Medtronic BZ4212A Instructions for Use

ÑPT000113861"Ó
PT00119046
Part No. PT00119046
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respective owners. All other brands are trademarks of a Medtronic company May be covered by U.S. Patents: www.medtronic.com/patents
© 2016 Medtronic. All rights reserved.
Covidien llc,
15 Hampshire Street, Mansfield, MA 02048 USA. Product of USA (from US and foreign materials).
www.medtronic.com REV 03/2020
Caution, consult accompanying documents
Do not
resterilize
Consult
instructions
for use
Single use
BiZact™
Tonsillectomy Device Advanced Bipolar Tissue Sealer/Divider
BZ4212A
en
Instructions for Use
BZ4212A Compatible with:
FORCETRIAD SW v4.0 or Higher
VLFT10GEN SW v2.0 or Higher
VLLS10GEN SW v1.2 or Higher
2
en
BiZact™
The BiZact™ Open Sealer/Divider is designed for use with Covidien electrosurgical generators that include vessel sealing capability. Please refer to the cover page for details on compatible generator models and software versions. If the software version on your generator is lower than required, contact Covidien about software updates.
These instructions assume that the operator is knowledgeable about correct setup and operation of the associated Covidien generator. Refer to the generator user’s guide for set up information and for additional warnings and cautions.
The instrument creates a seal by application of radiofrequency (RF) electrosurgical energy to blood and lymphatic vessels or tissue bundles interposed between the jaws of the instrument. A cutting blade within the instrument is surgeon-activated to divide tissue.
Maximum rated voltage: 288 V
peak
Indications for Use
The BiZact™ device is a bipolar instrument intended for use in open surgical procedures where ligation and division of vessels, tissue bundles, and lymphatics is desired.
The tissue fusion function of the device can be used on vessels (arteries and veins) and
lymphatics up to and including 3 mm diameter. The BiZact™ device is indicated for use in open general surgical procedures.
It is also indicated for adult, children, and adolescent ENT procedures (3 years of age and above), including tonsillectomy, for the ligation and division of vessels, tissue bundles, and lymphatics 2–3 mm away from unintended thermally sensitive structures.
The BiZact™ device has not been shown to be effective for tubal sterilization or tubal coagulation for sterilization procedures. Do not use for these procedures.
BZ4212A Tonsillectomy Device
Advanced Bipolar Tissue Sealer/Divider
12 mm – 12 cm
Operation and Storage
Ambient temperature Range
10°C to 40°C (50°F to 104°F)
Relative humidity 15% to 90% non-
condensing
Transport
Ambient temperature Range
-30°C to 60°C (-22°F to 140°F)
Relative humidity 15% to 90% non-
condensing
Not made with natural rubber latex
Do not use if package is opened or damaged
Warning
This product cannot be adequately cleaned and/or sterilized by the user in order to facilitate safe reuse, and is therefore intended for single use. Attempts to clean or sterilize these devices without appropriate regulatory authorization may result in bio­incompatibility, infection, or product failure risks to the patient.
This instrument is intended for use only with the Covidien equipment listed on the cover of this document. Use of this instrument with other generators may not result in the desired tissue effect, may result in injury to the patient or surgical team, or may cause damage to the instrument.
Do not use the BiZact™ system unless properly trained to use it in the specific procedure being undertaken. Use of this equipment without such training may result in serious unintended patient injury.
Use the system with caution in the presence of internal or external pacemakers or other implanted devices. Interference produced by electrosurgical equipment can cause a pacemaker or other device to enter an unsafe mode or permanently damage the device. Consult the device manufacturer or responsible hospital department for further information when use is planned in patients with implanted medical devices.
While every attempt has been made to reduce patient and user risks, all surgeries using this device carry some residual risk, even when used by trained physicians.
Contact between an active instrument electrode and any metal objects (hemostats, staples, clips, retractors, etc.) may increase current flow and may result in unintended surgical effects, such as an effect at an unintended site or insufficient energy deposition.
7
en
After Surgery
Discard the instrument after use according to the facility’s policy for biohazards and sharps.
Do not resterilize.
Pre-Clinical Studies
Product performance of the device was established in a chronic in-vivo porcine model. The results showed that no animals studied experienced any hemostatic complications related to the device during the 21-day survival period. A variety of tissue types and vessels was evaluated to demonstrate effective sealing in arteries and veins up to and including 3 mm.
California Proposition 65 Statement
For information regarding California Proposition 65, please refer to www.covidien.com/caprop65.
Reasons for alert
Too little tissue between the jaws – The user is grasping thin tissue or not enough
tissue; open the jaws and confirm that a sufficient amount of tissue is inside the jaws. If necessary, increase the thickness of tissue that is grasped and reactivate the seal cycle.
Too much tissue between the jaws – The user is grasping too much tissue; open the jaws, reduce the amount of tissue that is grasped, and reactivate the seal cycle.
Activating on a metal object – Avoid grasping objects, such as staples, clips, or encapsulated sutures in the jaws of the instrument.
Dirty jaws – Use a wet gauze pad to clean surfaces and edges of instrument jaws. Excess fluids in the surgical field – Minimize or remove excess fluids from around the
instrument jaws. Activation switch released before seal complete tone – The footswitch or activation
button was released before the seal cycle was complete. Maximum seal cycle time has been reached – The system needs more time and energy
to complete the seal cycle.
Troubleshooting Information
Notice
There is no animal data qualified to predict the effectiveness of this device in sealing vessels containing atherosclerotic plaque.
In Vivo Vessel Performance (Chronic)
Vessel type Tissue/Vessel name Vessel size range
A/V bundle Omentum up to 1.0 mm
Gastrosplenic 3.0 mm – 4.0 mm arteries within bundles
Ovarian Pedicle 4.0 mm – 5.0 mm
Broad Ligament 1.0 mm – 3.0 mm
Short Gastric 2.5 mm – 5.0 mm
Isolated vessel (artery, vein)
Splenic 1.5 mm – 4.0 mm
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