Endoscopy - Boston Scientific Swiss LithoClast Select Mode D'emploi

For preparation and settings, refer to the chapters on ultrasound
and pneumatic lithotripsy.
Activate the ultrasound mode as well as the pneumatic mode on the
control unit.
The "Select" button toggles between the adjustment of the duty cycle
and the setting of the pneumatic pulse frequency. The function in use
is indicated by a dot either in the duty cycle display or in the frequency
display. The arrow keys are used to adjust the values.
Press both foot pedals to activate pneumatic and ultrasound
lithotripsy mode with suction simultaneously (place the foot over both
pedals).
The individual lithotripsy modes can be selectively controlled
by pressing only the related foot pedal (left for ultrasound / right for
pneumatic).
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FB-411_US_ed_2013_10_Not_Swiss LithoClast Select BSC.indd 18

ENDOSCOPY

It may happen that the probe tip is hidden in folds of the
edematous tissue. Endoscopes with a 5° to 15° viewing angle offer a
better visualization of the probe tip in the near range of the endoscope.
Ensure that the tip of the pneumatic or ultrasound probe does
not extend beyond the tip of the endoscope by more than 10 to 20 mm
when it is fully inserted in the endoscope working channel.
Risk of mucosal perforation: When using a 0.8 mm or 1.0 mm
pneumatic probe with an ureteroscope, it is recommended to adjust
(if needed) the length of the probe to the endoscope length.
Adjusting the length of the probe will help limit the risk of
perforation and reduce the energy loss, particularly with thin probes.
To avoid damage to the endoscope, the probes should not be
activated with their tip still inside the working channel of the endoscope.
6/3/2015 2:33:54 PM