BIOMET PowerPump System User manual

Operator’s Manual

The PowerPump™DP maximizes visibility during arthroscopy through
the SmartVision® technology by Medical Vision R&D AB, Sweden.
The PowerPump™DP detects factors that impede visibility during
surgery, and automatically compensates for them. When engaged, the
SmartVision® function automatically moderates ow and pressure to
obtain maximum view.
The PowerPump™DP controls the Intra-Articular Pressure (IAP); not the
pressure at the pump. The IAP is displayed on the pump display.
The user can easily change the ow/pressure settings during surgery,
if needed.
The PowerPump™DP supports interface connection to shaver systems.

1
Table of Contents
Description, Indications for Use, and Contraindications .............................................................................. 2
Description ............................................................................................................................................................................................................................................................ 2
Indications for Use .............................................................................................................................................................................................................................................. 2
Contraindications................................................................................................................................................................................................................................................ 2
System Overview .............................................................................................................................................. 3 – 5
Connection Diagram with PowerTek™II Plus ............................................................................................................................................................................................. 3
Connection Diagram with shaver other than PowerTek™II Plus......................................................................................................................................................... 4
Shaver control by use of the pump’s foot control.................................................................................................................................................................................... 4
Connection Diagram with shaver other than PowerTek™II Plus......................................................................................................................................................... 5
Shaver control by use of the pump’s foot control or hand control. .................................................................................................................................................. 5
Principle of Operation...................................................................................................................................... 6
Warnings, Precautions, and Adverse Events .................................................................................................. 7 – 8
Warnings................................................................................................................................................................................................................................................................. 7
Precautions............................................................................................................................................................................................................................................................ 7
Adverse Events ..................................................................................................................................................................................................................................................... 8
Controls, LEDs, and Alarms.............................................................................................................................. 9 – 12
Controls & LEDs.................................................................................................................................................................................................................................................... 9
Unpacking.............................................................................................................................................................................................................................................................. 12
Assembly and System Check........................................................................................................................................................................................................................... 12
Instructions for Use .......................................................................................................................................... 13 – 20
Operator Training Requirements ................................................................................................................................................................................................................... 13
Starting the Procedure ..................................................................................................................................................................................................................................... 13
Load the cassettes............................................................................................................................................................................................................................................... 13
Joint Selection ...................................................................................................................................................................................................................................................... 13
Cassette Loading and Unloading .................................................................................................................................................................................................................. 13
Loading a Day Cassette..................................................................................................................................................................................................................................... 14
Connecting the Irrigation Tubing.................................................................................................................................................................................................................. 15
Loading a Patient Cassette............................................................................................................................................................................................................................... 16
PowerPump™ DP Function and Adjustment During Procedure ........................................................................................................................................................ 18
Changing Default Settings............................................................................................................................................................................................................................... 19
Cassette Removal ................................................................................................................................................................................................................................................ 20
System Shut Down.............................................................................................................................................................................................................................................. 20
Shaver Interface Box Instructions ................................................................................................................... 21
PowerPump™ DP Control of Shaver.............................................................................................................................................................................................................. 21
Shaver Control of the PowerPump™ DP...................................................................................................................................................................................................... 21
Cleaning Instructions......................................................................................................................................................................................................................................... 21
Troubleshooting Guide Shaver Interface Box ........................................................................................................................................................................................ 21
Alarms................................................................................................................................................................ 22
System Care....................................................................................................................................................... 23
System Environmental Requirements ......................................................................................................................................................................................................... 23
Equipment Disposal ........................................................................................................................................................................................................................................... 23
Surface Cleaning & Disinfection of Pump and Foot Control................................................................................................................................................................ 23
Maintenance and Troubleshooting................................................................................................................. 24
Maintenance ......................................................................................................................................................................................................................................................... 24
Troubleshooting Guide ..................................................................................................................................................................................................................................... 24
System Does Not Power Up After the Power Switch is Set to On. ..................................................................................................................................................... 24
Fuse Replacement............................................................................................................................................................................................................................................... 24
Front Cover Replacement................................................................................................................................................................................................................................. 24
Error Codes ............................................................................................................................................................................................................................................................ 24
Technical Specications................................................................................................................................... 25
Symbols Key...................................................................................................................................................... 26
Pump Classication and Safety Verication................................................................................................... 27
Classication ......................................................................................................................................................................................................................................................... 27
Safety Verication ............................................................................................................................................................................................................................................... 27
Ordering Information....................................................................................................................................... 28
Customer Service.............................................................................................................................................. 29
Warranty Information ........................................................................................................................................................................................................................................ 29
Product Complaints............................................................................................................................................................................................................................................ 29
Distributed by:...................................................................................................................................................................................................................................................... 29

