Sirona Intego User manual

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Operating Instructions INTEGO / INTEGO turn, INTEGO pro / INTEGO pro turn

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Sirona Dental Systems GmbH Table of Contents
Operating Instructions (USA) INTEGO
Table of Contents
1General Information................................................................................................. 10
1.1 Dear customer, ............................................................................................ 10
1.2 Contact information ...................................................................................... 10
1.3 Notes on these operating Instructions.......................................................... 11
1.3.1 General information on the operating Instructions .......................... 11
1.3.2 Scope of these operating Instructions............................................. 11
1.4 Other valid documents ................................................................................. 12
1.5 Warranty and liability .................................................................................... 12
1.6 Intended use................................................................................................. 12
1.7 Indication and contraindication..................................................................... 13
1.8 Formats and symbols used .......................................................................... 13
2Safety instructions ................................................................................................... 14
2.1 Identification of the danger levels................................................................. 14
2.2 Information on the unit.................................................................................. 14
2.3 On-site installation........................................................................................ 15
2.4 Installation of the dental treatment unit ........................................................ 15
2.5 Media quality ................................................................................................ 15
2.6 Connection to the public drinking water system ........................................... 16
2.7 Maintenance and repair................................................................................ 16
2.8 Trouble-free operation.................................................................................. 17
2.9 Vacuum system............................................................................................ 17
2.10 Patient chair ................................................................................................. 17
2.11 Intermittent operation ................................................................................... 18
2.12 Ventilation slots ............................................................................................ 18
2.13 Fresh water bottle......................................................................................... 18
2.14 User interface ............................................................................................... 18
2.15 Care, cleaning, and disinfecting agents ....................................................... 18
2.16 Care and cleaning instructions for the practice team ................................... 19
2.17 Modifications and extensions of the system................................................. 19
2.18 Electromagnetic compatibility....................................................................... 19
2.19 Electrostatic discharge ................................................................................. 20
2.20 Dismantling/Installation ................................................................................ 21

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Operating Instructions (USA) INTEGO
3Unit description......................................................................................................... 22
3.1 Standards/Approvals..................................................................................... 22
3.2 Technical data............................................................................................... 24
3.3 System overview INTEGO ............................................................................ 26
3.4 System overview INTEGO pro ...................................................................... 28
3.5 System overview of INTEGOpro with Ambidextrous option......................... 30
3.6 Patient chair .................................................................................................. 32
3.7 Head support................................................................................................. 33
3.7.1 Flat headrest .................................................................................... 33
3.7.2 Double-jointed head support ............................................................ 33
3.8 Foot control ................................................................................................... 34
3.8.1 Pneumatic foot switch ...................................................................... 34
3.8.2 C+ electronic foot switch .................................................................. 35
3.9 Dentist element ............................................................................................. 36
3.9.1 TS dentist element hanging hoses................................................... 36
3.9.2 CS dentist element with swivel arms................................................ 37
3.9.3 Instrument positions ......................................................................... 38
3.9.4 User interface................................................................................... 39
3.9.4.1 Touch screen..................................................................... 40
3.9.4.2 Fixed keys ......................................................................... 41
3.10 Assistant element.......................................................................................... 42
3.10.1 Instrument positions ......................................................................... 45
3.10.2 User interface................................................................................... 46
3.10.3 Fixed keys on the assistant element ................................................ 46
3.11 Water unit...................................................................................................... 47
3.11.1 Compact water unit .......................................................................... 48
3.11.2 Comfort water unit............................................................................ 49
3.11.3 Ambidextrous water unit................................................................... 51
3.12 External device connection ........................................................................... 54
4Operation.................................................................................................................. 56
4.1 Starting up the dental treatment unit ............................................................. 56
4.1.1 Initial Operation ................................................................................ 56
4.1.2 Switching the dental treatment unit on/off ........................................ 57
4.1.3 Selecting a user profile..................................................................... 58
4.2 Concept of the user interface ........................................................................ 59
4.2.1 Virtual function keys ......................................................................... 59
4.2.1 Sub-screens and settings screens ................................................... 59
4.2.1 Status column .................................................................................. 60

