3. Simple,
Safe and Superior
Nitram Dental is a pioneer in the field of dental hygiene. Our technology
ensures the highest level of hygiene using a minimum of resources,
providing your clinic with a solid return on investment.
4. NITRAM DENTAL6 7NITRAM DENTAL
A word from our PRESIDENT
Patients’ safety is our vision
Dentists worldwide are met by ever stricter
guidelines, recommendations and standards.
At the same time, patients expect full pro-
tection against cross-contamination. There-
fore, it is important that the dental clinic
is equipped to face these challenges in the
best and most efficient way. It is absolutely
crucial that patients do not leave their den-
tist with harmful bacteria and viruses that
have been transmitted during the visit at the
dental clinic.
We are on a mission
At Nitram Dental, we are constantly looking
for better ways to improve dental procedures
in the fight against the spread of disease. We
know that even the smallest gaps in hygiene
can have enormous consequences.We are only
satisfied with a perfect patient safety record.
This is why we are proud to offer you and
your clinic the world’s safest and most
cost-effective solutions for preventing cross-
contamination. This is our mission.
You can see the results
With the DAC Universal combination autoclave
from Nitram Dental, you are ensured simpler,
safer and more sensible hygiene procedures
in your clinic. In addition to improving your
business, this means that your staff can
spend time on patients rather than on
maintaining instruments. You can quickly see
the results in both time and money saved.
A simple solution to a difficult challenge
This brochure gives you an insight into why
compromises and half-measures are never
sufficient for Nitram Dental. It gives an answer
to why the prevention of cross-contamination
is one of the greatest challenges in modern
dental clinics. It also gives an explanation of
how a single product ensures that patient
safety and business profits can form a suc-
cessful synthesis.
Happy reading!
Jan Ellegaard
President, Nitram Dental
Preventing cross-contamination
Cross-contamination is the passing of microorganisms (bacteria, fungi, virus) and other harmful
substances from one person to another. In dental environments, cross-contamination can occur
as a result of non-sterile equipment and products or due to improper hygiene procedures.
Understanding and practicing basic and simple procedures for the prevention of cross-
contamination, such as proper cleaning and decontamination followed by sterilization in safe and
validated procedures, must be considered as today’s most important issue in all health care settings.
5. NITRAM DENTAL8 9NITRAM DENTAL
Nitram Dental manufactures state-of-the-art
hygiene and infection control products for den-
tal clinics worldwide. We are based in Aarhus,
Denmark, and manufacture the DAC Univer-
sal combination autoclave, which is specially
developed for the handling of handpieces and
turbines. Nitram Dental is the hygiene division
of Sirona Dental Systems.
Pioneers within dental hygiene
Since launching the DAC Universal in 2004,
Nitram Dental has been a pioneer in the
production of combination autoclaves for
dental clinics worldwide. This puts us in the
lead in the fight against cross-contamination
in dental environments.
Proven technology
It is crucial for us to provide innovative
solutions that will ensure optimum hygiene
as well as giving dentists a solid return on in-
vestment. Therefore, during the development
of the DAC Universal, we have been in close
dialogue with dentists and dental hygiene
experts.
Our technology has been thoroughly and
successfully tested by dentists, dental insti-
tutions and universities worldwide. In recent
years we have delivered more than 15,000
combination autoclaves to the dental industry
and before delivery, every single product has
undergone thorough testing in our manufac-
turing facilities.
Nitram Dental
An innovative nature
Our solution
DAC Universal by Nitram Dental
is the world’s leading combination
autoclave. In one process lasting
just 12 minutes, the DAC Universal
provides internal and external clean-
ing, lubrication and sterilization of
up to six handpieces and turbines.
This ensures optimal hygiene and
less manual work in the clinic.
6. NITRAM DENTAL10 11NITRAM DENTAL
Good ideas and simple solutions are often
the best responses to demanding tasks.
This is why Nitram Dental aims to solve the
challenges within hygiene standards and
procedures with simple, safe and superior
technology. It is common sense.
Simple
Simple operation and a clean, minimalist
design make DAC Universal an indispensable
tool in the modern dental clinic. With just a
single press ofthe button,cleaning,lubrication
and sterilization of handpieces and turbines
occur completely automatically – no manual
work is required. This is our definition of first-
class hygiene with a minimal use of resources.
