Using And Controlling The Pneumo Sure Xl High Flow Insufflator In Vessel Harvest Operating Mode; Device-Specific Dangers When Using The Pneumo Sure Xl High Flow Insufflator In Vessel Harvest Operating Mode - Stryker PNEUMO SURE Instrucciones De Uso

9 Using and Controlling the PNEUMO SURE XL High Flow In-
sufflator in Vessel Harvest Operating Mode
Vessel Harvest operating mode is designed for the controlled insufflation of
medical-grade CO2 when harvesting vessels (veins and arteries) during a mini-
mally invasive procedure within the scope of heart bypass surgery. While in Ves-
sel Harvest operating mode, the insufflator limits the pressure to max.
20 mm Hg and the gas flow rate to max. 10 l/min. Surgery to harvest vessels re-
quires the use of a special instrument.
The device may not be used for the endoscopic harvesting of vessels if this surgi-
cal application is contraindicated. Please consult the manual of that instrument
for additional information and special application indications.
9.1 Device-Specific Dangers when Using the PNEUMO SURE XL High
Flow Insufflator in Vessel Harvest Operating Mode
WARNING!
Only specially trained and qualified personnel may use this device on children or
for the endoscopic vessel harvesting procedure.
WARNING!
Before using the insufflator to endoscopic harvest vessels, please check whether
the used instrument is intended for CO2 insufflation.
WARNING!
Pneumoperitoneum
When a vessel is harvested from the leg of a patient with a perforated groin, it is
possible for CO2 to reach the abdomen and cause a pneumoperitoneum. Make
sure the abdomen does not fill with CO2 during surgery.
WARNING!
Idiosyncratic reactions
Patients with sickle cell anemia or pulmonary insufficiency may have a higher
risk of metabolic imbalance related to excessive CO
reaction).
WARNING!
CO2 absorption
Due to the special surgical procedures - start of the heart bypass operation, and
the endoscopic removal of the vessel - special care has to be taken as CO2 is al-
ways absorbed through the tissue of the patient during insufflation (intravasa-
tion). This means the body absorbs part of the CO2 gas used for insufflation. CO2
concentrations in the blood or respiratory system that are too high can lead to
death of the patient in extreme cases. To lower this risk, always carefully and
closely monitor the patient's vital signs during the entire insufflation process
and make sure patient is breathing well. Sufficient respiration can help avoid or
limit problems with CO2. High pressure or a high gas flow promotes CO2 absorp-
tion.
WARNING!
Metabolic and cardiac reactions
Due to the special surgical conditions - start of the heart bypass surgery and ves-
sel harvesting - it is especially important to remember the existing risk of meta-
bolic acidosis when insufflating with CO2. This can lead to cardiac irregularities

Using and Controlling the PNEUMO SURE XL High Flow Insufflator in Vessel Harvest Operating Mode

absorption (idiosyncratic
2
Intended use
Contraindications
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