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Operating Instructions (USA) INTEGO
4.3 Foot control .................................................................................................. 61
4.3.1 Pneumatic foot switch ..................................................................... 61
4.3.2 C+ electronic foot switch ................................................................. 62
4.4 Patient chair ................................................................................................. 64
4.4.1 Safety instructions ........................................................................... 64
4.4.2 Safety stop ...................................................................................... 65
4.4.3 Triggering an immediate movement stop ........................................ 66
4.4.4 Armrests .......................................................................................... 67
4.4.5 VARIO footrest ................................................................................ 67
4.4.6 Adjusting the flat headrest............................................................... 68
4.4.7 Adjusting the double articulating headrest ...................................... 69
4.4.8 Moving the patient chair via chair programs.................................... 70
4.4.8.1 Moving the patient chair to the entry/exit position ............ 70
4.4.8.2 Moving the patient chair to the mouth rinsing position ..... 71
4.4.8.3 Using the last position memory function........................... 71
4.4.8.4 Activating other chair programs........................................ 72
4.4.9 Moving the chair manually............................................................... 73
4.4.9.1 Inclining the backrest and ErgoMotion ............................. 73
4.4.9.2 Adjusting the chair height ................................................. 74
4.4.10 Programming chair programs.......................................................... 75
4.5 Dentist element ............................................................................................ 76
4.5.1 Maximum load capacity................................................................... 76
4.5.2 Positioning the dentist element ....................................................... 77
4.5.3 Fixed keys on the dentist element................................................... 80
4.5.4 Placing the instruments in their holders .......................................... 81
4.5.5 General instrument functions .......................................................... 83
4.5.5.1 Instrument functions ......................................................... 84
4.5.5.2 Saving instrument settings ............................................... 88
4.5.5.3 Setting the amount of spray water.................................... 88
4.5.6 3-way standard and SPRAYVIT E syringe ...................................... 89
4.5.6.1 Safety instructions ............................................................ 89
4.5.6.2 Using the standard 3-way syringe .................................... 90
4.5.6.3 Using the 3-way SPRAYVIT E syringe ............................. 90
4.5.7 Turbine / air motor / other air-driven instruments ............................ 91
4.5.7.1 Using the highspeed handpiece ....................................... 91
4.5.7.2 Setting the light of the highspeed handpiece.................... 91
4.5.8 Electric motor .................................................................................. 93
4.5.8.1 Motor versions.................................................................. 93
4.5.8.2 Setting the speed.............................................................. 94
4.5.8.3 Setting the direction of rotation......................................... 96
4.5.9 Integrated torque control ................................................................. 97

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Operating Instructions (USA) INTEGO
4.5.10 ApexLocator ..................................................................................... 106
4.5.10.1 Preparing to use the ApexLocator..................................... 107
4.5.10.2 Distance display ................................................................ 109
4.5.10.3 Beeps ................................................................................ 111
4.5.10.4 Performing manual measurements with the file clamp...... 112
4.5.10.5 Endodontic treatment with ApexLocator and torque
limitation handpiece
113
4.5.11 SIROSONIC L scaler ....................................................................... 116
4.5.11.1 Safety instructions ............................................................. 116
4.5.11.2 Setting the intensity ........................................................... 116
4.5.12 Mini L.E.D. curing light ..................................................................... 119
4.5.13 SiroCam F / AF / AF+ intraoral camera............................................ 119
4.5.14 Timer function .................................................................................. 120
4.6 Assistant element.......................................................................................... 121
4.6.1 Maximum load capacity.................................................................... 121
4.6.2 Positioning........................................................................................ 121
4.6.3 Fixed keys on the assistant element ................................................ 122
4.6.3.1 Chair programs S and 0 .................................................... 122
4.6.3.2 Tumbler filling .................................................................... 122
4.6.3.3 Flushing the cuspidor ........................................................ 123
4.6.3.4 Operating light ................................................................... 123
4.6.3.5 Fn key................................................................................ 123
4.6.4 Suction handpieces.......................................................................... 124
4.6.5 3-way standard and SPRAYVIT E syringe....................................... 126
4.6.6 Mini L.E.D. curing light ..................................................................... 127
4.6.6.1 Safety instructions ............................................................. 127
4.6.6.2 Symbols on the Mini L.E.D. ............................................... 127
4.6.6.3 Connecting the Mini L.E.D................................................. 128
4.6.6.4 Functional description ....................................................... 128
4.6.6.5 Operating the Mini L.E.D. .................................................. 130
4.6.6.6 Technical data ................................................................... 131
4.7 Water unit...................................................................................................... 132
4.7.1 Swiveling the cuspidor bowl ............................................................. 132
4.7.2 Tumbler filling................................................................................... 132
4.7.2.1 Tumbler filling .................................................................... 132
4.7.2.2 Tumbler filling with automatic sensor control .................... 133
4.7.3 Flushing the cuspidor ....................................................................... 134
4.7.3.1 Flushing the cuspidor ........................................................ 134
4.7.3.2 Adjusting the water amount for flushing ............................ 135
4.7.4 Stand-alone water supply................................................................. 136
4.7.4.1 Water supply for the INTEGO ........................................... 137
4.7.4.2 Water supply for the INTEGO pro ..................................... 139
4.7.5 Converting the Turn water unit for right and left-handed people...... 141

