Ovesco remOVE DC Impulse Instruction Manual

Page 1
Instructions for use
English
remOVE DC IMPULSE
Page 2
remOVE DC Impulse Instructions for use Revision 08 Date 2019-04-24
For remOVE DC Impulse Version 2.XX Ref No.: 400.01
Ovesco Endoscopy AG Friedrich-Miescher-Straße 9 72076 Tuebingen Germany
+49 7071 98979 160 service@ovesco.com www.ovesco.com
Page 3
Contents
1 About this document ............................................................................4
2 Components .........................................................................................5
3 Accessories / replacement parts ..........................................................6
4 Description ...........................................................................................6
5 Intended use / indication ......................................................................7
6 Contraindications .................................................................................8
7 Complications .......................................................................................8
8 Warnings / precautions.........................................................................9
9 Components and products required for use ....................................... 11
10 Preparation ......................................................................................... 12
11 Use of product .................................................................................... 14
12 Mode of operation .............................................................................. 17
13 Error message ................................ ................................ .................... 18
14 Cleaning and disinfection ................................................................... 18
15 Transport and shipping / storage ........................................................ 20
16 Maintenance / repair .......................................................................... 21
17 Disposal ............................................................................................. 23
18 Operating conditions .......................................................................... 23
19 Specifications ..................................................................................... 23
20 Electromagnetic compatibility (EMC) ................................................. 25
21 Warranty ............................................................................................. 28
22 Symbols ............................................................................................. 29
Appendix 1 .................................................................................................. 30
Page 4
4 / 32
Instructions for use
remOVE DC Impulse 400.01
English; Version 08 | 2019-04-24
1 About this document
These instructions for use refer to the following product:
Product
Manufacturer
remOVE DC Impulse Ref. No. 400.01 Version 1.XX
Ovesco Endoscopy AG Friedrich-Miescher-Straße 9 72076 Tuebingen Germany
The instructions for use are part of the product.
When using the instructions for use, please observe the following:
1. Read the instructions for use carefully before first use of the product. Before first use, users should fully understand how the product works, how to handle the product and which possible risks are connected to use of the product.
2. Store the instructions for use in a place accessible to medical staff.
3. Pass on the instructions for use to every subsequent owner or user of the product.
4. Update the instructions for use according to all amendments and revisions issued by the manufacturer.
These instructions for use include proprietary information subject to copyright law. It is not permitted to duplicate this document or portions of this document by pho­tocopying or other means of replication without prior written consent by the manu­facturer of the product.
The manufacturer assesses the right to alter the contents of these instructions for use without prior notice. Due to continuous further development of the product, it is possible that technical specifications and figures in this document are not up-to­date.
Maintenance and repair may only be performed by the manufacturer or by any per­son or persons authorized by the manufacturer. Unauthorized opening or perfor­mance of services by any non-authorized person or persons voids the warranty and the manufacturer’s liability with regards to operational safety.
Page 5
English; Version 08 | 2019-04-24
remOVE DC Impulse 400.01
Instructions for use
5 / 32
The manufacturer’s warranty does not cover primary or secondary damage and defects resulting from improper or unreasonable use or maintenance, especially resulting from failure to follow the instructions for use.
1.1 Symbols and labels
The warning symbols used in these instructions for use depict the following hazard levels.
Symbol
Hazard level
Meaning
WARNING
Failure to observe this warning notice may result in injury to users and patients.
INFORMATION
Particularly important contents to be taken into account when using the product.
2 Components
A
remOVE DC Impulse
B
Foot-activated switch with connector cable
C
DC cord
D
Power cord Test instrument for electrical tests
Figure 1: Components of the remOVE DC Impulse (Ref. No. 400.01)
Page 6
6 / 32
Instructions for use
remOVE DC Impulse 400.01
English; Version 08 | 2019-04-24
3 Accessories / replacement parts
Please only use original parts or parts certified by the manufacturer as compatible with the remOVE DC Impulse as accessories or replacement parts. Otherwise safety and functionality cannot be guaranteed.
The following accessories / replacement parts for the remOVE DC Impulse may be ordered separately:
Accessory / replacement part
Max. length
Ref. no.
Foot-activated switch with connector cable
2 m
400.03
DC cord
2 m
400.04
Power cord*
2.5 m
400.10.XX
Test instrument for electrical tests**
2.2 m
810101
* When ordering the power cord, please note the country of use. ** The test instrument must be only used during electrical testing. – Non-sterile. – Not suitable for patient cases. The remOVE DC Cutter Set 12 / 14 (Ref. no. 400.02.01 / 400.02.02) is not included
with the remOVE DC Impulse and has to be ordered separately:
Product
Ref. no.
remOVE DC Cutter Set 12 / 14 (remOVE DC Cutter, remOVE SecureCap 12 / 14, remOVE Grasper, remOVE Shield)
400.02.01 / 400.02.02
4 Description
1
ON/OFF switch
2
ON/OFF display
3
Status display: charge of battery / ready for use / error
4
Connection foot-activated switch
5
Connection DC cord
Figure 2: Front view of the remOVE DC Impulse
Page 7
English; Version 08 | 2019-04-24
remOVE DC Impulse 400.01
Instructions for use
7 / 32
6
Name plate
7
Connection to power supply
8
Fuse
Figure 3: Rear view of the remOVE DC Impulse
Figure 4: Name plate of remOVE DC Impulse
5 Intended use / indication
The remOVE DC Impulse is a medical electrical device for fragmentation of OTSC
®
and FTRD® clips made by Ovesco Endoscopy AG for the digestive tract.
