Sirona Orthophos SL Dental X-Ray - Maintenance Manual

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Sirona Dental Systems GmbH
Maintenance Instructions ORTHOPHOS SL 2D / 3D
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Sirona Dental Systems GmbH Table of contents
Table of contents
1 Safety ...................................................................................................................... 4
2 Operation notes ....................................................................................................... 5
3 Auxiliary devices required........................................................................................ 6
4 Visual check ............................................................................................................ 7
5 Optical and acoustic signals .................................................................................... 8

5.1 Checking the function of keys and buttons................................................... 9
6 Checking the power supply connection ................................................................... 11
7 Checking the tube current ....................................................................................... 13
8 Checking the tube voltage ....................................................................................... 17
9 Checking the radiation time ..................................................................................... 18
10 Checking the laser light localizers ........................................................................... 19
11 Test exposures/Test images ................................................................................... 22

11.1 Calling "Test exposures" menu .................................................................... 23
11.2 2D test exposures ........................................................................................ 24
11.2.1 Pan - diaphragm test exposure (2D) ............................................... 24
11.2.2 Pan - Symmetrical test exposure (2D) ............................................ 25
11.2.3 Pan - quality test exposure (2D)...................................................... 26
11.2.4 Pan - test image (2D) ...................................................................... 28
11.2.5 Pan - dark current exposure (2D).................................................... 30
11.2.6 Ceph - secondary diaphragm (2D) .................................................. 32
11.2.7 Ceph - quality test exposure (2D).................................................... 33
11.2.8 Ceph - test image (2D) .................................................................... 36
11.3 3D test exposures ........................................................................................ 38
11.3.1 Diaphragm test exposure (open) (3D)............................................. 38
11.3.2 Diaphragm test exposure (collimated) (3D)..................................... 40
11.3.3 Diaphragm test exposure (standard) (3D)....................................... 42
11.3.4 Quality test exposure (3D)............................................................... 44
11.3.5 Test image (3D)............................................................................... 46
11.3.6 Dosimetry (3D) ................................................................................ 48
11.3.7 Quality control 21CFR 1020.33 (3D) ............................................... 49
Yearly maintenance checklist .................................................................................. #?
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1 Safety Sirona Dental Systems GmbH
1 Safety
NOTICE
Qualifications of service personnel
Installation and startup may be carried out only by personnel specifically
authorized by Sirona.
WARNING
Perilous shock hazard!
You must switch off the unit and then wait at least 1 minute, for
measurements at the tube assembly at least 4 minutes, before you start
to connect test cables or remove a cover!
For measurements in the area of the power supply terminal, the unit
must be disconnected from the junction box of the building installation
before you start to connect test cables!
DANGER
X-rays
When performing the following tests, be sure to observe the radiation
protection regulations applicable in your country (see Operating
Instructions).
DANGER
X-rays
"Radiation" is signaled by the message "X-RAY active!", a beep, and an
X-ray LED.
NOTICE
Risk of damage to boards
Please observe the usual precautionary measures for handling printed
circuit boards (ESD). Touch a ground point to discharge static electricity
before touching any boards.
IMPORTANT
It is essential that you also observe the notes about the operation of the
unit in the Operating Instructions.
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Sirona Dental Systems GmbH 2 Operation notes
2 Operation notes
Nominal line voltage The unit operates in the following nominal line voltage ranges:
● 200 – 240 V
● 50/60Hz
The permissible line voltage fluctuation is ±10%.
The internal line impedance must not exceed 0.8 Ω.
Only permanent electrical connection of the unit is allowed.
IMPORTANT
The regulation "Federal Performance Standard for Diagnostic X-ray
Units, Code of Federal Regulations, Title 21 CFR, Subchapter J"
requires a corresponding power supply connection.
Cooling period The cooling period between two exposures is maintained by an automatic
exposure blocking function according to the pulse/pause ratio (see
Operating Instructions). The decrementing waiting time count is displayed
on the control panel.
Measurements Always switch the unit off before connecting a measuring instrument.
For safety reasons, the power supply should be switched off at the
junction box of the building installation when performing measurements
in the vicinity of the power supply unit.
Select the correct current/voltage type and adjust the measuring range to
match the expected readings.
Perform continuity tests only on units which are switched off.
If several exposures with radiation must be taken to check a
measurement, make sure that the prescribed cool-down intervals are
observed. They are maintained by an automatic exposure blocking
function (see Operating Instructions).
The pulse/pause ratio is 1:20, i.e. a 20-second pause is maintained for
each second of radiation cycle. The pulse/pause ratio is automatically
maintained (automatic exposure blocking).
It is essential that you observe the radiation protection regulations
applicable in your country prior to radiation release.
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3 Auxiliary devices required Sirona Dental Systems GmbH
3 Auxiliary devices required