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4.8 Swiveling tray holder .................................................................................... 147
4.9 X-ray image viewer....................................................................................... 148
4.10 Operating light .............................................................................................. 149
4.10.1 Switching the operating light on/off ................................................. 150
4.10.2 Setting the LEDlight brightness....................................................... 150
4.10.3 Setting the brightness and sensor control of the LEDview.............. 150
4.10.4 Setting the brightness, color temperature and sensor control of the
LEDviewPLUS
151
4.11 X-ray tube unit .............................................................................................. 152
4.12 SIVISIONdigital video system ..................................................................... 153
4.12.1 SIVISION monitor............................................................................ 154
4.12.2 SiroCam F / AF / AF+ intraoral camera........................................... 155
4.12.2.1 Safety instructions ............................................................ 155
4.12.2.2 Functional description....................................................... 155
4.12.2.3 Connecting the SiroCam F / AF / AF+ intraoral camera... 156
4.12.2.4 Operating SiroCam F / AF / AF+ intraoral camera ........... 158
4.12.3 Technical camera data.................................................................... 162
4.13 Operation with a PC ..................................................................................... 163
4.13.1 SIVISION program .......................................................................... 164
4.13.1.1 Starting PC communication.............................................. 164
4.13.1.2 Communication with the media player.............................. 165
4.13.1.3 Communication with Microsoft PowerPoint ...................... 165
4.13.1.4 Communication with SIDEXIS.......................................... 166
4.13.2 USB interfaces ................................................................................ 169
4.14 Configuration of the dental treatment unit (setup) ........................................ 170
4.14.2 Opening the setup dialogs............................................................... 170
4.14.2 Setting the time and date ................................................................ 171
4.14.2 Configuring control options.............................................................. 172
4.14.2 Configuring the network connection ................................................ 175
4.14.2 Opening the service function........................................................... 175
5Care, cleaning and maintenance by the practice team ........................................... 176
5.1 Basics........................................................................................................... 176
5.1.1 Intervals........................................................................................... 176
5.1.2 Care, cleaning, and disinfecting agents .......................................... 178
5.1.3 Conduct a microbiological water test............................................... 178
5.1.4 General handling instructions.......................................................... 179
5.1.5 Inspection, maintenance and testing............................................... 180
5.2 Surfaces ....................................................................................................... 181
5.2.1 Clean/disinfect surfaces .................................................................. 181
5.2.2 Disinfect user interfaces .................................................................. 182
5.2.3 Sterilize silicone mats and handle covers ....................................... 183

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Operating Instructions (USA) INTEGO
5.2.4 Disinfect the tray .............................................................................. 185
5.2.5 Care for, clean, and disinfect upholstery.......................................... 186
5.2.6 Cleaning the bottom surface of the mount for the backrest
component
186
5.2.7 Clean the foot switch........................................................................ 186
5.3 Instruments and instrument hoses ................................................................ 187
5.3.1 Rinse water lines.............................................................................. 187
5.3.2 Purge the water lines (purge function) ............................................. 187
5.3.3 Automatically purge water lines (autopurge function) ...................... 191
5.3.4 Purging water lines manually ........................................................... 196
5.3.5 Lubricate, disinfect/sterilize the treatment instruments .................... 198
5.3.5.1 Treatment instruments ...................................................... 198
5.3.5.2 Cleaning and sterilizing the standard 3-way syringe ......... 198
5.3.5.3 Clean and disinfect/sterilize the components of the
ApexLocator
199
5.3.5.4 Disinfecting/sterilizing Mini L.E.D. curing light................... 200
5.3.5.5 Cleaning/disinfecting the SiroCam F / AF / AF+ intraoral
camera
200
5.3.6 Change the cotton wool roll on the turbine hose and oil collector.... 201
5.4 Vacuum system............................................................................................. 203
5.4.1 Purge the vacuum system................................................................ 203
5.4.2 Cleaning the suction hoses .............................................................. 203
5.4.2.1 Cleaning the suction hose on the Compact water unit ...... 204
5.4.2.2 Suction hose cleaning on the Comfort water unit.............. 205
5.4.2.3 Suction hose cleaning on the Ambidextrous water unit..... 207
5.4.2.4 Central supply for chemical suction hose cleaning ........... 209
5.4.3 Cleaning vacuum system using cleaning adapter in the cuspidor or
via external container
210
5.4.3.1 Cleaning vacuum system using cleaning adapter in the
cuspidor
210
5.4.3.2 Cleaning the suction system via external container .......... 212
5.4.4 Sterilize/disinfect the suction handpieces ........................................ 213
5.4.5 Empty the central suction sieve. ...................................................... 214
5.4.6 Cleaning and disinfecting the suction hoses .................................... 215
5.5 Components of the water unit ....................................................................... 216
5.5.1 Clean the gold trap........................................................................... 216
5.5.2 Clean/disinfect the cuspidor ............................................................. 217
5.5.3 Cleaning the outlet lines of the cuspidor .......................................... 218
5.5.4 Refilling DENTOSEPTP waterline treatment solution ..................... 220
5.5.5 Change the water and air filters ....................................................... 222
5.5.6 Change the amalgam rotor .............................................................. 224
5.5.7 Check the message system of the amalgam separator ................... 227
5.5.8 Empty the sediment container.......................................................... 229

