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SIROSONI L

Sirona SIROSONI L, PerioSonic, SIROSONI TL Operating Instructions Manual

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Instructions for use
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Table of Contents
1 Before you begin … ........................................................................................ 6
1.1 Structure of the document ............................................................................................. 8
1.2 Service life of Sirona instruments .................................................................................. 10
2 Safety information ........................................................................................... 12
3 Technical description ...................................................................................... 15
3.1 Task............................................................................................................................... 15
3.2 Calculus detection - functioning .................................................................................... 15
3.3 Ultrasonic handpiece design ......................................................................................... 16
3.4 Technical data ............................................................................................................... 18
3.5 Power settings for ultrasonic tips................................................................................... 22
4 Preparation ..................................................................................................... 25
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Operating Instruction SIROSONIC/L/TL, PerioSonic Table of Content s
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4.1 Initial start-up and longer breaks in use ........................................................................ 25
4.2 Prior to starting the work day......................................................................................... 25
4.3 Before each patient ....................................................................................................... 25
5 Operation ........................................................................................................ 27
5.1 Connecting the ultrasonic handpiece to the supply hose .............................................. 28
5.2 Detaching the ultrasonic handpiece from the supply hose ............................................ 29
5.3 Inserting and removing the ultrasonic tip....................................................................... 31
5.4 Checking the ultrasonic tip for usability ......................................................................... 32
5.5 Adjusting the power for the ultrasonic tips..................................................................... 33
5.6 Adjusting the cooling spray ........................................................................................... 35
5.7 Treatment ...................................................................................................................... 37
6 Follow-up ........................................................................................................ 64
6.1 After each treatment session......................................................................................... 64
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7 Conditioning.................................................................................................... 66
7.1 Conduct pre-disinfection................................................................................................ 66
7.2 Automated cleaning and disinfecting ............................................................................ 67
7.3 Manual cleaning and disinfection .................................................................................. 70
7.4 Sterilizing ....................................................................................................................... 72
8 Maintenance ................................................................................................... 74
8.1 Maintaining the water channel................................................................................ ....... 74
8.2 Cleaning the light guide surfaces .................................................................................. 75
8.3 Replacing the spray water cartridge .............................................................................. 76
8.4 Replacing the halogen lamp/LED .................................................................................. 78
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Operating Instruction SIROSONIC/L/TL, PerioSonic Table of Content s
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9 Spare parts and consumables ........................................................................ 80
10 Storage and transport conditions .................................................................... 92
11 Disposal .......................................................................................................... 94
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1 Before you begin …
Complies with state-of-the-art technology without general standards
SIROSONIC/L/TL / PerioSonic complies with state-of-the-art technical regulations.
Read/observe _ general
1. Read the operating instructions prior to using SIROSONIC/L/TL / PerioSonic.
2. Only use SIROSONIC/L/TL / PerioSonic for the applications described in the operating instructions.
3. Observe the applicable hygiene standards, occupational safety regulations and accident prevention measures for SIROSONIC/L/TL / PerioSonic.
Intended Use
Scaler
SIROSONIC/L/TL / PerioSonic is used to treat dental disease. The treatment is for the following uses:
● Supragingival removal of plaque and tartar (scaling)
● Subgingival removal of plaque and calculus (periodontology)
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Operating Instruction SIROSONIC/L/TL, PerioSonic 1Before you begin …
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● Cleaning and biofilm management of implants as well as metallic and ceramic restorations (implant cleaning tip)
● Irrigation of treated root channels (endo),
● liquefying of thixotropic composites (CEM),
● Micropreparation
● Retrograde root treatment (endo)
● Estimation of the working depth (tip with depth scale)
PerioSonic
PerioSonic is also used to generate a voltage signal for analysis in PerioScan.
Contraindications - none
Contraindications None Target group
trained dental personnel
This product is intended only for use by trained dental personnel in dental practices and laboratories.
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1.1 Structure of the document
1.1.1 Labeling of information
Warnings ➢ To prevent injuries, please observe all warnings.
Warnings are labeled as follows:
DA NGER ! indicates a danger leading to death or serious injury if not
avoided.
WARNING! indicates a danger that may lead to death or serious
injury if not avoided.
CAUTION! indicates a danger that may lead to injury if not avoided.
Instructions for use ➢ To prevent material damage and additional expenses, please
observe all instructions for use.
Instructions for use are labeled as follows: NOTICE! indicates measures for the prevention of material damage. IMPORTANT: indicates information on the avoidance of additional
expenses and other important information. Tip: indicates information for facilitating work.
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Operating Instruction SIROSONIC/L/TL, PerioSonic 1Before you begin …
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1.1.2 Formats and symbols
The formats and symbols used in this document have the following meaning:
✔ Prerequisite
1. First action step
2. Second action step or
➢ Alternative action
ª Result ➢ Individual action step
Requests you to do something.
Use of formats and symbols [ → 9].
Identifies a reference to another text passage and specifies its page number.
● List Identifies a list.
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1.2 Service life of Sirona instruments
Service life 5 + 3 years /3 + 1 1/2 years
When used as intended:
Standard_Sirona
● Non-moving parts of Sirona instruments have a typical service life of approx. 5 years
● Moving parts of Sirona instruments have a typical service life of approx. 3 years
No warranty claim can be inferred here, as wear may occur earlier or later than indicated above depending on use, frequency of sterilization, and frequency of maintenance.
Scaler sealing ring
The sealing ring for SIROSONIC TL and PerioSonic must be replaced annually.
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Operating Instruction SIROSONIC/L/TL, PerioSonic 1Before you begin …
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1.2.1 Service time for the tips and torque wrench
After 12 months of service time, the tips and included torque wrench have reached their wear limit and must be disposed of.
