TURBINATOR turbinate reduction Wand
Contents
1.2. COBLATION TURBINATOR Turbinate Reduction Wand Reduce hypertrophic turbinates submucosally and provide hemostasis with built in bipolar coag The TURBINATOR turbinate reduction Wand is designed to provide immediate visible removal of submucosal tissue of hypertrophic turbinates The TURBINATOR Wand s bipolar coagulation feature delivers targeted hemostasis Surgical technique Preoperative preparation Refer to the User s Manual for set up of the Controller irrigation pump and foot pedal NOTE Do not use the Flow Control Valve FCV with the TURBINATOR turbinate reduction Wand Proximal depth marker Orientation line Middle depth marker Distal depth marker Active electrode gt l l N i A li y gt Pe A A A a DIE 24 Te E UG LE Lata eet sete Riot 7 AR AE A rr PA 1 13mm gt e 15mm ol a A Local anesthesia may be administered with or without a vasoconstrictor per the surgeon s preference Depth markers are provided on the device shaft to use as a guide to determine the depth of insertion into the turbinate Refer to the image above for the position of depth markers The device also has a longitudinal line along the shaft to provide an indication of the active electrode orientation when inserted in the turbinate Setup Connect the saline line to the irrigation pump suction tubing to an active Saline delivery suction device and the connector cable to the C
3. OBLATOR II Controller per POSON SACK AEN the Instructions for Use IFU included with the TURBINATOR Wand The irrigation pump should be set to medium flow The Wand will default to the recommended Ablate 7 and Coag 3 settings The rate and depth of tissue ablation is affected by the set point selected the amount of pressure on the tissue the integrity of the electrode and the speed at which the Wand is passed over the target tissue Recommended suction pressure is 250 350mm Hg CAUTION When priming Wand irrigation line and setting the flow rate hold Wand tip away from patient as dripping irrigant could result in patient burns Please refer to the Instructions for Use IFU packaged with the product for a complete list of warnings precautions and contraindications E z a Surgical procedure Use a scalpel to make an initial incision in the anterior portion of the inferior turbinate a freer elevator or equivalent should be used to create a mucosal pocket Insert the TURBINATOR Wand transnasally until the tip of the Wand is inside the initial incision Advance the Turbinator Wand into the anterior mucosa tracking along the medial surface of the turbinate bone During insertion the dissecting edge of the Wand tip should be kept adjacent to the turbinate bone The Wand should not be activated during insertion 2 Continue to advance the TURBINATOR Wand along the turbinate bone to the desired depth
4. nd press the Coag foot pedal while retracting slowly with rotation of 180 degrees for up to 10 seconds NOTE If mucosal blanching is observed stop activation Reposition and repeat as needed to achieve hemostasis NOTE Clogging of the Wand suction is typically caused by large ablated tissue remnants Wiping off the Wand tip with a wet gauze or surgical towel between passes can help to prevent clogging of the Wand Should the Wand suction become clogged intermittently dip the tip of the Wand into a saline filled non metallic beaker and press the yellow Ablate foot pedal to flush out the Wand s suction port If the Wand remains clogged fill a 10 20cc syringe with saline and back flush the suction port of the Wand while pressing the Ablate pedal CAUTION Avoid allowing saline to fall in areas not being treated as user or patient thermal injury may result When priming or cleaning the Wand hold the Wand over a towel away from the patient to collect the saline Ordering information TURBINATOR turbinate reduction Wand Reference Description EICA6895 01 TURBINATOR WAND EC8000 01 COBLATOR II SYSTEM CONTROLLER SIPO01 00 SALINE IRRIGATION PUMP ArthroCare Corporation 7000 West William Cannon Drive Austin TX 78735 USA www smith nephew com Order Entry 1 800 343 5717 Order Entry Fax 1 888 994 2782 2015 Smith amp Nephew Inc Trademark of Smith amp Nephew Reg US Pat amp TM Office P N 52371 Rev C 01 15
5. of the turbinate to be treated Once the Wand is positioned at the desired depth orient the active electrode towards the tissue targeted for resection 3 Activate the TURBINATOR Wand by depressing the yellow Ablate foot pedal Begin slowly retracting the Wand through the targeted tissue up to 5 seconds 4 Stop activation when the distal depth marker is visible at the surface of the mucosa Additional procedural recommendations Do not activate if most distal marker is visible outside tissue single activation through the mucosa in order to reach one of these markers targeted tissue Insert Wand through incision Orient electrode towards targeted tissue Stop removal when first marker is visible A The Wand tip should be inserted up to the distal depth marker or deeper during activation B It is not recommended to activate the Wand continuously for more than 5 seconds during a C The proximal and middle depth markers are for reference only Take care not to advance the Wand D If mucosal blanching is observed stop activation and reposition Wand as needed to remove E If procedure is completed under direct visualization the orange glow from the Wand may be visible through the mucosa to help provide additional guidance for tip orientation and position If the procedure is performed using an endoscope the orange glow may not be visible 5 If hemostasis is required orient the active electrode towards target tissue a
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