Orthophos 3 Ceph PDF

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General Notes Sirona Dental Systems GmbH
Operating Instructions ORTHOPHOS 3 Ceph
General Notes
Dear Customer Thank you for purchasing your new Sirona X-ray unit
ORTHOPHOS® 3 Ceph for tele-radiography.
For this unit we have provided you with a set of techni-
cal literature: Operating Instructions, Installation
Instructions, Installation Report / Warranty Passport,
Wiring References, Pre-Installation, Dimensions,
Technical Data.
Keep this literature for quick and easy reference.
This document is the “Cephalometry” supplement.
Please take the“ORTHOPHOS 3 Operating
Instructions” into account also, as well as the
Warnings and Safety Notes included therein.
Ihr
ORTHOPHOS - Team
Maintenance To ensure the safety of the patient, the operators and

third parties, equipment inspections and maintenance
work must be carried out at specified intervals in order to
guarantee the operational safety and functional reliability
of your product.
It is the responsibility of the operator to ensure that the

inspections and maintenance work are carried out.
In the event that the operator fails to fulfil the obligation

to carry out inspections and maintenance work or
ignores error messages, Sirona Dental Systems GmbH
or their contracted dealer cannot assume liability for any
damage attributable to this.
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Sirona Dental Systems GmbH List of Contents
List of Contents
1 Technical Description ................................................................................................. 5

1.1 Technical Data.................................................................................................................................. 5
2 Operating Controls and Displays .............................................................................. 6

2.1 Unit ................................................................................................................................................... 6
2.2 Multitimer .......................................................................................................................................... 7
2.3 Operating Controls and Scales on Cephalometer ............................................................................ 8
3 Accessories ................................................................................................................. 9
3.1 Accessories for Cephalometer.......................................................................................................... 9
3.2 Adjusting Film ................................................................................................................................... 9
båÖäáëÜ
4 Operation ..................................................................................................................... 10
4.1 Preparing the Tele-Exposure............................................................................................................ 10
4.2 Positioning the Patient for Tele-Exposures....................................................................................... 12
4.3 Releasing the Tele-Exposure ........................................................................................................... 15
5 Programming the Tele-Exposure............................................................................... 16

5.1 Programming Procedure................................................................................................................... 16
5.2 Changing the Film Density................................................................................................................ 16
6 Program Values – Tele-Radiography......................................................................... 17

6.1 Program Values – Tele-Radiography world-wide
(except USA and Asia) ..................................................................................................................... 17
6.2 Program Values – Tele-Radiography USA ....................................................................................... 18
6.3 Program Values – Tele-Radiography Asia ....................................................................................... 19
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Sirona Dental Systems GmbH 1 Technical Description
Operating Instructions ORTHOPHOS 3 Ceph 1.1 Technical Data
1 Technical Description
1.1 Technical Data
Exposure times tele-exposure: 0,1 – 4,00s
Automatic Exposure Blockage: The duration of the exposure blockage (cool-off period)
depends on the kV/mA step set and the actually triggered
radiation time. Depending on the tube load, pause times up
to 200s are set automatically.
Example: For tele-exposure with exposure data 78kV/10mA
and exposure time 0.8s a cool-down time of 8s is observed.
Source - Image receptor distance: Ceph 1660mm
Cassette format:
Ceph 18cm x 24cm (7" x 10")
båÖäáëÜ
24cm x 30cm (10" x 12")
USA/CANADA/ 8" x 10"
Corea 10" x 8"
Diaphragm must fit to cassette.
ORTHOPHOS 3 Ceph has been inspected by the

VDE Testing and Certification Institute for compli-
ance with EN 60601-1, EN 60601-2-28 and EN
60601-1-3 and has been found to comply with these
regulations.
Original language German
This product is provided with a CE marking in
accordance with the regulations stated in the Directive
93/42/EEC of June 14, 1993 concerning medical
products.
0123
Reg. No.: China

SFDA (I) 20053301583
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2 Operating Controls and Displays Sirona Dental Systems GmbH
2.1 Unit Operating Instructions ORTHOPHOS 3 Ceph
2 Operating Controls and Displays

