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  • Sirona Dental Systems GmbH Table of ContentsC5+, C5+ Turn

    Table of Contents

    1 General information .................................................................................................. 61.1 Dear Customer ................................................................................................................................. 61.2 Contact data ..................................................................................................................................... 6

    1.3 Notes on these Operating Instructions ............................................................................................. 7

    1.4 Other valid documents...................................................................................................................... 8

    1.5 Warranty and liability ........................................................................................................................ 81.6 Intended use ..................................................................................................................................... 9

    2 Warning and safety information .............................................................................. 102.1 Identification of the danger levels ..................................................................................................... 102.2 Information on the unit ...................................................................................................................... 10

    2.3 On-site installation ............................................................................................................................ 11

    2.4 Installing the treatment center .......................................................................................................... 112.5 Media quality..................................................................................................................................... 11

    2.6 Connection to the public drinking water supply ................................................................................ 12

    2.7 Maintenance and repair .................................................................................................................... 122.8 Trouble-free operation ...................................................................................................................... 13

    2.9 Vacuum system ................................................................................................................................ 13

    2.10 Patient chair...................................................................................................................................... 132.11 Intermittent operation........................................................................................................................ 13

    2.12 Ventilation slots................................................................................................................................. 14

    2.13 Care, cleaning agents, and disinfectants.......................................................................................... 142.14 Modifications and extensions of the system ..................................................................................... 14

    2.15 Electromagnetic compatibility ........................................................................................................... 15

    2.16 Influencing of cardiac pacemakers ................................................................................................... 152.17 Dismantling / Installation................................................................................................................... 15

    3 Technical description ............................................................................................... 163.1 Standards / Approvals...................................................................................................................... 163.2 Technical data .................................................................................................................................. 18

    4 Controls and functional elements ........................................................................... 204.1 System overview of the C5+ ............................................................................................................. 204.2 System overview of the C5+ Turn ..................................................................................................... 21

    4.3 Control panel on the dentist element ................................................................................................ 22

    4.4 Control panel on the assistant element ............................................................................................ 26

    5 Putting the system into operation ........................................................................... 286 Foot control ............................................................................................................... 31

    6.1 Wireless foot switch C+(only with C5+) ............................................................................................ 316.2 C+ foot switch.................................................................................................................................... 36

    7 Program selection ..................................................................................................... 387.1 Safety................................................................................................................................................ 38

    7.2 MOVEMENT STOP! ......................................................................................................................... 407.3 Program selection............................................................................................................................. 41

    59 57 373 D 3415D 3415.201.01.14.02 3

  • Table of Contents Sirona Dental Systems GmbHC5+, C5+ Turn

    59 57 373 D 3415

    8 Positioning patients.................................................................................................. 428.1 Flat headrest .................................................................................................................................... 428.2 Articulated headrest ......................................................................................................................... 42

    8.3 MultiMotion headrest........................................................................................................................ 43

    8.4 Motor-driven headrest ...................................................................................................................... 468.5 Chair movements adjustable by motor drive.................................................................................... 47

    8.6 Rotation of chair base (only C5+ Turn) ............................................................................................ 47

    8.7 Programming patient positions ........................................................................................................ 48

    9 Dentist element and instrument functions ............................................................. 499.1 Dentist element ................................................................................................................................ 49

    9.2 General instrument functions ........................................................................................................... 499.3 Electric motor ................................................................................................................................... 51

    9.4 Highspeed handpiece ...................................................................................................................... 52

    9.5 SIROSONIC L scaler ....................................................................................................................... 539.6 SPRAYVIT L multifunctional syringe................................................................................................ 55

    9.7 Saving the instrument programs ...................................................................................................... 56

    9.8 Placing treatment instruments in their holders................................................................................. 569.9 Surgery with saline solution (NaCl) .................................................................................................. 57

    9.10 Satelec Mini L.E.D. curing light ........................................................................................................ 59

    10 Operating light, flushing of the cuspidor, purge.................................................... 6510.1 Operating light.................................................................................................................................. 65

    10.2 Tumbler filling................................................................................................................................... 65

    10.3 Flushing of the cuspidor ................................................................................................................... 66

    10.4 Purge / Auto Purge function (purging the water paths) .................................................................... 67

    11 Basic treatment center settings in the Mode dialog .............................................. 7111.1 Mode key ......................................................................................................................................... 71

    11.2 Mode: NACL PUMP OFF or ON for instrument holder .. ................................................................. 7211.3 Mode: MAINTENANCE.................................................................................................................... 72

    11.4 Mode: SERVICE ONLY START - STOP.......................................................................................... 72

    11.5 Mode: FC CONTROL MODE ON/OFF - VARIABLE ....................................................................... 7311.6 Mode: TIME - HOURS : MIN............................................................................................................ 73

    11.7 Mode: DAY : MON : YEAR .............................................................................................................. 73

    11.8 Mode: CURSOR OFF - ON.............................................................................................................. 7311.9 Mode: BOWL FLUSH. ON S YES - NO ........................................................................................... 74

    11.10 Mode: CUP FILL ON S YES – NO................................................................................................... 74

    11.11 Mode: WHITE BALANCE................................................................................................................. 7411.12 Instrument settings via Mode dialog: TAKE INSTRUMENT ............................................................ 76

    11.13 Mode: # FUNCTION TOGGLE - MOMENTARY.............................................................................. 77

    11.14 Mode: PURGE TIME... SEC ............................................................................................................ 7711.15 Mode: PRESSURE PSI / BAR ......................................................................................................... 77

    11.16 Mode: SPRACHE / LANGUAGE ENG / D / I / F / E......................................................................... 77

    11.17 Mode: SIROLUX U - POS. ON – OFF ............................................................................................. 7711.18 Mode: POLYLUX WITH CFS YES – NO ...................................................................................... 78

    11.19 Mode: SUCTION WITH CFS YES – NO......................................................................................... 78

    11.20 Mode: WHITE SCREEN YES – NO................................................................................................. 7811.21 Mode: A/B VIDEO MODE ON – OFF.............................................................................................. 78

    11.22 Mode: R/L conversion of C5+ Turn .................................................................................................. 79

    11.23 Mode: BLOW OUT SPRAY.............................................................................................................. 79

    4 D 3415.201.01.14.02

  • Sirona Dental Systems GmbH Table of ContentsC5+, C5+ Turn

    12 Assistant element...................................................................................................... 8012.1 Positioning the assistant element ..................................................................................................... 8012.2 Instrument tray for closed deposits................................................................................................... 80

    12.3 Suction handpieces on the assistant element .................................................................................. 81

    12.4 SPRAYVIT on the assistant element ................................................................................................ 8212.5 Satelec Mini L.E.D. curing light on the assistant element................................................................. 82

    13 Water unit................................................................................................................... 8313.1 Swiveling cuspidor (alternative equipment for C5+ only) .................................................................. 8313.2 Adjusting the water amount for flushing............................................................................................ 83

    13.3 Tumbler filling with automatic sensor control

    (Special equipment, not available in all countries)............................................................................ 8313.4 Amalgam rotor .................................................................................................................................. 85

    13.5 Disinfection system (optional)........................................................................................................... 85

    13.6 Conversion of the water unit, right-handed left-handed version (possible only with C5+ Turn) ... 86

    14 SIVISION 3 / SIROCAM 3 / SIROCAM C ................................................................... 9214.1 SIVISION monitor ............................................................................................................................. 92

    14.2 Camera versions............................................................................................................................... 9314.3 SIROCAM 3 intraoral camera (extra equipment).............................................................................. 94

    14.4 SIROCAM C intraoral camera (extra equipment) ............................................................................. 96

    14.5 Operating modes of SIVISION 3....................................................................................................... 9814.6 SIROCAM 3 / SIROCAM C integrated in the dentist element (video) .............................................. 100

    14.7 SIROCAM 3 / SIROCAM C integrated in the dentist element (PC) .................................................. 106

    14.8 SIROCAM 3 / SIROCAM C integrated in the assistant element (video) (only with C5+) .................. 110

    14.9 SIROCAM 3 / SIROCAM C integrated in the assistant element (PC)(only with C5+) .................................................................................................................................. 115

    14.10 Switching between VIDEO mode and PC mode............................................................................... 118

    14.11 SIVISION 3– second monitor function without SIROCAM3 / SIROCAM C...................................... 120

    15 Extra equipment and accessories ........................................................................... 12115.1 Media block on the patient chair ....................................................................................................... 121

    15.2 Hygienic motorized headrest protection ........................................................................................... 12215.3 Seat cushion C ................................................................................................................................. 122

    15.4 Folding armrest................................................................................................................................. 123

    15.5 Hydrocolloid coolant supply .............................................................................................................. 12315.6 Vario tray .......................................................................................................................................... 124

    15.7 X-ray image viewer on the dentist element....................................................................................... 126

    15.8 X-ray image viewer on the lamp support tube .................................................................................. 126

    16 Maintenance............................................................................................................... 12716.1 Care and cleaning instructions for the practice team........................................................................ 127

    16.2 Inspection and maintenance............................................................................................................. 12716.3 Safety checks ................................................................................................................................... 128

    16.4 Maintenance manual ........................................................................................................................ 128

    17 Disposal ..................................................................................................................... 12917.1 Returning electrical devices.............................................................................................................. 129

    17.2 Battery disposal ................................................................................................................................ 130

    59 57 373 D 3415D 3415.201.01.14.02 5

  • 1 General information Sirona Dental Systems GmbH1.1 Dear Customer C5+, C5+ Turn

    1 General information1.1 Dear Customer

    We are delighted that you have chosen to equip your practice with the Sirona C5+ treatment center.

