Shark Resectoscopes Instruction Manual

Important general notes and instructions Make sure that this product is used only as intended and described in this instruction manual, by adequately trained and qualified medical personnel, and that maintenance and repair are only carried out by authorized experts. Use the product only in the combinations and with the accessories and spare parts specified in this instruction manual. Use other combinations, accessories and replacement parts only if they are expressly intended for the planned applic­ ation and if the performance characteristics and safety requirements are not impaired. Do not alter the product in any way. Reprocess the products before every application and before returning them for repairs as required by the instruction manual in order to protect the patient, user and others. This manual is an integral part of the product and must be stored in such a way that it is accessible at any time during its entire life cycle. This manual must be passed on to any subsequent owner. Immediately upon receipt, check the product and its accessories for completeness and possible damage. Should the shipment give right to complaints, please inform the manufacturer or supplier immediately. Subject to technical changes! Due to ongoing developments, the illustrations and technical data may deviate slightly. CAUTION : Federal law restricts this device to sale by or on the order of a physician.

Safety instructions and levels of danger Symbols

Level of danger

WARNING! Failure to observe can result in death or serious injury. CAUTION! Failure to observe can result in slight injury or damage to the product.

.

IMPORTANT! Failure to observe can result in damage to the product or surroundings.

.

NOTE! Tips for optimum use and other useful information. USA RICHARD WOLF Medical Instruments Corporation 353 Corporate Woods Parkway Vernon Hills, Illinois 60061 Toll Free: 001 (800) 323 - 9653 Phone: 001 (847) 913 - 1113 Fax: 001 (847) 913 - 1488 MANUFACTURER [email protected] www.richardwolfusa.com

GERMANY RICHARD WOLF GmbH 75438 Knittlingen Pforzheimerstr. 32 Telephone: +49 70 43 35-0 Telefax: +49 70 43 35-4300 [email protected] www.richard-wolf.com

UK RICHARD WOLF UK Ltd. Waterside Way Wimbledon SW17 0HB Telephone: + 44 20 89 44 74 47 Telefax: + 44 20 89 44 13 11 [email protected] www.richardwolf.uk.com

BELGIUM / NETHERLANDS N.V. Endoscopie RICHARD WOLF Belgium S.A. Industriezone Drongen Landegemstraat 6 9031 Gent Drongen Telephone: +32 92 80 81 00 Telefax: +32 92 82 92 16

FRANCE RICHARD WOLF France S.A.R.L. Rue Daniel Berger Z.A.C. La Neuvillette F-51100 Reims Telephone: +33 3 26 87 02 89 Telefax: +33 3 26 87 60 33

AUSTRIA RICHARD WOLF Austria Ges.m.b.H. Wilhelminenstraße 93 a A-1160 Vienna Telephone: +43 14 05 51 51 Telefax: +43 14 05 51 51 45

[email protected]

[email protected] www.richard-wolf.com

[email protected] www.richard-wolf.be

0

Marketing Office U.A.E RICHARD WOLF Middle East P.O. Box 500283 AL Thuraya Tower 1 9th Floor, Room 904, Dubai Telephone: + 9 71 43 68 19 20 Telefax: + 9 71 43 68 61 12

INDIA RICHARD WOLF India Private Ltd. JMD Pacific Square No. 211 A, Second Floor Behind 32nd Milestone Gurgaon - 122 001 National Capitol Region Telephone: + 91 12 44 31 57 00 Telefax: + 91 12 44 31 57 05

[email protected] www.richard-wolf.com

[email protected] www.richard-wolf.com

GA-D 366

Contents 1

Technical description...

1

2 2.1 2.2 2.3 2.4 2.5 2.6 2.6.1 2.6.2

Intended use... PANOVIEW telescopes (endoscopes)... Obturators... Working elements... Electrodes... “Shark“ resectoscope continuous-irrigation double-sheath system [ A ]... “Shark“ resectoscope with intermittent irrigation [ B ] [ C ]... “Shark“ resectoscopes with rotatable adapters [ B ]... “Shark“ resectoscopes with central stopcock non-rotatable [ C ]...

