeeeeessese 22 ug JBIBGLalilSunustdetetbutthonc ibn a a bL eate lites 23 3 2 4 Values of the secondary scattered radiation 24 3 2 5 Requirements for the PC system eeeeeseeeeeeeereeeene 25 3 3 Overview of exposure programs cceccceccceeeceetesseceeeseeeteeeteeeteeeseeeeeeeeneess 26 3 4 Main components of the product eeeeesseesseesseeneenneennennn nen 29 Wed DIR S aa MM REUTERS 29 92 JXGeDaloNelel saeculis rri tado aet moore teet ele ine utes can beide es 30 ouo JESSVDSatkucitit eodd etat dca aceti a meet eee eee ee ere ee 31 3 4 4 Easypad tOuUCNSCIreeN cccccccceccceeceeeeceeeeeeeeeeeeeeeeseeeseesseeeaeeeseeeaees 32 349 ARCINOLE CONTO irea seve leis eve RU vessel beds eM TTE DNE ReP FL pb se rS Ies 36 3 5 Spare parts and consumables esseeesesseesseeeeeennenee nenne 37 XX ACCESSO DAMS sd oec oeto opa coco et i pet too eae e tace Edi p evo He Round 37 3 5 1 1 Bite blocks and contact segments 37 3 5 1 2 3D bite block and spherical bite blocks 38 3 5 1 3 Universal and occlusal bite block 38 3 5 1 4 Temple supports forehead support and 39 temporomandibular joint supports 3 5 2 Hygienic protective sleeves
107. positioning is otherwise too low IMPORTANT For programs BW1 and BW2 the universal bite block must not be used from the black marking The positioning is otherwise too low e Temple supports e Forehead support gt Insert the accessory parts to be used into the unit and pull on the relevant hygienic protective sleeves see Hygienic protective sleeves gt 40 2 Switch SIDEXIS to a ready for exposure state see Switch SIDEXIS to ready for exposure state 64 94 947 D3632 D3632 201 03 01 02 05 2015 55 5 Operation Sirona Dental Systems GmbH 5 3 Panoramic and bite wing exposure Operating Instruction ORTHOPHOS SL 2D 3D oelecting an exposure program Pressing the R key moves the unit to the starting position A patient positioned in the unit may be injured by moving parts 2 Check that a patient is not positioned in the unit before moving it to the starting position X The unit is switched on and ready for exposure 1 Touch the PAN symbol at the top of the touchscreen v The program group PAN is selected 2 Select an exposure program To do this touch the arrow keys C and A If a subroutine e g without artifacts or 1 25x magnification is available for this program the program display is grayed out Touch the program display B several times All subroutines of the selected program are displayed one by one 3 Follow the instructions in the comment line on the touchscreen Press the R key if nec
108. possible to work with the 3D bite block or the yellow bite block it is possible to use the chin rest instead Patients without anterior teeth also can be positioned with the bar The chin rest can be used to ensure that the mandible is represented in the volume Chin rest with bite block rod X Thechin rest and bite block rod and the forehead support and temple supports are inserted in the unit X The relevant hygienic protective sleeves are pulled over the accessories 1 Turn the bite block away from the patient The bite block is pointing towards the control mirror 2 Instruct the patient to place his chin on the chin rest and place both hands on the hand grips 3 Turn the bite block towards the patient and instruct him to bite on the bite block V The patient s anterior teeth are positioned in the indentation in the bite block If necessary push the lower anterior teeth forwards until they reach a stop 4 Proceed as described in Positioning with 3D bite block or universal bite block gt 92 from step 4 Chin rest with bar X The patient has no or only a few anterior teeth X Thechin rest and bar and the forehead support and temple supports are inserted in the unit X The relevant hygienic protective sleeves are pulled over the accessories 1 Instruct the patient to place his chin on the chin rest and place both hands on the hand grips 2 Instruct the patient to place his subnasale the base of his nose again
109. processing X The workstation software is installed on the workstation for the corresponding X ray component 1 Start SIDEXIS 4 2 In SIDEXIS 4 call the ORTHOPHOS SL configuration menu Assigned devices SL C 225 K7 172 29 50 225 SL 191 K7 7A950141 Date container deti Complete path Commu Lomplete path LE Datacontainen 20150427 09204 348 DA Datacontaineruz0150424 144734 LLZA Send ce exposure Raot path DrDatacontainen L ADatacondamerV0150474 144977 3 Senece exposure MICI MESI MI FEL L Datacontainer a015048724 135053 8 Senece exposure lype stancdardeposune DeDatscontainen 1504874 1453487 JC Senace axposuns Creator 2 LAAAFB 514A MAC AAA 1 76IEEGAT 7 7 31 hrushied 10 0 0 PZK EO FCTD FRE F1 D Datacontainerua0150874 150055 B4 Senece exposure Status DA Datacontainen 20150424 153340 346 Senace exposure Version LADatacondairieri20150877 097847 14 7 Standard exposure Program LADatacontairer201504877 15052 DIS Standard exposure Pieni name Gaga Emu DDatacontaineru0150427 151146 497 Rescue exposure Reconstruct aiam L AbatacondamerV201508727 151604 Amy Rescue exposure Bimal A Refresh 3 Select the Data Import button 119 Genera settings ORTHOPHOS SI f Global Paters setting Exposure Output SIDOS Manager ORTHOPHOS SL Device adrurestraton Qua ty assurance Server administradon Data contaswr Data contar detas Status Creabon date Complete path Complete path D Datac
