Página 1
EXOGEN User Guide ® Read before using your device Labeling LBL-000319 [D] RELEASED...
Página 2
EU: Not for General Waste. This symbol indicates that EXOGEN should not be disposed of with ordinary household waste at the end of its life. For details on how to dispose of this device correctly, contact your local government waste disposal agency or your local Bioventus representative.
Preparing to Treat Your Fracture Place the Strap EXOGEN Classifications If You Have a Cast Guidance and Add Gel and Place Transducer Manufacturer’s Declaration First Use – EXOGEN Setup Customer Service First Use Limited Warranty Hour Setting Treating Your Fracture Start Treatment...
† use with conservatively-treated fresh fractures application or performance. The EXOGEN • The EXOGEN device has also been reported Ultrasound Bone Healing System consists of and non-unions, or surgically-treated non-unions. as effective as an adjunctive non-invasive...
EXOGEN contains the internal electronics and EXOGEN as well as damage to the charger. The battery. It checks the ultrasound signal to make use of chargers, transducers or cables, other than sure EXOGEN works properly.
The safety and effectiveness of the use of EXOGEN is approved for use by persons that are EXOGEN. The gel is to be placed on the trans- 18 years or older and skeletally mature. There is EXOGEN has not been established for: ducer every time you use EXOGEN.
Automatically displays when count- Treatment Complete down timer reaches zero to show that treatment is complete. Labeling LBL-000319 [D] RELEASED *EXOGEN should be used for only 20 minutes per day, or as prescribed by your doctor.
It takes about 5 hours to fully charge a discharged EXOGEN battery. WARNING: To avoid the risk of electric shock, EXOGEN must only be connected to a supply mains with protective earth (a 3-prong electrical outlet). Do not use any adapters or extension cords to charge EXOGEN. Only plug the charger into an UL listed electrical outlet.
Recharging EXOGEN As you use EXOGEN, the symbol will change to You may charge EXOGEN at any time, whether show the reduced battery level. See Figure 6. it is on or off. When the battery level is low, Check the charge level on EXOGEN you must charge EXOGEN before your next following treatment.
Preparing to Treat Your Fracture Place the Strap To treat your fracture, you will need EXOGEN, the gel and strap. If you have a cast around your fracture, you will not need the strap. Your doctor may have marked your fracture site with an ‘X’, or told you where to treat your...
If You Have a Cast 3. Pull out the round felt plug inside the open- 1. Your cast will have a plastic port with cap 2. Use 2 fingers to squeeze the cap tabs ing. built into it. together to open the cap. Add Gel and Place Transducer Note: Some patients have experienced mild skin irritation caused by skin sensitivity to the gel.
EXOGEN has a calendar which tracks how often the system is used. The current hour needs to be set to make sure the calendar is accurate. The hour must be set once, the very first time EXOGEN is turned on. Hour Setting 1.
Treating Your Fracture Start Treatment Hold EXOGEN in your hand to view the screen, or ® set EXOGEN down on a nearby flat surface. Perform the following steps to begin treatment: 1. Press the button on EXOGEN. EXOGEN beeps and the start-up screen appears for 2 seconds.
4. Remove the strap and clean any gel from your skin and strap with a soft cloth. 5. Place EXOGEN, the strap and gel back into the carrying case until you are ready to treat again. Labeling LBL-000319 [D] RELEASED...
Página 15
6. Snap the cap shut. and port with a soft cloth. port. This plug helps prevent swelling in the 7. Place EXOGEN and the gel back into the cast when you are not using EXOGEN. carrying case until you are ready to treat again.
Treatment Calendar EXOGEN tracks how often you use it. A calendar The current month is shown when you turn on EXOGEN for a treatment. Today’s date will have a purple shows your usage on the screen. There are two box around it. EXOGEN will mark your calendar every day with one of the following symbols: X-mark, parts to the calendar screen.
Treatment Summary Data For example, if you use EXOGEN every day for If you have EXOGEN for 60 days, but forgot to The treatment summary shows your overall use 60 days, you will have the following numbers: treat 10 of those days, your numbers will look like: of EXOGEN.
After using EXOGEN over time, you may want ® to view your treatment history month by month. EXOGEN will store up to twelve months of recent treatment history. You can show your treatment history to your doctor. EXOGEN lets you view...