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5.5.9 Cleaning the filter insert of the wet suction device with cuspidor
valve
232
5.5.10 Emptying the collector of the air jet pump ....................................... 235
5.6 Sanitizing...................................................................................................... 237
5.6.1 Sanitizing with the fresh water bottle............................................... 238
5.6.2 Sanitizing with waterline treatment system ..................................... 243
5.6.3 Display sanitation report.................................................................. 251
5.6.4 Biofilm removal by the service technician ....................................... 251
5.7 Fuse of the external device connection........................................................ 252
6Maintenance by the service engineer...................................................................... 253
6.1 Inspection and maintenance ........................................................................ 253
6.2 Safety checks ............................................................................................... 253
6.3 Maintenance Manual.................................................................................... 254
7Malfunctions ............................................................................................................ 255
7.2 Messages ..................................................................................................... 255
7.3 Error Messages ............................................................................................ 255
7.4 Remote diagnosis......................................................................................... 257
8Spare parts and consumables................................................................................. 258
9Disposal................................................................................................................... 260
10 Overview of all function keys................................................................................... 261
Index........................................................................................................................ 273

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1General Information Sirona Dental Systems GmbH
1.1Dear customer, ... Operating Instructions (USA) INTEGO
1General Information
1.1 Dear customer, ...
We are pleased that you have equipped your practice with the Sirona
INTEGO / INTEGO pro dental treatment unit.
Our aim is to recognize our customers' demands in good time and to
create innovative solutions. Together with your trade partner, you have
configured the unit to suit your individual tastes. The new hub of your
treatment room is tailored to your personal needs.
With INTEGO / INTEGO pro you have selected a dental treatment unit
that stands for easy operation, high-quality design, and cost
effectiveness.
The INTEGO pro dental treatment unit with Ambidextrous option can be
converted from a right-handed to a left-handed version in a short period
of time by just one person and without any parts being disassembled.
Identical working conditions can therefore be created and you can work
optimally, no matter if you are left-handed or right-handed.
These Operating Instructions are designed to assist you prior to initial use
and whenever you require information later on.
We wish you a great deal of success and pleasure with INTEGO /
INTEGO pro.
Your INTEGO® team
1.2 Contact information
Worldwide customer service
Customer service center In the event of technical queries, please use our online contact form at
www.sirona.com. In the navigation bar, go to the menu commands
"CONTACT" / "Customer Service Center" and then click the "CONTACT
FORM FOR TECHNICAL QUESTIONS"
button.
Manufacturer's address (worldwide)
Manufacturer's address Sirona Dental Systems GmbH
Fabrikstrasse 31
64625 Bensheim
Germany
Trademark
Phone: [phone]
Fax: [phone]
e-mail: [email protected]
www.sirona.com

