NV Microlaser & NV Ortho User's Manual
Contents
1. Selecting a Laser Mode Continuous Wave or Pulse a Press the Menu Selection button until the display shows Mode b Select the UP DOWN arrows to find the desired mode c Click the Menu Selection button to make your selection 15 7 Selecting a Pre Set Procedure a Press the Menu Selection button until the display shows Procedures b Select the UP DOWN arrows to find the desired procedure c Click the Menu Selection button to make your selection 8 Adjusting the Beeping Volume Low Medium High a Press the Menu Selection button until the display shows Beep Volume b Select the UP DOWN arrows to find the desired volume intensity c Click the Menu Selection button to make your selection 9 Test the laser before proceeding a Always test the laser before inserting into the patient s mouth 10 Perform the procedure a While pressing the foot pedal use short quick strokes at the lowest power that you can to perform the treatment 11 Discard the tip a When you are done remove the disposable tip and discard in a biowaste SHARPS container NOTE The disposable tip is a one time use tip and cannot be reused or refurbished by any means Attempting to reuse the disposable tip may cause malfunction of the NV Microlaser device 12 Place the NV Microlaser NV Ortho in the Base Charger a When not using the NV Microlaser NV Ortho rest it on the base charger To prevent misuse make sure the dispo2. sseesssessseessseesssessseesseesssessseeoseesnseossseesseesseessseesseroseeosseeosersseosserosseessersseeesseee 15 NV Microlaser NVOrtho Assembly csssccssssecssssscsssecsssssscessesscsssecsssssscsssesscsesecsesesscsssseseseeseass 15 Wearing Protective EY CW CAN seisniconsedsiiieerin ii Ea 15 Selecting the desired pOWEf cscsssssssssssssecsssssscssssecsssecssscscsssecsessseesssecscseseesssesseassecseseseesssecseacseces 15 Selecting a Laser Mode sesessseesssessseessseessessseeosseesseessseosseesseessseeoseressessseeosseesseeoneessseesssesseeosserosseosseeosse 16 Selecting a Pre Set Procedure e sssesssessseessseesseesseessseesssessseessseessessseeosseesseeoeeosseesssroneeosseeosseoneeeese 16 Adjusting the Beeping Volume ssssesssessseesseessseessseeseessseeosseesseessessseesseeosseosseeoseesseeosserosseesseessseessees 16 Test the laser before proceeding ssssssssssssssssessssecsesscsessssessssecssssssessssesassecsecsssesassucassucseeacseesseeseens 16 Perform the procedure ese sseesseessseessseesseessseesseesseesssereseesueeesssresstesseessstessttssetesseesstesetessetesseessersseressees 16 EES EIST o EITA A E EENET A I A E E E A E A T 16 Place the NV Microlaser NVOrtho Base Charger sssesseesesessseesseesssesssseesseosseeosseesseroseeosseee 16 Safety Considerati ONS nsaria 16 PE E ces vt TOENE E P ATE TE E E E T accents 16 Safety EYEWE aT srira r rS diversions teaiecresenteaeedaeeaenant 17 S E
3. and biopsy gingivectomy gingivoplasty lesion tumor removal fibroma removal tissue retraction troughing apththous ulcers gingival hyperplasia excision and recontour crown lengthening operculectomy frenectomy and photocoagulation In addition the NV Microlaser NV Ortho may be used for periodontal procedures including laser soft tissue curettage laser removal of diseased infected inflamed or necrosed soft tissue within the periodontal pocket removal of highly inflamed edematous tissue affected by bacteria penetration of the pocket lining and junctional epithelium PRODUCT DESCRIPTION The progress achieved in recent years in fiber optics and diode lasers technology has made it possible to have commercial devices with multi watt output power in the near infrared spectrum This laser technology is now being used in many areas of medicine and dentistry particularly oral surgery arthroscopy gastroenterology general surgery dermatology and plastic surgery The intended uses of these laser devices include hemostasis incision excision ablation vaporization and coagulation of tissue In dentistry usage of laser devices ranges from cosmetic surgery to treating periodontal disease As the dental laser industry grows there is an increased demand for portable soft tissue lasers In today s market customers want a more portable laser solution to avoid office clutter and to reduce setup time It has also become appa
4. Glasses 1 Base Charger cradle 1 Set of Safety Keys 2 keys total 1 Power Supply for the Charger 1 Wireless Foot Pedal 2 AA Batteries for the Foot Pedal 2 Boxes of 10 Disposable Tips DVD Warranty Certificate and Caution sign 1 User s Manual 1 Basic User s Guide 1 Pack of Carbon Film Unpacking the Container No special assistance is required to unpack and assemble the NV Microlaser NV Ortho However if you have any questions or concerns call the Discus Dental Lasers toll free support line at 888 876 4546 Packaging should be inspected on arrival for evidence of shipping damage Damaged packaging may indicate the presence of unsafe product and it should not be used until carefully inspected If the package or product is damaged the product should not be used and should be returned Product must be handled stored and opened in such a way that it is protected from inadvertent damage or contamination Note The shipping container has been designed to safely transport the NV Microlaser NV Ortho We recommend that you keep the container in case you need to ship the laser back for service or repair SETTING UP YOUR NV MICROLASER OR NV ORTHO Assembling the NV Microlaser NV Ortho is a simple process The handheld laser consists of three pieces the display and laser unit the battery and the disposable tip You control the laser with the wireless foot pedal When you are not using the laser it re
