Midas IPC

Integrated Power Console
Model EC 300
User’s Guide
Rx Only
MEDTRONIC XOMED INC.
6743 Southpoint Drive North
Jacksonville, FL 32216
™ are trademarks and ® are registered marks of Medtronic Xomed, Inc.

Midas Rex® Legend EHS® motor, Midas Rex® Legend EHS Stylus™ motor and the Mednext® are trademarks and registered marks of Medtronic, Inc.
Jacobs Chuck® is a registered mark of Jacobs Chuck Manufacturing Company
Released documents are available for viewing/printing @ www.medtronicENT-TechComms.com
The information contained in this document was accurate at time of publication. Medtronic reserves the right to make changes in the product
described in this manual without notice and without incorporating those changes in any products already sold.
Contents
Warnings and Precautions............................4 Straightshot® Magnum® II, and Installing Attachments.................................... 33
Warnings........................................................... 4 Straightshot® III................................................ 19 Straight Attachment . ................................ 33
System Warnings........................................ 4 Blade Position and Finger Wheel, Attachments, Midas Rex® Legend EHS® , Midas
Component Warnings............................... 4 Straightshot® M4 and SC1............................... 19 Rex® Legend EHS Stylus® , and Midas Rex®
Disposable Warnings................................. 4 Blades........................................................... 19 Legend EHS® Stylus Touch™.........................33
Precautions....................................................... 5 StraightShot® M4 and Midas Rex® sc1 Angled Attachments........................................ 34
Symbols..........................................................6 Blade or bur installation.................................. 19 To Install Angled Attachment:................. 34
Buttons and Indicators..................................7 Tubing (Straightshot® M4, and the Midas Irrigation Clip (Straight Bur)......................... 34
List used in Manual.......................................8 Rex® SC1).......................................................... 19 Fixed Footed Attachment............................... 34
Definitions ....................................................8 Strightshot® and Midas Rex® SC1 To Install:..................................................... 34
When The System Arrives.............................8 Handpieces....................................................19 To Remove:.................................................. 35
Unpacking and Inspection.............................. 8 Technical Specifications.................................. 20 Rotating Footed Attachment.......................... 35
System Description........................................8 StraightShot® M4 Microdebrider Contra-Angle Attachment 16-MF . .............. 35
Intended Use / Indications for use................8 Part No. 1898200T..................................... 20 To Install Tool:............................................ 35
Contraindications.........................................8 Midas Rex® SC1 Part No. ED100.............. 20 To Install Contra-Angle Attachment:...... 35
Sales And Customer Care..............................8 Straightshot® Magnum® Ii and Metal-cutting Attachment.............................. 35
Medtronic Powered Surgical Solutions... 8 Straightshot® Iii................................................ 20 To Install Tool:............................................ 35
U.S. Help Line............................................. 8 Blade installation........................................ 20 To Install Metal-cutting Attachment to
International Service.................................. 8 Tubing.......................................................... 20 motor:.......................................................... 35
Console..........................................................8 Technical Specifications.................................. 20 Variable-Exposure attachment....................... 35
Console Front................................................... 8 Straightshot® Magnum® II, Part No. To Install Variable-Exposure
System Description........................................8 1897200 Straightshot® III Attachment to motor................................. 35
Connector Panel Cable Connection.............. 9 Part No. 1897201........................................ 20 To Adjust the Variable-Exposure
Cable to console connection red/silver Reprocessing Instructions Strightshot® and Attachment.................................................. 35
dot................................................................. 9 Midas Rex® SC1..............................................21 Cleaning............................................................ 35
Cable to console connection without Visao® Set-Up.................................................22 Telescoping Attachment AT10....................... 36
dot................................................................. 9 Visao® Touch Screen........................................ 23 Telescoping-Base Attachment.................. 36
Connector Panel Cable Disconnection Visao® Pump Screen........................................ 23 To Install Base to Motor............................ 36
(multi pin)......................................................... 9 STIM Bur Guard ............................................. 23 To Install Straight Telescoping Tube
To remove Midas Rex® Legend EHS® Visao® Bur Guards........................................... 23 and Tool to Base Attachment.................... 36
Motor and Legend EHS Stylus® Motor, Visao® Bur Guard Installation........................ 23 Install Curved Bur into Base
cable from motor or console:.................... 9 Visao® Straight Tool Installation.................... 23 Attachment.................................................. 36
To remove Midas Rex® Legend EHS Visao® Notch Alignment and Curved Tool Curved Bur Cooling........................................ 36
Stylus® cable from console:........................ 9 Installation........................................................ 24 Perforator Attachments (AD01 & AD03)..... 37
To remove cables (multi pin) with Visao® Tubing................................................... 24 Maximum Speed........................................ 37
silicone insulating boots:........................... 9 Visao® Motor Coolant Tubing................... 24 To Install Perforator-Driver Attachment to
Cable disconnection (single pin)............. 9 Visao® Bur Guard Irrigation Tubing Motor:.......................................................... 37
Console Rear.................................................... 9 Instructions....................................................... 24 To Install a Cranial Perforator Device
Power Cords..................................................... 9 Visao® Curved Tool Irrigation........................ 24 with a Hudson shank................................. 37
Console Pump Designator.............................. 10 Visao® Technical Specifications...................... 24 To Remove:.................................................. 37
Pump Cartridge Set-Up.................................. 10 Visao® High-Speed Drill Part No. Jacobs® Chuck Attachment............................. 37
Standard Pump Set-Up.............................. 10 3334800........................................................ 24 To install Jacobs® Chuck Attachment to
Tips on Standard Pump Set-Up............... 10 Reprocessing Instructions Visao® ................25 motor:.......................................................... 37
Pump Default Table......................................... 10 Midas Rex® Legend EHS® Set-Up..................26 To Remove:.................................................. 37
Pump sharing M4 (1 or 2) and Stylus........... 10 Legend EHS® Touch Screen............................ 26 Reprocessing Instructions Attachments.......38
Tubing and Cable Management..................... 10 Legend EHS® Pump Screen............................ 26 Reprocessing Instructions Surgical Burs .....39
Console Pump Basics....................................10 Midas Rex® Legend EHS® Motor.............. 26 Skeeter® Touch Screen..................................... 40
Console Specifications..................................... 11 Legend EHS® Motor Cable........................ 26 Skeeter® Pump Screen..................................... 40
Audio – Understanding What You Hear...... 11 Midas Rex® Legend EHS® and Midas Rex® Skeeter® Ultra-Lite Oto-Tool Set-Up............. 40
Audible Alarm............................................ 11 Legend EHS® Stylus Set-Up..........................26 Technical Specifications.................................. 40
Audible Tones............................................. 11 Connect Midas Rex® Legend EHS® Skeeter® Ultra-Lite Oto-Tool Part No.
Multifunction Foot Control Unit (FCU)...... 11 Motor and Legend EHS® Stylus Motor, 3055601 ...................................................... 40
Buttons and Pedal....................................... 11 Cable............................................................ 27 Skeeter® Set-Up..............................................40
Cleaning............................................................ 11 Technical Specifications.................................. 27 Reprocessing Instructions Skeeter®
IntelliFlow Irrigation Remote Control.......... 11 Legend EHS® Motor Part No. EM100-A.27 Oto-flex Burs.................................................41
Console Supplement.....................................11 Legend EHS® Stylus Set-Up...........................28 Reprocessing Instructions Skeeter® -
Splash Screen.................................................... 12 Stylus, Touch Screen........................................ 28 Handpiece......................................................42
Settings Screen................................................. 12 Stylus, Pump Screen........................................ 28 Reprocessing Instructions Manual Surgical
Handpiece Default Settings Table.................. 12 Technical Specifications.................................. 28 Instruments...................................................43
Console Screen..............................................12 Legend EHS Stylus® Motor Part No. Reprocessing Instructions United
Connect Handpiece/Footswitch Screen........ 13 EM200.......................................................... 28 Kingdom & Europe.......................................44
Console Set-Up Instructions.......................... 13 Reprocessing Instructions Midas Rex® Troubleshooting Guide.................................45
Endo-Scrub® 2 ................................................. 14 Legend EHS® and Midas Rex® Legend IPC® and Foot Control Unit........................... 45
Endo-Scrub® 2 Footswitch / EHS Stylus® ...................................................29 Non EHS Blades or Burs................................. 46
Finger Switch.............................................. 14 Stylus Touch™, Touch Screen.......................... 30 Midas Rex® Legend EHS® motors.................. 46
Endo-Scrub® 2 Assembly........................... 14 Stylus Touch™, Pump Screen.......................... 30 Midas Rex® Legend EHS® Stylus Touch™
Special Function Panel - Endo-Scrub® 2.......14 Midas Rex® Legend EHS® Stylus Touch™ motors............................................................... 46
Reprocessing Instructions Finger Switch.....15 Set-Up............................................................30 Midas Rex® Legend EHS®Attachments or
Suction Irrigator............................................... 16 Midas Rex® Legend EHS® Stylus Touch™ Telescoping Tubes............................................ 47
Suction irrigator handpiece...................... 16 Motor ............................................................31 Midas Rex® Legend EHS® Tools..................... 47
Suction Irrigator Adapter Kit.................... 16 To Rotate the Finger Lever............................. 31 Error Codes...................................................48
Special Function Panel - Suction Irrigator...16 Technical Specifications................................. 31 Guidance and Manufacturer’s Declaration –
SC1 Touch Screen............................................ 17 Reprocessing Instructions Midas Rex® Electromagnetic Immunity ..........................49
SC1 Pump Screen............................................. 17 Legend EHS Stylus® Touch............................32 Part I.................................................................. 49
Midas Rex® SC1 Set-Up.................................17 Midas Rex® Legend EHS® Stylus Touch™ Part II................................................................. 50
Straightshot® M4 Touch Screen...................... 18 Motor................................................................. 32 Limited Warranty..........................................51
Straightshot® M4 Pump Screen...................... 18 Midas Rex® Attachments................................. 33 Medtronic IPC® System................................... 51
Strightshot® Microdebriders Set-Up.............18 Motor Collet .............................................. 33 Limited Warranty............................................. 51
Midas Rex® SC1, Straightshot® M4, Medtronic Powered Surgical Solutions For Items Contaminated With TSE Agents .51
Tool Nomenclature.................................... 33
Integrated Power Console 3
Warnings and Precautions
It is important that the IPC® operator be familiar with this manual: W21 When precise location of blade tip is required, engage the rotation
it’s Warnings, Precautions, procedures and safety issues. Three labels lock on the handpiece, then calibrate and verify the blade tip on
are used in this manual to identify important concerns, conditions, or Image Guided Surgery (IGS) system. Always lock M4 handpiece
procedures: when driving non-rotatable blades to maintain their IGS
Warnings: Describes serious adverse reactions and potential safety calibration.
hazards that can occur during the proper or improper use W22 Employ visualization, including use of imaging techniques (e.g.,
of a device. fluoroscopy, image guided surgery) when using rotating powered
Precautions: Any special care to be exercised by a practitioner or accessories. Discontinue powered application in the event of lack
patient for the safe and effective use of the device. of visualization of surgical site.
Note: Identifies special information or to clarify/emphasize W23 Midas Rex® Variable Exposure attachments
important instructions. Surgeons should familiarize themselves with the performance of
Warnings dissecting tools before use, and should explore the effect of various
levels of tool exposure on dissection stability. If the tool exhibits
System Warnings excessive chatter, vibration, or movement, decrease the tool
W1 It is important that the IPC® operator be familiar with the system exposure.
User’s Guide, its precautions, procedures and safety issues. W24 Motors and attachments may fail due to extended use and allow
W2 Do not use the IPC® System in the presence of flammable a component to detach and fall from the motor or attachment,
anesthetics. Avoid potential ignition or explosion of gases causing patient injury.
W3 When not operating handpiece, eliminate accidental foot control W25 Electrical contacts must be dry prior to use.
activation. Control energy to and through the handpiece to prevent
unintended tissue, bone, or nerve resection. W26 Heavy side loads and/or long operating periods may cause the
W4 Disconnect power to the IPC® before cleaning the unit to avoid device to overheat.
electrical macro shock. W27 Do not use an overheated device, as it may cause thermal injury to
the patient or operator.
W5 Do not attach unapproved components to the IPC® to avoid
electrical macro shock. W28 Use adequate irrigation. The use of a tool without irrigation may
cause an inordinate amount of heat buildup resulting in a thermal
W6 To avoid the risk of electrical shock, achieve electrical grounding injury to tissue. Depending on the amount of irrigation used, the
reliability with proper connections. Connect the IPC® to hospital drill bits can achieve temperatures in excess of 50° C.
grade receptacles only.
W29 Do not attempt to change a dissecting tool or attachment while
W7 This medical device complies with EN60601-1-2 safety standard the motor is running, or when the motor or attachment is in an
for electromagnetic compatibility, requirements and test. However, overheated state.
if this equipment is operated in the presence of high levels of
electromagnetic interference (EMI) or highly sensitive equipment, W30 Do not immerse the system components.
interference may be encountered and the user should take W31 Do not place motor, attachment and tool on the patient or in an
whatever steps are necessary to eliminate or reduce the source of unsecured location during surgery.
the interference. Diminished performance may lengthen operating W32 A system that is not functioning properly should not be used
time for anesthetized patient. until all necessary repairs have been made and the unit is tested
W8 Medical Electrical Equipment needs special Precautions regarding to ensure that it is functioning in accordance with Medtronic
EMC and needs to be installed and put into service according to specifications.
the EMC information provided in this Guide. W33 Match the nomenclature and color code on the tool packaging to
W9 Portable and mobile RF communications equipment can affect the same nomenclature and color code on the Attachment.
Medical Electrical Equipment. W34 Make sure that the attachment is still in the locked position after
W10 Do not operate the IPC® System in the presence of Magnetic each adjustment of the tool exposure, as attempting to increase the
Resonance Imaging devices. tool exposure too far, may result in the attachment accidentally
W11 Use of accessories and cables other than those specified and sold being unlocked.
by Medtronic may result in increased emissions and decreased W35 Midas Rex® Legend EHS® Motor and Midas Rex® Legend EHS®
immunity of this unit. Stylus Motor should only be operated when the attachment is in
W12 The IPC® should not be used adjacent to or stacked with other the locked position.
equipment. If adjacent or stacked use is necessary, the IPC® should W36 Smoke may be generated if attachment is not in the locked
be observed to verify normal operation in the configuration in position.
which it will be used. W37 The Legend EHS® motors will not run properly unless the
W13 Do not attempt to run the IPC® System handpiece immediately attachment is in the locked position.
after autoclaving. Allow an adequate “cool down” period (Typically W38 DO NOT change accessory with handpiece running to prevent
1 hour). laceration of user and cross-contamination through compromised
W14 Consult the Legend® Bone Mill product insert before use with the glove.
Integrated Power Console™. W39 Remove Legend® Footed Attachments cautiously and slowly as per
W15 For metal transection, observe the following safety precautions: instructions to avoid injury to the operator.
W 15a Eye wear protection is essential. W40 DO NOT modify accessories used with the handpiece.
W 15b Irrigate well to cool the cutting surfaces. Performance could be diminished with modified accessories.
W 15c Protect the wound site from metal debris. W41 The safe use of the Endo-Scrub® 2 System in procedures
where surgical lasers are also employed has not been clinically
W 15d Use a clamp or grasping device to control loose fragments demonstrated.
during transection of any metal component.
W42 In order to ensure compliance with requirements of IEC 60601-1,
W16 Do not operate the IPC® System without eye protection. use a Medtronic approved power cable
W17 All service must be performed by Medtronic qualified personnel W43 To avoid the risk of electric shock, this equipment must only be
only. connected to a supply main with protective earth.
W18 Repair and/or modification to the IPC® by anyone other than
qualified service personnel may significantly compromise the unit’s W44 Keep NIM® Muting Probe cable away from IPC® system cables.
ability to perform effectively and/or void the equipment warranty. Disposable Warnings
Component Warnings W45 Verify reusable device was sterilized prior to use. If not sterilized,
W19 Do not use any parts other than Medtronic system components as do not use.
damage or substandard performance could result. W46 Tools are available for resection of soft tissue and bone for surgical
W20 Always inspect the components before and after use for any procedures. Use of tools depends on the intended application and
damage. If damage is observed, do not use damaged part until it is patient needs. Sharp-cutting powered tools induce bleeding and
repaired or replaced. Damaged parts may deposit metal shavings removal of significant tissue and bone.
on surgical site. W47 Use methods at the operative site to control bleeding that do not
compromise patient safety during at-risk surgery.
W48 Always keep the cutting tip of the tool away from fingers and
loose clothing. Prevent laceration of user and cross-contamination
through compromised glove.
4 Integrated Power Console