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Sirona Dental Systems GmbH 1General Information
Operating Instructions (USA) INTEGO 1.3Notes on these operating Instructions
1.3 Notes on these operating Instructions
1.3.1 General information on the operating Instructions
Observe theOperating Instructions
Observe the Operating Instructions Please familiarize yourself with the unit by reading through these
Operating Instructions before putting it into operation. It is essential that
you comply with the specified warning and safety information.
Tip: A quick guide containing brief operating instructions has been
provided to help you look up functions quickly.
Keep documents safe Always keep the Operating Instructions handy in case you or another
user require(s) information at a later point in time. Save the Operating
Instructions on the PC or print them out.
If you sell the unit, make sure that the Operating Instructions are included
with it either as a hard copy or on an electronic storage device so that the
new owner can familiarize himself with its functions and the specified
warning and safety information.
Online portal for technical documents We have set up an online portal for the Technical Documents at http://
www.sirona.com/manuals. From here, you can download these
Operating Instructions along with other documents. Please complete the
online form if you would like a hard copy of a particular document. We will
then be happy to send you a printed copy free of charge.
Help If you continue to have difficulties despite having thoroughly studied the
Operating Instructions, please contact your dental depot.
1.3.2 Scope of these operating Instructions
System versions These operating instructions apply to the following dental treatment units:
● INTEGO TS (Compact water unit and dentist element with hanging
hoses)
● INTEGO CS (Compact water unit and dentist element with swivel
arms)
● INTEGO pro TS (Comfort water unit and dentist element with hanging
hoses)
● INTEGO pro CS (Comfort water unit and dentist element with swivel
arms)
The dental treatment units can be delivered from the factory with the
Ambidextrous option. The Ambidextrous accessory stands for a
convertible version for both right-handed and left-handed people.
Convertible dental treatment units are equipped with the Ambidextrous
water unit.
Equipment options This document describes the full version of your system. It may therefore
cover components that are not included in the system you purchased.
Firmware This document is valid for systems with software versions from:
Version 2.0
The current software version is shown in the setup, see “Configuration of
the dental treatment unit (setup)” [ → 170].

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1General Information Sirona Dental Systems GmbH
1.4Other valid documents Operating Instructions (USA) INTEGO
1.4 Other valid documents
Your dental treatment unit can be equipped with additional components
that are described in separate sets of operating instructions. The
instructions as well as any warning and safety information contained
therein also must be observed.
There are separate operating instructions for each of the following Sirona
products:
HUGO, CARL and PAUL
● Treatment instruments and accessories
● Operating lights LEDlight, LEDview or LEDviewPLUS
● 22" AC monitor
● HELIODENTPLUSX-ray tube unit
● HUGO, CARL and PAUL dental working stools
The document "Installation Requirements" is also available. It contains
detailed technical specifications, dimension sheets, and information on
operating the dental treatment unit with regard to electromagnetic
tolerance.
1.5 Warranty and liability
Maintenance Maintenance must be performed at scheduled intervals to ensure the
operational and functional reliability of your product and to protect the
safety and health of patients, users and other persons. For more
information, please refer to "Maintenance by the service engineer"
[ → 253].
The owner is responsible for making sure that all maintenance activities
are performed.
As manufacturers of medical electrical equipment, we can assume
responsibility for the safety properties of the unit only if maintenance and
repairs on the unit are performed either by us or by agencies which we
have expressly authorized and if components of the unit are replaced by
original spare parts in case of failure.
Exclusion of liability In the event that the system owner fails to fulfill its obligation to perform
maintenance activities or ignores error messages, Sirona Dental Systems
GmbH and its authorized dealers cannot assume any liability for any
damage thus incurred.
1.6 Intended use
This dental treatment unit with accessories is intended to supply power to
and serve as a base for dental devices and accessories. This product
includes a dental chair. The dental treatment unit is intended for use in
the dental clinic environment and is used by trained dentists and/or dental
assistants.
The operating and maintenance instructions must be observed.
Caution: Federal Law (USA) restricts the sale of the device to or on the
order of a physician, dentist, or licensed practitioner.

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Sirona Dental Systems GmbH 1General Information
Operating Instructions (USA) INTEGO 1.7Indication and contraindication
1.7 Indication and contraindication
Indication without implantology
Indication The dental treatment unit is suitable for following treatments:
●caries
● periodontitis
● endodontics
● misaligned teeth
● dental care (teeth cleaning, etc.)
● tooth extractions
● other applications for dental treatment
Contraindication This dental treatment unit is not intended for operation in areas subject to
explosion hazards.
This dental treatment unit is permanently installed. Operation is not
permitted in mobile vehicles.
Highly immunosuppressed patients or patients with specific pulmonary
diseases should not come in contact with the water of the dental
treatment unit. The use of sterile solutions is recommended.
Contraindications for polymerisation light Mini L.E.D., see chapter „Safety
instructions“ [ → 127].
Contraindications for operating light LEDlight, LEDview or LEDviewPLUS,
see separate Operating Instructions, chapter "Safety information".
1.8 Formats and symbols used
The formats and symbols used in this document have the following
meaning:
Prerequisite
1. First action step
2. Second action step
or
➢Alternative action
Result
➢Individual action step
Prompts you to do something.
See "Formats and symbols
used [ → 13]"
Identifies a reference to another text
passage and specifies its page
number.
● List Designates a list.
"Command / menu item" Indicates commands, menu items or
quotations.

