kicksynthes.vo.llnwd.net/o16/llnwmb8/int mobile/synthes... · 2017-05-08 · 1.2 symbols warnings...

KICKVersion 1.2

SYSTEM USER GUIDE

REVISION 1.0

Copyright 2015, Brainlab AG Germany. All rights reserved.

TABLE OF CONTENTS

GENERAL INFORMATION ...................................................................................................7

Contact Data and Legal Information ......................................................................................................7

Legal Information .........................................................................................................................................9

Symbols .....................................................................................................................................................10

Hardware Symbols.....................................................................................................................................11

Intended Use .............................................................................................................................................14

Compatibility with Medical Devices .....................................................................................................16

Training and Documentation .................................................................................................................17

Documentation...........................................................................................................................................18

SYSTEM OVERVIEW ..............................................................................................................19

System Components ...............................................................................................................................19

System Setup ............................................................................................................................................21

Kick System ...............................................................................................................................................22

OR Setups .................................................................................................................................................23

Proper System Handling ........................................................................................................................24

Inspections ................................................................................................................................................27

Weekly and Monthly Inspections ................................................................................................................28

Annual Electrical Safety Inspection ............................................................................................................29

Malfunctions and Return Instructions.................................................................................................30

Return Instructions.....................................................................................................................................31

MONITOR CART..........................................................................................................................33

Components..............................................................................................................................................33

Monitor .......................................................................................................................................................35

Range of Motion.........................................................................................................................................37

Moving Parts ..............................................................................................................................................38

Monitor Cart Ventilation..........................................................................................................................39

3rd-Party Connections ............................................................................................................................40

Back Panel Connections ............................................................................................................................42

Cabling .......................................................................................................................................................43

Cable Storage ............................................................................................................................................46

TABLE OF CONTENTS

Kick Ver. 1.2 / System User Guide Rev. 1.0 / DePuy Synthes 3

LED Indications ........................................................................................................................................47

CAMERA CART ...........................................................................................................................49

Cart Components .....................................................................................................................................49

Camera ......................................................................................................................................................51

Cabling .......................................................................................................................................................52

Camera Use ...............................................................................................................................................54

Range of Motion.........................................................................................................................................56

Operating Position .....................................................................................................................................57

Adjusting Camera Cart...............................................................................................................................58

LEDs and Acoustic Signals ...................................................................................................................62

USING THE SYSTEM ..............................................................................................................65

Turning System On ..................................................................................................................................65

System Shutdown ....................................................................................................................................66

Sterile Use .................................................................................................................................................67

Sterile Touchpen ........................................................................................................................................70

ASSEMBLY, TRANSPORT AND STORAGE ......................................................73

Protection Covers ....................................................................................................................................73

Transport Outside of the Hospital ........................................................................................................75

Assembling the Camera Cart .....................................................................................................................77

Assembling the Monitor Cart ......................................................................................................................80

Disassembling the Kick System .................................................................................................................83

Transport Inside the Hospital ................................................................................................................85

Proper Transport Procedure.......................................................................................................................86

Parking and Storage................................................................................................................................88

Parking Carts .............................................................................................................................................89

Storage ......................................................................................................................................................90

Long Term Storage ....................................................................................................................................91

CLEANING ........................................................................................................................................93

Cleaning the System ...............................................................................................................................93

Cleaning the Kick System ..........................................................................................................................95

Protection Covers ....................................................................................................................................97

Protection Cover for Camera......................................................................................................................98

Transport Cases .......................................................................................................................................99

TABLE OF CONTENTS

4 Kick Ver. 1.2 / System User Guide Rev. 1.0 / DePuy Synthes

INDEX ..................................................................................................................................................101

TABLE OF CONTENTS


TABLE OF CONTENTS


1 GENERAL INFORMATION

1.1 Contact Data and Legal Information

Manufacturer

This product is manufactured by Brainlab and exclusively distributed by DePuy Synthes.

Brainlab AG

Kapellenstr. 12

85622 Feldkirchen

Germany

Distributor

DePuy Synthes Sales, Inc.

325 Paramount Drive

Raynham, MA 02767

USA

Support

If you cannot find information you need in this guide, or if you have questions or problems, contact

support:

Region Telephone and Fax

United States, Canada, Central and South Ameri-

caTel: +1 (866) 473 7823

Europe, Middle East, Africa Tel: +32 2 352 16 66

Asia, Australia Tel: +65 6827 6154

Support and service of the system may be done either by Brainlab service and support personnel

or personnel of third parties certified or authorized by Brainlab. Within this manual, both

possibilities are included when Brainlab support or service is mentioned.

Expected Service Life

Brainlab provides a minimum of eight years of service for platforms. During this period of time,

spare parts as well as field support are offered.

The Kick system lifetime is dependent on factors such as method and duration of each use, and

handling between uses. Careful functional testing and inspection of the Kick system before use is

the best method for determining the end of lifetime.

The end of lifetime is normally determined by wear and tear damage due to use. As part of

preventive service, follow the maintenance instructions.

GENERAL INFORMATION


Feedback

Despite careful review, this manual may contain errors.

Please contact us at [email protected] if you have suggestions as to how we can

improve this manual.

Contact Data and Legal Information


1.1.1 Legal Information

Copyright

This guide contains proprietary information protected by copyright. No part of this guide may be

reproduced or translated without express written permission of Brainlab.

Brainlab Trademarks

• Kick® is a trademark of Brainlab AG in Germany and/or the US.

CE Label

• The CE label shows that the Brainlab product complies with the essential re-

quirements of Council Directive 93/42/EEC (the "MDD").

• According to the principles set out in the MDD, Kick is a Class IIb product.

NOTE: The validity of the CE label can only be confirmed for products manufactured by Brainlab.

Disposal Instructions

Only dispose of electrical and electronic equipment in accordance with statutory regu-

lations. For information regarding the WEEE (Waste Electrical and Electronic Equip-

ment) directive, visit:

http://www.brainlab.com/weee

For more information or recycling instructions, please contact Brainlab.

Sales in the US

US federal law restricts this device to sale by or on the order of a physician.

Federal Communications Commission (FCC) Statement

This equipment has been tested and found to comply with the limits for a Class A digital device,

pursuant to part 15 of the FCC Rules. These limits are designed to provide reasonable protection

against harmful interference when the equipment is operated in a commercial environment. This

equipment generates, uses, and can radiate radio frequency energy and, if not installed and used

in accordance with the instruction manual, may cause harmful interference to radio

communications. Operation of this equipment in a residential area is likely to cause harmful

interference in which case the user will be required to correct the interference at their expense.

Any changes or modifications not expressly approved by the party responsible for

compliance could void the user’s authority to operate this equipment.

This device complies with part 15 of the FCC Rules. Operation is subject to the following two

conditions: (1) This device may not cause harmful interference, and (2) this device must accept

any interference received, including interference that may cause undesired operation.

The WLAN module included in this product cannot be accessed by end users. The FCC ID of the

WLAN module is listed on the WLAN label attached to the Monitor Cart. Please contact Brainlab

Support in case of any related questions.

GENERAL INFORMATION


http://www.brainlab.com/weee

1.2 Symbols

Warnings

Warnings are indicated by triangular warning symbols. They contain safety-critical

information regarding possible injury, death or other serious consequences associated

with equipment misuse.

Cautions

Cautions are indicated by circular caution symbols. They contain safety-critical information

regarding possible problems with the device. Such problems include device malfunctions,

device failure, damage to device or damage to property.

Notes

NOTE: Notes are formatted in italic type and indicate additional useful hints.

Symbols


1.2.1 Hardware Symbols

Symbols on Hardware Components

The following symbols may be found on the system:

Symbol Explanation

Type BF Applied Part according to IEC 60601-1

Caution

Potential equalization point

Do not reuse

Non-sterile

Do not resterilize

Sterilized with ethylene oxide

Do not use if packaging is damaged

Keep away from sunlight

Keep dry

Storage conditions for temperature: The specified temperature range is shown

on each label.

Storage conditions for relative humidity non-condensing: The specified humidi-

ty range is shown on each label.

Storage conditions for air pressure: The specified air pressure range is shown

on each label.

Radio device

Class 2 wireless LAN

GENERAL INFORMATION


Symbol Explanation

Quantity of products in packaging

Batch number

Serial Number

Article number

Use by month YYYY

Date of manufacture

Manufacturer

Authorized representative in the European Community

IPXY

Ingress Protection according to IEC 60529

• X = Protection against ingress of solid objects

• Y = Protection against ingress of liquid

Strong magnetic field

Danger of clamping hand or other body parts in equipment

Do not look directly into the laser beam or point laser beam into the patient’s

face or eyes

Laser radiation emitted from aperture

Do not stare into beam

Class 2 laser product

max. output 1mW wavelength 635 nm

Danger of tilting: Do not move system when brakes are locked or if device is

blocked by obstacles

Standby switch to bring the device into standby mode.

