Instructions for Use. Air Power Line II. Power tools for endoprosthetics and traumatology.

Transcription

1 Instructions for Use Air Power Line II. Power tools for endoprosthetics and traumatology.

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3 Contents Introduction General information 3 Startup of the Air Power Line system 5 Working with the Air Power Line system 6 Air Reamer/Drill Power Tool 7 Attachments for the Air Reamer/Drill 8 Air Oscillator Power Tool 16 Attaching the saw blades 17 Positioning the saw head 18 Air Reciprocator Power Tool 19 Attaching the saw blades 20 Positioning the saw head 21 Synthes 1

4 Contents Care and Maintenance General information 22 Preparing for disinfection and cleaning 23 Disinfection and cleaning 24 Lubrication 26 Inspection and sterilization 27 Troubleshooting 28 Ordering Information 30 2 Synthes Air Power Line II Instructions for Use

5 Introduction General information Use The Air Power Line is a pneumatically-operated tool system used for endoprosthetics and large bone surgery. To ensure proper operation of the Air Power Line, use only Synthes original accessories. Patient safety The Air Power Line may only be used on patients after the medical personnel have read the instructions. Since it is impossible to fully exclude the possibility of technical problems, always ensure that an alternative system is ready when using a power tool on patients. Use New power tools and their accessories must undergo the entire reprocessing process before being used. Completely remove protective caps and film. Compressed air units may never be operated with oxygen (due to the explosion hazard), only with compressed air or nitrogen. Recommended operating pressure: 6 7 bar (max. 10 bar). Only use Synthes original compressed air hoses. To prevent injury, the power tools must be locked with the safety system during each manipulation. High torque of the powerful Reamer/Drill ( ) must always be observed. Properly operating cutting tools are essential to the success of an operation. For this reason, used tools must be checked for wear and/or damage after each use and be replaced if necessary. For each operation, we recommend using a new Synthes original saw blade. Servicing The life of the equipment can be substantially extended by following the service instructions. For the devices to function properly, Synthes recommends that they be serviced annually by Synthes or by their exclusive sales outlets. Synthes is not responsible for damage arising from improper use or technical service rendered by unauthorized parties. Additional information on the use and for reprocessing of the products can be obtained from the Synthes representative. Please pay special attention to the chapter Care and Maintenance starting on page 22. Responsibility of the user The user of the product is responsible for proper use the equipment during surgery. Explanation of symbols This symbol provides notification of important information. When this symbol is on a device, it refers to important information in the accompanying documents. This symbols indicates that the corresponding unit may not be immersed in liquids. Warranty The warranty for machines and accessories does not cover damage of any kind resulting from improper use, servicing or repairs carried out by unauthorized sites, or use of accessories by third parties. Disposal Please return devices and attachments no longer in use to your local Synthes representative for disposal. Synthes 3

6 Introduction Environmental conditions Operation Transportation and storage Temperature C C Relative humidity 30 75% 10 75% Atmospheric pressure hpa hpa May not be stored or operated in explosive atmospheres. 4 Synthes Air Power Line II Instructions for Use

7 Startup of the Air Power Line system Connecting the compressed air hose to the power tool Attach the hose coupling over the air inlet nipple on the unit up to the stop. The coupling will lock by itself with an audible click. Removing the compressed air hose Pull back the grip ring on the hose coupling until the connection releases. Synthes 5

8 Introduction Working with the Air Power Line system Operating the trigger The trigger smoothly regulates the speed of the air reamer/drill ( ) and the frequency of the air oscillator ( ) and the air reciprocator ( ). Safety system Air Power Line power tools have a safety system that prevents unintentional operation. To lock the trigger, pull it forward according to the marking on the handle and then turn it. To unlock the trigger, twist it in the opposite direction and then push it back. 6 Synthes Air Power Line II Instructions for Use

9 Air Reamer/Drill Power tool Attachment coupling Unlocking ring for attachment coupling Trigger and safety device Air inlet Knob for forward and reverse Reverse operation of the Air Reamer/Drill The Air Reamer/Drill is equipped with a knob for forward and backward. By turning the knob in the indicated direction, the tool switches from forward to reverse or vice versa. Caution Do not switch the direction of rotation while the tool is operating. Use reverse only with tools that are approved for such use. Otherwise the tool may break and cause damage. Technical data Rpm, without attachment: Weight: Air consumption at 6 bar: Recommended operating pressure: Cannulation: Noise level in operating position: rpm 1,100 g max. 380 l/min 6 7 bar (max. 10 bar) 4.0 mm 82 db(a) Handle vibration: < 2.5 m/s 2 Subject to technical modifications. Synthes 7