5. To turn the foot pedal to the ON position insert the safety key and turn it clockwise Note Turning the foot pedal Key to the ON position will not use battery life Note Some models come with a foot pedal safety shroud Laser in use oo Battery low Battery compartment Note Keep extra AA batteries in your office inventory because the battery should be replaced after 100 hours of continued operation During use if the red battery light comes on the foot pedal batteries need to be charged Key position a gt OFF position s ON position MENU OPTIONS You can control all operations by navigating through the menu selection button Press the menu button to display the options In addition the same button is your selection button to be clicked when you want to make the selection The main menu options are Press 1x to show Laser Mode choice of CW or Pulsed operation Press 2x to show Procedures lists all pre set procedures Press 3x to show Beep Volume control the beeping intensity To navigate through the options simply press the menu selection button Within each menu you can view the specific options by pressing the UP and DOWN Arrow keys To make a selection press the Menu Selection button again 10 11 Selecting the Laser Mode Press Menu once for Laser Mode Use UP amp Down arrows for modes Press the menu button 1x The display shows Laser Mode Move the arrow UP and DOWN to show your
6. mode options In this case the first option to be shown is Continuous Wave Mode Continue to click UP or DOWN to browse through the other modes To make a selection click the Menu Selection button again Press Menu again to make selection Selecting the Pre Set Procedures Press the menu button 2x Press Menu twice for procedures Use UP amp Down arrows for procedures The display shows Procedures Move the arrow UP and DOWN to show your procedures options In this case the first option to be shown is Laser Troughing Continue to click UP or DOWN to browse through the other procedures To make a selection click the Menu Selection button again After selecting a procedure you can manually adjust the power settings if needed by pressing the UP or DOWN arrows The image below demonstrates the main power screen after a pre set procedure is selected It happens to be a continuous mode procedure It also shows the battery is fully charged Use UP amp Down to control power output after a procedure selection is made A list of all 8 pre set procedures is shown below in the order that they are displayed NV Microlaser NV Ortho 1 Laser Troughing 1 Cuspid Exposure 2 Class V Restoration 2 TAD Exposure 3 Implant Recovery 3 Gingivectomy 4 Gingivectomy 4 Frenectomy 5 Frenectomy 5 Recontouring 6 Biopsies 6 Operculectomy 7 Apthous Ulcers 7 Apthous Ulcers 8 Laser Curretage 8 Canker Sores Selecting the Beepi
7. power supply at the back of the charging unit The power supply can be used in outlets of 100 240 VAC Battery Charger DOCK 1 Battery Charger DOCK 2 Battery Charger DOCK 3 To store or recharge the laser you must first remove the disposable tip Place the laser flat in the slot by tipping it slightly up and inserting the end of the battery first and then lowering it into the slot Do not place the laser upright in the vertical battery charging ports Recharging a completely discharged battery takes approximately 1 hour The LED lights on the cradle indicate the amount of charge remaining If the light is red the battery is low A orange light indicates an almost full charge When the light is green the battery is fully charged ORS Low Fully Charge indicator light Battery Charging i Charged NOTE If incorrect power supply is used the charger will not charge and permanent damage may occur to the charger Wireless Foot Pedal The battery powered wireless foot pedal is composed of a supporting plastic base plus the pedal which comes attached to the base In order to power the foot pedal you must insert the provided AA batteries that came with the laser Before inserting the batteries make sure that the laser is completely turned off and that the laser battery is not attached 1 Turn the foot pedal upside down to locate the battery slot 2 Remove the lid and insert the batteries 3 Close the battery lid 4