2Description, Indications for Use, and Contraindications
Description
The PowerPump™ DP provides liquid irrigation and aspiration for endoscopic procedures in one unit through two individual
roller pumps. Both roller pumps are software controlled and automatically manage uid and joint pressure based on procedure
settings chosen by the user. If needed, both ow and pressure settings can be individually adjusted.
By controlling both inow and outow, the PowerPump™ DP accurately regulates pressure and ow in the joint. The
PowerPump™ DP also provides suction when used in conjunction with a shaver.
The PowerPump™ DP consists of the following articles:
1) PowerPump™ DP Unit
2) Reusable, non-sterile Foot Control
3) Reusable, non-sterile Mains cable
PowerPump™ DP Disposables (sold separately):
1) PowerPump™ DP Patient Cassette inclusive sterile irrigation tubing
2) PowerPump™ DP Day Cassette
3) PowerPump™ DP irrigation tubing
The disposable sterile Patient Cassette with sterile irrigation tubing, Day Cassette and irrigation tubing is supplied separately.
Reusable, non-sterile shaver interfaces for compatible shaver systems are available and supplied separately. For a list of
available interfaces, please contact your Biomet Sports Medicine authorized representative.
Indications for Use
The PowerPump™ DP is a dual arthroscopic pump system intended to provide uid distention and irrigation of knee, shoulder,
hip, elbow, ankle, and wrist joint cavities, and uid suction during operative arthroscopic procedures.
Contraindications
• DO NOT use the PowerPump™ DP for procedures such as gynecological, urologic, endoscopic temporomandibular
joints, or any other non arthroscopic procedure.
• DO NOT use the PowerPump™ DP in instances where capsular integrity is suspect.
• DO NOT use the PowerPump™ DP with a gas distension medium. Use only with sterile irrigation solution for
distension of the operative site.
• DO NOT use the PowerPump™ DP to administrate drugs, IV-uids, blood or blood substitutes.

3
System Overview
Connection Diagram with PowerTek™II Plus
1PowerPump™ DP
2Mains Cable
3Foot Control:
a) Shaver Reverse
b) Shaver Forward
c) Cannula
d) Rinse
4Shaver from PowerTek™II Plus
5Shaver Handpiece
6Shaver Interface Cable

4System Overview
Connection Diagram with shaver other than PowerTek™II Plus
Shaver control by use of the pump’s foot control.
1PowerPump™ DP
2Mains Cable
3Foot Control:
a) Shaver Reverse
b) Shaver Forward
c) Cannula
d) Rinse
4Shaver other than PowerTek™II Plus
5Shaver Handpiece
6Shaver Interface Cable

5
System Overview
Connection Diagram with shaver other than PowerTek™II Plus
Shaver control by use of the pump’s foot control or hand control.
1 PowerPump™ DP
2Mains Cable
3Foot Control:
a) Shaver Reverse
b) Shaver Forward
c) Cannula
d) Rinse
4Shaver other than PowerTek™II Plus
5Shaver Handpiece
6Shaver Interface Box
7Shaver Foot Control

