Users Manual

Operating Modes of the PNEUMOCLEAR™ Insufflator
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6.6 TAMIS Operating Mode
The
TAMIS
operating mode is used to dilate and fill the rectum and colon by insuf-
flating CO
2
during transanal minimally invasive surgery.
Patients
The
TAMIS
operating mode is designed for patients over the age of 14.
Insufflation parameters
The maximum nominal pressure can be set to 20 mmHg and the maximum gas
flow to 40l/min.
WARNING!
Lowest gas flow and pressure
Depending on age and health condition of the patient, the smallest possible gas
flow and pressure for establishing the cavity should be selected. It is not recom-
mended to exceed insufflation pressures of 15mmHg in transanal minimally invas-
ive surgery procedures.
WARNING!
CO
2
absorption
CO
2
is absorbed during insufflation (intravasation). This means the body absorbs
part of the CO
2
gas used for insufflation. CO
2
concentrations in the blood or respir-
atory system that are too high can lead to death of the patient in extreme cases. To
lower this risk, always carefully and closely monitor the patient's vital signs during
the entire insufflation process and make sure patient is breathing well. Sufficient
respiration can help avoid or limit problems with CO
2
. High pressure or a high gas
flow promotes CO
2
absorption. Pressure values above 15 mmHg are required for
only a few cases but do increase the risk of intravasation. It is recommended not to
exceed insufflation pressures of 15mmHg during transanal minimally invasive sur-
gery.
CAUTION!
Different indication to taTME
The TAMIS indication is different than the taTME (trans anal total mesorectal ex-
cision) procedure.
en
DRAFT