BIOMET SpinalPak User manual

Biomet®SpinalPak®
Non-invasive Spine Fusion
Stimulator System
Patient Manual

1
Why Your Doctor has Prescribed the Biomet®
SpinalPak®Non-invasive Spine Fusion
Stimulator System
Following your spine fusion (back) surgery, your doctor has
prescribed the Biomet®SpinalPak®Spine Fusion Stimulator as
an added treatment to your surgery. The Biomet®SpinalPak®
Non-invasive Spine Fusion Stimulator System delivers a treatment
signal to the area of your surgery. This booklet provides
instructions on how to use and care for your Biomet®SpinalPak®
Non-invasive Spine Fusion Stimulator System. Please read this
information carefully before using the stimulator. The safe and
effective use of the Biomet®SpinalPak®Non-invasive Spine Fusion
Stimulator System depends upon following the instructions and
care described below.
How the Biomet®SpinalPak®Non-invasive
Spine Fusion Stimulator System Works
The Biomet®SpinalPak®Non-invasive Spine Fusion Stimulator
System delivers an electrical treatment signal that is intended
to help your back to heal, (see Figure 1). The signal operates
at a high frequency; therefore, you should not feel the signal
during your treatment. Two lightweight electrodes (conductors
of electrical signals), which
look like round bandages,
are placed on your spine,
four to six inches apart
from one another, at the
level of your back surgery.
These electrodes, which
are necessary for delivering
the electrical signal to your
surgery site, are easy to apply, and extremely lightweight. The
stimulator is battery operated with a rechargeable battery pack.
Upon connection of the charged battery pack, the stimulator is
automatically activated (turned on) and ready to deliver treatment.
Your Biomet®SpinalPak®Non-invasive Spine
Fusion Stimulator System Kit Includes
• Biomet®SpinalPak®Non-invasive Spine Fusion
Stimulator System
• Extraelectrodes(72RandLT-4500)
• Adhesiveelectroderetainerpatchestoplaceovertheelectrodes
to enhance electrode security to the skin (if needed) or for
showering with the electrodes attached to the skin (if desired)
Figure 1

2
• ElectrodeleadwirestoconnecttheelectrodestotheBiomet®
SpinalPak®Non-invasive Spine Fusion Stimulator System
• Tworechargeablebatterypacks
• Batterypackchargerandcradle
• PatientManual
• Adeviceholstertowearthestimulatoronthepatient’s
waistband or belt
Wearing the Biomet®SpinalPak®
Non-invasive Spine Fusion Stimulator System
The Biomet®SpinalPak®Non-invasive Spine Fusion Stimulator
System has been specifically designed to be convenient to use,
comfortable to wear, and safe to operate. You should begin using
the Biomet®SpinalPak®Non-invasive Spine Fusion Stimulator
System immediately after you have read the instructions for use
and received instructions from your doctor.
System Components
Electrodes
There are two types of electrodes that are packaged with the
Biomet®SpinalPak®Non-invasive Spine Fusion Stimulator System
assembly:72RandLT-4500.The72Relectrodeshavegreen
writingontheirpackaging.TheLT-4500electrodeshaveblack
writingontheirpackaging.The72Relectrodeshaveahydrogel
thatisstickierthantheLT-4500electrodehydrogel.Thepatient
can use whichever electrodes best suit their skin type.
Electrode Covers
The electrode covers are water resistant and are intended to
enhance electrode security to the skin, if needed, or for showering
with the electrodes attached, if desired.
Device Holster
The device holster is designed to securely hold the Biomet®
SpinalPak®Non-invasive Spine Fusion Stimulator System in place.
It has a clip on the back which allows the patient to wear the
device on their waistband or belt.
Lead Wires
Two different length lead wires are included with the Biomet®
SpinalPak®Non-invasive Spine Fusion Stimulator System. The
patient should choose the lead wire that best accommodates
their needs for where they would like to wear the control unit.
AdditionallengthsareavailablefromBiomet.

