OrthoSensor Verasense User Manual

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VERASENSE USER GUIDE
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VERASENSE USER GUIDE
TABLE OF CONTENTS
VERASENSE Overview 4
Linkstation Mini Evaluation Kit Overview 6
VERASENSE Software Application Overview 7
Getting Started 8
Transceiver Setup 9
Surgeon Selection 1 1
VERASENSE Activation 12
Calibration Sequence & Leg Selection 13
Verify VERASENSE Activation 14
Active Monitoring Screen 15
VERASENSE Insertion 16
Assessing Loads 17
Image & Data Capture 18
Calibration Indicators 19
Understanding Balance 20
VERASENSE Re-Zero Load 22
Cementing 24
Shutting Down VERASENSE 25
Shutting Down the Linkstation Mini 26 and Linkstation Mini Evaluation Kit
Warning & Dialog Messages 27
Troubleshooting 29
Cleaning & Care 30
Additional Features 3 1
Options Menu 32
Display Available Menus 33
OrthoLogIQ Mode (“IQ Mode”) 34
WiFi Connection Setup 35
Selecting the Open Network 36
Keyboard Hot-Keys 37
Balance Soft-Tissue 2 1
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OrthoSensor’s VERASENSE delivers evidence-based data wirelessly to an intra-operative monitor that enables surgeons to make informed decisions on soft tissue balance and implant position in real time.
VERASENSE utilizes proprietary sensor technologies to transmit compartmental
load data wirelessly. This enables surgeons to make informed decisions regarding soft tissue balance, and implant position with the goal of improving joint performance, knee kinetics and patient satisfaction.
1-3
As a result, patients whose knees have been balanced through the use of
VERASENSE show statistically significant improvements in joint function, pain,
activity level and patient satisfaction.
VERASENSE KEY PRODUCT FEATURES KEY CLINICAL BENEFITS
VERASENSE OVERVIEW
SENSOR-ASSISTED TKA
VERASENSE enables surgeons to
quantify ligament balance and
improves surgeon skill through
real-time, evidence-based data.
• Provides dynamic intercompartmental loads in the medial and lateral compartments through full ROM with the capsule closed and patella reduced
• Kinetic Tracking* feature displays dynamic kinematic tracking in conjunction with load data to visualize tibiofemoral articulation through full ROM
• Requires no change in surgical workflow
• Low-cost, single-use disposable sensor
• Compatible with multiple knee implant systems
• Enables intraoperative data capture
1 Gustke K A, Golladay GJ, Roche M, Elson L,
Anderson C. Primary TKA patients with Quantifiably Balanced Sof t-Tissue Achieve Significant Clinical Gains S ooner than Unbalanced Patients. Adv Orthop. 2014:628 695.
5 Lombardi AV, Berend KR, Adams JB. Why knee
replacements fail in 2013: patient, surgeon, or implant? Bone Joint J. 2014;96-B(11 Supple A): 101-104.
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2 Gustke K A, Gollad ay GJ, Roche MW, Jerry GJ,
Elson LC , Anderson CR. In crease d satisfaction after total knee replacement using sensor-guided technology. Bon e Joint J 2014;96-B:1333–8.
6 Schroer WC, Berend KR, Lombardi AV, et al. Why
are total knees failing today? Etiology of total knee revision in 2010 and 2011. J Arthroplasty 2013;28(8 Suppl):116–119.
• Intended to address leading causes of premature implant failure in TKA: mal-alignment and soft-tissue balance related complications
4-8
• Dynamic compartmental load data and Kinetic Tracking* enables evidence-based soft tissue releases to improve stability
4
• Enables reproducible, teachable surgical technique through quantifying surgeon “feel”
• Captures intraoperative data for inclusion in patient EMR, registries or comparative effectiveness studies
3 Gustke, Golladay, et al. A New Method for Defining
Balance: Promising Short-Term Clinical Outcomes of Sensor-Guided TKA. J Arthroplasty. 2014 May:29(5):955-60.
7 Parratte S, Pagnano MW. Instability after total
knee arthroplasty. J Bone Joint Surg Am 2008; 90: 184-94.
4 Bozic K, Kurtz S, Lau E, et al. The epidemiology of
revision total knee arthroplasty in the united states. Clin Orthop Relat Res. 2010. 468: 45-51.
8 Rodriguez-Merchan, EC. Instability Following Total
Knee Arthroplasty. HSS J. Oct 2011: 7(3): 273-278.
*For Reference Only
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LINKSTATION MINI WITH INTEGRATED ANTENNA OPTION OVERVIEW
Antenna
LinkStation MINI Display Unit
Antenna
VERASENSE Activation Magnet
Transceiver
Easy Grip Transport Handle
VERASENSE Storage Basket
NOTE
The following accessories are necessary for the operation of the VERASENSE device:
VERASENSE Software Application
LinkStation MINI or LinkStation MINI Evaluation Kit
Medical Grade Power Cord with Power Supply Holster
Balanced Rolling Stand
*Center of load and load values outside of
the Green Zone are for reference only.
