BBraun
ELAN 4 air Standard hand piece (1-ring) GA761 to GA764 ELAN 4 airhandpiece HD (2-ring) GA765 to GA769
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Aesculap®
Aesculap Power Systems
en
USA
Instructions for use/Technical description ELAN 4 air Standard hand piece (1-ring) GA761 to GA764 / ELAN 4 air handpiece HD (2-ring) GA765 to GA769 Note for U.S. users This Instructions for Use is NOT intended for United States users. Please discard. The Instructions for Use for United States users can be obtained by visiting our website at www.aesculapusa.com. If you wish to obtain a paper copy of the Instructions for Use, you may request one by contacting your local Aesculap representative or Aesculap's customer service at 1800-282-9000. A paper copy will be provided to you upon request at no additional cost.
pt
Instruções de utilização/Descrição técnica ELAN 4 air peça de mão Standard (1 anel) GA761 a GA764 / ELAN 4 air peça de mão HD (2 anéis) GA765 a GA769
nl
Gebruiksaanwijzing/Technische beschrijving ELAN 4 air handstuk Standard (1-ring) GA761 tot GA764 / ELAN 4 air handstuk HD (2-ring) GA765 tot GA769
sv
Bruksanvisning/Teknisk beskrivning ELAN 4 air handstycke Standard (1 ring) GA761 till GA764/ELAN 4 air handstycke HD (2 ringar) GA765 till GA769
ru
Инструкция по примению/Техническое описание ELAN 4 air наконечник Standard (1-кольцо) GA761 – GA764 / ELAN 4 air наконечник HD (2-кольца) GA765 – GA769
de
Gebrauchsanweisung/Technische Beschreibung ELAN 4 air Handstück Standard (1-Ring) GA761 bis GA764 / ELAN 4 air Handstück HD (2-Ring) GA765 bis GA769
cs
fr
Mode d’emploi/Description technique Pièce à main ELAN 4 air Standard (1 anneau) GA761 à GA764 / pièce à main ELAN 4 air HD (2 anneaux) GA765 à GA769
Návod k použití/Technický popis ELAN 4 air násadec Standard (1 kroužek) GA761 až GA764 / ELAN 4 air násadec HD (2 kroužky) GA765 až GA769
pl
es
Instrucciones de manejo/Descripción técnica Pieza de mano ELAN 4 air Standard (1 anillo) GA761 a GA764 / pieza de mano ELAN 4 air HD (2 anillos) GA765 a GA769
Instrukcja użytkowania/Opis techniczny Uchwyt ELAN 4 air Standard (1-pierścieniowy) GA761 do GA764 / uchwyt ELAN 4 air HD (2-pierścieniowy) GA765 do GA769
sk
it
Istruzioni per l’uso/Descrizione tecnica Manipolo ELAN 4 air Standard (a un anello) da GA761 a GA764 / manipolo ELAN 4 air HD (a due anelli) da GA765 a GA769
Návod na použitie/Technický opis ELAN 4 air rukoväť Standard (1-prstencová) GA761 až GA764 / ELAN 4 air rukoväť HD (2-prstencová) GA765 až GA769
tr
Kullanım Kılavuzu/Teknik açiklama ELAN 4 air el cihazı Standard (1 halka) GA761 ila GA764 / ELAN 4 air el cihazı HD (2 halka) GA765 ila GA769
3 4
1
2
3 4
1
2
1
5 2
1
5 2
A
B 6
3
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C
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en
Aesculap® ELAN 4 air Standard hand piece (1-ring) GA761 to GA764 / ELAN 4 air handpiece HD (2-ring) GA765 to GA769 Legend 1 2 3 4 5
Use by
ELAN 4 Tool coupling (1-ring or 2-ring) Ring marking Connection for motor hose Slider for tool release ELAN 4 Tool (1-ring or 2-ring)
ELAN 4 ECCOS Holder for 12 reamers GB718R 6 Side handles 7 Holding lugs 8 Tool coupling 9 Tab 10 Connection for applied part 11 Field of vision “On“ 12 Field of vision “Off“ 13 Release button 14 Nib on motor hose 15 Groove on connection for motor hose 16 Oil spray adapter GB600850
Symbols on product and packages Caution Observe important safety information such as warnings and precautions in the instructions for use.