Digital multimeter USA
CAUTION
Only use a battery-operated digital multimeter with safety sockets.
It is essential that you observe the safety and operating notes provided
in the operating instructions of the multimeter.
● Battery-operated digital multimeter of type:

– Fluke 8000 A
– Philips PM 2816 rms
– or similar
Dosimeter USA
CAUTION
It is essential that you observe the safety and operating notes provided
in the operating instructions of the dosimeter.
● Dosimeter for pulsed radiation of type:

– Mult-O-Meter 512L
– or similar
Measuring wires
CAUTION
Use exclusively fully insulated measuring wires.
Check the measuring wires for damages before use.
● Measuring wires with the following properties:

– dielectric strength > 1000V
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Sirona Dental Systems GmbH 4 Visual check
4 Visual check
● Check for mechanical damage that could affect radiation protection.

● Check that all labels are attached and legible.
– Damaged/imperfect labels must be replaced.
You can order them in writing from Sirona (see back page for
address),
stating the following:
– Customer's name
– Customer's address
● Check to see whether all model numbers and serial numbers must
still be legible on the unit so that it can be identified.
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5 Optical and acoustic signals Sirona Dental Systems GmbH
5 Optical and acoustic signals
1. Turn the main switch (A) to position I.

XG 3D optical and acoustic signals
ª The X-Ray radiation indicator C lights up briefly.

A B
ª After approx. 2 seconds, the green LED B in the upper part of the
control panel lights up. This LED remains lit as long as the unit is
on.
ª The start screen appears on the touchscreen of the Easypad and
the initialization of the device starts running (for approx. 1
C minute). The rotating element rotates briefly clockwise and
counterclockwise. The diaphragm moves into position. The
forehead and temple supports on the panoramic unit open and
close and then stop moving in fully opened position.
2. Check the function of the keys.
ª Press a height-adjustment key. The movement of the height-
adjustment motor is accompanied by an acoustic signal.
ª Press the keys for adjusting the forehead support and the temple
support. If the keys are working correctly, the supports stop
automatically when they come into contact with the patient's
head.
ª If Remote has been installed, test the buttons and the display of
the remote unit, too.
ª The release button must not be defective or damaged.
See also the Operating Instructions, in the Operation section.
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Sirona Dental Systems GmbH 5 Optical and acoustic signals
Maintenance Instructions ORTHOPHOS SL 2D / 3D 5.1 Checking the function of keys and buttons
5.1 Checking the function of keys and buttons

Radiation protection measures
WARNING
The unit emits X-ray radiation.
Excess exposure to X-rays is detrimental to health.
➢ Use the prescribed accessories for radiation protection.
➢ Do not stay in the X-ray room during exposure. Move as far away
from the unit as the coiled cable for the release button allows you to.
✔ "Unit ON" LED display C lights up. Press the R key D to move the unit
to the starting position. As long as no connection has been made to
A SIDEXIS, the message is displayed in the comment line of the control
panel on the "Switch SIDEXIS to ready for exposure state"
touchscreen.
1. Switch on the PC.
2. Start SIDEXIS (see SIDEXIS user manual).
B C For further information and possible error messages, see Operating
Instructions.
3. Use the -/+ keys to select a program E.
4. In the sub menu F, select a kV/mA combination with the -/+ keys.
5. Check whether the patient symbols on the touchscreen can be
selected in exactly the right position.
If problems occur during selection, adjust the touchscreen).
6. Press release button (A) and hold it down until the end of the
Ready for exposure
exposure.
ª The exposure is released. "Exposure is performed" Appears in
the comment line on the touchscreen.
D E F
During radiation, the optical radiation indicator (B) lights up on the
Easypad; during radiation, an acoustic signal is also emitted.
Radiation can be triggered multiple times during exposure.
When the rotation and radiation switch off automatically, the
exposure is complete.
7. Let go of release button (A).
ª The exposure is completed.
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5 Optical and acoustic signals Sirona Dental Systems GmbH
5.1 Checking the function of keys and buttons Maintenance Instructions ORTHOPHOS SL 2D / 3D
8. Cancel exposure - Check deadman function

