ORLab Cart Assembly Instructions
Contents
1. System Cart User Manual and Assembly Instructions Includes Instructions for Adding cryolCE amp Cryo Cart Kit to the ASC2 Cart AtriCure Table of Contents Page TS SVSTCMT OVEN VIC W soc wearer sce dcceseteicecusetceces eE scence 3 1 1 BASIC 0 ig HERE E 3 1 2 Gion eoiejm EE 4 1 3 HOW to U5e thIS Manual aea cs don ro hire de TERRE a aA 4 1 4 Table of symbols used in this manual eese 4 1 5 System Descriptio qe 9 1 6 Equipment Classificat ON siisii ad o eta aD a HERE edu vie bv ive suada ibn Mad Ern 6 1 7 POW NSS Cette T eM 6 1 8 Sir cieisrella idlieio em bc 7 1 9 bend6edbIe TAS esed tmm MTS DL a Ede IN EM DEED E 7 1 10 VINO MIMIC Ae aco es tatit oa Deest um iate barn a dulces ausa uod D e nen uctus 7 1 11 Preventative Maintenance cccccccecceecceccseeceeceeeceecueeseeceeeceeceesueseueceeseeseeseeeaeesaes 7 IZ SMEV INOA Nee Uo oom 8 1 13 Roe Serum PI LED Cee 8 1 14 EMC Guidance and Manufacturer s Declaration cccccecccceeeeeeeeeseeeeeseeeeeeeeesaaees 9 D BASIC Cam meet 14 2 1 Features BASIC dl T ueessesseunatsebasm ute ue tus ueaad tusDiasd qus Ro MEG ROS Aha ge a ua ut RAM s EEN 14 2 2 Unpacking Basic E si EO TO UE 15 2 3 PSSCMDIY BaSiC Galicia sched aint tacui M luu IE MM MARIS ELM ielettai et ICI ILE 15 3m ASU and ASB uode dcdburei vols a ulna d mhi EvR cM ii EccaidxRE USE 16 3 1 WNDACKING ASU2. 26 of 56 AtriCure Inc P000808 B 5 cryolCE BOX Components and Accessories 5 1 Unpacking cryolCE BOX 5 1 1 There are 2 Shipping Cartons required for the cryolCE BOX Figures 27 and 28 5 1 2 Ensure that you have the components pictured 5 1 3 NOTE Do not throw away any tools or manuals Figure 28 1 cryolCE BOX Accessories Shipping Carton and 2 cryolCE BOX Footswitch 3 Heater Band 4 Exhaust Hose and 5 cryolCE BOX N2O Gas Line Hose 2 of 56 AtriCure Inc P000808 B 5 2 Assembly cryolCE BOX 5 2 1 NOTE If the ASU ASB and cryolCE BOX Shelf second shelf does not look like Figure 30 please refer to Section 8 Instructions for Adding cryolCE and Cryo Cart Kit to ASC2 5 2 2 Carefully place the cryolCE BOX on its top to access the rubber feet 5 2 3 Using the 3 mm Hex Key provided in your Tool Kit unfasten and remove the two rear rubber feet in Position 1 and replace them in Position 2 Figure 29 Figure 29 Unfasten and remove the two rear rubber feet in Position 1 and replace them in Position 2 5 2 4 Place cryolCE BOX on second shelf 5 2 5 Insert the feet of the cryolCE BOX into holes on the shelf Figure 30 5 2 6 Cart is prewired with approved hospital grade power cord for the cryolCE BOX Figure 30 Place cryoICE BOX on second shelf with the feet inserted into the holes on shelf 28 of 56 AtriCure Inc P000808 B 5 2 7 Insert the power cord into the power entry module
3. Figure 1 1 1 2 Basic Cart provides 1 1 2 1 450 mm Cart 1 1 2 2 Isolation Transformer 1 1 2 3 125 mm 5 Casters 1 1 2 4 Pre wired Cables and Mains Power Cord Isolation Transformer to Wall 1 Figure 1 1 Power Column 2 Power Column 3 PC and Stimulus Connection Box Shelf 4 ASU ASB and cryolCE BOX Shelf 5 Printer Shelf 6 Stimulus Generator Shelf 7 Isolation Transformer 8 Mains Power Cord Isolation Transformer to Wall and 9 Cable Winders 3 of 56 AtriCure Inc P000808 B 1 2 Customer Options 1 2 1 The modular approach allows customization to support all AtriCure components and accessories Figure 2 Figure 2 1 Basic Cart 2 Basic Cart ASU and ASB 3 Basic Cart Cryo Cart Kit and cryolCE BOX 4 Basic Cart ASU and ASB Cryo Cart Kit and cryolCE BOX 5 Basic Cart ASU and ASB ORLab Cart Kit and ORLab components and 6 Basic Cart ASU and ASB ORLab Cart Kit ORLab components Cryo Cart Kit and cryolCE BOX 1 3 How to Use this Manual 1 3 1 This manual is designed to help you get the most from your AtriCure System Cart Illustrations complement the text to explain how to assemble the cart kits components and accessories 1 3 2 The following information is essential for safe easy and efficient operation of the AtriCure System Cart 1 4 Table of symbols used in this manual Symbol Consult operating instructions Manufactured by Follow local
4. Figure 39 6 1 2 Relocate the Shipping Carton to an open area that will provide sufficient space to assemble the unit 6 1 3 Unpack the Shipping Carton and make sure that you have the components pictured Figure 39 6 1 4 Do not throw away any tools or manuals Figure 39 ORLab Cart Kit components and Shipping Carton 6 2 Assembly ORLab Cart Kit 6 2 1 Place the Monitor Holder on the Top Shelf 6 2 2 NOTE Use the 10 mm Hex Key to tighten the two socket head cap screws to secure the Monitor Holder to the Top Shelf Figure 40 6 2 3 NOTE The Monitor Adapter 100 mm 75 mm VESA mount faces the front of the cart 33 of 56 AtriCure Inc P000808 B Figure 40 Mount the Monitor Holder from the rear of the Basic Cart 6 2 4 Monitor Holder Cables 6 2 4 1 Feed the cables through the monitor holder assembly 6 2 4 2 NOTE It is important that the cables are fed through in the correct direction 6 2 4 3 Feed the monitor end through the Monitor Holder post Figures 41 and 42 4 1 y Figure 41 Monitor cables Monitor end right hand and PC end left hand 34 of 56 AtriCure Inc P000808 B Figure 42 Desired feed direction is from the bottom up 6 2 5 NOTE Provide approximately 406 mm 16 of cable available at the monitor side Figure 43 Figure 43 Provide 406 mm 16 of cable lead on the monitor side 35 of 56 AtriCure Inc P000808 B 7 ORLab Components and Accessories
