Ezee Kleen 2.5 HD User's Manual Rev Jan 2012
Contents
1. 18 CHLORINATION 18 gt 56 6 C C 5 19 0 19 PHARMAGEUTICAE GRADE WATER tio te o Renee e E fc t e yt tx ertt ud ee Ep re D d p t 20 USING THE EZEE KLEEN 2 5 HD TO CONTROL WATER QUALITY a a a aga E N eek a NG A GN Ga ese aede son oen seek ees pene bea n ae sepe eee sera BB Ga 20 INVASIVE PROCEDURES AND UNIVERSAL PRECAUTION S 535508 e aa Gana nennen nennen ennt EN EA E nennen AA A EN GN Bek aa nnne nennen nennen nnne nennen 21 CONTAINED DENTAL UNIT WATERLINE SYSTEM SER tete e EIER eee dede aeree Eine Ere dr REPE E et p e AEn 21 STEAM STERILIZATION OF DENTAL 8 22 ULTRASONIC BATHS INSTRUMENT CLEANING 4 FILM 6 22 FUNCTION OE THE EZBE KLEEN 2 5 AD ri anadak ak aa a rte to oir E EAR nak a np Del e ib ee ERR Eh re eb DEEP E2. 5 800 Staphylococcus 7 000 Streptococcus 10 000 Streptococcus hemolyticus 5 500 SWEPlOCOCCUS G0 18 tre ERU Rt 8 800 Viridans streptococci 3 800 VIDEO eholetdeads eos boss prodi odi d kaa 6 500 ALGAE Chlorella vulgaris 22 000 VIRUSES Bacteriophage E COlt Eres 6 600 Hepatitus e sasana an eee ana MIU OR Rud 8 000 Influenza VITUS siete 6 600 Poliovirus Poliomyelitis susss 21 000 zumo anah aaa a ser Ng Ag aa 24 000 YEAST Baxter onnie a ia a o ot 8 800 Biewer s yeast san biasa poteit at ie itus 6 600 Common cake yeast 13 200 Saccharomyces var ellipsoideus 13 200 CC 1000V6C68 SD aapa NG a eeh aa eds eni 17 600 ANALYTICAL REPORT ON EzeeKleen 2 5 HD WATER 9938 67 Avenue NORWEST Edmonton T6E 5 LABS Analytical Report Phone 780 438 5522 Fax 780 438 0396 Lethbridge Surrey Client Oasis Dental Group Inc Project ID NWL Lot ID 70514 Name Easy Clean Control Number 16147 8A Avenue Location Date Received Dec 14 1999 Surrey BC V4A 8W8 Attn Todd Klymchuk LSD Date Reported Jul 13 2000 Sampled By PO Report Num
3. 6 500 Escherichia COL as Ob pitis 7 000 Legionella Doze man 3 500 Legionella dumoffii wilde 5 500 Legionella 4 900 Legionella mmiedadet 3 100 Legionella longbeachae 2 900 Legionella pneumophila 3 800 Leptospira interrogans Infectious Jaundice 6 000 Mycobacterium 0 15 10 000 Neisseria Catarrhalis vec a entere 8 500 Proteus Vulearis es eee dente 6 600 Pseudomonas aeruginosa laboratory strain 3 900 Pseudomonas aeruginosa environmental strain 10 500 Rhodospirillium rubrum esee 6 200 Salmonella enteritidis 7 600 Salmonella paralyphi Enteric Fever 6 100 Salmonella typhimurium eene 15 200 Salmonella typhosa Typhoid Fever 6 000 Sarcinia lutea uio HR UE 26 400 Serratia sai oue onseren oe YR er renta ae 6 200 2009 2012 Oasis Dental Group Inc 25 BACTERIA continued Shigella dysenteriae Dysentery 4 200 Shigella flexneri 3 400 Shigella SOBDEl d ton 7 000 Staphylococcus epidermidis
4. 78 95686 11 CONNECTING DISCONNECTING CART RIDGES omhein a ette ie gan sak e naga 8 12 MAINTENANCE SUPPLIES NG NR duds ee 13 OPTIONAL FEATURES E wl Se A asia Ag A A EA a Gang att NG a an pus DURO a a agan ga ag na gan ng D DP 13 1 M M 65 dass 14 GUARANTEE WARRANLY ene Apes liess ram qeu mA EC D sored au 15 INTRODUCTION TO WATER QUALITY POTABLE WATER QUALITY AND CONTAMINNATION 16 SOURCE OF WATER CONTAMINANTS M 0 ee oi 16 PRIMARY PARAMETERS aas ng ag E Dt om trim tested Be rate aaa Ya akh ha a ok a d Aes em c ocn mE Er 16 MICROBIOEOLOGICAL GUIDELINES 5 eter tee ee ete et ooa es testes nan acta tees Pu UN Ted ee ENS Tu aa aa aa 16 CHEMICAL amp PHYSICAL 5 55 050
5. S mn 2009 2012 Oasis Dental Group Inc www oasisdentalgroup ca 26 ANALYTICAL REPORT ON EzeeKleen 2 5 HD WATER 9938 67 Avenue NORWEST i Edmonton AB T6E 085 j LABS Analytical Report Phone 780 438 5522 Fax 780 438 0396 coder Lath bridge Surrey Client Oasis Dental Group Inc Project ID NWL Lot ID 70514 Easy Clean Control Number iuc BE VAR ENT Location i Date Dec 14 1999 Attn Todd Klymchuk LSD Date Reported Jul 13 2000 Sampled By PO Report Number 89744 Acct Code Page 2014 MVVL Number 70514 1 Sample Date Sample Description Easy Clean 2 5 Analyte Units Results Routine Water pH 5 96 Conductivity uS cm 1 Calcium Dissolved mg L 0 2 Magnesium Dissolved mg L 0 05 Sodium Dissolved mg L 0 4 Potassium Dissolved mg L 0 4 Iron Dissolved mg L lt 0 003 Manganese Dissolved mg L 0 0005 Chloride Dissolved mg L lt 0 5 Fluoride mg L 0 04 Nitrate and Nitrite N mg L 0 05 Sulphate Dissolved mg L 0 3 Hydroxide mg L Carbonate mg L Bicarbonate mg l 5 P Alkalinity mg CaCO3 L T Alkalinity mg CaCO3 L 5 Hardness Dissolved mg CaCO3 L 0 1 Note this is a replacement report for Lot 243712 generated to include metals scan there is no charge for this report Mike Y 00 07 12 Approved by M Accredited by the Standards Council of Canada SCC and by the Canadian Association for Environmental Analytical Laboratories ees
6. ES aye CAEAL for specific tests registered with the Council and the Association Wibawa Sa cee 2009 2012 Oasis Dental Group Inc www oasisdentalgroup ca 27 ANALYTICAL REPORT ON EzeeKleen 2 5 HD WATER NORWEST 9938 67 Avenue Edmonton AB T6E 0P5 LABS Methodology and Notes Ehone 780 438 5522 ax 780 438 0396 Agri Food amp Environmental Group Calgary Edmonton Winnipeg Lethbridge Surrey Client Oasis Dental Group Inc Project 10 NWL Lot ID 70514 Easy Clean Control Number 16147 8A Avenue Location Date Received Dec 14 1999 Surrey BC V4A 8W8 LSD Date Reported Jul 13 2000 i Attn Todd Klymchuk PO Report Number 89744 PAPIET EY Acct Code Page 3of4 Method of Analysis Test Reference Method Date of Location Analyst Analysis Alkalinity pH and Electrometric Method Jul 12 2000 Norwest Edmonton Micheal Y ohemas in water 4500 H B Laboratory amp Field Methods Jul 12 2000 Norwest Edmonton Micheal Yohemas 25508 Laboratory Method 2510 8 Jul 12 2000 Norwest Edmonton Micheal Yohemas Titration Method 2320 B Jul 12 2000 Norwest Edmonton Micheal Y ohemas Anions Routine by APHA Single Column Ion Jul 12 2000 Norwest Edmonton Micheal Yohemas Ion Chromatography Chromatography with Electronic Suppression 4110 C Chloride in Water APHA Automated Ferricyanide Jul 12 2000 Norwest Edmonton Micheal Yohemas Method 4500 E Colour True in water Visu
7. change cartridge when monitor reads gt 5 00 us with water flowing red light will begin to flash as a secondary indication wa ter is greater than 2 5 PPM mg L of dissolved solids and is unsafe to use in autoclave Change 8006 Flow Restrictor each time 8002 FR is changed XL De ionization Cartridge Optional 8002 XL change cartridge when changing 8002 FR Prefiltration Cartridge 8003 e change annually not to exceed 2 000 gallons Reverse Osmosis Membrane 8004 change bi annually every two years Ultraviolet Lamp 8005 ultraviolet cartridge will have a noticeable blue illumination when operating Change the lamp if the illumination ceases or change annually not to exceed 9 000 hrs of continuous use Drainline Flow Restrictor Part 8006 change when changing 8002 FR DI cartridge OPTIONAL FEATURES XL De ionization Install Kit 8002 XL KIT Order for initial XL DI Cartridge install 8002 XL DI Cartridge included Optional tank sizes available Total Dissolved Solids Tester Handheld e For water testing contact Oasis Dental Group or a local water testing facility 2009 2012 Oasis Dental Group Inc 13 www oasisdentalgroup ca EN 2 5 HD 4 STAGE ULTRA CLEAN WATER SYSTEM Model 8000 INTERNAL DIAGRAM FEED FAUCET TANK DRAIN Front Port Back Port lt JOPUISSY M0 J EM 40949 8003 PRE FILTER 8004 REVERSE OSMOSIS dINV 1 AN 9008 8002
