BBraun
Kirschner wire chuck GB374R
40 Pages
Preview
Page 1
Removing the Kirschner wire chuck from the drive unit ®
Aesculap Kirschner wire chuck GB374R
► Open the tension ring 5. ► If the tension ring 5 cannot be opened by hand, use the wrench 7. ► Remove the Kirschner wire chuck 2 from the drive unit 6.
Tightening the Kirschner wire in the Kirschner wire chuck ► Press clamping lever 4 down until the desired Kirschner wire (∅ 0.6 mm to 1.6 mm) can be inserted into the
Kirschner wire chuck.
Legend 1 2 3 4 5 6 7
► Slide the Kirschner wire 1 in the correct position into the Kirschner wire chuck 2 as far as needed for the length
Kirschner wire Kirschner wire chuck Swivel ring Clamping lever Tension ring of drive unit Drive unit, e.g. microspeed uni mini motor or mini flexible shaft Wrench
desired. ► Release the clamping lever 4.
The Kirschner wire is automatically clamped.
4.2
Function checks
► Perform a test run of the drive unit 6 with attached Kirschner wire chuck 2 and clamped Kirschner wire 1 prior
to each use. Check to ensure that the device is working properly and reliably. ► Make certain that when the drive unit 6 is running, the Kirschner wire chuck 2 rotates smoothly and does not
Symbols on product and packages
vibrate. ► Make certain that the temperature of the Kirschner wire chuck 2 does not exceed ca. 40 °C (lukewarm) with the
drive unit 6 running at maximum speed. If the Kirschner wire chuck 2 becomes any warmer than this, have it repaired, see Technical Service.
Caution, general warning symbol Caution, see documentation supplied with the product
4.3
1.
Safe operation Risk of injury due to excessive motor speed! ► Verify that the motor speed does not exceed 16 000 1/min.
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.
Safe handling
► Prior to use, check that the product is in good working order. ► Remove the transport packaging and clean the new product, either manually or mechanically, prior to its initial
WARNING
sterilization. ► To prevent damage caused by improper setup or operation, and in order not to compromise warranty and man-
ufacturer 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.
3.
Product description
3.1
Components required for operation
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. Risk of burns to patient and user due to hot motors and/or hot tool! ► Put down the hot motor/hot tool beyond reach of the patient. ► Use a cloth to protect against burns when changing the motor or tool.
WARNING Risk of injury and/or malfunction! ► Always carry out a function check prior to using the product. WARNING
Art. no.
Designation
GB374R
Kirschner wire chuck
GD674 GA186 GA551
Drive unit, e.g. – microspeed uni mini motor – mini Flexible shaft – miniLAN 100 pneumatic motor
Vary with indication
Kirschner wires
Risk of injury when using the product beyond the field of view! ► Apply the product only under visual control. WARNING Rotating clamping lever into a different position (optional) The clamping lever 4 of the Kirschner wire chuck 2 can be rotated 360°, so it can be put into different holding positions. ► Rotate clamping lever 4 with swivel ring 3 into the desired position. The clamping lever 4 clicks into the new position. Inserting the Kirschner wire into the bone
3.2
Intended use
Risk of skin or tissue burns from blunt and hot Kirschner wires! ► Only use Kirschner wires that are in mint condition.
The Kirschner wire chuck is used in small bone surgery (e.g. hand and foot surgery) to insert Kirschner wires into bone. It clamps Kirschner wires with a diameter of 0.6 mm to 1.6 mm and with a maximum length of 160 mm.
3.3
WARNING
Operating principle
The Kirschner wire attachment is a quick-action chuck It is attached to the relevant drive and clamps Kirschner wires.
4.
Risk of injury if the Kirschner wire is not firmly and positively seated! ► Make certain that the Kirschner wire is firmly and positively seated.
