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Anspach Pneumatic Systems. High speed performance

1. Craniotome Attachment Assembly Motor Housing Handpiece XMax microMax Retaining Sleeve Dissection Tool Craniotome Attachment E ANSPACH PE i Dissection Tool Identification All dissection tools are packaged sterile unless otherwise indicated and are manufactured for single use Each dissection tool has a series of identification numbers and letters imprinted on the label and on the shaft The first letter describes the type of attachment and the following characters indicate the size and style of the dissection tool For example Dissection Tool Part Number S 2B Dissection Tool Description 2 mm Fluted Ball for Short attachment Each attachment is laser marked with its corresponding part number Synthes 17 XMax and microMax Standard Attachments and Dissection Tool Assembly Straight Attachments SHORT 5 cm Short Attachment MEDIUM 8 cm Medium Attachment LONG 11 cm Long Attachment MIA16 16 cm Minimally Invasive Attachment SHORT HD 5 cm Heavy Duty Short Attachment MEDIUM HD 8 cm Heavy Duty Medium Attachment LONG HD 12 4 cm Heavy Duty Long Attachment XL HD 20 2 cm Heavy Duty Extra Long Attachment MM Assembly for handpieces with SECURE and RELEASE 1 Move handpiece knurled knob to SECURE position 2 Slide attachment over distal end of handpiece housing push down and rotate attachment to right ap
2. SANSPACH Anspach Pneumatic Systems High speed performance and power in a variety of applications User s Manual Table of Contents Introduction Synthes Anspach 2 Pneumatic Instrument Systems 2 Indications 3 Warnings and Cautions 4 Technical Specifications 3 Glossary of Symbols 6 Operating Instructions AutoLube III 7 Black Max 10 XMax and microMax 11 IMRI Instrument System 12 Attachments and Dissection Tool Assembly Straight Attachments and Dissection Tool Assembly For Black Max ifs For XMax and microMax 17 Minimal Access Attachments and Dissection Tool Assembly 23 Micro Curved Attachment 25 microSaws and Small Attachments Assembly 26 Handheld Attachments Assembly 29 Information Anspach Powered Irrigation System 32 Cleaning and Maintenance 34 Sterilization 37 Troubleshooting 38 Ordering Information 39 Warranty and Return Policies 41 Anspach Pneumatic Systems User s Manual Synthes Anspach Pneumatic Systems High speed performance and power in a variety of applications Synthes Anspach Synthes Anspach manufactures pneumatic and electric high performance instruments and attachments to meet the specific needs of both surgeon and staff While the advanced design of these instruments provides unparalleled performance and reliability they also allow for effortless assembly meeting the needs of both surgeon and staff for the most demanding appl
3. Return attachment to Synthes Anspach for service Black Max Lever will not lower Dissection tool not seated properly Debris built up inside handpiece Broken dissection tool in handpiece Reassemble dissection tool and attachment Remove attachment lift lever and tap distal tip of handpiece against hard surface until debris is dislodged Lift lever tap distal tio of handpiece against hard surface until dissection tool is dislodged XMax microMax knurled knob will not secure Attachment is hot Dissection tool not seated properly Debris built up inside handpiece Broken dissection tool in handpiece Debris lodged inside attachment Possible bearing damage Reassemble dissection tool and attachment Remove attachment and tap distal tip of handpiece against hard surtace until debris is dislodged Remove attachment and tap handpiece against hard surface until dissection tool is dislodged Clean attachment using Anspach attachment cleaning instructions located in this manual Return attachment to Synthes Anspach for service Craniotome attachment is bent Excessive force used in operation Do not use replace attachment Inoperative Foot Control Oil leaking out of AutoLube Faulty air connection AutoLube was sterilized or submerged in fluids Water in the AutoLube Replace AutoLube filter check oil le
4. 5T Lock Run Unlock Load Transmitter Interference may occur in the vicinity of equipment marked with this symbol Type B Electrical Equipment Instrument System Key BM Black Max XM XMax MM microMax Plus ESI iR Latex free Certification There is no latex material in Synthes Anspach products or packaging 6 Synthes Anspach Pneumatic Systems User s Manual AutoLube Ill Operating Instructions For Black Max XMax and microMax Assembly Procedures of AutoLube III and Handpiece 1 Red Plug Oil Fill Cap AUTOLUBE III Foot Control For additional part numbers refer to the Components section 1 Remove the red plug installed for shipping only from the recirculating bowl located on the top of the AutoLube Ill Turn the silver handle located on the back of the AutoLube IlI to the OPEN position While maintaining the handle in the OPEN position insert the muffler end of the pneumatic handpiece into the cavity located on top of the recirculating bowl Insert the muffler until the red ring on the muffler cannot be seen Rotate silver handle to the LOCK position Check for secure engagement Operating Pressure Anspach pneumatic handpieces run on air or medical grade nitrogen Standard operating pressure is 90 120 psi 8 3 bar If more or less power is desired the psi may be regulated between 40 and 140 psi 1 Connect the air hose from the A
5. B SAGITTAL see Blade Assembly microMax Sagittal Saw for handpieces with SECURE and RELEASE 1 Remove red storage cover Pull down retaining sleeve of handpiece and rotate to left 2 Slide Sagittal Saw over distal end of handpiece until fully seated 3 Return handpiece retaining sleeve to original position by rotating to right and pushing distally 4 Sagittal Saw is now secure with handpiece 5 See Blade Assembly NS ANSPACH Sagittal Saw Assembly and Disassembly for handpieces with a and m Distal end of handpiece or attachment Is pointed away from user 1 Remove red storage cover Move handpiece knurled knob to RUN position 2 Slide Sagittal Saw over distal end of handpiece Pull Sagittal Saw towards handpiece and rotate to right approximately one quarter turn until fully seated Handpiece knurled knob will move up to seat next to Sagittal Saw 3 Sagittal Saw is secure 4 See Blade Assembly Disassembly 1 Move handpiece knurled knob to SAFE position 2 Rotate Sagittal Saw to left approximately one quarter turn and remove from distal end of handpiece Blade Assembly B SAGITTAL MM SAGITTAL 1 Raise and fully extend extension handle on saw blade attachment mechanism 2 Rotate extension handle counter clockwise to open saw blade mounting plates 3 Insert saw blade into opening and align saw hub with locking pins in mounting plates Blades can be aligned in 45 degr
6. can cause rapid temperature Increase at the distal end of the attachment Always use copious irrigation with this attachment MA D20BM 20 Angle Driver for Black Max MA D20 20 Angle Driver for XMax and microMax MA DRIVER Straight Driver for XMax and microMax BM Black Max 20 Angle Driver Installation 1 Ensure locking lever is up 2 Align notch on BM 20 angle driver with RELEASE arrow on handpiece while inserting driveshaft of BM 20 angle driver into handpiece Rotate BM 20 angle driver to right until notch is aligned with SECURE arrow on handpiece Push locking lever down to locked position 3 Gently twist back and forth to ensure driver is locked into position XMax Driver Installation 1 Ensure handpiece is in RUN i or SECURE position 2 Insert driveshaft of driver into distal end of handpiece push and rotate to right until it stops Listen for a click as handpiece knurled knob moves up to seat next to driver 3 Gently twist back and forth to ensure driver is locked into position MA D20 MA DRIVER MM microMax Driver Installation 1 Ensure knurled knob on handpiece is in RELEASE position 2 Insert driveshaft of driver into distal end of handpiece and rotate to right until it stops Rotate knurled knob on handpiece to SECURE position 3 Gently twist back and forth to ensure driver is locked into position Synthes 23 Minimal Access Attachm
7. foot pedal on AUTOLUBE III IRR A Important United States Federal law restricts this device to sale by or on order of a physician or other licensed health care provider Do not sterilize and do not allow liquid into pump 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 Instrument operator and all operating room personnel must wear eye protection Inspect system for damage before using do not use if damage is evident Do not modify ground or power cord Do not operate in the presence of flammable anesthetic mixtures Do not operate with pumphead open Disposable tubing attachment clip and hose clip are for SINGLE USE ONLY A Caution 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 with respect to protection against electric shock equipment is Class type B If fuse replacement is necessary use only Time Delay fuse rated 2 5A 250V This equipment generates uses and can radiate radio frequency energy and if not installed and used in accordance with instructions may cause harmful interference to other devices in the vicinity However there is no guarantee Interference will not occur in a particular installation If this equipment does ca
8. steel that is subject to dulling and possible distortion during initial use Reprocessors may not be able to reprocess cutters to their original design condition and reuse could result in excessive whipping or vibration that could cause severe patient injury including death Reprocessed cutters may also be duller than new cutters resulting in less effective use and possible overheating causing necrosis of tissues and or surgeon discomfort Continued use of dull cutters can cause user to apply greater pressure while cutting which can seriously damage attachment and possible bearing failure Bearing failure can result in foreign debris entering surgical wound site iMRI craniotome is constructed of a softer metal than a non iMRI craniotome and excessively applied force will cause craniotome leg foot to bend or fracture Do not bend attachment or use craniotome as a lever Do not force cutter Forceful side load may cause cutter fracture which could cause injury It can also result in handpiece speed reduction and increased temperature 9 During surgical procedure when iMRI is used for actual imaging remove iMRI System and Cutters from imaging volume 14 Synthes Anspach Pneumatic Systems User s Manual Black Max Standard Attachments and Dissection Tool Assembly Black Max Dissection Tool Identification All dissection tools are packaged sterile unless otherwise indicated and are manufactured for single use Each dissectio