Exception: SIROIMPLANT IP1 reaches its service time after 1,000 treatments or 24 months.
Document and check the service time of the tips and torque wrench based on the 4-digit alphanumeric serial number.
A 4-digit alphanumeric serial number Here: H6F1
B Tip number Here: no. 3L
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2 Safety information
Obligations of the user
Obligations of the user ● Use only fault-free materials that do not deviate from the specified
data [ → 18].
● Protect yourself, patients, and others against any foreseeable dangers. To do this, follow the safety information.
● Comply with the Intended use of the equipment.
● You should always keep these operating instructions within reach for further reference.
Scaler only with Sirona
● Use SIROSONIC/L/TL / PerioSonic only with Sirona equipment.
● Only use the torque wrench included with each tip.
● Dispose of the torque wrench with the tip after a service time of 12 months.
Cross contamination and spread of infections
Preventing the spread of infections and cross contamination
Sterilization
Prevent the spread of infections and cross contamination between patients, users, and third parties. Sterilize equipment after each patient.
Take the appropriate hygiene measures, e.g. wear protective gloves.
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Operating Instruction SIROSONIC/L/TL, PerioSonic 2Safety information
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Eye damage
Prevention of eye damage The LED is in risk class 2 according to the IEC 62471:2006 standard.
The LED emits optical radiation that is potentially hazardous and may be harmful to the eyes! Potential damage to the retina from the blue light emission. Do not stare at the LED for longer periods of time while in operation.
Improper use
Improper use Improper use may cause damage to the surface of the patient's teeth.
Malfunction / Damage _ Scaler
Malfunction or damage Discontinue use immediately in case of malfunction, unusual or different
sounds or damage. Damaged ultrasonic handpieces and tips may cause injury. Notify the dental depot or the manufacturer.
Potential explosion hazard
Potential explosion hazard Do not use this product in areas subject to explosion hazards.
Repair _ Scaler
Repair Do not repair the ultrasonic handpieces and tips on your own.
Accessory parts
Spare and accessory parts Use only original Sirona parts or parts approved by Sirona. Safe
operation is not guaranteed for parts that have not been approved by Sirona.
Endo note for cofferdam scaler
Endontic work Use a cofferdam in patients for endodontic work.
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Pacemakers and defibrillators
Cardiac pacemakers and implanted defibrillators Sirona does not recommend using ultrasonic scalers for patients and
equipment users with cardiac pacemakers and/or implanted defibrillators.
Combination with treatment centers
Combination with treatment centers Use the Sirona scalers only in combination with a Sirona treatment
center. There is a risk of injury when used in combination with treatment centers from other manufacturers.
If you have any questions, please contact your dental dealer or the manufacturer.
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Operating Instruction SIROSONIC/L/TL, PerioSonic 3Technical description
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3 Technical description
3.1 Task
SIROSONIC
The ultrasonic handpiece converts electrical energy into a translational movement and transfers it to the ultrasonic tip, thus oscillating the distal end of the ultrasonic tip.
3.2 Calculus detection - functioning
PerioScan
Calculus can be detected only with the SIROPERIO 4 PS ultrasonic tip in combination with the PerioSonic handpiece on the Sirona PerioScan.
Detection: The physical vibration patterns of the ultrasonic tip are analyzed and the contacted tooth surface is thus detected. The substance or material of the tooth being examined, not the surface structure, is detected here.
The detection mode is automatically activated when the PerioSonic handpiece is removed from its holder on the PerioScan.
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When the software detects root surfaces the signal green lights up green - if calculus is detected, the signal ring lights up blue. Observe the notes in the operating instructions for PerioScan.
3.3 Ultrasonic handpiece design
SIROSONIC TL
SIROSONIC/L/TL design
A Tip mount
B Light aperture (for SIROSONIC L/TL only)
Control ring
D Hose nut
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PerioSonic
PerioSonic design
A Tip mount
B Light aperture
Signal ring
D Control ring
E Hose nut
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3.4 Technical data
Scaler
Ultrasonic handpiece
SIROSONIC SIROSONIC L SIROSONIC TL PerioSonic
Oscillation frequency in kHz 25 - 32 25 - 32 25 - 32 25 - 32
Spray function x x x x
Spray water regulation at the coupling
xxxx
Light function - x x x
Amplitude of the instrument tip in µm (100µm = 0.10 mm)
~ 180 (with tip 4L) ~ 180 (with tip 4 L) ~ 180 (with tip 4L) ~ 200 (with tip 4PS)
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Treatment center
SIROSONIC
SIROSONIC L
1
SIROSONIC TL
Lamp voltage in V, at the lamp - 3.6 ± 0.1 -
Lamp current in A
Halogen lamp - - -
LED - 0.03 0.03
Spray water flow in ml/min (with fully-opened water regulator)
60 60 60
Spray water pressure in bar (without tip) 2 ± 0.2 2 ± 0.2 2 ±0.2
Recommended water content in spray in ml/min > 30 ml/min > 30 ml/min > 30 ml/min
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PerioScan
1. Depending on the treatment center and its accessories
PerioSonic
Lamp voltage in V, at the lamp -
Lamp current in A
Halogen lamp -
LED 0.03
Spray water flow in ml/min (with fully-opened water regulator) 60
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Operating conditions
Spray water pressure in bar (without tip) 1- 1.5
Recommended water content in spray in ml/min > 30 ml/min
PerioSonic
Ambient temperature 10°C - 40 °C (50°F - 104°F)
Relative humidity 30% - 95 %
Air pressure 700 hPa - 1060 hPa
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CE mark
This product bears the CE mark in accordance with the provisions of the Council Directive 93/42/EEC of June 14, 1993 concerning medical devices (MDD).
