Dentsply Sirona SINIUS User manual

New as of: 08.2018
Sinius / Sinius CS / Sinius TS
Operating Instructions
English

Table of contents Dentsply Sirona
Operating Instructions Sinius
263 22 726 D3561
D3561.201.01.16.0208.2018
Table of contents
1General information ................................................................................................ 11
1.1 Dear Customer,............................................................................................ 11
1.2 Contact information...................................................................................... 11
1.3 Notes on these Operating Instructions......................................................... 12
1.3.1 General information on the operating Instructions......................... 12
1.3.2 Scope of these Operating Instructions........................................... 12
1.4 Other valid documents ................................................................................. 13
1.5 Warranty and liability.................................................................................... 13
1.6 Intended use ................................................................................................ 13
1.7 Formats and symbols used.......................................................................... 14
2Safety instructions .................................................................................................. 15
2.1 Identification of the danger levels ................................................................ 15
2.2 Information on the unit ................................................................................. 15
2.3 On-site installation ....................................................................................... 16
2.4 Installation of the treatment center............................................................... 16
2.5 Media quality................................................................................................ 16
2.6 Connection to the public drinking water system........................................... 17
2.7 Maintenance and repair ............................................................................... 17
2.8 Trouble-free operation ................................................................................. 18
2.9 Vacuum system ........................................................................................... 18
2.10 Patient chair ................................................................................................. 18
2.11 Intermittent operation ................................................................................... 18
2.12 Ventilation slots............................................................................................ 19
2.13 Touchscreen ................................................................................................ 19
2.14 Care, cleaning, and disinfecting agents ....................................................... 19
2.15 Care and cleaning instructions for the practice team................................... 19
2.16 Modifications and extensions of the system ................................................ 19
2.17 Electromagnetic compatibility ...................................................................... 20
2.18 Electrostatic discharge................................................................................. 20
2.19 Dismantling/Installation ................................................................................ 22
3Unit description ....................................................................................................... 23
3.1 Standards/Approvals.................................................................................... 23
3.2 Technical data.............................................................................................. 25
3.3 System overview.......................................................................................... 28
3.4 Patient chair ................................................................................................. 31

Dentsply Sirona
Operating Instructions Sinius
Table of contents
63 22 726 D3561
D3561.201.01.16.0208.2018 3
3.5 Headrest ...................................................................................................... 32
3.5.1 Motor-driven headrest.................................................................... 32
3.5.2 Double-jointed head support.......................................................... 33
3.6 Foot control .................................................................................................. 34
3.7 Dentist element ............................................................................................ 35
3.7.1 Instrument positions....................................................................... 40
3.7.2 EasyTouch user interface .............................................................. 41
3.7.3 Touchscreen .................................................................................. 42
3.7.4 Fixed keys on the dentist element ................................................. 43
3.8 Assistant element......................................................................................... 45
3.8.1 Instrument positions....................................................................... 46
3.8.2 User interface................................................................................. 47
3.8.3 Fixed keys on the assistant element.............................................. 47
3.9 Water unit..................................................................................................... 48
3.10 External device connection ......................................................................... 50
4Operation ................................................................................................................ 52
4.1 Starting up the treatment center .................................................................. 52
4.1.1 Initial startup................................................................................... 52
4.1.2 Switching the treatment center on/off ............................................ 52
4.1.2.1 Power switch ................................................................ 52
4.1.2.2 Main switch................................................................... 53
4.1.3 Selecting a user profile .................................................................. 54
4.2 Control concept of touchscreen ................................................................... 55
4.2.1 Virtual function keys....................................................................... 55
4.2.2 Start program operating modes ..................................................... 56
4.2.3 Sub-screens and settings screens................................................. 59
4.2.4 Status bar....................................................................................... 60
4.3 Foot control .................................................................................................. 61
4.3.1 Wireless foot control ...................................................................... 61
4.3.1.1 Setting the wireless foot control on the treatment
center............................................................................ 61
4.3.1.2 Battery voltage message.............................................. 61
4.3.2 Operating the foot control .............................................................. 62
4.3.3 Using the cursor control................................................................. 64
4.3.3.1 Functionality ................................................................. 64
4.3.3.2 Operating the cursor control......................................... 65
4.4 Patient chair ................................................................................................. 67
4.4.1 Safety instructions.......................................................................... 67
4.4.2 Safety stop..................................................................................... 68

