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Instructions for Use  2018-10-22 

41 

 

4. Sterilization, Replacement Parts, and Storage 

 

 

•

 

To prevent the spread of serious, life-threatening infections, the handpiece grips and its hanger, tips 

and tip stand must be cleaned and sterilized between patients.

 

•

 

All the handpiece grips and its hanger, tips and tip stand are delivered in

 

non-sterile condition.   

Clean and sterilize them prior to initial use.

 

•

 

Always turn off the key and the circuit protector before cleaning.    This will avoid the risk of burns 

and electric shocks as well as accidents that could results from accidentally pressing a switch.

 

 

<All information about cleaning and sterilization (Autoclaving) > 

 

Cleaning and Sterilization 

Detail 

Tips 

Immerse the tip fiber in tap water and emit the laser. 

Use the enzymatic detergent (CIDEZYME Johnson & Johnson company: for 

example) provided to clean off blood and other contaminants. 

 

Immerse the tip in an available chemical disinfectant 

・

Chlorhexidine gluconate 

・

Ethanol for disinfection (Ethanol 70 vol% to 80 vol%) 

Autoclaving  (+135°C (+275°F)    10 to 15 min) 

Refer to 

pp. 42-43 

Handpiece 

grips 

Wipe entire handpiece grips outer surface with a soft cloth and ethanol for 

disinfection (Ethanol 70 vol% to 80 vol%). 

 

Autoclaving  (+135°C (+275°F)  10 to 15 min)   

Refer to 

pp. 42-43 

Hanger 

Wipe the hanger with a soft cloth and ethanol for disinfection (Ethanol 70 vol% to 

80 vol%). 

 

Autoclaving  (+135°C (+275°F)  10 to 15 min)   

Refer to 

pp. 42-43 

Tip stand 

Wipe the tip stand with a soft cloth and ethanol for disinfection (Ethanol 70 vol% 

to 80 vol%).   

 

Autoclaving  (+135°C (+275°F)  10 to 15 min)   

Refer to 

pp. 42-43 

 

 

Cleaning only 

Detail 

Main unit 

Wipe the outside of the main unit with ethanol for disinfection (Ethanol 70 vol% to 

80 vol%) or neutral detergent 

Refer to 

p. 44 

 

*  We recommend autoclaving time longer than 10 minutes. 

 

 

 

 

 

 

Содержание AdvErL EVO

Страница 1: ...Er YAG Laser for Dentistry AdvErL EVO INSTRUCTIONS FOR USE...

Страница 2: ......

Страница 3: ...ghly before using the unit and pay close attention to the warnings cautions and notes Keep this manual in a handy place for ready reference Trademarks and Registered Trademarks The name of companies p...

Страница 4: ...sterilization 42 2 Autoclaving sterilization Always perform this procedure after cleaning and before use 43 1 Grease Handpiece Grips 45 2 Lens Cleaning 46 3 Spray Water Bottle Distilled Water for Spra...

Страница 5: ...issue Effects of Er YAG Laser 55 6 3 Pulse Energy Energy Level Setting mJ 55 6 4 PPS Hz 55 6 5 Laser Energy Density 55 6 6 Type of Tips 57 8 TROUBLESHOOTING 59 9 TECHNICAL DESCRIPTION 65 10 ELECTROMAG...

Страница 6: ...mplete destruction of the equipment as well as other property damage including the possibility of fire This warns the user of the possibility of extremely serious injury or complete destruction of the...

Страница 7: ...erations of its products 3 The use of products or instrument made by other manufacturers except for those procured by J MORITA MFG CORP 4 Maintenance or repairs using parts or components other than th...

Страница 8: ...ety is constantly being monitored If anything abnormal is detected laser irradiation is terminated and an error message is displayed 4 Cooling System The AdvErL EVO is water cooled Water circulates to...

Страница 9: ...ce it such as outside the entrance of the laser surgery room 2 Only people recognized as authorized users may operate the equipment 3 The user of this equipment must have complete proficiency in the o...

Страница 10: ...e exposed to laser beam emission should be well covered with gauze that has been soaked in a saline solution so that it cannot be harmed by accidental laser irradiation 2 Always carefully consider the...

