SHOULDER USER GUIDE - OrthoSensor

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SHOULDER USER GUIDE - OrthoSensor
OrthoSensor.com
                                    VERASENSE
SHOULDER USER GUIDE

                                      1
                03/2021
                 03/2021LB-5231
                         LB-5231Rev.
                                 Rev.33
SHOULDER USER GUIDE - OrthoSensor
Indications for Use: The VERASENSE for Exactech Equinoxe is for any medical condition in which reverse Total Shoulder Arthroplasty (rTSA) would be indicated. For use as a tool for measuring load
magnitude and displaying center of load location of the humeral component on the glenosphere component. The device does not make a diagnosis and is not intended to replace a surgeon’s clinical
judgement. The VERASENSE for Exactech Equinoxe is sterile, for single patient use.

                                                                                                                                                                                        03/2021 LB-5231 Rev. 3
SHOULDER USER GUIDE - OrthoSensor
TABLE OF CONTENTS

VERASENSE USER GUIDE

   VERASENSE for Exactech Equinoxe              4    Kinetic Tracking                      18

   Linkstation MINI With Integrated Antenna     5    Motion Capture                        19

   Linkstation MINI Evaluation Kit              6    Shutting Down VERASENSE
                                                     for Exactech Equinoxe                 20
   VERASENSE Software Application
   for Shoulder (VSA-S)                         7    Shutting Down the Linkstation MINI    21
                                                     and Linkstation MINI Evaluation Kit
   Getting Started                              8
                                                     Warning & Dialog Messages             22
   Surgeon Selection                            9
                                                     Troubleshooting                       24
   VERASENSE for Exactech Equinoxe Activation   10
                                                     Cleaning & Care                       25
   Calibration Sequence & Shoulder Selection    11
                                                     Additional Features                   26
   Verify VERASENSE for Exactech
   Equinoxe Activation                          12      Options Menu                       27

   Active Monitoring Screen                     13      OrthoLogIQ Mode (“IQ Mode”)        28
   VERASENSE for Exactech Equinoxe Insertion    14
                                                        WiFi Connection Setup              29

                                                                                                                 OrthoSensor.com
   Assessing Loads                              15
                                                        Selecting the Open Network         30
   Image & Data Capture                         16
                                                        Keyboard Hot-Keys                  31
   Re-Zero Load                                 17

                                                                                                                    VERASENSE
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                                                                                                03/2021 LB-5231 Rev. 3
SHOULDER USER GUIDE - OrthoSensor
VERASENSE FOR EXACTECH EQUINOXE

                  VERASENSE for Exactech Equinoxe provides orthopedic surgeons a tool for
                  measuring load magnitude and displaying center of load location of the
                  humeral component on the glenosphere component during Reverse Total
                  Shoulder Arthroplasty (rTSA).*

                  VERASENSE for Exactech Equinoxe utilizes proprietary sensor technologies within
                  an intelligent disposable humeral insert trial. It measures dynamic loads on the
                  humoral insert and wirelessly transmits the measured load data to the LinkStation
                                                                                                                     SENSOR-ASSISTED rTSA
                  MINI and LinkStation MINI Evaluation Kit with VERASENSE Software Application for
                  Shoulder (VSA-S) installed for surgeon visualization.

                  VERASENSE FOR EXACTECH EQUINOXE KEY PRODUCT FEATURES

                  •W
                    ireless humeral sensor allows unconstrained evaluation of dynamic glenohumeral joint
                   loading and kinematics

                  • Provides dynamic feedback on glenohumeral joint compressive load through the full ROM

                  •K
                    inetic tracking displays load tracking in conjunction with numerical load data to visualize
OrthoSensor.com

                   glenohumeral articulation through the full ROM

                  • Requires no change to surgical workflow

                  • Low-cost, single use disposable sensor
   VERASENSE

                  • Enables intraoperative data capture

                                                                                                                   *This device does not make a diagnosis and is not intended
                                                                                                                                      to replace a surgeon’s clinical judgment.
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SHOULDER USER GUIDE - OrthoSensor
L I N K S TAT I O N M I N I WITH INTEGRATED ANTENNA

                    Antenna

LinkStation MINI Display Unit

                    Antenna

    VERASENSE for Exactech
 Equinoxe Activation Magnet
                                                                             Easy Grip Transport Handle

                                                                             VERASENSE for Exactech
                                                                             Equinoxe Storage Basket

                                                                             Medical Grade Power Cord
NOTE                                                                         with Power Supply Holster

                                                                                                                        OrthoSensor.com
The following accessories are necessary for
the operation of the VERASENSE for Exactech
Equinoxe device:
  • V ERASENSE Software Application for
                                                                             Balanced Rolling Stand
     Shoulder

                                                                                                                           VERASENSE
  • LinkStation MINI or LinkStation MINI
     Evaluation Kit

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SHOULDER USER GUIDE - OrthoSensor
LINKSTATION MINI EVALUATION KIT

                         Antenna*

                                                                                                                               Transceiver*

                         Antenna*

                  LinkStation MINI
                  Evaluation Kit
                  Display Unit

                                                                                                                               Transceiver Tripod*

                                                                                                                               Medical Grade Power
                             Stand                                                                                             Cord with Power Supply
                                                                                                                               (NOT DISPLAYED)
OrthoSensor.com

