LASAK
IMPLADENT Instrument Care and Maintenance Instructions
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IMPLADENT INSTRUMENTATION CARE AND MAINTENANCE
IMPLADENT instruments are designed for the insertion of IMPLADENT dental implants and for the manipulation of all the components of the system. The necessary prerequisite for the successful insertion of
oughly with water. Corrosion may also be caused if the
dental implants is the use of good quality
instrument is in contact with other instruments during
and well-maintained instruments. IMPLADENT instruments
cleaning or disinfection - or in contact with
are developed and manufactured according to the latest
already-corroded instruments. Contact with hard materials
advances in the field, using high-quality materials designed
such as ceramics, metal or glass may cause damage.
for specific purposes. Non-adherence to the prescribed procedures when using the instrumentation may lead to
For sterilization in an autoclave, surgical instruments should
implantation failures. LASAK recommends having a spare
be placed in their original plastic cassettes, which forms
set of sterilized instruments at hand for each implant
a part of the system and enables easy access to the steril-
surgery. A visual check of all instruments should be made
ized instruments during surgery; also, by helping to keep
after each use and damaged instruments
the instruments in the right order the correct procedure is
discarded.
more easily followed. The sterilization cassette must be correctly placed in the
Materials:
autoclave – i.e. the cassette should be placed in the centre and not touch the sides of the autoclave.
• IMPLADENT instruments are made from stainless steel,
Any other way of sterilization is unacceptable.
which is strong, hard and resistant to corrosion - provided it is kept clean. • Cassettes for instruments are made of sterilizable plastic or anodized aluminium.
Sterilized instruments should be kept at room temperature, and in a dry, dust-free and disinfected place. Packages containing sterilized instruments must show the date of sterilization. If the sterilization period expires, then
To maintain the quality of your IMPLADENT instruments it is
the instruments should be re-sterilized.
important to adhere to the prescribed instrument care and maintenance. Disinfection and cleaning have to be done
Stainless steel instruments should not be cleaned by
immediately following the instrument’s use; Blood, pus,
cleaning products containing high concentrations of chlorine
secretion, remains of tissue or bone must not be left to dry
or oxalic acid. The plastic cassette
on the instrument. When disinfecting and cleaning
must not be sterilized by hot air, and
the instruments use adequate
chemical sterilization is also not
protection. Long exposure of
recommended. Aluminium cassettes must not be cleaned
the instrument to saline solution
using alkaline products with a pH higher than 9. Disinfectants
or evaporation of saline solution on the instrument’s surface
and cleaning products must be used in accordance with
may cause its corrosion or discolouration. Saline solutions,
the manufacturer’s instructions for use (as regards
cleaning agent and disinfectant residue must be rinsed thor-
to concentration, reaction time and temperature).
IMPLADENT INSTRUMENTATION
Cycle of instrument use
Instrument care • Drills, counter bores, threadformers – disinfection and
dual instruments are not in contact with each other. Cleaning
cleaning must be done immediately after use; good care must
agent and disinfectant residue must be rinsed thoroughly
be taken especially of the cooling orifice of instruments with
with water. Also, when drying, the instruments should not
internal cooling. The orifice is cleaned using the cleaning wire
touch each other. Sterilization is done in an autoclave.Any
that comes with every drill. The instrument surface is
other way of sterilization is not recommended. All instru-
cleaned mechanically with the use of a nylon brush - and also
ments must be handled with care, any contact of the cutting
in an ultrasonic bath where care must be taken that indivi-
edge with hard surfaces (such as ceramics, metal or glass)
DISMANTLING THE RATCHET:
Unscrew the screw at the end of the ratchet handle by the control knob.
Ratchet body
Guide tube Ratchet mechanism Ratchet wheel
Pull out the ratchet mechanism with the control knob.Pull out the guide tube and the ratchet wheel from the ratchet body.
IMPLADENT INSTRUMENTATION
would blunt the instrument and this could have a negative
screw at the end of the ratchet handle and pull to take out
effect on the results of the implantation. The life-time of
the catch mechanism. The guide tube and ratchet wheel
cutting instruments is limited to twenty uses – it is, therefore,
remain in the body of the ratchet; it is recommended to hold
recommended to record the number of uses (using the table
the ratchet wheel between the fingers. Connect the adapter
on the last page). Blunt instruments must be replaced.
to the ratchet body so that the arrows meet. Then push the
Wear depends on the density of the bone being drilled, and
ratchet mechanism back into the body of the ratchet, and
wear may become apparent after less than twenty uses.
using the fingers, tighten the screw. Check that the ratchet
A visual check of all instruments should be made after
functions properly. The working mode of the ratchet is set up
each use and blunt instruments discarded.
as usual, i.e. by turning the control knob through 180° for clockwise or anti-clockwise.
