Cascade Handpiece Delivery System Owners Guide Rev B Feb 2006

ALPHABETICAL EQUIVALENT TO THE NUMERAL OF THE MONTH MANUFACTURED A

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2601 CRESTVIEW DRIVE NEWBERG, OREGON 97132

Designated EU Representative: A-dec Dental U.K Austin House, 11 Liberty Way, Attleborough Fi Nuneaton, Warwickshire, England CV116RZ Tele: (44) 1203-350901

SN: J828287

SERIAL NUMBER

REF

MODEL NUMBER

YEAR MANUFACTURED

Serial Number Identification Serial Number Location: • Located on the underside of the control head. For service information contact your authorized A-dec dealer. Check with local codes and A.D.A. (Americans with Disabilities Act) requirements for installation of this product.

Warranty

Warranty: A-dec warrants all products in this owner's guide against defects in material or workmanship for one year from time of delivery. A-dec's sole obligation under the warranty is to provide parts for the repair, or at its option, to provide the replacement product (excluding labor). The buyer shall have no other remedy. All special, incidental, and coincidental damages are excluded. Written notice of breach of warranty must be given to A-dec within the warranty period. The warranty does not cover damage resulting from improper installation or maintenance, accident or misuse. The warranty does not cover damage resulting from the use of cleaning, disinfecting or sterilization chemicals and processes. The warranty also does not cover light bulbs. Failure to follow instructions provided in the A-dec owner's guide (operation and maintenance instructions) may void the warranty. A-dec warrants A-dec dental chair cylinders, both lift and tilt, for ten years from the date of purchase of the chair or the cylinder. This warranty is retroactive to A-dec chair cylinders already in the field. The warranty covers chair cylinders A-dec finds to have manufacturing related irregularities. Stool cylinders are covered under A-dec's one-year warranty. NO OTHER WARRANTIES AS TO MERCHANTABILITY OR OTHERWISE ARE MADE.

Cascade Handpiece Delivery System Return Policy: U.S. and Canadian dealers wishing to return overstock (unopened) merchandise to A-dec for credit consideration must include a copy of the original invoice number. A return authorization form from an A-dec Territory Manager must be included with serial numbered equipment or A-dec/W&H handpieces. A 15% restocking fee will be assessed. Merchandise that cannot be returned for credit includes parts assembled to the dental unit, chair, light, or dental furniture; obsolete parts; and specials. Dental furniture cannot be returned for credit. Standard color upholstery ordered for obsolete chairs or stools cannot be returned for credit. In the case of a defective warranty item, a copy of the replacement invoice, serial number of the unit under which it was replaced, and a description of the symptoms of the defect must be returned with the part to: A-dec Inc. 2601 Crestview Drive, Newberg, Oregon 97132, USA.

Cascade Handpiece Delivery System Equipment Alterations Policy: Certain modifications or alterations of A-dec equipment which expand the use of A-dec equipment beyond its design and intent, or which override any safety features of A-dec equipment may jeopardize doctor, patient or staff safety. Field modifications that alter the electrical and/or mechanical safety of A-dec dental devices are in conflict with Underwriters Laboratory (UL) construction file requirements and are not sanctioned by A-dec. Examples of field modifications that diminish safety design include, but are not limited to, rendering access to the line voltage without the use of tools, modification of supporting elements that increase or shift loading characteristics, and the addition of any powered device that exceeds the design limits of the dental system. The use of accessory equipment not complying with the equivalent safety requirements of A-dec equipment may lead to a reduced level of safety of the resulting system. It is the responsibility of the equipment distributor and the installer to assure that the installation complies with all building code requirements. The responsibility to determine whether a modification or alteration of A-dec equipment falls within these constraints is with the person(s) who initiates, approves and/or performs such modification or alteration. A-dec will not respond to inquiries on an individual basis. This person(s) will be deemed to have assumed all associated risks with such alteration or modification and will hold A-dec harmless from resulting claims, including product liability claims. Additionally, such modification or alteration voids A-dec's warranty and may invalidate UL or other regulatory agency approval.

All product names used in this document are trademarks or registered trademarks of their respective holders.

Printed in U.S.A. • Copyright © 2006 • All Rights Reserved

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Cascade Handpiece Delivery System This Owner’s Guide includes both styles of Cascade Handpiece Delivery System, Continental and Traditional. Uses and adjustments are the same for both, except where noted.

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Cascade Handpiece Delivery System (Traditional-style Control Head with Unitized Holders)

Cascade Handpiece Delivery System

(Continental®-style Control Head with touch pad and push button arm brake)

Cascade Handpiece Delivery System Serial number location, service information, and warranty information are located on the inside front cover and front page.