Страница 11: ...indow Touch Panel Display Spray Water Connector Foot Switch Ventilation Opening Start Switch Brake Caster Rear Handle Hollow Waveguide Support Upper Tray Handpiece Hanger Handpiece Front Handle Emerge...

Страница 12: ...by mode to Ready mode Turns green when activated Ready changes to Emission when laser is being emitted Information Key Lights up when maintenance information is required Spray Water Setting Key Press...

Страница 13: ...2 Grease Applicator 1 Laser Safety Glasses 3 pairs Lens Cleaner 1 Tip Stand 1 Foot Switch 1 Remote Interlock Connector 1 Hollow Waveguide 1 Hollow Waveguide Support 1 Power Cord 1 Handpiece Hanger 2 H...

Страница 14: ...warning plate Eye warning plate Laser Danger plate Operation Danger plate Optional Tips and Parts CF600 CS600F R135T R200T R300T R600T P400T P600T P400FL PS400T PS800T PS800TS OnlyforR135T R200TandR3...

Страница 15: ...Instructions for Use 2018 04 23 13 3 Labels Read All Warning and Caution Labels inside of the device Rating Label...

Страница 16: ...Marking of electrical equipment in accordance with the European Directive 2012 19 EU WEEE cTUVus certification mark Valid only for U S A and Canada DANGER No pushing Caution Caution Laser Caution Hig...

Страница 17: ...the unit is in position and then step on the tabs to lock the caster brakes 2 Take the foot switch off its hook and place it on the floor 3 Turn on the circuit protector on the back of unit 4 Pull the...

Страница 18: ...o the hollow waveguide Never bend in into a curve with a radius of less than 6 cm Do not let anyone go between the patient and the laser unit Do not let personnel not involved with the treatment stand...

Страница 19: ...nd by mode If the water temperature is less than 15 C 59 F the D interlock lamp may light up In this case wait for the water to warm up If the cooling water gets too warm the fan will speed up and mak...

Страница 20: ...d also be protected The laser beam can cause serious injury to the skin and eyes Even if you are wearing safety glasses never look directly into the aperture where the laser comes out you could be bli...

Страница 21: ...prevent damage to the O ring See page 45 2 Hold onto the outer cover of the hollow waveguide and give the handpiece a light tug to make sure it will not come off 3 Make sure the contact tip is clean a...

Страница 22: ...tips could overheat and injure the patient Do not use chipped or worn tips Do not use tips if the output seems lower than normal If the guide light is dim or does not appear at all the tip may be dam...

Страница 23: ...ake this setting The mJ display turns red if mJ is set at 150 or higher 2 PPS pulses per second Setting Press the PPS part of the panel a window to make this setting will appear Press one of the numbe...

Страница 24: ...r and water produces a spray that comes out of the end of the contact tip Press the Air key to turn the tip air on and off The Tip Air is set for on when the key is turned on and the Air key lights up...

Страница 25: ...ating hard tooth tissue without using spray could cause carbonization When irradiating hard tissue make sure the spray is turned on and that enough water is being delivered to the treatment area Do no...

Страница 26: ...oot switch to its first level to check that spray is properly emitted from the tip 4 Depress the foot switch all the way down to emit the laser beam The Ready lamp will change to Emission and beeps wi...

Страница 27: ...p Switch this will immediately turn off the laser beam 2 Restore Operation Press the Start Switch to turn the unit off Press the Emergency Stop Switch again to release it Press the Start Switch The un...

Страница 28: ...elevated concentration of oxygen this could result in ignition or explosion A laser beam will readily ignite a tracheal tube such as those made of silicon rubber in the presence of a high concentratio...

Страница 29: ...e group tabs can be changed for convenience Memory Keys There are 5 memory switches for each group Press one of the switches to use the setting combination for it Memory Name You can name each memory...

Страница 30: ...Memory key to go to the memory display 2 Press one of the group tabs 3 Press a memory number from 1 to 5 4 This will select the settings for that memory Always check settings before using the laser Ta...

Страница 31: ...on 1 Make the desired settings on the main display 2 Press the Memory key to go to the memory display 3 Hold down the Memorize Key for one of the Memory keys for 1 second 4 A pop up menu will appear P...

