Trauma Recon System (TRS). Battery-driven power
Contents
1. 2 Center drill bit After the incision position the radiolucent drive and center the drill bit tip over the locking hole 34 Synthes Trauma Recon System User s Manual 3 Center radiolucent drive Center the radiolucent drive precisely so that the drill bit appears as a round point and the locking hole visibly Surrounds it Use the target ring to assist in centering the drill bit 4 Drill Directly drill the locking hole Trauma Recon System User s Manual Synthes 35 Operating Instructions Trauma Recon Sagittal Saw Lid Mode switch The mode switch on the lid for Trauma Recon Sagittal Saw 05 001 241 can be set to 3 different positions 1 UNLOCK position a 2 LOCK position 3 SAW position The lid for Trauma Recon Sagittal Saw 05 001 241 only fits onto the Trauma Recon Sagittal Saw handpiece 05 001 240 UNLOCK position a In this position the lid can be attached and removed In all other positions the lid is secured so that it cannot fall during surgery To position the mode switch to UNLOCK a press the safety button on the mode switch and turn to UNLOCK The safety button prevents inadvertent switching of the mode switch to UNLOCK which could disengage the lid from the handpiece It is not necessary to press the safety button to turn the mode switch to any other position Note Once the power module has been inserted the mode switch should be set to LOCK2. inadvertent opening of the lid only press to set to UNLOCK a 8 UNLOCK position a 9 LOCK position 10 Sawing position O LT Lu at uw c i a 4 Synthes Trauma Recon System User s Manual Specifications Power Module Power module 05 001 202 The power module includes the motor circuit board and lithium ion Li ion battery 1 Information button when pressed the charge status display and or service indicator illuminates 2 Charge status display 3 Service indicator if when red LED illuminates immediately send the power module to the Synthes Service Depart ment for repair 4 Lever to remove the power module from the handpiece Specifications Voltage 25 2 V Type Li ion lithium ion Capacity 1 2 Ah Charging time 60 minute maximum Important DO NOT STERILIZE POWER MODULE Power module will no longer function Trauma Recon System User s Manual Synthes 5 Specifications Universal Battery Charger II Universal Battery Charger II 05 001 204 The Universal Battery Charger Il includes four independent charging bays Each charging bay has three slots for the following batteries power module Battery Power Line Battery Trauma Recon System Power Module Small Battery Drive Battery Note The maximum charging time depending on the charge status and type of battery power module is 45 to 80 minutes 1 Battery Powe
3. securely on top of the handpiece opening The insertion shield helps guide the power module into the handpiece and prevents contamina tion of the sterile handpiece by the nonsterile power module Circulating person 3 Insert the power module into the handpiece 3a and press down to ensure it Is fully seated 3b 4 Remove the insertion shield Trauma Recon System User s Manual Synthes 17 Operating Instructions Power Module 05 001 202 Scrubbed person 5 Ensure the mode switch is in the UNLOCK position Place the sterile lid on the handpiece taking care to not contact the power module or in side of the handpiece Align the dot on the handpiece with the dot on the lid 5a to ensure the correct alignment of the lid Twist the lid clockwise 5b to secure and lock the lid by turning the mode switch to the LOCK position 5c Notes Although one power module is usually sufficient for one operation Synthes recommends preparing a second drive unit with power module to ensure a quick intraoperative exchange of drive units under sterile conditions Press the information button before using the power module to check the battery charge status To ensure aseptic conditions the power module may not be removed from the handpiece until the end of surgery When fully charged the power module should have enough battery capacity for the entire surgery Energy saving function If the
4. Saw Blade for Sternum Top 1 Insert the sternum saw blade into the reciprocating saw attachment by following the instructions on page 31 2 Slide the sternum top over the inserted saw blade until the base of the top is seated on the black collar just behind the silver release knob of the reciprocating saw attachment 3 Engage the screw with the Allen wrench rotating clock wise to tighten the screw at the base of the top until it is fully seated Remove the sternum top Engage the screw with the Allen wrench rotating counter clockwise to loosen the screw at the base of the top Slide the top over the attachment and saw blade Note Only use the saw blade for sternum top 511 915S with the sternum top as the length of this saw blade is designed to fit the length of the sternum top 52 Synthes Trauma Recon System User s Manual Operating Instructions Radiolucent Drive Adaptor for Radiolucent Drive 05 001 226 Maximum speed approx 1 500 rom Radiolucent Drive 511 30 Assemble radiolucent drive 1 Insert the adaptor for radiolucent drive into the coupling sleeve of the TRS handpiece 2 Slide the radiolucent drive over the adaptor and twist until the drive shaft engages Insert radiolucent drill bits 1 Push the collar of the radiolucent drive forward 2 Insert the drill bit into the coupling rotating slightly until the coupling is fully seated 3 With the drill bit fully seated pull back on
5. Saw Blades for Reciprocating Saw Attachment 05 001 225 Saw blades sterile Blade Cutting Cutting Height mm Length mm Thickness mm 511 905S 10 80 1 05 511 906S 10 70 1 27 511 907S 10 55 1 05 511 909S 10 55 0 85 511 912S 12 68 1 10 double sided 511 913S 12 68 1 00 double sided 511 914S 12 68 0 80 double sided 511 915St 10 40 1 10 Please contact your Synthes Sales Consultant or Customer Service for additional information t Use with Sternum Top for Reciprocating Saw Attachment 511 904 Illustrations not to scale m a a a eee a ee et E EES Oo 2 EEES oa ae s E SS 519 106S E l 3 E D eg dg la tg ta as 3 He 3 3 e a b T gt k 519 170S J ie Mr ae AA AA AAAAAA AAAAAAAAAAAAAAAAAAAAAARAAAAAAAAAAAAAA AAMAS 511 9055 i ae D ka AA AA AA AA AA AA AA AAAAAAAAAAAAAAAAAAAAAAL 511 909S ta amp Jj all VVVVVVVVVYVVVVVVVVVYVVYYVVVYVVVYVVVVYYYYVYYVVY AAAA 511 9125S 50 Synthes Trauma Recon System User s Manual Drill Bits Three Fluted Brad Point for Radiolucent Drive 511 30 Diameter Length mm mm 911 411 2 0 150 511 412 2 5 150 511 413 2 7 150 511 414 3 2 150 911 415 29 150 511 416 3 6 150 911 417 4 0 150 511 418 4 5 150 511 431 32 105 511 432 4 0 105 Drill Bits Three Fluted Needle Point for Radiolucent Drive 511 30 Diameter Length mm mm 03 010 100 3 2 145 03 0
