AMATECH I-LHPAFH Innovative solutions for Bariatric Patients Instructions

June 6, 2024
AMATECH

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AMATEUR I-LHPAFH Innovative solutions for Bariatric Patients

INSTRUCTIONS FOR USE

Prior to using this or any other type of medical apparatus with a patient, it is recommended that you read the Instructions for Use and familiarize yourself with the product.

  • Read and understand all warnings in this manual and on the device itself prior to use with a patient.
  • The symbol is intended to alert the user to important procedures or safety instructions regarding the use of this device.
  • The symbol on the labels is intended to show when the IFU should be referenced for use.
  • The techniques detailed in this manual are only manufacturer’s suggestions. The final responsibility for patient care with respect to this device remains with the attending physician.
  • Device function should be checked prior to each usage.
  • This device should only be operated by trained personnel.
  • All modifications, upgrades, or repairs must be performed by an authorized specialist.
  • Keep this manual available for future reference.
  • Any serious incident that has occurred in relation to the device should be reported to the manufacturer and the competent authority listed in this document.

General Information

AMATEUR Corporation is a subsidiary of Allen Medical Systems, Inc. which is a subsidiary of Hill-Rom, Inc. (NYSE: HRC), a leading worldwide manufacturer and provider of medical technologies and related services for the health care industry. As an industry leader in patient positioning, our passion is improving patient outcomes and caregiver safety, while enhancing our customers’ efficiency. Our inspiration comes from providing innovative solutions to address our customers’ most pressing needs. We immerse ourselves in our customers’ world, to better address these needs and the daily challenges of their environment. Whether developing a solution to address patient positioning challenges or creating a system to offer safe and effective surgical site access for the surgical team, we are committed to providing products of exceptional value and quality.

Copyright Notice:

Revision
© 2019 Allen Medical Systems Inc. ALL RIGHTS RESERVED.
No part of this text shall be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information or retrieval system without written permission from Allen Medical Systems, Inc. (Allen Medical).
The information in this manual is confidential and may not be disclosed to third parties without the prior written consent of Allen Medical.

Trademarks:

Trademark information can be found in www.allenmedical.com/pages/terms- conditions.
Product may be covered by one or more patents. Please consult listing at www .hill-rom.com/patents for any patent(s).

Contact Details:

For complains or ordering information, please contact your supplier and refer to the catalog. All modifications, upgrades, or repairs must be performed by an authorized specialist.

Safety Considerations:
Safety hazard symbol notice:

warning:

DO NOT USE IF PRODUCT SHOWS VISIBLE DAMAGE AND MATERIAL DEGRADATION.

Equipment misuse notice:
Do not use product if package is damaged or unintentionally opened before use. All modifications, upgrades, or repairs must be performed by an authorized specialist.

Notice to users and/or patients:
Any serious incident that has occurred in relation to the device should be reported using the contact details provided in section 1.3 of this Instruction for Use and to the competent authority of the Member State in which the user and/or patient is established.
Note: Refer to the surgical table manufacturer’s user guide for instructions on use. Always refer to the surgical table manufacturer’s weight limits.

NEVER EXCEED THE WEIGHT CAPACITY OF THE OPERATING ROOM TABLE

Safe disposal:
Customers should adhere to all federal, state, regional, and/or local laws and regulations as it pertains to the safe disposal of medical devices and accessories. If in doubt, the users of the device shall first contact their supplier for guidance on safe disposal protocols.

Operating the system:
Applicable Symbols:

Symbol used Description Reference
**** ****

Indicates the device is a medical device

| ****

MDR 2017/745

****| Indicates the medical device manufacturer| EN ISO 15223-1






| Indicates the manufacturer’s serial number. The device serial number is encoded as 1YYWWSSSSSSS.

·         YY indicates the year of manufacture. i.e. 1 18 WWSSSSSSS where 18 represents the year 2018.

·         WW indicates the number of the manufacturing week per a standard shop calendar. (Leading zeros included.)

·         SSSSSSS is a sequential unique number.

| ****




EN ISO 15223-1

| Indicates the medical device Global Trade Item Number| 21 CFR 830 MDR 2017/745
| Indicates the date when the medical device was manufactured| ****

EN ISO 15223-1

**| Indicates the manufacturer’s lot code using the Julian Date yyddd, where yy indicates the last two digits of the year and ddd** indicates

the day of the year. i.e. April 4th, 2019 would be represented as 19094.

| ****

EN ISO 15223-1

| Indicates the manufacturer’s catalogue number|

EN ISO 15223-1

| Indicates the need for the user to consult the instructions for use for important cautionary information such as warnings and precautions|

EN ISO 15223-1

| Indicates the device do not contain natural rubber or dry natural rubber latex|

EN ISO 15223-1

****| Indicates the authorized representative in the European Community|


EN ISO 15223-1

---|---|---
****| Indicates the Medical Device complies to REGULATION (EU) 2017/745|


MDR 2017/745

|

Indicates a Warning

| ****

IEC 60601-1

| Intended to show when the IFU should be referenced for use|

EN ISO 15223-1

Intended User and Patient Population:
Intended User: Surgeons, Nurses, Doctors, Physicians and OR healthcare professionals involved in the device intended procedure. Not intended for Lay persons.

