•
Carefully run your hand back and forth over the entire length of the insertion tube, including
the bending section and distal end, of the aScope™ Duodeno to make sure that there are
no impurities or damage on the product such as rough surfaces, sharp edges or protrusi
-
ons which may harm the patient. Make sure to use aseptic technique when performing the
above. Otherwise the sterility of the product will be compromised.
•
Inspect the distal end of the endoscope´s insertion section for scratches, cracks or other
irregularities.
•
Turn the Up-Down and Right-Left control wheels in each direction until it stops and return
to neutral position. Confirm that the bending section functions smoothly and correctly, that
maximum angulation is achieved and returned to the neutral position.
•
Operate the elevator control lever to confirm that the elevator can be operated smoothly
and correctly and return to the neutral position.
•
Confirm that the angulation locks are functional by locking and releasing the angulation
locks according to section 2.3. Turn the angulation wheels fully in all directions, lock the
angulation in a fully angulated position and confirm that the bending section can be sta
-
bilized. Release the angulation locks and confirm that the bending section straightens out.
•
Confirm that the top hole of the insufflation/rinsing valve is not blocked.
•
Using a syringe insert sterile water into the intrument channel. Press the plunger, ensure
that there are no leaks and that the water is emitted from the distal end.
•
If applicable, confirm compatibility with applicable accessory devices as appropriate.
4.2
Preparation Of The Endoscope
Prepare and inspect aBox™ Duodeno, medical grade monitor, suction pump, and insufflator as
described in their respective manuals.
•
Prepare a bottle of sterile water and place it in the designed bottle holder located on the
front (left side) of the aBox™ Duodeno. For lens washing water it is recommended that the
sterile water bottle chosen should contain a minimum of 1000 ml in volume. Please note
that a new bottle of sterile water should be used at the start of each procedure.
•
Power up the aBox™ Duodeno. Once the aBox™ Duodeno has been set and powered up,
the System indicates when it is ready by displaying the information and settings menu
-
which includes the information message: “please connect endoscope”.
For detailed information about Powering up the aBox™ Duodeno please refer to the IFU of the
aBox™ Duodeno.
•
Slide the endoscope strain relief into the aBox™ Duodeno connector snap.
•
Open the housing of the peristaltic pump located on the front panel of the aBox™
Duodeno by gently pushing up with your thumb(s) until the top of the peristaltic pump is
exposed.
•
Carefully place the rinsing tubing of the aScope™ Duodeno around the roller of the
peristaltic pump making sure the tubing is not twisted. The rinsing tubing should cover the
roller of the pump and go underneath the roller pump.
•
Close the peristaltic pump by pressing the housing down until the top of the peristaltic
pump is closed. Make sure that the rinsing tubing is nestled within the notches on each
side of the roller before closing completely.
•
Remove all seal caps/covers from the bottle of sterile water. Insert the water tubing into
the bottle of sterile water. Ensure that the end of the tubing reaches to the bottom of the
water bottle so that the maximum volume of water can be suctioned from the water bottle
prior to replacing (as necessary) to reduce waste.
4.3
Attaching Ancillary Equipment To The Endoscope
The aScope™ Duodeno is designed to work with most readily available and most often utilized
medical suction and fluid management systems.
Irrespective of the chosen fluid management system, overflow protection must be a feature of
the suction canister assembly utilized in order to prevent fluids from entering the system. This
feature is commonly referred to as "self-sealing" feature or a "shut-off-filter", or similar mecha
-
nism. Please note that a new suction canister and connection should be used for each procedure.
1b
1b
1c
1d
1e
1e
2
3
4
5a
5b
5c
5d
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