PUMA ELI and ELI A Operators Manual Rev 04 June 2016

PUMA ELI / PUMA ELI A – OPERATOR'S MANUAL Contents 1.

GENERAL WARNINGS ... 4 1.1. SYMBOLS...4 1.2. INTENDED USE ...5 1.2.1. CLASSIFICATION AND REFERENCE STANDARDS ...5 1.2.2. ENVIRONMENTAL CONDITIONS...5 1.2.2.1. INSTALLATION CONDITIONS ...5 1.2.3. WARRANTY...5 1.2.4. DISPOSING THE EQUIPMENT WHEN NO LONGER USED ...6 1.3. SAFETY WARNINGS...6 1.4. CLEANING AND DISINFECTION...7

2.

DESCRIPTION OF THE EQUIPMENT ... 9 2.1. IDENTIFICATION PLATES ...9 2.2. DENTAL UNITS ...10 2.3. DENTAL CHAIR ...12 2.4. SPECIAL WARNINGS ...13 2.5. CONVERSION OF THE OPERATING UNIT ...13

3.

TURNING ON THE OPERATING UNIT ... 15

4.

DENTAL CHAIR OPERATION ... 16 4.1. SAFETY DEVICES...16 4.2. EMERGENCY DEVICES...17 4.3. ADJUSTABLE HEADREST ...17 4.4. MOVABLE ARMRESTS (OPTIONAL) ...18 4.5. DENTAL CHAIR CONTROL PAD...18

5.

DENTIST'S BOARD OPERATION ... 19 5.1. DENTIST’S CONTROL CONSOLE ...21 5.1.1. SETTING THE DENTAL CHAIR "AUTOMATIC RETURN” AND "RINSE POSITION” ...22 5.1.2. DENTAL CHAIR POSITION PROGRAMMING ...22 5.1.3. EMERGENCY BUTTON ...22 5.1.4. TURNING ON THE NEGATOSCOPE ...22 5.2. FOOT CONTROL...23 5.2.1. "MULTIFUNCTION” FOOT CONTROL ...23 5.2.2. "PUSH-PEDAL” FOOT CONTROL ...24 5.2.3. "POWER PEDAL" FOOT CONTROL ...26 5.2.4. "SIDE TRAVEL" FOOT CONTROL...28 5.2.5. WIRELESS FOOT CONTROL ...30 5.3. SYRINGE ...32 5.4. TURBINE ...33 5.5. MICROMOTOR ...34 5.6. SCALER...35 5.7. T LED CURING LIGHT...37 5.8. C-U2 DENTAL CAMERA...40

6.

ASSISTANT’S BOARD OPERATION ... 43 6.1. ASSISTANT’S BOARD CONSOLE ...44 6.2. SYRINGE ...44 6.3. T LED CURING LIGHT...45 6.4. C-U2 DENTAL CAMERA...45 6.5. SUCTION TUBES ...45 6.6. SALIVA HYDRAULIC SUCTION UNIT ...46 6.7. TURBINE ...47

7.

WATER UNIT OPERATION ... 48 7.1. FILL CUP AND BOWL ...48 7.2. S.S.S. SYSTEM. -ST...50 7.2.1. S.S.S. SYSTEM. MANUAL ...51 7.2.2. MANUAL DISINFECTION CYCLE ...52 7.3. DISINFECTION SYSTEM ...53 7.4. AUTOMATIC INSTRUMENT FLUSHING CYCLE...55 7.5. OPENING/CLOSING THE WATER UNIT SIDE COVER ...56

8.

ACCESSORIES ... 57 8.1. OPERATING LAMP ...57 8.2. MONITOR ON LAMP POLE ...57 8.3. AUXILIARY TRAY HOLDER ...57 8.4. NEGATOSCOPE FOR PANORAMIC X-RAYS ...58 8.5. AIR/WATER/230V QUICK-COUPLINGS ...58

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PUMA ELI / PUMA ELI A – OPERATOR'S MANUAL 9.

MAINTENANCE ... 59 9.1. MAINTAINING THE INSTRUMENTS ...59 9.2. DRAINING CONDENSATE ...59 9.3. CLEANING THE SURGICAL SUCTION FILTER ...60 9.4. SURGICAL SUCTION ...60 9.5. CATTANI SURGICAL SEPARATOR ...61 9.6. CATTANI GRAVITY SURGICAL SEPARATOR...62 9.7. CLEANING THE TURBINE RETURN AIR FILTER ...62 9.8. METASYS AMALGAM SEPARATOR ...62 9.9. DÜRR AMALGAM SEPARATOR ...63 9.10. DENTAL CHAIR ...63

10. TECHNICAL DATA ... 64 10.1. DIMENSIONAL CHARACTERISTICS ...65 11. DENTAL UNIT OPERATING UNIT MAINTENANCE PLAN ... 72

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PUMA ELI / PUMA ELI A – OPERATOR'S MANUAL 1.

