Insufflating With The Trocar; Real-Time Pressure Sensing" Functionality (Rtp) - Stryker PneumoSure Gebrauchsanleitung

Using and Controlling the PNEUMO SURE High Flow Insufflator in High Flow Mode
EN
32
device is also specifically customized for use with a Veress cannula.
WARNING!
This manual does not include instructions for the safe use of the Veress cannula.
Only when you have ensured endoscopically that an aeroperitoneum can be gen-
erated, should a gas flow of more than 3 l/min and a pressure of more than
10 mm Hg be selected. Insert the Veress cannula into the abdomen. Check to see
if the Veress cannula is correctly positioned in the abdomen.
1. Attach the insufflation tube to the Veress cannula.
2. Select the desired nominal pressure and nominal gas flow.
3. Start insufflation: Press the START function field.
Check the actual pressure display and the gas consumption display.
6.6.2

Insufflating with the Trocar

1. Insert the trocar into the abdomen.
2. Connect the Luer Lock connection of the insufflation tube to the trocar.
3. Make sure the trocar is correctly positioned in the abdomen. Then select the
desired pressure and desired gas flow as intraoperative conditions.
4. The actual pressure display shows the current measured value for insuffla-
tion. As soon as this value approximates the selected nominal value, the gas
flow is automatically minimized. The gas consumption display shows the vol-
ume of gas consumed.
5. Check how the patient's body reacts to the selected pressure and gas flow
rate. Compare the abdominal filling rate to the selected nominal pressure.
You can change the nominal gas flow and the nominal pressure during sur-
gery without interrupting the insufflation process.
6.6.3

"Real-Time Pressure Sensing" functionality (RTP)

To use the "Real-Time Pressure Sensing" (RTP) please use a tube set with measur-
ing line. The Luer Lock connection of the measuring tube has to be connected to
another trocar placed during the surgery. This enables the continuous measuring
of the pressure (see 5.5 Connecting Insufflation Tube Set, page 19 and 5.6.1 Using
the direct pressure measurement function (Real-Time Pressure Sensing RTP),
page 21).
CAUTION!
Make sure the stopcock (valve) of the trocar is fully opened and that both tube
connections are connected to different trocars.