3
Treatment with the Biomet®SpinalPak®Non-invasive Spine
Fusion Stimulator System
• Cleananddryyourskinwheretheelectrodeswillbeplaced.
Trimming (not shaving) body hair from the electrode
application area is often helpful.
• Placeoneelectrodeonyourskin,twotothreeinchestothe
left of the area of your surgery and a second electrode two
to three inches to the right of the area of your surgery, so
that the electrodes are four to six inches apart. (see Figure
2).Depending
upon your ability
to move after
surgery, it may
be helpful to ask
another person
to assist you in
placing these electrodes on your back. See instructions for use
onPage8.ConsultyoursurgeonorlocalBiometrepresentative
if you have any questions about proper electrode placement.
If your skin becomes abnormally red at the electrode sites,
the electrodes should be moved to either immediately above or
below the original sites. If the redness does not go away after
48hoursoncetheelectrodesareremoved,youshouldcontact
your doctor.
• Youareprovidedwithtwochoicesofstimulatorleadwire
lengths with the Biomet®SpinalPak®Non-invasive Spine Fusion
Stimulator System. Select a length of stimulator lead wire in
order to enhance your
comfort while wearing
the stimulator and
receiving treatment.
• Insertthestimulator
lead wire male
connection into each
female electrode lead
wire connections.
• Inserttheleadwire
plug into the opening at
the top of the stimulator. (see Figure 3).
Figure 2
Figure 3

4
Operating Instructions
Both battery packs provided with the Biomet®SpinalPak®
Non-invasive Spine Fusion Stimulator System are partially charged
prior to being packaged. Upon receipt of the Biomet®SpinalPak®
Non-invasive Spine Fusion Stimulator System, it is recommended
that you take the second battery pack, place it into the charger
cradle and charge fully. In the meantime, you may use the first
battery pack to begin your treatment immediately. Note: The first
batterypackmaynotprovidea24-hourtreatmentinitially.
Step 1:
PlugtheA/Cadapterofthebattery
pack charger into a wall outlet (Figure
4).AgreenlightontheA/Cadapter
will illuminate indicating power (Figure
5).ConnecttheA/Cadapterand
cradle.
Note: Atroomtemperature,(24°C
(75°F)),chargingmaytaketwoto
three hours. In warmer or colder
temperatures, the battery may take
longer to charge.
Step 2:
Followingthearrows(1,2),insert
the charged battery pack into the
Biomet®SpinalPak®Non-invasive
Spine Fusion Stimulator System
(Figure6).TheLEDlightwillblink,
indicatingreadyforuse.Each
symbol will be indicated on the
screen and the alarm will flash
and beep if the electrodes are not
properly applied. To silence the
audio alarm, press the button
below the messaging screen. If the
light does not blink, this indicates the battery pack is not charged.
Charge the battery pack (see CHANGINGBATTERYPACKS below).
Step 3:
Attachelectrodesasperinstructionsonpages 3 and 8.
Helpful Tips:
Loose electrodes–Confirmthatbothelectrodesareincomplete
contact with clean, dry skin. Moisten or replace worn electrodes
if necessary.
Incomplete circuit/disconnection–Checkallconnectionpoints,
confirming a snug fit.
Broken electrode lead wire – If alarm continues after confirming
connection, attach a new electrode lead wire.
Figure 6
Figure 4
Figure 5

