mectron PIEZOSURGERY plus User manual

Use and maintenance manual

22
01 INTRODUCTION ............................................ 4
01.1 Intended use of the PIEZOSURGERY®plus .................... 4
01.2 Description of the device ................................... 5
01.3 Responsibility waiver ....................................... 5
01.4 Safety requirements........................................ 6
01.5 Symbols .................................................. 8
02 IDENTIFICATION DATA ..................................... 9
02.1 Device data plate.......................................... 9
02.2 Handpiece data ........................................... 9
02.3 Inserts data ............................................... 9
03 DELIVERY...................................................10
03.1 List of the standard equipment ............................ 10
03.2 List of accessories ........................................ 10
04 INSTALLATION AND CONFIGURATION ................. 11
04.1 Safety requirements during installation ....................11
04.2 Device installation .......................................12
04.3 Switching the device on .................................12
04.4 Language selection ......................................14
04.5 Irrigation kit assembly....................................15
04.6 Connection of the handpieces to the device ................ 16
04.7 Assembly of PIEZOSURGERY®medical insert
cover and extension......................................16
04.8 Assembly of the inserts ...................................18
04.9 Description of commands. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
04.10 Device configuration ..................................... 22
04.11 Changing the device configuration ........................ 24
04.12 Foot pedal button ....................................... 25
04.13 Safety requirements before and during use ................. 25
04.14 Important information on inserts ..........................28
04.15 Switching the device off ..................................29
CONTENTS

3
05 MAINTENANCE ...........................................30
06 DISPOSAL MODES AND PRECAUTIONS .................30
07 TECHNICAL DATA.......................................... 31
07.1 Electromagnetic compatibility EN 60601-1-2 ................ 32
08 TROUBLESHOOTING ......................................36
08.1 Diagnostic reports and solutions ..........................36
08.2 Quick troubleshooting guide .............................40
08.3 Replacing the fuses ...................................... 42
09 PACKAGING AND UNPACKING .......................... 43
10 LIMITED WARRANTY ......................................44
10.1 Customer service - returns and/or repairs ................... 45

4
01 INTRODUCTION
01.1 INTENDED USE OF THE PIEZOSURGERY® plus
Read this manual and follow its instructions
carefully before proceeding with the use,
installation, maintenance, or other operations
on the device. Please always keep this manual
within easy reach.
IMPORTANT: to avoid potential serious
injury to the user and the patient and/
or this device or other equipments, read
all the “Safety precautions” present in the
manual with particular attention. The words
WARNING, CAUTION and NOTE contained in
this document, carry special meaning and
must be carefully reviewed.
Depending on their degree of seriousness,
the safety precautions are classied as:
 WARNING(Identiesconditions
orpracticesthatpresentarisk
ofseriousinjuryordeathtothe
patientand/ortheuser)
CAUTION(Identiesconditionsor
practicesthatcouldresultinminor
injuryordevicedamage)
NOTE:Identiesspecialinformation
toclarifyoremphasizeimportant
instructions.
The purpose of this manual is to ensure
that operators are aware of the safety
requirements, installation procedures, and
instructions for correct use and maintenance
of the device and its accessories. Using
this manual for purposes other than
those relating to the installation, use
and maintenance of the device, is strictly
prohibited. The information and illustrations
contained in this manual are updated as
of the date of publication specied on the
last page. Mectron is committed to the
continuous updating of our products, which
may entail changes to components of the
device. If any discrepancies are seen between
the descriptions given in this manual and
your equipment, please contact Piezosurgery
Inc. for clarication.
The PIEZOSURGERY®plus is an ultrasonic
surgical system consisting of handpieces and
associated tips for osteotomy, osteoplasty
and drilling in a variety of surgical procedures
including but not limited to:
- Otolaryngology,
- Oral/Maxillofacial,
- Hand and foot,
- Neurosurgery,
- Spine surgery,
- Plastic/reconstructive surgery,
- Orthopedic surgery
The device may also be used with endoscopie
visual assistance to perform the above listed
procedures.
WARNING: Only use the device for its
intended use. Failure to comply with this
requirement may lead to serious injury
to the patient or operator, and damage/
failure of the device.
WARNING: Carefully read and apply
the recommendations given in this manual
to avoid all risk to patient and/or user
safety. Failure to do so may lead to serious
injury to the patient and/or operator.
WARNING: The device must be used
in the operating theatre of a hospital.
WARNING:Qualiedandspecialised
personnel.This device may only be used
by specialised personnel such as a surgeon
with proper medical culture; no training
activities are foreseen for the use of the
device. If correctly used, this device causes
no side effects. Improper use, on the other
hand, will transmit heat to the tissues.
WARNING:Riskofexplosion.
The device cannot function in places
where there is an atmosphere saturated
with ammable gases (anaesthetic
mixtures, oxygen, etc.).
WARNING: The PIEZOSURGERY®
plus is not suitable for direct cardiac
application.