GENERAL WARNINGS

• These instructions explain how to correctly use the following dental units: PUMA ELI, PUMA ELI A,

PUMA ELI CP, PUMA ELI A CP.

PUMA ELI CART,

PUMA ELI ORTHO,

PUMA ELI CART ISO,

Please carefully read this manual before using the device. • These instructions describe all the versions of the operating units with the maximum possible accessories, therefore not all the paragraphs are applicable to the unit you have purchased. • It is forbidden to reproduce, store and transmit this publication by any means (electronically, mechanically, by photocopying, translating or in other ways) without a written authorisation issued by CEFLA s.c.. • The information, technical specifications and illustrations contained in this publication are not binding. CEFLA s.c. reserves the right to introduce modifications and technical improvements without having to modify these instructions. • The manufacturer has a company policy of continual development. Although every effort is made to keep technical documentation up-to-date at all times some of the instructions, specifications and figures given in this manual may slightly differ from the purchased product. The manufacturer reserves the right to make changes without prior notice. • The original text is in Italian; translation from the original in Italian. • This equipment is equipped with a device that prevents liquid back flow.

1.1. SYMBOLS Note the meaning of the following symbols and expressions:

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Type of protection against direct and indirect contact: Class I. Type of protection against direct and indirect contact: Type B.

Equipment in compliance with essential requirements of directive 93/42/EU and subsequent changes ( Class IIa Medical Equipment ).

WARNING! Failure to observe may result in equipment damage or injury to the user and/or patient.

Accessory in compliance with essential requirements of directive 93/42/EU and subsequent changes ( Class I Medical Equipment ).

"Consult the instruction manual" Means that it is advisable to consult the instruction manual before using that part of the device.

Disposal symbol in accordance with Directive 2012/19/EU

NOTE: Identifies information that is especially important for the user and/or assistant.

“Warning biological hazard”. It provides information about possible risks of contamination deriving from contact with fluids, storage of infected biological waste.

Earth ground.

Manufacturer.

Alternating current.

Month and year of construction.

Part sterilised in a steam autoclave up to 135° C.

Device serial number.

ON / OFF button.

DVGW mark (Quality assurance kitemark regarding supply of drinking water).

"Refer to the instruction manual" Means that for reasons of safety you need to consult the instruction manual before using the equipment.

Product/equipment identification code.

Off (a part of the unit).

Do not push.

On (a part of the unit).

Foot crushing hazard.

Equipment On.

Equipment equivalent to Class 2 light source.

Equipment OFF.

Hand crushing hazard.

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PUMA ELI / PUMA ELI A – OPERATOR'S MANUAL 1.2. INTENDED USE • The dental units described in this manual are Medical Devices intended for dental treatment. • The dentist's board may hold up to 5 instruments. • The assistant’s board can hold 2 suction tubes and 2 instruments. • This equipment must be used only by adequately trained personnel (dentists and paramedics). • The device is intended for non-continuous operation with intermittent loads (see the operating times of the individual parts in the dedicated sections). • The device is classified as pollution degree 2. • Overvoltage class: II.

1.2.1.

CLASSIFICATION AND REFERENCE STANDARDS

• MEDICAL DEVICES classification Classification of the dental unit in accordance with the indications given in annex IX of directive 93/42/EC as amended: Class IIa. • ELECTRICAL MEDICAL EQUIPMENT classification Classification of the dental unit in accordance with standard EN 60601-1 on safety of medical equipment: Class I - Type B. • Reference standards: the dental units described in this manual are designed and manufactured in compliance with IEC60601-1 3rd Ed. - 2007, IEC 60601-1-6 3rd Ed. - 2010, IEC 62366 1st Ed. - 2007, IEC 80601-2-60 1st Ed. - 2012, IEC 60601-1-2 3rd Ed., ISO 6875 3rd Ed. - 2011, ISO 7494-1 2nd Ed. - 2011 and EN 1717 (type AA and AB) standards as far as water mains safety devices are concerned. • Classification of RADIO DEVICES AND COMMUNICATION TERMINALS (only when the WIRELESS foot control is present) Equipment classification according to Directive 99/05/EC Art.12: Class I.