Consult the operating instructions

Symbols


Symbol Explanation

Consult accompanying documentation

GENERAL INFORMATION


1.3 Intended Use

Intended System Use

The Kick system is a navigation platform used for Image Guided Surgery (IGS) incorporating:

• A tracking system

• A computer unit that runs the software

• A display unit to display the navigation, including touch functionality for the user to interact with

the software.

Place of Use

The system is only for use indoors, in a hospital operating room.

Frequency of Use

The frequency of use is defined to be between once per month and several times per week.

Patient Population

The patient population consists of patients that could be treated via Brainlab application software

that are released for this Image Guided Surgery (IGS) device.

For details refer to the relevant Software User Guide.

Intended User Profile

The following describes the intended users of the system and their respective tasks:

• Trained hospital personnel (e.g., nurses) are responsible for setting up the system before the

surgical procedure and for removing the system after the surgical procedure.

- System setup and removal includes: moving and positioning, plugging cables in/out, startup/

shutdown, cleaning of the system, connecting/disconnecting 3rd party devices.

• Sterile nurse is responsible for maintaining sterility during surgery, including the draping of

devices.

• Surgeons and/or surgical assistants steer and interact with the Brainlab software running on

the system using the system touchscreen. For detailed information on use of the software, see

the relevant Software User Guide.

• Brainlab authorized personnel are responsible for system maintenance and support.

Essential Performance

As essential performance is defined by the clinical function(s), it is dependent on the Brainlab

application used and the clinical procedure. Consult the corresponding Software User Guide to

see if an essential performance is defined, and if so, which essential performance.

Careful Hardware Handling

Only trained medical personnel may operate system components and accessory

instrumentation.

System components and accessory instrumentation comprise precise mechanical parts.

Handle them carefully.

Intended Use


Plausibility Review

Before patient treatment, review the plausibility of all information input to and output from

the system.

GENERAL INFORMATION


1.4 Compatibility with Medical Devices

Brainlab Medical Instruments

Compatible Brainlab Medical Instruments

Kick is compatible with:

• Kick Monitor Drape

• Sterile Touchpen

Other Brainlab Instruments

Additional instrumentation may become available after release of this manual. Contact Brainlab or

Brainlab authorized support if you have any questions regarding instrument compatibility with

Brainlab software.

Only use instruments and spare parts specified by Brainlab. Using unauthorized

instruments/spare parts may adversely affect safety and/or effectiveness of the medical

device and endanger safety of patient, user and/or environment.

Compatibility with Medical Devices


1.5 Training and Documentation

Brainlab Training

To ensure safe and appropriate use, before using the system all users should participate in a

training program held by a Brainlab authorized representative.

Supervised Support

Before using the system for surgical procedures where computer-aided navigation is considered

critical, perform a sufficient number of complete procedures with a Brainlab authorized

representative present to provide guidance where necessary.

Responsibility

This system solely provides assistance to the surgeon and does not substitute or replace

the surgeon’s experience and/or responsibility during its use.

GENERAL INFORMATION


1.5.1 Documentation

Intended Audience

This user guide is intended for surgeons and hospital staff.

Relevant System Configurations

The information in this guide is relevant for the system configurations below:

System Configuration Art.-No. Device Art.-No.

Kick Navigation Station 18080Monitor Cart 18081

Camera Cart 18082

NOTE: All device article numbers are listed on the system plates on the back side of the Monitor

Cart.

Reading User Guides

User guides describe complex medical devices and surgical navigation software that must be

used with care.

It is important that all users of system, instruments and software:

• Read the user guides carefully before handling the equipment

• Have access to the user guides at all times

Disregarding information in the user guides, in particular the disregard of warning and cautions, is

considered to be abnormal use.

Available User Guides

User Guide Contents

Software User Guides

• Overview of treatment planning and image-guided navigation

• Description of OR system setup

• Detailed software instructions

Instrument User Guides Detailed instructions on instrument handling

Cleaning, Disinfection and

Sterilization GuideDetails on cleaning, disinfecting and sterilizing instruments

System User Guides Comprehensive information on system setup

Technical User GuideDetailed technical information on the system, including specifica-

tions and compliances

NOTE: Available user guides vary depending on the Brainlab product. If you have questions

regarding the user guides you received, contact Brainlab authorized support.

Training and Documentation


2 SYSTEM OVERVIEW

2.1 System Components

Kick System

Kick is a navigation platform used for Image Guided Surgery (IGS) incorporating:

• A tracking system (optical tracking see page 49)

• A computer unit that runs the software (see Technical User Guide)

• A display unit to display the navigation, including touch functionality for the user to interact with

the software (see page 33)

Kick provides a touchscreen and buttons for user interaction. Additionally, the system offers

several PC interfaces for connecting video sources, data transfer devices, network integration, or

other 3rd-party devices.

The camera can be adjusted in height by usage of the telescopic post and further in rotation

around vertical and horizontal axis to achieve a good tracking position.

The monitor can be declined to receive a good viewing angle for the user. For sterile use, the Kick

Monitor Drape shall be used or the Sterile Touchpen.

Optical Tracking

Optical tracking is achieved by a camera unit that emits and detects flashes of infrared light.

• Reflective elements, affixed to reference arrays on the patient and to instrumentation, reflect

the infrared signals back to the camera unit.

• Reflected signals from the reflective elements are captured and digitized by each camera lens

from a different angle.

• Brainlab software applications use the camera input to calculate the relative three-dimensional

positions of the instruments and the patient reference arrays.

SYSTEM OVERVIEW


Components - Kick

Figure 1

No. Component See

Telescopic camera post Page 58

Camera Page 51

Camera Cart Page 49

Monitor Cart Page 33

Touchscreen Page 35

Monitor post Page 33

System Components


2.2 System Setup

System Position

Ensure that the system is set up so it is not possible for the patient to touch or come in

contact with the equipment.

Ensure that the system is set up in a way that the mains power plug is easily accessible. In

case of malfunction, you must be able to easily unplug the mains power cable.

Sterile Field

The Kick systems are unsterile. If draped, the Monitor Cart may be used within the patient

environment (see page 67).

Do not allow any system parts to enter the sterile field.

Electromagnetic Compatibility

Special precautions regarding electromagnetic compatibility (EMC) must be installed and put into

service according to the EMC information provided in this guide and the Technical User Guide.

For EMC reasons, do not use system components adjacent to or stacked on other

equipment. If it is unavoidable, verify that the Kick system operates normally.

SYSTEM OVERVIEW


2.2.1 Kick System

General Information

Monitor Cart and Camera Cart are delivered pre-installed and ready for use.

All system components are suitable for continuous use during surgical procedures.

How to Safely Position the System

Steps See

1. Remove protection covers before entering the OR. Page 86

2. Move equipment into the OR. Page 86

3.

Position the system in the OR.

NOTE: Do not position the camera, monitor or any other part of the Kick

system directly over the patient.Page 23

4. Lock all brakes on the Monitor Cart and Camera Cart. Page 88

5. Move monitor into desired position. Page 37

6. Move camera into desired position. Page 58

7. Connect all cables at the connection panel. Page 34

Interference

If camera’s infrared light interferes with other devices, reposition these devices and/or the camera

so that the interference is resolved.

The camera’s infrared light may interfere with other IR-based OR equipment, such as

remote controls, pulse oximeters or IR-sensitive microscopes.

The system produces electromagnetic fields that may interfere with other sensitive

equipment, and can itself be disturbed by other electromagnetic fields.

MR Safety

The Kick system has not been tested in an MR environment.

System Setup


2.2.2 OR Setups

General Information

The below setup example is only a suggestion. For detailed setup descriptions please see the

relevant Software User Guide.

Kick Setup Example

Figure 2

SYSTEM OVERVIEW


2.3 Proper System Handling

Classification - Monitor Cart and Camera Cart

The Monitor Cart and the Camera Cart are classified as Class I Equipment according to IEC

60601-1 and must be tested accordingly.

Classification Definition

Class I

Refers to equipment classification regarding protection against electric shock.

Protective means are provided for metallic accessible parts or metallic internal

parts, such as connection to PE (protective earth).

Proper Handling

Prior to surgery, perform a visual inspection of the system inside the OR. Ensure that

mains power cable is properly attached before starting the procedure. Do not use

equipment if you suspect that it is damaged in any way.

Prior to surgery, perform a functional test. Ensure that system boots correctly and patient

data is correctly loaded in the relevant navigation application.

