GA PiezoLED 20220902 01 EN
GA PiezoLED 20220902 01 EN
GA PiezoLED 20220902 01 EN
Table of contents
Before using this product, please carefully read and follow the recommendations of
the instruction manuals originally delivered with your device and system. Please pay
special attention to the safety precautions.
Any serious incident that has occurred in relation to the device should be reported to
the manufacturer and the competent authority of the Member State in which the user
and/or patient is established.
Always keep these Instructions close at hand. These Instructions are only applicable
to the equipment they were delivered with.
The Instructions for Use of the device is provided in electronic format and
are part of the product documentation. However, if you want these in hard
copy, you can request one set free of charge on our website, by telephone or in writing,
and receive it within 7 days.
• The Instructions for Use of the device is available for download in PDF format
at www.kavo.com/download. A PDF reader is required and, in case of need, it
can be downloaded from the same web site.
• It is essential to first read and understand all the Instructions for Use of the
device before operating it and using the related accessories.
• We recommend that you visit the website regularly to consult and/or download
the latest version of the documentation for your device at
www.kavo.com/download
• Please contact KaVo technical support for further information and support.
1.1. Intended Use
KaVo PiezoLED module, handpiece and tips are intended to be integrated in a KaVo
dental treatment unit for the purpose of removing supragingival and subgingival1
calculus:
- Around implants1
1.2. Indications
KaVo PiezoLED products are indicated to remove calculus supragingivally and
subgingivally1 up to 10mm1.
Undesirable side effects: The noise produced during the ultrasonic treatment may
result in transient tinnitus.
The use of any other accessories could lead to patient injury, malfunction or
damage to the device
KaVo PiezoLED products (handpieces and tips) are reusable, but they shall be
reprocessed before use: cleaned, disinfected and sterilised. Not reprocessed
handpieces and accessories may cause bacterial or viral infections.
Only use this product for the intended indications. Please refer to PiezoLED treatment
chapter. Carefully read these operating instructions before using the product. This also
applies to any product used with this system. Failure to observe the operating
instructions may result in the patient or user suffering serious injury or the product
being damaged.
Always examine your PiezoLED system for damage before starting treatment.
Damaged accessories or a damaged product must not be used and must be replaced.
Only use original KaVo PiezoLED spare parts and accessories.
Special considerations where clinicians must use their own discretion or consent
from the physician.
- Antiresorptive therapy that reduces bone loss (i.e. therapy with bisphosphonates or
denosumab).
- Contagious patients or patients with a risk of infection: suitability for PIEZO treatment
needs to be assessed individually by the clinician according to the medical condition
present and in accordance with practitioner protection level, patient risk assessment
and specific country regulations.
- Patient with cardiac pacemakers, defibrillators and other active implantable medical
devices, can be treated with PIEZO devices with a safe workable distance of at least
23cm between the mouth and the respected implantable device (which is the distance
between the mouth and the device during treatment).
- There are a variety of pacemakers and other medically implanted devices on the
market. Clinicians should get the patient’s physician consent on the prophylaxis
treatment with PIEZO before any treatment for detailed information about the device.
- Keep the device, cables and handpiece as far as possible from the implanted device
(at least 23cm)
- Implantable electronic devices such as insulin pump and hearing aids are
recommended to be switch off or removed during treatment.
Listen for a noise change: a suspicious noise during contactless activation may be
a sign of possible damage to the system or improper screwing of the instrument. In this
case, check the correct screwing with the PIEZO Scaler Tip torque, then the condition
of the instrument. If in doubt, contact the support service.
Most dental procedures involve contaminated aerosols which could represent a risk
factor. Follow the recommendations of treatment and patient and dental professional
precautions, in order to minimise the risk.
2. Installation
2.1. KaVo PiezoLED Products
1.1.1. Kits
Logistic
Product name Reference
reference
Installation Kit PiezoLED FS-349 1.007.3994
Logistic
Product name Reference
reference
PIEZO Scaler Tip Set FS-354 1.007.4004
Logistic
Product name Reference
reference
PIEZO Implant Tip Set FS-361 1.007.4008
2.2. Preparation
KaVo PiezoLED handpieces and tips are reusable, but they shall be reprocessed
before use: cleaned, disinfected and sterilised. Not reprocessed handpieces and
accessories may cause bacterial or viral infections.
Check tip length and tip thread using the PIEZO wear
indicator card – FA-331/EN - 1.007.4016.
Removing
the tips
2.2.3. Attaching and removing a file
Removing a
file
Unscrew the PIEZO Endo Tip 222 from
the PiezoLED Handpiece.
