85
S
\VWpPSURELRSVLLSUVQtWNiQČ
1È92'.328ä,7Ë
832=251ċ1Ë)HGHUiOQt]iNRQ\86$GRYROXMtSURGHMWRKRWRQiVWURMHSRX]HOpNDĜĤPQHERQD
OpNDĜVNêSĜHGSLV
3RSLV=DĜt]HQt
6\VWpPSUR%LRSVLL3UVQt7NiQČ
E
N
C
OR
U
LTRA
®
VORXåtNRYOiGiQtQiVWURMĤSURVSHFLDOL]RYDQRX
ELRSVLLNWHURXVH]tVNiYDMtY]RUN\SUVQtWNiQČSĜLSRGH]ĜHQtQDDEQRUPDOLW\
6\VWpPSURELRSVLLSUVQtWNiQČ(
N
C
OR
U
LTRA
®
PĤåHEêWSRXåLWVRYODGDþHP(
N
C
OR
®
, pedálem
E
N
C
OR
®
DVRQGDPLSURELRSVLLSUVQtWNiQČ
E
N
C
OR
®
. Viz
REUi]N\D
. Sondy pro biopsii prsní
WNiQČ(
N
C
OR
®
DSRGWODNRYpKDGLþN\DQiGRE\(
N
C
OR
U
LTRA
®
VHGRGiYDMtVDPRVWDWQČ
2EUi]HN±3HGiO(
N
C
OR
®
,QGLNDFHNSRXåLWt
6\VWpPSURELRSVLLSUVQtWNiQČ(
N
C
OR
U
LTRA
®
ĤMHXUþHQNRGEČUXY]RUNĤSUVQtWNiQČSURGLDJQRVWLNX
abnormalit v prsu.
-HXUþHQNRGEČUXSUVQtWNiQČSURKLVWRORJLFNpY\ãHWĜHQtVþiVWHþQêPQHER~SOQêPY\MPXWtP
zobrazené abnormality.
-HXUþHQNRGEČUXSUVQtWNiQČSURKLVWRORJLFNpY\ãHWĜHQtVþiVWHþQêPY\MPXWtPKPDWQp
abnormality.
5R]VDKKLVWRORJLFNpDEQRUPDOLW\QHO]HYåG\VSROHKOLYČXUþLWSDOSDFtDQL]REUD]RYDFtPLPHWRGDPL
3URWRUR]VDKYHNWHUpPMHKPDWQiQHERYLGLWHOQiDEQRUPiOQtWNiĖY\MPXWDQHQDSRYtUR]VDK
QXWQpKRRGVWUDQČQtKLVWRORJLFN\DEQRUPiOQtQDSĜPDOLJQtWNiQČ3RNXGY]RUNRYDQiDEQRUPDOLWD
QHQtKLVWRORJLFN\EHQLJQtMHQH]E\WQpDE\VHWNiĖRYpRNUDMHY\ãHWĜLO\QD~SOQRVWRGVWUDQČQt
SRPRFtVWDQGDUGQtFKFKLUXUJLFNêFKSRVWXSĤ
9SĜtSDGHFKNG\SDFLHQWNDQDKPDWiDEQRUPDOLWXSRGOHNOLQLFNêFKDQHERUDGLRORJLFNêFKNULWpULt
NODVL¿NRYDQRXMDNREHQLJQtQDSĜ¿EURDGHQRP¿EURF\VWLFNiOp]HO]HV\VWpPSURELRSVLL
SUVQtWNiQČ(
N
C
OR
U
LTRA
®
SRXåtWWDNpNþiVWHþQpPXY\MPXWtWDNRYêFKKPDWQêFKOp]t.G\NROLY
GRMGHNY\MPXWtSUVQtWNiQČMHVWDQGDUGQtPOpþHEQêPSRVWXSHPMHMtKLVWRORJLFNêUR]ERU3RNXG
