Zimmer Biomet Tricera Instruction Manual Download Page 2

 

DCO-1318 

 

Effective Date: 01-SEP-2021

 

LBL 6028 Rev. G 

Page 2 of 23 

 

2. 

DEVICE DESCRIPTION 

The  Tricera System is an arthroscopic surgery platform designed for 

use in orthopedic and arthroscopic procedures for the fluid distension 

and irrigation of the knee, shoulder, ankle, elbow, wrist, and hip.  The  

Tricera System provides abrasion, resection, debridement, and removal 

of bone; removal, ablation, and coagulation of soft tissue; as well as 

hemostasis of blood vessels.  Examples of uses of the product include 

resection of torn knee cartilage, subacromial decompression, and 

resection of synovial tissue in other joints. 
The  Tricera System consists of the following components:  

 

Tricera Controller  

o

 

Tricera Footswitch 

 

Fluid Management Accessories (All Models) 

 

Tricera Handpieces (All Models) 

 

Shaver Blades/Burrs and RF Probes (All Models) 

The  Tricera Controller performs fluid management control, shaver 

control, and RF control. The Tricera Controller provides power to the 

Tricera Handpiece for arthroscopic resection and bone burring.  The 

Tricera Controller pumps operate with the Veriflow Fluid Management 

Accessories to deliver fluid under pressure control to the joint. The 

Tricera Controller delivers RF through the Tricera handpiece to the 

disposable RF devices.  The RF is used for the resection, ablation, and 

coagulation of soft tissue within the joint. 
The Tricera Footswitch includes the following features: 

 

Activate Pedal  

 

Coagulation Pedal 

 

Flush Pedal 

 

Inflow Toggle 

 

Cycle Forward Mode Button 

 

Cycle Backward Mode Button 

The Veriflow/Exoflow Fluid Management Accessories (FMA) is a single-

patient use only device, which consists of the following: 

 

The Cassette that houses: 

o

 

Inflow tubing with a pressure diaphragm (Veriflow model 

only) 

o

 

Outflow tubing (All Models) 

The Tricera Handpiece is a reusable, electrically powered, hand-held 

surgical instrument that uses interchangeable devices to abrade and 

remove bone and accomplish the debridement of soft tissue. The 

Tricera handpiece has RF contacts which connect to the disposable 

devices to deliver RF to the tissue for resection, ablation, and 

coagulation of soft tissue within the joint. The Tricera handpiece 

features: hand switches for controlling disposable device activation, 

modes, settings, speed, suction adjustment and flush; and a suction 

irrigation port for removing irrigant from the operating site. 
The Shaver Blades/Burrs provide abrasion, resection, and debridement 

of bone and soft tissue. The Shaver Blades/Burrs and RF Probes 

provide ablation and coagulation of soft tissue, as well as hemostasis of 

blood vessels. 

 

 

3. 

INDICATIONS FOR USE 

The Tricera System is indicated for use in orthopedic and arthroscopic 

procedures.  The Fluid Management System of the Tricera Arthroscopic 

System provides fluid distension and irrigation of the knee, shoulder, 

ankle, elbow, wrist and hip, and fluid suction during diagnostic and 

operative arthroscopic procedures.  The Shaver Blade/RF Probe of the 

Tricera Arthroscopic System provides abrasion, resection, debridement, 

and removal of bone through its shaver blade; removal, ablation, and 

coagulation of soft tissue; as well as hemostasis of blood vessels 

through its shaver blade and probe.  Examples of uses of the product 

include resection of torn knee cartilage, subacromial decompression, 

and resection of synovial tissue in other joints. 

Contraindications:

 The electrosurgical probe should not be used in 

procedures where a nonconductive irrigant is used or with patients 

having cardiac pacemakers or other electronic implants. 

4. 

CONTRAINDICATIONS 

The Tricera System contains many metal components. Therefore, it is 

MRI unsafe.  DO NOT use the  Tricera System in conjunction with MRI, 

CT or RFID. 

5. 

WARNINGS  

A warning contains critical information regarding serious adverse 

reactions and potential safety hazards that can occur in proper use or 

misuse of the equipment.  Failure to observe the information or 

procedures presented in a Warning may result in injury, death or other 

serious adverse reactions to the patient and/or surgical staff. 

 Tricera System General Warnings 
WARNING: 

The  Tricera System is only intended for use as outlined in 

Section 3, Indications for Use

WARNING:

 Before using the  Tricera System, please review all 

available product information carefully! 

WARNING: 

The  Tricera System should only be used by physicians 

trained in arthroscopic procedures.  It is the responsibility of the user to 

be familiar with indications, contraindications, potential complications, 

and risks associated with the arthroscopic procedures being performed. 

WARNING:

 DO NOT open the controller chassis, as this may void the 

warranty.  There are no user-serviceable parts inside.  Removing the 

cover may introduce an electric shock hazard by exposing you to 

dangerously high voltages or other risks. 

WARNING:

 DO NOT attach, insert or remove accessories or 

attachments while the handpiece is operating. 

WARNING:

 All accessories of the fluid management are one-time use 

ONLY.  DO NOT re-sterilize or reuse.  After use, dispose of properly. 

WARNING:

 Disposable shaver blades/burrs and RF probes are 

provided sterile and for single-use ONLY.  DO NOT re-sterilize or reuse.  

After use, dispose of properly. 

WARNING:

 The ability to effectively clean and re-sterilize single-use 

devices has not been established and subsequent re-use may 

adversely affect the performance, safety and/or sterility of the device. 

