Care instructions ESTETICA E50

Always be on the safe side.

Distributed by: KaVo Dental GmbH Bismarckring 39 D-88400 Biberach Phone +49 (0) 7351 56-0 Fax +49 (0) 7351 56-1488

Manufacturer: Kaltenbach & Voigt GmbH Bismarckring 39 D-88400 Biberach www.kavo.com

Care instructions ESTETICA E50 Table of contents

Table of contents 1 User instructions............................................................................................................................................... 4 1.1 User guide................................................................................................................................................ 1.1.1 Abbreviations............................................................................................................................... 1.1.2 Symbols....................................................................................................................................... 1.1.3 Target group................................................................................................................................

4 4 4 4

2 Setup methods according to DIN EN ISO 17664............................................................................................. 5 2.1 References............................................................................................................................................... 5 2.2 General instructions for the reprocessing of KaVo treatment units.......................................................... 5 2.2.1 Overview ESTETICA E50 reprocessing...................................................................................... 7 2.3 Reprocessing of the surfaces of treatment unit / upholstery..................................................................... 8 2.4 Preparation of the dentist unit................................................................................................................... 9 2.4.1 Reprocessing of handle and holder pad/anti-slip mat................................................................. 9 2.4.2 Reprocessing of the instrument holder of the TM table............................................................. 10 2.4.3 Reprocessing of the instrument arm S table............................................................................. 12 2.4.4 Setting up the 3-function and multifunction handpiece.............................................................. 13 2.4.5 Preparation of the instrument hoses......................................................................................... 16 2.4.6 Servicing the turbine return air filter........................................................................................... 16 2.4.7 Reprocessing of the kit for physiological saline solution........................................................... 17 2.5 Reprocessing of the assistant unit.......................................................................................................... 2.5.1 Preparing the instrument holder................................................................................................ 2.5.2 Preparing the connector for the suction hose............................................................................ 2.5.3 Reprocessing of sieve inserts and suction hoses.....................................................................

17 17 18 18

2.6 Preparation of the patient unit................................................................................................................. 19 2.6.1 Preparation of the tumbler......................................................................................................... 19 2.6.2 Preparation of the tumbler holder and filler............................................................................... 19 2.6.3 Preparation of the spittoon........................................................................................................ 20 2.7 Manual reprocessing of the water-conducting system............................................................................ 21 2.8 Automatic hygiene functions of the water conducting system................................................................ 22 2.8.1 Rinsing programme................................................................................................................... 22 2.8.2 Intensive germ reduction........................................................................................................... 25 2.9 Reprocessing and automatic hygiene functions of the suction system.................................................. 2.9.1 Reprocessing of the suction system including suction hoses................................................... 2.9.2 HYDROclean function............................................................................................................... 2.9.3 Manual internal cleaning of the suction hoses at the extraction point (optional).......................

28 28 29 30

2.10 Preparation of the amalgam separator................................................................................................... 32 3 Replenish and check the disinfectant............................................................................................................. 34 3.1 Replenish OXYGENAL 6........................................................................................................................ 34 3.1.1 Replenish OXYGENAL 6 when using the water bottle.............................................................. 35 3.2 Check the OXYGENAL 6 concentration................................................................................................. 37 3.3 Replace the DEKASEPTOL gel bottle (optional).................................................................................... 38

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Care instructions ESTETICA E50 1 User instructions | 1.1 User guide

1 User instructions 1.1 User guide Requirement Read these instructions prior to first use to avoid misuse and prevent damage.

Note Comply with the Instructions for Use of the ESTETICA E50 treatment unit!

1.1.1 Abbreviations Abbre‐ Explanation viation IfU

Instructions for use

CI

Care instructions

AI

Assembly instructions

TI

Technician's instructions

SC

Safety checks

IEC

International Electrotechnical Commission

RI

Repair instructions

EMC

Electromagnetic compatibility

Scaler Scaler (ZEG) IR

Infrared

IrDA

Infrared Data Association

1.1.2 Symbols Refer to the chapter on Safety/Warning symbol Important information for users and service technicians

Action request CE mark according to EC Directive 93/42 for medical devices Thermodisinfectable at up to 95 °C (203 °F)

Suitable for steam sterilisation at up to 135 oC (275 °F)

1.1.3 Target group This document is for dentists and dental office staff.

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Care instructions ESTETICA E50 2 Setup methods according to DIN EN ISO 17664 | 2.1 References

2 Setup methods according to DIN EN ISO 17664 2.1 References The reprocessing consists of the following basic steps: ▪ Cleaning and disinfection ( manually or automatically) ▪ Sterilisation

Note Comply with national hygiene requirements, e.g. RKI guidelines.

CAUTION

Risk of injury during cleaning of the treatment unit.

Lack of instructions to the cleaning staff and lack of preparation of the treatment unit can lead to the cleaning personnel sustaining injuries. ▶ Only trained professionals and instructed cleaning personnel may be present in the treatment rooms. ▶ Position the chair for cleaning and turn the device off.

CAUTION

Product damage due to improper disinfection.

Malfunctions. ▶ Use the disinfectant as prescribed by the manufacturer. ▶ No spray disinfection, perform wipe disinfection only. ▶ Do not immerse product or product parts in liquids.

CAUTION

Improper disinfection may lead to health hazards and material damage.

Infection hazard to users and patients. Damage to the sterile product. ▶ No hot air sterilisation, no chemical cold sterilisation, do not sterilise with ethylene oxide.

CAUTION

Health hazard and property damage due to non-compliance with servicing schedule.

Infection hazard to users and patients. Product damage. ▶ Comply with servicing schedule.

Note The preparation methods for the instruments and motors are found in the separate instructions for use that accompany the instrument and motor packages.

2.2 General instructions for the reprocessing of KaVo treatment units Please comply with the general reprocessing instructions at all times. Detailed prod‐ uct-specific reprocessing instructions are provided subsequently. At the site of use

▶ Remove any surface contamination using a disposable cloth/paper towel.

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Care instructions ESTETICA E50 2 Setup methods according to DIN EN ISO 17664 | 2.2 General instructions for the reprocessing of KaVo treatment units

Storage and transport

KaVo recommends reprocessing as soon as possible after use.

