Ivoclar Vivadent ODYSSEY24G Diode laser and footswitch User Manual Odyssey 2 4g Manual

Ivoclar Vivadent, Inc. Diode laser and footswitch Odyssey 2 4g Manual

Users Manual

French Language version of the Odyssey 2.4G Owner’sManual is available upon request.©2005 Ivoclar Vivadent, Inc. Odyssey is a trademark of Ivoclar Vivadent, Inc.XXXXXXXX Rev. 0, May 2005Specifications:Weight: 5.5 lbs. Dimensions: 6 1/4”(W) X 8 3/4”(L) X 5 1/2”(H) Power Range:•100 mW to 5.0 Watts in 100 mW increments•Aiming Beam (3 mW )IEC Laser Classification:•Laser Diode: Class 4 Laser Device•Aiming Beam: Class 3R Laser DeviceWavelength:•Laser: 810 nm ± 20 nm •Aiming Beam: 630 nm – 660 nm ±15 nm•Beam Divergence: 9 degrees ± 1 degreeCordless Foot Switch:•Frequency: 2.4 GHz• 9 volt DCModes:•Continuous Wave or Pulse•Hertz Rate in Pulse Mode – fixed: 1.0 Hz•Pulse Duration: fixed: 0.5 seconds•Duty Cycle (pulsed mode): 50% Audible Notification: YesVisual Notification: YesPower Requirements: 110 - 120 VAC @ 60 HertzAmperage: 1.5 Amps @ 110 - 115 VAC Complies with:IEC 60601-2-22IEC 60825-121 CFR 1040.10 and 1040.11IEC 60601-1CAN/CSA - C22.2Ordering InformationXXXXXX Odyssey Laser with AccessoriesContents:(1) Odyssey Laser Unit(1) Fiber Cleaver(1) Fiber Stripper(1) Protective Glasses - Black(1) Protective Glasses - White(1) Protective Glasses - White Frame Slim (1) 400 Micron Fiber Cartridge System(1) Package of (50) Hand Piece Tips(1) Hand piece (autoclavable)(1) Cordless Foot Switch(1) Cordless Foot Switch Receiver(1) 9 volt Alkaline Battery(1) Power Cord(1) Owner’s Manual(1) Procedure Guide(1) Warranty Card(1) Key(1) Laser Safety Sign(1) Training DVDAccessories:579032 Fiber Cleaver579031 Fiber Stripper579033 Protective Glasses - Black579034 Protective Glasses - White579035 Protective Glasses - White Slim 579036 400 Micron Fiber Cartridge System579039 Package of (50) Hand Piece Tips579038 Hand PieceXXXXX Cordless Foot SwitchXXXXX Cordless Foot Switch Receiver579041 Power CordUNITED STATES175 Pineview DriveAmherst, New York 14228716-691-0010800-533-6825Fax: 716-691-2285www.ivoclarvivadent.us.comCANADAIvoclar Vivadent, Inc2785 Skymark Ave., Unit 1Mississauga, ON L4W 4Y3905-238-5700800-263-8182Fax: 905-238-5711www.ivoclarvivadent.caEUROPEAN AUTHORIZED REPRESENTATIVEIvoclar Vivadent, AGBendererstrasse 2, FL-9494, Schaan, Liechtenstein+423-235-3535 100%CUSTOMER SATISFACTION GUARANTEED!Learn more about the Odyssey atwww.GetOdysseyLaser.comThis device complies with part 15 of the FCC Rules.Operation is subject to the following two conditions: (1) This device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation.ID: TFIODYSSEY24GModel No.: 595126
Owner’s Manual
Table of ContentsSection 1 - Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . .1Section 2 -Specifications2.0 Laser Specifications . . . . . . . . . . . . . . . . . . . . . . . .22.1 Delivery System Specifications . . . . . . . . . . . . . . . .2 2.2 Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22.3 Parts List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2Section 3 – Laser Assembly Instructions 3.0 Removing the Laser from the Packaging . . . . . . . .33.0.1 Instructions on Unpacking & Dealer Assistance .33.0.2 Shipping Container Information . . . . . . . . . . . . .33.0.3 Contents of the Shipping Container . . . . . . . . . .33.1 Assembling the Laser . . . . . . . . . . . . . . . . . . . . . .33.1.1 The Laser Chassis . . . . . . . . . . . . . . . . . . . . . . . . .33.1.2 Power Cord Installation . . . . . . . . . . . . . . . . . . . .33.1.3 Power/Fan Switch - CheckChecking the Laser Key Switch . . . . . . . . . . . . . .33.1.4 Laser Key Switch – Check . . . . . . . . . . . . . . . . . .33.1.5 Foot Switch Installation . . . . . . . . . . . . . . . . . . . .33.1.6 Odyssey Remote Interlock . . . . . . . . . . . . . . . . . .33.1.7 Emergency Shutdown Switch . . . . . . . . . . . . . . .43.1.8 Installing the Disposable Fiber Cassette . . . . . . . .43.1.9 Review of Installation Procedures . . . . . . . . . . . .4Visual Assembly AidesFigure 3.0 Back Panel of the Laser . . . . . . . . . . . . . . . .5Figure3.1 Front Panel of the Laser . . . . . . . . . . . . . . . .5Figure 3.1a Key Switch Activation . . . . . . . . . . . . . . . .5Figure 3.2 Laser Control Pad . . . . . . . . . . . . . . . . . . . . .6Figure3.2a Laser Display Indicators . . . . . . . . . . . . . . .6Figure 3.3 Cordless Foot Switch Input Port . . . . . . . . . .6Figure3.4 Cordless Foot Switch . . . . . . . . . . . . . . . . .6Figure3.5 Emergency Shutdown Button - Activating . .7Figure 3.6 Emergency Shutdown Button - Releasing . .7Figure3.7 Top View - Emergency ShutdownButton and Fiber Retraction Switch . . . . . . .7Figure 3.7a Advance and RetractionSwitch Activation . . . . . . . . . . . . . . . . . . . .7Figure 3.8 Laser Aperture and Cassette PowerReceiver Location on the Chassis . . . . . . . . .7Figure 3.9 Disposable Fiber Cassette Basewith a 15 Pin Power Coupler . . . . . . . . . . . .8Figure 3.10 Removable End Cap on the Cassette . . . .8Figure 3.11 Disposable Fiber Cassette without an End Cap . . . . . . . . . . . . . . . . . . . . . . . .8Figure 3.12 Proximal End of the Fiber as it Exits the Cassette . . . . . . . . . . . . . . . .8Figure3.13 Locking Hub . . . . . . . . . . . . . . . . . . . . . . . .8Figure 3.14 Alignment Slot . . . . . . . . . . . . . . . . . . . . . .83.2 Facility Requirements . . . . . . . . . . . . . . . . . . . . . . .93.2.1 Electrical Requirements . . . . . . . . . . . . . . . . . . . .93.2.2 Heating and Ventilation . . . . . . . . . . . . . . . . . . . .93.2.3 Lighting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93.2.4 Combustible Chemicals and Gases . . . . . . . . . . .93.2.5 High Speed Vacuum Systems . . . . . . . . . . . . . . .93.2.6 Access and Visual . . . . . . . . . . . . . . . . . . . . . . . .9
Section 4 - Safety Considerations4.0 Food and Drug Administration . . . . . . . . . . . . . . . .94.1 Wireless Technology . . . . . . . . . . . . . . . . . . . . . . . .94.2 Statutory Licensure . . . . . . . . . . . . . . . . . . . . . . . . .94.3 OSHA and its Provisions . . . . . . . . . . . . . . . . . . . . .94.4 Laser Safety Officer (LSO) . . . . . . . . . . . . . . . . . . .104.5 Continuing Education . . . . . . . . . . . . . . . . . . . . . .104.6 In-office Safety Issues . . . . . . . . . . . . . . . . . . . . . .104.6.1 Lighting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .104.6.2 Safety Eyewear . . . . . . . . . . . . . . . . . . . . . . . . .104.6.3 Test Firing the Laser . . . . . . . . . . . . . . . . . . . . . .104.6.4 Power Changes with Fiber Changes . . . . . . . . .104.6.5 Fiber Preparations . . . . . . . . . . . . . . . . . . . . . . .104.6.6 Danger – Laser in Use Signage . . . . . . . . . . . . .114.6.7 Sharps Disposal . . . . . . . . . . . . . . . . . . . . . . . . .114.6.8 Plume Evacuation . . . . . . . . . . . . . . . . . . . . . . .114.6.9 Key Switch and Mode Selection . . . . . . . . . . . .114.6.10 Safety Education . . . . . . . . . . . . . . . . . . . . . . .114.6.11 Laser Security . . . . . . . . . . . . . . . . . . . . . . . . . .114.6.12 Emergency Shutdown Options . . . . . . . . . . . .114.6.13 Hard Tissue Procedures . . . . . . . . . . . . . . . . . .114.7 ANSI Standards . . . . . . . . . . . . . . . . . . . . . . . . . . .11Section 5 – Operating the Laser5.0 Standby and Ready Status . . . . . . . . . . . . . . . . . .115.1 Continuous Wave Mode . . . . . . . . . . . . . . . . . . .115.2 Pulsed Energy Mode . . . . . . . . . . . . . . . . . . . . . . .115.3 Tissue Responses to Laser Energy . . . . . . . . . . . . .12Figure5.1 Poor Cleave on the Fiber . . . . . . . . . . . . . .125.4 Fiber and Hand Piece Care..................125.5 Warning (Fiber Cassette Care) . . . . . . . . . . . . . . .125.6 