10 Air Reamer/Drill Attachments for the Air Reamer/Drill Please observe the safety instructions and warnings on the relevant pages when working with attachments. Only use original Synthes attachments and tools. Damage that arises from using attachments and tools by other manufacturers is not covered by the warranty. Mounting the attachments Insert the attachment into the front of the attachment coupling and turn until the positioning pins lock into the grooves of the unlocking ring. Applying slight pressure, turn the attachment clockwise until it has completely locked into position. Check that it is fitted properly by lightly pulling the attachment. Removing the attachments Turn the unlocking ring for the attachment coupling (see page 7) clockwise and remove the attachment. 8 Synthes Air Power Line II Instructions for Use

11 AO/ASIF Quick Coupling ( ) (Speed: rpm) Quick Coupling for DHS/DCS Triple Reamers ( ) (Speed: rpm) AO/ASIF Quick Coupling for Reamer ( ) (Speed: rpm) Hudson Quick Coupling ( ) (Speed: rpm) Hudson Quick Coupling ( ) (Speed: rpm) Trinkle Quick Coupling, modified ( ) (Speed: rpm) Trinkle Quick Coupling, modified ( ) (Speed: rpm) Trinkle Quick Coupling ( ) (Speed: rpm) Trinkle Quick Coupling ( ) (Speed: rpm) Synthes 9

12 Air Reamer/Drill Inserting the tools in the attachments (on page 9) Attaching cutting tools Pull the unlocking sleeve on the attachment backwards (forwards for the DHS/DCS Quick Coupling, ) and completely insert the tool (e.g. drill bit) by lightly turning it. Once the tool is completely locked in place, release the unlocking sleeve. Turn slightly to ensure that the tool is properly locked into the coupling. For the AO/ASIF Quick Coupling ( / ) the tool can be inserted without moving the unlocking sleeve ( click-in ). Removing cutting tools Pull the unlocking sleeve on the attachment backwards (forwards for the DHS/DCS Quick Coupling, ) and remove the tool. Caution: Properly operating tools are essential to the success of an operation. For this reason, used tools must be checked for wear and/or damage after each use and should be replaced if necessary. 10 Synthes Air Power Line II Instructions for Use

13 Quick Coupling for Guide Pins 1.6 to 4.0 mm ( ) (Speed: /min) Load the guide pin and insert into the bone 1. Adjust the adjusting sleeve to fit the diameter of the guide pin to be used. Slightly press the adjusting sleeve axially against the tool and rotate the sleeve. 2. Apply a slight amount of pressure to insert the guide pin from the front or back into the cannulation. The guide pin is held automatically. 3. Adjust the working length by pulling on the guide pin. 4. To fit the guide pin pull the tension lever against the tool. Only pull the tension lever against the tool as much as necessary. The clamping force can be varied by pulling and releasing the clamping lever. 5. Insert the guide pin into the bone. Apply the clamping force as long as the guide pin is advanced. 6. To regrip the guide pin, reduce the clamping force and move the tool to the desired length. Reclamp the guide pin by pulling on the tension lever. The guide pin is removed from the bone analogue as described above. Synthes 11

14 Air Reamer/Drill Drill Chuck with key ( ) (Speed: rpm) Drill Chuck with key ( ) (Speed: rpm) Drill Chuck, keyless ( ) (Speed: rpm) Loading tools into the chuck Drill chuck with key ( , ) Open the clamps of the drill chuck with the key provided ( ): Insert the key into the suitable shaft and turn anti clockwise. Insert the shaft of the tool into the centre of the opened chuck. Close the chuck in reverse order. Ensure that the shaft of the tool is fitted between the centre of the three clamps of the chuck. Turn the key clockwise to tighten. The teeth of the key must be properly seated in the gear of the drill chuck. The teeth of the chuck and of the key must not be worn. Drill Chuck, keyless ( ) Open the clamps manually be holding the retaining ring and turning the securing ring clockwise. Insert the shaft of the tool into the centre of the opened chuck. Lock and tighten the chuck by holding the retaining ring and turning the securing ring clockwise. Ensure that the shaft of the tool is loaded between the centre of the three clamps of the chuck. Caution: Do not allow the tools fitted in the keyless Drill Chuck to rotate backwards, as the Drill Chuck can otherwise open. Use the Drill Chuck with Key for reverse mode ( , ) 12 Synthes Air Power Line II Instructions for Use