Preparations for cleaning Manual cleaning

▶ Comply with product-specific reprocessing instructions. Fixtures: ▪ Brush or cloth ▪ Tap water 30 °C ± 5 °C • ▶ Rinse surface contamination off the product under running water.

Automatic cleaning

KaVo recommends thermodesinfection at up to 95 °C in accordance with ISO 15883-1 e.g. Miele G 7781 / G 7881 with the use of a alkaline clean‐ ing agent with a maximum pH value of 10. ▶ For program settings as well as cleansers and disinfectants to be used, please refer to the Instructions for Use of the thermodisin‐ fector. ▶ Do not clean instruments and device com‐ ponents in the ultrasound bath.

Manual disinfection

▶ Perform wipe disinfection only, the use of spray disinfection and disinfection baths is not feasible. ▶ Wipe all outer surfaces with a soft cloth and an approved disinfectant. Approved disinfectants: ▪ Microcide AF liquid (Schülke & Mayr) ▪ FD 322 (Dürr) ▪ Incidin Liquid (Ecolab) • ▶ Use disinfectants according to the manufac‐ turer's Instructions for Use. ▶ Please note the disinfectant safety data sheet.

Automatic disinfection

KaVo recommends thermodesinfection at up to 95 °C in accordance with ISO 15883-1 e.g. Miele G 7781 / G 7881 with the use of a alkaline clean‐ ing agent with a maximum pH value of 10. ▶ For program settings as well as cleansers and disinfectants to be used, please refer to the Instructions for Use of the thermodisin‐ fector. ▶ Do not disinfect instruments and device components in the ultrasound bath.

Manual drying

▶ Supply dry, clean and uncontaminated com‐ pressed air according to ISO 7494-2 only. ▶ Blow off the outside and inside with com‐ pressed air until water drops are no longer visible.

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Care instructions ESTETICA E50 2 Setup methods according to DIN EN ISO 17664 | 2.2 General instructions for the reprocessing of KaVo treatment units

Automatic drying

Automatic drying usually is part of the cleaning/disinfection cycle of the thermodisinfector and should not be carried out above 95 °C.

Service

▶ Discard damaged products.

Control and functional checks

▶ Perform a visual inspection checking for damage and wear and tear. ▶ Test products for function regularly.

Packaging

▶ Use standardised packaging material. Seal‐ ing should not be under tension. ▶ Use sterile goods packaging in order to en‐ sure sterility.

Sterilisation

All sterilisable products are temperature resistant up to max. 138 °C. KaVo recommends sterilisation in a steam steriliser (autoclave) according to EN 13060 / ISO 17665-1, e.g. STERIclave B 2200 / 2200 P (KaVo) or Citomat K-Series (Getinge). ▶ Sterilise with a triple fractionated vacuum (B class steriliser); hold for 4 minutes; 134°C ± 1 °C; overpressure: 2.13 bar.

Storage

▶ Reprocessed products should be stored protected from dust with minimum exposure to germs in a dry, dark and cool place. ▶ Comply with the expiry date of the sterilised items.

2.2.1 Overview ESTETICA E50 reprocessing Reprocessing items/medical devi‐ ces

Cleaning manual

Disinfection automatic

manual

Sterilisation automatic

automatic

Surfaces Unit Cushion Gripping sleeve, white Gripping sleeve, grey Light

X X X X X

X X

X X X X X

X X

X

Dentist element Handpiece sleeve 3 F and MF handpieces

X

X

X

Cannula for 3F and MF handpieces

X X X X

X X X X

X X

Holder pad/anti-slip mat Handpiece support Instrument arm S-table

X

X

Assistant's element Connection parts of the suction hose

X

X

X

Patient element Tumbler support

X

X 7 / 42

X

Care instructions ESTETICA E50 2 Setup methods according to DIN EN ISO 17664 | 2.3 Reprocessing of the surfaces of treatment unit / upholstery

Reprocessing items/medical devi‐ ces

Cleaning

Tumbler filler

X X

Porcelain spittoon bowl

Disinfection

X X

X X

Sterilisation

X X

2.3 Reprocessing of the surfaces of treatment unit / upholstery Position the chair for cleaning ▶ Adjust the backrest to vertical position and move the chair upward. See also: 2 Instructions for useESTETICA E50, Page 0

Turn device off ▶ Switch main device switch off.

E50 without/with Dekamat/Centramat

Cleaning and disinfecting the surfaces of treatment unit / upholstery

CAUTION

Non-colour-fast textiles.

Non-colour-fast textiles can cause permanent discoloration. ▶ Remove discolourations with water immediately. Approved disinfectants: ▪ Mikrozid AF Liquid (made by Schülke & Mayr) ▪ FD 322 (Dürr) ▪ Incidin Liquid (Ecolab) ▶ Clean the surfaces and upholstery with a soft cloth and water, and wipe-disinfect them with an approved surface disinfectant.

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Care instructions ESTETICA E50 2 Setup methods according to DIN EN ISO 17664 | 2.4 Preparation of the dentist unit

CAUTION

Damage caused by spray disinfection.

Disinfectant gets into cracks and loosens the paint. ▶ No spray disinfection. ▶ Only disinfect by wiping.

Cleaning and disinfection of the foot control

CAUTION

Damage caused by inappropriate use of water.

Damage to the foot control. ▶ For cleaning, the foot control must not be immersed in water or placed under run‐ ning water. ▶ When wiping it off with a moist cloth, do not touch the contacts of the charge socket. ▶ Only wipe off. Do not spray.

2.4 Preparation of the dentist unit 2.4.1 Reprocessing of handle and holder pad/anti-slip mat Note The handle of the TM table cannot be detached.

Cleaning and disinfection of the handle of the TM table ▶ Clean the handle with a soft cloth and water, and wipe-disinfect it with an ap‐ proved surface disinfectant.

Cleaning and disinfection of S-table handle and holder pad/anti-slip mat ▶ Press the push button and pull off the handle.

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Care instructions ESTETICA E50 2 Setup methods according to DIN EN ISO 17664 | 2.4 Preparation of the dentist unit

▶ Clean the handle under flowing water. ▶ Disinfect the white and grey handle by wiping or thermodisinfection (minor disco‐ louration may occur). ▶ Sterilise the holder pad and anti-slip mat by thermodisinfection.

Sterilisation of S-table handle and holder pad/anti-slip mat Damage caused by sterilisation.