    Our aim is to recognize our customers' demands in good time and to create innovative solutions. Together with your trade partner, you have configured the unit to suit your individual tastes. The new hub of your treatment room is tailored to your personal needs.

    With the C5+ you have chosen a treatment center that epitomizes easy operation, innovative comfort, high-quality design, and economic efficiency.

    These Operating Instructions are designed to assist you prior to initial use and whenever you require information later on.

    We hope the C5+ allows you to achieve optimum results and satisfaction.

    Your C5+ Team

    1.2 Contact dataCustomer Service Center In the event of technical queries, please use our online

    contact form at www.sirona.com. In the navigation bar, select "CONTACT" then "Customer Service Center" and click on the "contact form for technical questions" link.Manufacturer's address (worldwide)

    Manufacturer's address Sirona Dental Systems GmbH Fabrikstrasse 3164625 BensheimGermany

    Tel. : +49 (0) 6251/16-0Fax: +49 (0) 6251/16-2591E-mail: [email protected]

    59 57 373 D 34156 D 3415.201.01.14.02

  • Sirona Dental Systems GmbH 1 General information C5+, C5+ Turn 1.3 Notes on these Operating Instructions

    1.3 Notes on these Operating Instructions

    General information on the Operating Instructions

    Observe the Operating Instructions Please familiarize yourself with the unit by reading through these Operating Instructions before putting it into operation. It is essential that you comply with the specified warning and safety information.An abridged copy of the Operating Instructions is available

    Tip: A quick guide containing brief operating instructions has been provided to help you look up functions quickly.Keep documents safe, Online portal, Help

    Keep documents safe Always keep the Operating Instructions handy in case you or another user require(s) information at a later point in time. Save the Operating Instructions on the PC or print them out.

    If you sell the unit, make sure that the Operating Instruc-tions are included with it either as a hard copy or on an electronic storage device so that the new owner can familiarize himself with its functions and the specified warning and safety information.

    Online portal for technical documents We have set up an online portal for technical documen-tation at http://www.sirona.com/manuals. From here, you can download these Operating Instructions along with other documents. Please complete the online form if you would like a hard copy of a particular document. We will then be happy to send you a printed copy free of charge.

    Help If you reach an impasse despite having thoroughly stud-ied the Operating Instructions, please contact your den-tal depot.

    Scope of these Operating Instructions

    System versions These Operating Instructions apply to the following treat-ment centers:

    • C5+ (for right-handed treatment)

    • C5+ Turn (convertible version for right-handed and left-handed treatment)

    Equipment options This document describes the full version of your system. It may therefore cover components that are not included in the system you purchased.

    59 57 373 D 3415D 3415.201.01.14.02 7

    http://www.sirona.com/manuals

  • 1 General information Sirona Dental Systems GmbH1.4 Other valid documents C5+, C5+ Turn

    1.4 Other valid documentsYour treatment center can be equipped with additional components that are described in separate sets of oper-ating instructions. The instructions as well as any warn-ing and safety information contained therein also must be observed.

    A separate manual of operating instructions exists for each of the following Sirona products:HUGO, CARL

    • Treatment instruments and accessories

    • LEDview operating light

    • 15" and 22" flat-screen monitor

    • SiroCam 3

    • Dental treatment chairs

    Care, cleaning, and disinfection of the treatment center are described in the document entitled "Care and Clean-ing by the Practice Team".

    1.5 Warranty and liabilityWarranty and liability

    Warranty passport To safeguard your warranty claims, please complete the attached "Installation Report / Warranty Passport" together with the service engineer immediately after the installation of your unit.

    Maintenance Maintenance must be performed at scheduled intervals to ensure the operational and functional reliability of your product and to protect the safety and health of patients, users and other persons. For further information, see "Inspection and maintenance" on page 127.

    The owner is responsible for making sure that all main-tenance activities are performed.

    As manufacturers of medical electrical equipment, we can assume responsibility for the safety properties of the unit only if maintenance and repairs on the unit are per-formed either by us or by agencies which we have expressly authorized and if components of the unit are replaced by original spare parts in case of failure.

    Exclusion of liability In the event that the system owner fails to fulfill its obli-gation to perform maintenance activities or ignores error messages, Sirona Dental Systems GmbH and its autho-rized dealers cannot assume any liability for any damage thus incurred.

    59 57 373 D 34158 D 3415.201.01.14.02

  • Sirona Dental Systems GmbH 1 General information C5+, C5+ Turn 1.6 Intended use

    1.6 Intended useThis dental treatment center is designed to be used in the field of human dentistry and must only be operated by qualified dental personnel.

    Contraindications for the use of the treatment center, if any, are listed in the individual sections, e.g. Treatment instruments.

    This device is not intended for operation in areas subject to explosion hazards.

    This device is permanently installed. Operation is not permitted in mobile vehicles.

    Intended use also includes compliance with these Oper-ating Instructions and the relevant maintenance instruc-tions.

    59 57 373 D 3415D 3415.201.01.14.02 9

  • 2 Warning and safety information Sirona Dental Systems GmbH2.1 Identification of the danger levels C5+, C5+ Turn

    2 Warning and safety information2.1 Identification of the danger levels

    To prevent personal injury and material damage, please observe the warning and safety information provided in the present Operating Instructions. Such information is highlighted as follows:

    DANGERAn imminent danger that could result in serious bodily injury or death.

    WARNINGA possibly dangerous situation that could result in serious bodily injury or death.

    CAUTIONA possibly dangerous situation that could result in slight bodily injury.

    NOTICEA possibly harmful situation which could lead to damage of the product or an object in its environment.

    IMPORTANTApplication instructions and other important information.

    Tip: Information on making work easier.

    2.2 Information on the unitAccompanying documents

    This symbol can be found next to the rating plate on the unit.

    Meaning: Observe the Operating Instructions when operating the unit.

    This symbol can be found on the rating plate on the unit.

    Meaning: The accompanying documents are available on the Sirona homepage.

    59 57 373 D 341510 D 3415.201.01.14.02

  • Sirona Dental Systems GmbH 2 Warning and safety information C5+, C5+ Turn 2.3 On-site installation

    2.3 On-site installationThe on-site installation must have been performed according to our requirements. The details are described in the document "Installation Requirements".

    2.4 Installing the treatment centerInstallation must be carried out by authorized techni-cians in accordance with the installation instructions.

    2.5 Media qualityThe air and water supplies must meet the requirements specified in the installation conditions.

    To ensure compliance with the medical and national legal requirements for water from treatment centers, Sirona recommends equipping the treatment center with a disinfection system. If you decide to operate the treat-ment center without a disinfection system, you must make alternative arrangements to ensure good water quality.

    As the owner of the treatment center, you are gener-ally responsible for the water quality.

    The colony count must fulfill the national regulations for drinking water and must not exceed 500 CFU/ml under any circumstances (CFU: colony forming unit).

    In the event of an increased colony count, the indoor installation must be checked and the cause of contami-nation eliminated. Alternatively, a stand-alone water supply can also be installed.

    Before installation of the treatment center, an acceptable microbiological water quality for the domestic water sup-ply must be ensured and documented in the form of a colony count. Sampling and the colony count must be performed by a competent laboratory.

    Check the treatment center water quality at regular inter-vals; see "Microbiological inspection of the water" in the document "Care and Cleaning by the Practice Team". Please contact your specialized dealer or your relevant dental association for the respective national require-ments and measures. Where necessary, you must make alternative arrangements to ensure good water quality if you decide to operate the treatment center without a dis-infection system.

    Further information on the media quality requirements are listed in the "Installation conditions" document.

    Highly immunosuppressed patients should not come in contact with water from the treatment center. The use of sterile solutions is recommended.