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Antenna
Antenna
LinkStation MINI Evaluation Kit Display Unit
LINKSTATION MINI EVALUATION KIT OVERVIEW
Transceiver
Transceiver Tripod
Medical Grade Power
Stand
Cord with Power Supply
(NOT DISPLAYED)
NOTE
The following accessories are necessary for the operation of the VERASENSE device:
VERASENSE Software Application
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LinkStation MINI or LinkStation MINI Evaluation Kit
*Center of load and load values outside of the Green Zone are for reference only.
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VERASENSE SOFTWARE APPLICATION OVERVIEW
Medial/Lateral Indicators & Compartment Re-zero
Center of Load Indicators*
Load Values
LEFT
Center of load and load values outside of the Green Zone are for reference only.
• RF/Bluetooth Signal Strength/ Channel
VERASENSE Calibration
Indicators
EXIT
OPTIONS
TRACK
ZERO
Medial Lateral
Positional Data Capture Table
Exit VERASENSE Software Application
Options Menu
Kinetic Tracking*
Re-Zero
VERASENSE
•
VERASENSE Battery Life
• Tablet AC/DC
• Surgical Side Indicator
*Center of load and load values outside of the Green Zone are for reference only.
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POWERING ON THE LinkStation MINI
STEP 1
To turn on the LinkStation MINI or LinkStation MINI Evaluation Kit, press the power button located on the left side of the Display Unit.
STEP 2
The VERASENSE Software Application will automatically startup once the Display Unit is powered on.
STEP 3
GETTING STARTED
DISPLAY UNIT POWER BUTTON
LINKSTATION MINI
The plug-shaped AC/DC Power indicator on the bottom left of the screen will show whether the tablet is plugged in and running on AC power or if it is unplugged and running on DC battery power.
LINKSTATION MINI
EVALUATION KIT
CAUTION It is recommended to always plug in the Display Unit and
operate the system on AC power.
Please activate sensor by placing it on the magnet
(Keep sensor on the magnet until application starts)
Searching for sensors...
Physician Name
Turn OFF
Devices
NOTE
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Place the LinkStation MINI or LinkStation MINI Evaluation Kit on contralateral side of the operating table for optimal surgeon visibility.
AC/DC POWER INDICATOR
RED = UNPLUGGED (DC)
GREEN = PLUGGED IN (AC)
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Select
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TRANSCEIVER SETUP
TRANSCEIVER SETUP
NOTE The VERASENSE for Zimmer Biomet Persona communicates
with the LinkStation MINI via Bluetooth and the transceiver setup is not required.
LINKSTATION MINI WITH INTEGRATED ANTENNA OPTION
STEP 1
Ensure the Transceiver Antenna mounting brackets are securely fixed to the back mounting plate of the Display Unit. Also ensure the Transceiver housing is properly fixed to the top mounting bracket.
STEP 2
Ensure the Transceiver cable is connected to the USB port on the right of the Display Unit and firmly connected to the Transceiver. Also confirm both antenna cables are securely connected to the Transceiver and the top and bottom mounted Antennas.
Please activate sensor by placing it on the magnet
(Keep sensor on the magnet until application starts)
Searching for sensors...
Physician Name
Turn OFF
Select
Devices
NOTES
1. LED (1) and LED (2) indicate communication between the
Transceiver and both LEDs are illuminated.
2. LED (3) and LED (4) indicate the Transceiver is powered on.
VERASENSE. Communication is optimal when
LED (1)
LED (2)
LED (3)
LED (4)
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TRANSCEIVER SETUP
NOTE The VERASENSE for Zimmer Biomet Persona communicates
with the LinkStation MINI or LinkStation MINI Evaluation Kit via Bluetooth and the transceiver setup is not required.
LINKSTATION MINI WITH NON-INTEGRATED ANTENNA OPTION
STEP 1
See images for ideal Transceiver arm position.
TRANSCEIVER SETUP
LINE OF
SIGHT
>12”
>7”
LINKSTATION MINI
LINKSTATION MINI
EVALUATION KIT
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• Position antennas at 45° to the floor and at least 12”
(178 mm) out from the display unit.
(305 mm) above and 7”
• Ensure the Transceiver cable is connected to the USB port on the right of the Display Unit.
LINKSTATION MINI EVALUATION KIT
STEP 1
Attach antennas to Transceiver and mount to tripod. Fully extend tripod legs prior to use.
STEP 2
Ensure the Transceiver cable is connected to the USB port on the right of the Display Unit.
NOTES
LED (4)
1. LED (1) and LED (2) indicate communication between the Transceiver and
VERASENSE. Communication is optimal when both LEDs are illuminated.
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2. LED (3) and LED (4) indicate the Transceiver is powered on.
LED (1)
LED (2)
LED (3)
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SELECT THE SURGEON
STEP 1
Prior to activating VERASENSE, select the surgeon performing the case.
