®

HARMONIC ACE®+7 Shears with

References
1. Data on File: Subset of ATT Claims Oct 6

2. Data on File PRC064872 - ACE®+7 Burst Pressure versus Competitors.

3.
4.
IFU HARMONIC ACE®+7, 5 mm Diameter Shears with Advanced Hemostasis, 11/2013.

Data on File SCN034259 Competitive Intelligence - Ultrasonic Vessel Sealing Claims

Advanced Hemostasis
5. 
Data on File E392: Based on preclinical studies demonstrating decreased activation times
and thermal damage vs. HARMONIC ACE® without Adaptive Tissue Technology. Precision AND powerful
6.
7.
Data on File Energy Technology Publication Volume Analysis 12-05-12
Landen N, Dongqing L, Stahle M. Transition from inflammation to proliferation: a critical step
haemostasis, all in one device1,2
during wound healing. Cell Mol. Life Scin (2016) 73:3861-3885
8. Data on File: 16022012 Ethicon Har and ACE Size and Adaptive Tissue Technology
Comparison Intra-Operative and Histopathology Feb 2012

9. Data on File: E3952, PSP003253A and PSP005693A As exhibited in procine labs (.7s vs.
4.5s, p<0.001)
10. Data on File: PRC053965 In a bench top study measuring on Power Level 5, HAR36
and HAR23 exhibited 30.1% lower mean (p<0.001) and median (P<0.001) blade heat,
respectively.
11. Data on File: PRC055257 HAR23/36 Design Validation Completion Report

12. Data on File: PRC055978: In a bench top based on a comparision of time to cool to 50°C,
versus ACE36E without Adaptive Tissue Technology.
13.  Data on File PSP003212: Versus HARMONIC ACE® Shears without Adaptive Tissue
Technology, as exhibited in an animate, porcine vessel model (0/24 vs. 13/33 adhesions/
seal sites, p<0.001).
14. Data on File: PSP003910A Advanced Hemostasis vs LigaSUre 5mm Blunt Tip in 5-7mm
goat carotid.
15. Data on File PSP003909: 04/2014.
16. Data on File: PRC070571C In a bench-top study on porcine jejunum, Thunderbeat (Seal
and Cut mode) exhibited 38.6% higher mean shaft temperature (Celsius) vs. Ethicon
ACE devices with Adaptive Tissue Technology at Max Power Level 5 (p<0.001). (C1944)
17. Data on File: PRC079715B In a bench-top analysis on porcine jejunum that measured
median shaft temperature in degrees Celcius via IR camera of HARMONIC ACE +7 and
Thuderbeat (N5423630) at power level 5 and 3 respectively (p=0.0004)

For more information on our products please call customer service in

Australia on 02 9815 4260 or 1800 252 194
AUSTRALIA: Johnson & Johnson Medical Pty Ltd, 1–5 Khartoum Road, North
Ryde, NSW 2113
NEW ZEALAND: Johnson and Johnson (NZ) Ltd
507 Mt Wellington Highway, Mt Wellington, Auckland 1060
179629-210610 | July 2021
*As compared to HARMONIC devices without Adaptive Tissue Technology
©2014 Ethicon, Inc. All Rights Reserved. FR5325/06/14. + Burset Pressure versus Competitors
 Contents
3 Product Overview
6 HARMONIC® Technology
8 Exclusive to HARMONIC® – Adaptive Tissue Technology
10 Introducing 2nd Generation Adaptive Tissue Technology
12 Application Specialties
13 HARMONIC ACE®+7 Range
14 Optimum Device Performance Guide
16 Trouble Shooting for HARMONIC® Ace+7
18 Instructions for Use
20 ARTG Numbers

Product Overview
HARMONIC ACE®+7 Shears with Advanced Hemostasis
The precision you expect from HARMONIC®…
Now with powerful large vessel sealing capabilities1,2,3
• The world’s first purely ultrasonic energy device with a 7 mm vessel sealing indication4, delivering the precision and
multi-functionality of HARMONIC®, and now the confidence of powerful haemostasis
• 
Indicated for use across a wide variety of surgical specialties, including Colorectal, Upper GI, Hepatobiliary, Bariatric, General,
Gynaecology, Thoracic and Urology, enhancing surgeons’ ability to handle multiple jobs with confidence
• 
Designed to reduce the number of surgical devices needed to achieve haemostasis, such as clip appliers, endoscopic linear
cutters, reloads, sutures and other energy devices

