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XO FLEX – Instructions for use

Table of contents

Suction filters .................................................................................................................. 61

Replacement of XO Suction Disinfection cartridge ........................................................ 62

5.20 Disinfection of unit water lines .............................................................................................. 63

Overnight water treatment .............................................................................................. 63

Intensive water treatment ............................................................................................... 64

Replacement of XO Water Clean cartridge .................................................................... 64

6 Maintenance and repairs ............................................................................................................... 66

6.1 Foot control ............................................................................................................................. 66

6.2 XO OSSEO motor ................................................................................................................... 66

Motor repair ...................................................................................................................... 66

6.3 XO ODONTOSON ................................................................................................................... 66

Handpiece repair .............................................................................................................. 66

Tightening / exchanging the ferrite rod ............................................................................ 66

6.4 XO ODONTOCURE ................................................................................................................. 67

Handpiece repair .............................................................................................................. 67

Manual measurement of curing effectiveness .................................................................. 67

6.5 XO Peristaltic Pump ................................................................................................................ 69

6.6 Adjustment of the hand instrument table ................................................................................ 69

6.7 Control of the water disinfection system ................................................................................ 69

6.8 Maintenance and replacement of main filter for water supply ................................................ 70

6.9 Cuspidor valve – cleaning the course filter ............................................................................. 70

6.10 Flushing of cuspidor drain..................................................................................................... 70

6.11 Suction hoses ....................................................................................................................... 70

6.12 Air and Amalgam separator .................................................................................................. 71

Dürr CS1 Combi-Sepamatic – Air separator .................................................................. 71

Dürr CAS 1 Combi-Separator – Air and amalgam separator ......................................... 71

7 Unit messages and remedial actions ............................................................................................. 72

7.1 Error messages ....................................................................................................................... 72

7.2 Service messages and remedial actions ................................................................................. 73

8 Preventive service, safety inspections and repairs ........................................................................ 74

8.1 General .................................................................................................................................... 74

8.2 Preventive service and safety inspection ................................................................................ 74

Preventive service and safety inspection A – 12, 36 etc. months after installation .......... 74

Preventive service and safety inspection B – 24, 48 etc. months after installation ......... 74

Service notification ........................................................................................................... 74

8.3 Adjustment of the arm systems .............................................................................................. 75

8.4 Adjustment of balanced instrument suspension arms ............................................................ 75

8.5 Replacement of operating light source ................................................................................... 75

8.6 XO HD Display ........................................................................................................................ 75

9 Infection control and maintenance checklist ................................................................................. 76

10 Accessories, detachable parts and consumables ....................................................................... 78

10.1 Accessories ........................................................................................................................... 78

10.2 Detachable parts ................................................................................................................... 78

10.3 Consumables ........................................................................................................................ 79

Summary of Contents for FLEX

Page 1: ...XO FLEX INSTRUCTIONS FOR USE...

Page 2: ...XO FLEX Instructions for use 2...

Page 3: ...ents 17 Four handed or solo work 18 Working positions 18 3 8 Instrument control 21 Foot control of instruments 21 Instruments on the instrument bridge 21 Instrument bridge display 21 3 9 Syringe Luzza...

Page 4: ...ection control 53 5 1 Cleaning disinfection and sterilization procedures 53 5 2 Detergents and disinfectants for cleaning and or disinfection of the unit 53 5 3 General cleaning of unit and patient ch...

Page 5: ...rse filter 70 6 10 Flushing of cuspidor drain 70 6 11 Suction hoses 70 6 12 Air and Amalgam separator 71 D rr CS1 Combi Sepamatic Air separator 71 D rr CAS 1 Combi Separator Air and amalgam separator...

Page 6: ...2 11 5 Product updates 82 11 6 Firmware version 82 11 7 Applicable standards 82 11 8 Electromagnetic emission 82 11 9 Interference Immunity 83 11 10 Classification 84 11 11 Applied parts 84 11 12 Mark...

Page 7: ...n 9 you find a checklist containing all infection control and maintenance procedures that must be observed Section 10 contains a complete list of accessories detachable parts and consumables that you...

Page 8: ...e 1 and in Table 2 the installation requirements are given Figure 1 Plan of installation XO FLEX Table 1 Operating and transport storage conditions Condition Operation Transport and storage Temperatur...

