29
6RXSUDYD]DYDGČþH
E
N
C
OR
®
ý(6.<
ECMRINTLOC
ECMRINTLOC7G
8UþHQRNSRXåLWtVHVRQGDPLSUR05FtOHQRXELRSVLLSUVQtWNiQČ
E
N
C
OR
®
1È92'.328ä,7Ë
832=251ċ1Ë)HGHUiOQt]iNRQ\86$GRYROXMtSURGHMWRKRWRSURVWĜHGNXSRX]H
OpNDĜĤPQHERQDOpNDĜVNêSĜHGSLV
3RSLVSURVWĜHGNX
6RXSUDYD]DYDGČþH
E
N
C
OR
®
VHVWiYi]QiVOHGXMtFtFKVRXþiVWt
•
Trokar,
•
obturátor
V
ISI
L
OC
™,
•
kanyla,
• blok pro vedení jehly.
Trokar, obturátor
V
ISI
L
OC
™
DVRQGXSUR05FtOHQRXELRSVLLSUVQtWNiQČ
E
N
C
OR
®
lze
SRXåtWNRD[LiOQČVNDQ\ORX3ĜL]DYiGČQtREWXUiWRUX
V
ISI
L
OC
™
do kanyly se jeho hrot
SĜLEOtåtVWĜHGXRWYRUXSURY]RUHNYVRQGČSUR05FtOHQRXELRSVLLSUVQtWNiQČ
E
N
C
OR
®
.
5HIHUHQþQt]QDþN\QDNDQ\OHXND]XMtY]GiOHQRVWNHVWĜHGXRWYRUXSURY]RUHNYVRQGČ
SUR05FtOHQRXELRSVLLSUVQtWNiQČ
E
N
C
OR
®
3RNXG]YROtWHPRåQRVWSRORYLþQtKR
vzorku, hrot obturátoru
V
ISI
L
OC
™
EXGHRGSRYtGDWSUR[LPiOQtPXNRQFLSRORYLþQtKR
Y]RUNX.DQ\ODVHSURWiKQHEORNHPSURYHGHQtMHKO\DX]DPNQHQDPtVWČYHVPČUX
KRGLQRYêFKUXþLþHNMHOLSĜtWRPQD
Bloky pro vedení jehly:
%ORNSURYHGHQtMHKO\*PiRWYRU\NWHUpXPRåĖXMt]DFtOHQt]HSRORKSRGOH
URWDFHEORNXYPĜtåFH
%ORNSURYHGHQtMHKO\*PiRWYRU\NWHUpXPRåĖXMt]DFtOHQt]SRORKSRGOH
URWDFHEORNXYPĜtåFH
%ORNSURYHGHQtMHKO\PiIXQNFL]DMLãWČQtNWHUiSRLQVWDODFL]DMLãĢXMHMHKRVWDELOQt
SRORKXYPĜtåFH
6RXSUDYD]DYDGČþH
E
N
C
OR
®
MHURYQČåNRPSDWLELOQtVHV\VWpPHP$XURUD
1
Dedicated
%UHDVW05,SĜLSRXåLWtYORåN\SURYHGHQtMHKO\$XURUDGRGiYiVHVDPRVWDWQČ
6RXSUDYD]DYDGČþH
E
N
C
OR
®
MHURYQČåNRPSDWLELOQtVHVORXSNRYêPORNDOL]DþQtP
systémem.