8. and is still unacceptable for autoclave use Remove Slip in Elbow from both ends of cartridge Con sult User s Guide to understand quick connect feature on all Ezee Kleen fittings Remove protective dust plugs from new cartridge Replace expired cartridge ensuring water is flowing in the correct direction Reinsert Slip in Elbows to both ends of cartridge Replace 8006 Drainline Flow Restrictor on black 1 4 drainline ensuring arrow is pointing away from the unit Turn on water supply Open Ezee Kleen Tank Valve Run water from Ezee Kleen Dispensing Faucet until you have a steady stream of water Continue until tank is empty Check that monitor is 5 00 Monitor will stop flashing red E 10 Allow 2 hours for tank to fill again System is now ready to use Call Oasis Dental Group Inc 800 338 6693 M F 8 00 5 00 PST for technical assistance 2009 2012 Oasis Dental Group Inc 11 www oasisdentalgroup ca EN 2 5 HD 4 STAGE ULTRA CLEAN WATER SYSTEM Model 8000 DISCONNECTING CARTRIDGES The Ezeekleen 2 5 HD is equipped with a unique collet locking system that allows cartridge changes to take only seconds and requires no special training or tools To make a connection Cut tube square 3 Push up to tube stop lt Cut tube square It is essential that the outside diameter be free of Push the tube into the fitting to the tube stop The collet gripper score marks
9. User s Guide Please Read Before Installing amp Using this Equipment DENTAL GROUP INC 16147 8A Avenue Surrey BC V4A 8W8 e Ph 800 338 6693 e 604 538 1285 e Fax 604 538 1295 CONTENTS BEFORE YOU BEGIN BEFORE USING YOUR EZEE KLEEN 2 5 HD FOR THE FIRST TIME _ C _ 5 INSTALLATION TOOLS REQUIRED naa na gabah a en gen ah Pae Ban E ru ah ah na Te ESA 5 CHECK TO BE SURE YOU HAVE ALL THE FOLLOWING PARTS OR COMPONENTS 00000 00000000 nanem een n anaman nana tinte tenete tinte tinte tentato nean 5 INSTALLATION INSTRUCTIONS INSTALLATION INSIRUCTIONS 2 5 AUI BINE eere nte iei E d ete eei d dcr dedere ag a ee saat 7 5 I 8 EAUCETLINSTALEATION ettet ete cute d aba a a Lb eee Peste taie dde expe debris tested tede Mete deg 9 INSTALLATION INSTRUCTIONS PROTOCOL FOR USAGE ba 0 6 6 I M 86 5 apa 10 CHANGING YOUR CARTRIDGES INSTRUCTIONS
10. aminants Chlorine Pesticides Unpleasant taste odor Activated Reverse Di Ultraviolet Ezee Kleen Carbon Osmosis ionization Purification Sediment ilte LN oe ee ee ANAN DANA FT poem FF LEVEL Loop m LE EL LEE AAN TAA LRL E pope HENNE EIL B EIL Eom PK ok ok Pk ok ok PK ok ok Pk ok ok PK ok ok 2009 2012 Oasis Dental Group Inc www oasisdentalgroup ca 24 Distillation www oasisdentalgroup ca WATER QUALITY SPECIFICATIONS The EZEEKLEEN 2 5 HD effectively uses Ultraviolet UV radiation to destroy bacteria viruses and other microorganisms by interfering with the DNA and RNA in the organisms reproductive cycles The contact disinfectant property of UV radiation energy is measured in microwatt seconds per square centimeter w sec cm2 The EZEEKLEEN 2 5 HD produces 32 000 to 35 000 w sec cm2 BACTERIA AGTODSCUGTDUETL 8 500 Bacillus anthracis ses bat aan 8 700 Bacillus megaterium vegetative 2 500 Bacillus subtilis 11 000 Clostridium teta RO Reis de 22 000 Corynebacterium diphtheriae
11. e base A D c Reverse Osmosis JAZ D Drainline connection e 2 mounting bolts e 2 mounting nuts D e foam washer P 2 black mounting brackets Drainline flow restrictor Input O Waterline Connection a Waterlines e 1 4 orange input feed water e 1 4 black Reverse Osmosis drainline 3 8 black Reverse Osmosis drainline 4 blue output to faucet e 1 4 yellow RO tank line 2009 2012 Oasis Dental Group Inc www oasisdentalgroup ca 6 EN 2 5 HD 4 STAGE ULTRA CLEAN WATER SYSTEM Model 8000 INSTALLATION INSTRUCTIONS READ INSTRUCTIONS BEFORE COMMENCING INSTALLATION 1 Ensure unit is complete with all componentry 2 Beneath sink turn off cold water at the shut off valve 3 Determine most suitable place to mount unit ideally mount unit on left or right side of sink cabinet wall near the front unit will free stand do not fasten to the wall allowing for removal for periodic maintenance 4 Determine most suitable place for RO tank ideally back corner of sink cabinet Ensure power supplies are within reach of unit and electrical receptacle Determine most suitable place to mount faucet in countertop allowing water to flow into sink you will be drilling a 1 hole Ensure cold waterline is within reach of unit Ensure sink drain pipe is within reach of unit Install faucet in countertop use Faucet Installation Instructions in this manual 0 Determine mo
12. 338 6693 visit internet site www safedentalwater org or contact your state provincial or federal dental association One such potential solution to dental unit water contamination has been the introduction of contained closed dental unit water sys tems which operate independent from the municipal water supplies These systems provide a reservoir to contain the water supplying the dental unit waterlines This reservoir allows the user to control the quality of water entering the dental waterlines and provides a point of access to introduce disinfectant products into the system to attempt to control microbiological contamination These systems also negate the need for backflow preventors on each dental operatory a common requirement of many municipalities The use of EZEEKLEEN 2 5 HD water in contained dental unit water systems offers several benefits Dental unit water contamina tion predominantly originates from low levels of bacteria present in municipal water supplies These bacteria 2009 2012 Oasis Dental Group Inc 21 www oasisdentalgroup ca INTRODUCTION TO WATER QUALITY enter the dental waterlines and adhere to the walls of the waterlines To survive and multiply the bacteria extract food and nutrients in the form of organic matter and inorganic minerals to develop and build an ecosystem in which they can thrive EZEEKLEEN 2 5 HD water is processed to minimize microbiological contamination thus minimizing the number of organis
13. Ya and 3 8 black drainline tubing chrome base plate and large rubber washer pre attached to hose barbs Drainline 1 Air 1 Determine most suitable place to Gap with Venit Hole Possible requirement of mount faucet municipal code t A E Hose Barbs 2 Drill 1 hole in countertop 3 Slide faucet and 1 4 amp 3 8 drain lines into drilled hole 4 Place flat metal plate drain line spacer and locking washer on shaft of faucet from under the counter 5 Screw hex nut onto faucet shaft and tighten firmly 6 Thread Ya quick connect adapter Chrome Base Plate connector onto faucet shaft may use L Rubber Wash compression fittings if preferred isi avid albas X JE 7 Connect Ya blue poly line into 1 4 Counter Top Dniled E NEN quick connect adapter connector Large Rubber Washer 8 Cut 3 8 tubing to maintain d Meta Wasi reasonably direct vertical drop from faucet base to drainline connection ie Plastic Spacer no loops connect to saddle valve Lock Washer 9 Cut 1 4 tubing to allow ample length Hex Nut CI J for unit to removed from sink cabinet for T periodic maintenance Va Quick Connect Adapter Connector Drain Flow lt ALSO INCLUDES Ferrule Plastic Compression Ring I I Compression Nut Blue 4 Poly Faucet Line AAA DENTAL GROUP INC 16147 8A Ave
14. a RT a annee 23 COMPARATIVE ASSESMENT FOR THE REMOVAL OF VARIOUS WATER anana anane een ene ennen 24 EFFECTIVENESS OF ULTRAVIOLET RADIATION AGAINST DIFFERENT 8 8 25 ANALYTICAL REPORT ON EZEE KLEEN 2 5 HD WATER QUALITY 4 24244 24222222212 0 0 002 0 ane apesan nan es 26 4 STAGE ULTRA CLEAN WATER SYSTEM Model 8000 FEATURES AND BENEFITS PRESENTING FOUR STAGES OF WATER PURIFICATION IN ONE SIMPLE SOLUTION STAGE 1 Prefiltration removes color odor taste and suspended solids STAGE 2 Reverse osmosis removes up to 98 of all organic and inorganic substances STAGE 3 De ionization removes all remaining dissolved solids STAGE 4 Ultraviolet radiation reduces any harmful organisms FEATURES Produces 1 gallon 4 litres of autoclave safe water in 4 minutes Reduces suspended solids organic amp inor ganic Produces onsite water of the quality neces sary to comply with all autoclave manufac tures TDS level guidelines 2 5 PPM of dissolved solids e Self monitors unlike bottled water Ultraviolet UV radiation reduces bacteria viruses and other microorganisms Reduces microbial contaminants Under counter installation with designated dispensing faucet at sink APPLICATIONS Autoclaves Contained dental unit waterline systems BENEFITS Ultra clean wat
