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Care instructions

ESTETICA E30
Manufacturer: Distributed by:
Kaltenbach & Voigt GmbH KaVo Dental GmbH
Bismarckring 39 Bismarckring 39
D-88400 Biberach D-88400 Biberach
www.kavo.com Phone +49 (0) 7351 56-0
Fax +49 (0) 7351 56-1488
Care instructions ESTETICA E30
Table of contents

Table of contents
1 User instructions ................................................................................................................ 4
1.1 User guide .................................................................................................................... 4
1.1.1 Abbreviations ..................................................................................................... 4
1.1.2 Symbols ............................................................................................................ 4
1.1.3 Target group ...................................................................................................... 4

2 Reprocessing methods according to DIN EN ISO 17664 ................................................... 5


2.1 Instructions................................................................................................................... 5
2.2 General instructions for the reprocessing of KaVo treatment centres ................................... 6
2.2.1 Overview ESTETICA E30 reprocessing................................................................... 7
2.2.2 Reprocessing KaVo Screen One / KaVo Screen HD ................................................. 8
2.3 Reprocessing of the surfaces of treatment centre / upholstery ............................................ 8
2.4 Preparation of the dentist element................................................................................... 10
2.4.1 Reprocessing of handle and holder pad/anti-slip mat .............................................. 10
2.4.2 Reprocessing of the instrument holder of the TM table............................................ 10
2.4.3 Reprocessing of the instrument arm S table........................................................... 11
2.4.4 Preparation of the triple function handpiece KaVo One ............................................ 12
2.4.5 Preparation of triple function handpiece................................................................. 14
2.4.6 Preparation of the instrument hoses ..................................................................... 17
2.4.7 Servicing the turbine return air filter ..................................................................... 18
2.4.8 Reprocessing KaVo ERGOcam One ....................................................................... 18
2.4.9 Reprocessing KaVo PiezoLED ............................................................................... 20
2.5 Reprocessing of the assistant element.............................................................................. 27
2.5.1 Preparing the handpiece holder ............................................................................ 27
2.5.2 Reprocessing of the suction hose connector........................................................... 28
2.5.3 Reprocessing of sieve inserts and suction hoses ..................................................... 29
2.6 Reprocessing of the patient element ................................................................................ 29
2.6.1 Reprocessing of the tumbler ................................................................................ 29
2.6.2 Reprocessing of tumbler holder and tumbler filler................................................... 29
2.6.3 Reprocessing of the spittoon bowl......................................................................... 30
2.7 Manual hygiene functions of the water-conducting system ................................................. 31
2.7.1 Manual intensive germ reduction .......................................................................... 31
2.8 Reprocessing of the suction system ................................................................................. 33
2.8.1 Cleaning and disinfection of the suction system including suction hoses.................... 33

3 Replenishing and checking the disinfectant....................................................................... 35


3.1 Replenishing KaVo OXYGENAL 6 when using the water bottle ............................................. 35
3.1.1 Filling the intensive germ reduction bottle ............................................................. 37
3.2 Check the OXYGENAL 6 concentration.............................................................................. 38

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Care instructions ESTETICA E30
1 User instructions | 1.1 User guide

1 User instructions

1.1 User guide


Requirement
Read these instructions prior to first use to avoid misuse and prevent damage.

Note
Comply with the Instructions for Use of the ESTETICA E30 treatment unit!

1.1.1 Abbreviations
Ab- Explanation
brevi-
ation
IfU Instructions for use
CI Care instructions
AI Assembly instructions
TI Technician's instructions
SC Safety checks
IEC International Electrotechnical Commission
RI Repair instructions
EMC Electromagnetic compatibility
Scaler Scaler (ZEG)
IR Infrared
IrDA Infrared Data Association

1.1.2 Symbols
Refer to the chapter on Safety/Warning symbol

Important information for users and service technicians

Action request

CE mark according to Medical Devices Directive EC 93/42

Thermodisinfectable at up to 95 °C (203 °F)

Suitable for steam sterilisation at up to 135 oC (275 °F)

1.1.3 Target group

This document is for dentists and dental office staff.

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Care instructions ESTETICA E30
2 Reprocessing methods according to DIN EN ISO 17664 | 2.1 Instructions

2 Reprocessing methods according to DIN EN ISO 17664

2.1 Instructions
The reprocessing consists of the following basic steps:
▪ Cleaning and disinfection ( manually or automatically)
▪ Sterilisation

Note

Comply with national hygiene requirements, e.g. RKI guidelines.

NOTICE
Product damage due to improper disinfection.
Malfunctions.
▶ Use the disinfectant according to the specifications of the manufacturer.
▶ No spray disinfection, perform wipe disinfection only.
▶ Do not immerse product or parts of the product in liquids.
▶ Mop up any spilled cleanser or disinfectant immediately.

CAUTION
Risk of injury during cleaning of the treatment unit.
Lack of instructions to the cleaning staff and lack of preparation of the treat-
ment unit can lead to the cleaning personnel sustaining injuries.
▶ Only trained professionals and instructed cleaning personnel may be
present in the treatment rooms.
▶ Position the chair for cleaning and turn the device off.

CAUTION
Improper disinfection may lead to health hazards and material dam-
age.
Infection hazard to users and patients.
Damage to the sterile product.
▶ No hot air sterilisation, no chemical cold sterilisation, do not sterilise with
ethylene oxide.

CAUTION
Health hazard and property damage due to non-compliance with servi-
cing schedule.
Infection hazard to users and patients.
Product damage.
▶ Comply with servicing schedule.

Note
The preparation methods for the instruments and motors are found in the
separate instructions for use that accompany the instrument and motor
packages.

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Care instructions ESTETICA E30
2 Reprocessing methods according to DIN EN ISO 17664 | 2.2 General instructions for the reprocessing of KaVo
treatment centres
2.2 General instructions for the reprocessing of KaVo
treatment centres

Please comply with the general reprocessing instructions at all times. Detailed
product-specific reprocessing instructions are provided subsequently.

At the site of use ▶ Remove any surface contamination using a disposable cloth/pa-
per towel.
Storage and transport KaVo recommends reprocessing as soon as possible after use.

Preparations for cleaning ▶ Comply with product-specific reprocessing instructions.


