E M S Electro Medical Systems GRDLNBPVMEO Intracorporeal lithotripter User Manual 1 2ANZC GRDLNBPVMEO
E.M.S. Electro Medical Systems S.A. Intracorporeal lithotripter 1 2ANZC GRDLNBPVMEO
Contents
- 1. User manual 1 - 2ANZC-GRDLNBPVMEO.pdf
- 2. User manual 2 EN- 2ANZC-GRDLNBPVMEO.pdf
- 3. User manual 2 FR- 2ANZC-GRDLNBPVMEO.pdf
User manual 1 - 2ANZC-GRDLNBPVMEO.pdf
INSTRUCTIONS FOR USE FT-231 FT-232 2 SWISS LITHOCLAST BLAST - FB-610/EN 23-JUNE-2017 / EMS CONFIDENTIAL Please Read this First! Thank you for purchasing this new EMS product. It meets the highest quality and safety standards. We would be pleased to answer your questions and we welcome your suggestions. We do, of course, provide support in case of technical problems. Please contact your EMS authorized service center or your dealer directly. We wish you lots of success! Intended User The product must be used by qualified operating room personnel (with extensive training in urology) in hospitals, clinics and medical universities to treat affected patients of any age. It is intended to be reprocessed by trained reprocessing personnel, biomedical services, or by an external reprocessing contractor. EMS Contraindications and Patient Population About this Manual Please note that the English version of this manual is the source from which all translations are derived. In case of any discrepancy, the binding version is the English text. These operating instructions are to ensure the correct installation and use of this product. Always keep these instructions close at hand. Please read these operating instructions carefully as they explain important details and procedures. Please pay special attention to the safety precautions. To prevent injury to people and damage to property, please follow the corresponding directives. They are marked as indicated: Use of the product is contraindicated in patients with any of the following conditions: • Active bleeding disorders, • Solitary functioning kidney, • Creatinine greater than or equal to 3 µg %, • During pregnancy, • Stricture and obstruction problems, • An implanted electrical stimulator (e.g. pacemaker). Potential Complications Potential complications associated with fragmentation of urinary tract calculi by ballistic and/or ultrasound energy include: Caution: Risk of patient or user injury. Risk of damage to the product or environmental harm. • Perforation, • Hemorrhage, Note: Useful additional information and hints. • Lesion, • Stone migration, • Pain/colic, Intended Use • Macroscopic hematuria, The product is intended for the fragmentation and removal of urinary tract calculi in the kidney, ureter, and bladder. • Infection, • Ureteral obstruction. Operating mode The product can deliver ultrasound and ballistic energies through a single probe simultaneously, or separately to fragment stones. The product can extract stone fragments through the probe while delivering energy or without delivering energy. The product is able to collect the stone fragments for analysis. CONTENTS 1. SAFETY PRECAUTIONS 2. COMPONENTS 3. INSTALLATION 3.1. INSTALLING THE CONSOLE 3.2. FILLING THE COOLING SYSTEM 3.3. CONNECTING THE CONSOLE TO THE EQUIPOTENTIAL CONDUCTOR 10 3.4. CONNECTING THE VIDEO CORD (OPTIONAL)10 3.5. INSTALLING THE PEDAL 11 3.6. INSTALLING THE STONE CATCHER 11 3.7. INSTALLING THE SINGLE-USE FLUID MANAGEMENT SYSTEM SET (OPTIONAL) AND REPLACEMENT POUCH 13 6.7. DISPOSING OF SINGLE-USE COMPONENTS25 6.8. SWITCHING OFF THE CONSOLE 25 7. CLEANING, DISINFECTING, AND STERILIZING 26 7.1. MULTIUSE COMPONENTS 26 7.2. CONSOLE, PEDAL, AND CART 28 8. PRODUCT MAINTENANCE 29 8.1. COOLING LIQUID CIRCUIT MAINTENANCE 29 8.2. REPLACING FUSES 30 8.3. DOWNLOADING LOGFILE 30 9. PRODUCT STORAGE AND SHIPPING 31 3.8. CONNECTING THE STERILIZED HANDPIECE TO THE CONSOLE 13 9.1. EMPTYING THE COOLING LIQUID CIRCUIT 31 3.9. INSTALLING A PROBE ON THE HANDPIECE 14 9.2. SHIPPING THE PRODUCT 32 3.10. CONNECTING THE POWER CORD 14 10. PRODUCT DISPOSAL 33 4. GETTING STARTED 15 11. EMS TECHNICAL SUPPORT 33 4.1. STARTING THE DEVICE 15 12. TROUBLESHOOTING 34 4.2. ADJUSTING THE PARAMETERS 15 12.1. MANUAL HANDPIECE UNLOCKING 34 4.3. EQUIPMENT DATA 17 12.2. WEAK SUCTION 34 5. TREATMENT 18 5.1. FUNCTIONAL TESTS 18 5.2. PROBE INSERTION 19 5.3. TREATMENT SETTINGS 19 5.4. ADAPTING SUCTION FLOW RATE 21 5.5. STARTING TREATMENT 21 6. POST-TREATMENT PROCEDURE 22 6.1. COMPLETING TREATMENT 22 6.2. DISCONNECTING THE HANDPIECE 23 6.3. RECORDING TREATMENT DATA 24 6.4. DISCONNECTING THE STONE CATCHER 25 6.5. ELIMINATING THE STONE CATCHER CONTENTS25 6.6. CONSERVING THE STONE CATCHER CONTENTS25 12.3. PROBE NOT COMPATIBLE WITH THE ENDOSCOPE34 12.4. DISPLAYED ERROR MESSAGES 34 13. FORMER ELECTROMAGNETIC COMPATIBILITY37 14. NEW ELECTROMAGNETIC COMPATIBILITY40 15. TECHNICAL DATA 42 16. SYMBOLS 43 17. APPENDIX 46 17.1. PROBE COMPATIBILITY TABLE 46 17.2. FCC AND IC 46 SWISS LITHOCLAST BLAST - FB-610/EN 23-JUNE-2017 / EMS CONFIDENTIAL 1. SAFETY PRECAUTIONS EMS and the distributor of this product accept no liability for direct or consequential injury or damage resulting from improper use, arising in particular through non-observance of the operating instructions, or improper preparation and maintenance. Instructions for use are explicitly given at installation by an EMS representative. Before using this product, please carefully read, understand, and follow the recommendations in the instruction manual. Failure to observe the operating instructions may result in the patient or user suffering serious injury or the product being damaged. This product may only be applied for its intended use by qualified personnel and for the applications described in this manual. If the product is used in combination with other instruments, please refer to their instruction manual. Do not use this product in the presence of flammable anesthetics or oxidizing gases (such as nitrous oxide (N2O) and oxygen) or in close proximity to volatile solvents (such as ether or alcohol), as explosion may occur. Before using the product, inspect for any damage. Do not use if the product is damaged. Use original EMS spare parts and accessories only. Do not modify or repair the product yourself. Please To avoid injury or damage, make sure that the fragmentation energy is supplied only upon contact of the probe with the stone. Do not touch the probe during activation. When the mains power switch is in the “0” position, the product is disconnected from the supply network. Do not tilt or flip the console without first having purged the cooling system. Always empty the cooling circuit before transport. Please refer to Emptying the Cooling Liquid Circuit section. Do not start treatment without ensuring that a back-up probe is available. Make sure that the handpiece, handpiece fluid aspiration connector, and re-usable wrenches are sterilized before proceeding with installation. Any serious incident that has occurred in relation to the product should be reported to the manufacturer and the competent authority. contact an EMS authorized service center. To avoid risk of contamination, before each use, always clean, disinfect and sterilize the product according to the EMS reprocessing instructions. 2. COMPONENTS The components provided for your device will vary, according to your configuration. 