A
MALGATOME
®
SD
U
SER
G
UIDE
PN#: X101456, Rev. C
Page 35 of 56
Problem
Possible Solution
Disposable excision
ring blade does not
seem to be working
properly
•
Verify that the excision ring blade and its mating surfaces are free of lint and other
foreign objects which can hinder free movement of the excision ring blade.
•
Verify that the excision ring blade is not clogged with debris, skin, or fabric from the
Operating Room (OR) towels, sponges, or drape material, which can hinder free
movement of the excision ring blade.
•
Check for any visible nicks or dings in the excision ring blade caused by running over
metal objects. Do not attempt to cut exposed bone, tendon, or similar material. The
system is intended to cut skin only.
Uneven or
chattered edges on
the skin graft
•
Operate the system with a slow and steady speed. Moving too fast does not allow the
user to adjust to body contours or irregularities in tissue.
•
Reduce speed and review proper angle and pressure to ensure that the correct technique
is being used.
Crescent shaped
appearance in the
skin graft
•
Operate the system with a slow and steady speed. Moving too fast does not allow the
user to adjust to body contours or irregularities in tissue. This results in crescent moon
shaped patterns or uneven thickness of grafts.
•
Reduce speed and review proper angle and pressure to ensure that the correct technique
is being used.
Skin graft is not
uniform or too
thick/narrow in the
middle
•
Note that the depth gauge plate on the hand piece is designed to flatten the skin as it
approaches the cutting edge.
•
Do not apply additional pressure or too much angle on the hand piece because it causes
the tissue to compress itself into the hand piece, resulting in skin grafts that are thick in
the middle and thin on the edges, and too narrow.
•
Reduce speed and review proper angle and pressure to ensure that the correct technique
is being used.
Inadvertently
dissected skin graft
during harvesting
•
The excision ring blade cuts with the trailing edge. Attempting to keep the instrument
too flat can inadvertently lift the cutting edge away from the recovery site.
•
Reduce speed and review proper angle and pressure to ensure that the correct technique
is being used.
Gradual loss of
rpm or power
•
Re-lubricate the drive unit by placing 1-3 drops of sterile mineral oil in the air inlet,
and run the device for 2 minutes to ensure even internal distribution.
**NOTE** it is NOT recommended that this be performed after every use due to the risk
of mineral oil buildup in the hose. It is not recommended that this be performed in the
operating room due to potential for oil misting from the hose exhaust.
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