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        user manual - DHM
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1.    6  connection hose  EN 23964   user a permanent sight     145 mm    Yirro plus   Premium   The system contains of a detachable mirror head  1   placed on a hollow  handle  2  that is detachably connected to the central press air station by   an flexible silicon air hose  The detachable magnet coupler  3  at the end of  this air hose is to be parked in a docking station  The parking and lifting of  the magnet coupler automatically switches on and off the air flow  Beneath  the docking the air regulator  5  is situated  containing a turning knob for air   regulation  The system is to be installed independantly to the central press air  and the eletricity net by a set of components consisting of a connection hose   6  and a Power Air supply box  see p  6  7 8 9    The components of the  system can be cleaned by the usual methods     exclusion   The Yirro plus   system is NOT intended as a multi function syringe or  general tool for your assistent  The system is NOT meant to be connected  to water or air suction  Yirro plus   handles are NOT meant to be used as  an instrument without the mirror head  The magnet coupler  3  is NOT to be  cleaned in the autoclave  it might lose its magnetism  The connection hose   6  is NOT meant to be connected to other instruments     165 mm                 According to classification in annex IX from the European Rules for medical products     variety of Yirro plus   programme    Premium   The Premium basic set is an independant complete syst
2.    Yirro plus   Premium    bruikshandleiding   user manual   Benutzeranleitung   mode d emploi  ia nondspiec m   self cleaning dental mirror system    selbstreinigender Mundspiegelsystem   syst  me de miroir dentaire d auto nettoyage    rsie December 3   version December 2013   Version Dezember 2013   version Decembre 2013  www  Yirro plus com       Deze gebruikshandleiding is met de grootst mogelijke zorg samengesteld   Mocht u desondanks van mening zijn dat de inhoud van deze handleiding niet volledig of  onjuist is  stuur uw opmerkingen of verbetersuggesties naar service dhm dental com     This manual has been compiled with care   If you have any remarks please inform us at service dhm dental com    Dieser Manual wurde mit Sorg zusammengestellt   Sollten Sie Bemerkungen oder Tips haben  so melden Sie diese bie uns   ber service   dhm dental com     Ce mode d emploi a   t   r  alis   avec le plus grand soin   Si pourtant vous avez des r  marques  veuillez les communiquer a service dhm dental   com     DHM dental B V     ler Groot Vijverdal 27  wl 6822 MB Arnhem  DENTAL     Nederland    inhoud   contents   Inhalt   content       UK user instructions    declaration of conformity  general description  exclusion   variants   material specifications  product safety  standards  amp  regulation  compatibility  prescribed mounting  quality policy and control  safety measures  installation  components   mounting docking  parking  amp  switching  regulation air flow  start using   cl
3.  advance about the use of the system     Extra handles and mirror heads are seperately available  also a cleaning  box for safely cleaning of 6 mirror heads in a thermodisinfector or autoclave           cleaning instructions   Cleaning handles is possible according to the hygiene directive for cleaning  of hollow instruments  The rear end of the handle fits to the oi mm pins and  silicone instrument holders of your  Miele  thermodisinfector        cleaning box  A significant amount of regular damage of instruments is caused by the  cleaning process  The special Yirro plus   cleaning box is a protection box  to safely clean 6 mirror heads  This will extend the life of the mirror heads  significantly        malfunctions  There is interference in the system in the following situations     1 air flow does not function   2 parking Yirro plus   does not switch off air flow   3 the air regulation does not function   4 the coupler does not click into the handle   5 the mirror head can not be mounted into the handle  6 silicone air hose is broken or punctured   7 the connection hose is broken or punctured    Fault 1 airflow does not function   Action  Make sure your air pressure is functioning  If the connection hose is  blocked for air  the Yirro plus   system is not functioning  There may be a pro   blem with the power supply  Both of these aspects are beyond the scope of this  manual  If the pressed air system is functioning and if there is no malfunctioning  of the electricity  th
