Aquilex Set-Up and Troubleshooting Guide Rev 002

Technical Support For Hologic Technical Support, please call (800) 442-9892 Hologic Representative: Cell Phone: Email:

Set-up

SET-UP

Set-up STEP

1

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Connect the color-coded vacuum tubing from the high (green) and low (white) pump vacuum ports to the vacuum ports on the back canisters.

STEP

3

Do not discard vacuum tubes after the procedure, they are reusable.

STEP

2

Tandem connect the front canister to the back canisters using the tandem ports. Place a tissue trap in the front high vacuum canisters if the MyoSure® Tissue Removal Device is utilized.

STEP

4

Connect the white Y outflow tubing connector to the patient port on the front low vacuum canister.

Connect the yellow Y outflow tubing connector to the underbuttocks drape. Ensure the drape port is open so fluid can return to the canisters.

Set-up STEP

5

STEP

6

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Twist the yellow luer-lock onto the scope outflow channel.

Twist the blue inflow luer-lock onto the scope inflow channel.

STEP

7

STEP

8

Turn on the Aquilex system before any tubing is connected to the roller wheel. The system will perform a self-diagnostic test.

When prompted insert the inflow tubing around and past the roller wheel to secure into place.

Set-up

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Set an intrauterine pressure.

STEP

9

Hang and spike fluid bags. Up to two fluid bags can be hung.

10

11

Additional fluid bags should be readily available.

To prime the system check that the inflow stopcock is completely open and your fluid bag is unclamped.

STEP

STEP

The intrauterine pressure is adjustable from 40 to 150 mmHg.

STEP

12

Press the “Prime” button. During the Prime Cycle the system will purge air from the system and perform an automatic lumen calibration. Once the prime is complete, the system will beep once and switch to system operating mode. Close the inflow stopcock.

Aquilex will automatically adjust its flow rate (capable of 800 ml/min) to maintain the set intrauterine pressure.

STEP

13

Set a fluid deficit. The deficit is adjustable from 700 to 2,500 ml.

Press and hold the “Zero” button to 0 the fluid deficit.

Notes

Settings

SETTINGS

SETTINGS

Settings

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FLUID DEFICIT: Solution Type

Examples

Deficit Limits*

Hypotonic

Glycine, Sorbitol, Mannitol

1,000 ml

Isotonic

Normal Saline or Lactated Ringers

2,500 ml

Intrauterine Pressure: the intrauterine pressure should be at the lowest pressure necessary to distend the uterine cavity and maintain visualization

* Remember to always follow hospital policies. For further guidance please refer to: AAGL’s Practice Guidelines for the Management of Hysteroscopic Distending Media, March/April 2013, Vol. 20, No 2, The Journal of the American Association of Gynecological Laparoscopists.

Notes

User Tips

USER TIPS

User Tips Changing Canisters 1. Press the “Pause/Resume” button.

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How to Display the Total Volume

2. Change the canister and then press “Pause/Resume” once the change is complete and you are ready to continue the procedure.

Hold down both the up and down arrows on the deficit limit display to show the total fluid volume.

Changing Bags

How to Check the Vacuum

The Aquilex system does not need to be paused for bag changes.

Test vacuum by placing a finger over the gold exhaust valves on the back of the Aquilex pump. If air is felt then the vacuum pumps are operating.

User Tips

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How to RePrime

Prime Complete Sequence

1. Press “Pause”

• The system will beep once

2. Press and hold the “Prime” button for 3 seconds

• The interface will say “Prime Successful”

3. Press the “Prime” button again to begin the Prime Cycle

• The system will then automatically switch to operating mode

4. Once complete the pump will switch to operating mode

STEP

1

STEP

2

STEP

3

Error Codes

ERROR CODES

Error Codes

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START-UP SEQUENCE MESSAGES Pump Display Message and Audible Tone

Cause

Instructions

System Check Running

Normal start up sequence.

Wait for “System OK” message.

System OK 1 beep

Normal start up sequence.

System is ready for operation.

Insert Tube Set

Tube set not inserted or transponder defective.

Insert tube set.

Press Prime Button

Normal start up sequence.

Press “Prime” button.

Prime Successful Close Stopcock 1 beep

Normal start up sequence.

Close inflow stopcock on hysteroscope.

Pump Operating

Normal start up sequence.

The surgeon may start the procedure.

