Sirona Orthophos XG Plus DS/Ceph Operating Instructions Manual
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Sirona Orthophos XG Plus DS/Ceph Operating Instructions Manual

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Summary of Contents for Sirona Orthophos XG Plus DS/Ceph

  • Page 1 mäìë= loqelmelp=ud apL`ÉéÜ léÉê~íáåÖ=fåëíêìÅíáçåë båÖäáëÜ...

  • Page 2: General Information

    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.

  • Page 3: Table Of Contents

    Sirona Dental Systems GmbH Table of contents Plus Operating Instructions ORTHOPHOS XG DS/Ceph Table of contents Warning and safety information ................General safety information........................ ESD protective measures ......................... About the physics of electrostatic charges ..................Technical description ....................Controls and functional elements ................
  • Page 4 Table of contents Sirona Dental Systems GmbH Plus Operating Instructions ORTHOPHOS XG DS/Ceph Operation ........................Preparing the exposure........................50 Optional: Taking exposures from a SIDEXIS exposure template ............ 53 Positioning the patient........................54 Finishing the preparations (panoramic views) ................. 65 Making the basic settings in program level 3 ...................

  • Page 5: Warning And Safety Information

    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.
  • Page 6 1 Warning and safety information Sirona Dental Systems GmbH Plus 1.1 General safety information Operating Instructions ORTHOPHOS XG DS/Ceph Do not spray disinfectants or other similar products into the ventilation slots. X-raying of patients X-rays of patients must be taken only when the system works without errors.
  • Page 7 Sirona Dental Systems GmbH 1 Warning and safety information Plus Operating Instructions ORTHOPHOS XG DS/Ceph 1.1 General safety information Emergency Stop If any parts of the unit happen to touch the patient during the rotary movement (PAN exposure) or during the scan...

  • Page 8: Esd Protective Measures

    1 Warning and safety information Sirona Dental Systems GmbH Plus 1.2 ESD protective measures Operating Instructions ORTHOPHOS XG DS/Ceph ESD protective measures ESD stands for ElectroStatic Discharge. ATTENTION Connector pins or sockets bearing ESD warning labels must not be touched or interconnected without ESD protective measures.
  • Page 9 Sirona Dental Systems GmbH 1 Warning and safety information Plus Operating Instructions ORTHOPHOS XG DS/Ceph 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- 1 nanosecond = 1/1,000,000,000 second =...

  • Page 10: Technical Description

    2 Technical description Sirona Dental Systems GmbH Plus Operating Instructions ORTHOPHOS XG DS/Ceph Technical description Plus Model designation ORTHOPHOS XG DS/Ceph Nominal voltage: 200 – 240V Permissible deviation: ±10% Permissible drop under load: Rated current: Nominal power output: 2 kW at 90 kV/12 mA with any radiation time...
  • Page 11 Sirona Dental Systems GmbH 2 Technical description Plus Operating Instructions ORTHOPHOS XG DS/Ceph Automatic exposure blocking (see page 46): The duration of automatic exposure blocking (cooling period) depends on the set kV/mA level and the actual exposure time. Depending on the tube load, a pause duration of 8 s to 300 s is automatically set by the system.
  • Page 12 2 Technical description Sirona Dental Systems GmbH Plus Operating Instructions ORTHOPHOS XG DS/Ceph TSA exposure: Sensor (image receptor): TSA senor type: Digital CCD line sensor, repluggable for panoramic or ceph exposure technique Active sensor area, TSA type 60 mm x 20 mm Detail resolution: 0.0195 mm pixel size...
  • Page 13 Sirona Dental Systems GmbH 2 Technical description Plus Operating Instructions ORTHOPHOS XG DS/Ceph Cooling curve of tube housing HUx10 1 HU = 1.35 Joule Cooling curve of X-ray tube SR 90/15 OCX 100 HUx10 1 HU = 1.35 Joule HUx10 1 HU = 1.35 Joule...
  • Page 14 2 Technical description Sirona Dental Systems GmbH Plus Operating Instructions ORTHOPHOS XG 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:...

  • Page 15: Controls And Functional Elements

    Sirona Dental Systems GmbH 3 Controls and functional elements Plus Operating Instructions ORTHOPHOS XG DS/Ceph 3.1 Operating and Display Elements Controls and functional elements Operating and Display Elements on the Panoramic unit Main switch 1 2 3 Light localizer with height adjustment of FH light line...
  • Page 16 3 Controls and functional elements Sirona Dental Systems GmbH Plus 3.1 Operating and Display Elements Operating Instructions ORTHOPHOS XG DS/Ceph Controls and scales on the cephalometer 19 20 Pushbutton for sensor removal Sensor (image receptor) 18. Nose support 19. Locking knob for nose support 20.
  • Page 17 Sirona Dental Systems GmbH 3 Controls and functional elements Plus Operating Instructions ORTHOPHOS XG DS/Ceph 3.1 Operating and Display Elements Controls and displays on the Easypad with touchscreen 27 28 29 27. "Move forehead support away from forehead" 28. Light localizers ON/OFF 29.