To learn more about DAC Universal and
the prevention of cross-contamination in
dental environments, simply visit our web site
nitramdental.com.
Safe
DAC Universal is your guarantee that your
patients encounter the best possible hygiene
and safety during treatment at your clinic.
Cleaning and sterilization of the instruments
conform to strict norms and standards. The
cleaning process is performed according to
the international standard for washer-disin-
fectors ISO 15883 and its efficacy is tested by
several leading dental institutions and univer-
sities. The sterilization process conforms to
the European standard for small steam steri-
lizers EN 13060.
For your patients, this means they have
the best possible protection against cross-
contamination. For you, it means a healthy and
safe business. And for Nitram Dental, it means
we are successful in living up to our mission by
providing you with the world’s safest and most
cost-effective solution for preventing cross-
contamination.
Superior
We want to develop the world’s best autoclave,
and we will always base our solutions on indus-
try knowledge, dialogue and insight in the lat-
est research in hygiene. Bearing these ambi-
tions in mind, we have made the DAC Universal
superior in its functionality, economy, safety
and design.
The 100 per cent automated processes eli-
minate the risk of manual errors and make the
DAC Universal superior to traditional hygiene
procedures.
DAC Universal
Simple, safe and superior
7. NITRAM DENTAL12 13NITRAM DENTAL
At Nitram Dental, we monitor the lat-
est hygiene research and developments
meticulously. Close contact with profes-
sionals worldwide, along with structured
knowledge sharing, helps to prepare us for
the fight against cross-contamination.
We believe that the best way to create unique
products is through professional knowledge
and insight.Therefore, we take pride in keeping
ourselves updated on all relevant news, publi-
cations and studies within the field of dental
hygiene – and share it with dentists worldwide.
We listen to the experts
By collaborating with renowned scientists,
conducting studies and discussing the fore-
most expertise within dental hygiene, we try
to always keep one step ahead. In this way, we
are well equipped to deal with the require-
ments and standards in the dental clinics of
the future.
Always in the same direction
Sharing knowledge among our employees en-
sures that Nitram Dental moves in one con-
sistent direction – always towards the best
technologies that prevent cross-contamina-
tion. Via ongoing dialogue with dentists, dental
technicians and dental assistants worldwide,
we keep a finger on the professional pulse, so
our solutions can give you and your colleagues
the best possible assistance in your work.
Our philosophy
Knowledgeandinsightarethe bestfoundations
Stay updated
Our web portal nitramdental.com
collects and disseminates interna-
tional news, research and scientific
articles within the field of hygiene.
The aim is to keep you and other
interested parties in the industry
updated with useful knowledge.
> Visit nitramdental.com
8. The future
of our business
Modern dentists are skilled health care specialists and business-
oriented leaders. At Nitram Dental, we are in the vanguard of
helping dental clinics meet both current and future requirements.
9. NITRAM DENTAL16 17NITRAM DENTAL
Modern dentistry
New times, new demands
In modern dental clinics, the staff’s atten-
tion should not be on routine manual work.
The DAC Universal makes the process of
cleaning, lubricating and sterilizing hand-
pieces and turbines fully automatic. The
result is both time and money saved and
levels of hygiene that belong among the
medical elite.
Dentistry is not what it used to be, as both
dentists and technology are continuously
developing. Modern dentists have to master
both the professional and the business sides
of running a dental clinic. While they are health
care specialists, perform surgery, keep updat-
ed on the latest knowledge in their field, they
are also skilled, business-oriented leaders.
We live up to the modern profile
At Nitram Dental, we want to help all dentists
to create clinics that live up to both the mod-
ern profile and conform to the authorities’ hy-
giene norms and standards. We want to be at
the forefront in the fight against cross-con-
tamination, helping dentists provide their pa-
tients with the best possible care and safety.
Focus on patients
We also want to help dentists to run their busi-
ness in the most efficient way. In modern clinics,
all cleaning, lubrication and sterilizing processes
occur completely automatically, so that both
dentists and dental assistants can use their re-
sources to provide the patients with the best
service and treatment.