15. baseline quantities are not being exceeded is normally expected after corrective action has been taken All drinking water supplies should be analyzed routinely for coliform bacteria and the general bacterial population The presence of excess total coliforms as stated below in drinking water indicates that treatment is inadequate or that the distribution system is ex periencing re growth or infiltration Total coliforms are not necessarily an indication of the presence of fecal contamination Faecal coliforms in drinking water may however indicate the presence of faecal 2009 2012 Oasis Dental Group Inc 16 www oasisdentalgroup ca INTRODUCTION TO WATER QUALITY contamination The presence of Escherichia coli E coli one species in the faecal coliform group is a definite indicator of the presence of faeces Other species in the faecal coliform group e g Klebsiella pneumoniae Enterobacter cloacae are not restricted to faeces but occur naturally on vegetation and in soils The general bacterial population can be estimated from either background colony counts on total coliform membrane filters or het erotrophic plate counts as outlined in the 16th edition of Standard Methods for the Examination of Water and Wastewater Excessive concentrations of the general bacterial population may hinder the recovery of coliforms and thereby prevent the detection of a potential threat to public health Typically the maxi
16. be able to produce water of this quality by a number of processes but numerous factors will influence the systems ability to maintain production of water of this quality on a consistent and reliable basis Onsite water purification systems are susceptible to among other things source water parameter variations system performance system maintenance operator care and post production handling USING YOUR EZEEKLEEN 2 5 HD TO CONTROL WATER QUALITY PARAME TERS OF CONCERN TO THE DENTAL OFFICE Water is used in the dental office for a number of purposes beyond that of drinking water Much of today s dentistry is performed using instruments cooled by water Specifically both the high speed handpiece and the ultrasonic scaler use water as a driving cooling agent The triplex syringe uses water to flush the patients mouth of debris and provide irrigation Water is commonly used for steam sterilization of instruments Film developers ultrasonic baths and instrument cleaning are other sources of water use in the dental office Until now the only source of specialized water for the dental office has been purchased water either through a retail outlet or by a delivery service The EZEEKLEEN 2 5 HD uses four sophisticated water purification processes to produce an ultra clean quality water The unit is designed to further process potable water meeting NPDW regulations on site on demand at an affordable price and eliminates the need to store water in bott
17. periodic maintenance when cutting tubing make sharp square cuts Shorten 3 8 black drainline so that it has a reasonably direct vertical drop to drainpipe as it is gravity fed 16 Install drainline flow restrictor on 1 4 black drainline about 6 from unit 17 Turn on cold water 18 Bleed air from system by keeping tank closed and faucet open flow from faucet will be a slow trickle 5 oz minute 19 Check for leaks close faucet to maximize pressure on system 20 Auto shut off valve can be tested by closing and opening faucet drainline flow should stop shortly after closing faucet with tank closed and should re open when faucet is opened 2 Plug in power supplies for ultraviolet cartridge and monitoring system 22 Open tank valve and allow 2 hours for RO tank to fill 23 Run unit until one full tank has been emptied 10 15 minutes 24 Allow tank to fill again 25 Output water is ready for use aan 2009 2012 Oasis Dental Group Inc www oasisdentalgroup ca EN 2 5 HD 4 STAGE ULTRA CLEAN WATER SYSTEM Model 8000 INSTALLATION DIAGRAM This unit produces Ultra pure de mineralized water Intended uses Steam autoclaves Self contained delivery systems ultra sonic baths lt Dispensing Faucet with drain line air gap vent see detailed diagram 3 8 Drain line gt maintain vertical drop gravity fed Universal angle stop connection valve with 14 po
18. 2 C 3 C4 Remove RO Cartridge from clips Unscrew cap of RO Cartridge and discard expired RO Membrane Clean inside of RO Cartridge with mild detergent Rinse thoroughly Insert new RO Mem brane C 5 C 6 C 7 C 8 C 9 Screw on RO Cartridge cap Do not over tighten Fit RO Cartridge back into clips Reconnect all 3 waterlines to fittings on RO Cartridge Turn on water supply Open Ezee Kleen Tank Valve Run water from Ezee Kleen Dispensing Faucet until you have a steady stream of water Con E 9 tinue until tank is empty C 10 Close Dispensing Faucet C 11 Allow 2 hours for tank to fill again System is now ready to use CHANGE 8005 ULTRA VIOLET UV LAMP ANNU ALLY Note UV Lamp can be changed without turning off water Disconnect power supply to UV Cartridge Swivel swing UV Cartridge outwards away from unit Grasp white electrical cable exiting end of UV Cartridge Gently pull electrical cable out of UV Cartridge The en tire lamp is attached to the electrical cable and will slide out of UV Cartridge Replace UV Lamp by sliding new UV Lamp into the UV Cartridge Re connect power supply to UV Cartridge CHANGE 8002 FR DI CARTRIDGE IF MONITOR IS FLASHING WHILE WATER IS BEING DISPENSED FROM EZEE KLEEN DISPENSING FAUCET Monitor will also be reading gt 5 00 Above this level water is unacceptable for autoclave use Note Monitor can accurately gauge water quality to 19 99 Above 19 99 monitor will show 1
19. FR DI CARTRIDGE DENTAL GROUP INC 16147 8A Avenue Surrey 4 8W8 e Ph 800 338 6693 e 604 538 1285 e Fax 604 538 1295 2009 2012 Oasis Dental Group Inc 14 www oasisdentalgroup ca GUARANTEE WARRANTY The EZEEKLEEN 2 5 HD is guaranteed to produce the quality of water necessary to comply with all autoclave steam sterilizer manufacturer s TDS total dissolved solids requirements when used in accor dance with manufacturer s directions Liability is limited to autoclave sterilizer boiler repair or replace ment while under manufacturer s warrantee upon given proof manufacturer s TDS requirements have not been met when the EZEEKLEEN 2 5 HD has been used in accordance with manufacturer s Oasis di rections For a period of one year Oasis Dental Group Inc guarantees the EZEEKLEEN 2 5 HD to be free of de fects due to workmanship including all components with the exception of the De ionization Prefiltration Reverse Osmosis and Ultraviolet cartridges when delivered to the customer in new unused condition by an acknowledged dealer of Oasis Dental Group Inc products In the event of failure due to such defects within this period of time the exclusive remedies shall be repair or replacement at Oasis Dental Group Inc s option and without charge of any defective part s provided to Oasis Dental Group Inc in writing within thirty 30 days of the date of such failure and further pro vided that the d
20. al Comparison Method Jul 12 2000 Norwest Edmonton Micheal Yohemas 2120B Fluoride in water APHA Ion Selective Electrode Jul 12 2000 Norwest Edmonton Micheal Y ohemas 4500 F C Heterotrophic APHA Heterotrophic Plate Count Jul 12 2000 Norwest Calgary Micheal Yohemas Standard Plate Count Pour Plate Method 9215 B Aerobic PP Metals Trace APHA Inductively Coupled Plasma Jul 13 2000 Norwest Edmonton Lang Que Tran Dissolved in water ICP Method 3120 B Solids Dissolved APHA TDS Dried at 103 105 C Jul 12 2000 Norwest Edmonton Micheal Yohemas Total Fixed and 2540C Volatile Turbidity in Water APHA Nephelometric Method 2130 Jul 12 2000 Norwest Edmonton Micheal Yohemas B Accredited by the Standards Council of Canada SCC and by the Canadian Association for Environmental Analytical Laboratories CAEAL for APHA Standard Methods for the Examination of Water and Wastewater 2009 2012 Oasis Dental Group Inc www oasisdentalgroup ca 28 specific tests registered with the Council and the Association 2009 2012 Oasis Dental Group Inc www oasisdentalgroup ca 29