15 Removing cutting tools Drill Chuck with key ( , ) Release the chuck by turning the key ( ) anticlockwise and remove the tool. The teeth of the chuck and of the key must not be worn. Universal Drill Chuck, Keyless ( ) Hold the Drill Chuck on the retaining ring and release the securing ring by turning anticlockwise. Remove the tool from the Drill Chuck. Synthes 13

16 Radiolucent Drive ( ) Adapter for Radiolucent Drive ( ) Coupling the Radiolucent Drive to the power tool Attach the Adapter for Radiolucent Drive ( ) to the tool (for information please refer to page 8, mounting the attachments). Push the Radiolucent Drive as far as it will go over the quick coupling and the adapter, and rotate it into the desired working position. Support the drive with your free hand. For removal, follow the same procedure in reverse. Inserting the drill Pull the ring on the attachment forward, and push the drill into the coupling as far as it can go while rotating it slightly. Push the ring on the attachment back to fix the drill. Check if the drill is seated correctly by gently pulling on it. For removal, follow the same procedure in reverse. 14 Synthes Air Power Line II Instructions for Use

17 Using the Radiolucent Drive Before positioning the Radiolucent Drive, align the image intensifier until the distal locking hole of the medullary nail is round and easily visible. After the incision, position the Radiolucent Drive and center the drill bit tip over the locking hole. On the monitor of the image intensifier, you can see both the drill bit and the target rings of the drive. Swing the drive up and center it precisely so that the drill bit appears as a round point and the locking hole is visible around it. The target rings also assist centring. The locking hole can now be drilled directly. Caution Grip the coupled Radiolucent Drive tightly when the power tool is held downward. Only special 3-flute spiral drill bits can be used. Your Synthes representative will be glad to provide you with additional information on which drill bits can be used. Handle the Radiolucent Drive with great care. Do not allow contact between the drill bit and the medullary nail. Depending on the setting of the image intensifier, a zone may appear in the rear of the Radiolucent Drive that is not radiolucent. However, this does not inhibit aiming and working with the device. To protect the gears, the Radiolucent Drive is equipped with a slip clutch that disengages in case of an overload and emits an audible rattling. The following may cause an overload: Correcting the drilling angle when the cutting edges of the drill bit are completely in the bone. Running into the nail with the drill bit. Drilling can continue after making the following corrections: Correcting the drilling angle: Remove the drill bit until the flutes are visible, and restart drilling. Hitting a nail: Remove the drill bit until the flutes are visble, and re-aim the drill bit or exchange the drill bit if necessary. Synthes 15

18 Air Oscillator Power Tool Locking knob for the saw blade quick coupling Sliding sleeve for positioning the saw head Trigger and safety device Air inlet Technical data Continuously adjustable frequency: Weight: Air consumption at 6 bar: /min 1,200 g max. 380 l/min Recommended operating pressure: Saw blade deflection: bar (max. 10 bar) Noise level in operating position: 83.1 db(a) Handle vibration: < 2.5 m/s 2 Subject to technical modifications. 16 Synthes Air Power Line II Instructions for Use

19 Attaching the saw blades Only use original Synthes saw blades. This are optimally tailored to the tool. Imitation products can reduce the life of the saw blade coupling. Mounting the saw blades Open the quick coupling for saw blades by turning the locking knob (Fig. page 16) counter clockwise. Use a slight amount of pressure to slide the saw blade against the screw head and turn it to the desired position. Lock the saw blade coupling by tightening the locking knob clockwise. Note: Make sure that the locking knob for the saw blade quick coupling is firmly tightened. Otherwise the screw can loosen during use causing the saw blade to vibrate. Removing the saw blade Open the quick coupling for saw blades by turning the locking knob (Fig. page 16) counter clockwise, and remove the saw blade. Synthes 17

20 Air Oscillator Positioning the saw head The saw head can be locked in eight operating positions (8 45 ). To choose the operating working position, pull the sliding sleeve backwards and rotate the saw head into the required position. Release the sliding sleeve. It will lock automatically as soon as the correct position is reached. 18 Synthes Air Power Line II Instructions for Use

21 Air Reciprocator Power Tool Click-in saw blade coupling Sliding sleeve for positioning the saw blade Trigger and safety device Air inlet Technical data Continuously adjustable frequency: Weight: Air consumption at 6 bar: Recommended operating pressure: Stroke: Recommended operating pressure: /min 1,060 g max. 380 l/min 6 7 bar (max. 10 bar) 4 mm 86.1 db(a) Handle vibration: < 2.5 m/s 2 Subject to technical modifications. Synthes 19

