Packaging
23 Ocak 2019
Guided Surgery
23 Ocak 2019


The TiSmart2 surgical kit is made of Radel®, a plastic material suitable to harmlessly undergo a number of sterilization cycles and not generate oxidizing currents among the different metal components of the kit.
The use of permanent retaining O-rings eliminates the accumulation of blood residuals and organic contaminants that are usually found, even after a proper washing, in “old generation” surgical kits.
The TiSmart2 surgical kit complies with the Best Practice regulations in the sterilization field.
The color code identifies the surgical sequence and the relevant implant diameters.
Laser marking of all components and the relevant serigraphy on the housing hole allow for easy identification when returning the components back to the kit.
The TiSmart2 system provides straight flute drills that allow for the best directionality. Their design is suitable to collect the bone produced during corticotomy. The drills are equipped with a screwable stop to protect the most delicate anatomical structures at the most risk during all surgical phases38-43.

Wash:
Immerse the drills and the surgical accessories in a solution of water and specific cleaner. Leave for a few minutes before rinsing them properly with water and removing all residuals with a soft brush. Immerse the tools in an ultrasonic bath with an enzymatic cleaner for 5 minutes and pay attention that the mill blades don’t touch one another. Then rub the tools with a soft brush and rinse properly with water. Check that everything is properly cleaned. The surgical tray must be washed, brushed and rinsed with water and some cleaner to eliminate any organic residuals.

Sterilization:
Immerse the drills and the surgical accessories in a solution of water and specific cleaner. Leave for a few minutes before rinsing them properly with water and removing all residuals with a soft brush. Immerse the tools in an ultrasonic bath with an enzymatic cleaner for 5 minutes and pay attention that the mill blades don’t touch one another. Then rub the tools with a soft brush and rinse properly with water. Check that everything is properly cleaned. The surgical tray must be washed, brushed and rinsed with water and some cleaner to eliminate any organic residuals.

Maintenance of the ratchet:
All tools must be cleaned (ultrasound equipment is recommended) and sterilized before use according to the UNI EN 556-1:2002 regulation. Use oil suitable for contra-angles/micromotors to lubricate the threads internally. Clean and sterilize using specific materials and avoid cleaners containing the following:
– Oxalic acid
– Highly-concentrated chlorine
– Sodium hypochlorite
Immediately after a surgical operation, insert the tools in the disinfecting solution to prevent the incrustation of blood and other organic residuals.
Do not return a tool back if it is wet. Do not sterilize or clean or disinfect tools made of different metals in the same cleaning cycle.

Unscrew the handle and pay special attention not to lose the Teflon ring.
Remove the graduated scale and the spring inserted in the handle.
Clean each part of the device and make sure that the spring turns are properly cleaned.
Reassemble the device by inserting the components as given: insert the spring in the handle, insert the Teflon ring, screw the handle with the head of the wrench and insert the graduated scale between the two parts.

The drills of the TiSmart2 system are designed, produced and sharpened at Leader Medica. They ensure higher cut precision and longer duration (up to 50 cycles of use) compared to other drills in the market. The “straight blade” design provides a higher precision of cutting and control. Along the blade, it is possible to collect the bone produced during a corticotomy that can later be useful for a regeneration surgery or in post-extraction sites. The drills are made in 630 AISI steel and equipped with screwable colored stops made in Grade 5 titanium. All drills have a color code, diameter and code marked with laser. The height notches start from 7 mm and go to 15 mm to meet all available implants. The notch marking does not consider the tip length which adds a length up to 1.4 mm in the 5.0 mm diameter drill.
(See fig. 1 page 35).

The TiSmart2 Kit surgical accessories are designed to provide the surgeon with all the essential tools needed to use the TiSmart2 implants in any surgical condition. Drivers are available to extract and insert both manual and contra-angle implants of different heights, screwdrivers all having the same size of the hexagon (1.2 mm) suitable both for a ratchet connection and a manual operation with two different heights and a dynamometric ratchet suitable for checking the correct torque for inserting the implant and abutment screws. The accessories are made of AISI 420 steel and keep their connection precision for several work cycles if they are used within the recommended torque.

 

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