U. S. WAii DSPT. TECHNICAL MANUAL 3-6X3 CASS. B®EOPEsmNG, no volt, ac-dg item 3073003 ' Trm © f^fi^ LiiltrW WAR DEPARTMENT TECHNICAL MANUAL CASE, BONE OPERATING, 110 VOLT, AC-DG (ITEM 3073008) WAR DEPARTMENT • 8 September 1944 WAR DEPARTMENT TECHNICAL MANUAL TM 8-61 3 CASE, BONE OPERATING, 110 VOLT, AC-DC (ITEM 3073008) WAR DEPARTMENT 8 September 1944 United States Government Printing Office Washington : 1944 WAR DEPARTMENT, Washington 25, D. C., 8 September 1944i TM 8-613, Case, Bone Operating, 110 Volt, AC-DC (Item 3073008), is published for the information and guidance of all concerned. [A. G. 300.7 (28 Jun 44). ] By order of the Secretary of War: G. C. MARSHALL, Chief of Staff. Official: J. A. ULIO, Major General, The Adjutant General, Distribution : As prescribed in paragraph 9a, FM 21-6 except ROTC (0); Named Gen Hosp (2) T/O 8-550; Numbered Gen Hosp (2) T/O 8-550; Sta Hosp, 750 bed (2) T/O 8-560; Med Dep Co (2) T/O 8-667; Med Base Dep Co (2) T/O 8-187; Med Tech Sch (2). For explanation of symbols, see FM 21-6, CONTENTS CHAPTER INTRODUCTION. Para- Section I. General. SraPh PaSe Scope 1 i Records 2 1 II. Description and data. Description 3 1 Data 4 \ III. Tools. First echelon tools 5 1 CHAPTER 2. OPERATING INSTRUCTIONS. Section IV. General. Scope 6 9 V. Service upon receipt of equipment. New equipment 7 9 Used equipment 8 10 VI. Controls and instruments. Controls 9 10 Instruments 10 11 VII. Operating under usual conditions. General 11 11 CHAPTER 3. MAINTENANCE INSTRUCTIONS. Section VIII. General. Scope 12 12 IX. Special organizational tools and equipment. Tools issued with equipment 13 12 Tools for maintenance personnel only 14 12 X. Lubrication. After each operation 15 12 Monthly 16 12 XI. Preventive maintenance services. After each operation 17 12 Monthly 18 13 XII. Trouble shooting. General 19 13 Replacing circular saws 20 13 Foot switch assembly, 3R00150 21 13 Reciprocating attachment assembly, 3R00156 22 13 Telescopic attachment assembly, 3R00152 23 13 Longitudinal attachment assembly, 3R00154 24 13 Replacing idler gears, 3R00058 25 14 Sharpening of chisels 26 14 APPENDIX I. STORAGE AND SHIPMENT 16 II. LIST OF PARTS 17 Figure 1. Case, Bone Operating, shown with all assemblies anti accessories in their proper places. 1. SR00173—Drill, Twisty-Inch, Carbon Steel. SROOl74—Drill, Twist,>£-lnch, Carbon Steel. SR00175—Drill, Twisty-Inch, Carbon Steel. SR00176—Drill, Twisty-Inch, Carbon Steel. 2. SROOl77—Saw, Circular, Carbon Steel, .012 Inch Thick, 1H Inch O.D. Inch I.D. 3. 3R00080—Motor, Complete. 4. 3R00152—Attachment, Telescopic, Complete. 5. 3R00156—Attachment, Reciprocating, Complete. 6. 3R00106—Body, Telescopic. 7. 3R00108—Section, “A”, Telescopic Attachment, Alu- minum. 3R00110—Nut, “A" Thumb, Telescopic Attachment. 3R00112—Section, “B ”, Telescopic Attachment. 3R00114—Nut, “B” Thumb, Telescopic Attachment. 3R00116—Section, “C”, Telescopic Attachment. 3R00118—Nut, “C” Thumb, Telescopic Attachment. 3R00120—Section, “D”, Telescopic Attachment. 3R00122—Nut, “D” Thumb. Telescopic Attachment. 8. 3R00090—Handle, Longitudinal Attachment. 9. 3R00154—Attachment, Longitudinal, Complete. 10. 3R00142-Plug, Male. 11. 3R00004—Adapter, Driver. 12. 3 R00010—Burr, Slotting, Size 1. 3R00012—Burr, Slotting, Size 2. 13. 3R00016—Burr, Curetting, No. 4. 3R00020—Burr, Curetting, No. 6. 14. 