- OPERATING INSTRUCTION Safety guidelines • These instructions explain how to correctly use the following dental units: A3 PLUS CONTINENTAL, A3 PLUS INTERNATIONAL Carefully read and become familiar with the content of this manual before using the equipment. • These instructions describe all the versions of the operating units with the maximum possible accessories, therefore not all the paragraphs are applicable to the unit you have purchased.
A3 PLUS - OPERATING INSTRUCTION 1.2.2. Environmental conditions The equipment is to be installed in rooms that satisfy the following requirements: • temperature between 10 and 40 °C; • relative humidity between 30 and 75%; • atmospheric pressure ranging from 700 to 1060 hPa; • altitude ≤ 3000 m; • air pressure entering equipment ranging from 6 to 8 bar; • water hardness at the equipment inlet must not be above 25 °f (French degrees) or 14 °d (German degrees) for untreated drinking water. For water with a higher hardness degree, it is recommended to soften water until it reaches a hardness degree between 15 and 25 °f (French degrees) or between 8.4 and 14 °d (German degreees); • water pressure entering equipment ranging from 3 to 5 bar; • water temperature entering equipment not higher than 25 °C. 1.2.2.1. Transport and packaging conditions • Temperature: from -10 to 70°C; • Relative humidity: from 10% to 90%; • Atmospheric pressure: from 500 to 1060hPa. 1.2.3. Warranty CEFLA s.c. stands behind its products warranting safety, reliability and performance. The warranty is valid only under the following terms: • The conditions given on the warranty certificate are observed. • Performing yearly scheduled maintenance.
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A3 PLUS - OPERATING INSTRUCTION When treating patients with pace makers and/or hearing aids, take into consideration the effects the instruments may have on pace makers and/ or hearing aids. Carefully read technical-scientific information available on this subject. • Implants. If the dental unit is used for implant operations using separate equipment designed for this purpose, shut off power to the dental chair (see Paragraph 3.) to avoid unwanted movements resulting from faults and/or accidental start up of the controls. • Do not forget to turn off the office’s water supply and master switch on the equipment before leaving the surgery. • The equipment is not protected against liquid penetration (IPX O). • The device is not suitable for use in the presence of flammable anaesthetic gas mixed with air, oxygen or nitrous oxide (N • This equipment must be stored properly so that it is kept in top working order at all times. The manufacturer shall not be held responsible for misuse, carelessness or improper use of the equipment. • This equipment is to be used exclusively by qualified personnel (doctors and paramedics) with the proper training. • The user must be present at all times When the equipment is turned on or ready for start-up. In particular, never leave the equipment unattended in the presence of children/the mentally disabled or other unauthorised personnel in general. Any companions must keep out of the area in which treatment is performed and in any case under the responsibility of the operator. The area in which treatment is performed refers to the space around the dental unit plus 1.5 meters. • Quality of the water delivered by the dental unit. The user is responsible for the quality of the water delivered by the dental unit and must adopt measures to maintain it. To ensure that you meet the water quality requirements, CEFLA s.c. advises you to equip the dental unit with an internal or external disinfection system. Once installed, the dental unit is exposed to contaminants originating from the water supply. For this reason, it is recommended to install and put it into operation only when you begin using it daily and to perform the decontamination procedures described in the relative chapters right from the first day of installation.
A3 PLUS - OPERATING INSTRUCTION 1.4. Cleaning and disinfecting Cleaning is the first step of any disinfecting process. Physically scrubbing with detergents and surface-active substances and rinsing with water removes a considerable amount of micro organisms. If a surface is not clean first, the disinfecting process cannot be successful. If a surface cannot be adequately cleaned, it should be protected with barriers. The outer parts of the equipment must be cleaned and disinfected using a product for hospital use with indications for HIV, HBV and tubercolocide (medium-level disinfectant) specifically for small surfaces. The various drugs and chemical products used in dentist’s surgeries may damage the painted surfaces and the plastic parts. Research and tests run show that the surfaces cannot be fully protected against the harsh action of all products available on the market. We therefore recommend protecting with barriers whenever possible. The harsh actions of chemical products also depend on the amount of time they are left on the surfaces. It is therefore important not to leave the product on the surfaces longer than the time specified by the manufacturer. It is recommended to use the specific medium-level disinfectant, STER 1 PLUS (CEFLA s.c.), which is compatible with: • Coated surfaces and plastic parts. • Upholstery. WARNING! The VISCOELASTIC upholstery will stain when splashed with mordant acid. Immediately rinse with plenty of water if acid spatters on the upholstery.