5
01 INTRODUCTION
01.2 DESCRIPTION OF THE DEVICE
01.3 RESPONSIBILITY WAIVER
The PIEZOSURGERY®plus device uses
piezoelectric ultrasound technology to
generate mechanical micro vibrations that
can cut through mineralised structures
causing minimal damage to soft tissues.
The PIEZOSURGERY®plus has two
piezoelectric channels of different power
types and with independent electronics.
Channel 1 enables the PIEZOSURGERY®
medical handpiece to be used, to which the
sterile, single-use PIEZOSURGERY®medical
inserts can be connected.
Channel 2 enables the PIEZOSURGERY®
medical+ handpiece to be used, to which the
sterile, single-use PIEZOSURGERY®medical+
inserts can be connected.
WARNING: All handpieces can be
used in the applications specied in
the intended use. The PIEZOSURGERY®
medical+ handpiece is especially
recommended in the case of highly
mineralised bone.
The touch screen makes all functions
immediately available; they are activated by
simply pressing the nger against the screen
at the chosen buttons. The user can use
the graphic interface to select the chosen
insert and set the power type and irrigation
values within a range pre-established by the
manufacturer Mectron.
WARNING: To prevent the treated
parts from overheating, we recommend
increasing irrigation levels as power type
increases.
The manufacturer Mectron and the
distributor, Piezosurgery Inc. disclaim any
liability, expressed or implied, and shall have
no responsibility for any direct, indirect or
other damages and personal injury arising
out in connection with any errors in the
use of the device and its accessories. The
manufacturer Mectron and the importer
Piezosurgery Inc. shall be under no liability,
expressed or implied, with respect to any
damages (personal injury and/or damage to
property) which might arise or be caused,
whether by the customer or by any of the
users of the product and its accessories, as
result of:
1Use in procedures other than those
specied in the product’s intended use;
2The environmental conditions in which the
device is kept and stored do not comply
with the requirements indicated in chapter
07 - TECHNICAL DATA;
3The device is not used in accordance
with the instructions and requirements
described in this manual;
4The wiring systems in the room where
the device is used do not comply with
the applicable standards and relevant
requirements;
5Device assembly, extension, regulation,
update or repair has been carried out by
personnel not authorised by Piezosurgery
Inc.; all assistance services must be
provided by qualied personnel only.
CAUTION: The back-up battery
must be replaced with a CR2032 type
identical battery, by Piezosurgery Inc.’s
Service.
6Improper use, damage and/or incorrect
interventions;
7All attempted tampering or changes to
the device in any circumstances;
8Use of non-original Mectron inserts,
which denitively damages the handpiece
thread, affecting correct function and
risking injury to the patient;
9 Use of non-original Piezosurgery/Mectron
inserts, used in accordance to designed
and tested settings of Piezosurgery/
Mectron original inserts. The correct use
of the settings is guaranteed only with
original Piezosurgery/Mectron inserts;
10 Lack of spare materials (handpiece, inserts,
wrenches) to be used in the event of
failure or problem.