6. This prevents the lid from being opened inadvertently LOCK position f In this position the lid is secured and the saw is not operational Note To avoid injuries the mode switch has to be in the LOCK position when inserting removing cutting tools and when placing the drive unit down SAW position In this position the saw is operational Working in SAW mode The trigger gradually controls the speed When the trigger is released the drive unit immediately stops Note For safety reasons there is a response delay when switching trom LOCK to SAW The saw will not run when the trigger is engaged 36 Synthes Trauma Recon System User s Manual Working with the Trauma Recon Sagittal Saw Operating the Trauma Recon Sagittal Saw Turn the mode switch to the SAW position The single Stee variable speed trigger allows control of the oscillating TRS Recon Saw frequency from O to 11 000 oscillations per minute Positioning the saw head The saw head can be locked into 8 different positions in 45 increments To set the desired position pull the sliding sleeve back for positioning the saw head and turn the saw head to the selected position Release the sliding sleeve Turn the saw head slightly to the left or to the right It automatically locks into place once the exact position is found Note To position the saw head turn the mode switch on the lid to LOCK Trauma Recon System User s Ma
7. charged and operational time may be shorter Important Always leave the charger switched on when a power module is inserted in a charging bay The battery cells of the power module do not discharge if not used however it is still good practice to check if it is fully charged prior to use by pressing the information button and reading the battery charge status display Never attempt to insert more than one power module or battery in the same charging bay If LEDs do not follow this sequence refer to the troubleshooting section page 43 Figure 4 Figure 5 Trauma Recon System User s Manual Synthes 13 Operating Instructions Universal Battery Charger Il 05 001 204 Power module diagnostic test The flashing yellow arrow on the charger display indicates that it is time for the power module to undergo a diagnostic test within the next 3 charging cycles Figure 1 Note Please choose a convenient time for the diagnostic test as it can take up to 4 hours to complete If the diagnostic test is not initiated within the next 3 charging cycles the device will carry out the diagnostic test automatically The charger will indicate a need for a diagnostic test when 50 charging cycles have been completed since the last diagnostic test flashing To perform the diagnostic test Figure 1 1 Insert the power module in an open charging bay 2 Press the exclamation mark button on the charger dis
8. forth motion in the plane of the saw blade allowing the blade to oscillate freely just beyond the bone on each side Press down while tightening saw blade Note Very precise cuts can be made when the saw blade is guided steadily Imprecise cuts indicate worn saw blades excessive pressure or jamming of the saw blade due to tilting Important Synthes recommends using a new saw blade for each opera tion This ensures that the saw blade is optimally sharp and clean The following risks are associated with used blades Necrosis caused by excessive heat build up Infection caused by residue Extended cutting time from poor sawing performance Trauma Recon System User s Manual Synthes 29 Operating Instructions Saw Attachments Sagittal Saw Attachment with key 05 001 224 Frequency approx 11 000 oscillations minute Deflection approx 4 5 approx 2 25 on each side Insert a saw blade 1 Ensure the drive unit is turned off by placing the mode switch in the LOCK position Position the attachment The saw attachment can be locked in 8 different positions in 45 increments To reposition the saw attachment remove the attachment and reattach in the desired position Open the saw blade coupling screw by turning the key 05 001 229 counterclockwise Insert saw blade into the attachment coupling and adjust to the desired position The blade can be locked in different positions at 45
9. handpiece with the inserted power module is not used for two hours the power module automatically switches off To continue working the mode switch must first be set to the LOCK position and then back to the desired mode DRILL REAM SAW or OSC DRILL 18 Synthes Trauma Recon System User s Manual Overheating protection An internal thermal overload safety system prevents the drive unit from overheating If the drive unit becomes too hot during use the power will automatically reduce thereby reducing the speed If this occurs discontinue use and allow the drive unit to cool down refer to Duty cycles on page 45 If the drive unit begins overheating and operation of the drive unit continues the drive unit will eventually switch off completely and will not operate again until the drive unit has cooled down Assessing a damaged power module 1 Check the power module for signs of mechanical damage tears etc Damaged power modules must not be used and have to be sent to the Synthes Service Department for repair 2 Press the information button briefly to check the battery charge status and the service indicator If the service indicator illuminates the power module may not be used and has to be sent to the Synthes Service Department 3 Press the information button for approximately 10 seconds until the motor starts and the power module performs a self test If this is completed and the service indicator does not illumina
10. illuminate the power module is fully charged f three or fewer LEDs illuminate the power module is not fully charged The battery charge may be sufficient depending on the level of the charge Synthes recommends using a fully charged power module f the bottom LED flashes the power module is fully discharged Service indicator If the wrench LED illuminates red the power module must be sent in for repair Figure 2 Note The service indicator does not illuminate constantly It only illuminates if the information button is pressed and maintenance is required The indicator light shuts off after a few seconds to save the battery The service indicator not illuminating does not necessarily mean that the power module is fully functional Figure 1 Figure 2 LIVIN O O O O Trauma Recon System User s Manual Synthes 15 Operating Instructions Power Module 05 001 202 Charger and power module displays If the charger is on and the power module is inserted in a charging bay the battery charge status or service Indicator will remain illuminated Charging Only use the Synthes Universal Battery Charger Il to charge the power module The use of other chargers can damage the power module Charge the power module within an ambient temperature range of 10 C to 40 C Storage Never expose the power module to temperatures over 50 C The battery cells of t
11. 10 101 4 2 145 03 010 102 5 0 145 Please contact your Synthes Sales Consultant or Customer Service for additional information t Use with Sternum Top for Reciprocating Saw Attachment 511 904 Illustrations not to scale i 511 417 03 010 100 Trauma Recon System User s Manual Synthes 51 SYNTHES Power Tools 2009 Synthes Inc or its affiliates All rights reserved Synthes USA Synthes Canada Ltd 1302 Wrights Lane East 2566 Meadowpine Boulevard West Chester PA 19380 Mississauga Ontario L5N 6P9 Telephone 610 719 5000 Telephone 905 567 0440 To order 800 327 6887 To order 800 668 1119 Fax 800 327 6661 Fax 905 567 3185 E mail info anspach com DCS DHS and Synthes are trademarks of Synthes Inc or its affiliates Printed in U S A 7 12 J8805 D
