368,34,37 4PYW (7
Contents
1. 68 8 71 18 73 15 77 14 P8 108s 25 35 6a 8 71 8 73 15 77 14 P9 94s 2295 68 8 71 8 73 15 77 14 P10 245 1188 62 8 64 8 69 15 73 15 P11 19s 144s 66 8 68 8 73 15 77 14 P12 20s 49s 71 8 77 7 80 14 84 13 P13 235 144s 71 8 7777 80 14 90 12 P14 245 gis 62 8 64 8 69 15 73 15 P15 245 sis 62 8 64 8 69 15 73 15 P16 95s 21 45 73 8 77 7 80 14 84 13 Tabelle Possible kV mA combinations with patient symbols 1 and 2 pre selected kV 60 60 60 60 60 62 64 66 68 71 73 77 80 85 90 O Q mA 3 5 6 7 8 8 8 8 8 8 8 7 7 6 6 Tabelle Possible kV mA combinations with patient symbols 3 and 4pre selected kV 60 60 60 60 60 62 64 66 69 71 73 77 80 84 90 0 Q mA 9 10 12 14 16 16 16 16 15 15 15 14 14 13 12 42 41 62 769 D3297 D3297 201 03 19 02 Sirona Dental Systems GmbH 9 Program Values Program Values for Code 1A Since January 1 1999 this series of steps is no longer permissible in Germany Tabelle Code 1A Program Program Exposure Factory programmed values for Freely programmed values or val duration time code 1A with an adjustment of the ues with other adjustment of the approx max exposure of 03 exposure2. Company Dental The ORTHOPHOS Plus DS Operating Instructions TEE General information Sirona Dental Systems GmbH General information Dear Customer Thank you for purchasing your new ORTHOPHOS Plus DS X ray unit for panorama planig raphy Standard radiographs jaw region sinus radiographs maxillary sinuses and temporomandibular joint radio graphs in digital exposure technique are possible For this unit we have provided you with a set of techni cal literature Keep this literature for quick and easy ref erence In order to protect your rights under Sirona warranty the purchaser must register the unit by filling out the War ranty Passport provided together with the technician immediately after installation of the unit Read the Operating Instructions to familiarize yourself with the unit before taking radiographs on the patient Please observe the Radiation Protection Regulations and Warning Notes These Operating Instructions assume a thorough famil larity with the SIDEXIS software Your ORTHOPHOS Team Maintenance To ensure the safety of the patient the operators and third parties equipment inspections and maintenance work must be carried out at specified intervals in order to guarantee the operational safety and functional reliability of your product It is the responsibility of the operator to ensure that the inspections and maintenance work are carried out In the event
3. 14 Forehead support position 15 Image receiver slot 16 X ray tube position 17 Cool down interval 18 Diaphragm adjustment 19 Height adjustment Multitimer Unit ON LED X ray ON indicator Exposure button Digital display for exposure program exposure time with buttons for exposure programs Digital display for kV mA values with buttons for kV mA matched values Patient symbols programmed kV mA values Memory program button kV mA matched values Button with Service function Rotation test button T without radiation Return button R The LED blinks when the system is not ready Ready LED 41 62 769 D3297 D3297 201 03 19 02 Sirona Dental Systems GmbH 4 Accessories Accessories Rests and supports The receptacles behind the door are for the storage of accessories and hygienic protective covers i Handles and marked accessories can be sterilized shortly pw Sterilize only in an autoclave at 135 C 2 1 bar to open ATT 275 F 30PSI Untightened handles can be removed for sterilization as shown For tightened handles please use the hygienic protec tive covers shown on the next page For reorders A Forehead support strip 5 pcs Order No 89 21 835 B Chin rest complete 135 C incl 5xE 1xF C D R S MZT Order No 18 88 762 C Bar for chin rest Order No 59 61 461 D Int
4. approx length values weight approx 16kg Cooling curve for the tube housing HUx10 1HU 1 35 Joule 130 4 120 110 100 0 60 120 180 240 300 360 420 480 540 600 660 720 min 41 62 769 D3297 D3297 201 03 19 02 2 Technical Description Sirona Dental Systems GmbH Anode cooling caracteristic Heating curve for tube housing 41 62 769 D3297 10 D3297 201 03 19 02 Sirona Dental Systems GmbH 3 Operating Controls and Displays Operating Controls and Displays Unit h Main switch 2 34 5 678 Patient positioning mirror Height adjustment for the FH light line Adjusting knob for temple supports Forehead support Temple supports Image receiver 0 N O A A Q N Knob for image receiver removal or insertion 9 Button for removing bite block 10 Diaphragm wheel 11 Locking button for diaphragm wheel 12 Primary diaphragm Multitimer Control Panel A Return button R Light localizer ON OFF Anomaly button A with LED display Height adjustment display in mm Height adjustment Forehead support adjustment display in mm Forehead support adjustment lt towards column away from column gt 41 62 769 D3297 D3297 201 03 19 02 11 3 Operating Controls and Displays 12 Help LED displays Sirona Dental Systems GmbH See the inside of the door for a list of appropriate H3 H4 help messages see page 40 13 SIDEXIS exposure stand by
5. 62 769 D3297 D3297 201 03 19 02 6 Operating Digital Displays At the control panel A e The mm value of height adjustment between 000 and 640 from the last patient e The basic forehead support value of 10 0 mm e orahelp message H3 or an error message E is displayed same as on the Multitimer see page 40 and 45 Multitimer At the Multitimer the program and exposure parame ters employed with the last patient appear A shows you the exposure program sequentially and the respective maximum exposure time B gives you the kV mA matched value pair The LED over the respective patient symbol lights up C The LED over the return button R blinks Move the rotating unit into place for patient positioning by tapping one of the return buttons R Help LED 16 for the tube unit position extinguishes on control panel A NOTE You can release a test rotation without radiation via the exposure button after having pressed the T button 25 O Operating Sirona Dental Systems GmbH Positioning the Patient Preparations e Have the patient remove all metallic objects such as glasses and jewelry from the head and neck re gions Have him take out removable dentures e Physical constitution clothing bandages etc must not interfere with the functioning of the unit Perform a test run with the T button See page 25 e Insert chin rest bite block contact segment or head positioner see Exposure Program