                   NOTE
                   The following accessories are necessary for the operation of
   VERASENSE

                   the VERASENSE for Exactech Equinoxe device:
                      • VERASENSE Software Application for Shoulder
                                                                                         * Included in the LinkStation MINI Eval Kit, setup not required for use with
                                                                                                                               VERASENSE for Exactech Equinoxe
                      • LinkStation MINI or LinkStation MINI Evaluation Kit
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SHOULDER USER GUIDE - OrthoSensor
VERASENSE SOFTWARE APPLICATION FOR SHOULDER (VSA-S)

                               Load Value

                                                                                                           Exit VERASENSE
                                                                                                           Software Application
                                            lbf
                                                                                                 EXIT
                                                                                                           for Shoulder

Center of Load
Indicator                                                                                       OPTIONS    Options Menu

                                                                                                 TRACK     Kinetic Tracking

                                                                                                 ZERO
                                                                                                           Re-Zero
                                                                                                           VERASENSE for
                                                                                                           Exactech Equinoxe
                                                                                                MOTIONS
                                                                                                           Capture motions
                                                                                                           for 0, 45 and 90
                                                                                                           degree abduction
                                                                                                 OH        and Forward
                                                                                                           Elevation
                                                                                                  BB

                        LEFT                                                                      CB

                                                                                                                                        OrthoSensor.com
                                                            • RF/Bluetooth Signal Strength   Positional Data
                                                                                              Capture Table
                                                            • VERASENSE for Exactech
                                                               Equinoxe Battery Life
NOTE
                                                            • Tablet Power Status

                                                                                                                                           VERASENSE
The color of the VERASENSE for Exactech Equinoxe
sensor shown on the VSA-S display corresponds to the        • Surgical Side Indicator
colors of the Exactech Equinoxe Reverse glenosphere trial
and humeral liner trial (42mm = yellow, 38mm = blue).
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SHOULDER USER GUIDE - OrthoSensor
GETTING STARTED

                                                                                                DISPLAY UNIT POWER BUTTON

                                                                                                                                                                     LINKSTATION MINI

                  POWERING ON THE                        LinkStation MINI

                   STEP 1
                   To turn on the LinkStation MINI or LinkStation MINI Evaluation Kit, press
                   the POWER button located on the left side of the Display Unit.

                   STEP 2
                   The VERASENSE Software Application for Shoulder will automatically
                   startup once the Display Unit is powered on.

                   STEP 3
                   The plug-shaped Tablet Power indicator on the bottom left of the screen
                   shows whether the tablet is plugged in and running on AC power or if it is                                                                        LINKSTATION MINI
                                                                                                                                                                       EVALUATION KIT
                   unplugged and running on DC battery power.

                     C
                      AUTION It is recommended to always plug in the LinkStation MINI
                     and operate the system on AC power.

                                                                                                            Please activate VERASENSE Device by placing it on the magnet

                                                                                                            (Keep VERASENSE Devie on the magnet until application starts)
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                                                                                                                             Searching for VERASENSE...

                                                                                                                                          Physician Name

                                                                                                                                 Select
                                                                                                     WIFI                                                  POWER
   VERASENSE

                   NOTE                                                                               TABLET POWER INDICATOR
                                                                                                      RED = UNPLUGGED (DC)
                   Place the LinkStation MINI or LinkStation MINI Evaluation Kit on
                                                                                                      GREEN = PLUGGED IN (AC)
                   contralateral side of the operating table for optimal surgeon visibility.
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SHOULDER USER GUIDE - OrthoSensor
SURGEON SELECTION

SELECT THE SURGEON

 This feature is not for use with VERASENSE for Exactech
 Equinoxe during Reverse Total Shoulder Arthroplasty (rTSA).

                                                                      Please activate VERASENSE Device by placing it on the magnet

                                                                      (Keep VERASENSE Devie on the magnet until application starts)

                                                                                       Searching for VERASENSE...

                                                                                                    Physician Name

                                                                                           Select
                                                               WIFI                                                  POWER

                                                                               Physician Name
                                                                      Doe John MD                                            POWER
                                                                      Select

                                                                                                                                                       OrthoSensor.com
                                                                      Doe John MD
                                                                      Surgeon Not Listed

                                                                                                                                                          VERASENSE
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SHOULDER USER GUIDE - OrthoSensor
VERASENSE FOR EXACTECH EQUINOXE ACTIVATION

                  ACTIVATE VERASENSE FOR
                  EXACTECH EQUINOXE

                   STEP 1
                   Select appropriate VERASENSE for Exactech Equinoxe size and remove
                   VERASENSE for Exactech Equinoxe and shims from outer box.
                   • DO NOT remove from sterile pouch.

                   STEP 2
                                                                                                   LINKSTATION MINI
                   Activate VERASENSE for Exactech Equinoxe by holding it stationary up
                   against the magnet.

                   NOTE: For the LinkStation MINI only, the magnet is mounted on the roll stand.

                   STEP 3
                   DO NOT REMOVE VERASENSE FOR EXACTECH EQUINOXE FROM THE
                   MAGNET UNTIL EACH OF THE FOLLOWING ACTIVATION STEPS OCCURS:
                   • An LED light will illuminate in VERASENSE for Exactech Equinoxe after
                     approximately one (1) second. The light turns off after approximately
                     four (4) seconds.
OrthoSensor.com

                   •T
                     he VERASENSE Software Application for Shoulder will recognize
                    VERASENSE for Exactech Equinoxe and initializes communication.

