Presetting The Intrauterine Pressure; Deficit Limit Setting - Hologic Aquilex Instructions D'utilisation

System Operation
en
Inserting the tube set
Connect the fluid bags
Fig. 5-12 Attach roller wheel tube
Inflow tube
(5)
Roller wheel tube
(6)
Pressure chamber
(7)
Hysteroscope tube
(8)
(11) Roller wheel
Holder for inflow tube
(12)
Alignment arrows
(13)
Intrauterine pressure setting
Safety threshold
Setting the Deficit Limit
26

Connect the blue luer lock connector (9) with the hysteroscope inflow stop-
cock. Open stopcock.
3. To be carried out by non-sterile technician:

Ensure system is turned on.

Close the clamps (3) on the inflow tube below the bag spikes (1).

Insert the inflow tube set into the inflow tube holder.
Insertion of the roller wheel tube is depicted in Fig. 5-12.

Carefully insert the pressure chamber (7) into the lower notch of the inflow
tube holder (12) until you feel resistance. Align pressure chamber and inflow
tube holder using arrows (see Fig. 5-12).

When inserting the roller wheel tube, make sure not to damage the mem-
branes of the pressure chamber. Insert the pressure chamber (7) only if
chamber is not pressurized.

Place the roller wheel tube (6) around the roller wheel (11).

When connecting or removing the tube to or from the irrigation fluid bags,
always grasp the bag spike at the provided handle. Observe aseptic tech-
nique when inserting the spike(s) into the fluid bag(s). The surgeon must se-
lect a distension fluid suitable for the type of procedure.
(5)
(12)
(8)
5.10

Presetting the Intrauterine Pressure

The intrauterine pressure setting can be adjusted while the system is in opera-
tion. Use the º and » buttons (Fig. 5-1, Front of Irrigation Pump Unit). The pres-
sure setting can be adjusted to between 40 to 150 mmHg in steps of 5 mmHg.
The intrauterine pressure is shown on the intrauterine pressure display (2).
If when scrolling with the º button (Fig. 5-1, Front of Irrigation Pump Unit) the
safety threshold of 100 mmHg is reached, an audible warning beep is emitted.
Release the º button for one second and scroll again to set higher values up to
150 mmHg.
CAUTION!
If the intrauterine pressure does not react to an increase in the pressure setting
during the procedure, a perforation of the uterine cavity might be the cause. This
results in an increased risk of intravasation. Examine the uterine cavity for inju-
ries.
5.11

Deficit Limit Setting

The deficit limit can be adjusted while the system is in operation. Use the º and
» buttons (see Fig. 5-1). The deficit limit can be adjusted to between 600 and
2500 ml in increments of 100 ml. The deficit limit is shown on the deficit limit dis-
play (3). The deficit meter is designed to help the operator track the deficit vol-
ume. The color of the deficit meter changes as the deficit limit is approached. The
deficit limit set by the operator is marked with a red LED on the top of the deficit
meter. If during surgery the actual deficit rises, the LEDs will light up sequentially,
(6)
(7)
(11)
(13)