5. 2 Assembly cryolCE BOX on ASC2 with Standard Shelf ssssusse 51 tic riugeuudremee P 54 9 1 Must Be Performed and Returned sessesesseee RI me e emere reri 54 AtriCure Inc P000808 B CAUTION Federal U S A law restricts this device to sale by or on the order of a physician European Representative K ntges SPRL Avenue Hellevelt 35 B 1180 Brussels Belgium Tel 32 0 2 375 51 63 FAX 32 0 2 375 89 06 E mail herbert kontges skynet be Manufactured by AtriCure Inc 6217 Centre Park Drive West Chester Ohio 45069 USA Customer Service Tel 866 349 2342 E mail customerservice atricure com www atricure com Information in this document is subject to change without notice Reproduction of this document in any manner whatsoever without the written permission of AtriCure Inc is strictly forbidden AtriCure and the AtriCure Logo are trademarks of AtriCure Inc AtriCure disclaims proprietary interest in the marks and names of others August 2011 Printed in the USA CE 2 of 56 AtriCure Inc P000808 B 1 System Overview 1 1 Basic Cart 1 1 1 AtriCure developed a modular approach to the cart The System Cart consists of the Basic Cart ASCB and two upgrade kits 1 the Cryo Cart Kit ASCC and 2 the ORLab Cart Kit ASCO The following pages describe the Basic Cart the upgrade kits components and assembly instructions
6. Cylinder Heater Band connection 30 of 56 AtriCure Inc P000808 B 5 5 Installing N O Gas Line Hose 5 5 1 Inspect the N2O Gas Line Hose and pneumatic connectors for any signs of physical damage 5 5 2 Contact AtriCure for replacement if physical damage is found or the N2O Gas Line Hose does not perform within specification 5 5 3 Connect the N2O Gas Line Hose to the cryolCE BOX 5 5 4 Align the quick connect gas connector with the cryolCE BOX N O inlet port 5 5 5 Insert and push in the connector until you hear it click Ensure the connection is fully seated and secure Figure 36 Figure 36 Align the quick connect gas connector with the cryolCE BOX N20 inlet port Insert and push in the connector until you hear it click 5 5 6 Install NO Exhaust Hose 5 5 7 Align the end of Exhaust Hose with the N2O Exhaust port of the cryolCE BOX and push in place Figure 37 5 5 8 Coil and bundle the hose with a Hose Hanger Figure 37 Align the end of 50 ft Exhaust Hose with the N2O Exhaust port of the cryolCE BOX and push in place 31 of 56 AtriCure Inc P000808 B 5 5 9 Exhaust hose coiled and stored on the J hook on the Left Power Column Figure 38 Figure 38 Exhaust hose coiled and stored on the J hook 32 of 56 AtriCure Inc P000808 B 6 ORLab Cart Kit Components and Accessories 6 1 Unpacking ORLab Cart Kit 6 1 1 There is one Shipping Carton required to assemble the ORLab Cart Kit
7. and AS secs EE oes ue tveett accu tea tentaseh soca T 16 3 2 PSSCMDIV ASU ANG ASB eed sheet Est Ene Ree perat eo breit Peste cipe oae De E erent ere 17 A CNO CHERI i P 21 4 1 Unpacking Oyo Ca K c cR 21 4 2 Assembly Cry CatR ossiani a edie N dn 22 Di CTVOICE BOX xicota ea a E Ea aaae aaa E RE EAER 27 5 1 UNDaCKINO CIVYOICE 510 Cun 27 5 2 Assembly cryol OB BOX d scere rana dics melee dose dicate Toe Dass aeeseni neus Deut puit 28 5 3 Cylinder Heater Band Installation eese 30 5 4 Gylinder Heater Bana C Omme Ctl On annann cede ee ee c pete Reed ehe Datei Oodle oa eiie anes 30 5 5 Iristallinig N O Gas Eine OSC eria a E detatctacdena Send nato Eater 31 G OR Lab Cart KW rnnt 33 6 1 Unpacking ORLA Galt cem t Em 33 6 2 Assembly OR Gab Cart loue sue euet ae atas niti ut eth uoa sieh a ERES D dust usu nae 33 rm e eec E 36 7 1 Ijnbackihg O3 iiieiten tutes hie tated mee ue REL RII NIAI EE 36 7 2 LCD POUGHHIVIONILON erat a6 fake a a a a 36 7 3 Cardiac Stimulator CamOn cre uoo iin rio En e aepo een Foret eo pos a aa E aaa 37 7 4 Laser Printer US A Only sce causicde aede eoe ita aoi Eco ue tpe ect eo rhe te o EN P ERES 37 15 ASSEMDIV OBRLDGASD ia ide i Ene Ea oe bn otro tpa e pet sabes eel e 38 8 Instructions Adding cryolCE and Cryo Cart Kit to ASC2 50 8 1 The ASC2 Cart also referred to as the ORLab Cart eeeseeeeeseseeessss 50 8
8. and in good working condition Visually verify that all MicroPace ORLab otimulator components PC SGU Laser Printer and LCD Touch Screen are connected to the supplied Medical Grade Mains Isolation Transformer and secured so cord cannot be disconnected from Isolation Transformer without use of a tool Energize the SGU and observe all LED s during Power On Self Test POST Observe launch of ORLab Stimulator Software Application without error messages Configure Stimulator to stimulate Chan1 at 25 mA 2 ms at 100 ppm Insert Test LED MOP3058 INTO Stimulus Connection Box MP3014 Chant red connector to red black to black Start pacing and verify yellow LED lights with each pulse IF red LED lights then polarity is reversed All components plugged into Isolation Transformer and cords secured All LED s light momentarily except Emergency Fixed Rate Pace and no errors appear on SGU display The ORLab Current Study screen appears with no error Yellow LED flashes with each stimulus 55 of 56 AtriCure Inc 5 Emergency Fixed Rate Pacing OK 6 External ECG Visible 7 Touch screens active 8 Printer functional 9 Biomed Engineering approval 10 Customer trained Connect Test LED to Chan2 output of Stimulus Connection Box change the connector from the SGU Pace Output green socket to the Emergency Fixed Rate Pacing Output red socket Observe pacing Re
9. specified below The customer or the user of the ARC EPMS unit should ensure that it is used in such an environment Emissionstest Compliance Electromagnetic environment guidance The ARC EPMS unit with the exception of the ASU2 ASUS3 RF Generator only during RF energy delivery pers uses RF energy only for its internal function RF emissions CISPR 11 Group 1 Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment HF emissions CISPR 11 Class A The ARC EPMS unit is suitable for use in all establishments other than domestic and those directly l T connected to the public low voltage power supply RA a network that supplies buildings used for domestic purposes Voltage fluctuations flicker emissions IEC 61000 3 3 TOMES 10 of 56 AtriCure Inc 1 14 3 Electromagnetic Immunity P000808 B Guidance and manufacturer s declaration electromagnetic immunity The AtriCure RF Cryo and EP Mapping System ARC EPMS is intended for use in the electromagnetic environment specified below The customer or the user of the ARC EPMS unit should ensure that it is used in such an environment Immunity test IEC 60601 test level Compliance level acai te m Electrostatic discharge ESD IEC 61000 4 2 Electrical fast transient burst IEC 61000 4 4 Surge IEC 61000 4 5 Voltage dips short interruptions and voltage variations on power supply input l