9. 10 000 75 000 rom 3 81 m 12 5 ft 17 5 mm 69 in 101 mm 4 In 635 gms 1 41 Ib Patent Information Synthes Anspach products are manufactured under one or more of the following U S Patent Nos RE 37 358 5 405 348 5 601 560 5 630 818 5 741 084 5 904 687 6 607 533 6 733 218 6 746 153 6 749 341 6 969 368 7 128 544 7 144 415 7 217 090 7 255 546 7 261 526 and 7 458 979 Additional U S and International patents pending Additional Information All specifications are subject to change Synthes 5 Glossary of Symbols LOT 00 0000 gt T B O A m a w m 2 rr m DII P O ONLY Reference Number A K A Item Number Catalog Number Part Number Lot A K A Lot Number Batch Number Batch Code Serial Number Use By Date A K A Expiration Date Expiry Manufacturer Authorized European Representative Sterile R A K A Sterilized Using Irradiation Single Use Only A K A Do Not Reuse Attention A K A Caution Warning Danger Important Note Refer to Accompanying Documentation Keep Dry A K A Protect from Moisture 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 CE CE Mark A K A CE Mark notified body number Conformit Europ enne Meaning Device complies with applicable EEC Directives MR Conditional No known hazards at 1
10. Assembly 1 Press down on release button to open saw blade mounting plates 2 Insert saw blade into opening and align saw blade hub with locking pins in mounting plates Oscillating saw blades can be aligned in 45 increments 3 Release button and ensure mounting plates are firmly seated on saw blade without gaps Sagittal Saw Blade Assembly 1 Press down on release button to open saw blade mounting plate 2 Insert saw blade into opening through slot on mounting plate and align saw blade hub with locking pins in mounting plate 3 Release button and ensure mounting plate is firmly seated on saw blade without gaps Reciprocating Saw Blade Installation 1 Rotate chuck counterclockwise until chuck has opened sufficiently to accept a saw blade 2 If blade has a shank with a shaft insert shaft of blade in chuck jaws until it is fully inserted and tighten chuck knob clockwise until snug 3 If blade has a flat shank insert blade into slots in chuck until it is fully inserted and tighten chuck knob clockwise until snug S SAW R SAW O SAW Saw Blade Removal 1 Saw blade removal is reverse of installation Disassembly Saw and Small Attachment Removal 1 With one hand supporting attachment rotate release ring on keyless driver with other hand counterclockwise until attachment is released Synthes ZF MicroSaws and Small Attachments Assembly J Latch and Keyless Jacobs Chuck Attachment Assembly BM DRIVE
11. C cord into Irrigation System and AC cord plug into ground power outlet 100 240 VAC 50 60HZz 0 30 0 15A 2 Connect AUTOLUBE III IRR to Irrigation Pump with footswitch cord 3 Mount irrigation pump on IV Pole using clamp on rear of pump 4 Hang irrigation bag onto IV Pole Irrigation Tubing Set up IRRIGATE TUBE Sterile Tubing and Hoseclips for Irrigation System IRRIGATE TUBE HF High Flow Sterile Tubing and Hoseclips for Irrigation System 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 Synthes Anspach handpiece 2 Close lid on pump head 3 Insert bayonet end of tubing into irrigation bag A Important 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 page 40 for part numbers 1 Slide irrigation tubing onto proximal end of Irrigation Attachment Clip 2 Attach Irrigation Attachment Clip to Anspach Handpiece 3 Secure tubing to handpiece hose using Hose Clips which are included with tubing 32 Synthes Anspach Pneumatic Systems User s Manual Irrigation Pump Operation 1 Turn Main power switch to ON position 2 Adjust flow dial on front panel to control flow 3 Depress
12. Driver so notch is aligned with SECURE on handpiece 4 Press down lever on handpiece 5 The Chuck Driver should be used with a drill guide for additional stability MM microMax Chuck Driver System for handpieces with SECURE and RELEASE Assembly 1 handpiece knurled knob into SECURE position 2 Slide Chuck Driver System over distal end of handpiece until fully seated Rotate attachment to right approximately one quarter turn 3 Check security of attachment by pulling distally 4 The Chuck Driver should be used with a drill guide for additional stability Disassembly 1 For removal move Chuck Driver System attachment slightly proximally while rotating to left Synthes 29 Handheld Attachments Assembly Sagittal Saws B SAGITTAL MM SAGITTAL Black Max Sagittal Saw Sagittal Saw for XMax and microMax The B SAGITTAL and MM SAGITTAL operate at 120 psi providing 20 000 cycles per minute while it oscillates through a blade arc of 4 degrees BM Black Max Sagittal Saw Assembly for handpieces with SECURE and RELEASE 1 The words SECURE and RELEASE engraved on side of handpiece refer to locking and unlocking attachment on handpiece respectively Lift lever on handpiece 2 Align notch on Sagittal Saw with RELEASE on handpiece 3 Turn Sagittal Saw so notch is aligned with SECURE on handpiece 4 Press down lever on handpiece 5 For
13. LONG S B TURQ L IRR CLIP 60 Irrigation Clip for QD11 QD11 S QD14 QD14 S B QD11 B QD11 S B QD14 B QD14 S IRR CLIP 70 Irrigation Clip tor MIA16 B GREY MIA 16 B GREY MIA20 BM XM MM Pneumatic Handpieces BLACKMAX N BLACKMAX N LP XMAX Swivel Angle Motor Assembly Low Pressure Swivel Angle Motor Assembly XMax Motor BM XM MM Pneumatic Accessories ACB AL III IRR MA7 AUTOLUBE III AUTOLUBE III DISS AL IlI DISS 20 AUTOLUBE III FG AUTOLUBE III FG7 AUTOLUBE III IRR AUTOLUBE III MA7Z AUTOLUBE III NK AUTOLUBE III 20 AL III 30 AL III DISS 30 B CASE TRAY FILTER II HOSE HOSE 5 HOSE 10 HOSE 10 DISS HOSE 15 DISS HOSE 20 DISS HOSE DISS MM CASE TRAY MM CTR RACK OIL II PG SCHRADER F XM CASE Attachment Cleaning Brush Foot Control for Irrigation System MA7 Adapter Foot Control Foot Control DISS Adapter Foot Control with 20 Hose DISS Adapter Foot Control with Foot Guard Foot Control with Foot Guard MA7 Adapter Foot Control for Irrigation System Foot Control MA7 Adapter AutoLube Foot Control with Nitrogen Keyed Adapter Foot Control with 20 Hose Foot Control with 30 Hose Foot Control with 30 Hose DISS Adapter Sterilization Case with Tray AutoLube II amp Ill Filters 5 pkg 20 Foot Air Extension Hose 5 Foot Air Extension Hose 10 Foot air Extension Hose 10 Foot Air Extension Hose with DISS Adapter 15 Foot Air Extension Hose with DISS Adapt
14. R Keyless Driver DRIVER Keyless Driver SA JACOBS Jacobs Chuck SA JLATCH J latch Chuck Note Anspach does not supply dissection tools for SA JLATCH or SA JACOBS small attachments Keyless driver refers to either BM DRIVER or DRIVER 1 Insert attachment drive shaft into distal end of keyless driver Rotate until three tabs on attachment engage three slots in keyless driver 2 Continue to rotate counterclockwise while pushing attachment into keyless driver until attachment locks into position and release ring snaps into position 3 When fully engaged contours on keyless driver body release ring and small attachment will be in alignment J Latch Dissection Tool Assembly 1 Pull back distal sleeve in direction of arrow 7 on SA JLATCH attachment and hold it down to insert dissection tool into distal end of attachment 2 Rotate dissection tool slowly until fully seated 3 Release distal sleeve and check security of dissection tool by pulling distally on dissection tool 4 Dissection tool and attachment are secure J Latch Dissection Tool Removal 1 Pull back distal sleeve in the direction of arrow on SA JLATCH and hold it down while pulling dissection tool out distally for removal 2 Release the distal sleeve Keyless Jacobs Chuck Dissection Tool Assembly 1 Press down on center of release button located on SA JACOBS attachment while rotating knurled knob on attachment clockwise until fully opened 2 Insert diss
15. WARRANTY OF ANY KIND EXPRESS OR IMPLIED OTHER THAN THAT EXPRESSLY SET FORTH IN THIS PARAGRAPH NO PERSON IS AUTHORIZED TO GIVE OR MAKE ANY OTHER REPRESENTATION OR WARRANTY OR TO MODIFY THE WARRANTY DESCRIBED ABOVE IN ANY WAY WITHOUT LIMITING THE GENERALITY OF THE FOREGOING NO IMPLIED WARRANTIES OF MERCHANTABILITY FITNESS FOR A PARTICULAR PURPOSE TITLE NONINFRINGEMENT USAGE OR TRADE COURSE OF DEALING OR COURSE OF PERFORMANCE IS GIVEN OR MADE BY ANSPACH WITH RESPECT TO THE PRODUCT AND IN NO EVENT SHALL ANSPACH HAVE ANY LIABILITY OR OBLIGATION WHATSOEVER UNDER OR IN CONNECTION WITH ANY SUCH WARRANTY WITH RESPECT TO THE PRODUCT Requests for warranty service shall be made only upon issuance of a Return Material Authorization RMA number trom Anspach and shipment of the product to Anspach or such other authorized repair center as Anspach may designate Product tor which a RMA number is obtained shall be shipped to Anspach or other such location as may be mutually agreed upon by Anspach and Customer by common carrier Product returned without a return authorization number shall not be afforded warranty service and all costs associated with such unauthorized returns shall be borne by Customer All Instrument System components returned for servicing or repair should be properly cleaned and sterilized as applicable prior to shipping A Transmissible Spongiform Encephalopathies TSE Anspach will not authorize or accept the return o