SURGEON SELECTION
Please activate sensor by placing it on the magnet
STEP 2
Touch the text box to open a drop down menu of surgeon names.
NOTE: The first name to appear is the surgeon who
was selected for the last use of the VERASENSE Software Application.
STEP 3
If the surgeon performing the case does not appear, then select “Surgeon Not Listed” from the drop down menu.
NOTE
(Keep sensor on the magnet until application starts)
Searching for sensors...
Physician Name
WIFI
Physician Name
Doe John MD Select Doe John MD Surgeon Not Listed
Surgeon Not Listed
POWER
POWER
Please contact OrthoSensor Customer Service to add a new surgeon to the list.
US ONLY 888.75.ORTHO (888. 756.7846) US AND INTERNATIONAL +1 954.577.7700
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ACTIVATE VERASENSE
STEP 1
Select appropriate VERASENSE size and remove VERASENSE and shims from outer box.
• DO NOT remove from sterile pouch.
VERASENSE ACTIVATION
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STEP 2
LINKSTATION MINI
Activate VERASENSE by holding it stationary up against the magnet.
NOTE: For the LinkStation MINI only, the magnet is mounted on the roll stand.
STEP 3
DO NOT REMOVE VERASENSE FROM THE MAGNET UNTIL EACH OF THE FOLLOWING ACTIVATION STEPS OCCURS:
• An LED light will illuminate in VERASENSE after approximately one (1) second. The light turns off after approximately four (4) seconds.
• The VERASENSE Software Application will recognize VERASENSE and initializes communication.
NOTE
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To optimize battery life, do not activate VERASENSE until just before it is required in the surgical workflow.
VERASENSE has a 40 minute battery life.
If channel switching is enabled, then the
ACTIVE VERASENSE FOUND dialog will display.
Select
OK after verifying serial number (
with package.
Active VERASENSE found
SN
(
1234567890) Connect?
SN
)
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SELECT LATERALITY
CALIBRATION SEQUENCE & LEG SELECTION
STEP 1
Once the calibration sequence is complete, the SELECT LEG dialog will appear.
STEP 2
Press either LEFT or RIGHT to match the surgery side.
Please wait... Calibrating Sensor
Center of load and load values outside of the Green Zone are for reference only.
Please select leg
EXIT
OPTIONS
TRACK
ZERO
Medial Lateral
* Center of load and load valu es outside of the Green Zone are for reference only.
LEFT RIGHT
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VERIFY VERASENSE ACTIVATION
STEP 1
While in sterile pouch, apply pressure to the VERASENSE condylar surfaces and confirm that loads display on the VERASENSE Software Application.
VERIFY VERASENSE ACTIVATION
STEP 2
Once activation is confirmed, open the sterile packaging that contains VERASENSE and shims and pass into sterile field using standard sterile technique by hospital personnel.
LEFT
EXIT
OPTIONS
TRACK
ZERO
CAPTURE
Center of load and load values outside of the Green Zone are for reference only.
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* Center of load and load valu es outside of the Green Zone are for reference only.
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ACTIVE MONITORING SCREEN
ACTIVE MONITORING SCREEN AND COMMUNICATION STATUS
STEP 1
Once VERASENSE is passed into the sterile field, it is ready for use during the procedure.
STEP 2
Position the LinkStation MINI or LinkStation MINI Evaluation Kit as close to the sterile boundary as possible and within direct view of the surgeon.
NOTES
LEFT
EXIT
OPTIONS
TRACK
ZERO
Medial Lateral
Center of load and load values outside of the Green Zone are for reference only.
1. The ACTIVE MONITORING SCREEN is the main screen of
VERASENSE Software Application.
the
2. The Communication Signal Strength Indicator is located at the bottom left of the screen
VERASENSE
Software Application.
Reposition the LinkStation MINI or or LinkStation MINI
•
Evaluation Kit to troubleshoot poor signal strength.
* Center of load and load values outside of the Green Zone are for reference only.
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VERASENSE INSERTION & SHIM ASSEMBLY
STEP 1
Determine desired VERASENSE thickness and attach the appropriate shim as needed.
VERASENSE INSERTION
• NOTE: VERASENSE for Zimmer Biomet
Persona requires the user to input the selected shim thickness within the VERASENSE Software Application prior to use.
SHIM
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STEP 2
Insert VERASENSE.
• In a tight knee capsule, it may be necessary to insert the trial tibial baseplate and VERASENSE prior to insertion of the femoral trial. In this instance, reduce the tibia under the femur, then insert the femoral trial.
CAUTION
DO NOT utilize excessive force or impact VERASENSE directly with a mallet. Excessive impaction force may damage or negatively impact function of
VERASENSE.
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ASSESSING LOADS AND BALANCE
STEP 1
With VERASENSE inserted, the VERASENSE Software Application will display the position (Contact Points*) and magnitude of the applied loads in the medial and lateral compartments.
STEP 2
Data is displayed dynamically through a full range of motion.
ASSESSING LOADS
NOTE
It is recommended to evaluate compartmental loads and joint balance with the patella reduced and the capsule closed.