110. r the jaw 64 94 947 D3632 D3632 201 03 01 02 05 2015 99 5 Operation Sirona Dental Systems GmbH 5 7 Cephalometric exposures Operating Instruction ORTHOPHOS SL 2D 3D Preparing the exposure The adjustment of the cephalometer may alter depending on the load A change in the adjustment may lead to faulty x rays 2 Never lean against the cephalometer or the extension arm gt Donothang or place any objects against or on the cephalometer or extension arm Depending on the patient or the exposure program accessory parts must be replaced and the appropriate exposure mode must be selected see Installation and start up gt 43 The following illustrations of the cephalometer are shown in the left handed arm version They also apply for the cephalometer with a right handed arm A asymmetrical S symmetrical Preparing the nose support 1 Grasp the nose support at the rotary joint 2 Pull the nose support forwards until it reaches the stop 3 Swivel the nose support sideways and upwards Move the ear plug holders 1 Grasp the holders at the very top with both hands 2 Push the holders simultaneously outwards as far as they will go 64 94 947 D3632 100 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 5 Operation Operating Instruction ORTHOPHOS SL 2D 3D 5 7 Cephalometric exposures Turn the ear plug holders Note that the holder for the ear plugs m
111. ray system operates at a fixed setting of 85 kV and values ranging from 4 to 13 mA for volume exposures Area dose product mGycm with 203 338 479 617 whole volume dia 8 cm x 8 cm Area dose product mGycm with collimation to dia 8 cm x 5 5 cm Program VOL 1 HD Area dose product mGycm with 620 m whole volume dia 8 cm x 8 cm Area dose product mGycm with 431 collimation to dia 8 cm x 5 5 cm Program VOL2 Effective radiation time radiation time 32s 2s Area dose product a with IN whole volume dia 5 cm x 5 5 cm Program VOL2 HD KVImA 000 mA 854 855 856 857 LN radiation time e 1s a 1s Area dose product EIL with mt whole volume dia 5 cm x 5 5 cm 64 94 947 D3632 D3632 201 03 01 02 05 2015 64 94 947 D3632 D3632 201 03 01 02 05 2015 KVImA 00 00 mA 857 857 8510 10 8513 13 Ai a radiation time E s S Area dose product Stecie redetontine with 331 E whole volume dia 11 cm x 10 cm Area dose product mGycm with 254 collimation to 11 cm x OK7 5 cm UK 8 cm Program VOL3 HD kV mA 85 4 85 5 85 6 85 7 Effective radiation time 14 15 1s Area dose product mGycm with 1009 1271 1515 m whole volume dia 11 cm x 10 cm Area dose product mGycm with 773 1160 1356 collimation to 11 cm x OK7 5 cm Possible kV mA combinations for the HD ON 3D exposures selectable using the buttons on the kV mA setting 149 Cephalometric expo
112. rds CAUTION If no change in the angle of the bite block plate is found for about 3 seconds the height adjustment motor runs at a higher speed T When the green arrow points downwards press the down button B v The inclination of the patient s head changes according to the height of the unit While the angle of the bite block plate is being changed the unit height adjustment motor can only travel at a very slow speed v The green arrow on the head symbol indicates how far the unit height must be moved until the nominal position for head inclination is reached The inclination of the displayed head symbol also changes accordingly Once the desired position is reached the movement stops automatically and a beep is sounded by the user interface The previously green illuminated arrows of the height adjustment buttons light up blue 8 Switch on the light localizer CAUTION Risk of dazzle Two red light lines reflect on the patient s head To switch off the light localizer press the key again It switches off automatically after approx 100 seconds 64 94 947 D3632 62 D3632 201 03 01 02 05 2015 9 Align the patient with the central light line G v The light beam reflects in the center of the patient s anterior teeth or the middle of his face mid sagittal 9 zA m 10 If necessary check the patient s position Briefly press the up A and down B height adjustment keys 11
113. re The exposure can be released using the release button or the remote control If the unit is installed in an X ray room which features a door edge and the line of sight towards the patient is guaranteed the exposure is to be released via the remote release see Using remote release 122 The unit emits X ray radiation Excess exposure to X rays is detrimental to health 2 Use the prescribed accessories for radiation protection gt Do not stay in the X ray room during exposure Move as far away from the unit as the coiled cable for the release button allows you to The movement of the system may be adversely affected by the patient s physical constitution clothing or dressings or by wheelchairs or hospital beds The exposure is automatically terminated if the movement of the unit is inhibited The exposure must be repeated 2 Ensure that the movement of the unit is not impaired when positioning the patient Before the exposure perform a test cycle using the T key 64 94 947 D3632 112 D3632 201 03 01 02 05 2015 64 94 947 D3632 D3632 201 03 01 02 05 2015 Prematurely letting go of the release button cancels the exposure immediately The exposure must be repeated 2 Take care not to let go of the exposure release button prematurely Press the release button until the end of the exposure Note that radiation may be released several times during an exposure cycle The exposure memory of the unit is cleared wh
114. re be brought down for an exposure in the seat to a bite block height of 80 cm To explain the exposure and to alleviate any fears a radiation free test cycle can be started at any time The ORTHOPHOS SL has been designed so that it functions openly and does not scare or induce fear in children and adolescents There are no distressing cycle noises Optimum and stable positioning options and adjustment tools prevent faulty exposures The ORTHOPHOS SL does not require any target exposures to check the correct patient positioning This means no unnecessary extra dosing 111 5 Operation Sirona Dental Systems GmbH 5 9 Starting the test cycle Operating Instruction ORTHOPHOS SL 2D 3D Starting the test cycle The test cycle is executed without radiation The test cycle is used to check that the unit is functioning correctly and to ensure that a complete uninterrupted cycle is possible The rotating unit stops automatically if the resistance increases 4 The unit is in its starting position Selecting an exposure program gt 76 1 Pressthe T key The program enters test cycle mode On the touchscreen the display of the kV mA value the exposure time and the patient symbols is hidden Two test cycle symbols appear 2 Press the release button V The test cycle is started 3 Wait until the test cycle has been completed 4 Press the T key again The program exits test cycle mode Releasing the exposu