2.2.4. Patient and dental professional precautions
For your protection and the protection of your patient, start by gargling patient mouth
with a mouthwash available in your country.
Patient preparation
High vacuum suction (HVS) and saliva ejector are mandatory for PiezoLED technology.
3. Treatment
KaVo PIEZO Tips vibrate in a controlled back and forth oscillation. During treatment,
always hold the instrument parallel to the tooth surface adapting the lateral side of the
instrument.
Do not direct the instrument straight to the enamel surface. Never point the tip of
the instrument to the tooth surface (unless otherwise specified).
Verify that the plastic coating is not worn or damaged before use.
Fluoride protection
After the treatment, the teeth are practically free from mucin. It is thus advised to carry
out a topics application of fluoride. It is then important to use a colourless fluoride.
Post-treatment recommendations
Treatment cleans the teeth but also eliminates the pellicle acquired by the patient.
Since the restoration by salivary proteins takes time, the teeth are left without natural
protection against colouration for 1 hour.
4. Cleaning and reprocessing
The legal manufacturer recommends the use of cleaning, disinfection, packaging for
sterilisation and sterilisation procedures accordingly with ISO 17664.
Concentrations and contact times specified by the manufacturer of the cleaning and
disinfection agent must be followed.
The following instructions have been validated as being capable of preparing for re-
use the KaVo PiezoLED products: handpiece, tips, Torque wrench and tip wrench. It
remains the responsibility of the user to ensure that the processing as actually
performed using equipment, materials and personnel in the processing facility achieve
the desired result. This requires validation and routine monitoring of the process.
Likewise any deviation by the processor from the instructions provided should be
properly evaluated for effectiveness and potential adverse consequences.
The user shall also observe any applicable legal requirements in their country as well
as the hygiene regulations of the hospital or clinic. This applies especially with regard
to the additional requirements for the inactivation of prions.
Prepare
Manual pre-cleaning is required:
At the point of use: Immediately after use, rinse the lumen(s) line of the
handpiece/instrument with cold tap water. Coarse soiling must be removed.
Place the products on an appropriate rack to transport them to the reprocessing area
to avoid any product damage and contamination to the environment and people
involved in the reprocessing process.
PiezoLED handpiece:
• Separate the PIEZO tip and the PIEZO Scaler Tip torque but keep them together
throughout their life.
Any part must be cleaned manually or automatically by washer or disinfector. The legal
manufacturer recommends the use of an ISO 15883 compliant automatic washer-
disinfector (WD) for an optimal effectiveness and part service life.
AUTOMATIC MANUAL
Clean, disinfect and dry Clean
The washer-disinfector must comply The following process can be used with and
with ISO 15883, must have suitable without ultrasound.
baskets to hold small products and must DO NOT use any ultrasound bath cleaning
have rinsing connections with diameter of procedure with the handpieces: it may destroy
approximately 16mm for the attachment to the products. It is ONLY intended to be used
product lumen. with PIEZO Tips and PIEZO Endo Tip. In case
of ultrasound bath cleaning, place products in
Correctly place the product into a suitable a metal sieve and sonicate 10 minutes.
rack, connect all lumens to the rinsing
connectors and start the automated Brush the products 5
in a cleaning solution of
cleaning. 0.5% neodisher in deionised water at 40°C
with a suitable soft bristled brush6 until all
visible residue has been removed.
Instructions of the manufacturer of the For products with lumens, flush all
washer disinfector must also be observed. 15 s
lumens with a spray gun (water jet
gun, with a static water pressure
Carefully follow the instructions
of 2 bar) with cold tap water.
provided by the disinfection solution
manufacturer.
15 min Place the product in 0.5% solution
of neodisher5 with deionised water
The following automated process2 can be (10 min with
used to achieve an A0 Level of 3000: ultrasounds)at 40°C. Make certain that all
lumens are filled with cleaning
solution (use a syringe if needed).
3
2 min Pre-clean with cold tap water .
15 s Rinse all lumens by flushing with
Drain a spray gun (water jet gun, with a
static water pressure of 2 bar) with
3
5 min Clean at 55°C with tap water cold deionised water.
and 0.5% cleaning solution5.
10 s Rinse the whole product under
Drain cold running deionised water.
Dry
At room temperature (15-25°C), use an air
pistol (compressed air, max. 3 bars) to fully dry
the lumen and the whole product until no more
residues of water are present (visible or
detectable).
Verify the part to be fully dry. In case of detection of residues of water, remove
these using an air pistol (clean compressed air). Fully dry the lumen and the whole part
until no more residues of water are present (visible or detectable).
