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3. Adjust the image preferences on the Ambu displaying unit if necessary (please refer to
the Ambu displaying unit's instruction for use).
4. If the object cannot be seen clearly, wipe the distal end of the aScope 5 Cysto HD using
a sterile cloth.
Preparation of aScope 5 Cysto HD
1. Test fluid instillation by connecting an infusion set or syringe with sterile water or saline
solution with Luer connection directly to the working channel entry or via a stopcock.
Ensure that there are no leaks and that water is emitted from the distal end 6 .
Ensure that the check points above are successful before moving on to the procedure.
3.2. Operating the aScope 5 Cysto HD
In the event of a malfunction during the cystoscopic procedure, stop the procedure immediately,
put the distal end of the aScope 5 Cysto HD in its neutral and non-angled position and slowly
withdraw the cystoscope. Do not activate the control lever while withdrawing the cystoscope
from the patient.
Holding the aScope 5 Cysto HD and manipulating the distal end
The handle of the aScope 5 Cysto HD can be held in either hand. The hand that is not holding
the cystoscope can be used to advance the insertion cord into the patient's lower urinary tract.
Use the thumb to move the bending lever. The bending lever is used to flex and extend the
distal end of the cystoscope in the vertical plane.
•
Depending on the bending lever, the model is called standard (lever up = tip up) or
reverse (lever up = tip down).
Standard Deflection
Lever Up = Tip Up
Lever Down = Tip Down
•
The insertion cord should be held as straight as possible at all times in order to secure
an optimal distal end bending angle.
Insertion of the aScope 5 Cysto HD
Lubricate the insertion cord with a soluble lubricant suitable for cystoscopy before the aScope 5
Cysto HD is inserted into the urethra. Gently advance the insertion cord according to standard
practice for the patient anatomy. If the camera image of the aScope 5 Cysto HD becomes unclear,
the distal end can be cleaned by withdrawing the cystoscope and cleaning the distal end.
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.
8
Reverse Deflection
Lever Up = Tip Down
Lever Down = Tip Up
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