DAC Universal by Nitram Dental (English) - Sirona Hygiene
DAC Universal by Nitram Dental (English) - Sirona Hygiene
DAC Universal by Nitram Dental (English) - Sirona Hygiene
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<strong>DAC</strong> <strong>Universal</strong><br />
<strong>by</strong> <strong>Nitram</strong> <strong>Dental</strong><br />
NITRAM DENTAL<br />
1
Simple. Safe. Superior.<br />
2 NITRAM DENTAL<br />
NITRAM DENTAL 3
Simple,<br />
Safe and Superior<br />
<strong>Nitram</strong> <strong>Dental</strong> is a pioneer in the field of dental hygiene. Our technology<br />
ensures the highest level of hygiene using a minimum of resources,<br />
providing your clinic with a solid return on investment.
A word from our PRESIDENT<br />
Patients’ safety is our vision<br />
Dentists worldwide are met <strong>by</strong> ever stricter<br />
guidelines, recommendations and standards.<br />
At the same time, patients expect full protection<br />
against cross-contamination. Therefore,<br />
it is important that the dental clinic<br />
is equipped to face these challenges in the<br />
best and most efficient way. It is absolutely<br />
crucial that patients do not leave their dentist<br />
with harmful bacteria and viruses that<br />
have been transmitted during the visit at the<br />
dental clinic.<br />
We are on a mission<br />
At <strong>Nitram</strong> <strong>Dental</strong>, we are constantly looking<br />
for better ways to improve dental procedures<br />
in the fight against the spread of disease. We<br />
know that even the smallest gaps in hygiene<br />
can have enormous consequences. We are only<br />
satisfied with a perfect patient safety record.<br />
This is why we are proud to offer you and<br />
your clinic the world’s safest and most<br />
cost-effective solutions for preventing crosscontamination.<br />
This is our mission.<br />
You can see the results<br />
With the <strong>DAC</strong> <strong>Universal</strong> combination autoclave<br />
from <strong>Nitram</strong> <strong>Dental</strong>, you are ensured simpler,<br />
safer and more sensible hygiene procedures<br />
in your clinic. In addition to improving your<br />
business, this means that your staff can<br />
spend time on patients rather than on<br />
maintaining instruments. You can quickly see<br />
the results in both time and money saved.<br />
A simple solution to a difficult challenge<br />
This brochure gives you an insight into why<br />
compromises and half-measures are never<br />
sufficient for <strong>Nitram</strong> <strong>Dental</strong>. It gives an answer<br />
to why the prevention of cross-contamination<br />
is one of the greatest challenges in modern<br />
dental clinics. It also gives an explanation of<br />
how a single product ensures that patient<br />
safety and business profits can form a successful<br />
synthesis.<br />
Happy reading!<br />
Jan Ellegaard<br />
President, <strong>Nitram</strong> <strong>Dental</strong><br />
Preventing cross-contamination<br />
Cross-contamination is the passing of microorganisms (bacteria, fungi, virus) and other harmful<br />
substances from one person to another. In dental environments, cross-contamination can occur<br />
as a result of non-sterile equipment and products or due to improper hygiene procedures.<br />
Understanding and practicing basic and simple procedures for the prevention of crosscontamination,<br />
such as proper cleaning and decontamination followed <strong>by</strong> sterilization in safe and<br />
validated procedures, must be considered as today’s most important issue in all health care settings.<br />
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<strong>Nitram</strong> <strong>Dental</strong><br />
An innovative nature<br />
Our solution<br />
<strong>DAC</strong> <strong>Universal</strong> <strong>by</strong> <strong>Nitram</strong> <strong>Dental</strong><br />
is the world’s leading combination<br />
autoclave. In one process lasting<br />
just 12 minutes, the <strong>DAC</strong> <strong>Universal</strong><br />
provides internal and external cleaning,<br />
lubrication and sterilization of<br />
up to six handpieces and turbines.<br />
This ensures optimal hygiene and<br />
less manual work in the clinic.<br />
<strong>Nitram</strong> <strong>Dental</strong> manufactures state-of-the-art<br />
hygiene and infection control products for dental<br />
clinics worldwide. We are based in Aarhus,<br />
Denmark, and manufacture the <strong>DAC</strong> <strong>Universal</strong><br />
combination autoclave, which is specially<br />
developed for the handling of handpieces and<br />
turbines. <strong>Nitram</strong> <strong>Dental</strong> is the hygiene division<br />
of <strong>Sirona</strong> <strong>Dental</strong> Systems.<br />
Pioneers within dental hygiene<br />
Since launching the <strong>DAC</strong> <strong>Universal</strong> in 2004,<br />
<strong>Nitram</strong> <strong>Dental</strong> has been a pioneer in the<br />
production of combination autoclaves for<br />
dental clinics worldwide. This puts us in the<br />
lead in the fight against cross-contamination<br />
in dental environments.<br />
Proven technology<br />
It is crucial for us to provide innovative<br />
solutions that will ensure optimum hygiene<br />
as well as giving dentists a solid return on investment.<br />
Therefore, during the development<br />
of the <strong>DAC</strong> <strong>Universal</strong>, we have been in close<br />
