BBraun
Cortical bone mill GB040
28 Pages
Preview
Page 1
5.3
Risk of injury and/or malfunction! ► Always carry out a function check prior to using the product.
Aesculap® Cortical bone mill GB040 Legend 1 2 3 4 5
Motor unit with HARRIS coupling Hand crank GB041R Cortical bone mill GB040 Cutting drum Knurled nut
Symbols on product and packages
Safe operation
WARNING ► Attach the cortical bone mill GB040 to the appropriate table ► Mount the motor unit and necessary components, see Attaching the motor drive ► Fill the mill shaft with the bone for grinding and use the pestle to gently grind the substance while the mill is
running.
Disassembly ► Remove the motor unit from the cortical bone mill 8. ► Place your thumb in the front round outlet opening. ► Hold the cutting drum 4 in place and turn the knurled nut 5 to the right until the cutting drum can be taken out
from the front, see Fig. A. Caution, general warning symbol Caution, see documentation supplied with the product
1.
Applicable to
► For item-specific instructions for use and information on material compatibility, see also the Aesculap Extranet
at www.extranet.bbraun.com
2.
Safe handling
6.
Validated reprocessing procedure
6.1
General safety instructions
Note Adhere to national statutory regulations, national and international standards and directives, and local, clinical hygiene instructions for sterile processing. Note For patients with Creutzfeldt-Jakob disease (CJD), suspected CJD or possible variants of CJD, observe the relevant national regulations concerning the reprocessing of products.
CAUTION Federal law restricts this device to sale by, or on order of a physician! ► Remove the transport packaging and clean the new product, either manually or mechanically, prior to its initial sterilization. ► Prior to use, check that the product is in good working order. ► To prevent damage caused by improper setup or operation, and in order not to compromise warranty and manufacturer liability: – Use the product only according to these instructions for use. – Follow the safety and maintenance instructions. – Only combine Aesculap products with each other. ► Ensure that the product and its accessories are operated and used only by persons with the requisite training, knowledge, or experience. ► Keep the instructions for use accessible for the user.
Note Mechanical reprocessing should be favored over manual cleaning as it gives better and more reliable results.
3.
6.2
3.1
Product description Components required for operation
The following options are available for driving the cortical bone mill GB040: ■ Hand crank GB041R ■ Motor unit with HARRIS coupling, e.g. GA672 with GB654R
3.2
Intended use
The cortical bone mill GB040 is used for grinding compact bone grafts (both cortical bone and cancellous bone).
4.
Preparation and setup
Non-compliance with the following instructions will preclude all responsibility and liability in this respect on the part of Aesculap. ► Check the cortical bone mill and its accessories for visible damage before use. ► Use the cortical bone mill and its accessories only if they are in perfect condition.
5.
Working with the cortical bone mill GB040 Risk of injury due to accidental activation of drive unit! ► Change the cortical bone mill only with the motor unit uncoupled.
Note Successful processing of this medical device can only be ensured if the processing method is first validated. The operator/sterile processing technician is responsible for this. The recommended chemistry was used for validation. Note If there is no final sterilization, then a virucidal disinfectant must be used. Note For the latest information on reprocessing and material compatibility see also the Aesculap extranet at www.extranet.bbraun.com The validated steam sterilization procedure was carried out in the Aesculap sterile container system.
General information
Dried or affixed surgical residues can make cleaning more difficult or ineffective and lead to corrosion. Therefore the time interval between application and processing should not exceed 6 h; also, neither fixating pre-cleaning temperatures >45 °C nor fixating disinfecting agents (active ingredient: aldehydes/alcohols) should be used. Excessive measures of neutralizing agents or basic cleaners may result in a chemical attack and/or to fading and the laser marking becoming unreadable visually or by machine for stainless steel. Residues containing chlorine or chlorides e.g. in surgical residues, medicines, saline solutions and in the service water used for cleaning, disinfection and sterilization will cause corrosion damage (pitting, stress corrosion) and result in the destruction of stainless steel products. These must be removed by rinsing thoroughly with demineralized water and then drying. Additional drying, if necessary. Only process chemicals that have been tested and approved (e.g. VAH or FDA approval or CE mark) and which are compatible with the product’s materials according to the chemical manufacturers’ recommendations may be used for processing the product. All the chemical manufacturer's application specifications must be strictly observed. Failure to do so can result in the following problems: ■ Optical changes of materials, e.g. fading or discoloration of titanium or aluminum. For aluminum, the application/process solution only needs to be of pH >8 to cause visible surface changes. ■ Material damage such as corrosion, cracks, fracturing, premature aging or swelling. ► Do not use metal cleaning brushes or other abrasives that would damage the product surfaces and could cause corrosion. ► Further detailed advice on hygienically safe and material-/value-preserving reprocessing can be found at www.ak-i.org, link to Publications, Red Brochure – Proper maintenance of instruments.
