auris Monarch Platform - Navigation Initialization; Monarch Bronchoscope Advancement

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3. Press the Insert/Retract joystick to activate control of the Monarch
Bronchoscope System.
4. Insert the Monarch Bronchoscope System through the bronchial adapter and
endotracheal tube until you can visualize the main carina. You may need to
articulate the scope with the controller to avoid impact with the endotracheal
tube upon insertion.
Navigation Initialization
The Monarch Navigation Application continuously registers the scope tip location
to the pre-procedural CT scan. However, the Monarch Navigation Application
does require a little bit of information to initialize its starting location. The steps
are as follows:
1. Access the Adjust Camera Settings from the menu to rotate the camera
until the left and right airways are horizontal and press the Program button on
the Monarch Controller.
If the camera orientation is not adjusted so that the anterior direction
correlates to the top of the camera view, the camera orientation may not
match the Virtual Bronchoscope view during navigation.
2. Touch the main carina and press the Program button on the Monarch
Controller.
3. Retract the scope back some distance greater than or equal to 40mm and
press the Program button on the Monarch Controller.
NOTE: If you pull the scope too far out of the trachea and into the endotracheal
tube, an error message may appear and navigation initialization will need to be
repeated.
4. Perform contra-lateral registration by inserting the Bronchoscope System into
the opposite airway of the selected target until instructed by the interface to
retract a defined distance.
Make sure to keep the scope center-luminal as much as possible.
5. Retract until the navigation screens become visible. The system is ready to
begin the procedure.
Monarch Bronchoscope Advancement
Your right trigger finger is going to switch from the Monarch Bronchoscope
Sheath to the Monarch Bronchoscope. As you insert the Monarch Bronchoscope,
steer it in the direction that you want to go. The visual indicators update from the
Monarch Bronchoscope Sheath to the Monarch Bronchoscope, but you still can
see the articulation left on the Monarch Bronchoscope Sheath. The relative