Warnings and Precautions
W49 Operate the tool only after the appropriate anatomical landmarks W80 Sterilize and dry reusable device before storing the system.
and the intended surgical site have been confirmed. Decrease likelihood of cross-contamination with timely
W50 Use care in application of the moving cutting end to only sterilization.
appropriate anatomical landmarks and the intended surgical site W81 After each procedure, properly clean all reusable system
when using powered accessories. components.
W51 Insertion of metal objects in accessory tip may cause the accessory W82 Auxiliary Power Outlet with protective cover is for use with the
to break leaving fragments in the wound. The fragments may be Hydrodebrider™, or Bone Mill consoles only.
difficult to remove, causing irritation, inflammation and foreign- W83 Place Stylus Touch™ in safe mode while not in use.
body response at surgical site. W84 Do not place Stylus Touch™ handpiece in the proximity of magnetic
W52 Bending or prying may break the accessory, causing harm to field, such as magnetic drape and MRI equipment, to avoid
patient or staff. inadvertent handpiece activation.
W53 Do not use excessive force to pry or push bone with the attachment W85 Do not apply excessive side loading. Excessive side loading could
or tool during dissection. cause angled attachments to unlock accidentally from motor.
W54 A tool’s size and geometry may create excessive vibration at certain
speeds. Increase or decrease speed on console. Change to a new Precautions
tool to prevent unintended tissue removal from patient. P1 PRIME/FLUSH Priming is a feature designed to purge air out
W55 Test for wobble at desired speed prior to use. Discontinue use of of the tubing set(s) during setup. The first time a Prime or Flush
accessory if tip begins to wobble and replace accessory to prevent button is pressed it will turn on pump 1 and/or 2 long enough to
unintended tissue removal from patient. purge air out of the tubing set(s). Turning power Off and On resets
W56 Eccentricity of the tool can cause tool vibration and may result in the PRIME feature. Once pressed all Prime buttons will change to
excess tissue and bone destruction and hearing damage. Flush buttons.
W57 Excessive noise from the tool when drilling close to the cochlea or P2 To prevent damage to curved tools, disconnect suction tube prior
ossicular chain may cause hearing damage. to changing tool during procedure.
W58 CONSULT the cranial perforator device labeling for the P3 When using an angled attachment, hold the handpiece assembly
recommended speed specifications. by the attachment so that the attachment does not inadvertently
W59 Tools with “L” identification are longer tools intended for light loosen from the handpiece.
bone dissection. The increased tool head/stem configuration may P4 For Legend tools only:
affect dissection stability. If a tool package is opened, but the tool is not used or
W60 Tool flutes are sharp and may perforate surgical gloves. Tools may contaminated, the tool can be re-sterilized. Remove tool from
be grasped with a hemostat to aid in installation and removal. original packaging and place into an approved autoclave package.
W61 DO NOT attempt to resharpen used tools. Worn tools should be Steam sterilize as follows:
replaced with new ones frequently to ensure effective cutting and
control. High-Vacuum Steam 132°C for 5 minutes
W62 Carefully inspect tool both prior to and following each use for Gravity Displacement 132°C for 15 minutes
signs of excessive wear, fragmentation, eccentricities or other The re-sterilized tool must be used promptly following re-
defects. Replace any suspicious tools with a new one prior to use. sterilization. If rust or corrosion is encountered after re-
W63 Excessive pressure applied to bur may cause bur fracture. Should sterilization, do not use the re-sterilized tool.
a tool fracture in use, extreme care must be exercised to ensure P5 DO NOT run the 16-MF attachment with operating speed above
that all fragments of the tool are retrieved and removed from the 62,000 rpm. This may cause over heating and damage to internal
patient. Unremoved tool fragments may cause tissue damage to the gears of attachment.
patient. P6 DO NOT use twist drill or Contra-Angle tool at an operating
W64 Do not use metal-cutting tools on bone. speed over 62,000 rpm.
W65 Use only rotary tools specifically designed for use with this drill P7 Do not attempt to disconnect the cable from the Midas Rex®
system. Legend EHS® Stylus Motor.
W66 When using non-rotatable tools, ensure rotation lock is engaged to P8 Do not kink cables. Inspect cables and pins for cracks, tears or
prevent inadvertent rotation. corrosion.
W67 The use of powered reciprocating instruments may result in P9 Do not use anti-fog on scope or sheath, as weeping or leaking may
vibration \ related injury. result.
W68 Powered blades should be operated in the oscillate mode only. P10 Disconnect cable from Midas Rex® Legend EHS® motor prior to
Operating in the forward mode may cause damage to the blade. sterilization.
W69 Do not attempt to sterilize disposable devices. The disposables P11 The use of a washer-disinfector for cleaning may cause a pre-
are packed sterile and are not intended for repeat use. To prevent mature degradation in performance.
contamination, use only once. P12 Remove devices from instrument case before placing into washer
W70 Any tubing or other tip protectors used during shipping must be disinfector and allow devices to drain.
removed prior to cleaning and sterilization. P13 Orient devices in the washer-disinfector by following manufacturer
W71 Do not use accessory if package is opened or damaged. Broken seal recommendations
offers no protection against cross-contamination. P14 DO NOT use low-temperature hydrogen peroxide gas plasma
W72 Properly dispose of single-use devices removed from sterile sterilization due to the lumen internal diameter and length
packages. Devices lose sterility upon removal from packaging. restrictions.
W73 Do not use dull, damaged or bent tools. Use of dull tools P15 DO NOT use low-temperature liquid peracetic acid sterilization
can reduce handpiece effectiveness and cause the handpiece due to immersion procedure.
temperature to increase. P16 DO NOT steam or EO sterilize the Legend® Attachment Cleaning
W74 T&A Blades: Gently remove the inner tube from the outer tube. Nozzle.
The inner tube may elongate upon removal from the outer tube. P17 Remove and discard accessories following local regulations for
If this occurs, the inner tube may not lock properly into the proper disposal of contaminated materials.
handpiece or the blade may not work properly. P18 Disposable devices are for single-use only.
W75 T&A Blades: Rotate the inner tube when removing and inserting it P19 Clean the motor and cable while still connected together. This will
in the outer tubes to prevent damage to the internal seal. If the seal help to reduce ingress of debris.
is damaged, the blade will leak at the handpiece. P20 Use ONLY recommended cleaning agents
W76 Always ensure that the drill is securely engaged into the handpiece P21 Do not use excessive force to insert the endoscope into the Endo-
prior to operating the system. Scrub® 2 sheath. This will damage the endoscope as well as the
W77 Always examine operation of each tool in a handpiece before use. Endo-Scrub® 2 sheath.
W78 Powered burs and drills should be operated in the forward mode P22 If the endoscope tip can be seen extending beyond the tip of
only. the Endo-Scrub® 2 sheath, then the sheath has been damaged.
W79 This system requires insulated connectors for the StraightShot® Damaged product must be immediately discarded.
M4 Microdebrider, Straightshot® Magnum® II Microdebrider,
Straightshot® III Microdebrider, Midas Rex® SC1, Visao®, or
Skeeter® handpieces and the Multi Function Foot Control Unit.

Symbols
N Serial Number Date of Manufacture Right foot control unit button
Do not dispose of this product
in the unsorted municipal ROHS - Environmental
waste stream. Dispose of friendly use period - China
this product according to (sj/t11364-2006.) Top foot control unit button
local regulations. See http://
Recycling.Medtronic.Com Not greater than 120vac
>120 VAC
for instructions on proper Locked
disposal of this product.
Do not use if package is open ON

<120s
OFF
>180s
Applied part duty cycle Unlocked
or damaged
<XX° C
XX° C Recommended storage On/Off (main power)
XX° C temperature and limits.
Package Contents >X° C
Conforms to ansi/aami Use with
1 Pump Head 1 es 60601-1, iec/en 60601-

1. Certified to csa C22.2 Instrument Case Instrument case
2 Pump Head 2 105345
No.601.1
Handpiece
Lubricant/Diffuser Lubricant/diffuser
Use by Date Skeeter® handpiece Dissecting Tool Dissecting tool
Attachment Attachment
Do not Reuse Emc compliance mark
EUR · USA · JPN · AUS
Control Unit Control unit
LOT Lot Number
Refurbished Refurbished
Protective earth
Fuse
Accessory Accessory
ACC Accessory Equipotential Regulator Regulator
REF
Catalog Number Bone Mill Bone mill
REF Consult instructions for use
Motor Motor
Attention see instructions
AC power for use
Brush Brush
Output Protected against vertical
IPX1 water drops
Is approximately equal to Protected against the effects Adapter Adapter
IPX7 of temporary immersion in
Sterilized by Radiation. Do water TOOL Tool control
M
STERILE R not use if package is open or TUBE Tube control
damaged Type bf applied part
Multi-Use Disposable Attachment
STERILE Non Sterile
Manual Start/Stop Multi-use disposable
Sterilized by Ethylene Oxide. attachment
STERILE EO Do not use if package is open
or damaged Rf transmitter (interference
Authorized representative may occur)
E C R E P in the
European Community Precaution: pinch hazard.
Keep fingers clear of rollers
0123
This device complies with BUR Stim bur connector

Medical Device Directive
93/42/eec NIM Nim® console connector
Electrical high speed
0086 EHS handpiece connector
Caution: Federal law (U.S.A.)
Rx Only Restricts this device to sale by Foot pedal connector
or on the order of a physician
Fr World Wide Standard for
medical tubing diameter.
! USA USA Only
Fine irrigant adjustment
Quantity
Left foot control unit button
Manufacturer

Buttons and Indicators
Located on Splash Screen used to open
Setting
Setting Screen. 60º Toggle Button
Sets left button on FCU so that each press will
move the handpiece tool in increments of 60 or 180
Direction indicator degrees.
Direction is clockwise. 180º
Direction indicator Help Button

Direction is counter-clockwise. ? Opens help screen.
Blade Rotating indicator
Shows blade is in motion. Does NOT indicate Pumps Button
blades orientation. Opens pump options panel.
Cancel Button Prime Button
Cancel Located on Setting Screen used to cancel any See Precaution P1.
changes that were selected. Flush Button
OK Button Depressing the Flush Button will turn on pump as
OK Located on Setting Screen used to accept any long as button is held. See Precaution P1.
changes that were selected. Exit Button
Large Increment / Decrement Buttons Exits or closes a screen or panel.
+ Increase / Decrease a given value with each
depression. Attention Icon
Indicates a problem to the user.
Typically used for custom speed adjustment.
Enables the operator to toggle (using FCU button)
between OSC/FWD or REV/FWD (custom speed Visao
remains the same in all modes).
Cycle Bar
+ Small Increment / Decrement Buttons
Cycles through, the default / help screens
Increase / Decrease a given value with each
depression. Typically used for flow rate or size English Français Italiano Deutsch Español
adjustment.
Language Buttons
Located on setting screen and used to select language.
FCU Variable / On-Off Speed Select
Changes foot pedal function on Foot Control Unit (Error Name)
between variable control and On/Off. Error Button
I/
O
Displays Handpiece Error
Opens Error Message.
5000 (Handpiece Name)
Speed Select (OCS) Buttons
(Straightshot) M4 Screen Only. Inactive Handpiece
3000 Displays Inactive Handpiece
Preset OSC speeds. When selected the FCU Radio Makes Inactive Handpiece Active.
Button will be displayed to the right of the button.
1500 Using the FCU left button the operator can toggle
between the pre-selected speeds.
300
FCU Radio Buttons

Indicates option selectable via the FCU’s left button
(center is white when active).
Radio Button for option selection (center is white

when selected).
Check Box used to show if an option is turned On

or Off (green with check mark is On).
IPC IPC/XPS® Toggle Button

When IPC is selected (visible on the button), the
microdebrider blades will stop, and then return to
the original starting position.
XPS When XPS® is selected; the microdebrider blades
3000 will stop in a random position.
Default Button
Default Found on the Settings screen and used to open
Default screens for handpieces.

System Description
List used in Manual Console
This manual contains two basic types of list, Alphabetic list (A. B. C. etc.) and
Numeric list (1. 2. 3.). The alphabetic list contains general information about the
part such as name or usages. Numeric list are instructions for completing a task.
Console Front
Definitions
This section explains the essential meaning of a word or acronym as used in this
manual.
Also explains changes in words or phrases variations from one product
generation to the next. B A
FCU – Foot Control Unit
IPC® - Integrated Power Console
I.V. - Intravenous
NIM® - Nerve Integrity Monitor - One or all of the following units:
NIM-Response® 2.0, NIM-Neuro® 2.0, NIM-Response® 3.0,
and NIM-Neuro® 3.0
Nomenclature The act or process or an instance of naming
XPS® - Xomed Power System
When The System Arrives

Unpacking and Inspection
Check off the contents of the box against packing slip. If incomplete or damaged,
notify Customer Care. C
If container is damaged, or cushioning material shows stress, notify carrier and E
Customer Care. Keep shipping materials for carrier inspection.
After unpacking, save the cartons and packing material. If the instrument is to be
shipped the shipping package will provide proper protection.
System Description D
The IPC™ System is a powered microdebrider, drill and saw system that will
remove soft tissue, hard tissue, and bone during surgical procedures. The system
consists of a power control console, footswitch, connection cables, and assorted A. ouchscreen – User interface.
T
handpieces to drive various burs, blades, drills, rasps, cannulae, and saws. It B. Pump 1 – For coolant, lens cleaning, or irrigation.
includes integrated irrigation pumps for irrigation of blades, burs and for motor C. Pump 2 – For Irrigation.
coolant. D. Connector Panel - peripheral devices.
The Nerve Integrity Monitor (NIM®) is a separate device that stimulates and E. Power Switch – Turns system on or off.
monitors the nerve. This system has connections that allow the NIM® to be
connected with the Visao® handpiece and Stimulating Bur Guard enabling the E
NIM® to stimulate and monitor the nerve at the surgical site.
The system can be used to clear the end of a rigid rod endoscope in order to
maintain good visualization of endoscopic procedures without having to remove
the scope from the surgical site.
This device is intended for use by physicians trained in the procedures described.
Intended Use / Indications for use

The IPC™ is indicated for the incision / cutting, removal, drilling, and sawing
of soft and hard tissue and bone, and biomaterials in Neurosurgical (Cranial, A B C D F G H
Craniofacial) Orthopedic, Arthroscopic, Spinal,Sternotomy, and General surgical
procedures. Connector Panel
Port # Component Quantity
Contraindications A Midas Rex® Legend EHS® motor 1
The IPC™ system is contraindicated for arthroscopic microdiscectomy in
individuals with the following: B Midas Rex® Legend EHS® Stylus motor 1
• Severe/progressive neurological deficits StraightShot® M4 Microdebrider 2
• Cauda equine syndrome
• Active infection. Midas Rex® Legend EHS® Stylus Touch™ motor
Arthroscopic microdiscectomy is not indicated for individuals with sequestered
disc fragments, discogenic pain, internal disc destruction, or lumbago. C Midas Rex® SC1
1
Straightshot® Magnum® II and Straightshot® III
Sales And Customer Care Visao®
Medtronic Powered Surgical Solutions D
Stimulus input from Patient Interface 1
4620 North Beach StreetFort Worth, TX 76137 USA connection (NIM).
www.medtronic.com E Stimulus output to STIM Bur Guard 1
U.S. Help Line F Skeeter® Handpiece 1

(800) 468-9710 Endo-Scrub® 2 Finger Switch
International Service G Endo-Scrub® 2 Footpedal 1
International customers should contact their Medtronic Neurologic Technologies
IntelliFlow Irrigation Remote Control
representative.
H Foot Control Unit (FCU) 1

Console
Connector Panel Cable Connection Console Rear
Cable to console connection red/silver dot
Red or silver dot connections are multi pin and must be correctly
aligned (oriented).
Cable to console connection without dot
Connectors without the red or silver dot are single pin and may be A
inserted without regard to orientation.
Connector Panel Cable Disconnection

(multi pin)
To remove Midas Rex® Legend EHS® Motor and B
Legend EHS Stylus® Motor, cable from motor or
console: C
A D
E
1
2
G
1. Push the cable towards the motor or console.
2. Then pull out by locking ring (A). H
I
To remove Midas Rex® Legend EHS Stylus® cable from
console:
F
A. ole Clamp
P
A B. Compact Flash Card port (factory use only)
C. Manual Start Stop Button
D. Fuse Access – Replace only with 5 x 20 T. L. 5A, 250V fuse.
1. Push the cable towards the console, then pull by locking ring (A) E. Auxiliary Power Outlet with protective cover:
To remove cables (multi pin) with silicone insulating • For use at grid voltage < 120VAC only.
• HydroDebrider™, or Bone Mill consoles only. See warning W80.
boots: F. To remove cover, place small screwdriver in notch at bottom and
pull/pry off.
G. Endo-Scrub® 2 - power connector.
H. Power Cord Connector:
• Hospital grade power cord connects here.
• Means of disconnecting device from Mains voltage by the power
A cord.
1. Silicone insulated connectors do not have a locking device (ring) and I. Equipotential:
may be removed by pulling straight out on the connector. • Uniform potential.
• Means for eliminating noise or interference with sensitive
Cable disconnection (single pin) equipment by application of a POTENTIAL EQUALIZATION
1. Single pin connectors do not have a locking device (ring) and may CONDUCTOR.
be removed by pulling straight out on the connector.
Power Cords
North America: United Kingdom, Continental Europe:
USA, Barbados, Ireland, Hong Austria, Belgium, Finland,
Belize, Bolivia, Kong, Malaysia, France, Germany, Greece,
Canada, Columbia, Singapore Korea, Luxembourg,
Ecuador, Venezuela P/N EA606 or Netherlands, Norway,
Standard P/N EA600
or 1895820 1895821 Portugal, Spain, Sweden
6 meter P/N EA650 P/N EA602 or 1895822
or 189721
China India, South Switzerland
P/N EA604 Africa P/N EA601
P/N EA607
Argentina Israel Denmark
P/N EA608 P/N EA609 P/N EA610
Australia, New Japan Italy, Chile
Zealand P/N EA603 or P/N EA611
P/N EA605 1895823

Console Pump Basics
Console Pump Designator Tips on Standard Pump Set-Up
Pump Default Table

Pump configurations is very dependent upon handpiece being used. The
following table shows the pump default settings (X) and default options
(O).
B
Endo- Suction
Handpiece Pump 1 Pump 2 Scrub® 2 Irrigator
D Pumps Pumps
Cooling Irrigation Irrigation
1 2 1 2
A. P ump 1: Coolant, lens cleaning, or irrigation. Visao® X X O O
B. Pump 2: Irrigation. Midas Rex® SC1 O X O O
C. Pump 1 Designator – This designator number is used to coordinate Straightshot® M4 *X X O
the pump (by number) with the cartridge number and/or pump set- All Microdebriders
up screen number listed on the touch screen. When setting up the Midas Rex® Legend O O *X O O O O
console these numbers must match. EHS® Stylus motor
D. Pump 2 Designator. Midas Rex® Legend X O O O O O
NOTE: Not all Pump Cartridges have pump designator numbers. EHS® motor
For these cartridges the operator should view the Pump Setup Midas Rex® Legend X O O O O O
Screen prior to installing the cartridge. EHS® Stylus Touch
Skeeter® Handpiece O O O O
O X
Pump Cartridge Set-Up Endo-Scrub® 2
Suction Irrigator O O
The Pump Cartridge snaps onto the lower section of the pump.
*X See pump sharing
1 2 3
Pump sharing M4 (1 or 2) and Stylus
When the IPC® detects both M4 (1 or 2) and Stylus handpiece, it will
by default set pump 2 as a “Shared” irrigation pump. The operator is
expected to manually move the irrigation tubing from the inactive to the
active handpiece.
Tubing and Cable Management
Standard Pump Set-Up
1 2 3
A variety of clips exist for securing tubing. Refer to your tubing set for
type included.

