Instructions for use EXPERTtorque E679 - REF 1.006.9200 EXPERTtorque Mini E675 - REF 1.006.6400, 1.006.
Distributed by: KaVo Dental Corporation 11729 Fruehauf Drive Charlotte, NC 28273 USA Tel. 847-550-6800 Fax 847-550-6825 Manufacturer: Kaltenbach & Voigt GmbH Bismarckring 39 D-88400 Biberach www.kavo.
Table of contents 1 Table of contents 1 User instructions ............................................................................................................................................... 5 2 Safety ............................................................................................................................................................... 7 2.1 Description of safety instructions ................................................................................................
Table of contents 5 Operation ........................................................................................................................................................ 5.1 Attaching the medical device ................................................................................................................ 5.2 Removing the medical device .............................................................................................................. 5.
Table of contents 7.3 7.4 7.5 7.6 7.7 7.8 7.2.4 Cleaning: Automated internal cleaning .................................................................................... Disinfection ........................................................................................................................................... 7.3.1 Disinfection: Manual external disinfection ............................................................................... 7.3.2 Disinfection: Manual internal disinfection .......
Table of contents 4 8 Tools and consumables ................................................................................................................................. 65 9 Terms and conditions of warranty ..................................................................................................................
User instructions 5 1 User instructions Dear User Congratulations on purchasing this KaVo quality product. By following the instructions below you will be able to work smoothly, economically and safely.
User instructions 6 Action request Can be sterilized with steam at 134 °C -1 °C / +4 °C (273 °F -1.6 °F / +7.4 °F) Thermodisinfectable Target group This document is intended for dentists and their assistants. The section on starting up is also intended for service technicians.
Safety 7 2 Safety 2.1 Description of safety instructions Warning symbol Structure DANGER The introduction describes the type and source of the hazard. This section describes potential consequences of non-compliance. ▶ The optional step includes necessary measures for hazard preven‐ tion.
Safety 8 Description of hazard levels The safety instructions listed here, together with the three levels of danger will help avert property damage and injury. CAUTION CAUTION indicates a hazardous situation that can cause damage to property or mild to moderate injuries. WARNING WARNING indicates a hazardous situation that can lead to death or fatal injury.
Safety 9 DANGER DANGER indicates a maximal hazard due to a situation that can directly cause death or fatal injury. 2.2 Safety instructions WARNING Hazards for the care provider and the patient. In the case of damage, irregular running noise, excessive vibration, untypical warming or when the cutter or grinder cannot be held. ▶ Do not use further and notify Service.
Safety 10 WARNING Hazard from contraindication. If the soft tissue in the oral cavity is injured, the compressed air may en‐ able septic substances to enter the tissue. ▶ Treatment must be discontinued with instruments operated by com‐ pressed air when soft tissue is damaged in the oral cavity. CAUTION Risk due to incorrectly stored instrument. Injury and infection caused by chucked cutters or grinders. Damage to clamping system from dropping the instrument.
Safety 11 CAUTION Risk of burn injury from hot handpiece head or hot handpiece lid. Burn injuries in the mouth may be caused if the handpiece overheats. ▶ Never touch soft tissue with the handpiece head or handpiece lid! CAUTION Hazard from use as a light probe. Do not use the device as a light probe since the rotating cutters or grind‐ ers can cause injury. ▶ Use an appropriate light probe for additional illumination of the oral cavity or site of preparation.
Safety 12 CAUTION Premature wear and malfunctioning from improper storage during long periods of nonuse. Reduced product life. ▶ The medical device should be cleaned, serviced and stored in a dry location, according to instructions, before long periods of non‐ use. Note For safety reasons, we recommend that the tool holder system be checked annually after the warranty period expires.
Safety 13 The following individuals are authorized to repair and service KaVo prod‐ ucts: ▪ Technicians at KaVo branches throughout the world ▪ Technicians specially trained by KaVo To ensure proper function, the medical device must be set up according to the reprocessing methods described in the KaVo Instructions for Use, and the care products and care systems described therein must be used.
Product description 14 3 Product description ▪ EXPERTtorque LUX E679 L Mat. no. 1.006.
Product description 15 ▪ EXPERTtorque Mini LUX E675 L Mat. no. 1.006.6400 ▪ EXPERTtorque Mini LUX E675 LMW Mat. no. 1.006.
