Steris Moray 00711889 Mode D'emploi page 3

Directions for Use:
1. Identify the lesion to be sampled via endoscopic or endoscopic ultrasound visualization, and maintain visualization
throughout use of the Moray
2. Place endoscopic delivery device distal end into or near target lesion, while maintaining visualization for both the lesion and
delivery device distal end.
3. Keep the grasping jaws in the closed position by moving the Slider proximally towards the Thumb Ring when inserting the
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Moray micro forceps into the endoscopic delivery device.
4. Hold the Slider firmly back towards thumb ring to prevent inadvertent opening of the grasping jaws when inserting the
instrument into the endoscopic delivery device.
5. Advance the Moray
kinking the sheath.
6. Reduce the angulation of the endoscope or lower the forceps elevator in the endoscope if resistance is felt. Do not force the
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Moray micro forceps through the endoscopic delivery device.
7. Advance the Moray
sampled.
8. Maintain EUS or endoscopic visualization of the endoscopic delivery device within or above the lesion to be sampled.
9. Advance the Moray
Caution: If using device through an FNA needle, make sure to maintain EUS visualization of forceps at all times during usage.
Losing visualization of forceps may allow the end user to advance forceps too far, potentially injuring surrounding tissue or
structures.
10. OPEN the jaws by moving the Slider distally from the Thumb Ring in a controlled fashion. (See Figure 4)
Caution: Forcibly moving the Slider may allow it to travel further than required causing the coiled sheath to expand, extend
and then retract. This can cause device malfunction and prevent specimen capture.
11.
Advance the Moray
visualization. (See Figure 5)
12. CLOSE the jaws by moving the Slider proximally toward the Thumb Ring, and slowly grasp the tissue. (See Figure 6)
Caution: Use only enough pressure to bite the tissue. Over-exertion could cause forceps to become misaligned or to fail.
13. While maintaining pressure on Slider and Thumb Ring with one hand, grasp the sheath of the Moray
above insertion point of the delivery device) and sharply, pull in a proximal direction to remove tissue sample from site.
Caution when using through 19 gauge FNA needle: The jaws of the Moray
tissue allowing the forceps/sample to pull on the distal end of the needle causing it to lose position within the lesion.
To help mitigate this occurrence it is critical that the clinician performing the procedure maintain control of the needle's handle
during this maneuver.
14. To remove the Moray
proximally towards the Thumb Ring.
15. Remove the Moray
bioburden.
16. Transfer specimen from the jaws of the Moray
institutional guidelines.
a. The included extraction pick (see Figure 7) may be used to assist in specimen removal if deemed necessary.
b. If using the extraction pick:
i. Unseat extraction pick from tray at cutout point 2 by grasping device with thumb and forefinger of one hand.
ii. Remove tip protector from extraction pick to expose tip.
iii. Examine extraction pick for any damage.
iv. Rest open jaws of forceps onto medium of choice (i.e., filter paper, non-adherent dressing, or slide)
v. Insert needle tip of extraction pick into the proximal aspect of the jaw cup just behind or below specimen.
vi. Extract specimen from cup carefully and onto medium of choice by pushing it distally.
vii. Repeat steps iv. through vi. if more specimens are excised.
viii. Dispose of extraction pick into sharps container once it is no longer needed at end of procedure.
17. You may also rinse the jaws of the Moray
removed. Caution: Never swish forceps in preservative medium (i.e., formalin, methanol, alcohol fixatives, etc.) to facilitate
removal of specimen from jaws if an additional pass with the forceps is warranted. Doing so may expose patient to potentially
toxic material.
a. Transfer any remaining tissue/specimen to specimen container.
18. If another tissue sample is desired, visually inspect the forceps for damage and then repeat steps 3-17.
00732071 Rev. F
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micro forceps.
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micro forceps down the endoscopic delivery device using short strokes (1.0 to 1.5 inches) to avoid
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micro forceps carefully through the endoscopic delivery device while visualizing the lesion to be
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micro forceps out of the endoscopic delivery device to desired area within or above lesion. (See Figure 3)
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micro forceps with jaws open to capture the desired tissue while maintaining EUS or endoscopic
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micro forceps from the delivery device, apply continuous GENTLE traction while squeezing the Slider
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micro forceps from endoscopic delivery device using short continuous strokes to minimize the scatter of
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micro forceps in sterile saline while actuating handle until tissue/specimen is
micro forceps to specimen jar and medium for preservation for pathology per
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micro forceps (just
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micro forceps may grasp a large amount of
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