1 1 1 1 1 2 2 2 2

3

Indications and field of application...

3

4 4.1 4.2

Contraindications and side effects... Contraindications... Side effects...

3 3 3

5 5.1

Combinations... System overview of “Shark“ resectoscopes...

3 3

6 6.1

Illustration... Resectoscope sheaths (continuous-irrigation double-sheath system) [ A ] Resectoscope sheaths (intermittent irrigation) [ B ] [ C ]... Legend and identification... Obturators, working elements and electrodes... Legend and identification... Electrodes, monopolar... Single-use electrodes, sterile (disposable) [ D ] - [ G ]... Legend and identification... Symbols... Reprocessable products (unsterile)... Disposable products (sterile)...

4

6.1.1 6.2 6.2.1 6.3 6.3.1 6.3.2 6.4 6.4.1 6.4.2 7 7.1 7.1.1 7.1.2 7.1.3 7.1.4 7.1.5 7.1.6 7.1.7 7.1.8 7.1.9 7.1.10 7.1.11

GA-D 366

4 5 7 8 9 9 10 11 11 12

Use... 13 Preparation... 13 Inserting inner sheath (1) in outer sheath (2) [ a ]... 13 Attaching the rotatable irrigation adapter (3) or (4) to the resectoscope sheath (5) [ B ]... 14 Attaching the stopcock plug (6.5) and adapter (7) to the non­rotatable resectoscope sheath with central stopcock (6) [ C ]... 14 Orientation when installing the instruments... 15 Inserting obturator (8) into resectoscope sheath... 16 Inserting dilation obturator (9) in resectoscope sheath... 16 Inserting PANOVIEW telescope (11) into viewing obturator (10)... 17 Inserting viewing obturator (10) with PANOVIEW telescope (11) into the resectoscope sheath... 18 Inserting the PANOVIEW telescope (11) into the working element (12)... 18 Inserting electrode (13) into working element (12)... 19 Inserting working element (12) in resectoscope sheath... 20

I

7.2 7.2.1 7.2.2 7.2.3 7.2.4 7.3

Additional notes and instructions for use... Connecting the resectoscope sheath to the suction and irrigation system... Atraumatic insertion of resectoscope sheath... Connecting “Shark“ resectoscope to system components... Irrigation fluid... HF applications...

20 20 21 21 22 22

8 8.1 8.1.1 8.1.2 8.1.3 8.2 8.2.1

Checks... Visual check... Monopolar HF connection cable (14)... “Shark“ resectoscopes... Electrodes... Function check... Irrigation (2.4), drain (2.6) and luer stopcock (4.2) with removable plug...

24 24 24 24 25 25 25

9 9.1 9.2 9.3 9.3.1 9.3.2 9.3.3 9.4 9.4.1 9.4.2 9.4.3 9.5 9.5.1 9.5.2 9.5.3 9.6 9.7

Reprocessing and maintenance... Dilation obturator (9)... Electrodes (13)... Disassembly before cleaning... “Shark“ resectoscope [ A ] [ B ]... “Shark“ resectoscope with central stopcock [ C ]... Outer sheath (2) and rotatable irrigation adapter (4)... Illustrations on reprocessing... Manual cleaning... Machine cleaning... Care... Assembly before sterilization... Outer sheath (2) and rotatable irrigation adapter (4)... “Shark“ resectoscope [ A ] [ B ]... Resectoscope with central stopcock [ C ]... Reprocessing procedures... Alternate Sterilization Methods...

26 26 26 26 26 26 27 28 28 30 31 31 31 31 32 32 37

10 10.1

38

10.1.1 10.2 10.2.1

Technical data and order data... Electrodes for resectoscopes 8675xxx / 86763xxxx, PANOVIEW telescope 4 mm, 12° / 30°... Single-use electrodes, sterile... Electrodes for resectoscopes 8675xxx / 86763xxxx, PANOVIEW telescope 4 mm, 0° Single-use electrodes, sterile...

