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Soft Tissue Surgical Modular Laser System

1. Cannulas Cleaver 5 gt E Sa Optical Fibers Application Module Alta Console Figure 1 Alta ST Shipping Box and Return Shipper Locate the parts list and verify that all listed parts are in the box es Place the foam cover on a table for later use during the installation Remove the seal on the interior box and open the box Lift the Alta console out of the box and place it on the foam cover for installation Remove the remaining parts from the box including the snap on base and the clip on Alta ST Application Module Figure 1 Carefully inspect all of the components for any signs of damage 2013 Dental Photonics Inc P N 920 0000001 RevC Page 2 3 USER MANUAL DEVICE COMPONENTS amp DIAGRAMS Nomenclature and Function Figure 2 through Figure 8 identifies the key components of the Alta ST Modular Laser System Figures and definitions for each of these components are shown on the following pages in Section 2 of this User Manual The Alta ST Modular Laser System consists of the following primary components Figure 2 e Console and Alta ST Application Module e External Power Supply Adapter and Power Cord e Handpiece with Fiberoptic Cable s e Foot Pedal with Footguard Alta ST Application Module 2 x 1 p y External Power Handpiece with roor reag Supply Adapter Fiberoptic Cable Figure 2 Alta ST Modular Laser System 2013 Dental Photonics Inc P N 92
2. ST Graphic User Interface uses symbols on many of the action buttons of the user menu screens The following table gives an overview of the symbols used in the different menu screens a Max Peak Power APC KK Laser Standby Mode Peak Power in CW SS and Pulse Modes taserreaay MR poe Duration kaser Fring MB Timer Duration SureStep Tip Initiation Thin Save Settings SureStep Tip Export to SD Card Initiation Thick AutoStop On lar Import from SD Card AutoStop Off reg List Alphabetically Sort List by Usage Help Screen Frequency 2013 Dental Photonics Inc P N 920 0000001 RevC Page 4 1 SYSTEM START UP Once the device is set vp as per Section 3 turn on the Console by turning the Power Switch to the On position When the Power Switch is turned on the system will boot vp and display a splash screen and a laser warning screen After reading the laser warnings press the Ok button at the bottom center of the screen and the Alta ST will show the Login Screen Figure 13 At this point of the operation the Alta ST will wait until the login passcode is entered The system is shipped with a default passcode of 4321 If the passcode is not available please call Dental Photonics Inc Customer Service at 781 754 7900 Option 4 LOGIN Back Button Enter Passcode a ES If the passcode is entered incorrectly a message Enter Passcode will display again The user is then
3. Laser Safety Glasses PRODUCT REGISTRATION To activate the manufacturer s one 1 year Limited Warranty please complete the Product Registration listed on page 3 7 Copy the completed Product Registration and Fax to Dental Photonics Inc at 781 752 2010 or complete the Product Registration online at htto altamls com resources product registration 2013 Dental Photonics Inc P N 920 0000001 RevC Page 3 6 USER MANUAL PRODUCT REGISTRATION FORM Thank you for becoming part of the Dental Photonics Y I 0 family with the purchase of your Alta Modular Laser A Lt al System Please complete and return this form by e mail f Br DENTAL PHOTONICS INC to support dentalphotonics com or by tax to 781 MODULAR LASER SYSTEM 792220 1 0 o A A First MI Last Title Phone Mobile Fax Product s Purchased O Alta Console O Alta ST Module By Signature Date O 2013 Dental Photonics Inc P N 920 0000001 RevC Page 3 7 USER MANUAL 4 OPERATING INSTRUCTIONS SECTION 4 ALTA ST INTERACTIVE DISPLAY The Alta ST interactive display allows for touch screen operation All functions are activated by gently touching the appropriate button on the display We suggest covering the touch screen with a thin protective film before use the protective film used to cover the patient light handles is acceptable Help is available on all screens by touching the Help Screen button SCREEN SYMBOLS USED The Alta
4. than 3 5 mm beyond the tip of the cannula unless instructed otherwise for a particular procedure PATIENT DISCOMFORT Patient response to pain varies greatly between individuals It is wise to establish a baseline of tolerated laser energy for each procedure As a rule of thumb start each procedure at the lowest energy power setting and increase energy as needed and tolerated by the patient If the patient experiences discomfort apply a topical or local anesthetic see below Use the cooling effect of the patient suction to assist with heat control 2013 Dental Photonics Inc P N 920 0000001 RevC Page 5 1 USER MANUAL CLINICAL CONSIDERATIONS e For topical anesthesia create a mix of Dyclone and Benzocaine and use where indicated e Many procedures tend to create deposits on the fiber tip Always keep the fiber clean with a non alcohol impregnated moist gauze to ensure consistent cutting response e To clean the fiber tip use a non alcohol impregnated moist gauze and wipe the fiber tip gently Do Not use an alcohol impregnated gauze e Always use a properly cleaved tip Fibers without a clean cleave will not transmit laser energy properly e If the procedure calls for an initiated tip do not attempt to lase without tip initiation Initiating the tip allows the laser to act much like a scalpel Cutting efficiency of an initiated fiber is dramatically enhanced versus uninitiated fibers e Avoid lasing metals and tooth structu
5. 1 VW Repelition Rate SOO Hz Duty Cycle 50 E E f E i F E E Figure 36 Laser Emission State There will be a visual and audible indication that the foot pedal is actuated and the laser is emitting laser energy Parameters cannot be adjusted while in the Laser Emission State To emit laser energy the operator presses on the foot pedal Once the operator has completed the procedure the Alta ST can be placed back into the Laser Standby State by pressing the Stop Laser button Figure 36 42 In the Laser Emission State the status indicator Figure 36 43 changes to indicate the Laser Firing State of operation Settings Quick Start View The procedure screens have a Settings Quick Start View field Figure 36 105 that provides a real time view of Classic Laser settings for the Pulse Mode Average Power Calculated based on the set peak power and duty cycle Repetition Rate Number of pulses per second Duty Cycle Calculated trom the Time On and Time Off parameters Parameters in the Setings Quick Start View field change in real time as the settings on the power sliders change 2013 Dental Photonics Inc P N 920 0000001 RevC Page 4 21 EMERGENCY STOP In case of an emergency the Alta ST is equipped with and Emergency Stop button located on the front panel Figure 37 In the very unlikely event that the laser starts firing without the foot pedal being pressed or fails to stop f
6. I A Indications Favorites TN PE APC gt Max Powe Temperature CW 6 W 600 C Activate Laser LSL LLLLLLLLLLLLLLLLLLL LLL LAIDIR LLLI LILLA Connect door interlock SY 2013 Dental Photonics Inc P N 920 0000001 RevC Page 7 3 USER MANUAL NOTES Dental Photonics Inc 1600 Boston Providence Highway Walpole Massachusetts 02081 U S A Tel 781 754 7900 Fax 781 752 2010 Email into dentalphotonics com Website www dentalphotonics com
7. Radiation Caution if housing covers are removed Housing covers are intended to be removed by Dental Photonics Inc service personnel only Location shown in Figure 4 2013 Dental Photonics Inc P N 920 0000001 RevC Page 1 2 USER MANUAL The following signal words are used throughout this User Manual DANGER indicates an imminently hazardous situation which if not avoided will result in death or serious injury WARNING indicates a potentially hazardous situation which if not avoided could result in death or serious injury CAUTION indicates a potentially hazardous situation which if not avoided may result in minor or moderate injury t may also be used to alert against unsafe practices or potential equipment damage NOTE indicates additional helpful information Follow the dangers warnings and cautions described below when handling this device This information is supplemented by the dangers warnings and cautions described in each section A A A DANGER e Alta ST is a Class 4 laser device emitting up to 25 W of invisible 980 nm laser radiation Alta ST also includes a Class 3R pilot laser device emitting up to 5 mW of visible 650 nm radiation Serious injury to the eyes skin and soft and hard tissues of the patient and or user may occur if not properly used e Never expose the Alta ST to liquids If any liquid is spilled into or onto the Console stop using im mediately unplug from the AC power
8. device is emitting laser energy Start with lowest practical power or temperature set points Increase power or temperature set point until you reach desired clinical end point Excessive power or temperature set points may result in undesired side effects or excessive tissue damage 2013 Dental Photonics Inc P N 920 0000001 RevC Page 1 4 USER MANUAL IMPORTANT USER INFORMATION SECTION 2 INTENDED USE The Alta ST has different modes of operation The Alta ST incorporates a novel Automatic Power Control APC Mode of operation with user adjustable constant operating temperature for con tact procedures lt is also designed for use as a classic semiconductor dental laser system with user adjustable continuous or pulsed power for contact or non contact procedures The Alta ST Modular Laser System is intended for use in a wide range of general surgical and dental surgical procedures for incision excision vaporization ablation and coagulation of soft tissue The Alta ST with Continuous Wave CW or Pulsed power dental laser operation is intended to be used in contact or non contact technique for procedures including Incision excision vaporization ablation hemostasis or coagulation of intraoral and extraoral soft tissue including marginal and interdental gingiva and the epithelial lining of the free gingiva Examples include Frenectomy trenotomy biopsy operculectomy implant recovery uncovering gingivect
