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HAGER WERKEN LaserHF standard User Manual

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LaserHF®
Dental Combination Device
Laser plus radio frequency
User Manual

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Summary of Contents for HAGER WERKEN LaserHF standard

  • Page 1 LaserHF® Dental Combination Device Laser plus radio frequency User Manual...
  • Page 2 LaserHF® „standard“...
  • Page 3 User Manual Index Page 4 Advices and warranty Page 5 Comments to content/scope of delivery Page 6 Laser light - mode of action Page 7 Laser protection and safety regulations Page 8 Radio frequency (HF) – mode of action Page 9 Technical data Page 10 Caution and safety regulations (i.e.

  • Page 4: Intended Purpose

    User Manual Please carefully read this user manual! Read this user manual carefully, and familarize yourself with the use and functions of the unit and all accessories, before you start using the device. Should you fail to follow the instructions, the following problems may occur: •...

  • Page 5: Scope Of Delivery

    User Manual Explanations to the user manual Important directives, especially for technical safety and security, are mentioned: WARNING DANGER The safety of the patient, the operator, or a third person is in risk. If information is not consi- dered, persons can be in danger. ATTENTION This information advices to special service procedures or caution measures, which must be considered to avoid damage to the unit.
  • Page 6 User Manual Laser light and radio frequency energy can both be used to convert electromagnetic radiation into heat. The basic tissue interac- tion of laser and radio frequency applications are nearly the same, especially compared in their clinical appearance. Additional to heat effects the laser radiation can be used at low power to perform therapeutic and photoactive applications.
  • Page 7 User Manual Laser protection and safety regulations in the dental practice WARNING DANGER • When separating the laser fiber from the laser device, always cover the connections with the protective caps provided. • This laser device must not be used in the vicinity of flammable materials or in areas where there is a risk of explosion.
  • Page 8 User Manual Interaction of radio frequency (HF) If radio frequency is guided through very thin metal electrodes, a very large electro-magnetic power density is created in the tissue layer. The water is abruptly heated up in these cells which leads to coagulation and rupture, respectively. THERMAL INTERACTION (MONOPOLAR) CUTTING (CUT) / COAGULATION (COAG) At monopolar cutting the radio frequency current is led from the device...

  • Page 9: Technical Data

    User Manual Technical Data Wavelength + Power Diode Laser: 975 nm ± 10 nm, 8 Watt, Lk 4 Pulse Of Duration: Mode: cw and pulsed: 5, 25, 50, 100 Ms Laser Wavelength + Power Pdt/Lllt: 660 nm ± 5 nm, cw, max. 100 mw, Lk 3b Wavelength + Power Pilot Laser: 660 nm, 2 mw, Lk1 Frequency + Power:...
  • Page 10 User Manual Protection and safety provisions in the dental office for the use of radio frequency (HF) surgery of the LaserHF device The LaserHF device may only be put into operation after the instructions have been given by the operator and in compliance with the prescriptions and safety provisions.
  • Page 11 User Manual 11. Service and maintenance tasks must only be executed by authorized specialized personnel. 12. The radiation emitted by the LaserHF device during operation can interfere with the functionality of other electric devices. Computers, laptops and mobile phones should be kept away from the LaserHF device. Data on computers and laptops should be saved beforehand.
  • Page 12 User Manual Operator regulation According to Councel Directive 93/42/EEC, the device is classified as medical device unit class IIb. Thus all directions of the Eu- ropean operator regulation apply, including those for devices according to Appendix I. § 5: Operation and execution §...
  • Page 13 User Manual Safety information! Invisible laser radiation - laser class 4 Avoid damage of eye and skin by direct or indirect irradiation. Preparation to start the device • In order to avoid condensed water, make sure the unit has been at room temperature for quite some time (e. g. storage room or transportation for at least 2 hours) before you use it.