12. 5 90 t27 05 003 107S 12 5 90 1 37 05 003 109S IZ 90 1 47 05 003 110S 19 90 0 89 05 003 112S 19 90 1 00 05 003 113S 19 90 t 07 05 003 114S 19 90 1 19 05 003 116S 19 90 1 27 05 003 117S 19 90 t37 05 003 119S 19 90 1 47 05 003 120S 19 12 5 90 0 89 05 003 122S 19 12 5 90 1 00 05 003 1235 19 12 5 90 107 05 003 124S 19 12 5 90 1 19 05 003 126S 19 12 5 90 1 27 05 003 127S 19 12 5 90 L7 05 003 129S 19 12 5 90 1 47 05 003 130S 25 90 0 89 05 003 1325 25 90 1 00 05 003 1335 25 90 1 07 05 003 134S 25 90 1 19 05 003 136S 25 90 127 05 003 137S 25 90 1 37 05 003 139S 25 90 1 47 Please contact your Synthes Sales Consultant or Customer Service for additional information Blade width shaft width Illustrations not to scale age a a 05 003 100S p EE a 05 003 1165 Bi E BLBI BI Bi BIE PRPR RY 05 003 126S tet ae ae 05 003 136S Trauma Recon System User s Manual Synthes 49 Cutting Tools Sagittal Saw Blades for Sagittal Saw Attachment 05 001 224 or TRS Recon Sagittal Saw 05 001 240 Saw blades calibrated sterile Blade Calibrated Cutting Width mm Length mm Thickness mm 519 100S 27 50 0 6 519 1035 10 25 0 6 519 104S 10 50 0 6 519 1055 20 50 0 6 519 106S 19 70 1 0 519 1138 18 70 1 2 519 150S 14 50 0 6 519 1705 27 70 0 8 519 1905 50 70 0 8 519 200S 27 70 1 0 519 210S 27 70 to 519 2305 6 25 0 6 519 2505 14 25 0 6 Reciprocating
13. Battery driven power system designed for traumatology and arthroplasty User s Manual ORAL ae TRS Modular Drive d Instruments and implants approved by the AO Foundation Table of Contents Introduction Applications 2 Specifications TRS Handpieces and Lids 3 Power Module 5 Universal Battery Charger 6 Attachments for Trauma Recon System 7 Operating Instructions Universal Battery Charger II 12 Power Module 15 TRS Modular Lids 20 Attachments 21 Saw Attachments 29 Radiolucent Drive 33 TRS Recon Saw Lid 36 TRS Recon Saw 57 Product Information Troubleshooting 39 Technical Data 45 Ordering Information 47 Cutting Tools 49 Image intensifier control Trauma Recon System User s Manual Synthes Applications The Trauma Recon System is a battery driven power system with a range of attachments and accessories for use in general traumatology and arthro ES plasty including drilling sawing inserting removing K wires DHS DCS RIA and intramedullary and acetabular reaming The TRS Recon Sagittal Saw is a dedi cated handpiece specifically designed for knee and hip arthroplasty Drilling Reaming K wire insertion Bone graft harvesting Sagittal sawing Reciprocating sawing 2 Synthes Trauma Recon System User s Manual Specifications Trauma Recon Modular Handpiece and Lid Handpiece 05 001 201 1 Coupling sleeve 2 Instant reverse o
14. O Quick Coupling 05 001 205 Maximum speed approx 1 450 rom Cannulation 2 1 mm Insert an instrument Introduce the instrument into the attachment applying Slight pressure and turning slightly until it locks into place Pull lightly on the instrument to ensure It is secure Note It is not necessary to pull back the collar of the attachment to insert the instrument Remove an instrument Pull back the collar of the attachment and remove the instrument 22 Synthes Trauma Recon System User s Manual Chuck with Key Drill Speed 05 001 206 Chuck with Key Ream Speed 05 001 207 Maximum speed approx 1 450 rom drilling approx 330 rpm reaming Cannulation 4 1 mm Drill chuck accepts round and triangular shafts up to 7 3 mm Ream chuck accepts round and triangular shafts up to 7 3 mm Insert an instrument Open the chuck jaws by turning the key counterclockwise or by manually turning the collar Insert the instrument shaft into the opened chuck Close the chuck manually by rotating the collar keeping the shaft centered in the jaws Tighten the chuck by turning the key clockwise Remove an instrument Turn the key counterclockwise to open the jaws Remove the instrument Chuck Keyless Drill Speed 05 001 208 Maximum speed approx 1 450 rom Cannulation 4 1 mm Accepts round and triangular shafts up to 6 5 mm Insert an instrument Open the chuck jaws b
15. aligned Align dot on lid with dot on handpiece until fully seated and rotate toward arrow Mode switch not in UNLOCK position Set mode switch to UNLOCK position Cannot remove lid from handpiece Mode switch not in UNLOCK position Set mode switch to UNLOCK position Mode switch cannot be turned Mode switch is blocked by residue Clean and lubricate mode switch Safety button was not pressed to change Press safety button and simultaneously to the UNLOCK position turn mode switch to UNLOCK Triggers are difficult to move Trigger shafts are blocked by residue Clean and lubricate trigger Trigger shafts are not lubricated Lubricate trigger shafts 40 Synthes Trauma Recon System User s Manual Troubleshooting Attachments and Instruments Problem Possible causes Remedy Difficulty inserting instruments into attachment Attachment or instrument excessively worn Replace attachment or instrument K wire cannot be inserted into the K wire attachment K wire attachment Is not opened Fully open the adjustment sleeve at the end of the attachment insert the K wire and close the adjustment sleeve K wire cannot be secured despite pulling the clamping lever K wire attachment is opened too far Close the adjustment sleeve at the end of the attachment until the wire is tensioned and release by two clicks K wire is jammed in the attachment and cannot be moved K wire w
16. andpieces Washing Machine Basket for 2 TRS Handpieces or 1 Gaia Modular and 1 Saw Washing Machine Basket for 2 TRS Handpieces or 1 Modular and 1 Saw 68 001 606 Additional Accessories 210 20 311230 511 904 Right Angle Drive Radiolucent Drive Sternum Top for use with Reciprocating Saw Attachment 05 001 225 and Saw Blade 511 915S Replacement Accessories 310 191 05 001 140 05 001 229 60 550 141 60 550 143 60 550 146 60 550 147 Replacement Key for TRS Chuck Attachments 05 001 206 and 05 001 207 Medical Grade Power Cord Replacement Key for Sagittal Saw Attachment long 05 001 224 and TRS Recon Sagittal Saw 05 001 240 Replacement Lid for Graphic Case 60 550 140 Replacement Insert Tray for Graphic Case 60 550 140 Replacement Lid for Graphic Case 60 550 145 Replacement Insert Tray for Graphic Case 60 550 145 Cleaning and Maintenance Accessories 316 101 Jag Cleaning Brush Autoclavable Oil 50 ml 48 Synthes Trauma Recon System User s Manual Cutting Tools Sagittal Saw Blades for Sagittal Saw Attachment 05 001 224 or TRS Recon Sagittal Saw 05 001 240 Saw blades with aggressive tooth calibrated sterile Blade Calibrated Cutting Width mm Length mm Thickness mm 05 003 100S 12 5 90 0 89 05 003 102S 12 5 90 1 00 05 003 103S 125 90 1 07 05 003 104S 12 5 90 1 19 05 003 106S 12
