parkell Integra D680 User manual

Caution: Federal Law restricts this device to sale by or on the order of a properly licensed practitioner.
Integra™
Ultrasonic Tooth Scaler
Model D680
Device Description:
The Integra is an autotune ultrasonic tooth
scaler that operates at either 25KHz or
30KHz. The Integra automatically detects
whether the handpiece contains a 25KHz
or 30KHz insert, and switches operating
frequency to match. A dramatically
expanded low-power range improves
comfort during debridement.
Intended use/indications:
For removal of calculus and plaque during
dental prophylaxis.
Contraindications:
Not for use if the patient or operator is
wearing a pacemaker, or any other internal
electronic device.
Precautions:
Caution: Water fl ow during use must be
suffi cient to cool handpiece and insert.
Do not run this device dry.
IMPORTANT: The water supply line to
the scaler should always be turned off
whenever the device is being connected,
disconnected, or when not in use.
Caution: Do not allow prolonged contact
of tip with lips, cheeks, tongue or other
soft tissues.
Caution: Take precautions to prevent
transmission of contagious diseases from
ultrasonic aerosols.
Caution: Use the sides of the tip to remove
deposits from the tooth. Do not gouge the
tooth with the point.
Caution: Precautions should be taken to
guard against entrance of water from any
source into the transformer. The
transformer should be located away
from any source of water.
Individualization of treatment:
• If patient or operator is pregnant, consult
physician concerning advisability of using
ultrasonic scalers.
• Like all scalers of this type, the handpiece
produces a small magnetic fi eld. It has
been reported that this can cause some
sensitive patient monitoring devices such
as pulse oximeters to give inconsistent or
inaccurate readings.
Conformance to Standards:
The Parkell Integra conforms to
IEC60601-1 and CAN/CSA C22.2
No. 601.1. The device is CE marked—
certifi ed to European Medical Device
Directive (93/42/EEC). Parkell’s quality
system is certifi ed to ISO9001/13485.
Included in your unit are:
• 1-Scaler Unit with an attached handpiece,
and 2-autoclavable handpiece sheaths
• 2-fl uid bottles, 1-water line with male
quick-connect coupler, and 1-detachable
foot controller
• 2-In-line Water Filters (Stock No. D419)
• 1-Transformer with cable
(Stock No. D408-120V, D403-230V)
• Instructions and Warranty registration card.
1) Disconnect the scaler from the
water supply.
2) Remove the old fi lter disk by holding it
in one hand and twisting off the hose
connectors on either side. (They rotate in
opposite directions.)
3) Install the replacement fi lter disk, and
fi rmly tighten the connectors using
hand pressure.
4) Reconnect the scaler to the water supply
and check for leaks.
(Note: If the fi lter becomes clogged
and you do not have a replacement disk,
the hose connectors can be locked
together without the fi lter disk to allow
emergency operation.)
If you have any questions, please contact
Parkell Service Dept. at (1-800-243-7446).
Replacement Filters (10 per package):
Stock No. D419
General comments on scaling:
■Ultrasonic scalers should be used only by
trained, licensed professionals.
■Inserts and the handpiece sheath should be
sterilized before each use.
■ Do not operate unit without water fl owing.
■Use of face mask is recommended when
operating this device, to avoid inhalation
of contaminated aerosol by the operator.
High-volume suction to remove this
aerosol from the dental environment (as
close to the source as possible) is also
recommended.
■Use the lowest effective scaling power
for the case at hand. This keeps heat
generation to a minimum.
■Before using the insert in the oral cavity,
adjust the water spray over sink or
cuspidor until desired mist is obtained. For
maximum patient comfort, use a good fl ow
of water which acts as coolant, lubricant
and lavage to fl ush out debris.
■If patient is new to ultrasonic scaling,
tell him/her what to expect. If procedure
becomes uncomfortable, adjust power and
water controls accordingly.
■Grasp handpiece in a comfortable manner,
like holding a pen. To remove deposits
from teeth, always use a light brushing
stroke with the side of the insert tip in
contact with the tooth surface. Excess
pressure will not improve scaling action,
but may cause heating and pain to the
patient. Keep the scaler insert in motion at
all times and use repeated gentle strokes to
remove all tenacious deposits.
■Exercise caution near porcelain and resin
restorations as they can fracture.
■ Occasionally turn unit off to evaluate
deposit removal with an explorer.
■ If you test any scaler tip on your fi ngers
while operating, it will feel uncomfortably
hot. This is not a true test of how it feels
on a tooth. To operate, adjust the power
control to the minimum setting for the case
at hand (start at zero). With a good water
fl ow, the patient will not experience any
uncomfortable heat.
Common operator errors:
■Failure to keep insert tip parallel with the
long axis of the tooth surface.
■Excessive use of hand pressure.
■Failure to use the lowest effective power
setting for the case at hand.
■ Insuffi cient water fl ow.
■Scaling with the point of the insert instead
of the side.
These failures in procedure can result in
ineffective or incomplete removal of
deposits and possible damage to the pulp or
tooth structure.
TROUBLESHOOTING
Unit does not operate (‘power on’ indicator
does not light)
■Transformer cable disconnected from wall
outlet or scaler
■ Wall outlet not live
■Unit fuse has failed (Contact Parkell)
Insert does not vibrate properly
■Faulty, damaged or worn insert
■Insert not correctly seated in handpiece
■Power control not correctly adjusted
Excess heat at handpiece or tip of insert
■Faulty, damaged or worn insert
■ Too little water fl ow (insert blocked)
■Power too high for the amount of water
■Excessive hand pressure applied
No water spray
■ Water line blocked or kinked
■ Water fi lter clogged
■ Water canal in insert blocked
■ No water supply
■ Water bottles empty
Insert does not go into handpiece
■ Lubricate ‘O’ ring with water and use
twisting motion to seat insert
Insert falls out of handpiece or water leaks
from front of handpiece
■ ‘O’ ring damaged or worn. Replace ‘O’
ring on insert.
