CHIROPRO PLUS 3rd Gen Instructions for Use July 2020

SET CHIROPRO+ 3RD GEN REF 1700710-001

REF 1600994-001 REF 1303393-001 REF 1600755-001 REF 1601069-001 REF 1600631-001 REF 1500984-005 REF 1307727-010 REF 1301575-001 REF 1502329-002

SET CHIROPRO+ 3RD GEN CA 20:1L REF 1700709-001

SET REF 1700710-001

REF 1600692-001

SET CHIROPRO+ 3RD GEN CA 1:2.5L REF 1700751-001

SET REF 1700710-001

REF 1601055-001

SET CHIROPRO+ 3GEN KM REF 1700739-001

REF 1600994-001 REF 1303393-001 REF 1600755-001 REF 1601069-001 REF 1600631-001 REF 1501635-010 REF 1307727-010 REF 1301575-001 REF 1502329-002

SET CHIROPRO+ 3GEN CA 20:1L KM REF 1700738-001

SET REF 1700739-001

REF 1600786-001

Options

REF 1600755-001

REF 1600692-001

REF 1600598-001

REF 1600785-001

REF 1600786-001

REF 1600052-001

REF 1600436-001

REF 1601055-001

REF 1600940-001

REF 1600941-001

REF 1600690-001

REF 1600386-001

REF 1600325-001

REF 1303393-001

REF 1601069-001

REF 1600631-001

REF 1301575-001

REF 1502329-002

REF 1307727-010

REF 1307312-010

REF 1501317-100

REF 1500984-010

REF 1501738-010

REF 1501635-010

REF 1501621-010

REF 1307031-001

REF 2100353-0003/2020.07 © Bien-Air Dental

ENG

Table of contents Symbols ... 2 Description of symbols for Chiropro Plus 3rd Gen units ...2 Description of symbols for Chiropro Plus 3rd Gen accessories ...2

Identification, Intended Use and Notation ... 3 Identification ...3 Intended use ...3 Intended patient population ...3 Intended User ...3 Intended medical conditions ...3 Patient contra-indications and warnings ...3 In case of accidents ...3 Notation and chapter links ...3

Warnings & Precautions of Use ... 4 General information ...4 Warnings ...4

Description ... 5 Chiropro Plus 3rd Gen system overview ...5 Sets supplied ...6 Options ...6 Technical data ...7 Performance ...8 Environmental protection and information for disposal ...8 Electromagnetic compatibility (technical description) ...9 Precautions of use ...9 Electromagnetic compatibility ...9 Electromagnetic compatibility – emissions & immunity ...9

Installation ... 12 Install the Chiropro Plus 3rd Gen system ... 13 On/off procedure ... 13

Interface overview ... 14 Chiropro Plus 3rd Gen modes ... 14 Rotating knob functions overview ... 14 Sound alerts ... 15

Operation - Implantology mode ... 16 Operation screen description ... 16 Perform an operation, steps P1 and P2 ... 16 Perform an operation, steps P3, P4 and P5 ... 16

Operation - Surgery mode ... 18 Operation screen description ... 18 Perform an operation ... 18

Settings ... 20 Operation mode ... 20 MX-i LED micromotor speed ... 20 MX-i LED micromotor torque ... 20 MX-i LED micromotor rotation direction ... 20 Irrigation level ... 21 Contra-angle ratio ... 21 Luminosity level ... 21

Special modes ... 22 List of errors & Troubleshooting ... 24 Safety warning (operating) ... 24 Device operating error ... 25

Maintenance ... 26 Servicing ... 26 Cleaning & Sterilization ... 26 Important ... 27 Replacement of fuses ... 27

Terms of guarantee ... 28 1

1 Symbols 1.1 Description of symbols for Chiropro Plus 3rd Gen units Symbol

Description

Description

CE Marking with number of the notified body.

General symbol for recovery/recyclable.

OFF (power).

Separate collection of electric and electronic equipment.

ON (power).

Manufacturer.

Fuse.

Lamp; lighting, illumination.

Alternating current.

Sound alerts.

Non-ionizing electromagnetic radiation.

REF

Symbol

Rx Only

Warning: in accordance with federal law (USA), this device is only available for sale upon recommendation by an accredited practitioner.

CAUTION: hazard that could result in light or moderate injury or damage to the device if the safety instructions are not correctly followed.

WARNING: hazard that could result in serious injury or damage to the device if the safety instructions are not correctly followed.

Refer to instruction manual/booklet (https://dental.bienair.com/fr_ch/support/download-center/).

CSA marking - Complies with U.S. and Canadian standards.

Catalogue number.

SN

Serial number.

Authorized EC Representative in the European Community.

Medical Device.

Data Matrix code for product information including UDI (Unique Device Identification).

Equipotentiality.

1.2 Description of symbols for Chiropro Plus 3rd Gen accessories Symbol

XXXX

STERILE EO

Description

Symbol

CE Marking with number of the notified body.

Thermo washer disinfectable.

Expiration date.

General symbol for recovery/recyclable.

Do not reuse.

