Technique Guidance - Cooper Surgical Fischer Cone Biopsy Excisor 900-150 Mode D'emploi

Fischer Cone Biopsy Excisor
This maintains quality and integrity of a single specimen. Techniques
can be learned to obtain excisional biopsies, partial cones, and
customized cones.
10. Apply hemostasis techniques as needed (ball electrode, Monsel's
solution, sutures).
11. If larger cones are to be removed, preventative hemostatic sutures may
be appropriate.
NO LONG TERM FOLLOW-UP
No long term follow-up studies with this device have been performed as
to recurrence rates and the effects of loop electrosurgical excision
procedures on pregnancy outcome are not known.
ELECTROSURGICAL TISSUE EFFECT
Delivery of continuous sinusoid wave form currents through a small
electrode at appropriate power levels can cause rapid heating to the
intracellular fluids in the cells in close proximity to the electrode, turning
these fluids into steam. The significant increase in volume
(approximately 5 times) causes cellular structure to rupture creating the
clinical effect of (CUT) with little or no hemostatic effect along the
margin of the divided tissue. Delivery of short duration pulses of R.F.
currents through a small electrode at appropriate power levels can
cause heating of intracellular fluids at a more gradual pace. This allows
evaporation of these fluids without rupturing the cellular structure,
creating the clinical effect of desiccation or (COAG) without the division
of tissue. By varying the pulse to an intermediate duration, it is possible
to get the clinical effect to combine or "blend", the clinical characteristics
or (CUT) and (COAG) yielding the effect referred to as (BLEND), where
tissue is divided with a desirable amount of hemostasis along the
margins of the divided tissue.
NOTE: Some electrosurgical generators have output load characteristics
that cause the electrosurgical effects to vary considerably throughout the
procedure. When these are used, it may be necessary to readjust the
relative power during the procedure.

TECHNIQUE GUIDANCE

•
The endocervix is commonly not included in the loop excision and the
results of the Endocervical Curettage (ECC) do not appear to be
predictive of either residual or invasive disease after loop excision
procedures. If the ECC is positive for dysplasia, a standard cone
biopsy should be considered.
• Instructions for Use • English (
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