1.2.2.

ENVIRONMENTAL CONDITIONS

The equipment is to be installed in rooms that satisfy the following requirements: • temperature between 10 and 40 °C; • relative humidity between 30 and 75%; • atmospheric pressure ranging from 700 to 1060 hPa; • altitude ≤ 3000 m; • air pressure entering equipment ranging from 6 to 8 bar; • water hardness at the equipment inlet must not be above 25 °f (French degrees) or 14 °d (German degrees) for untreated drinking water. For water with a higher hardness degree, it is recommended to soften water until it reaches a hardness degree between 15 and 25 °f (French degrees) or between 8.4 and 14 °d (German degrees); • water pressure entering equipment ranging from 3 to 5 bar; • water temperature entering equipment not higher than 25 °C.

1.2.2.1. INSTALLATION CONDITIONS • Temperature between -10 and 70°C; • Relative humidity between 10 and 90%; • Atmospheric pressure: from 500 to 1060hPa.

1.2.3.

WARRANTY

CEFLA s.c. stands behind its products warranting safety, reliability and performance. The warranty is valid only under the following terms: • Conditions given on the warranty certificate are observed. • Yearly scheduled maintenance is performed. • The equipment is used only as instructed in this manual. • The electrical wiring in the room in which the equipment is installed must conform to IEC 60364-7-710 (standards for electrical wiring in medical and dental offices). • A 3x1.5 mm2 line protected by a bi-polar cut-out that conforms to applicable standards (10 A, 250 V, distance between contacts at least 3 mm) must be used to feed the equipment. WARNING: The colour of the three wires (POWER, NEUTRAL and EARTH) should satisfy the requirements of current standards. • Installation, repairs, equipment enlargement, settings and, in general, any other operation requiring the casing to be opened are to be performed exclusively by personnel authorised by CASTELLINI.

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PUMA ELI / PUMA ELI A – OPERATOR'S MANUAL 1.2.4.

DISPOSING THE EQUIPMENT WHEN NO LONGER USED

In compliance with Directives 2011/65/EU and 2012/19/EU regarding restriction of the use of certain hazardous substances in electrical and electronic equipment along with waste electrical and electronic equipment, it is forbidden to dispose of this equipment in the municipal waste stream as unsorted municipal waste. When new equipment that is similar is purchased, the old equipment must be given to the dealer for disposal. As regards reuse, recycling and other forms of recovery of waste electrical and electronic equipment, the manufacturer carries out the functions defined by current local laws. A high level of separate collection of waste electrical and electronic equipment is indispensable to efficiently recycle, treat and dispose of the equipment. Recycling and treatment operations should comply with minimum standards to assure human health and high environmental protection as well as favour recycling of the materials included in the equipment. The symbol indicating separate collection for electrical and electronic equipment consists of the crossed out bin marked on the equipment. WARNING: Illegal waste clearance and disposal shall be punished as established by laws and regulations currently in force in the individual countries.