Only individuals trained by Brainlab may use the system in a clinical environment.

Do not sit or stand on the carts. Do not lean against the carts as it creates a tilting hazard.

Patient Safety

System components should never come into direct physical contact with the patient.

Modification

Do not make any modifications to the Kick system. Only Brainlab certified personnel may modify

the system.

Only use the system components as delivered by Brainlab. Do not modify the system in

any way. Altering the system or using it outside of its intended use may result in severe

harm to the patient, user or third-party.

Risk of Electrical Shock

To prevent electrical shock or permanent system damage, do not expose the monitor,

tracking system or carts to excessive moisture.

Never touch the patient and any system parts or electrical interfaces at the same time, due

to possible electrostatic discharge.

Only connect the Monitor Cart to a mains power supply with protective earth. Failure to do

so may result in personal injury.

Proper System Handling

24 Kick Ver. 1.2 | System User Guide Rev. 1.0 / DePuy Synthes

Do not touch the electrical contacts of plugs.

Tracking Unit and Monitor

The tracking unit and monitor are highly precise and fragile electrical equipment. Handle

them carefully.

Appropriate Positioning

To avoid damage to the Kick system, other equipment or people, always move, park and

operate in the respective appropriate position.

The system may only be used on level surfaces.

Fully brake the Kick system during operation.

Do not place Camera Cart, Monitor Cart or any parts thereof over the patient.

Radio Interference

This equipment is intended for use by health care professionals only. It may cause radio

interference or may disrupt the operation of other nearby equipment. It may be necessary

to take mitigation measures, such as reorienting or relocating the device or shielding the

location.

Portable and mobile radio frequency communication may affect the equipment.

Other OR equipment may cause an interference with the Kick system, even if it is CISPR

emission compliant.

Restrictions to Environment

System components are not suitable for use in the presence of flammable anesthetic

mixtures containing air, oxygen or nitrous oxide.

Do not let liquids enter system components.

Do not place system components on unstable ground where the system could tip over and

be seriously damaged.

NOTE: For more information on the operating and storage environment restrictions, see the

Technical User Guide.

SYSTEM OVERVIEW


Protection Covers

Keep protection covers in a clean and dry place during surgery.

Proper System Handling


2.4 Inspections

Interval

A detailed inspection must be performed by Brainlab authorized support once a year.

See the Technical User Guide for detailed inspection information.

The Kick system should be maintained and inspected on a regular basis to ensure

functionality and safety.

Authorization

Only Brainlab and/or authorized partners are allowed to repair the system and equipment.

Risk of electrical shock: There are no user-serviceable parts in the Kick system. Do not

remove any covers. All servicing and maintenance is to be carried out by trained Brainlab

authorized technicians.

SYSTEM OVERVIEW

Kick Ver. 1.2 | System User Guide Rev. 1.0 / DePuy Synthes 27

2.4.1 Weekly and Monthly Inspections

Authorization

Only qualified clinical personnel are authorized to perform weekly and monthly inspections.

Do not carry out inspections or maintenance while Kick is being used for patient treatment.

Weekly

Component Inspection

Cabling Visual control (look for damage, twists, cracks)

Cleaning Refer to Chapter 8 Cleaning.

Monthly

Component Inspections

General components

• Inspect for physical damage.

• Marking and type plates readable.

• Function of connection to 3rd-party equipment (e.g., microscope).

Wheels and brakes

( Monitor Cart and

Camera Cart)

Functionality

Camera

• Functionality

• Visual inspection (wear and tear)

• Both lenses are clean and not scratched or otherwise damaged

Monitor Cart

• Functionality

• Stability of the monitor fixation and scratches on the touchscreen

• Standby button

• Power LED

• USB connection

• Network connection

Monitor Cart and

Camera CartCheck that there are no loose or missing screws.

Inspections


2.4.2 Annual Electrical Safety Inspection

Interval

An electrical safety inspection should be performed once a year.

Scope

An electrical safety inspection must include all items specified on the test report form.

See the Technical User Guide for detailed information on safety inspections.

Authorization

Only Brainlab authorized support or qualified engineers are authorized to perform annual

inspections.

Inspections by Non-Brainlab Personnel

Only trained and skilled personnel are allowed to perform electrical safety tests.

The test must be performed by a qualified engineer who:

• Is qualified to carry out safety inspections on electrical medical equipment.

• Is familiar with the product safety information and product instructions, and has read and

understood the user guides.

• Is up-to-date with current local regulations regarding industrial and non-industrial accident

prevention.

• Informs Brainlab immediately in writing if the equipment is deemed unsafe.

Inspections by Brainlab Personnel or Brainlab Authorized Personnel

• If a suitably qualified person is not available at the customer site, Brainlab authorized support

will perform this inspection for a set fee.

• Brainlab performs an inspection at the end of the warranty at no charge.

• If you require a Brainlab authorized support specialist, contact your local support representative

or distributor.

Arrangement

Service Contract Available Annual Inspection

YesAutomatically performed by Brainlab or Brainlab authorized

providers.

No Contact Brainlab authorized support for arrangement.

How to Use the Test Report Form

Steps

1. Copy the test report from the Technical User Guide.

2. Enter inspection results.

3. Keep it as a record of inspection.

SYSTEM OVERVIEW


2.5 Malfunctions and Return Instructions

System Damage or Failure

Do not continue to use the system if:

• The mains power cable or plug is damaged or frayed

• Liquid has been spilled into the device

• The system does not operate normally when operating instructions are followed

• A cart has tipped over or cover has been damaged

• System components exhibit a distinct decrease in performance, indicating need for servicing

• Liquids leak from system

• System emits smoke

• The LEDs indicate an error

If a error message appears on the touchscreen or if the error LEDs are lit (see page 47

and page 62), contact Brainlab authorized support. Do not use the system.

How to Respond to Damage or Failure

Steps

1. Turn off system.

2. Unplug system from wall outlet.

3. Contact support.

4.Attach a notice such as “DO NOT USE” to equipment to prevent it from being used inad-

vertently.

If you continue to use equipment that has been found to be defective during an inspection,

you risk causing injury to the patient.

Malfunctions and Return Instructions


2.5.1 Return Instructions

Reporting Damaged Equipment

Any defective components should be immediately reported to Brainlab authorized support (see

page 7).

Brainlab authorized support asks you for:

• Component article numbers (listed on the system plate on the back side of the monitor)

• Description of problem

Repair and Replacement

Brainlab authorized support:

• Provides you with cost estimate for repair or replacement

• Informs you when your system is expected to be operational again (usually within 48 hours)

Removing Components

Only remove defective components if instructed by Brainlab authorized support.

How to Return Components

Steps

1. Protect the component from further damage by wrapping it and safely packaging it.

2.Complete and return the form that was faxed to you or that accompanied replacement

part.

3. Securely tape the box shut.

4.Ship the defective component to relevant return address or follow instructions given by

Brainlab authorized support.

Return Addresses

Before returning the system inform your direct DePuy Synthes representative and inquire about

your local return address.

SYSTEM OVERVIEW

Kick Ver. 1.2 / System User Guide Rev. 1.0 | DePuy Synthes 31

Malfunctions and Return Instructions


3 MONITOR CART

3.1 Components

Monitor Cart Components

Figure 3

No. Component See

Wheels Page 88

Monitor Cart handle (release trigger located on back side of handle, not visi-

ble)Page 73

Monitor hinge Page 38

Touchscreen Page 35

Monitor cable Page 83

Cable hooks Page 46

MONITOR CART


No. Component See

Standby button Page 65

Monitor Cart base, containing:

• Medical computer unit

• Connection panel

Connection Panel

Figure 4

No. Component

Mains power

Potential equalization

S-Video In

Video In

Hospital Network

Intraoperative data

USB

Tracking unit (Camera Cart)

Kolibri upgrade camera connection

Microscope and Video Out

NOTE: The unused tracking unit port is covered. Do not attempt to uncover port. If your tracking

unit port requirements change, contact Brainlab support. For more information on connections,

see page 40.

Components


3.2 Monitor

General Information

The Monitor Cart is equipped with a touchscreen monitor.

Viewing options vary depending on the software application and user preferences. For more

information see the relevant Software User Guide.

Not for Diagnostic Use

The Kick touchscreen does not comply with DIN EN 6868 and it is not intended for

diagnostic use. Video images are not suitable for diagnostic use.

Monitor Components

Figure 5

No. Component

Monitor release trigger (back side of monitor handle)

Home button

NOTE: The function of this button may vary depending on the software application. See

relevant Software User Guide for more information.

USB ports (covered by flap)

MONITOR CART


Touchscreen Use

• When the system is powered on, the touchscreen is always on and can be used.

