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ORTHOPHOS XG DS/Ceph - Sirona

1. e If there are any anterior teeth left in the lower jaw place the bar between chin and lower lip e Have the patient place his or her tongue against the palate 59 92 602 D 3352 D 3352 201 01 20 23 57 9 Operation Sirona Dental Systems GmbH 9 3 Positioning the patient Operating Instructions ORTHOPHOS XGP S DS Ceph Exposure with bite block or contact segment without chin rest e The patient places himself or herself in front of the control mirror With bite block e Using the up or down arrow key on the Easypad adjust the height of the unit so that the bite block and the anterior teeth are at the same height e The patient seizes the handles e Have the patient bite into the indentation of the bite block Upper anterior teeth into the indentation lower ante rior teeth pushed forward as far as possible with contact segment For patients without anterior teeth e Adjust the height of the unit so that the contact seg ment and the subnasale are at the same height e The patient places the subnasale against the con tact segment Make sure that the upper and lower jaw are in line This is easier if you place a cotton pellet between them NoTE Make sure that the patient s spine is slightly inclined as described before see page 55
2. P1 64 8 69 15 73 15 P1A 64 8 69 15 73 15 P1C 64 8 69 15 73 15 P2 64 8 69 15 73 15 P2A 64 8 69 15 73 15 P2C 64 8 69 15 73 15 P10 64 8 69 15 73 15 MIOR io 64 8 69 15 73 15 P10C 16 85 64 8 69 15 73 15 P12 18 0s 77 7 80 14 84 13 ee aa 64 8 69 15 73 15 BW2 18 0s 64 8 69 15 73 15 TM1 147M1 2 16 1416 1s 71 8 73 15 77 14 M1A 1 TM1A 2 16 1 16 1s 71 8 73 15 77 14 TM2 1 TM2 2 71 8 73 15 77 14 TM2A 1 TM2A 2 71 8 73 15 77 14 TM3 68 8 71 15 73 15 TM4 71 8 73 15 77 14 TM5 71 8 73 15 77 14 TM6 71 8 73 15 77 14 S1 77 7 80 14 90 12 S2 68 8 71 15 73 15 S3 77 7 80 14 90 12 S4 33 0s 68 8 71 15 73 15 MS1 57 38 21 78 73 8 77 7 80 14 84 13 Table Possible kV mA combinations with preselected patient symbols 1 and 2 108 59 92 602 D 3352 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGPS DS Ceph Table Possible kV mA combinations with preselected patient symbols 3 and 4 O 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 12 Program values 12 3 Panoramic views program values for index 1A Index 1A This level series is no longer permissible in the Federal Republic of Germany since January 1 1999 The table lists the maximum exposure times depending on the slice width and slice shape sel
3. Table 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 59 92 602 D 3352 D 3352 201 01 20 23 107 12 Program values 12 2 Panoramic views program values for index 4A Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGP S DS Ceph Panoramic views program values for index 4A Index 4A Index 4A which specifies a reduced level series for children and adolescents must be observed as a minimum requirement in all new installations and sj atl moved from one location to another in the Federal Republic of Germany since January 1 1999 Furthermore this exposure times depending on the slice width and slice shape selected the actual exposure time may differ slightly Quickshot program duration approx Quickshot Exposure time max Program duration approx Max radiation time Program index 4A Factory programmed values for Q Freely programmed values please enter here Q evel series can also be applied worldwide National regulations must be complied with The table lists the maximum
4. ie 59 92 602 D 3352 D 3352 201 01 20 23 61 9 Operation 9 3 Positioning the patient 62 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGPS DS Ceph e If the green arrows on the touchscreen are pointing upward the head posture must be corrected with the up key 30 on the Easypad e Ifthe green arrows on the touchscreen are pointing upward the head posture must be corrected with the down key 31 on the Easypad e Instruct the patient to let his head rest completely e The inclination of the patient s head is moved to the nominal position by pressing the appropriate up or down key e While the angle of the bite block is being adjusted the high adjustment motor runs at an extremely slow speed e During this slow upward or downward travel the pa tient s head is gently pressed upward or downward by the bite block foam e The right green arrow shows the slow approach of the head posture to the nominal position while the head inclination display also changes accordingly e Travel stops immediately when the nominal position has been reached a double beep sounds and the green arrows previously displayed disappear e An sign appears next to the displayed height value in place of the left arrow The head posture is now adjusted NoTE Service engineers can change the angle of the bite block plate and consequently the
5. When you press the exposure release button the mes sage Ready for exposure in XX seconds appears in the comment line of the touchscreen The remaining cooling time is counted down and is dis played under XX Only after the cooling period has elapsed is it possible to release a new exposure 59 92 602 D 3352 D 3352 201 01 20 23 Sirona Dental Systems GmbH 9 Operation Operating Instructions ORTHOPHOS XGPS DS Ceph 9 9 Remote control Remote control y ES e g Q C Ji w N If the ORTHOPHOS XG is located in an X ray room which has a door and enables visual contact with the 30 33 patient you can use remote control to release the exposure For that purpose the exposure release button 10 can be detached from the unit and attached to the remote control The exposure release button A can be used if a lon ger cable is not required to maintain visual contact with the patient The remote control has an R key 36 for acknowledg ing the exposure and resetting the unit to its starting position an optical 32 and acoustic radiation indica tor as well as a Unit ON LED 33 After you switch on the system the LED 33 lights up The radiation indicator 32 lights up for approx one sec ond for a function test The four display fields on the display panel B light up and program P1 appears with the corresponding values after a short time As long as plain text
6. When you touch the angle symbol in the submenu col umn 8 a submenu line for angle preselection opens Select the desired angle it will now be displayed in white in column 8 If detailed analyses of the temporomandibular joint are required and the standard projections 0 are not opti mal the projections can be adjusted with the angle pre selection The figure shows the directions in which the slice orien tation is swiveled with angle preselection Q wore When you confirm the exposure with the R button the angle setting that was changed in the submenu line will automatically be reset to the default setting O 59 92 602 D 3352 38 D 3352 201 01 20 23 Sirona Dental Systems GmbH 6 Program group temporomandibular joint TMJ views Operating Instructions ORTHOPHOS XGPS DS Ceph 6 2 TM2 1 TM2 2 Temporomandibular joints in posterior anterior projection with 6 2 TM2 1 TM2 2 Temporomandibular joints in posterior anterior projection with closed and open mouth in one image TM2 1 Temporomandibular joints posterior anterior with closed mouth and TM2 2 with open mouth 4 views in one image SID 1 9 6 e Insert temporomandibular joint supports 1 and 2 e To largely prevent overlaps head inclination to wards anterior in relation to the FH The line displayed on the touchscreen head icon is used here for orientation only e Activate TM2 1 On completion of TM2 1 the message Please wait
7. 59 92 602 D 3352 46 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGP S DS Ceph 7 Program group sinus views 7 3 S3 Paranasal sinuses linear slice orientation 7 3 S3 Paranasal sinuses linear slice orientation SID 19 6 6x12 59 92 602 D 3352 D 3352 201 01 20 23 7e S3 Paranasal sinuses linear slice orientation e g orbital floor fractures e Fit blue contact segment subnasally e Fit temporomandibular joint supports 1 and 2 without ear holders but with contact pads Patient s head max reclined The line displayed on the touchscreen head icon is used here for orientation only i NOTE For devices until October 2006 Please observe the orientation right left of the temporo mandibular joint supports specified on page 28 47 7 Program group sinus views 7 4 S4 Maxillary sinuses with two views in one image linear slice orientation Operating Instructions ORTHOPHOS XGPS DS Ceph 7 4 48 Sirona Dental Systems GmbH S4 Maxillary sinuses with two views in one image linear slice orientation SID 19 6 6x12 S4 Maxillary sinuses with two views in one image linear slice orientation to allow for a certain depth localization e Blue bite block or contact segment e Fit temporomandibular joint supports 1 and 2 without ear holders but with contact pads e Head inclination using the FH The line displayed o
8. To quit the test cycle mode press the T key once again Switch SIDEXIS to ready for exposure state e Make the SIDEXIS program on the PC ready for exposure for PAN XP CEPH XC or TS XS im ages see SIDEXIS Operator s Manual As long as no connection with SIDEXIS is estab lished the message Switch SIDEXIS to ready for exposure state is displayed in the comment line of the Easypad touchscreen Once SIDEXIS is ready for exposure the welcome screen with the selected patient data from SIDEXIS appears on the Easypad touchscreen It shows the first name last name date of birth and card index number of the patient currently registered in SIDEXIS The right upper corner shows the radiation symbol the program number with the associated kV mA values and a help message H When you touch the screen the welcome screen disap pears and the selection screen reappears NnoTE If you wish to suppress this entire screen display or indi vidual pieces of information displayed there your service engineer can disable the corresponding data upon re quest 59 92 602 D 3352 D 3352 201 01 20 23 Sirona Dental Systems GmbH 9 Operation Operating Instructions ORTHOPHOS XGPlus DS Ceph 9 2 Optional Taking exposures from a SIDEXIS exposure template 9 2 Optional Taking exposures from a SIDEXIS exposure template e Select patient and exposure template and get the SIDEXIS system ready for exposure i SIDEXIS 1 P
9. 12 Program values 12 5 TSA exposure values TSA exposure values The maximum program duration time for TSA exposures is 60 s Table TS slices combined with a thick longitudinal slice Tooth region Depth Max kV Factory programmed Freely programmed values TSA scale radiation mA values please enter here time series 00000000 Mandibular anterior teeth 0 5 mm A 60 8 62 8 64 8 64 8 Maxillary anterior teeth 0 5 mm A 60 8 62 8 64 8 64 8 Mandibular canines 6 14mm A 60 8 62 8 64 8 64 8 Maxillary canines 6 14 mm B 61 9 62 10 64 10 64 10 Mandibular premolars 15 35 ag C 68 12 71 12 73 12 77 11 Maxillary premolars 15 35 a 12 3s C 68 12 71 12 73 12 771 Mandibular molars 36 65 mm 13s C 68 12 71 12 73 12 771 Maxillary molars 36 65 13s C 68 12 71 12 73 12 77 11 For the levels marked with a kV increase is performed in percent in the longitudinally oriented partial image see level series A and B For the levels marked with a kV decrease is performed in percent in the longitudinally oriented partial image see level series C Table TS slices 59 92 602 D 3352 D 3352 201 01 20 23 Tooth region Depth Max kV Factory programmed Freely programmed val TSA scale radiation mA values ues time series please enter here 00000000 Mandibular anterior teeth 0 5 mm A 60 8 62 8 64 8 64 8 M
10. 59 92 602 D 3352 58 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGPS DS Ceph wall a Ye 6 NO dl V 7 L sv gt el JJ oe 59 92 602 D 3352 D 3352 201 01 20 23 9 Operation 9 3 Positioning the patient e Swivel out the mirror by pressing the left recess A on the touch bar e Position the head of the patient in such a way that the occlusal plane is slightly inclined towards anterior e Switch on the light localizer with key 28 on the Easypad It is used for correct patient positioning e As long as the light localizer is on a red light localiz er symbol is displayed on the touchscreen NOTE Make sure that the light beam does not hit the patient s eyes laser light The light localizer switches off automatically after ap prox 100 seconds The FH horizontal light beam should reflect between the upper edge of the external auditory canal and the lowest point of the infraorbital rim Frankfort Horizontal plane FH The height of the FH horizontal light beam can be adjusted with slider 2 e Fine tune the head inclination for the FH setting Briefly touch the up 30 or down 31 arrow key on the Easypad for height adjustment e Align the center of the anterior teeth or of the face with the central light line C e Press key 2
11. 59 92 602 D 3352 D 3352 201 01 20 23 10 Cephalometric exposures CEPH 10 3 Positioning a ceph patient C1 p a views with shadowing in the thyroid area only for half axial skull radiograph off axial cra nial overview This exposure technique with the head reclined and the mouth open fully also supports shadowing in the thyroid area To do this touch the head icon in the Submenu column 8 and select the shadowing icon in the submenu line It will then be displayed in the column 8 Shadowing results in a dose reduction in the thyroid area 79 10 Cephalometric exposures CEPH 10 3 Positioning a ceph patient 80 S ID 67 5 8x10 S Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGPS DS Ceph C2 a p views S symmetric Select ceph program C2 using the arrow keys on the touchscreen For symmetric exposures the ear plug holders must be rotated by 90 into the S position Rotate the ear plug holders by 90 so that the folded up nose support points toward the secondary diaphragm For a symmetrical a p view have the patient turn so that he she faces the sensor a p once height adjust ment is completed but before closing the ear plugs This applies to both the left handed and the right handed ceph arm version Insert the ear plugs into the external auditory canals Hold the ear plug holders at their upper ends when doing this Select the kV mA
12. Program display touch to loop through P1 normal panoramic view P1C with constant magnification P1A artifact reduced display Display of head posture FH or bent forward or back ward mouth open or closed with reference line for the chosen program Submenu column options Blue arrows Select submenu close menu Preselection of exposure parameters patient sym bols Red symbol for light localizer ON is displayed as long as the laser light of the light localizer is switched on Program specific menu area Comment line for help and error messages Expected radiation time upon completion actual ra diation time Light gray symbol for dental arch Light gray symbol for temporomandibular joints Display of color coded bite block or contact segment for the chosen program Quickshot display ON visible OFF hidden for re duction of cycle time Upper display focus sensor distance Lower display maximum exposed area When you touch the symbol the help or info screen is displayed 59 92 602 D 3352 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGP S DS Ceph SID 19 6 6x12 SID 19 6 6x12 SID 19 6 6x12 59 92 602 D 3352 D 3352 201 01 20 23 3 Controls and functional elements 3 2 General touchscreen functions Program settings When you touch a symbol in the submenu column 8 a submenu line for program setting
13. 6x12 Active sensor area CCD PAN 6 5 x 138 4 mm for upper or lower jaw 6 5 x 70 0 mm 59 92 602 D 3352 D 3352 201 01 20 23 To preselect the program use the arrow keys 3 to count forward or to count backward depending on the starting position for program sequence see section 3 2 To preselect the exposure type touch the program dis play 6 A continuous loop will then display all programs one after another P1 P1 A P1 C P1 In the Half view and individual quadrant selection sub menu at the top of column 8 you can preselect whether you want to generate a right or left half view or a maxil lary or mandibular view or an individual quadrant view in the full version See section 3 2 General touchscreen functions P1 Normal view e Yellow bite block or contact segment or chin rest with bite block rod and bite block or bar e Head inclination using the FH The line displayed on the touchscreen head icon in dicates the reflection line of the light localizer e Optional presetting for malocclusion e Optional presetting for jaw shape e Automatic selection of the slice width in accor dance with temple support settings for different den tal arches Radiation time depends on set temple support width P1 A normal view artifact reduced e Settings as for P1 e To prevent metal artifacts in the condylar and molar region and to reduce shadowing caus
14. C3 C4 Welcome screen with patient data from SIDEXIS Ceph shadowing in the upper cranial region preselectable for programs C3 and C3 F Ceph shadowing in the thyroid area for programs C1 and C2 can be preselected Option for basic version and full version TSA function transversal slices It is possible to upgrade a basic version system to a full version system and or to include the TSA function For this purpose you must purchase a certificate with a corresponding activation key code see chapter 17 If you order a new unit with TSA function from the factory it is activated already at the factory 59 92 602 D 3352 14 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGPS DS Ceph 3 Controls and functional elements 3 1 Operating and Display Elements Controls and functional elements Operating and Display Elements 12 3465 ref ET 10 11 12 59 92 602 D 3352 D 3352 201 01 20 23 13 14 15 1617 on the Panoramic unit Co 0 N o S Ss p P 10 11 12 13 14 15 16 17 Main switch Light localizer with height adjustment of FH light line Light localizer central light beam for face center Control mirror for patient positioning Tray for jewelry etc Forehead support Temple supports Pushbutton for sensor image receptor removal Sensor image receptor according to the unit ver
15. you can save these values by touching the pro gramming key 1 The programming of patient symbols can be performed only if the TSA slice orientation with a longitudinal thick slice standard setting or alternatively the TSA slice orientation is preselected first A ATTENTION The programming also influences all other slice orienta tions of this exposure type This means that a change of the patient symbol by one kV mA level in the TSA slice or the TSA slice with a lon gitudinal thick slice automatically results in the change of the corresponding patient symbol allocation of the other slice orientations by one kV mA level To access the third program level touch the downward pointing arrow 20 in the second program level The right arrow will become a double arrow then You can close this menu again only by touching the blue double arrow in the upper right corner The display always returns to the standard menu program level 1 101 11 Transversal slices TSA 11 6 TSA exposure with TSA slice orientation alternative Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGPS DS Ceph Startup settings menu Level 4 You can access program level 3 by touching the disk icon 21 in level 4 In level 4 you can modify any factory programmed startup parameters They are then displayed after switching on the system and for each new exposure Here you can change the patient icon preference 2nd icon from t
16. your new temporomandibular joint supports will be marked 1 for left and 2 for right 59 92 602 D 3352 28 D 3352 201 01 20 23 Sirona Dental Systems GmbH 4 Accessories Operating Instructions ORTHOPHOS XGPlus DS Ceph 4 3 Protective sleeves for panoramic exposures 4 3 Protective sleeves for panoramic exposures Prior to each exposure the protective sleeves single use devices must be fitted Single use devices are identified with the symbol shown on the left For the sake of clarity the protective covers have been omitted on the subsequent illustrations For reorders of protective sleeves R For forehead support and temple supports 500 pcs Order No 59 68 263 Dimensions 150 mm x 47 mm S For bite block 500 pcs Order No 33 14 072 Dimensions 43 mm x 21 mm T For chin rest and bar 100 pcs Order No 59 32 603 Dimensions 75 mm x 60 mm U For bite blocks and contact segments 500 pcs Order No 33 14 080 Dimensions 80 mm x 40 mm V Protective foil for handles Order No 59 68 255 E Sterilizable ear holders for temporomandibular joint supports for temporomandibular joint views 10 pcs Order No 18 88 838 E1 Sterilizable contact pads for temporomandibular joint supports for sinus views 10 pcs Order No 59 90 648 59 92 602 D 3352 D 3352 201 01 20 23 29 4 Accessories Sirona Dental Systems GmbH 4 4 Protective sleeves for cephalometer Operating Instructions ORTHOPHOS XGP
17. 73 15 77 14 S1 19 8s 14 4s 71 15 77 14 80 14 90 12 S2 29 9s 16 2s 64 16 69 15 71 15 73 15 S3 20 0s 8 1s 71 15 77 14 80 14 90 12 S4 33 0s 14 1s 64 16 69 15 71 15 73 15 MS1 57 38 21 7s 73 15 77 14 80 14 84 13 59 92 602 D 3352 D 3352 201 01 20 23 109 Sirona Dental Systems GmbH 12 Program values Operating Instructions ORTHOPHOS XGP S DS Ceph 12 4 Program values for cephalometric exposures Table Possible kV mA combinations kV A 1 Tf mA 9 10 12 14 16 16 16 16 15 15 15 14 14 13 12 Program values for cephalometric exposures The maximum radiation time is 14 9 s it may be shortened to 7 5 s by selecting the Quickshot function Table Cephalometric exposures Quickshot Factory programmed Freely programmed values Program Max radiation time Max exposure time values please enter here 00000000 C1 9 15 6 1s 80 14 80 14 84 13 90 12 C2 9 15 6 1s 80 14 80 14 84 13 90 12 C3 9 4 s 4 17S 73 15 73 15 77 14 84 13 C3 F 14 9s 7 98 73 15 73 15 77 14 84 13 C4 9 1s 4 6s 64 16 64 16 64 16 64 16 Table 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 12 110 59 92 602 D 3352 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGPS DS Ceph