Additional Specifi cations:
■ Protection Against Electric Shock—Class
1, Type B applied part
■ Equipment not suitable for use in the
presence of a fl ammable anesthetic mixture
(when used with air or with oxygen).
■ Protection Against Ingress of Liquids—
Foot Switch & Scaler - IPX1 (drip-proof),
Power Supply - IPX0 (Ordinary)
■ Mode of Operation of Equipment—
Intermittent: 66% duty cycle, 10 minutes
on, 5 minutes off.
■ Operating conditions: 15-35°C, 10-80%
RH (non-condensing)
■ Transport and Storage conditions: 10-
40°C, 10-80% RH (non-condensing)
■ As an additional safety feature, the
microprocessor will reduce the output
power in the unlikely event the device is
left running, other than in normal usage.
This equipment produces electromagnetic
energy and may cause interference with
other electronic devices. Should this occur,
changing the positioning or location of the
device may be necessary.
The power supply line cord is the AC power
disconnect device for the scaler.
The symbol on the scaler indicates the
Protective Earth connection.
The symbol or is intended to
alert the user to the presence of important
operating and maintenance (servicing)
instructions in the literature accompanying
the scaler.
Service:
The handpiece sheath, power supply, foot
pedal, water fi lter, dip tubes, bottles and
ultrasonic inserts are all detachable and may
be replaced by the user. Contact Parkell for
a list of authorized inserts. Otherwise, there
are No User Serviceable Items in this scaler,
including the foot controller.
For service, return the unit freight prepaid
and carefully packed to Parkell Repair Dept.,
300 Executive Drive, Edgewood, NY 11717,
with an explanation of problem. During the
warranty period, the unit will be repaired and
returned to you. After the warranty period,
we will call with an estimate and request
approval.
If you have any questions or a problem with
the installation or use of your scaler, please
call our Toll-Free Technical Support Service
at 1-800-243-7446 from 9am to 5:30pm
Eastern time (outside USA and Canada,
call 631-249-1134).
European Authorized Representative (Not a dealer/distributor): EMERGO EUROPE
Molenstraat 15, 2513 BH, The Hague, The Netherlands • Tel: [phone] • Fax: [phone]
300 Executive Drive, Edgewood, NY 11717
Toll-Free: 1-800-243-7446 • Phone: [phone] • Fax: [phone]
E-mail: [e-mail] • www.parkell.com • Made in U.S.A. A00545revB0313

Ultrasonic inserts are not included with the
Parkell Integra. However, this scaler will
accept any scaler insert manufactured by
Parkell, Cavitron/Dentsply®, Hu-Friedy®,
or other “Cavitron-compatibles”.
Specifi cations:
■ Operating frequencies - 25KHz and
30KHz
■ Operates at room temperature between
50°F and 95°F (10°C - 35°C)
■ Weight: 35 oz. / Dimensions: 5”W x 6”H
x 11.5”D
■ Power: l20VAC model - 60Hz, 120VA;
230VAC model - 50Hz, 120VA; 100VAC
model - 50/60Hz, 120VA;
Locating your Integra Scaler:
• Locate the device where the control
panel will be easy to reach during
scaling procedures.
• The scaler requires a grounded electrical
outlet and optionally, a source of drinking
quality, sediment free water at 20-50 psi.
We suggest that an external water fi lter be
used to minimize the frequent changes
of the device’s in-line water fi lter.
Change the in-line fi lter when it becomes
visibly discolored.
• The scaler and its separate transformer
generate a minimal amount of heat. Avoid
covering them, as this will prevent normal
cooling by the air.
Connecting your Integra to the Water
Supply:
Before plugging in the device, connect
the scaler’s water line to a supply of
drinking quality water (20-50psi). The
male quick-connect that comes on the
end of the water hose is the same as that
currently fi tted to the Cavitron®scaler. If
you are replacing an older scaler that uses
a different type of connection, remove the
fi tting from the old unit and attach it to the
water line.
IMPORTANT: The water line to the
scaler should be turned off whenever the
device is not in use.
If you are using the internal water bottles
to supply fl uid to the unit, fi ll them with
the appropriate fl uid such as water-diluted
Peridex or mouthwash. Do not overfi ll
the bottles. Take care to avoid spills when
placing the bottles into the scaler.
Connecting your Integra to the
Electrical Connection: (See fi gure 1)
The scaler must be powered via the
Transformer Assembly supplied with
the scaler.
1) Plug the transformer cable into the back
of the scaler.
2) Plug the transformer into the nearest
grounded outlet.
3) Plug the foot pedal into the back of the
scaler, to allow it to control the device.
Scaling Inserts:
The Integra accepts any Parkell ultrasonic
scaling insert as well as 25K or 30K
inserts designed for Cavitron®scalers. The
scaler automatically adjusts the operating
frequency to match the frequency of the
insert in the handpiece (either 25KHz or
30KHz) without operator intervention.
Brand new inserts may fi t very tightly in the
handpiece. Using a slight twisting motion
when inserting and lubricating the “O”
ring with water will make insertion easier.
Old, worn or blunt inserts will provide poor
scaling action and excess heat, and should
be replaced.
Turning the scaler on and off:
Press any button on the touch panel. The
display will light to indicate the scaler is on.
To turn the scaler off, press the water minus
(–) button and while holding it down press
the power minus (–) button. The display will
go out showing that the unit is off. The unit
will remember any settings you made when
it is turned on again.
To conserve electricity the Integra will go to
“sleep” if it is not used for about 30 minutes.
The display will go out and the unit will not
respond to the foot pedal. To “wake up” the
Integra, simply press any of the buttons on
the touch panel.
Controlling the power:
The Integra gives you three ways to adjust
the scaling power: The Power (+ and –)
buttons on the touch panel at the front of
the unit, a button on
the foot pedal and a
Turbo mode.
Use buttons on the
touch panel to set
the initial power
for the scaling
procedure at hand. Alternatively you can
adjust the power by pressing the button
on the top of the foot pedal. If you press
and release (tap) the button, the power
will increase by one step (i.e. from 4 to 5
as shown by the display). If you press the
button and hold it down, the power will
decrease in steps.
