NSK iCare+ User manual

iCare+ Operation Manual 10-8-1
0535

iCare+ Operation Manual 10-8-1 p. 1
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iCare+ Operation Manual 10-8-1 p. 2
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"Congratulations for purchasing your new iCare+ device"
iCare+ is an innovative Care & Maintenance system for the treatment of rotary dental devices (contra-angles,
straight handpieces, turbines) and dynamic dental devices (air scalers) with the following benefits :
-iCare+ insures cleaning-disinfection and lubrication of rotary and dynamic dental instruments
-iCare+ treats the inner and outer surfaces of different instruments (contra-angles, straight handpieces,
turbines…)
-Complete treatment of up to 4 instruments in 14 minutes
-Up to 4 instruments can be treated simultaneously and automatically
-Rotating port for contra-angles and straight handpieces guarantees the best possible cleaning, disinfection
and lubrication results
-Validation and traceability ensured by embedded software
-3 available treatment cycles : complete, partial, short

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TABLE OF CONTENTS
CHAPTER 1: SAFETY INSTRUCTIONS ____________________________________________ 5
1.1. Intended use and user _____________________________________________________________________ 5
1.1.1 Intended use ____________________________________________________________________________________ 5
1.1.2 User ___________________________________________________________________________________________ 5
1.2. General safety measures ___________________________________________________________________ 5
1.2.1. Adhesive safety labels ____________________________________________________________________________ 7
1.2.2. Position of safety labels ___________________________________________________________________________ 8
1.3. Individual safety measures _________________________________________________________________ 8
CHAPTER 2: DESCRIPTION OF iCare+ DEVICE _____________________________________ 9
2.1. Packaging contents________________________________________________________________________ 9
2.2. Description of iCare+ device _______________________________________________________________ 10
CHAPTER 3: USE of iCare+ DEVICE_____________________________________________ 13
3.1. Setup__________________________________________________________________________________13
3.1.1. Installing the iCare+ device _______________________________________________________________________ 13
3.1.2. Connecting the air supply_________________________________________________________________________ 13
3.1.3. Electrical connection ____________________________________________________________________________ 14
3.2. Implementation of the products ____________________________________________________________ 15
3.2.1. Positioning of n.Clean and n.Cid bottles Implementation of the products __________________________________ 15
3.2.2. Filling the oil tank _______________________________________________________________________________ 17
3.3 Validation test ___________________________________________________________________________18
3.3.1. On site validation test____________________________________________________________________________ 18
3.3.2. Periodical validation test _________________________________________________________________________ 18
3.4. Connection of the instruments _____________________________________________________________ 18
3.4.1. Treated instruments _____________________________________________________________________________ 18
3.4.2. Installation of the instruments_____________________________________________________________________ 18
3.4.3. Removing the instruments _______________________________________________________________________ 20
3.5. Programming of iCare+ device______________________________________________________________ 22
3.5.1. The Control panel _______________________________________________________________________________ 22
3.5.2. Connecting the instruments_______________________________________________________________________ 24
3.5.3. Selecting the program ___________________________________________________________________________ 24
3.5.4. Selecting the instruments_________________________________________________________________________ 24
3.5.5. Selecting the type of instrument ___________________________________________________________________ 25
3.5.6. Launching the cycle _____________________________________________________________________________ 27
CHAPTER 4: USER MAINTENANCE_____________________________________________ 29
4.1. General cleaning guidelines________________________________________________________________29
4.2. General maintenance guidelines ____________________________________________________________29
4.2.1. Cleaning the treatment chamber___________________________________________________________________ 30
4.2.2. Cleaning the external parts _______________________________________________________________________ 30

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4.2.3. Emptying the used products of the drawer ___________________________________________________________ 30
4.2.4. Cleaning the drawer _____________________________________________________________________________ 31
4.2.5. Replacing the junction support blister_______________________________________________________________ 32
4.2.6. Replacing the o-ring joints of E-type connector _______________________________________________________ 32
4.2.7. Replacing the fuse of the supply inlet _______________________________________________________________ 33
CHAPTER 5: ERROR MESSAGES FROM OPERATING LIGHT INDICATORS _______________ 34
CHAPTER 6: TRACEABILITY __________________________________________________ 35
CHAPTER 7: TROUBLE SHOOTING _____________________________________________ 35
CHAPTER 8: BREAK-DOWN GUIDE ____________________________________________ 36
8.1. Error messages __________________________________________________________________________36
8.1.1. Liquid sensor ___________________________________________________________________________________ 36
8.1.2. Oil sensor _____________________________________________________________________________________ 36
8.1.3. Drawer sensor__________________________________________________________________________________ 36
8.1.4. Air sensor _____________________________________________________________________________________ 37
8.1.5. Door sensor____________________________________________________________________________________ 38
8.2. Fatal error______________________________________________________________________________38
CHAPTER 9: SPECIFICATIONS_________________________________________________ 39
9.1. Technical specifications: __________________________________________________________________39
9.2. Device classification ______________________________________________________________________39
9.3. Symbol Mark ___________________________________________________________________________40
CHAPTER 10: ACCESSORIES AND PART LIST _____________________________________ 41
CHAPTER 11: APPENDICES___________________________________________________ 42
CE Certificate of Conformity ___________________________________________________________________42
EMC INFORMATION _________________________________________________________________________43
WARRANTY ________________________________________________________________________________45

