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ACCUJECT DUAL
4. Reporting to manufacturer and authorities
Serious incidents occurring in connection with the device must be reported to the
manufacturer and the competent authority in which the user and/or patient is established.
5. Application instructions for the single-use IOL injector
1.
Open the blister in a sterile environment and remove the sterile injector (1).
2.
Hold the injector so that the rear wing of the loading chamber can be guided with the index finger of your left hand (2).
3.
Fill the cartridge tip and the loading chamber sufficiently with ophthalmic viscosurgical devices (OVD) (3).
Do not completely fill the loading chamber with OVD, as this can shift the IOL when it is inserted.
It is recommended to flush the cartridge tip and the loading chamber with Balanced Salt Solution (BSS) before the
application of OVD.
Allow the OVD to react (30s). OVD can lose their lubricating properties if they are in contact with air for too long.
Therefore, the IOL should be injected without delay after loading.
Hydrophobic IOL types: The application of OVD is required. The exclusive use of BSS is not permitted.
In addition, apply a drop of OVD to the silicone cushion (3).
4.
Open the loading chamber so that the IOL can be easily loaded. Position the IOL in the middle of the loading chamber
with a concave orientation (4).
5.
Use the sterile forceps to apply slight pressure to the IOL optics (5), this ensures that the IOL folds in a concave direction.
For IOLs with C-loop haptics, align the haptics with sterile forceps in the direction of the optics.
6.
At the same time, close the wings of the loading chamber until the „Click-Lock" mechanism engages (6).
7.
Push the injector plunger forward with the finger flanges folded in (7).
If the silicone cushion is inclined and cannot be inserted into the closed loading chamber, the silicone cushion can be
aligned with the forceps.
8.
Advance the IOL into the conical tip of the cartridge as far as it will go or until half of the silicone cushion is visible in the
viewing window (8).
Pull back the injector plunger a few millimetres and then push it forward again. This step ensures that the IOL is always
gripped correctly.
The IOL is now loaded and ready for injection.
9.
Syringe injector: unfold the finger flanges. Screw injector: leave the finger flange folded in.
The finger flanges must be fully retracted for use in screw mode.
10.
Slowly inject the IOL into the eye by either applying even pressure to the injector plunger (syringe injector) or slowly
turning the injector plunger knob clockwise (screw injector) (9).
11.
The correct exit of the IOL can be supported by turning the injector slightly. Only push the injector plunger forward
until the IOL has emerged completely.
12.
If necessary, assist the IOL with the help of a suitable positioning hook during the exit and bring the IOL into its
final position.
13.
Thoroughly remove the viscoelastic material from the eye and IOL using standard irrigation and aspiration techniques.
Medicel AG
Dornierstrasse 11
TM
Top-Loaded
9423 Altenrhein
T +41 71 727 10 50
Switzerland
F +41 71 727 10 55
info@medicel.com
www.medicel.com
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