Console Supplement
Console Specifications Multifunction Foot Control Unit (FCU)
Functional Standards for Electric Systems Part No. 1898430 or EF 200
ANSI / Medical electrical equipment -- Part 1: General 2005 The multifunction footswitch allows control of handpiece selection,
AAMI: - ES requirements for basic safety and essential performance handpiece speed, and mode selection.
60601-1
IEC - Medical electrical equipment -- Part 1: General 2005 Buttons and Pedal
60601-1 requirements for basic safety and essential performance NOTE: Each button must be depressed D
EN - 60601- Medical electrical equipment -- Part 1: General 2006 and held for a definable amount of time
1 requirements for basic safety and essential performance
(IEC 60601-1:2005)) (100 mS by default).
IEC - 60601- Medical Electrical Equipment – Part 1: General 2000 Drills C
1-4 Requirements for Safety, Part 4: Programmable Electrical A. Foot Pedal - Start-Stop/Variable
Medical Systems speed. A
EN - 60601- Medical Electrical Equipment – Part 1-2: General 2001/ Aa. Non-Slip Foot Pad.
1-2 Requirements for Safety – Collateral Standard: A1:
Electromagnetic Compatibility – Requirements and Tests 2006 B. Right Button - Mode selection, B
CSA - C22.2 Medical Electrical Equipment - Part 1: General 2005 (FWD/REV). Aa
No. 601.1 Requirements for Safety. C. Top Button - Enable inactive

Physical Dimensions handpiece selection
Size: 277 mm W x 353 mm H x 267 mm D D. Left Button - Pedal function, (Start-Stop or Variable speed).
Weight: 7.3 kg Microdebriders
Operational Environment A. Pedal, toggles from Start-Stop to Variable speed.
Temperature: +10°C to +33°C Aa. Non-Slip Foot Pad.
Humidity: 30% to 75% RH B. Right Button, IF Mode is set to OSC this button will, rotate inner
Barometric Pressure: 700 - 1060 hPa tube on blades 180º. IF Mode is set to FWD this button will, select
Pedal function (Start/Stop, or Variable speed).
Transport and Storage Environment C. Top Button, Enable inactive handpiece.
Temperature: -40°C to +70°C D. Left Button, Mode/rpm selection.
Humidity: 10% to 95% RH SC1
Barometric Pressure: 500 to 1060 hPa
A. Pedal, Start-Stop/Variable speed.
Display / Touch Screen Aa. Non-Slip Foot Pad.
Type: High contrast, digital, graphic Color, B. Right Button - In OSC Mode this button will rotate inner blade
visible in complete darkness. 60°/180º (touchscreen selected). In FWD Mode this button will
Resolution: Display 21 cm diagonal, resolution 480 X select Pedal function (Start/Stop, or Variable speed).
640 pixels C. Top Button - Enable active handpiece.
Audio Output D. Left Button - Mode selection -FWD/OSC.
Baseline Audio Sound Level 60 dBA minimum SPL (1 m)
Electrical
Cleaning
Input Voltage 100 V-240 V ± 10% IPC™, Foot Control Unit, and Endo-Scrub® 2 Footswitch
Frequency 50/60 Hz DO NOT immerse or sterilize the units.
Power Consumption: 500 VA Do not use alcohol, other solvents, or abrasive cleaners.
Auxiliary AC output: 200 VA Max. 1. Wipe down the IPC™, Foot Control Unit, and Endo-Scrub® 2
Internal Fuse 5 x 20 mm T. L. 5 A, 250 V Footswitch with a cloth dampened with a neutral enzymatic
Medtronic Xomed P/N 11270066 detergent, pH 6.0-8.0 or phenol based disinfectant.
Duty Cycle for Applied Part Maximum on Time 120 Seconds Slip Resistant Pad ONLY
Minimum off Time 180 Seconds 1a. Spray a neutral enzymatic detergent, pH 6.0 – 8.0, or a phenol
based disinfectant, mixed to manufactures instructions, directly
Audio – Understanding What You Hear onto foot pad.
1b. Allow the solution to remain in contact with the surface for
Audible Alarm approximately 10 minutes.
A sequence of three short beeps is issued when an error is detected and 1c. Wipe the solution or disinfectant off the foot pedal until
an error message is displayed on the screen. visually clean.
2. Dry the units with a clean, non-abrasive cloth.
Audible Tones NOTE: If debris is found under the Foot Control Unit’s boot,
A confirmation beep is issued anytime a change button is depressed. return for warranty service.
Three long beeps are issued when the active handpiece is in reverse
mode and the foot pedal is depressed. IntelliFlow Irrigation
Error conditions see Troubleshooting for additional information. Remote Control
IPC® Tone Cause(s) The IntelliFlow Irrigation Remote Control is
1 Beep • (Tone) confirmation anytime a change button is designed to set and change the flow rates from the
depressed sterile field.
• Change from forward to oscillate A. Pause/On-Off: A
• When changing handpiece to a microdebrider • Pause if used with handpiece irrigation
2 Beeps • Change from oscillate to forward (Flow rate will flash yellow). B
3 Beeps • (Alarm) when an error is detected and an error • On-Off/Pause if used with Suction Irrigator.
message is displayed on the screen. B. Increase/Decrease: C
• When the active handpiece is in reverse mode and • Fine adjustment for handpiece irrigation
the foot pedal is depressed rate.
• 1st time changing from Forward to Reverse • Fine adjustment for suction Irrigator flow
rate.
Long Beep • When changing handpiece to a drill C. Increase/Decrease:
• Used for coarse adjustment for handpiece
irrigation rate.
• Selects stainless steel (Fr) tubing size for the
suction Irrigator.
Console Screen
Splash Screen A. This area is used to select desired language.
B. “Touch Screen Calibration” button will open the calibration screen.
The Splash Screen is displayed while the system is starting up and To calibrate follow the on screen instructions
executing its self tests. C. The “Default” button will open the default screens.
Default a
INTEGRATED POWER M4
C O N S O L E
b Speed
12000 +
Irrigation Foot Control Unit
30 +
OSC Mode M4 Mode
5000
IPC
Settings 3000
Blade Position
1500
60º
Initialization in Progress...
300
FWD Mode
c
12000 OK Cancel
a. The operator can cycle through handpieces to locate desired

Settings Screen handpiece.
b. The operator may change any of the default settings to those
During the boot up/self-test operation the Splash Screen will display the most frequently used or view default settings.
Setting button for about 5 seconds. To change language, default settings, c. OK / Cancel button will accept or void changes and return to
or calibrate the touch screen you must depress this button while it is previous screen.
displayed. D. OK / Cancel button will accept or void changes and return to
previous screen.
NOTE: Changing the default setting of any handpiece in no way
affects the operator’s ability to change settings during surgery.
Settings
Language Handpiece Default Settings Table
A English Français Italiano Deutsch Español Handpiece Mode Pumps
Speed
Fwd Osc Pump 1 Pump 2
Setting
Visao® 80000 X Coolant Irrigant
Midas Rex® SC1 3400 X Irrigant
Straightshot® M4, 12000 X Endo-Scrub® 2 Irrigant
Straightshot® III, 5000 X Endo-Scrub® 2 Irrigant
Magnum® II
Midas Rex® Legend 70000 X Irrigant
EHS® motor.
B Touch Screen Calibration Midas Rex® Legend 60000 X Irrigant
EHS® Stylus motor
Midas Rex® Legend 60000 X Irrigant
EHS® Stylus Touch™
Skeeter® Handpiece 16000 X
Endo-Scrub® 2 X
Suction Irrigator Optional Optional
Device Setting
FCU Delay 100 mS
Endo-Scrub® 2 Pump Pump 2
C D Endo-Scrub® 2 Setting 1
Default OK Cancel

Console Set-Up
Connect Handpiece/Footswitch Screen • Pedal (Irrigation) Starts and stops the handpiece and irrigation
flow (At this step you should also verify that the characters on
the SPEED display changed from white to yellow.
• Pedal Buttons: Please refer to “Multifunction Foot Control Unit”.
11. Depress the intraoperative button on the back of the console.
Verify:
• Starts and stops the handpiece, irrigation and/or coolant flow.
12. Touch Screen
Verify:
• Speed can be adjusted.
• Mode can be changed.
• In oscillate and cut modes check:
• The “Blade Position” panel opens.
• The clockwise and
counterclockwise buttons
move the position indicator
and blade in the appropriate
direction.
• Depressing the 180° button
moves the position indicator
and blade 180°.
• Flow rate for irrigation is adjustable.
When the IPC® detects no handpiece the Connect Handpiece screen will
open.
By pressing the OK button in the Connect Footswitch panel the
handpiece function will be allowed without the use of a footswitch.
By pressing the OK button in the Endo-Scrub® 2 panel the Endo-Scrub®
2 function will be allowed without the use of a hand piece.
Console Set-Up Instructions

General instructions: for set-up and use of the Integrated Power
Console. See “Accessories” for instructions specific to the peripheral
being used.
NOTE: Use sterile water or saline for irrigation and cooling.
1. Locate cart and lock wheels.
2. Inspect components for damage and determine if system is ready to
use.
3. On IV pole, mount IPC® and irrigation/coolant bag(s).
NOTE: Irrigant and coolant bags should be placed above the console
to ensure adequate flow.
4. Position the IPC® in a manner that does not obstruct the power inlet
for the purpose of disconnecting the Mains voltage by the power
cord. Plug unit into power source.
5. Connect footswitch.
6. Connect the sterilized accessories to console.
7. Tubing
• Connect tubing as needed (suction, cooling, irrigation).
8. Turn power switch ON and verify:
• System passes self test
• Default screen opens. If “Attach Handpiece / Attach Footpedal”
screen opens, return to steps 4 and 5.
9. Prime irrigation and cooling: See Precaution P1.
a. Adjust clamp on the irrigation tubing to OPEN.
b. Manually prime the clear drip chamber (if used).
c. Depress and release the prime button on the touch screen panel.
Verify:
• Pump(s) run until all air has been purged out of the tubing.
• A small amount of irrigant is observed flowing at the tip of
irrigation device(s).
• Pump(s) turns off.
10. Confirm system operation.
Verify:
• Pedal (Coolant) Starts handpiece and coolant flow (coolant
pump continues to run for 1 minute after pedal is released).
Special Function Panel - Endo-Scrub® 2
Pump 1 Prime
C None Endo-Scrub® 2
D Pump 2 Prime
None Endo-Scrub® 2
B
Visao Mode
+ FWD
8000RP0M
Speed
REV
EndoScrub 2
A Irrigatio
n
30 n
+
Prime Pumps Flow Pumps
cc/mi
Flow
3 +
?
On Setting Prime
Pumps Help
?
Help
Endo-Scrub® 2
The IPC® System incorporates Endo-Scrub® 2
functionality by using irrigation pump number
one (1) and controlling operation with the touch screen
and an external footswitch or finger switch.
It is not to be used for infusion, for disinfection or sterilization of an
endoscope, or for suction removal of blood and debris.
NOTE: Use the Endo-Scrub® 2 sheath only with an endoscope
listed on the sheath product label, as malfunction or poor
performance could result. 1
A. By default the Endo-Scrub® 2 uses pump 1. See “Standard Pump Set-
Up” for loading the tubing.
B. Flow panel:
• Enable/disable pump 1 using the check button.
• Adjust the flow rate (Setting).
• Prime button see “Push Buttons and Indicators”. 2
C. Pump number 1 panel:
• Attachments listed for this pump.
• Prime button (See Push Buttons and Indicators). 1. Wet the Endoscope.
• Pump panel may be closed by pressing the X-button. 2. Slowly insert approved endoscope into Endo-Scrub® 2 Sheath.
D. Pump number 2 panel:
• Prime button (See Push Buttons and Indicators).
Endo-Scrub® 2 Footswitch / Finger Switch
A
B
A. Endo-Scrub® 2 Footswitch 3
B. Endo-Scrub® 2 Footswitch cable
3. Attach irrigation and light source.

C NOTE: For cleaning instructions see Multifunction Foot Control
D
Unit (FCU)
C. Endo-Scrub® 2 Finger switch
D. Finger switch cable
E. Endo-Scrub® 2 Sheath
E
Endo-Scrub® 2 Assembly

Reprocessing Instructions Finger Switch
Reprocessing Instructions (Per ISO17664:2004)
Cleaning and Sterilization instructions are subject to change without notice. Up to date instructions are available online at www.medtronicENT-TechComms.com
Endo-Scrub® 2 Finger Switch

Warnings / Disconnect the finger switch from the Endo-Scrub® 2 pump before cleaning.
Precautions
Limitations After cleaning and sterilization, verify functionality prior to re-use.
Instructions
Point of Use This product is provided non-sterile and must be cleaned and sterilized before the first use and any reuse.
After use, remove the finger switch from the sheath and disconnect the plug from the pump.
Thoroughly rinse with water following use.
Containment and It is recommended that devices are reprocessed as soon as is practical following use.
Transportation
Preparation for Promptly and thoroughly rinse with deionized water after each use.
decontamination
Cleaning: Automated Not validated
Cleaning: Manual Dip the finger switch housing in a diluted mixture of mild (pH 7.0 - 8.5) enzymatic detergent. (Follow detergent
manufacturer’s instructions for proper dilution.)
Thoroughly clean the housing with a soft instrument brush to remove any blood and tissue. Rinse the housing thoroughly
with tap water and wipe dry.
NOTE: If wiping the cord dry, be sure to hold the cord and not the housing to avoid stressing or breaking the electrical
connections located inside the housing.
Disinfection NOTE: Do not cold soak in glutaraldehyde, chlorine, or ammonium solutions, or dry heat sterilize, as damage to the
instrument finish may occur.
Packaging A standard, sterilization wrap may be used. In the US, an FDA approved surgical wrap must be used. Ensure that the pack
is large enough to contain the instrument without stressing the seals. In sets: Instruments may be loaded into dedicated
instruments trays or general purpose sterilization trays. Ensure that cutting edges are protected. Wrap trays using appropriate
method.
Sterilization Check the cleanliness and operation of the instrument. Clean again if debris is present and remove from use any
damaged instrument. Close instruments with catches and racks on the first notch. Arrange the instruments in
sterilization containers with perforations on the top and bottom, and on supports such as those used in microsurgery.
Follow the appropriate cycle listed in the table below.
All steam cycles have been validated in the wrapped configuration and can be sterilized wrapped or unwrapped. These
devices have only been validated for steam sterilization methods.
The sterilization parameters given below should be used for devices that are fully disassembled when disassembly is
possible. Use basic aseptic technique during post-sterilization assembly to maintain the sterility of the instruments.
Cycle: Gravity Pre-vac
(Temperatures are
minimum required, Temperature: 132 °C 132 °C
times are minimum Time: 10 min 10 min
required)
Drying: 15-30 minutes, or until visibly dry
Maintenance, Inspect finger switch for any damage before and after each use. If damage is observed do not use the finger switch until it is
Inspection and repaired or replaced. After cleaning and sterilization, verify functionality prior to re-use.
Testing
Storage Store in a clean, dry area.
Additional None.
Information
NOTE: The instructions provided above have been validated by the manufacturer as being CAPABLE of preparing the product for re-use. It remains the
responsibility of the processor to ensure that the reprocessing is actually performed using equipment, materials and personnel in the reprocessing facility to
achieve the desired result. This normally requires validation and routine monitoring of the process.
NOTE: All validations performed per AAMI TIR 12:2004, Designing, testing, and labeling reusable medical devices for reprocessing in health care facilities:
A guide for medical device manufacturers. Medtronic recommends incineration of devices that have directly contacted patients suspected or confirmed with
Transmissible Spongiform Encephalopathy (TSE)/ CJD diagnosis. NHS Estates HTM 2010 Parts 4 & 6: Appendix 2, Items contaminated with TSE Agents
and WHO Infection Control Guidelines for Transmissible Spongiform Encephalopathies refers to a TSE decontamination cycle using a steam autoclave at a
temperature of 134-137°C for a single cycle of 18 minutes or repeated for a total of six 3-minute cycles.

Special Function Panel - Suction Irrigator
Pump 1 Prime
None Endo-Scrub® 2
Suction
Irrigator
C
Pump 2 Prime
None Endo-Scrub® 2
B Suction
Visao Mode
Irrigator
+ FWD
8000RP0M
Speed
REV
Suction Irrigator
Irrigatio
n
30 n
+
Prime Pumps Size Flow Pumps
Pumps
8
cc/mi
Flow
?
A Fr + OFF +
Pumps Help
?
Help
Suction Irrigator
The IPC® incorporates Suction Irrigator functionality by
using either irrigation pump and controlling operation with
the touch screen and an external footswitch.
A. Pump used is dependent on handpiece.
See “Standard Pump Set-Up” for loading the tubing. D
B. Suction Irrigator panel:
• Size - Operator must select tubing size (8 by default).
• Flow - Adjust the flow rate.
C. Pump panel:
• Operator must manually turn on the pump being used.
• Available attachments will be listed.
• Pump panel may be closed by pressing the X-button.
D. Suction Source Suction Irrigator Adapter Kit
Suction irrigator handpiece.
A1
B2
C3
E5
A1 B2
4
D
4
D
C3 A. Blue Irrigation Tube Adapter fits high speed irrigation tubing -

3318503.
A. Suction Tube B. White Irrigation Tube Adapter fits IPC® Visao® irrigation tubing -
B. Irrigation tube 3318603.
C. Suction Fitting C. Irrigation Connector Set is used to adjust the Blue or White Adapter
D. Irrigation Fitting to the stainless steel Irrigation Fitting.
E. Tube Size D. Irrigation Fitting

Midas Rex® SC1 Set-Up
B SC1 Handpiece
Speed Mode Pump 1 Prime
3400
CPM
+ OSC
None Endo-Scrub® 2
FWD
Blade Position SC1
Irrigation
180°
Irrigation
60 +
cc/min
Flow Prime
D
Pump 2 Prime
SC1
Visao Mode
Irrigation
+ FWD
8000RP0M
Speed
REV
Pumps
Irrigatio
30 n
cc/mi
Flow
+
Prime Pumps
?
Pumps Help
?
Help
SC1 Set-Up C. Main Screen subsection buttons:

• Foot Control Unit (FCU) Button - changes foot pedal from
A. Irrigation pump variable speed control to On/Off.
• Augment Area - (blank area) Shows supplemental information,
SC1 Touch Screen such as, inactive handpiece(s), or the special function panel (Suction
Irrigator or Endo-Scrub® 2).
B. SC1 Touch Screen:
• Speed Panel: • Pumps - Opens pump panel.
• In Fwd Mode, allows variable adjustment from 50 to 12000 • Help - Opens help screens.
rpm with a default speed of 12000 rpm.
• In Osc Mode, allows variable adjustment from 50 to 5000 SC1 Pump Screen
cpm with a default speed of 3400 cpm. D. Pump number 1 panel:
• Blade position Panel (Osc Mode ONLY): • Attachments listed for this pump.
• Delta button (right side of panel) rotates the inner blade 180º • Pump 1 is none, and pump 2 irrigation, by default when using
via the foot pedal right button or Theta button. the SC1.
• The rotation buttons are for manual adjustment and rotates • Pump panel may be closed by pressing the X-button.
the blade, in small increments, in a clockwise or counter- • See Precaution P1 for Prime/Flush button.
clockwise direction. E. Suction source
• Between the rotation buttons is the motion indicator. This
does not indicate blade position only blade motion.
• NOTE: For positioning the outer blade see Blade Position and
Finger Wheel.
• Irrigation Panel - Used to adjust the flow rate for in-blade
irrigation. Default is 30 cc per minute in Fwd Mode and 60 cc
per minute in Osc Mode.
Flow rate is adjustable with the touchscreen or the irrigation
remote control. See Precaution P1 for Prime/Flush button.
• Mode Panel - For selection of Fwd or Osc mode.

