CSN EN ISO 18397 This document specifies the requirements and test methods for air-powered and electrical-powered scaler handpieces and scaler tips, including piezo and magnetostrictive type ultrasonic scalers, operated as stand-alone items or connected to dental units, for use on patients. This document also contains specifications on manufacturers' instructions, marking and packaging. Original English text of CSN EN Standard. The price of the Standard included all amendments and correcturs.