* Center of load and load valu es outside of the Green Zone are for reference only.
RIGHT
EXIT
OPTIONS
TRACK
ZERO
Lateral Medial
Center of load and load values outside of the Green Zone are for reference only.
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IMAGE & DATA CAPTURE
IMAGE & DATA CAPTURE
TWO WAYS TO CAPTURE SCREEN IMAGES AND DATA
The VERASENSE Software Application shows EITHER the Simple Capture Button OR the Position Capture Table
SIMPLE CAPTURE POSITION CAPTURE
EXIT
OPTIONS
TRACK
ZERO
CAPTURE
• Shown when Position Capture Table isn’t displayed.
LEFT
POSITION CAPTURE
IQ
INFO
MANUALS
CLOSE
EXIT
Lateral Medial
OPTIONS
TRACK
ZERO
CAPTURE
• Captures screenshot and records load data when 10°, 45°, 90°
BUTTONS are selected.
• Captures screenshot when selected.
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WHAT YOU NEED TO KNOW:
Calibration Indicators are the color bar displays beneath each M/L load value.
• Indicate levels of VERASENSE accuracy throughout loading range.
Center of Load reference points are a consistent color throughout all loading ranges.
Calibrated load range is within outside of the GREEN ZONE are for reference only.
GREEN ZONE FROM 5 – 40 LBF. Loads values
CALIBRATION INDICATORS
LEFT
Center of load and load values outside of the Green Zone are for reference only.
EXIT
OPTIONS
TRACK
ZERO
CAPTURE
EXIT
OPTIONS
TRACK
ZERO
CAPTURE
VERASENSE Software Application displays a message when either side goes into the
VERASENSE OVERLOAD
RED ZONE.
BLACK = 0-4 lbf
GREEN = 5-40 lbf
YELLOW = 41-70 lbf
RED = 70+ lbf
* Center of load and load valu es outside of the Green Zone are for reference only.
LEFT
LEFT
Center of load and load values outside of the Green Zone are for reference only.
Center of load and load values outside of the Green Zone are for reference only.
VERASENSE overload detected,
re-zero recommended.
LEFT
Center of load and load values outside of the Green Zone are for reference only.
EXIT
OPTIONS
TRACK
ZERO
CAPTURE
EXIT
OPTIONS
TRACK
ZERO
CAPTURE
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UNDERSTANDING BALANCE
CORONAL BALANCE
UNDERSTANDING BALANCE
UNBALANCED
(Load Difference = 29 - 4 = 25lbf)
EXIT
Clinical research suggests a load differential between the medial and lateral compartments of
less than or equal to 15 LBF
through the range of motion is indicative of coronal plane soft tissue balance.*
SAGITTAL BALANCE (CR COMPONENTS)
This is typically determined by a stable end-point during a posterior drawer test, while not exhibiting gross PCL tension leading to excessive rollback or anterior lift-off of the tibial component. The femoral contact points are in the mid-third of the tibial plateau.*
RIGHT
Center of load and load values outside of the Green Zone are for reference only.
BALANCED
(Load Difference = 15 - 14 = 1lbf)
OPTIONS
TRACK
ZERO
Lateral Medial
EXIT
OPTIONS
TRACK
ZERO
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Lateral Medial
Roche MW, et al. Dynamic soft tissue balancing in total knee arthroplasty. Orthop Clin N Am. 2014; 45(2): 157-165
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* Center of load and load valu es outside of the Green Zone are for reference only.
RIGHT
Center of load and load values outside of the Green Zone are for reference only.
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BALANCE SOFT-TISSUE
Clinical experience combined with information displayed by the VERASENSE Software Application may be used to assist decision making regarding component placement and soft tissue releases to achieve compartmental balance.
BALANCE SOFT-TISSUE
MCL pie-crusting with an 18-gauge needle
NOTES
1. If VERASENSE indicates a compartmental load in excess of
70lbf, reduce shim size if possible or perform initial releases to bring the load below 70lbf. Before performing final release to achieve soft tissue balance, remove and re-zero.
2. If VERASENSE indicates a compartmental load of less than
5 lbf, increase shim size to generate condylar load.
* Center of load and load values outside of the Green Zone are for reference only.
VERASENSE
LEFT
EXIT
OPTIONS
TRACK
ZERO
CAPTURE
VERASENSE overload detected,
re-zero recommended.
Center of load and load values outside of the Green Zone are for reference only.
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VERASENSE RE-ZERO LOAD
RE-ZEROING
If VERASENSE experiences elevated loads, a re-zero calibration may be required for accurate load readings. A user can perform a re-zero in three ways:
MOTION-CONTROLLED RE-ZERO
Hold VERASENSE with superior side (articulating surface) facing the floor for three (3) seconds. Wait for Re-Zero Enabled and Re-Zero Completed messages to display.
MENU ZERO BUTTON
Remove loaded VERASENSE and then press the Zero
Button on the VERASENSE Software Application.
