XO CARE OSSEO User Manual
XO®OSSEO
User Guide
YB-223
Version 3.00
XO CARE A/S
2 XO Osseo, User Guide YB-223 Version 3.00
CONTENTS
A. ILLUSTRATION AND COMPONENTS – XO OSSEO SYSTEM.................................................... 4
A.1 COMPONENT PARTS - STANDARD .................................................................................... 5
A.2 SUPPLEMENTARY ACCESSORIES......................................................................................5
B. GENERAL FEATURES .....................................................................................................................6
B.1 SPEED, TORQUE AND HANDPIECE ....................................................................................6
B.2 IRRIGATION...........................................................................................................................6
C. PREPARATION AND SET-UP...................................................................................................... 7
C.1 INSTALLATION......................................................................................................................7
C.2 SURGICAL PREPARATION................................................................................................... 7
C.2.1 HANDMOTOR AND CORD ..................................................................................................8
C.2.2 CONTRA-ANGLE HANDPIECE............................................................................................8
C.2.3 THE IRRIGATION TUBING SYSTEM ................................................................................... 8
D. IMPLANT SURGERY....................................................................................................................... 10
D.1 WORKING WITH FACTORY PRE-PROGRAMMED IMPLANT SYSTEM PARAMETERS ... 10
D.1.1 STARTING PROCEDURE................................................................................................... 10
D.1.2 PROGRAMME STEP - PRELIMINARY DRILLING .........................................................11
D.1.3 PROGRAMME STEP - FINAL DRILLING....................................................................... 11
D.1.4 PROGRAMME STEP - TAPPING (FORWARD) / SCREW-IN......................................... 12
D.1.5 PROGRAMME STEP - TAPPING (REVERSE) / SCREW-OUT....................................... 12
D.1.6 COVER SCREW .................................................................................................................13
D.2 INDIVIDUALIZING IMPLANT SYSTEM PARAMETERS....................................................... 13
E. GENERAL BONE SURGERY....................................................................................................... 15
E.1 STARTING PROCEDURE .................................................................................................. 15
E.2 SETTING SPEED ................................................................................................................. 16
E.3 SETTING TORQUE AND IRRIGATION ................................................................................ 16
F. CLEANING AND STERILIZATION ...............................................................................................17
F.1 CONTROL BOX AND FOOT CONTROL.............................................................................. 17
F.2 IRRIGATION TUBING ..........................................................................................................17
F.3 HANDPIECE.........................................................................................................................17
F.4 HANDMOTOR WITH CORD ................................................................................................ 18
F.5 SYSTEM ACCESS KEYS AND ADJUSTMENT PIN ............................................................ 18
G. ACCESSORIES - XO OSSEO SYSTEM ..................................................................................19
H.1 DISPOSAL.............................................................................................................................20
I. TROUBLESHOOTING ............................................................................................................... 21
J. TECHNICAL SPECIFICATIONS................................................................................................. 23
J.1 TYPE PLATE............................................................................................................................24
K. WARRANTY.............................................................................................................................24
XO CARE A/S
YB-223 Version 3.00 XO Osseo, User Guide 3
FOREWORD
Your new XO OSSEO SYSTEM is a micro-motor unit designed for bone surgery in general and for
dental implantology in particular.
In your own interest we kindly ask and recommend that you take the time to carefully study this
manual in order to familiarize yourself with the XO OSSEO SYSTEM and its operation.
By doing so you will be able to take full advantage of the qualities of the XO OSSEO SYSTEM and
to operate without problems in actual practice.
XO CARE A/S
XO CARE A/S
4 XO Osseo, User Guide YB-223 Version 3.00
A. ILLUSTRATION AND COMPONENTS – XO OSSEO SYSTEM
1. Control box
2. Pump Cover
3. Handmotor with cord
(Contra-angle, 20:1 must be ordered
separately)
4. Bag hanger
5. System keys
6. Adjustment keys
7. Foot control
8. Tubing kit (one time use - supplied in pre-
sterilized package)
9. Power cord
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A.1 COMPONENT PARTS - STANDARD
As delivered, the XO OSSEO SYSTEM includes the following component parts:
Control box with display and integrated irrigation pump,
foot control,
bag hanger,
mains power cord,
surgery system access key "20:1”, speed range 15 – 2.000 rpm
surgery system access key "1:1”, speed range 300 - 40.000 rpm
adjustment pin,
handmotor with cord,
motor sealing plug,
five kits of pre-sterilized irrigation tubing,
five clips for tubing/cord hook-up
Prior to use, please check that these parts are present and are free of any damage.
