Membrane Suction-Irrigation Pump User Manual

MEMBRANE SUCTION-IRRIGATION PUMP

Ackermann

CONTENTS 1. Front and rear panel 2. Technical specifications 3. Intended use 4. Delivery range 5. Safety Instructions, disposal, safety signs and symbols 6. Installing the bottle holders 7. Spike 7.1. Handling of spike 7.2. Reprocessing of spike 8. Secretion container 8.1. Handling of secretion container 8.2. Reprocessing of secretion container 9. Handling of tubing set 9.1. Elements of tubing set 9.2. Reprocessing of reusable tubing set 9.3. Illustration of tubing set 9.4. Connecting the tubing set 9.5. Removing the tubing set 9.6. Using the device in operating room 10. Footswitch 11. Functional buttons, start-up, functional test and operation 11.1. Functional buttons 11.1.1. Power switch 11.1.2. On, off 11.1.3. Start, stop 11.1.4. Up, down 11.2. Start-up, self test 11.3. Functional test 11.4. Operation of the device 12. Warning signals, failure and fault description 13. Cleaning and maintenance 14. Service 15. Quarterly inspections 15.1. Checking the pneumatic control 15.2. Checking the flow rate 16. Accessories 17. Appendix 18. Contact details

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1. Front and rear panel

1 LED green START 2 Button START/STOP 3 LED yellow STOP 4 LED yellow STANDBY 5 Button ON/OFF 6 LED green ON 7 LL-connector (male) IRRIGATION 8 Buttons PRESSURE UP/DOWN (IRRIGATION) with irrigation liquid (separately 9 Display PRESSURE (IRRIGATION) available) 10 Display VACUUM (SUCTION) 11 Buttons VACUUM UP/DOWN (SUCTION) 12 LL-connector (female) SUCTION connectors and overflow valve

13 Connector footswitch (START/STOP) 14 Power switch 15 Fusebox 16 Mains connection 17 Equipotential bonding pin 18 Label next check 19 Model identification plate 20 Bottle holder 21 Bottle 22 SPIKE IRRIGATION 23 Secretion container with tube

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MEMBRANE SUCTION-IRRIGATION PUMP 2. TECHNICAL SPECIFICATIONS Parameter

Membrane suction-irrigation pump

Power consumption

Trafo-Model =>30 VA Power supply-Model=>40 VA

Supply voltage

Trafo-Model =>230 V/AC-Power fuses T400mA L 250A Power supply-Model=>100-230 V/AC-Power fuses T3,15A L 250V

Power frequency

50/60 Hz

Classification acc. to EU directive 93/42/EEC

Class IIa

Type acc. to DIN EN 60601-1:2005

BF

Protection class acc. to DIN EN 60601-1:2005

I

Manufactured acc. to

DIN EN 60601-1 2005

EMC

DIN EN 60601-1-2 2007

Irrigation capacity

3 l/min

Suction capacity

3 l/min

Pressure range

750 mm Hg

Vacuum range

- 525 mm Hg

Operating conditions

Temperature: +10°C to +40°C Humidity: 30% to 70%

Storage and transport conditions

Temperature: -40°C to +70°C Humidity: 10% to 90%

Case protection

IPX1

Tubing sets

Silicone - autoclavable

Dimensions

without bottle holders 304 x 115 x 345 mm (WxHxD) with bottle holders ca. 560 x 115 x 345 mm (WxHxD)

Weight

ca. 9 kg

Optional

Footswitch

Certification

CE0483

3. Indented use 16-2083 is a fluid pump featuring pressure limitation and is used in minimally invasive surgery. It can be applied in all endoscopic surgical procedures where the body cavities are not completely filled with liquid and where the volume of irrigation liquid is small compared to the volume of the anatomical cavity. The pump system is ideally suited for use in the abdomen, thorax and retroperitoneum. Page: 4 // 20

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WARNING! The application of the membrane suction-irrigation pump for small and closed body cavities (arthroscopy and hysteroscopy) is strictly forbidden, because irrigation process may lead to uncontrolled and dangerous pressure rise.

4. Delivery range Check device and accessories immediately on receipt for completeness and transport damage. In case of damages please inform your authorized dealer immediately. If the unit has to be returned use only original box and attach the following information: • Name and address • Model No. / Serial No. • Failure description • Error message ATTENTION! Contaminated devices are not accepted for check or repair. The unit consists of: Pos.

Specification

Article no.