10. with the ORLab to produce paper copies of diagnostic read outs b NOTE The handpiece and pen devices are separate components and are not a part of the AtriCure Basic Cart 5 of 56 AtriCure Inc P000808 B 5 AtriCure System Cart is a 450 mm wide cart with an onboard Isolation Transformer The Isolation Transformer supplies power to the other subsystems of AtriCure System Cart a NOTE The cart has omni directional lockable casters which allow for quick and easy transport of the system within hospitals and operating theatres 1 5 2 No part of the AtriCure System Cart or its accessories is intended to make contact the patient instead pacing stimuli are delivered and ECG signal recorded via AtriCure Handpieces and approved third party products which may include transvenous endocardial electrode catheters or epicardial mapping 1 5 8 Indications for Use The AtriCure System Cart is intended to be used as an accessory to the AtriCure Bipolar System AtriCure Cryo Module System and ORLab 1 6 Equipment Classification 1 6 1 The AtriCure System Cart consisting of the Basic Cart the Cryo Cart Kit and the ORLab Cart Kit are categorized as Class 1 Equipment Type CF Applied Part IPX0 rated for 115 230 VAC 50 60 Hz and 1800 VA 1 7 Proper Use 1 7 1 NOTE The AtriCure System Cart consisting of the Basic Cart the Cryo Cart Kit and the ORLab Cart Kit is ONLY intended for use with the equipment listed in Table 2 1
11. 7 1 Unpacking ORLab 7 1 1 There are three Shipping Cartons required to assemble this cart configuration 7 1 2 Relocate the Shipping Cartons to an open area that will provide sufficient space to assemble the unit 7 1 3 Unpack the Shipping Cartons and make sure that you have the components pictured Figures 44 45 and 46 7 1 4 Do not throw away any tools or manuals 72 LCDTouchMonitor MicroPace iy G W 9 7 us Qiy Box EPS320 Cardiac Stimulator Box Contents E fo Touch Lop Serial No TDI Morio tot Figure 44 Shipping Carton and LCD Touch Monitor 36 of 56 AtriCure Inc P000808 B 7 3 Cardiac Stimulator Carton 7 39 1 Cardiac Stimulator Carton includes 1 Stimulus Generator Unit 2 MicroPace User Manual and 3 Stimulus Connection Box Figure 45 Figure 45 Shipping Carton Cardiac Stimulator and Accessories 7 4 Laser Printer U S A Only 7 4 1 Laser Printer includes Manual and Paper Tray Cover Figure 46 7 4 2 NOTE Power Cord Installed on Cart Figure 46 Shipping Carton and Laser Printer 3 of 56 AtriCure Inc P000808 B 7 5 7 5 1 7 5 2 7 5 3 7 5 4 7 9 9 Assembly ORLab Monitor Installation Remove the Monitor Pedestal attached to the monitor Place monitor face down on flat surface Rotate Monitor Pedestal for easy access to screws Remove four screws with 3 mm Hex Key supplied in Tool Kit Figure 47 7 5 6 Figure 47 Remove fo
12. 7 2 NOTE The cart should never be used to carry equipment other than what is specified in this manual The cart should not be operated on an incline exceeding 10 During operation and storage the casters should be locked securely 1 7 8 NOTE This manual does not address specific instructions related to the equipment listed in Table 2 The user should refer to product specific manuals provided with individual components and systems for information pertaining to 1 explanation of the function of controls displays and signals 2 the sequence of operation 3 the connection and disconnection of detachable parts and accessories 4 indications of recognized accessories detachable parts and consumable materials and 5 signal output or signal input parts intended only for connection to specified equipment described 1 7 4 NOTE Unplug cart before transport 6 of 56 AtriCure Inc P000808 B Equipment Description Product Code ORLab EP Cardiac Stimulator Recorder System ORLab AtriCure Ablation and Sensing Unit ASU2 ASU3 AtriCure Source Switch Accessory ASB1 ASB3 E260d cryolCE BOX ACM1 ACM2 Table 2 Compatible Equipment List 1 8 Cleaning Instructions 1 8 1 NOTE The Basic Cart Cleaning and Disinfection Instructions 1 use a mild detergent prepared to its specifications and a damp cloth and 2 do not use caustic corrosive or abrasive cleaning materials 1 9 Serviceable Parts 1 9 1 NOTE The System Cart con
13. ASB on second shelf 3 2 2 The feet of the ASB should be inserted into holes on the shelf Figure 8 3 2 3 Position the handle against the top of the ASB Figure 8 3 2 4 Place ASU on top of the ASB Figure 9 3 2 5 Be sure to nest the feet of the ASU into the holder cups on top of the ASB Figure 9 3 2 6 Position the handle against the top of the ASU Figure 9 3 2 7 NOTE For some cart configurations the cryolCE BOX may already reside on the second shelf In this case the ASB should be placed on top of the cryoliCE BOX Again the feet of the ASB should be nested into holder cups on top of the cryolCE BOX 3 2 8 NOTE Start with Section 5 cryolCE BOX if installation includes the cryolCE BOX and the ASU ASB Figure 9 ASU stacked on top of the ASB NOTE Position of the handles 17 of 56 AtriCure Inc P000808 B 3 2 9 Attach the Power Cables to the rear of the ASU and ASB Figure 10 3 2 10 NOTE If cryolCE BOX is present it will be necessary to locate the Power Cables stowed in the Left Power Column a ay E r nee wae cease v A i En EA T A aey 7 ae fy T 1 dv 2 l E r E z y Ck T DEL 5 vex pImTPES E 4 4 A J GM y omelet Ye zo 3 9 M EL 1 1 XX E 4 4 r Ki A mee Ze R HM T 3 Lad d C m pu k T d J i 7 Part oe E p E 1 r i lt LJ Figure 10 Power Cable at
