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PhacoJack 

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THE  Phacosystem

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HOWARD INSTRUMENTS INC.

PHACOJACK

 

THE PHACOSYSTEM

OPERATOR'S MANUAL

Howard Instruments, Inc.

3102 Greensboro Ave.

Building B, Suite 4

Tuscaloosa, Al. 35401

E-mail Address: 

[email protected]

http://www.howardinstruments.com

Phone: (205) 553-4453

   Fax:    (205) 556-9267

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Summary of Contents for PHACOJACK

Page 1: ...TS INC PHACOJACK THE PHACOSYSTEM OPERATOR S MANUAL Howard Instruments Inc 3102 Greensboro Ave Building B Suite 4 Tuscaloosa Al 35401 E mail Address howard howardinstruments com http www howardinstruments com Phone 205 553 4453 Fax 205 556 9267 R ...

Page 2: ...FETY WHEN USED PROPERLY THE PHACOJACK R CONFORMS TO THE STANDARDS SET FORTH BY UNDER WRITERS LABORATORIES INC FOR MEDICAL AND DENTAL EQUIPMENT UL544 THE OPERATOR OF THIS SYSTEM MUST READ THIS OPERATOR S MANUAL CAREFULLY AND BECOME FAMILIAR WITH ALL THE WARNINGS THE WARNINGS CONTAINED IN THIS MANUAL ARE IMPORTANT AND MUST BE FOLLOWED 1 3 HOW TO USE THIS MANUAL IS YOUR GUIDE TO THE PHACOJACK R READ ...

Page 3: ...XCEPT THE ULTRA SONIC U S HANDPIECE WHICH HOWARD INSTRUMENTS WARRANTS FOR A PERIOD OF ONE 1 YEAR FROM THE DATE OF SHIPMENT TO BE FREE FROM DEFECTS IN MATERIALS AND WORKMANSHIP WHEN PROPERLY INSTALLED MAINTAINED AND USED FOR THE INTENDED PURPOSE THIS WARRANTY APPLIES ONLY TO THE ORIGINAL PURCHASER USER OF THE INSTRUMENT AND ONLY SO LONG AS THE EQUIPMENT IS USED IN THE COUNTRY TO WHICH IT WAS ORIGIN...

Page 4: ... UNPACKING YOUR PHACOJACK R HAS BEEN INSPECTED AND CAREFULLY SYSTEM PACKAGED FOR SHIPPING PLEASE INSPECT IT FOR SHIPPING INSPECTION DAMAGE IF THE SHIPPING CONTAINER IS DAMAGED TO THE EXTENT THAT THE EQUIPMENT MAY BE DAMAGED DO NOT ATTEMPT TO UNPACK PLEASE NOTIFY BOTH THE FREIGHT COMPANY AND HOWARD INSTRUMENTS IMMEDIATELY UNPACK ONLY IN THE PRESENCE OF THE FREIGHT COMPANY REPRESENTATIVE IF THE SHIP...

Page 5: ...E OPHTHALMIC SURGEON HAS THE CHOICE TO REMOVE THE NUCLEUS FROM THE EYE MANUALLY OR TO EMULSIFY THE NUCLEUS WITH PHACO FOLLOWING THE ECCE PHACOJACK R ASPIRATES CATARACTOUS AND OR CORTICAL MATERIAL FROM THE EYE A RELATIVELY CONSTANT INTRAOCULAR PRESSURE IOP IS MAINTAINED THROUGH THE INFUSION OF A STERILE SOLUTION SUCH AS BASIC SALT SOLUTION BSS IOP IS ADJUSTED BY RAISING LOWERING THE IRRIGATION SOLU...

Page 6: ...M IS PRESUMED ANY QUESTIONS PERTAINING TO THESE INSTRUCTIONS SHOULD BE DIRECTED TO HOWARD INSTRUMENTS INC WHILE HOWARD INSTRUMENTS HAS MADE SPECIAL EFFORTS TO ILLUSTRATE IT IS THE RESPONSIBILITY OF THE USER TO USE ACCEPTABLE STERILE TECHNIQUES CIRCULATING NURSE SCRUB NURSE ...

