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®
EMAX 2 PLUS SYSTEM High speed performance and power in a variety of applications
PRODUCT GUIDE
TABLE OF CONTENTS
DePuy Synthes Companies
2
EMAX® 2 Plus System
2
Indications and Contraindications
3
Warnings and Cautions
4
Technical Specifications
5
Glossary of Symbols
11
OPERATING INSTRUCTIONS
EMAX® 2 Plus System
12
ATTACHMENTS AND DISSECTION TOOL ASSEMBLY
Standard Attachments and Dissection Tool Assembly
20
Otologic Curved Micro Attachement and Otologic Curve Micro Burr Support
25
Minimal Access Attachment and Dissection Tool Assembly
26
microSaws and Small Attachments Assembly
28
Perforator Driver
31
Inspection and Maintenance
32
Cleaning Instructions Manual Cleaning Manual Pre-Cleaning Before Mechanical/ Automated Cleaning Mechanical/Automated Cleaning Following Manual Pre-Cleaning
36 37
Lubrication
49
Sterilization
50
Loading Configuration
52
INTRODUCTION
CARE AND MAINTENANCE
41 47
Troubleshooting53 Ordering Information
54
Image intensifier control
ANSPACH EMAX 2 Plus System Product Guide
DePuy Synthes Companies
EMAX 2 PLUS ELECTRIC SYSTEM HIGH SPEED PERFORMANCE AND POWER IN A VARIETY OF APPLICATIONS DePuy Synthes Companies DePuy Synthes Companies manufactures pneumatic and electric high speed performance instruments and attachments to meet the specific needs of both surgeon and staff. While the advanced design of these instruments provides performance and reliability for the most demanding applications, it also allows for effortless assembly. No tools are required to assemble dissection tools or attachments. All DePuy Synthes Companies instruments are manufactured to conform to rigorous quality standards to provide dependable performance.
EMAX 2 Plus System
EMAX 2 Plus System The EMAX 2 Plus System operates up to 80,000 rpm. It offers variable speed, bi-directional operation, minimal noise levels, and an optional hand control. It is a high performance system that highlights minimal vibration performance, thermal energy management, and high reliability for neurosurgeons, otologists, neurotologists, skull base surgeons, and spinal surgeons. Warning: Before using any of the ANSPACH High Speed Electric Systems, it is imperative that all individuals working with the system read this operating manual. The surgeon is responsible for learning the proper techniques in the use of this system, as improper use may cause injury.
Spine surgery
To schedule a hands-on training course, either at DePuy Synthes Companies or from your local DePuy Synthes Companies Sales Representative, call (800) 327-6887 or (561) 627-1080. If you have any questions after reading this manual, please call your local DePuy Synthes Companies Sales Representative or the DePuy Synthes Companies Customer Service Department at (800) 327-6887 or (561) 627-1080.
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DePuy Synthes Companies Product Guide
ANSPACH EMAX 2 Plus System
Neurosurgery and otologic surgery
INDICATIONS AND CONTRAINDICATIONS
Indications The ANSPACH EMAX 2 Plus High Speed Electric System is intended for cutting and shaping bone including spine and cranium. The ANSPACH EMAX 2 Plus High Speed Electric System is composed of handpiece model EMAX 2 PLUS; Electric Consoles models SC2100, SC2101, and SC2102; Foot Control models E-FP, E-FP-DIR, E-FP-DIR/IRR, EPLUS-FP, EPLUS-FP-NS; Hand Controls EMAX2-HC and E-HC; associated attachments and dissection tools. Contraindications None
ANSPACH EMAX 2 Plus System Product Guide
DePuy Synthes Companies
3
WARNINGS AND CAUTIONS
Warnings
Use a gentle tapping motion or side-to-side motion and let instrument do cutting.
Irrigation is necessary for proper operation. Surgeon is responsible for learning proper techniques in use of equipment; improper use may cause serious injury to user or patient or damage to system.
Do not use excessive force.