dialogue with dentists and dental hygiene<br />
experts.<br />
Our technology has been thoroughly and<br />
successfully tested <strong>by</strong> dentists, dental institutions<br />
and universities worldwide. In recent<br />
years we have delivered more than 15,000<br />
combination autoclaves to the dental industry<br />
and before delivery, every single product has<br />
undergone thorough testing in our manufacturing<br />
facilities.<br />
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<strong>DAC</strong> <strong>Universal</strong><br />
Simple, safe and superior<br />
Good ideas and simple solutions are often<br />
the best responses to demanding tasks.<br />
This is why <strong>Nitram</strong> <strong>Dental</strong> aims to solve the<br />
challenges within hygiene standards and<br />
procedures with simple, safe and superior<br />
technology. It is common sense.<br />
Simple<br />
Simple operation and a clean, minimalist<br />
design make <strong>DAC</strong> <strong>Universal</strong> an indispensable<br />
tool in the modern dental clinic. With just a<br />
single press of the button, cleaning, lubrication<br />
and sterilization of handpieces and turbines<br />
occur completely automatically – no manual<br />
work is required. This is our definition of firstclass<br />
hygiene with a minimal use of resources.<br />
To learn more about <strong>DAC</strong> <strong>Universal</strong> and<br />
the prevention of cross-contamination in<br />
dental environments, simply visit our web site<br />
nitramdental.com.<br />
Safe<br />
<strong>DAC</strong> <strong>Universal</strong> is your guarantee that your<br />
patients encounter the best possible hygiene<br />
and safety during treatment at your clinic.<br />
Cleaning and sterilization of the instruments<br />
conform to strict norms and standards. The<br />
cleaning process is performed according to<br />
the international standard for washer-disinfectors<br />
ISO 15883 and its efficacy is tested <strong>by</strong><br />
several leading dental institutions and universities.<br />
The sterilization process conforms to<br />
the European standard for small steam sterilizers<br />
EN 13060.<br />
For your patients, this means they have<br />
the best possible protection against crosscontamination.<br />
For you, it means a healthy and<br />
safe business. And for <strong>Nitram</strong> <strong>Dental</strong>, it means<br />
we are successful in living up to our mission <strong>by</strong><br />
providing you with the world’s safest and most<br />
cost-effective solution for preventing crosscontamination.<br />
Superior<br />
We want to develop the world’s best autoclave,<br />
and we will always base our solutions on industry<br />
knowledge, dialogue and insight in the latest<br />
research in hygiene. Bearing these ambitions<br />
in mind, we have made the <strong>DAC</strong> <strong>Universal</strong><br />
superior in its functionality, economy, safety<br />
and design.<br />
The 100 per cent automated processes eliminate<br />
the risk of manual errors and make the<br />
<strong>DAC</strong> <strong>Universal</strong> superior to traditional hygiene<br />
procedures.<br />
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Our philosophy<br />
Knowledge and insight are the best foundations<br />
At <strong>Nitram</strong> <strong>Dental</strong>, we monitor the latest<br />
hygiene research and developments<br />
meticulously. Close contact with professionals<br />
worldwide, along with structured<br />
knowledge sharing, helps to prepare us for<br />
the fight against cross-contamination.<br />
We believe that the best way to create unique<br />
products is through professional knowledge<br />
and insight. Therefore, we take pride in keeping<br />
ourselves updated on all relevant news, publications<br />
and studies within the field of dental<br />
hygiene – and share it with dentists worldwide.<br />
Always in the same direction<br />
Sharing knowledge among our employees ensures<br />
that <strong>Nitram</strong> <strong>Dental</strong> moves in one consistent<br />
direction – always towards the best<br />
technologies that prevent cross-contamination.<br />
Via ongoing dialogue with dentists, dental<br />
technicians and dental assistants worldwide,<br />
we keep a finger on the professional pulse, so<br />
our solutions can give you and your colleagues<br />
the best possible assistance in your work.<br />
We listen to the experts<br />
By collaborating with renowned scientists,<br />
conducting studies and discussing the foremost<br />
expertise within dental hygiene, we try<br />
to always keep one step ahead. In this way, we<br />
are well equipped to deal with the requirements<br />
and standards in the dental clinics of<br />
the future.<br />
Stay updated<br />
Our web portal nitramdental.com<br />
collects and disseminates international<br />
news, research and scientific<br />
articles within the field of hygiene.<br />
The aim is to keep you and other<br />
interested parties in the industry<br />
updated with useful knowledge.<br />
> Visit nitramdental.com<br />
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The future<br />
of our business<br />
Modern dentists are skilled health care specialists and businessoriented<br />
leaders. At <strong>Nitram</strong> <strong>Dental</strong>, we are in the vanguard of<br />
helping dental clinics meet both current and future requirements.