6. Exposure Blockage Protection of X ray tube The automatic exposure blockage prevents premature triggering of a new exposure Help LED 17 for the cool down interval illuminates on Control Panel A After the exposure key has been actuated the automatic cool off pause is indicated The Ready LED continues flashing until the cool off time has expired An exposure can only be triggered when all LEDs have extinguished Example see page 7 37 6 Operating 38 Sirona Dental Systems GmbH Error Message E Messages such as E2 01 in the kV mA field indicate errors The Ready LED blinks Simultaneously the error mes sage is displayed on control panel A All unit functions are blocked e Press the button R on the Multitimer to reset display poss more than once e If the error message E continues to light up switch the unit off and back on if for an exposure the X ray image is displayed on the PC Ma TTENTION The turn off time must be at least 60s otherwise the unit will not function correctly If error message has disappeared all unit functions are normal again See appendix for List of Error Messages with remedy description 41 62 769 D3297 D3297 201 03 19 02 Sirona Dental Systems GmbH 7 Programming Programming In the factory kV mA values have been assigned to the four program buttons For free programming the buttons can be programmed wit
7. a start up or before selftest of the unit finished X ray head was prevented from leaving pan orama position at start of exposure X ray head prevented from returning to zero position after exposure Program card incorrectly inserted Exposure interrupted by SIDEXIS Sirona Dental Systems GmbH Remove obstruction Press R key on Multitimer to reset display Press R key on Multitimer to reset display Press R key on Multitimer to reset display Remove obstruction Press R key on Multitimer to reset display Remove obstruction Press R key on Multitimer to reset display Check that program card is correctly inserted Press R key on Multitimer to reset display Check PC for readiness For error messages which are not contained in this list switch the unit off and back on if for an exposure the X ray image is displayed on the PC If the error occurs repeatedly please call your service engineer Ma TTENTION The turn off time must be at least 60s otherwise the unit will not function correctly 41 62 769 D3297 D3297 201 03 19 02 Sirona Dental Systems GmbH 12 Inspection and Maintenance Inspection and Maintenance Annual inspection performed by the operator or other authorized personnel Maintenance performed by the service technician Checking image quality 41 62 769 D3297 D3297 201 03 19 02 Inspection and maintenance work must be performed at regular intervals to protect the safety and hea
8. minute e The LED inthe upper left corner of the Multitimer will light up e The unit adjusts itself automatically e The rotating unit moves a little to the right and left e The forehead support moves to basic position 10 0 Ma TTENTION When switching on the unit there must not be a patient positioned in the unit If a fault occurs which requires switching the unit off and then back on again the patient must be taken out of the unit at the latest before switching it on again Switching ON the PC e Prepare SIDEXIS program on PC for ORTHOPHOS Plus DS XP exposure stand by see SIDEXIS User s Manual Help LED 13 for SIDEXIS exposure stand by in Con trol Panel A extinguishes Primary Diaphragm Depending on the exposure program selected dia phragm 10 or 2 is required Diaphragm 2 is preferred for children Adjust diaphragm by pressing button 11 and rotating the diaphragm wheel 10 up to the stop The diaphragm number appears in the upper right cor ner of the window When the diaphragm moved into place is not suitable for the program preselected on the Multitimer or when the diaphragm is not correctly locked into place Help LED 18 for diaphragm setting flashes on control panel A Lock correct diaphragm into place the LED 18 extin guishes 41 62 769 D3297 D3297 201 03 19 02 Sirona Dental Systems GmbH 10 0 HES Exposure key D 41
9. patient s head in the head positioner Close the temple supports so that the ear fixations are inserted in the external auditory canals e Ensure that the spine is slightly tilted as described before Have the patient take a small step toward the column e Swing out the mirror e Switch on the light localizer to set the correct posi tion Press the key on the control panel e Clip contact spacer L onto the tube after head posi tioning and push downwards to support forehead The Frankfurt Horizontal FH light beam should reflect the plane passing through the upper margins of the ear fixation and the lower margins of the orbits The FH line can be vertically adjusted with the knob 3 e Swing back the mirror In case of the temporomandibular exposure programs P5 P7 and P9 the head setting deviates from the FH see the Exposure Programs chapter 41 62 769 D3297 D3297 201 03 19 02 Sirona Dental Systems GmbH 6 Operating Final Preparations e Switch off the light localizer at the control panel e Theimage receiver 7 must be pushed all the way to the stop O NOTE To remove the image receiver turn the rotary knob 8 and pull the image receiver out Ma TTENTION Do not drop it When the image receiver 7 is not inserted up to the stop Help LED 15 flashes Insert the image receiver completely LED 15 extinguishes The LED above the R key on the Multitimer is now switched off to let
10. the PC see SIDEXIS User Manual CAUTION Do not switch off the unit until the help mes sage goes out 41 62 769 D3297 40 D3297 201 03 19 02 Sirona Dental Systems GmbH 9 Program Values Program Values Program Values for Code 2A This series of steps is pre programmed at the factory for the Federal Republic of Germany lt guarantees unre stricted compliance with the valid legal provisions which must be adhered to since January 1 1999 Changing the program values from 2A to 1A is not permitted in Ger many Elsewhere this series of steps can be used world wide provided that country specific requirements are taken into account Tabelle Code 2A Program Program Exposure Factory programmed values for Freely programmed values or val duration time code 2A with an adjustment of the ues with other adjustment of the approx max exposure of 03 exposure please enter here P1 24s 14 1s 62 8 64 8 68 8 73 8 P2 24s 11 8s 62 8 64 8 68 8 73 8 P3 54s 16 2s 64 8 68 8 71 8 73 8 P4 26s 8 1S 66 8 68 8 71 8 73 8 P5 28s 10 1s 68 8 71 8 73 8 77 7 P6 1 P6 2 27 278 12 8s 68 8 71 8 73 8 77 7 P7 1 P7 2 27 278 18 78 68 8 71 8 73 8 7717 P8 108s 25 38 68 8 71 8 73 8 77 7 P9 94s 22 9s 68 8 71 8 73 8 7717 P10 24s 11 8s 62 8 64 8 68 8 73 8 P11 19s 14 4s 66 8 68 8 73 8 7717 P12 20s 4 9s 71 8 77 7 80 7 85 6 P13 23S 14 4s 71 8 7717 80 7 90 6 P14 2
11. umn Recheck the FH line position e Have patient press tongue against roof of palate Digital displays The reference values for height and forehead support are displayed on the control panel 41 62 769 D3297 D3297 201 03 19 02 Sirona Dental Systems GmbH 6 Operating Exposure with Chin Rest and Bar For patients without anterior teeth e Remove bite block with holding rod and insert bar as shown bow facing column e Ensure that the upper and lower jaws are lined up with each other This is facilitated by a cotton roll e Proceed as in the case of exposures with chin rest and bite block Deviation The patient places his chin on the chin rest e To position the head optimally for tomographic expo sures the bar should be just under the patient s nose e If there are still anterior teeth in the lower jaw place the bar between chin and lower lip e Have patient press tongue against roof of palate 41 62 769 D3297 D3297 201 03 19 02 29 O Operating Sirona Dental Systems GmbH Exposure with Bite Block or Contact Segment Ue without Chin Support i e With programs P1 P10 P14 and P15 move the forehead support to the 00 0 position by actuating the lt key For the forehead support setting for the other programs refer to the Exposure Programs chapter e Have the patient stand in front of the mirror With Bite Block e Using the T and J buttons adjust unit height so that the bit