3.5 Power settings for ultrasonic tips
The tips can be used at the following maximum power:
0123
SIROSONIC SIROSONIC L SIROSONIC TL PerioSonic
Tip no. 1L 100% 100 % 100% 100 %
Tip no. 2L 100% 100 % 100% 100 %
Tip no. 3L ≤ 80% ≤ 80% ≤ 80% ≤ 80%
Tip no. 4L ≤ 70% ≤ 70% ≤ 70% ≤ 70%
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Operating Instruction SIROSONIC/L/TL, PerioSonic 3Technical description
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SIROPERIO PE 1 ≤ 70% ≤ 70% ≤ 70% ≤ 70%
SIROPERIO PE 2 100% 100 % 100% 100 %
SIROPERIO PE 3 100% 100 % 100% 100 %
SIROPERIO 4 PS ≤ 80% ≤ 80% ≤ 80% ≤ 80%
SIROPERIO PE 5 100 % 100% 100% 100 %
SIROPERIO PE 6 100 % 100% 100% 100 %
SIROPREP tips 100% 100% 100% 100 %
SIRORETRO tips 100% 100 % 100% 100 %
CEM tip ≤ 10% ≤ 10% ≤ 10% ≤ 30%
SIROSONIC SIROSONIC L SIROSONIC TL PerioSonic
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SIROIMPLANT IP 1
1
≤ 70% ≤ 70% ≤ 70% ≤ 70%
Endo tip no. 5 ≤ 4% ≤ 4% or Endo
function 1e - 5e
2
Endo function 1e ­5e
3
≤ 4%
1. in combination with SIROSON L ≤ 20%
2. in combination with the INTEGO/INTEGO PRO treatment center
3. in combination with the TENEO/SINIUS treatment center
SIROSONIC SIROSONIC L SIROSONIC TL PerioSonic
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Operating Instruction SIROSONIC/L/TL, PerioSonic 4Preparation
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4 Preparation
4.1 Initial start-up and longer breaks in use
Scaler
➢ An adequate normalization phase must be maintained following
transport before initial operation.
➢ Sterilize the scaler and accessory parts prior to startup [ → 72]. ➢ Clean and lubricate the scaler after longer breaks in use.
4.2 Prior to starting the work day
➢ Flush the water lines for 2 minutes.
4.3 Before each patient
Preparation _ Scaler without Siroair
1. Flush the water lines for 30 seconds.
2. Attach the ultrasonic handpiece [ → 28].
3. Insert the ultrasonic tip [ → 31].
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4. Check the ultrasonic tip for usability [ → 32].
5. Set a sufficient amount of cooling water (> 30 ml/min) [ → 35].
6. Use filtered water only (< 50 µm).
7. Check the nozzles for blockages and lime deposits, for example, and clean the nozzles if necessary.
8. Make sure the ultrasonic tip is fits tightly.
9. Perform an axial load test of the ultrasonic tip.
Tip: Use a cofferdam in patients for endodontic work.
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Operating Instruction SIROSONIC/L/TL, PerioSonic 5Operation
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5 Operation
Use only faultless tips
NOTICE! Tips wear out and can bend resulting in a performance loss and risk of breakage. Use only ultrasonic tips that are not worn or bent. Do not reshape bent tips.
Clamping tips
CAUTION! A loose ultrasonic tip can come loose from the thread or break off. This may cause injury! Use the ultrasonic handpiece only if the ultrasonic tip is firmly clamped in place.
Overheating at the preparation site _ flow rate
CAUTION! Insufficient cooling leads to overheating of the preparation site and damage to the tooth substance. Ensure that the flow rate is > 30 ml/min.
Puncture wound _ Tip
CAUTION! You can puncture your hand with an ultrasonic handpiece when the tip is inserted. This may cause injury! When the ultrasonic handpiece is not in use, remove the tip or attach the torque wrench for protection.
Harmful to eyes
CAUTION! Potentially hazardous optical radiation may cause harm to the eyes. Do not stare at the LED for longer periods of time while in operation.
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5.1 Connecting the ultrasonic handpiece to the supply hose
Attaching SIROSONIC/L
Connecting SIROSONIC/L
1. Compare the hole pattern in the handpiece with the small tubes in
the hose coupling.
2. Hold the hose nut (A) firmly and insert the ultrasonic handpiece until
it clicks audibly into place.
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Attaching SIROSONIC TL and PerioScan
Connecting SIROSONIC TL and PerioSonic
1. Align the Sirona logo with the recess on the hose coupling.
2. Hold the hose nut (A) firmly and insert the ultrasonic handpiece until
it clicks audibly into place.
5.2 Detaching the ultrasonic handpiece from the supply hose
Do not detach the scaler while it is in ope ration
CAUTION! Do not detach the ultrasonic handpiece from the supply hose while it is in operation. This may cause injury!
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Detaching SIROSONIC/L
Detaching SIROSONIC/L ✔ The ultrasonic handpiece is not in operation.
1. Hold the supply hose by the control ring (B) and not by the hose nut
(A)!
2. Detach the ultrasonic handpiece from the supply hose. Do not pull
on or hold the supply hose.
Detaching SIROSONIC TL/PerioSonic
Detaching SIROSONIC TL/PerioSonic ✔ The ultrasonic handpiece is not in operation. ➢ Detach the ultrasonic handpiece from the supply hose. Do not pull
on or hold the supply hose.
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5.3 Inserting and removing the ultrasonic tip
Inserting the ultrasonic tip
Insert using a torque wrench
✔ The ultrasonic handpiece is not in operation.