Select the same exposure parameters.
The operational readiness LED B flashes until the automatic cooling-
off period of the X-ray tube assembly has expired (automatic
exposure block).
9. Press the release button A.
10. Let go of the exposure release button.
ª The exposure is immediately terminated.
The confirmation of the exposure data is displayed on the
touchscreen. The radiation time and the area dose product (the
lower two values) flash. In this way, an exposure that has been
triggered can be canceled again at any time.
CAUTION
Defective indicators and keys represent a risk to the safety of both the
patient and the operator.
The user is not permitted to operate the unit until the necessary repairs
have been made.
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Sirona Dental Systems GmbH 6 Checking the power supply connection
6 Checking the power supply connection

To check the line voltage, the line voltage drop must be determined while
creating an X-ray. To do this, proceed as follows:
Preparing the measurement
1. DANGER! After disconnecting the unit from the junction box of the
building installation, wait at least 1 minute before starting to check the
line voltage!
Disconnect the unit from the junction box of the building installation.
2. Remove the "Bottom profile" cover (see Service Manual).
K1
300VAC
K1
3. CAUTION! Only use fully insulated measuring wires.

Connect the measuring wires as shown in the illustration to the
connectors L and N of the power supply terminal K1.
4. On the multimeter, select the voltage measuring range "300 VAC".
5. Re-attach the unit to the junction box of the building installation.
6. DANGER! Do not touch any live components!
Set the main switch (A) to I (see also Operating Instructions).
7. Wait for approx. 1 minute.
8. Press the R key.
ª The unit moves to its starting position.
Performing and analyzing a measurement
1. Set the highest kV/mA level, e.g. 90kV/12mA (see Operating

Instructions).
2. Make ready for exposure in SIDEXIS.
3. CAUTION! Activating the release button triggers X-rays.
Activate the release button and take the voltage drop reading on the
multimeter display.
ª If the measured voltage drop does not fall within the permissible
tolerance range (see the following table), notify the customer that
a suitable line voltage (according to the notes listed in the
Installation Requirements) must be installed.
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6 Checking the power supply connection Sirona Dental Systems GmbH
IMPORTANT
In such a case, the unit must be switched off immediately and
disconnected from the junction box of the building installation. It must
not be placed in operation!
ª If the measured voltage drop falls within the permissible

tolerance range (see the following table), finalize the
measurement.
Permissible voltage drop:
Line voltage, with zero load Max. permissible

line voltage drop
180-208 V 9V
208-230 V 8V
230-240 V 7.5 V
240-264 V 7V
Concluding the measurement
1. Switch the unit on via switch (A) (see also Operating Instructions).
2. Disconnect the unit from the junction box of the building installation.
3. DANGER! Wait at least 1 minute after disconnecting the unit from the
junction box of the building installation before removing the
measuring wires!
Remove the measuring units from the unit.
4. Re-attach the "Bottom profile" cover to the unit.
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Sirona Dental Systems GmbH 7 Checking the tube current
7 Checking the tube current

NOTICE
Damage to the measuring unit
The ring assembly and the tube assembly move during the
measurement.
Make sure that the measuring wires are sufficiently long to allow for the
ring movement and that the measuring unit is in a secure position so that
it will not fall down.
1. Switch off the unit (see Operating Instructions).