10 11 14 12 13 NON STERILE ZONE REF DESIGNATION QTY Console (with peristaltic pump) or Console (with pinch valve) Cart - optional Fluid management system - optional USB key 2.5 L Demineralized water Stone catcher support Cooling system filling kit Power cord 10 Wired pedal 11 Draining tube 12 External video cord - optional 13 Cleaning brush 14 Cleaning rod Figure 1 SWISS LITHOCLAST BLAST - FB-610/EN 23-JUNE-2017 / EMS CONFIDENTIAL 16 15 18 17 20 19 21 STERILE ZONE REF DESIGNATION QTY STERILE STATE 15 Standard wrench To be sterilized before use 16 Stone catcher - optional Provided sterile 17 Multiuse torque wrench To be sterilized before use 18 Probe Provided sterile 19 Unclogging rod To be sterilized before use 20 Aspiration plug To be sterilized before use 21 Handpiece To be sterilized before use Figure 2 REF DESIGNATION Mains power switch Power supply connector Bus bar Pedal cord connector USB connector USB connector HDMI connector TO BE USED YES YES YES YES YES YES YES REF 10 11 12 13 10 11 12 DESIGNATION RJ45 connector Outlet connector Air plug connector Sub-D Level indicator Filling inlet connector 13 TO BE USED NO YES YES NO YES YES Figure 3 Sub-D and RJ-45 (After Sales only). 3. INSTALLATION Please make sure that you have all the required parts and tools to complete the installation of your device prior to starting work Refer to the Packing List. 3.2. FILLING THE COOLING SYSTEM o avoid interruptions during treatment, make sure that the cooling liquid is above the minimum level before use. If needed, fill the cooling system as described below. Follow the instructions in the indicated order. 3.1. INSTALLING THE CONSOLE 1. Install the console on a flat, stable surface or use the cart (optional) designed for the console. 2. Remove the protective film from the console. 3. Install the stone catcher support. Figure 5 Do not tilt the console more than 10 degrees when there is water in the cooling system. Figure 6 Figure 4 1. To remove the air vent plug, push the grey ring and pull the air vent simultaneously. Figure 7 SWISS LITHOCLAST BLAST - FB-610/EN 23-JUNE-2017 / EMS CONFIDENTIAL 2. Fill the filling bottle and close it. Figure 8 nly use demineralized water to fill the cooling system. 3. Connect the filling tube to the filling bottle. Figure 9 4. Make sure that the metal locking part is in the down position. Figure 10 5. Push the filling tube into the filling inlet connector until it engages. Figure 11 6. Invert the filling bottle and squeeze it to fill the tank. In case of over-filling, please refer to Emptying the Cooling Liquid Circuit section. Figure 12 ake sure that the level of water in the tank is between the min. and max. indicators. Figure 13 7. Push the metal locking part down to remove the filling tube. 3.3. CONNECTING THE CONSOLE TO THE EQUIPOTENTIAL CONDUCTOR When applicable and according to your in-house protocol, connect the equipotential conductor at the rear of the console with the bus bar. The equipotential conductor provides a connection between the unit and the potential equalization bus bar of the electrical installation when necessary. Figure 14 Figure 16 8. Re-insert the air vent plug up to the stop. The equipotential cable is not supplied with the console. 3.4. CONNECTING THE VIDEO CORD (OPTIONAL) Only connect products compliant with IEC 60950 or equivalent. Figure 15 The console must be OFF before connecting the video cord. 1. Connect the video cord to the HDMI connector at the rear of the console and to a video monitor that supports “Picture-in-Picture.” 2. Follow the instructions provided for the video monitor to select the video input. Figure 17 10 SWISS LITHOCLAST BLAST - FB-610/EN 23-JUNE-2017 / EMS CONFIDENTIAL 3.5. INSTALLING THE PEDAL 1. Connect the pedal cord to the corresponding connector at the rear of the console. Pay attention to the pedal cord connector indexation. Figure 18 2. Make sure that the pedal cord connector is in the correct position and screw the securing nut. 3.6. INSTALLING THE STONE CATCHER Case 1: Use of an in-house aspiration system. 1. Screw the aspiration plug to the handpiece. Figure 20 2. Connect the in-house aspiration system on the aspiration plug. 3. Follow the instructions provided for the in-house aspiration system. Case 2: Use of a sterile, single-use Stone Catcher provided by EMS (optional) 1. Screw the sterile connector of the stone catcher into the handpiece. Figure 19 The pedal can be placed in a protective bag (not supplied). 3. Make sure that the pedal is in an accessible location before starting treatment. Figure 21 11 2. Tighten the Stone Catcher lid. 3. Close the pump. 4. Connect the stone catcher output tube end with the conical connector (A) to the optional fluid management system or to your fluid disposal system. Figure 22 3. Insert the stone catcher into the stone catcher support. Figure 26 5. Make sure that the output tube is not twisted or under tension when placed in the peristaltic pump device head. Figure 23 • 4. Proceed according to your device: • For Pinch Valve Device 1. To insert the stone catcher output tube into the pinchvalve, push the pinch valve device and insert simultaneously the tube. For Peristaltic Pump Device 1. Open the pump. Figure 24 2. Place the stone catcher output tube into the pump. Figure 27 2. Connect the stone catcher output tube end with the conical connector (A) to an external vacuum source. Figure 25 12 SWISS LITHOCLAST BLAST - FB-610/EN 23-JUNE-2017 / EMS CONFIDENTIAL 3.7. INSTALLING THE SINGLE-USE FLUID MANAGEMENT SYSTEM SET (OPTIONAL) AND REPLACEMENT POUCH For the peristaltic pump device only 4. When the open pouch is filled, open the closed clamp (B) first. 5. Close the open clamp (C) (adjacent to the filled pouch). 6. The filled pouch can be exchanged for a new empty pouch, using the Luer-lock connection. 1. Suspend the two fluid pouches, on the cart or on an IV pole, at a level that is lower than the console. Figure 31 3.8. CONNECTING THE STERILIZED HANDPIECE TO THE CONSOLE Figure 28 2. Connect the fluid management system input tube (A) to the stone catcher output tube connector. Make sure that the handpiece connector is dry before connecting it to the console. 1. To remove the protective cap from the handpiece cord, hold the metal part of the handpiece cable connector and push up on the cap using your thumb and index finger. Figure 29 3. Close clamp (B) of one pouch to fill the first pouch. Clamp (C) stays open. Figure 32 Figure 30 13 2. Remove the protective cap from the console. 2. Use the wrench to firmly tighten the appropriate probe on the handpiece. Case 1: Standard wrench Figure 35 Figure 33 3. Connect the handpiece to the console. Case 2: Multiuse Torque wrench Figure 34 4. Pay attention to the orientation of the handpiece connector. Figure 36 The red dot must be on top for proper alignment. 5. Make sure that the handpiece cord does not touch the floor and is not compressed or squeezed in any way that might impede circulation of the cooling liquid. 3.10. CONNECTING THE POWER CORD onnect only to a FI protected mains power supply (FI = Residual current protection). 6. The handpiece connection to the console is maintained by a mechanical lock. During use, the lock icon (orange handpiece activation icon) remains illuminated. o prevent damage to the console, make sure that its rated voltage meets the local line voltage. o not exceed the maximum number of usage cyD cles for the handpiece as specified in the Technical Data section. Connect the power cord to the power socket at the rear of the console. 3.9. INSTALLING A PROBE ON THE HANDPIECE 1. Select the appropriate probe. isk of contamination: do not use after the expiration date on the package label. Refer to the Probe Compatibility Table section. Figure 37 14 SWISS LITHOCLAST BLAST - FB-610/EN 23-JUNE-2017 / EMS CONFIDENTIAL 4. GETTING STARTED 4.1. STARTING THE DEVICE 1. Use the mains power switch located on the rear panel to switch on the console. 3. The console automatically performs a series of diagnostic tests. 4. The console displays a green check mark successfully completed diagnostic test. for each In case of error messages, refer to the troubleshooting information provided on the screen or to the Troubleshooting section. 