Manual cleaning Fixtures:
▪ Brush or cloth
▪ Tap water 30 °C ± 5 °C
▶ Remove any dirt on the surface using a suitable cleanser accord-
ing to the recommendations of the manufacturer. Before doing
so, check the compatibility of the cleanser on a inconspicuous
place of the treatment centre.
Automatic cleaning KaVo recommends thermodisinfection at up to 95 °C in accordance
with ISO 15883-1 e.g. Miele G 7781 / G 7881 using an alkaline
cleaning agent with a maximum pH value of 10.

▶ For programme settings as well as cleansers and disinfectants to


be used, please refer to the Instructions for Use of the washer
disinfector.
▶ Directly after automated cleaning/disinfection, treat the medical
device with the care products and systems provided by KaVo.
Manual disinfection ▶ Perform wipe disinfection only, the use of spray disinfection and
disinfection baths is not feasible.
▶ Wipe all outer surfaces with a soft cloth and an approved disin-
fectant.

Approved disinfectants:
▪ CaviCide / CaviWipes (Metrex)
▪ Microcide AF Liquid (Schülke & Mayr)
▪ FD 322 (Dürr Dental)
▪ Incidin Liquid (Ecolab)
▶ Use disinfectants according to the manufacturer's Instructions for
Use.
▶ Please note the disinfectant safety data sheet.
Automatic disinfection KaVo recommends washer disinfectors in accordance with EN 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 car-
ried out with the "VARIO-TD" programme, cleaning agent "neodish-
er® mediclean" and rinsing agent "neodisher® mielclear" and only
applies to the material compatibility with KaVo products).

▶ For programme settings as well as cleansers and disinfectants to


be used, please refer to the Instructions for Use of the washer
disinfector.
▶ In order to prevent negative effects on the medical device, make
sure that the interior and the exterior of the medical device are
dry after completion of the cycle, and then grease it immediately
with servicing agents from the KaVo care system.

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Care instructions ESTETICA E30
2 Reprocessing methods according to DIN EN ISO 17664 | 2.2 General instructions for the reprocessing of KaVo
treatment centres
Manual drying ▶ Supply dry, clean and uncontaminated compressed air according
to ISO 7494-2 only.
▶ Blow off the outside and inside with compressed air until water
drops are no longer visible.
Automatic drying Usually, automatic drying is part of the cleaning/disinfection cycle of
the washer disinfector and should not be carried out above 95 °C.

Servicing ▶ Discard damaged products.


Control and functional test ▶ Perform a visual inspection to check for damage and wear and
tear.
▶ Test products for function regularly.
Packaging ▶ Use standardised packaging material. Sealing should not be un-
der tension.
▶ Use sterile goods packaging in order to ensure sterility.
Sterilisation All sterilisable products are temperature-resistant up to max. 138
°C.
KaVo recommends sterilisation in a steam steriliser (autoclave) ac-
cording to EN 13060 / ISO 17665-1, e.g. STERIclave B 2200 / 2200
P (KaVo) or Citomat K-Series (Getinge).
▶ Sterilise with a triple fractionated vacuum (B class steriliser);
hold for 4 minutes; 134°C ± 1 °C; overpressure: 2.13 bar.
Storage ▶ Reprocessed products should be stored protected from dust with
minimum exposure to germs in a dry, dark and cool place.
▶ Comply with the expiry date of the sterilised items.

2.2.1 Overview ESTETICA E30 reprocessing


Reprocessing items/medical Cleaning Disinfection Sterilisa-
devices tion
manual automatic manual automatic automatic
Surfaces
Device X X
Cushion X X
Light X X See also:
2 IfU KaVoLUX 540
LED / EDI / MAIA
Lights, handles X X X X X
Dentist element
Handle TM table / handle cup S table X X
Cannula triple-function handpiece X X X
Holder pad/anti-slip mat X X X X X
Handpiece holder X X
Instrument arm S table X X
Assistant element
Connection parts of the suction hose X X X X
Patient element
Tumbler holder X X
Tumbler filler X X
Porcelain spittoon bowl X X X X

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Care instructions ESTETICA E30
2 Reprocessing methods according to DIN EN ISO 17664 | 2.3 Reprocessing of the surfaces of treatment centre /
upholstery
2.2.2 Reprocessing KaVo Screen One / KaVo Screen HD

Cleaning and disinfection


NOTICE
Non-colour-fast textiles.
Non-colour-fast textiles can cause permanent discoloration.
▶ Remove discolorations with water immediately.

NOTICE
Damage caused by spray disinfection.
Disinfectant gets into cracks and loosens the paint.
▶ Do not use spray disinfection.
▶ Only disinfect by wiping.
▶ Clean the surfaces with a soft cloth and water, and wipe-disinfect them with
an approved surface disinfectant.

2.3 Reprocessing of the surfaces of treatment centre /


upholstery

Position the chair for cleaning


▶ Adjust the backrest to vertical position and move the chair upward.

See also:
2 Instructions for use ESTETICA E30

Turn device off


▶ Switch off the unit at the main switch.

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Care instructions ESTETICA E30
2 Reprocessing methods according to DIN EN ISO 17664 | 2.3 Reprocessing of the surfaces of treatment centre /
upholstery
Cleaning and disinfecting the surfaces of treatment
unit / upholstery
NOTICE
Non-colour-fast textiles.
Non-colour-fast textiles can cause permanent discoloration.
▶ Remove discolorations with water immediately.

Approved disinfectants:
▪ CaviCide / CaviWipes (Metrex)
▪ Microcide AF Liquid (Schülke & Mayr)
▪ FD 322 (Dürr Dental)
▪ Incidin Liquid (Ecolab)
▶ Clean the surfaces and upholstery with a soft cloth and water, and wipe-dis-
infect them with an approved surface disinfectant.

NOTICE
Damage caused by spray disinfection.
Disinfectant gets into cracks and loosens the paint.
▶ Do not use spray disinfection.
▶ Only disinfect by wiping.

Cleaning and disinfection of the foot control


NOTICE
Damage caused by inappropriate use of water.
Damage to the foot control.
▶ For cleaning, the foot control must not be immersed in water or placed un-
der running water.
▶ Only wipe off. Do not spray.

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Care instructions ESTETICA E30
2 Reprocessing methods according to DIN EN ISO 17664 | 2.4 Preparation of the dentist element

2.4 Preparation of the dentist element

2.4.1 Reprocessing of handle and holder pad/anti-slip


mat

Note
The handle of the TM table cannot be detached.