Working with the Kirschner wire chuck WARNING
4.1
System set-up Risk of infection and contamination! The Kirschner wire chuck and drive unit are supplied unsterile. ► Sterilize the Kirschner wire chuck and the drive unit prior to use. WARNING
WARNING
WARNING
Switching on the drive unit accidentally can result in injury and damage. ► When attaching and disengaging the drive unit, take care to ensure that it is not switched on accidentally. ► Attach the Kirschner wire chuck only when the drive unit is safeguarded against being switched on accidentally. Damage to the attachments caused by excessive drive speed (>20000 rpm)! ► When using adjustable electric motor drives, set the rotational speed to 16 000 rpm. ► Follow the instructions for use for the drive 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. ► Please contact your B. Braun/Aesculap partner or Aesculap Technical Service (address: see Technical Service) with any inquiries in this respect.
Attaching the Kirschner wire chuck to the drive unit ► Open the tension ring 5 as far as it will go. ► Attach the Kirschner wire chuck 2 to the drive unit 6. ► Close the tension ring 5 by hand until the Kirschner wire chuck 2 is seated positively.
► Apply Kirschner wire 1 onto the bone (in the desired position). ► Gradually increase the speed of the motor drive 6 and insert the Kirschner wire 1 into the bone. ► If the Kirschner wire 1 needs to be pulled farther out of the Kirschner wire chuck 2:
– Stop the drive unit. – Press clamping lever 4 down and adjust the length of the Kirschner wire 1. – Release the clamping lever 4. – Start the drive unit again. ► When the Kirschner wire 1 is correctly seated in the bone, release the clamping lever 4 and remove the Kirschner wire chuck 2 with drive unit 6 from the Kirschner wire 1.
5.
Validated reprocessing procedure
5.1
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.
Note If there is no final sterilization, then a virucidal disinfectant must be used.
Manual cleaning and wipe disinfecting
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.
5.2
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.
5.3
Dismantling prior to carrying out the reprocessing procedure
► Remove the Kirschner wire and drive from the Kirschner wire chuck.
5.4
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.
5.5
Preparation before cleaning
Phase
Step
T [°C/°F]
t [min]
Conc. [%]
Water quality
Chemical
I
Cleaning
RT (cold)
-
-
D–W
-
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
-
-
-
-
D–W: FD–W: RT:
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.
5.8
► Prior to first mechanical cleaning/disinfection process: Assemble Eccos holder GB673R in a suitable tray (e.g.
Drinking water Fully desalinated water (demineralized, low microbiological contamination: drinking water quality at least) Room temperature
Mechanical cleaning/disinfecting
JF214R). ► Carry out non-fixating/NaCl-free pre-cleaning immediately after use.
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).
5.6
Note The cleaning and disinfection device used for processing must be serviced and checked at regular intervals.
Cleaning/disinfection
Product-specific safety instructions for the reprocessing procedure
CAUTION
Mechanical neutral or mild alkaline cleaning and thermal disinfecting
Damage to the product due to inappropriate cleaning/disinfecting agents and/or excessive temperatures! ► Use cleaning and disinfectant agents in line with the manufacturer's instructions that are approved for stainless steel. ► Observe specifications regarding concentration, temperature and exposure time. ► Avoid encrustation of residues/proteins (e.g. caused by aldehyde/alcohol). ► Only use bactericidal, fungicidal, and virucidal disinfectants. ► Preferably use thermal disinfecting processes. ► Do not exceed the maximum allowable temperature of 60 °C.
Machine type: single-chamber cleaning/disinfection device without ultrasound 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:
■ Concentrate: – pH neutral – <5 % anionic surfactant
■ 0.5 %* working solution
► Dry the product for at least 10 minutes at a maximum of 120 °C.
Mildly alkaline:
Note The indicated drying temperature is a guide temperature only. It must be checked taking into account the specific conditions (e.g. load) and adjusted if applicable.