Product description 16 3.1 Purpose – Intended use Purpose: This medical device is ▪ Only intended for dental treatment. Any other type of use or altera‐ tion to the product is impermissible and can be hazardous. The med‐ ical device is intended for the following uses: Removal of carious ma‐ terial, cavities and crown preparations, removal of fillings, processing of tooth and restoration surfaces. ▪ A medical device according to relevant national statutory regulations.
Product description 17 Proper use: According to these regulations, this medical device may only be used for the described application by a knowledgeable user.
Product description 18 3.
Product description 19 KaVo MULTIflex Midwest Stylus Coupler XGT Air consumption (Nl/ 39 - 51 min) Idling speed (rpm) EX‐ 340,000 - 420,000 / 400,000- 480,000 PERTtorque / EX‐ PERTtorque Mini Recommended 2-3 application force (N) Note KaVo MULTIflex is a registered trademark of Kaltenbach & Voigt GmbH, Biberach.
Product description 20 3.3 Transportation and storage conditions CAUTION It is hazardous to start up the medical device after it has been stored strongly refrigerated. This can cause the medical device to malfunction. ▶ Prior to start-up, very cold products must be heated to a tempera‐ ture of 20°C to 25°C (68°F to 77°F).
Product description 21 Air pressure: 700 hPa to 1060 hPa (10 psi to 15 psi) Protect from moisture
Start up and shut down 22 4 Start up and shut down WARNING Hazard from nonsterile products. Infection danger to the care provider and patient. ▶ Before first use and after each use, prepare and sterilise the medi‐ cal device if needed. WARNING Disposal of the product in the appropriate manner. Prior to disposal, the product must be appropriately prepared or steri‐ lised if this is necessary.
Start up and shut down 23 CAUTION Damage from soiled and moist cooling air. Contaminated and moist cooling air can cause malfunctions and lead to premature bearing wear. ▶ Make sure that the supply of cooling air is dry, clean and unconta‐ minated according to ISO 7494-2.
Start up and shut down 24 4.1 Checking the amount of water CAUTION Overheating of the tooth due to lack of cooling water. Insufficient spray water can cause the medical device to overheat and damage the pulp and tooth. ▶ Adjust the water amount for the spray head to a min. of 50 cm3/ min! ▶ Check the spray water channels and clean the spray nozzles with the nozzle needle Mat. no. 0.410.0921 if necessary.
Start up and shut down 25 3
Start up and shut down 26 4.2 Checking the pressures CAUTION Compressed air connection on devices. Contaminated and humid compressed air leads to premature wear and tear. ▶ Supply dry, clean and uncontaminated compressed air according to ISO 7494-2 only. ▶ Insert the test manometer (Mat. no. 0.411.
Start up and shut down 27 Drive pressure, drive pressure recommended, return air pressure, spray water pressure, and spray air pressure. See also: 3.2 Technical Specifications, Page 18 A higher drive pressure will be reduced automatically by the medical de‐ vice.
Operation 28 5 Operation Note At the beginning of each workday, the water-conducting systems should be rinsed for at least 2 min. without the instrument being attached; if there is a risk of contamination from reflux or back suction, the system must be rinsed for 20-30 seconds.
Operation 29 5.1 Attaching the medical device WARNING Detachment of the medical device during treatment. A medical device that is not properly locked can detach from the cou‐ pling during treatment. ▶ Before each use, check if the medical device is securely locked on‐ to the coupling.
Operation 30 CAUTION Damage from inaccurate coupling. Inaccurate coupling (especially during the afterglow period) can destroy the high-pressure lamp or the LED of the coupling or reduce its service life. ▶ Check the seat of the turbine on the coupling by pulling on it. ▶ Accurately attach the medical device to the coupling and push is to the rear until the coupling audibly locks in the medical device. ▶ Pull on it to make sure that the medical device is securely affixed to the coupling.
Operation 31 5.2 Removing the medical device ▶ Hold the coupling tight, and pull the medical device off while twisting slightly.
Operation 32 5.3 Inserting the milling cutter or diamond grinder Note Only use carbide cutters or diamond grinders that comply with ISO 1797-1 type 3, are made of steel or hard metal and meet the following criteria: - Shaft diameter: 1.59 to 1.60 mm - Overall length: EXPERTtorque: max. 25 mm - Overall length of EXPERTtorque Mini: max. 19 mm - Shaft clamping length: EXPERTtorque: min. 11 mm - Shaft clamping length: EXPERTtorque Mini: min. 9 mm - Blade diameter: max.