• Manufacturer’s name • Name of equipment • Voltage • Type of current • Frequency • Maximum power absorbed • Serial number • Month and year of construction 2.2. Dental units The dental units of the A3 PLUS model come in the following models: A3 PLUS CONTINENTAL version "CONTINENTAL” version instrument board (instruments will return to their original position through the pulling action of the spring-operated arms) attached to a double supporting arm, one of which is articulated while the other is autobalancing. Description of equipment: a Hydrogroup b Adjustable arm c Instrument board d Doctor’s console e Tray holder Assistant’s board...
A3 PLUS - OPERATING INSTRUCTION 2.3. Dental chair Description of the chair a Headrest. b Back. c Safety foot board. d Movable arm (optional). Operating times The operating and rest times are as follows: work 25 sec. - rest 10 min. Maximum weight capacity. The maximum chair capacity is 190 Kg. WARNING! Do not exceed this value. Warnings for use.
A3 PLUS - OPERATING INSTRUCTION 4.1. Safety devices The equipment is supplied with the following safety devices: • The floor box is equipped with a device ( l ) that immediately stops the dental chair from moving down in the presence of an obstacle and auto- matically lifts it up to free the obstacle. • The backrest is equipped with a device ( m ) that immediately stops the backrest from moving down in the presence of an obstacle and automa- tically lifts it up to free the obstacle. • The arms of the assistant’s board are equipped with a safety device (n) that immediately stops the dental chair from moving down if an obstacle is encountered and automatically moves it up to clear the obstacle. • Dental chair movements: - with the instrument extracted NOT working: manual movements allowed, automatic movements inhibited, but if they are already in progress at the moment of extraction they are not interrupted; - with instrument extracted and working: all the dental chair movements are inhibited. 4.2. Emergency devices WARNING! Use the devices below when movement of the equipment needs to be blocked: •...
A3 PLUS - OPERATING INSTRUCTION 4.4. Movable armrests (optional) Both arm rests are movable and can be turned downwards so that the patient can more conveniently get on and off the chair. WARNING! • Maximum weight supported by armrest: 68 kg. Instrument board operation Layout of instruments The positions the instruments are placed in on the board are determined by the customer at the time of order. Starting the instruments. • The syringe is always on (see paragraph 5.3.). • The curing light is turned on with the key when the instrument is withdrawn (see paragraph 5.7.). • Intraoral camera turn on when the instrument is extracted (see paragraph 5.8.). • If connected to an external PC, the integrated ZEN-Xi sensor is always operative (see paragraph 5.9.). • Once picked up, all the instruments are operated with the foot control. (see paragraph 5.2.).
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A3 PLUS - OPERATING INSTRUCTION Instrument return arm stopping device (only for CONTINENTAL ver- sion dentist’s instrument boards). If this device is provided, the instrument return arm can be locked in the instrument extracted position. When the device is used a click is heard about 2/3 of the total arm travel. To go back to the original condition, simply move the arm to the end of its travel ( A ). Tray holder module for CONTINENTAL version dentist’s instrument board. The tray holder module ( f ) is made of stainless steel and can easily be removed from its support. WARNING! Maximum permitted load on the tray holder module ( f ): 2 kg distri- buted.
A3 PLUS - OPERATING INSTRUCTION 5.1. Doctor’s control console Dental unit A3 PLUS control panels are: Pushbutton panel for the models: A3 PLUS CONTINENTAL Pushbutton panel for the models: A3 PLUS INTERNATIONAL Description of the buttons: INCREASE button: increases the settable values. DECREASE button: decreases the settable values. Operating lamp on/off button. Fibre optic lighting ON/OFF button with relative functioning LED. Micromotor rotation direction inversion control button with relative functioning LED. Negatoscope on/off button on console. Auxiliary function button (available). FLUSHING cycle activation button. Water to bowl button. Rinsing position recall button. Water to cup button. Seat up and programmed position A recall button. Dentist’s instrument board brake release button. (only A3 PLUS INTERNATIONAL versions) Dental chair position storage button. Backrest up and programmed position B recall button. Seat down and programmed position C recall button. Emergency position recall button. Home position recall button. Backrest down and programmed position D recall button. NOTE: operation of dental chair buttons: •...