• Only one interaction is recognized at a time.

• Position monitor so as to not interfere with surgery or movement of the OR staff.

Clean the touchscreen before use.

NOTE: For more information, see page 67.

Protecting Touchscreen Surface

Do not use damaged touchscreen. Always check touchscreen condition before beginning a

procedure.

Do not use sharp tools on the touchscreen.

Proper Cart Use

Do not attach or hang anything on the Monitor Cart and do not lean on the Monitor Cart.

Doing so may cause the cart to tip over.

Monitor


3.2.1 Range of Motion

Monitor Rotation

The monitor can be rotated via the monitor hinge on the horizontal plane:

• 22° backward

• 10° forward

The viewing angle of the monitor is at least 80° in all four directions.

Figure 6

MONITOR CART


3.2.2 Moving Parts

Precautions

Touchscreen colors may be displayed incorrectly if the monitor is not positioned correctly.

The user’s line of vision must be perpendicular to the touchscreen to ensure that colors

are viewed correctly.

Clamping Spots

Be extremely careful not to clamp fingers or other body parts when positioning the monitor.

Monitor Cart joints that may clamp body parts include, but are not limited to:

Post fixation lever

Monitor handle (during assembly)

Wheels

Monitor


3.3 Monitor Cart Ventilation

Ventilation Area

Figure 7

No. Ventilation Area

Underside of Monitor Cart base (on both sides)

Ensuring Ventilation

Do not block or cover ventilation openings on the system, for example, with drapes. Air

must be allowed to circulate through the vents to ensure proper operation and to avoid

overheating.

Do not place system near or over a radiator or heat register or in direct sunlight.

MONITOR CART


3.4 3rd-Party Connections

General Information

It is possible to connect 3rd-party devices to Kick using compatible connection cables (see page

42).

Interfaces

All 3rd-party connection and electrical interfaces are located on the back side of the carts.

USB

USB ports are located on the connection panel and the top of the touchscreen monitor.

Scan USB flash drives with an antivirus software before connecting them to the system.

Only connect low-power or self-powered USB devices to the system for which compliance

has been tested (e.g., USB flash drive, mouse, keyboard, footswitch). Do not connect high-

power USB devices (e.g., external hard drive, smartphones, portable music players).

Otherwise safety and effectiveness of the equipment cannot be guaranteed.

Restrictions Connecting Equipment to Panels

Only connect equipment to Kick that is specified by Brainlab or for which Brainlab has

declared compatibility.

Additional equipment connected to medical electrical equipment must comply with the

respective IEC or ISO standards (e.g., IEC 60950 for data processing equipment and IEC

60601-1 for medical equipment). Furthermore, all configurations shall comply with the

requirements for medical electrical systems (see IEC 60601-1-1 or clause 16 of the 3rd

edition of IEC 60601-1, respectively). Anyone connecting additional equipment to medical

electrical equipment configures a medical system and is therefore responsible that the

system complies with the requirements for medical electrical systems. Please note that

local laws take priority over the above-mentioned requirements. In doubt, consult your

local representative or the technical service department.

Unless otherwise specified, the use of multiple socket outlet(s) or extension cords is not

permitted.

LAN Connection

Depending on the Brainlab application that is running on the system and the integration into the

hospital network, connecting a system to the network offers patient data transfer, remote access,

streaming and session sharing.

Only connect IEC compliant devices to the LAN ports.

Wireless LAN Connection

It may be possible to connect the system to the hospital network via a wireless LAN connection.

The availability of wireless LAN connection depends on your region.

Networks must comply with the definitions in standard 802.11n.

3rd-Party Connections


In case of a weak connection or no wireless connection, use a LAN cable to connect. For patient

data transfer use e.g. USB flash drives.

The wireless system communication may interfere with other nearby wireless devices.

Verify the correct function of the wireless system connection and other necessary devices

prior to surgery.

Network Environment

Only operate the system in secured network environments. Make sure the network is

protected against unauthorized access (e.g. user authentication, firewall) and against

malicious software. Otherwise, system function cannot be guaranteed due to possible

malicious software infections.

MONITOR CART


3.4.1 Back Panel Connections

Compatible Connection Cables

Port Example Handling

Hospital Net-

work

Ethernet port for connecting to hospital network or

intraoperative data sources (min. Cat 5e RJ45 net-

work cable for max. 1 GB network).

There is a latch at the top which locks when plugged

into the port. When removing the connector, press

the latch, then pull plug out.

Intraopera-

tive Data

USBUSB ports for connecting passive USB 2.0 devices

for patient data transfer.

Camera

Connect Camera Cart with Brainlab camera cable

via LEMO connection.

Plug in the camera cable until it locks. Pull slightly at

the connector to verify locking. To unlock the con-

nector, pull the bayonet back, then pull plug out.

S-Video In

To interact with Brainlab software video, connect S-

video source with a 26 AWG miniature coaxial cable

(max. 5 m) with Mini-Din Hosiden plug to the Brain-

lab S-video breakout cable.

Correctly align the plastic coding knob before plug-

ging in the cable. This connector cannot be locked.

Only use 4 Pin Mini-Din Hosiden connectors. Similar

connectors may appear to fit, but could lead to

equipment damage.

S-Video

Breakout

Cable

Used for connecting S-Video sources to the Kick

System.

Connect the black BNC connector to the S-Video In

Y port on the connection panel. Connect the white

BNC connector to the of the S-Video In C port on

the connection panel.

Microscope

Only connect microscopes via a Brainlab micro-

scope cable. Plug in the cable by connecting all

connectors (DVI-I, USB, CVBS) to the correspond-

ing port.

For detailed information on Microscope Integration

see the corresponding Instrument User Guide.

Video OutVideo Out may also be used for the DVI connection.

NOTE: Brainlab does not provide this cable.

3rd-Party Connections


3.5 Cabling

General Information

This section provides information on the connection of Kick system cables, including:

• Potential equalization cable

• Mains power cable

Safe Handling of Cables

Do not use broken or damaged cables.

Do not tug on or pull cables.

Do not connect or disconnect cables when system is turned on.

Risk of electrical shock: Do not touch cable plugs when Monitor Cart is turned on.

Ensure that tracking system cable is not attached to any other device than the Monitor Cart

and tracking system.

Check that cables are in good condition before using the system.

Disconnect and store all cables on the cable hooks (see page 46) when system is not in

use or before moving it. Do not pull cables.

Ensure that there is sufficient slack when connecting cables. Do not strain or place the

attached cables under tension.

Potential Equalization (Yellow/Green) Cable

• Equalizes potentials between different metal parts that can be touched simultaneously.

• Reduces differences of potential that can occur between medical electrical devices and other

conductive parts of other objects during operation.

Before using the system, connect the potential equalization cable to the Monitor Cart and

the corresponding wall outlet.

MONITOR CART


How to Connect Potential Equalization Cable

Figure 8

Steps

1. Plug potential equalization cable into potential equalization port of Monitor Cart .

2. Plug potential equalization cable into an equivalent wall outlet.

How to Connect Mains Power Cable

Figure 9

Steps

1. Connect mains power cable to power port on the Monitor Cart .

2. Plug the other end of the mains power cable into wall outlet.

Always remove the mains power cable from the wall outlet first, before unplugging the

cable from the system.

Cabling


Connecting Tracking Unit

For information on connecting Camera Cart to the Monitor Cart using the camera cable, see

page 52.

MONITOR CART


3.5.1 Cable Storage

Cable Hooks

Figure 10

If a cable will remain connected to a cart, carefully bundle the cable together and hang it from the

cable hooks.

Cabling


3.6 LED Indications

Power Standby LED

The power standby LED is located in the standby button on the Monitor Cart (see page 65).

Color Status Explanation

Green

Off Electronic components are off.

Slow

flashingElectronic components are booting. Wait until LED is solid before use.

Solid Electronic components are on. System is ready for use.

Quick

flashingError detected. Contact support.

MONITOR CART


LED Indications


4 CAMERA CART

4.1 Cart Components

Components

Figure 11

No. Component

Camera Cart base

Cable hooks

• Telescopic post

• Spiral camera cable (not visible)

Camera adjustment handle

Camera

Camera hinge

CAMERA CART


No. Component

Camera handle

Clamping lever

Cart Components


4.1.1 Camera

Camera Components

Figure 12

No. Component

Camera release trigger

Camera handle

Positioning laser

Lens

Illuminator filter

Camera adjustment handle

Laser trigger

NOTE: The camera does not contain any user-serviceable parts.

Infrared LED Array

The infrared LED array is located around the inner ring of the lenses.

The infrared LED array is a “Class I LED product”.

Do not directly look into the infrared LED array at a distance less than 15 cm.