                   NOTE
   VERASENSE

                   To optimize battery life, do not activate VERASENSE for Exactech Equinoxe
                   until just before it is required in the surgical workflow. VERASENSE for
                   Exactech Equinoxe has a 40 minute battery life.
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CALIBRATION SEQUENCE & SHOULDER SELECTION

SELECT LATERALITY

 STEP 1
                                                               lbf
                                                                                                            EXIT

 Once the calibration sequence is complete, the SELECT
                                                                                                           OPTIONS
 SHOULDER dialog will appear.
                                                                                                           TRACK

 STEP 2                                                                                                     ZERO

 Press either LEFT or RIGHT to match the surgery side.                                                     CAPTURE

                                                                Please wait... calibrating VERASENSE

                                                                                                           MOTIONS

                                                               lbf
                                                                                                            EXIT

                                                                                                           OPTIONS

                                                                                                           TRACK

                                                                                                            ZERO

                                                                                                                        OrthoSensor.com
                                                                                                           CAPTURE

                                                                     Please select the shoulder
                                                                                                           MOTIONS

                                                                          LEFT       RIGHT

                                                                                                                           VERASENSE
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VERIFY VERASENSE FOR EXACTECH EQUINOXE ACTIVATION

                  VERIFY VERASENSE FOR
                  EXACTECH EQUINOXE ACTIVATION

                   STEP 1
                                                                                            lbf
                                                                                                       EXIT

                   While in sterile pouch, apply pressure to the VERASENSE
                                                                                                      OPTIONS

                   for Exactech Equinoxe articular surface on the sensor
                   nodes and confirm that loads display.                                               TRACK

                                                                                                       ZERO

                   STEP 2
                                                                                                      CAPTURE

                   Once activation is confirmed, open the sterile packaging
                   that contains VERASENSE for Exactech Equinoxe and shims                            MOTIONS

                   and pass into sterile field using standard sterile technique by
                   hospital personnel.
                                                                                     LEFT
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   VERASENSE

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                                                                                                  03/2021 LB-5231 Rev. 3
ACTIVE MONITORING SCREEN

ACTIVE MONITORING SCREEN AND COMMUNICATION STATUS

 STEP 1
                                                                           lbf
                                                                                                 EXIT

 Once VERASENSE for Exactech Equinoxe is passed into the
                                                                                                OPTIONS

 sterile field, it is ready for use during the procedure.
                                                                                                 TRACK

 STEP 2                                                                                          ZERO

 Position the LinkStation MINI or LinkStation MINI Evaluation                                   CAPTURE

 Kit as close to the sterile boundary as possible and within
 direct view of the surgeon.                                                                    MOTIONS

                                                                LEFT

                                                                                                             OrthoSensor.com
NOTES
1. The ACTIVE MONITORING SCREEN is the main screen of the
    VERASENSE Software Application for Shoulder.
2. T he Communication Signal Strength Indicator is located
    at the bottom left of the screen VERASENSE Software

                                                                                                                VERASENSE
    Application for Shoulder.
  •R
    eposition the LinkStation MINI or LinkStation MINI
   Evaluation Kit to troubleshoot poor signal strength.
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                                                                                            03/2021 LB-5231 Rev. 3
VERASENSE FOR EXACTECH EQUINOXE INSERTION

                  VERASENSE FOR EXACTECH EQUINOXE
                  INSERTION & SHIM ASSEMBLY

                   STEP 1
                   Determine desired VERASENSE for Exactech Equinoxe thickness and
                   attach the appropriate shim as needed.

                   STEP 2
                   Insert VERASENSE for Exactech Equinoxe

                   • To insert the VERASENSE for Exactech Equinoxe humeral trial sensor, the
                      underside asymmetric-connecting feature should be appropriately aligned
                      and the liner/tray trials should be pressed together until the C-spring
                      engages. This technique is the same as the standard humeral trial liner insertion
                      and removal, additional details for this can be found in the “EQUINOXE®
                     PLATFORM SHOULDER SYSTEM OPERATIVE TECHNIQUE”
OrthoSensor.com

                      CAUTION
                   DO NOT utilize excessive force or impact VERASENSE for Exactech Equinoxe
   VERASENSE

                   directly with a mallet. Excessive impaction force may damage or negatively
                   impact function of VERASENSE for Exactech Equinoxe.

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ASSESSING LOADS

ASSESSING LOADS

 LOAD MAGNITUDE AND CENTER OF LOAD
                                                                                                       lbf
                                                                                                                                                                        EXIT

 With VERASENSE for Exactech Equinoxe inserted, the VERASENSE                                                                                                          OPTIONS

 Software Application for Shoulder displays the load magnitude*
 and the center of load (COL) location** of the humeral component                                                                                                       TRACK

 on the glenosphere component. Data is displayed dynamically
                                                                                                                                                                        ZERO

 through a range of motion.
                                                                                                                                                                       CAPTURE

 NOTES:
 -L
   oad values and center of load location are not displayed for                                                                                                       MOTIONS

  detected loads less than 5 lbf.
 - It is recommended to evaluate glenohumeral load with retractors
                                                                                      LEFT
    and other surgical instruments removed.