Designed to benefit
We have developed DAC Universal to match
the hygiene and business requirements that
modern dentists encounter. When cleaning,
lubricating and sterilizing are carried out in
one single automated process, it frees more
hands for the patients. At the same time, DAC
Universal ensures that the clinic’s instruments
last longer and the oil expenses are reduced
by up to 80 per cent – all to the benefit of the
modern dentist’s work and business.
10. NITRAM DENTAL18 19NITRAM DENTAL
Showing the way forward
Jesper Hatt from Skagen Dental
Clinic is the first Danish dentist
who has taken a complete training
module at the renowned Pankey
Institute in Florida. He carries on
the American in-service training at
his clinic in Denmark, where he has
up to 15 Danish and international
dentists on a course at a time.
Patient safety, bottom line and brand-
ing are key words in the modern Skagen
Dental Clinic. And the DAC Universal is an
importantcontributortothehigherhygiene
requirements and increased earnings.
The dentists, Helle and Jesper Hatt, know
that it pays to give their patients the best
possible experience in the couple’s ultra-
modern Skagen Dental Clinic, located on the
northernmost point of Denmark.
“Good hygiene should be mandatory. When all
the processes in the clinic are in order, the
patients experience greater safety. It gives
the business a better reputation and is impor-
tant for the positive branding of the dental
profession”, says Jesper Hatt.
Highest possible standard
While Jesper Hatt has been teaching at
the dental school, Helle has specialized in
implant surgery through an international
diploma course.
“Surgical operations place an additional
demand on hygiene and we transfer these high
standards to as many of our other treatment
types as possible, says Helle Hatt.”
“We want an exceptional clinic that provides
first-class dental work. We also expect that
the hygiene requirements and documentation
in the industry will be tightened in the future,
which is perfectly reasonable”, she adds.
A well-run business
Since 2008, the DAC Universal has been an
important tool in this modern clinic. It is not
only important for hygiene, but also for the
clinic’s resources and bottom line.
“The DAC Universal conveniently cleans, lubri-
cates and sterilizes the instruments between
patients. The entire process is done quickly, so
we need fewer handpieces and turbines.At the
same time, we avoid mess with oil and do not
have to waste time by cleaning one instrument
at a time”, says Jesper Hatt and continues:
“We have invested a great deal of money in
creating our dream clinic, so to survive we
must have a well-run business.”
Meeta modern dentist
Hygiene in a first-class CLINIC
11. Risk
assessment
People travel–and so do infectious diseases and other devastating
microbiological capabilities. Proper cleaning is the most efficient
way to prevent cross-contamination in the dental clinic.
12. NITRAM DENTAL22 23NITRAM DENTAL
Hepatitis B VIRUS
Hepatitis B virus is one of the world’s most common and serious infection diseases. It is
estimated that more than one third of the world’s population has been infected with the virus.
Hepatitis B virus infections cause more than 1 million deaths every year. Source: WHO
Handpieces and turbines are dentistry’s
most difficult instruments to clean be-
cause these hollow instruments feature a
sophisticated inner mechanical construc-
tion, internal cavities as well as long and
narrow channels (tubes) for air and water.
Handpieces and turbines are also delicate
surgical instruments–proper care must be
taken not only due to the risks for of cross-
contamination but also to maintain optimal
function and longevity.
Proper decontamination is needed
It is extremely important to decontaminate
your instruments properly, not only by steril-
ization, but also by first washing them thor-
oughly, both externally and internally. If the
rotating instruments are not properly cleaned
before sterilization, the biological remnants on
all inner surfaces will become charred – with
a devastating effect on functionality, and en-
capsulating infectious material.
Did you miss a spot?
As described by Dr. D.L. Lewis and Dr. R.K. Boe
in 1992: if internal lumens and crevices are
not ultra-clean, the sterilization process will
only result in surface-sterilized aggregates.
When these aggregates are broken apart by
the moving parts of rotating dental instru-
ments, their viable interiors could be liberated
(ref: Lewis D.L:, Boe R.K. J Clin Microbiol
1992(30) Febr 2: 401-406).
In the same article,Lewis and Boe compare the
dosage of biological material released from
dental turbines and handpieces while doing a
minor dental restoration with the equal risk of
unprotected oral intercourse. Similarly, they
compare larger dental preparations involving
minor marginal gingival injuries with multiple
20-gauge-needle percutaneous penetrations
involving previously used needles. The cutting
rotation forces and high-pressure flow of wa-
ter from handpieces and turbines will have the
same effect.