Clips produced by Ovesco Endoscopy AG are:
Product
Ref. No.
OTSC® System Set
100.01, 100.02, 100.03, 100.04, 100.05, 100.06,
100.07, 100.08, 100.09, 100.10, 100.11, 100.12,
100.13, 100.14, 100.27, 100.28, 100.29, 100.30,
100.31, 100.50
FTRD® System Set
200.70, 200.72, 200.76
OTSC® Proctology
200.60
Page 8
8 / 32
Instructions for use
remOVE DC Impulse 400.01
English; Version 08 | 2019-04-24
It is not permitted to use the remOVE DC Impulse outside of its intended use as specified above. Using the remOVE DC Impulse for fragmentation of objects other than the products specified above may lead to defects and damages to the remOVE DC Impulse, destruction of the remOVE DC Cutter and permanent bonding of remOVE DC Cutter to the object.
6 Contraindications
The remOVE DC Impulse must not be used if flexible endoscopic procedures and/or the fragmentation and removal of an OTSC or FTRD clip manufactured by Ovesco are contraindicated. Fragmentation and removal of a clip are also contra­indicated as long as the clinical effect of the clip is still required.
7 Complications
The complications listed below are possible when using the product for its intended purpose.
Damage to the tissue in the digestive tract, particularly:
- Thermal damage to the wall of the respective digestive organ
- Haemorrhages resulting from damage
- Perforations; these may also become apparent after medical intervention
- According to the official definition in the current standard, the following pas­sage can generally be applied to all medical electrical equipment: “Even the lowest current presents the risk of triggering ventricular fibrillation” (IEC 60601-1, section 8.7.3, A.14).
Page 9
English; Version 08 | 2019-04-24
remOVE DC Impulse 400.01
Instructions for use
9 / 32
8 Warnings / precautions
Multiple use of the remOVE DC Impulse
The remOVE DC Impulse is designed for multiple use. In doing so, special cleaning measures and storage conditions are to be observed
(see chapter 14 and section 15.3).
Damage to the remOVE DC Impulse
Prior to using the remOVE DC Impulse, please check that all components are present and that there are no defects. Incomplete or faulty components must be replaced immediately. Faulty or missing components may result in the product malfunctioning. For example, flawed insulation on power supply lines may lead to electrocution of the patient and/or user.
Use of the device in the hospital environment
The characteristics of this device determined by emissions allow its use in hos­pitals (CISPR 11, class A). When used in a home environment (for which class B is usually required according to CISPR 11), this device may not offer sufficient protection from radio services. If necessary, the user must take corrective measures such as conversion or realignment of the device.
Use in the vicinity of active HF surgery devices Do not use in the vicinity of active HF surgery devices. Active HF surgery devices may not be used when the pulse current is in use.
Use in the vicinity of electrical devices
Use of the remOVE DC Impulse in the immediate vicinity of or stacked on other electrical devices should be avoided as this may lead to malfunctioning.
Use of the accessories provided The use of components, transducers (mains adapters) and cables other than those specified or provided by the manufacturer of this device can result in in­creased transient electromagnetic emissions or reduced electromagnetic im­munity of the devices and lead to malfunctioning.
Use in the vicinity of HF communication devices
Portable HF communication devices (e.g. mobile phones, devices with radio function), including their accessories such as aerial leads and external aerials, should be at least 30 cm away from the components indicated by the manufac­turer and the cables of the remOVE system. Failure to comply may lead to a drop in product performance.
MRI compatibility of the remOVE DC Impulse The remOVE DC Impulse is not MRI compatible. It must not be used in an MRI environment.
Page 10
10 / 32
Instructions for use
remOVE DC Impulse 400.01
English; Version 08 | 2019-04-24
Ignition and/or explosion of flammable gases e.g. due to high oxygen concentra­tion in or outside of the digestive tract are possible during use due to sparking. Before use, ensure that no flammable gases/materials are in reach of the device and/or application point.
Electrical conductive cables/parts must not be close or touch the remOVE DC Cutter. Defective lines can cause an electric shock to patient/user.
All clip fragments must be removed from the patient's body. If sharp-edged clip fragments are left behind, they could cause damage to the organs in the digestive tract or other abdominal organs. This damage may also become apparent after medical intervention.
Partially cut and/or truncated clips may no longer fulfil their intended purpose if left in the patient's body. These clips can also break apart, resulting in sharp­edged clip fragments which could cause damage to the organs of the digestive tract or other abdominal organs. This damage may also become apparent after medical intervention.