16. and attachment installed 4 Select appropriate attachment Inspect for any signs of corrosion or damage and ensure it is IMRI Attach attachment to handpiece and turn clockwise to lock onto handpiece Verity locking by pulling on attachment 5 Select appropriate cutter and following all established sterile techniques remove it from its packaging insert it into and through attachment into handpiece and lock into place Verify locking by pulling on cutter If using craniotome cutter should be put into handpiece first then put craniotome over cutter 6 Attach iMRI foot control to air or nitrogen supply Fully depress foot pedal and adjust supply air pressure such that gauge on foot control indicates 120 psi 7 With handpiece in iMRI field but away from patient fully depress foot control and assess handpiece for noise vibration wobble and whipping If assembly was without difficulty and handpiece sounds and feels right initiate or continue with use 8 During procedure continuously assess cutting effectiveness Though iMRI cutters are designed to cut effectively they are constructed of a much softer metal than standard non iMRI Anspach cutters which you may be accustomed to Because of material softness IMRI cutters will dull more quickly If you notice a reduction in cutting effectiveness stop and replace cutter A Warnings Do not reprocess or use reprocessed cutters iMRI cutters are constructed of stainless
17. and microMax Standard Attachments and Dissection Tool Assembly Micro Dissection Attachment MDA Micro Dissection Attachment Important The Micro Dissection Attachment is to be used only for delicate bone dissection applications Excessive force or side loads during use can cause rapid temperature Increase at the distal end of the attachment Always use copious irrigation with this attachment Assembly for handpieces with SECURE and RELEASE 1 Hold MDA by drive shaft Insert dissection tool into MDA attachment until cutter seats in attachment drops slightly proximally and stops rotating This is best accomplished by pushing slightly while rotating 2 Check security of dissection tool by pulling on dissection tool shaft 3 Pull down on handpiece kurled knob and slide MDA Attachment over distal end of handpiece until fully seated Rotate attachment to right approximately one quarter turn 4 Release handpiece knurled knob to SECURE position A Handpiece is now fully functional Disassembly 1 Move handpiece knurled knob to RELEASE position 2 Slowly rotate dissection tool in alternating directions while pulling distally 3 Rotate attachment to left approximately one quarter turn and remove from distal end of handpiece Assembly for handpieces with and m 1 Hold MDA by drive shaft Insert dissection tool into MDA attachment until cutter seats in attachment Drops slig
18. ay be encountered The suggested operation conditions are to be considered as a starting point for determination of the overall process capability without regard for type or condition of equipment used or methods techniques or practices employed by the user Use of proper sterilization indicator devices is strongly recommended It is recommended that a drying cycle be included to avoid possible adverse effects caused by exposure to condensation Recommended Sterilization Exposure Times 1 Steam Autoclave Gravity Air Displacement 132 C 1 C 270 F 2 F 15 minutes wrapped or unwrapped 30 minute dry time 2 Steam Autoclave Pre vacuum 132 C 1 C 270 F 2 F 3 minutes wrapped or unwrapped 3 STERRAD 100S Full Cycle wrapped or unwrapped Black Maxlever guard must be in the open position Note STERRAD may alter the exterior of the handpiece or attachments Any exterior alterations are merely cosmetic and do not affect the function of the instrument and thus will not be covered under the standard Synthes Anspach Warranty It is recommended a drying cycle be included to avoid possible adverse effects caused by exposure to condensation Synthes a Troubleshooting Pneumatic Handpieces Black Max XMax microMax Problem Possible Cause Solution Lack of power or excessive handpiece noise Inadequate lubrication Inadequate operating pressure Muffler not connected properly Handpiece
19. chments B ORANGE 45 Contra Angle Attachment Multiple Angle B ORANGE 90 Right Angle Attachment 90 1 Lift Lever on handpiece Align notch on attachment with RELEASE on side of Black Max handpiece Turn attachment so notch is aligned with word SECURE 2 Push latch on the distal end of the attachment up with your thumb 3 Insert dissection tool into the side of the distal end opposite side of latch while rotating slowly until dissection tool seats 4 Release latch and check security of attachment by pulling it away from handpiece and check dissection tool by pulling on dissection tool head Latch will be flush with attachment when dissection tool is secure Z Handpiece is now fully functional ws B SILVER B TURQUOISE B ee B VIOLET a B BLUE S B MRA S B MRA M Er B MRA L B TURQ L B GREY MIA16 B GREY MIA20 B BLACK B RED Figure 1 Distal end of handpiece or attachment is pointed away U B ORANGE 90 B ORANGE 45 etch Figure 2 Distal end of handpiece or attachment is pointed away Synthes 15 Black Max Standard Attachments and Dissection Tool Assembly Black Max Craniotome and Specialty Attachments B TURQ X Refer to Components section for part numbers 1 Lift Lever on Black Max Insert dissection tool into handpiece Return Lever to down position Pull dissection tool to ensure B GOLD proper engagement 2 Slide attachment over dissection tool Align no
20. cleaning protocol for the bearing Sleeves The Minimal Access Attachment Bearing Sleeves are non repairable Reuse until bearing wear is detected and then replace No bearing sleeve service or repair will be provided Handpieces A Caution Wear eye protection DO NOT IMMERSE Do not insert brush into handpiece Do not use saline solution for cleaning Do not use cleaners containing chlorinated phenols of any concentration Using cleaners disinfecting agents containing chlorinated phenols will result in premature hose failure Do not use oil to lubricate knurled knob Prior to sterilization wipe with a clean water dampened cloth and mild detergent neutral pH Silicone Spray or Instrument Milk may be added to lubricate the handpiece knurled knob Silicone spray may be used on the hose to prolong its flexibility and to facilitate foreign particle removal The handpiece should be tested by running it with an attachment and dissection tool prior to each use for two minutes to ensure proper lubrication If the distal tip and main body of the handpiece are uncomfortably hot to the touch return the instrument to Anspach for servicing If occlusion of the handpiece hose is suspected or if the pressure relief valve is activated return instrument to Anspach for servicing A Caution Handpiece must not be exposed to ingress of water or to severe physical trauma degradation of unit function and or performance may occur Steril
21. dient location 1 5 Tesla when tested in a Siemens 1 5T Magnetom Symphony Maestro Class Unit iMRI System is designed for surgical procedures typically involving no more than 15 minutes of continuous actively drilling operation If a procedure Is expected to last longer you should be aware handpiece speed and temperature may be affected Normal speed of iMRI System will be less than microMax due to magnetic effects of iMRI and because iMRI System does not have continuous oiling The lower speed will not adversely affect your ability to perform procedure and you will experience little to no magnetic pull on handpiece during use However the following effects may be noted 1 Handpiece speed will slow when handpiece rotating mechanism is held 90 to magnetic field 2 Handpiece temperature will increase when handpiece is held in 90 position for greater than 5 minutes Handpiece should not become uncomfortably warm during normal use procedures lasting greater than 15 minutes could cause handpiece temperature to rise 3 Lock mechanisms of iMRI System and cutters are essentially the same as microMax However to help prevent unintended use of non iMRI devices geometry has been slightly moditied to prohibit attachment of non iMRI handpiece compatible devices 12 Synthes Anspach Pneumatic Systems User s Manual A Important Attempts to attach microMax components to iMRI handpiece could result in significant damage to iMRI Handpiec
22. e Straight attachments should be used for no more than 10 procedures Craniotome attachments should be used for no more than five procedures Attachments are not repairable and should be replaced after the recommended number of uses Metal component parts of iMRI handpiece and attachments and all iMRI cutters are constructed of materials mostly unaffected by magnetic properties of iMRI However these materials have significantly less hardness which directly affects durability Proper use cleaning maintenance and preoperative inspection will help ensure safe use and prolong useful life of iMRI handpiece and attachments Periodic routine servicing by Anspach is strongly recommended IMRI cutters will dull more quickly than standard cutters because they are manufactured of nonmagnetic reactive material Use with iMRI only During surgical use you should remain cognizant of cutter performance and have additional cutters available at all times Continued use of dull cutters in addition to possible necroses may put additional stress on attachment and handpiece leading to premature failure of those devices Before each use assemble system and test to ensure proper performance Proper system performance is usually indicated when there is no unusual difficulty in attaching attachments and cutters and when system operates at full soeed unloaded with cutter attached with no unusual noise vibration wobble or whipping Importa