,QGLNDFHSURSRXåLWt
6RXSUDYD]DYDGČþH
E
N
C
OR
®
MHXUþHQDNSRXåLWtSĜLSURQLNiQtGRSUVXSRGNRQWURORX
]REUD]RYiQtPDSRVN\WXMHSĜtVWXSRYRXFHVWXNSURYHGHQtGLDJQRVWLFNpELRSVLHSUVQt
WNiQČ
Kontraindikace
7HQWRSURVWĜHGHNMHXUþHQYêKUDGQČNXYHGHQpPX~þHOX
Varování
7HQWRSURVWĜHGHNVHQHGRSRUXþXMHSRXåtYDWXSDFLHQWĤVSUVQtPLLPSODQWiW\
1HSRXåtYHMWHMHOLSĜtWRPQDLQIHNFH
7RWR]DĜt]HQtE\ORQDYUåHQRSRX]HSURMHGQRUi]RYpSRXåLWt3ĜLRSDNRYDQpP
SRXåLWtKUR]tQHEH]SHþtSĜHQRVXLQIHNFHPH]LSDFLHQW\SURWRåH]GUDYRWQLFNp
SURVWĜHGN\]HMPpQDQiVWURMHVGORXKêPD~]NêPOXPLQHPVSRMLDQHER
ãWČUELQDPLPH]LGtO\MHYHOPLWČåNpþLQHPRåQpY\þLVWLWSRWpFRSĜLãO\
QDQH]MLVWLWHOQČGORXKRXGREXGRNRQWDNWXVWČOHVQêPLWHNXWLQDPLQHER
WNiQČPLXQLFKåKUR]tS\URJHQQtQHERPLNURELiOQtNRQWDPLQDFH=E\WN\
ELRORJLFNpKRPDWHULiOXPRKRXSRGSRĜLWNRQWDPLQDFL]DĜt]HQtS\URJHQ\QHER
PLNURRUJDQLVP\FRåPĤåHPtW]DQiVOHGHNLQIHNþQtNRPSOLNDFH
1HVWHULOL]XMWHRSDNRYDQČ$QLSRRSDNRYDQpVWHULOL]DFLQHO]H]DUXþLWVWHULOLWX
SURVWĜHGNXSURWRåHPĤåHEêWYQHXUþLWHOQpPtĜH]DVDåHQS\URJHQQtQHER
PLNURELiOQtNRQWDPLQDFtNWHUiPĤåH]SĤVRELWLQIHNþQtNRPSOLNDFHýLãWČQt
RSČWRYQp]SUDFRYiQtDQHERRSDNRYDQiVWHULOL]DFHGDQpKR]GUDYRWQLFNpKR
SURVWĜHGNX]Y\ãXMtSUDYGČSRGREQRVWåHSURVWĜHGHNEXGHIXQJRYDW
QHVSUiYQČYGĤVOHGNXSRWHQFLiOQtFKQHåiGRXFtFK~þLQNĤQDVRXþiVWLNWHUp
SRGOpKDMtWHSORWQtPDQHERPHFKDQLFNêP]PČQiP
3RSRXåLWtPĤåHWHQWRSURGXNWSĜHGVWDYRYDWSRWHQFLiOQtELRORJLFNpUL]LNR
=DFKi]HMWHVQtPD]OLNYLGXMWHMHMYVRXODGXVH]DYHGHQRXOpNDĜVNRXSUD[t
DYVRXODGXVSODWQêPLPtVWQtPLVWiWQtPLDIHGHUiOQtPL]iNRQ\DSĜHGSLV\
%H]SHþQRVWQtRSDWĜHQt
7HQWRSURVWĜHGHNVPtSRXåtYDWSRX]HOpNDĜLNYDOL¿NRYDQtSURSHUNXWiQQtELRSVLL
3RNXGMHQDUXãHQDVWHULOQtEDULpUDQHERSRãNR]HQREDOSURGXNWQHSRXåtYHMWH
3URVWĜHGHNSĜHGSRXåLWtPGĤNODGQČSURKOpGQČWHDRYČĜWHåHQHE\OSRãNR]HQ
1HSRXåtYHMWHSRNXGMHSURGXNW]MHYQČSRãNR]HQDQHERMHMHKODRKQXWi
•
Dbejte opatrnosti v blízkosti magnetického pole. Zachovejte kontrolu nad
WURNDUHPDVRQGRXSUR05FtOHQRXELRSVLLSUVQtWNiQČ
E
N
C
OR
®
SURWRåHMHMLFK
SRK\EVHPĤåHYVLOQpPPDJQHWLFNpPSROL]U\FKOLW
3ĜL]DYiGČQtQHERY\WDKRYiQtWURNDUXþLREWXUiWRUX
V
ISI
L
OC
™
RYČĜWHåHVHNDQ\OD
nepohybuje.