9. fiber tip should break during a procedure carefully suction the debris from the treatment site rinse and repeat e To avoid fiber breakage never pinch the fiber or attempt to roll it up to a diameter smaller than a coffee cup e Unless the procedure requires otherwise never extend the fiber more than 3 5 mm beyond the end of the cannula to avoid excessive drag during treatment that may lead to fiber breakage Jacket This is the protective coating for the fiber and usually is made of a synthetic material that is clear or colored There are no standardized color systems to denote the diameter of the fiber or its use Quartz Fiber with Cladding This is the reflective material on the outside of the fiber that is used to guide the light inside the fiber and block the lateral escape of laser energy as it traverses the fiber Protective Soft Tubing The outermost layer of the fiberoptic cable is soft protective loose tubing This protects the jacket and the inner reflective cladding from damage 2013 Dental Photonics Inc P N 920 0000001 RevC Page 3 3 USER MANUAL Fiber The fiber is fairly flexible but can be broken if bent into a small circle or bent at an angle of 90 degrees The cladding will burn as tissue debris accumulates on the fiber and will deteriorate the tip lt can fracture if not cleaved once the blackened area has reached 3 4 mm Stop lasing and wipe off the tip regularly with a non alcohol impregnated moist gauze as you
10. from an external storage device inserted into the SD Card reader This feature allows the operator to restore previously saved favorite procedures trom the SD card to an Alta ST received from factory depot repair The Import function is activated from the System Configuration Screen Figure 40 102 Please insert an SD card into the card slot on the lett side of the console Figure 4 Navigate to the System Configuration Screen Figure 40 and press the icon Figure 40 102 to commence the Import procedure The following screen appears Figure 44 Follow the screen prompts to complete the procedure EF a GE Import Favorites Favorites and System Settings will be imported from the SD card Make sure that the SD card with your previously saved settings is inserted in the slot Your current Favorites and Systems Settings on the Alta ST will be replaced Cancel EDS RS oe lf the Import procedure fails the following screen will appear Figure 45 Please follow the on screen instructions and repeat the procedure Import from SD card failed Please verify that SD card is properly inserted and contalns the settings flles Use a PC with an SD card slot Verify that the SD card is FAT16 formatted and has 2 GB ar less in capacity avoid using HD cards The root folder should contain a folder named Save If the problems persist please contact the manufacturer AAAAAAA STIPT EPT SPIP PET ED ATP O 2013 Dental Photonic
11. in which the fiber tip touches the tissue to be treated the fiber tip must be initiated using the SureStep initiation procedure described in Section 4 of this User Manual Figure 10 Cleaving the Fiber O 2013 Dental Photonics Inc P N 920 0000001 RevC Page 3 4 USER MANUAL FIBEROPTIC CABLE ATTACHMENT Note After preparing the fiber attach the Fiber SMA Connector to the laser port as illustrated in Figure 11 below Remove the metallic protective cap on the end of the Fiber SMA Connector before initiating the connection Do Not discard this protective cap as it is important to reconnect it during fiber storage Ensure that the Fiber SMA Connector is hand tightened securely before proceeding with treatment The Alta ST Modular Laser System can be used with different optical fiber diameters Each optical fiber size has a unique alphanumeric identifier and is color coded making it easy to distinguish between fiber sizes as shown in the following table Fiber SMA Connector Fiber Diameter Color Code _ 200pm S200 Yellow 400pm gt DS1 400 Bye gt The fiber diameter has an impact on power density and cutting dimensions smaller fiber diameters tend to produce more concentrated power at the tip while larger fiber diameters will have more ther mal retention The fiber size will ultimately determine the width of the cut The standard fiber used in most listed procedures is either the 320 um or the 400 um opti
12. this User Manual Troubleshooting for information about resolving certain problems If the problem cannot be resolved using the information in Section 7 please contact DPI as follows Dental Photonics Inc 1600 Boston Providence Highway Walpole MA 02081 U S A Tel 781 754 7900 Option 4 Email support dentalphotonics com 2013 Dental Photonics Inc P N 920 0000001 RevC Page 2 11 USER MANUAL INSTALLATION SECTION 3 CONNECTING CONSOLE BASE amp APPLICATION MODULE Slide the base on to the Alta console from front to back until it clicks into place 2 Depress the dual lever of the Alta ST Application Module and push onto the right side of the Alta console until it clicks into place 3 The outer master shipping box may be discarded or retained as a storage box for system components The inner return shipper box should be kept in a safe place for use in warranty or depot service situations REMOTE INTERLOCK PLUG The Alta ST Modular Laser System is equipped with a remote interlock feature that links a door switch optional with the Alta ST Modular Laser System Anyone entering the operatory during an active laser procedure with the Alta ST firing would trigger the protection stop circuit and the laser would stop firing This requires wiring an optional door switch and connecting it to the Alta ST Modular Laser System via the interlock plug A remote interlock plug is delivered w
13. work to avoid accumulation of tissue debris Use water on a gauze to clean the tip Always let the tip to cool down 2 3 s after releasing the pedal before wiping it Do not use flammable materials like alcohol when cleaning a tip Dispose of all small fiber remnants after you have cleaved the fiber The remnants should be kept in a small container with a lid until they can be properly disposed of in a sharps container Cleaving the Fiber As the tip deteriorates it is more likely to fracture and could fall into the sulcus or a deep periodontal pocket To avoid this problem it is prudent to periodically cleave the discolored tip s shown in Figure 10 the cleave should be made at a point approximately 1 2 8 10 mm from the site of the previous cleave so that there is no visible discoloration of the tip The opera tor should place their index finger at the spot of the proposed cleave so as to stabilize the fiber Using the square cleaver draw one side of the cleaver across the side of the fiber with very light pressure to score the fiber With the thumb and index finger of each hand holding the fiber at a spot approxi mately 1 2 on either side of the cleave point break fiber against cleave Non Contact Procedures For non contact procedures such as Hemostasis or Aphthous Ulcers use a freshly cleaved fiber as described above No further fiber initiation is necessary Contact Procedures For in contact clinical procedures
14. 0 0000001 RevC Page 2 4 MANUAL en 1 l je fele ee f r i Fi en Handpiece Fiberoptic Cable i Aeg marne Fet FN j i tow ge m i Ez a f PR it la ee Ter e E E i i k E p g gah Am een r ie 4 A p el n A yt Wi Y EED Figure 4 Alta ST Rear View 2013 Dental Photonics Inc P N 920 0000001 RevC Page 2 5 USER MANUAL Connected to Alta Console E Figure 5 Alta ST Left Side View O 2013 Dental Photonics Inc P N 920 0000001 RevC Page 2 6 MND LE NE Optical Fiber Figure 6 Alta ST Right Side View 2013 Dental Photonics Inc P N 920 0000001 RevC Page 2 7 USER MANUAL Power and Status Indicator Lig ht Interactive Touc Screen Figure 7 Alta ST Front Panel View Elements of the Front Panel Power and Status Indicator Light 2 Graphic User Interface GUI an Interactive Touch Screen with all controls of the Alta ST Modular Laser System Emergency Stop Button 4 Data Input Window not yet active future feature of the Alta ST Modular Laser System OD O 2013 Dental Photonics Inc P N 920 0000001 RevC Page 2 8 USER MANUAL ie Supply Adapter Figure 8 External Power Supply Adapter and Power Cord for Alta Console Device or Alta ST Includes all components of the device necessary for performing soft tissue surg
15. 0 40 50 60 Tip Transmission Figure 19 Tip Transmission Histogram Examples of Initiated Tips e Bare Diode Fiber without Initiation e Diode Fiber with basic cork Initiation e TOP Tip with durable SureStep initiation provides a consistent computer controlled tip initiation proprietary process of sintering carbon particles into the tip Figure 20 Tip Initiation Comparison O 2013 Dental Photonics Inc P N 920 0000001 RevC Page 4 12 USER MANUAL TOP Tip is emitting a 1 400 11 000 nm radiation with tissue effects similar to a Thermal Camera Image CO laser FCI 675 GAL 025 OU TA 50 525 SOU 475 450 425 400 a QO Figure 21 400 um TOP Tip at 700 C O 2013 Dental Photonics Inc P N 920 0000001 RevC Page 4 13 SURESTEP TIP INITIATION PROCEDURE Launch the SureStep Tip Initiation Procedure by pressing the Tip Initiation button as shown on Figure 22 This will take you to the screen shown in Figure 23 F i i Tenk i gt a ae j indications Favorites Quick Start Fi APC CW p Pulse gt Average Power 1 W Renetition Rate SOO Hz Duty Cycle 50 Step I of 3 e Select the installed fiber AN Tip Initiation Step 1 of 3 Select the installed fiber 2013 Dental Photonics Inc P N 920 0000001 RevC Page 4 14 USER MANUAL s shown on the right Figure 24 each tiber is color coded on the SMA Connector Pl
16. Alta ST Favorites enectomy Frenotomy r uy A om F ak Mar Power f Temperature EW 600 c Q 0 USER MANUAL PFP meYprirzHaT emis ad EL I DentallPhotenice Fes All Rights Reserved Tr A a 4 A PE L E IRADEMARKS a INR P 1 S MBA BN Alta Alta ST er onah Powered TOP SureStep Automatic Power Control APC AutoStop TOP Tip Dental Photonics and DPI are trademarks of Dental Photonics Inc All other trademarks referenced in this document are the property of their respective owners COPYRIGHT No portion of this material may be reproduced in any form or incorporated into any information retrieval system without the prior express written consent of Dental Photonics Inc Dental Photonics Inc 1600 Boston Providence Highway Walpole Massachusetts 02081 U S A Tel 781 754 7900 gore lA O Email info dentalphotonics com Website www dentalphotonics com 2013 Dental Photonics Inc P N 920 0000001 RevC Page i USER MANUAL A WORD FROM DENTAL PHOTONICS INC DPI Indications for Use Service Information Advisory 2013 Dental Photonics Inc This User Manual contains important information on proper use and maintenance of the Alta ST All personnel involved in the use and maintenance of this equipment must carefully review and comply with the warnings cautions and instructions contained in this User Man