14. Cap and Covers to find the cable ties inside the Power Column E 7 5 31 Then secure the cable to the inside of the Power Column using the cable ties pre mounted in the top and bottom of the Power Column 7 5 32 Place the cable inside the cable tie loop connect the cable tie loop and tighten 45 of 56 AtriCure Inc P000808 B 7 5 33 Reinstall the Power Column Covers and Cap as shown in Figure 63 i Figure 63 Reinstall the Power Column Covers and Cap 7 5 34 The two red circles depict cable entrance and exit locations Figure 64 Figure 64 The red circles in this photograph show the entry and exit locations of the Stimulus Connection Box cable 46 of 56 AtriCure Inc P000808 B 7 5 35 Reinstall the Cable Cover as shown in Figure 65 Figure 65 Reinstall the Cable Cover 7 5 36 Laser Printer Installation 7 5 37 Position the printer on top of Printer Shelf Make sure that the handle recesses line up with the brackets mounted on the top of the Printer Shelf Figure 66 Figure 66 Line up with the brackets mounted on the top of the Printer Shelf with the handle recesses on the bottom of the printer 47 of 56 AtriCure Inc P000808 B 7 5 38 Next attach Printer Cable and Power Cable to rear of printer as shown in Figure 67 TAL EST 34 z On 4 A A EM S t M ti A m 1 i Figure 67 Attach Printer Cable and Power Cable to rear of printer 7 5 39 Lastly insta
15. Key snug down the four bolt assemblies r NEC LN ES s SE cme 9 gt il Figure 21 1 5 mm Hex Key 2 Socket Head Cap Screw 3 Flat Washer 4 Lock Washer 5 Bracket and 6 Hinge Leaf 4 2 10 Rotate Tank Holder against the Right Power Column 4 2 11 Using the 5 mm Hex Key Socket Head Cap Screw and Flat Washer attach and snug down one bolt Figure 22 Figure 22 1 5 mm Hex Key 2 Socket Head Cap Screw and 3 Flat Washer 24 of 56 AtriCure Inc P000808 B 4 2 12 The J hook is factory installed If not install the J hook by inserting the T nut into the Left Power Column 4 2 13 Use the 5 mm Hex Key provided in the Tool Kit 4 2 14 Secure the J hook to the Left Power column Figure 23 Figure 23 Use the 5 mm Hex Key to secure the J hook to the Left Power Column 4 2 15 Replace the cable guard Figure 24 Figure 24 Replace the cable guard 25 of 56 AtriCure Inc P000808 B 4 2 16 Install the shorter Power Column Covers provided with the Cryo Cart Kit Figure 25 4 2 17 Reinstall the Power Column Caps Figure 25 Figure 25 Install the shortened Power Column Covers and Power Column Caps 4 2 18 Single Tank Holder assembly should look like this Figure 26 Figure 26 Basic Cart with Single Tank Holder installed 4 2 19 PRECAUTION Secure tank with chain and ONLY use N2O Tanks s 20 cm 8 in diameter that weigh s 29 5 kg 65 pounds
16. ctions Adding cryolCE and Cryo Cart Kit to ASC2 8 1 The ASC2 Cart also referred to as the ORLab Cart 8 1 1 The ASC2 Cart is 450 mm wide and commonly referred to as an ORLab Cart It is 50 mm wider and has larger casters than the earlier ASC1 400 mm cart The ASC1 is also referred to as an ORLab Cart 8 1 2 Figure 72 identifies the differences between the ASC1 and ASC2 carts ASC2 450 mm Cart ASC1 400 mm Cart No Drawer Drawer Light Gray Base 125 mm Casters Powertronix Isolation Transformer Figure 72 Cart Comparison Dark Gray Base 100 mm Casters Isolation Transformer 8 1 3 Shelf Comparison In addition the ASC2 Cart may have any one of two different ASU ASB and cryolCE BOX Shelves Figure 73 8 1 4 NOTE See Section 5 2 for Custom Shelf Instructions Figure 29 8 1 5 NOTE See Section 8 2 for Standard Shelf Instructions Figure 74 50 of 56 AtriCure Inc P000808 B ASC2 450 mm Cart ASC2 450 mm Cart E with Custom Shelf with Standard Shelf Standard Shelf Brackets mounted on the shelf EM Custom Shelf Slots and Holes stamped into Shelf wal Figure 73 Shelf Comparison See Section 5 3 for Custom Shelf or Section 8 2 for Standard Shelf Instructions 8 2 Assembly cryolCE BOX on ASC2 with Standard Shelf 8 2 1 Carefully place the cryolCE BOX on its top to access the rubber feet 8 2 2 Using the 3 mm Hex Key p
17. eft photo shows the location of the four screws Right photo shows the 3 mm Hex Key being used to tighten the screws 7 5 15 Route the cables through the monitor post for the monitor 7 9 16 Monitor cable connectors and receptacles are color coded Figure 52 Figure 52 1 Monitor Cable connections 2 Monitor Power 3 Speaker 4 Video and 5 Serial 40 of 56 AtriCure Inc P000808 B 7 5 17 The monitor power cable has a mounting bracket to prevent it from coming loose Please attach the mounting bracket Figure 53 Figure 53 Monitor Power cable must be mounted using the appropriate mounting bracket 7 5 18 Similarly the Video and Serial Cables have mounting screws to prevent them from loosening over time Figure 54 7 5 19 NOTE Do not over tighten Figure 54 Mounting screws on the Video and Serial Cables must be tightened using a flat head screw driver 41 of 56 AtriCure Inc POOO808 B 7 5 20 MicroPace PC Installation 7 5 21 Prepare the MicroPace PC for mounting by applying two Velcro strips from the Tool Kit to the outside edges of PC Housing Figure 55 ny e Figure 55 Apply two Velcro strips to the outside edges of PC Housing 7 5 22 Mount the MicroPace PC on the left side of the top shelf Figure 56 uu um i M I n lx TANK Figure 56 Mount the MicroPace PC on the left side of the top shelf 42 of 56 AtriCure Inc P000808 B 7 5 23 Apply f
18. etic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment AtriCure Inc P000808 B 1 14 4 EMC Guidance and Manufacturer s Declaration Guidance and manufacturer s declaration electromagnetic immunity The AtriCure RF Cryo and EP Mapping System ARC EPMS is intended for use in the electromagnetic environment specified below The customer or the user of the ARC EPMS should ensure that it is used in such an environment IEC 60601 Test Compliance 1 Immunity test Electromagnetic environment guidance Portable and mobile RF communications equipment should be used no closer to any part of the ARC EPMS including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Conducted RF 3 Vrms Recommended separation distance IEC 61000 4 6 150 kHz to 80 MHz d 1 2 p d 1 2 VP 80 MHz to 800 MHz Radiated RF 3 V m IEC 61000 4 3 80 MHz to 2 5 GHz d 2 3 NP 800 MHz to 2 5 GHz Where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the followin
