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Integra CUSA Clarity - User Manual

Integra CUSA Clarity
141 pages
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Integra
®
CUSA
®
Clarity
Ultrasonic Surgical Aspirator System
Integra
®
CUSA
®
Clarity Ultrasonic Surgical Aspirator System
Operators Manual
Operator’s Manual
60905197 Revision F 05/18 0606553-2
Integra LifeSciences (Ireland) Limited
IDA Business &Technology Park
Sragh
Tullamore
County Offaly
Ireland
USA & Canada: (800) 997-4868
Outside USA: (609) 936-5400
www.integralife.com
Manufacturer

Table of Contents

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Integra CUSA Clarity Specifications

General IconGeneral
CategoryMedical Equipment
ManufacturerIntegra LifeSciences
Frequency23 kHz
Amplitude Range0-100%
Power Requirements100-240 VAC, 50/60 Hz
TechnologyUltrasonic
TypeUltrasonic Aspirator

Summary

Preface

Intended Audience

Defines the target users of the manual and the equipment.

Trademark Acknowledgments

Lists registered trademarks of Integra and other companies.

Manufacturer Information

Provides contact details for the manufacturer.

Patent Information

Lists relevant patent numbers for the system.

Overview of Manual

Explains the structure and content of the operator's manual.

System Features

Highlights key components and functionalities of the CUSA Clarity system.

Manual Usage Guidelines

Explains how to effectively use the manual for reference and training.

Conventions Used in this Guide

Explains symbols, warnings, cautions, and notes used in the document.

Patient and Operating Room Safety

Indications for Use

Details the surgical procedures for which the CUSA Clarity system is indicated.

Contraindications

Specifies conditions or uses for which the system is not indicated.

Intended Users

Defines the qualified medical professionals authorized to use the system.

Safety Information

Provides essential general safety information for operating ultrasonic surgery equipment.

Warnings and Cautions

Lists critical safety warnings and cautions for system operation.

Classification and Console Symbols

Explains the system's classifications and the meaning of various console symbols.

Introduction to the System

Section Overview

Introduces the topics covered in the system introduction section.

CUSA Clarity System Description

Describes the CUSA Clarity system and its three primary functions.

System Components

Lists and describes the main components of the CUSA Clarity system.

System Accessories

Lists and describes the various accessories used with the CUSA Clarity system.

Fragmentation Process

Explains the electromechanical operation that causes tissue fragmentation.

Irrigation Function

Describes the system's irrigation fluid delivery mechanism.

Aspiration (Suction) Function

Explains how the system performs aspiration or suction.

Touchscreen Display Overview

Introduces the system's touchscreen interface and its layout.

Handpiece Description

Describes the handpiece, its connection, and its basic functions.

Handpiece Functions

Lists the three main functions performed by the handpiece.

Handpiece Configurations and Tips

Details handpiece configurations and the variety of available surgical tips.

Tissue Select Feature

Explains the Tissue Select feature for enhanced control and selectivity.

Fragmentation Mechanism

Elaborates on how fragmentation occurs through tip vibration and tissue interaction.

Tissue Selectivity Factors

Discusses inherent tissue selectivity and how tissue strength affects fragmentation.

Increasing Tissue Selectivity

Explains methods to increase tissue selectivity by adjusting system parameters.

Tissue Select Settings

Details the five available settings for the Tissue Select feature.

Sterilization of Handpieces and Accessories

Outlines the sterilization requirements for handpieces and accessories.

Console Components

Section Overview

Introduces the console components section.

Console Features Overview

Illustrates and describes the main components of the console on its cart.

Console Front Panel Description

Details the components and functions found on the front of the console.

Console Rear Panel Description

Details the components and functions found on the rear of the console.

Touchscreen Display and Functions

Section Overview

Introduces the touchscreen display and its operational functions.

Touchscreen Layout and Screens

Describes the overall layout and the different screens available on the touchscreen.

Main Screen Interface

Details the main screen layout and its control elements for system operation.

Setup Tasks Screen

Explains the setup tasks screen for footswitch, handpiece, and cartridge configuration.

Settings Screen Options

Describes the settings screen for language, system information, and usage hours.

