ArtiCure Isolator Transpolar pen Kullanım Kılavuzu - Sayfa 7

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INSTRUCTIONS FOR USE
Cardiac Ablation Mode
1.
Using sterile technique, remove the
Pen from its packaging. With the
Connector Alignment Arrow symbol in
the 12 o'clock position, push the
Connector into the Pen receptacle on
the front of the ASU or ASB. Verify
that the connections between the Pen
and the ASU are secure. If the
connections are loose, do not use the
Pen. Inspect the Cable and do not use
the Pen if the cable is frayed or the
insulation is damaged.
Insert with Connector Alignment
Arrow at the 12 o'clock position
2.
Under direct visualization, place the
distal tip against the targeted cardiac
tissue. Assure both electrodes are in
contact with targeted tissue.
3.
Painting ablation technique:
3.1. Maintaining visualization, move
the distal tip gently across the
targeted cardiac tissue.
3.2. While maintaining continuous
contact between the tissue and
the electrodes, move the device
continuously in an oscillating
manner at a rate of
approximately 1 cm/sec.
Painting Lesion Depth*
20 seconds
2 cm oscillation
2.0 – 4.0 mm
*Data was obtained from ablations performed on
excised bovine myocardium and represent 95%
confidence intervals. Results may vary based on
live tissue properties.
4.
Stamping ablation technique:
4.1. Apply constant firm pressure to
the tissue without movement.
Maintain full contact of the
electrode surface with the tissue.
A stamping lesion is
approximately 8 mm x 6 mm.
4.2. If creating longer linear lesions
with the Stamp technique,
overlap the contiguous ablations
by 50% to ensure a continuous
and complete lesion.
Stamp Lesion Depth*
10
seconds
3.3 - 3.8 mm
*Data was obtained from ablations
performed on excised bovine myocardium
and represent 95% confidence intervals.
Results may vary based on live tissue
properties.
5.
Press the Footswitch to activate the
ASU.
6.
When the Footswitch is pressed, the
ASU will emit an audible tone
indicating that current is flowing
between the electrodes located at the
distal tip of the Pen and through the
tissue.
7.
Inspect the surgical area to ensure
adequate ablation.
8.
Between ablations, wipe the distal tip
clean with a saline-soaked gauze pad.
Important: For optimal performance,
keep the Pen electrodes clear of
coagulum. To ensure the electrodes
are clear of coagulum:
8.1. Use saline-soaked gauze to
clean the electrodes after each
ablation. The coagulum is much
easier to remove within the first
several seconds after ablation.
In a brief period of time, the
coagulum may dry, making
removal of coagulum more
difficult.
8.2. Check both electrodes before
each ablation to ensure that the
15
seconds
3.8 - 4.4 mm
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