A3 PLUS - OPERATING INSTRUCTION 5.1.1. Turning on the negatoscope Press the ON/OFF button. NOTE: negatoscope shut off is timed and takes place 2 minutes after it was turned on. 5.1.2. Setting the dental chair "automatic return” and "rinse posi- tion” • Bring the dental chair into the desired position with the manual movements buttons.
A3 PLUS - OPERATING INSTRUCTION 5.2. Foot control Three types of foot controls are available: "Multifunction” foot control. "Push-pedal” foot control. "Power Pedal" foot control. NOTE: the "multifunction" and "pressure" foot controls can also be supplied in wireless version. 5.2.1. "Multifunction” foot control Description of the parts.
A3 PLUS - OPERATING INSTRUCTION Left-hand button operation ( 4 ). • Key held down (at least 2 seconds) with the instrument removed: Chip-air operation: delivers air to the turbine or micromotor. Air is delivered by pressing the button. Air is no longer blown when the button is released. • Key held down (at least 2 seconds) with the instruments in place: "Rinse position” (PR) program activated. NOTE: press the key again to bring the chair back to the work position.
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A3 PLUS - OPERATING INSTRUCTION Joystick for dental chair movement (3). These buttons move the dental chair as follows: Dental chair seat up. Dental chair backrest up. Dental chair seat down. Dental chair backrest down. To stop movement, release the button. NOTE: all the buttons used to move the dental chair are inoperative when an instrument is removed and the foot control pedal is actuated.
A3 PLUS - OPERATING INSTRUCTION 5.2.3. "Power Pedal" foot control Description of the parts. 1 Handle. 2 Foot control. Dental chair movements. 4 Chip-air control or activation/deactivation of instrument spray function. 5 Water Clean System control or activation/deactivation of instrument spray function. 6 Automatic dental chair return or programme "B” recall activation. 7 Patient rinse position or programme "A" recall activation. 8 Spray operation LED. Foot control operation ( 2 ). • With instrument removed - Pushing the pedal ( a ), the instrument is started.
A3 PLUS - OPERATING INSTRUCTION Right lever operation ( 6 ). NOTE: the lever functions only with the instruments in their rest position. For safety reasons, the selected function starts only after the switch has been briefly actuated and then released. • Lever pushed down: "Dental chair automatic return” program activated. • Lever pulled up: Dental chair program “B" start. Left lever operation ( 7 ). NOTE: the lever functions only with the instruments in their rest position.
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A3 PLUS - OPERATING INSTRUCTION Communication status: flashing description Slow Connection active in wireless mode Fast Connection active with charging cable inserted Double Connection search On fixed Communication error Battery characteristics. The WIRELESS foot control is equipped with a rechargeable Lithium-Polymer battery ( Li-Poly, 3.7V, 5200 mAh type Guangzhou Markyn Battery Co. Model 9051109 ). NOTE: the exact battery model number might vary at the discretion of the manufacturer. The battery life is approximately 2 months (estimating 8 hours of consecutive daily operation) with the battery fully charged and fully efficient. The battery efficiency reduces with age. It is estimated that the efficiency is reduced to 60% after 500 complete recharging cycles. Also in this condition, the battery should last about 1 month. NOTE: when the battery efficiency is so far reduced as to be deemed unsatisfactory to support the daily usage requirements, have it replaced by a qualified technician (original spare part no.
A3 PLUS - OPERATING INSTRUCTION 5.3. Syringe Description of the instrument a Nozzle b Handpiece c Syringe release button d Air button e Water button f Hot/cold selector (only for 6-function syringes) g Hot/cold indicator light (only for 6-function syringes) WARNING! The instrument is supplied non-sterile. It is recommended to use single-use protections and nozzles.