1.3. SAFETY WARNINGS WARNING: • All devices are permanently installed. Depending on the type of dental chair the unit comes with, refer to the installation SCHEMATICS in paragraph "Technical Specifications”. CEFLA s.c. shall not be held liable for any personal injury or property damage arising from failure to heed the following clause. • Floor conditions. The floor (continuous) should meet the load-bearing capacity set forth by DIN 1055, sheet 3. PUMA ELI, PUMA ELI CP, PUMA ELI CART, PUMA ELI ORTHO, PUMA ELI CART ISO dental units: the weight of the dental unit is of approx. 350 kg (including a 190 kg patient). PUMA ELI A, PUMA ELI A CP dental units:the weight of the dental unit is of approx. 350 kg (including a 160 kg patient). • This device may not be modified in any way without the authorisation of the manufacturer. If the device is modified, appropriate examinations and tests need to be conducted in order to ensure continued safe use. CEFLA s.c. shall not be held liable for any personal injury or property damage arising from failure to heed the following clause. • Dental chair. The maximum DAMA chair capacity is 190 Kg. Do not exceed this value. The maximum DAMA A chair capacity is 160 Kg. Do not exceed this value. • Tray holder bearing surface. The maximum loading capacity must never be exceeded: - tray holder attached to the dentist's board, maximum allowable load 2 Kg, evenly distributed. - tray holder attached to the assistant's board, maximum allowable load 1 Kg, evenly distributed. - auxiliary tray holder module, maximum allowable load on tray 3.5 Kg (without negatoscope) or 2.5 Kg (with negatoscope). • Connections to external instruments. The equipment can be hooked up only to other instruments that bear the CE mark. • Electromagnetic interferences. Use of electrical equipment that does not comply with standard IEC 60601-1 3rd Ed. - 2007 in the office or nearby may cause electromagnetic or other types of interferences resulting in dental unit malfunctions. In these cases it is recommended to shut off the dental unit power before using this equipment. • Replacing the drills. Operate the turbine release and contra-angle devices only once the drill has come to a complete stop. Failure to do so, will result in damaging the locking system and drills could be released and cause injury. Exclusively use high-quality drills with a connection having a calibrated diameter. To check the conditions of the locking system, make sure the drill is firmly secured to the instrument every day before starting work. Locking system defects caused by misuse can be easily identified and are not covered by the warranty. The drills and various instruments attached to the handpieces must comply with Biocompatibility Standard ISO 10993. • Patients with pace makers and/or hearing aids. When treating patients with pace makers and/or hearing aids, take into consideration the effects the instruments may have on pace makers and/or hearing aids. Carefully read technical-scientific information available on this subject. • Implants. If the dental unit is used for implant operations using separate equipment designed for this purpose, you are recommended to shut the power off the dental chair to avoid unwanted movements resulting from faults and/or accidental start-ups of the controls. • Do not forget to turn off the office water supply and master switch of the equipment before leaving the surgery. • The equipment is not protected against liquid penetration (IPX 0). • The equipment is not suitable for use in the presence of a mixture of flammable anaesthetic gas with oxygen or nitrous oxide. • This equipment must be stored properly so that it is kept in top working order at all times. The manufacturer shall not be held liable for misuse, carelessness or improper use of the equipment. • The equipment may only be used by authorised and adequately trained staff (dentists and paramedics). • The user must be present at all times when the equipment is turned on or ready for start-up. In particular, never leave the equipment unattended in the presence of children/ mentally disabled or other unauthorised personnel in general. Any accompanying persons must keep out of the operating area and in any case under the responsibility of the operator. The operating area refers to the space around the dental unit plus 1.5 meters. • Quality of the water delivered by the dental unit. The user is responsible for the quality of the water delivered by the dental unit and must adopt measures to maintain the water quality. To ensure that delivered water is kept to quality standards, CEFLA s.c. recommends equipping the dental unit with an internal or external disinfection system.

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PUMA ELI / PUMA ELI A – OPERATOR'S MANUAL The dental unit, once installed, is exposed to possible contaminants coming from the water mains. So, to effectively overcome this problem, it is advisable to install the dental unit only when its use will be daily and to perform the disinfecting procedures starting from the day in which it is installed by following the instructions set forth in the relevant sections. NOTE: contact your local dealer or Dentists Association for more detailed information about national laws and requirements. • Applied parts. The parts of the equipment that come into contact with the patient while carrying out its functions correctly during standard use are: dental chair upholstery, armrest, curing light fibre optics, syringe terminal, disposable camera protection, scaler bits, handpiece drills, suction tube terminals. Non applied parts that may come into contact with the patient are: dental chair armrest support, dental chair lower casing, patient-side water unit casing, water-to cup-spout, bowl, suction tubes, handpiece body. • Dental chair movement. WARNING: Make sure that the patient is ready to collaborate: ask him/her to keep his/her hands and feet close to the body, avoiding incorrect postures. Check that the patient is sitting properly when moving the dental chair (see figure).

1.4. CLEANING AND DISINFECTION Cleaning is the first step of any disinfecting process. Physically scrubbing with detergents and surface-active substances and rinsing with water removes a considerable amount of micro-organisms. If a surface is not clean first, the disinfecting process cannot be successful. If a surface cannot be adequately cleaned, it should be protected with barriers. The outer parts of the equipment must be cleaned and disinfected using a product for hospital use with indications for HIV, HBV and tubercolocide (medium-level disinfectant) specifically for small surfaces. The various drugs and chemical products used in dental surgeries may damage the painted surfaces and the plastic parts. Researches and tests performed show that the surfaces cannot be fully protected against the harsh action of all products available on the market. We therefore recommend protecting with barriers whenever possible. The harsh actions of chemical products also depend on the amount of time they are left on the surfaces. It is therefore important not to leave the product on the surfaces longer than the time specified by the manufacturer. It is recommended to use the specific medium-level disinfectant, STER 1 PLUS (CEFLA s.c.), which is compatible with: • Coated surfaces and plastic parts. • Upholstery. WARNING: The VISCOELASTIC upholstery will stain when splashed with mordant acid. Immediately rinse with plenty of water if acid spatters on the upholstery. • Uncoated metal surfaces. If you do not use STER 1 PLUS, it is recommended to use products that contain at maximum: • Ethanol. Concentration: maximum 30 g per 100 g of disinfectant. • 1-Propanol (n-propanol, propyl alcohol, n-propyl alcohol). Concentration: maximum 20 g per 100 g of disinfectant. • Combination of ethanol and propanol. Concentration: the combination of the two should be maximum 40 g per 100 g of disinfectant. WARNING: • Do not use products containing isopropyl alcohol (2propanol, iso-propanol). • Do not use products that contain sodium hypochlorite (bleach). • Do not use cleaners that contain phenols. • Do not spray the selected products directly on the surfaces. • All products must be used as directed by the manufacturer. • Do not mix the STER 1 PLUS disinfectant with other products. WARNING: The products suggested are compatible with the materials of the equipment, however damages may occur to surfaces and materials resulting from the use of different products, even if not included in the above list of excluded products.

