n eop r ob e®® G a m m a Det ect ion Syst em (G DS) O p er a t ion M a n u a l Blu et oot h ®® W ir eless T ech n ology neoprobe® GDS Operation Manual “neo2000®” and “neoprobe®” word marks and logos are registered trademarks of Neoprobe Corporation. “TÜV” word mark and logos are registered trademarks of TÜV. "Bluetooth®" word mark and logos are owned by Bluetooth SIG, Inc. and any use by Neoprobe or its representatives is under license - - do not translate word marks. Neoprobe Corporation www.neoprobe.com 425 Metro Place North, Suite 300 Dublin, Ohio 43015-1367 U.S.A. Tel: +1-614-793-7500 (English only) Toll Free: 1-800-793-0079 (U.S. Only) Fax: +1-614-793-7520 URL: www.neoprobe.com AR-MED, Ltd. Runnymede Malthouse Egham TW20 9BD, United Kingdom Tel: + 44 (0) 1344 601204 Fax: + 44 (0) 1344 601202 Made in U.S.A. This document is sole property of Neoprobe Corporation. Any duplication, reproduction, or transmission of document or any of its content to unauthorized parties without prior written permission of Neoprobe Corporation is prohibited. © 2011 NEOPROBE CORPORATION. ALL RIGHTS RESERVED. DIN: 00-1393, Rev. D Page 2 of 36 neoprobe® GDS Operation Manual TABLE OF CONTENTS 1. INTRODUCTION ....................................................................................................................................................................................... 4 2. EQUIPMENT ASSEMBLY........................................................................................................................................................................ 5 3. DYNAMIC PITCH MODE (DEFAULT) .................................................................................................................................................. 7 4. BINARY PITCH MODE (OPTION) ....................................................................................................................................................... 13 5. TERMINOLOGY AND SYMBOLS ........................................................................................................................................................ 17 6. POTENTIAL APPLICATIONS............................................................................................................................................................... 19 7. CLEANING & DISINFECTION ............................................................................................................................................................. 20 8. MAINTENANCE ...................................................................................................................................................................................... 24 9. SYSTEM SPECIFICATIONS .................................................................................................................................................................. 30 10. WARNINGS, CAUTIONS AND NOTES ................................................................................................................................................ 34 DIN: 00-1393, Rev. D Page 3 of 36 neoprobe® GDS Operation Manual 1. INTRODUCTION neoprobe® Gamma Detection System console, with BLUETOOTH wireless technology, detects presence of gamma rays emitted from radioactive isotopes in body organs or tissue. System provides an increasing or decreasing sound and visual indicator (Count Bar) that vary in pitch as level of gamma radioactivity increases or decreases. Intended use Indications Electronic medical device for detecting and quantifying gamma radiation Used externally and intraoperatively to detect radioactive emissions from body tissues or organs where radiopharmaceuticals are administered Detecting gamma radiation with a hand-held probe is based on inverse square law of physics which allows detection of radiation emitted from a small source. Placing probe close to radioactive site increases number of counts detected and localization occurs. Excision of lesion is then performed using standard surgical technique. Gamma detection protocols that control use of large, highly collimated scintillation detectors may require modifications when used in conjunction with hand-held gamma probe. NOTE: User is responsible to determine suitability of product for use in any surgical procedure. Contact Neoprobe Corporation regarding questions for intended use of product. CAUTION: United States Federal law restricts this device to sale by or on order of a physician. CAUTION: Read Warnings, Cautions and Notes section before operating product. CAUTION: Clean and sterilize probe and collimator before use; use sterile surgical probe cover if not sterilized. NOTE: Save packing material to return product for service. NOTE: Accessories packaged separately from control unit (console) during shipment. Verify you have received all items ordered. Visual Indicators and Controls Visual information and data viewed on LED screen. Visual information displayed in Liquid Crystal fonts and translated in this manual; example - “No Linc” is displayed as “no linc” “on LED screen. FRONT DIN: 00-1393, Rev. D REAR Page 4 of 36 neoprobe® GDS Operation Manual Number Name Number Name [1] Standby/On Switch and Indicator Light [15] Volume Adjustment [2] “No Probe Connected” Symbol [16] Mute Button [3] Radionuclide Selection Indicators [17] Mute Symbol [4] Binary/Dynamic Pitch mode buttons and indicators [18] Dynamic Pitch Range Buttons And Indicator Lights [5] Probe Input Connector [19] EC Authorized Representative Tag [6] Count Bar [20] Manufacturers’ Tag [7] Target Count Readout [21] Radionuclide Selector Button [8] Background Count Readout [22] Serial Port Connector [9] Ratio Readout [23] BLUETOOTH indicator light [10] Target Count Symbol [24] Serial Number Tag [11] Target Count Button* [25] AC Power Inlet Connector [12] Ratio Symbol [26] Power Rating Tag [13] Background Count Symbol [27] Equipotential Contact Point [14] Background Count Button NOTE: [Numbers] are repeated in following text to identify indicator or control. * Functionality of button [11] same as button on probe with BLUETOOTH wireless technology. See wireless probe operation manual. 2. EQUIPMENT ASSEMBLY Step 1 2 Start product Connect Model 2009 power cord to console and into AC power source. DO NOT USE EXTENSION CORD Press and release Standby/On button Console powers on; displays software version; and operates in Dynamic Pitch Mode NOTE: Console is equipped with BLUETOOTH wireless technology and is compatible with both BLUETOOTH wireless technology enabled probes and cabled probes. User can select either probe type to use with console. A wireless probe cannot be operated at the same time a cabled probe is in use. DIN: 00-1393, Rev. D Page 5 of 36 neoprobe® GDS Operation Manual Quick Start BLUETOOTH Wireless Technology Enabled Probe Step 1 2 3 4 5 Prepare probe equipped with BLUETOOTH wireless technology Prepare for operation as stated above Install battery in probe Press button on probe; probe blue light is on steady Press and hold Target Count Button [11] on console; displays “disc”; release Target Count button Probe connects; blue light on probe flashes and starts normal operation See manual provided with probe for complete instructions When base Binary or Dynamic Pitch Mode (not performing a 10-second count, etc), user can press and hold Background Count Button. After five seconds, a Start Beep sounds and wireless probe will turn off. Note: It takes an additional five seconds before system displays “no Linc”. If Radionuclide Button is pressed and held for more than one second, user will hear a “start beep” and all radionuclide indicators will go out. This signifies an Open Window setting. Exit Open Window by pressing and releasing Radionuclide button (last radionuclide selected is restored). When in base Binary or Dynamic Pitch Mode (not performing a 10-second count, etc) and a wireless probe battery is low, Ratio Indicator will show “Lo” and Background Count will show “batt” for two seconds. A low battery chime is sounded and No Probe Connected Icon turns on for two seconds, then turns off. Previous values are restored. Message is seen every 20 seconds. DIN: 00-1393, Rev. D Page 6 of 36 neoprobe® GDS Operation Manual Quick Start Probe with cable Procedure for reusable cabled detector probes (Model 1017 or Model 2059). Step 1 2 3 Prepare Prepare console for operation as stated above: If needed, attach external collimator to probe Using aseptic technique (without sterile surgical drape) connect probe to Model 2024 or Model 2060 probe cable; align red dot on probe to red dot on cable connector; gently insert cable into Probe Input Connector; if using a sterile surgical drape - place probe in drape now Align arrow on cable connector and groove in Probe Input Connector [5] on console; gently insert cable connector neoprobe® system is now ready for use NOTE: Model 1013 collimator is compatible with Model 1100, 1101, and 1017 probes. NOTE: Model 1017 14mm probe connector has four pins; Model 2059 11mm probe connector has six pins. NOTE: You hear audible click as you insert cable connector into Probe Input Connector. Connector is push/pull component - DO NOT TWIST/TURN CABLE CONNECTOR, damage to connectors and connector pins may occur. 