2.1 Unit
1 Main switch
2 Patient positioning mirror
4 3 2
10 3 Head holder with adjusting knob for temple supports
9
4 Cassette holder with carriage
5 Diaphragm
6 Diaphragm wheel with locking button
7 Height adjustment buttons
Additional function: key ↑ switches light localizer on
1 8 Return key
9 Height adjustment
Light localizer horizontal light beam FH
10 Light localizer central light beam
11 Multitimer
7 8 56
11
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Sirona Dental Systems GmbH 2 Operating Controls and Displays
Operating Instructions ORTHOPHOS 3 Ceph 2.2 Multitimer
2.2 Multitimer
Unit ON” LED
Radiation present indicator
P I Exposure key
66
I0 P I Digital display for exposure program/
exposure time with – + buttons for exposure
II.3 programs. Exposure time for tele-radiography
66 Digital display for kV/mA paired values

with – + keys for overriding kV values
I0
båÖäáëÜ
Patient symbol keys with
programmed kV/mA and s values
Memory program key,

kV/mA values, exposure time s for tele-radiography
Key with service function
Rotation test key T

without radiation
Return key R
The LED blinks when the system is not ready.
0.40 c s C indicates Ceph-mode
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2 Operating Controls and Displays Sirona Dental Systems GmbH
2.3 Operating Controls and Scales on Cephalometer Operating Instructions ORTHOPHOS 3 Ceph
2.3 Operating Controls and Scales on Cephalometer

20 Retention screw for nose support
20 21 21 Swivel lock
22 Cassette holder
23 Cassette stops
24 Nose support position scale, vertical
25 Projection scale
26 Nose support position scale, horizontal
27 Ear olives with holders
28 Film cassette for tele-radiography
Reproducibility of Tele-Exposures
After positioning the patient, note the values of the
readings on the cephalometer scales to assure
examination reproducibility.
Enlargement of Lateral Projections

With this technique a metal scale (25) integrated into the
22 23 24 25 26 27 nose support appears on the radiograph.
Using this scale it is possible to accurately measure the
enlargement ratio in the central plane.
60 70 80 90 100
28 1
0
10
20
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Sirona Dental Systems GmbH 3 Accessories
Operating Instructions ORTHOPHOS 3 Ceph 3.1 Accessories for Cephalometer
3 Accessories
3.1 Accessories for Cephalometer
Protective caps U for ear olives can be sterilized. *.
Sterilize only in an autoclave at 135°C, 2.1bar
(275°F, 29.8PSI).
Ear olive holders W may be disinfected with petroleum
ether.
We recommend that you attach hygienic protective
covers before each exposure.
W
Table 1: For orders:
båÖäáëÜ
Designation Amount Dimen- REF
[pcs.] sions
[mm]
U* For ear olives, 20 89 32 261

non-disposable
U* V For nose 100 39x30 33 14 106

135°C support,
275°F disposable
VU*
3.2 Adjusting Film

The supplied adjusting film is needed for the
maintenance and/or service and must remain with the
0 unit.
lllllllllll
ACHTUNG Adjusting film for tele-exposures

..............
................... Order No. 33 13 512
IMPORTANT
.............
................
ATTENTION
.............
................
IMPORTANTE
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4 Operation Sirona Dental Systems GmbH
4.1 Preparing the Tele-Exposure Operating Instructions ORTHOPHOS 3 Ceph
4 Operation
4.1 Preparing the Tele-Exposure
Loading the Film Cassette

Treat film cassette and intensifying screens with care to
avoid scratching screen or denting the cassette housing.
Opening the cassette:
Push locks A in direction of arrow.
Lift cover with tab B. Place film in cassette.
Closing the cassette:
Press cover down evenly until it locks into place.
1. Switching the Unit ON

