Sterilization Maintenance
Contents
1. 3 handpieces per doctor s operatory The following is a generic guide to maintaining handpieces Always check your user manual for specific instructions on your brand of handpiece After Each Use 1 Clean the handpiece This may be done under running water with soap and a soft brush or sponge Do not submerge the handpiece in a bath or ultra sonic cleaning solution Also avoid letting water run directly into the drive air tubes Hold the handpiece with the back end down It is important to remove any cements saliva or blood from the body prior to autoclaving If you don t this material will become baked on and make the handpieces look dirty 2 Dry Dry the handpiece with a towel prior to lubricating Shake excess water off of the handpiece You don t want excess water in the drive air tube when lubing 3 Lubricate Most handpieces have a lubricant that is recommended by the manufacturer It is always good to use the suggested lubricant As a rule of thumb you want a synthetic clean high heat lubricant Some excellent products to use are KaVo Spray by KaVo America Midwest Plus Lubricant by Dentsply Midwest Phase Change by Western Phase Change Corp and Bio Lube by Southland Dist Place two to three drops of lubricant or if using an aerosol can a 1 second blast into the drive air tube on the back of the handpiece This is always the small er of the two largest holes on the back of a handpiece For handpieces that use a swivel quick2. pump filter as necessary The pump filter prevents foreign objects from get ting into the pump and causing problems If burs syringe tips files etc get put into the instru ment washer accidentally these objects can become lodged in this filter Clean these out promptly to prevent them working their way into the pump assembly Ultrasonic cleaners check drain screen and remove any loose burs files or large particles Quarterly Clean spray arms Over time mineral deposits or debris can become lodged in the holes of the spray arms preventing thorough washing Spray arms are easily removed Once removed use a sharp skinny object to push any debris from the holes and then rinse under running water Annually For Hydrim Users the detergent metered dosage tube should be replaced annually This will prevent too much detergent being used in each cycle This should be done by your Nashville Dental service technician 24 trusted source for dental supplies and equipment Winter 2009 Edition boxes of any cement Ultramat 2 _amalgamator box of an y cement riva luting riva luting plus self cured conventional self cured resin modified self adhering resin cement Editors Choice glass ionomer luting cement glass ionomer luting cement No etching required T High fluoride releasing Fluoride releasing and recharging ability Minimizes post operative sensitivity and recharging ability Chemically adheres
3. 48s one 6e45 608s 165 00 Service Oil 5 Litre Refill 02675930 oicnteseeesereiereerecteandawebeaeeec 88 39 Cleaning Liquid 1 Litre Refill 02680230 r ecese enea aaa E 31 89 Kao Dental Excellence AC 20 Motor Toplight Highspeed Adapter 02690400 cvswivssencuseswitsecuseesreseeeetes 169 00 Midwest Quick Conncect High Speed Adapter OF 101900 5 ic vccccenseesee esas sGassentewas eqs 169 00 Midwest Low Speed Attachment Adapter 03103500 dsc ceceaserieeeetatataxnvanetawess 135 00 Kavo Low Speed Head Adapter 02679000 sexeincicscetetieccestsnntsuseweds 88 00 Star High Speed Adapter ZO1LS47 so cceewteevenencen cawacewedwoseesedwaes 129 00 Kavo High Speed Adapter 0411 7991 cxsseieeseessusosns vader sie adesetes 70 00 QUATTROcare 2104A Automatic Handpiece Maintenance System Handles nearly all makes and models of handpieces Extends handpiece life by providing superior cleaning and lubrication compared to manual cleaning Provides additional six month warranty on most models of KaVo handpieces Automatic cleaning lubricating and purging system for up to four handpiece or air motors Easy to use Flexible programming allows operator to choose and set total cycle time form 20 to 45 seconds per handpiece Equipped with two MULTIflex adapters and one INTRAmatic E type adapter and one INTRA head adapter Contains Unit electrical cable connection air line connection MULTIflex adapter 1 INTRAmatic E type adapter 1 INTRAhead adapt