  • Page 18: General Touchscreen Functions

    3 Controls and functional elements Sirona Dental Systems GmbH Plus 3.2 General touchscreen functions Operating Instructions ORTHOPHOS XG DS/Ceph General touchscreen functions Touchscreen = touch-sensitive screen, i.e. touching the screen surface triggers different functions. Color codes: orange – selected 7 8 9 white –...
  • Page 19 Sirona Dental Systems GmbH 3 Controls and functional elements Plus Operating Instructions ORTHOPHOS XG DS/Ceph 3.2 General touchscreen functions Program settings CEPH When you touch a symbol in the “submenu” column (8), a submenu line for program settings opens. 1260...
  • Page 20 3 Controls and functional elements Sirona Dental Systems GmbH Plus 3.2 General touchscreen functions Operating Instructions ORTHOPHOS XG 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.
  • Page 21 Sirona Dental Systems GmbH 3 Controls and functional elements Plus Operating Instructions ORTHOPHOS XG DS/Ceph 3.2 General touchscreen functions 2. Presetting for malocclusions CEPH Here you can preselect one level of retrusion as well as one or two levels of protrusion for programs P1, P2 and...
  • Page 22 3 Controls and functional elements Sirona Dental Systems GmbH Plus 3.2 General touchscreen functions Operating Instructions ORTHOPHOS XG 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.
  • Page 23 Sirona Dental Systems GmbH 3 Controls and functional elements Plus Operating Instructions ORTHOPHOS XG DS/Ceph 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-...
  • Page 24 3 Controls and functional elements Sirona Dental Systems GmbH Plus 3.2 General touchscreen functions Operating Instructions ORTHOPHOS XG 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.
  • Page 25 Sirona Dental Systems GmbH 3 Controls and functional elements Plus Operating Instructions ORTHOPHOS XG DS/Ceph 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.
  • Page 26 3 Controls and functional elements Sirona Dental Systems GmbH Plus 3.2 General touchscreen functions Operating Instructions ORTHOPHOS XG 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".

  • Page 27: Accessories

    Sirona Dental Systems GmbH 4 Accessories Plus Operating Instructions ORTHOPHOS XG DS/Ceph 4.1 Rests and supports for panoramic exposures Accessories Rests and supports for panoramic exposures The accessories and the hygienic protective sleeves can be stored in the drawer between the two handles.

  • Page 28: Important When Inserting The Temporomandibular Joint Supports

    4 Accessories Sirona Dental Systems GmbH Plus 4.2 Important when inserting the temporomandibular joint supports Operating Instructions ORTHOPHOS XG DS/Ceph 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.

  • Page 29: Protective Sleeves For Panoramic Exposures

    Sirona Dental Systems GmbH 4 Accessories Plus Operating Instructions ORTHOPHOS XG DS/Ceph 4.3 Protective sleeves for panoramic exposures 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.

  • Page 30: Protective Sleeves For Cephalometer

    4 Accessories Sirona Dental Systems GmbH Plus 4.4 Protective sleeves for cephalometer Operating Instructions ORTHOPHOS XG DS/Ceph 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.

  • Page 31: Program Group Panoramic Images

    Sirona Dental Systems GmbH 5 Program group panoramic images Plus Operating Instructions ORTHOPHOS XG DS/Ceph 5.1 P1 standard panoramic image, P1 A artifact reduced, P1 C with a constant Program group panoramic images P1 standard panoramic image, P1 A artifact reduced, P1 C with a constant magnification factor of 1.25...

  • Page 32: P2 Normal View, Limited To Teeth Without Ascending Rami, P2 A Artifact-Reduced

    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 Plus Operating Instructions ORTHOPHOS XG DS/Ceph P2 normal view, limited to teeth without ascending rami, P2 A artifact-reduced, P2 C with a constant magnification factor of 1.25...

  • Page 33: P10 Normal View For Children With Significant Dose Reduction, P10 A Artifact-Reduced

    Sirona Dental Systems GmbH 5 Program group panoramic images Plus Operating Instructions ORTHOPHOS XG DS/Ceph 5.3 P10 normal view for children with significant dose reduction, P10 A P10 normal view for children with significant dose reduction, P10 A artifact-reduced, P10 C with a constant magnification factor of 1.25...