CAMERA CART


4.2 Cabling

General Information

This section provides information on the connection of Kick system cables, including:

• Kick camera cable

• Kolibri upgrade cable

Cabling Precautions

Risk of electrical shock: Do not touch cable plugs when Monitor Cart is turned on.

Do not connect or disconnect cables when system is turned on.

Ensure that camera cable is not attached to any other device than the Monitor Cart.

Do not tug on or pull cables with any force.

How to Connect Camera Cart to Monitor Cart

Figure 13

Steps

1. Ensure that Monitor Cart is turned off.

2.

If necessary, connect camera cable to camera port on the Monitor Cart.

NOTE: Usually, camera cable is connected during system installation and does not need

to be disconnected.

3. Connect camera cable to camera port on the Camera Cart .

4. Lightly pull the cable at each end to check that locking mechanism is engaged.

5. Connect mains power to Monitor Cart and wall power outlet.

6. Power up system by switching on the Monitor Cart.

Cabling


Disconnecting Camera Cable

Figure 14

When disconnecting camera cable, do not twist the plug. Grasp the plug, rather than the

cable, and pull it straight out.

CAMERA CART


4.3 Camera Use

General Information

The Camera Cart:

• Enables mobile positioning of camera

• Allows adjustment of angle and height of camera

• Is attached via cable to the Monitor Cart

Safe Use

Only one person should operate the Camera Cart at any given time.

Before use, ensure that the camera and all parts of the Camera Cart are functioning properly and

there is sufficient space for camera movement.

To avoid risk of electrical shock, do not touch patient, Camera Cart, and/or camera

simultaneously.

Do not step or sit on Camera Cart base.

Do not attach or hang anything on the Camera Cart, due to risk of the Camera Cart tipping

over.

Do not use the Camera Cart if cables are visibly damaged.

Do not place Camera Cart on uneven surfaces. Otherwise, it could move on its own,

resulting in serious damage.

Use with Active Wireless Instruments

Do not use the system with any active wireless instruments that are not specified by Brainlab.

Do not attempt to use more than one active wireless instrument at a time.

Communication with wireless instruments (e.g., Z-touch) may be established even when the

camera is still warming up.

Compatibility

Only use the Camera Cart with approved Brainlab navigation systems.

Do not make any changes to the camera components. Changes to the equipment may

cause severe harm to the patient, user or 3rd party.

Absolute Measurements

The camera is not intended for absolute measurements. The camera is designed to provide the

relative location of trackable instruments.

Careful Handling

The camera is a highly sensitive optical device. Handle it with care.

Camera Use


Damages and Cleanliness

Always inspect the camera for cleanliness and possible damage before the procedure. Do

not use the camera if it is damaged or if there are any scratches on the inner ring of the

lenses.

Do not use Camera Cart if it does not steadily hold the camera in position.

Do not use camera if illuminator filter or lenses are dirty.

Air Flow

Do not obstruct normal air flow around the camera, e.g., by draping. Doing so could affect

the camera’s operational environment beyond its recommended thresholds. Do not attempt

to protect or cover the camera with methods unapproved by Brainlab.

Turning the Camera On

When the Camera Cart is connected via cable to the Monitor Cart, the Camera Cart is powered

on as soon as the Monitor Cart is turned on (see page 65).

Warm-up Time

Every time camera is powered on, it generally requires a warm-up time of two minutes. If camera

is stored at low temperatures, warm-up time may be longer.

CAMERA CART


4.3.1 Range of Motion

General Information

Assess the range of motion of the telescopic arm and ensure that you have sufficient

space so that it will not collide with the ceiling, equipment or people.

Camera Cart Height

The camera cart offers a maximum height of 235 cm from the floor to the top of the camera.

The maximum height to the midpoint of the camera lenses is 223 cm.

Camera Range of Motion

• Horizontal axis: 10° to 65° below horizontal axis

• Vertical axis: ± 45°

Camera Use


4.3.2 Operating Position

How to Put Camera Cart into Operating Position

Steps

1. Ensure that Camera Cart is in transport position (see page 86).

2.Using the camera handle, move Camera Cart to desired location.

NOTE: Remove protection covers before entering the OR.

3. Lock all four wheel brakes (see page 88).

4. Adjust camera height as desired (see page 58).

5.Grip camera adjustment handle and move camera into desired position, using the camera

positioning laser as needed.

6. Plug camera cable into Monitor Cart.

Positioning Considerations

In case of interference with other devices caused by the IR light emitted by the camera, reposition

the camera and/or affected device until there is no longer interference.

Reflections of IR light, e.g., from drapes or shiny surfaces, may interfere with the camera’s

ability to correctly track instruments. The same may be true of the camera’s IR light, which

can interfere with other devices, e.g., pulse oximeter, remote control systems or IR

sensitive microscopes.

Safe Positioning

Lock all four wheel brakes when Camera Cart is in operating position.

Do not place Camera Cart or any of its parts over the patient.

CAMERA CART


4.3.3 Adjusting Camera Cart

How to Adjust Height

Figure 15

Steps

1. Open clamping lever .

2.

Use the camera handle and upper end of the telescopic post to move the camera up or

down.

As needed, use the numbers on the post as a guide.

NOTE: The telescopic camera post has an air break feature to prevent the post from

dropping rapidly when the clamping lever is open.

System Joints

When adjusting the telescopic post of the cart, be careful that fingers or other body parts

do not accidentally become pinched in the joints of the system.

How to Adjust Camera

The camera head can be adjusted vertically and horizontally.

Steps

1. Grip camera adjustment handle and move camera to desired position.

2. Use positioning laser to assist with adjustment.

Camera Use


Positioning Laser

Figure 16

Press the laser trigger to activate the positioning laser.

The positioning laser is marked with the words “LASER APERTURE” .

Do not cover the laser aperture.

Do not look directly into the laser-emitting aperture. The Class 2 laser module of the

camera emits visible radiation that may be harmful to the human eye. Looking directly at

the laser diode emission at close range can cause eye damage.

Use of the positioning laser other than is described in this manual may result in hazardous

radiation exposure.

Do not point the positioning laser directly into the eyes of the patient or user(s). It is

important to consider that some users’ movement may be restricted during the procedure

and patients may not have the ability to e.g., close their eyes or turn their head away from

the emitted laser.

CAMERA CART


Moving Parts

Be extremely careful not to clamp fingers or other body parts when positioning the Camera Cart.

Camera Cart joints that may clamp body parts include, but are not limited to:

Camera handle (during assembly)

Camera rotation hinge

Post fixation lever

Wheels

Safe Handling

Do not position camera over patient.

When adjusting the camera position be aware that the Camera Cart or parts thereof may

move unintentionally.

The components in the camera unit are precise, sensitive optical instruments. Dropping or

jolting the camera may cause miscalibration.

Camera Use


Do not touch the camera lenses. Smudges on lenses can distort tracking.

Camera Field of View

Position the camera so that the operating field is in the center of the camera field of view. Optimal

working distance is 1.2 to 1.8 m from the camera to the operating field.

If instruments are not in the camera field of view, they cannot be tracked.

The navigation software displays the camera field of view dialog (see Software User Guide) and

helps you to determine the best camera position.

Figure 17

Measurement precision in a plane perpendicular to viewing direction of camera is higher

than precision along the direction of camera view. Take this into account when positioning

the camera.

Do not place any transparent or semi-transparent materials (such as foil or glass) between

camera and tracked instruments.

Ensure that all highly reflective items or sources of light do not obstruct the camera’s view.

Artifacts caused by reflections can reduce accuracy, especially during registration.

CAMERA CART


4.4 LEDs and Acoustic Signals

Illustration

Figure 18

No. Component

Power LED

Status LED

Error LED

LED Indications

LED Status Indication

Power LED

Flashing green Camera is warming up.

Solid green Camera is ready for use.

Off

• Camera Cart is not powered

• If system is powered, ensure that Camera Cart is con-

nected.

• Contact Brainlab support if Camera Cart is properly pow-

ered, but power LED remains off (even if navigation is still

possible).

Status LED Solid green Communication connection established.

Off If Camera Cart is connected, contact Brainlab support.

Error LED

Off No error detected.

Flashing amberError detected: Contact Brainlab support (even if navigation

is still possible).

Solid amberCamera defective: Contact Brainlab support (even if naviga-

tion is still possible).

LEDs and Acoustic Signals


NOTE: If there is no signal from the power LED or status LED, contact Brainlab support (even if

navigation is still possible).