    59 57 373 D 3415D 3415.201.01.14.02 11

  • 2 Warning and safety information Sirona Dental Systems GmbH2.6 Connection to the public drinking water supply C5+, C5+ Turn

    2.6 Connection to the public drinking water supplyTreatment center with separation of the public drinking water supply

    Provided it is equipped with a disinfection system, the treatment center fulfills the requirements of EN 1717 (free outlet with sections ≥ 20 mm) and the German Gas and Water Association (DVGW). It is intrinsically safe in accordance with worksheet W540 and therefore also ful-fills the W270 requirements as well as the requirements for plastics used in the transport of drinking water. It can be connected directly to the public drinking water sys-tem.

    The treatment center therefore also bears the symbol for the German Gas and Water Association (DVGW) along with the rating plate.

    Treatment center without separation to the public drinking water supply

    If compliance with EN 1717 is stipulated at a national level, appropriate equipment must be installed beyond the treatment center to protect the public drinking water system.

    This applies to device versions without a disinfection system.

    The treatment center then does not bear the symbol for the German Gas and Water Association (DVGW).

    Please always adhere to the national requirements with regard to connecting treatment centers to the public drinking water supply.

    2.7 Maintenance and repairMaintenance and repair

    Authorized technical personnel and spare parts As manufacturers of dental medical units and in the interest of the operational safety of your system, we stress the importance of having maintenance and repair of this unit performed only by ourselves or by agencies expressly authorized by us. Furthermore, failed compo-nents must always be replaced with original spare parts.

    We suggest that you request a certificate showing the nature and extent of the work performed from those who carry out such work; it must contain any changes in rated parameters or working ranges (if applicable), as well as the date, the name of the company and a signature.

    Maintenance intervals Despite the outstanding quality of your treatment center and regular care by the practice team, in the interest of operational safety, it is essential to have preventive maintenance performed at scheduled intervals.

    59 57 373 D 341512 D 3415.201.01.14.02

  • Sirona Dental Systems GmbH 2 Warning and safety information C5+, C5+ Turn 2.8 Trouble-free operation

    59 57 373 D 3415D 3415.201.01.14.02 13

    In order to ensure the operational safety and reliability of your treatment center and to avoid damage due to natu-ral wear, you as the system owner must have your sys-tem checked regularly by an authorized service engineer from your dental depot. Furthermore, safety checks must be performed. Please contact your dental depot to obtain a maintenance offer. For further information, see "Maintenance" on page 127.

    2.8 Trouble-free operationTrouble-free operation

    Use of this unit is permissible only if it works properly without malfunctions. If trouble-free operation cannot be ensured, the unit must be taken out of service, checked by authorized technicians for malfunctions and, if neces-sary, repaired.

    2.9 Vacuum systemThe suction removal of aluminum and other metal oxides from blasting devices via the amalgam separator and the automatic separator installed in the treatment center is prohibited! This would cause extreme wear and clogging of the suction and water paths.

    A separate vacuum system must be used in connection with metal oxide blasting devices. Treatment centers equipped with a central wet suction system are generally suitable for suction removal of the above material. How-ever, make sure to observe the instructions provided by the manufacturer of your vacuum system.

    No restrictions apply when using salt blasting devices in connection with Sirona treatment centers. However, in such cases, make sure that the system is subsequently flushed with an adequate amount of water.

    2.10 Patient chairPlease observe the patient chair's maximum load capac-ity of 135 kg.

    The weight distribution complies with ISO 6875. The mechanical stability test is performed with a multiple safety factor according to IEC 60601-1.

    The maximum permissible weight of accessories mounted on the patient chair is 5 kg.

    The patient’s arms and legs must be resting on the upholstery of the chair.

    2.11 Intermittent operationThe motors of the treatment center and of the treatment instruments are designed for intermittent operation cor-responding to the dental mode of treatment.

    Drive motors for patient chair and backrest: max. 6% duty cycle (15 s "ON"/3 min, 55 s "OFF")

    Other motors: Intermittent operation, max. 10% duty cycle (max. 2 min "ON"/18 min "OFF")

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  • 2 Warning and safety information Sirona Dental Systems GmbH2.12 Ventilation slots C5+, C5+ Turn

    2.12 Ventilation slotsVentilation slots

    Under no circumstances may the ventilation slots on the unit be covered, since otherwise the air circulation will be obstructed. This can cause the unit to overheat.

    Do not spray liquids such as disinfectants into the venti-lation slots. This may lead to malfunctions. Use only wipe disinfection in the vicinity of the ventilation slots.

    2.13 Care, cleaning agents, and disinfectantsUnsuitable care and cleaning agents and disinfectants may corrode the surface of the unit or impair its function-ing.

    Therefore, use only care and cleaning agents and disin-fectants which have been approved by Sirona. For fur-ther information, see the document "Care, cleaning agents, and disinfectants", REF 59 70 905.

    2.14 Modifications and extensions of the systemModifications and extensions of the system

    Modifications to this system which might affect the safety of the system owner, patients or other persons are pro-hibited by law.

    For reasons of product safety, this product may be oper-ated only with original Sirona accessories or third-party accessories expressly approved by Sirona. The user assumes the risk of using non-approved accessories.

    If any devices not approved by Sirona are connected, they must comply with the applicable standards, e.g.:

    • IEC 60950-1 for information technology equipment (e.g. PC) and

    • IEC 60601-1 for medical electrical equipment.

    The treatment center monitor must fulfill the require-ments of the IEC 60950-1 standard.

    The loudspeaker port of the monitor may only be con-nected to a device that complies with IEC 60950-1 (e.g. a PC) or IEC 60601-1. Under no circumstances may it be connected to a stereo system or similar.

    If a system is created during the installation process, the requirements of IEC 60601-1, 3rd edition, must be ful-filled. The system author assumes responsibility for con-formity of the system with 93/42/EEC Directive.

    59 57 373 D 341514 D 3415.201.01.14.02

  • Sirona Dental Systems GmbH 2 Warning and safety information C5+, C5+ Turn 2.15 Electromagnetic compatibility

    2.15 Electromagnetic compatibilityMedical electrical equipment is subject to special pre-cautionary measures with regard to electromagnetic compatibility (EMC). They must be installed and oper-ated as specified in the document "Installation Require-ments".

    Portable and mobile RF communications equipment may interfere with medical electrical equipment. There-fore, the use of such devices (e.g. cellular phones) in practice or hospital environments must be prohibited.

    Operating an RF surgical device

    Treatment with RF surgical devices creates strong elec-tromagnetic fields, which may impact other electronic devices. Do not place external RF surgical devices on the shelf space of the treatment center and do not guide the RF handpiece cable over this. Electromagnetic dis-turbances can often be reduced, if the external RF sur-gical device is operated with a neutral electrode.

    Video system

    Electromagnetic disturbances in the environment of the treatment center may result in reduced image quality. In such cases, it is advisable to repeat the exposure before saving the image.

    In case of line voltage drops, image data stored in the video camera may be lost. Deposit the camera and repeat the exposure.

    Image artifacts may possibly occur as a result of radio-frequency interference caused by the transmitters of e.g. radio services or radio amateurs.

    Wireless foot control

    The wireless foot control may interfere with other devices in the same frequency band (2.4 GHz) or receive interfering signals from them. The safe condition of the treatment center is guaranteed even if the wireless transmission is compromised.

    2.16 Influencing of cardiac pacemakersThe treatment center contains strong magnets. These magnets can affect cardiac pacemakers implanted in patients, users and technical personnel.

    Therefore, please observe the safety information on pages 42, 45, and 80.

    2.17 Dismantling / InstallationDismantling / InstallationFollow the installation instructions

    When dismantling and reinstalling the unit, proceed according to the installation instructions for new installa-tion in order to guarantee its proper functioning and sta-bility.

    59 57 373 D 3415D 3415.201.01.14.02 15

  • 3 Technical description Sirona Dental Systems GmbH3.1 Standards / Approvals C5+, C5+ Turn

    3 Technical description3.1 Standards / Approvals

    The C5+ treatment center complies with the following standards, among others:

    • IEC 60601-1 (electrical, mechanical, and software safety)

    • IEC 60601-1-2 (electromagnetic compatibility)

    • IEC 60601-1-6 (serviceability)

    • ISO 6875 (patient chair)

    • ISO 7494-1 (dental treatment units)

    • ISO 7494-2 (dental treatment units, water and air supply)

    • ISO 9680 (operating light)

    • ISO 11143 (amalgam separator), see also below (provided amalgam separator option is available)

    • EN 1717 (connection to the drinking water system), see also below and the section "Connection to the public drinking water supply" on page 12

    Original language of the present document: German

    This product bears the CE mark in accordance with the provisions of the Council Directive 93/42/EEC of June 14, 1993 concerning medical devices (MDD).

    The treatment center fulfills the requirements of the directive on the restriction of hazardous substances, 2011/65/EU.