DANGER! After switching off the unit, wait at least 4 minutes (LED
V500 on the DX6 must no longer be on) before removing the cover
on the tube assembly.
2. Loosen the screw (D) and remove the lid of the tube assembly cover
D (E).
3. Loosen the 4 screws (F) and remove the cover plate (G).
F
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7 Checking the tube current Sirona Dental Systems GmbH
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Sirona Dental Systems GmbH 7 Checking the tube current
4. DANGER! After switching off the unit, wait at least 4 minutes (LED
V500 on the DX6 must no longer be on) before removing jumper H
from the DX6 board.
Remove the jumper (H) from connector X302 on the DX6 board.
5. DANGER! Only use fully insulated measuring wires.
Connect the digital multimeter with the measuring wires to test points
MA- (X5-) and MA+ (X4+) at connector X302 on the DX6 board.
6. On the multimeter, select the current measuring range 20mA DC.
7. NOTICE! If the lid of the tube assembly cover is not attached, the ring
D circulation is impeded and the unit can be damaged.
Temporarily install the lid of the tube assembly cover (E) on the unit
using the screw (D).
8. DANGER! Do not touch any live components!
Set the main switch (A) to I (see also Operating Instructions).
E
10. Touch the R key on the touchscreen.

Performing measurements
1. Select the P1 program (see Operating Instructions).

2. Set the highest kV/mA level, 66kV/8mA (see Operating Instructions).
3. Establish readiness for exposure (see SIDEXIS 4 Operator´s
Manual).
Start the exposure by pressing the release button. Hold down the
release button until image acquisition is completed and the acoustic
signal that indicates the end of the exposure can be heard.
IMPORTANT
1 mA corresponds to a tube current of 1 mA. The permissible tolerance
is ± 20 %.
Analyzing measurements
➢ Read the voltage value on the display of the multimeter.

ª The tube current must be 8mA ± 1.6mA.
ª If the measured value is not within the permissible tolerance,
replace the tube assembly.
ª If the measured value falls within the permissible tolerance,
conclude the measurement.
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7 Checking the tube current Sirona Dental Systems GmbH
2. Loosen the screw (D) and remove the lid of the tube assembly cover
D (E).
3. DANGER! After switching off the unit, wait at least 4 minutes before
removing the measuring wires or reinserting the jumper!
Remove the measuring wires and bridge with the test points MA+/
MA- on the DX6 board again with the jumper (H).
4. Reattach the cover plate (G) to the tube assembly with the 4 screws
F (F).
5. Reattach the lid of the tube assembly cover (E) to the unit and secure
D it with the screw (D).
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Sirona Dental Systems GmbH 8 Checking the tube voltage
8 Checking the tube voltage

1. Attach the Mult-O-Meter sensor in the middle of the sensor (on 2D

sensor side).
2. Set the main switch (A) to I (see also Operating Instructions).
A

1. Select the P1 program (see Operating Instructions).

2. Set the kV/mA level 63kV/8 mA (see Operating Instructions).
3. Establish readiness for exposure (see SIDEXIS 4 Operator´s
Manual).
➢ Read the voltage values on the display of the Mult-O-Meter.
IMPORTANT
The measured tube voltage must correspond with the tube voltage set
of 63kV. The permissible tolerance is ± 10 %.
ª If the measured values are not within the permissible tolerance

range, replace the tube assembly.
ª If the measured values are within the permissible tolerance
range, finalize the measurement.
➢ Switch the unit on via switch (A) (see also Operating Instructions).
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9 Checking the radiation time Sirona Dental Systems GmbH
9 Checking the radiation time

1. Attach the Mult-O-Meter sensor in the middle of the combisensor (on

2D sensor side).
A 2. Set the main switch (A) to I (see also Operating Instructions).
4. Press the R key.
5. Call the Service menu and the Service routine S002.3 (see Service
Manual).
6. Use the arrow keys (A) in selection field 1 to select the kV/mA level
60 kV/8 mA.
7. Use the arrow keys (A) in selection field 2 to select the radiation time
0.5 s.
➢ Initiate the radiation. Hold the release button pressed until the set
radiation time has expired.
➢ Read the radiation time on the Mult-O-Meter.