Qty.

1

Membrane suction-Irrigation pump

16-2083

1

2

Test report

n/a

1

3

User manual

n/a

1

4

Silicone suction-irrigation tubing set, autoclavable

16-2083-102/-103

1

5

Main cable Euro 2 m

16-2083-104

1

6

Fuses

16-2083-105

2

7

Secretion container with overflow valve, autoclavable

16-2083-101

1

8

Bottle holder (1 litre) + 2 screws for each

16-2083-106

2

9

Spike, autoclavable

16-2083-109

1

10

Hydrophobic sterile filter, sterile package, disposable

16-2083-108

2

5. safety instructions, disposal, safety signs & symbols Please make yourself familiar with this unit according to description in the user manual. Please note: • The pump must only be used in endoscopic operations. Use of pump for other than mentioned procedures is not allowed. Otherwise operator is responsible for any kind of risk. • The type of irrigation liquid must be chosen in accordance with the selected surgical procedure. • The device must only be used by trained specialists at medical institutions. • For your and your patient‘s safety use only original accessories. • Service and maintenance have to be carried out only by authorized persons. • The device is not explosion-proof and must Page: 5 // 20

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MEMBRANE SUCTION-IRRIGATION PUMP

not be used in the vicinity of combustible gases. • The manufacturer is responsible for the safety, reliability and performance of the system only if: - Assembly, expansions, new settings, changes and repairs are carried out by authorized persons. - Electrical installation of the operating room corresponds to the national standards for medical institutions. - The device is used in compliance with the operating instructions and with its associated accessories. - The device was switched on with all connecting elements fully connected and the system accessories were checked for operability before every use. • We accept no responsibility or liability for damage of any kind due to misuse, abuse, violation of operating instructions, omission of required maintenance, equipment modifications and service by unauthorized persons! Use of other than original accessories shall void warranty and liability! • Equipotential bonding pin is to be used to get an additional potential equalization for the patient. Please consider EMC notes. The device complies EMC standards DIN EN 60601-1-2 Ausgabe 2007. Nevertheless, EMC interference may lead to malfunction. If malfunction is observed, ensure that the device has been installed and is operated in accordance with the EMC guidelines. Note that portable and mobile highfrequency communication equipment may influence the operation of this device. If the device is used in the vicinity of or stacked together with other devices, the device or system must be monitored to ensure standard operation in accordance with these guidelines. If necessary, refer to manufacturer for further details. WARNING! The application of pump for small and closed body cavities (arthroscopy and hysteroscopy) is strictly forbidden, because irrigation process may lead to uncontrolled and dangerous pressure rise. CAUTION! To avoid risk of electric shock device must be connected to public mains with protective earth conductor only. IMPORTANT! In case of failure switch off the device by its main power switch. Defective device or parts are to dispose to the national standards. When operating lifetime has expired manufacturer will take back device for recycling.

Symbol and description

Symbol and description

Follow the instructions for use

Legal manufacturer

Caution! Hazardous voltage

Type BF applied part

0483

mdc medical device certification GmbH, Kriegerstraße 6, 70191 Stuttgart, Germany

Symbol and description Year of production

Equipotential (equalising potential)

Batch number

Article number

Expiring date

Non-sterile, reusable

Protective earthing

Product contains phthalate

Sterilized with ethylene oxide

Footswitch connector

Do not re-use

Do not use if package is damaged

Spray protection (protection against vertically falling drops)

This product should be used only by qualified medical professionals! Not explosion proof. Do not use the device within demarcated hazard zones (explosive Gases)! Before opening the cover disconnect mains plug!

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6. INSTALLING THE BOTTLE HOLDERS There are two separate bottle holders included to support bottle with irrigation liquid and secretion container. Please install both bottle holders left and right to the bottom of pump using the four fixing screws provided (see illustration). Insert containers into the holders and connect tubing set (see chapter 9.4.). Illustration of bottle holders:

7. spike 7.1. handling of spike The spike is needed to connect tubing set to the bottle with irrigation liquid. Push spike completely into the bottle with irrigation liquid. To ensure proper function venting hole must be placed inside the bottle but above liquid level. Tip of spike must always be completely immersed in the liquid. Connect tubing set IRRIGATION (see chapter 9.4.). Place bottle with inserted spike only in upright position! Use bottle holder on pump. Only original spike ensures proper function of pump. CAUTION! Use only original spike! Clean and sterilize spike before initial application and any further use.