Modern dentistry<br />
New times, new demands<br />
In modern dental clinics, the staff’s attention<br />
should not be on routine manual work.<br />
The <strong>DAC</strong> <strong>Universal</strong> makes the process of<br />
cleaning, lubricating and sterilizing handpieces<br />
and turbines fully automatic. The<br />
result is both time and money saved and<br />
levels of hygiene that belong among the<br />
medical elite.<br />
Dentistry is not what it used to be, as both<br />
dentists and technology are continuously<br />
developing. Modern dentists have to master<br />
both the professional and the business sides<br />
of running a dental clinic. While they are health<br />
care specialists, perform surgery, keep updated<br />
on the latest knowledge in their field, they<br />
are also skilled, business-oriented leaders.<br />
We live up to the modern profile<br />
At <strong>Nitram</strong> <strong>Dental</strong>, we want to help all dentists<br />
to create clinics that live up to both the modern<br />
profile and conform to the authorities’ hygiene<br />
norms and standards. We want to be at<br />
the forefront in the fight against cross-contamination,<br />
helping dentists provide their patients<br />
with the best possible care and safety.<br />
Focus on patients<br />
We also want to help dentists to run their business<br />
in the most efficient way. In modern clinics,<br />
all cleaning, lubrication and sterilizing processes<br />
occur completely automatically, so that both<br />
dentists and dental assistants can use their resources<br />
to provide the patients with the best<br />
service and treatment.<br />
Designed to benefit<br />
We have developed <strong>DAC</strong> <strong>Universal</strong> to match<br />
the hygiene and business requirements that<br />
modern dentists encounter. When cleaning,<br />
lubricating and sterilizing are carried out in<br />
one single automated process, it frees more<br />
hands for the patients. At the same time, <strong>DAC</strong><br />
<strong>Universal</strong> ensures that the clinic’s instruments<br />
last longer and the oil expenses are reduced<br />
<strong>by</strong> up to 80 per cent – all to the benefit of the<br />
modern dentist’s work and business.<br />
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Showing the way forward<br />
Jesper Hatt from Skagen <strong>Dental</strong><br />
Clinic is the first Danish dentist<br />
who has taken a complete training<br />
module at the renowned Pankey<br />
Institute in Florida. He carries on<br />
the American in-service training at<br />
his clinic in Denmark, where he has<br />
up to 15 Danish and international<br />
dentists on a course at a time.<br />
Meet a modern dentist<br />
<strong>Hygiene</strong> in a first-class CLINIC<br />
Patient safety, bottom line and branding<br />
are key words in the modern Skagen<br />
<strong>Dental</strong> Clinic. And the <strong>DAC</strong> <strong>Universal</strong> is an<br />
important contributor to the higher hygiene<br />
requirements and increased earnings.<br />
The dentists, Helle and Jesper Hatt, know<br />
that it pays to give their patients the best<br />
possible experience in the couple’s ultramodern<br />
Skagen <strong>Dental</strong> Clinic, located on the<br />
northernmost point of Denmark.<br />
“Good hygiene should be mandatory. When all<br />
the processes in the clinic are in order, the<br />
patients experience greater safety. It gives<br />
the business a better reputation and is important<br />
for the positive branding of the dental<br />
profession”, says Jesper Hatt.<br />
Highest possible standard<br />
While Jesper Hatt has been teaching at<br />
the dental school, Helle has specialized in<br />
implant surgery through an international<br />
diploma course.<br />
“Surgical operations place an additional<br />
demand on hygiene and we transfer these high<br />
standards to as many of our other treatment<br />
types as possible, says Helle Hatt.”<br />
“We want an exceptional clinic that provides<br />
first-class dental work. We also expect that<br />
the hygiene requirements and documentation<br />
in the industry will be tightened in the future,<br />
which is perfectly reasonable”, she adds.<br />
A well-run business<br />
Since 2008, the <strong>DAC</strong> <strong>Universal</strong> has been an<br />
important tool in this modern clinic. It is not<br />
only important for hygiene, but also for the<br />
clinic’s resources and bottom line.<br />
“The <strong>DAC</strong> <strong>Universal</strong> conveniently cleans, lubricates<br />
and sterilizes the instruments between<br />
patients. The entire process is done quickly, so<br />
we need fewer handpieces and turbines. At the<br />
same time, we avoid mess with oil and do not<br />
have to waste time <strong>by</strong> cleaning one instrument<br />
at a time”, says Jesper Hatt and continues:<br />
“We have invested a great deal of money in<br />
creating our dream clinic, so to survive we<br />
must have a well-run business.”<br />
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Risk<br />
assessment<br />
People travel – and so do infectious diseases and other devastating<br />
microbiological capabilities. Proper cleaning is the most efficient<br />
way to prevent cross-contamination in the dental clinic.
Bioburden<br />
Why cleaning beats sterilization<br />
Handpieces and turbines are dentistry’s<br />
most difficult instruments to clean because<br />
these hollow instruments feature a<br />
sophisticated inner mechanical construction,<br />
internal cavities as well as long and<br />
narrow channels (tubes) for air and water.<br />
Handpieces and turbines are also delicate<br />
surgical instruments – proper care must be<br />
taken not only due to the risks for of crosscontamination<br />
but also to maintain optimal<br />
function and longevity.<br />
Proper decontamination is needed<br />
It is extremely important to decontaminate<br />
your instruments properly, not only <strong>by</strong> sterilization,<br />
but also <strong>by</strong> first washing them thoroughly,<br />
both externally and internally. If the<br />