The unit adjusts itself automatically.
2. Selecting the Ceph Function
by adjusting diaphragm No. 3 or 4.
3. No. 3, asymmetrical A, for lateral projection, or
No. 4, symmetrical S, for a.p., p.a. and carpus
exposures.
Adjust diaphragm:
by pressing locking button and turning diaphragm wheel
up to stop. The diaphragm number appears in the upper
right corner of the diaphragm.
2. The C display above s on the Multitimer illuminates. The

kV/mA and s exposure parameters of the last
tele-exposure taken appear.
1. 4. The LED above the R key on the Multitimer blinks.
3. Panorama Cassette Holder
Swing holder out of x-ray path (or remove image
receptor from the holder for panoramic radiographs).
Remove bite block. Close temple supports fully.
4. Move X-Ray Tube
c
0.64 s
into tele-exposure position by pressing one of the R
keys(4.).
74 The LED over return key R extinguishes.
I0 c
The unit is ready for the tele-exposure.
s
ATTENTION
Should this LED go on blinking, call up the help massage
H3 to look for the reason.
4. Procedure see list of Help Massages H3 attached to the
unit.
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Sirona Dental Systems GmbH 4 Operation
Operating Instructions ORTHOPHOS 3 Ceph 4.1 Preparing the Tele-Exposure
Preparing the Cephalometer

1. Nose rest
Hold at the top front, pull out up to stop and swing
away to the side.
3.
2. Cassette holder
Front cassette stop
1. A = asymmetric, for lateral projections.
Back cassette stop

A S S = symmetric, for a.p., p.a, or carpus exposures.
3. Ear olive holder
Hold at top and push out to side.
2.
båÖäáëÜ
The cephalometer can be rotated.
The rotational apparatus locks in the 0°, 45° (turning to
the right) and 90° position.
21 0° position is for lateral exposures.
A For adjustment:
the swivel lock (21) has to be released first.
mm
• 3 In addition to lateral projections also a.p. and p.a.
•120 projections, carpus and other special exposures are
•110 possible.
•100
• 90 A = asymmetric, for lateral projections.
• 80
Diaphragm No 3 with soft-tissue filter
• 70
• 60
S = symmetric, for a.p., p.a., or carpus exposures.

Diaphragm No.4
For normal symmetric exposures set the rotational
apparatus of the cephalometer to the 90° position.
S
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4.2 Positioning the Patient for Tele-Exposures Operating Instructions ORTHOPHOS 3 Ceph
4.2 Positioning the Patient for Tele-Exposures

• Have the patient remove all metallic objects, such
as glasses and jewelry, from the head and neck
regions. Should the patient have removable
dentures, have him take them out.
• Ask patient to stand or sit under cephalometer.
• Press buttons ↑ or ↓ on unit to adjust cephalometer
until both ear olives are at same height as external
auditory canals.
• Introduce ear olives into external auditory canals.

Hold at top of holders.
• Adjust the head inclination in accordance with the
Frankfurt Horizontal line FH.
• Slightly loosen retention screw (20) of nose support.

• Pull down nose support.
70
• Adjust nose support to same height as root of nose
and press to root of nose.
20 Hold nose support at the marking on top front (70
on scale).
• Retighten retention screw.
i NOTE
The nose support is not required for symmetric
exposures.
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Operating Instructions ORTHOPHOS 3 Ceph 4.2 Positioning the Patient for Tele-Exposures
Scale (26) now gives a reading.

mm
60 70 80 90 100110120 • 3 • Use adjustment wheel A to set same value on
•120 soft-tissue filter of tele-radiograph diaphragm No.3
•110 (only for asymmetric exposures).
•100
26 • 90
• Special setting:
• 80 Adjust as required for attenuated or pronounced
• 70 recording of soft tissue.
• 60 For attenuated recording: set upwards
For pronounced recording: set downwards.
båÖäáëÜ
Selecting the tele-exposure data.
Briefly press one of the four program keys.
The LED above the key illuminates.
c
The corresponding programmed kV/mA values and
0.64 s exposure time s are displayed.
manuell
74 Exposure data can be manually changed as follows:
Press key + or – until the desired kV or s value is
I0 c
displayed.
s The LED over the patient symbol key does not light up in
this case.
The patient symbol keys are preprogrammed in the
factory with kV/mA and s values.
„Program Values – Tele-Radiography” on page 17.
If you want to change them, see chapter
„Programming the Tele-Exposure” on page 16
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4.2 Positioning the Patient for Tele-Exposures Operating Instructions ORTHOPHOS 3 Ceph
• Slide film cassette into cassette holder up to lateral

