System 5 Dual Trigger Rotary Handpiece Instructions for Use Rev D July 2009

Important information: File in your records

Dual Trigger Rotary Handpiece instructions for use

ref 4205-000-000

US Patents: 5,747,953; 6,013,991

2009/07

4205-001-700 Rev-D

www.stryker.com

Important Information

Intended Use The Stryker System 5 Battery Powered Heavy Duty Dual Trigger Handpiece, when used in conjunction with a number of attachments, is intended for orthopedic surgical procedures involving drilling, reaming, driving wire or pins, cutting bone and hard tissue.

Warning - Caution - Note Please read this manual and follow its instructions carefully. The words WARNING, CAUTION and NOTE carry special meanings and should be carefully reviewed. WARNING:

CAUTION:

NOTE:

Accessories

The personal safety of the patient and user may be involved. Disregarding this information could result in injury to the patient and/or user. These instructions point out special service procedures or precautions that must be followed to avoid damaging the instrument. This provides special information to make maintenance easier or important instructions clearer. An exclamation point within a triangle displayed on the product is intended to alert the user to the presence of important operating and maintenance instructions in this manual.

Hudson is a trademark and/or registered trademark of Hudson Respiratory Care Co. AO is a trademark and/or registered trademark of AO Technology AG.

DESCRIPTION

REF

Battery Pack

4115-000-000, 4116-000000, 4126-000-000

1:1 1/4” Keyed Chuck

4103-131-000

2:1 High Torque 1/4” Drill

4103-180-000

3.25:1 1/4” Keyed Chuck

4103-231-000

1:1 Trinkle

4103-160-000

3.25:1 Trinkle

4103-260-000

1:1 AO Small Drill

4103-110-000

3.25:1 AO Large Reamer

4103-210-000

1:1 Hudson

4103-113-000

1:1 Hudson Modified Trinkle

4103-135-000

3.25:1 Hudson

4103-213-000

3.25:1Hudson/Modif ied Trinkle

4103-235-000

4:1 Hudson/Modified Trinkle

4103-435-000

Keyless Chuck Adaptor

4103-082-131

1:1 Keyless Drill

4103-133-000

A list of cutting accessories is available from your Stryker Instruments sales representative.

2

User/Patient Safety* WARNINGS: • Read and understand the information in this manual. Familiarization with the Stryker System 5 Battery Powered Instruments prior to use is important. • Prior to each use, operate system components and inspect for damage. DO NOT use if damage is apparent. Take special precaution regarding electromagnetic compatibility (EMC) when using medical electrical equipment like the System 5 handpiece. Install and place the handpiece into service according to the EMC information in this manual. Portable and mobile RF communications equipment, such as wireless phones, can affect the function of the handpiece. • Use only Stryker approved accessories. Other accessories may result in increased emissions or decreased immunity of the system. Contact your Stryker sales representative for a complete list of accessories. DO NOT modify any accessory. Failure to comply may result in patient and/or operating room staff injury. • Prior to each use, system components should be operated and inspected for any loose components or damage. DO NOT use if these conditions exist. Loose components could fall off the handpiece into the wound site causing potential patient injury. • Clean and sterilize handpieces, attachments and batteries before first and every use. • This equipment is not suitable for use in the presence of flammable anesthetic mixture with air or with oxygen or nitrous oxide.

• Avoid unintentional operation of the handpiece. A handpiece that contains a battery should always be placed in the SAFE mode while it is either sitting idle or an accessory is being attached or removed. Remove the battery pack from the handpiece when the instrument is not in use. • Use only Stryker approved components and accessories unless otherwise specified. DO NOT modify any accessory to fit a handpiece. Failure to comply may result in patient and/or operating room staff injury. • DO NOT service handpieces, attachments, or battery packs. These products contain no parts that the user can service. • If “wobble” is encountered while using an attachment, this likely indicates that the bit is bent, extends too far from the distal end of the accessory, is the wrong size, or is not properly centered in the accessory. Reinsert the bit. If “wobble” persists, and is not due to a bent bit, this may indicate a problem with the attachment. Return the attachment to Stryker for inspection and repair.