12. unit Adjustment set 1 Special wrench Order No 52 43 605 Needle phantom Order No 89 31 925 Test block 41 62 769 D3297 D3297 201 03 19 02 Sirona Dental Systems GmbH 5 Exposure Programs Exposure Programs 3 1 P1 Program Complete standard exposure L 10 A e Chin support with rod and bite block or bar or yellow bite block or contact segment e Working area forehead support 00 0 30 0 Head inclination with FH cco PAN 10 e Automatic selection of section shape via temple 0 59x13 84cm support setting for different mandibular arches 0 59x18 40cm Radiation time dependent on adjusted width of tem PAN ple supports SID 49 7 s e e Manual compensation for anatomical relationships protrusion retrusion by anomaly button A see page 34 P 2 Program Standard exposure restricted to the teeth without ascending branches 2 CCD PAN 10 0 59x13 84cm CCD Ceph 0 59x18 40cm PAN SID 49 7cm 41 62 769 D3297 D3297 201 03 19 02 L of Chin support with rod and bite block or bar or yellow bite block or contact segment Working area forehead support 00 0 30 0 Head inclination with FH Automatic selection of section shape via temple support setting for different mandibular arches Radiation time dependent on adjusted width of tem ple supports Manual compensation for the anatomical relationships protrusion retru sion by anomaly button A see page 34 15 5 Exp
13. you know that the unit is ready for the exposure Ma TTENTION IMPORTANT REMARK Should the LED above the R key go on blinking call up the help message H3 H4 to look for the reason Press release key The list of help messages you find at the inside of the door Selecting the Exposure Program Selecting the Exposure Program by pressing the buttons The exposure program selected e g P1 and the corre sponding maximum exposure time are alternatively shown on the digital display NOTE When with preselection of the exposure program O 1 appears on the display instead of for example P 1 you have erroneously selected a mode provided for servic ing You can leave this mode by pressing the Memory button and then Program or by switching to another exposure program 41 62 769 D3297 D3297 201 03 19 02 33 6 Operating 34 Sirona Dental Systems GmbH Exposure Data e Select Exposure Data by tapping one of the four pa tient symbol buttons The LED above the button will then light up and the respective kV mA matched pair will appear on the digital display Manually the exposure data can be modified with the buttons The mA values are automatically matched to the kV val ues See chapter Program Values The kV mA matched values for the patient symbol bu
14. 4s 8 1S 62 8 64 8 68 8 73 8 P15 24s 8 18 62 8 64 8 68 8 73 8 P16 95s 21 4s 73 8 7717 80 7 85 6 Tabelle Possible kV mA combinations kV 60 60 60 60 60 62 64 66 68 71 73 77 80 85 90 mA 3 5 6 7 8 8 8 8 8 8 8 7 7 6 6 41 62 769 D3297 D3297 201 03 19 02 41 9 Program Values Program Values for Code 4A Tabelle Code 4A Sirona Dental Systems GmbH The code 4A which selects a reduced series of steps for children and non adults must be complied with as a minimum requirement for new installations or changes in the site operator in the Federal Republic of Germany since January 1 1999 Changing the program values from 4A to 1A is not permitted in Germany Elsewhere this series of steps can be used world wide provided that country specific requirements are taken into account Program Program Exposure Factory programmed values for Freely programmed values or val duration time code 4A with an adjustment of the ues with other adjustment of the approx max exposure of 03 exposure please enter here P1 245 141s 62 8 64 8 69 15 73 15 P2 24s 1188 62 8 64 8 69 15 73 15 P3 54s 16 2s 64 8 68 8 71 15 73 15 P4 26s 81s 66 8 68 8 71 15 73 15 P5 28s 10 1s 68 8 71 8 73 15 77 14 P6 1 P6 2 274278 128s 68 8 71 8 73 15 77 14 P7 1 P7 2 27 278 18 78
15. ally into a safe mode which saves the acquired image until the image has been transmitted by a service program SiRescue The safe mode is indicated by the help message H4 20 Ma TTENTION In this condition the unit or the PC may not be switched off in order to prevent the saved image from being delet ed For operating the SiRescue service program please observe the corresponding software description in the SIDEXIS User Manual The help message H4 20 is no longer displayed after the image has been transmitted by the SiRescue service program 41 62 769 D3297 D3297 201 03 19 02 Sirona Dental Systems GmbH 41 62 769 D3297 D3297 201 03 19 02 6 Operating D NOTE Only then may the units be switched off or put into the ready for exposure state e After the exposure Acknowledge awareness of the exposure time actu ally required for the exposure by pressing the return key R e Then bring the rotary unit in to the starting position by pressing the return key R once again Interrupting the Exposure If the exposure button is prematurely released the expo sure is interrupted The kV mA value and the Ready LED blink at the Multi timer The exposure time passed until the interruption is shown e Press button R on the Multitimer e After the rotary unit returns to its original position re peat the exposure Automatic
16. aly LED then remains lit up The Anomaly step is stored 5 Press the Test Rotation key 41 62 769 D3297 D3297 201 03 19 02 35 6 Operating 36 Releasing the Exposure Sirona Dental Systems GmbH Observe the radiation protection guidelines explained on page 5 D NOTE The Help LEDs on the bottom of Control Panel A must all be extinguished and the Ready LED may no longer be flashing e The exposure is released by keeping depressed the release button The rotation movement is running automatically in accordance with the exposure program selected For P6 and P7 program only The rotary unit moves back into the starting position after having completed the program parts P6 1 P7 1 Then have the patient open his mouth and release the program part P6 2 P7 2 During radiation the radiation indicator X ray lights up The radiation duration is additionally accompanied by an acoustic signal e The exposure ends when the LED over button R blinks Rotation and radiation automatically switch off e Open the temple supports and have the patient step out During the exposure The program number e g P1 is indicated at the Multi timer After the end of the exposure the exposure time actually required for the exposure lights up and the exposure is displayed on the PC O NOTE In case of disturbances of the data transmission to the PC the unit changes automatic
