Prophy-Mate Neo Air Powered Tooth Polishing System Operation Manual Aug 2015

Cautions for handling and operation Read these cautions carefully and use only as intended or instructed. Safety instructions are intended to avoid potential hazards that could result in personal injury or damage to the device. Safety instructions are classified as follows in accordance with the seriousness of the risk.

WARNING

A hazard that could result in bodily injury or damage to the device if the safety instructions are not followed.

CAUTION

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

NOTICE

General product specification information highlighted to avoid product malfunction and performance reduction.

WARNING • This instrument is for use by dentists or hygienists only. • Do not use on the following patients <FLASH pearl and Cleaning powder> 1) Those with respiratory diseases. 2) Those with pathologically deep periodontal pockets (6mm or more) or mucosal lesion. By a long-time jet to soft tissue or near salivary glands, powder air may enter, and this may cause emphysema in very rare cases. 3) Those with grave ulcers in digestive organs. 4) Those with hepatic dysfunction. 5) Those with lung or cardiac disturbance or ventilatory impairment. 6) Those with damage or abnormality in the oral cavity. 7) Those with hyperemia, hemorrhage, or inflammation in the oral cavity. 8) Those who tend to develop an inflammation or sores in the oral mucous membrane. 9) Those with allergies. 10) Those wearing contact lenses. 11) Depending on the patient’s constitution, allergy symptoms or stomatitis may be caused in very rare cases. If such symptoms are detected, stop using the product immediately. <Cleaning powder only> Those who require restriction on sodium intake (hypernatremia, gestoses, renal deficiency, chronic respiratory disease, and chronic diarrhea). Excessive administration of sodium could be caused by using "Cleaning Powder", which results in worsening of the conditions. • During use, both the operator and the assistant should always wear protective glasses and protective face masks. The patient should wear protective glasses. Also, it is recommended to use high volume suction during the operation of Prophy-Mate neo. In case any powder gets in the eyes wash out immediately with lots of water and consult an ophthalmologist. • Never directly jet to the cementum on the roots of teeth, decalcified enamel, filling materials, margins of prosthetic appliances and filling materials, crowns, etc.

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CAUTION • Make sure your compressed air is dry and clean. Water or oil content mixed in the air may cause internal solidification of cleaning powder. • Securely tighten the cap of the powder case and never open the powder case cap during operation. • Before connecting the Prophy-Mate neo make sure that all connections are totally dry. • Use NSK-made cleaning powder. We shall assume no liability for any failure caused by the use of another company’s cleaning powder. • Fill powder case with one sachet of FLASH pearl at a time. Discard any remaining cleaning powder in the case after use to avoid blockages. • Make sure you use new unopened sachets of FLASH pearl only. Opened sachets attract moisture and the powder will clog in the handpiece.

1. Type of Prophy-Mate neo Hose Connection Type

Model

NSK PHATELUS Coupling

PMNG-PTL-P

NSK QD-J Coupling Type

PMNG-QD-P

ISO 4-hole Joint

PMNG-M4-P

ISO 2-hole or 3-hole Joint

PMNG-B2-P

KaVo® MULTIflex® or MULTIflex® LUX Coupling

PMNG-KV-P

W&H Roto Quick Coupling

PMNG-WH-P

Bien-Air Unifix or Unifix L Coupling

PMNG-BA-P

Sirona Quick Coupling

PMNG-SR-P

®

®

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®

KaVo and LULTIflex are registered trademarks of Kaltenbach & Voigt GmbH & Co., Germany. W&H® and Roto Quick® are registered trademarks of W&H dentalwerk Burmoos GmbH, Austria. Biem-Air® and Unifix® are registered trademarks of Bien-Air Dental S.A., Switzerland. Sirona® is a registered trademark of Sirona Dental System GmbH, Germany.

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• Apply Vaseline, etc., to the patient’s lips to prevent drying or chapping at the corners of the mouth. • Higher air pressure could cause the powder case and powder case cover to crack or fracture, which leads to injury.

2. Standard Packaging Content Prophy-Mate neo handpiece Nozzle

1 1 each for 60° and 80° (The 60º nozzle is already fitted on the handpiece.) 1

Powder case Maintenance kit Nozzle wire Cleaning wire Cleaning Brush Cleaning Powder (FLASH pearl) Nozzle Wrench Oil Blower Nozzle Spare parts Powder case cover O-rings (Handpiece end) O-rings (Coupling end)

Large: 1 for the root of the nozzle Small: 1 for the tip of the nozzle and inner nozzles 1 (for other uses) 1 5 sachets 1 1 1 ( can be connected to the coupling to supply dry air to remove powder residues on the Prophy-Mate neo and its components ) (One is fit to the powder case.)