Страница 32: ...of the Memory Keys for 1 second 3 A pop up menu will appear Press Change Name 4 A keyboard will appear Enter the name You may use up to 10 characters Press Back Space to erase the last character Press...

Страница 33: ...the Memory Key to go to the memory display 2 Hold down the tab for one of the groups for 3 seconds 3 The keyboard will appear Enter the name You may use up to 6 characters Press Back Space to erase t...

Страница 34: ...press the Ready switch The light inside the Ready Key will go out and the unit will go into Standby mode 2 Press the Start switch The unit will turn off 3 Turn the key off 4 Take the key out and give...

Страница 35: ...he hanger to push the hanger back it could fall out Remove the tip before moving the unit it could get broken Never push or pull on the hollow waveguide support or the handpiece hanger Risk of overbal...

Страница 36: ...gory you wish to view Set Clock Select each item year month day hour and minute and then use the key board to enter the number Press Enter to finish Check Lamp Shot Counter Check the total number of s...

Страница 37: ...he problem It takes about 15 minutes If the unit is use at low power for a long time the terminals may get dirty and interfere with ignition Operating the lamp at high power can clean the terminals Th...

Страница 38: ...LOG Button to show or hide the Log key on the main panel Press ON switch to show the Log key Using the Up and Down or switch to turn it on or off and then press Enter It is turned off at the time of f...

Страница 39: ...e earliest records are deleted in order Keep all the records by copying them onto a USB flash drive Typical Log This shows a log that was copied onto a USB flash drive and then opens with Microsoft Ex...

Страница 40: ...n the flash drive You can take the USB flash drive out anytime data is NOT being copied onto it Data Transfer Procedure Press the Log switch Go to the Menu if the Log switch is not currently displayed...

Страница 41: ...USB flash drive out Press the Back switch If the copy procedure stops before finishing press the Back key and do it again 3 1 Put Dividers in Log Record Divider lines can be put in the log These can b...

Страница 42: ...tware applications such as Excel Periodically back up all data so that it cannot be accidentally lost If there is a power failure while data is being copied onto the USB flash drive all the files on t...

Страница 43: ...ME Johnson Johnson company for example provided to clean off blood and other contaminants Immerse the tip in an available chemical disinfectant Chlorhexidine gluconate Ethanol for disinfection Ethanol...

Страница 44: ...he disinfectants listed below at the concentration specified for medical instruments for cleaning solution Chlorhexidine Gluconate Hibiten for example Ethanol for disinfection Ethanol 70 vol to 80 vol...

Страница 45: ...ents when putting them into the autoclave Do not drop or bump them against anything when handling them 3 Set autoclave cycle to the following parameters Temperature 135 C 275 F Time 10 to 15 minutes D...

Страница 46: ...nol for disinfection Ethanol 70 vol to 80 vol or a neutral detergent Alkaline and acidic cleaners liquid cresol soap and other chemicals may damage or discolor the surface Do not use solutions that co...

Страница 47: ...f its case 2 Use a piece of gauze to wipe off excess grease Do not wipe off too much grease leave enough to lubricate the handpiece grips Carefully remove all the grease on the end of the applicator o...

Страница 48: ...it Ball Lens Clean the ball lens on the end of the R Handpiece after each patient Dampen the end of the cleaner with ethanol for disinfection Ethanol 70 vol to 80 vol and lightly wipe the lens with it...

Страница 49: ...ced depress the foot switch to its first level to force the air out Do not step on the foot switch before connecting the tube to the spray water bottle This will cause the pump to start up and could d...

Страница 50: ...ject to freezing If the water freezes the resulting expansion will ruin the unit Even if the unit is not being used turn it on and circulate the cooling water once a month This will filter the cooling...

Страница 51: ...ash lamp after it has exceeded 10 000 000 pulses after this errors may occur After 20 000 000 pulses the lamp is at the end of its working life and must be replaced otherwise various errors will occur...

Страница 52: ...uld damage the unit It could also cause the unit to start smoking and catch on fire Do not pinch your fingers or catch your clothing in the casters when moving the unit The AdvErL EVO must be installe...

