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Howard Industries PHACOJACK Operator's Manual

Phacosystem
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HOWARD INSTRUMENTS INC.
R
PHACOJACK
THE PHACOSYSTEM
OPERATOR'S MANUAL
Howard Instruments, Inc.
3102 Greensboro Ave.
Building B, Suite 4
Tuscaloosa, Al. 35401
E-mail Address:
howard@howardinstruments.com
http://www.howardinstruments.com
Phone: (205) 553-4453
Fax:
(205) 556-9267
R
PhacoJack
THE Phacosystem
1

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  • Page 1 HOWARD INSTRUMENTS INC. PHACOJACK THE PHACOSYSTEM OPERATOR'S MANUAL Howard Instruments, Inc. 3102 Greensboro Ave. Building B, Suite 4 Tuscaloosa, Al. 35401 E-mail Address: howard@howardinstruments.com http://www.howardinstruments.com Phone: (205) 553-4453 Fax: (205) 556-9267 PhacoJack THE Phacosystem...

  • Page 2: General Information

    OPERATOR'S MANUAL CAREFULLY AND BECOME FAMILIAR WITH ALL THE WARNINGS. THE WARNINGS CONTAINED IN THIS MANUAL ARE IMPORTANT AND MUST BE FOLLOWED. HOW TO USE THIS MANUAL IS YOUR GUIDE TO THE PHACOJACK . READ THIS MANUAL THE ENTIRE MANUAL CAREFULLY BEFORE OPERATING THE INSTRUMENT.
  • Page 3 ORDER REPLACEMENT PARTS AND ACCESSORIES. TERMS OF HOWARD INSTRUMENTS, INC. WARRANTS FOR A PERIOD OF LIMITED TWO (2) YEARS FROM THE DATE OF SHIPMENT, THE PHACOJACK WARRANTY AND ALL ITEMS SHIPPED WITH THE UNIT, EXCEPT THE ULTRA- SONIC (U/S) HANDPIECE, WHICH HOWARD INSTRUMENTS...

  • Page 4: Return Procedure

    OR FITNESS FOR A PARTICULAR PURPOSE. HOWARD INSTRUMENTS SHALL HAVE NO LIABILITY WHATSOEVER FOR ANY INCIDENTAL OR CONSEQUENTIAL DAMAGES ARISING FROM IMPROPER USE OR UNAUTHORIZED SERVICE/REPAIR. UNPACKING YOUR PHACOJACK HAS BEEN INSPECTED AND CAREFULLY SYSTEM PACKAGED FOR SHIPPING. PLEASE INSPECT IT FOR SHIPPING INSPECTION DAMAGE.

  • Page 5: Basic System Information

    DESCRIPTION INSTRUMENT FOR ECCE. THE OPHTHALMIC SURGEON HAS THE CHOICE TO REMOVE THE NUCLEUS FROM THE EYE MANUALLY OR TO EMULSIFY THE NUCLEUS WITH PHACO. FOLLOWING THE ECCE. PHACOJACK ASPIRATES CATARACTOUS AND/OR CORTICAL MATERIAL FROM THE EYE. A RELATIVELY CONSTANT INTRAOCULAR PRESSURE (IOP) IS MAINTAINED THROUGH THE INFUSION OF A STERILE SOLUTION, SUCH AS BASIC SALT SOLUTION (BSS).
  • Page 6 SCRUB NURSE CIRCULATING NURSE ANY QUESTIONS PERTAINING TO THESE INSTRUCTIONS SHOULD BE DIRECTED TO HOWARD INSTRUMENTS, INC. WHILE HOWARD INSTRUMENTS HAS MADE SPECIAL EFFORTS TO ILLUSTRATE, IT IS THE RESPONSIBILITY OF THE USER TO USE ACCEPTABLE STERILE TECHNIQUES. PhacoJack THE Phacosystem...
  • Page 7 SETUP & TEST PROCEDURES DESCRIBED IN FIGURES 28-33 (PAGES 35-40) FOR THE VITRECTOR. CAUTERY THE SURGICAL TEAM SHOULD BE FAMILIAR WITH THE HANDPIECE SETUP & TEST PROCEDURES DESCRIBED IN FIGURES 34 & 35 (PAGES 41 & 42) FOR THE CAUTERY HANDPIECE. PhacoJack THE Phacosystem...