Strightshot® Microdebriders Set-Up
C StraightShot M4 Osc Mode

Speed E Pump 1 Prime
3000 + 5000
None Endo-Scrub® 2
RPM
Blade Position M4
Irrigation
60º IPC
Irrigation
Fwd Mode
30 + 12000
cc/min
Flow Prime
F Pump 2 Prime
None
D Endo-Scrub® 2
Visao Mode M4
Speed
8000RP0M
+ FWD
Irrigation
B
REV
EndoScrub 2 A
Irrigatio
n
30 n
cc/mi
+
Prime Pumps Flow Pumps
Flow
3 +
?
On Setting Prime
Pumps Help
?
Help
Straightshot® M4 Set-Up
NOTE: This screen is also used for the Straightshot® Magnum®
II and Straightshot® III Microdebriders
NOTE: The Endo-Scrub® 2 shown here is available to all
microdebriders but is turned on by default only when a G
Straightshot® M4 is detected by the console.
A. Irrigation pump:
See “Standard Pump Set-Up” for loading the tubing.
B. Endo-Scrub® 2:
Please see Endo-Scrub® 2 section for set-up instructions and
“Standard Pump Set-Up” for loading the tubing.
• Osc Mode Panel - Four selectable oscillation speeds. Each speed is
Straightshot® M4 Touch Screen adjustable via the touch screen. The foot pedal (left button) steps
C. Straightshot® M4 Handpiece Touch Screen: through each selected speed including forward.
• Speed Panel: • Forward Mode Panel is on by default.
• In Fwd Mode, allows variable adjustment from 50 to 12000 rpm D. Main Screen subsection buttons:
with a default speed of 12000 rpm • Foot Control Unit (FCU) Button - changes foot pedal from variable
• In Osc Mode, allows variable adjustment from a minimum or 50 speed control to On/Off.
rpm to 5000, 3000, 1500, or 300, dependent on buttons selected. • Augment Area (blank area) - Shows supplemental information, such
• Blade position Panel: as, inactive handpiece(s), or the special function panel (Suction
• Delta button (1st button on left) sets the inner blade rotation via Irrigator or Endo-Scrub® 2).
the foot pedal right (delta symbol) to 60º or 180º. • Pumps - Opens pump panel.
• Next to the theta is the motion indicator. This does not indicate • Help - Opens help screens.
blade position only blade motion.
• The rotation button is for manual adjustment and rotates the Straightshot® M4 Pump Screen
blades, in small increments, in a counter-clockwise direction. E. Pump number 1 panel:
• NOTE: For positioning the outer blade see Blade Position and Finger • Attachments listed for this pump.
Wheel. • NOTE: If the Straightshot® M4 has been detected by the console
• IPC/XPS® button: Pump 1 will default to Endo-Scrub® 2.
• When the IPC is visible on the button the inner blade will stop in • Pump panel may be closed by pressing the X-button.
the same position as it started in. • See Precaution P1 for Prime/Flush button.
• When XPS® is visible on the button the inner blades stopping F. Pump number 2 panel:
position is random. • Attachments listed for this pump.
• Irrigation Panel - Used to adjust the flow rate for in-blade irrigation. • NOTE: If the Straightshot® M4 has been detected by the console
Default is 30 cc per minute. Flow rate is adjustable with the Pump 2 will default to irrigation, with optional attachments listed.
touchscreen or the irrigation remote control. See Precaution P1 for • See Precaution P1 for Prime/Flush button.
Prime/Flush button. G. Suction Source

Strightshot® and Midas Rex® SC1 Handpieces
Handpiece Set-Up StraightShot® M4 and Midas Rex® sc1

Microdebriders Blade or bur installation
NOTE: The Straightshot® M4 uses cutting tools with a four (4)
tab alignment system where the Midas Rex® SC1 uses cutting tools
Midas Rex® SC1, Straightshot® M4, with a three- (3) tab alignment system.
Straightshot® Magnum® II, and
Straightshot® III
2
C3
B
1 2 1 2
1
A
4
D
7
G
E5

M4 SC1
1. Insert tool aligning the tabs with the notches (1) and orientate the
irrigation barb (2) to the left or right side.
F6 3
A. Handpiece
B. Finger wheel
C. Locking collar
D. Irrigation-tubing groove 2. Depress the locking collar (3).
E. Finger-wheel lock
F. Cable
G. Suction barb
Blade Position and Finger Wheel,

Straightshot® M4 and SC1 3. Release the locking collar. (If
collar does not return to full
Blades out position adjust the finger
NOTE: On keeping blades clear: wheel with small back-and-
During the procedure, it is recommended to periodically submerse forth motions until collar
the blade tip in sterile water with suction connected to the pops out).
handpiece.
4. Pull on the blade or bur
NOTE: For Airway Blades: to ensure engagement and
Should the blade become clogged during use, risk assessment has visually check to make sure
determined 1-5 cc of irrigant could be aspirated by the patient distal tip of inner blade is in
before detection by the user. contact with the distal tip of
the outer cannula.
C3
1
A C3
1
A
Tubing (Straightshot® M4, and the

B2
4
D
2
B
Midas Rex® SC1).
4
D
5
E 55
E
A. Outer blade - rotated by Finger Wheel (Straightshot® M4 and Midas

Rex® SC1).
B. Inner blade - rotated by the Blade Position panel (Straightshot® M4,
Straightshot® Magnum® II, Straightshot® III, and the Midas Rex®
SC1).
C. Outer Sleeve.
D. Irrigation flow is between the inner and outer blades. 1. Push the free end of the irrigation tubing onto the irrigation barb on
E. Suction flow is through the inner blade. the blade until fully seated.
2. Attach suction tubing securely to the suction port on the handpiece.

Strightshot® Midas Rex® Handpiece Set-Up
3. Secure the irrigation tubing.

4. Secure the suction and irrigation tubing (see Tubing Management).
Tubing
Technical Specifications 4. Attach suction tubing.
StraightShot® M4 Microdebrider Part No. 1898200T 5. Push irrigation tubing onto the irrigation barb.
6. Secure the suction and irrigation tubing (see Tubing Management).
Midas Rex® SC1 Part No. ED100
Speed 50-5,000 rpm oscillate Technical Specifications
50-12,000 rpm forward Straightshot® Magnum® II, Part No. 1897200
Size 14.3 cm length x 1.8 cm width (1898200T) Straightshot® III Part No. 1897201
Weight 228 g 1898200T
Size 17 cm length x 1.6 cm diameter (1897200)
240 g 1897200
Speed 500-5,000 rpm oscillate
254 g 1897200T
500-12,000 rpm forward
240 g 1897201
Size 17 cm length x 1.6 cm diameter (1897201)
Duty Cycle The StraightShot® M4 Handpiece under full load
is rated for intermittent operation per the Weight 240 g
following: Duty Cycle Under full load is rated for intermittent operation
Maximum On Time 60 seconds per the following:
Minimum Off Time 30 seconds Maximum on time 60 seconds
Minimum off time 30 seconds
Straightshot® Magnum® Ii and
Straightshot® Iii
NOTE: Straightshot® Magnum® II and Straightshot® III both use
the Straightshot® M4 touch screen interface.
3
C
B2
A1
4
D
A. Basic handpiece
B. Suction barb
C. Locking collar
D. Cable
Blade installation
1 3
1. Depress collet (1).

2. Insert blade in collet and release collet (2 and 3).
3. Pull on the tool to ensure engagement and check distal tip of inner
blade is in contact with the distal tip of the outer cannula.

Reprocessing Instructions Strightshot® and Midas Rex® SC1
Magnum®, Straightshot®, M4, SC1 Handpieces

Warnings/ • Disconnect the power before cleaning.
Precautions • Do not fully immerse, or ultrasonically clean, this instrument.
• Do not cold soak sterilize this instrument in glutaraldehyde. This will void the warranty.
• Do not use organic solvents to clean the bur chuck.
• For drill handpiece cleaning, cover handpiece cable connector end with Handpiece Cable Cap, Small, catalog no. 3318510 or Handpiece Cleaning Cap, Universal, catalog no. 3318520.
(Note: Use 3318520 for Straightshot® M4, Visao®, and Xcalibur® Hi-Speed with angled cable. Use 3318510 for other handpieces.)
• After completion of the cleaning steps, remove Handpiece Cable Cap or other protective components installed prior to cleaning.
Instructions
Point of Use • This product is provided non-sterile and must be cleaned and sterilized before the first use and any reuse.
• To remove occasional residual buildup on handpiece cable connector, use a soft brush and isopropyl alcohol.
Containment and It is recommended that instruments are reprocessed as soon as is practical following use.
Transportation
Preparation for Remove the bur from the handpiece, otherwise disassembly is not required.
Decontamination
Cleaning: Automated • Remove instruments and equipment from any sterilization trays before placing into washer baskets.
(Do NOT use • Orient devices following recommendations of washer/disinfector manufacturers.
ultrasonic washer) • Use alkaline or neutral pH detergent recommended by washer/disinfector or detergent manufacturers.
• These products have been validated for effective cleaning using an automatic washer/disinfector cycle consisting of a minimum 44 minutes total time, including a pre-wash, main wash
& rinse, and thermal rinse. The thermal rinse shall be at least 10 minutes long at a minimum temperature of 60°C.
Cleaning: Manual • Do not immerse the handpiece.

• Wipe the handpiece and cable with disinfectant applied to a clean, non-abrasive cloth.
• Gently clean the handpiece with a moistened soft bristle brush or pipe cleaner, making sure to clean all passages. Use an enzymatic detergent solution to loosen and remove collected
tissues from the unit.
• Hold the handpiece with the front end pointed downward during rinsing.*
*Additional Cleaning Instructions for XPS® Straightshot® M4/SC1 Microdebrider:
-- During the normal cleaning cycle, run a gentle stream of warm water into the collet (front end), and into the lock lever of the Straightshot® M4/SC1 handpiece.
-- While warm water is running into the collet, rotate the mechanism for several revolutions (rotate the wheel); and while water is running into the lock lever, actuate the lock lever
several times (locking and unlocking).
-- Shake excess water from the handpiece.
-- PRECAUTION: Ensure the use of a very gentle stream of warm clean water during this additional cleaning step.
• Dry the handpiece and cable with a lint-free towel. Make sure to dry off the electrical conection on the cable ends.
• Apply a small amount of silicone spray into the front-end collet and outside of the handpiece.
• Sterilize the handpiece immediately after cleaning.
Disinfection Do not cold soak in gluteraldehyde.
Packaging • A standard, sterilization wrap may be used. In the US, an FDA approved surgical wrap must be used. Ensure that the pack is large enough to contain the instrument without stressing
the seals.
• In sets: Instruments may be loaded into dedicated instrument trays or general purpose sterilization trays. Wrap trays using appropriate method.
Sterilization • The sterlization parameters given below should be used for devices that are fully disassembled when disassembly is possible. Use basic
(Temperatures are aseptic technique during post-sterilization assembly to maintain the sterility of the instrument(s).
minimum required, • All steam sterilization cycles have been validated in the wrapped configuration and instruments can be sterilized wrapped or unwrapped.
times are minimum
required) Cycle Gravity Pre-vac Pre-vac (FR/WHO) Pre-vac (UK)
Temperature 121°C 132°C 134°C 134°C
Time 40 min 4 min 18 min 3 min
Drying 8 minutes, or until visibly dry.
STERRAD Sterilization 100S Compatible
100% EtO Sterilization Parameters Temperature 54-55°C Relative Humidity 60 +/- 5%
Ethylene oxide con- 600 +/- 25 mg/L Gas Exposure (full 120 min
centration cycle)
Aeration at 48-52°C, 8 hr
Maintenance, • Inspect components for any damage before and after each use. If damage is observed do not use the instrument until it is repaired.
Inspection, and • After cleaning and sterilization, verify functionality prior to re-use.
Testing
Storage It is extremely important that the handpiece be rapidly and completely vacuum dried before storage to prevent corrosion and residue deposits in the bearing and motor.
Additional Increase temperatures higher than those stated when necessary to satisfy governmental or health care facility requirements so long as the temperature does not exceed 149° C (300° F).
Information Heating above 149° C (300° F) may damage the handpiece and will void the warranty.
Note: The instructions provided above have been validated by the manufacturer as being CAPABLE of preparing the product for re-use. It remains the responsibility of the processor to ensure
that the reprocessing is actually performed using equipment, materials and personnel in the reprocessing facility to achieve the desired result. This normally requires validation and routine
monitoring of the process.
Note: All validations performed per AAMI TIR12:2004, Designing, testing, and labeling reusable medical devices for reprocessing in health care facilities: A guide for medical device
manufacturers.
Medtronic recommends incineration of devices that have directly contacted patients suspected or confirmed with Transmissible Spongiform Encephalopathy (TSE)/ CJD diagnosis. NHS
Estates HTM 2010 Parts 4 & 6: Appendix 2, Items contaminated with TSE Agents and WHO Infection Control Guidelines for Transmissible Spongiform Encephalopathies refers to a TSE
decontamination cycle using a steam autoclave at a temperature of 134-137°C for a single cycle of 18 minutes or repeated for a total of six 3-minute cycles.

Visao® Set-Up
D Visao
Speed Mode
F Pump 1 Prime
80000 + RPM
FWD
Visao
Cooling
REV
Irrigation
30 +
cc/min
Flow Prime
A
G Pump 2 Prime
E
None Endo-Scrub® 2
Visao Mode
Visao Suction
+ FWD Irrigation Irrigator
8000RP0M
Speed
REV
Irrigatio
n
Pumps Pumps
B
+
30
cc/min
Prime
Flow
1
?
Help
Pumps
?
Help
C 2
Setup Monitoring Reports
Mastoid 1 Orbicularis Oculi 147 µV

Stim 1 Ω
1.0
0.11 mA
Electrode
Check
Freeze
+ Display Measure
Stim 2 Events
Event Capture
Activate
100
µV +
Event Threshold
2 Orbicularis Oris 55 µV
Snapshot Action
Events
100 µV Comment
Threshold
+
Print
Save
Control Panel
Snapshot
?
Volume Advanced Help
Settings
50
100 µV 50 mS
5/1/2009 9:00AM GUI vxxxx.x.xxxxx DSP vxxx.x.xx.xxxx
NIM-Response® 3.0

Visao® Set-Up
This is the default set-up for the Visao® drill: Pump 1 will default to
coolant and Pump 2 will default to irrigation. Visao® Bur Guards
A. Visao® Clear Drip Chamber:
The clear drip chamber must be filled with coolant before priming
the coolant system. To fill, squeeze and release the chamber until
full. Visao® Coolant Pump (1) Cartridge
B. The Visao® Coolant Pump Cartridge: Visao® Reusable Bur Guards with
The Cartridge has both a pump tube and a return tube (returns and without irrigation.
to the drip chamber). Used for cooling. Pump and cartridge are
numbered (1).
C. The Irrigation Pump Cartridge:
The Cartridge (single tube) snaps onto the lower section of the
pump. Normally used for irrigation. Pump and cartridge are
numbered (2).
Visao® Single use bur guard with
Visao® Touch Screen irrigation
D. Visao® Handpiece Touch Screen:
• Speed Panel - Variable adjustment from 200 to 80,000 rpm
(FWD and REV) with a default speed of 80,000 rpm in FWD
Mode. Visao® Single use STIM bur guard
• Mode Panel - Enables forward or reverse tool rotation. Direction with and without irrigation
is selectable with the touchscreen or foot pedal (left button). The STIM bur guard also provides
• Irrigation Panel - Used to adjust the flow rate for on-drill nerve stimulation to standard burs
irrigation. Default is 30 cc per minute. Flow rate is adjustable in static and dynamic modes when
with the touchscreen or the irrigation remote control. used with both the Medtronic
• Special Function Panel - Shows Suction Irrigator or Endo-Scrub® Nerve Integrity Monitor (NIM®)
2 panel. and the IPC® or XPS® 3000 (REF
E. Main Screen subsection buttons: 1897102BF only) Drill System.
variable speed control to On/Off.
• Augment Area - (blank area) Shows supplemental information, such
as, inactive handpiece(s), or the special function panel. Visao® Bur Guard Installation
• Pumps - Opens pump panel. NOTE: Bur Guard is required for use with all burs.
• Help - Opens help screens.
NOTE: Multi-use bur guard with irrigation shown. Single-use
Visao® Pump Screen and STIM bur guard, installs in the same fashion. See also, Notch
alignment.
F. Pump number 1 panel:
• NOTE: If the Visao® drill has been detected by the console Pump 1
will default to coolant and Pump 2 will default to irrigation, with
optional attachments listed.
• See Precaution P1 for Prime/Flush button.
G. Pump number 2 panel:
• Attachments listed for this pump. 1. To install, simply slide the guard down over the front end fully
• If no irrigation is used the operator should select the pump 2 seated.
“None” radio button or the suction irrigator/other handpiece
radio button. Visao® Straight Tool Installation
1
STIM Bur Guard
H. The STIM bur guard is equipped with a cable that connects to the
BUR jack on the Integrated Power Console™. A separate cable,
supplied with the bur guard, then connects the IPC® (NIM® Jack)
to the Medtronic Nerve Integrity Monitor (NIM®) Patient Interface
Box. Wires within the STIM Bur Guard make contact with the
uncoated tool and carry the stimulating current to the tool’s tip. 2
3
For more information related to the STIM Bur Guard system contact
your local Medtronic ENT representative.
1. Align the dot on with the unlock symbol.

2. Insert tool until fully seated.
3. Align the dot on with the lock symbol.
4. Gently pull on tool to ensure it is locked.
5. Remove in the reverse order.

Visao® Handpiece Set-Up
Visao® Notch Alignment and Curved Visao® Technical Specifications
Tool Installation Visao® High-Speed Drill Part No. 3334800
1. Align the dot on with the unlock symbol as previously described. Speed 200-80,000 rpm forward/reverse, Visao® High-Speed
Drill, Water-Cooled
Size 16.0 cm length x 2.0 cm diameter
Weight 148 g
Duty Cycle The Visao® High-Speed Drill under full load is
rated for intermittent operation per the following:
Maximum On Time: 60 seconds
Minimum Off Time: 30 seconds
2. Align the notch on the tool with the notch on the base.
3. Gently press on the tool until fully seated.
4. Align the dot with the lock symbol.
5. Gently pull on tool to ensure it is locked.
6. Remove in the reverse order.
Visao® Tubing
Visao® Motor Coolant Tubing
The Visao® utilizes saline or DI water to cool the motor. The coolant may
flow in the left or right port as long as return tubing is connected to the
opposite port.
NOTE: Be careful not to confuse the coolant with irrigation.
1. Connect one tube to each port (numbers 1 & 2 in diagram).
1 2 3
Visao® Bur Guard Irrigation Tubing

Instructions
Includes:
• Visao® multi-use Bur Guard with irrigation
• Visao® single-use Bur Guard with irrigation
• Visao® STIM Bur with irrigation
1. Push the free end of the irrigation tubing (number 3 in diagram)
onto the irrigation barb until fully seated.
See Precaution P1 for Prime/Flush button.
Visao® Curved Tool Irrigation

1. Prior to initial use, soak the cooling
sleeve by dipping it into a cup of saline
or DI water, as shown.
2. During use, maintain copious
irrigation of the cooling sleeve and bur
by dribbling saline or DI water along
the entire length of the cooling sleeve.

Reprocessing Instructions Visao®
Visao®
Warnings / • Disconnect the power before cleaning.
Precautions • Do not fully immerse, or ultrasonically clean, this instrument.
• Do not cold soak sterilize this instrument in glutaraldehyde. This will void the warranty.
• Do not use organic solvents to clean the bur chuck.
• For drill handpiece cleaning, cover handpiece cable connector end with Handpiece Cable Cap, Small, catalog no. 3318510 or Handpiece
Cleaning Cap, Universal, catalog no. 3318520. (Note: Use 3318520 for Straightshot® M4, Visao®, and Xcalibur® Hi-Speed with angled
cable. Use 3318510 for other handpieces.)
• After completion of the cleaning steps, remove Handpiece Cable Cap or other protective components installed prior to cleaning.
Instructions
To remove occasional residual buildup on handpiece cable connector, use a soft brush and isopropyl alcohol.
Containment and Transportation It is recommended that instruments are reprocessed as soon as is practical following use.
Preparation for decontamination Remove the bur from the handpiece, otherwise disassembly is not required.
Cleaning: Remove instruments and equipment from any sterilization trays before placing into washer baskets. Orient devices following
Automated recommendations of washer/disinfector manufacturers.
Use alkaline or neutral pH detergent recommended by washer/disinfector or detergent manufacturers.
These products have been validated for effective cleaning using an automatic washer/disinfector cycle consisting of a minimum 44 minutes
total time, including a pre-wash, main wash & rinse, and thermal rinse. The thermal rinse shall be at least 10 minutes long at a minimum
temperature of 60°C.
Cleaning: Manual • Do not immerse the handpiece.
• After surgery, clean the irrigation sleeves and bur guards with an enzymatic detergent solution. Wipe the handpiece and cable with
disinfectant applied to a clean, non-abrasive cloth.
• A chuck brush cleaner (REF# 3112500) or an appropriately sized small (plastic bristle) bore brush may be inserted into the distal end of
the Visao® handpiece, irrigation sleeves and bur guards to assist in removing fluids, tissue, or bone fragments, making sure to clean all
passages. Use an enzymatic detergent solution to loosen and remove collected tissues from the unit.
• Rinse out the distal end of the handpiece. Shake excess water from the handpiece.
• Ensure all water is drained from the cooling housing. If saline was used for cooling during surgery, use distilled water to rinse the
housing prior to draining.
• Using distilled water, rinse saline from the irrigation nozzles. Drain the nozzle of all water.
• Sterilize the handpiece immediately after cleaning.
Packaging A standard, sterilization wrap may be used. In the US, an FDA approved surgical wrap must be used.
Ensure that the pack is large enough to contain the instrument without stressing the seals.
In sets: Instruments may be loaded into dedicated instrument trays or general purpose sterilization trays. Wrap trays using appropriate
method.
Sterilization The sterilization parameters given below should be used for devices that are fully disassembled when disassembly is possible. Use basic
(Temperatures are aseptic technique during post-sterilization assembly to maintain the sterility of the instrument(s).
minimum required, All steam sterilization cycles have been validated in the wrapped configuration and instruments can be sterilized wrapped or unwrapped.
times are minimum
required) Cycle: Gravity Pre-vac Pre-vac (FR/WHO) Pre-vac (UK)
Temperature: 121°C 132°C 134°C 134°C
Time: 40 min 4 min 18 min 3 min
Drying: 8 minutes, or until visibly dry
STERRAD Sterilization: 100S Compatible (Handpiece Only)
100% EtO SterilizationParameters:
Temperature 54 - 55°C Relative Humidity: 60 +/-5%
Ethylene oxide concentration 600 +/- 25 mg/L Gas exposure time (full-cycle): 120 minutes
Aeration at: 48-52°C, 8 hr.
Maintenance, Inspect components for any damage before and after each use. If damage is observed do not use the instrument until it is repaired.
Inspection and After cleaning and sterilization, verify functionality prior to re-use.
Testing
Storage It is extremely important that the handpiece be rapidly and completely vacuum dried before storage to prevent corrosion and residue
deposits in the bearing and motor.
Additional Increase temperatures higher than those stated when necessary to satisfy governmental or health care facility requirements so long as the
Information temperature does not exceed 149° C (300° F). Heating above 149° C (300° F) may damage the handpiece and will void the warranty.
Note: The instructions provided above have been validated by the manufacturer as being CAPABLE of preparing the product for re-use. It remains the
Note: All validations performed per AAMI TIR12:2004, Designing, testing, and labeling reusable medical devices for reprocessing in health care facilities:
A guide for medical device manufacturers.
Medtronic recommends incineration of devices that have directly contacted patients suspected or confirmed with Transmissible Spongiform Encephalopathy (TSE)/ CJD
diagnosis. NHS Estates HTM 2010 Parts 4 & 6: Appendix 2, Items contaminated with TSE Agents and WHO Infection Control Guidelines for Transmissible Spongiform
Encephalopathies refers to a TSE decontamination cycle using a steam autoclave at a temperature of 134-137°C for a single cycle of 18 minutes or repeated for a total of
six 3-minute cycles.

