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5) The operator and assistant(s) should wear surgical gloves to avoid burns during use of Laser equipment.
6) The laser probe should be introduced through the endoscope in the same manner as described for biopsy for-
ceps in section 3-3.
7) The position of the active portion of the laser probe should always be clearly visualized before Laser equip-
ment is activated.
8) It should be recognized that a variety of factors can effect the quality of the video endoscope image during
laser use. Intensity of the aiming beam, high power setting of the laser, close distance of laser fiber to scope
tip, excessive tissue burning, can each adversely influence image quality. To obtain optimum results, it is rec-
ommended that the power settings of the aiming beam and laser be adjusted to minimal levels capable of
achieving the desired clinical effect.
9) Follow standard hospital protocol regarding safe-use of lasers, including the wearing of safety eyewear.
10) Should the distal tip of the endoscope be moved closer
than 20 mm from the irradiated tissue surface, the aim-
ing beam may create a “smear” in the image as shown
at left. If this smear affect becomes too severe and dis-
torts the visual field, the intensity of the aiming light
should be decreased.
11) When activating the laser at high power (about 100 W
for Yag Laser and 60 W for Diode Laser.) and/or if the
endoscope tip comes to within 10 mm of the irradiated
tissue, flare may appear at the corners of the image as
shown at left.
NOTE:
One may choose to leave the OF-G11 adapter attached to the endoscope during conventional air insuf-
flation using the standard air/water valve. However, the luer sideport of the OF-G11 must be capped.
Similarly, for normal water delivery, the air pump must be turned ON and the plastic luer lock cap must be
secured to the OF-G11 adapter.
WARNING:
Prior to activation of the laser, make sure that the laser fiber exits the distal channel opening of the
endoscope. Failure to do so can result in scope damage and possible ignition/burning of the endoscope.
NOTE:
It is normal for the aiming light to appear white in the video scope image.