Users Manual
General Information
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WARNING!
CO
2
supersaturation
To avoid generating CO
2
supersaturation, an increased level of respiratory activity
is required. An overweight patient's oxygen demand and carbon dioxide produc-
tion are greater and increase faster under physical stress than do those of patients
with normal body weight.
WARNING!
Heart and cardiovascular insufficiency
Constantly monitor all heart and cardiovascular parameters during surgery since
morbidly obese patients have an increased risk of heart and cardiovascular insuffi-
ciencies.
3.3.3 Warnings Pediatric Operating Mode
WARNING!
Gas flow limit
The gas flow may not exceed 14 l/min when performing a laparoscopy on new-
borns or patients weighing less than 25kg (approximately 55US pounds).
WARNING!
Recommended work settings
The flow values listed for laparoscopic procedures performed on newborns, infants,
and children are only suggested values. The selection of the suitable flow and pres-
sure values is solely the responsibility of the attending physician.
WARNING!
Pneumolabium/pneumoscrotum
Children are at risk of a pneumolabium or pneumoscrotum.
WARNING!
Procedures with children
Only those who are specially trained and qualified for procedures with children or
endoscopic vessel harvesting procedures may use this device for these purposes.
WARNING!
Increased airway pressure
When laparoscopic procedures are performed on children, the increased intra-ab-
dominal pressure also increases the risk for higher airway pressures. Always strictly
monitor respiration and airway function when performing laparoscopic procedures
on children younger than 12 years of age.
WARNING!
Compression of the vena cava
When insufflating the abdomen of a child with medical CO
2
, an increased risk of
compressing the vena cava exists. This risk can be reduced by monitoring the
systolic and diastolic blood pressure during the entire surgery.
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DRAFT