Calendar Pause You can pause the calendar screen to August 2013 view your treatment history for longer than 5 seconds. Any calendar screen can be paused. To pause the calendar, perform the following steps: 1. When you see a calendar screen, press the 12 13 14 15 16 17 button to pause.
• If any parts of EXOGEN or its accessories are After your fracture has healed or prior to long- portable and mobile communication units marked damaged, do not use EXOGEN.
• With the battery charger cable stretched across a floor or other areas where people walk that would cause a tripping hazard • On floor or other area where EXOGEN or the cable may be damaged by people walking on them Labeling LBL-000319 [D] RELEASED...
Only remove the battery from EXOGEN for disposal. To remove the battery, follow these steps: 1. Make sure EXOGEN is not plugged in to an electrical outlet. 2. Turn EXOGEN screen side down and find 3. Use a screwdriver to remove the the battery door screw.
Troubleshooting EXOGEN will alert you if something is not working properly. EXOGEN will beep and display an alert screen. See the table below for examples of alerts and what to do if you get an alert. Alerts What does this mean?
Clinical Results study established the safety and effectiveness intensity pulsed ultrasound on two difficult cases of the EXOGEN bone healing system in treating EXOGEN treatment accelerated healing by 38% of Charcot non-unions with multiple prior failed non-unions. This includes cases that had long (61±3.4 days in the active group versus 98±5.2...
Página 25
Several studies were conducted to assess the treatment no effect was observed on fixation safety of EXOGEN as part of the FDA summary Clinical Results screws or the torques necessary for loosening of safety & effectiveness. Results from a placebo the screws in an in-vivo study.
Página 26
EXOGEN ultrasound signal stimulates cells Effects on chondrocytes—Chondrocytes have through an integrin pathway . Within this integrin been shown to respond to the EXOGEN signal pathway, cytoskeletal organization, transcription by an increase in proteoglycan synthesis factor activation, gene upregulation, protein...
(cavitation). Complications No device-related adverse reactions or medical complications related to the use of EXOGEN were reported during the clinical studies. Some patients have experienced mild skin irritation caused by skin sensitivity to the gel. If you feel your skin is sensitive to the gel, you may change the gel to mineral oil or glycerin.
Página 28
Table 1 Clinical Study results for the FDA reviewed non-union cases – stratification by category variables Categorical Variable Prior to Start Completed Cases Fisher’s Exact Probability† Displaced at the start of SAFHS Therapy of SAFHS Treatment Missing 1.00 Total Healed Failed %Healed p-value...
Chenery D, Harrison AJ. Pulsed low intensity ultrasound 4. Duarte LR. University of Sao Paulo, Brazil, unpublished data ultrasound stimulation (Exogen). Ultrasonics. 2004;42(1-9): enhances mineralization in pre-osteoblast cells. Orthopaedic presented Societe Internationale de Chirurgie Orthopedique et de 915-917.
Input Voltage (USB) 5.0 VDC, 2.6A max. Beam type Collimated The essential performance of EXOGEN includes the following: • Free from the display of incorrect numerical values (numbers) associated with the ultrasound therapy • Free from the production of unwanted ultrasound output •...
EXOGEN has the following classifications: • Internally Powered Equipment EXOGEN is intended for use in the electromagnetic environment specified below. The customer or the user • Type BF Applied Part of EXOGEN should assure that it is used in such an environment.
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 EXOGEN is used exceeds the applicable RF compliance level above, EXOGEN should be observed to verify normal operation.
Página 33
RF communications equipment and EXOGEN EXOGEN is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of EXOGEN can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and EXOGEN as recommended below, according to the maximum output power of the communications equipment.
Customer Service is available to answer ques- Bioventus LLC (“Seller”) warrants to the 1. Call Customer Service at tions regarding EXOGEN and to handle servicing original purchaser (“Purchaser”) of its EXOGEN 1-800-836-4080 and request or disposal needs.
(Estados Unidos) restringen la venta, distribución o uso de este dispositivo a un médico o profesional autorizado. EXOGEN solo debe utilizarse por el individuo para el que se ha prescrito. La unidad EXOGEN es para uso EXCLUSIVO de un único paciente.