CAUTION

▶ Do not sterilise the white standard handle. ▶ Sterilise the holder pad/ anti-slip mat.

The grey handle (Mat. no. 1.002.4489) can be sterilised (see symbol on the handle).

2.4.2 Reprocessing of the instrument holder of the TM table Note The handpiece holder (Mat. no. 1.004.4838) can be removed for better cleaning.

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Care instructions ESTETICA E50 2 Setup methods according to DIN EN ISO 17664 | 2.4 Preparation of the dentist unit

Cleaning and disinfection of the instrument holder

CAUTION

Damage caused by thermodisinfection.

▶ Do not thermodisinfect the instrument holder. ▶ Place the instrument hoses in the provided places of the rinsing attachment dur‐ ing the cleaning and germ reduction of the instrument holder.

▶ Pull the snap-in buttons outward evenly and carefully remove the instrument hold‐ er.

▶ Clean the instrument holder under running water. ▶ Wipe-disinfect the instrument holder.

Sterilize the instrument holder Damage caused by sterilisation.

CAUTION

▶ Do not sterilise the instrument holder.

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Care instructions ESTETICA E50 2 Setup methods according to DIN EN ISO 17664 | 2.4 Preparation of the dentist unit

2.4.3 Reprocessing of the instrument arm S table Note The instrument arm S table (Mat. no. 1.007.4755) can be removed to facilitate cleaning.

Cleaning and disinfection of the instrument arm S table

CAUTION

Damage caused by thermodisinfection.

▶ Do not sterilise the instrument arm S table by thermodisinfection.

Note Neither the rinsing program nor the intensive germ reduction can be carried out when the instrument arm is removed. ▶ Switch off the unit at the main switch. ▶ Fit the rinsing attachment to the spittoon bowl.

▶ Take the handpieces off the hoses. ▶ Take the roller out of the instrument arm and then place the hose in the rinsing attachment.

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Care instructions ESTETICA E50 2 Setup methods according to DIN EN ISO 17664 | 2.4 Preparation of the dentist unit

▶ Remove the instrument arm in an upward direction. ▶ Clean the instrument arm and roller under running water. ▶ Wipe the instrument arm S table with disinfectant.

Sterilisation of instrument arm S table Damage caused by sterilisation.

CAUTION

▶ Do not sterilise the instrument arm S table

2.4.4 Setting up the 3-function and multifunction handpiece Note Wet the O-rings of the sleeves after sterilisation using silicone grease (Mat. no. 1.000.6403) or KaVo Rota Spray 2 (Mat. no. 0.411.7510). After replacing the can‐ nula, the air channel must be blown out before the start of treatment to ensure that the air exiting during treatment is dry.

Cleaning the triple-function and multifunctional handpiece Automatic cleaning Not applicable.

CAUTION

Damage caused by improper cleaning/disinfection. ▶ Do not wash the gripping sleeve and the cannula in the thermodisinfector. ▶ Do not sterilise the gripping sleeve and the cannula in the hot-air steriliser. ▶ Do not place the gripping sleeve and the cannula in a disinfectant or ultrasonic bath.

Manual cleaning Note Combine manual cleaning with disinfection.

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Care instructions ESTETICA E50 2 Setup methods according to DIN EN ISO 17664 | 2.4 Preparation of the dentist unit

Cleaning the interior ▶ Leave the gripping sleeve and cannula on the instrument, and activate the air and water for 60 seconds.

External cleaning

CAUTION

Danger of injury if the valve body is hot (heating elements, high-pressure lamp). Risk of burn injury. ▶ Switch off the unit at the main switch. ▶ Let the handpiece cool after long use.

Accessories required: ▪ Tap water 30oC ± 5oC ▪ Brush, e.g. medium-hard toothbrush ▶ Disassemble the gripping sleeve and cannula. ▶ Detach the key part from the gripping sleeve.

▶ Clean the key part, gripping sleeve and cannula by brushing them under running water (at least tap water quality).

▶ Immediately remove contamination from materials used in the dental practice (im‐ pression materials, caustic chemicals).

▶ Carefully wipe off contamination from the cannula tip with a soft Q-tip or soft cloth and alcohol.

CAUTION

Damage caused by using a nozzle needle that is too long.

Damage to the internal hoses of the cannula. ▶ Use a short nozzle needle (Mat. no. 1.004.4986) to clean the media exit holes.

▶ Carefully remove contamination from the media exit ports using the short nozzle cleaning needle.

Disinfection of the 3-function and multifunction handpiece Manual disinfection External disinfection ▶ Wipe-disinfect the surfaces with a soft cloth. 14 / 42

Care instructions ESTETICA E50 2 Setup methods according to DIN EN ISO 17664 | 2.4 Preparation of the dentist unit

Automatic disinfection Not applicable.

CAUTION

Damage caused by improper cleaning/disinfection. ▶ Do not wash the gripping sleeve and the cannula in the thermodisinfector. ▶ Do not sterilise the gripping sleeve and the cannula in the hot-air steriliser. ▶ Do not place the gripping sleeve and the cannula in a disinfectant or ultrasonic bath.

Drying the 3-function and multifunction handpiece Manual drying ▶ Blow off the outside and inside with compressed air until water drops are no lon‐ ger visible.

Automatic drying Not applicable.

Care of the 3-function and multifunctional handpiece Requirement The multifunctional handpiece has been prepared. ▶ Apply KaVo silicone grease (Mat. no. 10006403) or KaVo Rota Spray 2 (Mat. no. 04117510) to the O-rings of the joint between the gripping sleeve and cannula. Use cotton buds for this purpose.

Sterilising the 3-function and multifunction handpiece Note The grip sleeve and cannula can be sterilised. ▶ Hold the handpiece at the taper sleeve and take off the cannula with a slight twist‐ ing motion.

▶ Pull the gripping sleeve off the valve body.

Sterilization in a steam sterilizer in compliance with DIN EN 13060 ▶ Weld the cannula and grip sleeve in sterile goods packaging.

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Care instructions ESTETICA E50 2 Setup methods according to DIN EN ISO 17664 | 2.4 Preparation of the dentist unit

▶ Sterilise with a triple fractionated vacuum (B class steriliser); hold for 4 minutes; 134°C ± 1 °C; overpressure: 2.13 bar.

