![Terumo Angio-Seal VIP Скачать руководство пользователя страница 6](http://html1.mh-extra.com/html/terumo/angio-seal-vip/angio-seal-vip_instructions-for-use-manual_1090409006.webp)
,QVHUWWKHDUWHULRWRP\ORFDWRULQWRWKH$QJLR6HDOLQVHUWLRQVKHDWK)LJXUHPDNLQJVXUHWKHWZRSLHFHVVQDSWRJHWKHUVHFXUHO\7RHQVXUHSURSHURULHQWDWLRQRIWKHDUWHULRWRP\
ORFDWRUZLWKWKHVKHDWKWKHKXERIWKHORFDWRUDQGWKHVKHDWKFDSILWWRJHWKHURQO\LQWKHFRUUHFWSRVLWLRQ7KHUHIHUHQFHLQGLFDWRURQWKHORFDWRUKXEPXVWDOLJQZLWKWKHUHIHUHQFH
LQGLFDWRURQWKHVKHDWKFDS
Reference
Indicator
Insertion
Sheath
Cap
'ULS+ROH
%ORRG,QOHW
+ROH
FP
Insertion
Sheath
Arteriotomy
/RFDWRU
Fig. 1
,QVHUWWKH$QJLR6HDOJXLGHZLUHLQWRWKHSURFHGXUHVKHDWKWKDWLVFXUUHQWO\LQWKHSDWLHQW,IWKHSURFHGXUHVKHDWKLVVPDOOHUWKDQWKH$QJLR6HDOVKHDWKLWLVDGYLVDEOHWRHQVXUH
WKDWWKHVNLQLQFLVLRQLVRIVXIILFLHQWVL]HWRDFFRPPRGDWHWKH$QJLR6HDOLQVHUWLRQVKHDWK
5HPRYHWKHSURFHGXUHVKHDWKOHDYLQJWKHJXLGHZLUHLQSODFHWRPDLQWDLQYDVFXODUDFFHVV
7KUHDGWKH$QJLR6HDODUWHULRWRP\ORFDWRULQVHUWLRQVKHDWKDVVHPEO\RYHUWKHJXLGHZLUHWKHGULSKROHORFDWHGDERYHWKHDUWHULRWRP\ORFDWRUKXEZLOOEHRULHQWHGGRZQDQGDZD\VR
WKHIORZRIEORRGFDQEHREVHUYHG0DNHVXUHWKHUHIHUHQFHLQGLFDWRURQWKHLQVHUWLRQVKHDWKLVIDFLQJXSLQVHUWWKHDVVHPEO\LQWRWKHSXQFWXUHWUDFW:KHQWKHWLSRIWKHLQVHUWLRQ
VKHDWKLVDERXWFPLQWRWKHDUWHU\EORRGZLOOEHJLQWRIORZIURPWKHGULSKROHLQWKHORFDWRU)LJXUH
Insertion
Sheath
Fig. 2
NOTE: When resistance is encountered at the anterior vessel wall during over-the-guidewire advancement of the Angio-Seal locator/insertion sheath assembly, rotate
the assembly 90 degrees so the reference indicator is facing away from the user. This places the beveled tip of the insertion sheath perpendicular to the anterior
vessel wall.
6ORZO\ZLWKGUDZWKHDUWHULRWRP\ORFDWRULQVHUWLRQVKHDWKDVVHPEO\XQWLOEORRGVORZVRUVWRSVIORZLQJIURPWKHGULSKROH7KLVLQGLFDWHVWKDWWKHGLVWDOORFDWRUKROHVRIWKH$QJLR6HDO
LQVHUWLRQVKHDWKKDYHMXVWH[LWHGWKHDUWHU\)LJXUH
Fig. 3
)URPWKLVSRLQWDGYDQFHWKHDUWHULRWRP\ORFDWRULQVHUWLRQVKHDWKDVVHPEO\XQWLOEORRGEHJLQVWRIORZIURPWKHGULSKROHRQWKHORFDWRU
NOTE: Overinsertion of the arteriotomy locator/insertion sheath assembly into the artery, beyond 2 cm, may increase the chance of premature anchor hook up or
interfere with the anchor’s performance to achieve hemostasis.
,IEORRGIORZGRHVQRWUHVXPHUHSHDW6WHSV$DQG$XQWLOEORRGIORZVIURPWKHGULSKROHDJDLQXSRQDGYDQFHPHQWRIWKHDVVHPEO\LQWRWKHDUWHU\