System Procedures . . . . . . . . . . . . . . . . . . . . . . . .125.6.1 Selecting the Treatment Center . . . . . . . . . . . . .125.6.2 Checking Foot Switch Installation . . . . . . . . . . .125.6.3 Checking the Disposable FiberCassette Installation . . . . . . . . . . . . . . . . . . . . .125.6.4 Checking Fiber Preparation . . . . . . . . . . . . . . . .125.6.5 Checking the EmergencyShutdown Button - Release Instructions . . . . . .135.6.6 Checking the Key Activation and Control Panel Display . . . . . . . . . . . . . . . . . . . .135.6.7 Setting Mode Parameters . . . . . . . . . . . . . . . . .135.6.8 Setting Power Parameters . . . . . . . . . . . . . . . . .135.6.9 Aiming Beam – Switching On and Off . . . . . .135.6.10 Avoiding Use of a Defective Fiber Tip (Shards) 135.6.11 Aiming Beam Activation . . . . . . . . . . . . . . . . .135.6.12 Test Firing the Laser BeforeBeginning Procedures . . . . . . . . . . . . . . . . . . .135.6.13 Using Quick/Short Strokes with the Fiber Tip .135.6.14 Cleaning the Fiber Tip During a Procedure . . .135.6.15 Preventive Measure –Placing the Laser in Standby . . . . . . . . . . . . . .135.6.16 Cleave used fiber tip and discard . . . . . . . . . .135.6.17 Preventive Measure - Cleaning the Fiber BeforeRetracting It. . . . . .135.6.18 Preventive Measure –Turning the Key OffBetween Procedures . . . .135.6.19 Recording Power,Mode and Time Parameters in the Patients Chart. . . . . . . . . . .135.6.20 Self Diagnostic and Monitoring . . . . . . . . . . . .13Section 6.0 Systems Components: Preparation, Care and Maintenance6.0 Disposable Fiber Cassette . . . . . . . . . . . . . . . . . . .146.0.1 Replacing the Fiber Cassette . . . . . . . . . . . . . . .146.1 Fiber Preparation . . . . . . . . . . . . . . . . . . . . . . . . . .146.1.1 Jacket . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .146.1.2 Cladding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .146.1.3 Quartz/Silica Fiber . . . . . . . . . . . . . . . . . . . . . . .156.1.4 Stripping the Fiber . . . . . . . . . . . . . . . . . . . . . . .156.1.5 Cleaving the Fiber . . . . . . . . . . . . . . . . . . . . . . .156.1.6 Initiating the Fiber . . . . . . . . . . . . . . . . . . . . . . .156.1.7 Fiber Disinfection . . . . . . . . . . . . . . . . . . . . . . . .156.2 Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . .166.2.1 Laser Chassis Disinfection . . . . . . . . . . . . . . . . .166.2.2 Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . .166.3 Hand Piece Preparation . . . . . . . . . . . . . . . . . . . .166.3.1 Preparation for Autoclaving . . . . . . . . . . . . . . . .166.3.2 Components of the Hand Piece . . . . . . . . . . . .166.3.3 Providing Adequate Fiber toCleave, Strip and Initiate . . . . . . . . . . . . . . . . . .166.3.4 Disposable Tips . . . . . . . . . . . . . . . . . . . . . . . . .166.3.5 Using the Stripper . . . . . . . . . . . . . . . . . . . . . . .166.3.6 Mounting the Disposable Tip . . . . . . . . . . . . . .16Section 7.0 Labels, Signs, Warnings and Information7.1 Federal Compliance . . . . . . . . . . . . . . . . . . . . . . .177.2 Danger – Laser in Use Signage . . . . . . . . . . . . . . .177.3 Laser Classification – Aiming Beam . . . . . . . . . . .177.4 Laser Classification – Treatment Laser . . . . . . . . .177.5 Caution – Changes Not Approved . . . . . . . . . . . .177.6 Caution – Avoid Skin and Eye Contact . . . . . . . .177.7 Caution – No User Serviceable PartsWithin the Chassis . . . . . . . . . . . . . . . . . . . . . . . .177.8 Caution – Sale or Use of a Laser by Other than a Physician or Dentist . . . . . . . . . .177.9 WARNING – Do Not Use Eyewear forOther than the 810 nm Wavelength . . . . . . . . .177.10 Manufacturer’s General Information . . . . . . . . .177.11 Nominal Ocular Hazard Distance . . . . . . . . . . . .18Section 8.0 Warranty Policy8.1 Loaner Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . .188.2 Repairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .188.3 Customer Service Address . . . . . . . . . . . . . . . . . .18Section 9.0 Glossary of Laser Terminology . . . . . . . . . . . .18Section 10.0 Selected References on Laser Dentistry . . . .19Section 11.0 Troubleshooting . . . . . . . . . . . . . . . . . . . . . .20
1Section 1 - IntroductionAsdentists strive to create the perfect smile, they are oftencompromised by the technology they use in their practice.Respected leaders from the dental profession and dentalequipment manufacturers have sought to identify the mostpractical and least invasive technology available to deliverrestorative and preventive care. Today, thanks to continuingefforts by these industry leaders, we have seen the introduc-tion of many new devices that have advanced the dentist’sability to perform at the highest standards. The ODYSSEY2.4G DIODE LASER from Ivoclar Vivadent, Inc. represents thelatest solid state diode laser technology available for soft tis-sue modification and preventative care.Unlike solid state lasers that utilize a man-made rod of ele-ments such as yttrium, aluminum, and garnet, doped with arareearth compound like Erbium, the diode has componentsthat have become known for their durability, dependabilityand longevity. We are, of course, referring to semi-conductorcrystal technology like that found in televisions, DVD players,telephones and many more of those household products thatwe have learned to rely on each day.The major components of the Odyssey 2.4G are semi-con-ductor “chips” made from Aluminum, Gallium and Arsenide,together commonly referred to as AlGaAs. They are activat-ed or “pumped” by passing an electrical current through thediode to produce an elliptical shaped display of monochro-matic light that can be focused into a very small point andplaced into the delivery fiber. The wave length produced bythe diode is approximately 810 nanometers (nm) and pro-duces invisible non-ionizing thermal radiation that does notcreate changes in cellular DNA. The diode is air cooled andhighly efficient when used correctly. For safety, the diode fea-tures several ways to stop energy flow if the operator wishesto deactivate the laser. The safety system includes a choice ofan emergency shutoff switch, a key, a power switch, a powercord or an electrical plug. Any of these items can be used toshut down the laser.The design and technology used in the Odyssey 2.4G allowsthe dentist or hygienist (in states where the Dental PracticeAct doesn’t prohibit hygienists from using a laser) to transportthe laser between different operatories. It has a light weightand durable chassis that is designed to use 110 – 120 V elec-tricity found in most dental offices. Training is recommended and opportunities for such areavailable through such outlets as the Academy of LaserDentistry and many of the dental schools. You should ask yourauthorized representative for the names of dentists in yourarea who have a laser and who could help you in a mentoringcapacity. There are many applications for using this laser system and you will be proud of the results you attain whenyou use the Odyssey 2.4G regularly.Laser safety is paramount in importance and each officeshould quickly develop and implement a laser safety programand appoint a “laser safety officer” to be responsible for thelaser.Their duties include management of the laser and allaccessories as well as training office personnel in all aspects oflaser safety. More duties are outlined in Section 4, subsection4.3 of this manual.Remember: Always test fire the laser outside themouth before using it on a patient. The doctor, thepatient and any staffmember present in the operatoryshould be wearing the appropriate safety eyewearwhenever the laser is being operated. Strict adherenceto protocols for safe laser use is essential.
