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8. Characteristics
Osseo 100 is an instrument for measuring the stability 
(ISQ) of dental implants. The instrument measures the 
resonance frequency of a MulTipeg and presents it as an 
ISQ value. The ISQ value, 1-99, reflects the stability of the 
implant – the higher the value, the more stable the implant.
The instrument measures the ISQ-value with a precision 
of +/- 1 ISQ unit. When mounted onto an implant, the 
MulTipeg resonance frequency can vary up to 2 ISQ units 
depending on the tightening torque.
Warning: Use of this equipment adjacent to or 
stacked with other equipment should be avoided 
because it could result in improper operation.
9. MulTipeg
The MulTipeg is made from titanium and has an integrated 
grip for the MulTipeg driver on top. Inspect the MulTipeg 
for damage before use. Damaged MulTipegs should not be 
used due to the risk of erroneous measurements.
There are different MulTipegs available made to fit 
different implant systems and types. Please refer to the 
updated list from the supplier.
Measurements should only be performed using 
the correct MulTipegs. Using the wrong MulTipeg 
could cause erroneous measurements or damages 
to the MulTipeg or implant.
The instrument emits short magnetic pulses with 
pulse duration of 1 ms and strength of +/- 20 gauss, 
10 mm from the instrument tip. Precautions might 
be necessary when using the instrument close to 
cardiac pacemakers or other equipment sensitive 
to magnetic fields.
10. Technical function
For bringing the MulTipeg into vibration, short magnetic 
pulses are sent from the instrument tip. The magnetic 
pulses interact with the magnet inside the MulTipeg and 
cause the MulTipeg to vibrate. A pickup in the instrument 
picks up the alternating magnetic field from the vibrating 
magnet, calculates the frequency and from that, the ISQ 
value.
11. ISQ-value
The stability of the implant is presented as an “ISQ value”. 
The higher the value, the more stable the implant. The ISQ 
is described in numerous clinical studies. A list of studies 
can be ordered from the supplier.
12. Implant stability
An implant can have different stabilities in different 
directions. Make sure to measure from different directions 
around the top of the MulTipeg.
It is highly recommended to measure the ISQ value 
at implant placement to have a baseline for future 
measurements. When the ISQ is measured at a later stage, 
a change in the ISQ value will reflect a change in the 
implant stability. This way, the ISQ progression will support 
the decision on when to load the implant.
Note: The stability value is an additional parameter for 
deciding when to load the implant. The final treatment 
decision is the responsibility of the clinician.
13. Batteries & charging
The instrument contains 2 NiMH battery cells that must 
be charged before use. A full charge takes approximately 
3 hours at 20°C or 68°F. Warmer room temperature will 
increase the charging time. From fully charged, the 
instrument can measure continuously for 60 minutes 
before it needs to be recharged. The yellow LED is lit 
when the battery needs recharging. The yellow LED 
flashes when the battery reaches a critical level. When the 
battery reaches a critical level, the instrument shuts off 
automatically. When the batteries are charging, the blue 
LED is lit. When the charging is ready, the light goes off. 
The charger should not be plugged in while measuring due 
to the risk of power line interference making it dicult to 
measure.
14. Usage
14.1 Instrument on/off
To turn the instrument on, press the operating key. A short 
beep should be heard and then all display segments are lit 
up for a short while. Check that all display segments are lit. 
The software version is then shown briefly before the 
instrument starts to measure. If any error code (EX, where 
“X” is the error number) is shown during start up, please 
refer to the section “Troubleshooting”.
To turn off, press and hold the operating key until the 
instrument turns off. The instrument will power down 
automatically after 30 seconds of inactivity.
14.2 Measurement Osseo 100
A MulTipeg (fig 3) is mounted onto the implant by using the 
MulTipeg driver (fig 2). Use hand-tightening with 6-8 Ncm 
of tightening torque. Turn on the instrument and hold the 
tip close to the top of the MulTipeg (fig 5). When a signal is 
received, a beep is heard and then the ISQ-value is shown 
on the display for a short while before the instrument 
starts to measure again.
If electromagnetic noise is present, the instrument cannot 
measure. The electromagnetic noise warning is audible 
as well as visible on the display. Try to remove the source 
of the noise. The source could be any electric equipment 
close to the instrument. 
Always use a thread, such as dental floss, to secure 
the MulTipeg driver when working intra-orally.
15. Cleaning and maintenance
Before use, the parts should be cleaned and 
disinfected.
15.1 Instrument
The instrument can be cleaned with wipes soaked with 
detergent solution for one minute and then wiped for one 
minute with water-soaked lint free wipes.
Specified detergent: Neodisher Mediclean forte.
For use in environments requiring sterility, the instrument 
should be covered with a sterile cover.
Disinfection
Use a cloth soaked with 70 % isopropyl alcohol to wipe the 
instrument for one minute, and then let the instrument dry 
for two minutes before use.
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7. Symbols
Warning
Catalogue  
number
Keep dry
Caution: Federal law 
restricts this device to 
sale by or on the order of 
a physician or dentist.
Follow 
instructions 
for use
Lot/Batch 
code
Temperature 
limits
Waste from electronic 
equipment must be 
handled according to 
local regulations
Magnetic field 
warning
Serial number Manufacturer Type BF Applied part
Autoclavable 
up to 134° C
Atmospheric 
pressure limit
Manufacturing 
date
Humidity limit
Delivered  
Non-sterile
Unique device 
identifier
CE mark
Certification marks – 
demonstrate compliance 
to the requirements of 
widely accepted product 
safety standards.
Medical device