Presetting Nominal Pressure In Bariatric Operating Mode; Presetting Nominal Flow In Bariatric Operating Mode - Stryker PNEUMO SURE Instrucciones De Uso

Using and Controlling the PNEUMO SURE XL High Flow Insufflator in Bariatric Operating Mode
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8.3

Presetting Nominal Pressure in Bariatric Operating Mode

The nominal pressure can be set during insufflation or while insufflation is
stopped. Values may range from 1 to max. 30 mm Hg or the value set in the Con-
figuration menu.
Increasing/decreasing nominal pressure:
Briefly press the º or » function field to increase or decrease the pressure. Keep-
ing the º or » function field depressed longer than 1.5 seconds activates scroll-
ing in increments of 1.
Safety limit:
When increasing the nominal pressure, the status line of the display depicts Safe-
ty limit starting at 15 mm Hg and the nominal value flashes. The nominal pres-
sure 15 mm Hg is a threshold value. This is where the recommended range for
the intra-abdominal pressure ends. Pressing the nominal pressure º function
field again does not increase the pressure any further. Release the function field
at that point. The display switches back to the nominal value setting after 2 sec-
onds. Now you can set a value up to 30 mm Hg.
CAUTION!
Exceeding this safety limit is to be decided by and the responsibility of the user/
operator.
8.4

Presetting Nominal Flow in Bariatric Operating Mode

The nominal flow can be increased or decreased during insufflation or while in-
sufflation is stopped.
1. Briefly press the º or » function field to increase or decrease the flow. The
nominal flow can be increased from 1 to max. 45 l/min.
• Briefly press the corresponding field to set values in increments of 1.
• Keeping the º or » function field pressed longer than 1.5 seconds activates
scrolling through the gas flow rates 5, 25, 45 l/min or 45, 25, 5 l/min.
2. The preset values of the Configuration menu can be changed individually (see
chapter 10.1 Configuration menu I, page 60). Select a nominal gas flow be-
tween 1-45 l/min. The preset value is indicated in the nominal gas 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:
• Veress insufflation (1-5 l/min)
• Insufflation: Bariatric (6-45 l/min)
Veress insufflation operating mode:
Veress insufflation is a gentle type of insufflation so that the actual pressure
does not exceed the preset pressure even in case of small volumes. To minimize
the risks in case of a faulty incision, the manufacturer recommends using Veress
insufflation to start a procedure (filling abdomen with CO2).
WARNING!
Please note that the automatic venting system is not active during Veress insuf-
flation mode.