5. The console is ready for use when all diagnostic tests have been successfully completed. The touch screen can be operated when wearing surgical gloves. 4.2. ADJUSTING THE PARAMETERS Figure 38 o not disconnect the handpiece while the lock icon is switched on (in orange), since this may result in damage. 1. To access the PARAMETERS screen from the STAND BY screen, press PARAMETERS Figure 39 When the handpiece is connected when starting the device, the lock icon will be orange and the purge will start. Figure 41 2. Configure the parameters as needed. 2. Wait until the STAND BY screen appears. Figure 40 Figure 42 15 Click this pictogram Meaning Action Log file download To download the log file and save it on a USB drive. Several screens will appear. Choose a language To select the display language. Refer to the Setting the Language section. Brightness Use the and buttons to adjust the display brightness. Volume Use the and buttons to adjust the volume. Back To confirm and return to the previous screen. Table 1 4.2.1. Choosing the Language 1. To access the language selection menu, press: From the READY screen ð From the STAND BY screen ð ð Table 2 16 SWISS LITHOCLAST BLAST - FB-610/EN 23-JUNE-2017 / EMS CONFIDENTIAL 2. Click the language you want to select. 2. Select Console to view the installed software version number, product serial number, and cumulated treatment statistics. Figure 43 3. To confirm the selected language, click OK. Figure 46 3. Select Handpiece to view the handpiece serial number and cumulated treatment statistics. Figure 44 4.3. EQUIPMENT DATA 1. From the STAND BY screen, select the equipment pictogram to consult its equipment data. Figure 47 4. Select Probe to view the probe reference number, batch number, probe dimensions, and cumulated treatment statistics. Figure 45 Figure 48 17 5. TREATMENT o avoid the risk of electric shock, this product must only be connected to a mains power supply with protective earth. No modification shall be made on this product. The mains power switch of the product must be accessible at any time. 4. Press the pedal halfway (STEP 1) to activate suction and make sure that suction is working properly (fluid moving through the suction tube). o not use the product in surgery after any product update without first performing functional tests. ragments blocked in the lumen of the probe and the handpiece may lead to loss of suction and heating of the probe. If blockage occurs, stop lithotripsy. Use the unclogging rod to remove fragments from the probe and from the handpiece lumen before continuing. Figure 50 5. Press the pedal completely (STEP 2) to activate both suction and energies and make sure that the quality meter is in the green zone and the fluid is moving through the suction tube. Figure 49 o not let the handpiece remain in contact with the patient during treatment. During treatment, an auditory information pulse will be emitted. This section provides guidance for using the product. It does not provide detailed instructions for performing lithotripsy procedures. 5.1. FUNCTIONAL TESTS Figure 51 If a function or component is not working as explained below, refer to the Troubleshooting section. 6. Remove foot from the pedal to stop the functional test. 1. From the STAND BY screen, press the START button to access the READY screen. 2. Insert the probe into a sterile receptacle of physiological fluid. 3. Use the 2-mode foot pedal. Figure 52 18 SWISS LITHOCLAST BLAST - FB-610/EN 23-JUNE-2017 / EMS CONFIDENTIAL 5.2. PROBE INSERTION • For pinch valve device Do not touch the probe during activation. If a probe breaks distally, use sterile grasping forceps to remove probe pieces from the urinary tract. 1. Throughout the entire treatment, keep the probe tips under endoscopic vision. To avoid bending the probe, make sure that the probe and the endoscope are aligned. The probe tip should be extended 10 - 20 mm beyond the endoscope tip. 2. Introduce and position the probe inside the endoscope. 3. The probe shall be in contact with the stone. 4. Make sure that the operation is performed with continuous endoscopic vision. Figure 54 3. All probe and handpiece usage information are automatically recorded in the console (number of uses, time of use, etc.). 4. According to the type of treatment, two pre-settings are available: 5.3. TREATMENT SETTINGS 1. The probe is automatically recognized by the handpiece to configure the console parameters for each probe type. • Hard Stones Treatment, • Soft Stones Treatment. 5. You can also set each parameter manually. 2. The READY screen will display factory settings or the settings used for the previous treatment. • Refer to the following sections: - Custom Settings, For peristaltic pump device - Hard Stones Treatment Settings, - Soft Stones Treatment Settings. 5.3.1. Custom Settings 1. From the STAND BY screen, press the START button. Figure 53 Figure 55 19 2. If required, adjust any settings manually as described in the following table: Suction Ultrasound Impact PICTOGRAMS MEANING ACTION ON/OFF button Use the ON/OFF button to activate or deactivate the functionality in question. Impact power and buttons to adjust the impact power in percent Use the from 10% to 100% (in 10% increments). Impact frequency and buttons to adjust the frequency of impact Use the pulses from 1 Hz to 12 Hz (in 1 Hz increments). Ultrasound power Use the and buttons to adjust the ultrasound power from 10% to 100% (in 10% increments). Suction flow rate Use the and buttons to adjust the suction flow rate from 10% to 100% (in 10% increments). This control is only active for consoles with an integrated peristaltic pump device. To provide instant visual feedback about the efficiency of the treatment. Treatment Efficiency Indicator • Green: the treatment works properly. • Orange: the treatment is not efficient. Menu To return to the STAND BY screen from the READY screen. Table 3 5.3.2. Hard Stones Treatment Settings 5.3.3. 1. To use the hard stones pre-settings, press the HARD STONES TREATMENT button from the STAND BY screen. Soft Stones Treatment Settings 1. To use the soft stones pre-settings, press the SOFT STONES TREATMENT button from the STAND BY screen. Figure 56 2. The READY screen will appear and display the hard stone treatment pre-settings. 2. The READY screen will appear and display the soft stones treatment pre-settings. 3. If required, adjust any settings manually as described in the table above. 3. If required, adjust any settings manually as described in the table above. 20 SWISS LITHOCLAST BLAST - FB-610/EN 23-JUNE-2017 / EMS CONFIDENTIAL 5.4. ADAPTING SUCTION FLOW RATE n excessively high suction level can impair the endoscopic vision, collapse an organ, or damage the mucosa. To adapt the suction flow rate: • For peristaltic pump device only 1. Use the suction flow rate control as described in Table 3. Do not use the roller clamp of the stone catcher to adapt the suction flow rate. • For pinch valve device only 1. Adjust the roller clamp of the stone catcher. 2. The pinch valve device default state is closed. It opens when the pedal is pressed halfway (STEP 1). 5.5. STARTING TREATMENT 1. Go to the READY screen to start the treatment. 2. Press the pedal halfway (STEP 1) to activate the suction. 3. Press the pedal completely (STEP 2) to activate both suction and the energies. 4. Release STEP 2 to deactivate energies. 5. Release STEP 1 to deactivate suction. Refer to the Functional Tests section for pedal use. After 1 minute of inactivity, the system automatically executes a purge and stops cooling the circuit. It is reactivated when you push the pedal. 3. The roller clamp on the suction tube controls the suction flow rate independently of the flow pressure. 21 6. POST-TREATMENT PROCEDURE 6.1. COMPLETING TREATMENT 1. Remove the probe from the endoscope. Figure 57 Figure 59 Do not disconnect the probe and the handpiece at this stage. 