In either case the color coded LEDs will
show any change in the current power
setting.
(Note: The foot pedal power adjustment
feature can be disabled. There is a small
switch on the rear of the foot pedal to allow
you to turn this on and off).
A tip powered by the Integra will begin
oscillating at much lower amplitude (power)
than a tip in a traditional scaler. This
permits more comfortable debridement of
sensitive patients.
For short-term increases in power during
the procedure, simply increase foot-pressure
on the pedal. (The “Turbo” light will
illuminate.) This will instantly boost scaling
power to a point midway between the
current setting and the scaler’s maximum
power. (In other words, increasing foot-
pressure when the scaler is operating at
a low setting will cause a major boost in
power. Increasing foot-pressure when the
scaler is already operating at maximum
power will produce no signifi cant increase.)
To return to normal scaling power, lighten
foot pressure. (The Turbo light will go
out.) The Turbo mode allows you to scale
at lower power than usual because you do
not have to allow for occasional pieces of
residual calculus.
If you encounter hard-to-remove accretions
during debridement, simply use the Turbo
feature to eliminate them. (The Turbo mode
does not change the water fl ow, so extended
procedures may require a water adjustment.)
Selecting the water source:
The water source is selected using the two
toggle switches on the front of the unit. One
switch selects the source, either external or
from the internal bottles. The other switch
allows the user to choose which bottle is
used as a source.
Controlling the water fl ow:
If you are using an external water source,
turn the water control on the back of the
unit counter-clockwise to increase the fl ow.
If you are using the internal bottles as a
source, the fl ow is controlled by using the
Water (+ and –) buttons on the touch panel
at the front of the unit. When you press
either button the display will start to fl ash
to indicate that it is now showing the water
fl ow rate (1 is the lowest 7 the highest). As
you hold the button the fl ow will change as
shown by the display. When you release the
button the display will return to showing
the power level after a few seconds. If water
does not fl ow through the insert when the
foot pedal is depressed, the water passage
in the scaling insert may be clogged or the
bottle(s) may be empty.
Infection control:
When removing the
autoclavable handpiece
sheath, hold the
handpiece at the base
with one hand and turn
the top counter-clockwise
with the other, taking
care not to twist the hose.
The sheath will unscrew
and slip off.
Sheaths can be sterilized
in any conventional steam
autoclave, following
manufactures standard
procedures. DO NOT USE DRY HEAT
OR CHEMCLAVE.
(Note: The sheath must be washed in soap
and water and rinsed in running water
prior to autoclaving. Autoclaving does not
remove debris that has accumulated on the
sheath. Failure to adequately remove debris
may result in inadequate sterilization.)
Before replacing
the sheath, lubricate
the O-ring on the
handpiece with
petroleum jelly to
assure a water-tight
seal. Slide the sheath over the handpiece
carefully to avoid damaging or dislodging
this O-ring, and screw the sheath in place.
(Do not overtighten.)
The exterior case of the scaler may be wiped
with a cloth dampened by any standard
surface spray cleaner as desired.
How to replace the fi lter disk
(time required: 10 seconds.)
The water fi lter disk should be replaced
when it becomes very dark or so clogged
with debris that water fl ow is impeded.
Dip Tube
Easily-removable dual reservoirs
give you a choice of irrigants
Easy-to-clean touch panel resists all
standard disinfectants
Digital fluid and power
controls mean fast,
precise settings (Use
the Smart Foot Pedal
for hands-free power
adjustment.)
Automatically adjusts operating
frequency to match either 25KHz
or 30KHz inserts
When you adjust the power using either the
touch panel or the foot pedal, color-coded
lights indicate the operating power.
Autoclavable
handpiece
sheaths
Handpiece-holder
mounts on left
or right
Foot Pedal Power
External water
flow regulator
External water
connection
Figure 1
External
water
source
Internal
bottle
Rear
bottle
Front
bottle

Ultrasonic inserts are not included with the
Parkell Integra. However, this scaler will
accept any scaler insert manufactured by
Parkell, Cavitron/Dentsply®, Hu-Friedy®,
or other “Cavitron-compatibles”.
Specifi cations:
■ Operating frequencies - 25KHz and
30KHz
■ Operates at room temperature between
50°F and 95°F (10°C - 35°C)
■ Weight: 35 oz. / Dimensions: 5”W x 6”H
x 11.5”D
■ Power: l20VAC model - 60Hz, 120VA;
230VAC model - 50Hz, 120VA; 100VAC
model - 50/60Hz, 120VA;
Locating your Integra Scaler:
• Locate the device where the control
panel will be easy to reach during
scaling procedures.
• The scaler requires a grounded electrical
outlet and optionally, a source of drinking
quality, sediment free water at 20-50 psi.
We suggest that an external water fi lter be
used to minimize the frequent changes
of the device’s in-line water fi lter.
Change the in-line fi lter when it becomes
visibly discolored.
• The scaler and its separate transformer
generate a minimal amount of heat. Avoid
covering them, as this will prevent normal
cooling by the air.
Connecting your Integra to the Water
Supply:
Before plugging in the device, connect
the scaler’s water line to a supply of
drinking quality water (20-50psi). The
male quick-connect that comes on the
end of the water hose is the same as that
currently fi tted to the Cavitron®scaler. If
you are replacing an older scaler that uses
a different type of connection, remove the
fi tting from the old unit and attach it to the
water line.
IMPORTANT: The water line to the
scaler should be turned off whenever the
device is not in use.
If you are using the internal water bottles
to supply fl uid to the unit, fi ll them with
the appropriate fl uid such as water-diluted
Peridex or mouthwash. Do not overfi ll
the bottles. Take care to avoid spills when
placing the bottles into the scaler.
Connecting your Integra to the
Electrical Connection: (See fi gure 1)
The scaler must be powered via the
Transformer Assembly supplied with
the scaler.