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2Safety instructions Sirona Dental Systems GmbH
2.1Identification of the danger levels Operating Instructions (USA) INTEGO
2Safety instructions
2.1 Identification of the danger levels
To prevent personal injury and material damage, please observe the
warning and safety information provided in these operating instructions.
Such information is highlighted as follows:
Tip: Information on making work easier.
2.2 Information on the unit
Accompanying documents
Accompanying documents
This symbol is affixed next to the unit rating plate.
Meaning: When operating the unit, observe the operating instructions.
This symbol is affixed on the unit rating plate.
Meaning: The accompanying documents are available on the homepage
of Sirona.
Electrostatic discharge (ESD)
Connector pins or sockets bearing ESD warning labels must not be
touched or interconnected without ESD protective measures. See also
"Electrostatic discharge" [ → 20] and "Electromagnetic compatibility"
[ → 19].
DANGER
An imminent danger that could result in serious bodily injury or death.
WARNING
A possibly dangerous situation that could result in serious bodily injury
or death.
CAUTION
A possibly dangerous situation that could result in slight bodily injury.
NOTICE
A possibly harmful situation which could lead to damage of the product
or an object in its environment.
IMPORTANT
Application instructions and other important information.

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Sirona Dental Systems GmbH 2Safety instructions
Operating Instructions (USA) INTEGO 2.3On-site installation
2.3 On-site installation
The on-site installation must have been performed according to our
requirements. The details are described in the document "Installation
Requirements".
2.4 Installation of the dental treatment unit
Installation must be carried out by authorized personnel according to the
installation instructions.
2.5 Media quality
The air and water supplies must meet the requirements specified in the
installation requirements.
waterline treatment system, optional or with fresh water bottle and Turn option
As the owner of the dental treatment unit, you are generally responsible
for the water quality.
The bacterial count must comply with the national regulations for drinking
water and must not exceed 500 CFU/ml under any circumstances (CFU:
colony forming unit).
If the bacterial count is too high, the building water system must be
checked and the cause of contamination eliminated. Alternatively, a self-
sufficient water supply can also be installed. In addition, with the INTEGO
an optional fresh water bottle, or with the INTEGO pro the empty tank for
waterline treatment solution can be used as a water container. For dental
treatment units with the Ambidextrous option, depending on the
equipment, the fresh water bottle or the empty tank for waterline
treatment solution can be used as a water container.
Before installation of the dental treatment unit, an acceptable
microbiological water quality for the domestic water supply must be
ensured and documented in the form of the bacterial count. Sampling and
the bacterial count must be performed by a competent laboratory.
Test the water quality from the dental treatment unit at regular intervals
and after it has not been used for > 1 week, see Microbiological water test
[ → 178]. Please contact your specialized dealer or your relevant dental
association for the respective national requirements and measures.
Further information on the media quality requirements are listed in the
"Installation conditions" document.
Treatment water, immunosuppressed patients, with sterile solution
WARNING
Highly immunosuppressed patients or patients with specific pulmonary
diseases should not come in contact with the water of the dental
treatment unit . The use of sterile solutions is recommended.

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2Safety instructions Sirona Dental Systems GmbH
2.6Connection to the public drinking water system Operating Instructions (USA) INTEGO
2.6 Connection to the public drinking water system
waterline treatment system, optional or with fresh water bottle
dental treatment unit isolated from the public drinking water supply
The INTEGO pro dental treatment unit, if it is equipped with a waterline
treatment system, complies with the requirements of EN 1717 (free
discharge with an air gap ≥ 20 mm) and the DVGW German Gas and
Water Association). It is intrinsically safe according to the W540
worksheet and thus also complies with W270 and KTW (Guideline on the
use of plastics in contact with drinking water). It can be connected directly
to the public drinking water system.
The INTEGO dental treatment unit, provided it is equipped with a fresh
water bottle not connected to the public drinking water supply, also
complies with the requirements of EN 1717 and the DVGW German Gas
and Water Association).
In both cases, the dental treatment unit has the "DVGW" label next to the
rating plate.
Dental treatment unit not isolated from the public drinking water
supply
If compliance with EN 1717 is required in the country, the respective
measures for the protection of public drinking water must be taken
outside the dental treatment unit.
This applies to the following unit versions:
● INTEGO prowithout waterline treatment system
● INTEGO without fresh water bottle
● INTEGO with a fresh water bottle connected to the public drinking
water supply.
The dental treatment unit then does not have the "DVGW" label.
Please comply with the national requirements with regard to connecting
dental treatment units to the public drinking water system.
2.7 Maintenance and repair
Authorized technical personnel and
spare parts
As manufacturers of dental medical units and in the interest of the
operational safety of your system, we stress the importance of having
maintenance and repair of this unit performed only by ourselves or by
agencies expressly authorized by us. Furthermore, faulty components
must always be replaced with original spare parts.
Certificate, with modification note
We suggest that you request a certificate showing the nature and extent
of the work performed from those who carry out such work; it must contain
any changes in rated parameters or working ranges (if applicable), as well
as the date, the name of the company and a signature.
Maintenance intervals Despite the outstanding quality of your dental treatment unit and regular
care by the practice team, in the interest of operational safety, it is

