Filling Tube System With Co2; Using The Device During Surgery; Insufflating With The Veress Cannula - Arthrex Synergy Insufflation FM134 Instructions D'utilisation

Device Use and Control with Bariatric Operating Mode
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Testing gas heating functionality

Using the device during surgery

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test. If the gas consumption is then below 0.4 l, the previously used tube set
has a leak.
15. If another leak is detected, this leak is then directly within the device. Make
sure the device can no longer be operated until an authorized service techni-
cian conducts the appropriate checks.
WARNING!
Never work with a leaky insufflation tube, accessory, and/or device. This can
lead to an incorrect measurement of the actual pressure values, which can cause
an uncontrolled pressure increase in the abdomen.
The gas heating function will be indicated with the gas heating symbol on the
display if the "heating tube set" is used.
7.5.1

Filling Tube System with CO2

At least 1 l of CO has to be let out from the system before every surgery while
2
the tube is connected and the end of the tube is open. This will expel any air with-
in the tube system and the device.
1. Start insufflation: Press the START function field.
Wait until the gas consumption display shows 1.0 Liter.
2. Stop insufflation: Press the STOP function field.
3. Press the gas consumption display field to reset the gas consumption display
to 0.0 Liter. This ensures the gas consumption is correctly displayed during
surgery.
The function test is complete. The device is tested and ready to be used for sur-
gery.
WARNING!
Do not use this device if a defect is suspected or detected during the function
check. This also applies to obvious defects, especially defects on the power plug
and power cable.
7.6 Using the Device during Surgery
WARNING!
The function test must be performed prior to each surgery.
CAUTION!
The venting system is automatically triggered (not during Veress mode and not
if the venting valve has been deactivated in the Configuration menu) if the mea-
sured actual pressure exceeds the set nominal pressure during insufflation. The
device interrupts insufflation and releases gas until the actual pressure has
dropped below the set nominal value.
1. The device is turned on.
2. An insufflation tube set is connected.
7.6.1

Insufflating with the Veress Cannula

On delivery from the factory, following values are set for Bariatric operating
mode:
• a gas flow value of 5 l/min and
• Veress insufflation for insufflation through the Veress cannula.