2Section 2 – Specifications2.0 Laser Specifications Weight 5.5 lbsDimension in inches (H X W X L) 5.5” X 6.25” X 8.75”Laser Classification (Per 60825)Laser Diode Class 4 Laser DeviceAiming Beam Class 3R Laser DeviceWavelengthLaser 810 nm ±20 nm Aiming Beam 630 nm – 660 nm ±15 nmBeam Divergence 9 degrees ± 1 degreePower Range 100 mw to 5 WattsHertz Rate in Pulsed Mode - fixed 1.0 HzPulse Duration - fixed 0.5 secondsDuty Cyclepulsed mode 50%continuous wave 100%Aiming Beam (3 mW ) YesAudible Notification YesVisual Notification YesPower Requirements 110 - 120 VAC @ 60 Hertz220 - 240 VAC @ 50 HertzAmperage 1.5 Amps @ 110-115 V AC 0.75 Amps @ 210-230 V ACCordless Foot SwitchFrequency 2.4 GHzBattery 9 volt DC Alkaline 2.1 Delivery System Specifications2.1.1 Quartz silica fiber 1cassette – approximately 20’ each (6 meters)Fiber Diameter 400 micronsAutoclavable NoRetractable fiber deliverycassette (non-autoclavable) 12.2.2 Hand Piece - Autoclavable 12.2.3 Tips for the Hand Piece Autoclavable and disposable 50 per box2.2.4 Laser Aperture -ST Adapter Type Yes2.2 Warranty (See also Section 8)Laser 1 year Parts and LaborFiber and Cassette 90 days Parts and Labor2.3 Parts List PartIdentification numberCordless Foot Switch XXXXXXCordless Foot Switch Receiver XXXXXXPower Cord 579041Disposable Fiber Cassettewith a 400 micron fiber 570936Disposable Fiber Cassettewith a 600 micron fiber 579037Laser Safety Eyewear(appropriate for 810 nm protection)Black 579033White 579034White Slim 579035Hand Piece (autoclavable) 579038Disposable Handpiece Tips (50 quantity) XXXXXXFiber Cleaver 579032Fiber Stripper 579031Owner’s Manual XXXXXXDanger Sign 580280Procedure Guide 579347
3Section 3 - Laser Assembly Instructions3.0 Removing the Laser from the Packaging3.0.1 - Your local authorized dealer can provide a representa-tive to assist you when you are ready to remove the laser fromits shipping container. You may remove it yourself if you wishto get a head start on the set-up, but please do not attemptto unpack the laser and install the various components with-out reading this section first. If you are unsure about anyaspect of the assembly, call your authorized dealer represen-tative for assistance.3.0.2 - Please do not destroy or throw away your shippingcontainer.Though highly unlikely, you may need to return thelaser for service or repair and the shipping container youreceived with your laser has been designed to transport thelaser.3.0.3. - The contents of the shipping container should includethe following:a. Laser chassisb. 3 pairs of protective eyewear -optical density of 4+ at 810 nmc. 1 laser fiber cassette with approximately20 feet (6 meters) of 400µm fiber optics d. 1 cordless foot switche. 1 cordless foot switch receiverf. 1 9 volt Alkaline batteryg. 1power cordh. 1 cleaveri. 1fiber stripper j. 1autoclavable hand piecek. 1 owner’s manual l. 1 keym. Laser in use warning signn. 1 procedure guide o. 1 pack of 50 - hand piece tipsPlease check all items sent with your laser to insurethat all components areaccounted for.3.1 Assembling the LaserEach of the following items should be inspected, inserted intothe appropriate receptacle, and when applicable, lockedusing the locking hub. 3.1.1 Laser Chassis: After the laser chassis and all accessorieshave been removed from the shipping packaging, inventory all parts using the parts list (section 3.0.3). Refer to the customer service number on the last page of this manual andfile a damaged or missing part report. You will receive information regarding the return of the damaged part andalso a tentative schedule date for receiving the replacement.3.1.2 Power Cord: Remove the power cord from the Odysseyaccessory package and plug the power cord into the appro-priate receptacle on the back of the laser. See Figure 3.0 onpage 4. To prevent power surges due to electrical storms orspikes in line voltage, you should use a power strip with a cir-cuit breaker or unplug the laser when you are not present.Plug the power cord into a 110 Volt AC outlet rated at 60Hz.3.1.3 Power/Fan Switch: The power/fan switch for the laserand fan is the first item you turn on each day. The switch islocated on the rear panel of the laser near the lower righthand corner. See Figure 3.0 on page 4. 3.1.4 Laser Key Switch: The laser key switch is the major cir-cuit breaker for your laser. It will be the second item you turnon when activating the laser each day.Place the laser key intothe key receptacle located near the lower right corner on thefront of the laser. See Figure 3.1 and Figure 3.1a on page 5.Check the key switch by turning the key clockwise approxi-mately 1/4 of a turn. This is the (ON) operating position forthe key.The fan will startwhen the power/fan switch is onand the key is turned. Prior to leaving the office, the laser safe-ty officer should check to see that the key switch has beenturned off and the key removed and stored in a safe place. 3.1.5 Foot Switch: Locate the foot switch receptacle on theback of the laser and insert the wireless transmitter adapterinto the marked receptacle on the back of the laser. Thencheck to see if it is securely locked. See Figure 3.0 on page 4and Figure 3.3 and 3.4 on page 6. Remove the battery coverfrom the underneath side of the foot switch. Inserttheenclosed 9 volt battery. Replace the battery cover. The footswitch is now ready for operation. NOTE: An extra 9 voltalkaline batteryshould be kept in your office inventoryas the batteryshould be changed every90 days.3.1.6 Odyssey Remote Interlock: The Odyssey Laser isequipped with a Remote Interlock Jack. The Remote InterlockJack is provided so that a clinician may install the laser in adedicated laser treatment room such that the laser will beinterlocked with the entrance door of the room. In such aninterlocked installation, the laser would shut off anytime thedoor is opened, hypothetically, to protect the person’s eyeswho is entering the room. It is recognized that such install-ment is not facilitated nor required in many operatories orclinics. To that end, the Remote Interlock is available to anypractitioner that requires it. The Remote Interlock Jack is locat-ed and clearly labeled on the rear of the laser. The miniphono
4jack is wired in the normally closed position; meaning that nofurther action is required to operate the laser without theinterlock loop. If the interlock loop is desired you may pur-chase the loop as an accessory or you may purchase a loopfrom a local electronics store. You need only inform the localelectronics store that you require a mini (1/8”) mono-phonojack wired into a normally closed momentary switch andselect the switch design that best suits your needs. To installthe loop, install the switch on the door and simply plug themini phono jack into the Remote Interlock Jack on the rear ofthe laser.3.1.7 Emergency Shutdown Switch: Before you can activatethe laser, you must first check to see if the emergency shut-down switch has been depressed prior to shipment andlocked in the off position. The switch is the red button locat-ed on the top of the laser. To release, depress the switch bygrasping it between your thumb and index finger,and gentlydepress it as you turn the button 1/4 turn to the right. Youwill feel it “click” or release and the spring loaded button willpop back up. The display on the control panel should now belighted. If the cartridge lock plate is not fully engaged, this willprevent the display from lighting up. If you find that the dis-play is still not operational, check all attachments, keys andswitches to see that they aresecurely installed and that youhave an active wall plug for electricity. (See TroubleshootingSection pg. 19). If the laser can not be activated, please con-tact your authorized distributor who can help you to get areplacement. If the control panel does light up when yourelease the shutdown switch, you should test the switch againby depressing it to turn the laser off. If the shutdown switch islocked down, the laser will not turnon. See Figure3.5 andFigure3.6 on page 7. 3.1.8 Installing the Disposable Fiber Cassette: To install anew cassette, carefully remove the fiber cassette from thepacking. Remove the end cap from the old cassette andremove the cassette (do not dispose of the end cap). To installthe new cassette, locate the end of the new fiber.Avoidplacing your finger on the proximal end of the newfiber.See Figure3.12. Human oils on the fiber can burnanddiminish the effective transmission of radiant energy once thefiber is installed. While opening the door on the laser aperturewith one hand, insert the proximal end of the newfiber into the laser aperture. See Figure 3.13. Be careful toalign the slot on the fiber end with locking hub of the aperture. See Figure3.14. Once inserted, turnthe fiber locking hub to the right (clockwise) to lock the fiber securelyinto the ST connection . Once the fiber is connected, align thedove tail of the cassette with the dove tail receiver on thechassis wall. See Figure 3.8. This will help assure that thepower coupler(a serial port) on the underside of the fiber cassette will be aligned with the receiver on the laser chassis.Slowly press the cassette into place. See Figures 3.8, 3.9 &3.11 on pages 7-8. Once connected, replace the end cap tosecure the fiber cassette. The laser will not operate withoutthe end cap firmly in place. Turn the key switch andpower/fan switch to the “on” position. Test your power con-nection by advancing the fiber, using the rocker switch on thetop of the cassette. Depress the switch at its most anteriorpoint to see if it moves the fiber forward. Next, select a low power to check transmission of energy (1Watt – 1.5 Watt). Put on the safety eyewear to protect youreyes. Place the laser in ready mode and depress the footpedal to activate the laser while holding the fiberapproximately 2-4 mm away from a piece of paper with print-ing on it. Aim at the printing, the paper will begin to burn in1-2 seconds. See 4.5.2 and 6.1.6. You should be able to seethe aiming beam on the paper and the fiber tip should pro-duce enough heat to let you know it is installed properly andthe fiber is sound. You do not want to use an initiatedfiber (see page 15) for this check because the energywould stop at the tip.3.1.9 Review: Laser Assembly Instructions 1. Attach the laser’s power cord and place the plug into the wall receptacle.2. Attach the foot switch and lock the locking hub.3. Attach remote interlock, if desired (not required).4. Check the emergency shutdown switch to see that is has been released.5. Install the fiber cassette and attach the fiber to the ST connector.6. Place the key into the key switch receptacle (see Figure 3.1a on page 5) and turn the key to the right.The control console should light up.7. The light on the console indicating the operating statusshould be in the standby mode.NOTE: When the power cordis plugged in, the fan/power motor switched on, the cordless foot switchreceiver attached and the emergency shutdownreleased, the key will turnthe laser on.