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PUMA ELI / PUMA ELI A – OPERATOR'S MANUAL Cleaning and disinfecting instructions. Clean and disinfect with disposable non-abrasive paper (avoid using recycled paper) or sterile gauze. Do not use sponges or, in any case, any material that can be reused. WARNING: • Turn off the dental unit prior to cleaning and disinfecting the external parts. • All materials used to clean and disinfect must be thrown away.

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PUMA ELI / PUMA ELI A – OPERATOR'S MANUAL 2.

DESCRIPTION OF THE EQUIPMENT

2.1. IDENTIFICATION PLATES Dental unit model: PUMA ELI, PUMA ELI CP, PUMA ELI CART, PUMA ELI ORTHO. The plate is found on the arm between the dental chair and water unit. Data given on plate: • Manufacturer’s name. • Name of equipment. • Rated voltage. • Type of current. • Nominal frequency. • Maximum absorbed power. • Serial number. • Month and year of manufacture.

Dental unit model: PUMA ELI CART ISO. The nameplate is positioned under the board. Data given on plate: • Manufacturer’s name. • Name of equipment. • Rated voltage. • Type of current. • Nominal frequency. • Maximum absorbed power. • Serial number. • Month and year of manufacture.

Dental unit model: PUMA ELI A, PUMA ELI A CP. The plate is found on the arm between the dental chair and water unit. Data given on plate: • Manufacturer’s name. • Name of equipment. • Rated voltage. • Type of current. • Nominal frequency. • Maximum absorbed power. • Serial number. • Year of manufacture.

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PUMA ELI / PUMA ELI A – OPERATOR'S MANUAL 2.2. DENTAL UNITS Models: Model PUMA ELI RS version dentist's board (instruments will return to their original position through the pulling action of the spring-operated arms) attached to a double supporting arm, one of which is articulated and self-balancing. Description of the different parts: a Water unit. b Adjustable arm. c Dentist's board. d Dentist’s control console. e Tray holder. f Assistant’s board. g Assistant’s board control console. h Connection box. i Multifunction foot control. l Water-to-cup spout. m Bowl. n Self-balancing arm. z DAMA dental chair.

Model PUMA ELI CP CP version dentist's board (instruments placed vertically in housings) attached to a double supporting arm, one of which is articulated and selfbalancing. Description of the different parts: a Water unit. b Adjustable arm. c Dentist's board. d Dentist’s control console. e Tray holder ( optional ). f Assistant’s board. g Assistant’s board control console. h Connection box. i Multifunction foot control. l Water-to-cup spout. m Bowl. n Self-balancing arm. r Negatoscope for panoramic X-rays (optional). z DAMA dental chair.

Model PUMA ELI CART CP version dentist's board (instruments placed vertically in housings) attached to a height-adjustable cart. Description of the different parts: a Water unit. c Dentist's board. d Dentist’s control console. e Tray holder ( optional ). f Assistant’s board. g Assistant’s board control console. h Connection box. i Multifunction foot control. l Water-to-cup spout. m Bowl. o Height-adjustable cart. r Negatoscope for panoramic X-rays (optional). s Auxiliary tray holder ( optional ). z DAMA dental chair.

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PUMA ELI / PUMA ELI A – OPERATOR'S MANUAL

Model PUMA ELI ORTHO Version without dentist's board. Description of the different parts: a Water unit. f Assistant’s board. g Assistant’s board control console. h Connection box. i Multifunction foot control. l Water-to-cup spout. m Bowl. s Auxiliary tray holder ( optional ). u Dental chair control console z DAMA dental chair.

