User Manual English - Velopex International
Contents
1. NOTE IF THE FAULT CANNOT BE LOCATED AND REPAIRED BY REFERRING TO THIS TROUBLESHOOTING GUIDE IT WILL BE NECESSARY TO ACQUIRE THE SERVICES OF MEDIVANCE TRAINED ENGINEER FOR A MORE THOROUGH DIAGNOSIS 20 November 2006 39 AQUACUT QUATTRO CONSUMABLE ITEMS AND SPARE PARTS Description Consumables 40 40 40 lo Gla 50 Pac 55 slid Containers of sodium bicarbonate ff Containers of aluminium oxide 29 micron ff Containers of aluminium oxide 53 micron 500ml Fluid es for cutting pack Feed line and Tips A2 Spare Parts 0 4mm 0 5mm 0 6mm 0 8mm dn an Fluid Tan Dosing c Foot ped an Twin tube ge 20ml Filter Elements 2 off Filter Assy 2 off Bottles oractice Green piece Blue piece Silver piece Gold Exhaust Powder Tank and Lid k and Lid hamber lid assembly al complete with hose ozzle cleaning wire Powder Storage Jar Flushing Syrin nternal nternal PD PD PD PAC 8202 Part No R8015 R 8025 R 8035 IC 0010P JASS 8007M FIT FIT FIT JASS 8189A JASS 8190A JASS 8191A JASS 8192A JASS 8193A JASS 8194A JASS 8195A JASS 8196A 8073P JASS 8197A 8101P 8198P JASS 8198A ASS 8020M 20 November 2006 36 AQUACUT QUATTRO2. JHL OL NO HSNd 323IdQNVH JHL OL G3NOLLISOd 513801 0334 3H1 OS dil 31V1OH TT E Q39VWON3 ATAYIS ILNA 31ZZON JHL dl JHL HSN 3AO8V NMOHS SY 8VL 2013 1 YIAO Q104 x 911 31950451 40 ININIDV 1038 AQUACUT QUATTRO 13 20 November 2006 DOSING CHAMBER POWDER CARTRIDGE REPLACEMENT S IYNDIH JDQIYLYUVI vt 3 WNININNTY ONISOG LL WNININNTY DNISOG 91 31VNO8HV2IS8 WNIGOS Y398WVHJ ONISOG vi 31VNO8HV2I8 WNIGOS U38WVHD DNISOG l AQUACUT QUATTRO 14 20 November 2006 INTERNAL VIEW OF AQUACUT QUATTRO 9 384 913 3231dANVH 1311600 d3G 10H 53 113 32018 HOL2313S 32018 TOYLNOD 93113 TYNYILNI XNVL AINT 15 3SV313H 9 LE Ov 6 6 L AQUACUT QUATTRO 15 20 November 2006 INTERNAL FILTER ASSEMBLY 51 FILTER COVER WITH SPRING 52 FILTER ELEMENT 53 ONE WAY VALVE PLUG 54 FILTER BASE FIGURE 7 20 November 2006 16 AQUACUT QUATTRO CONTROL BLOCK T g gt gt lt a x ex 2 Wn JE 2 ow 50242 lt 50 _ _ lt OoZzE lt xI lt uWun lt axa
3. k f Unit Installation Operation and Maintenance manual WARNING Do not connect to the air supply before LJ BY MEDIVANCE CONTENTS PAGE TABLE OF SYMBOLS 2 TECHNICAL DESCRIPTION 3 INDICATIONS FOR USE AND WARNINGS 6 RECOMMENDED ACCESSORIES 7 CONTENTS OF THE PACKAGING 8 EXTERNAL AQUACUT QUATTRO FEATURES 9 REAR VIEW OF AQUACUT QUATTRO 10 HANDPIECE 11 HANDPIECE TIP REPLACEMENT AND STERILISATION 12 DOSING CHAMBER POWDER CARTRIDGE REPLACEMENT 13 INTERNAL VIEW OF AQUACUT QUATTRO 14 INTERNAL FILTER ASSEMBLY 15 CONTROL BLOCK 16 SITING THE AQUACUT QUATTRO 17 MACHINE INSTALLATION 18 PREPARING TO USE THE AQUACUT QUATTRO FOR THE FIRST TIME 21 REMOVING AND REFITTING THE DOSING CHAMBER LIDS 23 20 November 2006 AQUACUT QUATTRO REMOVING AND INSERTING A POWDER CARTRIDGE 23 STERILISING THE HANDPIECE 24 REMOVING AND REPLACING A HANDPIECE 25 USING THE AQUACUT QUATTRO 26 THE FIRST STEPS TO MASTERING THE AQUACUT QUATTRO 27 MAINTENANCE OF THE AQUACUT QUATTRO 30 TROUBLESHOOTING 36 CONSUMABLE ITEMS AND SPARE PARTS 38 NOTES 39 TABLE OF SYMBOLS 20 November 2006 2 AQUACUT QUATTRO 20 November 2006 3 AQUACUT QUATTRO TECHNICAL DESCRIPTION READ THIS MANUAL FULLY BEFORE ATTEMPTING TO INSTALL OR USE THE AQUACUT QUATTRO MACHINE he AQUACUT QUATTRO fluid abrasion unit is a twin dispenser system This allows the user to elect either Cutting or Polishing Powders
4. Fill the Cutting Fluid Tank item 19 For the next two settings the AQUACUT QUATTRO will need to be switched on at the on off Switch item 1 The pressure of the abrasive laden air that will flow from the nozzle can be set by turning the air pressure control item 4 on the front panel and observing the gauge item 8 The air pressure options are Area I low energy gentle action TO Area 3 high energy very fast cutting Refer to the USER MANUAL for quidance in selecting the correct air pressure settings The amount of powder entrained in the air flow can be set by turning the flow control item 2 The abrasive content options are Low powder content slow cutting cleaning TO 3 High powder content very fast cutting cleaning Refer to the USER MANUAL for quidance in selecting the correct abrasive content FLUID SYSTEM 20 November 2006 2 AQUACUT QUATIRO The amount of fluid delivered to the cutting nozzle is factory preset The flow rate is controlled automatically depending on the selected nozzle size and air pressures When re filling the Fluid Tank the smaller tube of the twin assembly will need to be purged of any air that may have entered the system To achieve this turn the powder setting to item 2 this will prevent unnecessary powder being expelled from the handpiece Point the handpiece in a safe direction i e the inlet of the e
5. Connect one end marked with a black sleeve to the outlets of the machine item 6 amp 7 7 Unpack and connect a 0 6mm nozzle Handpiece to the other end of the twin tube Slide the handle item 27 onto the twin tube item 26 then firmly push the two tubes onto the Hand Grip item 29 until they are fully located Then slide the handle back onto the Hand Grip until it clicks into position Handpiece sizes are as follows Blue 0 5 Optional extra Silver 0 6mm Supplied Gold 0 8mm Optional extra NOTE The nozzle item 31 and Hand Grip item 29 are permanently connected and should not be separated To change the nozzle cutting sizes simply change the complete handpiece 8 Assemble a replaceable feed line and tip item 30 to the nozzle ensuring that it is firmly pressed on and square see Figure 4 Push the tube into the Handpiece connector underneath the nozzle 9 Check the Dosing Chamber Lids item 14 amp 16 are correctly fitted See page 21 10 Wear safety goggles Turn on the air supply to the machine item 1 by selecting the appropriate gas setting I Air Il Secondary gas not recommended at this time 20 November 2006 19 AQUACUT QUATIRO Rotate the 2 lower rotary control knobs from high to low setting then set the speed control to I centre position and the Powder control to 2 centre position Pick up the Handpi
6. NOTES 20 November 2006 37 AQUACUT QUATTRO BY MEDIVANCE MEDIVANCE INSTRUMENTS LTD Barretts Green Road Harlesden London NW10 7AP UK Tel 44 0 20 8965 2913 Fax 44 0 20 8963 1270 www velopex com Medivance Aquacut Quattro Operating Manual UK 50 Issue 4 20 11 06 Pt No I LIT2807P Velopex is a trademark of Medivance Instruments Ltd