                                                                                                       lbf
                                                                                                                                                                        EXIT

 LOADING AND CENTER OF LOAD REGIONS                                                                                                                                    OPTIONS

 Loads are measured and the COL location is displayed in the                                                                                                            TRACK

 following regions:
                                                                                                                                                                        ZERO
  •B
    oundary for COL Location (blue hexagon): The COL point
   only appears within this region.                                                                                                                                    CAPTURE

  •E
    ffective Loading Area (green circle): The COL point does not

                                                                                                                                                                                   OrthoSensor.com
                                                                                                                                                                       MOTIONS

   display within this region, but load measurements are collected.
                                                                                                                                           Sensor outlines (gray circles) and
 NOTES:                                                                                                                                    load regions are not displayed on
                                                                                      LEFT                                                 VSA-S Active Monitoring Screen.
 -T
   here is no device output when load is only applied outside the
  Effective Loading Area or when the device is not in contact with
  the glenosphere component.

                                                                                                                                                                                      VERASENSE
 - If no load is being displayed, it is recommended to palpate or            * T he measurement load range of the VERASENSE for Exactech Equinoxe is 5 to 40
     visually inspect the joint interface to determine if this is due either      lbf, with a load accuracy of less than or equal to 3.5 lbf, and 41-70 lbf with a load
                                                                                  accuracy of less than or equal to 15%.
     to low-loading or non-contact scenarios.                                  ** The center of load location accuracy is less than or equal to 3 mm.
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IMAGE & DATA CAPTURE

                  IMAGE & DATA CAPTURE

                   TWO WAYS TO CAPTURE SCREEN IMAGES AND DATA
                   The VERASENSE Software Application for Shoulder shows EITHER the SIMPLE CAPTURE Button OR the POSITION CAPTURE
                   Table.

                   SIMPLE CAPTURE                                          POSITION CAPTURE

                             EXIT           LEFT

                                                       EXIT
                            OPTIONS        POSITION
                                           CAPTURE                                       Load
                            TRACK             IQ
                                                      OPTIONS

                             ZERO           INFO
                                                                                                                               Overhead

                            CAPTURE                   TRACK

                            MOTIONS
                                                                                                                               Behind Back
                                                       ZERO

                                                                                                                               Cross Body
OrthoSensor.com

                                                      CAPTURE
                                            CLOSE

                   • Shown when Position Capture Table isn’t displayed.   •C
                                                                             aptures screenshot and records load data when OH, BB and CB
                                                                            BUTTONS are selected.
   VERASENSE

                   • Captures screenshot when selected.
                                                                           • Positional Data Capture Table can be turned on/off in the
                                                                             OPTIONS menu.

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RE-ZERO LOAD

                                                                                                                                                              Re-Zero Device
RE-ZEROING
                                                                                                                          lbf
                                                                                                                                                                              EXIT

                                                                                                                                                                             OPTIONS

 If VERASENSE for Exactech Equinoxe experiences elevated loads, a re-zero
                                                                                                                                                                              TRACK

 calibration may be required for accurate load readings. A user can                                                                                                           ZERO

 perform a re-zero as follows:
                                                                                                                                                                             CAPTURE

                                                                                                                                VERASENSE overload detected

                                                                                                                                                                             MOTIONS

           MENU ZERO BUTTON

 	Remove any applied load from VERASENSE for Exactech                                                             LEFT
   Equinoxe and then press the ZERO button on the VERASENSE
   Software Application for Shoulder.                                                                                     lbf                                                 EXIT

                                                                                                                                                                             OPTIONS

                                                                                                                                                                              TRACK

                                                                                                                                                                              ZERO

                                                                                                                                                                             CAPTURE

                                                                                                                                    Re-Zero Enabled

                                                                                                                                                                             MOTIONS

                                                                                                                   LEFT

                                                                                                                          lbf                                                 EXIT

                                                                                                                                                                                         OrthoSensor.com
                                                                                                                                                                             OPTIONS

                                                                                                                                                                              TRACK

 NOTE
                                                                                                                                                                              ZERO

 Do not re-load VERASENSE for Exactech Equinoxe until “Re-Zero                                                                                                               CAPTURE

 Completed” message is displayed.                                                                                                  Re-Zero Completed

                                                                                                                                                                                            VERASENSE
                                                                                                                                                                             MOTIONS

 Maximum allowable load for the VERASENSE for Exactech Equinoxe is 70 lbf. If the physician perceives a
 difference between the loads displayed on the screen and the physical feel, the physician should either replace
 the device or continue the procedure using their standard instrumented trial technique and best clinical          LEFT
 judgment.
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KINETIC TRACKING

                  USING THE KINETIC TRACKING FEATURE
                                                                                         Press Track to turn on/off kinetic tracking
                   Displays dynamic motion of the shoulder through the full ROM
                                                                                         lbf
                                                                                                                                    EXIT
                   to evaluate joint kinetics

                   STEP 1                                                                                                         OPTIONS

                   Select the TRACK button on the VERASENSE Software                                                               TRACK

                   Application for Shoulder to enable Kinetic Tracking.                                                            ZERO

                                                                                                                                  CAPTURE

                   STEP 2
                                                                                                                                  MOTIONS

                   To clear and disable tracking, click the TRACK button again.

