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300-002547-00 rev7

Monarch™ Platform

User Manual

Date of Last Revision: 2018-05-08

Main Page

Table of Contents12
Monarch Platform Device Overview18
System Overview19
- Pre-Procedural Planning19
- Monarch Cart19
- Monarch Tower23
- Monarch Bronchoscope System25
- Working Channel Instruments26
- Accessories26
Classifications27
Monarch Platform Labels28
- Label Locations31
Technical Specifications32
- Physical Dimensions, Weight, and Power Requirements32
Declaration of Emissions33
Declaration of Immunity35
Original Documentation38
Recommended CT Scan and Reconstruction Parameters40
Monarch Pre-Op Planning Application User Interface42
- Patient List42
- Planning45
- Manual Path48
Before You Can Plan49
Create a Plan49
- Identify a Target51
Export a Patient Case53
Perform an Unplanned Case54
Import a Patient Case54
Software Information56
Suggested Bronchoscopy Suite Configuration56
Prepare the Bronchoscopy Suite57
Prepare the Patient57
Prepare the Monarch Bronchoscope System59
Monarch Tower System Setup Guidance60
- Monarch Controller60
- Fluidics System61
- Camera62
- Navigation62
Monarch Cart System Setup Guidance64
- Unstow Cart64
- Load the Monarch Bronchoscope System67
Overview70
Functional Descriptions of Monarch Components70
- Monarch Bronchoscope and Monarch Bronchoscope Sheath70
- Monarch Controller71
Working Channel Instruments73
- Biopsy Instruments73
Monarch Navigation Application User Interface74
- Top Navigation Bar76
- Primary Area76
- Scrolling Area77
- CT Area78
- Full Screen Mode79
- Menu System79
- Navigation Views81
- Configuring View Screens91
- Quick Action Button93
Procedural Steps or Actions94
- Scope Insertion94
- Navigation Initialization95
- Monarch Bronchoscope Advancement95
Perform Biopsy96
- Monarch Controller96
Post-Procedure97
- Retraction97
Prepare the Patient for Discharge100
- Remove the Monarch Bronchoscope System100
- Remove Monarch Navigation Patient Sensors100
- Remove the Bronchoscope Patient Introducer100
Remove and Clean Equipment100
- Disassemble and Clean the Monarch Bronchoscope System100
- Clean Monarch Navigation Patient Sensors101
- Disassemble and Clean the Monarch Navigation Field Generator102
- Disassemble and Clean Bronchoscope Patient Introducer Mount102
- Clean and Store the Monarch Cart102
- Clean the Monarch Tower and Store the Monarch Platform102
Servicing103
- Preventative Maintenance103
- Configuration103
- Maintenance103
User Administration108
- User Types108
- Add New User108
- Change User Password109
- Disable Existing User110
System Security111
- Virus Protection111
- Patient Data Security111
Networking111
- Firewall111
- Internet Connectivity111
Fault Messages and Troubleshooting114
- Emergency Removal114
- E-Stop Recovery114
- Joystick Articulations Not Matching Directionally114
- Controller Does Not Appear Functional114
- Field Generator or Patient Introducer Mount Clamps Do Not Tighten115
- Monarch Platform will Not Turn on115
- Tower and Cart Do Not Turn on Simultaneously115
- Video (Start Screen) Does Not Appear on Tower and Cart Monitor after System Turns on116
- Loss of Video on Tower or Cart Touchscreen (During Procedure)116
- Navigation Patient Sensors Not Detected During Setup116
- CT Scan or Pre-Planned Case Cannot be Uploaded to Tower117
- Keyboard on Planning Laptop Is Unresponsive117
- Planning Laptop will Not Turn on117
- Unable to Log on to Physician User Account on Tower or Planning Laptop117
- Unable to Log on to Admin User Account on Tower or Planning Laptop117
Errors and Messages119
System Messages120

auris Monarch Platform - Page 3

Table of Contents