17. MA E a Labial Apply tension to the target area i e pull the lip outward Fiber SMA Connector PPI g P p Gala E de cas i l HETER b Lingual Push the tongue upward to create tension and avoid the highly vascularized floor of the mouth 3 Activate the laser and move the tip along the entire length of the frenum perpendicular to the surface Wipe the tip frequently with non alcohol impregnated moist gauze to remove tissue residue 2013 Dental Photonics Inc P N 920 0000001 RevC Page 4 23 USER MANUAL SYSTEM CONFIGURATION In the System Configuration Screen system parameters can be adjusted settings exported or imported and software updates performed 0 ks EK Ar 778 En Update GUI sleep HOt Brightness Off 90 10 ey Update Software ZN 93 n Service mode 92 i E i i i E L I E E E Figure 40 System Configuration ADJUSTABLE SETTINGS ARE AS FOLLOWS Sleep Delay After a period of inactivity the Alta ST can automatically be put into the Sleep State in which the device cannot emit laser energy and the display is turned off The sleep delay is adjustable from 1 to 30 min and to Off with the Up Down buttons or using the slider Figure 40 103 Aiming Beam The aiming beam brightness can be increased or decreased by pressing the Up Down buttons or using the slider Figure 40 91 Screen Brightness The LCD screen brightness can be adjusted brighter or darke
18. a ST Interactive Display and Screen Symbols Used System Start up Login Operational Options Selection Indications Selection Favorites Selection Saving Procedures Quick Start Modes of Operation CW Pulse and APC AutoStop Feature Run Away Protection Feature SureStep Tip Initiation Overview SureStep Tip Initiation Procedure Aaj nwWN SRRARA RAR AR RA BOOOHDOOOY 22 00006060NN AN o O 2013 Dental Photonics Inc P N 920 0000001 RevC Page v USER MANUAL Section Title Page Laser Ready State 4 20 Laser Emission State 4 20 Emergency Stop 4 22 Help Screen 4 22 Indications Help Screen 4 23 System Configuration 4 24 Adjustable Settings 4 24 Other Important Settings 4 25 System Information 4 25 Export and Import of Settings and Favorites 4 26 5 CLINICAL APPLICATIONS 5 1 Standard of Care Laser Safety Patient Discomfort Clinical Considerations Laser Operation Fiber Care Fiber Tip Preparation dc dk cl GO 09 NN SS oc Summary Table of Procedures 5 6 6 ROUTINE MAINTENANCE 6 1 Daily Maintenance 6 1 Contamination Control 6 1 Fiber Disintection 6 1 Handpiece Steam Sterilization 6 2 Annual Maintenance 6 2 7 TROUBLESHOOTING 7 1 Alta ST Modular Laser System Troubleshooting 7 1 Error Messages 7 2 O 2013 Dental Photonics Inc P N 920 0000001 RevC Page vi USER MANUAL 4 SUMMARY OF DANGERS WARNINGS SECTION 1 amp CAUTIONS DEFINITION OF SYMBOLS The following symbols are used wit
19. acle Power Switch Figure 9a Remote Interlock Plug Remote Interlock Plug Receptacle Figure 9b Alta ST Left Side View A CAUTION Connections to the Alta console should ONLY be made when the system is powered off with the Power Switch Figure 9b or the laser is in the Stand by state Figure 14 23 2013 Dental Photonics Inc P N 920 0000001 RevC Page 3 2 USER MANUAL FIBER PREPARATION The Alta ST has a fiber delivery system shown in Figures 3 and 4 It consists of a Fiber SMA Connector and fiberoptic cable plus a handpiece and disposable cannula at the distal end for soft tissue surgery The fiberoptic cable length is approximately 10 3 m The fiberoptic cable has three components e Jacket e Quarz Fiber with Cladding e Protective Soft Tubing Three fiber sizes are available The Alta ST Modular Laser System comes with the following fibers Standard 320 um and 400 um core Optional 200 um core A CAUTION e Do not bend the fiberoptic cable with a bend radius less than 5 cm 2 An optical fiber inside cable may be damaged if the cable is bent more than the minimum bend radius e Use paintbrush like strokes during contact cutting procedures Keep in mind that the fiber is a quartz glass rod which is fragile and as such warrants care in handling Applying excessive pressure to the fiber may result in breakage potentially causing injury to the patient and user e If the
20. aindications for laser light energy INSTRUCTION MANUAL This User Manual contains essential information on using this device safely and effectively Before use thoroughly review this User Manual and the manuals of all equipment which will be used during the procedure and use the equipment as instructed USER QUALIFICATIONS THE Alta ST MUST BE OPERATED BY A PHYSICIAN DENTIST HYGIENIST IF APPROVED TO OPERATE A LASER OR TRAINED PERSONNEL UNDER THE SUPERVISION OF A PHYSICIAN OR LICENSED DENTAL PRACTITIONER 2013 Dental Photonics Inc P N 920 0000001 RevC Page 2 2 USER MANUAL UNPACKING The Alta ST Modular Laser System is delivered in a shipping container featuring a box in a box design The exterior master shipping box holds the complete Alta ST Modular Laser System with all of the accessories disposables and manuals while the interior return shipper box contains the core system and is designed as a return shipper for depot warranty service and maintenance Before opening the box verify that the outer box does not present any signs of shipping damage To unpack the Alta ST Modular Laser System open the outer shipping carton and remove the foam cover plate with the parts list manuals and the accessory boxes See Figure below S 3x Safety Glasses Foot Pedal Return Shipper Box Power Supply Table Stand Accessories Kit Handpiece SureStep Wall Mount Scale and Initia tion Tablets
21. cal fiber 1600 Bos Fiber SMA Connector a 223 mam a Figure 11 Fiber SMA Connection Note The handpiece may be placed in the holder with or without a cannula It is important to remove and dispose of the cannula before sterilization or storage 2013 Dental Photonics Inc P N 920 0000001 RevC Page 3 5 USER MANUAL PROTECTIVE EYEWEAR AAA DANGER e Alta ST is a Class 4 laser device emitting up to 25 W of invisible 980 nm laser radiation and up to 5 mW of visible 650 nm laser radiation Serious injury to eyes skin and soft and hard tissues of patient and or user may occur if not properly used e Protective eye glasses with attenuation factor optical density at least 5 at 980 nm are required for the operator physician dentist hygienist assistant and the patient e Never direct the handpiece toward people eyes skin or any tissue except the tissue to be treated by the Alta ST while the laser is in operation All persons present when a class 4 laser device is being used must wear protective eyewear Use only glasses that comply with the requirements for the Alta ST laser wavelength and power For the Alta ST with 25 W at 980 nm protective eyeglasses with an O D Optical Density of at least 5 are required See the specifications section for more information The Alta ST is delivered with 3 pairs of compliant protective glasses Figure 12 tal Doy Bellnics Bellas Erics Figure 12
22. ctivated tor many of the procedures in an effort for the end user to make a smooth transition from other laser devices that do not have this AutoStop feature The AutoStop feature can be turned on or off manually for any procedure The new settings can then be saved as a Favorite procedure as explained on pages 4 6 to 4 7 of the User Manual Dental Procedures Abscess 18D APC N A Aphthous Ulcers Pulse 2 Biopsy APC N A Frenectomy APC N A Gingival Troughing APC N A Gingivectomy APC N A Hemostasis CW N A Dental Implant Uncovering APC N A Operculectomy APC N A Pulpotomy CW 1 N A Sulcular Debridement APC 6 N A Unerupted Tooth APC 6 N A General Surgical Procedures Ablation CW 16 N A Coagulation Pulse 4 2 Incision Excision APC 10 N A Vaporization APC 10 N A 2013 Dental Photonics Inc P N 920 0000001 RevC Page 5 4 USER MANUAL 4 ROUTINE MAINTENANCE SECTION 6 DAILY MAINTENANCE Make sure the Alta ST Modular Laser System is turned off Use a liquid disintectant similar to BIREX to wipe down the front panel of the Alta ST console after each procedure Do not spray the disintec tant directly on the console Apply with gauze sponge or wipe Do not use bleach or abrasive materials to clean the system Place a thin protective film over the control panel and touch screen prior to treating the next patient the protecti
23. e pressing the Activate Laser button Figure 35 will place the Alta ST in the Laser Ready State and the status indicator Figure 35 41 will also change state In the Laser Ready State the Alta ST is ready to emit laser energy The pilot laser is turned on and illuminates the tield of operation in the Laser Ready State Using the toot pedal when in the Laser Ready State will commence laser emission When the toot pedal is pressed the Alta ST will enter Laser Emission State No Parameters are adjustable while the Alta ST is in the Laser Emission State LASER EMISSION STATE AAA DANGER e Alta ST is equipped with a Class 4 laser device emitting up to 25 W of invisible 980 nm laser radiation and a Class 3R pilot laser emitting up to 5 mW of 650 nm laser radiation Serious injury to eyes skin and soft and hard tissues of patient and or user may occur if not properly used e Protective eye glasses with attenuation factor optical density at least 5 at 980 nm are required for the operator assistant and the patient e Never direct the handpiece toward people s eyes skin or any tissue you do not intend to treat while the laser is in operation 2013 Dental Photonics Inc P N 920 0000001 RevC Page 4 20 USER MANUAL In the Laser Emission State the Alta ST emits laser energy A kN ETTE ar indications Favorites Quick Start APC Time Off Pulse gt Average Power
24. e inserted into the SD Card reader This feature allows the operator to save his her favorite procedures to an SD card before sending the Alta ST for factory depot repair The export function is activated from the System Configuration Screen Figure 40 Please insert an SD card into the card slot on the left side of the console Figure 4 Navigate to the System Configuration Screen and press the icon Figure 40 101 to commence the Export procedure The following screen appears Figure 42 Follow the screen prompts to complete the procedure Your Favorites and System Settings from the Alta ST will be saved to the SD card Make sure that the SD card ts inserted in the slot Previously saved Favorites and Systems Settings on the SD card will be erased If the Export procedure fails the following screen will appear Figure 43 Please follow the On screen instructions and repeat the procedure Export to SD card failed Please verify that the correct 3D card is inserted Use a PC with an SD card slot Verify that the SD card is FAT16 formatted and has 2 GB orless in capacity avoid using HD cards The root folder should contain a folder named Save IF the problems persist please contact the manufacturer 2013 Dental Photonics Inc P N 920 0000001 RevC Page 4 26 IMPORTING SETTINGS FROM SD CARD The Alta ST provides for a means of importing favorite procedure settings and Graphical User Interface settings