Damage caused by over-heating.

CAUTION

Damage to the gripping sleeve. ▶ Immediately remove the parts from the steriliser after the sterilisation cycle is completed.

Storage ▶ Reprocessed products should be stored protected from dust with minimum expo‐ sure to germs in a dry, dark and cool place.

2.4.5 Preparation of the instrument hoses Cleaning and disinfection of instrument hoses ▶ Clean the hoses and couplings with a cloth and water.

CAUTION

Damage caused by spray disinfection.

▶ Do not subject instrument hoses to spray disinfection. ▶ Subject instrument hoses to wipe disinfection.

2.4.6 Servicing the turbine return air filter Cleaning the turbine return air filter Note The liquid collector must be checked weekly. ▶ If liquid is in the filter , drain the liquid and replace the O-rings of the multiflex cou‐ plings.

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Care instructions ESTETICA E50 2 Setup methods according to DIN EN ISO 17664 | 2.5 Reprocessing of the assistant unit

▶ If necessary, replace the turbine return air filter (Mat. no. 02003098) and clean the filter holder.

Note The turbine return air filter is in the same position in the dentist element variant with S table.

2.4.7 Reprocessing of the kit for physiological saline solution The kit for physiological saline solution is optional.

Note The silicone hoses of the kit must be sterilised after each patient.

Cleaning the kit for physiological saline solution When using saline solution, all lines conducting the solution must be rinsed directly af‐ ter treating the patient. ▶ Draw the pump hose with the needle from the NaCl bag. ▶ Immerse the pump hose needle in a container with distilled water (min. 150 ml). ▶ Activate the pump, and pump distilled water completely through it.

Sterilisation kit for physiological saline solution Note The following parts can be subjected to sterilisation: – Silicone hoses for saline solution and their connecting nipples

Damage caused by sterilisation.

CAUTION

▶ Do not sterilise instrument hoses and hose clips for saline hose. Requirement The hoses for the physiological saline solution are rinsed. ▶ Seal the motor holder, handpieces, and contra-angle handpieces (and instru‐ ments if applicable) in a sterilisation bag and sterilise them.

Note Allow the sterilised items to cool to room temperature before using them again.

2.5 Reprocessing of the assistant unit 2.5.1 Preparing the instrument holder The instrument holder on the assistant unit is prepared in the same way as the instru‐ ment holder on the dentist unit. See also: 2 2.4.2 Reprocessing of the instrument holder of the TM table, Page 10 17 / 42

Care instructions ESTETICA E50 2 Setup methods according to DIN EN ISO 17664 | 2.5 Reprocessing of the assistant unit

2.5.2 Preparing the connector for the suction hose ▶ Remove connectors ① and ② from the suction hoses.

Cleaning and disinfection of the suction hose connector ▶ Clean the disassembled parts under running water. ▶ Thermodisinfect the disassembled parts for at least 10 minutes at 93 °C (total cy‐ cle: approximately 20 minutes)

Sterilising the suction hose connector Damage caused by sterilisation.

CAUTION

▶ Do not sterilise the suction hose connector.

Note Sterilise the suction cannulas according to the manufacturer's instructions.

2.5.3 Reprocessing of sieve inserts and suction hoses Note Check the sieve inserts daily and after each surgery. The sieve inserts must be re‐ placed at the latest when the suction decreases (Mat. no. 0.763.3423). Cleaning is not recommended for hygienic reasons. ▶ Remove the suction hoses from the holder. ð The suction motor starts automatically when the suction tubes are removed from the holder. ▶ Hold the cloth under the sieve seat, and pull the sieve insert out of the housing.

▶ If needed, insert a new sieve insert (Mat. no. 07633423) into the seat. 18 / 42

Care instructions ESTETICA E50 2 Setup methods according to DIN EN ISO 17664 | 2.6 Preparation of the patient unit

▶ Wipe the suction tubes with disinfectant.

2.6 Preparation of the patient unit 2.6.1 Preparation of the tumbler ▶ Reprocess as specified by the manufacturer.

2.6.2 Preparation of the tumbler holder and filler

CAUTION

Water in the device.

Material damage from leaking water upon actuation of the "Tumbler filler" or "Bowl flush" keys. ▶ Make sure that the unit is turned off before removing the tumbler filler or the spit‐ toon bowl. ▶ Always check the correct seating of tumbler filler and spittoon bowl before turning on the unit.

Cleaning and disinfection of the tumbler holder and filler Note When assembling, make sure that the O-ring is present on the tumbler filler.

Note Inspect the O-ring (Mat. no. 0.200.6128) for damage and exchange if necessary to prevent water or oxidation damage.

▶ Remove the tumbler filler ① (Mat. no. 0.764.8541) by pulling upwards. ▶ Take off the tumbler holder ③ (Mat. no. 07646153). ▶ Clean the tumbler holder and tumbler filler under running water.

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Care instructions ESTETICA E50 2 Setup methods according to DIN EN ISO 17664 | 2.6 Preparation of the patient unit

▶ Wet the O-ring ② (Mat. no. 02006128) with silicone grease (Mat. no. 10006403).

CAUTION

Damage caused by thermodisinfection.

▶ Do not subject the tumbler holder to thermodisinfection. The tumbler filler can be subjected to thermodisinfection.

Sterilisation of the tumbler holder and filler Damage caused by sterilisation.

CAUTION

▶ Do not sterilise the tumbler holder and filler.

2.6.3 Preparation of the spittoon

CAUTION

Water in the device.

Material damage from leaking water upon actuation of the "Tumbler filler" or "Bowl flush" keys. ▶ Make sure that the unit is turned off before removing the tumbler filler or the spit‐ toon bowl. ▶ Always check the correct seating of tumbler filler and spittoon bowl before turning on the unit.

Cleaning and disinfection of the spittoon bowl

CAUTION

Damage caused by inappropriate cleaning agents. ▶ Do not use acid-containing, sand-containing, and form-forming cleaning agents. ▶ Add a dose of DEKASEPTOL gel to the spittoon bowl and distribute the agent with a brush. ▶ For cleaning, allow the gel to act for approx. 5 minutes. ▶ For disinfection, allow the gel to act for approx. 15 minutes. ▶ After letting it work, press the "Spittoon bowl" button. ▶ Clean the spittoon bowl thoroughly using a brush. ▶ For thorough cleaning or thermodisinfection, rotate the spittoon bowl and lift it off.