Uniting the precision of HARMONIC® shears with powerful vessel sealing

• Enabled by HARMONIC® Adaptive Tissue Technology
– Advanced Hemostasis mode reliably seals vessels up to 7 mm in diameter with the use of the Advanced Hemostasis hand
activation button1,-4
– Proprietary algorithm activity monitors the instrument during use and enables the system to sense and respond
intelligently to changes in patient tissue conditions
– Intelligently modulates energy to deliver improved vessel-sealing performance* and the precision you expect
from HARMONIC®
• Compatible with the current Ethicon Generator GEN11 and HARMONIC® hand pieces

* Compared to HARMONIC ACE® Shears without Advanced Hemostasis

2 3
 Product Overview

Introducing the HARMONIC ACE®+7 Shears.

The precision you expect from HARMONIC®,
combined with powerful haemostasis1,-3

Adapative Tissue Technology

Refined Blade Design
•  apered tip designed for precision and multifunctionality
T
• Features a proprietary, non-stick coating
The intelligence behind HARMONIC®
• EthiconGeneratorGEN11regulatesenergy,controllingthethermal
profile to reduce the risk of thermal damage5
• Enables the system to sense and respond appropriately to changes in patient tissue conditions
• Audible feedback provides a cue to reduce activation time during transection, driving improved efficiency5

Advanced Hemostasis Mode

• Coagulation of vessels up to and including 7 mm in diameter with

4
the use of the Advanced Hemostasis hand control button3
® 5
 HARMONIC® Technology Factors Affecting Cutting and Coagulation

• Over 1,000 clinical articles reference and support the use of

HARMONIC® Technology6* Time on Tissue
• Adaptive Tissue Technology brings superior precision with
powerful haemostasis1,2
• HARMONIC® technology minimises the impact on tissue through
optimised energy delivery for less tissue damage5 Blade Pressure
• HARMONIC technology aims at reducing the impact on tissue
minimising the inflammatory response which can result in quicker Tissue Tension
tissue healing.7 Increase
Faster Cutting
max
Power Level
min
Decrease
More Haemostasis Blade Sharpness

Blade Location

Piezoelectric ceramics Mount Mechanical Wave

HARMONIC® Coagulation MAX

MAX
• The MAX button is typically used
for smaller vessels where cutting
and speed is fastest

Coagulation with
HARMONIC®
requires collapsing
of the blood vessel
MIN
• The MIN button is typically used
H+ Bonds are Denatured protein Internal tissue heat Simultaneous MIN
in slightly larger vessels and has
broken; protein forms a sticky generated from cutting and
reduced cutting speed. It is indicated
in the cells is coagulum friction then seals or coagulation takes
for vessels up to 5 mm in size
denatured welds vessel walls place at a lower
temperature than
electrosurgery with Adv Hemostasis
minimal lateral • The Advanced Hemostasis button is designed for sealing
thermal speed larger vessels up to 7 mm in size. In this mode, cutting
speed is further reduced and haemostasis is maximised

*As per a literature search conducted in MEDLINE® and Embase™ between 01/01/1990 and 10/01/2012 that identified publications which specifically
discussed a given product within an article
6 7
 Exclusive to HARMONIC® – Compared to HARMONIC ACE® Shears
without Adaptive Tissue Technology
Compared to LigaSure™ Blunt Tip

Adaptive Tissue Technology 23% reduction in thermal spread8 Thermal Spread

1st Generation Adaptive Tissue Technology 2.5 p < 0.001 Thermal

footprint
Thermal
footprint

Enhanced precision and thermal management* 2.0 Lateral

Thermal Spread (mm)