COMPARTMENT SPECIFIC RE-ZERO
Compartment Re-Zero
VERASENSE overload detected,
re-zero recommended.
LEFT
Center of load and load values outside of the Green Zone are for reference only.
Re-Zero Enabled
Re-Zero Device
EXIT
OPTIONS
TRACK
ZERO
CAPTURE
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With the VERASENSE in the joint, apply a varus or valgus
Center of load and load values outside of the Green Zone are for reference only.
thrust to the knee in order to off-load the desired medial or lateral compartment. Once the VERASENSE surface is visually unloaded, select the laterality indicator of the unloaded side to initiate the Re-Zero, repeat the steps on the opposite side in order to complete the Re-Zero.
NOTE: Compartment Re-Zero is only available with VERASENSE for
Zimmer Biomet Persona.
VERASENSE OrthoSensor.com
Re-Zero Completed
Center of load and load values outside of the Green Zone are for reference only.
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USING THE KINETIC TRACKING FEATURE
Displays dynamic motion of the knee through the full ROM to evaluate joint kinetics
• Extension to flexion roll back evaluation, AP drawer test, Int/Ext rotation laxity, etc.
STEP 1
KINETIC TRACKING*
Press Track to turn on/off kinetic tracking
EXIT
OPTIONS
TRACK
ZERO
Select the Track Button on the VERASENSE Software Application to enable Kinetic Tracking.
STEP 2
To clear and disable tracking, click the Track Button again.
RIGHT
Center of load and load values outside of the Green Zone are for reference only.
Kinetic Tracks are displayed as green lines that trace contact point movement*
Lateral Medial
* Center of load and load values outside of the Green Zone are for reference only.
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USE OF VERASENSE DURING CEMENTATION
CEMENTING
VERASENSE can be used during the final cementation process to ensure balance achieved during component trialing is maintained through the end of the procedure.
• Ensure proper seating of the components, as even a small amount of residual cement mantle can affect joint balance.
• Assess final poly component thickness for adequate loading.
When impacting the final femoral componets be sure not to overload VERASENSE. Re-Zero, if necessary.
RIGHT
EXIT
OPTIONS
TRACK
ZERO
Lateral Medial
Center of load and load values outside of the Green Zone are for reference only.
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* Center of load and load valu es outside of the Green Zone are for reference only.
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VERASENSE SHUT DOWN
SHUTTING DOWN VERASENSE
EXIT
STEP 1
To turn off VERASENSE when the procedure is complete, press the
EXIT button in the top right corner of the Active Monitoring screen.
STEP 2
Confirm exit on the pop-up window by pressing OK. The “Shutting down VERASENSE” dialog box will open.
OPTIONS
TRACK
ZERO
Center of load and load values outside of the Green Zone are for reference only.
VERASENSE connected.
Are you sure you want to exit?
CANCEL
OK
Shutting down VERASENSE...
Center of load and load values outside of the Green Zone are for reference only.
NOTE
Either the RF or Bluetooth Transceiver will communicate with
VERASENSE to power down the device. If communication can no longer
be achieved, the “VERASENSE shutdown failed” box will open. Select
EXIT HOME SCREEN to exit the VERASENSE Software Application.
* Center of load and load values outside of the Green Zone are for reference only.
VERASENSE shutdown failed. Try again?
Exit
Home
Screen
Center of load and load values outside of the Green Zone are for reference only.
RETRY
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SHUTTING DOWN THE LINKSTATION MINI AND LINKSTATION MINI EVALUATION KIT
LINKSTATION MINI AND LINKSTATION MINI EVALUATION KIT SHUTDOWN
After the procedure is complete and VERASENSE has been shut down successfully, shut down the Display Unit by pressing the
POWER BUTTON and then selecting OK.
• This will power the entire Display Unit down.
• In order to restart, the external power button must be pressed.
Please activate sensor by placing it on the magnet
(Keep sensor on the magnet until application starts)
Are you sure you want to shutdown?
Searching for sensors...
CANCEL
WIFI
Surgeon Not Listed
OK
Physician Name
POWER
Are you sure you want to shutdown?
CANCEL
OK
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WARNING & DIALOG MESSAGES
VERASENSE ERROR - UNABLE TO CONNECT
Error during the initial connection with starting VERASENSE. Typically due to VERASENSE power loss during connection.
VERASENSE error. Unable to connect.
INVALID LEG SELECTION
Error message if leg selection is the wrong side for an asymmetrical VERASENSE.
Invalid Leg Selection.
RF TRANSCEIVER UNPLUGGED
Transceiver cable disconnected during active
Please plug it back into a USB port.
VERASENSE
Transceiver is unplugged!
monitoring.
VERASENSE CALIBRATION TIMEOUT
This message will appear if a calibration error occurs during Activation of VERASENSE.
• Select VERASENSE Software Application recalibrate VERASENSE prior to moving to the Active Monitoring Screen.
• Select shut down the current VERASENSE and to exit to the VERASENSE Software Application Home Screen.