A3 PLUS - OPERATING INSTRUCTION 5.4. Turbine Connecting the handpiece and changing the chuck. Refer to the specific instructions furnished with the handpiece. Use. WARNING! Read the instructions for use of the various turbines. • Operating time: work 5 min., rest 5 min. • Place the instrument in its work position. • Use the foot control pedal to start the instrument (see paragraph 5.2). • The cock (f), found near the instrument, is used to adjust the amount of water in the spray. • The cock (e) adjusts the amount of air spray for all the instruments.
A3 PLUS - OPERATING INSTRUCTION 5.5. Micromotor Coupling the handpieces and changing the chuck. Refer to the specific instructions furnished with the micromotor and various handpieces. Use. WARNING! Also read the instructions for use of the various motors. • Operating time: work 5 min., rest 5 min. • Place the instrument in its work position. • Use the foot control pedal to start the instrument (see paragraph 5.2). • The cock ( f ) adjusts the water flow to the spray.
A3 PLUS - OPERATING INSTRUCTION 5.6. Scaler Connecting the handpiece and inserts. Refer to the specific instructions furnished with the handpiece. WARNING! Before attempting to connect the handpiece, make certain the con- tacts are perfectly dry. Blow air from the syringe, if necessary, to dry. Use. WARNING! Also read the specific instructions for use of the various handpieces.
A3 PLUS - OPERATING INSTRUCTION 5.7. T LED curing light Technical specifications. Supply voltage: 24-36 VDC Max. power absorbed: 6 VA Light source: 1 5W LED Wavelength: 430-490 nm Acoustic signals: at cycle start, every 5 seconds, and at cycle end Type of operation : intermittent (3 consecutive cycles - 60 sec. rest) Programs: 6 (preset) General description of the light. Light handpiece. Rotary end section. Fibre optic. Eye protection. Power cord. Start button. NOTE: the curing light can be used in different configurations (wand, gun or any intermediate position) to aid the user.
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A3 PLUS - OPERATING INSTRUCTION • Take the light out of its housing on the assistant’s board or instrument board. NOTE: One animated symbol will be shown on the console display to confirm that the instrument has been activated. • Turn the front of the light and/or fibre optic to the position most suitable for curing (wand, gun or intermediate position). • Use the MODE button to select the desired cycle as previously directed (the selected cycle is always indicated by the illuminated LED). NOTE: the curing light has a permanent memory therefore the last cycle used will always be present the next time it is used.
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A3 PLUS - OPERATING INSTRUCTION The fibre optic is rather delicate and may crack or break if banged, affecting the final amount of light emitted. If dropped, carefully inspect the fibr optic to verify if it is cracked or broken. If cracked, a strong light appears in the spot in which the fibre is cracked. In all these cases, the fibre optic must be replaced. • The curing light handpiece (sold separately) can be connected only to dental units with connections for this curing lamp. Connection to any other equipment may damage the circuits inside the lamp and seriously injure the user and patient.
A3 PLUS - OPERATING INSTRUCTION 5.8. C-U2 dental camera The C-U2 dental camera system, complete with an extremely lightweight ergonomic handpiece, is specially designed for simple and well-conceived usability in examining the oral cavity. Auto-exposure and fixed focus features provide easy operation. This system is designed to allow the dentist to more efficiently show and explain to patients all oral conditions and reasons for planned treatment. The C-U2 system allows filming and taking high-definition (1280x720) live images of the section in question to be taken through a touch of a fingertip on the touch-sensitive area of the handpiece. The live intraoral images are displayed on the monitor or Personal Computer. WARNING! The camera may be used as a tool to aid in diagnosis however, the result must always be compared to visual examination and/or other diagnostic indications. Evaluations and conclusions based only on the image taken by the camera may be poor as the colors and shapes, electronically processed, may not perfectly correspond to the actual ones.
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A3 PLUS - OPERATING INSTRUCTION • Operation in single image mode The "live" image appears on the monitor when the camera is set to LIVE and single image mode. Press the touch key ( g ) on the handpiece (or actuate the foot control) to freeze the image, which is immediately displayed on the monitor, canceling the previous image. >2 sec NOTE: the last image frozen remains on the monitor even if the camera is put back in place. • Operation in multi- image mode The "live" image appears on the monitor and an icon ( 1 ) is shown in the top...
