System Preparation - COOK Medical Soehendra Manual

are not limited to: thorough cleaning following the instructions included
in this booklet.
WARNINGS
This device is supplied non-sterile and reusable if its integrity remains
intact.
If the package is opened or damaged when received, do not use.
Visually inspect with particular attention to kinks, bends and breaks. If an
abnormality is detected that would prohibit proper working condition, do
not use. Please notify Cook for return authorization.
Due to mechanical pressure generated with this device, basket
fragmentation in the common bile duct is a possibility that may require
surgical intervention.
Device is only recommended for use with the following Cook biliary Soft
Wire Baskets: Memory Basket 7 Fr Soft Wire, The Web Extraction Baskets,
and Fusion Lithotripsy Extraction Basket.
Due to the varying compositions of biliary stones, stone fracture may not
be possible. If the stone cannot be fractured, continued rotation of the
handle may cause the basket wire to break, requiring surgical intervention.

SYSTEM PREPARATION

1. Examine the Luer lock fittings on the cable and the handle for a proper
fit
2. Ratchet on the handle must be attached securely to allow rotation in
one direction.
INSTRUCTIONS FOR USE
IF USING SOEHENDRA CABLE
1. Insert the basket wire and the sheath through the male luer lock fitting
on the lithotripsy handle, then through the hole in the rotating rod of
the handle. Warning: Do not remove the sheath from the basket wire.
Doing so may result in basket fragmentation and consequently require
surgical intervention.
2. Wrap the wire and the sheath several times around the rod to secure
them to the rod. (See fig. 1)
IF USING TTCL CABLE
1. Insert the basket wires through the male luer lock fitting on the
lithotripsy handle, then through the hole in the rotating rod of the
handle.
2. Wrap the basket wires several times around the rod to secure them to
the rod. (See fig. 1)
STONE FRACTURE
1. To fracture the stone, apply pressure by slowly rotating the handle.
Note: Slow, constant pressure is often the most effective method of
fracturing a stone. A sudden release of pressure may indicate fracture
of the stone, fracture of the basket, or loss of the stone from the basket.
Note: The handle will only move in one direction unless the ratchet is
released.
3