2. Switch off IMPACT and ULTRASOUND from the READY screen before starting this procedure. 3. Tilt the stone catcher. To accelerate the emptying procedure, the stone catcher can be disconnected from the handpiece. 5. The suction tubes must be cleared. 6. Loosen the probe from the handpiece, using one of the following methods. Figure 58 4. Press the pedal halfway (STEP 1) for a few seconds to empty the suction circuit and reduce the level of water in the stone catcher. Figure 60 22 SWISS LITHOCLAST BLAST - FB-610/EN 23-JUNE-2017 / EMS CONFIDENTIAL Figure 61 Figure 63 1. Pull back the metallic part of the handpiece connector to disconnect the handpiece. Figure 64 Figure 62 ait until the lock icon switches off. The handpiece cannot be disconnected when the lock icon is on. If the mechanical disconnection of the handpiece is not possible when the console is switched off, refer to the Troubleshooting section. 2. Plug the cap on the handpiece connector in the front panel. 6.2. DISCONNECTING THE HANDPIECE ake sure that the console is still on during this procedure. Make sure that the lock icon is off. Figure 65 23 6.3. RECORDING TREATMENT DATA 1. Select History to view the statistics for the last 5 treatment sessions. From the READY screen: From the STAND BY screen: ð Table 4 2. Information on the previous treatment sessions will be displayed. Figure 66 3. Press NEXT PAGE to display more previous treatment data. Figure 67 24 SWISS LITHOCLAST BLAST - FB-610/EN 23-JUNE-2017 / EMS CONFIDENTIAL 6.4. DISCONNECTING THE STONE CATCHER 1. Disconnect the stone catcher from the handpiece and from the fluid management system or from your vacuum system. 6.8. SWITCHING OFF THE CONSOLE ake sure that the lock icon is switched off before turning off the console. • Set the mains power switch to 0. Figure 68 Figure 70 6.5. ELIMINATING THE STONE CATCHER CONTENTS If the stone fragments are not to be kept for analysis, dispose of them. Refer to the Product Disposal section. 6.6. CONSERVING THE STONE CATCHER CONTENTS If the stone fragments are to be kept for analysis, close the receptacle with the yellow transport closing cap, supplied with the stone catcher. Figure 69 6.7. DISPOSING OF SINGLE-USE COMPONENTS Dispose of single-use components (probe, Stone Catcher and fluid management system) in accordance with hospital protocol. 25 7. CLEANING, DISINFECTING, AND STERILIZING • Wipe the product with a damp cloth to remove gross contamination. • Flush the lumen of the product three times for 5 seconds using a water jet pistol. • Immerse the product in cold tap water for 5 minutes. Make sure that all surfaces are moistened. • Brush all accessible surface with a soft Bristol nylon brush until all visible residues are removed; • Immerse the product in 0.5% cleaning solution for 5 minutes. Make sure that all surfaces are moistened. For the handpiece, place the protective cap onto the handpiece connector before cleaning. • EMS recommends using Neodisher® MediClean at 40°C. Do not remove the protective cap until reprocessing is completed. • Rinse the product with a water jet pistol for 60 seconds, while paying special attention to each gap, slit, or hidden surface. • Rinse the product under cold tap water. • Dry the product by blowing air for 20 seconds. 7.1. MULTIUSE COMPONENTS Step A: Preparation at the Point of Use Safe storage and transportation to the reprocessing area to avoid any damage to the instrument and contamination to the environment and the people involved in the reprocessing process. fter contamination, the sample is allowed to dry for 1 hour at room temperature. Step B: Pre-cleaning Disinfection The following test devices, materials & machines have been used for the validation study: Figure 71 • Disinfection agent: Cidex® OPA. • Immerge the product in a disinfectant solution for 10 minutes. Care that all surfaces are moistened. • EMS recommended to use Cidex OPA at 20°C. • Rinse the product with a water jet pistol for 60 seconds, while paying special attention to each gap, slit, or hidden surface. • Rinse the product under cold tap water. 1. Wipe the product with a damp cloth. 2. Immerse the product in cold tap water for 5 minutes. 3. Use a syringe with 50mL of deionized water to flush the lumen three times isinfection must be performed no later than 1 hour after the cleaning phase. 4. Rinse the product with a water jet pistol (with a minimum pressure of 3.8 bar) for 30 seconds. Sterilization must be performed after disinfection. Drying Step C: Cleaning, disinfection and drying process Step C1. Manual Cleaning, disinfection and drying process Dry the outside of the instrument with a lint-free towel. Dry the lumen of the products with filtered compressed air (max. pressure 3 bar). The instrument must never be heated >138°C. Cleaning EMS recommends using Neodisher® MediClean as the cleaning agent as it has been used for the validation study. 26 SWISS LITHOCLAST BLAST - FB-610/EN 23-JUNE-2017 / EMS CONFIDENTIAL Step C2. Automated Cleaning, disinfection and drying process Automated Cleaning, disinfection and drying validation has been performed using a Miele 7735CD washing machine, and the cleaning agent Neodisher® Mediclean. EMS recommends using Neodisher® Mediclean for their products. For this step, a Washer/Disinfector machine must have suitable baskets to hold small, fragile products and rinsing connections for the attachment to product lumina. The program of the Washer/Disinfector machine shall be able to perform the following steps. Place the instrument in a suitable rack and start the program. The Vario TD programs have been shown to be effective: Step E. Packaging for sterilization Prior to sterilization, the products must be placed in a suitable sterilization container or sterilization packaging: Compliant with EN ISO 11607 or EN 868. Step F. Sterilization Sterilization of instruments by applying a fractionated pre-vacuum process (according ISO 13060 and ISO 17665) taking into consideration the respective country requirements. Do not exceed the maximum number of sterilization cycles, please refer to the instruction manual. [Doigts] Handpiece must have the lumen positionned verticaly in the sterilizer Step F1. Prevacuum sterilization • 2 min pre-washing with cold water (<40°C). Drain; • 5 min washing with 0.5% detergent at 55°C. Drain; • 3 prevacuum phases • 3 min neutralising with warm water (>40°C). Drain; • Sterilization temperature of 132°C for 3 minutes • 2 min intermediate rinsing with warm water (>40°C). Drain. • Drying time: minimum 20 min • Do not exceed a sterilization temperature of 138°C and a holding time of 20 min. Special instructions of the manufacturer for the Washer/ Disinfector must be followed. Disinfection (if required by national laws) Automated Thermal Disinfection in a Washer/Disinfector taking into consideration national requirements in regards to A0-Value (see EN 15883) e.g. 93°C for 3 minutes. Parameters for the pre-vacuum cycle: Step K. Storage Storage of sterilized instruments in a dry, clean and dust free environment at modest temperatures of 5°C to 40°C. A machine cleaning and disinfection method should always be used for cleaning/disinfection because of the increased effectiveness of this method. Sterilization must be performed after disinfection. Drying Drying of outside of instrument through drying cycle of the Washer/Disinfector. If needed, additional manual drying can be performed using a lint-free towel and filtered compressed air (max. pressure 3 bar). The instrument must never be heated >138°C. Step D. Functional Testing, Maintenance If stains are still visible on the product after cleaning/ disinfection, the entire cleaning/disinfection procedure must be repeated. Products with visible damage, chips/ flakes, corrosion or bent out of shape must be disposed of (no further use is permissible). 