  • Page 34: P12 Slice Thickness, Anterior Tooth Region

    5 Program group panoramic images Sirona Dental Systems GmbH Plus 5.4 P12 Slice thickness, anterior tooth region Operating Instructions ORTHOPHOS XG DS/Ceph P12 Slice thickness, anterior tooth region P12 Representation of the anterior tooth region with increased slice thickness CEPH e.g.

  • Page 35: Bw1 Bite Wing Exposures In The Posterior Tooth Region

    Sirona Dental Systems GmbH 5 Program group panoramic images Plus Operating Instructions ORTHOPHOS XG DS/Ceph 5.5 BW1 Bite wing exposures in the posterior tooth region BW1 Bite wing exposures in the posterior tooth region BW1 Bite wing exposure in both posterior...

  • Page 36: Bw2 Bite Wing Exposures In The Anterior Tooth Region

    5 Program group panoramic images Sirona Dental Systems GmbH Plus 5.6 BW2 Bite wing exposures in the anterior tooth region Operating Instructions ORTHOPHOS XG DS/Ceph BW2 Bite wing exposures in the anterior tooth region BW2 Bite wing exposure of the anterior tooth...

  • Page 37: Program Group Temporomandibular Joint (Tmj) Views

    Sirona Dental Systems GmbH 6 Program group temporomandibular joint (TMJ) views Plus Operating Instructions ORTHOPHOS XG DS/Ceph 6.1 TM1.1/TM1.2 Temporomandibular joints lateral with closed and open mouth in Program group temporomandibular joint (TMJ) views TM1.1/TM1.2 Temporomandibular joints lateral with closed and open mouth in one image TM1.1 Temporomandibular joints lateral with...
  • Page 38 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 Plus DS/Ceph Program extensions: CEPH TM1A.1 Temporomandibular joints lateral with TM1A.1 1260 closed mouth and TM1A.2 with open mouth, TM1A.1...

  • Page 39: Tm2.1/Tm2.2 Temporomandibular Joints In Posterior - Anterior Projection With Closed And Open Mouth In One Image

    Sirona Dental Systems GmbH 6 Program group temporomandibular joint (TMJ) views Plus Operating Instructions ORTHOPHOS XG DS/Ceph 6.2 TM2.1/TM2.2 Temporomandibular joints in posterior – anterior projection with TM2.1/TM2.2 Temporomandibular joints in posterior – anterior projection with closed and open mouth in one image TM2.1 Temporomandibular joints posterior –...
  • Page 40 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 Plus Instructions ORTHOPHOS XG DS/Ceph Program extensions: CEPH TM2A.1 Temporomandibular in posterior - ante- TM2A.1...

  • Page 41: Tm3 Temporomandibular Joints Lateral, Ascending Rami

    Sirona Dental Systems GmbH 6 Program group temporomandibular joint (TMJ) views Plus Operating Instructions ORTHOPHOS XG DS/Ceph 6.3 TM3 Temporomandibular joints lateral, ascending rami TM3 Temporomandibular joints lateral, ascending rami TM3 Temporomandibular joints lateral, ascending rami CEPH • Insert temporomandibular joint supports "1" and "2".

  • Page 42: Tm4 Temporomandibular Joints In Posterior/Anterior Projection

    6 Program group temporomandibular joint (TMJ) views Sirona Dental Systems GmbH Plus 6.4 TM4 Temporomandibular joints in posterior/anterior projection Operating Instructions ORTHOPHOS XG DS/Ceph TM4 Temporomandibular joints in posterior/anterior projection TM4 Temporomandibular joints in posterior/ anterior projection CEPH • Insert temporomandibular joint supports "1" and "2".

  • Page 43: Tm5 Temporomandibular Joints Lateral, Multislice

    Sirona Dental Systems GmbH 6 Program group temporomandibular joint (TMJ) views Plus Operating Instructions ORTHOPHOS XG DS/Ceph 6.5 TM5 Temporomandibular joints lateral, multislice TM5 Temporomandibular joints lateral, multislice TM5 Temporomandibular joints lateral, multislice (6 views in one image) CEPH •...

  • Page 44: Tm6 Temporomandibular Joints, Multislice In Posterior - Anterior Projection

    6 Program group temporomandibular joint (TMJ) views Sirona Dental Systems GmbH Plus 6.6 TM6 Temporomandibular joints, multislice in posterior – anterior projection Operating Instructions ORTHOPHOS XG DS/Ceph TM6 Temporomandibular joints, multislice in posterior – anterior projection TM6 Temporomandibular joints, multislice, in posterior –...

  • Page 45: Program Group Sinus Views

    Sirona Dental Systems GmbH 7 Program group sinus views Plus Operating Instructions ORTHOPHOS XG DS/Ceph 7.1 S1 Paranasal sinuses Program group sinus views S1 Paranasal sinuses S1 Paranasal sinuses CEPH e.g. orbital floor fractures • Fit blue contact segment subnasally 1260 •...

