After Use - Ambu aScope Duodeno Manual Del Usuario

Inspect the endoscopic accessory before using it. If there is any irregularity in its operation or
external appearance, replace it. Insert the endoscopic accessory into the working channel port
and advance it carefully through the working channel until it can be seen on the monitor.
• Select the endoscopic accessories compatible with the aScope™ Duodeno. Refer to the
accessories' instruction manuals for operating instructions.
• Raise the elevator by moving the elevator control lever in the "Up" direction.
• Hold the UP/DOWN and RIGHT/LEFT angulation wheels stationary.
• Confirm that the tip of the endoscopic accessory is closed or retracted into its sheath and
insert the endoscopic accessory slowly and straight into the biopsy valve.
• Hold the endoscopic accessory approximately 4 cm from the biopsy valve and advance
it slowly and straight into the biopsy valve using short strokes while observing the
endoscopic image. Confirm that the tip of the endoscopic accessory contacts the elevator.
• Move the elevator control lever in the opposite direction of the "Up" direction to lower
the elevator. Advance the endoscopic accessory slightly and move the elevator control
lever in the "Up" direction. Confirm that the accessory appears in the endoscopic image.
• Manipulate the elevator control lever to adjust the height of the elevator.
Withdrawal of Endoscopic Accessories
• Close the tip of the endoscopic accessory and/or retract it into its sheath.
• While lowering the elevator gradually, slowly withdraw the endoscopic accessory.
Withdrawal of the Endoscope
• Stop using the image magnification (zoom) function of the aBox™ Duodeno.
• Move the elevator control lever in the opposite direction of the "Up" direction until it stops.
• Aspirate accumulated air, blood, mucus or other debris by depressing the suction valve.
• Move the Up/Down locking lever to the "Down" direction to release the angulation.
• Turn the Left/Right locking lever to the "F" direction to release the angulation.
• Carefully withdraw the endoscope while observing the endoscopic image. Remove the
mouthpiece from the patient´s mouth.
5. Ending a Procedure
5.1. Concluding a Patient Procedure
• Disconnect the endoscope connector from the aBox™ Duodeno.
• Open the roller pump housing and remove the rinsing tubing.
• Remove the process water tubing and the bottle of sterile water from the bottle holder
on the aBox™ Duodeno.
• Discard the sterile water bottle.
• Turn OFF the insufflator or CO₂ source and disconnect the tubing from the aScope™ Duodeno.
• Turn OFF the vacuum source/pump and disconnect the tubing from the aScope™ Duodeno.

6. After Use

• Check if there are any missing parts, evidence of damage, cuts, holes, sagging, or other
irregularities on the bending section, distal end, or insertion of the aScope™ Duodeno.
Should any irregularities exist, immediately determine if any parts are missing and take
the necessary corrective action(s).
• Disconnect the endoscope strain relief from the aBox™ Duodeno.
• Discard the endoscope. 13
In case of any adverse events please contact the manufacturer of the device or your local Ambu
distributor. In Europe, the relevant country health agency or authority should also be informed.
Returning Devices to Ambu
Should it be necessary to send an aScope™ Duodeno to Ambu for evaluation, please inform
your representative at Ambu beforehand for instructions and/or guidance. To prevent
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