Page 9: ...ith Repeater from D rr Dental part number 2106 155 60 USB extension cable 20 cm Suction air and water Requirement Height above floor surface Suction Suction machine power 600 l min Vacuum pressure at...

Page 10: ...with the applicable standards e g IEC 60950 1 information technology equipment or IEC 62368 1 electronic equipment within the field of audio video information and communication technology and IEC 6060...

Page 11: ...unit has a compact floor mounted stand fitted with a patient chair a cuspidor and single column pivoting articulated balanced arms for the instrument bridge operating light and display see Figure 2 Fi...

Page 12: ...ble or explosive gases in its environment Use of other equipment adjacent to or stacked on this equipment should be avoided because it could result in improper operation Do not simultaneously touch th...

Page 13: ...the patient does not see the instruments when getting in and out of the chair and the bridge will be easily accessible for cleaning and disinfection Figure 4 Position of instrument bridge for optimal...

Page 14: ...can be moved north west south and east see Figure 6 Figure 6 Chair base joystick In this manual the above presented terminology e g move joystick to north will be used to explain the functions of XO...

Page 15: ...ir in working position 2 with When you activate the chair moves to the entry position the position used to enter the chair and for rinsing Activating brings the chair to the previous position the last...

Page 16: ...ght of up to 150 kg Exceeding the maximum allowed weight will compromise the structural stability of the unit and the patient chair SUPINE PATIENT POSITION The unit is designed with over the patient d...

Page 17: ...UMENT BRIDGE IN WORKING POSITION To obtain easy access to and optimal balancing of the instruments place the instrument bridge close to the center of the patient s chest with a distance from the tips...

Page 18: ...ition and the hand instruments are positioned near the patient s temple XO FLEX is equally suited for four handed Figure 14 and two handed operation Figure 15 Figure 15 Two handed operation here the o...

Page 19: ...is combined with the flexibility of working in positions between 9 and 12 o clock see Figure 16 provides you with the best possible view of each tooth surface without bending or straining your neck sp...

Page 20: ...XO FLEX Instructions for use Operation 20 Figure 17 Six different patient positions...

Page 21: ...of camera functions via the foot control is only possible when the video camera is the only instrument lifted forward INSTRUMENTS ON THE INSTRUMENT BRIDGE Up to 6 instruments may be fitted to the inst...

Page 22: ...as the other instruments 3 10 MICROMOTOR BIEN AIR MC3 BIEN AIR MX2 The micromotor is used as described in the manual supplied by Bien Air or visit bienair com The micromotor is intended to be used wi...

Page 23: ...Increase maximum speed with Decrease maximum speed with 3 11 XO OSSEO MOTOR XO OSSEO motor is intended for bone surgery in general and for dental implantology XO OSSEO motor is intended to be used wit...

Page 24: ...n the motor is running Figure 22 Foot control of XO OSSEO motor Switch irrigation on off with X Choose between three levels of irrigation Increase amount of irrigation with Decrease amount of irrigati...

Page 25: ...used as described by the supplier Air instruments with a type 3 coupling as specified in ISO 9168 shall be used Lift the air instrument forward and control it with the foot control Activate the air i...

Page 26: ...se between three drive air levels Increase drive air with Decrease drive air with 3 13 ULTRASONIC SCALERS The ultrasonic scaler is used as described by the supplier For XO ODONTOSON scalers see below...

Page 27: ...tain and calculus in all areas Particularly useful for removal of subgingival calculus in pockets as deep as 13 mm Use the tip as if using a periodontal probe Thin Line Straight instrument 209034 2 pi...

Page 28: ...with the end of the tip probing the pocket when necessary Figure 25 Using XO ODONTOSON 360 When working with XO ODONTOSON 360 Always use the instrument parallel to the tooth surface with the sides of...

Page 29: ...patient lips tongue or other soft tissue with the non cooled part of the instrument tip Handle the instruments carefully as the attached ferrite rod is fragile Always use as much irrigation water as p...

Page 30: ...taltic pump as described in section 3 16 Insert the connector piece XO 069 between the hose and the handpiece as shown in Figure 27 Figure 27 Connector piece for external irrigation of XO ODONTOSON 36...

Page 31: ...s light in the previously mentioned wavelengths CAUTION The high light intensity of XO ODONTOCURE is accompanied by heat generation on the exposed surface Uninterrupted exposure of more than 20 second...