Midas Rex® Legend EHS® and Midas Rex® Legend EHS® Stylus Set-Up
EHS
B Speed Mode
D Pump 1 Prime
70000
RPM
+ FWD
None Endo-Scrub® 2
REV
EHS Suction
Irrigation Irrigator
Irrigation
0 +
cc/min
Flow Prime
E Pump 2 Prime
EHS Suction
Visao Mode
+ FWD
80000M
Speed
A
RP REV
Pumps
Irrigatio
30
cc/min
Flow
+
Prime Pumps
?
Pumps Help
?
Help
Midas Rex® Legend EHS® Set-Up

A. Default handpiece irrigation pump
Midas Rex® Legend EHS® Motor
Legend EHS® Touch Screen High speed, high torque, reversible electric motor used to dissect bone
B. EHS® Touch Screen: and biomaterial at selectable speeds from 200 to 75,000 rpm.
• Speed Panel:
A1
• In FWD Mode, allows variable adjustment from 200 to 75000
rpm with a default speed of 70000 rpm.
• In REV Mode, allows variable adjustment from 200 to 75000
B
2
cpm with a default speed of 70000 rpm.
• Irrigation Panel - Used to adjust the flow rate for optional in-
blade irrigation. Default is 0 cc per minute in FWD Mode and 0 D4 C3
cc per minute in REV Mode. A. Midas Rex® Legend EHS® Motor
Flow rate is adjustable with the touchscreen or the irrigation B. 4-pin cable connection
remote control. See Precaution P1 for Prime/Flush button. C. Stationary collet
• Mode Panel - Enables selection of FWD or REV mode. D. Rotational collet
C. Main Screen subsection buttons:
• Foot Control Unit (FCU) Button - changes foot pedal from Legend EHS® Motor Cable
variable speed control to On/Off. EHS® motor to console connection.
• Augment Area - (blank area) Shows supplemental information, such B2
as, inactive handpiece(s), or the special function panel (Suction C3
Irrigator or Endo-Scrub® 2). A1
• Pumps - Opens pump panel.
• Help - Opens help screens. 4
D
Legend EHS® Pump Screen B2

• Pump 1 is EHS® irrigation by default. If not using irrigation
operator should change to none.
• Pump panel may be closed by pressing the X-button. C3
E. Pump number 2 panel:
NOTE: When the Legend EHS® is detected by the console, Pump 2
will default to none, with optional attachments listed. A. 4-pin connector
B. Locking sleeve
• See Precaution P1 for Prime/Flush button. Legend EHS® Motors C. Green boot
D. Cable
Midas Rex® Legend EHS® and Midas Rex® Legend EHS® Stylus Set-Up
Connect Midas Rex® Legend EHS® Motor and Legend Technical Specifications
EHS® Stylus Motor, Cable
Legend EHS® Motor Part No. EM100-A
Speed 75000 rpm forward/reverse
Size 9.02 cm length x 2.03 cm diameter
Weight 180 g
Duty Cycle (To avoid overheating):
• For continuous use in operating room temperatures up to 40°C
(104°F), the Legend EHS® Motor is rated for a cutting time of 3
1. Connect the Midas Rex® Legend EHS® Motor Control Cable to the minutes, at 70,000 rpm.
Midas Rex® Legend EHS® Motor. • For normal operating room temperatures (typically 20°C / 68°F)
• Take care to align the cable dot to the handpiece’s red dot. See the Legend EHS® Motor is rated for a continuous cutting time of
illustration. 10 minutes followed by 25 minutes of rest.
• The Legend EHS® Motor is rated for intermittent use of 20
To Remove Cable: seconds ON / 20 seconds OFF, indefinitely at 70,000 rpm.
A
1
2
1. Push the cable towards the motor or console.

2. Then pull out by locking ring (A) ONLY.
Stylus
B Speed Mode D Pump 1 Prime
60000 + RPM
FWD
None Endo-Scrub® 2
REV
Stylus Suction
Irrigation
0 +
cc/min
Flow Prime
E Pump 2 Prime
Stylus Suction
Visao Mode
+ FWD
80000M
Speed
A
RP REV
Pumps
Irrigatio
30
cc/min
Flow
+
Prime Pumps
?
Pumps Help
?
Help

Midas Rex® Legend EHS® and Midas Rex® Legend EHS Stylus® Set-Up
Legend EHS® Stylus Set-Up Technical Specifications

A. Default handpiece irrigation pump Legend EHS Stylus® Motor Part No. EM200
Speed 75000 rpm forward/reverse
Stylus, Touch Screen Size
Weight
7.77 cm length x 1.65 cm diameter
90 g
B. Touch Screen: Duty Cycle (To avoid overheating):
• Speed Panel: • For continuous use in operating room temperatures up to 40°C,
• In FWD Mode, allows variable adjustment from 200 to 75000 the Legend EHS® Stylus Motor is rated for 3 minutes at 60,000
rpm with a default speed of 70000 rpm. rpm, followed by 25 minutes of rest.
• In REV Mode, allows variable adjustment from 200 to 75000 • For normal operating room temperatures (typically 20°C)
rpm with a default speed of 70000 rpm. the Legend EHS® Stylus Motor is rated for continuous cutting
• Irrigation Panel - Used to adjust the flow rate for optional in- indefinitely at 60,000 rpm.
blade irrigation. Default is 0 cc per minute in FWD Mode and 0
cc per minute in REV Mode.
• Mode Panel - Enables selection of FWD or REV mode.
C. Main Screen subsection buttons:
as, inactive handpiece(s), or the special function panel (Suction
• Help - Opens help screens.
Stylus, Pump Screen

• Pump 1 is Stylus irrigation by default. If not using irrigation
operator should change to none.
E. Pump number 2 panel:
• Panel is Pump is set to none by default.
• See Precaution P1 for Prime/Flush button. Midas Rex® Legend
EHS® Stylus Motor
A smaller compact high speed, high torque, reversible electric motor
used to dissect bone and biomaterials at selectable speeds from 200 to
75,000 rpm. The Midas Rex® Legend EHS® Stylus Motor cable is integral
with the Handpiece and is not removable from the motor.
1
A
B2
4
D C3
E5
F6 8
H
7
G
A. Midas Rex® Legend EHS® Stylus Motor
B. Cable
C. Rotational collet
D. Stationary collet
E. Ground connector
F. 4-pin connector
G. Locking sleeve
H. Black boot

Reprocessing Instructions Midas Rex® Legend EHS® and Midas Rex®
Legend EHS Stylus®
Midas Rex® Legend® Electric High-Speed Ehs System Motors

Warnings and Do not soak Midas Rex® Legend EHS® equipment.
Precautions Do not use ultrasound to clean Midas Rex Legend EHS® equipment.
Do not use chlorine based or corrosive cleaning agents such as bleach, lye, acetone, sodium hypochlorite/
bleach, sodium hydroxide, formic acid, or solutions containing glutaraldehyde.
The use of a washer-disinfector for cleaning may cause a pre-mature degradation in performance.
Clean the Legend EHS® motor and cable while still connected to each other. This will help reduce ingress of
debris.
Instructions
Point of Use This product is provided non-sterile nd must be cleaned and sterilized before the first use and any reuse
Transportation
Preparation for Disassembly of Equipment:
decontamination Turn off power.
Disconnect Legend EHS® Motor Cable from Legend EHS® Console.
Disconnect Legend EHS® Foot Control Cable from the Legend EHS® Console.
Cleaning: Remove instruments and equipment from any instrument trays before placing into washer baskets. Orient
Automated devices following recommendations of the washer/disinfector manufacturers.
(Do NOT use ultrasonic Recommended Washer/Disinfector Cycle
washer)
Pre-Wash: 35°C, 5 min.
Main Wash: 93°C, 30 min.
Neutralize: 2 min.
Final Rinse: 65°C, 10 min.
Cleaning: Manual Wipe all external surfaces of the motor and cable with a cloth dampened with a neutral enzymatic detergent,
pH 6.0-8.0. Brush motor case and collet with a nylon brush dampened with a neutral enzymatic detergent.
Rinse handpiece and cable thoroughly under running water, collet end pointing down.
Dry collet and motor with a lint free towel
Disinfection No particular requirements
Packaging No particular requirements
Sterilization Steam Sterilization:
(Temperatures are
minimum required, Cycle: Gravity Pre-vac Pre-vac (FR/WHO)
times are minimum Temperature: 132°C 132°C 134-137°C
required) Time: 25 min 4 min. 18 min.
Drying: 8 minutes
STERRAD Sterilization: Do not use low temperature hydrogen peroxide gas plasma sterilization due to
lumen internal diameter and length restrictions.
100% EtO Sterilization Parameters:
Temperature: 53-57oC
Relative humidity: 70 ±5%
Ethylene oxide concentration: 725 ± 25mg/L
Gas exposure time (full-cycle): 4 hours (Wrapped)
Aeration: 18 hours at 53-57oC
Steris: Do not use liquid peracetic acid sterilization due to immersion procedure.
Maintenance, Inspection Inspect components for any damage before and after each use. If damage is observed, do not use the
and Testing instrument until it is repaired.
After cleaning and sterilization, verify functionality prior to re-use.
Storage Store with other sterile devices
Additional None
Information
responsibility of the processor to ensure that the reprocessing is actually performed, using equipment, materials and personnel in the reprocessing facility,
Medtronic recommends incineration of devices that have directly contacted patients suspected or confirmed with Transmissible Spongiform Encephalopathy
(TSE)/ CJD diagnosis. NHS Estates HTM 2010 Parts 4 & 6: Appendix 2, Items contaminated with TSE Agents and WHO Infection Control Guidelines for
Transmissible Spongiform Encephalopathies refers to a TSE decontamination cycle using a steam autoclave at a temperature of 134-137°C for a single cycle
of 18 minutes or repeated for a total of six 3-minute cycles.
NOTE: All validations performed per AAMI TIR12:2004, Designing, testing, and labeling reusable medical devices for reprocessing in health care facilities:

Midas Rex® Legend EHS® Stylus Touch™ Set-Up
Stylus Touch
B Speed Mode D Pump 1 Prime
60000 + RPM
FWD
None Endo-Scrub® 2
REV
Stylus Touch Suction
Irrigation Control
Finger Foot Both
0 +
cc/min
Flow Prime
E Pump 2 Prime
Stylus Touch Suction

Visao
Mode
+ FWD
8000RP0M
Speed
A
REV
Pumps
Irrigatio
30
cc/min
Flow
+
Prime Pumps
?
Pumps Help
?
Help
Legend EHS® Stylus Touch™ C. Main Screen subsection buttons:

• Foot Control Unit (FCU) Button - toggles foot pedal and/or
Set-Up finger lever from variable speed control to On/Off.
A. Default handpiece irrigation pump as, inactive handpiece(s), or the special function panel (Suction
See “Standard Pump Set-Up” for loading the tubing. Irrigator or Endo-Scrub® 2).
Stylus Touch™, Touch Screen • Help - Opens help screens.
B. Touch Screen:
• Speed Panel: Stylus Touch™, Pump Screen
• In FWD Mode, allows variable adjustment from 200 to 75000 D. Pump number 1 panel:
rpm with a default speed of 60000 rpm. • Attachments listed for this pump.
• In REV Mode, allows variable adjustment from 200 to 75000 • Pump 1 is Stylus Touch™ irrigation by default. If not using
cpm with a default speed of 60000 cpm. irrigation operator should change to none.
• In Safe Mode, (when finger lever safe mode switch is on) will • Pump panel may be closed by pressing the X-button.
not display rpm but will display the word “SAFE” in yellow • See Precaution P1 for Prime/Flush button.
letters. Handpiece will not operate in safe mode. E. Pump number 2 panel:
Speed • Attachments listed for this pump.
• Panel is Pump is set to none by default.
SAFE + • See Precaution P1 for Prime/Flush button.
RPM
• Irrigation Panel - Used to adjust the flow rate for optional

irrigation. Default is 0 cc per minute in FWD Mode and 0 cc per
minute in REV Mode.

Midas Rex® Legend EHS® Stylus Touch™ Set-Up
Midas Rex® Legend EHS® Stylus

Touch™ Motor
The Midas Rex® Legend EHS® Stylus Touch™ Motor is a small, compact,
high-speed, high-torque, reversible electric motor used to dissect bone
and biomaterials at selectable speeds from 200 to 75,000 rpm. The Midas
Rex® Legend EHS® Stylus Touch™ Motor includes a rotating finger lever
that emulates the functions of the multifunction foot switch (on, off,
variable speed)
A B
C D E F
G H I
A. Range of motion
B. Range of motion
C. Telescoping Finger Rest (pull out/push in).
D. Finger Lever
E. Finger Lever Safe Mode Switch
F. Control Lever Ring
G. Stationary Collet
H. Rotational Collet
I. Midas Rex® Legend EHS® Stylus Motor
J. 12-pin Connector and Boot
To Rotate the Finger Lever
1. Firmly push the “Control Lever Ring” forward and rotate slightly in
a clockwise or counter-clockwise direction as shown in figure below.
2. Continue rotating the finger lever until lever locks in new position.
Technical Specifications
Legend EHS® Stylus Touch™ Part No. EM210
Speed: 75,000 rpm forward/reverse
Size: 15.26 cm length x 1.65 cm diameter
Weight 130 g
Duty Cycle (To avoid overheating):
• For continuous use in operating room temperatures up to 40°C,
the Legend EHS® Stylus Motor is rated for 3 minutes at 60,000
rpm, followed by 25 minutes of rest.
• For normal operating room temperatures (typically 20°C)
the Legend EHS® Stylus Motor is rated for continuous cutting
indefinitely at 60,000 rpm.
Reprocessing Instructions Midas Rex® Legend EHS Stylus® Touch

Midas Rex® Legend EHS® Stylus Touch™ Motor

Warnings/ • Do not soak/submerge Midas Rex® Legend EHS® Stylus Touch® Motor devices.
Precautions • Do not use ultrasound to clean Midas Rex® Legend EHS® Stylus Touch® Motor devices.
• Do not use chlorine based or corrosive cleaning agents such as bleach, lye, acetone, sodium hypochlorite/bleach, sodium
• hydroxide, formic acid, or solutions containing glutaraldehyde.
• The use of a washer-disinfector for cleaning may cause a pre-mature degradation in performance.
• Allow an adequate cooling period after steam sterilization.
Limitations Verify functionality prior to re-use.
Instructions
Point of Use No particular requirements.
Transportation
Preparation for No particular requirements.
Decontamination
Cleaning: Review the washer-disinfector warning above, before using this cleaning method. Remove devices from instrument trays before
Automated placing into washer baskets. Orient devices following recommendations of the washer/disinfector manufacturers. Verify
(Do NOT use ultra- that devices are visually clean after automated cleaning.
sonic washer) Recommended Washer Cycle
Pre-Wash: Cold tap water, 2 min.
Wash: 66°C, 5 min. using a neutral enzymatic detergent, pH 6.0-8.0
Rinse: Hot tap water, 1 min.
Cleaning: Manual • Wipe all external surfaces of the motor and hose, and wipe inner surface of oiler housing with a cloth dampened with aneutral
enzymatic detergent, pH 6.0-8.0.
• Brush motor case and collet with a nylon brush dampened with a neutral enzymatic detergent, be sure to brush under the finger
control lever.
• Rinse motor thoroughly under running water, collet end pointed down. Dry collet and motor with lint free towel.
• Verify that devices are visually clean after manual cleaning.

Packaging For sterilization, place devices in instrument tray. Devices may be unwrapped, or wrapped with up to two layers of 1-ply polypropylene
wrap
Cycle Gravity Pre-vac Pre-vac (FR/ Pre-vac (UK) Flash (Pre-Vac, Unwrapped)
WHO)
Temperature 132°C 132°C 134°C 134°C 132°C
Time 25 min 4 min 18 min 3 min 4 min
Sterilization
(Temperatures are Drying 15 min 15 min 20 min 10 min N/A
minimum required,
times are minimum STERRAD Sterilization: Do not use low temperature hydrogen peroxide gas plasma sterilization due to lumen internal
required) diameter and length restrictions.
100% EtO Preconditioning: 51-59°C, 70 ±5% relative humidity, 30 min Relative humidity: 70 ±5%
SterilizationParameters Temperature: 51-59°C Gas exposure time (full cycle):
Ethylene oxide concentration: 725 ± 25mg/L 4 hours
Aeration at: 12 hours at 51-59°C
Maintenance, Inspect devices for any damage before and after each use. If damage is observed, do not use the device until it is repaired.
Inspection and After cleaning and sterilization, verify functionality prior to re-use.
Testing
Storage Store with other sterile devices.
Additional None
Information

Attachments, Midas Rex® Legend EHS® , Midas Rex® Legend EHS
Stylus® , and Midas Rex® Legend EHS® Stylus Touch™
Midas Rex® Attachments Tool Number Suffixes
NOTE: that more than one of the suffixes listed may be combined
Motor Collet in a single part number.
Prior to installing an attachment, ensure that arrows on the motor collet L Long S Spiral
are in proper alignment. D Diamond SH Short
1 X Extra
F Fine DC Diamond Coarse
C Carbide DX Diamond Extra Coarse
Nomenclature and color-code example
2
3
1. Collet improperly aligned.
1. Collet properly aligned.
2. Alignment arrows properly aligned.
If the arrows are not aligned, use the Motor Wrench to turn the
rotational collet until its arrow is aligned with the arrow on the
stationary collet.
Medtronic Powered Surgical Solutions Tool
Nomenclature NOTE: In the example shown, the tool can also be used in
Part numbers for Legend dissecting tools follow a standard naming attachments with a red color code and nomenclature 8-B.
convention, which is described in the diagram below. A basic part
number consists of five characters, representing the associated
attachment length, the tool-head shape, and the tool-head diameter. Installing Attachments
Part numbers may also include a variety of prefixes to identify specific Straight Attachment
attachment types, as well as a variety of suffixes to provide additional
information about the dissecting tool. Tools that use a design taken from Please see Warning W36 and W54
the Mednext® line are designated by an additional “-MN” suffix.
B C
1
A 9MH30 D
F E
A Optional Prefix
B Associated Attachment Length
C Tool Head Diameter (x.x millimeters) 2
D Optional “-MN” Suffix for Mednext Tool Designs
E Optional Suffix 3
F Tool Head Shape
Tool Number Prefixes
F For use with footed attachments
MC For use with metal-cutting attachments 1. Slide straight attachment over motor collet
T For use with telescoping attachments Verify:
• Alignment marks match up at the unlocked symbol.
Tool Head Shapes • An audible click is heard as the attachment is seated.
2. Insert the tool into the attachment with a slight rotational motion.
AC Acorn MH Match Head An audible click, heard and perceptible by touch, confirms that the
BA Ball OV Oval tool is fully seated.
CY Cylinder RT Reverse Taper 3. Rotate attachment in direction indicated by arrow until attachment
HM Hole Maker TA Tapered alignment mark is directly in line with the locked symbol (you will
hear two clicks as the attachment is rotated).
HS Hole Saw TD Twist Drill Verify:
• Pull on the tool to ensure that it is locked into the handpiece.
• Tool should rotates freely, if not, unlock the attachment, re-seat
the tool, and re-lock the attachment.
4. Removal is in the reverse order of installation.