CAUTIONS: • DO NOT stall the handpiece to prevent damaging the electric motor and/or battery pack. If the handpiece jams, release the trigger immediately. Remove any obstructions before continuing the procedure. • Do not immerse the handpiece or battery pack. Water may enter the casing and damage the electrical components.

*For further information, contact your Stryker Instruments sales representative or Customer Service at 1-800253-3210. Outside the USA, contact your nearest Stryker subsidiary. 3

Features and Functions • Battery Latch - Depress the latch to release the battery pack from the handpiece. • Battery Pack - Contains rechargeable battery that provides power to the handpiece. • Safety Switch - The switch is integrated with the trigger and prevents inadvertent operation of the handpiece. When set, the safety switch allows the handpiece to operate in the forward, forward/reverse/oscillate or safe mode. • Reverse and Forward Triggers - The triggers are pressure sensitive for variable speed operation. When pressed together, the triggers operate the handpiece in the oscillate mode. • Actuator Button - The sliding actuator button releases the attachment. Actuator Button Reverse Trigger Safety Switch Forward Trigger Battery Latch

Battery Pack

Symbol Definitions Safety Switch Function

Trigger Switch Function SAFE

F

R

FORWARD

REVERSE OSCILLATE

FORWARD/ REVERSE/ OSCILLATE

F 4

FORWARD

Instructions Attachment Installation

Battery Pack Installation

See Attachments for details.

NOTES:

WARNING:

• The Dual Trigger Handpiece is designed to accept REF 4115-000-000, REF 4116-000-000, or REF 4126000-000 batteries. These batteries may be charged in the System 4 or 5 Battery Charger configured with Charger Module REF 4110-415-000, REF 4110-416000, or REF 4110-426-000 espectively. The REF 4115-000-000 battery may also be charged in the System 2000 Charger with Battery Adaptor (REF 4110-115-000). • Refer to the instructions supplied with the battery charger and/or battery for charging details and specifications.

Always place the safety switch in the SAFE position before attaching or removing any attachment to prevent inadvertent running of the handpiece. 1. Set the safety switch to the SAFE position. 2. Position the attachment’s J-notch while inserting the attachment with a gradual rotating motion until it “snaps” into place (see figure 1). NOTE: If resistance is felt while installing the attachment, rotate the nose of the attachment until it properly aligns and allows the attachment to slide into place.

1. Slide a fully charged battery pack firmly into the handpiece until the battery latch snaps, indicating the pack is secure (see figure 2).

3. Tug the attachment to ensure it is secure.

2. Test the operation of the handpiece by setting the safety switch to the FORWARD or FORWARD/ REVERSE/OSCILLATE position and squeezing the trigger(s).

4. Install the desired accessory. See Attachments for details.

Figure 2 Battery Pack Installation

Figure 1 Attachment Installation 5

Instructions (cont’d)

Attachments

3. Set the safety switch to the SAFE position until you are ready to use the handpiece (see chart below).

WARNINGS: • Before attaching or removing any accessory or before passing the handpiece to another person, always set the safety switch to the SAFE position to prevent inadvertent running of the handpiece. • Use only Stryker approved attachments. A list of accessories is available from your Stryker Instruments sales representative.

Safety Trigger Switch Functionality Position • Both triggers are locked.

F

1/4” Chuck Attachments

• Reverse (upper) trigger is locked. • Forward (lower) trigger functions.

Available in different gear ratios, 1/4” Chuck attachments hold wires, pins and drill bits up to 1/4 in. (6.4 mm) in diameter. Each attachment is supplied with a chuck key.

• Reverse (upper) trigger functions. • Forward (lower) trigger functions. • Oscillating function occurs when both triggers are depressed. NOTE: The handpiece has a variable speed motor that is controlled by slight pressure variations on the triggers.