Instrument operator and all operating room personnel must wear eye protection. Visually inspect for damage before using; do not use if damage is evident. Do not use if the product sterilization barrier or its packaging is compromised. Do not use, or discontinue use of powered equipment exhibiting excessive temperatures that can cause patient injury (necrosis) and/or user discomfort. Use of damaged or improperly maintained power equipment and / or misused powered equipment can result in excessive temperatures. Use caution to avoid cutting or tearing gloves while handling dissection tools. Dissection tools must be adequately retained within attachment to prevent distal migration, which may cause injury. Confirm attachment is proper size for dissection tool and that it is secure. Gently pull on dissection tool shaft to ensure it is fully seated and properly installed. Only cut visible areas unless an image intensifier is utilized. Delicate structures in proximity to dissection must be thoroughly protected to prevent injury. Maintain firm control of instrument at all times.
Forceful side loading of dissection tool may cause fracture of dissection tool, which may cause injury. Dissection tools are disposable and intended for single patient use only. Do not resterilize and/or reuse dissection tools. Use standard protocol for disposal of sharp instruments. Continuous extreme cutting at or near stalling conditions will quickly overheat handpiece. Do not operate in an explosive flammable environment. Do not modify ground or power cord. Do not allow liquid into console. Portable and Mobile RF communications equipment can affect Medical Electrical Equipment. Use of accessories or cable other than those provided by DePuy Synthes Companies, and specified for the electric system in use, may result in increased emissions or decreased immunity. Do not use in oxygen-rich environment. Do not modify. Modifications could result is loss of electrical safety. Dispose of items contaminated with body fluids with other biohazardous waste. At end of life, recycle or dispose of device in accordance with local and national regulations. No modification of this equipment is allowed. To avoid the risk of electric shock, this equipment must only be connected to a supply mains with protective earth.
Do not bend or use as a lever. Cautions United States Federal law restricts this device to sale by or on order of a physician or other licensed healthcare provider. Do not use accessories other than those provided by DePuy Synthes Companies and specified for use with ANSPACH systems. Use care to protect hose when handling, cleaning, and during system use.
Do not step on, set equipment on, pinch, kink, clamp, or otherwise occlude handpiece hose during use. To ensure equipment operates as designed, read and follow manufacturer’s instructions. Do not operate handpiece without an attachment and the corresponding dissection tool. Do not engage safety mechanism while handpiece is running; doing so makes safety mechanism inoperable.
Damage to hose can cause leaking, rupture, or other related failures. 4
DePuy Synthes Companies Product Guide
ANSPACH EMAX 2 Plus System
TECHNICAL SPECIFICATIONS
EMAX 2 Plus Handpiece Specifications Speed: 10,000-80,000 rpm Handpiece / Hose Length: 3.81 m (12.5 ft) Outside Housing (diameter): 18.8 mm (.74 in) Length of Housing: 127 mm (5 in) Handpiece Weight: 104 g (3.7 oz) Handpiece Hose Weight: 0.59 kg (1.29 lbs)
Foot Pedal (E-FP, E-FP-DIR, E-FP-DIR/IRR) Specifications Size: 26.7 cm x 16.5 cm x 14.7 cm (10.5 in x 6.5 in x 8.5 in) Weight: 2.0 kg (4.41 lbs) Cord: 3.66 m (12 ft) in length Fluid Ingress Protection: IPX8
Console (SC2100, SC2101, SC2102) Specifications Electrical: Primary: 100-240VAC, 50/60 Hz, 250 VA Class I: Protective Earth Fluid Ingress Protection: IPX0 Type B: Applied Part Continuous Operation Mechanical: Size: 31.115 cm x 14.6 cm x 32.7 cm (12.25 in x 5.74 in x 12.87 in) Weight: 6.25 kg (13.77 lbs) The device complies with the following standards: IEC 60601-1:2005: + CORR. 1 (2006) + CORR. 2 (2007), EN 60601-1:2006 +A11:2011, ANSI/AAMI ES60601-1:2005, CAN / CSA-C22.2 No.60601-1:08, (3rd Edition) Medical electrical equipment - Part 1: General requirements for basic safety and essential performance.
Environmental Conditions Temperature Operating: Transportation and Storage:
18°-30°C (65°-85°F) -40°-70°C (-40°–158°F)
Relative Humidity Operating: Transportation and Storage:
30-70% 10-95%
Atmospheric Pressure Operating: Transportation and Storage:
70-106 kpa, 0.7-1.06bar Not applicable
Patent Information For patent information go to: www.DePuy.com/patentmarking Additional Information To isolate the device from the mains supply, remove the power cord. All specifications are subject to change.