27 5. Use a cleaning wipe with proven efficacy (e.g., enzol 2%) to clean the surfaces. 7.2. CONSOLE, PEDAL, AND CART 1. Turn off the console. The housing of the console is not waterproof. 6. To disinfect use 70% isopropyl alcohol or other EPA-recognized surface disinfectant. Be sure to carefully follow the instructions provided by the disinfection solution manufacturer. Figure 72 2. Disconnect the power supply connector before cleaning. Figure 73 3. Remove the protective bag from the pedal, if applicable. 4. Plug the cap on the handpiece connector in the front panel Figure 74 28 SWISS LITHOCLAST BLAST - FB-610/EN 23-JUNE-2017 / EMS CONFIDENTIAL 8. PRODUCT MAINTENANCE Should legal provisions in your country specify maintenance intervals, these must be observed. The console and handpiece may need to be returned for periodic servicing. 5. Replace the water filter. For the spare parts described below, please refer to the order form or contact your EMS authorized service center. 8.1. COOLING LIQUID CIRCUIT MAINTENANCE he cooling liquid and the water filter must be replaced every year. Regular maintenance is required for product to function properly. This procedure is applicable for pump and pinch valve version. 1. Empty the cooling liquid circuit. Refer to the Product Storage and Shipping section instructions on emptying the cooling liquid for circuit. 2. Place the console flat on its side. Figure 76 onnect the tubes to the corresponding color. The grey ring is on the left and the green ring is on the right. 6. Re-install the water filter (B) and cover (A). Figure 75 3. Use the Torx tool size 20 to remove the water filter cover (A). 4. Push the colored ring with your left hand and simultaneously pull the plug to remove the filter tube. Figure 77 29 7. Replace the console on a flat surface. 8.3. DOWNLOADING LOGFILE 8. Refill the cooling system. Refer to the Filling the Cooling System section. An EMS service center may request this procedure. 1. Plug the USB key provided by EMS at the rear of the console. 2. From the STANDBY screen, select PARAMETERS 8.2. REPLACING FUSES 1. Disconnect the power cord at the rear of the console. 3. Press LOGFILE DOWNLOAD. 4. Follow the procedure displayed on the screen. Figure 78 2. Remove the fuse drawer located in the power socket. Figure 79 3. Replace defective fuses with the fuse type specified on the identification plate at the rear of the console. 4. Re-insert the fuse drawer. 5. If the fuses fail again, please contact your EMS authorized service center. 30 SWISS LITHOCLAST BLAST - FB-610/EN 23-JUNE-2017 / EMS CONFIDENTIAL 9. PRODUCT STORAGE AND SHIPPING o not tilt or invert the console without first having emptied the cooling liquid circuit. 5. Put the draining tube in a receptacle that is more than 600 ml in volume. lways empty the cooling liquid circuit before longterm storage (2 weeks or more) or shipping to avoid damage to the console. Storage and transport conditions are specified in the Technical Data section. 9.1. EMPTYING THE COOLING LIQUID CIRCUIT 1. Unplug all cables at the rear of the console. 2. Place the console on a flat, stable surface. 3. To remove the air vent plug, push the grey ring with your left hand and simultaneously pull the plug. Figure 82 6. Connect the draining tube (supplied with the product) to the outlet. Figure 83 Figure 80 4. Make sure that the metal locking device is in the down position. 7. Tilt the console until the connector is in contact with the flat, stable surface to fully empty the cooling liquid circuit. Figure 81 Figure 84 31 8. Unlock the metal locking part to disconnect the draining tube. 9.2. SHIPPING THE PRODUCT efore shipping the product, follow the instructions provided in the Cleaning, Disinfecting and Sterilizing section. o avoid damage, pack the product and all accesT sories in the original packaging. Make sure to insert the air vent plug prior to packing and shipping the product. Figure 85 9. Re-insert the air vent plug. 32 SWISS LITHOCLAST BLAST - FB-610/EN 23-JUNE-2017 / EMS CONFIDENTIAL 10. PRODUCT DISPOSAL The product must not be discarded in domestic household waste. Should you wish to definitively dispose of the product, please comply with the applicable regulations in your country. Waste Electrical and Electronic Equipment belonging to customers located in the European Union may be shipped to EMS for recycling in accordance with the WEEE regulations. The costs of recycling, exclusive of shipping fees, are covered by EMS. Keep the original packaging until the product is to be disposed of permanently. 11. EMS TECHNICAL SUPPORT Please contact your EMS authorized service center for any product servicing or repairs. You must complete the appropriate EMS form in order to be issued a Return Material Agreement (RMA) number. EMS declines responsibility for the safety of the product and declares the warranty null and void if service or repair is carried out by an unauthorized third party or if non-genuine spare parts are used. Repair can be refused for products or accessories received in a contaminated condition. When sending your product directly to the EMS authorized service center, please include the name of the distributor to simplify processing. It is mandatory to return your product in its original packaging. By following these packaging guidelines, your product shall be protected against damage during shipment. To protect the personnel of the EMS authorized service center and for safety reasons during transport and shipment, all products and accessories returned to the factory for repair or servicing must be cleaned, disinfected and sterilized in accordance with the instruction manual. 33 12. TROUBLESHOOTING Ensure that the product and the accessories have been used in accordance with the conditions specified by EMS. Only contact an EMS service center if none of the following instructions works. To improve our quality of service, please provide the following information: • Product reference number, • Software revision, • Batch number/serial number, • Service history of the product (e.g., previous issues or repairs). 12.2. WEAK SUCTION 1. Make sure that the stone catcher tube is correctly inserted in the peristaltic pump/pinch valve. 2. Make sure that the stone catcher roller clamp is not closed. 3. Check that no clogging occurs in the handpiece or probe. 4. Make sure that there are no leaks in the suction circuit. 5. Replace the liquid collection pouch if it is full. 12.1. MANUAL HANDPIECE UNLOCKING nly use the manual handpiece unlocking procedure when disconnection has failed. 6. Make sure that the stone catcher cover is fully tightened up to the stop. 7. Make sure that the stone catcher is correctly tightened on the handpiece. • Refer to the Disconnecting the Handpiece section. For Pinch Valve Device 1. Make sure that the pinch valve opens when the pedal is pressed down. 1. Turn off the console. • 2. Keep the console in its flat position. 3. Insert a needle (2mm diameter) until you reach the stop. 4. Push the needle to the right to unlock the handpiece. The handpiece is unlocked. For Peristaltic Pump Device 1. Increase the suction from the READY screen. 2. Open the cover of the pump to check that the rollers on the head of the pump turn. 3. Make sure that there are no leaks in the collection system. 12.3. PROBE NOT COMPATIBLE WITH THE ENDOSCOPE 1. Refer to the Probe Compatibility Table section to check the diameter and/or length of the probes with respect to the dimensions of the endoscope. 2. Check the physical integrity of the probe. Figure 86 3. Replace the probe. 5. Remove the handpiece. 