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A3 PLUS - OPERATING INSTRUCTION MyRay iCapture This program allows the C-U2 camera to be set up when it is connected to a PC/WORKSTATION. For a full description on how the MyRay iCapture program works, refer to the instructions, in electronic format, supplied with the C-U2 handpiece. Disposable infection control sheaths The camera can be a source of cross-contamination between patients. For this reason always use it with a disposable infection control sheath (code 97901590) and disinfect it on the outside after use everyday . The sheath (with white paper backing) is enclosed in two protective layers: a transparent one with blue tab at the front and a paper one at the back. Follow the directions below to install a new infection control sheath: 1. Insert the camera handpiece tip between the layer with White tab and the rear paper backing. The lens, surrounded by the LEDS, must face down, towards the rear paper layer. Gently push the handpiece to the end of the sheath. 2. Pull the blue tab removing the protective covers. 3. The dental camera is now protected and ready for use. WARNING! • Always make certain the handpiece is correctly inserted inside the infection control sheath.
A3 PLUS - OPERATING INSTRUCTION 5.9. ZEN-Xi integrated sensor Integrated sensor ZEN-Xi is a medical device employed to acquire intraoral x-rays in an electronic format with a Personal Computer interface device. When used together with dental practice management software, the x-ray pictures can be saved in the patient's folder and viewed on the desktop pc monitor at a later time. WARNING! Do not use the system for any other purpose different from acquisition of intraoral x-rays and do not use it if you are not a professional in the dental and radiology fields. Use. Use and care instructions for integrated sensor ZEN-Xi are enclosed with the apparatus. NOTE: integrated sensor ZEN-Xi does not interact with the dental unit from an electric point of view.
A3 PLUS - OPERATING INSTRUCTION 6.1. Assistant’s touchpad Description of the buttons: Water to bowl button. Water to cup button. Operating lamp on/off button. Home position recall button. Rinsing position recall button. Chair seat up button. Chair back up button. Chair seat down button.
A3 PLUS - OPERATING INSTRUCTION 6.5. Suction tubes Suction starts by taking the tube off the board. To adjust suction, use the slider ( a ) located on the tube handpiece. NOTE: when the tube is put back in place, suction stops approxi- mately 2 seconds later. This is done to dry the suction tubes.
A3 PLUS - OPERATING INSTRUCTION 6.6. Hydraulic saliva ejector The hydraulic saliva ejector starts running When the tube is removed from the support. Cleaning after each use. Aspirate about ½ litre of STER 3 PLUS (CEFLA s.c.) diluted in a 6% solution (equivalent to 60 ml of product in 1 litre of water). Cleaning the saliva ejector filter. This operation must be carried out at the end of each work day. WARNING! Put on gloves before attempting to perform this operation! • Aspirate about ½ litre of STER 3 PLUS diluted in a 6% solution (equivalent to 60 ml of product in 1 litre of water). • In order to prevent possible dripping of liquids and secretions from the filter ( b ) to be extracted, aspirate only air for about 5 seconds.
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A3 PLUS - OPERATING INSTRUCTION Changing bowl operation Water delivery to the bowl can take place in an untimed manner (on/off operation with the relative button). This modification is made by turning on the operating unit holding down the Bowl Water Delivery button on the assistant’s board. A beep sounds to signal the selected operating mode: • 1 BEEP: timed operation. • 3 BEEPS: ON/OFF operation. NOTE: timed operation is factory set.
A3 PLUS - OPERATING INSTRUCTION 7.2. S.H.S. system ( Simplified Hygienization System ) Description of the system. The system is equipped with a tank ( a ) suitable for distilled water. The tank can hold 1.8 liters. The tank feeds: • The sprays of all the instruments found on the instrument and assistant’s board, • To fill the cup, • Water quick-connect coupler (if present). A by-pass toggle (b) is used to shut off the system if municipal water is to be delivered to the instruments.