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CHAPTER 1: SAFETY INSTRUCTIONS
1.1. Intended use and user
1.1.1 Intended use
The iCare+ is an automatic decontamination system intended to be used for disinfecting invasive medical devices in
dentistry (soiled dynamic dental handpieces) prior to sterilization.
For this, iCare+ carries out four mandatory steps of a decontamination process, namely:
• Purge
• Cleaning
• Disinfection
• Lubrication
1.1.2 User
The iCare+ device is a product intended to be used only by qualified professionals from the dental field in medical
typed environments such as private clinics, hospitals, dental offices or else university laboratories.
1.2. General safety measures
The user is advised to comply with the following instructions:
The device must only be used in accordance with the instructions given in this user's manual in terms of
safety precaution and use of the system
The power supply of the location where iCare+ device will be used has to comply with IEC requirements and/
or with locally applicable regulations in force
The manufacturer, installer and importer are only responsible for the device's safety, reliability and performance if
the aforementioned points have been respected.
Prior to a written request, the manufacturer is able to provide a technical description, diagrams and test instructions
which he considers to be useful in order for an authorized skilled technician to repair and maintain the repairable
parts of the device.
IMPORTANT: Read this manual carefully before using your device. It contains
important information for the correct use of your iCare+ device

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Caution symbol
This symbol is designed to catch the reader's attention to any text containing vital
safety information. You are asked to read closely and understand properly each of the
sections concerned immediately before using your iCare+ device
Information symbol
Text preceded by this symbol contains useful information for using your iCare+
device
The iCare+ device has been designed in accordance with current safety standards for similar devices. Despite this, it
is essential that a number of important safety measures have to be applied in order to avoid any potential incident
or even accident.
These main safety requests have to be taken into consideration by the user.
Use the iCare+ device only indoors
Do not install or use iCare+ device near a naked flame owing to the risk of
explosion
Do not install or use iCare+ device in direct contact with sunlight
Ensure that the iCare + device is placed in a ventilated place
Store iCare+ device at temperature between 0°C and 50°C and humidity rate
under 80%
Use iCare+ device in a temperate room (22-40°C)
Do not place n.Cid bottles near a heat source
Do not turn the device upside down
Place the device horizontally on a flat surface
Only use NSK products when operating iCare+ device (n.Clean as cleaning
product, n.Cid as disinfection product, NSK Oil as lubrication product)
During the installation of iCare+ device, leave a space of 5 cm free on each
side
Be sure that air supply pressure provided by iCare+ device is set between 5
and 6 bar
Do not remove the bottles (n.Clean or n.Cid) while iCare+ device is in use
If not using iCare+ device for a long period, switch of it and cut the air arrival
Only use NSK components for the maintenance of iCare+ device. The use of
different components may damage the device

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1.2.1. Adhesive safety labels
Adhesive safety labels have been placed for iCare+ device on important locations. These include storage instructions
of the bottles and the device and information about the device's features.
The adhesive labels described below must be kept intact and should, if necessary, be
replaced with the substitution labels provided with the accessories. In order to avoid
damaging these labels, do not use abrasive products to clean your iCare+ device.
LA-1 LA-2 LA-3
LA-4
LA-5
Figure 1: List of safety labels for iCare+ device
LA-1: NSK OIL label (product for lubrication)
LA-2: n.Clean label (product for cleaning)
LA-3: n.Cid label (product for disinfection)
LA-4: iCare+ device label with serial number
LA-5: Warning label about risk that may be caused by the needles

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1.2.2. Position of safety labels
The safety labels are glued on different parts of iCare+ device. The labels LA-1-2-3 are positioned on the internal
surface of the top cover and as for LA-4 it is placed on the bottom panel of the unit housing.
The label LA-5 is positioned near the housing for the bottles of products.
1.3. Individual safety measures
All the safety measures referenced below must be followed closely in order to prevent exposure to risks of the user.
Never handle the power cord with wet hands; risk of electrocution
CAUTION: NSK does not warrant the use of a power cord other than that
provided in the package.
Make sure the wall outlet has an earth connection with a differential
(breaker)
Be careful not to inject water into the device; fire risk as a result of short
circuits
Make sure to switch OFF the unit before any cleaning or maintenance
action; risk of electrocution
Do not attempt to dismantle any part of the device. In case of breakdown,
contact your retailer directly
In case of emission of smoke or a smell of burning, immediately switch off
the iCare+ device and contact your retailer directly
Do not use the iCare+ with flammable gases