6
WARNING: MR-UNSAFE
The Piezosurgery Plus MUST NOT BE
USED in a Magnetic Resonance (MR)
environment.
WARNING:Riskofexplosion.
The device cannot function in places
where there is an atmosphere saturated
with ammable gases (anaesthetic
mixtures, oxygen, etc.).
WARNING:Contraindications.
Interferencewithotherequipment.
Although PIEZOSURGERY®plus complies
with standard IEC 60601-1-2, it may
interfere with other equipment located
nearby. PIEZOSURGERY®plus must not be
used near, or stacked on other equipment.
Install PIEZOSURGERY®plus at a safe
distance from life-support equipment. If
necessary, however, prior their use, please
check and monitor that the device and all
other equipment function correctly in that
layout.
WARNING:Contraindications.
Interferencebyotherequipment.
An electrosurgical knife of other
electrosurgical devices near the
PIEZOSURGERY®plus device, may interfere
with its correct functioning.
CAUTION: If the end user should need
to submit the equipment in its facility to
regular checks, in order to comply with
relevant requirements, the test procedures
to be applied to electromedical systems
and devices to evaluate safety must be
carried out by means of standard IEC
62353 “Medical Electrical Equipment
- recurrent test and test after repair of
medical electrical equipment”.
WARNING:Checktheconditionof
thedevicebeforetreatment. Checking
device status before the treatment. Always
check that there is no water underneath
the device. Before every treatment, always
check that the device works perfectly
and that the accessories are efcient. DO
NOT use the device and its accessories if
damage is apparent. Contact Piezosurgery
Inc. if the abnormalities concern the
device.
CAUTION: The wiring systems in
the room in which the device is installed
and used must comply with applicable
standards and relevant electrical safety
requirements.
CAUTION: To avoid risk of electric
shock, this device must only be connected
to power grids with protective earth.
WARNING: When the peristaltic
pump cover is open, the foot pedal of the
PIEZOSURGERY®plus must not be pressed.
Moving parts may injure the operator.
WARNING:Personalinjury.Take care
to ensure that cables do not hinder the
free movement of personnel.
CAUTION: US Federal Law (of the
United States of America) restricts this
device to sale by or on the order of a
physician
WARNING: Before each use, examine
each part looking for any damages. If
damages are found, do not use.
WARNING: Do not activate the
device if the handpiece is faulty, damaged
or broken. Replace the handpiece
immediately.
WARNING: Only use original
Piezosurgery/ Mectron accessories and
spare parts.
CAUTION: No changes can be made
to this device.
WARNING: The removable panel
on the back of the device can only be
accessed by authorised Piezosurgery Inc.
personnel. Users must not attempt to
remove it or tamper with it as this would
invalidate the warranty and may damage
the device.
WARNING:Contraindications.Do
not use the PIEZOSURGERY®plus on
patients tted with pace-makers or other
implantable electronic devices. This also
applies to the operator.
01.4 SAFETY REQUIREMENTS

7
01 INTRODUCTION
CAUTION:Contraindications.Do
not carry out this treatment on metal
or ceramic prosthetic artefacts. The
ultrasonic vibrations could cause them to
decement.
WARNING:Infectioncontrol.
To ensure maximum patient and operator
safety, before using all reusable parts and
accessories, please ensure that they have
been previously cleaned and sterilised in
accordance with the instructions given in
the Cleaning and Sterilisation Manual.
WARNING:Cleaningand
sterilisationofneworrepairedtools.
All new and repaired reusable device
accessories are supplied non-sterile.
Before rst use, and after each treatment,
they must be cleaned and sterilised in
strict compliance with the instructions
given in the Cleaning and Sterilisation
Manual.
CAUTION: Contraindications. After
having sterilised the handpiece, the torque
wrench or all other sterilisable accessories
in the autoclave, wait for them to have
cooled completely before reusing.
WARNING-Breakageandwearof
theinserts.The high-frequency vibrations
and general wear and tear can, very
occasionally, lead to insert breakage. Do
not bend, change the shape or sharpen
an insert in any way. Bending an insert
or applying leverage to it can cause it to
break. Deformed or otherwise damaged
inserts are liable to break during use.
These inserts must never be used.
Excessive pressure on inserts during use
can cause them to break.
If the tip of the insert comes into contact
with metal objects, it may break leaving
fragments in the operating site.
In the event of breakage, check that no
fragments remain in the treated part,
and at the same time suction effectively
to remove any. If a fragment cannot be
found, use diagnostic tools such as x-rays
to conrm that the broken piece is not
in the surgical area. Check that the insert
is whole on regular occasions during the
intervention, and particularly the apical
part. During the intervention, avoid
prolonged contact with retractors or other
metal tools being used.