RECALIBR AT E to have the
SHUT DOWN VERASENSE to
VERASENSE CALIBRATION ERROR
This message will appear if a VERASENSE Software Application error has occurred during the initial VERASENSE calibration while on the Active Monitoring Screen.
VERASENSE Calibration Error.
VERASENSE OVERLOAD DETECTED
VERASENSE overload condition in loads exceed 70lbf. Re-Zero should be performed.
VERASENSE overload detected,
re-zero recommended.
VERASENSE Calibration Timeout.
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WARNING & DIALOG MESSAGES
ACTIVE VERASENSE FOUND
This message appears when an active VERASENSE is found. If the VERASENSE Software Application is enabled with Channel Switching and the VERASENSE Software Application detects an active VERASENSE, the following dialog box will appear with the active VERASENSE serial number.
SERIAL NUMBER (SN) VERASENSE.
(The serial number is located on both the VERASENSE box as well as the Tyvek Pouch that VERASENSE is in).
Active VERASENSE found
SN
(
1234567890) Connect?
VERASENSE SEARCH - ERROR
This message appears when an error has occurred while the VERASENSE Software Application is searching for active VERASENSE. Select OK and the VERASENSE Software Application will reset and re-establish the search for all active VERASENSE.
MULTIPLE VERASENSE FOUND
VERASENSE selection message when multiple VERASENSE sensors are active. Choose desired VERASENSE by serial number (
Please select VERASENSE or ‘CANCEL’ to wait for
a different VERASENSE to become activated.
SN
) listed on box.
Multiple VERASENSE found
SN
311717036
SN
412938089
VERASENSE DATA TIMEOUT
This message will appear if an error has occurred when handling measured data that is being transferred from VERASENSE.
VERASENSE Data Transfer Timeout.
VERASENSE ERROR - UNABLE TO CONNECT
This message may appear when an error has occurred during the initial connection after the identification of VERASENSE and the VERASENSE Software Application is unable to properly obtain the VERASENSE EEPROM data. Typical causes are due to loss of VERASENSE power during activation or reception issues.
VERASENSE Error. Unable to connect.
VERASENSE SHUTDOWN FAILED
This message will appear if an error has occurred when trying to shutdown VERASENSE from the Active Monitoring Screen. If VERASENSE Software Application will offer additional shutdown attempts. If
EXIT HOME SCREEN is selected then the
VERASENSE Software Application will close and return to the VERASENSE Software Application Homepage.
RETRY is selected, the
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Error during VERASENSE Search. Select ‘OK’ to reset.
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VERASENSE shutdown failed. Try again?
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TROUBLESHOOTING
TROUBLESHOOTING
VERASENSE
If VERASENSE Light does not turn off during activation:
• Return VERASENSE to the activation magnet to complete the activation sequence.
If VERASENSE is showing no load values in the knee, or load values are being shown when it has been removed from the knee and no load is being applied:
• Re-Zero VERASENSE.
DISPLAY UNIT
If Display Unit will not turn on, or shuts down inadvertently:
• Ensure the power cord is properly attached to the Display Unit and plugged into a power outlet.
If Display Unit power button is blinking but nothing is happening:
• The Display Unit is in sleep mode. Press the power button to wake up the Display Unit.
WIRELESS COMMUNICATION
If Communication is intermittent:
• Reposition the LinkStation MINI or LinkStation MINI Evaluation Kit as close to the sterile boundary as possible and within direct view of the surgeon.
• Objects such as OR lights, metal tables and mayo stands, and people can potentially interfere with communication.
RF Communication:
• Verify USB cable for the Transceiver is securely plugged into the Display Unit and into the USB port on the bottom of the Transceiver.
• Ensure antennas on the Transceiver are secure and that the line of sight between the Transceiver and VERASENSE is clear.
• All four LED lights on the Transceiver will be illuminated when VERASENSE is communicating assembly.
ROLL STAND
If Roll Stand will not roll:
• Check to ensure that the breaks on the casters are disengaged.
(FOR LINKSTATION MINI ONLY)
Bluetooth Communication: (FOR ZIMMER BIOMET PERSONA ONLY)
• If communication cannot be reestablished, complete a force restart of the LinkStation MINI or LinkStation MINI Evaluation Kit by holding the power button on the display unit down for 5 seconds. The system will reboot and automatically reconnect to the device.
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12/2018 LB-5092 Rev. 2
Page 30
CLEANING AND CARE
CLEANING & CARE
SOLUTIONS
The following is a list of chemical cleaning solutions that have been successfully tested on the Display Unit & Roll Stand:
• SANI-CLOTH HB
• SANI-CLOTH PLUS
• SUPER SANI-CLOTH
• Cavi Wipes
• Cloro-Wipe Towelette
• 70% Isopropyl Alcohol
• Alcohol Prep Pads
• Tuffie Wipes
DISPLAY UNIT
Use only a soft, lint-free cloth. Please note: abrasive cloths, towels, paper towels or similar items should not be used as these may cause damage to the Display Unit.