4.  be attaced  at any place desired  Please take into account in advance the required length  of the connection hose and air hose  Proceed as follows     El Detemination of Mounting surface    The Yirro plus   system is preferrably positioned sideways  most right on the  assistance unit   At your mirror hand   If you are left handed  then choose  the opposite side  most left  A surface of 20 x 45 mm wil suffice  Choose a  position that minimizes conflicts with the work of your assistant     Check the available length of the air coupler hose     d WM  ER    4    C Anthos       For the purpose of better adhesion the mounting surface needs to be cleaned  with alcohol     KJ remove adhesive   mount    Remove the adhesive strip and attach the  universal suspension   Press firmly for 20 seconds     CI place air coupler    Carefully read the warning text before  removing the label of the air coupler   Place the air coupler in the docking        CI mounting the connection hose    Screw the connection hose to  the air regulator     After cleaning your system is  ready for use     mounting with adaptor docking   ALTERNATIVE    adaptor docking and adaptor ring  Sometimes it is possible to place the Yirro plus system into a free slot of  your assistance unit  KaVo  Planmeca  Anthos  A dec   For this purpose in    the basic set a adaptor docking and an adaptation ring are included   Note     This mounting option is not covered by our CE marking and might possibly  conflict to the CE marking
5.  of your dental unit   For dental units of the type  KaVo  A dec and Anthos the docking adapter 1 can be used  At the Plan     meca units  the additional adapter ring nr  2 is required  Proceed as follows        I cheching the doching adaptor and adaptor ring    Planmeca mounting  first mount the extra adaptor ring  2  into the slot  and  afterwards click the docking adapter  1  into it         EN r emove universal doching    Loosen the screw and remove the universal docking of the control unit   Place the universal docking aside and keep the screw at hand     i        2     at       ENS mounting on air regulator with screws    Place adaptor docking  with or without the extra adaptator ring  in the free slot with  its opening to the front  Slide the air regulator into the slots of the adaptor docking   Screw both parts together by means of the detached  1  screw     F e    O     Se  e      Carefully read the text before removing the label information of the air coupling   Place the air coupler in the docking   S    En mounting the connection hose    gi  Mount the connection hose    to the air regulator    After cleaning the system is ready for use     Spd a mene    yinrot    parking and switching       Clean handle and mirror head according to standard procedures     parking  WITHOUT sleeve     Put on your sterile gloves and take a clean dental mirror  Park it in the parking  docking with its head upright  The magnetic air coupler will snap perfectly into    the rear end of t
6. an also deconnect the connection hose     dismantling and waste       dismantling and waste  The Yirro plus   system can be dismantled into separate components for  separate collection           environmental aspects       environmental aspects   The raw materials  production and transport processes required for pro   duction of the Yirro plus   system  inevitably pollute the environment  By  choosing sustainable materials with a long life and low energy production the  environmental load at Yirro plus    is minimized  The energy required for the  supply of compressed air and for cleaning of the system  are factors that are  important for the environment  By using alternative energy sources such as  wind or solar power  you help minimizing the environmental aspects when  using this system     vigilance    vigilance   DHM dental bv is convinced to have done everything possible to this safely  and reliably to market this product  To this end  we have followed all the gui   delines  discussed with experts and have implemented a quality management  system  If you still believe that this product does not meet the qualities and  standards that are reasonable to expect  you can report this to the appropri   ate authorities        product information    product information   In all packageing and disclaimers of the Yirro plus    system you will find the  relevant product information and instruction labels   safety ratings according  to EN 980 2008  We use the following labels     Con