rotating instruments are not properly cleaned<br />
before sterilization, the biological remnants on<br />
all inner surfaces will become charred – with<br />
a devastating effect on functionality, and encapsulating<br />
infectious material.<br />
Did you miss a spot?<br />
As described <strong>by</strong> Dr. D.L. Lewis and Dr. R.K. Boe<br />
in 1992: if internal lumens and crevices are<br />
not ultra-clean, the sterilization process will<br />
only result in surface-sterilized aggregates.<br />
When these aggregates are broken apart <strong>by</strong><br />
the moving parts of rotating dental instruments,<br />
their viable interiors could be liberated<br />
(ref: Lewis D.L:, Boe R.K. J Clin Microbiol<br />
1992(30) Febr 2: 401-406).<br />
In the same article, Lewis and Boe compare the<br />
dosage of biological material released from<br />
dental turbines and handpieces while doing a<br />
minor dental restoration with the equal risk of<br />
unprotected oral intercourse. Similarly, they<br />
compare larger dental preparations involving<br />
minor marginal gingival injuries with multiple<br />
20-gauge-needle percutaneous penetrations<br />
involving previously used needles. The cutting<br />
rotation forces and high-pressure flow of water<br />
from handpieces and turbines will have the<br />
same effect.<br />
Hepatitis B VIRUS<br />
Hepatitis B virus is one of the world’s most common and serious infection diseases. It is<br />
estimated that more than one third of the world’s population has been infected with the virus.<br />
Hepatitis B virus infections cause more than 1 million deaths every year. Source: WHO<br />
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HIV VIRUS<br />
So far about 60 million people are infected with HIV virus.<br />
33.4 million people carry the virus in themselves. Around 25<br />
million people have died of aids. Source: WHO<br />
The boundaries are broken<br />
Thanks to today’s extensive international contacts,<br />
infectious diseases and antimicrobial resistance<br />
(antibiotic resistance) spread quickly to<br />
parts of the world where they were once scarce.<br />
People travel – and so do infectious diseases and<br />
other devastating microbiological capabilities.<br />
Every second, 25 people cross a national border.<br />
This is the equivalent of about 1 billion international<br />
travellers annually, not to mention the<br />
movement of all industrial products and food<br />
supplies.<br />
The increased globalization places new demands<br />
at individual levels – to think globally and<br />
act locally.<br />
Virus and the global man<br />
With the body as a method of transport, we<br />
humans bring viruses and resistant bacteria<br />
to the places we visit and we take new ones<br />
back home with us. Among the known killers<br />
are HIV, hepatitis B, hepatitis C, tuberculosis,<br />
swine flu, MRSA, antimicrobial resistance,<br />
etc., which are spread directly or indirectly and<br />
mostly <strong>by</strong> blood, saliva and body secretions.<br />
But these harmful microorganisms are not<br />
the only ones to cause damage. Even the mi-<br />
croorganisms that form part of the normal<br />
flora can cause problems. When found in dental<br />
instruments, for instance, they can carry<br />
the genetic material of antibiotic resistance.<br />
Sterile doesn’t mean clean<br />
Bacteria do not cause infection <strong>by</strong> just being<br />
there. They produce enzymes (toxins) that will<br />
break down tissue. A sterile instrument might<br />
be free from living microorganisms. But if it is<br />
improperly cleaned, it can be filled with poisonous<br />
toxins that can cause strong inflammatory<br />
reactions in patients or dental staff.<br />
When bacteria disintegrate after having been<br />
killed, all toxins in their interior will be released<br />
into their surroundings. Sterilization of a large<br />
bacterial burden can therefore mean an increased<br />
risk. This is the main reason why instruments<br />
have to be thoroughly cleaned before<br />
they are sterilized.<br />
Don’t hand-wash your instruments<br />
Even the most thorough hand-washing of<br />
instruments – performed <strong>by</strong> the most diligent<br />
dental assistant – can be insufficient<br />
and damaging to your health. This is because<br />
blood, saliva and other biological material can<br />
hide inside the rotating instruments and create<br />
biofilm, which makes the bacteria almost<br />
impossible to destroy.<br />
This means the possibility of cross-contamination<br />
remains intact and the patients’ health<br />
is at risk. Hand-washing in stagnant water<br />
will actually result in higher microbial burden<br />
on instruments after the washing procedure<br />
than before.<br />
Dr. Zimmerman on bioburden<br />
According to associate professor Dr. Mikael<br />
Zimmerman from Karolinska Institutet in<br />
Stockholm, Sweden, the fight against bioburden<br />
– and especially bacterial biofilm – is the<br />
most important factor if you wish to avoid<br />
cross-contamination in your dental clinic.<br />
Bioburden refers to all organic and inorganic<br />
remnants, including the numerous infectious<br />
organisms and bacterial biofilms found on the<br />
surface of – or inside – dental instruments<br />
before cleaning and decontamination, disinfection<br />
and sterilization. The larger the bioburden,<br />
the harder the object is to sterilize.<br />
Make the cleaning automatic<br />
According to Dr. Zimmerman, automated<br />
washing processes in validated machines are<br />
the safest and most reliable way to clean and<br />
decontaminate your instruments. This is also<br />
recommended <strong>by</strong> the guidelines DGKH and RKI<br />
in Germany and the HTM01-05 in England.<br />
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Risk<br />
management<br />
Handpieces and turbines are the two most dangerous sources of infection in any dental clinic.<br />
Blood and secretions from patients can hide in their internal lumens and cavities. This is why<br />
hygiene should always be a top priority, when handling these rotating instruments.