A 18cm x 24cm S 18cm x 24cm cassette stop, locks facing cassette holder, not pati-
24cm x 30cm ent!
Front cassette stop
A = asymmetric, for lateral projections.
70
Back cassette stop
S = symmetric, for a.p., p.a. or carpus exposures.
i NOTE
Format 10" x 8" A and 8" x 10" S only for USA/CANADA
A 10" x 8" S 8" x 10"
70
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Operating Instructions ORTHOPHOS 3 Ceph 4.3 Releasing the Tele-Exposure
4.3 Releasing the Tele-Exposure
ATTENTION
i i i Observe radiation protection guide lines.
The exposure is released by pressing down the

exposure key.
The X-ray indicator is illuminated for the duration of the
c
0.64 s exposure, accompanied by an acoustic signal.
74 The exposure ends when radiation automatically
I0 c cuts off.
s
The LED above key R on Multitimer blinks.
To take another tele-exposure, press R key first.
The LED goes out.
If no further exposures are to be made, switch unit off.
båÖäáëÜ
Interrupting an Exposure
If the exposure key is released prematurely, exposure is
interrupted.
c
0.48 s The kV/mA displays and the LED above key R blink. The
74 exposure time passed so far is displayed.
I0 c Insert a new film and press key R on Multitimer once
s
before repeating the exposure.
Automatic Exposure Bloquage

(thermal protection of the tube)
Premature releasing of the next exposure is prevented
8 c
s
by an automatic readout disable.
After pressing the release key, the running time is
c
displayed, the LED above the R key is blinking.
s
When the blinking LED extinguishes the exposure may
be released.
Example for ”Automatic Exposure Blockage”
see page 5.
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5 Programming the Tele-Exposure Sirona Dental Systems GmbH
5.1 Programming Procedure Operating Instructions ORTHOPHOS 3 Ceph
5 Programming the Tele-Exposure

5.1 Programming Procedure
The four patient symbol keys are preprogrammed with
kV/mA and s values.
The keys can be freely programmed with other values.
See „Program Values – Tele-Radiography” on page 17.
1. Adjust diaphragm 3 or 4 for ceph function. The C dis-

play above s on the Multitimer illuminates.
1. Set desired kV and s values with – + keys.
2. Press memory programming key.
The LED above the programming key blinks.
3. Press the appropriate patient symbol key.
The appropriate LED lights up.
1. The LED goes out when the values have been stored.
Programming is complete.
Enter new values in the ”Freely programmed values”

table for tele-radiography (see page 17).
c
0.64 s 2.
74 2.
I0 c
s
4.
3.
5.2 Changing the Film Density

See Operating Instructions manual ORTHOPHOS 3,
chapter ”Programming”.
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Sirona Dental Systems GmbH 6 Program Values – Tele-Radiography
6 Program Values – Tele-Radiography
a.p. and p.a. Exposures Encrease kV/mA/s-values for a.p. and p.a. exposures by
2 steps.
Radiography of Carpus Recommended value for radiography of carpus: 60kV/

10mA/0,16s.
Film and Processing Notes The programmed values apply to maximum-sensitivity

films as Kodak T-Mat G and Agfa Ortholux films in
combination with the Kodak Lanex Regular intensifying
screen.
Process according to the manufacturer's instructions of
the developing equipment and instructions on the
båÖäáëÜ
chemicals.
6.1 Program Values – Tele-Radiography world-wide

