Users Manual

Operating Modes of the PNEUMOCLEAR™ Insufflator
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6 Operating Modes of the PNEUMOCLEAR™ Insufflator
CAUTION!
Deviation between cavity pressure and pressure display
The insufflator measures the pressure via the tube set. Using a tight trocar/instru-
ment combination limits the equalization of pressure between cavity and tube set.
Consequently, the device potentially displays a pressure that is higher than the
pressure in the cavity. This can lead to a decrease of the distention performance.
For a good equalization of pressure, it is suggested to ensure there is adequate
clearance for flow between trocar and the instrument.
NOTE!
Maximum gas flow
The actual maximum gas flow into the cavity is limited by the Luer lock connection,
the trocar and the inserted endoscope or instrument. It is suggested to ensure
there is adequate clearance for flow between the trocar and the instrument.
Modes Overview
Standard Pediatric High Flow /
Bariatric
Advanced Flow Vessel Harvest TAMIS
Nominal flow (l/min) 1 - 40 0.1 - 20 1 - 45 1 - 50 1 - 10 0.5 - 40
Flow levels (l/min)
Level 1: 3
Level 2: 20
Level 3: 40
Level 1: 0,1
Level 2: 2
Level 3: 20
Level 1: 5
Level 2: 25
Level 3: 45
Level 1: 5
Level 2: 25
Level 3: 50
Level 1: 1
Level 2: 4
Level 3: 10
Level 1: 3
Level 2: 10
Level 3: 40
Safety threshold flow (l/min) n.a. 5 n.a. n.a. 6 n.a.
Starting pressure 15 8 15 15 10 12
Set pressure (mmHg) 1 - 30 1 - 20 1 - 30 1 - 30 1 - 20 1 - 20
Pressure increments (mmHg) 1 1 1 1 1 1
Safety threshold pressure
(mmHg)
15 12/15 15 15 12/15 15
6.1 Standard Operating Mode
The
Standard
operating mode is used to distend the peritoneal cavity during lap-
aroscopic procedures by insufflating CO
2
.
Patients
The
Standard
operating mode is designed for laparoscopies performed on normal
weight and slightly obese (BMI<30kg/m
2
) patients over the age of 14.
Insufflation parameters
The maximum nominal pressure can be set to 30 mmHg and the maximum gas
flow to 40l/min.
WARNING!
Idiosyncratic reactions
Patients with sickle cell anemia or pulmonary insufficiency may have a higher risk
of metabolic imbalance related to excessive CO
2
absorption (idiosyncratic reaction).
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DRAFT