                                                                                  LEFT

                                                                                                     Kinetic Tracks are displayed as
                                                                                                     color-mapped lines that trace
                                                                                                     center of load movement and
                                                                                                     load magnitude in the 5 - 40lbf
                                                                                                     range.
OrthoSensor.com
   VERASENSE

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MOTION CAPTURE

USING THE MOTION CAPTURE FEATURE
 VERASENSE for Exactech Equinoxe quantifies the load magnitude
 and center of load location of the humeral component on the                                                                           EXIT

 glenosphere component. The Motion Capture feature allows the user                                                                    OPTIONS

 to capture and store the max. load magnitude and center of load traces
 during surgeon-completed limb motions. Captures can be recorded                                                                       TRACK

 for internal/external rotation of the humerus at 0, 45, & 90 degrees of                                                               ZERO

 abduction (elbow at 90 degrees flexion) as well as shoulder forward
 elevation. Press the MOTIONS button to begin.                                                                                        MOTIONS

 POSITIONAL MOTION CAPTURE                                                                                                             OH

                                                                                                                                       BB

        STEP 1                                                                                                                         CB
                                                                                        LEFT
        Position the arm at the active, highlighted abduction angle,
        with the elbow bent to 90˚.                                                Any test can be repeated by selecting the trace image
                                                                                   and repeating steps.
        STEP 2
        With the arm in a neutral rotational position, press the TRACK
        button to begin the recording.

        STEP 3
        Slowly internally and externally rotate the arm to the limits of motion.

        STEP 4

                                                                                                                                                   OrthoSensor.com
        Return the arm to the neutral position and, press the TRACK
        button to end the recording. The system will advance to the
        next position automatically.

                                                                                                                                                      VERASENSE
 FORWARD ELEVATION MOTION CAPTURE

        Repeat steps 2-4 but with the arm moving from flexion to extension.

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SHUTTING DOWN VERASENSE FOR EXACTECH EQUINOXE

                  VERASENSE FOR EXACTECH
                  EQUINOXE SHUT DOWN
                                                                                        EXIT

                   STEP 1                                                              OPTIONS             VERASENSE connected.
                                                                                                        Are you sure you want to exit?
                   To turn off VERASENSE for Exactech Equinoxe when the procedure      TRACK

                   is complete, press the EXIT button in the top right corner of the                            CANCEL           OK
                   Active Monitoring screen.                                            ZERO

                   STEP 2
                   Confirm exit on the pop-up window by pressing OK . The “Shutting
                   down VERASENSE” dialog box will open.

                                                                                                      Shutting down VERASENSE...
OrthoSensor.com

                                                                                                 VERASENSE shutdown failed. Try again?
                   NOTE
                                                                                                            Exit         RETRY
                                                                                                           Home
                                                                                                           Screen
                   The VERASENSE for Exactech Equinoxe communicates via Bluetooth
   VERASENSE

                   to power the device down. If communication can no longer be
                   achieved, the “ VERASENSE shutdown failed” box will open. Select
                   EXIT HOME SCREEN to exit the VERASENSE Software Application
                   for Shoulder.
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SHUTTING DOWN THE LINKSTATION MINI AND LINKSTATION MINI EVALUATION KIT

LINKSTATION MINI AND LINKSTATION MINI EVALUATION KIT
SHUTDOWN

 After the procedure is complete and VERASENSE for Exactech
 Equinoxe has been shut down successfully, shut down the
 LinkStation MINI by pressing the on-screen POWER button
 and then selecting OK .
                                                                            Please activate VERASENSE Device by placing it on the magnet
 • This will power the entire LinkStation MINI down.
                                                                            (Keep VERASENSE Devie on the magnet until application starts)

 • In order to restart, the Display Unit’s external POWER button                            Searching for VERASENSE...

   must be pressed.

                                                                                                          Physician Name

                                                                                                 Select
                                                                    WIFI                                                        POWER

                                                                           Are you sure you want to shutdown?

                                                                                          CANCEL                           OK

                                                                                                                                                             OrthoSensor.com
                                                                                                                                                                VERASENSE
 NOTE
 The LinkStation MINI SHOULD NOT be shut down using
 the Display Unit’s external POWER button.
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WARNING & DIALOG MESSAGES

                  VERASENSE ERROR -                           VERASENSE CALIBRATION                         ACTIVE VERASENSE FOUND
                  UNABLE TO CONNECT                           TIMEOUT
                                                                                                            This message appears when an active
                  Error during the initial connection with    This message will appear if a calibration     VERASENSE for Exactech Equinoxe is
                  starting VERASENSE for Exactech Equinoxe.   error occurs during Activation of VERASENSE   found. If the VERASENSE Software
                  Typically due to VERASENSE power loss       for Exactech Equinoxe.                        Application is enabled with Channel
                  during connection.                          •S
                                                                elect RECALIBRATE to have the              Switching and the VERASENSE Software
                                                               VERASENSE Software Application for           Application for Shoulder detects an
                                                               Shoulder recalibrate VERASENSE for           active VERASENSE for Exactech Equinoxe,
                        VERASENSE error. Unable to connect.
                                                               Exactech Equinoxe prior to moving to         the following dialog box will appear
                                                               the Active Monitoring Screen.                with the active VERASENSE for Exactech
                                                                                                            Equinoxe serial number.
                                                              •S
                                                                elect SHUT DOWN VERASENSE to shut
                                                               down the current VERASENSE for               SERIAL NUMBER (          SN   ) VERASENSE.
                                                               Exactech Equinoxe and to exit to the         (The serial number is located on both the
                  VERASENSE CALIBRATION                        VERASENSE Software Application for           VERASENSE for Exactech Equinoxe box as
                  ERROR                                        Shoulder Home Screen.                        well as the Tyvek sterile packaging pouch.