Y]RUNRYDQiDEQRUPDOLWDQHQtKLVWRORJLFN\EHQLJQtMHQH]E\WQpDE\VHWNiĖRYpRNUDMHY\ãHWĜLO\QD
~SOQRVWRGVWUDQČQtSRPRFtVWDQGDUGQtFKFKLUXUJLFNêFKSRVWXSĤ
Kontraindikace
7RWR]DĜt]HQtMHXUþHQRYêKUDGQČNXYHGHQpPX~þHOX
6\VWpPSURELRSVLLSUVQtWNiQČ(
N
C
OR
U
LTRA
®
MHNRQWUDLQGLNRYiQXSDFLHQWĤXNWHUêFKSRGOH
Qi]RUXOpNDĜHKUR]t]YêãHQpUL]LNRNRPSOLNDFtVSRMHQêFKVSHUNXWiQQtPY\MPXWtPY]RUNĤWNiQČ
9DURYiQt
6\VWpPSURELRSVLLSUVQtWNiQČ(
N
C
OR
U
LTRA
®
PXVtEêWSUREH]SHþQRVWSDFLHQWN\ĜiGQČ
X]HPQČQ6\VWpPVHGRGiYiVQDSiMHFtPNDEHOHPD]iVWUþNRXQDVWĜtGDYêSURXG
SUR]GUDYRWQLFNi]DĜt]HQt1DSiMHFtNDEHOQHSĜLSRMXMWHGRSURGOXåRYDFtKRNDEHOXDQL
DGDSWpUĤVSĜHYRGHPWĜtQDGYRXNROtNRYRX]iVWUþNX7RWR]DĜt]HQtVHVPtSĜLSRMRYDW
SRX]HNH]GURMLQDSiMHQtY\EDYHQpPXRFKUDQQêPX]HPQČQtPDE\VH]DEUiQLORUL]LNX
SRUDQČQtHOHNWULFNêPSURXGHP
.DEHO\PXVtEêWYHGHQ\WDNDE\VHQHGRWêNDO\GDOãtFKNDEHOĤDPLQLPDOL]RYDORVH
Y]iMHPQpUXãHQt
3RXåtYiQtSĜtVOXãHQVWYtNWHUpQHQtNRPSDWLELOQtVHV\VWpPHPSURELRSVLLSUVQtWNiQČ
E
N
C
OR
U
LTRA
®
PĤåHYpVWNHY]QLNXQHEH]SHþQêFKVLWXDFt
6HV\VWpPHPSUR%LRSVLL3UVQt7NiQČ U
LTRA
®
SRXåtYHMWHSRX]H2YODGDþH E
N
C
OR
U
LTRA
®
VHVNULSW\YHU]HQHERY\ããt6\VWpPQHQtNRPSDWLELOQtVHVWDUãtPLVNULSW\RYODGDþĤ
.RQ]RODV\VWpPXSURELRSVLLSUVQtWNiQČ(
N
C
OR
U
LTRA
®
QHVPtEêWXPtVWČQD
YPtVWQRVWLVHVQtPNRYDFtP]DĜt]HQtP05
1HQtGRYROHQRSURYiGČWåiGQp]PČQ\WRKRWR]DĜt]HQt1HVXQGiYHMWHNU\WRYiQt
V\VWpPXSURELRSVLLSUVQtWNiQČ(
N
C
OR
U
LTRA
®
0RKORE\GRMtWN~UD]XHOHNWULFNêP
SURXGHP3ĜLQXWQRVWL]iVDKXVHREUDFHMWHQDVHUYLVQtVWĜHGLVNR%DUG
6\VWpPSURELRSVLLSUVQtWNiQČ(
N
C
OR
U
LTRA
®
QHQtNODVL¿NRYiQMDNR]DĜt]HQtWĜtG\$3
QHER$3*6\VWpPQHQtYKRGQpSRXåtYDW]DSĜtWRPQRVWLKRĜODYêFKDQHVWHWLN