8. the power when treating patients with darker soft tissue When lasing avoid penetrating or damaging the periosteum and do not use the laser on alveolar bone Make sure that the fiber tip has no shards A shard can act as a miniature scalpel and damage the small blood vessels thus preventing hemostasis and coagulation Continuous Wave Mode When the laser is in Continuous Wave CW mode the amount of power that you set the laser to is the amount of power delivered CW mode is generally the fastest way to ablate tissues However heat can build up and damage the target and adjacent tissues Cool the tissues using periodic blasts of air from a triplex syringe and high speed suction You may want to use water to cool areas where there is prolonged exposure to the laser beam Do not use an air syringe when you have an opening in soft tissue adjacent to or within the surgery site An air embolism may occur as a result of air captured within the tissue during the cooling process Pulse Mode Pulsing the laser energy allows some cooling of the tissue between energy emissions The pulses per second the duty cycle and the energy intensity per pulse determine the average power emitted In pulse mode the NV Microlaser 14 NV Ortho is programmed to deliver ten pulses per second with each pulse lasting 0 05 seconds This results in an average power that is 50 of what you set the laser for Therefore when using pulsed energy you must adj
9. to acts of God modifications of or to any part of the Product improper testing assembly mishandling or improper operation contrary to current instructions relating to installation maintenance or operation or contrary to industry standards relating to acceptable input power THIS WARRANTY IS EXCLUSIVE AND IN LIEU OF ALL OTHER REPRESENTATIONS AND WARRANTIES EXPRESS OR IMPLIED AND SELLER EXPRESSLY DISCLAIMS AND EXCLUDES ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR ANY PARTICULAR PURPOSE SELLER SHALL NOT BE LIABLE FOR ANY INCIDENTAL OR CONSEQUENTIAL DAMAGES FOR BREACH OF ANY EXPRESS OR IMPLIED WARRANTY ON THIS PRODUCT Repairs and Returns to Discus Dental LLC Should the laser fail to operate correctly and your local dealer representative is unable to assist you please call Discus Dental Customer Service TOLL FREE PHONE NUMBER 1 888 876 4546 to obtain a Return Merchandizing Authorization RMA number for shipping purposes No lasers will be accepted without an RMA Please ensure that the RMA number is clearly marked on the box used to return the laser It is recommended that you return your laser in its original shipping box If the original shipping box is not available make sure that adequate packing is used to protect against shipping damage Make sure you buy insurance to protect your asset against shipping damage Please clearly state the reasons for your return Send Returns To Attention Shipping Manager Discus Den
10. use or resterilization procedure indicated The exterior of the laser is not routinely contaminated by the procedure since the entire handpiece is to be covered with a protective clear barrier film replaceable after each patient use If the exterior of the laser should become contaminated clean the exterior of the laser with a liquid disinfectant such as CAVICIDE or equivalent product First apply the disinfectant to a gauze or soft cloth and then wipe the laser unit DO NOT spray the disinfectant directly on the laser unit because it could damage the OLED display DO NOT use abrasive materials to clean the laser WARRANTY POLICY Seller warrants the Products to be free from defects in materials and workmanship for a period of twelve months from the date of shipment except for consumables If within such period any Products shall be proved to Seller s satisfaction to be defective it shall be i repaired using new or refurbished parts or ii replaced with a new or refurbished product at Seller s sole discretion Such repair or replacement shall be Seller s sole obligation and Buyer s exclusive remedy under this Warranty and shall be conditioned at Seller s option upon return of such Products to Seller f 0 b its factory This Warranty only covers Product issues caused by defects in material or workmanship during ordinary consumer use it does not cover Product issues caused by any other reason including but not limited
11. 9 W x 8 0 L Dimensions Of LASES cesseseeseeseees 6 9 L x 0 65 diameter Weight csnceuipenernaeisaeieomaciens 1 9 ounces Laser ClasSifiCatiOns cccsesecsssecseeseees Class 4 laser device Delivery system s seseesssesssersseesssesss Optical Fiber Wavelength sesessssessseesssessseesseesssessss Laser 808nm 5nm MaxiMUM pOWerf ssessessessessesessessessesee 2 Watts 20 Beam divergence ccssesesesssseceeseees 617 mrad Power range sseesesssessesssesssssesseseesseese 0 1 Watt to 2 0 Watts Pulse frequency e sssesssseesssecsssseessseee Fixed 10 Hz Pulse duration ssssessseesssesssersseesssessss Fixed 0 05 seconds Duty cycle sseesesessssessseesseessseesseesssessss Pulsed mode 50 Continuous wave 100 Audible notification sss ssse ssss00s Yes Power requirements s ssessssessessesses 100 240 VAC 50 to 60 Hz CUME C icco 0 8 Amps Battery esessseessessssesssseesseesseesssersseessseesss Rechargeable lithium ion 20 minutes continuing lasing time 1 2 Watts 8 hours stand by time Wireless foot pedal frequency 2 4 GHz Foot Pedal Power SOUrCE 00006 AA Batteries provided The NV Microlaser NV Ortho complies with the following e IEC 60601 1 e IEC 60825 1 e 21 CFR 1040 10 and 1040 11 e FCC parts 15 and 18 47 CFR e IEC 60601 2 22 CONTENTS OF THE LASER CONTAINER 1 NV Microlaser NV Ortho Main Body 2 Lithium lon Batteries 3 Pairs of Safety