YYYY-MM
Maintenance indicator Date of the next recommended servicing (year-month) by the international B. Braun/Aesculap agency, see Technical Service Machine-readable, two-dimensional code The code contains a unique serial number that can be used for electronically tracking individual instruments. The serial number is based on the worldwide sGTIN (GS1) standard. Manufacturer
Date of manufacture
Sterilization using irradiation Single sterile barrier system with inner protective packaging Non-sterile medical device
Not for reuse in intended applications as defined by the manufacturer
2
Do not use if packaging is damaged
Manufacturer batch ID Manufacturer’s serial number Manufacturer’s article number Temperature limits during transport and storage
Air humidity limits during transport and storage
Atmospheric pressure limits during transport and storage According to US federal law, this product may only be sold by a physician or on the orders of a physician CE mark according to Regulation (EU) 2017/745 Medical device
en Contents 1. 1.1 1.2 2. 2.1 2.2 2.3 2.4 2.5 3. 3.1 4. 4.1 4.2 4.3 4.4 5. 6. 6.1 6.2 6.3 7. 7.1 7.2 7.3 7.4 7.5 7.6 7.7 7.8 7.9 7.10 7.11 7.12 7.13 8. 9. 10. 11. 12. 12.1 12.2 12.3 12.4 13.
About this document... Scope... Warnings... General information... Intended use... Application Environment... Indications... Absolute contraindications... Relative contraindications... Safe handling... Sterile ELAN 4 tools... Product description... Available sizes... Package includes... Components required for operation... Operating principle... Preparation... Working with the product... System set-up... Function check... Operation... Validated reprocessing procedure... General safety notes... General information... Reusable products... Preparations at the place of use... Preparation before cleaning... Cleaning/disinfection... Manual cleaning with immersion disinfection - applied part . Mechanical cleaning/disinfecting with manual pre-cleaning applied part... Mechanical cleaning/disinfecting with manual pre-cleaning tools... Inspection, maintenance and checks... Packaging... Steam sterilization... Storage... Maintenance... Troubleshooting list... Technical Service... Accessories/Spare parts... Technical Data... Classification in accordance with Regulation (EC) 2017/745. . Performance Data... Short interval operation... Ambient conditions... Disposal...
3 3 3 3 3 3 3 3 4 4 4 4 4 4 5 5 5 5 5 6 6 6 6 7 7 7 7 7 8 9 10 12 12 12 12 12 12 12 12 13 13 13 13 13 13
1.
About this document
1.1
Scope
These operating instructions apply to the following products: Art. no.
Designation
GA761–GA764
ELAN 4 air handpiece standard (1 ring)
GA765–GA769
ELAN 4 air handpiece HD (2 ring)
► For article-specific instructions for use and material compatibility
information, see B. Braun eIFUs at eifu.bbraun.com
1.2
Warnings
Warnings indicate hazards to patients, users and/or products that may occur during the use of the product. Warnings are marked as follows: DANGER Indicates a potential danger. If it is not prevented, death or severe injuries may result. WARNING Indicates a potential danger. If not prevented, minor or moderate injuries may result. CAUTION Indicates a potential damage to property. If not prevented, the product may be damaged.
2.
General information
2.1
Intended use
The ELAN 4 air handpiece standard (1-ring) GA761 to GA764 and the ELAN 4 air handpiece HD (2-ring) GA765 to GA769 is an accessory of ELAN 4 air the motor system. A motor hose GA705R is used to connect the handpiece ELAN 4 air to the ELAN 4 air foot control GA708 or to a ELAN 4 air motor control with manual control GA706R or GA707R. The handpiece (1-ring or 2-ring) is used to drive ELAN 4 tools (1-ring or 2ring).
2.2
Application Environment
Application in the sterile area
2.3
Indications
Application types Separation, removal and modeling of hard tissue, cartilage, etc. and bone replacement material Surgical category/applications Neurosurgery, ENT surgery, OMF surgery, orthopedics and trauma surgery Note The type and area of application depend on the tools selected.
2.4
Absolute contraindications
The product is not licensed for use on the central nervous system or central circulatory system.
3
en 2.5
Relative contraindications
The safe and effective use of the products greatly depends on influences which can only be controlled by the user. Therefore the specifications provided represent framework conditions only. The clinically successful use of the product is dependent on the knowledge and experience of the surgeon. The surgeon must decide on which bodily structures to use the product and take into account the safety and warning information contained in these instructions for use.
3.
Safe handling
WARNING Risk of injury and material damage if this product is not used as intended! ► Use the product only as intended.