With regard to electrical shock, fire, mechanical hazards, this ETL classified device conforms to AAMI STD ES60601-1 and is certified to CSA STD C22.2 No.60601-1 This device complies with applicable EEC directives.
ANSPACH EMAX 2 Plus System Product Guide
DePuy Synthes Companies
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Technical Specifications
Table 1: Emission The ANSPACH EMAX 2 Plus High Speed Electric System is composed of the EMAX 2 Plus Handpiece model; Electric Consoles models SC2100, SC2101, and SC2102; Foot Control models E-FP, E-FP-DIR, E-FP-DIR/IRR, EPLUS-FP, EPLUS-FP-NS; Hand Controls EMAX2-HC and E-HC. Guidance and manufacturer’s declaration-electromagnetic emissions The ANSPACH High Speed Electric System is intended for use in the electromagnetic environment specified below. The customer or the user of the ANSPACH High Speed Electric System should assure that it is used in such an environment. Emission test
Compliance
Electromagnetic environment-guidance
RF emissions
Group 1
The ANSPACH High Speed Electric System uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment.RF emissions.
Class A
The ANSPACH High Speed Electric System is suitable for use in all establishments, other than domestic establishments and those directly connected to the public low-voltage power supply network that supplies buildings used for domestic purposes.
CISPR 11 RF emissions CISPR 11 Harmonic emissions
Class A
IEC 61000-3-2 Voltage fluctuations/ flicker emissions
Complies
IEC 61000-3-3
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DePuy Synthes Companies Product Guide
ANSPACH EMAX 2 Plus System
Technical Specifications
Table 2: Immunity (all devices) Guidance and manufacturer’s declaration-electromagnetic immunity The ANSPACH High Speed Electric System is intended for use in the electromagnetic environment specified below. The customer or the user of the ANSPACH High Speed Electric System should assure that it is used in such an environment. Immunity test standardUT (25 cycles)
IEC 60601 test level
Compliance level
Electromagnetic environment- guidance
Electrostatic discharge (ESD) IEC 61000-4-2
±6 kV contact
±6 kV contact
±8 kV air
±8 kV air
Floors should be wood, concrete or ceramic tile. If floors are covered with synthetic material, the relative humidity should be at least 30%.
Electrical fast transient / burst
±2 kV for power supply lines ±1 kV for input/output lines
Mains power quality should be that of a typical commercial or hospital environment.
IEC 61000-4-4
±2 kV for power supply lines ±1 kV for input/output lines
Surge
±1 kV line to line
±1 kV line to line
Mains power quality should be that of a typical commercial or hospital environment.
IEC 61000-4-5
±2 kV line to earth
±2 kV line to earth
Voltage dips, short interruptions and voltage variations on power supply lines
IEC 61000-4-11
T
<5% U (>95% dip in UT) for 0.5 cycle)
<5% UT (>95% dip in UT) for 0.5 cycle)
40% UT (60% dip in UT) for 5 cycle
40% UT (60% dip in UT) for 5 cycle
70% UT (30% dip in UT) for 25 cycle)
70% UT (30% dip in UT) for 25 cycle)
<5% UT (>95% dip in UT) for 5 sec)
<5% UT (>95% dip in UT) for 5 sec)
Mains power quality should be that of a typical commercial or hospital environment.
Note: UT is the a.c. mains voltage prior to application of the test level. Power frequency (50 / 60 Hz) magnetic field
3 A/m
3 A/m
Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment.
IEC 61000-4-8
ANSPACH EMAX 2 Plus System Product Guide
DePuy Synthes Companies
7
Technical Specifications
Table 3: Immunity (not life-supporting devices) Guidance and manufacturer’s declaration-electromagnetic immunity The ANSPACH High Speed Electric System is intended for use in the electromagnetic environment specified below. The customer or the user of the ANSPACH High Speed Electric System should assure that it is used in such an environment. Immunity test standard
IEC 60601 test level
Compliance level
Electromagnetic environment- guidance
Conducted RF
3 Vrms
3 Vrms
IEC 61000-4-6
150 kHz to 80 MHz
Radiated RF
3 V/m
Portable and mobile RF communications equipment should be used no closer to any part of the ANSPACH High Speed Electric System, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter.