Separate collection of electric and electronic equipment.

Sterilized with Ethylene Oxyde.

135°C

Electrical safety. Applied part type B.

REF

Catalogue number.

Does not contain DEHP.

Do not use if package is damaged. 2

Description

Sterilizable in autoclave up to the specified temperature. Manufacturer.

SN

Serial number.

Batch code.

2.1 Identification The Chiropro Plus 3rd Gen device encompasses a table-top system for dental implantology and oral surgery allowing to control a dental micromotor which drives a dental handpiece. A peristaltic pump conveys the physiological liquid via a sterile single-use irrigation line. The console includes a single knob control to set the parameters and a foot control used to turn on/ off the pump, to navigate through the various steps of the selected procedure and to control the rotation direction of the motor. The device's LCD display shows many parameters of the operation, such as the handpiece gear ratio, bur speed, torque value and irrigation flow setting.

2.2 Intended use All Chiropro Plus 3rd Gen devices are intended to be used in dental implantology and oral surgery. The consoles are designed to operate a specific dental micromotor that drives dental handpieces fitted with appropriate tools to cut hard and soft tissues in the mouth and to screw dental implants.

ENG

2 Identification, Intended Use and Notation • guided and not-guided bone regeneration: when bone grafting, either with artificial or biological grafts, is needed to build a more solid platform where being able to place a dental implant; • apicoectomy: when a tooth’s root tip is removed and a root end cavity is prepared and filled with a biocompatible material. An apicoectomy is necessary when conventional endodontic root canal therapy has failed. The only alternative may be extraction followed by prosthetic replacement for instance with a dental implant; • osteotomy: when a jawbone must be cut, for instance during a ridge split treatment aiming at increasing crestal bone width to have enough room to accommodate an implant; • sequestrectomy: when a portion of necrotic bone must be removed; • hemisection: when a tooth with two roots is cut in half. This procedure may be needed when there is bone loss, or dental decay between the roots, due to periodontal disease. The tooth is cut in half to remove the damaged bone and any damaged root or crown.

2.6 Patient contra-indications and warnings

The intended electromagnetic environment (per IEC 60601-1-2 ed. 4.0) is Professional healthcare facility environment.

No specific patient contra-indication nor warning exist for the Chiropro device family when the device is used as intended.

2.3 Intended patient population

2.7 In case of accidents

The intended patient population of the Chiropro consoles includes any person visiting a dental practitioners’ office to receive treatment in line with the intended medical condition. There is no restriction concerning subject age, race, or culture. The intended user is responsible to select the adequate device for the patient according to the specific clinical application.

If an accident occurs, the Chiropro Plus 3rd Gen must not be used until repairs have been completed by a qualified and trained technician authorized by the manufacturer. If any serious incident occurs in relation to the device, report it to a competent authority of your country, as well as the manufacturer through your regional distributor. Observe relevant national regulations for detailed procedures.

2.4 Intended User The Chiropro Plus 3rd Gen is meant to be used only by dentists and dental surgeons in dental offices and hospitals.

2.5 Intended medical conditions Dental implantology is the elective treatment to replace one or more missing teeth. Teeth can be missing for various reasons, such as traumas, partial or total edentulism, and advanced decay that leads to tooth sacrifice because restorative treatments are no longer possible. Dental implantology requires to prepare jawbone to accommodate a dental implant, which is typically a titanium screw fitted with an abutment and a prosthetic crown made of ceramic material mimicking the natural missed tooth. Multi-teeth prosthetic solutions are also available, usually supported by more than one single implant. The main oral surgery treatments include: • impacted teeth extraction: when a tooth partially or totally hidden in the jawbone needs to be removed; • wisdom teeth extraction: when a third molar, either impacted or not, needs to be removed; • non salvageable decayed teeth extraction: when a tooth with a decay at an advanced status must be sacrificed because it cannot be restored anymore;

2.8 Notation and chapter links • A, B, C, etc. Text preceded by a letter indicates a procedure to be carried out step-by-step. •  Indicates a procedure result. • (1), (2), (3), etc. Text preceded by a number indicates text used in conjunction with an illustration. • OK, Settings, etc. Text in bold italic font style indicates, on-screen elements such as buttons, menus, menu items, screen areas, values, fields when they are named and screen names. In order to simplify the notation, in this manual: • «Clockwise» is referred to as «CW»; • «Counterclockwise» is referred to as «CCW»; • Forward micromotor rotation mode is referred to as «FWD»; • Reverse micromotor rotation mode is referred to as «REV»; • Rotational speed unit «revolutions per minute» is referred to as «rpm»; • Torque unit «newton centimetre» is referred to as «Ncm»; • Micromotor control unit is referred to as «DMX»;

3

3 Warnings & Precautions of Use 3.1 General information The device must be used by qualified professionals in compliance with the current legal provisions concerning occupational safety, health and accident prevention measures, and these instructions for use. In accordance with such requirements, the operators: • must only use devices that are in perfect working order; in the event of irregular functioning, excessive vibration, abnormal heating, unusual noise or other signs that may indicate malfunction of the device, the work must be stopped immediately; in this case, contact a repair center that is approved by Bien-Air Dental SA; • must ensure that the device is used only for the purpose for which it is intended, must protect themselves, their patients and third parties from any danger. • Avoid contact with liquids.

