Aspiration and instillation of fluids 6
Aspiration may be required during the procedure. Prepare a syringe for this. When required,
attach the syringe to the aScope 5 Cysto HD and apply an aspiration force to achieve the
desired effect. For larger quantities of fluid, disconnect the syringe from the cystoscope,
empty the syringe, and then reattach it to aspirate the remaining fluids.
Fluids e.g. sterile water or saline solution can be instilled through the working channel entry at
the bottom of the aScope 5 Cysto HD handle by connecting a syringe or infusion set with Luer
Lock connection directly to the working channel entry or via a stopcock. If using a sterile water
or saline bag, make sure to place it so that potential spillage will not affect other equipment.
Insertion of endoscopic instruments 7
If required, endoscopic instruments can be used with the aScope 5 Cysto HD.
Always make sure to select the correct size endoscopic instrument for the aScope 5 Cysto HD
(see section 2.2.). Inspect the endoscopic instrument before using it. If there is any irregularity
in its operation or external appearance, replace it. Insert the endoscopic instrument into the
working channel entry and advance it carefully through the working channel until it can be seen
on the live image on the Ambu displaying unit. Do not activate endoscopic instruments inside
the working channel. The distal end of the instrument should be seen in the image during use.
Withdrawal of the aScope 5 Cysto HD 8
When withdrawing the aScope 5 Cysto HD, make sure that the control lever is in the neutral
position. Slowly withdraw the cystoscope while watching the live image on the displaying unit.
3.3. After use
Visual check 9
Check for missing parts, evidence of damage, cuts, holes, sagging, or other irregularities on
the bending section, distal end, or insertion cord of the aScope 5 Cysto HD. If required, take
corrective action to determine whether any parts are missing and locate the missing part(s).
If corrective action is needed, follow the local hospital procedures. The elements of the insertion
cord are visible in x-ray (radio opaque).
Final steps
1. Disconnect the aScope 5 Cysto HD from the Ambu displaying unit.
2. Dispose of the aScope 5 Cysto HD, which is a single-use device 10 . The aScope 5 Cysto HD
is considered contaminated after use and must be disposed of in accordance with local
guidelines for collection of infected medical devices with electronic components.
The product design and materials used are not designed for reuse and cannot withstand the
reprocessing procedures used for reprocessing endoscopes without risking degrading and
contamination. Reprocessing/reuse could damage the scope and cause injury to the patient.
4. Technical product specifications
4.1. aScope 5 Cysto HD specifications
Insertion portion
Bending angle
1
Insertion cord
diameter
Distal end diameter
aScope 5 Cysto HD
210° ± 15°
min. 120°
16.2 Fr ± 0.3 Fr/
5.4 mm ± 0.1 mm
(0.21" ± 0.004")
Max 16.8 Fr
Max 5.6 mm
(Max 0.22")
Optical system
Direction of view
Field of view
Depth of field
aScope 5 Cysto HD
0°
120° ± 18°
3 – 100 mm
9