17. bite block or bar or yellow bite block or contact segment Working area forehead support 00 0 30 0 Head inclination with the aid of FH Automatic selection of section shape via temple support setting for different mandibular arches Radiation time dependent on adjusted width of tem ple supports Manual compensation for anatomical relationships protrusion retrusion by anomaly button A see page 34 21 5 Exposure Programs Sirona Dental Systems GmbH P 15 Program Standard exposure right half side 6 TS 10 y e Chin support with rod and bite block or bar or yellow bite block or contact segment e Working area forehead support 00 0 30 0 Head inclination with the aid of FH e Automatic selection of section shape via temple support setting for different mandibular arches Radiation time dependent on adjusted width of tem ple supports CCD PAN 10 0 59x13 84cm e Manual compensation aes econ for anatomical relationships protrusion retrusion PAN by anomaly button A see page 34 SID 49 7cm Multi layer exposures in the buccal teeth area 6 exposures on 1 image 16 Te e Yellow bite block or contact segment e Working area forehead support 05 0 30 0 e Mandibular margin horizontally CCD PAN 10 0 59x13 84cm CCD Ceph 0 59x18 40cm PAN SID 49 7cm 41 62 769 D3297 22 D3297 201 03 19 02 Sirona Dental Systems GmbH 6 Operating Operating Preparing the Exposure Inse
18. e Swing out the mirror by pressing on field A e Position the patient s head so that the biting sur face is slightly tilted forward e Switch on the light localizer by pressing the key on the control panel The light localizer facilitates cor rect positioning of the patient D NOTE The light localizer turns off automatically after about 2 5 minutes The Frankfurt horizontal FH light beam should reflect from the plane passing through the lower margins of the orbits and the upper margins of the external auditory orifices The knob 3 can be used to vertically adjust the FH line e Finely adjust the head inclination for the FH line ad justment by tapping the buttons or J for vertical unit movement e Line up the middle of the patient s face with the cen tral light line e Press the gt button for movement away from the col umn until the forehead support 5 touches the pa tient s forehead db NOTE When the temple support position is not suitable for the preselected exposure program Help LED 14 flashes Run the temple support into the correct position see ex posure programs LED 14 extinguishes e Position the temple supports 6 firmly with knob 4 a NOTE With programs P1 P2 P10 P11 P14 and P15 the radi ation time changes as a function of the width of the tem ple supports e Swing back the mirror by pressing on field B e Have the patient take a small step toward the col
19. e block and the anterior teeth match up e Have the patient grip the handles e Have the patient bite the bite block at the indenta tion The upper anterior teeth should be directly in the in dentation and the lower anterior teeth should be moved forward up to the stop With Contact Segment For patients without anterior teeth e Adjust the unit height so that contact segment and subnasals match up e The contact segment should be just under the pa tient s nose Ensure that the upper and lower jaws are lined up with each other This is facilitated by a cotton roll e Ensure that the spine is slightly tilted as described before 41 62 769 D3297 30 D3297 201 03 19 02 Sirona Dental Systems GmbH 41 62 769 D3297 D3297 201 03 19 02 6 Operating e Swing out the mirror by pressing on field A e Position the patient s head so that the biting sur face is slightly tilted forward e Switch on the light localizer by pressing the key on the control panel The light localizer facilitates cor rect positioning of the patient i NOTE The light localizer turns off automatically after about 2 5 minutes The Frankfurt Horizontal FH light beam should reflect from the plane passing through the lower margins of the orbits and the upper margins of the external auditory orifices The knob 3 can be used to vertically adjust the FH line e Finely adjust the head inclination for the FH line ad justment by tapping
20. e test button T on the Multitimer must be pressed first radiation protection measure e Press the X RAY exposure button on Multitimer H3 or H4 help message appears on the kV mA dis play e Read on the following list what is to be done to get the unit ready for the exposure e Before carrying out the corresponding indication press return button R on the Multitimer to acknowl edge the help message Help Messages H3 H3 01 Press one of the R buttons to return the rotation unit to the start position Help LED 16 H3 05 Set the diaphragm on the wheel corresponding to the exposure program Help LED 18 H3 06 Engage the locking button on diaphragm wheel properly Help LED 18 H3 07 Move forehead support to permitted position Help LED 14 H3 12 Press one of the R buttons to move the rotation unit to the tele position Help LED 16 H3 20 Press the R button on the Multitimer to confirm the exposure data Help LED 17 Help Messages H4 H4 01 Slide in the image receiver corresponding to the selected exposure program Help LED 15 H4 03 Set SIDEXIS operational on the PC Help LED 13 H4 05 Move the stand without patient into the tele posi tion Help LED 19 H4 06 Move the cephalometer without patient into the tele position help LED 19 H4 10 Image receptor not suitable for the set exposure help LED 15 H4 20 Transfer exposure by SiRescue service program to
21. ermediate piece Order No 14 49 227 E Bite block 10 pcs Order No 18 88 887 F Stick for bite block 5 pcs Order No 18 88 895 G Standard yellow bite block 5 pcs Order No 89 21 843 H Standard yellow contact segment for subnasals 5 pcs Order No 89 31 545 J Head positioner complete incl 4xK Order No 18 88 770 K Ear fixation 10 pcs Order No 18 88 838 L Contact spacer Order No 33 10 336 M Bite block blue for sinus exposures 5 pcs Order No 89 21 850 N Contact segment blue for subnasals with sinus and paranasal tomographic exposures 5 pcs Order No 89 31 552 41 62 769 D3297 D3297 201 03 19 02 13 4 Accessories Hygienic Protective Covers Service Tools 14 Sirona Dental Systems GmbH Before each exposure the hygienic protective covers disposable should be attached For better illustration of the components the following figures are shown without the hygienic protective covers For orders P For forehead support and handles 500 pcs Order No 33 14 098 Dimensions 210mm 140mm x 57 mm For chin rest 100 pcs Order No 59 32 603 Dimensions 75mm x 60mm For bite block 500 pcs Order No 33 14 072 Dimensions 43mm x 21 mm For bite block and contact segment 500 pcs Order No 33 14 080 Dimensions 80mm x 40mm Tools supplied with the unit and needed for the mainte nance and or service must remain with the