• Ratchet – needs to be dismantled immediately after use, disinfected, mechanically cleaned with the use of a nylon brush and then in an ultrasonic bath. Cleaning agent and disinfectant residue must be rinsed thoroughly with water. The ratchet should be reassembled only after all parts are dry
Instructions for use: While in use, the ratchet with the adapter has to be held at the wire’s terminal end. The marked gauge calibrations are at 0, 15, 35, 45 and 60 N cm. For a correct reading, refer to the middle of the indicator wire's diameter.
and the ratchet mechanism oiled. When the ratchet is fully
Disinfection, cleaning and sterilization:
assembled, operation of the ratchet in both directions should
The torque adapter must always be dismantled from the
be checked. Sterilization is done in an autoclave. Any other
ratchet after use, disinfected, and cleaned. Cleaning agent and
way of sterilization is not recommended. (For maintenance
disinfectant residue must be rinsed thoroughly with water.
of the ratchet, see also the IMPLADENT surgical manual.)
Dry and sterilize in an autoclave.
• Torque device for ratchet – this is used to check the
Calibration: The principal function of the ratchet’s torque
torque when inserting dental implants. The torque value
device is performed visually. In its rest position, the centre of
describes the quality of the implant fixation in the bone
the spring indicator wire’s diameter should correspond with
(primary stability) and can help in decisions concerning further
the mark at 0 N cm. If it does not, the torque adapter must
treatment. Its other use concerns controlled tightening of
be returned to LASAK for checking. Once a year (or after
abutment screws and constructions to the prescribed torque.
100 inserted implants) it is recommended to send the adapter
The torque value is expressed in
to LASAK for calibration.
Ncm (Newton centimetres). The torque adapter is used
• Screw-drivers - disinfection and cleaning must be done
only with the IMPLADENT
immediately after use, mechanical precleaning with a nylon
ratchet (model 2004).
brush and then in an ultrasonic bath. Cleaning agent and disinfectant residue must be rinsed thoroughly with water.
Mounting of torque adapter
All instruments must be handled with care, any contact of the
to the ratchet: Unscrew the latch
screw-driver point with hard surfaces (such as ceramics, metal or glass) would damage the instrument. Sterilization is done in an autoclave. • Other instruments - disinfection and cleaning must be done immediately after use, mechanical precleaning with a nylon brush and then in an ultrasonic bath. Cleaning agent and disinfectant residue must be rinsed thoroughly with water..Sterilization is performed in an autoclave.
IMPLADENT INSTRUMENTATION
Warning Individual components of the IMPLADENT system are designed as part of the IMPLADENT system and, as such, should not be used in combination with other products outside the IMPLADENT system. All components of the IMPLADENT system should be used in accordance with the recommendations, instructions and manuals published by LASAK. The use of components manufactured by third parties in combination with the IMPLADENT system cancels the validity of guarantees and other expressed obligations of LASAK. Users of products of the IMPLADENT system must decide whether the application of the product is or is not suitable for a specific patient under the specific conditions. LASAK cannot accept responsibility for any direct, indirect or other damage caused in connection with errors in professional decisions or procedures in the use of the components of the IMPLADENT implantological system. A user of the IMPLADENT system is also obliged to follow the latest developments in the system and its application. In case of doubt, the user should contact LASAK. LASAK has no control over the handling and use of its products by users and cannot accept responsibility for damage caused by their improper use.
Table of instrument use Drills
Catalogue Number
Point drill
Number of use
214.3
Roundburr
114.3
Pilot drill d1.5
2514.3
Drill d2.0
314.3
Final drill d2.5-C for screw implants D2.9
02214.3
Final drill d3.0-C for screw implants
01414.3
Drill d3.7-C
01514.3
Final drill d4.3-C for screw implants D5.0
03314.3
Drill d2.0, short
4314.3
Final drill d2.5 for screw implants D2.9, short
22214.3
Final drill d3.0-C for screw implants D3.7, short
21414.3
Drill d3.7-C, short
11514.3
Final drill d4.3-C for screw implants D5.0, short
23314.3
Counterbores and threadformers Counterbore D2.9
1914.3
Threadformer D2.9-C
04324.3
Threadformer mechanical D2.9-C
04124.3
Counterbore D3.7
614.3
Threadformer D3.7-C
0714.3
Threadformer mechanical D3.7-C
02714.3
Counterbore D5.0
3514.3
Threadformer D5.0-C
03614.3
Threadformer mechanical D5.0-C
04114.3
LASAK Ltd. • Českobrodská 1047/46 • 190 01 Prague 9 – Hloubětín • Czech Republic tel.: +420 224 315 663 • fax: +420 224 319 716 • e-mail: [email protected] • www.lasak.com