apollo endosurgery X-Tack Gebrauchsanweisung Seite 7

6.2. After placement of each additional HeliX Tack,
apply tension on the suture to approximate
tissue.
6.3. Remove device from Scope Liner after all HeliX
Tacks have been deployed.
6.4. Pull Scope Liner out of biopsy valve and discard.
7. Secure using Cinch
7 .1. Remove Cinch from die card.
7 .2. Feed proximal end of Suture into removable
Suture Loading Loop.
7 .3. After threading, release the proximal end of the
Suture to enable loading.
7 .4. Pull Suture Loading Loop Parallel to the device, to
pull Suture into Cinch.
7 .5. Holding the proximal end of the Suture, feed the
Cinch down the working channel until 'Plug and
Collar' can be seen on the monitor.
7 .6. Advance Cinch to treatment location – ensure
Cinch Plug is parallel to tissue.
7 .7 . Pull the Suture and apply counter traction to the
Cinch until the HeliX Tacks are approximated and
the desired Suture tension is achieved between
the Tack and the Cinch Collar.
7
WARNING: Excessive tension may pull out
HeliX Tacks or break Suture.
7 .8. Prior to cinching, hold Suture tension gently –
grasp between thumb and pointer finger allowing
to slide slightly.
7 .9. Remove safety spacer from Cinch Handle.
CAUTION: The safety spacer must only be
removed immediately prior to deploying
Cinch.
7 .10. Firmly squeeze Cinch Handle to deploy Cinch and
cut Suture.
CAUTION: Suture tension must be maintained
during Cinch deployment.
NOTE: Significant force is required to pull and
lock the Plug into the Collar, a 'pop' can often
be felt once the Suture is cut.
7 .11. Visually inspect closure.
NOTE: HeliX Tack proximity
illustrative only; after correct Cinch deployment
actual Tacks will be tightly clustered to achieve
wound closure.
shown is