Instruction and Guidelines for the use of the S & S Biomat Dental
Implant Reusable Surgical Kit
(Accessory to Nik’s Dental Implant System.)
These instruments are intended to be used ONLY by Dental Surgeons with suitable experience and training for fitting root-form endosseous dental implants and hence will be familiar with these instruments and their individual intended uses.
The 3 part tray (base, instrument tray, and lid) is designed to be presented sterile to the dental surgeon and contains most of the instruments that may be required during the implantation of a root-form endosseous dental implant.
Each of these reusable devices could have a specific role during dental implant surgery and are intended to be presented in a sterile condition so the dental surgeon may chose the instruments needed for a particular procedure or patient.
This set of reusable instruments is presented in an autoclavable polysulfone instrument tray, with nontoxic silicone holders, and contains the following instruments which are designed to be stored at specific marked positions within the tray
5 off drills; 2 mm, 3 mm, 3.4 mm, 4 mm and 5 mm diameter
Router bit
Step drill
Drill extension.
4 off adaptors; 3/3.4 hand drive, 4/5 hand drive, 3/3.4 machine drive and 4/5 machine drive
4 off screw thread taps; 3.4 mm hand use, 4 mm hand use, 3.4 mm machine use and 4 mm machine use
Torque ratchet wrench (uncalibrated).
4 off Adaptor rods; type C, OPILC 3, OPILC 3.4 and OPILC 4/5
Before use, including the initial use, and after each subsequent use, the entire instrument kit / contents MUST be cleaned and sterilised using the standard dental surgery practice decontamination and sterilisation procedures, that are used within the dental surgery, BY TRAINED AND SUITABLY QUALIFIED STAFF. (Example MTM 0-05 Guidelines.)
To ensure that instruments are sterile when used, monitoring of the cleaning and sterilization process is essential and cleaning and sterilisation practices must be supervised. Written policies and procedures must be strictly followed by all personnel responsible and accountable for cleaning and sterilizing and for handling sterile supplies.
Personal training records should show that:
Staff have been appropriately trained;
Staff are competent to decontaminate the reusable dental instruments presently in use; and
Training is updated for any new instruments introduced into the dental environment
For all processes guidance from a microbiologist is recommended as circumstances and equipment vary from location to location and validation is essential to demonstrate that decontamination andsterilisation is complete.
To open;
The side latches should be disabled with the thumb and forefinger, unlocking one side first before the second clip.
Cleaning;
Before use, including the initial use, and after each subsequent use, the entire instrument kit MUST be cleaned.
All these instruments, and the autoclavable case, may be cleaned by washing / ultrasonic cleaning along with other reusable dental instruments following surgery procedures.
Many types of cleaning equipment are available in dental surgeries and these would mostly all be suitable for the pre-cleaning of these instruments. This process should ensure that all visible
debris is removed before sterilisation takes place. The most commonly used process is ultrasonic washing (preferred and recommended by S&S Biomat Ltd) and is used to remove fine soil from dental instruments after any manual cleaning and before sterilization. The equipment works by converting high-frequency sound waves into mechanical vibrations that free soil from the surface of instruments. Local policies and procedures should be used, particularly for temperature, time, disposal or decontamination of washing fluid etc.
After cleaning, all instruments should undergo inspection before being sterilised. Crevices should be critically inspected for cleanliness. If any problems are noticed during the inspection process, the devices should be either cleaned again, or disposed of.
Sterilisation;
After cleaning all these instruments, fitted back in their correct positions in the tray, with the lid clicked shut, may be autoclaved in a correctly maintained and calibrated surgery autoclave following the instructions of the autoclave supplier.
Note;
S&S Biomat Ltd recommend steam autoclaving, other processes may be used but, as in all cases, it is up to the user to validate that the process is effective for their application.
Sterilisation equipment must be installed, validated, maintained and calibrated to the manufactures’ requirements.
Warnings;
Instruments will may only be considered sterile when necessary conditions have been met during a validated cleaning and sterilization process.
It is strongly advised that a standard 135OC autoclave cycle is used as higher temperatures may distort the autoclavable case.
Avoid contact of the autoclavable case with chemical solvents, including chlorinated hydrocarbons, as this may cause deterioration.
Storage;
When not in use this kit should be wrapped and stored in a locked cabinet and protected from dust and insects,
Useful life;
The useful life of both the autoclavable case, and the instruments, is solely related to the number of uses, and the associated cleaning and sterilisation, all of which could limit useful life.
IMPORTANT;
VERIFY THE CONDITION OF ALL INSTRUMENTS BEFORE USE AND IF ANY DAMAGE OR FATIGUE / WEAR OR IS APPARENT THE WHOLE KIT OF INSTRUMENTS SHOULD BE REPLACED.
Reminder; Dental Practice Policy
Implementing safe and realistic infection control procedures requires the full compliance of the whole dental team. Written procedures should be regularly monitored during clinical sessions and discussed at practice meetings. The individual practitioner must ensure that all members of the dental team understand and practice these procedures routinely.
Failure to employ adequate methods of cross-infection control would almost certainly render a dentist liable to a charge of serious professional misconduct; UK General Dental Council 2005
S&S Biomat Ltd.
Parkway 2, Parkway Business Centre, Princess Road, Manchester, M14 7LU
www.ssbiomat.co.uk