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Care instructions ESTETICA E50 2 Setup methods according to DIN EN ISO 17664 | 2.7 Manual reprocessing of the water-conducting system

CAUTION

Damage caused by thermodisinfection.

▶ Do not subject spittoon bowls made of glass to thermodisinfection. The spittoon bowl made of porcelain can be subjected to thermodisinfection.

2.7 Manual reprocessing of the water-conducting system Note Using the "Water block, compact", a water bottle or the Water block DVGW assem‐ bly kit with integrated germ reducing facility but no intensive germ reduction assem‐ bly kit, the water-conducting system must be rinsed manually. The automatic hy‐ giene functions are available through the intensive germ reduction assembly kit on‐ ly.

WARNING

Risk of infection if the "Water block, compact" is used without additional safe‐ guards.

Contamination of the treatment water and/or drinking water supply with germs. ▶ With regard to the "Water block, compact" assembly kit, please note that no disin‐ fection facility is installed in the unit, and take appropriate safeguards. KaVo rec‐ ommends to use the "Water block DVGW with integrated water disinfection facility in combination with KaVo OXYGENAL 6 (Mat. no. 04893451). ▶ If the Water bottle kit is used with the enclosed dosing attachment (Mat. no. 10020287), add the proper amount of KaVo OXYGENAL 6 (Mat. no. 04893451) with each filling. For the correct amount, please refer to the Instructions of the dosing attachment for water disinfection.

Manual reprocessing procedure: ▪ Before first start-up and after the device has not been used for a while (weekends, holidays, vacation times, etc.) ▪ Before you start working ▪ After each patient (short rinsing programme of 20 seconds) ▶ Rinse all water outlets without handpieces for 2 minutes and actuate tumbler filler repeatedly. ▶ Before first start-up and after the device has not been used for a while, briefly blow air through the air lines.

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Care instructions ESTETICA E50 2 Setup methods according to DIN EN ISO 17664 | 2.8 Automatic hygiene functions of the water conducting system

2.8 Automatic hygiene functions of the water conducting system Note Intensive germ reduction kit and water block DVGW required.

CAUTION

Health damage due to germ formation.

Infection hazard. ▶ Before starting, rinse all the water drain lines without instruments. ▶ Before start-up and after the device has not been used for a while (weekends, holidays, vacations, etc.), rinse or purge with air the air and water lines. ▶ Carry out an intensive germ reduction. ▶ Actuate the tumbler filler repeatedly.

The water-conducting system includes all water ducts of the treatment unit to which the patient may be exposed. This includes the handpieces on the dentist element and assistant element as well as the tumbler filler on the spittoon bowl of the treatment centre. During normal operation of the treatment centre, the continuous germ reduction func‐ tion secures continuous germ reduction in the water conducting systems due to the automatic dosing of the disinfectant, KaVo OXYGENAL 6. The rinsing programme and the intensive germ reduction facilitate the automatic rins‐ ing and germ reduction of the water-conducting system. This counteracts the forma‐ tion of micro-organisms in times of stagnation and ensures hygienic water supply for the patients.

2.8.1 Rinsing programme The rinsing programme 02 provides for automatic rinsing of the water-conducting sys‐ tem and all the instruments including the tumbler filler for 2 minutes each (hydrogen peroxide concentration 0.02 %). In the short rinsing programme 01, all instruments on the dentist unit and assistant unit are rinsed for 20 seconds each. Carry out the rinsing programme: ▪ before you srat working ▪ after each patient (short rinsing programme) ▶ Briefly press the "Intensive germ reduction" button.

Preparation for rinsing programme and intensive germ reduction ▶ Position the disinfection kit on the porcelain spittoon bowl.

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Care instructions ESTETICA E50 2 Setup methods according to DIN EN ISO 17664 | 2.8 Automatic hygiene functions of the water conducting system

Place the instruments on the sterilisation attachment

The cannula of the triple-function and multifunctional handpieces must be removed for the rinsing program and the intensive germ reduction.

S table ▶ Lock the handpiece into the front catching position to ensure that the handpiece can be removed. ▶ In the case of instrument arms without a catching function, insert the locking (Mat. no. 1.008.1511) to ensure that the handpiece can be removed.

▶ Hold the handpiece at the taper sleeve and take off the cannula with a slight twist‐ ing motion.

▶ Insert the triple-function or multifunctional handpieces without the cannula into the clamping device of the holder. Make sure that the "W" button (water) of the triplefunction or multifunctional handpiece is activated, and that no air is exiting.

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Care instructions ESTETICA E50 2 Setup methods according to DIN EN ISO 17664 | 2.8 Automatic hygiene functions of the water conducting system

▶ Place the instrument hoses of the dentist and assistant elements in the corre‐ sponding places of the rinsing attachment. ▶ Support tubing with the enclosed holder.

Note All water regulation mechanisms for the motor, instruments, and multiflex couplings must be open.

Place the COMFORTbase on the rinsing attachment Note A seat adapter (Mat. no. 1.005.6892) for the rinsing attachment is available for the COMFORTbase. ▶ For the rinsing programme and intensive germ reduction, press the seat adapter into one of the four rubber seats of the rinsing attachment.

▶ Place the COMFORTbase in the seat adapter.

Carry out the rinsing programme Set rinsing time ▶ Press the „decrease value“ or „increase value“ keys to select rining program 01 „Programm vorbereiten: 01“ or rinsing program 02 „Programm vorbereiten: 02“. ð The standard value for rinsing program 01 is 00:20 minutes per instrument. ð The standard value for rinsing program 02 is 2:00 minutes per instrument. ▶ Press the foot control to display the time for rinsing the instrument hoses and the three-function or multifunctional handpiece.

