Use Instructions

Using the Hysteroscopy Indication
37
EN
WARNING!
Cerebral edema
A surgical procedure has the risk of cerebral edema resulting from fluid overload
and electrolyte disturbances with hypoosmolar (non-ionic) fluids such as glycine
1.5% and sorbitol 3.0%. It is critical to closely monitor the input and outflow of
the distending liquid at all times.
WARNING!
Idiosyncratic reactions
In rare cases, idiosyncratic reactions such as
• intravascular coagulopathy
• allergic reaction including anaphylaxis
may occur during a surgical procedure if a liquid distention medium is used. Spe-
cifically, idiosyncratic anaphylactic reactions have been reported when using
Hyskon as an irrigation fluid during a surgical procedure. These should be man-
aged like any other allergic reaction.
WARNING!
Rupture of the fallopian tube secondary to tubal obstruction
Distention of the uterus may lead to a tear of the fallopian tube should there be
an obstruction or permanent occlusion. The rupture could lead to irrigation fluid
flowing into the patient's peritoneal cavity, resulting in a fluid overload. It is crit-
ical to closely monitor the input and outflow of the distending liquid at all times.
WARNING!
Instrument replacement
Stop the device using the START/STOP switch if replacing the instrument during
surgery.
WARNING!
Deficit displays and warnings serve as a tool for the treating physician and do not
replace the monitoring of the patient's condition.
WARNING!
Fluid volume/sodium concentration
The fluid left in the patient and the concentration of sodium in the blood serum
must both be monitored. The deficit amount is the entire amount of fluid lost by
or to the system. Take note of the measurement tolerance of the system. Esti-
mating the fluid volume remaining in the patient is the physician’s responsibili-
ty.
WARNING!
The pressure should be kept as low as possible to allow for a sufficient intrauter-
ine distension and to reduce the forces that could allow fluid, ambient air, and/
or gas into the circulatory system.