3.2 Warnings ⚠ CAUTION Any use other than what is specified herein is unauthorized and may be dangerous.

⚠ CAUTION The power plug is used for disconnection in case of problems, it must be easily accessible at all times.

⚠ CAUTION Never connect a handpiece on a running MX-i LED 3rd Gen micromotor.

⚠ CAUTION Any modification of the medical device is strictly forbidden.

⚠ CAUTION The device is not designed for use in an explosive atmosphere (anaesthetic gas).

⚠ WARNING Do not attempt to open the device when it is connected to the electric mains. Risk of electrocution.

⚠ CAUTION The parameters contained in the dental procedures are indicative only. Bien-Air Dental SA cannot be held liable for them.

⚠ CAUTION The device must not be touched by the patient.

⚠ CAUTION Do not simultaneously touch the patient and the electrical connections of the unit.

⚠ CAUTION Ensure that there is no water under the unit before switching it on.

⚠ CAUTION All connectors must be dry before use. Ensure the absence of residual moisture due to cleaning. 4

⚠ WARNING To avoid the risk of electric shock, this equipment must only be connected to supply mains with protective earth.

⚠ WARNING To avoid the risk of eletric shock, this equipment must only be connected to supply mains with protective earth. 2) To avoid any risk of contamination, only control the device via the foot control during surgical procedures. If the removable knob is used during the surgical procedure and / or comes into contact with potentially contaminated surfaces or liquids, follow the procedure for the cleaning and sterilization of the knob described in section 11.

ENG

4 Description 4.1 Chiropro Plus 3rd Gen system overview 3

1

16

15

14

12

2 4

8 7 6 5

11

10

13

9

FIG. 1 (1) (2) (3) (4) (5) (6) (7) (8) (9)

Peristaltic pump lid Foot control connector Marking Bracket support Main switch Fuse box Mains connector Potential equalization connector MX-i LED micromotor

(10) Button to start/stop irrigation (11) Button to reverse the rotation of the MX-i LED micromotor (12) “Program” button to go to next operation step (13) Motor start (14) MX-i LED micromotor connector (15) Control knob (16) LCD control screen

5

4.2 Sets supplied

SET CHIROPRO+ 3GEN CA 20:1L KM REF 1700738-001

SET CHIROPRO+ 3RD GEN REF 1700710-001

Designation

REF number

Chiropro Plus 3rd Gen KM set (1x)

1700739-001

Contra-angle handpiece CA 20:1 L KM Micro-Series (light)

1600786-001

Designation

REF number

Chiropro Plus 3rd Gen unit (1x)

1600994-001

MX-i LED micromotor (1x)

1600755-001

3-button fot control (1x)

1600631-001

Cable MX-i LED (2m) (1x)

1601069-001

Sterile protective sheet (2x)

1502329-002

Pack of 5 disposable sterile irrigation lines

1500984-005

Pack of 10 attachment collars for fastening the sterile irrigation line to a cable

1307727-010

Bracket for fluid bottle (1x)

1303393-001

Handpiece support (1x)

1301575-001

3P cable system, US/Asia, length 2m (1x)

1300067-001

3P cable system, Europe, length 2.5 m (1x)

1300066-001

3P cable system, Switzerland, length 2 m (1x)

1300065-001

Designation

REF number

3-button foot control

1600631-001

MX-i LED micromotor

1600755-001

Contra-angle handpiece CA 20:1 L KM Micro-Series (light)

1600786-001

Contra-angle handpiece CA 20:1 L KM (light)

1600785-001

Contra-angle handpiece CA 20:1 L Micro-Series (light)

1600692-001

Contra-angle handpiece CA 20:1 L (light)

1600598-001

Contra-angle handpiece EVO.15 1:5 L Micro-Series (light)

1600940-001

SET CHIROPRO+ 3RD GEN CA 20:1L REF 1700709-001

Contra-angle handpiece EVO.15 1:5 L (light)

1600941-001

Designation

Contra-angle handpiece CA 1:5 L Micro-Series (light)

1600690-001

Contra-angle handpiece CA 1:5 L (light)

1600386-001

Contra-angle handpiece CA 1:5

1600325-001

SET CHIROPRO+3RD GEN CA 1:2.5L REF 1700751-001

Contra-angle handpiece CA 1:2.5 L MicroSeries (light)

1601055-001

Designation

REF number

Straight handpiece PM 1:1

1600052-001

Chiropro Plus 3rd Gen set (1x)

1700710-001

Straight handpiece PM 1:2

1600436-001

Contra-angle handpiece CA 1:2.5 L MicroSeries (light) (1x)

Sterile protective sheet (2x)

1502329-002

1601055-001

Box of 100 sterile Bur Guards

1501317-100

Pack of 10 disposable sterile lines 3.5 m

1501738-010

Kirschner/Meyer pack of 10 disposable sterile lines

1501635-010

1501621-010

Chiropro Plus 3

REF number rd Gen set (1x)