5
Warning:Donotattempttochargeanyotherbatterypack.
Donotusethebatterypackssuppliedwiththisunitinanyother
device. Use of the Biomet®SpinalPak®Non-invasive Spine Fusion
Stimulator System battery packs in any other device may cause
damage or malfunction to the battery pack and/ordevices.Donot
short circuit, overcharge, crush, mutilate, nail penetrate, heat, reverse
the+or–terminalsordisassemblethebatterypack.Donotallow
metal objects to come into contact with the battery pack terminals.
These and any other abuses of the battery pack may cause serious
injuryand/orburns.Toensureproperchargingandsafety,useonly
thechargersuppliedwithyourdevice.Keepbatterypackdry.This
batterypackmustbedisposedofproperly.Disposalinformation
canbeobtainedbycontactingtheRechargeableBatteryRecycling
Corporation(RBRC)at1-800-822-8837intheUS.
Step 4: Changing Battery Packs
Once daily, preferably at the same time every day to ensure treatment
is continued without interruption, patients should do the following:
A. Depressthebatterydoorlatch(1)andslidethebatterydooron
thebackofthestimulator(2)andremovethedepletedbattery
pack(Figure7).
B. Following the arrows, place
the depleted battery pack
into the battery charger cradle
forcharging(Figure8).Asolid
orange light on the charger
cradle will illuminate indicating
a proper connection. If no
light appears on the charging
cradle an error is indicated.
If this occurs, try removing
the battery pack from the
charger cradle and reinserting
it. If the orange light does not
appear, contact Biomet.
C. Oncethechargercradle’s
orange light turns off and a
solid green light appears, the
battery pack is fully charged.
Removethebatterypack
from the battery charger
cradlewithagentlelift(1,2)
on the battery tab. (Figure 9)
and place the fully charged
battery pack into the Biomet®
SpinalPak®Non-invasive Spine
Fusion Stimulator System in
order to commence treatment.
D. Thereshouldalwaysbeonebatterypackinthechargerandone
battery pack installed in the stimulator at all times, ensuring a fully
chargedbatterypackevery24hoursasrecommended.
Figure 7
Figure 8
Figure 9

6
NOTE: Do not be concerned if the battery packs are inadvertently
charged more than once or kept on the charger cradle for a long
period of time. The battery pack cannot be overcharged. If the
battery pack is in the battery pack charger cradle and the battery
pack is fully charged, the charger will terminate the recharging
process. The charger cradle will indicate this termination when
the orange light does not illuminate. Additional replacement
battery packs are available by contacting Biomet.
LCD Symbol Descriptions and Instructions
The alarm defaults to audible alarm. Press the button below
the display on the front of the stimulator to silence the alarm.
The light will continue to flash and the display will indicate the
alarm condition.
Symbol Condition Instructions
 Treating Continueuse
 Audiblealarm Ifbeeping,depressthebutton
engaged briefly to silence the alarm.
  Depressthebutton
approximately 3 seconds
to engage or disengage the
audible alarm
 Lowbattery Insertachargedbatterypack
charge
 Disconnection Confirmthateachelectrodeis
of lead wire properly applied on the skin.
See the electrode pouch for
instructions.Confirmthat
the lead wire is attached
properly.Replacethelead
wire if necessary.
 Systemerror Errorinthestimulator–
ContactBiometforassistance.
 Deviceis DevicewillnottreatuntilUSB
connected to cable is disconnected
a pc
 Endofoperation/ ContactBiomet
Treatment
 Completion

7
Troubleshooting - Electrodes
• Changeyourelectrodesasrequired.Differentskintypeswill
cause a longer or shorter life of the electrodes. If the alarm
indicates a disconnection, it is likely that either the lead wire
connection is incomplete or the adhesive (gel) on the electrode
is no longer working and the electrodes need changing.
Checkallleadwireconnectionpoints,tomakesurethatthe
electrode lead wire is tightly plugged into the top of the Biomet®
SpinalPak®Non-invasive Spine Fusion Stimulator System
(Figure10)andthattheleadwireconnectorsarecompletely
inserted into both electrode connectors. If all the connections
are made and the symbol indicates a disconnection, it is
probably time to change the electrodes.
• Removetheoldelectrodesfromyourskin.
• Washyourskingentlywithsoapandwateranddry.
• Removetwonewelectrodesfromthepackagingandstorethe
liner for future use.
• Gentlypresstheelectrodesonyourskininthesameplace
asbefore.Askanotherpersonforhelpifyoucannotreach
the site easily. If your skin is very red, place the electrodes
slightlyaboveorbelowtheoriginalsites.Callyourprescribing
physicianiftherednessdoesnotgoawayin48hours.Itis
normal to note a slight pinkness of the skin after removal of
the previous pair of electrodes. This pinkness will fade within a
short period of time.
NOTE: The Biomet®SpinalPak®Non-invasive Spine Fusion
Stimulator System accurately records the number of days you
receive treatment. This helps your doctor track your treatment.
Figure 10