12. RES Labels and Signs DANGER LASER IN USE Each treatment area should have a Laser In Use warning sign posted at the entrance of the treatment area This signage serves to warn people not to enter the treatment area without proper safety eyewear and protective clothing when the laser is in use INTERFACE AND WIRELESS SIGNAL Note This equipment has been tested and found to comply with the limits for a Class A digital device pursuant to Part 15 of the FCC rules These limits are designed to provide reasonable protection against harmful interference when the equipment is operated in a commercial environment The equipment generates uses and can radiate radio frequency energy and if not installed and used in accordance with the instruction manual may cause harmful interference to radio communications Operation of this equipment in a residential area is likely to cause the user to correct the interference at his her own expense Device Precautions 17 CAUTION Changes or modifications not expressly approved by Discus Dental could void the user s authority to operate the equipment CAUTION Laser Radiation Avoid exposure to the eyes or skin from direct or scattered radiation CAUTION This product contains no user serviceable components within the chassis Visible and invisible radiation may be present when the cover is removed Do not open the laser chassis under any circumstances CAUTION US Federal law restricts this d
13. TM MICROLASER NV Microlaser amp NV Ortho User s Manual This manual must be read thoroughly and understood prior to using the laser system CAUTION Using the controls and adjustments or performing laser procedures other than as specified herein may result in hazardous radiation exposure Table of Contents rO COT soiorn T EEO 3 tonde UES aue E A E E S N 3 Product Descrip EO usne E 3 Laser and Charging Unit sesesssessseesseessseessseesseosseeosseenseesnseosseeoseessseeosseesseosseeosseesserosseosseesseesseosseressess 4 The NV Microlaser NVOrthO seseessseesseesssessseesseessseessseeseesnseeosseesseeseeosseesseeoseeosseroseessseosseeessersseesss 5 Laser Power Controller ses ssssesssessseessecssseessseesseosseeosseesseesnseosseessseonseeosseesseonserosseesseroesosseesseeossossseessess 5 Thedelivery tPs ensemeirinnenenaa a a A ORA g The foot swits RA RE R RR 5 Delivery System SpecificationS ssssersssseessseessseeessseresseeosseesssserossseessserosssresseerosseeosseeosssersssseessseess 5 SEO orep EE A N EEA 5 Contents of the Laser Container essessessesoescescsscsscsocsocsocsocsocsoesoesosscescesceseeoceoeeoee 6 Unpacking the Container sssesssessseessseesseessseesseesssessseessseesseosseeosseesseeoseosseesserosseosseroseessseosseressersseeess 6 Setting Up Your NV Microlaser sisississirscessisrsrosssrsoirssrarivosoassasnisiosasassssivasesdonariasss 7 Laser Display URIE eunana TE nee 7 Att
14. aching the Lithium lon Battery esseessessssessseesssessseesseesnsessseeosseessessseeosseenseeosecosseesseessseossseessese 7 BPS Ns Oa SE TIDS auer E EE E NEA 8 Bars LS ROIT AE I E EEE A E EEE T E E EE EE 8 Wireless Foot Pedal sariani iieri tin E ERA E E O 9 MENU OPLONS sieraad iranin EERE E AA 10 Selecting the Laser Mode ssesssessseesssessseesseesssessseeosseesseeosseosserosseosseeoseeoseeosseeosseesseosserosseesseessseessee 11 Selecting Pre Set Procedures sccscsssscssscsssscscsssscscsccscsssssscssassscssecssassscssassscassscssassecssassscassecssasesess 11 Selecting the Beeping VOLUME csesssssecsssssecsssscscsssssscsssecsssecscssseesssssessssessssessesssessesesecsssesseaeseees 12 Procedures GUAGE siririna rnrn Ti EREE 13 Hard Tissue Procedures ssseesssessessssessseessecssseesseesseessseessseeseeosserosseesserossrosseesserosseosseroseessseesserosseesseesss 14 Using the NV Microlaser NVOrthO essesseeseeseceocescesocsscesoesseescescesocescesoesscssossosese 14 Continuous Wave and Pulse MOdeS esesseesesessseessseesssessseesseesssessseesseeseessseeosseesseesseeosseesseesnseessee 14 Co ntinu s Wave MOE serisinin nran eai EN N S RR 14 Pule MOda irsinin de EE iNANO E ERLE OTE N EE iR Di 14 Operating Me Las eian i A E A 15 Foot pedal Assembly sesessseessseessesssseessersseessseesseesseeosseessseesseosseeosseesseeoseeosseesseroseosssroseesssessserossersseesss 15 Base charger Assembly