22 Air Reciprocator Attaching the saw blades Only use original Synthes saw blades. This are optimally tailored to the tool. Imitation products can reduce the life of the saw blade coupling. Mounting the saw blades Insert the saw blade into the guide slot of the saw blade coupling until the lock knob springs back into locked position with a click. Check the correct seating of the saw blade by pulling it slightly forward in an axial direction. Removing the saw blade Turn the lock knob in the direction of the arrow until the saw blade jumps forward approx. 1 mm. Remove the saw blade from the holder. 20 Synthes Air Power Line II Instructions for Use

23 Positioning the saw head The saw head can be locked in eight operating positions (8 45 ). To choose the operating working position, pull the sliding sleeve backwards and rotate the saw head into the required position. Release the sliding sleeve. It will lock automatically as soon as the correct position is reached. Synthes 21

24 Care and Maintenance General information Regular care and servicing according to the instructions for use (DIN EN ISO 17664) can substantially increase the reliability and life of the system components. Synthes recommends annual servicing and inspection by the original manufacturer or its exclusive sales outlets. The manufacturer assumes no warranty for damages arising from improper use or unauthorized servicing. If not stated otherwise, the following reprocessing steps apply to the all the products of the Synthes Air Power Line. Detergents used on the products will contact the following materials: Stainless steel, aluminum, plastic, and rubber seals. Warning Cannulations, unlocking sleeves and other narrow sites require special attention during reprocessing Using detergents with a ph above 11.0 can reduce the life of the products. Lubricate regularly with Synthes special oil especially when machine cleaning is used wear is reduced, and the life is substantially extended Restriction regarding reprocessing Frequent reprocessing according to the instructions does not have a great effect on the unit and attachments. The expiration of the product s service life is normally determined by wear and damage from use and can be identified in a timely manner through annual servicing. Synthes always recommends that cutting tools such as saw blades be only used once to ensure optimum patient treatment. 22 Synthes Air Power Line II Instructions for Use

25 Preparing for cleaning and disinfection In the operation room Remove surface soiling with a disposable cloth or paper towel. Storage and transport No special requirements. We recommend that instruments be reprocessed immediately after they are used. Preparation for cleaning Preparation for cleaning should immediately follow after each use. The unit and attachments may not be immersed. Make sure that no cleaning solution enters the unit s air inlet (Fig. 4). Do not use pointed objects for cleaning. When cleaning the unit, do not insert objects into the inlet and outlet holes for the air connector since this would damage the microfilter (Fig. 4). Before disinfection and cleaning, all attachments and instruments must be removed from the unit. The unlocking ring (page 7 ), the trigger and sliding sleeve (Fig. 1), the knob for forward and reverse (Fig. 2) and the locking knob for the saw blade coupling (Fig. 3) must all be free of residue so that they can move freely Synthes 23

26 Care and maintenance Cleaning and disinfection Manual cleaning and disinfecting 1. Remove visible residue with a blunt tweezers and/or a cloth, and rinse the power tool and accessories under running water (Fig. 5). 2. Make sure that no liquids enter the air inlet. 3. Wipe off and/or spray with disinfectant, and let the dis - infectant work (follow the instructions of the disinfectant manufacturer). 4. Clean and disinfect the cannulations with the cleaning brush ( ) (Fig. 6). 5. Under running water, clean all the sides of the saw blade coupling including the positioning pins, the locking knob for the saw blade quick coupling, and the sliding sleeve for positioning the saw head of the oscillator. 6. Also clean the saw blade locking knob and the sliding sleeve for positioning the saw head of the reciprocator with a soft brush under running water. 7. Rinse under (demineralized) running water, and free it from residues with a soft brush or cloth. 8. Wipe the tool and accessories with an absorbent cloth to dry it Synthes Air Power Line II Instructions for Use