IEC 61000-4-3
80 MHz to 2.5 GHz
3 V/m
Recommended separation distance d = 1.2 √P d = 1.2 √P
80 MHz to 800 MHz
d = 2.3 √P
800 MHz to 2.7 GHz
Where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer and d is the recommended separation distance in metres (m). Field strengths from fixed RF transmitters, as determined by an electromagnetic site survey,a a should be less than the compliance level in each frequency range.b Interference may occur in the vicinity of equipment marked with the following symbol:
Note 1: At 80 MHz and 800 MHz, the higher frequency range applies. Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects, and people. a Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast, and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the Anspach High Speed Electric System is used exceeds the applicable RF compliance level above, the Anspach High Speed Electric System should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating the device containing the Anspach High Speed Electric System. b
Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
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DePuy Synthes Companies Product Guide
ANSPACH EMAX 2 Plus System
Technical Specifications
Table 4: Recommended separation distances (not life-supporting devices) Recommended separation distances between portable and mobile RF communications equipment and the ANSPACH High Speed Electric System The ANSPACH High Speed Electric System is intended for use in the electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the ANSPACH High Speed Electric System can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the ANSPACH High Speed Electric System as recommended below, according to the maximum output power of the communication equipment. Rated maximum output power of transmitter
Separation distance according to frequency of transmitter 150 kHz to 80 MHz
80 MHz to 800 MHz
800 MHz to 2.5 GHz
d = 1.2 √P
d = 1.2 √P
d = 2.3 √P
0.01
12 cm
12 cm
23 cm
0.1
38 cm
38 cm
73 cm
1
1.2 m
1.2 m
2.3 m
10
3.8 m
3.8 m
7.3 m
100
12 m
12 m
23 m
W
For transmitters rated at a maximum output power not listed above, the recommended separation distance d in metres (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer. Note 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies. Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people.
ANSPACH EMAX 2 Plus System Product Guide
DePuy Synthes Companies
9
GLOSSARY OF SYMBOLS
30 Sec ON / 30 Sec OFF
Located on the Foot Pedal switch this indicates a change state (on/o ff) for the Console Irrigation System
Duty Cycle of the DRIVER
Company Logo Located on the Foot Pedal switch this indicates a change of rotational direction for the Handpiece
Direction of rotation Direction of rotation for lock position
SAFE
Located on the Handpiece this indicates position of the knurl knob to the desired SAFE location
Indicates SAFE setting, position, or location
SAFE
SAFE
Indicates setting, position, or location
SAFE Symbol with yellow background: CAUTION: SAFE Refer to accompanying documentation
CUTTER RUN SAFE CUTTER SAFE ADJUST SAFE CUTTER RUN SAFE TUBE Indicates the drill tip exposure SAFE ADJUST CUTTER RUN SAFE SAFE TUBE SAFE ADJUSTRUN SAFE SAFE
CUTTER RUN ADJUST TUBE CUTTER
CUTTER RUN CUTTER RUN ADJUST CUTTER CUTTER RUN CUTTER ADJUST TUBE RUN RUN
SAFE
SAFE
TUBE TUBE RUN ADJUST TUBE ADJUST RUN ADJUST TUBE CUTTER ADJUST TUBE CUTTER TUBE RUN TUBE RUN ADJUST ADJUST
TUBE
ADJUST
F R F F F FFof rotation and position F Indicates action R F F for F Secure F (LOCK) and Release (UNLOCK) R R R RR FR R of rotation R DirectionR R R 0.5
TUBE
3.2
0.5
6.4 2.4 8.0
0.5
1.6
3.2
4.8
6.4 8.0