8
Serial number
Lot number
Product code
CAUTION: read the instructions for use
Operating instructions
Temperature limitation - transport and storage conditions
Humidity limitation - transport and storage conditions
Atmospheric pressure limitation - transport and storage conditions
Compliance with the CE 93/42, CEE EN 60601-1 e EN 60601-1-2.
Notied body: KIWA CERMET ITALIA.
Nemko Mark
UL CSA conformity
Manufacturer
Date of manufacture
Do not allow ngers to contact moving parts
QTY.1 Quantity of parts in the pack = 1
MR-UNSAFE
The device must not be used in a Magnetic Resonance (MR) environment
Single-use
Applied part of type “B” as per norm EN 60601-1
Can be sterilized in autoclave up to a maximum temperature of 135° C
Non-sterile
The device and its accessories must not be disposed
of or treated as solid urban wastes
Biohazard
I Activation switch “on”
0 Activation switch “off”
Alternating current
Connection of the foot pedal
Equi-potentiality
Rx Only CAUTION US Federal Law restricts this device to sale by or on the order
of a physician
01.5 SYMBOLS
-10 °C
70 °C
10 %
90 %
1060 hPa
500 hPa

9
02 IDENTIFICATION DATA
02 IDENTIFICATION DATA
Each device has its own data plate showing
its technical specications and serial number.
The data plate is placed on the back of the
device. The remaining data is included in this
manual (see chapter 07 - TECHNICAL DATA).
Each handpiece is laser-engraved with the
following (ref. 1):
- the handpiece serial number;
- the handpiece article code;
- the date of manufacture;
- the Mectron logo and the PIEZOSURGERY®
medical logo.
Each insert is laser-engraved with the following:
- the insert name (ref. 2);
- the Mectron logo (ref. 3);
- the batch number to which the insert belongs
(ref. 4);
- the “Single-use” and “CAUTION: read the
instructions for use” symbols (ref. 5).
Each extension/insert cover is laser-engraved
with the following:
- the Mectron logo and “Single-use” symbol (ref. 6);
- the batch number to which the extension/insert
cover belongs (ref. 7);
- the length of the extension/insert cover and the
matching insert name (ref. 8).
02.1 DEVICE DATA PLATE
02.2 HANDPIECE DATA
02.3 INSERTS DATA
An exact description of the model and device serial number will make it easier for our
After-Sales Service to respond to your queries quickly and effectively.
Always provide this information whenever you contact a Piezosurgery Inc. Service Centre.
2
1
MT1-10
A A/XXXXX
3 4 5
6
7
8

10
03 DELIVERY
03.1 LIST OF THE STANDARD EQUIPMENT
See inside cover
The PIEZOSURGERY®plus is provided with:
Adevice body
B2 peristaltic pumps
C2 drip stands for supporting the saline bags
Dmanual of use and maintenance and manual of cleaning and sterilization
Eelectrical power supply cable
Ffoot pedal with bracket, cord and connector
G case
03.2 LIST OF ACCESSORIES
The PIEZOSURGERY®plus consists of accessories provided separately:
H handpiece:
• PIEZOSURGERY®medical + complete with cord and connector protection,
• PIEZOSURGERY®medical complete with cord and connector protection
CAUTION the handpiece and the cord cannot be separated
I torque wrench:
• PIEZOSURGERY®medical L,
• PIEZOSURGERY®medical +,
• PIEZOSURGERY®medical
J single use inserts:
• PIEZOSURGERY®medical +,
• PIEZOSURGERY®medical
WARNING: PIEZOSURGERY®medical+ inserts can only be assembled onto
PIEZOSURGERY®medical+ handpieces. PIEZOSURGERY®medical inserts can only
be assembled onto PIEZOSURGERY®medical handpieces.
K PIEZOSURGERY®medical single use irrigation kit
The device contains electronic components
that may be damaged by impacts, even inside
the packaging. Special care must therefore be
taken for both transport and storage.
All material shipped by Piezosurgery Inc. is
checked at the time of dispatch.
The device is delivered properly protected
and packaged.
Upon receipt of the device, please check
for any possible damages suffered during
transport. If any damage is noted, please le
a complaint with the courier.
Keep the packaging in case you need to send
the device to Piezosurgery Inc. Customer
Service Centre or store it for long periods
during which it will not be used.