Page 7: ...E THE SURGICAL TEAM SHOULD BE FAMILIAR WITH THE SETUP TEST PROCEDURES DESCRIBED IN FIGURES 18 26 PAGES 25 33 FOR THE I A HANDPIECE 3 3 VITRECTOR THE SURGICAL TEAM SHOULD BE FAMILIAR WITH THE SETUP TEST PROCEDURES DESCRIBED IN FIGURES 28 33 PAGES 35 40 FOR THE VITRECTOR 3 4 CAUTERY THE SURGICAL TEAM SHOULD BE FAMILIAR WITH THE HANDPIECE SETUP TEST PROCEDURES DESCRIBED IN FIGURES 34 35 PAGES 41 42 F...

Page 8: ...S DISCONNECT THE POWER CORD BEFORE CLEANING 4 2 MAINTENANCE EXCEPT FOR CLEANING THE CONSOLE AND FOOTPEDAL REQUIRE NO PERIODIC MAINTENANCE THERE ARE NO USER SERVICABLE PARTS INSIDE REFER ALL REPAIRS AND SERVICING TO HOWARD INSTRUMENTS INC OPENING THE CONSOLE OR FOOTPEDAL ENCLOSURE WILL VOID THE WARRANTY 4 3 STORING THE WHEN THE INSTRUMENT IS NOT IN USE DISASSEMBLE IN INSTRUMENT TUBING AND CLEAN THE...

Page 9: ...tree Tuscaloosa AL 35405 HOWARD INSTRUMENTS INC PHACOJACKR THE PHACOSYSTEM OPERATOR S MANUAL FOOTPEDAL POWER CORD ACCESSORIES DISPOSABLES VITRECTOR TUBINGKIT I AHANDPIECE U STIP OPERA TOR SMANUAL U S HANDPIECE CONSOLE IRRIGATION SLEEVE VIT IRRIGATING SOLUTION CAUTERY FORCEPS CAUTERYCABLE I ATIP ...

Page 10: ... RATE RANGE IS 10 40cc MIN FIXED REFLUX RATE 25cc MIN REFLUXSWITCH TREADLE CAUTER YSWITCH FOOTPEDAL SEE FIGURE 3 9 58cm 3 77in 35 5cm 13 96in UNIVERSAL IEC POWER INPUT 120 220V 100 240V 50 60Hz PHACOJACK CAUTERYHANDPIECECONNECTOR U S HANDPIECE CONNECTOR 120V SETSMAXIMUMI A VITVACUUM RANGE IS 0 500mmHg PNEUMATICGUILLOTINE RATE IS 60 600 CUTS MIN SINGLE CUT 5 SETSMAXIMUMU SV ACUUM RANGE IS 20 120mmH...

Page 11: ...ION TREADLEDEPRESSION TREADLEDEPRESSION TREADLEDEPRESSION TREADLEDEPRESSION TREADLEDEPRESSION I A ASP IRR IRR U S ASP U S ASP VIT VIT IRR MAXIMUM PERISTALTIC PUMPRATE SETTING MAXIMUM U SPOWER SETTING MAXIMUM PERISTALTIC PUMPRATE SETTING INDICATESVENTING WHENFOOTPEDALTREADLEISRETURNEDTOIRRFUNCTION VENTINGOCCURS ANYVACUUMGENERATEDBYTHEPERISTALTICPUMPIS IMMEDIATELYRELEASEDBYVENTING DETENT 1 DETENT 2 ...

Page 12: ...Y KIND REQUIRED FOR TUNING ADVANCED U S HANDPIECE DESIGN TITANIUMCASE LIGHTWEIGHT CORROSION FREE NOEXTERNALIRRIGA TIONTUBE EASIERHANDLING ELIMINA TION OF U S TIP BEVEL IRRIGA TION TUBE ALIGNMENT ERGONOMIC BALANCED EASE OF USE WITH DEEP EYE HEAVY BROW PA TIENTS U SPOWER U SVAC VIT U SPOWER PERCENT VACUUM SENSE VIT CAUTION SEE OPERATOR S MANUAL FOR SAFE USE I AVAC U SVAC VIT CAUTERY RATE MODE ...