115. rectly can cause illness in patients 2 All accessories that are suitable for sterilization should only be sterilized in an autoclave at 134 C 273 F with at least 3 minutes holding time and at 2 1 bar 30 5 psi overpressure The following accessories can be sterilized In addition also use the hygienic protective sleeves see Hygienic protective sleeves gt 40 The hygienic protective sleeves single use devices Unsterile hygienic protective sleeves can cause illness in patients gt Replace the hygienic protective sleeves after each patient 64 94 947 D3632 D3632 201 03 01 02 05 2015 135 7 Service Sirona Dental Systems GmbH 7 1 Cleaning and care Operating Instruction ORTHOPHOS SL 2D 3D Cleaning the occlusal bite block If the hinges of the occlusal bite block begin to squeak during operation after prolonged periods of use they must be cleaned 1 Unplug the occlusal bite block from its holder on the unit 2 Gently push apart the guide mandrel of the lever A on the bite block plate and the eyelet of the rod B in the direction of the arrows and unhinge the lever 3 Swivel the bite block plate C vertically upward so that the lever A is pointing downwards 4 Pullthe bite block plate C forwards out of its hinge 5 Clean the hinge axles D and the guide lugs E with disinfectant 6 Assemble the occlusal bite block by following the same procedure in reverse order When assemblin
116. rol mirror 2 Setthe unit height using the up A and down B keys The height adjustment buttons are illuminated and show the direction in which the device is to be moved by a green arrow CAUTION The height adjustment motor starts slowly and then increases its speed Press and hold down the button until the desired height is reached The unit movement is accompanied by a beep Release the height adjustment buttons once the bite block plate and the patient s anterior teeth are at the same height 3 Guide the patient to the unit and instruct him to hold the handles with both hands 4 Instruct the patient to bite into the grooves of the bite block foam with the teeth V If necessary push the lower anterior teeth forwards until they reach a stop 64 94 947 D3632 D3632 201 03 01 02 05 2015 61 5 Check the position of the patient s spine v Ensure that the patient s spine is slightly inclined as shown in the diagram Tip To achieve the correct positioning of the spine ask the patient to take a small step towards the column of the unit The patient s cervical vertebrae are thus stretched This prevents regions of diminished density in the anterior tooth region 6 Use the green arrows on the touchscreen to align the patient s head inclination until the desired position is reached Instruct the patient to let his head rest If the green arrow on the touchscreen points up press the button for height adjustment A upwa
117. scription of the constancy test come with the unit Diagnostic monitor In Germany a regular constancy test of the results monitor is required by the X ray Ordinance in accordance with DIN 6868 157 Sirona provides the software SIMOCON for the simple conducting of this statutory requirement You can find this software and the operating instructions that belong to it on your SIDEXIS CD under the section Tools 137 7 Service Sirona Dental Systems GmbH 7 2 Inspection and maintenance Operating Instruction ORTHOPHOS SL 2D 3D Checking image quality Quality inspection worldwide Sirona offers you the option of checking the image quality of your ORTHOPHOS SL X ray unit at any time The SIDEXIS software supports you with the simple conducting of this constancy test and its documentation The requisite test specimen comes with the unit The constancy test Quality inspection is described in REF 64 95 647 If after taking into account the patient s anatomy and excluding possible sources of error such as incorrect patient positioning this criterion seems to apply immediately contact a service engineer to have potential system faults repaired Country specific requirements Observe any possible additional country specific requirements 64 94 947 D3632 138 D3632 201 03 01 02 05 2015 64 94 947 D3632 D3632 201 03 01 02 05 2015 Malfunctions Help messages When working with the unit auxiliary messages are displayed for cer
118. settings and start settings Lsessssee 124 914 1 SPAN program group she s ene decurrere in Eig ete Duces o b Daten d made 124 9 142 3D program grossen niece tune ah epe ubl aloe deut ad 126 5 14 3 CEPH program group soscisauio ek pde uode Un turum acea eU etx er theatris 127 Adjusting the touchscreen esses enemies 129 64 94 947 D3632 D3632 201 03 01 02 05 2015 10 64 94 947 D3632 D3632 201 03 01 5 16 Calling the lnfo Screen issu dateien ue deaur ee ken eu a cedo uid ded uin atout d 130 517 GallinG Ihe Service Thi ss sucede vides tb e eai ooo oec or Sce dui uei tes ticum 131 PANAMA CAO RENE Tr TF 132 SOVICE ep ebaeee 133 7 1 Gleaning ANG Cale m 133 Gisli Cleaning prepa t E 133 15132 IDiSmiteclligssiu teen io secas itas bd pedea unt tees 133 ENO Senao setae p Ei pk dn REO QR Cie te oia tuo ca rh i LU 135 7 1 4 Cleaning the occlusal bite block seeeeseeesseesee 136 7 2 Inspection and maintenance cece eeccecceeeteeceeeceeecneceeeseeceeeceeeseeeeeteeeaaes 137 Mannen S ETT ILU 139 8 1 Help IMCS SAGES aise 2 dace dein cut uc cese pa is uera sa c ecuepeniidsim vade tais s deed eU Lee DE 139 0 2 JEUoOrmessdge SIPFUCIFe us eoi ei ate aa aa wheat ducet inue 141 9 9 Ernordescipiollgsstissvsosecbtbe vint IR uen ped dene v tee iba uem E 142 Dos EXS E