Table of contents Dentsply Sirona
Operating Instructions Sinius
463 22 726 D3561
D3561.201.01.16.0208.2018
4.4.3 Triggering an immediate movement stop....................................... 69
4.4.4 Armrests......................................................................................... 70
4.4.5 Vario footrest.................................................................................. 70
4.4.6 Adjusting the motor-driven headrest.............................................. 71
4.4.6.1 Moving the headrest in/out ........................................... 71
4.4.6.2 Inclining the headrest ................................................... 72
4.4.7 Adjusting the double articulating headrest..................................... 73
4.4.8 Moving the patient chair via chair programs .................................. 74
4.4.8.1 Moving the patient chair to the entry/exit position ........ 74
4.4.8.2 Moving the patient chair to the mouth rinsing position . 75
4.4.8.3 Using the last position memory function....................... 75
4.4.8.4 Activating other chair programs.................................... 76
4.4.9 Moving the chair manually ............................................................. 77
4.4.9.1 Open manual chair setting screen................................ 77
4.4.9.2 Tilting the patient couch................................................ 78
4.4.9.3 Adjusting the chair height ............................................. 78
4.4.10 Creating chair and shock positioning programs............................. 79
4.4.11 Setting the active lumbar support .................................................. 80
4.5 Dentist element ............................................................................................ 81
4.5.1 Maximum load capacity ................................................................. 81
4.5.2 Height adjustment.......................................................................... 82
4.5.3 Positioning the dentist element...................................................... 82
4.5.4 Fixed keys on the dentist element ................................................. 85
4.5.4.1 Main switch................................................................... 85
4.5.4.2 Program change keys................................................... 85
4.5.4.3 Timer function............................................................... 86
4.5.4.4 Shock positioning ......................................................... 87
4.5.4.5 Operating light .............................................................. 87
4.5.4.6 Composite function....................................................... 87
4.5.4.7 Tumbler filling ............................................................... 87
4.5.4.8 Flushing of the cuspidor bowl....................................... 88
4.5.4.9 Freely selectable function............................................. 89
4.5.4.10 Clean ............................................................................ 89
4.5.4.11 Setup ............................................................................ 89
4.5.5 Quick setting keys and function levels........................................... 90
4.5.6 Saving instrument settings............................................................. 92
4.5.7 Placing the instruments in their holders......................................... 94