21. and that burrs and sharp edges be removed before has stainless steel teeth which hold the tube firmly in position inserting into fitting For soft thin walled plastic tubing we rec while the O ring provides a permanent leak proof seal ommend the use of a tube insert 2 Insert tube 4 Pull to check secure n Ss 11 12 mm 21 A A fA vam ee e LI Fitting grips before it seals Ensure tube is pushed into the tube Pull on the tube to check that it is secure It is a good practice to test stop the system prior to leaving site and or before use Disconnecting Push in collet and remove tube To disconnect ensure the system is depressurized before remov ing the tube Push in collet squarely against face of fitting with the collet held in this position the tube can be removed The fitting can then be reused 2009 2012 Oasis Dental Group Inc 12 www oasisdentalgroup ca MAINTENANCE SUPPLIES TO ORDER YOUR SUPPLIES 1 Contact your authorized EZEEKLEEN 2 5 HD dealer For easy reference enter your Dealer s name and contact information here Or 2 Contact Oasis Dental Group at 800 338 6693 or 604 538 1285 Fax 604 538 1295 Mail 16147 8A Avenue Surrey BC V4A 8W8 Website www oasisdentalgroup ca Email info oasisdentalgroup ca EzeeKleen 2 5 HD Complete Unit 8000 De ionization Cartridge 8002 FR includes 8006 flow restrictor
22. ber 89744 Acct Code Page lof4 NWL Number 70514 1 Sample Date Sample Description Easy Clean 2 5 Analyte Units Results Metals Dissolved Aluminum Dissolved mg L lt 0 008 Antimony Dissolved mg L lt 0 005 Arsenic Dissolved mg L lt 0 01 Barium Dissolved mg L lt 0 0002 Beryllium Dissolved mg L lt 0 0005 Bismuth Dissolved mg L lt 0 007 Boron Dissolved mg L lt 0 002 Cadmium Dissolved mg L lt 0 0005 Chromium Dissolved mg L 0 0008 Cobalt Dissolved mg L 0 0007 Copper Dissolved mg L 0 001 Lead Dissolved mg L 0 002 Lithium Dissolved mg L 0 001 Molybdenum Dissolved mg L 0 001 Nickel Dissolved mg L 0 001 Phosphorus Dissolved mg L 0 03 Selenium Dissolved mg L 0 004 Silicon Dissolved mg L 0 004 Silver Dissolved mg L 0 001 Strontium Dissolved mg L 0 0003 Sulphur Dissolved mg L 0 008 Thallium Dissolved mg L 0 004 Tin Dissolved mg L 0 003 Titanium Dissolved mg L 0 0013 Vanadium Dissolved mg L 0 001 Zinc Dissolved mg L 0 0050 Microbiological Analysis Heterotrophic Standard Plate Pour Plate CFU mL 1 Count Aerobic Physical and Aggregate Properties Solids Total Dissolved mg L 1 0 Turbidity NTU 0 15 Temperature of observed pH C Colour True Colour units 3 Carbon Dioxide mg L lt 5 Jie Accredited by the Standards Council of Canada SCC and by the Canadian Association for Environmental Analytical Laboratories gt CAEAL for specific tests registered with the Council and the Association
23. culty public water treatment systems are having in removing and monitoring all of them Consequently practitioners may deem it not appropriate to use municipal water in the dental operatory Contained Dental Unit Waterline Systems Bacterial growth and proliferation in dental lines supplying water to high speed handpieces triplex syringes and ultrasonic scalers has become of recent concern In North America the American Dental Association and Canadian Dental Association have both ad dressed the issue with official position statements The profession has challenged manufacturers to work towards a goal of no more than 200 colony forming units CFU mL of water emitted from dental unit waterlines State and provincial dental associations are starting to address the issue In the United States the Occupational Safety amp Health Association OSHA has mandated that no more than 200 CFU mL of legionella should be present in water being emitted from dental waterlines The Center for Disease and Control is considering updating its guidelines for dental waterlines Media attention is being drawn to the issue with coverage from such prominent players as ABC s 20 20 Investigative News Program Studies suggest that few dental waterline systems would meet these guidelines without additional disinfection equipment and or adequate disinfection protocols For further information on dental unit water contamination contact Oasis Dental Group Inc 800
24. efective part s are returned to Oasis Dental Group Inc freight prepaid Any express warranty not provided here on or any implied warranty or representation as to the perform ance which may arise by implication not in this provision for the EZEEKLEEN 2 5 HD is excluded and disclaimed by Oasis Dental Group Inc Warranty Certificate Keep this and your original invoice of purchase in your permanent records for proof of warranty Name Address City Province State Postal Zip Phone Number Date of Purchase Mo Day Year Dealer s Name City E eL un DENTAL GROUP INC 16147 8A Avenue Surrey BC V4A 8W8 e Ph 800 338 6693 e 604 538 1285 e Fax 604 538 1295 2009 2012 Oasis Dental Group Inc www oasisdentalgroup ca 15 INTRODUCTION WATER QUALITY POTABLE WATER QUALITY AND CONTAMINATION PARAMETERS Sources of Water Contaminants Sources of drinking water worldwide include rivers lakes streams ponds reservoirs springs and wells As water travels over the surface of the land or through the ground it dissolves naturally occurring minerals and in some cases radioactive material and can pick up substances resulting from the presence of animals or from human activities Contaminants that may be present in source wa ter include microbial contaminants inorganic contaminants pesticides and herbicides organic chemical contaminants and radioac tive contaminants Some of the more comm
25. er on demand Ensure you never run out of water for your autoclaves e Eliminate last minute store runs for water e Eliminate bulky storage of bottles Consistent water quality lt 2 5 PPM Reduce maintenance amp equipment failure Out of sight e Save money gt 2 ENTAL GROUP INC 16147 8A Avenue Surrey BC 4 8W8 e Ph 800 338 6693 e 604 538 1285 e Fax 604 538 1295 2009 2012 Oasis Dental Group Inc www oasisdentalgroup ca BEFORE YOU BEGIN Before using your EZEEKLEEN 2 5 HD for the first time allow 2 hours for Reverse Osmosis tank to fill run unit until one full tank has been emptied 10 15 minutes e allow tank to fill again output water is ready for use Installation Tools Required multi purpose screw driver electric drill 1 and 3 8 drill bit crescent wrench sharp utility knife e pliers teflon tape Check to be sure you have all the following parts or components EZEEKLEEN 2 5 HD Unit 12 w x 16 6 Prefiltration cartridge SR Reverse Osmosis cartridge Ultraviolet cartridge EZEE y TN De ionization cartridge Power Supplies LIV cartridge power supply Faucet 8 h monitoring system power supply 2009 2012 Oasis Dental Group Inc www oasisdentalgroup ca BEFORE YOU BEGIN e shutoff ball valve Reverse Osmosis 4 4 gallon Tank tank 15 hx 11 diameter
26. ers have a tendency to form scale deposits While not typically a regulated parameter most public water utilities report lev els of hardness Water with 0 50 mg L of hardness is considered soft between 51 151 mg L is moderately hard and water having 150 mg L is generally considered to be hard 2009 2012 Oasis Dental Group Inc 19 www oasisdentalgroup ca INTRODUCTION WATER QUALITY PHARMACEUTICAL GRADE WATER The term pharmaceutical grade water is often used as a collective term for six types of water as defined by the United States Pharmacopeial Convention Inc USP purified water water for injection bacteriostatic water for injection sterile water for inhalation sterile water for injection and sterile water for irrigation Currently USP 23 defines Purified Water according to the following monographs pH 5 to 7 Total Organic Carbons 500 PPB Conductivity uS cm Stage 1 1 3 uS cm on or off line T gt 25 C 77 F Stage 2 2 4 uS cm off line T 2 24 to 26 C 75 to 79 F Stage 3 lt 2 4 to 5 8 uS cm off line T 24 to 26 C 75 to 79 Source water USEPA NPDWR Microbiological Concentrations Recommended action limit 100 CFU mL Water meeting these requirements can be labeled as Pharmaceutical Grade Purified Water While water of this quality may be desirous it is extremely difficult to obtain and is limited by feasibility Onsite water purification systems may