  • Page 46: S2 Maxillary Sinuses With Two Views In One Image

    7 Program group sinus views Sirona Dental Systems GmbH Plus 7.2 S2 Maxillary sinuses with two views in one image Operating Instructions ORTHOPHOS XG DS/Ceph S2 Maxillary sinuses with two views in one image S2 Maxillary sinuses with two views in one...

  • Page 47: S3 Paranasal Sinuses (Linear Slice Orientation)

    Sirona Dental Systems GmbH 7 Program group sinus views Plus Operating Instructions ORTHOPHOS XG DS/Ceph 7.3 S3 Paranasal sinuses (linear slice orientation) S3 Paranasal sinuses (linear slice orientation) S3 Paranasal sinuses (linear slice orientation) CEPH e.g. orbital floor fractures 1260 •...

  • Page 48: S4 Maxillary Sinuses With Two Views In One Image (Linear Slice Orientation)

    7 Program group sinus views Sirona Dental Systems GmbH Plus 7.4 S4 Maxillary sinuses with two views in one image (linear slice orientation) Operating Instructions ORTHOPHOS XG DS/Ceph S4 Maxillary sinuses with two views in one image (linear slice orientation)

  • Page 49: Program Group Multislice Views

    Sirona Dental Systems GmbH 8 Program group multislice views Plus Operating Instructions ORTHOPHOS XG DS/Ceph 8.1 MS1 Multislice (posterior tooth region) Program group multislice views MS1 Multislice (posterior tooth region) MS1 Posterior tooth region, multislice (6 views in one image) CEPH •...

  • Page 50: Operation

    9 Operation Sirona Dental Systems GmbH Plus 9.1 Preparing the exposure Operating Instructions ORTHOPHOS XG DS/Ceph Operation Preparing the exposure Fitting the accessories • Push in the bite block or chin rest until it engages. For details about use, see Program groups exposure programs.
  • Page 51 Sirona Dental Systems GmbH 9 Operation Plus Operating Instructions ORTHOPHOS XG DS/Ceph 9.1 Preparing the exposure NOTE After the unit is switched off with the main switch, the touchscreen on the Easypad remains illuminated for an- other 3 - 5 seconds.
  • Page 52 9 Operation Sirona Dental Systems GmbH Plus 9.1 Preparing the exposure Operating Instructions ORTHOPHOS XG DS/Ceph NOTE 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.

  • Page 53: Optional: Taking Exposures From A Sidexis Exposure Template

    Sirona Dental Systems GmbH 9 Operation Plus Operating Instructions ORTHOPHOS XG DS/Ceph 9.2 Optional: Taking exposures from a SIDEXIS exposure template Optional: Taking exposures from a SIDEXIS exposure template • Select patient and exposure template and get the SIDEXIS system ready for exposure.

  • Page 54: Positioning The Patient

    9 Operation Sirona Dental Systems GmbH Plus 9.3 Positioning the patient Operating Instructions ORTHOPHOS XG DS/Ceph Positioning the patient 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.
  • Page 55 Sirona Dental Systems GmbH 9 Operation Plus Operating Instructions ORTHOPHOS XG DS/Ceph 9.3 Positioning the patient 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.
  • Page 56 9 Operation Sirona Dental Systems GmbH Plus 9.3 Positioning the patient Operating Instructions ORTHOPHOS XG DS/Ceph • Swivel out the mirror by pressing the left recess A on the touch bar. • Position the head of the patient in such a way that the occlusal plane is slightly inclined towards anterior.
  • Page 57 Sirona Dental Systems GmbH 9 Operation Plus Operating Instructions ORTHOPHOS XG DS/Ceph 9.3 Positioning the patient Exposure with chin rest and bar For patients without anterior teeth • Remove the bite block with the bite block rod; in- stead, fit the bar as illustrated (arch facing toward the column).
  • Page 58 9 Operation Sirona Dental Systems GmbH Plus 9.3 Positioning the patient Operating Instructions ORTHOPHOS XG DS/Ceph Exposure with bite block or contact segment without chin rest • The patient places himself or herself in front of the control mirror. CEPH 1260 P6.1...
  • Page 59 Sirona Dental Systems GmbH 9 Operation Plus Operating Instructions ORTHOPHOS XG DS/Ceph 9.3 Positioning the patient • Swivel out the mirror by pressing the left recess A on the touch bar. • Position the head of the patient in such a way that the occlusal plane is slightly inclined towards anterior.
  • Page 60 9 Operation Sirona Dental Systems GmbH Plus 9.3 Positioning the patient Operating Instructions ORTHOPHOS XG 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.
  • Page 61 Sirona Dental Systems GmbH 9 Operation Plus Operating Instructions ORTHOPHOS XG DS/Ceph 9.3 Positioning the patient 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 •...
  • Page 62 9 Operation Sirona Dental Systems GmbH Plus 9.3 Positioning the patient Operating Instructions ORTHOPHOS XG DS/Ceph • If the green arrows on the touchscreen are pointing upward, the head posture must be corrected with the "up" key (30) on the Easypad.
  • Page 63 Sirona Dental Systems GmbH 9 Operation Plus Operating Instructions ORTHOPHOS XG DS/Ceph 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.
  • Page 64 9 Operation Sirona Dental Systems GmbH Plus 9.3 Positioning the patient Operating Instructions ORTHOPHOS XG 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"...