7. To fit a new hanapiece slide the handle item 27 onto the twin tube item 26 then firmly push the two tubes onto the Hand Grip item 29 until they are full located Then slide the handle back onto the Hand Grip until it clicks into position To fit the disposable feed line and tip item 30 first fold over the O ring locking tab of the plastic tip and push squarely onto the Hand Grip item 29 until firmly engaged Rotate the tip so that the feed line is positioned centrally underneath the nozzle 20 November 2006 24 AQUACUT QUATIRO Finally push the feed line onto the connector The feed line and tip are for one time use only To prevent cross contamination always use new disposable feedline and tip item 30 with each patient Always flush the fluid through the tube system for 20 seconds before initial use and at the start of every day 20 November 2006 25 AQUACUT QUATTRO USING THE AQUACUT QUATTRO ATTENTION Please read all the following important warnings before using the Aquacut Quattro Only qualified dentists and dental hygienists should use the Aquacut Quattro on patients after reading this manual fully Before using the Aquacut Quattro the person operating the unit any assistants the patient and anyone else in the room must wear eye protection to BS EN 166 IF 4 5 and except for the patient they must all wear respiratory masks to EN 149 25 The disposable tip and fe
8. item 30 with each patient WARNING For this section it is important to use high speed evacuation close to the cutting nozzle item 31 while following the procedures below All persons in the area must wear eye protection to BS 166 1F 4 5 and respiratory masks to EN149 FFP2S Aquacut Quattro tips are designed for use only with the Medivance Aquacut Quattro Attempts to use with any other micro abrasion machines could be hazardous When fitting a new tip ensure that it is firmly engaged on the cutting nozzle In most cases wear on the plastic tip should last long enough for one treatment However in the case of prolonged treatment the fluid flow through the nozzle may reduce and become uncontrolled If this occurs replace with a second tip In the pack that comes with the machine are some Imm thick glass microscope slides that show a close similarity in hardness to tooth enamel Cutting through these slides with various combinations of abrasive powder grade air pressure abrasive flow and nozzle diameter will give you a graphic display of the speed of penetration and the size and shape of the cuts that are available before you progress to cutting teeth Refer to the USER MANUAL and read it thoroughly before proceeding to cut the glass slides or extracted teeth To start choose settings that cover a typical procedure that you would want to use on a patient NOTE Confirm the grade of the powder selected by observing the colour
9. pum D C LT 20 November 2006 32 AQUACUT QUATIRO Switch the machine Using the Selector Switch item 3 switch select the Red Blue Dosing Chamber press Cut on the Foot Pedal while aiming the nozzle at a piece of tissue paper from a distance of about 25mm 1 inch Check that a central ring of white powder inside an outer ring of fluid can be seen Next press WASH on the Foot Pedal while aiming the nozzle at a piece of tissue paper at a distance of about 25mm 1 inch This time you should observe a ring of fluid with no powder Switch to the White Dosing Chamber purge the line for 10 seconds to clear any residual powder Press while aiming the nozzle at a piece of tissue paper at a distance of about 25mm 1 inch This time you should observe a ring of fluid with no powder There is no powder cartridge in the selected Dosing Chamber S Finally add a Powder Cartridge to the White Sodium Bicarbonate Dosing Chamber and check that the CUT WASH DRY functions of the machine work satisfactorily when each Chamber is selected Switch off the machine and fit the required Powders into the Dosing Chambers The machine is now ready for use gt SES 20 November 2006 33 AQUACUT QUATTRO TROUBLESHOOTING Symptom The unit does not operate when foot pedal is depressed Action I Ensure that the compressed air
10. IFZ amp FEtF gt m lt ay SSSR 90065 x 5 5 AN m un o LL og gt zt O AY Id 5 z 9 EU cc p 44 49 i AIR FLOW DIRECTION 48 20 November 2006 17 AQUACUT QUATTRO SITING THE AQUACUT QUATTRO Familiarise yourself with the layout of the AQUACUT QUATTRO by referring to the illustrations within this manual The machine is designed to be used on a rigid table top or on a purpose built dental cart with the controls in easy reach of the Dentist Do not place the machine close to the edge or allow overhanging of the table top NOTE Consideration must be given to the fact that the AQUACUT QUATTRO uses light vibration to dispense the abrasive powder and any lack of rigidity of the table or work surface will adversely affect the maximum flow rate of the powder Site the foot pedal item I 1 within easy reach of the Dentist and route the hose to the rear of the machine 20 November 2006 18 AQUACUT QUATIRO MACHINE INSTALLATION Before proceeding to install the Aquacut Quattro ensure the air supply is available and meets the site requirements detailed on page 2 and in the section Technical Description on page 3 Always ensure safety goggles are worn by everyone in the area when setting up or using this equipment Always ensure the handpiece is under
11. each time you change between the two dosing chambers using the powder selector control item 3 on the front panel f each time the air pressure is adjusted item 4 on the front panel g each time the abrasive powder flow is adjusted item 2 on the front panel each time a handpiece is replaced To purge the feed tube and handpiece of any previously used powder and charge with the new powder hold the handpiece and direct the nozzle into the inlet of the evacuation unit which must be turned on Now press the CUT bottom position of the foot pedal item 11 for 10 seconds minimum and observe the flow of abrasive powder as it is emitted from the nozzle This will not only charge the feed tube and handpiece with the new abrasive powder and flush out any previous powder it will also allow you to see how the powder will look as it comes out of the nozzle 20 November 2006 26 AQUACUT QUATIRO FIRST STEPS TO MASTERING THE AQUACUT QUATTRO NOTE Should the Aquacut Quattro cease to operate correctly or its performance deteriorate or it becomes difficult to control refer to the trouble shooting guide at the back of this manual WARNING If the Aquacut Quattro is dropped or otherwise damaged it must not be used until service engineer has inspected the unit WARNING The feed line and tip are for one time use only To prevent cross contamination always use new feed line and tip
