Users Manual

FCC ID: Q9R-5400

Users Manual

Download: PDF
FCCID_472344

IMPORTANT INFORMATION: File in your maintenance records




 Consolidated Operating Room Equipment
       (CORE) Powered Instrument Driver
                                                                                  REF 5400-50

                                                                     Instructions For Use
                                                                         ••••••••••••••••••••••




                                               US Patents: ??? and other patents pending.




                                                                                        Software Version

                                                                             F    T           4.x
      4100 E. Milham
      Kalamazoo, Michigan                                             D   RA
      (USA) 49001
      1-269-323-7700
      1-800-253-3210                            5400-050-700 Rev-                                   10/04


Table of Contents
Important Information ....................................................................................................................................................................................... 3
Compliance Statements ................................................................................................................................................................................... 3
Software License Notice .................................................................................................................................................................................. 4
Limited Warranty .............................................................................................................................................................................................. 4
User/Patient Safety .......................................................................................................................................................................................... 5
Indications For Use .......................................................................................................................................................................................... 5
Contraindications ............................................................................................................................................................................................. 5
System Overview ............................................................................................................................................................................................. 6
System Block Diagram .................................................................................................................................................................................... 6
Hardware Features .......................................................................................................................................................................................... 7
Accessories ..................................................................................................................................................................................................... 7
Operating Instructions ...................................................................................................................................................................................... 8
  Interconnect Diagram .................................................................................................................................................................................. 8
  To Connect the Components: ...................................................................................................................................................................... 9
  Button Definitions ...................................................................................................................................................................................... 10
  Software Menu Map ................................................................................................................................................................................... 12
  To Power Up: ............................................................................................................................................................................................. 13
  To View Options: ........................................................................................................................................................................................ 14
     To Adjust Handpiece Speed (or Power): ................................................................................................................................................ 15
     To Select Handpiece Direction and Mode: ............................................................................................................................................ 15
     To Adjust Options: .................................................................................................................................................................................. 16
        To Program Footswitch Options: ....................................................................................................................................................... 17
        To Set Handpiece Options: ................................................................................................................................................................ 19
     To Select a User Preference Favorite: .................................................................................................................................................. 20
        To Replace a User Preference Favorite ............................................................................................................................................ 20
     To Adjust Irrigation Pump Settings: ....................................................................................................................................................... 21
     To Adjust the Console Settings: - Standard and Advance User Mode .................................................................................................. 21
        To Manage User Preference Files: - Advance User Mode Only ....................................................................................................... 23
     To Access Help: ..................................................................................................................................................................................... 27
Troubleshooting Guidelines ........................................................................................................................................................................... 28
Periodic Maintenance .................................................................................................................................................................................... 28
Storage and Handling .................................................................................................................................................................................... 28
Cleaning and Sterilization Recommendations ............................................................................................................................................... 28
Error Messages ............................................................................................................................................................................................. 29
Messages ................................................................................................................................................................................................... 30
Specifications ................................................................................................................................................................................................. 31




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Important Information

                                               WARNING - CAUTION - NOTE

Please read this manual and follow its instructions carefully. The words WARNING, CAUTION and NOTE carry special meanings and
should be carefully reviewed.

WARNING:           The personal safety of the patient and user may be involved. Disregarding this information could result in injury to
                   the patient and/or user.

CAUTION:           These instructions point out special service procedures or precautions that must be followed to avoid damaging
                   the instrument.

NOTE:              This provides special information to make maintenance easier or important instructions clearer.

         An exclamation point within a triangle displayed on the product is intended to alert the user to the presence of important
         operating and maintenance instructions in this manual.




Compliance Statements

Federal Communications Commission (FCC)                                Industry Canada (IC)
FCC ID: Q9R-5400                                                       IC: 4919A-5400

This device complies with Part 15 of the FCC rules. Operation is       The term "IC:" before the radio certification number only signifies
subject to the following two conditions: (1) this device may not       that Industry Canada technical specifications were met.
cause harmful interference, and (2) this device must accept any
interference received, including interference that may cause
undesired operation.

NOTE:      FCC regulations provide that changes or modifications
not expressly approved by Stryker Instruments could void your
authority to operate this equipment.




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Software License Notice
The Stryker CORE Powered Instrument Driver (console) contains software that is installed by Stryker Corporation (“Stryker”). Stryker
owns this software and is licensing it to you, the original CORE Console customer, subject to the following terms and conditions.

Stryker hereby grants you a nonexclusive, nontransferable License to use the software to operate the CORE Console for your own use
and to perform maintenance thereon. You hereby agree that you will not copy, alter, modify, translate, disassemble, decompile, reverse
engineer, create derivative works of, distribute, sub-license, sell, lease, lend, or otherwise transfer all or any portion of this software, in
either original or modified form, except as specifically authorized under this License Agreement. In addition, you agree that you will not
use this software in any product other than the Stryker product in which the software was initially installed by Stryker.

EXCEPT FOR ANY WARRANTIES THAT MAY BE EXPRESSLY PROVIDED IN THE STRYKER PRODUCT LITERATURE
ACCOMPANYING YOUR CORE CONSOLE OR SOFTWARE, THIS SOFTWARE AND DOCUMENTATION IS PROVIDED “AS IS,”
AND STRYKER MAKES NO REPRESENTATIONS OR WARRANTIES, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO,
WARRANTIES OF MERCHANTABILITY OR FITNESS FOR ANY PARTICULAR PURPOSE.

STRYKER WILL NOT BE LIABLE FOR ANY INDIRECT, SPECIAL, PUNITIVE OR CONSEQUENTIAL DAMAGES ARISING OUT OF
ANY USE OF THE SOFTWARE OR DOCUMENTATION.

By using this software, you acknowledge and agree that you have read, understood, and agree to be bound by these terms and
conditions.