19. g symbol NOTE 1 At 80 MHz and 800 MHz the higher frequency range applies NOTE2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and le Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the ARC EPMS is used exceeds the applicable RF compliance level above the ARC EPMS should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting or relocating the ARC EPMS Over the frequency range 150 kHz to 80 MHz field strengths should be less than 3 V m 12 of 56 AtriCure Inc P000808 B 1 14 5 Recommended Separation Distance Recommended separation distances between portable and mobile RF communications equipment and the AtriCure RF Cryo and EP Mapping System The AtriCure RF Cryo and EP Mapping System ARC EPMS is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the ARC EPMS can help prevent electromagnetic interference by mainta
20. governing ordinances and recycling plans regarding disposal or recycling of device components 4 of 56 AtriCure Inc P000808 B Alternating Current CE Mark Temperature and Humidity Limits for Storage Voltage Table 1 Symbols y O vw eS 15 90 RH o o c e e Oo gt 1 5 System Description 1 5 1 The System Cart supports medical equipment used in procedures for the treatment of arrhythmias in cardiothoracic theatres and hospital electrophysiological laboratories The complete system is comprised of five sub systems 1 AtriCure Ablation Sensing Unit ASU produces and delivers RF energy in a bipolar mode at a frequency of approximately 460 kHz with a maximum output power ranging from 12 Watts up to 30 Watts depending on the operating mode 2 AtriCure Switch Matrix ASB is a reusable accessory interface module that allows simultaneous connection of AtriCure Isolator Transpolar ablative handpiece and pen devices to the ASU HF generator 3 AtriCure cryolCE BOX ACM is an electro mechanical and pneumatic cryogenic surgical system that delivers a cryogenic energy source namely Nitrous Oxide to create lines of ablation through cardiac tissue 4 AtriCure ORLab is a programmable diagnostic cardiac stimulator with electrocardiogram display tailored for use as a diagnostic tool during surgical and RF ablation procedures a NOTE Lexmark E260D printer is used in conjunction
21. ines IEC 61000 4 11 Power frequency 50 60 Hz magnetic field IEC 61000 4 8 NOTE 6 kV contact 8 kV air 2 kV for power supply lines 1 kV for input output lines 1 kV line s to line s 2 kV line s to earth lt 5 Ut gt 95 dip in UT for 0 5 cycle 40 96 Ut 60 96 dip in UT for 5 cycles 70 96 Ur 30 96 dip in UT for 25 cycles lt 5 UT 95 96 dip in UT for5s 6 kV contact 8 kV air 2 kV for power supply Lines 1 kV for input output lines 1 kV differential mode 2 kV common mode lt 5 Ur gt 95 dip in UT for 0 5 cycle 40 96 Ut 60 96 dip in UT for 5 cycles 70 96 Ur 30 96 dip in UT for 25 cycles lt 5 UT 95 95 dip in UT for5s Uris the a c mains voltage prior to application of the test level 11 of 56 Floors should be wood concrete or ceramic tile If floors are covered with synthetic material the relative humidity should be at least 30 95 Mains power quality should be that of a typical commercial or hospital environment Mains power quality should be that of a typical commercial or hospital environment Mains power quality should be that of a typical commercial or hospital environment If the user of the ARC EPMS unit requires continued operation during power mains interruptions it is recommended that the ARC EPMS unit be powered from an uninterruptible power supply or a battery Power frequency magn
22. ining a minimum distance between portable and mobile RF communications equipment transmitters and the ARC EPMS as recommended below according to the maximum output power of the communications equipment Separation distance according to frequency of transmitter m Rated maximum output power of transmitter W 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be estimated using the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer NOTE 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies NOTE2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people 13 of 56 AtriCure Inc P000808 B 2 Basic Cart Components and Accessories 2 1 Features Basic Cart 2 1 1 No assembly required ready to add components and accessories 2 1 2 450 mm Cart 2 1 3 Isolation Transformer 2 1 4 125 mm 5 Casters 2 1 5 Pre wired for ASU ASB cryolCE BOX and ORLab Figure 4 Figure 4 1 Power Column 2 Power Column 3 PC and Stimulus Connection Box Shelf 4 ASU ASB and cryolCE BOX Shelf 5 Printer Shelf 6 Stimulus Generator Shelf 7 Isolation Transf
23. irm pressure to the top of PC near the edges until securely attached Figure 57 Figure 57 Apply firm pressure to the top of PC near the edges until securely attached 7 5 24 Connect cables to rear of PC Figure 58 Figure 58 1 PC Power 2 Printer 3 COM1 MicroPace Serial 4 Video and 5 COM Monitor Serial 43 of 56 AtriCure Inc P000808 B 7 5 25 Install the strain relief connector for the CPU Power Cable and tighten the thumb screws on the Video COM1 COM2 and Printer Cables Figure 59 Figure 59 Left photo shows the attachment of the strain relief connector the CPU Power The right photo shows tightening the thumb screws required on the Video COM1 COM2 and Printer Cables 7 5 26 Stimulus Connection Box Installation 7 5 27 Prepare Stimulus Connection Box for mounting by applying one Velcro strip from Tool Kit in the center of the Stimulus Connection Box as shown in Figure 60 Figure 60 Preparation of the Stimulus Connection Box by mounting Velcro Strip 44 of 56 AtriCure Inc P000808 B 7 5 28 Mount Stimulus Connection Box on the left side of the top shelf as shown in Figure 61 Figure 61 Successive photos showing the mounting of the Stimulus Connection Box 7 5 29 Route the Stimulus Connection Box cable down the Left power column 7 5 30 Remove the Power Column Cap and Covers as shown in Figure 62 tt Figure 62 Remove the Power Column
