The BOOKWALTER IMA Retractor Kit Instructions

WARNINGS The retractor system can exert a great amount of force on the wound edges and on tissues. Release the retractor for short periods of time or shift the blades to relieve the pressure on any one point.

ENGLISH IMPORTANT INFORMATION Please Read Before Use

PRECAUTIONS

The BOOKWALTER® lMA Retractor Kit

Do not tighten the post coupling bolt unless the coupling is attached to the horizontal bar. The slight deformity of the circular opening that might result could affect the smooth fit between the post coupling and the bars.

Indications

If using monopolar electrosurgical equipment while using the BOOKWALTER® IMA Retractor Kit, consult the basic rules of usage concerning electrosurgery (see EN 60601-2-2), as well as the manufacturer’s instructions for use regarding specific warnings and conditions.

The BOOKWALTER® IMA Retractor Kit (catalog no. 50-4600) provides the tools to elevate and retract the sternum for efficient dissection of the internal mammary artery.

Description

Be sure to electrically isolate the patient from (high frequency leakage currents to) the operating table, in accordance with the instructions provided by the manufacturer of the electrosurgical equipment.

The kit is comprised of the following components, which also may be purchased separately (Figure 1). Component Quantity A. Horizontal Bar 1 B. Post Coupling 1 C. Table Post 1 D. IMA Cross Bar 1 E. IMA Ratchet Mechanism 2 F. IMA Retractor Blade, 12 inch 2 G. IMA Storage Case 1

Catalog No. 50-4552 50-4554 50-4581 50-4601 50-4602 50-4603 50-4604

Ensure that the patient does not come into contact with metal parts that are earthed or that have an appreciable capacitance to earth (for example: operating table, supports), in accordance with the instructions provided by the manufacturer of the electrosurgical equipment. Avoid small-area contacts with devices having a low impedance to earth at high frequencies, as unwanted burns may result.

Note: The Symmetry Surgical BOOKWALTER® IMA T-Cross Bar (catalog no. 50-4675) is available separately and can be used in place of the IMA Cross Bar (Figure 2). Please refer to “Attachment of the T-Cross Bar and Retractor Blades” in this manual for proper attachment.

Assembly Attaching the Table Post 1. Pull out the recessed lever, located at the top of the vertical post (Figures 3 and 4). Turn the lever counterclockwise to fully open the rail clamp.

Assembly of the system is simple, and the components are self-contained to make them easily accountable. If the instruments are to be used with the BOOKWALTER® Retractor, refer to the instruction manual that provides complete operating instructions and is supplied with the BOOKWALTER® Retractor Kit II (catalog no. 50-4542). Extra copies of this manual are available from Symmetry Surgical, Antioch, TN 37013 USA. To obtain extra copies outside the United States, contact your local Symmetry Surgical representative. If these instruments are to be used with any other retractor, please refer to that manufacturer’s instruction manual.

Note: Make sure the operating table side rail does not have extra material draped over it. The clamp of the table post should not hold more than two double thicknesses of cotton drape. 2. Attach the clamp over the drapes (Figure 5). 3. Tighten the clamp to secure the post by turning the lever clockwise. Attaching the Post Coupling and Horizontal Bar 1. Slide the horizontal bar into either of the holes in the post coupling. 2. Slide the post coupling and horizontal bar assembly over the top of the vertical post, to the desired position, and tighten the coupling

2 LCN-170088-001/P

9/6/2012 7:51:21 PM

by turning its knob clockwise. Make sure the bar’s knob is on the side of the table post that is away from the patient.

Service and Repair

CAUTION: Do not tighten the post coupling bolt unless the coupling is attached to the horizontal bar. The slight deformity of the circular opening that might result could affect the smooth fit between the post coupling and the bars.

Inside the United States, send instruments for service or repair to:

For service or repair outside the United States, contact your local Symmetry Surgical representative.

Symmetry Surgical 3034 Owen Drive, Antioch, TN 37013 USA

Attaching the Cross Bar and Retractor Blades 1. Place the flattened portion of the cross bar into the horizontal bar’s niche (Figure 6). The cross bar should be parallel with the patient’s chest.

Always include a repair purchase order number and a written description of the problem. Use only approved authorized dealerships for repairs.

Warranty

2. Make sure the clasps on the ends of the cross bar are within the bar (Figure 7).

Symmetry Surgical warrants that this medical device is free from defects in both materials and workmanship. Any other express or implied warranties, including warranties of merchantability or fitness, are hereby disclaimed. Suitability for use of this medical device for any particular surgical procedure should be determined by the user in conformance with the manufacturer’s instructions for use. There are no warranties that extend beyond the description on the face hereof.

3. Slide the IMA Retractor blades into the ratchet mechanisms. Then, slide the ratchet mechanisms onto the cross bar. 4. To lock the ratchet mechanisms onto the bar, turn the clasps on the ends of the cross bar perpendicular to the bar. 5. To effect retraction of either retractor blade, turn the thumb piece on the ratchet mechanism clockwise.

BOOKWALTER® is a registered trademark of Symmetry Surgical

Note: To remove a retractor blade from a ratchet mechanism, press the button on the ratchet mechanism and slide the retractor blade out of the ratchet mechanism.

FRANÇAIS

Attaching the T-Cross Bar and Retractor Blades 1. Slide the IMA Retractor blades into the ratchet mechanisms. Next, slide the ratchet mechanisms onto the T-cross bar.

INFORMATIONS IMPORTANTES À lire avant utilisation

2. To lock the ratchet mechanisms onto the T-cross bar turn the thumb piece on the ratchet mechanism clockwise and tighten to desired position.

Kit d’écarteur IMA BOOKWALTER®

See Note above for removing retractor blades from the IMA T-Cross Bar.

Indications Le kit d’écarteur IMA BOOKWALTER® (numéro de catalogue 50-4600) fournit des outils permettant d’élever et d’écarter le sternum pour une dissection efficace de l’artère mammaire interne.

Reprocessing Instructions Refer to Symmetry Surgical Instructions for Use #204233 for updated information regarding reprocessing of the instrument.

Description

Copies of this instruction sheet are available by requesting IFU #204233 from Symmetry Surgical Customer Service at:

Le kit est constitué des composants suivants qui peuvent également être achetés séparément (figure 1).

Telephone: 800 251 3000 Fax: +1 615 964 5566 E-mail: [email protected] 3 LCN-170088-001/P

9/6/2012 7:51:21 PM

LCN-170088-001/P

The BOOKWALTER® IMA Retractor Kit

4

3

ENGLISH A. Recessed Lever

ITALIANO A. Leva nascosta

FRANÇAIS A. Levier rétracté

ESPAÑOL A. Palanca anidada

DEUTSCH A. Eingelassener Hebel

PORTUGUÊS A. Alavanca recolhida

NEDERLANDS A. Verzonken hendel

ii 17 LCN-170088-001/P

9/6/2012 7:51:23 PM

The BOOKWALTER® IMA Retractor Kit

LCN-170088-001/P

7

ENGLISH A. Cross Bar Clasp FRANÇAIS A. Crochet de la barre transversale DEUTSCH A. Klammer an der Querstange NEDERLANDS A. Dwarsstaaflipje

ITALIANO A. Gancio della barra incrociata ESPAÑOL A. Palanca anidada de la barra cruzada PORTUGUÊS A. Fecho da barra transversal

20 iv 19 LCN-170088-001/P

9/6/2012 7:51:27 PM