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MEMBRANE SUCTION-IRRIGATION PUMP

Ackermann

7.2. reprocessing the spike Read all instructions carefully before reprocessing the spike. For pre-cleaning/cleaning we advise to use Neodisher FA (manufactured by Dr. Weigert). Pre-cleaning prevents the transmission of germs and stops residues from drying on. It therefore needs to be performed immediately after the operation. Rinse spike below the surface of the water. Use cleaning gun to rinse connectors and cannula at 4 bar / 3 min with cold water. Use a plastic brush to remove heavily Encrusted residues. WARNING! Do not use any fixatives. Do not use hot water for pre-cleaning. For manual cleaning procedure clean internal spaces with cleaning brush and use cleaning gun to rinse at 45-85 °C / 3-20 min. In addition you can clean the spike in an ultrasound bath (40°C; 35-45 kHz; min. 4 min). Turn the spike several times. Rinse with demineralized water, disinfect at 93-98°C and dry inside and out at 50-100°C/min.10 min. Make sure that venting hole is completely open. CAUTION! Do not use abrasive brushes or sponges. Avoid contact with hydrogen peroxide (H2O2). Use the sterilizer model Selectomat S 3000 made by MMM Group or Vario-calv 400 E made by Fisher Scientific. Sterilize the spike at 134-137 °C, 3bar / 8-30 min. Make sure that spike does not touch other components and the steam can circulate freely.

8. seCRETION CONTAINER 8.1. handling of SECRETION CONTAINER The provided secretion container is to be used for collecting the aspired organic fluid and has a maximum capacity of 2 litres. It is equipped with pressure lid, mechanical overflow protection with integrated float and a volume scale. Close the lid by pressing it onto the secretioncontainer. Ensure that integrated float of overflow protection can move freely. Connect tubing set SUCTION to the connectors „VACUUM“ and „PATIENT“ (see chapter 9.4.). Both connectors must not be mixed up! Inversion of connections could lead to contamination of the operator and/or the pump. Place secretion container with overflow protection only in upright position! Use bottle holder on pump. When overflow valve intervenes, switch off pump immediately. CAUTION! Clean and sterilize secretion container and its components before initial application and any further use. Operate secretion container in upright position only! Do not operate without overflow protection! 8.2. reprocessing of SECRETION CONTAINER Read all instructions carefully before reprocessing the secretion container. First of all disassemble secretion container into its single components (see illustration). Wash all surfaces using hot water (max. 60°C) and dry them carefully. All components are to sterilize by steam sterilisation (saturated vapour) at 121°C / max.15min. Therefore place the container upside-down. Carefully check components of secretion container for cracks and brittle parts after each cleaning cycle. ATTENTION! Do not use solvents, disinfectants or abrasive products for cleaning! Obey sterilization condition! Dispose after 30 cleaning and sterilization cycles! IMPORTANT! Make sure to re-assemble the seals correctly and ensure that integrated float of overflow protection can move freely after reprocessing.

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9. handling of tubing set 9.1. elements of tubing set The tubing set consists of 4 single tubes, which are color-coded (see chapter 9.3). Tubing set IRRIGATION (blue): Tube 1 has got one male LL-connector and one female LL-connector. Single-use sterile filter is fixed to male LL-connector („to spike“). Tube 2 does not contain any components. Tubing set SUCTION (red): Tube 3 has got one male LL-connector. Single-use sterile filter is fixed to male LL-connector („to pump“). Tube 4 does not contain any components. There are blue and red color-coded connectors on front of the pump. IMPORTANT! Sterile filters are single-use only. Dispose after use, do not reprocess!

9.2. reprocessing of reusable tubing set Read all instructions carefully before reprocessing the tubing set. The entire user manual set consists of this product specific user manual (delivered together with the pump) and the user manual of the tubing set to be used for the pump. Furthermore obey RKI guidelines and standards ISO17664 and ISO11607. Before reprocessing remove and dispose sterile filters (see Fig. in chapter 9.3). Refer to user manual of tubing set for details of cleaning and drying. Carefully check tubing set for visible irregularities after each cleaning cycle. Tubing set is to sterilize by steam sterilisation (saturated vapour). Note: tubes 2 and 4 are to sterilize at least 20 min at a temperature of max. 134°C. Tubes 1 and 3 are to sterilize at least 5 min at a temperature of max.134°C. Dispose tubing set after 20 cleaning and sterilization cycles!