CONTENTS Cascade Handpiece Delivery System... 2 Handpiece Actuation ... 2 Drive Air Pressure Gauge ... 2 Arm Brake (Chair-Mounted Delivery Systems Only) ... 3 Foot Control ... 3 Handpiece Controls... 4 Master On/Off Toggle ... 4 Drive Air Pressure Controls ... 5 Coolant Air Flow Control ... 6 Coolant Water Flow Controls ... 7 Handpiece Tubing Flush ... 8 Handpiece Dry Block Conversion ... 9 Oil Collector... 10 Continental-Style Control Head Handpiece Whip Adjustment... 10 Traditional-Style Control Head Holder Adjustments ... 11 Touch Pad (Optional) ... 11 Tray Holder (Optional)... 12 Tray Holder/Tray Arm Tension Adjustment... 13 Autoclavable Syringe ... 14 System Air And Water Pressure Adjustment ... 14 Care Instructions ... 14 Flexible Arm ... 15 Counterbalance Spring Adjustment ... 15 Arm Stop Adjustment for Left/Right Conversion ... 18 Continental-Style Control Positioning ... 19 Trans-Thorax Positioning... 19 Maintenance ... 20 Adjustments and Specifications... 20 Identification of Symbols... 22 Classification of Equipment (EN 60601-1) ... 22 1

Cascade Handpiece Delivery System

Cascade Handpiece Delivery System Your Cascade Handpiece Delivery System is built around A-dec’s proven Century Plus® control blocks for three handpieces and, in most instances, A-dec’s Autoclavable Syringe.

Handpiece Actuation Handpiece actuation is automatic. When you lift a handpiece from its holder, or pull the Continentalstyle whip forward, the handpiece becomes active and will run when you press on the foot control disc (refer to page 3). Return the handpiece to its resting position to deactivate it.

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Figure 1. Handpiece Actuation

Drive Air Pressure Gauge The drive air pressure gauge (see Figure 2) indicates, in psi and kg/cm2, the drive air pressure to the active handpiece. HANDLE WITH PUSH BUTTON ARM BRAKE

DRIVE AIR PRESSURE GAUGE

Figure 2. Drive Air Pressure Gauge

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Cascade Handpiece Delivery System

Arm Brake (Chair-Mounted Delivery Systems Only)

The arm is braked against vertical movement until you press the arm brake button (see Figure 2 on page 2). You then are able to position the control head. Releasing the arm brake button locks the control head in place

Foot Control The foot control modulates drive air to the active handpiece and provides an air signal that activates the coolant air and coolant water flow. The foot control is operated by light foot pressure applied to any part of the foot control disc. The foot control is equipped with a wet/dry toggle and can be equipped with an optional chip blower FOOT CONTROL DISC

CHIP BLOWER BUTTON (Optional)

WET/DRY TOGGLE BLUE DOT (water ON)

Figure 3. Foot Control

button (see Figure 3). Wet/Dry Toggle. Allows you to shut off the coolant water to the handpiece without moving your hands from the oral cavity. Using your foot, move the toggle away from the blue dot to turn the coolant water OFF. Move the toggle toward the blue dot to turn the coolant water ON. Chip Blower Button. Sends a jet of air through the handpiece when it is not running. 3

Cascade Handpiece Delivery System

Handpiece Controls DRIVE AIR PRESSURE CONTROLS (see page 5)

MASTER ON/OFF TOGGLE

HANDPIECE FLUSH CONTROL (see page 8)

PUSH

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COOLANT AIR FLOW CONTROL (see page 6)

MASTER

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COOLANT WATER FLOW CONTROLS (see page 7)

Figure 4. Handpiece Controls

Adjustment keys are provided for making adjustments to the recessed controls. You can order additional or replacement keys from your authorized A-dec dealer or use a 1/8" hex key.

Figure 5. Autoclavable Adjustment Key

Master On/Off Toggle The master on/off toggle (see Figure 4) turns air, water, and electricity on or off to the system.

CAUTION The MASTER ON/OFF TOGGLE should be in the OFF (0) position whenever the unit is not in use. This will prevent the possibility of water damage should a leak occur while the unit is unattended. Making sure the unit is off will also prevent the possibility of self-activation and the resulting burn-out of your electrical accessories.

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Cascade Handpiece Delivery System

Drive Air Pressure Controls The drive air pressure controls (see Figure 4 on page 4) are used to adjust the drive air pressure to each handpiece. Adjust the drive air pressure to meet the handpiece manufacturer’s dynamic drive air pressure specification. Refer to the documentation that came with your handpiece for the dynamic drive air pressure specification. You will need a 3/32" hex key to complete this adjustment.