ª The value for the radiation time displayed on the Mult-O-Meter
must correspond to the radiation time of 0.5s selected in the
service routine. The permissible tolerance is ± 10 %.
ª If the measured radiation time does not fall within the permissible
tolerance, replace the tube assembly (see Service Manual).
ª If the measured radiation time falls within the permissible
tolerance, finalize the measurement.
1. Exit the service routine.

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Sirona Dental Systems GmbH 10 Checking the laser light localizers
10 Checking the laser light localizers

CAUTION
Risk of injury to eyes.
The unit contains lasers of Class 1.
Keep a distance of at least 4" (10 cm) between eye and laser. Do not
look into the laser beam.
Checking the laser light localizers
Preparing the test
1. Insert the forehead and temple supports.

2. Set the main switch (A) to I (see also Operating Instructions).

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10 Checking the laser light localizers Sirona Dental Systems GmbH
Checking the PAN laser beam
1. Affix a piece of white cardboard between the temple supports.

2. Rotate the mirror by pressing into the left depression (D) of the
toolbar.
3. Touch the light localizer key (E) on the touchscreen.
G
ª The light localizers are switched on.
ª The laser beam is displayed on the cardboard by a red line.
D
ª The vertical laser beam (G) must be displayed in the center of the
forehead support and the bite block holder. If this is not the case,
adjust the laser light localizer.
E
ª The horizontal laser beam must be displayed horizontally. If this
is not the case, adjust the laser light localizer.
4. Press on the light localizer key again.
ª The light localizer is switched back off again.
Checking the 3D laser beam
1. Touch the 3D symbol at the top of the touchscreen.

A B C
ª The 3D program group is selected.
2. Select the exposure program. Press the arrow keys + (C) and - (A).
ª The exposure program is displayed in the program display (B).
Select region of exposure

ª The diaphragm and the sensor move into the starting position for
volume exposures.
4. Touch the light localizer key on the touchscreen.

ª The light localizers are switched on.
ª Depending on a preselected program and collimation, the light
beams show the upper and lower edges of the volume.
VOL1 Volume exposure with a diameter of approx. 8 cm and a

height of approx. 8 cm or 5.5 cm collimated.
VOL1 HD
VOL2 Volume exposure with a diameter of about 5 cm and a
height of about 5.5 cm for upper or lower mandible
VOL2 HD
VOL3 Volume exposure with a diameter of about 11 cm and a
height of about 10 cm or selection of upper quadrant
VOL3 HD
collimated to 7.5 cm and selection lower quadrant
collimated to 8.0 cm
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Sirona Dental Systems GmbH 10 Checking the laser light localizers
1. Select the different volume programs one after the other with different
collimations and measure the distance of the light beams.
ª Minimum and maximum distances apply between the laser
localizers.
ª Replace any light localizer that does not respond as desired.
Checking the horizontal laser beam ceph (FH)
Tip: When checking or adjusting the light localizer, you may use a PA or
AP position on the ear plugs to assess the light beam.
1. Touch the light localizer key (B) on the touchscreen.
B ª The light localizers are switched on.
2. Check the position of the horizontal laser beam at the ceph.
ª The laser beam must run horizontally at the level of the ear plug
position between the template supports. If this is not the case,
adjust the laser localizer.
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11 Test exposures/Test images Sirona Dental Systems GmbH
11 Test exposures/Test images

The 2D/3D test exposures and test images are used for fast checking of
the unit adjustment/calibration.
"Control exposures" menu

The following test exposures are available:
2D test exposures ● "Pan - diaphragm control exposure"
● "Pan - symmetrie control exposure"
● "Pan - quality control exposure"
● "Pan - test image"
● "Pan - dark current exposure"
Additionally for units with cephalometer:
● "Ceph - secondary diaphragm"
● "Ceph - quality control exposure"
● "Ceph - test image"
3D test exposures ● "Diaphragm control exposure (open)"
3D DHHS test exposures
● "Diaphragm control exposure (standard)"

● "Quality control exposure Sirona"
● "Test image"
● "Dose measurement Sirona"
● "Quality control 21CFR 1020.33"
The menu can be called up without a service password, so test exposures
can thus be performed by the user as well.
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Sirona Dental Systems GmbH 11 Test exposures/Test images
Maintenance Instructions ORTHOPHOS SL 2D / 3D 11.1 Calling "Test exposures" menu
11.1 Calling "Test exposures" menu