1. Insert the ultrasonic tip into the torque wrench (A).
2. Slowly screw the ultrasonic tip into the torque wrench clockwise.
Turn a quarter revolution past the resistance.
3. Detach the torque wrench.
4. Check the ultrasonic tip [ → 32].
Clamping tips
CAUTION! A loose ultrasonic tip can come loose from the thread or break off. This may cause injury! Use the ultrasonic handpiece only if the ultrasonic tip is firmly clamped in place.
Removing the ultrasonic tip
Remove the tip with the torque wrench
✔ The ultrasonic handpiece is not in operation.
1. Attach the torque wrench to the ultrasonic tip.
2. Unscrew the ultrasonic tip by turning it counterclockwise.
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5.4 Checking the ultrasonic tip for usability
✔ The included checkcard for tips is available.
1. Place the ultrasonic tip against the tip gauge with the edge (A) of the
wrench surface positioned as shown in the corresponding illustration.
2. Check the ultrasonic tip based on the checkcard. The marking lines
(B) show the maximum permissible wear.
Does the ultrasonic tip deviate from the contour of the illustration on the checkcard or is the ultrasonic tip shorter than the marking line?
1. Adjust the usage of the ultrasonic tip.
2. Dispose of the ultrasonic tip and associated torque wrench. The illustrations on the checkcard show the correct tip shapes and
lengths. Any deviation from the contour shown on the figure represents an
unacceptable distortion of the shape.
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5.5 Adjusting the power for the ultrasonic tips
CAUT ION! Wear and bending of the tips lead to loss of performance and hazards. Tips may not be reshaped. There is a risk of breakage during operation and performance may be lost or reduced.
The output power of the scaler tips is approx. 10 W; that of the CEM tip is approx. 1 W.
IMPORTANT: The user is responsible for setting the appropriate power level according to the medical indication.
➢ Adjust the power of the ultrasonic tip on the treatment center or
PerioScan. Observe the power settings [ → 22].
Darwin
CAUTION! Endodontic tip no. 5 may be operated only at a power level of max. 4%! (SIROSONIC/L, PerioSonic)
SINIUS, TENEO
CA UTI ON! Endodontic tip no. 5 may be operated only after activating the Endo function (Endo key on the touchscreen of the treatment center)! Here it is possible to preset 1e to 5e. Please note that these
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values do not coincide with the values 1 to 5 in ultrasonic operation (SIROSONIC TL with TENEO and SINIUS, SIROSONIC L with INTEGO).
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5.6 Adjusting the cooling spray
General adjustment> 30 ml/min
➢ Adjust the flow rate of the cooling water using the control ring (A) (>
30 ml/min).
Tip: You can measure the amount of cooling water with a measuring cup and watch.
Scaler except no. 6L
Exception: The water flow of the CEM tip no. 6L is blocked. When using CEM tip no. 6L, the ultrasonic handpiece can be operated only intermittently.
Max. water flow
Water flow rate
Marking logo
... for SIROSONIC und SIROSONIC L: The water flow is reduced and lastly shut off when the control ring is
turned in a clockwise direction. The maximum water flow is set when the control ring is rotated left until perceptible resistance. If the control ring is turned beyond the resistance, the water flow is reduced until it shuts off.
A
A
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... for SIROSONIC TL and PerioSonic: The Sirona logo is used as a marking for the SIROSONIC TL and
PerioSonic.
General III
The minimum water flow is set when the control ring is turned in a clockwise direction until it reaches the stop. The maximum water flow is set when the control ring is rotated left to the stop.
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5.7 Treatment
CAUTION! If the sealing ring of SIROSONIC TL or PerioSonic is defective, damaged or worn, this can lead to false detection results! Always check for proper fit and condition of the sealing ring before using the SIROSONIC TL and PerioSonic.
CAUTION! When the ultrasonic handpiece is not in use, detach the ultrasonic tip and attach the torque wrench to protect the tip. Make sure to keep the instrument away from soft tissues such as cheeks, lips, tongue, etc. during treatment. Contact causes friction that can lead to burns!
Select the most suitable instrument tip for each treatment. The optical and acoustic display of calculus removal in connection with
the PerioScan equipment is possible only with instrument tip SIROPERIO 4 PS (PS 4). For this, the distal end of the tip must alway s touch the root surface and may not be too worn.
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IMPORTANT: Change tips only when the device is switched off. [ → 31] The illustration to the left shows how the handpiece should be held
during treatment. Always keep the instrument in motion, either up and down the tooth or
across the proximal surface in lingual or buccal direction away from the tooth.
CAU TION ! Always hold the instrument so that the motion of the tip is parallel to the tooth surface. Only slight pressure should be applied.
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NOTICE! During treatment, do not allow the device to come into contact with metal/ceramic restoration (except when using a CEM tip). Prostheses may otherwise become loose due to the high-frequency ultrasonic vibrations.
Since the instrument causes only slight pain, it is also ideal for the treatment of acute, painful periodontitis.
Use effective suction to ensure good visibility of the treatment area.
PE1
PE1
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5.7.1 Using SIROPERIO tips
For removing calculus in subgingival operation, even in deep gingival pockets. SIROPERIO tips provide you with optimal access to all regions, so that you can efficiently remove calculi while at the same time preserving healthy tooth substance.
The following tips are used for rinsing and scaling roots in deep gingival pockets:
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SIROPERIO PE 1 - straight, narrow
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SIROPERIO PE 2 - right curved, for posterior teeth
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SIROPERIO PE 3 - left curved, for posterior teeth
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SIROPERIO 4 PS - straight, also especially for use with PerioScan for detection.