1. Install a bur in the handpiece. 2. Locate the drive air gauge on the front of the control head (see Figure 2 on page 2). 3. Move the wet/dry toggle on the foot control (see Figure 3 on page 3) to the OFF position, away from the blue dot). 4. Turn the drive air control clockwise until the valve seats. 5. Fully depress the foot control disc. 6. While running the handpiece, watch the drive air gauge and adjust the handpiece dynamic drive air pressure to meet manufacturer’s specifications. • Turn the drive air control counterclockwise to increase drive air pressure flow. • Turn the control clockwise to decrease flow.

NOTE Do not turn the control counterclockwise beyond the point where the drive air pressure no longer increases. The control adjustment screw may come completely out of the unit.

7. Repeat steps 1 through 6 for EACH handpiece. 5

Cascade Handpiece Delivery System

Coolant Air Flow Control The coolant air flow control is used to adjust the coolant air flow to all handpieces (see Figure 6). You will need an adjustment key (see Figure 6) or a 1¼8" hex key to complete this adjustment. 1. Install a bur in the handpiece. 2. Locate the coolant air control (see Figure 6). 3. Move the wet/dry toggle on the foot control (see Figure 3 on page 3) to the OFF position, away from the blue dot. 4. Insert an adjustment key, or a 1/8" hex key, into the coolant air flow control. 5. Fully depress the foot control disc to activate the handpiece. 6. Adjust the coolant air flow to fit your needs. A strong flow of air is recommended. • Turn the control clockwise to decrease the flow. • Turn counterclockwise to increase the flow.

7. The coolant air has been set for ALL handpieces.

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ADJUSTMENT KEY (or 1/8" hex key)

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Figure 6. Coolant Air Flow Control

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Cascade Handpiece Delivery System

Coolant Water Flow Controls The coolant water flow controls are used to adjust the flow of coolant water to each handpiece (see Figure 7). You will need an adjustment key (see Figure 7) or a 1/8" hex key to complete this adjustment. 1. Install a bur in the handpiece. 2. Locate the coolant water flow controls (see Figure 7). 3. Move the wet/dry toggle on the foot control (see Figure 3 on page 3) to the ON position, toward from the blue dot. 4. Insert an adjustment key, or a 1/8" hex key, into the coolant water flow control for the handpiece being adjusted. 5. Fully depress the foot control disc to activate the handpiece. 6. Adjust the coolant water flow to fit your needs. • Turn the control clockwise to decrease the flow. • Turn counterclockwise to increase the flow.

7. Repeat steps 1 through 6 for EACH handpiece.

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ADJUSTMENT KEY (or 1/8" hex key)

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Figure 7. Coolant Water Flow Control

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Cascade Handpiece Delivery System

Handpiece Tubing Flush The handpiece tubing flush system flushes more water through the tubings in less time than is normally possible when operating the foot control only. The handpieces should not be connected when flushing the tubings. How Often Should the Handpiece Tubings be Flushed? After Each Patient: Flush the tubings for about 20-30 seconds. Flushing the Handpiece Tubings Gather up all the handpiece tubings that use coolant water and hold them over a sink, cuspidor bowl or basin. Be sure you hold the tubings so that the water will be directed away from you and into the receptacle (see Figure 8). Insert an adjustment key or 1/8" hex key into the handpiece tubing flush control on the side of the control head. Push in and hold the key for the appropriate time required, either for flushing between patients or flushing at the beginning of each day, depending on the situation. Remove the key and replace the tubings in their holders.

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ADJUSTMENT KEY

Figure 8. Handpiece Tubing Flush

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Cascade Handpiece Delivery System

Handpiece Dry Block Conversion Your handpiece delivery system has three to four handpiece control blocks with coolant water to the handpiece. In some cases a control block without coolant water, a dry block, is required. If you require a dry block (offering no water to the handpiece) on your handpiece control system, a dry block conversion kit has been included with your system. Installing the Dry Block Conversion Kit 1. Move the master on/off toggle to the OFF position. Bleed the system water by operating the syringe and flushing the handpiece tubings. 2. Locate the handpiece control block position that will be the dry block. Access the control blocks underneath the control head. 3. Use a 3/32" hex key to remove the large red cartridge from the control block. Install the large black cartridge from the dry block conversion kit into the control block (see Figure 9). 4. Use a 3/32" hex key to remove the small blue cartridge from the same control block. Install the small black cartridge from the dry block conversion kit into the control block. 5. Turn your handpiece control system on, then check the function of the dry block handpiece conversion. A small amount of residual water may be discharged from the handpiece tubing but should dry after a few seconds. I M