Cleaning and disinfection of the handle of the TM table /


handle cup of the S table
▶ Clean the handle (TM table) / handle cup (S table) with a soft cloth and wa-
ter, and wipe-disinfect it with an approved surface disinfectant.

Cleaning, disinfection, and sterilisation of holder pad/


anti-slip mat

▶ Sterilise the holder pad and anti-slip mat by thermodisinfection.

2.4.2 Reprocessing of the instrument holder of the TM


table

Note
The handpiece holder can be removed for better cleaning.

Cleaning and disinfection of the handpiece holder

NOTICE
Damage caused by treatment in a washer disinfector.

▶ Do not treat the instrument holder in a washer disinfector.


▶ Pull the latches evenly outward and carefully remove the handpiece holder.

▶ Clean the handpiece holder under running water.


▶ Wipe-disinfect the instrument holder.

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Care instructions ESTETICA E30
2 Reprocessing methods according to DIN EN ISO 17664 | 2.4 Preparation of the dentist element

Sterilize the instrument holder

NOTICE
Damage caused by sterilisation.

▶ Do not sterilise the instrument holder.

2.4.3 Reprocessing of the instrument arm S table

Note
The swing-arm S-table (Mat. no. 10074755)) can be removed to facilitate
cleaning.

Cleaning and disinfection of the instrument arm S table

NOTICE
Damage caused by treatment in a washer disinfector.

▶ Do not sterilise the instrument arm S table in a washer disinfector.


▶ Take the handpieces off the hoses.
▶ Take the roller out of the instrument arm.

▶ Pull-off the instrument arm in an upward direction.


▶ Clean the instrument arm and roller under running water.
▶ Wipe the instrument arm S table with disinfectant.

Sterilisation of instrument arm S table

NOTICE
Damage caused by sterilisation.

▶ Do not sterilise the instrument arm S table.

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Care instructions ESTETICA E30
2 Reprocessing methods according to DIN EN ISO 17664 | 2.4 Preparation of the dentist element

2.4.4 Preparation of the triple function handpiece KaVo


One

Note
Wet the O-rings of the gripping sleeves after sterilisation using silicone
grease (Mat. no. 1.000.6403) or KaVo Rota Spray 2 (Mat. no.
0.411.7510). After replacing the cannula, the air channel must be blown out
before the start of treatment to ensure that the air exiting during treatment
is dry.

Note
For the cleaning/preparation of the cannula of the triple-function handpiece
KaVo One, the cannula must be disassembled into the cannula tube and the
taper sleeve.

Cleaning of triple-function handpiece KaVo One

Automatic cleaning

NOTICE
Damage caused by improper cleaning/disinfection.

▶ Do not sterilise the single parts of the cannula in a hot-air steriliser.


▶ Do not place the single parts of the cannula in a disinfectant or ultrasonic
bath.

▶ Single parts of the cannula should be subjected to thermodisinfection and


sterilisation.

Manual cleaning

Note
Combine manual cleaning with disinfection.

Internal cleaning
▶ Leave the cannula and handpiece on the instrument, and activate the air
and water for 60 seconds.

External cleaning
Accessories required:
▪ Tap water 30oC ± 5oC
▪ Brush, e.g. medium-hard toothbrush
▶ Hold the valve body of the handpiece and screw off the cannula.
▶ Disassemble the cannula of the triple-function handpiece KaVo One into the
cannula tube and the taper sleeve.
▶ Clean the cannula tube and taper sleeve by brushing them under flowing
water (at least tap water quality).
▶ Immediately remove contamination from materials used in the dental prac-
tice (impression materials, caustic chemicals).
▶ Carefully wipe off contamination from the cannula tip with a soft Q-tip or
soft cloth and alcohol.

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Care instructions ESTETICA E30
2 Reprocessing methods according to DIN EN ISO 17664 | 2.4 Preparation of the dentist element

NOTICE
Damage caused by using a nozzle needle that is too long.
Damage to the internal hoses of the cannula.
▶ Use a short nozzle needle (Mat. no. 1.004.4986) to clean the media exit
holes.

▶ Carefully remove contamination from the media exit ports using the short
nozzle cleaning needle.

Disinfection of triple-function handpiece KaVo One

Manual disinfection

See also:
2 2.2 General instructions for the reprocessing of KaVo treatment centres,
Page 6

External disinfection
▶ Wipe-disinfect the surfaces with a soft cloth.

Automatic disinfection

NOTICE
Damage caused by improper cleaning/disinfection.

▶ Do not sterilise the single parts of the cannula in a hot-air steriliser.


▶ Do not place the single parts of the cannula in a disinfectant or ultrasonic
bath.

▶ Single parts of the cannula should be subjected to thermodisinfection and


sterilisation.

Drying of triple-function handpiece KaVo One

Manual drying
▶ Blow off the outside and inside with compressed air until water drops are no
longer visible.

Automatic drying

Not applicable.

Sterilisation of triple-function handpiece KaVo One

Note
The cannula can be subjected to sterilisation.
▶ Hold the valve body of the triple-function handpiece and screw off the can-
nula.

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Care instructions ESTETICA E30
2 Reprocessing methods according to DIN EN ISO 17664 | 2.4 Preparation of the dentist element

Sterilization in a steam sterilizer in compliance with DIN


EN 13060
▶ Remove the taper sleeve from the cannula tube weld in sterile goods pack-
aging.

▶ Sterilise with a triple fractionated vacuum (B class steriliser); hold for 4


minutes; 134°C ± 1 °C; overpressure: 2.13 bar.

NOTICE
Damage caused by over-heating.
Damage to the cannula.
▶ Immediately remove the parts from the steriliser after the sterilisation cycle
is completed.

Storage
▶ Reprocessed products should be stored protected from dust with minimum
exposure to germs in a dry, dark and cool place.

2.4.5 Preparation of triple function handpiece

Note
Wet the O-rings of the gripping sleeves after sterilisation using silicone
grease (Mat. no. 1.000.6403) or KaVo Rota Spray 2 (Mat. no.
0.411.7510). After replacing the cannula, the air channel must be blown out
before the start of treatment to ensure that the air exiting during treatment
is dry.

Cleaning of triple-function handpiece

Automatic cleaning

Not applicable.