25. ease identify the fiber attached to the Alta ST console and select the appropriate button in Figure 23 sv Fiber is Color Coded on the Fiber SMA Connector a A Figure 24 Fiber Color Coding A CAUTION e In the SureStep Tip Initiation Procedure the Alta ST is in the Laser Ready State In this state the laser will emit laser radiation when the foot pedal is pressed Step 2 of 3 e Cleave the fiber as described in Section 3 of the User Manual AN Tip Initiation Step 2 of 3 Cleave the fiber Place the SureStep Initlation Tablet on the SureStep Initiation Scale Once you have calibrated the force required for a successful initiation the scale is no longer required The tablet can then be placed on any flat surface Hold the fiber perpendicular to the tablet Press on the tablet with the fiber until you achieve 100 200g of force Press the foot pedal until you hear the 3 short beeps Figure 25 SureStep Tip Initiation Step 2 of 3 2013 Dental Photonics Inc P N 920 0000001 RevC Page 4 15 Place the Single Use Only SureStep Initiation Tablet on the SureStep Initiation Scale See Figures 26 29 Note SURESTEP INITIATION SCALE 2013 Dental Photonics Inc NITIATIIG STEPE Hy Siep 1 of i 1 Beledt the impelled Hibor St p 2 of Ji rro iha liber Blaine the fure Bis H atien ilei gen 1 ekke initlohon baal Hald the Hi
26. ed regularly to create a clean cut leaving a surface that is cylindrical in shape and completely flat with no broken edges Always remove the cannula prior to cleaving to avoid damaging the fiber wall To test the quality of the fiber tip activate the laser pilot light and hold perpendicular to a white surface about 4 mm from the surface The re sulting red circle should be round and regular without any light or dark spots This is especially im portant for non contact procedures that do not require tip initiation such as hemostasis For contact procedures where tip initiation is required the completely flat tip with no broken edges is not as im portant because of the SureStep Tip Initiation procedure For additional information regarding fiber cleaving please reter to Section 3 of this User Manual SureStep Tip Initiation Most contact procedures use a hot tip effect to cut and vaporize soft tis sue This hot tip may be achieved in a number of ways but the most reliable method is a standardized SureStep Tip Initiation procedure as employed with the Alta ST This procedure ensures a hot tip suitable for constant power and Automatic Power Control APC procedures To initiate the tip please follow the SureStep Initiation Procedure described in Section 4 of this User Manual 2013 Dental Photonics Inc P N 920 0000001 RevC Page 5 3 USER MANUAL SUMMARY TABLE OF PROCEDURES Note The AutoStop feature has been dea
27. er por i deylar 19 Fho tll host borp Step J of Rolo the Mat poal P N 920 0000001 RevC Page 4 16 e Holding the fiber perpendicular to the tablet press the fiber in the center of the tablet until you achieve 100 200g of force See Figure 29 e While continuing to press the fiber on the tablet press the foot pedal until you hear the 3 short beeps Do not release the foot pedal until you hear the beeps A CAUTION e The Tip Initiation procedure will fire the laser while pressing the foot pedal with out the Activate Laser button Figure 18 19 being pressed Selecting the fiber as shown in Figure 39 activates the laser Ensure that the handpiece tip is placed in perpendicular contact with the surface of the SureStep Initiation Tablet on the SureStep Initiation Scale Figure 28 Step 3 of 3 e Release the foot pedal Remove the fiber tip from the tablet e Hold the fiber in the air e Press and hold the foot pedal until the on screen message indicates a successful initiation Vy Tip Initiation Step 3 of 3 Release the foot pedal Remove the fiber tip from the tablet Hold the fiber in the air Press and hold the foot pedal until the on screen message indicates a successful initiation 2013 Dental Photonics Inc P N 920 0000001 RevC Page 4 17 When the SureStep Tip Initiation Procedure has completed successfully a confirmation message shown in Figure 31 will be displayed If a
28. ery Console Application Module Handpiece Delivery System Foot Pedal and Labeling Handpiece Instrument holding optical fiber and replaceable tips which is inserted into or placed in contact with the patient s oral cavity The handpiece holds the fiber that delivers powerful near infrared light to the patient for treatment Fiber SMA Connector Attaches to the Console This connects the fiberoptic cable to the console delivering optical power to the handpiece from the console Console Portable unit which contains electronics diode laser with cooling system optical module pilot beam laser The console also has a microcontroller and LCD monitor with touch screen Graphic User Interface GUI DC power input and Foot Switch connector Left Side of Console e DC Power Connector Connector for the DC power supply e Foot Pedal Connector Connector for the foot pedal e Remote Interlock Plug Figure 5 shows the Remote Interlock Plug already connected to the Alta Console e USB Port Connector for USB cable for use by authorized DPI personnel only e SD Card Slot SD flash card slot for system software upgrade and backup restore of system and procedure settings Right Rear of Console e Optical Fiber Port Connector for fiberoptic cable e Application Module Alta ST for soft tissue surgery 2013 Dental Photonics Inc P N 920 0000001 RevC Page 2 9 USER MANUAL SPECIFICATIONS Type Size Weight Power Req
29. eter is the emission duration time of the individual laser pulse The pulse width is adjustable from 5 us to 50 ms The Time Off parameter is the non emission duration time between two laser pulses The non emission duration is adjustable from 25 us to 100 ms In the Timer operation the Alta ST delivers a finite number of pulses as a burst with the Time On and Time Off settings defined in Pulse mode The Timer Duration slider Figure 18 33 sets the total emission time of the train of pulses The timer duration is adjustable from 50 ms to 99 9 s CW When the CW operating mode is selected the Alta ST delivers continual laser power output The laser power output can be increased or decreased by pressing the Increment button Figure 18 98 or Decrement button Figure 18 39 respectively on the power slider The output power is adjustable from O to 25 W The Time On and Time Off parameters are Not adjustable in the CW operating mode In the CW mode the Timer function defines the total emission time of the Alta ST The timer duration slider Figure 18 33 sets the total emission time The power slider sets the constant continuous power of the Alta ST during emission The emission time is adjustable from 50 ms to 99 9 s O 2013 Dental Photonics Inc P N 920 0000001 RevC Page 4 9 USER MANUAL AUTOMATIC POWER CONTROL APC For diode lasers in the spectral range of 800 to 1 100 nm the cutting effect in contact mode is
30. ettings on the Alta ST Always backup your settings before attempting a restore See procedure below Service Mode The Alta ST software includes a service mode Figure 40 92 The service mode is not user accessible This feature can only be used by trained Dental Photonics Inc service personnel To return back to the previous screen press the Back button Figure 40 88 The status indicator Figure 40 23 indicates the Laser state In the System Configuration Screen Figure 40 the Alta ST is in the Standby State While in the Standby State the Alta ST cannot emit laser energy SYSTEM INFORMATION System Information such as BootLoader version Hardware version Software version GUI version Serial number and Sleep delay can all be displayed by pressing the system information button on the System Contiguration Screen Figure 40 89 This intormation is used by DPI service technicians GE System Information Bootloader Version 25 Hardware Version 2 Software Version 33 GUI Version 44 10 en Help Version 44 11 en Procedures Version 4 4 Serial Number 1037 Sleep after inactivity Off Figure 41 System Information 2013 Dental Photonics Inc P N 920 0000001 RevC Page 4 25 EXPORT AND IMPORT OF SETTINGS AND FAVORITES EXPORTING SETTINGS TO SD CARD The Alta ST provides for a means of exporting favorite procedure settings and Graphic User Interface settings to an external storage devic
31. eve target tip temperature within two seconds If this error occurs the system stops lasing and shows the message Selected temperature cannot be reached Please check if tip is properly initiated and fix if necessary It the tip is properly initiated increase the max power This will be a separate window that pops up and an OK button will have to be pressed for confirmation This RAP is active in APC Mode and cannot be disabled by the user 2013 Dental Photonics Inc P N 920 0000001 RevC Page 4 11 USER MANUAL SURESTEP TIP INITIATION OVERVIEW Many contact procedures require the treatment tip to absorb laser power and produce heat to cut or coagulate soft tissue Dental Photonics Inc has developed a proprietary computer controlled SureStep tip initiation procedure which creates internal absorption within the tip making cutting less dependent on the tissue properties than with the initiation process used by conventional diode lasers Tip Transmission Histogram a Frequency e Diode tip initiation with one pass on cork gives a highly variable result of 20 to 70 laser light transmission e The tip is constantly wiped clean during cutting thereby losing its ability to cut resulting in drag or snag and tissve damage e Diode tip temperature fluctuates widely result ing in collateral damage and snag e Diode cutting speed has tremendous impact on the quality of the cut and collateral damage 20 3
32. g Screen the Alta ST is in the Standby state While in the Standby state the Alta ST cannot emit laser energy 2013 Dental Photonics Inc P N 920 0000001 RevC Page 4 7 QUICK START In the Quick Start Screen shown in Figure 18 below the user is able to see the factory preset parameter settings and change them if desired Initially the Alta ST is in the Standby State and cannot emit laser energy 14 15 29 33 16 31 32 23 Indications Favorites gt W ickStart 30 APC sm mn 35 Time On Time Off i Tf 1 ms 1 ms 28 44 38 EE B E o i E 37 Average Power I W ER 3 a 2 Repetitinn Rate 500 Hz nn Duty Cycle 50 So 3 E F 3 man 22 19 activate Laser m m mill st J NZ 97 When selecting the Quick Start tab the Quick Start Screen is displayed The Alta ST allows the operator to select operating modes and adjust operating parameters Three operating modes can be selected 1 Automatic Power Control APC Mode with tip temperature control Figure 18 30 2 Continuous Wave CW Mode with manual power control and timer Figure 18 28 3 Pulse Mode with power gating and timer tor manual power control Figure 18 38 Upon entering the Procedure Screen and Quick Start Screen seven operating parameters Figure 18 30 28 38 29 31 32 33 are displayed Operating Mode Figure 18 30 28 38 Power Figure 18 29 Time On Figure 18 31 Time Off Figure 18 32 Timer Dura