15. e E E TS 17 Disposing of Fiber TIPS Scssccecseepssisisorssecesmteacvnrsnctannaceennneanarenntonanaremiueenoraanninatinnnis 17 Labels Signs Warnings and Safety Features essssessessesoesoesocsoesoesoescescesceseeseeoe 17 Labels and NIN sev sncssvvsa ce acoueates os eevee daar onor irnir aE Enie NGE inventor EEA 17 DEVICE PrE CUON arnie E eye tric reer S EEEE tna enn veer 18 Warning Labels and SVMS wisscsassenissnssianavangtenesninestenorcemrtvneseestesanvesierenasnaeioeneneents 19 Safety Features seseesssseesssseessseessseeesseesosseessseesssserossseessseeosseeosseeoosseeossseossseeossseessseeoseeeosseeoosserossserosserossee 20 Manufacturer s Information sseseesessessessessesoesoesoesoesoescesosscsscssesocsoesoesocsoesoesoescssceseee 21 S11 9 256 Ree enn nen enn EN E EEA ee eee eee eee ee 21 LOZA O eee ere nen ee A ae ee ee nT one ere 21 Warranty POICY serrait oiin Ean e ERA ONAE snnncasinaceauananiaxentaannen ianersameanemaencernaameasaeets 22 Repairs and Returns to Discus Dental LLC ssesesesssesseesseessesssesseessesssessseoneesseosseossesneesseessesseessees 22 Welcome to the NV Microlaser INTRODUCTION The NV Microlaser is a dental diode laser that can be used for many different soft tissue procedures Laser technology has enabled dentistry to provide less invasive treatment for many dental procedures both preventative and restorative The Discus Dental NV Microlaser NV Ortho represents a new phas
16. e in dental laser technology With its streamlined design you can perform a range of soft tissue procedures with ease without worrying about fiber management and dealing with power cords We designed the NV Microlaser NV Ortho to be a compact wire free laser that makes your day to day operations more efficient and productive For a list of approved procedures please refer to page 13 All the controls you need are accessible on the handheld unit which is lightweight and extremely mobile Choosing to integrate laser science into your practice yields many benefits including increased patient comfort satisfaction and more efficient dental care To get the maximum benefits of laser technology consider joining a study group so that you can exchange tips and ideas with fellow professionals It s also an excellent way to keep abreast of the latest procedures and technological advantages A great place to start is the Academy of Lasers Dentistry www laserdentistry org The Discus website www discusdental com also provides information on new products accessories and educational assistance for you and your professional staff If you have any questions regarding the use of the NV Microlaser NV Ortho please call our toll free support line We re here to help Intended Uses The NV Microlaser NV Ortho is intended to be used for oral soft tissue surgery including sulcular debridement of diseased fibrous tissue i e excision
17. e unit which acts as a heat sink during normal operation The temperature is monitored by a sensor that prevents overheating The laser power controller provides electric power to the diode in continuous wave and pulsed mode It supplies about 2 VDC and current up to 4A to the diodes The controller contains a high efficiency DC to DC converter that converts the battery voltage to the precise voltage needed for laser operation This ensures that the majority of the energy is used for light and not converted into heat The delivery tips with fiber built in consist of 400 micron core multi mode optical fiber and a precise alignment mechanism The fiber is factory installed into the tip and requires no installation by the end user The foot switch is a UL approved commercial foot switch that provides hands free ON OFF capabilities This switch controls initiation termination of laser power wirelessly using 2 4GHz frequency Note some models come with a shrouded foot pedal Delivery System Specifications The delivery system is composed of a disposable one time use plastic tip with an optical quartz fiber built in The optical fiber diameter is 400um attached to a custom made steel connector that precisely attaches via a magnet onto the laser aperture component The magnet acts as a guide with a precise tolerance for a unique fit of the disposable tip on to the laser unit SPECIFICATIONS Dimensions of Charging Unit 2 7 H x 2
18. equipment not in use should be protected against unqualified use 18 LABELS AND SYMBOLS Aperture Label Base Charger Label i Discus Dental LLC 8550 Higuera Street 50 C D Culver City CA 90232 U S A Emergo Europe Molenstraat 15 0470 C REP 2513 BH The Hague The Netherlands This equipment conforms to the provisions of 21 CFR parts 1040 10 and 1040 11 except for deviations pursuant to Laser Notice 50 dated June 24th 2007 IEC60825 1 2007 IEC60601 2 22 2007 MADE IN USA Input 5VDC 4 0A Inline Supply 100 240V 2010 Discus Dental LLC All rights reserved 13 3542 021010 Caution Label FCC Compliance Label FCC Label C FCC ID OUR XBEE IC 4214A XBEE Foot Pedal Label DISCUS gy ingis Culver City CA 90232 U S A Emergo Europe Molens faat 15 2513 BH The Hague The Netherlands This equipment conforms to the provisions of 21 CFR parts 1040 10 and 1040 11 except for deviations EC REP pursuant to Laser Notice 50 dated June 24th 2007 1EC60825 1 2007 1EC60601 2 22 2007 Made in USA Use 1 5V AA batteries only FCC ID OUR XBEE i E 2010 Discus Dental LLC All rights reserved IP22 13 3541 021010 Laser Aperture F This device complies with Part 15 of the FCC rules Operation is subject to the following two conditions 1 This device may not cause harmful interference and 2 this device must accept any interference including intereference that may cause undesired