Limited Warranty
In the USA only, products of Stryker Instruments are warranted to the original purchaser for a period of one year from the date of
purchase, with exceptions noted below. Products are warranted to be free from defects in material and workmanship. Abnormal wear
and tear or damage caused by misuse or by failure to perform normal and routine maintenance as set out in the Maintenance Manual
or Operating Instructions, or as demonstrated by an authorized Stryker Instruments representative, is not covered by the warranty. Any
effort at field repair or adjustment may invalidate your warranty. Using any accessory that is not a Stryker product will invalidate your
warranty.

The warranty extends to all purchasers and is limited to the repair or replacement of the product without charge when returned prepaid
to Stryker Instruments. There are no other expressed warranties. This warranty gives you specific legal rights and you may have
other rights, which vary by state and municipality.

For selected products.
•    Universal Handswitch is warranted for a period of 6 months from date of invoice.
•    Handpiece cords are warranted for a period of 6 months from date of invoice.
•    Cutting accessories are not warranted.




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User/Patient Safety

          WARNINGS:

•    Before using any system component, or any component compatible with this system, read and understand the instructions. Pay
     special attention to the important User/Patient Safety information provided in the instruction booklets. Familiarization with the
     system prior to use is important. Failure to comply may result in patient and/or operating room staff injury or damage to
     components.
•    The surgeon performing any procedure is responsible to determine the appropriateness of this instrument and the specific
     technique for each patient. Stryker, as a manufacturer, does not recommend surgical technique.
•    Clean and sterilize components before first and every use. See the CORE Cleaning, Maintenance and Sterilization
     Recommendations for specific details.
•    DO NOT use this equipment in the presence of flammable anesthetic mixture with air or with oxygen or nitrous oxide.
•    Prior to each use, operate system components and inspect for damage. DO NOT use if damage is apparent.
•    Use only Stryker approved accessories. Other accessories may not properly interface with the console. Contact your Stryker
     sales representative for a complete list of accessories. DO NOT modify any accessory. Failure to comply may result in patient
     and/or operating room staff injury.
•    All cutting accessories are intended for single use only. Reuse significantly increases wear on the handpiece and attachment.
     Failure to comply may result in patient and/or operating room staff injury.
•    Always use the appropriate accessory combination with a handpiece. Contact your Stryker sales representative for a complete
     list of accessories. Failure to comply may result in patient and/or operating room staff injury.
•    DO NOT attempt to insert or remove any cutting accessory or attachment while the handpiece is operating. Failure to comply
     may result in operating room staff injury.
•    DO NOT modify the ground connection of the console power cord. Failure to comply may result in patient and/or operating room
     staff injury.
•    DO NOT place a handpiece on a patient. Failure to comply may result in patient injury, for example burns or damage to tissue.
•    DO NOT place a handpiece on or near a magnetic pad or tray. A magnetic field can simulate the output of a handswitch or
     footswitch and may cause the handpiece to operate inadvertently. Failure to comply may result in patient and/or operating room
     staff injury.
•    DO NOT perform footswitch mapping (assign a handpiece port to a footswitch port) while operating a handpiece. Failure to
     comply may result in patient and/or operating room staff injury.
•    Operating a handpiece in the Window Jog mode may increase the temperature of the handpiece. If a handpiece overheats, the
     console automatically shuts off the handpiece. (The audible alarm does not warn the user if this event occurs.) Monitor the
     operating time of the handpiece to prevent overheating. Failure to comply may result in patient and/or operating room staff injury.
•    Use safety glasses. Failure to comply may result in operating room staff injury.


NOTE:     If the console screen is touched in two places simultaneously, unintended button activation may result.


Indications For Use
The Stryker Consolidated Operating Room Equipment (CORE) System is intended for use in the cutting, drilling, reaming,
decorticating, and smoothing of teeth, bone, bone cement, and other bone-related tissue in a variety of surgical procedures, including
but not limited to Neuro, ENT, Dental and Endoscopic. It is also usable in the placement or cutting of screws, metal, wires, pins, and
other fixation devices.


Contraindications

None.




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System Overview

The Stryker CORE Powered Instrument Driver (console) provides an integrated, centrally controlled environment that promotes safe
and economical surgical practice.

The console’s software provides control over system components including the console, the graphical user interface (GUI), the
irrigation pump, and the connected handpieces and footswitches. The software’s file management capability allows you to save and
store user preference settings and have convenient access to a favorites list of the most frequently used files to improve efficiency.

The color display, with its touch sensitive screen, provides an intuitive graphical user interface that allows you to view multiple system
components and set their parameters with the touch of a finger. Changes may be made rapidly, with little to no interruption during
surgery.

Multiple handpieces and footswitches may be connected and operated simultaneously from a single console. The console provides a
common interface for both micro and heavy-duty handpieces. Because options vary among different handpieces, the console will only
display those options that are related to the connected handpiece.

Various cutting accessories and irrigation cassettes used with the system are also recognized and identified on the console screen by
means of a wireless tag technology.

The console’s enhanced serial interface provides a serial communications channel between the console and other devices. This
feature allows the transfer of data and control information, like run-time data and software upgrades over a computer network.

An integral irrigation pump system reliably supplies coolant/irrigation to the cutting site with adjustable flow rates.

Console settings, like display brightness and speaker volume, may be easily adjusted. The on board speaker provides audible
feedback during operation and configuration.

The console accepts either 115 VAC or 230 VAC input and has the capability to power heavy-duty handpieces.