DESCRIPTION

REF

1:1 1/4” Keyed Chuck

4103-131-000

2:1 High Torque 1/4” Drill

4103-180-000

3.25:1 1/4” Keyed Chuck

4103-231-000

Battery Pack Removal Depress the battery latch and pull the battery pack out. 1/4” Chuck Attachment

Attachment Removal Slide the actuator button down and release the attachment.

Tool Installation 1. Using the chuck key, open the chuck jaws. 2. Insert the tool (wire, pin or drill bit). 3. Using the chuck key, close the jaws. 4. Tug the tool to ensure that it is secure before running the handpiece.

6

Attachments (cont’d) Keyless Style Attachments

2. Insert the cutting accessory and ensure it is centered in the jaws. 3. To close the jaws, hold the collar and turn the knurled ring until it is tight. 4. Tug the cutting accessory to ensure it is secure. 5. Visually inspect the cutting accessory to ensure it is centered in the jaws. 6. Install the attachment in the handpiece.

These accessories hold wires, pins and bits up to 1/4 in. (6.4 mm) in diameter. The adaptor is used in accessories with Trinkle style retainers. DESCRIPTION

REF

Keyless Chuck Adaptor

4103-082-131

1:1 Keyless Drill

4103-133-000

Cutting Accessory Insertion

Drill Type Attachments

WARNINGS:

DESCRIPTION

REF

• You must manually close the chuck jaws to secure the accessory. Operating the handpiece to automatically close the jaws on the accessory may result in injury to the user.

1:1 AO Small Drill

4103-110-000

1:1 Hudson

4103-113-000

1:1 Hudson Modified Trinkle

4103-135-000

1. To open the chuck jaws, hold the attachment with the knurled ring in one hand and turn the collar with the other hand (see below).

1:1 Trinkle

4103-160-000

1:1 AO Small Drill (REF 4103-110-000) - Accepts Synthes tools such as drill bits, taps and automatic screwdrivers with the appropriate snap-lock shank. 1:1 Hudson (REF 4103-113-000) - Accepts tools with Hudson fittings. 1:1 Hudson Modified Trinkle (REF 4103-135-000) - Accepts tools such as drill bits and automatic screwdrivers with Hudson or modified Trinkle fittings. 1:1 Trinkle (REF 4103-160-000) - Accepts tools such as drill bits and automatic screwdrivers with standard Trinkle fitting.

Cutting Accessory Insertion/Removal

7

Attachments (cont’d) Reamer Type Attachments DESCRIPTION

REF

3.25:1 AO Large Reamer

4103-210-000

3.25:1 Hudson

4103-213-000

3.25:1 Hudson/Modified Trinkle

4103-235-000

3.25:1 Trinkle

4103-260-000

4:1 Hudson/Modified Trinkle

4103-435-000

Tool Installation 1. Slide back the retaining collar. 2. Insert the desired tool (drill bits, screwdrivers, reamers). 3. Release the retaining collar. 4. Tug the tool to ensure it is secure before running the handpiece.

Retaining Collar

3.25:1 AO Large Reamer (REF 4103-210-000) - Accepts Synthes tools such as drill bits, automatic screwdrivers, and flexible reamers with the appropriate snap-lock shank.Provides low speed and high torque. Drill/Reamer Type Attachment

3.25:1 Hudson (REF 4103-213-000) - Accepts tools with Hudson fittings. 3.25:1 Hudson/Modified Trinkle (REF 4103-235-000) - In addition to holding drill bits and automatic screwdrivers, this attachment will hold flexible reamers with Hudson or Modified Trinkle fittings. Provides low speed and high torque. 3.25:1 Trinkle (REF 4103-260-000) - Accepts tools such as drill bits, automatic screwdrivers and flexible reamers with standard Trinkle fitting. Provides low speed and high torque. 4:1 Hudson/Modified Trinkle (REF 4103-435-000)

8

Troubleshooting Guidelines* PROBLEM

CAUSE

ACTION

Instrument does not run or turns at a reduced speed.

Battery pack is discharged.

Recharge the battery in Stryker charger.

Battery pack is expended.