1) Plug the transformer cable into the back
of the scaler.
2) Plug the transformer into the nearest
grounded outlet.
3) Plug the foot pedal into the back of the
scaler, to allow it to control the device.
Scaling Inserts:
The Integra accepts any Parkell ultrasonic
scaling insert as well as 25K or 30K
inserts designed for Cavitron®scalers. The
scaler automatically adjusts the operating
frequency to match the frequency of the
insert in the handpiece (either 25KHz or
30KHz) without operator intervention.
Brand new inserts may fi t very tightly in the
handpiece. Using a slight twisting motion
when inserting and lubricating the “O”
ring with water will make insertion easier.
Old, worn or blunt inserts will provide poor
scaling action and excess heat, and should
be replaced.
Turning the scaler on and off:
Press any button on the touch panel. The
display will light to indicate the scaler is on.
To turn the scaler off, press the water minus
(–) button and while holding it down press
the power minus (–) button. The display will
go out showing that the unit is off. The unit
will remember any settings you made when
it is turned on again.
To conserve electricity the Integra will go to
“sleep” if it is not used for about 30 minutes.
The display will go out and the unit will not
respond to the foot pedal. To “wake up” the
Integra, simply press any of the buttons on
the touch panel.
Controlling the power:
The Integra gives you three ways to adjust
the scaling power: The Power (+ and –)
buttons on the touch panel at the front of
the unit, a button on
the foot pedal and a
Turbo mode.
Use buttons on the
touch panel to set
the initial power
for the scaling
procedure at hand. Alternatively you can
adjust the power by pressing the button
on the top of the foot pedal. If you press
and release (tap) the button, the power
will increase by one step (i.e. from 4 to 5
as shown by the display). If you press the
button and hold it down, the power will
decrease in steps.
In either case the color coded LEDs will
show any change in the current power
setting.
(Note: The foot pedal power adjustment
feature can be disabled. There is a small
switch on the rear of the foot pedal to allow
you to turn this on and off).
A tip powered by the Integra will begin
oscillating at much lower amplitude (power)
than a tip in a traditional scaler. This
permits more comfortable debridement of
sensitive patients.
For short-term increases in power during
the procedure, simply increase foot-pressure
on the pedal. (The “Turbo” light will
illuminate.) This will instantly boost scaling
power to a point midway between the
current setting and the scaler’s maximum
power. (In other words, increasing foot-
pressure when the scaler is operating at
a low setting will cause a major boost in
power. Increasing foot-pressure when the
scaler is already operating at maximum
power will produce no signifi cant increase.)
To return to normal scaling power, lighten
foot pressure. (The Turbo light will go
out.) The Turbo mode allows you to scale
at lower power than usual because you do
not have to allow for occasional pieces of
residual calculus.
If you encounter hard-to-remove accretions
during debridement, simply use the Turbo
feature to eliminate them. (The Turbo mode
does not change the water fl ow, so extended
procedures may require a water adjustment.)
Selecting the water source:
The water source is selected using the two
toggle switches on the front of the unit. One
switch selects the source, either external or
from the internal bottles. The other switch
allows the user to choose which bottle is
used as a source.
Controlling the water fl ow:
If you are using an external water source,
turn the water control on the back of the
unit counter-clockwise to increase the fl ow.
If you are using the internal bottles as a
source, the fl ow is controlled by using the
Water (+ and –) buttons on the touch panel
at the front of the unit. When you press
either button the display will start to fl ash
to indicate that it is now showing the water
fl ow rate (1 is the lowest 7 the highest). As
you hold the button the fl ow will change as
shown by the display. When you release the
button the display will return to showing
the power level after a few seconds. If water
does not fl ow through the insert when the
foot pedal is depressed, the water passage
in the scaling insert may be clogged or the
bottle(s) may be empty.
Infection control:
When removing the
autoclavable handpiece
sheath, hold the
handpiece at the base
with one hand and turn
the top counter-clockwise
with the other, taking
care not to twist the hose.
The sheath will unscrew
and slip off.
Sheaths can be sterilized
in any conventional steam
autoclave, following
manufactures standard
procedures. DO NOT USE DRY HEAT
OR CHEMCLAVE.
(Note: The sheath must be washed in soap
and water and rinsed in running water
prior to autoclaving. Autoclaving does not
remove debris that has accumulated on the
sheath. Failure to adequately remove debris
may result in inadequate sterilization.)
Before replacing
the sheath, lubricate
the O-ring on the
handpiece with
petroleum jelly to
assure a water-tight
seal. Slide the sheath over the handpiece
carefully to avoid damaging or dislodging
this O-ring, and screw the sheath in place.
(Do not overtighten.)
The exterior case of the scaler may be wiped
with a cloth dampened by any standard
surface spray cleaner as desired.
How to replace the fi lter disk
(time required: 10 seconds.)
The water fi lter disk should be replaced
when it becomes very dark or so clogged
with debris that water fl ow is impeded.
Dip Tube
Easily-removable dual reservoirs
give you a choice of irrigants
Easy-to-clean touch panel resists all
standard disinfectants
Digital fluid and power
controls mean fast,
precise settings (Use
the Smart Foot Pedal
for hands-free power
adjustment.)
Automatically adjusts operating
frequency to match either 25KHz
or 30KHz inserts
When you adjust the power using either the
touch panel or the foot pedal, color-coded
lights indicate the operating power.
Autoclavable
handpiece
sheaths
Handpiece-holder
mounts on left
or right
Foot Pedal Power
External water
flow regulator
External water
connection
Figure 1
External
water
source
Internal
bottle
Rear
bottle
Front
bottle

Ultrasonic inserts are not included with the
Parkell Integra. However, this scaler will
accept any scaler insert manufactured by
Parkell, Cavitron/Dentsply®, Hu-Friedy®,
or other “Cavitron-compatibles”.