33. hin this User Manual or on the Alta ST and its packaging Symbol Meaning _ sor Emergency Stop MO ke A eeermmm A eeen OOOO O OO 2 A pal N Serial Number Date of Manufacture Invisible and Visible Laser Radiation O PD Memory card sit OO Fragile Handlewith care Ay Ly e i i Keep Dry Humidity Range with inclusive upper amp lower limits Temperature Range with inclusive upper amp lower limits O 2013 Dental Photonics Inc P N 920 0000001 RevC Page 1 1 USER MANUAL DEFINITION OF LABELS The following labels are used on the Alta ST and its packaging Identification Label Provides manutacturer and system information The location of this label see below on the Alta ST Modular Laser System is shown in Figure 4 Dental Photonics Inc 1600 Boston Providence Hwy Walpole MA 02081 NI A A w so we wer COMPUES WITH FDA PERFORMANCE STANDARDS FOR LASER PRODUCTS EXCEPT FOR DEVIATIONS PURSUANT TO LASER NOTICE 50 DATED JULY 26 2001 EVALUATED TO IEC 60825 1 2007 2 ED Laser Safety Labels Provides laser radiation information and warnings The location of these labels see below on the Alta ST Modular Laser System is shown in Figure 4 Laser Warning Symbol Location shown in Figure 4 Laser Aperture Warning Location shown in Figure 4 Avoid Laser Radiation Exposure Warning and Information Location shown in Figure 4 Laser
34. ic tissues and sulcular debride ment removal of diseased or intlamed soft tissue in the periodontal pocket The Clinical Applications section of this User Manual provides suggestions for laser settings for certain procedures as do the pre set procedures called Indications programmed in the Alta Modular Laser System console 2013 Dental Photonics Inc P N 920 0000001 RevC Page 2 1 USER MANUAL A CAUTION Federal USA law restricts this device to sale to a physician or licensed dental practitioner CONTRAINDICATIONS All clinical procedures performed with Alta ST must be subjected to the same clinical judgment and care as with traditional techniques Patient risk must always be considered and fully understood before clinical treatment The dentist should know and understand the patient s medical history prior to the treatment Exercise caution for general medical conditions that might contraindicate the procedure Such conditions may include but are not limited to allergy to local or topical anesthetics heart disease lung disease bleeding disorders sleep apnea or an immune system deficiency Medical clearance from patients physician is advisable when doubt exists regarding the treatment Alta ST treatment may be contraindicated for patients suffering from photodermatosis photosensitive patients and pa tients who are taking photosensitive drugs Conditions such as pregnancy and pacemakers are Not known as contr
35. ipped with an AutoStop AS feature Pressing the AS button Figure 18 37 toggles the AS feature On and Off The AS feature is On when the icon does not have a line going across the AS button Figure 18 37 and is Off when a line is going across it The behavior of the AS feature depends on the selected Operating Mode as follows CW and Pulse Modes The AS feature detects and protects from fiber tip carbonization The AS feature can be enabled or disabled by pressing the AS button Figure 18 37 AS is disabled when a line is going across the button APC Mode In this operating mode the AS feature detects an abrupt stop in treatment speed when treatment speed is gt 3 mm s An abrupt stop is defined as going from a treatment speed of gt 3 mm s to O mm s within less than 200 ms AS in APC Mode can be enabled or disabled by pressing the AS button Figure 18 37 AS is disabled when a line crosses the button Note Advanced users may elect to disable the AutoStop feature for a particular procedure This can be done at will each time that procedure is selected or the procedure can be saved as a Favorite with the AutoStop feature disabled see information on the Favorites Screen in this section of the User Manual RUN AWAY PROTECTION FEATURE The Alta ST is equipped with a Run Away Protection RAP feature This protection activates when the system cannot achi
36. iring when the foot pedal is released and or a similar emergency situa tion immediately press the red Emergency Stop button on the bottom left side of the front panel The laser will immediately stop the screen will go dark and the system will need to be completely powered ott rebooted to resume operation This could also happen with an inadvertent touching of this button HELP SCREEN When pressing the Help Screen button Figure 35 22 the Alta ST will enter the Help Screen The information that is displayed depends on the Help Screen on which the help button was pressed After reading the help information the operator can return to the previous screen by pressing the Ok button Figure 38 88 LLL LD D Quick start Check mode of operation and laser settings activate laser when ready to perform a procedure The laser will emit energy when activated and foot pedal pressed In Automatic Power Control APC mode the laser power will adjust automatically not to exceed set value 88 O 2013 Dental Photonics Inc P N 920 0000001 RevC Page 4 22 INDICATIONS HELP SCREEN When a factory preset Indications procedure is selected touching the Help Screen button see Figure 35 22 will show several screens with context sensitive help specific for this procedure including insurance billing information Figure 39a patient education information Figure 39b recommended range of settings Figure 39c and step by step c
37. ith the Alta ST system it is attached to the handle of the console This interlock plug is bridged so it can be used for operatories that do not have the optional door switch wiring installed To attach the interlock plug insert into the corresponding connection port and twist clockwise to lock in place See Figure 5 where the connection has already been made Note With or without the optional door switch it is essential for operation of the Alta ST Modular Laser System that the remote interlock plug is to be plugged into to the corresponding connection port Attempting to operate the Alta ST Modular Laser System without the interlock plug in place will result in an error message 2013 Dental Photonics Inc P N 920 0000001 RevC Page 3 1 USER MANUAL SYSTEM INSTALLATION 1 Place the Console with the base and application module connected on a flat surface 2 Attach the connector for the Power Supply Adapter to the Console s lett panel Figures 5 and 9 3 Attach the Foot Pedal Connector to the Console s left panel Figures 5 and 9 4 Attach the Remote Interlock Plug to the Console s left panel Figures 5 and 9 Note Rotate the Remote Interlock Plug Figure 9a until it slides all the way flush with the receptacle on the left side of the Alta ST Console Figure 9b Turn the Remote Interlock Plug to the right to lock it into place To remove the Remote Interlock Plug turn it to the left and pull out of the recept
38. linical instructions Figure 39d This information was previously available in the Clinical Guide part of this User Manual and is now available on the system screen for user convenience nn la i E 8 f s 3 Pr fi D OO _ j Insurance Y Patient Ed Settings pe Step by Step fe j surance Patient Ed Settings we Step by St pp Frenectomy Insurance D7960 The frenum may be excised when the tongue has limited mobility for large diastemas between teeth or when the frenum interferes with a prosthetic appliance or Frenectomy Patient Education The surgical removal or repositioning of a mmm franum There are 7 frenums a 3 on the upper labial b 3 on the lower labial c 1 lingual under the tongue This procedure is performed to enhance the stability of a corrected diastema prevent the pull on the gingival tissue leading to gingival recession or to alleviate a tongue tie which Be can affect speech or the ability of a baby to nurse when it is the etiology of periodontal tissue disease Lingual A me T X Patient Ed Settings Y Stel Vy A e surance Y Patient Ed Y Settings Step by Step Frenectomy Settings Frenectomy Step by Step 1 If there are signs of patient discomfort use a topical anesthetic emp LE AutoStop Tip Contact Initiate the tip and point the fiber toward the frenum perpendicular 0 800 C Optional to the surface S
39. n or nitrous oxide Do not operate in the presence of volatile solvents such as alcohol or gasoline Flammable drapes oxygen lines surgical gowns gauze and other ignitable materials must be kept clear of the laser beam The use of nontlammable materials and instruments is advised Flame retardant surgical drapes gowns etc are recommended readily accessible fire extinguisher in the vicinity of the Alta ST is also recommended A WARNING This device contains no user serviceable parts Do not disassemble modify or attempt to repair the device Patient or user injury and equipment damage can result Clean the handpiece between patient sessions Autoclave the handpiece and carefully wipe the fiberoptic cable with a disinfectant solution to prevent from cross contamination between the patients During all dental and general surgical treatments ensure that the handpiece is kept in the sterile field at all times To prevent biohazards and cross contaminations do not place the handpiece into the holder during the treatment or after use on a patient A CAUTION Do not bend the fiberoptic cable with a bend radius less than 5 cm 2 An optical fiber inside cable may be damaged if the cable is bent more than the minimum bend radius Do not use the Console unit in the vicinity of heat sources Make sure that the ventilation holes on the rear of the Console are not obstructed Do not disconnect fiber from the Alta ST while the
40. ndby state the user can adjust operating parameters It the user had selected a procedure the name of that procedure and its preset parameters will be displayed If the operator made any changes to the procedure parameters and wishes to save the new settings simply press the button with the Diskette symbol Figure 16 44 O 2013 Dental Photonics Inc P N 920 0000001 RevC Page 4 6 23 My Gingivectomy MA 24 22 85 36 When in the Procedure Saving Screen the Alta ST automatically sets the procedure name to My PROCEDURE where PROCEDURE is the name of the procedure displayed on the previous Procedure Screen for preprogrammed procedures selected The name field remains empty if the previous screen was the Quick Start Screen The operator can enter or modify the name of the custom procedure using the on screen keyboard and then press the Save button Figure 17 36 The procedure name can be saved with alpha numeric characters lo change case use the shift key Figure 17 24 Pressing the shift key scrolls through the options available all lowercase lower and uppercase and all caps The name of the procedure can have a maximum of 30 characters To cancel saving the parameters press the Cancel button Figure 17 85 which returns the operator to the previous Procedure Screen or Quick Start Screen The status indicator Figure 17 23 shows the current Laser state In the Procedure Savin
