ACM user guide
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The document provides information about the ACMAuto Chip Maker instrument, which is used to collect autograft bone from mandibular molars or incisors for guided bone regeneration in defective areas. The instrument comes in various diameters and lengths. It must be cleaned, sterilized and stored properly after use. A clinical case and movie demonstrate how to use the instrument to drill and collect autograft bone chips within seconds for GBR procedures.
ACM user guide
- 1. Get 1cc Autogenous Bone within Seconds ACMAuto Chip Maker
- 2. Contents • Indication • Specification and Type • Precautions • Caution • Cleaning • Sterilization • Storage and Management • Clinical case • Clinical Movie
- 3. Indication ACM(Autochip Maker) is an instrument to collect autograft bone from mandibular molars or incisor for GBR in defected area Precautions 1. Instrument is susceptible to damage and wear and should be inspected before use. 2. Check the latch lock shank for wear to ensure that the connection is not damaged by reused instrument. 3. Instrument must be cleaned and sterilized prior to use 4. Stopper is ready to use. Do not sterilize plastic stopper in autoclave prior to use. Specification and Type Diameter Length(mm) Code 4.0 10mm ACM40ISETES 14mm ACM40ISETS 4.5 10mm ACM45ISETES 14mm ACM45ISETS 5.0 10mm ACM50ISETES 14mm ACM50ISETS 6.0 10mm ACM60ISETES 14mm ACM60ISETS 1 box : 1drill and 7 stoppers
- 4. 1. Mount stopper to ACM and connect dental implant motor. 2. Locate the drill on the surface of operation area by pressing it slightly with saline irrigation. ✓ Recommended drilling speed is 50~300rpm and maximum torque over 50Ncm. (50rpm without irrigation, Over 100rpm with irrigation) ✓ The stopper does not go deeper than 4mm. ✓ Maximum 4mm depth autograft bone, drill until 3~4mm depth and move to different area to collect the same quality bone chip. ✓ Drill with shaking to left and right for effective cutting and cooling. 3. When autograft bone is fully filled in the space, take out the bone chips from ACM to the medical bowl after removing the stopper. 4. Repeat procedure 1,2,3 until taking the enough autograft bone. 5. GBR with the collected autograft bone in the defected area. If the thickness of cortical bone is below 4mm, drill can be stopped by over torque due to touching the cancellous bone. To prevent drill stop, drill below 4mm to collect cortical bone only. Otherwise shake toward left and right with maximum torque. ! Procedure
- 5. 1. Must irrigate with saline while drilling to prevent bone heating. 2. Recommendation speed is 50~300rpm and maximum torque over 50Ncm. 3. Recommended using times are below 7 to prevent bone necrosis caused by drill abrasion. 4. Clean the instrument immediately as the blood, tissue remains, bone debris or secretion could be dried on it. ! 1. Disassemble multi-piece components. Rinse with cool to lukewarm water for two and one half minutes. 2. Place all parts in an ultrasonic cleaner with an enzymatic detergent diluted with tap water per the manufacture’s guidelines. Sonicate for ten minutes. Rinse with tap water for three minutes. Cleaning Caution
- 6. Stopper is disposable. When sterilizing plastic stopper in autoclave, it will melt down. Remove all protective packaging and separate stopper from ACM before sterilization to ensure maximum efficacy. ! * Note : To ensure autoclave is performing effectively, periodic use of biologic indicators should be considered. Dry heat and Chemclave sterilization are NOT recommended. 1 Minimum validated steam sterilization time and temperature required to achieve a 10-6 sterility assurance level(SAL) 2 Local or national specifications should be followed where steam sterilization requirements are stricter or more conservative than those listed in this table. 3 Sea level Sterilization Cycle Type Temperature Pressure 3 Exposure Time Dry Time Instrument, Wrapped Pre-Vacuum 1,2 132℃ 270℉ 2 bars 28.5 psi 3 minutes 30 minutes Instrument, Wrapped Gravity 1 121℃ 250℉ 1 bars 14.5 psi 40 minutes 30 minutes Recommended Steam Sterilization Parameters
- 7. 1. Store in a dry area at room temperature. 2. Used product must be cleaned, sterilized and dried befor storage. 3. Discard the instrument which used 7 times. 4. Reuse instrument may affect cutting efficiency and damage of latch lock shank. If inspection reveals signs of wear or damage, replace the instruments. Storage and Management
- 9. Clinical Movie ACMAuto Chip Maker