5Figure 3.1 - Front Panel of the LaserFigure 3.1a Key Switch ActivationOdyssey 2.4G Digital DisplayLED ScreenControl PanelFiber Advance andRetraction SwitchKey SwitchHand PieceHolderTurnthe key 1/4 of a turntothe right to turn on the laserFiber ApertureONOFFLabel required bySafety StandardsLabel required bySafety StandardsFigure 3.0 Back Panel of the LaserManufacturer’sSpecifications,Regulatory andGeneral Information Disposable Fiber CassetteFoot Switch Input PortPower/Fan SwitchEmergencyShutdown Fiber CassetteEnd Cap ReleasePower Plug ReceptacleRemoteInterlockConnectorFuse Receptacle
6Figure 3.2 - Control Pad SettingsFigure 3.3 Cordless Foot Switch Input Port & Receiver Figure3.4 Cordless Foot SwitchAlign the lip on the proximal end of the cordless receiverwith the notch at the top of the input port.Mode: Press this key to toggle between Continuous andPulse mode.Increase and Decrease: Use these to adjust the workingbeam power. Hold the key to rapidly change the value.Program: Press this key to select either manual (M) or oneof three user saved programs (P1, P2, P3). Each programwill save all of the parameters - working beam, aimingbeam and mode. The settings can be changed as desired for any of the pro-gram modes. To set the user defined program modes,choose either P1, P2 or P3, set your preferred settings andpush the ready button. Upon activating the ready button,the new settings will be retained. Figure 3.2a - Display IndicatorsLaser On: This illuminates when the foot pedal isdepressed. This indicates that the working beam (810nm)energy is being emitted.Ready Indicator: This illuminates when the READY key ispressed. It will blink for 3 seconds, then remain steady.Once it is steady on, the aiming beam will be activated.Continuous and Pulse Mode: This illuminates when theunit is in continuous mode. Use the MODE key to toggleback and forth between Continuous and Pulse.Working Beam Setting: Indicates the working beampower output setting.Aiming Beam Setting: Indicates the aiming beam set-ting. Each bar represents about 20% of maximum capac-ity.Thus 0 bars means the aiming beam is shut off. Program Setting Indicator: Shows the current programmode that is selected. Pressing the PROGRAM key willcycle through the programs left to right, then back to“M”. Laser On IndicatorWorking Beam Power Setting Aiming Beam SettingReady IndicatorContinuous ModePulse ModeProgram Setting Indicator
7Check of the Emergency Shutdown System1.Depress to shutdown (feel the click) Power is OFF in thedown position Emergency Shutdown Switch 2. Depress slightly and turn right 1/4 of a turn turn to release.The emergency stop will pop up and the LED screen will light.Figure 3.5 Figure 3.6 Figure 3.7 Figure3.7a Rocker Switch Activation IN OUTAluminum handleFiber advance and retract rockerswitch (See below)Depress the OUT or IN rocker switchto advance or retract the fiberLaser Aperturewith ST Connection: The proximal end of thefiber inserts hereand islocked by turning thelocking hub to the right Receiver for the FiberCassette end caplocking deviceFigure 3.8 Laser Aperture (ST adapter) and power receiver for thepower coupling device on the base of the cassette.Receiver for the PowerCoupling DeviceDove tail Alignment guide
8Depress at the base of the arrow to release the cover for the fiber cassette Figure 3.9 Base of the Fiber Cassette and the 15 PinPower Coupling Device Figure 3.10 Removable End Cap of the Fiber CassetteFigure 3.13 Locking Hub Figure 3.14 Alignment SlotFigure 3.11 Disposable Fiber Cassette without theEnd Cap15 pin PowerCoupling DeviceThe proximal end of the fiber extends from the internal wallof the fiber cassette and must be attached to the laser byinserting it into the Laser Aperture (ST adapter).Once it is inserted into place, it is locked by turning the locking hub approximately 1/8 turn to the right.Figure 3.12 Fiber exit from the Disposable Fiber CassetteAlignment slotProximal end
93.2 Evaluating the Facility and EnvironmentalConsiderations (United States)In order to insure the safe use of the laser in your facility,please check to make sure that the proposed location hasthe following:3.2.1 Electrical Requirements110 -120 V AC ±10 % at 60 Hz3AmpsFrequency range 45 - 63 Hz9volt DC Alkaline battery 3.2.2 Heating and VentilationThe room where the laser is used should have good cooling and heating system so that the laser can be operated within the optimum range of 20º - 30ºC (68º - 86º F).Avoid storing or transporting the laser in temperatures below 0º Celsius (32º F).3.2.3 LightingOverhead lighting and or dental unit light should provideenough illumination to allow good operator vision when acti-vating the laser intra-orally.3.2.4 Combustible Chemicals and GasesAll gases that are combustible or support combustion and areused in the operatory area wherethe laser is in use must beturned off during the procedure. Cleaning supplies or otherflammable chemical compounds should be stored in an areaaway from the surgical site in order to avoid possible com-bustion.3.2.5 High Speed Vacuum SystemsPlume evacuation is a priority when vaporizing tissues. Thedoctor and their chair-side assistants should keep themselvesand the patient safe by using a high volume vacuum systemand high filtration masks that are suitable for virus and bacte-rial control.3.2.6 Access and Visual Access to the treatment area should allow the dental team torestrict entrywhile the laser is in use. There should be a LaserIn Use warning sign placed in a designated area adjacent tothe entry into the treatment area. See Figure 7.0 on page 16.4. Safety ConsiderationsThe safe use of the Odyssey is the responsibility of theentire dental team including the doctor, the laser safetyofficer appointed from the doctor’s staff, and the den-tal team of auxiliary personnel. Protocols for the safeuse of lasers have been developed by a combination ofmedical and dental professionals working in concertwith educators at the university level, scientists and lasermanufacturers. Dental professionals have had todevelop protocols and guidelines for using the laser onoral soft tissues. Sound judgment and the concern forpatient safety should be the basis of all laser care. Thefollowing entities have influence over laser use. 4.0 Food and Drug AdministrationManufacturers of products subject to performance standardsunder the Federal Food, Drug, and Cosmetic Act, Chapter V,Subchapter C - Electronic Product Radiation Control arerequired to certify compliance with the regulations and fur-nish various reports to the Center for Devices and RadiologicalHealth (CDRH)). For medical laser manufacturers, additionalreview by the FDA of the safety and effectiveness of thedevice is required. Companies who intend to market a med-ical laser today must receive authorization from the FDA topermit the device into commercial distribution. There are twoforms of premarket clearance procedures. The premarketnotification (510(k)) procedure is principally used for thosedevices that are documented to be substantially equivalent tolegally marketed Class I and Class II devices. For new devicesnot equivalent to legally marketed devices, a morecomplexPMA is required. 4.1 Wireless TechnologyIn order to promote efficient use of the radio spectrum in var-ious global markets the US FCC (Federal CommunicationsCommission) and other international government agencieshave developed technical standards for devices that arecapa-ble of emitting radiofrequency energy when in use – such aswireless data cards. These products need to receive certainidentification numbers in accordance with the CommissionEquipment Authorization rules prior to marketing in US mar-kets. The FCC certification is similar to the CE certificate forthe European markets.The Code of Federal Regulations, Title 47 (47 CFR), Part 15covers the rules for the operation of unintentional, intention-al or incidental radiators. Any electrical or electronic devicesincorporating a digital circuitry and operating with an oscilla-tor or clock speed of greater than 9kHz requires approval tothis rule. There are various types of FCC Part 15 approvals,pending on the nature of the product and its intended use. In Canada, IC-RSS 210 (Radio Standards Specification) setsout the requirements for license exempt low-power inten-tional radiators. This standardis veryclosely harmonized interms of permitted frequencies, types of operation, and othertechnical requirements to the FCC requirements, but a sepa-
10rate certification application is required for Canada. In the European Community, compliance with several safetydirectives and testing to EN 300 328, EN 60950 and EN 301489 is required for this type of device. The manufacturer isrequired to provide a Declaration of Conformity as evidenceof its compliance with the various regulatory requirements. 4.2 Statutory LicensureUsually, states do not have a specific licensure requirement foruse of a laser by a dentist. Most states require a hygienists toattend licensure training that includes both a lecture andhands-on training. Prior to using the laser, the hygiene appli-cants are required to pass a proficiency test for certification.These courses are usually taught by members of the Academyof Laser Dentistry who possess instructor credentials.4.3 OSHA and its ProvisionsWorker safety is the responsibility of the employer and is regulated by OSHA (Occupational Safety and HealthAdministration), a division of the U.S. Department of Labor.OSHA has issued no specific standardfor safe use of lasers butrecognizes ANSI standard Z136.1 as a source for analyzingsafety with respect to medical lasers. For moreinformationsee OSHA Technical Manual (TED 1-0.15A) Section III, Chapter6, 1999. Ivoclar Vivadent Inc. recommends implementation ofaLaser Safety Program for the safety of your patients andoffice staff in connection with the use of the Odyssey DiodeLaser.4.4 Laser Safety ProgramWe recommend implementation of a Laser Safety Programappropriate for your dental office. The plan may include thefollowing:•Delegation of authority and responsibility for supervisionand control of the laser to a Laser Safety Officer;•Minimum Training requirements for users of the laser•Laser security against unauthorized use of the laser•Standardoperating procedures to regulate the work envi-ronment in order to protect the patient and office stafffromlaser hazards.The safe use of a laser is the responsibility of the Laser SafetyOfficer (LSO) who can be a full or part-time employee, or thelaser operator. It is their responsibility to train the staff, main-tain records concerning training and the laser’s performance,performsafety checks and preparethe laser for use on a dailybasis. The LSO must keep records of any incidents that relateto the failure of the laser or any adverse effects related to lasertherapy and reportsuch incidents as prescribed by law. Thelaser safety officer assures that a medical follow-up has beensought or has occurred following any adverse incident duringtreatment. The LSO is responsible for the training of all officepersonnel who areinvolved with the laser preparation anduse. Daily checks of the facility and equipment are also theLSO’s responsibility. The LSO should test fire the laser each day prior to beginning each treatment procedure. For more infor-mation on the contents of a Laser Safety Plan, you can reviewANSI Standard Z136.3 for Safe User of Lasers in Health CareFacilities or TR IEC 60825-8 Guidelines for the Safe Use ofMedical Laser Equipment.4.5 Continuing EducationThe laser safety officer should insure that the operator andstaff attend laser courses taught by qualified laser educators.Ongoing reviews of laser safety procedures should be a partof normal office routine.4.6 In-office Safety Issues4.6.1 Lighting: Always use the Odyssey in a well lighted andventilated area. Make certain that chemicals or gases capableof supporting or causing combustion are not present whenusing the laser. Use high volume vacuum to remove the laser“plume” and provide a high filtration masks for all peoplepresent in the treatment area during lasing. 4.6.2 Safety Eyewear: While using the Odyssey laser, doctors,auxiliary staff, patients, and anyone attending them in theoperatory must wear the appropriate safety eyewear that hasbeen designed for use with the 810 nm wavelength. Neverpoint the laser tip directly at the face, eyes or skin of anyonewhile emitting energy.The aiming beam is also capable ofcausing eye damage 4.6.3 Test Firing the Laser: Always test-fire the Odyssey priorto using it intra-orally. Using a power of 1 Watt continuouswave or less, place the laser in the ready mode. Then, activatethe laser for 1-2 seconds while aiming the fiber onto a 2X2gauze sponge wetted with water.Do not use alcohol or anyother combustible material to wet the 2X2 sponge as it mayignite.4.6.4 Power Changes With Fiber Changes: Switching to asmaller diameter fiber will increase the density of the powerat the fiber tip. As a result, you may need to adjust yourpower downward. Increasing the power may be requiredwhen switching to a larger diameter fiber. In order to achievethe same rate of work after changing fiber diameters, remem-ber this: a smaller diameter fiber will require less power andconversely, a larger diameter will require more power.4.6.5 Fiber Preparations: After cleaving and stripping the fiber,photo-initiation of the fiber tip will allow the operator toremove tissue morerapidly. Gingival debris on the tip willretain the heat and it should be removed. The tip will alsobegin to blacken and deteriorate as it retains the heateddebris and can break if not removed by cleaving it. Clean thetip often using a 2 X 2 gauze sponge moistened with water.Do not use combustible liquids to moisten the 2 X 2.
