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Prepare the Bronchoscopy Suite
1. Bring the following Monarch single-use items into the procedure room.
a. Bronchoscope Fluidics Tubing.
b. Working channel instruments (Aspirating Biopsy Needle, etc.).
c. Bronchoscope Patient Introducer Kit (includes Bronchoscope Patient
Introducer and Bronchoscope Swivel Adapter).
d. Monarch Bronchoscope System (includes Monarch Bronchoscope and
Monarch Bronchoscope Sheath).
e. Monarch Bronchoscope Sheath Valve.
f. Navigation Patient Patches.
2. Bring Tower into room and place in the desired location in the procedure
room.
3. Bring Cart into room and position it where it does not hinder normal room
setup.
4. Plug in the umbilical cable from the Tower to the Cart.
5. Plug in the Tower to a dedicated electrical power outlet.
6. Plug in the Cart to a separate, dedicated electrical power outlet.
Ensure access to the Tower and Cart a.c. mains inlet cables is unimpaired as
these are the mains disconnect devices.
7. Power the system on by pushing the power button on either the tower or the
cart.
8. Select the Lung icon on the Tower Touchscreen.
9. Log on to the Tower with your user name and password.
10. Load the desired patient case using the CD of the patient’s CT in order to
plan paths, or the Monarch USB drive with planned paths completed.
Prepare the Patient
1. Once the patient enters the room, place the patient close enough to the head
of the table, with the patient head no more than 230mm away from the top
edge of the table. It is recommended to use a headrest.
2. The anesthesiologist sedates the patient for intubation.
NOTE: Endotracheal tube should be placed no closer than 40mm from the main
carina to facilitate navigation initialization.
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