Pathways of infection<br />
Hidden dangers in the dental clinic<br />
Handpieces and turbines that are in contact<br />
with the patient’s mucous membrane and body<br />
fluids may represent a high risk of crosscontamination<br />
for both patients and staff.<br />
The reason is that these rotating instruments<br />
have internal lumens and cavities where bacteria<br />
and viruses can hide during cleaning.<br />
Microorganisms in the channels can be traced<br />
even after proper sterilization of the rotating<br />
instruments if they have not been properly<br />
cleaned prior to sterilization.<br />
Air and water supply<br />
The air and water channels in rotating instruments<br />
are easy targets for contamination in<br />
the form of saliva or possible blood residue<br />
from the patient’s mouth. Handpieces<br />
and turbines can suck these fluids<br />
into its internal channels via the<br />
re-suction and capillary action effect that<br />
occurs when the instrument stops.<br />
Hepatitis C VIRUS<br />
About 3 % of the world’s population has been infected with Hepatitis C virus.<br />
There are more than 170 million chronic carriers who are at risk of developing<br />
liver cirrhosis and/or liver cancer. Source: WHO<br />
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Microbiology<br />
Bacteria and viruses in the oral cavity<br />
Bacteria play an important role in the oral<br />
cavity, both as a part of the normal flora and<br />
as disease-causing agents. Under unfavourable<br />
conditions, some bacteria form endospores<br />
<strong>by</strong> enveloping themselves in a capsule<br />
that is highly resistant to dehydration, acids<br />
and heat – including boiling for several hours.<br />
Disinfection doesn’t kill endospores<br />
The purpose of sterilization is to destroy all<br />
microbial life, including large numbers of highly<br />
resistant bacterial endospores. Disinfection<br />
eliminates virtually all recognized pathogenic<br />
microorganisms but not necessarily bacterial<br />
endospores. This means that disinfection processes<br />
lack the margin of safety provided <strong>by</strong><br />
sterilization procedures.<br />
The trouble with toxins<br />
To survive and multiply, bacteria absorb substances<br />
from their surroundings, forming<br />
enzymes and toxins. These enzymes are excreted<br />
into the environment to break down<br />
the surrounding tissue into small molecules,<br />
which are then absorbed <strong>by</strong> the cell. Toxins<br />
reduce the body’s defence against infections<br />
and help spread disease-causing bacteria.<br />
An instrument that has been sterilized but not<br />
sufficiently cleaned may be free of living microorganisms<br />
but smeared with toxins, which<br />
can result in acute inflammatory reactions in<br />
the body.<br />
Fight the resistance<br />
Bacteria can also produce enzymes or genes<br />
that carry antibiotic resistance – these substances<br />
can be released into the surroundings<br />
and picked up <strong>by</strong> other bacteria. ESBL<br />
(Extended Spectrum Beta-Lactamase resistance<br />
gene) is a newly recognized and severe<br />
problem in health care. In the summer of 2010,<br />
the world received news about the antibiotic<br />
resistance gene NDM-1 (New Delhi Metallo<br />
Beta-Lactamase 1) which even further reduces<br />
our possibilities for treating bacterial<br />
infections.<br />
Antibiotic resistance is a far larger problem<br />
than the environmental carbon dioxide issue<br />
and global warming! This has also been identified<br />
as one of the top-priority international<br />
issues <strong>by</strong> both the EU and the USA.<br />
Viruses are heat-sensitive, but …<br />
Viruses comprise a separate group within microbiology<br />
because they do not have an independent<br />
metabolism and cannot replicate independently. In<br />
contrast to bacteria, viruses interfere with the<br />
metabolism of the host cells and use these to replicate<br />
(e.g. HIV). Most viruses are heat-sensitive.<br />
Several types lose their ability to cause disease<br />
if they are heated to temperatures in excess of<br />
60°C for 30 minutes. An exception is the hepatitis<br />
B virus, which can tolerate temperatures between<br />
90°C and 100°C for short periods.<br />
Biofilm – a hard nut to crack<br />
Certain bacteria can form biofilm, known in the oral<br />
cavity as dental plaque. The bacterial colony within<br />
biofilm has a very high resistance to chemicals<br />
and antibiotics, as well as to pH and temperature<br />
variations. Biofilms have been found to be involved<br />
in a wide variety of microbial infections in the body.<br />
Biofilms can also be found on dental instruments,<br />
and must be removed via thorough cleaning procedures<br />
prior to sterilization.<br />
Tuberculosis<br />
About one third of the world’s population is infected with tuberculosis<br />
germs – one new infection per second. Tuberculosis is a world leader in<br />
the statistics of fatal infectious diseases. Source: WHO<br />
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The <strong>DAC</strong><br />
<strong>Universal</strong><br />
<strong>DAC</strong> <strong>Universal</strong> cleans, lubricates and sterilizes six handpieces and turbines<br />
in just 12 minutes. This gets rid of even the most resistant bacteria – and<br />
the fully automated process will save you both time and money.