Specifi cations:
■ Operating frequencies - 25KHz and
30KHz
■ Operates at room temperature between
50°F and 95°F (10°C - 35°C)
■ Weight: 35 oz. / Dimensions: 5”W x 6”H
x 11.5”D
■ Power: l20VAC model - 60Hz, 120VA;
230VAC model - 50Hz, 120VA; 100VAC
model - 50/60Hz, 120VA;
Locating your Integra Scaler:
• Locate the device where the control
panel will be easy to reach during
scaling procedures.
• The scaler requires a grounded electrical
outlet and optionally, a source of drinking
quality, sediment free water at 20-50 psi.
We suggest that an external water fi lter be
used to minimize the frequent changes
of the device’s in-line water fi lter.
Change the in-line fi lter when it becomes
visibly discolored.
• The scaler and its separate transformer
generate a minimal amount of heat. Avoid
covering them, as this will prevent normal
cooling by the air.
Connecting your Integra to the Water
Supply:
Before plugging in the device, connect
the scaler’s water line to a supply of
drinking quality water (20-50psi). The
male quick-connect that comes on the
end of the water hose is the same as that
currently fi tted to the Cavitron®scaler. If
you are replacing an older scaler that uses
a different type of connection, remove the
fi tting from the old unit and attach it to the
water line.
IMPORTANT: The water line to the
scaler should be turned off whenever the
device is not in use.
If you are using the internal water bottles
to supply fl uid to the unit, fi ll them with
the appropriate fl uid such as water-diluted
Peridex or mouthwash. Do not overfi ll
the bottles. Take care to avoid spills when
placing the bottles into the scaler.
Connecting your Integra to the
Electrical Connection: (See fi gure 1)
The scaler must be powered via the
Transformer Assembly supplied with
the scaler.
1) Plug the transformer cable into the back
of the scaler.
2) Plug the transformer into the nearest
grounded outlet.
3) Plug the foot pedal into the back of the
scaler, to allow it to control the device.
Scaling Inserts:
The Integra accepts any Parkell ultrasonic
scaling insert as well as 25K or 30K
inserts designed for Cavitron®scalers. The
scaler automatically adjusts the operating
frequency to match the frequency of the
insert in the handpiece (either 25KHz or
30KHz) without operator intervention.
Brand new inserts may fi t very tightly in the
handpiece. Using a slight twisting motion
when inserting and lubricating the “O”
ring with water will make insertion easier.
Old, worn or blunt inserts will provide poor
scaling action and excess heat, and should
be replaced.
Turning the scaler on and off:
Press any button on the touch panel. The
display will light to indicate the scaler is on.
To turn the scaler off, press the water minus
(–) button and while holding it down press
the power minus (–) button. The display will
go out showing that the unit is off. The unit
will remember any settings you made when
it is turned on again.
To conserve electricity the Integra will go to
“sleep” if it is not used for about 30 minutes.
The display will go out and the unit will not
respond to the foot pedal. To “wake up” the
Integra, simply press any of the buttons on
the touch panel.
Controlling the power:
The Integra gives you three ways to adjust
the scaling power: The Power (+ and –)
buttons on the touch panel at the front of
the unit, a button on
the foot pedal and a
Turbo mode.
Use buttons on the
touch panel to set
the initial power
for the scaling
procedure at hand. Alternatively you can
adjust the power by pressing the button
on the top of the foot pedal. If you press
and release (tap) the button, the power
will increase by one step (i.e. from 4 to 5
as shown by the display). If you press the
button and hold it down, the power will
decrease in steps.
In either case the color coded LEDs will
show any change in the current power
setting.
(Note: The foot pedal power adjustment
feature can be disabled. There is a small
switch on the rear of the foot pedal to allow
you to turn this on and off).
A tip powered by the Integra will begin
oscillating at much lower amplitude (power)
than a tip in a traditional scaler. This
permits more comfortable debridement of
sensitive patients.
For short-term increases in power during
the procedure, simply increase foot-pressure
on the pedal. (The “Turbo” light will
illuminate.) This will instantly boost scaling
power to a point midway between the
current setting and the scaler’s maximum
power. (In other words, increasing foot-
pressure when the scaler is operating at
a low setting will cause a major boost in
power. Increasing foot-pressure when the
scaler is already operating at maximum
power will produce no signifi cant increase.)
To return to normal scaling power, lighten
foot pressure. (The Turbo light will go
out.) The Turbo mode allows you to scale
at lower power than usual because you do
not have to allow for occasional pieces of
residual calculus.
If you encounter hard-to-remove accretions
during debridement, simply use the Turbo
feature to eliminate them. (The Turbo mode
does not change the water fl ow, so extended
procedures may require a water adjustment.)
Selecting the water source:
The water source is selected using the two
toggle switches on the front of the unit. One
switch selects the source, either external or
from the internal bottles. The other switch
allows the user to choose which bottle is
used as a source.
Controlling the water fl ow:
If you are using an external water source,
turn the water control on the back of the
unit counter-clockwise to increase the fl ow.
If you are using the internal bottles as a
source, the fl ow is controlled by using the
Water (+ and –) buttons on the touch panel
at the front of the unit. When you press
either button the display will start to fl ash
to indicate that it is now showing the water
fl ow rate (1 is the lowest 7 the highest). As
you hold the button the fl ow will change as
shown by the display. When you release the
button the display will return to showing
the power level after a few seconds. If water
does not fl ow through the insert when the
foot pedal is depressed, the water passage
in the scaling insert may be clogged or the
bottle(s) may be empty.
Infection control:
When removing the
autoclavable handpiece
sheath, hold the
handpiece at the base
with one hand and turn
the top counter-clockwise
with the other, taking
care not to twist the hose.
The sheath will unscrew
and slip off.
Sheaths can be sterilized
in any conventional steam
autoclave, following
manufactures standard
procedures. DO NOT USE DRY HEAT
OR CHEMCLAVE.
(Note: The sheath must be washed in soap
and water and rinsed in running water
prior to autoclaving. Autoclaving does not
remove debris that has accumulated on the
sheath. Failure to adequately remove debris
may result in inadequate sterilization.)