3.1
Sterile ELAN 4 tools
The product is gamma-sterilized and supplied in sterile packaging. ► Ensure that the product and its accessories are operated and used only by persons with the requisite training, knowledge, or experience. ► Read, observe and store the instructions for use for tools TA012787. ► Do not use products from open or damaged sterile packaging. ► Prior to each use, inspect the product for: loose, bent, broken, cracked, worn, or fractured components. ► Do not use the product if it is damaged or defective. Set aside the product if it is damaged. ► Do not use the product after its use-by date. Note For further information, see instructions for use for tools TA012787. Single-use products
WARNING Risk of injury and damage to property due to improper handling of the product! This product is part of the ELAN 4 air motor system. ► Follow the general safety advice given in the instructions for use of ELAN 4 air foot control GA708, ELAN 4 air wall hoses, ELAN 4 air wall adapters (TA014450) and/or instructions for use of ELAN 4 air motor hose with hand control (TA014481). ► Follow the instructions for use of all products used.
DANGER Risk of infection for patients and/or users and impairment of product functionality due to reuse. Contamination and/or impaired function of the products may result in injury, illness and death! ► Do not process product.
■ General risk factors associated with surgical procedures are not
Note The shaft length can be seen on the shaft of the drill handpiece.
described in this documentation.
■ It is the operating surgeon's responsibility to ensure that the surgical procedure is performed correctly. ■ The operating surgeon must have a thorough understanding of both the hands-on and conceptual aspects of the established operating techniques. ► 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. ► Always adhere to applicable standards. ► Sterilize applied parts and motor hose before use. ► Observe the relevant instructions for use TA009721 when handling the Aesculap holder systems, see B. Braun eIFU under eifu.bbraun.com ► Use the applied parts and tools within the specified pressure range only.
4.
Product description
4.1
Available sizes
ELAN 4 air Standard handpiece (1-ring) Art. no.
Length of shaft
GA761
L4 (approx. 4 cm)
GA762
L7 (approx. 7 cm)
GA763
L10 (approx. 10 cm)
GA764
L13 (approx. 13 cm)
ELAN 4 air HD handpiece (2-ring) Art. no.
Length of shaft
GA765
L7 (approx. 7 cm)
GA766
L10 (approx. 10 cm)
GA767
L13 (approx. 13 cm)
GA768
L17 (approx. 17 cm)
GA769
L22 (approx. 22 cm)
4.2
Package includes
ELAN 4 air Standard handpiece (1-ring) Note The user agrees to report all serious incidents occurring in connection with the product to the manufacturer and to the competent authority in the country in which the user is registered.
4
Art. no.
Designation
GA761–GA764
ELAN 4 air handpiece standard (1 ring)
TA014478
Instructions for use of ELAN 4 air handpiece Standard (1-ring) GA761 to GA764 / ELAN 4 air handpiece HD (2-ring) GA765 to GA769 (leaflet)
en ELAN 4 air HD handpiece (2-ring) Art. no.
Designation
GA765–GA769
ELAN 4 air HD handpiece (2-ring)
TA014478
Instructions for use of ELAN 4 air handpiece Standard (1-ring) GA761 to GA764 / ELAN 4 air handpiece HD (2-ring) GA765 to GA769 (leaflet)
4.3
Components required for operation
■ ELAN 4 air wall adapter GA710R, GA712R, GA713R or GA715R ■ ELAN 4 air wall hose GA702R or GA703R, ELAN 4 air foot control GA708 and ELAN 4 air motor hose GA705R – or – ELAN 4 air motor hose with manual control GA706R or GA707R ■ ELAN 4 Tool (1-ring or 2-ring)
4.4
Operating principle
The ELAN 4 air handpiece 1-ring or 2-ring is equipped with ELAN 4 a tool coupling (1-ring or 2-ring). The 1-ring or 2-ring handpiece is used with ELAN 4 air foot control or manual controls. The foot/hand control can be used to continuously adjust the motor speed. The handpiece 1-ring or 2-ring is used in clockwise rotation. Note The ring marking 2 shows the shaft diameter of the tool to be used. ELAN 4 tools can be only coupled to the applied part if the ring markings (1 ring/2 ring) of the applied part and tool match.
5.
Preparation
If the rules listed below are not followed, Aesculap will not accept any responsibility. ► Do not use products from open or damaged sterile packaging. ► Prior to use, inspect the product and its accessories for visible damage. ► Use the products and their accessories only if they are in perfect technical condition.
6.
Working with the product
WARNING Risk of infection and contamination! Applied parts and motor hose are delivered unsterile! ► Carry out sterile processing of the applied parts and motor hose prior to use, in accordance with the instructions for use. WARNING Risk of injury and material damage due to inadvertent activation of the applied part! ► Secure application parts that are not actively used against inadvertent activation (off position). WARNING Risk of injury and material damage due to inappropriate use of tools! ► Always follow the safety advice and information given in the instructions for use. ► When coupling/uncoupling, handle tools with cutting edges with care.