Lateral
thermal thermal
damage damage

1.5

Conventional Ultrasonic Technology Adaptive Tissue Technology 1.0

0.5

0
ACE® without ATT ACE®+ with ATT HARMONIC ACE®+7 LigaSure™ Blunt Tip
Improved
Temperature

Temperature
Transection
23% Less
Temperature
8
Management4

• 23% less thermal spread8 Lateral Thermal Spread

Transection
Time9 • 21% shorter transection times9 • HARMONIC ACE®+7 thermal damage
• >30% reduction in blade temperature10 is 18% less than LigaSure™ Blunt Tip14
Time Time • Refined blade for fine dissection
Continued activation after transection can result in increased Energy is delivered with greater precision, resulting in improved Thermal Footprint
blade temperatures and inefficient ene gy delivery temperature management and shorter transection times • Less plume formation11
• 29% faster return to • HARMONIC ACE®+7 thermal footprint is
atraumatic temperature12 36% smaller than LigaSure™ Blunt Tip15
• Non-stick
 blade coating designed for • HARMONIC ACE®+7 has a thermal
footprint 3.6 mm smaller than LigaSure™
less tissue sticking
Blunt Tip15
What is 1st Gen ATT? • Significant reduction in post-operative
First introduced on HARMONIC ACE®+ Shears, 1st Generation Adaptive Tissue Technology delivers greater precision by adhesion formation in a porcine • Less thermal damage to tissue than
regulating energy delivery when needed.
survival model13 LigaSure™ Blunt Tip14
Adaptive Tissue Technology actively monitors the instrument during use, thus enabling the system to respond intelligently
to varying tissue conditions, providing:
1 Modulation of the energy delivery
2 Enhanced feedback with a change to a second activation tone
This typically occurs as tissue divides and the blade comes into contact with the tissue pad. Active heat and
With more precise energy delivery, the HARMONIC ACE®+ Shears provide a 23% reduction in thermal spread , while offering
9 thermal management
21% shorter transection times.5

How does 1st Gen ATT work? HARMONIC ACE®+ 7 is significantly more consistent in
17
regulating distal shaft heat compared to Thunderbeat
Adaptive Tissue Technology responds intelligently when needed to deliver greater precision.
• Adaptive
 Tissue Technology typically regulates energy delivery as tissue divides and temperature increases as the vibrating
blade comes into contact with the tissue pad The distal shaft of Thunderbeat is 39% hotter than HARMONIC®
• Adaptive
 Tissue Technology will also enhance precision prior to transection under other usage conditions where blade devices with Adaptive Tissue Technology.16
temperatures increase rapidly

* Compared to HARMONIC ACE® Shears without Advanced Hemostasis

8 9
 Introducing 2nd Generation HARMONIC® ACE+7 with
Powerful Sealing Ability
Adaptive Tissue Technology Burst pressure and seal strength
Burst pressure in 5–7 mm vessels
Advanced Hemostasis Mode – powerful sealing • HARMONIC
 ACE®+7 Shears median
burst pressure is 140% higher than
in vessels up to 7 mm1,2
2000

LigaSure 5 mm Blunt Tip when sealing

porcine carotid vessels 5–7 mm in the 1500

Burst Pressure (mmHg)

1419

Advanced Hemostasis mode2

1000

• HARMONIC
 ACE®+7 Shears median
670

pre-heating vessel sealing transection burst pressure is 112% higher than 500
591

LigaSure Advance when sealing

vessels 5–7 mm in the Advanced 0
HARMONIC LigaSure™ LigaSure
Hemostasis mode2 Burst pressure inACE®+7
5˜7 mm vessels Blunt Tip Advance™
power

• HARMONIC
 ACE®+7 Shears
median burst pressure is 12% higher
than Thunderbeat when sealing Seal reliability in 5–7 mm vessels
vessels 5–7 mm in the Advanced 100%
1.3%
Hemostasis mode2
time
9.7%
Reliability 95%
Seal failure
<240 mmHg
What is Advanced Hemostasis Mode? • HARMONIC
 ACE®+7 Shears delivers Fully sealed

Advanced Hemostasis mode reliably seals vessels up to 7 mm in diameter with the use of the Advanced Hemostasis hand greater 5–7 mm vessel sealing reliability 90%

activation button.1,2 than LigaSure devices2 50%

A proprietary algorithm activity monitors the HARMONIC ACE®+7 instrument during use and enables the system to sense and
respond intelligently to changes in patient tissue conditions, providing: • HARMONIC
 ACE®+7 Shears delivers
0
1 Powerful haemostasis on vessels up to 7 mm in diameter greater vessel sealing reliability than HARMONIC
Seal reliability in 5˜7 mm vessels
LigaSure™
ACE®+7 Devices
2 Greater vessel sealing reliability than both LigaSure and Thunderbeat devices2 Thunderbeat2

How does Advanced Hemostasis Mode work?