119. st the bar The patient s upper and lower jaws must be aligned above one another If the patient s lower jaw contains anterior teeth place the bar between his chin and his lower lip 3 Proceed as described in Positioning with 3D bite block or universal bite block gt 92 from step 4 64 94 947 D3632 94 D3632 201 03 01 02 05 2015 64 94 947 D3632 D3632 201 03 01 02 05 2015 Positioning with blue bite block or the universal bite block For maxillary exposures with the full volume the patient should be positioned lower with the blue bite block or universal bite block in the position marked blue this also applies to exposures taken in the temporomandibular sinus and orbital regions The proportional volume in the sinus region is thus greater More secure positioning is possible with the universal bite block due to the wider bite area The bite block foam is equally suitable for patients without anterior teeth Jv Jv The blue bite block or the universal bite block and the temporomandibular joint supports with contact pads are inserted into the unit The relevant hygienic protective sleeves are pulled over the accessories Guide the patient in front of the control mirror Set the unit height using the up A and down B keys CAUTION The height adjustment motor starts slowly and then increases its speed Press and hold down the button until the desired height is reached The
120. stretched This prevents regions of diminished density in the anterior tooth region 6 Swivel the control mirror outwards by pressing the left recess on the touchbar D You can see the patient in the control mirror 7 Switch on the light localizer CAUTION Risk of dazzle Two red light lines reflect on the patient s head To switch off the light localizer press the key again It switches off automatically after approx 100 seconds 8 Align the patient with the central light line G The light beam reflects in the center of the patient s anterior teeth or the middle of his face mid sagittal 9 Align the patient s head according to the Frankfurt horizontal plane E 10 Adjust the height of the light localizer using the slider F The light beam reflects on the upper edge of the outer ear canal 11 Correct the patient s head inclination as necessary Briefly press the up A and down B height adjustment keys The light beam reflects on the lowest point of the lower eye socket edge 64 94 947 D3632 D3632 201 03 01 02 05 2015 81 82 12 13 14 15 16 Press the temple support adjustment button I When you touch the patient s head the temple supports stop automatically Press the forehead support adjustment key H When you touch the patient s head the forehead support stops automatically Make sure that the patient s head does
121. sure to radiation must be preferred when weighing up the situation Medical radiation exposure as part of dental care provided to children and adolescents must produce sufficient benefits whereby radiation exposure resulting from an X ray examination is to be limited as much as can be accepted with the requirements of medical science the ALARA principle Sirona offers numerous options for reducing the radiation exposure for adults and especially for children and adolescents to a necessary minimum Furthermore there are numerous options for simplifying the X ray applications for children and adolescents Please observe the detailed descriptions on these in the respective chapters of these operating instructions Dose reduction Overview of the options for reducing doses in particular for children and adolescents with the ORTHOPHOS SL e Using child panorama layer imaging P10 P10A P10C The exposures present a reduced tooth region without ascending rami In addition exposure times are reduced and the exposure dose is cut by up to 40 compared to panorama layer imaging P1 e Selecting the relevant patient symbol for children adolescents The two smallest patient symbols represent the exposure values for children adolescents Through their reduction in the Kv mA values for these exposure parameters the dose is lowered accordingly e Selecting the Quickshot adjustment parameter In addition to the child expo
122. sures The radiation time is max 14 9s and can be reduced by selecting the Quickshot function to 7 5 s Level series for cephalometric exposures Max Factory setting User defined values Quickshot Please enter here time un coisas Am rans rans mra ans uu b 8 faes fomne eane wn oto 64 94 947 D3632 150 D3632 201 03 01 02 05 2015 Dose information Dose area product parameters for Panorama images The dose area product for the parameter combinations proposed by Sirona has been calculated already The DAP value can be used without any further calculations Specification of dose area product DAP energy dose for panorama x ray images temporomandibular joint images and sinus images Program Program Max exposure time Max exposure time time oO values mGycm mGycm mGycm mGycm HR N mA kV mA kV mA kV mA I PUUR feo fe fo fem ja jew re ana fs pe qum f s f p mna pa prere Goo z n L PIOAUR fes Gus fe eae m feon s mu far ioc ne ims zr me ps m ow mmu ero Pa ase soso jus s eu jm ar Bw ps ms m me m mre mu mro pmm fess eae u f pe fear ps rane uo Bw fs eue uz sms ie feon s ara s 64 94 947 D3632 D3632 201 03 01 02 05 2015 151 Dose area product parameters for Ceph images Vaid LAE Factory programmed values Vaill time DAP DAP DAP DAP mGycm mGycm mGycm mGycm kV mA kV mA kV mA kV mA Quick Quick Quick Quick Quick shot shot shot shot shot a e we