WARNING Risk of burns to skin and tissue due to blunt tools/ lack of maintenance of the applied part! ► Use tools only if they are in perfect condition. ► Replace blunt tools. ► Ensure correct maintenance of the applied part, see Maintenance. WARNING Damage to the product if dropped! ► Use the products only if they are in perfect technical condition, see Function check
6.1
System set-up
WARNING Risk of injury when coupling/uncoupling tools in the "On" position due to accidental activation of the applied part! ► Only couple/uncouple tools in the "Off" position. WARNING Risk of injury due to small parts that could enter the surgical field! ► Do not couple/uncouple tools over the operation site Note Operating elements on the system components of the ELAN 4 air motor system are labeled with a gold marking. Connecting the accessories Do not use accessories in combinations that are not mentioned in these instructions for use. ► Follow the instructions for use of individual accessories. ► Please address your B. Braun/Aesculap partner or Aesculap Technical Service with any inquiries in this respect; for a contact address, see Technical Service. Connecting the applied part to the motor hose ► Attach the connection for motor hose of the applied part 3 to the con-
nection for applied part 10 of the motor hose, see Fig. E. When doing so, ensure that the nib 14 on the motor hose is aligned with the groove on the connection for motor hose 15. The applied part engages. When the field of vision is “Off” 12 on the motor hose, a gold-colored marking is visible. Note The applied part attached to this motor hose is only ready for operation when the release button is in "On" 11 position. Remove ELAN 4 ECCOS holder for 12 reamers GB718R from the tray The upper part of the ELAN 4 ECCOS holder for 12 reamers GB718R can be removed from the tray in conjunction with the tools. ► Pull the tab 9 and remove the top part of the holder, see Fig. C. Coupling the tool to the applied part ► Lock the applied part ("Off" position), see Locking the applied part
("Off" position). ► Push tool shaft 5 as far as it will go into ELAN 4 tool coupling (1-ring or 2-ring) 1, see Fig. A. The tool engages. The tool is correctly coupled when the ring marking 2 on the tool is no longer visible. ► Pull at tool 5 to check that it is securely coupled.
5
en Releasing the applied part for operation ("On" position) ► Activate the release button 13 on the motor hose and push the connection for applied part 10 onto the applied part, see Fig. E. The applied part engages. When the field of vision is “On” 11 on the motor hose, a gold-colored marking is visible.
WARNING Risk of injury and damage to the tool/system! The rotating tool may catch cover drapes (textile or other). ► Never allow the tool to touch cover drapes (textile or other) during operation.
Locking the applied part ("Off" position) ► Activate the release button 13 on the motor hose and detach the motor
hose from the applied part, see Fig. E. The applied part engages. When the field of vision is “Off” 12 on the motor hose, a gold-colored marking is visible. Uncoupling the tool from the applied part ► Lock the applied part ("Off" position), see Locking the applied part
("Off" position). ► Pull back slider for tool release 4 on the applied part and remove tool 5 from ELAN 4 tool coupling (1-ring or 2-ring) 1, see Fig. A. Disconnecting the applied part from the motor hose ► Lock the applied part ("Off" position), see Locking the applied part
("Off" position). ► Activate the release button 13 on the motor hose and pull at the connection for applied part 10 to disconnect the motor hose from the applied part, see Fig. E.
6.2
Function check
► Prior to each use, check that all products to be used are in good work-
ing order. ► Check the secure connection of all products to be used. ► Check that the tool is coupled properly. To do this, pull on the tool. ► Check that the cutting edges of the tools are not showing any mechanical damage. ► Briefly run the applied parts at maximum speed. ► Do not use the product if it is damaged or defective. Set aside the product if it is damaged.
6.3
Operation
WARNING Coagulation of patient tissue or risk of burns for patients and users from hot application part/tool! ► Cool the tool during operation. ► Keep product/tool out of the reach of patients. ► Allow the applied part/tool to cool down. ► When changing the tool, use a cloth as a protection against burns. WARNING Risk of infection from aerosol formation! Risk of injuries caused by particles coming loose from the tool! ► Take appropriate protective measures, e.g. watertight protective clothing, face mask and protective goggles, suction extraction. WARNING Risk of injury and/or malfunction! ► Always carry out a function check prior to using the product. WARNING Risk of injury when using the product beyond the field of view! ► Apply the product only under visual control.