                  This message will appear if a VERASENSE
                  Software Application for Shoulder error            VERASENSE Calibration Timeout.
                  has occurred during the initial VERASENSE                                                              Active VERASENSE found
                                                                                                                     (   SN 1234567890) Connect?
                  for Exactech Equinoxe calibration while
                  on the Active Monitoring Screen.

                           VERASENSE Calibration Error.
                                                              VERASENSE OVERLOAD
                                                              DETECTED
OrthoSensor.com

                                                              VERASENSE for Exactech Equinoxe
                                                              overload condition in loads exceed
                                                              70lbf. Re-Zero should be performed.

                                                                      VERASENSE overload detected.
   VERASENSE

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WARNING & DIALOG MESSAGES

VERASENSE SEARCH - ERROR                                VERASENSE DATA TIMEOUT
This message appears when an error has                  This message will appear if an error has
occurred while the VERASENSE Software                   occurred when handling measured data
Application for Shoulder is searching for               that is being transferred from VERASENSE
active VERASENSE for Exactech Equinoxe.                 for Exactech Equinoxe.
Select OK and the VERASENSE Software
Application for Shoulder will reset and
                                                              VERASENSE Data Transfer Timeout.
re-establish the search for all active
VERASENSE for Exactech Equinoxe.

 Error during VERASENSE Search. Select ‘OK’ to reset.

                                                        VERASENSE SHUTDOWN FAILED
                                                        This message will appear if an error
                                                        has occurred when trying to shutdown
MULTIPLE VERASENSE FOUND                                VERASENSE for Exactech Equinoxe from
                                                        the Active Monitoring Screen. If RETRY
VERASENSE for Exactech Equinoxe selection               is selected, the VERASENSE Software
message when multiple VERASENSE for                     Application for Shoulder will offer
Exactech Equinoxe sensors are active. Choose            additional shutdown attempts. If EXIT
desired VERASENSE for Exactech Equinoxe                 HOME SCREEN is selected then the
by serial number ( SN ) listed on box.                  VERASENSE Software Application for
                                                        Shoulder will close and return to the
             Multiple VERASENSE found                   VERASENSE Software for Shoulder
  Please select VERASENSE or ‘CANCEL’ to wait for       Application Homepage.

                                                                                                                               OrthoSensor.com
    a different VERASENSE to become activated.

                                                             VERASENSE shutdown failed. Try again?
               SN   311717036

               SN   412938089

                                                                                                                                  VERASENSE
                                                                                                                               23
                                                                                                              03/2021 LB-5231 Rev. 3
TROUBLESHOOTING

                  TROUBLESHOOTING

                   VERASENSE                                                          WIRELESS COMMUNICATION
                   If VERASENSE for Exactech Equinoxe light does not turn off         If Communication is intermittent:
                   during activation:                                                 • Reposition the LinkStation MINI or LinkStation MINI
                   • Return the VERASENSE for Exactech Equinoxe to the                  Evaluation Kit as close to the sterile boundary as possible
                      activation magnet to complete the activation sequence.             and within direct view of the surgeon.

                   If VERASENSE for Exactech Equinoxe is showing no load values       •O
                                                                                        bjects such as OR lights, metal tables and mayo stands,
                   in the shoulder, or load values are being shown when it has been    and people can potentially interfere with communication.
                   removed from the shoulder and no load is being applied:
                   • Re-Zero VERASENSE for Exactech Equinoxe.
                                                                                      Bluetooth Communication:
                                                                                      • If communication cannot be reestablished, complete a force
                   DISPLAY UNIT                                                          restart of the LinkStation MINI or LinkStation MINI
                                                                                         Evaluation Kit by holding the power button on the display
                   If Display Unit will not turn on, or shuts down inadvertently:
                                                                                         unit down for 5 seconds. The system will reboot and
                   • Ensure the power cord is properly attached to the Display
                                                                                         automatically reconnect to the device.
                      Unit and plugged into a power outlet.

                   If Display Unit power button is blinking but nothing is
                   happening:
                   • The Display Unit is in sleep mode. Press the power button
                      to wake up the Display Unit.
OrthoSensor.com

                   ROLL STAND        (FOR LINKSTATION MINI ONLY)

                   If Roll Stand will not roll:
                   • Check to ensure that the breaks on the casters are
   VERASENSE

                      disengaged.

24
                                                                                                                                            03/2021 LB-5231 Rev. 3
CLEANING & CARE

CLEANING AND CARE

 SOLUTIONS                                                          TRANSCEIVER
 The following is a list of chemical cleaning solutions that have   Wipe the Transceiver down with 70% isopropyl alcohol wipes
 been successfully tested on the Display Unit & Roll Stand:         after each use.

 •   SANI-CLOTH HB
 •   SANI-CLOTH PLUS                                                ROLL STAND       (FOR LINKSTATION MINI ONLY)
 •   SUPER SANI-CLOTH
 •   Cavi Wipes                                                     The Roll Stand may be cleaned with most mild, non-abrasive
 •   Cloro-Wipe Towelette                                           solutions commonly used in the hospital environment (e.g.
 •   70% Isopropyl Alcohol                                          diluted bleach, ammonia, or isopropyl alcohol).
 •   Alcohol Prep Pads
 •   Tuffie Wipes
                                                                    NOTE
                                                                    The surface finish will be permanently damaged by strong
 DISPLAY UNIT                                                       chemicals and solvents such as acetone and trichloro-
 Use only a soft, lint-free cloth. Please note: abrasive cloths,    ethylene. Do not use steel wool or other abrasive material to
 towels, paper towels or similar items should not be used as        clean the Display Unit. Never submerge or allow liquids to
 these may cause damage to the Display Unit.                        enter the Display Unit. Wipe any cleaning agents off the
                                                                    Display Unit immediately using a water-dampened cloth.
 1. Disconnect the Display Unit from any external power sources.   Dry all Display Unit thoroughly after cleaning.
 2. S
     pray approved cleaning solutions onto soft lint-free cloth.