17. as inserted at an angle and is jammed in the attachment Send to Synthes Service Department Sagittal saw attachment vibrates too fast or aggressively Saw blade coupling is loose Retighten locking knob of the saw blade coupling Mode switch set to incorrect function Set to SAW mode Sagittal saw attachment vibrates erratically Mode switch incorrectly set to OSC DRILL Set to SAW mode Saw blade is not firmly tightened Tighten saw blade Bone and cutting tool becomes excessively hot Cutting tool is worn Replace the cutting tool Trauma Recon System User s Manual Synthes 41 Troubleshooting Power Module Problem Possible causes Remedy Power module cannot be inserted into handpiece Power module inserted in wrong direction Turn power module to align correctly and insert again Power module cannot be removed from the handpiece Power module is jammed in the handpiece Send to Synthes Service Department Fully charged power module does not operate Energy saving feature activated and drive unit automatically turned off Set mode switch to LOCK and then back to the applicable operating mode Mode switch is set to LOCK Set mode switch to DRILL REAM SAW or OSC DRILL Power module damaged Send to Synthes Service Department Charge status display does not light when information button Is pressed Power module is damage
18. caution display AN illuminates when no power module battery is inserted Charging bay is damaged Send to Synthes Service Department Yellow battery display flashes when charging Power module battery is too hot Leave power module battery inserted in charging bay Charger automatically continues the charging process once the battery has cooled Arrow display does not illuminate when exclamation button is pressed Button was released too soon Press button and hold for at least 2 seconds Charging bay is damaged Send to Synthes Service Department Charger has an error Switch off charger wait 3 seconds and switch charger on If the ON OFF display flashes send to the Synthes Service Department Trauma Recon System User s Manual Synthes 43 Troubleshooting Universal Battery Charger Il Problem Possible causes Remedy Power module battery is impossible Power module battery is being inserted Insert power module battery into to insert into wrong slot in charging bay correct slot in charging bay Contacts in charging bay are bent Send to Synthes Service Department Charger Is noisy Vents on sides back or base are covered Position charger so that vents are exposed Charger positioned next to heat Position charger away from heat source SOUICE Power module battery performance Expected battery life is reached Test power module battery se
19. d Send to Synthes Service Department Service indicator light is constantly lit Power module is damaged Send to Synthes Service Department Power module is physically damaged Power module has been dropped Send to Synthes Service Department Power module was sterilized Send to Synthes Service Department 42 Synthes Trauma Recon System User s Manual Troubleshooting Universal Battery Charger II Problem Possible causes Remedy ON OFF display does not illuminate Charger is switched off Turn charger power switch on Power cord is not plugged in Connect power cord to charger plug into wall outlet and switch on Power supply is interrupted e g damaged fuse Check power supply Replace fuse if necessary Charger is damaged Send to Synthes Service Department ON OFF display flashes Charger is damaged Send to Synthes Service Department Power module battery is inserted and charge display status does not illuminate Power module battery is not fully inserted Ensure the power module battery is inserted properly Contacts in the charging bay are dirty Carefully clean contacts Power module battery was not recognized by the charger Remove power module battery and reinsert in an open charging bay Battery is damaged Replace battery Charging bay is damaged Send to Synthes Service Department Red
20. d the axis of the right angle drive s coupling head is most commonly used 4 Tighten the locking screw by rotating the lever arm clockwise Insert an instrument Insert the instrument into the attachment and push until it locks in place Pull lightly on the instrument to ensure It Is secure Disassemble the right angle drive and instrument 1 Retract the collar of the right angle drive and remove the instrument 2 Loosen the locking screw by rotating the lever arm counterclockwise 3 Pull the right angle drive off of the attachment drive unit Large Quick Coupling 05 001 213 Maximum speed approx 670 rom Cannulation 4 1 mm Insert an instrument Push forward on the collar of the attachment and insert the instrument turning it slightly to align the keyway Release the collar pulling lightly on the instrument to ensure It Is secure Remove an instrument Push forward on the collar of the attachment and remove the instrument Trauma Recon System User s Manual Synthes 25 Operating Instructions Attachments AO Screw Attachment 05 001 214 Maximum speed approx 330 rom Cannulation 2 1 mm Insert a screwdriver shaft Introduce the screwdriver shaft into the attachment applying Slight pressure and turning slightly until it locks into place Pull lightly on the instrument to ensure It is secure Note It is not necessary to pull back the collar of the attachment to insert the i
21. e page Is low 14 If the red display AN illuminates replace battery or send power module to Synthes Service Department for battery replacement Battery is not ready for use Charge power module battery until green display ami illuminates Drive unit or attachment is compromised Send drive unit or power module to i e due to Insufficient maintenance Synthes Service Department for repair Important If the suggested solutions are unsuccessful please contact the Synthes Service Department at 1 800 288 6698 Synthes recommends an annual preventive maintenance service by qualified Synthes personnel 44 Synthes Trauma Recon System User s Manual Technical Data Environmental conditions Operation Transportation and storage Temperature 40 C 50 C 10 C 20 C Relative humidity 90 90 d d d d 30 Y 10 Atmospheric pressure 1060 hPA 1060 hPA 500 hPA f 500 hPA f The machine may not be stored or operated in explosive atmospheres Duty cycle Intermittent operation A Xsecon Ysecoff Cycles Drilling screw insertion 30 60 5 Kirschner wire setting Reaming 30 60 5 Sawing 30 60 5 TRS Recon Sagittal Saw 60 240 5 To prevent overheating the handpiece and the attachment should be allowed to cool for at least 60 seconds following 30 seconds of constant use After 5 such cycles the handpiece and attachment should be allowed to cool for 30 minutes The user is responsible for fo