Calibration Running

Normal start up sequence.

Automatic Lumen Calibration takes ~10 seconds to purge air from tubing and 10 seconds to calibrate hysteroscope.

Error Codes

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OPERATIONAL MESSAGES Pump Display Message and Audible Tone

Cause

Instructions

Pump Paused Container Change 3 beeps

System in Pause mode during canister change. Roller wheel and vacuum pumps stopped. Deficit value locked.

Insert empty canister and hit “Pause/Resume” button.

Check Tube Set Installation 1 beep

Tube set installed or inserted incorrectly.

Remove and re-insert tube set. If message recurs, switch to a new tube set.

Tube Set Over Usage Limits 1 beep

Tube set recognition function indicates tube set has been used already.

Insert new tube set.

Check Flow Path Stopcock, Clamps 1 beep

Flow path is blocked. Check that bag clamps & hysteroscope stopcock are open.

Check that tube set is free of obstructions.

Incorrect Tube Set 1 beep

Tube set does not match type necessary for Aquilex System.

Replace tube set.

Pause Pump For Container Change

Removal of canister without first pressing “Pause/Resume” button.

Press “Pause/Resume” to restart system.

Overpressure Check Stopcock 5 beeps, repeated

Intrauterine pressure has exceeded 200mmHg.

Open hysteroscope stopcock or remove other source(s) of blockage from inflow tube set to relieve pressure.

Overpressure Open Stopcock 3 beeps

Intrauterine pressure is 10mmHg over the pressure setting.

Open hysteroscope stopcock or other occlusion to relieve pressure.

Maximum Pressure

Intrauterine pressure exceeds 150 mmHg.

The maximum permissible pressure has been reached.

Error Codes

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OPERATIONAL MESSAGES (continued) Pump Display Message and Audible Tone

Cause

Instructions

Deficit Limit Reached 1 beep

Fluid deficit equals deficit limit set by user

Physician must respond appropriately. Conduct manual deficit assessment, if necessary.

Deficit Limit Exceeded 3 beeps

Alarm every 100ml above deficit limit

Physician must respond appropriately. Conduct manual deficit assessment, if necessary.

Pressure Threshold 3 beeps

Pressures exceeding 100 mmHg are not usually required for hysteroscopy.

Diligent monitoring of fluid deficit is recommended.

Check Scale Connection 3 beeps

Incorrect scale values or communication error with scale operation interrupted

Check scale connection. Reconnect scale and restart system. If message recurs, contact Hologic Technical Support.

Remove Tube Set for System Check 1 beep

System check must be performed with tube set removed from pump head

Remove tube set and wait for audible signal and display to indicate “Insert Tube Set.”

Prime Fail -Open Stopcock, Clamps 3 beeps

Lumen calibration failed

Check bag clamp(s) and hysteroscope inflow stopcock are open. Press “Prime” button to restart.

High Fluid Loss Check Leakage 3 beeps

Deficit change > 150ml for > 30 seconds

Physician must respond appropriately. Conduct manual deficit assessment, if necessary.

Scale Overloaded Check Scale 3 beeps

Weight on scale exceeds 65 lbs

Weight on scale must be reduced. System function will resume once excess weight is removed.

Error Codes

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OPERATIONAL MESSAGES (continued) Pump Display Message and Audible Tone

Cause

Instructions

Communication Error 5 beeps

Communication error between modules

Contact Hologic Technical Support.

Calibration Error 5 beeps

Software has detected a sensor problem

Contact Hologic Technical Support.

Sensor Error 5 beeps

No transponder signal and presure sensor offset simultaneously

Contact Hologic Technical Support.

Motor Error 5 beeps

Motor defective

Contact Hologic Technical Support.

Low Vac Failed Use Alternative 3 beeps

Vacuum sensor or vacuum pump defective

A substitute low pressure vacuum source is necessary to continue procedure. Contact Hologic Technical Support.

High Vac Failed Use Alternative 3 beeps

Vacuum sensor or vacuum pump defective

A substitute high pressure vacuum source is necessary to continue procedure. Contact Hologic Technical Support.

Vac Systems Out Use Alternative 3 beeps

Vacuum sensor or vacuum pump defective

Substitute vacuum sources are necessary to continue the procedure. Contact Hologic Technical Support.

Configuration Images

CONFIGURATION IMAGES