Filling Tube System With Co2 - Stryker PneumoSure Gebrauchsanleitung

Using and Controlling the PNEUMO SURE XL High Flow Insufflator in Bariatric Operating Mode
EN
Testing gas heating functionality
"Real-Time Pressure Sensing" functionality
(RTP)
48
vice check.
4. Select Bariatric operating mode in the insufflation mode selection.
5. Connect an original insufflation tube set (6) to the device.
6. Attach the insufflation tube to the Veress cannula (8).
7. Attach the stopcock (valve) (7) to the Veress cannula.
8. If the gas consumption display function field does depict a value, press the
(4) function field to reset the display to 0.
9. Select the nominal pressure 15 mm Hg (2) and the gas flow 5 l/min (5).
10. Start insufflation: Press the START function field (3).
11. Insufflate for approx. 30 s. The display status line depicts Occlusion after max.
4 seconds.
12. Stop insufflation: Press the STOP function field (3).
WARNING!
If the actual gas consumption is higher than 0.4 l, there is a leak in the system. If
this happens, use steps 13 to 15 outlined below to locate the leak.
13. Repeat items 7 to 11 without Veress cannula and with closed tube end. The
previously connected Veress cannula has a leak if gas consumption is now be-
low 0.4 l.
14. Repeat items 8 to 12 without Veress cannula and without tube if another leak
becomes apparent. Close the end of the insufflation tube connection for this
test. If the gas consumption is then below 0.4 l, the previously used tube set
has a leak.
15. If another leak is detected, this leak is then directly within the device. Make
sure the device can no longer be operated until a qualified service technician
conducts the appropriate tests and repairs.
WARNING!
Never work with a leaky insufflation tube, accessory, and/or device. This can
lead to an incorrect measurement of the actual pressure values, which can cause
an uncontrolled pressure increase in the abdomen.
The functionality of the gas heating is indicated by displaying the gas heating
symbol on the display when using the "Heated tube set with RTP for Pneumo
Sure".
1. Connect the corresponding tube set ("Heated with Real-Time Pressure Sens-
ing" or "High Flow with Real-Time Pressure Sensing").
2. Insufflation is initially always started intermittently. Availability of the "Real-
Time Pressure Sensing" functionality is checked automatically. If this is the
case, the device switches to a continuous mode. This is indicated by the cor-
responding symbol on the display.
8.5.1

Filling Tube System with CO2

At least 1 l of CO2 has to be let out from the system before every surgery while
the tube is connected and the end of the tube is open. This will expel any air with-
in the tube system and the device.
1. Start insufflation: Press the START function field.
Wait until the gas consumption display shows 1.0 Liter.
2. Stop insufflation: Press the STOP function field.
3. Press the gas consumption display field to reset the gas consumption display
to 0.0 Liter. This ensures the gas consumption is correctly displayed during
surgery.
The function test is complete. The device is tested and ready to be used for sur-
gery.