4.6.6 Danger - Laser In Use Signage: Each operatory wherethe Odyssey is used should have a “laser in use” sign placed atthe operatory entrance when a procedure is in progress. Thissignage will help to eliminate eye damage caused by inadver-tent exposure to laser energy. See Figure 7.0 on page 30.4.6.7 Sharps Disposal and Sponge Removal: Remove cleavedfiber remnants and place them into a sharps container for dis-posal. All sponges used for cleanup of lasers and fibersshould be disposed of in a bag for contaminated soft prod-ucts.4.6.8 Plume Evacuation: Use high volume evacuation suctionduring procedures to remove laser smoke or ‘plume’. debris.Use masks suitable for viral filtration. Caution - laser plumemay contain viable tissue particulates.4.6.9 Key Switch and Mode Selection: When the key switchis in the ON position (turn to the right), the laser has beenenabled and can be activated while in the READY status.When not in use, insure that the key has been turned off orthat the laser is placed in the STANDBY status. 4.6.10 Safety Education: Provide comprehensive safety proce-dure training for all office personnel and include the staff in alloutside laser courses you attend when possible. Be certainthat all members of the dental team understand how the laserworks and can advise patients as to their safety and advan-tages over conventional procedures.4.6.11 Laser Security: To prevent the unauthorized use of thelaser while not in use, the key should be removed from theunit and maintained by the Laser Safety Officer.4.6.12 Emergency Shutdown Options:Any of these mechanisms can be used to shut down the emission of laserenergy in a real or perceived emergency.1. Depress the emergency shutdown button2. Foot switch – remove your foot to stop lasing3. Key – turn off the key4. Switch the Power/Fan to the off position (O)5. Power Cord–unplug from the wall outlet4.6.13 Hard Tissue Procedures: The Odyssey diode is not anappropriate laser for hardtissue procedures. The laser isattracted to melanin, hemoglobin and to some extent towater and oxygenated hemoglobin. Avoid prolonged expo-sure of the energy when working in and around the cervicalareas of the tooth. Due to the thin layer of enamel in thisarea, the laser’s energy may be absorbed by the hemoglobinin the pulp and pulpal hyperemia may occur. Extended expo-sureto laser energy could lead to pain and possible pulpalnecrosis.4.7 American National Standards Institute(ANSI) - Safety StandardsANSI is a non-governmental, non-profit agency that hasestablished guidelines and safety standards for the use oflasers and other electro-optics. The provisions of ANSI Z 136.3outlines standards for lasers used in dentistry and the assess-ment of laser risks. ANSI also establishes guidelines for safe-ty eyewear and classifies all lasers based on their potential fordamage to eyes or tissue.5. Operating the LaserThe Odyssey will deliver energy in either a Continuous Wave(CW) mode or in a pulsed mode which are called temporalemission modes (time related modes). Selecting the appropri-ate mode is a factor of controlling target tissue temperaturesand the efficiency of energy delivered. The pulse duration (.5seconds) and the number of pulses per second (1) have beenfixed by the manufacturer using a 50 % duty cycle and you willtherefore need only to change the power and mode.5.0 Standby and Ready StatusOnce you have turned on the power /fan switch on the backof the laser and the key switch on the front, you will see thelaser LED screen light up. The status of the laser will be inStandby which is a non-active status. The laser will not emitenergy while in Standby,even if you depress the foot switch.On the left of the control panel you will see the ready button.See Figure3.2. Press this key to place the unit into the readystatus. When this key is pressed whatever settings are dis-played on the unit will be saved into the unit’s memory for theprogram setting shown. The settings saved into the three pro-grammable modes will be retained even if the laser is turnedoff. Any adjustments to the settings after the laser is in theready status will not be saved to memory. The laser will nowbe ready to emit energy as you depress the foot switch.5.1 Continuous Wave ModeIn setting up the laser while in the CW mode, you will deliverthe amount of power in one second that you have set the laserfor.i.e. Set the laser for 2 Watts CW and while in the readymode, the laser will deliver 2 Watts per second as long as youhave the foot switch depressed. The CW mode is generally thefastest way to ablate tissues but heat can build up and causecollateral damage to the target and adjacent tissues. Cool thetissues being lased by using periodic blast of air from a triplexsyringe. You may use water to cool in areas where there is pro-longed exposure to the laser’sbeam. Avoid using the airsyringe when you have an opening in soft tissue adjacent to orwithin the surgery site. An air embolism may occur as a resultof air captured within the tissue during the cooling process.5.2 Pulsed Energy ModePulsing the laser energy will allow some cooling of the tissue inbetween emissions of energy.The “duty cycle” is the percent-age of the time in each second that the laser is emitting ener-11
12gy. The pulses per second, the duty cycle and the energy inten-sity per pulse will determine your average power. In the pulsedmode, the Odyssey is programmed to deliver 1.0 pulse per sec-ond with each pulse lasting for 0.5 seconds. The duty cycle isset for 50% so you will have 1 energy pulse with 1 period ofrest with no energy between each pulse. If the laser is producing energy at 1 time per second for 0.5seconds per pulse, you will be producing energy for a total of0.5 seconds. The result will be an average power per secondthat will be 0.5 of what you have set the laser for. Therefore,when using pulsed energy, you will have to adjust your powerupward in order to achieve the same rate of work as the samepower set in CW. 2 Watts of Pulsed energy will be the sameaverage power output as 1 Watt CW. 5.3 Tissue Responses to Laser EnergyMaximum results will be achieved by regulating the power andthe speed that the operator moves the fiber tip. TissueCharring is an undesirable after effect of too much power orthe tip moving too slowly. Always use the least amount ofpower necessary to complete your procedure. The ideal tissueresponse will show little or no discoloration after lasing andthere will be less residual damage and faster healing. Avoidpenetrating or damaging the periosteum, and do not use thelaser on alveolar bone. Because the laser energy is attracted tomelanin and hemoglobin, power must be reduced when treat-ing patients with dark skin. Always begin lasing with the low-est power you can use to remove or modify the target tissues. Avoid damage to the gingival sulcus by moving the fiber tipquickly and using a power below 1.5 Watts. Check to makesureyou have a good cleave of the fiber so that no shardispresent on the tip. A shardmay act as a miniaturescalpel anddamage the small blood vessels, thus preventing hemostasis and coagulation. (See Fig. 5.1)Figure 5.15.4 Fiber and Hand Piece CareDo not continue to use the fiber tip once you have observedthat the tip has a blackened appearance that is greater inlength than 2-4 mm from the previous cleave spot. See(Figure 6.1) The protein debris of gingival tissue accumulateson the tip during surgery and retains extreme heat that cancause rapid tip deterioration and subsequent breakage. This isespecially important when using the laser for periodontalpocket debridement. During surgery, clean the tip oftenusing a 2 X 2 sponge moistened with water. Do not use alco-hol or other combustible liquids to moisten the 2 X 2 gauzesponge and do not use the sponge while the tip is hot.Always use a cold disinfectant solution like BIREX to wipe offthe fiber jacket before retracting the fiber. The fiber can beadvanced or retracted by using the “rocker switch” on thetop of the fiber cassette. The hand piece should be auto-claved after each patient and a new disposable tip applied.Dispose of the cleaved tip in a “Sharps” waste receptacle.Be advised about the potential hazards when inserting, steeplybending or improperly securing the fiberoptics to the chassis.Radiation exposure may occur in these instances which could beharmful to yourself, your staff and your patient. Special careshould be taken not to break or snap the fiber.As the aiming beam passes down the same delivery system as theWorking Beam, it provides a good method of checking forintegrity of the delivery system. If the aiming beam spot is notpresent at the distal end of the delivery system, its intensity isreduced or it looks diffused, this is a possible indication of a damaged or not properly working delivery system.5.5 WARNING- !!!! DO NOT PLACE THE FIBER AND FIBERCASSETTE IN THE AUTOCLAVE TO STERILIZE THE SYSTEM.USE COLD DISINFECTING SOLUTIONS TO WIPE DOWN THEFIBER AND THE EXTERIOR OF THE LASER FIBER CASSETTE.5.6 Systems Procedures5.6.1 Treatment Area Requirements The laser should beplaced in an area with good ventilation and lighting. The elec-trical service required is a 110 Volt AC outlet - 60 Hz. The areawherethe laser is placed should be free of standing water.Combustible gases or those that support combustion shouldbe turned offand all flammable materials or chemicals storedin the area should be removed.5.6.2 Foot Switch. Check to see that the foot switch receiveris installed properly and locked. Be sureto replace your batteryevery 90 days or whenever the foot switch fails to respond.5.6.3 Fiber Cassette. Before using the laser, check the fibercassette to see that it is firmly seated. Depress the extend/retract rocker switch on the cassette to see that it is function-ing properly. After Checking the Fiber Cassette Power, expelsome fiber from the cassette. 5.6.4 Fiber Preparation. You will want to have approximately3feet (1 meter) of fiber available to strip the fiber, cleave thefiber, initiate the fiber and disinfect the fiber (See Section 6.1).When the fiber is prepared, the hand piece and tip should beattached (See Section 6.3). Once prepared place the handpiece into the holder on the side of the laser. See Figure 3.2 onpage 6 and Figures 3.7 and 3.7a on page 7. The rocker switchfor fiber cassette operation should not be depressed duringlaser operation.5.6.5 Emergency Shutdown Button. Check the EmergencyShutdown Button to see that it has not been depressed. If itFiber withashard(a bad cleave)