22. ents with large quick coupling fitting includes RIA DHS DCS Triple Reamers Performance specifications on file at Synthes E Trauma Recon System User s Manual Synthes g Specifications Attachments for Trauma Recon System 05 001 218 Hudson Reaming Attachment Cannulation 4 1 mm Accepts cutting tools and instruments with Hudson fitting 05 001 220 Trinkle Reaming Attachment Cannulation 4 1 mm Accepts cutting tools and instruments with Trinkle fitting 05 001 222 Modified Trinkle Reaming Attachment Cannulation 4 1 mm Accepts cutting tools and instruments with modified Trinkle fitting 10 Synthes Trauma Recon System User s Manual Screw insertion attachment 05 001 214 AO Screw Attachment om 5 Cannulation 2 1 mm we 5 a Inserts screws at a maximum speed of 330 rom a a Saw attachments 05 001 224 Sagittal Saw Attachment with key Frequency 11 000 oscillations per minute in Saw mode Deflection 4 5 2 25 each side Includes key 05 001 229 05 001 225 Reciprocating Saw Attachment Frequency 11 000 oscillations per minute in Saw mode Stroke 4 mm Trauma Recon System User s Manual Synthes 11 Operating Instructions Universal Battery Charger II 05 001 204 Connect the electrical cord to the charger and plug the cord into a grounded 110 120 VAC outlet Turn on the charger by pressing the I on the
23. he power module do not discharge if not used Before using the power module it is important to check if it is fully charged by pressing the information button and reading the battery charge status Note Do not apply force to the power module or let it fall Important DO NOT STERILIZE THE POWER MODULE This will destroy the power module with possible secondary damage Do not wash the power module Do not use damaged power modules Damaged power modules should be sent to the Synthes Service Department Only use the power module in the designated handpiece The power module may only be opened by the Synthes Service Department Unauthorized opening voids the warranty TT 1 GULLI 16 Synthes Trauma Recon System User s Manual Synthes nonsterile power modules and advanced charging technology optimize intraoperative battery capacity maximize battery lifespan significantly decrease memory effect and shorten turn around time One Universal Battery Charger Il for most Synthes battery driven systems simplifies the charging process Simple aseptic technique preserves the sterile field when assembling the drive unit Instruments 05 001 201 Trauma Recon System Handpiece 05 001 202 Power Module 05 001 203 Insertion Shield 05 001 227 Lid for Handpiece Scrubbed person 1 Hold the sterilized handpiece with the open side up 2 Position the sterile insertion shield
24. ick Coupling for Kirschner Wires 05 001 212 Maximum speed approx 1 450 rom Cannulation 4 0 mm fully open To insert remove Kirschner wires and guide pins 1 0 mm 4 0 mm diameter any length Insert a K wire guide pin into the attachment Completely open the adjusting sleeve at the end of the at tachment Insert the K wire guide pin and close the adjust ing sleeve until it clamps the wire Then open the adjusting Sleeve two clicks The K wire guide pin is lightly held in the selected position Note Ensure K wire guide pin is centered in cannulation prior to tightening the adjusting sleeve Insert a K wire guide pin into bone Grasp the K wire guide pin by pulling the lever against the handpiece and press the bottom forward trigger Remove a K wire guide pin from bone Open the adjusting sleeve of the attachment completely Slide the drive unit and coupling over the K wire guide pin Close the adjusting sleeve until it clamps the wire pin Then open the adjusting sleeve two clicks Grasp the wire pin by squeezing the lever toward the handpiece and press both triggers reverse simultaneously to remove the wire from the bone 28 Synthes Trauma Recon System User s Manual Operating Instructions Saw Attachments Tips for optimal saw performance Start the drive unit prior to placing the blade on the bone Avoid excess pressure on the saw blade and perform the cut with a slight back and
25. increments Lock the saw blade coupling by pressing down and turn ing the key clockwise Ensure that the screw and blade are firmly tightened Remove a saw blade Open the saw blade coupling screw by turning the key counterclockwise and remove the saw blade Note Only use in SAW mode 30 Synthes Trauma Recon System User s Manual Reciprocating Saw Attachment 05 001 225 Frequency approx 11 000 oscillations minute Stroke approx 4 mm Insert a saw blade 1 Ensure the drive unit is turned off by placing the mode switch in the LOCK position Position the attachment The saw attachment can be locked in 8 different positions in 45 increments To reposition the saw attachment remove the attachment and reattach at the desired position Ensure the coupling is open by turning the release knob in the direction of the arrow Insert a reciprocating saw blade into the coupling and push until the saw blade locks in place Carefully pull the saw blade to ensure it is secure Remove a saw blade Turn the release knob in the direction of the arrow to eject the reciprocating saw blade Note Only use in SAW mode Trauma Recon System User s Manual Synthes 31 Operating Instructions Saw Attachments Sternum Top for use with Reciprocating Saw Attachment 511 904 Assemble the sternum top Instruments 05 001 225 Reciprocating Saw Attachment 51169155 Reciprocating
26. llowing the indicated guidelines If longer periods of constant use are required an additional handpiece and or attachment should be used Important Always use new cutting tools to prevent overheating of the system due to reduced cutting performance Careful maintenance of the system will reduce heat development in the handpiece and the attachments Trauma Recon System User s Manual Synthes 45 Technical Data Explanation of symbols used The following symbols are applied to the device or individual components A Caution Read the provided instructions for use before operating the device Do not immerse device in liquids N The device is classified as type BF against electrical shock and leakage current The device is suitable for use on patients according to the standards defined by UL 60601 1CAN CSA C22 2 No 601 1 and IEC 60601 1 K This device contains batteries lithium ion chemical symbol of the toxic substance that should be disposed of in an environmentally friendly manner The European Battery Directive 2006 66 EC applies to this device E p amp if 2 S z g r c oe a The device fulfills the UL requirements for USA and Canada Lid is unlocked and can be attached or removed Lid is locked Information button on the power module Charge status display on power module Service indicator lamp on power module Je omm amp P p Compliance ole The device mee