18. C 68 12 71 12 73 12 771 Maxillary molars 36 65 mm 13 0s C Table Possible kV mA combinations for lower upper anterior teeth and lower canines Serie kV 60 60 60 60 60 62 64 66 68 71 73 77 80 85 90 sA mA 3 5 6 7 8 8 8 8 8 8 8 7 7 6 6 KV 17 17 17 17 17 16 15 14 13 12 11 10 10 5 0 increase in Table Possible kV mA combinations for upper canines Serie kV 60 60 61 61 61 62 64 66 68 70 73 76 80 83 90 sB mA 6 7 7 8 9 10 10 10 10 10 9 9 9 9 8 K 17 17 17 17 17 16 15 14 13 12 11 10 10 7 0 increase in Table Possible kV mA combinations for lower upper molars Serie kV 60 60 60 60 60 62 64 66 68 71 73 T7 80 83 90 sC mA 7 8 9 10 12 12 12 12 12 12 12 11 11 11 10 kV 0 0 0 0 0 0 3 6 9 10 10 11 11 11 11 decrease o kV increase in percent for partial image of longitudinal thick slice in the combined TS slice kV decrease in percent for partial image of longitudinal thick slice in the combined TS slice 59 92 602 D 3352 D 3352 201 01 20 23 113 13 List of messages 13 1 List of helo messages List of messages Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGP S DS Ceph List of help messages A number of H3 help messages may appear on the Easypad while you attempt to relea
19. Failed 2 3 a 5jel7 alwi EIRI TY U IOP ASDF GH JK L ZXCVBNM Ser Lalnumber BRRRRARL 2 Systemsoftware W221 61 Static 43 Geraetl ABLALIRBS 42d 192 168 15 125 255255 255 0 59 92 602 D 3352 D 3352 201 01 20 23 17 Activating functions 17 1 Via the Easypad touchscreen A keypad appears on the touchscreen Enter the activation key code that figures on your certifi cate by touching the corresponding letters and numbers on the keypad The code appears in the white line above the keypad The letter number combination has always 16 digits After you have entered the last character the color of the Enter key arrow C changes from gray to black Confirm your input with the Enter key C If the data you entered are not correct the white line will display alternately Failed and the incorrect activa tion key code If you have entered a correct code the message Accepted appears telling you that the extended functions have been successfully activated Checking the extended functions Touch the question mark in level 2 or 3 to display the info screen chapter 3 2 Info screen The page number and the overall number of pages are displayed in a small black field D in the upper right cor ner Press this field to scroll through the pages until the Active Keys page appears The name of the function extension is displayed here 121 17 Acti
20. For devices until October 2006 Please observe the orientation right left of the temporo mandibular joint supports specified on page 28 TM1 1 TM1 2 TM1 2 TM1 1 TM1 1 outer views Closed mouth TM1 2 inner views Open mouth 59 92 602 D 3352 D 3352 201 01 20 23 37 6 Program group temporomandibular joint TMJ views Sirona Dental Systems GmbH 6 1 TM1 1 TM1 2 Temporomandibular joints lateral with closed and open mouth in one image Operating Instructions ORTHOPHOS XGPluUs DS Ceph Program extensions TM1A 1 Temporomandibular joints lateral with closed mouth and TM1A 2 with open mouth artifact reduced SID 19 6 6x12 Touch the program display 6 to switch the exposure type from TM1 1 or TM1 2 to TM1A 1 or TM1A 2 arti fact reduced e Preparation as for TM1 1 or TM1 2 e Activate TM1A 1 On completion of TM1A 1 the message Please wait appears in the commentline and the unit auto matically returns to its starting position The mes sage Ready for exposure appears e Ask the patient to open his her mouth and release TM1A 2 e Finally the message R button confirm exposure data appears e After you have pressed the R button again the unit returns to its starting position Angle preselection for temporomandibular joint programs TM1 1 TM1 2 and TM1A 1 TM1A 2 These programs allow for angle preselection 0 5 10 and 15 for the temporomandibular joint area
21. appears in the comment line and the unit automati cally returns to its starting position The message Ready for exposure appears e Ask the patient to open his her mouth and release TM2 2 e Finally the message R button confirm exposure data appears e After you have pressed the R button again the unit returns to its starting position i NOTE For devices until October 2006 Please observe the orientation right left of the temporo mandibular joint supports specified on page 28 TM2 1 outer views Closed mouth TM2 2 inner views Open mouth 59 92 602 D 3352 D 3352 201 01 20 23 39 6 Program group temporomandibular joint TMJ views Sirona Dental Systems GmbH 6 2 TM2 1 TM2 2 Temporomandibular joints in posterior anterior projection with closed and open mouth in one image Operating Instructions ORTHOPHOS XGP S DS Ceph Program extensions TM2A 1 Temporomandibular in posterior ante rior projection with closed mouth and TM2A 2 with open mouth artifact reduced SID 19 6 6x12 Touch the program display 6 to switch the exposure type from TM2 1 or TM2 2 to TM2A 1 or TM2A 2 arti fact reduced e Preparation as for TM2 1 or TM2 2 e Activate TM2A 1 On completion of TM2A 1 the message Please wait appears in the commentline and the unit auto matically returns to its starting position The mes sage Ready for exposure appears SID 19 6 e Ask the patient to
22. cephalometer or the ceph arm hang objects from them or place objects on them Otherwise their adjustment may be altered thus resulting in incorrect images 59 92 602 D 3352 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGP S DS Ceph 2 28 29 30 31 34 35 36 37 32 33 P1 P2 P10 P12 TM1 1 TM3 TM5 TM2 1 TM4 TM6 59 92 602 D 3352 D 3352 201 01 20 23 3 Controls and functional elements 3 1 Operating and Display Elements Controls and displays on the Easypad with touchscreen 27 28 29 30 31 32 33 34 35 36 37 38 Move forehead support away from forehead key Light localizers ON OFF Move forehead support to forehead key Unit up arrow key Unit down arrow key Optical radiation indicator Unit ON LED Open temple supports key T key for test cycle without radiation R key for unit return Close temple supports key Touchscreen touch sensitive screen A ATTENTION Never touch the touchscreen with sharp or pointed ob jects ball point pens pencils etc Display aids for patient head positioning The icon for the patient s head that is displayed in the upper right corner for panoramic and TSA images will guide you in positioning the patient s head A The gray patient s head icon shows the head pos ture straight FH bent forward with open or closed mouth or reclined A colored sym
23. cranial region only for programs C3 and C3 F C3 and C3 F lateral views let you choose if you want to enable shadowing in the upper cranial region This will result in a local dose reduction 4 Shadowing in the thyroid area only for programs C1 p a and C2 a p for half axial skull radiograph off axial cranial overview Only this exposure technique with the head reclined and the mouth open fully lets you preselect for C1 p a and C2 a p views if you want to enable shadowing in the thy roid area This will result in a local dose reduction 59 92 602 D 3352 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGP S DS Ceph 10 Cephalometric exposures CEPH 10 5 Making the basic settings in program level 3 Basic settings for the entire menu Level 2 You may also display all of the program settings and make the settings described above in a second program level To access the second program level touch the blue arrow 9 in the upper right corner of the touchscreen the arrow will point upward then After having made your selections you can return to pro gram level 1 only by touching the blue arrow 9 once again NOTE When you confirm the exposure with the R button the program settings changed in these submenu lines will automatically be reset to the default settings 10 5 Making the basic settings in program level 3 To access the third program le
24. exposure blocking thermal protection of the tube Premature release of a new exposure is prevented by the automatic exposure blocking function When you press the exposure release button the mes sage Ready for exposure in XX seconds appears in the comment line of the touchscreen The remaining cooling time is counted down and is dis played under XX Only after the cooling period has elapsed is it possible to release a new exposure 0 wore If the exposure sequence P1 C3 C4 in this order has been selected in SIDEXIS there are shorter cooling pe riods between the individual programs However after the entire program sequence has been processed a longer cooling period is required 59 92 602 D 3352 D 3352 201 01 20 23 Sirona Dental Systems GmbH 11 Transversal slices TSA Operating Instructions ORTHOPHOS XGPS DS Ceph 11 1 Preparing a TSA exposure Transversal slices TSA Preparing a TSA exposure In combination with a panoramic slice view transversal slices enable a 3 dimensional representation of the dif ferent maxillary and mandibular regions e Switch on the unit and make SIDEXIS ready for ex posure Plug in TSA sensor e Make sure that a TSA sensor is plugged into the PAN slot either PAN TSA or CEPH TSA A ATTENTION DO NOT DROP THE SENSOR A shock sensor for detecting shocks or drops is built in TSA application TSA imaging is used for example
25. installation min 256 MB CD ROM MOD drive min 640 MB one per system network Minimum requirement Windows 2000 Workstation SP 4 Windows XP Professional Workstation SP 2 or Vista For further information please visit the Sidexis homepage at www sidexis com or refer to the Sidexis user manual Min resolution 1024 x 768 pixels min color depth 8 bits 10 100 MBit Ethernet RJ45 for LAN cable ORTHOPHOS XGPS DS Ceph complies with IEC 601 2 28 1993 ORTHOPHOS XGP S DS Ceph complies with IEC 601 1 3 1994 ORTHOPHOS XGPS DS Ceph complies with IEC 601 2 7 1998 ORTHOPHOS XGPS DS Ceph complies with AS NZS 3200 1 0 Original language German Reg No China SFDA I 2008 2303722 Product Standard No YZB GEM 4911 2008 provisions of the Council Directive 93 42 EEC of This product bears the CE mark in accordance with the C lt June 14 1993 concerning medical devices 0123 59 92 602 D 3352 12 D 3352 201 01 20 23 Sirona Dental Systems GmbH 2 Technical description Operating Instructions ORTHOPHOS XGPS DS Ceph Cooling curve of tube housing 130 120 110 100 O 60 120 180 240 300 360 420 480 540 600 660 720 min Cooling curve of X ray tube SR 90 15 OCX 100 HUx10 30 X 1 HU 1 35 Joule A O a a BURR HUx10 n 95 X 1 HU 1 35 Joule ANE TNE o OT NSE 8 min HUx104 1 HU 1 35 Joule Heating curve of tube housing Central X ray beam anode angle Central X ray beam 10 A
26. light beam does not hit the patient s eyes laser light The light localizer switches off automatically after ap prox 100 seconds If necessary fine tune the head inclination using keys 30 or 31 on the Easypad Adjusting the nose support Move the nose support downwards Slightly press and hold down the locking knob 19 while adjusting the nose support in vertical direction to the height of the nasal root Release the locking knob 19 Carefully push the nose support back to the nasal root Select the kV mA values by touching one of the four patient symbols on the touchscreen You can also choose if you want to use half the exposure time 4 7 s Quickshot scan You will be prompted to press the R button Left handed arm The secondary diaphragm and the sensor move all the way to the front and into the starting position for scanning Right handed arm The secondary diaphragm and the sensor return all the way to the back and into the starting position for scanning Now you can release the exposure 59 92 602 D 3352 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGP S DS Ceph SID 67 5 8x10 A 59 92 602 D 3352 D 3352 201 01 20 23 10 Cephalometric exposures CEPH 10 3 Positioning a ceph patient C3 and C3 F Lateral views with shadowing in the upper cranial region C3 and C3 F exposures also support shadowing in the upper cranial region To do
27. open his her mouth and release vais TM2A 2 e Finally the message R button confirm exposure data appears e After you have pressed the R button again the unit returns to its starting position Angle preselection for temporomandibular joint programs TM2 1 TM2 2 and TM2A 1 TM2A 2 These programs allow for angle preselection 0 5 10 and 15 for the temporomandibular joint area When you touch the angle symbol in the submenu col umn 8 a submenu line for angle preselection opens Select the desired angle it will now be displayed in white in column 8 If detailed analyses of the temporomandibular joint are required and the standard projections 0 are not opti mal the projections can be adjusted with the angle pre selection The figure shows the directions in which the slice orien tation is swiveled with angle preselection O nore When you confirm the exposure with the R button the angle setting that was changed in the submenu line will automatically be reset to the default setting O 59 92 602 D 3352 40 D 3352 201 01 20 23 Sirona Dental Systems GmbH 6 Program group temporomandibular joint TMJ views Operating Instructions ORTHOPHOS XGPS DS Ceph 6 3 TM3 Temporomandibular joints lateral ascending rami 6 3 TM3 Temporomandibular joints lateral ascending rami TM3 Temporomandibular joints lateral ascending rami e Insert temporomandibular joint supports 1 and 2 e
28. or 8 mm in this submenu Modifying the kV mA values manually If the default kV mA combinations do not provide satis factory results you can preselect intermediate kV mA values in this submenu using the keys in the sub menu line SID 19 6 12x2 36 The system is now ready for a TSA exposure Release the exposure as usual 59 92 602 D 3352 100 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGP S DS Ceph 11 Transversal slices TSA 11 5 Program settings basic settings startup settings 11 5 Program settings basic settings startup settings 20 59 92 602 D 3352 D 3352 201 01 20 23 TSA program settings for the entire menu Level 2 Shown examples in the setting for TS slices You can also display all of the program settings except slice orientation preselection and make the settings described above in a second program level To access the second program level touch the blue arrow 9 in the upper right corner of the touchscreen the arrow will point upward then After having made your selections you can return to pro gram level 1 only by touching the blue arrow 9 once again Basic settings menu Level 3 In a third program level you can freely choose individ ual kV mA values for each of the three jaw regions anterior teeth canines and molars in the upper or lower jaw and for each of the 4 patient symbols Subse quently
29. out by authorized staff only 1 Warning and safety information Sirona Dental Systems GmbH 1 2 ESD protective measures Operating Instructions ORTHOPHOS XGP S DS Ceph ESD protective measures ESD stands for ElectroStatic Discharge A ATTENTION Connector pins or sockets bearing ESD warning labels must not be touched or interconnected without ESD protective measures ESD protective measures include LS e Procedures for preventing electrostatic charge 4 build up e g air conditioning air moistening con 4 ductive floor coverings and non synthetic clothing e Discharging the electrostatic charges of your own body on the frame of the UNIT the protective ground D wire or large metallic objects e Connecting yourself to ground using a wrist band We therefore recommend that all persons working with this system be instructed on the significance of this warning label Furthermore they also should receive training in the physics of electrostatic discharges which can occur in the practice and the destruction of elec tronic components which may result if such components are touched by electrostatically charged USERS The content of this training is explained in Chapter 1 3 About the physics of electrostatic charges ESD stands for ElectroStatic Discharge Electrostatic discharge must be preceded by electrostatic charging Static electric charges generally build up whenever two bodies are rubbed again
30. possible to clear the help message by taking the appropriate measure another type of error is the cause To locate the error proceed as described on the following pages 114 59 92 602 D 3352 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGPS DS Ceph fee A i 1 EA lt A l Error message structure 13 List of messages 13 2 Error message structure The error messages are displayed in the form of an error code They are not provided in plain text form 13 2 1 The error message code has the following structure Ex yy zz Ex Error type troubleshooting classification for the user yy Location module subsystem or logical function unit ZZ Consecutive number with error ID All error messages of the system are grouped according to these criteria 13 2 2 Ex Digit x is intended to provide the user with quick help in deciding how to deal with this error mechanical obstruction of unit movements 59 92 602 D 3352 D 3352 201 01 20 23 sure that the movements of the unit are not obstructed Repeat the last procedure step or exposure If the error reoccurs without any identifiable cause gt contact your Customer Service Description Actions required Error group 1 System warning Acknowledge the error message Contact This error group includes all errors that system message your Customer Service Continued indicate still acceptable t
31. preventive main tenance must be performed after 4 7 and 10 years and then at two year intervals E Image quality check The image quality should be assessed by the system owner at regular intervals at least once a year On digital image receptor systems the degree of postprocessing brightness or contrast adjustment that is required in the image processing software e g SIDEXIS to produce satisfactory results is used as an assess ment criterion If after taking into account the patient s anatomy and excluding possible sources of error such as incorrect patient positioning this criterion can be regarded as given you should immediately contact your Customer Service to have possible system faults rectified Observe any possible additional country specific requirements 59 92 602 D 3352 D 3352 201 01 20 23 Sirona Dental Systems GmbH 16 Disposal Operating Instructions ORTHOPHOS XGPS DS Ceph 15 3 Image quality check Disposal Your product is marked with the adjacent symbol Disposal of your product with domestic refuse is not compatible with the objectives of environmentally sound recycling disposal The black bar underneath the garbage can symbol means that it was put into circulation after Aug 13 2005 see EN 50419 2005 Please observe the disposal regulations applicable in your country We advise that this product is subject to the stipulations in the EC guideline 2002 96 governing waste electrical and electronic
32. reference tables apply to the anterior and canine tooth region For a symmetric view of the anterior teeth 31 41 in the lower jaw or 11 21 in the upper jaw enter 0 mm For anterior teeth 11 upper jaw right or 41 lower jaw right enter 2 mm For anterior teeth 12 upper jaw right or 42 lower jaw right enter 4 mm For canine teeth 13 upper jaw right or 43 lower jaw right enter 6 mm 59 92 602 D 3352 90 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGP S DS Ceph Omm 1121 gt 4 Applicability of mm tables to other slice orientations O eo Ty a E gt 6mm 3 5 f o Ge D G 11 Transversal slices TSA 11 1 Preparing a TSA exposure For a symmetric view of the anterior teeth 31 41 in the lower jaw or 11 21 in the upper jaw enter 0 mm For anterior teeth 21 upper jaw left or 31 lower jaw left enter 2 mm For anterior teeth 22 upper jaw left or 32 lower jaw left enter 4 mm For canine teeth 23 upper jaw left or 33 lower jaw left enter 6 mm i NOTE The illustrations show examples of the relationships based on TSA slice orientations 59 92 602 D 3352 D 3352 201 01 20 23 91 11 Transversal slices TSA 11 1 Preparing a TSA exposure a en Od i ed SID 19 6 12x2 36 SID 19 6 12x2 36 SID 19 6 12x2 36 gt SID 19 6 12x2 36 92 Sirona Dental Sys
33. reflection line of the light local izer A ATTENTION When using this program do not take exposures of chil dren with the chin rest A ATTENTION Do not under any circumstances use the TSA universal bite block black mark for this exposure program 59 92 602 D 3352 36 D 3352 201 01 20 23 Sirona Dental Systems GmbH 6 Program group temporomandibular joint TMJ views Operating Instructions ORTHOPHOS XGPS DS Ceph 6 1 TM1 1 TM1 2 Temporomandibular joints lateral with closed and open mouth in 6 Program group temporomandibular joint TMJ views 6 1 TM1 1 TM1 2 Temporomandibular joints lateral with closed and open mouth in one image TM1 1 Temporomandibular joints lateral with closed mouth and TM1 2 with open mouth TM1 1 4 views in one image amare e Insert temporomandibular joint supports 1 and 2 6x12 e To largely prevent overlaps head inclination using a the FH The line displayed on the touchscreen head icon in w dicates the reflection line of the light localizer e Activate TM1 1 On completion of TM1 1 the message Please wait appears in the comment line and the unit automati cally returns to its starting position The message Ready for exposure appears e Ask the patient to open his her mouth and release TM1 2 e Finally the message R button confirm exposure data appears e After you have pressed the R button again the unit returns to its starting position NOTE
