Recognizing Tip Fold-Over
The TEE transducer tip might be folded over in the patient if you encounter any
of the following:
• Resistance to advancing or removing the transducer
• An inability to turn the control knobs
• Fixation of the control knobs in the maximum flexion position
• Extreme difficulty in obtaining an image
Correcting Tip Fold-Over
If you suspect the transducer tip is folded over, Philips' physician consultants
recommend that you gently try to manipulate the transducer. If the tip is neither
locked nor jammed in a doubled-over position, and you can move it forward,
advance the transducer into the stomach. Then straighten the tip and remove
the transducer.
If you cannot move the tip in any direction, Philips’s consultants recommend
that you x-ray the patient to evaluate the situation. You might also want to
involve a gastroenterologist or anesthesiologist.
Preventing Tip Fold-Over
The following steps can prevent the tip from folding over. This list is not
exhaustive; other factors can also be involved.
Using Correct Insertion Technique
You may find transducer insertion easier if you guide the transducer into the
patient's mouth with your fingers. You also may want to lock medial/lateral tip
movement.
CAUTION
All patients should wear a bite guard during a TEE exam. A bite guard protects
against dangerous transducer mechanical and electrical malfunction caused by
involuntary biting. Even anesthetized patients require bite guards to prevent
iU22 User Manual
252
4535 614 45861
Transesophageal Transducers
10