Dentsply Sirona
Operating Instructions Sinius
Table of contents
63 22 726 D3561
D3561.201.01.16.0208.2018 5
4.5.8 General instrument functions......................................................... 96
4.5.8.1 Opening the sub-screen ............................................... 96
4.5.8.2 Selecting a coolant ....................................................... 96
4.5.8.3 Switching the preselected coolant on/off...................... 96
4.5.8.4 Setting the ApexLocator ............................................... 97
4.5.8.5 Switch instrument light on/off........................................ 97
4.5.8.6 Setting the foot control as a direct starter or speed
foot control.................................................................... 97
4.5.8.7 Setting the spray amount.............................................. 98
4.5.8.8 Preparing for use of NaCl saline solution ..................... 100
4.5.8.9 Setting the NaCl flow rate............................................. 102
4.5.9 ApexLocator................................................................................... 103
4.5.9.1 Preparing to use the ApexLocator................................ 104
4.5.9.2 Distance display ........................................................... 106
4.5.9.3 Beeps ........................................................................... 109
4.5.9.4 Performing manual measurements with the file clamp. 110
4.5.10 Electric motor................................................................................. 111
4.5.10.1 Motor and coupling versions......................................... 111
4.5.10.2 Setting the speed.......................................................... 113
4.5.10.3 Setting the direction of rotation..................................... 115
4.5.10.4 Implantology/endodontics treatments with motor ......... 117
4.5.11 Highspeed handpiece .................................................................... 120
4.5.11.1 Using the highspeed handpiece ................................... 120
4.5.11.2 Setting the light of the highspeed handpiece................ 120
4.5.12 Sprayvit M multifunctional syringe ................................................. 122
4.5.12.1 Safety instructions ........................................................ 122
4.5.12.2 Using the Sprayvit M multifunctional syringe................ 123
4.5.12.3 Instrument light on/off and water temperature
adjustment.................................................................... 123
4.5.13 SiroSonic TL scaler........................................................................ 125
4.5.13.1 Safety instructions ........................................................ 125
4.5.13.2 Setting the intensity ...................................................... 125
4.5.14 Implantology and endodontic treatment......................................... 129
4.5.14.1 Treatment selection...................................................... 129
4.5.14.2 Implantology ................................................................. 132
4.5.14.3 Endodontics.................................................................. 138
4.6 Assistant element......................................................................................... 149
4.6.1 Maximum load capacity ................................................................. 149
4.6.2 Positioning ..................................................................................... 149

Table of contents Dentsply Sirona
Operating Instructions Sinius
663 22 726 D3561
D3561.201.01.16.0208.2018
4.6.3 Fixed keys on the assistant element.............................................. 149
4.6.3.1 Tumbler filling ............................................................... 150
4.6.3.2 Flushing of the cuspidor bowl....................................... 150
4.6.3.3 Operating light .............................................................. 150
4.6.3.4 Chair programs S and 0 ............................................... 150
4.6.3.5 Hash key....................................................................... 151
4.6.4 Suction handpieces........................................................................ 152
4.6.5 Sprayvit M multifunctional syringe ................................................. 154
4.6.6 Mini LED curing light...................................................................... 155
4.6.6.1 Safety instructions ........................................................ 155
4.6.6.2 Symbols on the mini LED ............................................. 155
4.6.6.3 Connecting the Mini L.E.D............................................ 156
4.6.6.4 Functional description................................................... 156
4.6.6.5 Operating the Mini LED ................................................ 157
4.6.6.6 Technical data .............................................................. 158
4.7 Water unit..................................................................................................... 159
4.7.1 Swiveling the cuspidor bowl........................................................... 159
4.7.2 Tumbler filling with automatic sensor control................................. 159
4.7.3 Adjusting the water amount for flushing......................................... 160
4.7.4 Self-sufficient water supply ............................................................ 161
4.8 Tray.............................................................................................................. 164
4.8.1 Tray on the support arm (for Sinius) .............................................. 164
4.8.2 Tray on the Sinius CS dentist element........................................... 165
4.8.3 Tray on the Sinius TS dentist element........................................... 166
4.8.4 Cup holder ..................................................................................... 167
4.9 Panoramic X-ray image viewer .................................................................... 168
4.9.1 Switching on/off the X-ray viewer or white screen on the Sivision
monitor........................................................................................... 168
4.9.2 Attaching the anti-glare film ........................................................... 169
4.10 Operating light.............................................................................................. 170
4.10.1 Switching the operating light on/off................................................ 170
4.10.2 Setting the brightness, color temperature, and sensor control ...... 170
4.10.3 Switching the dentist element composite function on/off ............... 171
4.10.4 Activating operating light on the assistant element........................ 171
4.11 X-ray tube unit.............................................................................................. 172
4.12 SivisionDigital video system........................................................................ 173
4.12.1 Sivision monitor.............................................................................. 174
4.12.2 SiroCam AF / AF+ intraoral camera............................................... 175
4.12.2.1 Safety instructions ........................................................ 175
4.12.2.2 Functional description................................................... 175