System Block Diagram
                 115 or 230 VAC
                  Facility Power



                                                                                                                           Other Devices
                                                                                   Enhanced Serial Interface               via Computer
                                                                                                                              Network




                                                                                                                            Handpiece 1
                 Main Processor                                                        Handpiece Control

                                                                                                                            Handpiece 2


                                               CORE Console
                                                                                                                            Handpiece 3




                                                                                                                            Footswitch 1
                                                                                    Footswitch and Irrigation
                                                                                         Pump Control
                                                                                                                            Footswitch 2
      Touch
                      Color
     Sensitive                     Speaker
                     Display
      Screen                                                                 Irrigation Pump




   Finger/Stylus         Graphical/                                          Irrigation Pump
       Input            Audio Output                                             Cassette
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Hardware Features

                                                                                  Footswitch Connection
                                                                                                                                          Handpiece Connec-
                  Color Touch Screen                                              Area; allows you to
                                                                                                                                          tion Area; allows you
                  Display Area; allows                                            connect two
                                                                                                                                          to connect three
                  you to view and make                                            footswitches simulta-
                                                                                                                                          handpieces simulta-
                  handpiece settings using                                        neously.
                                                                                                                                          neously.
                  its touch screen
                  capability

                                                                                                                                                                  Irrigation Pump
                                                                                                                                                                  Cassette; install the
                                                                                                                                                                  irrigation cassette here
                                                                                                                                                                  if you use the irrigation
                                                                                                                                                                  pump (optional).
          Power Switch;
          press to turn
          console power
          ON and OFF.




                                                                                                                                                                   Speaker; provides
                                                                                                                                                                   audible sounds and
                                                                                                                                                                   alarms (located inside
    Irrigation Bag Pole                                                                                                                                            console).
    Mounting Bracket;
    connect the pole here if
    you use the irrigation
    pump (optional).




                                 Enhanced Serial Interface Connectors; three                                                              Power Receptacle; connect the
                                 communication ports allow you to transfer data and control                                               console to facility power using the
                                 information, including software upgrades.                                                                console power cord. The console will
                                                                                                                                          accept 115 or 230 V facility power.




Accessories

              WARNING:       Use only Stryker approved accessories. Other accessories may not properly interface with the CORE
              Console. Contact your Stryker sales representative for a complete list of accessories. DO NOT modify any accessory.
              Failure to comply may result in patient and/or operating room staff injury.

Description                                                                                                                                                                              REF

Power Cord ................................................................................................................................................................................. 0996-851-010
Cable; push-pull type connector with alignment markings and keyed connectors .................................................................. 5100-004-000
Footswitch .................................................................................................................................................................................. 5100-008-000
Disposable Irrigation Cassette ................................................................................................................................................... 5400-050-001




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Operating Instructions

Interconnect Diagram
The interconnect diagram provides the connection sequence of CORE system components. The diagram's numbered callouts
correspond to the numbered instructions on the next page. See the instructions for use supplied with each component for specific
connection information.




        Symbol Definitions

        On/Off (push-push)


        Footswitch

        Handpiece

        Irrigation

        Type BF Applied Part                                                                                              F        T
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To Connect the Components:
     NOTE:   Refer to the Interconnect Diagram while performing the instructions below. See the instructions for use supplied with
     each component for specific connection information.

1.   Place the console on a sturdy, flat surface near a hospital grade outlet.
2.   Install the power cord plug into the power receptacle. Pull the bracket over the plug to secure it within the power receptacle.
3.   Install the other end of the power cord into a hospital-grade wall outlet.
4.   Press the power switch to turn the console on. See To Power Up and To Adjust Options sections for more information.

     NOTES:
•    The universal power supply will automatically adjust to match the voltage and frequency of the facility power.
•    As you connect components to the console, the console’s screen will change to reflect the various components that are
     connected.

     CAUTIONS:
•    DO NOT thread or twist the push/pull connectors on the cords during installation or removal.
•    When connecting or disconnecting a cable(s) to the front of the console, always hold the cable by its connector (the plug, not the
     cord). Failure to comply may result in damage to the cable or console.
•    Cables that are connected to the front of the console have keyed, push-pull type connectors that lock into place. DO NOT force a
     connector into a console port. Each connector and port has an alignment mark to indicate proper cable orientation.

5.   If using a footswitch, plug the footswitch cable into the console port marked with a FOOTSWITCH PORT symbol. Align the marks
     and gently push the connectors together. Two footswitches may be connected to the console.
6.   Plug the handpiece cord(s) into the console port(s) marked with a HANDPIECE PORT symbol. Align the marks and gently push
     the connectors together. Three handpieces may be connected to the console and operated simultaneously.

     NOTE:     If using a CORE Universal Handswitch, attach it to the handpiece before you plug the cord into the handpiece.

7.   Plug the other end of the handpiece cord(s) into the handpiece(s). See instructions for use supplied with each handpiece for
     connection information.

          WARNING:        Use only Stryker approved cutting accessories.

8.   Attach the cutting accessory to the handpieces. See the instructions for use supplied with each handpiece or attachment for
     cutting accessory installation information.

     NOTE:       If using the console irrigation pump (optional), install the Irrigation Pole REF 5100-50-28 (optional, may use equivalent
     irrigation pole) to the mounting bracket on the back of the console. Hang the irrigation bag from the pole.

9. If required, install the irrigation cassette into the console port marked with a IRRIGATION PUMP CASSETTE symbol.
10. If required, connect the irrigation tubing to the irrigation bag.
11. If required, attach the irrigation clips to the handpiece(s) and connect the tubing. Connect the irrigation tubing to the handpiece.
    See the instructions for use supplied with each handpiece for connection information.
12. Test all the CORE system components to ensure that they are performing properly before surgery. Refer to the Button Definitions
    and Software Menu Map sections when using the graphical user interface.