12.4. DISPLAYED ERROR MESSAGES In case of a malfunction or an operating error, the faulty component is automatically highlighted in the STAND BY screen. In case of critical error, the system stops and automatically reverts to the STAND BY screen. 34 SWISS LITHOCLAST BLAST - FB-610/EN 23-JUNE-2017 / EMS CONFIDENTIAL Figure 87 1. Press the highlighted faulty component and follow the interactive menu to identify the exact origin of the error. 2. Follow the recommended action that is displayed. • 3. If the solutions proposed fail to solve the problem, please contact your EMS authorized service center. Do not, in any case, return a product before troubleshooting of the error has been performed. 4. The following table provides more detailed information about failures: error number and associated error messages. Console E001 - The cooling pump is not detected and handpiece cooling might not be available. Please restart device. Please contact your EMS authorized service center if the error persists. E002 - The cooling valve is not detected and handpiece cooling might not be available. Please restart device. Please contact your EMS authorized service center if the error persists. E008 - Configuration files of the console are corrupted and informations might be incorrect. Please contact your EMS authorized service center. E009 - Console internal communication error. Please restart device. Please contact your EMS authorized service center if the error persists. E010 - Pedal not detected. Please verify that the connector of the pedal is connected to the console. Please contact your EMS authorized service center if the error persists. E016 - No suction system has been detected. Please restart device or contact your EMS authorized service center if the error persists. E017 - Two suction systems seem to be connected. Please restart device or contact your EMS authorized service center if the problem persists. E018 - The console temperature is high. Treatment is still possible but verify the console is placed in a correctly ventilated place E019 - The console temperature is too high. System needs to cool down. Please keep it powered while temperature returns to safe level. E020 - Console internal communication error. System trying to recover. Please restart device or contact your EMS authorized service center if the error persists. E024 - Console internal communication error. Please restart device or contact your EMS authorized service center if the error persists. 35 E025 - Console temperature error. Please wait for the console to cool down. Please contact your EMS authorized service center if the error persists. E026 - Shockwave module critical error. Please restart the device. Please contact your EMS authorized service center if the error persists. E027 - Ultrasound module critical error. Please restart the device. Please contact your EMS authorized service center if the error persists. E031 - The console temperature sensor was not detected. Please restart the device. Please contact your EMS authorized service center if the error persists. E032 - Fan was not detected. Please restart the device. Please contact your EMS authorized service center if the error persists. E034 - Handpiece lock not detected. Please restart the device. Please contact your EMS authorized service center if the error persists. E038 - The console temperature sensor was not detected. Please restart the device. Please contact your EMS authorized service center if the error persists. Table 5 • Handpiece E003 - The handpiece temperature is rising and could be harmful. Please let the system cool down. Verify cooling tank water level and handpiece cord sealing. Please check that after handpiece disconnection that the handpiece cooling circuit is dry. Please contact your EMS authorized service center if the error persists. E004 - The handpiece temperature is high. Treatment is still possible but verify cooling tank level. E005 - Handpiece not detected. Please verify that the handpiece is connected to the console. Replace the handpiece if the error persists. E037 - The handpiece temperature sensor was not detected. Please restart the device. Please contact your EMS authorized service center if the error persists. Table 6 • Probe E011 - Probe has exceeded the usage limit. The probe use policy is validated for a maximum number of usage cycles. Continue treatment at your own responsibility. E012 - Probe not detected. Please check that the probe is correctly installed on the handpiece. Please contact your EMS authorized service center if the error persists. E013 - Unknown probe. Please verify that the probe is a valid one or undamaged. Please contact your EMS authorized service center if the error persists. E035 - Probe settings can’t be automatically loaded. Please change probe. Please contact your EMS authorized service center if the error persists. Table 7 36 SWISS LITHOCLAST BLAST - FB-610/EN 23-JUNE-2017 / EMS CONFIDENTIAL 13. FORMER ELECTROMAGNETIC COMPATIBILITY The SWISS LITHOCLAST® TRILOGY should not be used adjacent to or stacked with another SWISS LITHOCLAST® TRILOGY. If adjacent or stacked use is necessary, the SWISS LITHOCLAST® TRILOGY should be observed to verify normal operation in the configuration in which it will be used. Guidance and manufacturer’s declaration – electromagnetic emissions The SWISS LITHOCLAST® TRILOGY is intended for use in the electromagnetic environment specified below. The customer or the user of the SWISS LITHOCLAST® TRILOGY should ensure that it is used in such an environment. Emissions Test RF emissions CISPR 11 Compliance Group 1 RF emissions CISPR 11 Harmonics emissions IEC 61000-3-2 Voltage fluctuations / flicker emissions IEC 61000-3-3 Class B Class A Complies Electromagnetic Environment – Guidance The SWISS LITHOCLAST® TRILOGY uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment. The SWISS LITHOCLAST® TRILOGY is suitable for use in all establishments, including residential establishments and those directly connected to the public low-voltage power supply network that supplies buildings used for domestic purposes. Table 8 Guidance and Manufacturer’s Declaration – Electromagnetic Immunity The SWISS LITHOCLAST® TRILOGY is intended for use in the electromagnetic environment specified below. The customer or the user of the SWISS LITHOCLAST® TRILOGY should ensure that it is used in such an environment. Immunity Test IEC 60601 Test Level ± 6 kV contact Compliance level Electrostatic discharge (ESD) ± 8 kV air IEC 61000-4-2 ± 6 kV contact Electrical fast transient / burst IEC 61000-4-4 ± 2 kV for power supply lines ± 2 kV for power supply lines ± 8 kV air Electromagnetic Environment – Guidance Floors should be wood, concrete or ceramic tile. If floors are covered with synthetic material, the relative humidity should be at least 30%. Mains power quality should be that of a typical commercial or hospital environment. ±1 kV for input/output lines Not applicable ± 1 kV line(s) to line(s) ± 1 kV line(s) to line(s) Mains power quality should be that of a typical commercial or hospital environment. ± 2 kV line(s) to earth ± 2 kV line(s) to earth Power frequency 3 A/m 3 A/m Power frequency magnetic fields should be (50/60 Hz) at levels characteristic of a typical location in magnetic field a typical commercial or hospital environment. Surge IEC 61000-4-5 IEC 61000-4-8 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 40% UT (60% dip in UT) for 5 cycles 70% UT (30% dip in UT) for 25 cycles <5% UT (>95% dip in UT) for 5 s <5% UT (>95% dip in Mains power quality should be that of a typical UT) for 0.5 cycle commercial or hospital environment. If the user of the SWISS LITHOCLAST® TRILOGY 40% UT (60% dip in requires continued operation during power UT) for 5 cycles mains interruptions, it is recommended that 70% UT (30% dip in the SWISS