Tabla De Contenido - Stryker PNEUMO SURE Instrucciones De Uso

Table of contents
1 Important User Notes ......................................................................................................................................................... 3
2 Safety Information.............................................................................................................................................................. 4
2.1 Hazards........................................................................................................................................................................................ 5
3 Device Purpose.................................................................................................................................................................... 7
3.1 Laparoscopy Applications ...................................................................................................................................................... 7
3.1.1 Using High Flow Operating Mode ....................................................................................................................................... 7
3.1.2 Using Pediatric Operating Mode.......................................................................................................................................... 7
3.1.3 Using Bariatric Operating Mode .......................................................................................................................................... 8
3.1.4 Contraindications for Laparoscopy Applications............................................................................................................. 8
3.2 Using Vessel Harvest Operating Mode............................................................................................................................... 8
3.3 General Device-Inherent Dangers ....................................................................................................................................... 8
3.3.1 Device-Inherent Dangers - Laparoscopy ............................................................................................................................ 10
3.3.2 Device-Inherent Dangers - Vessel Harvesting.................................................................................................................. 12
4 Initial Device Startup .......................................................................................................................................................... 14
4.1 Gas connection ......................................................................................................................................................................... 14
4.1.1 Connecting a Gas Bottle......................................................................................................................................................... 15
4.1.2 Connecting to Central Gas Supply....................................................................................................................................... 15
5 Operating the Device - General .......................................................................................................................................... 16
5.1 Front of the Device................................................................................................................................................................... 16
5.2 Rear of the Device .................................................................................................................................................................... 16
5.3 Touch screen display................................................................................................................................................................ 17
5.4 Switch on Device ...................................................................................................................................................................... 18
5.5 Connecting Insufflation Tube Set ........................................................................................................................................ 19
5.6 Using the Gas Heating............................................................................................................................................................ 20
5.6.1 Using the direct pressure measurement function (Real-Time Pressure Sensing RTP).......................................... 21
5.6.2 Displaying/Selecting Insufflation Operating Mode ....................................................................................................... 23
5.6.3 Setting the Nominal Pressure - General ............................................................................................................................ 23
5.6.4 Setting the Nominal Flow - General ................................................................................................................................... 23
5.6.5 Gas Consumption Display...................................................................................................................................................... 24
5.6.6 Starting/Stopping Insufflation............................................................................................................................................. 24
5.6.7 Using the SIDNE Port (Optional) .......................................................................................................................................... 25
5.6.8 Turning Device Off ................................................................................................................................................................... 25
6 Using and Controlling the PNEUMO SURE High Flow Insufflator in High Flow Mode ...................................................... 26
6.1 Device-Specific Dangers when Using the PNEUMO SURE High Flow Insufflator in High Flow Operating
Mode ............................................................................................................................................................................................ 26
6.2 Selecting High Flow Insufflation Mode.............................................................................................................................. 28
6.3 Presetting Nominal Pressure in High Flow Operating Mode....................................................................................... 28
6.4 Presetting Nominal Flow in High Flow Operating Mode.............................................................................................. 28
6.5 Performing the Function Test in High Flow Operating Mode...................................................................................... 29
6.5.1 Filling Tube System with CO2 ............................................................................................................................................... 31
6.6 Using the Device during Surgery ......................................................................................................................................... 31
6.6.1 Insufflating with Veress Cannula......................................................................................................................................... 31
6.6.2 Insufflating with the Trocar................................................................................................................................................... 32
6.6.3 "Real-Time Pressure Sensing" functionality (RTP) ........................................................................................................... 32
6.6.4 Stop the Insufflation................................................................................................................................................................ 33
7 Using and Controlling the PNEUMO SURE High Flow Insufflator in Pediatric Operating Mode ....................................... 34
Device-Specific Dangers when Using the PNEUMO SURE High Flow Insufflator in Pediatric Operating
7.1
Mode ............................................................................................................................................................................................ 34
7.2 Selecting Pediatric Operating Mode ................................................................................................................................... 36
7.3 Presetting Nominal Pressure in Pediatric Operating Mode ......................................................................................... 36
7.4 Presetting Nominal Flow in Pediatric Operating Mode ................................................................................................ 37
7.5 Performing the Function Test in Pediatric Operating Mode before Using the Device during Surgery............ 38
7.5.1 Filling Tube System with CO2 ............................................................................................................................................... 40
7.6 Using the Device during Surgery ......................................................................................................................................... 40
7.6.1 Insufflating with Veress Cannula......................................................................................................................................... 40
7.6.2 Insufflating with the Trocar................................................................................................................................................... 41
7.6.3 "Real-Time Pressure Sensing" functionality (RTP) ........................................................................................................... 41
7.6.4 Stop the Insufflation................................................................................................................................................................ 42
8 Using and Controlling the PNEUMO SURE XL High Flow Insufflator in Bariatric Operating Mode................................... 43
8.1 Device-Specific Dangers when Using the PNEUMO SURE High Flow Insufflator in Bariatric Operating
Mode ............................................................................................................................................................................................ 43
8.2 Selecting Bariatric Operating Mode.................................................................................................................................... 45
8.3 Presetting Nominal Pressure in Bariatric Operating Mode.......................................................................................... 46
8.4 Presetting Nominal Flow in Bariatric Operating Mode................................................................................................. 46
8.5 Performing the Function Test in Bariatric Operating Mode before Using the Device during Surgery ............ 47
8.5.1 Filling Tube System with CO2 ............................................................................................................................................... 48
8.6 Using the Device during Surgery ......................................................................................................................................... 49
8.6.1 Insufflating with Veress Cannula......................................................................................................................................... 49
8.6.2
Insufflating with the Trocar................................................................................................................................................... 49
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