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CHAPTER 2: DESCRIPTION OF iCare+ DEVICE
2.1. Packaging contents
Article n°
Description
Quantity
1
CD of installation with User Manual
1
2
Power cord
1
3
A 4/6 mm diameter tube for the pneumatic system
(length: 2 m) with “T” junction connector
1
4
iCare+ device
1
5
n.Clean, n.Cid, lubrication oil (Products not included
into iCare+ package. Must be ordered separately)
-
Upon delivery of the unit, please verify that the packaging has no damage
during shipment.
For shipment, always use the packaging of iCare+.
Keep the packaging away from children.
4
2
3
1
5

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2.2. Description of iCare+ device
Top cover for access to the housing of implementation of products: A
Treatment chamber with connection of instruments: B
Door for access to the treatment chamber: C
Removable drawer for collecting the soiled products: D
Control panel which enables the user to monitor the device: E
Figure 2: Front panel of iCare+ device
F
Figure 3: Rear panel of iCare+ device
G
Power supply inlet: F
Air filter: G

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Housing for the different products: H
USB connection: I
A
H
H
Power supply inlet: A
Air filter: B
Figure 4: Top rear panel of iCare+ device + USB connection
I
H

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A: Cycle selection button A': Operating light indicators (LEDs) for cycle selected
B: Ext w-o (or Spray) button for selection of the model of the handpiece(s)
C: Instruments selection and Oil volume button (Short or Long mode)
D: Start-up button. This button can also be used to stop the unit during cycle (with a long press).
E: Cycle progress operating light indicators (LEDs)
F: Warning operating light indicators (LEDs) for consumables state and for drawer, air, door state
1, 2, 3, 4: Indicator of the type of instrument (if the indicator is lit: instrument with external spray or without spray)
A
B
A'
E
D
F
1
2
3
6
4
6
C
Figure 5: Control Panel of the iCare+ device

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CHAPTER 3: USE of iCare+ DEVICE
CAUTION: The use of controls, settings or the implementation of procedures other
than those specified below may expose users and patients to danger
3.1. Setup
3.1.1. Installing the iCare+ device
You should install the iCare+ device as requested below:
The device should be positioned on a flat, solid and level surface. The
maximum weight of the device, fully loaded, in conditions of use is 16 kg
The device should not be placed near a sink or any source that may splash it
The device should be placed in a room properly ventilated
The device should be kept away from any source of heat
3.1.2. Connecting the air supply
Insert the air supply tube in the air filter: J, fixed on the Rear panel's device. Be sure that
the air tube is attached properly to the filter (see Figure 6). Connect the "T-shaped fast-on"
connector to the surgery compressor's air supply.
Following the norm EN ISO 7494-2, the air quality provided to iCare+ has to
be dry, clean and free from bacteria and contamination.
The pressure of the air supply should be between 5 and 6 bar
The minimum air flow level provided to the unit is 50 L./mn.
It is necessary to follow the above mentioned parameters in order to avoid
some dysfunctions or damage of the unit.
Figure 6: Connection of the tube in the
pneumatic system of iCare+ device
J

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The pressure of the air supply must not be under 5 bar or above 6 bar. A
pressure sensor detects if the air pressure is too low or too high and stops
the machine. The operator is informed by an operating light indicator
positioned on the Control Panel.
Do not fold or deform the air supply tube
If you experience some difficulties during the connection step, please
contact your retailer
The air filter has an effective filter size of 5µm
3.1.3. Electrical connection
Connect the device by means of a power cord provided into the iCare+ package. This cable is
a Class I cable.
Just insert the power cord in the socket: K, on the iCare+ device's panel.
K
Figure 8: Electrical connection of
iCare+ device
Cut off the air arrival. Connect
the tube coming from the unit
and from the iCare+ device on
the “T” connector. Connect
the compressor’s arrival on
the “T” connector
EXAMPLE OF CONNECTION
DENTAL UNIT
AIR CONNECTION
iCare+ DEVICE
AIR COMPRESSOR
“T”CONNECTOR
Figure 7: Connection of the iCare+ device to the air system