                                                                                                                                           OrthoSensor.com
    Do not spray cleaning solutions directly onto equipment or
    at any openings.
 3. Wipe surface until clean.
 4. C leaning of the Display Unit should be performed after
     each use.

                                                                                                                                              VERASENSE
                                                                                                                                           25
                                                                                                                          03/2021 LB-5231 Rev. 3
OrthoSensor.com

                  V E RAS E N S E A DDI T I O NAL F E AT URE S
   VERASENSE

26
                                                                 03/2021 LB-5231 Rev. 3
ADDITIONAL FEATURES

OPTIONS MENU

                           EXIT                                   LEFT
                                                                                           Left/Right Shoulder Selection

                         OPTIONS                                POSITION
                                                                CAPTURE
                                                                                           Open/Close the OH/BB/CB Position Capture Table

                          TRACK                                    IQ
                                                                                           Open OrthoLogIQ* Web Portal

                          ZERO                                    INFO
                                                                                           Open VERASENSE for Exactech Equinoxe Information Panel

                         CAPTURE                                                               Side: Left
                                                                                               Device ID: 561034030
                                                                                               Device Type: EXC-EQRV38
                         MOTIONS

                                                                                                              OK

                                                                                                                                                                                                  OrthoSensor.com
                                                                 CLOSE
                                                                                           Exit Options Panel

                                                                                                                                                                                                     VERASENSE
 *O rthoLogIQ is only available to those end-users who purchase it pursuant to a separate agreement with OrthoSensor, Inc. OrthoLogIQ is only available in the United States.
                                                                                                                                                                                                  27
                                                                                                                                                                                 03/2021 LB-5231 Rev. 3
ADDITIONAL FEATURES

                  ORTHOLOGIQ MODE (“IQ MODE”)

                                    EXIT                       LEFT

                                   OPTIONS                   POSITION
                                                             CAPTURE

                                    TRACK                       IQ

                                    ZERO                       INFO

                                   CAPTURE

                                   MOTIONS

                                                              CLOSE
OrthoSensor.com

                                                                        Browser Controls                                                                 Open/Close                Exit to VERASENSE
                                                                          ack/Forward
                                                                         B                                                                               Digital                   Software Application
                                                                         Home                                                                            Keyboard                  for Shoulder
                                                                                                                                                                                     If user exits IQ mode,
                                                                                                                                                                                      browser will minimize
   VERASENSE

                                                                                                                                                                                      and can be reopened
                                                                                                                                                                                      with IQ button.

                   *O rthoLogIQ is only available to those end-users who purchase it pursuant to a separate agreement with OrthoSensor, Inc. OrthoLogIQ is only available in the United States.
28
                                                                                                                                                                                                   03/2021 LB-5231 Rev. 3
WIFI CONNECTION SETUP

WIFI CONNECTION SETUP

 The WIFI Button in the lower left-hand corner will indicate the
 connection status of the VERASENSE Software Application
 for Shoulder:

        GREEN = WIFI Connected                                                Please activate VERASENSE Device by placing it on the magnet

        RED = WIFI Not Connected                                              (Keep VERASENSE Devie on the magnet until application starts)

                                                                                               Searching for VERASENSE...
 STEP 1
 Select the WIFI button to connect the VERASENSE Software
 Application for Shoulder to a wireless network or to
 acknowledge a network access policy for a connected                                               Select
                                                                                                            Physician Name

                                                                      WIFI                                                   POWER
 (green) network.

 •O
   n the WIFI Network Configuration Screen, a list will
  populate with the names of all available networks.
                                                                   KEYBOARD

 STEP 2
  se the UP and DOWN arrows to scroll through the list of
 U
 available networks.

                                                                                                                                                               OrthoSensor.com
 NOTE: If desired network is not shown, please select the
 RE-SCAN button to repopulate the network list.

                                                                   RE-SCAN

 STEP 3
                                                                    CLOSE

                                                                                                                                                                  VERASENSE
 Select the desired WIFI network by touching the appropriate
 network box.

                                                                                                                                                               29
                                                                                                                                              03/2021 LB-5231 Rev. 3
WIFI CONNECTION SETUP

                  SELECTING THE OPEN NETWORK

                   STEP 1
                   After selecting the appropriate WIFI network, enter the
                   Network Security Key:

                   • Press the KEYBOARD button to open the virtual keyboard.
                   • Select the Network Security Key field and enter key.
                   • Press the CONNECT button.

                   NOTE: If the WIFI network does not have a Network Security
                   Key, select the CONNECT button to proceed.