A.2 SUPPLEMENTARY ACCESSORIES
The following extras are available, but are to be ordered separately:
Implant System Access Keys
Implant: Ref. No.:
Astra 260246
Bonefit 260242
Brånemark 260238
Screw Vent 260244
Steri-Oss 260250
Cover Screw
Display Language: Ref. No.:
English 260232
French 260234
German 260236
General Surgery System Access Keys
Gearing Ratio: Speed Range: Ref. No.:
2:1 150-20000 260222
10:1 30-4000 260224
15:1 20-2666 260263
100:1 3-400 260262
1:2 600-80000 260228
1:4 1200-160000 260230
Concerning accessories in general, please refer to Chapter G in this manual.
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B. GENERAL FEATURES
The XO OSSEO SYSTEM is based on a system access key concept to allow access to factory
programmed sets of parameters i.e. speed, torque and irrigation flow rate. Two series of system
access keys are available:
1. Implant system access keys adapted specifically to placement of prevailing implant systems in
accordance with the respective implant manufacturer’s recommendations.
2. Surgery system access keys for bone surgery in general and designed to adapt or ”translate” the
output parameters - as shown on the display - of a handpiece in view of the specific gearing ratio
of the handpiece in question.
The factory-made parameter settings of each system access key can be manually altered and stored
to provide an individualized set of parameters.
B.1 SPEED, TORQUE AND HANDPIECE
The speed and torque actually coming out from a handpiece on the handmotor are determined
primarily by the gearing ratio of the handpiece.
All of the implant system access keys are based on a 20:1 reduction gearing and, accordingly, the
respective torque and speed values on the display will only be true, when that particular reduction
gearing is used.
For implantology we recommend the Micro-Méga 20 IMKB contra-angle because of its excellent
torque performance. With theXO OSSEO SYSTEM the 20 IMKB has an operation range of 15-2000
rpm and a maximum output torque of at least 45 Ncm.
As a result all necessary implant placement functions can be performed by one and the same
handpiece.
NOTE! The torque output may decrease to some extent over time due to handpiece wear.
B.2 IRRIGATION
Irrigation is highly recommended by most implant manufacturers.
The XO OSSEO SYSTEM, its irrigation tubing kit and the 20 IMKB handpiece allow four irrigation
options.
External irrigation only
Internal irrigation only
Combined external and internal irrigation
No irrigation (allows irrigation from other sources)
The flow rate capacity of the built-in pump unit is 20 ml to 65 ml per minute. The flow rate has been
factory-programmed to be about 35 ml per minute for each of the system access keys - but can
easily be altered and individualized.
In addition the irrigation can be independently switched ON and OFF by means of a separate foot
switch on the foot control.
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C. PREPARATION AND SET-UP
C.1 INSTALLATION
At first, make sure that the voltage setting of your unit is in accordance with your local supply line
voltage - see Fig. 1. Should this not be the case, contact your Dealer.
1. Connect the power cord with the power inlet on the rear of the control box (Fig. 1) and plug into
a wall socket with appropriate protective ground connection.
2. Connect the foot control by plugging its cable connector end into the socket on the rear of the
control box (Fig. 1).
3. Insert the bag hanger into its retainer on the rear of the control box (Fig. 1).
WARNING: To avoid the danger of electric shock, this device must be connected only to
grounded mains voltage.
Fig. 1
C.2 SURGICAL PREPARATION
The following instructions will prepare the XO OSSEO SYSTEM for surgery.
NOTE! Appropriate sterile handling procedures must be observed to ensure and maintain sterile
conditions.
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C.2.1 HANDMOTOR AND CORD
1. Remove the sterilized handmotor and cord from the autoclave bag or wrapping just prior to
surgery. Regarding sterilization - see Chapter F.
2. Connect the handmotor cord with the matching socket on the front of the control box. Line up
the red dots on the connector and socket and push the connector firmly into the socket.
3. Place the handmotor on the sterile field.
4. Make sure that the instrument is not near the patient.
C.2.2 CONTRA-ANGLE HANDPIECE
1. Remove the sterilized handpiece from the autoclave bag just prior to surgery. Regarding
sterilization - see Chapter F.
2. Slide the handpiece firmly in place on the handmotor shaft and place the handmotor with
handpiece on the sterile field.
C.2.3 THE IRRIGATION TUBING SYSTEM
The XO OSSEO SYSTEM is delivered with irrigation tubing kits in pre-sterilized packages. The
tubings are for one time use only. Do not re-sterilize.
The tubing kit is designed for transferring irrigation liquid from a sterile source (sealed bag or bottle)
via the pump, and to the irrigation inlet on the contra-angle.
Each package includes:
- a main tubing and
- two outlet tubings (for alternative use)
The main tubing consists of three consecutive parts:
- an inlet part with bag cannula,
- a pump part between two plastic connectors,
- a transport part terminated by a male Luer lock connector
The two outlet tubings are:
1. A female Luer lock connector with one piece of tubing for connection with an irrigation inlet on
the contra-angle (either internal or external burr cooling).
2. A female Luer lock connector with two pieces of parallel tubings for connection with respective
irrigation inlets on the contra-angle (combined internal and external burr cooling).
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