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Care instructions ESTETICA E30
2 Reprocessing methods according to DIN EN ISO 17664 | 2.4 Preparation of the dentist element

NOTICE
Damage caused by improper cleaning/disinfection.

▶ Do not wash the gripping sleeve and the cannula in the washer disinfector.
▶ Do not sterilise the gripping sleeve and the cannula in the hot-air steriliser.
▶ Do not place the gripping sleeve and the cannula in a disinfectant or ultra-
sonic bath.

Manual cleaning

Note
Combine manual cleaning with disinfection.

Internal cleaning
▶ Leave the gripping sleeve and cannula on the instrument, and activate the
air and water for 60 seconds.

External cleaning

CAUTION
Danger of injury if the valve body is hot (heating elements, high-pres-
sure lamp).
Risk of burn injury.
▶ Switch off the unit at the main switch.
▶ Let the handpiece cool after long use.

Accessories required:
▪ Tap water 30oC ± 5oC
▪ Brush, e.g. medium-hard toothbrush
▶ Disassemble the gripping sleeve and cannula.
▶ Detach the key part from the gripping sleeve.

▶ Clean the key part, gripping sleeve and cannula by brushing them under
running water (at least tap water quality).

▶ Immediately remove contamination from materials used in the dental prac-


tice (impression materials, caustic chemicals).

▶ Carefully wipe off contamination from the cannula tip with a soft Q-tip or
soft cloth and water.

NOTICE
Damage caused by using a nozzle needle that is too long.
Damage to the internal hoses of the cannula.
▶ Use a short nozzle needle (Mat. no. 1.004.4986) to clean the media exit
holes.

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Care instructions ESTETICA E30
2 Reprocessing methods according to DIN EN ISO 17664 | 2.4 Preparation of the dentist element

▶ Carefully remove contamination from the media exit ports using the short
nozzle cleaning needle.

Disinfection of triple-function handpiece

Manual disinfection

External disinfection
▶ Wipe-disinfect the surfaces with a soft cloth.

Automatic disinfection

Not applicable.

NOTICE
Damage caused by improper cleaning/disinfection.

▶ Do not wash the gripping sleeve and the cannula in the washer disinfector.
▶ Do not sterilise the gripping sleeve and the cannula in the hot-air steriliser.
▶ Do not place the gripping sleeve and the cannula in a disinfectant or ultra-
sonic bath.

Drying of triple-function handpiece

Manual drying
▶ Blow off the outside and inside with compressed air until water drops are no
longer visible.

Automatic drying

Not applicable.

Care of triple function handpiece


Requirement
The multifunctional handpiece has been prepared.
▶ Apply KaVo silicone grease (Mat. no. 10006403) or KaVo Rota Spray 2
(Mat. no. 04117510) to the O-rings of the joint between the gripping
sleeve and cannula. Use cotton buds for this purpose.

Sterilisation of triple-function handpiece

Note
The grip sleeve and cannula can be sterilised.
▶ Hold the 3-way or multifunctional handpiece at the gripping sleeve and take
off the cannula with a slight twisting motion.

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Care instructions ESTETICA E30
2 Reprocessing methods according to DIN EN ISO 17664 | 2.4 Preparation of the dentist element

▶ Pull the gripping sleeve off the valve body.

Sterilization in a steam sterilizer in compliance with DIN


EN 13060
▶ Weld the cannula and grip sleeve in sterile goods packaging.

▶ Sterilise with a triple fractionated vacuum (B class steriliser); hold for 4


minutes; 134°C ± 1 °C; overpressure: 2.13 bar.

NOTICE
Damage caused by over-heating.
Damage to the gripping sleeve.
▶ Immediately remove the parts from the steriliser after the sterilisation cycle
is completed.

Storage
▶ Reprocessed products should be stored protected from dust with minimum
exposure to germs in a dry, dark and cool place.

2.4.6 Preparation of the instrument hoses

Cleaning and disinfection of handpiece hoses


▶ Clean the hoses and couplings with a cloth and water.

NOTICE
Damage caused by spray disinfection.

▶ Do not subject instrument hoses to spray disinfection.


▶ Subject instrument hoses to wipe disinfection.

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Care instructions ESTETICA E30
2 Reprocessing methods according to DIN EN ISO 17664 | 2.4 Preparation of the dentist element

2.4.7 Servicing the turbine return air filter

Cleaning the turbine return air filter

Note
The liquid collector must be checked weekly.
▶ If there is any liquid in the filter, drain the liquid and replace the O-rings of
the multiflex couplings.

▶ If necessary, replace the turbine return air filter (Mat. no. 02003098) and
clean the filter holder.

Note

The turbine return air filter is in the same position in the dentist element vari-
ant with S table.

2.4.8 Reprocessing KaVo ERGOcam One

Note
The camera handle cannot be sterilised or disinfected with heat.

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Care instructions ESTETICA E30
2 Reprocessing methods according to DIN EN ISO 17664 | 2.4 Preparation of the dentist element

Cleaning

Note
Disinfect the camera before cleaning.
Disinfect after cleaning if necessary.

Exterior cleaning by hand

NOTICE
Damage to the camera due to improper cleaning.
Destroys the surface or the optical system of the camera.
▶ Do not use abrasives or aggressive cleansers!
▶ Do not immerse the camera in liquids!
▶ Switch main device switch off.
▶ Remove the camera.
▶ Clean the surface with a soft cloth and mild liquid cleaning agent.

Disinfection

Exterior disinfection by hand

WARNING
Highly flammable gases-.
Explosion.
▶ Allow product to cool before disinfecting.

NOTICE
Damage to the camera due to improper disinfection.
Irreversible destruction of the camera.
▶ Disinfect with wipes only, do not use disinfectant sprays!
▶ Do not immerse the camera in liquids!
▶ Do not sterilise the camera in an autoclave!
▶ Do not store the camera in Steri pack!
▶ Do not sterilise the camera with hot air or in a washer disinfector!
▶ Switch main device switch off.
▶ Allow the camera to cool down.
▶ Remove the camera.
▶ Disinfect the surface using a soft wipe and disinfectant.