A3 PLUS - OPERATING INSTRUCTION 7.3. WHE (Water Hygienization Equipment) system The WHE system assures safe separation (physically) of the dental unit water supply system from the public water mains thanks to a water free-fall section ( in compliance with EN 1717 ).
A3 PLUS - OPERATING INSTRUCTION 7.4. Disinfection cycle with oxygenated water (manual BIOSTER cycle) With the S.H.S. system, you can execute a manual disinfection cycle of the water ducts of all the instruments on the dentist’s instrument board and the syringe on the assistant’s board using oxygenated water (hydrogen peroxide). To disinfect, proceed as directed below: A) Prepare the disinfectant: • Pour undiluted PEROXY Ag+ (or 3% oxygenated water) into the tank...
A3 PLUS - OPERATING INSTRUCTION 7.5. Automatic tool flushing cycle (FLUSHING) Description of the system. The automatic FLUSHING cycle allows to carry out an automatic flushing cycle to renew water present in the water ducts of the instruments on the dentist’s and the assistant’s boards and the water-to-cup duct. Flushing may be carried out with mains water, treated water (if the WHE system is present) or distilled water (if the SHS system is present) The cycle time is about 2 minutes.
A3 PLUS - OPERATING INSTRUCTION 7.6. Opening/closing the side hydrogroup cover Opening the cover. • Open the cover on the side of the hydrogroup (a) after pushing up and releasing the lock lever (b). Closing the cover. • Put on the cover making sure the two locks are inserted in the notches in the hydrogroup.
A3 PLUS - OPERATING INSTRUCTION Accessories 8.1. Operating lamp The operating lamp comes in 2 models: Lamp with halogen light source, model VENUS E Lamp with halogen light source, model VENUS PLUS. The instructions for use and maintenance of the lamps are available in PDF format and can be downloaded from the download area of the website www.anthos.com.
A3 PLUS - OPERATING INSTRUCTION Maintenance Preventive maintenance CEFLA s.c., the manufacturer of the dental units, in accordance with applicable standards IEC 60601-1 3.a Ed. - 2007, IEC 62353 and directive MDD 93/42, and subsequent changes, for medial devices underlines that the preventive maintenance checks for the dental unit specified in the Technical care manual and Maintenance and warranty handbook are to be carried out by authorised personnel at least once every 12 months. WARNING! The warranty is void if the equipment is serviced, repaired, altered or modified in any way by personnel who have not been duly authorized by CEFLA s.c..
A3 PLUS - OPERATING INSTRUCTION 9.4. Surgical suction The surgical suction system must be sanitized using a product suitable for this purpose. WARNING! For cleaning of the suction system, it is recommended to use STER 3 PLUS (CEFLA s.c.) diluted in a 6% solution (equivalent to 60 ml of product in 1 litre of water).
A3 PLUS - OPERATING INSTRUCTION 9.5. CATTANI surgical separator At the beginning of each working day. Insert inside filter (d) a tablet (v) of VF CONTROL PLUS (CEFLA s.c.). WARNING! Always wear gloves to prevent contact with infected material when carrying out this operation.
Always wear gloves to prevent contact with infected material when cleaning the separator. WARNING! When disposing one-time use containers full of amalgam, observe current local and national laws. 9.10. Dental chair The dental chair does not need any special maintenance. In any case, operation should be checked by ANTHOS authorized per- sonnel once a year.
A3 PLUS - OPERATING INSTRUCTION 10. Specifications Installation plan: 97042084 Water delivery rate: 10 l/min Technical manual: 97071147 Water usage: 2 l/min. Dental unit spare parts catalogue: 97023117 Water hardness: < 25 °f ( 14 °d ). Dental chair spare parts catalogue: 97023117 Drain connection: ø40 mm. Maximum dental unit weight: 90 Kg. Drainage rate: 10 l/min. Maximum dental chair weight: 115 Kg.
A3 PLUS - OPERATING INSTRUCTION 11. Dental operatory maintenance plan WHEN PART SEE PARAGRAPH Drain condensate. See paragraph 9.2 Before starting work. Insert inside each suction tube filter a tablet CATTANI surgical separator. See paragraph 9.5 of VF CONTROL PLUS See documentation enclosed Contra angle handpiece. Sterilize or disinfect the outside.
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