Instillation of fluids 7b
Fluids can be instilled through the working channel by inserting a syringe into the working
channel port at the top of the aScope 4 Broncho. When using a Luer Lock syringe, use the
included introducer. Insert the syringe completely into the working channel port or the
introducer and press the plunger to instill fluid. Make sure you do not apply suction during this
process, as this will direct the instilled fluids into the suction collection system. To ensure that
all fluid has left the channel, flush the channel with 2ml of air.
Aspiration 7c
When a suction system is connected to the suction connector, suction can be applied by
pressing the suction button with the index finger. If the introducer and/or an endoscopic
accessory is placed inside the working channel note that the suction capability will be
reduced. For optimal suction capability it is recommended to remove the introducer or syringe
entirely during suction.
Insertion of endoscopic accessories 7d
Always make sure to select the correct size endoscopic accessory for the aScope 4 Broncho
(See section 1.2). Inspect the endoscopic accessory before using it. If there is any irregularity in
its operation or external appearance, replace it. Insert the endoscopic accessory into the
working channel port and advance it carefully through the working channel until it can be
seen on the aView. The enclosed introducer can be used to facilitate the insertion of soft
accessories such as microbiology brushes.
Withdrawal of the aScope 4 Broncho 8
When withdrawing the aScope 4 Broncho, make sure that the control lever is in the neutral
position. Slowly withdraw the aScope 4 Broncho while watching the live image on aView.
4.3. After Use
Visual check 9
1. Are there any missing parts on the bending section, lens, or insertion cord? If yes, then
take corrective action to locate the missing part(s).
2. Is there any evidence of damage on the bending section, lens, or insertion cord? If yes,
then examine the integrity of the product and conclude if there are any missing parts.
3. Are there cuts, holes, sagging, swelling or other irregularities on the bending section, lens,
or insertion cord? If yes, then examine the product to conclude if there are any missing parts.
In case of corrective actions needed (step 1 to 3) act according to local hospital procedures.
The elements of the insertion cord are radio opaque.
Final steps
Disconnect the aScope 4 Broncho from the aView
10
. The aScope 4 Broncho is a single use
device. The aScope 4 Broncho is considered infected after use and must be disposed of in
accordance with local guidelines for collection of infected medical devices with electronic
components. Do not soak rinse, or sterilize this device as these procedures may leave harmful
residues or cause malfunction of the device. The design and material used are not compatible
with conventional cleaning and sterilization procedures.
10