Bioburden
Why cleaning beats sterilization
13. NITRAM DENTAL 2524 NITRAM DENTAL
HIV VIRUS
So far about 60 million people are infected with HIV virus.
33.4 million people carry the virus in themselves. Around 25
million people have died of aids. Source: WHO
croorganisms that form part of the normal
flora can cause problems. When found in den-
tal instruments, for instance, they can carry
the genetic material of antibiotic resistance.
Sterile doesn’t mean clean
Bacteria do not cause infection by just being
there. They produce enzymes (toxins) that will
break down tissue. A sterile instrument might
be free from living microorganisms. But if it is
improperly cleaned, it can be filled with poison-
ous toxins that can cause strong inflammatory
reactions in patients or dental staff.
When bacteria disintegrate after having been
killed, all toxins in their interior will be released
into their surroundings. Sterilization of a large
bacterial burden can therefore mean an in-
creased risk. This is the main reason why in-
struments have to be thoroughly cleaned be-
fore they are sterilized.
Don’t hand-wash your instruments
Even the most thorough hand-washing of
instruments – performed by the most dili-
gent dental assistant – can be insufficient
and damaging to your health. This is because
blood, saliva and other biological material can
hide inside the rotating instruments and cre-
ate biofilm, which makes the bacteria almost
impossible to destroy.
This means the possibility of cross-contami-
nation remains intact and the patients’ health
is at risk. Hand-washing in stagnant water
will actually result in higher microbial burden
on instruments after the washing procedure
than before.
Dr. Zimmerman on bioburden
According to associate professor Dr. Mikael
Zimmerman from Karolinska Institutet in
Stockholm, Sweden, the fight against biobur-
den – and especially bacterial biofilm – is the
most important factor if you wish to avoid
cross-contamination in your dental clinic.
Bioburden refers to all organic and inorganic
remnants, including the numerous infectious
organisms and bacterial biofilms found on the
surface of – or inside – dental instruments
before cleaning and decontamination, disin-
fection and sterilization. The larger the bio-
burden, the harder the object is to sterilize.
Make the cleaning automatic
According to Dr. Zimmerman, automated
washing processes in validated machines are
the safest and most reliable way to clean and
decontaminate your instruments. This is also
recommended by the guidelines DGKH and RKI
in Germany and the HTM01-05 in England.
The boundaries are broken
Thanks to today’s extensive international con-
tacts, infectious diseases and antimicrobial re-
sistance (antibiotic resistance) spread quickly to
parts of the world where they were once scarce.
People travel–and so do infectious diseases and
other devastating microbiological capabilities.
Every second, 25 people cross a national border.
This is the equivalent of about 1 billion interna-
tional travellers annually, not to mention the
movement of all industrial products and food
supplies.
The increased globalization places new de-
mands at individual levels – to think globally and
act locally.
Virus and the global man
With the body as a method of transport, we
humans bring viruses and resistant bacteria
to the places we visit and we take new ones
back home with us. Among the known killers
are HIV, hepatitis B, hepatitis C, tuberculo-
sis, swine flu, MRSA, antimicrobial resistance,
etc., which are spread directly or indirectly and
mostly by blood, saliva and body secretions.
But these harmful microorganisms are not
the only ones to cause damage. Even the mi-
14. Risk
management
Handpieces and turbines are the two most dangerous sources of infection in any dental clinic.
Blood and secretions from patients can hide in their internal lumens and cavities. This is why
hygiene should always be a top priority, when handling these rotating instruments.
15. NITRAM DENTAL28 29NITRAM DENTAL
Hepatitis C VIRUS
About 3 % of the world’s population has been infected with Hepatitis C virus.
There are more than 170 million chronic carriers who are at risk of developing
liver cirrhosis and/or liver cancer. Source: WHO
Handpieces and turbines that are in contact
with the patient’s mucous membrane and body
fluids may represent a high risk of cross-
contamination for both patients and staff.
The reason is that these rotating instruments
have internal lumens and cavities where bac-
teria and viruses can hide during cleaning.