123. sures P10 P10A and P10C the Quickshot function can be selected for these panorama layer images Due to the quicker cycle the dose is reduced by up to 4096 depending on the program the image quality is reduced somewhat in the process 64 94 947 D3632 D3632 201 03 01 02 05 2015 Collimation to the smallest possible area FoV for 3D exposures 2D X ray panorama layer imaging By showing the X ray area on a quadrant up to 30 of dose can be saved with panorama layer imaging By combining the showing on a quadrant with the Quickshot adjustment parameter up to 60 of the dose can be spared 2D X ray Ceph exposure With teleradiography the exposure area can be shown with the programs C3 and C3 F as well as C1 p a and C2 a p This reduces the patient dose In addition to this overlaying the Quickshot adjustment parameter can also be selected in CEPH mode This further reduces the patient dose 3D X rays Inthe VOL1 volume exposure the height of the FoV can be collimated to 5 5 cm By selecting the VOL2 volume the volume can also be reduced in diameter to 5 cm This reduces the effective dose by approx 30 Optimized X ray applications Overview of the options for simplifying X ray applications for children adolescents with the ORTHOPHOS SL 64 94 947 D3632 D3632 201 03 01 02 05 2015 When seated children and adolescents can often be positioned still and stable The ORTHOPHOS SL can therefo
124. t adjustment of the light line Frankfurt Drawer for accessories Easypad swiveling and tilting operator panel Touch bar for swiveling the control mirror in and out 29 3 Unit description Sirona Dental Systems GmbH 3 4 Main components of the product Operating Instruction ORTHOPHOS SL 2D 3D P Release button a Ambient light backlight adjustable via an Internet browser Cephalometer B Sca for vertical nose suppor adusien D rocna knob ornose ooo H Secondary diaphragm with light localizer of light line Frankfurt horizontal plane OO e Carpus support plate Ear plugs with holders 64 94 947 D3632 30 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 3 Unit description Operating Instruction ORTHOPHOS SL 2D 3D 64 94 947 D3632 D3632 201 03 01 02 05 2015 3 4 Main components of the product Easypad e powa D Touchscreen touch sensitive sree 31 Easypad touchscreen The screen for this system is a touchscreen which responds to touch by the user The user touches the screen surface to make the settings for X ray exposures The structure of the user interface is subdivided into 2 levels By touching the toothed wheel J in the upper right corner of the touchscreen you can switch to the 2nd level 1st level Main menu Control and display elements 64 94 947 D3632 32 D3632 201 03 01 02 05 2015 64 94 947 D3632 D3632 201 03 01 02 05 2015 Light localizer
125. tain actions e g press H301 for the return key which call for the user to perform a specific action These auxiliary messages are listed below If an error occurs error messages are output starting with E followed by 5 digits see Error description 142 X The unit is switched on and ready for operation 1 Press the release button The message H3 H4 xx appears 2 Seelist below about how to proceed to make the system ready for exposure H301 R button move into starting position The rotating unit is not in the starting position Pressing the R key moves the unit to the starting position A patient positioned in the unit may be injured by moving parts gt Check that a patient is not positioned in the unit before moving it to the starting position gt Press the R key The unit travels to the starting position H307 Change bite block The occlusal bite block cannot be used for the selected exposure program gt Remove the occlusal bite block from the unit The program sequence is continued H320 R button confirm exposure data The exposure data have not been acknowledged yet 2 Press the R key Exposure data are confirmed H321 Close the door Check door contact of the X ray room 2 Close the door to the X ray room The contact switch on the door is closed 139 140 H322 Select quadrant No quadrant is selected gt Select the desired quadrant The program sequence
126. tal and coronal level VOL1 VOL1 HD The Easypad can be used to select one of the five volume regions e Anterior tooth region e Right left molar region e Right left temporomandibular joint area The volume range on the object field of view FoV corresponds to a cylinder with a diameter of approx 8 cm and a height of approx 8 cm For dose reduction the volume for upper lower jaw exposures can be collimated to approx 5 5cm HD mode High Definition mode Four more single projections that can be used for finer reconstructed image quality are generated in HD mode This can reduce typical DVT conebeam artifacts Please be aware of the maximum patient dose Please note that blurring can occur in the marginal area of the cylinder Objects are nevertheless represented in the maximum possible image quality 64 94 947 D3632 D3632 201 03 01 02 05 2015 83 5 Operation Sirona Dental Systems GmbH 5 6 Volume exposures Operating Instruction ORTHOPHOS SL 2D 3D VOL2 VOL2 HD The Easypad can be used to select one of the five volume regions e Upper jaw lower jaw anterior tooth region e Premolar or molar region to the left right up down The volume range on the object field of view FoV corresponds to a cylinder with a diameter of approx 5 cm and a height of approx 5 5 cm A smaller volume reduces the patient dose HD mode high definition mode Offers a voxel resolution of 80um in HD mode Please be aware
127. tee Color Bnghiness E Saweselectedcolor Demonsrascamoda Tumiuminatonof Change the color by clicking on the color scale and brightness by clicking on the brightness scale 6 Click the Save selected color button to save the settings T Exitthe web service again 64 94 947 D3632 D3632 201 03 01 02 05 2015 155 Entsorgung elektrischer und elektronischer Ger te aus Optik uad Medizin 156 Dismantling and disposal 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 The X ray unit must be recalibrated whenever structural alterations in the area surrounding the X ray room or new installations have been performed Disposal Your product is marked with the adjacent symbol Within the European Economic Area this product is subject to Directive 2002 96 EC as well as the corresponding national laws This directive requires environmentally sound recycling disposal of the product The product must not be disposed of as domestic refuse Please observe the disposal regulations applicable in your country Disposal procedure We advise that this product is subject to the stipulations in EC guideline 2002 96 governing waste electrical and electronic equipment and must be disposed of in line with these special requirements within the Europea