3. DYNAMIC PITCH MODE (DEFAULT) Radioactive isotopes are traced in Dynamic Pitch Mode from injection site to other areas of concentration. To…. Turn system on Select Dynamic Pitch count range different from 0-100 Select a radionuclide different from 99mTC. DIN: 00-1393, Rev. D Perform following….. See Equipment Assembly above Press and release Dynamic Pitch Count Range selection buttons [18]. Press and release Radionuclide Selection button [21] until desired radionuclide is lit Page 7 of 36 And this occurs…… “Dynamic Pitch” indicator [4] is lit Dynamic Pitch Range automatically set to 0-100 count range, and default background count is 2 cps Radionuclide automatically set to Technetium 99m (99mTC), and indicator [3] is lit Indicator for desired Count Range is lit [18]; Background Count Readout [ 8] changes to default for selected Count Range Radionuclide Selection Indicator [ 3] is lit neoprobe® GDS Operation Manual To…. Set Dynamic Pitch audible tone. Perform following….. Turn Volume [15] counterclockwise And this occurs…… Sound is lowest Sound is highest Set Dynamic Pitch sound on or off. Turn Volume [15] clockwise Press and release Mute Button [16]. When sound is off, Mute symbol [17] flashes; when sound is on, Mute symbol [17] is constant Background Count in Dynamic Pitch Mode Background Count [8] is used as minimum value for selected range. Background Count [8] displays default value for Dynamic Pitch range; Ratio Readout [9] is off; and Target Count [7] displays count rates as probe moves over body tissue. BACKGROUND COUNT How to acquire Background Count • Place probe tip on target area. • Press and release Background Count Button [14]; a single Start Beep will sound; hold probe steady 2 to 6 seconds until Count Bar [6] is full and a double Stop Beep sounds. Console display • Background Count Symbol [13] flashes. • Background Count Readout [8] displays dashes. • Count Bar [6] fills from bottom to top as data is collected. • Target Count Readout [7] is blank and is stopped temporarily. Background Count Value Background Count Readout data [8] will remain until a new Background Count is performed, Count Range [18] is changed, Dynamic/Binary Pitch button is pressed, or system is switched off. Set Dynamic Pitch range Physician generally sets Dynamic Pitch Range [18] based on maximum count rates expected in order to achieve highest result for a given Dynamic Pitch Range. Default Background Count values are displayed in table below. Count Range 100 DIN: 00-1393, Rev. D Page 8 of 36 Default Background Count 2 neoprobe® GDS Operation Manual Count Range 1,000 10,000 50,000 Default Background Count 20 200 1000 Operational Notes Events that may occur during product use: If…… Background Count is greater than or equal to 80% of maximum value of selected Count Range Background Count is less than or equal to 2% of maximum value of selected Count Range Background Count button [14] is pressed during background count Background Count button 14] is pressed while Background Count value is displayed Then this occurs…… Example: 800 is displayed for 1,000 Count Range Example: 20 is displayed for 1,000 Count Range Ratio is not calculated during Target Count. A Start Beep sounds and Background Count restarts A new Background Count starts Scanning to Locate Concentrated Areas of Radioactivity Physician scans target areas to locate radioactivity after setting Background Count and Dynamic Pitch Ranges. System status Target Count Readout [7] displays Count Rate value; Count Bar [6] is on and displays Count Rate activity. Audible signal may be heard, depending on Count Rate, Dynamic Pitch Range selection, and Volume settings. Scanning procedure Physician slowly scans by moving probe over target tissue at a rate of 1-2 centimeters per second (cm/s). Sound rises in pitch as Count Rate increases from Background Count Value to Dynamic Pitch maximum value. SCAN OVER TARGET AREA NOTE: Count is too high to be displayed when Count Bar [6] fills to top and flashes with varying audio. To correct, press and release Dynamic Pitch Range Button [18] for next higher Dynamic Count Range, and perform a new Background Count if necessary. Optionally, press, hold and then release any Dynamic Range button (18) to activate “Autorange Function”, see autorange instructions below. Acquiring Target Count in Dynamic Pitch Mode Acquire Target Count to identify intensity of gamma radiation in surrounding area. DIN: 00-1393, Rev. D Page 9 of 36 neoprobe® GDS Operation Manual TARGET COUNT Acquire Target Count • Hold probe stationary over target area to achieve highest Target Count Readout value [7], highest Count Bar level, and highest sound. • Press and release Target Count Button [11]; keep probe steady over target area for 1 to 6 seconds until Count Bar [6] is full and a double Stop Beep sounds. Collect Target Count • Target Count Symbol [10] flashes green. • Target Count Readout [7] displays dashes. • Count Bar [6] fills from bottom to top as data is collected. Target Count Value • Target Count Readout data [7] is displayed for 5 seconds; Target Count Symbol (10) flashes green. • Count Bar [6] is off. • After 5 seconds, double Stop Beep sounds and system returns to Dynamic Pitch Mode, displaying last calculated Background Count [8] and current Count Rate [7]. Acquiring Target Count Ratio in Dynamic Pitch Mode TARGET COUNT RATIO DIN: 00-1393, Rev. D Page 10 of 36 neoprobe® GDS Operation Manual Acquire a Target Count Ratio • Hold probe stationary over target area. Press and release Background Count Button [14]. Background Count must be greater than default value (2%) of Count Range selected in order to activate Ratio Calculation function. • Hold probe stationary over target area. Press and release Target Count Button [11] until a beep sounds; hold probe steady over target area for 1 to 6 seconds until Count Bar [6] is full and a double Stop Beep sounds. Collect a Target Count • Target Count Symbol [10] flashes amber. • Target Count Readout [7] displays dashes. • Count Bar [6] fills from bottom to top as data is collected. Target Count Value • Target Count Readout data [7] and Ratio Readout [9] are displayed for 5 seconds; Target Count Symbol [10] flashes amber. • Amber Ratio Symbol [12] displayed below Target Count Symbol [10]. • Count Bar [6] off. • After 5 seconds, a double Stop Beep sounds and system returns to Dynamic Pitch Mode displaying last calculated Background Count [8] and current Target Count [7] data. Acquiring Ten Second Count in Dynamic Pitch Mode TEN SECOND COUNT Acquire a Ten Second Count • Hold probe stationary over target area. • Press and hold Target Count Button [11] until beep sounds; then release button. • Hold probe steady for 10 seconds over target area until Count Bar [6] is full and double Stop Beep sounds. Collect Ten Second Target Count • Target Count Symbol [10] flashes green. • Target Count Readout [7] displays dashes. • Count Bar [6] fills from bottom to top as data is collected. Ten Second Target Count Value DIN: 00-1393, Rev. D Page 11 of 36 neoprobe® GDS Operation Manual Note: Value displayed is not counts per second. Value is total counts obtained in 10 seconds. • 10 second Target Count [7] displayed for 5 seconds; Target Count Symbol [10] flashes amber. • “10” is displayed below amber Target Count Readout, and message “secnd” displayed in green. • Count Bar [6] off. • After 5 seconds, double Stop Beep sounds and system returns to Dynamic Pitch mode, displaying last calculated Background Count [8] and current Target Count Readout data [7]. How to Use Autorange Console has 4 preset ranges: 100; 1000; 10000; and 50000 counts per second. Physician can define a different range with Autorange function. • Hold probe stationary over target area to achieve highest Target Count Readout data [7] and highest sound. • Press and hold one of four Dynamic Pitch Range Buttons [18] until beep sounds, release button. Hold probe steady over target area until Count Bar [6] is full and double Stop Beep sounds. NOTE: Press and release any Dynamic Pitch Range Button [18] to return to default settings for desired range. NOTE: If Target Count Value [7] is greater than maximum value of desired Dynamic Pitch Range [18], then Count Bar [6] is full and flashes with varying beep. Console display • Target Count Readout data [7] is displayed. • Background Count Data [8] is blank. • Count Bar [6] fills from bottom to top as data is collected; double Stop Beep sounds when completed. NOTE: Autorange feature sets maximum data point of user defined range to 