3R00150—Switch, Foot. iv CHAPTER 1 INTRODUCTION Section I. GENERAL 1. SCOPE, a. These instructions are published for the information and guidance of the personnel to whom this equipment is assigned. They con- tain information on the operation and first and second echelon mainte- nance of the equipment as well as descriptions of the major units and their functions in relation to the other components of the equipment. They apply to the Case, bone operating, 110 volt, AC-DC, Medical Department item No. 3073008, only. b. Appendix II lists parts of the bone operating case. Those parts on the list keyed with an asterisk are regularly stocked by medical supply depots as spare parts for this equipment. Those parts not keyed with an asterisk are available through special purchase only. 2. RECORDS. No standard maintenance forms are suggested for use with this equipment. Section II. DESCRIPTION AND DATA 3. DESCRIPTION, a. General information. This equipment is a standard type portable bone operating equipment conveniently packed, together with its accessories, in a portable carrying case. b. Manufacturer. Zimmer Manufacturing Company, Warsaw, Indiana. 4. DATA. a. Performance. The motor rotates at a speed of 13,000 r.p.m., at the small end, with a ratio of 6 to 1 at the large end. b. Electrical power necessary. 110-volt, 60-cycle alternating current or 110-volt, 60-cycle direct current. Section III. TOOLS 5. FIRST ECHELON TOOLS. The following tools are shipped with the bone operating case. a. WRENCH, Setscrew, Bristo No. 8: SR00193 (figs. 5 and 7). b. WRENCH, Setscrew, Bristo, M Inch; SR00201. c. WRENCH, Open end, % Inch: Special. 3R00144 (fig. 7). 1 Figure 2. The motor assembly showing all subassemblies and their parts 1. 3 R00078—Armature, Complete. 2. 3R00058—Gear, Idler. 3. 3R00072—Holder, Bearing. 4. SR00202—Pin, 10 FI.H. 5. SR00185—Nut, 8 X 32, Hex, Brass. 6. 3R00076—Bushing, Motor, Small. 7. 3R00162—Spring, Adjustment. 8. SR00184—Screw, 8-32 X 4 Inch, R.H.M. 9. 3R00062—Field, Magnetic. 10. 3R00074—Bushing, Motor, Large. 11. 3R00146—Motor, Electric, Complete 12. 3R00056—Cap, Case, Fast, End. 13. 3R00008—Casting, Fast End. 14. 3R00038—Assembly, Slow End, Complete. 15. 3R00158—Cap, Nose, Slow End. 18. 3R00B06—Key, Jacob’s Chuck. 17. 3R00142-Plug, Male. 18. SR00190—Screw, 6 X3g-lnch, Self Tapping, O.H., S.S. 19. SR00188—Washer, % Inch O.D. Xs g Inch I.D. X>f6 Inch Thick, Felt. Figure 3. Cross section oj the motor assembly showing all parts 1. 3R00158—Cap, Nose, Slow End. 2. 3R00038—Assembly, Slow End, Complete. 3. 3R00058—Gear, Idler. 4. SR000200—Washer,% Inch Xy2 Inch X .010 Inch, Brass. 5. SR00186—Setscrew, 10-24 X>f6 Inch, Allen, Cup Pt., 5.5. 6. 3R00074—Bushing, Motor, Large. 7. SR00189—Tubing, Insulation, Spaghetti, 3mm. 8. 3R00142—Plug. Male. 9. SR00190-Screw, 6 X34-lnch, Sell Tapping, O.H.M. 5.5. 10. 3R00076—Bushing, Motor, Small. 11. SR00179-Screw, 4 Sheet Metal, FI.H. 12. SR00185-Nut, 8X32, Hex, Brass. 13. SR00181—Screw, 2 X V-Inch, Sheet Metal, R.H. 14. SR00184-Screw, 8-32 X 4-Inch, R.H.M. 15. 3R00070—Spring, Brush. IB. 3R00008—Casting, Fast End. 17. 3R00056—Cap, Case, Fast End. 18. 3R00162—Spring, Adjustment. 19. 3R00068—Holder, Brush. 20. 3R00066—Brush, Carbon. 21. SR00178-Screw, 4- Sheet Metal, B.H. 22. SR00180—Terminal, .016 Ga., Hole.% Inch O.D., Copper. 23. SR00182-Screw, 6-32 R.H.M., Brass. 24. 3R0C064—Ring, Holder, Brush. 25. SR00183—Nut, 6 X 32, Square, Brass. 26. 3R00062—Field, Magnetic. 27. 3R00078—Armature, Complete. 28. 3R00072—Holder, Bearing. 29. SR00188—Washer, % Inch O.D. X^i Inch I.D. V/K Inch Thick, Felt. 30. SR00202—Pin, 10- FI.H. 3 3R00054—Chisel. Bone, Flat,%-lnch. 4. 3R00048—Saw, Straight, Narrow, Short. 6. 3R00042—Saw, Straight, Wide, Long. 3R00052—Chisel, Bone, 5. 3R00044-Saw, Straight, Wide, Short. 7. 3R00046-Saw, Straight, Narrow, Long. 3R00050—Chisel, Bone, Curved,j^-lnoh. Figure 4. The reciprocating attachment assembly showing parts, chisels and saws. 4 Figure 5. The reciprocating attachment assembly showing all parts 1. SR00193—Wrench, Setscrew, Bristo, No. 8. 