6Principle of Operation
The PowerPump™ DP can operate in two dierent modes:
1) Irrigation only
2) Double pump
During Inow only, the PowerPump™ DP regulates the pressure using the PowerPump™ DP Day Cassette only.
The PowerPump™ DP Day Cassette is connected to the sterile saline bags and the irrigation tubing, which is connected to the
arthroscope sheath. The irrigation tubing is delivered individually or in the PowerPump™ DP Patient Cassette package.
During double pump mode, the PowerPump™ DP regulates pressure and ow using the Day and Patient Cassettes. The
PowerPump™ DP Day Cassette is connected to the sterile saline bags and the irrigation tubing to the arthroscope sheath. The
PowerPump™ DP Patient Cassette discharges the liquid from the joint into a waste collection system.
The PowerPump™ DP has the SmartVision® feature. SmartVision® will detect blood and/or debris when it emerges from the
joint. It will automatically elevate pressure and ow into the joint when blood is detected, or elevate ow when debris is
detected. SmartVision® can be disabled if desired.
The pump also has an Outow Tracking feature, which regulates inow to the joint to precisely replace liquid removed by the
outow pump. The result is a constant volume of uid in the distended joint. This helps to prevent collapse of the joint in cases
with compliant joint capsule. Outow Tracking can be disabled if desired.
Furthermore, the system automatically compensates for liquid resistance in the irrigation system. This means that the pressure
value displayed is actual joint pressure, not the pressure by the pump or in the Day Cassette.
For more information about the PowerPump™ DP features please visit www.biometsportsmedicine.com

7
Warnings, Precautions, and Adverse Events
The following is a list of Warnings and Precautions that apply to the general operation of the Biomet Sports Medicine
PowerPump™ DP.
Warnings
• Theequipmentmayonlybeoperatedbypersonneltrainedinarthroscopyprocedures.
• Failuretofollowallapplicableinstructionsmayresultinserioussurgicalconsequencesforthepatient.
• DO NOT operate this device in the presence of ammable anesthetics, gases, disinfecting agents, cleaning solutions,
or any material susceptible to ignition due to electrical sparking.
• DO NOT use the pump if dropped or if it shows signs of damage.
• Extravasationorotherpatientinjurymayoccurifinstructionsandwarningsarenotfollowed.Ifextravasationoccurs,
orthopedic literature supports management by elevation and serial compression wrapping. Fasciotomy is rarely
indicated.
• DO NOT allow the pump to run unattended. Patient safety requires the pump to be continuously monitored
throughout operation.
• Forelectricalsafetyreasonsalwaysuseanon-conductivewastecontainerforwasteuid.
• Ifanerrorcodeappearsonthedisplay,DO NOT use the pump. Gravity may be used for an emergency procedure to
irrigate the joint directly from saline bags. The shaver, if used, may then be connected to an external vacuum source.
The equipment has been tested and found in compliance with limits for medical devices according to the IEC60601-1-2
standard. These limits are designed to provide reasonable protection, in a typical medical installation, against harmful interference
between equipment in the vicinity of each other. If the pump does cause harmful interference to other devices, which can
be determined by turning it ON and OFF with the mains switch, try to reduce the interference by relocating the system or
separating it from other devices—or both. If you cannot resolve the problem, please contact Customer Service.
Precautions
• Priortoinitialuse,ensurethatallpackageinserts,warnings,precautions,andInstructionsforUsearereadand
understood.
• Consultmedicalliteraturerelativetotechniques,complications,andhazardspriortoperforminganyprocedure.
• Evaluatepatientsforpredisposingmedicalconditionsthatmaybecomeaggravatedbythestressofsurgery.
• Wheninstrumentsandaccessoriesfromdierentmanufacturersareemployedtogetherinaprocedure,verify
compatibility prior to initiation of the procedure. Accessory equipment connected to the analog and digital
interfaces must be certied according to the respective IEC standards (e.g. IEC 60950 for data processing equipment
and IEC 60601-1 for medical equipment). Furthermore, all congurations shall comply with the system standard
IEC 60601-1-1. Any individual who connects additional equipment to the signal input part or signal output
part congures a medical system, and is therefore responsible for ensuring that the system complies with the
requirements of the system standard IEC 60601-1-1. If in doubt, consult the technical service department or your
authorized Biomet Sports Medicine representative.
• Whenendoscopesareusedwithendoscopically-usedaccessories,thepatientleakagecurrentsmaybeadditive.
• ThePowerPump™DPisaClassIdevicewithTypeBFappliedpart,accordingtotheElectricalSafetyStandardIEC
60601-1 for medical devices. Ensure that you are using only Biomet Sports Medicine approved Interface Cables and
Interface Boxes when connecting to a Shaver System.
• DO NOT connect the device to a power source that is not properly earthed (grounded).
• Topreventelectricalshockhazard,unplugtheMaincablefromthepowersourcebeforedetachingthecablefrom
the pump. Disconnect the device from the main power source when cleaning, servicing, or inspecting.
• DO NOT connect or disconnect the foot control when the pump is powered on.
• DO NOT connect or disconnect interface cables to a Shaver System when the pump is powered on.
• DO NOT remove the cover of the pump. Refer servicing to qualied personnel.

