NOTE: The default directional mode setting for the resector handpiece is Oscillate.
7.
Use the Resector Mode Select Button on the console to verify Forward and Reverse modes.
NOTE: If the Resector Mode Select Button is flashing green or orange, there is a problem with the resector handpiece. See the Troubleshooting section.
8.
Connect the saline supply line from the Saline Pump to the inflow portal on the TRIVEX System resector.
9.
Connect the suction by sliding the suction tubing onto the outflow portal on the proximal end of the resector handpiece.
NOTE: It is recommended that suction of -600 mm Hg be used for optimal resection performance.
CONNECTING THE ILLUMINATOR
WARNING: Do not hold the shutter open without a fiber optic cable in place. Failure to
observe this precaution may result in eye injury.
1.
Check the fiber optic cable for damage. Cuts, abrasions, or tears in the silicone sheath
covering the fiber optic cable will reduce overall light transmission.
2.
While aiming one end of the cable toward a bright light, inspect the other end for
damaged fibers, e.g., black dots or dark areas (Figure 7). Excessive numbers of broken
fibers in the cable will result in reduced light transmission.
3.
Connect the TRIVEX System Illuminator to the instrument end of the fiber optic cable
using the ACMI® instrument end adaptor (REF 2141) included with the TRIVEX System.
4.
Attach the TRIVEX Light Source adaptor (REF 7210375) to the system end of the fiber
optic cable. Press the shutter button and insert the light source end of the fiber optic
cable into the light source port. To remove the cable, press the shutter button and then
withdraw the cable.
CAUTION: Use only the TRIVEX Light Source adaptor (REF 7210375) with this system. Use of any
other light source port adaptor may cause reduced light emission from the fiber optic cable
and may cause damage to the system light bulb.
5.
Connect the Tumescence inflow tubing to the Illuminator.
6.
Connect the Tumescence Pump Footswitches to the Footswitch connectors.
NOTE: The TRIVEX System starts up with the Tumescence pump OFF. The Tumescence Pump must
be turned on using the Tumescence Pump ON/OFF button before the footswitches will work.
WARNING: Possible explosion hazard if used in the presence of flammable anesthetics.
OPERATION
CAUTIONS
•
Before using the TRIVEX System for the first time, you should review all available product information.
•
Verify that the resector handpiece and its cable are sterile.
•
Verify that the illuminator and the light guide cable are sterile.
•
Check to ensure that the resector(s) required for the procedure are available.
•
Verify that the Preoperative Setup has been successfully completed.
•
Only LeMaitre Vascular Disposable TRIVEX Resector Kits can be used with the TRIVEX System
Control Unit. The resectors are intended for single use only. Do not resterilize. Do not lubricate
resectors. Discard the devices after use.
•
Make sure the wheels on the TRIVEX System roller base are locked to prevent the system from
rolling during setup and use.
RESECTOR CONTROL
There are two button controls on the Resector Handpiece (Figure 8). Press and hold the Run button
to start the resector. The resector will run in the selected mode (Forward, Reverse, or Oscillate) until
the button is released.
On startup, the TRIVEX System will default to Oscillate mode. The Resector Mode Select button
indicator will glow green when a resector handpiece is connected.
For problem conditions with the Resector Handpiece the TRIVEX System will light the indicator
bracketing the Resector Mode Select button. There are three possible indicators: a flashing orange
light indicates a stalled motor or high current condition; a steady orange light indicates the
TRIVEX System cannot detect a Handpiece; and a flashing green light indicates a problem with the
Handpiece itself. (See "TROUBLESHOOTING" for additional information.)
The Window Lock function determines the stop position of the inner resector relative to the
Figure 7: Fiber Optic Cable Inspection
Figure 8: Resector Handpiece Controls
10
Run Button
Window Lock Set
Button