Replace the battery pack.

Safety switch is in the SAFE position.

Set the safety switch out of the SAFE position.

Drivetrain is malfunctioning.

Return the handpiece for repair.

Attachment is not fully seated.

Rotate the nose of the attachment during insertion into the handpiece.

Battery pack becomes unusually hot during use.

Circuitry is malfunctioning.

Check the battery pack on the Stryker charger and replace if indicated. See Charger Instructions.

Attachment will not fit into the handpiece.

Shaft is misaligned.

Rotate the nose of the attachment during insertion into the handpiece.

Debris is inside the cannulated shaft or the front end of the handpiece.

Clean with a small brush.

Attachment is damaged.

Return the attachment for repair.

Handpiece is damaged.

Return the handpiece for repair.

Bit or wire/pin is bent, extends too far from the distal end of attachment, is the wrong size, or is not properly centered.

Reinsert the bit or wire/pin. If wobble persists, this may indicate a problem with the attachment. Return for attachment for repair.

Motor runs but accessory does not move.

“Wobble” occurs while using an accessory.

*This product is not field repairable. In case of operating difficulties, all Stryker products must be returned to Stryker Instruments for repair. For more information, contact your Stryker Instruments sales representative or call Stryker Customer Service at 1-800-253-3210. Outside the USA, contact your nearest Stryker subsidiary.

9

Troubleshooting Guidelines (cont’d) PROBLEM

CAUSE

ACTION

Handpiece has become noisy and vibrates.

Drivetrain is malfunctioning.

Return the handpiece for repair.

Sporadic electrical interference is experienced.

Electrical noise is present.

Turn off all electrical equipment not in use in the operating room. Relocate electrical equipment; increase spatial distance. Plug operating room equipment into different operating room outlets.

Periodic Maintenance INTERVAL

ACTIVITY

Prior to each use.

Inspect, operate and test the handpiece to ensure that it is working properly. Ensure that there are no loose or missing components. Check all moving parts for free movement. Be alert for unusual sounds or vibrations and note the operating speed.

Storage and Handling To ensure the longevity, performance and safety of this equipment, package in original packaging materials when storing or transporting.

10

Cleaning Recommendations CAUTION: DO NOT allow water to run directly into the battery contact area.

WARNINGS: • Handpieces, attachments and batteries must be cleaned and sterilized before first and every use. • DO NOT use solvents, lubricants, or other chemicals unless otherwise specified.

3. Rinse instruments under running water. Hold the handpiece upright to prevent water from running into the battery contact area. Flush the cannula with running water.

CAUTION: DO NOT immerse the handpiece, attachments or battery pack.

4. If water leaks into the handpiece, tip the handpiece back as shown below to allow drainage from a small opening in the battery contact area.

Battery Packs and Accessories Refer to the Cleaning Recommendations for the battery packs, battery pack adaptors and chargers provided with those products.

Handpiece and Attachments 1. Remove the battery pack and attachment from the handpiece.

Draining Water From Handpiece 5. Visually inspect the handpieces for any remaining debris; if any is present, repeat the cleaning and rinsing procedure using fresh hospital enzymatic cleaner.

2. Using a stiff bristle brush and mild detergent (hospital enzymatic cleaner), scrub the debris from the handpiece and attachments. Pay special attention to crevices and other hard to reach areas such as seams, joints, and details around the retainer and trigger areas. Use a bottle brush to clean the cannula.

6. Dry the handpiece and attachments with a lint-free towel. 7. After cleaning, sterilize as directed. See Sterilization Recommendations.

11

Sterilization Recommendations

ETO: • 100% ETO • 120-135°F (49-57°C) • Wrapped in an instrument tray or fully perforated sterilization box • 2-hour 30-minute exposure time, 8-hour minimum aeration time

WARNINGS: • Handpieces, attachments and batteries must be cleaned and sterilized before first and every use. • Remove the battery and attachment from the handpiece prior to sterilization. Fully open the jaws of the chucks before sterilizing these attachments.