34. sinuses S1 Paranasal sinuses e g orbital floor fractures e Fit blue contact segment subnasally e Fit temporomandibular joint supports 1 and 2 See without ear holders but with contact pads e Patient s head max reclined The line displayed on the touchscreen head icon is used here for orientation only NOTE For devices until October 2006 Please observe the orientation right left of the temporo mandibular joint supports specified on page 28 59 92 602 D 3352 D 3352 201 01 20 23 45 7 Program group sinus views Sirona Dental Systems GmbH 7 2 S2 Maxillary sinuses with two views in one image Operating Instructions ORTHOPHOS XGPS DS Ceph 7 2 S2 Maxillary sinuses with two views in one image S2 Maxillary sinuses with two views in one image enabling a certain depth localization e Blue bite block or contact segment SID 19 6 2i 6x12 e Fit temporomandibular joint supports 1 and 2 without ear holders but with contact pads e Head inclination using the FH The line displayed on the touchscreen head icon in dicates the reflection line of the light localizer e Donotrelease the exposure release button until the message R button confirm exposure data appears in the comment line Radiation is released automatically twice 0 noTE For devices until October 2006 Please observe the orientation right left of the temporo mandibular joint supports specified on page 28
35. sion for XG Pan for XG Ceph for XG Pan TSA for XG Ceph TSA Exposure release button must be pressed and held down during the entire exposure Touch bar for swiveling the control mirror in and out Easypad swiveling control panel Drawer for accessories Handles for patient Holder for chin rest bite blocks or contact segments etc Bite block contact segment or chin rest Primary diaphragm field on the X ray tube assembly 15 3 Controls and functional elements 3 1 Operating and Display Elements 18 19 20 21 22 25 25 AJIT IATL ET tat 60 70 110 80 90 100 120 16 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGP S DS Ceph Controls and scales on the cephalometer 8 Pushbutton for sensor removal 9 Sensor image receptor 18 Nose support 19 Locking knob for nose support 20 Scale for horizontal nose support adjustment 21 Rotating element for rotary movement of head sup ports 22 Secondary diaphragm with FH line light localizer 23 Scale for vertical nose support adjustment 24 Projection scale 25 Ear plugs with holders 26 Carpus support plate Magnification of the lateral view With this exposure technique a metal scale 24 inte grated in the nose support is displayed on the X ray image Using this scale the magnification factor in the median plane can be determined precisely via a measurement ZA ATTENTION Never support yourself on the
36. standard yellow 5 pcs Order No 89 21 843 Q Occlusal bite block standard yellow Order No 62 11 143 Q1 Bite foam for occlusal bite block 100 pcs Order No 61 41 449 E1 59 92 602 D 3352 D 3352 201 01 20 23 27 4 Accessories Sirona Dental Systems GmbH 4 2 Important when inserting the temporomandibular joint supports Operating Instructions ORTHOPHOS XGP S DS Ceph 4 2 Important when inserting the temporomandibular joint supports In ORTHOPHOS XG units delivered during after November 2006 the holders of the temple supports are tilted slightly toward the rear The temporomandibular joint supports are marked 1 for right and 2 for left Insert the temporomandibular joint supports here as shown in the adjacent drawing All of the following drawings and descriptions contained in these operating instructions show this arrangement In ORTHOPHOS XG units delivered until October 2006 the holders of the temple supports point straight down The temporomandibular joint supports marked 1 and 2 must be inserted here so that the support marked 2 is positioned on the right and the one marked 1 is positioned on the left For software updates of units delivered before October 2006 the existing temporomandibular joint supports will be inserted in the familiar manner i e marked R for right and L for left as shown For spare parts deliveries
37. target position of the head as necessary or upon request A ATTENTION If no change in the bite block plate angle is detected fora period of approx 3 seconds the speed of the height ad justment motor starts to increase Readjustment can be started by briefly touching the up 30 or down 31 height adjustment key The light localizers can be activated as additional posi tioning aids e Press key 29 on the Easypad to move the forehead support towards forehead On touching the pa tient s forehead the forehead support stops auto matically e Close the temple supports by pressing key 37 on the Easypad On touching the patient s temples the temple supports stop automatically 59 92 602 D 3352 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGPS DS Ceph 59 92 602 D 3352 D 3352 201 01 20 23 as 9 Operation 9 3 Positioning the patient Cleaning the occlusal bite block If the hinges of the occlusal bite block begin to emit squeaking noises in operation following longer periods of use they must be cleaned To do this proceed as follows 1 Pull the occlusal bite block out of its holder on the ORTHOPHOS XGPlUs 2 Carefully push apart the guide mandrel of the lever 1 on the bite block plate and the eyelet of the con necting rod 2 slightly in the directions of the arrows and unhinge the lever 3 Swing the bite block 3 upward into a vertical
38. the starting position for TSA exposures by pressing the R key A message in the comment line prompts you to se lect a quadrant e Touch the quadrant symbol at the top of the sub menu column e The quadrant selection submenu appears Touch the quadrant where the tooth you want to ex amine is located The selected quadrant is highlighted in orange color The respective quadrant in the submenu column is represented in white color at the same time NOTE You cannot select more than one quadrant at a time e Close the submenu by touching the quadrant sym bol in the submenu column or the blue arrow at the left margin of the submenu NOTE The quadrant preselection must be repeated for each TSA exposure 89 11 Transversal slices TSA Sirona Dental Systems GmbH 11 1 Preparing a TSA exposure Operating Instructions ORTHOPHOS XGPS DS Ceph Transferring the measured depth e The jaw half where the preselected quadrant is lo cated appears in a light gray color now The orange linear sensor is at 0 mm e The depth measured by means of the TSA scale must be transferred to the TS image now This is done with the to the rear and to the front arrow keys The arrows are on the opposite side of the light gray jaw half When you leave your finger on the corresponding ar row the depth indicator and the orange linear sensor automatically move into the related direction SID 19 6 12x2 36 The following
39. three TSA views shows which portion of the dental arch steel balls were fitted prior to image acquisition The view on which the ball appears as a perfect circle marks the slice plane where the ball is positioned in the panoramic image Example displaced tooth 59 92 602 D 3352 D 3352 201 01 20 23 103 11 Transversal slices TSA Sirona Dental Systems GmbH 11 7 Slice orientations Operating Instructions ORTHOPHOS XGP S DS Ceph 17 7 Slice orientations TS slices combined with a thick longitudinal slice default Can be used with millimeter precision Angle preselection possible Please note that the magnifications of the partial images vary according to the technique concerned TS slices alternative Can be used for TS slices with longitudinal thick slice with millimeter precision Angle preselection possible 59 92 602 D 3352 104 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGPS DS Ceph 59 92 602 D 3352 D 3352 201 01 20 23 11 Transversal slices TSA 11 7 Slice orientations 3 longitudinal slices alternative Can be used as for TS slices with a thick longitudinal slice with millimeter precision Bite wing exposures can also be performed with the uni versal bite block in this setting black mark setting i NOTE The partial image sequence is dependent on the select ed half side R L Make sure t
40. 1 Identification of warning and safety information NoTE There must not be any help message displayed in the comment line of the touchscreen The message Ready for exposure must appear The patient s arms must hang down freely at the sides he she must not pull up his her shoulders Advise the patient not to move his her head in any way during the scan and watch yourself to make sure that this does not happen Trigger the exposure scan by pressing and holding down the exposure release button 10 While radiation is active the optical radiation indicator 32 is illuminated In addition an acoustic signal sounds throughout the entire radiation time Take care not to let go of the exposure release button prematurely Wait until the unit has completed the expo sure cycle e The exposure cycle is complete when the touchscreen comment line switches from Ex posure is performed to Please wait a row Of dots appears alternately with the program number on the remote control display a Short pulsed tone sequence also can be heard at the end of the exposure this function can be deacti vated by your service engineer 0 nore SID 67 5 The end of the exposure cycle can also be seen on the SIDEXIS monitor namely when the progress indicator shows 100 and the preview image starts to build up Left handed arm
41. 2 D 3352 D 3352 201 01 20 23 67 9 Operation Sirona Dental Systems GmbH 9 8 Releasing the exposure Operating Instructions ORTHOPHOS XGP S DS Ceph Releasing the exposure e Observe the radiation protection regulations see also chapter 1 Identification of warning and safe ty information 0 wore There must not be any help message displayed in the comment line of the touchscreen The message Ready for exposure must appear voTE When you press the exposure release button on the re mote control while the door is open the message Close the door with help code H321 is displayed Close the door and acknowledge the message A ATTENTION 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 e To release the exposure press the exposure release button 10 The rotary movement of the selected exposure program is performed automatically While radiation is active the optical radiation indicator 32 on the Easypad or on the remote control is illumi nated In addition an acoustic signal sounds throughout the entire radiation time A ATTENTION Take care not to let go of the exposure release button prematurely Note that radiation may be released several times during an exposure cycle Wait until th
42. 62 51 16 16 16 Fax 49 0 62 51 16 18 18 REF 59 70 905 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 fungi cidal and virucidal properties have been verifiably tested and approved accordingly You can use for instance MinutenSpray classic or MinutenWipes by Alpro PlastiSept by Alpro or FD 333 FD 312 by Durr In the USA and Canada CAVICIDE or CAVIWIPES Do not use Substances containing phenol peracetic acid peroxide or any other oxygen splitting agents sodium hypochlorite or iodine splitting agents 59 92 602 D 3352 D 3352 201 01 20 23 117 15 Inspection and maintenance Sirona Dental Systems GmbH 118 Operating Instructions ORTHOPHOS XGP S DS Ceph 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 check performed by the system owner or other authorized persons 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 E Maintenance by the service engineer In addition to the annual check to be carried out by the system owner or authorized persons
43. 8 The patient head symbol is bent dorsally reclined so that the lower edge of the mandible is parallel to the floor and the yellow bite block for mandibular expo sures is shown The line displayed on the head symbol on the touch screen is used here only for orientation This facilitates input of the correct values with the arrow keys 59 92 602 D 3352 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGP S DS Ceph PAN CEPH SID 19 6 12x2 36 PAN CEPH SID 19 6 12x2 36 PAN CEPH SID 19 6 12x2 36 59 92 602 D 3352 D 3352 201 01 20 23 11 Transversal slices TSA 11 1 Preparing a TSA exposure TS slices combined with a thick longitudinal slice standard for upper jaw 3 transversal slices with embedded lateral slice In this slice orientation the cursor is shown as a dotina circle Example for the slice orientation of TS slices alternative for the upper jaw Input assistance Upper jaw When you touch the light gray dental arch in the front segment the depth indicator jumps to 10 mm The patient head symbol shows the setting according to the the Frankfort Horizontal plane FH and the blue bite block for the maxillary exposure The line displayed on the head symbol on the touch screen indicates the reflection line of the light localizer When you touch the light gray dental arch in the center segment the depth indicator jump
44. 9 on the Easypad to move the forehead support towards forehead On touching the pa tient s forehead the forehead support stops auto matically e Close the temple supports by pressing key 37 on the Easypad On touching the patient s temples the temple supports stop automatically e Swivel the mirror back in by pressing the right recess B on the touch bar e Check the FH setting and the central light line e Have the patient place his or her tongue against the palate Displayed reference values The Easypad shows the reference values of the height and forehead support settings which are saved for fur ther exposures in the additional information area of the SIDEXIS software NOTE The forehead support and the temple supports open au tomatically when the exposure is complete 59 9 Operation 9 3 Positioning the patient SID 19 6 6x12 60 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGPS DS Ceph Exposure occlusal bite block Intended use The occlusal bite block is used for panoramic slice views To make patient positioning easier and safer you can use the occlusal bite blockfor exposure programs P1 P1 A P1 C half view and full quadrant images P2 P10 and P12 The unit here supports the user by displaying correspond ing symbols on the Easypad and automatically stopping and emitting a double signal when the angle of the occlusal bite block plate has r
45. HOPHOS XGPS DS Ceph Basic settings for the entire menu Level 2 You may also display all of the program settings and make the settings described above in a second program level To access the second program level touch the blue arrow 9 in the upper right corner of the touchscreen the arrow will point upward then After having made your selections you can return to pro gram level 1 only by touching the blue arrow 9 once again i NOTE When you confirm the exposure with the R button the program settings changed in these submenu lines will automatically be reset to the default settings except for Ceph Quick shot 59 92 602 D 3352 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGP S DS Ceph 59 92 602 D 3352 D 3352 201 01 20 23 3 Controls and functional elements 3 2 General touchscreen functions Basic settings menu Level 3 In a third program level you can freely choose and then save certain exposure parameters for the individual pro grams To access the third program level touch the downward pointing arrow 20 in the second program level The right arrow will become a double arrow then You can close this menu again only by touching the blue double arrow 9 in the upper right corner The display always returns to the standard menu program level 1 A ATTENTION If you want to change the kV mA values in the TSA basic settings make sure to first pres
46. Have the patient bite into the indentation of the bite block placing his her upper anterior teeth into the inden tation and pushing his her lower anterior teeth forward as far as possible or placing his her subnasale against the contact segment Move the forehead support as far as possible up to the patient s forehead Close the temple supports For maxillary views you must fit the temporoman dibular joint supports with the sterilizable contact pads Q nore We recommend that you perform a test cycle without ra diation with the T key prior to starting the exposure to make sure that the tube assembly and sensor do not col lide with the patient s head Mandibular anterior and canine teeth When you enter a depth of up to and including 14 mm the patient head symbol remains in the FH position Fit the yellow bite block Position the patient s head according to the Frankfort Horizontal FH The line displayed on the head symbol on the touch screen indicates the reflection line of the light localizer Mandibular molars When you enter a depth of 15 mm or more the patient head symbol changes and is bent dorsally reclined now Fit the yellow bite block Have the patient recline his her head dorsally to the point where the lower edge of the mandible is parallel to the floor The line displayed on the head symbol on the touch screen is used here only for orientation In the TSA slice orientation the subm
47. Head inclination using the FH The line displayed on the touchscreen head icon in SID 19 6 dicates the reflection line of the light localizer 6x12 Q NOTE For devices until October 2006 Please observe the orientation right left of the temporo mandibular joint supports specified on page 28 59 92 602 D 3352 D 3352 201 01 20 23 41 6 Program group temporomandibular joint TMJ views Sirona Dental Systems GmbH 6 4 TM4 Temporomandibular joints in posterior anterior projection Operating Instructions ORTHOPHOS XGPS DS Ceph 6 4 TM4 Temporomandibular joints in posterior anterior projection TM4 Temporomandibular joints in posterior anterior projection e Insert temporomandibular joint supports 1 and 2 e To largely prevent overlaps head inclination to wards anterior in relation to the FH The line displayed on the touchscreen head icon is used here for orientation only 0 wore For devices until October 2006 Please observe the orientation right left of the temporo mandibular joint supports specified on page 28 SID 19 0 6x12 59 92 602 D 3352 42 D 3352 201 01 20 23 Sirona Dental Systems GmbH 6 Program group temporomandibular joint TMJ views Operating Instructions ORTHOPHOS XGPlus DS Ceph 6 5 TM5 Temporomandibular joints lateral multislice 6 5 TM5 Temporomandibular joints lateral multislice TM5 Temporomandibular joints lateral multislice 6 views in one image e Insert tem
48. LDR ACCEPTED UserArea ActivationCode gt ORTHOPHOS XG gt ActivationCode gt Versions Enter ActivationCode ActivationCode Al4JPDFRUIDKKQJ ACCEPTED 59 92 602 D 3352 D 3352 201 01 20 23 17 Activating functions 17 2 Via web browser on the PC If you have purchased a certificate with a corresponding activation key code you can extend the functionality of your ORTHOPHOS XG system To do this click ActivationCode A website with an input field for the activation key code is then displayed Enter this key code in the ActivationCode field Confirm your entry by clicking Enter ActivationCode If you entered the activation code correctly a line dis playing this code and ACCEPTED will then appear If the code is displayed with the comment FAILED please check the code and enter it again Your function extension is activated and you can close the web browser again 123 17 Activating functions 17 2 Via web browser on the PC Security Alert Information you exchange with this site cannot be viewed or changed by others However there is a problem with the site s security certificate The security certificate was issued by a company you have not chosen to trust View the certificate to determine whether you Wart to trust the certifving authority The secunty certificate date is valid The name on the security certificate is invalid or does not match the name of t
49. OS XGPS DS Ceph 5 4 P12 Slice thickness anterior tooth region P12 Representation of the anterior tooth region with increased slice thickness e g for implantology To preselect the program use the arrow keys 3 to count forward or to count backward depending on SID 19 6 the starting position for program sequence see section 6x12 32 In addition you can preselect in the half view selection submenu at the top of column 8 whether you want to generate a maxillary or a mandibular view individual quadrants are not possible e Yellow bite block or contact segment or chin rest with bite block rod and bite block or bar e Head inclination using the FH The line displayed on the head symbol on the touch screen indicates the reflection line of the light local izer 59 92 602 D 3352 34 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGP S DS Ceph 5 Program group panoramic images 5 5 BW1 Bite wing exposures in the posterior tooth region 5 5 BW1 Bite wing exposures in the posterior tooth region SID 19 6 6x12 59 92 602 D 3352 D 3352 201 01 20 23 BW1 Bite wing exposure in both posterior tooth regions with image height limited to the bite wing To preselect the program use the arrow keys 3 to count forward or to count backward depending on the starting position for program sequen
50. S DS Ceph 4 4 Protective sleeves for cephalometer W Protective sleeve for nose support single use device 100 pcs Order No 33 14 106 X Protective caps for ear plugs not a single use device sterilizable 20 pcs Order No 89 32 261 4 5 Accessories for transversal slices TSA Y TSA scale complete COOCOO Z1 Order No 58 85 384 Z2 Z Bite block green for maxillary TSA images where thealveolar ridge of the patient s head is aligned parallel to the floor to position the patient a little lower in relation to the beam path 5 pcs Order No 60 32 937 Z1 Contact segmentfor subnasale green for maxillary TSA images where thealveolar ridge of the patient s head is aligned parallel to the floor to position the patient a little lower in relation to the beam path 5 pcs Order No 60 32 945 Z2 Set of measuring balls for TSA 5 mm diameter 5 pieces Order No 61 19 254 Z3 TSA universal bite block Order No 61 41 431 Z4 TSA bite foam for universal bite block 100 pcs Order No 61 41 449 59 92 602 D 3352 30 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGPl S DS Ceph 5 Program group panoramic images 5 1 P1 standard panoramic image P1 A artifact reduced P1 C with a constant Program group panoramic images 5 1 P1 standard panoramic image P1 A artifact reduced P1 C with a constant magnification factor of 1 25 SID 19 6
