Ambu aScope 4 Broncho Slim Instrucciones De Uso página 9

4. Use of aScope 4 Broncho
Numbers in gray circles below refer to illustrations on page 2.
4.1. Preparation and inspection of aScope 4 Broncho
Visual inspection of the endoscope 1
1. Check that the pouch seal is intact. 1a
2. Make sure to remove the protective elements from the handle and from the insertion cord.
1b
3. Check that there are no impurities or damage on the product such as rough surfaces,
sharp edges or protrusions which may harm the patient. 1c
Refer to the Ambu displaying unit Instruction for use for preparation and inspection
of the Ambu displaying unit 2
Inspection of the Image
1. Plug in the endoscope cable connector into the corresponding connector on the
compatible displaying unit. Please ensure the colours are identical and be careful to align
the arrows. 3
2. Verify that a live video image appears on the screen by pointing the distal tip of the
endoscope towards an object, e.g. the palm of your hand. 4
3. Adjust the image preferences on the displaying unit if necessary (please refer to the
displaying unit Instruction for use).
4. If the object cannot be seen clearly, wipe the lens at the distal tip using a sterile cloth.
Preparation of aScope 4 Broncho
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. Using a syringe insert 2 ml of sterile water into the working channel port (if applying a
Luer Lock syringe use the enclosed introducer). Press the plunger, ensure that there are no
leaks, and that water is emitted from the distal tip. 5b
If applicable, prepare the suction equipment according to the supplier's manual. 5c
3.
Connect the suctioning tube to the suction connector and press the suction button to
check that suction is applied.
4. If applicable, verify that endoscopic accessory of appropriate size can be passed through
the working channel without resistance. The enclosed introducer can be used to facilitate
the insertion of soft accessories such as microbiology brushes. 5d
5. If applicable, verify that endotracheal tubes and double lumen tubes are compatible with
endoscope before starting the procedure.
4.2. Operating the aScope 4 Broncho
Holding the aScope 4 Broncho and manipulating the tip 6a
The handle of the endoscope can be held in either hand. The hand that is not holding the
endoscope can be used to advance the insertion cord into the patient's mouth or nose.
Use the thumb to move the control lever and the index finger to operate the suction button.
The control lever is used to flex and extend the distal tip of the endoscope in the vertical plan.
Moving the control lever downward will make the tip bend anteriorly (flexion). Moving it
upward will make the distal tip bend posteriorly (extension). The insertion cord should be held
as straight as possible at all times in order to secure an optimal distal tip bending angle.
Tube connection 6b
The tube connection can be used to mount ETT and DLT with an ISO connector during intubation.
Insertion of the aScope 4 Broncho 7a
Lubricate the insertion cord with a medical grade lubricant when the endoscope is inserted
into the patient. If the camera image of the endoscope becomes unclear the distal tip can be
cleaned by gently rubbing the distal tip against the mucosal wall or remove the endoscope
and clean the tip. When inserting the endoscope orally, it is recommended to use a
mouthpiece to protect the endoscope from being damaged.
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