  • Page 65: Finishing The Preparations (Panoramic Views)

    Sirona Dental Systems GmbH 9 Operation Plus Operating Instructions ORTHOPHOS XG DS/Ceph 9.4 Finishing the preparations (panoramic views) Sinus views, programs S1 – S4 with temporomandibular joint supports • For sinus views, you must fit the temporomandibular joint supports (C) "1" on the right and (D) "2" on the left side in place of the temple supports (7).

  • Page 66: Making The Basic Settings In Program Level 3

    9 Operation Sirona Dental Systems GmbH Plus 9.5 Making the basic settings in program level 3 Operating Instructions ORTHOPHOS XG DS/Ceph Making the basic settings in program level 3 “Quickshot” presetting "Quickshot" = reduction of the cycle time by approx. 20 –...

  • Page 67: Selecting The Exposure Parameters

    Sirona Dental Systems GmbH 9 Operation Plus Operating Instructions ORTHOPHOS XG DS/Ceph 9.7 Selecting the exposure parameters Selecting the exposure parameters The patient symbol keys are factory-programmed with kV/mA combinations: CEPH • Select the exposure parameters by touching one of the four patient symbols.

  • Page 68: Releasing The Exposure

    9 Operation Sirona Dental Systems GmbH Plus 9.8 Releasing the exposure Operating Instructions ORTHOPHOS XG DS/Ceph Releasing the exposure • Observe the radiation protection regulations (see also chapter 1 “Identification of warning and safe- ty information”) i i i i...
  • Page 69 Sirona Dental Systems GmbH 9 Operation Plus Operating Instructions ORTHOPHOS XG DS/Ceph 9.8 Releasing the exposure • 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 monitor in SIDEXIS.
  • Page 70 9 Operation Sirona Dental Systems GmbH Plus 9.8 Releasing the exposure Operating Instructions ORTHOPHOS XG DS/Ceph Automatic 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"...

  • Page 71: Remote Control

    Sirona Dental Systems GmbH 9 Operation Plus Operating Instructions ORTHOPHOS XG DS/Ceph 9.9 Remote control Remote control If the ORTHOPHOS XG is located in an X-ray room which has a door and enables visual contact with the patient, you can use remote control to release the exposure.

  • Page 72: Cephalometric Exposures (Ceph)

    10 Cephalometric exposures (CEPH) Sirona Dental Systems GmbH Plus 10.1 Preparing a cephalometric exposure (CEPH function) Operating Instructions ORTHOPHOS XG DS/Ceph Cephalometric exposures (CEPH) 10.1 Preparing a cephalometric exposure (CEPH function) Select the CEPH function CEPH by pressing "CEPH" in the program group selection.
  • Page 73 Sirona Dental Systems GmbH 10 Cephalometric exposures (CEPH) Plus Operating Instructions ORTHOPHOS XG DS/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 CEPH lateral view.

  • Page 74: Preparations On The Cephalometer

    10 Cephalometric exposures (CEPH) Sirona Dental Systems GmbH Plus 10.2 Preparations on the cephalometer Operating Instructions ORTHOPHOS XG DS/Ceph 10.2 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.