✔ SIDEXIS 4 is installed.
1. Start SIDEXIS 4.
2. In SIDEXIS 4, call the "ORTHOPHOS SL" /"Quality assurance"
configuration menu.
Configuration menu "ORTHOPHOS SL" /"Quality assurance"

3. Select the desired X-ray component from the unit list.
4. Click on the "Control exposures" button.
ª The "Control exposures" menu is started.
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11.2 2D test exposures Maintenance Instructions ORTHOPHOS SL 2D / 3D
11.2 2D test exposures

11.2.1 Pan - diaphragm test exposure (2D)
You can use the "Pan - diaphragm control exposure" to check the
adjustment of the Pan - diaphragm adjustment.
1. Call up the "Control exposures" menu [ → 23].
2. Select the "Pan - diaphragm control exposure" element in the
structure tree under "2D control exposures" .
ª In the action area, the menu appears to create the "Pan -
diaphragm control exposure" .
3. Click on the "Start acquisition" button.

ª Exposure readiness is established. A dialog window displays the
status of readiness to exposure.
ª The service routine used for the corresponding exposure is
displayed on the control panel, along with the specific exposure
parameters.
4. Press the release button. Press and hold down the button until the
exposure is complete, the preview image is displayed in the exposure
window, and the acoustic signal that indicates the end of the
exposure (double beep) sounds (if configured).
ª The exposure is displayed in the exposure window.
For notes on evaluating the exposure, refer to the section "Unit
adjustment and calibration"/"Pan aperture adjustment".
See service manual.
Reference to service manual
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Maintenance Instructions ORTHOPHOS SL 2D / 3D 11.2 2D test exposures
11.2.2 Pan - Symmetrical test exposure (2D)

You can use the "Pan - symmetrie control exposure" to check the
adjustment of the Pan - symmetry adjustment.
1. Insert the needle phantom into the bite block holder of the unit.
2. Call up the menu "Control exposures" [ → 23].
3. Select the "Pan - symmetrie control exposure" element in the
ª In the action area, the menu appears to create the "Pan -
symmetrie control exposure" .

parameters.
adjustment and calibration"/"Pan symmetry adjustment".
6. Remove the needle phantom again.
See service manual.
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11.2.3 Pan - quality test exposure (2D)

You can use the "Pan - quality control exposure" to create a panoramic
exposure with full rotation. This function enables you to simulate a quality
test, for example, in a similar way to an acceptance/constancy test.
1. Insert the needle phantom (A) into the bite block holder.
2. Plug the contrast element (B) into the slot on the needle phantom
provided for that purpose.
NOTICE
The aluminum plate of the contrast element must be facing away from
the column of the unit.
Do not attach any additional aluminum plate to the unit.
3. Press the R key.

4. Call the "Control exposures" menu [ → 23].
5. In the structure tree, under "2D control exposures" , select the "Pan
- quality control exposure" element.
ª The menu for creating the "Pan - quality control exposure"
appears in the action window.
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parameters.
exposure (double beep) sounds (if it has been configured).
For notes on evaluating the exposure, refer to the technical
documentation for acceptance/constancy testing.
8. Remove the needle phantom again with the constancy test phantom.
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11.2.4 Pan - test image (2D)

You can use the "Pan - test image" menu to check the 2D data path of
the unit and the operability of the DCS sensor.
2. Select the "Pan - test image" element in the structure tree under "2D
control exposures" .
ª The menu for creating the test image appears in the action
window.

parameters.
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See below for reference image.
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11.2.5 Pan - dark current exposure (2D)

You can use the "Pan - dark current exposure" menu to check the DCS
sensor and the data path.
2. Select the "Pan - dark current exposure" element in the structure tree
under "2D control exposures" .
ª The menu for creating the "Pan - dark current exposure" appears
in the action window.

parameters.
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11.2.6 Ceph - secondary diaphragm (2D)

You can use the "Ceph - secondary diaphragm" menu to check the
adjustment of the Ceph secondary diaphragm.
2. Select the "Ceph - secondary diaphragm" element in the structure
tree under "2D control exposures" .
ª In the action area, the menu appears to create the exposure for
the "Ceph - secondary diaphragm" .