Air and water supply
The air and water channels in rotating instru-
ments are easy targets for contamination in
the form of saliva or possible blood resi-
due from the patient’s mouth. Hand-
pieces and turbines can suck these flu-
ids into its internal channels via the
re-suction and capillary action effect that
occurs when the instrument stops.
Microorganisms in the channels can be traced
even after proper sterilization of the rotat-
ing instruments if they have not been properly
cleaned prior to sterilization.
Pathways of infection
Hidden dangers in the dental clinic
16. NITRAM DENTAL30 31NITRAM DENTAL
Tuberculosis
About one third of the world’s population is infected with tuberculosis
germs–one new infection per second. Tuberculosis is a world leader in
the statistics of fatal infectious diseases. Source: WHO
Microbiology
Bacteria and viruses in the oral cavity
Bacteria play an important role in the oral
cavity, both as a part of the normal flora and
as disease-causing agents. Under unfavour-
able conditions, some bacteria form endo-
spores by enveloping themselves in a capsule
that is highly resistant to dehydration, acids
and heat – including boiling for several hours.
Disinfection doesn’t kill endospores
The purpose of sterilization is to destroy all
microbial life, including large numbers of highly
resistant bacterial endospores. Disinfection
eliminates virtually all recognized pathogenic
microorganisms but not necessarily bacterial
endospores. This means that disinfection pro-
cesses lack the margin of safety provided by
sterilization procedures.
The trouble with toxins
To survive and multiply, bacteria absorb sub-
stances from their surroundings, forming
enzymes and toxins. These enzymes are ex-
creted into the environment to break down
the surrounding tissue into small molecules,
which are then absorbed by the cell. Toxins
reduce the body’s defence against infections
and help spread disease-causing bacteria.
An instrument that has been sterilized but not
sufficiently cleaned may be free of living mi-
croorganisms but smeared with toxins, which
can result in acute inflammatory reactions in
the body.
Fight the resistance
Bacteria can also produce enzymes or genes
that carry antibiotic resistance – these sub-
stances can be released into the surround-
ings and picked up by other bacteria. ESBL
(Extended Spectrum Beta-Lactamase resis-
tance gene) is a newly recognized and severe
problem in health care. In the summer of 2010,
the world received news about the antibiotic
resistance gene NDM-1 (New Delhi Metallo
Beta-Lactamase 1) which even further re-
duces our possibilities for treating bacterial
infections.
Antibiotic resistance is a far larger problem
than the environmental carbon dioxide issue
and global warming! This has also been iden-
tified as one of the top-priority international
issues by both the EU and the USA.
Viruses are heat-sensitive, but …
Viruses comprise a separate group within micro-
biology because they do not have an independent
metabolism and cannot replicate independently. In
contrast to bacteria, viruses interfere with the
metabolism of the host cells and use these to rep-
licate (e.g. HIV). Most viruses are heat-sensitive.
Several types lose their ability to cause disease
if they are heated to temperatures in excess of
60°C for 30 minutes. An exception is the hepatitis
B virus, which can tolerate temperatures between
90°C and 100°C for short periods.
Biofilm–a hard nut to crack
Certain bacteria can form biofilm, known in the oral
cavity as dental plaque. The bacterial colony with-
in biofilm has a very high resistance to chemicals
and antibiotics, as well as to pH and temperature
variations. Biofilms have been found to be involved
in a wide variety of microbial infections in the body.
Biofilms can also be found on dental instruments,
and must be removed via thorough cleaning proce-
dures prior to sterilization.
17. The DAC
Universal
DAC Universal cleans, lubricates and sterilizes six handpieces and turbines
in just 12 minutes. This gets rid of even the most resistant bacteria–and
the fully automated process will save you both time and money.
18. NITRAM DENTAL 3534 NITRAM DENTAL
You care for your patients.We know.That’s why
the combination autoclave DAC Universal from
Nitram Dental is an indispensable tool in your
clinic. The DAC Universal is able to clean, lubri-
cate and sterilize your handpieces and tur-
bines in only 12 minutes. A cleaning effect of
99.979 per cent provides the best possibilities
for ensuring a successful posterior steriliza-
tion - fighting the risk ofcross-contamination.