27. ming Attachment 03 001 219 Trinkle Drilling Attachment 03 001 220 Trinkle Reaming Attachment 05 001 221 Modified Trinkle Drilling Attachment 05 001 222 Modified Trinkle Reaming Attachment 05 001 224 Sagittal Saw Attachment long includes key 05 001 229 05 001 225 Reciprocating Saw Attachment 05 001 226 Adaptor for Radiolucent Drive For information about saw blade options for TRS please refer to the specific saw blade brochure J3273 Note For additional information please refer to package insert For detailed cleaning and sterilization instructions please refer to http www synthes com sites NA MedicalCommunity Cleaning sterilization Pages default aspx or to the below listed inserts which will be included in the shipping container Processing Synthes Reusable Medical Devices Instruments Instrument Trays and Graphic Cases DJ1305 Processing Non sterile Synthes Implants DJ1304 Trauma Recon System User s Manual Synthes 47 Ordering Information Graphic Case and Washing Basket PSO a aEEEUSTLSE USES ESET 60 550 140 60 550 145 68 001 602 68 001 605 68 001 606 Graphic Case Nylon for Trauma Recon System in includes lid and insert tray 60 550 141 and 60 550 143 p a paa Graphic Case Nylon for Trauma Recon System includes ce OR P10 OUD Ove ht z 7 A as 4 t Jir E m T lid and insert tray 60 550 146 and 60 550 147 E EA Lid for Washing Machine Basket T Washing Machine Basket for 2 TRS H
28. nd triangular shafts up to 6 5 mm Performance specifications on file at Synthes Trauma Recon System User s Manual Synthes 7 Specifications Attachments for Trauma Recon System 05 001 212 Quick Coupling for Kirschner Wires Cannulation 4 0 mm fully open To insert remove Kirschner wires and guide pins 1 0 mm 4 0 mm diameter any length 05 001 217 Hudson Drilling Attachment Cannulation 4 1 mm Accepts cutting tools and instruments with Hudson fitting 05 001 219 Trinkle Drilling Attachment Cannulation 4 1 mm Accepts cutting tools and instruments with Trinkle fitting 05 001 221 Modified Trinkle Drilling Attachment Cannulation 4 1 mm Accepts cutting tools and instruments with modified Trinkle fitting 8 Synthes Trauma Recon System User s Manual Reaming speed attachments All reaming speed attachments are geared to transfer the speed of the drive unit with a maximum speed of 330 rom Reaming speed attachments are etched with REAM and marked in red color coding 05 001 207 Chuck with Key Ream Speed Cannulation 4 1 mm Accepts round and triangular shafts up to 7 3 mm Includes key 510 191 05 001 210 AO Reaming Attachment Cannulation 4 1 mm Accepts cutting tools and instruments with AO reaming fitting 05 001 213 Large Quick Coupling Max speed 670 rom Max torque 6 5 Nm Cannulation 4 1 mm Accepts cutting tools and instrum
29. nd when placing the drive unit down DRILL REAM mode For forward reverse operation position the mode switch to DRILL REAM Press the variable speed trigger for forward clockwise rotation Press both triggers for reverse counterclockwise rotation 05 001 227 4 SAW mode For sagittal saw and reciprocating saw attachments The bottom trigger gradually controls the speed The top trigger has no function in SAW mode Notes Never use saw attachments in DRILL REAM or OSC DRILL mode The saw performance is not optimal in these modes and may cause damage to the attachments The rotating attachments are most effective in the DRILL REAM mode They are much slower and less efficient in the SAW mode OSC DRILL mode For forward oscillate drilling position the mode switch to OSC DRILL Press the variable speed trigger for forward rotation Press both triggers for oscillating Notes You can only switch to reverse by turning the mode switch to DRILL REAM position Only use oscillation mode with the drilling or K wire attachments al Weem on QO ke w wW Oo a lt 05 001 231 20 Synthes Trauma Recon System User s Manual Operating Instructions Attachments Inserting attachments Important To prevent injuries the mode switch on the lid of the drive unit should be in the LOCK position when insert ing or removing attachments or instruments The at
30. nstrument Remove an instrument Pull back the collar of the attachment and remove the screwdriver shaft Important Do not fully insert screws under power Always tighten or lock screws manually Always use the appropriate torque limiting attachment when inserting locking screws into a locking plate Although it is possible to use the AO quick coupling to insert screws the AO screw attachment has a lower speed and higher torque that is more suitable for inserting screws Screws with a larger diameter require more torque than speed for proper insertion and therefore should only be used with the AO screw attachment 26 Synthes Trauma Recon System User s Manual Hudson Drilling Attachment 05 001 217 Hudson Reaming Attachment 05 001 218 Trinkle Drilling Attachment 05 001 219 Trinkle Reaming Attachment 05 001 220 Modified Trinkle Drilling Attachment 05 001 221 Modified Trinkle Reaming Attachment 05 001 222 Maximum speed approx 1 450 rom drilling approx 330 rom reaming Cannulation 4 1 mm Insert an instrument Pull back the collar of the attachment and insert the instrument turning it slightly to align the keyway Release the collar pulling lightly on the instrument to ensure it IS Secure Remove an instrument Pull back the collar of the attachment and remove the instrument Trauma Recon System User s Manual Synthes 27 Operating Instructions Attachments Qu
31. nual Synthes of Working with the Trauma Recon Sagittal Saw Only use original Synthes saw blades These are optimized to meet the specific requirements of the drive unit Generic saw blades can considerably reduce the life of the system Insert a Saw Blade 1 Ensure the drive unit is turned off by placing the mode switch in the LOCK position 2 Open the saw blade coupling screw by turning the key 05 001 229 counterclockwise 3 Insert saw blade into the saw blade coupling and adjust to the desired position The blade can be locked in different positions at 45 increments 4 Lock the saw blade coupling by pressing down and turn ing the key clockwise Ensure that the screw and blade are firmly tightened Remove a saw blade Open the saw blade coupling screw by turning the key counterclockwise and remove the saw blade Note The saw blade must be oscillating prior to contact with the bone Do not use excessive force as this can reduce the cutting efficiency Always position the saw head with the fitted saw blade away from the body in order to avoid injury Saw Blade Recommendations Synthes recommends using a new saw blade for each operation to ensure that the saw blade is optimally sharpened and clean The following risks are associated with used blades Necrosis caused by excessive heat build up Infection caused by residue Extended cutting time from poor sawing performance Noise and vibration value
32. ol to room temperature Drive unit is inoperable Send to Synthes Service Department Drive unit continues to run after releasing trigger Trigger is jammed by residue Immediately turn mode switch to LOCK Clean and oil trigger according to care and maintenance guidelines Drive unit or attachment becomes excessively hot Drive unit or attachment is used too long Allow drive unit or attachment to cool see Duty cycles on page 45 Saw blade is not firmly tightened Tighten saw blade Drive unit is too slow Mode switch set to incorrect mode Set to correct mode Incorrect attachment used e g reaming speed vs drilling soeed attachment Change attachment Note Drive unit consists of a handpiece power module and lid Trauma Recon System User s Manual Synthes 39 Troubleshooting Drive Units and Attachments Problem Possible causes Remedy Drive unit saws too fast or aggressively Mode switch set to incorrect mode Set to SAW mode Drive unit saws erratically Mode switch set to OSC DRILL mode Set to SAW mode Attachments cannot couple to Coupling is blocked by residue Remove solid particles with pickups drive unit Oil according to care and maintenance guidelines Difficulty removing attachments Coupling is blocked by residue Clean and lubricate coupling sleeve from drive unit Difficulty assembling lid to handpiece Lid is not properly