Page 13: ...PhacoJackR THEPhacosystem 13 FEATURES BENEFITS CHOICE OF MODE FIGURE 5 MODE I AVAC U SVAC CAUTERY U SPOWER RATE I A STD PULSE V I T M O D E MODESELECTOR EASY QUICKREFERENCE POSITIVESELECTION IRR ...

Page 14: ... VE GRA VITY FED INFUSIONPRESSURESDEPENDANTON IRRIGATIONSOLUTIONCONTAINERHEIGHT SIX 6 ROLLERPUMP MINIMALASPIRA TIONPULSE LESSIRISVAULT LESSCHAMBERSHALLOWING FRONTPANEL REFLUX DISENGAGECAPSULETAGS AND ORCORTICALMATERIAL INFUSIONTHROUGHASPIRATION PORTDURINGINCISIONENTRY PHACOJACK I AVAC U SVAC MODE VIT CAUTERY RATE U S POWER PERCENT PERCENT TUBINGKIT EASYSETUP COSTEFFECTIVE PERISTALTIC PUMP RA TE PR...

Page 15: ...UMA TIC VITRECTOR MAXIMUMV ACUUMIS500mmHG MAXIMUMRA TEISRECOMMENDEDTOBE 20cc MINANDISINDICATEDONTHERA TE KNOB WHENCONTROLSWITCHISPOSITIONED INSURGEON RATEISCONTROLLEDVIA THEFOOTPEDALTREADLE UPTOMAXSETTING U S SELECTIONCANBEMADEINSTDORPULSE THISMODEALLOWSTHESURGEONTOOPERATETHE U SHANDPIECETOEMULSIFYTHECA TARACTOUS LENSNUCLEUS ASPIRA TETHEFRAGMENTS U SPOWERISDETERMINEDBYTHEU SPOWER KNOB V ACUUMISLIM...

Page 16: ...RTPLUGINTO CONNECTOR LOCKPLUGBYROTA TING PLUGCOLLARA TLEAST 3TURNS ROCKERSWITCH REARVIEW FRONTVIEW U SHANDPIECE U STIP STERILEFIELD PROCEDURE 1 CONNECTFOOTPEDALTOCONSOLE 2 PLUGPOWERCORDINTOCONSOLE OUTLET 3 PUSHROCKERSWITCHTOONPOSITION 4 MOVEU SHANDPIECE U STIPONTOSTERILEFIELD SCRUBNURSE CIRCULA TINGNURSE PHACOJACK ...

Page 17: ...LE FIELD ASPIRATION TUBING SET TESTCHAMBER IRRIGATING TIP SLEEVE DRAINAGEBAG TIP WRENCH HANDPIECETRAY EXTENDERCOVER STERILE FIELD CIRCULA TING NURSE SCRUB NURSE PROCEDURE 5 PEEL LID FROM TUBING KIT TRAY PLACE CONTENTS IN STERILE FIELD DO NOT PERMIT ANY NON STERILE SURFACE TO TOUCH ANY COMPONENTS IN THE STERILE FIELD 6 UNWRAP TUBING SETS DISCARD WRAP 7 PEEL INNER POUCH TO FREE CONTENTS DISCARD POUC...

Page 18: ...E DO NOT PERMIT DRIP CHAMBER SPIKE TO TOUCH ANY NON STERILE SURFACE WHILE HANDLING 10 INSERT SPIKE INTO IRRIGATING SOLUTION BOTTLE DO NOT PERMIT DRIP CHAMBER SPIKE TO TOUCH ANY NON STERILE SURFACE WHILE INSERTING SPIKE INTO BOTTLE 11 SET BOTTLE HEIGHT AS SHOWN 12 PASS SILICONE TUBING PORTION OF IRRIGATION TUBING SET TO CIRCULATING NURSE 13 DEPRESS FOOTPEDAL TREADLE TO FIRST DETENT DETENT 1 AS SHOW...