Killing the resistant bacteria
A thorough initial cleaning of both the internal
channels and all the external parts is essen-
tial for successful sterilization. With the DAC
Universal, the cleaning can access the rotat-
ing instruments’ internal lumen and cavities,
where manual processes often have to give
up. During the sterilization, water-saturated
steam reaches a temperature of 134°C over
a period of three minutes. This kills even the
most resistant bacteria and viruses, and elimi-
nates the risk of cross-contamination when
instruments are used on the next patient.
A thorough and extremely safe killer
DAC Universal easily conforms to the require-
ments of the European standard for small
steam sterilizers EN 13060. This standard
defines sterility as SAL 10-6
(Sterility Assur-
ance Level), which is commonly interpreted as
“in one million sterilized items, there must not
be more than one microorganism”. In reality,
SAL 10-6
is a term defining how long it takes
for a sterilization process to kill one million
(106
) endospores forming bacteria on an item
and then theoretically calculating twice that
time, which will let the process reach SAL 10-6
.
This stringent requirement leaves a consid-
erable safety margin. The DAC Universal is so
thorough that the process reaches a value
corresponding to 10-29
.
The combination autoclave
A life-saving device
Clean
The unique cleaning program of
the DAC Universal ensures the
highest level of instrument hygiene.
The cleaning process is performed
according to the international
standard for washer-disinfectors
ISO 15883 and its efficacy is tested
by several leading dental institutions
and universities.
Lubricate
Proper maintenance helps to extend
the lifetime of rotating instruments.
The lubrication system of the DAC
Universal is tested and approved by
leading international manufacturers
of handpieces and turbines.
Sterilize
The sterilization process of the
DAC Universal conforms to the
European standard for small steam
sterilizers EN 13060. Moreover, its
efficacy is validated according to the
international standard ISO 17665,
which describes the requirements
for validation and routine control of
sterilization processes for medical
devices.
19. NITRAM DENTAL36 37NITRAM DENTAL
DAC
Universal
• Cleans, lubricates and sterilizes six handpieces and turbines in 12 minutes
• Ensures the highest level of hygiene in your clinic
• Eliminates the risk of incorrect handling during preparation and maintenance of instruments
• Ensures optimum maintenance of handpieces and turbines
• Helps transfer resources from manual routine work to patient service
• Continuously ensures correctly dosed lubrication
20. NITRAM DENTAL38 39NITRAM DENTAL
INTERNAl cleaning LUBRICATION EXTERNAL CLEANING STERILIZATION
Step 3 Lubrication: The drive channels
are lubricated
Step 4 External cleaning: The instruments
are cleaned with pulse wash
Step 5 Hot wash: Steam at 107°C
Step 6 Heating procedure: To 134°C
Step 7 Back flush: Saturated steam is forced
through the instruments
Step 8 Sterilization: 3 minutes at 134°C
Step 9 Back flush
Step 10 Drying
Step 11 Lid opens slightly
Step 12 Lid opens opens completely
when pressing the “C” button
Step 1 Leak test
Step 2 Internal cleaning: The internal
channels are flushed with water
The Technology
THEFULLYAUTOMATED PROCESS
The DAC Universal cleans, lubricates and
sterilizes up to six handpieces and tur-
bines in a fully automated process in just 12
minutes. All you need to do is to place the
instruments on the lid and press the start
button. It doesn’t get much simpler, clean-
er and safer than this. Furthermore, DAC
Universal offers a special program that steri-
lizes up to three wrapped instruments.
21. NITRAM DENTAL40 41NITRAM DENTAL
DAC
UNIVERSAL
The DAC Universal helps you to turn good
hygiene into a profitable bottom line. You
get a number of financial advantages, which
strengthen your business.
Instruments last longer
Proper maintenance is required to ensure a
longer life for any item of dental equipment.
This is extremely relevant regarding your
handpieces and turbines. The DAC Universal
always ensures perfect cleaning and lubri-
cates the rotating instruments with exactly
the required amount of oil. The lubrication
system of the DAC Universal is tested and
approved by leading international manufac-
turers of handpieces and turbines.
Saving staff time
Thorough manual cleaning, lubrication and
sterilization are time-consuming processes.
With the DAC Universal, however, this all takes
place automatically. The time saved can be
used on other patient-related tasks, which
ensures improved service for your patients.