Operation 33 WARNING Use of unauthorised cutters or grinders. Injury to the patient or damage to the medical device. ▶ Observe the instructions for use and use the cutter or grinder prop‐ erly. ▶ Only use cutters or grinders that do not deviate from the specified data. CAUTION Injury from using worn drill bits or burs. Drill bits or burs could fall out during treatment and injure the patient. ▶ Never use drill bits or burs with worn shafts.
Operation 34 CAUTION Danger of injury from cutters or grinders. Infections or cuts. ▶ Wear gloves or fingerstalls. CAUTION Hazard from defective chucking system. The cutter or grinder could fall out and cause injury. ▶ Pull on the cutter or grinder to check that the chucking system is okay and the cutter or grinder is securely held. When checking, in‐ serting and removing, use gloves or a fingerstall to prevent an in‐ jury or infection.
Operation 35 ▶ Forcefully press the push button with your thumb and simultaneously insert the cutter or grinder all the way. ▶ Check that the cutter or grinder is seated by pulling on it.
Operation 36 5.4 Removing the milling tool or diamond grinder WARNING Hazard from rotating cutter or grinder. Lacerations and damage to the chucking system. ▶ Do not touch rotating cutter or grinder.! ▶ Never press the press-button while the cutter or grinder is rotating! ▶ Remove the cutter or grinder from the contra-angle handpiece after treatment to avoid injury or infection while storing it.
Operation 37 ▶ After the cutter or grinder has stopped rotating, press the press-but‐ ton with your thumb and simultaneously pull out the drill bit or bur.
Troubleshooting 38 6 Troubleshooting 6.1 Cleaning the spray nozzle CAUTION Hazard from insufficient spray water. Overheating of the medical device and damage to the tooth. ▶ Check the spray water channels and clean the spray nozzles with the nozzle needle Mat. no. 0.410.0921 if necessary.
Troubleshooting 39 ▶ Use the nozzle needle (Mat. no. 0.410.0921) to free the water pas‐ sage in the spray nozzles. 6.2 Changing the water filter ▶ Unscrew the sleeve ① in counterclockwise direction from the insert ② and pull it off.
Troubleshooting 40 ▶ Unscrew the water filter ③ with the wrench (Mat. no. 1.002.0321) and take it out ▶ Insert the new filter (Mat. no. 1.002.0271) and screw it in with the wrench Place the sleeve ① on the insert ②, and screw it tight in clockwise direction.
Reprocessing methods according to ISO 17664 41 7 Reprocessing methods according to ISO 17664 7.1 Preparations at the site of use WARNING Hazard from nonsterile products. There is a risk of infection from contaminated medical devices. ▶ Take suitable personal protective measures. ▶ ▶ ▶ ▶ ▶ Remove all residual cement, composite or blood without delay. Recondition the medical device as soon as possible after treatment. Remove the cutter or grinder from the medical device.
Reprocessing methods according to ISO 17664 7.2 Cleaning CAUTION Malfunctions from cleaning in the ultrasonic unit. Defects in the product. ▶ Only clean manually or in a thermodisinfector. 7.2.1 Cleaning: Manual external cleaning Accessories required: ▪ Tap water 30 °C ± 5 °C (86 °F ± 10 °F) ▪ Brush, e.g.
Reprocessing methods according to ISO 17664 ▶ 43 Brush off under flowing tap water. 7.2.2 Cleaning: Automated external cleaning KaVo recommends thermodisinfectors in accordance with ISO 15883-1, which are operated with alkaline cleaning agents with a pH value of max. 10 (e.g.
Reprocessing methods according to ISO 17664 44 ▶ For program settings as well as cleansers and disinfectants to be used, please refer to the Instructions for Use of the thermodisinfec‐ tor. ▶ In order to prevent negative effects on the medical device, make sure that the interior and the exterior of the medical device are dry, and then lubricate immediately with care agents from the KaVo care system. 7.2.3 Cleaning: Manual internal cleaning Not applicable.
Reprocessing methods according to ISO 17664 45 7.2.4 Cleaning: Automated internal cleaning KaVo recommends thermodisinfectors in accordance with ISO 15883-1, which are operated with alkaline cleaning agents with a pH value of max. 10 (e.g. Miele G 7781/G 7881 – Validation was carried out with pro‐ gramme "VARIO-TD", cleaning agent "neodisher® mediclean", neutralisa‐ tion agent "neodisher® Z" and rinsing agent "neodisher® mielclear" and only applies to the material compatibility with KaVo products.).