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Sirona Dental Systems GmbH 2Safety instructions
Operating Instructions (USA) INTEGO 2.8Trouble-free operation
essential to have preventive maintenance performed at scheduled
intervals.
In order to ensure the operational safety and reliability of your dental
treatment unit and to avoid damage due to natural wear, as the system
owner you must have your system checked regularly by an authorized
service technician from your dental depot. Furthermore, safety checks
must be performed. Please contact your dental depot to obtain a
maintenance offer. For more information, please refer to "Maintenance by
the service engineer" [ → 253].
2.8 Trouble-free operation
Use of this unit is permissible only if it works properly without
malfunctions. If trouble-free operation cannot be ensured, the unit must
be taken out of service, checked by authorized technicians for
malfunctions and, if necessary, repaired or replaced.
2.9 Vacuum system
Suction ofaluminum or other metal oxides prohibited
The suction removal of aluminum and other metal oxides from blasting
devices via the amalgam separator and the automatic separator installed
in the dental treatment unit is prohibited! This would result in extreme
wear and clogging of the vacuum and drain lines.
Separate suction
A separate vacuum system must be used in connection with metal oxide
blasting devices. dental treatment units equipped with a central standard
wet suction are generally suitable for suction removal of the above
material. However, make sure to observe the instructions provided by the
manufacturer of your vacuum system.
Suction of steel abrasives permissible
No restrictions apply when using salt blasting devices in connection with
Sirona dental treatment units. However, in such cases, make sure that
the system is subsequently flushed with an adequate amount of water.
2.10 Patient chair
Maximum load capacity 140 kg or 185 kg
Please observe the maximum load capacity for the patient chair.
140 kg (308.6 lbs) forINTEGO, 185 kg (407.9 lbs) as option
185 kg (407.9 lbs) forINTEGO pro
The permissible maximum load capacity is indicated on a plate next to the
rating plate of the dental treatment unit.
The weight distribution complies with ISO 6875. The mechanical stability
is tested with a multiple safety factor acc. to IEC 60601-1.
The maximum permissible weight of accessories mounted on the patient
chair is 5 kg (11 lbs).
The patient’s arms and legs must be resting on the upholstery of the
chair.
max. load of chair
185 kg
Intermittent operation
of chair motors:
2 min ON/18 min OFF
max. load of chair
140 kg
Intermittent operation
of chair motors:
2 min ON/18 min OFF
üû

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2Safety instructions Sirona Dental Systems GmbH
2.11Intermittent operation Operating Instructions (USA) INTEGO
2.11 Intermittent operation
Intermittent operation
The motors of the dental treatment unit and of the treatment instruments
are designed for intermittent operation corresponding to the dental mode
of treatment.
Drive motors for patient chair and backrest: max. 10% duty cycle, (max.
2 min "ON" / 18 min "OFF")
2.12 Ventilation slots
Under no circumstances may the ventilation slots on the unit be covered,
since otherwise the air circulation will be obstructed. This can cause the
unit to overheat.
Do not spray liquids such as disinfectants into the ventilation slots. This
may lead to malfunctions. Only wipe to disinfect these areas.
2.13 Fresh water bottle
The fresh water bottle on the Compact and Turn water unit
The Compact and Ambidextrous water units can be equipped with a fresh
water bottle for stand-alone water supply for the treatment instruments
and for tumbler filling.
Use only Sirona fresh water bottles, see "Spare parts, consumables"
[ → 258]! Compressed air is added to the bottle is when it is screwed into
the holder. Beverage bottles could burst.
Misshapen, scratched, or discolored fresh water bottles must be replaced
immediately. Do not use fresh water bottles after the expiry date. The
date is marked on the bottle.
2.14 User interface
The dentist element of your dental treatment unit is equipped with a
pressure-sensitive monitor (EasyTouch).
The touchscreen must not be operated with pointed objects such as ball-
point pens, pencils, etc. Such objects could damage or scratch its
surface. Operate the touchscreen only by pressing it gently with your
fingertip.
2.15 Care, cleaning, and disinfecting agents
Unsuitable care and cleaning agents may corrode the surface of the unit
or impair function.
Use only care, cleaning and disinfecting agents approved by Sirona! For
more information, see "Care, cleaning, and disinfecting agents" [ → 178].
max. load of chair
185 kg
Intermittent operation
of chair motors:
2 min ON/18 min OFF
max. load of chair
140 kg
Intermittent operation
of chair motors:
2 min ON/18 min OFF
LEMON
LEMON
!
!
!