  • Page 14: Emergency Switch

    User Manual Front 1. Receptacle switch radio frequency (HF) 2. Display (touch screen) 3. EMERGENCY-switch (on top of unit) 4. Receptacle switch LASER 5. Neutral electrode 6. Output HF CUT 7. Output HF COAG 8. Output HF BIPOL 9. Output laser 660 nm 10.
  • Page 15 User Manual Standard handpiece HF-electrode CUT HF-electrode COAG Neutral electrode LASER Laser handpiece 975 nm Laser handpiece 660 nm Fiber...
  • Page 16 User Manual Start Start the unit by using the power switch at the back of the unit. With acceptance of the user code the main menu will appear: COAG BIPOL LASER Information As well as display of software version The unit’s HF-mode is ready for use without requiring a code. When starting the Laser and PDT program, you are asked to enter a User Code.
  • Page 17 User Manual Touch one of the symbol buttons – with exception of FACT SET, SIGNAL ON/OFF, JUSTAGE DISPLAY, CODE SET – and a green window appears. Settings can be changed by using the and but- tons and accepted by using the button.
  • Page 18 User Manual Settings: Sound for buttons The sound for button confirmation can be set ON / OFF. Brightness of display Brightness of the display can be set in steps 1 – 10, confirm with button. Brightness of pilot laser Brightness of the pilot laser can be set in steps 1 – 10, confirm with button Loudness of warning sounds...
  • Page 19 User Manual Adjustment of display The display can be adjusted horizontally and vertically. For this purpose use a sharp instrument (i.e. pencil, ballpoint) and SLIGHTLY touch the main lines, until you hear a long sound occurs. Short sounds signal the ongoing adjustment.
  • Page 20 User Manual Precision of power setting radio frequency (HF) The power of the radio frequency generator depends on the tissue specific resistance and can vary within limits. The specified 50 W are in accordance with a specific resistance of 1 kΩ. The settings of the radiofrequency will be displayed without the measuring unit [W] and will be scaled in accordance with the graph.
  • Page 21 User Manual Selection of the correct radio frequency (HF) mode ATTENTION All surgical applications with radio frequency need local or block anaesthesia. Cutting - CUT MODE This mode – with a permanent power flow – is best rated for clean cuts in tissue without coagulation. In this mode cutting is with marginal heat and little hemostasis and can be used near to bones or to the periost tissue to avoid shrinking processes of the tissue.
  • Page 22 User Manual Correct power setting The success of all radio frequency measures is strongly dependent on the right choice of electrodes, the mode and the correct power setting. Correct: The electrode slides easily through the tissue without resistance and without spark formation. Wrong: intensity setting too low! The electrode must be pulled through the tissue and spark formation is found.

  • Page 23: Description Of The Modes

    User Manual Description of the modes HF-CUT MODE Symbols Level of coagulation Permanent cutting (CUT PERM) Cutting with coagulation (CUT COAG) In CUT MODE – yellow display – the parameter for monopolar radio frequency can be selected. Power: from 10 – 100 % of nominal power, selectable with Permanent cutting (CUT PERM) or cutting with coagulation (CUT COAG) Level of coagulation C1 –...
  • Page 24 User Manual HF-COAG MODE Symbols Permanent coagulation Pulsed coagulation (COAG PERM) (COAG PULSE) Level of coagulation Pulse duration In COAG MODE – blue display – the parameters for monopolar coagu- lation can be selected. Power: from 10 – 100 % of nominal power, by selection with and .
  • Page 25 User Manual 5 memory places are available. Pressing the area 1 – 5 for more than 2 sec the actual parameter will be stored. Recall of stored parameter simply press the area number. Back to COAG MODE with HF-BIPOLAR MODE Symbols Permanent coagulation Pulsed coagulation...
  • Page 26 User Manual If the button for level of coagulation is touched, a green window opens and the level of coagulation can be adjusted from C1 – C8 with and . Confirm with In pulsed mode the pulse duration can be selected from 50 ms – 1 s with the buttons.