Contra-angle handpiece CA 20:1 L MicroSeries (light) (1x)

1700710-001 1600692-001

SET CHIROPRO+ 3GEN KM REF 1700739-001

6

4.3 Options

Designation

REF number

Chiropro Plus 3rd Gen unit (1x)

1600994-001

MX-i LED micromotor (1x)

1600755-001

Kirschner/Meyer type detachable irrigation set for CA 20:1 L KM and CA 20:1 L KM Micro-Series, comprising 10 rings and 10 tubes

3-button foot control (1x)

1600631-001

Pack of 10 disposable sterile lines

1500984-010

Cable MX-i LED (2m) (1x)

1601069-001

Bracket for fluid bottle

1303393-001

Sterile protective sheet (2x)

1502329-002

Handpiece support

1301575-001

Kirschner/Meyer pack of 10 disposable sterile lines

1501635-010

Cable MX-i LED (2m)

1601069-001

3P cable system, US/Asia, length 2m

1300067-001

Pack of 10 attachment collars for fastening the sterile irrigation line to a cable

1307727-010

3P cable system, Europe, length 2.5 m

1300066-001

Bracket for fluid bottle (1x)

1303393-001

3P cable system, Switzerland, length 2 m

1300065-001

Handpiece support (1x)

1301575-001

Pack of 10 attachments collars for fastening the sterile irrigation line to a cable

1307727-010

3P cable system, US/Asia, length 2m (1x)

1300067-001

3P cable system, Europe, length 2.5 m (1x)

1300066-001

Pack of 10 fuses T4.0AH 250 VAC high breaking capacity

1307312-010

3P cable system, Switzerland, length 2 m (1x)

1300065-001

Knob

1307031-001

Dimensions L x W x H Chiropro Plus 3rd Gen unit... 240 x 240 x 102 mm Chiropro Plus 3rd Gen unit (with bracket) ... 240 x 240 x 482 mm Foot control (without handle) ... 206 x 180 x 60 mm Foot control (with handle)... 206 x 200 x 155 mm Motor cable (REF 1601069)... L 2.0 m Foot control cable ... L 2.9 m MX-i LED micromotor... 23 x 91 mm The foot control is waterproof (IP X8 in accordance with IEC 60529). Weight Chiropro Plus 3rd Gen unit... 2.44 kg Foot control (with handle and cable)... 877 g Foot control (without handle and cable)... 830 g Bracket ... 115 g Cable ... 105 g MX-i LED micromotor... 115 g Electrical data Voltage... 100 – 240 VAC Frequency ... 50-60 Hz Environmental conditions Storage Temperature range:

0°C / +40°C

Relative humidity range:

10% - 80%

Air pressure range:

650 hPa - 1060 hPa

Transport Temperature range:

-20°C / +50°C

Relative humidity range:

5% - 80%

Air pressure range:

650 hPa -1060 hPa

Operating temperature Temperature range:

+5°C / + 35°C

Relative humidity range:

30% - 80%

Air pressure range:

700 hPa – 1060 hPa

 CAUTION Do not use Chiropro Plus 3rd Gen outside the range of operating temperature. Classification Class IIa in accordance with European Regulation (EU) 2017/745 concerning medical devices. Electric insulation class Class I per IEC 60601-1 (apparatus protected against electric shocks).

 CAUTION The device must be only used by the operator.

Applied parts (per IEC 60601-1): MX-i LED micromotor...REF 1600755-001 CA 20:1 L ...REF 1600598-001 CA 20:1 L Micro-Series ...REF 1600692-001 CA 20:1 L KM...REF 1600785-001 CA 20:1 L KM Micro-Series...REF 1600786-001 CA EVO.15 1:5 L Micro-Series...REF 1600940-001 CA EVO.15 1:5 L...REF 1600941-001 CA 1:5 L Micro-Series...REF 1600690-001 CA 1:5 L...REF 1600386-001 CA 1:5 ...REF 1600325-001 CA 1:2.5 L Micro-Series ...REF 1601055-001 Straight handpiece 1:1...REF 1600052-001 Straight handpiece 1:2...REF 1600436-001 Irrigation lines ...REF 1500984-010 KM Irrigation lines...REF 1501635-010 Degree of ingress protection UNIT ...IP 41 (protection against insertion of objects larger than 1mm and dripping water (vertically falling drops)) Foot control ...IP X8 Memory Memory storage of 5 steps settings including adjustment of mode, speed, torque, rotation direction, irrigation, contra-angle ratio and light intensity for each step. Languages English. Bracket for physiological liquid flask Stainless steel. Peristaltic pump Pump delivery ...From 30 to 130 ml/min. (5 levels) Hose for pump...External Ø 5.60 mm ...Internal Ø 2.40 mm Wall thickness ...1.60 mm Intended for use with: See instructions for use MX-i LED micromotor... REF 2100245 Cable MX-i LED ... REF 2100163 Contra-angle CA 20:1 L, light ... REF 2100209 Contra-angle CA 20:1 L Micro-Series, light ... REF 2100209 Contra-angle CA 20:1 L KM, light... REF 2100209 Contra-angle CA 20:1 L KM Micro-Series, light ... REF 2100209 Contra-angle handpiece EVO.15 1:5 L Micro-Series, light ... REF 2100294 Contra-angle handpiece EVO.15 1:5 L, light... REF 2100294 Contra-angle handpiece CA 1:5 L Micro-Series, light ... REF 2100294 Contra-angle handpiece CA 1:5 L, light... REF 2100294 Contra-angle handpiece CA 1:5... REF 2100294 Contra-angle handpiece CA 1:2.5 L Micro-Series, light ... REF 2100337 Straight Handpiece 1:1 ... REF 2100046 Straight Handpiece 1:2 ... REF 2100103