41. not achieved by the direct action of laser light on tissue but rather by a thermo mechanical process which employs a hot tip Diode lasers do not cut with light but with heat The initiated tip of a diode laser converts laser light into heat at a relatively high tem perature this heated tip cuts soft tissue Therefore the tip temperature is a very important parameter which intluences cutting and coagulation to the greatest extent Normally if laser power is maintained at a constant level tip temperature changes constantly because of variations in cutting speed different tissue types and their varying levels of thermal interaction and fluctuations in conversion of laser light to heat due to variable tip initiation The Alta ST has a mode of operation called Automatic Power Control APC where the power is adjusted in real time to maintain a predefined tip temperature Any tip temperature between 500 900 C can be set by the user and the APC function will monitor and maintain that tip temperature Note that APC modes can only reliably maintain tip temperature if the tip is properly initiated using the computer controlled SureStep proprietary procedure described later in this section During the APC mode of laser operation the power is automatically adjusted to maintain the tip temperature The user can set only the Not to Exceed power level Normally the Alta ST should operate at a much lower power than the Not
42. ny problem was encountered during the initiation process the screen shown in Figure 32 will appear To repeat the initiation process hit the Retry button Please perform a fresh cleave and restart the initiation process as described To cancel the initiation process hit the Exit button Xx Tip Initiation Initiation completed successfully Y Please release the foot pedal Initiation failed Please release the foot pedal recheck the fiber and repeat initiation A WARNING e To avoid any potential for cross contamination between patients and to ensure proper initiation we strongly suggest replacing the Single Use Only SureStep Initiation Tablet after each patient 2013 Dental Photonics Inc P N 920 0000001 RevC Page 4 18 Note System Information Brightness 100 pn Update GUI AN penn Update Software eel Service mode System Information gt og aD Update GUI Brightness Volume 4 100 ee Update Software N EE Service mode O 2013 Dental Photonics Inc P N 920 0000001 RevC Page 4 19 USER MANUAL LASER READY STATE In the Laser Ready state the Alta ST is ready to perform laser treatment Indications Quick Start APC CW Pulse gt Average Power 2 W Mepettien Aae 260 Hz Dhuy Cyrda 50 Ya pl i E Stop Laser Figure 35 Laser Ready State PO Po NY eg Se ee ee Once the operator is ready to start the procedur
43. omy gingivoplasty gingival troughing crown lengthening hemostasis of donor site removal of granulation tissue laser assisted flap surgery debridement of diseased epithelial lining incisions and draining of abscesses tissue retraction for impressions papillectomy vestibuloplasty excision of lesions exposure of unerupted partially erupted teeth leukoplakia removal of hyperplastic tissues treatment of aphthous ulcers sulcular debridement removal of diseased or intlamed soft tissue in the periodontal pocket pulpotomy pulpotomy as an adjunct to root canal therapy and light activation of bleaching materials for teeth whitening The Alta ST with Automatic Power Control APC is intended for use in contact or non contact tech nique for dental soft tissue indications including Incision excision vaporization ablation hemostasis or coagulation of intraoral and extraoral soft tissue including marginal and interdental gingiva and the epithelial lining of the tree gingiva Examples include Frenectomy trenotomy biopsy operculectomy implant recovery uncovering gingivectomy gingivoplasty gingival troughing crown lengthening removal of granulation tissue laser assisted flap surgery debridement of diseased epithelial lining incisions and draining of ab scesses tissue retraction for impressions papillectomy vestibuloplasty excision of lesions exposure of un erupted partially erupted teeth leukoplakia removal of hyperplast
44. r to better match your work environment by pressing the Up Down buttons or using the slider Figure 40 99 Volume The volume of control signals can be adjusted by pressing the Up Down buttons or using the slider Figure 40 96 2013 Dental Photonics Inc P N 920 0000001 RevC Page 4 24 USER MANUAL OTHER IMPORTANT SETTINGS Software Update From time to time DPI may provide updated software with new functionalities Press the Update Software button Figure 40 93 to start the upgrade process Follow the prompts on the screen Graphic User Interface Updates for the GUI or skin of your Alta ST system may also be necessary from time to time To update the GUI press the Update GUI button Figure 40 100 and follow the onscreen instructions Passcode Update Pressing the button Figure 40 90 allows you to set a personalized user passcode Always be sure to keep a record of your passcodel Forgetting or losing personalized pass code would reguire a full system reset to original factory settings Settings Backup You can export your system settings and favorite procedures to an SD card Figure 40 101 Follow the instructions in the section below Saving settings will overwrite data that is already on the SD card Always mark your media accordingly Settings Restore Settings stored on an SD card can be imported into the Alta ST Modular Laser System Figure 40 102 Caution importing from an SD card will overwrite s
45. re during procedures e Avoid prolonged contact of the tip with bone Dyclone is a trademark of Astra Zeneca Pharmaceuticals LASER OPERATION The laser light generated inside the Alta ST Soft Tissue Surgical Laser is delivered to the tissue to be treated using a quartz fiber The distal end of the fiber is held in a hand piece which allows only a short piece of the fiber the fiber tip to be in direct contact with the tissue to be treated 2013 Dental Photonics Inc P N 920 0000001 RevC Page 5 2 USER MANUAL FIBER CARE Use paintbrush like strokes during contact cutting procedures Keep in mind that the fiber is a quartz glass rod that is fragile and as such warrants care in handling Applying excessive pressure to the fiber may result in breakage potentially causing injury to the patient and user If the fiber tip should break during a procedure carefully suction the debris trom the treatment site rinse and repeat suctioning to catch any remaining debris To avoid fiber breakage never pinch the fiber or attempt to roll it up to a diameter smaller than a coffee cup Unless specifically recommended for a particular procedure do not extend the fiber more than 3 5 mm beyond the end of the cannula to avoid excessive drag during treatment that may lead to fiber breakage FIBER TIP PREPARATION The fiber tip must have certain qualities to ensure safe and reliable operation Clean Flat Fiber Tip The fiber should be cleav
46. required to enter the correct passcode Atter logging in the Alta ST will display the Indications Screen Figure 14 O 2013 Dental Photonics Inc P N 920 0000001 RevC Page 4 2 OPERATIONAL OPTIONS SELECTION 1 Select one of the preprogrammed dental procedures listed on the Indications Screen Figure 14 14 2 Select the Favorites tab Figure 14 15 and choose one of the operator s Favorite dental procedures listed on the Favorites Screen Figure 15 3 Select the Quick Start tab Figure 14 16 then select the treatment parameters and start treatment immediately from the Quick Start Screen Figure 18 14 15 16 23 Indications v Favorites Quick Start 17 Sel Abscess amp D 21 Aphthous Ulcers 20 25 18 Biopsy Dental Implant Uncovering Frenectomy 22 Gingival Troughing 19 Select Gingivectomy 97 The tabs 14 15 and 16 at the top of the Indications Screen Figure 14 indicate which User Screen is active and also serve as buttons To activate the desired User Screen simply press the corresponding tab INDICATIONS SELECTION O 2013 Dental Photonics Inc P N 920 0000001 RevC Page 4 3 USER MANUAL The pre programmed clinical indications are permanently stored and cannot be deleted or modified by the operator The operator can select one of these pre programmed dental procedures and either start the treatment process immediately or make adjustments to the procedure settings on the Procedures Screen Fig
47. s Inc P N 920 0000001 RevC Page 4 27 USER MANUAL CLINICAL APPLICATIONS SECTION 5 THE STANDARD OF CARE Always use the lowest amount of laser energy that is necessary to perform a procedure effectively If the desired result cannot be attained or the patient is experiencing discomfort this may be a sign of an underlying or secondary condition As with any medical instrument it is the responsibility of the professional to be aware of its proper use in a clinical setting Laser certification courses are available through Dental Schools and Independent Laser Associations to instruct practitioners and their statt on the sate and effective clinical use of their new laser equipment While this training program is not mandatory it is highly recommended Dental Photonics Inc assumes no responsibility for parameters techniques methods or results Physicians must use their own clinical judgment in determining the appropriate treatment protocol technique proper power settings or other settings LASER SAFETY Never compromise on safety Always use appropriate safety eyewear for yourself as the practitioner for your assistant s and your patient Always check fiber and hand piece for integrity and proper function Between procedures always remove foot completely from the foot pedal to avoid inadvertent activation of the laser Measure and inspect the fiber extension from the hand piece cannula The fiber should extend no more
48. source and contact Dental Photonics Inc at 781 754 7900 to perform comprehensive cleaning and satety testing Failure to do so may result in electrical shock to the patient dentist physician or maintenance person e Protective eye glasses with an attenuation factor optical density of at least 5 at 980 nm are required tor the operator physician dentist hygienist assistant and the patient e Do not look directly into the end of the handpiece when the Alta ST is powered on and the hand piece is connected to the Console The handpiece emits invisible and visible laser radiation which is hazardous to the eyes and skin e Never direct the handpiece towards people s eyes skin or any tissue except the tissue to be treated by the Alta ST while the laser is in operation e Never leave the operating system or system ready to operate unattended The operator can put the system into Sleep state by pressing the Sleep button Figure 14 97 When in Sleep state the device cannot emit laser energy and the display is turned off or the operator can turn off the Power Switch Figure 5 on the Alta ST Modular Laser System betore leaving the room where the system is located 2013 Dental Photonics Inc P N 920 0000001 RevC Page 1 3 USER MANUAL Do not use the Alta ST if the fiber optic cable is damaged or broken The equipment is not suitable for use in the presence of a flammable anesthetic mixture with air or with oxyge