Page 19: ...CEDURE 16 INSERT ASPIRA TION TUBING SET FITTING INTO U S HANDPIECE 17 PASS PUMP TUBING WITH FILTER TO CIRCULATING NURSE 18 FIRMLY A TTACH FILTER TO VACUUM SENSE VENT FITTING LIFT PUMP LA TCH AS SHOWN TO OPEN PUMP ARM STRETCH SILICONE TUBING AROUND PUMP HEAD AS SHOWN 19 CLOSE PUMP ARM FULLY UNTIL LATCH IS FULLY SEATED AGAINST ADJUSMENT SCREW 20 INSERT TUBING INTO DRAINAGE BAG 21 SCREW U S TIP ONTO ...

Page 20: ...TUP SET CONSOLE FIGURE 12 CIRCULA TING NURSE SCRUB NURSE DRAINAGEBAG MAXIMUMCAPACITY500ml SURGEON P ANEL PROCEDURE 22 SET MODE SWITCH TO U S STD OR PULSE SET RATE U S POWER 23 SET CONTROL 24 ATTACH THREADED IRRIGATING TIP SLEEVE ON U S HANDPIECE AS SHOWN ...

Page 21: ...SE ON A PATIENT PROCEDURE 25 DEPRESS FOOTPEDAL TREADLE TO FIRST DETENT DETENT 1 AS SHOWN IRRIGATION ONLY AND HOLD UNTIL TEST CHAMBER IS FILLED 3 4 FULL 26 PLACE TEST CHAMBER ON U S HANDPIECE 27 DEPRESS FOOTPEDAL TREADLE TO SECOND DETENT DETENT 2 AS SHOWN IRRIGATION ASPIRATION AND HOLD UNTIL ALL TUBING IS PRIMED AND FREE OF BUBBLES 28 PERFORM SYSTEM TEST FIG 14 16 DRAINAGEBAG MAXIMUMCAPACITY500ml ...

Page 22: ... SYSTEM TEST MUST BE REPEATED IN ORDER TO GUARANTEE SAFE OPERATING CONDITIONS PROCEDURE 1 PINCH IRRIGA TION TUBING WITH CLAMP HEMOSTA T 2 DEPRESS FOOTPEDAL TREADLE TO SECOND DETENT DETENT 2 AS SHOWN 3 NOTE PUMP START AND STOP MOTION IF PUMP DOES NOT REMAIN STOPPED OR THERE IS INTERMITTENT MOTION STOP DO NOT PROCEED UNTIL PUMP REMAINS STOPPED FOR 10 SEC 4 NOTE TEST CHAMBER COLLAPSE DO NOT RELEASE F...

Page 23: ...MOSTA T 2 DEPRESS FOOTPEDAL TREADLE TO SECOND DETENT DETENT 2 AS SHOWN 3 NOTE PUMP START AND STOP MOTION IF PUMP DOES NOT REMAIN STOPPED OR THERE IS INTERMITTENT MOTION STOP DO NOT PROCEED UNTIL PUMP REMAINS STOPPED FOR 10 SEC 4 NOTE TEST CHAMBER COLLAPSE DO NOT RELEASE FOOTPEDALTREADLE IF NO COLLAPSE STOP DO NOT PROCEED UNTIL COLLAPSE IS OBSERVED 5 RELEASE FOOTPEDAL TREADLE 6 NOTE REINFLATION OF ...

Page 24: ...OCEDURE 1 PINCH IRRIGATION TUBING WITH CLAMP HEMOSTA T LOCATE CLAMP AS CLOSE TO THE HANDPIECE AS POSSIBLE 2 DEPRESS FOOTPEDAL TREADLE TO SECOND DETENT DETENT 2 AS SHOWN 3 NOTE PUMP START AND STOP MOTION IF PUMP DOES NOT REMAIN STOPPED OR THERE IS INTERMITTENT MOTION STOP DO NOT PROCEED UNTIL PUMP REMAINS STOPPED FOR 10 SEC 4 RELEASE CLAMP HEMOSTAT 5 NOTE NO CHANGE IN TEST CHAMBER IF COLLAPSE OCCUR...