8Warning, Precautions, and Adverse Events
• Toavoidriskofre,onlyreplacethefuseswiththesametypeandrating.
• Annualpreventivemaintenancemustbeperformedbyqualiedtechnicalservicepersonnel.
• Beforeuse,ensurethatthemaincableplugisproperlyconnectedtothepumpreceptacle.CheckthatallPumpLED
lights and audio signals are functional at start-up.
• AvoiduidcontactwiththePowerPump™DP.Incaseofliquidspillagethatresultsinariskthatliquidhasentered
the pump, it must be immediately turned o and Main cable removed. Contact an authorized service technician.
• IfatanytimeyoufeelthatthePowerPump™DPisnotoperatingcorrectly,toohighpressureissuspected,orthe
system is sounding alarms that can not be resolved, stop uid ow immediately by pressing the ‘Run/Stop’ button. If
this does not stop the pump, turn it o with the On/O switch on the Rear panel. This will stop uid inow, allowing
the problem to be investigated.
• IfthePowerPump™DPistakenoutofserviceduringaprocedure,gravitymaybeusedforanemergencyprocedure
to irrigate the surgery area directly from the saline bags. The shaver, if used, may then be connected to an external
vacuum source.
• Inspectequipmentandcablesforwearpriortoeachuse.Ifdamageisnoted,replaceandreturntoBiometSports
Medicine authorized representative.
• DO NOT operate the pump with the roller assembly cover removed or damaged.
• Ifthepumpoperateswithoutacassetteinplace,contactanauthorizedBiometSportsMedicinerepresentative.
• DO NOT insert foreign objects into the PowerPump™ DP. This constitutes a safety hazard and can cause extensive
damage or injury.
• DO NOT scratch or press the two pressure transducers (white discs) tted on the front panel of the pump where the
Day Cassette is placed.
• DO NOT insert ngers into the pump rollers.
• DO NOT use cassettes other than the PowerPump™ DP Day Cassette, PowerPump™ DP Patient Cassette and Pow-
erPump™ DP irrigation tubing provided by Biomet®Sports Medicine. Usage of unauthorized cassettes may cause
patient or user injury and equipment damage or malfunction.
Adverse Events
As a consequence of diagnostic and operative arthroscopic procedures, damage to surrounding tissue through iatrogenic
injury could occur.

9
Controls, LEDs, and Alarms
Controls & LEDs
The PowerPump™ DP incorporates the following controls and LEDs:
Front Panel
1. Day Cassette button
This button opens or closes the Day Cassette pressure arm.
The blue LED adjacent to the button indicates the following status:
•OwhentheDayCassetteisnotpositionedinthepumpandthepressurearmisopen
•BlinkingwhentheDayCassetteiscorrectlypositionedinthepumpandthepressurearmisclosing
•BlinkingiftheDayCassetteisincorrectlypositionedinthepumpandthepressurearmisclosed
•OnwhentheDayCassetteiscorrectlyloadedandpressurethearmisclosed
2. On/Standby button
This button toggles the PowerPump™ DP between On or Standby mode. From Standby, press the button once to
turn the pump On. To enter Standby, press and hold the button for two seconds. The green LED adjacent to the
button will blink in Standby state and illuminate when the PowerPump™ DP is‘ON’.
3. Outow Mode Tracking button
This button activates/deactivates the Outow Tracking function. The blue LED is illuminated when Outow Tracking
is on.
4. Pressure increase/decrease buttons
These buttons adjust the pressure setting controlled by the pump.
5. Soft Keys
The function of these buttons is indicated by the adjacent text in the Display. The functions vary as the Display
text changes.
6. Display
This Display indicates settings, soft key functions, alarm situations, pressure and ow values.