    The treatment center meets the requirements of the Canadian Standard Association (CSA) in accordance with CAN/CSA-C22.2 No. 60601-1.

    The amalgam separator achieves a separation effi-ciency of > 95%. The requirements of the ISO 11143 standard are thereby fulfilled.Type 1 separation process: Centrifugal system

    The amalgam separator is approved by the German Institute for Structural Engineering (DIBt) and by the AFNOR (France).

    When equipped with a disinfection system, the treatment center complies with the technical rules and require-ments on safety and hygiene for connection to the public drinking water supply.

    The unit is certified according to the requirements of the German Technical and Scientific Association for Gas and Water (DVGW). It is intrinsically safe in accordance with worksheet W540. The unit thus fulfills the require-ments of EN 1717, see also the chapter entitled "Con-nection to the public drinking water supply" on page 12.

    0123

    SIRONADental Systems

    GmbH64625 BensheimFabrikstrasse 31

    Z-64.1-14

    59 57 373 D 341516 D 3415.201.01.14.02

  • Sirona Dental Systems GmbH 3 Technical description C5+, C5+ Turn 3.1 Standards / Approvals

    This unit meets the requirements of BELGAQUA and may therefore be connected to the public drinking water supply in Belgium.

    The wireless modules in the wireless foot switch and in the treatment center meet the requirements of the R&TTE Directive 1999/5/EC.

    Standards:

    • EN 60950-1

    • EN 301489-1, EN 301489-17, EN 300328

    The modules meet the requirements of the Federal Communications Commission (Part 15 of the FCC Rules).

    FCC ID: SIFNANOLOCAVR0108

    Industry Canada The modules meet the requirements of Industry Canada (RSS210).

    IC: 7654A-nanoLOCAVR

    The current approvals of the wireless foot switch are listed on the rating plate on the underside of the wireless foot switch.

    C5® is a registered trademark of Sirona Dental Systems GmbH.

    59 57 373 D 3415D 3415.201.01.14.02 17

  • 3 Technical description Sirona Dental Systems GmbH3.2 Technical data C5+, C5+ Turn

    3.2 Technical dataDental treatment center

    Model designation: C5+

    Power connection: 100 V / 115 V / 230 VAC 50 / 60 Hz

    Rated current: 11.5 A at 100 VAC9.5 A at 115 VAC 4.5 A at 230 VAC.In addition, max. 6 A for external devices

    Overvoltage category: 2 acc. to IEC 60664-1

    Main unit fuse: for 100/115 V AC: T 10 A H, 250 V AC , REF 10 77 460for 230 V AC: T 6.3 A H, 250 V AC , REF 10 77 452

    Protection class: Class I device

    Device class in accordance with Directive 93/42/EEC:

    Class IIa equipment

    Degree of protection against elec-trical shock:

    Type B applied parts

    Except SIROCAM 3 / SIROCAM C. These are:Type BF applied parts

    Degree of protection against ingress of water:

    Ordinary equipment (without protection against ingress of water)The foot switch has an IP X1 degree of protection against liquids (drip-proof).

    Mode of operation Continuous operation with intermittent loading accord-ing to the type of dental operation, see "Intermittent operation" on page 13This device is permanently installed. Operation is not permitted in mobile vehicles.

    Transport and storage conditions: Temperature: -40°C – +70°C -40°F – +158°F

    relative humidity: 10% – 95%Air pressure: 500hPa – 1,060hPa

    Operating conditions: Ambient temperature: 10°C – 40°C 50°F – 104°F

    relative humidity: 30% – 85% (no condensa-tion)Air pressure: 700hPa – 1,060hPa

    Installation location: ≤ 3,000 m above sea levelThis treatment center is not suitable for operation in areas subject to explosion hazards.

    Pollution degree: 2 acc. to IEC 60664-1

    Tests/Approvals: See "Standards / Approvals" on page 16

    Year of manufacture: (on the rating plate of the patient chair)

    -40

    +70 1060

    500

    95

    10

    +10

    +40 1060

    700

    85

    30

    59 57 373 D 341518 D 3415.201.01.14.02

  • Sirona Dental Systems GmbH 3 Technical description C5+, C5+ Turn 3.2 Technical data

    Foot switch wireless interface

    IMPORTANTMinimum PC requirementsSee document "Installation instructions and system re-quirements for PC configuration", (REF 59 11 321) SIVISION 3.

    Model designation: nanoLOC AVR

    Frequency: 2,4 GHz – 2.4835 GHz (ISM band)

    Transmitting power: < 2 mW (short-range device)

    Modulation type: MDMA

    Range: approx. 10 m

    59 57 373 D 3415D 3415.201.01.14.02 19

  • 4 Controls and functional elements Sirona Dental Systems GmbH4.1 System overview of the C5+ C5+, C5+ Turn

    4 Controls and functional elements4.1 System overview of the C5+

    S

    0

    1 2 3 4 5 6 87 9 10 1112 1314

    18

    17

    19

    21

    15 16

    20

    22

    23

    1 Assistant element

    2 Holder 1: Mini L.E.D. curing light or 3rd suction hose or SIROCAM 3 / SIROCAM C intraoral camera

    3 Holder 2: SPRAYVIT in the assistant element or SIROCAM 3 / SIROCAM C intraoral camera

    4 Holder 3: Suction handpiece

    5 Holder 4: Saliva ejector

    6 Control panel on the assistant element

    7 Fixed or swiveling cuspidor

    8 Tumbler filler

    9 Water unit with disinfection system, automatic sep-arator, amalgam rotor, wet suction system

    10 Patient chair, option: folding armrest

    11 Holder 1: SPRAYVIT in the dentist element

    12 Holder 2 and 3: Electric motor / highspeed hand-piece burr drives

    13 Holder 4: 3. Electric motor / highspeed handpiece burr drive or SIROSONIC L scaler or Mini L.E.D. cur-ing light

    14 Holder 5: 4. burr drive (highspeed handpiece only) or SIROSONIC L or Mini L.E.D. curing light or SIROCAM 3 / SIROCAM C

    15 Control panel on the dentist element

    16 Dentist element

    17 Locking brake on the assistant element

    18 Unit main switch

    19 Flat headrest or manually adjustable headrest or motorized headrest or MultiMotion headrest

    20 4-way foot switch on the patient chair

    21 Foot switch C+ (with cable or wireless link)

    22 Additional holder (for SIROCAM 3 / SIROCAM C only)

    23 Foot button for SIROCAM 3 / SIROCAM C on the assistant element

    59 57 373 D 341520 D 3415.201.01.14.02

  • Sirona Dental Systems GmbH 4 Controls and functional elements C5+, C5+ Turn 4.2 System overview of the C5+ Turn

    4.2 System overview of the C5+ Turn

    S

    0

    1 2 3 4 5 6 87 9 10 1112 1314

    18

    17

    19

    21

    15 16

    20

    22

    23

    1 Assistant element

    2 Holder 1: Mini L.E.D. curing light or 3rd suction hose

    3 Holder 2: SPRAYVIT in the assistant element

    4 Holder 3: Suction handpiece

    5 Holder 4: Saliva ejector

    6 Control panel on the assistant element

    7 Fixed cuspidor

    8 Tumbler filler

    9 Water unit with disinfection system, automatic sep-arator, amalgam rotor, wet suction system

    10 Patient chair, option: detachable armrest

    11 Holder 1: SPRAYVIT in the dentist element

    12 Holder 2 and 3: Electric motor / highspeed hand-piece burr drives

    13 Holder 4: 3. Electric motor / highspeed handpiece burr drive or SIROSONIC L scaler or Mini L.E.D. cur-ing light

    14 Holder 5: 4. burr drive (highspeed handpiece only) or SIROSONIC L or Mini L.E.D. curing light or SIROCAM 3 / SIROCAM C

    15 Control panel on the dentist element

    16 Dentist element

    17 Locking brake on the assistant element

    18 Unit main switch

    19 Flat headrest or manually adjustable headrest or motorized headrest orMultiMotion headrest

    20 4-way foot switch on the patient chair

    21 Foot switch for C+

    22 Additional holder (for SIROCAM 3 / SIROCAM C only)

    23 Foot pedal for swiveling the patient chair

    59 57 373 D 3415D 3415.201.01.14.02 21

  • 4 Controls and functional elements Sirona Dental Systems GmbH4.3 Control panel on the dentist element C5+, C5+ Turn

    4.3 Control panel on the dentist elementControl panel

    System status indication display and Mode key

    AMALG appears when the amalgam rotor needs to be replaced.

    DESINF starts flashing when DENTOSEPT P must be refilled.

    A appears when user A is selected.

    B appears when user B is selected.

    Mode key with + / – keys for programming basic settings.