27 Automated cleaning and disinfecting (Validated with Miele G 7735 CD, program: Vario TD; detergent: Neodisher Mediclean) 1. Plug the air connector of the drive unit with the seal nipple ( ). 2. Seal the air hoses with the Synthes coupling by joining the inlet and outlet. 3. Use sealing nipples ( , or ) to close air hoses that have Dräger and BOC/Schrader couplings. 4. Manually preclean critical sites such as cannulations, unlocking sleeves and other difficult-to-access locations, as per description in Manual cleaning and disinfecting. 5. Arrange the products in the washer so that nothing is blocked from being rinsed and the water can optimally run off. 6. Select a washing program with thermal disinfection at 93 C in the last program step 7. Prewash with cold water 8. Wash with detergent according to the instructions of the detergent manufacturer 9. Rinse with tap water and then with cold demineralized water 10. Thermally disinfect with demineralized water at Dry with hot air at Upon removing the instruments, remove the seal nipple and inspect the cannulations, coupling sleeves, etc. for visible soiling. If necessary, repeat the cycle or clean manually. Caution For machine cleaning, also consult the brochure Synthes Power Tools Machine Washing Recommendations ( ). Power tools (especially seals and bearings) are exposed to greater stress in machine washing than when they are cleaned manually. For this reason, power tools must be regularly sent to be serviced (at least once per year) when they are machine washed Other cleaning and disinfecting methods are possible: Have a trained expert check the effectiveness of all methods under local conditions. Other detergents and disinfectants are possible: Clarify the material compatibility and effectiveness beforehand with the detergent or disinfectant manufacturer. Synthes 25

28 Care and maintenance Lubrication Oiling the power tools After each use, apply around 5 drops of the Synthes special oil (oil dispenser ) into the air inlet of the cleaned power tool (Fig. 1). Connect the power tool to a double hose using the lubrication adapter ( ) (Fig. 2). Wrap gauze or a cloth around the hose coupling to absorb the exiting oil. Run the power tool for approximately 20 seconds. If dirty oil exits, the process must be repeated. Make sure that the unlocking ring (Page 7 ), the trigger and sliding sleeve (Page 23/1), the forward and reverse knob (Page 23/2) and the saw blade coupling (Page 23/3, top arrow) are lubricated after each use. 1 Oiling the attachments After each use, oil the rings on all the cleaned attachments and the jaws of the cleaned drill chuck with 1 2 drops of Synthes special oil (Fig. 3). Distribute the oil by moving the parts, and remove excess oil with a cloth. Please note: Power tools and accessories may only be lubricated with Synthes special oil ( ). The composition of the vapor-permeable and biocompatible oil is optimized for the specific requirements of the power tools. Lubricants with other compositions can cause the power tools to jam and be toxic. Only lubricate the power tools and attachments when clean. Compressed air hoses should never contact oil. When lubricating, never use a double hose without the lubrication adapter ( ) since leaking oil could otherwise damage the hose Synthes Air Power Line II Instructions for Use

29 Inspection and sterilization Inspection and function test Visually inspect for damage and wear. Check the power tool controls for smooth operation and function. Check the coupling and unlocking sleeves of the power tools and attachments for smooth operation, and check for function together with instruments such as cutting tools. Packaging We recommend the Synthes Vario Case ( ) or trays in combination with double-layer sterile paper. Sterile containers can also be used. Please follow the manufacturer s instructions. Pack the hoses separately since contact with hot metal can damage the plastic. Do not join the hose ends for sterili - zation or remove the sealing nipples. Sterilization (Validated with AD Linden 3/3/6 DECE) For sterilization, we recommend a fractionated prevacuum method with the following parameters: Temperature: 134 C Plateau time: 5 minutes Programs with a longer plateau time are also possible. Drying: 20 minutes at 110 C After sterilization, the power tools may only be used when they have cooled to room temperature. Cooling may not be accelerated. Only in emergencies may a largely cooled power tool be connected to the compressed air and fully cooled by being purged with air. Set the drying time to ensure that all components are dry when the sterilization cycle is complete and there is no residual moisture in the sterilization container. Residual moisture can affect the function, particularly in the case of handpieces, and can lead to product failure. Caution The following maximum values may not be exceeded: 143 C over a maximum of 22 minutes. Higher values can damage the sterilized products. Hot air sterilization, ethylene oxide and formaldehyde sterilization are not suitable for reasons of material incompatibility. Other sterilization methods are possible. Have a trained expert check the effectiveness of all sterilization methods under local conditions. Handles, attachments and accessories must be unconnected for sterilization. Storage No special requirements. Follow the instructions of the sterile paper and sterile container manufacturers. Contact Please consult the local Synthes representative if you need any additional information. Synthes 27