LITHOCLAST® TRILOGY be UT) for 25 cycles powered from an uninterruptible power supply <5% UT (>95% dip in or a battery. UT) for 5 s Table 9 37 Portable and mobile RF communications equipment should be used no closer to any part of the SWISS LITHOCLAST® TRILOGY, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter. Recommended separation distance Conducted RF 3 Vrms IEC 61000-4-6 150 kHz – 80 MHz Radiated RF IEC 61000-4-3 3 V/m 80 MHz – 2.5 GHz 10 Vrms d = 0.35 √P 10 V/m d = 0.35 √P 80 MHz – 800 MHz d = 0.7 √P 800 MHz – 2.5 GHz where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer and d is the recommended separation distance in meters (m). Field strengths from fixed RF transmitters, as determined by an electromagnetic site survey,a should be less than the compliance level in each frequency range.b Interference may occur in the vicinity of equipment marked with the following symbol: Table 10 At 80 MHz and 800 MHz, the higher frequency range applies. These guidelines may not apply to all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radios, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the SWISS LITHOCLAST® TRILOGY is used exceeds the applicable RF compliance level above, the SWISS LITHOCLAST® TRILOGY should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as re-orienting or relocating the SWISS LITHOCLAST® TRILOGY. Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 10 V/m. UT is the A/C mains voltage prior to application of the test level. 38 SWISS LITHOCLAST BLAST - FB-610/EN 23-JUNE-2017 / EMS CONFIDENTIAL Recommended separation distances between portable and mobile RF communications equipment and the SWISS LITHOCLAST® TRILOGY The SWISS LITHOCLAST® TRILOGY is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the SWISS LITHOCLAST® TRILOGY can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the SWISS LITHOCLAST® TRILOGY as recommended below, according to the maximum output power of the communications equipment. Separation distance according to frequency of transmitter [m] Rated maximum output power of transmitter [W] 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz d = 0.35 √P d = 0.35 √P d = 0.7 √P 0.01 0.04 m 0.04 m 0.07 m 0.1 0.13 m 0.13 m 0.22 m 0.4 m 0.4 m 0.7 m 10 1.3 m 1.3 m 2.2 m 100 4m 4m 7m Table 11 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 the frequency of the transmitter, where power (P) is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer. At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies. These guidelines may not apply to all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. Compliant cables and accessories The use of accessories and cables other than those specified or sold by EMS as replacement parts may result in increased emissions or decreased immunity of this product. Cables and accessories Maximum length Complies with Handpiece cord 2.9 m CISPR 11 Class B / Group 1: RF electromagnetic disturbance Pedal IEC 61000-4-2 Electrostatic discharge (ESD) 2.9 m IEC 61000-4-3 Electromagnetic fields radiated by radio-frequencies IEC 61000-4-4 Electric fast transient / burst IEC 61000-4-5 Surge IEC 61000-4-6 Disturbances induced by radio-frequency fields IEC 61000-4-8 Power frequency magnetic field (50/60 Hz) IEC 61000-4-11 Voltage dips, short interruptions and voltage variations Table 12 Essential performance The SWISS LITHOCLAST® TRILOGY has neither life sustaining functions nor diagnostic of life supporting functions. 39 14. NEW ELECTROMAGNETIC COMPATIBILITY Electromagnetic compatibility according to IEC 60601-1-2:2014 Guidance and manufacturer’s declaration – electromagnetic emissions The Swiss LithoClast® Trilogy is intended for use in the electromagnetic environment specified below. The customer or the user of the Swiss LithoClast® Trilogy should assure that it is used in such an environment. EMISSIONS TEST RF emissions CISPR 11 RF emissions COMPLIANCE ELECTROMAGNETIC ENVIRONMENT - GUIDANCE Group 1 The Swiss LithoClast® Trilogy uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment. Class A CISPR 11 Harmonic emissions Not applicable IEC 61000-3-2 Voltage fluctuation / flicker emissions The emissions characteristics of the Swiss LithoClast® Trilogy make it suitable for use in hospitals only. Not applicable IEC 61000-3-3 Table 13 Guidance and manufacturer’s declaration – electromagnetic immunity The Swiss LithoClast® Trilogy is intended for use in the electromagnetic environment specified below. The customer or the user of the Swiss LithoClast® Trilogy should assure that it is used in such an environment. IMMUNITY TEST IEC 60601 TEST LEVEL COMPLIANCE LEVEL Electrostatic discharge (ESD) ± 8 kV contact ± 8 kV contact ± 15 kV air ± 15 kV air Radiated RF 3 V/m 10 V/m IEC 61000-4-3 80 MHz to 2.7 GHz 80 MHz to 2.7 GHz Proximity fields from RF wireless communications equipment See next table See next table 3 V rms 3 V rms 150 kHz to 80 MHz 150 kHz to 80 MHz 6 V rms 6 V rms in ISM and amateur radio bands in ISM and amateur radio bands IEC 61000-4-2 ELECTROMAGNETIC ENVIRONMENT - GUIDANCE Floors should be wood, concrete or ceramic tile. If floors are covered with synthetic material, the relative humidity should be at least 30%. Portable and mobile RF communications equipment should be used no closer than 30 cm to any part of the Swiss LithoClast® Trilogy, including cables. IEC 61000-4-3 Conducted RF IEC 61000-4-6 Power frequency (50/60 Hz) magnetic field 30 A/m 30 A/m IEC 61000-4-8 Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment. Table 14 UT is the A/C mains voltage prior to application of the test level. 40 SWISS LITHOCLAST BLAST - FB-610/EN 23-JUNE-2017 / EMS CONFIDENTIAL Proximity fields from RF wireless communications equipment TEST FREQUENCY (MHZ) 385 IEC 60601 TEST LEVEL MODULATION Pulse modulation a 27 V/m 18 Hz FM 450 ± 5 kHz deviation 28 V/m 1 kHz sine 710 754 780 810 870 930 1720 1845 1970 2450 5240 5500 5785 Pulse modulation a 9 V/m 217 Hz Pulse modulation a 28 V/m 18 Hz Pulse modulation a 28 V/m 217 Hz Pulse modulation a 28 V/m 217 Hz Pulse modulation a 9 V/m 217 Hz 50% duty cycle square wave signal Table 15 41 15. TECHNICAL DATA MANUFACTURER E.M.S. Electro Medical Systems S.A., CH-1260 Nyon, Switzerland MODEL SWISS LITHOCLAST® TRILOGY POWER SUPPLY 100 – 240 VAC, 50 – 60 Hz, 500 VA EN 60601-1 CLASSIFICATION System: EN 60601-1: Class I Probe: EN 60601-1: Class I BF MDD 93/42 EEC CLASSIFICATION Class IIb: device, handpiece Class IIa: probes Class I: fluid management system, pedal, torque wrench, cart Class Is: Stone catcher IEC 60529 IP CLASSIFICATION Console (IP21) Handpiece (IPX8) Pedal (IPX8) PRIMARY FUSE 6.3A, T (slow), 250 VAC (=T6.3A250V) Dimensions: Ø5 X 20 mm CONSOLE Weight: 13.5 kg Dimensions: height – 135 mm, width – 360 mm, depth – 420 mm OPERATING CONDITIONS Temperature: +10°C to +30°C Relative humidity: 30% to 75% Atmospheric pressure: 700 hPa to 1060 hPa Max. altitude: 3000 m TRANSPORT AND STORAGE Temperature: 1°C to +40°C CONDITIONS Relative humidity: 10% to 90% Atmospheric pressure: 70 kPa to 106 kPa PRODUCT USAGE PERIOD Console lifetime: 7 years Sterile accessories shelf-life: 2 years Handpiece lifetime: 2 years or 100 usage cycles Torque wrench lifetime: 3 years, or 6000 clicks/300 sterilizations COOLING LIQUID Demineralised water MAXIMUM TRANSPORTABLE WEIGTH ON THE CART 40kg OUTPUT Power (Ultrasound) 70 Watt OUTPUT POWER (Shock) 80 Watt Probes, Stone catcher, Fluid Management system: Temperature: -29°C to +38°C Relative humidity: 10% to 90% Handpiece Temperature: -29°C to +38°C Relative humidity: max 85% Console and its accessories Temperature: +5°C to +38°C Relative humidity: max 85% 42 SWISS LITHOCLAST BLAST - FB-610/EN 23-JUNE-2017 / EMS CONFIDENTIAL 16. SYMBOLS Manufacturer logo Product name Origin of the product CE symbol refers to directive 