This video provides an overview of the Hamou Endomat and Equimat Fluid Management System. This includes a review of the system components and the assembly and operation instructions for use for the Hamou Endomat and Equimat System.
intrav ization of fluid into the vascular system during operative history, Skopje is a common occurrence complications are rare, however, when they do occur, they can be severe and happen quickly. Continuous monitoring of fluid deficits. The difference between fluid inflow and outflow has become a standard of care During history. Scott pick surgery, patient monitoring and proper equipment are perhaps the most effective methods to prevent intra operative complications and ensure positive patient outcomes. The end um At the combat system provides accurate fluid deficit monitoring. This system includes a pressure controlled fluid infusion pump, integrated suction source, a fluid collection system and a fluid deficit monitoring system. This video will provide you with easy to follow, assembly and operational instructions for the use of the Endo matt combat system. The following items are critical to a successful operative history Skopje procedure. Endo matt matt system reset to scope history, scope fluid bags type is dependent on procedure. Endo matt tubing, outflow y tubing, fluid collection bag. Standard suction tubing for such an source canisters, canister ring adapters for use with canisters without integrated mount. Yeah, the very first step in the end um At salamat assembly is to turn on both units, the system will perform a self diagnostic check and beep. With the self check is complete. A collection bag is necessary to collect the fluid that leaks from the cervix, cut the tip of the bags, nozzle and place the collection bag under the patient's buttocks. Once the patient is draped, make sure there is a clear path from the patient to the collection bag, it may be necessary to cut the drape hanging over the legs to ensure a clear path the endo matt matt can accommodate up to three bags of fluid. The type of procedure will dictate the fluid you will be using regardless of the solution you're using, fluid monitoring is always recommended. If you are using a mono polar a spectroscope, it will be necessary to use a non electrolytic fluid such as glycerin, sorbitol or mannitol. These fluids are electrolytic free and therefore absorption must be monitored to decrease hyper nutri mia. If you are using a bipolar spectroscope or performing diagnostic mistress copy. It will be necessary to use an isotonic fluids such as saline or ringer's lactate. Although these fluids contain electrolytes absorption could lead to hyper bulimia and therefore fluid monitoring is still recommended. It is recommended that the largest such and canister size available. Be used to minimize the need to replace them during the procedure. The end um at the climate system can hold up to three such in canisters. If using canisters with an integrated mount, simply drop the canister onto the bracket. If using canisters that do not contain amount, you will need ring adapters that can be purchased with the end of that equipment kit, insert the ring adapter onto the bracket and then place the suction canister within the ring adapter. Only one such and canister is necessary for diagnostic or short procedures, assemble the canister as indicated in this picture. Use the white tubing to connect the sheath and the collection bag to the patient portal. The canister. A second set of suction tubing is connected from the suction source to the vacuum ports of the canister. All other ports are closed off for resection or longer procedures. A tandem canister system should be configured, assemble the canisters as indicated in this picture. Used the wide tubing to connect the sheath and collection bag to the patient ports of the first canister. Standard tubing is then connected from the tandem porter, the first canister to the patient portal. The second canister. This is repeated from the second to the third canister. A second set of standards suction tubing is connected from the suction source to the vacuum part of the last canister in the tandem system, all other ports are closed off, the end. O mat pump provides continuous flow necessary to achieve good visualization while safely limiting pressure. Turn on the end of that prior to connecting any tubing. If the tubing is connected before the system is turned on, an alarm will be heard. If this happens simply turn the engine off, disconnect the tubing and turn the device on again. The system will perform a self diagnostic check and beep when the self check is complete. The three user defined settings on the end of that. Bye, inflow fluid pressure and suction. The in flow rate is measured in millimeters per minute. This setting is dependent on the size of the sheath used. Maximum flow rates are listed on the laminated instruction sheet as well as the user manual. The maximum flow rate is determined by the sheath size and is normally set at the beginning of the procedure, flow will stop if the maximum fluid pressure has been reached. Good visualization and adequate distension are achieved by varying both fluid pressure and the position of the outflow. Stop cock on the sheath. It is seldom necessary to adjust the flow rate during the procedure. The fluid pressure is measured in millimeters of mercury and should initially be set slightly below the patients mean arterial pressure. This setting may need to be increased if visualization is not optimal at this pressure. The last setting is the suction. The end um At the combat system is the only fluid management system with integrated suction. If preferred. Wall suction may be used. The recommended suction rate for the end of that system is .3. When using the end of that suction connects standard such and tubing from the such import of the endo matt to the vacuum ports of the last such and canister being used when using wall suction, connect standard suction tubing from the wall suction ports to the vacuum part of the last such and canister being used after making your setting adjustments, connect the endo matt tubing, the fluid bags spikes and pressure dome of the end of mat tubing are passed off to the circulator and the sterile end is connected to the sheath. Remember the influence report on the sheath is always the pork that is closest to the telescope eyepiece. The circulator can then spike the fluid bags if connecting two bags. Only one bag should be open at any given time. The pressure dome is placed on the transducer, lining up the notch and turning to the right place the blue tubing around the pump head rollers while properly aligning the top and bottom connectors with their respective slots. Press the start button activating the rollers. Press the stop button once they are locked in the endo matt matt is a contained collection system collecting fluid from the sheath and the collection bag, bringing it back into the canisters for accurate deficit measurement. The y tubing ensures that this is done effectively. Mhm. The lure lock is connected to the outflow ports of the sheep, Passing off the two blue ends to the circulator. Okay identified the blue end with the clamp and connect this to the collection bag, connect the remaining blue end to the patient portal, the first such and canister. It is important to prime the tubing before zeroing the combat system. It should be done into a separate basin. Press the start button on the end of mat to start the pump tubing is primed when bubbles are eliminated, the equal matt monitors, fluid deficit. When the unit is powered on, the number that is initially displayed is the weight of the system. After all, the tubing has been connected and primed and the standards properly positioned only then should the equal matter be zero. This is done by pressing the reset pause button. The system is now ready to be used to begin. Press the start button for the pump and the start button for the suction. The fluid deficit is registered as a negative number. The equal matt has been programmed to alarm at a deficit of 500 CC. To silence the alarm, press the alarm button. The alarm will be heard again. Once an additional 125 cc deficit has occurred. If you need to change a fluid bags or suction canister one. Make note of the deficit reading to notify the surgeon what you're about to do three. The surgeon should close the inflow pork and pause while you are performing the task. Four paws the system By pressing the reset button. Four zeros will appear five, changed the fluid bags, keeping the empty bags on the hook. Six press the reset button again to return to the initial deficit reading. You have now successfully assembled the endo matt matt. If done methodically and with understanding the endo matt eco mat assembly will be simple and efficient. Along with this video and user manual, a laminated quick reference guide is available that may be attached easily to the arm of the stand. Thank you for your attention. Yeah