33. play tor that charging bay and hold for at least 2 seconds The yellow arrow light will turn off then illuminate while the diagnostic test is in process Diagnosis f the green battery symbol illuminates the power module has been tested charged and is ready to use Figure 2 f the red caution symbol illuminates the power module has been checked is not charged and cannot be used Figure 3 The red service indicator wrench on the power module will also illuminate Send power module to the Synthes Service Department Figure 2 Notes If the power module is inserted in the charger the service indicator will remain illuminated If the power module is removed from the charger the service indicator turns off after a few seconds to save the battery Power modules can be charged or undergo diagnostic tests independently in each charging bay Important Only press the exclamation mark to initiate the diagnostic test This test should only be initiated when the arrow flashes yellow Figure 3 For Small Battery Drive or Battery Power Line batteries please refer to the Universal Battery Charger Il User s Manual 14 Synthes Trauma Recon System User s Manual Operating Instructions Power Module 05 001 202 Battery charge status To check the battery charge status of the power module press the information button and the LED lights will indicate the charge level Figure 1 If all four LEDs
34. power switch Figure 1 The ON OFF display light on the front of the charger will illuminate Figure 2 Note If the red caution display light for a single charging bay illuminates before the power module battery is inserted this charging bay is damaged Figure 3 The power modules batteries can still be charged in the other charging bays but it is recommended that the device be sent to the Synthes Service Department for repair Important Do not operate the charger in the direct vicinity of radiators or other heat emitting devices as these can affect the device Place the charger on a hard non slip stable base Ensure that the ventilation holes in the base of the device are not covered by towels or other objects Do not expose the device to direct sunlight or moisture Do not cover the side ventilation holes on the device If LED does not illuminate please refer to the troubleshooting section page 43 Figure 1 Figure 2 Figure 3 12 Synthes Trauma Recon System User s Manual Insert the power module into one of the appropriate charging bays The yellow LED should remain illuminated indicating that the battery is charging Figure 4 When the green LED illuminates the power module is fully charged Figure 5 The power module should be left in the charging bay until needed Note The power module can be removed during the charging process however the battery may not be fully
35. r Line Battery 530 620 2 Trauma Recon System Power Module 05 001 202 3 Small Battery Drive Battery 532 003 or 532 033 Complies with standards UL 60601 1 1st Edition IEC 60601 1 2nd Edition nls Universal Battery Charger Il With respect to electrical shock fire and CAC EJUS mechanical hazards only in accordance 10PB with UL 60601 1 CAN CSA C22 2 No 601 1 IEC 60601 1 2 IEC 60601 1 4 Please refer to the Universal Battery Charger II User s Manual for additional information Front view A W N 1 Charging bays 4 2 Symbols for battery power module type 3 ON OFF display 4 Control display for each charging bay 5 Ventilation holes Rear view 6 Ventilation holes 7 Power switch 8 Fuses 2 x5 AT 9 Power cord connection 6 Synthes Trauma Recon System User s Manual Specifications Attachments for Trauma Recon System Drilling speed attachments All drilling soeed attachments are geared to transfer the speed of the drive unit with a maximum speed of 1 450 rom Drilling speed attachments are etched with DRILL and marked in blue color coding 05 001 205 AO Quick Coupling Cannulation 2 1 mm Accepts cutting tools and instruments with AO quick coupling fitting 05 001 206 Chuck with Key Drill Soeed Cannulation 4 1 mm Accepts round and triangular shafts up to 7 3 mm Includes key 510 191 05 001 208 Chuck Keyless Drill Soeed Cannulation 4 1 mm Accepts round a
36. r oscillation trigger when both triggers are depressed 3 Variable speed trigger forward 4 Lid 5 Mode switch Specifications Weight including power module and lid 1 31 kg 2 lb 14 oz Cannulation 4 1 mm Speed without attachment O 18 000 rom Protection against electric shock BF EN 60601 1 Protection against water Intrusion IPX4 EN 60529 Lids 05 001 227 05 001 231 6 Mode switch 7 Safety button for mode selector switch prevents inadvertent opening of the lid only press to set to UNLOCK a 8 UNLOCK position a 9 LOCK position 10 Drilling reaming position 11 Sawing position 12 Oscillating drill position l m iu ir z a r ay a a SYNTHES 1 TRS Modular Drive 2 3 4 po 10 orWReam A 11 9 gt 12 Trauma Recon System User s Manual Synthes 3 Specifications Trauma Recon Sagittal Saw and Lid Handpiece 05 001 240 1 Saw blade screw coupling 2 Sliding sleeve for positioning saw head 3 Variable speed trigger 4 Lid 5 Mode switch Specifications Weight including power module and lid 1 76 kg 3 lb 9 oz Frequency 11 000 osc min Deflection 4 5 2 25 each side Protection against electric shock BF EN 60601 1 Protection against water intrusion IPX4 EN 60529 Lid 05 001 241 6 Mode switch 7 Safety button for mode selector switch prevents
37. s can differ significantly when Sawing vertically Working with poorly maintained equipment Working with saw blades from a supplier other than Synthes Please refer to the Trauma Recon System User s Manual for additional information 38 Synthes Trauma Recon System User s Manual Troubleshooting Drive Units and Attachments Problem Possible causes Remedy Drive unit does not start No power module in handpiece Insert charged power module Power module is drained Charge power module Mode switch is set to LOCK Set mode switch to DRILL REAM SAW or OSC DRILL Energy saving feature activated and drive unit automatically turned off Set mode switch to LOCK and then back to the applicable operating mode Power module is inoperable service indicator lamp may be lit when information button is pressed Send power module to Synthes Service Department Trigger was depressed before power module registered Wait 1 2 seconds when switching trom lock mode to working mode before depressing the trigger Drive unit lacks power Power module is drained Charge power module Incorrect attachment used e g drilling speed vs reaming speed attachment Change attachment Mode switch set to incorrect mode Set to correct mode Drive unit suddenly stops Power module is drained Charge power module Drive unit has overheated Allow to co