51. SIrona The Dental Company ORTHOPHOS XGP 5 DS Ceph Operating Instructions ee a ee lS fo J hba a This product is covered by one or more of the following US patents US6351519 US6570953 US6926442 US7322746 US6731717 US6891921 D502543 D497994 D503804 General information Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGP S DS Ceph a General information Dear Customer Thank you for purchasing your ORTHOPHOS XGPUs panoramic X ray unit from Sirona This system enables you to take standard views jaw area sinus views maxillary sinuses and temporoman dibular joint views using digital imaging technology If the system is equipped with a cephalometer arm you can furthermore take cephalometric images using digital imaging technology The technical documentation supplied is also part of the product Keep these documents handy at all times file them in the X ray System Logbook in Germany To safeguard your warranty claims please complete the attached Installation Report Warranty Passport together with the service engineer immediately after the installation of your unit Please familiarize yourself with the unit by reading through these Operating Instructions before taking any X rays of patients Please comply with the applica ble radiation protection regulations and warnings at all times These operating instructions presuppose that you are familia
52. Scanning operation from front to rear secondary diaphragm and sensor remain at the rear in the position required for positioning of the next patient 59 92 602 D 3352 84 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGP S DS Ceph 59 92 602 D 3352 D 3352 201 01 20 23 10 Cephalometric exposures CEPH 10 7 Releasing a cephalometric exposure Right handed arm Scanning operation from rear to front secondary diaphragm and sensor automatically return to the rear after the exposure to facilitate position ing of the next patient A A ATTENTION When using the right handed ceph arm version be sure to explain the entire exposure procedure to the patient The patient may leave only after the exposure has been taken and the secondary diaphragm and sensor have automatically returned from the cephalometer Once the exposure has been completed push the ear plug holders outward as far as possible with a lateral view pull the nose support toward the front as far as possible and fold it up toward the side The patient may now step out of the unit After completion of the exposure the X ray image is displayed on the PC monitor in SIDEXIS In addition a small preview image A is displayed on the touchscreen it is not suitable for diagnostic purposes You must close the preview image again by touching the touchscreen The exposure mode exposure program tub
53. W at 90 kV 12 mA with any radiation time 50 60Hz max 0 8 Ohm 25 A slow blow 16 A for standalone connection 2 kVA 90 kV 12 mA 1080 W with any radiation time 60 90kV for 90 kV max 12 mA 3 16mA at 16 mA max 66 kV 60 kV 3 mA to 90 kV 12 mA High frequency multipulse Residual ripple lt 4 kV see chapter 12 see chapter 12 For P1 normal dental arch slice center approx 1 1 19 i e the acquired image is magnified by approx 19 on average com pared to reality max 14 9 s gt 2 5 Al 90 IEC 522 1976 0 5mm 59 92 602 D 3352 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGPS DS Ceph Automatic exposure blocking See page 46 Class equipment Degree of protection against electric shock Degree of protection against ingress of water Year of manufacture Operating mode Long term power output Anode material Exposure parameters for determining leakage radia tion Transport and storage temperature Air humidity Admissible operating temperature Panoramic exposures Sensor image receptor Pan sensor type Active sensor area Pan type Detail resolution Focus sensor distance Cephalometric exposures Sensor image receptor Ceph sensor type Active sensor area Ceph type Detail resolution Focus sensor distance 59 92 602 D 3352 D 3352 201 01 20 23 2 Technical description The duration of automatic exposure blocking coo
54. am dis play 6 A continuous loop will then display all programs one after another P10 P10 A P10 C P10 In the Half view and individual quadrant selection sub menu at the top of column 8 you can preselect whether you want to generate a right or left half view or a maxil lary or mandibular view or an individual quadrant view in the full version See section 3 2 General touchscreen functions P 10 normal view status preferably for children e Yellow bite block or contact segment or chin rest with bite block rod and bite block or bar e Head inclination using the FH The line displayed on the head symbol on the touch screen indicates the reflection line of the light local izer e Optional presetting for malocclusion e Optional presetting for jaw shape e Automatic selection of the slice width in accor dance with temple support settings for different den tal arches Radiation time depends on set temple support width P10 A normal view status artifact reduced preferably for children e Settings as for P10 e To prevent metal artifacts in the condylar and molar region and to reduce shadowing caused by the op posite jaw P10 C normal view status with a constant magnification factor of 1 25 preferably for children e g for implantology e Settings as for P10 33 5 Program group panoramic images Sirona Dental Systems GmbH 5 4 P12 Slice thickness anterior tooth region Operating Instructions ORTHOPH
55. ar Ane d Configuration Sariainumkar OOOO 13 The ORTHOPHOS XG web page IS then displayed in Systemsofwara VO2 28 your web browser Booimods Stat Type 3 The screen initially displays the configuration of your Nero Mame DE vVOg00E MAC address 0010190063db ORTHOPHOS XG pik gk NS ee All of the system data which might be useful when con Subnet mask 755 55 55 0 i ae x Default gateway 192 168 151 tacting your service technician are listed here Mel AFI version 1 Met AFI iowsion 14 Demomoge Gti Tube Exposures 103 Useful tip You can bookmark the ORTHOPHOS XG website or create a link to it on your desktop For more information see the Help function of your inter net browser 59 92 602 D 3352 122 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGP S DS Ceph Orthephos XG WebServer Microsoft Internet Explorer Qaa Geeteten Arcee paroman Deas Q rris a ig P P Ston FeFo E hetos d i 92 168 15 174 Usar Assa ORTHOPHOS XG ActivationCode IAMJPDFRUIDKKO L tivation ode 4 I ner Enter ActivationCode j UserArea ORTHOPHOS XG ActivationCode IAM4JPDFRUIDKKQ gt ActivationCode gt Versions i Enter ActivationCode Orthophos XG WebServer Microsoll Interne kaplorer Da rban Aft Proa Eare F Oind 6 5 2 fe Pahn wfr dees 40 higa IR 168 15 174 Wiri Aira Activation ode l l EmerActwaiancode I l l Achvetonlode AW IPOER
56. ard against a certain resistance The carpus support plate can be disinfected by spraying or wiping Place the patient beside the cephalometer Have him her place a hand flat on the support plate right hand for the left hand version and left hand for the right arm version The patient s fingertips must not extend beyond the upper edge B His her hand and arm must form a straight line A Aa TTENTION The patient must press his her hand against the support plate only slightly 81 10 Cephalometric exposures CEPH 10 4 Selecting the exposure parameters Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGPS DS Ceph 10 4 Selecting the exposure parameters Quick ii SID 67 5 8x10 A 8x10 A 82 Program settings options When you touch a symbol in the submenu column 8 a submenu line for program settings opens There are various submenu lines for program settings available 1 Quickshot program setting reduction of expo sure time general When you touch the exposure time in column 8 another submenu line opens Here you can select for each C program whether you want to use a shorter exposure time for acquiring the image Quickshot scan 2 Manual setting of kV mA values general If the default kV mA combinations do not provide satis factory results you can preselect intermediate kV mA values in this submenu 3 Shadowing in the upper
57. assisia eed eed ace ea eben A 50 9 1 Preparing ING DoS U Grea rats tercasece terest S E a aE 50 9 2 Optional Taking exposures from a SIDEXIS exposure template cccccccseeeeceseeeeeeeeeeseeeeeeeees 53 Z POSWOnNNO Mepal sasea E E Ear ToS 54 9 4 Finishing the preparations panoramic views ccccceeeccecseeeeeecaueeeeecaseeeeeeeeeeeesaeeeeessaneeeessenseeeens 65 9 5 Making the basic settings in program level 3 cccccesecccssscecessceceeeceseescesseeesseueeeseueeeseueeeseeeeeseaess 66 9 6 Changing the startup settings in program level 4 ccccccseeececeeeeeeeeeeeeseeeceaeeeeeesaeeeeeseseeeessaneeeeeas 66 9 7 Selecting the exposure parameters cccccccccsseceecceeeeeececeeeeeecseuseeeceeaeeessegseeesseaseeessssseeessaeeeeesans 67 9 8 Releasing Ihe OXpOSUrO sun E O a nea ene 68 9 9 POMOC CONTO en E E lapaameecadaet Meaggamaamiabt sexta 71 Cephalometric exposures CEPH ccssccsssccssecceseesseeeeseeensecenseonsesensesenesonseseaes 72 10 1 Preparing a cephalometric exposure CEPH function ccccccccsseeeeeeeeeeeeeceeeeeeeseaeeeeesesseesseaees 72 10 2 Preparations on the CepNnalOMete liscssisceccsarercsastoncseveunienaseasersosnnsnehinsaraasabedeicaauuhecuesaamtianetceneelesecsas 74 10 3 POSTO O p aO cee actoect eae svete cstnes scs eevee ocen as bewee ence sau e ccs eaddnin wie co edu aheuniaeoasaevadssmenuueamt ocoute 75 10 4 Selecting the exposure parameters ccccccssec
58. ationt en information 20 03 03 Gi Jntersuchurg Bld Beavbsiten Andyse Ansicht Extras Hite Aufnahme Vorschau ler veroigen Ware auf 4ufnahne Beend r S ro n d a aan sirona e When SIDEXIS is ready for the first exposure of the template the welcome screen with the selected pa tient s data from SIDEXIS appears on the Easypad When you touch the screen the welcome screen disappears e As soon as an exposure has been executed and ar ranged in the prepared window the next exposure readiness is automatically issued by SIDEXIS until all of the exposures in the template have been exe cuted 59 92 602 D 3352 D 3352 201 01 20 23 53 9 Operation Sirona Dental Systems GmbH 9 3 Positioning the patient Operating Instructions ORTHOPHOS XGP S DS Ceph Positioning the patient Preparations e 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 de positing jewelry e The movements of the unit must not be obstructed by physical constitution nor clothing dressings wheelchairs or hospital beds Perform a test cycle with the T key see also General safety informa tion e Fit the bite block or contact segment and the chin rest see chapter entitled Exposure program groups Exposure with chin rest and bite block e The patient places himself or herself in front
59. axillary anterior teeth 0 5 mm A 60 8 62 8 64 8 64 8 Mandibular canines 6 14 mm A 60 8 62 8 64 8 64 8 Maxillary canines 6 14mm B 61 9 62 10 64 10 64 10 Mandibular premolars 15 35 mm C 68 12 71 12 73 12 77 11 Maxillary premolars 15 35 mm C 68 12 71 12 73 12 77 11 Mandibular molars 36 65 mm C 68 12 71 12 73 12 77 11 Maxillary molars 36 65 mm C 68 12 71 12 73 12 77 11 111 12 Program values 12 5 TSA exposure values Table 3 longitudinal slices Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGP S DS Ceph Tooth region Depth Max kV Factory programmed Freely programmed values TSA scale radiation mA values please enter here time series 00000000 Mandibular anterior 0 5 mm 8 2 S C 68 12 71 12 73 12 77 11 Maxillary anterior teeth 0 5 mm 8 2 S C 68 12 71 12 73 12 77 11 Mandibular canines 6 14 mm 8 2 S C 68 12 71 12 73 12 77 11 Maxillary canines 6 14 mm 8 2 S C 68 12 71 12 73 12 77 11 Mandibular premolars 15 35 mm 8 2 S C 68 12 71 12 73 12 77 11 Maxillary premolars 15 35 mm 8 2 S C 68 12 71 12 73 12 77 11 Mandibular molars 36 65 mm 8 2 S C 68 12 71 12 73 12 77 11 Maxillary molars 36 65 mm 8 28S C 68 12 71 12 73 12 77 11 Table 5 longitudinal slices Tooth region Depth Max kV Factory programmed Freely programmed values TSA scale radiation mA valu
60. ays on the touchscreen When you switch on the system the start screen appears briefly it will disappear automatically after a few seconds The selection screen appears The selection screen shows the following A Bite block height adjustment value in mm ranging from 810 to 1815 mm from the last patient set B The exposure program which was last used C The basic value 0 mm of the completely opened forehead support D The expected exposure time for the preselected pro gram E The patient symbol which was last preselected with the related kV mA combination F Help messages in the comment line G Quickshot display ON visible OFF hidden for reduction of cycle time H Upper display focus sensor distance Lower display maximum exposed area The preselected settings are represented in orange color e Briefly press the return key R to bring the rotating el ement into its position for positioning 51 9 Operation 9 1 Preparing the exposure SID 19 6 6x12 Connection made m IE 52 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGPS DS Ceph O voTE After the T key is pressed a test cycle of the rotating el ement can be triggered without radiation After the T key is pressed the adjacent display appears on the touchscreen without the kV mA value exposure time and patient symbols Two test cycle symbols appear instead of the patient symbols
61. bol yellow or blue will indicate if a bite block or a contact segment should be used The red line indicates the reflecting light localizer line FH the white line is only an auxiliary line to indicate the head inclination In addition for temporomandibular joint and sinus views the temporomandibular joint support is dis played in blue lf the end of the joint is marked with a small circle with a dot in its middle you will need to attach ear holders If this icon is not displayed use contact pads only 17 3 Controls and functional elements 3 2 General touchscreen functions 3 2 General touchscreen functions 1 234 9 6 3 789 SID 19 6 6x12 10 11121319181415 16 17 20 18 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGPS DS Ceph Touchscreen touch sensitive screen i e touching the screen surface triggers different functions Color codes orange selected white presettings light blue selectable grey and white auxiliary symbols Touchscreen symbols 1 2 3 12 13 14 15 16 17 18 19 20 Display of height setting value Display of forehead support setting value Program selection keys Sequence P 1 P 2 P 10 P 12 BW1 BW2 TM 1 TM 2 TM3 TM 4 TM 5 TM 6 S 1 S2 S3 S4 MS 1 Orange display of the exposure area for the select ed program dental arch or dental arch segment Display of program group selection
62. by the coiled cable of the exposure release button The statutory radiation protection equipment must be used With the exception of the patient no other persons without radiation protection are allowed to stay in the room In exceptional cases a third person may provide assistance but not the practice staff During the whole exposure visual contact with the patient and the unit must be maintained In case of malfunctions cancel the exposure immedi ately by letting go of the exposure release button The protective sleeves must be exchanged and the ster ilizable accessories must be resterilized for each new patient to prevent any transmission of infective agents which might cause serious illnesses Suitable hygienic measures must be taken to prevent cross contamination among patients users and other persons When dismantling and reinstalling the system proceed according to the installation instructions for new installa tion in order to guarantee its proper functioning and sta bility The system incorporates Class 1 laser products The light localizers are intended for correct patient posi tioning They must not be used for any other purposes A minimum distance of 100mm between the eye and the laser is required Do not stare into the beam Safe oper ation is described in chapter 9 3 Positioning the patient The light localizers may be switched on only when func tioning perfectly Repair work must be carried
63. cceeceeseeeeeeeeeeeceeeeeeeeeeeseeeeeseeeenseeeees 41 6 4 TM4 Temporomandibular joints in posterior anterior projection ccccssseeeecesseeeeeeeeeeeeeseeseeessneees 42 6 5 TM5 Temporomandibular joints lateral multislice 2 2 0 0 eecceceeeeeeeeeeeceeeeeseeeeeeseeeeesaeeeeseeeessaeeeees 43 6 6 TM6 Temporomandibular joints multislice in posterior anterior Projection cecceseeeeeeeeeeeees 44 Program group SINUS VIEWS cecesseceessssecccnmesinans bessduesenccsurdocaneusscusdscotenteavavsanccesidenenancst 45 7 1 S1 Paranasal SINUSES ccccccccseeeeecceeeececeeecececeuseeeeeauseeeceeaseeeeseuseceeesaeeeessaseeesssageeeessaseessseaeeeeens 45 7 2 S2 Maxillary sinuses with two VIEWS IN ONE image ccccseeececceeeeeeeceeeeceeceeeeeeecaueeeeeecseeeeessaseeeessaaes 46 7 3 S33 Paranasal sinuses linear slice orientation cccccsseeeeecceeeeeeeceeeeeeeseeeeeeessueeeeeessueeeeesaeeeeeesanes 47 7 4 S4 Maxillary sinuses with two views in one image linear slice Orientation sccceeseeeeeeeeeeees 48 Program group multislice VIEWS ccccceeeeeeeeeeeseeeeeeeeeeeeeneeeeseeeaeeeeaeeeeseeeasenaeeneneneaes 49 8 1 MS1 Multislice posterior tooth region ccccceccsseeeeeceeeeeeeecaeeeeeeaeeueeeesseceeeessueeeeesueeeessaseeeesseseees 49 59 92 602 D 3352 D 3352 201 01 20 23 3 Table of contents Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGP S DS Ceph ODOT UO ID
64. ce see section 3 2 In addition you can preselect in the half view selection submenu at the top of column 8 whether you want to generate a half view of the right or left side see also section 3 2 General touchscreen functions no selec tion of individual quadrants e Yellow bite block or contact segment or chin rest with bite block rod and bite block or bar e Head inclination using the FH The line displayed on the head symbol on the touch screen indicates the reflection line of the light local izer A ATTENTION When using this program do not take exposures of chil dren with the chin rest A ATTENTION Do not under any circumstances use the TSA universal bite block black mark for this exposure program 35 5 Program group panoramic images Sirona Dental Systems GmbH 5 6 BW2 Bite wing exposures in the anterior tooth region Operating Instructions ORTHOPHOS XGPS DS Ceph 5 6 BW2 Bite wing exposures in the anterior tooth region BW2 Bite wing exposure of the anterior tooth region with image height limited to the bite wing To preselect the program use the arrow keys 3 to count forward or to count backward depending on alee 9 8 the starting position for program sequence see section X 3 2 e Yellow bite block or contact segment or chin rest with bite block rod and bite block or bar e Head inclination using the FH The line displayed on the head symbol on the touch screen indicates the
65. ction line of the light localizer e Optional presetting for malocclusion e Optional presetting for jaw shape e Automatic selection of the slice width in accor dance with temple support settings for different den tal arches Radiation time depends on set temple support width P 2A normal view limited to teeth without ascending rami artifact reduced e Settings as for P2 e To prevent metal artifacts in the condylar and molar region and to reduce shadowing caused by the op posite jaw P2 C normal view limited to teeth without ascending rami with a constant magnification factor of 1 25 e g for implantology e Settings as for P2 59 92 602 D 3352 32 D 3352 201 01 20 23 Sirona Dental Systems GmbH 5 Program group panoramic images Operating Instructions ORTHOPHOS XGP S DS Ceph 5 3 P10 normal view for children with significant dose reduction P10 A 5 3 P10 normal view for children with significant dose reduction P10 A artifact reduced P10 C with a constant magnification factor of 1 25 Active sensor area CCD PAN 6 5 x 127 0 mm for upper or lower jaw 6 5 x 65 0 mm 59 92 602 D 3352 D 3352 201 01 20 23 To preselect the program use the arrow keys 3 to count forward or to count backward depending on the starting position for program sequence see section 3 2 To preselect the exposure type touch the progr
66. e Easy pad adjust the height of the unit so that the ear hold ers are at the height of the external auditory canals Position the patient s head between the temporo mandibular joint supports C and D Close the temporomandibular joint supports with key 37 on the Easypad so that the ear holders fit in to the external auditory canals For programs TM1 TM3 and TMS the patient s head must be positioned in the Frankfort Horizontal plane FH For programs TM2 TM4 and TM6 the patient s head must be inclined towards anterior in relation to the FH so as to largely prevent overlaps Align the center of the anterior teeth or of the face with the central light line 59 92 602 D 3352 D 3352 201 01 20 23 Sirona Dental Systems GmbH 9 Operation Operating Instructions ORTHOPHOS XGPS DS Ceph 9 4 Finishing the preparations panoramic views Sinus views programs S1 S4 with temporomandibular joint supports 1 an SS gt For ssinus views you must fit the temporomandibular Fer joint supports C 1 on the right and D 2 on the i waz left side in place of the temple supports 7 A aa To do so remove the two temple supports 7 after pressing the corresponding locking button instead push in the two temporomandibular joint supports C and D until they engage Two sterile ear holders E1 must be plugged into the temporomandibular joint supports C and D Oo NOTE For devices until October 2006 Please obs