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SIROPERIO PE 5 - right curved, for posterior teeth
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SIROPERIO PE 6 - left curved, for posterior teeth
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5.7.2 Using scaling tips
Scaling tip no. 1L - for course cleaning, lingual, buccal IMPORTANT: Do not use proximally!
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Scaling tip no. 2L - versatile for, lingual, buccal, proximal use
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Scaling tip no. 3L - for universal use on either side Tip: The tip is especially suitable for removing supragingival plaque and for the interdental space.
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Scaling tip no. 4L Tip: The tip is particularly suitable for supragingival and subgingival tooth surfaces, dental necks and for the interdental space. The rear molars are more accessible with this tip.
5.7.3 Using SIRORETRO tips
SIRORETRO tips are intended to be used for retrograde root treatment (invasive procedure). Before treatment, the spray adapter must be inserted for supplying external irrigation fluids (e.g. NaCl).
Inserting the spray adapter
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✔ Cooling water flow is cut off using control ring (A).
1. Detach the handpiece from the hose.
2. Insert the spray adapter (B) between the hose coupling and the
handpiece. Note the connecter and hole pattern.
3. Attach the NaCl hose (C) and fasten it to the supply hose with the
hose clamps (D).
SIRORETRO tips are selectively diamond-coated tips for retrograde apicectomy. To simplify access to the preparation site, the tips are angled approx. 20° (to the right or to the left).
A
B
D
C
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SIRORETRO KR Short, angled to the right for treatment of the left lower jaw or right upper jaw.
SIRORETRO GR Long, angled to the right for treatment of the left lower jaw or right upper jaw.
KR
GR
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SIRORETRO KL Short, angled to the left for treatment of the right lower jaw or left upper jaw.
SIRORETRO GL Long, angled to the left for treatment of the right lower jaw or left upper jaw.
Wear: To ensure successful treatment, make sure that the tip is sufficiently
coated with diamonds prior to use.
KL
GL
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5.7.4 Using SIROPREP tips
SIROPREP tips are equipped with grinding blocks to remove proximal caries in the distal and mesial areas.
D1 – Small tip for removing distal caries D2 – Large tip for removing distal caries M1 – small tip for removing mesial caries M2 – Large tip for removing mesial caries Wear: To ensure successful treatment, make sure that the ultrasonic tip is
sufficiently coated with diamonds prior to use.
D1/D2
M1/M2
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5.7.5 Using CEM set no. 6L
The CEM tip is used to insert inlays (e.g. CEREC) using hardening composites with thixotropic properties.
CAUTION! The CEM tip should be used only at max. 30% (PerioSonic) or max. 10% (SIROSONIC/L/TL) of its capacity, followed by a cool-down period. Make sure the handpiece does not overheat.
CAUTION! Too high a power rating can cause the attachment to come loose. A loose attachment can overheat. Ensure that the CEM cap is tightly screwed and does not come loose during treatment. Be sure to observe the maximum permissible cpacity (see above).
CAUTION! The water flow is blocked when the CEM tip is used. Operate the handpiece only intermittently for a few seconds.
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Inserting the ultrasonic tip ✔ The ultrasonic handpiece is not in operation.
1. Rotate the ultrasonic tip slowly using the torque wrench (A) up to a
quarter revolution past the resistance. The water flow is shut off automatically.
2. Screw cap (B) manually firmly onto the ultrasonic tip. If the cap shows signs of wear, replace it with a new one. The cap can
be used and sterilized repeatedly.
CAUTION! Make sure the cap is in perfect condition and fits tightly prior to every use.
CAUTION! The ultrasonic handpiece can overheat. Operate the ultrasonic handpiece only intermittently.
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Use
1. Place the tip on the inlay without applying any pressure.
2. Switch the handpiece on for a few seconds to greatly reduce the
viscosity of the hardening composite (thixotropy) and insert the inlay almost without using pressure.
ª After the handpiece is switched off, the hardening composite
immediately returns to its normal consistency, i.e. excess material does not flow away and can be easily removed.
3. Repeat the process to check whether any surplus composite
material can be expelled.
ª Curing takes place according to the composite manufacturer's
specifications.
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5.7.6 Using the endo tip no. 5
This ultrasonic tip is intended for flushing the prepared root canals (invasive procedure). Before treatment, the spray adapter must be inserted for supplying external irrigation fluids (e.g. NaCl).
Inserting the spray adapter ✔ Cooling water flow is cut off using control ring (A).
1. Detach the ultrasonic handpiece from the supply hose.
2. Insert the spray adapter (B) between the hose coupling and the
handpiece. Note the connecter and hole pattern.
3. Attach the NaCl hose (C) and fasten it to the supply hose with the
hose clamps (D).
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The endo tip no. 5 is used for flushing the prepared root canals.
1. Screw the ultrasonic tip in manually using the endo key (A).
2. Then remove the endo key.
CA UTI ON! Screw and unscrew the endo tip no. 5 using only the endo key (A) and only at the square. Never screw or unscrew at the head.
A
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Seating the root canal instrument
1. Insert the root canal instrument (A) into the chuck (B) up to the stop
and tighten the knurled screw manually.
2. Tighten the knurled screw using the knurled bushing (C).
CAUTION! Make sure the file is in perfect condition and fits tightly prior to every use.
CAUTION! The endo tip no. 5 may be operated only with a power level of maximum 4% (SIROSONIC/L and PerioSonic).
IMPORTANT: Endo tip no. 5 may be operated only after activating the Endo function (Endo button on the touchscreen of the treatment center)! The options 1e to 5e can be preset. Please note that these values do not coincide with values 1 to 5 in ultrasonic operation. (SIROSONIC TL with TENEO and SINIUS, SIROSONIC L with INTEGO).