Page 32: ...n tube is part of a disposable irrigation kit that contains the different tube parts needed for connecting a reservoir or bag with the different supported instrument types The pump is detachable and c...

Page 33: ...ble irrigation kits Additional kits can be ordered from your XO distributor Pre sterilized disposable irrigation kit 50 pcs XO 055 Pre sterilized disposable irrigation kit 10 pcs XO 056 ATTACHING THE...

Page 34: ...e 1 clockwise see Figure 35 Figure 35 Locking the pump head Place the irrigation tube into the tube guide and attach it to the instrument bridge arm as shown in Figure 36 Figure 36 Placing the irrigat...

Page 35: ...he knob at the bottom of the pump module see Figure 38 Figure 38 Irrigation bag IRRIGATION RESERVOIR Place the reservoir containing the irrigation liquid into the holder below the pump see Figure 39 F...

Page 36: ...fore the pump can be used a designated instrument must be selected With all instruments at rest press the button 1 once see Figure 41 The unit enters configuration mode and a menu will be shown on the...

Page 37: ...link If you want to use the designated instrument without peristaltic pump select NONE in the PUMP menu ADJUSTING THE FLOW LEVEL Choose between three levels of irrigation Increase irrigation with Decr...

Page 38: ...the foot control to the imaging program This is in addition to the USB cable carrying the video signal Please consult your XO authorized service provider for further details To ensure a stable connect...

Page 39: ...in activation distance for less than one second and the lamp switches on off Change the light intensity 3 levels by activating the sensor for more than one second Figure 47 No touch sensor Optionally...

Page 40: ...e connected to an external PC The best image quality is obtained using the native resolution of 1920 1080 pixels The display contains 6 sensor buttons at the bottom right see Figure 49 The meanings of...

Page 41: ...button Used for selecting functions in the OSD AUTO Auto button Use this button to automatically adjust the display settings when using an analog input ON OFF button Switches the display on and off No...

Page 42: ...n arm to fail altogether exposing the patient to a risk 3 21 SUCTION Activate each suction hose individually by lifting it from the holder When working solo move the suction hose holder forward to fac...

Page 43: ...nd water lls the cup while the button is activated The cup filler may alternatively be activated deactivated using X while all unit instruments rest Figure 55 Foot control of cup filler AUTOMATIC FUNC...

Page 44: ...display See details in section 7 3 26 XO SEAT AND XO STOOL We recommend you sit in an upright balanced position with an angle between thighs and upper body of about 120o see Figure 57 To maintain a he...

Page 45: ...e Operation 45 Figure 57 Upright balanced position XO SEAT Adjust the seat height using the left handle as shown in Figure 58 Figure 58 Adjustment of seat height Adjust the seat angle with the right h...

Page 46: ...59 Adjusting the seat angle XO STOOL Adjust the seat height as shown in Figure 60 and the seat angle as shown in Figure 61 Figure 60 Adjusting the seat height Figure 61 Adjusting the seat angle Adjust...

Page 47: ...XO FLEX Instructions for use Operation 47 Figure 62 Adjusting the backrest angle Figure 63 Adjusting the backrest height...

Page 48: ...orking position 1 Working position 2 Rinse position twice within one second Entry position 5 Subsequently an OK sound is heard 6 The display will show the configured position shortly afterwards Figure...

Page 49: ...n cup filler stops FLUSH CF Enabled Disabled enabled Light on when patient chair reaches a working position or previous position Light off when chair moves towards entry 0 position or working position...

Page 50: ...th contra angle approximately 70 ml min Without contra angle 10 100 ml min Amount of spray water Level 2 W LEVEL 2 Without contra angle what you see on the display 50 ml min With contra angle approxim...

Page 51: ...ml min With turbine hand piece approximately 70 ml min Without turbine hand piece 10 100 20 ml min Amount of spray water Level 2 W LEVEL 2 Without turbine hand piece what you see on the display 50 ml...

Page 52: ...XO ODONTOCURE curing light Curing time 3 TIME 3 20 s 1 300 s Curing time 2 TIME 2 10 s 1 300 s Curing time 1 TIME 1 5 s 1 300 s Soft start SOFT T Disabled Enabled disabled Soft start SOFT T 5 s 1 300...

Page 53: ...minutes Please note that some instruments and accessories are not designed for thermo disinfectors or autoclaves Please note that autoclaving and thermo disinfection processes wear down the materials...