Neuromuscular irritation is highly unlikely during application due to the physical mechanism of action and the technical design of the remOVE System, however it cannot be completely ruled out as a matter of principle. When application takes place in the oesophagus there is always a residual risk of neuromuscular irrita­tion, particularly of the heart muscle. Likewise, interference with active cardiac im­plants cannot be completely ruled out. Please note the following before use in the oesophagus:
- Clinically relevant disturbances of the electrolyte balance, particularly
hypokalemia, should be compensated for. A cardiologist should be con­sulted if necessary.
- For patients with an implantable cardioverter defibrillator (ICD) a cardiolo-
gist must be consulted and it must be considered to disconnect the ICD with monitoring the patient for the duration of the procedure.
Applied parts and generator are not protected against defibrillation. Remove in­strument before using a defibrillator on the patient.
Page 11
English; Version 08 | 2019-04-24
remOVE DC Impulse 400.01
Instructions for use
11 / 32
9 Components and products required for use
The remOVE DC Impulse may only be used in conjunction with manufacturer­approved accessories and products as detailed in the instructions for use.
The use of accessories, cables and transducers, other than those the remOVE DC Impulse was designed for, can significantly increase emissions and reduce immunity of the remOVE DC Impulse against interference.
E
remOVE DC Impulse incl. accessories
Ref. No. 400.01
F
remOVE DC Cutter Set 12 / 14 (remOVE DC Cutter, remOVE SecureCap 12 / 14, remOVE Grasper, remOVE Shield)
Ref. No. 400.02.01/
400.02.02
Figure 5: Products required for use
Page 12
12 / 32
Instructions for use
remOVE DC Impulse 400.01
English; Version 08 | 2019-04-24
10 Preparation
Additional devices to be connected to medical electric devices have to be in com­pliance with IEC or ISO norms. Additionally, all configurations have to be in com­pliance with normative requirements for medical systems (see IEC 60601-1-1 or Section 16 of the third revision of IEC 60601-1, respectively). The person or per­sons who connect additional devices to medical electric devices are system con­figurators and are thus responsible for ensuring that the system is in compliance with the normative requirements for systems. Be advised that local law takes prec­edence over the normative requirements detailed above.
When setting up the remOVE DC Impulse please make sure that the user has clear, unobstructed line of sight to the status display.
When setting up the remOVE DC Impulse please make sure that environmental
factors do not impair the user’s perception of acoustic signals generated by the
remOVE DC Impulse. Do not connect the remOVE DC Impulse to the power supply unless a protective
earthing conductor is present in order to avoid electrocution. Before use of product please follow the steps detailed below:
1. Place the device on a stable surface in sufficient distance to the wall, ensuring that the device can immediately be disconnected from power supply if neces­sary.
2. Connect the power cord to the remOVE DC Impulse and connect the power cord to the power supply.
3. Connect the foot-activated switch and the DC cord to the remOVE DC Impulse.
4. Connect the remOVE DC Cutter to the DC cord.
In order to connect the remOVE DC Cutter with the DC cord, align the two markings (red and white dot) on both devices in such a way that the white dot on the plug of the remOVE DC Cutter and the red dot on the plug of the DC cord are opposite to each other, see figure below.
Figure 6: left: remOVE DC Cutter; right: DC cord
5. Activate the remOVE DC Impulse by pressing the ON/OFF switch. The ON/OFF switch lights up to indicate that the device is activated.
Page 13
English; Version 08 | 2019-04-24
remOVE DC Impulse 400.01
Instructions for use
13 / 32
The status display indicates the charge of the remOVE DC Impulse through green flashing LEDs.
Figure 7: Status display indicates charge during charging phase by flashing
green LEDs corresponding to the charge level
If the remOVE DC Impulse has not been in use for more than two days, the internal energy storage is fully charged over a time period of about 10 minutes. If the remOVE DC Impulse has been in use in the past two days, the device might charge faster.
Successful completion of charging cycle is indicated through three short acoustic signals in quick succession. The status display indicates operational readiness through emitting constant green light from all eight LEDs.
Figure 8: Status display indicates operational readiness through emitting
constant green light from all eight LEDs
6. As soon as all eight green LEDs are constantly on, the remOVE DC Impulse
is ready for use.
Page 14
14 / 32
Instructions for use
remOVE DC Impulse 400.01
English; Version 08 | 2019-04-24
11 Use of product
The user has to make sure that set-up, assembly and use of the remOVE DC Impulse, all accessories and endoscopic instruments are carried out in ac­cordance with the respective instructions for use.
Always use a DC cord to connect the remOVE DC Cutter to the remOVE DC Impulse. Proper operational characteristics of the product are no longer guar­anteed if making a direct connection without a DC cord or a connection using several DC cords. This may also lead to damage of the remOVE DC Impulse.
Make sure the clip can be removed. If the clip is deeply embedded superficial tissue removal may be necessary to bare the clip.