12. instantly The Dosing Chambers can be loaded with ither 29 or 53 micron aluminium oxide for tooth reduction and fine granular sodium icarbonate for tooth cleaning and polishing he AQUACUT QUATTRO is entirely pneumatic in operation and therefore the only supply eeded to the machine is a clean dry air supply of between 5 bar 72 psi and 7 5 bar 09 psi to ISO 8571 1 class 1 4 1 This can be the dental practice s existing air supply system an independent compressor or bottled air nitrogen Secondary gas supply is not recommended at this time It is essential that a high performance water removing filter and a shut off valve are fitted in the supply line see section on recommended accessories The incoming air to the AOUACUT QUATTRO is internally regulated to 7 5 bar 109 psi max for the pneumatic control system with and supply to the powder cartridge chambers to 5 bar 72 psi The flow of clean dry air to the handpiece is initiated by depressing the foot switch roller down to the first index position Felt as 1 resistance point to downward movement The flow of clean air and fluid to the handpiece is initiated by depressing the foot switch roller down to the second index position Felt as 274 resistance point to downward movement The flow of powder and fluid to the handpiece is initiated by depressing the foot switch roller fully down Residual powder in the line to the handpiece is vented into a filtered exhaust collector inside the
13. of the powder container in the selected dosing chamber Red 53 micron aluminium oxide Blue 29 micron aluminium oxide Clear W hite Sodium Bicarbonate Handpiece sizes are as follows Blue 0 5mm Optional extra Silver 0 6MM Supplied Gold 0 8mm Optional extra 20 November 2006 27 AQUACUT QUATTRO With the Aquacut turned on and all the settings made switch on your aspirator and hold the glass slide in front of its inlet tube Hold the handpiece with the cutting nozzle item 31 facing the glass slide and 1 5mm from its surface Press the foot switch to operate the Aquacut Quattro The foot switch has three control positions depending on the area that is pressed The modes of operation are as follows Position Operation Action Fuly down Fluid cutting Powder and fluid are supplied from the handpiece iddle Wash Clean air and fluid are supplied from the handpiece Upper Dry Clean dry air is supplied from the handpiece Practise moving your foot through the cut wash dry positions so that you gain confidence and experience with the way the foot switch operates t is important to observe how the abrasive rebounds from the cut surface Practice moving the aspirator inlet tube as the handpiece moves so that waste materials are efficiently collected Important Ihe inside mouth area is much more enclosed than the open work surface The result is in a greatly reduced spread of abrasive material in the
14. over the outside of the particle stream and acts to contain the cutting medium within the cutting area In this way the amount of airborne Aluminium Powder Sodium Bicarbonate is significantly reduced 4 TIDE TD KE i 123 1 O 20 November 2006 4 AQUACUT QUATTRO There are four controls available to the user the Air 2 supply selector Cut Polish Powder selector Powder volume and Cutting Polishing speed The air pressure Speed at the handpiece be adjusted over a variable range of 1 3 The Powder volume can be adjusted over a variable range of 5 The handpiece with fitted tungsten carbide tipped nozzles is easily removed from the air line for cleaning sterilizing or replacement WARNING WHEN OPERATING THE AQUACUT QUATTRO IT IS ESSENTIAL THAT A FILTERED HIGH SPEED INTRA ORAL EVACUATION UNIT IS USED AT ALL TIMES IT IS ALSO RECOMMENDED THAT A FILTERED EXTRA ORAL EVACUATOR IS ALSO USED 20 November 2006 5 AQUACUT QUATTRO The overall dimensions of the AQUACUT QUATTRO Width 250mm 9 8 Inches Height 240mm 9 4 inches Depth 230mm 9 1 inches Nett weight 7 5kgs 16 5 Ibs The AQUACUT QUATTRO is a class lla medical device TYPICAL CUTTING PERFORMANCE THROUGH 1mm OF GLASS 0 5mm Dia nozzle 29 micron aluminium oxide 3 bar cutting pressure Low vibrator pressure 10 seconds 7 bar cutting pressure High vibrator p
15. section STERILIZING THE HANDPIECE on page 22 Blockages f the abrasive powder ceases to flow from the nozzle item 31 while cutting is in progress the nozzle may have become blocked with abrasive particles Release the foot pedal item I 1 as soon as a blockage is suspected to minimise the amount of powder collecting behind the nozzle Aim the nozzle item 30 into the inlet of your evacuation unit and make sure the evacuation unit is turned on while you turn the AQUACUT off at the on off selector item 1 Wait for the air to be exhausted from the machine about 20 seconds before proceeding ow remove the handpiece and clear the blockage by inserting a length of 0 35mm wire supplied through the nozzle from the tip Stubborn blockages may be loosened by immersion in an ultrasonic cleaning bath Inspection Regularly inspect the cutting nozzle and handpiece for excessive wear or damage Do not use a Handpiece if the hole in the tip of the nozzle is worn to the outer edge or if the abrasive perforates the swan neck tube TWIN TUBE ASSEMBLY Cleaning The Twin Tube Assembly item 26 must not be autoclaved Wash the Twin Tube Assembly in mild soapy water and rinse thoroughly Allow to dry completely before use Always purge the tubes with Powder and Fluid thoroughly before use Inspection Ensure the Twin Tubes are in good condition and fit together correctly with the Handpiece Test the Check Valve item 33 is functioning T