Direction of rotation for lock position 6.4 8.0
Located on the Foot Pedal switch this indicates a change state (on/off) for the Console Irrigation System SAFE
DePuy Synthes Companies Product Guide CUTTER RUN ADJUST CUTTER
SAFE
1.6
2.4
1.6
1.6
1.6 1.6 1.6 1.6 1.6 1.6
2.4
6.4 8.0
2.4
0.5
2.4 2.4 2.4
3.2
2.4
6.4 0.5 8.0 3.2
0.5 4.8
2.4
2.4
2.4
1.6
0.5
4.8
2.4
1.6
2.4
1.6
3.2
3.24.8 0.5 6.4 4.8 8.0 3.2 6.4 8.0 4.80.5
6.4 8.03.2 0.5 4.8 6.4 8.0 3.2
4.8
6.4 0.5 8.0
3.2
4.8 0.5 6.4 8.0 3.2 4.8
6.4 8.0
1.6
2.4
2.4
1.6
2.4
1.6
2.4
1.6
2.4
1.6
2.4
1.6
2.4
1.6
3.2 Handpiece from proximal end) looking at
4.8 0.5 6.4 8.0 3.2
4.8 Revolution per Minute 6.4 8.0
Located on the Console this indicates a change state (on/off) for the Console Irrigation System Located on the Console this indicates a change of irrigation rate for the Console Irrigation System
SAFE
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2.4
0.5
Direction of rotation
Located on the Foot Pedal switch this indicates a change of rotational direction for the Handpiece
2.4
1.6
2.4
4.8
0.50.50.5 4.8 0.5 3.2 6.4 0.5 4.8 3.23.23.2 8.0 0.5 3.2 6.4 0.5 4.8 4.84.8 3.2 0.5 8.04.8 6.46.46.4 3.2 6.4 4.8 8.0 3.2 8.08.0 4.8 6.4 3.28.0 0.5 4.8 6.4 8.0 4.8 6.4 8.0 6.4 8.0 3.2 8.0 4.8
0.5
2.4
1.6
Indicates position or location
3.2
F F R Located on the Console this indicates FR Foot Control activation FR FR Located on the Console this indicates R F R Hand Control activation R F Located on the Console this indicates R Forward (Clockwise rotation when looking FR at Handpiece from proximal end) F R Located on the Console this indicates Reverse (Counterclockwise rotation when R 1.6
TUBE CUTTER RUN ADJUST CUTTER TUBE RUN ADJUST
1.6
Located on the Console this indicates Motor or Handpiece unit
F F
SAFE
Indicates position or location RUN
TUBE TUBE
Consult Operating Instructions
SAFE
RUN ADJUST CUTTER
F
SAFE
Indicates the attachment setting, refer to MA-D20 and MA-DRIVER section in this ADJUST CUTTER RUN TUBE CUTTER ADJUST ADJUST TUBE CUTTER RUN document for further detailsTUBE ADJUST CUTTER RUN SAFE
AC Power Source
SAFE
ADJUST CUTTER TUBE TUBE RUN CUTTER ADJUST RUN CUTTER TUBE ADJUST RUN TUBE ADJUST CUTTER
ANSPACH EMAX 2 Plus System
Glossary of Symbols
Located on the Console this indicates a change of rotational speed rate for the Handpiece Temperature Limits
Sterile unless damaged or open United States Federal law restricts this device to sale by or on the order of a physician or other licensed health-care provider
Equipotential post location
AFE
Keep Dry (A.K.A. Protect from Moisture)
Found on the Console ON/OFF
Located on the Console Irrigation Pump this indicates a possible finger pinch point
FF
CE Mark (A.K.A. CE Mark [notified body number], Conformité Européenne) Meaning: Device complies with applicable EEC Directives Lock (Run)
Located on the Console Irrigation 2.4 1.6 Pump these symbols are not used by the user since the pump 2.4 0.5 is self adjusting to the Irrigation 1.6 3.2 Tube diameter
RR
1.6 1.6
0.5
2.4 2.4
2.4
1.6
0.5
3.2
Unlock (Load)
3.2 4.8 6.4 4.8 8.0
6.4
8.0 0.5
3.2
4.8 6.4 0.5 8.0
3.2
4.8 6.4 8.0
4.8
6.4 8.0
Reference Number (A.K.A. Item Number, Catalog Number, Part Number) Lot (A.K.A. Lot Number, Batch Number, Batch Code)
Type B Electrical Equipment Product warranty is void if seal is damaged or removed. DO NOT DISPOSE OF IN HOUSEHOLD WASTE
Serial Number 00/0000
Transmitter Interference may occur in the vicinity of equipment marked with this symbol.
Use By Date (A.K.A. Expiration Date, Expiry)
Instrument System Key EM EMAX 2 Plus
Manufacturer Authorized European Union Representative
Latex-free Certification Products not made with natural rubber latex.