Before replacing
the sheath, lubricate
the O-ring on the
handpiece with
petroleum jelly to
assure a water-tight
seal. Slide the sheath over the handpiece
carefully to avoid damaging or dislodging
this O-ring, and screw the sheath in place.
(Do not overtighten.)
The exterior case of the scaler may be wiped
with a cloth dampened by any standard
surface spray cleaner as desired.
How to replace the fi lter disk
(time required: 10 seconds.)
The water fi lter disk should be replaced
when it becomes very dark or so clogged
with debris that water fl ow is impeded.
Dip Tube
Easily-removable dual reservoirs
give you a choice of irrigants
Easy-to-clean touch panel resists all
standard disinfectants
Digital fluid and power
controls mean fast,
precise settings (Use
the Smart Foot Pedal
for hands-free power
adjustment.)
Automatically adjusts operating
frequency to match either 25KHz
or 30KHz inserts
When you adjust the power using either the
touch panel or the foot pedal, color-coded
lights indicate the operating power.
Autoclavable
handpiece
sheaths
Handpiece-holder
mounts on left
or right
Foot Pedal Power
External water
flow regulator
External water
connection
Figure 1
External
water
source
Internal
bottle
Rear
bottle
Front
bottle

Caution: Federal Law restricts this device to sale by or on the order of a properly licensed practitioner.
Integra™
Ultrasonic Tooth Scaler
Model D680
Device Description:
The Integra is an autotune ultrasonic tooth
scaler that operates at either 25KHz or
30KHz. The Integra automatically detects
whether the handpiece contains a 25KHz
or 30KHz insert, and switches operating
frequency to match. A dramatically
expanded low-power range improves
comfort during debridement.
Intended use/indications:
For removal of calculus and plaque during
dental prophylaxis.
Contraindications:
Not for use if the patient or operator is
wearing a pacemaker, or any other internal
electronic device.
Precautions:
Caution: Water fl ow during use must be
suffi cient to cool handpiece and insert.
Do not run this device dry.
IMPORTANT: The water supply line to
the scaler should always be turned off
whenever the device is being connected,
disconnected, or when not in use.
Caution: Do not allow prolonged contact
of tip with lips, cheeks, tongue or other
soft tissues.
Caution: Take precautions to prevent
transmission of contagious diseases from
ultrasonic aerosols.
Caution: Use the sides of the tip to remove
deposits from the tooth. Do not gouge the
tooth with the point.
Caution: Precautions should be taken to
guard against entrance of water from any
source into the transformer. The
transformer should be located away
from any source of water.
Individualization of treatment:
• If patient or operator is pregnant, consult
physician concerning advisability of using
ultrasonic scalers.
• Like all scalers of this type, the handpiece
produces a small magnetic fi eld. It has
been reported that this can cause some
sensitive patient monitoring devices such
as pulse oximeters to give inconsistent or
inaccurate readings.
Conformance to Standards:
The Parkell Integra conforms to
IEC60601-1 and CAN/CSA C22.2
No. 601.1. The device is CE marked—
certifi ed to European Medical Device
Directive (93/42/EEC). Parkell’s quality
system is certifi ed to ISO9001/13485.
Included in your unit are:
• 1-Scaler Unit with an attached handpiece,
and 2-autoclavable handpiece sheaths
• 2-fl uid bottles, 1-water line with male
quick-connect coupler, and 1-detachable
foot controller
• 2-In-line Water Filters (Stock No. D419)
• 1-Transformer with cable
(Stock No. D408-120V, D403-230V)
• Instructions and Warranty registration card.
1) Disconnect the scaler from the
water supply.
2) Remove the old fi lter disk by holding it
in one hand and twisting off the hose
connectors on either side. (They rotate in
opposite directions.)
3) Install the replacement fi lter disk, and
fi rmly tighten the connectors using
hand pressure.
4) Reconnect the scaler to the water supply
and check for leaks.
(Note: If the fi lter becomes clogged
and you do not have a replacement disk,
the hose connectors can be locked
together without the fi lter disk to allow
emergency operation.)
If you have any questions, please contact
Parkell Service Dept. at (1-800-243-7446).
Replacement Filters (10 per package):
Stock No. D419
General comments on scaling:
■Ultrasonic scalers should be used only by
trained, licensed professionals.
■Inserts and the handpiece sheath should be
sterilized before each use.
■ Do not operate unit without water fl owing.
■Use of face mask is recommended when
operating this device, to avoid inhalation
of contaminated aerosol by the operator.
High-volume suction to remove this
aerosol from the dental environment (as
close to the source as possible) is also
recommended.
■Use the lowest effective scaling power
for the case at hand. This keeps heat
generation to a minimum.
■Before using the insert in the oral cavity,
adjust the water spray over sink or
cuspidor until desired mist is obtained. For
maximum patient comfort, use a good fl ow
of water which acts as coolant, lubricant
and lavage to fl ush out debris.
■If patient is new to ultrasonic scaling,
tell him/her what to expect. If procedure
becomes uncomfortable, adjust power and
water controls accordingly.
■Grasp handpiece in a comfortable manner,
like holding a pen. To remove deposits
from teeth, always use a light brushing
stroke with the side of the insert tip in
contact with the tooth surface. Excess
pressure will not improve scaling action,
but may cause heating and pain to the
patient. Keep the scaler insert in motion at
all times and use repeated gentle strokes to
remove all tenacious deposits.
■Exercise caution near porcelain and resin
restorations as they can fracture.
■ Occasionally turn unit off to evaluate
deposit removal with an explorer.
■ If you test any scaler tip on your fi ngers
while operating, it will feel uncomfortably
hot. This is not a true test of how it feels
on a tooth. To operate, adjust the power
control to the minimum setting for the case
at hand (start at zero). With a good water
fl ow, the patient will not experience any
uncomfortable heat.
Common operator errors:
■Failure to keep insert tip parallel with the
long axis of the tooth surface.
■Excessive use of hand pressure.