Acoustic Signals

Camera emits two beeps when:

• Reset is performed

• Power is applied to system

• Connection is made to Brainlab software

CAMERA CART


LEDs and Acoustic Signals


5 USING THE SYSTEM

5.1 Turning System On

Power Supply

Operate system using the power source indicated on type plate. If you are unsure of type

of power available, consult Brainlab support or your local power company. Using the

wrong power source could seriously damage system.

Only establish or interrupt an electrical connection when all associated devices are fully

turned off.

Only operate the system using the mains power cable(s) provided with the system. Do not

use extension cords.

How to Turn System On

Figure 19

Steps

1.Ensure that all required cables have been connected at the connection panel (see page

34).

2. Plug in mains power at Monitor Cart (see page 44).

3. Press the standby button to start the system.

USING THE SYSTEM


5.2 System Shutdown

Loss of Data

Unplug mains power only after equipment has fully shut down. Failure to follow system

shutdown procedure prior to disconnecting power may result in irreversible loss of data.

How to Shut Down

Steps

1. Shut down system using the software or by pressing standby button briefly.

2.When the Monitor Cart power LED turns off, unplug and secure all cables and storage

devices.

Unplug mains power before connecting or disconnecting other cables.

The standby button does not disconnect the Monitor Cart from mains voltage. Unplug

mains power cable to ensure complete voltage disconnection.

How to Reset

Step

To reset the computer (if system has frozen or has not completely shut down) press standby but-

ton for four seconds, until the system is turned off.

Wait ten seconds, then press the standby button again to restart.

Waiting Periods

When disconnecting the system from line voltage, wait at least 10 seconds before

reconnecting it.

Do not turn off system during boot-up. Otherwise, configuration files and other data on

hard disk may be damaged or lost.

Emergency

In case of emergency only, unplug detachable mains power cable to simultaneously

disconnect all supply poles.

System Shutdown


5.3 Sterile Use

Sterile Kick Monitor Drape

General Information

The monitor may be draped using the Kick Monitor Drape provided by Brainlab.

The drape allows you to intraoperatively access all software functions and position monitor during

surgery without compromising the sterile field.

Packaging

The Kick Monitor Drape is delivered sterile. Ensure that drape packaging does not have any

holes or tears.

Before use, check expiration date on drape packaging. If date has expired, dispose of the

drape and do not use it.

Do not use drape if packaging is broken.

How to Unpack Drape

Figure 20

Steps

1. Make sure packaging has no holes.

2. Peel open drape seal .

3. Remove drape from packaging under sterile conditions .

Drape is delivered sterile. If the outer side of the drape comes in contact with an unsterile

environment during unpacking or clinical use, it must be disposed of.

USING THE SYSTEM


How to Drape the Monitor

Figure 21

Steps

1. Hold drape with your hands to the left and right of orientation arrow .

2.Place drape flap over monitor so that the orientation arrow is on the back side of the mon-

itor and pointing down .

How to Secure Drape

Figure 22

Sterile Use


Steps

1.

Peel the adhesive liner off one of the adhesive strips on the upper part of the drape

and attach it to the back of the monitor.

Repeat until all three strips are attached to the back of the monitor.

2.

Peel the adhesive liner off one of the adhesive strips on the lower part of the drape and

attach it to monitor post.

Repeat for the second adhesive strip on the lower part of the drape.

Draped Kick

Figure 23

Operating Draped Touchscreen

Do not touch drape with sharp tools.

To keep sterile field, only touch touchscreen and monitor housing where covered by drape.

Disposal

Dispose of the drape after use.

USING THE SYSTEM


5.3.1 Sterile Touchpen

General Information

Figure 24

No. Component

Handle (remains sterile during use)

Tip

Do not use the Sterile Touchpen if packaging has been broken.

Verify prior to opening that the expiration date on the sterile packaging has not lapsed. If

the product has expired, dispose of it immediately.

Use only the Sterile Touchpen for interaction with the touchscreen. Do not use sharp tools

on the touchscreen.

How to Remove Sterile Touchpen from Packaging

Figure 25

Sterile Use


Steps

1.Have a second person remove packaged Sterile Touchpen from the dispenser and pull

apart the opening flaps to expose the handle.

2.With the second person holding the opening flaps, remove Sterile Touchpen from the

packaging while holding the handle.

Always use the opening flaps, do not break through the sterile packaging with the Sterile

Touchpen.

The Sterile Touchpen is delivered sterile. If the Sterile Touchpen comes in contact with an

unsterile environment during unpacking or use, dispose of it immediately.

How to Use the Sterile Touchpen

Figure 26

Step

To press a button or activate a function, use the Sterile Touchpen tip to touch the correspond-

ing area on the monitor.

Sterile Field

When the touchscreen is undraped, the sterile field can only be maintained by using a

Sterile Touchpen to control the Kick touchscreen.

Do not touch the Sterile Touchpen tip after contacting the touchscreen with it. Do not

return the Sterile Touchpen to the sterile table after it has come in contact with the

touchscreen.

Avoid patient contact with the Sterile Touchpen. Do not allow fluids to come in contact with

the Sterile Touchpen. If the Sterile Touchpen comes in contact with the patient or fluids,

dispose of it immediately.

USING THE SYSTEM


Disposal

To maintain sterility, dispose of the Sterile Touchpen after each touchscreen interaction.

Sterile Use


6 ASSEMBLY, TRANSPORT AND

STORAGE

6.1 Protection Covers

General Information

The monitor and camera protection covers must be used during transport and storage to protect

the sensitive components from damage.

Do not cover camera or monitor with protection covers when system is running. Otherwise

system could overheat and be seriously damaged. Ensure that system has been turned off

and is completely cooled down before applying the protection covers.

To avoid damage, place protection covers over monitor and camera before transport or

storage.

Clean touchscreen before applying the monitor protection cover (see page 93).

How to Apply Protection Cover to Monitor

Figure 27

Steps

1. Shut down, turn off and unplug system.

2. After the monitor has cooled down, pull monitor protection cover over the monitor.

3. Ensure that cover sits properly on monitor.

ASSEMBLY, TRANSPORT AND STORAGE


How to Apply Protection Cover to Camera

Figure 28

Steps

1.Ensure that Camera Cart is secured in parking position (see page 86) and the camera

is turned off and completely cooled down.

2. Pull camera protection cover over the front of the camera.

3. Secure the protection cover using the Velcro straps .

To avoid overheating, ensure that the camera has been turned off for at least five minutes

before applying the protection cover.

Protection Covers


6.2 Transport Outside of the Hospital

Precautions

Consider the weight of the components before beginning assembly and disassembly (see

Technical User Guide).

After assembly ensure that all levers on both carts are securely closed. Verify that all

mechanical connections are correct and secure.

During assembly and disassembly, system components should only be lifted by people

who are bodily able (e.g., not by pregnant women).

Transport Cases

Figure 29

If the carts have been packed in the transport cases, they must be assembled before use.

Moving Parts of Transport Cases

Be extremely careful not to clamp fingers or other body parts in the moving parts of the transport

cases. Joints that may clamp body parts include, but are not limited to:



Retractable handles

Zippers

Wheels

During Transport

Use two people to lift and load the cases.

For transport via car:

• Secure the transport cases, especially if the back seat of the car is used.

For transport via airplane:

• It is recommended to check in the transport cases as bulky luggage.

• Pack the system components in the transport cases only as described in this user guide.

• Packing the Monitor Cart base and monitor in one case exceeds the weight limit of most

airlines.

Make sure that transport cases are secured when transporting, e.g., by car.

Post-Transport

After transporting, wait until the system has adjusted to room temperature before

operating.

Transport Outside of the Hospital


6.2.1 Assembling the Camera Cart

Assembly Workflow

Due to the layout of the transport cases, the Camera Cart is always assembled first.

Steps

1. Insert the telescopic camera post into the Camera Cart base.

2. Clip spiral cable to the top of the telescopic camera post.

3. Attach camera to the telescopic camera post.

4. Attach camera cable to the camera.

NOTE: The detailed descriptions of each step are provided in this section.

How to Attach the Post

Figure 30

Steps

1. Lift the post fixation lever .

2.While holding spiral cable out of the way , slide bottom end of the telescopic camera

post into the Camera Cart base .

3. Close post fixation lever securely.



How to Clip the Cable to the Post

Figure 31

Steps

1.Gently extend the spiral cable along the telescopic camera post, far enough that it nar-

rows and can easily be inserted to the channel without applying force.

2. Insert the cable clip into the corresponding notch in the post.



How to Attach the Camera

Figure 32

Steps

1.

Holding the camera and the camera handle, slide the camera handle onto the end of the

telescopic camera post .

The release trigger clicks when the camera is securely attached.