Page 54: ...never directly to the fabric 5 5 GENERAL DISINFECTION OF UNIT SURFACES Disinfect the surfaces of the unit using a lint free cloth with D rr FD 333 or D rr 366 please see details in section 10 3 Look...

Page 55: ...INFECTION OF INSTRUMENT HOSES AND SUSPENSIONS Remove the instrument hose by turning the release handle 1 counter clockwise and pulling out the plug as shown in Figure 69 Figure 69 Removing instrument...

Page 56: ...ted to a wrong position Make sure that the instrument hose plugs and sockets in the instrument bridge are completely dry before the hoses are re mounted on the instrument bridge 5 9 INFECTION CONTROL...

Page 57: ...ts can be cleaned and sterilized using all clinically acceptable methods The handpiece can be cleaned and disinfected with D rr FD 333 or autoclaved max 121 C 5 13 INFECTION CONTROL XO ODONTOCURE CURI...

Page 58: ...the surfaces of the pump unit using a lint free piece of soft cloth with D rr FD 333 Tubing clips and spear can be autoclaved Tube guide can be thermo disinfected Risk of contamination The pre sterili...

Page 59: ...ents directly onto the display FRONT PANEL Take care not to scratch the front surface with any hard or abrasive material Dust finger marks grease etc can be removed with a lint free piece of soft clot...

Page 60: ...tion holder 2 Remove the covers from both suction nozzles see Figure 75 3 Activate the suction disinfection button 2 see Figure 76 to deactivate the suction 4 Place the two suction nozzles on the suct...

Page 61: ...f the unit is equipped with an amalgam separator or if the above described procedure is not sufficient Please see the instructions provided by D rr Dental Please note that XO Water Clean and XO Suctio...

Page 62: ...DISINFECTION CARTRIDGE When the cartridge is almost empty a warning sound is heard and the message CHECK YELLOW BOTTLE appears in the unit display The XO Suction Disinfection cartridge is replaced as...

Page 63: ...ter treatment procedure should be used Step 1 evening 1 Fit the water disinfection instrument holder on the cuspidor bowl 2 Place all water bearing unit instruments in the disinfection instrument hold...

Page 64: ...own in Figure 80 3 Activate the button 2 in Figure 80 and the instrument water lines are flushed 4 Watch the display for the remaining time of the disinfection process When FLUSH OK appears in the dis...

Page 65: ...lean the surface with a damp cloth To avoid accidentally exposing the patient to suction disinfection additive be careful not to interchange XO Water Clean cartridges white and XO Suction Disinfection...

Page 66: ...on the floor when activated If necessary clean the rubber feet and floor with petroleum benzine to avoid the foot control from sliding when activated Figure 82 Cleaning of foot control rubber feet 6 2...

Page 67: ...uld be measured once a month to ensure that the effectiveness of the lamp is consistent A substantial change in effectiveness is indicative of a fault which may affect the curing result adversely XO C...

Page 68: ...the depth of the test plug At an interval of approximately 1 month perform the following steps 7 Please refer to points 1 5 on page 67 8 Compare the result of this test with the reference made upon re...

Page 69: ...key Figure 87 Adjustment of the hand instrument table 6 7 CONTROL OF THE WATER DISINFECTION SYSTEM If the unit is fitted with a water disinfection system we recommend that you control the function ev...

Page 70: ...y activating the manual valve button 1 in Figure 89 for 5 seconds 3 Remove the filter 2 4 Clean the filter 5 Replace the filter Figure 89 Manual activation of cuspidor valve 1 and cuspidor valve filte...

Page 71: ...t and should therefore be disposed of safely and in accordance with regulatory requirements Remember to use safety gloves 6 12 AIR AND AMALGAM SEPARATOR D RR CS1 COMBI SEPAMATIC AIR SEPARATOR Service...

Page 72: ...after start up of unit if no communication with Stand Controller is detected Call your XO authorized service provider SUCTION CLEAN FAIL CALL SERVICE Displayed when unit detects that it takes more th...

Page 73: ...tion Call your XO authorized service provider and require a preventive service and safety inspection SERVICE OVERDUE YYYY MM DD Date for preventive service and safety inspection is overdue Call your X...