125% of Target Count [7] acquired during Autorange process. • Background Count [8] is set to either 2 counts per second or 2% of full scale, whichever is greater. • Selected Dynamic Pitch Range light [18] flashes. AUTORANGE Operational Note Events that may occur during product use: If…. Target Count Button [11] is pressed while DIN: 00-1393, Rev. D Then this occurs….. Target Count restarts Page 12 of 36 neoprobe® GDS Operation Manual If…. Target Count is calculated Target Count is too high Then this occurs….. Overflow Symbols”///// ” displayed on Target Count Readout [7] and varying beep is heard Target Count Button [11] is pressed while Target Count or 10 Second Count is displayed Calculated Ratio is greater than 99.9 ///// Target Count function returns to Dynamic Pitch Mode and displays Count Rate data Overflow symbol “///” is displayed [9] //// 4. BINARY PITCH MODE (OPTION) Binary Pitch Mode sound tells physician when radioactivity is significantly above Background Count of nonradioactive area. To…… Perform following…… And this occurs…. Turn system on Press and release power standby button [1] Power indicator is lit. All LEDs are lit System should begin normal operation within 20 seconds Operation of BLUETOOTH: message “no linc” indicates problem with probe, console or serial port adapter. See troubleshooting instructions below. For a cabled probe: If there is no probe or cable attached message “error no Probe” is displayed. See troubleshooting instructions below. System function indicator lights and “error 2” through “error 6” are displayed. See troubleshooting instructions below. Conduct performance check See instructions below Select Binary Pitch Mode Press and release Binary Pitch/Dynamic Pitch Button [4] Binary Pitch Symbol is lit Background Count changes to 7 counts per second Radionuclide automatically set 99mTc, and radionuclide symbol is lit Select different radionuclide from 99m Tc DIN: 00-1393, Rev. D Press and release Radionuclide Selection Button [21] to select radionuclide Page 13 of 36 Desired radionuclide is lit neoprobe® GDS Operation Manual To…… Perform following…… Adjust Binary Pitch sound Turn Volume Adjustment counterclockwise Sound is lowest Turn Volume Adjustment clockwise Sound is highest Turn Binary Pitch sound on/off And this occurs…. Press and release Mute Button [16] Sound is off, Mute Symbol flashes Sound is on, Mute Symbol is steady Background Count in Binary Pitch Mode Background Count establishes baseline data for radioactivity level of normal tissue. System compares background data to radioactivity level of Target Tissue when a Target Count is performed. System status before background count Background Count Readout [8] displays number “7” as a default value; Ratio Readout [9] is off; and Target Count Readout data [7] updates count rates every one-half second as probe moves over tissue. How to acquire background count • Place probe tip on normal tissue (e.g., normal adjacent tissue, etc.) • Press and release Background Count Button [14]; single beep sounds. Hold probe steady for 6 seconds; beep stops. Console display • Background Count Symbol [13] flashes • Background Count Readout [8] displays dashes • Count Rate [7] is temporarily blank • Count Bar [6] fills from bottom to top as data is collected for 6 seconds. Background count display • After 6 seconds, Background Count Data [8] is constant until a new Background Count is taken; Binary Pitch Mode [18] is changed; or system is shut off. • Count Rate [7] data is displayed. BACKGROUND COUNT - BINARY PITCH MODE DIN: 00-1393, Rev. D Page 14 of 36 neoprobe® GDS Operation Manual Operational Note Events that may occur during product use: If….. Then this occurs…… Background Count is too high Overflow Symbols “///// ”on Background Count Readout (7) and beep sounds Background Count Button (14) is pressed while a count is in progress A Start Beep sounds; starts new Background Count calculation Background Count Button (14) is pressed after Background Count Readout data (7) is displayed Starts new Background Count calculation ///// Scanning to Establish Boundaries of Target Tissue in Binary Pitch Mode Scan target tissue to locate area of localized radioactivity after Background Count Calculation is completed. Scanning procedure Scan for radioactivity by moving probe slowly over tissue at a rate of 1 or 2 centimeters per second (cm/s). When radioactivity exceeds Background Count Data by a statistically significant amount, beep sounds to indicate target tissue with localized radioactivity. Mark perimeter of Target Tissue. Count display Count Rate is displayed in Target Count Readout [7]. No Target Count or Ratio is displayed during scanning procedure. Acquiring Target Count (6-Second Option) System status before Target Count Background Count Readout [8] displays Background Count Data. Ratio Readout [9] is off. Target Count Readout [8] displays count rates as probe is moved over tissue. How to Acquire Target Count • Hold probe stationary over Target Tissue. • Press and hold Target Count Button [11] until Start Beep sounds. Release button. • Hold probe steady 6 seconds until Stop Beep sounds. Console Display • Target Count Symbol [10] changes from green to amber and flashes. • Target Count Readout [7] displays dashes. • Count Bar [6] fills from bottom to top as data is collected for 6 seconds. Target Count and Ratio Display • Target Count Readout data [7] and Ratio Count Data [9] are displayed for 5 seconds. Target Count Symbol [10] flashes amber. • Ratio Readout [9] is displayed. Ratio Symbol [12] flashes. DIN: 00-1393, Rev. D Page 15 of 36 neoprobe® GDS Operation Manual • After 5 seconds, system returns to Binary Pitch Mode displaying last calculated Background Count data [8] and current Count Rate data [7]. TARGET COUNT; 6-SECOND OPTION Operation Note Events that may occur during product use: If….. Target Count Button [11] is activated (press and hold) while a Target Count is calculated Target Count [7] is too high Target Count button [11] is pressed twice while Target Count Readout data is displayed Calculated Ratio Readout data is greater than 99.9 Then this occurs….. Start Beep sounds and starts new Target Count Overflow symbol “/////” is displayed in Target Count Readout (7) and beep sounds Starts new Target Count Overflow symbol “///”appears in Ratio Readout (9) Performing a Target Check (2-Second Option) Perform a 2-second Target Check to obtain a quick reading of radioactivity level of target tissue. System status before Target Check Background Count Readout [8] displays Background Count Data. Ratio Readout [9] is off. Target Count [7] displays count rate as probe is moved over tissue. How to perform Target Check • Hold probe stationary over target tissue. • Press and release Target Count Button [11]; Start Beep sounds. • Hold probe steady for 2 seconds until Stop Beep sounds. Console Display • Target Count Symbol [10] flashes. • Target Count Readout [7] displays dashes. • Count Bar [6] fills from bottom to top as data is collected for 2 seconds. DIN: 00-1393, Rev. D ///// Page 16 of 36 /// neoprobe® GDS Operation Manual Target Check Display • Target Check data is displayed in Target Count Readout [7] for 5 seconds; Target Count Symbol [10] flashes green. • After 5 seconds, system returns to Binary Pitch mode displaying last calculated Background Count data [8] and current Count Rate data [7]. TARGET CHECK; 2-SECOND OPTION Operation Note Events that may occur during product use: If….. Then this occurs…… Target Check data is too high Overflow Symbol “/////” is displayed in Target Count Readout [7] and beep sounds Target Count Button [11] is pressed while Target Count is displayed ///// Target Count Readout [7] changes to Binary Pitch Mode and displays Target Count data System Shutdown Shut down system and prepare for reuse. Step 1 2 3 4 5 System shutdown and reuse Press and release Standby/On button [1] Disconnect power cord Clean console and power cord; wrap power cord around posts on rear panel of console Separate and clean external collimator and probe Sterilize external collimator and probe if no sterile surgical drape is used 5. TERMINOLOGY AND SYMBOLS Terms, symbols and graphics used in this manual. ITEM DESCRIPTION Count Rate A continuous rate of gamma radiation measured in counts per second and updated every one-half second. Count Rate is displayed on same line of LED screen as Target Count data and Target Check data when these functions are not active. DIN: 00-1393, Rev. D Page 17 of 36 neoprobe® GDS Operation Manual ITEM DESCRIPTION Background Count In Dynamic Pitch Mode: a baseline value in counts per second stored in console and used as threshold to activate sound In Binary Pitch Mode: baseline value in counts per second stored in console for comparison to Target Count determines if difference in radioactivity between Background Tissue and Target Tissue is statistically