2. Insert the camera cable into the corresponding port on the camera .



6.2.2 Assembling the Monitor Cart

Assembly Workflow

Steps

1. Insert the monitor post into the Monitor Cart base.

2. Clip monitor cable to the top of the monitor post.

3. Attach monitor to the monitor post.

4. Attach monitor cable to monitor.

NOTE: The detailed descriptions of each step are provided in this section.

How to Attach the Post

Figure 33

Steps

1. Lift the post fixation lever .

2.While holding monitor cable out of the way , slide bottom end of the monitor post into

the Monitor Cart base .

3. Close post fixation lever securely.



How to Clip the Cable to the Post

Figure 34

Steps

1. Run the monitor cable up the monitor post channel.

2. Insert the cable clip into the corresponding notch in the post.

How to Attach the Monitor

Figure 35



Steps

1.

Holding the monitor frame and the monitor handle, slide the monitor handle onto the end

of the monitor post .

The release trigger clicks when the monitor is securely attached.

2. Open the flap on the back of the monitor .

3.Attach monitor cable to the monitor and secure latching pins .

Once attached, close the flap on the back of the monitor .



6.2.3 Disassembling the Kick System

Before You Begin

Consider the weight of the components before beginning assembly and disassembly (see

Technical User Guide).

During assembly and disassembly, system components should only be lifted by people

who are bodily able (e.g., not by pregnant women).

Apply protection covers over monitor and camera before disassembly.

General Information

Three transport cases are needed for transporting the system outside of the hospital:

• Transport case for the Monitor Cart base and camera

• Transport case for the Camera Cart base and monitor

• Shoulder bag for cart posts and cables

In order to pack the system into the cases, it must be disassembled. Due to the layout of the

transport cases, the Monitor Cart is always disassembled first.

The transport cases are designed so that as each piece is disassembled, it may be placed directly

into a case.

How to Prepare Monitor Cart for Transport

Figure 36

Steps

1. Remove the top and middle foam inserts from both cases before you begin disassembly.

2. Open the latch pins and disconnect the monitor cable from the back of the monitor.

3.Press the release trigger on the monitor handle and remove the monitor from the post.

Place the monitor into the corresponding case.

4. Pull the monitor cable clip backwards to disconnect the monitor cable from the post.

5.Pull up on the post fixation lever and remove the post from the Monitor Cart base.

Place the post into the shoulder bag.

6. Place Monitor Cart base into the corresponding case.



Steps

7.Replace the middle foam inserts in the cases, pulling the monitor cable through the

hole in the insert.

How to Prepare Camera Cart for Transport

Figure 37

Steps

1. Place the telescopic camera arm at the minimum height position.

2. Disconnect the camera cable from the camera.

3.Press the release trigger on the camera handle and remove the camera from the post.

Place the camera into the corresponding case (on top of the Monitor Cart base).

4.

Pull the camera cable clip backwards to disconnect the spiral cable from the post.

If needed gently stretch the spiral cable upward until it easily comes out of the post chan-

nel.

5.

Pull up on the post fixation lever and remove the telescopic camera post from the Cam-

era Cart base.

Place the post into the shoulder bag.

6. Place Camera Cart base into the corresponding case.

7. Place top foam inserts into the cases before closing them .



6.3 Transport Inside the Hospital

Before You Begin

Only move the carts when they are in the secure transport position (see page 86).

Open all brakes before moving the system. Do not attempt to move Monitor Cart or Camera

Cart when the wheels are locked, otherwise carts could tip.

Ensure that the intended path is clear of obstructions. Avoid door steps or objects that

may be lying on floor. Do not run over system cables during transport.

Disconnect Camera Cart from Monitor Cart before transport.

Avoid Vibrations

Avoid vibrations and shocks during moving and storage.

Do not move system when it is switched on. Exposing the system to strong vibrations or

impacts could cause damage and result in an irreversible loss of data.

Flat Surface

Never transport the system on a surface with >10° tilt. The transport speed of the system

will increase on tilted surfaces. Tilted surfaces may cause the system to tip over.

Safe Moving

Do not move the system faster than a controlled walking speed.

Do not move the system by pulling on the cables.

System transportation should be supervised by at least one person to avoid collisions with

other equipment, structures or people.

Post-Transport

Do not transport or store the system outside of the environmental conditions specified in

the Technical User Guide. Failure to do so may cause the camera to lose its calibration

accuracy.

After transporting, wait until the system has adjusted to room temperature before

operating.



6.3.1 Proper Transport Procedure

Parking and Transport Position

Monitor Cart:

• Must be in upright position for transport.

• Mains power cable and any other cables that shall remain attached to the Monitor Cart must

be hung on the cable hooks.

Camera Cart:

• Must be in upright position and oriented to the front.

• Set to the minimum height with all levers securely closed, otherwise the telescopic camera post

may collide, e.g., with a door frame or other equipment.

• Camera cable must be hung on the cable hooks.

How to Transport the Kick System

Figure 38

Steps

1. Use the handle to transport the Camera Cart.

2. Use the handle to transport the Monitor Cart.

Only move the carts by holding onto the above-mentioned handles. Do not use the monitor

cable or camera cable to move the carts.

Transport Inside the Hospital


How to Overcome Obstructions During Transport - Kick

If a clear, flat path is unavailable (e.g., an unavoidable depth variation between rooms), follow the

proper procedure to overcome this obstruction.

Steps

1.

Pull the Camera Cart to the point of depth variation, then carefully tilt the cart slightly and

move one wheel at a time over the step.

NOTE: Do not lift the entire cart. Be careful not to tilt the cart so much that it tips over.

2.

Pull the Monitor Cart to the point of depth variation, then carefully tilt the cart slightly and

move one wheel at a time over the step.

NOTE: Do not lift the entire cart. Be careful not to tilt the cart so much that it tips over.



6.4 Parking and Storage

General Information

Each wheel on the Camera Cart and Monitor Cart has an individual foot brake so that it can be

easily transported and securely parked.

Fully lock all brakes when the carts are stored, parked or in operation.

Before Transport

Release all brakes before moving the system.

How to Lock/Unlock Brakes

Figure 39

Options

To lock, push the brake pedal down with your foot it snaps into locked position .

To unlock, push brake pedal up until it snaps into unlocked position .

Parking and Storage


6.4.1 Parking Carts

General Information

When the system is not in use, always keep the carts in the secure transport and parking position

(see page 86).

Never park the carts or take the carts out of transport position on a surface with >5° tilt.

Safe Parking

Carts may only be parked on level surfaces.

Ensure that all wheel brakes are locked when parked.



6.4.2 Storage

Safe Storage

When storing the system, always use the protection covers (see page 73).

Environmental Requirements

See the Technical User Guide for detailed environmental restrictions.

Parking and Storage


6.4.3 Long Term Storage

General Information

Before and after placing the system into storage for an extended period of time, steps must be

taken to ensure proper functioning.

Storage for 1-6 Months

Before storing system for one to six months:

Steps

1. Unplug all external cabling and store it together with the equipment.

2. Cover camera and monitor with protection covers.

3. Store equipment in a dry place with a temperature between 21°C (70°F) to 30°C (86°F).

Before using equipment that has been stored for approximately three months:

Steps

1. Clean the equipment (see page 93).

2. Start system and verify correct function before using it for surgery (see page 65).

Storage for 6 Months or Longer

Before storing system for six months or longer:

Steps

1. Unplug all external cabling and store it together with the equipment.

2. Cover camera and monitor with protection covers.

3. Store equipment in a dry place with a temperature between 21°C (70°F) to 30°C (86°F).

Before using equipment that has been stored for six months or longer:

Steps

1. Clean the equipment (see page 93).

2.Perform a recurrent test to verify safety and effectiveness of equipment (offered by Brain-

lab, see Technical User Guide).

3. Start system and verify correct function before using it for surgery (see page 65).

Disposal

If you do not intend to use the system again, refer to the disposal information on page 9.



Parking and Storage


7 CLEANING

7.1 Cleaning the System

Before You Begin

Ensure that the system is fully shut down and disconnected from mains power before

beginning cleaning.

Risk of electrical shock: Prior to and during all cleaning and disinfection work, ensure that

tracking system is disconnected from Monitor Cart.

No Automatic Disinfection

Do not use automatic cleaning and disinfection procedures for Kick components.

Do not expose the Kick system to direct UV light, as it may damage equipment.

No Sterilization

Do not sterilize Kick system components. High temperatures from sterilization may

damage components.

Disinfectant Compatibility

The Kick system shall only be cleaned using the following disinfectant types:

Disinfectant Type Example

Alcohol-based Meliseptol, Mikrozid AF Liquid

Alkylamine-based Incidin Plus 2%

Active oxygen-based Perform

Aldehyde/chloride-based Antiseptica Kombi - Flächendesinfektion

NOTE: Use only surface disinfectants released in your specific market.