ENG

4.4 Technical data

 CAUTION The use of the system with other handpieces, motors or cables has not been validated/certified (speed and torque values are not guaranteed in this case). List of errors & Troubleshooting See chapter “11 List of errors & Troubleshooting” on page 24.

7

4.5 Performance

4.6 Environmental protection and information for disposal

Performance

REF 1600995

Motor speed regulation

Accuracy ± 5% in the speed range 100 - 40'000 rpm (*)

Motor torque regulation

Torque adjustable from 10% to 100% of the maximum torque

Maximum motor torque

5.5 (±5%) Ncm (*)

Maximum motor power

130 (±10%) W (*)

Max motor LED current

250 (± 10%) mA rms

Max motor LED current range

Range adjustable 11 steps each 10% from 0% to 100% of max current value

Power supply output limitation

< 300 W

Irrigation flow

5 levels: 1 drop = 30ml/min 2 drops = 60ml/min 3 drops = 90ml/min 4 drops = 120ml/min 5 drops = 130ml/min

(*) Measurement realized in combination with motors MX-i LED 3rd Gen 1601008 and MX-i LED 1600755, contra-angle CA 20:1 L Micro Series 1600692 and/or handpiece PML 1121 1600156. The maximum torque is measured at 1000 rpm with irrigation stopped and it corresponds to a maximum torque of 80 Ncm at the rotative tool if the motor is combined with the contra-angle CA 20:1 L Micro Series 1600692.

In accordance with 80601-2-60, no essential performance is linked to this dental equipment.

8

The disposal and/or recycling of materials must be performed in accordance with the legislation in force.

Separate collection of electric and electronic equipment and accessories in view of recycling. Electrical and electronic equipment may contain dangerous substances which constitute health and environmental hazards. The user must return the device to its dealer or establish direct contact with an approved body for treatment and recovery of this type of equipment (European Directive 2012/19/EU).

ENG

4.7 Electromagnetic compatibility (technical description) 4.7.1 Precautions of use This electronic control is in compliance with electrical safety standards in line with standard IEC 60601-1, edition 3.1, and those governing electromagnetic compatibility in line with standard IEC 60601-1-2, fourth edition.

4.7.2 Electromagnetic compatibility  CAUTION The Chiropro Plus 3rd Gen complies with the EMC requirements according to IEC 60601-1-2. Radio transmitting equipment, cellular phones, etc., should not be used in the immediate vicinity of the device, since this could affect its operation. The device is not suitable for being used close to high-frequency surgical equipment, magnetic resonance imaging (MRI) and other similar devices where the intensity of electromagnetic disturbances is high. In any case, ensure that no high frequency cables are routed above or near the device. If in doubt, contact a qualified technician or Bien-Air Dental SA. Portable RF communications equipment (including peripherals such as antenna cables and external antennas) should be used no closer than 30 cm (12 inches) to any part of the Chiropro Plus 3rd Gen, including cables specified by the manufacturer. Otherwise, degradation of the performance of this equipment could result.

 CAUTION The use of accessories, transducers and cables other than those specified, with the exception of transducers and cables sold by Bien-Air Dental SA as spare parts for internal components, may result in increased emissions or decreased immunity.

4.7.3 Electromagnetic compatibility – emissions & immunity Guidance and manufacturer’s declaration – Electromagnetic emissions The Chiropro Plus 3rd Gen is intended for use in the electromagnetic environment specified below. The customer or the user of the Chiropro Plus 3rd Gen must ensure that it is actually used in such an environment.

Emissions test

Compliance

Electromagnetic environment - guidance

RF emissions CISPR 11

Group 1

The Chiropro Plus 3rd Gen uses RF energy for its internal operation only. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment.

RF emissions CISPR 11

Class B

Harmonic emissions IEC 61000-3-2

Class A

Emissions due to voltage fluctuations IEC 61000-3-3

Conforming

The Chiropro Plus 3rd Gen is suitable for use in any building, including residential buildings and those directly connected to the public low-voltage power supply network that supplies buildings used for residential purposes.

9

Guidance and manufacturer’s declaration – Electromagnetic immunity The Chiropro Plus 3rd Gen is intended for use in the electromagnetic environment specified below. The customer or the user of the Chiropro Plus 3rd Gen must ensure that it is actually used in such an environment.