  • Page 75: Positioning A Ceph Patient

    Sirona Dental Systems GmbH 10 Cephalometric exposures (CEPH) Plus Operating Instructions ORTHOPHOS XG DS/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 For ear plugs, not a single use device (sterilizable) (20 pieces) Order No.
  • Page 76 10 Cephalometric exposures (CEPH) Sirona Dental Systems GmbH Plus 10.3 Positioning a ceph patient Operating Instructions ORTHOPHOS XG DS/Ceph C3 lateral view (A = asymmetric) CEPH For lateral views, the patient must be standing with his/ her face toward the front.
  • Page 77 Sirona Dental Systems GmbH 10 Cephalometric exposures (CEPH) Plus Operating Instructions ORTHOPHOS XG DS/Ceph 10.3 Positioning a ceph patient C3 and C3 F Lateral views with shadowing in the upper cranial region CEPH C3 and C3 F exposures also support shadowing in the 1260 upper cranial region.
  • Page 78 10 Cephalometric exposures (CEPH) Sirona Dental Systems GmbH Plus 10.3 Positioning a ceph patient Operating Instructions ORTHOPHOS XG DS/Ceph C1 p.a. views p.a. (S = symmetric) CEPH Select ceph program C1 using the +/– arrow keys on 1558 the touchscreen.
  • Page 79 Sirona Dental Systems GmbH 10 Cephalometric exposures (CEPH) Plus Operating Instructions ORTHOPHOS XG DS/Ceph 10.3 Positioning a ceph patient C1 p.a. views with shadowing in the thyroid p.a. area (only for “half-axial skull radiograph”, off-axial cra- nial overview) CEPH This exposure technique with the head reclined and the...
  • Page 80 10 Cephalometric exposures (CEPH) Sirona Dental Systems GmbH Plus 10.3 Positioning a ceph patient Operating Instructions ORTHOPHOS XG DS/Ceph C2 a.p. views a.p. (S = symmetric) CEPH Select ceph program C2 using the +/– arrow keys on 1558 the touchscreen.
  • Page 81 Sirona Dental Systems GmbH 10 Cephalometric exposures (CEPH) Plus Operating Instructions ORTHOPHOS XG DS/Ceph 10.3 Positioning a ceph patient C4 carpus views (S = symmetric) CEPH For carpus views, the ear plug holders must be in the S 1260 position.

  • Page 82: Selecting The Exposure Parameters

    10 Cephalometric exposures (CEPH) Sirona Dental Systems GmbH Plus 10.4 Selecting the exposure parameters Operating Instructions ORTHOPHOS XG DS/Ceph 10.4 Selecting the exposure parameters Program settings (options) CEPH When you touch a symbol in the “submenu” column (8), a submenu line for program settings opens.

  • Page 83: Making The Basic Settings In Program Level 3

    Sirona Dental Systems GmbH 10 Cephalometric exposures (CEPH) Plus Operating Instructions ORTHOPHOS XG DS/Ceph 10.5 Making the basic settings in program level 3 Basic settings for the entire menu Level 2 CEPH CEPH You may also display all of the program settings and make the settings described above in a second program level.

  • Page 84: Releasing A Cephalometric Exposure

    10 Cephalometric exposures (CEPH) Sirona Dental Systems GmbH Plus 10.7 Releasing a cephalometric exposure Operating Instructions ORTHOPHOS XG DS/Ceph 10.7 Releasing a cephalometric exposure NOTE The movements of the unit must not be obstructed by siro na physical constitution nor clothing, dressings, wheel- chairs or hospital beds! Perform a test cycle with the “T”...
  • Page 85 Sirona Dental Systems GmbH 10 Cephalometric exposures (CEPH) Plus Operating Instructions ORTHOPHOS XG DS/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.
  • Page 86 10 Cephalometric exposures (CEPH) Sirona Dental Systems GmbH Plus 10.7 Releasing a cephalometric exposure Operating Instructions ORTHOPHOS XG DS/Ceph NOTE Please note that any program settings which may have been changed must be preselected again before repeat- ing the exposure.

  • Page 87: Transversal Slices (Tsa)

    Sirona Dental Systems GmbH 11 Transversal slices (TSA) Plus Operating Instructions ORTHOPHOS XG DS/Ceph 11.1 Preparing a TSA exposure Transversal slices (TSA) 11.1 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.
  • Page 88 11 Transversal slices (TSA) Sirona Dental Systems GmbH Plus 11.1 Preparing a TSA exposure Operating Instructions ORTHOPHOS XG DS/Ceph PAN image For better assessment of the anatomical situation you capture a PAN image first. Measurement by means of the TSA scale •...
  • Page 89 Sirona Dental Systems GmbH 11 Transversal slices (TSA) Plus Operating Instructions ORTHOPHOS XG DS/Ceph 11.1 Preparing a TSA exposure Preselecting the TSA function • Preselect the TSA function by touching “TS” in the CEPH program group selection on the touchscreen.
  • Page 90 11 Transversal slices (TSA) Sirona Dental Systems GmbH Plus 11.1 Preparing a TSA exposure Operating Instructions ORTHOPHOS XG DS/Ceph Transferring the measured depth • The jaw half where the preselected quadrant is lo- CEPH cated appears in a light gray color now.
  • Page 91 Sirona Dental Systems GmbH 11 Transversal slices (TSA) Plus Operating Instructions ORTHOPHOS XG DS/Ceph 11.1 Preparing a TSA exposure 11/21 0 mm For a symmetric view of the anterior teeth, 31/41 in the 41/31 lower jaw or 11/21 in the upper jaw, enter 0 mm.
  • Page 92 11 Transversal slices (TSA) Sirona Dental Systems GmbH Plus 11.1 Preparing a TSA exposure Operating Instructions ORTHOPHOS XG DS/Ceph TS slices combined with a thick longitudinal slice (standard) for lower jaw CEPH (3 transversal slices with embedded lateral slice) 9,0s...
  • Page 93 Sirona Dental Systems GmbH 11 Transversal slices (TSA) Plus Operating Instructions ORTHOPHOS XG DS/Ceph 11.1 Preparing a TSA exposure TS slices combined with a thick longitudinal slice (standard) for upper jaw CEPH (3 transversal slices with embedded lateral slice) 9,0s...