7. e air hose might be blocked  Contact your service technician     Fault 2 parking Yirro plus   does not switch OFF air flow   Premium  You may not place the the handles far enough into the parking doc   king  in which case the switch sensor does not detect the magnet  Action  push  the handle a little further into the parking docking  If this does not help  check  the magnetism of the magnet  See also at nr  4     Fault 3 air regulation does not function   Premium  The air flow is controlled by the rotary knob on the air regulator  If turning  the knob does not change the flow from hard into soft or vice versa then the regula   tion system is malfunctioning  Action  Make sure that the control knob can be turned   If so  and still no change of air flow occurs  than contact your service technician     If this is not the case  then the control knob is defect  If you can turn the knob but  there is no effect in air force  than the air regulator is defect inside  In both situations  you need to contact your service technician     Fault 4 coupler does not click onto the handle   The magnetic force of your magnet coupler might have gone lost    Action  Make sure the magnet in the coupler is functioning by holding it near  to a metal object  If the magnet is defect  you can order a new coupler or you  can contact your service technician     Fault 5 the mirror head can not be mounted into the handle   Action  Check the end of the handle  Is this bent  then the handle cannot be  used an
8. eaning   malfunctions  maintainance   stop using Premium  dismantling  amp  waste  environmental aspects  vigilance   labelling       o  cS  a         Sn   Wen   Li   LL          NL   nederlands          declaration of conformity    This declaration of conformity contains the unique identification number DHMD CV01 2  and is published by DHM dental BV  located on Grand Vijverdal 27  6822 MB  Arnhem   NL  The subject of concern is a medical device in class 1 with registered trademark  named Yirro plus    to be described as a self cleaning dental mirror system  produced by  DHM Dental BV  Arnhem in the Netherlands     DHM dental BV hereby declares that the Yirro plus   system meets all the requirements  that professional users may reasonably expect of a self cleaning dental mirror system   During the development we have cooperated with expert users  Prior to the launch   both this product and its manual were tested by expert users and service technicians to  optimize the usability  implentation and reliability     The Yirro plus   system complies with the following directives and standards     EN 980  Symbols for use in the labelling of medical devices   EN 1041  Information supplied by the manufacturer with medical devices   EN 1639  Dentistry     Medical devices for dentistry     Instruments   EN 1640  Dentistry     Medical devices for dentistry     Equipment   EN ISO 9873 2000  Dental hand instruments   reusable mirrors and handles   EN ISO 9687  Dental equipment     Graphica
9. em  universal ap   plicability  The set contains  2 boxes of handles with in total 8 plastic handles   2 boxes of mirrors with in total 12 mirror heads  6x type    Triade 0     6x type     Triade no  2      1 magnet air coupling  1 parking docking  1 air regulator  1  Power Air supply box with solenoid valve and connection hose  1 user manual  and 1 disclaimer     mirror box Triade no  2  size big   1 box with 6 mirror heads no  2  18 4 mm   user instruction   disclaimer    mirror box Triade no  0  size small   1 box wit 6 mirror heads no  1  13 2 mm   user instruction   disclaimer    handle box  1 box with 4 handles  durable plastic   user instruction   disclaimer    cleaning box  from spring 2014   cleaning box for protected cleaning of 6 mirror heads    20 N B  None of our products are sterile  please clean before use     material specifications    durable  scratch safe and secure materials   The Yirro plus   handles and mirror heads are produced from high quality  heat resistant and durable plastic  The mirror head contains a glass mirror  with ultra reflection surface  The base contains a metal ring of stainless steel  and its weight is only 11 5 grammes     The housing of the Yirro plus   air coupler is produced from durable and  scratch safe plastic  with attached to it an silicon air hose The air hose is  mounted on both sides into a metal nipple     The parking docking is fabricated of a durable plastic  resistant to the usual  cleaning procedures by alcohol or desin
10. f    the Yirro plus   system     quality policy  amp  reviews    quality Yirro plus     Yirro plus   is manufactured according to EN   ISO 13485 standard  and the  quality is of the greatest importance  from product development to implemen   tation and expedition  Should nevertheless occur the case that this product  does not meet your expectations  you may contact the customer service  department  service dhm dental com     product development   The development of this product has been concluded in close consultation with  expert users  whereby every step and solution has been tested and verified   Important aspects such as ease of use  comfort  functionality  safety and  hygiene were assessed and this interactive process has contributed to the de   sign  weight  aspects  choice of materials and production of the whole system     reviews   postmarket surveys   It is our wish that the Yirro plus   system is regularly reviewed by expert  users  Take a look at our social media accounts on Twitter and Facebook   see links on http   www dhm dental com socialmediaNL html   We kindly    invite you to give your personal opinion about our product     safety measures    safety instructions   Use the Yirro plus   dental mirror only for the view of your workspace and put  it back in place after every patient treatment  The system is to be cleaned af   ter every treatment by using the regular hygi  ne procedures as described  Do  not place the magnet coupling near by the heart of the pat