Страница 53: ...e force to the foot switch cable or remote interlock connector Make sure that the connector does not make contact with bumps on the floor when moving the unit to avoid getting the cable caught in the...

Страница 54: ...to 240 V 10 Electric Circuits wiring and Cables for foot switch and power 2 Function check Interlock Emergency Stop Hollow Waveguide disconnected Remote Interlock connector disconnected Interlock mes...

Страница 55: ...Er YAG laser wavelength 2 94um is near the peak of absorption coefficient of water When laser are absorbed by tissues it excite the movement of tissue molecules and causes tissue coagulation and vapo...

Страница 56: ...y tube must be protected with a non combustible cuff and steps must be taken to insure that there is no leakage of oxygen A direct reflected or scattered laser beam can cause permanent blindness All i...

Страница 57: ...energy is 170mJ At 25 Hz the maximum energy is 80mJ In case of using high energy per pulse settings consider about patient discomfort and adverse effects on tissues The duration of each individual pu...

Страница 58: ...all the tip may be damaged Tips are sharp and can cause injury handle them with care Use only contact tips specified for use with the AdvErL EVO laser system When putting tips on and taking them off t...

Страница 59: ...Perio P Series P400FL FLAT 400 Hard Tissue Perio P400T TAPER 400 Hard Tissue Perio P600T TAPER 600 Hard Tissue Perio PS Series PERIO SURGERY TIP PS400T TAPER FLAT 400 Hard Tissue Perio Soft Tissue PS4...

Страница 60: ...600T TAPER 600 Soft Tissue R Series R135T TAPER 135 Hard Tissue 1 R200T TAPER 200 Hard Tissue R300T TAPER 300 Hard Tissue R600T TAPER 600 Perio BRUSH TIP BRUSH FLAT 135 19 Hard Tissue Perio Soft Tissu...

Страница 61: ...rlock 4 Cooling water problem Cooling water is not circulating Response Either the pump is not working or there is no cooling water in the unit Turn the power off wait about 10 seconds and then turn t...

Страница 62: ...pressed when the unit is turned on Let the foot switch up and restart the unit The foot switch is checked for safety when the unit is turned on 103 Memory Back up Error SRAM Battery for memory is low...

Страница 63: ...work contact your local dealer or J MORITA OFFICE This happens if the laser has not been calibrated for some time 206 Sudden laser output anomaly Sudden deviation of laser output Response Restart the...

Страница 64: ...hollow waveguide is lined up with the hollow waveguide support Loosen the ring for the hollow waveguide and rotate the hollow waveguide until the Aiming beam shines properly Then retighten the ring L...

Страница 65: ...opied The log saves up to 1 000 records If more than 900 records have not yet been copied onto a USB flash drive the Log switch starts blinking Copy the log onto a USB flash drive Cooling fan is often...

Страница 66: ...unit and the lights Replace the lights with inverter type fluorescent lights Example of circuit that can cause fluorescent lights to flicker Rather low 20 amps breaker current capacity can cause ligh...

Страница 67: ...Angle 8 full width at handpiece tip Nominal Ocular Hazard Distance 41 cm from handpiece tip Aiming beam Wavelength 650 nm Transmission Method Hollow Waveguide System Outer dimensions Width 246 mm Dept...

Страница 68: ...materials electrical components and printed circuit boards are disposed as electrical scrap Material must be disposed according to the relevant national legal regulations Consult specialized disposal...

Страница 69: ...1 Class B This device uses RF energy only for its internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment Radiated distur...

Страница 70: ...line s 0 5 kV 1 kV 2 kV line s to earth Signal input output 1 Mains power quality should be that of a typical commercial or hospital environment Voltage dips short interruptions and voltage variations...

Страница 71: ...ufacturer E is the compliance level in V m and d is the recommended separation distance in meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey a should...

Страница 72: ...formance is lost or degraded due to electromagnetic disturbance unexpected operation mode change or error will be occurred Cable List No Interface s Max Cable Length Shielding Cable Classification 1 A...

Страница 73: ...Memo...

Страница 74: ...Memo...

Страница 75: ...Memo...

Страница 76: ...Pub No T7026 EN 8 Printed in Japan...

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