30 Troubleshooting Problem Possible causes Remedy Power tools do not enough power. Power tool continues to operate after releasing the trigger. Trigger is blocked. Air Reamer/Drill does not start. Operating pressure is too low. Microfilter is blocked. Air inlet is blocked. Hose is too long. Hose coupling is defective. Central air system is blocked The trigger is blocked by deposits of blood, etc. Safety system is activated. Compressed air motor is blocked from not operating for a long time. Set operating pressure on pressure regulator to 6 7 bar overpressure. Exchange microfilter in the central air supply. Remove particles from the air inlet with tweezers. Do not use sharp objects for this. Check that the entire length of the hose does not exceed 8 m. Check wall and power tool hose couplings for leaks. Have someone check the central air system. Press trigger several times; clean and oil according to instructions. Use only Synthes Special Oil (Oil Dispenser ). Unlock the power tool by turning and pushing the trigger according to the markings on the power tool. Lock the power tool. Rotate the un - locking sleeve by hand without pressing the trigger. Release the lock and run the machine. 28 Synthes Air Power Line II Instructions for Use

31 Problem Possible causes Remedy Attachments cannot be coupled to the Air Reamer/Drill. Tool cannot be coupled. Bone and tool heat up during surgery.. Oscillating saw vibrates too much. Attachment coupling and/or unlocking sleeve are blocked. Coupling geometry of the tool has changed due to wear. The tool blades are blunt. The saw blade has come loose. Lock the power tool. Remove particles with a tweezer. Do not use sharp objects for this. If necessary, clean and oil the power tool and move the moving parts a few times. Exchange the tool, or send it to your local Synthes service center. Replace the tool. Tighten the fixation knob for the saw blade quick coupling more firmly. For further technical questions or information on our services, please contact your Synthes representative. Synthes 29

32 Ordering information Power Tools Air Reamer/Drill II Air Oscillator Air Reciprocator Attachments AO/ASIF Quick Coupling for Reamers, for Power Line AO/ASIF Quick Coupling, for Power Line Quick Coupling for DHS/DCS Triple Reamers, for Power Line Drill Chuck (930 1/min), with Key, for Power Line Drill Chuck (340 1/min), with Key, for Power Line Spare Key, for Nos , , and Drill Chuck, keyless, for Power Line Quick Coupling for Guide Pins 1.5 to 4.0 mm Hudson Quick Coupling (340 1/min), for Power Line Hudson Quick Coupling (930 1/min), for Power Line Trinkle Quick Coupling (340 1/min), modified, for Power Line Trinkle Quick Coupling (930 1/min), modified, for Power Line Trinkle Quick Coupling (340 1/min), for Power Line Trinkle Quick Coupling (930 1/min), for Power Line Adapter for RDL for Power Line Radiolucent Drive Standard saw blades for traumatology Art. No. Art. No. Usable Width Cut thickness packaged non-sterile packaged sterile length mm mm mm S S S S S S S S S S S S S Aggressive saw blades for prosthetics Art. No. Art. No. Usable length Width Thickness of non-sterile sterile in mm in mm cut in mm S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S Synthes Air Power Line II Instructions for Use

33 Reciprocating saw blades Art. No. Art. No. Usable length Width Thickness of non-sterile sterile in mm in mm cut in mm S S S S ** S * S * * * * Drill Bits, 3-flute, for Radiolucent Drive Art. No. Art. No. Diameter Usable length non-sterile sterile in mm in mm S 2,0 with centering tip S 2,5 with centering tip S 2,7 with centering tip S 3,2 with centering tip S 3,5 with centering tip S 3,6 with centering tip S 4,0 with centering tip S 4,5 with centering tip S 5,5 with centering tip S 3,2 with centering tip S 4,0 with centering tip 80 Air hoses Wall coupling AO/ASIF Dräger BOC/Schrader Double air hose 3 m Double air hose 5 m Double spiral air hose Spiral air hose Accessories Cleaning brush for APL II / BPL / TRS Oil dispenser with Synthes special oil Lubrication adapter, for SYNTHES compressed air units Seal Nipple for BOC/Schrader Double Air Hoses, silver Seal Nipple for BOC/Schrader Double Air Hoses, beige Seal Nipple for Compact Air Drive and for Dräger Double Air Hoses Vario Case, size 171, height 88 mm, for Air Power Line II, without lid, without contents Insert, size 1/2 for Reciprocator, for Vario Case No Lid (stainless steel), size 1/1, for Vario Case * Teeth on both sides ** Top for sternum for reciprocating saw attachment For detailed information please contact your Synthes representative. Subject to technical modifications. Synthes 31

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36 / Synthes, Inc. or its affiliates Subject to modification Synthes and DHS/DCS are trademarks of Synthes, Inc. or its affiliates All technique guides are available as PDF files at Ö öAC1fä version AC rev. 1