■ Concentrate:
► Do not clean motors/handpieces by ultrasonic treatment and do not immerse them in any liquids. To avoid the
■ 0.5 % solution
– pH = 9.5 – <5 % anionic surfactant
risk of corrosion/malfunctioning, allow any fluid that has entered the product to drain out immediately. III
Intermediate rinse
>10/50
1
FD-W
-
Validated cleaning and disinfection procedure Validated procedure
Special features
Reference
IV
90/194
5
FD-W
-
■ When cleaning products with movable
Thermal disinfecting
Manual cleaning and wipe disinfection
Chapter Manual cleaning/disinfecting and subsection:
V
Drying
-
-
-
According to the program for cleaning and disinfection device
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
■ Ensure that the product is positioned 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.) Mechanical neutral or mild alkaline cleaning and thermal disinfecting
■ Insert the product in its proper position in the Eccos holder.
■ Follow the instructions for use of the Eccos
D–W: FD–W:
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.
Chapter Mechanical cleaning/disinfecting and subsection:
■ Chapter Mechanical neutral or
holder.
mild alkaline cleaning and thermal disinfecting
5.9
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. ► mini-Line Spray through the motor/handpiece with Aesculap-STERILIT oil spray GB600 with adapter GB600830
for approx. 1 second.
5.7
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. ► 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.
5.10 Packaging ► Always follow the instructions for use of the respective packaging and storage devices (e.g. instructions for use
TA009721 for the 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.
5.11 Steam sterilization
11.
► Check to ensure that the sterilizing agent will come into contact with all external and internal surfaces (e.g. by
Note The user institution is obliged to process the product before its disposal, see Validated reprocessing procedure.
opening any valves and faucets). ► Validated sterilization process
– Steam sterilization using 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.
5.12 Storage ► Store sterile products in germ-proof packaging, protected from dust, in a dry, dark, temperature-controlled area.
6.
Maintenance
In order to ensure reliable operation, the product must be maintained after 300 reprocessing cycles or at least once a year. For technical service, please contact your national B. Braun/Aesculap agency, see Technical Service.
7.
Troubleshooting list
Malfunction
Detection
Cause
Remedy
Kirschner wire cannot be inserted into the Kirschner wire chuck
Kirschner wire will not go into the Kirschner wire chuck when the clamping lever is pressed down
Kirschner wire diameter is too large
Choose a Kirschner wire with a diameter of 0.6 mm to 1.6 mm
Kirschner wire with appropriate diameter (0.6 mm to 1.6 mm) cannot be inserted into the Kirschner wire chuck
Cannula is dirty
Clean cannula with special cleaning brush
Clamping lever is not pressed down or not pressed down enough
Fully press the clamping lever as far as it will go
Clamping lever jammed
Have the product repaired by the Technical Service
Cannula is dirty
Clean cannula with special cleaning brush
Clamping mechanism is defective
Have the product repaired by the Technical Service
Drive unit defective
Have the product repaired by the Technical Service
Kirschner wire slips through
Kirschner wire not turning
8.
Kirschner wire cannot be inserted into the bone
Kirschner wire cannot be inserted into the bone
Technical Service Risk of injury and/or malfunction! ► Do not modify the product. 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] Other service addresses can be obtained from the address indicated above.
9.
Accessories/Spare parts
Art. no.
Designation
GB600
STERILIT oil spray with adapter GB600830
e.g., LX132S
Kirschner wires
GB673R
Eccos holder
FM732800
Cleaning brush
10.
Technical data
Classification acc. to Directive 93/42/EEC Art. no.
Designation
Class
GB374R
Kirschner wire chuck
IIa
Diameter of Kirschner wire
0.6 mm to 1.6 mm
Max. allowable Kirschner wire length
160 mm
Dimensions of Kirschner wire chuck (L x W x H)
80 mm x 50 mm x 20 mm
Weight of Kirschner wire chuck
approx. 120 g
Disposal
► Detailed information concerning the disposal of the product is available through your national B. Braun/Aesculap
agency, see Technical Service. TA-Nr. 011686
01/14
V6
Änd.-Nr. 48673