22. h different values See Program Values Programming Procedure 1 Push buttons to select program number P1 to be changed 2 Push buttons to set desired kV mA value on the digital display 3 Push memory button The LED over the memory button blinks 4 Push the patient symbol button to be repro grammed The LED above this button lights up The LED above the memory button is switched off The new values are now stored Programming is complete Please enter the new values in the Freely programmed values table Adjustment of the Exposure The adjustment of the exposure is set to 03 at the fac tory If the degree of exposure is to be changed use the sup plied screwdriver as shown in the illustration During adjustment the corresponding switch position is briefly displayed example 04 lower dose noisy exposures Step switch set to Step switch setto higher dose low noise exposures NOTE Changing the adjustment of the exposure automatically alters the programmed kV mA values See chapter Program Values 41 62 769 D3297 D3297 201 03 19 02 39 8 Help Messages H3 H4 Sirona Dental Systems GmbH Help Messages H3 H4 You want to release an exposure but the Ready LED on Multitimer is still blinking Ma TTENTION In case of unit failure th
23. imer to reset display A WARNING If this fault message occurs repeatedly during the motor driven up and down movement of the rotary unit especial ly when no patient is positioned switch off the unit imme diately and inform your service engineer without delay E310 Count for height adjustment too high too low for Switch unit off and then on again and move it in the enabled E3 11 reference setting direction until a valid display value is indicated E3 12 Key for height adjustment TJ was pressed dur Press R key on Multitimer to reset display ing self adjustment or is defective E3 21 Anomaly key A on control panel A was actuated Press R key on Multitimer to reset display during a start up or before selftest of the unit fin ished E3 22 Light localizer key on control panel A was actu Press R key on Multitimer to reset display ated during a start up or before selftest of the unit finished E3 23 R key on control panel A was actuated during a Press R key on Multitimer to reset display start up or before selftest of the unit finished 41 62 769 D3297 D3297 201 03 19 02 45 11 List of Error Messages E3 27 E3 28 E3 29 E3 31 E3 32 E3 33 E3 47 E4 01 46 Forehead support prevented from moving away gt from column towards lt column possibly stuck The software endswitch was reached before the zero position One of the forehead support adjustment keys or on control panel A was actuated during
24. itch on 41 62 769 D3297 D3297 201 03 19 02 In order to prevent injury to persons and damage to the equipment you must also read the warning and safety notes given in these Operating Instructions These are emphasized with ATTENTION and CAUTION This unit has been designed for use in creating pan orama radiographic exposures This unit must not be used in areas where there is a risk of explosion As manufacturers of electro medical products we can assume responsibility for safety related performance of the equipment only if maintenance repair and modifica tions are carried out only by us or agencies we have authorized for this purpose and if components affecting safe operation of the unit that may be needed are replaced with original parts We suggest that you request a certificate showing the nature and extent of the work performed from those who carry out such work and specify that the certificate show any changes in rated parameters or working ranges as well as the date the name of the firm and a signature For reasons of product safety only original Sirona accessories approved for this product or accessories from third parties which have been released by Sirona may be used It is the user s risk when using non released accessories Exposures of patients may only be taken if the unit func tions fault free Never leave the patient unattended in the unit Instructions for avoiding recognizing and correcting u
25. king area forehead support 00 0 30 0 Recommended position of forehead support 06 0 Head inclination with the aid of FH CCD PAN 10 0 59x13 84cm CCD Ceph P 6 1 Outer Image 0 59x18 40cm Closed mouth PAN SID 49 7cm P 6 2 Inner Image Open mouth e Actuate P6 1 After P 6 1 is completed the unit automatically re turns to the initial position Head positioner e Have the patient open his mouth and actuate P6 2 41 62 769 D3297 D3297 201 03 19 02 17 5 Exposure Programs P 7 1 P 7 2 Program Sirona Dental Systems GmbH Posterior anterior exposures of the temporomandib ular joints with closed and open mouth 4 exposures on 1 image e Insert head positioner see page 23 e Working area forehead support 00 0 27 0 Recommended position of the forehead support 20 0 To avoid superimpositions to a large extent head in clination relative to FH toward anterior P 7 1 Outer Image Closed mouth P 7 2 Inner Image Open mouth e Actuate P 7 1 After P7 1 is completed the unit automatically re turns to the initial position e Have the patient open his mouth and actuate P 7 2 CCD PAN 10 0 59x13 84cm CCD Ceph 0 59x18 40cm PAN SID 49 7cm Head positioner 18 Multi layer exposures lateral exposures of the temporomandibular joints 6 exposures on 1 image e Insert head pointer see page 23 e Working area forehead support 00 0 30 0 Recommended position of the forehead supp
26. lth of patients users and third parties As the operator you should ensure the safety and reli ability of your system by performing maintenance onit at regular intervals at least once annually or having this work performed by your dental dealership In addition to the scheduled annual inspection by the user or persons contracted to perform this a mainte nance inspection must be performed after 4 7 10 and then every two years At regular intervals however at least once a year the user must evaluate the image quality For digital image receptors the increasing number of repeated image processing operations to be made with the brightness or contrast control in the image process ing software e g SIDEXIS is used as evaluation crite rion If this evaluation criterion is considered to be satisfied irrespective of the patient s anatomy or possible error sources such as patient positioning a technician should be consulted immediately for elimination of possible sys tem defects In addition it is necessary to observe country specific requirements Furthermore we would like to call your attention to our Quality Image Service For this please contact your dental dealer or the manufacturer directly 47