2 1 set 1 set

(NSK PHATELUS coupling only)

The maintenance kit and spare parts are stored in the accessory case.

Part name Cover holder Powder case cap

Powder case cover Rubber packing

Hose connection Handpiece joint

O-rings

Handpiece release collar Internal nozzles Powder case

Handpiece

Nozzle

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WARNING • Avoid long-time continuous use, and allow the patient to rinse at appropriate times. • Never hit or bang the powder case and powder case cap as this may cause the powder case or powder case cap to scratch or crack. • Never take the Prophy-Mate neo apart during operation. Never pull the handpiece release collar or the coupling release during operation. Attempting to do this may cause components of the Prphy-Mate neo and the cleaning powder to fly off. • Use this product at the correct air pressure only. • Thoroughly dry the Prophy-Mate neo and all its components inside and out before use.

CAUTION • Be very careful to avoid cleaning powder entering anybody’s mucosal areas (eyes, nose etc) other than the oral cavity. Also, protect the face with a towel, etc., or protective glasses, etc., to prevent entry of cleaning powder into eyes. If the patient wears contact lenses, the contact lenses should be taken out before treatment. • If chemicals, oils, etc., adhere to the powder case cover, wipe them off immediately. Leaving them as they are will cause breakage.

3-1 Air Pressure Set the air pressure at the handpiece hose connection at 0.27 - 0.40 MPa (2.7 - 4.0 kgf/cm2).

WARNING Higher air pressure could cause the powder case and powder case cap to crack or fracture, which leads to injury.

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3. Operation

3-2 Connecting Powder case to Handpiece Hose

CAUTION Before connecting each part, thoroughly dry the coupling, handpiece, hose joint section of the powder case, inside of the powder case, and nozzle. Also, perform idle running with air alone to blow off any internal water. Coupling

AIR

AIR

Handpiece connection Powder case cap

AIR Powder case

AIR

AIR

AIR Internal nozzles

Connect the hose to the powder case. • PMNG-PTL-P Connect FM-CL (2,3,4-hole), PTL-CL-4HV (6-pin), or PTL-CL-FV (5-hole) coupling to the handpiece hose. In case you have any of these couplings mounted on the handpiece hose, you can just simply click the Prophy-Mate neo handpiece to the coupling. • 4-Hole, 3-Hole, or 2-Hole type powder case (PMNG-M4-P, PMNG-B2-P) Connect the powder case directly to the corresponding handpiece hose. Fasten the hose nut tightly. • Use with Other Handpiece Manufacturers’ Coupling (PMNG-QD-P, PMNG-KV-P, PMNG-WH-P, PMNG-BA-P, PMNG-SR-P) Check with the instruction manual of the coupling you have and connect Prophy-Mate neo accordingly

3-3 Connecting handpiece to Powder case Pull back the handpiece release collar on the powder case and push handpiece straight on to the connection. Let go off the release collar once handpiece is in place. (Fig.1) Once connected gently pull handpiece to ensure proper connection.

handpiece release collar

Fig. 1 6

Open one sachet of cleaning powder and fill into powder case. Always tighten powder case cap after opening and closing. (Fig. 2)

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3-4 Filling Cleaning Powder Close

When using bottle of FLASH Pearl (Option) Open the Powder Case Cap, and fill the powder into until Internal Nozzle (Fig. 3) and firmly tighten the bottle cap.

Fig. 2

Internal nozzles

FLASH pearl (Bottle Type Contains 300gms x 4) Order No. Y900698

Fig. 3

CAUTION • Always dispose off left over powder. Do not store any open sachets for later use. Powder in opened sachets will attract moisture and will clog powder channels. • Use NSK-made cleaning powder. Other companies’ cleaning powder different in particle size may cause clogging and not deliver full performance.

3-5 Use After filling the powder case, operate the Prophy-Mate neo over the spittoon for 2 to 3 seconds to ensure good flow of powder and water before using it on the patient. Use the nozzle 3 to 5mm away from the tooth surface at angles of 10 to 60 degrees. (When using PROPHY MATE cleaning powder, use at angles of 60 to 90 degrees.)

3~5mm

10~60°

Fig. 4

CAUTION • Never point toward soft tissue, gum, or the subgingival area. • In order to prevent the patient from swallowing large amounts of cleaning powder, make sure you use high volume suction and cotton wool rolls in conjunction with the Prophy-Mate neo, avoid long continuous use and allow the patient to rinse at appropriate times.