24. limits for medical devices in IEC 60601 1 2 2007 These limits are designed to provide reasonable protection against harmful interference in a typical medical installation 1 14 1 2 The ARC EPMS can radiate radio frequency energy and if not installed and used in accordance with the instructions may cause harmful interference to other devices in the vicinity 1 14 1 3 Portable and mobile RF communications equipment can also affect the ARC EPMS performance and care should be taken to minimize such interference However there is no guarantee that interference will not occur in a particular installation 1 14 1 4 If the ARC EPMS does cause harmful interference to other devices which can be determined by turning the ARC EPMS equipment off and on individually or in combination the user is encouraged to try to correct the interference by one or more of the following measures 1 14 1 4 1 Reorient or relocate the receiving device 1 14 1 4 2 Increase the separation between the ARC EPMS and the other device s 1 14 1 4 3 Connect the ARC EPMS into an outlet on a circuit different from that to which the other device s are connected 1 14 1 4 4 Contact an AtriCure service representative for help 9 of 56 AtriCure Inc P000808 B 1 14 2 Electromagnetic Emissions Guidance and manufacturer s declaration electromagnetic emissions The AtriCure RF Cryo and EP Mapping System ARC EPMS is intended for use in the electromagnetic environment
25. ll the Printer Cable Bracket on the AC Power cable as shown in Figure 68 7 5 40 Installation of the Printer Cable Bracket will require the use of 10 mm Combination Wrench and 10 mm Allen Wrench provide in the Tool Kit TF Figure 68 Install the Printer Cable Bracket on the AC Power cable 7 5 41 Stimulus Generator Installation 7 5 42 Position the Stimulus Generator on bottom shelf Ensure the feet on the bottom of the Stimulus Generator fall within brackets mounted on the Stimulus Generator Shelf Figure 69 B UE Figure 69 Position the Stimulus Generator on bottom shelf 48 of 56 AtriCure Inc P000808 B 7 5 43 Connect Power and Serial Cables to rear of the Stimulus Generator and tighten thumbscrews with Straight Blade Screwdriver supplied in Tool Kit Do not over tighten the thumbscrews Figure 71 7 5 44 Connect the Pace Output Cable to front of Stimulus Generator Figure 70 7 5 45 NOTE Connect the Pace Output Cable to the Patient connector Green not the EMERGENCY FIXED PACE OUTPUT connector Red Figure 70 Lid i li iui M L r i b di ii Figure 70 Connect the Pace Output Cable to the Patient connector on the front of Stimulus Generator 7 5 46 Connect the Power and Serial cables to the rear of the Stimulus Generator Figure 71 Figure 71 Connect Power and Serial Cables to rear of the Stimulus Generator 49 of 56 AtriCure Inc P000808 B 8 Instru
26. of the cryolCE BOX Figure 31 Figure 31 Insert the power cord into the power entry module of the cryolCE BOX 5 2 8 With the connector alignment arrow in the 12 o clock position push the Footswitch Connector into the Footswitch Receptacle on the rear panel of the cryolCE BOX Figure 32 Figure 32 1 Footswitch Cable installation 5 2 9 Place the Foot Switch in the holster on the side of the cart Figure 33 Figure 33 Footswitch Holster 29 of 56 AtriCure Inc P000808 B 5 3 Cylinder Heater Band Installation 5 39 1 Inspect Cylinder Heater Band for any signs of physical damage to the cable and connector 5 3 2 Contact AtriCure for replacement if physical damage is found or the Cylinder Heater Band does not perform within specification 5 3 3 Place the Cylinder Heater Band around the NO cylinder 5 3 4 Secure all 6 tensioning spring retainers Figure 34 5 3 5 NOTE It is easiest to start with the top and bottom spring retainers first and then buckle then middle retainers last 5 3 6 NOTE Position Cylinder Heater Band 50 mm 2 from the bottom for optimal performance Figure 34 Secure all 6 tensioning spring retainers 5 4 Cylinder Heater Band Connection 5 4 1 With the connector alignment arrow in the 10 o clock position push the Cylinder Heater Band Connector into the Cylinder Heater Band Receptacle on the rear panel of the cryolCE BOX Figure 35 Figure 35
27. ormer 8 Mains Power Cord Isolation Transformer to Wall and 9 Cable Winders 14 of 56 AtriCure Inc P000808 B 2 2 Unpacking Basic Cart 2 2 1 The Basic Cart is shipped in one Shipping Carton Figure 5 2 2 2 Relocate the Shipping Carton to an open area that will provide sufficient space to assemble the unit 2 2 3 NOTE Do not throw away any tools or manuals 2 2 4 NOTE Unpacking the Basic Cart requires two people Figure 5 Basic Cart Shipping Carton Height approximately 1524 mm 60 2 3 Assembly Basic Cart 2 3 1 No assembly required ready to add components and accessories 2 3 2 Proceed to Checklist and perform checklist for the Basic Cart 15 of 56 AtriCure Inc P000808 B 3 ASU and ASB Components and Accessories 3 14 Unpacking ASU and ASB 3 1 1 There are two Shipping Cartons required to assemble this cart configuration The Shipping Cartons are pictured below 3 1 2 Relocate the Shipping Cartons to an open area that will provide sufficient space to assemble the unit 3 1 3 Unpack the Shipping Cartons and make sure that you have the components pictured Figures 6 and 7 3 1 4 NOTE Do not throw away any tools or manuals O AtriCure wa TEMPERATURE ar TRANG MUR ITY MANDINE C Figure 6 Shipping Carton and ASU C Eins Em j I BOLATDOR Figure 7 Shipping Carton and ASB 16 of 56 AtriCure Inc P000808 B 3 2 Assembly ASU and ASB 3 2 1 Place