6
WARNING Danger of injury from foreign body reactions (e.g. inflammation, encapsulation) if particles remain in the body! When using diamond tools, it is always possible for diamond grains/nickel particles to break away/off. ► Carefully rinse and vacuum while and after working with diamond tools. Operation of the applied part is only possible if: ■ the applied part is released ("On" position) ■ a foot control or hand control is connected.
7.
Validated reprocessing procedure
7.1
General safety notes
Note Adhere to national statutory regulations, national and international standards and directives, and local, clinical hygiene instructions for reprocessing. 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. Note Mechanical reprocessing should be favored over manual cleaning as it gives better and more reliable results. Note It should be noted that successful reprocessing of this medical device can only be guaranteed following prior validation of the reprocessing method. The operator/reprocessing technician is responsible for this. Note If there is no final sterilization, then a virucidal disinfectant must be used. Note See also B. Braun eIFUs at eifu.bbraun.com for up-to-date information on processing and material compatibility The validated steam sterilization procedure was carried out in the Aesculap sterile container system.
en 7.2
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 precleaning temperatures >45 °C nor fixating disinfecting agents (active ingredient: aldehydes/alcohols) should be used. Excessive neutralizing agents or basic cleaners may result in a chemical attack and/or fading and the laser marking becoming unreadable either visually or by machine. 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 damage to metallic products. These must be removed by rinsing thoroughly with demineralized water and then drying. Perform 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: ■ 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 surface and could cause corrosion ► For detailed information on hygienically safe and materialfriendly/careful processing, please refer to www.a-k-i.org Header "AKIBrochures", "Red brochure".
7.3
7.6
Product-specific safety instructions for the reprocessing procedure 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). ► Do not use cleaning agents that contain acetone. ► Observe specifications regarding concentration, temperature and exposure time. ► Do not exceed the maximum temperature of 60 °C during chemical cleaning and/or disinfection. ► Do not exceed maximum temperature of 96°C during thermal disinfection using DI water. ► Dry the product for at least 10 minutes at a maximum of 120 °C. Note The indicated drying time is a guide time only. It must be checked taking into account the specific conditions (e.g. load) and if applicable adjusted. Validated cleaning and disinfection procedure Product
Validated procedure
Reference
Applied part
Manual cleaning with immersion disinfection
see Manual cleaning with immersion disinfection applied part
Manual pre-cleaning with brush and subsequent mechanical alkaline cleaning and thermal disinfection
see Mechanical cleaning/disinfecting with manual pre-cleaning applied part
Manual pre-cleaning with ultrasound and brush, and subsequent mechanical alkaline cleaning and thermal disinfection
see Mechanical cleaning/disinfecting with manual pre-cleaning tools
Reusable products
The service life of the product is limited by damage, normal wear, type and duration of the application, handling, storage and transportation of the product. Careful visual and functional testing prior to next use is the best way to identify a malfunctioning product.
7.4
Cleaning/disinfection
Preparations at the place of use
► Separate the products from each other immediately after use. ► Remove any visible surgical residues as much as possible with a damp,
lint-free cloth. ► Place the dry product in a sealed waste container and forward it on for
Tools
cleaning and disinfection within 6 hours.
7.5
Preparation before cleaning
Applied part ► Prior to first mechanical cleaning/disinfection: ECCOS Install holder GB062R/GB063R in a suitable tray (e.g. JF222R). ► Place the product in the correct position in the ECCOS holder GB062RGB063R, see Fig. B. Tools ► Thoroughly rinse the product with running, cold water. ► Prior to first mechanical cleaning/disinfection: install the bottom part
of the ECCOS holder GB718R in a suitable tray (e.g. JF222R). ► insert the product in the correct position in the tool holder 8 of the
ECCOS holder GB718R, see Fig. C. ► engage the holder in the bottom part. in doing so, make sure that the
retaining lugs 7 on the upper part are inserted into the recesses in the lower part. ► lift and fold down the tool holder 8 using the two side handles 6.