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Care instructions ESTETICA E30
2 Reprocessing methods according to DIN EN ISO 17664 | 2.4 Preparation of the dentist element

Approved disinfectants:
▪ CaviCide / CaviWipes (Metrex)
▪ Microcide AF Liquid (Schülke & Mayr)
▪ FD 322 (Dürr Dental)
▪ Incidin Liquid (Ecolab)

Note
The exterior of the camera and camera hose can be disinfected with chemical
disinfectants.
Comply with the manufacturer's instructions for use with regard to the applic-
ation range. and exposure time.

NOTICE
Material damage due to use of non-approved disinfectant.
Damage to the camera.
▶ Use approved disinfectants only.

2.4.9 Reprocessing KaVo PiezoLED

Cleaning

NOTICE
Malfunctions from cleaning in the ultrasonic unit.
Defects in the device.
▶ Only clean manually or in a washer disinfector!
▶ Only product parts bearing the automatic cleaning symbol may be subjec-
ted to automatic cleaning.

The subsequent cleaning/disinfection must be started within 2 hours.

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Care instructions ESTETICA E30
2 Reprocessing methods according to DIN EN ISO 17664 | 2.4 Preparation of the dentist element

Cleaning of handpieces

Manual external cleaning

▶ Unscrew sealing cap and fibre optic conductor.


▶ Gently clean the individual parts under running water using a soft brush or
a soft cloth.
▶ Attach disposable syringe (at least 50 ml) to the nozzle of the product.
▶ Rinse all product lumens (e.g. rinsing and suction connections) at least five
times in the flow direction. Do not rinse against the flow direction.
▶ Rinse the external housing of the handpiece thoroughly.

Manual internal cleaning


▪ Distilled, deionised water
• (aqua purificata as specified in Pharm. Eur. or USP)
- with microbial count < 10 cfu/ml or sterilised
- with sufficiently low endotoxin and particle concentration
▶ Attach disposable syringe to the back nozzle.
▶ Rinse in the normal flow direction, do not rinse against the flow direction.
▶ If an aldehyde-free cleaning and disinfection solution is used, subsequently
rinse at least thrice with distilled or deionised water.

Automated external cleaning

KaVo recommends washer disinfectors according to EN ISO 15883-1, which


are operated using alkaline cleaning agents having a maximum pH value of 10.
The validation was conducted with a Miele washer disinfector using the
"VARIO-TD" programme, the "neodisher® mediClean" cleaning agent, the
neodisher® Z" neutralisation agent and the "neodisher® mielclean" rinsing
agent.
▶ For programme settings as well as cleansers and disinfectants to be used,
please refer to the Instructions for Use of the washer disinfector.
▶ In order to prevent negative effects on the KaVo medical device, make sure
that the interior and the exterior of the medical device are dry after comple-
tion of the cycle, and then lubricate it immediately with care products from
the KaVo care system.

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Care instructions ESTETICA E30
2 Reprocessing methods according to DIN EN ISO 17664 | 2.4 Preparation of the dentist element

Automated internal cleaning

Possible only with devices providing the option or function of intensive germ re-
duction.
▶ Leave the handpiece on the device and carry out the intensive germ reduc-
tion (see Instructions for Use of the respective treatment unit).

Cleaning of tips, endo files, file holders, endo wrenches,


torque wrenches

Note
For exposure times and concentrations of disinfection agents, please refer to
the instructions of the manufacturers.
▶ Place the products in the disinfection solution at least for as long as spe-
cified by the manufacturer of the disinfection agent.
▶ Remove all contamination from the outer surface by careful brushing using
a soft brush or soft cloth.
▶ Rinse the inside of products thoroughly at least five times using fresh dis-
tilled or deionised water (at least 50 ml).
▶ If the final rinse is not clear or if the product continues to contain visible
contamination, the cleaning process must be repeated.

Disinfection

NOTICE
Malfunctioning from using a disinfectant bath or chloride-containing
disinfectants.
Defects in the device.
▶ Disinfect manually only!

Disinfection of handpieces

Note

For times and concentrations, please refer to the instructions of the manufac-
turers of the cleaning/disinfection agent.

Manual disinfection - external

KaVo recommends the following products based on material compatibility. The


microbiological efficacy must be ensured by the disinfectant manufacturer.
▶ Attach disposable syringe (at least 50 ml) to the nozzle of the product.
▶ Rinse all product lumens (e.g. rinsing and suction connections) at least five
times in the flow direction.
Do not rinse against the flow direction.
▶ If the final rinse is not clear or if the product continues to contain visible
contamination, the cleaning process must be repeated.
▶ Clean the surface with alcohol-based disinfection cloths.
▶ Dry the products with filtered compressed air (max. 3 bar).
▶ If required, dry again at a clean place.
▶ Package products immediately after drying (see section on Packaging and
Sterilisation).

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2 Reprocessing methods according to DIN EN ISO 17664 | 2.4 Preparation of the dentist element

Machine disinfection - external and internal

KaVo recommends washer disinfectors according to EN ISO 15883-1, which


are operated using alkaline cleaning agents having a maximum pH value of 10.
The validation was conducted with a Miele washer disinfector using the
"VARIO-TD" programme, the "neodisher® mediClean" cleaning agent, the
neodisher® Z" neutralisation agent and the "neodisher® mielclean" rinsing
agent.
▶ For programme settings as well as cleansers and disinfectants to be used,
please refer to the Instructions for Use of the washer disinfector.
▶ In order to prevent negative effects on the KaVo medical device, make sure
that the interior and the exterior of the medical device are dry after comple-
tion of the cycle, and then lubricate it immediately with care products from
the KaVo care system.

Disinfection of tips, endo files, file holders, endo


wrenches, torque wrenches
▶ Place the products in the cleaning solution at least for as long as specified
by the manufacturer of the cleaning/disinfection agent.
▶ Remove all contamination from the outer surface by careful brushing using
a soft brush or soft cloth.
▶ Rinse the inside of products thoroughly at least five times using fresh dis-
tilled or deionised water (at least 50 ml).
▶ If the final rinse is not clear or if the product continues to contain visible
contamination, the cleaning process must be repeated.

Note
Optionally, a thermodisinfector can be used for automated disinfection.

KaVo recommends washer disinfectors according to EN ISO 15883-1, which


are operated using alkaline cleaning agents having a maximum pH value of 10.
The validation was conducted with a Miele washer disinfector using the
"VARIO-TD" programme, the "neodisher® mediClean" cleaning agent, the
neodisher® Z" neutralisation agent and the "neodisher® mielclean" rinsing
agent.
▶ For programme settings as well as cleansers and disinfectants to be used,
please refer to the Instructions for Use of the washer disinfector.