(except USA and Asia)
Intensifying Screen Kodak Lanex Regular with film
Kodak T-Mat G or Agfa Ortholux.
The differences of density resultant from film and
development tolerances may be compensated by
changing the exposure data in one step up or down.
Table 2: KIndex 30
Factory-programmed values Freely programmed values or values with

with a film density of 03 other film density: .... – please enter here –
kV 66 70 74 78 kV
mA 10 10 10 10 mA
s 0.4 0.5 0.64 0.8 s
Table 3: Possible kV/mA combinations
60 62 64 66 68 70 72 74 76 78 80 kV
10 10 10 10 10 10 10 10 10 10 10 mA
Table 4: Possible exposure times in sec.
0.10 0.12 0.16 0.20 0.25 0.32 0.40 0.50 0.64 0.80 1.00 1.20
1.60 2.00 2.50 3.20 4.00 s
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6 Program Values – Tele-Radiography Sirona Dental Systems GmbH
6.2 Program Values – Tele-Radiography USA Operating Instructions ORTHOPHOS 3 Ceph
6.2 Program Values – Tele-Radiography USA

Table 5: Index 2A

kV 66 70 74 78 kV
mA 10 10 10 10 mA
s 0.4 0.5 0.64 0.8 s
60 62 64 66 68 70 72 74 76 78 80 kV
10 10 10 10 10 10 10 10 10 10 10 mA
0.10 0.12 0.16 0.20 0.25 0.32 0.40 0.50 0.64 0.80 1.00 1.20
1.60 2.00 2.50 3.20 4.00 s
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Sirona Dental Systems GmbH 6 Program Values – Tele-Radiography
Operating Instructions ORTHOPHOS 3 Ceph 6.3 Program Values – Tele-Radiography Asia
6.3 Program Values – Tele-Radiography Asia

Table 8: Index 1A

kV 68 72 76 78 kV
båÖäáëÜ
mA 11 11 11 11 mA
s 0.4 0.5 0.64 0.8 s
60 62 64 66 68 70 72 74 76 78 80 kV
11 11 11 11 11 11 11 11 11 11 11 mA
0.10 0.12 0.16 0.20 0.25 0.32 0.40 0.50 0.64 0.80 1.00 1.20
1.60 2.00 2.50 3.20 4.00 s
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Maintenance To ensure the safety of the patient, the operators and

It is the responsibility of the operator to ensure that the

In the event that the operator fails to fulfil the obligation

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1 Technical Description ................................................................................................. 5

2 Operating Controls and Displays .............................................................................. 6

5 Programming the Tele-Exposure............................................................................... 16

6 Program Values – Tele-Radiography......................................................................... 17

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Diaphragm must fit to cassette.

ORTHOPHOS 3 Ceph has been inspected by the

Reg. No.: China

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2 Operating Controls and Displays

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Unit ON” LED

Radiation present indicator

II.3 programs. Exposure time for tele-radiography

66 Digital display for kV/mA paired values

Memory program key,

Key with service function

Rotation test key T

0.40 c s C indicates Ceph-mode

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2.3 Operating Controls and Scales on Cephalometer

Enlargement of Lateral Projections

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Table 1: For orders:

U* For ear olives, 20 89 32 261

U* V For nose 100 39x30 33 14 106

3.2 Adjusting Film

ACHTUNG Adjusting film for tele-exposures

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Loading the Film Cassette

1. Switching the Unit ON

2. The C display above s on the Multitimer illuminates. The

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Preparing the Cephalometer

Back cassette stop

S = symmetric, for a.p., p.a., or carpus exposures.

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4.2 Positioning the Patient for Tele-Exposures

• Introduce ear olives into external auditory canals.

• Slightly loosen retention screw (20) of nose support.

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Scale (26) now gives a reading.

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• Slide film cassette into cassette holder up to lateral

A 10" x 8" S 8" x 10"

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4.3 Releasing the Tele-Exposure

The exposure is released by pressing down the

Automatic Exposure Bloquage

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5 Programming the Tele-Exposure

1. Adjust diaphragm 3 or 4 for ceph function. The C dis-

Enter new values in the ”Freely programmed values”

5.2 Changing the Film Density

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6 Program Values – Tele-Radiography

Radiography of Carpus Recommended value for radiography of carpus: 60kV/