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INSTRUCTIONS
Rotatable Clip Fixing Device
HX-110LR HX-110QR HX-110UR
Clip
HX-610-090 HX-610-135
Long Clip
HX-610-090L
Short Clip
HX-610-090S HX-610-135S
Colored Short Clip
HX-610-090SC
AUTOCLAVABLE

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Table of Contents
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Summarization of Contents

Important Information – Please Read Before Use
Intended Use
Details the intended applications of the instrument for clip placement within the GI tract.
Instruction Manual
Explains the importance of reviewing the manual and where to find it.
User Qualifications
Specifies that operators must be trained physicians or supervised medical personnel.
Instrument Compatibility
Advises checking specifications for compatibility with other equipment to prevent damage.
Reprocessing and Storage
Instructions for cleaning, reprocessing, and storing the instrument and clips.
Repair and Modification
States that the instrument has no user-serviceable parts and should not be modified.
Signal Words
Defines warning, caution, and note indicators used throughout the manual.
Warnings, Cautions and Notes
Highlights important safety information and references specific warnings.
Chapter 1 Checking the Package Contents
Checking the Package Contents
Guidance on inspecting the instrument, clips, and manual for completeness and damage.
Chapter 2 Instrument Nomenclature and Specifications
Nomenclature and Functions
Details the parts of the Rotatable Clip Fixing Device and their functions.
Specifications
Provides technical specifications for compatible endoscopes and clip models.
Operating Environment
Specifies the ambient temperature, humidity, and air pressure for operation.
Specifications
Presents detailed specifications for various instrument models (HX-110LR, HX-110QR).
Specifications
Details specifications for the HX-110UR model, including compatible endoscopes.
Specifications
Lists specifications for the HX-610-090L and HX-610-135S clip models.
Specifications
Details specifications for HX-610-090SC and HX-610-090S clips, including CE marking.
Chapter 3 Preparation, Inspection and Operation
Preparation
Outlines preparation steps: PPE, spare instruments/clips, reprocessing equipment, emergency equipment.
Inspection
Focuses on inspecting the sterile package and the instrument's appearance for defects.
Operation
General warnings and precautions for operating the instrument and clip.
Attaching the Clip
Instructions and warnings for attaching the clip to the instrument cartridge.
Insertion Into the Endoscope
Warnings and precautions for inserting the instrument into the endoscope.
Clipping Tissue
Warnings regarding clip extension, force, and withdrawal during tissue clipping.
Withdrawing the Instrument From the Endoscope
Warnings and cautions regarding the safe withdrawal of the instrument.
Detaching the Clip Connector
Instructions and warnings for detaching the clip connector from the hook.
Removal of an Aspirated Clip or Clip Connector
Procedure for removing accidentally aspirated clips or connectors using irrigation.
Chapter 4 Emergency Treatment
Emergency Treatment
Provides warnings and procedures when the clip cannot be detached from the instrument.
Chapter 5 Reprocessing
General Policy
Emphasizes understanding guidelines, responsibilities, and safety for reprocessing.
Required Reprocessing Equipment
Lists necessary equipment for reprocessing and where to find details.
Cleaning
Details immersion and ultrasonic cleaning procedures, and rinsing.
Lubrication
Instructions and cautions for lubricating the instrument after cleaning.
Sterilization
Details sealing the package and preparing the instrument for sterilization.
Steam Sterilization (Autoclaving)
Provides warnings and guidelines for steam sterilization using an autoclave.
Chapter 6 Storage
Inspection Before Storage
Guidance on inspecting the sterile package for damage before storing.
Storage
Instructions for storing the instrument in a clean, dry environment at room temperature.

Table of Contents