The combination autoclave<br />
A life-saving device<br />
You care for your patients. We know. That’s why<br />
the combination autoclave <strong>DAC</strong> <strong>Universal</strong> from<br />
<strong>Nitram</strong> <strong>Dental</strong> is an indispensable tool in your<br />
clinic. The <strong>DAC</strong> <strong>Universal</strong> is able to clean, lubricate<br />
and sterilize your handpieces and turbines<br />
in only 12 minutes. A cleaning effect of<br />
99.979 per cent provides the best possibilities<br />
for ensuring a successful posterior sterilization<br />
- fighting the risk of cross-contamination.<br />
Killing the resistant bacteria<br />
A thorough initial cleaning of both the internal<br />
channels and all the external parts is essential<br />
for successful sterilization. With the <strong>DAC</strong><br />
<strong>Universal</strong>, the cleaning can access the rotating<br />
instruments’ internal lumen and cavities,<br />
where manual processes often have to give<br />
up. During the sterilization, water-saturated<br />
steam reaches a temperature of 134°C over<br />
a period of three minutes. This kills even the<br />
most resistant bacteria and viruses, and eliminates<br />
the risk of cross-contamination when<br />
instruments are used on the next patient.<br />
A thorough and extremely safe killer<br />
<strong>DAC</strong> <strong>Universal</strong> easily conforms to the requirements<br />
of the European standard for small<br />
steam sterilizers EN 13060. This standard<br />
defines sterility as SAL 10 -6 (Sterility Assurance<br />
Level), which is commonly interpreted as<br />
“in one million sterilized items, there must not<br />
be more than one microorganism”. In reality,<br />
SAL 10 -6 is a term defining how long it takes<br />
for a sterilization process to kill one million<br />
(10 6 ) endospores forming bacteria on an item<br />
and then theoretically calculating twice that<br />
time, which will let the process reach SAL 10 -6 .<br />
This stringent requirement leaves a considerable<br />
safety margin. The <strong>DAC</strong> <strong>Universal</strong> is so<br />
thorough that the process reaches a value<br />
corresponding to 10 -29 .<br />
Clean<br />
The unique cleaning program of<br />
the <strong>DAC</strong> <strong>Universal</strong> ensures the<br />
highest level of instrument hygiene.<br />
The cleaning process is performed<br />
according to the international<br />
standard for washer-disinfectors<br />
ISO 15883 and its efficacy is tested<br />
<strong>by</strong> several leading dental institutions<br />
and universities.<br />
Lubricate<br />
Proper maintenance helps to extend<br />
the lifetime of rotating instruments.<br />
The lubrication system of the <strong>DAC</strong><br />
<strong>Universal</strong> is tested and approved <strong>by</strong><br />
leading international manufacturers<br />
of handpieces and turbines.<br />
Sterilize<br />
The sterilization process of the<br />
<strong>DAC</strong> <strong>Universal</strong> conforms to the<br />
European standard for small steam<br />
sterilizers EN 13060. Moreover, its<br />
efficacy is validated according to the<br />
international standard ISO 17665,<br />
which describes the requirements<br />
for validation and routine control of<br />
sterilization processes for medical<br />
devices.<br />
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<strong>DAC</strong><br />
<strong>Universal</strong><br />
• Cleans, lubricates and sterilizes six handpieces and turbines in 12 minutes<br />
• Ensures the highest level of hygiene in your clinic<br />
• Eliminates the risk of incorrect handling during preparation and maintenance of instruments<br />
• Ensures optimum maintenance of handpieces and turbines<br />
• Helps transfer resources from manual routine work to patient service<br />
• Continuously ensures correctly dosed lubrication<br />
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The Technology<br />
THE FULLY AUTOMATED PROCESS<br />
The <strong>DAC</strong> <strong>Universal</strong> cleans, lubricates and<br />
sterilizes up to six handpieces and turbines<br />
in a fully automated process in just 12<br />
minutes. All you need to do is to place the<br />
instruments on the lid and press the start<br />
button. It doesn’t get much simpler, cleaner<br />
and safer than this. Furthermore, <strong>DAC</strong><br />
<strong>Universal</strong> offers a special program that sterilizes<br />
up to three wrapped instruments.<br />
INTERNAl cleaning LUBRICATION EXTERNAL CLEANING STERILIZATION<br />
Step 1<br />
Step 2<br />
Leak test<br />
Internal cleaning: The internal<br />
channels are flushed with water<br />
Step 3<br />
Lubrication: The drive channels<br />
are lubricated<br />
Step 4 External cleaning: The instruments<br />
are cleaned with pulse wash<br />
Step 5 Hot wash: Steam at 107°C<br />
Step 6 Heating procedure: To 134°C<br />
Step 7 Back flush: Saturated steam is forced<br />
through the instruments<br />
Step 8 Sterilization: 3 minutes at 134°C<br />
Step 9 Back flush<br />
Step 10 Drying<br />
Step 11 Lid opens slightly<br />
Step 12 Lid opens opens completely<br />
when pressing the “C” button<br />
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Return on investment<br />
Turning hygiene costs into profit<br />
Calculation basis<br />
Cost per month<br />
The <strong>DAC</strong> <strong>Universal</strong> helps you to turn good<br />
hygiene into a profitable bottom line. You<br />
get a number of financial advantages, which<br />
strengthen your business.<br />
Instruments last longer<br />
Proper maintenance is required to ensure a<br />
longer life for any item of dental equipment.<br />
This is extremely relevant regarding your<br />
handpieces and turbines. The <strong>DAC</strong> <strong>Universal</strong><br />
always ensures perfect cleaning and lubricates<br />
the rotating instruments with exactly<br />
the required amount of oil. The lubrication<br />
system of the <strong>DAC</strong> <strong>Universal</strong> is tested and<br />