4. Kit Contains 20z Lubricant and 80z Cleaner 380145 otek ke iee whee ceeal seeds essence 63 39 Plus HP Lube 20z 380130 ko cawcessdakanawavecewanasseeeees 38 29 Plus HP Cleaner 80z 380140 ad siiee Beh CTC ee eR ERETO CENENE 32 59 Plus HP Cleaner 1 liter SOUL L cov iie ies ckwheset eked quwkanecaces 84 99 1 ONIN QL1 L105 OR Automatic Procedure QUATTROcare Maintaining with the KaVo QUATTROcare is as easy as the following Position the instruments Close the door press Start and everything is DONE Go to Step 6 KaVo Dental 340 East Main Street Lake Zunch IL 60047 B8a A5K KaVo 275 5286 Fax 1 847 5590 6825 ws ITO Sa tam Bio Lube Southland Distribution Handpiece lubricant and cleaner Intro Kit Contains 1 7oz Lubricant 1 70z Cleaner BIO CL 24 essscsssssocsssocesscersess 107 69 Phase Change Western Phase Change Corp Contains 2 1fl oz bottles LUB DB2 sisciiiiissteseucioidesccredets 70 99 Assistina 301 Plus Standard Product Features e Air pressure operation e 2 universal adapter couplings e Cycle time about 35 seconds other products require their own adapters e Cleaning liquid 1 liter good for approximately 5000 cycles e Service oil liter good for approximately 5000 cycles e Low operating cost e One Year Warranty Kit 00030135S asisteceteeesetecee rae vas se weve 1 985 00 A dec W amp H Synea LW RotoQuick Adapter 03104500 coc hn 5o brown bere 60
5. Sterilization Room Maintenance Instrument Washers Cleaners Daily Sterilization room equipment is critical to the office s ability to process instru ments If the autoclave shuts down instrument flow stops potentially shut ting down production This can be extremely costly to the office In the ster ilization area there are two common items that need routine maintenance Autoclaves Autoclaves vary in their required maintenance due to design and type It is important to check your owners manual to see what the rec ommended maintenance is for your unit Following are some generic guides to consider and implement in your maintenance plan Weekly 1 Autoclaves that reuse their water Drain water reservoir and allow to stay dry over the weekend Refill with fresh water on Monday 2 Wipe inside of autoclave chamber and racks with soft cloth 3 Cassette autoclaves Statim Clean inside cassette and seal and wipe down with Stat dry or Jet Dry Monthly 1 Clean autoclave using manufacturer s instructions 2 Check door gasket or cassette gasket 3 Clean chamber filter or screen Semi Annually 1 Replace Door Gaskets 2 Cassette autoclaves Statim Check and clean cassette gaskets and lube Gasket may be lubed with liquid soap 3 Check filters if your unit has filters and replace as needed Annually 1 Replace Gaskets 2 Replace Filters check your manual for specifics on if you use a filter Check and clean
6. connect you will need to use this to add lube unless you have an aerosol can with the appropriate nozzle for your brand of handpiece 4 Purge After placing oil in the drive air tube you need to run the handpiece for 15 30 seconds so the lube reaches the bearings and the excess is blown out 5 Wipe down Wipe excess lubricant from outside of handpiece body prior to sterilizing 6 Sterilize Bag handpiece in CDC approved sterilization pouch and autoclave according to manufacturer s instructions 7 Store handpiece for use Remove handpiece from sterilizer and store for use with head in the up position so that any moisture in the drive air tube can drain Always allow the handpiece to return to room termperture before running Never run handpiece under cool water to cool it enough for use This can warp the turbine components and cause turbine fail ure In recent years automated handpiece maintenance units have been introduced that eliminate steps 3 4 and 5 In studies these steps were shown to be the ones that were very inconsistent from staff member to staff member These automated systems deliver the exact amount of lubricant to the right part of the handpiece and then run the handpiece to purge excess lube They also deliver cleaner to the coolant water and air tubes to prevent deposits from building up in these lines The Assistina by A dec W amp H and the Quattrocare by KaVo are the two best selling units See your account represe
7. er 1 can QUATTROcare spray 0411 7800 urnana nnas Ea 2 749 00 MULTIflex Adapter For KaVo cellular optic high speeds SONICflex Air Scaler and INTRAflex low speeds 0411799 l nnana as Ea 70 00 E Type Adapter For INTRAmatic low speeds and surgical attachments 0411798 locion aas Ea 68 89 INTRAhead Adapter 0411794 iiinis Ea 89 00 QUATTROcare Spray For cleaning and care of instuments air motors in the KaVo QUATTROcare system Relubrication after sterilization is unnecessary H 10054524 cities 500 mL 47 H Hazardous Material Position up to 4 instruments 31 99 press Start and everything is done close the door INAID nad dan aran tal LL V7 Winter 2009 Edition e Quick disconnect for easy use with A dec W amp H adapters SHIUHIdGNVH HONVNHLNIVW HOLAAO