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CAUTION: NSK do not warrant the use of other power cord than the one provided
with iCare+.
3.2. Implementation of the products
3.2.1. Positioning of n.Clean and n.Cid bottles Implementation of the products
Start by opening the Top cover and take the bottles of n.Clean and n.Cid solutions supplied (see Figure 9).
CAUTION:
Keep the products in a cool dry place and well ventilated. Not exposed to
sunshine.
Avoid any contact with skin and eyes.
It is recommended to use protective glasses and gloves during handling of
bottles or during emptying of the waste drawer.
In case of contact with the eyes, rinse the eyes with water with the eyelids
open for a sufficient length of time, and then seek ophthalmological advice
immediately.
In case of contact with skin, wash off immediately with soap and water. In
case of skin reactions, seek medical advice.
In case of inhalation, move affected person into fresh air. In case of irritation
of the airways, seek medical advice.
If swallowed, rinse out mouth and then drink plenty of water. Do not induce
vomiting. Seek medical advice.
Figure 9: n.Clean & n.Cid ready to be positioned on iCare+ device

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CAUTION: Do not forget to remove the metallic cap on each bottle, before starting
the implementation of the consumables; you may damage the iCare+ device.
Push the bottle of n.Clean solution into the correct housing (see Figure 10) and after that do the same thing with the
n.Cid solution bottle (see Figure 11). To insert the bottles, a short pressure on them is enough. It is not necessary to
push them strongly because they can be damaged.
For each bottle of solution or for the Oil, a coloured sticker is used to avoid
confusions between the products during the implementation of them:
For the n.Clean solution, a yellow sticker on its bottle and a yellow safety
adhesive label on its housing (of the Top rear panel) are glued
For the n.Cid solution, a grey sticker on its bottle and a grey safety adhesive
label on its housing (of the Top rear panel) are glued
The oil is directly poured into the tank (on the Top rear panel) on which a
blue safety adhesive label is glued
Always use n.Clean and n.Cid bottles supplied by NSK Europe GmbH.
The efficiency of the iCare+ device is optimized and certified for n.Clean and n.Cid
products.
Cleaning and disinfecting protocols have been calculated using these products.
The use of any other product may lead to a failure or damage of the iCare+ device or
of the instruments connected to, and the efficiency of the device will not be
ensured.
Therefore, in case of non compliance, the user will be considered as responsible.
CAUTION: When the bottles are not inserted, the needles, if reachable, can cause a
risk of injury
Figure 10: Implementation of
n.Clean bottle (500 mL)
Figure 11: Implementation of
n.Cid bottle (500 mL)

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3.2.2. Filling the oil tank
Shake well the maintenance Oil. Unscrew the tank's cap (see Figure 12) and pour the Oil in (see Figure 13). Please fill
the tank up to 20 mm from the top edge of the tank. After filling, screw its cap back on.
Always use NSK Oil for handpiece in the iCare+ device to ensure optimal
operating conditions
After filling the tank, be sure to have properly closed its cap
Once the tank is filled and the cap properly attached, close the Top cover. After that you can start connecting the
different instruments.
Figure 12: Unscrewing the Oil tank's cap
of iCare+ device
Figure 13: Filling the Oil tank of iCare+
device
20 mm

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3.3 Validation test
3.3.1. On site validation test
This test must be performed prior to first start-up. It consists of a series of tests in order to validate that the
functioning parameters are functioning after the installation of iCare+.
3.3.2. Periodical validation test
NSK recommend to perform this periodical validation test every year, in order to validate that the performance of
iCare+ is still optimum.
3.4. Connection of the instruments
3.4.1. Treated instruments
The iCare+ is a device whose function is to ensure the cleaning and disinfection of dental rotary and dynamic
instruments.
The iCare+ device allows the cleaning and disinfection of internal and external surfaces of different instruments. The
main instruments intended to be treated are handpieces: contra-angles and turbines.
The different types of instruments that can be treated by iCare+ device are listed in the table 1 (please refer to the
part 3.3.5. Selecting the type of instrument).
3.4.2. Installation of the instruments
With the iCare+ device, it is possible to connect 2 kinds of instruments by means of 2 different connectors:
Air turbine connector for turbines.
E-type connector for contra-angles.
To connect a turbine with Midwest 4 holes(in accordance with the ISO 9168 standard) , start by opening the door
and connect the turbine directly to turbine connector of the iCare+ (see Figure 14) and screw the ring on tightly (see
Figure 15). Finish this operation by closing the door. Take care of the position of the turbine connector.
Do not use the door as a support : do not put anything on the door when open.

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To connect a turbine with other connection type, it is necessary to install the corresponding adaptor first (Please
refer to the list of available adaptors into the chapter 10).
Insert the adaptor and screw the ring on firmly; check the positioning
of the different nozzles.
It is necessary to use a specific iCare+ air turbine adaptor. These are especially
designed to deliver the right volume of product required for each instrument.
NSK does not guarantee a good working of the device with any other coupling.
Figure 14: Connection of one turbine
Figure 15: Screwing the ring on the Midwest
coupling
Figure 16: Change of turbine adaptor