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Care instructions ESTETICA E30
2 Reprocessing methods according to DIN EN ISO 17664 | 2.4 Preparation of the dentist element

Drying

Drying of handpieces

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 thermod-
isinfector.
▶ Follow the instructions for use of the thermodisinfector.

Drying of tips, endo files, file holders, endo wrenches,


torque wrenches
▶ Dry the products with filtered compressed air (max. 3 bar).
▶ If required, dry again at a clean place.
▶ Package products immediately after drying (see section on Packaging and
Sterilisation).

Servicing

CAUTION
Check handpiece and hose for visible damage prior to use.
They need to be replaced if any damage is evident.

CAUTION
Check tips for visible damage and wear and tear prior to use.
If the damage or wear and tear exceeds the tolerance, dispose of the tip and
use a new tip.

CAUTION
Use of third-party components.
Inury to dentist or patient.
▶ Use original components only.

Note

Handpiece and tube must be checked for visible damage prior to use. Hand-
piece and tube need to be replaced if there is any evidence of damage.

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2 Reprocessing methods according to DIN EN ISO 17664 | 2.4 Preparation of the dentist element

Check the PIEZO Tips

Note

Ultrasonic tips are subject to wear and tear and become shorter during use.
Worn tips are less effective and might reduce the patient comfort.

For prophylactic reasons, it is recommended not to use the components beyond


the specified expiry date.

▶ Check scaler tips regularly using the PiezoLED tip card.


▶ Replace tips with worn diamond coating.
▶ Check O-rings of handpieces regularly for damage.

Packaging

Note
The sterilisation bag must be large enough for the instrument so that the bag
is not stretched.
The quality and use of the sterilisation packaging must comply with applic-
able standards and be suitable for the sterilisation procedure!
▶ The medical device must be packed before sterilisation.

Sterilisation

Sterilisation of handpieces

Sterilisation in a steam steriliser (Autoclave) EN 13060/


ISO 17665-1
NOTICE
Premature wear and malfunctions from improper servicing and care.
Reduced product life.
▶ Before each sterilisation cycle, service the medical device with KaVo care
products.

NOTICE
Contact corrosion due to moisture.
Damage to product.
▶ Immediately remove the product from the steam steriliser after the steril-
isation cycle!

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2 Reprocessing methods according to DIN EN ISO 17664 | 2.4 Preparation of the dentist element

Note

Handpieces must be sterilised before each use. Non-sterile handpieces and


tips can cause bacterial or viral infections.

Note
Please comply with the current local regulations governing the re-use and
disposal of equipment.

The medical device is resistant to temperatures of up to 138 ℃ (280.4 oF).

▶ Place the cleaned and disinfected handpieces separately in sterilisation


packages and weld them to be sealed, e.g. KaVo STERIclave bags Mat. no.
0.411.9912).

135°C

KaVo recommends, e.g.


- STERIclave B 2200/ 2200P from KaVo
Citomat / K series from Getinge
Autoclave with a triple pre-vacuum for at least 4 minutes at 134 °C ± 1 °C
(273.2 °F ± 33.8 °F)
For range of applications, refer to the manufacturer's Instructions for Use.

Only for handpieces with fibre optic conductor sleeve


▶ If the fibre optic conductor sleeveMat. no. 1.007.4021 looses its bright-
ness due to sterilisation, replace the fibre optic conductor sleeve.
The light source in the handpiece cannot be replaced.

Sterilisation of tips, endo files, file holders, endo


wrenches, torque wrenches

Note

The maximal number of sterilisation cycles must not be exceeded.

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Care instructions ESTETICA E30
2 Reprocessing methods according to DIN EN ISO 17664 | 2.5 Reprocessing of the assistant element

Note

The use of hot-air sterilisation and radio-sterilisation is not permissible


(causes destruction of the products). KaVo shall not be held responsible if
non-permissible procedures such as ethylene oxide, formaldehyde, and low
temperature plasma sterilisation are used.

Note
Only cleaned and disinfected products may be sterilised.

Note
Please comply with the current local regulations governing the re-use and
disposal of equipment.
▶ Place the cleaned and disinfected tips, endo files, file holders, endo
wrenches and torque wrenches separately in sterilisation packages (e.g.
KaVo STERIclave bags Mat. no. 0.411.9912) and weld them to be sealed
or sterilise them in a sterilisation cassette (e.g. KaVo sterilisation cassette
Mat. no. 0.411.9101).

Sterilisation container requirements:


▪ EN 868 and ISO 11607
▪ Resistant up to 138 oC with appropriate permeability for steam
▪ Regular servicing

The requirements also apply to double disposable sterilisation packages.

Permissible sterilisation apparatus:


▪ Sterilisation apparatus with validated cycle parameters
▪ Sterilisation apparatus with non-validated cycle parameter which comply
with DIN EN ISO 14161:2000

Permissible procedures:

Procedures Time /Temperature


Fractionated pre-vacuum 3 to 20 minutes at 132 °C/ 134 °C
Steam sterilisation apparatus 138 oC
(AAMI TIR no. 12, DIN EN ISO 14161,
DIN EN ISO 17665)
(DQ, IQ, OQ and PQ)

Storage
▶ Reprocessed products should be stored protected from dust with minimum
exposure to germs in a dry, dark and cool place.
▶ Comply with the expiry date of the sterilised items.

2.5 Reprocessing of the assistant element

2.5.1 Preparing the handpiece holder

Note
The handpiece holder can be removed.

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Care instructions ESTETICA E30
2 Reprocessing methods according to DIN EN ISO 17664 | 2.5 Reprocessing of the assistant element

▶ Wipe-disinfect the instrument holder.

2.5.2 Reprocessing of the suction hose connector


▶ Pull-off the connectors ① and ② from the suction hoses.
▶ Unscrew the connectors ③ and ④ from the suction hoses.

6 5
4

6 5

Cleaning and disinfection of the suction hose connector


▶ Clean the disassembled parts under running water.
▶ Thermodisinfect the disassembled connectors ① and ② for at least 10
minutes at 93 °C (total cycle: approximately 20 minutes).
▶ Disinfect the connectors ③ and ④ by wipe disinfection.