Model PUMA ELI CART ISO Dentist’s instrument board in CP version (the instruments are vertically inserted in their seats) applied on a height-adjustable trolley and equipped with a standalone connection box. This version is not equipped with chair and water unit. Description of the different parts: c Dentist's board. d Dentist’s control console. e Tray holder ( optional ). h Connection box. i Foot control. o Height-adjustable cart.

The dental units of the PUMA ELI A series come in the following models: Model PUMA ELI A RS version dentist's board (instruments will return to their original position through the pulling action of the spring-operated arms) attached to a double supporting arm, one of which is articulated and self-balancing. Description of the different parts: a Ambidextrous water unit. b Adjustable arm. c Dentist's board in RS version. d Dentist’s control console. e Tray holder. f Assistant’s board. g Assistant’s board control console. h Connection box. i Multifunction foot control. l Water-to-cup spout. m Bowl. n Self-balancing arm. z DAMA A dental chair.

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PUMA ELI / PUMA ELI A – OPERATOR'S MANUAL Model PUMA ELI A CP CP version dentist's board (instruments placed vertically in housings) attached to a double supporting arm, one of which is articulated and selfbalancing. Description of the different parts: a Ambidextrous water unit. b Adjustable arm. c Dentist's board in CP version. d Dentist’s control console. e Tray holder ( optional ). f Assistant’s board. g Assistant’s board control console. h Connection box. i Multifunction foot control. l Water-to-cup spout. m Bowl. n Self-balancing arm. r Negatoscope for panoramic X-rays (optional). z DAMA A dental chair.

2.3. DENTAL CHAIR (1) DAMA dental chair (models PUMA ELI - PUMA ELI CP - PUMA ELI CART - PUMA ELI ORTHO)

(1)

Description of the different parts: a Headrest. b Backrest. c Left movable armrest ( optional ). d Right movable armrest ( optional ). e Safety foot board. Operating time. The operating and rest times are as follows: work 25 sec. - rest 10 min. Maximum permitted load. • The maximum chair capacity is 190 Kg. • Maximum permitted load on headrest: 30 Kg. • Maximum permitted load on armrest: 68 Kg. WARNING: Do not exceed these values. Warnings for use. WARNING: FOOT CRUSHING HAZARD Pay attention to the patient and the staff during dental chair descent. (2) DAMA A dental chair (models PUMA ELI A - PUMA ELI A CP) Description of the different parts: A Headrest. B Backrest. C Left movable armrest ( optional ). D Right movable armrest ( optional ). E Safety foot board. Operating time. The operating and rest times are as follows: work 25 sec. - rest 10 min. Maximum permitted load. • The maximum chair capacity is 160 Kg. • Maximum permitted load on headrest: 30 Kg. • Maximum permitted load on armrest: 68 Kg. WARNING: Do not exceed these values. Warnings for use. WARNING: FOOT CRUSHING HAZARD Pay attention to the patient and the staff during dental chair descent (on both sides).

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(2)

PUMA ELI / PUMA ELI A – OPERATOR'S MANUAL 2.4. SPECIAL WARNINGS FOR PUMA ELI CART and PUMA ELI CART ISO models During installation, the cart board can be adjusted in height to 3 predefined working positions: MIN (80 cm) - MED (90 cm) - MAX (100 cm). NOTE: values refer to board without tray holder. WARNING: Board height adjustment must be carried out by a CASTELLINI authorised technician, only. WARNING: When handling cart, take care to any step and/or horizontal obstacle as cart could become unstable and/or even overturn.

2.5. CONVERSION OF THE OPERATING UNIT (Models PUMA ELI A and PUMA ELI A CP, only) To convert the operating unit from the right-handed operator version to the left-handed operator version, proceed as follows: • Move dental chair seatback to vertical position by lifting chair at least more than half its vertical travel and positioning arm and dentist’s board body in central position compared to dental chair seat, so that they will not represent a side obstruction. WARNING: It is advisable to turn the operating unit off so as to avoid any accidental activation that could result in hazardous situations. • Remove the cover ( a ) of the short arm supporting the water unit and preventing it from moving. • Lift the element ( k ) locking the short arm in place. NOTE: slightly move arms on their pivot points so as to make element release easier.

• Turn the assistant’s board arm unit until reaching a compact position with the water unit. • Start rotating water unit and arm. WARNING: During this operation, avoid extending the arms of the operating lamp, if any, to the outside so as to prevent any excessive imbalance of the equipment. • As soon as the water unit is aligned with the dental chair, turn the assistant’s board arm unit ( b ) and take it to the new work position. WARNING: During this operation, take care not to squash instrument suction tubes and cords.