parameters.
adjustment and calibration"/"Adjustment of the ceph secondary
diaphragm".
See service manual.
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11.2.7 Ceph - quality test exposure (2D)

You can use the "Ceph - quality control exposure" to create a Ceph
exposure with full rotation. This function enables you to simulate a quality
test, for example, in a similar way to an acceptance/constancy test.
✔ No needle phantom is inserted into the bite block of the unit.
✔ The Ceph sensor is inserted in the sensor holder of the
cephalometer.
1. Open the ear plug holders completely.
2. Turn the ear plug holders so that one ear plug is directly in front of the
image receptor.
3. Fold up the nose support.
4. Fit the contrast element (A) with its hole onto the ear plug.
NOTICE
The aluminum plate of the contrast element must face the X-ray tube
assembly.
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5. Secure the contrast element using a hygienic cap.
6. Attach the ceph test phantom to the clip provided for that purpose.
7. Push the ceph test phantom with the clip from below on to the
secondary diaphragm of the ceph arm.
IMPORTANT
The clip must engage into the opening on the secondary diaphragm
provided for that purpose.
8. Press the R key.

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9. Call the "Control exposures" menu [ → 23].

10. In the structure tree, under "2D control exposures" , select the "Ceph
- quality control exposure" element.
ª In the action area, the menu appears to create the "Ceph - quality
control exposure" .

parameters.
For notes on evaluating the exposure, refer to the technical
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11.2.8 Ceph - test image (2D)

You can use the "Ceph - test image" menu to check the 2D data path of
the unit and the operability of the Ceph sensor.
2. Select the "Ceph - test image" element in the structure tree under
"2D control exposures" .
ª The menu for creating the test image appears in the action area.

parameters.
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11.3 3D test exposures

11.3.1 Diaphragm test exposure (open) (3D)
You can use the "Diaphragm control exposure (open)" to check the
adjustment of the 3D diaphragm for overexposure when the diaphragm is
open.
2. Select the "Diaphragm control exposure (open)" element in the
ª In the action area, the menu appears to create the "Diaphragm
control exposure (open)" .

parameters.
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No foreign bodies may appear on the image.
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11.3.2 Diaphragm test exposure (collimated) (3D)

You can use the "Diaphragm control exposure (collimated)" to adjust the
Pan diaphragm with reduced diaphragm opening (to check dose waste
on all sides).
2. Select the "Diaphragm control exposure (collimated)" element in the
control exposure (collimated)" .

parameters.
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11.3.3 Diaphragm test exposure (standard) (3D)

You can use the "Diaphragm control exposure (standard)" to check the
adjustment of the original 3D diaphragm to check the circulating edge.
2. Select the "Diaphragm control exposure (standard)" element in the
control exposure (standard)" .

parameters.
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The diaphragm is correctly adjusted if a black surrounding edge can be

detected.
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11.3.4 Quality test exposure (3D)

You can use the "Quality control exposure Sirona" to create a volume
exposure with a full rotation. This function enables you to simulate a
quality test, for example, in a similar way to an acceptance/constancy
test.
1. Insert the constancy test phantom (A) into the bite block of the unit.
2. Call menu "Control exposures" [ → 23].
A
3. In the structure tree, under "3D control exposures" , select the
"Quality control exposure Sirona" element.
ª In the action area, the menu appears for creating the "Quality
control exposure Sirona" .

parameters.
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For notes on the evaluation of the exposure, refer to technical
6. Remove the test phantom again.
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11.3.5 Test image (3D)

You can use the "Test image" menu to check the 3D data path of the unit
and the operability of the flat panel detector.
2. Select the "Test image" element in the structure tree under "3D
control exposures" .
ª In the action area, the menu appears to create the "Test image" .

parameters.
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11.3.6 Dosimetry (3D)