19. evice to sale by or on the order of a licensed dentist This product is for use by authorized personnel only CAUTION Eyewear that protects your eyes from wavelengths other than 810 nm do not provide proper protection for use with this laser Damage to the retina or cornea may be irreparable if exposed to direct reflected or scattered radiation Always wear protective eyewear when operating the laser CAUTION Use of controls or adjustments or performance of procedures other than those specified herein may result in hazardous radiation exposure CAUTION Do not attempt to remove the cover from the laser chassis for the purpose of repairing the laser Serious injury from electrical shock or laser radiation could occur Removing the cover on the laser chassis will void the warranty CAUTION Avoid prolonged exposure of the energy when working in and around the cervical areas of the tooth Due to the thin layer of enamel in this area the laser s energy may be absorbed by the hemoglobin in the pulp and pulpal hyperemia may occur Extended exposure to laser energy could lead to pain and possible pulpal necrosis CAUTION A risk of fire and or explosion exists when the LASER OUTPUT is used in the presence of flammable materials solutions or gases or in an oxygen enriched environment The high temperatures produced in NORMAL USE of the laser equipment may ignite some materials for example cotton wool when saturated with oxygen CAUTION LASER
20. iber tip is protectively wrapped in its own package The fiber tips are pre scored and pre stripped Before attaching the tip submerge it in a solution of Cavicide or equivalent product for 3 mins The tip must only be used for a single procedure and then properly disposed The tip slips easily onto the laser shaft aligning on the ridges The unit contains a strong magnet which snaps the tip into place and aligns the tip with the laser aperture When the tip is connected there is visual verification indicating that the tip is properly attached and the laser unit is on standby waiting to be used You can attach the disposable tip in six different positions allowing the user to reach difficult areas during surgical soft tissue procedures NOTE The disposable plastic hand piece tips are supplied non sterile by the manufacturer and must be discarded in an infectious waste container SHARPS after each use There is no re use or re sterilization procedure indicated NOTE Steeply bending or improperly securing the fiber tip may lead to damage to the laser delivery system and or harm the patient or user Charging Unit The charging unit securely stores the laser unit and charges the batteries at the same time You can charge up to three batteries two in the dedicated battery ports and one in the resting slot for the laser NOTE The laser comes with two batteries You may order additional batteries if desired Connect the provided
21. is Contact Continuous 1 0 W Socket Treatment Non contact Continuous 0 8 W Sulcular Debridement Contact Continuous 0 8 W Tissue Tag Contact Continuous 1 5W Tissue Welding Contact Continuous 0 6 W Tongue Tie Contact Continuous 1 0 W Troughing Contact Continuous 0 8 W Vestibuloplasty Contact Continuous 1 0 W Hard Tissue Procedures The NV Microlaser NV Ortho is not intended to be used for hard tissue procedures The diode laser is attracted to melanin hemoglobin and to some extent water and oxygenated hemoglobin Avoid prolonged exposure when working in and around the cervical areas of the tooth Because of the thin layer of enamel in this area the laser s energy may be absorbed by the hemoglobin in the pulp and pulpal hyperemia may occur Extended exposure to laser energy could cause pain and pulpal necrosis USING THE NV MICROLASER OR NV ORTHO Continuous Wave and Pulse Modes The NV Microlaser NV Ortho delivers laser energy in either a continuous wave CW or as timed pulses Selecting the appropriate mode is important for controlling the temperature of the target tissue and using an efficient amount of energy The pulse duration 0 05 seconds and the number of pulses per second 10 are fixed and use a 50 duty cycle The duty cycle is the percentage of time in each second that the laser is emitting energy These settings cannot be adjusted NOTE Because laser energy is attracted to melanin and hemoglobin reduce