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PUMA ELI / PUMA ELI A – OPERATOR'S MANUAL • Complete the rotation to the left of the water unit by moving it to the standard use position for left-handed operators. NOTE: make sure that element ( k ) is correctly locking short arm in the new position. Turn bowl by hand until it reaches the new stroke end position. • Move the pin ( c ) used to lock dentist’s board arm rotation inside the opposite hole to set arm correct working area. WARNING: Failure to fit stoke end stop pin will make arm, during standard use, hit water unit body and thus damage it. • Then refit cover ( a ) taking care that cover pins are duly inserted inside their seats on short arm so as to ensure water unit correct locking. • The operating unit is now ready for use for left-handed operators. WARNING: Before turning the operating unit on make sure that the whole equipment is set to correct use conditions.

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PUMA ELI / PUMA ELI A – OPERATOR'S MANUAL 3.

TURNING ON THE OPERATING UNIT

Dental unit model: PUMA ELI PUMA ELI CP PUMA ELI CART Press the main switch ( f1 ) on the dental chair casing: Equipment ON: - electric system powered - pneumatic system on - water system on - display ( g ) on. Equipment OFF: - electric system not powered - pneumatic system not connected - water system not connected - display ( g ) off. Dental unit model: PUMA ELI ORTHO. Press the main switch ( f1 ) on the dental chair casing: Equipment ON: - electric system powered - pneumatic system on - water system on - LED ( u ) On. Equipment OFF: - electric system not powered - pneumatic system not connected - water system not connected - LED ( u ) Off. Dental unit model: PUMA ELI CART ISO Press the main switch ( f2 ) on the external connection box and check that: • Display ( g ) is off: - equipment is off - pneumatic system is disconnected - water system is disconnected. • Display ( g ) is on: - equipment is on - pneumatic system is connected - water system is connected. Dental unit model: PUMA ELI A PUMA ELI A CP Press the main switch ( f3 ) positioned on dental chair casing and check the following on the control console: • Display ( g ) is off: - equipment is off - pneumatic system is disconnected - water system is disconnected. • Display ( g ) is on: - equipment is on - pneumatic system on - water system is connected. WARNING: Main switch must be pressed with your hands.

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PUMA ELI / PUMA ELI A – OPERATOR'S MANUAL 4.

DENTAL CHAIR OPERATION

The dental chair can be moved as follows: • Chair seat up/down • Backrest rotation with inclination of the chair seat (compensated Trendelenburg). The dental chair can be operated from the following units: • Dentist's board (a) (see par. 5.). • Multifunction foot control (b) (see par. 5.2.). • Assistant’s board (c) (see par. 6.).

4.1. SAFETY DEVICES The equipment is supplied with the following safety devices: • The floor board is equipped with a device ( l ) that immediately stops the dental chair from moving down in the presence of an obstacle and automatically lifts it up to free the obstacle. • The backrest is equipped with a device ( m ) that immediately stops the backrest from moving down in the presence of an obstacle and automatically lifts it up to free the obstacle. • The arms of the assistant’s board are equipped with a safety device ( n ) that immediately stops the dental chair from moving down if an obstacle is encountered and automatically moves it up to clear the obstacle. • Dental chair movements: - with the instrument extracted NOT working: manual movements allowed, automatic movements inhibited, but if they are already in progress at the moment of extraction they are not interrupted; - with instrument extracted and working: all the chair movements are inhibited. • Dental units model PUMA ELI A and PUMA ELI A CP: water unit supporting arms are equipped with a safety device ( o ) that immediately stops the dental chair from moving down if an obstacle is encountered and automatically moves it up to clear the obstacle.

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PUMA ELI / PUMA ELI A – OPERATOR'S MANUAL 4.2. EMERGENCY DEVICES WARNING: Use the devices below when movement of the equipment needs to be stopped: • Dental chair control buttons ( a ) or ( c ). By pressing any of the dental chair control buttons all movements will be stopped. • Foot control ( b ). When the foot control is activated, all movements of the equipment are stopped. • Foot board ( i ). When the chair foot board is actuated, all movements of the equipment are blocked.