27. food supply for which bacteria need to build their ecosystem This will assist in retarding the development of biofilm on dental wa terlines Because of these factors the use of EZEEKLEEN 2 5 HD water will improve the performance and life of dental unit water line microfiltration cartridges by reducing the level of contaminants with which they are challenged Steam Sterilization of Dental Instruments Steam Sterilization has become the method of choice for sterilizing instruments in the dental office because they offer excellent penetration and relatively short cycles Water based liquids can also be sterilized by steam sterilization There are two types of steam sterilizers common to the dental office conventional systems and cassette style rapid steam heat Conventional systems normally operate at 121 C for at least 20 minutes Cassette style rapid steam sterilizers normally operate at 135 C for 5 minutes Water used in steam sterilizers typically enters a relatively small boiler chamber where it is heated to specified temperatures and evaporates Instruments are subjected to this heated vaporized steam thereby killing any microbial or viral contaminants present Im purities in the supply water for the sterilizer remain in the boiler chamber as a residue This residue can foul the boiler chamber of a steam sterilizer shorten it s life and cause it to malfunction or fail completely Most steam sterilizer manufacturers recommend that water with
28. he distribution system delivering water to the customers point of use Drinking water may reasonably be expected to contain at least small amounts of some contaminants The presence of contaminants does not necessarily indicate that water poses a health risk More information about contaminants and potential health effects can be obtained by calling in the United States the Environmental Protection Agency s Safe Drinking Water Hotline and in Canada the Health Protection Branch of Health Canada Contact information can be obtained from your local government authority Primary Parameters Microbiological Guidelines Microbiological guidelines exist to control the presence of pathogenic or disease causing micro organisms Pathogenic micro organisms that occur in polluted water include protozoa bacteria and enteric viruses The most common disease attributable to wa terborne pathogenic micro organisms is gastrointestinal illness or diarrhea Although gastrointestinal illness is generally considered to be non life threatening in normal healthy adults mortality can occur in sensitive subpopulations such as infants the elderly and immunosuppressed individuals Microbiological guidelines usually establish baseline quantities for total coliforms faecal coliforms and heterotrophic plate counts or background colony counts Normally the guidelines will establish appropriate actions to be taken if baseline quantities are exceeded Retesting to con firm
29. ic water supplies Guidelines for chemical and physical parameters are extensive and in some jurisdictions exceed as many as eighty parameters New parameters are reviewed on an ongoing basis and guidelines undergo continual updates To determine lo cally which parameters are monitored and their benchmark guidelines contact the water quality department of your water supply util ity and request a Water Quality Report In the United States the USEPA National Primary Drinking Water Regulations and in Canada the Health Canada Guidelines for Canadian Drinking Water Guidelines stipulate the parameters and benchmarks for which drinking water must be controlled Con taminants that may adversely affect public health and occur in drinking water with a frequency and at levels that pose a threat to pub lic health are constantly reviewed A maximum contaminant level goal is established below which there is no known or expected risk to health Next a maximum contaminant level is established This is the maximum permissible level of a contaminant in drink ing water which is delivered to any user of a public water system These levels are enforceable standards and are set as close to the goals as feasible Some conventional physical and chemical contaminants that are regulated are antimony arsenic asbestos barium beryllium cad mium chromium copper cyanide fluoride gross alpha particle iron lead mercury nickel nitrate nitrite selenium silver s
30. idges D 1 D 2 D 3 D 4 A 3 Turn off water supply under sink by closing Ezee Kleen Shut Off Valve or cold water shut off valve A 4 Close Ezee Kleen Tank Valve A 5 Open Ezee Kleen Dispensing Faucet A 6 This will relieve line pressure in the system A 7 After completing any cartridge change wait for tank to fill and with faucet closed system will be fully pressurized check for leaks CHANGE 8003 PRE FILTER CARTRIDGE ANNUALLY B 1 Remove Slip in Elbow from both ends of cartridge Consult User s Guide to understand quick connect feature on all Ezee Kleen fittings B 2 B 3 8 4 8 5 8 6 8 7 Remove protective dust plugs from new cartridge Replace expired cartridge ensuring water is flowing in the correct direction Reinsert Slip in Elbows to both ends of cartridge Turn on water supply Open Ezee Kleen Tank Valve Run water from Ezee Kleen Dispensing Faucet until you have a steady stream of water Con tinue until tank is empty B 8 B 9 Allow 2 hours for tank to fill again System is now ready to use Close Dispensing Faucet E 1 CHANGE 8004 REVERSE OSMOSIS RO MEMBRANE BI ANNUALLY Every 2 years Note Do not replace 8002 FR DI Cartridge at same time as replacing 8004 RO Membrane Empty and refill one full tank of water through new RO Membrane prior to changing 8002 FR DI cartridge C 1 Disconnect waterlines from all 3 fittings at the ends of RO Cartridge Note which waterline each fitting is attached to
31. inants The use of chemotherapy for cancer treatment has grown enormously creating an immunocompromised group that did not exist only a few decades ago New treatments for diseases such as cancer aids cystic fibrosis diabetes etc are extending the lives of people inflicted with such diseases but additionally creating new subpopulations of immunocompromised individuals as they live longer The matur ing of North America s baby boom generation is creating an explosion of elderly people more susceptible to compromised immune systems Modern medicine is helping these people live longer and as they get older they spend more years in which their immune systems are compromised Modern medicine chemistry and microbiology has made us more aware of other potential risks that were previously unknown We are now aware of the hazards of lead poisoning coming from the leaching of lead in our household plumbing Exposure to high levels of copper manganese and iron are not necessarily desirable Public water systems high in sodium content may not be appropriate for people on sodium reduced diets New carcinogens are being discovered daily It is difficult for the practitioner to have a complete understanding of the patients medical history thus making it more difficult to identify the patient requiring extra precautions More and more practitioners are gaining an appreciation of potential contaminants in municipal water supplies and an understanding of the diffi
