It is vital that the integrity of the working channel is intact as grooves or other obstructions in the
working channel can potentially cause the string to catch, resulting in band
deployment difficulty.
Use of an endoscope in a sound state of repair is a prerequisite for a successful multi-band
ligation procedure.
COMPONENT PARTS
Barrel with preloaded bands and attached trigger cord, Multi-Band Ligator handle, Loading
catheter, Irrigation adapter.
SYSTEM PREPARATION
1. Examine features of handle. It has two positions which control rotation. Firing position
(fig. 1)
allows handle to be rotated in forward direction only. Two-way position
(fig. 2)
allows
handle to rotate in both directions. Prior to introducing endoscope, keep handle in
two-way position.
2. Insert handle into endoscope accessory channel following instructions below for appropriate
endoscope.
Olympus - With rubber cap on accessory channel, lift plug on cap and insert stem of handle.
(fig. 3a)
Pentax - Remove rubber cap from accessory channel. Place stem of handle through cap.
Replace cap and inserted handle, as a unit, onto Luer lock fitting of accessory channel.
(fig. 3b)
Fujinon - Place stem of handle through rubber cap attached to endoscope accessory
channel.
(fig. 3c)
Note: The irrigation adapter may be used to puncture the white self-sealing valve prior to
introducing the loading catheter.
(fig. 3d)
3. Introduce loading catheter through white seal in handle and advance in short increments
until it exits tip of endoscope.
(fig. 4)
Note: Loading catheter is identical on both ends and
may be introduced either way.
4. Attach trigger cord to hook on end of loading catheter, leaving approximately 2 cm of
trigger cord between knot and hook.
(fig. 5)
Withdraw loading catheter and trigger cord up
through endoscope and out through handle. Dispose of loading catheter per institutional
guidelines for biohazardous medical waste.
5. Attach barrel to tip of endoscope, ensuring barrel is advanced onto tip as far as possible.
(fig. 6)
Note: When placing the barrel onto the distal end of the endoscope, ensure that the
trigger cord does not become pinched between the barrel and the endoscope.
6. With endoscope tip straight, place trigger cord into slot on spool of handle
(fig. 7a)
and pull
down until knot is seated in hole of slot.
(fig. 7b)
Note: Knot must be seated into hole or
handle will not function properly.
7. With handle in two-way position, slowly rotate handle clockwise to wind trigger cord onto
handle spool until it is taut.
(fig. 8)
Note: Care must be taken to avoid deploying a band
while winding trigger cord.
8. Check endoscopic view. To maximize visualization, position of trigger cord may be altered by
rotating barrel. Note: Endoscopic view broadens after each band deployment.
9. Lubricate endoscope and exterior portion of barrel. Caution: Do not place lubricant inside
barrel. Caution: Do not apply alcohol to device.
Device is now ready for ligation of esophageal varices or internal hemorrhoids.
INSTRUCTIONS FOR LIGATION OF ESOPHAGEAL VARICES
1. With handle in two-way position, introduce endoscope into esophagus.
(fig. 9)
After
intubation, place handle in firing position.
(fig. 10)
2. Visualize selected varix and aspirate it into barrel. Caution: Prior to band deployment, ensure
endoscopist’s hand is positioned on handle of device rather than endoscope controls.
8
Содержание Saeed Series
Страница 2: ...2 Firing Two Way 3a Firing Two Way 1 Firing Two Way 2 Firing Two Way 3b...
Страница 3: ...3 Firing Two Way 3d Firing Two Way 4 Firing Two Way 3c...
Страница 4: ...4 5 6 Firing Two Way 7b Firing Two Way 7a...
Страница 5: ...5 Firing Two Way 8 Firing Two Way 9 Firing Two Way 10...
Страница 6: ...6 11 12...
Страница 27: ...27 1 firing 1 two way 2 two way 2 Olympus 3a Pentax Luer 3b Fujinon 3c 3d...
Страница 28: ...28 3 4 4 2 cm 5 5 6 6 7a 7b 7 two way 8 8 9 1 two way 9 firing 10 2 3 10 two way firing 4 10 5 6 3 4...
