7�3 Loss Of Articulation Control On The Lithovue Flexscope - Boston Scientific LithoVue Manual Del Usuario

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3. Ensure that the Connector Cable's Plug and the Workstation Receptacle are clean and dry.
4. Reconnect the LithoVue™ Flexscope to the System Workstation, firmly pushing in the connector
until it is fully inserted.
5. Check for live video image. If video image is unusable, continue to Step 6.
6. Power off the System Workstation.
7. Power on the System Workstation.
8. If live image cannot be restored, discontinue use of the LithoVue Flexscope. Conduct the following
steps to remove the LithoVue Flexscope:
a. Return the Articulation Lever to Neutral position – this will cause the distal tip to return to
an unarticulated position. Reference the LithoVue Single-Use Digital Flexible Ureteroscope
Directions for Use (Section "Ureteroscope Features and Controls"). The articulation state of
the LithoVue Flexscope can be confirmed with imaging.
b. Slowly withdraw the LithoVue Flexscope from the patient. If you feel resistance, investigate
the source of resistance with imaging before continuing to withdraw the LithoVue Flexscope.
c. Dispose of the LithoVue Flexscope in accordance with hospital, administrative and/or local
government policy and use another scope to complete the procedure.
If the image issues still do not resolve after connection of a new LithoVue Flexscope, contact Boston
Scientific using the information found in Section 8 "Service and Warranty".
7�3 LoSS oF ArtIcULAtIon controL on tHE LItHoVUE FLEXScoPE
cAUtIon: In the event of a loss of articulation control, StoP – do not AdVAncE tHE
UrEtEroScoPE, do not InSErt, AdVAncE, or ActUAtE ProcEdUrAL dEVIcES In tHE
WorKInG cHAnnEL�
In the event that the articulation control becomes unresponsive, discontinue use of the LithoVue
Flexscope by conducting the following steps:
1. Return the Articulation Lever to the Neutral position (non-articulated state). Reference the
LithoVue Single-Use Digital Flexible Ureteroscope Directions for Use (Section "Ureteroscope
Features and Controls").
2. Use imaging to confirm that the distal tip is in a nonarticulated state.
3. If the distal tip remains articulated, utilize the Articulation Lever and imaging to straighten the tip.
4. If the Articulation Lever cannot be used to straighten the distal tip, an 0.035" (.89 mm) or larger
super stiff guidewire may be passed, floppy end first, through the working channel to aid in
straightening the distal tip using the following steps:
a. Stabilize the handle of the LithoVue Flexscope and insert the guidewire into the LithoVue
Flexscope using the accessory access port (see Figure 7.1).
User's Manual
37
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