67. e anterior tooth region In special cases you may also position a seated patient using e g a dentist stool RIGHT WRONG 55 9 Operation 9 3 Positioning the patient Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGP S DS Ceph e Swivel out the mirror by pressing the left recess A on the touch bar e Position the head of the patient in such a way that the occlusal plane is slightly inclined towards anterior e Switch on the light localizer with key 28 on the Easypad It is used for correct patient positioning e As long as the light localizer is on a red light localiz er symbol is displayed on the touchscreen O NoTE Make sure that the light beam does not hit the patient s eyes laser light The light localizer switches off automatically after ap prox 100 seconds The FH horizontal light beam should reflect between the upper edge of the external auditory canal and the lowest point of the infraorbital rim Frankfort Horizontal plane FH The height of the FH horizontal light beam can be adjusted with slider 2 e Fine tune the head inclination for the FH setting Briefly touch the up 80 or down 31 arrow key for height adjustment e Align the center of the anterior teeth or of the face with the central light line C e Press key 29 on the Easypad to move the forehead support towards forehead On touching the pa t
68. e cephalometer Operating Instructions ORTHOPHOS XGP S DS Ceph Preparations on the cephalometer Inserting the sensor If you operate the unit with one sensor only you must remove the sensor 9 from its slot in the rotating ele ment for pan exposures and plug it into the slot on the cephalometer 0 wore To remove the sensor hold it firmly press the pushbutton 8 fully in and hold it down Remove the sensor from its holder by pulling it downward i a A ATTENTION DO NOT DROP THE SENSOR A shock sensor for detecting shocks or drops is built in ZA ATTENTION When removing the sensor from the pan ceph slot or handling a sensor that has already been removed make sure not to touch the sensor plug on the unit end espe cially not while touching the patient at the same time Slide the sensor with its two guide bolts into the guide sleeves and push it up to the stop it is not necessary to press the pushbutton 8 when doing this If the sensor 9 is not fully inserted into the slot on the cephalometer the help message Plug sensor into Ceph slot appears in the comment line If a PAN sensor has been plugged into the Ceph slot unintentionally the help message Plug in Ceph sen sor is displayed 0 voTE If you operate the unit with two sensors the PAN sensor may remain in its slot on the rotating element e Seize the nose support 18 at its upp
69. e unit has completed the exposure cycle e The exposure cycle is complete when the touchscreen comment line switches from Ex posure is performed to Please wait a row Of dots appears alternately with the program number on the remote control display a Short pulsed tone sequence also can be heard at the end of the exposure this function can be deacti vated by your service engineer Q wore The end of the exposure cycle can also be seen on the SIDEXIS monitor namely when the progress indicator shows 100 and the preview image starts to build up 59 92 602 D 3352 68 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGP S DS Ceph 59 92 602 D 3352 D 3352 201 01 20 23 9 Operation 9 8 Releasing the exposure e After completing the first part TM1 1 or TM2 1 of one of the two part programs for temporomandibular joint exposures TM1 and TM2 the program sponta neously switches to TM1 2 or TM2 2 on the remote control or on the touchscreen respectively In this case you can let go of the exposure release button In the meantime the ring automatically returns to its starting position TM1 2 or TM2 2 is released and completed as described above e The forehead support and the temple supports open automatically and the patient may leave the unit After completion of the exposure the X ray image is displayed on the PC mon
70. e voltage tube current real radiation time dose area product and shadowing depending on the exposure program are again displayed on the touchscreen e Acknowledge the exposure time actually needed by pressing the return key R e Then reset the rotating element to its starting posi tion by pressing the return key R a second time e With a left handed version you must press the R key again to move the secondary diaphragm and the Ceph sensor to the exposure position after position ing the next patient Canceling an exposure If you let go of the exposure release button prematurely the exposure is canceled The message R button confirm exposure data are displayed in the comment line The exposure time and dose area product display read ings flash following exposure cancellation The exposure time which had elapsed prior to cancellation is dis played e Confirm by pressing the R key on the Easypad e Press the R key again The X ray tube assembly moves to the starting position and the secondary di aphragm and Ceph sensor move forward into the ex posure position e Then the exposure can be repeated 85 10 Cephalometric exposures CEPH 10 7 Releasing a cephalometric exposure 86 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGP S DS Ceph 0 wore Please note that any program settings which may have been changed must be preselected again before repeat ing the exposure Automatic
71. eached its nominal position Preparations A replaceable bite block foam single use device is used for the bite impression This soft bite block foam can also be used for patients who have no front teeth Insert the pins of the upper part in the opening of the bite block plate fold the bite block foam down and snap the lower part onto the pins of the upper part Bite block foam single use device 100 pcs Order No 61 41 449 Inserting the occlusal bite block e insert the occlusal bite block in the bite block holder as shown The display on the touchscreen now dif fers from the usual image AA TTENTION The occlusal bite block must be correctly locked in place The symbol display will change as soon as the metallic blade A dips into the coil body Check every day whether the arrows and the head sym bol are displayed consistently If that is not the case a system error is present With the occlusal bite block in place check whether the green bar is displayed in the head symbol otherwise a system error is present e The current head posture is displayed on the right side of the Easypad touchscreen Two green arrows are also displayed The left arrow next to the height value indicates which height adjustment key must be pressed to cor rect the head posture The right arrow next to the head display shows the approach to the nominal position e If the occlusal bite block is still inserted in the bite block holde
72. ececeeseeecceueeeceeeueeecceaseeeceseueeeessuseeeeseaeeeessegeeeeessaess 82 10 5 Making the basic Settings in program level 3 cecececcceceeceeceeeeeeeeeeeseeseeseeeeeeseaeeseaeeesaeeesaeeeessaeees 83 10 6 Changing the startup settings in program level 4 ccccseeccccesseeeeeceeeeeeeseeeeeeseeeeeeessaueeeesenseeseeaaes 83 10 7 Releasing a Cephalometric exposure cccccccesecccsececeeseeceeeeesseueeeeeueeeseeeeeeaeeeseaeeesnaseesnseessntasses 84 Transversal Slices TSA sirbir aaaea aia aana aii ia 87 Vist Preparing a TSA exposure is e E E a a a i 87 WAZ Patent pOsSiNonhNgesie ie a E tent oat iadeteee neo teaeee a 94 11 3 JRSAMORIVerSal Dite block eiieeii eaa eE Aea a EE 98 11 4 Preselecting the exposure settings and releasing the CXPOSULE cccceeeceesseeeeeeeeeeeeeeeeeseeeeeaaaees 100 11 5 Program settings basic settings startup settingS ssesssssressrrnsrrrerrrrsrrrrsrrrstrrrrrrrerrrrsrrrenrreennne 101 11 6 TSA exposure with TSA slice orientation alternative ccccccsssececceseeeeeeceeeeeeeeseeeeeeeeseeeeeeesanaees 102 Ter POMC ONlenita OMS renie EOE E E Oa 104 Program ValU S snanar aaa ea aA a E Aa E a 107 12 1 Panoramic views program values for index 2A ccecceceeeeeeee cess eeeeeeeeeeaeeeeeeeeeesaaaeeeeseesaeaeeeeeeeeeas 107 12 2 Panoramic views program values for index 4A ccecceceeeeeeee cece eeeeeeeeeeeaeeeeeeeeeesaeaeeeseeeaaeeeeeeeeenas 108 12 3 Panora
73. ected the actual exposure time may differ slightly Panoramic views program values for index 1A f a f a Program ce 63 cc x Factory programmed values Freely programmed values ae go 35 ae for index 1A please enter here cs cf 658 Suk 00000000 62 16 64 16 69 15 73 15 PIA 62 16 64 16 69 15 73 15 PIC SoS 62 16 64 16 69 15 73 15 2 62 16 64 16 69 15 73 15 eA 62 16 64 16 69 15 73 15 ree EHE 62 16 64 16 69 15 73 15 PIO 62 16 64 16 69 15 73 15 oe a 62 16 64 16 69 15 73 15 PoC EEE 62 16 64 16 69 15 73 15 P12 71 15 77 14 80 14 84 13 Swi 62 16 64 16 69 15 73 15 BW2 18 0s 54s 62 16 64 16 69 15 73 15 TM1 14TM1 2 16 1416 1s 6 44 6 4s 69 15 71 15 73 15 77 14 M1A 1 TM1A 2 16 14 16 1s 6 4 6 4s 69 15 71 15 73 15 77 14 TM2 1 TM2 2 23 6 26 9s 9 54 9 2s 69 15 71 15 73 15 77 14 TM2A 1 TM2A 2 23 6 26 9s 9 54 9 2s 69 15 71 15 73 15 77 14 TM3 18 4s 81s 66 16 69 15 71 15 73 15 TM4 20 1s 10 18 69 15 71 15 73 15 77 14 TM5 59 15 25 0s 69 15 71 15 73 15 77 14 TM6 63 5s 229s 69 15 71 15
74. ed by the op posite jaw P 1C Normal view with a constant magnification factor of 1 25 e g for implantology e Settings as for P1 31 5 Program group panoramic images Sirona Dental Systems GmbH 5 2 P2 normal view limited to teeth without ascending rami P2 A artifact reduced P2 C with a constant magnification factor of 1 25 Operating Instructions ORTHOPHOS XGPS DS Ceph 5 2 P2 normal view limited to teeth without ascending rami P2 A artifact reduced P2 C with a constant magnification factor of 1 25 To preselect the program use the arrow keys 3 to count forward or to count backward depending on the starting position for program Sequence see section 6 ay i i T 8 To preselect the exposure type touch the program dis SID 19 6 play 6 A continuous loop will then display all programs 6x12 one after another P2 P2 A P2 C P2 3 In the Half view and individual quadrant selection sub menu at the top of column 8 you can preselect whether you want to generate a right or left half view or a maxil lary or mandibular view or an individual quadrant view in the full version see section 3 2 General touchscreen functions P2 normal view limited to teeth without ascending rami e Yellow bite block or contact segment or chin rest with bite block rod and bite block or bar e Head inclination using the FH The line displayed on the touchscreen head icon in dicates the refle
75. ed in the drawer between the two handles The forehead support and the temple supports A can be removed for cleaning after pressing the correspond ing locking button Sterilization only in the autoclave at 134 C 273 F 2 1 bar 3 min All accessories marked with can be sterilized For reorders A Forehead support and temple supports can be removed for cleaning after pressing the cor responding locking button 1 piece Order No 59 80 383 B Contact pads for forehead temple supports 1 piece Order No 59 80 391 C Temporomandibular joint support 1 right for tem poromandibular joint viewsOrder No 59 80 599 D Temporomandibular joint support 2 left for tem poromandibular joint viewsOrder No 59 80 607 E Ear holders for temporomandibular joint supports 10 pieces Order No 18 88 838 Contact pads for temporomandibular joint supports 10 pcs Order No 59 90 648 F Bite block 10 pieces Order No 18 88 887 G Rod for bite block 5 pieces Order No 18 88 895 H Bar for chin rest Order No 59 61 461 J Chin rest Order No 14 49 227 K Chin rest complete incl 5xF 1xG H J S T Order No 59 81 472 L Contact segment blue for subnasale for sinus PNS and TSA upper jaw views 5 pcs Order No 89 31 552 M Bite block blue for sinus and TSA upper jaw views 5 pcs Order No 89 21 850 N Contact segment standard yellow for subnasale 5 pcs Order No 89 31 545 P Bite block
76. eeth are not necessarily of interest then use the red mark A Blue mark for maxillary TSA exposures Green mark for maxillary TSA exposures where the alveolar ridge of the patient s head is aligned parallel to the floor to position the patient a little lower in relation to the beam path Black mark B suitable for bite wing exposures with the TSA sensor and the longitudinal slice setting Select the longitudinal slices for this purpose see page 105 A ATTENTION Do not under any case use this TSA universal bite block black mark for bite wing exposure programs BW1 and BW2 59 92 602 D 3352 98 D 3352 201 01 20 23 Sirona Dental Systems GmbH 11 Transversal slices TSA Operating Instructions ORTHOPHOS XGP S DS Ceph 11 3 TSA universal bite block Reference values for premolar and molar region If measurement with the TSA scale proves to be difficult or impossible you can use the average reference val ues listed in the following table for making the settings for premolar and molar exposures Please not that these values may deviate substantially on patients with a small or large jaw 59 92 602 D 3352 D 3352 201 01 20 23 99 11 Transversal slices TSA Sirona Dental Systems GmbH 11 4 Preselecting the exposure settings and releasing the exposure Operating Instructions ORTHOPHOS XGPS DS Ceph 17 4 Preselecting the exposure settings and releasing the exposure Selecting the exposure parameters wit
77. elect the corresponding quadrant and jaw area The kV mA adjustment always applies to this preselec tion only 23 3 Controls and functional elements 3 2 General touchscreen functions 24 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGPS DS Ceph Startup settings menu Level 4 In level 4 you can modify any factory programmed startup parameters They are then displayed after the system is switched on and for each new exposure You can reach the 4th level by touching the diskette sym bol 21 in the basic settings menu level 3 For PAN exposures you can change the abnormality preference 2nd icon from the right as per factory set ting and the patient icon preference 2nd icon from the left as per factory setting For CEPH exposures you can only change the patient icon preference 2nd icon from the left as per factory setting For TS exposures you can change the slice thickness preference left icon for the thinnest slice as per factory setting and the patient icon preference 2nd icon from the left as per factory setting To change a preference touch the corresponding icon which is then indicated in orange and displayed in the column 8 Save the new preference by touching the programming key You can close this menu again only by touching the blue double arrow 9 in the upper right corner The display always returns to the standard menu program level 1 i NOTE The icons
78. enu column dis plays an icon for preselecting the slice thickness The slice thickness is preset to 2 mm You can also pre select slice thicknesses of 6 mm or 8 mm in this submenu Make sure that the TSA slice is at a right angle to the root of the tooth 59 92 602 D 3352 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGPl S DS Ceph 11 Transversal slices TSA 11 2 Patient positioning Mandibular canal ATTENTION In the mandibular molar region a good visualization of the mandibular canal in the transversal slices can be achieved by aligning the canal parallel to the central X ray beam Since the central X ray beam is angled 7 degrees up from horizontal for panoramic exposures it may be nec essary to tilt the lower edge of the mandible out of the horizontal plane head bent more forward or backward 1 Lower edge of mandible 2 Relative position of the mandibular canal 3 Slice plane 59 92 602 D 3352 D 3352 201 01 20 23 95 11 Transversal slices TSA 11 2 Patient positioning 96 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGPS DS Ceph Maxillary anterior and canine teeth When you enter the depth the patient head symbol remains in the FH position Fit the blue bite block or contact segment Remove the temple supports replacing them with the two temporomandibular joint supports 1 right and 2 left
79. equipment and must be disposed of in line with the these special requirements within the Euro pean Union EU Prior to disassembly disposal of the product it must be fully prepared cleaned disinfected sterilized Oo NOTE The X ray tube assembly of this product contains a tube with a potential implosion hazard a small amount of beryllium a lead lining and mineral oil The unit contains counterbalancing weights made of lead When disposing of equipment permanently please proceed as follows In Germany To initiate return of the electrical device please send a disposal request to enretec GmbH You can find a form for placing a disposal order on the company s homepage Entsorgung elektrischer at www enretec de under the menu item Entsorgung elektrischer und elek und elektronischer Ger te tronischer Ger te Disposal of electric and electronic devices The form can aus Optik uad Meditin either be downloaded or filled out online eco mi 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 Telephone 49 0 3304 3919 500 By e mail pickup eomRECYCLING com Mailing address enretec GmbH Gesch ftsbereich eomRECYCLING KanalstraBe 17 16727 Velten Any fixed installation equipment will be collected from its installation
80. er front end pull it toward the front as far as possible and fold it up toward the side e Seize the ear plug holders 25 at their upper ends and push them outward as far as possible Q nore All of the following illustrations of the cephalometer are shown in the left handed arm version However they al so generally apply to the right handed version of the ce phalometer see adjacent illustration 59 92 602 D 3352 74 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGP S DS Ceph LAST Uh 110 120 J 10 3 Positioning a ceph patient 59 92 602 D 3352 D 3352 201 01 20 23 10 Cephalometric exposures CEPH 10 3 Positioning a ceph patient Fitting the hygienic protective covers W For nose support single use device 100 pieces Order No 33 14 106 X For ear plugs not a single use device sterilizable 20 pieces Order No 89 32 261 Preparations Ask the patient to take off all metallic objects such as glasses and jewelry in the head and neck area as well as all removable dental prostheses Adjusting the height of the unit Move the cephalometer to approximately the height of the patient s head and have the patient step back into the head support Position patients with a body height between approx 93 cm and approx 197 cm standing between the ear plug holders and taller or shorter patients sit ting on a fixed hei
81. erve the orientation right left of the temporo mandibular joint supports specified on page 28 Finishing the preparations panoramic views e If the light localizer is still on switch it off with key 28 on the Easypad The light localizer symbol on the touchscreen disappears e The sensor 9 must be inserted up to the stop This is the case when the pushbutton 8 is flush with the surface If the sensor 9 is not fully inserted the help message Plug sensor into PAN slot appears in the comment line If further help messages are displayed in the comment line they must be observed and processed one after the other until the message Ready for exposure appears 59 92 602 D 3352 D 3352 201 01 20 23 65 9 Operation Sirona Dental Systems GmbH 9 5 Making the basic settings in program level 3 Operating Instructions ORTHOPHOS XGPS DS Ceph 9 5 Making the basic settings in program level 3 21 Quickshot presetting Quickshot reduction of the cycle time by approx 20 50 depending on the exposure program for pro grams P1 P2 and P10 Programming the patient symbols You may enter new kV mA values for the preselected exposure program and for the respective preselected patient symbol in the center area Programming is done by touching the memory symbol 1 9 6 Changing the startup settings in program level 4 You can access prog
82. es please enter here time series 00000000 Mandibular anterior 0 5 mm C 68 12 71 12 73 12 77 11 Maxillary anterior teeth 0 5 mm C 68 12 71 12 73 12 77 11 Mandibular canines 6 14 mm 13 6s C 68 12 71 12 73 12 77 11 Maxillary canines 6 14 mm 13 6s C 68 12 71 12 73 12 77 11 Mandibular premolars 15 35 mm 13 6s C 68 12 71 12 73 12 77 11 Maxillary premolars 15 35 mm 13 6s C 68 12 71 12 73 12 77 11 Mandibular molars 36 65 mm C 68 12 71 12 73 12 77 11 Maxillary molars 36 65 mm 13 6s C 68 12 71 12 73 12 77 11 112 59 92 602 D 3352 D 3352 201 01 20 23 Sirona Dental Systems GmbH 12 Program values Operating Instructions ORTHOPHOS XGPS DS Ceph 12 5 TSA exposure values Table TS transaxial slices with a longitudinal thick slice Tooth region Depth Max kV Factory programmed Freely programmed values TSA scale radiation mA values please enter here time series 00000000 68 12 71 12 73 12 77 11 Mandibular anterior teeth 0 5 mm A 60 8 62 8 64 8 64 8 Maxillary anterior teeth 0 5mm A 60 8 62 8 64 8 64 8 Mandibular canines 6 14 mm A 60 8 62 8 64 8 64 8 Maxillary canines 6 14 mm B 61 9 62 10 64 10 64 10 Mandibular premolars 15 35 ain C 68 12 71 12 73 12 7 11 Maxillary premolars 15 35 mm 12 3s C 68 12 71 12 73 12 77 11 Mandibular molars 36 65 amy 13 0s
83. for implant insertion A or displaced teeth B Ball positioning Prior to the exposure you must fix a steel ball e g with a diameter of 5 mm at the planned implant placement point by means of elastic impression wax This step is not required for a displaced tooth 59 92 602 D 3352 D 3352 201 01 20 23 87 11 Transversal slices TSA 11 1 Preparing a TSA exposure Measurement of the lower jaw 88 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGP S DS Ceph PAN image For better assessment of the anatomical situation you capture a PAN image first Measurement by means of the TSA scale e Measure the depth from the anterior teeth to the tooth or region to be X rayed in the mandible or the maxilla using the TSA scale e This measurement must be taken very precisely in order obtain a good result ATTENTION Thoroughly disinfect the TSA scale before using it e g by spray disinfection Position the TSA scale 1 in the oral cavity so that its wide zero point begins at the center of the tooth to be examined in the mandible or maxilla Turn the scale over when measuring the mandible scale facing down Slide the measuring caliper 2 up to the maxillary ante rior teeth when measuring the maxilla and up to the man dibular anterior teeth when measuring the mandible 0 nore The patient s overbite must be taken into account when placing the measuring cali