28. proper functioning of the ASU ASB ORLab and cryolCE BOX 9 1 3 Return the Installation Checklist to AtriCure Customer Service by any of the following means 1 Scan and email customerservice atricure com preferred 2 Fax 513 755 4567 or 3 Mail AtriCure Inc 2952 Crescentville Road West Chester OH 45069 USA Item TestMethod Expected Basic Cart 1 Inspect the Basic Cart for any signs of physical damage ASU ASB 1 Inspect the ASU ASB Components and Accessories for any signs of physical damage Cryo Cart Kit 1 Inspect the Cryo Cart Kit for any signs of physical damage cryolCE BOX 1 Inspect the cryolICE BOX Components and Accessories for any signs of physical damage Visually verify that all Basic Cart components are present and in good working condition Visually verify that all ASU ASB Components and Accessories are present and in good working condition Visually verify that all Cryo Cart Kit components are present and in good working condition Visually verify that all cryoliCE BOX Components and Accessories are present and in good working condition 54 of 56 AtriCure Inc ORLab Cart Kit P000808 B 1 Inspect the ORLab Cart Kit for any signs of physical damage 1 Mains Isolation 2 SGU POST 3 Software Application Launches OK 4 Stimulation path amp Polarity OK Visually verify that all ORLab Cart Kit components are present
29. rging of backup battery and should not be used in rooms with flammable anesthesia 1 12 4 PRECAUTION AtriCure System Cart is not suitable for use in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous 1 12 5 PRECAUTION Secure tank with chain and ONLY use NO Tanks lt 20 cm 8 in diameter that weigh lt 29 5 kg 65 pounds 1 12 6 PRECAUTION If the cryolCE Box is connected to a grounded hospital AC power receptacle it must be connected into the same grounded hospital AC power receptacle as Isolation Transformer 1 13 Tool Kit 1 13 1 NOTE The same Tool Kit is supplied with all cart kits Figure 3 LOCTITE 243 Figure 3 Photo of the Tool Kit A000810 supplied The Tool Kit contains the following items 1 User and Assembly Manual 2 Velcro 3 Flat Washers 4 Lock Washers 5 Socket Head Cap Screw for VESA Mount 6 Socket Head Cap Screw for Tank Holder s 7 10 mm Combination Wrench 8 3 mm Hex Key 9 5 mm Hex Key 10 10 mm Hex Key 11 Straight Blade Screwdriver and 12 Loctite brand Threadlocker 8 of 56 AtriCure Inc P000808 B 1 14 EMC Guidance and Manufacturer s Declaration 1 14 1 Electromagnetic Requirements 1 14 1 1 The AtriCure System Cart ASC2 along with its associated equipment ASU2 ASUS ASB3 ACM1 ACM2 and ORLab from here on referred to as the AtriCure RF Cryo and EP Mapping System ARC EPMS have been tested and found to comply with the
30. rovided in your Tool Kit unfasten and remove the two larger front rubber feet in Position 1 and replace them in Position 3 Figure 74 T e 3 m e sanie vago MAREM wi ias a Metri SUD er MNT i Mr EFREREMONEADMMMtt ern serbia a crore ER T AAAS mina eas M M AMORES EN Lua EVE T JEMEN EN Figure 74 Move the two larger front rubber feet from Position 1 to Position 3 51 of 56 AtriCure Inc P000808 B 8 2 3 NOTE The ASC2 is configured with two different Isolation Transformers 1 a Toroid brand and 2 a Powertronix brand The Isolation Transformers can be found under the bottom shelf Reference Figures 75 and 76 to correctly identify the Isolation Transformer configured on the cart to determine proper electrical connection for the cryolCE BOX 8 2 4 PRECAUTION If the cryoICE Box is connected to a grounded hospital AC power receptacle it must be connected into the same grounded hospital AC power receptacle as Isolation Transformer 8 2 5 NOTE Do not plug the cryolCE BOX into the Toroid Isolation Transformer The Toroid transformer is 1000VA and does not have the capacity to power the ORLab system and cryolCE Box If the cart is configured with the Toroid transformer the cryolCE Box must be connected into the grounded hospital AC power receptacle 8 2 6 NOTE The Powertronix Isolation Transformer is designed to handle the cryolCE Box power requiremen
31. semble the unit Unpack the Shipping Carton and make sure that you have the components pictured 4 1 3 NOTE Do not throw away any tools or manuals Figure 16 1 Cryo Cart Kit Shipping Carton 2 Tank Holder QTY 1 3 Shorter Cable Covers QTY 2 4 Tap Strips QTY 2 5 Tool Kit and 6 Chain to secure N2O Tanks not shown 21 of 56 AtriCure Inc P000808 B 4 2 Assembly Cryo Cart Kit 4 2 1 Remove the Power Column Caps and Covers on the right side Figure 17 Figure 17 Remove the Power Column Caps and Covers on the right side 4 2 2 Use the 5 mm Hex Key to remove the Cable Guard Figure 18 Figure 18 Use the 5 mm Hex Key to remove the Cable Guard 22 of 56 AtriCure Inc P000808 B 4 2 3 Install the two Tap Strips provided in the kit Figure 19 4 2 4 NOTE Ensure that the embossed features bumps on the tap strips are oriented toward the outside of the cart Figure 20 4 2 5 NOTE Up and Down Orientation of the tap strips is not required they are symmetrical Figure 20 Orient the bumps on the Tap Strip toward the outside of the cart 23 of 56 AtriCure Inc P000808 B 4 2 6 Place the Hinge Leaf of the Tank Holder against the Right Power Column 4 2 7 NOTE Ensure that it is resting at the bottom of the Power Column Figure 21 4 2 8 NOTE The bolt assemblies consist of a Socket Head Cap Screw Flat Washer and Lock Washer Figure 21 4 2 9 Using the 5 mm Hex