There are three distinct phases of the Advanced Hemostasis mode:
1 Pre-heating phase

• Higher power level establishes the necessary therapeutic temperature to begin denaturising the protein
2 Vessel sealing phase

• 
Advanced Hemostasis mode drops the power level to maintain the time on tissue, which leads to stronger, more secure
vessel sealing
3 Transection phase

• 
Determines whether to increase the power level and transect the tissue or continue to deliver energy and manage the
temperature with ATT
Advanced Hemostasis mode leverages data stored in a proprietary neural network on the EES Generator GEN11 to enhance
Adaptive Tissue Technology and to process real-time data to make control decisions.

10 11
 Application Specialties HARMONIC ACE®+7 Range
Compatible with Ethicon Endo-Surgery Generator
GEN11 (Software Version 2013_1 and above)

HARMONIC ACE®+7 Shears

Quantity/
Code Description
Sales Unit

HARH23 HARMONIC ACE®+7, 5 mm Diameter Shears, 23 cm Length with Advanced Hemostasis 6

Colorectal Bariatric
HARH231 HARMONIC ACE®+7, 5 mm Diameter Shears, 23 cm Length with Advanced Hemostasis 1

HARH36 HARMONIC ACE®+7 Laparoscopic, 5 mm Diameter Shears, 36 cm Length with Advanced Hemostasis 6

HARH361 HARMONIC ACE®+7 Laparoscopic, 5 mm Diameter Shears, 36 cm Length with Advanced Hemostasis 1

Upper GI / HARH45 HARMONIC ACE®+7 Laparoscopic, 5 mm Diameter Shears, 45 cm Length with Advanced Hemostasis 6

Hepatobiliary Gynaecology
HARH451 HARMONIC ACE®+7 Laparoscopic, 5 mm Diameter Shears, 45 cm Length with Advanced Hemostasis 1

Thoracic Urology

12 13
 HARMONIC ACE®+7 Shears
with Advanced Hemostasis 1 Fully place tissue in jaws
Optimum device performance guide To
 achieve complete sealing, the trigger should be
fully closed and the vessel fully contained between
non-active tissue pad and blade of device. An audible
and tactile “click” indicates full trigger closure.

2 Minimise tissue tension

• The Advanced Hemostasis
Minimise
 tissue tension during activation.
button is indicated for vessels up The amount of energy delivered to the tissue and
to and including 7 mm in size resultant tissue effects are a function of many
factors, including the power level selected, blade
characteristics, grip force, tissue tension, tissue type,
pathology and surgical technique.

3  Activation through
tissue transection
During
 benchtop testing of vessels >5 mm, the
strongest vessel seals were achieved by allowing the
Advanced Hemostasis mode to completely transect
the targeted vessel.

5 mm
• The
 non-active tissue pad has two hash
marks that can be used as a guide to
reference vessel diameter size
Audible Tones
The generator provides a primary audible tone to indicate when the instrument blade is active.
The generator changes to a secondary activation tone as Adaptive Tissue Technology regulates
the delivery of energy.
• T
 he tone change does not provide confirmation of tissue effect. When the secondary tone is heard,
the tissue should be assessed and the intended surgical action completed, such as gradual application
of tension to facilitate transection
• The secondary activation tone change is not a substitute for surgical experience
For all product details, including a complete list of warnings and
precautions, please reference the Instructions for Use and Generator
Operator’s Manual.