16. supply is at the specified pressure is connected and turned on 2 Ensure that the unit is switched on and that the air pressure and powder flow controls are set to a minimum of 1 on both of the settings This should ensure that the unit will start correctly 3 Check that the foot pedal hoses have been correctly connected to the back of the machine 4 Ensure that the dosing chamber lids have been fully engaged Incorrect fitting will result in a significant leakage of air from the dosing chamber To remedy turn the unit off and carefully wipe the inner Lid seal and Dosing Chamber sealing face Fully screw down the lids so that the black line on the Lids points directly forwaras 5 Check that the pneumatic system has not been contaminated by wet compressed air Should this have occurred it will be necessary to change the airline filters clean or replace the airline and acquire the services of a Medivance trained engineer to assess the damage to the Aquacut Quattro unit Symptom The vibrator does not operate when the foot pedal is depressed Action Ensure that the compressed air supply is at the specified pressure is connected and turned 2 Check that the foot pedal is connected correctly and that its free movement is not prevented by its position or some foreign body 3 Check that the pneumatic system has not been contaminated by wet compressed air Should this have occurred it will be necessary to cha
17. these tubes and filters can be easily replaced without the need for specialist tools The procedure should take no longer than 15 minutes For spare parts you will need to specify the machine Serial Number shown on the technical abel on the back of the machine You will need both a medium size flat and a cross head screwdriver WARNING Turn off the air supply at the wall outlet and disconnect the air and Secondary Gas supply inlet connections item 24 amp 25 at the rear of the machine before attempting any maintenance The abrasive tubes are connected inside the machine using collet lock fittings To disconnect the tube from this type of fitting proceed as follows and refer to the diagram opposite I Push and hold the tube towards the fitting 2 Push in and hold the fitting collar 3 Pull the tube out of the fitting To reassemble simply push the tube firmly into the fitting To replace the pinch tubes proceed as follows Refer to Figure 8 I Press lightly down on the top of the machine pull the Release Catch item 5 and allow the front of the machine to open Supporting the machine pivot the upper part of the machine fully over and until the cover item 15 rests on the work surface and the inside is presented as shown in figure 6 2 Locate the Pinch Block item 49 and Pinch valves items 42 43 44 amp 45 e IDE 20 November 2006 3l AQUACUT QUATIRO 3 No
18. 004 N33H9 NOIL23NNOO TW03d 1004 NOILO23NNOO 1VQ3d 1004 LIHM NOLLOJ3NNOO 1 034 1004 St vi AQUACUT QUATTRO 20 November 2006 HANDPIECE 3A1VA 323HD EE NOLLO3NNOO AINT ct 31770 LE 417 3NI10333 08 9140 GNVH 6c 4301 131109 8c 44 NIML 9c TE wall NOLLO3NNOO OL380 1 TIVWS 1D3NNOD 385913 Z WILI 100 OL 3861 TIVWS 1D3NNOD L38NDIY 9 WILI YAGMOd OL 380 11 39uV 1 1D3NNOD 33n9l4 LE W3LI A1ZZON OL 398NL 398 1 LOANNOD AQUACUT QUATTRO 12 207 November 2006 HANDPIECE TIP REPLACEMENT AND STERILISATION SI ADN3IDI333 ONILLND JHL N3HM Q32V 1038 38 5 323IdQNVH 541 ONILLND 175312 OG d313V G32V 1438 38 GINOHS SLYVd 2115 14 3HL YISMIYILS NI 32V1d NMOHS SV 323IdQNVH 31 435 131102 43NNI m P 4 GE NMOHS SV dil 318VSOdSIG JHL 3AOW38 323IdQNVH 40 5 9315 39913 SNOGYVZVH 38 01102 S3NIHOVIN NOISYHEV OYDIN HLIM WAHL JSN OL S1dW3LIV OHLIVND 32NVAIO3W FHL ISN G3NDISIG 540 353H1 DSNINSVM 350 YILHV diL JHL TYNNYW NOLLVH34O OHLIVND 3HL MOTION QV38 GALVYLSNTI SV 317ZON DNLLLND IHL 035V5N3 SI LI 380SN3 dli MIN V NIHM AINO FSN 3WLL JYV 511 318vSOdSIQO 71 INVLUOdWI
19. ING TO USE THE AQUACUT QUATTRO FOR THE FIRST TIME 20 November 2006 20 AQUACUT QUATTRO Use only original Medivance consumable products powders as other makes may damage or alter the performance of the Aquacut Quattro and make the machine dangerous Refer to the USER MANUAL for guidance in selecting the correct powders The Handpieces item 18 are supplied clean but not sterilised It is therefore essential that they are sterilised before use and between every patient Refer to the following sections when preparing the Aquacut Quattro for first time use STERILISING THE HANDPIECE PAGE 22 REMOVINGAND REPLACING HANDPIECE PAGE 22 REMOVING AND REFITTING THE DOSING CHAMBER LIDS PAGE 21 REMOVING AND INSERTING A POWDER CARTRIDGE PAGE 21 Proceed as follows Check the machine is switched OFF item The hanapieces which are supplied with the cutting nozzles permanently attached are designed to be repeatedly autoclaved for their sterilisation Refer to the section headed STERILISING THE HANDPIECE in this manual before use on patients Fit the required size of handpiece to the Twin Feed Tube item 26 Refer to the USER MANUAL for guidance in selecting the correct nozzle Fit the disposable feed line and tip item 30 to the handpiece nozzle Fit the required Powder cartridges into the dosing chambers Refer to the USER MANUAL for guidance in selecting the correct powder for a particular procedure
20. T HAND ALUMINIUM OXIDE 29 or 53 micron RED BLUE RIGHT HAND 19 Refer to Figure 5 Take a Clear white sodium bicarbonate powder cartridge for insertion into the Left Hand Chamber Remove the lower yellow draw tab A Position the cartridge over the dosing chamber item 13 ensuring that the flat on the cartridge matches the dosing chamber Insert the cartridge ensuring the rib slides down the slot inside the Dosing Chamber The upper flange should rest on the top face of the chamber Remove the upper yellow top seal Replace the dosing chamber lid tightly The black marker line should face forward 20 Repeat the procedure to insert the required cutting powder in the Right Hand Chamber Item 17 Red Blue 21 the handpiece into the aspirator and turn on the Air Supply to position I item 1 Press the foot pedal to CUT position and check the machine is operating and powder is flowing Recheck the three Foot pedal operation modes see 14 above 22 Test Aim the handpiece at about 25 30mm from a piece of tissue paper and press on foot pedal Check that a ring of white powder inside an outer ring of fluid can be seen This is best carried out in a sink area to help contain the powder 23 A secondary Gas supply is connected NOT RECOMMENDED AT THIS TIME select II item1 and repeat the test in 22 above 24 The machine is now set up for use Turn off machine Remove handpiece PREPAR