11
04 INSTALLATION AND CONFIGURATION
04 INSTALLATION AND CONFIGURATION
04.1 SAFETY REQUIREMENTS DURING INSTALLATION
WARNING: MR-UNSAFE
The Piezosurgery Plus MUST NOT BE
USED in a Magnetic Resonance (MR)
environment.
WARNING:Contraindications.
Interferencewithotherequipment.
Although PIEZOSURGERY®plus complies
with standard IEC 60601-1-2, it may interfere
with other equipment located nearby.
PIEZOSURGERY®plus must not be used
near, or stacked on other equipment. Install
PIEZOSURGERY®plus at a safe distance
from life-support equipment. If necessary,
however, prior their use, please check
and monitor that the device and all other
equipment function correctly in that layout.
WARNING:Contraindications.
Interferencebyotherequipment.An
electrosurgical knife of other electrosurgical
devices near the PIEZOSURGERY®plus
device, may interfere with its correct
functioning.
WARNING:Riskofexplosion.
The device cannot function in places where
there is an atmosphere saturated with
ammable gases (anaesthetic mixtures,
oxygen, etc.).
CAUTION: The wiring systems in the
room in which the device is installed and
used must comply with applicable standards
and relevant electrical safety requirements.
CAUTION: To avoid risk of electric
shock, this device must only be connected
to power grids with protective earth.
CAUTION: Do not expose the device to
direct sunlight or sources of UV light.
WARNING: When the peristaltic
pump cover is open, the foot pedal of the
PIEZOSURGERY®plus must not be pressed.
Moving parts may injure the operator.
WARNING: Install the device in a place
where it will be protected from blows and
accidental sprays of water or other liquids.
WARNING: Do not install the device
on, or in the vicinity of heat sources. Install
it in such a way as to ensure adequate
circulation of air around the device. Leave
sufcient free space around it, in particular
with reference to the fan on the back of the
device.
CAUTION: The device can be
transported, however it must be handled
with care when moved. Position the foot
pedal on the oor in such a way that it
can only be activated intentionally by the
operator.
CAUTION: Position the device in such
a way as to ensure that the plug is easily
accessible as this is considered a means for
disconnecting the power supply.
CAUTION: Before connecting the
handpiece cord to the device, check that
the electrical contacts are perfectly dry.
Dry with compressed air if necessary.
CAUTION: Do not allow the machine
body or foot pedal to become wet. If liquid
should enter the machine body or foot
pedal, this may cause damage.
CAUTION: No changes can be made to
this device.
To ensure correct operation of the device, it
must be installed by a person authorized by
Piezosurgery Inc. The device must be
installed in a suitable place that is handy for
its use.
The technician will need to carry out the
following 6 steps:
1Unpack the device;
2Explain to the user what precautions need
to be taken to ensure correct installation;
3Explain to the user all the possible device
congurations;
4Explain how to clean, sterilise and maintain
the system;
5Fill in the installation and hospital
personnel training forms;
6Send Piezosurgery Inc. the completed
forms to guarantee traceability of the
device and the activation of the warranty.

