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Insertion of the Ambu® aScope™
The Ambu® aScope™ can be inserted through the mouth or nose. When the Ambu® aScope™ is inserted, slightly advance it with the distal tip in a neutral
position. View the image continuously on the Ambu® aScope™ Monitor when passing the distal end of the Ambu® aScope™ from the mouth/nose to the
larynx and from the larynx to the carina. It is important to recognise the anatomical structures and avoid damage to the mucosal wall.
lf resistance is encountered when inserting the Ambu® aScope™, do not attempt to use force.
When the Ambu® aScope™ is inserted through the mouth it is recommended to place a mouth piece to protect the Ambu® aScope™
from being damaged.
If the distal tip of Ambu® aScope™ is contaminated it can be cleaned with a piece of sterile gauze or a hospital disinfection wipe. Continue this procedure
until a satisfactory image is obtained.
12.1 Injection and control of the Luer channel
The Ambu® aScope™ has a Luer channel where it is possible to inject topical anaesthesia.
The Luer is compatible with all syringes with ISO connection. It is recommended that the Luer channel is closed when it is not in use. Insert a syringe of
topical local anaesthetic into the Luer channel and press the plunger. To ensure that all the local anaesthetic has left the channel, flush
the channel with 2ml air.
12.2 Removal procedure
Slowly withdraw the Ambu® aScope™ while observing the image on the Ambu® aScope™ Monitor.
The distal tip must be in a neutral and non-deflected position. Otherwise there is a risk that the Ambu® aScope™ can be damaged and/or
the patient may be injured.
After the Ambu® aScope™ has been used check for damage or missing parts before it is placed in a waste container.
Disconnect the Ambu® aScope™ from the Ambu® aScope™ Monitor and dispose of the Ambu® aScope™ in accordance with local
guidelines for collection of infected medical devices with electronic components.
If the Ambu® aScope™ is used more than once on the same patient during the same procedure, turn the Ambu® aScope™ off in between sessions and
place it on a sterile surface.
Be aware of the total operating time limit of 30 minutes during a period of 8 hours from first switching on.
12.3 Post-check guide
A visual check as described below should be carried out before finalising the procedure and disposing of the Ambu® aScope™. If any test
fails, take corrective action in order to reduce trauma to the patient.
Visual test – Ambu® aScope™
1. Are there any missing parts on the bending section, lens, or insertion cord? If yes, then take corrective action to locate the missing part.
2. Is there any evidence of damage on the bending section, lens, or insertion cord? If yes, then examine the integrity of the product and conclude
if there are any missing parts.
3. Are there cuts, holes, sagging, swelling or other irregularities on the bending section, lens, or insertion cord? If yes, then examine the product to
conclude if there are any missing parts.
In case of corrective actions needed (step 1 to 3) act according to local hospital procedures. The elements of the insertion cord are radiopaque
12.4 Cleaning of the Ambu® aScope™ Monitor:
The Ambu® aScope™ Monitor must be cleaned and disinfected according to the instructions before first use.
1. Prepare a cleaning solution using a standard enzymatic detergent (Enzol or equivalent) prepared per manufactures recommendations.
Recommended detergent: enzymatic, mild pH: 7-9, low foaming. Contact Ambu A/S for further information on recommended detergents.
2. Soak a sterile gauze in the enzymatic solution and then wring out to ensure that the gauze is not dripping.
3. Thoroughly clean the buttons, screen and external casing of the monitor with the damp gauze. Avoid getting the device wet to prevent damaging
internal electronic components.
4. Using a sterile soft bristled brush that has been dipped in the enzymatic solution, brush the buttons until all evidence of soil is removed.
5. Wait for 10 minutes to (or the time recommended by the manufacturer of the detergent) allow the enzymes to activate.
6. Rinse the device using sterile gauze that has been dampened with RO/DI water. Ensure all evidence of the detergent is removed.
7. Repeat steps 1 to 6