11 11.1 11.2

Spare parts and accessories... 39 “Shark“ Resectoscopes... 39 Monopolar HF connection cable (14)... 40

12 12.1

Operating, storage, transport and shipping... 40 Disposal of product, packaging material and accessories... 40

13

Warranty and Customer Service... 41

II

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38 38 39 39

1

Technical description

“Shark“ resectoscopes are used for Transurethral Resection of the Prostate (TURP) and Transurethral Resection of Bladder tumors (TURB) in the lower urinary tract and consist of: Z PANOVIEW telescopes (endoscopes) ' PANOVIEW 0°, 12° and 30° telescopes Z Resectoscope sheaths ' Resectoscope sheaths, rotatable ' Resectoscope sheaths, non-rotatable Z Obturators ' Obturator ' Viewing obturator ' Dilation obturator Z Working elements ' Working element, active: Cutting is effected actively with spring-assisted release ' Working element, passive: Cutting is effected by spring pressure Z Electrodes ' Single-use electrodes, monopolar, sterile (disposable)

2

Intended use

“Shark“ resectoscopes are used for endoscopically controlled tissue ablation. These products are exclusively intended for use by medical staff and may only be used by medically qualified and adequately trained doctors.

2.1

PANOVIEW telescopes (endoscopes)

2.2

Obturators

are used to visualize the inside of the patient via natural passages. are used for atraumatic insertion of the resectoscope sheath into the urethra. Z Viewing obturator ' is used for housing and fixation of the PANOVIEW telescope ' is used for atraumatic insertion of the resectoscope sheath into the urethra under visual control Z Dilation obturator ' is used for atraumatic insertion of the resectoscope sheath into the urethra by dilating the distal flexible obturator piston via the control lever.

2.3

Working elements

2.4

Electrodes

They hold and lock in place the PANOVIEW telescope and the electrode and allow controlled insertion of the electrode into the operating field under visual control. are used for ablating, severing, cutting and coagulating soft tissue Z Single-use electrodes ' for combined cutting / coagulation

GA-D 366

1

With regard to their reprocessing / reusability, the electrodes are distinguished as follows: Z Single-use electrodes, monopolar, sterile (disposable) ' Identification feature: the product numbers start with “4" example: 46782235

2.5

“Shark“ resectoscope continuous-irrigation double-sheath system

A

Z Inner sheath ' holds and automatically locks the outer sheath and the working element ' establishes the rotatable connection between the inner sheath and outer sheath with working element, PANOVIEW telescope and electrode Z Outer sheath ' houses and automatically fixes the inner sheath and a provides rotatable support for the inner sheath ' provides continuous irrigation fluid supply ' allows drainage or aspiration of irrigation fluid

2.6

“Shark“ resectoscope with intermittent irrigation

2.6.1

“Shark“ resectoscopes with rotatable adapters

B

C

B

Z B1 - Resectoscope sheath with luer fitting Z B2 - Resectoscope sheath with luer stopcock Z Resectoscope sheath ' houses and automatically fixes the rotatable irrigation adapter ' establishes the connection between the resectoscope sheath and working element with PANOVIEW telescope and electrode Z Rotatable irrigation adapter (B1) ' allows continuous irrigation fluid supply via luer fitting Z Rotatable irrigation adapter (B2) ' allows controllable irrigation fluid supply via the irrigation stopcock

2.6.2

“Shark“ resectoscopes with central stopcock non-rotatable

C

Z Sheath with central stopcock ' allows continuous irrigation fluid supply (stopcock plug in the “IN” position) ' is used for maintaining the irrigation fluid once the bladder capacity has been reached (stopcock plug in the “0“ position) ' allows drainage or aspiration of irrigation fluid (stopcock plug in the “OUT” position) Z Adapter ' houses and automatically fixes - the sheath with central stopcock - the working element with PANOVIEW telescope and electrode

