
Section 4 - Safety Considerations
4.0 Food and Drug Administration . . . . . . . . . . . . . . . .9
4.1 Statutory Licensure . . . . . . . . . . . . . . . . . . . . . . . . .9
4.2 OSHA and its Provisions . . . . . . . . . . . . . . . . . . . . .9
4.3 Laser Safety Program . . . . . . . . . . . . . . . . . . . . . . .9
4.4 Continuing Education . . . . . . . . . . . . . . . . . . . . . .12
4.5 In-office Safety Issues . . . . . . . . . . . . . . . . . . . . . .12
4.5.1 Lighting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
4.5.2 Safety Eyewear . . . . . . . . . . . . . . . . . . . . . . . . .12
4.5.3 Test Firing the Laser . . . . . . . . . . . . . . . . . . . . . .13
4.5.4 Power Changes with Fiber Changes . . . . . . . . .13
4.5.5 Fiber Preparations . . . . . . . . . . . . . . . . . . . . . . .13
4.5.6 Danger – Laser in Use Signage . . . . . . . . . . . . .13
4.5.7 Sharps Disposal . . . . . . . . . . . . . . . . . . . . . . . . .13
4.5.8 Plume Evacuation . . . . . . . . . . . . . . . . . . . . . . .13
4.5.9 Key Switch and Mode Selection . . . . . . . . . . . .13
4.5.10 Safety Education . . . . . . . . . . . . . . . . . . . . . . .13
4.5.11 Laser Security . . . . . . . . . . . . . . . . . . . . . . . . . .13
4.5.12 Emergency Shutdown Options . . . . . . . . . . . .13
4.5.13 Hard Tissue Procedures . . . . . . . . . . . . . . . . . .13
4.6 ANSI Standards . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Section 5 – Operating the Laser
5.0 Standby and Ready Status . . . . . . . . . . . . . . . . . .13
5.1 Continuous Wave Mode . . . . . . . . . . . . . . . . . . .14
5.2 Pulsed Energy Mode . . . . . . . . . . . . . . . . . . . . . . .14
5.3 Tissue Responses to Laser Energy . . . . . . . . . . . . .14
Figure 5.1 Poor Cleave on the Fiber . . . . . . . . . . . . . .14
5.4 Fiber and Handpiece Care..................14
5.5 Warning (Fiber Cassette Care) . . . . . . . . . . . . . . .15
5.6 System Procedures . . . . . . . . . . . . . . . . . . . . . . . .15
5.6.1 Selecting the Treatment Center . . . . . . . . . . . . .15
5.6.2 Checking Foot Pedal Installation . . . . . . . . . . . .15
5.6.3 Checking the Disposable Fiber
Cassette Installation . . . . . . . . . . . . . . . . . . . . .15
5.6.4 Checking Fiber Preparation . . . . . . . . . . . . . . . .15
5.6.5 Checking the Emergency
Shutdown Button - Release Instructions . . . . . .15
5.6.6 Checking the Key Activation and
Control Panel Display . . . . . . . . . . . . . . . . . . . .15
5.6.7 Setting Parameters . . . . . . . . . . . . . . . . . . . . . .15
5.6.8 Setting Power . . . . . . . . . . . . . . . . . . . . . . . . . .15
5.6.9 Setting Aiming Beam – Parameters . . . . . . . . .15
5.6.10 Avoiding Use of a Defective Fiber Tip (Shards) 15
5.6.11 Aiming Beam Activation . . . . . . . . . . . . . . . . .15
5.6.12 Test Firing the Laser Before
Beginning Procedures . . . . . . . . . . . . . . . . . . .15
5.6.13 Using Quick/Short Strokes with the Fiber Tip .15
5.6.14 Cleaning the Fiber Tip During a Procedure . . .15
5.6.15 Preventive Measure –
Placing the Laser in Standby . . . . . . . . . . . . . .16
5.6.16 Cleave Used Fiber Tip and Discard.........16
5.6.17 Preventive Measure -
Cleaning the Fiber Before Retracting It. . . . . .16
5.6.18 Preventive Measure –
Turning the Key Off Between Procedures . . . .16
5.6.19 Recording Power, Mode and Time
Parameters in the Patients Chart. . . . . . . . . . .16
5.6.20 Self Diagnostic and Monitoring . . . . . . . . . . . .16
Section 6.0 Systems Components:
Preparation, Care and Maintenance
6.0 Disposable Fiber Cassette . . . . . . . . . . . . . . . . . . .16
6.0.1 Replacing the Fiber Cassette . . . . . . . . . . . . . . .16
6.1 Fiber Preparation . . . . . . . . . . . . . . . . . . . . . . . . . .16
6.1.1 Jacket . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
6.1.2 Cladding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
6.1.3 Quartz/Silica Fiber . . . . . . . . . . . . . . . . . . . . . . .17
6.1.4 Stripping the Fiber . . . . . . . . . . . . . . . . . . . . . . .17
6.1.5 Cleaving the Fiber . . . . . . . . . . . . . . . . . . . . . . .17
6.1.6 Initiating the Fiber . . . . . . . . . . . . . . . . . . . . . . .18
6.1.7 Fiber Disinfection . . . . . . . . . . . . . . . . . . . . . . . .18
6.2.0 Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . .18
6.2.1 Laser Chassis Disinfection . . . . . . . . . . . . . . . . .18
6.2.2 Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18
6.3.0 Handpiece Preparation . . . . . . . . . . . . . . . . . . .19
6.3.1 Preparation for Autoclaving . . . . . . . . . . . . . . . .19
6.3.2 Components of the Handpiece . . . . . . . . . . . . .19
6.3.3 Providing Adequate Fiber to
Cleave, Strip and Initiate . . . . . . . . . . . . . . . . . .19
6.3.4 Disposable Tips . . . . . . . . . . . . . . . . . . . . . . . . .19
6.3.5 Using the Stripper . . . . . . . . . . . . . . . . . . . . . . .19
6.3.6 Mounting the Disposable Tip . . . . . . . . . . . . . .19
Section 7.0 Labels, Signs, Warnings and Information
7.1 Federal Compliance . . . . . . . . . . . . . . . . . . . . . . .19
7.2 Danger – Laser in Use Signage . . . . . . . . . . . . . . .20
7.3 Laser Classification – Aiming Beam . . . . . . . . . . .20
7.4 Laser Classification – Treatment Laser . . . . . . . . .20
7.5 Caution – Changes Not Approved . . . . . . . . . . . .20
7.6 Caution – Avoid Skin and Eye Contact . . . . . . . .20
7.7 Caution – No User Serviceable Parts
Within the Chassis . . . . . . . . . . . . . . . . . . . . . . . .20
7.8 Caution – Sale or Use of a Laser
by Other than a Physician or Dentist . . . . . . . . . .20
7.9 WARNING – Do Not Use Eyewear for
Other than the 810 nm Wavelength . . . . . . . . .20
7.10 Manufacturer’s General Information . . . . . . . . .20
7.11 Nominal Ocular Hazard Distance . . . . . . . . . . . .20
Section 8.0 Servicing
8.1 Warranty Card . . . . . . . . . . . . . . . . . . . . . . . . . . .21
8.2 Repairs / Customer Service Address . . . . . . . . . . .21
Section 9.0 Glossary of Laser Terminology . . . . . . . . . . . .21
Section 10.0 Selected References on Laser Dentistry....22
Section 11.0 Troubleshooting . . . . . . . . . . . . . . . . . . . . . .23