Attachments
Angled Attachments Note:
• A dissecting tool may be installed and locked in the angled
A tool may be installed and locked in the attachment before the angled attachment before it is installed onto the motor.
attachment is installed on the motor. • Angled and straight attachments with the same length, marking
and color band share the same dissecting tools.
• The Midas Rex® Legend EHS® Motors will not run properly unless
the attachment is in the locked position.
Fixed Footed Attachment
1 2
2
1
3
An audible click, perceptible by touch, confirms that the tool is fully
seated.
2. Rotate the tool lock in direction indicated by arrow until the tool
lock alignment mark is directly in line with the locked symbol.
Verify:
• Pull on the tool to ensure that it is locked into the handpiece.
• Tool should rotates freely, if not, unlock the attachment, re-seat
the tool, and re-lock the attachment.
3. Install the angled attachment in the same manner as the straight
attachment.
To Install:
An audible click, heard and perceptible by touch, confirms that the
tool is fully seated.
2. Slide attachment over tool and motor collet.
Verify:
• Alignment marks match up at the unlocked symbol.
• An audible click confirms that the attachment is seated.
3. Rotate attachment in direction indicated by arrow until attachment-
alignment mark is directly in line with the locked symbol, there will
be two (2) audible clicks observed as the attachment is rotated.
Please see Warning W37
4. Verify that both the attachment to motor and the tool-lock
alignment mark is directly in line with the locked symbol.
To Install Angled Attachment: 3
1. The Angled Attachment installs onto the motor using the standard
method (see Straight Attachment for instructions).
1 2
Irrigation Clip (Straight Bur)
1 2
1. Adjust the plastic clip onto the stainless-steel irrigation tube.

2. Bend irrigation tube to a desirable angle.
3. Snap the clip onto the handpiece near the tool.
NOTE: Clip may not fasten to small bore attachment after having
been used on large bore attachment.

Attachments
To Remove: Metal-cutting Attachment
1. Move the sleeve on attachment distally (away from motor). The Metal-cutting Attachment uses the tungsten-carbide or diamond-
2. While holding sleeve away from motor rotate attachment toward the wheel tool. All metal-cutting tools have an “MC” attachment prefix
unlock position until there is one (1) audible click. in their nomenclature (example, MC254, MC30). Metal-cutting tools
3. Release outward pressure on sleeve. cannot be installed into any other attachment.
4. Continue to rotate attachment to the unlock position. There will be
one (1) additional audible click as the marks line up. Please see Warning W15
5. Carefully slide attachment off tool.
6. Pull tool out of motor collet and discard.
Rotating Footed Attachment

Please see Warning W20 & W52
2
A B
A. Rotating (360º) section

B. Motor-mount section 1 3
The Rotating and Fixed Footed Attachments use the same tools and are
installed and removed from the motor in the same way.
NOTE: When mounting to motor hold by section B.
Contra-Angle Attachment 16-MF

Operating Speed: 62,000 rpm
Before installing the motor or tool, adjust the no-load speed setting to
62,000 rpm using the speed control buttons on the console.
To Install Tool:
To Install Tool: 1. Hold lower section of the attachment, rotate the upper section in the
A direction of the unlock symbol until it stops.
2. Insert the tool.
3. Rotate the upper section in the direction of the lock symbol until it
stops.
4. Gently pull on tool shaft to ensure proper installation.
A1 5. Removal is the reverse order.
A3
To Install Metal-cutting Attachment to motor:
See the Straight Attachment.
B Variable-Exposure attachment
B The Legend® Variable-Exposure attachments can be distinguished
from standard attachments by the dual color bands on the shaft of the
attachment.
To Install Variable-Exposure
Attachment to motor
1. The Variable-Exposure attachment
installs onto the motor using the
standard method (see the Straight
Attachment for instructions).
2. Removal is in the reverse order of
installation.
1. Lock lever open (see detail A1).
2. Align flat keyway in drill head (see detail B). To Adjust the Variable-Exposure Attachment
3. Lock lever closed (see detail A3). Use the Tube adjustment ring to adjust
4. Pull on the tool to ensure that it is locked. the exposure of the tool. With the
5. Removal is the reverse order. tool pointing away from you, turn the
To Install Contra-Angle Attachment: Tube adjustment ring to the right to
1. See Straight Attachment. increase the length of the tube, thereby
2. Removal is the reverse order. decreasing the exposure of the tool.
Turn the ring to the left to decrease the
length of the tube, thereby increasing
the exposure of the tool.
Please see Warning W23, W34, W53, and W57
Cleaning
When cleaning, clean the attachment completely, first without adjusting
the tube length, then with the tube fully extended, and with the tube
fully retracted.

Attachments
Telescoping Attachment AT10 Install Curved Bur into Base Attachment
A B
Telescoping-Base Attachment
A. Locked
B. Unlocked
C
C. Tube Locking Ring

D. Tool Locking Ring E
E. Base
To Install Base to Motor
See Straight Attachment for instructions.
To Install Straight Telescoping Tube and Tool to Base
Attachment
1 2 3
1 2 3
The locking rings in the unlocked position.
1. Insert base end of curved bur into attachment until the hub is fully
seated.
• Turn the Tube Locking Ring until finger tight.
• DO NOT over tighten.
• Verify that the hub is in place by gently pulling on the tool.
2. Seat the tool into the tool Locking Ring by applying a slight amount
of inward pressure on the bur.
An audible click, heard and perceptible by touch, confirms that the
tool is fully seated.
3. Rotate the Tool Locking Ring until the tool lock alignment mark is
directly in line with the locked symbol.
• Verify that the bur is in place by gently pulling on the bur.
The locking rings in the unlocked position.
1. Insert base end of selected telescoping tube into attachment. Curved Bur Cooling
• Turn the Tube Locking Ring until finger tight. 1. Prior to initial use, soak the cooling sleeve
• DO NOT over tighten. by dipping it into a cup of saline or DI water,
• Verify that the tube is in place by gently pulling on the tube. as shown.
2. Insert the tool into the attachment with a slight rotational motion. 2. During use, maintain copious irrigation
An audible click, perceptible by touch, confirms that the tool is fully of the cooling sleeve and bur by dribbling
seated. saline or DI water along the entire length of
3. Rotate the Tool Locking Ring lock in direction indicated by arrow the cooling sleeve.
until the tool lock alignment mark is directly in line with the locked
symbol.
• Verify that the tool is in place by gently pulling on the tool.
4. If using a curved tube and position needs to be changed, rotate Tube
Locking Ring to the unlocked position, re-position tube, then rotate
Tube Locking Ring to the locked position. Gently pull on tool, then
the tube, to ensure proper installation.

Attachments
Perforator Attachments (AD01 & AD03) Jacobs® Chuck Attachment
Maximum Speed To install Jacobs® Chuck Attachment to motor:

Console Setting AD01 Output Speed AD03 Output Speed See the Straight Attachment for instructions.
(max) (max) To install drill bit in Jacobs® Chuck
60,000 rpm 645 rpm 830 rpm 1. Turn chuck-key counter-clockwise (B) to open ridged collar.
70,000 rpm 745 rpm 965 rpm 2. Insert drill bit and turn chuck-key clockwise (A) to tighten collar.
72,000 rpm 770 rpm 995 rpm NOTE: A drill bit may be installed in the attachment before the
74,000 rpm 790 rpm 1020 rpm Jacobs® Chuck attachment is installed on the motor.
75,000 rpm 805 rpm 1035 rpm Medtronic Powered Surgical Solutions does not provide drill bits.
To Install Perforator-Driver Attachment to Motor: To Remove:
See the Straight Attachment for instructions. B
To Install a Cranial Perforator Device with a Hudson
shank
A
A
B
1 3
3. Pull back on the collar.

4. Insert device.
5. Release collar to its original position.
Please see Warning W56
NOTE: Cranial perforator device may be installed in the
attachment before the perforator attachment is installed on the
motor.
To Remove:

Reprocessing Instructions Attachments
Midas Rex® Legend® Attachments and Telescoping Tubes

Warnings and Do not soak/submerge Legend® devices.
Precautions Do not use ultrasound to clean Legend® devices.
Do not use chlorine based or corrosive cleaning agents such as bleach, lye, acetone, sodium hypochlorite/bleach, sodium hydroxide,
formic acid, or solutions containing glutaraldehyde.
The use of a washer-disinfector for cleaning may cause a pre-mature degradation in performance.
Allow an adequate cooling period after steam sterilization.
Do not steam or EO sterilize the Legend® attachment cleaning nozzle.
Do not use Pana Spray on variable exposure attachments, as it may cause the attachment to overheat.
Limitations Verify functionality prior to re-use.
Instructions
Point of Use No particular requirements.
Transportation
Preparation for No particular requirements.
decontamination
Cleaning: Review the washer-disinfector warning above, before using this cleaning method. Remove devices from instrument trays before placing
Automated into washer baskets. Orient devices following recommendations of the washer/disinfector manufacturers.
(Do NOT use ultrasonic Recommended Washer/Disinfector Cycle
washer)
Pre-Wash: 35oC, 5 min.
Main Wash: 93oC, 30 min.
Neutralize: 2 min.
Final Rinse: 65oC, 10 min.
Cleaning: Manual 1 Wipe all attachments and telescoping tubes with a cloth, dampened with a surgical instrument cleaning solution.
2 Immerse the head of Contra-Angle attachments in surgical instrument cleaning solution and run the motor for 1 minute.
3 Other attachments and tubes may be mechanically agitated in cleaning solution, but not soaked or immersed.
4 A nylon brush dampened with a surgical instrument cleaning solution may be used to clean the external surfaces and internal
connecting surfaces of the attachments and tubes.
Straight attachments, footed attachments and telescoping straight tubes have special cleaning brushes sized to the attachment’s or
telescoping tube’s internal diameter. Push the brush wet with surgical instrument cleaning solution through the attachment or
telescoping tube from rear to front to loosen and remove debris trapped inside.
5 Move any moveable parts back and forth to allow solution to thoroughly clean attachment, e.g., sleeve on footed attachment, perforator
attachment.
6 Rinse thoroughly with tap water.
7 Thoroughly dry attachments. An air gun may be used to blow moisture out from rear to front of attachment.
8 Attach the Legend attachment cleaning nozzle to the recommended aerosol spray lubricant (Pana Spray®), and perform the following
steps to lubricate attachments (except for variable exposure attachments):
a Attach the nozzle to the aerosol spray can and push the attachment onto the nozzle by aligning the arrows on the attachment and on
the cleaning nozzle.
b Rotate the attachment slightly to ensure a tight fit.
c Cover the attachment with a paper towel.
d Spray in one 3-second squirt to remove debris and lubricate the attachment.
e Rotate the attachment back to the arrow on the nozzle and pull the attachment off of the nozzle.
f Clean the nozzle for re-use.
Packaging Place devices in instrument tray, and double wrap instrument case with 1-ply polypropylene wrap.
Sterilization Steam Sterilization:
(Temperatures are Cycle: Gravity Pre-vac Pre-vac*
minimum required, times Temperature: 132°C 132°C 134°C
are minimum required) Time:
Drying 25 min. 4 min. 3 min.
10 minutes 15 minutes 10 minutes
*Items contaminated with TSE agents may be decontaminated using steam autoclave at a temperature of 134–137°C for a single cycle
of 18 minutes or repeated for a total of six 3-minute cycles as referenced in NHS Estates HTM 2010 parts 4 & 6: Appendix 2, Items
Contaminated With TSE Agents and WHO Infection Control Guidelines for Transmissible Spongiform Encephalopathies. Medtronic
recommends that all products used on a patient suspected or confirmed with a TSE diagnosis be incinerated.
STERRAD Sterilization: Do not use low temperature hydrogen peroxide gas plasma sterilization due to lumen internal diameter and
length restrictions.
Preconditioning: 51-59oC, 70 ±5% relative humidity, 60 min.
Temperature: 51-59oC
Relative Humidity: 70 ±5%
Ethylene oxide concentration: 725 ± 25mg/L
Gas exposure time (full-cycle): 4 hours
Aeration: 18 hours at 51-59oC
Maintenance, Inspection Inspect devices for any damage before and after each use. If damage is observed, do not use the device until it is repaired.
and Testing Verify functionality prior to re-use.
Storage Store with other sterile devices.
Transmissible Spongiform Encephalopathies refers to a TSE decontamination cycle using a steam autoclave at a temperature of 134-137°C for a single cycle of
18 minutes or repeated for a total of six 3-minute cycles.
NOTE: All validations performed per AAMI TIR12:2004, Designing, testing, and labeling reusable medical devices for reprocessing in health care facilities: A
guide for medical device manufacturers.
Reprocessing Instructions Surgical Burs
Medtronic Xomed Surgical Burs

Warnings / Remove burs from the handpiece before cleaning and sterilizing.
Precautions Before sterilization, carefully inspect the bur tips, bur flutes, under a microscope or magnifying
glass for any irregularities or eccentricities.
Discard any burs that show signs of damage or wear.
Cold soak in glutaraldehyde, chlorine, or ammonium solutions, or dry heat sterilization is not
recommended as damage to the bur may occur.
Limitations Discard any burs that show signs of damage or wear.
Instructions
Point of Use Remove burs from the handpiece before cleaning and sterilizing.
Promptly and thoroughly rinse instruments with deionized water after each use.
Transportation
Preparation for Promptly and thoroughly rinse instruments with deionized water after each use.
decontamination
Cleaning: Automated Remove instruments and equipment from any sterilization trays before placing into washer
(Do NOT use baskets.
ultrasonic washer) Orient devices following recommendations of washer/disinfector manufacturers.
Use alkaline or neutral pH detergent recommended by washer/disinfector or detergent
manufacturers.
These products have been validated for effective cleaning using an automatic washer/disinfector
cycle consisting of a minimum 44 minutes total time, including a pre-wash, main wash & rinse,
and thermal rinse. The thermal rinse shall be at least 10 minutes long at a minimum temperature
of 60°C.
Cleaning: Manual Soak in lukewarm*, mild* enzymatic detergent, and deionized water for a minimum of two
minutes. Then clean ultrasonically in lukewarm* solution of mild* detergent and deionized water
for at least 30 seconds. Rinse thoroughly with deionized water and wipe dry.
*less than 43°C; pH 7.0 - 8.5
NOTE: When using an ultrasonic cleaner or a spray washing machine, follow the manufacturer’s
recommendations, particularly with regard to articulated instruments and positioning of
instruments.
Packaging A standard, sterilization wrap may be used. In the US, an FDA approved surgical wrap must be
used.
In sets: Instruments may be loaded into dedicated instrument trays or general purpose
sterilization trays. Wrap trays using appropriate method.
Sterilization The sterilization parameters given below should be used for devices that are fully disassembled
(Temperatures are when disassembly is possible. Use basic aseptic technique during post-sterilization assembly to
minimum required, maintain the sterility of the instrument(s). All steam sterilization cycles have been validated in the
times are minimum wrapped configuration and instruments can be sterilized wrapped or unwrapped.
required)
Cycle: Gravity: Gravity: Pre-Vac: (FR/ Pre-vac : Pre-vac:
Temperature: 121°C 132°C WHO) (UK) 132°C
Time: 30 min 10 min 134°C 134°C 4 min
18 min 3 min
100% EtO STERRAD Sterilization
Not validated Not validated
Maintenance, Discard any burs that show signs of damage or wear.
Inspection and
Testing
Storage Store in a clean dry place.
Additional None
Information

Skeeter® Set-Up
A Skeeter
Speed Mode C Pump 1 Prime
16000
RPM
+ FWD
None Endo-Scrub® 2
REV
Suction
Irrigator
D Pump 2 Prime
B None Endo-Scrub® 2
Visao Mode
Suction
+
Irrigator
FWD
8000RP0M
Speed
REV
Pumps
Irrigatio
30
cc/min
Flow
+
Prime Pumps
?
Pumps Help
?
Help
Skeeter® Set-Up
Skeeter® Touch Screen
A. Touch Screen: A. Tool
• Speed Panel: B. Tool’s color code
• In FWD Mode, allows variable adjustment from 1000 to C. Tool lock/release button
16000 rpm with a default speed of 16000 rpm. D. Cannulated shaft
• In REV Mode, allows variable adjustment from 1000 to E. PTFE Bearing
16000 cpm with a default speed of 16000 rpm. Instructions for use
B. Main Screen subsection buttons:
• Foot Control Unit (FCU) Button - changes foot pedal from 1
as, inactive handpiece(s), or the special function panel (Suction 2
• Help - Opens help screens. 3
Skeeter® Pump Screen

C. Pump number 1 panel:
• Attachments listed for this pump. 2
• Pump is set to Pump is set to none by default.
• Pump panel may be closed by pressing the X-button. 1. Press the bur release button.
• See Precaution P1 for Prime/Flush button. 2. Insert the bur shaft using a slight twisting motion.
D. Pump number 2 panel: 3. When a “click” is noted release the bur release button.
• Attachments listed for this pump. 4. Gently pull on bur to ensure it is locked.
• Pump is set to none by default. 5. Remove in the reverse order.
Technical Specifications
Skeeter® Ultra-Lite Oto-Tool Set-Up Skeeter® Ultra-Lite Oto-Tool Part No. 3055601
B2 Speed 1,000-16,000 rpm forward/reverse
1
A C3 Size 17 cm length x 1.6 cm diameter
Weight 57 g
5
E Duty Cycle Continuous run
Storage
Temperature: -40°C to +70°C
4
Humidity: 10% to 100% RH
D
Barometric Pressure: 500 to 1060 hPa