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0483

Ackermann

MEMBRANE SUCTION-IRRIGATION PUMP 9.3. ILLUSTRATION of tubing set

24 LL-connector female 25 Tube 1 IRRIGATION (blue) 26 LL-connector male

27 Disposable sterile filter 28 Tube 2 IRRIGATION (blue) 29 Tube 3 SUCTION (red)

IMPORTANT! Insert tubing set only when device is switched-on and self test is passed successfully. Do not use tubing set without disposable sterile filters! Start surgery with a new, completely filled bottle of irrigation liquid, prepare a spare bottle. ATTENTION! If the bottle is empty, sterile air is transported to patient without any warning! To remove a bottle, first of all disconnect tubes from pump. To prevent the instrument from sucking to tissue, the suction instrument / cannula should have a bypass inlet.

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9.4. connecting the tubing set Tubing set has to be sterile, see chapter 9.2. Step 1 - Tube 1, blue, irrigation: Connect disposable sterile filter to female LL-connector of spike. Connect male LLconnector of the tube to disposable sterile filter. Connect female LL-connector of the tube to connector IRRIGATION on pump. Step 2- Tube 2, blue, irrigation: Connect one side of the tube to tube connector on spike and the other side of the tube to irrigation connector on instrument. Step 3 - Tube 3, red, suction: Connect disposable sterile filter to connector SUCTION on pump. Connect male LLconnector of the tube to disposable sterile filter. Connect the other side of the tube to connector „VACUUM“ on secretion container. Step 4 - Tube 4, red, suction: Connect one side of the tube to connector „PATIENT“ on secretion container and the other side of the tube to suction connector on instrument.

9.5. Removing the tubing set First of all disconnect tubes from pump to release pressure from the bottles. Separate all other connections then. Remove and dispose sterile filters. Sterile filter is a disposable product and not suitable For reprocessing. The manufacturer is released from any product liability if products Intended for single use are processed and re-sterilized contrary to these instructions. Reprocessing of tubing set see chapter 9.2.

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MEMBRANE SUCTION-IRRIGATION PUMP

Ackermann

IMPORTANT! Remove tubing set after surgery. Sterilize tubing set, secretion container and instruments, always replace sterile filters! 9.6. USING THE DEVICE IN OPERATING ROOM - ILLUSTRATION

IMPORTANT! Do not use pump without sterile filters! Irrigation bottle must be qualified for the overpressure of pump system!

10. footswitch Optionally the pump can be operated by footswitch. Footswitch has the same functionallity as button START/STOP. Choose a convenient position for the footswitch. Connect the adapter of control line to connector (13) on front panel of pump. Ensure correct and tight connection. The control line must not be kinked or twisted. Illustration of footswitch:

A Control line (tube) B Pedal - to start and stop the pump C Adapter control line to pump

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IMPORTANT! Footswitch shall be disconnected when device is switched off! ATTENTION! Footswitch must not be connected during self test! In case of malfunction please remove adapter (C) from connector (13) on front panel for a short time and connect it again.

11. functional buttons, START-UP, functional test & OPERATION 11.1. FUNCTIONAL BUTTONS 11.1.1. power switch The power switch (14) is used to switch the device on and off. 11.1.2. on/off The push button ON/OFF (5) activates / deactivates the device. To activate device: Press the button ON/OFF. The ON LED (6) lights up. To deactivate device: Press the button ON/OFF. The STANDBY LED (4) lights up. (For safety reasons button ON/OFF is to press at least for 3 sec). 11.1.3. start/stop The push button START/STOP (2) puts the pump into operation and stops it. To start pump: Press the button START/STOP The START LED (1) lights up. The pump is put into operation and the preset pressure/vacuum are generated within the bottles. To stop pump: Press the button START/STOP The STOP LED (3) lights up and the pump stops. Note: pressure / vacuum persists within the bottles until a bottle connection will be opened. 11.1.4. up/down The push buttons (9, 10) are to adjust preset values of pressure for irrigation and vacuum for suction function. Increase / decrease IRRIGATION pressure Increase / decrease SUCTION vacuum

IMPORTANT! Place the device on a level surface in a dry environment. Temperature +10 - +40°C Relative Humidity 30-70%

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MEMBRANE SUCTION-IRRIGATION PUMP

