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GA--A 202
5.3.2 Instructions and notes on morcellation in urology
.
IMPORTANT !
Morcellation must only
be carried out with POWER STICK M4 !
During morcellation POWER STICK M3 can become clogged by tissue
parts in the handle.
Stop position of internal blade
Cutting window is only small with a gap width of approx. 1 mm
see adjacent drawing.
Carry out the adjustment in accordance with section 5.2.4.
Recommended Settings :
Z Normal and firm adenoma tissue:
' Speed setting stage 3 : 1500 rpm
(in oscillation mode corresponding to 750 rpm cw or ccw operation)
' Direction of rotation : oscillation mode
' Oscillation frequency : 2.0 Hz
Z Soft adenoma tissue :
' Speed setting stage 3 : 1400 rpm, max. 1500 rpm
' Direction of rotation : clockwise or counter clockwise (not oscillation
mode)
The user must select an adequate setting.
CAUTION !
If the bladder is not completely filled the bladder wall can be damaged if it
is sucked towards the blade of the rotary morcellator.
Use morcellation only if you can see the blade through the scope and do
not morcellate near the bladder wall.
To prevent the bladder from collapsing we recommend connecting a se
cond irrigation bottle to the drainage stopcock of the Morce Scope or the
Continuous Flow Sheath. This will clearly increase the irrigation flow. The
irrigation fluid is drained through the rotary morcellator.
.
IMPORTANT !
Work only with the recommended speed settings and under continuous
irrigation.
If the speed is set too high or if there is no irrigation the inner blade can
seize or wear out quickly. If the speed is too low it can clog up.
If the suction channel is clogged by tissue parts, morcellation is adversely
affected.
Cleanacloggedsuctionchannelwithasuitablecleaningbrush(seesec
tion 8.6.4).
For each use have a spare rotary morcellator at hand.
.
IMPORTANT !
Activate the rotary morcellator only when the tissue to be cut is pulled
towards the blade.
.
NOTE !
We recommend using the Richard WOLF PIRANHA 2208 suction pump.
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