14 15
 HARMONIC® Ace +7 Trouble Shooting
HARMONIC® Ace +7
Alarm Sytem
The Generator Gen11
includes integrated
diagnostics that monitor the
operation of the generator
and accessories and flash
either informative screens or
alarms with no delay. In
addition to audible alarm
sounds, the display of
alarms on the front panel is
easily observable by the
surgeon or nursing staff
from the surgical field.
The Generator Gen11
supports the following
alarms to help in the
identification and
troubleshooting of
component problems when
using a HARMONIC
instrument.
16
Visual Alarm Description
The instrument has reached the
end of life.
The instrument has been loaded to
the point where output has stopped.
This screen is a prelude to further
diagnostics. To avoid inadvertent
tissue damage during diagnostics
the surgeon is guided to remove
the instrument from the incision
before proceeding.
The HARMONIC instrument may
be damaged and cannot be
activated.
The instrument may not be
properly assembled to the hand
piece.
If using shears, keep jaws of
instrument open during test.
A system reset is required.
Troubleshooting Steps
Unplug and replace instrument. Dispose of
instrument per instrument instructions for
use.
Harmonic Ace +7 devices
are compatitable with
Ethicon Grey Hand Pieces
Relax pressure on the instrument or
(HP054)
reposition so there is less tissue in the
jaws. Release the activation switch and
reactivate the instrument to continue.
Remove the instrument from the
incision. When the instrument is clear,
touch the ‘Next’ button for further
diagnostic guidance.
Unplug the hand piece and replace the
instrument.
For More Information
If you need more
information on our products,
Press the ‘Next’ button to continue. Re-
tighten the instrument. Ensure that one please contact your Ethicon
hand is holding the appropriate torque
wrench and the other hand is holding Product Specialist.
the hand piece (not the instrument).
Press ‘Next’ to advance, to retry test
with jaws open.
Reactivate instrument to reset system
and continue.
17
 Instructions for Use Indications
The Harmonic Ace®+7, 5 mm Diameter Shears with Advanced Hemostasis are indicated for soft tissue incisions when bleeding
control and minimal thermal injury are desired. The instruments can be used as an adjunct to or substitute for electrosurgery,
1 Coated Blade 6 MIN Hand Control Button (both sides of instrument) lasers and steel scalpels in general, plastic, paediatric, gynecologic, urologic, thoracic, exposure to orthopedic structures
1 2 Clamp Arm and Tissue Pad 7

Grip Housing (such as spine and joint space), sealing and transection of lymphatic vessels, and other open and endoscopic procedures.
The instruments allow for the coagulation of vessels up to and including 7 mm in diameter, using the Advanced Hemostasis
3 Shaft 8 Trigger
4 Rotation Knob 9 Hand Piece (not included) hand control button.
5 MAX
 Hand Control Button 10 Torque Wrench
(both sides of instrument) Contraindications
11
Advanced Hemostasis Hand Control Button
• The instruments are not indicated for incising bone
2 • The instruments are not intended for contraceptive tubal occlusion
3 4 9

Assembly
1 Using sterile technique, remove the instrument from the package. To avoid damage, do not flip the instrument into

1 the sterile field.
5
2 While holding the Hand Piece in a vertical orientation, attach the Hand Piece to the instrument by rotating the instrument

onto the Hand Piece in a clockwise rotation as viewed from the distal end of the instrument (finger tight only).
6
3 Use the torque wrench (already mounted to the shaft) to tighten the blade onto the Hand Piece. Turn the torque wrench

10 11 clockwise while holding only the grey Hand Piece until it clicks twice indicating that sufficient torque has been applied
8 7
to secure the blade.
Note: Do not use any other means than the torque wrench to attach or detach the instrument from the Hand Piece.
Note: Do not torque the instrument by hand without the torque wrench or damage may occur to the Hand Piece.
Note: Hold only the grey Hand Piece and not the instrument handle while applying the torque wrench (Illustration 2).
2 4 4
Close the trigger. Remove the torque wrench by sliding it off of the shaft. Do not dispose of the torque wrench until the
procedure is completed. The torque wrench is used to remove the instrument from the Hand Piece following the procedure
(Illustration 3). Dispose of the torque wrench only after completing the procedure.
Note: Take care to avoid damage to the blade and clamp arm by closing the trigger while sliding the
3 torque wrench onto or off the shaft.
Note: Take care to avoid injury from the blade tip while sliding the torque wrench onto or off of the
5 shaft.

Operation
1 Connect the assembled Hand Piece and instrument to the generator and turn the generator power on.

Note: MIN is the only mode that can be adjusted.
2
Select the desired minimum power level using the INCREASE and DECREASE buttons on the generator touchscreen.
6 Note: The recommended minimum starting power level is Level 3 (Illustration 4). For greater tissue cutting speed use
a higher generator power level, and for greater coagulation use a lower generator power level. The amount of energy
delivered to the tissue and resultant tissue effects are a function of many factors, including the power level selected, blade
9 characteristics, grip force, tissue tension, tissue type, pathology, and surgical technique.
3
For optimal performance and to avoid tissue sticking, clean the instrument blade, clamp arm, and distal end of the shaft
throughout the procedure by activating the instrument tip in saline (Illustration 5).
7 Note: Do not touch the instrument to metal while activated (Illustration 6).
Note: Do not clean the blade tip with abrasives. It can be wiped with a moist gauze sponge to remove tissue, if necessary.
If tissue is still visible in the clamp arm, use haemostats to remove residue, taking care not to actuate the Hand Piece.
10 4
If desired, the instrument may be unplugged (Illustration 7).
The blade is ultrasonically energized when either the foot switch pedal is depressed or one of the hand control buttons is