    In addition to the settings in the Mode dialog, the follow-ing direct settings can be made with the + / – keys:• Intensity of the instrument lights

    • Intensity of the operating light

    • Tumbler filling time

    • Cuspidor flushing time

    • Chair conversion position (C5+ Turn only)

    DESINFA B

    RPM

    AMALG

    Mode– +

    59 57 373 D 341522 D 3415.201.01.14.02

  • Sirona Dental Systems GmbH 4 Controls and functional elements C5+, C5+ Turn 4.3 Control panel on the dentist element

    Main functions – dark blue keys

    Quick adjustment keys for speed and instrument intensity

    For electric motors and the SIROSONIC L scaler

    Spray ON / OFF

    On burr drives

    Chip blower

    On burr drives

    Counterclockwise rotation

    For electric motor

    Instrument light ON / OFF

    Pressing this key for a while displays the light intensity settings dialog.

    Mouth rinsing position chair program

    With last position memory function (freely programmable)

    Chair program 0

    Entry / exit position (freely programmable)

    Chair programs 1 and 2

    (freely programmable)

    IMPORTANTThe four program keys are also used for reprogramming the chair programs.

    100

    50

    40

    20

    0.2rpm x 1000

    1

    A

    %

    INSTR. LIGHT

    SS

    00

    2211

    59 57 373 D 3415D 3415.201.01.14.02 23

  • 4 Controls and functional elements Sirona Dental Systems GmbH4.3 Control panel on the dentist element C5+, C5+ Turn

    Additional functions – light blue keys

    Preselection of user A or B

    All instruments must be in place.

    You cannot switch between the two users after picking up an instrument.

    Saving the instrument settings

    The instrument to be programmed must have been picked up.

    X-ray image viewer ON / OFF

    Composite key ON / OFF

    For operating light, reduced light intensity for composite fillings

    Operating light ON / OFF

    For normal light intensity

    Pressing and holding this key displays the light intensity settings dialog:

    OPERATING LIGHT

    Tumbler filling

    Pressing and holding this key displays the settings dialog:

    CUP FILL TIMER

    Flushing of the cuspidor

    Pressing and holding this key displays the settings dialog:

    BOWL FLUSH TIMER

    Freely selectable function

    e.g. call key, always functions as button

    Freely available relay 230 V, 6 A (connected by the service engineer).

    Freely selectable function

    The function can be preset as a button or switch in the Mode dialog.

    Freely available relay 230V, 6 A (connected by the service engineer).

    Support arm brake

    Unlocks the pneumatic support arm brake of the dentist element while being pressed

    A/B

    A

    %

    OPERATING LIGHT

    A

    CUP FILL TIMER

    A

    BOWL FLUSH TIMER

    59 57 373 D 341524 D 3415.201.01.14.02

  • Sirona Dental Systems GmbH 4 Controls and functional elements C5+, C5+ Turn 4.3 Control panel on the dentist element

    Chair functions – gray keys

    For manual chair settings:

    Tilt backrest backward or forward

    Height adjustment down / up

    Additional functions of the control panel keys for video

    IMPORTANTApart from the previously described functions, the keys of the dentist element have additional functions in con-nection with the video application. These are described in section "SIVISION 3 / SIROCAM 3 / SIROCAM C" starting on page 92.

    59 57 373 D 3415D 3415.201.01.14.02 25

  • 4 Controls and functional elements Sirona Dental Systems GmbH4.4 Control panel on the assistant element C5+, C5+ Turn

    4.4 Control panel on the assistant element Control panel

    Main functions – dark blue keys

    Mouth rinsing position chair program

    With last position memory function (freely programmable)

    Chair program 0

    Entry / exit position (freely programmable)

    Chair programs 1 and 2

    (freely programmable)

    IMPORTANTThe four program keys are also used for reprogramming the chair programs.

    0

    2

    S

    SAN 1

    L

    SS

    00

    2211

    59 57 373 D 341526 D 3415.201.01.14.02

  • Sirona Dental Systems GmbH 4 Controls and functional elements C5+, C5+ Turn 4.4 Control panel on the assistant element

    Additional functions – light blue keys

    Tumbler filling

    ON / OFF

    Flushing of the cuspidor

    ON / OFF

    X-ray image viewer

    ON / OFF

    The video system also has WHITE SCREEN activation

    Sanitation of water paths

    This key can be used to start the treatment center sani-tation program (see the document "Care and Cleaning by the Practice Team").

    Freely selectable function

    The function can be preset as a button or switch in the Mode dialog.

    Freely available relay 230 V, 6 A (connected by the service engineer).

    Light ON / OFF

    With SPRAYVIT picked up: Instrument light

    With SPRAYVIT in holder: Operating light

    SAN

    L

    59 57 373 D 3415D 3415.201.01.14.02 27

  • 5 Putting the system into operation Sirona Dental Systems GmbHC5+, C5+ Turn

    5 Putting the system into operationInitial startup

    The disinfection system adds a disinfectant to the water (1:100) to significantly reduce the formation of micro-organisms in the water system.

    Prior to initial startup of your treatment center, sanita-tion must be performed.

    If, upon agreement with you, the service engineer did not complete the sanitation procedure after installing your treatment center, or if sanitation has not been performed for over a week, please perform the sanitation yourself. Refer to the document "Care and Cleaning by the Practice Team" for more information.

    Sanitation takes approx. 24 hours.

    Main switch

    Switch the main switch ON ( I ).

    During power-up, the treatment center automatically performs a self-test.

    NOTICEFor safety reasons, always switch the treatment center OFF (O) after consulting hours. This cuts off the air and water supply as well as the line voltage.

    Operational readiness

    After the end of the self-test, the message READY the time and the last user selected (A or B) appear on the display.

    After the treatment center is switched on, the cursor is between the chair program keys 1 and 2. If a program LED is lit, then the chair was in a programmed position before the unit was switched off. If no program LED is lit, then the chair was in a non-programmed position before the unit was switched off.

    The unit is now ready to operate.

    ON

    OFF

    READY10:04:27

    A

    59 57 373 D 341528 D 3415.201.01.14.02

  • Sirona Dental Systems GmbH 5 Putting the system into operation C5+, C5+ Turn

    S

    0

    Display of the next maintenance due date

    As soon as the next maintenance date is fewer than 30 days away, the maintenance prompt appears each time the unit is switched on. See section "Mode: MAINTENANCE" on page 72.

    After the maintenance date has expired, the following message is displayed:

    MAINTENANCE required

    The message disappears after an instrument is removed.

    IMPORTANTThis message can be reset only by the service engineer after performing maintenance.

    WARNINGThe dental chair has a maximum load capacity of 135kg according to ISO 6875 (tested with multiple safety fac-tors according to IEC 60601-1). The patient’s arms and legs must rest on the upholstery of the chair.

    Height adjustment of the dentist element

    In order to adjust the height of the dentist element, you must press one of the two keys (1) to release the brake.

    A

    MAINTENANCEIN 30 DAYSMAINTENANCEIN 30 DAYS

    wrongright

    1

    1

    1 1

    59 57 373 D 3415D 3415.201.01.14.02 29

  • 5 Putting the system into operation Sirona Dental Systems GmbHC5+, C5+ Turn

    Preselecting the user

    The treatment center offers the possibility of managing two different chair and instrument programs for two users.

    Preselect user A or B using the A/B key, with all instru-ments in place.

    The preselected user is shown in the top left corner of the display. All settings which have been stored for that user are then activated.

    A/B

    READY10:04:27

    AB

    59 57 373 D 341530 D 3415.201.01.14.02

  • Sirona Dental Systems GmbH 6 Foot control C5+, C5+ Turn 6.1 Wireless foot switch C+(only with C5+)

    6 Foot control6.1 Wireless foot switch C+(only with C5+)

    The treatment center can be operated with a wireless foot switch C+.

    IMPORTANTThe service engineer already registered the wireless foot switch during the installation.If the registration has to be performed again, inform the service engineer and have him / her carry out the follow-ing steps.

    For technical data of the wireless module, see "Foot switch wireless interface" on page 19.

    Setting the wireless foot switch on the treat-ment center

    The wireless foot switch must be assigned to the treat-ment center via registration. This prevents malfunctions caused by neighboring wireless foot switches.

    ✔ The treatment center and wireless foot switch are ready for operation.

    ✔ All instruments are in place.

    1. Remove the small bellows from the 4-way foot switch.

    2. Remove the rear faceplate of the base. It has a plug connection to the lateral panels. If necessary, use a screwdriver to carefully pry the faceplates away from the panels.

    NSB

    59 57 373 D 3415D 3415.201.01.14.02 31

  • 6 Foot control Sirona Dental Systems GmbH6.1 Wireless foot switch C+(only with C5+) C5+, C5+ Turn

    3. Press the 0 and S keys of the wireless foot switch simultaneously for at least 3 seconds.

    The signal lamp A on the wireless foot switch flashes once per second (for 30 seconds) and the beeper on the NSB board periodically beeps.