23. ection tool into distal end of attachment until it touches bottom 3 Rotate knurled knob counterclockwise while centering cutter on attachment until tight release button 4 Check security of dissection tool by pulling distally on dissection tool 5 Dissection tool and attachment are secure BM DRIVER DRIVER SA JLATCH SA JACOBS A Caution Do not press down on release button while attachment is in use Keyless Jacobs Chuck dissection tool removal 1 Press down on center of release button located on SA JACOBS attachment while rotating knurled knob on attachment clockwise until fully opened 2 Pull dissection tool out distally for removal 3 Release button 28 Synthes Anspach Pneumatic Systems User s Manual Handheld Attachments Assembly Chuck Driver BC SYSTEM Chuck Driver System for Black Max C SYSTEM Chuck Driver System for microMax This attachment provides the ability to use your Anspach instrument system to drive twist drills up to 4 mm in diameter Approx 3 500 rpm A Important Do not use the Chuck Driver with the XMax BM Black Max Chuck Driver System Assembly for handpieces with SECURE and RELEASE 1 The words SECURE and RELEASE engraved on side of handpiece refer to locking and unlocking attachment on handpiece respectively Lift lever on handpiece 2 Align notch on Chuck Driver with RELEASE on handpiece 3 Turn Chuck
24. ed knob on handpiece to SECURE position 3 Gently twist back and forth to ensure MCA is locked into position Curved Burr Support Sleeve Assembly Top View MCA Distal End Curved Burr Support Sleeve Grooves Arrow Bird Logo 1 Line up arrow located on the distal end of MCA with flat end bird logo of Curved Burr push until fully seated Listen for a click see illustration 2 Gently pull Curved Burr to ensure it is locked into position Curved Burr Support Sleeve Disassembly 1 Remove Curved Burr from distal end of MCA by grasping Curved Burr at grooves see illustration MCA Disassembly for XMax Handpieces 1 Move handpiece knurled knob to SAFE position 2 Rotate MCA to left approximately one quarter turn and remove from distal end of handpiece housing MM MCA Disassembly for microMax Handpieces 1 MCA disassembly is the reverse of assembly Synthes G microSaws and Small Attachments Assembly The microSaws were designed for small bone dissection BM DRIVER The microSaw Drivers provide direct connection to the Black Max XMax and microMax Systems The Drivers also enable rapid exchange of saw head styles through a unique quick disconnect system Keyless Driver Installation DRIVER BM Black Max Keyless Driver Installation BM DRIVER Keyless Driver 1 Ensure locking lever is up 2 Align notch on keyless driver with Release arr
25. ee increments 4 Rotate extension handle clockwise to secure saw blade and lower extension handle into closed position 30 Synthes Anspach Pneumatic Systems User s Manual Compact SpeedReducer CSR60BM Perforator Driver with Hudson End for Black Max CSR60 Perforator Driver with Hudson End for XMax and microMax This Perforator Driver attachment allows Hudson style cranial perforators to be used with Black Max XMax and microMax Systems 60 1 Ratio approximately 1 300 rom Refer to the Cranial Perforator manufacturer s operating instructions for rotational speed requirements BM Black Max Compact SpeedReducer Assembly for handpieces with SECURE and RELEASE 1 Remove red storage cover 2 Lift lever on handpiece 3 Slide Compact SpeedReducer over distal end of handpiece until fully seated Rotate Compact SpeedReducer to right approximately one quarter turn 4 Press down lever on handpiece 5 Pull back retaining sleeve insert Hudson end of cranial perforator and release retaining sleeve Disassembly 1 Lift lever on handpiece 2 Rotate Compact SpeedReducer to left approximately one quarter turn and remove device 3 Replace red storage cover MM Compact SpeedReducer Assembly for handpieces with SECURE and RELEASE 1 Remove red storage cover 2 Move handpiece knurled knob to SECURE position 3 Slide Compact SpeedReducer over distal end of handpiece until fully sea
26. embly 1 Pull down on retaining sleeve on angle attachment and rotate to left 2 Remove dissection tool from distal end of attachment 3 Move handpiece knurled knob to RELEASE position 4 Rotate attachment to left approximately one quarter turn and remove trom distal end of handpiece QD8 Assembly for handpieces with mand m Distal end of handpiece or attachment is pointed away from user 1 Move handpiece knurled knob to RUN fm position 2 Slide attachment over distal end of handpiece Pull attachment towards handpiece and rotate attachment to right approximately one quarter turn until fully seated Handpiece knurled knob moves up to seat next to attachment 3 Pull retaining sleeve on angle attachment towards handpiece and rotate to left 4 Insert dissection tool into angle attachment Rotate dissection tool slowly until it is fully seated Release retaining sleeve on angle attachment by rotating retaining Sleeve to right A Handpiece is now fully functional 5 Pull dissection tool to ensure proper engagement 6 Attachment and dissection tool are secure Disassembly 1 Pull retaining sleeve on angle attachment towards handpiece and rotate to left 2 Remove dissection tool from distal end of attachment 3 Move handpiece knurled knob to SAFE position 4 Rotate attachment to left approximately one quarter turn and remove from distal end of handpiece Synthes 2 XMax
27. ents and Dissection Tool Assembly Bearing Sleeve and Dissection Tool Assembly BM 20 Angle Driver 20 Angle Driver or Straight Driver MA 10S Bearing Sleeve 10 cm Straight MA 10C Bearing Sleeve 10 cm Curved MA 15S Bearing Sleeve 15 cm Straight MA 15C Bearing Sleeve 15 cm Curved MA 15ST Bearing Sleeve 15 cm Straight Taper MA 19ST Bearing Sleeve 19 cm Straight Taper 1 Rotate knurled knob on driver to line up arrow with TUBE 2 Fully insert desired bearing sleeve into distal end of driver by lining up black line on bearing sleeve with black line on driver 3 Rotate knurled knob to line up arrow with CUTTER Check security of bearing sleeve by pulling distally 4 Insert dissection tool into distal tip of bearing sleeve Rotate dissection tool slowly until it is fully seated Rotate knurled knob on driver to line arrow with RUN Note Additional force Is required to seat dissection tool into curved bearing sleeve 5 Check security of dissection tool by pulling distally on dissection tool head 6 Bearing sleeve and dissection tool are secure Dissection Tool Disassembly 1 Rotate knurled knob on driver to line up arrow with CUTTER Remove dissection tool from distal end of attachment Bearing Sleeve Adjustment 1 Rotate knurled knob on driver to line up arrow with ADJUST 2 Pull bearing sleeve either 3 mm distally or proximally to desired exposure 3 Rotate knurled knob
28. er 20 Foot Air Extension Hose with DISS Adapter 10 Inch Air Extension Hose with DISS Adapter Sterilization Case with Tray Cutting Burr Rack Instrument Oil w 1 Replacement Filter for AutoLube IlI and Ill Pistol Grip for Black Max SCHRADER Adapter Female Sterilization Case with Tray 40 Synthes Anspach Pneumatic Systems User s Manual Warranty and Return Policies The Anspach Effort Inc Anspach warrants that this product is free of defects in workmanship and material for a period of two 2 years after the date of shipment of the product if used and maintained in accordance with manufacturer s instructions Anspach reserves the right to invalidate this Warranty if a the product is used with components not manufactured by Anspach b the product is used with components accessories or dissection tools reprocessed by other than Anspach or c if repairs to the product are not performed by Anspach Anspach s obligation under this Warranty shall be limited to repair or replacement of the product as determined by Anspach in its sole discretion Dissection tools are supplied sterile and are for single use only Minimal Access Attachment Bearing Sleeves are non repairable and therefore not subject to the repair or replacement provisions of the Warranty THE WARRANTY SET FORTH ABOVE IS THE SOLE AND EXCLUSIVE WARRANTY GIVEN BY ANSPACH WITH RESPECT TO THE PRODUCT ANSPACH GIVES AND MAKES NO REPRESENTATION OR
29. estricts this device to sale by or on order of a physician or other licensed health care provider Read and understand thoroughly before operating your new IMRI Instrument System Failure to do so could lead to injury to you or your patient or cause severe damage to this equipment The iMRI Instrument System is a design modification of the Anspach microMax System Refer to the XMax and microMax Operating Instructions section for additional assembly instructions IMRI System and cutters are constructed of materials that permit intraoperative use in an IMRI unit rated at 1 5 Tesla or less and only when iMRI is not being used for actual imaging purposes Caution Do not use in iMRI units rated at greater than 1 5 Tesla Remove iMRI System from iMRI imaging volume during imaging Failure to do so could result in unacceptable image noise and or distortion Testing of IMRI System as established by ASTM F2213 02 Standard Test Method for Measurement of Magnetically Induced Torque on Passive Implants in Magnetic Resonance Environment and F2052 02 Standard Test Method for Measurement of Magnetically Induced Displacement Force on Medical Devices in Magnetic Resonance Environment confirm there is no detectable magnetically induced torque on handpiece at 1 5 Tesla when tested in a 1 5T magnet and only slight deflection force 10 with 18 of force due to gravity when subjected to a high field strength and high tield gra