  • Page 8: Maintenance

    CONSOLE OR FOOTPEDAL ENCLOSURE WILL VOID THE WARRANTY. STORING THE WHEN THE INSTRUMENT IS NOT IN USE, DISASSEMBLE IN INSTRUMENT TUBING AND CLEAN THE EQUIPMENT AS DESCRIBED IN SECTION 4.1. STORE THE UNIT IN A SAFE PLACE. PhacoJack THE Phacosystem...
  • Page 9 IRRIGATING SOLUTION U/S HANDPIECE VITRECTOR IRRIGATION SLEEVE (VIT) TUBING KIT OPERA TOR' S MANUAL HOWARD INSTRUMENTS INC. PHACOJACK THE PHACOSYSTEM OPERATOR'S MANUAL I/A HANDPIECE U/S TIP Howard Instruments, Inc. I/A TIP 4749 Appletree Tuscaloosa, AL 35405 CAUTERY FORCEPS CAUTERY CABLE...
  • Page 10 (POWER ON/OFF) 120V 220V FOOTPEDAL CONNECTOR PHACOJACK GROUNDING RELIABILITY CAN ONLY BE ACHIEVED WHEN CONNECTED TO A RECEPTACLE MARKED "HOSPITAL GRADE" DO NOT USE DURING USE OF, OR PRESENCE OF, ANESTHETICS ELECTRICA SHOCK HAZARD, HIGH VOLTAGE, DO NOT REMOVE CORD...
  • Page 11 INDICA TES VENTING. WHEN FOOTPEDAL TREADLE IS RETURNED TO IRR FUNCTION, VENTING OCCURS. ANY V ACUUM GENERATED BY THE PERISTALTIC PUMP IS IMMEDIATELY RELEASED BY VENTING. DETENT 1 DETENT 2 SPRING REMOVED FOR CLARITY TREADLE SPECIFICATIONS (FOOTPEDAL & CONTROL SWITCH) FIGURE 3 PhacoJack THE Phacosystem...
  • Page 12 * LIGHTWEIGHT * ELIMINA TION OF U/S TIP BEVEL * CORROSION FREE & IRRIGA TION TUBE ALIGNMENT. ERGONOMIC * BALANCED * EASE OF USE WITH DEEP EYE, HEAVY BROW PA TIENTS FEATURES & BENEFITS (ULTRASONICS) FIGURE 4 PhacoJack THE Phacosystem...
  • Page 13 MODE I/A VAC U/S VAC CAUTERY RATE U/S POWER M O D E PULSE V I T MODE SELECTOR * EASY & QUICK REFERENCE * POSITIVE SELECTION FEATURES & BENEFITS (CHOICE OF MODE) FIGURE 5 PhacoJack THE Phacosystem...