Botón Banda Cable en espiral Banda Figura 4 – Banda para EXOGEN (n.º de ref.: 71034622) Transductor Labeling LBL-000319 [D] RELEASED Figura 2 – Dispositivo EXOGEN (n.º de ref.: 71034401) Figura 1: sistema de consolidación ósea por ultrasonido EXOGEN...
Utilice el cargador instrucciones de carga del dispositivo. suministrado con el sistema de consolidación ADVERTENCIA: para evitar riesgos de descarga eléctrica, EXOGEN solo debe conectarse a una red eléctrica con puesta a tierra de Carga completa ósea por ultrasonido EXOGEN.
Preparación para tratar la fractura Si lleva escayola Coloque la banda Para tratar la fractura, necesitará EXOGEN, el gel y la banda. Si lleva una escayola alrededor de la fractura, no necesitará la banda. Su médico puede haber marcado la zona de la fractura con una ‘X’, o puede haberle...
Realice los siguientes pasos para iniciar el tratamiento: La hora se debe configurar una sola vez. Esto se debe hacer la primera vez que se enciende el dispositivo EXOGEN. Configuración de la hora 1. Pulse el botón en EXOGEN.
No 7. Vuelva a guardar EXOGEN y el gel en cable! Si tira fuerte del cable para paño suave. abertura. Este tapón previene hincha- necesita utilizar líquido limpiador.
En la pantalla aparece un calendario olvidado tratarse en 10 de los 60 días, las El día actual aparecerá rodeado por un recuadro púrpura. EXOGEN pondrá cada día en su total que hace de EXOGEN. Los datos de día durante 60 días, tendrá las cifras del uso que usted hace del dispositivo.
Cualquier pantalla de calendario puede del historial de tratamiento reciente. Puede pausarse. Para pausar el calendario, realice August 2013 mostrar dicho historial a su médico. EXOGEN 10 11 12 13 14 15 los siguientes pasos: le permite ver el historial sin tener que 16 17 18 19 20 21 22 comenzar un tratamiento.
EXOGEN administrará ninguno más. menos 30 minutos a que vuelva a la • El suelo u otras áreas en las que EXOGEN o el cable - Está protegido contra la entrada dañina de agua corran riesgo de ser pisados temperatura ambiente.
Eliminación de EXOGEN La unidad EXOGEN ha sido diseñada para EXOGEN le alertará si hay algo que no funciona correctamente. EXOGEN emitirá un pitido y aparecerá una pantalla de alerta. Consulte uso exclusivo de un único paciente. Para la tabla que aparece a continuación para conocer los ejemplos de alerta y los pasos que debe seguir si se emite una alerta.
1. (4 de 4 puntos de consolidación en el hueso señal de ultrasonido de EXOGEN y se obtuvo doble, aleatorizado y controlado con placebo, ósea por ultrasonido EXOGEN para el cortical según el juicio del investigador Nolte et al.
0,19 Hombre 4. Duarte LR. University of Sao Paulo, Brazil, unpublished data ultrasound stimulation (Exogen). Ultrasonics. 2004;42(1-9): enhances mineralization in pre-osteoblast cells. Orthopaedic Falta 0,05 Research Society Annual Meeting. Washington, 2005.
EXOGEN está diseñado para utilizarse en el entorno electromagnético especificado a • Equipo con fuente de alimentación interna continuación. El cliente o el usuario de EXOGEN debe asegurarse de utilizar el dispositivo en el Frecuencia de ultrasonido 1,5 +/- 5% MHz •...
Página 53
AM y FM y televisivas no pueden predecirse teóricamente con exactitud. Para evaluar el entorno electromagnético causado por los transmisores de RF fijos, debe considerarse la posibilidad de un estudio entorno electromagnético in situ. Si la intensidad de campo medida en el lugar en el cual va a utilizarse EXOGEN supera el nivel de cumplimiento de RF aplicable que se ha indicado pre- viamente, EXOGEN debe ser sometido a observación para comprobar que funciona normalmente.
EXOGEN. tendrá vigencia durante un año a partir de la fecha de compra. Llame al 1-800-836-4080 (llamada gratuita) 3. Ponga EXOGEN en su embalaje original. Si no puede, empaquete EXOGEN Información general: 1-800-396-4325 (llamada En caso de incumplimiento sustancial de...