Page 74: ...or time for service A is 1 5 hours PREVENTIVE SERVICE AND SAFETY INSPECTION B 24 48 ETC MONTHS AFTER INSTALLATION Service B includes a general checkup and exchange of parts contained in XO FLEX Servic...

Page 75: ...ervice provider in accordance with the load on the norm tray fitted under the instrument bridge Adjustments of arm systems must be done by qualified personnel only Maladjustment may result in a mechan...

Page 76: ...ment pad bridge protection pad handles covers for suction nozzles cuspidor bowl protection disk and gold trap cup holder See sections 10 2 and 10 3 Unit instrument pad Bridge protection pad See sectio...

Page 77: ...10 3 When the unit has not been used for several days after a long weekend holidays etc Start the intensive water line disinfection procedure See section 5 20 2 XO Water Clean cartridges See section...

Page 78: ...thanded use Please shorten hose to 1710 mm when used by right handed operator None None AP 711 Cover for high volume suction nozzle 250 250 AP 714 Cover for saliva suction nozzle 250 250 AP 715 Suctio...

Page 79: ...d skai fabric See details at duerrdental com XO Water Clean Disinfection of unit water and water lines Disinfection additive Significantly reduces but does not eliminate pathogens in unit water 6 0 6...

Page 80: ...e regularly depending on how much the unit is used Contains 2 suction hoses complete with nozzles 2 complete suction filters with filter cartridges 1 gold trap 1 tip for syringe Please shorten hose to...

Page 81: ...CARE s instructions on handling cleaning disinfection sterilization or service have not been adhered to XO CARE and the XO distributor undertake no responsibility for warranties safety reliability an...

Page 82: ...ended for operation in the electromagnetic environment specified below Please make sure that the unit is used in such an environment Table 15 EMC information Emission measurement Conformity Electromag...

Page 83: ...ower supply lines 1 kV for input and output lines 2 kV for power supply lines The quality of the line power supply should be that of a typical residential or hospital environment Surge voltages accord...

Page 84: ...field strength of stationary radio transmitters should be less than the conformance level at all frequencies in an on site check Disturbances are possible close to devices that have the following sym...

Page 85: ...ty to dispose of your waste equipment by handing it over to a designated collection point for the recycling of waste electrical and electronic equipment The separate collection and recycling of your w...

Page 86: ...g dangerous voltage Follow instructions for use Mandatory action Information Other important messages not related to safety Do not reuse For single use only Serial Number This information is found on...

Page 87: ...al Type B applied part Foot control pedal right Foot control pedal left Foot control pedal down X X button on foot control O O button on foot control Foot control joystick north Foot control joystick...

Page 88: ...XO FLEX Instructions for use Symbols 88 Chair base joystick south Chair base joystick east...

Page 89: ...XO FLEX Instructions for use Dimensions and technical data 89 13 DIMENSIONS AND TECHNICAL DATA 13 1 DIMENSIONS AND RANGE OF MOVEMENT Figure 91 XO FLEX dimensions and range of motion...

Page 90: ...rque contra angle gear ratio 1 1 2 5 Ncm Spray water without contra angle 20 70 ml min 20 Spray air without contra angle 10 100 Cooling air 10 l min Contra angles according to ISO 3964 type 2 or type...

Page 91: ...cted to a suction machine with High flow rate Type of suction Wet or dry Inner diameter of high volume suction nozzle 16 mm Inner diameter of saliva suction nozzle 7 mm Head loss between the suction i...

Page 92: ...ble 19 Boxes dimensions and weight Box Dimensions cm L x W x H Gross weight kg Unit stand 120 x 72 1 x 140 150 170 Arm and instrument bridge 134 4 x 72 4 x 44 35 Operating light 118 x 53 x 40 15 Patie...

Page 93: ...rest inclination X Call chairside assistant O Start stop cup filler Short Operating light on off Long Change operating light intensity Increase maximum speed power time Decrease maximum speed power ti...

Page 94: ......

Page 95: ...Product XO FLEX 2018 09 06 Ref YB 660 Ver 2 02 Subject to change Manufacturer XO CARE A S Usser d M lle H ndv rkersvinget 6 DK 2970 H rsholm Denmark 45 70 20 55 11 info xo care com xo care com...

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Summary of Contents for FLEX

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Xo FLEX, Instructions For Use Manual, Page: 5 / 95

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Summary of Contents for FLEX

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