  • Page 14: Front Panel

    VOLUME OF V ACUUM FEEDBACK * SURGEON AID IN EVALUATING SURGICAL MANEUVERS/EVENTS * TONE IS PROPORTIONAL TO VACUUM PHACOJACK REAR PANEL V ARIABLE V ACUUM LIMIT (I/A & U/S MODES) * CONTROLLED OCCLUSION * CONTROLLED PROLAPSE OF LENTICULAR & CORTICAL MATERIAL...
  • Page 15 REFLUX. PROVIDES A BACK FLUSH OF IRRIGA TION SOLUTION IN THE ASPIRATION TUBING, GIVING THE SURGEON THE ABILITY TO FREE UNW ANTED TISSUE OCCLUDING THE TIP . CAUTERY . PROVIDES BIPOLAR DIATHERMY WHEN DEPRESSED. MODES & FUNCTIONS FIGURE 7 PhacoJack THE Phacosystem...
  • Page 16 ORIENT PLUG TO CONNECTOR AND INSERT PLUG INTO CONNECTOR ROCKER SWITCH LOCK PLUG BY ROTA TING PLUG COLLAR A T LEAST 3 TURNS PHACOJACK REAR VIEW U/S HANDPIECE U/S TIP FRONT VIEW STERILE FIELD PROCEDURE 1 CONNECT FOOTPEDAL TO CONSOLE * SCRUB NURSE 2 PLUG POWER CORD INTO CONSOLE &...
  • Page 17 TO TOUCH ANY COMPONENTS IN THE STERILE FIELD. * SCRUB NURSE 6 UNWRAP TUBING SETS. DISCARD WRAP. * CIRCULA TING NURSE 7 PEEL INNER POUCH TO FREE CONTENTS. DISCARD POUCH. U/S HANDPIECE SYSTEM SETUP (TUBING KIT PREPARATION) FIGURE 9 PhacoJack THE Phacosystem...
  • Page 18 13 DEPRESS FOOTPEDAL TREADLE TO FIRST DETENT (DETENT 1) AS SHOWN. * SCRUB NURSE 14 INSERT TUBING INTO PINCH VALVE, SLIDE TUBING TO SEAT PROPERLY. * CIRCULA TING NURSE 15 RELEASE FOOTPEDAL TREADLE. U/S HANDPIECE SYSTEM SETUP (IRRIGATION TUBING SET) FIGURE 10 PhacoJack THE Phacosystem...
  • Page 19 19 CLOSE PUMP ARM FULLY UNTIL LATCH IS FULLY SEATED AGAINST ADJUSMENT SCREW. * SCRUB NURSE 20 INSERT TUBING INTO DRAINAGE BAG. 21 SCREW U/S TIP ONTO U/S HANDPIECE TIGHTLY USING * CIRCULATING NURSE TIP WRENCH. U/S HANDPIECE SYSTEM SETUP (ASPIRATION TUBING SET) FIGURE 11 PhacoJack THE Phacosystem...
  • Page 20 22 SET MODE SWITCH TO U/S (STD OR PULSE). SET RATE & U/S POWER. 23 SET CONTROL. 24 ATTACH THREADED IRRIGATING TIP SLEEVE ON U/S HANDPIECE AS SHOWN. * SCRUB NURSE * CIRCULA TING NURSE U/S HANDPIECE SYSTEM SETUP (SET CONSOLE) FIGURE 12 PhacoJack THE Phacosystem...
  • Page 21 (DETENT 2) AS SHOWN (IRRIGATION & ASPIRATION) * SCRUB NURSE AND HOLD UNTIL ALL TUBING IS PRIMED AND FREE OF BUBBLES. * CIRCULA TING NURSE 28. PERFORM SYSTEM TEST (FIG 14 -16) U/S HANDPIECE SYSTEM SETUP (PRIME) FIGURE 13 PhacoJack THE Phacosystem...
  • Page 22 IF NO COLLAPSE, STOP. DO NOT PROCEED UNTIL COLLAPSE IS OBSERVED. 5 RELEASE CLAMP (HEMOSTAT). 6 NOTE REINFLATION OF TEST CHAMBER. IF THERE IS NO REINFLATION, STOP. DO NOT PROCEED UNTIL REINFLATION IS OBSERVED. 7 RELEASE FOOTPEDAL TREADLE. U/S HANDPIECE SYSTEM TEST (IRRIGATION FLOW) FIGURE 14 PhacoJack THE Phacosystem...
  • Page 23 5 RELEASE FOOTPEDAL TREADLE. 6 NOTE REINFLATION OF TEST CHAMBER. IF THERE IS NO REINFLA TION, STOP. DO NOT PROCEED UNTIL REINFLA TION IS OBSERVED. 7 RELEASE CLAMP (HEMOSTAT) U/S HANDPIECE SYSTEM TEST (ASPIRATION VENT) FIGURE 15 PhacoJack THE Phacosystem...