Intended Populations:
This device is intended to be used with patients that do not exceed the weight in the safe working load field specified in the product specification section 4.2

Compliance with medical device regulations:
This product is a non-invasive, Class I Medical Device. This system is CE- marked according to Annex VIII, Rule 1, of the Medical Device Regulations (REGULATION (EU) 2017/745)

EMC considerations:

This is not an electromechanical device. Therefore, EMC Declarations are not applicable.

EC authorized representative:

HILL-ROM SAS
B.P. 14 – Z.I. DU TALHOUET 56330 PLUVIGNER FRANCE
TEL: +33 (0)2 97 50 92 12

Manufacturing Information:

ALLEN MEDICAL SYSTEMS, INC. 100 DISCOVERY WAY
ACTON, MA 01720 USA
800-433-5774 (NORTH AMERICA)+1 978-266-4200 (INTERNATIONAL)

System

System components Identification:AMATECH I-LHPAFH Innovative solutions
for Bariatric Patients-fig-16

Product Code and Description:
I-LHPAFH – Steris ST LEG GYN, Leg Supports

List of Accessories and Consumable Components Table:

The following list are accessories and components that may be used with this device

Name of Accessory Product Number
Nissen Thigh Straps F-NTS
Shoulder Supports F-63500
Urology/ Gyn Fluid Collection System F-UC4 (US), F-UC4E (EU), F-UC4UK (UK),

F-UC4DEN (Denyer), F-UC4J (Japan)
Polymer Gel Boot Pads| F-10026
Stirrup Cart| F-30015
Name of Consumable| Product Number
---|---
Urology/ Gyn Fluid Collection System Drapes| F-UC31, F-UC32
Egg Crate foam| F-10150

Note: Consult the corresponding IFU for the products mentioned in the above table.

CAUTION: Reuse of disposables will lead to patient cross-contamination and/or device failure.

Indication for use:

The Leg Holder is used in a variety of surgical procedures including, but not limited to gynecology, urology, laparoscopy, general and robotic surgery. These devices are capable of being used with a broad patient population as determined appropriate by the caregiver or institution.

Intended use:

The Leg Holder is designed to position and support the patient’s foot, lower leg and upper leg in a variety of surgical procedures including, but not limited to gynecology, urology, laparoscopy, general and robotic surgery. These devices are intended to be used by healthcare professionals within the Operating Room setting.

Residual risk:

This product complies with relevant performance, safety standards. However, patient harm from misuse, device, function or mechanical hazards cannot be completely excluded

Equipment Setup and Use:

Prior to use:

  1. Inspect the product looking for any visible damage or sharp edges that could be caused by a drop or impact during storage.
  2. Make sure product has been properly cleaned and disinfected and wiped dry prior to each use.

Setup:

  1. The stirrups mount to the table rails using standard rail clamps.
  2. Locate clamps adjacent to the patient’s hip joint. The boots are marked (on the bottom) for the patient’s left and right.
  3. Obtain adequate help to place both legs into the stirrups simultaneously, to adjust for patient leg length, and loosen boot lock handle and gently slide boot up or down the bar, slightly flexing the knees. Then satisfied with the position, re-tighten the boot lock handle.
  4. The ankle, knee and opposing shoulder should be maintained in a relatively straight-line during positioning. Notice that for a typical patient, the thigh and foot are abducted at approximately the same angle.
  5. For Twist Handle: To reposition the stirrups grasp the handle palms down and twist with your thumbs going up toward the ceiling. When you have reached the desired degree of lithotomy and or abduction simply release the handle.

Device controls and indicators:AMATECH I-LHPAFH Innovative solutions for
Bariatric Patients-fig-22

This Symbol Represents the Patient’s Right foot AMATECH I-LHPAFH Innovative
solutions for Bariatric Patients-fig-23

Storage, Handling and Removal Instructions:

Storage and Handling:

The product should be stored in a clean and safe environment to prevent product damage. See storage Specifications under Product Specification section.

Removal Instruction:

  1. Lower stirrups by twisting the release handle, and simultaneously downstage the legs slowly to the desired level.
  2. Gently remove the patient’s legs from the stirrups.
  3. Stirrups should be in a horizontal position for removal from sockets. Loosen clamp/socket and remove stirrups.