2. 3R00004—Adapter, Driver. 3. SR00197—Setscrew, 8-32 V/8 Inch, Bristo, Cup Ft., S.S. 4. SR00205—Screw, 2-56 Xy8 Inch. FI.H.M. 5. 3R00130—Chuck, Reciprocating Attachment, Com- plete. 6. 3R00128—Nose, Reciprocating Attachment. 7. 3R00124—Casing, Outer, Reciprocating Attachment. 8. 3R00126—Shaft, Reciprocating Attachment. 9. 3R00132—Sleeve, Rotating. Reciprocating Attach ment 10. 3R00134—Bushing, Square Holed, Reciprocating At- tachment. 11. 3R00136—Bushing, Reciprocating Attachment. 12. 3R00138—Cam, Reciprocating Attachment. 13. SR00187—Spacer, Bearing, >f6 Inch 0.0. X% Inch I.D. Xj/)fi Inch Thick. 14. SR00192—Bearing, Thrust, J{6 Inch 0.0. X% Inch I.D. inch Thick, Brass, Steel Ball. 15. 3R00140—Sleeve, Reciprocating Attachment, Bronze. 5 Figure 6. The longitudinal attachment assembly 1. 3R00090—Handle, Longitudinal Attachment. 2. 3R00092—Ferrule, Handle, Longitudinal Attachment. 3. 3R00004—Adapter, Driver. 4. SR00194—Saw, Circular, Carbon Steel, .015 Inch Thick, 2 Inch O.D. X% Inch I.D. 5. 3R00164—Nut, Spindle, Large Saw. 6 Figure 7, The longitudinal attachment, showing all parts and the circular saws. 1. 3R00164—Nut, Spindle, Large Saw. 2. 3R00102—Spindle, Saw, Longitudinal Attachment. 3. SR00193—Wrench, Setscrew, Bristo, No. 8. 4. SR00196—Screw, 6-32 XKe Inch, R.H.M., Brass. 5. 3R00094—Spindle, Longitudinal Attachment, Short. 6. 3R00088—Casting, Longitudinal, Aluminum. 7. 3R00090—Handle, Longitudinal Attachment. 8. 3R00092— Ferrule, Handle, Longitudinal Attachment. 9. 3R00100—Bearing, Longitudinal Attachment, End. 10. 3 R00098—Spindle, Longitudinal Attachment. 11. SR00197—Setscrew, 8-32 Inch, Bristo, Cup PL, S.S. 12. 3R00144—Wrench, Open Special. 13. 3R00104—Washer, Drive, Longitudinal Attachment. 14. SR00194—Saw, Circular, Carbon Steel, .015 Inch Thick. 2 Inch O.D. X){6 Inch I.D. 7 4. SR00073—CORD, NEOPRENE, NO. 16, TWO CONDUCTOR. 5. SR00026—PLUG, MALE. SMALL, TWO-PRONG. Figure 8. 7 he foot switch assembly with cords. 1. SR00191—PLUG, MALE, TWIST LOCK, HUBBELL XT 7465. 2. 3R00150—SWITCH, FOOT. 3. SR00195—PLUG, FEMALE, TWIST LOCK, HUBBELL 7464. CHAPTER 2 OPERATING INSTRUCTIONS Section IV. GENERAL 6. SCOPE. Chapter 2 contains information for the guidance of the per- sonnel responsible for the operation of this equipment. Section V. SERVICE UPON RECEIPT OF EQUIPMENT 7. NEW EQUIPMENT, a. Unpacking. To unpack the bone operating case, proceed as follows: (1) Open the shipping box carefully. (2) Remove paper packing so as to uncover the bone operating case. (3) Lift case from the shipping box. (4) Open case and remove parts necessary for operation. b. Sterilizing. (1) Place motor assembly, line cord, and all attachments and accessories necessary for the operation in the sterilizing chamber of an autoclave and proceed to sterilize according to the technique directed by the medical officer in charge. (2) After sterilizing, the motor assembly should be allowed to cool for several hours in the open air before using. Caution: This equipment must not be sterilized in boiling liquids or cooled by water immersion. c. Assembling. Attach line cord to equipment and plug into source of current. Attach accessories necessary for the operation as outlined in d to h below. d. Attaching reciprocating attachment, 3R00156 (figs. 1 and 4). (1) Unscrew the slow end nose cap, 3R00158 (fig. 2). (2) Using the key provided, 3R00006 (fig. 2), loosen Jacob’s chuck enough to allow the driver adapter, 3R00004 (figs. 1 and 6), to slide loosely into the chuck. (3) Insert the small end of adapter into chuck. (4) Using key, tighten the chuck securely. (5) Screw on the reciprocating attachment. Care must be used to pre- vent stripping of threads. (6) Attach saws or chisels to reciprocating attachment, screw chuck, 3R00130 (fig. 5), on as far as possible, loosen one notch, and insert saw or chisel and tighten. 