BBraun
Micro reciprocating saw GD305
41 Pages
Preview
Page 1
5.3
Operation Risk of burns from a hot tool! A blunt blade can cause heat to develop quickly! ► Use only sharp tools in new condition.
Aesculap® Micro reciprocating saw GD305
WARNING
Legend 1 2 3 4 5 6 7 8
Risk of burns to patient and user due to hot motor/hot tool! ► Put down the motor/hot tool beyond reach of the patient. ► Use a cloth to protect against burns when changing the motor or tool.
Saw blade Threaded clamping sleeve Sheath Locking nut Intra coupling Centering lug Cover plate Catch button
WARNING
WARNING
Risk of injury and material damage due to inappropriate use of handpieces or motors! ► Always follow the safety advice and information given in the instructions for use of the handpieces and motors. ► Do not exceed the specified maximum motor speed.
Symbols on product and packages Injuries to tissue if the blade is unintentionally released or moved! ► Make certain that the blade is seated securely in the chuck adapter.
Caution, general warning symbol Caution, see documentation supplied with the product WARNING
1.
Risk of injury and/or malfunction! ► Always carry out a function check prior to using the product.
Applicable to
► For item-specific instructions for use and information on material compatibility, see also the Aesculap Extranet
WARNING
at www.extranet.bbraun.com
2.
Risk of injury when using the product beyond the field of view! ► Apply the product only under visual control.
Safe handling
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.
WARNING Risk of infection and contamination due to unsterile parts! ► Use only sterile/sterilized parts in the sterile area. WARNING Risk of infection and contamination due to aerosol formation! ► Take appropriate protective measures, e.g. watertight protective clothing, face mask, protective goggles and a suction extraction system. WARNING
3.
Product description
3.1
Components required for operation
Risk of injury from a broken saw blade! ► Do not twist or bend the saw blade.
The micro compass saw GD305 is equipped with an Intra coupling 5 conforming to DIN 13940. The following drive motors are suitable for this saw: ■ Elan-E or Elan-EC ■ microTRON ■ microspeed EC ■ microspeed uni ■ microLAN (compressed air)
3.2
WARNING Risk of injury from cracks and cuts in high-speed saws with sharp edges! ► Hold the saw tightly in the hand. WARNING
Intended use
The micro reciprocating saw GD305 is used in microsurgery and particularly in craniofacial surgery.
3.3
WARNING
Operating principle
The micro reciprocating saw GD305 transforms the rotation of the drive motor into transversal motion with a total travel of 1.3 mm. The stroke rate is 8 000 strokes/min. The bone is dissected by the to-and-fro movement. Any soft tissue parts touched by the saw blade remain unharmed.
4.
Damage to the motor unit due to incorrect coupling of the saw! ► Couple the reciprocating saw with the motor unit only while the motor is inactive. CAUTION
Preparation
Non-compliance with the following instructions will preclude all responsibility and liability in this respect on the part of Aesculap. ► Prior to use, inspect the product and its accessories for any visible damage. ► Use the products and their accessories only if they are in perfect condition.
Risk of injury from metal chippings! Damage to the blade! ► Dissect and ablate bone only. Ensure that no instruments are placed into the operating field.
Coupling a motor unit ► Coupling is carried out by sliding the micro compass saw with Intra coupling 5 onto centering lug 6 until it
touches cover plate 7 and clicks into position.
Safe operation
5.
Working with the micro compass saw GD305
5.1
System set-up
► Activate the foot control switch for the motor unit and if applicable the foot control switch for the pump. ► Begin at a low speed. ► Once the saw blade is inserted in the bone gap, continue at a higher speed.
Uncoupling the motor unit 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. Also note that any equipment connected at the interfaces must demonstrably meet the respective IEC standards (e.g. IEC 60950 for data processing equipment, IEC/DIN EN 60601-1 for electromedical devices). ► 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
► Check all cutting edges for any mechanical damage. ► Briefly run the micro compass saw at maximum speed. Check for proper and reliable functioning.
► Press the catch button 8 and remove the micro reciprocating saw.
Replace the saw blades ► Loosen the threaded clamping sleeve 2 as far as it will go and remove the saw blade towards the front end. ► Insert the new saw blade in the reverse sequence of steps.
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. Note Mechanical reprocessing should be favored over manual cleaning as it gives better and more reliable results.
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.
Manual cleaning and wipe disinfecting Phase
Step
T [°C/°F]
t [min]
Conc. [%]
Water quality
Chemical
Note If there is no final sterilization, then a virucidal disinfectant must be used.
I
Cleaning
RT (cold)
-
-
D–W
-
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.
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
-
-
-
-
6.2
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 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
► Disassemble the product immediately after use, as described in the respective instructions for use.
6.4
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. ► Prior to the first mechanical cleaning/disinfection process, mount the Eccos holder GB681R or GB682R in a suit-
able tray (e.g. JF214R).
6.6
D–W: FD–W: RT:
Drinking water Fully desalinated water (demineralized, low microbiological contamination: drinking water quality at least) Room temperature
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
Mechanical cleaning/disinfecting
Note The cleaning and disinfection device 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 device used for processing must be serviced and checked at regular intervals.
Mechanical neutral or mild alkaline cleaning and thermal disinfecting Machine type: single-chamber cleaning/disinfection device without ultrasound
Cleaning/disinfection
Phase
Step
T [°C/°F]
t [min]
Water quality
Chemical
I
Prerinse
<25/77
3
D–W
-
II
Cleaning
55/131
10
FD-W
Neutral:
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). ► Observe specifications regarding concentration, temperature and exposure time. ► Do not exceed the maximum allowable temperature of 60 °C.