  • Page 94: Patient Positioning

    11 Transversal slices (TSA) Sirona Dental Systems GmbH Plus 11.2 Patient positioning Operating Instructions ORTHOPHOS XG DS/Ceph 11.2 Patient positioning General remarks on patient positioning 6,7s 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.
  • Page 95 Sirona Dental Systems GmbH 11 Transversal slices (TSA) Plus Operating Instructions ORTHOPHOS XG DS/Ceph 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.
  • Page 96 11 Transversal slices (TSA) Sirona Dental Systems GmbH Plus 11.2 Patient positioning Operating Instructions ORTHOPHOS XG DS/Ceph Maxillary anterior and canine teeth 6,7s When you enter the depth, the patient head symbol remains in the FH position. Fit the blue bite block (or contact segment).
  • Page 97 Sirona Dental Systems GmbH 11 Transversal slices (TSA) Plus Operating Instructions ORTHOPHOS XG DS/Ceph 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.

  • Page 98: Tsa Universal Bite Block

    11 Transversal slices (TSA) Sirona Dental Systems GmbH Plus 11.3 TSA universal bite block Operating Instructions ORTHOPHOS XG DS/Ceph 11.3 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.
  • Page 99 Sirona Dental Systems GmbH 11 Transversal slices (TSA) Plus Operating Instructions ORTHOPHOS XG 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.

  • Page 100: Preselecting The Exposure Settings And Releasing The Exposure

    11 Transversal slices (TSA) Sirona Dental Systems GmbH Plus 11.4 Preselecting the exposure settings and releasing the exposure Operating Instructions ORTHOPHOS XG DS/Ceph 11.4 Preselecting the exposure settings and releasing the exposure Selecting the exposure parameters with the patient symbol...

  • Page 101: Program Settings, Basic Settings, Startup Settings

    Sirona Dental Systems GmbH 11 Transversal slices (TSA) Plus Operating Instructions ORTHOPHOS XG DS/Ceph 11.5 Program settings, basic settings, startup settings 11.5 Program settings, basic settings, startup settings TSA program settings for the entire menu Level 2 Shown examples in the setting for TS slices...

  • Page 102: Tsa Exposure With Tsa Slice Orientation (Alternative)

    11 Transversal slices (TSA) Sirona Dental Systems GmbH Plus 11.6 TSA exposure with TSA slice orientation (alternative) Operating Instructions ORTHOPHOS XG DS/Ceph Startup settings menu Level 4 You can access program level 3 by touching the disk icon (21) in level 4.
  • Page 103 Sirona Dental Systems GmbH 11 Transversal slices (TSA) Plus Operating Instructions ORTHOPHOS XG DS/Ceph 11.6 TSA exposure with TSA slice orientation (alternative) Example: implant To make clear which one of the three TSA views shows which portion of the dental arch, steel balls were fitted prior to image acquisition.

  • Page 104: Slice Orientations

    11 Transversal slices (TSA) Sirona Dental Systems GmbH Plus 11.7 Slice orientations Operating Instructions ORTHOPHOS XG DS/Ceph 11.7 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.
  • Page 105 Sirona Dental Systems GmbH 11 Transversal slices (TSA) Plus Operating Instructions ORTHOPHOS XG DS/Ceph 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.
  • Page 106 11 Transversal slices (TSA) Sirona Dental Systems GmbH Plus 11.7 Slice orientations Operating Instructions ORTHOPHOS XG 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.

  • Page 107: Program Values

    Sirona Dental Systems GmbH 12 Program values Plus Operating Instructions ORTHOPHOS XG DS/Ceph 12.1 Panoramic views – program values for index 2A Program values 12.1 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.

  • Page 108: Panoramic Views - Program Values For Index 4A

    12 Program values Sirona Dental Systems GmbH Plus 12.2 Panoramic views – program values for index 4A Operating Instructions ORTHOPHOS XG DS/Ceph 12.2 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 systems moved from one location to another in the Federal Republic of Germany since January 1, 1999.