Reducing oil costs
Manual lubrication of handpieces and turbines
is often associated with excessively large
oil waste. With the DAC Universal, however,
lubrication occurs as an integral part of the
fully automated process. This means that the
instruments are always lubricated and get
exactly the required oil dosage. The precise
dosage means you save up to 80 per cent of
your normal oil consumption.
Return on investment
Turning hygiene costs into profit
The profit
At nitramdental.com, you can enter the information
from your clinic and see how good a business
DAC Universal could be for you.
(*
Price example. Recommended retail price; 2011, Germany)
Calculation basis Cost per month
1 dentist, 20 patients/day, 3 instruments/patient,
200 workdays/year = 12,000 instruments/year
Work hours
(1,000 instrument preparations)
Staff cost per month € 2,500 (€ 15/ hr.)
Oil consumption
150 instr. per spray bottle (€ 25.00 each) / 1,500 instr. per NitramOil bottle (€ 60.90)
Total
Savings per month
Your investment
Amortization within
Approx. 1,000 instruments
41.6 hrs.
2.5 min per instr.
€ 624
€ 167
€ 791
8.3 hrs.
0.5 min per instr.
€ 125
€ 41
€ 166
€ 625
€ 6,520*
11 months
Manual
preparation
22. NITRAM DENTAL42 43NITRAM DENTAL
What do the users say
about the DAC Universal?
A faithful partner
Dental Assistant, Radmila Sandu
Malmö, Sweden
For more than seven years, dental assis-
tant Radmila Sandu has worked for dentist
Stefan Hagstam in Malmö, Sweden. She has
used the DAC Universal in all those years,
which has saved her plenty of manual work re-
lated to the preparation and maintenance of
handpieces and turbines.
“Before the DAC Universal, I can easily imag-
ine that they used to spend a lot of time
on manual cleaning, if the instruments first
had to be run through a washing machine and
then moved to an autoclave to be sterilized.
None of that is now necessary with the DAC
Universal. It does it all in one go”, says Radmila.
More hands, less stress
The extra time that Radmila gains by using the
DAC Universal is used to assist in other areas
in the clinic, as required.
“With the DAC Universal, I have extra time to
assist the dentist and help the patients, so
they feel they receive the best possible ser-
vice. It also means that we rarely experience
stress here at the clinic”, says Radmila, who
thinks that the DAC Universal has been a good
and faithful partner over the years.
23. NITRAM DENTAL44 45NITRAM DENTAL
The best choice
Dentist Dr.med.dent Christian Bodart
Béziers, France
Dentist Dr. Christian Bodart is very pleased
that he has chosen the DAC Universal for his
clinic in the French town of Béziers – both for
health and business reasons.
“The advantage of the DAC Universal is the
guarantee of the complete process of clean-
ing, lubricating and sterilizing of our instru-
ments between each patient”, says Dr. Chris-
tian Bodart and continues:
“Saving time enables us to release the assis-
tant for other tasks helping at the chair, or
administrative tasks. My associate and I are
sure that we have made the best choice for
our dental clinic.”
24. NITRAM DENTAL46 47NITRAM DENTAL
Dr.med.dent. Axel Posorski
Hamburg, Germany
With three assistants and three units in his
clinic, Dr. Axel Posorski runs a very modern
and busy practice in the heart of Hamburg,
Germany. Prior to incorporating the DAC
Universal in the clinic’s workflow, the hygiene
procedure consisted of cleaning and lubrica-
tion in one machine, followed by autoclaving
in another.
“This semi-manual process left a lot to be
desired in terms of both cleaning and handling.
With a full timetable of clients, the hygiene
procedure was simply too time-consuming”,
says Dr. Axel Posorski.
Small is good
The staff do not only save time with the DAC
Universal. Dr. Axel Posorski and his team get
a better result and are able to spend more
time with their patients. Another important
aspect is the size of the DAC Universal. Dr.
Axel Posorski explains:
“The DAC Universal only requires minimal
space, reducing the pressure in the steriliza-
tion room. I recommend the DAC Universal if
you want a reliable hygiene solution and also
need additional space in your clinic.”
A reliable hygiene solution
25. NITRAM DENTAL48 49NITRAM DENTAL
At this very moment, a freshly produced
DAC Universal is being tested at our produc-
tion facilities in Aarhus, Denmark. The DAC
Universal is build according to the European
standard for small steam sterilizers EN 13060.