32. sisting of the Basic Cart the Cryo Cart Kit and ORLab Cart Kit does not have any serviceable parts For servicing issues contact AtriCure Inc 1 10 Environmental 1 10 1 NOTE Environmental Conditions 1 operational temperature 10 C to 40 C 2 storage temperature 35 C to 454 C and 3 humidity 1596 to 90 relative humidity 1 10 2 Follow local governing ordinances and recycling plans regarding disposal or recycling of system components 1 11 Preventative Maintenance 1 11 1 NOTE Perform annual preventative maintenance procedures to ensure all Cart components are functioning properly including but not limited to 1 electrical power cords for fraying damage and proper grounding 2 AC power switch and 3 caster damage 7 of 56 AtriCure Inc P000808 B 1 12 Safety Information 1 12 1 PRECAUTION To avoid electrical hazards all parts of the ORLab including the computer monitor Stimulus Generator Unit and Lexmark laser printer must be connected to the Isolation Transformer and never directly to a mains outlet 1 12 2 PRECAUTION To avoid electrical hazards and prevent overloading the transformer do not connect any non AtriCure approved equipment to the supplied Mains Isolation Transformer 1 12 3 PRECAUTION Use AtriCure System Cart only in ventilated areas and away from flammable gasses To avoid risk of explosion the Basic Cart should only be used in a ventilated area as gasses may be released during cha
33. store stimulus cable to green Pave Output socket Connect ORLab SGU s ECG 1 INPUT to your third party ECG Monitor Use an ECG Stimulator to verify that ORLab displays ECG on its screen Verify LCD screen touch function by starting and stopping Emergency pacing and exiting and re entering Application Print Test one page from Review screen Health facility s Biomedical Engineering Dept is generally required to test and accept the installed system for electrical safety ensure that this has been done Responsible customer representative has been trained as per above training Pacing sound is emitted and yellow test LED lights at 100 20 ppm Battery OK indicator lights after 1 4s ECG Is seen on Stimulator screen top channel Pacing starts on sustained press of Emergency button and stops with press of Pace On Off Printer prints Review Screen Page as displayed on the screen Biomedical Engineering acceptance verified Customer able to perform items in Section 6 1 above P000808 B UntSenNo oa Unit Serial No Date Date 56 of 56
34. tachment to the rear of the ASU and ASB 3 2 11 Install Footswitch Jumper Cable between the ASU and ASB on the rear Figure 11 Figure 11 Installation of Footswitch Jumper cable between the ASU and ASB 18 of 56 AtriCure Inc P000808 B 3 2 12 Install the Hand Piece Jumper Cable between the ASU and ASB Figure 12 i a AN E 7 o EN I z 7 7 F ti Pd EPI wu E a r Figure 12 Installation of the Hand Piece Jumper Cable between the ASU and ASB 3 2 13 Connect Stimulus Connection Box to ASB with 609 mm 24 PSS Interface Cable Figure 13 3 2 14 Push Connectors into Plugs Firmly to ensure proper connection Figure 13 3 2 15 NOTE Connect ATRIUM CH 1 to PSS 1 Figure 13 Figure 13 Connect Stimulus Connection Box to ASB with 609 mm 24 PSS Interface Cable 19 of 56 AtriCure Inc P000808 B 3 2 16 Connect the Footswitch Cable to FOOTSWITCH Connector on the ASB Figure 14 Figure 14 Connect the Footswitch Cable to FOOTSWITCH connector on the ASB 3 2 17 Store the Footswitch in the Footswitch Holster Figure 15 Figure 15 Footswitch Holster 20 of 56 AtriCure Inc P000808 B 4 Cryo Cart Kit Components and Accessories 4 1 Unpacking Cryo Cart Kit 4 1 1 There is one Shipping Carton required to assemble this cart configuration Figure 16 4 1 2 Relocate the Shipping Carton to an open area that will provide sufficient space to as
35. ts The cryolCE Box can be connected into a grounded hospital AC power receptacle or it can be connected to the Powertronix Isolation Transformer 8 2 7 NOTE Reference the instruction manuals received with the cryolCE Box and Cryo products to assemble the cryolCE Box and Cryo Cart Kit to the ASC2 cart 15V 8 34A 1000VA 230V 4 17A fi G NEUTRAL CONDUCTOR NOT GROUNDED Figure 75 1 Toroid Isolation Transformer Identification Front of Cart View and 2 Depicts the connections Back of Cart View rear panel removed BONA PC POWER SUPPLY 0 240V to DC 12V 5A Figure 76 1 Powertronix Isolation Transformer Identification Front of Cart View and 2 Depicts the connections Back of Cart View rear panel removed 52 of 56 AtriCure Inc P000808 B 8 2 8 NOTE The ASC1 Cart requires unique components and instructions for adding the cryolCE Box 8 2 9 NOTE Call Customer Service if you have an ASC1 Cart and need to add the cryoICE Box 53 of 56 AtriCure Inc P000808 B 9 Installation Checklist 9 1 Must Be Performed and Returned 9 1 1 NOTE The Installation Checklist must be performed signed and returned before first live case after installation of the following items 1 Basic Cart 2 ASU ASB Components and Accessories 3 Cryo Cart Kit 4 cryolCE BOX Components and Accessories 5 ORLab Cart Kit and ORLab Components and Accessories 9 1 2 All items must pass for installation to verify
36. ur screws with 3 mm Hex Key supplied in Tool Kit Install four M4 x 25 socket cap screws provided in Tool Kit 7 5 7 The screws should be started but not screwed in all the way 3 to 5 turns maximum 7 5 8 Use the 1 o clock 5 o clock 7 o clock and 11 o clock positions as shown in Figure 48 Figure 48 Mount four screws in the 1 o clock 5 o clock 7 o clock and 11 o clock positions as shown in the photo on the right 38 of 56 AtriCure Inc P000808 B 7 5 9 Align the four screw heads with the key hole slots on the Monitor Adapter 100 mm 75 VESA mount Figure 49 7 5 10 Push the monitor against the Monitor Adapter and allow it to slide down about 6 mm 4 to engage Monitor Adapter 100 mm 75 mm VESA mount Figure 50 Figure 50 1 Align Cap Screws into key hole slots 2 Insert monitor 3 Seat the Cap Screws inward and downward motion onto the Monitor Adapter the Monitor will hang on Cap Screws and 4 Tighten all four Cap Screws do not over tighten 39 of 56 AtriCure Inc P000808 B 7 5 11 Secure the Monitor to the Monitor Adapter 100 mm 75 mm VESA mount by tightening the four screws 7 5 12 Move to the back side of the cart Use the 3 mm Hex Key provided in the Tool Kit to tighten the 4 mounting screws 7 5 13 NOTE The screws are slightly obscured by the Monitor Mount 7 5 14 NOTE The location of the four screws is indicated by the red circles Figure 51 Figure 51 L
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