10 Controls, LEDs, and Alarms
7. Flow increase/decrease buttons
These buttons adjust the ow setting controlled by the pump. The Flow adjustment is only available if a Patient
Cassette is being used.
8. SmartVision®button
This button activates/deactivates the SmartVision® function. The blue LED is illuminated when SmartVision®
monitoring is on.
9. Run/Stop button
This button starts and stops the uid ow and pressure control. When the pump is running, the green LED light will
illuminate and blink when the pump stops.
10. Patient Cassette button
This button loads and unloads the Patient Cassette pressure arm.
The blue LED adjacent to the button indicates the following status:
•OwhenthePatientCassetteisnotpositionedinthepumpandthepressurearmisopen
•BlinkingwhenthePatientCassetteiscorrectlypositionedinthepumpandthepressurearmisclosing
•BlinkingifthePatientCassetteisincorrectlypositionedinthepumpandthepressurearmisclosed
•OnwhenthePatientCassetteiscorrectlyloadedandthepressurearmisclosed
11. Pump Foot Control Receptacle
The pump Foot Control plugs into this receptacle located on the front of the pump.
Rear Panel
12. On/O Switch
This switch turns the AC power On and O. Note that the pump may be put in a standby mode with On/Standby
button on the front panel. If the green LED on the front panel is blinking, the pump is in standby mode, press On/
Standby button to turn the pump On.
13. Serial communications port
This connector is only for use by technical personnel. DO NOT connect anything to this connector.
14. Acoustic Volume Control
The Volume Control regulates tone volume for acoustic alarms and indications. To increase volume, turn the knob
clockwise. To reduce volume, turn the knob counterclockwise.

11
Controls, LEDs, and Alarms
15. Mains Cable Receptacle / Fuse Holder
The pump Mains cable plugs into this receptacle. The fuse holder is located between the Mains cable receptacle and
the On/O switch.
16. Equipotential Ground Conductor
This conductor is used to bond the equipment to earth ground.
17. Shaver interface box Receptacle
Receptacle for shaver interface box. The interface itself is connected to the front panel output connector on the
shaver controller. The shaver handpiece is then connected to the interface.
18. Shaver Interface Cable Receptacle
Connector for bidirectional communication with the PowerTek™II Plus Shaver System. For other shaver brands an
interface cable is connected to this receptacle and the opposite end of the cable is connected to the foot switch
receptacle of the shaver controller. When instruments and accessories from dierent manufacturers are employed
together, please see the precautions on page 7 with respect to requirements in the standard IEC 60601-1-1.
Foot Control
Shaver Reverse Pedal
The rst black pedal to the left side on the foot control activates a connected shaver system. The shaver blade will
rotate counter clockwise.
Shaver Forward Pedal
This second black pedal on the foot control activates a connected shaver system. The shaver blade will rotate
clockwise.
Shaver Oscillate
Pressing Reverse and Forward simultaneously will initiate the oscillating mode of the shaver.
Change speed of connected shaver system
Press Cannula and Forward simultaneously to decrease speed
Press Cannula and Rinse simultaneously to increase speed
Cannula Pedal
This blue pedal activates the Cannula function of the pump
Rinse Pedal
This red pedal activates/deactivates the Rinse function of the pump
Signal Tones
One short tone: Rinse Mode is activated
Two short tones: Rinse Mode is deactivated