Sterilized Using Irradiation Single Use Only (A.K.A. Do Not Reuse) CAUTION: Refer to accompanying documentation
ANSPACH EMAX 2 Plus System Product Guide
DePuy Synthes Companies
11
EMAX 2 PLUS OPERATING INSTRUCTIONS
The system console houses the electrical components that provide power, control, and cooling functions to the EMAX 2 Plus Handpiece. It provides the user control for all system functions via an integral touch pad face panel. The system console has connections for the EMAX 2 Plus Handpiece, foot controls, AC power inlet, and the main power switch. The EMAX 2 Plus High Speed Handpiece operates continuously at speeds up to 80,000 rpm.
Power Switch (Rear of Unit)
Face Panel
Handpiece Connector Port
Foot Control Connector Port
Back of System Console
IV Pole Mount
Power Switch
AC Power Inlet*
Swivel (270°)
Attachment Connection Knurled Knob
•
Protective Cap
• Handpiece Housing Handpiece Hose
Handpiece Hose Connector
* If two foot controls or two handpieces are connected upon startup of console it will default to Foot Control 1 and/or Handpiece 1. ** “ Port” LED on console face panel does not illuminate when this accessory is connected to console.
Note: The hose length shown above is shorter than the actual length for easier viewing. Hose length is approximately 12 feet. • Power cord provides means to disconnect from the mains. • Position equipment in such a manner that provides access to the rear of the system in order to disconnect from mains.
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DePuy Synthes Companies Product Guide
ANSPACH EMAX 2 Plus System
EMAX 2 Plus Operating Instructions
System Assembly 1. Plug the hospital grade AC power cord into the AC power inlet on the back of the console. Plug the opposite end of the power cord into a standard, hospital grade, grounded wall outlet. Connect to supply mains with protective earth only. 2. Insert foot control cord connector into Foot Control connector port. (A second foot control cord may be connected into Foot Control connector port on applicable consoles.) Foot control cord connector is keyed. Align foot control cord connector with port on front of console. Do not push foot control cord connector into console connector port when out of alignment. 3. Plug handpiece hose connector into Handpiece connector port located on front of console. (A second handpiece could be connected into Handpiece connector port on applicable consoles.) Handpiece hose connector is keyed. Align handpiece hose connector with connector port on front of console. Do not push handpiece hose connector into console connector port when out of alignment. 4. Activate console by depressing power switch located on the back of the console to the “I” position. Appropriate Face Panel Light Emitting Diodes (LED) illuminate, and a beep sounds. 5. For operating instructions see Console Face Panel Operation and Foot Control Operation below. Note: Handpiece is fully functional at this time. Warning: Before first use, clean and sterilize as indicated.
ANSPACH EMAX 2 Plus System Product Guide
DePuy Synthes Companies
11
EMAX 2 Plus Operating Instructions
Operating Instructions
Increase Speed
Upon startup, console is set to operate handpiece in forward (clockwise when viewed from the proximal end of the Handpiece) direction at maximum speed and display reads 80,000 RPM. System operation, including optional irrigation, can be controlled from console face panel. On applicable consoles LEDs on face panel correspond to connector ports on connector panel. System operation can also be controlled by several available foot control options and an optional hand control.
Decrease Speed
LED: Forward
Console Face Panel Operation
F: Forward
1. To increase or decrease speed of handpiece, depress blue arrows located on console face panel. Speed increases and decreases in 10,000 RPM increments. Each LED will indicate the max RPM: 10 = 10,000 RPM 20 = 20,000 RPM 30 = 30,000 RPM 40 = 40,000 RPM 50 = 50,000 RPM 60 = 60,000 RPM 70 = 70,000 RPM 80 = 80,000 RPM 2. To change direction, depress “R” or “F” arrow located on console face panel. Console beeps once, indicating handpiece direction has changed. Direction can only be changed when handpiece is not running. A series of three beeps indicates console is set to operate handpiece in reverse / counterclockwise direction. LED on console face panel located to left of “F” indicates forward direction. LED located to left of “R” indicates reverse direction. 3. Optional: To activate irrigation, depress “Irrigation” button on face panel. LED illuminates. To control flow of irrigation, depress arrows located to right of irrigation button on face panel.
