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CyberWand Dual Ultrasonic Lithotripsy System • Instructions for Use
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5. Remove the connector cap covering pins on the transducer cable and connect the transducer to
the generator by aligning the red dots on the transducer connector with those on the transducer
receptacle on the front panel (see photo at left). Push straight in. Check condition of cord and
transducer body. Should repair be necessary, contact Gyrus ACMI Customer Service.
6. Connect aspiration tubing (OD 9mm, ID 6mm) to the port at the rear of the transducer and
connect the other end of the tubing to an appropriate suction source.
7. Connect the footswitch to the generator by aligning the white indicators on the footswitch
connector with those on the footswitch receptacle on the front panel (see photo at left). Push
straight in.
NOTE: It is recommended that the footswitch be protected from contamination by containing it in
a plastic bag.
8. Turn the CyberWand system power ON and verify that the green POWER and TUNE LEDs on the
front panel are illuminated. The TUNE LED should be flashing, indicating that the system is not
tuned.
9. Verify that both fans in the back of the generator are running and that nothing is blocking/
interfering with air intake.
3.1 Probe/System
Tuning
Depress either the LARGE or SMALL pedal on the footswitch for approximately 2 seconds or until the
tuning cycle begins, then take foot off the pedal and allow the tuning cycle to run until complete. The
probe vibrates in response to the generator computer tuning program. After pressing the footswitch,
the flashing LED will become solid for the duration of the tuning cycle. Once tuned, the Ready LED will
illuminate, the CyberWand system is then tuned and ready for use.
NOTE: During auto tuning, the tuning sound keeps changing. At the end of tuning, the sound should
be strong. If the sound is weak, it means it is not tuned. Retighten or change the probe set if
needed and retune again. In order to re-tune, it is necesary to turn the generator power off and
then back on. If the problem persists, change the transducer and re-tune.
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Section 4.0 Operating Instructions
This section is intended to provide the operator with instructions on the use of the CyberWand system,
not on how to perform ultrasonic lithotripsy.
Be sure a backup probe and backup transducer are
sterilized and available before beginning any ultrasonic lithotripsy procedure.
1. The tip of the probe should be visible at all times while in use.
2. The probe tip should be in contact with the stone while activated.
Note: Position the probe gently against the stone for best fragmentation.
3. Do not contact tissue with the tip or sides of the probe; tissue damage could result.
4. Depending on the stone size, select LARGE stone mode or SMALL stone mode by depressing
right or left foot pedal, respectively.
Notes:
LARGE Stone Mode: Depressing LARGE pedal (gray) causes the CyberWand system to produce
maximum pulse energy to fragment large stones into smaller stone pieces.
SMALL Stone Mode: Depressing SMALL pedal (green) causes the CyberWand system to
produce a pulse energy level that keeps the probe in contact with the smaller stone fragments
allowing greater fragmentation. Small stones are repulsed less when the SMALL pedal is used.
5. Cleaning stylets are provided to clear the probe should obstructions occur. Should the ultrasonic
action lessen during use, remove the suction tubing from the transducer. Pass the cleaning stylet
through the transducer to the probe tip to dislodge any obstruction.
6. Continuous irrigation and suction should be used to avoid overheating the probe and transducer.
Note:
Normal physiological saline is the recommended irrigation for ultrasonic lithotripsy.