8. lo OUATTAGcare automati maintenance systern Step 5 Fit the handpiece without bur onto the MULTiflex coupler or air station allow it to run for 20 seconds and wipe off excess lubricant Step can be omitted by using the Kako OLATA Oae automate maintenance system Step 6 E Bag and sterilize MULTiflex High Speed handpiece without bur up to maximum 135 C 275 F in an autoclave or chemiclave KaVo Spray Kavo For sterilization maintenance of all KaVo high speed handpieces low speed motors heads attachments Nozzles sold separately H 500ml Can 0411 9660 sgaccccestatevinaticeearevsess 49 59 MULTI flex Nozzle OFT 9921 6694548604 SONN Me eee 13 59 Quick Nozzle For all INTRA and INTRA LUX heads 4 hole high speed handpieces 181 and 182 air motors and attachments 0411 9931 sv enecedeentecti tae ineeteiewes 13 59 Midwest Plus Handpiece Maintenance System Midwest Heat tolerant formulation allows all maintenance to be performed before sterilization Can be used on all Midwest high speed low speed hand pieces and attachments ives Drow IY i sal ji Midwest Plus Aerosol Spray Cleaner Lubricant in a convenient aerosol spray nozzle sold separately NOTE For use with new Midwest XGT Handpieces only Hazardous Shipping Charge on this item 380080 recevir 6604506568406 anaa 49 99 Nozzle for Midwest Plus Aerosol Spray 3800S keene nets 20a CONE TENATA ew eee 14 59 Plus Maintenance
9. ntative for a demo or for more details on these units Many offices have cut turbine failures in half by investing in these units Note Handpiceces are federally regulated medical devices When service is required remember specific brands of handpieces are designed to be used with original manufacturer turbine cartridges When turbines need to be changed it is HIGHLY RECOMMENDED to use origi nal manufacturer parts and NOT aftermarket turbines A KaVo handpiece with an aftermarket turbine is NO LONGER a KaVo handpiece Lowspeeds and Electrics These motors and attachments need to be maintained exactly as the manufacturer s describe We high ly recommend one of the automated systems for maintaining your electric and lowspeed attachments aryanan wachaglledental rom 30 615 860 7100 trusted source for dental supplies and equipment Highspeed Maintenance As Described By KaVo Remove the Remove bur MULTIflex handpiece from the MULTI flex coupler Scrub handpiece under running water with a soft sponge to y remove external debris Do not spray wipe or immerse in disinfectants or alcohol Do not combine disinfection with sterilization Manual Procedure Fit the handpiece on the Kavo Spray with the MULTIflex Nozzle Cover with paper towel and spray thoroughly for 3 seconds Other maintenance fluids are not recommended If a large amount of debris appears repeat the process Step 4 canbe onmntied by using the Ka
10. spray cans Works with most handpieces motors and attachments Requires only compressed air to operate To see how you can simplify your handpiece maintenance contact your Nashville Dental account representative today ie aidec 2008 A dec Inc All rights reserved see E EE aB gt Z 2 es es z gt Z es Z gt Z es 1 QANA OKT L105 29 aranan CIE BA nTa FR YP Q Z lt T aa Z lt Z se Z lt H px Q NDI ChairSide Essentials For more than 100 years your most Highspeed Handpiece Maintenance guein gt a Handpieces are used repetitively and are required to do a lot of work The cost of the handpiece is primarily in the technology of the turbine When a handpiece goes ae down it s the turbine in most cases that needs to be replaced When planning your 5 ossis maintenance budget you need to figure in the price of turbines for each handpiece every 14 24 months depending on the brand you use and your method of mainte _ nance While cleaning and sterilizing handpieces there is a great risk of improper handling especially in fast paced offices It is important to have enough handpieces in circulation so that you always have sterile room temperature handpieces on hand If you have to take a hot handpiece directly from the autoclave to use this can cause premature turbine wear and failure A good rule of thumb is to have
11. to tooth and substrates Assists caries prevention releases Chemically adheres to tooth Withstands forces of mastication a consistently high dose of fluoride and metal substrates high compressive strength Dual cure Very low film thickness Reduced cracking and failure in Easy clean up flows easily between flexion high flexural strengths seT Box of 50 caps restoration and tooth Riva Luting Plus Box of 50 caps Available in shades A1 A2 OA3 White opaque and Translucent Riva Luting Box of 50 caps wre uiontlelieoecom SNOILOWOdd ICS Please send a copy of your SDI North America Inc ea Nashville Dental invoice to 729N ig 83 Suite 315 Be ie IL 607106 USA gt All available in boxes of 50 capsules Tall fee 1800 2285166 Fax 630 238 9200 VW sdi com au Please allow 2 4 weeks for deliey Please note offers cannot be combined Vald on invoices dated Ist anuar 313 March 2009 The Dental Adveo Vol 25 No 8 October 2008 telers to T only Easy Handpiece Maintenance The Assistina 301 Plus is simply one of the easiest and most efficient ways to maintain your handpieces In only 35 seconds it automatically delivers service oil and cleaning solution through the internal channels of your handpieces motors and attachments all for only 1 5 cents per cycle You ll find the Assistina Plus Provides consistent maintenance to extend handpiece life Costs less per use than aerosol service oil
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