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4. Care After Use WARNING • If organic solvents, etc., adhere to the powder case cap, this may result in breakage. • The powder case cover will deteriorate over time under the influence of ultra violet rays and other environmental factors and is therefore considered a consumable item. Replace powder case cover every six months. • Always thoroughly clean the powder case, the powder case cap and the thread on the powder case and the powder case cap. Do this once a week and check the powder case cover and powder case cover for cracks and the scratches. • Always replace the powder case cap or the powder case immediately should you detect any cracks. If such a case is used as it is, the powder case cover may break, and this may cause injury by its fragments. • In order to prevent the Prophy-Mate neo from clogging put the entire instrument in an ultrasonic bath once a week. (See 5-1 Ultrasonic cleaning.)

CAUTION • In the case of failure, make sure to contact your distributor for repairs. • After use always clean thoroughly internally and externally and ensure all powder residues are removed and the instrument is totally dry for storage. • Never lubricate Prophy-Mate neo.(However, lubricate the O-rings with the enclosed turbine oil (See 4-4 Lubrication.))

NOTICE FLASH pearl is almost insoluble in water. To avoid clogging of the pipes by using FLASH pearl, periodical cleaning and maintenance of the vacuum hose, saliva ejector and separator are necessary.

4-1 Discard of powder 1) Open the powder case cap, and remove the remaining cleaning powder. (Fig. 5)

Fig. 5

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2) Perform idle running with air alone to discharge water and powder in the nozzle (Fig. 6)

AIR Fig. 6 3) Blow off the powder remaining in the powder case with air. (Fig. 7)

4) Wipe the nozzle and handpiece with a soft cloth saturated in alcohol to remove saliva and other physical contamination.

Fig. 7

4-2 Removal of powder from the powder case, handpiece and nozzle 1) Remove the powder case from the hose. 2) Pull back the handpiece release collar and remove handpiece 3) Remove the nozzle with the nozzle wrench (Fig. 8) 4) Fit the enclosed blower nozzle to the coupling and attach to the handpiece. Run idle with no water more than 5 sec. to clear lines. (Fig. 9)

Nozzle wrench

Loosen

Fig. 8 Blower nozzle (NSK PHATELUS)

Coupling

Blower nozzle (KaVo® MULTIflex® or MULTIflex® LUX Coupling)

Blower nozzles for other brands couplings are also available.

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Handpiece

Fig. 9

Use the blower nozzle in the same way to clear the lines in the Prophy-Mate neo nozzle. Blow from the far end of the nozzle.

Blower nozzle

Nozzle

CAUTION When performing idle running hold components tightly.

Fig. 10

4-3 Cleaning and washing 1) Carefully clean the inside of the joint section of the handpiece and the O-ring section of the powder case with the attached cleaning brush. (Fig. 11)

Fig.11 If powder adheres to the O-ring section, remove the O-rings, and carefully clean the O-rings and grooves. (Fig. 12)

Fig.12 2) Remove the rubber packing and disassemble the powder case cap. (Fig. 13)

Rubber packing

Fig. 13

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3) Wash away the cleaning powder adhering to the inside of the powder case/powder case cap under running water. (Fig. 14)

4) Dry and assemble the powder case cover, rubber gasket and cover holder.

CAUTION If cleaning powder remains in the powder case, powder will cake up, and this may cause clogging.

Fig.14

4-4 Lubrication 1) Dry the O-ring section of the powder case, apply a drop of the enclosed turbine oil and rub it in with your finger. (Fig. 15)

OIL

2) Perform autoclave sterilization.

Fig.15

CAUTION If lubrication of the O-rings is neglected the joint between the powder case and handpiece may be damaged. Powder case and handpiece may no longer swivel freely and the joint may leak.

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5. Cleaning and Sterilization Only the handpiece part of the Prophy-Mate neo can be washed in a thermodisinfector. Do not wash the Powder case or powder case cap in a thermodisinfector

5-1 Ultrasonic cleaning

CAUTION Make sure you clean the Prophy-Mate neo in an ultrasonic bath once a weak to prevent the instrument from clogging. 1) Perform disassembly and cleaning. (See 4-1 Discard of powder to 4-3 Cleaning and washing.) 2) Pass the attached nozzle wrench from the tip of the nozzle, loosen the nozzle, and remove the nozzle from the handpiece. 3) Perform ultrasonic cleaning of the handpiece, powder case, and nozzle with hot water. 4) After cleaning, blow off water drops on all parts with dry air. 5) Perform reassembly in reverse order to disassembly. 6) Connect powder case without the powder case cap to the hose and run idle to clear internal lines from water.