With the foot pedal of the foot control being pressed down, the rinsing time for the re‐ spective rinsing programme can be set in the range from 00:01 to 4:00 minutes using the "Decrease value" and "Increase value" buttons. The rinse program proceeds in four steps. For rinse program 01, the cycle starts in step 2, and for rinse program 02, the cycle starts in step 4. Step

Description

4.0

Fresh water supply Duration: 60 seconds 24 / 42

Care instructions ESTETICA E50 2 Setup methods according to DIN EN ISO 17664 | 2.8 Automatic hygiene functions of the water conducting system

Step

Description

3.0

Tumbler rinsing Duration: 20 seconds

2.0

Rinsing of the handpieces The rinsing time can be set variably for each handpiece. Standard setting: ▪ Rinsing programme 01 = 20 seconds per instrument ▪ Rinsing programme 02 = 2 minutes per instrument

1.0

Rinsing the triple-function and multifunction handpiece Set rinsing time of rinsing programme 01 or 02

0.1

Waiting position for setting down the handpieces

Start rinsing programme Note The rinsing program can be started immediately or the next morning. ▶ Briefly press the "Intensive germ reduction" button to immediately start the proc‐ ess. ð The selected rinse program starts. or ▶ Turn off the device and do not restart it until the next morning. ð The cycle is started automatically. The rinsing time follows rinsing program 02.

Note If the device is not used the entire day (i.e., the instruments are not mounted), the rinsing program automatically starts the next morning when the device is turned on. The rinsing programme can be stopped at any time by pressing the "intensive germ reduction" key. If the device is turned off and then on again, the rinsing program also stops.

2.8.2 Intensive germ reduction Note Observe the instructions for use for the instruments. Intensive germ reduction prevents the formation of microorganisms during extented periods when the equipment is out of use. During intensive germ reduction, the affer‐ ent water ducts are automatically filled with a higher concentration of KaVo OXYGEN‐ AL 6. The intensive germ reduction program lasts ca. 45 minutes. The increased hy‐ drogen peroxide concentration acts in the system for at least 30 minutes. An additional intensive germ reduction must be carried out during extended periods on non-use (> 4 weeks). The need for intensive germ reduction is automatically displayed in the top LED of the "Intensive germ reduction" button at first start-up and after periods of non-use (week‐ end, holidays, vacation, etc.). When a beep is issued every 10 seconds and the bottom LED of the "Intensive germ reduction" button flashes, KaVo OXYGENAL 6 needs to be replenished. If a beep is issued during the filling process (10 times each second), the container is full. 25 / 42

Care instructions ESTETICA E50 2 Setup methods according to DIN EN ISO 17664 | 2.8 Automatic hygiene functions of the water conducting system

See also: 2 Replenish OXYGENAL 6

Note The suction device cannot be used during the HYDROclean step (4.6).

Note If the amalgam separator malfunctions during intensive germ reduction, the entire process is stopped. The bottom LED of the "HYDROclean" button flashes. Intensive germ reduction must be carried out: ▪ At first start-up ▪ Before, during and after prolonged downtimes (more than 4 weeks) ▪ Over the weekend ▪ During vacations ▪ After treatment of patients at high risk

Start intensive germ reduction ▶ Press the "Intensive germ reduction" button for more than 4 seconds until you hear an acoustic signal and the upper LED of the "intensive germ reduction" but‐ ton flashes. The display switches to the intensive germ reduction menu. ▶ Prepare for intensive germ reduction. See also: 2 2.8.1.1 Preparation for rinsing programme and intensive disinfection, Page 22 ▶ Press the "Intensive germ reduction" button. ð This starts up the intensive germ reduction, which proceeds through several stages. The process can be followed on the display. The major steps are listed be‐ low. Step

Description

7.0

Germ reduction of the triple-function and multifunctional handpiece and the spittoon bowl Duration: 60 seconds

6.0

Disinfection of the handpieces Duration: 30 seconds each

5.0

Disinfection of the tumbler Duration: 40 seconds

4.0

Dwell time (acoustic signal, switch off is possible) Duration: 30 minutes

3.0

Rinsing of the tumbler Duration: 40 seconds

2.0

Rinsing of the handpieces Duration: 30 seconds

1.0

Rinsing of the triple-function and multifunctional handpiece Duration: 30 seconds

0.1

Waiting position for setting down the handpieces

Intensive germ reduction is completed when "01 intensive germ reduction completed" appears on the display. 26 / 42

Care instructions ESTETICA E50 2 Setup methods according to DIN EN ISO 17664 | 2.8 Automatic hygiene functions of the water conducting system

▶ Put all handpieces in holders and take off the rinsing attachment.

Interrupt intensive germ reduction during the dwell time So that no one will have to remain with the device throughout the entire intensive germ reduction process, intensive germ reduction can be interrupted in program step 4 (e.g. on the last workday before the weekend). Program step 4 is the dwell time, in which the microorganisms are killed by an increased OXYGENAL 6 concentration. Requirement intensive germ reduction is in program step 4. Requirement You hear a beep for 4 seconds. ▶ Turn the device off. When the device is switched on after 30 minutes of dwell time, the remaining program steps run immediately and automatically. If the device is turned on before the 30 minute period is elapsed, the dwell times fin‐ ishes first before the remaining steps of the intensive germ reduction program run.

Skip exposure phase This function is required when the treatment unit needs to be used (for example in an emergency, at hospitals, etc.) even though the germ reduction procedure has already started. See also: 2 2.8.1.2 Performance of the rinsing programme, Page 24 Intensive germ reduction is in step 4: ▶ Press and hold down both the "Intensive germ reduction" key and the "Hydro‐ clean" key.

▶ Simultaneously press the foot pedal on the foot control.

ð The intensive germ reduction switches to step 3.7. ð The automatic rinsing process starts up.

Intensive germ reduction during extended periods of non-use (> 4 weeks) During extended periods of non-use, e.g. semester breaks at university, intensive germ reduction must be carried out during the time of non-use. The germ reduction fluid remains inside the system during the period of non-use.

Before the period of non-use ▶ Start the intensive germ reduction and stop it in step 4 after the signal tone during the dwell time of 30 minutes. ▶ To prevent damage due to hoses getting kinked, remove hoses from the germ re‐ duction attachment and place them in the dentist support. 27 / 42

Care instructions ESTETICA E50 2 Setup methods according to DIN EN ISO 17664 | 2.9 Reprocessing and automatic hygiene functions of the suction system

▶ Keep the germ reduction attachment in the spittoon bowl. ▶ Cover the treatment unit during extended periods of non-use.