Dentsply Sirona
Operating Instructions Sinius
Table of contents
63 22 726 D3561
D3561.201.01.16.0208.2018 7
4.12.2.3 Connecting the SiroCam AF / AF+ intraoral camera .... 176
4.12.2.4 Operating the SiroCam AF / AF+ intraoral camera ...... 177
4.12.2.5 Technical camera data ................................................. 182
4.13 Operation with a PC..................................................................................... 183
4.13.1 Sivision program ............................................................................ 184
4.13.1.1 Starting PC communication.......................................... 184
4.13.1.2 Communication with the media player.......................... 185
4.13.1.3 Communication with Microsoft PowerPoint .................. 185
4.13.1.4 Communication with Sidexis......................................... 186
4.13.1.5 Communication with video plugin................................. 188
4.13.2 USB port ........................................................................................ 189
4.14 Configuration of the treatment center (setup) .............................................. 190
4.14.1 Opening the setup programs ......................................................... 190
4.14.2 Configuring the EasyTouch user interface..................................... 191
4.14.2.1 Switching the key sound on/off..................................... 191
4.14.2.2 Calibrating the touchscreen.......................................... 191
4.14.2.3 Adjusting the touchscreen brightness........................... 191
4.14.3 Setting the date and time............................................................... 192
4.14.4 Configuring control options ............................................................ 193
4.14.4.1 Preselecting the number of user profiles...................... 193
4.14.4.2 Setting the cursor control.............................................. 193
4.14.4.3 Select the operating mode of the Start program........... 193
4.14.4.4 Switching on/off the foot control function for intraoral
camera focus................................................................ 194
4.14.4.5 Linking the spray aspirator to the 4-way foot switch..... 194
4.14.4.6 Linking the headrest tilt to the 4-way foot switch.......... 195
4.14.4.7 Setting the hash key function on the assistant element 195
4.14.4.8 Setting the bell/hash fixed key as a pushbutton or as
a switch......................................................................... 195
4.14.4.9 Key for showing/hiding white screen on the Sivision
monitor.......................................................................... 195
4.14.4.10 Adjust cleaning agent mixture for chemical suction
hose cleaning ............................................................... 196
4.14.4.11 Switching the central supply for chemical suction hose
cleaning off and on ....................................................... 196
4.14.4.12 Adjusting the temperature of the tumbler heater .......... 197
4.14.4.13 Linking the tumbler heater to the chair program........... 197
4.14.5 Configure instruments.................................................................... 198
4.14.5.1 Preselecting how instrument settings are to be saved . 198
4.14.5.2 Switching afterblow on/off............................................. 198

Table of contents Dentsply Sirona
Operating Instructions Sinius
863 22 726 D3561
D3561.201.01.16.0208.2018
4.14.5.3 Showing/hiding the key for the external HF surgical
unit................................................................................ 199
4.14.5.4 Setting the spray temperature ...................................... 199
4.14.6 Configuring the network connection............................................... 200
4.14.7 Opening the service function ......................................................... 200
5Care, cleaning and maintenance by the practice team........................................... 201
5.1 Basics .......................................................................................................... 201
5.1.1 Intervals ......................................................................................... 201
5.1.2 Care, cleaning, and disinfecting agents......................................... 203
5.1.3 Microbiological water test............................................................... 203
5.1.4 General handling instructions ........................................................ 204
5.1.5 Inspection, maintenance and testing ............................................. 205
5.2 Surfaces....................................................................................................... 206
5.2.1 Clean/disinfect surfaces................................................................. 206
5.2.2 Disinfect the EasyTouch ................................................................ 207
5.2.3 Disinfecting handles....................................................................... 208
5.2.4 Disinfecting the tray ....................................................................... 210
5.2.5 Disinfecting the cup holder............................................................. 211
5.2.6 Care for, clean, and disinfect upholstery........................................ 212
5.2.7 Cleaning the bottom surface of the mount for the backrest
component. .................................................................................... 212
5.2.8 Thermally disinfecting the instrument holder of the dentist
element and sterilizing the silicone mat ......................................... 213
5.2.9 Thermally disinfecting the instrument holder of the assistant
element and sterilizing the silicone mat ......................................... 215
5.2.10 Clean the foot switch...................................................................... 215
5.3 Instruments and instrument hoses............................................................... 216
5.3.1 Rinse water paths .......................................................................... 216
5.3.2 Purge water paths (purge function)................................................ 216
5.3.3 Automatically purge water paths (autopurge function)................... 219
5.3.4 Care for, disinfect and sterilize the treatment instruments............. 225
5.3.4.1 Treatment instruments.................................................. 225
5.3.4.2 Clean and disinfect/sterilize the components of the
ApexLocator ................................................................. 225
5.3.4.3 Disinfecting/sterilizing Mini L.E.D. curing light.............. 226