When retrieving the clip fragments, ensure that the clip fragment is completely inside the remOVE SecureCap. The protruding sharp-edged parts of a clip fragment can result in damage to the organs in the digestive tract. Perforations can also arise subsequently after intervention.
When inserting and removing the remOVE DC Cutter, check that neither the endoscope nor the remOVE DC Cutter have been damaged, e.g. through kinking the instrument hose.
Winding the remOVE DC Cutter too tightly can lead to bending of instrument tip. Bending can make positioning/contacting the clip difficult during use.
Check that the remOVE Shield is affixed to the lens before the cutting process and keep a minimum distance of 30-40 mm between the endoscope tip and the clip during the cutting process. The endoscope tip can be damaged by sparking during the cutting process. Affixing the remOVE Shield to the lens and maintaining the maximum possible distance between the endoscope tip and instrument tip reduce the risk of damage.
Note that the instrument tip of the remOVE DC Cutter can heat up to 130 °C during the cutting process. Moving the instrument tip immediately after use can lead to superficial burns to the skin.
Use of the remOVE DC Cutter in a CO2 atmosphere may reduce the effectiveness of the clip fragmentation.
Even if the product is used as intended, secondary effects may occur. For this reason, Ovesco products should only be used by persons who are qualified and trained to use the product for its intended purpose.
Page 15
English; Version 08 | 2019-04-24
remOVE DC Impulse 400.01
Instructions for use
15 / 32
Make sure that the foot-activated switch is not permanently pressed. A single DC pulse is only triggered when the foot-activated switch is pressed during an acoustic contact signal. Permanent activation of the foot-activated switch may cause unintended triggering of a DC pulse.
When removing material residue from the instrument tip through a DC pulse, the instrument tip must be shielded from patient, user and any third parties because sparks might occur.
If user suffers from red-green color blindness, make sure that the user understands the status display.
For use of the product, the following steps have to be observed:
1. Guide the endoscope to the clip to be removed.
2. Insert the remOVE DC Cutter through the working channel and establish contact with the clip. A continuous audible signal indicates sufficient elec­trical contact with the clip.
3. When a continuous audible signal appears, trigger the cutting process by pressing one time on the foot switch. The audible signal stops and the status display flashes green for about six seconds when the cutting pro­cess is complete. Afterwards, the audible signal sounds three times and the status display shows that it is ready for use.
To make clip removal easier, the clip should ideally be cut at two spots on opposite sides of the row of teeth.
Figure 9: Spots on the clip for fragmentation: Make first cut at (1), and sec-
ond cut on the opposite side (2)
After the cutting process, residues of the clip material can get caught at the instrument tip of the remOVE DC Cutter and create a permanent con­nection between the electrodes. This is indicated by a constant audible signal without clip contact. The remains can be removed by applying a
Page 16
16 / 32
Instructions for use
remOVE DC Impulse 400.01
English; Version 08 | 2019-04-24
new DC pulse. It is recommended to withdraw the remOVE DC Cutter from the endoscope first and remove the remains by pressing on the foot switch to trigger a DC pulse. As this can lead to sparking, patients, users or third parties must be shielded from the instrument tip.
4. Verify that the clip is successfully fragmented at two spots by checking the endoscopic image.
5. Remove the endoscope and place the remOVE SecureCap on the endo­scope tip. Guide the endoscope with the fitted remOVE SecureCap to the clip fragments.
6. Use the remOVE Grasper to pull the clip fragment into the remOVE Se­cureCap and retrieve it from the body. Hold the clip fragment firmly with the forceps when withdrawing the endoscope (Fig. 10). Repeat this pro­cedure for the second clip fragment or, if necessary, for further clip frag­ments.
Figure 10: Clip fragment with remOVE Grasper in the remOVE SecureCap
7. Turn off the remOVE DC Impulse by pressing the ON/OFF switch.
Page 17
English; Version 08 | 2019-04-24
remOVE DC Impulse 400.01
Instructions for use
17 / 32
12 Mode of operation
The remOVE DC Impulse is designed to send an electrical direct current pulse of typically IS = 155 A for the duration of 60 ms through the bipolar, endoscopic instrument remOVE DC Cutter.
This DC pulse flows through the clip segment the remOVE DC Cutter is estab­lishing contact with, resulting in localized melting of the clip material.
Figure 11: Left: Establishment of contact between clip segment and remOVE DC Cutter. Right: Cross-section of clip segment to be cut (b) and marking of current
path IS between electrodes (a)
The remOVE DC Impulse is equipped with internal energy storage, allowing the device to generate a DC pulse without additional load on the power supply. This internal energy storage is charged before the remOVE DC Impulse generates the DC pulse.
The remOVE DC Impulse is designed to ensure that a direct current pulse can only be generated when sufficient contact with a segment of the clip is estab­lished. Sufficient contact is indicated through an acoustic signal.
Should contact break off between the remOVE DC Cutter and the clip during the application of a DC pulse, the output of the remOVE DC Impulse will be deac­tivated within less than 500 µs. Breaking-off of contact might occur, for example, if one or both electrodes lose contact with the clip due to successful clip fragmen­tation.
