Microline PENTAX M/L-10 Manual Del Usuario página 5

3. With full visualization of the ligation site, squeeze the trigger all the way so that the trigger
touches the handle to close the clip around the vessel. The trigger will not reopen until the trigger
is beyond the 7 th
4. Releasing the trigger will open the clip applier jaws and will automatically engage the next
sequential new clip. Now the clip applier is ready for re-firing.
5. a. For the cholangiogram procedure, whereby a clip is used to temporarily secure the cartheter
inside the common cystic duct without occluding the catheter, the degree of clip closure can be
adjusted. This is accomplished by releasing the trigger anytime after the 7
mechanism. This earlier release capability allows for the desired amount of clip closure.
b. For maximum vessel occlusion (clip fully closed) simply depress instrument trigger fully so that
the trigger and handle are touching and then fully release so that the subsequent clip can be
engaged in the jaws.
CAUTIONS:
A. If all the clips are to be used, the last two colored clips will warn the surgeon that
cartridge is almost out of clips. The clip applier should be removed from the cavity once the
last colored clip has been fired. The cartridge should then be removed and disposed of.
B. Engaging the jaws over a previously applied clip should be avoided as it may cause the handpiece
to misfire
WARNING:
Make sure cartridge is removed from the handpiece after use, or prior to cleaning and
sterilizing process. Microline PENTAX shall not be responsible of any damage occurring
as a result of a non-compliance with this warning.
DISASSEMBLING THE CLIP APPLIER HANDPIECE
To disassemble clip applier for reprocessing follow the steps below:
1. Remove and discard the disposable clip cartridge by fully squeezing the trigger against the handle
as shown on Fig.4. If all 19 clips have not been fired squeezing the handle and removing the
cartridge will engage and release 1 clip. In this case, make sure to fire the engaged clip onto
something such as a drape so that the contaminated clip does not fall onto the floor, stick to the
jaws or fall inside the instrument shaft potentially causing a jam or safety hazard.
(This step serves as a warning note on the "Cleaning and Sterilization" steps. Microline PENTAX shall not be
responsible of any damages occurring as a result of a non-compliance with this warning.
2. Remove the outer tube (Fig. 6) by fully squeezing the trigger and unscrewing the knob clockwise
(Fig. 5).
Unscrew
Knob
Clockwise
Notes: Use only Microline PENTAX's sterile disposable back-loading slide cartridge.
PENTAX will not be responsible for any damage caused by other clips.
P/N: 09-39-30 Rev D ECO 949 04/06
click (see 5 below).
Fully Squeeze
Fully Squeeze
Trigger Triger
Fig. 4
Fig. 5
Remove Cartridge
Remove Cartridge
Outer Tube
Outer Tube
Removed
Removed
Fig. 6
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ENGLISH
th click at the ratchet
Microline