30. f products that directly contact patients or are contaminated with a patient s body fluids who is suspected or confirmed with a Transmissible Spongiform Encephalopathies Creutzteldt Jakob Disease TSE CJD diagnosis Anspach recommends that all Anspach products used on a patient confirmed with a TSE CJD diagnosis be incinerated Anspach dissecting tools used on a patient suspected of a TSE CJD diagnosis must be incinerated Contact your Sales Consultant for replacement of product incinerated under this policy or for temporary equipment while original equipment is quarantined Contact the Anspach Customer Service Department regarding TSE contamination for additional information Synthes 41 taal Manufacturer EC REP SYNTHES The Anspach Effort Inc Anspach Europe Ltd 4500 Riverside Drive Aston Court Kingsmead Business Park C Palm Beach Gardens FL 33410 Frederick Place High Wycombe Power Tools Telephone 561 627 1080 HP 11 1LA United Kingdom To order 800 327 6887 Telephone 441 494 616126 www synthes com Fax 800 327 6661 Fax 441 494 616001 www anspach com E mail info anspach com 2011 Synthes Inc or its affiliates All rights reserved Anspach and XMax are trademarks of Anspach Effort Inc Synthes is a trademark of Synthes Inc or its affiliates Printed in U S A 8 11 19 0010 rev A J10413 A
31. ght Handpiece muffler hose weight up to 80 000 rom 3 81 m 12 5 ft 15 8 mm 625 in 89 mm 3 5 in 56 70 gms 2 oz 0 5 kg 1 1 Ibs XMax Specifications Speed Handpiece muffler hose Outside housing diameter Length of housing Handpiece weight Handpiece muffler hose weight up to 80 000 rom 3 81 m 12 5 ft 17 4 mm 685 in 102 02 mm 4 025 in 75 3 gms 2 7 oz 0 65 kg 1 45 Ibs The device complies with the following standards IEC 60601 1 IEC 60601 1 2 IEC 61000 3 2 IEC 61000 3 3 IEC 61000 4 2 IEC 61000 4 4 IEC 61000 4 5 IEC 61000 4 11 IEC 61000 4 8 IEC 61000 4 6 IEC 61000 4 3 wt ER TER C US LISTED With regard to electrical shock fire mechanical hazards this device is certified to UL 60601 1 and CAN CSA C22 2 No 601 1 This device complies with applicable EEC directives CE The Synthes Anspach Black Max Instrument System is not sponsored by endorsed by or otherwise associated with United States Manufacturing Corp or its Blackmax prosthetic limbs microMax Plus Specifications Speed Handpiece muffler hose Outside housing diameter Length of housing Handpiece weight Handpiece muffler hose weight up to 80 000 rom 3 81 m 12 5 ft 15 8 mm 625 in 95 25 mm 3 75 in 75 3 gms 2 7 oz 0 65 kg 1 4 Ibs iMRI IMRI Handpiece Speed Handpiece and Hose Outside Housing diameter Length of Housing Handpiece and hose weight
32. hose damaged Faulty internal component Pressure Relief Valve activated Add Anspach oil to AutoLube Check pressure on AutoLube Extra long extension hose trom air source could reduce operating pressure Check Schraeder Connection Check for handpiece hose occlusion Check connection between muffler and AutoLube Muffler must be inserted past red line Return to Synthes Anspach for service Return to Synthes Anspach for service Check for handpiece occlusion remove the source of the occlusion Return to Synthes Anspach for service Handpiece does not rotate when foot pedal is activated Motor stalling Faulty attachment Motor Lock engaged Faulty internal component Rotate dissection tool then activate foot pedal Clean or replace attachment Unlock handpiece Return to Synthes Anspach for service Handpiece vibration or extremely hot Inadequate lubrication Motor out of balance Add Anspach oil to AutoLube Return to Synthes Anspach for service Excessive vibration of dissection tool Dissection tool may be bent Replace with new dissection tool Dissection tool may not be fully seated Reassemble dissection tool and attachment Improper attachment and dissection tool combination Possible attachment bearing damage Only use correct dissection tool with appropriate attachment
33. htly proximally and stops rotating This is best accomplished by pushing slightly while rotating 2 Pull dissection tool to ensure proper engagement Move handpiece knurled knob to RUN i position 4 Slide attachment over distal end of handpiece Pull attachment towards handpiece and rotate attachment to right approximately one quarter turn until fully seated Handpiece knurled knob moves up to seat next to attachment 5 Attachment and dissection tool are secure UU Z Handpiece is now fully functional Disassembly 1 Move handpiece knurled knob to SAFE position 2 Slowly rotate dissection tool in alternating directions while removing distally 3 Rotate attachment to left approximately one quarter turn and remove from distal end of handpiece 22 Synthes Anspach Pneumatic Systems User s Manual Minimal Access Attachments and Dissection Tool Assembly Note Instructions are the same for straight or angled drivers and for straight or curved bearing sleeves in both 10 cm and 15 cm lengths The tour words labeled on the drivers mean the following CUTTER Insert or remove dissection tool RUN Attachment and dissection tool are now functional ADJUST Bearing Sleeve can be moved 3 mm forward or back TUBE Insert or remove bearing sleeve A Important The Minimal Access Attachments are to be used only for delicate bone dissection applications Excessive force or side loads during use
34. ications No tools are required to assemble dissection tools or attachments All Synthes Anspach instruments are manufactured to contorm to rigorous quality standards to provide dependable performance Important Before using any of the Synthes Anspach High Performance 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 To schedule a hands on training course either at Synthes Anspach or from your local Synthes Anspach Sales Representative call 800 327 6887 or 561 627 1080 If you have any questions after reading this manual please call the Synthes Anspach Customer Service Department at 800 327 6887 or 561 627 1080 Pneumatic Instrument Systems The XMax sets a new standard for the ultimate combina tion of high power smooth operation low noise level and small size This new level of performance provides the perfect pneumatic system to handle a complete range of Surgical procedures ranging from power demanding applications to the most delicate dissection With a minimum speed of 80 000 rom at 120 psi 8 3 bar input pressure the XMax system is one of the quietest pneumatic handpieces available with 35 more power than Black Max and 50 more than microMax Plus The microMax Plus operates at 80 000 rpm It is small and lightweight to minimize fa
35. ing the attachment onto the handpiece The Lever located on the top of the handpiece is used to lock and unlock dissection tools within the handpiece j Release Cutter Lock Cutter Lever _ ANSPAC PAI ALB ANSP oe Patt Caution If the dissection tool is not inserted properly the Lever will not secure the dissection tool Do not force the Lever For instructions on attachment assembly refer to the specific instructions for each attachment in this manual Black Max Handpiece Distal End A A m R m gt ep m 10 Synthes Anspach Pneumatic Systems User s Manual XMax and microMax Operating Instructions The XMax and microMax Handpieces XM XMAX XMax Motor MICROMAX microMax Motor MICROMAX LP microMax Motor Low Pressure MICROMAX PLUS MICROMAX PLUS LP microMax Plus Motor microMax Plus Motor Low Pressure Operation A Important Firm control of the handpiece must be maintained at all times Never force the dissection tool Let the instrument do the cutting Never use the attachments as a retractor to bend or pry Only Anspach XMax microMax dissection tools should be used with the XMax and microMax Always use continuous irrigation to prevent heat build up Always wear safety glasses XMax Handpiece Distal End Handpiece Knurled Knob Directional Figure 1 XMax Directional Arrows Notice the directional arrows and printi
36. ion tool to ensure proper engagement 6 Attachment and dissection tool are secure Disassembly 1 Move handpiece knurled knob to SAFE position 2 Remove dissection tool from distal end of attachment 3 Rotate attachment to left approximately one quarter turn and remove from distal end of handpiece 18 Synthes Anspach Pneumatic Systems User s Manual Orange 45 or 90 Contra Angle Attachments ORANGE 45 ORANGE 90 45 Contra Angle Attachment 90 Contra Angle Attachment A Set AutoLube operating pressure to 40 psi 2 8 bar MM Assembly for handpieces with a and m 1 Ensure knurled knob on handpiece is in RUN im position 2 Slide attachment over distal end of handpiece Push attachment towards handpiece and rotate attachment clockwise until fully seated Handpiece knurled knob moves up to seat next to attachment 3 Push latch on the distal end of the attachment up with your thumb 4 Insert dissection tool into the side of the distal end opposite side of latch while rotating slowly until dissection tool seats 5 Release latch and check security of attachment by pulling it away from handpiece and check dissection tool by pulling on dissection tool head Latch will be flush with attachment when dissection tool is secure Z Handpiece is now fully functional Disassembly 1 Lift latch on the distal end of the attachment with your thumb Remove dissection tool and release
37. ization Trays Sterilization trays can be cleaned with water and a mild detergent 36 Synthes Anspach Pneumatic Systems User s Manual Sterilization AutoLube Z The AutoLube should not be sterilized iMRI Foot Control Z The iMRI Foot Control should not be sterilized Irrigation Pump The Irrigation Pump should not be sterilized Handpieces and Attachments Metal devices tools and equipment are constructed of materials unatfected by normal environmental conditions of current standard sterilization means when proper operational techniques are employed Effectiveness of sterilization equipment or sterilization processes are directly dependent upon numerous factors beyond Synthes Anspach s control including among other things sterilization means processes and wrapping techniques employed brand model and condition of sterilization equipment care and maintenance techniques employed and operator knowledge and experience Before sterilizing Ensure sterilization equipment Is in proper working order as specitied by the manufacturer Assure equipment manufacturer s instructions are properly employed by trained and qualified personnel Assure actual cycle employed has been properly validated for the device s load configuration being processed and appropriate sterilization indicator devices are included for each process and cycle Synthes Anspach cannot anticipate all possible equipment processes and or conditions that m
