Stryker PneumoSure, Instructions For Use Manual

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Using and Controlling the PNEUMO SURE XL High Flow Insufflator in Bariatric Operating Mode
49
EN
WARNING!
Do not use this device if a defect is suspected or detected during the function
check. This also applies to obvious defects, especially defects on the power plug
and power cable.
8.6 Using the Device during Surgery
Using the device during surgery
WARNING!
The function test must be performed prior to each surgery.
CAUTION!
The venting system is automatically triggered (not during Veress mode and not
if the venting valve has been deactivated in the Configuration menu) if the mea-
sured actual pressure exceeds the set nominal pressure during insufflation. The
device interrupts insufflation and releases gas until the actual pressure has
dropped below the set nominal value.
1. The device is turned on.
2. An insufflation tube set is connected.
8.6.1 Insufflating with Veress Cannula
On delivery from the factory, following values are set for Bariatric operating
mode:
• a gas flow value of 5 l/min and
• Veress insufflation for insufflation through the Veress cannula.
CAUTION!
Please note that with flow values up to 5 l/min the Veress insufflation operating
mode is automatically activated (the venting valve is switched off). The gas
transport is also specifically customized for use with a Veress cannula.
WARNING!
This manual does not include instructions for the safe use of the Veress cannula.
Only when you have ensured endoscopically that an aeroperitoneum can be gen-
erated, should a gas flow of more than 3 l/min and a pressure of more than
10 mm Hg be selected. Insert the Veress cannula into the abdomen. Check to see
if the Veress cannula is correctly positioned in the abdomen.
1. Attach the insufflation tube to the Veress cannula.
2. Select the desired nominal pressure and nominal gas flow.
3. Start insufflation: Press the
START function field.
Check the actual pressure display and the gas consumption display.
8.6.2 Insufflating with the Trocar
1. Insert the trocar into the abdomen.
2. Connect the Luer Lock connection of the insufflation tube to the trocar.
3. Make sure the trocar is correctly positioned in the abdomen. Then select the
desired pressure and desired gas flow as intraoperative conditions.
4. The actual pressure display shows the current measured value for insuffla-
tion. As soon as this value approximates the selected nominal value, the gas
flow is automatically minimized. The gas consumption display shows the vol-
ume of gas consumed.
5. Check how the patient's body reacts to the selected pressure and gas flow