7
en 7.7
Manual cleaning with immersion disinfection - applied part
Phase
Step
T [°C/°F]
t [min]
Conc. [%]
Water quality
Chemicals
I
Pre-cleaning
RT (cold)
-
-
D–W
–
II
Cleaning
RT (cold)
>5
1
D–W
pH-neutral, pH ~ 9*
III
Intermediate rinse
RT (cold)
-
-
D–W
-
IV
Disinfection
RT (cold)
>5
2
D–W
Concentrate-free, aldehyde-free, phenol-free, QUATfree, pH ~ 9**
V
Final rinse
RT (cold)
-
-
D–W
-
VI
Drying
RT
-
-
-
-
D–W: Drinking water RT: Room temperature *Recommended: BBraun Helizyme **Recommended: BBraun Stabimed fresh
► Follow the instructions for use of the ELAN 4 rinsing devices and rins-
ing adapters TA014447 and TA014448. ► Do not clean the applied part in an ultrasound bath. ► Never place the applied part in liquid without an ELAN 4 air rinsing adapter GB697R connected. To avoid the risk of corrosion/malfunctioning, allow any fluid that has entered the product to drain out immediately. ► Leave the rinsing adapter GB697R on the applied part for the entire cleaning process. Phase I ► Clean the product under running water, using a suitable cleaning brush until all visible residues have been removed from the surfaces. ► Mobilize non-rigid components, such as release button, unlocking sleeve, etc. during cleaning. ► Rinse the applied part through the rinsing adapter GB697R at least 3 times for 5 seconds with a water gun. Phase II ► Using a disposable syringe, fill the inside of the applied part with clean-
ing solution through the rinsing adapter GB697R. ► Place the applied part, with rinsing adapter connected, fully in enzy-
matic cleaning solution for 5 minutes. Phase III ► Rinse the entire product (all accessible surfaces) under running water. ► Mobilize non-rigid components, such as release button, unlocking
sleeve, etc. during rinsing. ► Rinse the applied part through the rinsing adapter GB697R at least 3 times for 5 seconds with a water gun. Phase IV ► Prior to manual disinfection, allow rinsing water to drain off the pro-
duct for a sufficient length of time and use compressed air to blow all liquid out of the product through the rinsing adapter GB697R in order to prevent dilution of the disinfecting solution. ► Using a disposable syringe, fill the inside of the applied part with disinfectant solution through the rinsing adapter GB697R. ► Immerse the application part including the connected rinsing adapter at least 5 min in disinfecting solution.
8
Phase V ► Rinse the entire product (all accessible surfaces) under running water. ► Mobilize non-rigid components, such as release button, unlocking sleeve, etc. during cleaning. ► Rinse the applied part through the rinsing adapter GB697R at least 3 times for 5 seconds with a water gun. Phase VI ► Dry the product in the drying phase with suitable equipment (e.g. cloth,
compressed air). ► After manual cleaning/disinfection, check visible surfaces for residue
and repeat the cleaning/disinfection process as required.
en 7.8
Mechanical cleaning/disinfecting with manual pre-cleaning - applied part
Note The cleaning and disinfecting machine must be of tested and approved effectiveness (e.g. FDA approval or CE mark according to DIN EN ISO 15883). Note The cleaning and disinfection machine used for processing must be serviced and checked at regular intervals. Manual pre-cleaning with a brush Phase
Step
T [°C/°F]
t [min]
Conc. [%]
Water quality
Chemicals
I
Brushing
RT (cold)
–
–
D–W
-
II
Rinsing
RT (cold)
5
-
D–W
-
D–W: RT:
Drinking water Room temperature
► Follow the instructions for use of the ELAN 4 rinsing devices and rins-
ing adapters TA014447 and TA014448. ► Do not clean the applied part in an ultrasound bath. ► Never place the applied part in liquid without an ELAN 4 air rinsing adapter GB697R connected. To avoid the risk of corrosion/malfunctioning, allow any fluid that has entered the product to drain out immediately. Phase I ► Clean the product with a suitable cleaning brush until all discernible
residues have been removed. ► Mobilize non-rigid components, such as release button, unlocking
sleeve, etc. during cleaning. Phase II ► Connect the connection for motor hose 3 with ELAN 4 air rinsing
device GB691R. ► Rinse the applied part:
– For 5 min with a tap/hose or – 3 times for 5 seconds with a water gun
9
en Mechanical alkaline cleaning and thermal disinfection Machine type: single-chamber cleaning/disinfection device without ultrasound Phase
Step
T [°C/°F]
t [min]
Water quality
Chemicals
I
Pre-rinse
<25/77
3
D–W
-
II
Cleaning
55/131
10
FD–W
■ Concentrate, alkaline: – pH ~ 13 – <5 % anionic surfactant
■ 0.5 % working solution – pH ~ 11* III
Intermediate rinse
>10/50
1
FD–W
-
IV
Thermal disinfection
90/194
5
FD–W
-
V
Drying
max. 120/248
min. 10
-
–
D–W: Drinking water FD–W: Fully desalinated water (demineralized, low microbiological contamination: drinking water quality at least) *Recommended: BBraun Helimatic Cleaner alkaline
► Connect the connection for motor hose 3 with ELAN 4 air rinsing
device GB691R. ► Place the rinsing device on a wire basket suitable for cleaning. ► Connect the rinsing device to the rinsing connection of the rinsing cart. ► After machine cleaning/disinfection:
– Use a compressed air gun to remove any remaining rinsing water from the application parts and shafts, see the instructions for use ELAN 4 for rinsing system and rinsing adapter TA014447 or TA014448. – Visually check for residue on visible surfaces and repeat the cleaning/disinfection process if necessary.