has, release it by depressing it slightly as you turn it 1/4 turnto the right.5.6.6 Key Switch. Turn the Key Switch on the front of thelaser to the “on” position by turning it approximately 1/4 turnto the right (clockwise). The control panel should light up andshow the laser is in Standby Mode.5.6.7 Setting Parameters. Review your power and moderequirements and then depress the mode button to selecteither CW or pulsed mode. The mode you have selected willbe displayed just below the LED screen and will be designat-ed by a small light in the corner of either the pulse or CWpanel display. See Figure 3.2 on page 6.5.6.8 Select Your Power by pressing the up or down arrowuntil you have reached the desired Wattage. Beginning withalow of 0.1 Watts, the power increases in increments of 100mW up to a maximum of 5.0 Watts (CW ). By holding the upor down arrow, you can have an un-interrupted increase untilyou reach your desired power. See Figure 3.2 on page 6.5.6.9 Aiming Beam The aiming beam can be turned on andoff by pressing the aiming beam button on the laser controlpanel. Press this key to progressively increase the aiming beamintensity from 0 (off) to full intensity. Press the key once moreto cycle back to 0. Each bar represents approximately 20% ofthe aiming beam output. output. Note that adjusting the intensity of the aiming beam,has no effect on the output power of the primary laser.5.6.10 Examine the Fiber Tip to insure that you have notcreated a fiber tip shard during the cleaving process. Theshardcan act like a miniature scalpel and cause damage whilediffusing the light beam and lowering the laser’s power. See Figure5.1 on page 11. See Section 6.1 for fiber preparation.5.6.11 Depress the Ready Button and the aiming beamshould light after 2 seconds. Review your power and moderequirements and then depress the mode button to selecteither CW or pulsed mode. See Figure 3.2 page 6.5.6.12 Test Firethe Laser outside the mouth by activating thelaser into a 2 X 2 gauze sponge that has been wetted withwater to prevent combustion. Do not use flammable liquidsto wet the sponge.5.6.13 Depress the Foot Switch and make short quick strokesat the lowest power that you can to remove the target tissueswhile lightly contacting it.5.6.14 Remove Your Foot from the foot switch and use aclean 2 X 2 gauze sponge wetted with water to removedebris from the fiber tip. Do not use flammable liquids to wetthe sponge.5.6.15 Place the Laser in Standby Mode until you are ready tostart another procedure.5.6.16 Cleave used fiber tip and discard in suitable biowastedisposal.5.6.17 Wipe the Outside of the Fiber using a disinfectant orsterilization solution and then retract the fiber by depressingthe back of the rocker switch. Do not retract the distal end ofthe fiber into the cassette.5.6.18 Turnthe Key Offif you are not going to be startinganother procedure.5.6.19 Recordthe Powers and total lasing times used for eachprocedure in the patient’s chart. Example: Name: Mary Jones Procedure: Gingivectomy # 6 and # 7 #6 Lasing time 90 seconds @ 2.2 Watts CW air cooled #7 Lasing time 60 seconds @ 1.5 Watts CW air / water spray5.6.20 Odyssey Self Diagnostic and Monitoring: When theOdyssey Laser’s microprocessor detects an issue with per-formance it will immediately notify you by way of an audiblebeep. There are two different ways in which the Odyssey willalert you to any issues: 1. Continuous audible beep when footswitch is engaged.If you are operating the Odyssey with the footswitch engagedand the Odyssey emits a constant audible beep and stops thebeep when you release the footswitch, the microprocessorhas determined that the laser power output has fallen belowthe set level. In this event the Odyssey Laser should be turnedoffand allowed to sit for 5 minutes then turned on again. Ifthe Odyssey then performs without beeping, the micro-processor has been able to make operational adjustments tothe laser and the unit will perform its functions. If, however,upon restart the unit continues to beep when the footswitchis engaged, the microprocessor was unable to adjust the unitenough and the unit will need to be sent in for adjustment byaqualified service center.2. Continuous audible beep when the unit is turned on.If you are operating the Odyssey and the Odyssey emits a con-stant audible beep whether or not the footswitch is engaged,the microprocessor has determined that the laser has eitherlow power or a general fault has occurred. In this event theOdyssey Laser should be turned off allowed to sit for 5 min-utes and turned on again. If the Odyssey then performs with-out beeping the microprocessor has been able to make oper-ational adjustments to the laser and the unit will perform itsfunctions. If, however, upon restart the unit continues tobeep, the microprocessor was unable to adjust the unitenough and the unit will need to be sent in for adjustment byaqualified service center.13
146. System Components:Preparations and CareThe fiber optic element of a laser is responsible for carryingthe light from the diode array to the tissue being treated. Thedental laser fibers are usually made of quartz, sapphire, silicaor a combination of those elements. Quartz/silica is the mostpopular product used in diode lasers.Be advised about the potential hazards when inserting, steeplybending or improperly securing the fiberoptics to the chassis.Radiation exposure may occur in these instances which could beharmful to yourself, your staff and your patient. Special careshould be taken not to break or snap the fiber.As the aiming beam passes down the same delivery system as theWorking Beam, it provides a good method of checking forintegrity of the deliverysystem. If the aiming beam spot is notpresent at the distal end of the delivery system, its intensity is reduced or it looks diffused, this is a possible indication of adamaged or not properly working delivery system.6.0 Disposable Fiber CassetteThe fiber cassette is a removable assembly with a plug-incapability that provides power for the internal retractiondevice. This cassette is disposable after all fiber has beenused. This cassette is not autoclavable.6.0.1 Replacing the Fiber Cassette: Ablack mark on the fiberindicates 6’ of fiber remaining on the cassette. At this point,anew fiber cassette should be ordered. When the cassette isempty, it should be released from the laser aperture and gently removed. Slowly lift the cassette up using the dove tail as a guide. The fiber cartridge can be thrown away. Note: Retain the end cap, do not discardthe end cap. Reviewthe installation procedure again on page 8.6.1 Fiber PreparationThe fiber cassette contains approximately 20’ (6 meters +) andis wound onto a spool. The fiber itself has three components:•Jacket•Cladding•400 micron quartz/silica fiber6.1.1 Jacket: This is the protective cover for the fiber systemand usually is made of a synthetic material that is clear orwhite in color. There can be other colors used but there areno standardized color systems to denote the diameter of thefiber or its use. 6.1.2 Cladding: This is the material on the outside of thequartz/silica fiber that is used to block the lateral escape of laserenergy as it traverses the fiber. During stripping, you may“nick” the cladding and you will likely see the red aiming beamlight as it escape the site of the damage. This is not a danger ifall people in the area have the appropriate safety eyewear.Figure 6.0 Adjustable Fiber StrippersFigure 6.1Figure6.1.1Figure 6.1 Stripping the jacketCladdingJacket Fiber
156.1.3 Quartz/Silica fiber: The fiber is fairly flexible but can bebroken if bent into a small circle or bent at an angle of 90degrees. The cladding will burn as protein from the gingivaaccumulates on the fiber and will deteriorate the tip. It canfracture if not cleaved once the blackened area has reached3-4 mm. Stop lasing and wipe off the tip regularly as youwork to avoid accumulation of protein debris. Use water ona2X2 gauze sponge to clean the tip. Do not use flammablematerials like alcohol products when cleaning a hot tip.Dispose of all small fiber remnants after you have cleaved thefiber. They should be kept in a small box with a lid until theycan be properly disposed of in the “sharps” container.6.1.4 Stripping the Fiber: The fiber’s jacket is removed using a“stripper”. Once a fiber tip is initiated and begins retainingdebris from the tissues during lasing, you will get a deteriora-tion of the fiber tip. When you have a blackened tip thatextends 3-4 mm up the fiber shaft, it is time to cleave the fiberand strip the jacket to prepare for the next procedure. Beginby selecting enough jacket so that when it is removed, youwill have approximately 3/8” of bare fiber exposed. Place thefiber in the stripper and grasp that portion of the fiber that willhave the jacket removed between your thumb nail and indexfinger.See Figure 6.0. Grasp the fiber with the stripper byapplying pressure to the handles. With a slow steady force,remove the jacket by pulling the fiber away from the stripper.See Figure 6.16.1.5 Cleaving the Fiber.As the tip deteriorates, it is morelikely to fracture and could fall into the sulcus or a deep peri-odontal pocket. Toavoid this problem, it is prudent to peri-odically “cleave” the burned tip. The cleave is made afterstripping off the jacket to expose approximately 1-4” - 3/8”of bare fiber. The cleave should be made at a point approxi-mately 1/2” (8-10 mm) from the site of the previous cleave sothat there is no visible discoloration of the tip. The operatorshould place their index finger at the spot of the proposedcleave so as to stabilize the fiber.Using the pen style cleaver,draw the cleave blade across the top of the fiber with enoughpressureto ”score” the fiber. See Figure 6.2. With the thumband index finger of each hand holding the fiber at a spotapproximately 1/2” on either side of the cleave mark, pull the fiber in opposite directions. See Figure 6.2.1. Do not bend thefiber to separate it because you will develop a poor cleave andpossible shard. After you have cleaved the fiber,point it per-pendicular to a white piece of paper and place the laser inREADY mode. Hold the tip approximately 1/2” from thepaper and you should see a near perfect circle of red light. Ifyou have a large comet effect radiating from the circle, youhave not obtained a good cleave. If the circle has just a smallcomet effect, it will probably work. See Figures 6.3 and 6.4.WARNING:Always dispose of the fiber tip remnants in the“Sharps” container immediately after cleaving the fiber.6.1.6 Initiating the fiber: The tip of the fiber should be cleavedto provide a flat surface that can be prepared to retain heatby introducing it to a dark material like ink, blood or watercolor paints. The easiest way to preparethe tip is to lightlymove the flat surface of the tip across a piece of articulating Figure6.5 Fiber Cleaver (Scribe)Move the tip left or rightwhile lightly touching thepaper. Warning: Using too muchpower can start a fire onthe articulating paper.Figure 6.2.1Figure6.3 Figure 6.4Figure 6.5.1 Articulating paperPull - Do not bendfiber to separate.Make one pass using light but steady pressure.Figure 6.2 Scoring & Cleaving