38. l dissection tool to ensure proper engagement 4 Slide attachment over distal end of handpiece Pull attachment towards handpiece and rotate attachment to right approximately one quarter turn until fully seated Handpiece knurled knob moves up to seat next to attachment 5 Attachment and dissection tool are secure Disassembly 1 Move handpiece knurled knob to SAFE position 2 Rotate attachment to left approximately one quarter turn and remove from distal end of handpiece 3 Remove dissection tool from distal end of attachment 20 Synthes Anspach Pneumatic Systems User s Manual QD Angle Attachments QD8 8 cm Quick Disconnect Angle Attachment QD11 11 cm Quick Disconnect Angle Attachment QD14 14 cm Quick Disconnect Angle Attachment MM Assembly for handpieces with SECURE and RELEASE 1 Pull down handpiece knurled knob and slide angle attachment over distal end of handpiece until fully seated Rotate attachment to right approximately one quarter turn 2 Release handpiece knurled knob to SECURE position 3 Pull down retaining sleeve on angle attachment and rotate to left 4 Insert dissection tool into angle attachment Rotate dissection tool slowly until dissection tool seats 5 Release retaining sleeve on angle attachment by rotating retaining sleeve to right A Handpiece is now fully functional 6 Check security of dissection tool by pulling on dissection tool shaft Disass
39. l has been delivered without oil or a filter installed A bottle of Anspach lubricating oil filter and muffler have been shipped with the unit and must be added to the AutoLube Ill prior to use Turn handle to open position to insert muffler 1 Before adding oil disconnect the AutoLube Ill from the air source 2 Remove Oil Fill Cap from the top of the AutoLube Ill and fill with Anspach lubricating instrument oil OIL Il Do not fill above the Max Oil Level line next to the oil reservoir Always replace the oil fill cap securely One Tull bottle of Anspach lubricating oil should be added when the oil level reaches the MIN Oil Level line etched next to the oil reservoir Oil Reservoir OIL LEVEL MAX MIN AutoLube Lubrication 1 8 Synthes Anspach Pneumatic Systems User s Manual 3 Before each use a visual check of the oil reservoir should be made to ensure there will be an adequate supply of oil to circulate throughout the procedure 4 Install filter and muffler following Autolube lll Filter section Note Always store and transport AutoLube Ill in an upright position AutoLube III Filter FILTER Il AutoLube Il amp Ill Filters 5 okg The filter muffler filter and vented cover have been packed separately in the AutoLube Ill box The filters should be changed each time a bottle of Anspach lubricating oil is added 1 In
40. latch 2 Move handpiece knurled knob to SAFE position 3 Rotate attachment counterclockwise and remove from distal end of handpiece ORANGE 45 ORANGE 90 gt 5 Me Assembly for handpieces with and m 1 Ensure knurled knob on handpiece is in RUN im position 2 Slide attachment over distal end of handpiece Push attachment towards handpiece and rotate attachment clockwise until fully seated Handpiece knurled knob moves up to seat next to attachment 3 Push latch on the distal end of the attachment up with your thumb 4 Insert dissection tool into the side of the distal end opposite side of latch while rotating slowly until dissection tool seats 5 Release latch and check security of attachment by pulling it away trom handpiece and check dissection tool by pulling on dissection tool head Latch will be flush with attachment when dissection tool is secure A Handpiece is now fully functional Disassembly 1 Lift latch on the distal end of the attachment with your thumb Remove dissection tool and release latch 2 Move handpiece knurled knob to SAFE position 3 Rotate attachment counterclockwise and remove from distal end of handpiece Synthes 19 XMax and microMax Standard Attachments and Dissection Tool Assembly Craniotome and Specialty Attachments CRANI P 6 5 cm Pediatric Craniotome CRANI A 6 5 cm Adult Craniotome CRANI L 14 c
41. m Large Craniotome CRANI A R 6 5 cm Rotating Adult Craniotome ADG 7 2 cm Adjustable Drill Guide CDA 6 8 cm Controlled Depth Attachment MM Assembly for handpieces with SECURE and RELEASE 1 Pull down on handpiece knurled knob and insert dissection tool into distal end of handpiece Rotate dissection tool slowly until dissection tool seats 2 Release handpiece knurled knob into SECURE position Handpiece is now fully functional 3 Check security of dissection tool by pulling on dissection tool shaft 4 Slide attachment over dissection tool and distal end of handpiece push down and rotate attachment to right approximately one quarter turn until fully seated 5 Attachment and dissection tool are secure Disassembly 1 Move handpiece knurled knob to RELEASE position 2 Rotate attachment to left approximately one quarter turn and remove trom distal end of handpiece 3 Remove dissection tool from distal end of handpiece CRANI P CRANI A CRANI L CRANI A R ADG CDA Assembly for handpieces with mand m Distal end of handpiece or attachment is pointed away from user 1 Pull handpiece knurled knob towards LOAD W position and insert dissection tool into distal end of handpiece Rotate dissection tool slowly until dissection tool is fully seated 2 Release handpiece knurled knob into RUN i position Handpiece is now fully functional 3 Pul
42. n tool has a series of identification numbers and letters imprinted on the label and on the shaft The first group of letters and numbers designate the part number the second group of letters and numbers designate the lot number Each attachment is laser marked with its corresponding part number The first group of upper case letters of the dissection tool part number correspond to the attachment s color coded ring and or name and the last digit represents the dissection tool style For example Black Max Dissection Tool Part Number SIL 8 Dissection Tool Description 8 style dissection tool used with the B SILVER attachment Black Max Straight Attachments Refer to Components section for part numbers 1 Lift Lever on handpiece Align notch on attachment with RELEASE on side of Black Max handpiece Turn attachment so notch is aligned with word SECURE 2 Insert dissection tool into attachment Return Lever on Black Max handpiece to down position 3 Pull dissection tool to ensure proper engagement 4 Adjust air source until desired air pressure registers on AutoLube gauge Note Air pressure will not register until foot pedal is depressed Z Handpiece is now fully functional The Operating pressure is 120 psi 8 3 bar as indicated on the AutoLube gauge when using these attachments except for those specified in Assembly Procedures of AutoLube III section Black Max Contra and Right Angle Atta
43. ng on the distal end of the handpiece housing RUN m LOAD m and SAFE These terms refer to locking and unlocking the attachment and dissection tool onto the handpiece Figures 1 and 2 For instructions on attachment assembly refer to the specific instructions for each attachment in this manual microMax Directional Arrows Notice the directional arrows and printing on the side of the handpiece at the distal end SECURE and RELEASE These terms refer to locking and unlocking the attachment and dissection tool onto the handpiece Figure 3 Figure 2 microMax Handpiece Distal End LZ Handpiece USASSE ELEA 62622262S meragerececenececececeees leseese oeoo oe Knurled Knob RRR AN RRR KK RK RESSE SECURE Directional Arrows RELEASE Figure 3 Synthes 11 IMRI Instrument System IMRI Instrument System iMRI IMRI MOTOR IMRI Motor IMRI FOOT CTRL_ iMRI Air Control IMRI SHORT iMRI Short Attachment IMRI SHORT HD iMRI Short HD Attachment IMRI CRANI A IMRI Crani A Attachment IMRI OIL IMRI Synthetic Oil For additional components refer to page 40 Use Care and Operating Instructions A Important Do not use any attachments or cutters with IMRI handpiece not manufactured by Anspach or not identified as iMRI Do not operate handpiece without attachment and cutter installed United States Federal law r
44. nt Carefully inspect handpiece and attachments postcleaning and again preoperatively to ensure there is no corrosion or remaining debris which could adversely affect operation or lead to attachment bearing failure during use Continued use of damaged or worn handpiece or attachments can lead to bearing or other failures which can result in foreign debris entering surgical wound site Never reprocess or reuse iMRI cutters iMRI cutters must be properly disposed of after single use Synthes 13 IMRI Instrument System IMRI Operating Instructions Warning Do not run handpiece without cutter and attachment installed 1 Foot control must be placed on floor within reach of Surgeon Foot control is not subject to sterilization so should never be placed such that sterile field is compromised 2 Place three 3 drops of iMRI OIL into muffler end of iMRI handpiece hose assembly Do not exceed three 3 drops Important iMRI OIL is for use with iMRI Handpiece only Do not use with other Anspach Autolube systems iMRI OIL used in AutoLube can damage the sight window resulting in oil leakage 3 Connect muffler end of hose to foot control and inspect handpiece to ensure it is IMRI and that internal aspect of handpiece is free of damage or debris Caution Do not run handpiece without cutter and attachment installed Damage to handpiece may result if handpiece is operated without cutter
45. om personnel must wear eye protection Visually inspect tor damage before using do not use if damage is evident Do not use accessories other than those provided by Anspach and specified for use with Anspach systems Use care to protect hose when handling cleaning and during system use Damage to hose can cause leaking rupture or other related failures Handpiece s outer hose can rupture without warning if occluded Do not step on set equipment on pinch kink clamp or otherwise occlude handpiece hose during use Do not use if pressure relief valve has cracks or hose has cuts or abrasions 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 To ensure equipment operates as designed read and follow manufacturer s instructions including those for proper service and maintenance Do not operate handpiece without an attachment and the corresponding dissection tool i e Only use Black Max cutting burrs with Black Max attachments 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 ma