  • Page 24 4 RELEASE CLAMP (HEMOSTAT). 5 NOTE NO CHANGE IN TEST CHAMBER. IF COLLAPSE OCCURS, STOP. 6 REMOVE TEST CHAMBER. SYSTEM IS NOW READY FOR SURGERY. 7 RELEASE FOOTPEDAL TREADLE. U/S HANDPIECE SYSTEM TEST (IOP MAINTENANCE) FIGURE 16 PhacoJack THE Phacosystem...
  • Page 25 * NEVER USE WIRE CLEANING INSTRUMENTS OR STEEL OF U/S HANDPIECE. FORCEFULLY PUSH BRUSHES TO CLEAN ANY PART OF THE HANDPIECE. SYRINGE PLUNGER REPEAT STEP 5 WITH AIR. 7 STERILIZE U/S HANDPIECE PER ACCEPTED HOSPITAL/FACILITY PRACTICE. U/S HANDPIECE CLEANING FIGURE 17 PhacoJack THE Phacosystem...
  • Page 26 2 PLUG POWER CORD INTO CONSOLE & OUTLET. * SCRUB NURSE 3 PUSH ROCKER SWITCH TO POWER CONSOLE. 4 MOVE I/A HANDPIECE & I/A TIP ONTO STERILE FIELD. * CIRCULA TING NURSE U/S HANDPIECE SYSTEM SETUP (CONSOLE CONNECTIONS) FIGURE 18 PhacoJack THE Phacosystem...
  • Page 27 TO TOUCH ANY COMPONENTS IN THE STERILE FIELD. * SCRUB NURSE 6 UNWRAP TUBING SETS. DISCARD WRAP. * CIRCULATING NURSE 7 PEEL INNER POUCH TO FREE CONTENTS. DISCARD POUCH. I/A HANDPIECE SYSTEM SETUP (TUBING KIT PREPARATION) FIGURE 19 PhacoJack THE Phacosystem...
  • Page 28 13 DEPRESS FOOTPEDAL TREADLE TO FIRST DETENT (DETENT 1) AS SHOWN. * SCRUB NURSE 14 INSERT TUBING INTO PINCH VALVE. SLIDE TUBING TO SEAT PROPERLY. * CIRCULATING NURSE 15 RELEASE FOOTPEDAL TREADLE. I/A HANDPIECE SYSTEM SETUP (IRRIGATION TUBING SET) FIGURE 20 PhacoJack THE Phacosystem...
  • Page 29 STRETCH SILICONE TUBING AROUND PUMP HEAD AS SHOWN. * SCRUB NURSE 19 INSERT TUBING INTO DRAINAGE BAG. 20 SCREW I/A TIP INTO I/A HANDPIECE. USE TIP WRENCH * CIRCULA TING NURSE FOR ASSISTANCE. I/A HANDPIECE SYSTEM SETUP (ASPIRATION TUBING SET) FIGURE 21 PhacoJack THE Phacosystem...
  • Page 30 MAXIMUM CAPACITY 500ml SURGEON PANEL PROCEDURE SET MODE SWITCH TO I/A, SET RATE. SET CONTROL. * SCRUB NURSE ATTACH THREADED IRRIGATING TIP SLEEVE ON I/A HANDPIECE AS SHOWN. * CIRCULATING NURSE I/A HANDPIECE SYSTEM SETUP (SET CONSOLE) FIGURE 22 PhacoJack THE Phacosystem...
  • Page 31 * SCRUB NURSE AS SHOWN (IRRIGATION & ASPIRATION) AND HOLD UNTIL ALL TUBING IS PRIMED AND FREE OF BUBBLES. * CIRCULATING NURSE RELEASE FOOTPEDAL TREADLE PERFORM SYSTEM TEST (FIG. 24 - 26). I/A HANDPIECE SYSTEM SETUP (PRIME) FIGURE 23 PhacoJack THE Phacosystem...
  • Page 32 IF NO COLLAPSE, STOP. DO NOT PROCEED UNTIL COLLAPSE IS OBSERVED. 5 RELEASE CLAMP (HEMOSTAT) 6 NOTE REINFLATION OF TEST CHAMBER. IF THERE IS NO REINFLA TION, STOP. DO NOT PROCEED UNTIL REINFLATION IS OBSERVED. 7 RELEASE FOOTPEDAL TREADLE. I/A HANDPIECE SYSTEM TEST (IRRIGATION FLOW) FIGURE 24 PhacoJack THE Phacosystem...
  • Page 33 5 RELEASE FOOTPEDAL TREADLE. 6 NOTE REINFLA TION OF TEST CHAMBER. IF THERE IS NO REINFLATION, STOP. DO NOT PROCEED UNTIL REINFLA TION IS OBSERVED. 7 RELEASE CLAMP (HEMOSTAT). I/A HANDPIECE SYSTEM TEST (ASPIRATION VENT) FIGURE 25 PhacoJack THE Phacosystem...
