AS Medizintechnik 65-000-01 Instructions Of Use

Instruction of use
Rigid autoclavable endoscopes
65-000-01 - 65-145-05
Indications and use
AS Medizintechnik endoscopes are used for illumination and visualization for diagnostic and therapeutic endoscopic surgical procedures in the following
areas:
Arthroscopy; Bronchoscopy; Hysteroscopy; Laparoscopy; Laryngoscopy; Esophagoscopy; Otoscopy; Sinuscopy; Thoracoscopy; Urethroscopy; Uretero-
renoscopy; Ventriculoscopy; Cystoscopy; Spinal surgery.
The main goal of endoscopic diagnosis and endoscopic surgery lies in tissue saving and thereby an enhanced preservation of function. In this users
manual, no clinical applications are outlined or explained.
Side Effects / Contraindications
Infection Risk
In endoscopic studies, the risk of infection is of particular importance. The risk factor for an increased risk of infection are divided into two groups:
Process-related risks:
• The nature and extend of tissue damage in therapeutic procedures.
• Circumstances of the endoscopic surgery (emergency surgery or elective surgery).
• Expertise and experience of the examiner / user.
• Proper cleaning and desinfection of endoscopes and accessories.
Patient-related risks:
• Reduced immune status of patients or immunosuppression (HIV, Leukemia, Lymphoma, Immunosuppressive therapy, advanced liver or kidney
desease, advanced age).
• Existence of specific infections or anatomical characteristics.
• Encouraging situations of body bacteria adhesion (heart valve defects, heart valve replacements, endoprostheses, an intravenous catheter).
In endoscopic procedures, there may be an endogenous movement of microorganisms with subsequent bacteraemia. In this regard, the national and
international recommendations for the prophylactic administration of antibiotics before certain procedures are to be followed (ESGE Guidelines 1998).
Safe handling
• Prepare a brand-new endoscope before initial use (unsterilized in delivery condition).
• Check the endoscope for sharp edges, bent, loose or broken components before each use.
• Check the endoscope for correct function and for damage after each preparation.
• Segregate damaged endoscopes immediately.
• When using the endoscope in a trocar, avoid bending/pressure during insertion and withdrawal.
• Semi-flexible endoscopes are designed for minor flexural loads. A deflection of the tubing is admissible up to max. 20°! Higher bending forces
cause permanent deformation and damage of the product.
• Endoscopes may only be used by physicians or by medical personnel under the supervision of a physician. Adequate training, knowledge and
experience in the clinical application of endoscopic techniques is required.
• Read the instructions for use carefully and follow them in detail.
Visual and functional inspection
Check for:
• external damage (shaft deformed, dents or sharp edges)
• cleaner or disinfectant residues
• condition of the three optical surfaces – 1. objective window, 2. ocular window, 3. light cable connection – using reflected light or magnifying glass
(smooth, clean and undamaged)
• optimal image quality (sharp, bright and clear)
• loss-free light transmission from light cable connection to light output (compare with new device, if necessary)
• unobstructed working channels
Revision status: C
File name: GA_019_Starre Endoskope_EN_B
AS Medizintechnik GmbH Tel: +49 / 74 61/ 9 66 32-6
Sattlerstraße 15 Fax: +49 / 74 61/ 9 66 32-88
78532 Tuttlingen www.AS-Medizintechnik.de
Germany info@AS-Medizintechnik.de
Issued at: 01.03.2012
Revised at: 14.01.2015
Issued from: NS
Revised from: NS
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