During a DC pulse, the voltage drop between the electrodes of the remOVE DC Cutter is between 1.3 V and 2.0 V. During loss of contact, short-term (max. 500 µs) voltage spikes max. 22 V may occur. These spikes might be transferred into the tissue if both electrodes of the remOVE DC Cutter are in contact with tissue.
Page 18
18 / 32
Instructions for use
remOVE DC Impulse 400.01
English; Version 08 | 2019-04-24
13 Error message
The remOVE DC Impulse is equipped with a failure detection system. Technical failures are indicated via the status display. Failure detection is implemented to ensure user/patient safety.
If a failure message occurs, the device casing may not be opened. Life-threatening electrocution could occur.
If a failure message occurs, the device may no longer be used in order to ensure the safety of users and/or patients. If a failure occurs, all eight LEDs of the status display are flashing orange, see figure below.
Figure 12: Status display flashes orange during failure message.
If a failure message is displayed by the remOVE DC Impulse, acoustic contact de­tection between instrument and clip is deactivated. A DC pulse can no longer be generated, and the internal energy storage of the remOVE DC Impulse can no longer be recharged.
In the case of failure message or malfunctioning of the device, please contact man­ufacturer.
14 Cleaning and disinfection
As part of your responsibility to ensure hygiene and cleanliness of all product com­ponents during use, please make sure that only suitable devices and procedures validated specifically for this product are used for cleaning and disinfection of the product. Please follow the respective local and/or national legislation as well as hygiene regulations pertaining to medical practices or hospitals.
Page 19
English; Version 08 | 2019-04-24
remOVE DC Impulse 400.01
Instructions for use
19 / 32
14.1 Wipe disinfection
For cleaning surfaces of the device, please use approved cleaning/disinfection sup­plies and only in accordance with instructions by the respective manufacturer. Ob­serve specifications regarding concentration, temperature and exposure time.
Apply alcohol-based cleaning/disinfection agent. Do not use benzyl-alcohol-based and/or any other agents because it can cause damages to the remOVE DC Impulse materials.
14.2 Instructions
1. Prepare the cleaning/disinfectant agent per the manufacturer’s guidelines.
2. Wipe down the equipment using a cloth with surface disinfectant. Clean gross contamination first and then uniformly treat all the surfaces.
3. Wipe the surfaces ensuring that they are uniformly treated. Comply with the action time of the disinfectant specified by the manufacturer.
4. Wet a sponge or cloth in clean water and wipe off the cleaning/disinfection agent.
5. Dry the device using a clean, lint-free cloth.
6. Check by visual inspection all surfaces of the equipment. If soil remains visible, repeat the entire cleaning/disinfection procedure.
14.3 Safety Instructions
Before cleaning the remOVE DC Impulse, disconnect the device from the power supply.
Do not use flammable or explosive cleaning or disinfecting solutions. Make sure no fluids enter the device casing. Non-compliance may result in burning hazard and/or electrocution.
Only clean and disinfect the product manually. Do not sterilize the product under any circumstances.
Page 20
20 / 32
Instructions for use
remOVE DC Impulse 400.01
English; Version 08 | 2019-04-24
15 Transport and shipping / storage
15.1 Transport and shipping
Perform surface disinfection and properly package device for shipping. Add an­other form of packaging, to avoid bacterial contamination and infections once you leave the hospital.
Be advised to transport / ship the remOVE DC Impulse in its original, undamaged packaging.
Make sure the packaging is not damaged and/or wet. Otherwise, the device might get damaged during transport / shipping, which may lead to malfunction during the next use. This, in turn, may endanger the user/patient.
When transporting / shipping the device, make sure to follow the respective terms of transport.
15.2 Storage
If the remOVE DC Impulse is not stored properly, customer claims may not be considered. Improper storage may also lead to malfunction, which may endanger the user/patient.
It is recommended to store the remOVE DC Impulse in its undamaged original packaging.
It is recommended to thoroughly clean the remOVE DC Impulse before storing it.
Do not expose the remOVE DC Impulse to direct or indirect sunlight or other types of UV radiation.
Do not store the remOVE DC Impulse in the vicinity of chemicals, disinfectants and/or sources of radioactive radiation.
Do not place heavy objects on top of the remOVE DC Impulse or its packaging.
Make sure to store the remOVE DC Impulse in a dry and clean space, ensuring appropriate storage conditions.
Page 21
English; Version 08 | 2019-04-24
remOVE DC Impulse 400.01
Instructions for use
21 / 32
15.3 Transport and storage conditions
When transporting or storing the remOVE DC Impulse, please make sure that the following environmental requirements are met:
Environmental factors
Storage
Transportation
Temperature
0 °C to +50 °C
-20 °C to +50 °C
Relative humidity
0 % to 90 %, RH non-condensing
0 % to 90 %, RH non-condensing
Air pressure
500 to 1060 hPa
500 to 1060 hPa
16 Maintenance / repair
16.1 In general
After every use of the remOVE DC Impulse and its accessories, please check for damages or defects. Pay special attention to intact isolation of all cords and ca­bles.