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Sirona Dental Systems GmbH 2Safety instructions
Operating Instructions (USA) INTEGO 2.16Care and cleaning instructions for the practice team
2.16 Care and cleaning instructions for the practice
team
Inappropriate care and cleaning of the device can result in failure or
damage. Technical personnel must be trained in the handling of medical
devices.
2.17 Modifications and extensions of the system
Modifications to this unit which might affect the safety of the system
owner, patients or other persons are prohibited by law.
For reasons of product safety, this product may be operated only with
original Sirona accessories or third-party accessories expressly approved
by Sirona. The user is responsible for any damage resulting from the use
of non-approved accessories.
If any units not approved by Sirona are connected, they must comply with
the applicable standards, e.g.:
● IEC 60950-1 or IEC 62368-1 for information technology equipment
(e.g. PC, Ethernet switch, Ethernet hub, Ethernet converter, USB
repeater, Ethernet router, USB switch, HDMI repeater/amplifier,
audio sources, display port repeater/amplifier, etc. and their power
supply units), as well as
● IEC 60601-1 for medical devices.
The dental treatment unit monitor must fulfill the requirements of the
IEC 60950-1 or IEC 62368-1 standard.
The loudspeaker port of the monitor may only be connected to a device
that complies with the IEC 60950-1, IEC 62368-1 (e.g. a PC) or IEC
60601-1 standard. Under no circumstances may it be connected to a
stereo system or similar.
If a system is created during the installation process, the requirements of
IEC 60601-1, 3rd edition, must be fulfilled. The system author assumes
responsibility for conformity of the system with 93/42/EEC Directive, for
example.
2.18 Electromagnetic compatibility
Medical electrical equipment is subject to special precautionary
measures with regard to electromagnetic compatibility (EMC). They must
be installed and operated as specified in the document “Installation
Requirements”.
Portable and mobile RF communications equipment may interfere with
medical electrical equipment. Therefore, use of such devices (e.g. cellular
phones) in the practice or hospital environments must be prohibited.
HF surgical device with capacitive user i nterfaces
Operating an HF surgical device
Treatment with HF surgical devices creates strong electromagnetic fields,
which may affect other electronic devices. Do not place external HF
surgical device on the surfaces of the dental treatment unit. Do not run
the cable of the HF handpiece over the surfaces of dentist or assistant
element, user interfaces, or other keys such as the On/Off key on the X-

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2Safety instructions Sirona Dental Systems GmbH
2.19Electrostatic discharge Operating Instructions (USA) INTEGO
ray image viewer. Electromagnetic interference can often be reduced by
operating the external HF surgical device with a neutral electrode.
Turn on the dental treatment unit with the Clean button inactive, to avoid
malfunction, see section "Clean button" [ → 41].
SIVISION digital and USB interface
The presence of electromagnetic interference in the vicinity of the dental
treatment unit may cause image degradation and interruptions in the data
transmission via the USB interface to the PC. In such cases, repeat the
image recording or other operations.
In the event of heavy interference, it may be necessary to restart the PC
and dental treatment unit. It is therefore not recommended to use the PC
for controlling other devices that perform essential tasks.
2.19 Electrostatic discharge
Protective measures
Electrostatic discharge (abbreviated: ESD – ElectroStatic Discharge)
Electrostatic discharge from people can damage electronic components
when the components are touched. Damaged components usually have
to be replaced. Repairs must be performed by qualified personnel.
Measures to protect against ESD include:
● Procedures to avoid electrostatic charging via
– air conditioning
– air humidification
– conductive floor coverings
– non-synthetic clothing
● discharging the electrostatic charges from your own body through
contact with
– a metallic unit casing
– a larger metallic object
– any other metal part grounded with the protective earth
Endangered regions are indicated on the unit by the ESD warning label:
We recommend that all persons working with this system are made aware
of the significance of the ESD warning label. A training course should also
be held to inform users about the physics of electrostatic charges.
Physics of electrostatic charges
An electrostatic discharge requires prior electrostatic charging.
There is a danger of electrostatic charges building up whenever two
bodies rub against each other, e.g. when:
● walking (soles of shoes against the floor) or
● moving (chair casters against floor).