2

GA-D 366

3

Indications and field of application

The product is used for minimally invasive diagnosis and / or therapy in conjunction with PANOVIEW telescopes and / or endoscopic accessories in the various medi­ cal disciplines such as Z Urology Z Gynecology Z Surgery Application: Z Transurethral resection of the prostate (TURP) Z Transurethral resection of bladder tumors (TURB) Z Adenomas and soft-tissue tumors Z Slitting of the neck of the bladder and incision of the prostate Z Myoma resection and endometrial ablation

4

Contraindications and side effects

4.1

Contraindications

4.2

Side effects

5

Combinations

Contraindications directly related to the product are presently unknown. On the ba­ sis of the latest state of the art in medicine and the patient's condition, the doctor in charge must decide whether the planned application is possible or not. With regard to sex, provenience, anamnesis and other framework conditions, the patient selection for the application of the described medical product is not restricted. Side effects are not known if instruments are applied as specified in the intended use. “Shark“ resectoscopes are used in conjunction with: Z Light projectors and fiber light cables Z HF surgical devices Z Pumps for irrigation or suction Z Endoscopic accessories

CAUTION! Do not combine products incorrectly! Injuries of the patient, user or others as well as damage to the product are possible. The different products may only be used together if their intended uses and the relevant technical data (working length, diameter, peak voltage, etc.) are the same. Follow the instruction manual of the products used in combination with this product. Follow the "Notes and instructions on HF applications", order no.: GA-S 002 as well as the HF device manufacturer's instructions. CAUTION! Do not use electrodes made by other manufacturers.

5.1

System overview of “Shark“ resectoscopes

For this, see brochure BB-D366, System overview of “Shark“ resectoscopes. “Shark” resectoscope sheaths can also be used in conjunction with bipolar working elements 8680.xxx. ' For this, also see the supplement BB­D342, System Overview of „S-line“

S(a)line resectoscopes.

GA-D 366

3

6

Illustration

6.1

Resectoscope sheaths (continuous-irrigation double-sheath system)

A

Resectoscope sheaths (intermittent irrigation)

B

C 1.4

1.1

1.2

1.3

#

1.6 1.5 1.7

1 1.8

1.9

A

2.4.2

2.4.3 2.4.1

2.4.4

2.4.4

*

2.3

2.2

2.1

2.4 2.5

2 # 2.6

3.1

8, 9,10 11,12,13

3.3

[ B1 ]

3 #

3.2 #

5

4.2

B

# [ B2 ]

4 4.1

6.1

C

4.3

6.5

6.2

6.4 6.3

6.4.1

6.6

4

# 7.1 7.2

6 #

Fig. 1

7

7.6 7.5

7.4 7.3

6.4.2

GA-D 366

6.1.1

Legend and identification “Shark“ resectoscopes

A

B [ B1 ]

C [ B2 ]

Item

Designation

rotatable

non-rotatable

1

Inner sheath

J

J

J

j

1.1

Insulating insert (ceramic tip)

J

J

J

j

1.2

Sheath tube

J

J

J

j

1.3

O-ring

J

J

J

j

1.4

Irrigation holes

J

J

J

j

1.5

O-ring

J

J

J

j

1.6

Recess (for orientation)

J

J

J

j

1.7

Lock body

J

J

J

j

1.8

Actuation ring

J

J

J

j

1.9

External ring with color coding

J

J

J

j

2

Outer sheath

J

j

j

j

2.1

Drain holes (suction holes)

J

j

j

j

2.2

Sheath tube

J

j

j

j

2.3

Flange

J

j

j

j

2.4

Irrigation stopcock, complete

J

j

j

j

2.4.1

Stopcock housing

J

j

j

j

2.4.2

Stopcock plug

J

j

j

j

2.4.3

Luer fitting

J

j

j

j

2.4.4

Identification for passage on - stopcock housing - stopcock plug

J

j

j

j

2.5

Ball catch

J

j

j

j

2.6

Drain stopcock, complete (see 2.4)