Before leaving Nitram Dental, all machines
are individually tested and the specific works-
test document is enclosed with the machine.
Every day, we make sure that everything works
properly. That’s how we continue to devel-
op. And that’s why a DAC Universal won’t let
you down.
DEVELOPMENT
The secret is testing
26. NITRAM DENTAL50 51NITRAM DENTAL
Specifications
• Water quality: Demineralised or distilled water below 3 µS.
• Power consumption: 1100W. (at 230V AC)
• Water tank capacity: 2.0 L.
• Oil bottle capacity: 0.2 L.
• Width of machine: 36 cm.
• Depth of machine: 37 cm.
• Total height of machine (open): 60 cm.
• Total height of machine (closed): 35 cm.
• Mains supply: 90-120V AC. / 190-240V AC.
Installation - the following installations are necessary
• Pressurized air
• Drain
• Electricity
Programs
• 134 °C, 3 min. sterilization (standard program. Total cycle time: 12 min.)
• 134 °C, 3 min. sterilization (wrapped program. Total cycle time: 22 min.)
• 121 °C, 15 min sterilization (gentle program. Total cycle time: 24 min.)
• 134 °C, 18 min. sterilization (standard program. Total cycle time: 27 min.)
TECHNICAL INFO
Check out the details
Smart design
You won’t even notice it.
The DAC Universal is designed to
fit naturally into all dental clinics.
In its development, our engineers
sought to create a machine that
is easy to handle and makes as
few demands as possible on the
clinic’s interior.
Made to fit in
Small: The machine has a small
footprint so it does not take up
unnecessary space. This makes
it ideal for even small clinics.
Light
Requires only one technician
for moving, which reduces your
handling costs.
Quiet
No annoying humming sounds.
You and your colleagues can enjoy
a pleasant working environment.
Closed oil system
There is no need for extraction. This
saves costs and ensures a healthy
indoor environment in the clinic.
27. NITRAM DENTAL52 53NITRAM DENTAL
NitraDem Direct Connect
A modern water treatment system
that provides your DAC Universal and
other autoclaves with demineralised water
so you do not have to manually refill them.
Up to three autoclaves can be connected
at the same time. NitraDem Direct
Connect complies with European standard
EN 1717, created to prevent the backflow
of water into the public water system.
NitraDem E/A
A user-friendly water treatment
system that, like NitraDem Direct
Connect, provides demineralised
water. NitraDem E/A is designed
for manual refilling of DAC Universal
and other autoclaves in your clinic.
Holder for indicator
Holder for chemical and biological
indicators used for routine control
of the sterilization process in the
DAC Universal.
Spore tester
Process Challenge Device (PCD)
that simulates a hollow instrument.
Chemical and biological indicators can
be loaded into the device for routine
control of the internal sterilization
process of the instruments.
NitraClean
Removes oil residue from your
DAC Universal and can be used
in a standard cycle.
Printer
Prints out measurements of pressure
and temperature from each cycle to
provide documentation that the relevant
parameters are met.
Data logger
USB storage of measurements of
pressure and temperature from each
cycle to provide documentation that
the relevant parameters are met.
Drain tank
For waste water if you have not
connected your DAC Universal
directly to the drain.
Accessories
Get the most out of your DAC Universal
Extra lid
After the cycle has finished, the
lid and the instruments may still
be warm. With an extra lid, you
can start a new cycle straight
away to optimize your workflow.
Adapters
Nitram Dental offers the market’s
widest selection of specially de-
veloped adapters to match exactly
the type of rotating instruments
in your clinic. Please visit nitram-
dental.com to see the full adapter
range.
Lid for wrapped instruments
Designed to handle up to three
wrapped instruments at the
same time. The lid enables you
to have wrapped instruments
sterilized fast and efficiently.
This provides extra flexibility to
your workflow, when your other
autoclave is not available.
Basket for solid instruments
With the additional basket for
DAC Universal, solid instruments
are easily cleaned and sterilized
quickly and fully automatically.
Lid holder
Ensures ergonomically improved
working procedures when many
instruments have to be handled
during the day. Can be placed on
the table or mounted on the wall.
See more accessories at nitramdental.com
