11 Use of product
The user has to make sure that set-up, assembly and use of the remOVE DC
Impulse, all accessories and endoscopic instruments are carried out in ac-
cordance with the respective instructions for use.
Always use a DC cord to connect the remOVE DC Cutter to the remOVE DC
Impulse. Proper operational characteristics of the product are no longer guar-
anteed if making a direct connection without a DC cord or a connection using
several DC cords. This may also lead to damage of the remOVE DC Impulse.
Make sure the clip can be removed. If the clip is deeply embedded superficial
tissue removal may be necessary to bare the clip.
When retrieving the clip fragments, ensure that the clip fragment is completely
inside the remOVE SecureCap. The protruding sharp-edged parts of a clip
fragment can result in damage to the organs in the digestive tract.
Perforations can also arise subsequently after intervention.
When inserting and removing the remOVE DC Cutter, check that neither the
endoscope nor the remOVE DC Cutter have been damaged, e.g. through
kinking the instrument hose.
Winding the remOVE DC Cutter too tightly can lead to bending of instrument
tip. Bending can make positioning/contacting the clip difficult during use.
Check that the remOVE Shield is affixed to the lens before the cutting process
and keep a minimum distance of 30-40 mm between the endoscope tip and
the clip during the cutting process. The endoscope tip can be damaged by
sparking during the cutting process. Affixing the remOVE Shield to the lens
and maintaining the maximum possible distance between the endoscope tip
and instrument tip reduce the risk of damage.
Note that the instrument tip of the remOVE DC Cutter can heat up to 130 °C
during the cutting process. Moving the instrument tip immediately after use
can lead to superficial burns to the skin.
Use of the remOVE DC Cutter in a CO
2
atmosphere may reduce the
effectiveness of the clip fragmentation.
Even if the product is used as intended, secondary effects may occur. For this
reason, Ovesco products should only be used by persons who are qualified
and trained to use the product for its intended purpose.
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