32. les which promote microbiological re growth Contaminants taken into consideration in the design of the EZEEKLEEN 2 5 HD include micro biological contaminants inorganic contaminants pesticides and herbicides organic chemical contaminants and radioactive contaminants Water produced may under certain conditions meet the definition of Pharmaceutical Grade Purified Water All of the monographs of USP 23 s definition of Purified Water have been taken into consid eration in the design of the EZEEKLEEN 2 5 HD Parameters outside of the control of the design of the unit are among other things source water parameter variations system main tenance user care and attention and post production handling of water produced by the unit With appropriate protocols and regular testing users may be able to achieve Pharmaceutical Grade Purified Water from their EZEEKLEEN 2 5 HD 2009 2012 Oasis Dental Group Inc 20 www oasisdentalgroup ca INTRODUCTION TO WATER QUALITY Invasive Procedures and Universal Precautions Modern dentistry involves many invasive procedures Many procedures involve the cutting of soft tissue or bone and direct exposure to the patients blood stream Teeth cleaning predominantly uses ultrasonic scaling to remove stain and tartar high up under the pa tients gums creating a direct access to the blood stream Today s population includes many sensitive subpopulations of greater risk to pathogenic organisms and water contam
33. ment that has the potential to create dust or particulate matter in the atmosphere when drawing water Use Patient Scheduler to schedule maintenance for Ezee Kleen 2 5 HD annually See page 11 of user manual for Changing your Cartridges Instructions e Failure to comply with manufacturer s Protocol for Usage and below maintenance rec ommendations could result in water not suitable for intended use f 8002 FR DI Cartridge with 7 Cartridge uu j 8003 Pre Filter 8004 RO Membrane 8005 UV Lamp drainline flow restrictor Change when monitor reads gt 5 00 with water flowing red c Change Bi annually light will begin to flash as a Every Two Years secondary indication Maintenance Change Annually o o o Cartridge Supplier Staff member responsible for maintenance of the Ezee Kleen 2 5 HD Questions Contact customer support Mon Fri PST 8 00am 5 00pm eL DENTAL GROUP INC 16147 8A Avenue Surrey BC 4 8W8 e Ph 800 338 6693 e 604 538 1285 e Fax 604 538 1295 2009 2012 Oasis Dental Group Inc www oasisdentalgroup ca 10 EN 2 5 HD P 4 STAGE ULTRA CLEAN WATER SYSTEM Model 8000 CHANGING YOUR CARTRIDGES INSTRUCTIONS CHANGING CARTRIDGES BEFORE CHANGING 8002 FR 8003 or 8004 CARTRIDGE A 1 Have a towel available to absorb any water released by system A 2 Have full tank of water before changing any cartr
34. ms being introduced into the system Furthermore EZEEKLEEN 2 5 HD water has little if any organic matter or inorganic minerals present in it thus mini mizing the food supply that bacteria need to build their ecosystem While using EZEEKLEEN 2 5 HD water alone may not be enough to prevent microbiological growth in dental unit waterlines it will help to reduce the rate of growth and reduce the frequency of chemical treatment protocols on dental waterlines Reduced chemical treatment means less patient exposure to chemicals less equipment exposure to harsh chemicals less staff time performing disinfection protocols on waterlines and less cost on chemical treatment products and protocols Another potential solution to dental unit water contamination is the use of microfiltration Microfiltration cartridges with pore sizes as small as 0 22 micron are available on the market for dental waterlines While the membranes of these microfiltration cartridges offer a physical barrier to impede the flow of bacteria down the dental waterline they are subject to clogging from two sources sus pended and dissolved solids in municipal water supplies and organic growth and bacterial growth in the biofilm in dental water lines EZEEKLEEN 2 5 HD water offers a source of water void of the typical suspended and dissolved solids found in municipal water Secondly EZEEKLEEN 2 5 HD water has little if any organic matter or inorganic minerals present in it thus minimizing the
35. mum acceptable concentration for coliforms in drinking water is zero organ isms detectable per 100mL Because coliforms are not uniformly distributed in water and are subject to considerable variation in enumeration authorities typically regulate that drinking water that fulfills the following conditions is considered to be in compliance 1 No sample should contain more than 10 total coliform organisms per 100 mL none of which should be faecal coliforms 2 No consecutive sample from the same site should show the presence of coliform organisms and 3 For community drinking water distribution systems a not more than one sample from a set of samples taken from the community on a given day should show the presence of coli form organisms and b not more than 10 of the samples based on a minimum of 10 samples should show the presence of coliform organisms 4 No sample should contain more than 500 HPC colonies per millilitre or more than 200 background colonies on a total coliform membrane filter i e overgrowth 5 The confirmed presence of E coli in drinking water should trigger an immediate boil water advisory Recent Outbreaks of Waterborne Infections Two protozoans of recent particular concern are Giardia cysts and Cryptosporidium oocysts Outbreaks of Giardiasis occurred in a number of locations in British Columbia and Washington State in the late 1980s In the spring of 1993 an outbreak of waterborne disease occurred in Mil
36. no more than 5 mg L of Total Dissolved Solids be used Additionally some dissolved solids can be carried with the va porized water to the instruments and cause pitting especially on non stainless steel metals The EZEEKLEEN 2 5 HD is designed to provide a very high grade of water suitable for use in all steam sterilizers in the dental of fice Water processed by the EZEEKLEEN 2 5 HD has little if any impurities and accordingly can promote more efficient effective operation and longer life of the steam sterilizer Additionally EZEEKLEEN 2 5 HD water minimizes the risk of instrument pitting from steam sterilization The EZEEKLEEN 2 5 HD constantly monitors water quality to ensure it has less than 2 5 mg L of Total Dissolved Solids present Ultrasonic Baths Instrument Cleaning amp Film Developers The EZEEKLEEN 2 5 HD produces an ultra clean quality water free from suspended solids and dissolved solids These contami nants are often the cause of instrument pitting and deterioration and can potentially influence the quality and clarity of x rays used in the dental office 2009 2012 Oasis Dental Group Inc 22 www oasisdentalgroup ca INTRODUCTION WATER QUALITY FUNCTION OF EZEEKLEEN 2 5 HD The EZEEKLEEN 2 5 HD has been designed to further process potable water meeting NPDW regulations through four stages of purification to produce a very high grade of water Each of the stages is described below Oasis Pre Filtration Ca
37. nue Surrey BC V4A 8W8 e Ph 800 338 6693 e 604 538 1285 e Fax 604 538 1295 Alternative tubing connection option 2009 2012 Oasis Dental Group Inc www oasisdentalgroup ca EN 2 5 HD 4 STAGE ULTRA CLEAN WATER SYSTEM Model 8000 PROTOCOL FOR USAGE When drawing water from the Ezee Kleen 2 5 HD ALWAYS ensure the following protocol is used e Tip Photocopy and laminate or contact Oasis Dental Customer Support line for a free lami nated copy of this page and post at the Ezee Kleen 2 5 HD dispensing faucet e Water is suitable for use in autoclaves self contained dental unit water systems ultrasonic baths instrument cleaning and film developers Collect and store Ezee Kleen 2 5 HD autoclave safe water in clean containers marked Autoclave Water Only No Tap Water Keep Lid On Store Only 48 Hours Label the Dispensing Faucet Autoclave Water Always Check Monitor while Drawing Water Disregard monitor when not dispensing water from the unit ie when unit sits idle Check Ezee Kleen 2 5 HD Monitor each time water is drawn Regularly inspect the containers for cleanliness When storing filled containers ensure caps remain on e Avoid storing or drawing water in an unclean environment Avoid storing the water more than 48 hours e Ensure the working area around the dispensing faucet and especially the dispensing faucet itself remains clean e Avoid running equip