21. control and the nozzle is pointing in a safe direction Do not turn on the air supply until you have read the complete manual particularly the section headed Removing and Refitting the Dosing Chamber Lids and made sure that both lids item 14 amp 16 are correctly and fully engaged To prevent unnecessary use of powder only fit the powder cartridges when required Refer to Figures 1 2 3 4 5 amp 6 during the installation process I Remove the machine from the box and place it onto the working surface 2 Connect the foot valve to the back of the machine by pushing each coloured tube fully into the four corresponding colour coded connectors items 20 25 To disconnect first push the coloured connector collet inwards and hold then push the tube inwards and then pull out 3 Connect the 4mm Blue supply line from the air supply outlet to the air inlet of the machine item 24 4 Red supply line connection for Secondary Gas supply outlet to the machine item 25 NOT RECOMMENDED AT THIS TIME 5 By pressing lightly down on the top of the machine pull the Release Catch item 5 and allow the front of the machine to open Slide out the Fluid Tank item 19 from the machine and fill with Cutting Fluid Replace the Tank Lid and slide back into position Press down on top of the machine until the Release Catch operates to hold the front of the machine down securely 6 Unpack the Quick Connect Twin Tube Line item 26
22. e consumable products powders etc as other makes may damage or alter the performance of the Aquacut Quattro and make the machine dangerous Always ensure safety goggles and everyone in the area when setting up or using this equipment wears respiratory masks Always ensure the handpiece is under control and the nozzle is pointing in a safe direction Handpieces MUST be sterilised before first use and between patient treatments Disposable feedline and tips are for one time use only Always use a new feedline and tip with each patient RECOMMENDED ACCESSORIES WARNING ALL REPLACEMENT PARTS AND CONSUMABLES MUST BE SOURCED FROM MEDIVANCE INSTRUMENTS TO ENSURE CORRECT AND SAFE FUNCTIONING OF THE AQUACUT REFER TO PAGE 33 FOR DETAILS The following parts are available for the preparation of the Aquacut Quattro air supply 20 November 2006 AQUACUT QUATIRO Breathing air filter unit I FIT 8200P Shut off tap FIT 820IP Pressure regulator FIT 8202P Filter Regulator Tip 6mm Hose 4mm Hose to 4mm Converter Quick Release Fittings Replacement Upper Cartridge for Breathing Air Filter Replacement Lower Cartridge for Breathing Air Filter Quick release Twin feed tube assembly 20 November 2006 8 AQUACUT QUATTRO CONTENTS OF THE PACKAGING KRW NJ gt Aquacut Quattro fluid abrasion unit Three p
23. ece and pointing nozzle into safe suitable place sink bin aspirator etc Press down onto the WASH position of the foot pedal to operate the machine Check after a few seconds that fluid is being drawn up the fluid tube Continue to operate until the fluid sprays a fine mist from the nozzle 1 2 Release the DRY position of the foot pedal to check that air continues but fluid stops 13 Press the foot pedal fully down CUT to check that the vibrators work and fluid flows Rotate the Powder Selector Switch item 3 to check that the other pot vibrates 14 Mode of operation for the foot control is as follows CUT Fully Down Position Vibration Powder Fluid WASH Middle Position Fluid Clean air DRY Upper Position Dry clean air 15 Switch off the machine using the rotary off switch item 1 16 Wait The machine will take approximately 20 SECONDS to depressurise before the Dosing Chamber Lids can be unscrewed and removed 17 following instructions cover the insertion of a new powder cartridge into a dosing chamber for the first time On any subsequent occasion refer to the section headed REMOVING AND INSERTING A POWDER CARTRIDGE 18 ENSURE THE APPROPRIATE POWDER IS INSERTED INTO THE CORRECT CHAMBER AS FOLLOWS Powder Type Colour Code Position SODIUM BICARBONATE WHITE LEF
24. ed tube are for one time use only and must be changed for each patient The must always be autoclaved sterilised between patients Patients who are on restricted sodium diets or have respiratory problems should consult their physicians before having treatment with Aquacut Quattro Aquacut Ouattro may cause soft tissue damage including inflammation and bleeding and creation of an air embolism Aquacut may cause hard tissue damage including etching or abrasion of enamel or exposed root surfaces of the teeth When switching powders especially from Aluminium Oxide to Sodium Bicarbonate the powder line must be purged by pressing the bottom position of the foot pedal for 10 seconds minimum Aim the handpiece nozzle into the aspirator system to contain the powder Before operating the Aquacut Quattro you must be in full control of the handpiece item 18 and be pointing the nozzle item 31 in a safe direction n the following circumstances the powder lines and handpiece must be purged of any previously used powder a each time the AQUACUT QUATTRO is switched on b each time a new cartridge of abrasive powder is loaded into the dosing chamber each time a cartridge of abrasive powder is replaced with another grade even if the replacement powder cartridge has been used before 4 each time a cartridge of abrasive powder is replaced with the same grade even if the replacement powder cartridge has been used before