Reprocessing methods according to ISO 17664 ▶ 46 In order to prevent negative effects on the medical device, make sure that the interior and the exterior of the medical device are dry, and then lubricate immediately with care agents from the KaVo care system. 7.3 Disinfection CAUTION Malfunctioning from using a disinfectant bath or disinfectant containing chlorine. Defects in the product. ▶ Only disinfect in a thermodisinfector or manually.
Reprocessing methods according to ISO 17664 47 7.3.1 Disinfection: Manual external disinfection KaVo recommends the following products based on material compatibili‐ ty. The microbiological efficacy must be ensured by the disinfectant man‐ ufacturer. ▪ CaviCide made by Metrex Consumables required: ▪ Cloths for wiping off the medical device.
Reprocessing methods according to ISO 17664 48 ▶ Spray the disinfectant on a cloth, then thoroughly wipe down the medical device and leave the disinfectant to soak in according to the instructions from the disinfectant manufacturer. ▶ Follow the instructions for use of the disinfectant. 7.3.2 Disinfection: Manual internal disinfection Not applicable. This product is suitable for automated disinfection only. 7.3.
Reprocessing methods according to ISO 17664 49 tion agent "neodisher® Z" and rinsing agent "neodisher® mielclear" and only applies to the material compatibility with KaVo products.). ▶ For program settings as well as cleansers and disinfectants to be used, please refer to the Instructions for Use of the thermodisinfector (complying with max. pH value of 10).
Reprocessing methods according to ISO 17664 50 7.4 Drying Manual Drying ▶ Blow off the outside and inside with compressed air until water drops are no longer visible. Automatic Drying The drying procedure is normally part of the cleaning program of the ther‐ modisinfector. Note Please follow the instructions for use of the thermodisinfector (com‐ pressed air quality - see the Warning under "Start-up").
Reprocessing methods according to ISO 17664 7.5 Care products and systems - Servicing WARNING Sharp cutters or grinders in the medical device. Risk of injury from sharp or pointed cutters or grinders. ▶ Remove cutter or grinder. CAUTION Premature wear and malfunctions from improper servicing and care. Reduced product life.
Reprocessing methods according to ISO 17664 52 Note KaVo only guarantees that its products will function properly when the care products used are those listed as accessories, as they were tested for proper use on our products. 7.5.1 Care products and systems - Servicing: Servicing with KaVo Spray KaVo recommends servicing the product after each time it is used, i.e. af‐ ter each automatic cleaning and before each sterilisation. ▶ Remove cutter or grinder.
Reprocessing methods according to ISO 17664 ▶ ▶ 53 Cover the product with the CLEANpac bag. Place the product on the cannula and press the spray button for one second. Chuck care KaVo recommends cleaning and servicing the chuck system once a week. ▶ Remove the cutter or grinder, place the spray nipple tip in the open‐ ing and spray.
Reprocessing methods according to ISO 17664 ▶ 54 Carry out the servicing according to the instructions in the section, "Care with KaVo Spray". 7.5.2 Care products and systems - Servicing: Servicing with KaVo QUATTROcare 2104 / 2104A Cleaning and care unit with expansion pressure for effective cleaning and care. KaVo recommends servicing the product after each time it is used, i.e. af‐ ter each automatic cleaning and before each sterilisation. ▶ Remove the cutter or grinder.
Reprocessing methods according to ISO 17664 ▶ 55 Servicing the product. Chuck care KaVo recommends cleaning and servicing the chuck system once a week. See also: Instructions for use KaVo QUATTROcare 2104 / 2104A ▶ Remove the cutter or grinder, place the spray nipple tip in the open‐ ing and spray.
Reprocessing methods according to ISO 17664 ▶ 56 Subsequently treat with the care products and care systems speci‐ fied. 7.5.3 Care products and systems - Servicing: Servicing with KaVo QUATTROcare PLUS KaVo recommends servicing the product after each time it is used, i.e. af‐ ter each automatic cleaning and before each sterilisation. ▶ Remove the cutter or grinder. ▶ Servicing the product in QUATTROcare PLUS.
Reprocessing methods according to ISO 17664 57 Servicing the clamping chuck KaVo recommends cleaning and servicing the chuck system once a week. See also: Instructions for use KaVo QUATTROcare PLUS Note Handpieces must be taken off the service couplings before the chuck service can be started and performed. ▶ Remove the service coupling chuck from the side hatch of the QUATTROcare PLUS and attach it to coupling service point four, on the far right. A MULTIflex adapter must be mounted there.