  • Page 109: Panoramic Views - Program Values For Index 1A

    Sirona Dental Systems GmbH 12 Program values Plus Operating Instructions ORTHOPHOS XG DS/Ceph 12.3 Panoramic views - program values for index 1A Table: Possible kV/mA combinations with preselected patient symbols 3 and 4 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.

  • Page 110: Program Values For Cephalometric Exposures

    12 Program values Sirona Dental Systems GmbH Plus 12.4 Program values for cephalometric exposures Operating Instructions ORTHOPHOS XG DS/Ceph Table: Possible kV/mA combinations 12.4 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.

  • Page 111: Tsa Exposure Values

    Sirona Dental Systems GmbH 12 Program values Plus Operating Instructions ORTHOPHOS XG DS/Ceph 12.5 TSA exposure values 12.5 TSA exposure values The maximum program duration time for TSA exposures is 60 s. Table: TS slices combined with a thick longitudinal slice...
  • Page 112 12 Program values Sirona Dental Systems GmbH Plus 12.5 TSA exposure values Operating Instructions ORTHOPHOS XG DS/Ceph Table: 3 longitudinal slices Tooth region Depth Max. radia- Factory-programmed Freely programmed values (TSA scale) tion time values – please enter here –...
  • Page 113 Sirona Dental Systems GmbH 12 Program values Plus Operating Instructions ORTHOPHOS XG DS/Ceph 12.5 TSA exposure values Table: TS transaxial slices with a longitudinal thick slice Tooth region Depth Max. radia- Factory-programmed Freely programmed values (TSA scale) tion time values –...

  • Page 114: List Of Messages

    13 List of messages Sirona Dental Systems GmbH Plus 13.1 List of help messages Operating Instructions ORTHOPHOS XG DS/Ceph List of messages 13.1 List of help messages A number of H3 help messages may appear on the Easypad while you attempt to release an exposure: •...

  • Page 115: Error Message Structure

    Sirona Dental Systems GmbH 13 List of messages Plus Operating Instructions ORTHOPHOS XG DS/Ceph 13.2 Error message structure 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.
  • Page 116 13 List of messages Sirona Dental Systems GmbH Plus 13.2 Error message structure Operating Instructions ORTHOPHOS XG DS/Ceph Description Actions required Error group Malfunction during the Acknowledge the error message to This error group includes all errors exposure or during continue system operation.

  • Page 117: Care Of Outer Surfaces

    Sirona! A continuously updated list of approved agents can be downloaded from the Internet at: www.sirona.de / SER- VICE / Downloads / Care & cleaning agents If you do not have Internet access, you can use one of the following two ways to order the list: •...

  • Page 118: Inspection And Maintenance

    15 Inspection and maintenance Sirona Dental Systems GmbH Plus Operating Instructions ORTHOPHOS XG 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. 15.1...

  • Page 119: Disposal

    Sirona Dental Systems GmbH 16 Disposal Plus Operating Instructions ORTHOPHOS XG 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.

  • Page 120: Activating Functions

    17 Activating functions Sirona Dental Systems GmbH Plus 17.1 Via the Easypad touchscreen Operating Instructions ORTHOPHOS XG DS/Ceph Activating functions 17.1 Via the Easypad touchscreen If you have purchased a certificate with a corresponding activation key code, you can extend the functionality of...
  • Page 121 Sirona Dental Systems GmbH 17 Activating functions Plus Operating Instructions ORTHOPHOS XG DS/Ceph 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.

  • Page 122: Via Web Browser On The Pc

    17 Activating functions Sirona Dental Systems GmbH Plus 17.2 Via web browser on the PC Operating Instructions ORTHOPHOS XG DS/Ceph 17.2 Via web browser on the PC The following procedure is described based on the example of Microsoft Internet Explorers under Windows XP.
  • Page 123 Sirona Dental Systems GmbH 17 Activating functions Plus Operating Instructions ORTHOPHOS XG DS/Ceph 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.
  • Page 124 17 Activating functions Sirona Dental Systems GmbH Plus 17.2 Via web browser on the PC Operating Instructions ORTHOPHOS XG 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:...
  • Page 125 Sirona Dental Systems GmbH 17 Activating functions Plus Operating Instructions ORTHOPHOS XG DS/Ceph 17.2 Via web browser on the PC The “Certificate Import Wizard, Certificate Store“ dia- log box then appears. Click “Next“. The “Certificate Import Wizard, Complete the wizard“...
  • Page 126 17 Activating functions Sirona Dental Systems GmbH Plus 17.2 Via web browser on the PC Operating Instructions ORTHOPHOS XG DS/Ceph 59 87 594 D 3352 D 3352.201.01.18.02...
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