WARNING:

 After use, the fluid management accessories and shaver 

blades/burrs and RF probes may be a potential biohazard and should 

be handled in accordance with acceptable medical practice and 

applicable local and national requirements. 

WARNING:

 DO NOT use equipment if, upon receipt, package is 

opened, damaged, or shows any signs of tampering. 

WARNING:

 DO NOT use a Tricera device if it shows any signs of 

damage. 

WARNING:

 When using blades/burrs and RF probes, avoid excessive 

lateral force as damage or breakage may occur. 

Summary of Contents for Tricera

Page 1: ...15 Appendix C Abbreviations 15 Appendix D Tones 15 Appendix E Troubleshooting 16 Appendix F Essential Performance Power Curve 18 Appendix G EMC Tables 19 Appendix H User Profiles 21 1 SYMBOLS USED ON...

Page 2: ...on during diagnostic and operative arthroscopic procedures The Shaver Blade RF Probe of the Tricera Arthroscopic System provides abrasion resection debridement and removal of bone through its shaver b...

Page 3: ...hin the joint The inflow stopcock should be completely open or completely closed WARNING Keep the pump dry If liquid has accidentally leaked into the pump from the Fluid Management Accessories cassett...

Page 4: ...ble devices such as cardiac pacemakers If the patient has an implantable cardioverter defibrillator ICD contact the ICD manufacturer for instructions before performing ablation coagulation or other el...

Page 5: ...ay result in damage to the tip of the devices 7 ENVIRONMENTAL PROTECTION Observe all national waste management regulations DO NOT dispose of Waste Electrical and Electronic Equipment WEEE as unsorted...

Page 6: ...6 Receptacle reserved for future functionality 7 Power ON OFF Switch and Power ON LED 8 Pressure Sensors Figure 2 Controller Rear 9 Equipotential Lug 10 Power Entry Module 11 Fuse Drawer 12 USB Acces...

Page 7: ...nt 6 Inflow to Patient 7 Inflow Pressure Diaphragm 8 Inflow Peristaltic Pump Tube 1 TPE Pump Tubing 2 Barb Lock 3 PVC Waste Tuing 4 Outflow Lumen 5 Barb Connector 6 Cassette Magnet Figure 5 Veriflow T...

Page 8: ...Date 01 SEP 2021 LBL 6028 Rev G Page 8 of 23 Figure 7 Tricera Handpiece LCD and Buttons 1 Activate 2 Coagulation 3 Joystick 4 Mode 9 5 Shaver Blades 1 Coupler 2 Hub 3 Shaft 4 Tip Figure 8 Tricera Devi...

Page 9: ...x H for user profile details 5 The Zimmer Biomet logo and self test progress will appear on the screen followed by the images shown in Figure 11 and 12 Figure 11 Figure 12 6 Open the FMA Cassette pack...

Page 10: ...e end of the Tricera handpiece as shown Figure 18 NOTE steps 14 17 apply to Veriflow FMA set R 10003 only 14 Select the joint for the procedure by touching the joint selection touchscreen or using the...

Page 11: ...at any time during the procedure 2 The Tricera Controller will set the following default pressure set point based on the initial joint selection Knee 45mmHg Shoulder 50mmHg Hip 50mmHg Small Joint 35m...

Page 12: ...e the potential of blood and debris drying prior to cleaning 3 After use Tricera Devices may be a potential biohazard and should be handled in accordance with acceptable medical practice and applicabl...

Page 13: ...5 4 Allow 0 Suction YES and NO When this setting is set to Yes the suction level for Oscillate Bone Cutting Bone Burring Forward and Reverse all non RF modes shall be adjustable between 0 and 100 When...

Page 14: ...of merchantability and fitness for a particular purpose and all other obligations and liabilities on the part of Zimmer Biomet Zimmer Biomet neither assumes nor authorizes any other person to assume f...

Page 15: ...Pressure 878 to 1082 cmH2O 86 to 106 kPa IV Transport and Storage Requirements Temperature 18 C to 60 C Relative Humidity 15 to 85 non condensing Atmospheric Pressure 510 to 1082 cmH2O 50 to 106 kPa A...

Page 16: ...tomer service E11 E16 Inflow turns off High pressure detected on the inflow line Foreign object between diaphragm and pressure sensors Controller malfunction Remove any obstructions from inflow line o...

Page 17: ...t the footswitch is plugged into the gray port on the Controller Ensure the Handpiece is securely plugged into the connector Replace Tricera Device N A N A N A F12 Handpiece Cannot Position Window Pro...

Page 18: ...ntentional activation of RF output no unintentional activation of pump motors and correct pressure indication within one indicator bar II Power Curve Full and Half Output Power versus Load Resistance...

Page 19: ...ootswitch 10 ft Hospital Grade Power Cord Table 1 Electromagnetic Emissions Statement Guidance and Manufacturer s Declaration Electromagnetic Emissions The Tricera System is intended for use in the el...

Page 20: ...lity should be that of a typical commercial or hospital environment Voltage dips short interruptions and voltage variations on power supply input lines IEC 61000 4 11 5 UT 95 dip in UT for 0 5 cycle 4...

Page 21: ...3 79 3 79 7 27 100 12 0 12 0 23 0 For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be estimated using the equation applicable to...

Page 22: ...3000 6000 Forward RPM Reverse Default 1000 6000 6000 Reverse RPM Bone Cutting Default 3000 15000 15000 Bone Cutting RPM Bone Burring Default 3000 15000 15000 Bone Burring RPM RF Ablation Default 1 10...

Page 23: ...handpiece shall continue running when the button is released When a button is pressed again the motor shall stop running In RF modes or when Handpiece Button Latch non RF modes is Off activation shall...

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