significant. Compton Scattering Radioactive noise at an energy level lower than photo peak of radioactive material. Ratio Readout A value indicating how likely it is that Target Tissue is identified (Target Count divided by Background Count). Dynamic Pitch Default mode of operation: baseline value measured in counts per second that is stored in console, and used as threshold at which sound is activated. Binary Pitch Scan/Scanning Optional mode of operation: baseline value measured in counts per second that is stored in console for comparison to Target Count determines if difference in radioactivity between Background Tissue and Target Tissue is statistically significant. Moving probe across Target Area to locate highest radiation reading. Target Area Area of interest selected by physician during a procedure Target Check Binary Pitch Mode Only: quick check of level of radioactivity measured in counts per second detected by a probe held stationary for 2 seconds over target tissue; more accurate than Count Rate. Target Check function does not display a calculated Ratio Readout. Target Count Number indicating level of radioactivity detected by probe when held stationary for 6 seconds over Target Tissue; more accurate than Target Check. Target Count activates and displays a calculated Ratio Readout; 6 seconds in Binary Pitch mode; 1 to 6 seconds in Dynamic Pitch mode. Caution: United States Federal Law restricts this device to sale by or on order of a physician. +60°C Storage and Transit Temperature -20°C Storage and Transit Pressure Storage and Transit Humidity Type CF CAUTION: consult accompanying documents Standby/ON CAUTION: non-sterile DIN: 00-1393, Rev. D Page 18 of 36 neoprobe® GDS Operation Manual ITEM DESCRIPTION WARNING: hazardous voltage or shock hazard present; follow instructions and warnings 6. POTENTIAL APPLICATIONS Product is used transcutaneously and intracutaneously to detect radioactive emissions from body tissues or organs where radiopharmaceuticals are administered. Most commonly administered isotopes are listed in following table, all are detected by this product. Radionuclide • Iodine-125 • Cobalt-57 • Technetium99m • Indium-111 • Iodine-131 • Flourine-18 Principal Photo peak Energy (keV) 27-35, Te X-rays 122 Physical Half-Life 60 days 270 days 140 6.02 hrs. 99m 171/245 364 511 2.83 days 8.07 days 110 min. 111 Select this Radionuclide Indicator 125 I 57 Co Tc In I 18 F 131 NOTE: A variety of radiopharmaceuticals are available. It is responsibility of user to determine suitability and clinical utility of chosen radiopharmaceutical or radiolabeled compound, and protocol for administering drug and using probe intracutaneously. External application External gamma detection of administered isotope provides noninvasive means of gathering important physiological and/or anatomical information. Some examples are: detection and localization of blood clot formulation using 125I or 111 In labeled platelets: evaluation of thyroid function by measuring radioactive iodine uptake; evaluation of skin or skeletal muscle blood flow; diagnosis of testicular torsion using 99mTc; intracutaneous scanning for localization of lymphatic tissue. Intraoperative localization of lymphatic tissue Lymphoscintigraphy is a common medical procedure employed to define lymphatic flow from a site of injection through lymphatic tissue. Hand-held gamma probes may be useful in assisting a surgeon in localization of regional lymph node basins draining a lesion site. This allows surgeons to identify areas within lymphatics where a biopsy of tissue may be taken to determine histological status of lymph tissue. Minimally invasive radioguided parathyroidectomy A preoperative 99mTc -Sestamibi scan may be used on patients with primary hyperparathyroidism to localize target parathyroid adenoma and enable limited exploration as an alternative to complete bilateral surgical exploration. Hand-held gamma probes may be useful in assisting surgeons in intraoperative localization of target adenomas. Gamma probes can be used to detect and localize increased uptake of 99mTc -99m-Sestabibi by hyperparathyroid gland. Evaluation of ischemic bowel Strangulation of gut may cause ischemic bowel. Surgeon must revascularize it and determine its viability as part of surgical protocol. Gamma probes can be used to detect intra-arterial distribution of 99mTc labeled red blood cells as a means of determining if gut is reperfused. Other tracers, such as 99mTc labeled DTPA for perfusion or 9999mTc labeled pyrophosphate for muscle infarction, may require investigational drug status for this application. Perfusion of anastomosis-assessment of compromised blood flow DIN: 00-1393, Rev. D Page 19 of 36 neoprobe® GDS Operation Manual When a surgeon creates an anastomosis, it must be determined that each side of anastomosis has adequate perfusion; otherwise, anastomosis may fail, and leakage may occur. A high degree of morbidity is associated with this failure. Gamma probes provide opportunity to assess perfusion before and after creating anastomosis. Intravenous administration of stannous pyrophosphate followed by 99mTc automatically labels red blood cells in vivo. Blood flow to anastomotic ends and across anastomotic juncture can be verified with radiolabeled labeled blood cells detected by gamma probe. Intraoperative localization of osteoid osteomas Osteoid osteoma is a small, but painful, benign bone lesion. Surgical excision is curative. Modern radiographic techniques externally image lesion with 99mTc labeled pyrophosphate. However, because of their size (rarely greater than 1 centimeter) and location within cortical bone, it may be difficult for surgeon to localize lesion intraoperatively. A gamma probe may be useful in localizing a lesion site intraoperatively. Additionally, checking high concentration of radioactive isotope in removed bone fragments provides evidence that nidus is being excised. 7. Cleaning & Disinfection Follow precautions established in your facility when handling any medical device that has been in contact with body fluids, tissues, or blood (intraoperative). All medical devices used intraoperatively must be cleaned, decontaminated or sterilized before reuse. WARNING: Do not clean console or accessories when energized. Disconnect power cord from console and from power outlet before cleaning. Do not sterilize console or immerse it in fluids. Attempting to do so will cause permanent damage. Damp wipe only. CAUTION: Following general warnings apply to sterilization of system components: • Do not sterilize console • Use only approved sterilization procedures described with each probe or accessory. • Do not touch patient or operator with product when electrosurgical device is in use or energized. CAUTION: Prior to sterilization, probe and collimator should be inspected to ensure: • Cleanliness • Power cable is free of cracks or cuts • Connectors are completely dry • External collimator is removed from probe. Approved Cleansers/Sterilizers The console is compatible with following cleaning and disinfection agents/processes: • Control III (Maril Products, Inc.) – probes cables, collimators & connectors • Metrizyme (Metrex Research Corporation) – probes cables, collimators & connectors • Mild Soap and Water Solution – all products • Tor-II (Huntington Laboratories) – all products • Ammonia and 97% water – all products • Clorox and 90 to 95% water – all products • MediClean Forte – all products • MediZym – all products DIN: 00-1393, Rev. D Page 20 of 36 neoprobe® GDS Operation Manual • Isopropyl Alcohol 70% (rubbing alcohol) – all products The accessories are compatible with the cleansers listed above and the sterilizers listed below. Refer to individual Cleaning and Sterilization Instruction for Use Documents on Manual CD (00-1432 or 00-1414) for detailed instructions. See list of documents below: Cleaning/Sterilization Method Document # • Cleaning and Disinfection - probes, cables, connectors, & collimators 00-1548 • STERRAD – (Sterilization - ASPUS (Johnson & Johnson) - probes, cables, connectors, & collimators 00-1296 • EO (Sterilization) - probes, cables, connectors, & collimators 00-1294 • Flash Autoclave (Sterilization) – Collimators Only 00-1293 NOTE: cleaning agents not listed above are sole responsibility of user to adequately assess and validate. CAUTION: When using radioactive materials, use safe and proper handling techniques. See your institution’s radiation safety officer about nuclear regulation commission and other requirements. Radioactive decontamination procedures An increase in counts without a known radioactive source may indicate radioactive contamination of environment, probe or accessories. If high count is detected in absence of a radioactive source, then probe and collimator should be cleaned with a radioactive decontaminant solution (e.g., Radiacwash®). Follow standard nuclear medicine