128. the secondary diaphragm The nose support points towards the secondary diaphragm Guide the patient sideways into the unit Set the unit height using the up A and down B keys CAUTION The height adjustment motor starts slowly and then increases its speed Press and hold down the button until the desired height is reached The unit movement is accompanied by a beep 6 Release the height adjustment buttons once the patient can place his B her hand on the carpus support plate with the arm bent 3 Instruct the patient to place his hand on the carpus support plate Fora cephalometer with a right handed arm The patient s left hand is positioned on the carpus support plate For a cephalometer with a left handed arm The patient s right hand is positioned on the carpus support plate The patient s fingertips do not protrude beyond the upper edge C The patient s hand and arm form a line N ea 4 Instruct the patient to hold this position until the end of the exposure The patient is positioned in the unit 64 94 947 D3632 D3632 201 03 01 02 05 2015 109 Pediatric exposures Compared to middle aged adults children and adolescents are three times more at risk from radiation A justifying indication requires establishing that the health benefits of use outweigh the risk posed by radiation Other procedures with similar health benefits that do not involve any or only involve low level expo
129. the upper right corner of the touchscreen The touchscreen display is located on level 2 2 Touch the question mark B in the lower right corner of the touchscreen The info screen is displayed Ready for exposure 3 Touch the arrows C in the scroll bar to the right of the list The next or previous page of the list is displayed 4 Touch the double triangle in the upper right corner of the touchscreen The display changes to level 1 64 94 947 D3632 130 D3632 201 03 01 02 05 2015 64 94 947 D3632 D3632 201 03 01 02 05 2015 Calling the service menu The service menu is intended exclusively for service engineers Service routines can be activated and unit settings incl tests and calibrations can be performed in this menu X The touchscreen display is located on level 1 1 Touch the toothed wheel A in the upper right corner of the touchscreen Level 2 is displayed 2 Touch the wrench symbol B The display for entering the service password appears 3 Enter the service password as described in the Installation Instructions or in the Service Manual The service menu is displayed after it has been accessed The service menu is called 131 6 Panorama editor Sirona Dental Systems GmbH Operating Instruction ORTHOPHOS SL 2D 3D Panorama editor The Panoramaedlitor is available to you in SIDEXIS 4 for editing panoramic X ray exposures You can make positional corrections and
130. then increases its speed A patient positioned in the unit may be injured by moving parts gt Monitor the patient and the movement of the unit during height adjustment 2 To make minor corrections press and immediately release the keys The light localizer consists of one Class 1 laser Patients and users can be blinded by the laser light localizer gt Do not stare directly into the laser beam Make sure that the laser beam does not meet the eyes of the patient gt A distance of at least 10 cm must be maintained between the eye and the laser IMPORTANT Ask the patient to take off all metallic objects such as glasses and jewelry in the head and neck area as well as all removable dental prostheses The tray in front of the control mirror is used for depositing jewelry Tip The Easypad shows the reference values of the height and forehead support settings which are saved for further exposures in the additional information area of the SIDEXIS software 64 94 947 D3632 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 5 Operation Operating Instruction ORTHOPHOS SL 2D 3D 5 5 Sinus view Positioning for paranasal sinus exposures X The blue contact segment and the temporomandibular joint supports with contact pads are inserted into the unit X The relevant hygienic protective sleeves are pulled over the accessories 1 Guide the patient in front of the control mirror 2 Setth
131. tient symbol and selecting enabling disabling the Quickshot function V Level 2 of the ceph program group is displayed on the touchscreen 1 Touch the diskette symbol C at the top of the touchscreen v The start settings are displayed 2 Select the patient symbol that you want to preset The selection is highlighted in orange and displayed on the right side of the touchscreen 3 Select whether the Quickshot function should be switched on or off Press the Quick On or Quick Off icons on the touchscreen The Quickshot function reduces the cycle time by approx 20 to 5096 depending on the exposure program The function is set independently of the exposure program The selection is highlighted in orange and displayed on the right side of the touchscreen 4 Touch the save symbol B The setting is saved for the CEPH program group 5 Touch the double triangle D in the upper right corner of the touchscreen v The start settings are hidden level 1 is displayed 64 94 947 D3632 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 5 Operation Operating Instruction ORTHOPHOS SL 2D 3D 5 15 Adjusting the touchscreen Adjusting the touchscreen A touch sensitive click tone is issued as an acoustic confirmation following every input on the touchscreen The click tone can be switched on and off The intensity of the touchscreen display can also be adjusted depending on the current lighting conditions 1
