IDOMAN TEORANTA Thermablate Bedienungsanleitung Seite 9

IF THE BALLOON COVER CANNOT BE EASILY REMOVED
FROM THE BALLOON, DUE TO PRESSURE IN THE
BALLOON, DO NOT DETACH CARTR IDGE FROM TCU.
Instead, turn the "POWER SWITCH" to the "OFF" position,
disconnect the power cord and cool down both TCU and
Cartridge together until Balloon Cover can be easily removed.
Remove Cartridge carefully from TCU, verify no fluid leaking out
to the TCU, substitute the Disposable Cartridge, and restart the
Patients with either an acutely anteverted or retroverted
uterus, or a fixed uterus (e.g. due to significant
endometriosis or adhesions), or those that have had
previous uterine surgery are at a h igher risk. Particular
attention should be paid to the angulation of the uterine
sound, cervical dilator and Thermablate catheter during
1. Conduct pelvic examination to confirm position of uterus.
2. Insert Speculum.
3. Apply tenaculum.
4. Measure sounding length of uterus from external os to fundus using
uterine sound. Confirm that measurement is between eight (8) and
twelve (12) cm.
5. Use dilators to gradually dilate cervix up to seven (7) mm. Dilators
should pass easily through cervix with minimal discomfort to the
patient. Dilators should not be advanced deeper than the
predetermined uterine depth.
6. Measure length of uterus a second ti m e using the uterine sound.
Confirm that sounding length of the uterus after dilation is the same as
sounding length obtained prior to dilation. If there is a discrepancy of
more than 0.5cm between the first and second measurements a false
passage or perforation of the uterus may have been created during the
dilation.
7. Perform hysteroscopy prior to balloon insertion to ensure that
the uterus has not been perforated or that a false passage has
not been created during dilatation, sounding or curettage (if
performed).
A PERFORATION OF THE UTERUS OR CREATION OF A FALSE
PASSAGE, IF UNDETECTED, CAN LEAD TO THERMAL
INJURIES OF ADJACENT ORGANS OR TISSUE
Hysteroscopy should reveal both tubal ostia clearly before
proceeding with the treatment. If distension of uterus during
hysteroscopy cannot be maintained, it is possible that the uterus
has been perforated and treatment should not proceed.
Should the hysteroscopy reveal an excessively thick endometrial
lining, a gentle suction curettage of the uterus may be performed.
WARNING
process.
CAUTION
insertion.
CAUTION
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