    4. Within 30 seconds (i.e. while the beeper is sounding), press the registration button B.The beeper changes from periodic beeping to a Morse code sequence and then becomes silent.

    The wireless foot switch is now registered.

    5. Reinsert the faceplate and reattach the small bellows at the 4-way foot switch.

    Operating the foot switch

    Operation of the wireless foot switch C+ is described in section "C+ foot switch" on page 36.

    3s3s

    A

    NSB

    B

    NSB

    B

    NSB

    59 57 373 D 341532 D 3415.201.01.14.02

  • Sirona Dental Systems GmbH 6 Foot control C5+, C5+ Turn 6.1 Wireless foot switch C+(only with C5+)

    Battery voltage message

    The wireless foot switch is powered by a battery. The system will detect a low battery status and emit an acoustic signal. In this case, the battery should be replaced within a week to prevent system failure.

    When the battery is completely empty, the acoustic sig-nal will change to a long beep with brief pauses. In this case, the treatment center can no longer be operated.

    Battery for wireless foot switch

    1x type alkaline baby (C or LR14) with 1.5 V(commercially available)

    Always use high-quality batteries!

    59 57 373 D 3415D 3415.201.01.14.02 33

  • 6 Foot control Sirona Dental Systems GmbH6.1 Wireless foot switch C+(only with C5+) C5+, C5+ Turn

    Removing and changing the battery from the wireless foot control (without battery compart-ment)

    The housing of the wireless foot switch must be opened to change the battery. Touch a grounded metal part before opening the housing to prevent damage to the PC board due to electrostatic discharge.

    Prior to changing the battery, switch the treatment center off at the main switch. This prevents the inadvertent trig-gering of unwanted functions.

    1. Remove the screws (A) from the bottom of the foot switch.

    2. Remove the switch part (C) from the foot switch.

    3. Pull the battery out of the battery compartment by pulling the cloth strap (B) and replace it with a new one. Be careful to insert it with the correct polarity (minus pole facing spring). The cloth strap (B) must again lie underneath the battery.

    Checking the battery status

    The battery status is indicated by the yellow LED (D) in the switch part.

    • LED lights up for approx. 10 s after battery is insert-ed – Battery OK

    • LED flashes after battery is inserted – Battery too weak, must be replaced

    • LED does not light up – Battery empty, must be re-placed

    Assembling the foot switch

    1. Mount the switch part (C) on the foot switch.

    2. Remove the screws (A) from the bottom of the foot switch.

    IMPORTANTRestarting the wireless foot switchOnce you have changed the battery, switch the treat-ment center back on and check that all functions of the foot switch are working.You do not need to register the foot switch at the treat-ment center again after changing the battery.

    ON

    OFF

    C

    B

    A

    –+

    D

    59 57 373 D 341534 D 3415.201.01.14.02

  • Sirona Dental Systems GmbH 6 Foot control C5+, C5+ Turn 6.1 Wireless foot switch C+(only with C5+)

    Removing and changing the battery from the wireless foot control (with battery compartment)

    Prior to changing the battery, switch the treatment center off at the main switch. This prevents the inadvertent trig-gering of unwanted functions.

    1. If the adjustable feet D sit close to the battery cover E, slide this small part outward.

    2. Open the battery cover E.

    3. Pull the battery out of the battery compartment by pulling the cloth strap B and replace it with a new one. Be careful to insert it with the correct polarity (minus pole facing spring). The cloth strap (B) must again lie underneath the battery.

    Checking the battery status

    The battery status is indicated by the yellow LED F in the switch part.

    • LED lights up for approx. 10 s after battery is insert-ed – Battery OK

    • LED flashes after battery is inserted – Battery too weak, must be replaced

    • LED does not light up – Battery empty, must be re-placed

    Assembling the foot switch

    • Close the battery cover E.

    IMPORTANTRestarting the wireless foot switchOnce you have changed the battery, switch the treat-ment center back on and check that all functions of the foot switch are working.You do not need to register the foot switch at the treat-ment center again after changing the battery.

    Battery disposal

    For environmental reasons, batteries may not be dis-posed with household garbage. Please observe the applicable national regulations for battery disposal.

    ON

    OFF

    C

    B

    A

    –+

    D

    E

    D

    – +

    B

    F

    59 57 373 D 3415D 3415.201.01.14.02 35

  • 6 Foot control Sirona Dental Systems GmbH6.2 C+ foot switch C5+, C5+ Turn

    6.2 C+ foot switchThis foot switch enables hands-free operation by means of the cursor control, but also manual operation by means of the keys.

    The foot switch has a 4-way foot switch plate for cursor navigation, which works independently of the pedal.

    Functions

    1. Step on foot pedal

    Instrument picked up

    Activation of the instrument.

    If appropriate, intensity control relative to pedal movement (if the "speed controller foot switch" func-tion has been preset in section "Mode: FC CON-TROL MODE ON/OFF - VARIABLE" on page 73).

    2. Shift 4-way foot switch plate

    With cursor control enabled (see section "Mode: CURSOR OFF - ON" on page 73):

    A to the front – cursor upwardB to the back – cursor downwardC to the left – cursor to the leftD to the right – cursor to the right

    Cursor navigation along the marked path and trig-gering of the corresponding key function.

    3. Actuate left button – all instruments in place

    Programmed movement of chair to mouth rinsing position S or the last treatment position (depending on starting situation).

    Actuate left button – instrument picked upToggling between spray ON and spray OFF, or SIVISION function.

    4. Actuate right button – all instruments in place

    Programmed movement of the chair to the entry / exit position 0.

    Actuate right button – instrument picked up

    Chip blower active for duration of actuation, or SIVISION function.

    1.

    2.

    A

    B

    C

    D

    3.

    4.

    59 57 373 D 341536 D 3415.201.01.14.02

  • Sirona Dental Systems GmbH 6 Foot control C5+, C5+ Turn 6.2 C+ foot switch

    Automatic cursor with C+ foot switch

    A yellow diode on the dentist element indicates the posi-tion of the cursor. The cursor path is marked by lines.

    1. After you switch on the system, or when the chair has reached the entry/exit position 0, the cursor is between the chair program keys 1 and 2

    2. When you pick up an instrument or activate any of the instruments, the cursor jumps to the horizontal navigation path (position between 1st and 2nd row of keys) in the instrument block.

    3. After you have placed the instrument in its holder, the cursor jumps back to its position between chair program keys 1 and 2.

    2. 1. / 3.

    59 57 373 D 3415D 3415.201.01.14.02 37

  • 7 Program selection Sirona Dental Systems GmbH7.1 Safety C5+, C5+ Turn

    7 Program selection7.1 Safety

    Patient positioning

    WARNINGThe patient’s arms and legs must be resting on the chair upholstery during the program run!

    WARNINGMake sure that no obstacles (e.g. windows, drawers, devices, etc.) extend into the movement range.

    Safety stop

    A built-in safety circuit stops the chair movement in the following situations:

    • The toeboard collides with an obstacle.

    • The backrest collides with an obstacle.

    • The headrest collides with an obstacle.

    • The swiveling cuspidor is swiveled toward the patient chair during chair movement (C5+ only).

    • The assistant element is pushed upward or down-ward by an obstacle.

    • The cuspidor is pushed upward or downward by an obstacle.

    At the same time, a double beep signal sounds.

    The chair then automatically moves upward a little until it clears the obstacle (except for the swiveling cuspidor and assistant element).

    CAUTIONRisk of collision!When moving the chair, make sure that the patient or armrest does not come into contact with the water unit or the assistant element.

    59 57 373 D 341538 D 3415.201.01.14.02

  • Sirona Dental Systems GmbH 7 Program selection C5+, C5+ Turn 7.1 Safety

    With instruments in place, the last activated safety switch is indicated in plain text on the display:

    • TILTING PART() for motorized headrest

    • BACKREST(

    • FOOT SUPPORT

    • ASSISTANT ELEMENT

    The message CUSPIDOR appears after 10 seconds if the automatic return movement of the cuspidor is inhib-ited

    Position of the dentist element

    CAUTIONWhen moving the chair (via program or manually), make sure that the patient does not under any circumstances come into contact with the support arm or the dentist element.

    BACKREST10:04:27

    A

    59 57 373 D 3415D 3415.201.01.14.02 39

  • 7 Program selection Sirona Dental Systems GmbH7.2 MOVEMENT STOP! C5+, C5+ Turn

    7.2 MOVEMENT STOP!You can stop the movement of the chair to a pro-grammed position as follows:

    • By pressing one of the chair-related keys on the dentist or assistant element.

    • By actuating the 4-way foot switch.

    • By pushing the 4-way switches on a motorized headrest in any direction.