22. ng Volume Press the menu button 3x Press Menu three times for beep volume Use UP amp Down arrows for modes The display shows Beep Volume Move the arrow UP and DOWN to show your beeping volume options Low Medium High In this case the first option to be shown is Low Continue to click UP or DOWN to browse through the other options To make a selection click the Menu Selection button again 12 PROCEDURES GUIDE In order to better assist you with your procedures needs we created a spreadsheet to guide you with the most conservative power of the following procedures The 13 settings shown below are for your guidance only Procedure Technique Mode Power Abscess Contact Continuous 1 0 W Apthous Ulcer Non contact Pulse 1 4W Biopsy Contact Continuous 1 0 W Contouring Contact Continuous 1 0 W Distal Wedge Contact Continuous 1 5 W Draining Abscesses Contact Continuous 0 9W Expose Teeth Contact Continuous 1 0 W Fibroma Contact Continuous 1 0 W Frenectomy Contact Continuous 1 1W Gingivectomy Contact Continuous 1 0 W Gingivitis Contact Continuous 0 4W Gingivitis Therapy Contact Continuous 0 8 W Gingivoplasty Contact Continuous 1 0 W Hemostasis Contact Continuous 1 3 W Herpetic Lesion Non contact Pulse 1 6 W Hypertrophic Tissue Contact Continuous 1 5 W Implant Exposure Contact Continuous 1 4W Lesion Removal Contact Continuous 1 0 W Operculectomy Contact Continuous 1 5 W Ovate Pontic Contact Continuous 1 0 W Periimplantit
23. operation 50 C Consult instruction Temperature et BE manual for use A limits Dispose of properly taal Manufacturer K Professional m Manufacture use only p date 1 A Fragile Type BF applied part Serial Caution SN number Do not use if a REF Catalog Q package damaged Keep dry EC REP EU Representative number Safety Features AUDIBLE LASING SIGNAL An audible signal high pitched buzzing sounds whenever the activation foot switch is depressed KEY SWITCH The laser system is equipped with a key switch and cannot be turned ON until the key is inserted We recommend removing the key switch after use in order to prevent unauthorized use LASER STOP BUTTON The laser has a laser stop button in case the laser needs to be shut down immediately The shutdown switch is the red button located on the main body If the laser needs to be immediately shut down press and release the red Power Laser Stop Button ENCLOSURE INTERLOCK The laser system is protected by an enclosure interlock that will not allow electrical power to the unit if cover is removed REMOTE INTERLOCK The remote interlock jack gives you the option of installing the NV Microlaser NV Ortho in a dedicated room and be interlocked with the entrance door to the room In an interlocked installation the laser shuts off whenever the door is opened thereby protecting the eyes of the person entering the room Contact Discus Dental at 1 888 876 4546 for more info
24. rent that a relatively low power laser 2 0 maximum watts and 808 nm covers virtually all laser surgical requirements The NV Microlaser NV Ortho is the first soft tissue laser developed as a handheld unit It is wireless lightweight easy to set up simple to use requires less power and is cost efficient With NV Microlaser NV Ortho Discus Dental introduces a proprietary adjusting module for coupling a diode laser with a disposable fiber Fiber accuracy is better than 5mm and the alignment is extremely stable A module with a specific lens was developed in order to achieve such precision and alignment This design greatly simplifies the fiber management and setup of operatory time as the fiber is attached into the tip allowing this item to be disposable and simple to use No fiber scoring is needed as the disposable tip is provided already scored to decrease setup time and user s error NV Microlaser F Charging Unit Laser and Charging Unit The Laser and Charging Unit comprise the following major modules The laser diode assembly contains one single emitter laser diode of 2 0 watt output power Class IV laser lasing at 808 nm The diode laser is directly coupled to a lens and aligned to the fiber optic inside the removable tips using a 2 axis alignment system patent pending The NV Microlaser NV Ortho is designed to dissipate heat during normal operation The laser module is mounted towards the tip of th
25. rmation or questions about the remote interlock LASER FIRING DELAY There is a brief delay between depressing the footswitch and the onset of the laser activation This allows the user adequate time to react if the footswitch is inadvertently depressed or laser operation should be aborted 20 MANUFACTURER S INFORMATION 21 Calibration We suggest that your practice establish an internal verification program for your laser Verification is recommended a minimum of once per year based on average usage You may purchase a calibrated hand held power meter approved for use with 810nm devices to check power output The laser should be set in continuous wave mode The NV Microlaser and the NV Ortho should be set at 0 5 1 0 and 1 5 Watts with the output checked at each level The output display should be within 20 of the meter reading If not replace the tip and re check If the output display is outside the 20 tolerance return the unit to the manufacturer for recalibration Sterilization The NV Microlaser NV Ortho is not supplied in sterile condition nor must it be sterilized before use The following disinfecting procedures are recommended for the following fixtures and attachments to the device before the initial and after each subsequent use The disposable plastic hand piece tips are supplied non sterile by the manufacturer and are to be discarded in an infectious waste container SHARPS after each use There is no re