25. he dosing chamber item 13 17 ensuring that the flat on the powder cartridges skirt is in line with the flat inside the dosing chamber nsert the cartridge into the dosing chamber so that the rib on the cartridge slides down the siot inside the dosing chamber The powder cartridge will slide fully down until its top flange rests on the top face of the dosing chamber If the powder cartridge will not go fully down remove and check that the rib on the powder cartridge skirt slides down the slot in the flat inside the dosing chamber and try again Peel off the upper yellow sealing tab 20 November 2006 23 AQUACUT QUATIRO Finally refit the dosing chamber lid ALWAYS ENSURE THE CORRECT COLOUR CODED LID IS FITTED TO THE CORRESPONDING CHAMBER AS FOLLOWS White Left Hand Lid Cleaning Powders Red or Blue Right Hand Lid Cutting Powders STERILIZING THE HANDPIECE The handpiece has been designed for reprocessing using a steam sterilizer The handpieces are supplied clean but not sterile therefore it is essential that they are sterilized before first being used and between patients Before sterilizing the handpieces should be thoroughly washed in mild soapy water cleaned and rinsed to remove any debris An ultrasonic cleaning bath can also be used To ensure satisfactory steam penetration during sterilization it is important to check that the two channels through the handpiece are clear and unblocked To te
26. he valve prevents fluid being forced back down the tube during use 20 November 2006 30 AQUACUT QUATIRO Check 1 With the twin tube filled with fluid disconnect the tube at the Fluid Out connection item 7 Hold the handpiece up vertically and check that the fluid in the tube does not drip from the disconnected end Reconnect the tube Check 2 With the machine in the ready to use condition press the Wash control on the foot pedal and gently press the plastic tip on the end of the nozzle down onto a flat surface e g a glass slide The fluid should be prevented from blowing back down the fluid line past the handpiece The joint between the plastic tip and feedline may also disconnect Replace the whole Twin Tube Assembly if any faults are found REPLACING THE ABRASIVE TUBE ASSEMBLY AND INTERNAL FILTERS The Aquacut Quattro uses a system of pinched tubes items 43 44 45 amp 46 to control the abrasive powders supplying the handpiece Over time these wear and should be replaced every 12 months If the Aquacut Quattro exhibits an audible air leak from inside the machine and performance falls below standard it is possible that one of these abrasive tubes has split near one of the pinch valves The Aquacut Quattro also has 2 internal air filters items 35 that protect critical components These should be visually inspected at the same time and if necessary replaced The Aquacut Quattro has been designed so that
27. ith the case or the dosing chambers The dosing chambers are polycarbonate pressure vessels and must be inspected for any visible damage each time a new container of abrasive powder is loaded into them If any damage is evident the Aquacut Quattro should not be used until a Medivance approved service engineer has inspected the machine 20 November 2006 29 AQUACUT QUATTRO EMPTYING AND CLEANING THE FILTERED EXHAUST COLLECTOR At the beginning of each day it Is necessary to empty the powder exhaust tank item 9 and clean the filter item 38 Press lightly down on the top of the machine pull the Release Catch item 5 and allow the front of the machine to open Supporting the machine pivot the upper part of the machine fully over and until the cover item 15 rests on the work surface and the inside is presented as shown in figure 6 Slide the Powder Tank item 9 out of position remove the lid and empty the contents into a waste bin DO NOT RE USE as the powder is contaminated with cutting polishing Replace the tank lid and slide back into position Remove the filter pad from the filter item38 shake to clean and refit Refill the Fluid Tank Pivot over the top of the machine and press down until the Release Catch item 5 operates to hold the front of the machine down securely HANDPIECE Cleaning Handpieces must be cleaned and STERILIZED before first use and between every patient See the separate
28. m 31 is aimed into the inlet of your evacuation unit and the evacuation unit is turned on while the Aquacut Quattro is being turned on I or or off at the selector switch item 1 Wait until the air has been exhausted from the machine before carrying out any cleaning or maintenance on the machine Always ensure safety goggles are worn by everyone in the area when setting up testing or using this equipment Always ensure the handpiece is under control and the nozzle is pointing in a safe direction ANNUAL SERVICE AND SAFETY CHECK For the continuing safe and reliable functioning of the AQUACUT QUATTRO it is recommended that you contact your supplier or Medivance Instruments and book an annual service and safety check Ensure the twin tube assembly is replaced annually or when damaged This will take only a short time and ensure the continued integrity of your AQUACUT QUATTRO CLEANING THE AQUACUT QUATTRO Keep the casing the dosing chambers item 13 17 and their lids item 14 16 clean with a pure water dampened cloth taking care not to allow any liquid to get inside the machine Use only mild soapy water for cleaning the case and dosing chambers The inside of the dosing chambers lids and the powder cartridges must be kept dry at all times INSPECTION OF THE DOSING CHAMBERS WARNING under no circumstances must any other cleaning agent including surface wipes containing alcohol come into contact w
29. machine when the roller is allowed to return to the upper position The foot pedal actuates a purpose built pinch valve block within the Aquacut Quattro which turn controls the flow of the abrasive laden air he pinch valve tubes are easily changed on a routine basis in a few minutes without the use f special tools he abrasive powders are supplied in sealed colour coded single use cartridges that are calibrated to supply the correct range of flow rates for each powder The powder cartridges can be changed at any time by simply switching the Aquacut Quattro off removing the lid from the dosing chamber lifting out the powder cartridge and sliding in a new one after removing the two yellow sealing tabs Replace the dosing chamber lid switch on the supply and the unit is ready for use again When in use the dosing chamber lids are held securely in place automatically and cannot be inadvertently removed while under pressure To undo a lid the Aquacut Quattro must be switched off this automatically vents the internal pressure from the complete unit Residual powders in the lines are filtered into the exhaust collector Complete depressurisation of the machine takes about 20 30 seconds The Aquacut Quattro fluid runs in a parallel path to the handpiece tip where it combines with the cutting medium The fluid is drawn up the twin supply tube to the tip by the venturi effect of the particle air stream At the tip the fluid is ejected as a conical spray