11. fectants  The air regulator and regula   tion knob are composed of preserved metal components     heat resistant  safe adhesive joints and coatings  All adhesives and coatings used in assembly are heat resistant and absolu   tely safe for this application     reliable accessories   The parking docking is mounted with a standard connection hose  produced by the EN 23964 directive  All components meet medical  safety guidelines     packaging  brochures  Our brochures  packaging and cartons are printed on recyclable  paper and cardboard     product safety    safe in use  The Yirro plus   system is a safe system provided it is used with care and in  the way it is meant to be used     no danger or nuisance   This dental mirror does not contain any sharp parts or edges that might   hurt patient or the user  The on off switching or the regulation of air does   not enable any dangerous situations By use of this product no hinder or  nuisance for dentist or patient is caused nor do any gasses or    stoffen    occur  that are dangerous for the health of patient or user  This product has been  tested thoroughly by expert users in this respect        standards and regulations    For this product the following directions have been applied     EN 980  Symbols for use in the labelling of medical devices   EN 1041  Information supplied by the manufacturer with medical devices  EN 1639  Dentistry     Medical devices for dentistry     Instruments   EN 1640  Dentistry     Medical devices for de
12. he handle     sterile gloves  parking at Premium docking          parking    WITH sleeve     Clean parking docking and air coupling according to standard procedures    Alcohol   disinfectant           parking dental mirrors  WITH sleeve     on    and    off    switching through parking  Put on your sterile gloves and take the clean magnetic air coupler  from the parking docking  Prick the air coupler into a sleeve and then  click the magnetic coupler on the rear end of the handle  Place it back  in the docking station     parking and lifting   Through the    parking    and    lifting    of your Yirro plus    handle into and from  the parking docking you are able to switch    on    or    off the air flow  It requires  a swift movement  that needs a little practice  but without any further extra  attention  The system responds to the presence of the magnetic coupler  Re   placing the magnet coupler without the handle will also switch off the air flow     lifting  air flow    ON    parking  air flow    OFF       lifting handle     ON    parking     OFF      Removellift the parked handle Park the mouth mirror back into the   vertically from the docking  The   docking  The system detects the   air flow shall start immediately  magnet and the airflow will  automatically be switched OFF        sterile gloves parking the sleeved mouth mirror  mounting the sleeve to docking station  click coupler at rear end of handle       lifting  air flow immediately parking  air flow  starts worki
13. he installation    instruction        instruction    split    air    by making use of T part R 3 8  8     create an electrical connection for Power Adapter  9     Connect Power adapter togehter with contra plug into the electricity and put  the end  plug  in Power Air Supply box  7   Connect the end of the Air Tube    fitting to the Power Air Supply box         The CE marking for this product prescribes that installation of the system is to be carried  out by an authorized service technician     mounting parts for installation     3  connection hose  EN 23964      7  Power Air Supply box   8  T part R 3 8   9  Power adapter  medical              Povver Air Supply box  CE   with FDA solenoid valve 2W NC   24 VDC    2 metres of connection hose  according to EN 23964  with strain relief    T part R 3 8  CE   T part to be connected directly  to compressed air system       Power adapter  CE     100 240 VAC   50 60 Hz  out  24 V DC  according to EN 60601 1 accompanied by contra  plug and wires     CT Despite the fact that it is technically possible to connect this system directly  to 24V DC this is not recommended  Direct connection may conflict with the  warranty and CE requirements of your unit  Consequently direct connection is  not covered by the CE marking of the Yirro plus    system        Cl cleaning the mounting surface    Brp a mnir    ynrot    mounting of parking docking    use the universal mounting system   By use of the included universal mounting system the system can