1. Disconnect the Display Unit from any external power sources.
2. Spray approved cleaning solutions onto soft lint-free cloth. Do not spray cleaning solutions directly onto equipment or at any openings.
TRANSCEIVER
Wipe the Transceiver down with 70% isopropyl alcohol wipes after each use.
ROLL STAND
The Roll Stand may be cleaned with most mild, non-abrasive solutions commonly used in the hospital environment (e.g. diluted bleach, ammonia, or isopropyl alcohol).
(FOR LINKSTATION MINI ONLY)
NOTE
The surface finish will be permanently damaged by strong chemicals and solvents such as acetone and trichloro­ethylene. Do not use steel wool or other abrasive material to clean the Display Unit. Never submerge or allow liquids to enter the Display Unit. Wipe any cleaning agents off the Display Unit immediately using a water-dampened cloth. Dry all Display Unit thoroughly after cleaning.
30
3. Wipe surface until clean.
4. Cleaning of the Display Unit should be performed after
each use.
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Page 31
VERASENSE ADDITIONAL FEATURES
*Center of load and load values outside of the Gree n Zone are for reference only.
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OPTIONS MENU
ADDITIONAL FEATURES
EXIT
OPTIONS
TRACK
ZERO
CAPTURE
LEFT
POSITION CAPTURE
IQ
INFO
MANUALS
Left/Right Leg Selection
Open/Close the 10/45/90 Position Capture Table
Open OrthoLogIQ* Web Portal
Open VERASENSE Information Panel
Side: Left Device ID: 512193013 Device Type: OrthoSensor VERASENSE
OK
32
CLOSE
Exit Options Panel
VERASENSE OrthoSensor.com
* Orth oLogIQ is only available to those end-users who purchase it pursuant to a separate agreement with OrthoSenso r, Inc. O rthoLogIQ is only available in the U nited States.
12/2018 LB-5092 Rev. 2
Page 33
DISPLAY AVAILABLE MANUALS
ADDITIONAL FEATURES
EXIT
OPTIONS
TRACK
ZERO
CAPTURE
LEFT
POSITION CAPTURE
IQ
INFO
MANUALS
CLOSE
IFU
Quick
Reference
Guide
User
Guide
CLOSE
VERASENSE QUICK REFERENCE GUIDE
Catalog Number Description Qty
05000-001
05000-002
05000-003
05000-004
05000-005
05000-006
05000-007
1 With power cord for United States and Canada 2 With power cord for Australia and New Zealand 3 With power cord for Continental Europe & South Korea 4 With power cord for United Kingdom and Ireland 5 With power cord for Italy 6 With power cord for Switzerland
NOTE The following accessories are necessary for the operation of the VERASENSE
device: VERASENSE Software Application, Transceiver, and LinkStation MINI.
1
LinkStation MINI
With Power cord for United States and Canada
2
LinkStation MINI With Power cord for Australia and New Zealand
3
LinkStation MINI
With Power cord for Continental Europe
4
LinkStation MINI
With Power cord for United Kingdom and Ireland
5
LinkStation MINI
With Power cord for Italy
6
LinkStation MINI
With Power cord for Switzerland
3
LinkStation MINI
With Power cord for South Korea
PART NO. 05000-410
PART NO. 05000-555
PART NO. 05000-411
PART NO. 05000-412
PART NO. 05000-413
PART NO. 05000-414
OS-VS-16-0162 Rev. 4
1
1
1
1
1
1
1
Exit to VERASENSE Active Monitoring Screen
Page Up / Page Down Buttons
Opens & Displays the appropriate manual when selected.
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Page 34
ORTHOLOGIQ MODE (“IQ MODE”)
ADDITIONAL FEATURES
EXIT
OPTIONS
TRACK
ZERO
CAPTURE
LEFT
POSITION CAPTURE
IQ
INFO
MANUALS
CLOSE
34
Browser Controls
Back/Forward
Home
Open/Close Digital Keyboard
Exit to VERASENSE Software Application
If user exits IQ mode,
browser will minimize and can be reopened with IQ button.
VERASENSE OrthoSensor.com
* Orth oLogIQ is only available to those end-users who purchase it pursuant to a separate agreement with OrthoSenso r, Inc. O rthoLogIQ is only available in the U nited States.
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WIFI CONNECTION SETUP
The WIFI Button in the lower left-hand corner will indicate the connection status of the VERASENSE Software Application:
WIFI CONNECTION SETUP
GREEN = WIFI Connected
RED = WIFI Not Connected
STEP 1
Select the WIFI button to connect the VERASENSE Software Application to a wireless network or to acknowledge a network access policy for a connected (green) network.
• On the WIFI Network Configuration Screen, a list will populate with the names of all available networks.
STEP 2
Use the UP and DOWN arrows to scroll through the list of available networks.
NOTE: If desired network is not shown, please select the
RE-SCAN button to repopulate the network list.
STEP 3
WIFI
KEYBOARD
RE-SCAN
Please activate sensor by placing it on the magnet
(Keep sensor on the magnet until application starts)
Searching for sensors...