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Setting the depth stop
1. Sett depth stop (A), e.g. after an intraoral X-ray, by pulling out or
pushing in the depth stop up to the required depth manually.
2. Turn screw (B) with the wrench (C) to set the displacement force of
the depth stop.
Tip: If the slotted hose piece (D) is worn, you can unscrew the screw (B) and insert a new hose piece.
Tip: A defective chuck (E) can also be unscrewed and replaced.
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Adjusting the rinsing medium
1. Set the NaCl pump.
2. Hold the ultrasonic handpiece with the instrument pointing up.
3. Adjust the flow of the rinsing medium so that it rises up to the tip of
the instrument.
CAUTION! Risk of injury! When the ultrasonic handpiece is not in use, detach the root canal instrument and ultrasonic tip no. 5.
Tip: For optimal spray quality, make sure that the color marking of the ultrasonic tip is not fastened directly to the chuck.
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5.7.7 Using the SIROIMPLANT tip
CAUTION! SIROIMPLANT IP 1 may only be used on SIROSON L, SIROSONIC/L/TL and PerioSonic.
This tip is used for biofilm management and for cleaning implants as well as metallic and ceramic restorations.
Prior to every use of the tip:
● Check to make sure that no metal is visible underneath the coating. If this is the case, replace the cleaning insert.
● Tighten the holder of the cleaning insert with the knurled bushing and check the cleaning insert to make sure that it is firmly attached.
We recommend placing a cofferdam to prevent swallowing or inhalation of a detached or broken-off fragment. If it is not possible to place a cofferdam, the patient should breathe through his or her nose.
Work with a maximum rinsing medium flow rate in order to ensure sufficient cooling of the plastic sheathed cleaning pin.
Insert IP 1 can be used and sterilized repeatedly.
IP1
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6 Follow-up
6.1 After each treatment session
Immediately after treatment
NOTICE! Condition immediately, or at the latest, one hour after treatment.
ScalerPuncture wound _ Tip
CAUTION! You can puncture your hand with an ultrasonic handpiece when the tip is inserted. This may cause injury! When the ultrasonic handpiece is not in use, remove the tip or attach the torque wrench for protection.
✔ The ultrasonic handpiece is not in operation. ✔ Wear appropriate protective clothing.
1. Purge the water lines directly at the treatment unit for 30 seconds.
2. Predisinfect directly at the treatment center [ → 66].
3. Unscrew the ultrasonic tip using the torque wrench.
4. Detach the ultrasonic handpiece.
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5. Transport the ultrasonic handpiece, ultrasonic tip and torque wrench
to the hygiene room in a suitable transport container.
6. Conduct automatic conditioning [ → 67]. Manual conditioning [ →
70] is possible in exceptional cases if the national/local regulations are followed.
7. Sterilize the ultrasonic handpiece and accessories [ → 72].
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7 Conditioning
7.1 Conduct pre-disinfection
No strong acidic, alkaline or c hlorine solutions
NOTICE! Do not use any strong acidic or alkaline solutions (5 < pH < 9) or solutions containing chlorine.
Predisinfection _ Instruments (plural)
✔ Wear appropriate protective clothing. ✔ All disinfectants must be approved in your country and have proven
bactericidal, fungicidal and virucidal properties. Only use disinfectants with no protein-fixing properties.
1. Spray the surface with disinfectant.
2. Wipe the disinfectant off with a cloth. ª For further processing, the instruments should be dry and free of
residue.
Please observe the manufacturer's instructions for using instrument disinfectants.
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7.2 Automated cleaning and disinfecting ...
7.2.1 ... with a DAC UNIVERSAL
Sirona - DAC Universal (Flex lid)
We recommend using Sirona DAC UNIVERSAL (Flex lid) for automated cleaning and disinfection (inside and outside).
For further details, refer to the operating instructions supplied with the unit.
Procedure _ Instruments (plural) withou t pushbutton chuck
✔ The instruments are conditioned using the DAC UNIVERSAL.
1. Check whether the instruments are clean after conditioning under
good lighting (min. 500 lux) and color rendering index (min. 80 Ra).
2. If they are still dirty, repeat the process.
ª For further conditioning, the instruments should be dry and free
of residue.
3. Pack the instruments in packaging material suitable for sterilization
and storage. e.g. paper/plastic composite packaging.
4. Conduct sterilization [ → 72].
DAC
U
n iv
e r s
a l
DAC Universal
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7.2.2 ... with cleaning and disinfection equipment
No strong acidic, alkaline or c hlorine solutions
NOTICE! Do not use any strong acidic or alkaline solutions (5 < pH < 9) or solutions containing chlorine.
Scaler
The SIROSONIC/L/TL / PerioSonic, torque wrench and ultrasonic tips can also be cleaned and disinfected in suitable cleaning and disinfection equipment.
NOTICE! The ultrasonic tips can be cleaned and disinfected on the outside only after removing them from the torque wrench.
Cleaning and disinfection equipm ent
The cleaning and disinfection equipment used must be approved by its manufacturer for the cleaning and disinfection of dental instruments and comply with EN ISO 15883-1 (e.g. 95°C (203°F) and 10 min. holding time).
For further details, refer to the operating instructions supplied with the unit.
Checking without maintenance _ Instruments (plural)
✔ The instruments are conditioned with a cleaning and disinfection
device.
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1. Check whether the instruments are clean after conditioning under
good lighting (min. 500 lux) and color rendering index (min. 80 Ra).
2. If they are still dirty, repeat the process.
ª For further processing, the instruments should be dry and free of
residue.