■ Concentrate: – pH neutral – <5 % anionic surfactant
■ 0.5 %* working solution Mildly alkaline:
■ Concentrate: – pH = 9.5 – <5 % anionic surfactant
► Do not clean motors/handpieces by ultrasonic treatment and do not immerse them in any liquids. To avoid the
risk of corrosion/malfunctioning, allow any fluid that has entered the product to drain out immediately.
Validated cleaning and disinfection procedure
■ 0.5 % solution III
Intermediate rinse
>10/50
1
FD-W
-
Note Use appropriate (neutral, enzymatic and mild-alkaline) detergents on this product with its aluminum components.
IV
Thermal disinfecting
90/194
5
FD-W
-
Validated procedure
Special features
Reference
V
Drying
-
-
-
Manual cleaning and wipe disinfection
■ When cleaning products with
Chapter Manual cleaning/disinfecting and subsection:
According to the program for cleaning and disinfection device
When cleaning mechanically:
movable hinges, ensure that these are in an open position and, if applicable, move the joint while cleaning.
■ Chapter Manual cleaning and wipe disinfecting
■ Drying phase: Use a lint-free cloth or compressed air for medical purposes tioned 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.)
■ Insert the product in its proper position in the Eccos holder.
■ Follow the instructions for use of the Eccos holder.
6.7
Drinking water Fully desalinated water (demineralized, low microbiological contamination: drinking water quality at least) *Recommended: BBraun Helimatic Cleaner neutral ► Check visible surfaces for residues after mechanical cleaning/disinfecting. ► Repeat the cleaning/disinfecting process if necessary.
■ Ensure that the product is posi-
Mechanical neutral or mild alkaline cleaning and thermal disinfecting
D–W: FD–W:
6.9
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. ► Prior to sterilization, spray through the product with Aesculap-STERILIT oil spray GB600 with adapter GB600810
for approx. 1 second. Chapter Mechanical cleaning/disinfecting and subsection:
■ Chapter Mechanical neutral or mild alkaline cleaning and thermal disinfecting
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.
► Check the product for any damage, abnormal running noise, overheating or excessive vibration. ► Inspect tools for broken, damaged or blunt edges. ► 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 instruc-
tions.
6.10 Packaging ► Follow the instructions for use for the applied packaging and storage systems (e.g. instructions for use TA009721
for Aesculap Eccos storage system). ► Insert the product in its proper position in the Eccos holder, or put it on a tray in such a way that the product is
protected against damage. Ensure that all cutting edges 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.
10.
6.11 Steam sterilization
Accessories/Spare parts
► 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).
Art. no.
Designation
Effective length
► 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.
GB600
Aesculap STERILIT oil spray
-
GB600810
STERILIT adapter
-
GB681R or GB682R
Eccos holder
-
GB459R
Eccos mounting set for holders
-
6.12 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.
GD320R
Saw blade
13 mm
GD321R
Saw blade
20 mm
To achieve a sterility assurance level of 10-6, Aesculap recommends the following parameters:
GD322R
Saw blade
13 mm
Aesculap Orga Tray/Sterile container (perforated bottom) Minimum cycle parameters*
GD323R
Saw blade
13 mm
TA006508
Instructions for use GD305
-
Sterilization method
Temp.
Time
Minimum drying time
Prevacuum
270 °F/275 °F
4 min
20 min
*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.
6.13 Storage ► Store sterile products in germ-proof packaging, protected from dust, in a dry, dark, temperature-controlled area.
7.
Maintenance
Note Intra coupling 5 and nut 4 must always be firmly tightened. To ensure reliable operation, the product must be maintained at least once a year. The grease for the gears and ball bearing should always be changed during this maintenance procedure. Blunt or damaged blades must be replaced. For technical service, please contact your national B. Braun/Aesculap agency, see Technical Service.
8.
11.
Technical data
Classification acc. to Directive 93/42/EEC Art. no.
Designation
Class
GD305
Micro reciprocating saw
IIa
Motor drive rpm
0-20 000 1/min
Hub
1.3 mm
Stroke rate
8 000 1/min
Gear reduction
2.5:1
Weight without saw blade
48.5 g
11.1 Ambient conditions Operation
Troubleshooting list
Storage and transport
Temperature Malfunction
Detection
Cause
Remedy
Excessive noise
Hot micro compass saw
Worn gearing
Have product repaired by the manufacturer
Overheating micro reciprocating saw
Hot micro reciprocating saw
Worn gearing
Have product repaired by the manufacturer
Tool not moving
Gap between micro reciprocating saw and motor unit
Motor unit not coupled
Couple the motor unit as described, see Coupling a motor unit
Motor running, but not driving the attachment or tool
Defective gearings
Have product repaired by the manufacturer
Worn cutting edges
Blunt tool
Install a new tool
See instructions for use of the motor unit
Insufficient power or speed of the drive unit
See instructions for use of the motor unit
Deformed clamping elements
Deformation
Have product repaired by the manufacturer
Insufficient power
Tool cannot be coupled
Coupling between micro reciprocating saw and motor unit defective
Deformed tool
Install a new tool
Relative humidity
Atmospheric pressure
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
agency, see Technical Service. Tool is not part of current product range
Wrong tool
Insert appropriate tool
13. 9.
Technical Service Risk of injury and/or malfunction! ► Do not modify the product.
Distributor in the US/Contact in Canada for product information and complaints
3773 Corporate Parkway Center Valley, PA, 18034, USA TA-Nr. 006508
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.
04/13
V6
Änd.-Nr. 46955