93/42/EC, including EN 60601-1 and EN 60601-1-2 DEKRA INMETRO identification for products in conformance with Brazilian electrical standards GOST R marking for products in conformance with Russian standards Lock icon Applied part, type BF Manufacturer Year of manufacture Catalogue number Disposal of Old Electrical & Electronic Equipment (Applicable in the European Union and other European countries with separate collection systems) Equipotential plug 43 Serial number Refer to the instruction manual Device requiring protective earth Input Fuse Risk of electric shock Emptying Filling Foot pedal connection Do not allow fingers to come into contact with moving parts Flow direction Minimum tank level indicator Maximum tank level indicator 44 SWISS LITHOCLAST BLAST - FB-610/EN 23-JUNE-2017 / EMS CONFIDENTIAL Degree of protection against water permeability USB connector HDMI connector Thermal disinfection 135°C Sterilizable at up to 135°C in the autoclave Do not re-sterilize STERILIZE Do not re-use Do not use if package is damaged Refer to instruction manual Content STERILE EO Sterilized using ethylene oxide Use by Danger Table 16 45 17. APPENDIX 17.1. PROBE COMPATIBILITY TABLE Different probe sizes are available to allow effective treatment with the most popular endoscopic systems for percutaneous nephroscopy, rigid and semi-rigid ureteroscopy and cystoscopy: PROBE DIAMETER AND LENGTH MINIMUM ENDOSCOPE WORKING CHANNEL SIZE MAXIMUM ENDOSCOPE WORKING CHANNEL LENGTH TAG RING COLOR Ø 1.1 mm x 425 mm 4 Fr 400 mm RED Ø 1.1 mm x 520 mm 4 Fr 500 mm RED Ø 1.1 mm x 625 mm 4 Fr 600 mm RED Ø 1.5 mm x 425 mm 5 Fr 400 mm ORANGE Ø 1.5 mm x 520 mm 5 Fr 500 mm ORANGE Ø 1.9 mm x 341 mm 6 Fr 320 mm YELLOW Ø 3.4 mm x 340 mm 10.5 Fr 320 mm GREEN Ø 3.4 mm x 445 mm 10.5 Fr 420 mm GREEN Ø 3.9 mm x 350 mm 12 Fr 330 mm BLUE Ø 3.9 mm x 440 mm 12 Fr 420 mm BLUE Table 17 * US and suction not available 17.2. FCC AND IC This device complies with Part 15 of the FCC Rules. Operation is subject to the following two conditions: (1) this device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation. Any changes or modifications not expressly approved by Electro Medical Systems for compliance could void the user’s authority to operate this equipment. This equipment has been tested and found to comply with the limits for a Class A digital device, pursuant to Part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference when the equipment is operated in a commercial environment. This equipment generates, uses, and can radiate radio frequency energy and, if not installed and used in accordance with the instruction manual, may cause harmful interference to radio communications. Operation of this equipment in a residential area is likely to cause harmful interference in which case the user will be required to correct the interference at his own expense. FCC RF exposure statement: Important note: This device complies with FCC and Industry Canada radiation exposure limits set forth for general population. This device must not be co-located or operating in conjunction with any other antenna or transmitter. IC Statements: This device complies with Industry Canada license-exempt RSS standard(s). Operation is subject to the following two conditions: (1) this device may not cause interference, and (2) this device must accept any interference, including interference that may cause undesired operation of the device. Under Industry Canada regulations, the radio transmitter(s) in this device may only operate using an antenna of a type and maximum (or lesser) gain approved for the transmitter by Industry Canada. To reduce potential radio interference to other users, the antenna type and its gain should be so chosen that the equivalent isotropically radiated power (e.i.r.p.) is not more than that necessary for successful communication. 46 SWISS LITHOCLAST BLAST - FB-610/EN 23-JUNE-2017 / EMS CONFIDENTIAL Le présent appareil est conforme aux CNR d'Industrie Canada applicables aux appareils radio exempts de licence. L'exploitation est autorisée aux deux conditions suivantes : (1) l'appareil ne doit pas produire de brouillage, et (2) l'utilisateur de l'appareil doit accepter tout brouillage radioélectrique subi, même si le brouillage est susceptible d'en compromettre le fonctionnement. Conformément à la réglementation d'Industrie Canada, le présent émetteur radio peut fonctionner avec une antenne d'un type et d'un gain maximal (ou inférieur) approuvé pour l'émetteur par Industrie Canada. Dans le but de réduire les risques de brouillage radioélectrique à l'intention des autres utilisateurs, il faut choisir le type d'antenne et son gain de sorte que la puissance isotrope rayonnée équivalente (p.i.r.e.) ne dépasse pas l'intensité nécessaire à l'établissement d'une communication satisfaisante. Le présent appareil est conforme aux niveaux limites d’exigences d’exposition RF pour la population globale définies par Industrie Canada. L’appareil ne doit pas être installé à proximité ou être utilisé en conjonction avec une autre antenne ou un autre émetteur. Déclaration d'exposition aux ondes radioélectriques de la FCC Remarque importante : Cet appareil est conforme aux limites d'exposition aux radiations définies par la FCC et par Industrie Canada pour la population générale. Cet appareil ne doit pas être placé ou fonctionner à côté d'une autre antenne ou émetteur. 47 SUISSE FRANCE EMS France Sarl 23, Av. Louis Bréguet Immeuble Santos Dumont, Bâtiment D F-78140 Vélizy Villacoublay Tél. +33 1 34 58 03 80 Fax +33 1 34 58 03 90 e-mail: info@ems-france.fr GERMANY EMS Medical GmbH Schatzbogen 86 D-81829 München Tel. +49 89 43 57 29 990 Fax +49 89 43 57 29 90 66 e-mail: info@ems-medical.de ITALY EMS Italia S.r.l Via Faravelli 5 I-20149 Milano Tel. +39 02 3453 8075 Fax +39 02 3453 1724 e-mail: medical@ems-italia.it SPAIN EMS Electro Medical Systems España SL Bernardino Obregón 14 bis E-28012 Madrid Tlf. +34 91 528 99 89 Fax +34 91 539 34 89 e-mail: administracion@ems-espana.com Ch. de la Vuarpillière 31 1260 Nyon SWITZERLAND Tel. +41 22 99 44 700 Fax +41 22 99 44 701 e-mail: welcome@ems-ch.com Manufacturer EMS Electro Medical Systems SA USA/CANADA EMS Corporation 11886 Greenville Avenue #120 Dallas, TX 75243, USA Tel. +1 972 690 83 82 Fax +1 972 690 89 81 e-mail: info@ems-na.com © Copyright EMS SA Ch. de la Vuarpillière 31 1260 Nyon SWITZERLAND ed.2017/06 EMS worldwide offices (medical) FB-610/6_rev A-01 EMS Electro Medical Systems SA EMS-SWISSQUALITY.COM
Source Exif Data:
File Type : PDF File Type Extension : pdf MIME Type : application/pdf PDF Version : 1.6 Linearized : Yes Create Date : 2017:07:12 17:46:33+02:00 Creator : Adobe InDesign CS6 (Macintosh) Modify Date : 2017:11:28 11:31:04-05:00 Has XFA : No Tagged PDF : Yes XMP Toolkit : Adobe XMP Core 4.2.1-c041 52.342996, 2008/05/07-20:48:00 Metadata Date : 2017:11:28 11:31:04-05:00 Creator Tool : Adobe InDesign CS6 (Macintosh) Instance ID : uuid:ec54107c-a6ec-4d70-9913-8b736d84eedf Original Document ID : xmp.did:6f101fcf-f129-4a6a-80b9-acd0e9676d7d Document ID : xmp.id:2BC8C2382E206811822A85E8F5C0D99F Rendition Class : proof:pdf Derived From Instance ID : xmp.iid:2AC8C2382E206811822A85E8F5C0D99F Derived From Document ID : xmp.did:0CA7B14D302068118083AF6D28F34B79 Derived From Original Document ID: xmp.did:6f101fcf-f129-4a6a-80b9-acd0e9676d7d Derived From Rendition Class : default History Action : converted History Parameters : from application/x-indesign to application/pdf History Software Agent : Adobe InDesign CS6 (Macintosh) History Changed : / History When : 2017:07:12 17:46:33+02:00 Format : application/pdf Trapped : False Producer : PDF-XChange Viewer [Version: 2.0 (Build 42.4) (Sep 8 2009; 19:35:35)] Page Layout : TwoPageRight Page Count : 48EXIF Metadata provided by EXIF.tools