  • Page 34 4 RELEASE CLAMP (HEMOSTAT) 5 NOTE NO CHANGE IN TEST CHAMBER. IF COLLAPSE OCCURS, STOP. 6 REMOVE TEST CHAMBER. SYSTEM IS NOW READY FOR SURGERY . 7 RELEASE FOOTPEDAL TREADLE. I/A HANDPIECE SYSTEM TEST (IOP MAINTENANCE) FIGURE 26 PhacoJack THE Phacosystem...
  • Page 35 BRUSHES TO CLEAN ANY PART OF THE HANDPIECE. CONNECT SYRINGE TO IRRIGATION FITTING OF I/A HANDPIECE. FORCEFULLY PUSH SYRINGE PLUNGER. REPEAT STEP 5 WITH AIR. REMOVE I/A TIP WITH TIP WRENCH. STERILIZE I/A HANDPIECE PER ACCEPTED HOSPITAL/FACILITY PRACTICE. I/A HANDPIECE CLEANING FIGURE 27 PhacoJack THE Phacosystem...
  • Page 36 ROCKER SWITCH PHACOJACK REAR VIEW MODE I/A VAC U/S VAC U/S POWER C A U T E R Y RATE FRONT VIEW STERILE FIELD IRRIGA TION SLEEVE PROCEDURE 1 CONNECT FOOTPEDAL TO CONSOLE. 2 PLUG POWER CORD INTO CONSOLE & OUTLET.
  • Page 37 * SCRUB NURSE 6 UNWRAP TUBING SETS. DISCARD WRAP. 7 PEEL INNER POUCH TO FREE CONTENTS. DISCARD POUCH. * CIRCULA TING NURSE 8 OPEN POUCH OF INNER VITRECTOR PACKAGE. DISCARD POUCH. VITRECTOR SYSTEM SETUP (TUBING KIT PREPARATION) FIGURE 29 PhacoJack THE Phacosystem...
  • Page 38 * SCRUB NURSE 15 DEPRESS FOOTPEDAL TREADLE TO FIRST DETENT (DETENT 1) AS SHOWN. * CIRCULA TING NURSE 16 INSERT TUBING INTO PINCH V ALVE. 17 RELEASE FOOTPEDAL TREADLE. VITRECTOR SYSTEM SETUP (IRRIGATION TUBING SET) FIGURE 30 PhacoJack THE Phacosystem...
  • Page 39 20 FIRML Y ATTACH FILTER TO V ACUUM SENSE/VENT FITTING * SCRUB NURSE STRETCH SILICONE TUBING AROUND PUMP HEAD AS SHOWN. CLOSE PUMP ARM. * CIRCULA TING NURSE 21 INSERT TUBING INTO DRAINAGE BAG. VITRECTOR SYSTEM SETUP (ASPIRATION TUBING SET) FIGURE 31 PhacoJack THE Phacosystem...
  • Page 40 (FIG 3) FOR PERISTALTIC PUMP OPERA TION IN VIT. MODE. PROCEDURE 22 SET MODE SWITCH TO VIT. SET RATE & VIT. * SCRUB NURSE 23 SET CONTROL SWITCH. * CIRCULA TING NURSE VITRECTOR SYSTEM SETUP (SET CONSOLE) FIGURE 32 PhacoJack THE Phacosystem...
  • Page 41 AS SHOWN (IRRIGATION & ASPIRA TION) AND HOLD UNTIL ALL TUBING IS PRIMED. * SCRUB NURSE 27 CONNECT ACTUATOR TUBING TO CONSOLE AS SHOWN. 28. RELEASE FOOTPEDAL TREADLE. * CIRCULATING NURSE VITRECTOR SYSTEM SETUP (PRIME) FIGURE 33 PhacoJack THE Phacosystem...
  • Page 42 ROCKER SWITCH PHACOJACK REAR VIEW CAUTERY FORCEPS CABLE FRONT VIEW STERILE FIELD PROCEDURE 1 CONNECT FOOTPEDAL TO CONSOLE 2 PLUG POWER CORD INTO CONSOLE & OUTLET. 3 PUSH ROCKER SWITCH TO POWER CONSOLE. * SCRUB NURSE 4 MOVE CAUTERY FORCEPS & CABLE ONTO STERILE FIELD.
  • Page 43 PROCEDURE 1 CONNECT FORCEPS TO CABLE. * SCRUB NURSE 2. PASS CABLE TO CIRCULATING NURSE. 3 INSERT PLUGS INTO CONSOLE AS SHOWN. * CIRCULA TING NURSE 4 SET CAUTERY . CAUTERY SYSTEM SETUP (SET CONSOLE) FIGURE 35 PhacoJack THE Phacosystem...

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