After the period of non-use ▶ Turn on the central compressor. ▶ Switch on the water supply for the treatment unit after the system pressure is ach‐ ieved. ▶ Replace the instrument hoses of the dentist and assistant units in the places pro‐ vided in the germ reduction attachment. ▶ Turn the treatment unit on. ð The unit automatically starts the remaining steps of the unfinished cycle. ▶ Allow the cycle to complete and then carry out a second full intensive germ reduc‐ tion. ð The unit is now ready for use.

Additional intensive germ reduction during period of non-use KaVo recommends carrying out an additional intensive germ reduction at universities during semester breaks. This flushes the parts of the unit and replaces the germ re‐ duction liquid.

2.9 Reprocessing and automatic hygiene functions of the suction system 2.9.1 Reprocessing of the suction system including suction hoses Cleaning and disinfection of the suction system including suction hoses Note Clean the suction hoses after each treatment and disinfect them with DEKASEP‐ TOL Gel daily.

Application of DEKASEPTOL Gel ▶ Aspirate one tumbler of cold water with each suction hose. ▶ With the suction handpiece attached or by hand, press down the DEKASEPTOL dosing facility once each for the saliva ejector hose and the spray mist ejector. ▶ Aspirate the DEKASEPTOL Gel from the dosing facility. ▶ Aspirate another tumbler of cold water with each suction hose. ▶ Finally, aspirate another dose of DEKASEPTOL Gel and allow it to act. ▶ Place the suction hoses in the holder. DEKASEPTOL Gel basic set

DEKASEPTOL Gel refill canister

Mat. no. 10007204

Mat. no. 10007205

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Care instructions ESTETICA E50 2 Setup methods according to DIN EN ISO 17664 | 2.9 Reprocessing and automatic hygiene functions of the suction system

2.9.2 HYDROclean function The HYDROclean function is an automatic programme for hydro-mechanical cleaning of the drainage and separation systems within and outside the treatment unit. The cleaning process is carried out by the supply of fresh, clear water (limited rinsing). The water is aspirated from the Aquamat through the filter housing to the separation sys‐ tem. The spittoon bowl rinsing is alternately turned on and off. The HYDROclean function prevents the coagulation and adhesion of proteins inside the drainage system and improves the transporting of fine particles. Carrying out the HYDROclean function: ▪ After each treatment

Preparation Requirement Suction hoses remain hanging in the holder. ▶ Press the "HYDROclean" button. ð The HYDROclean function is in the preparatory stage.

Start the HYDROclean function ▶ Press the "HYDROclean" button. ð This starts-up the HYDROclean function. The HYDROclean function is completed when the top LED goes dark. The process can be discontinued at any time by pressing the "HYDROclean" button.

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Care instructions ESTETICA E50 2 Setup methods according to DIN EN ISO 17664 | 2.9 Reprocessing and automatic hygiene functions of the suction system

2.9.3 Manual internal cleaning of the suction hoses at the extraction point (optional) Note Manual internal cleaning of the suction hoses can be done only in combination with the Dekamat/Centramat assembly kit. For manual cleaning, a suction hose is held to the extraction point. The suction hose, drain and separation system are rinsed. The water is sucked out of the Aquamat through the extraction point and suction handpiece to the separation system. Carrying out the manual inner cleaning ▪ After each treatment ▶ Hold all the suction hoses in sequence tightly to the extraction point to prevent surrounding air from entering. ð An automatically dosed amount of water is supplied by the vacuum. An acoustical signal is emitted after the process is completed (approx. 3 seconds).

E50 including Dekamat/Centramat assembly kit

▶ Remove the hose by slowly tipping to the side, and hook it to the assistant ele‐ ment.

Tube-washing function (optional) Note The tube-washing function can be used only in combination with the Dekamat/ Centramat assembly kit. The HYDROclean function is an automatic programme for hydromechanical cleaning and disinfection of the suction hoses, drainage and separation systems. The cleaning process is carried out by the supply of fresh, clear water and disinfectant. The water is sucked out of the Aquamat through the extraction point and suction handpiece to the separation system. The spittoon bowl rinsing is alternately turned on and off, in addi‐ tion, a dose of DEKASEPTOL is pumped into the spittoon bowl. Performance of the Tubewashing function: ▪ After surgical treatment ▪ Every evening

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Care instructions ESTETICA E50 2 Setup methods according to DIN EN ISO 17664 | 2.9 Reprocessing and automatic hygiene functions of the suction system

The DEKASEPTOL gel is aspirated automatically. If the DEKASEPTOL gel is empty, two LEDs of the "HYDROclean" button light up and the display shows an exclamation mark on the "S2" selection button ①. In order to display the "Dekaseptol bottle empty" status message, selection button "S2" must be pressed.

When both LEDs of the „HYDROclean“ key flash, the DEKASEPTOL gel bottle must be inserted. See also: 2 3.3 Replace the DEKASEPTOL gel bottle (optional), Page 38

Preparation ▶ Fit the hose cleaning attachment (Mat. no. 0.763.8021) to the tap of the Aquamat.

E50 including Dekamat/Centramat assembly kit

▶ Press the "HYDROclean" button. ð The HYDROclean function is in the preparatory stage. The top LED of the button flashes quickly.

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Care instructions ESTETICA E50 2 Setup methods according to DIN EN ISO 17664 | 2.10 Preparation of the amalgam separator

▶ Place the suction hoses without connectors on the hose cleaning attachment.

E50 including Dekamat/Centramat assembly kit

Starting the tube washing function ▶ Press the "HYDROclean" button. ð The tube washing function starts.

Note DEKASEPTOL Gel is pumped into the mouth rinsing bowl during the tube washing process. Distribute DEKASEPTOL Gel using a brush, and clean the bowl. The upper indicating diode will light up when the tube washing process is finished. ▶ Remove the suction hoses from the hose cleaning attachment and place them in the appropriate location. ð The tube washing function is completed. The process can be discontinued at any time by pressing the "HYDROclean" button.

2.10 Preparation of the amalgam separator The following systems can be used as options: ▪ "Dürr" Amalgam separator ▪ "Assembly kit for external suction removal for connection to a central amalgam separator" ▪ "Separation asembly kit"

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Care instructions ESTETICA E50 2 Setup methods according to DIN EN ISO 17664 | 2.10 Preparation of the amalgam separator

Optimal care of the amalgam separation system includes the correct and regular use of the HYDROclean function and use of DEKASEPTOL gel. See also: 2 2.9 Reprocessing and automatic hygiene functions of the suction system, Page 28

Note follow the instructions for use for the amalgam separator.