Immunity test

IEC 60601 test level

Compliance level

Electromagnetic environment - guidance

Electrostatic discharge (ESD) IEC 61000-4-2

±8 kV contact ±2 kV air ±4 kV air ±8 kV air ±15 kV air

±8 kV contact ±2 kV air ±4 kV air ±8 kV air ±15 kV air

Floors should be wood, concrete or ceramic tile. If floors are covered with synthetic material, the relative humidity should be at least 30%.

Electrical fast transient/ burst IEC 61000-4-4

±2 kV for power supply lines ±1 kV for other lines

±2 kV for power supply lines N.A.

Mains power quality should be that of a commercial or hospital environment.

Surge IEC 61000-4-5

±0.5 kV line to line ±1 kV line to line ±0.5 kV line to earth ±1 kV line to earth ±2 kV line to earth

±0.5 kV line to line ±1 kV line to line ±0.5 kV line to earth ±1 kV line to earth ±2 kV line to earth

Mains power quality should be that of a commercial or hospital environment.

Voltage dips, short interruptions and voltage variations on power supply input lines IEC 61000-4-11

Magnetic field due to mains frequency (50/60 Hz) IEC 61000-4-8

Conducted disturbances induced by RF fields IEC 61000-4-6

Radiated RF EM fields IEC 61000-4-3

10

0% UT for 0.5 cycle, at 0°, 45°, 90°, 135°, 180°, 225°, 270° and 315°

0% UT for 0.5 cycle, at 0°, 45°, 90°, 135°, 180°, 225°, 270° and 315°

0% UT for 1 cycle and 70% UT for 25/30 cycles at 0°

0% UT for 1 cycle and 70% UT for 25/30 cycles at 0°

0% UT for 250 cycles at 0°

0% UT for 250 cycles at 0°

30 A/m

30 A/m

3 VRMS 0,15 MHz – 80 MHz

3 VRMS 0,15 MHz – 80 MHz

6 VRMS in ISM bands 0,15 MHz – 80 MHz

6 VRMS in ISM bands 0,15 MHz – 80 MHz

80% AM at 1 kHz

80% AM at 1 kHz

3 V/m 80 MHz – 2,7 GHz 80 % AM at 1 kHz

3 V/m 80 MHz – 2,7 GHz 80 % AM at 1 kHz

Mains power quality should be that of a commercial or hospital environment. If the user of the Chiropro Plus 3rd Gen requires continued operation during mains power interruptions, it is recommended that the Chiropro Plus 3rd Gen be powered from an uninterruptible power supply or a battery. Magnetic fields generated by the mains frequency should be at levels characteristic of a typical location in a typical commercial or hospital environment. Field strengths from fixed RF transmitters, as determined by an electromagnetic site surveya should be less than the compliance level in each frequency range. Interference may occur in the vicinity of equipment marked with the following symbol:

Proximity fields from RF wireless communications equipment IEC 61000-4-3

IEC 60601 test level

Compliance level

Test freq. [MHz]

Max. power [W]

Immunity test level [V/m]

385

1.8

27

450

2

28

710, 745, 780

0.2

9

810, 870, 930

2

28

1720, 1845, 1970

2

28

2450

2

28

5240, 5500, 5785

0.2

9

Electromagnetic environment - guidance

ENG

Immunity test

Distance: 0.3 m

NOTE: UT is the AC mains voltage prior to application of the test level. a. Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and mobile field radios, amateur radios, AM and FM radio broadcasts and TV broadcasts cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the Chiropro Plus 3rd Gen is used exceeds the RF compliance level mentioned above, the Chiropro Plus 3rd Gen should be observed to verify that it is operating normally. If abnormal operation is observed, additional measures may be necessary, such as reorienting or relocating the Chiropro Plus 3rd Gen.

11

5 Installation 1

2

1

1

FIG. 1

2 FIG. 3

FIG. 2

2

1

FIG. 4

1

2

AAAA-MM-JJ

12

FIG. 5

FIG. 6

FIG. 7

FIG. 9

FIG. 10

FIG. 11

FIG. 8

3

FIG. 1 A. Place the Chiropro Plus 3rd Gen on a flat surface capable of bearing its weight.

 CAUTION It may be positioned on a table, on a trolley or any other surface but in no circumstances on the floor. FIG. 2 B. The fuse box may be opened with a screwdriver. 100 - 240 VAC = fuse T4.0AH 250 VAC REF 1307312-010. To replace a fuse, see chapter “12.4 Replacement of fuses” on page 27.

FIG. 7 I. Connect the flexible hose of the irrigation line to the spray tube of the handpiece or contra-angle. FIG. 8 J. Install the peristaltic cassette (1) in the peristaltic pump (2). Check that the cassette is clipped correctly. FIG. 9 K. Close the pump lid (3). If there is resistance to closing, open the lid again and check the correct positioning of the cassette. When the lid is correctly closed, the user should hear a click sound.

 CAUTION Do not run the pump while the lid is open.