Physician Name
Surgeon Not Listed
POWER
Select the desired WIFI network by touching the appropriate network box.
CLOSE
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Page 36
SELECTING THE OPEN NETWORK
STEP 1
After selecting the appropriate WIFI network, enter the Network Security Key:
WIFI CONNECTION SETUP
• Press the
• Select the Network Security Key field and enter key.
• Press the
KEYBOARD button to open the virtual keyboard.
CONNECT button.
NOTE: If the WIFI network does not have a Network Security
Key, select the
CONNECT button to proceed.
STEP 2
To confirm a successful WIFI network:
• The connect WIFI network will appear in GREEN.
• Is Connected = True
• On the right portion of the screen, the OrthoLogIQ* login page will appear.
NOTE
If the the selected network requires acceptance of a local internet access policy , a pop-up window will appear in the right-hand side of the WIFI Configuration Screen. Enter the required policy information.
36
To exit to the Home Screen, select the CLOSE button in the
VERASENSE OrthoSensor.com
bottom left corner.
* Orth oLogIQ is only available to those end-users who purchase it pursuant to a separate
agreement with OrthoSensor, Inc. O rthoLogIQ is only available in the U nited States.
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Page 37
KEYBOARD HOT KEYS
STEP 1
Press the top left corner of the screen to open the digital keyboard.
• Works on both the VERASENSE Software Application
Activation and Active Monitoring screens.
STEP 2
“Hot-keys” have been designated for added features:
U – Initiate the utilization data upload to cloud. Select OK once
•
the upload is complete.
•
I – Open IQ mode. Allows user to access OrthoLogIQ once
VERASENSE has been shutdown.
ADDITIONAL FEATURES
Center of load and load values outside of the Green Zone are for reference only.
Uploading Utilization Data...
* Center of load and load valu es outside of the Green Zone are for reference only. * Orth oLogIQ is only available to those end-users who purchase it pursuant to a separate agreement with OrthoSenso r, Inc. O rthoLogIQ is only available in the U nited States.
VERASENSE OrthoSensor.com
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NOTES
38
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NOTES
39
12/2018 LB-5092 Rev. 2
VERASENSE OrthoSensor.com
Page 40
OrthoSensor is the technology leader in the development of intelligent orthopaedic solutions that
60°C
37°C
50°C
0°C
50°C
5%
95%
non-condensing
30%
100%
5%
95%
non-condensing
10%
80%
non-condensing
provide real-time intraoperative data to surgeons and hospitals. OrthoSensor
intelligent orthopaedic
solutions utilize proprietary sensor technologies with the goal of improving healthcare outcomes and
potentially reducing the cost of treating musculoskeletal disease.
MANUFACTURER
CAUTION
DOCUMENTATION
IDENTIFICATION
SN
OrthoSensor, Inc. 1855 Griffin Road, Suite A-310 Dania Beach, FL 33004-2200, USA
Consult User Guide
Serial Number
REPRESENTATIVE IN THE
EUROPEAN COMMUNITY
AUTHORIZED
CE MARK
FCC ID
BLUETOOTH
TEMPERATURE LIMIT
IN OPERATION
IN STORAGE
-10°C
15°C
0°C
Emergo Europe
REPEC
Prinsessegracht 20 2514 The Hague, The Netherlands
0297
LinkStation MINI & LinkStation MINI Eval. Kit
VERASENSE
LinkStation MINI & LinkStation MINI Eval. Kit
VERASENSE
RELATIVE HUMIDITY
IN OPERATION
LinkStation MINI & LinkStation MINI Eval. Kit
submersion
VERASENSE
LinkStation MINI & LinkStation MINI Eval. Kit
IN STORAGE
VERASENSE
Surgeons must always rely on one’s own professional clinical judgment when deciding on whether to use a particular product for patient care. OrthoSensor does not provide medical advice and recommends that surgeons be trained in the use of any particular product before surgical use. No portion of this should be redistributed, duplicated or disclosed without the express written consent of OrthoSensor, Inc. Information presented is intended to demonstrate the breadth of OrthoSensor product offerings. Surgeons must always refer to the package insert, product label and/or IFU before using any OrthoSensor product. OrthoSensor products may not be available in all markets because product availability is subject to the regulator and/or medical practices in individual markets.
For additional product information, including indications, contraindications, warnings, precautions and potential adverse effects, see the Instructions For Use and OrthoSensor website. All trademarks herein are property of OrthoSensor, Inc. or its subsidiaries unless otherwise indicated. Copyright 2017 OrthoSensor, Inc.
www.OrthoSensor.com | CustomerService@OrthoSensor.com
U.S. Only +1 888.75.ORTHO (+1 888.756.7846) | U.S. and International +1 954.577.7770 | Fax +1 954.337.9222
OrthoSensor, Inc. | 1855 Griffin Road, Suite A-310 | Dania Beach, Florida 33004 USA
12/2018 LB-5092 Rev. 2
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