COOK Medical EchoTip Ultra Mode D'emploi page 8

pulling it back from metal fitting of handle. Preserve stylet for use if additional
punctures are desired later.
8. For maintaining access a 0.035" wire guide (Cook Medical recommended)
can be advanced through needle. Skip to step 12. Note: a 0.035 wire guide can
also be advanced post aspiration. For FNA, attach Luer lock fitting of previously
prepared syringe securely onto fitting on handle. For FNI, follow manufacturer's
guidelines for use of injectable materials and skip to step 12.
9. Turn stopcock to "open" position aligned with syringe, allowing negative
pressure in syringe to aspirate cells. Gently move handle in small increments,
back and forth within biopsy site. Note: Do not remove needle from biopsy site
during cell collection
10. Upon completion of FNA, turn stopcock to "close" position.
11. Retract needle into sheath by pulling back on handle shaft. Lock
thumbscrew on safety ring at 0cm mark.
12. Disconnect Luer lock fitting from accessory channel and withdraw entire
device from ultrasound endoscope. Note: If a wireguide has been advanced,
withdraw needle over wireguide.
13. The remaining steps are for FNA only.
14. Unlock thumbscrew on safety ring and extend needle. Exchange locking
syringe for an empty syringe; attach to Luer lock fitting on handle.
15. Push in plunger to expel aspirate specimen, then prepare per institutional
guidelines.
16. Remaining aspirate may be recovered for examination by reinserting stylet
or flushing device.
17. For additional aspiration from same targeted site, gently reinsert stylet into
metal fitting on the needle handle. Note: Prior to reinserting the stylet, wipe
with saline or sterile water. While supporting the stylet at the Leur lock fitting,
advance the stylet in small increments, until the hub is engaged in the fitting.
Rotate stylet cap clockwise until the fittings are connected.
18. Additional samples may be obtained by repeating Step 2 through 16 of the
"Instructions for Use".
Upon completion of procedure, dispose of device per institutional
guidelines for biohazardous medical waste.
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