Never use a damaged remOVE DC Impulse or damaged accessories. Immedi­ately replace defective accessories.
Make sure that a safety inspection of the remOVE DC Impulse is performed an­nually.
16.2 Safety inspection
Safety inspections have to be performed annually.
Consider that national regulations might call for more frequent safety inspections and make sure to have the inspections performed accordingly. When performing a safety inspection, please make sure all national requirements and rules are met.
Safety inspections of the device and its accessories may only be performed by qualified personnel with all required knowledge and experience, who are author­ized to perform safety inspections without supervision.
The inspector documents all testing results and measurements according to the printable inspection record (see appendix of the instructions for use).
If considerable deviations or abnormalities are recorded, please contact the man­ufacturer.
Page 22
22 / 32
Instructions for use
remOVE DC Impulse 400.01
English; Version 08 | 2019-04-24
16.3 Repair
If repairs are needed, please contact the manufacturer. Do not attempt to repair the device yourself under any circumstances.
Ovesco accepts liability with regards to safety, reliability and functionality of the device under the following circumstances:
- All instructions with regards to installation and intended use given in this document have been followed properly.
- Modifications, repairs, etc. were only performed by personnel authorized for these tasks by Ovesco.
- Electrical installations in the space concerned are in accordance with local and national rules and regulations.
In your repair request, please include the following information. Correct and com­plete information ensures quick and successful repair work.
- Complete address
- Order number of remOVE DC Impulse
- Serial number of remOVE DC Impulse
- Describe the problem, the act of use when the problem occurred and all
accessories used.
Page 23
English; Version 08 | 2019-04-24
remOVE DC Impulse 400.01
Instructions for use
23 / 32
17 Disposal
When disposing or recycling the product or its components, please make sure to follow national rules and regulations.
18 Operating conditions
When using the remOVE DC Impulse, please make sure the following operating conditions are met:
Environmental factors
Value
Temperature
+10 °C to +40 °C
Relative humidity
25 % to 75 % RH non-con­densing
Air pressure
700 to 1060 hPa
Operation level
4000 m
If the remOVE DC Impulse has been stored or transported at a temperature of less than + 10 °C, it must be acclimated to room temperature for at least 3 hours.
19 Specifications
Isolation / Classification
EMC
IEC 60601-1-2:2014
Type of protection, through casing
IP 21
Type of protection, through foot-activated switch
IPX8
Type of protection according to EN 60601-1
II with functional earth
Type of applied part according to 60601-1
BF
Compliance with standards
IEC 60601-1: 2005+Cor.: 2006 +Cor.: 2007 + A1 2012 IEC 60601-1-2: 2014 IEC 60601-1-6:2010 ISO 14971: 2007 ISO 13485: 2003 + AC 2009
Classification according to 93/42/EEC
IIb
Symbol
Description
Products with this symbol have to be delivered to a separate col­lection for electrical and electronic equipment. Inside the Euro­pean Union, the manufacturer will dispose of the product free of charge.
Page 24
24 / 32
Instructions for use
remOVE DC Impulse 400.01
English; Version 08 | 2019-04-24
Power input
100V–230 V
Power supply voltage
220V–230 V
100 V–120 V
Power consumption in standby mode once fully charged
6 W / 17 VA
6 W / 10 VA
Power consumption in standby mode
60 mA
90 mA
Max. power consumption
50 W / 55 VA
50 W / 50 VA
Mains fuse
T 0.8 A H 250 V
T 0.8 A H 250 V
Line frequency
50 / 60 Hz
50 / 60 Hz
Measurements and weight
Measurements of product
340 x 340 x 110 mm
Net weight
5.0 kg
Type of packaging / measurements
Carton 400 x 400 x 300 mm
Gross weight
7.5 kg
Operating conditions
State of charge
Indicated by green flashing LEDs on status display.
Ready for use initial
Indicated by three short acoustic signals in quick succession and continuous glowing of all LEDs on status display in green once operating voltage is reached. Initial charge when device energy storage is completely discharged takes ca. 10 minutes.
Ready for use signal
Indicated by three short acoustic signals in quick succession once operating voltage is reached or 6 seconds after DC pulse.
Ready for use visual Indicated by all LEDs on the status display being lit in green.
On/Off signal
Yes. Green LED display above on/off switch.
Overheating protection
Yes.
Error message
Yes. All LEDs are flashing orange on status display.
Documentation
Log and record of number of uses
Yes. Readout by qualified personnel only.