84. fore please do not switch the sys tem on until it has reached normal room temperature see chapter Technical description e Set main switch 1 to position and wait approx 1 minute A ATTENTION Due to the warm up phase of the screen backlight P gF screen readability is poor for a few minutes after switch el A ing on the system mamm 20 A e The LED 33 at the top of the Easypad lights up E DY e The radiation indicator 32 lights up for approx one l 6 second for a function test rhe Dears e The forehead support and temple supports are com pletely open remy TT Z ATTENTION Never position a patient in the unit during boot up In case of errors that require switching the unit off and back on again patients must be removed from the unit at the latest before the unit is switched back on again 59 92 602 D 3352 50 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGPl S DS Ceph Dental Company SID 19 6 6x12 m OZTOWU gt D 59 92 602 D 3352 D 3352 201 01 20 23 9 Operation 9 1 Preparing the exposure i NOTE After the unit is switched off with the main switch the touchscreen on the Easypad remains illuminated for an other 3 5 seconds Aa TTENTION After switching the unit off with the main switch you must wait for approx 2 minutes before switching it back on Displ
85. formation 1 1 General safety information Warning and safety information General safety information Identification of warning and safety information Symbols used Intended use Maintenance and repair Modifications to the system Combination with other equipment Ventilation slots 59 92 602 D 3352 D 3352 201 01 20 23 To prevent any personal injury or material damage please observe the warning and safety information pro vided in the present operating instructions All such infor mation is highlighted by the signal words NOTICE CAUTION or WARNING AN Observe information in accompanying docu ments They are attached to the unit Single use devices are identified with the sym bol shown on the left This system is intended for generating panoramic or cephalometric X ray images This system must not be used in areas subject to explo sion hazards As manufacturers of medical electrical equipment we can assume responsibility for the safety related features of the equipment only if maintenance and repair are carried out only by ourselves or agencies expressly authorized by us and if components affecting safe oper ation of the system are replaced with original spare parts upon failure We suggest that you request a certificate showing the nature and extent of the work performed from those who carry out such work it must contain any changes in rated parameters or working ranges if applicable as well a
86. framed with a broken line represent the factory settings 59 92 602 D 3352 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGPl S DS Ceph 59 92 602 D 3352 D 3352 201 01 20 23 3 Controls and functional elements 3 2 General touchscreen functions Service menu The Service menu is intended for service engineers only The service engineer accesses the service menu by touching the wrench symbol 22 in the third program level Touchscreen settings When you touch the question mark 19 in the lower right corner of the touchscreen the help screen is displayed starting at the first level You can open two fly out menus here by touching the corresponding symbols in column 8 In the upper fly out menu you can switch off the clicking tone of the touchscreen by activating the crossed out musical note symbol In the lower fly out menu you can adjust the intensity of the touchscreen display with the keys During this adjustment a reference value appears above the symbol in column 8 i NOTE To set the touchscreen intensity the system must be switched on for at least ten minutes to ensure that the touchscreen has reached its full brightness An hour glass appears during the boot up phase You cannot change the intensity level while the hour glass is displayed To close a fly out menu touch the blue arrow at the left end of the corresponding line or the re
87. g continue system operation Repeat the last resulting from a certain system action exposure preparation procedure step or exposure If the error triggered by the user which could not be reoccurs gt contact your Customer performed because a required internal Service partial function SW or HW is not ready or fails 6 Error during system Acknowledge the error message to con This error group includes all errors which self test tinue system operation If the error occurs may occur spontaneously and without any repeatedly switch the system off and back related operator action They may be on if the error reoccurs gt contact your caused by system self tests Customer Service T Unrecoverable sys Switch off the system immediately contact This error group includes all errors which tem error your Customer Service may occur spontaneously and without any related operator action They may be caused by system self tests In this case it is absolutely certain that continued system operation is not possible 13 2 3 yy Digits yy define the location or logical function unit where the error has occurred 10 Central control DX 11 system hardware 11 Central control DX 11 system software 12 Central control DX 11 central CAN bus errors 13 Central control DX 11 DX11 DX1 periphery motor system of stand sensor system of stand 14 Central control DX 11 digital extension HSI network 15 Central cont
88. ght adjustable chair with a short back rest Use the up 30 or down 31 arrow key on the Easy pad to adjust the height of the cephalometer so that the ear plugs are at the height of the external auditory canals 75 10 Cephalometric exposures CEPH 10 3 Positioning a ceph patient C3 C3 18x23 8x10 A SID 67 5 76 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGP S DS Ceph C3 lateral view A asymmetric For lateral views the patient must be standing with his her face toward the front This applies to both the left handed and the right handed ceph arm version Insert the ear plugs into the external auditory canals Hold the ear plug holders at their upper ends when doing this Switching the light localizer on using the key 28 on the Easypad The secondary diaphragm with the light localizer for the reflection of the FH line moves far to the front When taking lateral views the light localizer serves for positioning the head according to the FH Frankfort Hor izontal plane It will switch off after approx 100 seconds or automatically as soon as the exposure starts The light line roughly reflects in this area Have the patient tilt or raise his her head until it is posi tioned correctly As long as the light localizer is on a red light localizer symbol is displayed on the touchscreen 0 wore Make sure that the
89. h starting position appears in the comment line Aa TTENTION Make sure that no patient is in the movement range of the PAN rotating element or cephalometer Now press the R key on the Easypad The rotating element moves into the position for cepha lometric radiography The secondary diaphragm and the ceph sensor on the cephalometer move all the way to the rear for patient positioning 59 92 602 D 3352 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGP S DS Ceph SID 67 5 12x10 A 59 92 602 D 3352 D 3352 201 01 20 23 10 Cephalometric exposures CEPH 10 1 Preparing a cephalometric exposure CEPH function Full format program C3 F 30x23 Program C3 F 30x23 allows for generating a full format lateral view This view shows the entire head of the patient not cut off at the back If program C3 has been preselected you can activate subprogram C3 F by touching C3 on the touch screen NOTE By default the patient s face points to the right in the dis play of lateral view C3 or C3 F At your request this orientation can be permanently changed by your service engineer so that the patient s face points to the left on the X ray Please also note that all other ceph exposures C1 C2 and C4 are will then also be displayed mirrored i e lat erally reversed 73 10 Cephalometric exposures CEPH Sirona Dental Systems GmbH 10 2 Preparations on th
90. h the PAN CEPH patient symbol Touch the patient symbol that best matches the patient The related kV mA value appears at the right and the exposure time in sec appears in the top center of the touchscreen SID 19 6 12x2 36 Changing the slice orientation preselection When you touch this symbol in the submenu column 8 the Slice orientations submenu line opens In addition to the combined TSA slice orientation with a longitudinal thick slice you can also pre select 4 other slice orienta tions here TSA slice orientation without longitudinal thick slice 3 longitudinal slices LS 5 longitudinal slices LS 3 crossed TSA slices with a longitudinal thick slice When you preselect the TSA slice with a longitudinal thick slice or the TSA slice without thick slice an addi tional row with angle preselection options 0 5 10 and 15 will appear NoTE Following the exposure the TSA slice orientation with a longitudinal thick slice will be preselected as the default ANN ee Ol ed setting Changing the slice thickness only for the TSA slice orientation without longitudinal thick slice in the molar region depth of 15 mm or more From a depth of 15 mm the submenu column displays an icon for preselecting the slice thickness Touching this icon will open the submenu line slice thickness The default factory setting for slice thickness is 2 mm You can also preselect slice thicknesses of 6 mm
91. hat the anterior tooth region 0 mm can be displayed in two imaging versions R L 5 longitudinal slices alternative Same as above but with 5 slices NOTE The partial image sequence is dependent on the select ed half side R L Make sure that the anterior tooth region 0 mm can be displayed in two imaging versions R L 105 11 Transversal slices TSA Sirona Dental Systems GmbH 11 7 Slice orientations Operating Instructions ORTHOPHOS XGP S DS Ceph Combined TS cross slices with a longitudinal thick slice alternative Can be used for TS slices with thick longitudinal slice with millimeter precision Best used in the molar region 59 92 602 D 3352 106 D 3352 201 01 20 23 Sirona Dental Systems GmbH 12 Program values Operating Instructions ORTHOPHOS XGPS DS Ceph 12 1 Panoramic views program values for index 2A Program values Panoramic views program values for index 2A Index 2A This level series is factory programmed for the Federal Republic of Germany 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 world wide National regulations must be complied with The table lists the maximum exposure times depending on the slice width and slice shape selected the actual exposure time may differ slightly Program Max Quickshot Program duration radiation program app
92. he left as per factory setting and the slice thickness preference left icon for the thinnest slice as per factory setting Programming is done by touching the memory symbol 1 11 6 TSA exposure with TSA slice orientation alternative 102 During a TSA exposure three slice views are taken Slices for anterior and canine teeth are 1 mm deep slices for the molar region are approx 2 mm deep You can preset the slices for the molar region to a slice thickness of approx 2 mm 6 mm or 8 mm The slice gap is between 3 and 5 mm 1 Slice thickness 2 6 8 mm selectable 2 Slice center 3 Slice gap Angle preselection option If the projection of the transversal slices is not orthogo nal to the path of the mandibular arch the projection can be adjusted with the angle preselection The TSA slices 3 x transversal and 3 x transversal 1 x lateral allow for angle preselection 0 5 10 15 The angulation takes effect from the depth measure ment that applies to the molar range A ATTENTION The relationship of the angle to the slice orientation is contra rotatory to that of the panoramic temporoman dibular joint programs TM1 and TM2 59 92 602 D 3352 D 3352 201 01 20 23 Sirona Dental Systems GmbH 11 Transversal slices TSA Operating Instructions ORTHOPHOS XGPlus DS Ceph 11 6 TSA exposure with TSA slice orientation alternative Example implant To make clear which one of the
93. he site Do you want to proceed Certificate General Details Certification Path Certificate Information This CA Root certificate is not trusted To enable trust install this certificate in the Trusted Root Certification Authorities store Issued to ORTHOPHOS XG Issued by ORTHOPHOS xG Yalid from 3 10 2006 to 3 5 2026 Issuer Statement Certificate Import Wizard Welcome to the Certificate Import Wizard This wizard helps you copy certificates certificate trust lists and certificate revocation lists From your disk to a certificate store 4 certificate which is issued by a certification authority is a confirmation of your identity and contains information used to protect data or to establish secure network connections 4 certificate store is the system area where certificates are kept To continue click Next Cancel 124 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGP S DS Ceph Certificate check operating system function If you are calling up the ORTHOPHOS XG web page for the first time the following procedure is required The adjacent safety security certificate will be displayed if the certificate of the ORTHOPHOS XG has not yet been installed Click View Certificate The Certificate dialog box then appears Click the Install Certificate button and confirm with OK The Certificate Import Wizard We
94. help messages are displayed on the Easypad touchscreen they also appear in coded form on the Prog display field of the remote control alternating with the program name Once the unit has been prepared for the exposure and all help messages have been processed the program name Prog the exposure time s as well as the kV and mA values are constantly displayed on the display panel B You may now release the exposure i NOTE If a row of dots appears in the Prog field this means that the system is currently in a preparatory phase e g system movements parameter changes program loading times etc Just wait until the dots auto matically disappear and the system signals that it is ready again 59 92 602 D 3352 D 3352 201 01 20 23 71 10 Cephalometric exposures CEPH 10 1 Preparing a cephalometric exposure CEPH function Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGPS DS Ceph 10 Cephalometric exposures CEPH 10 1 72 SID 67 5 8x10 A SID 67 5 8x10 S SID 67 5 8x10 S Preparing a cephalometric exposure CEPH function Select the CEPH function by pressing CEPH in the program group selection The menu for program C3 lateral views asymmetric A appears on the touchscreen Using the arrow keys you can select program C1 p a symmetric S C2 a p Symmetric S or C4 for car pus views R button move into Cep
95. ient s forehead the forehead support stops auto matically e Close the temple supports by pressing key 37 on the Easypad On touching the patient s temples the temple supports stop automatically e Swivel the mirror back in by pressing the right recess B on the touch bar e Check the FH setting and the central light line e Have the patient place his or her tongue against the palate Displayed reference values The Easypad shows the reference values of the height and forehead support settings which are saved for fur ther exposures in the additional information area of the SIDEXIS software Q voTE The forehead support and the temple supports open au tomatically when the exposure is complete 59 92 602 D 3352 D 3352 201 01 20 23 Sirona Dental Systems GmbH 9 Operation Operating Instructions ORTHOPHOS XGPS DS Ceph 9 3 Positioning the patient Exposure with chin rest and bar For patients without anterior teeth e Remove the bite block with the bite block rod in stead fit the bar as illustrated arch facing toward the column e Make sure that the upper and lower jaw are in line This is easier if you place a cotton pellet between them e Proceed as for an exposure with chin rest and bite block Difference The patient places his or her chin on the chin rest e For optimal positioning of the head with relation to the slice position the patient s subnasale must be placed against the bar
96. itor in SIDEXIS In addition a small control image A is displayed on the touchscreen it is not suitable for diagnostic purposes You must close the preview image again by touching the touchscreen Display of the dose area product The exposure mode exposure program tube voltage tube current real radiation time dose area product and shadowing depending on the exposure program are again displayed on the touchscreen e Acknowledge the exposure time actually needed by pressing the return key R e Then reset the rotating element to its starting posi tion by pressing the return key R a second time Canceling an exposure If you let go of the exposure release button prematurely the exposure is canceled The exposure time and dose area product display read ings flash following exposure cancellation The exposure time which had elapsed prior to cancellation is dis played e Press the R key on the Easypad twice NOTE Please note that any program settings which may have been changed must be preselected again before repeat ing the exposure e After the rotating element has returned to its starting position repeat the exposure 69 9 Operation 9 8 Releasing the exposure 70 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGP S DS Ceph Automatic exposure blocking thermal protection of the tube Premature release of a new exposure is prevented by the automatic exposure blocking function
97. lcome dialog box then appears Click Next 59 92 602 D 3352 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGPS DS Ceph Certificate Import Wizard Certificate Store Certificate stores are system areas where certificates are kept Windows can automatically select a certificate store or you can specify a location for Place all certificates in the Following store Certificate Import Wizard ae E the Certificate Import Wizard You have successfully completed the Certificate Import wizard You have specified the following settings Certificate Store Selected Automatically determined by t Content Certificate t Tou are about ba install a certificabe from a gation muthorky CA claiming bo represent TRTHOPHOS M3 Windows canat wabdebe that the certificate ie aay from ORTOP RIS iG You should confirm its Gngin By cintada ORTHORHES G7 The okin er ell act yiu ii Unies percocet Thumbpnint shall C20 OSC LOAD LEP erDan 40beDeE rc Warning TF pou inata this root ceriFicate Windows wall sutometically trust anv certiceste erued by this Ca Insteling 4 caricate wth an urednog kambri a securiy rek I yeu cick feo pou shega Une rk De you want bo nata this cerhihicates fee ILE Certificate Import kizard fx a The import was successful 59 92 602 D 3352 D 3352 201 01 20 23 Security Warning 17 Activating functions 17 2 Via web br
98. levant symbol in column 8 To return to the previous level touch the blue arrow 9 at the top of column 8 25 3 Controls and functional elements 3 2 General touchscreen functions 26 ORTHOPHOS sG configuration Ser lalnumber BRBRRARL Systemsoftware Ua2 21841 Bootmode Static Type 43 Hetwork Hame Ceraeti HAC address ABLALSARS 42d IP address 192 168 15 125 Subnet mask 255 255 255 6 vy Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGPS DS Ceph Info screen Starting at level 2 the info screen is displayed when you touch the question mark 19 in the lower right corner of the touchscreen ORTHOPHOS XG configuration System data which may be useful when contacting your service engineer are displayed here If this list is too long to be displayed all at once a scroll bar for paging up or down appears on the right You can activate the touchscreen click tone and touchscreen intensity setting fly out menus from the help screen in column 8 here as well To return to the previous level touch the blue arrow 9 at the top of column 8 59 92 602 D 3352 D 3352 201 01 20 23 Sirona Dental Systems GmbH 4 Accessories Operating Instructions ORTHOPHOS XGPlus DS Ceph 4 1 Rests and supports for panoramic exposures Accessories 4 7 Rests and supports for panoramic exposures The accessories and the hygienic protective sleeves can be stor
99. ling period depends on the set kV mA level and the actual exposure time Depending on the tube load a pause duration of 8 s to 300 s is automatically set by the system Example For program P1 with 80 kV 14 mA as exposure parameters and a radiation time of 14 1 s the resulting pause duration is 255 s Type B equipment i Ordinary equipment without protection against ingress of water on the rating plate ia Continuous operation 100W Tungsten 1 1mA 90kV 10 C 70 C 14 F 158 F 10 95 Acc to IEC 601 1 between 10 C and 40 C 50 F 104 F Digital CCD line sensor repluggable for panoramic exposure technique 138 x 6 48 mm 0 027 mm pixel size 497 mm Digital CCD line sensor repluggable for panoramic or ceph exposure technique 230 mm x 6 48 mm 0 027 mm pixel size 1714 mm 11 2 Technical description TSA exposure Sensor image receptor TSA senor type Active sensor area TSA type Detail resolution Focus sensor distance X ray tube Minimum requirements for PC systems Hard disk RAM Drives Operating system Graphics system Network Communication interface Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGP S DS Ceph Digital CCD line sensor repluggable for panoramic or ceph exposure technique 60 mm x 20 mm 0 0195 mm pixel size 497 mm SR 90 15 from Siemens or OCX 100 CEI gt 4 GB database gt 50 MB SIDEXIS