12 Unpacking, Assembly, and System Check
Unpacking
Verify that all items have been received and are not damaged. Damage should be reported immediately to the carrier and to
Biomet Sports Medicine authorized representative. Save all containers and packaging material. They will be required if it is
necessary to return the equipment.
Assembly and System Check
1. Before rst use, inspect the PowerPump™ DP for possible damage. Inspect the mains cable and all cables for wear
or cuts.
2. Connect the mains cable to the receptacle (15) on the rear panel of the pump. Connect the other end of the main
cable to the electrical outlet. If it is necessary to use a mains cable other than the one supplied with the pump, the
alternate mains cable must comply with appropriate electrical standards and be suitable for hospital use. Attach the
pump Foot Control Receptacle on the front panel (11).
3. There are three alternatives on connecting a shaver system to the PowerPump™ DP as shown in the Connection
diagram on page 5.
4. If a PowerTek™II Plus shaver from Biomet Sports Medicine is used, the Shaver Interface Cable must be used. This is Y-
congured and connects to the rear and to the front of the shaver . The other end connects to receptacle (18) at the
rear of the PowerPump™ DP. This setup allows both control of the pump and shaver with the pump Foot Control, and
nger control with the shaver handpiece, when applicable.
5. For other shavers to be controlled by the PowerPump™ DP Foot Control: From the selection of Shaver interface
cables. See separate leaet from Biomet Sports Medicine for correct selection of Interface cable. Connect the ap-
propriate Shaver Interface cable (6) to the Shaver Interface receptacle (18), and connect the other end to the foot
control connector of the shaver (4) (Ref page 4).
6. If the shaver has a nger controlled handpiece, a corresponding Shaver interface box (6) must be used. See separate
leaet for correct selection of shaver interface box. It is connected to connector (17) at the rear of the pump. The
other end is tted on the front panel of the shaver system (4), and the shaver handpiece is connected to the box of
the interface as shown in the Connection diagram. Attach the pump Foot Control to the pump Foot Control Recep-
tacle (11) on the front panel (Ref page 5).
7. Turn the On/O Switch on the rear panel of the pump to the‘On’position. The pump is now in Standby. Press the
On/Standby button (2) on the front panel and the system will proceed through a Power On Self Test routine, and
PowerPump™ DP and software version number will be displayed. During this sequence, verify that the display and
LED lights are working properly and that the alarm tone is audible. The Display should show ‘START’ and ‘setup’
options associated with the Soft Keys (5). If an error code appears instead, the pump may not be used. Contact
Biomet Sports Medicine authorized representative, and report the error code number (Ref page 9).
8. If the PowerPump™ DP malfunctions or shows signs of damage, contact Biomet Sports Medicine service center or
Biomet Sports Medicine authorized representative.

13
Instructions for Use
Section 5
Operator Training Requirements
The operator should be experienced in arthroscopic techniques. The user shall endeavor to remain current with advances in
orthopedic procedures. Additional training on the use of the PowerPump™ DP from a Biomet®Sports Medicine authorized
representative is recommended.
Starting the Procedure
Press the Soft Key ‘START’. The pump can be used for Inow only (single pump) or for both Inow and Outow (double pump).
Load the cassettes.
To use only Inow mode, only load the Day Cassette and connect the irrigation tubing to the Day Cassette. To use both Inow
and Outow, load the Day Cassette, and the Patient Cassette, connect the Irrigation Tube to the Day Cassette.
See Cassette loading and Unloading below. ‘OK’ will be visible on the Display next to a Soft Key. Press the Soft Key ‘OK’ to
continue to the procedure selection menu. Pressing the Soft Key will return to the cassette loading menu.
Joint Selection
The procedure selection menu provides four options for joint type: 1) Shoulder 2) Knee 3) Hip 4) Small Joint. Each of these
procedure types have specic default settings for pressure and ow. Changing the default settings is described in ‘Changing
Default Settings.’
Select the appropriate joint type by moving the arrow with the Soft Keys. When the arrow is adjacent to the appropriate joint
type, press the Soft Key corresponding to ‘OK’ to continue to the Run/Stop menu. Pressing the Soft Key will return to the
cassette loading menu.
Cassette Loading and Unloading
The cassette loading menu can be accessed by either pressing one of the Soft Keys ‘START’ on the Display, or by pressing either
the Day Cassette or Patient Cassette button on the key board. When the cassette loading menu is visible on the Display, the
loading status of the cassettes will be shown.
NOTE: From the cassette loading menu, the Soft Key can be pressed to return to the START/setup menu.
NOTE: Before opening the sterile cassettes and Irrigation Tube, carefully examine the shipping package and sterile wrap.
If the package is damaged, the sterile seal is broken, or if the expiration dates has passed, do not use. Sterility is
guaranteed only if the cassette loading and unloading procedures are performed according to the set-up described.