12
Connect the foot pedal to the back of
the device in the socket marked with
the symbol , using the foot pedal
cable plug, ensuring it clicks into place.
To disconnect the foot pedal from the
machine body, grasp the connector, crush
the release sleeve and pull backwards;
NOTE: if the foot pedal ceases functioning,
the button on the back, left of the device,
below the symbol , can be used to
continue treatment.
04.2 DEVICE INSTALLATION
1
2
3
4
Insert the power supply cord into its
connector on the back of the device and
then into the wall socket;
CAUTION: Position the device in
such a way as to ensure that the plug
is easily accessible as this is considered
a means for disconnecting the power
supply.
NOTE the foot pedal is tted with a
bracket that, if positioned vertically,
enables it to be moved to the most
appropriate place for use, with no need
to touch it with hands to move it.
The bracket can also be positioned
horizontally if not in use;
Equipotential plug: there is an additional
equipotential plug on the back of the
device. The plug complies with DIN 42801.
Insert the equipotential cable connector
(not supplied) onto the plug on the back of
the device. The purpose of the additional
equipotential connection is to reduce the
difference in potential that may occur
during operation between the device body
and the conductive parts of other objects
within the medical environment;

13
Insert the irrigation bag support rods into
the holes provided;
5
Install the two peristaltic pumps, gently
pushing the head of the peristaltic pump
towards the corresponding base (on the
device). Carefully rotate the pump head
forwards and backwards to ensure the two
parts coincide;
6
7Rotate the pump in a clockwise direction
until the head locks into position (with a
clicking sound) and is arranged vertically.
Pull the pump gently to ensure that it is
correctly positioned.
CLICK!
04.3 SWITCHING THE DEVICE ON
Switch the device on by means of the general
switch on the back of the device body, taking
care not to press the foot pedal down during
this stage.
on
off
04 INSTALLATION AND CONFIGURATION

14
04.4 LANGUAGE SELECTION
CAUTION: The language can only be
chosen if no handpieces are connected to
the device.
2
1
3
4
Switch the device on without any
handpieces connected. After the initial
control of the whole system, the following
screen appears. The rst time the device
is switched on, English is the predened
language. If you wish to choose a different
language, press the ag button;
All the languages available for selection
will appear. Press the ag that corresponds
to the desired language. The conrmation
button will show the language selected;
To conrm, press the conrm button;
The language selected is now the
predened option. At this point, the
handpieces can be connected and the
device congured;
NOTE: if you wish to change the language
during use, disconnect the handpieces
and proceed with conguration.

15
2
1
3
4
Open the peristaltic pump door as far as
possible;
Insert the part of the irrigation tube with
the largest diameter and measuring 15 cm
in length, into the peristaltic pump;
Close the peristaltic pump door
completely;
Open the previously-sterilised handpiece
packaging and the irrigation kit, removing
the tube and xing clips.
Connect the end of the irrigation tube to
the specic attachment on the handpiece.
Fix the irrigation tube to the
cord-handpiece using the clips supplied;
Position the irrigation bag onto the specic
rod;
Remove the protection cap of the spike;
Insert the spike into the irrigation bag;
Open the air inlet on the tube before
starting to use. Open the irrigation tube
clamps, if closed;
04.5 IRRIGATION KIT ASSEMBLY
04 INSTALLATION AND CONFIGURATION

16
1
2
04.6 CONNECTION OF THE HANDPIECES TO THE DEVICE
Channel 1 enables the PIEZOSURGERY®
medical handpiece to be used, to which
the sterile, single-use PIEZOSURGERY®
medical inserts can be connected. Channel
2 enables the PIEZOSURGERY®medical+
handpiece to be used, to which the sterile,
single-use PIEZOSURGERY®medical+
inserts can be connected.
Insert the handpiece cord connector into
the specic socket on the front panel of
the machine body, ensuring that the point
marked on the connector is lined up with
the point marked on the ring nut of the
machine body. Gently push the handpiece
cord connector until it bottoms out;
CAUTION: To avoid damaging
the cord-handpiece, connect and/
or disconnect it, holding it by the
connector only. Never pull the
cord.
Screw the extension supplied in the kit into
the PIEZOSURGERY®medical+ handpiece
till it bottoms out;
Unscrew the metal front cone of the
handpiece by twisting in an anticlockwise
direction;
04.7 ASSEMBLY OF PIEZOSURGERY® MEDICAL+
INSERT COVER AND EXTENSION
1