J

j

j

j

3

Rotatable irrigation adapter

j

J

j

j

3.2

Rotatable irrigation ring

j

J

j

j

3.1

Luer fitting

j

J

j

j

3.3

Ball catch

j

J

j

j

4

Rotatable irrigation adapter

j

j

J

j

4.1

Rotatable irrigation ring

j

j

J

j

4.2

Luer stopcock, complete (see 2.4)

j

j

J

j

4.3

Ball catch

j

j

J

j

5

Resectoscope sheath (other items as under 1)

j

J

J

j

6

Resectoscope sheath with central stopcock

j

j

j

J

6.1

Insulating insert (ceramic tip)

j

j

j

J

6.2

Sheath tube

j

j

j

J

6.3

Flange

j

j

j

J

6.4

Retainer body, complete

j

j

j

J

6.4.1

Luer fitting "IN"

j

j

j

J

6.4.2

"OUT" connector

j

j

j

J

6.5

Stopcock plug

j

j

j

J

6.6

Ball catch

j

j

j

J

J = applicable

GA-D 366

j = not applicable

5

“Shark“ resectoscopes

A

B [ B1 ]

[ B2 ]

Item

Designation

rotatable

7

Adapter

j

j

j

J

7.1

Outer ring with color coding

j

j

j

J

7.2

Recess (for orientation)

j

j

j

J

7.3

Sleeve

j

j

j

J

7.4

Actuation ring

j

j

j

J

7.5

O-ring

j

j

j

J

7.6

Lock body

j

j

j

J

*

Fr. indication

J

J

J

J

#

Product no.

J

J

J

J

J = applicable

6

C non-rotatable

j = not applicable

GA-D 366

6.2

Obturators, working elements and electrodes

8.1 9.1

1, 5 6 (7)

8

#

9

10

9.2

10.1

# 10.2

# 11 12.7 12.5 12.4

12.3

12.15

12.1

12.6

12.8 12.9 12.10

#

12.11

12.12 12.13

#

12.14

12

#

12.16

12.2 12.14

#

14.1

13.1

13

Fig. 2

14.2 13.2

GA-D 366

14

7

6.2.1

Legend and identification

8

Item

Designation

Item

Designation

8

Obturator

12

Working element Telescope guide tube, semi-circular, open

8.1

Handle with color coding

12.1

Working element, active Cutting action with spring assisted release, grip closed

9

Dilation obturator

12.2

Working element, passive Cutting action with spring assisted cutting, grip open

9.1

Dilatable obturator piston

12.3

Guide rail

9.2

Inclinable handle with color coding

12.4

Lock body

10

Viewing obturator

12.5

HF connector

10.1

Locking lever with color coding

12.6

Arm, front

10.2

Locking ring

12.7

Spring

11

Endoscope

12.8

Arm, rear

11.9

Locking lever

12.10

Locking ring

12.11

Thumb ring

12.12

Pushbutton

12.13

Cap

12.14

Grip

12.15

Locking cone

12.16

Thumb support

13

Single-use electrodes, sterile See figure 3

13.1

Electrodes for 4 mm, 12/ 30

13.2

Electrodes for 4 mm, 0

14

Monopolar HF connection cable

14.1

Connector to device for connection to HF surgical device

14.2

Connector to instrument for connection to HF connector (12.5)

#

Product no.

