KLS Martin group MABS Instrucciones De Uso página 15

Instructions for Use
MABS Connecting Cable and Flexible, Reusable MABS Probes
Safety instructions
Never apply the gas outlet nozzle of the MABS probes directly to the tissue
while the gas flow is activated.
Danger of gas emphysema!
The gas outlet nozzle should not be run vertically over the tissue when the gas
flow is activated. Best results are ensured when you hold it at an angle of 45
degrees relative to the tissue.
Never blow air into the vascular system  danger of embolism!
Endogenous gases present in the gastrointestinal tract could catch fire or even
form explosive mixtures! Therefore, be sure to remove/displace such gases in
critical places through argon gas irrigation (e.g. by activating the Beamer at a HF
power setting of "0" or by using the Beamer's purge function) before starting an
electrosurgical intervention.
Argon plasma is capable of igniting flammable materials (such as the plastic
parts of endoscopes or tubes). This may pose a danger especially in an oxygen-
ized environment!
The distal end of the probe must protrude from the working channel of the endo-
scope by at least 1 cm! Observe the ring marks provided on the distal probe end
for guidance!
Always keep the applicator end in good endoscopic view during activation!
Never activate when the applicator is not under visual control!
Never deliver oxygen or other flammable gases or liquids into the tracheobron-
chial system immediately prior to or during Beamer application.
During extended Beamer applications, ventilate on an alternating basis!
During laparoscopic applications, the argon gas flow will increase the intra-
abdominal pressure. Therefore, we recommend using electronic CO
with automatic pressure relief control.
Be sure to monitor the intra-abdominal pressure during activation and re-
lieve the pressure through the trocar if necessary!
Never aim the argon plasma beam at the camera chip when using video endo-
scopes in endoscopic applications!
High HF voltages are required for gas ionization. Therefore, be sure that the
electrical insulation of all cables and applicators is fully intact.
Electrode wires protruding distally from the flexible tube may cause tissue dam-
age!
The argon gas-supported application is a monopolar type of HF-surgical
application. Therefore, be sure to observe all safety rules relating to
monopolar high-frequency surgery!
4.8-grade argon gas as delivered in the gas cylinder is sterile as a direct result of
the manufacturing process. To maintain sterility, it is advisable to disinfect both
the cylinder valve and the outlet of the gas supply unit (Beamer) prior to con-
necting the instrument.
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