Hologic Aquilex Instructions D'utilisation page 14

WARNING!
Cerebral edema
Hysteroscopic surgery is associated with a risk of developing cerebral edema result-
ing from fluid overload and electrolyte disturbances with hypoosmolar (non-ionic)
fluids such as glycine 1.5 % and sorbitol 3.0 %. It is critical to closely monitor the in-
put and outflow of the distending liquid at all times.
WARNING!
Idiosyncratic reactions
In rare cases, idiosyncratic reactions including
• intravascular coagulopathy
• allergic reaction including anaphylaxis
may occur while performing a hysteroscopy if a liquid distention medium is used.
WARNING!
Hypothermia (monitoring body temperature)
Continuous flow of distention fluids can lead to a lowering of the patient's body
temperature during hysteroscopic surgery. Lower body temperatures can cause
coronary and cardiovascular problems. Always monitor the patient's body temper-
ature during the entire surgery. Make especially sure that the following, hypother-
mia promoting, operation conditions are avoided as best as possible:
• longer operating times
• use of cold irrigation fluid.
WARNING!
Rupture of the fallopian tube secondary to tubal obstruction
Distention of the uterus may lead to a tear of the fallopian tube should there be an
obstruction or permanent occlusion. The rupture could lead to irrigation fluid flow-
ing into the patient's peritoneal cavity, resulting in a fluid overload. It is critical to
closely monitor the input and outflow of the distending liquid at all times.
WARNING!
Air embolism
An air embolism can be the result of air contained in the tube set or connected in-
strument reaching the patient. Ensure there is always fluid in the bag to prevent air
from being pumped into the patient.
WARNING!
Irrigation fluid bags
The system is only intended for use with flexible fluid bags. Do not use glass con-
tainers as they might break. With rigid containers, fluid cannot flow quickly
enough due to the vacuum being generated inside of the containers. Risk of implo-
sion with rigid containers.
WARNING!
Resetting the deficit display
Filling the tubing with irrigation fluid and resetting the deficit display to zero are to
be done at the physician's discretion.
Purpose
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