27. n Minimum requirements for the PC systems Hard disk RAM Drives Operating system Graphics system Network Communication connection Sirona Dental Systems GmbH Continuous operation 60W Wolfram 0 57 mA 90kV 497 mm 40 C 70 C 40 F 158 F According to IEC 601 1 between 10 C and 40 C 50 F 104 F 10 95 Digital CCD technology line sensor can be plugged to Panorama or Ceph radiography position 280mm x 120mm x 35mm Panorama 138 x 5 9mm Panorama depends on selected program max 138 x 288mm Panorama 0 09mm pixel size gt 2 GByte database gt 50 MByte SIDEXIS installation at least 64 MB CD ROM 3 5 diskette one per system network MOD drive min 640 MByte one per system network Windows 98 Windows NT 4 0 Service Pack gt 5 Resolution at least 1024 x 768 pixels color depth at least 8 bit 10 100 MBit Ethernet RJ45 for LAN cable ORTHOPHOS Plus DS is in compliance with IEC 601 2 28 1993 ORTHOPHOS Plus DS is in compliance with IEC 601 1 3 1994 Original language d 0123 german This product is provided with a CE marking in accor dance with the regulations stated in the Directive 93 42 EEC of June 14 1993 concerning medical products 41 62 769 D3297 D3297 201 03 19 02 Sirona Dental Systems GmbH 2 Technical Description Reference axis Anode angle Reference axis 10 1 Anode angle no true sclae
28. n scale Focus size according to IEC 336 measured in central ray Focus marking Automatic exposure blockage see page 37 Equipment of protective class Protection against electric shock Protection against penetration of water 41 62 769 D3297 D3297 201 03 19 02 208V 230V AC 6 10 10 12A 50 60 Hz max 0 8 Ohm 16 A slow blow 2 8kVA 60 90 kV 9 16mA high frequency multipulse Residual ripple lt 4kV 3 0V 7 5V 3 0A 4 2V DC 1 20 see page 41 see page 41 With P1 program medium mandibular arch plane center ca 1 1 19 The image at the image receiver is approximately 19 larger than the real proportions 0 5mm The duration of the exposure blockage cool off period depends on the kV mA step set and the actually triggered radiation time Depending on the tube load pause times between 8s and 300s are set automatically Example For P1 program with exposure data 80kV 14mA and a radiation time of 14 15 a pause of 255s results Type B equipment Ordinary equipment without protection 2 Technical Description Mode of operation Long time power rating Target material Loading factors concerning leakage radiation Source Image receptor distance Transport and storing temperature Permissible operating temperature Relative humidity Sensor image receptor Type External dimensions Active sensor surface Resulting image format Detail recognitio
29. nintended electromagnetic effects The ORTHOPHOS Plus DS X ray System is a unit of class A classification according to CISPR 11 EN 60601 1 2 1993 based off IEC 60601 1 2 This unit may be operated in a residential area provided it is used under the responsibility of a trained medical operator Following extreme temperature fluctuations condensate formation may occur therefore please do not switch on the device until normal room temperature has been reached see chapter Technical Description When switching on the unit there must not be a patient positioned in the unit If a fault occurs which requires switching the unit off and then back on again the patient must be taken out of the unit at the latest before switching it on again 1 Warning and Safety Notes Interference with electromedical devices by radio tele phones Malfunction of electronic units devices which are worn on the patient s body Radiation Protection Disassembly and reinstallation Disposal Sirona Dental Systems GmbH To guarantee the operational safety of electromedical devices it is recommended that the operation of mobile radio telephones in the medical practice or hospital is prohibited In order to prevent failure of electronic units and data storage devices e g radio controlled watch and tele phone card etc it is essential that these be removed prior to X ray exposure Observe the applicable health physics regulations The
30. nt e Working area forehead support 00 0 30 0 Head inclination with the aid of FH e Automatic selection of section shape via temple support setting for different mandibular arches CCD PAN 10 0 59x13 84cm CCD Ceph 0 59x18 40cm PAN SID 49 7cm Radiation time dependent on adjusted width of tem ple supports Manual compensation for anatomical relationships protrusion retrusion by anomaly button A see page 34 Display of the anterior teeth area with larger section thickness e g for implantology 12 10 f e Chin support with rod and bite block or bar or yellow bite block or contact segment e Working area forehead support 00 0 27 0 Head inclination with the aid of FH CCD PAN 10 0 59x13 84cm CCD Ceph 0 59x18 40cm PAN SID 49 7cm 41 62 769 D3297 20 D3297 201 03 19 02 Sirona Dental Systems GmbH 5 Exposure Programs P 13 Program CCD PAN 10 0 59x13 84cm CCD Ceph 0 59x18 40cm PAN SID 49 7cm head positioner CCD PAN 10 0 59x13 84cm CCD Ceph 0 59x18 40cm PAN SID 49 7cm 41 62 769 D3297 D3297 201 03 19 02 Paranasal tomographic exposures e g blow out fractures 13 C A Blue contact segment insert subnasal see page 30 Insert head positioner without ear fixation see page 23 Working area forehead support 00 0 30 0 Patient head max reclined Standard exposure left half side 14 C of Chin support with rod and
31. ort 00 0 Head inclination with the aid of FH 41 62 769 D3297 D3297 201 03 19 02 Sirona Dental Systems GmbH 5 Exposure Programs P 9 Program Multi layer exposures posterior anterior exposures of the temporomandibular joints 6 exposures on 1 image e Insert head positioner see page 23 e Working area forehead support 00 0 27 0 Recommended position of forehead support 20 0 To avoid superimpositions to a large extent head in clination relative to FH toward anterior CCD PAN 10 0 59x13 84cm CCD Ceph 0 59x18 40cm PAN SID 49 7cm positioner Standard exposure Status preferred mode for children 10 a A e IMPORTANT Adjust diaphragm 2 e Yellow bite block or contact segment e Working area forehead support 00 0 30 0 Head inclination with the aid of FH CCDPAN 2 0 59x13 84cm CCD Ceph 0 59x18 40cm PAN SID 49 7cm 41 62 769 D3297 D3297 201 03 19 02 e Automatic selection of section shape via temple support setting for different mandibular arches Radiation time dependent on adjusted width of tem ple supports Manual compensation for anatomical relationships protrusion retrusion by anomaly button A see page 34 19 5 Exposure Programs Sirona Dental Systems GmbH 5 11 P1TProgram with constant 1 25 fold magnification e g for implantology 10 Ay e Chin support with rod and bite block or bar or yellow bite block or contact segme
32. osure Programs Sirona Dental Systems GmbH P 3 Program Sinus maxillaris 2 on 1 image subdivision AS e Blue bite block or contact segment e Forehead support strip with attachment down see page 23 e Working area forehead support 10 0 30 0 Head inclination with FH e Only release trigger when Ready LED flashes radiation is released automatically twice in a row CCD PAN 10 0 59x13 84cm CCD Ceph 0 59x18 40cm PAN SID 49 7cm Lateral exposure of the temporomandibular joints ascending branches e Insert head positioner see page 23 e Working area forehead support 06 0 30 0 Recommended position of forehead support 06 0 Head inclination with the aid of FH CCD PAN 10 0 59x13 84cm CCD Ceph 0 59x18 40cm PAN SID 49 7cm 41 62 769 D3297 16 D3297 201 03 19 02 Sirona Dental Systems GmbH 5 Exposure Programs P 5 Program Posterior anterior exposures of the temporomandib ular joints 5 e Insert head positioner see page 23 e Working area forehead support 00 0 27 0 Recommended position of forehead support 20 0 To avoid superimpositions to a large extent head in clination relative to FH toward anterior CCD PAN 10 0 59x13 84cm CCD Ceph 0 59x18 40cm PAN SID 49 7cm F Head positioner Lateral exposures of the temporomandibular joints with closed and open mouth 4 exposures on 1 image e Insert head positioner see page 23 e Wor