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Button Definitions

Button    Name       Definitions                  Button   Name          Definitions

          HOME       View and adjust handpieces            OSCILLATE     Set default mode of
                     and system settings                                 handpiece to oscillate




          HELP       Access task-oriented HELP             FORWARD       Set default mode of
                     related to screen and                               handpiece to rotate in the
                     button functionality                                forward (clockwise) direction


                                                           REVERSE       Set default mode of
          BACK       Return to the previous                              handpiece to rotate in the
                     screen                                              reverse (counterclockwise)
                                                                         direction

                                                           LOW           Set default mode of
                                                                         handpiece to operate in the
          UP         Scroll up                                           low rpm range mode


                                                           HIGH          Set default mode of
                                                                         handpiece to operate in the
          INCREASE   Increase the value of a                             high rpm range mode
                     setting

                                                           ADJUST        Adjust handpiece, footswitch
                                                           OPTIONS       and console options
          DOWN       Scroll down



                                                           FIXED SPEED   Set the default run mode of
                                                                         the handpiece speed to
          DECREASE   Decrease the value of a                             operate at the set speed only
                     setting

                                                           VARIABLE      Set the default run mode of
                                                           SPEED         the handpiece speed to
          OK         Accept inputs, changes or                           respond to the degree of
                     selections and return to                            pressure applied to the
                     previous screen                                     handswitch or footswitch

                                                           ONE TOUCH     Set the default run mode of
                                                                         the handpiece activation to
          ESC        Close a pop up or screen                            respond to one touch of a
                     without accepting inputs,                           handswitch or footswitch
                     changes or selections and
                     return to previous screen             PROGRAM       Program the footswitch
                                                           FOOTSWITCH    pedals and pads based on
                                                                         the handpiece capabilities
          FACTORY    Apply original factory
          DEFAULT    default settings
                                                           ASSIGN        Assign a specific footswitch
                                                           FOOTSWITCH    port to a specific handpiece
                                                           TO            port
                                                           HANDPIECE

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Button Definitions (cont'd)

Button     Name               Definitions                        Button   Name         Definitions

           SET                Select specific handpiece                   EDIT         Change user preference file
           HANDPIECE          options and assign them to                  SETTINGS     settings
           OPTIONS            a particular handpiece
                              button


           MANAGE             Create and modify user                      SAVE         Save current console
           USER               preference folders and                      CURRENT      settings as a new user
           PREFERENCES        files                                       SETTINGS     preference file


           NAVIGATE UP        Navigate one directory                      ADJUST       Adjust console options in the
           ONE LEVEL          level up                                    CONSOLE      standard or advanced mode
                                                                          OPTIONS


           DELETE             Delete a folder or file                     ADJUST       Adjust console volume,
                                                                          VOLUME       brightness and contrast
                                                                          AND
                                                                          SCREEN

           CREATE FILE        Create a new user                           ACCESS       Access user preference
                              preference file                             ADVANCED     options
                                                                          MODE


           COPY               Copy a user preference                      SELECT       Select one of five favorite
                              file or folder                              USER         user preference files as the
                                                                          PREFERENCE   console default
                                                                          FAVORITE

           CREATE             Create a new user                           SWAP USER    Replace one of the five
           FOLDER             preference folder                           PREFERENCE   favorite user preference files
                                                                          FAVORITE     with another preference file


           OPEN AND           Open a user preference                      ADJUST       Apply an irrigation flow rate
           MODIFY             folder and modify the                       IRRIGATION   to a handpiece cutting
                              file(s) as required                         PUMP         accessory
                                                                          SETTINGS

                                                                          FLUSH        Provide a continuous
           ADD                Add a handpiece to a user                   TUBING SET   irrigation flow rate to flush
           HANDPIECE          preference file                                          the tubing set


                                                                          AUTO         Prime the tubing set from the
           SAVE               Save changes to the                         PRIME        pump head to the irrigation
           CHANGES            handpiece settings of a                     TUBING SET   tip clip
                              user preference file


           VIEW/EDIT          View and edit the user
           SETTINGS           preference file settings of
                              a selected handpiece


           UNDO               Undo the last changes
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           CHANGES            made
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Software Menu Map
The software menu map is a visual representation of the menu structure and its hierarchy. The map also provides the sequence of
screen information provided in this manual, top down and left to right. The icons used in this map are the same icons used on buttons
in the software and are also used with the header information in this manual.




                                                                Home Screen




                                                  Select User
  Adjust Speed/                                                           Adjust Irrigation    Adjust Console
                               Adjust Options     Preference                                                           Access Help
      Power                                                               Pump Settings           Options
                                                   Favorite




                                                  Swap User
                  Select                                                   Adjust Audio
                                                  Preference
              Direction/Mode                                              Video Controls
                                                   Favorite




                   Program                                                   Access
                  Footswitch                                              Advance User
                   Options                                                    Mode




                                                                              Manage User
                   Assign                         Create New
                                                                              Preferences
                  Footswitch                       Folder(s)
                                                                                Folders




                                                                              Manage User
              Set Handpiece                       Create New
                                                                               Preference
                 Options                            File(s)
                                                                                  Files




                                                  Modify File




                          Add Handpiece




                           Edit Settings



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To Power Up:
Power Up Screen
This screen is momentarily displayed while the console powers up. Note the software version is displayed in the lower right corner of
the screen.




Plug in Handpiece Cable Screen
If no handpieces or cords are connected to the console during initial power up, the following screen will appear:



                                                                                          If the Adjust Options button is
                                                                                          pressed before any cords or
                                                                                          handpieces are connected,
                                                                                          the following screen will
                                                                                          appear. At this time, console
                                                                                          options that are not handpiece
                                                                                          specific may be set up before
                                                                                          the sterile handpieces are
                                                                                          brought into the operating
                                                                                          room and plugged into the
                                                                                          console.




   Adjust Options


                                                                                 The subdued portions of these screens
                                                                                 will become available once a
                                                                                 handpiece is plugged into the console.
                                                                                 These screens do not depend on
                                                                                 whether a footswitch is plugged into the
                                                                                 console.




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To View Options:
HOME screen
The HOME screen is where most user interaction will take place. Up to three handpieces may be displayed on the
screen simultaneously. When the console is initially turned on, the console settings are factory default settings until a
user preference file is selected or the settings are manually modified.