132. tion can be enabled disabled The settings are then preselected by default every time the unit is switched on and for every new exposure e Selecting the service menu The spanner icon is used to access the service menu The service menu is intended exclusively for service engineers Service routines can be activated and unit settings incl tests and calibrations can be performed in this menu 64 94 947 D3632 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 3 Unit description Operating Instruction ORTHOPHOS SL 2D 3D 3 4 Main components of the product e Activating functions The keyboard icon is used to access the keyboard The service menu is intended exclusively for service engineers Color codes Settings are marked with two different colors e Orange selected The function or value has been selected by the user e White preset This function or value is preset in the system The user can change the setting by touching 64 94 947 D3632 D3632 201 03 01 02 05 2015 35 Sirona Dental Systems GmbH Operating Instruction ORTHOPHOS SL 2D 3D 3 Unit description 3 4 Main components of the product Remote control Radiation indicator B Unit ON LED display C Display field D Exposure release button BE R key for return of unit Exposure release button with coiled cable 64 94 947 D3632 36 D3632 201 03 01 02 05 2015 Sirona Dental Systems GmbH 3 Unit description Operat
133. to the patient symbols which are selected according to the patient s size and weight The symbols roughly correspond to child youth woman woman man hefty persons V Level 1 is displayed on the touchscreen 2 Touch the required patient symbol The selection A is highlighted in orange The selected kV mA value is displayed on the right side of the touchscreen The kV mA value is set Setting the kV mA values via the submenu line If the preset kV mA combinations do not provide a satisfactory result you can also set the kV mA values manually in all programs V Level 1 is displayed on the touchscreen 1 Touch the kV mA symbol B on the right side of the touchscreen A submenu line is opened Ready for exposure 2 Select a kV mA value Touch the or keys The selected kV mA value is displayed 3 Touch the cross on the left side of the submenu line Or gt Touch the kV mA symbol B again The submenu line is closed The kV mA value is set Ready for exposure 64 94 947 D3632 D3632 201 03 01 02 05 2015 59 60 Positioning the patient The patient is positioned on the unit while standing Positioning in the seat is also possible without issue The height adjustment motor starts slowly and then increases its speed A patient positioned in the unit may be injured by moving parts gt Monitor the patient and the movement of the unit during height adjustment 2 To make minor corrections press an
134. tomer Service immediately The unit is functional yy Locality The location may be a DX module number standing for an entire HW function unit or a logical SW function unit on board DX11 central control 10 Central control DX 11 system hardware 11 Central control DX 11 system software 12 Central control DX 11 central CAN bus fault 13 Central control DX 11 peripheral DX11 DX1 tripod mechanics tripod sensors 14 Central control DX 11 digital extension HSI network etc 15 Central control DX 11 configuration wrong software wrong module constellation etc 06 X ray tube assembly 07 Easypad user interface 91 Ceph digital 81 Ceph Sensor 83 831 DX83 Sensor 42 Remote 61 Diaphragm control 143 n O JU NO NO NO co gt TM1 1 TM1 2 16 1 16 1s 144 oettings and repair Program values Panoramic exposure with DCS sensor code 1E Code 1E This level series is factory programmed for the Federal Republic of Germany The code 1E which specifies a reduced level series for children and young people should at
135. ty of the X ray unit which result in the device being exposed to very high levels of vibration or even impact the device must be inspected by a service engineer and re adjusted and re calibrated if necessary 64 94 947 D3632 D3632 201 03 01 02 05 2015 64 94 947 D3632 D3632 201 03 01 02 05 2015 Electromagnetic compatibility The unit complies with the requirements of standard IEC 60601 1 2 Medical electrical equipment is subject to special EMC preventive measures It must be installed and operated as specified in the document Installation Requirements If high voltage systems radio link systems or MRI systems are located within 5 m of the unit please observe the specifications stated in the installation requirements 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 the chapter entitled Electrostatic discharge 17 Electrostatic discharge Protective measures Electrostatic discharge abbreviated ESD ElectroStatic Discharge Electrostatic discharge from people can damage electronic components when the components are touched Damaged components usually have to be replaced Repairs must be performed by qualified personnel Measures to protect against ESD include e Procedures to avoid electrostatic char
136. ust be rotated by 90 degrees for symmetrical exposures and carpus exposures 1 Grasp the holders at the very top with both hands 2 Rotate the ear plug holders V n posterior anterior exposure The nose support points towards the sensor In posterior anterior exposure and carpal exposures The nose support points towards the secondary diaphragm Protective caps and hygienic protective sleeves 2 Plug the protective caps onto the ear plugs and pull the hygienic protective sleeve onto the nose support see Hygienic protective sleeves gt 40 Preparing for a 2D exposure 2 Switch SIDEXIS to a ready for exposure state see Switch SIDEXIS to ready for exposure state 64 94 947 D3632 D3632 201 03 01 02 05 2015 101 Q 102 _ Ready for exposure Ready for exposure 7 Ready for exposure QUICK OFF FELIS 14mA 7 Selecting an exposure program Pressing the R key moves the unit to the starting position A patient positioned in the unit may be injured by moving parts 2 Check that a patient is not positioned in the unit before moving it to the starting position X The unit is switched on and ready for exposure 1 Touch the CEPH symbol at the top of the touchscreen The CEPH program group is selected 2 Select an exposure program To do this touch the arrow keys C and A If you want to select a subroutine e g C3F touch the program display B repeatedly Al