17
6
4
5
3Tighten the extension using the
PIEZOSURGERY®medical L torque wrench;
For correct use of the Mectron torque
wrench, proceed as follows:
Insert the extension into the
PIEZOSURGERY®medical L torque wrench
as shown;
Hold the central body of the handpiece
rmly;
CAUTION: Do not grip the end
and/or cord of the handpiece; only
hold the central body. Do not rotate
the handpiece; simply hold it rmly
and rotate the wrench only.
Turn the wrench in a clockwise direction
until the clutch engages (the outer body
of the wrench turns in relation to the
handpiece, making mechanical clicking
sounds”CLICK”).
The extension is now properly tightened
and has clicked into place;
Screw the cover supplied in the kit into the
PIEZOSURGERY®medical+ till it bottoms
out;
click!
WARNING: PIEZOSURGERY®
medical+inserts. Always screw in
the cover supplied with the extension
to protect surrounding tissues from
overheating.
CAUTION: Manually screw the
cover onto the handpiece till it bottoms
out. Do not use any type of wrench.
04 INSTALLATION AND CONFIGURATION

18
2
3
1
click!
CORRECT
NOT CORRECT
4
04.8 ASSEMBLY OF THE INSERTS
Insert the insert into the wrench as shown;
Hold the central body of the handpiece
rmly. Turn the wrench in a clockwise
direction until the clutch engages
(the outer body of the wrench turns
in relation to the handpiece, making
mechanical clicking sounds “CLICK”). The
insert is now properly tightened into place;
CAUTION: Do not grip the end and/
or cord of the handpiece; only hold
the central body. Do not rotate the
handpiece; simply hold it rmly and
rotate the wrench only.
Screw the chosen insert into the handpiece
or extension till it bottoms out;
Fasten the insert using the PIEZOSURGERY®
medical or PIEZOSURGERY®medical+
torque wrench.
To use the Mectron torque wrench
correctly, proceed as follows:
WARNING: Only screw the specic
inserts supplied in the blister pack onto
the extension. Do not screw any other
types of inserts.
WARNING: Do not screw the insert
provided with the extension directly on
the handpiece.
WARNING: PIEZOSURGERY®
medical+ inserts can only be assembled
onto PIEZOSURGERY®medical+
handpieces. PIEZOSURGERY®medical
inserts can only be assembled onto
PIEZOSURGERY®medical handpieces.
CAUTION: Do not use the
PIEZOSURGERY®medical L torque
wrench to fasten the inserts. The
PIEZOSURGERY®medical L torque
wrench must only be used to fasten the
extension.

19
04.9 DESCRIPTION OF COMMANDS
The PIEZOSURGERY®plus screen is tted with
a built-in touch screen. The commands
can be selected by simply pressing the nger
against the screen at the chosen buttons.
CAUTION: Do not use any sharp or
pointed objects on the LCD screen; they
may damage the touch screen or screen.
Simply press with a nger, including if
wearing latex gloves, to choose the de-
sired settings.
SHUTDOWN BUTTON
Closes the work session.
WHITE
The button is not selected
LIGHT BLUE
The button is currently operating
DARK BLUE
The button has been selected
Below are the functions available:
Each button has three different view options available:
CONFIRMATION BUTTON
Conrms that the message has
been read
CANCEL BUTTON
Cancels
04 INSTALLATION AND CONFIGURATION

20
PAGE LAYOUT BUTTONS
When there are more than 8 inserts, the page
layout buttons allow the viewing page to be
changed.
INSERT BUTTONS
These enable the selection of the inserts
belonging to a specic family. They are listed
according to increasing number, with up to 8
shown per page.
INSERT FAMILY BUTTONS
These enable the selection of the insert
family:
- MT: osteotomy
- MP: osteoplasty, curettage
- MD: drilling
- MF: nishing close to critical structures
HANDPIECE BUTTON
This enables the handpiece connected to the
specic working channel to be selected.
The colour of the handpiece shows which
handpiece has been connected:
- Grey: PIEZOSURGERY®medical handpiece,
- Black: PIEZOSURGERY®medical+ handpiece.
Depending on the handpiece inserted, the
related settings screen is shown.
PUMP BUTTON
This enables the irrigation circuit to be lled
before starting treatment, so as to start
surgery with the irrigation required. The
colour of the symbol refers to the handpiece
to which it is associated.