100. location in the practice while loose equip ment will be collected at the street curb 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 Worldwide outside Germany Please contact your local dental equipment specialist for country specific information on disposal 59 92 602 D 3352 D 3352 201 01 20 23 119 17 Activating functions Sirona Dental Systems GmbH 17 1 Via the Easypad touchscreen Operating Instructions ORTHOPHOS XGPS DS Ceph 17 Activating functions 17 1 Via the Easypad touchscreen If you have purchased a certificate with a corresponding 9 activation key code you can extend the functionality of your ORTHOPHOS XGPS system To do so touch the downward pointing arrow 9 in the upper right corner of the selection screen This brings you to the second program level program 20 settings In the second program level touch the down ward pointing arrow 20 This brings you to the third program level basic set tings In the third program level touch the keypad sym bol A A A field with a keypad symbol and a key B opens Touch this symbol B 59 92 602 D 3352 120 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGP S DS Ceph EXDOJ HNY IBIZRCP ey 24a a QWE RIT Y U I O P A S D F GH J K L Z XC VIB NIM I
101. mic views program values for index 1A ccccccccsseeeeeceeeeeecseeeeeeecseeeeeeeceuseeeeeaauseeessaaeees 109 12 4 Program values for cephalometric CXPOSULeS csccccccceeeeeeeceeseeeecaueeeeeecsueeeeeseaeeeeesaueeeeesanseesssaaes 110 12 5 JSA exposure VAIUCS 2c tect eee ee a es eee 111 List Of MESSAGES sosirii eonan a AAEE aaa EER aai 114 West Eistohelp MCSSAQCS nirea E a tu giatunedecteeetetemess 114 1322 Enormessage SINUCTUN GS ossa en tac sseadaei einen sceleuadeedeavacnessceuelvvstielumcsenndendsseseigaes 115 Care OF outer SUPTACCS istina 117 INSPECTION and maintenance s sssssnnsnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn mnnn 118 15 1 Annual check performed by the system owner or other authorized persons cscceeeeeeeeeeeenees 118 15 2 Maintenance by the service engineer cccccccssecccsssceeceececseueeeceuececeeceseseeseaeeessaseesueeesueaeeensaeees 118 153 Image q aly CHECK risian a ar a aa a 118 DISDOSAli is a niet secaneuancnes 119 PAC TLV ARINC TUNCUONS isr a S 120 17 1 Via the Easypad touchscreen css sates yectncd say decunceeniedet dizi iands scien anita sdeetienacaceera tes acca desaacedumene etd uae 120 17 2 Via web browser on the PC cccccccsseeeeeceneeeeeeceesececeeeaseeeceeaaceeeceaueeeesuaaeeeecsuageeeeseaseeeesacseeeesssasss 122 59 92 602 D 3352 4 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGPS DS Ceph 1 Warning and safety in
102. n the touchscreen head icon in dicates the reflection line of the light localizer Do not release the exposure release button until the message R button confirm exposure data appears in the comment line Radiation is released automatically twice Q voTE For devices until October 2006 Please observe the orientation right left of the temporo mandibular joint supports specified on page 28 59 92 602 D 3352 D 3352 201 01 20 23 Sirona Dental Systems GmbH 8 Program group multislice views Operating Instructions ORTHOPHOS XGP S DS Ceph 8 1 MS1 Multislice posterior tooth region S Program group multislice views 8 1 MS1 Multislice posterior tooth region MS1 Posterior tooth region multislice 6 views in one image e Yellow bite block or contact segment e Lower edge of mandible horizontal The line displayed on the touchscreen head icon is used here for orientation only 59 92 602 D 3352 D 3352 201 01 20 23 49 9 Operation Sirona Dental Systems GmbH 9 1 Preparing the exposure Operating Instructions ORTHOPHOS XGP S DS Ceph Operation Preparing the exposure Fitting the accessories e Push in the bite block or chin rest until it engages For details about use see Program groups exposure programs e They unlock automatically upon removal Switching the unit on A ATTENTION Following extreme changes in temperature condensa tion may occur there
103. node angle 59 92 602 D 3352 D 3352 201 01 20 23 13 2 Technical description Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGP S DS Ceph These operating instructions are valid for the basic and full versions of the system The following programs and functions are included in the basic version 18 panoramic programs P1 P1 A P1 C P2 P10 P1 L P1 R P12 BW1 BW1 L BW1 R BW2 TM1 1 TM1 2 with angle input TM1A 1 TM1A 2 with angle input TM2 1 TM2 2 S1 S2 MS1 5 Ceph programs Ci C2 C3 C3 F C4 Half views of right left side possible only with P1 not upper lower jaw The full version offers the following programs and functions in addition to those featured in the basic version Additional pan programs Constant magnification factor of 1 25 P2 C P10 C Artifact reduced display P2 A P10 A Selectable right left side image detail and individual quadrants P1A C P2 A C P10 A C Image detail selectable upper jaw lower jaw and single quadrants P1A C P2 A C P10 A C Selectable upper jaw lower jaw image detail P12 Temporomandibular joint views TM2 1 TM2 2 with angle input TM2A 1 TM2A 2 with angle input TM3 TM4 TM5 TM6 Sinus views S3 S4 Presetting for jaw shape available Quickshot function possible for Pan P1 P1 A P1 C P2 P2 A P2 C P10 P10 A P10 C and Ceph C1 to C4 Execution of exposure templates from SIDEXIS possible without cooling periods e g orthodontic image series P1
104. of electrostatic charges ccccccsseeeeeeceeeeeeeaeeeeeeecseeeeeeeceeeeessuaeeeesauaneeeensanseees 8 Technical GOSCHID IOI seca seni seeskie cece cece ce tecemennsteaoeseneesaesanes sneahcesteeeenessaesanesceeeeossenesaaes 10 Controls and functional elements ccceeseeeeeeeeeeeeeeeneeeeeseeeeneeeenseeeaneeeeaeesoeseesoaees 15 3 1 Operating and Display Elements ccccccccsseeeeeceeeeeeeeceeeeeeceeeeeeeecaeeeeeeesaaeeeeesseseeeseaeeeeeessanseeeeeas 15 3 2 General touchscreen FUNCTIONS ccccceseececceeeeceecceuseeeceueseeeeceuseeeeseuseceecsaseeeesseaeeesesauseeesesageesssaaes 18 PCC CS SONS acres cata ss eee ree cc care mene en ESERE EEEa ENEE eaer RENANE EKEKA ENNAN 27 4 1 Rests and supports for panoramic EXPOSULES cccseeeccceseeeeeeceeeeeeeceueeeecseeeeeeeeeaeeeeessuseeeesneeeesesess 27 4 2 Important when inserting the temporomandibular joint supports s sesssssssssnsenrenrrrsrrresrrrnsrrnrrrnen 28 4 3 Protective sleeves for panoramic exposures scccccccceeeceecaeeeeeceaeeeecaeeeeeesausueeeeseeeeeeeseeeeeesaeseees 29 4 4 Protective sleeves for CEpPhalOMetel ccccccecccccsseseeccuesecceceuseeecceueeeecceuceeeeseseeeessegeceseugeeesssaeeess 30 4 5 Accessories for transversal slices TSA cccccccccssseeceeseeeeeecseeeeeeseaueeeeeseuseeeseaaeeeeesseeeesseseeessaseeees 30 Program group panoramic iMageS ccccceeeeeeeeeeeeeeeeeeeenseeeeeeeeseeeeseeeaseneaeennseneaneneae
105. of the control mirror e Using the up or down arrow key adjust the height of the unit so that the chin of the patient and the chin rest are at the same height 0 The motor movement is accompanied by an acoustic signal NnoTE The height adjustment motor starts slowly and then in creases its speed Press and hold down the height adjustment key until the unit has reached the desired height Dal g e The patient places the chin on the chin rest and seiz es the handles e Swivel in the bite block e Have the patient bite into the indentation of the bite block upper anterior teeth into the indentation low er anterior teeth pushed forward as far as possible 59 92 602 D 3352 54 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGPS DS Ceph se ING AAN 59 92 602 D 3352 D 3352 201 01 20 23 9 Operation 9 3 Positioning the patient A ATTENTION Make sure that the patient s spine is slightly inclined as illustrated This can be achieved by having the patient take a small step towards the column Thus the cervical vertebrae of the patient are stretched Stretched cervical vertebrae prevent diminished density in th
106. off and back on again the patient must be removed from the unit at the latest before switching the unit on again If any parts of the unit happen to touch the patient during the rotary movement PAN exposure or during the scan movement cephalometric exposure let go of the expo sure release button X Ray immediately or stop the unit by actuating the unit main switch or an Emergency Stop switch 59 92 602 D 3352 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGPS DS Ceph Interference with electronic devices worn on the patient s body Radiation protection Hygiene information Dismantling and reinstallation Laser light localizer used 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 59 92 602 D 3352 D 3352 201 01 20 23 1 Warning and safety information 1 1 General safety information 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 The valid radiation protection regulations must be observed The operator should move as far away from the X ray tube assembly as allowed
107. olerance operation of the system is ensured variations or messages about states which do not directly affect system operation 2 Errors caused by Acknowledge the error message Repeat This error group includes states that system overload the procedure step after a certain waiting indicate for example temporary excess time If the error message reappears temperatures or the like The cause of the prolong the waiting time If the error state error disappears automatically after a persists contact your Customer Service certain waiting time 3 The system detects Switch the system off and back on if the This error group includes all errors that that a key was pressed error reoccurs without any user indicate invalid signal states of keys and during power on intervention contact your Customer safety signals during power on Service CAUTION After switching the unit off with the main switch you must wait for approx 2 minutes before switching it back on 4 Malfunction or Acknowledge the error message make This error group includes all errors that indicate problems with the motor controlled movements on the outside of the unit 115 13 List of messages 13 2 Error message structure Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGP S DS Ceph Description Actions required Error group 5 Malfunction during the Acknowledge the error message to This error group includes all errors exposure or durin
108. owser on the PC The Certificate Import Wizard Certificate Store dia log box then appears Click Next The Certificate Import Wizard Complete the wizard dialog box then appears Click Finish When the following security warning appears please check the fingerprint 1C206FE7 369C10A8 1EF2FB4B 348D9D8B EAE6E3DB to make sure that it matches the fingerprint displayed in the window and then click Yes Conclude the process by clicking OK 125 17 Activating functions Sirona Dental Systems GmbH 17 2 Via web browser on the PC Operating Instructions ORTHOPHOS XGP S DS Ceph 59 92 602 D 3352 126 D 3352 201 01 20 23 We reserve the right to make any alterations which may be required due to technical improvements Sirona Dental Systems GmbH 2004 2010 Sprache englisch Printed in Germany D 3352 201 01 20 23 04 2010 A Nr 112 567 Imprim en Allemagne E eae Sirona Dental Systems GmbH In the USA Fabrikstrasse 31 Sirona Dental Systems LLC Order No 59 92 602 D 3352 64625 Bensheim 4835 Sirona Drive Suite 100 Germany Charlotte NC 28273 WWW sirona com USA
109. per against his her mandibular or maxillary anterior teeth On patients without anterior teeth slide the measuring adapter 3 with the subnasal contact segment up to a point beneath the nose Remove the TSA scale from the oral cavity and read and remember the distance from the scale O wore When positioning the patient for TSA a possible anoma ly of his her anterior teeth must be taken into account This is done by placing the patient s anterior teeth upper or lower jaw in the corresponding indentation of the bite block Otherwise the measured distance will not match the patient s actual position The universal bite block also facilitates this procedure 59 92 602 D 3352 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGP S DS Ceph PAN CEPH SID 19 6 12x2 36 SDE RR 12x2 30 SID 19 6 12x2 30 59 92 602 D 3352 D 3352 201 01 20 23 11 Transversal slices TSA 11 1 Preparing a TSA exposure Preselecting the TSA function e Preselect the TSA function by touching TS in the program group selection on the touchscreen The TSA screen appears The diaphragm and the sensor move into the TSA position Proceed according to the help message displayed in the comment line A ATTENTION Make sure that no patient is in the movement range of the PAN rotating element while the unit is moving e Move the PAN rotary ring to
110. poromandibular joint supports 1 and 2 e To largely prevent overlaps head inclination using the FH SID 19 6 The line displayed on the touchscreen head icon in 6x12 dicates the reflection line of the light localizer i NOTE For devices until October 2006 Please observe the orientation right left of the temporo mandibular joint supports specified on page 28 59 92 602 D 3352 D 3352 201 01 20 23 43 6 Program group temporomandibular joint TMJ views Sirona Dental Systems GmbH 6 6 TM6 Temporomandibular joints multislice in posterior anterior projection Operating Instructions ORTHOPHOS XGP S DS Ceph 6 6 TM6 Temporomandibular joints multislice in posterior anterior projection TM6 Temporomandibular joints multislice in posterior anterior projection 6 views in one image e Insert temporomandibular joint supports 1 and 2 e To largely prevent overlaps head inclination to SID 19 6 wards anterior in relation to the FH 6x12 The line displayed on the touchscreen head icon is used here for orientation only 0 wore For devices until October 2006 Please observe the orientation right left of the temporo mandibular joint supports specified on page 28 59 92 602 D 3352 44 D 3352 201 01 20 23 Sirona Dental Systems GmbH 7 Program group sinus views Operating Instructions ORTHOPHOS XGP S DS Ceph 7 1 S1 Paranasal sinuses F Program group sinus views 7 1 S1 Paranasal
111. posi tion so that the lever 1 is pointing downward 4 Pull the bite block plate 3 forward out of its hinge 5 Clean the hinge axles A and the guide lugs B with disinfectant 6 Assemble the occlusal bite block by following the same procedure in reverse order When assembling check the position of the bite block plate the seg ment must point toward the connecting lever Insert the occlusal bite block into its holder on the ORTHOPHOS XGPlUS 63 9 Operation 9 3 Positioning the patient Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGP S DS Ceph Temporomandibular joint views programs TM3 TM6 with temporomandibular joint supports For temporomandibular joint views you must fit the temporomandibular joint supports C 1 on the right and D 2 on the left side in place of the tem ple supports 7 To do so remove the two temple supports 7 after pressing the corresponding locking button instead push in the two temporomandibular joint supports C and D until they engage Two sterile ear holders E must be plugged into the temporomandibular joint supports C and D Remove the bite block or chin rest NOTE For devices until October 2006 Please observe the orientation right left of the temporo mandibular joint supports specified on page 28 Using the up or down arrow keys on th
112. r after an exposure has been taken and you select any program other than the ones men tioned above the help message Change bite block will appear in the comment line Then insert the bite block or contact segment re quired for this exposure The usual display then reappears on the touch screen The remaining preparation then must be performed as previously described for the other bite blocks 59 92 602 D 3352 D 3352 201 01 20 23 Sirona Dental Systems GmbH 9 Operation Operating Instructions ORTHOPHOS XGPS DS Ceph 9 3 Positioning the patient ZA ATTENTION When inserting removing and storing the occlusal bite block always make sure that its blade A is not broken off or bent Positioning the patient s head for the occlusal bite block e The patient places himself or herself in front of the control mirror e Usethe up or down keys on the Easypad to ad just the height of the unit so that the occlusal bite block and the patient s anterior teeth are at the same height The motor movement is accompanied by an acoustic signal NOTE The height adjustment motor starts slowly and then in creases its speed Press and hold down the height adjustment key until the unit has reached the desired height e The patient seizes the handles e Have the patient bite into the grooves of the replace able bit foam block with his teeth NOCO JAE ween
113. r with the use of SIDEXIS software According to the X ray Ordinance of the Federal Republic of Germany owners of X ray equipment must perform con stancy tests at regular intervals in order to ensure the safety of operating staff and patients Your ORTHOPHOS XGP S Team Maintenance In the interest of the safety and health of patients users and other persons inspection and preventive mainte nance must be performed at scheduled intervals to ensure the operational reliability and functional safety of your product IEC 601 1 DIN EN 60601 1 etc The system owner must ensure that all inspections and maintenance events take place If the system owner fails to fulfill the obligation to have inspections and maintenance work performed or ignores error messages Sirona Dental Systems GmbH and its authorized dealers cannot assume any liability for result ing damage 59 92 602 D 3352 2 D 3352 201 01 20 23 Sirona Dental Systems GmbH Table of contents Operating Instructions ORTHOPHOS XGPS DS Ceph a Table of contents a Warning and Safety information ccccceeseeeeseeeeneeeeeseseeneeeeeseeeenseeenseseeaseeenseeoeneees 5 1 1 General Safety infOrmMatiOn ccccccccsssecccesseccccseeeeecseseececeauceeseeaeeeececaueesessuseeeesaageeeessaeseesseaseeesens 5 1 2 ESD protective measures wiv ceveducn ocd naseredcecusndcnd abou ceucw beadvasuudeneen dhomoi due dindendeigseneoedsntubde decd aluderseducidase 8 1 3 About the physics
114. ram level 3 by touching the disk icon 21 in level 4 In level 4 you can modify any factory programmed startup parameters They are then displayed after switching on the system and for each new exposure You can change the abnormality preference 2nd icon from the right as per factory setting and the patient icon preference 2nd icon from the left as per factory setting Programming is done by touching the memory symbol 1 59 92 602 D 3352 66 D 3352 201 01 20 23 Sirona Dental Systems GmbH 9 Operation Operating Instructions ORTHOPHOS XGP S DS Ceph 9 7 Selecting the exposure parameters 9 7 Selecting the exposure parameters The patient symbol keys are factory programmed with kV mA combinations e Select the exposure parameters by touching one of the four patient symbols The selected patient symbol is highlighted in orange SID 19 6 and the corresponding kV mA value is displayed in 6x12 column 8 next to the patient symbols Modifying the exposure parameters manually If the default kV mA combinations do not provide satis factory results you can preselect intermediate kV mA values in the kV mA submenu To open the submenu touch the kV mA display in col SID 19 6 6x12 umn 8 The values can be adjusted with the keys To close the submenu touch the light blue arrow at the left margin of the submenu line See also section 3 2 General touchscreen functions 59 92 60
115. rol DX 11 configuration wrong software wrong module constellation etc 06 X ray tube assembly 07 User interface Comfort version Easypad 91 Ceph digital 81 Sensor 41 Media interface card 42 Remote 61 Diaphragm control The location may be a DX module number standing for an entire HW function unit or a logical SW function unit on the DX11 central control 13 2 4 zz Digits zz show a consecutive number with the error ID 116 59 92 602 D 3352 D 3352 201 01 20 23 Sirona Dental Systems GmbH 14 Care of outer surfaces Operating Instructions ORTHOPHOS XGPS DS Ceph Care of outer surfaces Cleaning Remove dirt grime and disinfectant residue regularly using mild commercially available cleaning agents Do not allow liquids to penetrate into the ventilation slots Immediately wipe off medications that come into contact with the surface Disinfecting Surfaces can be wiped with surface disinfectants Observe manufacturer s instructions regarding restric tions for use A ATTENTION Use only disinfecting cleaning and care agents which are approved by Sirona A continuously updated list of approved agents can be downloaded from the Internet at www sirona de SER VICE Downloads Care amp cleaning agents If you do not have Internet access you can use one of the following two ways to order the list e Order from your local dental depot e Order from Sirona Phone 49 0
116. rox time duration approx Quickshot Exposure Factory programmed values for Freely programmed values time max index 2A please enter here 00000000 P1 62 8 64 8 68 8 73 8 P1A 62 8 64 8 68 8 73 8 P1C 62 8 64 8 68 8 73 8 P2 62 8 64 8 68 8 73 8 P2A 62 8 64 8 68 8 73 8 P2C 62 8 64 8 68 8 73 8 P10 62 8 64 8 68 8 73 8 P10A 62 8 64 8 68 8 73 8 P10C 16 8s 13 7s 8 6s 1175 9 8s 50s 62 8 64 8 68 8 73 8 P12 18 0s 71 8 77 7 80 7 85 6 BW1 23 0S 33 0s 62 8 64 8 68 8 73 8 BW2 18 0s 62 8 64 8 68 8 73 8 TM1 14 1TM1 2 16 1 16 1s 68 8 71 8 73 8 77 7 TM2 1 TM2 2 23 6 26 9s 68 8 71 8 73 8 77 7 TM2A 1 TM2A 2 23 64 26 9s 68 8 71 8 73 8 77 7 TM1A 1 TM1A 2 16 1416 18 71 8 73 8 77 7 TM3 18 4s 66 8 68 8 71 8 73 8 TM4 20 1s 68 8 71 8 73 8 77 7 TM5 59 1S 68 8 71 8 73 8 77 7 TM6 63 5S 68 8 71 8 73 8 77 7 S1 19 8s 71 8 77 7 80 7 90 6 S2 29 9s 64 8 68 8 71 8 73 8 S3 20 0s 71 8 77 7 80 7 90 6 S4 33 0s 14 1s 64 8 68 8 71 8 73 8 MS1 57 38 21 7s 73 8 77 7 80 7 85 6