16paper at powers of about 1 Watt CW. The tip will retain theink and the ink will make the tip glow if you exceed 1-2 sec-onds while in contact with the paper. Prolonged heating willaccelerate the deterioration of the tip. See Figure 6.5.6.1.7 Fiber Disinfection: The fiber and spool remain in thefiber cassette and are not autoclaved while in the cassette.Once stripped, cleaved and initiated, the tip will reach tem-peratures of several hundred degrees centigrade, thus, as thelaser emits energy, it will rid the tip of pathogens. Additionally,the tip can transfer heat up the shaft of the fiber to the edgeof the jacket which may melt slightly. After your procedure,always cleave the blackened tip and strip the damaged jack-et. Wipe the jacket down using BIREX™,CIDEX®or a compa-rable product that can disinfect the jacket. Dry the jacketusing a clean 2X2 sponge prior to retracting the fiber into thefiber cassette.6.2 Laser Maintenance6.2.1 Laser Chassis Disinfection: The exterior of the lasershould be cleaned using a liquid disinfectant similar to BIREX™or CIDEX®.Do not spray the disinfectant directly on the chas-sis. Apply with a gauze sponge or wipe. Do not use abrasivematerials to clean the system. Place a barrier material similarto cellophane over the control panel and LED screen prior totreating the next patient6.2.2 Calibration: The Odyssey Laser uses solid-state circuitryto continuously monitor the power output, and adjusts thepower supplied to the laser module to keep the output con-sistent with the user defined setting. If output levels aremorethan ±20% of the set value, the unit is designed to shutdown power to the laser, and an audible alarm will sound. Ifthis happens, the unit should be turned offand allowed to sitfor 5 minutes and turned on again. If the laser then performswithout beeping, the microprocessor has been able to makeoperational adjustments and the unit will perform its func-tions. If, upon restart, the unit continues to beep, the unit willneed to be sent in for adjustment by a qualified service center.We suggest that your practice establish an internal calibrationprogram for your laser.Recalibration is recommended a minimum of once per year based on average useage.Recalibration may be performed by the manufacturer byreturning the unit. In the alternative, you may purchase a cal-ibrated hand held power meter approved for use with 810nmdevices to check power output. The laser should be set at 1,3and 5 Watts with output checked at each level. The outputdisplay should be within 20% of the meter reading. If not,recleave the fiber and re-check. If the output display is stilloutside the 20% tolerance, return the unit to the manufac-turer for recalibration. There are no methods available for theuser to adjust the calibration of the unit and the unit chassismust not be removed by the user for any reason.6.3 Hand Piece Preparation6.3.1 Autoclavable. The hand piece for the Odyssey is anautoclavable material that should be cleaned with warmsoapy water, rinsed, bagged and autoclaved after eachpatient.6.3.2 Hand Piece Components. The hand piece has three (3) components:a. Bodyb. Disposable Tipc. Fiber locking collar see Figure 6.6 below6.3.3 Rocker Switch. Using the rocker switch on the top ofthe fiber cassette, press the switch at its most anterior position(toward the front of the laser). Express 3-4 feet of fiber andfeed it through the fiber locking collar after you have loosened the collar. The fiber should extend about 1 footbeyond the distal end of the hand piece so that you can stripthe fiber and place the disposable tip.6.3.4 Disposable Tips. The disposable tips can be shaped toprovide the clinician any degree of access required.6.3.5 PrepareFiber.Using your stripper, remove approxi-mately 1/4 - 3/8 inch of jacket from the distal end of the fiber.Cleave the fiber and examine the results by turning the laserto the Ready status. The aiming beam should create a nearperfect circle when directed onto a white surface from about1/4 - 3/8 inch above the paper. See Figures 6.3 and 6.4 onpage 14. Once cleaved, the fiber tip should be disinfected(See Section 6.1.7).6.3.6 Mounting the Tip. After selecting your tip, straightenit using your thumb and index finger.Begin at the proximalend of the tip and feed the stripped end of the fiber throughthe straightened tip until only bare fiber is extending beyondthe disposable tip. Gentle slide the disposable tip onto thedistal end of the hand piece and pull the fiber from the prox-imal end until the disposable tip is almost seated on the handpiece body. Seat the disposable tip securely on the hand piecebody and tighten the locking collar. You may now shape thedisposable tip to the desired form. Press the rocker switch tomake sure the fiber moves freely. You should now initiate thefiber tip if your procedurecalls for it. Disposable Tip Body Fiber Locking CollarFigure 6.6 Hand Piece with disposable tipand fiber locking collar
177.0 Labels, Signs, Warnings andManufacturer’s Information7.1 Federal Compliance. The Odyssey Diode Laser has beencertified to the latest safety standards applicable to medicallasers in the US and Canada including IEC 60825, IEC 60601-2-22, IEC 60601-1 and the Food and Drug Administration’sLaser Performance Standard (21 CFR 1040.10 and 1040.11). The laser has also been certified and tested according to thetelecommunications regulations for the US (FCC Part 15) ,Canada (IC RSS 210) and the European Community (EN 300328, EN 60950 and EN 301 489). Various labels are includedon the laser and the wireless foot switch as evidence of con-formity to these requirements. The labels on the units arerequired under these standards for safety purposes and shouldnot be removed. Please review all labels prior to using the laser.See Figures 7.0.1, 7.0.2, 7.0.3 and 7.0.4.7.2 Danger Laser in Use –Each treatment area should have a“laser in use” warning sign posted at the entrance to thetreatment area. This signage serves to warn people to notenter the treatment area without proper safety eyewear anprotective clothing when the laser is in use. See Figure 7.1.7.3 Class 2 Laser Product - (Aiming Beam laser)630 - 660 nm 3 mW7.4 Class 4 Laser Product - (Treatment laser)810 nm 5 W7.5 CAUTIONChanges or modifications not expressly approved byIvoclar Vivadent, Inc. could void the user’s authority to operate the equipment.7.6 CAUTIONLaser Radiation - Avoid exposureto the eyes or skin from direct or scattered radiation7.7 CAUTIONThis product contains no user serviceable components within the chassis. Visible and invisible radiation may be present when the cover is removed.7.8 CAUTIONUS Federal law restricts this device to sale by or on theorder of a licensed dentist.7.9 CAUTIONEyewear that protects your eyes from wave lengths other than 810 nm do not provide proper protection for use with this laser.Damage to the retina or corneal may be irreparable if exposed to direct, reflected or scattered radiation. 7.10 CAUTIONUse of controls or adjustments, or performance of procedures other than those specified herein mayresult in hazardous radiation exposure.Figure 7.1 Label to be posted at entrance to treatment areaFigure7.0.3 Laser ApertureLabel Figure 7.0.4 Rating Label with Serial NumberFigure 7.0.2 Label required under FDA Laser Notice 50Figure 7.0.1 Label required under FDA Laser Notice 50