R: Reverse LED: Reverse
Hand Control LED: Foot Control #1
LED: Foot Control #2
Irrigation Increase/Decrease
Foot Control Irrigation ON/OFF
Note: Depressing simultaneously the Irrigation Increase and Decrease buttons will display the Console Software version as a two digit number. For example: XY this to be interpreted as Software Version X.Y. On Consoles with no Irrigation (SC2102) the buttons are not marked but are located in the same location which are detectable by feel.
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DePuy Synthes Companies Product Guide
ANSPACH EMAX 2 Plus System
EMAX 2 Plus Operating Instructions
Foot Control Operation Certain optional foot controls have direction and irrigation control switches. 1. See Step 2 of Console Face Panel Operation to set operational direction of handpiece. 2. Optional: Depress “Foot” button on face panel to activate Foot Control 1, depress again to activate Foot Control 2. Only one foot control may be active at a time.
Directional Control Switch Irrigation Control Switch
EPLUS-FP or EPLUS-FP-NS Foot Control
Note: Handpiece is fully functional at this time. 3. Press on foot control pedal to start handpiece. Increase pressure on pedal to increase speed of handpiece and release pressure on pedal to decrease speed of handpiece. 4. Optional: To change direction of handpiece, depress Directional Control Switch located on top left of foot control for a minimum of one second. When direction changes, a single beep will sound and LED on console face panel indicates direction of rotation. Direction can only be changed when handpiece is not running. 5. Optional: To activate irrigation, depress Irrigation Control Switch on top right of foot control for a minimum of one second and then step on center of foot control pedal. Upon activation, LED on face panel illuminates; irrigation pump and handpiece start.
E-FP Foot Control
Directional Control Switch
E-FP-DIR/IRR Foot Control
ANSPACH EMAX 2 Plus System Product Guide
DePuy Synthes Companies
11
EMAX 2 Plus Operating Instructions
Hand Control Assembly and Operation Dimple
Optional hand control attachment for handpiece allows user to control operation with a lever attached to handpiece. Warnings: • Do not expose handpiece to magnets (such as laying handpiece on magnetic drapes) when in hand control mode, as handpiece operation may occur. • It is recommended that a craniotome not be used in conjunction with Hand Control. Excessive rotational force on hand control may move it, resulting in handpiece shutting down.
Inser
t to L
ock
EMAX2-HC
1. Upon console start-up Hand Control is OFF. LED is not illuminated. 2. Rotate handpiece until small dimple at proximal end (hose end) of handpiece faces up. Slide hand control over distal end of handpiece such that notch on hand control slides over dimple at proximal end (hose end) of handpiece. Slide Hand Control onto handpiece until secure. 3. To activate Hand Control, depress “Hand” button on console face panel. This deactivates Foot Control; Hand Control LED on face panel illuminates. 4. To prevent inadvertent operation, ensure silver lever on Hand Control is fully inserted in “Lock” position. 5. Extend silver lever from “Lock” position for operation. 6. Apply pressure on Hand Control to operate handpiece. Note: Handpiece is fully functional at this time. 7. To deactivate Hand Control, depress “Foot” button on console face panel. To remove hand control from handpiece, slide towards distal end of handpiece and remove.
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DePuy Synthes Companies Product Guide
ANSPACH EMAX 2 Plus System
Notch lines up with Dimple
EMAX 2 Plus Operating Instructions
Optional Irrigation Assembly and Operation (Excludes SC2102)
Irrigation Pump
1. Upon start-up Irrigation is OFF. LED is not illuminated. 2. Depress the button located on the right side of the console to eject pump head. 3. Insert IV pole into bracket on back of console. 4. Hang irrigation bag onto IV Pole. 5. To activate, depress the “Irrigation” button on the face panel. LED illuminates. 6. To control flow of irrigation, depress arrows located to right of irrigation button on face panel. 7. Irrigation can also be activated from certain optional Foot Controls (see Step 5 of Foot Control Operation). Depress Irrigation Control Switch on top right of the foot control. Upon activation, LED on face panel illuminates.