38. on sources of substances in water are erosion of natural deposits naturally occurring elements road salt organic sources such as algae corrosion of household plumbing systems leaching from wood preservatives water additives to pro mote strong teeth run off from fertilizer decay of natural deposits man made emissions leaching from septic tanks sewage water softeners animal waste soil run off by products of drinking water chlorination discharge from dry cleaners residue from cleaning solvents and metal degreasers emissions from solvents chemical intermediates blowing agents for polyurethane foams aerosol pro pellants fire extinguishing agents plasticizers from flexible plastics run off from herbicide use human and animal fecal waste resi due from washing detergents run off from pesticide use and additives to gasoline in the winter This list is not necessarily exhaus tive In order to ensure that tap water is safe to drink state provincial and federal health authorities prescribe regulations which limit the amount of certain contaminants in water provided by public water systems Water quality is monitored over a wide spectrum of microbiological chemical and physical measures of quality All public water utilities are required to monitor the quality of water they distribute according to these regulations Water quality is typically monitored at the source river lake stream etc at the treat ment facilities and throughout t
39. per and lead both of which leach from household plumbing These problems can be further exacerbated in older buildings particularly buildings with hot water heating systems and galvanized piping Chlorination of water supplies either using liquid chlorine or bleach leads to the formation of undersirable Disinfection By Products DBP s through reaction of chlorine with natural organic matter present in raw water Among the DBP s formed are trihalomethanes THM s haloacetic acids 5 chloral hydrates haloacetonitriles and chloropicrin THM s and present in significant concentrations in chlorinated waters Factors affecting the formation of DBP s are chlorine concentration pH temperature bromide contact time and the nature and concentration of NOM NOM consists of total and dissolved organic carbon and DOC caused by decaying vegetation in water 2009 2012 Oasis Dental Group Inc 18 www oasisdentalgroup ca INTRODUCTION TO WATER QUALITY This material has potentially negative effects on water quality TOC exerts a chlorine demand that is chlorine reacts with the or ganic material in the water resulting in a loss of chlorine residue over time and the production of potentially undesirable DBP s Chloroform one THM is the THM detected most frequently and at highest concentrations in drinking water Chloroform s volatility creates the potential for exposu
40. re to airborne chloroform released from tap water Available data are consistent with the hypothesis that ingestion of chlorinated drinking water may be causally related to cancers of the bladder and colon Chloroform has been found to be carcinogenic in two animal species and has been classified as being probably carcinogenic to humans Secondary Parameters Turbidity Turbidity is a measure of cloudiness of the water Turbidity is monitored because it is a good indicator of water quality and can hin der the effectiveness of disinfection Turbidity in water is caused by suspended matter such as clay silt finely divided organic and inorganic matter soluble colored organic compounds plankton and other microscopic organisms Turbidity measurements relate to the optical property of a water that causes light to be scattered and absorbed rather than transmitted in straight lines through the sam ple The current method of choice for turbidity measurement is the nephelometric turbidity unit NTU Excessive turbidity detracts from the appearance taste and odors of water It can serve as a source of nutrients for waterborne bacte ria viruses and protozoa which can be embedded in or adhere to particles in the raw water or become trapped within floc formed during water treatment turbidity can thus interfere with the enumeration of micro organisms in finished water as the micro organisms may not be detectable or may be grossly underestimated by cur
41. rent detection methods The adsorptive properties of sus pended particles can also lead to a concentration of heavy metal ions and biocides in turbid waters Turbidity can interfere with disin fection processes and the maintenance of a chlorine residue Turbidity has also been related to trihalomethane formation in chlorin ated water Viable coliform bacteria have been detected in waters with turbidities higher than 3 NTU even in the presence of free chlorine residuals Typically turbidity guidelines are set at INTU for water entering the distribution system post treatment and 5 NTU at the point of consumption However periodic flushing of the water mains by water utilities may dramatically increase the mains water turbidity for a temporary period Hardness In the United States the USEPA and in Canada Health Canada have established a secondary standard for total dissolved solids in public water systems of 500 mg L 1 mg L 1 PPM The source of dissolved solids is typically metals and salts naturally occurring in soil and organic matter Dissolved solids while not necessarily harmful to humans contribute to excessive hardness mineral deposition corrosion and taste in water Water hardness is caused by dissolved polyvalent metallic ions principally calcium and magnesium and is expressed as the equiva lent quantity of calcium carbonate Encrustation and excessive soap consumption are the main concerns with hardness On heating hard wat
42. rt and isolated shut off gt MI M orange poly supply line Attaches to Existing Cold water angle gt 72 1 4 blue poly faucet line stop shut off valve C yellow poly tank line D 4 black poly drain line Shut off valve gt Water Reservoir Place at rear corner of sink cabinet Dimensions Diameter 12 Height 17 Unit comes complete with all necessary hardware for installation DENTAL GROUP Drain line Conne Mount in easily accessible place Requires routine maintenance mount in easily accessible place tor 8006 Flow restrictor gt Restricts flow to not less than 20 oz min D E EN 2 5 HD Unit Dimensions LxHxD 12x16x6 Unit free stands Place near front of cabinet turned sideways on left or right side of sink cabinet Do not fasten to wall Leave sufficient water line length for unit to be laid on it s back for routine maintenance Requires 2 110 V electrical receptacles UV lamp and Monitor 16147 8A Avenue Surrey BC 4 8W8 e Ph 800 338 6693 e 604 538 1285 e Fax 604 538 1295 2009 2012 Oasis Dental Group Inc www oasisdentalgroup ca EN 2 5 HD 4 STAGE ULTRA CLEAN WATER SYSTEM Model 8000 DISPENSING WITH DRAINLINE AIR VENT Installation Instructions Faucet comes with 6 feet of
43. rtridge Most municipal water contains chlorine suspended solids and dissolved organic solids that may foul Reverse Osmosis RO filters and deionization DI resins The Oasis Pre Filtration Cartridge reduces these contaminants to a level that allows for the proper operation of the RO and DI Cartridges downline in the EzeeKleen 2 5 HD Oasis Reverse Osmosis RO Cartridge The Oasis RO Cartridge further removes dissolved organic solids and also re duces dissolved inorganic solids After processing by the RO Cartridge up to 98 of all Total Dissolved Solids TDS have been removed and the water has been prepared for the deionization process Oasis Mixed Bed Deionization DI Cartridge The Oasis Mixed Bed DI Cartridge uses nuclear grade cation and anion exchange resins to remove the remaining dissolved inorganic solids and dissolved inorganic gases The cartridge achieves near total ion exchange providing water with a TDS level of lt 2 5 PPM which is ideal for use in all makes of sterilizers minimum recom mended TDS level for sterilizers is lt 5 PPM Oasis Ultraviolet UV Cartridge The Oasis UV Cartridge produces 32 000 w sec cm2 of UV light radiation to destroy bacteria viruses algae and yeasts see page 24 for list of organisms destroyed The UV radiation destroys an organism by penetrat ing its cell wall and deactivating its DNA thereby preventing the organism from reproducing Removing microbial contamination in this way produce
