3. Maintain suction and deploy band by rotating handle clockwise until band release is felt,
indicating deployment.
(fig. 10)
Note: If band will not deploy, place handle in two-way
position and loosen trigger cord slightly. Place handle in firing position and continue
with procedure.
4. Release suction button of endoscope, insufflate air, then withdraw scope slightly to release
ligated varix. Note: An irrigation adapter is provided with each device. If irrigation of
accessory channel is desired to clear viewing field, attach adapter to a syringe filled with
sterile water and insert into white seal of handle. Irrigate as necessary.
(fig. 10)
5. Repeat ligation process as needed. Note: More than one ligation band for each varix may be
required to control acute bleeding.
6. If more bands are required, remove endoscope and attach a new device. Note: An average
of 3 to 4 ligation sessions may be required to obliterate varices.
INSTRUCTIONS FOR LIGATION OF INTERNAL HEMORRHOIDS
Note: A flexible sigmoidoscopic screening exam of hemorrhoidal site must be performed prior to
assembling and use of device.
1. With handle in two-way position, introduce endoscope into rectum.
(fig. 9)
2. Retroflex endoscope to visualize selected internal hemorrhoid.
(fig. 11)
After retroflexion,
place handle in firing position
(fig. 10)
, then aspirate internal hemorrhoid into barrel.
(fig. 12)
Prior to band deployment, ensure endoscopist’s hand is positioned on handle of device
rather than endoscope controls.
3. Maintain suction of internal hemorrhoid and deploy band by rotating handle clockwise
until band release is felt, indicating deployment.
(fig. 10)
Note: If band will not deploy, place
handle in two-way position and loosen trigger cord slightly. Place handle in firing position
and continue with procedure.
4. Release suction button of endoscope, insufflate air, then advance scope slightly to release
ligated hemorrhoid. Note: An irrigation adapter is provided with each device. If irrigation
of accessory channel is desired to clear viewing field, attach adapter to a syringe filled with
sterile water and insert into white seal of handle. Irrigate as necessary.
(fig. 10)
5. Repeat ligation process as needed.
6. Place handle in two-way position when ligation process is completed, then straighten scope.
7. If more bands are required, remove endoscope and attach a new device.
REMOVING THE MULTI-BAND LIGATOR
1. Upon completion of ligation procedure, remove endoscope from patient.
2. Dismantle device as follows:
If all the bands have been fired:
• Remove handle and attached trigger cord from accessory channel.
• Remove barrel from endoscope tip.
If any unfired bands remain on barrel:
• Place handle in two-way position.
• Loosen trigger cord from spool, then remove handle from accessory channel cap.
• Detach trigger cord from handle slot.
• Remove barrel from endoscope tip, then pull trigger cord through channel and out
endoscope tip.
Upon completion of procedure, dispose of device per institutional guidelines for
biohazardous medical waste.
9
Summary of Contents for Saeed Series
Page 2: ...2 Firing Two Way 3a Firing Two Way 1 Firing Two Way 2 Firing Two Way 3b...
Page 3: ...3 Firing Two Way 3d Firing Two Way 4 Firing Two Way 3c...
Page 4: ...4 5 6 Firing Two Way 7b Firing Two Way 7a...
Page 5: ...5 Firing Two Way 8 Firing Two Way 9 Firing Two Way 10...
Page 6: ...6 11 12...
Page 27: ...27 1 firing 1 two way 2 two way 2 Olympus 3a Pentax Luer 3b Fujinon 3c 3d...