3RSRXåLWtPĤåHWHQWRSURGXNWSĜHGVWDYRYDWSRWHQFLiOQtELRORJLFNpUL]LNR=DFKi]HMWH
VQtPD]OLNYLGXMWHMHMYVRXODGXVH]DYHGHQRXOpNDĜVNRXSUD[tDYVRXODGXVSODWQêPL
PtVWQtPLVWiWQtPLDIHGHUiOQtPL]iNRQ\DSĜHGSLV\
1HSRXåtYHMWHSRNXGVHY\VN\WODLQIHNFH
%H]SHþQRVWQtRSDWĜHQt
=DĜt]HQtVPtSRXåtYDWSRX]HOpNDĜLNYDOL¿NRYDQtSURSHUNXWiQQtELRSVLL
=DĜt]HQtSĜHGSRXåLWtPGĤNODGQČSURKOpGQČWHDRYČĜWHVLåHQHE\ORSRãNR]HQR1HSRXåtYHMWH
SRNXGMHSURGXNW]MHYQČSRãNR]HQDQHERMHMHKODRKQXWi
6\VWpPSURELRSVLLSUVQtWNiQČ(
N
C
OR
U
LTRA
®
PXVtEêWXPtVWČQFRQHMGiOHPLQLPiOQČFP
þLSDOFĤRGMLQêFKHOHNWURQLFNêFK]DĜt]HQtQHERNDEHOĤWDNDE\E\ORPLQLPDOL]RYiQRUXãHQt
þL]KRUãHQtSDUDPHWUĤ
systému
E
N
C
OR
U
LTRA
®
.
3ĜHGNDåGêPSRXåLWtP]NRQWUROXMWH]GDSĜtVOXãHQVWYtDNDEHO\QHY\ND]XMtSUDVNOLQ\WUKOLQ\
RGĜHQtQHERMLQpSRãNR]HQt9SĜtSDGČSRãNR]HQtYêUREHNQHSRXåtYHMWH=DQHGEiQtWpWR
NRQWURO\PĤåHYpVWNH]UDQČQtQHERN~UD]XSDFLHQWDþLREVOXK\HOHNWULFNêPSURXGHP
3URMLVWRWXGRVDåHQtDXGUåRYiQtVSUiYQp~URYQČSRGWODNXYSUĤEČKXXåtYiQtSĜtVWURMH
]NRQWUROXMWHSĜLSRMHQtSRGWODNRYpQiGRE\DSRGWODNRYêFKKDGLþHNYHGHQt
=NRQWUROXMWH]GDYtNRSRGWODNRYpQiGRE\GUåtD]GDEČKHPSĜHSUDY\QHERLQVWDODFHSĜtVWURMH
QHGRãORNMHKRSRãNR]HQt6LOQČSRãNUiEDQiQiGREDPĤåHEČKHPSRXåtYiQtSUDVNQRXW
6\VWpPSURELRSVLLSUVQtWNiQČ(
N
C
OR
U
LTRA
®
QHQHFKiYHMWH]DSQXWêSĜHVQRF+UR]t
SRãNR]HQtSRGWODNRYêFKKDGLþHN
=DSRMWHQDSiMHFtNDEHOGR]iVXYN\VHVSUiYQêPQDSČWtPXUþHQpSURSRXåLWtYH
]GUDYRWQLFNêFK]DĜt]HQtFK9RSDþQpPSĜtSDGČKUR]tSRãNR]HQtSĜtVWURMH
8SDFLHQWĤVNUYiFLYêPLSRUXFKDPLQHERXSDFLHQWĤXåtYDMtFtFKDQWLNRDJXODþQtWHUDSLLPĤåH
H[LVWRYDW]YêãHQpUL]LNRNRPSOLNDFt
-DNRXNDåGpKRQiVWURMHSURELRSVLL]GHH[LVWXMHPRåQRVWLQIHNFH
%LRSVLHSUVXE\VHPČODSURYiGČWVYL]XiOQtPQDYiGČQtPNRYČĜHQtSR]LFHVRQG\YĤþLFtORYp
