Kapp Surgical Instrument Cosgrove Mode D'emploi page 2

Consistent and excellent exposure of the right and left atrium, tricuspid, and mitral valves is
fundamental to intracardiac surgical procedure. By using the Kapp Cosgrove
Retractor, the surgeon can gain the optimum exposure necessary for a successful surgical
outcome.
DESCRIPTION / INTENDED USE
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The Kapp Cosgrove
exposure while reducing the need for surgical assistance. The Kapp Cosgrove
placement only during the intracardiac portion of the procedure. It is available either mounted on a Cooley
Sternum Retractor, large or small, or custom mounted on your existing chest spreader. Recommendations for
cleaning and sterilization are included in this manual.
The device is supplied non-sterile and must be cleaned and sterilized before use.
PRE-SURGICAL ASSEMBLY
Position your modified chest spreader as shown (Figure 1). Slide the main bracket (Figure 3) onto the chest
spreader with locking screws to the outside of the chest cavity opening by sliding it onto one of the pre-
attached mounting bars (Figure 2). Secure the main bracket by tightening the left and right non-removable
locking screws (A) (Figure 3).
Slide the retractor blade (D) through the universal clamp (C) (Figure 4).
Remove the transverse nut (E), then slide universal clamp(s) with attached retractor blade(s) (Figure 5) onto
the support bar. Rotate the support bar down into the groove in the side support bracket and tighten the
transverse nut to secure (Figure 6).
Adjust the retractor blades on the main bracket according to the surgeon's preference. Once they are in place,
secure the retractor blades by tightening the "wing" nut on the universal clamp(s).
A third retractor blade can be mounted by attaching the side arm bar (F) as follows: Loosen the side arm
locking screw (non-removable) on the main bracket (B) (Figure 3). Slide the flattened end of the side arm
bar between the support bracket and the head of the locking screw. Tighten the locking screw. Slide a
universal clamp with attached retractor blade in the bottom opening onto the side arm bar and secure it by
tightening the wing nut on the universal clamp (Figure 6).
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The Kapp Cosgrove
NOTE: All screws on the Kapp Cosgrove
nut (E) (Figure 3).
NOTE: The retractor blades may be easily readjusted during surgery by loosening the wing nut on the
universal clamp(s).
CLEANING
Immediately after surgery, rinse the instruments under warm, not hot, water to remove all blood, body fluids
and tissue. If delays prevent immediate rinsing, soak the instrument in a solution of water and neutral (pH 7)
detergent prior to cleaning.
ULTRASONIC CLEANING
Separate the components and place them into the ultrasonic cleaner. Clean per instrument protocol. Rinse the
instruments with water immediately after ultrasonic cleaning.
AUTOMATIC WASHER STERILIZERS
Follow manufacturer's recommendations ensuring instruments are lubricated after last rinse cycle and before
sterilization cycle.
According to the Robert Koch Recommendations from September 2012, mechanical cleaning and
disinfection should be conducted at temperatures in excess of 93° C.
AUTOCLAVE STERILIZATION
Prior to autoclave sterilization, lubricate all instrument parts which have metal-to-metal contact using surgical
lubricants such as instrument milk. Do not use industrial lubricants. Instruments must be unlocked before
cleaning to prevent any cracks that may occur from heat expansion during the autoclave cycle. Do not
overload the autoclave chamber. The manufacturer's recommended sterilization protocol is:
Valve Retractor provides exceptional right and left atrium, tricuspid and mitral valve
Valve Retractor assembly as shown on the front cover is now complete.
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Valve Retractor are non-removable except for the large transverse
2
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Valve
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Valve Retractor requires