Spatz 3 Mode D'emploi page 6

5. Roll back to cover
proximal hole (edge may go
beyond scope tip)
7. Roll back fully (balloon
tip must be within 3 mm of
proximal hole)
9. Push ends back toward
balloon tip
11.Push Valve-Hold into
white cup
(push straight – do not twist)
13. Ready for use
6
43 | SPZ3-IFU-100 Rev 11 | October 2021
OF
6. Balloon tip touches
condom - begin rolling
8. Pull proximal hole over
scope and then distal hole
10. Valve-Hold
12. Valve-Hold inside cup
8. Inflate or deflate to the final desired volume-we
recommend starting with 450-500 ml. Then remove the
endoscope fully – you may feel some mild pressure as the
balloon separates from the Insertion Facilitator.
9. Pull out the extension tube until the valve exits the mouth.
The valve is grasped firmly with a gauze pad while the
extension tube is twisted off and replaced with the white cap.
The white cap is provided in a separate bag in the packaging.
Warning: The cap and valve are slippery, and it is difficult
to be sure that you have closed the cap fully. You must dry
the valve and cap with paper towel before closing the cap.
10. Release the capped valve into the back of the throat.
11. The white cap and white catheter is pushed down below
the GE junction by the tip of the endoscope. Remove the
endoscope.
Balloon Volume
Adjustment instructions:
1. An extension tube with 3 way stopcock is provided in
the "Spatz Adjustable Balloon System® Adjustment/
Extraction Kit, " Cat. No. A-SP3-015, or can be self supplied.
2. Perform endoscopy and inspect for balloon or inflation
tube leakage.
3. Capture the valve loop with a rat tooth forceps.
4. Remove the endoscope with valve pulled against the
endoscope tip. THE VALVE MUST BE TOUCHING THE
ENDOSCOPE TIP DURING REMOVAL TO PREVENT IT
FROM GETTING CAUGHT AT THE GE-JUNCTION. Once
the tip of the endoscope with the ensnared valve exits the
mouth, grab the valve firmly. One should feel the elastic
recoil pressure of the stretched inflation tube. This step
may require another set of hands.
5. Twist off the white cap from the valve and attach the
valve to the provided male port of the extension tube and
securely close it DO NOT LOSE THE WHITE CAP!.
6. The extension tube is slowly allowed to slide into the
throat, until the inflation tube is no longer taut.
7. REINSERT THE ENDOSCOPE TO CONFIRM POSITION OF
THE BALLOON IN THE STOMACH.
8. Attach the 50-60 ml Syringe (self supplied) and the solution
bag to the 3-way stopcock and commence inflation
deflation (range 400-700 ml).
9. NEVER INFLATE/DEFLATE WITHOUT ENDOSCOPIC VIEW
OF THE INFLATION TUBE. If the inflation tube is kinked or
folded, use the tip of the endoscope or movement of the
extension tube to unkink the inflation tube.
10. When adjustment is completed, leave the endoscope in the
mid-esophagus while removing the extension tube fully until
the valve exits the mouth. The valve is grasped firmly while the
extension tube is twisted off and replaced with the white cap.
Warning: The cap and valve are slippery, and it is difficult
to be sure that you have closed the cap fully. You must dry
the valve and cap with paper towel before closing the cap.