14. i  nt  for potential  influence of pacemakers     Do NOT clean the detachable magnet coupler in the autoclave  since its  magnetic force might be lost  Clean the detachable couplers properly with  alcohol or disinfectant        installation by a qualified technician    installation   Your Yirro plus    system is to be installed by a qualified technician  You can  instruct your technician to install an independant system by use of included  components  to be connected with the main electricity and compressed air   system  For connection instructions see aside     right spot   Decide in advance whether you will use the universal mounting system  CE    Maybe you prefer the use of the adapter rings   See for this the 2 options  visualised at page 21   Check the length of the connection hose and the   thin  silicon air hose  After installation the Yirro plus   parking docking can be  mounted  For this see the steps described at pages 23 25     instructions for independant connection       Your service technician     enables an independant connection to the electri   city net and a connection to your compressed air system  For this purpose  in  the Premium set of Yirro plus all necessary components are included  They  concern a Medical transformator  100 240 VAC   50 60 Hz with output 24Volt  DC  and a connection box with in it an integrated 24Volt regulation system  and standard connection supplies  Beneath you will find the over view of the  connection components and underneath t
15. l symbols   ISO 13402 1995  Surgical and dental hand instruments     determination of resistance against autoclaving  cor   rosion and thermal exposure   EN ISO 14971  Medical devices     application of risk management to medical devices   EN 21942 1 3 4  Dental vocabulary     Part 1  General and clinical terms       Part 3  Dental instruments     Part 4  Dental equipment   EN 23964  Dentistry     Dental handpieces     Coupling dimensions   EN 60601 1  Medical electrical equipment     Part 1  General requirements for basic safety and essential perfor   mance    93 42 EEG  Medical devices  general rules        This declaration of conformity is drawn up in Arnhem  Netherlands  on December 14th  2013 by DGA DHM dental BV     signature        This declaration of conformity was first issued on October 1  2013 and is of unlimited  duration  but not siginificant change as long as the conditions that are described in the  technical documentation or the manufacturing conditions in the factory or the process of  quality control     epee  a miren    Ynrot    general description          Premium       generic description    The Yirro plus   system is a selfcleaning dental mirror system in the Classe   A a a    of medical products       2  handle    3  magnet coupler  Product description il parking dockiny  This product is developed for professional dental experts  Its self cleaning  5  air regulator    function is based on an air flow constantly cleaning the mirror  thus offering its    
16. ng immediately stops    air regulation   Premium    Set the air strength as desired  by turning the rule knob   This setting can always be changed  even during treatment     clockwise  air flow blows softer  counter clockwise  air flow blows harder       The Premium system is now ready for use    Clean the parking docking and the magnetic air coupler carefully with   alcohol or disinfectant before each treatment and bsure to always use cleaned  handles and mirror heads     Rep  a miren    yinrot    start using the Premium version       start using the Premium version  At every treatment you  or your assistent  follow the hygiene routine     1 clean in advance the handles and mirror heads through regular methods   thermo disinfector and   or autoclave    2 clean the parking docking and the magnetic coupling with alcohol  place  the coupling back in the docking   3 if you prefer you can use a sleeve   4 attach the cleaned dental mirror to the magnet coupling and place it back  into the docking   switched OFF    5 start with the treatment   use the dental mirror any moment you like   6 after every treatment you park the dental mirror into the docking station      repeat steps 1 upto 6    repeated use of clean handles and mirror heads   The Yirro plus   system is developed for repeated use of cleaned instru   ments according to hygienic rules  The start set provides you with sufficient  handles and mirror heads to work for several hours  4   You should instruct  your assistant in