REODVWLSURRGEČUY]RUNĤDDE\VHVQtåLOSRþHWIDOHãQČQHJDWLYQtFKYêVOHGNĤELRSVLH
3ĜLSURYiGČQtELRSVLHSRPRFtVRQG(
N
C
OR
®
VHRULHQWDFH]QDþN\SURY]RUHNXUþXMHSRGOH
]YROHQpKR]SĤVREXYL]XiOQtKRQDYiGČQt3ĜHG]DKiMHQtPRSHUDFHVHXMLVWČWHåHRULHQWDFH
]QDþN\SURY]RUHNMHYKRGQiSURGDQRXPHWRGXYL]XiOQtKRQDYiGČQt
6\VWpPSURELRSVLLSUVQtWNiQČ(
N
C
OR
U
LTRA
®
PXVtEêWXPtVWČQWDNDE\QDSiMHFtNDEHO
D~FK\WN\E\O\SĜtVWXSQp3RNXGQHO]HRYOiGDWKODYQtY\StQDþXYROQČWH~FK\WNXDY\WDåHQtP
NDEHOXY\SQČWHQDSiMHQtV\VWpPX
3RWHQFLiOQtNRPSOLNDFH
3RWHQFLiOQtNRPSOLNDFH]DKUQXMtPLPRMLQpKHPDWRPKHPRUUKDJLLLQIHNFLSRUDQČQtVRXVHGQt
WNiQČEROHVWDOHUJLFNRXUHDNFLDSĜLOHSHQtWNiQČNVRQGČSURELRSVLLEČKHPY\MtPiQt]SUVXSRGOH
]DYHGHQêFKSRVWXSĤELRSVLHMHQČNG\QXWQpY\MPRXWWNiĖSĜLOHSHQRXNHVW\OHWXQHERNRD[LiOQtPX
YHGHQtSĜLY\MtPiQt]SUVX
3RWĜHEQpY\EDYHQt
3ĜLSURYiGČQtELRSVLHMHQXWQpQiVOHGXMtFtY\EDYHQt
9KRGQp]REUD]RYDFt]DĜt]HQtVSĜtVOXãHQVWYtP
2YODGDþVRQG\SURELRSVLLSUVQtWNiQČ
E
N
C
OR
®
6RQGDSURELRSVLLSUVQtWNiQČ(
N
C
OR
®
3RGWODNRYpKDGLþN\DQiGRED(
N
C
OR
U
LTRA
®
=QDþNRYDþWNiQČYROLWHOQê
&KLUXUJLFNpUXNDYLFHDURXãN\
• Lokální
anestetikum
• Skalpel
'DOãtY\EDYHQtGOHSRWĜHE\
3RN\Q\NSRXåLWt
5R]EDOHQt
6\VWpPSURELRSVLLSUVQtWNiQČ
E
N
C
OR
U
LTRA
®
RSDWUQČY\MPČWH]REDOX'ĤNODGQČ]NRQWUROXMWH]GD
REDORYêPDWHULiODV\VWpPQHMHYt]QiPN\SRãNR]HQtSĜLSĜHSUDYČ3RNXGDQRSĜtVWURMQHSRXåtYHMWH
2EUDĢWHVHQD]iND]QLFNRXVOXåEXVSROHþQRVWL%DUGNGHYiPSRUDGtMDNRKOiVLWSRãNR]HQt]iVLON\
ý(6.<
2EUi]HN±6\VWpPE
N
C
OR
U
LTRA
®
VUXNRMHWt
2EUi]HN±6\VWpPE
N
C
OR
U
LTRA
®
VYROLWHOQêPSRGQRVHP
2EUi]HN±6RQG\SURELRSVLLSUVQt
WNiQČ(
N
C
OR
®
2EUi]HN±2YODGDþSURELRSVLLSUVQtWNiQČ
E
N
C
OR
®
DVRQGDSURELRSVLLSUVQtWNiQČ(
N
C
OR
®