7 e.g. 2 gallons
Reassembly and packaging for sterilisation
Only previously cleaned and disinfected products can be sterilised.
Effective sterilisation can take place only on fully dry products. Ensure each part
(internal lumens and any surface) to be perfectly dry before reassembling and packing.
Prior to sterilisation, the products need to be reassembled for ready use and placed in
suitable sterilisation packaging.
PiezoLED handpiece:
• Reinstall the O-ring first, then put the PiezoLED light guide sleeve into the
PiezoLED Sleeve and screw it on the handpiece.
• Reinstall the small O-ring (gasket) first, and then gently screw the retention bolt
without tightening it.
DO NOT exceed
• the maximum number of sterilisation cycles allowed.
• a sterilisation temperature of 138°C and a holding time of 20 min.
DO NOT use hot-air sterilisation and radio-sterilisation procedures: they destroy the
products.
Moist heat sterilisation of products shall be performed according to ISO 17665 and in
compliance with respective country requirements.
The prevacuum moist heat (steam) process can be used with any EMS product
packaged in appropriate single or double pouches:
• 3 prevacuum phases
• Pressure of 3 bar8
• Humidity of 100%
• Minimum temperature of 132°C
• 3 min Hold time (full cycle)
(minimum)
• 20 min Dry
(minimum)
Users must ensure that the reprocessing processes, including resources, materials
and personnel, are capable to reach the required results and maintained over time: it
is the user's responsibility to ensure that validation of the reprocessing procedures is
kept up to date at all times.
Storage
Store the sterilised products at a temperature up to 40°C in a:
• dry,
• clean
• and dust-free environment.
8 Absoluter Druck
Service life
If the number of permissible re-sterilisation cycles is restricted, this will be stated in
the product’s specific Instructions for Use (if any) and/or in the “Service life” section of
the “Technical description” chapter.
The products have been designed for a large number of sterilisation cycles. The
materials used in their manufacture were selected accordingly. However, with every
renewed preparation for use, thermal and chemical stresses will result in the ageing of
the products.
The PiezoLED light guide sleeve loses its transparency after undergoing repeated
reprocessing cycles. Check the transparency of the PiezoLED light guide sleeve every
month and do the following:
5.1.2. Wear
KaVo PIEZO Tips must be checked regularly using the PIEZO wear indicator card.
Ultrasound instruments wear during use and become shorter. Worn instruments are
ineffective and are a cause of discomfort to the patient.
For precautionary reasons, do not exceed the validated lifespan of the components
(see the “Technical description” chapter).
Always use KaVo original parts. Using non original components may damage the
equipment, and practitioner or patient may be injured.
5.2. Troubleshooting
6. Sustainability
7. Warranty
Warranty is void if the device has been used with non-original KaVo PiezoLED
products. Warranty is void if the device has been opened.
EMS and the distributor of this device accept no liability for direct or consequential
injury or damage resulting from improper use, arising in particular through non-
observance of the instructions for use, or improper preparation and maintenance.
EMS declines the responsibility for the safety of the device and declares the warranty
null and void if service or repair is carried out by an unauthorised third party or if non-
genuine spare parts are used.
8. Technical description
Legal manufacturer EMS ELECTRO MEDICAL SYSTEMS SA, CH-1260 Nyon, Switzerland
Classification IEC Electrical Insulation Class-I
60601-1 Applied part Type B
Humidity protection class: IP X0
8.1. Symbols
General Warning
Read the operation instructions
Electronic instructions for use
Mandatory action
Expiration date
Do not do.
Disposal of old electronic equipment (European Union & other
countries with separate collection systems)
Sterilisable at up to 135°C in the autoclave
Thermal disinfection
Input
Output
Fuse
Wired foot pedal connection
Protection against water permeability
Applied part, type B
Manufacturer
Manufacturing date
Serial number
Catalogue number / Product reference
Medical Device compliant with EU Directive 93/42/EEC
Number of the Notified Body
Medical device
The electromagnetic compatibility has been validated on the final system composed of
the dental unit, the integrated PiezoLED scaler and its related accessories. Therefore,
for any information regarding electromagnetic compatibility, please refer to the
instructions for use of the dental unit.
ELECTRO MEDICAL SYSTEMS SA
Chemin de la Vuarpillière 31
CH - 1260 Nyon
www.ems-dental.com/en/contact
T. +41 22 99 44 700
F. +41 22 99 44 701
Distributed by
KaVo Dental GmbH
Bismarckring 39
D-88400 Biberach
Phone +49 (0) 7351 56-0
Fax +49 (0) 7351 56-1488