Note
Connectors ③ and ④ cannot be subjected to thermodisinfection.

Sterilising the suction hose connector

NOTICE
Damage caused by sterilisation.

▶ Do not sterilise connectors ① and ②.

Note
Sterilise the suction cannulas according to the manufacturer's instructions.
▶ Sterilise connectors ③ and ④.

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2 Reprocessing methods according to DIN EN ISO 17664 | 2.6 Reprocessing of the patient element

2.5.3 Reprocessing of sieve inserts and suction hoses

Note
Check the sieve inserts daily and after each surgery. The sieve inserts must
be replaced at the latest when the suction performance decreases (Mat. no.
10088636).
Cleaning is not recommended for hygienic reasons.
▶ Pull the connector ⑤ off the suction hose.
▶ Clean the sieve ⑥ under running water.
▶ Remove the suction hoses from the holder.
ð The suction motor starts automatically when the suction tubes are removed
from the holder.
▶ Pull the sieve inserts out of the housing.
▶ Place a cloth under the sieve seat.

▶ If needed, insert a new sieve insert (Mat. no. 10088636) into the seat.
▶ Wipe the suction tubes with disinfectant.

2.6 Reprocessing of the patient element

2.6.1 Reprocessing of the tumbler


▶ Reprocess as specified by the manufacturer.

2.6.2 Reprocessing of tumbler holder and tumbler filler


NOTICE
Water in the device.
Material damage from leaking water upon actuation of the "Tumbler filler" or
"Bowl flush" keys.
▶ Make sure that the unit is turned off before removing the tumbler filler or
the spittoon bowl.
▶ Always check the correct seating of tumbler filler and spittoon bowl before
turning on the unit.

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Cleaning and disinfection of the tumbler holder and


tumbler filler

▶ Take off the tumbler holder (Mat. no. 1.008.9291).


▶ Clean the tumbler holder under running water.
▶ Subject the tumbler filler to wipe disinfection.

NOTICE
Damage caused by treatment in a washer disinfector.

▶ Do not subject the tumbler holder and tumbler filler to treatment in a


washer disinfector.

Sterilisation of tumbler holder and tumbler filler

NOTICE
Damage caused by sterilisation.

▶ Do not sterilise the tumbler holder and filler.

2.6.3 Reprocessing of the spittoon bowl


NOTICE
Water in the device.
Material damage from leaking water upon actuation of the "Tumbler filler" or
"Bowl flush" keys.
▶ Make sure that the unit is turned off before removing the tumbler filler or
the spittoon bowl.
▶ Always check the correct seating of tumbler filler and spittoon bowl before
turning on the unit.

Cleaning and disinfection of the spittoon bowl

NOTICE
Damage caused by inappropriate cleaning agents.

▶ Do not use acid-containing, sand-containing, and form-forming cleaning


agents.

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Care instructions ESTETICA E30
2 Reprocessing methods according to DIN EN ISO 17664 | 2.7 Manual hygiene functions of the water-conducting
system
▶ Add a dose of DEKASEPTOL gel to the spittoon bowl and distribute the
agent with a brush.
▶ For cleaning, allow the gel to act for approx. 5 minutes.
▶ For disinfection, allow the gel to act for approx. 15 minutes.
▶ After letting it work, press the "Spittoon bowl" button.
▶ Clean the spittoon bowl thoroughly using a brush.
▶ For thorough cleaning or thermodisinfection, rotate the spittoon bowl and
lift it off.

The spittoon bowl made of porcelain can be subjected to thermodisinfection.

2.7 Manual hygiene functions of the water-conducting


system

CAUTION
Health damage due to germ formation.
Infection hazard.
▶ Before start-up and after downtimes (weekends, holidays, vacations, etc.),
rinse or purge the air and water lines with air.
▶ Actuate the tumbler filler several times.
▶ Carry out a manual intensive germ reduction.

Note

KaVo recommends rinsing all water-conducting systems at all dispensing


sites while no handpiece is attached, such as, e.g., syringe, turbine, motor,
ultrasonic scaler and tumbler filler:
- at the start of every working day (for 2 minutes)
- after every patient (for 20 seconds)

Note

The "continuous germ reduction" hygiene function is available only with the
water bottle kit.

Treatment water that comes into contact with the patient, e.g. at the tumbler
or handpieces, can be germ-reduced manually or intensively germ-reduced
manually.
During normal operation of the treatment centre, the continuous germ reduc-
tion function (available with water bottle kit and added disinfectant KaVo OXY-
GENAL 6) ensures continuous germ reduction of the water-supplying systems.
Manual rinsing and manual intensive germ reduction facilitate the rinsing and
germ reduction of the water-supplying system. This counteracts the formation
of micro-organisms at times of stagnation and ensures a hygienic water supply
for the patients.

2.7.1 Manual intensive germ reduction

Note
Observe the instructions for use for the instruments.

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system

Intensive germ reduction prevents the formation of microorganisms during ex-


tended periods when the equipment is out of use. During intensive germ reduc-
tion, the afferent water ducts are manually filled with a higher concentration of
KaVo OXYGENAL 6. Manual intensive germ reduction takes only 20 seconds for
flushing and 20 seconds for rinsing of each handpiece. The time of exposure
should be at least 30 minutes, and preferably over the weekend.
An additional intensive germ reduction must be carried out during extended
periods on non-use (from 4 weeks).

Intensive germ reduction must be carried out:


▪ At first start-up
▪ Before, during and after prolonged downtimes (more than 4 weeks)
▪ Over the weekend
▪ During vacations
▪ After treatment of patients at high risk

Order of manual intensive germ reduction


▶ Fill the intensive germ reduction bottle.

See also:
2 3.1.1 Filling the intensive germ reduction bottle, Page 37
▶ Press the button during the rinse.

▶ Rinse each dental instrument for 20 seconds (without attachment hand-


pieces or cannulas), including the triple-function handpiece.
▶ Fill the tumbler 3x in order to rinse and disinfect the entire water-supplying
system.
▶ Allow water and KaVo OXYGENAL 6 to act for at least 30 minutes, and
preferably over the weekend.
▶ After the time of exposure is elapsed, fill the tumbler 3x and rinse each
dental instrument (without attachment handpieces or cannulas) for 20
seconds.