Page 25: ...STERILIZE U S HANDPIECE PER ACCEPTED HOSPITAL FACILITY PRACTICE WARNINGS IF CLEANING IS NOT PERFORMED AFTER EACH SURGICAL PROCEDURE SALT DEBRIS MAY COLLECT ALONG THE INNER WALLS OF THE HANDPIECE THIS COLLECTION OF SALT DEBRIS WILL COMPROMISE THE SURGICAL PROCEDURE BY INCREASING THE FLUID RESISTANCE AND LIKELY RISK IOP MAINTENANCE DONOTAUTOCLA VEANYHANDPIECESUNTILALL SALT DEBRIS HAS BEEN REMOVED NE...

Page 26: ...NS FIGURE 18 PROCEDURE 1 CONNECT FOOTPEDAL TO CONSOLE 2 PLUG POWER CORD INTO CONSOLE OUTLET 3 PUSH ROCKER SWITCH TO POWER CONSOLE 4 MOVE I A HANDPIECE I A TIP ONTO STERILE FIELD SCRUB NURSE CIRCULA TING NURSE STERILEFIELD FRONTVIEW I A TIP I AHANDPIECE REARVIEW ROCKERSWITCH ...

Page 27: ...PROCEDURE 5 PEELLIDFROMTUBINGKITTRAY PLACE CONTENTS INSTERILEFIELD DONOTPERMITANYNON STERILESURFACE TO TOUCHANY COMPONENTS INTHE STERILE FIELD 6 UNWRAP TUBING SETS DISCARD WRAP 7 PEEL INNER POUCH TO FREE CONTENTS DISCARD POUCH SCRUB NURSE CIRCULATING NURSE STERILE FIELD IRRIGATIONTUBINGSET ASPIRATIONTUBINGSET TESTCHAMBER IRRIGATINGTIPSLEEVE TIP WRENCH HANDPIECETRA Y EXTENDERCOVER DRAINAGEBAG STERI...

Page 28: ...P CHAMBER SPIKE TO TOUCH ANY NON STERILE SURFACE WHILE INSERTING SPIKE INTO BOTTLE 11 SET BOTTLE HEIGHT AS SHOWN 12 PASS SILICONE TUBING PORTION OF IRRIGA TION TUBING SET TO CIRCULATING NURSE 13 DEPRESS FOOTPEDAL TREADLE TO FIRST DETENT DETENT 1 AS SHOWN 14 INSERT TUBING INTO PINCH VALVE SLIDE TUBING TO SEAT PROPERLY 15 RELEASE FOOTPEDAL TREADLE I A HANDPIECE SYSTEM SETUP IRRIGATION TUBING SET FIG...

Page 29: ...NURSE 18 FIRMLY ATTACH FILTER TO VACUUM SENSE VENT FITTING STRETCH SILICONE TUBING AROUND PUMP HEAD AS SHOWN 19 INSERT TUBING INTO DRAINAGE BAG 20 SCREW I A TIP INTO I A HANDPIECE USE TIP WRENCH FOR ASSISTANCE I A HANDPIECE SYSTEM SETUP ASPIRATION TUBING SET FIGURE 21 SCRUB NURSE CIRCULA TING NURSE TIP WRENCH PUMPARM DRAINAGEBAG MAXIMUMCAPACITY500ml ...

Page 30: ...E SYSTEM SETUP SET CONSOLE FIGURE 22 PANEL SURGEON PROCEDURE 21 SET MODE SWITCH TO I A SET RATE 22 SET CONTROL 23 ATTACH THREADED IRRIGATING TIP SLEEVE ON I A HANDPIECE AS SHOWN SCRUB NURSE CIRCULATING NURSE DRAINAGE BAG MAXIMUM CAPACITY 500ml ...