137. values For more information on cephalometric exposure programs see above page gt 97 2 3 Unit description Sirona Dental Systems GmbH 3 3 Overview of exposure programs Operating Instruction ORTHOPHOS SL 2D 3D Volume exposure The ORTHOPHOS SL X ray system is available as a 2D or 2D 3D hybrid device 2D devices are prepared for subsequent upgrades with a 3D flat panel detector The volume programs VOL 1 VOL 1 HD VOL2 VOL2 HD optionally VOL3 and VOL3 HD are only available with this Volume exposure with a diameter of approx 8 cm and a height of approx 8 cm T or 5 5 cm collimated Volume exposure with a diameter of about I 5 cm and a height of about 5 5 cm for upper or lower mandible Optional Volume exposure with a diameter of about 11 cm and a height of about 10 cm or VOL3 selection of upper quadrant collimated to VOL3 HD 7 5 cm and selection lower quadrant collimated to 8 0 cm Program settings Volume area anterior teeth molars right left or temporomandibular joints right left collimation of upper lower jaw radiation time For more information about the 3D exposure program see after page 83 64 94 947 D3632 28 D3632 201 03 01 02 05 2015 64 94 947 D3632 D3632 201 03 01 02 05 2015 Main components of the product Basic unit plane for panoramic exposures onto mirorforpatentpostionng Primary diaphragm ferd on the Xray ube assembly M oO Light localizer with heigh
138. wing parameters were set for the measurements Tube voltage 85 kV tube current 7 mA radiation time 14 1 s corresponds to a current time product of 98 7 mAs point dose uSv uSv pq ope ws 8 h jo ame mm NO i91 N amp r p pe m ms sg qn ne x m p pe puer m pe poe I _ NI 64 94 947 D3632 D3632 201 03 01 02 05 2015 Requirements for the PC system Requirements on workstation PCs when using a separate RCU Requirements Requirements Requirements for for 2D workstation for 3D workstation 2D 3D workstation with panorama editor Operating system e Windows 7 Professional Ultimate 64 bit e Windows 8 1 Professional 64 bit An Internet connection is required from Windows 8 Processor 2 2 3 GHz DualCore 2 2 3 GHz QuadCore 2 2 3 GHz QuadCore with SSE3 support with SSE3 support Main memory 2 4GB 2 8 GB 2 8 GB 16 GB ip eee Harddisk disk 2 500 GB of free hard disk space BE card DirectX 9 0c graphics card DirectX 10 graphics card DirectX 10 graphics card 512 MB RAM dedicated 1GB RAM dedicated with 1GB RAM dedicated with WDDM driver 1 0 or higher WDDM driver 1 0 or higher Graphics settings Minimum 1280x1024 pixels Recommended 1600x1200 pixels Drive e DVD ROM e DVD RAM to use Wrap amp Go Suitable for diagnostic applications Software e Acrobat Reader 8 0 contained on DVD required for the PDF test report function Requirements on RCU hardware NENNEN Jo
139. y actuating the unit main switch or an Emergency Stop switch 64 94 947 D3632 D3632 201 03 01 02 05 2015 LASER KLASSE 1 CLASS 1 LASER PRODUCT APPAREIL A LASER DE CLASSE 1 Date of manufacture August 2007 Complies with 21 CFR 1040 10 and 1040 11 except for deviations pursant to Laser Notice No 50 dated June 24 2007 Sirona Dental Systems GmbH Fabrikstr 31 D 64625 Bensheim Germany Manufactured in Bensheim 64 94 947 D3632 D3632 201 03 01 02 05 2015 Laser light localizer The system incorporates Class 1 laser products The light localizers are intended for correct patient positioning They must not be used for any other purposes A minimum distance of 10 cm 4 is required between the eye and the laser Do not stare into the beam The light localizers may be switched on only when functioning perfectly Repair work must be carried out by authorized staff only Do not use the system with any other lasers and do not make any changes to settings or processes that are not described in these operating instructions This may lead to a dangerous exposure to radiation Hygiene The protective sleeves must be exchanged and all auxiliary exposure equipment must also be disinfected for each new patient in order to prevent any possible transmission of infective agents which might cause serious illnesses Suitable hygienic measures must be taken to prevent cross contamination between patients users and other persons
140. y free of charge If you reach an impasse despite having thoroughly studied the operating instructions please contact your dental depot 1 General data Sirona Dental Systems GmbH 1 4 General information about this operating manual Operating Instruction ORTHOPHOS SL 2D 3D 10 Structure of the document Identification of danger levels To prevent personal injury and material damage please observe the warning and safety information provided in this document Such information is highlighted as follows DANGER An imminent danger that could result in serious bodily injury or death A possibly dangerous situation that could result in serious bodily injury or death A possibly dangerous situation that could result in slight bodily injury NOTICE A possibly harmful situation which could lead to damage of the product or an object in its environment IMPORTANT Application instructions and other important information Tip Information on making work easier Formats and symbols used The formats and symbols used in this document have the following meaning Prerequisite Prompts you to do something 1 First action step 2 Second action step or gt Alternative action Result gt Individual action step see Formats and symbols Identifies a reference to another text used 10 passage and specifies its page number Command menu item Indicates commands menu items or quotations 64 94 947

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