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WARNING! EXPLOSION HAZARD! The electrical components are not explosionproof. Do not use in an area where flammable gases are present! 11.2. start-up/self test 1. Connect the pump to mains. Switch on device with power switch. LED STANDBY (4) will be on. Do not connect tubing set yet! Do not connect footswitch yet! 2. Activate the device by pressing button ON / OFF (5). A short beep sounds. 3. The device enters self test. Self test: a. All LEDs and displays are turned on for 1 sec. b. IRRIGATION displays (9) show program version for 1 sec. Then segments of left IRRIGATION display are turned on as follows: c. 1. Segment: test of footswitch sensor d. 1.-2. Segment: test of pressure sensor IRRIGATION e. 1.-3. Segment: test of pressure sensor SUCTION f . 1.-4. Segment: test of pressure generator g. 1.-5. test of vacuum generator When self test is passed correctly a triple beep sounds. LEDs ON and STOP will be on and displays show preset pressure and preset vacuum at last pump start. 4. Connect the tubing set (see chapter 9.4.). The valves of irrigation-suction instrument must be closed. 5. Perform functional check. 11.3. functional test The functional check must be carried out prior to each operation. Irrigation: 1. Push button UP/DOWN IRRIGATION (8) to adjust preset pressure to maximum. 2. Start the pump. 3. Pressure increases to maximum within ca. 2 min. and the pressure generator is switched off. If preset pressure is not obtained check tubes and connections to be tight. 4. Operate irrigation valve of instrument and fill the tubing set and the instrument completely with liquid until liquid emerges from the instrument. 5. The functional check of IRRIGATION is complete. Suction: 1. Push button UP/DOWN SUCTION (11) to adjust preset vacuum to maximum. 2. Vacuum increases to maximum within ca. 2 min. and the vacuum generator is switched off. If preset vacuum is not obtained check tubes and connections to be tight. 3. The functional check of SUCTION is complete. Press the button START/STOP to stop the pump. The STOP LED lights up. Now the device is tested and ready to be used in the operating room. 11.4. OPERATIon of the DEVICE 1 . After performing the functional check the pump can be started. 2. The pump is activated. 3. Pressure and vacuum generators are operating until preset values are obtained within the bottles. Values can be adjusted during operation. 4. Operate valves on instrument to activate IRRIGATION or SUCTION according to your need. Pressure and vacuum generators are switched off automatically if preset pressure and vacuum are obtained within the bottles. Page: 14 // 20

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If pressure and vacuum decrease below preset values they are switched on again. If only one of both (IRRIGATION or SUCTION). Is needed you can switch off refering generator: push buttons UP/DOWN to reduce preset pressure/ vacuum to zero. 5. Stop process by pressing the button START/STOP or the footswitch. 6. Deactivate device by pressing the button ON/OFF for 3 sec. 7. Switch off the device with power switch. IMPORTANT! Keep enough irrigation liquid, which is prewarmed to 40°C readily available. Use only intact, originally sealed bottles with irrigation Liquid. Operated bottles are pressurized! Danger of bursting! ATTENTION! If the irrigation bottle is empty, sterile air is transported to patient without any warning! IMPORTANT! Ensure to exchange secretion container in time! Integrated overflow valve shall protect device from being contaminated by secretion Fluid. If in spite of all security precautions taken contamination occurs, switch off device immediately and disconnect it from mains. Refer to qualified technical service.

12. WARNING SINGNALS, Failure- & fault description • In case of continuous beep and blinking LEDs during selftest a device error was detected. Device can not be operated. * Press button ON/OFF to deactivate device and activate again after 15s. Ensure that tubing set and footswitch are disconnected from device! Should the error message still occur refer to qualified technical service. • In case of continuous beep and blinking LEDs during operation a device error was detected. Pump stops immediately and can not be put into operation again. * Disconnect tubing set and footswitch from device. Press button ON/OFF to deactivate device and activate again after 15s. Should the error message still occur refer to qualified technical service.

13. CLEANING & MAINTENANCE To preserve the device and ensure its proper function please note as follows: Cleaning: Switch off the device with power switch. Disconnect device from mains. Remove power cable from mains connection at the rear of device. Use mild disinfecting solution to clean the exterior of device and footswitch. For fluid concentration follow instructions from disinfectant manufacturer. Strictly prevent the ingress of liquid into the device and footswitch! ATTENTION! The device and the footswitch must not be sterilized!