30. ne down securely It is important that the machine is now tested to ensure that the piping of the machine has been carried out correctly To Test proceed as follows a Place one cartridge only of Powder into the White Sodium Bicarbonate chamber Ensure the Red Blue Dosing Chamber is empty Wear Safety Goggles Switch the machine on and check for air leaks Using the Selector Switch item 3 switch select the White Dosing Chamber and press Cut on the Foot Pedal while aiming the nozzle at a piece of tissue paper at a distance of about 25mm 1 inch This is best carried out in a sink area to help contain the powder Check that a central ring of white powder inside an outer ring of fluid can be seen eJ Next press W ASH on the Foot Pedal while aiming the nozzle at a piece of tissue paper at a distance of about 25mm 1 inch f This time you should observe a ring of fluid with no powder g Switch to the Red Blue Dosing Chamber purge the line for 10 seconds to clear any residual powder h Press CUT while aiming the nozzle at a piece of tissue paper at a distance of about 25mm 1 inch This time you should observe a ring of fluid with no powder There is no powder cartridge in the selected Dosing Chamber jj Turn the machine off and move the powder cartridge so that the Red Blue cutting powder Dosing Chamber has powder loaded and the White Dosing Chamber is empty
31. nge the airline filters clean or replace the airline and acquire the services of an engineer to assess the damage to the Aquacut Quattro unit Symptom No air flow through the nozzle Action I Ensure that the compressed air supply is at the specified pressure is connected and turned on 2 Ensure that the air pressure regulator is not set at too low value minimum setting of should give detectable airflow 3 Check that the nozzle is not blocked If blocked remove the handpiece and clear the blockage with a cleaning wire Symptom Irregular flow or no flow of cutting fluid to the tip Action 20 November 2006 34 AQUACUT QUATIRO Worn feed line and tip In most cases the wear on the plastic tip should last long enough for a patient treatment Prolonged treatment may result in premature wear which may result in reduced or uncontrolled flow Replace with a second tip 2 Ensure the plastic tip is firmly engaged on the cutting nozzle 3 Check the fluid tank is not empty and the tube the tank is fully submerged 4 Blockage in the supply line Check the clear twin tube for evidence of material blocking the tube 5 Leaking joint air bubbles in the feed pipe indicates that air is seeping into a joint The replace part eaking point can be identified from the spot where the air appears Check the joint and
32. normal working area Try cuts of about 2 seconds duration and observe the results Repeat the cut with the nozzle at varying angles to the surface of the glass slide until you feel confident that you can predict the results and aspirate effectively Move the cutting tip backwards and forwards over the area to be cut to examine various cutting methods and results Practise using all three cutting media to evaluate the differing performance and results The next step is to practise cutting into an extracted tooth In the same way modify the various settings in the light of the results you achieved on the glass slides until you are satisfied with the results Finally refer to the USER MANUAL read it thoroughly again before selecting the various settings suggested for the procedure you wish to perform and before using the AQUACUT QUATTRO on a patient for the first time WARNING Special consideration must be given to the use of the Aquacut Quattro on patients who have RESPIRATORY DIFFICULTIES ASTHMA A COLD BLOCKED NASAL PASSAGES RESTRICTED SODIUM DIET ANY OTHER MEDICAL PROBLEM THAT MAY PREVENT THE PATIENT FROM BREATHING THROUGH THE NOSE ANY PATIENT SUFFERING FROM ANY OF THE ABOVE CONDITIONS SHOULD CONTACT THEIR PHYSICIAN BEFORE HAVING TREATMENT WITH AQUACUT QUATTRO QU RUWUN 20 November 2006 28 AQUACUT QUATTRO MAINTENANCE OF THE AQUACUT QUATTRO WARNING Always make sure that the nozzle ite
33. oint you will feel the pressure seal release Then unscrew a further I turn and lift off This extra I turn is a safety feature which allows any pressure retained in the dosing chamber to exhaust to air while the lid is still safely engaged To refit the lid place back on top of the dosing chamber item 13 17 and screw clockwise until the seal is felt engaging with the top of the chamber Continue to screw until the lid comes against a stop this is indicated when the line engraved on the skirt of the lid is facing to the front of the machine ALWAYS ENSURE THE CORRECT COLOUR CODED LID IS FITTED TO THE CORRESPONDING CHAMBER AS FOLLOWS White Left Hand Lid Cleaning Powders Red or Blue Right Hand LidCutting Powders REMOVING AND INSERTING A POWDER CARTRIDGE WARNING ONLY USE ORIGINAL MEDIVANCE POWDERS WHICH ARE SEALED IN NEW CONTAINERS OTHER POWDERS COULD ALTER THE PERFORMANCE OF THE AQUACUT QUATTRO AND MAKE THE MACHINE DANGEROUS To remove a previously used powder cartridge put a steadying hand on top of the AQUACUT QUATTRO outer cabinet and gently lift the cartriage out of the dosing chamber f the powder cartridge is not empty and is going to be used again later replace it carefully into the plastic storage pot supplied with the product Refer to Figure 5 To fit a new powder cartridge take a new powder cartridge of the required grade and remove the lower yellow draw tab Position the powder container over t