6.3
Dismantling prior to carrying out the reprocessing procedure
► Remove the cutting drum prior to cleaning, see Disassembly.
DANGER
6.4 Damage to the product due to incorrect handling or operation! ► The product must only be coupled while the motor is inactive. CAUTION
Preparations at the place of use
► Remove any visible surgical residues to the extent possible with a damp, lint-free cloth. ► Transport the dry product in a sealed waste container for cleaning and disinfection within 6 hours.
6.5
Preparation before cleaning
► Carry out non-fixating/NaCl-free pre-cleaning immediately after use.
5.1
System set-up 6.6
Cleaning/disinfection
Connecting the accessories Combinations of accessories that are not mentioned in the present instructions for use may only be employed if they are specifically intended for the respective application, and if they do not compromise the performance and safety characteristics of the products.
Product-specific safety instructions for the reprocessing procedure Damage to, or destruction of the product caused by mechanical cleaning/disinfection! ► Only clean and disinfect the product manually.
Attaching the motor drive Risk of damage to the cortical bone mill or its components due to unauthorized configuration! ► Combine the components only as described in these instructions for use.
CAUTION Damage to the product due to inappropriate cleaning/disinfecting agents! ► Only use cleaning/disinfecting agents approved for surface cleaning. Follow the manufacturer’s instructions for the respective cleaning/disinfecting agent.
CAUTION ► Select the type of drive for the cortical bone mill taking into account the authorized combinations, see Compo-
CAUTION
nents required for operation. ► Please address your B. Braun/Aesculap partner or Aesculap Technical Service with any inquiries in this respect; for a contact address, see Technical Service.
5.2
Function checks
► Make certain that the motor unit is securely seated. ► Briefly run the cortical bone mill GB040 at maximum speed. Check for proper and reliable functioning.
CAUTION
Damage to the product due to inappropriate cleaning/disinfecting agents and/or excessive temperatures! ► Use cleaning and disinfecting agents according to the manufacturer’s instructions which – are approved for plastic material and high-grade steel, – do not attack softeners (e.g. in silicone). ► Observe specifications regarding concentration, temperature and exposure time.
► Do not clean the cortical bone mill by ultrasonic bath and do not immerse it in any fluid. Allow any fluid that
has penetrated the device to run out immediately.
Validated cleaning and disinfection procedure Validated procedure
Special features
Reference
Manual cleaning and wipe disinfection
■ When cleaning products with movable hinges, ensure
Chapter Manual cleaning/disinfecting and subsection:
that these are in an open position and, if applicable, move the joint while cleaning.
■ Chapter Manual
■ Drying phase: Use a lint-free cloth or compressed air
cleaning and wipe disinfecting
for medical purposes
■ Ensure that the product is positioned in such a way that water will not enter the product e.g. through coupling interfaces. (Immediately remove any fluid that entered the product inadvertently.)
6.7
*Aesculap has validated the above sterilization cycle and has the data on file. The validation was accomplished in an Aesculap sterile container cleared by FDA for the sterilization and storage of these products. Other sterilization cycles may also be suitable, however individuals or hospitals not using the recommended method are advised to validate any alternative method using appropriate laboratory techniques. Use an FDA cleared accessory to maintain sterility after processing, such as a wrap, pouch, etc.
6.12 Storage ► Store sterile products in germ-proof packaging, protected from dust, in a dry, dark, temperature-controlled area.
7.
Maintenance
To ensure reliable operation, the product must be maintained at least once a year. For technical service, please contact your national B. Braun/Aesculap agency, see Technical Service.
8.
Manual cleaning/disinfecting
► Prior to manual disinfecting, allow water to drip off for a sufficient length of time to prevent dilution of the dis-
infecting solution. ► After manual cleaning/disinfection, check visible surfaces visually for residues. ► Repeat the cleaning/disinfection process if necessary.