GA-D 366

6.3

Electrodes, monopolar

6.3.1

Single-use electrodes, sterile (disposable)

D - G 0

D - G

15.3

15

15.1 15.2

12/ 30 15.5

15.4

15.6

D - G Item

0

12/ 30

D E1 E2

-

E3

-

F G1 G2

-

Fig. 3

GA-D 366

9

6.3.2

Legend and identification Item

Designation

15

10

Item

Designation

Electrode structure

15.1

Electrode head

15.5

Proximal insulation (stem)

15.2

Distal insulation (fork) Color coding: ' green for 22 / 24 Fr. resectoscope sheath ' yellow for 24 / 26 Fr. resectoscope sheath for 26 Fr. resectoscope sheath ' black

15.6

Contact section

15.3

Telescope guide, black (plastic part)

15.4

Guide nose ' without guide nose - color coding green for 22 Fr. inner sheath ' with guide nose - 1st step - color coding yellow for 24 Fr. inner sheath ' with guide nose - 2nd step - color coding black for 26 Fr. inner sheath

#

Product no. ' on sterile packaging

D-G

Single-use electrodes, sterile

16

Electrode shapes

D

Cutting electrode, loop

F

Hook electrode

E1

Coagulation electrode, roller

G1

Blade electrode

E2

Coagulation electrode, sphere

G2

Blade electrode

E3

Coagulation electrode, button

Single-use electrodes, sterile

GA-D 366

6.4

Symbols

6.4.1

Reprocessable products (unsterile) Symbol

Designation Attention, Caution

Follow the instruction manual

Observe the instruction manual

REF

Order number

LOT

Lot designation

SN

Serial no. Unsterile

Manufacturer XXhPa

Limitation of atmospheric pressure

XXhPa

Identification in conformity with EEC directive 93/42/EEC on medical products, is only valid if the pro­ duct and/or its packaging is provided with this identification. Products of category IIa and above, as well as sterile products or products with measuring function of category I, are additionally marked with the code no. of the notified body (0124).

GA-D 366

11

6.4.2

Disposable products (sterile) Symbol

Designation Follow the instruction manual

Observe the instruction manual

REF

Order number

LOT

Lot designation Manufacturing date Quantity To be used before:

Do not reuse.

Do not re-sterilize

STERILE EO Sterilized with ethylen oxide Manufacturer

Do not use if package is damaged!

Protect against the sun during storage XX° XX° XX%

Temperature range

Humidity limitation

XX% XXhPa

Limitation of atmospheric pressure

XXhPa

Identification in conformity with EEC directive 93/42/EEC on medical products, is only valid if the pro­ duct and/or its packaging is provided with this identification. Products of category IIa and above, as well as sterile products or products with measuring function of category I, are additionally marked with the code no. of the notified body (0124).

12

GA-D 366

7

Use WARNING! Do not reprocess disposable items! The service life of products marked as disposable, i.e. for single use only, has been designed for only one use in or on a single patient. If disposable items are reprocessed to be used again, a deterioration of the product quality cannot be excluded, which will endanger the patient, the user and others. Possible dangers and risk factors are: ' strength problems ' damage to the product ' considerable impairment of function ' significantly increased risk of infection ' biocompatibility problems If a disposable item is reprocessed the product responsibility lies with the user or the person in charge of reprocessing. In this case the manufacturer can no longer guarantee product safety and per­ formance. CAUTION! The products have only limited strength! Applying excessive force will lead to damage, impair the function and endanger the patient. Immediately before and after each use, check the products for damage, loose parts and completeness. Make sure that no missing parts remain in the patient. Do not use the products if they are damaged or incomplete or have loose parts.

7.1

Preparation

For the different resectoscopes, the following preparatory measures must be car­ ried out: Z Check assembly: see section 9.5 Z Carry out a check: see sections 8 and 8.1

7.1.1

Inserting inner sheath (1) in outer sheath (2)

A

Fig. 4 Locking: Z Check that the O-rings (1.3) (1.5) on the inner sheath (1) are in place. Z Insert the inner sheath (1) into the outer sheath (2) as far as it will go. ' The outer sheath (2) snaps audibly onto the inner sheath (1) and is held automatically by a ball catch (2.5). Z Check that the rotatable connection is securely connected. Unlocking: Z Push the outer ring (1.9) on the inner sheath (1) in direction of arrow as far as it will go, hold and remove the outer sheath (2). Locking