Potenciální komplikace
Potenciální komplikace mohou zahrnovat mimo jiné hematom, krvácení, infekci,
SRUDQČQtVRXVHGQtWNiQČEROHVWDOHUJLFNRXUHDNFLDSĜLOQXWtWNiQČNVRQGČSUR05
FtOHQRXELRSVLLSUVQtWNiQČ
E
N
C
OR
®
EČKHPY\MtPiQt]SUVXSRGOH]DYHGHQêFKSRVWXSĤ
ELRSVLHMHQČNG\QXWQpY\MPRXWWNiĖSĜLOHSHQRXNPDQGUpQXQHERNRD[LiOQtPXYHGHQt
SĜLMHMLFKY\MtPiQt]SUVX
3RWĜHEQpY\EDYHQt
3ĜLSURYiGČQtELRSVLHMHSRWĜHEDQiVOHGXMtFtY\EDYHQt
9KRGQp]REUD]RYDFt]DĜt]HQtVSĜtVOXãHQVWYtP
• odpovídající bioptická sonda a systém,
]QDþNRYDþHSUVQtWNiQČMHOLWĜHED
• chirurgické rukavice a roušky,
• lokální anestetikum,
•
skalpel,
GDOãtY\EDYHQtGOHSRWĜHE\
=SĤVREGRGiQtVNODGRYiQt
7HQWRSURGXNWMHGRGiYiQVWHULOQtDMHXUþHQSRX]HNMHGQRUi]RYpPXSRXåLWt
1HVWHULOL]XMWHRSDNRYDQČ
6NODGXMWHSĜLWHSORWČQDG&)
3RN\Q\NSRXåLWt
Viz Obrázky 1, 2, 3, a 4.
Trokar (A)
Obturátor
V
ISI
L
OC
™ (F)
=DUiåNDNDQ\O\'
&KUiQLþKURWX
trokaru (E)
Kanyla (B)
Blok pro vedení
jehly (C)
2EUi]HN6RXSUDYD]DYDGČþHE
N
C
OR
®
3RXåLWt]DYDGČþHVPĜtåNRYRXORNDOL]DþQtPHWRGRX
3URKOpGQČWHEDOHQtDE\VWHVHXMLVWLOLåHFHOLVWYRVWREDOXQHQtQDUXãHQD3RNXG
E\ODQDUXãHQDVWHULOLWDSURGXNWQHSRXåtYHMWH
6WDQGDUGQtDVHSWLFNRXWHFKQLNRXY\MPČWHWURNDU$]REDOXVHMPČWHFKUiQLþ
hrotu trokaru (E) a zkontrolujte, zda není hrot trokaru (A) poškozen.
9\MPČWHNDQ\OX%]REDOX=DYHćWHWURNDU$GRNDQ\O\%
,GHQWL¿NXMWHFtORYRXOp]LQHERPtVWRYSUVX
%ORNSURYHGHQtMHKO\&VHSRXåtYiVPĜtåNRYêPLORNDOL]DþQtPLV\VWpP\9ORåWH
EORNSURYHGHQtMHKO\&GRPĜtåN\D]DMLVWČWHMHMRWRþHQtPSiþN\YHVPČUX
KRGLQRYêFKUXþLþHNSĜLEOLåQČR9L]2EUi]HN
3URYHćWHDQHVWH]LLREODVWLDNRåQtLQFL]L
6SRXåLWtPUHIHUHQþQtFK]QDþHNKORXEN\SRFPQDVWDYWH]DUiåNX'QD
NDQ\OH%QDSRåDGRYDQRXKORXENX
Poznámka:
3ĜHGQtGLVWiOQtKUDQDKORXENRYp]DUiåN\XND]XMHSRåDGRYDQRXKORXENX
=DYHćWHVHVWDYXWURNDUX$DNDQ\O\%FtOHQêPRWYRUHPYEORNXSURYHGHQt
jehly (C) do prsu a posunujte hrotem trokaru (A) k cílovému místu.
2GMLãWČQR
=DMLãWČQR
10 G
7 G
Obrázek 2. Blok pro vedení jehly
1DVPČUXMWHPDOêYêVWXSHNXPtVWČQêQDSĜHGQtPRNUDML]DUiåN\NDQ\O\'
NSĜLOHKOpPXRWYRUXEORNXSURYHGHQtMHKO\&DRWiþHQtPYHVPČUXKRGLQRYêFK
UXþLþHNNDQ\OX%YEORNXSURYHGHQtMHKO\&VWDELOL]XMWH
3ĜLYêPČQČWURNDUX$]DREWXUiWRU
V
ISI
L
OC
™
)SĜLGUåWHNDQ\OX%3URYHćWH
QRYêVQtPHNSUVXD]NRQWUROXMWHXPtVWČQtKURWXREWXUiWRUX
V
ISI
L
OC
™
(F) v cílovém
PtVWČ3RGOHSRWĜHE\XSUDYWHMHKRSRORKX