3. Blow the instruments out with max. 3 bar.
4. Pack the instruments in packaging material suitable for sterilization
and storage. e.g. paper/plastic composite packaging.
5. Conduct sterilization [ → 72].
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7.3 Manual cleaning and disinfection
Manual conditioning is possible in exceptio nal cases
IMPORTANT: Manual conditioning is possible in exceptional cases if the national/regional regulations are followed. The national/regional regulations are to be checked before.
Immediately after treatment
NOTICE! Condition immediately, or at the latest, one hour after treatment.
NOTICE! Never clean in an ultrasound bath! NOTICE! Never immerse in disinfectant solution!
No strong acidic, alkaline or c hlorine solutions
NOTICE! Do not use any strong acidic or alkaline solutions (5 < pH < 9) or solutions containing chlorine.
Use soft brush
IMPORTANT: Use a soft, clean, and disinfected brush for cleaning.
Procedure _ Scaler
✔ Wear appropriate protective clothing. ✔ All disinfectants must be approved in your country and have proven
bactericidal, fungicidal and virucidal properties. Only use disinfectants with no protein-fixing properties.
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1. Brush the ultrasonic handpiece, detached tip and torque wrench
under running water (< 38 °C, < 100 °F, at least drinking water quality) and good lighting (min. 500 lux) and color rendering index (min. 80 Ra) until no more dirt can be seen, for at least 10 seconds.
2. Blow spray channels with 2.5 - 3 bar until no more moisture
displaces, but at least 10 seconds.
3. Conduct thermal disinfection or unwrapped steam sterilization [ →
67].
4. Pack the instruments in packaging material suitable for sterilization
and storage. e.g. paper/plastic composite packaging.
5. Conduct sterilization [ → 72].
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7.4 Sterilizing
Steps _ Scaler II
✔ The instruments are cleaned and disinfected. ✔ If necessary, the ultrasonic handpiece and accessories can be
sterilized in packaging suitable for sterilization and storage, e.g. paper/plastic composite packaging or container.
➢ Sterilize the ultrasonic handpiece and accessories in the steam
sterilizer with saturated water vapor.
Unit pressure in bar and psi ww
134°C
274°F
Overpressure: 2.04 bar (29.59 psi)
Temperature: 134° C (274° F)
Holding time: 3 min
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DAC PROFESSIONAL _ Scaler
Steam sterilizers that comply with the requirements of either EN 13060, class B (for example, DAC PREMIUM / DAC PROFESSIONAL) or EN 13060, class S and are also suitable for the sterilization of ultrasonic handpieces and ultrasonic tips are approved.
NOTICE! Do not exceed 140°C (284°F), even during the drying phase.
After sterilizing - heading
After sterilizing
Next steps _ Instruments (plural)
1. Remove the instruments from the steam sterilizer immediately.
CAUTION! The instruments are hot. Risk of burns! NOTICE! Do not attempt to accelerate the cooling process by immersing the instruments in cold water. This can damage your instruments!
2. Store all instruments so that they are protected from contamination.
3. Sterilize the instruments again once the storage period has elapsed.
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8 Maintenance
Never oil the scaler
NOTICE! Never oil the ultrasonic handpiece!
8.1 Maintaining the water channel
Scaler without SiroAir L
CAUTION! Insufficient cooling leads to overheating of the preparation site, the tip, and the handpiece. Ensure that the water content is > 30ml/min.
Exception: The water flow is blocked in tip no. 6L (CEM). When using tip no. 6L (CEM), the ultrasonic handpiece can be operated only intermittently.
1. Use the cleaning wire to carefully clear the water channel of the tip
regularly.
2. Blow the water channel out with max. 3 bar.
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62 78 415 D3275.201.04.09.02 75
8.2 Cleaning the light guide surfaces
Scaler
1. Unscrew the screw-on cap with the sealing ring or signal ring.
2. In order to avoid scratching the surfaces, blow off any dirt particles
with air from a dry syringe.
3. Wipe the surfaces with a Q-tip or a soft cloth and alcohol.
4. Replace the sealing ring or signal ring when it becomes discolored.
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8.3 Replacing the spray water cartridge
Required accessories
● Spray water cartridge
T1 spray
● Sirona T1 Spray
If the spray water cartridge leaks or is clogged.
SIROSONIC/L
... for SIROSONIC/L
Replacing spray in SIROSONIC LScaler
1. Detach the ultrasonic handpiece from the supply hose.
2. Detach the control ring from the hose coupling.
3. Remove the spray water cartridge (A).
4. Spray oil lightly onto the new spray water cartridge.
5. Insert the new spray water cartridge up to the stop.
6. Attach the control ring with the smooth ring side first onto the supply
hose.
A
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62 78 415 D3275.201.04.09.02 77
SIROSONIC TL / PerioSonic
... for SIROSONIC TL or PerioSonic
1. Detach the ultrasonic handpiece from the supply hose.
2. Position the longest partial marking of the control ring (A) opposite
the recess (B). The spray water cartridge can be replaced only in this position.
3. Remove the spray water cartridge (C) with a tweezers.
4. Spray oil lightly onto the new spray water cartridge.
5. Insert the new spray water cartridge up to the stop.
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8.4 Replacing the halogen lamp/LED
SIROSONIC Heading
...for SIROSONIC L
Risk of burning from lamps
CA UTI ON! The lamp can be hot. Risk of burns! Allow the lamp to cool down.
ScalerSupply hose
NOTICE! The LED in supply hose E of SIROSONIC L cannot be replaced. Contact your service technician.
