Karl Storz TAKE-APART, Инструкция по эксплуатации

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10
General Information for the Safe
Use of Bipolar Instruments
(Continued)
WARNING: Gas emboli, the entrapment of
air in the systemic circulation, have been
reported in association with hysteroscopic
surgery and the occurrence of cardiovascular
collapse and death. Priming media inflow
lines and purging them of air may reduce
the incidence of gas emboli. In addition,
minimizing instrument exchanges, and limiting
the use of the Trendelenburg position may
also reduce the risk of gas emboli.
WARNING: Use only non-electrolytic dis-
tention media for electrosurgical procedures.
Solutions such as Glycine, Sorbitol, or
Mannitol are strongly recommended.
• CAUTION: Detect, quantify, and
appropriately manage systemic intra -
vasation by frequent and accurate
measurement of distention media
deficit between input and output.
Predetermine the amount of fluid
intravasation that will result in early
termin ation of the procedure.
WARNING: The distention solution should
be replaced often. Blood and other body
chemicals can significantly change the con-
ductivity and osmolarity of the distention
media. Continuous flow resectoscopes are
designed to remove and replenish the
media throughout the procedure.
WARNING: Always set the Electrosurgical
Unit (ESU) at the lowest possible output
necessary to achieve the desired tissue effect.
WARNING: Use of electrosurgical devices
can cause severe electromagnetic interfer-
ence in other devices, particularly cardiac
pacemakers. Precautions should be taken
to ensure that the patient’s well-being is
maintained in the event of such interference.
WARNING: EXPLOSION HAZARD.
DO NOT use electrosurgical (bipolar) instru-
ments in the presence of flammable gases,
i.e., anesthetics.