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Operations & Maintenance Manual: Using the Device
0900‑4868 REV‑08
PROCEDURE 4. INSERT AND FLEX THE BRONCHOSCOPE
The bronchoscope can be inserted using any standard oral or nasal insertion technique, with or without the
use of a separate ET tube. During use, its distal tip can flex through the ranges shown in the following table.
Table 7.
GlideScope BFlex Bronchoscope—Distal Tip Articulation
SIZE
RANGE OF MOVEMENT OF DISTAL TIP
*
BFlex 2.8
185° up, 185° down
BFlex 3.8
175° up, 180° down
BFlex 5.0
165° up, 160° down
BFlex 5.8
140° up, 135° down
* Values shown are averages following the sterilization stage of manufacturing.
As you perform the insertion, use the following
steps to direct the distal tip of the bronchoscope.
Note: If necessary, the bronchoscope can be wiped
gently with sterile gauze.
1. Using your thumb, move the positioning lever to
flex the distal tip as needed. The tip flexes with
the lever as shown in the figures to the right.
2. As you carefully advance and flex the distal
tip, rotate the handle around its long axis. By
combining all three movements, you can direct
the tip to any point in the direction of insertion.
3. Observe the black markings on the insertion
tube of the bronchoscope in order to determine
depth. These markings are spaced at 50 mm
intervals. The first mark appears at the inward
edge of the tip itself, marking the tip as 50 mm
long.
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