Irrigation Pump Release Button
Irrigation Tubing Set-up
➢ Increase Flow
IRR-TUBE
➣
Sterile Tubing and Hoseclips for Irrigation System IRR-TUBE-HF Sterile High Flow Tubing and Hoseclips for Irrigation System 05.001.178.01S Irrigation Tube Set
Decrease Flow
LED: Irrigation Flow Rate Irrigation (Activate and Deactivate)
1. Lift top of pump head and insert large diameter tubing. Refer to diagram on irrigation pump housing to ensure tubing is routed properly (smaller diameter tubing flows towards the ANSPACH handpiece housing). 2. Close lid on pump head. 3. Insert bayonet end of tubing into irrigation bag. Caution: Tubing can disconnect from connectors without warning if occluded. DO NOT step on, set equipment on, pinch, kink, clamp, or otherwise occlude tubing during use. Irrigation Attachment Clip Assembly Refer to “Components” section for part numbers. 1. Slide irrigation tubing onto proximal end of irrigation attachment clip. 2. Attach irrigation attachment clip to handpiece. 3. Secure tubing to handpiece hose using Hoseclips, which are included with tubing.
ANSPACH EMAX 2 Plus System Product Guide
DePuy Synthes Companies
11
EMAX 2 Plus Operating Instructions
System Shutdown 1. There are no special procedures for system shutdown. 2. To disconnect power cord from mains, grasp ridged portion of connector between thumb and forefinger of one hand. Gently pull the connector away from the console. The connector should remove easily. If not, ensure only the ridged portion of the connector is pulled. Do not pull on the smooth part of the connector, as the connector will not disengage from the console. Cautions: • Do not sterilize, and do not allow liquid into pump. • Do not operate with pump head open.
Warnings: • Irrigation tubing, attachment clip, and hose clip are for SINGLE USE ONLY. • Avoid stacking or placing the EMAX 2 Plus System consoles near other electrical equipment. If the EMAX 2 Plus System consoles must be stacked or used adjacent to other electrical equipment, it should be observed to verify normal operation prior to use • The EMAX 2 Plus System is Medical Electrical Equipment, requiring special precautions related to EMC, and for this reason must be put into service as described in this product manual. • Firm control of the EMAX 2 Plus System must be maintained at all times. Never force the dissection tool. Let the instrument do the cutting. • Only ANSPACH cutting burrs should be used with the EMAX 2 Plus System. • Always use continuous irrigation to prevent heat build-up. Never use the attachments as a retractor to bend or pry. • Power source should comply with applicable IEC, CEC, and NEC requirements. Grounding reliability can only be achieved when this equipment is connected to a receptacle marked “HOSPITAL GRADE.” Note: If fuse replacement is necessary, use only Time Delay fuse rated 2.5A, 250V. Item to be replaced by a DePuy Synthes Companies repair facility ONLY.
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DePuy Synthes Companies Product Guide
ANSPACH EMAX 2 Plus System
EMAX 2 Plus Operating Instructions
Console Indicators Code
Description
Audible Signal*
Corrective Action
E1, E8
System Fault
None Turn Power switch to off, and then back on. If fault does not clear, return console and handpiece to DePuy Synthes Companies for service.
E2
Handpiece Lock 10 slow beeps Engaged
Rotate the knurled knob on handpiece clockwise to ensure the handpiece is not locked.
E3
Handpiece Stall 10 fast beeps Warning
Remove pressure from foot control (or hand control), remove cutter from stalled location and restart handpiece.
E4, E5
Fault in Handpiece
E6, E7
Handpiece overheat 5-second beep warning, impending handpiece shutdown
E9
Handpiece type None Disconnect connector and reconnect to console. If fault not recognized does not clear, return handpiece and console to DePuy Synthes Companies for service.
None
Handpiece set to reverse
None Return console and handpiece to DePuy Synthes Companies for service. Reduce or remove load from handpiece to allow handpiece to cool. If load is not reduced sufficiently, handpiece will shut down 30 seconds after tone is heard and/or code is displayed.
3 beeps
* Note: Consoles with Software Version 3.0 and higher do not generate an Audible Signal for Codes E1-E9. To determine software version, press the irrigation rate buttons at the same time on the console touchpad. The console will display two digits. Example Only: “30” means version 3.0. On nonirrigation console models, the buttons can be found in the same location, although they are not marked.
ANSPACH EMAX 2 Plus System Product Guide
DePuy Synthes Companies
11