5
15) Carefully remove the guide from
the distal jaw after ISOLATOR
placement.
NOTE: The Press Guide is to be
removed prior to ablation. (Refer
to Step 22)
NOTE: The accessory ribbon
allows the surgeon to create a
dissection plane in one direction
(inferior or superior) and maneuver
the tape and leader through
the dissection plane so that an
instrument (clamp) can be used
from the opposite direction.
16) If it is required to reverse the
direction of device placement, the
accessory ribbon is attached to the
distal pocket of the primary transfer
tape.
17) After creation of the dissection
plane, pull the distal end of the
primary tape while providing
counter traction on the proximal
end of the accessory ribbon so that
the leader is pulled through the
dissection plane.
INSTRUMENT EXCHANGE
(DETACHABLE GUIDE)
18) Prior to attaching the Guide to the
ISOLATOR clamp, unclamp the
proximal end of the leader from
the sterile drape.
19) While holding the Guide as shown,
in the illustration below, align the rib
with top surface of distal jaw and
insert the Instrument Attachment
Pin into the ISOLATOR attachment
tip (Figure 4) and turn clockwise
180° until secured. Once Guide is
secured, do not attempt to remove
by forcibly pulling on Guide.
Figure 4
20) If it is required to reverse the
direction of device placement,
the accessory ribbon is attached
to the distal pocket of the primary
transfer tape.
21) After creation of the dissection
plane, pull the distal end of the
primary tape while providing
counter traction on the proximal
end of the accessory ribbon so
that the leader is pulled through
the dissection plane.
REMOVAL AND DISPOSAL
22) To remove the Press Guide
Attachment Tip from the
Instrument, place a grasping
instrument at the distal end of the
Instrument and carefully back the
Attachment Tip off the Instrument
Jaw using a rotating motion.
23) To remove Detachable Guide
Attachment Tip from the
Instrument, hold the Guide
and turn counter-clockwise 180°.
24) Ensure Guide is removed from the
surgical field prior to the completion
of the surgical procedure. Discard
the Guide after use. Follow local
governing ordinances and recycling
plans regarding disposal or
recycling of device components.