Handpiece Operating Area                                                            View User Preference File Name
View and modify key                                                                 View name of file that contains
handpiece settings.                                                                 handpiece settings for a specific
                                                                                            procedure, for example,
                                                                                            ACL surgery.

                                                                                              Console Operating Area
                                                                                              Access key console
                                                                                              functions.




Attached Handpieces
Three handpieces may
be attached to the
console and two may
be operated simulta-
neously.


View Handpiece Name                                                                    View Cutting Accessory or
View name of active                                                                    Attachment Name
handpiece. Three                                                                       View cutting accessory or
handpieces may be                                                                      attachment name if the
connected and                                                                          handpiece, accessory and/or
displayed. Two                                                                         attachment have recognition
powered handpieces may                                                                 capability.
                                 View Option Settings
be operated from the same
                                 View option settings such as irrigation,
console, simultaneously.
                                 footswitch control, and fixed or variable
                                 RPM. All of these settings may be
                                 modified.




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To Adjust Handpiece Speed (or Power):

From the HOME screen, touch the plus and minus buttons to adjust the handpiece speed or power set point in rpms or
percentage of power.

NOTE:     When you install a cutting accessory with cutter recognition capability, the system will automatically override
the selected speed setting in each mode to the speed settings that are appropriate for the installed cutting accessory.


While the handpiece is
running, the display
shows the actual
handpiece speed. If the
handpiece is not running,
the default or selected
speed is displayed.

The default speed is
displayed for each
handpiece until you
adjust the speed set
point based on the
handpiece capability.




                                  Touch the adjustment buttons (or slider bar that
                                  becomes visible when touching the speed value) to
                                  increase or decrease the speed (power) set point.


To Select Handpiece Direction and Mode:
From the HOME screen, touch the Select Direction/Mode button to adjust the handpiece direction and mode.


                   FORWARD: Touch to cause                REVERSE: Touch to cause the          OSC: Touch to cause the
                   the handpiece cutting                  handpiece cutting accessory to       handpiece cutting
                   accessory to rotate in the             rotate in the reverse                accessory to oscillate.
                   forward (clockwise) direction.         (counterclockwise) direction.


Direction Options
Select the direction of
the cutting accessory




Mode Options
Select the mode of
handpiece
operation




                                    LOW: Touch to cause the           HIGH: Touch to cause the
                                    handpiece to operate in the       handpiece to operate in
                                    low rpm range mode.               the high rpm range mode.



NOTE: The available handpiece options,
including handpiece direction and mode, will
depend on the type of handpiece that is identified
                                                                                                                F     T
at the top of the screen.
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             To Adjust Options:
            From the HOME screen, touch the Adjust Options button to adjust the handpiece and footswitch options. The available
            handpiece options will depend on the type of handpiece that is identified at the top of the screen.




Adjust Acceleration                                                          Select Run Mode
• Touch the plus and minus buttons or slider bar to adjust the               • FIXED: handpiece speed runs at the maximum setting
  percent of acceleration [0 to 100%].                                         only. Varying pressure on the footswitch or handswitch
• At 100%, the handpiece speed accelerates quickly.                            will not vary the handpiece speed.
  Acceleration slows as the setting approaches zero percent.                 • VARIABLE: handpiece speed responds to the degree
                                                                               of pressure applied to the footswitch or handswitch.
                                                                             • ONE TOUCH: Handpiece activation responds to one
                                                                                                           touch of a trigger device
Adjust Braking                                                                                             (footswitch, handswitch) and
• Touch the plus                                                                                           continues to run when the
  and minus buttons                                                                                        trigger device is released.
  or slider bar to                                                                                         Handpiece is deactivated by
  adjust the percent                                                                                       touching any trigger device.
  of braking [0 to                                                                                         In this mode, the handpiece
  100%].                                                                                                   operates at constant set-
• At 100%, the                                                                                             point speed/power level.
  handpiece stops
  abruptly. The
  amount of
  deceleration
  decreases as the
  setting
  approaches zero
  percent.




Adjust Oscillate Turns
• Touch the plus and minus buttons to select the number of turns per direction when
  running a handpiece in the oscillate mode.




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               To Program Footswitch Options:

               From the Adjust Options screen, touch the Program Footswitch button to program the footswitch pedals and pads based
               on the capabilities of the connected handpiece. Two footswitches may be connected to and simultaneously operated
               from the same console. However, two footswitches cannot be used to control the same handpiece at the same time.


                                  View Handpiece Port
                                  Indicates the handpiece port that the
                                  footswitch is programmed for.

                                                                                                      Touch the arrow buttons to scroll
                                                                                                      through the footswitch options.
                                                                                                      The available options are
                                                                                                      handpiece specific. Touch the OK
                                                                                                      button to select the option.




                                                                              Assign Specific Option
                                                                              Select a footswitch pedal or pad [A, B, I, II
                                                                              or III] button and assign a specific option.