250°F Gravity: • Gravity displacement sterilizer • 250-254°F (121-123°C) • Wrapped in an instrument tray or fully perforated sterilization box • 50-minute exposure time • 8-minute minimum drying time

Battery Packs Refer to the Sterilization Recommendations information provided with the battery packs.

270°F Gravity: • Gravity displacement sterilizer • 270-272°F (132-134°C) • Wrapped in an instrument tray or fully perforated sterilization box • 35-minute minimum exposure time • 8-minute minimum dry time

Handpieces and Attachments To obtain optimum performance from the instruments and help prevent damage to the instruments, it is essential that one of the following sterilization procedures be performed. “Flash” Autoclave: • Gravity displacement sterilizer • 270-272°F (132-134°C) • Unwrapped in an instrument tray in a vertical position so steam can flow through the cannula • 10-minute minimum exposure time

Sterilization Recommendations Validation based on AAMI protocol.

Hi Vac: • Pre-vacuumed sterilizer • 270-272°F (132-134°C) • Wrapped or unwrapped • 4-minute minimum exposure time • 8-minute minimum dry time

12

Specifications* Model:

REF 4205-000-000 Dual Trigger Handpiece

Size:

8.25 in. [210mm] height (with battery) 1.60 in. [41mm] width 5.20 in. [132mm] length

Weight:

3.15 lbs. [1.40kg] (with battery)

Speed:

900 RPM (maximum)

Duty Cycle:

Intermittent Operation - 1 minute on / 4 minutes off 5 times with 3 hour rest

Approvals:

Equipment Type:

CSA International CAN/CSA-C22.2 No. 601.1-M90 UL 60601-1 IEC 60601-1

Type BF Applied Part

Power Supply:

Internally Powered

Enclosure Protection:

IPX0 Ordinary Equipment

Environmental Conditions: Operation Storage and Transportation

Temperature:

Relative Humidity:

Atmospheric Pressure:

*Specifications listed are approximate and may vary slightly from unit to unit or by power supply fluctuations.

13

Guidance and manufacturer’s declaration - electromagnetic emissions The System 5 handpiece is intended for use in the electromagnetic environment specified below. The customer or the user of the System 5 handpiece should assure that it is used in such an environment. Emissions test

Compliance

RF emissions CISPR 11

Group 1

RF emissions CISPR 11

Class B

Harmonic emissions

n/a

Electromagnetic environment - guidance The System 5 handpiece 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.

IEC 61000-3-2 Voltage fluctuations/flicker emissions

n/a

IEC 61000-3-3

14

Guidance and manufacturer’s declaration - electromagnetic immunity The System 5 handpiece is intended for use in the electromagnetic environment specified below. The customer or the user of the System 5 handpiece should assure that it is used in such an environment. Immunity test

IEC 60601 test level

Compliance level

Electromagnetic environment - guidance

Portable and mobile RF communications equipment should be used no closer to any part of the System 5 handpiece, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter. Recommended separation distance d=1.67√P Conducted RF

3 Vrms

n/a

IEC 61000-4-6

150 kHz to 80 MHz

n/a

d=1.67√P 80 MHz to 800 MHz

Radiated RF

3 V/m

3 V/m

d=2.33√P 800 MHz to 2.5 GHz

IEC 61000-4-3

80 MHz to 2.5 GHz

80 MHz to 2.5 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 meters (m) Interference may occur in the vicinity of equipment marked with the following symbol:

NOTE 1: At 80 MHz and 800MHz 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.

