altomed
Phaco Triple Chop Nucleus Divider
Stainless Steel and Titanium Intra Ocular Manipulators Reprocessing Guide
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ALT I092 Issue 01/0519
Altomed Limited Reprocessing Reusable Stainless Steel and Titanium Intra Ocular Manipulators. Manufacturer: Altomed Ltd. 2 Witney Way, Boldon, Tyne/Wear. NE35 9PE. Tel: 0191 519 0111 E. Mail: [email protected] or [email protected] Processing, Handling and Care These devices can go through a standard validated washer /disinfector cycle, and the standard 134°C - 137°C autoclave cycle with a 3 to 3 ½ minute holding time. For full details, please see Instruction Sheet ALT I013 Altomed Limited – Reprocessing Reusable Stainless Steel and Titanium Devices available from Altomed Limited either at the above contact details or on-line at www.altomed.com/resources. Inspection It is very important after decontamination that the tips of these devices are inspected for any signs of damage prior to being released for sterilization. The devices must also be inspected under the microscope prior to insertion in to the eye to ensure no physical damage has occurred during the packaging and sterilization, and the handling and unpacking procedure prior to the operation. Check for signs of any physical damage such as cracks, chips, bends, dents, scratches, jagged edges, snapped tips or any other physical defomormity. Ensure the device is clean with no unwanted debris, fibres etc attached. The device tips are very delicate as they are designed to function inside the eye and as such need to be very small. If they are dropped, knocked against a hard surface or come into direct contact with the tip of a Phacoemulsification (Ultrasonic) Handpiece they can become damaged and may snap during use. Warnings In order to prevent accdiental trauma, ensure the patient’s head is unable to move during the procedure. Do not let the tip of the manipulators contact the Phacoemulsification (Ultrasonic) Handpiece as this causes physical damage to the tip of the manipulator and may cause it to break off during use. We would recommend care to avoid inadvertent contact between instruments within the anterior chamber during phacoemulsification. Tears of Descemet’s membrane are common operative occurrences. Small tears typically do not result in major complications. Larger tears, however, can result in significant and persistent postoperative corneal edema with a severe reduction in the patient’s visual acuity. Tears of Descemet’s membrane are commonly caused by improper insertion of an instrument through the incision. Because most corneal incisions are triplanar, the instrument tip should be introduced in a similar fashion. It is particularly important to push the tip posterior when entering the anterior chamber. A second recommendation to help avoid Descemet’s tears is to avoid forcing an instrument or the intraocular lens through a tight incision. It is better to enlarge the incision. Additionally, care should be taken to avoid mechanical trauma to the iris by intraocular instruments. Proper incision placement and construction will minimize the risk of iris prolapse with subsequent damage to the iris sphincter and stroma. Sudden pressure and volume changes will induce vitreous prolapse. Thus, it is imperative to gently stabilize and replace volume in the anterior chamber with balanced salt solution or viscoelastic before withdrawing instruments from the anterior chamber. Intended Purpose and Use: Used for manipulating the natural and artificial lens and surrounding tissue. These are reusable devices.
ALT I092 Issue 01/0519
Symbols Used to BS EN ISO 15223-1 and ASTM F 2503: Keep away from direct sunlight and store dry
Date of manufacture
Follow instructions for use (IFU)
These reusable devices are non-sterile, wash and sterilize before use
Name of manufacturer
Caution see IFU warnings
Lot number
Fragile handle with care
Product code number
Meet requirements for CE marking in the EU
The product is sterile if this symbol is on
These are classed as medical devices. REF: A1105/8 A2160 A2162 A2210 A2211 A2252 A2254 A2290 A2294 A2297 A2299 A2299 A2300 A2300W A2301 A2302 A2302B A2302E A2302R A2302T A2303 A2303S A2304 A2305 A2306 A2307 A2308 A2309 A2310 A2310B A2311 A2311-90 A2311B-90 A2312 A2313 A2313A A2314D A2316 A2316A. A2316DE A2316FT A2316G A2316GL A2316GM
Description: Double Ended Phaco Chop / Claw Chop Hirschman Lens Spatula 0.5mm Wide Jaffe Lens Spatula 0.5mm Wide Snellen Lens Loop Bell Taylor Vectis Arruga Lens Expressor Right Arruga Lens Expressor Left Kuglen IOL Manipulator Fenzl IOL Hook Blunt 0.2mm Tip Lester IOL Hook 45 Angle 0.2mm Tip Osher 'Y' IOL Hook Horizontal Tip Osher 'Y' Hook Horizontal Tip, Stainless Steel Clayman IOL Hook 0.2mm Tip Ang Titanium Clayman IOL Hook Stainless Steel Mushroom Phaco Manipulator Mushroom Manipulator Double Ended Titanium Double-Ended Phaco Chop/Bechert Rotator Entabi Double Ended Manipulator Leicester Double Ended Nucleus Splitter/Chop Mushroom Manipulator Double Ended Titanium Kuglen Hook Titanium Angled Kuglen Hook Titanium Straight Sinskey IOL Hook 0.2mm Tip Straight Titanium Maltzman Fenzl Hook 0.15mm Tip Angled Silver Maltzman Fenzl Hook 0.15mmTip Angled Titanium Blue Hirschman Spatula Titanium Hirschman Hook Titanium Lee Phaco Chop Bechert Nucleus Rotator Phaco Bechert Double Ended Manipulator Blunt Tip Bechert Nucleus Rotator Phaco Titanium Bechert Nucleus Rotator 90° Tip Double Ended Bechert Rotator 90°/Blunt End Clayman Nucleus Rotator Phaco Maloney Double Ended Nucleus Manipulator Maloney Double Ended Nucleus Manipulator Modified Diblo Lens Manipulator Phaco Chop Nucleus Divider Titanium Nagahara Phaco Chop Nucleus Divider Double Ended Phaco Chop and Mushroom Manipulator Offset Rotator / Manipulator Greens Nucleus Chop Right Hand Titanium Greens Nucleus Chop Left Hand Titanium Greens Modified Chop
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ALT I092 Issue 01/0519
A2316HM A2316L A2316MG A2316NPS A2316NSD A2316R A2316RL A2316RM A2316RS A2316T A2316Y A4482 A4482L A4484 A4484L
Portsmouth Chop Phaco Chop Left Manipulator Double-Ended Mushroom and Greens Chop Strong Manipulator Strong Nucleus Divider Rosen Nucleus Paddle Rosen Nucleus Paddle Left Rosen Micro Paddle Rosen Phaco Nucleus Splitter Titanium Phaco Triple Chop Nucleus Divider Ellingham Paddle Microfinger Nucleus Manipulator and Cracker Titanium Microfinger Titanium Left Handed Microfinger Nucleus Manipulator and Cracker Titanium Microfinger Cracker Left Handed
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