 CAUTION Do not run the pump without irrigation line.

C. Connect the power cable (1) to the connector (2).

 CAUTION

Note 1

Risk of pinching!

 CAUTION The power plug is used for disconnection in case of problems, it must be easily accessible at all times. FIG. 3 D. Connect the foot control cable to the input provided on the rear panel, guiding the connector and plug by means of the index pin on the connector.

 CAUTION Do not lift the foot control holding the connection cable. To disconnect the foot control cable pull the cable socket connector (1). Do not pull the cable (2) without disconnecting the cable socket before. FIG. 4 E. Connect the MX-i LED micromotor cable to the motor output, guiding the connector and plug by means of the index pin on the connector.

ENG

5.1 Install the Chiropro Plus 3rd Gen system

FIG. 10 L. Perforate the cap of the physiological liquid flask with the pointed end of the irrigation line after removing the protective cap.

 CAUTION There is no detection of empty physiological liquid flask! Always check the content of the flask before operating. FIG. 11 M. Attach the irrigation line on the motor cable using the 3 attachment collars REF 1307727-010.

5.2 On/off procedure The device can be switched on and off in complete safety using the main switch on the Chiropro Plus 3rd Gen.

 CAUTION Do not switch off the device while the motor is running.

FIG. 5 F. Align and attach the bracket to the housing provided on the rear of the console and suspend the flask or bottle. FIG. 6 G. Check the packaging integrity, as well as the expiry date of the irrigation line on the label (1).

 WARNING The medical device must be used only with lines supplied by Bien-Air Dental to ensure trouble-free operation. These lines are sterile and for single use. Re-use may result in microbiological contamination of the patient. H. Remove the single-use sterile irrigation line (2) from its pouch.

NOTES 1 The equipment is powered by the mains power supply (100 240 VAC / 300VA / 50-60Hz).

13

FIG. 1

FIG. 2

6 Interface overview 6.1 Chiropro Plus 3rd Gen modes The Chiropro Plus 3rd Gen allows to visualize and control operation parameters by the means of the LCD display. A unique screen allows to use the following modes: FIG. 1 • Operation mode (to perform an operation in 3 steps) See chapter “7 Operation - Implantology mode” on page 16 for details. FIG. 2 • Settings mode (to set up operation parameters) See chapter “9 Settings” on page 20 for details. FIG. 3 • Special modes (to test system and reset settings) See chapter “10 Special modes” on page 22 for details. FIG. 4 A. Long press on the rotating knob (1) to switch between Operation and Settings modes. Note 1 See chapter “6.2 Rotating knob functions overview” on page 14 for details. See chapter “10 Special modes” on page 22 for entering special modes.

14

6.2 Rotating knob functions overview Note 2 Knob action

Description

CW rotation

Increase current value, go to the element on the right

CCW rotation

Decrease current value, go to the element on the left

One short press (Operation mode)

Go to the next programmed step, acknowledge error messages

One short press (Settings mode)

Enter selected setting, validate and store the current setting value, exit the current setting, acknowledge error messages

One long press

Switch between Operation and Settings modes

Double short press

Enter special modes (only when gear ratio is selected in settings mode)

ENG 1

FIG. 3

FIG. 4

6.3 Sound alerts

NOTES Sound alert

Description

1

The Operation mode is the default startup mode.

One short beep

Activating irrigation, going to next step, and switching rotation direction to FORWARD

2 Any knob or foot control action will be ignored when the motor is running.

Two short beeps

Deactivating irrigation,and switching rotation direction to REVERSE

Two long beeps

Switching from low speed to high speed programmed step

Alternate short beeps

Warning notifications

Alternate medium beeps

Micromotor REVERSE running indicator

Alternate long beeps

System failure notification

15

1

2

3

5

4

6

1

7

8 FIG. 1

FIG. 2

7 Operation - Implantology mode 7.1 Operation screen description FIG. 1 The Operation screen differs whether the micromotor is stopped or running and depending on the active step. It allows to perform an operation in 3, 4 or 5 predefined steps P1, P2, P3, P4, P5 (which can respectively be used to program settings for the bone preparation, drilling, threading and implant insertion phases), and displays the following information: (1) Step P1 (inactive step, in black) (2) Step P2 (inactive step, in black) (3) Step P3 (active step, in green) P4 and P5 steps are disabled by default, see “ Number of steps” on page 22 for enabling them. (4)

Speedometer

Note 1 (5) Torquemeter Note 2 (6) Contra-angle ratio Note 3 (7) Bar graph for torque Note 4 (8) Operation settings symbols See chapter “9 Settings” on page 20 for details on adjusting settings.

7.2 Perform an operation, steps P1 and P2 FIG. 2 A. Operate by pressing the foot control to adjust the MX-i LED micromotor speed.

 Inactive steps symbols turn off when the motor is running.  Speedometer displays real-time speed value in black.

Note 5 - 6 - 7 FIG. 3 B. If necessary, release the foot control to perform the following actions:

 Speedometer (1) displays the set micromotor maximum reachable speed in cyan. 16

• Turn the knob CW or CCW to respectively increase or decrease the micromotor maximum reachable speed (quick setting mode). Note 12

The speedometer is cyan and displays the set micromotor maximum reachable speed (1).

