Ambu aScope 5 Broncho HD 5.0/2.2 Mode D'emploi page 10

The aScope 5 Broncho HD System consists of the aScope 5 Broncho HD and Ambu's Full-HD
displaying unit. Compared to previous generations, the aScope 5 Broncho HD System provides
a higher resolution resulting in a clearer and improved image to the user.
Preparation of aScope 5 Broncho HD
1. Carefully slide the control lever upwards and downwards to bend the bending section as
much as possible. Then slide the control lever slowly to its neutral position. Confirm that
the bending section functions smoothly and correctly. 5a
2. Carefully turn the rotation control ring left and right to rotate the insertion cord as much as
possible. Then turn the rotation control ring back to its neutral position. Confirm that the
rotation control ring functions smoothly and correctly. 5b
3. Press the endoscope buttons one after the other. Short press < 1 second and long press
> 1 second. For default setting please see displaying unit Instructions for use. 5c
4. Instill 2 ml of sterile water and 2 ml of air into the working channel using a syringe
(if applying a Luer Lock syringe, use the enclosed introducer). Press the plunger to ensure
that there are no leaks, and that water is emitted from the distal tip. 5d
5. If applicable, prepare the suction equipment according to the manufacturer's Instructions
for use. Connect the suctioning tube to the suction connector and press the suction
button to check that suction is applied. 5e
6. If applicable, verify that endotherapy instruments of appropriate size can be passed
through the working channel without resistance. The enclosed introducer can be used for
connection of Luer Lock syringes or to ease insertion of very soft instruments such as soft
catheters and protected specimen brushes if necessary. 5f
7. If applicable, verify that the accessories or endotherapy instruments are compatible with
the endoscope before starting the procedure.
8. To guard against potentially infectious materials during the procedure, consider wearing
personal protective equipment.
3.2. Operating the aScope 5 Broncho HD
Holding the aScope 5 Broncho HD and manipulating the tip
The handle of the endoscope can be held with either hand.
Use the thumb to move the control lever up and down and the index finger to operate the
suction button. The control lever is used to flex and extend the distal tip of the endoscope in
the vertical plane 5a . Moving the control lever downward will make the tip bend anteriorly
(flexion). Moving it upward will make the distal tip bend posteriorly (extension). The insertion
cord should be held as straight as possible at all times in order to secure an optimal bending
angle at the distal tip. After bending, the control lever should be moved back to neutral position.
This will increase/ease maneuverability.
Rotation of the insertion cord 5b
The rotation control ring enables the user to rotate insertion cord in relation to the handle,
and vice-versa. This can be done either by holding the rotation control ring in place and then
rotating the handle, or by holding the handle in place and then rotating the rotation control
ring. In either case, make sure to check the rotation indicators on the rotation control ring and
on the red ring above. The rotation is at neutral position (i.e. turned 0°) when the indicators
are aligned, this will allow a maximal rotation of 120° to either side. There is a tactile click
indicating when the rotation control ring is returned to the neutral position. Always view
the live endoscopic image when operating the rotation control ring to avoid patient injury.
Endoscope buttons 5c 6a
The two endoscope buttons can activate up to four functions.
The endoscope buttons can be programmed via the Ambu displaying unit (see Instructions for
use of the Ambu Displaying Unit) and current settings can be found in the user interface of the
displaying unit.
During use of active endotherapy instruments the endoscope buttons cannot be activated on
the handle but functions are still available using the Ambu displaying unit.
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