Note

The intensive germ reduction bottle must be newly filled prior to every in-
tensive germ reduction process.

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Intensive germ reduction during prolonged periods of


non-use (> 4 weeks)

During extended periods of non-use, e.g. semester breaks at university, intens-


ive germ reduction must be carried out during the time of non-use. The germ
reduction fluid remains inside the system during the period of non-use.

2.8 Reprocessing of the suction system

2.8.1 Cleaning and disinfection of the suction system


including suction hoses

Note
Clean the suction hoses after each treatment and disinfect them with DEKA-
SEPTOL Gel daily.

Application of DEKASEPTOL Gel

Note

Regarding the air jet suction system (Venturi), only one aliquot may be
drawn into each hose.
▶ Aspirate one tumbler of cold water with each suction hose.
▶ With the suction handpiece attached or by hand, press down the DEKA-
SEPTOL dosing facility once each for the saliva ejector hose and the spray
mist ejector.
▶ Aspirate the DEKASEPTOL Gel from the dosing facility.

Note

In suction processes with air jet suction systems (Venturi), the two following
steps must not be carried out as they could lead to blockage of the thin
hoses.

Without air jet suction system (Venturi)


▶ Aspirate another tumbler of cold water with each suction hose.
▶ Finally, aspirate another dose of DEKASEPTOL Gel and allow it to act.

With/without air jet suction system (Venturi)


▶ Place the suction hoses in the holder.

DEKASEPTOL Gel basic set DEKASEPTOL Gel refill canister


Mat. no. 10007204 Mat. no. 10007205

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Care instructions ESTETICA E30
3 Replenishing and checking the disinfectant | 3.1 Replenishing KaVo OXYGENAL 6 when using the water bottle

3 Replenishing and checking the disinfectant

3.1 Replenishing KaVo OXYGENAL 6 when using the


water bottle
NOTICE
Damage caused by defective water bottle.
Malfunctions or failures from a leaky water bottle.
▶ Do not wash the water bottle in a dish washer, and do not rinse it with wa-
ter hotter than 50 ℃.
▶ Do not use the water bottle if it is scratched, deformed or discoloured.
▶ Note the maximum useful life of the water bottle on the label.

Water bottle complete: (Mat. no. 0.710.4151)


Dosing attachment: (Mat. no. 1.002.0287)

Nameplate of water bottle and intensive germ reduction


bottle

1 1

2 2

3 3

4 4

5 6 7 8 5 6 7 8

Nameplate of water bottle / intensive germ reduction bottle

① Manufacturer ② Concentration
③ Use-by date ④ Material number
⑤ Month manufactured ⑥ Expiration date (year)
⑦ Storage temperature ⑧ Please comply with accompanying
documents

Note

The specified concentration of KaVo OXYGENAL 6 must not be exceeded.

Removing and cleaning the water bottle and intensive


germ reduction bottle
▶ Turn the device off.

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3 Replenishing and checking the disinfectant | 3.1 Replenishing KaVo OXYGENAL 6 when using the water bottle

▶ Remove the water bottle ① and intensive germ reduction bottle ② through
a slow counterclockwise rotation.

2
1

Note
This allows the over-pressure to be released slowly from the water bottle. If
the pressure supply to the equipment is not switched off, a permanent vent-
ing sound can be heard.

Note

The water in the water bottle needs to be changed at least one daily. In order
to ensure the efficiency of the measures, KaVo urgently recommends repro-
cessing the water with KaVo OXYGENAL 6.
▶ For cleaning, rinse the water bottle with water at less than 50 oC.

Filling the water bottle with the dosing facility


▶ Wipe up any spilled OXYGENAL immediately in order to prevent discoloura-
tion of the surfaces.
▶ Remove the protective hose from the tube of the KaVo OXYGENAL 6 dosing
facility.
▶ Guide the tube through the orifice of the coarse sieve of the KaVo OXY-
GENAL 6 bottle.
▶ Screw the KaVo OXYGENAL 6 dosing facility tightly to the KaVo OXYGENAL
6 bottle.
▶ Rotate the orifice in the lid to a filling level of 1.5 litres.
ð Lid snaps-in in the filling position.

▶ Place the KaVo OXYGENAL 6 bottle on a level surface.

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Care instructions ESTETICA E30
3 Replenishing and checking the disinfectant | 3.1 Replenishing KaVo OXYGENAL 6 when using the water bottle

▶ Squeeze the KaVo OXYGENAL 6 bottle until the germ reduction liquid rises
above the red marker.
ð In response to over-filling, the excess quantity above the tick mark is aspir-
ated automatically to ensure exact dosing.

3.1.1 Filling the intensive germ reduction bottle

CAUTION
Wrong germ reduction liquid or the dose is too high
Injury hazard
▶ Use KaVo OXYGENAL 6 only.
▶ Do not exceed the maximum concentration of 0.25% KaVo OXYGENAL 6.
▶ Proceed like for filling the water bottle, but use a different dose of KaVo
OXYGENAL 6.

See also:
2 Filling the water bottle with the dosing facility, Page 36
▶ Fill the four-fold dose of KaVo OXYGENAL 6 (equivalent to 20 ml) in the in-
tensive germ reduction bottle. Make sure that the spout of the KaVo OXY-
GENAL 6 dosing facility (nose) is situated right above the opening of the in-
tensive germ reduction bottle.

▶ Then fill-up the intensive germ reduction bottle with tap water.

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3 Replenishing and checking the disinfectant | 3.2 Check the OXYGENAL 6 concentration

Note
Substances remaining in the dosing head are not contamination, but rather
agents that are deposited there during extended periods of non-use after
condensation of the water. These deposits redissolve after several dosing
processes.
▶ Screw the intensive germ reduction bottle tightly to the treatment centre
through a clockwise rotation.
ð Apply compressed air to the intensive germ reduction bottle.

3.2 Check the OXYGENAL 6 concentration


▶ Fill the tumbler with water.
▶ Use Merckoquant peroxide test strips 100 to 1000 mg/l H2O2 (Mat. no.
0.229.5003) to determine the OXYGENAL 6 concentration in the water
germ reduction system. The OXYGENAL 6 concentration should be in the
range from 150 to 250 mg/l H2O2 in normal operation.

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1.009.7934 · Fk · 20171018 - 5 · en

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