33. please enter here P1 24s 14 1s 62 16 64 16 6915 73 15 P2 24s 11 8s 62 16 64 16 69 15 73 15 P3 54s 16 2s 64 16 69 15 71 15 73 15 P4 26s 8 1s 66 16 69 15 71 15 73 15 P5 28s 10 1s 69 15 71 15 7345 77 14 P6 1 P6 2 27 278 12 8s 69 15 71 15 73 15 77 14 P7 1 P7 2 27 278 18 78 69 15 71 15 7315 77 14 P8 108s 25 38 69 15 71 15 7345 77 14 P9 94s 22 9s 69 15 71 15 7345 77 14 P10 24s 11 8s 62 16 64 16 6915 73 15 P11 19s 14 4s 66 16 69 15 73 15 77 14 P12 20s 4 9s 71 15 77 14 80 14 84 13 P13 23S 14 4s 71115 7714 80 14 90 12 P14 24s 8 18 62 16 64 16 6915 73 15 P15 24s 8 18 62 16 64 16 6915 73 15 P16 95s 21 4s 73 15 77 14 80 14 84 13 Tabelle Possible kV mA combinations kV 60 60 60 60 60 62 64 66 69 71 73 77 80 84 90 mA 9 10 12 14 16 16 16 16 15 15 15 14 14 13 12 41 62 769 D3297 D3297 201 03 19 02 43 10 Care the surfaces Sirona Dental Systems GmbH Care the surfaces Cleaning Remove dirt and disinfectant residues regularly with a normal commercial cleaning medium Do not allow any liquid to enter the ventilating slots To avoid permanent staining quickly clean away any medicament that spills on the surface Disinfecting Disinfecting is possible by wiping with surface disinfec tant Observe the directions of the manufacturer when using Use only tested and approved media Do no
34. radiation protection facilities should be used The operator should remain as far away from the X ray tube as the cable of the release button permits With the exception of the patient no other persons may remain in the room while the exposure is being made Under exceptional circumstances a third person how ever not belonging to the dental practice may then assist Maintain visual contact with the patient and the unit during the exposure In case of faulty operation discontinue the exposure by releasing the exposure button For disassembly and reinstallation of the unit proceed as described in the installation instructions for new installa tion to ensure perfect function of the unit and its stability This product s X ray tube assembly includes a tube capable of implosion a small amount of beryllium a lead housing and mineral oil Make certain you observe the appropriate legal regulations when disposing of this product or parts thereof 41 62 769 D3297 D3297 201 03 19 02 Sirona Dental Systems GmbH Technical Description 2 Technical Description Nominal line voltage Permissible fluctuation with 230 V with 208 V Nominal current Nominal frequency Power line resistance Fuse at the distribution panel Rating Tube voltage Tube current Curve form of high voltage Filament Nominal current Nominal current Nominal frequency Duty cycle Program duration Exposure time Reproductio
35. rt Accessories e Insert Chin Rest or Bite Block up to stop For application see chapter Exposure Programs e Press button 9 to remove e Open Temple Supports with button 4 Insert Forehead Support Strip A e with attachment A up for adults e with attachment A J down for patients with smaller heads Contact Spacer and Head Positioner e Insert Contact Spacer L Application for temporomandibular jaw exposure pro grams P4 P9 Always place the contact spacer where as a result of anatomical features with correct head positioning there is no contact with the forehead no 3 point fixing e After positioning the head press the contact spacer onto the tube and push it down to the forehead con tact e Insert Head Positioner J e Open temple supports e Insert head positioner up to stop Application for temporomandibular jaw exposure pro grams P4 P9 and for paranasal tomography P13 but without ear fixation 41 62 769 D3297 D3297 201 03 19 02 23 6 Operating Ready for Panoramic Ceph X ray Lab1_Station_208 Waiting for exposure 24 Sirona Dental Systems GmbH Switching ON the Unit Ma TTENTION Following extreme temperature fluctuations condensate formation may occur therefore please do not switch on the device until normal room temperature has been reached see chapter Technical Description e Depress the main switch 1 into the I position and wait 1
36. s chapter Exposure with Chin Rest and Bite Block e With programs P1 P2 P10 P11 P12 P14andP15 move forehead support to the 00 0 position by actu ating the lt key For the forehead support setting for the other programs refer to the Exposure Programs chapter e Have the patient stand in front of the mirror e Using the T and J buttons adjust unit height so that the chin of the patient and the chin rest match up Motoric movement is accompanied by an acoustic sig nal O NOTE The height adjustment motor starts up slowly and then picks up speed e Have the patient place his chin on the chin rest and grip the handles e Swing in the bite block e Have the patient bite the bite block at the indentation the upper anterior teeth should be directly in the in dentation and the lower anterior teeth should be moved forward up to the stop 41 62 769 D3297 26 D3297 201 03 19 02 Sirona Dental Systems GmbH 6 Operating Ma TTENTION Make certain the spine is tilted slightly as shown This moves the patient s cervical vertebrae into a more stretched out position The cervical vertebrae stretched out ensures that the area of the anterior teeth is not over exposed In special cases it is also possible to position for sitting patients CORRECT NIE y A H 4 H H INCORRECT 41 62 769 D3297 D3297 201 03 19 02 27 6 Operating 28 Sirona Dental Systems GmbH
37. s 19 S10 PO A e oO a R adored ek hates 19 ST oP TA PO MAA A 20 512 PV o A eee catassasacieyiathatedycceenve rinsed ones veeeu ae zetaasiaty asada cea maauaneg eeesasaemieceeed anes 20 oT IPSS Proga Meera A eas his Si en cece dena a a nan egeneeseieades 21 A 21 do P lo Progam hos ES 22 PTO A a Samir nner oe ERE eT meen no eee 22 41 62 769 D3297 D3297 201 03 19 02 3 List of Contents Sirona Dental Systems GmbH OperatlA luisana dia 23 6 1 A A aautaetaigna donate a a tat seuetiaganorianaass 23 Insert Accessories sia aris acu eae aaseantoc ae acne tebe 23 Contact Spacer and Head Positioner 23 Switching ON the Unit ooooccccncncccnccnnncnnccnnoccnnnonannnnos 24 Switching ON the PC ccecccccssseeeeceeseeeeeeeeeeeeeeees 24 Primary Diaphragm ieicuivlennicsies ts eee ates 24 IGIEAN DISDA Stands 25 6 2 JPOSIUONNO A e eal ee corte aeltvarimenlccaaiey tata a aaa 26 F CD al AllONS ica adiiads 26 Exposure with Chin Rest and Bite Block 26 The Frankfurt horizontal FH ooccccccoccnnccnnnccnnnnnncos 28 Digitaldis play S satinado 28 Exposure with Chin Rest and Bar ooccccccnnnccncccnoo 29 Exposure with Bite Block or Contact Segment without ORM SUDOR casir eran 30 AAA A 30 With Contact Segment occcccconccnncccnncnnccnnnnonoconanoss 30 The Frankfurt Horizontal FH cccccsssssseeeseeeneees 31 Digital displays oooooccconnnccnoncccnnnnnonnnannnnannnnnnnnrnnnannno