    All movements of the treatment center are stopped immediately.

    Please note that pressing the program key a second time for the program which is currently running will NOT stop the movement!

    59 57 373 D 341540 D 3415.201.01.14.02

  • Sirona Dental Systems GmbH 7 Program selection C5+, C5+ Turn 7.3 Program selection

    7.3 Program selectionKeys for selecting the programmed patient positions.

    For a swiveling cuspidor:

    Before the chair moves to the selected program position, the swiveled-in cuspidor automatically returns to its starting position.

    Factory settings:

    The operating light switches OFF automatically before the chair moves to the entry / exit position 0 or the mouth rinsing position S.

    The operating light switches ON automatically after the chair has reached patient position 1 or 2.

    Changing the factory settings:

    When programming the patient positions you can preset whether the operating light should switch OFF or ON in the different chair programs 0, S, 1 or 2 (see page 47).

    Program key 0

    Intended for the entry/exit position.

    Program key S with last position memory function.

    In the S program, you are able to program the flushing of the cuspidor (page 74) and / or the tumbler filling (page 74).

    If this key is pressed a second time, the treatment center returns to its previous position (last position memory function).

    Example: You have programmed this key for the mouth rinsing position. When you press this key, the patient chair moves to the programmed position.

    Last position memory function: When you press this key a second time, the patient chair returns to its previ-ous position.

    00SS

    2211

    00

    SS

    59 57 373 D 3415D 3415.201.01.14.02 41

  • 8 Positioning patients Sirona Dental Systems GmbH8.1 Flat headrest C5+, C5+ Turn

    8 Positioning patients8.1 Flat headrest

    The headrest must be adjusted manually.

    To do this, take the load off the backrest and pull out or push in the headrest using the handle (1).

    The head pad (2) is held magnetically.

    DANGERThe head pad (2) contains a strong magnet on its bottom side. This magnet could affect any cardiac pace-maker located nearby.Therefore, do not allow patients, users, and technical personnel with a cardiac pacemaker to be located near this magnet. Furthermore, direct contact of the head pad with magnetic cards can lead to data loss.

    8.2 Articulated headrestThe headrest must be adjusted manually.

    To do this, take the load off the backrest and pull out or push in the headrest using the handle (1).

    Tilt the headrest backward using the locking button (2).

    Tilt the headrest forward by simply pulling it out.

    1

    2

    12

    59 57 373 D 341542 D 3415.201.01.14.02

  • Sirona Dental Systems GmbH 8 Positioning patients C5+, C5+ Turn 8.3 MultiMotion headrest

    8.3 MultiMotion headrest

    Adjustment to patient's height

    The headrest can be adjusted to the patient's height by pulling out or pushing in the headrest extension. This adjustment is usually required at the beginning of treat-ment!

    IMPORTANTBefore positioning the patient on the headrest, make sure that the head support has been optimally adjusted to the patient's height. This simplifies all subsequent work with the MultiMotion considerably, since readjust-ment to the patient's height can thus be omitted when changing over from mandibular to maxillary treatment.

    The MultiMotion enables you to adjust the patient's head in a way that optimally supports viewing of areas of the mouth which are difficult to access.

    Adjustment of hyperextension

    Mandibular position

    The mandibular position can be set by pulling the oper-ating handle (A). The anatomical movement of the arched extension keeps the patient's head in the sup-port.

    Pull the headrest out of the guide by pulling handle A.

    Tip: You can reduce the adjustment noise by pressing release A.

    A

    59 57 373 D 3415D 3415.201.01.14.02 43

  • 8 Positioning patients Sirona Dental Systems GmbH8.3 MultiMotion headrest C5+, C5+ Turn

    Maxillary position

    1. Take the load off the headrest by lifting it slightly.

    2. Press release A on the handle.

    3. Let the headrest slide down slowly.

    4. Let go of the release when the headrest reaches the desired position.

    Rotation and tilt

    The MultiMotion enables rotation of the patient's head about the longitudinal axis of his body as well as lateral tilting of the head.

    The MultiMotion is set to the desired position as follows:

    1. Press and hold one or both of the two side control elements B.The rotation and tilt adjustment locks of the headrest are now released.

    2. Set the headrest to the desired position.

    3. Let go of the control elements B.

    The supporting surface is fixed in place.

    Make sure that the headrest is indeed fixed in place after you let go of the control elements!

    A

    B B

    59 57 373 D 341544 D 3415.201.01.14.02

  • Sirona Dental Systems GmbH 8 Positioning patients C5+, C5+ Turn 8.3 MultiMotion headrest

    Removing the MultiMotion

    For certain treatments (e.g. involving children) it may be appropriate to remove the MultiMotion completely in order to obtain better access to the patient. The patient's head will then be supported on the contact surface of the headrest extension F.

    To remove the MultiMotion, proceed as follows:

    1. Press release button C.

    2. Pull the complete headrest out of the headrest extension.

    3. Cover the opening of the headrest extension with cover cap E.

    4. If a children's head pad D is available, place it on the headrest extension. The head pad is held magneti-cally.

    Tip: The children's head pad D is not included in the scope of supply; however, it is available from your dental dealer.

    DANGERThe children's head pad D contains a strong magnet on its bottom side. This magnet could affect any cardiac pacemaker located nearby.Therefore, do not allow patients, users, and technical personnel with a cardiac pacemaker to be located near this magnet. Furthermore, direct contact of the head pad with magnetic cards can lead to data loss.

    NOTICEDeposit the removed MultiMotion in a safe place where it cannot fall onto the floor.

    Inserting the MultiMotion

    To insert the MultiMotion, proceed as follows:

    1. Check the guide of the removed headrest for con-tamination. Remove any contamination.

    2. Remove the cover cap E.

    3. Reinsert the MultiMotion in the guide from above until it audibly locks in place. Pull on the headrest again to make sure that it is locked securely in place.

    C

    ED

    F

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  • 8 Positioning patients Sirona Dental Systems GmbH8.4 Motor-driven headrest C5+, C5+ Turn

    8.4 Motor-driven headrest

    Moving the headrest in / out

    Move the headrest out / in by pushing the upper 4-way switch at the back of the headrest up / down.

    Tilting the headrest

    Tilt the headrest backward / forward by pushing the upper 4-way switch at the back of the headrest to the left / right.

    Backrest tilt

    You can tilt the backrest with the lower 4-way switch at the back of the headrest.

    • Lever to the left:

    The backrest tilts backward.

    • Lever to the right:

    The backrest tilts forward.

    Height adjustment

    You can adjust the height with the lower 4-way switch at the back of the headrest.

    • Lever down:

    The chair moves down.

    • Lever up:

    The chair moves up.

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  • Sirona Dental Systems GmbH 8 Positioning patients C5+, C5+ Turn 8.5 Chair movements adjustable by motor drive

    8.5 Chair movements adjustable by motor driveYou can start the motorized chair movements manually with the keys in the right block on the dentist element control panel.

    The backrest tilt and height adjustment also can be con-trolled with the 4-way foot switch on the chair base.

    Backrest tilt

    Lever to the left:

    The backrest tilts backward

    Lever to the right:

    The backrest tilts forward

    Height adjustment

    Lever up:

    The chair moves up

    Lever down:

    The chair moves down

    8.6 Rotation of chair base (only C5+ Turn)

    Turning the patient chair

    The patient chair can be turned max. 17° to either side.

    CAUTIONRisk of collision! When turning the chair, make sure that it does not collide with any other components of the treatment center, persons, furnishings or equipment. Turn the chair only with the treatment instrument deacti-vated.

    1. Release the locking brake A.

    2. Turn the patient chair to the desired position.

    3. The chair locks in place as soon as you release the brake.

    S

    0

    A

    17°

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  • 8 Positioning patients Sirona Dental Systems GmbH8.7 Programming patient positions C5+, C5+ Turn

    8.7 Programming patient positionsThe four factory-set programs can be reprogrammed individually by user A and user B :

    • Programs 1 and 2

    • Entry / exit program 0

    • Mouth rinsing program S

    1. Move the chair to the desired treatment position by pressing the different setting keys (see page 42).

    2. To make the operating light switch on or remain off when the chair reaches the programmed treatment position, you must switch the lamp ON or OFF now. This setting is then also stored in the program.

    NOTICEIn order to avoid damage to the dentist and assistant elements and to the chair upholstery, make sure that these elements do not protrude into the movement range of the chair.

    3. To save the program settings, press the desired pro-gram key for approx. 3 seconds until an audible sig-nal sounds and the LED of the corresponding key lights up.

    Programming is now complete.

    IMPORTANTProgramming is not possible by activating the program keys with the foot switch (cursor control). Thus program-ming errors are avoided.