49. ssible irregularities that may occur with the Alta ST or hanpiece including possible causes and solutions It additional troubleshooting assistance is required please call Customer Service at 781 754 7900 Option 4 for more information Irregularity Description Possible Cause Solution System will not power up Power supply cord is not connected Check the console power correctly cord connection Alta ST software is System software problem Turn off power using the frozen or not responding power switch Turn power on again and allow system to re boot Laser emission does not Footswitch cable is disconnected or Check footswitch connection occur when laser is improperly connected If connection is OK contact activated and footswitch DPI Customer Service at is pressed 781 754 7900 O 2013 Dental Photonics Inc P N 920 0000001 RevC Page 7 1 USER MANUAL ERROR MESSAGES Errors in the Procedure Screen Door interlock disconnected Close Door Check Door Interlock cable and sensor plug Contact DPI Customer Service at 781 754 7900 Laser overheating Laser overheating Wait until laser cools down Reduce room temperature it possible Laser temperature too low Alta ST temperature is too low Let system warm up Laser temperature sensor malfunction Contact DPI Customer Service Power transistor overheating Device overheating Let the Alta ST cool down Contact DPI Customer Service Power transistor temperature too lo
50. tal Photonics Inc P N 920 0000001 RevC Page 6 1 USER MANUAL HANDPIECE STEAM STERILIZATION Steam sterilization in a Class B autoclave approved for use in a dental practice is the method of choice Place the handpiece in a sterilization bag with sterility indicator such as CROSSTEX SURE CHECK self sealing Sterilization 3 5 x 9 pouches p n SCS2 Recommended Autoclave Cycle e Temperature 132 C e Pressure 27 psi e Duration 7 5 min e Drying time min At the completion of the autoclave cycle remove the tray from the autoclave and allow the handpiece to cool down Examine the handpiece for damage such as cracks splitting or mechanical breakage lf damage is evident discontinue use of the part A WARNING e If a pre mixed disinfectant is used make sure to observe the expiration date ANNUAL MAINTENANCE The Alta ST should be serviced annually by a certified DPI technician To review what is included in the annual maintenance services please review the Limited One 1 Year Warranty that comes with the laser when you purchase it Also please speak with a DPI sales representative to learn more about purchasing the Extended Service Agreement Please call Customer Service at 781 754 7900 Option 4 for more information O 2013 Dental Photonics Inc P N 920 0000001 RevC Page 6 2 USER MANUAL TROUBLESHOOTING SEGTION 7 Alta ST MODULAR LASER SYSTEM TROUBLESHOOTING Listed below are po
51. ted Thin Initiation Selected Laser Ready State Laser Emission State Emergency Stop Sample Help Screen P N 920 0000001 RevC pi tn in amp CON A WN OA AE N SO CON O amp O PERRA RRA AO OOONNYNNN Page iii USER MANUAL FIGURE 39a d Context Sensitive Help Screens 4 23 FIGURE 40 System Configuration 4 24 FIGURE 41 System Information 4 25 FIGURE 42 Export of Settings 4 26 FIGURE 43 Settings Export Failed 4 26 FIGURE 44 Import of Settings 4 27 FIGURE 45 Settings Import Failed 4 27 FIGURE 46 Error Indicator in the Upper Right Corner of Screen 7 3 FIGURE 47 Error Message 7 3 PLEASE NOTE WHILE WE CONSTANTLY STRIVE TO IMPROVE OUR PRODUCT SOME IMAGES OF PRODUCTS OR ACCESSORIES SHOWN IN THIS MANUAL MAY BE SLIGHTLY DIFFERENT FROM THE SYSTEM YOU HAVE RECEIVED O 2013 Dental Photonics Inc P N 920 0000001 RevC Page iv USER MANUAL TABLE OF CONTENTS Section Title Page 1 SUMMARY OF DANGERS WARNINGS AND CAUTIONS 1 Definition of Symbols 1 Definition of Labels 2 IMPORTANT USER INFORMATION 2 1 Intended Use 2 2 Contraindications 2 Instruction Manual 27 User Qualitications 2 2 Unpacking 2 3 Device Components amp Diagrams 2 4 Specitications 2 10 Repair and Moditication 2 11 3 INSTALLATION 1 Connecting Console Base and Application Module Remote Interlock Plug System Installation Fiber Preparation Fiberoptic Cable Attachment Protective Eyewear Product Registration 4 OPERATING INSTRUCTIONS Alt
52. ting parameters on the Favorites Screen To enter the Favorites Screen press the Favorites tab Figure 14 15 on the Indications Screen When entering the Favorites Screen all custom procedures previously saved by the user are displayed The Favorites list is empty by default for a newly installed system 14 15 16 23 fi a A s i f 2 lt i Indications Favorites v Quick Start 17 My_Frenectomy 1 21 My Gingivectomy vz 20 25 18 26 OBE 19 97 To select a favorite procedure press the up or down arrows Figure 15 17 18 to scroll to the desired favorite or touch the screen to highlight the desired procedure Then press the Select button Figure 15 19 to continue to the Procedure Screen Figure 16 If the user wishes to create a favorite procedure with specific settings the user can select a similar pre programmed procedure from the Indications Screen Figure 14 adjust the parameters accordingly and save the new custom procedure as a favorite See Saving Procedures in this section for more information Figure 17 The list of favorites can be sorted alphabetically or by priority by pressing the Sort button Figure 15 20 25 The Sort button will toggle between Sort ABC and Sor Priority By default the Favorites list is sorted by Priority 2013 Dental Photonics Inc P N 920 0000001 RevC Page 4 5 The Favorites procedures can also be permanen
53. tion Figure 18 33 anora 2013 Dental Photonics Inc P N 920 0000001 RevC Page 4 8 USER MANUAL The Alta ST provides three different modes of operation described below The operator can select the desired operating mode by pressing the APC button Figure 18 30 CW button Figure 18 28 or Pulse button Figure 18 38 Operating parameters are adjustable depending on the operating mode selected Parameters for the APC CW or Pulse modes can be set on the Treatment Screens by select ing the appropriate button for each operating mode The operating parameters that are adjustable are shown on the main screen Each operating mode APC CW and Pulse has its own set of adjustable parameters MODES OF OPERATION Note The Alta ST Soft Tissue Surgical Laser System is a versatile system that can be used for general surgical procedures and dental indications There are three modes of operation described below Continuous Wave CW Mode and Pulse Mode both with user defined constant power and the new Automatic Power Control APC Mode with user preset constant operating temperature PULSE When the Pulse operating mode is selected the Alta ST delivers periodic pulses The peak laser power output can be increased or decreased by pressing the Increment button Figure 18 98 or Decrement button Figure 18 39 on the power slider respectively The peak output power is adjustable from 0 to 25 W The Time On param
54. tly deleted as follows select the desired procedure to be deleted then press the Delete button Figure 15 26 A Confirmation Screen appears every time before a Favorites procedure is deleted prompting the operator to confirm each deletion For further Favorites Screen information the operator can press the Help button Figure 15 22 Once pressed the Alta ST will enter the Help Screen On the Favorites Screen the Alta ST is in the Standby state While in the Standby state the Alta ST cannot emit laser energy Atter selecting a favorite procedure the Alta ST will enter the Procedure Screen Figure 16 The tab Figure 16 16 located at the top of the screen will show the selected pro cedure and the parameters are set to the saved settings SAVING PROCEDURES On the Procedure Screen the user can see the settings of all the modifiable procedure parameters and make changes Figure 16 Notice that the tab located at the top of the screen is labeled Gingivectomy This particular example shows the pre programmed APC procedure Gingivectomy selected from the Indications Screen 14 15 16 23 Fa Indications y Favorites Gingivectomy 30 APC gt O 35 Max Power Temperature 10 W 700 C 28 i i ad ZN 38 37 22 19 97 When initially entering the Procedure Screen the laser device is in Standby state and cannot emit laser energy While in the Sta
55. to 25 W output power pilot beam 650 nm up to 5 mW output power Optical Density gt 5 at 980 nm SMA high power fiberoptic connector for the delivery system Standard 320 um core diameter numerical aperture 0 22 resulting in Nominal Ocular Hazard Distance NOHD of 931 cm and 400 um core diameter numeri cal aperture 0 22 resulting in a NOHD of 931 cm Maximum Permissible Exposure MPE of 363 mW cm Optional 200 um core diameter numerical aperture 0 22 resulting in a NOHD of 931 cm Maximum Permissible Exposure MPE of 363 mW cm Steam sterilization for the handpiece with Non immersible cold liquid disinfection or sterilization for the fiber Fiber SMA Connectors are not allowed for liquid ingress Type BF applied part with no electrical connection with the console P N 920 0000001 RevC Page 2 10 USER MANUAL Radiation Dangers for emissions from the Handpiece and Console if Fiber SMA Connector is disconnected AA DANGER Class 4 Invisible and Class 3R Visible Laser Radiation from the handpiece or Fiber SMA port when the delivery system is not connected Avoid Eye or Skin Exposure to Direct or Scattered Radiation NOTE Light source emissions classified per IEC 60825 1 2007 as amended REPAIR AND MODIFICATION A WARNING This device contains no user serviceable parts Do not disassemble modify or attempt to repair Patient or user injury and or equipment damage can result Refer to Section 7 in