38. s 31 Exposures of the Temporomandibular Joint P4 P9 Programs with Head Positioner oocoooooccccccccnccccnnnncos 32 6 35 Fna Pre parallONS rn diles 33 Selecting the Exposure Program occccccccccccccnicononnnnns 33 Exp s re Dala e cee daat does 34 A OMa DUO NA scesccutsacnutonessesattatereuvasceoescanutbennieaase 34 6 4 Releasing INC EXPOSUINC aan tara ara lalalala dal ed ea nenwanted 36 Interrupting the Exposure cccceeeeeseeeeeeeeeeeseeeeees 37 Automatic Exposure Blockage sccceeeseeeeeeeeeees 37 Enor Message Esc odas eo 38 PLOMO ooie E rato 39 Programming Procedure cococcccccnnoccccccnnccnnconanccncnnnanoss 39 Adjustment of the Exposure cococccooocccccconccnccnnononcnnnnnoos 39 Help Messages SA ais 40 Program VA MOS aaae aa EEEa 41 9 1 Program Values for Code Z2Anerecnerena a a a a a eee alee eae 41 9 2 Program Values TO COC A o 42 9 3 Program Values for Code 1A cccccsscccccessscececeeseeecceusececeeaeeeeceaeeeessaueeeesseuseeeseeageeeessgseeeessageessess 43 Care Me SUMACCS unn sss ivcagestaccucavensuaevels 44 LISEOF Err r Messages ii A a a 45 Inspection and Maintenance oonconccoccconoconononononononononanenanonnrnnnrnnarnnnrenarennrennrnnarnnarananens 47 41 62 769 D3297 D3297 201 03 19 02 Sirona Dental Systems GmbH 1 Warning and Safety Notes Warning and Safety Notes Labeling of warning and safety information Intended use General safety information Safety measures during sw
39. t tons are factory programmed Should you need to modify these values see the chapter entitled Programming Anomaly Button A The Anomaly Button A is for manual compensation of anatomical relationships in the case of anomalies of the anterior teeth with the P1 P2 P10 P11 P14 and P15 programs In case of retrusion move one step in direction In case of protrusion move a step or two in direction The setting is shown by means of an LED After the rotary unit returns to its original position follow ing the exposure the settings automatically return to those of normal jaws 2nd LED from the left Asia 3rd LED from the left 41 62 769 D3297 D3297 201 03 19 02 Sirona Dental Systems GmbH 6 Operating O NOTE It is possible to set the Anomaly step which as a rule is set to 0 neutral before every exposure to another standard value 1 1 2 Proceed as follows 1 Select program P1 For the basic Anomaly setting the 2nd LED from the left Asia 3rd LED from the left lights up 2 Press the Test Rotation key The LED above the T key lights up 3 Press the Memory key The LED above the Memory key begins flashing 4 On the control panel at the side select the required new standard Anomaly step About 5 seconds after letting go of the Anomaly key the LED for the pre selected Anomaly step flashes for about 1 second The Anom
40. t use agents containing the components phenol peracetic acid peroxide and other agents splitting up oxygen sodium hypochlroite and agents splitting off iodine 41 62 769 D3297 44 D3297 201 03 19 02 Sirona Dental Systems GmbH 11 List of Error Messages List of Error Messages E error messages Remedy E1 01 One of the keys on the Multitimer was pressed Press R key on Multitimer to reset display during start up of the unit E103 Faulty communication with the unit Press R key on Multitimer to reset display E2 01 Appears after pressing exposure key Press R key on Multitimer to reset display X ray head overheated Cool down periods ignored E203 Faulty communication with the Multitimer Press R key on Multitimer to reset display E204 Zero Power was re initialized Press R key on Multitimer to reset display Freely pro grammed values see page 41 are canceled sorry Please reprogram see page 39 E210 Max radiation time of program exceeded Press R key on Multitimer to reset display E2 20 Appears after pressing the exposure key Close x ray room door e g if x ray room door contact not closed Press R key on Multitimer to reset display Exposure lead in Multitimer cable damaged If error re appears poss break in cable E2 35 Invalid data in data memory Press R key on Multitimer to reset display E309 Movement of height adjustment obstructed Check that height adjustment can move freely Press R key on Multit
41. that the operator fails to fulfil the obligation to carry out inspections and maintenance work or ignores error messages Sirona Dental Systems GmbH or their contracted dealer cannot assume liability for any damage attributable to this 41 62 769 D3297 2 D3297 201 03 19 02 Sirona Dental Systems GmbH List of Contents List of Contents Warning and Safety NoteS cooonncconcccconnccnnncconnoconnancnnannonnannenancrnnanrnnanrrnnanrrnanrrnnanrenananas 5 Technical DESCriIDUOM sisone ia 7 Operating Controls and Displays cooonccconnniccccnccccncncocnnnnncnnnanonennnnnnennnnrrnnannrrnnannrnnnns 11 3 1 Oa AE E E EE A EE PE S EE AE T EEA E A E A A E E E E E EST 11 32 COTO PANG Areria O E eee eeu ceed deanna 11 3 3 HepLED diS plays cesto a er ee ee een eee ere 12 SA C MURMEN innen a a ai 12 ACCOSSOFIES asirio a a aeea eaaa eaae 13 4 1 Restos ANG SUD DOM S e a codo ect d pias 13 Ez Aygen Protective COVES ro e 14 A SONICO TOO Susan 14 EXDOSUFC Programs iio 15 5 1 A a O 15 52 AP A O o UD etude aaneniosinte a deena en acme eas 15 cD ul OO ANN aga o mr a oti aanieie a 16 AA A aes viastealse a a A teisgastece 16 A 92 A RN eee mr ee Ee Cen ee eee eee ee ee ce etree ere 17 50 Sl RO ee Roepe a Tr MGT Ie Venn roe neta a ene eer eee 17 A caer Grd a a gt on aa 016 7 2 19 a a rteenrtr hertrrer cere resrere crete sr tren eres Seren Crees ee cerr err rennet or rrr 18 a MN a0 9 816 6 21 o ee rere ee rarer 18 TI MOE NOG Ne UN areas idolo
42. the buttons 7 or J for vertical unit movement e Line up the middle of the patient s face with the cen tral light line e Press the gt button for movement away from the col umn until the forehead support 5 touches the pa tient s forehead O NOTE When the temple support position is not suitable for the preselected exposure program Help LED 14 flashes Run the temple support into the correct position see ex posure programs LED 14 extinguishes e Position the temple supports 6 firmly with knob 4 aD NOTE With programs P1 P10 P14 and P15 the radiation time changes as a function of the width of the temple sup ports e Swing back the mirror by pressing on field B e Have the patient take a small step toward the col umn Recheck the FH line position e Have patient press tongue against roof of palate Digital displays The reference values for height and forehead support are displayed on the control panel 31 6 Operating 32 Sirona Dental Systems GmbH Exposures of the Temporomandibular Joint P4 P9 Programs with Head Positioner e For these exposures the head positioner must be used See page 23 e Using the T and J keys adjust unit height so that ear fixations and external auditory canals match up e Remove chin support and bite block e Move the chin support to the value indicated for the respective mandibular joint exposure under Expo sure Programs e Position the
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