LeMaitre MultiTASC 4500-03 Mode D'emploi page 6

12. Maintain the position of the hub/shaft and rotate the actuator handle in direction of arrow indicated on the
actuater handle until a positive stop is detected (approximately 90°), locking hub/shaft and actuator handle
together.
Note: Do not rotate the hubs or shaft while attaching the actuator handle.
13. To transect atheromatous core from the endpoint, rotate the t-handle from "Position 1" and retract
proximally into "Position 2."
Note: Do not rotate actuator handle.
14. With atheromatous core transected from endpoint, advance the t-handle distally and rotate into "Position 3"
to create a backstop for the atheromatous core for extraction.
15. Slowly retract entire device proximally to extract atheromatous core from vessel.
Note: Forceps may be required to guide the atheromatous core from vessel as it is being extracted.
Continue extraction until device is fully removed from the vessel. In the event that core fragments remain
within the vessel, an EndoHelix Retrieval Device may be used. In the event that use of the EndoHelix Retrieval
Device is required, remove the MultiTASC Device and refer to the EndoHelix Retrieval Device Instructions for
Use.
16. Perform an angiogram to ensure the atheromatous core is completely removed from vessel and to determine
the proper endovascular technique required to treat the intimal flap at the endpoint. If necessary, the
Periscope Dissector Device may be used to aid in guidewire crossing of the endpoint. In the event that use of
a Periscope Dissector Device is required, remove the MultiTASC Device and refer to the Periscope Dissector
Instructions for Use.
17. In the event that further dissection is desired, remove actuator handle by rotating it in the direction opposite
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