■Failure to use the lowest effective power
setting for the case at hand.
■ Insuffi cient water fl ow.
■Scaling with the point of the insert instead
of the side.
These failures in procedure can result in
ineffective or incomplete removal of
deposits and possible damage to the pulp or
tooth structure.
TROUBLESHOOTING
Unit does not operate (‘power on’ indicator
does not light)
■Transformer cable disconnected from wall
outlet or scaler
■ Wall outlet not live
■Unit fuse has failed (Contact Parkell)
Insert does not vibrate properly
■Faulty, damaged or worn insert
■Insert not correctly seated in handpiece
■Power control not correctly adjusted
Excess heat at handpiece or tip of insert
■Faulty, damaged or worn insert
■ Too little water fl ow (insert blocked)
■Power too high for the amount of water
■Excessive hand pressure applied
No water spray
■ Water line blocked or kinked
■ Water fi lter clogged
■ Water canal in insert blocked
■ No water supply
■ Water bottles empty
Insert does not go into handpiece
■ Lubricate ‘O’ ring with water and use
twisting motion to seat insert
Insert falls out of handpiece or water leaks
from front of handpiece
■ ‘O’ ring damaged or worn. Replace ‘O’
ring on insert.
Additional Specifi cations:
■ Protection Against Electric Shock—Class
1, Type B applied part
■ Equipment not suitable for use in the
presence of a fl ammable anesthetic mixture
(when used with air or with oxygen).
■ Protection Against Ingress of Liquids—
Foot Switch & Scaler - IPX1 (drip-proof),
Power Supply - IPX0 (Ordinary)
■ Mode of Operation of Equipment—
Intermittent: 66% duty cycle, 10 minutes
on, 5 minutes off.
■ Operating conditions: 15-35°C, 10-80%
RH (non-condensing)
■ Transport and Storage conditions: 10-
40°C, 10-80% RH (non-condensing)
■ As an additional safety feature, the
microprocessor will reduce the output
power in the unlikely event the device is
left running, other than in normal usage.
This equipment produces electromagnetic
energy and may cause interference with
other electronic devices. Should this occur,
changing the positioning or location of the
device may be necessary.
The power supply line cord is the AC power
disconnect device for the scaler.
The symbol on the scaler indicates the
Protective Earth connection.
The symbol or is intended to
alert the user to the presence of important
operating and maintenance (servicing)
instructions in the literature accompanying
the scaler.
Service:
The handpiece sheath, power supply, foot
pedal, water fi lter, dip tubes, bottles and
ultrasonic inserts are all detachable and may
be replaced by the user. Contact Parkell for
a list of authorized inserts. Otherwise, there
are No User Serviceable Items in this scaler,
including the foot controller.
For service, return the unit freight prepaid
and carefully packed to Parkell Repair Dept.,
300 Executive Drive, Edgewood, NY 11717,
with an explanation of problem. During the
warranty period, the unit will be repaired and
returned to you. After the warranty period,
we will call with an estimate and request
approval.
If you have any questions or a problem with
the installation or use of your scaler, please
call our Toll-Free Technical Support Service
at 1-800-243-7446 from 9am to 5:30pm
Eastern time (outside USA and Canada,
call 631-249-1134).
European Authorized Representative (Not a dealer/distributor): EMERGO EUROPE
Molenstraat 15, 2513 BH, The Hague, The Netherlands • Tel: [phone] • Fax: [phone]
300 Executive Drive, Edgewood, NY 11717
Toll-Free: 1-800-243-7446 • Phone: [phone] • Fax: [phone]
E-mail: [e-mail] • www.parkell.com • Made in U.S.A. A00545revB0313

Caution: Federal Law restricts this device to sale by or on the order of a properly licensed practitioner.
Integra™
Ultrasonic Tooth Scaler
Model D680
Device Description:
The Integra is an autotune ultrasonic tooth
scaler that operates at either 25KHz or
30KHz. The Integra automatically detects
whether the handpiece contains a 25KHz
or 30KHz insert, and switches operating
frequency to match. A dramatically
expanded low-power range improves
comfort during debridement.
Intended use/indications:
For removal of calculus and plaque during
dental prophylaxis.
Contraindications:
Not for use if the patient or operator is
wearing a pacemaker, or any other internal
electronic device.
Precautions:
Caution: Water fl ow during use must be
suffi cient to cool handpiece and insert.
Do not run this device dry.
IMPORTANT: The water supply line to
the scaler should always be turned off
whenever the device is being connected,
disconnected, or when not in use.
Caution: Do not allow prolonged contact
of tip with lips, cheeks, tongue or other
soft tissues.
Caution: Take precautions to prevent
transmission of contagious diseases from
ultrasonic aerosols.
Caution: Use the sides of the tip to remove
deposits from the tooth. Do not gouge the
tooth with the point.
Caution: Precautions should be taken to
guard against entrance of water from any
source into the transformer. The
transformer should be located away
from any source of water.
Individualization of treatment:
• If patient or operator is pregnant, consult
physician concerning advisability of using
ultrasonic scalers.
• Like all scalers of this type, the handpiece
produces a small magnetic fi eld. It has
been reported that this can cause some
sensitive patient monitoring devices such
as pulse oximeters to give inconsistent or
inaccurate readings.
Conformance to Standards:
The Parkell Integra conforms to
IEC60601-1 and CAN/CSA C22.2
No. 601.1. The device is CE marked—
certifi ed to European Medical Device
Directive (93/42/EEC). Parkell’s quality
system is certifi ed to ISO9001/13485.
Included in your unit are:
• 1-Scaler Unit with an attached handpiece,
and 2-autoclavable handpiece sheaths
• 2-fl uid bottles, 1-water line with male
quick-connect coupler, and 1-detachable
foot controller
• 2-In-line Water Filters (Stock No. D419)
• 1-Transformer with cable
(Stock No. D408-120V, D403-230V)
• Instructions and Warranty registration card.
1) Disconnect the scaler from the
water supply.