                                                                          • LOW: pressure on the footswitch pad will cause the handpiece
                                                                            to operate in the low speed range or mode.
                                                                          • SPEED INCREMENT: pressure on the footswitch pad will
                                                                            increment the set point speed.
                                                                          • SPEED DECREMENT: pressure on the footswitch pad will
                                                                            decrement the set point speed.
                                                                          • IRRIGATION INCREMENT: pressure on the footswitch will
                                                                            increment the pump flow set point and increase irrigation to the
                                                                            handpiece cutting accessory.
                                                                          • IRRIGATION DECREMENT: pressure on the footswitch will
                                                                            decrement the pump flow set point and decrease irrigation to
                                                                            the handpiece cutting accessory.
                                                                          • IRRIGATION ON/OFF: pressure on the footswitch will toggle
                                                                            the irrigation pump on and off. If pressed and held, the
Based on handpiece capabilities, options may include:                       irrigation pump can be turned on without running the
• FORWARD: pressure on the pad or pedal will cause the                      handpiece. Once started, the irrigation pump can be stopped
  handpiece to rotate in the forward (clockwise) direction.                 by pressing the pad again or by starting the handpiece.
• REVERSE: pressure on the pad or pedal will cause the                    • PUMP FLUSH: pressure on the footswitch will turn the
  handpiece to rotate in the reverse (counterclockwise) direction.          irrigation pump on at the flush rate. Once started the irrigation
• +OSC TURNS: pressure on the footswitch pad will cause the                 pump may be stopped by pressing the pad again or by starting
  handpiece to oscillate; increase number of turns.                         the handpiece.
• -OSC TURNS: pressure on the footswitch pad will cause the               • CHANGE PORT: pressure on the footswitch pad will change
  handpiece to oscillate; decrease number of turns.                         the footswitch assignment to another active handpiece.
• ON: pressure on the footswitch pad or pedal will make the port          • ONE TOUCH: acting like an on/off toggle, tap the footswitch
  active, for example it will provide input to the assigned                 pad to operate the handpiece at the maximum speed. Tap the
  handpiece.                                                                footswitch pad again to stop the operation.
• OFF: pressure on the footswitch pad or pedal will make the              • VARIABLE: varying pressure on the footswitch pad will cause
  port inactive, for example it will not provide input to the               the handpiece speed to vary.
  assigned handpiece.                                                     • FIXED: pressure on the footswitch pad will cause the
• HIGH: pressure on the footswitch pad will cause the handpiece             handpiece to operate at a constant speed as set on the HOME
  to operate in the high-speed range or mode.                               screen.
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To Program Footswitch Options:

           WARNING: DO NOT perform footswitch mapping (assign a handpiece port to a footswitch port) while
           operating a handpiece. Failure to comply may result in patient and/or operating room staff injury.

Assign Handpiece Port to a Footswitch Port
The Assign Handpiece to Footswitch screen will appear automatically when connecting two footswitches and two or
more handpieces to the console.




Access the Assign Handpiece to Footswitch screen manually as follows:
1. From HOME screen, press Adjust Options button
2. From Adjust Options screen, press Program Footswitch button
3. From Program Footswitch screen, press Assign Handpiece to Footswitch button




The color options above indicate the default setting for two connected footswitches and three connected handpieces.
Touch the handpiece name button to toggle through the four color options. Each color indicates a footswitch to
handpiece port assignment as described below:


            Green indicates the top (green) footswitch port is assigned to the handpiece port.



           Yellow indicates the bottom (yellow) footswitch port is assigned to the handpiece port.




           Green/Yellow combination indicates both footswitch ports are assigned to the handpiece port.



           Gray indicates no footswitch port is assigned to the handpiece port.




           Color icon indicates which handpiece will be operated when the associated footswitch is
           actuated.
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To Set Handpiece Options:

       WARNING:        Read and understand the appropriate Stryker handpiece instructions for use.


From the Adjust Options screen, touch the Set Handpiece Options button to select specific handpiece options and
assign them to a particular handpiece button. Options are handpiece dependent and may not be available if the
handpiece does not support them. Handpiece attachments may also be selected, if supported. If selected, the console
will display the correct attachment information and set maximum speed values for the handpiece.




                                                                                     Select Handpiece
                                                                                     Attachment
                                                                                     Select specific
                                                                                     attachment based
                                                                                     on the handpiece
                                                                                     capability.
                                                                                     Touch arrows to
                                                                                     scroll through and
                                                                                     highlight a
                                                                                     handpiece
                                                                                     attachment.




                               Program Handpiece Buttons
                               • Touch numbered button to assign
                                 an option.
                               • Select specific options and assign
                                 them to a particular handpiece
                                 button based on handpiece
                                 capability.




Based on handpiece capabilities, options may include:
• FORWARD: option will rotate cutting accessory in the forward (clockwise) direction.
• REVERSE: option will rotate cutting accessory in the reverse (counterclockwise) direction.
• +OSC TURNS: option will increase the number of oscillate turns.
• -OSC TURNS: option will decrease the number of oscillate turns.
• HIGH: option will operate handpiece in the high-speed mode.
• LOW: option will operate handpiece in the low speed mode.
• CHANGE PORT: option will change the button assignment to another active handpiece.
• +IRRIGATION: option will increase irrigation to the handpiece cutting accessory.
• -IRRIGATION: option will decrease irrigation to the handpiece cutting accessory.
• WINDOW JOG TRIGGER: option will rotate the cutting accessory at a very low speed to position the cutting edge
  within the cutting window.




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To Select a User Preference Favorite:
From the HOME screen, touch the Select a User Preference Favorite button to select a favorite user preference file or
replace an existing one. Five favorite files are available. Each file contains specific handpiece(s) settings for a
particular procedure.




                                                                                        Touch to select one of
                                                                                        the five favorite user
                                                                                        preference files.




To Replace a User Preference Favorite
From the Select a User Preference Favorite pop up, make a file selection via the arrow buttons and OK button, then
touch the Swap button to replace an existing favorite file.

                                                                                        Touch arrow buttons to scroll
                                                                                        through the list and highlight
                                                                                        one of the preference files.
                                                                                        Touch OK button to replace
                                                                                        one of the favorite preference
                                                                                        files.




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To Adjust Irrigation Pump Settings:

NOTE:       If using the irrigation pump, assemble the irrigation pole to the mounting bracket located on the back of the
console. Hang the irrigation bag from the pole. Install the irrigation cassette into the console pump. Attach the
irrigation clips onto the handpiece and connect the tubing.

From the HOME screen, touch the Adjust Irrigation Pump Settings button to apply an irrigation flow rate to a handpiece
cutting accessory. AUTO PRIME and FLUSH options are also provided.