9 e. Attaching telescopic attachment, 3R00152 (fig. 1). (1) Unscrew the slow end nose cap, 3R00158 (fig. 2). (2) Screw on telescopic attachment. (3) Insert selected Kirschner wire through attachment into Jacob’s chuck. (4) Tighten chuck securely through hole in telescopic body, 3R00106 (fig. 1), with key provided. f. Attaching longitudinal attachment, 3R00154 (figs. 1 and 6). Use the same procedure outlined for the reciprocating attachment (paragraph 7d). To adjust the width of the circular saws, slide outer saw in or out and lock with the Bristo setscrew in the hub of the saw. g. Attaching foot switch assembly, 3R00150, and electrical connec- tions. (figs. 1 and 8). (1) Insert male twist-lock plug, SR00191 (fig. 8), into female twist lock plug, SR00195, connected to the foot switch. (2) Connect other female twist lock plug to the motor assembly. (3) Turn all twist lock connections slightly to the right to lock them. h. Attaching slotting burrs (fig. 1). (1) Unscrew fast end nose cap, 3R00056 (figs. 2 and 3). (2) Insert burr into end of spindle. (3) Give burr a half turn to make certain it is seated properly. (4) Replace fast end nose cap to prevent burr slipping out. i. Sires of attachments. Drills, curetting burrs and wires from JJ inch to the smallest wire size may be held securely in the Jacob’s chuck. 8. USED EQUIPMENT, a. Before sterilizing the bone operating case, con- nect the equipment to the source power and check by depressing the foot switch to make sure that the motor operates when the foot switch is depressed. See paragraph 9. A visual inspection is sufficient. b. It is suggested that a check be made of the accessories received against the list of parts in appendix II. Any missing accessories or acces- sories which the medical officer in charge deems to be unusable should be requisitioned immediately. c. With the exception of the procedure as outlined in a and b above, proceed as for new equipment. See paragraph 7. Section VI. CONTROLS AND INSTRUMENTS 9. CONTROLS—FOOT SWITCH. The foot switch serves as an on-and-off switch and as a means of regulating the speed of the motor. When the pedal is not depressed, the equipment is in the off position. The motor rotates at higher speeds as the foot pedal is depressed until it reaches maximum speed when the foot pedal is depressed to its greatest extent. 10 10. INSTRUMENTS. No instruments of any kind are used on this equip- ment. Section VII. OPERATING UNDER USUAL CONDITIONS 11. GENERAL. The technique of operation of the bone operating case is the responsibility of the medical officer in charge. The following general recommendations are made by the manufacturer of the equipment: a. When using the slotting burr technique, it is suggested that the operator keep the foot pedal fully depressed to maintain the maximum speed necessary for satisfactory performance. b. It is advisable when cutting hard bone with a saw or burr to play a normal solution of salt water on the bone to prevent burning. 11 CHAPTER 3 MAINTENANCE INSTRUCTIONS Section VIII. GENERAL 12. SCOPE. Chapter 3 contains information for the guidance of the per- sonnel of the using organizations responsible for the maintenance (first and second echelon) of this equipment. Section IX. SPECIAL ORGANIZATIONAL TOOLS AND EQUIPMENT 13. TOOLS ISSUED WITH EQUIPMENT, a. WRENCH, Setscrew, Bristo No. 8: SR00193 (figs. 5 and 7). b. WRENCH, Setscrew, Bristo, }