ETView Left-sided VivaSight-DL, Instructions For Use Manual

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8
ENGLISH
CONNECTING THE TUBE,
VERIFICATION STEPS
& PREPARATION FOR
INTUBATION
1. Connect VivaSight-DL to the single
use adapter cable. Be careful to align
the white arrow on the single use
adapter cable with the arrow on the
VivaSight-DL tube round connector.
2. Connect the single use adapter
cable to the aView TM monitor, be
careful to align the arrow on the
cable with the arrow indicator on
the aView TM monitor. Verify that all
electrical connections are stable
and secure. Refer to aView TM
monitor instructions for use.
3. Press the power button on top of
the aView TM monitor for at least one
second until a live image appears.
Refer to Ambu® aView
TM
monitor
instructions for use. The aView TM
user interface will be ready after
approximately one minute, when the
hourglass symbol disappears.
4. Check that the two LEDs at the tip
of the tube are illuminated. If they
are not illuminated, replace the tube
with another.
5. Verify that there is a stable image
on the aView
TM
monitor (projected
from the tip of VivaSight-DL). Then
turn off the monitor again until
immediately prior to intubation.
6. Test the cuffs for integrity by inflating
and deflating them completely.
7. Become familiar with the feel of the
blue and clear pilot balloons.
8. If applicable, verify that external
instruments of appropriate size can
be passed through the VivaSight-
DL without resistance. There is no
guarantee that instruments selected
solely using the effective inside
diameter will be compatible in
combination with the VivaSight-DL.
9. Induce anesthesia, as per protocol.
10. Suction the oral cavity and airway
area before inserting VivaSight-DL.
11. Prepare the patient, and lubricate
the tube (if needed), avoiding the
area around the camera lens at the
distal end of VivaSight-DL.
12. Intubate the patient and remove the
stylet. In case of obstructed or ob-
scured view, see “Cleaning the Lens”.
INTUBATION TECHNIQUE WITH
VIVASIGHT-DL
1. Advance the VivaSight-DL bronchial
tube through the vocal cords with
the tip facing upward (figure 1).
Vocal cords
Bronchial cuff
[ figure 1 ]
2. At the proximal portion of the tube,
the bronchial arm of the tube will be
positioned above the tracheal arm
(figure 2).
3. When the tip passes the vocal
cords, and before the camera
passes it, turn the tube 90 degrees
counterclockwise until the camera
on the tube is facing up pointing
towards the vocal cords (figure 3).
In this position, the tube passes
through the vocal cords with the
camera on the superior portion of
the tube (figure 3).
Tracheal cuff
Camera
Rotate 90°
counter
clockwise.
Bronchial cuff
[ figure 2 ]
Bronchial cuff
Tracheal cuff
Camera
[ figure 3 ]