38. tachments can be inserted in 8 different positions in 45 degree increments While holding the drive unit in the upright position turn the coupling sleeve clockwise in the direction of the arrow until it locks in the open position The coupling sleeve will protrude slightly from the main body of the drive unit and a yellow line will be visible Insert the attachment into the coupling aligning the positioning pins of the attachment with the grooves on the coupling sleeve Press the attachment lightly against the drive unit the coupling sleeve will lock automatically Pull lightly on the attachment to confirm that it is secure Note If the coupling sleeve closes before the attachment is fully inserted align the positioning pins of the attachment with the grooves on the coupling sleeve and turn the attach ment clockwise while applying pressure against the drive unit until the attachment engages Pull lightly on the attachment to confirm that it is secure Removing attachments Turn the coupling sleeve clockwise in the direction of the arrow until it locks in the open position The coupling sleeve will protrude slightly from the main body of the drive unit and a yellow line will be visible Remove the attachment The coupling sleeve should stay in the open position ready for the next attachment huar OF ew Trauma Recon System User s Manual Synthes 21 Operating Instructions Attachments A
39. te the power module can be used If the power module does not function properly after the self test is complete the power module must be sent to the Synthes Service Department Removing the power module Press the safety button of the mode switch and set to the UNLOCK position Turn the lid counterclockwise to open and remove the lid Pull the power module lever to remove the power module from the handpiece Return the power module to the battery charger Note Synthes recommends placing the power module into the charger immediately after use Important DO NOT STERILIZE THE POWER MODULE The power module will no longer function Trauma Recon System User s Manual Synthes 19 Operating Instructions Trauma Recon Modular Lids Mode switch The mode switch can be set to 5 different positions 1 UNLOCK position a In this position the lid can be attached and removed To position the mode switch to UNLOCK press the safety button on the mode switch and turn to unlock Note After inserting the power module into the hand piece attach and tighten the lid then set the mode switch to the LOCK position This prevents the lid from being opened inadvertently LOCK position In this position the lid is secured to the drive unit and the drive unit is in satety mode Note To avoid injuries turn the mode switch to the LOCK position when inserting removing attachments or cut ting tools a
40. the collar to secure the drill bit into place 4 Gently pull on the drill bit to ensure it is securely seated Remove radiolucent drill bits i Push the collar of the radiolucent drive forward Remove m TRS Modular Drive drill bit Remove radiolucent drive Pull the radiolucent drive off the adaptor Important To protect the gears the radiolucent drive is equipped with a slip clutch that disengages and emits an audible rattling in case of an overload The following may cause an overload Correcting the drilling angle when the cutting edges of the drill bit are completely in the bone Running into the nail with the drill bit To continue drilling when an overload occurs Correct the drilling angle by removing the drill bit until the flutes are visible and begin drilling again Remove the drill bit until the flutes are visible and re aim the drill bit or exchange the drill bit if necessary Note Depending on the setting of the image intensifier a zone may appear in the rear of the radiolucent drive that is not radiolucent However this does not inhibit aiming or using the device correctly Please refer to page 51 for Synthes drill bits for use with the radiolucent drive Trauma Recon System User s Manual Synthes a3 Operating Instructions Radiolucent Drive 1 Align Align the image intensifier until the distal locking hole of the medullary nail is round and easily visible
41. ts the following standards us UL 60601 1 IEC 60601 1 46 Synthes Trauma Recon System User s Manual Ordering Information Trauma Recon System handpiece and lid Modular 05 001 201 TRS Battery Handpiece modular 05 001 227 Lid for TRS Handpiece modular 05 001 201 05 001 231 Lid for TRS Handpiece modular 05 001 201 Flat Stand F a e E e a a eee pe Trauma Recon System handpiece and lid Recon Sagittal Saw AFETE 05 001 240 TRS Battery Handpiece Recon Sagittal Graphic Case Nylon for Trauma Recon i i S includes lid and i Saw with key includes key 05 001 229 e ee 05 001 241 Lid for TRS Handpiece Recon Sagittal Saw 05 001 240 Charger Battery and Accessories for battery 05 001 202 Power Module 05 001 203 Insertion Shield 05 001 204 Universal Battery Charger Il 05 001 228 Slot Covers for Universal Battery Charger Il 3 pk Attachments for Trauma Recon System 05 001 205 AO Quick Coupling for Drill Bits 05 001 206 Chuck with Key Drill Soeed includes key 510 191 05 001 207 Chuck with Key Ream Speed includes key 510 191 05 001 208 Chuck Keyless Drill Soeed 05 001 210 AO Reaming Attachment 05 001 212 Quick Coupling for Kirschner Wires 05 001 213 Large Quick Coupling for Drill Bits 05 001 214 AO Screw Attachment 05 001 215 Torque Limiting Attachment 1 5 Nm 05 001 216 Torque Limiting Attachment 4 0 Nm 03 001 217 Hudson Drilling Attachment 05 001 218 Hudson Rea
42. y pulling back the release ring and turning the chuck clockwise Insert the instrument shaft into the opened chuck Close the chuck by holding on to the release ring and manually turning the chuck counterclockwise until the release ring engages with an audible click Remove an instrument Open the chuck jaws by pulling back the release ring and turning the chuck clockwise Remove the instrument Trauma Recon System User s Manual Synthes 23 Operating Instructions Attachments AO Reaming Attachment 05 001 210 Maximum speed approx 330 rom Cannulation 4 1 mm Insert an instrument Insert the instrument into the attachment and turn it clockwise until it locks in place Pull lightly on the instrument to ensure it Is secure Note It is not necessary to pull back the collar of the attachment to insert the instrument Remove an instrument Pull back the collar of the attachment and remove the instrument 24 Synthes Trauma Recon System User s Manual Right Angle Drive 510 20 Assemble the right angle drive 1 Assemble the AO Reaming Attachment 05 001 210 to the TRS drive unit 2 Loosen the locking screw of the right angle drive by rotating the lever arm counterclockwise 3 Slide the right angle drive over the assembled AO reamer attachment until it reaches a groove in the drill The right angle drive can now be mounted in several positions A 90 angle between the drill handle axis an
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