117. s the date the name of the company and a signature Modifications to this system which might affect the safety of the system owner patients or other persons are pro hibited by law For reasons of product safety this product may be operated only with original Sirona accessories or third party accessories expressly approved by Sirona The user assumes the risk of using non approved accessories Permissible combinations are specified in the Declara tion of Conformity by the system integrator The Declaration of Conformity is included in the techni cal documentation Under no circumstances may the ventilation slots on the unit be covered since otherwise the air circulation will be obstructed Do not spray disinfectants or other similar products into the ventilation slots 1 Warning and safety information 1 1 General safety information X raying of patients Electromagnetic compatibility EMC Removing the sensor Precautionary measures when switching on the unit Emergency Stop Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGP S DS Ceph X rays of patients must be taken only when the system works without errors The system may only be operated by skilled or prop erly trained personnel The movements of the unit must not be obstructed by physical constitution nor clothing dressings wheel chairs or hospital beds Do not leave the patient unattended in the unit Medical electrical equipmen
118. s 31 5 1 P1 standard panoramic image P1 A artifact reduced P1 C with a constant magnification factor Of 1 25 cccccseccecccseeeeeeceeeeeeeseseeeeseaaeeeesauseeesasaneeeensaees 31 5 2 P2 normal view limited to teeth without ascending rami P2 A artifact reduced P2 C with a constant magnification factor Of 1 25 cccccseseecccsseeeeeeceeeeeeeseeeeeeseaeeeeeesaseeessnaneeeessaess 32 5 3 P10 normal view for children with significant dose reduction P10 A artifact reduced P10 C with a constant magnification factor Of 1 25 0 cccecceeceeeeeeeeeeeeees 33 5 4 P12 Slice thickness anterior tooth region cceeceeeeeee eee eeeeeeeee eee eeeeeeeeeeaaaeaeeeeeesaeaaeeeeeeesaaaaeeeeeeeeas 34 5 5 BW1 Bite wing exposures in the posterior tooth region ccccceeceeeseeeeeeeeeeeeeeeeeeeeeeeseeesseeeeeseneeees 35 5 6 BW2 Bite wing exposures in the anterior tooth reQiOn ccsccccsseeeeeseeeeeeeeeeseeeeeseeeeseneeeseeeeesseeeeees 36 Program group temporomandibular joint TMJ VIEWS ccccssessseeseseseeeeeeees 37 6 1 TM1 1 TM1 2 Temporomandibular joints lateral with closed and open mouth in one image 37 6 2 TM2 1 TM2 2 Temporomandibular joints in posterior anterior projection with closed and OPEN mouth IN ONE image ccccceesecceeseceeeeeeeeeeeeeceeeeseeaeceueaeeeesaceeesaneeeesaeeensaeeeesaeetensnesenneseesanseens 39 6 3 TM3 Temporomandibular joints lateral ascending FAML cc
119. s must be miniaturized to a very high degree in order to include as many functions as possible on these chips This leads to structure thicknesses as low as a few ten thousandths of a millimeter It is obvious that integrated circuits which are connected to plugs leading outside of the unit via cables are sensi tive to electrostatic discharge Even voltages which are imperceptible to the user can cause breakdown of the structures thus leading to a discharge current which melts the chip in the affected areas Damage to individ ual integrated circuits may cause malfunction or failure of the system To prevent this from happening the ESD warning label next to the plug warns of this hazard 2 Technical description Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGP S DS Ceph Technical description Model designation Nominal voltage Permissible deviation Permissible drop under load Rated current Nominal power output Nominal frequency Internal line impedance Main building fuse Power consumption Power output of tube assembly Tube voltage Tube current Maximum setting range High voltage waveform Program duration Exposure time Image acquisition scale Exposure time for cephalometry Total filtration of X ray tube assembly Focal spot size acc to IEC 336 measured in the central X ray beam Marking of focal spot 10 ORTHOPHOS XGPS DS Ceph 200 240V 10 10 12A 2 k
120. s opens There are 4 submenu lines for program settings available 1 Selection of half view and individual quadrants In this submenu you can select a half view of the jaw i e right or left side P1 P2 P10 BW1 or upper or lower jaw P1 P2 P10 P12 for programs P1 P2 and P10 including constant magnification and artifact reduced display The preselected type of exposure is also displayed in the submenu column 8 Selection of individual quadrants The full version of XG Plus offers the option of selecting individual quadrants For each selection please make sure that you know where to touch the icon see finger You can reactivate the full screen mode by touching the center of the quadrant field 19 3 Controls and functional elements Sirona Dental Systems GmbH 3 2 General touchscreen functions Operating Instructions ORTHOPHOS XGP S DS Ceph Half view and individual quadrant exposures The adjacent illustrations show the X ray image displays and indicate how the half views and the individual quad rants are associated with the patient Individual quadrant exposures are possible only in the XG Plus full version The program duration for individual quadrant exposures equals the program duration for half view exposures eo oO Right half view Left half view r ED gee Right individual quadrant Left individual quadrant 59 92 602 D 3352 20 D 3352 201 01 20 23 Sirona Dental Systems GmbH Opera
121. s to 30 mm when you touch it in the rear segment the depth indica tor jumps to 50 mm At the same time the submenu column 8 displays an icon for preselecting the slice thickness Slice thickness is preset to 2 mm You can also preselect slice thicknesses of 6 mm or 8 mm in this submenu Oo NOTE If a slice thickness is selected that deviates from the TSA Slice orientation no preselection of the slice thickness is possible The slice thickness preselection symbol then disap pears in column 8 The patient head symbol is slightly bent dorsally reclined so that the alveolar ridge is parallel to the floor and the blue bite block for maxillary exposures is shown The line displayed on the head symbol on the touch screen is used here only for orientation This facilitates input of the correct values with the arrow keys 93 11 Transversal slices TSA 11 2 Patient positioning 11 2 Patient positioning 94 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGPS DS Ceph General remarks on patient positioning The following descriptions apply to all of the slice orien tations supplied Always position the patient according to the information provided for the particular exposure program Please observe Center of the face or FH setting with the light localizer Cervical vertebrae stretched by having patient take a small step towards the column Ask the patient to grasp the handles
122. se an exposure e Press the exposure release button ATTENTION Observe radiation protection measures The message H3 H4 Message appears on the Easypad e See list below about how to proceed to make the system ready for exposure Hel mec cade Actions required Description H3 01 R button move into starting position The rotating element is not in the starting position H3 20 R button confirm exposure data The exposure data have not been acknowledged yet H3 21 Close the door Check door contact of the X ray room H3 22 Select quadrant Select the desired quadrant H4 01 Plug sensor into PAN slot The sensor is not in the appropriate slot for the selected exposure type H4 02 Plug sensor into Ceph slot The sensor is not in the appropriate slot for the selected exposure type H4 03 Switch SIDEXIS to ready for exposure state SIDEXIS is not ready for exposure H4 04 Plug in Ceph sensor The sensor does not match the selected exposure type H4 05 Plug in TSA sensor The sensor does not match the selected exposure type H4 06 R button move into Ceph starting position Ceph is not in the starting position H4 20 Call up existing exposure The image could not be transferred to SIDEXIS See SIDEXIS Operators Manual ATTENTION Do not switch off the system until the help message has disappeared The above measures clear those help messages that result from operator errors If it is not
123. st each other e g when walking shoe soles against the floor or driving a vehicle tires against the street pavement The amount of charge depends on several factors Thus the charge is higher in an environment with low air humidity than in one with high air humidity it is also higher with synthetic materials than with natural materi als clothing floor coverings The following rule of thumb can be applied to assess the transient voltages resulting from an electrostatic dis charge 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 59 92 602 D 3352 8 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGPS DS Ceph 1 nanosecond 1 1 000 000 000 second 1 billionth of a second 59 92 602 D 3352 D 3352 201 01 20 23 1 Warning and safety information 1 3 About the physics of electrostatic charges The transient currents resulting from these discharges have a magnitude of 10 amperes They are not hazard ous for humans because they last for only several nano seconds Voltage differentials exceeding 30 000 volts per centi meter may lead to a charge transfer electrostatic dis charge lightning arc over Integrated circuits logical circuits and microprocessors are used in order to implement a wide variety of func tions in dental X ray CEREC systems The circuit
124. t is subject to special pre cautionary measures regarding EMC It must be installed and operated as specified in the document Installation Requirements Information on avoiding detecting and eliminating unin tended electromagnetic effects The ORTHOPHOS XGP US DS Ceph acquisition unit is Class B equipment classified according to CISPR 11 EN 60601 1 2 2001 based on IEC 60601 1 2 This system may be operated in a residential area Portable and mobile RF communications equipment may interfere with medical electrical equipment There fore the use of mobile wireless phones in medical office or hospital environments must be prohibited Please also observe the ESD protective measures in Chapter 1 2 To remove the sensor hold it firmly press the pushbutton fully in and hold it down Remove the sensor from its holder by pulling it downward DO NOT DROP THE SENSOR A shock sensor for detecting shocks or drops is built in When removing the sensor or handling a sensor that has already been removed make sure not to touch the sen sor plug on the unit end especially not while touching the patient at the same time Following extreme changes in temperature condensa tion may occur therefore please do not switch the sys tem on until it has reached normal room temperature see chapter Technical description No patient may be positioned in the unit during power on In case of an error that requires switching the unit
125. tems GmbH Operating Instructions ORTHOPHOS XGPS DS Ceph TS slices combined with a thick longitudinal slice standard for lower jaw 3 transversal slices with embedded lateral slice In this slice orientation the cursor is shown as a dotina circle Example for the slice orientation of TS slices alternative for the lower jaw In this sequence the cursor schematically assumes the form of the 3 TS slices Input assistance Lower jaw The dental arch is subdivided into several segments When you touch the light gray dental arch in the front segment the depth indicator jumps to 10 mm The patient head symbol shows the setting according to the the Frankfort Horizontal plane FH and the yellow bite block for the mandibular exposure The line displayed on the head symbol on the touch screen indicates the reflection line of the light localizer When you touch the light gray dental arch in the center segment the depth indicator jumps to 30 mm when you touch it in the rear segment the depth indicator jumps to 50 mm At the same time the submenu column 8 displays an icon for preselecting the slice thickness Slice thickness is preset to 2 mm You can also preselect slice thicknesses of 6 mm or 8 mm in this submenu 0 wore If a slice thickness is selected that deviates from the TSA Slice orientation no preselection of the slice thickness is possible The slice thickness preselection symbol then disappears in column
126. the upper edge of the TSA display on the sen sor The simultaneous reflection of the light beam A on the patient s face marks the top edge of the exposure and helps you decide whether you need the blue or the green bite block or contact segment ATTENTION If you have a patient without anterior teeth always place a cotton pellet between his her jaws as illustrated 97 11 Transversal slices TSA Sirona Dental Systems GmbH 11 3 TSA universal bite block Operating Instructions ORTHOPHOS XGP S DS Ceph TSA universal bite block The universal bite block replaces all other bite blocks and contact segments for TSA exposures It features a bite block slide with different colored mark ing lines The colors of the marking lines are identical to the colors of various different bite blocks A replaceable bite block foam single use device is used for the bite impression This soft bite block foam can also be used for patients who have no front teeth Insert the pins of the upper part in the opening of the bite block slide fold the bite block foam down and snap the lower part onto the pins of the upper part Bite block foam single use device 100 pcs Order No 61 41 449 Insert the universal bite block in the bite block holder and set the bite block slide according to the type of exposure Yellow mark for mandibular TSA exposures If the mandibular ramus is not displayed on the TSA exposure and the crowns of the t
127. this touch the head icon in the Submenu column 8 and select the shadowing icon in the submenu line It will then be displayed in the column 8 Shadowing results in a dose reduction in the upper cra nial region 7 10 Cephalometric exposures CEPH 10 3 Positioning a ceph patient C1 p a SDE TA 8x10 S 78 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGPS DS Ceph C1 p a views S symmetric Select ceph program C1 using the arrow keys on the touchscreen For symmetric exposures the ear plug holders must be rotated by 90 into the S position Rotate the ear plug holders by 90 so that the folded up nose support points toward the sensor For a symmetrical p a view have the patient turn so that he she faces the sensor p a once height adjust ment is completed but before closing the ear plugs This applies to both the left handed and the right handed ceph arm version Insert the ear plugs into the external auditory canals Hold the ear plug holders at their upper ends when doing this Select the kV mA values by touching one of the four patient symbols on the touchscreen You can also choose if you want to use half the exposure time 4 7 s Quickshot scan 59 92 602 D 3352 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGP S DS Ceph C1 p a
128. ting Instructions ORTHOPHOS XGP S DS Ceph SID 19 6 6x12 59 92 602 D 3352 D 3352 201 01 20 23 3 Controls and functional elements 3 2 General touchscreen functions 2 Presetting for malocclusions Here you can preselect one level of retrusion as well as one or two levels of protrusion for programs P1 P2 and P10 including constant magnification and arti fact reduced display For preselection touch the corresponding tooth symbol in the submenu line se p Wan J om 3 Presetting for jaw shape In this submenu you can preselect a normal jaw shape a V shaped jaw and a square jaw for programs P1 P2 and P10 including constant magnification and arti fact reduced display For preselection touch the corresponding tooth symbol in the submenu line 4 Manual setting of kV mA values If the default kV mA combinations do not provide satis factory results you can preselect intermediate kV mA values in this submenu for all programs using the keys in the submenu line NOTE As long as the respective menu line is open the back ground is displayed as inactive You can close a menu line by touching the blue arrows in the menu line by touching the corresponding symbol in the light bluearea at the right margin 21 3 Controls and functional elements 3 2 General touchscreen functions 22 Sirona Dental Systems GmbH Operating Instructions ORT
129. values by touching one of the four patient symbols on the touchscreen You can also choose if you want to use half the exposure time 4 7 s Quickshot scan C2 a p views with shadowing in the thyroid area only for half axial skull radiograph off axial cra nial overview Just like the C1 p a view this exposure technique with the head reclined and the mouth open fully also supports shadowing in the thyroid area For head positioning and sample exposure see C1 p a view Shadowing results in a dose reduction in the thyroid area 59 92 602 D 3352 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGPl S DS Ceph SID 67 5 8x10 S 59 92 602 D 3352 D 3352 201 01 20 23 10 Cephalometric exposures CEPH 10 3 Positioning a ceph patient C4 carpus views S symmetric For carpus views the ear plug holders must be in the S position Seize the ear plug holders at their upper ends and push them outward as far as possible For carpus views you must rotate the ear plug holders by 90 in such a way that the folded up nose support points toward the secondary diaphragm Hold the ear plug holders at their upper ends when doing this Seize the carpus support plate 26 at its left and right side and push it into the two holes A until it engages To remove the carpus support plate seize it laterally and simply pull it out downw
130. vating functions Sirona Dental Systems GmbH 17 2 Via web browser on the PC Operating Instructions ORTHOPHOS XGP S DS Ceph 1 2 Via web browser on the PC The following procedure is described based on the example of Microsoft Internet Explorers under Windows XP Information you exchange with this site cannot be viewed or changed by others However there is a problem with the site s security certificate As an alternative to entering the activation code via the Easypad touchscreen you can also enter it via a web browser The security certificate is from a trusted certifying authority It is not necessary to switch on the ORTHOPHOS XG for The security certificate date ts walid this purpose lie pate on the scaly certificate is invalid or does not Enter the IP address of your ORTHOPHOS XG in the aeons veya ee Internet browser of your practice computer https XXX XXX XX XXX Do wou want to proceed You can read the IP address e g by calling up the info screen on the touchscreen of the ORTHOPHOS XG Each time the ORTHOPHOS XG web pages are called up the adjacent dialog box will be displayed before the fy Onihaphos 26 WebServer idicrovol Internet Emplorer a actual web page appears Sepa Pee This dialog box must be confirmed with Yes O NoTE Following the initial contact a certificate check operat ing system function is required see attachment Q txt J a g E A Saah YF E EEJ hipsi i r
131. vel touch the down arrow 20 in the second program level Programming the patient symbols You may enter new kV mA values for the preselected exposure program and for the respective preselected patient symbol in the center area Programming is done by touching the memory symbol 1 10 6 Changing the startup settings in program level 4 59 92 602 D 3352 D 3352 201 01 20 23 You can access program level 3 by touching the disk icon 21 in level 4 In level 4 you can modify any factory programmed startup parameters They are then displayed after switching on the system and for each new exposure You can only change the patient icon preference 2nd icon from the left as per factory setting Programming is done by touching the memory symbol 1 83 10 Cephalometric exposures CEPH Sirona Dental Systems GmbH 10 7 Releasing a cephalometric exposure Operating Instructions ORTHOPHOS XGPlus DS Ceph 10 Releasing a cephalometric exposure J 0 nore The movements of the unit must not be obstructed by physical constitution nor clothing dressings wheel chairs or hospital beds Perform a test cycle with the T key see also General safety information ORTHOPHOS XG 4s e Observe the radiation protection regulations see also chapter
132. with sterilized contact pads Position the patient s head in the Frankfort Horizontal FH plane 0 nore For devices until October 2006 Please observe the orientation right left of the temporo mandibular joint supports specified on page 28 Maxillary molar teeth When you enter a depth of 15 mm or more the patient head symbol changes and is bent dorsally reclined now Insert the blue bite block or contact segment or the TSA universal bite block blue marking and the tem poromandibular joint supports with sterile contact pads Have the patient bend his her head dorsally until the alveolar ridge is parallel to the floor In the TSA slice orientation the submenu column dis plays an icon for preselecting the slice thickness The slice thickness is preset to 2 mm You can also pre select slice thicknesses of 6 mm or 8 mm in this submenu 59 92 602 D 3352 D 3352 201 01 20 23 Sirona Dental Systems GmbH Operating Instructions ORTHOPHOS XGPS DS Ceph 59 92 602 D 3352 D 3352 201 01 20 23 11 Transversal slices TSA 11 2 Patient positioning In cases where you need more information in the central facial area you can use the green bite block or contact segment included in the scope of supply This positions the patient a little lower in relation to the beam path The light localizer beam A which reflects also on the sensor can be used as an auxiliary tool Set the light beam to

ORTHOPHOS XG DS/Ceph - Sirona

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