15

Guidance and manufacturer’s declaration - electromagnetic immunity The System 5 handpiece is intended for use in the electromagnetic environment specified below. The customer or the user of the System 5 handpiece should assure that it is used in such an environment. Immunity test

IEC 60601 test level

Compliance level

Electromagnetic environment - guidance

Electrostatic discharge (ESD)

±6 kV contact

±2, 4, 6 kV contact

IEC 61000-4-2

±8 kV air

±2, 4, 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

n/a

IEC 61000-4-4

±1 kV for input/output lines

n/a

Surge

±1 kV differential mode

n/a

IEC 61000-4-5

±2 kV common mode

n/a

Voltage dips, short interruptions and voltage variations on power supply input lines

<5% UT (>95% dip in UT ) for 0,5 cycle

n/a

IEC 61000-4-11

40% UT (60% dip in UT) for 5 cycles

n/a

70% UT (30% dip in UT) for 25 cycles

n/a

<5% UT (>95% dip in UT ) for 5 sec

n/a

3 A/m

3 A/m

Power frequency (50/60 Hz) magnetic field IEC 61000-4-8

NOTE: UT is the a.c. mains voltage prior to application of the test level.

16

Power frequency magnetic fields should be at levels characteristics of a typical location in a typical commercial or hospital environment.

Recommended separation distances between portable and mobile RF communications equipment and the System 5 handpiece The System 5 handpiece is intended for use in the electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the System 5 handpiece can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the System 5 handpiece as recommended below, according to the maximum output power of the communications equipment. Separation distance according to frequency of transmitter m Rated maximum output power of transmitter

150 kHz to 80 MHz

80 MHz to 800 MHz

800 MHz to 2.5 GHz

W

3.5 d = [ - ]√P V1

d = [ 3.5 - ]√P E1

7 d = [ - ]√P E1

0.01

n/a

0.12

0.23

0.1

n/a

0.37

0.74

1

n/a

1.17

2.33

10

n/a

3.70

7.37

100

n/a

11.70

23.30

For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (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 800MHz, 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.

17

Repair and Loaner Program This service is available in the United States only. Outside the USA, contact your Stryker sales representative or nearest Stryker subsidiary. On request, Stryker Instruments will provide a loaner unit for your use while repairs are being made. Please clean and sterilize all potentially contaminated products being sent in for repair, credit, or return of a loaner unit. The policy of Stryker Instruments is not to accept or process potentially contaminated products that do not meet this requirement. Also, please be aware that it is unlawful to transport bio-contaminated products through interstate commerce that are not properly packaged and labeled as such. 1. Contact Stryker Customer Service at 1-800-253-3210 to request a loaner. Provide a name and address for shipping. Every effort will be made to send a loaner unit immediately. 2. Send the inoperative unit to Stryker with a purchase order number of authorization for repair. The order should explain the nature of the difficulty. Also, provide a name and address for shipping the repaired instruments. Return the inoperative unit to: Stryker Instruments Repair Department 4100 E. Milham Kalamazoo, Michigan, 49001 3. 4.

The repaired unit will be shipped back and the repair invoice will follow under separate cover. Under most conditions, repair turnaround time will be approximately 2 to 3 weeks. As soon as your repaired unit is returned, return the loaner to Stryker Instruments.

Limited Warranty In the U.S.A. only, products of Stryker Instruments are warranted to the original purchaser for a period of one year from the date of purchase, with exceptions noted below. Products are warranted to be free from defects in material and workmanship. Abnormal wear and tear or damage caused by misuse or by failure to perform normal and routine maintenance as set out in these instructions, or as demonstrated by an authorized Stryker Instruments representative, is not covered by the warranty. Any effort at field repair or adjustment may invalidate your warranty. The warranty extends to all purchasers and is limited to the repair or replacement of the product without charge when returned prepaid to Stryker Instruments. There are no other expressed warranties. This warranty gives you specific legal rights and you may have other rights which vary by state and municipality. For selected products: Battery Packs are warranted for a period of 90 days from the date of invoice.

18

ES/DE/FR/IT/NL JA/ZH/KO SV/DA/FI/PT PL/EL

4205-001-713 4205-001-720 4205-001-730 4205-001-750

Stryker Instruments 4100 E. Milham Kalamazoo, Michigan (USA) 49001 1-269-323-7700 1-800-253-3210

Stryker France ZAC Satolas Green Pusignan Av. de Satolas Green 69881 MEYZIEU Cedex France

2009/07

4205-001-700 Rev-D

www.stryker.com