Reprocessing methods according to ISO 17664 58 ▶ Press the handpiece together with the guide bush of the chuck to be serviced against the tip of the service coupling chuck. ▶ Press the button showing the chuck service symbol.
Reprocessing methods according to ISO 17664 59 Note Close the chuck service mode. Option 1: Place the dental handpieces in the QUATTROcare PLUS 2124 A, close the front door and start theservice procedure. Option 2: After three minutes with no service procedure running, the de‐ vice automatically switches back to normal service mode.
Reprocessing methods according to ISO 17664 60 7.6 Packaging Note The sterilisation bag must be large enough for the handpiece so that the bag is not stretched. The quality and use of the sterilisation packaging must satisfy applicable standards and be suitable for the sterilisation procedure! ▶ Individually seal the medical device in the sterilised item packaging.
Reprocessing methods according to ISO 17664 61 7.7 Sterilisation Sterilisation in a steam steriliser (autoclave) in accordance with ISO 17665-1 CAUTION Premature wear and malfunctions from improper servicing and care. Reduced product life. ▶ Before each sterilisation cycle, service the medical device with Ka‐ Vo care products.
Reprocessing methods according to ISO 17664 62 CAUTION Contact corrosion due to moisture. Damage to product. ▶ Immediately remove the product from the steam steriliser after the sterilisation cycle! The medical device has a maximum temperature resistance up to 138 ℃ (280.4 °F).
Reprocessing methods according to ISO 17664 63 Select a suitable procedure (depending on the available autoclave) from the following sterilisation processes: ▪ Autoclave with pre-vacuum: – at least 3 minutes at 134 °C -1 °C / +4 °C (273 °F -1.6 °F / +7.4 °F) Drying time: 20 min. ▪ Autoclave using the gravity method: – at least 10 minutes at 134 °C -1 °C / +4 °C (273 °F -1.6 °F / +7.4 °F) or alternatively Drying time: 30 min. – at least 60 minutes at 121 °C -1 °C / +4 °C (250 °F -1.6 °F / +7.
Reprocessing methods according to ISO 17664 7.8 Storage ▶ Reprocessed products should be stored protected from dust with minimum exposure to germs in a dry, dark and cool space. ▶ Comply with the expiry date of the sterilised items.
Tools and consumables 65 8 Tools and consumables Available from dental suppliers. Material summary Replacement turbine EXPERTtor‐ que Replacement turbine EXPERTtor‐ que Mini Wrench for lid of EXPERTtorque Wrench for lid of EXPERTtorque Mini (new) Wrench for lid of EXPERTtorque Mini (old) Replacement filter Key Mat. No. 1.007.9313 1.007.9457 0.411.3053 1.008.6133 1.006.3384 1.002.0271 1.002.
Tools and consumables 66 Material summary Instrument stand 2151 Insert for turbines Nozzle pin Cleanpac 10 units KaVo MULTIflex spray head for KaVo Spray Spray head Midwest for KaVo Spray KaVo MULTIflex service coupling for KaVo QUATTROcare Service coupling Midwest for KaVo QUATTROcare Mat. No. 0.411.9501 0.411.9902 0.410.0921 0.411.9691 0.411.9921 1.008.2053 0.411.7991 1.008.
Tools and consumables 67 Only for the USA Material summary KaVo Spray America 2113 A QUATTROcare plus Spray Ameri‐ ca 2141 P Mat. no. 0.411.9660 1.005.4524 Only for Canada Material summary Mat. no, KaVo Spray Canada 2114 A 0.411.9680 QUATTROcare plus Spray Canada 1.005.
Terms and conditions of warranty 68 9 Terms and conditions of warranty The following warranty conditions apply to this KaVo medical device: KaVo provides the end customer with a warranty of proper function and guarantees zero defects in respect of material and processing for a peri‐ od of 24 months from data of invoice, subject to the following conditions: In case of justified complaints, KaVo will honour its warranty with a free replacement or repair.
Terms and conditions of warranty 69 cordance with KaVo's instructions for use or other manufacturer's instruc‐ tions. The warranty does not usually cover lamps, light conductors made of glass and glass fibres, glassware, rubber parts and the colourfastness of plastic parts. No liability is assumed when defects or their consequences are derived from manipulations or changes to the product by the customer or a third party.
1.007.