7.11 Nominal Ocular HazardDistance (NOHD)The NOHD is the distance beyond which the exposure duringnormal operation is not to exceed the appropriate MaximumPermissible Exposure (MPE). The NOHD for persons wearingsafety glasses is shown in Table 1 below. The Nominal HazardZone (NHZ) is the area where the laser source within whichexposure levels exceeds the MPE (which is the highest level oflaser radiation to which a person may be exposed withouthazardous effects or adverse biological changes in the eyes orskin). The outer limit of the NHZ is the NOHD. Eye Protectionwithin the NHZ is mandatory.Assumptions: Maximum Laser Power = 5 Watts Direct viewing angle=0˚, reflectance viewing angle=20˚, reflectance coefficient of tissue=0.001Table 1 - Nominal Ocular Hazard Distance (NOHD) for variousviewing conditions while wearing eye protection.NOTE: This equipment has been tested and found to complywith the limits for a Class A digital device, pursuant to Part 15of the FCC Rules. These limits are designed to provide rea-sonable protection against harmful interference when theequipment is operated in a commercial environment. Thisequipment generates, uses, and can radiate radio frequencyenergy and, if not installed and used in accordance with theinstruction manual, may cause harmful interference to radiocommunications. Operation of this equipment in a residentialarea is likely to cause harmful interference in which case theuser will be required to correct the interference at his ownexpense.8.0 Servicing8.1 Warranty PolicyThe Odyssey soft tissue laser is fully guaranteed against defec-tive materials and workmanship for a period of (1) year fromthe date of purchase and will be repaired or replaced at ourdiscretion, if returned prepaid to our factory. This warrantydoes not cover damage of the Odyssey unit or componentscaused by accident, misuse, or being tampered with. Thiswarranty does not include labor, postage, or delivery charges.This warranty does not apply to the external finish of the con-sole, handpiece, fiber, power cord, foot pedal, or foot pedalcord. Ivoclar Vivadent reserves the right to make changes indesign or to make additions to or improvements upon thisproduct without incurring any obligations to modify such pre-viously manufactured products. Your Odyssey warranty doesnot become effective unless the attached registration card ismailed to us within ten (10) days of purchase with a copy ofthe dated dealer invoice as proof of purchase.The fiber cassette and fiber,the cleaver,the stripper,the safety eyewear and the hand piece have ninety (90) day warranty coverage for replacement if defective. Abuse orimproper cleaning will void the warranty.8.2 RepairsShould the laser fail to work correctly and your local dealerrepresentative is unable to assist you, please call IvoclarVivadent Customer Service at (800) 533-6825 in the U.S. orat (800) 263-8162 in Canada to obtain a Return GoodsAuthorization (RGA) number for shipping purposes. Pleaseinsure that the RGA number is clearly marked on the box usedto return the laser.CAUTION ! Do not attempt to removethe cover from the laser chassis for thepurpose of repairing the laser. SeriousInjury from an electrical shock or laser radi-ation could occur. Removing the cover onthe laser chassis will void the warranty.CAUTION ! Use of controls or adjustmentsor performance of procedures other thanthose specified herein may result in haz-ardous radiation exposure.8.3 Repair Returns to Ivoclar Vivadent, Inc9.0: Glossary ofLaser TerminologyActivate -The action that prepares the laser to emit energy.Active Medium -The corematerial of a laser that is responsiblefor producing a source of electromagnetic energy when activatedby a power supply. They can be a gas, liquid dye, semi-conductorchip or a man made rod of Yttrium, Aluminum Garnet, Scandiumor Gallium, or some combination of those elements.Amplitude -The height of an electromagnetic wave as measuredfrom the top of one wave to the lowest point on the next wave.Articulating arm-Adevice used to deliver radiant energy from aCO2or Erbium laser using a series of mirrors located within a jointed arm. Atom -The smallest particle of an element. It can exist alone or incombination with other atoms.Biopsy -Atissue sample removed from an area of questionablehealth. Used for examination and diagnosis of a disease.18UNITED STATESIvoclar Vivadent, IncAttn: Warranty Department 8683 South 700 WestSandy, UT 84070CANADAIvoclar Vivadent, IncAttn: Warranty Department 2785 Skymark Ave., Unit 1Mississauga, ON L4W 4Y3Source of Radiation MPE (mW/cm2) Divergence angle NOHD (inches)(degrees) No Eye wear With Eye wearinch/cm (OD=4)inch/cmFiber optic devices 1.66 9 60.63/154 0.6087/1.546Reflection from Tissue 1.66 N/A 0.37/0.96 0.00378/0.0096
19Cleave -An act of scoring an optical fiber so that it separates intotwo pieces Coherent -Aproperty of electromagnetic waves in which everywave is of the same wave length and is in phase with the otheridentical waves. Collagen -The fibrous protein that is prevalent in bone, tendons,cartilage, and connective tissue.Collimated -Acharacteristic of laser wave lengths where theytravel in a parallel bundle and are slow to deviate.Continuous Wave -Atemporal mode where radiant laser energyis emitted constantly for one second without interruption. Alsoknown as (CW).Electromagnetic components of Energy -Radiation consistingof electromagnetic waves where the vertical of the wave is theelectrical phase and the lateral component is a magnetic phase.Laser light is electromagnetic energy.Electromagnetic Waves -Time varying electric and magneticfields propagating through space. They vary in their wave lengthsand frequency.Electromagnetic Spectrum -Acombination of all electromag-netic radiation arranged by wave length and frequency. Light aswe know it is from the visible portion of the spectrum.Exposure- Introducing a tissue to laser energy as measured by theintensity of the power, the frequency and time.Frequency -The number of complete oscillations per second of anelectromagnetic wave.Joule -Aunit of energy. Expressed as milliJoules when used indental lasers operating in the pulsed mode.1000 MilliJoules persecond equal 1 Watt.LASER -An acronym for light amplification by stimulated emissionof radiation. Lasers are devices that utilize standard electricity fromawall outlet to stimulate an active medium which will produceelectromagnetic energy that is collimated, coherent and monochro-matic.Micron -One millionth of a meter.It can also be stated as 10-6meter.Mode -Astable condition of oscillation in a laser. Lasers can operate is one or more modes. Molecule -The smallest particle of a substance that retains theproperty of that substance. It is composed of one or more atoms.Nanometer -Abillionth of a meter and can also be expressed as10-9.Nanometers and microns are the primary measures of a wavelength used in dental lasers. Photon - A quantum (unit) of radiant energy. A particle of light. Power (output power) - Expressed as Watts where1 Joule persecond equals 1 Watt.Power Density -Ameasure of exposure of the power in Wattsdelivered per square millimeter or square centimeter.Pulsed -Atemporal emission of laser energy that is distributedamong periods where the laser is actively emitting (on) and periodsofno emission (off). The time period when the laser is not emit-ting energy (off) is referred to as period of thermal relaxation and isdesigned to allow the tissue to cool between bursts of energy.Quantum -The smallest unit of measure for radiant (light) energy.Radiant energy -The vertical component of electromagneticwaves as they travel through space. It is measured in Joules ormilliJoules.Spontaneous Emission -As an electron accumulates incidentenergy, it is elevated to a higher energy orbit where it will becomeunstable and most emit a photon. Stimulated Emission -An external source of energy from apower supply stimulates the unstable electron to return to a morestable energy level by emitting an additional photon.Velocity -The rate of speed of an electromagnetic wave as it trav-els through spaceWatt -The measure of power is Watts. As used in lasers,1Joule per second is equal to 1 Watt.10.0 Selected Referenceson Laser DentistryLeo Meserindino, D.D.S. and Robert Pick, D.D.S., Lasers inDentistry,1995 by Quintessence BooksJeffrey G. Manni, Dental Applications of Advanced Lasers.JGM Associates, Burlington MA Contact at (781) 272-6692The Institute for Advanced Dental Technologies, Southfield, MI:“Lasers Dentistry: Clinical Training Seminars” copyright in 1966D.J.Coluzzi, “An overview of laser wave lengths used indentistry”.Chapter in The Dental Clinics of North American:Convissar, Robert A. editor, “Lasers and Light Amplificationin Dentistry”,W.B. Saunders Company, 44(4): 753-765,October 2000Andreas Moritz, et.al. “Treatment of periodontal pocketswith a diode laser”.Lasers in Surgery and Medicine, volume22, pages 302- 311. 1998M. Kreisler, et.al., “Effects of Diode Laser Irradiation on theSurvival Rate of Gingival Fibroblast Cell Cultures”,LasersSurg Med, vol 28(5): 445-450, 2001
20P.Spencer et.al. “Change of temperature in subjacent boneduring soft tissue laser ablation”,Journal of Periodontology,volume 69 (11) 1998Nora Raffetto and Terri Gutierrez, “Lasers in periodontaltherapy, a five year retrospective”,California Dental HygieneAssociation Journal, volume 16 (2) pages 17-20 RedondoBeach, CA 2001American National Standard Institute Standard Z136.3. Safeuse of Lasers in Health Care Facilities.11.0 Troubleshooting Problem: Laser has no response.Corrective Action: Check that the power cord is securelyplugged into back of the laser unit. See pages 3-4Corrective Action: Check that the power switch on the backpanel is turned to the on position. See page 4Corrective Action: Check that the key switch is turned to theon position. See page 5Corrective Action: Check that the Emergency button is inthe up position. If not, turnthe button 1/4 turn to the rightto release the button. See page 7Corrective Action: Check the fiber cartridge and verify thatit is properly engaged. See pages 7-8Problem: Laser has power but no LED display.Corrective Action: Check to see that the End Cap of thefiber cassette is securely engaged.Problem: Laser has power but no output.Corrective Action: Check the foot pedal is connected.See page 6Corrective Action: Remove the fiber cartridge and check if the fiber connector is attached.Problem: Measured power output on a powermeter is different from the LED display.Corrective Action: Make sure the power meter is calibratedfor use with 810 nm wavelength devises.Corrective Action: Review the fiber tip for a good cleave.Problem: Fiber does not move from the cartridge.Corrective Action: Make sure the fiber cartridge is seatedproperly.Problem: Audible beep on Laser will not stopwhen laser is on.Corrective Action: Turn laser off for 5 minutes. Turn laserback on. If beep stops, the unit was able to make opera-tional adjustmenets and the laser should perform its func-tion. If the beep continues, the laser must be sent in foradjustment by a qualified service center.Problem: Audible beep on Laser will not stopwhen foot pedal is depressed.Corrective Action: Turn laser off for 5 minutes. Turn laserback on. If beep stops, the unit was able to make opera-tional adjustmenets and the laser should perform its func-tion. If the beep continues, the laser must be sent in foradjustment by a qualified service center.

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