Troubleshooting list
Malfunction
Detection
Cause
Remedy
Intense/loud running noise
Motor unit detaches from the cortical bone mill without manipulation
Motor unit not coupled correctly
Couple the motor unit correctly
Gearing worn
Handpiece hot
–
Have product repaired by the manufacturer
Insufficient milling performance of the cortical bone mill
Intense/loud running noise
Cutting drum is blunt
Replace the cutting drum
Motor unit not running correctly
–
–
See instructions for use of the motor unit
Manual cleaning and wipe disinfecting Phase
Step
T [°C/°F]
t [min]
Conc. [%]
Water quality
Chemical
I
Cleaning
RT (cold)
-
-
D–W
-
II
Drying
RT
-
-
-
-
III
Wipe disinfection
-
>1
-
-
Meliseptol HBV wipes 50 % Propan-1-ol
IV
Final rinse
RT (cold)
0.5
-
FD-W
-
V
Drying
RT
-
-
-
-
D–W: FD–W:
Drinking water Fully desalinated water (demineralized, low microbiological contamination: drinking water quality at least) Room temperature
RT:
Phase I ► Clean the product under running faucet water, using a suitable cleaning brush until all visible residues have been removed from the surfaces. ► Mobilize non-rigid components, such as set screws, links, etc. during cleaning. Phase II ► Dry the product in the drying phase with suitable equipment (e.g. cloth, compressed air), see Validated cleaning and disinfection procedure. Phase III ► Wipe all surfaces of the product with a single-use disinfectant wipe. Phase IV ► After the specified exposure time (at least 1 min), rinse the disinfected surfaces under running FD water. ► Drain any remaining water fully. Phase V ► Dry the product in the drying phase with suitable equipment (e.g. cloth, compressed air), see Validated cleaning and disinfection procedure.
6.8
9.
Technical Service Risk of injury and/or malfunction! ► Do not modify the product. WARNING
► For service and repairs, please contact your national B. Braun/Aesculapagency.
Modifications carried out on medical technical equipment may result in loss of guarantee/warranty rights and forfeiture of applicable licenses. Service addresses Aesculap Technischer Service Am Aesculap-Platz 78532 Tuttlingen / Germany Phone: +49 (7461) 95 -1601 Fax: +49 (7461) 14 -939 E-Mail: [email protected] Or in the US: Attn. Aesculap Technical Services 615 Lambert Pointe Drive Hazelwood MO, 63042 USA Aesculap Repair Hotline Phone: +1 (800) 214 -3392 Fax: +1 (314) 895 -4420 Other service addresses can be obtained from the address indicated above.
10.
Inspection, maintenance and checks
► Allow the product to cool down to room temperature. ► Inspect the product after each cleaning and disinfecting cycle to be sure it is: clean, functional, and undamaged. ► Check the product for any damage, abnormal running noise, overheating or excessive vibration. ► Set aside the product if it is damaged. ► Prior to an extended period of non-use, always store attachments cleaned and dried according to the instructions
Accessories/Spare parts
Art. no.
Designation
GB041R
Hand crank for driving the GB040 (HARRIS shaft)
GB042R
Replacement cutting drum to GB040 (Cross-section of the bone transplant 0.7 mm x 3 mm)
GB043R
Cutting drum with fine toothing for GB040 (Cross-section of the bone transplant 0.7 mm x 2 mm)
GB044R
Cutting drum with large toothing for GB040 (Cross-section of the bone transplant 0.7 mm x 4 mm)
GB046
Shaft insert with pestle for use in GB040, for grinding small pieces of bone
for use.
6.9
Packaging
► Always observe the instructions for use of packaging and storage devices. ► Place the product on a tray in such a way that it is protected against damage. Ensure that any cutting edges
present are protected. ► Pack trays appropriately for the sterilization process (e.g. in Aesculap sterile containers). ► Ensure that the packaging will prevent a recontamination of the product.
6.10 Steam sterilization
11.
Note The product may only be sterilized when dismantled.
Technical data
Classification acc. to Directive 93/42/EEC
► Check to ensure that the sterilizing agent will come into contact with all external and internal surfaces (e.g. by
opening any valves and faucets). ► Validated sterilization process
– Disassemble the product – Steam sterilization through fractionated vacuum process – Steam sterilizer according to DIN EN 285 and validated according to DIN EN ISO 17665 – Sterilization using fractionated vacuum process at 134 °C/holding time 5 min ► When sterilizing several products at the same time in a steam sterilizer, ensure that the maximum load capacity of the steam sterilizer specified by the manufacturer is not exceeded.
Art. no.
Designation
Class
GB040
Cortical bone mill
IIa
12.
Disposal
Note The user institution is obliged to process the product before its disposal, see Validated reprocessing procedure. ► Detailed information concerning the disposal of the product is available through your national B. Braun/Aesculap
6.11 Sterilization for the US market ■ Aesculap advises against sterilizing the device by flash sterilization or chemical sterilization. ■ Sterilization may be accomplished by a standard prevacuum cycle in a steam autoclave. To achieve a sterility assurance level of 10-6, Aesculap recommends the following parameters: Aesculap Orga Tray/Sterile container (perforated bottom) Minimum cycle parameters*
agency, see Technical Service.
13.
Distributor in the US/Contact in Canada for product information and complaints
Sterilization method
Temp.
Time
Minimum drying time
Aesculap Inc. 3773 Corporate Parkway Center Valley, PA, 18034, USA
Prevacuum
270 °F/275 °F
4 min
20 min
TA-Nr. 006558
10/13
V6
Änd.-Nr. 47650