Specifications
Instrument type remOVE DC Cutter
Bipolar / direct current
One-time duration of impulse during activa­tion
65 ms Output current remOVE DC Cutter
165 A
Output voltage remOVE DC Cutter
1.3–2.0 V
Interval between activations
6 s
Page 25
English; Version 08 | 2019-04-24
remOVE DC Impulse 400.01
Instructions for use
25 / 32
Compatibility
remOVE DC Cutter Set 12 / 14
Art.-Nr. 400.02.01 / 400.02.02
Foot-activated switch
Art.-Nr. 400.03
DC cord
Art.-Nr. 400.04
Power cord
Art.-Nr. 400.10.XX
Environmental condi­tions for operation, transport and storage
Operation
Storage
Transportation
Temperature
+10 °C to +40 °C
0 °C to +50 °C
-20 °C to +50 °C
Relative humidity
25 % to 75 % RH, non-condensing
0 % to 90 % RH, non-condensing
0 % to 90 % RH, non-condensing
Air pressure
700 to 1060 hPa
500 to 1060 hPa
500 to 1060 hPa
Operation level
4000 m
-
-
20 Electromagnetic compatibility (EMC)
Make sure no electronic devices which could be compromised by electromagnetic fields are present in the vicinity of the remOVE DC Impulse. A compromised device could lead to malfunction and/or failure of respective device and thus may endan­ger user and/or patient.
Medical electrical equipment needs special precautions regarding EMC and needs to be installed and put into service according to the EMC information provided in the accompanying documents.
Guidance and manufacturer’s declaration
Electromagnetic emissions
The remOVE DC Impulse is intended for use in the electromagnetic environment specified be­low. The customer or the user of the remOVE DC Impulse should assure that it is used in such an environment.
Measurements of electromagnetic emissions
Compliance
RF emissions CISPR11
Group 1
RF emissions CISPR11
Class A
Harmonic emissions IEC 61000-3-2
not applicable
Voltage fluctuations / flicker emissions IEC 61000-3-3
complies
Page 26
26 / 32
Instructions for use
remOVE DC Impulse 400.01
English; Version 08 | 2019-04-24
Guidelines and manufacturer's declaration
Electromagnetic immunity
The remOVE DC Impulse is designed for use in an electromagnetic environment as specified be­low. The user must ensure that the device is operated in such an environment.
Compatibility test
IEC 60601 test level
Compliance level
Electrostatic discharge (ESD) ac­cording to IEC 61000-4-2
± 8 kV contact discharge
± 8 kV contact discharge
± 2,4,8 and 15 kV air discharge
± 2,4 and 8 kV air discharge
Fast transient elec. disturbance values/bursts according to IEC 61000-4-4
± 2 kV for power cables
± 2 kV power cables
Surges according to 61000-4-5
± 0.5 kV, ± 1 kV line to line voltage
± 0.5 kV, ± 1 kV line to line voltage
± 0.5 kV, ± 1 kV, ± 2 kV line to earth voltage
± 0.5 kV, ± 1 kV, ± 2 kV line to earth voltage
Short interruptions according to IEC 61000-4-11
0 % UT; 0.5 cycle At 0°, 45°, 90°, 135°, 180°, 225°, 270° and 315°
0 % UT; 0.5 cycle At 0°, 45°, 90°, 135°, 180°, 225°, 270° and 315°
0 % UT; 1 cycle and 70 % UT; 25/30 cycles single phase: at 0°
0 % UT; 1 cycle and 70 % UT; 25/30 cycles single phase: at 0°
Voltage dips according to IEC 61000-4-11
0 % UT; 250/300 cycle
0 % UT; 250/300 cycle
Power frequency magnetic field (50/60 Hz) according to IEC 61000-4-8
30 A/m
30 A/m
Please note: UT is the mains voltage prior to applying the test level.
Page 27
English; Version 08 | 2019-04-24
remOVE DC Impulse 400.01
Instructions for use
27 / 32
Guidelines and manufacturer's declaration
Electromagnetic immunity
The remOVE DC Impulse is designed for use in an electromagnetic environment as specified below. The user must ensure that the device is operated in such an environment.
Compatibility test
IEC 60601-1-2: 2014-02 test level
Compliance level
HF conducted disturbances according to IEC 61000-4-6
3 V 150 kHz to 80 MHz 6 V a) in ISM bands be­tween 0.15 MHz and 80 MHz
10 V HF radiated disturbances according to
IEC 61000-4-3
3 V/m 80 MHz to 2.7 GHz b) 80 % AM at 1 kHz
3 V/m 80 MHz to 2.7 GHz 80 % AM at 1 kHz
a)
The ISM (industrial, scientific and medical) bands between 150 kHz and 80 MHz are 6.765
MHz to 6.795 MHz; 13.553 MHz to 13.567 MHz; 26.957 MHz to 27.283 MHz; and 40.66 MHz to
