Table des Matières
Publicité
Caution: If the jaws do not automatically open after the anvil release button is pressed, first ensure that the knife is in the home position.
The position of the knife can be determined by observing the knife in the knife lockout window. (Illustration 11a). If the knife is not in the
home position or the position of the knife cannot be determined, slide the knife reverse switch to activate the motor and return the knife to
home position (Illustration 7). Try opening the jaws again using the anvil release button on either side of the instrument.
Note: At any time, if the knife reverse switch does not return the knife to home position (Illustration 11b or 11c), and the jaws will not
open:
a. First, ensure the battery pack is securely installed and the instrument has power (Illustration 9). Then, try the knife reverse switch again
(Illustration 7).
b. If the knife still does not return (Illustration 11b or 11c), use the manual override.
Caution: If the jaws do not open at this point, forcing the closing trigger upward (away from the handle) until the closing trigger returns to
its original position can enable the opening of the jaws. When an instrument is forced open, discontinue use as this may expose the knife,
or damage the instrument, increasing the risk of injury to user or patient.
Gently pull the instrument away from the transected tissue and ensure it is released from the jaws.
19
Caution: Examine the staple lines for hemostasis and proper staple closure. Minor bleeding can be controlled with manual sutures or other
appropriate techniques.
20
Before removing articulating instruments, move the jaws away from any obstruction inside the body cavity while keeping the jaws open
and within the field of view, and turn the articulation lever to return to the straight position.
Caution: For insertion and removal of articulating instruments, the jaws of the instrument must be straight, parallel to the shaft of the
instrument. Failure to have the instrument jaws in the straight position will result in difficult insertion or withdrawal of the instrument and
may result in damage to the instrument.
To remove the instrument from the cavity, squeeze the closing trigger until it locks, closing the jaws (Illustration 5). Completely withdraw
21
the instrument in the closed position.
Reloading the Instrument
Using sterile technique, remove the reload from the package. To avoid damage, do not flip the reload into the sterile field.
22
23
Prior to reloading, ensure the instrument is in the open position (Illustration 1).
Push upward (toward the anvil) to unsnap the reload from the channel jaw. Discard the used reload (Illustration 16).
24
WARNING: Prior to reloading the instrument, hold the instrument in a vertical position, with anvil and channel jaw completely
submerged in sterile solution. Swish vigorously and then wipe the inside and outside surfaces of the anvil and channel jaw to clear any
unused staples from the instrument. Do not use the instrument until it has been visually inspected to confirm there are no staples on the
anvil and channel jaw.
25
Examine the new reload for the presence of a staple retaining cap. If the retaining cap is not in place, discard the reload.
Caution: Tissue thickness should be carefully evaluated prior to using the instrument. Refer to the Reload Product Code Chart.
WARNING: Loading the incorrect reload for the instrument size or model may result in transecting the tissue without stapling
(e.g. loading a 35 mm reload into a 45 mm instrument).
Insert the new reload by sliding it against the bottom of the channel jaw until the reload alignment tab stops in the reload alignment
26
slot. Snap the reload securely in place. Remove the staple retaining cap and discard. The instrument is now reloaded and ready for use
(Illustration 4).
Caution: After removing the staple retaining cap, observe the surface of the new reload. The reload must be replaced with another reload
if any blue-colored drivers are visible. (If blue-colored drivers are visible, the reload may not contain staples.)
Battery Pack Disposal
The battery pack contains a built-in battery drain and must be installed into the instrument to trigger the automatic battery drain feature. It does
not need to remain in the instrument – it will continue to drain after it has been removed from the instrument. Once removed, depending on your
local regulations, it can be put directly into the battery recycling bin or normal waste stream.
Note: Batteries used in this device contain 1,2-dimethoxyethane.
Prior to Installation into the Instrument
If battery pack needs to be disposed of prior to installation into instrument (e.g. product is beyond expiration date indicated on the
package, or battery pack is dropped), first install the battery pack into the instrument, then remove, to trigger built-in battery drain.
After Instrument Use
The battery pack must be removed from the instrument prior to disposal.
If battery pack requires decontamination prior to disposal, follow hospital protocol or the Battery Pack Cleaning and Disinfection instructions
below.
To remove the battery pack, squeeze the release tabs and pull the battery pack straight back (Illustration 17).
Note: It is not necessary to disassemble the battery pack.
Battery Pack Cleaning and Disinfection
WARNING: Do not use autoclaves, ethylene oxide, or radiation to sterilize or disinfect the battery pack.
Manual Cleaning
Remove the battery pack from the instrument before cleaning.
1
Note: Battery pack should not be submerged in water or cleaning solutions.
Clean the battery pack surfaces with a neutral pH detergent or neutral pH enzymatic detergent, prepared according to the manufacturer's
2
instructions.
3
Use soft bristle brush to manually clean the battery pack with the cleaning solution.
Ensure areas containing crevices are scrubbed thoroughly.
4
Wipe off detergent thoroughly with lukewarm tap water.
5
6
Perform visual inspection to determine if debris is removed.
Repeat cleaning as necessary to obtain a visually clean battery pack.
7
4
Publicité
Table des Matières