2) Remove the old fi lter disk by holding it
in one hand and twisting off the hose
connectors on either side. (They rotate in
opposite directions.)
3) Install the replacement fi lter disk, and
fi rmly tighten the connectors using
hand pressure.
4) Reconnect the scaler to the water supply
and check for leaks.
(Note: If the fi lter becomes clogged
and you do not have a replacement disk,
the hose connectors can be locked
together without the fi lter disk to allow
emergency operation.)
If you have any questions, please contact
Parkell Service Dept. at (1-800-243-7446).
Replacement Filters (10 per package):
Stock No. D419
General comments on scaling:
■Ultrasonic scalers should be used only by
trained, licensed professionals.
■Inserts and the handpiece sheath should be
sterilized before each use.
■ Do not operate unit without water fl owing.
■Use of face mask is recommended when
operating this device, to avoid inhalation
of contaminated aerosol by the operator.
High-volume suction to remove this
aerosol from the dental environment (as
close to the source as possible) is also
recommended.
■Use the lowest effective scaling power
for the case at hand. This keeps heat
generation to a minimum.
■Before using the insert in the oral cavity,
adjust the water spray over sink or
cuspidor until desired mist is obtained. For
maximum patient comfort, use a good fl ow
of water which acts as coolant, lubricant
and lavage to fl ush out debris.
■If patient is new to ultrasonic scaling,
tell him/her what to expect. If procedure
becomes uncomfortable, adjust power and
water controls accordingly.
■Grasp handpiece in a comfortable manner,
like holding a pen. To remove deposits
from teeth, always use a light brushing
stroke with the side of the insert tip in
contact with the tooth surface. Excess
pressure will not improve scaling action,
but may cause heating and pain to the
patient. Keep the scaler insert in motion at
all times and use repeated gentle strokes to
remove all tenacious deposits.
■Exercise caution near porcelain and resin
restorations as they can fracture.
■ Occasionally turn unit off to evaluate
deposit removal with an explorer.
■ If you test any scaler tip on your fi ngers
while operating, it will feel uncomfortably
hot. This is not a true test of how it feels
on a tooth. To operate, adjust the power
control to the minimum setting for the case
at hand (start at zero). With a good water
fl ow, the patient will not experience any
uncomfortable heat.
Common operator errors:
■Failure to keep insert tip parallel with the
long axis of the tooth surface.
■Excessive use of hand pressure.
■Failure to use the lowest effective power
setting for the case at hand.
■ Insuffi cient water fl ow.
■Scaling with the point of the insert instead
of the side.
These failures in procedure can result in
ineffective or incomplete removal of
deposits and possible damage to the pulp or
tooth structure.
TROUBLESHOOTING
Unit does not operate (‘power on’ indicator
does not light)
■Transformer cable disconnected from wall
outlet or scaler
■ Wall outlet not live
■Unit fuse has failed (Contact Parkell)
Insert does not vibrate properly
■Faulty, damaged or worn insert
■Insert not correctly seated in handpiece
■Power control not correctly adjusted
Excess heat at handpiece or tip of insert
■Faulty, damaged or worn insert
■ Too little water fl ow (insert blocked)
■Power too high for the amount of water
■Excessive hand pressure applied
No water spray
■ Water line blocked or kinked
■ Water fi lter clogged
■ Water canal in insert blocked
■ No water supply
■ Water bottles empty
Insert does not go into handpiece
■ Lubricate ‘O’ ring with water and use
twisting motion to seat insert
Insert falls out of handpiece or water leaks
from front of handpiece
■ ‘O’ ring damaged or worn. Replace ‘O’
ring on insert.
Additional Specifi cations:
■ Protection Against Electric Shock—Class
1, Type B applied part
■ Equipment not suitable for use in the
presence of a fl ammable anesthetic mixture
(when used with air or with oxygen).
■ Protection Against Ingress of Liquids—
Foot Switch & Scaler - IPX1 (drip-proof),
Power Supply - IPX0 (Ordinary)
■ Mode of Operation of Equipment—
Intermittent: 66% duty cycle, 10 minutes
on, 5 minutes off.
■ Operating conditions: 15-35°C, 10-80%
RH (non-condensing)
■ Transport and Storage conditions: 10-
40°C, 10-80% RH (non-condensing)
■ As an additional safety feature, the
microprocessor will reduce the output
power in the unlikely event the device is
left running, other than in normal usage.
This equipment produces electromagnetic
energy and may cause interference with
other electronic devices. Should this occur,
changing the positioning or location of the
device may be necessary.
The power supply line cord is the AC power
disconnect device for the scaler.
The symbol on the scaler indicates the
Protective Earth connection.
The symbol or is intended to
alert the user to the presence of important
operating and maintenance (servicing)
instructions in the literature accompanying
the scaler.
Service:
The handpiece sheath, power supply, foot
pedal, water fi lter, dip tubes, bottles and
ultrasonic inserts are all detachable and may
be replaced by the user. Contact Parkell for
a list of authorized inserts. Otherwise, there
are No User Serviceable Items in this scaler,
including the foot controller.
For service, return the unit freight prepaid
and carefully packed to Parkell Repair Dept.,
300 Executive Drive, Edgewood, NY 11717,
with an explanation of problem. During the
warranty period, the unit will be repaired and
returned to you. After the warranty period,
we will call with an estimate and request
approval.
If you have any questions or a problem with
the installation or use of your scaler, please
call our Toll-Free Technical Support Service
at 1-800-243-7446 from 9am to 5:30pm
Eastern time (outside USA and Canada,
call 631-249-1134).
European Authorized Representative (Not a dealer/distributor): EMERGO EUROPE
Molenstraat 15, 2513 BH, The Hague, The Netherlands • Tel: [phone] • Fax: [phone]
300 Executive Drive, Edgewood, NY 11717
Toll-Free: 1-800-243-7446 • Phone: [phone] • Fax: [phone]
E-mail: [e-mail] • www.parkell.com • Made in U.S.A. A00545revB0313