  • Page 27: Important Notice

    User Manual IMPORTANT NOTICE: For optimal guiding of the laser fiber we recommend placing a Miraject PL Super (REF 254 214) cannula on the bare fiber and handpiece. Please note that there must be sufficient fiber length at the tip of the handpiece if the cannula is to be bent. LASER MODE Symbols Permanent LASER...
  • Page 28 User Manual : adjustable with Confirm T with PPR: activate by pressing the button PPR adjustable with Confirm with Once the laser is activated, the status bar shows ! LASER ! and a sym- bol for safety goggle. Pressing STOP switches the unit into standby. 10 memory places (2 pages) Pressing an area 1 –...
  • Page 29 User Manual Pressing an area 6 – 10 recalls a preset program. Changes to the program with pressing for more than 2 sec. Back to LASER MODE with...
  • Page 30 User Manual IMPORTANT Notice: For optimal guiding of the laser fiber we recommend placing a Miraject PL Super (REF 254 214) cannula on the bare fiber and handpiece. Please note that there must be sufficient fiber length at the tip of the handpiece if the cannula is to be bent. PDT/LLLT MODE In PDT/LLLT MODE –...

  • Page 31: General Information

    User Manual Cleaning and disinfection of the LaserHF Device • Only use cleaning and disinfecting wipes approved by the manufacturer for plastic housings. Reprocessing advice for handpieces of LaserHF (DIN ISO 17664:2004) General information • Only use cleaning agents and disinfectants that have been tested and approved by the responsible national bodies. For information on disinfecting and cleaning the LaserHF handpieces standard version, HF handpieces, and HF ele- trodes please refer to the instructions included in the concerned packaging.
  • Page 32 User Manual List error messages Message Error no. Description Check Laser-Fiber 0001 Laser fiber not connected Check PDT-Fiber 0002 PDT-fiber not connected Interlock 0003 Interlock not closed No Handpiece 0004 Handpiece not taken from receptacles Start-Timeout 0006 Timeout during initiation of Laser/PDT Backup-Data 0016 Backup of configuration parameter...
  • Page 33 User Manual Hardware-Error 0021 ERROR_CURRENT_OUT_OF_RANGE_LAS Hardware-Error 0022 ERROR_HFBACKM1_NOT_LOW Hardware-Error 0023 ERROR_HFBACKM2_NOT_LOW Hardware-Error 0024 ERROR_HFBACKB_NOT_LOW Hardware-Error 0025 ERROR_VLASER_NOT_LOW Hardware-Error 0026 ERROR_FOOT_NOT_LOW Hardware-Error 0027 ERROR_UNKNOWN_OPMODE Hardware-Error 0028 ERROR_ROM_CHECK Hardware-Error 0029 ERROR_RAM_CHECK Hardware-Error 0030 ERROR_EE_CHECKSUM Hardware-Error 0031 ERROR_VLASER_TOO_LOW Hardware-Error 0032 ERROR_VLASER_TOO_HIGH Diagnosis-Error 0257 HF-Power too high Diagnosis-Error 0258...
  • Page 34 User Manual Application examples: Laser High Power Laser 975 nm Program / Indications Power Modus Fiber Remarks (ms) (μm) (Pulse-Pause- Tone Relation) Periodontics coagulation Periodontics bacteria reduction up and down movement, circularly around the tooth Periimplantitis contact Stomatitis aphtosa with increasing power 3 – 4 times, about 60 s Direct overcapping and vital contact, no pressure 5 –...
  • Page 35 User Manual Application examples: HF HF CUT & CUT COAG Program Power Coagulation Indications & Remarks (Watt) grade (filtered wave) - sulcus dilatation - gingivectomy - internal gingivectomy - open curetage - tumor resection - lap preparation - vestibulum plastic - excision (slightly modulated or non filtered wave) CUT COAG...
  • Page 36 HAGER & WERKEN GmbH & Co. KG Ackerstraße 1 47269 Duisburg, Germany T +49 (203) 99 26 9-0 F +49 (203) 29 92 83 www.hagerwerken.de...

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