Online Help Screen

Describes the online help screen for accessing information on system setup and operation.

Alarm Indicators and Notifications

Explains how the system indicates technical problems through alarms.

Ultrasonic Control Scale Adjustments

Details how to adjust amplitude, Tissue Select, aspiration, and irrigation control scales.

Footswitch and Aspiration Modes

Explains the different modes for the footswitch and aspiration functions.

Handpiece Components

Section Overview

Introduces the components that make up the handpiece.

Assembled Handpiece Parts

Lists and describes the physical parts of an assembled handpiece.

Handpiece Tip Description

Details the structure, function, and use of the handpiece tip.

Nosecone Functionality

Describes the nosecone's role in securing the flue and its integrated O-rings.

Flue Description

Explains the flue's function as a sleeve for the tip and fluid delivery.

Additional Handpiece Components

Lists and describes essential additional components for handpiece assembly.

CUSA Quick Connect Tubing Set

Describes the sterile cartridge and tubing kit for irrigation and aspiration.

Torque Wrench Usage

Explains the use of the single-use sterile torque wrench.

Torque Base Sterilization

Describes the sterilizable torque base used for attaching/removing tips.

Assembling the System Prior to Use

Section Overview

Introduces the procedures for assembling the system before its first use.

Console and Cart Assembly

Provides step-by-step instructions for assembling the console onto the cart.

Power Cord Attachment

Details the procedure for connecting the power cord to the console and power source.

System Setup in the Sterile Field

Section Overview

Outlines the steps for setting up the CUSA Clarity System in a sterile operating room environment.

Quick Reference: Sterile Field Setup

Provides a concise checklist for setting up the system in the sterile field.

Handpiece Assembly in Sterile Field

Guides the user through assembling the handpiece components in the sterile field.

Attaching Nosecone and Flue

Explains how to correctly attach the nosecone and flue to the handpiece.

Attaching Tubing to Handpiece

Details the process of connecting the irrigation and aspiration tubing sets to the handpiece.

System Setup in the Non-Sterile Field

Section Overview

Introduces the procedures for setting up the CUSA Clarity System in the non-sterile environment.

Quick Reference: Non-Sterile Field Setup

Provides a quick checklist for setting up the system outside the sterile field.

Handpiece Assembly (Non-Sterile)

Describes the process of assembling the handpiece in a non-sterile area.

Console Setup and Power On

Guides the user through setting up the console and powering on the system.

Connecting the Footswitch

Explains how to connect the footswitch cable to the console.

Connecting the Handpiece

Explains how to connect the handpiece cable to the console.

Connecting the Tubing Set

Details the steps for connecting the canister, cartridge, and contamination guard.

Operating the System

Section Overview

Introduces the procedures for operating the CUSA Clarity System during surgery.

Quick Reference: System Operation

Provides a quick reference guide for operating the CUSA Clarity system.

Checking System Connections

Describes how to verify all system connections are properly made.

Priming the Irrigation System

Guides the user through the process of priming the system with irrigation fluid.

Testing the Handpiece Functionality

Explains how to test the handpiece to ensure proper operation before use.

Starting the Handpiece Test

Details the steps to initiate the handpiece testing procedure.

Detailed Test Results Interpretation

Explains how to interpret the results of the handpiece test.

System Ready for Use Confirmation

Indicates when the system is fully set up and ready for surgical use.

Changing Tips During Surgery

Section Overview

Introduces procedures for changing tips while in the sterile field during surgery.

Quick Reference: Changing Tips

Provides a concise checklist for changing the surgical tip.

Tip Replacement Procedure

Details the steps for changing a surgical tip, including standby and removal.

Assembling New Tip on Handpiece

Guides the user through attaching a new tip to the handpiece.

Disassembling, Cleaning, and Sterilizing the System

Section Overview

Introduces the procedures for disassembling, cleaning, and sterilizing the system components.

Quick Reference: Disassembly

Provides a quick reference guide for disassembling the system.

Quick Reference: Cleaning

Provides a quick reference guide for cleaning system components.

System Disassembly Steps

Details the procedures for disassembling the handpiece and console.

Console Disassembly

Guides the user through the process of disassembling the console.