17. ntistry     Equipment   EN ISO 9873 2000  Dental hand instruments   reusable mirrors and handles  EN ISO 9687  Dental equipment     Graphical symbols   ISO 13402 1995  Surgical and dental hand instruments     determination of  resistance against autoclaving  corrosion and thermal exposure   EN ISO 14971  Medical devices     application of risk management to medical devices  EN 21942 1 3 4  Dental vocabulary     Part 1  General and clinical terms       Part 3  Dental instruments     Part 4  Dental equipment   EN 23964  Dentistry     Dental handpieces     Coupling dimensions   EN 60601 1  Medical electrical equipment     Part 1  General requirements for  basic safety and essential performance   93 42 EEG  Medical devices  general rules     Rep  a aber    yinrot    compatibility    compatible with every type of dental unit  The Yirro plus   system is universal and can be installed independantly of the  type of dental unit     prescribed mounting       universal mounting system  Yirro plus   is preferrably mounted by use of the universal mounting system   placed sideways of the dental assistance unit on the side of the    mirror hand        mounting by use of the docking adaptor  When a free slot is available it is possible to mount the Yirro plus    system  directly into the assistance unit  by use of the included docking adaptor     vum         prescribed mounting  CE  mounting in docking adaptor       Note that installation in docking adaptor is NOT covered by the CE marking o
18. sult instructions for use  The synonym for    consult instructions for use    is    consult operating instructions     This symbol corresponds to the one in ISO 7000 1641 and symbol 5 3 in ISO 15223 1 2007    Symbol for CE Mark  This symbol certifies that this product has met European Union  consumer safety  health or environmental requirements     Symbol for caution  This safety symbol is used at Yirro plus   within the context      attention  see Instructions for Use        Symbol for temperature limitation temperature range  Both upper and lower limits  are indicated adjacent to horizontal lines     Symbol for nonsterile  This symbol should be used only to distinguish between  identical or similar devices sold in both sterile and nonsterile conditions     Symbol for Surgical steel    Symbol forTitanium    OOP PA E    S  cf    Autoclavable at temperature indicated    Symbol for professional use only    Keep magnet coupler away from people with pacemakers or motorised insulin pumps     ip     AR aaa oF    Symbol for serial number  The manufacturer s serial number is found after or below    Symbol for batch code lot number   The symbol is accompanied by the manufacturer   s batch code     Symbol for authorized representative in the European Community  This symbol is ac   companied by the name and address of the authorized representative in the European  Community    Symbol for manufacturer  This symbol is accompanied by address and name of  manufacturer     Symbol for quantit
19. y per box  Any number can be represented in the box     A  LA  No    Symbol for angle of view of mirrors  The number indicates the angle in degrees     Arria a manie     yinrot    DHM dental B V   Groot Vijverdal 27  6822 MB Arnhem  Nederland       
20. ymore  Use a replacement handle or order a set of new ones  Check  if the mirror head clickers are defect  If this is the case  use a replacement  mirror head or order a set of new ones     Fault 6 silicone air hose is broken or leaks  Action  Pull off the air hose and order a new air coupler with hose  You can  also contact your service technician     Fault 7 the connection hose is broken or punctured  Action  Contact your service technician for a repair     maintainance       maintainance free   Besides the regular cleaning  your Yirro plus   system does not require any   maintainence  Please clean mirror heads and handles after every treatment  by using the regular cleaning procedures   Thermodesinfector or autoclave    Clean your Premium docking and the air coupling of the Basic coupling after  every treatment with alcohol     REMARK 1  The parking docking contains a sensor and it should NOT be  cleaned in the autoclave or thermodesinfector for this reason  Clean your  docking with alcohol or other desinfection     Rep a mir    yinrot    REMARK 2  The air coupler includes a magnet  and the magnetic force might  vanish when used in the autoclave  Therefore  DO NOT clean the air coupler   in the autoclave or thermodesinfector  but clean it by wiping off with alcohol or  other disinfectants        stop using   For de activating of the system  close the air flow through the control knob  by turning it OFF  You can ask your service technician to disconnected the  system  You c
    
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