                   STEP 2
                   To confirm a successful WIFI network:

                   • The connect WIFI network will appear in GREEN.
                   • Is Connected = True
                   •O n the right portion of the screen, the OrthoLogIQ* login page
                     will appear.
OrthoSensor.com

                   NOTE
                   If the selected network requires acceptance of a local internet
                   access policy , a pop-up window will appear in the right-hand
                   side of the WIFI Configuration Screen. Enter the required
                   policy information.
   VERASENSE

                   To exit to the Home Screen, select the CLOSE button in the
                   bottom left corner.                                                 *O rthoLogIQ is only available to those end-users who purchase it pursuant to a
                                                                                         separate agreement with OrthoSensor, Inc. OrthoLogIQ is only available in the
                                                                                         United States.
30
                                                                                                                                                                  03/2021 LB-5231 Rev. 3
ADDITIONAL FEATURES

KEYBOARD HOT KEYS

 STEP 1
 Press the top left corner of the screen to open the digital
 keyboard.
                                                                                                                           Please activate VERASENSE Device by placing it on the magnet

 • Works on both the VERASENSE Software Application for                                                                  (Keep VERASENSE Devie on the magnet until application starts)
   Shoulder Activation and Active Monitoring screens.                                                                                      Searching for VERASENSE...

 STEP 2
 “Hot-keys” have been designated for added features:                                                                                                    Physician Name

                                                                                                                                               Select
                                                                                                          WIFI                                                              POWER

 • U – Initiate the utilization data upload to cloud. Select OK once
   the upload is complete.

 • I – Open IQ mode. Allows user to access OrthoLogIQ* once
   VERASENSE for Exactech Equinoxe has been shutdown.

 • L – Log Export of case screenshots and user data to external
   USB thumb drive from VSA Activation home screen. Follow                                                                          Export VERASENSE Images

   on-screen prompts to download (1) Last Case, or (2) All                                                                           Insert Flash Drive into USB

   Cases from Current Day.
                                                                                                                                             Select Case Range

                                                                                                                                                                                                           OrthoSensor.com
 •S
   – System Info Screen for display of Indications for Use
  information.                                                                                                                       OK                                  CANCEL

                                                                                                                                                                                                              VERASENSE
 *O rthoLogIQ is only available to those end-users who purchase it pursuant to a separate agreement with OrthoSensor, Inc. OrthoLogIQ is only available in the United States.
                                                                                                                                                                                                           31
                                                                                                                                                                                          03/2021 LB-5231 Rev. 3
OrthoSensor is the technology leader in the development of intelligent orthopaedic solutions that
                  provide real-time intraoperative data to surgeons and hospitals. OrthoSensor intelligent orthopaedic
                  solutions utilize proprietary sensor technologies with the goal of improving healthcare outcomes and
                                    potentially reducing the cost of treating musculoskeletal disease.

                                    OrthoSensor, Inc.                                                 FCC ID
   MANUFACTURER                     1855 Griffin Road, Suite A-310
                                    Dania Beach, FL 33004-2200, USA
                                                                                                BLUETOOTH

           CAUTION                                                                                                                 60°C

                                                                                                                                              LinkStation MINI & LinkStation MINI Eval. Kit
                                                                                      TEMPERATURE LIMIT              -10°C

                                                                                           IN OPERATION                            37°C
  DOCUMENTATION                     Consult User Guide                                                               15°C
                                                                                                                                              VERASENSE for Exactech Equinoxe
                                                                                                                                   50°C

   IDENTIFICATION          SN       Serial Number                                                                     0°C
                                                                                                                                              LinkStation MINI & LinkStation MINI Eval. Kit
                                                                                                IN STORAGE                         50°C

                                                                                                                      0°C
                                                                                                                                              VERASENSE for Exactech Equinoxe
                                                                                                                             95%
                                                                                                                             non-condensing
                                                                                                                                              LinkStation MINI & LinkStation MINI Eval. Kit
                                                                                       RELATIVE HUMIDITY       5%

                                                                                           IN OPERATION                        100%
                                                                                                                               submersion
                                                                                                                                              VERASENSE for Exactech Equinoxe
                                                                                                                30%

                                                                                                                             95%
                                                                                                                             non-condensing
                                                                                                                                              LinkStation MINI & LinkStation MINI Eval. Kit
                                                                                                               5%
                                                                                                IN STORAGE                   80%
                                                                                                                             non-condensing
                                                                                                                                              VERASENSE for Exactech Equinoxe
                                                                                                               10%

Surgeons must always rely on one’s own professional clinical judgment when deciding on whether to use a particular product for patient care. OrthoSensor does not provide medical advice and
recommends that surgeons be trained in the use of any particular product before surgical use. No portion of this should be redistributed, duplicated or disclosed without the express written consent of
OrthoSensor, Inc. Information presented is intended to demonstrate the breadth of OrthoSensor product offerings. Surgeons must always refer to the package insert, product label and/or IFU before
using any OrthoSensor product. OrthoSensor products may not be available in all markets because product availability is subject to the regulator and/or medical practices in individual markets.

For additional product information, including indications, contraindications, warnings, precautions and potential adverse effects, see the Instructions For Use and OrthoSensor website. All trademarks
herein are property of OrthoSensor, Inc. or its subsidiaries unless otherwise indicated. © 2019-2020 OrthoSensor, Inc. All Rights Reserved.

                                             www.OrthoSensor.com | CustomerService@OrthoSensor.com
                      U.S. Only +1 888.75.ORTHO (+1 888.756.7846) | U.S. and International +1 954.577.7770 | Fax +1 954.337.9222
                                  OrthoSensor, Inc. | 1855 Griffin Road, Suite A-310 | Dania Beach, Florida 33004 USA

                                                                                                                                                                                              03/2021 LB-5231 Rev. 3
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