4. Use of the aScope Gastro
The number in grey circles refer to the Quick Guide on page 2. Before each procedure,
prepare and inspect a new aScope Gastro as instructed below. Inspect other equipment
to be used with this aScope Gastro as instructed in their respective instruction manuals.
Should any irregularity be observed after inspection, follow the instructions as described
in section 6, "Trouble Shooting". If the aScope Gastro malfunctions, do not use it. Contact
your Ambu sales representative for further assistance.
4.1. Inspection of the aScope Gastro
•
Check that the pouch seal is intact and discard the aScope Gastro if the sterile seal has
been damaged. 1a
•
Carefully peel off the peel pouch packaging of the aScope Gastro and remove the
protective elements from the handle and the distal end. 1b
•
Carefully run your hand back and forth over the entire length of the insertion tube,
including the bending section and distal end, of the aScope Gastro to make sure that
there are no impurities or damage on the product such as rough surfaces, sharp edges
or protrusi ons which may harm the patient. Make sure to use aseptic technique when
performing the above. Otherwise the sterility of the product will be compromised. 1c
•
Inspect the distal end of the aScope Gastro´s insertion tube for scratches, cracks or
other irregularities. 1c
•
Confirm that the top hole of the Insufflation/Rinsing valve is not blocked. 1c
•
Turn the Up-Down and Right-Left control wheels in each direction until it stops and
return to neutral position. Confirm that the bending section functions smoothly and
correctly, that maximum angulation is achieved and returned to the neutral position. 1d
•
Confirm that the angulation locks are functional by locking and releasing the
angulation locks according to section 2.2. Turn the angulation wheels fully in all
directions, lock the angulation in a fully angulated position and confirm that the
bending section can be sta bilized. Release the angulation locks and confirm that the
bending section straightens out.
•
Using a syringe, flush sterile water into the working channel. Ensure that there are no
leaks and that the water is emitted from the distal end. 1e
•
If applicable, confirm compatibility with applicable accessory devices.
•
A spare suction valve is available and placed securely on the mounting card together
with the aScope Gastro.
•
A new aScope Gastro should be readily available so the procedure can be continued
in case a malfunction should occur.
4.2. Preparations for Use
Prepare and inspect aBox 2, water container, suction and irrigation pumps, and CO₂
insufflator as described in their respective instruction manuals.
•
Power up the aBox 2
aScope Gastro cable with the port of the aBox 2 to prevent damage to the
connectors. 3
•
Connect the aScope Gastro to the aBox 2 by plugging the aScope Gastro connector
into the corresponding aBox 2 female connector.
•
Check that the aScope Gastro has been firmly locked to the aBox 2.
•
When using the aScope Gastro it is recommended to use a mouthpiece to prevent
the patient from accidentally biting the insertion tube.
4.3. Attaching Ancillary Equipment
The aScope Gastro is designed to work with most commonly available medical suction
and fluid management systems.
Irrespective of the chosen fluid management system, overflow protection must be a feature
of the suction canister assembly utilized in order to prevent fluids from entering the system.
. Carefully align the arrows on the connector of the
2
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