Ethicon Echelon Flex PCEE45A Manual Del Usuario página 11

top of the instrument handle. The manual override lever will be exposed. Move the lever forward and
backward until it can no longer be moved (Illustration 10). The knife will now be in the home position. This
can be verified by viewing the position of the knife blade indicator on the underside of the reload jaw
(Illustration 11). Discard the instrument.
Caution: Incomplete firing may result in malformed staples, incomplete cut line, bleeding, and/or difficulty removing the device.
Caution: The use of staple line reinforcement material with the instrument may reduce the number of times the device may be fired. When
using staple line reinforcement material, the instructions of the manufacturer of the material should be followed.
Caution: Crossing of staple lines may shorten the life of the instrument.
Caution: If the firing mechanism becomes inoperative, do not continue to use the instrument.
To open the jaws, squeeze the closing trigger, then simultaneously press the anvil release button on either side of the instrument. While
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pressure is still on the anvil release button, slowly release the closing trigger. (Illustration 8).
Caution: If the jaws do not automatically open after the anvil release button is pressed, first ensure that the knife is in the home position.
The position of the knife can be determined by observing the knife blade indicator under the reload jaw (Illustration 11). If the knife blade
indicator is not in the home position or the position of the knife cannot be determined, slide the knife return switch to activate the motor
and return the knife to home position (Illustration 7). Try opening the jaws again using the anvil release button. If the jaws do not open
at this point, then gently pull the closing trigger (1) upward (away from the handle) until both firing and closing triggers return to their
original positions.
Gently pull the instrument away from the transected tissue and ensure it is released from the jaws.
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Caution: Examine the staple lines for pneumostasis/hemostasis and proper staple closure. Minor bleeding can be controlled with manual
sutures or other appropriate techniques.
Before removing articulating instruments, move the jaws away from any obstruction inside the body cavity while keeping the jaws open
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and within the field of view, and pull on the fins of the rotating knob. The jaws will return to the straight position automatically.
Caution: For insertion and removal of articulating instruments, the jaws of the instrument must be straight, parallel to the shaft of the
instrument. Failure to have the instrument jaws in the straight position will result in difficult insertion or withdrawal of the instrument and
may result in damage to the instrument.
To remove the instrument from the cavity, squeeze the closing trigger until it locks, closing the jaws (Illustration 5). Completely withdraw
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the instrument in the closed position.
Reloading the Instrument
Using sterile technique, remove the reload from the package. To avoid damage, do not flip the reload into the sterile field.
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Prior to reloading, ensure the instrument is in the open position (Illustration 1).
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Push upward (toward the anvil) to unsnap the reload from the reload jaw. Discard the used reload (Illustration 17).
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WARNING: Prior to reloading the instrument, hold the instrument in a vertical position, with anvil and reload jaw completely submerged
in sterile solution. Swish vigorously and then wipe the inside and outside surfaces of the anvil and reload jaw to clean any unused staples
from the instrument. Do not use the instrument until it has been visually inspected to confirm there are no staples on the anvil and reload
jaw.
Examine the new reload for the presence of a staple retaining cap. If the retaining cap is not in place, discard the reload.
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Caution: Tissue thickness should be carefully evaluated prior to using the instrument. Refer to the Reload Product Codes Table for
proper reload selection.
Caution: Selection of the appropriate staple reload should be based upon the combined thicknesses of both the tissue and the staple line
reinforcement material. The use of staple line reinforcement material with the instrument may require an increased force to close and may
reduce the number of times the device may be fired. When using staple line reinforcement material, the instructions of the manufacturer of
the material should be followed.
Insert the new reload by sliding it against the bottom of the reload jaw until the reload alignment tab stops in the reload alignment
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slot. Snap the reload securely in place. Remove the staple retaining cap and discard. The instrument is now reloaded and ready for use
(Illustration 4).
Caution: After removing the staple retaining cap, observe the surface of the new reload. The reload must be replaced with another reload
if any colored drivers are visible. (If colored drivers are visible, the reload may not contain staples.)
Battery Pack Disposal
The battery pack contains a built-in battery drain and must be installed into the instrument to trigger the automatic battery drain feature. It
does not need to remain in the instrument—it will continue to drain after it has been removed from the instrument. Once removed, depending
on your local regulations, it can be put directly into the battery recycling bin or normal waste stream. Batteries used in this device contain
1,2-dimethoxyethane.
Prior to Installation into the Instrument
If battery pack needs to be disposed of prior to installation into instrument (e.g. product is beyond expiration date indicated on the
package, battery pack is dropped), first install the battery pack into the instrument, then remove, to trigger built-in battery drain.
After Instrument Use
The battery pack must be removed from the instrument prior to disposal.
If battery pack requires decontamination prior to disposal, follow hospital protocol or the Battery Pack Cleaning and Disinfection instructions
below.
To remove the battery pack, squeeze the release tabs and pull the battery pack straight back (Illustration 18). It is not necessary to disassemble the
battery pack.
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