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DO NOT REMOVE THE YELLOW CARTRIDGE REMOVE THE BLUE CARTRIDGE AND REPLACE WITH THE SMALL BLACK CARTRIDGE

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REMOVE THE RED CARTRIDGE AND REPLACE WITH THE LARGE BLACK CARTRIDGE

Figure 9. Handpiece Dry Block Conversion

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Cascade Handpiece Delivery System

Oil Collector The oil collector on your unit needs to be cleaned once a week for normal usage. Clean more often for heavier use. 1. Remove the oil collector jar from the unit and discard the old gauze (see Figure 10). 2. Fold a new two-inch square gauze pad into quarters and place it against the spring inside the jar. 3. Screw the oil collector jar onto the unit. Do not overtighten.

CONTROL HEAD

Figure 10. Oil Collector

Continental-Style Control Head Handpiece Whip Adjustment If your handpiece fails to acuate when the whip is pulled forward or it does not stop when the whip is in its resting position, the whip will have to be re-aligned. Contact your authorized A-dec Dealer to have the whip assembly aligned. 10

Cascade Handpiece Delivery System

Traditional-Style Control Head Holder Adjustments The holder tension was set at the factory. However; if a holder is difficult to reposition or repositions too easily, the holder tension can be adjusted. To adjust the holder tension: • Loosen or tighten the tension adjustment screw shown in Figures 11.

To reposition a holder: • Rotate the holder to the desired angle. 1/8" HEX KEY

PUSH

ROTATE THE HOLDER FULL DOWN TO ACCESS THE ADJUSTMENT SCREW

Figure 11. Unitized Handpiece Holder

Touch Pad (Optional) For chair touch pad instructions, refer to the Cascade 1040 Chair Owner's Guide (A-dec Publication No. 85.2605.00) or Decade 1011/1021 Chair Owner's Guide (A-dec Publication No. 85.2635.00) depending on your model of chair. For Master touch pad instruction, refer to your Master Touch Pad Owner’s Guide (A-dec Publication No, 85.2627.00). 11

Cascade Handpiece Delivery System

Tray Holder (Optional) (not available on all handpiece delivery systems) For maximum flexibility in tray positioning, the optional tray holder can be rotated a full 360°, and the tray arm can be pivoted to either side.The tray holder should be adjusted so that it rotates easily, yet maintains its position while instruments are removed and replaced.

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TRAY HOLDER

TRAY ARM

Figure 12. Tray Holder (Continental-Style)

Figure 13. Tray Holder (Traditional-Style)

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Cascade Handpiece Delivery System

Tray Holder/Tray Arm Tension Adjustment To adjust the tray holder or tray arm, insert a 9/64" hex key through the appropriate mounting bracket (see Figures 14 or 15). The hex key should protrude from the opposite side of the mounting bracket. If it does not, rotate the holder or arm until the key slides through the mounting bracket. While holding the bracket stationary, turn the holder or arm clockwise to increase the tension or counterclockwise to loosen the tension. 9/64" HEX KEY

MOUNTING BRACKET

TRAY HOLDER MOUNTING BRACKET

TRAY ARM MOUNTING BRACKET

TRAY HOLDER

Figure 14. Tray Holder/Tray Arm Tension Adjustment (Continental-Style) 9/64" HEX KEY TRAY HOLDER

TRAY HOLDER MOUNTING BRACKET

9/64" HEX KEY

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TRAY ARM MOUNTING BRACKET

Figure 15. Tray Holder/Tray Arm Tension Adjustment (Traditional-Style)

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Cascade Handpiece Delivery System

Autoclavable Syringe To operate the syringe (see Figure 16): • Move the on/off toggle to the ON position. • Air – Press the right button down. • Water – Press the left button down. • Spray – Press both buttons down. AIR

WATER

SPRAY

Figure 16. Autoclavable Syringe

Refer to your Autoclavable Syringe Owner’s Guide (A-dec Publication No. 85.0680.00) for complete syringe operation and maintenance instructions.

System Air and Water Pressure Adjustment For system air and water pressure adjustments, refer to your Floor Boxes Owner’s Guide (A-dec Publication No. 85.2611.00).

Care Instructions For recommended asepsis instructions, refer to your Equipment Asepsis Owner’s Guide (A-dec Publication No. 85.0696.00). For recommended self-contained water system care, refer to A-dec Self-contained Water System Owner’s Guide (A-dec Publication No. 85.0675.00). 14