Page 31: ...IMMEDIATELY BEFORE USE ON A PATIENT PROCEDURE 24 DEPRESS FOOTPEDAL TREADLE TO FIRST DETENT DETENT 1 AS SHOWN IRRIGATION ONLY AND HOLD UNTIL TEST CHAMBER IS FILLED 3 4 FULL 25 PLACE TEST CHAMBER ON I A HANDPIECE 26 DEPRESS FOOTPEDAL TREADLE TO SECOND DETENT DETENT 2 AS SHOWN IRRIGATION ASPIRATION AND HOLD UNTIL ALL TUBING IS PRIMED AND FREE OF BUBBLES 27 RELEASE FOOTPEDAL TREADLE 28 PERFORM SYSTEM ...

Page 32: ...ERED THE SYSTEM TEST MUST BE REPEA TED IN ORDER TO GUARANTEE SAFE OPERA TING CONDITIONS PROCEDURE 1 PINCH IRRIGATION TUBING WITH CLAMP HEMOSTAT 2 DEPRESS FOOTPEDAL TREADLE TO SECOND DETENT DETENT 2 AS SHOWN 3 NOTE PUMP START AND STOP MOTION IF PUMP DOES NOT REMAIN STOPPED OR THERE IS INTERMITTENT MOTION STOP DO NOT PROCEED UNTIL PUMP REMAINS STOPPED FOR 10 SEC 4 NOTE TEST CHAMBER COLLAPSE DO NOT R...

Page 33: ...ESS FOOTPEDAL TREADLE TO SECOND DETENT DETENT 2 AS SHOWN 3 NOTE PUMP START AND STOP MOTION IF PUMP DOES NOT REMAIN STOPPED OR THERE IS INTERMITTENT MOTION STOP DO NOT PROCEED UNTIL PUMP REMAINS STOPPED FOR 10 SEC 4 NOTE TEST CHAMBER COLLAPSE IF NO COLLAPSE OCCURS STOP DO NOT PROCEED UNTIL COLLAPSE IS OBSERVED 5 RELEASE FOOTPEDAL TREADLE 6 NOTE REINFLA TION OF TEST CHAMBER IF THERE IS NO REINFLATIO...

Page 34: ...PUMP DOES NOT REMAIN STOPPED OR THERE IS INTERMITTENT MOTION STOP DO NOT PROCEED UNTIL PUMP REMAINS STOPPED FOR 10 SEC 4 RELEASE CLAMP HEMOSTAT 5 NOTE NO CHANGE IN TEST CHAMBER IF COLLAPSE OCCURS STOP 6 REMOVE TEST CHAMBER SYSTEM IS NOW READY FOR SURGERY 7 RELEASE FOOTPEDAL TREADLE NORMAL COLLAPSE TROUBLESHOOTINGTIPS MAKE SURE ALL CONNECTIONS TO THE HANDPIECE ARE SECURE AVOID SEVERE BENDS KINKS IN...

Page 35: ...OF I A HANDPIECE FORCEFULLY PUSH SYRINGE PLUNGER 6 REPEAT STEP 5 WITH AIR 7 REMOVE I A TIP WITH TIP WRENCH 8 STERILIZE I A HANDPIECE PER ACCEPTED HOSPITAL FACILITY PRACTICE WARNINGS IF CLEANING IS NOT PERFORMED AFTER EACH SURGICAL PROCEDURE SALT DEBRIS MAY COLLECT ALONG THE INNER WALLS OF THE HANDPIECE THIS COLLECTION OF SALT DEBRIS WILL COMPROMISE THE SURGICAL PROCEDURE BY INCREASING THE FLUID RE...

Page 36: ...RVIEW FRONTVIEW IRRIGA TIONSLEEVE STERILE FIELD SCRUB NURSE CIRCULA TINGNURSE PROCEDURE 1 CONNECT FOOTPEDAL TO CONSOLE 2 PLUG POWER CORD INTO CONSOLE OUTLET 3 PUSH ROCKER SWITCH TO POWER CONSOLE 4 MOVE IRRIGA TION SLEEVE ONTO STERILE FIELD U SVAC I AVAC MODE VIT C A U T E R Y U SPOWER RATE PHACOJACK ...