14. SERVICE The unit must be checked by an authorized service partner once a year. Repair, calibration and further services are to be carried out by authorized service only. Unauthorized services release manufacturer from any liability for the operating safety of the pump. Page: 15 // 20

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The service partner shall issue a certificate on type and extend of annual inspection and repair. Inspection shall be marked with a label „next check“ on the rear panel of device. Opening of casing, service and any other modifications of device and accessories by unauthorized persons releases manufacturer from any liability for the operating safety of the pump. Depending on respective country-specific regulations, a function and safety inspection must be performed by the user. Manufacturer recommends quarterly inspections, see chapter 12. Each device is carefully tested with regard to function and safety by the manufacturer. Results are recorded in the test report which is attached to the device. Information regarding schematics, component lists, descriptions and/ or calibration instructions can be provided by the manufacturer on demand.

15. quarterly inspections 15.1. checking the PNEUMATIC CONTROL (MANUAL CONTROL/DOUBLE FOOTSWITCH) For this test you will need: • Membrane suction-irrigation pump • original disposable sterile filters (2x) • Manometer with 1m tube and LL-connector female for pressure measurement (+) • Manometer with 1m tube and LL-connector male vacuum measurement (-) This test will be carried out without liquid. Proceed as follows: 1. Connect the pump to main switch on device with power switch. 2. Activate the device by pressing button ON/OFF. 3. The device enters self test. 4. Connect manometer for pressure measurement to male LL-connector IRRIGATION and manometer for vacuum measurement to female LL-connector SUCTION. A) Checking irrigation pressure: 5. Push button UP/DOWN IRRIGATION (8) to adjust preset pressure to maximum. 6. Start the pump. 7. Pressure increases to maximum and the pressure generator is switched off. 8. The pressure manometer shall display 750 mmHg +/- 10%. 9. The check of IRRIGATION pressure is complete. Press the button START/STOP to stop the pump B) Checking suction vaccum: 10. Push button UP/DOWN SUCTION (11) to adjust preset vacuum to maximum. 11. Start the pump. 12. Vacuum increases to maximum and the vacuum generator is switched off. 13. The vacuum manometer shall display -525 mmHg+/-10%. 14. The check of SUCTION vacuum is complete. Press the button START/STOP to stop the pump. In case of deviations check connections and repeat the test. If deviation is observed again refer to qualified technical service.

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Setup of irrigation pressure and suction vaccum test:

15.2. checking the footswitch For this test you will need: • Membrane suction-irrigation pump • Footswitch This test will be carried out without liquid. Proceed as follows: 1. Connect pump to mains. Switch on device with power switch. 2. Activate the device by pressing button ON/OFF. 3. The device enters self test. 4. Connect footswitch to connector on frontpanel of the pump. Ensure correct and tight connection. The control line must not be kinked or twisted. 5. Press footswitch to start the pump. LED START lights up and pressure and vacuum generators are operating. 6. Press footswitch to stop the pump. LED STOP lights up and pressure and vacuum generators are switched off. In case of deviations check setup and repeat the test. If deviation is observed again refer to qualified technical service IMPORTANT! Footswitch shall be disconnected when device is switched off! Setup of footswitch test:

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16. accessories

Item #

Description

16-2083-101

Selection container with overflow valve, autoclavable

16-2083-102

Silicone irrigation tubing set, autoclavable

16-2083-103

Silicone suction tubing set, autoclavable

16-2083-104

Mains cable Euro 2 m

16-2083-105

Fuses

16-2083-106

Bottle holder (1 litre) + 2 screws

16-2083-107

Bottle holder (2 litres) + 2 screws

16-2083-108

Hydrophobic sterile filter sterile package, disposable

16-2083-109

Spike, autoclavable

16-2083-110

Footswitch

Illustration

17. APPENDIX All product codes covered by these instructions are listed below:

• Membrane suction-irrigation pump #16-2083

18. CONTACT DETAILS Ackermann Instrumente GmbH Eisenbahnstrasse 65-67 78604 Rietheim-Weilheim Germany Phone: +49 (0)7461 966 17 - 0 Fax: +49 (0)7461 966 17 - 70 E-Mail: [email protected] Web: www.ackermannsurgical.com End of document

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Ackermann

0483

Ackermann Instrumente GmbH Eisenbahnstrasse 65-67 78604 Rietheim-Weilheim Germany

User_Manual-16-2083-Revision_06/21 Copyright by Ackermann Instrumente GmbH. Specifications, design and accessories in this user manual are subject to change without any notice or obligation on the part of the manufacturer.