Boston Scientific rezum Series Скачать руководство пользователя страница 2

Boston S

cientific (Master Brand DFU 

Template 8.2677in x 1

1.6929in 

A4, 9223851

9A), eDFU

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Black (K) ∆E ≤5.0

A.

B.

C.

D.

E.

F.

G.

H.

I.

J.

K.

L.

M.

Figure 2. Delivery Device Components.

Table 1. Functional Description of the Delivery Device

Description

Function

A. Shaft

Provides enclosed channel for needle, vapor tubing, rigid scope lens and flush irrigation.

B. Tip

Guides shaft into treatment area and houses needle.

C. Needle

Inserted into the targeted prostate tissue to deliver vapor treatment.

D. RF Cable

The RF cable is the energy line and connections for the switches and thermocouples.

E. Saline Flush Line

Provides saline flush for irrigation through the Delivery Device.

F. Water Line

Line to move water into the Delivery Device.

G. Drain Line

Line to allow urine to be drained from the bladder.

H. Rigid Cystoscope Lens Port

Provides secure connection of rigid cystoscope lens in Delivery Device.

I. Flush Activation Button

Provides saline flush (normal, high). Top, front button (white).

J. Needle Deployment Button

Located behind the flush button, deploys the needle into the prostate tissue. Top, back button (grey).

K. Vapor Activation Button

Activates vapor after needle has been deployed. Bottom button (blue).

L. Needle Retraction Button

Retracts needle back into Delivery Device shaft. Grey button located on the underside of the 

nose cone.

M. Nose Cone Release Pin

Detaches shaft from Delivery Device to allow the safe manual retraction of needle into shaft if 

Needle Retraction Button fails.

USER SUPPLIED MATERIALS

Other materials that are typically required for the Rez

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•  Cart or sturdy surface for the Rez

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•  Prep tray
•  Topical antiseptic (e.g. Betadine)
•  Patient drape
•  Disposable underpads (e.g. Chux)
•  Gauze squares
•  Lidocaine gel anesthetic or water-soluble lubricating gel
•  Saline supply at room temperature (1 L, 2 L, 3 L, 4 L, 5 L or 500 ml)
•  IV pole for Saline supply
•  4 mm, 30 degree, 30 cm Storz® or Richard-Wolf® rigid cystoscope lens
•  Light source and cord
•  Video camera and display; recorder optional
•  Drain bucket
• Hemostat

Preparing the Patient 

1.  Prior to the procedure, administer physician-preferred pain and/or anti-anxiety medication. If using oral medications, allow 

sufficient time for the medications to reach peak levels.

2.  Instruct patient to completely void bladder prior to procedure.

Caution:

 Care should be taken during procedure to monitor the 

amount of saline instilled. If bladder is not empty, overfilling of 

bladder may occur. The Generator helps monitor the amount of 

saline instilled.

3.  Ten minutes prior to the procedure, prepare and drape the 

patient using standard cystoscopy guidelines.

4.  Place the patient in the lithotomy position. Ensure buttocks 

are resting at the edge of the table to both enable entry 

deep enough into the anatomy and also to allow for easier 

Delivery Device rotation during the procedure.

Power Up the Rez

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m Generator

1.  Generator should be placed within reach of patient and an 

electrical outlet to supply power to the unit.

2.  Place prep tray or cart near the Generator.
3.  Open the display screen.
4.  Plug the power cord from the Generator into an electrical 

outlet (Figure 3).

Figure 3. Power up the Rez

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m Generator.

5.  Turn on the Generator.
6.  The Generator is in an inactive state until a valid Delivery 

Device is connected.

Prepare the Sterile Saline Bag

1.  Obtain a brand new bag of saline fluid. 500 mL, 1000 mL, 

2000 mL, 3000 mL, 4000 mL and 5000 mL volume options are 

compatible with the Rez

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2.  Hang bag on an IV pole (Figure 4).

Figure 4. Hang the saline bag on IV pole.

Содержание rezum Series

Страница 1: ...e exterior of the Sterile Water Vial is not sterile and should not be placed in the sterile field Positioning Saline Flush Line in Saline Pump Reference indicators on Generator to ensure Saline Flush Line is positioned in the correct direction If Saline Flush Line is placed in a backwards direction within the Saline Pump saline will not flow during procedure Remaining Saline Level in Bag Care shou...

Страница 2: ...tray Topical antiseptic e g Betadine Patient drape Disposable underpads e g Chux Gauze squares Lidocaine gel anesthetic or water soluble lubricating gel Saline supply at room temperature 1 L 2 L 3 L 4 L 5 L or 500 ml IV pole for Saline supply 4 mm 30 degree 30 cm Storz or Richard Wolf rigid cystoscope lens Light source and cord Video camera and display recorder optional Drain bucket Hemostat Prepa...

Страница 3: ...sh Line is placed in a backwards direction within the Saline Pump saline will not flow during procedure 5 Close Saline Pump door prior to attaching Saline Flush Line tip to the Saline bag Note If Saline Flush Line tip is attached to Saline bag prior to placing Saline Flush Line in the Saline Pump and closing the Saline Pump door saline may leak 6 Remove cap from tip of Saline Flush Line and attach...

Страница 4: ...ry Device tip is proximal to the verumontanum and treat the bulk of the lateral lobe proximal to the verumontanum Advance the Delivery Device in 1 cm increments toward the bladder neck to deliver subsequent vapor treatments This may relax the tissue to allow the Delivery Device to reach the bladder neck If the Delivery Device still cannot reach the bladder neck treat the area that is proximal to t...

Страница 5: ...he shaft to manually retract the proximal end of the needle into the shaft tip Fig 17 4 While maintaining the needle tip within the shaft remove Delivery Device from patient 5 If treatment is incomplete re start procedure with new Delivery Device and complete procedure 6 Report all incidences of manual needle retraction to Boston Scientific Customer Service Clean device and return to Boston Scient...

Страница 6: ...Procedure or Device Related AEs Severity Resolved AEs Mild Moderate Severe Dysuria 17 14 4 0 97 Hematuria Gross 12 11 1 0 100 Hematospermia 6 6 1 0 100 Urinary Frequency 6 5 1 0 82 Decrease in Ejaculatory Volume 5 4 1 0 33 UTI Suspected 5 4 1 0 100 Urinary Retention 5 1 4 1 100 Urinary Urgency 5 3 2 0 78 Anejaculation 3 2 1 0 0 Terminal Dribbling 3 2 1 0 60 UTI Culture Proven 3 1 2 0 100 Epididymi...

Страница 7: ... M006D2201 003 G2200 003 GTIN 08714729992547 GTIN 0855357006003 Responsible Party U S Contact Information Boston Scientific Corporation 300 Boston Scientific Way Marlborough MA 01752 508 382 9555 www bostonscientific com FCC Compliance Statement This device complies with Part 18 of the FCC Rules For further information see FCC web site for a complete description of all requirements WARRANTY Boston...

Страница 8: ... REP Legal Manufacturer Boston Scientific Corporation 300 Boston Scientific Way Marlborough MA 01752 USA USA Customer Service 888 272 1001 Recyclable Package Australian Sponsor Address Boston Scientific Australia Pty Ltd PO Box 332 BOTANY NSW 1455 Australia Free Phone 1800 676 133 Free Fax 1800 836 666 AUS Do not use if package is damaged Argentina Local Contact ARG Para obtener información de con...

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