CAUTION • When fitting the nozzle, first screw in the nozzle by hand until it is lightly tightened, and then securely tighten it with the nozzle wrench. • In particular, thoroughly dry the inside of the powder case.

5-2 Sterilization • Autoclave sterilization is recommended. Sterilization is required first time you use and after each patient. • All the parts are autoclavable. Autoclaving procedure 1) Perform disassembly and cleaning. (See 4-1 Discard of powder to 4-4 Lubrication.) 2) Insert into an autoclave pouch. Seal the pouch. 3) Autoclavable up to a max. 135°C. ex.) Autoclave for 20 min. at 121°C, or 15 min. at 132°C. 4) Keep the handpiece in the autoclave pouch to keep it clean until you use it. For use, perform reassembly in reverse order to disassembly. * Sterilization at 121°C for more than 15 minutes is recommended by EN13060 or EN ISO17665-1.

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CAUTION • Before use, thoroughly dry all parts. • Remove the powder case cap from the powder case, and perform autoclave sterilization. Sterilization with the powder case cap on may cause breakage of the cover. • Autoclave sterilization together with chemical-adhering instruments will cause the plating to peel off or affect the internal parts. Be careful so as not to allow entry of chemicals in the autoclave sterilizer. • Since there are cases where the set temperature may be exceeded locally near the heater in the autoclave, never place the product near the heater. • Do not wipe with, or clean or immerse in, high acid water or sterilizing solutions.

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Air and powder do not come out.

Symptom

Check item

Probable cause

Air and powder come out The handpiece is clogged of the handpiece joint with powder. section when the handpiece is removed and air is supplied.

6. Troubleshooting

Cleaning wire

Nozzle wire (small)

Nozzle wire (large)

Loosen the nozzle with the attached nozzle wrench, and remove the nozzle from the handpiece. Clean the tip of the nozzle with the attached nozzle wire (small), and its root with the nozzle wire (large). Also, clean the inside of the handpiece with the cleaning wire. In the case of not passing regardless of the above cleaning, perform ultrasonic cleaning with hot water. (See 5-1 Ultrasonic cleaning.)

Remedy

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The connection between the powder case and handpiece is hard to swivel.

Replace the O-ring(s) at the handpiece joint section of the powder case apply a drop of the enclosed turbine oil and rub it with a finger and others. (See 4-3 Cleaning and washing to 4-4 Lubrication.)

Cleaning wire

Pass the cleaning wire through the hole in the center of the tip of the handpiece joint section of the powder case while rotating it, and also clean the inlets of the inner nozzles with the nozzle wire (large). In the case of not passing powder and air regardless of the above cleaning, perform ultrasonic cleaning with hot water. (See 5-1 Ultrasonic cleaning.)

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Check the O-rings at the Cleaning powder has Remove the O-rings at the handpiece joint section of the powder case, carefully clean the handpiece joint section of entered in the O-ring cleaning powder adhering to the grooves and O-rings by using the attached cleaning brush. the powder case. grooves, making the Then, carefully wipe the handpiece joint section with an alcohol-saturated cloth, apply a connection of the coupling drop of the enclosed turbine oil and rub it with a finger or other materials. (See 4-3 section hard. Cleaning and washing to 4-4 Lubrication.)

Water leaks from Check the O-rings at the The O-ring is damaged. between the handpiece handpiece joint section of and powder case. the powder case.

Air and powder do not The powder case is come out of the powder clogged with powder. case even when the handpiece is removed and air is supplied.

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Cleaning powder is partially solidified in the handpiece or powder case, narrowing the passage.

Cleaning powder is partially solidified in the container.

Cleaning powder was partially solidified due to moisture, etc., in the air line.

Water was mixed in the supply air.

O-rings

O-rings setting position

Perform cleaning by inserting the attached nozzle wire (small) while rotating it, and blow off any internally remaining powder with air. If this still does not cause improvement, perform ultrasonic cleaning with hot water. After that, perform thorough drying before use. (See 5-1 Ultrasonic cleaning.)

Open the drains of the filter and compressor in the air supply circuit, and check for water accumulation.

Loosen

In the case of using a model for PHATELUS coupling, check the O-rings at the coupling joint section for breakage. Replace the O-rings if broken. In the case of models for other than PHATELUS coupling, check the coupling which you use.

Cleaning powder having Replace the cleaning powder with a new one. been left for a long period of time was used.

* If no symptomatic improvements are made by the above methods, contact your distributor.

Air and powder come out weakly, and cleaning power is also weak.