34. osition Foot pedal 0 6mm Handpiece Colour Silver Quick release Twin feed tube assembly Cartridge of gamma irradiated aluminium oxide 53 micron Red Cartridge of gamma irradiated aluminium oxide 29 micron Blue Cartridge of gamma irradiated fine granular sodium bicarbonate Clear Operation User manu manual al Pack 5 Glass slides Nozzle cleaning wire 2 metre length 4mm air input hose 500ml Bott Pack 50 dis e fluid posable feed line and tips Powder storage pot 20ml syringe for handpiece flushing 20 November 2006 9 AQUACUT QUATTRO EXTERNAL AQUACUT QUATTRO FEATURES AINT 323IdQNVH WNININNTV u38IWVHOD ONISOG WNININNTV Y38WVWHI ONISOG 3ALL231OHd 31VNO8HVDI8 WNIGOS QI1938WVHD DNISOG 31VNO8UVDI8 WNIGOS YJJWYHD ONISOG 4YIAOD 1004 1 1003 437108 TYG3d 1004 YIGMOd 15 3onv5 3unss3ad YIV HOLO3NNOO LNO AINI YOLDINNOD LNO YJAMOd 35 313 d3TIOHINOO 34055384 UV 40123135 430MOd AWNIOA 0123135 440 NO 3sn9li3 6 8 ZL 9L 51 EL AQUACUT QUATTRO 10 20 November 2006 REAR VIEW OF AQUACUT QUATTRO z 34 913 SIHL Q30N3 O238 LON AlddflS 5 9 35 ane NOLLO3NNOO MOTI3A NOIL23NNOO 1v 03d 1
35. ressure 5 seconds 0 6mm Dia nozzle 53 micron aluminium oxide 3 bar cutting pressure Low vibrator pressure 6 seconds 7 bar cutting pressure High vibrator pressure 2 seconds 0 8mm Dia nozzle 53 micron aluminium oxide 3 bar cutting pressure Low vibrator pressure 3 seconds 7 bar cutting pressure High vibrator pressure 1 5 seconds ENVIRONMENTAL CONDITIONS FOR TRANSPORT AND STORAGE The AQUACUT QUATTRO should be kept within the Temperature range 10 C and 40 C 14 F and 104 F and below 80 humidity 20 November 2006 6 AQUACUT QUATIRO INDICATIONS FOR USE AND WARNINGS INDICATIONS FOR USE Preparation for Pit and Fissure Sealants Removal of Composites for Restoration Cavity Preparation Cleaning Polishing and Stain removal Etching WARNINGS Do not turn on the air supply until you have read the complete manual particularly the section headed Removing and Refitting the Dosing chamber lids see page 21 and have made sure that both Dosing Chamber Lids item 14 amp 16 are correctly and fully engaged All powders supplied by Velopex are sterile until opened and containers are not reusable The foot pedal item I 1 must be sited in such a place that it will not be operated by accident as this will cause a high pressure stream of abrasive powder to be emitted from the cutting nozzle item 31 in an uncontrolled and therefore dangerous manner Use only original Medivanc
36. st this fill the special syringe supplied with clean water and by holding the end firmly against each channel in turn squirt water through the handpiece and check for flow from the nozzles If the nozzle is blocked use the cleaning wire supplied to remove the debris The syringe should also be used for general flushing and cleaning of the handpiece channels THE HANDPIECE MUST BE STERILIZED BETWEEN USES TO THE FOLLOWING CONDITIONS Minimum 134 C 273 F at 2 bar for 3 5 minutes This will ensure that a Sterility Assurance Level SAL of 1 X 10 6 is achieved A suitable sterilization pouch should be used to maintain sterility and used in accordance with the manufacturer s instructions REMOVING AND REPLACING A HANDPIECE WARNING Do not use a handpiece if the hole in the tip of the nozzle is worn to the outer edge or if the swan neck tube is perforated by the abrasive WARNING Use only handpieces supplied by Medivance Instruments as other makes may damage or alter performance and make the machine dangerous Refer to Figures 3 amp 4 To remove the disposable feed line and tip item 30 pull the feedline off the lower handle connector Pull the plastic tip off the cutting nozzle To remove the handpiece item 18 from the Twin Tube item 26 pull the Hand Grip item 29 and Handle item 27 apart Pull the Twin Tube out of the Collet Lock item 28 until the two parts come free
37. tice that each pinch valve and tube end is colour coded showing the corresponding position and location of the parts Ensure that the new replacement parts have similar colour coding before proceeding Remove the 4 small retaining O rings item 42 Slide out the 4 retaining pins item 47 amp 48 Note that the 2 lower pins are longer The Pinch Valves are now able to be removed from their seating Disconnect the ends of the tube and discard 4 old pinch valves and tubes Matching the colour codes refit the Pinch valves into their respective seating positions and replace the Retaining Pins and O rings 9 Push the tube ends into their correct positions DOUBLE CHECK that the correct coloured tubing connects to the correct Pinch Cylinders and Dosing Chamber Incorrectly fitted tubing will cause the machine to malfunction and could cause the wrong powder to be used at the Handpiece Check the condition of the Internal Air Filters item 35 If they appear heavily soiled or wet these should also be replaced Proceed referring to Figure 7 a Remove the cover by rotating CLOCKWISE item 51 b Remove the old Filter Element and discard Refit a new Filter Element item 52 Tighten the cover by rotating ANTI CLOCKWISE ensure the Valve Plug is correctly fitted 10 Pivot over the top of the machine and press down until the Release Catch item 5 operates to hold the front of the machi
38. vacuation unit and press the foot pedal WASH centre position The machine will expel air from the handpiece and purge the fluid through the line The procedure is complete when a continuous fine mist sprays from the nozzle and no air pockets can be seen in the smaller tube Reset the pressure on the powder setting item 2 We recommend that the Fluid Tank is checked and re filled daily as a matter of surgery procedure to prevent running out of fluid whilst working Depending on usage this may also be carried out at the beginning of the afternoon session The feed line and tip are for one time use only To prevent cross contamination always use a new disposable feedline and tip item 30 with every patient Always flush the fluid through the tube system for 20 seconds before initial use and at the start of every day 20 November 2006 22 AQUACUT QUATTRO REMOVING AND REFITTING THE DOSING CHAMBER LIDS Ensure that the AQUACUT QUATTRO is turned off at the on off selector item 1 WARNING ALWAYS MAKE SURE THAT THE NOZZLE item 31 IS AIMED INTO THE INLET OF YOUR EVACUATION UNIT AND THE EVACUATION UNIT IS TURNED ON WHILE THE AQUACUT IS BEING TURNED OFF OR ON WAIT UNTIL THE AIR HAS BEEN EXHAUSTED FROM THE MACHINE BEFORE REMOVING THE DOSING CHAMBER LIDS THE MACHINE WILL TAKE ABOUT 30 SECONDS TO DEPRESSURISE WHEN TURNED OFF To remove the lids item 14 16 unscrew anticlockwise for of a turn at which p
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