decontamination techniques. Wash probe with a decontaminant solution (e.g. Radiacwash®) using a soft gauze pad. Pay particular attention to cleaning recesses, crevices and mating surfaces with a soft brush. Do not scratch or abrade surfaces. Treat spent cleaning solution as radioactive waste and do not allow it to contaminate other surfaces. Dispose of pads and cleaning solution in approved containers. DIN: 00-1393, Rev. D Page 21 of 36 neoprobe® GDS Operation Manual Reprocessing of Console according to EN ISO 17664:2004 Manufacturer: Method: Cleaning & Disinfection Neoprobe Corporation 425 Metro Place North Suite 300 Dublin, Ohio 43017-1367 US Symbol: Model 2300 Devices(s): Reusable control units comprising fixed assemblies (no moving parts); sold nonsterile. WARNING: Limitations on reprocessing: INSTRUCTIONS: Point of use: Containment & Transportation: Preparation for cleaning: Cleaning - Automated: Cleaning: Manual Disinfection: Drying: Maintenance: Inspection & Function Testing: Packaging: Sterilization: Storage: Additional Information: Manufacturer Contact: WARNING: disconnect control unit from power source before cleaning to avoid electrical shock. Repeated processing has little effect on instrument. End of life is normally determined by abrasion, wear and damage. DAMP WIPE ONLY. Remove excess soil and surface contamination with disposable cloth/paper wipe. No particular requirements. Recommend reprocessing instrument soon after surgical use. WARNING: disconnect control unit from power source before cleaning to avoid electrical shock. Do not use automated cleaning. Clean by hand; cleaning instructions below. Equipment: mild detergent, clean gauze pad or lint free cloth, and clean soft brush. Method: 1. Dampen cloth with mild detergent and wipe excess soil from surface 2. Clean air flow vents with dry brush 3. Visually inspect for cleanliness 4. Repeat steps 1 to 3 until visually clean. 5. Allow to dry in room air No requirement Air dry at room temperature Do not use damaged instruments All instruments: Visually inspect for damage or wear. Where instruments form part of a larger assembly, check assembly with mating components. No requirement Console does not require sterilization No requirement Remove debris near power button and probe input connector. Do not allow moisture to enter through display or other openings. See troubleshooting section for telephone and address of local representative or telephone (+1) 614-793-7500, extension 167. NOTE: Instructions provided above are validated by medical device manufacturer as being capable of preparing a medical device for re-use. It remains responsibility of reprocessor to ensure that reprocessing is actually performed using equipment, materials, and personnel in processing facility to achieve desired result. This requires validation and routine monitoring of processes. Likewise any deviation by processor from instructions provided should be properly evaluated for effectiveness and potential adverse consequences. DIN: 00-1393, Rev. D Page 22 of 36 neoprobe® GDS Operation Manual Reprocessing of Power Cord according to EN ISO 17664:2004 Manufacturer: Method: Cleaning & Disinfection Neoprobe Corporation 425 Metro Place North Suite 300 Dublin, Ohio 43017-1367 US Symbol: Model 2009 Devices(s): Reusable power cords comprising fixed assemblies (no moving parts); sold nonsterile. WARNING: Limitations on reprocessing: INSTRUCTIONS: Point of use: Containment & Transportation: Preparation for cleaning: Cleaning - Automated: Cleaning: Manual Disinfection: Drying: Maintenance: Inspection & Function Testing: Packaging: Sterilization: Storage: Additional Information: Manufacturer Contact: WARNING: disconnect power cord from power source before cleaning to avoid electrical shock. Repeated processing has little effect on cable. End of life is normally determined by abrasion, wear and damage due to use. Remove excess soil and surface contamination with disposable cloth/paper wipe. No particular requirements. Recommend reprocessing instrument soon after surgical use. WARNING: disconnect power cord from power source before cleaning to avoid electrical shock Do not use automated cleaning. Clean by hand; cleaning instructions below. Equipment: mild detergent and lint free cloth. Method: 1. Dampen cloth with mild detergent and wipe excess soil from surface 2. Visually inspect for cleanliness 3. Repeat steps 1 to 3 until visually clean. 4. Allow to dry in room air No requirement Air dry at room temperature Do not use worn, cracked or damaged cable All instruments: Visually inspect for damage or wear. Where cable forms part of a larger assembly, check assembly with mating components. No requirement Power cord does not require sterilization No requirement Periodically perform safety test with equipment system to assure continued integrity of power cord. See troubleshooting section for telephone and address of local representative or telephone (+1) 614-793-7500, extension 167. NOTE: Instructions provided above are validated by medical device manufacturer as being capable of preparing a medical device for re-use. It remains responsibility of reprocessor to ensure that reprocessing is actually performed using equipment, materials, and personnel in processing facility to achieve desired result. This requires validation and routine monitoring of processes. Likewise any deviation by processor from instructions provided should be properly evaluated for effectiveness and potential adverse consequences. DIN: 00-1393, Rev. D Page 23 of 36 neoprobe® GDS Operation Manual 8. MAINTENANCE Product must be serviced by competent service technicians or engineers. Preventative maintenance is limited to external cleaning of console, fuse replacement and functional diagnostics. Probes, collimators and cables are sealed or do not contain serviceable components and cannot be repaired. CAUTION: Perform safety testing of current leakage and ground continuity tests with power cable attached as part of routine maintenance of product. This will ensure that power cord continues to be suitable and safe for use. User Calibration and Repair Do not open console. Console is set to factory specifications. Console design is optimized for digital operation and does not contain any analog adjustments. Fuse Maintenance Fuses can be accessed and replaced in AC Power Inlet Connector [25] located at rear of console. Table below describes how to replace fuses (2 each). CAUTION: disconnect power cord from console before checking fuses. NOTE: Both fuses are required for proper operation. Step 1. 2. 3. Procedure Remove fuse holder with flat blade screwdriver Replace new 1.6 AMP/250V slow blow, low breaking capacity, T1.6AL 250V fuses. Replacing fuse with incorrect rating will compromise safe operation, may cause permanent damage, and void warranty. Reinstall fuse holder. System Diagnostics Visual Indicator Test Mode (VITM) Verify visual indicators are operating properly: Step 1 2 3 4 Procedure Press and hold Dynamic/Binary Pitch Mode Selection Button [4] press and release Mute Button [16] to enter Diagnostic Mode Press and hold Dynamic/Binary Pitch Mode Selection Button [4]. Press and release Dynamic Pitch Range 100 Button to activate visual indicator test mode (vitm). Press and release Target Count Button [11]. Press and release Background Count Button [14]. DIN: 00-1393, Rev. D Result Background Count Readout [8] displays message “diag ”. LED components on top half of LED screen are lit. Note: LED components on bottom half of LED screen are off. Target Count Readout color changes from green to amber. LED components on bottom half of LED screen are lit. Background Count Readout displays message “vitm”. Note: LED components on top half of LED screen are off. Page 24 of 36 diag Vitm Vitm neoprobe® GDS Operation Manual Step 5 Procedure Diagnostic Mode: Press and hold Dynamic/Binary Pitch Mode Selection Button [4], press and release Background Count Button [14]. 