8 depressed. Pressing the left foot pedal of the footswitch or the lower hand control button (MIN) on the instrument activates
the selected minimum power level. Pressing the right foot pedal of the footswitch or upper hand control button (MAX) on the
instrument activates the maximum power level. Pressing the Advanced Hemostasis button on the instrument activates the
Advanced Hemostasis. Under default settings, Advanced Hemostasis is hand-activated only.
Note: The “MIN” button can be re-assigned to Advanced Hemostasis by selecting “Convert MIN to Advanced Hemostasis” on
the GEN11 “Settings” screen. Refer to the Generator G11 Operator’s Manual “Settings” section (Illustration 8). Once “Convert MIN
to Advanced Hemostasis” is selected, the Advanced Hemostasis button is disabled.

18 19
 Instructions for Use continued HARMONIC ACE®+ Instruments
are included on the Australian Register
Note: Energy is not delivered in Advanced Hemostasis mode until the jaws are completely closed. of Therapeutic Goods database
Caution: If activation is unintentionally stopped while sealing, maintain jaw closure and reactivate.
Note: The generator provides an audible tone to indicate when the instrument blade is active. The generator changes
to a second activation tone as Adaptive Tissue Technology regulates the delivery of energy.
• T hermal influences such as fluids or minimal to no tissue in the jaws may affect the presence or timing
of the tone change
• The tone change does not provide confirmation of tissue effect. When the second tone is heard, the situation should be
assessed and the intended surgical action completed, such as gradual application of tension to facilitate transection
• The secondary activation tone change is not a substitute for surgical experience
Note: Scratches on the blade may lead to premature blade failure.
• Avoid accidental contact with other instruments during use
• Do not use any means other than the torque wrench to attach or detach the instrument from the Hand Piece
5
Close the clamp arm by closing the trigger, and insert the shaft through a trocar or incision.
6 The
 instrument can be used for dissection, grasping, coagulation, and cutting between the blade and clamp arm.
Note: To achieve complete sealing, the trigger should be fully closed and the vessel fully contained between clamp arm
and blade of device. An audible and tactile “click” indicates full trigger closure.
To achieve full closure of the jaws of the device, squeeze the plastic trigger until you feel it stop against the plastic handle
(plastic to plastic) (Illustration 9). If full trigger closure is released prior to or during activation on tissue, an audible and
tactile “click” is evident. Increase grip force until full trigger closure is achieved.
Note: Keep clamp arm open when using the inside bottom of the blade for backcutting (Illustration 10).
WARNING: Do not use Advanced Hemostasis mode for procedures where energy application is desired prior
to full closure of the jaws (e.g. solid organs). Energy is not delivered in Advanced Hemostasis mode until the jaws are
completely closed.
WARNING: During benchtop testing of vessels >5 mm, the strongest vessel seals were achieved by allowing the
Advanced Hemostasis mode to completely transect the targeted vessel.
WARNING: Prolonged usage of Advanced Hemostasis Mode may cause tissue pad damage.
7
Close the clamp arm by closing the trigger and remove the shaft from the trocar or incision.

Shaft Rotation
The instrument’s shaft can be rotated 360° to facilitate visualization and access to target tissue when
dissecting, grasping, coagulating, and cutting.

Disassembly
1 Turn the generator OFF at the power switch.

2 Close the clamp arm and slide the torque wrench over the distal end and up the shaft until the wrench aligns with the flats

on the shaft. Hold by the Hand Piece only, not the instrument handle, and loosen the instrument by turning the wrench
counterclockwise. Continue to loosen by turning the rotation knob manually to completely unscrew the instrument.
Do not untorque the instrument by hand without the torque wrench or damage may occur to the Hand Piece.
Note: Do not use any other means than the torque wrench to detach the instrument from the Hand Piece.
Note: Take care to avoid injury from the blade tip while sliding the torque wrench onto or off of the shaft.
3 Remove the torque wrench by pulling it straight back over the blade.
4 Dispose of the instrument in an appropriate container.

How Supplied
The HARMONIC ACE®+7, 5 mm Diameter Shears with Advanced Hemostasis are supplied sterile for single patient use.
Each instrument is shipped with one sterile, single use, gray disposable torque wrench. Discard the instrument and torque
wrench after use.

20 21