Adjust Irrigation                                                                                        AUTO PRIME
  % Setting                                                                                                Tubing Set
• Touch the slide                                                                                        • Touch to activate
  bar or plus,                                                                                             the priming
  minus buttons to                                                                                         sequence of the
  adjust the flow                                                                                          installed irrigation
  rate percentage                                                                                          cassette.
  of irrigation [1 to                                                                                    • The tubing will be
  100% or OFF] to                                                                                          primed from the
  the cutting                                                                                              pump head to the
  accessory of the                                                                                         irrigation tip clip
  handpiece.                                                                                               within 20 seconds.
• At 100%,                                                                                               • The button will
  irrigation to the                                                                                        remain depressed
  handpiece is set                                                                                         during the timed
  to maximum                                                                                               operation.
  flow rate. The rate
  decreases as the
  setting approaches                                                                     FLUSH Tubing Set - Touch and
  zero.                                                                                  hold to provide a continuous flow
                                                                                         rate of 300 ml/min with no irrigation
 Select Handpiece                                                                        clip and a minimum pressure of 30
 • Touch one or all of the handpiece buttons to allow activation of the irrigation       psi when the tubing is blocked.
   pump. If no buttons are selected, the pump will not operate.
 • Activation will apply an irrigation flow rate to the handpiece cutting accessory.
 • The flow rate will depend on the type of handpiece.
 • Activating a handpiece will gain control of the console irrigation. While the first
   activated handpiece is running, activating a second or third handpiece will not
   change pump flow, but may reduce irrigation to the first handpiece if a Y-splitter
   is used. To gain control of console irrigation using a second or third handpiece,
   activate the second or third handpiece while the first handpiece is not running.



To Adjust the Console Settings: - Standard and Advance User Mode
From the Adjust Options screen, touch the Adjust Console Options button to adjust the volume, brightness and contrast.




Adjust Audio/Video Controls - Standard Mode


Adjust Volume
Adjust the percent of
console volume [0 to 100%]
by touching the slide bar or
the plus, minus buttons
Adjust Brightness
Adjust the percent of
console display brightness
[0 to 100%] using the slide
bar or the plus, minus
buttons
Adjust Contrast
Adjust the percent of
console display contrast [0
to 100%] using the slide bar
or the plus, minus buttons
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To Adjust the Console Settings: - Standard and Advance User Mode


Access Advance User Mode

From the Adjust Console Options screen, touch the ADV button to gain access to the Advance User
Mode and the User Preference file management system. A pop up will appear to confirm your request.
Once confirmed, the Manage User Preference button will appear.




Return to Standard User Mode
After managing user
preference files in the advance
user mode, touch the ADV
button to return to the standard
user mode.




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To Manage User Preference Folders: - Advance User Mode Only

NOTE:     You must be in the Advance User Mode to manage user preferences. See To Adjust Console Options
section for details.

From the Adjust Console Options screen, touch the Manage User Preferences button to create and modify user
preference folders and files. Each folder may contain multiple files and each file may contain the settings for multiple
handpieces used for a specific procedure and/or physician.


View Address Bar                            Open Folder
View the directory file path (folder/file   Touch arrow buttons to scroll through and highlight a folder.
name) to help with navigation.              Touch folder button to access files within a folder.



                Manage user preferences

              MAIN



                     ENT           DR. CARRY          ORAL
                                                                                                  Create New Folder
                                                                                                  Touch to create a new
                                                                                                  folder.

                     GEN         LAPARASCOPY




                                                 ?           ESC




To Manage User Preference Files: - Advance User Mode Only

                                            Open File
                                            Touch arrow buttons to scroll through and highlight a file.
                                            Touch Modify button to open and modify a file.




                                                                                                   Create New File
                                                                                                   Touch to create a new
                                                                                                   file.




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To Manage User Preference Folders and Files: - Advance User Mode Only


Create a New Folder or File

From the Manage User Preferences screen (folder or file screen), touch the Create New Folder or File button to create
a new preference folder or file using a keyboard screen.




                                                                                             Enter a Folder or File
                                                                                             Name
                                                                                             Touch key buttons to
                                                                                             enter a folder or file
                                                                                             name.




                 Shift Lock/Unlock
                 Touch to enter symbols or numbers.                                           Use Backspace
                                                                                              Touch to delete
                                                                                              keystrokes.




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To Manage User Preference Folders and Files: - Advance User Mode Only


Modify File

View and Edit Settings
Touch the ADD Handpiece button to add a handpiece to the file. Once handpieces are
added to a file, touch the arrow buttons to scroll through and highlight a handpiece.
Touch the magnifying glass button to create or edit handpiece settings.



                                                                                              Add Handpiece
                                                                                              Touch to add a
                                                                                              handpiece to the
                                                                                              preference file.




Add a Handpiece
From the Modify File screen, touch the Add Handpiece button to add a handpiece to the preference file from a list of
available handpieces.




            View and Add a Handpiece
            Touch arrow buttons to scroll through and highlight a handpiece. Touch the
            ADD button to add a handpiece to the user preference file.




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To Manage User Preference Folders and Files: - Advance User Mode Only

View and Edit Settings

From the Modify File screen, touch the View and Edit (magnifying glass) button to view and edit the preference settings
of a selected handpiece within a user preference file.




                                                                                   View and Edit Settings
                                                                                   Touch arrow buttons to scroll
                                                                                   through and highlight a handpiece
                                                                                   setting. Touch EDIT button to
                                                                                   change the setting.




Edit Settings

From the Edit screen, touch the EDIT button to modify the setting within the user preference file only (console defaults
remain unchanged). Notice that the user preference Edit screen below (typical example) has a light blue background
color to differentiate it from a console default Edit screen (dark blue).




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To Access Help:
From most screens or pop ups, touch the Help button to obtain specific screen and button information. Each Help
screen is divided into two columns. The right column contains a summary of the screen's overall function. The left
column provides a list of all the screen buttons and their function.


Select Help Topic Screen




                                                                View Help Topics - Touch the arrow buttons to scroll
                                                                through and view help topic information.




