Medtronic 5873W Technical Manual

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5873W
Wrench kit
Technical Manual
Caution: Federal law (USA) restricts this device to sale by or on the order of a physician.
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The following list includes trademarks or registered trademarks of Medtronic in the United States and possibly in other countries. All other trademarks are the property of their respective owners.
Medtronic
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Description/intended use

The 5873W wrench kit can be used to connect any Medtronic lead system to any Medtronic device. The larger, white-handled torque wrench is designed to slip when overtorqued to prevent damage to the socket or the setscrew(s). Sufficient tightening of the setscrew is indicated by a clicking sound as the torque wrench ratchets on itself. The white-handled hex wrench is designed to twist when overtorqued to prevent damage to the socket or the setscrew(s).
Note: The wrenches have the same tip dimensions; so, it is up to the individual’s preference as to which wrench to use.
The Model 5873W is intended for single use only.

Package contents

Dispose of all single-use accessories according to local environmental requirements. The accessories are supplied sterile. Each package contains the following items:
1 #2 White-Handled Torque Wrench
1 #2 White-Handled Hex Wrench
Product documentation

Contraindications

To date, there are no known contraindications to the use of the Model 5873W wrench kit.

Warnings and precautions

Note: Medical procedure warnings and precautions
that pertain to the Medtronic implanted system are
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provided in the manual that is packaged with the device or on the Medtronic Manual Library website (www.Medtronic.com/manuals).
Inspecting the sterile package – Inspect the sterile package with care before opening it.
Contact a Medtronic representative if the seal or package is damaged.
Do not use the product after its expiration date.
Sterilization – Medtronic has sterilized the package contents with ethylene oxide before shipment. This accessory kit is for single use only and is not intended to be resterilized.

Instructions for use

Perform the following steps for both the larger, white-handled torque wrench and the smaller, white-handled hex wrench. (Refer to the device technical manual for complete details on connecting the lead(s) to the device.)
1. Insert the torque/hex wrench into the bisected grommet as shown in Figure 1 and Figure 2. The torque/ hex wrench should be left inserted in each distal grommet until the lead is secure. This eliminates the “piston effect” (difficulty in inserting the lead due to compression of trapped air in the connector port) by allowing a pathway for venting trapped air when the lead is inserted. The rubber connector seal maintains the torque/hex wrench in position.
a. Check that the setscrew(s) are retracted
from the connector port by visual inspection of the opening. If a setscrew(s) is obstructing the pathway, rotate the setscrew(s) counterclockwise one or two
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revolutions until the opening is no longer obstructed.
Caution: Counterclockwise rotation beyond this point may disengage the setscrew from the connector port.
b. Eliminate the “piston effect” when the lead
is inserted by leaving the torque/hex wrench in the distal grommet.
Figure 1.
Figure 2. Connector port setscrew(s)
preparation using the torque wrench
2. To insert the lead, push the lead into the connector port until the lead pin is clearly visible in the pin viewing area.
Note: Lubricate the lead connector end, to ease lead insertion, with sterile water only.
3. To secure the lead, tighten the setscrew(s) by turning clockwise as indicated in Figure 3 and Figure 4. When using the larger, white-handled torque wrench, complete tightening will be indicated by a clicking sound. When using the
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smaller, white-handled hex wrench, tighten the setscrew(s) clockwise, until you feel resistance. You should be able to turn the setscrews at least 1/2 turn before resistance is felt. If the setscrew turns more than one complete revolution without resistance, the lead is not properly inserted. If this occurs, back the setscrew out and reinsert the lead. The setscrew(s) must be engaged for pacing to begin. Do not pull on the lead until all setscrews have been tightened.
Figure 3.
Figure 4. Tightening the setscrew(s) using the
torque wrench

Special notice

Medtronic Wrench Kits (the “Wrench Kits”) consist of Tools (the “Tools”) to connect a Medtronic lead system to a Medtronic pulse generator. The Tools
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may easily be damaged by improper handling or use. Consequently, no representation or warranty is made that failure or cessation of function will not occur.

Medtronic disclaimer of warranty

For complete disclaimer of warranty information, see the accompanying disclaimer of warranty document.

Service

Medtronic employs highly trained representatives and engineers located throughout the world to serve you and, upon request, to provide training to qualified hospital personnel in the use of Medtronic products. Medtronic also maintains a professional staff to provide technical consultation to product users. For more information, contact your local Medtronic representative, or call or write Medtronic at the appropriate telephone number or address listed on the back cover.

CE mark of conformity

The following CE mark of conformity applies to the Model 5873W wrench kit.
1994
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Explanation of symbols

Table 1. Explanation of symbols on package
labeling Refer to the package labels to see which symbols
apply to this product.
Conformité Européenne (European Conformity). This symbol means that the device fully complies with applicable European Union acts.
For U.S. audiences only
Authorized representative in the European community
Date of manufacture
Manufacturer
Use by
Lot number
Reorder number
Serial number
Sterilized using ethylene oxide
Do not reuse
Do not use if package is damaged
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Table 1. Explanation of symbols on package labeling (continued)
Upper limit of temperature
Open here
Consult instructions for use at this website
Package contents
Product documentation
Torque wrench
#2 White handled hex wrench
Use with
Implantable device
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Medtronic, Inc.
*M971364A001*
710 Medtronic Parkway Minneapolis, MN 55432 USA www.medtronic.com +1 763 514 4000
Authorized Representative in the European Community
Medtronic B.V. Earl Bakkenstraat 10 6422 PJ Heerlen The Netherlands +31 45 566 8000
Europe/Middle East/Africa
Medtronic International Trading Sàrl Route du Molliau 31 Case Postale 84 CH-1131 Tolochenaz Switzerland +41 21 802 7000
Australia
Medtronic Australasia Pty Ltd 5 Alma Road Macquarie Park, NSW 2113 Australia 1800 668 670
Canada
Medtronic of Canada Ltd 99 Hereford Street Brampton, Ontario L6Y 0R3 Canada +1 905 460 3800
Technical manuals
www.medtronic.com/manuals
© 2017 Medtronic M971364A001 A 2017-08-02
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