approved <strong>by</strong> leading international manufacturers<br />
of handpieces and turbines.<br />
place automatically. The time saved can be<br />
used on other patient-related tasks, which<br />
ensures improved service for your patients.<br />
Reducing oil costs<br />
Manual lubrication of handpieces and turbines<br />
is often associated with excessively large<br />
oil waste. With the <strong>DAC</strong> <strong>Universal</strong>, however,<br />
lubrication occurs as an integral part of the<br />
fully automated process. This means that the<br />
instruments are always lubricated and get<br />
exactly the required oil dosage. The precise<br />
dosage means you save up to 80 per cent of<br />
your normal oil consumption.<br />
1 dentist, 20 patients/day, 3 instruments/patient,<br />
200 workdays/year = 12,000 instruments/year<br />
Work hours<br />
(1,000 instrument preparations)<br />
Staff cost per month € 2,500 (€ 15/ hr.)<br />
Oil consumption<br />
150 instr. per spray bottle (€ 25.00 each) / 1,500 instr. per <strong>Nitram</strong>Oil bottle (€ 60.90)<br />
Total<br />
Savings per month<br />
Approx. 1,000 instruments<br />
Manual<br />
preparation<br />
41.6 hrs.<br />
2.5 min per instr.<br />
€ 624<br />
€ 167<br />
€ 791<br />
<strong>DAC</strong><br />
UNIVERSAL<br />
8.3 hrs.<br />
0.5 min per instr.<br />
€ 125<br />
€ 41<br />
€ 166<br />
€ 625<br />
Saving staff time<br />
Thorough manual cleaning, lubrication and<br />
sterilization are time-consuming processes.<br />
With the <strong>DAC</strong> <strong>Universal</strong>, however, this all takes<br />
Your investment<br />
Amortization within<br />
€ 6,520*<br />
11 months<br />
The profit<br />
At nitramdental.com, you can enter the information<br />
from your clinic and see how good a business<br />
<strong>DAC</strong> <strong>Universal</strong> could be for you.<br />
( * Price example. Recommended retail price; 2011, Germany)<br />
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What do the users say<br />
about the <strong>DAC</strong> <strong>Universal</strong>?<br />
A faithful partner<br />
<strong>Dental</strong> Assistant, Radmila Sandu<br />
Malmö, Sweden<br />
For more than seven years, dental assistant<br />
Radmila Sandu has worked for dentist<br />
Stefan Hagstam in Malmö, Sweden. She has<br />
used the <strong>DAC</strong> <strong>Universal</strong> in all those years,<br />
which has saved her plenty of manual work related<br />
to the preparation and maintenance of<br />
handpieces and turbines.<br />
“Before the <strong>DAC</strong> <strong>Universal</strong>, I can easily imagine<br />
that they used to spend a lot of time<br />
on manual cleaning, if the instruments first<br />
had to be run through a washing machine and<br />
then moved to an autoclave to be sterilized.<br />
None of that is now necessary with the <strong>DAC</strong><br />
<strong>Universal</strong>. It does it all in one go”, says Radmila.<br />
More hands, less stress<br />
The extra time that Radmila gains <strong>by</strong> using the<br />
<strong>DAC</strong> <strong>Universal</strong> is used to assist in other areas<br />
in the clinic, as required.<br />
“With the <strong>DAC</strong> <strong>Universal</strong>, I have extra time to<br />
assist the dentist and help the patients, so<br />
they feel they receive the best possible service.<br />
It also means that we rarely experience<br />
stress here at the clinic”, says Radmila, who<br />
thinks that the <strong>DAC</strong> <strong>Universal</strong> has been a good<br />
and faithful partner over the years.<br />
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The best choice<br />
Dentist Dr.med.dent Christian Bodart<br />
Béziers, France<br />
Dentist Dr. Christian Bodart is very pleased<br />
that he has chosen the <strong>DAC</strong> <strong>Universal</strong> for his<br />
clinic in the French town of Béziers – both for<br />
health and business reasons.<br />
“The advantage of the <strong>DAC</strong> <strong>Universal</strong> is the<br />
guarantee of the complete process of cleaning,<br />
lubricating and sterilizing of our instruments<br />
between each patient”, says Dr. Christian<br />
Bodart and continues:<br />
“Saving time enables us to release the assistant<br />
for other tasks helping at the chair, or<br />
administrative tasks. My associate and I are<br />
sure that we have made the best choice for<br />
our dental clinic.”<br />
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A reliable hygiene solution<br />
Dr.med.dent. Axel Posorski<br />
Hamburg, Germany<br />
With three assistants and three units in his<br />
clinic, Dr. Axel Posorski runs a very modern<br />
and busy practice in the heart of Hamburg,<br />
Germany. Prior to incorporating the <strong>DAC</strong><br />
<strong>Universal</strong> in the clinic’s workflow, the hygiene<br />
procedure consisted of cleaning and lubrication<br />
in one machine, followed <strong>by</strong> autoclaving<br />
in another.<br />
“This semi-manual process left a lot to be<br />
desired in terms of both cleaning and handling.<br />
With a full timetable of clients, the hygiene<br />
procedure was simply too time-consuming”,<br />
says Dr. Axel Posorski.<br />
Small is good<br />
The staff do not only save time with the <strong>DAC</strong><br />
<strong>Universal</strong>. Dr. Axel Posorski and his team get<br />
a better result and are able to spend more<br />
time with their patients. Another important<br />
aspect is the size of the <strong>DAC</strong> <strong>Universal</strong>. Dr.<br />
Axel Posorski explains:<br />
“The <strong>DAC</strong> <strong>Universal</strong> only requires minimal<br />
space, reducing the pressure in the sterilization<br />
room. I recommend the <strong>DAC</strong> <strong>Universal</strong> if<br />
you want a reliable hygiene solution and also<br />
need additional space in your clinic.”<br />
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DEVELOPMENT<br />
The secret is testing<br />
At this very moment, a freshly produced<br />