    00SS

    2211

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  • Sirona Dental Systems GmbH 9 Dentist element and instrument functions C5+, C5+ Turn 9.1 Dentist element

    9 Dentist element and instrument functions

    9.1 Dentist element

    Maximum load capacity

    The maximum load of the dentist element is 3 kg (6.6 lbs).

    Please observe the additional information for maximum load in connection with a Vario tray on page 124.

    9.2 General instrument functions

    Spray

    You can switch the spray cooling ON / OFF by pressing the spray key on the dentist element control panel. If spray is preselected, the green LED in the key is lit.

    You can switch the spray for the picked-up instrument ON / OFF by stepping on the left foot switch button (3).

    Spray amount

    The spray amount is preset at the factory. However, it can be adjusted by means of the control valve at the bottom front part of the dentist element.

    To make the adjustment loosen the ring (5) counter-clockwise, adjust the spray by turning the screw (6) and screw the ring (5) tight again.

    This setting is then valid for all burr drives.

    3 kg3 kgmax.max. 6.6 lbs

    3

    6

    5

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  • 9 Dentist element and instrument functions Sirona Dental Systems GmbH9.2 General instrument functions C5+, C5+ Turn

    Chip blower

    When the instrument is removed, the chip blower is activated by pressing the right button (4) on the foot switch. As long as you keep the button pressed, an air jet escapes from the nozzle of the burr instrument.

    Instrument light ON / OFF

    With this key on the dentist element control panel, you preset the instrument light for the picked-up instru-ment.

    If light ON is preset, the green LED in the key is lit.

    When you press the key for more than 3 seconds, the INSTR. LIGHT settings dialog is displayed. Here you can set a light intensity between 60% and 100% with the – / + keys.

    IMPORTANTIf more than one instrument is picked up, only the instru-ment which was picked up first is operative.

    4

    A

    %

    INSTR. LIGHT

    – +

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  • Sirona Dental Systems GmbH 9 Dentist element and instrument functions C5+, C5+ Turn 9.3 Electric motor

    9.3 Electric motor

    Speed setting

    When you pick up an electric motor, the programmed speed of the motor in RPM (revolutions per minute) appears on the display.

    You can set the speed with the quick adjustment keys on the left side of the dentist element control panel.

    If the cursor is in the intensity setting block, you can set the speed also with the foot switch using the forward / backward cursor.

    When you press the corresponding key briefly (< 0.5s) then the value in RPM indicated next to the relevant key appears on the display::

    When you set the speed with the cursor, the displayed value is incremented / decremented in steps of 10,000 when you actuate the foot switch briefly (< 1 s) forward or backward.

    At the values of 200, 20000, 40000, the green LED in the corresponding key lights up.

    When you press and hold down a key for > 0.5s, you adjust the speed in predefined increments:

    When you press a key whose value is > the value shown on the display for > 0.5s, the speed is increased.

    When you press a key whose value is less than the value shown on the display for > 0.5s, the speed is reduced.

    When you actuate the foot switch forward or backward for > 0.5s, the displayed speed value is increased or reduced in predefined increments.

    If intermediate values are set, the green key LED does not light up.

    A

    RPM

    100

    50

    40

    20

    0.2rpm x 1000

    1

    Key 1 – 200 rpm

    Key 50 – 20000 rpm

    Key 100 – 40000 rpm

    Increments 200: of 200 – 2,000 rpm

    Increments 400: of 2000 – 10,000 rpm

    Increments 1000: of 10000 – 40000 rpm

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  • 9 Dentist element and instrument functions Sirona Dental Systems GmbH9.4 Highspeed handpiece C5+, C5+ Turn

    Counterclockwise rotation key

    Counterclockwise rotation key, only for electric motor.

    When this key is activated the green LED in the key is illuminated.

    After you start the electric motor with the foot switch, an audible warning signal sounds 6 times.

    You can activate counterclockwise rotation of the elec-tric motor also with the foot switch:

    • 4-way foot switch plate to the left – counterclockwise rotation

    • 4-way foot switch plate to the right – clockwise rota-tion

    The corresponding motor must have been picked up before.

    9.4 Highspeed handpiece

    Starting the highspeed handpiece

    When you pick up the highspeed handpiece, 0 bar or PSI (according to the presetting in section "Mode: PRES-SURE PSI / BAR" on page 77) appears on the display. When you start or operate the highspeed handpiece, the current air pressure always appears on the display.

    A

    bar

    PSI

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  • Sirona Dental Systems GmbH 9 Dentist element and instrument functions C5+, C5+ Turn 9.5 SIROSONIC L scaler

    9.5 SIROSONIC L scaler

    Tip protector

    The tip protector is used as a tool for screwing in instru-ment tips.

    WARNINGWhile the handpiece is in its holder, the tip protector must remain fitted to prevent injuries.

    Intensity setting

    After the SIROSONIC L handpiece is removed, the pro-grammed intensity value appears on the display.

    You set the intensity in increments of 1 / 50 / 100 by pressing the quick adjustment keys briefly (< 0.5s).

    If the cursor is in the intensity setting block, you can also set the intensity with the foot switch using the forward / backward cursor.

    When you set the intensity with the cursor, the displayed intensity value is incremented / decremented in steps of 25 when you actuate the foot switch briefly (< 1 s) for-ward or backward.

    The green LED in the corresponding key lights up.

    When you press and hold down a key for > 0.5s, you adjust the intensity in predefined increments:

    Increments of 1 from 1 – 4

    Increments of 5 from 10 – 100

    When you press a key whose value is > the value shown on the display for > 0.5s, the intensity is increased.

    When you press a key whose value is less than the value shown on the display for > 0.5s, the intensity is reduced.

    When you actuate the foot switch forward or backward for > 0.5s, the displayed intensity value is increased or reduced in predefined increments.

    !

    A

    100

    50

    40

    20

    0.2rpm x 1000

    1

    59 57 373 D 3415D 3415.201.01.14.02 53

  • 9 Dentist element and instrument functions Sirona Dental Systems GmbH9.5 SIROSONIC L scaler C5+, C5+ Turn

    When you set intermediate values, the green key LED does not light up.

    The cooling water flow is always switched on automati-cally.

    Endodontics setting

    An intensity range of 1 – 4 is provided for endodontics mode. It can be adjusted in increments of 1.

    The message ENDO appears on the display.

    For safety reasons, we recommend that you program the set value for endodontics. Otherwise, the previously programmed value becomes active again when the instrument is placed back in its holder in the meantime.

    WARNINGWhen you exceed the value of 4 in endodontic therapy, temperature damage and needle breakage can occur.

    A

    ENDO

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  • Sirona Dental Systems GmbH 9 Dentist element and instrument functions C5+, C5+ Turn 9.6 SPRAYVIT L multifunctional syringe

    9.6 SPRAYVIT L multifunctional syringeThe multifunctional syringe is used to clean the treat-ment areas and blow them dry. It supplies preheated air and water media. The heating cartridges are located in the handpiece.

    IMPORTANTAlso observe the Operating Instructions of the SPRAYVIT L.

    Safety instructions

    The SPRAYVIT L is equipped with extensive safety monitoring functions. However, please observe the following information.

    CAUTIONAfter changing the SPRAYVIT L hose, no cooling water for the SPRAYVIT L heating cartridge flows until the hose is completely filled.The patient may be scalded by hot steam escaping. The heating cartridge can overheat and be destroyed.After changing the hose of the SPRAYVIT L multifunc-tional syringe, press the Water key briefly and repeated-ly until there is an ample supply of water in the hose be-fore treating the patient.

    CAUTIONIf the flow rate in the SPRAYVIT L is too low, hot water may leak out.The patient can be scalded.Check the water flow rate before use.Test the flow rate on a monthly basis and in cases where you suspect that it may be too low. Clean the nozzle according to the SPRAYVIT L Operating Instructions.

    Instrument light

    If the SPRAYVIT L is the only instrument that has been picked up, you may switch the instrument light on or off. You can also set the brightness.

    The instrument light switches on when you activate the SPRAYVIT L (if preset).

    The instrument light switches off after a time lag of 10 s when the SPRAYVIT L is no longer activated.

    When you place the SPRAYVIT L back in its holder, the instrument light switches off immediately.

    If the SPRAYVIT L is activated together with another instrument, then the light of the SPRAYVIT L is not switched on.

    A

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  • 9 Dentist element and instrument functions Sirona Dental Systems GmbH9.7 Saving the instrument programs C5+, C5+ Turn

    9.7 Saving the instrument programsThe factory-set instrument programs can be changed individually by user A and user B.

    Select the corresponding user, i.e. A or B, pick up an instrument and set it according to your wishes.

    Example for electric motor:

    • 40,000 rpm

    • CW rotation

    • with cooling spray

    • with instrument light

    To save the settings, press and hold key A/B (approx. 3 s).