7.9
Mechanical cleaning/disinfecting with manual pre-cleaning - tools
Note The cleaning and disinfecting machine must be of tested and approved effectiveness (e.g. FDA approval or CE mark according to DIN EN ISO 15883). Note The cleaning and disinfection machine used for processing must be serviced and checked at regular intervals. Manual pre-cleaning with ultrasound and brush Phase
Step
T [°C/°F]
t [min] Conc. [%]
Water quality
Chemicals
I
Immersion
RT (cold)
>30
50
D–W
Enzymatic detergent*
II
Rinsing
RT (cold)
-
-
D–W
-
III
Ultrasonic cleaning
55/131
>15
2
D–W
Concentrate-free, aldehyde-free, phenol-free, QUAT-free, pH ~ 9**
IV
Cleaning with brush
RT (cold)
-
-
D–W
-
D–W: Drinking water RT: Room temperature *Recommended: BBraun Helizyme **Recommended: BBraun Stabimed fresh 10
en ► Generally perform ultrasound cleaning solely in the ECCOS holder
GB718R to prevent any damage to the blades. Phase I ► Fully immerse the product in enzymatic cleaning solution for at least
30 minutes. Ensure that all accessible surfaces are moistened. Phase II ► Rinse the entire product (all accessible surfaces) under running water.
Phase III ► Flip up the lateral handles 6 of the tool holder 8 of ECCOS the holder
GB718R, see Fig. C. ► Clean the product in an ultrasonic cleaning bath (frequency 35 kHz) for
at least 15 minutes. Ensure that all accessible surfaces are immersed and acoustic shadows are avoided. Phase IV ► Clean the product with a suitable cleaning brush until all discernible
residues have been removed. Mechanical alkaline cleaning and thermal disinfection Machine type: single-chamber cleaning/disinfection device without ultrasound Phase
Step
T [°C/°F]
t [min]
Water quality
Chemicals
I
Pre-rinse
<25/77
3
D–W
-
II
Cleaning
55/131
10
FD–W
■ Concentrate, alkaline: – pH ~ 13 – <5 % anionic surfactant
■ 0.5 % working solution – pH ~ 11* III
Intermediate rinse
>10/50
1
FD–W
-
IV
Thermal disinfection
90/194
5
FD–W
-
V
Drying
max. 120/248
min. 10
-
–
D–W: Drinking water FD–W: Fully desalinated water (demineralized, low microbiological contamination: drinking water quality at least) *Recommended: BBraun Helimatic Cleaner alkaline
► Place the product in the correct position in the tool holder 8 of the
ECCOS holder GB718R, see Fig. C. ► After machine cleaning/disinfection, check visible surfaces for residue
and repeat the cleaning/disinfection process as required.
11
en 7.10 Inspection, maintenance and checks ► Allow the product to cool down to room temperature. ► Connect ELAN 4 air oil spray adapter GB600850 16 (purple) to connec-
tion for motor hose 3 and spray through the application part for approx. 2s using STERILIT Power Systems oil spray GB600, see Fig. E. Note Aesculap additionally recommends the occasional spraying of moving parts (such as knobs, couplings) using the Aesculap STERILIT Power Systems oil spray. ► Inspect the product after every cleaning and disinfecting cycle for:
cleanliness, damage, function, abnormal operation noise, excessive heat or strong vibration. ► Inspect tools for broken, damaged or blunt edges. ► Set aside the product if it is damaged.
7.11 Packaging ► Observe the instructions for use on the packagings and holders used
(e.g. instructions for use TA009721 for Aesculap ECCOS holder system). ► Place the application part in the correct position in the ECCOS holder
GB062R/GB063R, see Fig. B. ► Insert the tools in the correct position in the ECCOS holder GB718R, see
Fig. C. ► Pack trays appropriately for the intended sterilization process (e.g. in
Aesculap sterile containers). ► Ensure that the packaging will prevent a recontamination of the pro-
duct.