Note 8 • Long press on the knob to change operation settings.

The Settings mode is displayed.

See chapter “9 Settings” on page 20 for details. • Long press on the orange button of the foot control to activate the 5 Ncm torque boost. Note 9 - 12 C. Short press on the foot control’s orange button or on the knob to go to the next step.

 The next step symbol turns green and the step’s last used settings are restored. Note 7 - 10

7.3 Perform an operation, steps P3, P4 and P5 FIG. 4 A. In steps P3 (1), P4 and P5, operate by pressing the foot control to adjust the MX-i LED micromotor speed.

 All inactive steps symbols turn off when the motor is running.  Speedometer (2) displays real-time value.  Torquemeter (3) displays real-time value.  The torque bar (5) displays ratio between the real-time torque value (represented by cyan dots when the micromotor is running) and the maximum reached torque (represented by green dot). Note 5 - 6 - 7

ENG 1

1

2

3

4

5 FIG. 3

FIG. 4

B. If necessary, release the foot control to perform the following actions:

 Torquemeter (3) displays maximum reached value together with the

symbol (4).

NOTES

 Torque bar (5) dots that were displayed in cyan turn black, except for the maximum value dot which turns green. • Turn the knob CW or CCW to respectively increase or decrease the micromotor maximum reachable torque (quick setting mode). Note 12

The torquemeter (3) turns cyan and displays the set micromotor maximum reachable torque.

Note 11 • Long press on the knob to change operation settings. See chapter “9 Settings” on page 20 for details. • Long press on the orange button to activate the 5 Ncm torque boost. Note 9 - 12 C. Short press on the foot control’s orange button or on the knob to go to the next step.

 The next step symbol turns green and the step’s last used settings are restored. Note 7 - 10

1 Real-time speed value is displayed in black when the MX-i LED micromotor is running. Maximum reachable speed value stored is displayed in cyan when the MX-i LED micromotor is not running, in steps P1 and P2.

2

Torquemeter is only displayed when micromotor speed is below 100 RPM in steps P1 and P2.

3 The contra-angle ratio is cyan-colored for direct-drive and green-colored for reduction gears.

4

Torque bar graph is only displayed when micromotor speed is below 100 RPM, together with the maximum torque reached during operation.

5

Each step settings are restored from the corresponding step last used settings, excluding quick settings made directly in the Operation mode.

6

In REVERSE mode, the rotation direction symbol blinks and there is a sound alert (alternate medium beeps). The torque value is automatically increased in REVERSE mode when torquemeter is displayed. The torque value can be increased from 0 to 10 Ncm, see chapter see “ Reverse torque boost value” on page 22 to adjust it.

7

Actions on foot control’s buttons have no effect when the micromotor is running.

8

Changing the torque in steps P1 or P2 can only be performed through the Settings mode.

9 The torque boost can only be activated when the torquemeter is displayed in Operation mode, in low speed steps (<100 RPM). 10 For safety reasons, the speed setting icon turns red and blinks together with the speedometer for 2 seconds when switching from low speed to high speed (≥100 RPM) step.

11 Changing the speed in steps P3, P4 and P5 can only be performed through the settings mode.

12 Changes made in this mode (either by rotating the knob or by changing parameters through the foot control buttons) are considered as temporary settings and are never saved.

17

1

2

3

1

5

4

6 FIG. 1

FIG. 2

8 Operation - Surgery mode 8.1 Operation screen description

8.2 Perform an operation

FIG. 1 The Operation screen differs whether the micromotor is stopped or running and depending on the active step. It allows to perform an operation in 3, 4 or 5 predefined steps P1, P2, P3, P4, P5, and displays the following information: (1) Step P1 (active step, in green) (2) Step P2 (inactive step, in black) (3) Step P3 (inactive step, in black) P4 and P5 steps are disabled by default, see “ Number of steps” on page 22 for enabling them.

FIG. 2 A. Operate by pressing the foot control to adjust the MX-i LED micromotor speed.

(4)

Speedometer

Note 1 (5) Contra-angle ratio Note 2 (6) Operation settings symbols See chapter “9 Settings” on page 20 for details on adjusting settings.

 Inactive steps symbols turn off when the motor is running.  Speedometer displays real-time speed value in black.

Note 3 - 4 - 5 FIG. 3 B. If necessary, release the foot control to perform the following actions:

 Speedometer (1) displays the set micromotor maximum reachable speed in cyan. • Turn the knob CW or CCW to respectively increase or decrease the micromotor maximum reachable speed (quick setting mode). Note 6

The speedometer is cyan and displays the set micromotor maximum reachable speed (1).

Note 7 • Long press on the knob to change operation settings.

The Settings mode is displayed.

See chapter “9 Settings” on page 20 for details. C. Short press on the foot control’s orange button or on the knob to go to the next step.

 The next step symbol turns green and the step’s last used settings are restored. Note 5

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