Dentsply Sirona
Operating Instructions Sinius
Table of contents
63 22 726 D3561
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5.3.4.4 Cleaning/disinfecting the SiroCam AF / AF+ intraoral
camera.......................................................................... 227
5.3.4.5 Check the flow rate on the SprayvitM multifunctional
syringe.......................................................................... 227
5.3.5 Changing the cotton wool roll on the high-speed handpiece hose
and oil collector.............................................................................. 228
5.4 Vacuum system ........................................................................................... 230
5.4.1 Cleaning the suction hoses............................................................ 230
5.4.2 Cleaning vacuum system using cleaning adapter in the cuspidor
or via external container................................................................. 232
5.4.2.1 Cleaning vacuum system using cleaning adapter in
the cuspidor.................................................................. 232
5.4.2.2 Cleaning the suction system via external container ..... 233
5.4.3 Sterilize and disinfect the suction handpieces ............................... 234
5.4.4 Cleaning and disinfecting the suction hoses.................................. 235
5.4.5 Thermodisinfecting suction hoses.................................................. 236
5.5 Components of the water unit ...................................................................... 237
5.5.1 Clean the gold trap......................................................................... 237
5.5.2 Clean/disinfect the cuspidor........................................................... 238
5.5.3 Cleaning the outlet lines of the cuspidor........................................ 239
5.5.4 Refill disinfectant for the water paths............................................. 240
5.5.5 Change the water and air filters..................................................... 241
5.5.6 Changing the amalgam rotor ......................................................... 242
5.5.7 Check the message system of the amalgam separator................. 245
5.5.8 Emptying the sediment container................................................... 246
5.5.9 Cleaning the filter insert of the standard wet suction ..................... 248
5.6 Sanitation ..................................................................................................... 250
5.6.1 Interactively guided sanitation of the treatment center .................. 250
5.6.2 Display sanitation report ................................................................ 256
5.6.3 Sanitizing the treatment center manually....................................... 257
5.6.4 Biofilm removal by the service technician...................................... 261
5.7 Foot control and connection box.................................................................. 262
5.7.1 Changing the battery of the wireless foot control........................... 262
5.7.2 Changing the fuse of the external device connection .................... 264
6Maintenance by the service engineer ..................................................................... 265
6.1 Inspection and maintenance ........................................................................ 265
6.2 Safety checks............................................................................................... 265
6.3 Maintenance Manual.................................................................................... 266

Table of contents Dentsply Sirona
Operating Instructions Sinius
10 63 22 726 D3561
D3561.201.01.16.0208.2018
7Malfunctions............................................................................................................ 267
7.1 Error messages............................................................................................ 267
7.2 Remote diagnosis ........................................................................................ 269
8Spare parts and consumables ................................................................................ 270
9Disposal .................................................................................................................. 272
10 Overview of all function keys .................................................................................. 273
Index ....................................................................................................................... 292