Reprocessing Instructions Skeeter® Oto-flex Burs
Skeeter® - Oto-flex Burs

Warnings / Before sterilization, carefully inspect the bur tips.
Precautions Burs exhibiting the following conditions should be replaced: 1) nicks on cutting surfaces, 2) noticeable wear on PTFE bearings,
3) severe bends or crimps on bur shaft
Cold soak in glutaraldehyde, chlorine, or ammonium solutions, or dry heat sterilization is not recommended as damage to the
bur may occur.
Limitations Discard any burs that show signs of damage or wear.
Instructions
Point of Use Remove burs from the handpiece before cleaning and sterilizing.
Promptly and thoroughly rinse instruments with deionized water after each use.
Transportation
Preparation for Promptly and thoroughly rinse instruments with deionized water after each use.
decontamination
Cleaning: Automated Remove burs from any sterilization trays before placing into washer baskets.
(Do NOT use Orient burs following recommendations of washer/disinfector manufacturers.
ultrasonic washer)
These products have been validated for effective cleaning using an automatic washer/disinfector cycle consisting of a minimum
44 minutes total time, including a pre-wash, main wash & rinse, and thermal rinse. The thermal rinse shall be at least 10
minutes long at a minimum temperature of 60°C.
Following cleaning, apply a light coating of silicone spray in the following manner: grasp the PTFE bearing and rotate the bur
to assure application of the silicone spray inside the bearing.
Cleaning: Manual Soak in lukewarm*, mild* enzymatic detergent, and deionized water for a minimum of two minutes. Then clean ultrasonically
in lukewarm* solution of mild* detergent and deionized water for at least 30 seconds. Rinse thoroughly with deionized water
and wipe dry.
*less than 43°C; pH 7.0 - 8.5
Following cleaning, apply a light coating of silicone spray in the following manner: grasp the PTFE bearing and rotate the bur
to assure application of the silicone spray inside the bearing.
NOTE: When using an ultrasonic cleaner or a spray washing machine, follow the manufacturer’s recommendations,
particularly with regard to articulated instruments and positioning of instruments.
In sets: Instruments may be loaded into dedicated instrument trays or general purpose sterilization trays. Wrap trays using
appropriate method.
Sterilization The sterilization parameters given below should be used for devices that are fully disassembled when disassembly is possible.
(Temperatures are Use basic aseptic technique during post-sterilization assembly to maintain the sterility of the instrument(s).
minimum required, All steam sterilization cycles have been validated in the wrapped configuration and instruments can be sterilized wrapped or
times are minimum unwrapped.
required) Cycle: Gravity: Gravity: Pre-Vac: Pre-Vac: (FR/WHO) Pre-Vac: (UK)
Temperature: 121°C 132°C 132°C 134°C 134°C
Time: 30 min 10 min 4 min 18 min 3 min
STERRAD Sterilization: Not validated
Temperature 54 +/- 2°C Relative Humidity: 60 +/- 5%
Ethylene oxide concentration 600 +/- 25 mg/L Gas exposure time (full‑cycle): 120 minutes
Aeration at 48-52°C for 8 hrs.
Maintenance, Inspection and Testing Discard any burs that show signs of damage or wear.
Storage Store in a clean, dry area.
Additional Information None

Reprocessing Instructions Skeeter® - Handpiece
Skeeter® Handpiece
Warnings / Precautions Disconnect the power before cleaning.
Do not fully immerse, or ultrasonically clean, this instrument
Do not use any cleaning instruments in the cannulated shaft of the handpiece.
Do not cold soak sterilize this instrument in glutaraldehyde. This will void the warranty.
Do not use organic solvents to clean the bur chuck.
Instructions
To remove occasional residual buildup on handpiece cable connector, use a soft brush and isopropyl alcohol.
Transportation
Preparation for Disassembly not required, other than removal of the bur.
decontamination
Cleaning: Automated Remove instruments and equipment from any sterilization trays before placing into washer baskets.
(Do NOT use ultrasonic Orient devices following recommendations of washer/disinfector manufacturers.
washer)
These products have been validated for effective cleaning using an automatic washer/disinfector cycle
consisting of a minimum 44 minutes total time, including a pre-wash, main wash & rinse, and thermal rinse.
The thermal rinse shall be at least 10 minutes long at a minimum temperature of 60°C.
Cleaning: Manual Carefully clean with an enzymatic detergent. Do not fully immerse. The cannulated needle nose should be
cleaned by immersing in the detergent solution up to the level of the Bur Release button. Do not use any
cleaning instruments in the cannulated shaft of the handpiece.
Rinse by immersing the distal end of the handpiece (up to the Bur Release button) in distilled water, using
a gentle swirling motion to flush away residual cleaning solution. Avoid water accumulation in the motor
housing by shaking excess water out with a downward motion.
Silicone spray should be sprayed into the cannulated shaft of the handpiece prior to sterilization. Apply
silicone spray until surplus silicone lubricant is noted on the outside of the Bur Release Button. Wipe away
excess lubricant from the handpiece. Following this procedure will insure that the bur release mechanism is
well lubricated for proper functioning. Sterilize the handpieces immediately after cleaning.
In sets: Instruments may be loaded into dedicated instrument trays or general purpose sterilization trays.
Wrap trays using appropriate method.
Sterilization The sterilization parameters given below should be used for devices that are fully disassembled when
(Temperatures are disassembly is possible. Use basic aseptic technique during post-sterilization assembly to maintain the sterility
minimum required, of the instrument(s).
times are minimum All steam sterilization cycles have been validated in the wrapped configuration and instruments can be
required) sterilized wrapped or unwrapped.
Cycle: Gravity Gravity Pre-vac Pre-Vac (FR/ Pre-vac (UK)
WHO)
Temperature: 121°C 132°C 132°C 134°C 134°C
Time: 30 min 10 min 4 min 18 min 3 min
STERRAD Sterilization: 100S Compatible
Temperature 54 +/- 2°C Relative Humidity: 60 +/- 5%
Ethylene oxide concentration 600 +/- 25 Gas exposure time (full- 120 minutes
Aeration at 48-52°C for 8 hrs. mg/L cycle):
Maintenance, Inspection Inspect components for any damage before and after each use. If damage is observed do not use the
and Testing instrument until it is repaired. After cleaning and sterilization, verify functionality prior to re-use.
Storage It is extremely important that the handpiece be rapidly and completely dried before storage to prevent
corrosion and residue deposits in the bearing and motor.
Additional Information. None
Note: All validations performed per AAMI TIR12:2004, Designing, testing, and labeling reusable medical devices for reprocessing in health care facilities:

Reprocessing Instructions Manual Surgical Instruments
Manual
Warnings /
Surgical Instruments
To prevent stains, use distilled or demineralized water, and use a neutral detergent, to reprocess these instruments. Do not cold soak in
Precautions glutaraldehyde, chlorine, or ammonium solutions, or dry heat sterilize, as damage to the instrument finish may occur.
Instructions
Rinse instrument immediately after use in distilled or demineralized water. Keep instrument moist (for example, cover with a wet drape or
saturate with tap water - do not use saline) after use and prior to decontamination, cleaning and sterilization to ensure adequate cleaning.
Transportation
Preparation for Fully disassemble modular designed instruments for effective cleaning. Remove any cap covering the cleaning port, if applicable. For instruments
decontamination with lumens, and instruments equipped with cleaning ports, inject cleaning solution through the instrument with an irrigation syringe. When
cleaning suction tubes with holes to control suction, place gloved finger over the control hole to flush through the tube.
Open any articulated instruments before positioning in the soaking solution. Place instruments so they do not touch each other.
NOTE: Flushing in running water is essential between decontamination and cleaning to prevent any risk of reaction between the two solutions.
Cleaning: Remove instruments and equipment from any sterilization trays before placing into washer baskets. Orient devices following recommendations of
Automated washer/disinfector manufacturers.
These products have been validated for effective cleaning using an automatic washer/disinfector cycle consisting of a minimum 44 minutes total
time, including a pre-wash, main wash & rinse, and thermal rinse. The thermal rinse shall be at least 10 minutes long at a minimum temperature
of 60°C.
Thoroughly examine instruments for any residual soil.
Cleaning: Soak in lukewarm (less than 43°C), mild (pH 7.0 - 8.5), enzymatic detergent and deionized water for a minimum of 2 minutes. For instruments
Manual with lumens, and instruments equipped with cleaning ports, inject cleaning solution through the instrument with an irrigation syringe and allow
to soak for a minimum of 2 minutes.
Use a soft instrument brush to scrub instruments while submerged in cleaning solution to remove organic matter. Rinse with deionized water,
then clean ultrasonically in a lukewarm (less than 43°C), mild (pH 7.0 - 8.5), detergent and deionized water for 10 minutes.
Rinse thoroughly with deionized water, utilizing a syringe to thoroughly rinse cleaning solution from lumens and cleaning ports. Clean in this
manner until no visible soil remains on the instrument.
Dry with compressed air, or wipe dry with a lint-free cloth. Examine instruments for any staining or deterioration; remove from use as
appropriate.
NOTE: When using an ultrasonic cleaner or a spray washing machine, follow the manufacturers recommendations, particularly with regard to
articulated instruments and positioning of instruments.
Following cleaning, lightly lubricate instruments with movable parts. Use a lubricant intended for sterilizable instruments such as a water-soluble
instrument milk. Do not use silicone spray.
Disinfection NOTE: Do not cold soak in glutaraldehyde, chlorine, or ammonium solutions, or dry heat sterilize, as damage to the instrument finish may occur.
Packaging A standard, sterilization wrap may be used. In the US, an FDA approved surgical wrap must be used. Ensure that the pack is large enough to
contain the instrument without stressing the seals.
In sets: Instruments may be loaded into dedicated instrument trays or general purpose sterilization trays. Ensure that cutting edges are protected.
Wrap trays using appropriate method.
Sterilization Check the cleanliness and operation of the instrument. Clean again if debris is present and remove from use any damaged instrument. Close
instruments with catches and racks on the first notch. Arrange the instruments in sterilization containers with perforations on the top and bottom,
and on supports such as those used in microsurgery. Follow the appropriate cycle listed in the table below. All steam cycles have been validated in
the wrapped configuration and can be sterilized wrapped or unwrapped. These devices have only been validated for steam sterilization methods.
The sterilization parameters given below should be used for devices that are fully disassembled when disassembly is possible. Use basic aseptic
technique during post-sterilization assembly to maintain the sterility of the instrument(s).
Cycle: Gravity Gravity Pre-vac Pre-vac (FR/WHO) Pre-vac (UK)
(Temperatures Temperature: 121°C 132°C 132°C 134°C 134°C
are minimum Time: 30 min 10 min 4 min 18 min 3 min
required; times Drying: 15 – 30 minutes, or until visibly dry
are minimum
required)
Maintenance, Inspect components for any damage before and after each use. If damage is observed do not use the instrument until it is repaired. After cleaning
Inspection and and sterilization, verify functionality prior to re-use.
Testing
Storage Store instruments in a clean, dry area.
Additional NOTE: Additional cleaning methods may be warranted, including presoaking in 3% hydrogen peroxide.
Information
NOTE: The instructions provided above have been validated by the manufacturer as being CAPABLE of preparing the product for re-use. They are NOT
APPLICABLE to single use devices or single use accessories, which must be destroyed after use in accordance with applicable local regulations. It remains
the responsibility of the processor to ensure that the reprocessing is performed using validated equipment to achieve the desired result. This normally
requires validation and routine monitoring of the process. Some devices have specific assembly instructions. In this case, refer to the assembly insert
provided with the device for additional instructions.
NOTE: In France, soaking the device in one mole of Soda (NaOH) per liter of solution is the recommendation of French Circular 138 in order to prevent
Creutzfeld-Jakob Disease transmission.
Medtronic recommends incineration of devices that have directly contacted patients suspected or confirmed with Transmissible Spongiform Encephalopathy (TSE)/ CJD
diagnosis. NHS Estates HTM 2010 Parts 4 & 6: Appendix 2, Items contaminated with TSE Agents and WHO Infection Control Guidelines for Transmissible Spongiform
Encephalopathies refers to a TSE decontamination cycle using a steam autoclave at a temperature of 134-137°C for a single cycle of 18 minutes or repeated for a total of
six 3-minute cycles

Reprocessing Instructions United Kingdom & Europe
TECHNICAL BULLETIN
CLEANING AND STERILIZATION FOR UNITED KINGDOM & EUROPE
Reference: U.K. Health Technical Memorandum 2030 Washers-disinfectors
U.K. Health Technical Memorandum 2010 Sterilization
EQUIPMENT: MPS/POWERFORMA® Drill Handpieces; Visao®; Xcalibur® Drill Handpieces, Handpiece Attachments, Motor
Assembly, Irrigation Sleeve and Extended Bur Guards; Straightshot® , Straightshot® Magnum®, and Straightshot® M4 Drill
Handpieces; Skeeter® Otologic Drill Handpiece, and Legend EHS® Stylus Touch™ Motor.
ACCESSORIES: POWERFORMA/MICRO-CRAFT®, HELIX® or Skeeter® Oto-Flex Reusable Drill Burs, Bur Racks, Handpiece
Cable Clips and Sterilization Trays.
The following guidelines have been validated for effective cleaning and sterilization with the listed surgical equipment and accessories
referenced above. These guidelines serve as an addendum to the sterilization and re-use instructions originally provided with the
particular device and are intended to provide compliance to HTM 2030 and HTM 2010 cleaning and sterilization recommendations set
in the United Kingdom.
CLEANING: (Do NOT use ultrasonic washer)

1. Treat all devices presented for cleaning, disinfection, and sterilization as contaminated with infectious material.
2. Remove instruments and equipment from any sterilization trays before placing into washer baskets.
3. For drill handpiece cleaning, cover handpiece cable connector end with a Universal Cleaning Cap catalog no. 3318520 or
Handpiece Cable Cap, Small, catalog no. 3318510 or Handpiece Cable Cap, Large, catalog no. 3318515. (Note: Use 3318515
for Straightshot® M4, Visao®, and Xcalibur® Hi-Speed with angled cable. Use 3318510 for other handpieces.) (Note: the
Skeeter® Handpiece does not require a Handpiece Cable Cap during cleaning).
4. Orient devices in washer baskets or racks following recommendations of washer/disinfector manufacturers.
5. Use low foaming, alkaline or neutral pH, detergent recommended by washer/disinfector or detergent manufacturers.
6. These products have been validated for effective cleaning using automatic washers/disinfectors.
STERILIZATION:
7. After completion of the cleaning steps, remove Handpiece Cable Cap or other protective components installed prior to cleaning.
8. Return instruments and equipment to appropriate sterilization trays.
9. Sterilize using the following Porous Load Cycle for Autoclave conforming to local practices within the limits set below:
Porous Load Cycle

Cycle: Porous Load (Pre-vacuum)
Temperature: 134oC to 137oC
Time: 3.5 minutes
Drying: 3 minutes minimum vacuum drying

Troubleshooting Guide
IPC® and Foot Control Unit

Symptom Issue Action
Failed internal components. Contact Customer Care.
Pumps don’t run. Moisture ingress in cable conflicts with Run a dry cycle when sterilizing, If problem persists, contact Customer
handpiece recognition. Care.
Tubing Set improperly seated in pump. Reposition tubing in pump, verify pump lid is fully closed with the fluid
flow from left to right.
Check tubing at side of pump, see Irrigation/Coolant Pumps
Tubing is pinched or kinked. Check remaining tubing for pinched or kinked areas, if necessary replace
Little or no irrigation flow.
tubing.
Tubing clamps are restricting flow. Set tubing clamps in “open” position.
Irrigation flow rate setting low. Adjust irrigation flow rate
Irrigator obstructed. Replace irrigator
Tubing Set improperly seated in pump. Reposition tubing in pump, verify pump lid is fully closed with the fluid
flow from left to right. If problem persists, contact Customer Care.
Pump stall error. Check tubing is not pinched or kinked on side of pump (see section on
Tubing is pinched or kinked. “Irrigation/Coolant Pumps”). If problem persists, contact Customer
Care.
Console default parameters
incorrect.
Handpiece connected but console Moisture ingress in cable conflicts with Run a dry cycle when sterilizing, If problem persists, contact Customer
reads “Connect Handpiece” handpiece recognition. Care.
Handpiece connected but console
displays incorrect handpiece.
Power cord not properly connected. Connect power cord.
No power. Check power available (i.e. power strip is on, circuit breaker is closed
Console doesn’t power up. etc.)
Power Inlet Fuses blown. Replace fuses with 5.00 A, 250V, time delayed fuses (P/N 11270066)
Failed internal components. Contact Customer Care.
Power switch light is on but Touch Failed internal components. Contact Customer Care.
Screen doesn’t come on.
Console doesn’t power down. Power switch failure. Unplug power cord, contact Customer Care.
Screen gasket displaced or failed
Touch Screen doesn’t respond. Contact Customer Care.
internal components.
Touch Screen doesn’t work Touch Screen not calibrated. Calibrate Touch Screen. If problem persists, contact Customer Care.
properly.
Disconnect and reconnect the motor cable.
Console misidentified the handpiece Turn console off then on.
/ motor.
Console displays wrong handpiece
/ motor type. Change motor, motor cable, or console to isolate the problem.
Moisture ingress in cable conflicts with Run a dry cycle when sterilizing, if problem persists, contact Customer
handpiece recognition. Care.
Press and hold buttons for at least 1 second, wait for console
Incorrect use. confirmation beep.
One (1) handpiece connected (top button has no function with 1
Top button doesn’t respond. handpiece connected).
Foot control unit buttons or pedal Disconnect and reconnect the fcu cable connector.
doesn’t respond. Try different fcu or console to isolate the problem.
Connector not fully inserted.
Contact Customer Care.
Internal component failure. Contact Customer Care.
Disconnect footswitch, use manual start/stop rocker switch on rear of
Failed footswitch. console.
Handpiece fails to rotate
Failed handpiece motor or motor Contact Customer Care.
driver.

Non EHS Blades or Burs
Appears to be damaged or Damaged or defective. Remove and replace.
defective.
Tool Vibrates Excessively, Microdebriders, pull back locking collet and re-seat the tool.
Tool is not firmly seated.
Abnormal Noise movement. Visao®, unlock collar, check/re-seat notch, lock collar.
Use stylet to clear blade.
Blade opening is obstructed. Remove blade from surgical site and submerse the blade tip in sterile
water with suction connected to the handpiece to evacuate the
No suction. obstruction.
Remove and inspect suction tubing, and if obstructed, remove
Tubing obstructed. obstruction, reconnect tubing.
Check for proper tool insertion by pulling back locking collet, and re-
Tool not seated correctly in collet.
Tool is leaking irrigant. seating tool.
Low or no suction. See SYMPTOM, no suction.
Reduce handpiece operating speeds.
Use tools that are rated for the console speed selected
If necessary, use bur guard with burs medium, long and X-long.
Tool wobble in Handpiece. Tool wobbles in Handpiece. Operate handpiece at 50% of full speed for medium, long and X-long
burs.
Select a new tool.
Midas Rex® Legend EHS® motors

Inadequate cool down period following Motor must be allowed to cool down following steam sterilization.
sterilization.
Switch attachments to determine whether the heat is being generated by
Attachment transferring heat to the the motor or the attachment.
motor.
Motor is too hot to touch/hold Contact Customer Care.
Discontinue use and rest the motor by using it intermittently or wrap the
Heavy side loading during dissection. motor with a moist sterile towel.
If overheating continues, contact Customer Care.
Inadequate irrigation. Ensure adequate irrigation to surgical site during bone dissection.
Aging of attachment
Use of reprocessed tools Contact Customer Care.
Tool is difficult to remove from Use of an unauthorized refurbisher
attachment Clean the attachment thoroughly according to the instructions in this
Improper cleaning manual.
Change tool.
Use the Legend motor wrench to rotate the flat closest to the motor case
Attachment will not seat properly Motor collet flats are not aligned. until its marker is aligned with the marker on the flat farthest away from
on the motor the motor case.
Cables not properly connected. Ensure motor and foot control cables are properly connected.
Ensure that a speed greater than 10,000rpm (EHS) or 3,000rpm (Stylus)
Speed setting is too low. is selected.
Attachment not properly installed and Remove and reinstall the attachment and dissecting tool to ensure
locked onto the motor. proper installation.
Motor does not run. Internal failure of motor and/or Change motor or console to isolate the problem.
console. Contact Customer Care.
Check for obstruction under the foot pedal.
Foot control not properly functioning.
If problem persists, contact Customer Care.
Cables damaged Check cables for cracks, splits, or bent connector pins.
Change the attachment to isolate the location of the problem.
Bearings are worn.
Check all connections from electrical source to console.
Motor with attachment rotates, but Poor electrical Connection Ensure motor and foot control cables are properly connected.
an abnormal noise is heard
Internal failure of motor, console, or Change motor, console, or cable to isolate the failing component.
cable. Contact Customer Care.
Attachment not properly installed Remove and reinstall the attachment and dissecting tool
Midas Rex® Legend EHS® Stylus Touch™ motors
Finger switch not reaching maximum Check that the control lever ring is properly seated in one of the four
speed possible positions.
Motor does not run. Finger switch not responding. Safety Place switch in run mode.
switch in safe mode
Finger control damaged. Contact Customer Service.