NOTE: Surface disinfectants may leave a residue. This can be easily removed using a dry cloth.

Always closely follow the directions of the disinfectant manufacturer.

CLEANING


Using cleaning fluids, disinfection wipes or cleaning procedures others than those

specified may damage equipment. It is suggested to only use disinfectants verified by

Brainlab to avoid damaging the system.

No Liquids

Ensure that liquids do not enter the Kick components, as this could damage the

component and/or the electronics. System components are not protected against the

ingress of liquids.

Use only a moist cloth for cleaning. Other methods could allow liquids to enter the system

and cause damage.

Cleaning the System


7.1.1 Cleaning the Kick System

How to Clean Monitor Cart

Steps

1. Shut down system and unplug mains power (see page 66).

2.Clean all housing surfaces using a surface disinfectant, following the disinfectant manu-

facturer’s recommendations.

3. Carefully clean interfaces, ensuring that no liquids enter the system.

4. Clean touchscreen with lint-free wipe using a streak-free surface disinfectant.

How to Clean Camera Cart

Steps

1. After the Monitor Cart is shut down (see page 66) disconnect the camera cable.

2.

With exception of the camera, clean all other surfaces using a surface disinfectant, follow-

ing the disinfectant manufacturer’s recommendations.

NOTE: Take care not to wipe debris from the camera case onto the illuminator filters and

lenses.

3. Carefully clean interfaces, ensuring that no liquids enter the system.

How to Clean Lens and Illuminator Filter

Steps

1. After the Monitor Cart is shut down (see page 66) disconnect the camera cable.

2.Remove dust from illuminator filters and lenses using a photographic lens duster (brush).

Gently wipe surface in one direction only, by pulling brush across surface.

3.Gently wipe surface of illuminator filters and lenses with disinfectant wipes containing

70% Isopropanol or Meliseptol.

4.

• Clean camera cover using a surface disinfectant.

• Follow disinfectant manufacturer’s recommendations.

• Take care not to wipe debris from camera onto illuminator filters and lenses.

• Avoid prolonged contact between wipes and camera.

5.

• Clean illuminator filters and lenses using a commercial lens cleaning solution for multi-

coated lenses (such as AR66) and a clean knitted microfiber optical cleaning cloth

(such as Hitecloth).

• Avoid prolonged contact between lens cleaner and illuminator filter and lenses.

Do not use any paper products for cleaning. Paper products may scratch illuminator filters.

The system must be completely powered down and disconnected from mains power before

cleaning.

Do not sterilize the camera.

CLEANING


Camera Cleaning Intervals

As frequency of cleaning depends on how frequently the camera is used, Brainlab cannot give

general recommendation on cleaning intervals. This is within the user’s responsibility.

Regularly inspect illuminator filter and lenses for cleanness, however only clean them when

necessary.

Post-Cleaning

After cleaning, ensure that the telescope post of the Camera Cart is completely dry before

retracting the post.

Cleaning the System


7.2 Protection Covers

Protection Cover for Monitor

Illustration

Figure 40

How to Clean

Steps

1. Remove protection cover from Monitor Cart.

2. Use clean water to clean the surface.

3.

If necessary, use a surface disinfectant to disinfect the surface, following the disinfectant

manufacturer’s recommendations.

NOTE: Use only a moist cloth to clean and disinfect surfaces. Do not allow the protection

cover to become soaked with disinfectant.

4.Clean and disinfect only the outside surfaces of the protection cover. Do not clean or dis-

infect the inside surfaces of the cover.

5.Allow the protection cover to fully dry before applying to the system.

NOTE: After drying, surface disinfectants may leave stains.

NOTE: If a soiled cover cannot be sufficiently cleaned using the above steps, exchange the cover

for a new one.

Do not wash, soak, iron or sterilize protection covers.

CLEANING


7.2.1 Protection Cover for Camera

Illustration

Figure 41

How to Clean

Steps

1. Remove protection cover from Camera Cart.


3.



NOTE: Use only a moist cloth to clean and disinfect surfaces. Do not allow the protection

cover to become soaked with disinfectant.

4.Clean and disinfect only the outside surfaces of the protection cover. Do not clean or dis-

infect surfaces on the inside of the cover.

5.Allow the protection cover to fully dry before applying to the system.


NOTE: If a soiled cover cannot be sufficiently cleaned using the above steps, exchange the cover

for a new one.

Do not wash, soak, iron, disinfect or sterilize protection covers.

Protection Covers


7.3 Transport Cases

Illustration

Figure 42

How to Clean

Steps


2.



NOTE: Use only a moist cloth to clean and disinfect surfaces. Do not allow transport cas-

es to become wet or soaked with disinfectant.

3.Clean and disinfect only the outside surfaces of the transport cases. Do not clean or disin-

fect surfaces on the inside of the cases.

4.Allow the transport cases to fully dry before inserting the system.


CLEANING


Transport Cases


INDEXNumerics

3rd-party connections.................................................................40

A

annual inspection....................................................................... 29

attaching

camera....................................................................................79

monitor....................................................................................81

C

cables

3rd-party connections............................................................. 40

camera cart.............................................................................52

connection......................................................................... 40,43

storage....................................................................................46

camera

beeps......................................................................................63

field of view.............................................................................61

laser........................................................................................59

positioning.............................................................................. 58

protection cover...................................................................... 74

rotation....................................................................................56

camera cart

cabling.................................................................................... 52

height.................................................................................56,58

operating position................................................................... 57

CE label........................................................................................9

classification

camera cart.............................................................................24

monitor cart.............................................................................24

cleaning

camera cart.............................................................................95

camera lens............................................................................ 95

disinfectants............................................................................93

illuminator filter....................................................................... 95

monitor cart.............................................................................95

protection covers............................................................... 97,98

compatibility

Brainlab instruments...............................................................16

connecting

camera....................................................................................79

contact information....................................................................... 7

D

disinfectants............................................................................... 93

disposal instructions..................................................................... 9

documentation............................................................................18

drape.......................................................................................... 67

E

electrical safety inspection......................................................... 29

F

FCC Statement.............................................................................9

field of view

camera....................................................................................61

frozen system............................................................................. 66

G

guides.........................................................................................18

H

height adjustment....................................................................... 58

I

inspections

annual.....................................................................................29

authorization........................................................................... 27

electrical safety.......................................................................29

interval.................................................................................... 27

monthly................................................................................... 28

weekly.....................................................................................28

interference

IR light.................................................................................... 22

radio........................................................................................25

L

laser

camera....................................................................................59

LED indicators....................................................................... 47,62

locks

brakes.....................................................................................88

M

mains power cable..................................................................... 44

malfunctions

procedure............................................................................... 30

manuals......................................................................................18

manufacturer................................................................................ 7

medical electrical systems..........................................................40

monitor cart

positioning.............................................................................. 38

protection cover...................................................................... 73

ventilation............................................................................... 39

monitor drape............................................................................. 67

monthly inspection......................................................................28

moving the system................................................................ 75,86

O

operating position....................................................................... 57

optical tracking........................................................................... 19

OR setup............................................................................... 22,23

P

PE cable..................................................................................... 44

positioning

camera....................................................................................58

laser........................................................................................59

monitor....................................................................................37

system............................................................................... 22,23

potential equalization cable........................................................ 44

INDEX


powering system on................................................................... 65

protection cover

camera....................................................................................74

monitor....................................................................................73

R

range of motion

camera cart.............................................................................56

monitor....................................................................................37

reset system............................................................................... 66

returning equipment

addresses............................................................................... 31

rotation of camera...................................................................... 56

S

safety inspection.........................................................................29

shutdown.................................................................................... 66

sterile drape................................................................................67

sterile touchpen.......................................................................... 70

sterile use.............................................................................. 67,70

storage....................................................................................... 91

support......................................................................................... 7

symbols

hardware components............................................................ 11

user guide...............................................................................10

system components

Kick.........................................................................................20

system setup

Kick.........................................................................................23

system transport.........................................................................86

system ventilation.......................................................................39

T

third-party connections............................................................... 40

touchscreen use............................................................... 36,69,71

training........................................................................................17

transport procedure............................................................... 75,86

turning system off....................................................................... 66

turning system on....................................................................... 65

U

user guides.................................................................................18

V

ventilation................................................................................... 39

W

WEEE...........................................................................................9

weekly inspection....................................................................... 28

INDEX


DePuy Synthes Sales, Inc.

325 Paramount Drive

Raynham, MA 02767

www.depuysynthes.com

Art-No. 60915-24EN

*60915-24EN*

DS

US

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N/0

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919

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EM

/SP

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615

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