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Troubleshooting Guidelines*
Problem                                                                                        Action

Sporadic electrical interference is                                                            Turn off all electrical equipment not in
experienced.                                                                                   use in the operating room. Relocate
                                                                                               electrical equipment; increase spatial
                                                                                               distance. Plug the console and other
                                                                                               operating room equipment into
                                                                                               different outlets.

*The CORE Console is not field repairable. In case of operating difficulties, return this product to Stryker Instruments for repair. For
more information, contact your Stryker sales representative or Customer Service at 1-800-253-3210.


Periodic Maintenance
Interval                          Activity

Prior to Use.                     Inspect console for damage or signs of wear. DO NOT use if damage is apparent.




Storage and Handling

To ensure the longevity, performance, and safety of this equipment, package in original package materials when storing
or transporting.


Cleaning and Sterilization Recommendations

           WARNINGS:
•    Clean and sterilize handpieces before first and every use.
•    Cutting accessories are single use only. Sterile only if package is unopened and undamaged. DO NOT resterilize or reuse.



CORE Console, Power Cord, Cable(s) and Footswitch Cleaning Instructions

CAUTIONS:
•    DO NOT sterilize the CORE Console or power cord.
•    DO NOT allow moisture in any CORE Console opening, or power cord, handpiece cable and footswitch electrical connection.
•    DO NOT use an aerosol spray directly on the CORE Console display.

1.   Lightly wipe the CORE Console, cord, handpiece cable and footswitch surfaces with a soft cloth dampened with a non-abrasive,
     hospital disinfectant or mild detergent and water.
2.   Apply glass cleaner to a soft cloth and wipe the CORE Console display.




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Error Messages*
Message                                        Action to Take

Error xxx. Console hardware fault is           Contact your Stryker service representative. Turn the console off and on
detected.                                      again. If the problem persists, return the console to Stryker for repair.

Error xxx. Footswitch fault is detected;       Contact your Stryker service representative. Unplug the footswitch from the
the right pedal is disabled.                   console and plug it into the console again. If the problem persists, return the
                                               footswitch to Stryker for repair.

Error xxx. Footswitch fault detected, left     Contact your Stryker service representative. Unplug the footswitch from the
pedal is disabled.                             console and plug it into the console again. If the problem persists, return the
                                               footswitch to Stryker for repair.

Error xxx. Footswitch is not detected or       Contact your Stryker service representative. Unplug the footswitch from the
fails to be recognized by the console.         console and plug it into the console again. If the problem persists, return the
                                               footswitch to Stryker for repair.

Error xxx. Handpiece fault is detected,        Contact your Stryker service representative. Unplug the cord from
handpiece trigger is disabled.                 handpiece and plug the cord into the handpiece again. If the problem
                                               persists, return the handpiece to Stryker for repair.

Error xxx. Handpiece is not detected or        Contact your Stryker service representative. Unplug handpiece from
fails to be recognized by the console.         console and plug in again. If problem persists, return handpiece Stryker for
                                               repair.

Error xxx. Handpiece requires                  Contact your Stryker service representative.
additional console hardware.

Error xxx. Cutting accessory requires          See the instructions for use supplied with the cutting accessory.
additional console hardware.

* For more information, contact your Stryker sales representative or Customer Service at 1-800-253-3210.




                                       To Be Determined




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Messages*
Message                                                         If You Select OK to a Question

Delete all the surgeon’s user preferences?                      The surgeon ID and all user preferences will be deleted.

Change the name of all the surgeon’s user preferences?          User preferences listed under the surgeon will be moved
                                                                under the current surgeon’s name.

Identical record found.

Maximum number of records exceeded. Please delete
inactive records.

Initializing console hardware. Please wait.                              To Be Determined
Handpiece has reached recommended service interval.
Please return for service at earliest convenience.

Handpiece does not support the selected preference.
Default handpiece setting will be used.

Handpiece temperature has exceeded its nominal
operating range and may cause burning.

Handpiece temperature has exceeded its operating range.
Allow to cool before restarting.

Procedure name unspecified.

DO NOT allow the handpiece speed to exceed specified
attachment limitations. Failure to comply may result in
user and/or patient injury.

Cutter/bur is not compatible with the current handpiece.

Cutter/bur has exceeded its life. Please replace with a
new cutter/bur.




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Specifications*
Model:                                         REF 5400-50 CORE Console

Size:                                          12.5 in. [317.5 mm] width
                                               5 in. [127 mm] height
                                               17 in. [431.8 mm] depth

Weight:                                        <20 lbs. [ 9.1 kg]

Equipment Type:                                Class I, Type BF Applied Part

Power Supply:                                  Input voltage: 120V, 60Hz, 6.0A
                                               Output voltage: 40V + 0.25 V
                                               Output power: 200 W continuous, 400 W peak

Enclosure Protection:                          IPXO Ordinary Equipment



Protective Earth Ground:


Duty Cycle:                                                Peak power - 10 A, 400 W 50% duty cycle for 10 seconds
                                                           Sustained power - 5 A, 100% duty cycle for three minutes continuous

Display/Color Touch Screen:                    Wide 65° minimum viewing angle;
                                               6.5 inch diagonal active LCD;
                                               resolution 800 (horizontal) x 480 (vertical);
                                               16:9 aspect ratio;
                                               16-bit color;
                                               dimensions 3.19 in. [81.0 mm] height
                                               5.67 in. [144.0 mm] width


Volume Adjustment:                             0 dBA to 81 dBA


Environmental Conditions:                      Operation                                       Storage and Transportation


Temperature:




Relative Humidity:




Atmospheric Pressure:



*Specifications listed are approximate and may vary slightly from unit to unit or by power supply fluctuations.




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4100 E. Milham
                             F   T
                          RA
Kalamazoo, Michigan
(USA) 49001
1-269-323-7700
1-800-253-3210
                      D



Document Created: 2004-09-20 16:50:07
Document Modified: 2004-09-20 16:50:07

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