14 Instructions for Use
Loading a Day Cassette
1. Open the individual package. Use aseptic technique when opening the package. The Day
Cassette can be used a whole operating day. Maximum eight hours.
2. Remove the cassette and related tubing from the package.
3. Close all three clamps on the cassette.
4. Remove the cap from one of the spikes and connect the spike to a sterile saline bag. The
second spike can be connected to a secondary bag in the same way.
5. Open the clear front cover of the pump. Push the cassette tubing loop completely over
the left pump wheel. Push the cassette in place. The cassette should snap in place. The
blue LED light beside the Day Cassette button will blink when the Day Cassette is cor-
rectly positioned in the pump.
6. Close the front cover.
7. Press the Day Cassette button on the pump. Proper loading is veried in the display.
8. Open the clamp for the primary saline bag.

15
Instructions for Use
Connecting the Irrigation Tubing
1. Open the individual package. Use aseptic technique when opening the package. The
package for the PowerPump™ DP Patient Cassette includes also the irrigation tubing.
2. Sterile operator: Remove the irrigation tubing from the package, and then remove the
transparent wrapping from the irrigation tubing.
3. The distal end of the Day Cassette shall be connected to the irrigation tubing.
4. Sterile operator: Ensure that the transparent luer lock connection between the tubing
and the valve is tightened.
5. Sterile operator: Close the red clamp on the irrigation tubing and hand over the proxi-
mal end (end with blue cap) of the tubing to the non-sterile operator.
6. Non-sterile operator: If present, remove any used one-way valve from the Day Cassette.
Remove the blue cap from the irrigation tubing and connect the blue swivel connector
to the transparent female luer lock connector on the distal end of the Day Cassette.
7. Non-sterile operator: Open the white clamp near the Day Cassette and the red clamp
on the irrigation tubing.
8. The Day Cassette and irrigation tubing can now be lled with sterile saline per the pump
priming procedure. When the tube is lled, the red clamp on the irrigation tubing can
be used to open or close the ow.
9. The distal end of the cassette should be connected to the irrigation tubing contained in
PowerPump™ DP Patient Cassette or the separate packing of the irrigation tubing.

16 Instructions for Use
Loading a Patient Cassette
1. Non-sterile operator: Open the individual package as shown. Use aseptic technique
when opening the package. The package consists of an irrigation tubing and a Patient
Cassette.
2. Sterile operator: The irrigation tubing is loaded as described above.
3. Sterile operator: Remove the Patient Cassette from the package. Keep the Cannula, and
Shaver tubing, and hand the cassette to the non-sterile operator to load into the pump.
4. Non-sterile operator: Open the clear front cover of the pump. Push the cassette tubing
loop completely over pump wheel to the right. Push the cassette in place. The cassette
should snap in place. The blue LED light adjacent to the Patient Cassette button will blink
when the Patient Cassette is correctly positioned in the pump.
5. Non-sterile operator: The three tubings attached to the left side of the Patient Cassette
will align with the slots on the pump. Push the tubing completely into the slots as far as
they will go. Align the tubing together where they exit the slot and hold them in position
by closing the slide lock.

17
Instructions for Use
6. The correct tubing setup is shown in this gure.
7. Non-sterile operator: Connect the tubing marked WASTE to the waste collection
container.
8. Non-sterile operator: Close the front cover.
9. Non-sterile operator: Push the Patient Cassette button on the pump. Proper loading is
veried in the Display.
10. Sterile operator: Connect the end of the OUTFLOW CANNULA tubing to the cannula. The
tubing marked SHAVER is connected to the suction port of the shaver. If a shaver is not
used, the tubing can remain disconnected.
Priming the Day Cassette and Irrigation Tube
1. To prime the Day Cassette and irrigation tubing with saline, press the Soft Key ‘Prime’ on the Run/Stop menu.
The pump will automatically prime the tubing, counting down from 10 sec. It is possible to stop the priming, press
the Soft Key as the Priming time is counting down. When priming stops, the Display will return to the Run/Stop
menu. Priming can be repeated if necessary.
Adjusting the Initial Pressure and Flow Settings
2. The Run/Stop menu displays the initial pressure and ow settings for the selected joint type. The initial settings can
be adjusted using the Pressure increase/decrease buttons and the Flow increase/decrease buttons. Flow adjustment
is only available if a Patient Cassette is being used (double pump mode).
Starting the Fluid Flow
3. To start the uid ow, press the Run/Stop button on the keyboard while in that mode. When the Run/ Stop button is
pressed, the pump will control the pressure and uid outow. Fluid outow is only controlled if a Patient Cassette is
being used.
Stopping the Fluid Flow
4. To stop the uid ow, press the Run/Stop button on the keyboard. When the ow is stopped, pressing the Soft Key
will return to the selection menu.
Removing the Irrigation Tube When the Day Cassette will be Used Again the Same Day
1. Stop the pump and close all clamps on the Day Cassette and the red clamp on the Irrigation Tube.
2. Disconnect the Irrigation Tube near the one-way valve, leaving the used one-way valve attached to the Day Cassette.
3. Discard the disconnected Irrigation Tube in accordance with hospital regulations.