Page 37: ...T TESTCHAMBER IRRIGA TINGTIPSLEEVE TIPWRENCH DRAINAGEBAG HANDPIECETRAY EXTENDERCOVER STERILEFIELD VITHANDPIECE PROCEDURE 5 PEEL LID FROM TUBING KIT TRAY OPEN POUCH OF OUTER VITRECTOR PACKAGE PLACE CONTENTS IN STERILE FIELD DO NOT PERMIT ANY NON STERILE SURFACE TO TOUCH ANY COMPONENTS IN THE STERILE FIELD 6 UNWRAP TUBING SETS DISCARD WRAP 7 PEEL INNER POUCH TO FREE CONTENTS DISCARD POUCH 8 OPEN POU...

Page 38: ...CE WHILE HANDLING 12 INSERT SPIKE INTO IRRIGATING SOLUTION BOTTLE DO NOT PERMIT DRIP CHAMBER SPIKE TO TOUCH ANY NON STERILE SURFACE WHILE INSERTING SPIKE INTO BOTTLE 13 SET BOTTLE HEIGHT AS SHOWN 14 PASS SILICONE TUBING PORTION OF IRRIGA TION TUBING SET TO CIRCULATING NURSE 15 DEPRESS FOOTPEDAL TREADLE TO FIRST DETENT DETENT 1 AS SHOWN 16 INSERT TUBING INTO PINCH V ALVE 17 RELEASE FOOTPEDAL TREADL...

Page 39: ... PUMPARM DRAINAGEBAG MAXIMUMCAPACITY500ml PROCEDURE 18 INSERT ASPIRATION TUBING SET FITTING ONTO VITRECTOR 19 PASS PUMP TUBING WITH FILTER TO CIRCULATING NURSE 20 FIRML Y ATTACH FILTER TO V ACUUM SENSE VENT FITTING STRETCH SILICONE TUBING AROUND PUMP HEAD AS SHOWN CLOSE PUMP ARM 21 INSERT TUBING INTO DRAINAGE BAG ...

Page 40: ...T CONSOLE FIGURE 32 SCRUB NURSE CIRCULA TINGNURSE NOTE SEE CONTROL SWITCH SPECIFICA TION FIG3 FOR PERISTALTIC PUMP OPERA TION IN VIT MODE PROCEDURE 22 SET MODE SWITCH TO VIT SET RATE VIT 23 SET CONTROL SWITCH DRAINAGEBAG MAXIMUMCAPACITY500ml SURGEON PANEL ...

Page 41: ...OOTPEDAL TREADLE TO FIRST DETENT DETENT 1 AS SHOWN IRRIGA TION ONLY AND HOLD UNTIL TEST CHAMBER IS FILLED 3 4 FULL 25 PLACE TEST CHAMBER ON VITRECTOR 26 DEPRESS FOOTPEDAL TREADLE TO SECOND DETENT DETENT 2 AS SHOWN IRRIGATION ASPIRA TION AND HOLD UNTIL ALL TUBING IS PRIMED 27 CONNECT ACTUATOR TUBING TO CONSOLE AS SHOWN 28 RELEASE FOOTPEDAL TREADLE DRAINAGEBAG MAXIMUMCAPACITY500ml ...

Page 42: ...E 34 SCRUB NURSE CIRCULATINGNURSE ROCKERSWITCH REARVIEW FRONTVIEW CAUTERY FORCEPS STERILE FIELD PROCEDURE 1 CONNECT FOOTPEDAL TO CONSOLE 2 PLUG POWER CORD INTO CONSOLE OUTLET 3 PUSH ROCKER SWITCH TO POWER CONSOLE 4 MOVE CAUTERY FORCEPS CABLE ONTO STERILE FIELD CABLE PHACOJACK ...

Page 43: ...THEPhacosystem 43 CAUTERY SYSTEM SETUP SET CONSOLE FIGURE 35 SCRUB NURSE CIRCULA TINGNURSE PROCEDURE 1 CONNECT FORCEPS TO CABLE 2 PASS CABLE TO CIRCULATING NURSE 3 INSERT PLUGS INTO CONSOLE AS SHOWN 4 SET CAUTERY ...

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