1.5

2 Fig. 4

GA-D 366

2.5 1.3

1

Unlocking

2

1.9

1

13

7.1.2

B

Attaching the rotatable irrigation adapter (3) or (4) to the resectoscope sheath (5) “Shark“ resectoscope, rotatable [ B1 ], [ B2 ] Fig. 5 Locking:

Z Check that the O-rings (1.3) (1.5) are installed on the resectoscope sheath (5). Z Insert the resectoscope sheath (5) into the rotatable irrigation adapter (3) or (4) as far as it will go. ' The rotatable irrigation adapter (3) or (4) audibly snaps into the resectoscope sheath (5) where it is automatically held by means of the ball catch (3.3) (4.3). Z Check that the rotatable connection is securely connected. Unlocking: Z Slide outer ring (1.9) on the resectoscope sheath (5) in direction of arrow as far as it will go, hold and remove the rotatable irrigation adapter (3) or (4). Locking

1.5

Unlocking

5

[ B1 ] 3 1.9

3 3.3 5 1.3 Locking

Unlocking

[ B2 ] Fig. 5

7.1.3

4 4.3 5 1.3

5

3 1.9

Attaching the stopcock plug (6.5) and adapter (7) to the non­rotatable resectoscope sheath with central stopcock (6)

C

Fig. 6 Z Insert the stopcock plug (6.5) in direction of arrow as far as it will go.

6.5 Fig. 6

14

GA-D 366

Fig. 7 Locking: Z Check that the O-ring (7.5) is installed on the adapter (7). Z Position the adapter (7) radially to the resectoscope sheath with central stop­ cock (6) in the snap-in position. ' The groove (a) and the pin (b) are aligned. Z Slide the resectoscope sheath with central stopcock (6) into the adapter (7) as far as it will go. ' The resectoscope sheath with central stopcock (6) clicks audibly into the adap­ ter (7) where it is held automatically by means of the ball catch (6.6). Z Check the components for secure connection. Unlocking: Z Slide the outer ring (7.1) on the adapter (7) in direction of arrow as far as it will go, hold and remove the resectoscope sheath with central stopcock (6). Locking

Unlocking

(a) (b)

7.5

6

6.6

7

6

7.1

7

Fig. 7

7.1.4

Orientation when installing the instruments

1.6

7.2

1.8

GA-D 366

. NOTE! The actuation ring (1.8) (7.4) has a recess (1.6) (7.2) located opposite of the groove (c). When inserting the obturators (8) (9) (10) and the working element (12), the groove (c) of the actuation ring (1.8) (7.4) and the pin (d) of the instruments must be aligned. The recess (1.6) (7.2) provides orientation.

(c)

Fig. 8

Fig. 8

7.4

15

7.1.5

Inserting obturator (8) into resectoscope sheath Fig. 9 Locking: Z Insert the obturator (8) into the resectoscope sheath in such a way that the groove (c) and the pin (d) are aligned. Push together until the obturator (8) engages automatically in the lock body (1.7) or (7.6). Z Check the components for secure connection.

.

NOTE! If the obturator (8) won't engage in the lock body (1.7) or (7.6), press the acutation ring (1.8) or (7.4) in direction of arrow as far as it will go and repeat the procedure. Unlocking: Z Push the actuation ring (1.8) or (7.4) in direction of arrow as far as it will go and remove the obturator (8). (c)

1.8 (7.4)

(d)

1.7 (7.6)

8

Fig. 9 7.1.6

Inserting dilation obturator (9) in resectoscope sheath Fig. 10

.

IMPORTANT! Insert or withdraw the dilation obturator (9) into / from the resectoscope sheath only when the inclinable handle (9.2) is horizontal.

Locking and unlocking: Z Same procedure as described under section 7.1.5. (c)

1.8 (7.4)

(d)

1.7 (7.6)

Fig. 10

16

9 9.2

GA-D 366