Troubleshooting Guide:

This device does not have a troubleshooting guide. For technical support user of the device shall first contact his or her supplier.

Device Maintenance:

Make sure that all labels are installed and can be read. Replace labels as necessary by using a plastic scraper to remove the label. Use an alcohol wipe to remove any adhesive residue. Contact us if you need to repair or replace the device by using the information from the contact details section (1.3).

Safety Precautions and General Information:

General Safety Warnings and Cautions:

WARNING:

  1. Do not use if product shows visible damage.
  2. Prior to using this device, please read the instructions for equipment set up and use. Familiarize yourself with the product before application on a patient.
  3. To prevent patient and/or user injury and/or equipment damage, examine the device and surgical-table side rails for potential damage or wear prior to use. Do not use the device if damage is visible, if parts are missing or if it does not function as expected.
  4. To prevent patient and/or user injury and/or equipment damage, verify the device attaching clamps completely touch the table-side rails and are firmly in place. Test the locking mechanism to ensure no movement when elevated or pushed.
  5. Read and understand all warnings in this manual and on the device itself prior to use for patient.
  6. Device function should be checked prior to each usage.
  7. This device should only be operated by medically trained personnel.
  8. The patient’s toes may extend beyond the end of the stirrup boot.
  9. The product must be used with compatible clamps.
  10. Check for patient contact pressure points and consult the physician before use.
  11. Ensure the patient’s legs are secure in the boot prior to making adjustments.
  12. Use only approved padding.

CAUTION:

  1. Do not raise the thigh closer to torso than 90º as patient may experience nerve damage.
  2. To prevent patient and/or user injury and/or equipment damage: all modifications, upgrades, or repairs must be performed by an Allen authorized specialist. Failure to comply may void the warranty.
  3. Do not exceed safe working load shown in the product specification table.

Product Specifications:

Mechanical Specifications Description
Product Dimensions 35.8″ X 18.1″ X11.8″ (91cm x 46cm x 30cm)
Material Stainless Steel, Aluminum, Alloy Steel, Engineering Polymers, Bronze
Safe Working Load on the device 350 lbs (159 kg)
Overall Weight of Complete Device 16.5 lbs Each (7.4 kg) 33 lbs Per Set

(14.9kg)
Storage Specifications| Description
---|---
Storage temperature| -29ᵒ C to +60ᵒ C
Storage Relative humidity range| 15% to 85%
Operating temperature| This device is intended to be used in a controlled Operating Room environment.
Operating Relative humidity range
Electrical Specifications| Description
Not Applicable.| Not Applicable.
Software Specifications| Description
Not Applicable.| Not Applicable.
Compatibility Specifications| Description

The Leg Supports are compatible with:

| a.     Click-On TM Socket: F-40023(EU), F-40024(UK), F-ELS(US)

b.     3-Way Adjustment Clamp F-TCP2, F-TCP2E(EU)

c.     Clock Socket: F-CS, F-CSU(UK/EURO)

d.     Or equivalent clamps.

Note: Consult the corresponding IFU for the products mentioned in the above table.

Sterilization Instruction:

This device is not intended to be sterilized. Equipment damage may occur.

Cleaning and Disinfection Instruction:

WARNING:

  • Do not use bleach or products that contain bleach to clean the device. Injury or equipment damage can occur.
  • After each use, clean the device with alcohol-based wipes.
  • Do not put the device into water. Equipment damage can occur.
  • Use a cloth and a quaternary ammonium disinfecting/cleaning solution to clean and disinfect the device.
  • Read and follow the manufacturer’s recommendation for low-level disinfection.
  • Read and follow the cleaning product’s instructions. Use caution in areas where liquid can get into the mechanism.
  • Wipe the device with a clean, dry cloth.
  • Make sure that the device is dry before you store it or use it again.
    CAUTION: DO NOT IMMERSE PADS IN ANY LIQUID

CAUTION: DO NOT USE BLEACH OR PHENOLICS ON PADS

List of Applicable Standards

Sl. no Standards Description
1. EN 62366-1 Medical devices – Part 1: Application of

usability engineering to medical devices

2.| EN ISO 14971| Medical devices- Application of risk

management to medical devices.

3.| EN 1041| Information supplied by the manufacturer of

medical devices


| ****

EN ISO 15223-1

| Medical devices – Symbols to be used with medical device labels, labelling and information to be supplied – Part 1: General

requirements


| ****

EN ISO 10993-1

| Biological evaluation of medical devices – Part

1: Evaluation and testing within a risk management process


| ****

IEC 60601-2-46

| Medical electrical equipment – Part 2-46:

Particular requirements for the basic safety and essential performance of operating tables

7.| ISTA| International Safe Transit Association standards

for package testing

References

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