18 Instructions for Use
PowerPump™ DP Function and Adjustment During Procedure
Automatic Outow Switching
If a Patient cassette is used, the outow from the joint is via the Cannula. If a Shaver is used and active, the outow from the
joint is switched over to pass through the shaver Handpiece. A “*” symbol on the display indicates outow path; Shaver or
Cannula.
Pressure Adjustment
The pressure setting can be adjusted with the Pressure increase/decrease buttons (4).
Flow Adjustment
The ow setting can be adjusted with the Flow increase/decrease buttons (7). The buttons will adjust the outow of the mode
that is currently active: If the Outow Cannula is active, the ow for the Outow Cannula will be adjusted. If the Shaver is active,
the ow for the shaver will be adjusted. The Flow adjustment is only available if a Patient Cassette is used.
Shaver Flow Setting
When the Shaver is not active, the ow setting can be modied by pressing the Soft Key ‘Shaver’ on the Display. A shaver ow
menu will appear on the display, and the ow setting can be modied with the Flow increase/decrease buttons. Soft Key ‘OK’
can be pressed to return to the procedure screen.
Cannula Function
When a Patient Cassette is used, pressing and holding the Cannula pedal will increase ow through the joint without increasing
joint pressure. This feature is useful for eliminating debris in the joint. The Display will indicate when Cannula function is active.
The Pressure and Flow cannot be adjusted when Cannula function is active.
Rinse Function
When a Patient Cassette is used, pressing the Rinse pedal will activate the Rinse mode for 120 seconds. Rinse mode will increase
the ow and pressure in the joint. This feature is useful for removing blood and controlling bleeding in the joint. When active,
Rinse function can be turned o by pressing any of the foot pedals. The Display will indicate when Rinse function is active, and
the Pressure and Flow settings cannot be adjusted when Rinse function is active. Rinse function pressure and ow values can
be changed in the Setup Menu.
SmartVision®
SmartVision® Technology is a function to automatically increase ow and pressure in the joint if debris or blood is detected.
This feature can be turned On and O with the SmartVision® Technology button(8), and related LED is illuminated when
SmartVision® Technology monitoring is on. If blood is detected this is indicated in the display. The pressure is increased by a set
value in mmHg, and ow is increased by 50 ml/min.
When the liquid is clear of blood, the ow and pressure resumes the previously selected values. If the liquid is not clear of blood
within 8 seconds, the ow is further increased by 50 % of selected ow. The pressure increment can be adjusted in the setup
menu (factory setting is 50 mmHg increase).
If debris is detected this is indicated in the display, and ow is increased by a set value.
If necessary, this can be adjusted in the setup menu (factory settings is 50 ml/min increase).
Outow Tracking
The LED adjacent to the Outow Tracking button(3) on the keyboard indicates the status of Outow Tracking. If the LED is
on, Outow Tracking is active. The status of Outow Tracking can be changed by pressing the Outow Tracking button. This
function regulates inow to the surgery area to precisely replace liquid removed by the outow pump. The result is a constant
volume of uid in the distended joint. Outow Tracking is available only when the Patient Cassette is used. High Flow Sheath
for Arthroscopy is recommended for best performance.
Last Procedure Setting Memory
The PowerPump™ DP will remember the procedure settings from the last procedure if power to the pump remains on and the
same joint type as the previous procedure is chosen. If the standby mode is selected all ow and pressure settings go back to
default setting.