®
Aesculap
4®
S
MIS Spyder Instrumentation
Safe handling and preparation
CAUTION
Federal law restricts this device to sale by or on
order of a physician!
►
Ensure that the product and its accessories are
operated and used only by persons with the requi-
site training, knowledge, or experience.
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Read, follow, and keep the instructions for use.
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Use the product only in accordance with its
intended use, see Intended use.
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Remove the transport packaging and clean the new
product, either manually or mechanically, prior to
its initial sterilization.
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Store any new or unused products in a dry, clean,
and safe place.
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Prior to each use, inspect the product for loose,
bent, broken, cracked, worn, or fractured compo-
nents.
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Do not use the product if it is damaged or defec-
tive. Set aside the product if it is damaged.
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Replace any damaged components immediately
with original spare parts.
Safe operation
Risk of injury and/or malfunc-
tion!
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WARNING
Dilation
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Dilate the paraspinal muscles starting with the
smallest diameter (6 mm) Tissue Dilator (ME389T)
and work up to the diameter of the cranial-caudal
(C/C) retractor blades you intend to use (16.5 mm,
20 mm, or 24 mm diameters).
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The dilator handle may be attached to each dilator
if desired.
4
Always carry out a func-
tion check prior to using
the product.
Lower Frame and Cranial Caudal (C/C) Blade Inser-
tion
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After inserting the final dilation diameter, select
the length of the cranial-caudal (C/C) retractor
blades based on the depth indicator on the dilator.
►
Insert the C/C blades into the assembled "lower"
frame (ME302R, ME303R, ME304R) by loosening
the grub screw, engaging the blades into the frame
and then tightening the grub screw.
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Close the retractor, creating a tube from the
blades.
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Slide blades over the final dilator, and remove the
tissue dilator.
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Expand the lower arm of the retractor by rotating
the thumb ratchets of the retractor.
►
The blades of the lower retractor may be flared
using the retractor rotator arms (ME380R). Insert
the rotator arms into the retractor and rotate the
arms inwards to flare blades.
Mini-open frame disassembles
or jams due to unsecured
blades!
WARNING
►
►
Damage to the surrounding
muscle and soft tissues by
retractor blades!
WARNING
►
When placing blades into
the frame arms always fin-
ger-tighten the grub screw
to fix each blade in place
to ensure blades do not pop
out during use.
Do not force blade into the
frame arm as this will
cause it to jam and make it
difficult to remove.
Do not over retract blades.