46. on driver to line up arrow with RUN Bearing Sleeve Disassembly 1 Rotate knurled knob on driver to line up arrow with TUBE Remove bearing sleeve distal end of driver BM MM Driver Removal for Black Max and microMax 1 Driver removal is reversal of installation instructions Driver Removal for XMax 1 Move handpiece knurled knob to SAFE position 2 Rotate attachment to left approximately one quarter turn and remove from distal end of handpiece 24 Synthes Anspach Pneumatic Systems User s Manual Micro Curved Attachment MCA and Curved Burr Support Sleeves Curved Burr Micro Curved Attachment Assembly Side View Flat End MCA Distal End Drive Shaft Curved Burr Support Sleeve Grooves Note Distal end of handpiece and attachment are pointed away from the user MCA Installation MCA Micro Curved Attachment MCA Installation for XMax Handpieces 1 Ensure handpiece is in RUN m or SECURE position 2 Insert MCA s drive shaft into distal end of handpiece push and rotate to right until it stops Listen for a click as handpiece knurled knob moves up to seat next to MCA 3 Gently twist back and forth to ensure MCA is locked into position MM MCA Installation for microMax Handpieces 1 Ensure knurled knob on handpiece is on RELEASE position 2 Insert MCA s Drive Shaft into distal end of handpiece push and rotate to right until it stops Rotate knurl
47. ow on handpiece while inserting drive shaft of Keyless Driver into handpiece Rotate keyless driver clockwise until notch is aligned with Secure arrow on handpiece Push locking lever down to locked position Disassembly 1 Raise locking lever 2 Rotate BM DRIVER counterclockwise and remove from handpiece XM MM XMax and microMax Keyless Driver Installation DRIVER Keyless Driver 1 Ensure knurled knob on handpiece is in Run or Secure position 2 Insert drive shaft of keyless driver into handpiece and rotate clockwise until locked Gently twist back and forth to ensure it is locked into position Disassembly 1 Pull knurled knob down and twist counterclockwise until it seats Into position 2 Rotate DRIVER counterclockwise and remove 26 Synthes Anspach Pneumatic Systems User s Manual Oscillating Sagittal and Reciprocating Saw Attachment Assembly S SAW Sagittal microSaw Attachment R SAW Reciprocating microSaw Attachment O SAW Oscillating microSaw Attachment 1 Insert attachment drive shaft into distal end of keyless driver Rotate until three tabs on attachment engage three slots in keyless driver 2 Continue to rotate counterclockwise while pushing attachment into keyless driver until attachment locks into position and release ring snaps into position When fully engaged contours on keyless driver body release ring and saw attachment will be in alignment Oscillating Saw Blade
48. proximately one quarter turn until fully seated 3 Pull down on handpiece knurled knob and insert dissection tool into distal end of attachment Rotate dissection tool slowly until dissection tool seats 4 Release handpiece knurled knob to SECURE position Handpiece is now fully functional 5 Check security of dissection tool by pulling on dissection tool shaft 6 Attachment and dissection tool are secure Disassembly 1 Move handpiece knurled knob to RELEASE position 2 Remove dissection tool from distal end of attachment 3 Rotate attachment to left approximately one quarter turn and remove from distal end of handpiece SHORT ho MEDIUM _ e LONG MIA16 SHORT HD a MEDIUM HD e a LONG HD XL HD Assembly for handpieces with mand m Distal end of handpiece or attachment is pointed away from user 1 Move handpiece knurled knob to RUN i position 2 Slide attachment over distal end of handpiece Pull attachment towards handpiece and rotate attachment to right approximately one quarter turn until fully seated Handpiece knurled knob moves up to seat next to attachment 3 Pull handpiece knurled knob towards LOAD if position and insert dissection tool into distal end of attachment Rotate dissection tool slowly until Tully seated 4 Release handpiece knurled knob into RUN position Handpiece is now fully functional 5 Pull dissect
49. sert the filter by taking the tab and sliding the horseshoe shaped portion of the filter into the cavity in a downward motion The tab will extend out of the cavity 2 Push muffler filter into vented cover with the hole in muffler filter centered over the attachment screw The muffler is oversized and must be compressed to Tit 3 Place the vented cover over the filter cavity and secure by turning the grey wingnut in a clockwise direction AutoLube Filter Insert filter with a downward motion Synthes 9 Black Max Operating Instructions The Black Max Handpiece BM BLACKMAX N Swivel Angle Motor Assembly BLACKMAX O Fixed Straight Motor Assembly BLACKMAX N LP Low Pressure Swivel Angle Motor Assembly BLACKMAX NS Neuro Safety BLACKMAX NS LP Low Pressure Neuro Safety Operation Attachment Lever Connection Motor Housing Handpiece A Important Firm control of the Black Max must be maintained at all times Never force the dissection tool Let the instrument do the cutting Never use the attachments as a retractor to bend or pry Only Anspach Black Max dissection tools should be used with the Black Max Always use continuous Irrigation to prevent heat build up Always wear safety glasses Black Max Directional Features The words SECURE and RELEASE engraved on the side of the Black Max handpiece refer to the locking and unlock
50. t 45 Contra Angle Attachment 90 Contra Angle Attachment 8 cm Quick Disconnect Angle Attachment 7 5 cm Quick Disconnect Angle Attachment 11 cm Quick Disconnect Angle Attachment 10 5 cm Quick Disconnect Angle Attachment 14 cm Quick Disconnect Angle Attachment 13 5 cm Quick Disconnect Angle Attachment Perforator Driver with Hudson End 60 1 Ratio Keyless Driver Sagittal Saw Oscillating microSaw Attachment Reciprocating microSaw Attachment Sagittal microSaw Attachment Jacobs Chuck J latch Chuck BM Black Max Attachments B SILVER B TURQUOISE B VIOLET B BLUE S B TURQ L B GREY MIA16 B GREY MIA20 B BLACK B RED B MRA S B MRA M B MRA L B ORANGE 45 B ORANGE 90 B GREY ADG B TURQ CDA B GOLD B GOLD R B GREEN B GREEN R B TURQ X B QD8 amp B QD8 S B QD11 B QD11 S B QD14 MA D20 BM MA 15S MA 15C MA 10S MA 10C MA 15ST MA 19ST B SAGITTAL BM DRIVER O SAW R SAW S SAW CSR6E0BM SA JACOBS SA JLATCH 6 1 cm Attachment 5 9 cm Attachment 8 2 cm Attachment 11 25 cm Attachment 12 6 cm Attachment 16cm MIA 20cm MIA 19 cm Attachment 26 65 cm Attachment 9 4 cm Revision Attachment 16 5 cm Revision Attachment 22 cm Revision Attachment Contra Angle Attachment Multiple Angle Right Angle Attachment 90 8 7 cm Adjustable Drill Guide Attachment Controlled Depth Attachment Large Craniotome Rotating Large Craniotome Standard Craniotome Rotating Green Craniotome Pediatric Craniotome 8 cm Angle At
51. t except the ACB as specified 1 Clean AutoLube Foot Control by wiping with nonabrasive cloth and disinfectant or mild detergent and water after each case 2 Store in upright position 3 Check oil level and add Anspach oil and filter when level is below MIN Oil Level line Attachments Caution Wear eye protection Note DO NOT IMMERSE as marked on attachments Is for OR personnel only DO NOT use ultrasonic equipment or corrosive or harsh chemical soaps Do not rinse attachment with saline solution 1 Remove the attachment and dissection tool from the handpiece 2 Fully immerse the attachment in an alkaline cleaner non chlorinated detergent prepared as described on the product label at room temperature in a suitable container and agitate for 15 seconds Mix Alkaline Cleaner 15 seconds Item Numbers 3 and 4 refer only to the Straight Craniotome Specialty and QD Angle Attachments For any other attachments proceed to Item Number 5 Use only Anspach Attachment Cleaning Brush ACB ACB h _ _ ii a ie EEN E ee 5M A oY i 4 Remove the brush ACB 5 Rinse the attachment in a suitable container filled with water and agitate for 15 seconds 15 seconds 100 H 0 j 6 Repeat Steps 1 and 2 if there is evidence of soils or residuals on the attachment surface 7 After cleaning and rinsing fully immerse the attachmen
52. t in instrument milk Non silicone Based Medical Lubricant prepared as described on the product label at room temperature in a suitable container and agitate for 15 seconds Medical Lubricant Mix 15 seconds 34 Synthes Anspach Pneumatic Systems User s Manual 8 Remove the attachment and allow it to drain a DO NOT rinse out instrument milk lubricant b DO NOT apply mineral oil or other lubricants which may cause the attachment to overheat Dissection Tools A Caution Disposable Single use only iMRI Foot Control A Caution DO NOT IMMERSE OR STERILIZE Note For best use results the recommended alkaline cleaner and lubricant should be used Isopropyl alcohol Viraguard or 70 ethanol may be substituted for the alkaline cleaner if necessary 1 Clean iMRI Foot Control by wiping with non abrasive cloth and disinfectant or mild detergent and water after each case 2 Dry thoroughly with non abrasive cloth Irrigation Pump A Caution DO NOT IMMERSE OR STERILIZE Do not allow liquid to enter Irrigation Pump 1 Disconnect all power from pump and remove and discard tubing Attachment Clip and Hose Clip before cleaning 2 Clean pump by wiping with non abrasive cloth and disinfectant or mild detergent and water 3 Dry thoroughly with non abrasive cloth Synthes Sis Cleaning and Maintenance Minimal Access Attachment Bearing Sleeves Follow the Attachment
