Microline Surgical M/L-10 Multi-Fire Mode D'emploi

M/L-10 Reusable Multifire Clip Applier - Instructions For Use
INDICATIONS FOR USE
The M/L-10 Clip Applier is indicated for occluding and ligating vessels, ducts, tracts and other tubular structures during laparoscopic and general
surgical procedures
CONTRAINDICATIONS
The M/L-10 Clip Applier is not intended for use except as indicated.
COMPONENTS OF A M/L-10 REUSABLE MULTIFIRE CLIP APPLIER
The M/L-10 Multi-Fire Clip Applier consists of:
1. One reusable autoclavable handpiece
2. One removable stainless steel outer tube
3. Optional sterilization tray - CAT. #3706.
4. One sterile disposable back-loading slide cartridge, containing Titanium medium large clips (sold separately).
WARNING
If during the inspection of the shipping carton, one of the above items shows any sign of damage, do not use the instrument.
LOADING CLIP APPLIER
1. Peel the clip cartridge pouch open and remove it from the pouch.
2. Fully squeeze the handpiece trigger against the handle (Fig. 1).
3. Align the arrow on the back of the clip applier with the arrow of the cartridge as shown in Fig. 3 (arrow of the cartridge should be seen on
the "non-clip" side of the cartridge).
4. Insert the cartridge all the way into the back of the handpiece (Fig. 2), making sure it is handled by its sides or proximal end behind "the
ladder" in order to avoid any displacement of clips or ladder.
5. Release the trigger. (This will immediately engage a clip into the handpiece jaws).
6. The instrument is ready to be used.
FIGURE 1
FIGURE 2
OPERATION NOTE
Before firing a clip, verify that the ligation site is free of any obstructions.
1. Verify that there is a clip properly loaded in the jaws prior to inserting the clip applier through the cannula.
2. Position the clip carefully around the vessel to be ligated.
3. With full visualization of the ligation site, squeeze the trigger all the way so that the trigger touches the handle to close the clip around the
vessel. The trigger will not reopen until the trigger is beyond the 7th click (see 5 below).
4. Releasing the trigger will open the clip applier jaws and automatically engage the next sequential new clip. Now the clip applier is ready
for re-firing.
5. (a). For the cholangiogram procedure, whereby a clip is used to temporarily secure the catheter inside the common bile duct without
occluding the catheter, the degree of clip closure can be adjusted. This is accomplished by releasing the trigger anytime after the 7th
click at the ratchet mechanism. This earlier release capability allows for the desired amount of clip closure.
(b). For maximum vessel occlusion (clip fully closed) simply depress instrument trigger fully so that the trigger and handle are touching and
then fully release so that the subsequent clip can be engaged in the jaws.
CAUTIONS
1. If all the clips are to be used, the last two colored clips will warn the surgeon that the cartridge is almost out of clips. The clip applier
should be removed from the cavity once the last colored clip has been fired. The cartridge should then be removed and discarded.
2. Engaging the jaws over a previously applied clip should be avoided, as it may cause the handpiece to misfire.
WARNING
Make sure cartridge is removed from the handpiece after use, or prior to cleaning and sterilizing process. Microline Surgical shall not be
responsible for any damage occurring as a result of a non-compliance with this warning.
DISASSEMBLING THE CLIP APPLIER HANDPIECE
To disassemble clip applier for reprocessing follow the steps below:
1. Remove and discard the disposable clip cartridge by fully squeezing the trigger against the handle as shown in Fig.4. If all of the clips
have not been fired, squeezing the trigger and removing the cartridge will engage and release one clip. In this case, make sure to fire the
engaged clip onto something such as a drape so that the contaminated clip does not fall onto the floor, stick to the jaws or fall inside the
instrument shaft potentially causing a jam or safety hazard.
(This step serves as a warning note on the "Cleaning and Sterilization" steps. Microline Surgical shall not be responsible for any
damages occurring as a result of a non-compliance with this warning.)
2. Remove the outer tube (Fig. 6) by fully squeezing the trigger and unscrewing the knob clockwise (Fig. 5).
FIGURE 4
FIGURE 5
NOTES
Use only Microline Surgical's sterile disposable back-loading slide cartridge. Microline Surgical will not be responsible for any damage caused
by other clips.
M/L-10 Multi-Fire Clip Applier
Instructions For Use
Microline Surgical, Inc.
50 Dunham Road, Suite 1500
Beverly, MA 01915 U.S.A.
Tel: +1(978) 922-9810 | Fax: +1(978) 922-9209
Web: www.microlinesurgical.com
Email: info@microlinesurgical.com
09-39-30-ART Rev K 04/2017 ECO 5653
ENGLISH
Fully squeeze trigger
Fully Squeeze Trig-
ger
Cartridge fully
inserted
Fully squeeze trigger
Unscrew knob clockwise
FIGURE 3
Remove cartridge
FIGURE 6
Outer tube removed
Non-clip side
of cartridge