40.70 MHz.
b)
Test specifications for immunity of the housing to wireless telecommunications devices:
Test fre­quency (MHz)
Band (MHz)
Use
Modulation
Max. power (W)
Distance (m)
Immunity test level (V/m)
385
380-390
TETRA 400
Pulse modu­lation 18 Hz
1.8
0.3
27
450
430-470
GMRS 460, FRS 460
FM ± 5 kHz devi­ation 1 kHz sine wave
2
0.3
28
710
704-787
LTE band 13, 17
Pulse modu­lation 217 Hz
0.2
0.3
9
745
780
810
800-960
GSM 800/900, TETRA 800, i­DEN 820, CDMA 850, LTE band 5
Pulse modu­lation 18 Hz
2
0.3
28
870
930
1,720
1,700-1,990
GSM 1800; CDMA 1900; GSM 1900; DECT; LTE band 1, 3, 4, 25; UMTS
Pulse modu­lation 217 Hz
2
0.3
28
1,845
1,970
2,450
2,400-2,570
Bluetooth, WLAN, 802.11 b/g/n, RFID 2450, LTE band 7
Pulse modu­lation 217 Hz
2
0.3
28
5,240
5,100-5,800
WLAN 802.11 a/n
Pulse modu­lation 217 Hz
0.2
0.3
9
5,500
5,785
Page 28
28 / 32
Instructions for use
remOVE DC Impulse 400.01
English; Version 08 | 2019-04-24
21 Warranty
Ovesco Endoscopy AG, the manufacturer, grants a 24 months warranty on material and construction of the remOVE DC Impulse, starting from date of purchase.
The warranty covers any faults occurring in the product due to the materials used in the manufacturing process or faulty installation by the manufacturer. Faults the manufacturer is notified of within the warranty period will be fixed free of charge.
The warranty is void if the buyer or non-authorized third parties have interfered with the device. The warranty does not cover defects due to incorrect handling, use, storage, transport, force majeure or other external forces.
All other warranty claims are excluded.
Faults corrected under the manufacturer’s warranty will not engender any incidental
expenses. Shipping costs inside the Federal Republic of Germany will be borne by the manufacturer or distributor.
Page 29
English; Version 08 | 2019-04-24
remOVE DC Impulse 400.01
Instructions for use
29 / 32
22 Symbols
CE-mark and identification number of Notified Body
See instructions for use
Caution: please observe
Serial number
Reference number
Date of manufacture
Manufacturer
When operating this device, electric energy is used, result­ing in electromagnetic radiation.
Protection class II device with functional earth
ON/OFF switch
Ready for use
Connection foot-activated switch
DC cord connection
Applied part type BF
Do not use if packaging is damaged
Air pressure limit
Air humidity limitation
Temperature limitation
Marking of electrical and electronic equipment according to applicable guideline 2012/19/EU (WEEE), see disposal
Page 30
30 / 32
Instructions for use
remOVE DC Impulse 400.01
English; Version 08 | 2019-04-24
Appendix 1
Inspection sheet
Annual technical safety control
Make sure the DC Cord is correctly plugged into the generator. Do not press the foot-activated switch while testing the device.
Ensure that country-specific regulations and requirements, which include the generally accepted technical stand­ards, as well as valid regulations for occupational safety and accident prevention, will be implemented and com­plied with during setup, operation and maintenance.
Device: remOVE DC Impulse
Safety classification: II
Article no.: 400.01
Type of applied part: BF
Serial no.:
Equipment:
Inspection before initial start-up (refer-
ence value)
Repeated inspection Inspection after maintenance
Foot-activated switch DC Cord Power cord Test Instrument for electrical tests
1. Electrical tests (The tests must be executed when the device is fully charged)
Result
1.1 Are all cable insulations intact? Insulation must be intact
passed failed
annex, where appropriate
1.2 Insulation resistance according to the standard
EN 62353:2014 figure 4
passed failed
annex, where appropriate
1.3 Direct measurement for the device leakage
current according to the standard EN 62353:2014 figure 7
passed failed
annex, where appropriate
1.4 Direct measurement of the leakage current of
the applied part according to the standard EN 62353:2014 figure 10
passed failed
annex, where appropriate
Page 31
English; Version 08 | 2019-04-24
remOVE DC Impulse 400.01
Instructions for use
31 / 32
2. Operational test
Result
2.1 Are all components available? Components must be complete
passed failed
annex, where appropriate
2.2 Do all LEDs light up correctly? (On/Off display,
status display)
All LEDs must light up according to the in-
structions for use.
passed failed
annex, where appropriate
2.3 Is the successful completion of the charging
cycle indicated by three short acoustic signals?
Completion of charging cycle must be indi-
cated by three short acoustic signals
passed failed
annex, where appropriate
Defects/Comments:
Overall evaluation:
No Safety or functional defects were detected. No direct risk, the detected defects can be fixed shortly. The device has to be withdrawn from use until the defects are corrected. The device does not meet the requirements – Modifications/Replacement of com-
ponents/removal from service is recommended.
Contact the manufacturer if there is any deviation, abnormality and/or an indica­tion of error.
The next inspection should be carried out after 12 months.
Name of the inspector
Date / signature
Page 32
32 / 32
Instructions for use
remOVE DC Impulse 400.01
English; Version 08 | 2019-04-24
CE-marking according to EC directive 93/42 EEC
Ovesco Endoscopy AG Friedrich-Miescher-Straße 9
72076 Tuebingen Germany
phone: +49(0)7071-96528-160 fax: +40(0)7071-96528-260
e-mail: service@ovesco.com website: www.ovesco.com
Loading...