Ambu aScope 4 Cysto Instrucciones De Uso página 8

4.1. Inspection and preparation of the aScope 4 Cysto
Visual inspection of the aScope 4 Cysto 1
1. Check that the pouch seal is intact before opening and discard the aScope 4 Cysto if the
pouch seal has been damaged. 1a .
Make sure to remove the protection pipe from the insertion cord 1b .
2.
3. Check that there are no impurities or damage on the aScope 4 Cysto such as rough
surfaces, sharp edges or protrusions which may harm the patient 1c .
Refer to the Ambu displaying units Instruction for use for preparing and turning on the
Ambu displaying units 2
Inspection of the image
1. Connect the aScope 4 Cysto to the Ambu displaying unit by plugging the connector on the
aScope 4 Cysto cable with blue arrow into the corresponding blue female connector on the
Ambu displaying unit. Carefully align the arrows on the connector on the aScope 4 Cysto
cable with the port on the Ambu displaying unit to prevent damage to the connectors 3 .
2. Verify that a correctly oriented live video image appears on the Ambu displaying unit by
pointing the distal end of the aScope 4 Cysto towards an object, e.g. the palm
of your hand 4 .
3. Adjust the image preferences on the Ambu displaying unit if necessary
(please refer to the Ambu displaying unit Instruction for use).
4. If the object cannot be seen clearly, wipe the distal end of the aScope 4 Cysto
using a sterile cloth.
Preparation of the aScope 4 Cysto
1. Carefully slide the control lever forwards and backwards to bend the bending section as
much as possible. Then slide the control lever slowly to its neutral position. Confirm that
the bending section functions smoothly and correctly and returns to a neutral position 5a .
2. Test fluid instillation by connecting an infusion set or syringe with sterile water or saline
solution with Luer connection directly to the working channel entry or via a stopcock.
Ensure that there are no leaks, and that water is emitted from the distal end 5b .
4.2. Operating the aScope 4 Cysto
If any malfunction should occur during the cystoscopic procedure, stop the procedure
immediately, put the distal end of the aScope 4 Cysto in its neutral and non-angled position
and slowly withdraw the cystoscope.
Holding the aScope 4 Cysto and manipulating the distal end
The handle of the aScope 4 Cysto can be held in either hand. The hand that is not holding the
cystoscope can be used to advance the insertion cord into the patient's lower urinary tract.
Use the thumb to move the bending lever. The bending lever is used to flex and extend the
distal end of the cystoscope in the vertical plane.
• Depending on the bending lever, the model is called standard (lever up = tip up) or
reverse (lever up = tip down).
Standard Deflection
Lever Up = Tip Up
Lever Down = Tip Down
• The insertion cord should be held as straight as possible at all times in order to secure an
optimal distal end bending angle.
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Reverse Deflection
Lever Up = Tip Down
Lever Down = Tip Up