26. sable tip is removed Always charge the NV Microlaser NV Ortho when the tip is not attached to the laser unit SAFETY CONSIDERATIONS Treatment Area Always use the laser in a well lighted and ventilated area The area around the laser must be free of standing water Chemicals or gases that could cause combustion must not be present when using the laser Use a high volume vacuum to remove the laser plume Provide high filtration masks for all personnel in the treatment area The laser plume may contain viable tissue particulates 16 Safety Eyewear The laser beam can cause eye damage when misused When using the laser everyone in the treatment area must wear safety eyewear with an optical density OD of 4 or better which are designed for use with a 810 nm wavelength The laser tip should never be pointed directly at the face eyes or skin The nominal ocular hazard distance NOHD is 902mm While wearing OD 4 eye protection the NOHD is reduced to 9 2mm Safety Signage When a laser procedure is in process place a Laser in Use sign at the entrance of the room to warn staff to be careful about entering This warning can help avoid eye damage caused by inadvertent exposure to the laser Disposing of Fiber Tips Used fiber tips and remnants should be placed in a SHARPS container Sponges used for cleaning up fibers should be disposed of in a bag for contaminated soft products LABELS SIGNS WARNINGS AND SAFETY FEATU
27. sts in the cradle battery charger Laser Display Unit Selection UP Laser ON Emergency Off Selection DOWN Menu Selection Off All operations and procedures are conveniently located on the laser OLED display unit The red Power button turns the laser on and off The Menu button allows you to easily cycle through the various options The Up and Down Arrow keys increase and decrease the power You also use the arrow keys to scroll through the options when you are using one of the menus Attaching the Lithium lon Battery The NV Microlaser NV Ortho comes with two rechargeable lithium ion batteries allowing you to always have a fully charged battery available To attach the battery to the main body match the two pins male located on the main laser body into the battery slot female Twist the battery clockwise until it firmly locks into place The battery should lock in place and stay firm without any play The battery provides up to 20 minutes of continuous operation at 1 2 watts of power when fully charged When you first unpack the laser charge the battery for two hours or until the indicator light on the charger becomes green The battery must be fully charged before initial use Line up pins with holes on battery and twist clockwise to lock Replacement batteries are available for sale at www discusdental com NV Microlaser battery P N LR1010 NV Ortho battery P N LR1011 Disposable Laser Tips Each f
28. tal LLC Repair Department 2621 Pleasant Hill Road Pleasant Hill CA 94523 22 DISCUS Discus Dental LLC 8550 Higuera Street Culver City CA 90232 USA Tel 310 845 8200 Fax 310 876 9917 EC REP EMERGO EUROPE Molenstraat 15 2513 BH The Hague The Netherlands 20 1984 031210
29. ust your power upward to achieve the same rate of output as the same power set in CW mode For Instance 2 watts of pulsed power is the same average power output as 1 watt of continuous power Operating the Laser The following are the basic steps involved in using the NV Microlaser NV Ortho A pictorial representation of all the steps shown below can be seen on Pages 7 through 11 1 Foot Pedal Assembly a Insert the AA batteries provided b Turn the safety key located on the side panel to the ON position refer to Page 9 for illustration c The green light indicates that the foot pedal is in standby mode 2 Base charger Assembly a Connect the power supply to the rear panel of the base charger 3 NV Microlaser NV Ortho Assembly a Attach the lithium ion battery b Attach the disposable tip You will see a verification on the OLED display when it is properly connected c Firmly press the red power button along side the OLED display The OLED display will light up confirming the laser is on d The display shows the power setting as 0 0W e If the TIP symbol is displayed on the screen it means the tip is inserted correctly and the laser unit is ready to fire 4 Wearing protective eyewear a Wear the appropriate wavelength specific OD gt 5 at 808 nm eyewear for operator assistants and patient 5 Selecting the Desired Power a Click the UP and DOWN arrows to make your selection 6
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