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Care instructions ESTETICA E50 3 Replenish and check the disinfectant | 3.1 Replenish OXYGENAL 6

3 Replenish and check the disinfectant 3.1 Replenish OXYGENAL 6 The only permissible agent for use in KaVo water germ reduction systems is KaVo OXYGENAL 6 (Mat. no. 04893451). The OXYGENAL 6 consumption depends on the water consumption during the treatment of patients. When the OXYGENAL 6 container is empty, you hear an acoustic signal every 10 sec‐ onds.

Note Replenish KaVo OXYGENAL 6 only if the acoustic signal is issued every 10 sec‐ onds. The signal can be turned off as follows: Hold down the control pedal, and move the backrest up and down. The next time the treatment unit is turned on, the signal sound is issued again. ▶ Remove rinsing tumbler filler ① and cover ②.

▶ Fill-up with KaVo OXYGENAL 6 (max. 1 litre).

Note Do not fill through the centre opening (tumbler drain).

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Care instructions ESTETICA E50 3 Replenish and check the disinfectant | 3.1 Replenish OXYGENAL 6

▶ Quit replenishing immediately if you hear a signal sound being issued every sec‐ ond (10 sounds). ð Reservoir is full. ▶ Attach the tumbler holder and the tumbler filler.

Note Check the O-ring on the tumbler filler for damage.

3.1.1 Replenish OXYGENAL 6 when using the water bottle Overdosing OXYGENAL.

CAUTION

▶ Using the water bottle in combination with water block DVGW, there is no need to add more OXYGENAL 6 into the water bottle.

CAUTION

Damage caused by defective water bottle.

Malfunctions or failures from a leaky water bottle. ▶ Do not wash the water bottle in a dish washer, and do not rinse it with water hot‐ ter than 50 ℃. ▶ Do not use the water bottle if it is scratched, deformed or discoloured. ▶ Note the maximum useful life of the water bottle on the label.

Water bottle complete: (Mat. no. 0.710.4151) Dosing attachment: (Mat. no. 1.002.0287)

Removing and cleaning the water bottle ▶ Slowly turn the water bottle counterclockwise to take it off.

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Care instructions ESTETICA E50 3 Replenish and check the disinfectant | 3.1 Replenish OXYGENAL 6

Note This allows the over-pressure to be released slowly from the water bottle.

Note The water in the water bottle needs to be changed at least one daily. In order to en‐ sure the efficiency of the measures, KaVo urgently recommends reprocessing the water with KaVo OXYGENAL 6. ▶ For cleaning, rinse the water bottle with water at less than 50 oC.

Filling the water bottle with the dosing facility. ▶ Wipe up any spilled OXYGENAL immediately in order to prevent discolouration of the surfaces. ▶ Remove the protective hose from the tube of the KaVo OXYGENAL 6 dosing fa‐ cility. ▶ Guide the tube through the orifice of the coarse sieve of the KaVo OXYGENAL 6 bottle. ▶ Screw the KaVo OXYGENAL 6 dosing facility tightly to the KaVo OXYGENAL 6 bottle. ▶ Rotate the orifice in the lid to a filling level of 1.5 litres. ð Lid snaps-in in the filling position.

▶ Place the KaVo OXYGENAL 6 bottle on a level surface. ▶ Squeeze the KaVo OXYGENAL 6 bottle until the germ reduction liquid rises above the red marker. ð In response to over-filling, the excess quantity above the tick mark is aspirated au‐ tomatically to ensure exact dosing.

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Care instructions ESTETICA E50 3 Replenish and check the disinfectant | 3.2 Check the OXYGENAL 6 concentration

▶ Place the water bottle in the KaVo OXYGENAL 6 bottle. Make sure that the spout of the KaVo OXYGENAL 6 dosing facility (nose) is situated right above the open‐ ing of the water bottle. ▶ Then fill-up the water bottle with tap water.

Note Substances remaining in the dosing head are not contamination, but rather agents that are deposited there during extended periods of non-use after condensation of the water. These deposits redissolve after several dosing processes. ▶ Screw the water bottle tightly to the treatment centre in a clockwise rotation. ð Apply compressed air to the water bottle.

3.2 Check the OXYGENAL 6 concentration ▶ Fill the tumbler with water. ▶ Use Merckoquant peroxide test strips 100 to 1,000 mg/l H2O2 (Mat. no. 0.229.5003) to determine the OXYGENAL 6 concentration in the water germ re‐ duction system. The OXYGENAL 6 concentration should be in the range from 150 to 250 mg/l H2O2in normal operation.

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Care instructions ESTETICA E50 3 Replenish and check the disinfectant | 3.3 Replace the DEKASEPTOL gel bottle (optional)

3.3 Replace the DEKASEPTOL gel bottle (optional) Note The DEKASEPTOL gel bottle can be replaced only in combination with the Deka‐ mat assembly kit. Requirement The device should be switched on when replacing the DEKASEPTOL Gel bottle. ▶ Switch the device on. ▶ Open the door in the base of the unit and take out the DEKASEPTOL gel bottle. ▶ Unscrew the lid of the new DEKASEPTOL gel bottle.

▶ Unscrew the connector of the empty DEKASEPTOL gel, screw the connector to the new DEKASEPTOL gel bottle and insert the bottle. Accessories: DEKASEPTOL refill canister (Mat. no. 1.000.7205) with drain tap (Mat. no. 0.224.6876)

E50 including Dekamat/Centramat assembly kit

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Care instructions ESTETICA E50 3 Replenish and check the disinfectant | 3.3 Replace the DEKASEPTOL gel bottle (optional)

With the bottle taken out, an exclamation mark is shown on the display of selection button "S2" ①. In order to display the "No Dekaseptol bottle" status message, selec‐ tion button "S2" must be pressed.

On the assistant element, the two LEDs of the "HYDROclean" button flash when the bottle is removed and are turned off as soon as the bottle is properly inserted again. ▶ Close the door in the base of the device.

Note Completely empty packages can be disposed of at recycling facilities. See also :Safety data sheet

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Care instructions ESTETICA E50 3 Replenish and check the disinfectant | 3.3 Replace the DEKASEPTOL gel bottle (optional)

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