7.12 Steam sterilization ► Make sure that all external and internal surfaces of the product are
exposed to the sterilizing agent.
9.
Troubleshooting list
Note For further information, see instructions for use for ELAN 4 air foot control GA708, ELAN 4 air wall hoses, ELAN 4 air wall adapter (TA014450) or instructions for use for ELAN 4 air motor hose with manual control (TA014481).
10. Technical Service DANGER Danger to life of patients and users in case of malfunctions and/or failure of protective measures! ► Do not perform any servicing or maintenance work under any circumstances while the product is being used on a patient. CAUTION Modifications to medical equipment may result in loss of guarantee/warranty claims and any approvals. ► Do not modify the product. ► For service and repairs, please contact your national B. Braun/Aesculap representative. 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] Other service addresses can be obtained from the address indicated above.
► Validated sterilization process
– Steam sterilization using fractional 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.
11. Accessories/Spare parts Art. no.
Designation
GB062R
ELAN 4 air ECCOS holder for reamer handpiece GA761 to GA769, 1 handpiece
GB063R
ELAN 4 air ECCOS holder for reamer handpiece GA761 to GA769, 3 handpieces
7.13 Storage
GB600
STERILIT Power Systems oil spray
► Store sterile products in germ-proof packaging, protected from dust, in
GB600850
ELAN 4 air oil spray adapter
GB691R
ELAN 4 air rinsing device
GB697R
ELAN 4 air rinsing adapter
GB718R
ELAN 4 ECCOS holder for 12 reamers
TA012787
Instructions for use for tools for Aesculap motor systems - disposable products/reusable products
TA014477
Instructions for use of ELAN 4 air handpiece Standard (1-ring) GA761 to GA764 / ELAN 4 air handpiece HD (2-ring) GA765 to GA769 (A4 for folder)
TA014478
Instructions for use of ELAN 4 air handpiece Standard (1-ring) GA761 to GA764 / ELAN 4 air handpiece HD (2-ring) GA765 to GA769 (leaflet)
a dry, dark, temperature-controlled area.
8.
Maintenance
Application part To ensure reliable operation, the product must be maintained in accordance with the maintenance labeling or at least once a year.
e.g. 2016-07 For technical service, please contact your national B. Braun/Aesculap agency, see Technical Service. Tools No maintenance required for tools. ► Do not modify, re-sharpen or repair tools.
12
en 12. Technical Data
13. Disposal
12.1 Classification in accordance with Regulation (EC) 2017/745
WARNING Risk of infection from contaminated products! ► Observe national regulations when disposing of or recycling the product, its components, and their packaging.
Art. no.
Designation
Class
GA761– GA764
ELAN 4 air handpiece standard (1-ring)
IIa
GA765– GA769
ELAN 4 air handpiece HD (2-ring)
IIa
Note The operator must process the product before disposal, see Validated reprocessing procedure. ► In case of questions regarding the disposal of the product, contact your
local B. Braun/Aesculap representative, see Technical Service.
12.2 Performance Data Max. Power
approx. 80 W at 8 bar
Max. Torque
approx. 3,5 Ncm at 8 bar
Max. motor speed
approx. 80 000 rpm at 8 bar
Tool connection
ELAN 4 1-ring (GA761 to GA764) ELAN 4 2-ring (GA765 to GA769)
Pressure range
8 bar ±2 bar
Direction of rotation
Clockwise rotation
Art. no.
Weight
Dimensions (∅ x l)
GA761
68 g ±10 %
18 mm x 125 mm ±5 %
GA762
71 g ±10 %
18 mm x 150 mm ±5 %
GA763
75 g ±10 %
18 mm x 180 mm ±5 %
GA764
79 g ±10 %
18 mm x 210 mm ±5 %
GA765
76 g ±10 %
18 mm x 150 mm ±5 %
GA766
82 g ±10 %
18 mm x 180 mm ±5 %
GA767
88 g ±10 %
18 mm x 210 mm ±5 %
GA768
95 g ±10 %
18 mm x 250 mm ±5 %
GA769
105 g ±10 %
18 mm x 300 mm ±5 %
12.3 Short interval operation
■ 30 s application, 30 s pause ■ ∞ repetitions ■ Max. temperature 48°C
12.4 Ambient conditions Application part Operation
Transport and storage
Temperature
10 °C to 27 °C
-10 °C to 50 °C
Relative humidity
30 % to 75 %
10 % to 90 %
Atmospheric pressure
700 hPa to 1 060 hPa
500 hPa to 1 060 hPa
13