Presetting Nominal Pressure In High Flow Operating Mode; Presetting Nominal Flow In High Flow Operating Mode - Arthrex Synergy Insufflation FM134 Instructions D'utilisation

Device Use and Control with High Flow Operating Mode
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6.3

Presetting Nominal Pressure in High Flow Operating Mode

The nominal pressure can be set during insufflation or while insufflation is
stopped. Values may range from 1 to max. 30 mmHg or the value set in the con-
figuration menu.
Increasing/decreasing nominal pressure:
Briefly press the + or - function field to increase or decrease the pressure. Keeping
the + or - function field depressed longer than 1.5 seconds activates scrolling in
increments of 1.
Safety limit:
When increasing the nominal pressure, the status line depicts Safety Limitwhen
reaching a value of 15 mmHg. The nominal pressure value 15 mmHg is a safety
threshold value. This is where the recommended range for the intra-abdominal
pressure ends. Pressing the nominal pressure function field + again does not in-
crease the pressure any further. Release the function field for 2 seconds. Now you
can set a value up to 30 mmHg.
CAUTION!
Exceeding this safety limit is to be decided by and the responsibility of the user/
operator.
6.4

Presetting Nominal Flow in High Flow Operating Mode

The nominal flow can be set during insufflation or while insufflation is stopped.
1. Briefly press the + or - function field to increase or decrease the flow. The
nominal flow can be increased from 1 to max. 40 l/min.
• Briefly press the corresponding field to set values in increments of 1.
• Keeping the + or - function field pressed longer than 1.5 seconds activates
scrolling through the gas flow rates 3, 20, 40 l/min or 40, 20, 3 l/min.
2. The preset values of the configuration menu can be changed individually (see
chapter 8.1 Configuration Menu I, page 36). Select a nominal gas flow be-
tween 1 and 40 l/min. The preset value is displayed in the nominal flow dis-
play. The values for the nominal gas flow refer to a device without connected
tube, filter, or instrument. Tube, filter, and instrument can reduce the gas
flow.
The device monitors the gas flow in two different operating modes depicted in
the status line with the following messages:
• Veress insufflation (1 to 5 l/min)
• Insufflation: High Flow (6-40 l/min)
Veress insufflation
Veress insufflation is a gentle type of insufflation that prevents exceeding the
preset nominal pressure by the actual pressure even in case of small volumes. To
minimize the risks in case of a faulty puncture, the manufacturer recommends
using Veress insufflation to start a procedure (filling abdomen with CO
CAUTION!
Please note that the automatic venting system is not active during Veress insuf-
flation mode.
).
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