4.3. ADJUSTABLE HEADREST The headrest may be of two types: (1) with manual cushion lock lever (2) with pneumatic cushion lock lever Adjusting headrest height. • with manual lock ( 1 ): The head rest blade is positioned through a magnetic clutch. The operator should pull up and/or push down the headrest until it is in the desired position. • with pneumatic lock ( 2 ): Press and hold down the locking button ( u ) to position the headrest as desired. Once you have reached the desired position, release the button ( u ) to lock the headrest in place. Adjusting the cushion. • with manual lock ( 1 ): Rotate the lock knob ( k ) anti-clockwise, position the cushion as desired and then re-tighten the lock knob. • with pneumatic lock ( 2 ): Press the lock button ( u ) and keep it pressed as you adjust the cushion as desired. Once the cushion is oriented as desired just release the button ( u ) to lock in place.

Proper positioning of the headrest. WARNING: For correct use of the headrest, position the patient's head as shown in the figure. Warnings for use. WARNING: • Maximum permitted load on headrest: 30 Kg. • Do not attempt to move headrest while patient is resting against it. • Do not attempt to modify the position of the cushion without first releasing the lock mechanism. • The pneumatic locking device is active only when the air circuit is pressurized and the dental unit is on.

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PUMA ELI / PUMA ELI A – OPERATOR'S MANUAL 4.4. MOVABLE ARMRESTS (OPTIONAL) Both armrests can be turned clockwise downwards so that the patient can more conveniently get on and off the chair. Safety warnings. WARNING: Maximum load supported by armrest: 68 kg.

4.5. DENTAL CHAIR CONTROL PAD (MODEL PUMA ELI ORTHO, ONLY) Description of the buttons: Dental chair function save button (with relevant activation LED).

Automatic return position recall button.

Rinsing position recall button.

Seat up and programmed position "A" recall button.

Backrest up and programmed position "B" recall button.

Seat down and programmed position "C" recall button.

Backrest down and programmed position "D" recall button. Equipment On LED. NOTE: operation of dental chair buttons: • Button pressed shortly: automatic recall of set position. • Button held pressed: manual positioning. Setting the dental chair "Rinse Position” and "Automatic Return”. See paragraph 5.1.1. NOTE: storage mode activation is signalled by a short sound (BEEP) and by the turning on of SAVE button LED. Programming the chair positions A, B, C and D. See paragraph 5.1.2. NOTE: storage mode activation is signalled by a short sound (BEEP) and by the turning on of SAVE button LED.

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PUMA ELI / PUMA ELI A – OPERATOR'S MANUAL 5.

DENTIST'S BOARD OPERATION

Layout of instruments. The positions of the instruments on the board are determined by the customer at the time of order. Activation of instruments. • The syringe is always on (see paragraph 5.3.). • The curing light is turned on with the relevant key, when the instrument is withdrawn (see paragraph 5.7.). • Intraoral camera turns on when the instrument is extracted (see paragraph 5.8.). • Once extracted, all other instruments are operated with the foot control (see paragraph 5.2.). Simultaneous use of the instruments. An interlocking device ensures that the instruments are not used simultaneously. The first extracted instrument is ready to be used while those extracted later are disabled by the interlocking device. This interlocking device allows the drill to be changed in one instrument while another is used on the patient. Positioning the dentist's board. The dentist's board can move in all directions. To adjust the height of the board and/or direct it horizontally, simply grasp the handle ( a ). NOTE for models PUMA ELI CART: dentist's board height can be set only during equipment installation (see paragraph 2.4). Pantograph arm adjustment. Balancing of the pantograph arm is determined at the time of installation. Any future adjustments can be made using the knob ( b ) on the pantograph arm. Clockwise rotation: to increase clutch resistance of the pantograph arm. Counter-clockwise rotation: to decrease clutch resistance of the pantograph arm.

Instrument return arm lock device (only for RS version). If this device is provided, the instrument recall arm can be locked in the instrument extracted position. Lock engages with a click at about 2/3 of the total arm travel. To go back to the original condition (unlock), simply move the arm to the end of its travel ( A ).

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PUMA ELI / PUMA ELI A – OPERATOR'S MANUAL Tray holder. The tray holder module ( f ) is made of stainless steel and can easily be removed from its support. WARNING: Maximum permitted load on the tray holder ( f ): 2 kg evenly distributed.

Cleaning the dentist's board handle. Clean the dentist’s module handle using a suitable product (see Paragraph 1.4). Dentist's board cleaning. Clean the dentist's board using a suitable product (see Paragraph 1.4). NOTE for RS version instrument boards: the silicone instrument holder ( u ) can be sterilized in an autoclave at 121°C (rubber cycle). Instrument cords. Clean the instrument cord using a suitable product (see Paragraph 1.4). WARNING: To remove cord, contact the Technical Service.

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