<strong>DAC</strong> <strong>Universal</strong> is being tested at our production<br />
facilities in Aarhus, Denmark. The <strong>DAC</strong><br />
<strong>Universal</strong> is build according to the European<br />
standard for small steam sterilizers EN 13060.<br />
Before leaving <strong>Nitram</strong> <strong>Dental</strong>, all machines<br />
are individually tested and the specific workstest<br />
document is enclosed with the machine.<br />
Every day, we make sure that everything works<br />
properly. That’s how we continue to develop.<br />
And that’s why a <strong>DAC</strong> <strong>Universal</strong> won’t let<br />
you down.<br />
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TECHNICAL INFO<br />
Check out the details<br />
Specifications<br />
• Water quality: Demineralised or distilled water below 3 µS.<br />
• Power consumption: 1100W. (at 230V AC)<br />
• Water tank capacity: 2.0 L.<br />
• Oil bottle capacity: 0.2 L.<br />
• Width of machine: 36 cm.<br />
• Depth of machine: 37 cm.<br />
• Total height of machine (open): 60 cm.<br />
• Total height of machine (closed): 35 cm.<br />
• Mains supply: 90-120V AC. / 190-240V AC.<br />
Installation - the following installations are necessary<br />
• Pressurized air<br />
• Drain<br />
• Electricity<br />
Programs<br />
• 134 °C, 3 min. sterilization (standard program. Total cycle time: 12 min.)<br />
• 134 °C, 3 min. sterilization (wrapped program. Total cycle time: 22 min.)<br />
• 121 °C, 15 min sterilization (gentle program. Total cycle time: 24 min.)<br />
• 134 °C, 18 min. sterilization (standard program. Total cycle time: 27 min.)<br />
Smart design<br />
You won’t even notice it.<br />
The <strong>DAC</strong> <strong>Universal</strong> is designed to<br />
fit naturally into all dental clinics.<br />
In its development, our engineers<br />
sought to create a machine that<br />
is easy to handle and makes as<br />
few demands as possible on the<br />
clinic’s interior.<br />
Made to fit in<br />
Small: The machine has a small<br />
footprint so it does not take up<br />
unnecessary space. This makes<br />
it ideal for even small clinics.<br />
Light<br />
Requires only one technician<br />
for moving, which reduces your<br />
handling costs.<br />
Quiet<br />
No annoying humming sounds.<br />
You and your colleagues can enjoy<br />
a pleasant working environment.<br />
Closed oil system<br />
There is no need for extraction. This<br />
saves costs and ensures a healthy<br />
indoor environment in the clinic.<br />
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Accessories<br />
Get the most out of your <strong>DAC</strong> <strong>Universal</strong><br />
See more accessories at nitramdental.com<br />
NitraClean<br />
Removes oil residue from your<br />
<strong>DAC</strong> <strong>Universal</strong> and can be used<br />
in a standard cycle.<br />
Printer<br />
Prints out measurements of pressure<br />
and temperature from each cycle to<br />
provide documentation that the relevant<br />
parameters are met.<br />
Data logger<br />
USB storage of measurements of<br />
pressure and temperature from each<br />
cycle to provide documentation that<br />
the relevant parameters are met.<br />
Drain tank<br />
For waste water if you have not<br />
connected your <strong>DAC</strong> <strong>Universal</strong><br />
directly to the drain.<br />
Extra lid<br />
After the cycle has finished, the<br />
lid and the instruments may still<br />
be warm. With an extra lid, you<br />
can start a new cycle straight<br />
away to optimize your workflow.<br />
Adapters<br />
<strong>Nitram</strong> <strong>Dental</strong> offers the market’s<br />
widest selection of specially developed<br />
adapters to match exactly<br />
the type of rotating instruments<br />
in your clinic. Please visit nitramdental.com<br />
to see the full adapter<br />
range.<br />
Lid for wrapped instruments<br />
Designed to handle up to three<br />
wrapped instruments at the<br />
same time. The lid enables you<br />
to have wrapped instruments<br />
sterilized fast and efficiently.<br />
This provides extra flexibility to<br />
your workflow, when your other<br />
autoclave is not available.<br />
Basket for solid instruments<br />
With the additional basket for<br />
<strong>DAC</strong> <strong>Universal</strong>, solid instruments<br />
are easily cleaned and sterilized<br />
quickly and fully automatically.<br />
Lid holder<br />
Ensures ergonomically improved<br />
working procedures when many<br />
instruments have to be handled<br />
during the day. Can be placed on<br />
the table or mounted on the wall.<br />
NitraDem Direct Connect<br />
A modern water treatment system<br />
that provides your <strong>DAC</strong> <strong>Universal</strong> and<br />
other autoclaves with demineralised water<br />
so you do not have to manually refill them.<br />
Up to three autoclaves can be connected<br />
at the same time. NitraDem Direct<br />
Connect complies with European standard<br />
EN 1717, created to prevent the backflow<br />
of water into the public water system.<br />
NitraDem E/A<br />
A user-friendly water treatment<br />
system that, like NitraDem Direct<br />
Connect, provides demineralised<br />
water. NitraDem E/A is designed<br />
for manual refilling of <strong>DAC</strong> <strong>Universal</strong><br />
and other autoclaves in your clinic.<br />
Holder for indicator<br />
Holder for chemical and biological<br />
indicators used for routine control<br />
of the sterilization process in the<br />
<strong>DAC</strong> <strong>Universal</strong>.<br />
Spore tester<br />
Process Challenge Device (PCD)<br />
that simulates a hollow instrument.<br />
Chemical and biological indicators can<br />
be loaded into the device for routine<br />
control of the internal sterilization<br />
process of the instruments.<br />
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NITRAM DENTAL A/S<br />
Sindalsvej 36<br />
DK-8240 Risskov<br />
Phone: +45 87 43 90 60<br />
Fax: +45 87 43 90 61<br />
info@nitramdental.com<br />
www.nitramdental.com<br />
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