6 Exit Diagnostic Mode - press and hold Dynamic/Binary Pitch Mode Selection Button [4], press and release Mute Button [16]. Input Controls Test Mode (ICTM) Result A double Stop Beep sounds and Background Count Readout displays “diag”. diag Exits Diagnostic Mode. Verify input controls are operating properly: Step 1 2 3 4 5 Procedure Result Press and hold down Binary Pitch/Dynamic Pitch mode selection button and press Mute button - release all buttons at once Background count displays “diag”. Enter Input Controls Test Mode (ictm) - Press and hold down Binary Pitch/Dynamic Pitch mode selection button and press Dynamic Pitch range 1000 button - - release all buttons at once Background count displays “ictm”. Press and release buttons in order listed below: Continuous tone sounds and message is displayed in Target Count Readout [7]: diag ictm • Radionuclide • Target count • Background count • Mute • Binary pitch/dynamic pitch mode Bu4 • Count range 100 • Count range 1,000 • Count range 10,000 • Count range 50,000 Bu5 Bu6 Bu7 Bu8 Bu0 Bu1 Bu2 Bu3 To exit ITCM Mode, press and hold Binary Pitch/Dynamic Pitch selection button, and while holding it down, press and release Background Count button A double chime tone is heard and Background Count display displays “diag”. Exit Base Diagnostic Mode - press and hold down Binary Pitch/Dynamic Pitch mode selection button and press Exit Diagnostic Mode DIN: 00-1393, Rev. D Page 25 of 36 diag neoprobe® GDS Operation Manual Step Procedure Mute button - release all buttons at same time Result System Accuracy Check Following procedure is used to confirm performance of system components is stable and consistent. NOTE: Individuals from Nuclear Medicine department familiar with radioactive emissions and measuring equipment should perform System Accuracy Check below. Ensure that source strength, distance from probe to source, and stray radiation from other sources do not adversely affect measurements taken. Ensure distance between probe and radiation source does not change during System Accuracy Check. Product design includes solid-state sensor and digital electronics technology that does not require periodic adjustments to compensate for gain “drift” commonly associated with analog photomultiplier electron tube designs. Use and maintain product as described in this manual. Product is not expected to exhibit any performance drift over prescribed lifecycle. Before performing quality checks, make sure probe with BLUETOOTH wireless technology is clean and free from sources of radioactive contamination. All other sources of radiation emission must be removed from proximity of probe during procedure. Shielding materials should be positioned to minimize effects of scatter and fluorescence peaks from radioactive source. Use a 57Co radioactive source with known strength between 5 and 25 micro Curies (185 to 925 kBq) during these procedures. Results will differ if you use another radionuclide, source strength, or source location. NOTE: Readings will differ between probe types. See battery housing of Wireless Probes for “ ” marking. ” or “ 1) Wireless Probe with “ ” marking, or “ ” with software version 5.02 or earlierPhoto Peak Efficiency Only conduct this test with BLUETOOTH wireless technology enabled probes. 1. Turn on and link a probe to console. 2. Set to Dynamic Pitch mode with 99mTc radionuclide selected. 3. Place 57Co radioactive source 20mm in front of probe (or use P-405 Check Source Fixture). Place probe and source in air above a table or other surface to minimize effects of scattered radiation on measurement. 4. On console, press and hold Target Count Button to perform a 10 second count. Make sure probe does not move during this process. Record this value. 5. Press and hold Radionuclide Selection button on back of console to select Open Window (v5.01 and later)*. 6. On console, press and hold Target Count Button to perform a 10 second count. Make sure probe does not move during this process. Record this value. 7. Divide 99mTc count from step 4 by open window count from step 6. Result should be greater than 40%. 8. Count-rate ratio determined by this procedure should be stable and consistent over time within expected +/10% statistical variation of radioactive emissions during recommended counting intervals. *NOTE: v4.01 or earlier software does not have Open Window feature, select 125I to perform this procedure. 2) Cabled Probe, orWireless Probe with“ ” and software version 6.01 or later Photo Peak Efficiency 1. Set unit to Dynamic Pitch mode and press Radionuclide selection button on back of unit to select 57Co radionuclide. 2. Place 57Co radioactive source 20mm in front of probe (or use P-405 Check Source Fixture). Place probe and source in air above a table or other surface to minimize effects of scattered radiation on measurement. 3. Press and hold Target Count Button to perform a 10 second count. Record this value. Make sure probe does not move during this count. 4. Press Radionuclide Selection button on back of unit to select an open energy window (select 125I Radionuclide for units with v2.01 or earlier software or press and hold Radionuclide button for an open energy window in units with v2.02 or later software.) DIN: 00-1393, Rev. D Page 26 of 36 neoprobe® GDS Operation Manual 5. Press and hold Target Count Button to perform a 10 second count. Record this value. Divide 57Co 10-second count by open energy window 10-second count. Results should be greater than 50%. 6. Count-rate ratio determined by this procedure should be stable and consistent over time within expected +10% statistical variations of radioactive emissions during recommended counting intervals. If result indicates variation from specified amount, and indicates performance has changed or is not stable, check for proper setup with desired Radionuclide selected, and that all external factors (source, strength, source distance, stray radiation, etc.) have been determined and controlled. Contact Neoprobe Corporation for technical assistance. Performance Check Perform periodic performance checks to assure proper performance of product. No calibration or adjustments are needed. Regardless of probe type or radioisotope in use, this performance check is a simplified procedure that will check proper performance of system with either probe type. Performance check procedure This performance check should be performed before each use. 1. Place probe near source of radioactivity, i.e., injection site on patient. Verify that registered counts are greater than zero. 2. Position probe several feet away from source of radioactivity. Verify that registered count level decreases from source count level. If performance check does not meet conditions of Steps #1 and #2 above, consider following: • If probe fails to detect measureable levels of gamma emissions when positioned over source of radioactivity, check that power is on and that correct radionuclide is selected. For low counts, run system diagnostic checks to test all visual indicators are functioning properly. Contact Neoprobe Corporation for technical assistance if problem continues. • If console displays error codes “error 2” through “error 6” when powered on, or anytime during operation, cycle power to console. Contact Neoprobe Corporation if error codes continue. • If console indicates high level of gamma emissions when probe is pointed away from radioactive source, and no other source of radiation is known, move to another room and repeat low count performance check. o If counts go down, there must be another source of radioactivity in room or patient source is too high. o If counts do not go down, probe may be contaminated and should be cleaned with a radioactive decontaminant solution (e.g., Radiacwash®), or probe has internal mechanical damage. Troubleshooting Use this table to identify and correct problems. Additional information is provided in service manual. SYMPTOM DIN: 00-1393, Rev. D POSSIBLE CAUSE Page 27 of 36 CORRECTIVE ACTION neoprobe® GDS Operation Manual SYMPTOM Console does not turn on Probe with BLUETOOTH wireless technology: Unit displays “no linc” on power up Unit displays “Lo Batt” POSSIBLE CAUSE Power cord not connected Power button is damaged Faulty fuse BLUETOOTH not active Battery is too low to operate probe For cabled probe: Unit displays “error no Probe or cable not connected probe” on power up. Damaged cable Damaged probe Unit displays “Error 2” through “error 6” Internal error codes Intermittent and unusually high readings Intermittent electrical interference (e.g., electrosurgical unit, X-ray, etc.) Damaged probe Unexpected high readings (continuous) Contaminated probe or collimator Background too high Damaged probe Incorrect Radionuclide selected Unexpected low readings Incorrect Radionuclide selected Damaged probe Erratic readings or no counts Damaged probe Sound does not vary with count rate Volume turned down Mute button is on Wrong count range is active DIN: 00-1393, Rev. D Page 28 of 36 CORRECTIVE ACTION Connect power cord Return for service Replace fuse Activate probe Replace probe battery and reactivate Return probe for service Replace battery Return for service if condition persists Connect probe or cable Replace cable Replace probe Return for service if condition persists Cycle power to unit Return for service if condition persists Track down source of interference Turn off offending sources (if possible) Change probe Return for service if condition persists Decontaminate probe and collimator Shield background source Change probe Select appropriate radionuclide Return for service if condition persists Select appropriate Radionuclide Change probe Return for service if condition persists Return for service if condition persists Turn volume up Turn mute off Lower count range Return for service if condition persists