56. to Exceed level producing only occasional bursts of high power when it encounters hard to cut tissue It is important to properly initiate the fiber tip before performing any APC procedure A CAUTION e Do not operate the Alta ST in APC mode with a non initiated tip The system will not be able to reach the target temperature and will operate at not to exceed power which is much higher than normal power needed for treatment When the APC mode is selected the Alta ST maintains a constant treatment tip temperature at the selected set point Laser power output is modulated to maintain the treatment tip at the desired tem peratures For instance when the APC temperature is set at 600 C the laser power is constantly modulated up or down to maintain the treatment tip temperature at 600 C during the entire treatment During APC operation the not to exceed laser power output can be increased or decreased by pressing the Increment button Figure 18 98 or Decrement button Figure 18 39 respectively on the power slider Note that the set level is significantly different from the actual power which the Alta ST will emit The peak power is adjustable from 0 to 25 W Note The Time On Time Off and Timer Duration parameters are not adjustable in the APC operating mode 2013 Dental Photonics Inc P N 920 0000001 RevC Page 4 10 USER MANUAL AUTOSTOP FEATURE The Alta ST is equ
57. ual These instructions are important to protect the health and safety of patients and personnel operating the Alta ST and should be retained in a conveniently accessible area for quick reference Section 2 provides a review of all the Alta ST components Complete instructions for setting up the device are in Section 3 of this User Manual The Alta ST has different modes of operation The Alta ST Modular Laser System incorporates a novel Automatic Power Control APC Mode of operation with user adjustable constant operating temperature lt is also designed for use as a classic semiconductor dental laser system with user adjustable continuous or pulsed power for contact or non contact techniques The Alta ST Modular Laser System is intended for use in a wide range of general surgical and dental surgical procedures for incision exci sion vaporization ablation and coagulation of soft tissue Section 2 of this User Manual specifies the intended use of the Alta ST Modular Laser System including a selection of clinical indications A thorough preventive maintenance program is essential to safe and proper system operation This User Manual contains maintenance schedules and procedures that should be followed for satistactory equipment performance A summary of safety precautions to be observed when operating and servicing this system can be found in Section 1 of this User Manual Do not operate or service the equipment until
58. uirements Environment Foot Pedal Emission States Emitted Radiation Safety Glasses Connectors Optical Fibers Reprocessing Applied Part Rating 2013 Dental Photonics Inc Dental Photonics Inc Alta ST Soft Tissue Surgical Laser System with microproces sor control touch screen and graphic user interface This is a Soft Tissue Surgical Laser System for performing soft tissue surgical procedures with a fiberoptic delivery allowing a contact or non contact technique 7 25 18 4 cm in width 4 5 11 4 cm in depth and 6 5 16 5 cm in height 4 lbs 1 8 kg AC 120 V 60 Hz or 240 V 50 Hz with power input switch maximum power consumption not to exceed 100 W 90 132 V AC and 198 264 V AC 50 60 Hz Operating temperature range of 59 867 F 15 309 C 10 90 relative humidity with ambient atmospheric pressures of 700 1 060 hPa Storage temperature range is 58 158 F 50 70 C Wired 2 5 m cord length IP67 rating Classic Laser Continuous Wave CW or Pulsed pulse duration 5 Us 50 ms timer duration selectable from 50 ms 99 9 s or unlimited as long as foot pedal is pressed Laser power stabilization Automatic Power Control APC Laser output power regulated by Automat ic Power Control APC Mode system Tip temperature selectable from 500 900 C Integrated stabilization of surgical tip temperature Run Away Protection feature with Tip Initiation monitoring 980 nm 10 nm up
59. ure 16 To select a pre programmed procedure press the vp down arrows Figure 14 17 18 to scroll to the desired clinical indication or simply touch the screen to highlight the desired indication Then press the Select button Figure 14 19 to continue to the Procedure Screen Figure 16 On the Procedure Screen the tab Figure 16 16 located at the top of the screen will show the selected procedure and the parameters shown on the screen are the pre programmed settings The list of indications can be sorted alphabetically in the ascending order or by priority frequency of use by pressing the Sort button Figure 14 20 25 The Sort button will toggle between Sort ABC and Sort Priority By default the Indications list is sorted by Priority i e by frequency of use This feature is intended to simplity the start up procedure and provide rapid selection of frequently used procedures and parameter settings The Alta ST is equipped with a separate pilot laser emitting visible radiation with a wavelength of 650 nm that acts as an aiming beam The aiming beam provides the user with a visual indication of the field of operation defining where the treatment energy is or will be applied to the tissue Additionally a beeper provides an audible indication of laser emission when the laser is firing Both the aiming beam intensity and the loudness of the beeper can be adjusted by the user These parameters are adjustable in the S
60. ve film used to cover the patient light handles is acceptable CONTAMINATION CONTROL The handpiece and fiberoptic cable are reusable items while the plastic handpiece cannula are disposable and should never be reused for the following patient The handpiece fiberoptic cable and handpiece cannula are delivered non sterile by the manufacturer Please sterilize the handpiece and wipe down the fiberoptic cable as described below prior to the first use After each use the handpiece and fiberoptic cable must be cleaned and disintected the handpiece sterilized and the cannula discarded CLEANING DISINFECTION Remove and discard the cannula wipe down the fiber and handpiece with a liquid disinfectant similar to BIREX Detach the handpiece from the fiberoptic cable by twisting the collet chuck counterclockwise and pulling out the fiberoptic cable FIBER DISINFECTION The Fiber SMA Connector and fiberoptic cable are not autoclavable Once cleaved and initiated the tip will reach temperatures of several hundred degrees centigrade thus as the laser emits energy it kills all pathogens on the tip Additionally the tip can transfer heat up the shaft of the fiber to the edge of the jacket which may degrade After a clinical procedure always cleave the blackened tip As proposed above disinfect the fiber using BIREX or a comparable product per manutacturer s instructions Dry the jacket using clean sterile gauze after each procedure 2013 Den
61. w Alta ST temperature is too low Let system warm up Internal temperature sensor malfunction Contact DPI Customer Service e nes pedal pressed while not in ready Release foot pedal If it is not pressed replace the state foot pedal Contact DPI Customer Service ms F P F F et current exceeds set value Internal error with current setting Contact DPI Customer Service Run Away Protection Cannot reach target treatment tip temperature Re cleave tip and re initiate fiber tip Contact DPI Customer Service at 781 754 7900 Optical module overheating Let system cool down Reduce the average power and ambient temperature it possible Optical module temperature too low Let system warm up Temperature sensor malfunction Contact DPI customer service O 2013 Dental Photonics Inc P N 920 0000001 RevC Page 7 2 If an error condition occurs the procedure screen shows an error icon see Figure 46 with a number The error numbers with brief explanations are shown in the Errors in the Procedures Screen Table When the error icon is touched as shown on Figure 46 an additional window with a brief explana tion of the error is shown on the screen Figure 47 Pressing the OK button will return to the proce dure screen When the error condition is resolved the status icon will return to ready and it becomes possible to activate and fire the laser _ _ z _z z gt Q lt z P P A A Q3RI
62. you have become familiar with this information P N 920 0000001 RevC Page ii USER MANUAL LIST OF FIGURES FIGURE 1 FIGURE 2 FIGURE 3 FIGURE 4 FIGURES FIGURE 6 FIGURE 7 FIGURE 8 FIGURE 9 FIGURE 10 FIGURE 11 FIGURE 12 FIGURE 13 FIGURE 14 FIGURE 15 FIGURE 16 FIGURE 17 FIGURE 18 FIGURE 19 FIGURE 20 FIGURE 21 FIGURE 22 FIGURE 23 FIGURE 24 FIGURE 25 FIGURE 26 29 FIGURE 30 FIGURE 31 FIGURE 32 FIGURE 55 FIGURE 34 FIGURE 35 FIGURE 36 FIGURE 37 FIGURE 38 2013 Dental Photonics Inc Alta ST Shipping Box and Return Shipper Alta ST System Alta ST Handpiece with Fiberoptic Cable Alta ST Rear View Alta ST Lett Side View Alta ST Right Side View Alta ST Front Panel View External Power Supply Adapter and Power Cord a Remote Interlock Plug and b Lett Side View Cleaving the Fiber Fiber SMA Connection Laser Satety Glasses Log In Screen Indications Screen Favorites Screen Procedure Screen Procedure Saving Screen Quick Start Screen Tip Transmission Histogram Tip Initiation Comparison 400 um TOP Tip at 700 C Launch SureStep Tip Initiation Procedure SureStep Tip Initiation Step 1 of 3 Fiber Color Coding SureStep Tip Initiation Step 2 of 3 Placing the Single Use Only SureStep Initiation Tablet on the SureStep Initiation Scale SureStep Tip Initiation Step 3 of 3 Tip Initiation Successtul Completion Tip Initiation Failed Thick Initiation Selec
63. ystem Configuration Screen Figure 28 Pressing the System Con figuration button Figure 14 21 takes the operator to the System Configuration Screen Access to this screen is only available from the Indications and Favorites Screens Figure 14 The operator can put the system into Sleep state by pressing the Sleep button Figure 14 97 When in Sleep state the device cannot emit laser energy and the display is turned off When the user taps Anywhere on the touch screen the System wakes up and displays the last used screen before the system was put into the Sleep state Answers to questions can be found on the context sensitive Help Screens Pressing the Help button Figure 14 22 on any screen triggers a popup window with helpful tips and information on the current laser state of the Alta ST Modular Laser System Figure 27 shows an example of a Help Screen If further information is required that is not provided on the Help Screen please refer to the User Manual or call Dental Photonics Inc Customer Service at 781 754 7900 Option 4 The status indicator Figure 14 23 indicates the Laser Emission State On the Indications Screen the Alta ST is in the Standby state While in the Standby state the Alta ST cannot emit laser energy O 2013 Dental Photonics Inc P N 920 0000001 RevC Page 4 4 FAVORITES SELECTION The user can customize any clinical indication and save their modified opera

Soft Tissue Surgical Modular Laser System

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