Midas Rex® Legend EHS®Attachments or Telescoping Tubes
DO NOT use.
Heat from worn attachment/tube Try another attachment/tube. Contact Customer Care.
bearings Telescoping Tubes are multi-use disposable. If problem is resolved with a
new Telescoping Tube, discard the over-heated tube.
Attachment or Telescoping Tube
has uncomfortable temperature to Attachment/tube unclean due to Check that appropriate cleaning procedures are being followed.
touch/hold improper cleaning procedures
Discontinue use and rest the attachment by using intermittently, try
another identical attachment or wrap the attachment interface with
Heavy side loading during dissection a moist sterile towel. If attachment continues to overheat, Contact
Customer Care.
Attachment/telescoping tube is Attachment mishandled, failed due to DO NOT use. Contact Customer Care.
bent, loose, damaged or missing a extended use or excessive force applied
component during use Dispose of telescoping tube. Telescoping Tubes are multi-use disposable.
Incorrect cleaning or sterilization
method Use nomenclature markings on the attachment to match with a
Color band on Attachment/ Use of chlorine based or corrosive corresponding dissecting tool or Contact Customer Care.
Telescoping Tube fades or discolors agents
Aging Telescoping Tubes are multi-use disposable.
Over lubrication during cleaning
Attachment has excess lubrication process Visually inspect and wipe excess lubrication.
Attachment damaged by dissecting
Footed attachment has a tool drilling out part or all of leg/foot
component missing from leg/foot area. DO NOT use. Contact Customer Care.
area or foot is bent
Bend caused by incorrect use.
The contra-angle attachment operates
by a set of internal gears to engage the
16-Mf contra-angle attachment is drive shaft. It is normal for some heat If heat continues or is excessive, contact Customer Care.
overheating to be generated approximately 2 cm
from the distal end of the attachment
and at the right of the angle head.
Smoke is generated by the Attachment is not in the locked Make sure the attachment is in the locked position.
attachment or motor position.
Midas Rex® Legend EHS® Tools
A non-Legend tool is being used. Replace with a Legend tool.
Try another attachment or tube to isolate the location of the problem.
Worn attachment or tube bearings. If the attachment is failing, contact Customer Care.
Tool fails If the tube is failing, dispose of it and use a new tube.
Attachment/tube and tool are not Match color code on the tool packaging to the color code on the
compatible. attachment/tube.
Motor is damaged. Contact Customer Care.
Tool’s size and geometry may Adjust the speed by changing the pressure setting or foot/finger control.
contribute to flailing at certain speeds. Do not use if flailing persists. Change tool.
Tool’s size and geometry may create Adjust the speed.
Tool vibrates excessively excessive vibration at certain speeds. Change tools.
Extended use Change to a new tool
Tool dull Reprocessed tool was used
Incorrect geometry Contact Customer Care.
Clean the attachment or motor thoroughly according to the instructions
Debris in collet of attachment or in this manual.
Tool will not seat properly in the motor.
motor or attachment collet If cleaning does not correct the problem, contact Customer Care.
A non-Legend tool is being used. Replace with a Legend tool.

Error Codes
Error Code Cause Error Message Title Error Message Description
MCB does not report that it is booted Power off. Wait 10 seconds. Power on. If error persists,
1 within 5 seconds of AI telling it to start and System Error call Technical Services.
subsequent reattempts fail.
2 Not Used N/A N/A
UI-MCB Com Failure - Max resends
3 exceeded
4 UI-MCB Com Failure - Get answer failed
Power off. Wait 10 seconds. Power on. If error persists,
UI-MCB Com Failure - No status message System Error
5 call Technical Services.
received
6 UI-MCB Com Failure - Serialization ID error
7 UI-MCB Com Failure - Timeout exception
8 Not Used N/A N/A
Pump 1 stalled (no transitions on opto
9 Pump #1 Stalled Check tubing connection.
sensor)
Pump 2 stalled (no transitions on opto
10 Pump #2 Stalled
sensor)
Unrecogonized/damaged handpiece plugged
11 in on port 1 (first 12 pin)
12 in on port 2 (second 12 pin) Unplug handpiece and plug back in. If error persists,
Handpiece
Unrecogonized/damaged handpiece plugged replace handpiece.
13 in on port 3 (4 pin)
14 in on port 4 (Skeeter)
15 Handpiece Stalled Handpiece Stalled Check accessory.
Unplug handpiece and plug back in. If error persists,
16 MCB motor overcurrent detected Motor Overcurrent replace handpiece.
Foot Control Connection Unplug Foot Control and plug back in. If error persists,
17 Unrecognized/damaged FCU plugged in Error replace Foot Control or switch to manual control.
A finger control error has been detected. Check that the
Damaged handpiece or finger lever base out control lever ring is properly seated in one of the four
18 Finger Control Error
of position. possible positions. If error persists contact Medtronic
support. Press OK to use alternate control method.
UI self test failure - culture (language)
19 registry entry
UI self test failure - sector configuration Power off. Wait 10 seconds. Power on. If error persists,
20 Self Test Failed
registry entry call Technical Services.
UI self test failure - corrupt usage data file or
21 unable to create usage data file
22 Not Used N/A N/A
23 MCB non-specific self test failure
24 MCB self test failure - Port 1
MCB self test failure - bridge transistor 1
28 shorted
29 shorted
30 shorted
MCB self test failure - bridge transistor 4 Power off. Wait 10 seconds. Power on. If error persists,
31 Self Test Failed
shorted call Technical Services.
32 shorted
33 shorted
34 MCB self test failure - A/D converter
35 MCB self test failure - motor error
36 MCB self test failure - 3.3 volt supply
37 MCB self test failure - 12 volt supply
38 MCB self test failure - 48 volt supply
39 MCB self test failure - FCU port

Guidance and Manufacturer’s Declaration – Electromagnetic
Immunity
Part I
Guidance and manufacturer’s declaration – electromagnetic immunity – Part I

The NIM-Pulse® 3.0 is intended for use in the electromagnetic environment specified below. The customer or the user of the NIM-Pulse® 3.0 should assure that it is
used in such an environment.
IEC/EN60601-1-2
Immunity test Compliance level Electromagnetic environment - guidance
test level
Electrostatic discharge (ESD) ±6 kV contact ±6 kV contact Floors should be wood, concrete, or ceramic tile. If
floors are covered with synthetic material, the relative
IEC 61000-4-2 ±8 kV air ±8 kV air humidity should be at least 30 %.
Electrical fast transient/burst ±2 kV for power supply lines ±2 kV for power supply lines Mains power quality should be that of a typical
IEC 61000-4-4 ±1 kV for input/output lines ±1 kV for input/output lines commercial or hospital environment.
Surge ±1 kV differential mode ±1 kV differential mode Mains power quality should be that of a typical
IEC 61000-4-5 ±2 kV common mode ±2 kV common mode commercial or hospital environment.
<5 % UT (>95 % dip in UT) for <5 % UT (>95 % dip in UT) for
0.5 cycle 0.5 cycle Mains power quality should be that of a typical
Voltage dips, short interruptions and 40 % UT (60 % dip in UT) for 40 % UT (60 % dip in UT) for commercial or hospital environment. If the user of the
voltage variations on power supply input 5 cycles 5 cycles NIM-Pulse® 3.0 requires continuous operation during
lines 70 %UT (30 % dip in UT) for 70 % UT (30 % dip in UT) for power mains interruptions, it is recommended that the
IEC 61000-4-11 25 cycles 25 cycles NIM-Pulse® 3.0 be powered from an uninterruptible
<5 % UT (>95 % dip in UT) <5 % UT (>95 % dip in UT) for power supply or a battery.
for 5 sec 5 sec
Power frequency magnetic fields should be at
Power frequency (50/60 Hz) magnetic field 3 A/m 3 A/m levels characteristic of a typical location in a typical
IEC 61000-4-8 commercial or hospital environment.
Note: UT is the a.c. mains voltage prior to application of the test level.
Guidance and manufacturer’s declaration – electromagnetic emissions
The NIM-Pulse® 3.0 is intended for use in the electromagnetic environment specified below. The customer or the user of the NIM-Pulse® 3.0 should assure that it is used
in such an environment.
Emissions test Compliance Electromagnetic environment - guidance
RF emissions The NIM-Pulse® 3.0 uses RF energy only for its internal function.
CISPR 11 Group 1 Therefore, its RF emissions are very low and are not likely to cause any
interference in nearby electronic equipment
RF emissions Class A
CISPR 11
The NIM-Pulse® 3.0 is suitable for use in all establishments, other than
Harmonic emissions Class A domestic and those directly connected to the public low-voltage power
IEC 61000-3-2 supply network that supplies buildings for domestic purpose.
Voltage fluctuations Complies
IEC 61000-3-3
Recommended separation distances between portable and mobile RF communications equipment and the NIM-Pulse® 3.0
The NIM-Pulse® 3.0 is intended for use in the electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the NIM-Pulse®
3.0 can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and
the NIM-Pulse® 3.0 as recommended below, according to the maximum output power of the communications equipment.
Rated maximum power of Separation distance according to frequency of transmitter meters

transmitter
W 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz
d = 1.2√P d = 1.2√P d = 2.3√P
0.01 0.12 0.12 0.23
0.10 0.38 0.38 0.73
1.00 1.20 1.20 2.30
10.00 3.80 3.80 7.30
100.00 12.00 12.00 23.0
For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (m) can be estimated using the equation applicable
to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer.
NOTE 1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people.

Guidance and Manufacturer’s Declaration – Electromagnetic
Immunity
Part II
The NIM-Pulse® 3.0 is intended for use in the electromagnetic environment specified below.
The customer or the user of the NIM-Pulse® 3.0 should assure that it is used in such an environment.
Immunity test IEC/EN60601-1-2 test level Compliance level Electromagnetic environment - guidance
Portable and mobile RF communications equipment

should be used no closer to any part of the NIM-Pulse® 3.0,
including cables, than the recommended separation distance
calculated from the equation applicable to the frequency of
the transmitter.
Recommended separation distance
Conducted RF 3 Vrms 3 Vrms d = 1.2 √P
IEC 61000-4-6 150 kHz to 80 MHz
Radiated RF 3 V / m 3 V / m d = 1.2 √P 80 MHz to 800 MHz
IEC 61000-4-3 80 MHz to 2.5 GHz d = 2.3 √P 800 MHz to 2.5 GHz
Where P is the maximum output power rating of the

transmitter in watts (W) according to the transmitter
manufacturer and d is the recommended separation distance
in meters (m).
Field strengths from fixed RF transmitters, as determined
by an electromagnetic site survey,a should be less than the
compliance level in each frequency range.b
Interference may occur in the vicinity of equipment marked
with the following symbol:
NOTE 1 At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people.
NOTE 3 When operating the IPC with Stylus Touch, the compliance level is 3 V/m except from 88 MHz to 91 MHz where it is 1 V/m. The formula for separation
distance for the IPC with Stylus Touch will be d = 3.5 √P in that frequency range
a Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio, AM and FM radio
broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an
electromagnetic site survey should be considered. If the measured field strength in the location in which the NIM-Pulse® 3.0 is used exceeds the applicable RF
compliance level above, the NIM-Pulse® 3.0 should be observed to verify normal operation. If abnormal performance is observed, additional measures may be
necessary, such as re-orienting or relocating the NIM-Pulse® 3.0.
b Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.

Limited Warranty
Medtronic IPC® System

Limited Warranty
A. This Limited Warranty provides the following assurance for the customer who purchases a Medtronic IPC® System. This Limited Warranty is
extended only to the buyer purchasing the IPC® System directly from Medtronic or from its affiliate or its authorized distributor or representative.
The IPC® System includes the console, motor or handpiece, foot control, motor cables, instrumentation cases and trays (hereafter referred to
as System Components), straight and angled motor attachments (hereinafter referred to as “Attachments”), bur guards and telescoping tubes
(hereinafter referred to as Semi-reusable Components) and dissecting tools, irrigation and coolant tubing, and Intelliflow™ remote control
(hereinafter referred to as Single Use Components) and jointly referred to as the IPC® System, unless specifically noted.
(1) Should a System Component fail to function to Medtronic’s published specifications during the term of this Limited Warranty (one year from
the date of sale of a new System Component or 90 days from the date of sale of a refurbished or used System Component), Medtronic will either
repair or replace the Motor Component or any portion thereof.
(2) Should an Attachment fail to function to Medtronic’s published specifications during the term of this Limited Warranty (90 days from the date
of sale of a new Attachment), Medtronic will either repair or replace the Attachment or any portion thereof.
(3) Should a Semi-reusable Component fail to function to Medtronic’s published specifications during the term of this Limited Warranty (30 days
from the date of sale of a new Semi-reusable Component), Medtronic will replace the Semi-reusable Component or any portion thereof.
(4) Should a Single Use Component fail to function to Medtronic’s published specifications prior to its “use by” date Medtronic will replace the
Single Use Component.
B. To qualify for this Limited Warranty, the following conditions must be met:
(1) The Product must be used on or before its “Use By” or “Use Before” date, if applicable.
(2) The Product must be used in accordance with its labeling and may not be altered or subjected to misuse, abuse, accident or improper handling.
(3) Medtronic must be notified in writing within thirty (30) days following discovery of a defect.
(4) The Product must be returned to Medtronic within thirty (30) days of Medtronic receiving notice as provided for in (3) above.
(5) Upon examination of the Product by Medtronic, Medtronic shall have determined that: (i) the Product was not repaired or altered by anyone
other than Medtronic or its authorized representative, (ii) the Product was not operated under conditions other than normal use, and (iii) the
prescribed periodic maintenance and services, if applicable, have been performed on the Product.
C. This Limited Warranty is limited to its express terms. THIS LIMITED WARRANTY IS IN LIEU OF ALL OTHER WARRANTIES, EXPRESSED
OR IMPLIED WHETHER STATUTORY OR OTHERWISE, INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR
FITNESS FOR A PARTICULAR PURPOSE. In no event shall Medtronic be liable for any consequential, incidental, prospective or other similar
damage resulting from a defect, failure, or malfunction of the IPC® System, whether a claim for such damage is based upon the warranty, contract,
negligence or otherwise.
D. The exclusions and limitations set out above are not intended to, and should not be construed so as to, contravene mandatory provisions of
applicable law. Users may benefit from statutory warranty rights under legislation governing the sale of consumer goods. If any part or term of this
Limited Warranty is held by any court of competent jurisdiction to be illegal, unenforceable, or in conflict with applicable law, the validity of the
remaining portion of the Limited Warranty shall not be affected, and all rights and obligations shall be construed and enforced as if this Limited
Warranty did not contain the particular part or term held to be invalid.
For Items Contaminated With TSE Agents

MEDTRONIC ENT/NT
Transmissible Spongiform Encephalopathy (TSE) Return Policy
Medtronic will not authorize or accept the return of products that directly contact patients or is contaminated with a patient’s body fluids suspected or
confirmed with a Transmissible Spongiform Encephalopathy / Creutzfeldt-Jakob Disease (TSE/CJD) diagnosis.
The following are recommended guidelines and may vary according to specific policy and procedures among hospitals. Hospital personnel should
contact their infection control personnel for current procedures and policy for reusable equipment processing when suspected of contamination with
Creutzfeldt-Jakob Disease (CJD) or other Transmissible Spongiform Encephalopathy (TSE) agent.
Medtronic dissecting tools, burs, or blades used on a patient suspected of a TSE/CJD diagnosis should be incinerated. Reusable equipment that
has been used on patients with suspected Creutzfeldt-Jakob Disease (CJD) or other Transmissible Spongiform Encephalopathy (TSE) should
be quarantined and not reused until diagnosis is confirmed or excluded. Reusable equipment should be quarantined after having been cleaned,
decontaminated, sterilized and packed in a rigid sealed container until final diagnosis. If TSE/CJD is excluded as a diagnosis, the quarantined reusable
equipment may be returned for use after appropriate cleaning, decontamination and sterilization.
Medtronic recommends that all Medtronic products used directly on a patient confirmed with a TSE diagnosis be incinerated. Contact your Sales
Representative to purchase replacement products or secure loaner equipment.
For additional information contact your Customer Service Representative.

0123
© 2010 Medtronic, Inc.
All rights reserved
Printed in the USA
02/2010
REF 175027ML53
68E4088 C
Medtronic Xomed, Inc.

6743 Southpoint Drive
Jacksonville, FL 32216-0980 USA
www.medtronicENT.com
Medtronic B.V.
EC REP Earl Bakkenstraat 10
6422 PJ Heerlen
The Netherlands
Tel.: 011-31-45-566-8000
Fax: 011-31-45-566-8668

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4 Integrated Power Console

Integrated Power Console 5

Do not use if package is open ON

Conforms to ansi/aami Use with

1 Pump Head 1 es 60601-1, iec/en 60601-

This device complies with BUR Stim bur connector

6 Integrated Power Console

Direction indicator Help Button

FCU Radio Buttons

Radio Button for option selection (center is white

Check Box used to show if an option is turned On

IPC IPC/XPS® Toggle Button

Integrated Power Console 7

When The System Arrives

Intended Use / Indications for use

U.S. Help Line F Skeeter® Handpiece 1

8 Integrated Power Console

Connector Panel Cable Disconnection

Integrated Power Console 9

Pump Default Table

Tubing and Cable Management

Standard Pump Set-Up

10 Integrated Power Console

No. 601.1 Requirements for Safety. C. Top Button - Enable inactive

a. The operator can cycle through handpieces to locate desired

12 Integrated Power Console

Console Set-Up Instructions

3. Attach irrigation and light source.

14 Integrated Power Console

Endo-Scrub® 2 Finger Switch

Integrated Power Console 15

C3 A. Blue Irrigation Tube Adapter fits high speed irrigation tubing -

16 Integrated Power Console

SC1 Set-Up C. Main Screen subsection buttons:

Integrated Power Console 17

C StraightShot M4 Osc Mode

18 Integrated Power Console

Handpiece Set-Up StraightShot® M4 and Midas Rex® sc1

Blade Position and Finger Wheel,

Tubing (Straightshot® M4, and the

A. Outer blade - rotated by Finger Wheel (Straightshot® M4 and Midas

Integrated Power Console 19

3. Secure the irrigation tubing.

1. Depress collet (1).

20 Integrated Power Console

Magnum®, Straightshot®, M4, SC1 Handpieces

Limitations After cleaning and sterilization, verify functionality prior to re-use.

Cleaning: Manual • Do not immerse the handpiece.

Disinfection Do not cold soak in gluteraldehyde.

Time 40 min 4 min 18 min 3 min

Drying 8 minutes, or until visibly dry.

STERRAD Sterilization 100S Compatible

100% EtO Sterilization Parameters Temperature 54-55°C Relative Humidity 60 +/- 5%

Integrated Power Console 21

Setup Monitoring Reports