8
Helpful Tips
• Keeptheaudiblealarm“ON”asmuchaspossible.Thisalarm
willhelpwarnyouofanyproblemswiththedevice.During
special occasions when you would like the device not to tell you
audibly about stimulator problems, you may press the button
for 3 seconds to turn off the audible alarm. It is recommended
thatyouturntheaudiblealarmback“ON”assoonaspossible
by pressing the button for 3 seconds again.
 RemoveyourBiomet®SpinalPak®Non-invasive Spine Fusion
Stimulator System when you bathe, shower or swim. You
should remove the electrodes or cover them with the additional
adhesive covers provided, as shown in Figure 11 if you prefer
to leave the electrodes attached to the skin during showering.
• UsetheBiomet®SpinalPak®Non-invasive Spine Fusion
StimulatorSystemupto24hoursperday.Yourdoctorwill
tellyouwhentostopusingit.After270continuoustreatment
days the Biomet®SpinalPak®Non-invasive Spine Fusion
Stimulator System will automatically turn off.
Electrode Instructions for Use
Donotopenouterpacketuntilreadytouse.
1) Tear open packet.
2) Removeelectrodefromclearplasticbackingliner.
3) Wetfingerwithtapwaterandmoistenentiregelarea.
4) Placeelectrodeonskin.
5) Connectelectrodetoelectrodelead.
Renewal
1) Withcontinuoususe,electrodesmaydryout.
2) Torenew,wetfingerwithtapwaterandmoistenentiregelarea.
3) Reapplyelectrodetoskin.
Store in a cool place
Figure 11

9
Caring for Your Biomet®SpinalPak®
Non-invasive Spine Fusion Stimulator System
• Donotusecleaningproductsordetergentsonanypartof
Biomet®SpinalPak®Non-invasive Spine Fusion Stimulator
System components. Please use a damp cloth.
• DohandletheBiomet®SpinalPak®Non-invasive Spine Fusion
StimulatorSystemcarefully.Droppingorroughhandlingcan
cause damage.
• StoretheBiomet®SpinalPak®Non-invasive Spine Fusion
Stimulator System in a cool and dry place when you are not
wearing it.
• ContactBiometifyoubelievethatanycomponentwithinthe
Biomet®SpinalPak®Non-invasive Spine Fusion Stimulator
System has been damaged or is operating improperly.
If you Have Questions
If you have questions about your Biomet®SpinalPak®Non-invasive
Spine Fusion Stimulator System or about any components within
theassembly,contactBiometdomesticallyat1-800-526-2579
or1-973-299-9300ifcallingfromoutsidetheUnitedStates.
Representativesareavailablefrom8:30amto5:00pm(EST),
MondaythroughFriday.Atothertimes,pleaseleaveaclear
message for a return call by the next business day.
IMPORTANT:Anyandallmedicalquestionsmustbedirectedto
your doctor.
Ordering Information
To order replacement supplies, please contact Biomet directly.
The following information is necessary to expedite any orders:
• Patientname
• Physicianname
• Addresstosendthereplacementsupplies(patient’shome,MD
office, etc.)
Caution: Federal Law (U.S.A.) restricts this device to sale by or
on the order of a physician. Prescription Only.
2
Single Patient Use
Disposal Instructions
Whentreatmenthasconcludedasdeterminedbytheprescribing
physician, Biomet requests that the patient dispose of the Biomet®
SpinalPak®Non-invasive Spine Fusion Stimulator System according
to local statutes and regulations.