44. s water that is ideal for use in self contained dental unit water line systems reduces the need for chemical treatment in your dental water lines and reduces the frequency with which you will need to change micro filtration cartridges DEFINITIONS Suspended Solids Sand silt clay particles grit dirt rust and other solid particles that can damage downline equipment 2 Dissolved Organic Solids Plant and animal decay and material from human activity They may include proteins alcohols chloramines and residues of pesticides herbicides and detergents 3 Dissolved Inorganic Solids Silicates chlorates fluorides bicarbonates sulfates phosphates nitrates and ferrous compounds 4 Total Dissolved Solids Total Dissolved Solids TDS is the measurement of the total amount of both organic and inorganic solids dissolved in a sample of water TDS is measured in mg L or parts per million PPM 1 mg L 1 PPM 5 Dissolved Inorganic Gases CO2 is the most common dissolved inorganic gas and dissolves in water to form weakly acidic carbonic acid H2CO3 2009 2012 Oasis Dental Group Inc 23 www oasisdentalgroup ca WATER QUALITY SPECIFICATIONS COMPARATIVE ASSESSMENT FOR THE REMOVAL OF VARIOUS some WATER POLLUTANTS most up to 98 X all 100 Sodium Calcium Hardness agnesium Hardness Arseni al Viruses Organics rihalometheses THM richlorsethylene TCE Radioactive Con
45. st suitable place to connect drain pipe making sure this connection is easily accessible for routine mainte nance drill 3 8 hole in drain pipe mount foam washer on inside of drain pipe bracket connect mounting brackets 2 to drain pipe with bolts nuts tighten mounting bracket with bolts nuts 11 Connect universal angle stop connection valve to cold waterline angle stop valve use teflon tape remove cold water riser waterline from top of angle stop valve install universal connection valve to top of angle stop valve connect cold water riser waterline to top of universal connection valve 12 Install ball shutoff valve on tank use teflon tape on tank screw thread place tank on mounting base place tank in back corner of sink cabinet 13 Place unit free standing with it s back to either the left or right side cabinet wall undersink this allows the unit to be re moved and laid on it s back in front of the sink cabinet for periodic maintenance 14 Connect all waterlines to unit connect 1 4 blue faucet waterline to faucet stem using 1 4 quick connect fitting and to unit connect 1 4 yellow tank waterline to tank and to unit connect 1 4 black drain line from faucet to unit connect 3 8 black drain line from faucet to drain pipe connector connect 1 4 orange supply waterline to universal angle stop connection valve and to unit 15 Shorten waterlines to appropriate length allow enough length to remove unit and set on its back in front of sink cabinet for
46. ul phide thallium There are numerous regulated organic contaminants a few of which are chloramines dichlorethylenes tetrachloro ethylenes trichloroethene and trichlorofluromethanes Recent attention has been drawn to the chemical MTBE methyl tertiary butyl ether an oxygenate widely used as a gasoline fuel additive MTBE has been found mainly in ground water supplies as a result of leaking gasoline storage tanks and pipelines The potential for MTBE groundwater contamination is exacerbated by its solubility in water which allows it to travel through groundwater aquifers faster than the other less soluble components of gasoline The chemi cal has also been detected at much lower levels in surface water supplies due more to air emissions and recreational power boating than to leaking underground storage tanks Chlorination of Public Drinking Water Systems The chlorination of water creates differences in the characteristics of treated water versus raw water When gaseous chlorine is added to water it quickly hydrolyzes to form hypochlorous acid and hydrogen and chloride ions This reaction results in a drop in pH and alkalinity with a subsequent increase in the level of chloride in the water These changes increase the corrosiveness of water espe cially in areas where water may already be corrosive due to natural low pH low alkalinity and high dissolved oxygen In these situa tions it is not uncommon to see at the tap elevated levels of cop
47. waukee Wisconsin where an estimated 400 000 people became ill with Cryptosporidiosis Several other North American communities have experienced Cryptosporidiosis outbreaks in the recent past Cryptosporidiosis is more serious than Giardiasis as it is untreatable and can cause life threatening illness in those individuals at high risk such as the elderly and those with compromised immune systems Cryptosporidium is very resistant to the effects of chlorine and therefore water systems with unfiltered surface supplies that rely on chlorination disinfection alone may be unable to decrease the risk of this disease if significant numbers of the organism are present in the source water In May 2000 in Walkerton Ontario an estimated 2 000 people grew ill from an outbreak of E coli infection People became sick with fever cramps nausea and bloody diarrhea Seven people died and an investigation found 1 346 confirmed cases of gastroentreritis were reported to medical officials It is believed that heavy rain likely washed cattle manure laced with E coli into one of the town s deep well supplies Testing of 13 livestock farms near the wells found E coli on two of them and other bacteria harmful to people on all but two These types of outbreaks reinforce the need for adequate disinfection and consistent monitoring throughout public water distribution systems As an example the City of New York in 1999 had nearly 1000 fixed sampling stations throughout the cit
48. y from which it draws samples for monitoring purposes While not common waterborne disease outbreaks have occurred and people can be at risk Again sensitive subpopulations such as infants the elderly and immunosuppressed individuals can be expected to be at greater risk 2009 2012 Oasis Dental Group Inc 17 www oasisdentalgroup ca INTRODUCTION WATER QUALITY Chemical and Physical Guidelines Guidelines exist to control the presence of chemical and physical elements in public water systems Chemical and physical elements in public water systems may be undesirable for a number of reasons Chemicals are normally classified according to data on carcino genicity Different approaches are adopted for the derivation of guidelines for compounds considered to be carcinogenic and proba bly carcinogenic compounds considered to be possibly carcinogenic and those considered to be probably not carcinogenic or for which data were inadequate for evaluation Lead poisoning is of particular concern especially for infants and young children Water being delivered to public water distribution systems is likely to be leadfree but water can absorb lead from solder fixtures and pipes found in the plumbing of some buildings or homes Iron copper and manganese are elements undesirable in water in higher quanti ties People on severely restricted sodium diets or moderately restricted sodium diets should concern themselves with sodium levels in publ
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