Detaching Contamination Guard

Explains how to detach the contamination guard from the system.

Powering Down the System

Details the procedure for safely powering down the CUSA Clarity system.

System Cleaning Procedures

Outlines the general procedures for cleaning the system components.

Cleaning the Touchscreen

Provides instructions for cleaning the console's touchscreen display.

Cleaning Console and Cart

Details the cleaning process for the console and its accompanying cart.

Cleaning Handpiece, EUT, and Torque Base

Describes how to clean the handpiece, Extended Use Tips, and torque base.

Cleaning the Footswitch

Provides instructions for cleaning the system's footswitch.

Sterilization Tray Cleaning

Details the method for cleaning the sterilization tray.

Sterilizing the System

Describes the overall process of sterilizing the CUSA Clarity system components.

Packaging for Sterilization

Explains how to package the handpiece and components for steam sterilization.

Sterilization Parameters

Lists the specific temperature, time, and cycle parameters for sterilization.

Steam Sterilization of Handpiece

Details the factors and procedures for steam sterilizing the handpiece and components.

Maintaining the System

Section Overview

Introduces the routine maintenance tasks for the CUSA Clarity system.

Quick Reference: Maintenance Tasks

Provides a quick overview of routine maintenance tasks and their frequency.

Handpiece Maintenance and Replacement

Details handpiece maintenance schedules and when to return/replace it.

System Handling and Transportation

Provides guidelines for safely moving and transporting the CUSA Clarity system.

System and Accessory Storage

Describes recommended conditions for storing the system and its accessories.

Equipment Disposal Procedures

Outlines the correct procedures for disposing of the CUSA Clarity system equipment.

Returning Equipment for Service

Details the process for returning equipment to Integra for repair or service.

Obtaining Return Authorization

Explains how to obtain a Return Authorization Number before shipping equipment.

Ordering Replacement Parts

Lists replacement parts available from Integra and ordering information.

Integra Service Centers Contact

Provides contact information for Integra's service centers worldwide.

Troubleshooting the System

Section Overview

Introduces the troubleshooting procedures for the CUSA Clarity system.

Extracting System Log Files

Guides the user on how to extract log files for diagnostic purposes.

Alarm Descriptions and Causes

Lists and explains system alarms, their causes, and recommendations.

Technical Messages and Resolutions

Details technical messages displayed by the system and their resolutions.

Amplitude Troubleshooting

Provides guidance on troubleshooting issues related to amplitude settings and indicators.

Aspiration Troubleshooting

Offers solutions for problems encountered with the aspiration function.

Irrigation Troubleshooting

Provides solutions for issues related to the irrigation function.

MR Safety Information

Section Overview

Introduces the crucial safety information regarding MRI environments.

MR Environment Usage Guidelines

Warns and instructs on the system's incompatibility with MRI environments.

Technical Specifications

Console Specifications

Lists the dimensions, weight, and cable length for the console.

Handpiece and Tip Specifications

Details specifications for various CUSA Clarity surgical tips, subsystems, and handpiece.

Electrical Requirements

Lists voltage, frequency, power, fuses, and power cord details.

Duty Cycle and Environment

Specifies the system's duty cycle and operating/storage environmental conditions.

Voluntary Standards Compliance

Lists the various international standards the CUSA Clarity system meets.

Regulatory Classification

Outlines the system's classification according to regulatory bodies like FDA and EU.

EMC Information

Provides information regarding Electromagnetic Compatibility (EMC) of the system.

Electromagnetic Emissions Guidance

Offers guidance on electromagnetic emissions and the system's suitability for hospital environments.

Electromagnetic Immunity Guidance

Provides guidance on electromagnetic immunity and recommended environments.

RF Immunity and Separation Distances

Details RF immunity levels and recommended separation distances for communications equipment.

Warranty Information

Warranty Coverage and Exclusions

Outlines the terms, coverage period, and exclusions of the product warranty.

Service, Repairs, and Replacement Policy

Describes Integra's policy for handling service, repairs, and equipment replacement.

Repair Parts and Services Coverage

Details which repair parts and services are covered under the warranty.

Quality Control and Liability Limits

Defines customer responsibilities for quality control and limitations of liability.

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