10
Indications for Use
The Biomet®SpinalPak®Non-invasive Spine Fusion Stimulator System is a
non-invasive bone growth stimulator indicated as an adjunct electrical treatment
to primary lumbar spinal fusion surgery for one or two levels.
Warnings
• CardiacpacemakersorcardiovertersmaybeadverselyaffectedbytheBiomet®
SpinalPak®Non-invasive Spine Fusion Stimulator System. The concomitant use of
the device and a pacemaker or cardioverter must be assessed on an individual basis,
such as with an electrocardiogram, prior to use. The patient should be referred
to a cardiologist for monitoring of pacemaker function while wearing the active
Biomet®SpinalPak®Non-invasive Spine Fusion Stimulator System. If there are
any observable adverse changes in the pacemaker rhythm or output, the Biomet®
SpinalPak®Non-invasive Spine Fusion Stimulator System should not be used.
• ThesafetyandeffectivenessoftheBiomet®SpinalPak®Non-invasive Spine Fusion
Stimulator System in pregnant women has not been studied, and the effects
ofthedeviceonthemotherorthedevelopingfetusareunknown.Apatientwho
is either pregnant or is intending to become pregnant should be referred to her
doctor prior to treatment with the Biomet®SpinalPak®Non-invasive Spine Fusion
Stimulator System.
Precautions
• ThesafetyandeffectivenessoftheBiomet®SpinalPak®Non-invasive Spine Fusion
Stimulator System in individuals with the following conditions have not been
studied, and therefore the safety and effectiveness of the device in these individuals
are unknown:
  – spondylitis,infection,Paget’sdisease
– cancer, diabetes mellitus, renal disease
– trauma of the lumbar spine
– osteoporosis
• Applytheelectrodesaftertheskinhasbeencleanedanddried.Iferythemadevelops
at the electrode sites, the electrodes should be relocated either immediately above or
 belowtheoriginalsites.Ifthereactiondoesnotresolveafter48hoursafterrelocating
the electrodes, the patient should be instructed to consult the prescribing physician.
• DonotsubmergeorexposetheBiomet®SpinalPak®Non-invasive Spine Fusion
Stimulator System to water or any liquid. The patient should be instructed to
remove the stimulator during bathing, showering or swimming.
• Compliancewiththetreatmentschedule,dailybatterychanges,andreplacingthe
electrodes(from1to7days)asneededisessentialforproperstimulatorfunction.
• Patientsshouldbeabletousethestimulatorinaccordancewiththeinstructionsfor
use. If a patient cannot comply with these instructions for any reason, use of the
stimulator is not recommended.
• Thissystemshouldonlybeusedwithcomponentsandpartsrecommended
by Biomet. Other components and parts may not be compatible, and may damage
the stimulator.
• Ifanycomponentdoesnotfunctionproperly,contactBiomet.Noattemptshouldbe
made to modify or repair the stimulator.
Adverse Events
Duringamulti-centerclinicalstudyof349patientstreatedwiththedeviceforthe
indication listed above, skin irritation was the most common adverse effect associated
with the use of the Biomet®SpinalPak®Non-invasive Spine Fusion Stimulator System.
Itoccurredin9patients(2.6%ofthetrialpopulation)—4patientstreatedwiththe
activedeviceand5patientstreatedwiththeplacebodevice.

OPTIONS
Theindustry’smostcomprehensiveoptions:
• PEMF,CCandDC
• Anatomyspecificcoils
• Wear-timechoice
EVIDENCE
• Backedbyprovenscience
• Multiplescientificpapers
• Theproofisinthepatient
EXPERIENCE
Recognizedasanindustry
pioneerwithEBIlineage,Biomet
has helped over one million people
To learn more about this product,
contactyourlocalBiometSalesRepresentativetoday.
PN#1067796-00Rev.D
Biomet®SpinalPak®Non-invasive
Spine Fusion Stimulator System
Patient Manual
399JeffersonRoad•Parsippany,NJ07054
800.526.2579•www.biomet.com•BNS231003L11/13
©2013EBI,LLC.AlltrademarksarethepropertyofBiomet,Inc.
oroneofitssubsidiariesunlessotherwiseindicated.RxOnly.