A dosimeter for pulsed radiation (e.g. Mult-O-Meter 512L) is required for
dosimetry.
You can use the "Dose measurement Sirona" menu to perform dosimetry
independently of the unit adjustment or calibration.
1. Attach the Mult-O-Meter sensor in the middle of the sensor unit.
2. Select a program from the 3D program group on the control panel.
ª The unit moves to the 3D exposure position.
4. Select the "Dose measurement Sirona" element in the structure tree
under "3D control exposures" .
ª In the action area, the menu appears to create the "Dose
measurement Sirona" .

parameters.
7. Read off the dose from the Mult-O-Meter. The dose value must be
between 1.2 and 2.3 mGy.
8. Remove the Mult-O-Meter from the sensor unit again.
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11.3.7 Quality control 21CFR 1020.33 (3D)

✔ The Quality Assurance Tool evaluates the performance of
ORTHOPHOS SL as per 21CFR1020.33.
✔ The Quality Assurance Tool must be installed on the computer.
✔ An exposure must be performed with the constancy test phantom in
patient mode.
1. Insert the constancy test phantom (A) into the bite block of the unit.
2. Set the exposure parameters on the Easypad: Program VOL1,
A
HDOFF, front tooth region, Patient 2 (85 kV/ 7 mA)
3. Establish exposure readiness in SIDEXIS (see SIDEXIS 4 Operator´s
Manual).
5. Start the Quality Assurance Tool as described in the installation
instructions.
6. Select the folder in which the exposure with the constancy test
phantom is saved.
7. Adapt the output directory as required.
8. Press Compute to start the performance evaluation.
ª After the calculation, the quality values noise, contrast scale, MTF10,
MTF50, mean CT number, and the modulation transfer function are
displayed. Values which breach the limits are displayed in red. The
results of the Quality Assurance Tool are saved in the output
directory.
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2 Operation notes ....................................................................................................... 5

3 Auxiliary devices required........................................................................................ 6

4 Visual check ............................................................................................................ 7

5 Optical and acoustic signals .................................................................................... 8

6 Checking the power supply connection ................................................................... 11

7 Checking the tube current ....................................................................................... 13

8 Checking the tube voltage ....................................................................................... 17

9 Checking the radiation time ..................................................................................... 18

10 Checking the laser light localizers ........................................................................... 19

11 Test exposures/Test images ................................................................................... 22

Yearly maintenance checklist .................................................................................. #?

3 Auxiliary devices required

● Battery-operated digital multimeter of type:

● Dosimeter for pulsed radiation of type:

● Measuring wires with the following properties:

● Check for mechanical damage that could affect radiation protection.

5 Optical and acoustic signals

1. Turn the main switch (A) to position I.

ª The X-Ray radiation indicator C lights up briefly.

5.1 Checking the function of keys and buttons

8. Cancel exposure - Check deadman function

6 Checking the power supply connection

Preparing the measurement

3. CAUTION! Only use fully insulated measuring wires.

Performing and analyzing a measurement

1. Set the highest kV/mA level, e.g. 90kV/12mA (see Operating

ª If the measured voltage drop falls within the permissible

Line voltage, with zero load Max. permissible

Concluding the measurement

7 Checking the tube current

Preparing the measurement

1. Switch off the unit (see Operating Instructions).

10. Touch the R key on the touchscreen.

1. Select the P1 program (see Operating Instructions).

➢ Read the voltage value on the display of the multimeter.

Concluding the measurement

8 Checking the tube voltage

1. Attach the Mult-O-Meter sensor in the middle of the sensor (on 2D

4. Touch the R key on the touchscreen.

1. Select the P1 program (see Operating Instructions).

➢ Read the voltage values on the display of the Mult-O-Meter.

ª If the measured values are not within the permissible tolerance

Concluding the measurement

9 Checking the radiation time

1. Attach the Mult-O-Meter sensor in the middle of the combisensor (on

➢ Read the radiation time on the Mult-O-Meter.

Concluding the measurement

1. Exit the service routine.

10 Checking the laser light localizers

Checking the laser light localizers

Preparing the test

1. Insert the forehead and temple supports.

4. Touch the R key on the touchscreen.

Checking the PAN laser beam

1. Affix a piece of white cardboard between the temple supports.

Checking the 3D laser beam

1. Touch the 3D symbol at the top of the touchscreen.

Select region of exposure