Integra CUSA NXT In-Service Manual

Integra CUSA NXT In-Service Manual

Ultrasonic surgical aspirator
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Ultrasonic Tissue Ablation System
In-Service Guide
Confidential – For internal use only.
NS3042-12/08

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Summary of Contents for Integra CUSA NXT

  • Page 1 Ultrasonic Tissue Ablation System In-Service Guide Confidential – For internal use only. NS3042-12/08...
  • Page 2: Table Of Contents

    Page 20  Steam Sterilization Page 20  Page 20 Product Support Page 21 Appendix 1: CUSA NXT Pool Request Form Appendix 2: CUSA NXT Competency Validation Form for the Hospital NS3042-12/08 Page 2 Confidential - For internal use only.
  • Page 3: Introduction

    This In-Service Guide is put together to help you manage these vari- ous tasks with CUSA NXT, and deliver to your accounts the high quality customer service and support they expect.
  • Page 4: Equipment From The Loaner Pool

    2. Email the form to: custsvc.salessupport@integra-ls.com All CUSA NXT Consoles, Service Modules and CUSA Selector handpieces in the demo pool ship from our Service and Repair Center in San Diego, CA. Before returning loaner pool equipment, please contact San Diego at 1-858-455-1115 ext.
  • Page 5: Cusa Nxt In-Service Check List For Neurospecialist

    1. Discuss the basic principles of ultrasonics Fragmentation  Irrigation  Aspiration  2. Discuss the main differentiating features and benefits of the CUSA NXT System Ease of set-up  Modularity  Separate Console and Service Module  Ability to hook up the Console to hospital wall suction ...
  • Page 6 Removal of apple pulp from the skin  Orange segment dissection  Permastone bone cube for the CUSA Selector SaberTip demo  8. Troubleshoot the CUSA NXT if it fails to operate or if it malfunctions Handpiece Alert  Aspiration Issues  Irrigation Issues ...
  • Page 7: Cusa Nxt System

    CUSA NXT™ In-Service Guide CUSA NXT System The use of the CUSA NXT will require the following items: CUSA NXT Console  CUSA NXT Service Module or hospital wall suction outlet  One hard waste collection canister  Tubing Kit ...
  • Page 8: Cusa Nxt Touch Screen Monitor

    CUSA NXT™ In-Service Guide CUSA NXT Touch Screen Monitor The CUSA NXT Console provides a touch screen monitor for viewing and controlling the power, irrigation and aspiration levels during an ultra- sonic case. The touch screen provides the following tools: 1.
  • Page 9 CUSA NXT™ In-Service Guide Adjusting the Ultrasonic Control Scales Use the power, irrigation, and aspiration scales to control the major ultrasonic settings during a case. Adjusting the power level Use the power scale (orange) to specify the ultrasonic power output (tip ampli- tude).
  • Page 10 CUSA NXT™ In-Service Guide Verifying General Ultrasonic Information Use the information panel to determine the general status of the current operating modes and equipment selection. This panel provides the following information: The Timer displays the total accumulated ultrasonic time since the ...
  • Page 11: Cusa Nxt Service Module

    CUSA NXT™ In-Service Guide CUSA NXT Service Module The CUSA NXT service module provides a convenient, mobile base for the CUSA NXT Console, as well as a source of suction and waste collection. It is controlled from the console and has no user accessible controls.
  • Page 12: Cusa Nxt Pre-Operative Set-Up

    Console and Service Module Set-up 1. Depending on the type of suction source being used, do one of the following: If the Service Module is being used, place the CUSA NXT Console on top of the  CUSA NXT Service Module and position it in a convenient location outside the sterile field.
  • Page 13: Handpiece Assembly

    CUSA NXT™ In-Service Guide 7. Place a suction canister in place and ensure that the contamination guard is fitted to pro- tect the vacuum pump in the Service Module. 8. Connect tubing from the contamination guard to the vacuum port on the canister.
  • Page 14: Tubing Assembly

    CUSA NXT™ In-Service Guide Tubing Assembly The Circulating nurse will peel back the outer covering of the tubing kit and offer the sterile contents to the scrub nurse. 1. For the Microsurgical handpiece, the circulating nurse will peel back the outer covering of the Microsurgical tubing kit and offer the sterile contents to the scrub nurse.
  • Page 15: Priming The Handpiece

    6. Connect the footswitch cord to the appropriate port on the rear of the Console panel. The system is now ready to be turned on. NOTE! For using CUSA NXT in MRI environment, please refer to CUSA NXT Operator’s Manual for detailed instructions. Priming the Handpiece CUSA NXT has an automatic priming feature.
  • Page 16: Operating Cusa Nxt During The Surgery

    6. If the surgeon only wishes to irrigate the operating site, press the Fast Flush Footswitch pedal. Irrigant will flow from the end of the handpiece at a rate of 50ml/min. 7. If a problem occurs, see CUSA NXT troubleshooting guide, or the CUSA NXT Operator’s Manual for troubleshooting guidelines.
  • Page 17: Customizing The User Settings

    CUSA NXT system will restore these values. To restore the default settings, press presets on the settings panel and choose restore default set points option. The CUSA NXT system will restore the factory settings for the power, irrigation, and aspiration levels.
  • Page 18: Shutting Down The Cusa Nxt System

    7. Turn off the power on the rear panel of the CUSA NXT Console and Service Module (if util- ized). Remove the main power cord from the Console or Service Module as appropriate, wipe clean and store in the rear cupboard of the Service Module (if utilized).
  • Page 19: Disassembling The Handpiece

    CUSA NXT™ In-Service Guide Disassembling the Handpiece Prior to sterilization, disassemble and clean the CUSA Selector handpiece: 1. In a sink or bowl, prepare a cleaning solution containing warm water with detergent. This is necessary for cleaning the handpiece parts. Consult hos- pital policy for approved cleaning materials.
  • Page 20: Sterilization Instructions

    Before sterilization, clean the handpiece and accessories as described on page 19. Note that sterilization systems in use at hospitals are chamber specific. As a result, Integra LifeSciences can only recommend a reference for hospitals to aid the sterilization parameters set for your hospital system.
  • Page 21: Product Support

    San Diego Repair and Service Center 800-815-1115 ext. 207 Good CUSA NXT Selling! The Integra wave logo and CUSA NXT are trademarks of Integra LifeSciences Corporation or its subsidiaries. CUSA and Selector are registered trademarks of Integra LifeSciences Corporation or its subsidiaries. NS3042-12/08 Page 21 Confidential - For internal use only.
  • Page 22: Appendix 1: Cusa Nxt Pool Request Form

    CUSA NXT™ In-Service Guide Appendix 1: CUSA NXT Pool Request Form NS3042-12/08 Page 22 Confidential - For internal use only.
  • Page 23 CUSA NXT™ In-Service Guide NS3042-12/08 Page 23 Confidential - For internal use only.
  • Page 24: Appendix 2: Cusa Nxt Competency Validation Form For The Hospital

    ❏ 7. Changes the tips in the sterile field - Selector SaberTip™ ❏ ❏ 8. Knows the recommended settings 8. Troubleshoots the CUSA NXT if it fails to operate or if it malfunctions ❏ ❏ Responding to handpiece alert ...

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