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62 78 415 D3275.201.04.09.02 79
1. Detach the ultrasonic handpiece.
2. Detach the control ring (B).
3. Insert a probe into the hole behind the lamp socket and push the
defective halogen/LED lamp (A) out of the socket.
4. Insert the new halogen lamp (dark brown base/LED). Ensure the
proper position of the contact surfaces. NOTICE! Pressing on the lens can destroy the LED. Use the assembly tool (C) to insert the LED.
5. Wipe the bulb of the halogen lamp with a clean cloth.
6. Attach the control ring with the smooth ring side first onto the supply
hose. If the LED does not light up: ➢ Remove the LED and re-insert it rotated 180° around the same axis.
A
B
C
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9 Spare parts and consumables
SCALERBasic version
Basic version
SIROSONIC/L
B
D
C
A
REF
Scaling tip no. 3L 18 94 455
Scaling tip no. 4L 18 94 463
A SIROSONIC L handpiece 59 13 509
B Torque wrench 60 06 196
Cleaning wire 24 00 232
D Tip gauge 54 55 667
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62 78 415 D3275.201.04.09.02 81
SIROSONIC TL
B
D
C
A
REF
Scaling tip no. 3L 18 94 455
Scaling tip no. 4L 18 94 463
A SIROSONIC TL handpiece 62 12 216
B Torque wrench 60 06 196
Cleaning wire 24 00 232
D Tip gauge 54 55 667
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PerioSonic Basic equipment when purchased individually
Ultrasonic handpiece sets without tips
REF
PerioSonic handpiece 60 30 410
Cleaning wire 24 00 232
Tip gauge 54 55 667
REF
SIROSONIC L (2 pcs.) 65 62 834
SIROSONIC TL (2 pcs.) 65 62 842
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62 78 415 D3275.201.04.09.02 83
Special accessories tips
Special accessories
Scaling tips
REF
Tip no. 1L 89 24 250
Tip no. 2L 89 24 268
Tip no. 3L 18 94 455
Tip no. 4L 18 94 463
Tip set no. 3L (2 pcs.) 64 12 451
Tip set no. 3L (6 pcs.) 65 41 044
Tip set no. 4L (2 pcs.) 64 12 469
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Tip set no. 4L (6 pcs.) 65 41 051
Torque wrench 60 06 196
REF
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SIROPERIO tips
REF
SIROPERIO PE 1 60 44 825
SIROPERIO PE 2 60 44 833
SIROPERIO PE 3 60 44 841
SIROPERIO 4 PS 61 77 005
SIROPERIO PE 5 63 43 078
SIROPERIO PE 6 63 43 086
Torque wrench 60 06 196
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SIRORETRO tips
REF
SIRORETRO KL 54 57 887
SIRORETRO KR 54 57 895
SIRORETRO GL 54 57 903
SIRORETRO GR 54 57 911
Spray adapter L 60 02 286
A PerioSonic spray adapter 61 41 852
B Hose clamp for saline hose (recommended
quantity: 5)
89 28 392
C Torque wrench 60 06 196
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SIROPREP tips
M1 M2
D1 D2
REF
SIROPREP M1, small, mesial 59 04 276
SIROPREP M2, large, mesial 59 47 358
SIROPREP D1, small, distal 59 47 309
SIROPREP D2, large, distal 59 47 366
Torque wrench 60 06 196
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Endo tip no. 5 and accessories
Item Designation REF
A Endo key, knurled bushing 18 95 080
B PerioSonic spray adapter (for SIROSONIC TL
and PerioSonic)
61 41 852
C Spray adapter L (for SIROSON C8, SIROSON L,
SIROSONIC, and SIROSONIC L)
60 02 286
D Endo tip no. 5 60 02 310
E Cleaning wire 24 00 232
F Clamping key for depth stop 18 95 106
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G Hose clamp for saline hose (recommended
quantity: 5)
89 28 392
H Slit hose piece for depth stop (recommended
quantity: 5)
18 94 786
Item Designation REF
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SIROIMPLANT tips
IP1
REF
SIROIMPLANT IP 1, incl. insert IP 1 (5 pcs.) 63 43 052
Insert IP 1, 5 pcs. 63 43 094
Knurled bushing, endo key 18 95 080
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Operating Instruction SIROSONIC/L/TL, PerioSonic 9Spare parts and consumables
62 78 415 D3275.201.04.09.02 91
CEM set comprising:
CEM set no. 6 L 18 94 307
CEM tip no. 6L
Contact caps for inlays (2 pcs.)
Torque wrench
Contact cap (10 pcs.) 18 94 372
6278415.book Seite 91 Montag, 17. Oktober 2016 11:28 11
92 62 78 415 D3275.201.04.09.02
10 Storage and transport conditions
Dispatch Symbols
Protect from moisture
Sensitive contents
6278415.book Seite 92 Montag, 17. Oktober 2016 11:28 11
Operating Instruction SIROSONIC/L/TL, PerioSonic 10Storage and transport conditions
62 78 415 D3275.201.04.09.02 93
Relative humidity
Air pressure
Temperature After a severe change in
temperature, allow sufficient time for acclimation.
kPa
6278415.book Seite 93 Montag, 17. Oktober 2016 11:28 11
94 62 78 415 D3275.201.04.09.02
11 Disposal
● According to current information, the product does not contain any substances that are hazardous to the environment.
Disinfected
● Disinfect the product prior to disposal.
● Observe the applicable disposal regulations for your area.
6278415.book Seite 94 Montag, 17. Oktober 2016 11:28 11
Operating Instruction SIROSONIC/L/TL, PerioSonic 11Disposal
62 78 415 D3275.201.04.09.02 95
6278415.book Seite 95 Montag, 17. Oktober 2016 11:28 11
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