53. tachment 7 5 cm Angle Attachment 11 cm Angle Attachment 10 5 cm Angle Attachment 14 cm Angle Attachment 20 Angle Driver Bearing Sleeve 15 cm Straight Bearing Sleeve 15 cm Curved Bearing Sleeve 10 cm Straight Bearing Sleeve 10 cm Curved Bearing Sleeve 15 cm Straight Taper Bearing Sleeve 19 cm Straight Taper Black Max Sagittal Saw Keyless Driver Oscillating microSaw Attachment Reciprocating microSaw Attachment Sagittal microSaw Attachment Perforator Driver with Hudson End Jacobs Chuck J latch Chuck Synthes 39 Ordering Information IMRI Instrument System IMRIF FMOTOR IMRI FOOT CTRL IMRI SHORT IMRI SHORT HD IMRI CRANI A IMRI S 4B IMRI S 1004TD IMRI S 1R IMRI A CRN IMRI SHD 6B IMRI SHD 6R IMRI OIL IMRI Motor iMRI Air Control IMRI Short Attachment IMRI Short HD Attachment IMRI Crani A Attachment 4 mm Fluted Ball 1 mm x 4 mm Twist Drill w Stop 1 4 mm x 12 8 mm Fluted Router 1 85 mm x 16 mm Fluted Router 6 mm Fluted Ball 1 12 mm x 6 35 mm Fluted Router IMRI Synthetic Oil Irrigation System IRR PUMP II IRRIGATE TUBE IRRIGATE TUBE HF Powered Irrigation Pump Sterile Tubing and Hoseclips High Flow Sterile Tubing and Hoseclips IRR CLIP 10 Irrigation Clip for SHORT IRR CLIP 20 Irrigation Clip for QD8 QD8 S B QD8 IRR CLIP 30 Irrigation Clip for SHORT HD B SILVER IRR CLIP 40 Irrigation Clip for MEDIUM HD LONG HD B BLUE S B VIOLET IRR CLIP 50 Irrigation Clip for MEDIUM LONG
54. tch on attachment with word RELEASE on the Black Max Next B GREEN turn attachment so notch is aligned with word SECURE 3 The handpiece is now operational Operating pressure Is 120 psi 8 3 bar as indicated on the AutoLube gauge B GREEN R when using these attachments B GREY ADG B TURQ CDA Figure 3 Black Max QD Angle Attachments B QD8 Refer to Components section for part numbers 1 Lift Lever on Black Max Align notch on angle attachment with word RELEASE on the side of the Black Max Next turn angle attachment so notch is aligned with word B QD11 SECURE which is laser etched on the side of the Black Max 2 Pull down retaining sleeve on angle attachment and rotate to left when attachment is pointed away from you _ Insert dissection tool Release retaining sleeve by rotating to left Pull dissection tool to ensure proper engagement Figure 4 Ow A W Return Lever on Black Max handpiece to down position A Handpiece is now fully functional Operating pressure is 120 psi 8 3 bar as indicated on the AutoLube gauge when using these attachments 16 Synthes Anspach Pneumatic Systems User s Manual XMax and microMax Standard Attachments and Dissection Tool Assembly Straight Attachment Assembly Motor Housing Handpiece XMax microMax Retaining Sleeve Straight Attachment Dissection Tool i ANSPACH
55. ted Rotate Compact SpeedReducer to right approximately one quarter turn until knurled knob locks in place 4 Pull back retaining sleeve insert Hudson end of cranial perforator and release retaining sleeve Disassembly 1 Move handpiece knurled knob to RELEASE position 2 Rotate Compact SpeedReducer to left approximately one quarter turn and remove device 3 Replace red storage cover sre fEDucer 60 CSR6O Compact SpeedReducer Assembly for handpieces with manda Distal end of handpiece or attachment is pointed away from user 1 Remove red storage cover 2 Move handpiece knurled knob to RUN gg position 3 Slide SoeedReducer over distal end of handpiece Pull SpeedReducer towards handpiece and rotate to right approximately one quarter turn until fully seated Handpiece knurled knob will move up to seat next to SpeedReducer 4 Pull SoeedReducer retaining sleeve towards handpiece Insert Hudson end of cranial perforator and release retaining sleeve Disassembly 1 Pull SoeedReducer retaining sleeve towards handpiece and remove cranial perforator trom distal end of SpeedReducer 2 Move handpiece knurled knob to SAFE position 3 Rotate SoeedReducer to left approximately one quarter turn and remove from distal end of handpiece 4 Replace red storage cover Synthes 31 Anspach Powered Irrigation System Irrigation Pump Assembly IRR PUMP II Powered Irrigation Pump 1 Insert A
56. tigue for long procedures It has 60 more power than microMax The Black Max operating at 80 000 rom at 120 psi 8 3 bar offers smooth controlled bone dissection The iMRI Instrument System provides an Intraoperative MRI compatible configuration The iMRI Instrument System utilizes non magnetic materials in the handpiece attachment and dissection tool components that have been approved for use with field strengths up to 1 5 Tesla 2 Synthes Anspach Pneumatic Systems User s Manual Indications XMax Cutting and shaping bone Black Max Cutting and shaping bone microMax Cutting and shaping bone iMRI Surgical Drill System The Anspach iMRI Surgical Drill System including pneumatic drill motor foot control nosepiece attachments and cutters is indicated for intraoperative non imaging use within a Magnetic Resonance Imaging MRI environment rated at 1 5 Tesla or less for surgical cutting shaping an iMRI removal of bone including bones of the skull and spine Spine surgery Neurosurgery and ENT Synthes 3 Warnings and Cautions United States Federal law restricts this device to sale by or on order of a physician or other licensed healthcare provider 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 Instrument operator and all operating ro
57. use harmful interference to other devices which can be determined by turning the equipment off and on the user is encouraged to try to correct the interference by one or more of the following measures Reorient or relocate the device receiving interference Increase separation between the equipment Connect the equipment into an outlet different from that which the other device s are connected Consult the manufacturer or field service technician for assistance 1 With respect to electric shock fire and mechanical hazards only in accordance with UL 2601 1 3AF3 2 With respect to electric shock fire mechanical and other specified hazards only in accordance with CAN CSA C22 2 NO 601 1 CAN CSA 601 2XxX if applicable Medical equipment certified for Canada 3AF3 Synthes 53 Cleaning and Maintenance Important Prior to use and while cleaning visually inspect the instrument s Do not use the instrument s if damaged AutoLube 3 Gently insert and remove Anspach Attachment Cleaning Brush ACB wetted with alkaline cleaner through the distal tip opening of the attachment as many times as necessary to remove any foreign debris DO NOT FORCE the brush into or through the attachment Caution DO NOT IMMERSE OR STERILIZE DO NOT allow liquid to enter AutoLube except as specified in the operating manual for adding Anspach oil Caution DO NOT insert anything into the attachmen
58. utoLube Ill to the hospital air source nitrogen tank or hospital nitrogen system Adjust the air source until the desired air pressure registers on the gauge of the AutoLube Ill Pressure will not register on the AutoLube III until the muffler is inserted and the toot pedal is activated The wall nitrogen tank pressure may read as much as 40 psi higher than the AutoLube Ill gauge A Handpiece is fully functional at this time Recirculating Bowl Pressure Gauge Open Position 2 eK D Cm ea E A Handle ZMN Eey 7 a a Red Ring inserts Tully into Recirculating Bowl Locked Position MAX MIN Synthes r AutoLube III Operating Instructions Pressure Relief Valve Pressure Relief Valve Z Handpiece hose may include a pressure relief valve to remove excess pressure in the case of hose occlusion between the AutoLube and the valve If the pressure relief valve is actuated during use remove the source of the occlusion Do not attempt to disassemble the pressure relief valve AutoLube Lubrication OIL II Instrument Oil with 1 Replacement Filter The AutoLube II
59. vel Do not overfill AutoLube Check connection at air source Return to Synthes Anspach for service Return to Synthes Anspach for service 38 Synthes Anspach Pneumatic Systems User s Manual Ordering Information XMax and microMax Attachments SHORT MEDIUM LONG LONG S LONG O1 MIA16 SHORT HD MEDIUM HD LONG HD XL HD ADG CDA CRANI A CRANI A 01 CRANI P CRANI L CRANI A R CRANI L R MA DRIVER MA D20 MA 15S MA 15C MA 15ST MA 19ST MA 10S MA 10C MCA ORANGE 45 ORANGE 90 QD8 QD8 S QD11 QD11 S QD14 QD14 S CSR60 DRIVER MM SAGITTAL O SAW R SAW S SAW SA JACOBS SA JLATCH 5 cm Short Attachment 8 cm Medium Attachment 11 cm Long Attachment 10 5 cm Long Attachment 10 5 cm Long Attachment Non tapered End 16 cm Minimally Invasive Attachment 5 cm Heavy Duty Short Attachment 8 cm Heavy Duty Medium Attachment 12 4 cm Heavy Duty Long Attachment 20 2 cm Heavy Duty Extra Long Attachment 7 2 cm Adjustable Drill Guide 6 8 cm Controlled Depth Attachment 6 5 cm Adult Craniotome 6 5 cm Adult Craniotome Thin 6 5 cm Pediatric Craniotome 14 cm Large Craniotome 6 5 cm Rotating Adult Craniotome 14 cm Large Rotating Craniotome Straight Driver 20 Angle Driver Bearing Sleeve 15 cm Straight Bearing Sleeve 15 cm Curved Bearing Sleeve 15 cm Straight Taper Bearing Sleeve 19 cm Straight Taper Bearing Sleeve 10 cm Straight Bearing Sleeve 10 cm Curved Micro Curved Attachmen
60. y 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 Do not engage safety mechanism while handpiece is running doing so makes safety mechanism inoperable Only cut visible areas unless an image intensifier is utilized Delicate structures in proximity to dissection must be thoroughly protected to prevent injury Irrigation is necessary for proper operation Maintain firm control of instrument at all times Do not bend or use as a lever Use a gentle tapping motion or side to side motion and let instrument do cutting Do not use excessive force 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 4 Synthes Anspach Pneumatic Systems User s Manual Technical Specifications BM Black Max Specifications Speed Handpiece muffler hose Outside housing diameter Length of housing Handpiece weight Handpiece muffler hose weight up to 80 000 rom 3 81 m 12 5 ft 19 mm 75 in 91 mm 3 6 in 70 gms 2 6 02 0 65 kg 1 4 Ibs microMax Specifications Speed Handpiece muffler hose Outside housing diameter Length of housing Handpiece wei

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