neoprobe® GDS Operation Manual Questions Call Neoprobe Corporation at 800-793-0079 US or +1 614-793-7500. Service Policy New Product Warranty Service • Call Neoprobe Corporation at 614-793-7500 or 800-793-0079 for authorization to return products to Company. Provide model, serial or lot numbers of defective product, technical description of defect or malfunction, nocharge purchase order number, and your shipping and billing address. Also obtain return merchandise authorization (RMA) number from Neoprobe. Out-of-Warranty Service • Call Neoprobe Corporation +1 614-793-7500 or 800-793-0079 (US only) for authorization to return product to Company. Provide model, serial or lot number of defective product, technical description of defect or malfunction, billable purchase order number to cover Company’s estimate of repair cost, and shipping and billing address for Buyer. Also obtain return merchandise authorization (RMA) number from Neoprobe. Return product in original packing and Label packaging with RMA number. Shipment to Company is at Buyer’s expense. Repaired or replacement equipment is shipped C.I.P. from Company’s plant. Reported problems or defects not verified by Neoprobe are subject to additional charge(s). Repair of product is warranted for 90 days from date of shipment to Buyer. Limited warranty applies only to repaired defective product and does not apply to product when no defect was found. Neoprobe Corporation uses recyclable products and materials when possible. Follow all local, state and/or international laws and regulations for proper disposal of components, parts or accessories. Contact Neoprobe Corporation +1-614-793-7500 if you cannot find a convenient means of disposal. New Product Warranty New products manufactured by Company are warranted against defects in workmanship and material for period of one year (period) from date of shipment by Company to Buyer, subject to limitations hereinafter set forth. Should any defects be found and reported during period, Company, at its option, will repair or replace such defective product provided Buyer ships defective product to Company, transportation charges prepaid, with notice of defect and certification that product was properly installed, maintained, and operated within limits of rated and normal usage. Repaired or replacement product is shipped C.I.P. from Company’s plant to Buyer. Terms of product warranty do not extend to product or part which, under normal usage, has expected useful life of less than one year. Warranty shall not apply to product where installation or servicing of product is improper, or where product is operated outside rated load capacity, or included in accident, tampering, alteration, or abuse. THE COMPANY’S LIABILITY UNDER THIS WARRANTY OR ANY OTHER WARRANTY WHETHER EXPRESS OR IMPLIED IN LAW OR FACT IS LIMITED TO REPAIR OR REPLACEMENT OF DEFECTIVE MATERIAL AND WORKMANSHIP, AND IN NO EVENT SHALL COMPANY BE LIABLE FOR CONSEQUENTIAL OR INDIRECT DAMAGES. DIN: 00-1393, Rev. D Page 29 of 36 neoprobe® GDS Operation Manual WARRANTY CONTAINS ENTIRE OBLIGATION OF NEOPROBE CORPORATION AND NOT OTHER WARRANTIES INCLUDING, WITHOUT LIMITATION, WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR OTHER WARRANTIES EXPRESSED, IMPLIED, OR STATUTORY ARE GIVEN. 9. SYSTEM SPECIFICATIONS Model 2300 Console PARAMETER Operating power Heat output Audio Energy Range Maximum count range Length Width Height Weight (approximate) Operating temperature range SPECIFICATIONS AC Line Power 100-240 VAC (50-60Hz) 26 watts, nominal 38 watts, maximum (at high volume) Negligible (10 watts, nominal) 70 dB Sound Pressure Level at 1 meter 12-600 keV internal windowing resolution 99,999 cps 25.4 cm (10 in.) 30.5 cm (12 in.) 22.9 cm (9 in.) 2.5 kg (5.6 lb.) 10° to 40° C (50° to 104° F) Storage and transit temperature -20° to 60° C (-40° to 104° F) Storage and transit humidity 10 percent to 95 percent Storage and transit atmospheric pressure 500hPa to 1060 hPa (7.3 psia to 15.4 psia) Power consumption +60°C -20°C Operational Displays and Software Displayed parameters: Additional display: Hardware System Controls: Interconnects: Display: Radioactive counts Threshold value Function Selector, Buttons Custom cables LED elements NOTE: Disconnect from power source and store product in a clean environmentally controlled area. NOTE: Use only power cords of 18 gauge wire and hospital grade plugs in compliance to one or more of these agency approvals: 100VAC, 50- 60 Hz 125VAC, 60 Hz 250VAC, 50 Hz DENTORI, SVT CSA, UL, SJT ASTA, CEBEC, CCEE, DEMKO, FMKO, IMQ, KEMA, LCIE, NEMKO, OVE, SECV, SEMKO, SEV, VDE IEC Classifications [EN 60601-1] Electrical shock protection - Classification Electrical shock protection - Degree DIN: 00-1393, Rev. D Class I Type CF Applied Part Page 30 of 36 neoprobe® GDS Operation Manual Flammable Anesthetics Operating mode Ingress of fluids - probes Ingress of fluids - console DIN: 00-1393, Rev. D Equipment not suitable for use in presence of FLAMMABLE ANESTHETIC MIXTURE WITH AIR OR WITH OXYGEN OR NITROUS OXIDE Continuous IPX8, see individual probe instructions for use Ordinary equipment Page 31 of 36 neoprobe® GDS Operation Manual Electromagnetic Compatibility Declaration EMC Requirements in Accordance with EN 60601-1-2:2003 Table 201 Guidance and Manufacturer’s Declaration – Electromagnetic Emissions The Model 2300 Gamma Detection System is intended for use in the electromagnetic environment specified below. The customer or the user of the Model 2300 Gamma Detection System should assure that it is used in such an environment. Emission test Compliance Electromagnetic environment - guidance The Model 2300 Gamma Detection System must emit electromagnetic energy in RF Emissions Group 2 order to perform its intended function. All emissions comply with EN 61000-4-3, CISPR 11 FCC and IC regulations. Nearby electronic equipment may be affected if the Model 2300 is operated within 11.7 cm or 4.6" of equipment marked with the following symbol: RF emissions CISPR 11 Harmonic emissions IEC 61000-3-2 Voltage fluctuations/flicker emissions IEC 61000-3-3 Class B Not applicable The Model 2300 Gamma Detection System is suitable for use in all establishments, including domestic establishments and those directly connected to the public lowvoltage power supply network that supplies buildings used for domestic purposes. Complies Table 202 Guidance and Manufacturer’s Declaration – Electromagnetic Immunity The Model 2300 Gamma Detection System is intended for use in the electromagnetic environment specified below. The customer or the user of the Model 2300 Gamma Detection System should assure that it is used in such an environment. Immunity Test IEC 60601 test level Compliance level Electromagnetic environment - guidance Electrostatic ±6 kV contact ±6 kV contact Floors should be wood, concrete or ceramic tile. If discharge (ESD) ±8 kV air ±8 kV air floors are covered with synthetic material, the relative 61000-4-2 humidity should be at least 30%. Electrostatic fast ±2 kV for power supply ±2 kV for power supply Mains power quality should be that of a typical transient/burst lines lines commercial or hospital environment. IEC 61000-4-4 ±1 kV for input/output ±1 kV for input/output lines lines Surge ±1 kV differential mode ±1 kV differential mode Mains power quality should be that of a typical IEC 60001-4-5 ±2 kV common mode ±2 kV common mode commercial or hospital environment. Voltage dips, <5 % UT <5 % UT Mains power quality should be that of a typical short interruptions (>95 % dip in UT for 0.5 (>95 % dip in UT for 0.5 commercial or hospital environment. If the user of the and voltage cycle) cycle) Model 2300 Gamma Detection System requires variations on continued operation during power mains interruptions, power supply <40 % UT <40 % UT it is recommended that the Model 2300 Gamma (>95 % dip in UT for 5 (>95 % dip in UT for 5 input lines Detection System be powered from an uninterruptible IEC 60001-4-11 cycles) cycles) power supply or a battery. DIN: 00-1393, Rev. D <70 % UT (>30 % dip in UT for 25 cycles) <70 % UT (>30 % dip in UT for 25 cycles) <5 % UT (>95 % dip in UT for 5 sec) <5 % UT (>95 % dip in UT for 5 sec) Page 32 of 36 NOTE: UT is the AC mains voltage prior to application of the test level. neoprobe® GDS Operation Manual Power frequency (50/60 Hz) magnetic field IEC61000-4-8 3 A/m 3 A/m Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment. Table 204 Guidance and Manufacturer’s Declaration – Electromagnetic Immunity The Model 2300 Gamma Detection System equipment is intended for use in the electromagnetic environment specified below. The customer or user of the Model 2300 Gamma Detection System equipment should assure that it is used in such an environment. Immunity Test IEC 60601-1 test level Compliance level Electromagnetic environment – guidance Portable and mobile RF communications equipment should be used no closer to any part of the Model 2300 Gamma Detection System equipment, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter. Conducted RF IEC 61000-4-6 3 Vrms 3 Vrms Recommended separation distance d = 1.17 * √ P Radiated RF IEC 61000-4-3 3 V/m 80 MHz to 2.5 GHz 3 V/m 80 MHz to 2.5 GHz Recommended separation distance d = 1.17 * √ P (for 80 MHz to 800 GHz) d = 2.33 * √ P (for 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 strength from fixed RF transmitters, as determined by an electromagnetic survey, a should be less than the compliance level in each frequency range b. Interference may occur if the Model 2300 is operated within 11.7 cm or 4.6" of equipment marked with the following symbol: Note 1: at 80 MHz and 800 MHz, the higher frequency range applies. Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. a 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 transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the Model 2300 Gamma Detection System equipment is used exceeds the applicable RF compliance level above, the Model 2300 Gamma Detection System equipment should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating the Model 2300 Gamma Detection System equipment. b Over the frequency range 150 KHZ to 80 MHz, field strength should be less than 3 V . DIN: 00-1393, Rev. D Page 33 of 36 neoprobe® GDS Operation Manual EMC Requirements in Accordance with EN 60601-1-2:2003 Table 206 Recommended separation distance between portable and mobile RF communications equipment and the Model 2300 Gamma Detection System equipment The Model 2300 Gamma Detection System equipment is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the Model 2300 Gamma Detection System equipment can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile communications equipment (transmitters) and the Model 2300 Gamma Detection System equipment as recommended below, according to the maximum output power of the communications equipment. Rated maximum output power of transmitter W Separation distance according to frequency of transmitter m 150KHz to 80MHz d = 1.17 * √ P 80MHz to 800 MHz d = 1.17 * √ P 800 MHz to 2.5 GHz d = 2.33 * √ P 0.01 0.12m 0.12m 0.23m 0.1 0.37m 0.37m 0.74m 10 3.7m 3.7m 7.4m 100 12m 12m 23m 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 80MHz and 800 MHz, the separation distance for the higher frequency applies. NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. Declaration of Conformance: Hereby, Neoprobe Corporation declares that this “Wireless Probe” is in compliance with the essential requirements and other relevant provisions of Directive 1999/5/EC. Česky [Czech] Neoprobe Corporation tímto prohlašuje, že tento “Wireless Probe” je ve shodě se základními požadavky a dalšími příslušnými ustanoveními směrnice 1999/5/ES. Dansk [Danish] Undertegnede Neoprobe Corporation erklærer herved, at følgende udstyr “Wireless Probe” overholder de væsentlige krav og øvrige relevante krav i direktiv 1999/5/EF. Deutsch [German] Hiermit erklärt Neoprobe Corporation, dass sich das Gerät “Wireless Probe” in Übereinstimmung mit den grundlegenden Anforderungen und den übrigen einschlägigen Bestimmungen der Richtlinie 1999/5/EG befindet. Eesti [Estonian] Käesolevaga kinnitab Neoprobe Corporation seadme “Wireless Probe” vastavust direktiivi 1999/5/EÜ põhinõuetele ja nimetatud direktiivist tulenevatele teistele asjakohastele sätetele. Español [Spanish] Por medio de la presente Neoprobe Corporation declara que el “Wireless Probe” cumple con los requisitos esenciales y cualesquiera otras disposiciones aplicables o exigibles de la Directiva 1999/5/CE. Ελληνική [Greek] ΜΕ ΤΗΝ ΠΑΡΟΥΣΑ Neoprobe Corporation ΔΗΛΩΝΕΙ ΟΤΙ “Wireless Probe” ΣΥΜΜΟΡΦΩΝΕΤΑΙ ΠΡΟΣ ΤΙΣ ΟΥΣΙΩΔΕΙΣ ΑΠΑΙΤΗΣΕΙΣ ΚΑΙ ΤΙΣ ΛΟΙΠΕΣ ΣΧΕΤΙΚΕΣ ΔΙΑΤΑΞΕΙΣ ΤΗΣ ΟΔΗΓΙΑΣ 1999/5/ΕΚ. DIN: 00-1393, Rev. D Page 34 of 36 neoprobe® GDS Operation Manual Français [French] Par la présente Neoprobe Corporation déclare que l'appareil “Wireless Probe” est conforme aux exigences essentielles et aux autres dispositions pertinentes de la directive 1999/5/CE. Italiano [Italian] Con la presente Neoprobe Corporation dichiara che questo “Wireless Probe” è conforme ai requisiti essenziali ed alle altre disposizioni pertinenti stabilite dalla direttiva 1999/5/CE. Latviski [Latvian] Ar šo Neoprobe Corporation deklarē, ka “Wireless Probe” atbilst Direktīvas 1999/5/EK būtiskajām prasībām un citiem ar to saistītajiem noteikumiem. Lietuvių [Lithuanian] Šiuo Neoprobe Corporation deklaruoja, kad šis “Wireless Probe” atitinka esminius reikalavimus ir kitas 1999/5/EB Direktyvos nuostatas. Hierbij verklaart Neoprobe Corporation dat het toestel “Wireless Probe” in overeenstemming is met de essentiële eisen en de andere relevante bepalingen van richtlijn 1999/5/EG. Nederlands [Dutch] Malti [Maltese] Hawnhekk, Neoprobe Corporation, jiddikjara li dan “Wireless Probe” jikkonforma mal-ħtiġijiet essenzjali u ma provvedimenti oħrajn relevanti li hemm fid-Dirrettiva 1999/5/EC. Magyar [Hungarian] Alulírott, Neoprobe Corporation nyilatkozom, hogy a “Wireless Probe” megfelel a vonatkozó alapvetõ követelményeknek és az 1999/5/EC irányelv egyéb elõírásainak. Polski [Polish] Niniejszym Neoprobe Corporation oświadcza, że “Wireless Probe” jest zgodny z zasadniczymi wymogami oraz pozostałymi stosownymi postanowieniami Dyrektywy 1999/5/EC. Português [Portuguese] Neoprobe Corporation declara que este “Wireless Probe” está conforme com os requisitos essenciais e outras disposições da Directiva 1999/5/CE. Slovensko [Slovenian] Neoprobe Corporation izjavlja, da je ta “Wireless Probe” v skladu z bistvenimi zahtevami in ostalimi relevantnimi določili direktive 1999/5/ES. Slovensky [Slovak] Neoprobe Corporation týmto vyhlasuje, že “Wireless Probe” spĺňa základné požiadavky a všetky príslušné ustanovenia Smernice 1999/5/ES. Suomi [Finnish] Neoprobe Corporation vakuuttaa täten että “Wireless Probe” tyyppinen laite on direktiivin 1999/5/EY oleellisten vaatimusten ja sitä koskevien direktiivin muiden ehtojen mukainen. Svenska [Swedish] Härmed intygar Neoprobe Corporation att denna “Wireless Probe” står I överensstämmelse med de väsentliga egenskapskrav och övriga relevanta bestämmelser som framgår av direktiv 1999/5/EG. Íslenska [Icelandic] Hér með lýsir Neoprobe Corporation yfir því að “Wireless Probe” er í samræmi við grunnkröfur og aðrar kröfur, sem gerðar eru í tilskipun 1999/5/EC. Norsk [Norwegian] Neoprobe Corporation erklærer herved at utstyret “Wireless Probe” er i samsvar med de grunnleggende krav og øvrige relevante krav i direktiv 1999/5/EF. 10. WARNINGS, CAUTIONS AND NOTES Read this section before operating product. DEFINITIONS: or DIN: 00-1393, Rev. D WARNING: Specific information identifies events when misuse or improper use of device may cause harm to user or patient or could result in irreparable damage to device or property. Page 35 of 36 neoprobe® GDS Operation Manual CAUTION: Specific information identifies when misuse of equipment may cause malfunction or produce incorrect readings. NOTE: General information to explain or clarify proper operation of product. Injury Report injuries immediately to Neoprobe Corporation at 800-793-0079 or +1 614-793-793-7500 and leave product undisturbed until authorized Neoprobe representative can inspect it. ELECTRICAL: • Verify power cable is secure before each use. • Inspect cables for damage before each use. Use of damaged cables may present an electrical shock hazard. • Disconnect power cord from console to verify fuses. Only use specified rated fuses. • Disconnect power cord from source and disconnect power cord from console before cleaning product. Risk of Fire/Explosion DO NOT USE IN PRESENCE OF FLAMMABLE ANESTHETICS OR EXPLOSIVE GASES. WARNINGS: • DO NOT GAMMA OR STEAM (AUTOCLAVE) STERILIZE ANY COMPONENT, PART, OR ACCESSORY. • Opening or tampering with product may cause damage; void warranty. • Only properly trained personnel should operate product. • Do not sterilize or immerse in liquid as permanent damage may result. • Use of unauthorized accessories will void warranty; user assumes all liability. CAUTIONS: • System components should not touch other electrical equipment during use. • Do not position or use product near sources of extreme magnetism such as MRI equipment. • Operation of product in vicinity of X-ray equipment may cause incorrect counts. • Electrocautery and electrosurgical devices can interfere with system operation. Isolate system away from electrocautery and electrosurgical devices to reduce electromagnetic interference. • Incorrect counts can occur in vicinity of persons exposed to radiation therapy. NOTES: • Product is designed only to detect gamma radiation emissions; is not a ‘measuring device’; and does not generate hazardous radiation. • Contact your radiation safety officer for regulatory compliance and other requirements. - END - DIN: 00-1393, Rev. D Page 36 of 36
© Copyright 2026 Paperzz